Px Code|Procedure Description|Unit Price
814674|02 Mask Cannula|136
802669|123i Cap per 100 Uci|253
802682|99mtc Mag3 per Dose to 15mci|694
834998|Abd Vag Vesical Nexk Suspend|2,461.00
818654|Absorpt Drg >16 <=48 WO Bdr|7
818577|Ace Bandage 2 Inches|4
60140130|Acetaminophen Assay|72
890022.7813|Acetaminophen IV Soln 10 MG/ML|97.3
890023.458|Acetaminophen Suppos 120 MG|3.1
890023.5167|Acetaminophen Suppos 325 MG|3.1
890023.458|Acetaminophen Suppos 650 MG|3.1
890023.458|Acetaminophen Susp 160 MG/5ML|6.58
890023.4612|Acetaminophen Susp 160 MG/5ML|9.12
890023.9047|Acetaminophen Susp 160 MG/5ML|3.1
890023.5058|Acetaminophen Tab 500 MG|3.1
890023.579|Acetaminophen Tab 500 MG|3.1
890023.9999|Acetaminophen w/ Codeine Soln 120-12 MG/5ML|3.1
890023.406|Acetaminophen w/ Codeine Tab 300-30 MG|3.1
890023.1673|Acetazolamide Cap ER 12HR 500 MG|3.1
890022.2316|Acetazolamide Sodium For Inj 500 MG|74.5
60012000|Acetone Blood Qualitative|69
890000.2421|Acetylcholine Chloride Intraocular For Soln 20 MG (1:100)|169.3
60060000|Acetylcholine Receptor|338
890000.6332|Acetylcysteine Inhal Soln 20%|3.18
890000.6332|Acetylcysteine Inhal Soln 20%|5.57
890022.6332|Acetylcysteine Inj 200 MG/ML|524.55
60049660|Acid Fast Stain|48
880039.2474|Acl Loan|1,363.50
813647|Acoustic Immittance Tsting (All 3)Ree)|482
800871|Acromioclavicular Joints Bilateral|752
60067160|ACTH|245
8104473|Acupunc 1 Or|49
836209|Acupunc 1 or Mre Ndl W Stim Addl 15m 1-1|65
8105185|Acupunc 1 or Mre Ndl W Stim Addl 15m 1-1|39
836208|Acupunc 1 or Mre Ndl W Stim Init 15m 1-1|73
8105184|Acupunc 1 or Mre Ndl W Stim Init 15m 1-1|50
834430|Acupunc 1 or Mre Ndl WO Stmul Addl 15m|59
8102157|Acupunc 1 or Mre Ndl WO Stmul Addl 15m|31
836207|Acupunc 1 or Mre Ndl WO Stmul Init 15m|70
890023.9046|Acyclovir Cap 200 MG|3.1
890022.6332|Acyclovir Sodium IV Soln 50 MG/ML|97.3
890022.6332|Acyclovir Sodium IV Soln 50 MG/ML|97.65
60061370|Acylcarnitines Qualitative|98
890022.6746|Adenosine IV Soln 3 MG/ML,Adenosine IV Soln 6 MG/2ML,Adenosine IV Soln 12 MG/4ML|74.5
880039.4893|Adh Drmbnd Prineo 42Cm AFF|300.82
831907|Adj Tiss Tran Face Hnd<=10sqcm|2,893.00
833541|Adj Tiss Tran Sclp Ext <=10cm|2,597.00
832531|Adj Tiss Transfer Trunk <=10cm|2,464.00
8105517|Admin Vac Covid 3mcg/0.2ml 1st Dose|57
8105399|Admin Vac Covid 3mcg/0.2ml 3rd Dose|57
8105444|Admin Vac Covid 3mcg/0.2ml Addl|57
8105223|Admin Vac Covid Bival 10mcg/0.2ml Addl|57
8105220|Admin Vac Covid Bival 30mcg/0.3ml Addl|55
810828|Admin Vac Hepatitis B|57
810829|Admin Vac Influenza|57
810830|Admin Vac Pneumococcal|57
8105598|Admin Vaccine Covid19 1 Dose|57
880045.7636|Adpr Esurg Hrmn Hndswh Hp054 Disp|202.77
880095.2439|Adpr Head Ldh +0Mm Med Metasul|361.21
880045.3807|Adpr Head Ldh +4Mm Lg Metasul|262.45
880045.2358|Adpr Head Ldh +8Mm Xl Metasul|262.45
880095.1963|Adpr Head Ldh -4Mm Sm Metasul|361.21
880045.8215|Adpr Head Vrsy Lgc +14Mm 12/14 Hip Fem|381.3
880039.1708|Adpr Inst Std Thrd Crtdg Hip|112.35
880095.2454|Adpr Srg Med Hip Trb Mtl Durom Metasul|13,166.00
880045.1956|Adpt Cath Uret Conn|83.46
8104579|Aep Screen Hearing Newborn|363
60040750|Afb Smear|19
SUP100049|Air Mattress Pilo Pad W/End Flaps|88
SUP100065|Airway Rapidrhino Anterir 5.5cm ER|88
SUP100066|Airway Rapidrhino Bilaterl 7.5cm ER|153
60012100|Albumin Blood|129
60016240|Albumin Fluid|131
60019450|Albumin Fluid I|11
60056920|Albumin I|129
890022.6852|Albumin, Human Inj 25%|129.87
890022.7613|Albumin, Human Inj 5%|133.92
890023.1731|Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv)|72.5
890000.488|Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML)|72.5
890000.488|Albuterol Sulfate Soln Nebu 0.5% (5 MG/ML)|72.5
8101749|Albuterol to 2.5 Mg Ipt to 0.5 Mg|72.5
60012210|Alcohol Legal Collection|62
60065620|Alcohol Methyl Blood|132
60060050|Aldolase|171
60060100|Aldosterone|978
60012200|Alkaline Phosphatase Blood|155
60083340|Alkaline Phosphatase Bone Specific|105
60083341|Alkaline Phosphatase Bone Specific O|120
60067180|Alkaline Phosphatase Isoenzymes|293
60064680|Allergen Individual|5
890023.1671|Allopurinol Tab 100 MG|3.1
60068690|Alpha Fetoprotein Amnio|234
60060250|Alpha Fetoprotein Blood Tumor|297
60069630|Alpha Fetoprotein Refer|297
60062170|Alpha Subunit|232
60060200|Alpha-1-Antitrypsin Blood|176
890022.1353|Alpha1-Proteinase Inhibitor (Human) Inj 1000 MG/20ML|611.27
60064260|Alpha-2-Macroglobulin|391
890023.2282|Alprazolam Tab 0.25 MG|3.1
890023.5976|Alprazolam Tab 0.5 MG|3.1
60016650|ALT|129
890023.579|Alum & Mag Hydroxide-Simethicone Susp 200-200-20 MG/5ML|3.1
890023.6374|Alum & Mag Hydroxide-Simethicone Susp 200-200-20 MG/5ML|3.18
890023.9607|Aluminum Chloride Soln 20%|23.73
890023.1657|Amantadine HCl Cap 100 MG|3.1
816479|Ambulatory Proc Recovery|2,119.00
814535|Ambulatory Surgery|551
890008.3381|Amino Acid Electrolyte w/Cal Infusion 5% in D15W|239.94
890008.3381|Amino Acid Infusion 5% in D15W|223.2
890000.5179|Aminocaproic Acid Inj 250 MG/ML|97.3
60060360|Aminolevulinic Acid Urine|335
890022.4096|Aminophylline Inj 25 MG/ML|74.5
890022.4307|Amiodarone HCl in Dextrose 4.14% IV Soln 360 MG/200ML|128.9
890022.4307|Amiodarone HCl in Dextrose 4.21% IV Soln 150 MG/100ML|97.3
890022.144|Amiodarone HCl Inj 50 MG/ML,Amiodarone HCl Inj 150 MG/3ML (50 MG/ML),Amiodarone HCl Inj 450 MG/9ML (50 MG/ML),Amiodarone HCl Inj 900 MG/18ML (50 MG/ML)|74.5
890023.9047|Amiodarone HCl Tab 200 MG|3.1
60060300|Amiodarone Level|328
890023.904|Amitriptyline HCl Tab 25 MG|3.1
890023.9046|Amlodipine Besylate Tab 10 MG (Base Equivalent)|3.1
890023.9046|Amlodipine Besylate Tab 2.5 MG (Base Equivalent)|3.1
890023.9046|Amlodipine Besylate Tab 5 MG (Base Equivalent)|3.1
60012250|Ammonia|295
890000.6778|Ammonia Aromatic Inhalation|3.1
802713|Amniocentesis|265
802713|Amniocentesis|770
832394|Amniotic Fluid Reduc W US|769
60079230|Amnisure|242
60079231|Amnisure|242
60062190|Amoebic Antibody|271
890023.1671|Amoxicillin & K Clavulanate For Susp 400-57 MG/5ML|32.02
890023.1671|Amoxicillin & K Clavulanate For Susp 400-57 MG/5ML|54.41
890023.6586|Amoxicillin & K Clavulanate Tab 500-125 MG|3.1
890023.6586|Amoxicillin & K Clavulanate Tab 875-125 MG|3.1
890023.5724|Amoxicillin (Trihydrate) Cap 500 MG|3.1
890023.9323|Amoxicillin (Trihydrate) Chew Tab 250 MG|3.1
890023.144|Amoxicillin (Trihydrate) For Susp 250 MG/5ML|12.97
890023.6586|Amoxicillin (Trihydrate) For Susp 250 MG/5ML|10.04
890023.7816|Amoxicillin (Trihydrate) For Susp 250 MG/5ML|10.04
890023.7816|Amoxicillin (Trihydrate) For Susp 250 MG/5ML|14.23
890023.9342|Amoxicillin (Trihydrate) For Susp 250 MG/5ML|14.65
890023.144|Amoxicillin (Trihydrate) For Susp 400 MG/5ML|18.14
890023.9342|Amoxicillin (Trihydrate) For Susp 400 MG/5ML|22.04
890023.4281|Amphetamine-Dextroamphetamine Tab 10 MG|3.1
890022.49|Ampicillin & Sulbactam Sodium For Inj 1.5 (1-0.5) GM|74.5
890022.6746|Ampicillin & Sulbactam Sodium For Inj 1.5 (1-0.5) GM|74.5
890022.4457|Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM|74.5
890022.7819|Ampicillin Sodium For Inj 1 GM|74.5
890022.6522|Ampicillin Sodium For Inj 2 GM|74.5
890022.7819|Ampicillin Sodium For Inj 250 MG|74.5
60048820|Amplified Probe Each Organism|204
833108|Amput Fing Thumb Singl W/Lcl Adv|2,756.00
833314|Amputate Foot Transmetatarsal|2,630.00
833313|Amputate Leg Thru Tib & Fib Reamp|2,783.00
833311|Amputate Leg Thru Tibia and Fibula|4,585.00
833312|Amputate Leg Tib-Fib OP Circular|3,015.00
830395|Amputation Finger or Thumb Single|3,138.00
833750|Amputation Foot Midtarsal|1,762.00
833309|Amputation Thigh Thru Femur|4,019.00
833115|Amputation Toe|2,163.00
833301|Amputation Toe Interphalangeal Jt|1,642.00
833082|Amputation Toe Metatarsophal Jnt|1,752.00
60012300|Amylase Blood|187
60012350|Amylase Fluid|179
60070000|Ana Blood Screen|250
60070010|Ana Blood Titer|87
60056050|Ana I|250
60055980|Ana II|40
60056350|Anaplasma Phg Igg|121
60056140|Anaplasma Phg Igm|121
60046230|Anaplasma Phg Qualitative Pcr|719
890023.1673|Anastrozole Tab 1 MG|3.1
60056830|Anca Screen|82
880039.2492|Anchor Harpoon|412.92
880064.5513|Anchor Sut Bcscr 6.5Mm Poly L Lactd Co D|492.9
880064.1575|Anchor Sut Bcscr Fwr 5.5Mm Poly-L-Lac|530.1
880064.3753|Anchor Sut Bcscr Fwr 5Mm Poly L Lactd Co|492.9
880064.2467|Anchor Sut Bfstk Fwr 3Mm Poly L Lactd Co|492.9
880064.3781|Anchor Sut Bfstk Fwr 3Mm Poly L Lactd Co|455.7
880045.1575|Anchor Sut Bio-Pushlock 3.5Mm 19.5Mm|632.4
880045.1613|Anchor Sut Bio-Pushlock 4.5Mm 24Mm Strl|1,030.20
880045.2755|Anchor Sut Compositcp Bbnd 4.5Mm 2 Ld|669.6
880045.3379|Anchor Sut Compositcp Bbnd 4.5mm 2 Ld|915.12
880064.2744|Anchor Sut Compositcp Bbnd 5.5Mm 2 Ld|669.6
880045.3379|Anchor Sut Compositcp Bbnd 6.5mm 2 Ld|669.6
880064.3944|Anchor Sut Crkscr Tgtl 5.5Mm Bcmps Drv|641.7
880064.2629|Anchor Sut Ethbnd Qan+ G2 2 Cp-2|585.9
880064.2481|Anchor Sut Gii Ez Anchor Ethbnd 2 Arthsc|435.24
880064.203|Anchor Sut Jggrknt 1.45Mm Drlbt Sft Rgd|658.53
880045.9075|Anchor Sut Jggrknt 2.9Mm Sft|1,339.26
880064.171|Anchor Sut Jggrknt Mxbrd 1.45Mm Rgd Ld|128.34
880045.2485|Anchor Sut Jggrknt Mxbrd 1.5Mm 1 Ld Sft|810.96
880064.1074|Anchor Sut Jggrknt Mxbrd 2.9Mm 2 Ld 2|840.72
880045.7562|Anchor Sut Pushlock 2.9Mm Bcmps 15.5Mm|202
880064.1332|Anchor Sut Pushlock 2.9Mm Bcmps Cann|706.8
880039.4027|Anchor Sut Pushlock 3.5Mm Bcmps 19.5Mm|706.8
880039.2626|Anchor Sut Qanchr+ Ethbnd 2 Cp-2 Rotr|589.62
880064.263|Anchor Sut Qanchr+ Ethbnd 2-0 V-5 Mini|695.64
880045.2485|Anchor Sut Quattro Frc Fbr 2.9Mm Cobraid|615.66
880064.1918|Anchor Sut Quattro Lnk 2.9Mm Kntls Shldr|766.79
880045.1594|Anchor Sut Quattro Lnk 4.5Mm 1 Row Kntls|901.17
880045.2484|Anchor Sut Quattro Lnk 4.5Mm Mtl 1 Row|758.88
880045.1851|Anchor Sut Quattro Lnk 5.5Mm 1 Row Kntls|901.17
880045.1851|Anchor Sut Quattro X Frc Fbr 5.5Mm|758.88
880045.2485|Anchor Sut Quattro X Frc Fbr 6.5Mm|567.3
880064.2492|Anchor Sut Statak 5.2Mm 2.8Mm Tiv|325.07
880039.1907|Anchor Sut Sut Tk 3Mm Bcmps Strl Lf Disp|206.04
880039.2673|Anchor Sut Swivelock C 4.75Mm Bcmps Peek|706.8
880064.1072|Anchor Sut Swivelock C 4.75Mm Bcmps Peek|837
880064.2673|Anchor Sut Swivelock C 5.5Mm Bcmps Peek|706.8
880045.1076|Anchor Sut Swivelock Tenodesis 7Mm Bcmps|753.3
880045.1277|Anchor Sut Swivelock Tenodesis 8Mm Bcmps|753.3
880064.1044|Anchor Sut Thrd Tab Shrt Rotr Cuf Strl|548.43
880064.1885|Anchor Sut Toggleloc Ziploop 2.9Mm Strl|1,337.34
880064.1836|Anchor Sut Trlnk 2 Blu|102.98
60060390|Androstenedione|548
831661|Anesth Biopsy of Nose|328
831577|Anesthesia Comp by ER Cond|328
831576|Anesthesia for Pt of Extreme Age|328
60060350|Angiotensin Convert Enzyme Blood|314
800211|Ankle 2 Vw|514
800213|Ankle 3+ Vw|610
800817|Ankle Single View|427
834240|Ann Wellness Vst Persnl PPS Init|524
834082|Ann Wellness Vst PPS Subsqt Vst|349
814127|Anoscopy Diagnostic|186
814127|Anoscopy Diagnostic|338
831497|Anoscopy Diagnostic|66
831497|Anoscopy Diagnostic|93
831497|Anoscopy Diagnostic|187
835510|Anoscopy W Bleed Control|270
814560|Ans Local Anes|20
833782|Ant Coporrhaphy Cystocell|2,816.00
830294|Antepartum Care => 7 Visits OB|4,074.00
830293|Antepartum Care 4-6 Visits OB|2,277.00
830362|Antepartum Head Manipulation|444
830362|Antepartum Head Manipulation|524
60038160|Antibody Absorption|223
60039720|Antibody Elution|467
60039730|Antibody ID|127
60039710|Antibody Screen|232
60039060|Antigen Screen Patient|222
60039050|Antigen Screen Unit|207
60039640|Antigen Typing Other|98
60045370|Anti-Mullerian Hormone|257
60065910|Antithrombin III Antigen|277
890023.3089|Apixaban Tab 2.5 MG|26.08
890023.3089|Apixaban Tab 5 MG|52.16
60060410|Apolipoprotein a-1|369
60067340|Apolipoprotein B|276
832643|Appendectomy|3,149.00
832503|Appendectomy Laprascopic|2,940.00
832645|Appendectomy Ruptured W Infection|3,483.00
832644|Appendectomy W Other Major Proc|414
813365|Applic Cast Hand Lower Forearm|314
832172|Applic Cast Hand Lower Forearm|149
813245|Applic Cast Long Arm|312
813245|Applic Cast Long Arm|322
814083|Applic Cast Long Leg|429
814083|Applic Cast Long Leg|653
832173|Applic Cast Long Leg|240
832173|Applic Cast Long Leg|444
813246|Applic Cast Short Leg|260
832174|Applic Cast Short Leg|138
810434|Applic Splint Finger Static|111
810435|Applic Splint Long Arm|261
810435|Applic Splint Long Arm|280
810436|Applic Splint Long Leg|195
810436|Applic Splint Long Leg|636
830014|Applic Splint Long Leg|80
830014|Applic Splint Long Leg|461
810437|Applic Splint Short Arm Static|232
810437|Applic Splint Short Arm Static|354
830015|Applic Splint Short Arm Static|86
830015|Applic Splint Short Arm Static|213
810438|Applic Splint Short Leg|226
810438|Applic Splint Short Leg|730
810002|Applic Unna Boot|144
832175|Applic Unna Boot|84
812449|Application Cast Elbow to Finger|294
832171|Application Cast Elbow to Finger|132
831804|Apply Long Arm Cast|149
831804|Apply Long Arm Cast|167
813539|Apply Multlay Comprs Lwr Leg|255
832984|Apply Multlay Comprs Lwr Leg|42
880038.2495|Apr 2.8Mm Quickclip2 230Cm 135D Lng Rot|221.58
880039.2481|Apr 2.8Mm Quickclip2 230Cm 135D Lng Rot|236.34
880039.1483|Apr 2.8Mm Quickclip2 230Cm 135D Rot In|137.45
880039.3405|Apr Lgclp 9.375In 30D Lgt Mlt Opn In Clp|154.72
890000.1748|Apraclonidine HCl Ophth Soln 0.5% (Base Equivalent)|3.1
890000.6131|Apraclonidine HCl Ophth Soln 0.5% (Base Equivalent)|3.1
890023.1671|Aripiprazole Tab 5 MG|3.1
60060420|Arsenic Blood|488
60056640|Arsenic I|488
60068550|Arsenic Urine|389
802971|Art Duplex Le or Bypass Graft/Uni|1,299.00
880045.2354|Artc Surf Prov Lps 10Mm Sz 5-6 Grn|167.4
830493|Arterial Line for Monitoring Prof|985
814675|Arterial Lines|178
830501|Arterial Puncture|42
830501|Arterial Puncture|1,514.00
812928|Arterial Puncture W Withdraw|143
830526|Arthrocentesis Joint Intermed Pro|117
830526|Arthrocentesis Joint Intermed Pro|120
8101778|Arthrocentesis Joint Intermed With US|125
810441|Arthrocentesis Joint Intermed WO US|125
810441|Arthrocentesis Joint Intermed WO US|340
830017|Arthrocentesis Joint Intermed WO US|120
8101779|Arthrocentesis Joint Major With US|125
8101779|Arthrocentesis Joint Major With US|625
802715|Arthrocentesis Joint Major WO US|159
802715|Arthrocentesis Joint Major WO US|194
802715|Arthrocentesis Joint Major WO US|355
830527|Arthrocentesis Joint Major WO US|136
830527|Arthrocentesis Joint Major WO US|138
830527|Arthrocentesis Joint Major WO US|202
8101777|Arthrocentesis Joint Small With US|125
811892|Arthrocentesis Joint Small WO US|62
811892|Arthrocentesis Joint Small WO US|132
811892|Arthrocentesis Joint Small WO US|287
830528|Arthrocentesis Joint Small WO US|99
830528|Arthrocentesis Joint Small WO US|115
833923|Arthroplasty Total Hip|6,711.00
833929|Arthroplasty Total Knee|6,708.00
833928|Arthroplsty Medil/Laterl Cmprt Knee|5,734.00
834054|Arthroscopic Biceps Tenodesis|4,555.00
833945|Arthroscopy Acl Reconstruction|4,874.00
833050|Arthroscopy Knee W Lateral Releas|2,404.00
833944|Arthroscopy Knee W Meniscectomy|3,445.00
835807|Arthroscopy Med & Lat W Meniscus|3,088.00
833942|Arthroscopy Rotator Cuff Repair|5,298.00
833935|Arthroscopy Shldr Capsulorrhphy|5,228.00
833941|Arthroscopy Shldr Dcmprn Sbcrml|876
833939|Arthroscopy Shldr Debrd Extnsv|3,085.00
835143|Arthroscopy Shldr Synovctmy Partl|2,356.00
833936|Arthroscopy Shldr W Repair Slap Le|5,092.00
835323|Arthroscopy Shoulder Dx Sep Proc|2,053.00
833138|Arthroscopy W/ Cartilage Removal|2,647.00
833049|Arthroscopy With Patellar Shave|3,066.00
834078|Arthrot Knee W Menisc Med or Lat|2,046.00
835253|Arthrotomy Hip W Drainage|3,664.00
833021|Arthrotomy Interphalangeal Joint Ea|1,477.00
833037|Arthrotomy Metacarpophalangl Each|1,607.00
835375|Arthrotomy Wrist Joint With Synovectomy|2,091.00
835826|Arthrscpc Post Cruc Lig Rpr Recon|4,680.00
833134|Arthrscpy Knee Synvctmy Ltd Seprt|2,266.00
835461|Artif Insemination Intra Cervical|107
8102749|Artif Insemination Intra Cervical|133
835462|Artif Insemination Intra Uterine|126
8102750|Artif Insemination Intra Uterine|157
890023.2303|Artificial Tear Ophth Ointment,White Petrolatum-Mineral Oil Ophth Ointment|27.25
880039.4923|Arwy Esph 2.5 14Fr Lma Prsl 14Ml Reuse|1,439.25
880038.2505|Arwy Esph 3 18Mm 10Mm King Lts-D 1 Infl|100.31
880038.9784|Arwy Esph 4 18Mm 10Mm King Lts-D 1 Infl|89.66
880038.2505|Arwy Esph 5 18Mm 10Mm King Lts-D 1 Infl|100.31
890001.6746|Ascorbic Acid Inj 500 MG/ML|74.5
890001.6716|Ascorbic Acid IV Soln 25000 MG/50ML (500 MG/ML)|74.5
890023.2056|Ascorbic Acid Tab 250 MG|3.1
813797|Aso Ankle Stabilizer Brace|64
60070050|Aso Titer|164
811077|Asp &/or Inj Ganglion Cyst(S)|172
830724|Asp &/or Inj Ganglion Cyst(S)|121
60064220|Aspergillus Antibody|121
60088320|Aspergillus I|105
803857|Aspirate or Inject Cyst Thyroid|407
833906|Aspirate or Inject Cyst Thyroid|166
802717|Aspiration Punc Absc Hem Cyst|414
830553|Aspiration Punc Abscs Hm Cyst Pro|214
830553|Aspiration Punc Abscs Hm Cyst Pro|467
802719|Aspiration Renal Cyst Pelvis|1,191.00
890023.5747|Aspirin Suppos 300 MG|3.26
890023.5361|Aspirin Tab 325 MG|3.1
890023.6962|Aspirin Tab Delayed Release 325 MG|3.1
890023.6374|Aspirin Tab Delayed Release 81 MG|3.1
890023.6846|Aspirin-Dipyridamole Cap ER 12HR 25-200 MG|3.1
812680|Assessment of Aphasia per Hr|556
60016600|Ast Blood|121
890023.5108|Atenolol Tab 25 MG|3.1
8102717|Athletic Trn Eval High Complexity|531
8102715|Athletic Trn Eval Low Complexity|531
8102716|Athletic Trn Eval Mod Complexity|531
8102718|Athletic Trn Reeval Plan Low Complexity|233
890023.9046|Atorvastatin Calcium Tab 10 MG (Base Equivalent)|3.1
890023.9046|Atorvastatin Calcium Tab 20 MG (Base Equivalent)|3.1
890022.517|Atropine Sulfate Inj 0.4 MG/ML,Atropine Sulfate Inj 8 MG/20ML (0.4 MG/ML),Atropine Sulfate IV Soln 0.4 MG/ML|74.5
890022.6416|Atropine Sulfate Inj 0.4 MG/ML,Atropine Sulfate Inj 8 MG/20ML (0.4 MG/ML),Atropine Sulfate IV Soln 0.4 MG/ML|74.5
890022.6416|Atropine Sulfate Inj 8 MG/20ML (0.4 MG/ML)|74.5
890022.4095|Atropine Sulfate Soln Prefill Syr 0.5 MG/5ML (0.1 MG/ML), Atropine Sulfate Soln Prefill Syr 1 MG/10ML (0.1 MG/ML)|74.5
890022.7633|Atropine Sulfate Soln Prefill Syr 0.5 MG/5ML (0.1 MG/ML), Atropine Sulfate Soln Prefill Syr 1 MG/10ML (0.1 MG/ML)|74.5
813348|Audiometry Comprehensive|391
880045.3815|Aug Actb 10Mm 50Mm Hip Trb Mtl|3,620.86
880045.3816|Aug Actb 10Mm 54Mm Hip Trb Mtl|4,599.04
880045.2272|Aug Actb 10Mm 58Mm Hip Trb Mtl|3,620.86
880045.3816|Aug Actb 10Mm 62Mm Hip Trb Mtl|3,620.86
880045.3816|Aug Actb 10Mm 66Mm Hip Trb Mtl|4,240.80
880045.2272|Aug Actb 10Mm 70Mm Hip Trb Mtl|3,620.86
880045.3815|Aug Actb 15Mm 50Mm Trb Mtl Strl|3,620.86
880045.2355|Aug Actb 15Mm 58Mm Hip Trb Mtl|3,620.86
880045.2355|Aug Actb 15Mm 62Mm Hip Trb Mtl|5,535.36
880045.2272|Aug Actb 15Mm 66Mm Hip Trb Mtl|3,620.86
880045.2272|Aug Actb 15Mm 70Mm Hip Trb Mtl|3,620.86
880045.2355|Aug Actb 20Mm 50Mm Hip Trb Mtl|3,620.86
880045.2731|Aug Actb 20Mm 54Mm Hip Trb Mtl|3,620.86
880045.3816|Aug Actb 20Mm 58Mm Hip Trb Mtl|3,620.86
880045.1689|Aug Actb 20Mm 62Mm Hip Trb Mtl|3,620.86
880045.3958|Aug Actb 20Mm 66Mm Hip Trb Mtl|3,620.86
880045.2355|Aug Actb 30Mm 50Mm Hip Trb Mtl|3,620.86
880045.3816|Aug Actb 30Mm 54Mm Hip Trb Mtl|3,620.86
880045.3816|Aug Actb 30Mm 58Mm Hip Trb Mtl|3,620.86
880045.9859|Aug Actb 30Mm 62Mm Hip Trb Mtl|3,620.86
880045.3816|Aug Actb 30Mm 66Mm Hip Trb Mtl|3,620.86
880045.3808|Aug Actb 50Mm Durom J Hip Metasul|4,470.99
880045.2731|Aug Actb 54Mm Thk15Mm|3,620.86
880045.2457|Aug Fem 10Mm Nxgn B Kn Dist Tiv Pmma|1,480.37
880045.3568|Aug Fem 10Mm Nxgn E Kn Dist Rot Hng Strl|1,580.16
880095.3128|Aug Fem 10Mm Nxgn E Kn Dist Trb Mtl|3,652.67
880045.3128|Aug Fem 10Mm Nxgn F Kn Post Trb Mtl|3,652.67
880045.3129|Aug Fem 10Mm Nxgn F Kn Trb Mtl|3,124.80
880045.3567|Aug Fem 10Mm Nxgn G Kn Post Tiv Pmma|1,668.42
880045.3237|Aug Fem 10mm Persona 11 11+ Kn Dist Strl|2,250.60
880045.3515|Aug Fem 10mm Persona 7 7+ Kn Dist Strl|2,250.60
880045.2457|Aug Fem 15Mm Nxgn B Kn Dist Tiv Pmma|1,529.85
880045.3801|Aug Fem 15Mm Nxgn C Kn Trb Mtl|3,694.70
880045.3801|Aug Fem 15Mm Nxgn D Kn Trb Mtl|4,166.40
880045.3801|Aug Fem 15Mm Nxgn E Kn Trb Mtl|3,314.52
880045.3801|Aug Fem 15Mm Nxgn F Kn Trb Mtl|3,314.52
880045.3394|Aug Fem 15mm Persona 11 11+ Kn Dist Strl|2,250.60
880045.3801|Aug Fem 20Mm Nxgn C Kn Trb Mtl|2,583.82
880045.3801|Aug Fem 20Mm Nxgn D Kn Trb Mtl|4,419.36
880045.3801|Aug Fem 20Mm Nxgn E Kn Trb Mtl|4,419.36
880045.3801|Aug Fem 20Mm Nxgn F Kn Trb Mtl|4,419.36
880045.2447|Aug Fem 30Mm Lcck Nxgn Med Cone Kn Lt|9,151.20
880045.2447|Aug Fem 30Mm Lcck Nxgn Med Cone Kn Rt|9,151.20
880045.2447|Aug Fem 30Mm Lcck Nxgn Sm Cone Kn Lt Trb|9,151.20
880045.2447|Aug Fem 30Mm Lcck Nxgn Sm Cone Kn Rt Trb|9,151.20
880095.1444|Aug Fem 30Mm Sm Cone Diaphysis Lt Trb|6,651.36
880045.2487|Aug Fem 35Mm Med Cone Metaphysis Rt Trb|7,577.64
880045.2447|Aug Fem 40Mm Lcck Nxgn Med Cone Kn Lt|9,151.20
880045.2447|Aug Fem 40Mm Lcck Nxgn Med Cone Kn Lt|11,439.00
880045.2447|Aug Fem 40Mm Lcck Nxgn Med Cone Kn Rt|11,439.00
880045.2447|Aug Fem 40Mm Lcck Nxgn Med Cone Kn Rt|9,151.20
880045.2447|Aug Fem 40Mm Lcck Nxgn Sm Cone Kn Lt Trb|11,439.00
880045.2447|Aug Fem 40Mm Lcck Nxgn Sm Cone Kn Lt Trb|9,151.20
880045.2447|Aug Fem 40Mm Lcck Nxgn Sm Cone Kn Rt Trb|11,439.00
880045.2447|Aug Fem 40Mm Lcck Nxgn Sm Cone Tpr Rt|9,151.20
880045.2444|Aug Fem 50Mm Lcck Nxgn Lg Cone Kn Rt Trb|9,151.20
880045.2447|Aug Fem 50Mm Lcck Nxgn Med Cone Kn Lt|12,071.40
880045.2447|Aug Fem 50Mm Lcck Nxgn Med Cone Kn Lt|9,151.20
880045.2447|Aug Fem 50Mm Lcck Nxgn Med Cone Kn Rt|12,071.40
880045.2447|Aug Fem 50Mm Lcck Nxgn Med Cone Kn Rt|9,151.20
880045.2447|Aug Fem 50Mm Lcck Nxgn Sm Cone Kn Lt Trb|12,071.40
880045.3946|Aug Fem 50Mm Lcck Nxgn Sm Cone Kn Lt Trb|9,151.20
880045.2447|Aug Fem 50Mm Lcck Nxgn Sm Cone Kn Rt Trb|12,071.40
880045.2447|Aug Fem 50Mm Lcck Nxgn Sm Cone Tpr Rt|9,151.20
880045.2457|Aug Fem 5Mm Nxgn B Kn Dist Tiv Pmma|1,480.37
880045.2457|Aug Fem 5Mm Nxgn B Kn Post Tiv Pmma|1,480.37
880045.3568|Aug Fem 5Mm Nxgn C Kn Ant Tiv Pmma Prect|930
880045.3568|Aug Fem 5Mm Nxgn D Kn Ant Tiv Pmma Rot|930
880045.3127|Aug Fem 5Mm Nxgn D Kn Trb Mtl|3,652.67
880045.3568|Aug Fem 5Mm Nxgn E Kn Ant Tiv Pmma Prect|1,520.74
880045.3128|Aug Fem 5Mm Nxgn E Kn Trb Mtl|3,652.67
880045.3568|Aug Fem 5Mm Nxgn F Kn Ant Tiv Pmma Prect|930
880045.3128|Aug Fem 5Mm Nxgn F Kn Trb Mtl|3,652.67
880045.3568|Aug Fem 5Mm Nxgn G Kn Ant Tiv Pmma Prect|930
880045.3237|Aug Fem 5mm Persona 11 11+ Kn Dist Strl|2,250.60
880045.313|Aug Fem 5Mm Persona 11 11+ Kn Post Strl|2,250.60
880045.3573|Aug Fem 5mm Persona 7 7+ Kn Dist Strl Lf|2,250.60
880045.3573|Aug Fem 5mm Persona 7 7+ Kn Post Strl Lf|2,250.60
880045.3325|Aug Fem 5mm Persona 9 9+ Kn Dist Strl Lf|2,250.60
880045.3326|Aug Fem 5mm Persona 9 9+ Kn Post Strl Lf|2,250.60
880045.3394|Aug Fem Persona Lg Kn Trb Mtl Cntr Cone|11,439.00
880045.313|Aug Fem Persona Sm Kn Trb Mtl Cntr Cone|11,439.00
880045.3568|Aug Fem Post Nexgen Sz G 10Mm|930
880095.13|Aug Ptlr 22.5Mm 35Mm Nxgn Med Kn Trb Mtl|5,898.06
880095.3672|Aug Tib 10Mm Eleos 1 Blck Lmb Slvg Sys|2,092.44
880095.3672|Aug Tib 10Mm Eleos 2 Blck Lmb Slvg Sys|2,092.44
880095.3672|Aug Tib 10Mm Eleos 3 Blck Lmb Slvg Sys|2,092.44
880095.3672|Aug Tib 10Mm Eleos 4 Blck Lmb Slvg Sys|2,092.44
880095.3672|Aug Tib 10Mm Eleos 5 Blck Lmb Slvg Sys|2,092.44
880045.3325|Aug Tib 10mm Persona Cd Kn Rt Lat Hlf|2,250.60
880045.3325|Aug Tib 10mm Persona Cd Kn Rt Mdl Hlf|2,250.60
880045.3237|Aug Tib 10mm Persona Ef Kn Rt Lat Hlf|2,250.60
880045.3237|Aug Tib 10mm Persona Ef Kn Rt Mdl Hlf|2,250.60
880045.2359|Aug Tib 15-30Mm Nxgn 59Mm Cone Med Stp|3,691.64
880045.1486|Aug Tib 15-30Mm Nxgn 67Mm Cone Lg Stp Kn|3,691.64
880095.3672|Aug Tib 15Mm Eleos 1 Blck Lmb Slvg Sys|2,092.44
880095.3672|Aug Tib 15Mm Eleos 2 Blck Lmb Slvg Sys|2,092.44
880095.3672|Aug Tib 15Mm Eleos 3 Blck Lmb Slvg Sys|2,092.44
880095.3672|Aug Tib 15Mm Eleos 4 Blck Lmb Slvg Sys|2,092.44
880095.3672|Aug Tib 15Mm Eleos 5 Blck Lmb Slvg Sys|2,092.44
880045.3515|Aug Tib 15mm Persona Cd Kn Rt Mdl Hlf|2,250.60
880045.3394|Aug Tib 15mm Persona Ef Kn Rt Lat Hlf|2,250.60
880045.2359|Aug Tib 30-15Mm Nxgn 59Mm Cone Med Stp|3,691.64
880045.4441|Aug Tib 30-15Mm Nxgn 67Mm Cone Lg Stp Kn|3,691.64
880045.2485|Aug Tib 31Mm 31Mm Med Cone Kn Trb Mtl|7,776.29
880045.2487|Aug Tib 31Mm 36Mm Med Cone Kn Trb Mtl|7,776.29
880045.2486|Aug Tib 34Mm 41Mm Med Cone Kn Trb Mtl|7,776.29
880045.1788|Aug Tib 34Mm 46Mm Med Cone Kn Trb Mtl|7,776.29
880045.2486|Aug Tib 34Mm 51Mm Lg Cone Kn Lt Trb Mtl|7,776.29
880095.3672|Aug Tib 5Mm Eleos 1 Blck Lmb Slvg Sys|2,092.44
880095.3672|Aug Tib 5Mm Eleos 2 Blck Lmb Slvg Sys|2,092.44
880095.3672|Aug Tib 5Mm Eleos 3 Blck Lmb Slvg Sys|2,092.44
880095.3672|Aug Tib 5Mm Eleos 4 Blck Lmb Slvg Sys|2,092.44
880095.3672|Aug Tib 5Mm Eleos 5 Blck Lmb Slvg Sys|2,092.44
880045.3573|Aug Tib 5mm Persona Ef Kn L/l Hlf Blck|2,250.60
880045.3573|Aug Tib 5mm Persona Ef Kn Lt Mdl Hlf|2,250.60
880045.313|Aug Tib 5Mm Persona Gh Kn Rl Hlf Blck|2,250.60
880045.313|Aug Tib 5Mm Persona Gh Kn Rt Mdl Hlf|2,250.60
880045.3827|Aug Tib 5Mm Trthln 5 Lt Mdl Rl Tl Stab|1,635.87
880045.3769|Aug Tib Nxgn 16D 2 Hlf Wdg|1,264.24
880045.3769|Aug Tib Nxgn 26D 2 Hlf Wdg|1,264.24
880045.2359|Aug Tib Nxgn 48-15Mm Xs Full Cone Kn Trb|6,171.89
880045.1444|Aug Tib Nxgn 52-15Mm Sm Full Cone Kn Trb|3,346.66
880045.2359|Aug Tib Nxgn 59-15Mm Full Med Cone Kn|3,346.66
880045.2359|Aug Tib Nxgn 59-30Mm Full Med Cone Kn|3,346.66
880045.2359|Aug Tib Nxgn 67-15Mm Full Cone Lg Kn Trb|3,346.66
880045.2359|Aug Tib Nxgn 67-30Mm Full Cone Lg Kn Trb|3,346.66
880045.3573|Aug Tib Persona Ab Cone Kn Cntr Strl Lf|11,439.00
880045.3394|Aug Tib Persona Lg Kn Trb Mtl Cntr Cone|11,439.00
880045.3237|Aug Tib Persona Med Kn Trb Mtl Cntr Cone|11,439.00
880045.313|Aug Tib Persona Sm Kn Trb Mtl Cntr Cone|11,439.00
880045.3515|Aug Tib Persona Xs Cone Kn Cntr Strl Lf|11,439.00
814668|Avi Pump and Tubing|243
812352|Avulsion Nail Plate Simple Single|173
812352|Avulsion Nail Plate Simple Single|247
830396|Avulsion Nail Plate Sple Sgl|143
830396|Avulsion Nail Plate Sple Sgl|161
830396|Avulsion Nail Plate Sple Sgl|223
890022.6808|Azathioprine Tab 50 MG|3.1
890023.5965|Azelastine HCl Nasal Spray 0.1% (137 MCG/SPRAY)|50.22
890000.4281|Azithromycin For Susp 100 MG/5ML|33.48
890000.932|Azithromycin For Susp 100 MG/5ML|72.99
890023.4281|Azithromycin For Susp 200 MG/5ML|41.85
890023.932|Azithromycin For Susp 200 MG/5ML|72.99
890023.9371|Azithromycin For Susp 200 MG/5ML|72.99
890022.701|Azithromycin IV For Soln 500 MG|74.5
890023.9047|Azithromycin Tab 250 MG|3.45
890022.3256|Aztreonam For Inj 1 GM|74.5
60086330|Babesia Ab Igg|31
60086340|Babesia Ab Igm|31
60046570|Babesia Microti Dna Pcr|1,045.00
890023.5965|Baclofen Tab 10 MG|3.1
60000620|Bacterial Vaginosa Rapid|22
60041970|Bacterial Vaginosis Smear|16
60040680|Bactericidal Titer|271
890001.4092|Bacteriostatic Sodium Chloride Inj Soln 0.9%|74.5
880039.2029|Bag Spec Rtrvl 10Mm Inzii Mnrch Unv Gd|105.93
880039.2433|Balln Crv Dil 40Cm 18Fr Ck Sil Ripening|128.4
880039.1391|Balln Dsct Lapscp Pdb Sm Exvw Prperitn|1,249.88
880039.1145|Balln Sz 47.5Mm Barrx 360 Esph Sft Strl|1,284.72
SUP102762|Balloon Cervical Ripening|241
880039.2013|Bar Extfix 220Mm 4Mm Metacarpus Phalanx|542.67
890023.2418|Baricitinib Tab 2 MG|121.92
890000.3291|Barium Sulfate For Susp 40%|3.1
890000.3291|Barium Sulfate For Susp 98%|18.46
890000.3291|Barium Sulfate Oral Cream 60%|5.02
890000.3291|Barium Sulfate Oral Paste 40%|3.46
890000.3291|Barium Sulfate Oral/Rectal Susp 105%|100.72
890000.3291|Barium Sulfate Susp 2%|12.56
890000.3291|Barium Sulfate Susp 2%|12.56
890000.3291|Barium Sulfate Susp 40%|3.1
890000.3291|Barium Sulfate Susp 40%|3.36
890000.3291|Barium Sulfate Susp 40%|3.42
890000.3291|Barium Sulfate Susp 60%|86.17
890023.1036|Barium Sulfate Tab 700 MG|6.45
60083830|Bartonella Ab Igg|21
60083840|Bartonella Ab Igm|21
60017350|Basic Metabolic Panel (Ca Total)|273
60047790|Basic Metabolic Panel Fasting|273
812248|Battery for Use in Hearing Device|1
8100859|Behav and Qual Analysis for Voice|600
890022.3037|Belatacept For IV Infusion 250 MG|2,515.55
890023.5747|Belladonna Alkaloids & Opium Suppos 16.2-30 MG|61.42
890023.6586|Benazepril HCl Tab 10 MG|3.1
890023.5049|Benzocaine Dental Gel 10%|14.92
890002.1031|Benzocaine Dental Gel 20%|11.28
890023.2831|Benzocaine Dental Soln 20%|28.26
890023.2831|Benzocaine Dental Soln 20%,Benzocaine Mouth/Throat Aerosol 20%|28.26
890023.2831|Benzocaine Dental Soln 20%,Benzocaine Mouth/Throat Aerosol 20%|28.26
890023.1686|Benzocaine-Menthol Aerosol 20-0.5%|72.5
890023.9046|Benzocaine-Menthol Lozenge 6-10 MG,Benzocaine-Menthol Lozenge 15-3.6 MG,Throat Lozenges - Lozenges,Benzocaine-Menthol Lozenge 15-4 MG,Benzocaine-Menthol Lozenge 15-2.6 MG,Benzocaine-Menthol Lozenge 15-3.6 MG,Benzocaine-Menthol Lozenge 6-10 MG,Menthol 3 mg|3.1
890023.9999|Benzocaine-Menthol Lozenge 6-10 MG,Benzocaine-Menthol Lozenge 15-3.6 MG,Throat Lozenges - Lozenges,Benzocaine-Menthol Lozenge 15-4 MG,Benzocaine-Menthol Lozenge 15-2.6 MG,Benzocaine-Menthol Lozenge 15-3.6 MG,Benzocaine-Menthol Lozenge 6-10 MG,Menthol 3 mg|3.1
890023.9047|Benzonatate Cap 100 MG|3.1
890023.6069|Benztropine Mesylate Tab 1 MG|3.1
60060430|Beta-2-Microglobulin|369
817452|Betametasone Acet|92.85
890023.5282|Betamethasone Dipropionate Oint 0.05%|59.3
890023.7258|Betamethasone Dipropionate Oint 0.05%|274.2
890022.5171|Betamethasone Sod Phosphate & Acetate Inj Susp 6 (3-3) MG/ML|74.5
890022.7821|Betamethasone Sod Phosphate & Acetate Inj Susp 6 (3-3) MG/ML|74.5
890023.6131|Betaxolol HCl Ophth Soln 0.5%|142.23
890023.5375|Bethanechol Chloride Tab 5 MG|3.1
890022.6303|Bezlotoxumab IV Soln 1000 MG/40ML (25 MG/ML)|8,094.00
814720|Bicross Dispensing Fee|1,000.00
60060461|Bile Acids I|24
60012620|Bilirubin Direct|108
60012630|Bilirubin Neonatal|112
60012650|Bilirubin Total Blood|108
60016190|Bilirubin Total Fluid|28
890023.2332|Bimatoprost Ophth Soln 0.01%|667.98
812216|Binaural Dispensing Fee|1,200.00
60139180|Biofire Respiratory Panel 2.1|253
890023.4747|Bioflavonoid Products Cap|3.1
830195|Biophys File Fetal Non Stress OB|107
830195|Biophys File Fetal Non Stress OB|505
830196|Biophys Profile Fetal W/O Non Stres OB|370
802724|Biopsy Bone Superfical|841
802725|Biopsy Breast|218
833166|Biopsy Breast|510
802726|Biopsy Breast Incisonal|1,010.00
833307|Biopsy Breast Incisonal|517
833307|Biopsy Breast Incisonal|1,958.00
817019|Biopsy Lip|322
802728|Biopsy Liver Needle|1,071.00
832672|Biopsy Liver Needle W Other Px|508
832674|Biopsy Liver Wedge|4,133.00
802730|Biopsy Lymph Node Superficial|423
802730|Biopsy Lymph Node Superficial|1,071.00
833904|Biopsy Lymph Node Superficial by Needle|195
814014|Biopsy Muscle Deep|920
832543|Biopsy Muscle Deep|376
833639|Biopsy Muscle Superficial|397
835280|Biopsy Nail|202
8104577|Biopsy Needle Lung Percut W Img|1,404.00
834452|Biopsy of Lip|163
803179|Biopsy Salivary Gland|256
835756|Biopsy Skin Incisional Ea Addl Lsn|70
8103658|Biopsy Skin Incisional Ea Addl Lsn|86
835755|Biopsy Skin Incisional Sngl Lsn|142
835755|Biopsy Skin Incisional Sngl Lsn|239
8103656|Biopsy Skin Incisional Sngl Lsn|353
835754|Biopsy Skin Punch Ea Addl Lsn|70
8103654|Biopsy Skin Punch Ea Addl Lsn|86
835753|Biopsy Skin Punch Sngl Lsn|142
8103652|Biopsy Skin Punch Sngl Lsn|353
835752|Biopsy Skin Tangential Ea Addl Lsn|69
8103650|Biopsy Skin Tangential Ea Addl Lsn|87
835751|Biopsy Skin Tangential Sngl Lsn|142
8103648|Biopsy Skin Tangential Sngl Lsn|353
834456|Biopsy Stomach by Laparotomy|3,796.00
831319|Biopsy Thyroid|201
802736|Biopsy Thyroid Perc Core Needle|211
802736|Biopsy Thyroid Perc Core Needle|2,323.00
60063240|Biotinidase|306
890023.5747|Bisacodyl Suppos 10 MG|3.1
890023.9046|Bisacodyl Tab Delayed Release 5 MG|3.1
890023.149|Bismuth Subsalicylate Susp 262 MG/15ML|3.1
890023.7095|Bisoprolol Fumarate Tab 5 MG|3.1
880039.2489|Bit Cbl Tensioner Std|799.8
880039.2494|Bit Drill 3.5|102.72
880039.2489|Bit Drill 5.0Mm|539.34
880039.2486|Bit Drill Cann 2.0/2.4|465
880039.1093|Bit Drill Cann 3.0/4.0Mm|465
880039.2489|Bit Drill Fem 5.0Mm|799.92
880039.653|Bit Drl 1.1Mm 45Mm Jchk Mini Frag Sys|138.67
880039.1489|Bit Drl 1.1Mm 60Mm Qc Mini Frag Sys|199.98
880039.1422|Bit Drl 1.1Mm 60Mm Qc Tmx 20Mm|248.46
880039.7245|Bit Drl 1.1Mm 75Mm Mnqk Cplng Nonster|297.24
880039.6825|Bit Drl 1.3Mm Pilt Jltch M3X|336.33
880039.171|Bit Drl 1.45Mm Jggrknt Jggrknt Sft|1,833.96
880039.2052|Bit Drl 1.5Mm 85Mm Qc Ss 30Mm Disp|366.63
880039.2009|Bit Drl 1.5Mm 85Mm Qck Cnct|235.95
880039.2551|Bit Drl 1.5Mm 96Mm Mnqk Cplng D Mrk|488.13
880039.1376|Bit Drl 1.7Mm|239.37
880039.6754|Bit Drl 1.8Mm Pilt|402.99
880039.2485|Bit Drl 15Mm Mdlr Flxb Actb Cup Screw|727.2
880039.2138|Bit Drl 2.1Mm Gii Mini Strl|187.86
880039.1226|Bit Drl 2.2Mm Dvr Crsslck Tray|309.06
880045.2106|Bit Drl 2.3Mm Cann Qck Cnct|1,730.25
880039.6463|Bit Drl 2.3Mm Hps Cann Mnl .75Mm Screw|821.13
880045.3461|Bit Drl 2.4Mm|603.58
880039.6754|Bit Drl 2.4Mm Pilt Jltch Strl|336.33
880039.1004|Bit Drl 2.5Mm|257.55
880039.1017|Bit Drl 2.5Mm|257.55
880064.1417|Bit Drl 2.5Mm 110Mm Qc Nonster Gld|263.16
880039.2092|Bit Drl 2.5Mm 110Mm Qck Cnct|235.95
880039.2436|Bit Drl 2.5Mm 110Mm Qck Cnct Ss 85Mm|102.72
880039.1903|Bit Drl 2.5Mm 180Mm Qc 2 Flut 154Mm|292.12
880039.2142|Bit Drl 2.5Mm 180Mm Qc Nonster Gld|264.52
880039.21|Bit Drl 2.5Mm 70Mm Cann Sld Flp Tray|287.85
880037.4534|Bit Drl 2.5Mm 95Mm Jchk Ss Nonster Gld|257.55
880039.1376|Bit Drl 2.5Mm Clbrt Grad 3.5Mm Lck Cort|206.04
880039.1908|Bit Drl 2.7Mm|235.95
880039.2603|Bit Drl 2.7Mm 100Mm|312.09
880039.3545|Bit Drl 2.7Mm 12.7Cm Str Shnk 6 Bx Ss|111.1
880039.1234|Bit Drl 2.7Mm Alps Clbrt Sm Frag Sys|312.09
880039.3252|Bit Drl 2.7mm Alps Shrt Clevical Nonster|163.62
880039.1966|Bit Drl 2.7Mm Cann Qck Cnct|1,730.25
880039.1333|Bit Drl 2.8Mm 165Mm Qc Nonster|291.79
880064.248|Bit Drl 2.8Mm 200Mm Qc Clbrt Nonster|567.22
880039.2666|Bit Drl 2.9Mm|696.9
880039.2023|Bit Drl 2.9Mm Versanail Shrt Hum Unv Nl|427.23
880039.452|Bit Drl 2Mm 100Mm Qc Nonster|143.29
880039.1905|Bit Drl 2Mm 100Mm Qck Cnct|235.95
880039.2125|Bit Drl 2Mm 125Mm Qc Nonster|287.85
880039.1493|Bit Drl 2Mm 3Mm Screw|604.49
880039.6754|Bit Drl 2Mm Pilt Mnl|402.99
880039.6825|Bit Drl 2Mm Stp Pilt 34Mm Strl|418.14
880038.4031|Bit Drl 2Mm Surgibit Qck Cplr 2.3Mm|230.28
880039.504|Bit Drl 3.2Mm 1.7Mm 170Mm Cann Qc|1,587.11
880039.7034|Bit Drl 3.2Mm 12.7Cm Str Shnk|91.16
880039.2102|Bit Drl 3.2Mm 145Mm Qc Nonster|259.07
880039.1883|Bit Drl 3.2Mm 145Mm Qck Cnct|235.95
880039.9479|Bit Drl 3.2Mm 145Mm Qck Cnct|154.08
880039.2594|Bit Drl 3.2Mm 30Mm G7 Actb Sys Disp|224.22
880039.2489|Bit Drl 3.2Mm 45Mm Trlg Flxb Mdlr Cup|696.9
880039.2132|Bit Drl 3.2Mm Cann Qck Cnct|1,104.56
880037.1825|Bit Drl 3.2Mm Clbrt Nonster Disp|569.64
880039.4402|Bit Drl 3.3Mm 195Mm Ncb Qc Std|382.02
880039.3025|Bit Drl 3.3Mm 245Mm Ncb Qc|348.3
880039.2092|Bit Drl 3.5Mm|235.95
880039.9018|Bit Drl 3.5Mm|239.37
880039.1426|Bit Drl 3.5Mm 110Mm Qc|250.88
880039.7561|Bit Drl 3.5Mm 12.7Cm Str Shnk 6 Bx Ss|109.4
880039.913|Bit Drl 3.5Mm 195Mm Qck Cnct Ss Nonster|292.12
880039.8192|Bit Drl 3.5Mm 95Mm Jchk Nonster|160.59
880039.2371|Bit Drl 3.8Mm 1.72Mm 12.7Cm Hrbrt Cann|560.55
880039.1298|Bit Drl 3.8Mm Versanail Hum Unv Nail Sys|696.9
880039.2388|Bit Drl 30Mm Mdlr Flxb Actb Cup Screw|727.2
880039.7567|Bit Drl 4.3Mm 145Mm Ncb Qc Std Fem Ss|430.26
880039.2012|Bit Drl 4.3Mm 195Mm Ncb|348.3
880039.2324|Bit Drl 4.3Mm 24Mm Ncb Qc|348.3
880039.1903|Bit Drl 4.3Mm 300Mm Ncb Fem Dist|382.02
880039.1093|Bit Drl 4.5Mm 1.7Mm 170Mm Cann Qc|1,263.51
880039.2111|Bit Drl 4.5Mm 12.7Cm Str Shnk 6 Bx Ss|454.68
880039.212|Bit Drl 4.5Mm 145Mm Qc Nonster|142.52
880039.8105|Bit Drl 4.5Mm Cann Qck Cnct|1,538.00
880039.2494|Bit Drl 4.8Mm 12.7Cm Str Shnk 6 Bx Ss|123.52
880039.2485|Bit Drl 45Mm Mdlr Flxb Actb Cup Screw|727.2
880039.238|Bit Drl 4Mm 245Mm Ncb Qc|310.27
880039.1098|Bit Drl 5.5Mm 2.16Mm 12.7Cm Hrbrt Cann|351.48
880039.617|Bit Drl 5Mm 2.9Mm 300Mm Cann Lg Qc|1,372.59
880039.1402|Bit Drl 5Mm Itst Fem Im Nail Ss Nonster|527.22
880039.2485|Bit Drl Mdl Dist Stp Smrt Toe Ii|295.43
880039.1187|Bit Drl Smarttoe Ii Ft/Ankl Prox Disp|433.29
60026160|Bk Virus Pcr Quant Blood|349
880039.1399|Blad Cut Jaguar 4Mm|299.06
880039.2492|Blad Razcut 3.5|154.53
880039.2492|Blad Turbowhisker 2.9|187.86
880039.2912|Blade 12Mm Bmt Ss Qrlse Cplng Unq Prfl|299.97
880039.2489|Blade 20Mm Ss Hip Ostm 3 Thn Mri Strl Lf|484.8
880039.2486|Blade 3Inx10Mm Ostm Shrt Mri Strl Lf|727.2
880039.2487|Blade 3Inx12Mm Ostm Thn Mri Strl Lf|696.9
880045.2487|Blade 3Inx8Mm Ostm Thn Mri Strl Lf|727.2
880039.2489|Blade 5Inx10Mm Ostm Lng Mri Strl Lf|696.9
880045.2487|Blade 5Inx8Mm Ostm Lng Mri Strl Lf|727.2
880039.3496|Blade 6mm Bmt Ss Qrlse Cplng Flxb Ostm|657.51
880039.489|Blade Drmtm 1.25-4.25In Strl|118.55
880039.155|Blade Escp Stratos 4Mm Ctrs|2,105.85
880039.2491|Blade Esurg 10Cm 5Mm Hrmscpl Ul Ti Crv|722.66
880039.2489|Blade Hip Radl Ostm 20Mm Mri Strl|666.6
880039.2489|Blade Ostm Radl 16Mm Mri Strl|666.6
880039.2489|Blade Ostm Thn Crv 20Mm Mri Strl|484.8
SUP108112|Blade Provu Laryng 3|82
880039.2256|Blade Rasp 11X5Mm Sm Tps Ss Tear Xcut|321.45
880039.2488|Blade Rmr 26Mm Pilt Hl Kn Ptlr Ss Nxgn|422.29
880039.2486|Blade Rmr 29Mm Pilt Hl Kn Ptlr Ss Nxgn|422.29
880039.2486|Blade Rmr 32Mm Pilt Hl Kn Ptlr Ss Nxgn|422.29
880039.2367|Blade Rmr 35Mm Pilt Hl Kn Ptlr Ss Nxgn|422.29
880039.2371|Blade Rmr 35Mm Ptlr Nxgn|375.42
880039.2367|Blade Rmr 38Mm Pilt Hl Kn Ptlr Ss Nxgn|422.29
880039.2371|Blade Rmr 38Mm Ptlr Nxgn|375.42
880039.2367|Blade Rmr 41Mm Pilt Hl Kn Ptlr Ss Nxgn|422.29
880039.2371|Blade Rmr 41Mm Ptlr Nxgn|375.42
880039.2367|Blade Rmr 46Mm Pilt Hl Kn Ptlr Ss Nxgn|422.29
880039.2371|Blade Rmr 46Mm Ptlr Nxgn|375.42
880039.2367|Blade Rmr 51Mm Pilt Hl Kn Ptlr Ss Nxgn|422.29
880039.2371|Blade Rmr 51Mm Ptlr Nxgn|375.42
880039.2422|Blade Saw 2 Cut Osc Sgtl .8In Thk.015In|147.34
880039.2485|Blade Saw 2 Cut Osc Sgtl 5.5Mm Thk.015In|152.53
880039.1629|Blade Saw 2 Cut Sgtl 3.543X.709In Thk.05|157.8
880039.1311|Blade Saw 2 Cut Sgtl 3.543X.984In Thk.05|153.95
880039.2485|Blade Saw 2 Cut Sgtl Osc .21In Thk.015In|152.53
880039.2485|Blade Saw 2 Cut Sgtl Osc .36In Thk.015In|152.53
880039.5858|Blade Saw 2 Cut Sgtl Oscillate .36In|157.64
880039.1693|Blade Saw 2 Sd Reciprocate 70X12.5X.64Mm|108.14
880039.1057|Blade Saw 2 Sd Reciprocate 70X12.5X.8Mm|117.52
880039.8799|Blade Saw 50X3.35X1Mm Nar Strl|499.95
880039.1718|Blade Saw Crtdg Osc Tip Prcs Flcn|562.58
880039.2491|Blade Saw Osc 90X25.4X1.27Mm Hall Strl|147.66
880039.4047|Blade Saw Osc 90X25.4X1.27Mm Strl|147.66
880039.2491|Blade Saw Osc Crsnt 32X18X.4Mm Mic Hall|155.77
880039.2002|Blade Saw Osc Tip Crtdg Prcs Flcn|681.6
880039.5491|Blade Saw Osc/Sag 18.5X16.5Mm Thk.38Mm|147.34
880039.7997|Blade Saw Osc/Sag Agrs 1.22X.36In|104.33
880039.7943|Blade Saw Osc/Sag Agrs 18X5.5Mm Thk.38Mm|99.67
880039.2491|Blade Saw Recip Hvdty Lng|117.52
880039.1591|Blade Saw Reciprocate Hvdty 77.6X11.2|117.52
880039.1839|Blade Saw Sgtl 2 Cut 13Mm Thk1.27Mm 90Mm|152.71
880039.7477|Blade Saw Sgtl 2 Cut 3.543X.433In Thk.05|152.05
880039.2493|Blade Saw Sgtl 50X3.35X1Mm Nar W Strl|469.65
880039.2491|Blade Saw Sgtl 80X20X.89Mm|86.67
880039.2474|Blade Saw Sgtl Hvdty 96.3X18.5Mm Thk1.37|88.85
880039.2285|Blade Saw Sgtl Hvdty Bvl Edg Tissue Spr|152.71
880039.2362|Blade Saw Sgtl Osc Agrs 13.4Mm Thk.38Mm|104.33
880039.172|Blade Saw Std Mako Strl Lf Disp|877.64
880039.2122|Blade Shvr 2.9Mm Mini Full Rds Dync Rd 7|154.53
880039.6752|Blade Shvr 2.9Mm Mini Pur 7Cm Brl Abrdr|255.52
880039.1314|Blade Shvr 2.9Mm Mini Str Dync Orng 7Cm|159.95
880039.2121|Blade Shvr 2Mm Mini Full Rds Blu 70Mm|154.53
880039.7312|Blade Shvr 2Mm Mini Turbowhisker Ylw|160.71
880039.1037|Blade Shvr 3.5Mm Mini Incsr Trqs 7Cm S|183.86
880039.1293|Blade Shvr 3.5Mm Rzrct Dync Pur Str Shft|144.45
880039.6752|Blade Shvr 3.5Mm Str Incsr Gry Strl Disp|183.86
880039.3899|Blade Shvr 4.2Mm 3-In-1 Shvr|1,254.42
880039.2169|Blade Shvr 4.5Mm Crv Full Rds Cncv Snvtr|171.71
880039.8222|Blade Shvr 4.5Mm Inc+ Viol Orbt Arthsc|238.19
880039.2173|Blade Shvr 4.5Mm Str Dync Frst Grn Str|157.56
880039.6755|Blade Shvr 4.5Mm Str Dync Inc+ Viol|157.56
880039.2487|Blade Shvr 4.5Mm Str Full Rds Dync|306.45
880039.2157|Blade Shvr 4.5Mm Str Full Rds Dync Ylw|220.61
880039.8222|Blade Shvr 4.5Mm Str Rzrct Dync Pnk Strl|160.5
880039.2147|Blade Shvr 4Mm 5K Rpm Str Xps Trct 11Cm|519.95
880039.2496|Blade Shvr 4Mm Agrs Mnscs|278.76
880039.1676|Blade Shvr 4Mm Crv Exclbr Coolcut Strl|134.82
880045.1786|Blade Shvr 4Mm Crv Torpedo 13Cm|306.03
880039.6755|Blade Shvr 4Mm Dync Aq Abrdr Str Shft|183.86
880039.2158|Blade Shvr 4Mm Dync Mau Acrzr Ovl Bur|160.5
880039.1546|Blade Shvr 4Mm Exclbr Coolcut 13Cm Strl|178.77
880039.7445|Blade Shvr 4Mm Jag Irr Strl|311.39
880039.1648|Blade Shvr 4Mm Torpedo Coolcut 13Cm 2|306.03
880039.2148|Blade Shvr 5.5Mm Blk Abrdr Str Shft Strl|157.56
880039.6755|Blade Shvr 5.5Mm Dync Incsr Mocha Str|183.86
880039.2487|Blade Shvr 5.5Mm Exclbr Coolcut 13Cm|134.82
880039.2163|Blade Shvr 5.5Mm Full Rds Dync Orng Str|157.56
880039.2165|Blade Shvr 5.5Mm Str Acrzr Dync Brn Str|157.56
880039.2492|Blade Shvr 5.5Mm Str Dync Inc+ Teal Orbt|157.56
880039.1305|Blade Shvr 5.5Mm Str Snvtr Mellon Ylw|157.56
880039.3899|Blade Shvr 5Mm 3-In-1 Shvr|1,254.42
880039.248|Blade Shvr 5Mm Exclbr Coolcut 13Cm Strl|178.77
880045.1828|Blade Shvr 5Mm Torpedo 13Cm|1,530.15
880039.181|Blade Shvr P/T Lopro Powerasp Coolcut 13|439.35
880039.172|Blade Srg Nar Sgtl Mics Disp|877.64
880039.3512|Blade Ss Radl Ostm 12mm Mri Strl Lf|848.4
880039.2398|Blade Xplnt Hip Full Ostm 50Mm Hmsphr|1,908.90
880039.2076|Blade Xplnt Hip Full Ostm 52Mm Hmsphr|1,908.90
880039.2397|Blade Xplnt Hip Full Ostm 54Mm Hmsphr|1,908.90
880039.2084|Blade Xplnt Hip Full Ostm 56Mm Hmsphr|1,908.90
880039.1812|Blade Xplnt Hip Full Ostm 58Mm Hmsphr|1,908.90
880039.2255|Blade Xplnt Hip Full Ostm 60Mm Hmsphr|1,908.90
880039.2398|Blade Xplnt Hip Truncate Ostm 50Mm|1,908.90
880039.2074|Blade Xplnt Hip Truncate Ostm 52Mm|1,908.90
880039.2255|Blade Xplnt Hip Truncate Ostm 54Mm|1,908.90
880039.2083|Blade Xplnt Hip Truncate Ostm 56Mm|1,908.90
880039.1812|Blade Xplnt Hip Truncate Ostm 58Mm|1,908.90
880039.1833|Blade Xplnt Hip Truncate Ostm 60Mm|1,908.90
60065060|Blastomyces Antibody|276
60043200|Blastomyces Antigen|222
60088330|Blastomyces I|33
60024130|Bleeding Time|113
890022.1671|Bleomycin Sulfate For Inj 15 Unit|89.76
880045.7717|Block Aug 8 10Mm Tib|2,236.65
880045.2865|Block Aug Ng Lgc 3D 2 Hlf Flut 5Mm Kn|7,177.00
880045.2457|Block Aug Nxgn 1 Full 10Mm Kn Tib Rot|2,002.48
880045.2363|Block Aug Nxgn 1 Full 10Mm Kn Tib Tiv|2,113.15
880045.2363|Block Aug Nxgn 1 Hlf 5Mm Kn Tib Prect|1,580.16
880045.2363|Block Aug Nxgn 1 Tpr Hlf 10Mm Kn Tib Rot|1,264.24
880045.1009|Block Aug Nxgn 1 Tpr Hlf 15Mm Kn Tib Rot|1,529.85
880045.2457|Block Aug Nxgn 1 Tpr Hlf 15Mm Kn Tib Rot|1,480.37
880045.2457|Block Aug Nxgn 1 Tpr Hlf 20Mm Kn Tib Rot|1,529.85
880045.2457|Block Aug Nxgn 1 Tpr Hlf 20Mm Kn Tib Rot|1,529.85
880045.2358|Block Aug Nxgn 2 15Mm Rl/Lm Kn Tib Trb|2,440.28
880045.2358|Block Aug Nxgn 2 20Mm Rl/Lm Kn Tib Trb|2,583.82
880045.2457|Block Aug Nxgn 2 Full 10Mm Kn Tib Rot|2,002.48
880045.2363|Block Aug Nxgn 2 Full 10Mm Kn Tib Tiv|2,236.65
880045.3769|Block Aug Nxgn 2 Hlf 10Mm Kn Tib Prect|1,716.78
880045.3769|Block Aug Nxgn 2 Hlf 5Mm Kn Tib Tiv Pmma|1,264.24
880045.3122|Block Aug Nxgn 2 Tpr 10Mm Kn Tib Trb Mtl|3,652.67
880045.2363|Block Aug Nxgn 2 Tpr Hlf 15Mm Kn Tib Tiv|1,264.24
880045.2363|Block Aug Nxgn 2 Tpr Hlf 15Mm Kn Tib Tiv|1,264.24
880045.2363|Block Aug Nxgn 2 Tpr Hlf 20Mm Kn Tib Tiv|1,264.24
880045.2363|Block Aug Nxgn 2 Tpr Hlf 20Mm Kn Tib Tiv|1,264.24
880045.2358|Block Aug Nxgn 2Mm 15Mm Kn Tib Trb Mtl|2,440.28
880045.2358|Block Aug Nxgn 2Mm 20Mm Kn Tib Trb Mtl|2,583.82
880045.2358|Block Aug Nxgn 3 20Mm Rl/Lm Kn Tib Trb|4,112.46
880045.2852|Block Aug Nxgn 3 5Mm Tib Lt Mdl Rl Trb|3,652.67
880045.3122|Block Aug Nxgn 3 5Mm Tib Rmll Trb Mtl|3,652.67
880045.2457|Block Aug Nxgn 3 Full 10Mm Kn Tib Rot|2,002.48
880045.2363|Block Aug Nxgn 3 Full 10Mm Kn Tib Tiv|2,287.80
880095.2487|Block Aug Nxgn 3 Full 10Mm Kn Tib Trb|7,714.91
880045.3581|Block Aug Nxgn 3 Hlf 10Mm Kn Tib Prect|1,580.16
880045.3581|Block Aug Nxgn 3 Hlf 5Mm Kn Tib Prect|1,752.12
880045.2363|Block Aug Nxgn 3 Hlf Tpr 15Mm Kn Tib|1,264.24
880045.2363|Block Aug Nxgn 3 Hlf Tpr 15Mm Kn Tib Lt|1,264.24
880045.2363|Block Aug Nxgn 3 Tpr Hlf 20Mm Kn Tib Tiv|1,264.24
880045.2363|Block Aug Nxgn 3 Tpr Hlf 20Mm Kn Tib Tiv|1,264.24
880045.2358|Block Aug Nxgn 3Mm 15Mm Kn Tib Trb Mtl|3,875.87
880045.2358|Block Aug Nxgn 3Mm 15Mm Rl/Lm Kn Tib Trb|3,875.87
880045.2358|Block Aug Nxgn 3Mm 20Mm Kn Tib Trb Mtl|4,112.46
880045.2358|Block Aug Nxgn 3Mm 30Mm Kn Tib Trb Mtl|4,559.98
880045.2358|Block Aug Nxgn 3Mm 30Mm Kn Tib Trb Mtl|4,559.98
880045.2852|Block Aug Nxgn 4 10Mm Rl/Lm Tib Kn Trb|3,652.67
880045.2358|Block Aug Nxgn 4 15Mm Kn Tib Trb Mtl Tiv|3,064.91
880045.2358|Block Aug Nxgn 4 20Mm Kn Tib Trb Mtl Tiv|2,583.82
880045.2358|Block Aug Nxgn 4 20Mm Kn Tib Trb Mtl Tiv|4,112.46
880045.1787|Block Aug Nxgn 4 20Mm Rl/Lm Kn Tib|1,264.24
880045.2852|Block Aug Nxgn 4 5Mm Tib Lt Mdl Rl Trb|3,652.67
880045.3123|Block Aug Nxgn 4 5Mm Tib Rmll Trb Mtl|3,652.67
880045.2363|Block Aug Nxgn 4 Full 10Mm Kn Tib Rot|2,333.37
880045.2457|Block Aug Nxgn 4 Full 10Mm Kn Tib Rot|2,002.48
880045.617|Block Aug Nxgn 4 Hlf 10Mm Kn Tib Prect|976.5
880045.3581|Block Aug Nxgn 4 Hlf 5Mm Kn Tib Prect|1,789.32
880045.2363|Block Aug Nxgn 4 Hlf Tpr 15Mm Kn Tib|1,264.24
880045.2363|Block Aug Nxgn 4 Hlf Tpr 15Mm Kn Tib Lt|1,264.24
880045.2358|Block Aug Nxgn 4Mm 30Mm Kn Tib Trb Mtl|2,870.72
880045.2358|Block Aug Nxgn 4Mm 30Mm Kn Tib Trb Mtl|2,870.72
880045.2358|Block Aug Nxgn 5 15Mm Ll/Rm Kn Tib Trb|4,166.40
880045.3123|Block Aug Nxgn 5 5Mm Kn Tib Trb Mtl Tiv|3,652.67
880045.2853|Block Aug Nxgn 5 5Mm Lt Mdl Rl Kn Tib|3,652.67
880045.2457|Block Aug Nxgn 5 Full 10Mm Kn Tib Rot|2,821.25
880045.9711|Block Aug Nxgn 5 Full 10Mm Kn Tib Tiv|2,333.37
880045.3581|Block Aug Nxgn 5 Hlf 10Mm Kn Tib Prect|1,716.78
880045.3581|Block Aug Nxgn 5 Hlf 5Mm Kn Tib Prect|1,752.12
880045.2363|Block Aug Nxgn 5 Tpr Hlf 15Mm Kn Tib Tiv|1,264.24
880045.2363|Block Aug Nxgn 5 Tpr Hlf 15Mm Kn Tib Tiv|1,264.24
880045.2363|Block Aug Nxgn 5 Tpr Hlf 20Mm Kn Tib Tiv|1,264.24
880045.2363|Block Aug Nxgn 5 Tpr Hlf 20Mm Kn Tib Tiv|1,264.24
880095.2853|Block Aug Nxgn 5Mm 10Mm Kn Tib Trb Mtl|3,652.67
880095.3123|Block Aug Nxgn 5Mm 10Mm Kn Tib Trb Mtl|3,652.67
880045.2358|Block Aug Nxgn 5Mm 15Mm Kn Tib Trb Mtl|4,166.40
880045.2358|Block Aug Nxgn 5Mm 20Mm Kn Tib Trb Mtl|4,419.36
880045.2358|Block Aug Nxgn 5Mm 20Mm Kn Tib Trb Mtl|4,419.36
880045.2358|Block Aug Nxgn 5Mm 30Mm Kn Tib Trb Mtl|4,702.08
880045.2358|Block Aug Nxgn 5Mm 30Mm Kn Tib Trb Mtl|4,895.52
880045.3123|Block Aug Nxgn 6 10Mm Ll/Rm Kn Tib Trb|3,652.67
880045.2358|Block Aug Nxgn 6 15Mm Ll/Rm Kn Tib Trb|2,440.28
880045.2358|Block Aug Nxgn 6 20Mm Kn Tib Trb Mtl Tiv|4,419.36
880045.2358|Block Aug Nxgn 6 20Mm Kn Tib Trb Mtl Tiv|2,583.82
880045.2457|Block Aug Nxgn 6 Full 10Mm Kn Tib Rot|2,002.48
880045.2363|Block Aug Nxgn 6 Full 10Mm Kn Tib Tiv|2,333.37
880045.2487|Block Aug Nxgn 6 Full 10Mm Kn Tib Trb|6,595.56
880045.2389|Block Aug Nxgn 6 Hlf 10Mm Kn Tib Prect|1,580.16
880045.2373|Block Aug Nxgn 6 Hlf 5Mm Kn Tib Prect|1,752.12
880045.2853|Block Aug Nxgn 6Mm 10Mm Kn Tib Trb Mtl|3,652.67
880045.2853|Block Aug Nxgn 6Mm 10Mm Kn Tib Trb Mtl|3,652.67
880045.2358|Block Aug Nxgn 6Mm 15Mm Kn Tib Trb Mtl|2,440.28
880045.2358|Block Aug Nxgn 6Mm 30Mm Kn Tib Trb Mtl|2,870.72
880045.2358|Block Aug Nxgn 6Mm 30Mm Kn Tib Trb Mtl|2,870.72
880045.3123|Block Aug Nxgn 6Mm 5Mm Kn Tib Trb Mtl|3,652.67
880045.2358|Block Aug Nxgn 7 20Mm Rl/Lm Kn Tib Trb|2,583.82
880045.2363|Block Aug Nxgn 7 Full 10Mm Kn Tib Tiv|2,287.80
880045.3581|Block Aug Nxgn 7 Hlf 10Mm Kn Tib Prect|976.5
880045.3581|Block Aug Nxgn 7 Hlf 5Mm Kn Tib Prect|976.5
880045.2358|Block Aug Nxgn 7Mm 15Mm Kn Tib Trb Mtl|2,440.28
880045.2358|Block Aug Nxgn 7Mm 15Mm Kn Tib Trb Mtl|2,440.28
880045.2358|Block Aug Nxgn 7Mm 20Mm Kn Tib Trb Mtl|2,977.67
880045.3124|Block Aug Nxgn 7Mm 5Mm Kn Tib Trb Mtl|3,652.67
880045.2853|Block Aug Nxgn 7Mm 5Mm Rl/Lm Tib Trb Mtl|3,652.67
880045.277|Block Aug Nxgn 7Mm Full 10Mm Kn Tib Trb|7,714.91
880045.3581|Block Aug Nxgn 8 Hlf 10Mm Kn Tib Tiv|976.5
880045.2373|Block Aug Nxgn 8-9 Hlf 5Mm Kn Tib Prect|976.5
880045.3126|Block Aug Nxgn C 5Mm Post Trb Mtl|7,714.91
880045.3127|Block Aug Nxgn D 5Mm Fem Post Trb Mtl|3,652.67
880045.356|Block Aug Nxgn E 10Mm Dist|1,580.16
880045.3128|Block Aug Nxgn E 5Mm Fem Dist Trb Mtl|3,652.67
880045.3567|Block Aug Nxgn E 5Mm Post Prect|1,752.12
880045.3568|Block Aug Nxgn F 10Mm Post|1,327.46
880045.3567|Block Aug Nxgn F 10Mm Post Prect|1,740.96
880045.3129|Block Aug Nxgn F 5Mm Dist Trb Mtl|3,652.67
880045.3567|Block Aug Nxgn F 5Mm Post Prect|1,752.12
880045.3568|Block Aug Nxgn G 5Mm Post Prect|1,740.96
880045.2358|Block Augment Tibial L/R Sz 7 30Mm|6,874.56
880045.2358|Block Augment Tibial L/R Sz 8 15Mm|2,440.28
880045.2358|Block Augment Tibial L/R Sz 8 20Mm|2,583.82
880045.2358|Block Augment Tibial R/L Sz 7 30Mm|6,874.56
880045.2358|Block Augment Tibial R/L Sz 8 15Mm|2,440.28
880045.2358|Block Augment Tibial R/L Sz 8 20Mm|2,583.82
880039.5676|Block Cut Visionaire Kt Rt|2,790.00
60012690|Blood Gases Arterial|398
60012691|Blood Gases Arterial|398
60012290|Blood Gases Capillary|398
60012311|Blood Gases Cord Arterial I|386
60018891|Blood Gases Venous|356
814688|Blood Pressure Screening/Group|48
814672|Blood Tubing|101
60039030|Blood Type Abo|127
60039070|Blood Type Other|132
60039040|Blood Type Rh I|127
60039090|Blood Type Rh Phenotype|184
880038.2498|Bndr Abd 77-94X12In 4 Elas Pnl Cntct|198.8
880095.2432|Bo Adv Bear Tot Hip|7,812.00
880095.2432|Bo Adv Bear Tot Hip|8,556.00
880095.2432|BO ADV BEAR TOT HIP|10,416.00
880095.2425|Bo Cem Fem/Cem Tib/Flex Surf|6,450.48
880095.2425|Bo Cem Fem/Mob Tib/Mob Surf/Met|6,450.48
880095.2432|Bo Cem Flx Fem/ Cem Tib/Prlg Surf|5,952.00
880095.2428|Bo Cem Flx Fem/ Mis Pc Tib/Flx|5,952.00
880095.2432|Bo Cem Flx Fem/ Mob Tib/Mob Sf|6,450.48
880095.2432|Bo Cem Flx Fem/Mob Lps Tib|5,952.00
880095.2425|Bo Cem Flx Fm/Cm Mob Tb/Mob Sf|6,450.48
880095.2425|Bo Cem Ps Fem/Cem Tib/Std Surf|6,450.48
880095.2425|Bo Cm Fm/Cm Mob Tib/Mob Sur/Xlpe|6,450.48
880095.2425|Bo Cmpnt Fem Kn Ptlr Tib Cmnt Persona|7,440.00
880095.2432|Bo Gsf Flx Cem Fem/Mob Tib|6,450.48
880095.2432|Bo Gsf Flx Cem Fm/Cm Mob Tib|5,952.00
880095.2432|Bo Gsf Flx Cm Fm/Mob Tib|6,450.48
880095.2425|Bo Gsf Flx Cm Fm/Pr Tib/Flx Sur|6,450.48
880095.2425|Bo Ha Por St/Tm Cup/Lg Vit E Ln|8,649.00
880095.2427|Bo Ha Por St/Tm Cup/Lg Vit Eln|10,602.00
880095.2446|Bo Hip Restor Adm/Accolade|11,067.00
880095.2446|Bo Hip Restor Adm/Rejuv|11,718.00
880095.2429|Bo Hyb Flx Kn-Por Fem/Cem Tb/Flx|6,891.30
880095.243|Bo Hyb Hip-Cem St/Por Cup/Std Linr|6,649.50
880095.2425|Bo Hyb Hip-Fx Cem St/Tm Cp/Xlpe Ln|6,928.50
880095.2432|Bo Kn Pkr Uni|4,650.00
880095.2455|Bo Kn Unicem/Cemuni/Flx/Std Zim|5,301.00
880095.2432|Bo Lps Cem Fem/Mob Lps Tib|6,450.48
880095.2432|Bo Lps Cem Fem/Mob Lps Tib|6,450.48
880095.2427|Bo Lps Opt Fem/Opt Tib/Std Art|6,450.48
880095.2427|Bo Lps Opt Fem/Prct Tib/Std Surf|6,450.48
880095.2432|Bo Part Hip: All Stems|3,162.00
880039.1014|BO Pin Drl 75Mm 3.2Mm 2.5Mm Nxgn Tro Tip|863.55
880095.2427|Bo Por St-Nk/Tm Cup/Lg Vit Eln|8,649.00
880095.2432|Bo Prim Tot Hip|6,510.00
880095.2432|Bo Prim Tot Hip|7,254.00
880095.2432|Bo Prim Tot Kn|6,696.00
880095.2432|Bo Prim Tot Kn|6,696.00
880095.2432|Bo Prim Tot Kn|7,440.00
880095.2432|Bo Prim Triathlon Tot Kn|5,952.00
880095.2432|Bo Shld Part Solar|6,510.00
880095.2432|Bo Shld Resurf|4,650.00
880095.2432|Bo Shld Rev|12,090.00
880095.1578|Bo Shld Tot Solar|7,440.00
880095.2455|Bo Shldr Total Por Zim|8,742.00
880095.2455|Bo Sys Thr Mdrt Dmnd Biplr|3,255.00
880095.2429|Bo Tm Por St/Tm Cup/Vit E Ln|9,393.00
880095.2432|Bo Tot Kn Cementless Fem Or Tibia|7,812.00
880045.3742|Body Clcr 100Mmx55Mm 46Mm Zmr 130D E Xtd|6,991.74
880045.3741|Body Clcr 100Mmx55Mm 46Mm Zmr A Hip Fem|6,991.74
880045.3742|Body Clcr 100Mmx55Mm 46Mm Zmr C Hip Fem|6,991.74
880045.1389|Body Clcr 100Mmx55Mm 46Mm Zmr F Hip Fem|6,991.74
880045.3742|Body Clcr 100Mx55Mm Zmr Hip Fem Tiv Xtd|6,991.74
880095.3737|Body Clcr 10Mm Vrsy 13/15 Hip Buil Up|849.78
880045.3737|Body Clcr 10Mm Vrsy 17/19 Hip Fem Tiv|761.67
880045.3737|Body Clcr 20Mm Vrsy 13/15 Hip Fem Tiv|673.32
880045.3737|Body Clcr 20Mm Vrsy 17/19 Hip Fem Tiv|761.67
880045.2253|Body Clcr 30Mm Vrsy 13/15 Hip Buil Up|785.85
880045.3737|Body Clcr 30Mm Vrsy 17/19 Hip Fem Tiv|511.5
880045.1387|Body Clcr 55Mm 46Mm Zmr B Hip Fem Tiv|6,991.74
880045.3742|Body Clcr 90Mmx45Mm 46Mm Zmr C Hip Fem|6,991.74
880045.3742|Body Clcr 90Mmx45Mm 46Mm Zmr E Hip Fem|6,991.74
880045.3742|Body Clcr 90Mmx45Mm 46Mm Zmr F Hip Fem|6,991.74
880045.3741|Body Clcr 90Mmx45Mm Zmr 130D A Xtd Ofst|6,217.05
880045.3742|Body Clcr 90Mmx45Mm Zmr 130D D Xtd Ofst|6,991.74
880045.3741|Body Clcr 90Mmx45Mm Zmr B Xtd Ofst Hip|6,991.74
880045.3741|Body Cone 100Mm 55Mm Zmr E Hip Fem Tiv|6,991.74
880045.374|Body Cone 100Mmx45Mm 55Mm Zmr 18.9Mm 46|6,217.05
880045.3909|Body Cone 100Mmx55Mm 40Mm Zmr A 40Mm|7,386.99
880045.3741|Body Cone 100Mmx55Mm 46Mm Zmr 130D E Xtd|5,921.50
880045.3741|Body Cone 100Mmx55Mm 46Mm Zmr D Hip Fem|6,217.05
880045.374|Body Cone 100Mmx55Mm Zmr A Std Ofst Hip|7,386.99
880045.1809|Body Cone 35Mm 40Mm Aa Std Ofst Hip|7,386.99
880045.1705|Body Cone 35Mm 40Mm Zmr 35Mm B Fem Tiv|6,830.85
880045.3909|Body Cone 35Mm 40Mm Zmr C Hip Fem Tiv|6,963.84
880045.391|Body Cone 35Mm 40Mm Zmr F Hip Fem Tiv|7,386.99
880045.1658|Body Cone 35Mm 40Mm Zmr Fem Hip Tiv Rev|7,386.99
880045.2255|Body Cone 45Mm 46Mm Zmr B Hip Fem Tiv|6,963.84
880045.2634|Body Cone 45X35Mm Zmr E Std Ofst Fem|8,968.92
880045.3909|Body Cone 46Mm 35Mm Zmr 20Mm Hip Fem Tiv|8,881.50
880045.3909|Body Cone 46X35Mm Zmr B Xtd Ofst Fem|6,292.85
880045.3741|Body Cone 46X55Mm Zmr C Xtd Ofst Fem|7,386.99
880045.3909|Body Cone 55Mm 40Mm Zmr B Std Ofst Hip|8,968.92
880045.391|Body Cone 55Mm 40Mm Zmr C Hip Fem Tiv|8,968.92
880045.2274|Body Cone 75Mmx35Mm 36Mm Zmr 16.6Mm Aa|8,968.92
880045.3909|Body Cone 80Mm 35Mm Zmr 22.5Mm Hip Fem|8,881.50
880045.3909|Body Cone 80Mm 35Mm Zmr Hip Fem Tiv Rev|8,881.50
880045.3909|Body Cone 80Mmx35Mm 35Mm Zmr 46Mm Ofst D|8,881.50
880045.391|Body Cone 80Mmx35Mm 40Mm Zmr 130D D Std|8,968.92
880045.4046|Body Cone 80Mmx35Mm 46Mm Zmr 17.7Mm A|7,386.99
880045.391|Body Cone 80Mmx35Mm Zmr 130D Aa Std Ofst|6,354.50
880045.391|Body Cone 80Mmx35Mm Zmr Aa Std Hip Fem|6,963.84
880045.1674|Body Cone 90Mm 40Mm Zmr 17.7Mm A Hip Fem|7,386.99
880045.3909|Body Cone 90Mm 40Mm Zmr 20Mm C Hip Fem|8,968.92
880045.3741|Body Cone 90Mm 45Mm Zmr Hip Fem Tiv Rev|6,292.85
880045.3909|Body Cone 90Mmx45Mm 40Mm Zmr B 18.9Mm|6,830.85
880045.3741|Body Cone 90Mmx45Mm 45Mm Zmr 130D E Xtd|6,292.85
880045.374|Body Cone 90Mmx45Mm 46Mm Zmr 130D A Xtd|7,386.99
880045.3741|Body Cone 90Mmx45Mm 46Mm Zmr 130D F Xtd|6,991.74
880045.4009|Body Cone 90Mmx45Mm 46Mm Zmr D Hip Fem|5,719.95
880045.3842|Body Fem 103Mm 23Mm Zmr Xl 55 12/14 Std|5,856.40
880045.3842|Body Fem 78Mm 23Mm Zmr Xl Aa 12/14 Xtd|6,149.35
880045.4013|Body Fem 78Mm Zmr 23Mm Std Ofst Tpr Hip|5,856.40
880045.4154|Body Fem 83Mm 23Mm Zmr Xl 35 12/14 Std|5,856.40
880045.3842|Body Fem 83Mm 23Mm Zmr Xl 35 Hip Tiv Xtd|5,856.40
880045.3842|Body Fem 93Mm 23Mm Zmr Xl 45 12/14 Std|5,856.40
880045.3842|Body Fem 93Mm 23Mm Zmr Xl 45 12/14 Xtd|5,856.40
880045.3907|Body Spout 100Mmx55Mm 40Mm Zmr 17.7Mm A|8,968.92
880045.4038|Body Spout 100Mmx55Mm Zmr 17.7Mm A Hip|8,881.50
880045.3908|Body Spout 100Mmx55Mm Zmr 18.9Mm B Hip|8,881.50
880045.3907|Body Spout 100Mmx55Mm Zmr 20Mm C Hip Fem|6,354.50
880045.3908|Body Spout 100Mmx55Mm Zmr 20Mm C Hip Fem|8,881.50
880045.3908|Body Spout 100Mmx55Mm Zmr 21.2Mm D Fem|8,881.50
880045.3908|Body Spout 100Mmx55Mm Zmr 23.7Mm F Hip|8,881.50
880045.2459|Body Spout 100Mmx55Mm Zmr B 40Mm Hip Fem|8,968.92
880045.3908|Body Spout 100Mmx55Mm Zmr E Hip Fem Tiv|8,881.50
880045.3908|Body Spout 46X45Mm Zmr D Xtd Ofst Hip|6,830.85
880045.3865|Body Spout 46X45Mm Zmr E Std Ofst Hip|5,719.95
880045.3907|Body Spout 75Mmx35Mm Zmr 16.6Mm Aa Hip|8,968.92
880045.116|Body Spout 80Mmx35Mm Zmr 16.6Mm Aa Hip|8,968.92
880045.3865|Body Spout 80Mmx35Mm Zmr 17.7Mm A Hip|5,719.95
880045.3865|Body Spout 80Mmx35Mm Zmr 18.9Mm 46Mm B|6,830.85
880045.3865|Body Spout 80Mmx35Mm Zmr 20Mm 46Mm C Hip|5,719.95
880045.3865|Body Spout 80Mmx35Mm Zmr 20Mm C Hip Fem|6,354.50
880045.3866|Body Spout 80Mmx35Mm Zmr 21.2Mm 40Mm D|5,719.95
880045.3865|Body Spout 80Mmx35Mm Zmr 21.2Mm 46Mm D|5,719.95
880045.3866|Body Spout 80Mmx35Mm Zmr 22.5Mm 46Mm E|5,719.95
880045.3866|Body Spout 80Mmx35Mm Zmr 23.7Mm 46Mm F|5,719.95
880045.3865|Body Spout 80Mmx35Mm Zmr 40 17.7Mm A Hip|6,354.50
880045.3865|Body Spout 80Mmx35Mm Zmr B Ofst Hip Fem|5,719.95
880045.3907|Body Spout 90Mmx45Mm 46Mm Zmr 23.7Mm F|8,881.50
880045.3908|Body Spout 90Mmx45Mm Zmr 18.9Mm B Hip|7,386.99
880045.3908|Body Spout 90Mmx45Mm Zmr 20Mm C Hip Fem|8,881.50
880045.3907|Body Spout 90Mmx45Mm Zmr 40Mm 17.7Mm A|8,968.92
880045.3907|Body Spout 90Mmx45Mm Zmr 40Mm 18.9Mm B|6,830.85
880045.3907|Body Spout 90Mmx45Mm Zmr 40Mm 20Mm C Hip|8,968.92
880045.3908|Body Spout 90Mmx45Mm Zmr E Hip Fem Tiv|8,881.50
880045.3908|Body Spout 90X45Mm Zmr F Hip Fem Tiv Por|8,881.50
880045.3865|Body Spout F 40 X 35 80Mm X 35Mm|5,719.95
800823|Bone Length Scanogram|1,096.00
835968|Bone Marrow Harvest Autolog|359
800241|Bone Survey Complete|2,305.00
800240|Bone Survey Limited|1,150.00
60088460|Bordetella Pcr Each|896
60065070|Bordetella Pertussis Antibody|132
817449|Botox Type A|14.07
880039.1931|Bowl Bone Cmnt Qkvc Lg Cpc Vac Mx Adpr|274.97
880039.2493|Bowl Cem Revolution|315.12
SUP19421|Brace Ankle Lg 10-11 1/2|126
SUP19422|Brace Ankle Med 8 1/2 - 10|126
880038.2492|Brace Orth Unv 26- In Kn Lck Qrlse Bckl|340.78
880038.2488|Brace Wlk 13+ 15+ Xl W Lopro 17In Ankl|139.83
880038.2468|Brace Wlk Lg Ft/Ankl Ltwt Trm Smrg Shl|139.83
880038.2468|Brace Wlk Med W Ft/Ankl 2 Adj Dist Arcl|139.83
60053960|Braf Gene|398
810961|Breast Feed Init Visit|340
810962|Breast Feed Subseq Visit|170
814712|Breast Health Fitting Fee|143
801033|Breast Mass Biopsy/Excision|1,368.00
814718|Breast Prosthesis Bra and Bilat Form|323
814717|Breast Prosthesis Bra and Form|246
814709|Breast Prosthesis Mastectomy Form|442
8100021|Breast Pump Lactiina Sys|72
SUP100063|Breast Pump Lactina Sys|69
835981|Brief Comm via Virtual Chck in by MD/Qhp|50
890023.6131|Brimonidine Tartrate Ophth Soln 0.2%|33.48
890023.7007|Brimonidine Tartrate Ophth Soln 0.2%|17.05
880045.3412|Brng Hip 40mm 28mm D Vivacit-e Lum Strl|2,976.00
880045.3224|Brng Hip 44mm 28mm F Vivacit-e Lum Strl|2,976.00
880045.3306|Brng Hip 46mm 28mm G Vivacit-e Lum Strl|2,976.00
880045.3252|Brng Hip 50mm 28mm H Vivacit-e Lum Strl|2,976.00
880045.3322|Brng Hum 36mm Cmprh +3mm Shldr Vivacit-e|2,976.00
880045.3211|Brng Hum 36mm Cmprh Std Shldr Prlng Rvrs|1,302.00
880095.3133|Brng Hum 36Mm Cmprh Std Shldr Vivacit-E|1,832.10
880095.3025|Brng Hum 40Mm Cmprh Std Shldr Vivacit-E|1,832.10
880045.2338|Brng Hum 44-36Mm Cmprh +3Mm Std Shldr E1|1,832.10
811227|Bronchodilator Pre/Post Test|665
830157|Bronchodilator Pre/Post Test|41
832347|Bronchos W Alveolar Lavage|458
8103501|Bronchoscope Disposable|556
812688|Bronchoscopy|4,579.00
880045.3959|Brr Adh 4X3In Absb Cntrl Bynd Clsr Gncr.|1,090.56
880039.1438|Brr Adh 6X5In Sprflm Strl Lf Disp|1,112.01
60065330|Brucella Antibody|132
880039.2192|Brush Cyto 3.2Fr 115Cm Biopsy Set Str|125.64
880039.2545|Bskt Spec Rtrvl 230Cm 22Mm 2.5Mm 3D Rot|260.58
880039.1327|Bskt Spec Rtrvl 230Cm 26Mm 2.5Mm 3D Rot|228.83
880039.2497|Bskt Stone Hel 4 Wire 11 X 90|301.61
834322|Bso W Total Omentectomy Tah for Ca|5,696.00
880045.1878|Bsplt Glnd 15Mm Shldr Trb Mtl Rvrs Strl|3,600.22
880045.3025|Bsplt Glnd Cmprh Sm Shldr Aug Tpr Adpr|4,650.00
880095.2389|Bsplt Glnd Cmprh Std Shldr Strl|4,371.00
880045.3409|Bsplt Glnd Lg Shldr Aug Tpr Adpr|2,604.00
880095.3672|Bsplt Tib Eleos 1 Kn Mdl Lat 60Mm Lmb|7,653.30
880095.3672|Bsplt Tib Eleos 2 Kn Mdl Lat 65Mm Lmb|7,653.30
880095.3672|Bsplt Tib Eleos 3 Kn Mdl Lat 70Mm Lmb|7,653.30
880095.3672|Bsplt Tib Eleos 4 Kn Mdl Lat 75Mm Lmb|7,653.30
880095.3672|Bsplt Tib Eleos 5 Kn Mdl Lat 80Mm Lmb|7,653.30
880095.6486|Bsplt Tib Gns2 8 Kn Lt Cmnt Ti|3,804.44
880045.2486|Bsplt Tib Gnss Ii 4 Rt Kn Post Stab Pe|1,917.85
880095.6462|Bsplt Tib Gnss Ii 5 Lt Kn Cmnt Ti Npor|3,804.44
880045.2486|Bsplt Tib Journey 2 Lt Mdl Rl Kn Uncmp|2,253.76
880045.2486|Bsplt Tib Journey 2 Lt Mdl Rl Uncmp|2,253.76
880045.2487|Bsplt Tib Journey 4 Rmll Kn Uncmp|2,253.76
880045.2486|Bsplt Tib Journey 5 Rmll Kn Uncmp|2,253.76
880095.6467|Bsplt Tib Legion 6 Kn Rt Cmnt M Tpr Ti|4,374.72
880045.2486|Bsplt Tib Mirr Kn Lt Mdl Rl Pg Mdlr Ti|1,674.00
880045.2485|Bsplt Tib Mirr Kn Rmll Pg Mdlr Ti 52Mm|1,674.00
880095.2384|Bsplt Tib Persona C Kn Rt Mdl Strl|1,720.50
880045.2382|Bsplt Tib Persona D Kn Strl|1,302.00
880045.3592|Bsplt Tib Persona F Kn Lt 2 Pg Tiv Strl|4,038.99
880045.2382|Bsplt Tib Persona F Kn Lt Mdl Strl|1,720.50
880095.2382|Bsplt Tib Persona F Kn Rt Mdl Strl|1,720.50
880095.2382|Bsplt Tib Persona G Kn Lt Mdl Strl|1,720.50
880045.2382|Bsplt Tib Persona H Kn Lt Mdl Strl|1,720.50
880095.132|Bsplt Tib Persona Ntr Tib 5D G Kn Rt Stm|3,099.69
880095.1041|Bsplt Tib Prfx 3 Lt Kn Cr Por 70X48Mm|5,054.36
880095.1049|Bsplt Tib Prfx 3 Rt Kn Cr Por 70X48Mm|5,054.36
880095.1053|Bsplt Tib Prfx 6 85Mm/58Mm Lt Kn Por Mtl|5,054.36
880045.2554|Bsplt Tib Trthln 2 Unv Kn Cocr|2,346.35
880045.2715|Bsplt Tib Trthln 5 Unv Kn Cocr|2,547.47
880039.2359|Bsplt Tib Zuk 2 Kn Lt Mdl Rl Strl|4,123.92
880039.2359|Bsplt Tib Zuk 2 Kn Rmll Strl|4,123.92
880095.2359|Bsplt Tib Zuk 3 Kn Lt Mdl Rl Strl|4,043.06
880039.2359|Bsplt Tib Zuk 3 Kn Rmll Strl|3,336.84
880095.2359|Bsplt Tib Zuk 4 Kn Rmll Strl|4,123.92
880095.2359|Bsplt Tib Zuk 5 Kn Lt Mdl Rl Strl|4,043.06
880095.2359|Bsplt Tib Zuk 5 Kn Rmll Strl|4,043.06
880095.2359|Bsplt Tib Zuk 6 Kn Lt Mdl Rl Strl|4,043.06
880064.1878|Btn Cbl 3.5Mm Hex Ti Lg Frag Sys Lf|133.06
880064.908|Btn Cbl Gld 2.5Mm Zm Cbl Rd Fem Ti6Al4V|285.7
880064.233|Btn Cbl Ncb Ncb Pa Lck Plate|331.06
880045.1861|Btn Fx 11Mm Tghtrp Rnd Cncv Atch|416.64
880045.1076|Btn Fx 12Mm 8Mm Tghtrp Acl Atch Slot|265.98
880064.138|Btn Fx 14Mm Tghtrp Rnd Acl Atch|398.04
880064.1745|Btn Fx 20Mm 9Mm Tghtrp Rnd Colr Abs|416.64
880039.1229|Btn Sut 20X5Mm Tghtrp Lg Xtd Ftprnt|344.1
60016990|B-Type Natriuretic Peptide|339
890023.6516|Budesonide Delayed Release Particles Cap 3 MG|6.21
890000.488|Budesonide Inhalation Susp 0.25 MG/2ML|22.06
890000.488|Budesonide Inhalation Susp 0.5 MG/2ML|12.98
890000.6069|Budesonide Inhalation Susp 0.5 MG/2ML|13.02
890023.186|Budesonide-Formoterol Fumarate Dihyd Aerosol 160-4.5 MCG/ACT|740.29
890023.186|Budesonide-Formoterol Fumarate Dihyd Aerosol 80-4.5 MCG/ACT|643.54
890022.6416|Bumetanide Inj 0.25 MG/ML|74.5
890022.6416|Bumetanide Inj 0.25 MG/ML|74.5
890023.5027|Bumetanide Tab 0.5 MG|3.52
60012800|BUN|108
890022.4092|Bupivacaine 0.75% in Dextrose Inj 8.25%|74.5
890022.1439|Bupivacaine HCl Inj 0.25%|74.5
890022.6332|Bupivacaine HCl Inj 0.5%|74.5
890022.4091|Bupivacaine HCl Preservative Free (PF) Inj 0.25%|74.5
890022.4091|Bupivacaine HCl Preservative Free (PF) Inj 0.25%|74.5
890022.4091|Bupivacaine HCl Preservative Free (PF) Inj 0.5%|74.5
890022.5515|Bupivacaine HCl Preservative Free (PF) Inj 0.5%|74.5
890022.5515|Bupivacaine HCl Preservative Free (PF) Inj 0.75%|74.5
890022.6332|Bupivacaine HCl Preservative Free (PF) Inj 0.75%|74.5
890000.4092|Bupivacaine Inj 0.25% w/ Epinephrine 1:200000|74.5
890000.6332|Bupivacaine Inj 0.25% w/ Epinephrine 1:200000|74.5
890000.4092|Bupivacaine Inj 0.25% w/ Epinephrine 1:200000 (PF)|74.5
890000.4096|Bupivacaine Inj 0.25% w/ Epinephrine 1:200000 (PF)|74.5
890000.4097|Bupivacaine Inj 0.5% w/ Epinephrine 1:200000|74.5
890000.4092|Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 (PF)|74.5
890000.6332|Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 (PF)|74.5
890022.6525|Bupivacaine Liposome Inj 1.3% (13.3 MG/ML)|599.15
890022.6525|Bupivacaine Liposome Inj 1.3% (13.3 MG/ML)|480.16
890022.6525|Bupivacaine Liposome Inj 1.3% (13.3 MG/ML)|509.4
890023.3789|Buprenorphine HCl-Naloxone HCl SL Film 2-0.5 MG (Base Equiv)|6.22
890023.9047|Bupropion HCl Tab 75 MG|3.37
890023.4281|Bupropion HCl Tab ER 12HR 100 MG|3.1
890023.9047|Bupropion HCl Tab ER 12HR 150 MG|3.1
890023.6069|Bupropion HCl Tab ER 24HR 150 MG|5.16
830397|Burn Dress Debrid No Anes Lg|466
830398|Burn Dress Debrid No Anes Med|428
830399|Burn Dress Debrid No Anes Sm|79
830399|Burn Dress Debrid No Anes Sm|80
812353|Burn Dress Debrid No Anesthes Lg|557
812354|Burn Dress Debrid No Anesthes Med|447
810468|Burn Dress Debrid No Anesthes Sm|135
810468|Burn Dress Debrid No Anesthes Sm|179
812355|Burn Treatment Init First Degree|126
830400|Burn Treatmnt Init Fst Dgre|121
880039.2492|Burr 1.5Mm Med Mic 2Mm Flut Wrps M100|139.31
880039.5458|Burr 4Mm 8 Flut Rnd Fst Cut Srg 54Mm|150.13
880039.3899|Burr 5.5Mm Std Srg|271.79
880038.2492|Burr 5Mm Xlng Rnd Crb Srg Strl|113.15
880039.8237|Burr Ovl4Mm Srg Strl|92.74
880039.1546|Burr Shvr 13Cm 4Mm Coolcut 8 Flut Ovl|134.82
880039.1676|Burr Shvr 13Cm 5Mm Coolcut 8 Flut Ovl|178.77
880039.2485|Burr Tib Lg Tm Con|1,969.50
833058|Bursectomy Knee|1,293.00
833062|Bursectomy Olecranon|1,705.00
890023.5108|Buspirone HCl Tab 5 MG|3.1
880039.2492|Buster Pain 100Ml 2.0Ml/Hr|681.75
880039.2493|Buster Pain 275Ml 5.0Ml/Hr Sgl|454.5
890023.107|Butalbital-Acetaminophen-Caffeine Tab 50-325-40 MG|3.1
890000.1022|Butamben-Tetracaine-Benzocaine Aerosol Spray 2-2-14%|332.01
890022.4092|Butorphanol Tartrate Inj 2 MG/ML|74.5
833987|Bx Breast Perc 1st Lesn US|454
833987|Bx Breast Perc 1st Lesn US|657
8100804|Bx Breast Perc 1st Lesn US|2,304.00
8100804|Bx Breast Perc 1st Lesn US|2,310.00
835431|Bx Breast Perc Ea Addl Lesn US|228
8100805|Bx Breast Perc Ea Addl Lesn US|273
8100805|Bx Breast Perc Ea Addl Lesn US|1,992.00
813247|Bx Ear External|141
834057|Bx Ear External|341
812038|Bx Endomet W/WO Cervical Dilitation|185
813230|Bx Nail|376
833459|Bx Open Exc Lymph Node Deep Axill|2,135.00
832590|Bx Rmvl Lymph Nodes Open Deep Cervical|2,079.00
819597|Bx Rmvl Lymph Nodes Open Superficial|715
832589|Bx Rmvl Lymph Nodes Open Superficial|485
832589|Bx Rmvl Lymph Nodes Open Superficial|1,244.00
818489|Bx Vaginal Mucosa Simple|194
833780|Bx Vaginal Mucosa Simple|176
818488|Bx Vulva or Perineum Ea Addtl Lesion|58
833775|Bx Vulva or Perineum Ea Addtl Lesion|62
833775|Bx Vulva or Perineum Ea Addtl Lesion|123
813178|Bx Vulva or Perineum Simple|145
833774|Bx Vulva or Perineum Simple|126
833774|Bx Vulva or Perineum Simple|256
60064040|Ca 125 Blood|386
60064070|Ca 19-9|530
60082940|Ca 27-29|397
880064.1049|Cable Orth Cocr 1.8Mm 635Cm Troch Crlge|731.07
880045.1672|Cable Orth Cocr 1.8Mm 635Mm Intgr Crmp|524.17
880045.2486|Cable Orth Ss 1.3Mm 889Mm Crlge Ndl Grp|627.62
880064.198|Cable Orth Ss 1.8Mm 610Cm Grp Strl Cbl|433.14
60060471|Cadmium|538
60068180|Cadmium Urine|538
890001.5173|Caffeine & Sodium Benzoate Inj 125-125 MG/ML (500 MG/2ML)|80.88
880045.3863|Cage Actb 52Mm 48Mm Zca Hip Lt Ti Rev|4,930.30
880045.3863|Cage Actb 52Mm 48Mm Zca Hip Rt Ti Rev|4,930.30
880045.266|Cage Actb 56/58/60Mm 48Mm Shrt Hip Lt|5,899.18
880045.3863|Cage Actb 58Mm 54Mm Zca Hip Lt Ti Recon|4,930.30
880045.2681|Cage Actb 58Mm 54Mm Zca Hip Rt Ti Rev|4,276.29
880045.2913|Cage Actb 62/64Mm 54Mm Shrt Hip Rt Trb|5,899.18
880045.3863|Cage Actb 64Mm 60Mm Zca Hip Lt Ti Rev|4,276.29
880045.3863|Cage Actb 64Mm 60Mm Zca Hip Rt Ti Rev|4,276.29
880045.2487|Cage Actb 66/68/70Mm 58Mm Shrt Hip Rt|5,446.08
890023.9043|Calamine-Zinc Oxide Lotion|3.95
800222|Calcaneus 2+ Vw|431
60060900|Calcitonin|428
890023.6051|Calcitonin (Salmon) Nasal Soln 200 Unit/ACT|208.89
890023.9047|Calcium Acetate (Phosphate Binder) Cap 667 MG (169 MG Ca)|3.1
60012850|Calcium Blood|122
890023.4843|Calcium Carbonate (Antacid) Chew Tab 500 MG,Calcium Carbonate Chew Tab 500 MG|3.1
890023.1001|Calcium Carbonate-Vitamin D Tab 500 MG-200 Unit,,Calcium Carbonate-Cholecalciferol Tab 500 MG-200 Unit|3.1
890001.5173|Calcium Chloride Inj 10%|74.5
890001.6425|Calcium Chloride Inj 10%|74.5
890022.6332|Calcium Gluconate Inj 10%|74.5
60068000|Calcium I|28
60012860|Calcium Ionized Blood|210
60019670|Calcium Urine Risk|33
60012900|Calcium Urine Timed|122
60003030|Calprotectin Fecal|171
60075820|Campylobacter Direct|83
814443|Canalith Repositioning per Day Pt|210
890000.5958|Candida Albicans Skin Test Antigen|413.81
60065340|Candida Antibody|102
SUP67001|Canister Wound Vac W Solidfier|37
60077250|Cannabinoids Urine Confirm|63
880064.1993|Cap End 0Mm 1 Pc Lck Im Nail Ss Uhmwpe|332.05
880064.1143|Cap End 0Mm 1 Pc Sld Im Nail Ss Uhmwpe|323.16
880045.9189|Cap End 0Mm Cephlmed Ti-6Al-4V Ntr Nail|400.03
880045.2486|Cap End 0Mm Fem Rtrgd Ti6Al4V Ntr Nail|349.46
880045.5803|Cap End 0Mm Tib Ti Ntr Nail|413.81
880045.9189|Cap End 10Mm Cephlmed Peripro Ti6Al4V|400.03
880045.9189|Cap End 10Mm Tib Im Nail Ti Ntr Nail|413.81
880045.9189|Cap End 15Mm Cephlmed Ti-6Al-4V Ntr Nail|400.03
880064.9189|Cap End 5Mm Cephlmed Ti-6Al-4V Ntr Nail|400.03
880064.5803|Cap End 5Mm Tib Ti Ntr Nail|413.81
880045.1893|Cap End Lck Ti Al Vndm Ncb 8Mm 3.5Mm|296.58
880095.2455|Cap End Shldr Cmnt|8,742.00
880095.2455|Cap End Std Kn Fem Tib Ptlr Hbrd Cmnt|7,440.00
880095.3673|Cap End Tib Mdlr Bs Stm|323.31
880039.1145|Cap Escpsl Med Balln Cath Halo Barrx|120.05
880039.5713|Cap Pctv 4Mm Fx Pin Ns Ylw|145.89
833500|Capsulectomy Peri Implant Breast Cmplt|3,896.00
890023.9047|Captopril Tab 12.5 MG|3.1
817345|Car Seat/Bed Test <=12 Mo 60min|186
817344|Car Seat/Bed Test <=12 Mo Ea Addl 30min|73
890023.65|Carbachol Intraocular Inj 0.01%|74.5
890023.9044|Carbamazepine Chew Tab 100 MG|3.1
60010090|Carbamazepine Level Total|272
890023.7811|Carbamide Peroxide 6.5% Otic Soln|11.09
890023.5023|Carbidopa & Levodopa Tab 10-100 MG|3.1
890023.9047|Carbidopa & Levodopa Tab 25-100 MG|3.1
890023.6808|Carbidopa & Levodopa Tab 25-250 MG|3.1
890023.6276|Carbidopa & Levodopa Tab ER 25-100 MG|3.1
60013000|Carbon Dioxide|122
60012870|Carbon Monoxide|245
890002.9086|Carboprost Tromethamine IM Soln 250 MCG/ML|333.31
890002.9086|Carboprost Tromethamine IM Soln 250 MCG/ML|333.31
8104942|Card Output Measur W Cong Card Cath Eval|121
830000|Card Stress Test Interp Rpt Only|69
811236|Card Stress Test Routine|1,573.00
8105262|Cardiac Rehab Ph 2 WO Ecg Lvl I 2nd Evnt|339
8105263|Cardiac Rehab Ph 2 WO Ecg Lvlii 2nd Evnt|339
8105260|Cardiac Rehab Phase 2 WO Ecg Level I|339
8105261|Cardiac Rehab Phase 2 WO Ecg Level II|339
819437|Cardiac Rehab-Ph 2-Level I 2nd Event|339
819438|Cardiac Rehab-Ph 2-Level II 2nd Event|339
813961|Cardiac Rehab-Phase 2-Level I|339
813962|Cardiac Rehab-Phase 2-Level II|339
60080910|Cardiolipin Antibody Iga|63
60080890|Cardiolipin Antibody Igg|99
60080900|Cardiolipin Antibody Igm|99
810194|Cardiopulmonary Resuscitation|1,830.00
810194|Cardiopulmonary Resuscitation|2,040.00
830496|Cardiopulmonary Resuscitation Pro|997
810196|Cardioversion Elective External|82
810196|Cardioversion Elective External|2,530.00
830314|Cardioversion Elective External Cc|259
830314|Cardioversion Elective External Cc|770
60063820|Carnitine Blood|314
60061590|Carnitine Urine|705
60061000|Carotene Total|216
833072|Carpal Tunnel Release Unilat|2,083.00
890023.9046|Carvedilol Tab 12.5 MG|3.1
890023.9046|Carvedilol Tab 3.125 MG|3.1
880064.7369|Case Inst 140X89X19Mm Al Fold Drl|1,666.50
880039.6693|Case Inst Oats|1,439.25
831702|Cast Appl-Body&Upper Extremity/Splint|166
814630|Cast Appl-Bodyandupper Extremity/Splin|312
814631|Cast Appl-Lower Extremity/Splints|653
831704|Cast Appl-Lower Extremity/Splints|444
814632|Cast Appl-Other|1,014.00
8101437|Cast Gauntlet Plaster Peds 0-10 Yrs|23
8101433|Cast Long Arm Fiberglass, Adult >=11 Yrs|80
8101434|Cast Long Arm Fiberglass, Peds 0-10 Yrs|43
8101444|Cast Long Leg Fiberglass Peds 0-10 Yrs|107
8101443|Cast Long Leg Fiberglass, Adult >=11 Yrs|204
8101436|Cast Short Arm Fiberglass Peds 0-10 Yrs|27
8101435|Cast Short Arm Fiberglass, Adlt >=11 Yrs|53
8101445|Cast Short Leg Fiberglas Adlt >=11 Yrs|115
8101446|Cast Short Leg Fiberglass, Peds 0-10 Yrs|60
814761|Cataract Procedure D/C in Or|5,702.00
814714|Cataract Surgery|7,603.00
60061100|Catecholamines Urine Fract|455
60061110|Catecholamines Urine Fract|126
SUP66592|Cath 7 Fr X 20 Cm Triple Abrm|152
880039.8108|Cath Ablt 11Cm 7Fr 21Ga 2.75In .018In|88.28
880039.1145|Cath Ablt 160Cm 4Mm 15X10Mm Esph 90D|2,817.41
880039.1145|Cath Ablt 160Cm 4Mm 20X13Mm Esph 90D|3,518.50
880039.1145|Cath Ablt 160Cm 4Mm 40X13Mm Ult Lng Halo|3,473.10
880039.1145|Cath Ablt 4Cm 18Mm 3Cm Esph 360D|3,473.10
880039.1145|Cath Ablt 4Cm 25Mm 3Cm Esph 360D|4,290.30
880039.1145|Cath Ablt 85Cm 22Mm 33.7Mm 4Cm Esph 3Cm|3,370.95
880039.1145|Cath Ablt 85Cm 7Mm 28Mm 4Cm Esph 3Cm|3,720.53
880039.1145|Cath Ablt 85Cm 7Mm 31Mm 4Cm Esph 3Cm|3,370.95
880069.3146|Cath Balln Angio Sculpt 3.5 X 20 X 137Cm|2,469.45
880069.3146|Cath Balln Dil Angiosculpt 7Mm 137Cm 40|666.11
880069.3146|Cath Balln Dil Angiosculpt 7Mm 50Cm 40Mm|2,667.25
880069.1567|Cath Balln Dil Angiosculpt 7Mm 90Cm 40Mm|2,667.25
880069.3146|Cath Balln Dil Angiosculpt 8Mm 137Cm 40|2,667.25
880069.3146|Cath Balln Dil Angiosculpt 8Mm 50Cm 40Mm|2,667.25
880069.1567|Cath Balln Dil Angiosculpt 8Mm 90Cm 40Mm|2,667.25
880069.1865|Cath Balln Dil Angiosculpt Xl 2.5Mm 137|2,469.45
880069.3146|Cath Balln Dil Angiosculpt Xl 2.5Mm 155|2,954.25
880069.9351|Cath Balln Dil Angiosculpt Xl 2.5Mm 155|2,575.50
880069.3146|Cath Balln Dil Angiosculpt Xl 2Mm 137Cm|2,469.45
880069.3146|Cath Balln Dil Angiosculpt Xl 2Mm 155Cm|2,954.25
880069.9351|Cath Balln Dil Angiosculpt Xl 2Mm 155Cm|2,575.50
880069.3146|Cath Balln Dil Angiosculpt Xl 3.5Mm 155|2,954.25
880069.9351|Cath Balln Dil Angiosculpt Xl 3.5Mm 155|2,575.50
880069.2793|Cath Balln Dil Angiosculpt Xl 3Mm 137Cm|2,469.45
880069.3146|Cath Balln Dil Angiosculpt Xl 3Mm 155Cm|2,954.25
880069.9351|Cath Balln Dil Angiosculpt Xl 3Mm 155Cm|2,575.50
880069.1389|Cath Balln Dil Angiosculpt Xl 4Mm 137Cm|2,667.25
880069.7775|Cath Balln Dil Angiosculpt Xl 4Mm 137Cm|2,469.45
880069.935|Cath Balln Dil Angiosculpt Xl 4Mm 137Cm|2,954.25
880069.9351|Cath Balln Dil Angiosculpt Xl 4Mm 137Cm|2,575.50
880069.3145|Cath Balln Dil Angiosculpt Xl 4Mm 90Cm|2,575.50
880069.3146|Cath Balln Dil Angiosculpt Xl 4Mm 90Cm|2,954.25
880069.2553|Cath Balln Dil Angiosculpt Xl 5Mm 137Cm|2,469.45
880069.2553|Cath Balln Dil Angiosculpt Xl 5Mm 137Cm|2,575.50
880069.3146|Cath Balln Dil Angiosculpt Xl 5Mm 137Cm|2,667.25
880069.9351|Cath Balln Dil Angiosculpt Xl 5Mm 137Cm|2,954.25
880069.3146|Cath Balln Dil Angiosculpt Xl 5Mm 90Cm|2,575.50
880069.3146|Cath Balln Dil Angiosculpt Xl 5Mm 90Cm|2,954.25
880069.1685|Cath Balln Dil Angiosculpt Xl 6Mm 137Cm|2,667.25
880069.2553|Cath Balln Dil Angiosculpt Xl 6Mm 137Cm|2,469.45
880069.2553|Cath Balln Dil Angiosculpt Xl 6Mm 137Cm|2,575.50
880069.9352|Cath Balln Dil Angiosculpt Xl 6Mm 137Cm|2,954.25
880069.3146|Cath Balln Dil Angiosculpt Xl 6Mm 40Mm|2,575.50
880069.3146|Cath Balln Dil Angiosculpt Xl 6Mm 50Cm|2,469.45
880069.3146|Cath Balln Dil Angiosculpt Xl 6Mm 50Cm|2,575.50
880069.3146|Cath Balln Dil Angiosculpt Xl 6Mm 90Cm|2,469.45
880069.3146|Cath Balln Dil Angiosculpt Xl 6Mm 90Cm|2,954.25
880039.1998|Cath Balln Dil Cre 15-16.5-18Mm 180Cm 8|704.69
880039.5725|Cath Balln Dil Cre 6-7-8Mm 180Cm 8Cm Fx|694.26
880039.7571|Cath Balln Dil Cre 8-9-10Mm 180Cm 8Cm Fx|704.69
880069.2633|Cath Balln Dil Geoalign 6Mm 5Fr 130Cm|4,653.50
880069.2633|Cath Balln Dil Geoalign 7Mm 6Fr 130Cm|4,653.50
880208.3144|Cath Balln Dil Lutonix 018 4mm 100cm 300|6,242.50
880208.3144|Cath Balln Dil Lutonix 018 4mm 130cm 300|6,242.50
880208.3144|Cath Balln Dil Lutonix 018 5mm 100cm 300|6,242.50
880208.3144|Cath Balln Dil Lutonix 018 5mm 130cm 300|6,242.50
880208.3144|Cath Balln Dil Lutonix 018 6mm 100cm 300|6,242.50
880208.3144|Cath Balln Dil Lutonix 018 6mm 130cm 300|6,242.50
880069.4367|Cath Balln Dil Mini Trek 1.2Mm 12Mm Rap|209.07
880069.4367|Cath Balln Dil Mini Trek 1.2Mm 15Mm Rap|209.07
880069.4367|Cath Balln Dil Mini Trek 1.2Mm 20Mm Rap|209.07
880069.4367|Cath Balln Dil Mini Trek 1.2Mm 6Mm Rap|209.07
880069.4367|Cath Balln Dil Mini Trek 1.2Mm 8Mm Rap|209.07
880069.9333|Cath Balln Dil Mini Trek 1.5Mm 15Mm Rap|209.07
880069.3991|Cath Balln Dil Mini Trek 1.5Mm 20Mm Rap|209.07
880069.9332|Cath Balln Dil Mini Trek 1.5Mm 6Mm Rap|209.07
880069.9332|Cath Balln Dil Mini Trek 1.5Mm 8Mm Rap|209.07
880069.1248|Cath Balln Dil Mini Trek Ii 1.20Mm 145Cm|209.07
880069.1248|Cath Balln Dil Mini Trek Ii 1.2Mm 145Cm|209.07
880069.1264|Cath Balln Dil Mini Trek Ii 1.2Mm 145Cm|209.07
880069.1264|Cath Balln Dil Mini Trek Ii 1.2Mm 145Cm|209.07
880069.1248|Cath Balln Dil Mini Trek Ii 1.2Mm 15Mm|209.07
880069.1248|Cath Balln Dil Mini Trek Ii 1.50Mm 145Cm|209.07
880069.1248|Cath Balln Dil Mini Trek Ii 1.5Mm 145Cm|209.07
880069.1248|Cath Balln Dil Mini Trek Ii 1.5Mm 145Cm|209.07
880069.1248|Cath Balln Dil Mini Trek Ii 1.5Mm 145Cm|209.07
880069.3534|Cath Balln Dil Mini Trek Ii 1.5Mm 145Cm|209.07
880069.1248|Cath Balln Dil Mini Trek Ii 2Mm 145Cm 12|209.07
880069.1248|Cath Balln Dil Mini Trek Ii 2Mm 145Cm 15|209.07
880069.1248|Cath Balln Dil Mini Trek Ii 2Mm 145Cm 20|209.07
880069.3534|Cath Balln Dil Mini Trek Ii 2Mm 145Cm 6|209.07
880069.1248|Cath Balln Dil Mini Trek Ii 2Mm 145Cm 8|209.07
880069.9333|Cath Balln Dil Mini Trek Slim Sl 2Mm 12|209.07
880069.9333|Cath Balln Dil Mini Trek Slim Sl 2Mm 15|209.07
880069.9333|Cath Balln Dil Mini Trek Slim Sl 2Mm 20|209.07
880069.9333|Cath Balln Dil Mini Trek Slim Sl 2Mm 25|209.07
880069.9333|Cath Balln Dil Mini Trek Slim Sl 2Mm 30|209.07
880069.3534|Cath Balln Dil Mini Trek Slim Sl 2Mm 6Mm|209.07
880069.9333|Cath Balln Dil Mini Trek Slim Sl 2Mm 8Mm|209.07
880069.3368|Cath Balln Dil Nc Trek 1.5Mm 12Mm Rap Ex|209.07
880069.3534|Cath Balln Dil Nc Trek 1.5Mm 143Cm 12Mm|209.07
880069.3534|Cath Balln Dil Nc Trek 1.5Mm 143Cm 15Mm|209.07
880069.3534|Cath Balln Dil Nc Trek 1.5Mm 143Cm 20Mm|209.07
880069.3534|Cath Balln Dil Nc Trek 1.5Mm 143Cm 6Mm|209.07
880069.1179|Cath Balln Dil Nc Trek 1.5Mm 143Cm 8Mm|209.07
880069.3367|Cath Balln Dil Nc Trek 1.5Mm 15Mm Rap Ex|209.07
880069.3368|Cath Balln Dil Nc Trek 1.5Mm 20Mm Rap Ex|209.07
880069.3368|Cath Balln Dil Nc Trek 1.5Mm 6Mm Rap Ex|209.07
880069.3368|Cath Balln Dil Nc Trek 1.5Mm 8Mm Rap Ex|209.07
880069.3369|Cath Balln Dil Nc Trek 2.25Mm 12Mm Rap|209.07
880069.3534|Cath Balln Dil Nc Trek 2.25Mm 143Cm 12Mm|209.07
880069.3534|Cath Balln Dil Nc Trek 2.25Mm 143Cm 15Mm|209.07
880069.3534|Cath Balln Dil Nc Trek 2.25Mm 143Cm 6Mm|209.07
880069.3534|Cath Balln Dil Nc Trek 2.25Mm 143Cm 8Mm|209.07
880069.3369|Cath Balln Dil Nc Trek 2.25Mm 15Mm Rap|209.07
880069.3369|Cath Balln Dil Nc Trek 2.25Mm 20Mm Rap|209.07
880069.3369|Cath Balln Dil Nc Trek 2.25Mm 6Mm Rap Ex|209.07
880069.3369|Cath Balln Dil Nc Trek 2.25Mm 8Mm Rap Ex|209.07
880069.3369|Cath Balln Dil Nc Trek 2.5Mm 12Mm Rap Ex|209.07
880069.1179|Cath Balln Dil Nc Trek 2.5Mm 143Cm 12Mm|209.07
880069.1179|Cath Balln Dil Nc Trek 2.5Mm 143Cm 15Mm|209.07
880069.1179|Cath Balln Dil Nc Trek 2.5Mm 143Cm 20Mm|209.07
880069.3534|Cath Balln Dil Nc Trek 2.5Mm 143Cm 25Mm|209.07
880069.3534|Cath Balln Dil Nc Trek 2.5Mm 143Cm 6Mm|209.07
880069.1179|Cath Balln Dil Nc Trek 2.5Mm 143Cm 8Mm|209.07
880069.337|Cath Balln Dil Nc Trek 2.5Mm 15Mm Rap Ex|209.07
880069.337|Cath Balln Dil Nc Trek 2.5Mm 20Mm Rap Ex|209.07
880069.337|Cath Balln Dil Nc Trek 2.5Mm 25Mm Rap Ex|209.07
880069.3369|Cath Balln Dil Nc Trek 2.5Mm 6Mm Rap Ex|209.07
880069.3369|Cath Balln Dil Nc Trek 2.5Mm 8Mm Rap Ex|209.07
880069.337|Cath Balln Dil Nc Trek 2.75Mm 12Mm Rap|209.07
880069.1179|Cath Balln Dil Nc Trek 2.75Mm 143Cm 12Mm|209.07
880069.1179|Cath Balln Dil Nc Trek 2.75Mm 143Cm 15Mm|209.07
880069.3534|Cath Balln Dil Nc Trek 2.75Mm 143Cm 20Mm|209.07
880069.3534|Cath Balln Dil Nc Trek 2.75Mm 143Cm 6Mm|209.07
880069.3534|Cath Balln Dil Nc Trek 2.75Mm 143Cm 8Mm|209.07
880069.337|Cath Balln Dil Nc Trek 2.75Mm 15Mm Rap|209.07
880069.337|Cath Balln Dil Nc Trek 2.75Mm 20Mm Rap|209.07
880069.337|Cath Balln Dil Nc Trek 2.75Mm 6Mm Rap Ex|209.07
880069.337|Cath Balln Dil Nc Trek 2.75Mm 8Mm Rap Ex|209.07
880069.3369|Cath Balln Dil Nc Trek 2Mm 12Mm Rap Ex|209.07
880069.3534|Cath Balln Dil Nc Trek 2Mm 143Cm 12Mm|209.07
880069.3534|Cath Balln Dil Nc Trek 2Mm 143Cm 15Mm|209.07
880069.3534|Cath Balln Dil Nc Trek 2Mm 143Cm 20Mm|209.07
880069.3534|Cath Balln Dil Nc Trek 2Mm 143Cm 6Mm Otw|209.07
880069.3534|Cath Balln Dil Nc Trek 2Mm 143Cm 8Mm Otw|209.07
880069.3369|Cath Balln Dil Nc Trek 2Mm 15Mm Rap Ex|209.07
880069.3368|Cath Balln Dil Nc Trek 2Mm 20Mm Rap Ex|209.07
880069.3368|Cath Balln Dil Nc Trek 2Mm 6Mm Rap Ex|209.07
880069.3368|Cath Balln Dil Nc Trek 2Mm 8Mm Rap Ex|209.07
880069.3371|Cath Balln Dil Nc Trek 3.25Mm 12Mm Rap|209.07
880069.1179|Cath Balln Dil Nc Trek 3.25Mm 143Cm 12Mm|209.07
880069.1179|Cath Balln Dil Nc Trek 3.25Mm 143Cm 15Mm|209.07
880069.3534|Cath Balln Dil Nc Trek 3.25Mm 143Cm 20Mm|209.07
880069.3534|Cath Balln Dil Nc Trek 3.25Mm 143Cm 6Mm|209.07
880069.3534|Cath Balln Dil Nc Trek 3.25Mm 143Cm 8Mm|209.07
880069.3371|Cath Balln Dil Nc Trek 3.25Mm 15Mm Rap|209.07
880069.3371|Cath Balln Dil Nc Trek 3.25Mm 20Mm Rap|209.07
880069.3371|Cath Balln Dil Nc Trek 3.25Mm 6Mm Rap Ex|209.07
880069.3371|Cath Balln Dil Nc Trek 3.25Mm 8Mm Rap Ex|209.07
880069.3372|Cath Balln Dil Nc Trek 3.5Mm 12Mm Rap Ex|209.07
880069.1179|Cath Balln Dil Nc Trek 3.5Mm 143Cm 12Mm|209.07
880069.1179|Cath Balln Dil Nc Trek 3.5Mm 143Cm 20Mm|209.07
880069.3534|Cath Balln Dil Nc Trek 3.5Mm 143Cm 25Mm|209.07
880069.3534|Cath Balln Dil Nc Trek 3.5Mm 143Cm 6Mm|209.07
880069.1179|Cath Balln Dil Nc Trek 3.5Mm 143Cm 8Mm|209.07
880069.3372|Cath Balln Dil Nc Trek 3.5Mm 15Mm Rap Ex|209.07
880069.3372|Cath Balln Dil Nc Trek 3.5Mm 20Mm Rap Ex|209.07
880069.3372|Cath Balln Dil Nc Trek 3.5Mm 25Mm Rap Ex|209.07
880069.3371|Cath Balln Dil Nc Trek 3.5Mm 6Mm Rap Ex|209.07
880069.3372|Cath Balln Dil Nc Trek 3.5Mm 8Mm Rap Ex|209.07
880069.3372|Cath Balln Dil Nc Trek 3.75Mm 12Mm Rap|209.07
880069.3534|Cath Balln Dil Nc Trek 3.75Mm 143Cm 12Mm|209.07
880069.3534|Cath Balln Dil Nc Trek 3.75Mm 143Cm 15Mm|209.07
880069.2796|Cath Balln Dil Nc Trek 3.75Mm 143Cm 20Mm|209.07
880069.3534|Cath Balln Dil Nc Trek 3.75Mm 143Cm 8Mm|209.07
880069.3372|Cath Balln Dil Nc Trek 3.75Mm 15Mm Rap|209.07
880069.3372|Cath Balln Dil Nc Trek 3.75Mm 20Mm Rap|209.07
880069.3372|Cath Balln Dil Nc Trek 3.75Mm 8Mm Rap Ex|209.07
880069.3371|Cath Balln Dil Nc Trek 3Mm 12Mm Rap Ex|209.07
880069.1179|Cath Balln Dil Nc Trek 3Mm 143Cm 12Mm|209.07
880069.1179|Cath Balln Dil Nc Trek 3Mm 143Cm 15Mm|209.07
880069.1179|Cath Balln Dil Nc Trek 3Mm 143Cm 20Mm|209.07
880069.3534|Cath Balln Dil Nc Trek 3Mm 143Cm 25Mm|209.07
880069.3534|Cath Balln Dil Nc Trek 3Mm 143Cm 6Mm Otw|209.07
880069.1179|Cath Balln Dil Nc Trek 3Mm 143Cm 8Mm Otw|209.07
880069.337|Cath Balln Dil Nc Trek 3Mm 15Mm Rap Ex|209.07
880069.3371|Cath Balln Dil Nc Trek 3Mm 20Mm Rap Ex|209.07
880069.3371|Cath Balln Dil Nc Trek 3Mm 25Mm Rap Ex|209.07
880069.337|Cath Balln Dil Nc Trek 3Mm 6Mm Rap Ex|209.07
880069.3371|Cath Balln Dil Nc Trek 3Mm 8Mm Rap Ex|209.07
880069.3373|Cath Balln Dil Nc Trek 4.5Mm 12Mm Rap Ex|209.07
880069.3534|Cath Balln Dil Nc Trek 4.5Mm 143Cm 12Mm|209.07
880069.3534|Cath Balln Dil Nc Trek 4.5Mm 143Cm 15Mm|209.07
880069.3534|Cath Balln Dil Nc Trek 4.5Mm 143Cm 20Mm|209.07
880069.3534|Cath Balln Dil Nc Trek 4.5Mm 143Cm 8Mm|209.07
880069.3373|Cath Balln Dil Nc Trek 4.5Mm 15Mm Rap Ex|209.07
880069.3373|Cath Balln Dil Nc Trek 4.5Mm 20Mm Rap Ex|209.07
880069.3373|Cath Balln Dil Nc Trek 4.5Mm 8Mm Rap Ex|209.07
880069.3373|Cath Balln Dil Nc Trek 4Mm 12Mm Rap Ex|209.07
880069.1179|Cath Balln Dil Nc Trek 4Mm 143Cm 12Mm|209.07
880069.1179|Cath Balln Dil Nc Trek 4Mm 143Cm 15Mm|209.07
880069.3534|Cath Balln Dil Nc Trek 4Mm 143Cm 20Mm|209.07
880069.1179|Cath Balln Dil Nc Trek 4Mm 143Cm 8Mm Otw|209.07
880069.3373|Cath Balln Dil Nc Trek 4Mm 15Mm Rap Ex|209.07
880069.3373|Cath Balln Dil Nc Trek 4Mm 20Mm Rap Ex|209.07
880069.3372|Cath Balln Dil Nc Trek 4Mm 8Mm Rap Ex|209.07
880069.3373|Cath Balln Dil Nc Trek 5Mm 12Mm Rap Ex|209.07
880069.3534|Cath Balln Dil Nc Trek 5Mm 143Cm 12Mm|209.07
880069.3534|Cath Balln Dil Nc Trek 5Mm 143Cm 15Mm|209.07
880069.3534|Cath Balln Dil Nc Trek 5Mm 143Cm 20Mm|209.07
880069.3534|Cath Balln Dil Nc Trek 5Mm 143Cm 8Mm Otw|209.07
880069.3374|Cath Balln Dil Nc Trek 5Mm 15Mm Rap Ex|209.07
880069.3373|Cath Balln Dil Nc Trek 5Mm 20Mm Rap Ex|209.07
880069.3373|Cath Balln Dil Nc Trek 5Mm 8Mm Rap Ex|209.07
880069.3146|Cath Balln Dil Stellarex 4Mm 135Cm 150Mm|3,518.50
880069.3135|Cath Balln Dil Stellarex 4Mm 135Cm 40Mm|4,653.50
880069.3146|Cath Balln Dil Stellarex 4Mm 80Cm 150Mm|3,518.50
880069.3146|Cath Balln Dil Stellarex 4Mm 80Cm 200Mm|4,653.50
880069.3146|Cath Balln Dil Stellarex 5Mm 135Cm 150Mm|3,518.50
880069.3146|Cath Balln Dil Stellarex 5Mm 135Cm 200Mm|4,653.50
880069.3146|Cath Balln Dil Stellarex 6Mm 135Cm 150Mm|3,518.50
880069.3135|Cath Balln Dil Stellarex 6mm 135cm 200mm|4,653.50
880069.3146|Cath Balln Dil Stellarex 6Mm 80Cm 200Mm|4,653.50
880069.9341|Cath Balln Dil Trek 2.25Mm 145Cm 12Mm|209.07
880069.9341|Cath Balln Dil Trek 2.25Mm 145Cm 15Mm|209.07
880069.9341|Cath Balln Dil Trek 2.25Mm 145Cm 20Mm|209.07
880069.9341|Cath Balln Dil Trek 2.25Mm 145Cm 25Mm|209.07
880069.9341|Cath Balln Dil Trek 2.25Mm 145Cm 30Mm|209.07
880069.9342|Cath Balln Dil Trek 2.75Mm 145Cm 12Mm|209.07
880069.9342|Cath Balln Dil Trek 2.75Mm 145Cm 15Mm|209.07
880069.9342|Cath Balln Dil Trek 2.75Mm 145Cm 20Mm|209.07
880069.9342|Cath Balln Dil Trek 2.75Mm 145Cm 25Mm|209.07
880069.9342|Cath Balln Dil Trek 2.75Mm 145Cm 30Mm|209.07
880069.9343|Cath Balln Dil Trek 3.25Mm 145Cm 12Mm|209.07
880069.9343|Cath Balln Dil Trek 3.25Mm 145Cm 15Mm|209.07
880069.9344|Cath Balln Dil Trek 3.25Mm 145Cm 20Mm|209.07
880069.9344|Cath Balln Dil Trek 3.25Mm 145Cm 25Mm|209.07
880069.9344|Cath Balln Dil Trek 3.25Mm 145Cm 30Mm|209.07
816608.9344|Cath Balln Dil Trek 3.5Mm 145Cm 25Mm Otw|666.11
880069.5641|Cath Balln Dil Trek 3.75Mm 145Cm 12Mm|209.07
880069.9345|Cath Balln Dil Trek 3.75Mm 145Cm 15Mm|209.07
880069.9345|Cath Balln Dil Trek 3.75Mm 145Cm 20Mm|209.07
880069.9345|Cath Balln Dil Trek 3.75Mm 145Cm 25Mm|209.07
880069.9345|Cath Balln Dil Trek 3.75Mm 145Cm 30Mm|209.07
880069.9333|Cath Balln Dil Trek Slim Sl 2.25Mm 12Mm|209.07
880069.9334|Cath Balln Dil Trek Slim Sl 2.25Mm 15Mm|209.07
880069.9334|Cath Balln Dil Trek Slim Sl 2.25Mm 20Mm|209.07
880069.9334|Cath Balln Dil Trek Slim Sl 2.25Mm 25Mm|209.07
880069.9334|Cath Balln Dil Trek Slim Sl 2.25Mm 30Mm|209.07
880069.3534|Cath Balln Dil Trek Slim Sl 2.25Mm 6Mm|209.07
880069.9333|Cath Balln Dil Trek Slim Sl 2.25Mm 8Mm|209.07
880069.9334|Cath Balln Dil Trek Slim Sl 2.5Mm 12Mm|209.07
880069.9334|Cath Balln Dil Trek Slim Sl 2.5Mm 15Mm|209.07
880069.9334|Cath Balln Dil Trek Slim Sl 2.5Mm 20Mm|209.07
880069.9334|Cath Balln Dil Trek Slim Sl 2.5Mm 25Mm|209.07
880069.9335|Cath Balln Dil Trek Slim Sl 2.5Mm 30Mm|209.07
880069.9334|Cath Balln Dil Trek Slim Sl 2.5Mm 6Mm|209.07
880069.9334|Cath Balln Dil Trek Slim Sl 2.5Mm 8Mm|209.07
880069.9335|Cath Balln Dil Trek Slim Sl 2.75Mm 12Mm|209.07
880069.9335|Cath Balln Dil Trek Slim Sl 2.75Mm 15Mm|209.07
880069.9335|Cath Balln Dil Trek Slim Sl 2.75Mm 20Mm|209.07
880069.9335|Cath Balln Dil Trek Slim Sl 2.75Mm 25Mm|209.07
880069.9335|Cath Balln Dil Trek Slim Sl 2.75Mm 30Mm|209.07
880069.9335|Cath Balln Dil Trek Slim Sl 2.75Mm 6Mm|209.07
880069.9335|Cath Balln Dil Trek Slim Sl 2.75Mm 8Mm|209.07
880069.9336|Cath Balln Dil Trek Slim Sl 3.25Mm 12Mm|209.07
880069.9336|Cath Balln Dil Trek Slim Sl 3.25Mm 15Mm|209.07
880069.9336|Cath Balln Dil Trek Slim Sl 3.25Mm 20Mm|209.07
880069.9337|Cath Balln Dil Trek Slim Sl 3.25Mm 25Mm|209.07
880069.9337|Cath Balln Dil Trek Slim Sl 3.25Mm 30Mm|209.07
880069.9336|Cath Balln Dil Trek Slim Sl 3.25Mm 6Mm|209.07
880069.9336|Cath Balln Dil Trek Slim Sl 3.25Mm 8Mm|209.07
880069.9337|Cath Balln Dil Trek Slim Sl 3.5Mm 12Mm|209.07
880069.9337|Cath Balln Dil Trek Slim Sl 3.5Mm 15Mm|209.07
880069.9337|Cath Balln Dil Trek Slim Sl 3.5Mm 20Mm|209.07
880069.9337|Cath Balln Dil Trek Slim Sl 3.5Mm 25Mm|209.07
880069.9337|Cath Balln Dil Trek Slim Sl 3.5Mm 30Mm|209.07
880069.9337|Cath Balln Dil Trek Slim Sl 3.5Mm 6Mm|209.07
880069.9337|Cath Balln Dil Trek Slim Sl 3.5Mm 8Mm|209.07
880069.9338|Cath Balln Dil Trek Slim Sl 3.75Mm 12Mm|209.07
880069.9338|Cath Balln Dil Trek Slim Sl 3.75Mm 15Mm|209.07
880069.9338|Cath Balln Dil Trek Slim Sl 3.75Mm 20Mm|209.07
880069.9338|Cath Balln Dil Trek Slim Sl 3.75Mm 25Mm|209.07
880069.9338|Cath Balln Dil Trek Slim Sl 3.75Mm 30Mm|209.07
880069.9337|Cath Balln Dil Trek Slim Sl 3.75Mm 6Mm|209.07
880069.9338|Cath Balln Dil Trek Slim Sl 3.75Mm 8Mm|209.07
880069.9336|Cath Balln Dil Trek Slim Sl 3Mm 12Mm Rap|209.07
880069.9336|Cath Balln Dil Trek Slim Sl 3Mm 15Mm Rap|209.07
880069.9336|Cath Balln Dil Trek Slim Sl 3Mm 20Mm Rap|209.07
880069.9336|Cath Balln Dil Trek Slim Sl 3Mm 25Mm Rap|209.07
880069.9336|Cath Balln Dil Trek Slim Sl 3Mm 30Mm Rap|209.07
880069.9335|Cath Balln Dil Trek Slim Sl 3Mm 6Mm Rap|209.07
880069.9335|Cath Balln Dil Trek Slim Sl 3Mm 8Mm Rap|209.07
880069.9339|Cath Balln Dil Trek Slim Sl 4.5Mm 12Mm|209.07
880069.9339|Cath Balln Dil Trek Slim Sl 4.5Mm 15Mm|209.07
880069.9338|Cath Balln Dil Trek Slim Sl 4Mm 12Mm Rap|209.07
880069.9338|Cath Balln Dil Trek Slim Sl 4Mm 15Mm Rap|209.07
880069.9339|Cath Balln Dil Trek Slim Sl 4Mm 20Mm Rap|209.07
880069.9339|Cath Balln Dil Trek Slim Sl 4Mm 25Mm Rap|209.07
880069.9339|Cath Balln Dil Trek Slim Sl 4Mm 30Mm Rap|209.07
880069.9338|Cath Balln Dil Trek Slim Sl 4Mm 6Mm Rap|209.07
880069.9338|Cath Balln Dil Trek Slim Sl 4Mm 8Mm Rap|209.07
880069.9339|Cath Balln Dil Trek Slim Sl 5Mm 12Mm Rap|209.07
880069.9339|Cath Balln Dil Trek Slim Sl 5Mm 15Mm Rap|209.07
880069.2846|Cath Balln Dil True 20Mm 110Cm 4.5Cm|3,747.77
880069.1663|Cath Balln Dil True 24Mm 110Cm 4.5Cm|3,309.66
880069.1663|Cath Balln Dil True 26Mm 110Cm 4.5Cm|3,030.00
880069.2846|Cath Balln Dil True Dil 18Mm 110Cm 4.5Cm|3,153.03
880069.1663|Cath Balln Dil True Dil 21Mm 110Cm 4.5Cm|3,030.00
880069.1926|Cath Balln Dil True Dil 22Mm 110Cm 4.5Cm|3,030.00
880069.1663|Cath Balln Dil True Dil 23Mm 110Cm 4.5Cm|3,030.00
880069.1663|Cath Balln Dil True Dil 25Mm 110Cm 4.5Cm|3,030.00
880069.1663|Cath Balln Dil True Dil 28Mm 110Cm 4.5Cm|3,030.00
880039.2633|Cath Balln Lutonix Dcb 130Cm 7X100Mm|2,837.50
880039.2633|Cath Balln Lutonix Dcb 130Cm 7X120Mm|3,178.00
880039.2633|Cath Balln Lutonix Dcb 130Cm 7X150Mm|3,518.50
880039.2633|Cath Balln Lutonix Dcb 130Cm 7X80Mm|2,837.50
SUP31649|Cath Chest Trocar 10fr|242
SUP31658|Cath Chest Trocar 12fr|43
SUP31661|Cath Chest Trocar 24fr|250
SUP31662|Cath Chest Trocar 28fr|79
880039.6537|Cath Chlgm 11In 4Fr Perc Xlt Ins|113.96
880039.849|Cath Chlgm 18In 4.5Fr 6.5Fr Taut Mtl|128.75
880012.2487|Cath Cholgm W/Ndl Stylet 4Fr|158.57
880069.3534|Cath Cor Nc Treck Otw 2.25 X 20.0Mm|209.07
880039.2491|Cath Cv 10Fr 2 Lum Grshng|984.72
880039.2491|Cath Cv 7Fr Lum Tissue Ingrw Cuf Gs Sr|556.33
880039.7226|Cath Cv 8Fr Ltrm 1 Lum 3W Vlv Radopq Gs|1,924.05
SUP11024|Cath Double Lumen 4.0 Fr 30cm|150
880185.184|Cath Drn 12fr 25cm Apd Reg Drmtr Flxb|244.61
SUP31582|Cath Dual Lumen Picc Line 5fr|153
880072.2993|Cath Ep Lvwr 6Fr 115Cm 2-2-2Mm Spc Med|404.99
880072.3351|Cath Ep Rspn 6Fr 120Cm 2-10Mm Spc Crnnd|156.23
880039.1379|Cath Escp 135Cm 2.8Mm Barrx Esph Chnl Rf|3,507.15
SUP31732|Cath Foley 18fr 3 Way Baln 5cc|28
830291|Cath Infuse Sonohysterography OB|100
830291|Cath Infuse Sonohysterography OB|242
880045.1366|Cath Intvn 7Fr 100Cm 7Cm Endovenous Sv|2,688.37
880039.1376|Cath Iu Bakri 24Fr 54Cm 2 Ck Vlv Balln|705.99
880039.1952|Cath Iu Kraton 5Fr 30Cm Balln Cls Sh 1.5|101.44
818249|Cath Kit|880
880039.249|Cath Pace Biplr Balln Eltrd Syr Shrd Pin|212.3
814729|Cath Picc 3fr X 21 1/2|133
SUP100058|Cath Picc 3fr X 21 1/2|133
814728|Cath Picc Cvc 2-Lumen 5 Fr|153
814730|Cath Picc Powr Solo Sgl Lumn 4fr|415
SUP64649|Cath Picc Pwr 5fr Dual Lumn|444
SUP74752|Cath Picc Pwr Sngl Lumn|415
SUP31945|Cath Pressure Intrauterine|70
880069.1688|Cath Prfsn Trflw 18Mm 11Fr 110Cm 3.5Cm|3,064.50
880069.1693|Cath Prfsn Trflw 20Mm 11Fr 110Cm 3.5Cm|3,064.50
880069.1927|Cath Prfsn Trflw 22Mm 12Fr 110Cm 3.5Cm|4,755.65
880069.1927|Cath Prfsn Trflw 24Mm 14Fr 110Cm 3.5Cm|4,755.65
880069.1927|Cath Prfsn Trflw 26Mm 16Fr 110Cm 3.5Cm|4,755.65
SUP11287|Cath Radial Artery|73
880039.2487|Cath Rfa Endo|3,405.00
880091.6805|Cath St Crico Emer 6Mm X 7.5Cm|443.05
814536|Cath Subclavian Vein|4,130.00
880080.3567|Cath Thrmb 130cm .081in .071in|3,291.50
880080.3567|Cath Thrmb 85cm 10fr Quickclear Asp Strl|6,583.00
880080.3567|Cath Thrmb 85cm 8fr Quickclear Asp Strl|6,242.50
880039.249|Cath Umb 5Fr 20Ga 40Cm 2 Lum Radopq Rnd|84.97
SUP32002|Cath Umbilical 3.5fr|33
SUP32003|Cath Umbilical 5.0fr|31
880039.6743|Cath Ureth 22Fr Foly 3W Drn Eye Lng Cde|80.8
816534|Catheter Bakri Tamponade Balloon|560
810964|Catheter Intrauterine Pressure|82
830672|Catheterization Umbil Artery Newborn|338
812356|Catheterization Urethra Comp|314
812357|Catheterization Urethra Simple|122
812357|Catheterization Urethra Simple|214
834303|Cautery Cervix Laser Ablation|225
834303|Cautery Cervix Laser Ablation|562
8102751|Cautery Cervix Laser Ablation|250
813203|Cautery Cryocautery Cervix|255
833795|Cautery Cryocautery Cervix|224
833795|Cautery Cryocautery Cervix|560
834302|Cautery of Cervix Electro or Thermal|218
834302|Cautery of Cervix Electro or Thermal|491
818492|Cautery of Cervix Electro Thermal|216
880039.1175|cav Fx Viol 5Mm Absorbatack Polystr 30|1,242.30
60020290|Cbc W Auto Differential|239
60020260|Cbc W/O Auto Differential|202
60089410|Cd4/Cd8 + Ratio I|228
60010400|Cea Blood|308
890022.144|Cefazolin Sodium For Inj 1 GM|74.5
890022.6051|Cefazolin Sodium For Inj 10 GM|74.5
890022.2643|Cefazolin Sodium for IV Soln 1 GM and Dextrose 4% (50 ML)|97.3
890022.2643|Cefazolin Sodium for IV Soln 2 GM and Dextrose 3% (50 ML)|74.5
890022.1439|Cefazolin Sodium For IV Soln 3 GM|74.5
890023.5724|Cefdinir Cap 300 MG|3.1
890023.6818|Cefdinir Cap 300 MG|3.1
890023.6788|Cefdinir For Susp 125 MG/5ML|27.96
890023.6788|Cefdinir For Susp 125 MG/5ML|41.85
890022.6051|Cefepime HCl For Inj 1 GM|74.5
890022.6051|Cefepime HCl For IV Soln 2 GM|74.5
890022.2502|Cefoxitin Sodium For IV Soln 1 GM|74.5
890022.2502|Cefoxitin Sodium For IV Soln 2 GM|74.5
890022.2643|Cefoxitin Sodium IV For Soln 2 GM and Dextrose 2.2% (50 ML)|97.3
890023.6586|Cefpodoxime Proxetil Tab 100 MG|5.84
890023.6818|Cefprozil Tab 250 MG|3.1
890022.2502|Ceftazidime For Inj 1 GM|74.5
890022.4457|Ceftazidime For IV Soln 2 GM|74.5
890022.144|Ceftriaxone Sodium For Inj 1 GM|74.5
890022.144|Ceftriaxone Sodium For Inj 2 GM|74.5
890022.4097|Ceftriaxone Sodium For Inj 250 MG|74.5
890022.4097|Ceftriaxone Sodium For Inj 500 MG|74.5
890023.6788|Cefuroxime Axetil Tab 250 MG|3.1
890022.2502|Cefuroxime Sodium For Inj 750 MG|74.5
890023.6937|Celecoxib Cap 100 MG|3.1
890023.1671|Celecoxib Cap 200 MG|3.1
819627|Celero Breast Bx Gun|398
819628|Celero Breast Bx Marker|137
60051390|Cell Block|118
60052970|Cell Block I|776
60022450|Cell Count CSF|166
60022460|Cell Count Fluid|166
60021040|Cell Count W Differential CSF|189
60021030|Cell Count W Differential Fluid|176
880045.2486|Cem Flex Fem/Cem Tib/Prlgsurf/Ve Pat|6,231.00
SUP100027|Central Line Catheter Multi Lumen|136
SUP100028|Central Line Catheter Single Lumen|40
60060860|Centromere Antibody|295
890023.6069|Cephalexin Cap 250 MG|3.1
890023.6818|Cephalexin For Susp 250 MG/5ML|114.39
890023.9342|Cephalexin For Susp 250 MG/5ML|50.22
833846|Cerclage Removal Under Anes|574
60061200|Ceruloplasmin|236
834241|Cerv Vag Ca Scrn Pelv Breast Exam|162
814992|Cervical Biopsy|279
833793|Cervical Biopsy|138
833793|Cervical Biopsy|322
800596|Cervical Spine 3 View or Less|674
800613|Cervical Spine 4 or 5 Vw|1,029.00
800619|Cervical Spine W Obl and Flex/Ext|1,421.00
833841|Cesa Deliv After Attemp Vag W Vbac|5,550.00
833841|Cesa Deliv After Attemp Vag W Vbac|6,541.00
833857|Cesarean Deliv After Attemp Vag Deliv|4,073.00
833857|Cesarean Deliv After Attemp Vag Deliv|4,799.00
832400|Cesarean Delivery Only|6,366.00
890023.7075|Cetirizine HCl Oral Soln 1 MG/ML (5 MG/5ML)|3.1
890023.9999|Cetirizine HCl Oral Soln 1 MG/ML (5 MG/5ML)|3.1
890023.9047|Cetirizine HCl Tab 10 MG|3.1
60078640|Chain of Custody|90
60078642|Chain of Custody Urine|90
890000.5741|Charcoal Activated-Sorbitol Susp|37.16
812003|Chemical Cautery Granulation Tissue|275
831513|Chemical Cautery Granulation Tissue|84
810844|Chemo Ivp Ea Addl New Drug|552
810845|Chemo Ivp Sngl or Init Drug|552
833679|Chemodenerv Trunk >=6 Muscles|411
833678|Chemodenerv Trunk 1-5 Muscles|356
832662|Chemodenervation Anal Sphincter|550
832662|Chemodenervation Anal Sphincter|1,005.00
8100995|Chemodenervation Anal Sphincter|858
811241|Chest Wall Manipulation Init|242
811242|Chest Wall Manipulation Subseq|152
60065510|Chlamydia Antibody Igg|91
60065570|Chlamydia Antibody Igm|91
60066300|Chlamydia Dna Probe|334
60043180|Chlamydia Pneumoniae Ampl Probe|25
60042390|Chlamydia Trachomatis by Pcr|334
890023.5108|Chlordiazepoxide HCl Cap 25 MG|3.1
890023.5108|Chlordiazepoxide HCl Cap 25 MG|3.1
890023.555|Chlordiazepoxide HCl Cap 25 MG|3.1
890023.555|Chlordiazepoxide HCl Cap 5 MG|3.1
890023.5238|Chlorhexidine Gluconate Liquid 4%|15.47
890023.1162|Chlorhexidine Gluconate Soln 0.12%|3.1
890023.1211|Chlorhexidine Gluconate Soln 0.12%|6.36
60013200|Chloride Blood|122
60068190|Chloride Feces|25
60012010|Chloride Urine Random|98
890022.1439|Chloroprocaine HCl Preservative Free (PF) Inj 3%|74.5
890023.6516|Chlorthalidone Tab 25 MG|3.1
800229|Cholangiogram Operative|1,112.00
890023.8068|Cholecalciferol Cap 1.25 MG (50000 Unit)|3.1
890023.2056|Cholecalciferol Tab 25 MCG (1000 Unit)|3.1
832680|Cholecystectomy W Cholangiogram|5,511.00
800769|Cholecystography Oral Contrast|751
60013300|Cholesterol Blood|126
890023.245|Cholestyramine Light Powder Packets 4 GM|5.72
60058180|Chr (15-20ct/2k/Bd)|379
60058140|Chr (20 CT/2k)|1,047.00
60058150|Chr (20ct/2k)Frgx|840
60058300|Chr Add Karyotypes Blood|501
60058100|Chr Amnio|422
60058120|Chr Bone Marrow|1,301.00
60057210|Chr Cytogen Intrp/Report|116
60084530|Chromium Blood|143
60085320|Chromogranin A|334
833809|Chromotubation of Oviduct|330
890023.9321|Cilostazol Tab 50 MG|3.1
890022.36|Ciprofloxacin 200 MG/100ML in D5W|97.3
890022.2502|Ciprofloxacin 400 MG/200ML in D5W|97.3
890023.5866|Ciprofloxacin HCl Tab 250 MG (Base Equiv)|3.1
890023.436|Ciprofloxacin-Dexamethasone Otic Susp 0.3-0.1%|488.24
831939|Circum No Clamp >28days|853
810847|Circumcision Clamp W Regional Ans|496
830361|Circumcision Clamp W Regional Ans|361
810930|Circumcision Clamp WO Regional Ans|496
890023.9046|Citalopram Hydrobromide Tab 10 MG (Base Equiv)|3.1
890023.3786|Citalopram Hydrobromide Tab 20 MG (Base Equiv)|3.1
60019680|Citric Acid Urine Risk|33
60060530|Citric Acid Urine Timed|272
60013400|CK Blood|204
60013420|CKMB|232
831562|Cl Fx Bimalleolar No Manip|444
831563|Cl Tx Trimalleolr Ankle Fx W/O Man|470
880039.5331|Clamp Extfix 2.5Mm 4Mm Sm Sef Nonster|619.57
880039.439|Clamp Extfix 4Mm 4Mm Schnz Screw Cnct|951.42
890023.6586|Clarithromycin Tab 500 MG|3.1
880039.149|Clbrt Vtrs Kt 1 Chem Nonster Lf Reuse|157.93
880039.6432|Clbrt Vtrs Microslide Lvl 3 Alb Tp Bubc|172.38
890023.9046|Clindamycin HCl Cap 150 MG|3.1
890022.4307|Clindamycin Phosphate in D5W IV Soln 600 MG/50ML|97.3
890022.4307|Clindamycin Phosphate in D5W IV Soln 900 MG/50ML|97.3
890022.9087|Clindamycin Phosphate Inj 150 MG/ML,Clindamycin Phosphate Inj 600 MG/4ML,Clindamycin Phosphate Inj 900 MG/6ML,Clindamycin Phosphate Inj 9 GM/60ML,Clindamycin Phosphate Inj 300 MG/2ML,Clindamycin Phosphate IV Soln 600 MG/4ML,Clindamycin Phosphate IV Soln 3|74.5
880039.1768|Clip Hmst 2.8Mm Brd Cath Rot Cntrl Knob|712.05
880039.1475|Clip Hmst Radopq Preld Strl Disp Rsl 235|723.2
880039.1673|Clip Lgt Rsl 360 235Cm 2.8Mm Brd Cath|788.01
880039.9718|Clip Weck Hem-O-Lok Gld Xl Chevron Hrt|90.55
880039.6917|Clip Weck Hem-O-Lok Pur Lg Chevron Hrt|90.55
880039.2491|Clip Weck Hmclp Med Ss Strl Disp Intnl|132.32
880251.2487|Cllr Vista Multipost|227.89
60105321|Clobazam Quant Blood I|156
890023.6924|Clobazam Tab 10 MG|3.1
60061520|Clomipramine Level|272
890023.9047|Clonazepam Tab 0.5 MG|3.1
890023.5186|Clonidine TD Patch Weekly 0.1 MG/24HR|37
890023.5186|Clonidine TD Patch Weekly 0.1 MG/24HR|37
890023.3781|Clonidine TD Patch Weekly 0.2 MG/24HR|62.24
890023.6586|Clopidogrel Bisulfate Tab 75 MG (Base Equiv)|3.1
832781|Close Enterostomy W Resec Cr Anastmosis|7,910.00
831529|Closed Elbow Dis Req Anesthesia|1,704.00
831541|Closed Metacar Frac Sing W/Man|155
831541|Closed Metacar Frac Sing W/Man|464
831541|Closed Metacar Frac Sing W/Man|1,427.00
831540|Closed Metacar.Frac.Sing.W/O Man|320
831540|Closed Metacar.Frac.Sing.W/O Man|447
831567|Closed Metatarsal Fracture W/O Man.|350
833088|Closed Rx Inter/Subtroch Fx Manip|4,708.00
831565|Closed Tx of Calcaneal Fx W/O Manip|283
60042800|Clostridium Diff Pcr|232
60042790|Clostridium Difficile Toxin by Eia|250
832639|Closure Enterostomy|3,184.00
832640|Closure Enterostomy W Resec Anast|5,038.00
814713|Closure Fast Catheter|2,039.00
832616|Closure Gastrostomy Surgical|3,095.00
890023.5361|Clotrimazole Cream 1%|5.62
890023.574|Clotrimazole Troche 10 MG|3.59
890023.472|Clotrimazole w/ Betamethasone Cream 1-0.05%|28.25
60061632|Clozapine Level II|32
831536|Cls Tx Carpal Scaphoid Fx W/O Manip|447
831524|Cls Tx Hem Shft Fx No Manipulation|587
831538|Cls Tx of Ulnar Styloid Fx|556
831530|Cls Tx Rad Head Fx No Manip|399
831530|Cls Tx Rad Head Fx No Manip|1,169.00
831534|Cls Tx Ulnr Shft Fx No Manp|387
833002|Clsd Red Dislocated Hip Prosth|2,418.00
831564|Clsd Treat Fx Distal Tibia WO Manip|531
831535|Clsd Treatment of Rad/Uln Shaft Fra|347
831546|Clsd Tx Articular Fx Mcp IP W Mani|201
831546|Clsd Tx Articular Fx Mcp IP W Mani|1,386.00
831537|Clsd Tx Carpal Fx W/O Manipul|425
831559|Clsd Tx Distal Fib Fx W/O Manip|554
831558|Clsd Tx Fx Tib Shaft W/O Manipul|471
830555|Clsd Tx Hip Arthr Disl W/O Ans|384
831555|Clsd Tx Patella Fx W/O Manipul|526
831560|Clsd Tx Prox Fibula Fx W/O Manipul|487
831533|Clsd Tx Rad Shaft Fx W/O Manip|447
831527|Clsd Tx Radial Head Neck Fx W/O Man|435
831525|Clsd Tx Supra/Trans Fx W/O Manip|591
831556|Clsd Tx Tibial Plateau Fx W/O Man|371
836023|Cltr Skin Agrft F/N/Hf/G 1st 25cm Orless|1,299.00
8104467|Cltr Skin Agrft F/N/Hf/G 1st 25cm Orless|1,252.00
836038|Cltr Skin Autograft T/a/L 1st 25cm/<|1,151.00
8104513|Cltr Skin Autograft T/a/L 1st 25cm/<|1,245.00
880132.3429|Clydesdale Ptc 18mm 6 Deg 12mm X 40mm|547.42
880064.3689|Cmnt Bone Plc Fst R+G|349.68
880045.9093|Cmnt Bone Plc Lv 40Gm Brd Spctrm|139.5
880064.3689|Cmnt Bone Plc Mv|111.6
880064.3689|Cmnt Bone Plc Mv+G 2021 Pro 40|554.28
880064.3689|Cmnt Bone Plc Mv+G 2021 Pro 80|920.7
880064.3689|Cmnt Bone Plc R 2021 Pro 40|344.1
880064.3689|Cmnt Bone Plc R 2021 Pro 80|483.6
880045.1804|Cmnt Bone Plc R 40Gm Grn|139.5
880064.3689|Cmnt Bone Plc R Pro 75|483.6
880064.3689|Cmnt Bone Plc R+G 2021 Pro 40|554.28
880064.3689|Cmnt Bone Plc R+G 2021 Pro 80|920.7
880064.3689|Cmnt Bone Plc R+G Pro 75|920.7
880045.2671|Cmnt Bone Refobacin Strl Lf Disp|427.8
880045.1331|Cmnt Bone Smpx P Radopq Fd Strl|120.62
880045.1558|Cmnt Bone Smpx P Speedset Fd|121.92
880045.1443|Cmnt Bone Smpx Ptbr Fd Radopq Prebl|488.9
880045.3807|Cmpnt Actb 48Mm Durom H Hip Metasul|4,470.99
880045.1855|Cmpnt Artcsurf 15Mm Hemicap Df 2.5Mm 4.5|5,590.77
880095.3673|Cmpnt Biplr Gladiator 36Mm Od X 22Mm Id|4,268.27
880095.3673|Cmpnt Biplr Gladiator 37Mm Od X 22Mm Id|4,268.27
880095.3673|Cmpnt Biplr Gladiator 38Mm Od X 22Mm Id|4,268.27
880095.3673|Cmpnt Biplr Gladiator 39Mm Od X 22Mm Id|4,268.27
880095.3673|Cmpnt Biplr Gladiator 40Mm Od X 22Mm Id|4,268.27
880095.3673|Cmpnt Biplr Gladiator 41Mm Od X 22Mm Id|4,268.27
880095.3673|Cmpnt Biplr Gladiator 42Mm Od X 28Mm Id|4,268.27
880095.3673|Cmpnt Biplr Gladiator 43Mm Od X 28Mm Id|4,268.27
880095.3673|Cmpnt Biplr Gladiator 44Mm Od X 28Mm Id|4,268.27
880095.3673|Cmpnt Biplr Gladiator 45Mm Od X 28Mm Id|4,268.27
880095.3673|Cmpnt Biplr Gladiator 46Mm Od X 32Mm Id|4,268.27
880095.3673|Cmpnt Biplr Gladiator 47Mm Od X 32Mm Id|4,268.27
880095.3673|Cmpnt Biplr Gladiator 48Mm Od X 32Mm Id|4,268.27
880095.3673|Cmpnt Biplr Gladiator 50Mm Od X 36Mm Id|4,268.27
880095.3673|Cmpnt Biplr Gladiator 51Mm Od X 36Mm Id|4,268.27
880095.3673|Cmpnt Biplr Gladiator 52Mm Od X 36Mm Id|4,268.27
880095.3673|Cmpnt Biplr Gladiator 53Mm Od X 36Mm Id|4,268.27
880095.3673|Cmpnt Biplr Gladiator 54Mm Od X 36Mm Id|4,268.27
880095.3673|Cmpnt Biplr Gladiator 55Mm Od X 36Mm Id|4,268.27
880095.3673|Cmpnt Biplr Gladiator 56Mm Od X 36Mm Id|4,268.27
880095.3673|Cmpnt Biplr Gladiator 57Mm Od X 36Mm Id|4,268.27
880095.3673|Cmpnt Biplr Gladiator 58Mm Od X 36Mm Id|4,268.27
880095.3673|Cmpnt Biplr Gladiator 58Mm Od X 36Mm Id|4,268.27
880095.3673|Cmpnt Biplr Gladiator 9Mm Od X 32Mm Id|4,268.27
880095.3672|Cmpnt Bsplt Tib Sz 1|7,593.65
880095.3672|Cmpnt Bsplt Tib Sz 2|7,593.65
880095.3672|Cmpnt Bsplt Tib Sz 3|7,593.65
880095.3672|Cmpnt Bsplt Tib Sz 4|7,593.65
880095.3672|Cmpnt Bsplt Tib Sz 5|7,593.65
880095.2426|Cmpnt Fem Kn 5-6 Cr-Flx Gndr Sol 14Mm|6,450.48
880095.2488|Cmpnt Fem Kn Cas Strl|2,157.36
880095.2427|Cmpnt Fem Kn Cmnt Cr-Flx Gndr Sol Prlng|5,952.00
880045.3237|Cmpnt Fem Kn Cndrl 11 Std Cmnt Cnstrn|14,577.75
880045.313|Cmpnt Fem Kn Cndrl 11+ Cmnt Cnstrn|15,600.75
880045.3573|Cmpnt Fem Kn Cndrl 7 Std Cmnt Cnstrn|14,577.75
880045.3515|Cmpnt Fem Kn Cndrl 7+ Cmnt Cnstrn Prsona|15,600.75
880045.3325|Cmpnt Fem Kn Cndrl 9 Std Cmnt Cnstrn|14,577.75
880045.3595|Cmpnt Fem Kn Insrtr Afx 25mm 10mm Strl|2,516.02
880095.1319|Cmpnt Fem Kn Lt 10 Std Cmnt Post Stab|7,138.68
880045.3592|Cmpnt Fem Kn Lt 10 Std Post Stab Persona|9,017.28
880095.1319|Cmpnt Fem Kn Lt 11 Nar Cmnt Post Stab|8,481.60
880095.1319|Cmpnt Fem Kn Lt 11 Std Cmnt Post Stab|7,138.68
880095.132|Cmpnt Fem Kn Lt 12 Std Cmnt Post Stab|7,138.68
880095.3672|Cmpnt Fem Kn Lt 2 Ptlr Grv Rsrfc Eleos|9,629.74
880045.3801|Cmpnt Fem Kn Lt 3 Cmnt Post Stab Trthln|2,051.77
880045.1319|Cmpnt Fem Kn Lt 3 Nar Cmnt Post Stab|8,481.60
880095.3672|Cmpnt Fem Kn Lt 3 Ptlr Grv Rsrfc Eleos|9,629.74
880045.1319|Cmpnt Fem Kn Lt 3 Std Cmnt Post Stab|8,481.60
880045.1319|Cmpnt Fem Kn Lt 4 Nar Cmnt Post Stab|8,481.60
880095.3672|Cmpnt Fem Kn Lt 4 Ptlr Grv Rsrfc Eleos|9,629.74
880045.1319|Cmpnt Fem Kn Lt 5 Nar Cmnt Post Stab|8,481.60
880095.4036|Cmpnt Fem Kn Lt 6 Crcte Rtn Gns2 Legion|9,864.12
880095.1051|Cmpnt Fem Kn Lt 6 Crcte Rtn Prfx Por 78|7,444.84
880095.1501|Cmpnt Fem Kn Lt 65Mm Cmnt Post Stab Op|6,945.98
880095.2263|Cmpnt Fem Kn Lt 70Mm Cmnt Post Stab Op|6,945.98
880095.1319|Cmpnt Fem Kn Lt 8 Nar Cmnt Post Stab|7,138.68
880095.1319|Cmpnt Fem Kn Lt 9 Std Cmnt Post Stab|7,138.68
880045.3728|Cmpnt Fem Kn Lt B Mic Post Stab Lps Nxgn|4,008.30
880045.2457|Cmpnt Fem Kn Lt B Rot Hng Nxgn Zml 58X50|10,958.93
880045.3238|Cmpnt Fem Kn Lt B Zm Seg Sys Strl|18,648.36
880045.2447|Cmpnt Fem Kn Lt C Cmnt Lpsflx Nxgn Tiv|6,054.30
880045.2457|Cmpnt Fem Kn Lt C Rot Hng Nxgn Zml 64X54|10,958.93
880045.3728|Cmpnt Fem Kn Lt C Std Post Stab Ng Lps|4,008.30
880045.1646|Cmpnt Fem Kn Lt C Stscr Cmnt Rev Ng Lcck|10,977.72
880045.2447|Cmpnt Fem Kn Lt D Cmnt Lpsflx Nxgn Tiv|6,054.30
880045.2358|Cmpnt Fem Kn Lt D Cmnt Prect Ng Crflx|7,526.08
880045.4252|Cmpnt Fem Kn Lt D- Cmnt Prect Ng Crflx|7,526.08
880045.2457|Cmpnt Fem Kn Lt D Rot Hng Nxgn Zml 68X58|10,958.93
880045.3728|Cmpnt Fem Kn Lt D Std Post Stab Ng Lps|4,008.30
880045.1646|Cmpnt Fem Kn Lt D Stscr Cmnt Rev Ng Lcck|10,475.52
880095.3956|Cmpnt Fem Kn Lt E- Cmnt Ng Crflx Zml|10,231.69
880045.2358|Cmpnt Fem Kn Lt E- Cmnt Prect Cr-Flx|7,526.08
880095.2358|Cmpnt Fem Kn Lt E Ng Lpsflx Gndr Sol|6,443.97
880045.2457|Cmpnt Fem Kn Lt E Rot Hng Nxgn Zml 72X62|10,958.93
880095.3167|Cmpnt Fem Kn Lt E Std Cr Cmnt Nxgn Zml|5,066.64
880045.3728|Cmpnt Fem Kn Lt E Std Post Stab Ng Lps|4,008.30
880045.1374|Cmpnt Fem Kn Lt E Stscr Cmnt Rev Lcck|10,475.52
880039.3809|Cmpnt Fem Kn Lt F Cmnt Cr-Flx Gndr Sol|11,468.69
880045.316|Cmpnt Fem Kn Lt F- Cmnt Cr-Flx Optn Nxgn|6,796.44
880045.2447|Cmpnt Fem Kn Lt F Cmnt Lpsflx Nxgn Tiv|6,055.23
880045.3155|Cmpnt Fem Kn Lt F Cmnt Prect Ng Crflx|7,443.72
880045.3809|Cmpnt Fem Kn Lt F Cmnt Prect Ng Crflx|7,526.08
880095.3956|Cmpnt Fem Kn Lt F- Cmnt Prect Ng Crflx|10,231.69
880045.2457|Cmpnt Fem Kn Lt F Rot Hng Nxgn Zml 76X66|10,958.93
880045.1734|Cmpnt Fem Kn Lt F Std Post Stab Ng Lps|4,008.30
880045.1646|Cmpnt Fem Kn Lt F Stscr Cmnt Rev Lcck|10,475.52
880045.2447|Cmpnt Fem Kn Lt G Cmnt Lpsflx Nxgn Tiv|6,055.23
880095.3957|Cmpnt Fem Kn Lt G Cmnt Prect Ng Crflx|10,436.33
880095.3957|Cmpnt Fem Kn Lt G- Cmnt Prect Ng Crflx|10,231.69
880045.3725|Cmpnt Fem Kn Lt G Ng Lps Optn|2,905.32
880045.3167|Cmpnt Fem Kn Lt G Std Cr Cmnt Prect Nxgn|5,066.64
880045.3729|Cmpnt Fem Kn Lt G Std Ng Lps Zml Por|4,008.30
880045.1646|Cmpnt Fem Kn Lt G Stscr Cmnt Rev Lcck|10,475.52
880045.3725|Cmpnt Fem Kn Lt H Cmnt Lps Optn Nxgn|2,905.32
880045.3167|Cmpnt Fem Kn Lt H Mac Cr Cmnt Prect Nxgn|5,066.64
880095.2382|Cmpnt Fem Kn Lt Mdl 3 Prt Persona Strl|2,604.00
880045.2382|Cmpnt Fem Kn Lt Mdl 4 Persona Strl|2,976.00
880045.2382|Cmpnt Fem Kn Lt Mdl 5 Persona Strl|2,976.00
880045.2383|Cmpnt Fem Kn Lt Mdl 6 Persona Strl|2,976.00
880045.2486|Cmpnt Fem Kn Lt Mdl Rl 3 Uncmp Fx Brng|6,603.09
880045.2487|Cmpnt Fem Kn Lt Mdl Rl 6 Uncmp Fx Brng|6,603.09
880045.2359|Cmpnt Fem Kn Lt Mdl Rl B Zuk Strl|4,429.40
880095.2359|Cmpnt Fem Kn Lt Mdl Rl E Prect Uncmp Zuk|6,811.04
880095.2359|Cmpnt Fem Kn Lt Mdl Rl F Zuk Strl|6,677.49
880045.2359|Cmpnt Fem Kn Lt Mdl Rl G Zuk Strl|4,429.40
880045.9511|Cmpnt Fem Kn Lt Mdl Rl Lg Uncmp Mg Zml|3,051.70
880045.9514|Cmpnt Fem Kn Lt Mdl Rl Lg+ Uncmp Prect|3,051.70
880045.9517|Cmpnt Fem Kn Lt Mdl Rl Lg++ Uncmp Prect|3,051.70
880045.9508|Cmpnt Fem Kn Lt Mdl Rl Reg Uncmp Mg Zml|3,051.70
880045.9509|Cmpnt Fem Kn Lt Mdl Rl Reg+ Uncmp Mg Zml|3,273.60
880045.9503|Cmpnt Fem Kn Lt Mdl Rl Sm Uncmp Prect Mg|3,051.70
880045.9506|Cmpnt Fem Kn Lt Mdl Rl Sm+ Uncmp Prect|3,051.70
880045.2457|Cmpnt Fem Kn Lt Ptlfem 2 Cmnt Gndr Sol|7,746.90
880045.3914|Cmpnt Fem Kn Lt Ptlfem 3 Cmnt Gndr Sol|7,746.90
880095.3672|Cmpnt Fem Kn Lt Seg Eleos 65Mm Strl Lf|10,258.12
880045.2457|Cmpnt Fem Kn Ptlfem Lt 1 Cmnt Prect Gndr|7,746.90
880045.2457|Cmpnt Fem Kn Ptlfem Lt 4 Cmnt Prect Gndr|7,746.90
880045.2457|Cmpnt Fem Kn Ptlfem Lt 5 Cmnt Prect Gndr|7,746.90
880045.2457|Cmpnt Fem Kn Ptlfem Rt 4 Cmnt Prect Gndr|7,746.90
880045.2457|Cmpnt Fem Kn Ptlfem Rt 5 Cmnt Prect Gndr|7,746.90
880095.2427|Cmpnt Fem Kn Ptlr Std Cmnt Hbrd Mnblck|8,310.48
880095.2426|Cmpnt Fem Kn Ptlr Tib Cmnt Lpsflx Tiv|5,952.00
880045.2486|Cmpnt Fem Kn Ptlr Tib Cmnt Persona|7,440.00
880095.2427|Cmpnt Fem Kn Ptlr Tib Cmnt Srfc Prect|6,450.48
880095.2425|Cmpnt Fem Kn Ptlr Tib Std Cmnt Srfc|7,068.00
880095.2425|Cmpnt Fem Kn Ptlr Tib Std Cmnt Srfc|7,021.50
880095.2425|Cmpnt Fem Kn Ptlr Tib Std Cmnt Srfc|6,450.48
880095.2428|Cmpnt Fem Kn Ptlr Tib Std Cmnt Srfc|6,450.48
880045.2486|Cmpnt Fem Kn Rmll 4 Uncmp Fx Brng Asym|6,603.09
880045.2359|Cmpnt Fem Kn Rmll A Uncmp Hi Flx Nxgn|4,429.40
880045.2359|Cmpnt Fem Kn Rmll A Uncmp Hi Flx Nxgn|4,429.40
880039.2359|Cmpnt Fem Kn Rmll C Uncmp Hi Flx Zm|6,811.04
880095.1163|Cmpnt Fem Kn Rmll E Uncmp Hi Flx Prect|5,513.04
880095.2359|Cmpnt Fem Kn Rmll F Prect Uncmp Zuk Hi|6,677.49
880045.2359|Cmpnt Fem Kn Rmll G Zuk Strl|4,429.40
880045.9513|Cmpnt Fem Kn Rmll Lg Uncmp Prect Mg Zml|3,273.60
880045.9515|Cmpnt Fem Kn Rmll Lg+ Uncmp Prect Mg Zml|3,273.60
880045.9518|Cmpnt Fem Kn Rmll Lg++ Uncmp Prect Mg|3,051.70
880045.9505|Cmpnt Fem Kn Rmll Reg Uncmp Mg Zml Pmma|3,051.70
880045.951|Cmpnt Fem Kn Rmll Reg+ Uncmp Mg Zml Pmma|3,051.70
880045.9504|Cmpnt Fem Kn Rmll Sm Uncmp Prect Mg Zml|3,051.70
880045.9507|Cmpnt Fem Kn Rmll Sm+ Uncmp Prect Mg Zml|3,051.70
880095.1319|Cmpnt Fem Kn Rt 10 Std Cmnt Post Stab|7,138.68
880095.1319|Cmpnt Fem Kn Rt 11 Nar Cmnt Post Stab|8,481.60
880095.132|Cmpnt Fem Kn Rt 11 Nar Crcte Rtn Cmnt|7,138.68
880095.1319|Cmpnt Fem Kn Rt 11 Std Cmnt Post Stab|7,138.68
880095.132|Cmpnt Fem Kn Rt 12 Std Cmnt Post Stab|2,622.60
880095.3672|Cmpnt Fem Kn Rt 2 Ptlr Grv Rsrfc Eleos|9,339.73
880045.1319|Cmpnt Fem Kn Rt 3 Nar Cmnt Post Stab|8,481.60
880095.3672|Cmpnt Fem Kn Rt 3 Ptlr Grv Rsrfc Eleos|9,339.73
880045.1319|Cmpnt Fem Kn Rt 3 Std Cmnt Post Stab|8,481.60
880045.1319|Cmpnt Fem Kn Rt 4 Nar Cmnt Post Stab|8,481.60
880095.3672|Cmpnt Fem Kn Rt 4 Ptlr Grv Rsrfc Eleos|9,339.73
880095.1049|Cmpnt Fem Kn Rt 5 Crcte Rtn Prfx Por 73|7,444.84
880095.1319|Cmpnt Fem Kn Rt 5 Nar Cmnt Post Stab|8,481.60
880045.6404|Cmpnt Fem Kn Rt 5 Post Stab Gns2 Legion|7,962.38
880095.1319|Cmpnt Fem Kn Rt 7 Std Cmnt Post Stab|7,138.68
880045.132|Cmpnt Fem Kn Rt 7 Std Crcte Rtn Cmnt|7,138.68
880095.236|Cmpnt Fem Kn Rt 8 Cmnt Post Stab Trthln|2,418.00
880095.1319|Cmpnt Fem Kn Rt 8 Nar Cmnt Post Stab|7,138.68
880045.132|Cmpnt Fem Kn Rt 8 Std Crcte Rtn Cmnt|7,138.68
880095.1319|Cmpnt Fem Kn Rt 9 Std Cmnt Post Stab|7,138.68
880045.132|Cmpnt Fem Kn Rt 9 Std Crcte Rtn Cmnt|7,138.68
880045.3728|Cmpnt Fem Kn Rt B Mic Post Stab Lps Nxgn|4,008.30
880045.2457|Cmpnt Fem Kn Rt B Rot Hng Nxgn Zml 58X50|10,958.93
880045.2447|Cmpnt Fem Kn Rt C Cmnt Lpsflx Nxgn Tiv|6,054.30
880045.4343|Cmpnt Fem Kn Rt C Cmnt Ng Lpsflx Optn|3,393.57
880045.2457|Cmpnt Fem Kn Rt C Rot Hng Nxgn Zml 64X54|10,958.93
880045.3728|Cmpnt Fem Kn Rt C Std Post Stab Ng Lps|4,008.30
880045.1647|Cmpnt Fem Kn Rt C Stscr Cmnt Rev Ng Lcck|10,977.72
880045.4344|Cmpnt Fem Kn Rt D Cmnt Ng Lpsflx Optn|3,486.57
880045.2358|Cmpnt Fem Kn Rt D Cmnt Prect Ng Crflx|7,526.08
880045.2359|Cmpnt Fem Kn Rt D- Cmnt Prect Ng Crflx|7,526.08
880045.4345|Cmpnt Fem Kn Rt D Lpsflx Gndr Sol Optn|3,486.57
880045.2457|Cmpnt Fem Kn Rt D Rot Hng Nxgn Zml 68X58|15,725.56
880045.7944|Cmpnt Fem Kn Rt D Std Crcte Rtn Cmnt|4,631.40
880045.3728|Cmpnt Fem Kn Rt D Std Post Stab Ng Lps|4,008.30
880045.1647|Cmpnt Fem Kn Rt D Stscr Cmnt Rev Lcck|10,747.08
880095.3808|Cmpnt Fem Kn Rt E Cmnt Cr-Flx Gndr Sol|11,468.69
880045.3809|Cmpnt Fem Kn Rt E- Cmnt Prect Ng Crflx|11,468.69
880095.1752|Cmpnt Fem Kn Rt E Ng Lpsflx Gndr Sol|10,557.60
880045.2457|Cmpnt Fem Kn Rt E Rot Hng Nxgn Zml 72X62|10,958.93
880095.3957|Cmpnt Fem Kn Rt E Std Cr Cmnt Prect Nxgn|6,895.15
880045.1536|Cmpnt Fem Kn Rt E Std Post Stab Ng Lps|4,008.30
880045.138|Cmpnt Fem Kn Rt E Stscr Cmnt Rev Lcck|10,475.52
880045.316|Cmpnt Fem Kn Rt F Cmnt Cr-Flx Optn Nxgn|6,796.44
880045.3155|Cmpnt Fem Kn Rt F Cmnt Prect Ng Crflx|7,443.72
880095.3957|Cmpnt Fem Kn Rt F- Cmnt Prect Ng Crflx|10,231.69
880095.3808|Cmpnt Fem Kn Rt F Ng Lpsflx Gndr Sol|10,557.60
880095.4344|Cmpnt Fem Kn Rt F Ng Lpsflx Optn|5,843.19
880045.2457|Cmpnt Fem Kn Rt F Rot Hng Nxgn Zml 76X66|15,725.56
880045.3729|Cmpnt Fem Kn Rt F Std Post Stab Ng Lps|4,008.30
880045.3161|Cmpnt Fem Kn Rt G Cmnt Cr-Flx Optn Nxgn|6,796.44
880045.2447|Cmpnt Fem Kn Rt G Cmnt Lpsflx Nxgn Tiv|6,055.23
880095.3957|Cmpnt Fem Kn Rt G Cmnt Prect Ng Crflx|10,436.33
880039.2363|Cmpnt Fem Kn Rt G Ng Lps Optn|5,339.65
880045.3725|Cmpnt Fem Kn Rt G Ng Lps Optn|2,928.57
880045.7947|Cmpnt Fem Kn Rt G Std Crcte Rtn Cmnt|3,898.56
880045.3729|Cmpnt Fem Kn Rt G Std Lps Nxgn Zml Por|4,008.30
880045.1647|Cmpnt Fem Kn Rt G Stscr Cmnt Rev Lcck|10,475.52
880045.3724|Cmpnt Fem Kn Rt H Cmnt Ng Lps Optn Strl|2,905.32
880095.2382|Cmpnt Fem Kn Rt Mdl 3 Persona Strl|2,604.00
880045.2382|Cmpnt Fem Kn Rt Mdl 6 Persona Strl|2,976.00
880045.2383|Cmpnt Fem Kn Rt Mdl 7 Persona Strl|2,976.00
880045.2457|Cmpnt Fem Kn Rt Ptlfem 1 Cmnt Gndr Sol|7,746.90
880045.2457|Cmpnt Fem Kn Rt Ptlfem 2 Cmnt Gndr Sol|7,746.90
880045.2457|Cmpnt Fem Kn Rt Ptlfem 3 Cmnt Prect Nxgn|7,746.90
880045.3023|Cmpnt Fem Kn Rt Rsrfc Oss 5Cm|13,671.00
880039.9813|Cmpnt Fem Kn Tib Ckpnt Strl|161.5
880095.2427|Cmpnt Fem Kn Tib Cmnt Prect Lps Nxgn|6,891.30
880095.2426|Cmpnt Fem Kn Tib Crcte Rtn Cmnt Optn|6,450.48
880095.2427|Cmpnt Fem Kn Tib Crcte Rtn Hbrd Prect|6,891.30
880095.2427|Cmpnt Fem Kn Tib Crcte Rtn Prect Nxgn|6,891.30
880095.2427|Cmpnt Fem Kn Tib Crcte Rtn Prect Nxgn|6,891.30
880095.2426|Cmpnt Fem Kn Tib Crcte Rtn Prect Optn|6,450.48
880095.2426|Cmpnt Fem Kn Tib Crcte Rtn Prect Optn|6,450.48
880095.2427|Cmpnt Fem Kn Tib Lps Optn Nxgn Por|6,891.30
880095.2427|Cmpnt Fem Kn Tib Prect Lps Nxgn|6,450.48
880095.2426|Cmpnt Fem Kn Tib Std Crcte Rtn Optn Nxgn|6,450.48
880095.2427|Cmpnt Fem Kn Tib Str Nt Crcte Rtn Prect|6,891.30
880095.3672|Cmpnt Fem M To F Mid-Sect Eleos 110Mm|6,297.83
880095.3672|Cmpnt Fem M To F Mid-Sect Eleos 40Mm Lmb|6,297.83
880095.3672|Cmpnt Fem M To F Mid-Sect Eleos 60Mm Lmb|6,297.83
880045.7811|Cmpnt Fem Prox Ofst Seg Trb Mtl 46Mm|12,022.67
880095.243|Cmpnt Fem Ptlfem|5,301.00
880095.243|Cmpnt Fem Ptlfem Nt Kn2|5,301.00
880095.2425|Cmpnt Fem Ptlr Tib Std Cmnt Persona|7,068.00
880095.2455|Cmpnt Fem Ptlr Tib Std Cmnt Srfc Lpsflx|5,952.00
880045.2497|Cmpnt Fem Seg Sys Strl|646.16
880045.261|Cmpnt Fem Sz C R Dist Xt|29,592.60
880095.2431|Cmpnt Fem Tib Pattella Std Cmnt Alply|6,450.48
880095.1219|Cmpnt Fem Troch Btn Arcos 25Mm|1,378.26
880045.2497|Cmpnt Fem Zm Seg Sys Disp|15,478.92
880045.1235|Cmpnt Glnd 36Mm +3Mm Glenosphere Clr Cd|2,706.30
880045.2389|Cmpnt Glnd 36Mm +6Mm Glenosphere Clr Cd|2,706.30
880045.3307|Cmpnt Glnd 4 4 Pg Mdlr Aln Shldr Strl Lf|2,511.00
880045.3025|Cmpnt Glnd 40Mm Std Rvrs Glenosphere|2,706.30
880045.3362|Cmpnt Glnd 5 4 Pg Mdlr Aln Shldr Strl Lf|1,116.00
880045.3307|Cmpnt Glnd Post Mdlr Aln Strl Lf|465
880095.2425|Cmpnt Glnd Pvrs Anat Shldr|13,020.00
880095.2432|Cmpnt Glnd Pvrs Anat Shldr Promos Trb|13,020.00
880095.2425|Cmpnt Glnd Pvrs Glenosphere Anat Shldr|13,020.00
880095.3226|Cmpnt Glnd Shrt Stm Rvrs Shldr|15,438.00
880045.1397|Cmpnt Ptlr 10Mm 32Mm Prm Nxgn Trb Mtl Pe|2,290.03
880045.1425|Cmpnt Ptlr 10Mm 35Mm Prm Nxgn Trb Mtl Pe|2,290.03
880095.3673|Cmpnt Ptlr 10Mm 38Mm Eleos Lmb Slvg Sys|1,343.76
880045.94|Cmpnt Ptlr 10Mm 38Mm Prm Nxgn Trb Mtl Pe|2,290.03
880045.3728|Cmpnt Ptlr 10Mm 41Mm Prm Nxgn Trb Mtl Pe|2,290.03
880095.1324|Cmpnt Ptlr 10Mm 41Mm Vivacit-E Alply Kn|1,484.28
880095.3673|Cmpnt Ptlr 11Mm 41Mm Eleos Lmb Slvg Sys|1,343.76
880095.6592|Cmpnt Ptlr 26Mm 13Mm Bcnvx Gns2 Uhmwpe|1,557.71
880095.132|Cmpnt Ptlr 26Mm Alply Psn|1,562.40
880095.132|Cmpnt Ptlr 29Mm Persona Alply Kn Lf|1,562.40
880095.4364|Cmpnt Ptlr 32Mm Nxgn Prlng Kn|1,484.28
880095.132|Cmpnt Ptlr 32Mm Persona Alply Kn Lf|1,562.40
880095.1324|Cmpnt Ptlr 32Mm Vivacit-E Alply Kn|1,484.28
880045.1362|Cmpnt Ptlr 35Mm Nxgn Prlng Kn|1,484.28
880095.132|Cmpnt Ptlr 35Mm Persona Alply Kn Lf|1,562.40
880095.2311|Cmpnt Ptlr 35Mm Rsrfc Gnss Ii|1,796.76
880095.132|Cmpnt Ptlr 38Mm Persona Alply Kn Lf|1,562.40
880095.1324|Cmpnt Ptlr 38Mm Persona Vivacit-E Alply|1,484.28
880095.132|Cmpnt Ptlr 41Mm Alply Psn|1,562.40
880095.2423|Cmpnt Ptlr 41Mm Nxgn Prlng Kn|1,484.28
880095.3673|Cmpnt Ptlr 8Mm 29Mm Eleos Lmb Slvg Sys|1,384.57
880095.3673|Cmpnt Ptlr 8Mm 32Mm Eleos Lmb Slvg Sys|1,384.57
880095.3673|Cmpnt Ptlr 8Mm 35Mm Eleos Lmb Slvg Sys|1,384.57
880045.1524|Cmpnt Ptlr 9Mm 31Mm Smtr Trthln X3 Kn|744
880045.1563|Cmpnt Ptlr 9Mm 33Mm Smtr Trthln X3 Kn|700.61
880095.659|Cmpnt Ptlr Bcnvx 32Mm 13Mm Gns2 Kn|1,557.71
880095.2428|Cmpnt Ptlr Flx Surfacing Gndr Sol Trb|8,310.48
880095.2427|Cmpnt Ptlr Flx Surfacing Trb Mtl Prlng|8,751.30
880045.1639|Cmpnt Ptlr Ovl 32Mmx9Mm Gns2 Uhmwpe Kn|1,210.86
880095.3565|Cmpnt Ptlr Std 10Mm 41Mm Nxgn Uhmwpe Kn|1,815.55
880095.1698|Cmpnt Ptlr Std 8.5Mm 32Mm Nxgn Uhmwpe Kn|1,477.32
880095.3565|Cmpnt Ptlr Std 9.5Mm 38Mm Nxgn Uhmwpe Kn|1,137.39
880095.1698|Cmpnt Ptlr Std 9Mm 35Mm Nxgn Uhmwpe Kn|1,477.32
880045.2486|Cmpnt Ptlr Std Bcnvx 9Mm 35Mm 5.1Mm|1,296.87
880095.2428|Cmpnt Ptlr Std Cmnt Hbrd Surfacing Trb|8,310.48
880045.2497|Cmpnt Seg 100Mm Nxgn Kn Tib Fib Tiv M To|6,468.34
880045.2497|Cmpnt Seg 25Mm Kn Trb Mtl Colr 9-16Mm|4,506.41
880045.2023|Cmpnt Seg 30Mm Kn Trb Mtl Colr 9-16Mm|4,506.41
880045.2487|Cmpnt Seg 30Mm Nxgn Kn Tib Fib M To F|6,468.34
880045.2712|Cmpnt Seg 350Mm Nxgn Kn Tib Fib Tiv M To|6,468.34
880045.2712|Cmpnt Seg 35Mm Kn Trb Mtl Colr 17-19Mm|4,506.41
880045.261|Cmpnt Seg 35Mm Kn Trb Mtl Colr 9-16Mm|4,506.41
880045.3238|Cmpnt Tib 60mm Nxgn Kn Tib Fib Tiv M To|6,468.34
880095.3672|Cmpnt Tib Eleos Hng Wo Rot Stp Lmb Slvg|4,404.02
880095.3672|Cmpnt Tib Eleos Hng Wo Rot Stp Lmb Slvg|4,404.02
880045.3325|Cmpnt Tib Persona D Kn Rt Npor Rev Fx|5,217.30
880045.3573|Cmpnt Tib Persona E Kn Lt Npor Rev Fx|5,217.30
880045.313|Cmpnt Tib Persona H Kn Rt Npor Rev Fx|5,217.30
880045.3237|Cmpnt Tib Persona Kn Strl Lf|5,217.30
880045.3732|Cmpnt Tib Ylw Strp 14Mm Lps 3 E/F Trb|6,006.31
880095.2352|Cmpnt Uln 4.5In Cnrd Mry Xs Xlng Elb Lt|7,445.58
60070370|Cmv Antibody Igg Blood|367
60070380|Cmv Antibody Igm Blood|145
60039250|Cmv Neg Unit|90
880045.1337|Cnct Prfsn Byps Sys 5.5-6Mm Smtr Aor Blu|1,181.17
880039.1577|Cnn Arthsc 5.75Mm 7Cm Crys Brl Shldr|86.67
880039.5844|Cnn Arthsc 6Mm 9Cm Twst-In Shldr Obt|86.67
880039.205|Cnn Arthsc 7.5Cm 8.25Mm Expanula Rotr|125.19
880039.1339|Cnn Arthsc 8.25Mm 7Cm Twst-In 3 Dam|88.28
880064.1006|Cnn Arthsc 8.25Mm 9Cm Gmn Sr8 Lopro|102.72
880039.2326|Cnn Bone Cmnt 120Mm 11Ga|1,415.01
880045.1965|Cnn Bone Cmnt 120Mm 11Ga Accuport End|863.04
880039.3403|Cnn Btn 10Mm 3Cm Psprt Sil Crv Lopro Hip|102.72
880039.4282|Cnn Btn 10Mm 4Cm Psprt Sil 2 Dam 2 Flng|102.72
880039.4283|Cnn Btn 10Mm 5Cm Psprt Sil Crv Lopro Hip|102.72
880039.1745|Cnn Btn 12Mm 3Cm Arthx Psprt Btn Cnn|181.8
880039.8127|Cnn Opth 25Cm 20Ga 2Mm 1Mm Lewicky 55D|91.16
60110040|Cns Dna Amp Probe Type 12-25|459
880039.648|Cntrl Chem 4Ml Bili Lvl 1 Lq Asy Hmn Ser|218.46
880095.127|Cntrlzr Stm 10Mm Vrsy Hip Dist Pmma Cmnt|128.34
880045.127|Cntrlzr Stm 11Mm Vrsy Hip Dist Pmma Cmnt|170.19
880045.2377|Cntrlzr Stm 12/13Mm Vrsy Vlgn Hip Prox|58.59
880095.2611|Cntrlzr Stm 12Mm Vrsy Hip Dist Pmma Cmnt|128.34
880095.5918|Cntrlzr Stm 13Mm Invis Dist Fem Hip|253.11
880095.5006|Cntrlzr Stm 13Mm Vrsy Hip Dist Pmma Cmnt|190.85
880045.3544|Cntrlzr Stm 15Mm Vrsy Hip Dist Pmma Cmnt|170.19
880045.3544|Cntrlzr Stm 16Mm Vrsy Hip Dist Pmma Cmnt|128.34
880045.3544|Cntrlzr Stm 17Mm Vrsy Hip Dist Cmnt|128.34
880045.3544|Cntrlzr Stm 18Mm Vrsy Hip Dist Cmnt|128.34
880045.3544|Cntrlzr Stm 19Mm Vrsy Hip Dist Cmnt|128.34
60048160|Cobalt Level|36
890022.6495|Cocaine HCl Nasal Soln 40 MG/ML (4%)|683.55
60088340|Coccidioides Antibody I|33
815070|Cognitive Test by HC Pro per Hr|410
890023.6516|Colchicine Tab 0.6 MG|3.1
60070150|Cold Agglutinins Titer|132
832631|Colectomy Partial Rmvl Term Ileum|6,111.00
832629|Colectomy Partial W Anastomosis|6,595.00
833407|Colectomy Partial W Coloproctostomy|8,184.00
832630|Colectomy Partial W End Colostomy|8,191.00
890023.5048|Collagenase Oint 250 Unit/GM|803.35
SUP32117|Collar Cervical Lg|32
SUP32118|Collar Cervical Med|32
SUP11599|Collar Cervical Ped|32
SUP32121|Collar Cervical Sm|32
810008|Collection Blood Capillary Specimen|42
810849|Collection Blood Venipuncture|50
812691|Colonoscopy|3,845.00
833291|Colonoscopy Flex Diagnostic|1,067.00
835506|Colonoscopy Flex W Dilation by Balloon|1,112.00
833645|Colonoscopy Flex W Removal of FB|1,338.00
833025|Colonoscopy Flex W Remv Les by Hbf|1,333.00
833126|Colonoscopy Flex W Remv Les Snare|1,514.00
832653|Colonoscopy Flex With Biopsy|1,273.00
835393|Colonoscopy Stoma W Rem by Snare|2,189.00
833955|Colonoscopy Thru Stoma|821
834198|Colonoscopy Thru Stoma W Bx|710
834372|Colonoscopy Thru Stoma W Polypectomy Wbx|1,011.00
834351|Colonoscopy W Ablation|1,122.00
834370|Colonoscopy W Band Ligation|1,380.00
833644|Colonoscopy W Control Bleed|1,619.00
835419|Colonoscopy W Decompression|1,349.00
835809|Colonoscopy W Mucosal Resect|1,324.00
833144|Colonoscopy W Submucous Inj|1,209.00
832122|Colostomy or Skin Lvl Cecostomy|5,925.00
833785|Colpopexy Intraperitoneal|2,922.00
834201|Colpopexy Vagnial Extra Peritoneal Approach|2,111.00
833601|Colporrhaphy|968
834291|Colporrhaphy Ant Post W Enteroce Rpr|3,870.00
814991|Colposcopy|185
831960|Colposcopy|173
831960|Colposcopy|389
813182|Colposcopy Bx & Curr Cervix Adj Vag|242
813183|Colposcopy Bx & Curr Endo Cerv|234
833789|Colposcopy Bx and Curr Cervix Adj Vag|229
833789|Colposcopy Bx and Curr Cervix Adj Vag|472
833790|Colposcopy Bx and Curr Endo Cerv|211
833790|Colposcopy Bx and Curr Endo Cerv|440
813285|Colposcopy Bx Curretage Cervix|238
833788|Colposcopy Bx Curretage Cervix|269
833788|Colposcopy Bx Curretage Cervix|579
813261|Colposcopy Cerivx W Loop Electrode|656
833792|Colposcopy Cerivx W Loop Electrode|395
833792|Colposcopy Cerivx W Loop Electrode|803
818491|Colposcopy Cerv Leep W Bx|603
833791|Colposcopy Cerv Leep W Bx|325
818535|Colposcopy Entire Vagina|201
832729|Colposcopy Entire Vagina|184
832729|Colposcopy Entire Vagina|386
818536|Colposcopy Entire Vagina W Biopsy|262
832730|Colposcopy Entire Vagina W Biopsy|253
832730|Colposcopy Entire Vagina W Biopsy|525
834203|Colposcopy Vulva|171
834203|Colposcopy Vulva|365
834204|Colposcopy Vulva W Biopsy|237
834204|Colposcopy Vulva W Biopsy|488
8101979|Colposcopy Vulva W Biopsy|248
880252.1132|Colr Crv Reg Mi J Pd Sorbatex Ii|120.47
880252.113|Colr Crv Tll Mi J Pd Sorbatex Ii|132.83
880095.3673|Colr Mdlr Eleos Biogrip W Ha Rnd Por 24M|9,324.18
880095.3673|Colr Mdlr Eleos Biogrip W Ha Rnd Por 28M|9,324.18
880095.3673|Colr Mdlr Eleos Biogrip W Ha Rnd Por 32M|9,324.18
880095.3673|Colr Mdlr Eleos Biogrip W Ha Rnd Por 36M|9,324.18
880095.3673|Colr Mdlr Eleos Biogrip W Ha Rnd Por 40M|9,324.18
880095.3673|Colr Resct Eleos Mdlr Rdc Ovl Sld 36Mm X|3,221.61
880095.3673|Colr Resct Eleos Mdlr Rdc Ovl Sld 40Mm X|3,221.61
833784|Comb Anteroposterior Colporrhaphy|3,532.00
815765|Community Reintegration Ea 15 Min|166
815764|Community Reintegration Ea 15 Min OP Ot|166
880045.2902|Comp Shrt St/Comp RVS/GLN E1|15,438.00
60039120|Compatibility Test Antiglobulin|222
60055970|Complement Antigen|40
60060160|Complement C1 Esterase Inhib Ag|245
60060180|Complement C1q|122
60018740|Complement C4|239
60061550|Complement Total|363
814462|Complication W Baby Daily (N2)|1,349.00
880045.3808|Compon Acetab Metasul Durom Us 60 T|4,470.99
880045.3146|Compon Fem Aug Post Xsm 4.0Mm|3,124.80
880045.2602|Compr Aug B Splt W Adp Md|6,882.00
60016690|Comprehensive Metabolic Panel|433
60047760|Comprehensive Metabolic Panel Fast|433
SUP32159|Compression Device Sequential|45
60049220|Concentration Any Infectious Agent|66
812193|Conditioned Play Audiometry|220
833796|Conization of Cervix Cold Knife Laser|1,154.00
818493|Conization of Cervix Leep|447
833797|Conization of Cervix Leep|423
833797|Conization of Cervix Leep|1,029.00
813267|Cont Glucose Monitor >= 72hrs Offc Equip|612
8103446|Cont Glucose Monitor Pt Prov Equip|260
811244|Cont Inhalation Tx 1st Hr|207
811362|Cont Inhalation Tx Addl Hr|195
834085|Contour Benign Cranial Bones Tumor|3,322.00
810456|Control Epistaxis Ant Complx|583
834084|Conv to Tot Hip Arthroplasty|7,711.00
60039740|Coombs Direct|121
60038370|Coombs Direct Refer|121
60061600|Copper Blood|145
890022.5129|Copper IUD|2,467.76
880039.877|Cord Mnplr Blk 10Ft Hfrq Reuse|489.38
834325|Cordocentesis Any Method|869
834046|Correct Hallux Rigidus WO Implant|2,712.00
60010450|Cortisol Blood|272
60010460|Cortisol Blood Am|272
60047270|Cortisol Saliva|312
60067280|Cortisol Urine Timed|38
814667|Counsel Smoking/Tobacco Intensive >10min|30
833422|Counsel Smoking/Tobacco Intensive >10min|56
833422|Counsel Smoking/Tobacco Intensive >10min|92
811756|Counsel Smoking/Tobacco Intermed 3-10min|20
811756|Counsel Smoking/Tobacco Intermed 3-10min|111
833421|Counsel Smoking/Tobacco Intermed 3-10min|27
833421|Counsel Smoking/Tobacco Intermed 3-10min|46
880045.1092|Countsink Cann 2.0/2.4|465
890022.6924|COVID-19 mRNA Vac TriS-Pfizer IM Susp Pref Syr 30 MCG/0.3ML|893.28
890022.6924|COVID-19 mRNA Vac TriS-Pfizer IM Susp Pref Syr 30 MCG/0.3ML|893.28
890022.5927|COVID-19 mRNA Vac Tris-S 5-11y-Pfizer IM Susp 10 MCG/0.3ML|463.61
890022.5927|COVID-19 mRNA Vac Tris-S 5-11y-Pfizer IM Susp 10 MCG/0.3ML|463.61
813776|Cpap/Bipap Treatment|787
60065670|C-Peptide|239
60070100|C-Reactive Protein|163
60070111|C-Reactive Protein II|22
60071170|C-Reactive Protein Sensitive|309
60013650|Creatinine Blood|149
60082880|Creatinine Blood I|24
60013550|Creatinine Clearance Urine Timed|249
60013600|Creatinine Fluid|135
60013750|Creatinine Urine Random|149
60019690|Creatinine Urine Risk|33
60013800|Creatinine Urine Timed|9
830592|Critical Care 30 to 74 Minutes|517
830592|Critical Care 30 to 74 Minutes|828
830592|Critical Care 30 to 74 Minutes|3,950.00
814719|Cros Dispensing Fee|900
814689|Cross Bow Evaluation|82
890022.8754|Cross-Linked Hyaluronate Gel Prefilled Syringe 30 MG/3ML|1,923.28
880039.8446|Crr Gft 16X4In Msgrft Dermacarriers Ss|129.07
880039.5653|Crr Gft 8X4In Msgrft Dermacarriers Ss|90.3
880039.7488|Crtdg Grspr Atrm 38Cm 5Mm D Dr 20Mm Strl|121.34
SUP100061|Cryo/Cuff & Cooler Med.Knee|148
60022370|Cryofibrinogen|135
60067330|Cryoglobulin Qualitative|99
60039490|Cryoprecipitate|238
834381|Cryosurgery Anal Lesions|219
8102122|Cryosurgery Anal Lesions|519
60041810|Cryptococcus Antigen Blood|108
60070280|Cryptococcus Antigen Fluid|33
60042300|Cryptosporidium Antigen|94
60075430|Crystal Identification|239
800796|CT Abdomen Non IV Contrast|2,932.00
800803|CT Abdomen Pelvis W Contrast|7,043.00
800795|CT Abdomen Pelvis WO Contrast|6,111.00
800794|CT Abdomen Pelvis Wwo Contrast|7,750.00
800304|CT Abdomen With and Without IV Contrast|4,009.00
800303|CT Abdomen With IV Contrast|3,595.00
800063|CT Angio Abd Aorta Bil Low Ext W/WO|5,491.00
803948|CT Angio Abdomen Pelvis W WO Con|7,750.00
801673|CT Angio Abdomen W/WO Contrast|4,146.00
801402|CT Angio Chest W Contrast|4,146.00
800797|CT Angio Head With and Without Contrast|4,146.00
800263|CT Angio Neck|4,146.00
800280|CT Angio Pelvis|4,146.00
800291|CT Angio Upper Extrem W and WO Contrast|4,146.00
800270|CT Cervical Spine Non Contrast|3,453.00
800272|CT Cervical Spine With and WO Contrast|4,009.00
800271|CT Cervical Spine With Contrast|3,596.00
802942|CT Chest Low Dose for Lung Ca Screen|2,702.00
800266|CT Chest Non Contrast|2,702.00
800268|CT Chest With and Without Contrast|4,009.00
800267|CT Chest With Contrast|3,329.00
800313|CT Guided Needle Placement|3,691.00
800249|CT Head Non Contrast|2,529.00
800251|CT Head With and Without Contrast|3,805.00
800250|CT Head With Contrast|3,655.00
800067|CT Lower Ext Bilat With Contrast|2,713.00
800293|CT Lower Extremity Non Contrast|2,692.00
800298|CT Lower Extremity W and WO Contrast|2,772.00
800296|CT Lower Extremity With Contrast|2,713.00
800277|CT Lumbar Spine Non Contrast|2,833.00
800279|CT Lumbar Spine With and Without Contrast|4,009.00
800278|CT Lumbar Spine With Contrast|3,367.00
800258|CT Maxillofacial W & WO Contrast|3,424.00
800256|CT Maxillofacial W Contrast|2,895.00
800252|CT Orbit Post Fossa Ear Non Contrast|2,686.00
800254|CT Orbit Post Fossa Ear With & Without Contrast|2,870.00
800253|CT Orbit Post Fossa Ear With Contrast|2,974.00
800283|CT Pelvis With and Without IV Contrast|3,742.00
800282|CT Pelvis With IV Contrast|3,463.00
800281|CT Pelvis WO Contrast|3,179.00
813099|CT Si Joint Injection Bilat|3,691.00
800255|CT Sinus Facial Bones Non Contrast|2,573.00
800259|CT Soft Tissue Neck Non Contrast|2,580.00
800261|CT Soft Tissue Neck With and WO Contrast|3,288.00
800260|CT Soft Tissue Neck With Contrast|3,008.00
800274|CT Thoracic Spine Non Contrast|3,039.00
800276|CT Thoracic Spine With and WO Contrast|4,009.00
800275|CT Thoracic Spine With Contrast|3,262.00
800285|CT Upper Extremity Non Contrast|2,499.00
800289|CT Upper Extremity W and WO Contrast|2,817.00
800287|CT Upper Extremity With Contrast|2,713.00
60007270|C-Telopeptide Crossl Blood|156
880039.1663|Ctr Arthsc Anat Sckt Flipcutter Ii Shrt|984.75
880039.1673|Ctr Arthsc Anat Sckt Flipcutter Ii Shrt|984.75
880039.1675|Ctr Arthsc Anat Sckt Flipcutter Ii Shrt|984.75
880039.1072|Ctr Arthsc Flipcutter Ii Disp 10Mm|984.75
880039.397|Ctr Escp 4 Row Lnr Reload Prx 55Mm Reg|215.07
880039.1198|Ctr Escp 45Mm Artc Lnr 8 Frng Epth Ets|641.84
880039.4351|Ctr Sut Rem Mnscl Cnch Knt Pshr 2-0|542.37
816483|Cu/OB Recovery Room 1 Hr 15 Min|2,083.00
880039.8374|Cuff Trnqt 18X4In Ats Cyl 2 Port Nonster|969.9
880039.2494|Cuff Trnqt Blk 12X3.5In Ats 3K Cyl 2|690.54
880039.189|Cuff Trnqt Brn 34X4In Ats 3K Cyl 2 Port|229.25
880039.4285|Cuff Trnqt Grn 24X4In Ats Cyl 2 Port 2|1,024.14
60084760|Culture Afb + Smear Panel|92
60069310|Culture Afb Conc|32
60040310|Culture Anaerobe|214
60040840|Culture Blood|245
60041540|Culture Blood Fungus Quant|126
60041660|Culture Blood Quant|66
60080460|Culture Chlamydia Pneumo|236
60040130|Culture CSF|228
60021720|Culture Dna Probe|41
60041830|Culture Fungus Other|72
60040500|Culture Fungus Skin Hair Nails|162
60040370|Culture Gc|126
60040450|Culture Legionella|92
60040410|Culture Mrsa|132
60040540|Culture Mycoplasma|308
60040140|Culture Respiratory|228
60041600|Culture Routine|184
60088520|Culture Salmonella+Shigella|234
60088530|Culture Stool Each Organism|92
60040380|Culture Strep B|132
60048740|Culture Strep Screen|141
60041070|Culture Throat|194
60029380|Culture Typing Nacd Seq Each|427
60080470|Culture Ureaplasma|276
60040470|Culture Urine|194
60042170|Culture Vre|132
880095.6|Cup Actb 48Mm Mdlr Ch Hip Trb Mtl|5,313.11
880095.5|Cup Actb 50Mm Mdlr Ch Hip Trb Mtl|5,313.11
880045.3808|Cup Actb 52Mm L Durom Hip Metasul|4,470.99
880045.3813|Cup Actb 52Mm Mdlr Ch Hip Trb Mtl|3,186.14
880045.3923|Cup Actb 54Mm 48Mm Hmsphr Bhr Hip Strl|11,175.48
880095.3813|Cup Actb 54Mm Mdlr Ch Hip Trb Mtl|5,313.11
880045.1962|Cup Actb 54Mm N Durom Hip Metasul|4,470.99
880095.3813|Cup Actb 56Mm 50Mm Bhr Head Hip|13,690.42
880045.3813|Cup Actb 56Mm Mdlr Ch Hip Trb Mtl|3,299.27
880045.2273|Cup Actb 56Mm Mdlr Mlhl Rev Hip Trb Mtl|6,085.92
880045.227|Cup Actb 56Mm P Durom Hip Metasul|4,470.99
880045.106|Cup Actb 58Mm 52Mm Hmsphr Bhr Hip Strl|11,957.75
880095.3811|Cup Actb 58Mm Mdlr Ch Hip Trb Mtl|5,313.11
880045.3808|Cup Actb 58Mm R Durom Hip Metasul|4,470.99
880039.2489|Cup Actb 60Mm 52Mm R Mmc Hip Metasul|8,662.24
880045.2352|Cup Actb 60Mm 54Mm Hmsphr Bhr Impctr Hip|11,175.48
880045.3798|Cup Actb 60Mm Mdlr Ch Hip Trb Mtl|3,299.27
880095.2352|Cup Actb 62Mm Bhr Hmsphr Impctr Hip Cocr|12,139.85
880045.79|Cup Actb 62Mm Mdlr Ch Hip Trb Mtl|3,299.27
880045.2439|Cup Actb 62Mm Mdlr Mlhl Rev Hip Trb Mtl|4,664.88
880045.2439|Cup Actb 62Mm V Durom Hip Metasul|4,470.99
880045.3813|Cup Actb 64Mm Mdlr Ch Hip Trb Mtl|3,299.27
880045.3814|Cup Actb 66Mm Mdlr Ch Hip Trb Mtl|3,299.27
880045.3813|Cup Actb 76Mm Mdlr Mlhl Rev Hip Trb Mtl|3,850.67
880095.2427|Cup Actb Hdmnd Hip Xlpe Tcp Ha|6,975.00
880045.339|Cutting Guide Shoulder|2,511.00
890022.7129|Cyanocobalamin Inj 1000 MCG/ML|74.5
890023.8068|Cyanocobalamin Tab 100 MCG|3.1
60059560|Cyclic Citrul Peptide Ab Igg (CCP)|245
60066460|Cyclic Citrul Peptide Ab Igg (CCP) I|273
890023.6069|Cyclobenzaprine HCl Tab 10 MG|3.1
60010140|Cyclosporine Level|99
890023.6669|Cyproheptadine HCl Syrup 2 MG/5ML|3.1
890023.5074|Cyproheptadine HCl Tab 4 MG|3.1
60060630|Cystine Urine Random|517
800782|Cystogram 3 Views S and I|1,251.00
818183|Cystometrogram Cmplx W Ureth Pressure|764
835460|Cystometrogram Cmplx W Ureth Pressure|242
833425|Cystometrogram Complex W Vp|242
8100019|Cystometrogram Complex W Vp|766
8100020|Cystometrogram Complex W Vp and Upp|806
832807|Cystometrogram W Pressures Study|289
831925|Cystourethroscopy|421
60055410|Cytopath Cell Enhance Tech W Intrp|253
60055330|Cytopath Cerv/Vag Thin Layer|112
832397|D and C After Delivery|739
890022.5797|Dalbavancin HCl For IV Soln 500 MG (Base Equivalent)|3,272.98
890002.4202|Dantrolene Sodium For IV Soln 20 MG|191.12
890023.3106|Dapagliflozin Propanediol Tab 5 MG (Base Equivalent)|52.57
890023.4994|Dapsone Tab 100 MG|3.1
890022.1439|Daptomycin For IV Soln 500 MG|86.27
812689|Day Surgery Recovery|514
60024040|D-Dimer Quantitative|471
832146|Debrid Fx/Disloc Opn Skin Subq|1,366.00
832832|Debrid Muscle Ea Add 20 Cm|236
813093|Debrid Non Select WO Ans per Session|271
832978|Debrid Non Select WO Ans per Session|121
810013|Debrid of Nail(S) 1-5|101
810014|Debrid of Nails 6 or More|122
833901|Debrid of Nails 6 or More|92
832147|Debrid Remv FB Open Fx Disl Mus Bone|1,778.00
831798|Debrid Selective 1st 20sq Cm or <|88
831798|Debrid Selective 1st 20sq Cm or <|112
815767|Debrid Selective 1st 20sq Cm or < Pt|262
811115|Debrid Selective 1st 20sq Cm or Less|262
811115|Debrid Selective 1st 20sq Cm or Less|282
811116|Debrid Selective Ea Addl 20sq Cm|79
811116|Debrid Selective Ea Addl 20sq Cm|262
832072|Debrid Selective Ea Addl 20sq Cm|38
815768|Debrid Selective Ea Addl 20sq Cm Pt|262
814210|Debrid Subq Ea Add 20 Cm|112
832091|Debride Abdominal Wall|3,417.00
810019|Debride Bone 1st 20 Cm or Less|847
831479|Debride Bone 1st 20 Cm or Less|705
831479|Debride Bone 1st 20 Cm or Less|1,158.00
832332|Debride Bone Ea Add 20 Cm|347
810018|Debride Musc Fascia 1st 20 Cm or Less|655
831840|Debride Musc Fascia 1st 20 Cm or Less|465
831840|Debride Musc Fascia 1st 20 Cm or Less|776
831483|Debride of Nail Any Method 1-5|55
832331|Debride Subq Ea Add 20 Cm|82
832331|Debride Subq Ea Add 20 Cm|236
810017|Debride Subq Tissue 1st 20 Cm or Less|388
831478|Debride Subq Tissue 1st 20 Cm or Less|176
831478|Debride Subq Tissue 1st 20 Cm or Less|302
812636|Debridement Non Selective|262
60052790|Decal Tc|189
60052791|Decal Tc Nl|189
833130|Decompression Fasciotomy Leg|2,476.00
833046|Decompression Lower Leg|1,394.00
830187|Delivery Only Vaginal OB|3,504.00
830187|Delivery Only Vaginal OB|4,130.00
830189|Delivery Only Vbac OB|3,932.00
830189|Delivery Only Vbac OB|4,634.00
832399|Delivery Placenta|394
832399|Delivery Placenta|464
832398|Delivery Vaginal W Pp Care|4,462.00
832398|Delivery Vaginal W Pp Care|5,258.00
811249|Demo and/or Eval Pt Use Aerosol Device|88
811249|Demo and/or Eval Pt Use Aerosol Device|536
890022.5551|Denosumab Inj 60 MG/ML,Denosumab Inj soln prefilled syringe 60 mg/ml|4,532.47
890022.5551|Denosumab Inj Soln Prefilled Syringe 60 MG/ML|4,532.47
60060660|Deoxycortisol-11|502
SUP43353|Dermabond Adhesive|52
880039.3532|DERMABOND PRINEO 42CM AFF|300.82
890002.1002|Desflurane Inhal Soln|447.29
890022.7086|Desmopressin Acetate Inj 4 MCG/ML,Desmopressin Acetate Preservative Free (PF) Inj 4 MCG/ML|128.73
818505|Dest Lesions Penis Simple Cryo|441
833996|Dest Lesions Penis Simple Cryo|213
833993|Destr Benign Les Oth Skin Tag 15 or More|142
812001|Destr Benign Lesion Other Skin Tag <14|406
833902|Destr Benign Lesion Other Skin Tag <14|121
833902|Destr Benign Lesion Other Skin Tag <14|312
813237|Destr Benign Lesion Other Skin Tag >=15|388
8101819|Destr Les Penis Simple Surg Exc|485
834015|Destr Lesn Malig Tk Ext <=0.5cm|164
834016|Destr Lesn Malig Tk Ext 0.6-1.0cm|211
814295|Destr Lesn Malig Tk Ext 1.1-2cm|554
834017|Destr Lesn Malig Tk Ext 1.1-2cm|281
834435|Destr Malig Face Nose Lip 1 1 to 2 Cm|321
813242|Destr Malig Lesion Face <=0.5cm|464
834014|Destr Malig Lesion Face <=0.5cm|210
818234|Destr Malig Lesion Face 0.6-1.0cm|548
834036|Destr Malig Lesion Face 0.6-1.0cm|305
813243|Destr Malig Lesion Face 1.1-2cm|550
818444|Destr Malig Lesion Face 2.1-3.0cm|631
835392|Destr Malig Lesion Face 2.1-3.0cm|412
818441|Destr Malig Lesion Sc/Nk/Hd/Ft <=0.5cm|483
834021|Destr Malig Lesion Sc/Nk/Hd/Ft <=0.5cm|236
818442|Destr Malig Lesion Sc/Nk/Hd/Ft 0.6-1.0cm|515
834022|Destr Malig Lesion Sc/Nk/Hd/Ft 0.6-1.0cm|268
813241|Destr Malig Lesion Sc/Nk/Hd/Ft 1.1-2cm|577
834023|Destr Malig Lesion Sc/Nk/Hd/Ft 1.1-2cm|314
818443|Destr Malig Lesion Sc/Nk/Hd/Ft 2.1-3.0cm|634
834024|Destr Malig Lesion Sc/Nk/Hd/Ft 2.1-3.0cm|363
834025|Destr Malig Lesion Sc/Nk/Hd/Ft/G 3.1-4cm|455
8101529|Destr Malig Lesion Sc/Nk/Hd/Ft/G 3.1-4cm|721
813240|Destr Malig Lesion Trnk/Extrm >4cm|701
834020|Destr Malig Lesion Trnk/Extrm >4cm|413
813239|Destr Malig Lesion Trnk/Extrm 2.1-3cm|599
834018|Destr Malig Lesion Trnk/Extrm 2.1-3cm|316
814296|Destr Malig Lesion Trnk/Extrm 3.1-4cm|640
834019|Destr Malig Lesion Trnk/Extrm 3.1-4cm|351
834216|Destr Malig Scal Nck Hand Over 4 Cm|243
830794|Destr Neuro Peripheral|212
834992|Destr Penis Lesn Simpl Chem|214
815164|Destr Penis Lesn,Simpl,Chemical|391
814980|Destrct Lesn Malig Tk Ext <=0.5cm|282
818440|Destrct Lesn Malig Tk Ext 0.6-1.0cm|476
813177|Destruct Lesion Vulva Multiple|387
833773|Destruct Lesion Vulva Multiple|354
833773|Destruct Lesion Vulva Multiple|842
813176|Destruct Lesion Vulva Simple|248
833772|Destruct Lesion Vulva Simple|183
833772|Destruct Lesion Vulva Simple|485
811470|Destruct Nerve Neurolytic Periph|440
812443|Destruct Premalignant Lesion 1st|256
830488|Destruct Premalignant Lesion 1st|105
830488|Destruct Premalignant Lesion 1st|283
814979|Destruct Premalignant Lesions >15|462
833536|Destruct Premalignant Lesions >15|226
812037|Destruct Premalignant Lesions 2-14|40
833535|Destruct Premalignant Lesions 2-14|6
831938|Destructn Les Penis Sim Surgic|315
833281|Destructn Lesion Anus Simple Surgical|590
880039.2017|Dev Brstbio Celero Vac Ast Sprg Ld Core|627.21
880038.129|Dev Captr Sut Acc Opn|983.63
880039.16|Dev Clsr Crtr-Thomason Clsr Sys Xl 10/12|533.28
880039.7173|Dev Esurg 10Ft Cord Hlstr Hex Lck Blade|113.51
880045.133|Dev Fx 10Mm Tghtrp Flipcutter Ii Acl 4|697.5
880045.1339|Dev Fx 10Mm Tghtrp Sm Acl Bone Tndn Bone|697.5
880039.2879|Dev Fx 5Mm Securestrap Absb Strap|1,465.79
880045.1668|Dev Fx 6In 4.5Mm Ziptight Beath Pin Cann|1,688.88
880045.1711|Dev Fx Ankl Ss Ziptight|1,329.90
880039.2681|Dev Fx Crossfix Ii Str Mnscl Repr Sys|1,181.70
880045.8962|Dev Fx Crossfix Ii Up Crv Mnscl Repr Sys|1,181.70
880045.5726|Dev Fx Tghtrp Acl Rt Ti Uhmwpe Strl Lf|511.5
880045.138|Dev Fx Tghtrp Atch Opn|360.84
880045.1826|Dev Fx Toggleloc Fem Ziploop Tch Btb Gft|1,175.52
880039.5191|Dev Fx Ulfst-Fx Crv Mnscl Repr Sys|587.85
880064.1711|Dev Fx Ziploop Syndmos|1,210.86
880045.1668|Dev Fx Ziptight 1 Atch Ziploop Fx Repl|1,558.68
880064.101|Dev Fx Ziptight Ziploop Ankl Ti Kntls|1,484.70
880039.6984|Dev Nova Sure Endomt Abltn Disp|2,648.34
880045.2488|Dev Orth Elibra Lg Tissue Frc Sens|1,116.00
880045.2488|Dev Orth Sm Frc Sens Tissue Elibra|1,818.00
880039.2492|Dev Pstn Fingershield Lt Opn Tip Mrkr|112.35
880039.3954|Dev Pstn Star Slv Trc Slng Arm Frarm|303
880039.6521|Dev Punc Close|105.93
880039.1591|Dev Rem 357Mm 2.9Mm Truclear Incsr|1,943.84
880039.1591|Dev Rem 4Mm Truclear Ult + 10Mm Tissue|2,592.86
880039.4476|Dev Stratafix Pds + 0 Ct1 Sprl 70Cm Absb|80.31
880039.394|Dev Sut 10Mm 15In Grp Hndl Pshbtn E Stch|390.23
880039.2485|Dev Sut 2.9Mm Ndl Toggleloc|2,178.57
880039.2453|Dev Sut 2-0 1 Reuse Hndl Sutndl Slip Rst|366.63
880039.5213|Dev Sut 5Mm Hndl 1 Port Plc Ato Crmp|590.85
880039.2554|Dev Sut Mnscl Cnch Crv Strl Disp|758.88
880039.7113|Dev Vscelas 27Ga Duovisc 4% Chondroitin|242.4
830849|Develop Screen W Score per Instrmt|10
812678|Develop Screen W Score per Instrmt St|16
8103686|Develop Test Admin Ea Addl 30min St|301
8103683|Develop Test Admin First Hour St|604
800606|Dexa Bone Density Axial Skeleton|979
800609|Dexa Bone Density Peripheral|979
890022.7007|Dexamethasone Sodium Phosphate Inj 10 MG/ML,Dexamethasone Sodium Phosphate Inj 100 MG/10ML,Dexamethasone Sodium Phophate PF Inj 10 MG/ML,Dexamethasone Sod Phos Inj Sol Pref Syr 10 MG/ML (PF)|74.5
890022.6332|Dexamethasone Sodium Phosphate Inj 4 MG/ML,Dexamethasone Sodium Phosphate Inj 20 MG/5ML,Dexamethasone Sodium Phosphate Inj 120 MG/30ML|74.5
890022.6746|Dexamethasone Sodium Phosphate Inj 4 MG/ML,Dexamethasone Sodium Phosphate Inj 20 MG/5ML,Dexamethasone Sodium Phosphate Inj 120 MG/30ML|74.5
890022.6746|Dexamethasone Sodium Phosphate Inj 4 MG/ML,Dexamethasone Sodium Phosphate Inj 20 MG/5ML,Dexamethasone Sodium Phosphate Inj 120 MG/30ML|74.5
60014780|Dexamethasone Suppression Test|272
890022.5482|Dexamethasone Tab 1 MG|3.1
890022.5482|Dexamethasone Tab 4 MG|3.1
890002.144|Dexmedetomidine HCl IV Soln 200 MCG/2ML|97.3
890023.714|Dextromethorphan-Guaifenesin Liquid 10-100 MG/5ML|3.1
890023.9046|Dextromethorphan-Guaifenesin Liquid 10-100 MG/5ML|3.1
890024|Dextromethorphan-Guaifenesin Liquid 10-100 MG/5ML|3.1
890022.338|Dextrose 5% in Lactated Ringers|97.3
890022.338|Dextrose 5% w/ Sodium Chloride 0.2%|97.3
890008.338|Dextrose 5% w/ Sodium Chloride 0.45%|97.3
890022.338|Dextrose 5% w/ Sodium Chloride 0.9%|97.3
890008.338|Dextrose Inj 10%|97.3
890008.338|Dextrose Inj 10%|97.3
890008.338|Dextrose Inj 10%|97.3
890008.338|Dextrose Inj 10%|97.3
890008.338|Dextrose Inj 10%|97.3
890008.338|Dextrose Inj 10%|97.3
890022.338|Dextrose Inj 5%|97.3
890022.338|Dextrose Inj 5%|97.3
890022.338|Dextrose Inj 5%|97.3
890022.338|Dextrose Inj 5%|97.3
890022.338|Dextrose Inj 5%|97.3
890022.338|Dextrose Inj 5%|97.3
890022.338|Dextrose Inj 5%|97.3
890022.338|Dextrose Inj 5%|97.3
890022.338|Dextrose Inj 5%|97.3
890022.338|Dextrose Inj 5%|97.3
60060640|DHEA|71
60066590|Dhea Sulfate|366
810854|Diabetes OP Self Mgmt Indiv Ea 30min|132
814474|Diabetes Self Mgmt Skill Indiv Annual|132
814473|Diabetes Self Mgmt Skill Indiv Fol Up|132
890022.27|Diatrizoate Meglumine & Sodium Oral Soln 66-10%|194.52
890022.4091|Diazepam Inj 5 MG/ML|84.93
890022.4093|Diazepam Inj 5 MG/ML|96.72
890023.5108|Diazepam Tab 2 MG|3.1
890023.5108|Diazepam Tab 5 MG|3.1
890023.5361|Dibucaine Oint 1%|13.67
890023.714|Dibucaine Perianal Ointment 1%|8.91
890023.436|Diclofenac Sodium Gel 1% (1.16% Diethylamine Equiv)|33.48
890023.1657|Diclofenac Sodium Tab Delayed Release 25 MG|3.1
890023.5965|Dicloxacillin Sodium Cap 250 MG|3.1
890023.6069|Dicyclomine HCl Cap 10 MG|3.1
60023120|Differential Manual|96
816833|Diffusing Capacity|391
832052|Diffusing Capacity|41
890022.5063|Digoxin Immune Fab For Inj 40 MG|6,144.67
890022.6416|Digoxin Inj 0.25 MG/ML|74.5
60010500|Digoxin Level|242
890023.7095|Digoxin Tab 125 MCG (0.125 MG)|3.1
890023.1671|Digoxin Tab 250 MCG (0.25 MG)|3.1
890022.8128|Dihydroergotamine Mesylate Inj 1 MG/ML|141.48
880039.2491|Dil Balln 10-12Mm X 240Cm|696.9
880039.2491|Dil Balln 15-18Mm X 240Cm|696.9
880039.2491|Dil Balln 18-20Mm X 240Cm|696.9
880039.2491|Dil Balln 8.0-10Mm X 240Cm|696.9
880039.4332|Dil Escp Cre 180Cm 8Cm 10-11-12Mm 6Fr|704.69
880039.1272|Dil Escp Cre 180Cm 8Cm 18-19-20Mm 6Fr|704.69
880039.2|Dil Escp Cre 180Cm 8Cm 6Fr 12-13.5-15Mm|704.69
880039.1619|Dil Escp Cre 240Cm 5.5Cm 10-11-12Mm 7.5|646
880039.1518|Dil Escp Cre 240Cm 5.5Cm 11-13.5-15Mm|646
880039.1619|Dil Escp Cre 240Cm 5.5Cm 15-16.5-18Mm|646
880039.1639|Dil Escp Cre 240Cm 5.5Cm 18-19-20Mm 7.5|791.5
880039.1619|Dil Escp Cre 240Cm 5.5Cm 6-7-8Mm 7.5Fr|646
880039.162|Dil Escp Cre 240Cm 5.5Cm 8-9-10Mm 7.5Fr|646
832195|Dilatation and Curettage|924
832610|Dilate Esophagus Sound or Bougie|340
832657|Dilation Rectal Stricture W Anesth|783
890023.3786|Diltiazem HCl Cap ER 12HR 90 MG|5.39
890023.6069|Diltiazem HCl Coated Beads Cap ER 24HR 120 MG|3.1
890023.6069|Diltiazem HCl Coated Beads Cap ER 24HR 180 MG|3.1
890000.5515|Diltiazem HCl IV Soln 5 MG/ML,Dilteiazm HCl IV Soln 125MG/5ML,Diltiazem HCl IV Soln 25 MG/5ML (5 MG/ML),Diltiazem HCl IV Soln 50 MG/10ML (5 MG/ML)|74.5
890000.5515|Diltiazem HCl IV Soln 5 MG/ML,Dilteiazm HCl IV Soln 125MG/5ML,Diltiazem HCl IV Soln 25 MG/5ML (5 MG/ML),Diltiazem HCl IV Soln 50 MG/10ML (5 MG/ML)|74.5
890000.6416|Diltiazem HCl IV Soln 5 MG/ML,Dilteiazm HCl IV Soln 125MG/5ML,Diltiazem HCl IV Soln 25 MG/5ML (5 MG/ML),Diltiazem HCl IV Soln 50 MG/10ML (5 MG/ML)|74.5
890000.6416|Diltiazem HCl IV Soln 5 MG/ML,Dilteiazm HCl IV Soln 125MG/5ML,Diltiazem HCl IV Soln 25 MG/5ML (5 MG/ML),Diltiazem HCl IV Soln 50 MG/10ML (5 MG/ML)|74.5
890023.9303|Diltiazem HCl Tab 30 MG|3.1
890022.6746|Dimethyl Sulfoxide Soln 50%|713.17
890023.5557|Dinoprostone Vaginal Inserts 10 MG|1,405.69
890022.5816|Diph, Acellular Pert & Tet Tox Inj 25 LF-58 MCG-10 LF/0.5ML|130.5
890022.5816|Diph, Acellular Pert & Tet Tox Inj 25 LF-58 MCG-10 LF/0.5ML|130.5
890023.6809|Diphenhydramine HCl Liquid 12.5 MG/5ML|4.46
890023.5167|Diphenhydramine-Zinc Acetate Cream 2-0.1%|6.89
890023.9045|Diphenhydramine-Zinc Acetate Cream 2-0.1%|4.92
890023.378|Diphenoxylate w/ Atropine Tab 2.5-0.025 MG|3.1
890022.5816|Diph-Tet Tox-Acell Pert-Hep B-Polio IPV Vac Susp Pref Syr|479.24
890022.5816|Diph-Tetanus-Acell Pert-Polio, IPV Vacc Susp Pref Syr 0.5 ML|252.7
814635|Disl-Intermed Jt W/O Anes|761
831710|Disl-Intermed Jt W/O Anes|669
814636|Disl-Major Jt W/O Anes|859
831711|Disl-Major Jt W/O Anes|1,321.00
814637|Disloc Finger/Toe|212
831707|Disloc Finger/Toe|195
812715|Disloc Patella Closed Tx No Anes|874
830560|Disloc Patella Cls Tx No Anes|558
814633|Disloc Sm Joint W/ Anes|335
831708|Disloc Sm Joint W/ Anes|308
814634|Disloc Sm Joint/No Anes|669
831709|Disloc Sm Joint/No Anes|590
812366|Disloc Temporomandib Closed Tx|300
8103485|Dispensing Fee Monaural Unspecified|850
890023.5511|Divalproex Sodium Cap Delayed Release Sprinkle 125 MG|3.1
890023.8327|Divalproex Sodium Tab Delayed Release 250 MG|3.1
890023.5027|Divalproex Sodium Tab ER 24 HR 250 MG|3.1
60070320|Dna Antibody|33
60103770|Dna Antibody Double Strand W/Rflx|25
60060570|Dna Antibody Double Stranded|82
60060560|Dna Antibody Native|40
60048810|Dna or Rna Each Org Ampl Probe|280
60060450|Dnase Antibody B|56
890022.4094|Dobutamine Inj 4 MG/ML in D5W|74.5
890023.9047|Docusate Sodium Cap 100 MG|3.1
890023.5484|Docusate Sodium Liquid 150 MG/15ML|3.1
890023.9047|Docusate Sodium Liquid 150 MG/15ML|3.1
890023.0SSM036962S|Docusate Sodium Liquid 150 MG/15ML|3.1
890023.9046|Donepezil Hydrochloride Tab 5 MG|3.1
890022.3381|Dopamine Inj 1.6 MG/ML in D5W|74.5
803207|Doppler Echo Complete|785
890023.4257|Dorzolamide HCl Ophth Soln 2%|94.83
890023.6586|Dorzolamide HCl-Timolol Maleate Ophth Soln 2-0.5%|55.8
8102464|Dot Exam Follow Up Self Pay Clinic|33
8102446|Dot Exam Self Pay Clinic|126
890001.6416|Doxapram HCl Inj 20 MG/ML|104.49
890023.9046|Doxazosin Mesylate Tab 1 MG|3.1
890023.9046|Doxazosin Mesylate Tab 4 MG|3.1
890023.5108|Doxepin HCl Cap 10 MG|3.1
890023.6924|Doxepin HCl Cap 25 MG|3.1
890001.1671|Doxycycline Hyclate For Inj 100 MG|74.5
890023.4281|Doxycycline Hyclate Tab 100 MG|3.1
810108|Dplr Color Flow Velocity Map|795
810110|Dplr Heart Lmtd|482
834218|Drain Inj Interm Joint Bursa W US|118
834217|Drain Inj Small Joint Bursa W US|118
833711|Drain Lymph Node Abs Lymphadenitis Simp|277
8100386|Drain Lymph Node Abs Lymphadenitis Simp|634
834220|Drain Major Joint Bursa W US|118
834220|Drain Major Joint Bursa W US|355
831329|Drain Peritoneal Abscess Open|6,625.00
818296|Drain Pleura W Cath WO Imaging|1,932.00
833539|Drain Pleura W Cath WO Imaging|381
833539|Drain Pleura W Cath WO Imaging|765
814133|Drainage Ext Ear Abscess Simple|334
831506|Drainage Ext Ear Abscess Simple|147
831494|Drainage of Abscess Cyst Hematoma|102
814129|Drainage Scrotal Wall Abscess|467
831500|Drainage Scrotal Wall Abscess|314
880039.7208|Drape Xpd Clpsbl Eqp C-Armor Carm Flrscp|133.44
SUP100051|Dressing Blk Med 18x12.5x3|131
816537|Dressing Change Not for Burn W Ans|85
832533|Dressing Change W Anesthesia No Burn|148
SUP100050|Dressing Heel Strac W/Ctr|186
SUP100054|Dressing,Blk Bridge Granufoam|135
SUP100053|Dressing,Blk Lrg Granufoam|145
SUP100052|Dressing,Blk X Lrg Granu.60x30x1.5cm|264
880039.261|Drill Cann 4.8mm X 300mm W/Zh Ste|648.42
880039.2602|Drill Compr Aug 2.7 W/Stop|878.7
880039.4616|Drill Srg 10Mm Full Thk Kn Cann Grad D|509.04
880039.9794|Drill Srg 152.5Mm Frhd Ntr Nail 4.3Mm|325.85
880045.1365|Drill Srg 15Mm Cann 6Mm|1,093.83
880039.2488|Drill Srg 2.5Mm Nonster Sm Frag Unv Lck|363.6
880039.2505|Drill Srg 2.9 Mm Anchor|512.07
880064.1419|Drill Srg 2.9 Mm Shrt Pushlock Disp Kt|530.25
880039.2457|Drill Srg 3.2Mm|333.3
880039.2488|Drill Srg Clbrt Cephlmed 4.3Mm Ntr Nail|424.2
880039.2012|Drill Srg Hum Tib Mdn 3.7Mm Nail Im Fx|550.55
880039.2485|Drill Srg Kn Fem Ptlr Nxgn Stl 6.4Mm|363.6
880039.7578|Drill Srg Lng Clbrt 4.3Mm Lf Ntr Nail|348.3
880039.2485|Drill Srg Pilt Spd 3.4Mm|530.25
880039.5757|Drill Srg Pilt Tip Mdn 3.7Mm Nail Im Fx|404.47
880039.2367|Drill Srg Pilt Tip Stp Prox Mdn Ss 3.7Mm|333.3
880039.5761|Drill Srg Pilt Tip Stp Prox Mdn Ss 5Mm|606
880039.1153|Drill Srg Qrlse Acc Cmprh 15/64In Strl|366.63
880039.7232|Drill Srg Rtrgd Clbrt Fem 4.9Mm|1,178.46
880039.1698|Drill Srg Shldr Trb Mtl 2.5Mm Strl Rvrs|936.27
880064.1259|Drill Srg Shrt Clbrt Hum Tib Ntr Nail|696.6
880064.9156|Drill Srg Shrt Frhd Trgt Clbrt Tib Ntr|303.36
880039.1152|Drill Srg Std 2Mm Lf|674.11
880039.1929|Drill Srg Std Cann Qck Cnct Ss 2.7Mm|573
880039.1743|Drill Srg Std Periart Ss 2.7Mm|415.72
880039.1972|Drill Srg Std Ss 2.5Mm Nonster Sm Frag|337.06
880045.1692|Drill Srg Stp Cann Glnd Bglni/Fltw Trb|1,090.80
880039.2487|Drill Twist Mri 5/16|666.6
880039.2485|Drill Twst 5/16In Mri Lf|757.5
880039.3237|Drl Twst .25in Mri Lf|757.5
880045.1091|Drlbt Cntrsnk .75 Mm Cann Screw|757.5
880064.6825|Drlbt Cntrsnk Slf Gd|499.95
832342|Drng Tendon Sheath Digit Palm|1,643.00
890022.518|Droperidol Inj 2.5 MG/ML|74.5
880039.7624|Drsg 10X3.5In Aqcl Ag Flm Cvr Anmc Wtprf|104.74
880039.3936|Drsg 12x3.5in Aqcl Ag Cvr Lyr Wtprf Bctr|116.72
880039.3936|Drsg 14x3.5in Aqcl Ag Cvr Lyr Wtprf Bctr|116.72
880039.7623|Drsg 15X9Cm Aqcl Ag Cvr Anmc Wtprf Bctr|83.81
8101830|Drsg Aquacel Silver 3.5inx13.75in|112
8101831|Drsg Aquacel Silver 3.5inx6in|80
8102856|Drsg Foam >16sqin<=48sqin W Adhes|94
880038.8474|Drsg Nsl Snknt Cmc Dissolvable|88.35
SUP49907|Drsg Wound Vac Canister|102
60101304|Drug Screen Multi Class a Non-Tlc IV|69
60101326|Drug Screen Sglcls a VI|144
880039.3057|Drvr 2Mm Hex Set Trl Cnstrn Screw 4.5Mm|196.95
60089570|Drvvt Screen|212
817447|Dtap Hib-IP Vaccine, Im|492.78
813749|Dtap Ipv Kinrix 4-6yrs Im|252.69
813732|Dtap Vaccine < 7 Yrs Im|130.5
880045.3394|dug Tib 15mm Persona Ef Kn Rt Mdl Hlf|2,250.60
890023.6808|Duloxetine HCl Enteric Coated Pellets Cap 20 MG (Base Eq)|4.94
890023.5724|Duloxetine HCl Enteric Coated Pellets Cap 30 MG (Base Eq)|3.1
890022.2459|Dupilumab Subcutaneous Soln Prefilled Syringe 300 MG/2ML|3,339.63
810233|Duplex Carotid Bilat|3,950.00
810234|Duplex Carotid Unilat|2,768.00
811356|Duplex Scan Extracranial Lmtd/Unilat|1,975.00
811357|Duplex Vein Extrem Bilat|2,061.00
811358|Duplex Vein Extrem Unilat|1,487.00
890023.6363|Dutasteride Cap 0.5 MG|3.1
832105|Dx Bronchoscopy|541
813996|Ea Add BPP Gest|780
803770|Ea Add Followup Gest|780
812219|Ear Mold Impression|45
8101846|Ear Mold Impression Bil|90
812194|Earplug Floatable Custom|131
810112|Ecg Monitor Up to 48 Hrs Record|1,168.00
810113|Ecg Monitor Up to 48hrs Scan W Report|1,107.00
800580|Echo Doppler Fetal Wave Sd Complete|177
832274|Echo Doppler Fetal Wave Sd Complete|66
812069|Echo Doppler Fetal Wave Sd Follow Up|107
832445|Echo Doppler Fetal Wave Sd Follow Up|63
800554|Echo Exam of Head|750
810133|Echo Transthoracic Cong Anom Lmtd|1,120.00
810132|Echo Tte Cong Anom Cmplt|1,349.00
818012|ED Colposcopy of Vulva|196
814531|ED Observation 1st Hr|1,915.00
814532|ED Observation Sub Hr|162
833019|Egd Felx Transoral W Control of Bleed|1,065.00
832772|Egd Flex Oral W Dil Gast Duod Stricture|925
832363|Egd Flex Transoral Dx|657
831685|Egd Flex Transoral W Bx Sngl or Mult|732
802767|Egd Flex Transoral W Plcmt Gtube Perc|3,955.00
832324|Egd Flex Transoral W Plcmt Gtube Perc|1,064.00
810712|Egd Flex Transoral W Removal FB|836
831688|Egd Flex Transoral W Removal FB|927
831688|Egd Flex Transoral W Removal FB|1,337.00
834033|Egd Lesion Ablation|1,217.00
832365|Egd W Balloon Dilation Esophagus<30mm|815
60065040|Ehrlichia Antibody|271
60083420|Ehrlichia Antibody Igg|316
60083430|Ehrlichia Antibody Igm|316
60081980|Ehrlichia Chaffeensis Pcr|1,044.00
836068|Ekg >48hrs to 7 Days Cont Interpret|405
8104591|Ekg >48hrs to 7 Days Cont Record|1,302.00
8104583|Ekg >48hrs to 7 Days Cont Scan Anly|1,706.00
836069|Ekg >7days to 15 Days Cont Interpret|667
8104584|Ekg >7days to 15 Days Cont Record|1,706.00
8104585|Ekg >7days to 15 Days Cont Scan Anly|2,203.00
810136|Ekg 12 Lead|9
810136|Ekg 12 Lead|316
830529|Ekg 12 Lead Inter & Report|28
812500|Ekg 12 Lead Inter & Report Profee|9
831585|Ekg Monitoring to 48 Hrs Interp|129
819689|Ekg Screening 12 Leads Tracing Only|32
800900|Elbow 2 Vw|451
800918|Elbow 3+ Vw|530
815025|Elec Stim Unattended|177
817349|Elec Stim Unattended Non Wound Ot|177
812639|Elec Stim Unattended Non Wound Pt|177
815741|Electrical Stimulation Ea 15 Min OP Ot|166
815742|Electrical Stimulation Ea 15 Min Pt|166
SUP28457|Electrode Loop Cutting 24fr|355
SUP32721|Electrode Pacemaker Bipolar 5fr|282
814721|Electronic Hearing Aid Dryer|100
880039.6769|Eltrd Biplr 36Cm 5Fr Vrspnt Sprg Tip|1,092.65
880039.1591|Eltrd Biplr Rd .3Cm 5Fr Vrspnt Twizzle|1,092.62
880039.1694|Eltrd Biplr Ylw 36Cm 5Fr Vrspnt Ball|1,092.62
880039.2492|Eltrd Caut Std Menisect|86.67
880039.6535|Eltrd Defib 4X3.5In Edg Qcmbo Cndct Gel|89.53
880039.2488|Eltrd Esurg 12D 12In 28Fr Loop|176.74
880039.7102|Eltrd Esurg 12D 30D Cyl Grv 24-28Fr Gld|564.85
880039.698|Eltrd Esurg 12D Thk 24Fr Hfrq Mnplr|596.91
880039.1036|Eltrd Esurg 24Fr Cln Coag Rsscp Strl|315.64
880039.7624|Eltrd Esurg 24Fr Cln Knf Pnt Rsscp Uro|295.43
880039.8766|Eltrd Esurg 24Fr Loop Rsscp Str Uro|282.79
880039.1038|Eltrd Esurg 24Fr Rllr Ball Coag Nonster|315.64
880039.2497|Eltrd Esurg 3Mm 27Fr Rllr Ball Cut Loop|315.64
880039.2491|Eltrd Esurg 3Mm Brl|366.11
880039.1132|Eltrd Esurg 5Mm 27Fr Rllr Ball Pnt Coag|366.11
880039.2491|Eltrd Esurg 5Mm Brl|366.11
880039.7623|Eltrd Esurg Ball 3Mm 24/26Fr 3Mm|401.48
880039.8217|Eltrd Esurg Blade 32Cm 5Mm Hrmscpl Ul Ti|543.31
880039.8435|Eltrd Esurg Cld Knf Str Urthm Strl Disp|580.76
880039.106|Eltrd Esurg Cut Loop Strl Brn|199.46
880039.1478|Eltrd Esurg Evc 70 X Intgr Cbl Wnd Plsm|681.75
880039.17|Eltrd Esurg Flt Lhk 36Cm Cleancoat Coat|111.19
880039.2077|Eltrd Esurg Hk 10Cm 5Mm Hrmscpl Ul Ti|409.47
880039.7756|Eltrd Esurg Hk 32Cm 5Mm Hrmscpl Dsct|1,175.82
880039.2481|Eltrd Esurg Knf 90D 12D 24-28Fr Hfrq Ndl|297.79
880039.5847|Eltrd Esurg Lg Chsl Prb Hk Arthsc Kn|390.87
880039.1023|Eltrd Esurg Loop 12D .35In 28Fr Hfrq|262.49
880039.7175|Eltrd Esurg Loop Ang 24Fr 26Fr Thms Cut|454.5
880039.1038|Eltrd Loop 24Fr Yel|416.63
812722|Emerg Critical Care 30 to 74 Minut|365
812722|Emerg Critical Care 30 to 74 Minut|4,062.00
812792|Emerg Critical Care Ea Addl 30 Min|930
810471|Emergency Dept Visit Level 1|301
830031|Emergency Dept Visit Level 2|531
830033|Emergency Dept Visit Level 3|991
830035|Emergency Dept Visit Level 4|1,535.00
830037|Emergency Dept Visit Level 5|2,256.00
830039|Emergency Dept Visit Level I|394
890023.5416|Emollient - Ointment|12
890023.5416|Emollient - Ointment|26.6
890023.9047|Emtricitabine-Tenofovir Disoproxil Fumarate Tab 200-300 MG|5.43
60089920|Ena II|40
890023.9046|Enalapril Maleate Tab 2.5 MG|3.1
890023.1671|Enalapril Maleate Tab 5 MG|3.1
890001.144|Enalaprilat IV Inj 1.25 MG/ML|74.5
60066430|Encephalitis Calif Antibody|94
60066010|Encephalitis East Equine Antibody|75
60066020|Encephalitis St Louis Antibody|75
60066030|Encephalitis West Equine Antibody|75
832393|Endometr Bx WO Cerv Dilation|176
832393|Endometr Bx WO Cerv Dilation|374
833801|Endometrial Bx Done W Colposcopy Add On|108
833801|Endometrial Bx Done W Colposcopy Add On|175
8101162|Endometrial Bx Done W Colposcopy Add On|85
60068810|Endomysial Antibody|245
834365|Endoscopy of Bowel Pouch W Bx|586
814670|Endotracheal Tube|114
833949|Endovenous Radiofreq 1st Vein|1,782.00
890022.7129|Enoxaparin Sodium Inj Soln Pref Syr 100 MG/ML|74.5
890022.6332|Enoxaparin Sodium Inj Soln Pref Syr 120 MG/0.8ML|74.5
890022.7529|Enoxaparin Sodium Inj Soln Pref Syr 120 MG/0.8ML|81.08
890022.1671|Enoxaparin Sodium Inj Soln Pref Syr 150 MG/ML|80.57
890022.758|Enoxaparin Sodium Inj Soln Pref Syr 150 MG/ML|83.32
890022.6332|Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML|74.5
890022.758|Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML|74.5
890022.6332|Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML|74.5
890022.1671|Enoxaparin Sodium Inj Soln Pref Syr 60 MG/0.6ML|74.5
890022.7506|Enoxaparin Sodium Inj Soln Pref Syr 60 MG/0.6ML|74.5
890022.758|Enoxaparin Sodium Inj Soln Pref Syr 60 MG/0.6ML|74.5
890022.6332|Enoxaparin Sodium Inj Soln Pref Syr 80 MG/0.8ML|74.5
890022.6332|Enoxaparin Sodium Inj Soln Pref Syr 80 MG/0.8ML|74.5
814425|Ent .5 Hr Operating Room Time|2,721.00
814426|Ent .75 Hr Operating Room Time|3,813.00
814427|Ent 1.0 Hr Operating Room Time|4,909.00
814428|Ent 1.25 Hrs Operating Room Time|6,001.00
814429|Ent 1.5 Hrs Operating Room Time|7,093.00
814430|Ent 1.75 Hrs Operating Room Time|8,188.00
814431|Ent 2.0 Hrs Operating Room Time|9,095.00
814432|Ent 2.25 Hrs Operating Room Time|10,007.00
814433|Ent 2.5 Hrs Operating Room Time|10,919.00
814434|Ent 3.0 Hrs Operating Room Time|11,823.00
814435|Ent Addl Half Hour Operating Rm Time|2,548.00
60040530|Entamoeba Histolytica Antigen|384
832628|Enteroenterostomy Anastomosis Intestine|4,398.00
832498|Enterolysis|5,371.00
833326|Enterostomy/Cecostomy Tube|3,510.00
60085350|Enterovirus Pcr|347
818683|Eo Prefab W Adj Posit Locking Jnts|444
60021700|Eosinophil Count Auto|200
60021080|Eosinophil Nasal Smear|63
60021060|Eosinophil Urine Smear|112
890001.7813|Ephedrine Sulfate Inj 50 MG/ML,Ephedrine Sulfate IV Soln 50 MG/ML|74.5
890001.7813|Ephedrine Sulfate Inj 50 MG/ML,Ephedrine Sulfate IV Soln 50 MG/ML|74.5
830502|Epidural Blood Patch|2,421.00
890022.5429|Epinephrine Inj 1 MG/ML (1:1000),Epinephrine Inj 30 MG/30ML (1 MG/ML) (1:1000),Epinephrine PF Inj 1 MG/ML,Epinephrine Inj 30 MG/30ML,Epinephrine Inj 1 MG/ML|74.5
890022.5429|Epinephrine Inj 1 MG/ML (1:1000),Epinephrine Inj 30 MG/30ML (1 MG/ML) (1:1000),Epinephrine PF Inj 1 MG/ML,Epinephrine Inj 30 MG/30ML,Epinephrine Inj 1 MG/ML|74.5
890022.7633|Epinephrine Inj 1 MG/ML (1:1000),Epinephrine Inj 30 MG/30ML (1 MG/ML) (1:1000),Epinephrine PF Inj 1 MG/ML,Epinephrine Inj 30 MG/30ML,Epinephrine Inj 1 MG/ML|74.5
890022.5429|Epinephrine PF Inj 1 MG/ML|74.5
890022.7633|Epinephrine PF Soln Prefilled Syringe 1 MG/10ML (0.1 MG/ML),Epinephrine HCl-NaCl IV Sol Pref Syr 1000 MCG/10ML-0.9%,Epinephrine Soln Prefilled Syringe 1 MG/10ML (0.1 MG/ML),Epinephrine IV Soln Prefilled Syringe 1MG/10ML (0.1 MG/ML),Epinephrine IV Soln 1MG|74.5
890022.7633|Epinephrine PF Soln Prefilled Syringe 1 MG/10ML (0.1 MG/ML),Epinephrine HCl-NaCl IV Sol Pref Syr 1000 MCG/10ML-0.9%,Epinephrine Soln Prefilled Syringe 1 MG/10ML (0.1 MG/ML),Epinephrine IV Soln Prefilled Syringe 1MG/10ML (0.1 MG/ML),Epinephrine IV Soln 1MG|74.5
890023.495|Epinephrine Solution Auto-injector 0.15 MG/0.3ML (1:2000)|343.31
890022.495|Epinephrine Solution Auto-injector 0.3 MG/0.3ML (1:1000)|343.31
830565|Epistaxis Cntl Post&Pack Init|397
830566|Epistaxis Cntrl Anter Cmplx|261
830410|Epistaxis Cntrl Anter Simple Prof|129
830410|Epistaxis Cntrl Anter Simple Prof|242
812370|Epistaxis Contrl Anterior Simple|190
812370|Epistaxis Contrl Anterior Simple|420
812371|Epistaxis Contrl Post and Pack Init|851
890022.6913|Epoetin Alfa-epbx Inj 10000 Unit/ML|303.61
890022.6913|Epoetin Alfa-epbx Inj 10000 Unit/ML|303.61
60041430|Epstein-Barr Virus Antibody Igg|138
60062980|Epstein-Barr Virus Antibody Nuclear Ag|166
60026460|Epstein-Barr Virus Pcr Quant|495
SUP27792|Equip Pump Infusion Volumetric|53
SUP65042|Equip Vac Ats Rental|159
890023.6945|Ergocalciferol Cap 1.25 MG (50000 Unit)|3.1
814694|Ert/Disl-Finger/Toe|212
890022.5515|Ertapenem Sodium For Inj 1 GM (Base Equivalent)|162.48
890023.5744|Erythromycin Ophth Oint 5 MG/GM|20.22
890023.5744|Erythromycin Ophth Oint 5 MG/GM|41.76
890023.1367|Erythromycin Tab Delayed Release 250 MG|13.92
60060710|Erythropoietin|270
890023.9046|Escitalopram Oxalate Tab 10 MG (Base Equiv)|3.1
890022.5515|Esmolol HCl Inj 100 MG/10ML|97.3
890022.2502|Esmolol HCl-Sodium Chloride IV Soln 2500 MG/250ML,Esmolol HCl Inj 2500 MG/250ML (10 MG/ML)|216.27
890023.1671|Esomeprazole Magnesium Cap Delayed Release 40 MG (Base Eq)|3.1
814678|Esophageal Steth/Temp Mon|157
832118|Esophagoscopy Flex Oral W Blln Dil <30mm|631
832601|Esophagoscopy Flex Transoral Dx|414
832117|Esophagoscopy Flex Transoral W Remvll FB|689
834055|Esophagoscopy Lesion Ablate|1,035.00
833026|Esophagoscopy W/ Bx Sngl or Mult|511
832285|Estab and Doc Need Pwr Mobil Device|36
60062350|Estradiol|471
890001.4281|Estradiol Tab 0.5 MG|3.1
890023.6516|Estradiol TD Patch Twice Weekly 0.025 MG/24HR|25.29
890001.7817|Estradiol TD Patch Twice Weekly 0.05 MG/24HR|15.17
890023.3785|Estradiol TD Patch Twice Weekly 0.1 MG/24HR|12.42
60024590|Estradiol Ultrasensitive|71
890023.4229|Estradiol Vaginal Cream 0.1 MG/GM|204.78
60082610|Estriol Free|445
60062460|Estrogen Total|341
890022.4607|Estrogens, Conjugated For Inj 25 MG|743.94
60010190|Ethosuximide Level|216
60140150|Ethyl Alcohol Bld|72
890023.386|Ethyl Chloride Aerosol Spray|3.1
890002.144|Etomidate IV Soln 2 MG/ML|74.5
8102054|Etonogestrel Impl Sys Incl Impl Spl|2,576.31
890022.5243|Etonogestrel Subdermal Implant 68 MG|2,576.31
830040|Evac Subungal Hematoma|62
830040|Evac Subungal Hematoma|69
812372|Evacuation Subungal Hematoma|167
812372|Evacuation Subungal Hematoma|249
812682|Eval of Non-Speech Generating Dev|792
811338|Eval Oral/Pharyngeal Swallow Function|719
8100836|Eval Speech Fluency|600
814475|Eval Speech Gen Device Addl 30min|840
812681|Eval Speech Gen Device First Hour|840
8100846|Eval Speech Sound Prod W Lang|600
8100841|Eval Speech Sound Production|600
811340|Eval Swallow Function Cine/Video Recrd|719
810139|Event Recording Ekg Remote Up to 30 Days|2,849.00
830011|Event Recrd Sngl/Mult Interp/Rpt|129
810114|Event Trans Analys Ekg Remote to 30 Days|535
812956|Evoked Otoacoustic Emission Comp Diag|532
810931|Evoked Otoacoustic Emission Lmtd|338
813190|Evoked Otoacoustic Emissions Lmtd Bilat|338
831842|Exc Abd Les Sc < 3 Cm|761
831842|Exc Abd Les Sc < 3 Cm|1,583.00
8101279|Exc Abd Les Sc < 3 Cm|1,335.00
8101220|Exc Abd Lesion Subq 3cm or More|1,017.00
833853|Exc Arm/Elbow Lesion Subq 3cm or More|873
833853|Exc Arm/Elbow Lesion Subq 3cm or More|1,764.00
833437|Exc Back Les Subq 3 Cm or Greater|1,185.00
833437|Exc Back Les Subq 3 Cm or Greater|2,302.00
833617|Exc Back Tum Deep < 5 Cm|1,258.00
8101103|Exc Back Tum Deep < 5 Cm|1,146.00
836009|Exc Coccygeal Ulcer W Primary Suture|2,216.00
818035|Exc Face Les Sc < 2 Cm|1,082.00
8101218|Exc Face Lesion Subq 2 Cm or More|815
833850|Exc Face Lesion Subq 2cm or More|714
815425|Exc Hip Pelvis Les Sc > 3 Cm|980
834516|Exc Lesion Meniscus Capsule|2,299.00
815362|Exc Lesion Tnd She/Jnt Caps H/Fin|1,908.00
833184|Exc Lesion Tnd She/Jnt Caps H/Fin|548
833184|Exc Lesion Tnd She/Jnt Caps H/Fin|1,622.00
834239|Exc Lesn Tongue Ant Two Thrds W Clsr|454
834239|Exc Lesn Tongue Ant Two Thrds W Clsr|1,183.00
8100411|Exc Lesn Tongue Ant Two Thrds W Clsr|1,098.00
835701|Exc of Facial Bone|1,918.00
833749|Exc Rectaltumor Transanal Approach|2,625.00
834464|Exc Recurrent Wrist Ganglion|1,601.00
833851|Exc Shoulder Les Subq 3cm or More|904
833851|Exc Shoulder Les Subq 3cm or More|1,741.00
833852|Exc Shoulder Lesion Deep 5cm or More|1,549.00
833852|Exc Shoulder Lesion Deep 5cm or More|3,006.00
810028|Exc Skin Benign <=0.5cm Sclp/Nk/Hnd/Ft|409
810029|Exc Skin Benign <=0.5cm Trunk/Arm/Leg|433
832328|Exc Skin Benign <=0.5cm Trunk/Arm/Leg|154
832328|Exc Skin Benign <=0.5cm Trunk/Arm/Leg|388
814291|Exc Skin Benign Face <=0.5cm|470
832525|Exc Skin Benign Face <=0.5cm|109
832525|Exc Skin Benign Face <=0.5cm|470
812060|Exc Skin Benign Face >4cm|955
832997|Exc Skin Benign Face >4cm|738
811487|Exc Skin Benign Face 0.6-1.0cm|549
811488|Exc Skin Benign Face 1.1-2.0cm|554
833035|Exc Skin Benign Face 2 1-3cm|287
833035|Exc Skin Benign Face 2 1-3cm|849
812058|Exc Skin Benign Face 2.1-3cm|482
812059|Exc Skin Benign Face 3.1-4cm|727
833534|Exc Skin Benign Face 3.1-4cm|490
833534|Exc Skin Benign Face 3.1-4cm|1,036.00
832833|Exc Skin Benign Sc Nk Hd Ft 1.1-2.0cm|293
832833|Exc Skin Benign Sc Nk Hd Ft 1.1-2.0cm|663
811880|Exc Skin Benign Sc/Nk/Hd/Ft 0.6-1.0cm|505
832523|Exc Skin Benign Sc/Nk/Hd/Ft 0.6-1.0cm|253
832523|Exc Skin Benign Sc/Nk/Hd/Ft 0.6-1.0cm|481
811489|Exc Skin Benign Sc/Nk/Hd/Ft 1.1-2.0cm|553
812055|Exc Skin Benign Sc/Nk/Hd/Ft 2.1-3cm|617
833415|Exc Skin Benign Sc/Nk/Hd/Ft 2.1-3cm|356
833415|Exc Skin Benign Sc/Nk/Hd/Ft 2.1-3cm|766
812056|Exc Skin Benign Sc/Nk/Hd/Ft 3.1-4cm|695
833528|Exc Skin Benign Sc/Nk/Hd/Ft 3.1-4cm|429
811490|Exc Skin Benign Trnk/Extrm 0.6-1.0cm|493
831481|Exc Skin Benign Trnk/Extrm 0.6-1cm|220
831481|Exc Skin Benign Trnk/Extrm 0.6-1cm|447
812054|Exc Skin Benign Trunk/Arm/Leg >4cm|904
832522|Exc Skin Benign Trunk/Arm/Leg >4cm|605
832522|Exc Skin Benign Trunk/Arm/Leg >4cm|1,199.00
831664|Exc Skin Mal Trnk/Extrm 1.1-2.0cm|391
833436|Exc Skin Malig 1.1-2cm Face,Facial|452
833436|Exc Skin Malig 1.1-2cm Face,Facial|881
810032|Exc Skin Malig 2.1-3cm Sclp/Nk/Hnd/Ft|849
810034|Exc Skin Malig 3.1-4cm Face|987
811492|Exc Skin Malig Face <= 0.5cm|631
833468|Exc Skin Malig Face <= 0.5cm|270
833468|Exc Skin Malig Face <= 0.5cm|612
833472|Exc Skin Malig Face >4.0cm|721
833472|Exc Skin Malig Face >4.0cm|1,955.00
812065|Exc Skin Malig Face >4cm|1,026.00
811493|Exc Skin Malig Face 0.6-1.0cm|719
833469|Exc Skin Malig Face 0.6-1.0cm|347
833469|Exc Skin Malig Face 0.6-1.0cm|713
811494|Exc Skin Malig Face 1.1-2.0cm|852
811495|Exc Skin Malig Face 2.1-3.0cm|889
833470|Exc Skin Malig Face 2.1-3.0cm|549
833470|Exc Skin Malig Face 2.1-3.0cm|881
833471|Exc Skin Malig Face 3.1-4.0cm|634
833471|Exc Skin Malig Face 3.1-4.0cm|1,245.00
811496|Exc Skin Malig Sc/Nk/Hd/Ft <= 0.5cm|250
812064|Exc Skin Malig Sc/Nk/Hd/Ft >4cm|859
833467|Exc Skin Malig Sc/Nk/Hd/Ft >4cm|607
833467|Exc Skin Malig Sc/Nk/Hd/Ft >4cm|1,231.00
811497|Exc Skin Malig Sc/Nk/Hd/Ft 0.6-1.0cm|618
833435|Exc Skin Malig Sc/Nk/Hd/Ft 0.6-1.0cm|343
811498|Exc Skin Malig Sc/Nk/Hd/Ft 1.1-2.0cm|722
833464|Exc Skin Malig Sc/Nk/Hd/Ft 1.1-2.0cm|369
833465|Exc Skin Malig Sc/Nk/Hd/Ft 2.1-3.0cm|497
833466|Exc Skin Malig Sc/Nk/Hd/Ft 3.1-4.0cm|464
812063|Exc Skin Malig Sc/Nk/Hd/Ft 3.1-4cm|751
833458|Exc Skin Malig Sc/Nk/Hd/Ft<=0.5cm|580
811499|Exc Skin Malig Trnk/Extrm <=0.5cm|410
811499|Exc Skin Malig Trnk/Extrm <=0.5cm|713
833460|Exc Skin Malig Trnk/Extrm <=0.5cm|328
833463|Exc Skin Malig Trunk/Extrm >4.0cm|864
833463|Exc Skin Malig Trunk/Extrm >4.0cm|1,460.00
812062|Exc Skin Malig Trunk/Extrm >4cm|1,304.00
814973|Exc Skin Malig Trunk/Extrm 0.6-1cm|739
833434|Exc Skin Malig Trunk/Extrm 0.6-1cm|356
833434|Exc Skin Malig Trunk/Extrm 0.6-1cm|616
811501|Exc Skin Malig Trunk/Extrm 1.1-2.0cm|797
833461|Exc Skin Malig Trunk/Extrm 2.1-3.0cm|432
833461|Exc Skin Malig Trunk/Extrm 2.1-3.0cm|885
812061|Exc Skin Malig Trunk/Extrm 2.1-3cm|772
811502|Exc Skin Malig Trunk/Extrm 3.1-4.0cm|821
833462|Exc Skin Malig Trunk/Extrm 3.1-4.0cm|464
833462|Exc Skin Malig Trunk/Extrm 3.1-4.0cm|1,054.00
832093|Exc Skin Subq Tissue|5,388.00
832094|Exc Skin Subq Tissue Other|2,708.00
834350|Exc Sweat Gland Lesn Inguin Simpl|459
834350|Exc Sweat Gland Lesn Inguin Simpl|730
833715|Exc Sweat Gland Lesn Perineal Simpl|573
8102317|Exc Sweat Gland Lesn Perineal Simpl|1,207.00
815232|Exc Tis Upr Arm/Elbow Subq 3+Cm|890
834437|Exc Tissue Subq Hidra Axil Smpl Intr Rpr|1,139.00
8100240|Exc Tissue Subq Hidra Ing Smpl Intr Rpr|1,121.00
835081|Exc Tumor Sft Tiss Face or Scalp <2cm|792
8100296|Exc Tumor Sft Tiss of Face or Scalp <2cm|1,335.00
831958|Exc Varicocle or Ligate Sprm Vein|1,341.00
810483|Exc Wedge Skin Nail Fold|529
830041|Exc Wedge Skin Nail Fold|188
832622|Excis Bowel Lesion Mult Enterotomies|4,846.00
832621|Excis Bowel Lesion Single Enterotomy|3,714.00
832266|Excis Mouth Mucosa/Sub,Simpl Repair|920
833777|Excise Bartholin's Gland or Cyst|1,263.00
831482|Excise Benign Lesion 0.5 Cm or Less|178
831482|Excise Benign Lesion 0.5 Cm or Less|398
833308|Excise Breast Les W Xray Marker|2,235.00
833959|Excise Breast Les Xray Mark Addnl|792
832536|Excise Breast Lesion Open >=1|1,020.00
832536|Excise Breast Lesion Open >=1|2,014.00
833278|Excise Cyst Adenoma Thyroid|2,532.00
832530|Excise Cyst Pilonidal Complicated|2,806.00
832529|Excise Cyst Pilonidal Extensive|2,116.00
832528|Excise Cyst Pilonidal Simple|840
832740|Excise Cyst Thyroglossal Duct Sinus|1,630.00
834183|Excise Ext Ear Partial Rpr Simple|1,135.00
832553|Excise Ganglion Wrist Primary|472
832553|Excise Ganglion Wrist Primary|1,560.00
833960|Excise Hip Pelvis Les Sc > 3 Cm|1,051.00
833960|Excise Hip Pelvis Les Sc > 3 Cm|2,290.00
831955|Excise Hydrocele Unilateral|1,542.00
832726|Excise Lesion Spermatic Cord|1,968.00
832717|Excise Lesion Testis Extraparenchymal|2,635.00
832526|Excise Lesn Face Benign 0.6-1cm|261
832526|Excise Lesn Face Benign 0.6-1cm|640
832527|Excise Lesn Face Benign 1.1-2cm|353
832527|Excise Lesn Face Benign 1.1-2cm|663
834447|Excise Lesn Tend Sheath Cpsl Foot|1,350.00
832741|Excise Neuroma Cutaneous|1,819.00
833241|Excise Papilla or Tag Anus Single|258
833241|Excise Papilla or Tag Anus Single|477
8101136|Excise Papilla or Tag Anus Single|683
833428|Excise Tumor Abd Wall Subfasc <5cm|2,442.00
831841|EXCISE TUMOR abd wall subfascl >=5cm|3,241.00
831843|Excise Tumor Abd Wall Subq >=3cm|1,101.00
831843|Excise Tumor Abd Wall Subq >=3cm|2,119.00
818539|Excise Tumor Back Flank Subcut >=3cm|1,113.00
833658|Excise Tumor Back Flank Subfasc >=5cm|3,604.00
832545|Excise Tumor Face Sc < 2cm|479
832547|Excise Tumor Neck Im < 5cm|899
8100326|Excise Tumor Neck Im < 5cm|887
818537|Excise Tumor Neck Sc >= 3cm|860
832546|Excise Tumor Neck Sc >= 3cm|907
832546|Excise Tumor Neck Sc >= 3cm|2,179.00
818538|Excise Tumor Neck Subcutaneous <3cm|609
832835|Excise Tumor Neck Subcutaneous <3cm|310
832835|Excise Tumor Neck Subcutaneous <3cm|1,333.00
818771|Excise Tumor Pelvis Hip Subfascial <5cm|1,243.00
835328|Excise Tumor Pelvis Hip Subfascial <5cm|1,296.00
818643|Excise Tumor Shoulder Subcut >=3cm|915
816622|Excise Tumor Shoulder Subfascial >=5cm|1,456.00
833362|Excise Vaginal Septum|538
832642|Excision Diverticulum Meckels|2,911.00
815675|Excision of Vein Cluster Leg|1,083.00
835733|Excision Trochanteric Bursa|1,734.00
810035|Excision Tumor Back Flank Subq <3cm|1,449.00
832549|Excision Tumor Back Flank Subq <3cm|852
832549|Excision Tumor Back Flank Subq <3cm|1,790.00
833932|Excision Tumor Foot Toe Subfasc <1.5cm|1,726.00
835548|Excision Tumor Foot Toe Subq >=1.5cm|1,346.00
815287|Excision Tumor Frarm Wrist Subq <3cm|1,218.00
833143|Excision Tumor Frarm Wrist Subq <3cm|508
833143|Excision Tumor Frarm Wrist Subq <3cm|1,313.00
815353|Excision Tumor Hand Finger Subq <1.5cm|1,633.00
833118|Excision Tumor Hand Finger Subq <1.5cm|635
833118|Excision Tumor Hand Finger Subq <1.5cm|1,622.00
833995|Excision Tumor Hand Finger Subq >=1.5cm|1,894.00
833547|Excision Tumor Shoulder Subfasc <5cm|2,239.00
833187|Excision Tumor Thigh Knee Subq <3cm|1,536.00
816525|Excision Tumor Thigh Knee Subq >=3cm|956
833637|Excision Tumor Thigh Knee Subq >=3cm|947
815233|Excision Tumor Up Arm Elbow Subq <3cm|1,397.00
833994|Excision Tumor Up Arm Elbow Subq <3cm|613
890023.3107|Exenatide Soln Pen-injector 5 MCG/0.02ML|787.03
832995|Explor Treat Ankle Joint|1,594.00
833113|Exploration of Foot Joint|1,790.00
833094|Exploration of Knee Joint|3,185.00
831514|Exploration Penetrating Wound Extr|1,719.00
832506|Exploratory Laparotomy Celiotomy|3,357.00
833100|Explore/Treat Knee Joint|1,519.00
814708|Ext Breast Prosthesis Garment|118
800000|Eye Foreign Body|340
890023.5965|Ezetimibe Tab 10 MG|3.1
800709|Facial Bones < 3 Vw|927
800808|Facial Bones 3+ Vw|1,005.00
813049|Faclty IP Initial Low|107
810901|Faclty OP Est Pt Level 1|42
810901|Faclty OP Est Pt Level 1|204
810902|Faclty OP Est Pt Level 2|86
810902|Faclty OP Est Pt Level 2|204
810902|Faclty OP Est Pt Level 2|263
810062|Faclty OP New Level 2|130
810062|Faclty OP New Level 2|329
810063|Faclty OP New Level 3|186
810063|Faclty OP New Level 3|435
810064|Faclty OP New Level 4|253
812837|Faclty OP New Level 4|253
812835|Faclty OP New Level 5|299
60024210|Factor IX Assay|763
60065830|Factor VII Assay|784
60024220|Factor VIII Inhibitor|763
60065860|Factor VIII Multimeric|665
60065840|Factor VIII Ristocetin Cofactor|665
60027200|Factor VIII Vw Activity|524
60065850|Factor VIII Vw Antigen|611
60065870|Factor X Assay|486
60065880|Factor XI Assay|763
830840|Family Psychotherapy W Pt 50 Min|281
830836|Family Psychotherapy WO Pt 50 Min|270
890000.3385|Famotidine in NaCl 0.9% IV Soln 20 MG/50ML|97.3
890022.6746|Famotidine Inj 10 MG/ML,Famotidine Inj 20 MG/2ML,Famotidine Inj 40 MG/4ML,Famotidine Inj 200 MG/20ML,Famotidine Inj 500 MG/50ML,Famotidine Preservative Free Inj 20 MG/2ML|74.5
890023.6374|Famotidine Tab 20 MG|3.1
834512|Fasciotomy Hip or Thigh Any Type|3,997.00
834040|Fasciotomy Palmar Percutaneous|1,027.00
890008.3381|Fat Emulsion Plant Based IV Emulsion 20%,Fat Emulsion Plant Based (Soy) IV Emulsion 20%,Fat Emulsion Plant Based (Soy/Olive) IV Emulsion 20%|131.13
60060740|Fat Qualitative Feces Random|210
60060760|Fat Quantitative Feces Timed|156
800237|FB Exam Nose to Rectum Child Sgl V|398
830532|FB Remov Eye Conj Surf|91
880039.3573|Fcp 33cm 5mm Bone Cut|1,587.72
880039.2163|Fcp Biopsy 240Cm 2.4Mm Rj 4 2.8Mm Lg Cpc|89.53
880039.1091|Fcp Biopsy Hot 240Cm 2.2Mm Rj 4 +2.8Mm|246.25
880039.4506|Fcp Biopsy Mlt Smpl 240Cm 2.4Mm Mtbt 2.8|134.82
880038.164|Fcp Biplr 25Cm Pks Sl Lopro Crv 3 Dsgn|1,157.46
880038.2445|Fcp Biplr 33Cm 5Mm Pks Halo Led Rot Whl|2,251.44
880039.7093|Fcp Escp Flxb Ovl Biopsy Cup 115Cm 3.3Fr|1,372.62
880039.1408|Fcp Escp Rcht Hndl Troc 39Cm Repro|228.92
880039.7375|Fcp Spec Rtrvl 115Cm 3.3Fr Ureter 1 Jaw|1,001.57
880039.9685|Fcp Spec Rtrvl 115Cm 3Fr Uret Grspr 3 Pr|553.58
880039.1091|Fcp Spec Rtrvl 1800X6.9Mm 2.8Mm Brnch|1,378.10
880039.564|Fcp Spec Rtrvl 230Cm 3 Pr Grsp Trpd Ring|194.65
802687|Fdg per Dose to 45mci|397
60042530|Fecal Leukocytes|102
812217|Fee for Hearing Aid Returns|250
60061680|Felbamate Level|328
890023.6846|Felodipine Tab ER 24HR 2.5 MG|3.1
880095.3672|Fem Rsrfc Sz 2 Lt|9,545.63
880095.3672|Fem Rsrfc Sz 2 Rt|9,545.63
880095.3672|Fem Rsrfc Sz 3 Lt|9,545.63
880095.3672|Fem Rsrfc Sz 3 Rt|9,545.63
880095.3672|Fem Rsrfc Sz 4 Lt|9,545.63
880095.3672|Fem Rsrfc Sz 4 Rt|9,545.63
880095.3672|Fem Seg Prox Plsm Spry 98Mm Lt 135 D|9,677.17
880095.3672|Fem Seg Prox Plsm Spry 98Mm Rt 135 D|9,677.17
SUP49628|Femoral Artery Cath Set 4fr|90
890023.691|Fenofibrate Tab 145 MG|3.1
890023.6069|Fenofibrate Tab 48 MG|3.47
890022.4099|Fentanyl Citrate Inj 0.05 MG/ML,Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,Fentanyl Citrate Preservative Free (PF) Inj 1000 MCG/20ML,Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML,Fentanyl Citrate Preservative Free (PF) Inj 2500 MCG/|74.5
890022.4099|Fentanyl Citrate Inj 0.05 MG/ML,Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,Fentanyl Citrate Preservative Free (PF) Inj 1000 MCG/20ML,Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML,Fentanyl Citrate Preservative Free (PF) Inj 2500 MCG/|74.5
890022.6332|Fentanyl Citrate Inj 0.05 MG/ML,Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,Fentanyl Citrate Preservative Free (PF) Inj 1000 MCG/20ML,Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML,Fentanyl Citrate Preservative Free (PF) Inj 2500 MCG/|74.5
890022.6332|Fentanyl Citrate Inj 0.05 MG/ML,Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,Fentanyl Citrate Preservative Free (PF) Inj 1000 MCG/20ML,Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML,Fentanyl Citrate Preservative Free (PF) Inj 2500 MCG/|74.5
890022.4099|Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML|74.5
890022.4099|Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML|74.5
890023.4778|Fentanyl TD Patch 72HR 100 MCG/HR|76.89
890023.4778|Fentanyl TD Patch 72HR 12 MCG/HR|45.32
890023.4778|Fentanyl TD Patch 72HR 25 MCG/HR|19.89
890023.6051|Fentanyl TD Patch 72HR 50 MCG/HR|27.34
890023.4778|Fentanyl TD Patch 72HR 75 MCG/HR|55.86
890023.1048|Ferric Subsulfate Soln|40.69
890023.4878|Ferric Subsulfate Soln 259 MG/GM|11.83
60010550|Ferritin|258
890023.5741|Ferrous Gluconate Tab 324 MG (38 MG Elemental Iron)|3.1
890023.5741|Ferrous Sulfate Tab EC 324 MG (65 MG Fe Equivalent)|3.1
890022.5934|Ferumoxytol Inj 510 MG/17ML (30 MG/ML) (Elemental Fe)|3,330.20
60007700|Fetal Congenital Abnorm Four Analytes|131
835518|Fetal Contraction Stress Test|295
802875|Fetal Doppler Umbilical Art|1,123.00
60016720|Fetal Fibronectin|1,252.00
810866|Fetal Non Stress Test|95
810866|Fetal Non Stress Test|1,334.00
60039140|Fetal Screen|295
60037930|Ffp 24hr <200ml|442
60038030|Ffp 8hr <200ml|442
60037550|Ffp W/I 24hrs|442
60024160|Fibrin Split Products|216
60024180|Fibrinogen Activity|176
880039.7554|Fil Bone Void 25X8Mm 75D Thk7Mm Trpzd|465
880045.1137|Fil Bone Void 25X9Mm 75D Thk7Mm Trpzd|465
880039.2494|Fil Bone Void 5X5Cm Dbx Algrf Frzdr Strp|407.51
890022.6903|Filgrastim-aafi Soln Prefilled Syringe 480 MCG/0.8ML|1,123.68
890023.6069|Finasteride Tab 5 MG|3.1
835748|Fine Needle Asp W CT Ea Addl Lsn|54
8103645|Fine Needle Asp W CT Ea Addl Lsn|115
835747|Fine Needle Asp W CT First Lsn|163
8103644|Fine Needle Asp W CT First Lsn|347
835746|Fine Needle Asp W Fl Ea Addl Lsn|54
8103643|Fine Needle Asp W Fl Ea Addl Lsn|115
835745|Fine Needle Asp W Fl First Lsn|163
8103642|Fine Needle Asp W Fl First Lsn|347
835750|Fine Needle Asp W MRI Ea Addl Lsn|54
8103647|Fine Needle Asp W MRI Ea Addl Lsn|115
835749|Fine Needle Asp W MRI First Lsn|163
8103646|Fine Needle Asp W MRI First Lsn|347
835744|Fine Needle Asp W US Ea Addl Lsn|54
8103641|Fine Needle Asp W US Ea Addl Lsn|115
8103641|Fine Needle Asp W US Ea Addl Lsn|441
835743|Fine Needle Asp W US First Lsn|163
8103640|Fine Needle Asp W US First Lsn|347
8103640|Fine Needle Asp W US First Lsn|1,337.00
60120010|Fine Needle Aspir W Interp Tc Nl II|501
814090|Fine Needle Aspir WO Imaging 1st Lesn|436
831476|Fine Needle Aspir WO Imaging 1st Lesn|169
60055270|Fine Needle Aspiration Tc|419
60052720|Fine Needle Aspirations Interp Tc|501
60052721|Fine Needle Tc Nl|138
800917|Fistula or Sinus Tract Study S and I|1,484.00
813180|Fit or Insert Pessary|187
832194|Fit or Insert Pessary|131
814683|Fitness for Life Initial Eval|86
814684|Fitness for Life/1 Week/Cr|20
814685|Fitness for Life/2 Weeks/Cr|40
814686|Fitness for Life/3 Weeks/Cr|57
814682|Fitness for Life/Cr|77
833006|Fix Quad/Hamstr Musc Rupt Primary|2,500.00
833114|Fix Quad/Hamstr Musc Rupt Second|3,171.00
835298|Fix Rectal Prolapse Abd Approach|3,900.00
800215|Fl Arthrogram Ankle|722
800164|Fl Arthrogram Hip|1,277.00
800205|Fl Arthrogram Knee|1,174.00
800851|Fl Arthrogram Shoulder|1,163.00
800235|Fl Hysterosalpingogram|1,088.00
803767|Fl Lower GI Screen WO Air Cont|1,092.00
833968|Flap Muscle Trunk Myocutaneous|6,076.00
890023.54|Flecainide Acetate Tab 50 MG|3.1
60063420|Flecainide Level|328
60055760|Flow 1 Marker Refer|131
60023330|Flow 1 Mrkr Tc|105
60055750|Flow Add Each Marker Refer|113
60023340|Flow Add Each Marker Tc|105
817898|Flu Vacc Prsv Free Inc Antig Im|121.3
8100748|Flu Vaccine Iiv4 Split Pf 0.5 Ml Im|31
8100748|Flu Vaccine Iiv4 Split Pf 0.5 Ml Im|60.97
890022.2502|Fluconazole in NaCl 0.9% Inj 200 MG/100ML|97.3
890023.7071|Fluconazole Tab 50 MG|3.1
890023.5027|Fludrocortisone Acetate Tab 0.1 MG|3.1
890001.144|Flumazenil IV Soln 0.1 MG/ML,Flumazenil IV Soln 0.5 MG/5ML (0.1 MG/ML),Flumazenil IV Soln 1 MG/10ML (0.1 MG/ML)|74.5
890001.36|Flumazenil IV Soln 0.1 MG/ML,Flumazenil IV Soln 0.5 MG/5ML (0.1 MG/ML),Flumazenil IV Soln 1 MG/10ML (0.1 MG/ML)|74.5
890023.6924|Fluocinonide Cream 0.05%|40.68
60083200|Fluor Ab Titer|285
890001.1724|Fluorescein Sodium Ophth Strips 1 MG|3.1
800788|Fluoro < 1 Hour|804
800787|Fluoro Cvad|320
800787|Fluoro Cvad|1,265.00
800010|Fluoro Guidance for Needle Placment|847
800737|Fluoro Guidance for Spinal Inj|1,239.00
800747|Fluoro Myelogram Lumbar|2,869.00
800780|Fluoro Retrograde Pyelogram W/WO Kub|1,139.00
800978|Fluoro<1hr Surg C-Arm|804
832016|Fluoroguide for Vein Device|65
832016|Fluoroguide for Vein Device|386
890023.6076|Fluorometholone Ophth Susp 0.1%|216.06
831213|Fluoroscopy < 1 Hr|248
890001.1671|Fluorouracil Cream 5%|545.72
890023.9046|Fluoxetine HCl Cap 10 MG|3.1
890023.9046|Fluoxetine HCl Cap 20 MG|3.1
890023.6929|Flurbiprofen Sodium Ophth Soln 0.03%|100.44
890023.1731|Fluticasone Propionate HFA Inhal Aer 110 MCG/ACT (125/Valve)|763.98
890023.6699|Fluticasone Propionate HFA Inhal Aer 220 MCG/ACT (250/Valve)|771.31
890023.1731|Fluticasone Propionate HFA Inhal Aero 44 MCG/ACT (50/Valve)|570.66
890023.5433|Fluticasone Propionate Nasal Susp 50 MCG/ACT|38.08
890023.6043|Fluticasone Propionate Nasal Susp 50 MCG/ACT|30.71
890023.1731|Fluticasone-Salmeterol Aer Powder BA 100-50 MCG/ACT|30.24
890023.5403|Fluticasone-Salmeterol Aer Powder BA 100-50 MCG/ACT|4.36
890023.5403|Fluticasone-Salmeterol Aer Powder BA 250-50 MCG/ACT|5.42
890023.1731|Fluticasone-Salmeterol Aer Powder BA 500-50 MCG/ACT|49.28
890023.9375|Fluticasone-Salmeterol Aer Powder BA 500-50 MCG/ACT|7.12
8103142|Foam Dress > 48 Sq W Adhes Bordr Ea|117
60014300|Folate|293
60060810|Folate RBC|94
890001.3982|Folic Acid Inj 5 MG/ML|74.5
890023.6069|Folic Acid Tab 1 MG|3.1
890023.8068|Folic Acid Tab 400 MCG|3.1
890022.5171|Fomepizole Inj 1 GM/ML (For IV Infusion)|3,277.28
800217|Foot 2 Vw|514
803826|Foot 2 Vw Reduced Service|514
800219|Foot 3+ Vw|663
SUP100057|Foot Cushion Waffle Air Lrg|83
SUP100056|Foot Cushion Waffle Air Med|83
SUP100055|Foot Cushion Waffle Air Small|83
814541|Foot Pump|167
800860|Foot Xray 2 Views Bilat|735
830412|For Body Remov Cornea No Lamp Pro|228
830567|For Body Remov Cornea W/Lamp|276
812729|For Body Remov Cornea With Lamp|277
830413|For Body Remov Ear No Anes|60
830415|For Body Remov Eye Conj Supr Prof|195
830416|For Body Remov Eyelid Embd|100
812377|For Body Remov Eyelid Embedded|359
815572|For Body Remov Foot Subq Deep|980
830417|For Body Remov Intranasal Ofc Pro|75
830418|For Body Remov Mscl Tndn Smpl|243
830418|For Body Remov Mscl Tndn Smpl|271
830418|For Body Remov Mscl Tndn Smpl|721
812379|For Body Remov Muscl Tendn Simple|461
812379|For Body Remov Muscl Tendn Simple|493
812381|For Body Remov Subcutaneous Simpl|445
812381|For Body Remov Subcutaneous Simpl|525
800953|Forearm 2 Vw|466
890023.707|Fosfomycin Tromethamine Powd Pack 3 GM (Base Equivalent)|224.09
890022.6332|Fosphenytoin Sodium Inj 75 MG/ML (Phenytoin Equiv 5*,Fosphenytoin Sodium Inj 100 MG/2ML (Phenytoin Equiv),Fosphenytoin Sodium Inj 500 MG/10ML (Phenytoin Equi*|74.5
890022.6955|Fosphenytoin Sodium Inj 75 MG/ML (Phenytoin Equiv 5*,Fosphenytoin Sodium Inj 100 MG/2ML (Phenytoin Equiv),Fosphenytoin Sodium Inj 500 MG/10ML (Phenytoin Equi*|74.5
890022.696|Fosphenytoin Sodium Inj 75 MG/ML (Phenytoin Equiv 5*,Fosphenytoin Sodium Inj 100 MG/2ML (Phenytoin Equiv),Fosphenytoin Sodium Inj 500 MG/10ML (Phenytoin Equi*|74.5
831697|Frac-Body&Upper Extremitys/Splints|213
814628|Frac-Bodyandupper Extremitys/Splints|261
814629|Frac-Lower Extremity/Splints|636
831699|Frac-Lower Extremity/Splints|461
831701|Frac-Other|444
880039.8412|Frcp Rad Jaw 3 240Cm Disp|93.09
60062840|Fructosamine|42
60062600|FSH|398
60062650|Fta Antibody|265
833837|Full Rout Obste Care,Cesarean Deliv|9,859.00
833837|Full Rout Obste Care,Cesarean Deliv|11,616.00
60041630|Fungus Fluorescent Smear|96
60049490|Fungus Gms Smear|138
60069870|Fungus Identification|236
60040810|Fungus Koh Smear|96
60040640|Fungus Koh Smear Skin Hair Nail|96
890022.4096|Furosemide Inj 10 MG/ML|74.5
890022.4096|Furosemide Inj 10 MG/ML|74.5
890022.4096|Furosemide Inj 10 MG/ML|74.5
890023.9047|Furosemide Tab 20 MG|3.1
812733|Fx Ankle Bimall Clsd Tx and Manip|1,056.00
830568|Fx Ankle Bimall Clsd Tx&Manip|853
812734|Fx Ankle Trimall Clsd Tx and Manip|1,056.00
812841|Fx Clavicle Closed Tx No Manip|688
830569|Fx Clavicle Cls Tx No Manip|382
830572|Fx Phalanx Dist Cls Tx No Man|309
830573|Fx Phalanx Shaft Cls Tx&Manip|185
812737|Fx Phalanx Shaft Clsd Tx No Manip|665
830574|Fx Phalanx Shft Cls Tx No Man|302
830574|Fx Phalanx Shft Cls Tx No Man|763
830575|Fx Radius Dist Cls Tx No Mani|853
830575|Fx Radius Dist Cls Tx No Mani|956
830575|Fx Radius Dist Cls Tx No Mani|2,521.00
812738|Fx Radius Distal Clsd Tx & Manip|1,112.00
812738|Fx Radius Distal Clsd Tx & Manip|1,418.00
812391|Fx Toe Great Closed Tx No Manip|202
830426|Fx Toe Great Cls Tx No Manip|510
812739|Fx Toe Other Closed Tx & Manip|404
812740|Fx Toe Other Closed Tx No Manip|403
830577|Fx Toe Other Cls Tx & Manip|210
830578|Fx Toe Other Cls Tx No Manip|202
880039.6593|Fxtr Extfix Elb Hng Unstbl Fx|3,842.88
60020370|G6pd Qualitative|240
890023.9047|Gabapentin Cap 100 MG|3.1
890023.6069|Gabapentin Cap 300 MG|3.1
890023.9047|Gabapentin Cap 400 MG|3.1
60068990|Gabapentin Level|386
60087710|Gad-65 Antibody|253
890005.2705|Gadobenate Dimeglumine IV Soln 529 MG/ML|237.46
890005.2705|Gadobenate Dimeglumine IV Soln 529 MG/ML|219.92
890005.4071|Gadodiamide IV Soln 287 MG/ML|287.2
890005.5042|Gadoxetate Disodium IV Soln 0.25 MOL/L (181.43 MG/ML)|396.07
815752|Gait Training Ea 15 Min Pt|176
60067200|Galactose|78
815291|Ganglionectomy|739
832374|Gastr Suture Perf Duod/Gastric|6,204.00
835266|Gastrectomy Partial W Gastroduod|5,067.00
60062700|Gastrin|340
833348|Gastrojejunostomy WO Vagotomy|5,587.00
812692|Gastroscopy|3,510.00
834822|Gastrotomy With Expl or FB Removal|3,282.00
8102221|Gauntlet Cast Inc Lower Forearm and Hand|49
818656|Gauze Non-Impreg Sterile 16 in< WO|4
60042830|Gc Amplified Probe|334
60086420|Gc Dna Probe I|334
880039.3595|Gd Cut Prsnl Psi Fem Prt Kn|1,488.00
880045.8062|Gd Pin Orth 230Mm 1.6Mm Hrbrt P/T Ss|86.67
880039.3845|Gd Pin Orth 3.2Mm Itst Lng Ss Thrd Im|368.28
880039.1398|Gd Pin Orth 355Mm 3.2Mm Itst Ss Troc Pnt|390.6
880045.5777|Gd Pin Orth 6In 1.25Mm P/T Troc Tip|280.88
880039.1994|Gd Pin Orth 6In 1.6Mm Smth Shft Troc Tip|184.28
880039.1887|Gd Pin Orth 9In 2.4Mm P/T Troc Tip|279.55
880039.2489|Gd Pin Orth Cr-Flx Fem Tib|744
880039.3226|Gd Pin Orth Persona Post Stab|2,424.00
880045.2486|Gd Pin Orth Shldr Hip Disp|217.17
880095.2352|Gd Pin Orth Shrt Birmingham Hip Rsrfc|54.46
880045.3327|Gdpn Orth Rt Mdl Crfrm Rcs Ps Kn Sys Per|1,488.00
880039.3961|Gelfoam Sz 100|1,164.43
890023.5027|Gemfibrozil Tab 600 MG|3.1
813945|General Mask Supplies|38
814318|Genl .5 Hr Additional Oper Room Time|2,679.00
814298|Genl .5 Hr Operating Room Time|4,569.00
814299|Genl .75 Hr Operating Room Time|5,716.00
814300|Genl 1.0 Hr Operating Room Time|6,865.00
814301|Genl 1.25 Hr Operating Room Time|8,013.00
814302|Genl 1.5 Hr Operating Room Time|9,162.00
814303|Genl 1.75 Hr Operating Room Time|10,308.00
814304|Genl 2.0 Hrs Operating Room Time|11,265.00
814305|Genl 2.25 Hrs Operating Room Time|12,223.00
814306|Genl 2.5 Hrs Operating Room Time|13,177.00
814307|Genl 3.0 Hrs Operating Room Time|14,129.00
814308|Genl 3.5 Hrs Operating Room Time|15,095.00
814309|Genl 4.0 Hrs Operating Room Time|16,050.00
814310|Genl 4.5 Hrs Operating Room Time|16,813.00
814311|Genl 5.0 Hrs Operating Room Time|17,576.00
814312|Genl 5.5 Hrs Operating Room Time|18,340.00
814313|Genl 6.0 Hrs Operating Room Time|19,107.00
814314|Genl 6.5 Hrs Operating Room Time|19,874.00
814315|Genl 7.0 Hrs Operating Room Time|20,636.00
814316|Genl 7.5 Hrs Operating Room Time|21,404.00
814317|Genl 8.0 Hrs Operating Room Time|22,163.00
890022.3381|Gentamicin in Saline Inj 2 MG/ML|97.3
60010600|Gentamicin Level Peak|322
60010620|Gentamicin Level Random|322
60010650|Gentamicin Level Trough|322
890022.6332|Gentamicin Sulfate Inj 10 MG/ML|74.5
890022.6332|Gentamicin Sulfate Inj 40 MG/ML|74.5
890023.1748|Gentamicin Sulfate Ophth Oint 0.3%|86.94
890023.2421|Gentamicin Sulfate Ophth Soln 0.3%|99.63
890023.3951|Gentian Violet Soln 1%|18.6
60014350|GGT|149
814766|GI Procedure D/C in Asp|386
60080480|Giardia Lamblia Antigen|315
60064080|Gliadin Antibody|115
60084200|Gliadin Antibody Igg|115
8104147|Glidescope S3/S4 Lo Pro Handles|114
890023.6808|Glimepiride Tab 2 MG|3.1
890023.9047|Glipizide Tab 5 MG|3.1
890023.6069|Glipizide Tab ER 24HR 2.5 MG|3.16
60062000|Glomerular Base Membrane Antibody|239
60060870|Glucagon|78
890022.6332|Glucagon HCl (rDNA) For Inj 1 MG (Base Equiv),Glucagon HCl (rDNA) Diagnostic For Inj 1 MG (Base E*,Glucagon HCl Diagnostic For Inj 1 MG (Base Equiv),GLUCAGON EMERGENCY 1 MG IJ KIT,Glucagon Hcl For Inj 1mg|274.31
60018100|Glucose|8
60014610|Glucose 1 Hr Post Prandial|179
814570|Glucose Blood Test|21
60014700|Glucose CSF|112
60014750|Glucose Fasting|126
60014650|Glucose Fluid|9
60079120|Glucose POCT (IP)|21
880045.8794|Glv Radiation Protct Radion-X Sz 8.5|9,011.90
890023.9383|Glyburide Tab 1.25 MG|3.1
890023.5898|Glycerin Suppos 1 GM|3.1
890023.132|Glycerin Suppos 2 GM|3.1
890022.144|Glycopyrrolate Inj 0.2 MG/ML|74.5
890022.144|Glycopyrrolate Inj 0.2 MG/ML,Glycopyrolate Inj 0.4mg/2ml,Glycopyrrolate Inj 1mg/5ml,Glycoprrolate Inj 4mg/20ml,Glycopyrrolate Soln Prefilled Syr 1 MG/5ML (0.2 MG/ML),Glycopyrrolate Inj PF Soln Pref Syr 0.4 MG/2ML (0.2 MG/ML),Glycopyrrolate Inj PF 0.2 MG/M|74.5
890022.144|Glycopyrrolate Inj 0.2 MG/ML,Glycopyrolate Inj 0.4mg/2ml,Glycopyrrolate Inj 1mg/5ml,Glycoprrolate Inj 4mg/20ml,Glycopyrrolate Soln Prefilled Syr 1 MG/5ML (0.2 MG/ML),Glycopyrrolate Inj PF Soln Pref Syr 0.4 MG/2ML (0.2 MG/ML),Glycopyrrolate Inj PF 0.2 MG/M|74.5
890022.6332|Glycopyrrolate Inj 0.2 MG/ML,Glycopyrolate Inj 0.4mg/2ml,Glycopyrrolate Inj 1mg/5ml,Glycoprrolate Inj 4mg/20ml,Glycopyrrolate Soln Prefilled Syr 1 MG/5ML (0.2 MG/ML),Glycopyrrolate Inj PF Soln Pref Syr 0.4 MG/2ML (0.2 MG/ML),Glycopyrrolate Inj PF 0.2 MG/M|74.5
890022.707|Glycopyrrolate Inj 0.2 MG/ML,Glycopyrolate Inj 0.4mg/2ml,Glycopyrrolate Inj 1mg/5ml,Glycoprrolate Inj 4mg/20ml,Glycopyrrolate Soln Prefilled Syr 1 MG/5ML (0.2 MG/ML),Glycopyrrolate Inj PF Soln Pref Syr 0.4 MG/2ML (0.2 MG/ML),Glycopyrrolate Inj PF 0.2 MG/M|74.5
890022.144|Glycopyrrolate Inj 1 MG/5ML (0.2 MG/ML)|74.5
880045.2488|Gntr Esurg 9 Pin 2 Dev Port Pk Tch G400|1,515.00
880045.2488|Graft Bone Copios Bvn Cortico-Canc 1-4Mm|623.1
880039.2488|Graft Bone Copios Bvn Cortico-Canc 4-6Mm|1,804.20
880039.2488|Graft Bone Copios Bvn Cortico-Canc 6-10|1,804.20
880039.2491|Graft Bone Puros Dbm .5Ml Algrf Ptty|399.9
880039.2491|Graft Bone Puros Dbm 10Cc Algrf Ptty|2,522.16
880045.2487|Graft Bone Puros Dbm 10Ml Algrf Ptty Chp|3,976.68
880045.2487|Graft Bone Puros Dbm 5Ml Algrf Ptty Chp|2,252.46
880039.2493|Graft Bone Vg Rotr Cuf Lg Ptch Frzdr 35|2,929.50
815118|Graft Full Thick Free Trunk <=20cm|1,754.00
833480|Graft Full Thick Free Trunk <=20cm|1,121.00
833482|Graft Full Thpk Sc Am Lg <=20sqcm|2,569.00
835927|Graft Sft Tiss Autol Other Direct Excise|742
880039.1167|Graft Skn 25X20Cm Flexhd Thk.8-1.7Mm Thk|22,710.60
880167.5086|Graft Skn 75Mm Aplgrf 44Sq Cm 0.75Mm Thk|2,816.04
880039.7017|Graft Tissue Xenform Ftl Bvn Drml Mtrx 7|1,150.97
60040720|Gram Stain Smear|96
880045.2486|Grft Flexi Grantlink 10Mm X 70Mm|4,041.78
831511|Grft Full Thick Face/Hd/Ft <=20cm|1,334.00
831511|Grft Full Thick Face/Hd/Ft <=20cm|3,938.00
810486|Grft Full Thick Face/Hd/Ft <=20sq Cm|2,036.00
833174|Grft Full Thick Head Fac Ha Add 20sq|556
833153|Grft Full Thick Nose Ear Lid <=20 Sqcm|3,586.00
8104249|Grft Sft Tiss Autol Other Direct Excise|864
880045.2488|Grip Thunder Beat 5Mm|2,121.00
830843|Group Psychotherapy|66
60062750|Growth Hormone Human|210
60011880|Gtt 3 Spec + Dose|36
60011890|Gtt Each Add Spec|8
60019180|Gtt Spec + Dose|179
836210|Gua Sha Spoon Scraping Thpy 20 Min|86
8105186|Gua Sha Spoon Scraping Thpy 20 Min|52
890023.1212|Guaifenesin Liquid 100 MG/5ML|3.1
890023.9047|Guaifenesin Liquid 100 MG/5ML|3.29
890024|Guaifenesin Liquid 100 MG/5ML|3.1
890023.9047|Guaifenesin Tab ER 12HR 600 MG|3.1
890023.1211|Guaifenesin-Codeine Soln 100-10 MG/5ML|18.11
890023.1212|Guaifenesin-Codeine Soln 100-10 MG/5ML|3.1
890023.6031|Guaifenesin-Codeine Soln 100-10 MG/5ML|3.1
890023.2123|Guar Gum Packet|3.1
880039.2491|Guide & O-Ring Falope Ring Band|202.98
880045.2486|Guide Cut Kn|1,209.00
880095.2488|Guide Cut Kn|744
880039.9479|Guide Mini Drl Srg|618.12
880039.2493|Guide Std Ostm Ac-Ct Srg|190.89
880039.1475|Gw Escp .035In 260Cm Radopq Sd Ld Trq|565.1
880039.1145|Gw Escp .038In 260Cm Flxb Dist Tip Barrx|409.05
880045.2485|Gw Orth 1.25Mm Strl Lf Disp|335.19
880039.2488|Gw Orth 1.6Mm Perc Ss Drl Tip Periart|209.07
880039.5768|Gw Orth 1.6Mm Std Periart Ss Drl Tip|166.29
880045.1614|Gw Orth 1000Mm 3Mm T2 Fem Ti Ball Tip|367.5
880064.5757|Gw Orth 100Cm 2.4Mm Ss Smth Tip Strl|314.6
880064.2088|Gw Orth 100Cm 3Mm Ball Tip Ntr Nail Sys|382.02
880039.2734|Gw Orth 100Cm 3Mm Ntr Nail Ss Ball Tip|314.6
880064.2088|Gw Orth 100Cm 3Mm Ss Smth Tip Strl|260.4
880091.7716|Gw Orth 100Cm 3Mm Trdrp Ntr Nail Sys|469.41
880039.2485|Gw Orth 14In 2.4Mm Aperfix Clbrt Drl Tip|606
880091.1301|Gw Orth 230Mm 2.5Mm Lcp Dhhs Spd Thrd|168.17
880091.911|Gw Orth 230Mm 3.2Mm Vfx2 Clbrt Fem Fx|438.2
880039.33|Gw Orth 28In 2.2Mm Versanail Hum Unv|399.96
880091.616|Gw Orth 300Mm 2.8Mm Ss Thrd Troc Pnt|166.35
880064.2489|Gw Orth 60Cm 2Mm Smth Zml  Im|442.68
880064.2489|Gw Orth 60Cm 3.2Mm 5Mm Blt Tip Zml|613.8
880039.5024|Gw Orth 700Mm 2Mm Hdsn Ball Nose Hum|642.36
880045.2485|Gw Orth 70Cm 2.4Mm Mdn Hum Smth Tip|102.08
880039.5781|Gw Orth 70Cm 2.4Mm Zml Ball Tip Im Nail|550.55
880091.1249|Gw Orth 800Mm 3Mm T2 Ti Ball Tip Fem|291.82
880091.502|Gw Orth Ylw 150Mm 1.6Mm Ss Thrd Spd Pnt|130.01
880091.6622|Gw Uro 145Cm .035In Rdrr Pc Aq 2 Flx Tp|127.66
880091.477|Gw Uro 150Cm .035In Gldwr Std Uret Ntnl|118.06
880091.4655|Gw Uro 150Cm .035In Sens Dlflx 10Cm Uret|139.51
880091.1119|Gw Uro 150Cm .035In Zpwr Str Uret Ntnl|121.08
880039.8193|Gw Vasc Amp Spst .035In 145Cm 6Cm Str|87.22
880091.3535|Gwire Ang Flex .035In X 150Cm 3Cm Tip|147.02
880091.2496|Gwire Chan 1.2Mm|194.92
880049.4507|Gwire Str Flex 3Cm X 150Cm|147.66
814463|Gyn Medical and Surgical Daily|2,266.00
890022.649|Haemophilus B Polysaccharide Conj Vac IM Susp 7.5 MCG/0.5 ML|132.19
890022.5816|Haemophilus B Polysaccharide Conjugate Vac For Inj 10 MCG|74.5
SUP43280|Halo Trauma Kit Large|52
890022.6746|Haloperidol Lactate Inj 5 MG/ML|74.5
60010360|Haloperidol Level|98
890023.5108|Haloperidol Tab 0.5 MG|3.1
833723|Hammertoe Repair Unilat|1,860.00
800054|Hand 2 Vw|514
800077|Hand 3+ Vw|604
811257|Hand Held Nebulizer|88
60010700|Haptoglobin|285
835282|Harvest Cultured Skin Graft|257
8104466|Harvest Cultured Skin Graft =<100 Sq Cm|670
8101917|Hayl Deriv Gel 1 Intra Artc Inj Dos|1,923.27
810959|HC Biophys Profile Fetal Non Stress|258
810959|HC Biophys Profile Fetal Non Stress|505
810929|HC Circumcision|496
8101451|HC Conform Bndg Sterile>=5in per Yrd|4
810853|HC Diabetes Self Mgmt Skill Grp OP|83
8101652|HC Drsg Aquacel Silver 12in|112
8101653|HC Drsg Aquacel Silver 3.5inx9.75in|100
8101431|HC Lower Extremity Orthoses, Nos|16
811277|HC Mdi Treatment Init|224
811185|HC Office Outpt Visit Est Level 3|124
8101450|HC Slings|13
8101438|HC Splint Long Arm Fiberglass Adlt >=11 Yrs|43
8101439|HC Splint Long Arm Fiberglass Peds 0-10 Yrs|22
8101441|HC Splint Short Arm Fiberglas Adlt >=11 Yrs|38
8101442|HC Splint Short Arm Fiberglas Peds 0-10 Yrs|19
8101440|HC Splint Short Arm Plaster, Adult >=11 Yrs|21
8101448|HC Splint Short Leg Fiberglas Peds 0-10 Yrs|27
8101432|HC Surgical Boot/Shoe Ea|27
8101278|HC Surgical Tx Anal Fistula Subcut|1,620.00
803961|HC US Pelvic Doppler Complete|1,413.00
60069850|Hcg Beta|295
60010200|Hcg Beta Blood Tumor Marker|71
60010670|Hcg Blood Qualitative|200
60075290|Hcg Urine Qualitative|145
810440|Hchg Arterial Punc and Withdrawal|72
810440|Hchg Arterial Punc and Withdrawal|143
802716|Hchg Arthrocentesis Jt Intermediate|143
802716|Hchg Arthrocentesis Jt Intermediate|340
810098|Hchg Card Stress Test|1,573.00
810928|Hchg Cardiopulmonary Resuscitation Neonatal|1,688.00
810472|Hchg Emergency Dept Visit Level 2|541
810474|Hchg Emergency Dept Visit Level 3|974
810476|Hchg Emergency Dept Visit Level 4|1,623.00
810478|Hchg Emergency Dept Visit Level 5|2,421.00
800186|Hchg Mra Abdomen W/WO Contrast|4,000.00
800369|Hchg Mra Angio Upper Extremity|4,199.00
810530|Hchg Pacing External Temp|44
810575|Hchg Rpr Sclp/Trnk/Extrm Intrmd 2.6-7.5 Cm|1,014.00
60013350|Hdl Cholesterol|173
880095.1837|Head Biplr Hip Cmnt|3,348.00
880095.2426|Head Biplr Str Hip Por Stm Mlplr Cup|5,994.78
880045.2462|Head Fem +0Mm 12/14 28Mm Hip Al Cerm|1,597.16
880045.1809|Head Fem +0Mm 12/14 32Mm Hip Al Cerm|1,597.16
880045.2451|Head Fem +0Mm 12/14 32Mm Hip Metasul|2,328.24
880045.2451|Head Fem +0Mm 12/14 36Mm Hip Actb|2,483.96
880045.1243|Head Fem +0Mm 12/14 Med 36Mm Hip Actb|2,893.23
880095.3673|Head Fem +0Mm Tpr 22.25Mm Hip Cocr Eleos|2,582.26
880095.3673|Head Fem +0Mm Tpr 28Mm Hip Cocr Eleos|2,582.26
880095.3673|Head Fem +0Mm Tpr 32Mm Hip Cocr Eleos|2,582.26
880095.3673|Head Fem +0Mm Tpr 36Mm Hip Sup Fnsh Cocr|2,934.58
880045.2451|Head Fem +10.5Mm 12/14 32Mm Hip Actb|2,328.24
880045.2451|Head Fem +10.5Mm 12/14 36Mm Hip Actb|2,483.96
880095.3978|Head Fem +10.5Mm 12/14 40Mm Hip Cocr Cpt|1,403.37
880045.2451|Head Fem +10.5Mm 12/14 40Mm Metasul|2,483.96
880045.8256|Head Fem +10.5Mm 12/14 Tpr 28Mm Hip Cocr|580.32
880095.3673|Head Fem +10.5Mm Tpr 28Mm Hip Cocr Eleos|2,582.26
880045.1564|Head Fem +2.5Mm Ofst Tpr 36Mm Hip Blx D|2,458.92
880045.2462|Head Fem +3.5Mm 12/14 28Mm Hip Al Cerm|1,597.16
880045.2451|Head Fem +3.5Mm 12/14 32Mm Hip Actb|2,328.24
880045.2462|Head Fem +3.5Mm 12/14 32Mm Hip Al Cerm|1,597.16
880045.2451|Head Fem +3.5Mm 12/14 36Mm Hip Actb|2,483.96
880045.2458|Head Fem +3.5Mm 12/14 Lg 28Mm Hip Actb|2,468.22
880045.2484|Head Fem +3.5Mm 12/14 Tpr 28Mm Hip Blx D|3,460.72
880095.8254|Head Fem +3.5Mm 12/14 Tpr 28Mm Hip Zml|1,142.97
880095.1089|Head Fem +3.5Mm 12/14 Tpr 32Mm Hip Cocr|1,733.19
880045.2458|Head Fem +3.5Mm 12/14 Tpr 40Mm Hip Blx D|2,893.23
880045.2485|Head Fem +3.5Mm 12/14 Tpr 40Mm Hip Blx D|3,948.41
880095.3673|Head Fem +3.5Mm Tpr 22.25Mm Hip Cocr|2,582.26
880095.3673|Head Fem +3.5Mm Tpr 28Mm Hip Cocr Eleos|2,582.26
880095.3673|Head Fem +3.5Mm Tpr 32Mm Hip Cocr Eleos|2,582.26
880095.3673|Head Fem +3.5Mm Tpr 36Mm Hip Sup Fnsh|2,934.58
880045.2462|Head Fem +3Mm 12/14 26Mm Al|1,597.16
880045.351|Head Fem +3mm Ofst 40mm Hip Actb Ty 1|1,023.00
880045.3866|Head Fem +4Mm 12/14 Lg Tpr 44Mm Hip Drsl|1,966.02
880045.5562|Head Fem +4Mm 12/14 Tpr 32Mm Hip Cocr|771.04
880045.1635|Head Fem +5Mm Ofst Tpr 36Mm Hip Blx D|2,458.92
880045.4357|Head Fem +6Mm 11/13 Tpr 28Mm Hip Cocr Sr|1,860.00
880045.2451|Head Fem +7Mm 12/14 32Mm Hip Actb|2,328.24
880045.2451|Head Fem +7Mm 12/14 36Mm Hip Actb|2,483.96
880045.2451|Head Fem +7Mm 12/14 40Mm Hip Actb|2,483.96
880045.3738|Head Fem +7Mm 12/14 40Mm Hip Zml Vrsy|1,471.35
880095.3768|Head Fem +7Mm 12/14 Tpr 28Mm Hip Cocr|1,733.19
880039.1422|Head Fem +7Mm 12/14 Tpr 32Mm Hip Zml|1,410.31
880045.2485|Head Fem +7Mm 12/14 Xl 28Mm Hip Blx D|3,460.72
880045.2458|Head Fem +7Mm 12/14 Xl 36Mm Hip Actb Blx|3,303.36
880045.2867|Head Fem +7Mm 40Mm Hip Cocr Omnihip Strl|3,652.67
880095.3673|Head Fem +7Mm Tpr 28Mm Hip Cocr Eleos|2,582.26
880095.3673|Head Fem +7Mm Tpr 32Mm Hip Cocr Eleos|2,582.26
880095.3673|Head Fem +7Mm Tpr 36Mm Hip Sup Fnsh Cocr|2,934.58
880045.5559|Head Fem +8Mm 12/14 Tpr 32Mm Hip Cocr|771.04
880045.3559|Head Fem +9mm Ofst 40mm Hip Actb Ty 1|1,023.00
880045.2462|Head Fem 0Mm 12/14 26Mm Hip Al|1,597.16
880045.1181|Head Fem 0Mm 12/14 Med 32Mm Hip Actb Blx|2,468.22
880045.1618|Head Fem 0Mm 12/14 Tpr 28Mm Hip Actb Blx|2,468.22
880045.2685|Head Fem 0Mm 12/14 Tpr 28Mm Hip Blx D|3,460.72
880045.2458|Head Fem 0Mm 12/14 Tpr 40Mm Hip Blx D|2,615.31
880095.4003|Head Fem 0Mm 12/14 Tpr 40Mm Hip Cocr|1,607.04
880095.8253|Head Fem 0Mm 28Mm Hip Zml Vrsy Lgc|1,142.97
880045.8195|Head Fem 12/14 38Mm Hip Unplr Eprsth Zml|598.92
880045.8196|Head Fem 12/14 39Mm Hip Unplr Eprsth Zml|598.92
880045.8197|Head Fem 12/14 40Mm Hip Unplr Eprsth Zml|598.92
880045.1817|Head Fem 12/14 41Mm Hip Unplr Eprsth Zml|893.12
880095.8194|Head Fem 12/14 42Mm Hip Unplr Zml Vrsy|598.92
880045.1817|Head Fem 12/14 43Mm Hip Unplr Eprsth Zml|893.12
880045.1816|Head Fem 12/14 44Mm Hip Unplr Eprsth Zml|831.42
880045.1816|Head Fem 12/14 45Mm Hip Unplr Eprsth Zml|893.12
880045.1816|Head Fem 12/14 49Mm Hip Unplr Eprsth Zml|831.42
880045.1816|Head Fem 12/14 50Mm Hip Unplr Eprsth Zml|893.12
880045.1816|Head Fem 12/14 51Mm Hip Unplr Eprsth Zml|598.92
880045.617|Head Fem 12/14 52Mm Hip Unplr Eprsth Zml|731.91
880095.617|Head Fem 12/14 53Mm Hip Unplr Eprsth Zml|893.12
880045.617|Head Fem 12/14 54Mm Hip Unplr Eprsth Zml|893.12
880045.8214|Head Fem 12/14 57Mm Hip Unplr Eprsth Zml|598.92
880045.8212|Head Fem 12/14 60Mm Hip Unplr Eprsth Zml|598.92
880045.8213|Head Fem 12/14 63Mm Hip Unplr Eprsth Zml|598.92
880045.1292|Head Fem 12/14 Med Tpr 38Mm Hip Ntrl Nk|1,966.02
880045.3866|Head Fem 12/14 Med Tpr 44Mm Hip Ntrl Nk|1,966.02
880045.4065|Head Fem 12/14 Tpr 32Mm Hip Ntrl Nk Cocr|771.04
880045.3716|Head Fem -2Mm 12/14 Tpr 22Mm Hip Cocr|781.2
880045.2462|Head Fem -3.5Mm 12/14 28Mm Hip Al Cerm|1,597.16
880045.2451|Head Fem -3.5Mm 12/14 32Mm Hip Actb|2,328.24
880045.2572|Head Fem -3.5Mm 12/14 32Mm Hip Al Cerm|1,597.16
880045.2451|Head Fem -3.5Mm 12/14 36Mm Metasul|2,483.96
880045.1088|Head Fem -3.5Mm 12/14 Sm 28Mm Hip Actb|2,468.22
880045.8252|Head Fem -3.5Mm 12/14 Tpr 28Mm Hip Cocr|1,142.97
880095.2458|Head Fem -3.5Mm 12/14 Tpr 40Mm Hip Blx D|2,893.23
880095.2658|Head Fem -3.5Mm 12/14 Tpr 40Mm Hip Cocr|5,019.73
880095.1088|Head Fem -3.5Mm 32Mm Hip Cocr Vrsy|1,410.31
880045.2254|Head Fem -3.5Mm 36Mm Hip Cocr Vrsy|1,595.88
880095.3673|Head Fem -3.5Mm Tpr 28Mm Hip Cocr Eleos|2,582.26
880095.3673|Head Fem -3.5Mm Tpr 32Mm Hip Cocr Eleos|2,582.26
880095.3673|Head Fem -3.5Mm Tpr 36Mm Hip Sup Fnsh|2,934.58
880045.2462|Head Fem -3Mm 12/14 26Mm Al|1,597.16
880095.8089|Head Fem -3Mm 12/14 36Mm Hip Cocr Echln|2,570.15
880045.2591|Head Fem -3Mm 12/14 Tpr 28Mm Hip Blx D|3,460.72
880045.3922|Head Fem 48Mm Hip Birmingham Strl|8,400.63
880045.3866|Head Fem -4Mm 12/14 Sm Tpr 38Mm Hip Drsl|1,966.02
880045.3866|Head Fem -4Mm 12/14 Sm Tpr 44Mm Hip Drsl|1,966.02
880045.556|Head Fem -4Mm 12/14 Tpr 32Mm Hip Cocr|771.04
880095.4345|Head Fem 50Mm Hip Rsrfc Cocr Birmingham|10,291.12
880095.2352|Head Fem 54Mm Hip Rsrfc Cocr Birmingham|15,177.60
880045.1292|Head Fem 5D +4Mm 12/14 Lg 38Mm Hip|1,966.02
880045.1291|Head Fem 5D +8Mm 12/14 Xl 38Mm Hip|1,966.02
880045.2463|Head Fem 5D 38 L/+4 12/14 32Mm Hip|2,367.78
880045.2463|Head Fem 5D 38 M/0 12/14 32Mm Hip|2,367.78
880045.2463|Head Fem 5D 38 S/-4 12/14 32Mm Hip|2,367.78
880045.2463|Head Fem 5D 38 Xl/+8 12/14 32Mm Hip|2,367.78
880045.1292|Head Fem 5D -4Mm 12/14 Xs 38Mm Hip|1,966.02
880045.2241|Head Fem 6D +0Mm Sm 32Mm Hip Zml Cocr|807.76
880045.3913|Head Fem 6D +0Mm Sm 36Mm Hip Cocr Strl|1,507.72
880045.2668|Head Fem 6D +10.5Mm Med+ 32Mm Hip Cocr|807.76
880045.3914|Head Fem 6D +10.5Mm Med+ 36Mm Hip Cocr|1,507.72
880045.243|Head Fem 6D +14Mm Lg 32Mm Hip Cocr Strl|990.45
880045.3914|Head Fem 6D +14Mm Lg 36Mm Hip Zml Lgc|1,507.72
880045.3913|Head Fem 6D +3.5Mm Sm+ 32Mm Hip Cocr|807.76
880045.3914|Head Fem 6D +3.5Mm Sm+ 36Mm Hip Cocr|1,507.72
880045.243|Head Fem 6D +7Mm Med 32Mm Hip Zml Cocr|990.45
880045.3914|Head Fem 6D +7Mm Med 36Mm Hip Cocr Strl|1,507.72
880095.1224|Head Fem -6Mm Ofst 28Mm Hip Ty 1 Cocr G7|1,502.14
880045.3866|Head Fem -8Mm 12/14 Xs Tpr 44Mm Hip Drsl|1,966.02
880045.3806|Head Fem H Lg Dia 42Mm Hip Metasul Ldh|1,897.20
880045.236|Head Fem J 44Mm Hip Protasul-21Wf|1,897.20
880045.3807|Head Fem L 46Mm Hip Protasul-21Wf|1,897.20
880095.9859|Head Fem Lg Hip Stm Cup Nk Head Linr|10,323.00
880095.1963|Head Fem N Lg Dia 48Mm Hip Metasul Ldh|3,747.84
880095.3807|Head Fem P 50Mm Hip Protasul-21Wf|3,747.84
880095.3807|Head Fem R 52Mm Hip Protasul-21Wf|3,747.84
880095.1228|Head Fem Std Ofst 28Mm Hip Ty 1 Cocr G7|1,023.00
880045.1963|Head Fem T 54Mm Hip Protasul-21Wf|1,897.20
880045.2438|Head Fem V 56Mm Hip Protasul-21Wf|1,897.20
880095.2455|Head Glnd Std Shldr Trb Mtl Rvrs|9,672.00
880095.2432|Head Hum Shldr Rvrs Trb Mtl Hmsphr|6,510.00
880095.2425|Head Unplr Hip Fem|4,227.78
880095.2425|Head Unplr Hip Fx|3,357.30
880095.2455|Head Unplr Hip Mdlr|3,255.00
880095.2426|Head Unplr Hip Por Std Nk Eprsth|5,994.78
812224|Hearing Aid Check Binaural|90
812196|Hearing Aid Check Monaural|62
8104862|Hearing Aid Dig Bin Bte Basic Addl Fee|3,500.00
812261|Hearing Aid Dig Bin Bte High|5,500.00
8103795|Hearing Aid Dig Bin Bte High Addl Fee|5,900.00
812247|Hearing Aid Dig Bin Bte Low|3,900.00
8103792|Hearing Aid Dig Bin Bte Low Addl Fee|4,300.00
812257|Hearing Aid Dig Bin Bte Mid|4,700.00
8103793|Hearing Aid Dig Bin Bte Mid Addl Fee|5,100.00
8104861|Hearing Aid Dig Bin Ite Basic Addl Fee|3,500.00
812262|Hearing Aid Dig Bin Ite High|5,500.00
8103796|Hearing Aid Dig Bin Ite High Addl Fee|5,900.00
812246|Hearing Aid Dig Bin Ite Low|3,900.00
8103791|Hearing Aid Dig Bin Ite Low Addl Fee|4,300.00
812258|Hearing Aid Dig Bin Ite Mid|4,700.00
8103794|Hearing Aid Dig Bin Ite Mid Addl Fee|5,100.00
812269|Hearing Aid Dig Mon Bte High|2,800.00
812243|Hearing Aid Dig Mon Bte Low|2,000.00
812265|Hearing Aid Dig Mon Bte Mid|2,400.00
812270|Hearing Aid Dig Mon Ite High|2,800.00
812242|Hearing Aid Dig Mon Ite Low|2,000.00
812266|Hearing Aid Dig Mon Ite Mid|2,400.00
812283|Hearing Aid Digtl Binrl Ite Basic|3,100.00
812284|Hearing Aid Digtl Monrl Bte Basic|1,600.00
812287|Hearing Aid Digtl Monrl Ite Basic|1,600.00
814725|Hearing Aid Domes/Pkg 20-25|26
812198|Hearing Aid Ear Mold or Insert|152
812201|Hearing Aid Recase/Replate|294
812274|Hearing Aid Repair Advanced|295
812202|Hearing Aid Repair Minor|59
816840|Hearing Aid Replacement|350
814723|Hearing Aid Wax Guards|5
60062890|Heavy Metals Blood Quant|389
60064760|Helicobacter Pylori Antibody Igg|340
60084920|Helicobacter Pylori Antigen Stool|653
60020160|Hematocrit|66
60020150|Hemoglobin|75
60062850|Hemoglobin A1c|202
60062900|Hemoglobin Electrophoresis|126
60089030|Hemoglobin Electrophoresis I|98
60083930|Hemoglobin Serum|22
818482|Hemorrhoidctmy Ligtin Int 2+ Grp WO Img|1,061.00
833905|Hemorrhoidctmy Ligtin Int 2+ Grp WO Img|454
833905|Hemorrhoidctmy Ligtin Int 2+ Grp WO Img|1,098.00
835930|Hemorrhoidecmy by Dartlzj Intrnl 2+ W US|1,845.00
833600|Hemorrhoidectmy Ligation Int Sngl WO Img|1,021.00
834035|Hemorrhoidopexy by Stapling|1,878.00
60075470|Hemosiderin Urine|164
817446|Hepa Vaccine Adult|182.18
60065800|Heparin Assay|433
890022.6332|Heparin Sod (Porcine)-NaCl IV Soln 1000 Unit/500ML-0.9%,Heparin Sod (Porcine)-NaCl IV Soln 2000 Unit/L-0.9%|97.3
890022.6425|Heparin Sodium (Porcine) 10 Unit/ML in Sodium Chloride 0.9%,Heparin Sodium (Porcine) 10 Unit/ML in Sodium Chloride 0.9%,Heparin Sodium (Porcine) Lock Flush PF IV Soln 10 Unit/ML|74.5
890022.4095|Heparin Sodium (Porcine) 100 Unit/ML in D5W|97.3
890022.6332|Heparin Sodium (Porcine) Inj 5000 Unit/ML|74.5
890022.6332|Heparin Sodium (Porcine) Inj 5000 Unit/ML|74.5
890022.6425|Heparin Sodium (Porcine) Lock Flush IV Soln 100 Unit/ML,Heparin Sodium (Porcine) Lock Flush PF IV Soln 100 Unit/ML|97.3
890022.6425|Heparin Sodium (Porcine) Lock Flush IV Soln 100 Unit/ML,Heparin Sodium (Porcine) Lock Flush PF IV Soln 100 Unit/ML|97.3
832675|Hepatectomy Partial Lobectomy|11,413.00
60015770|Hepatic Function Panel|315
60010610|Hepatitis a Antibody|232
60010640|Hepatitis a Antibody Igm|194
813723|Hepatitis a Vaccine|139.4
890022.5816|Hepatitis A Vaccine Inj Susp 1440 EL Unit/ML|182.19
890022.5816|Hepatitis A Vaccine Inj Susp 720 EL Unit/0.5ML|139.4
60014860|Hepatitis B Core Antibody|216
60010590|Hepatitis B Core Antibody Igm|40
890022.698|Hepatitis B Immune Globulin (Human) IM Soln 312 Unit/ML|924.12
890022.7026|Hepatitis B Immune Globulin (Human) Inj Soln 312 Unit/ML|282.3
890022.7026|Hepatitis B Immune Globulin (Human) Inj Soln 312 Unit/ML|488.29
60014870|Hepatitis B Surface Antibody|179
60014850|Hepatitis B Surface Antigen|236
890022.5816|Hepatitis B Vaccine (Recombinant) Susp 20 MCG/ML,Hepatitis B Vaccine (Recombinant) Susp Pref Syr 20 MCG/ML|169.33
890022.5816|Hepatitis B Vaccine (Recombinant) Susp Pref Syr 10 MCG/0.5ML|129.84
812575|Hepatitis B Vaccine Adult Im|169.32
60067400|Hepatitis Be Antigen|179
60089970|Hepatitis C Amplified Probe|895
60010660|Hepatitis C Antibody|314
60063070|Hepatitis C Antibody W/Reflex Riba|423
60084550|Hepatitis C Genotype|818
60083150|Hepatitis C Rna Pcr Quant|779
60010860|Hepatitis Screen Acute|772
816849|Hepatobil Syst Image W/Drug|2,878.00
816848|Hepatobiliary System Imaging|2,384.00
60070260|Herpes Simplex 1 Antibody Igg|29
60062150|Herpes Simplex 2 Antibody Igg|29
60062140|Herpes Simplex 2 Antibody Igm|145
60071350|Herpes Simplex Antibody Igm Titer|261
60066341|Herpes Simplex Pcr I|100
813724|Hib 3 Dose|132.18
8103141|High Flow Supplies|371
8104677|High Flow V60 Supplies|277
60062060|Histone Antibody|94
60063250|Histoplasma|133
60063330|Histoplasma Antigen|351
60027040|Histoplasma Antigen Urine|510
60088350|Histoplasma I|55
60070271|Hiv-1 Ag W Hiv-1+Hiv-2 Ab|24
60026580|Hiv-1 Dna Pcr Qualitative|505
60070270|Hiv-1 Hiv-2 Antibody|48
60088700|Hiv-1 Hiv-2 Antibody Rapid|48
60084010|Hiv-1 Rna Pcr Quant|784
60064780|Hiv-1 Western Blot|260
60064840|Hiv-2 Antibody|105
880045.8912|Hldr Plate Bb-Tak Disp|96.3
880039.3525|Hmst Absb 2X1In Ltwt Lyr Tuft Srgcl|147.56
880045.433|Hmst Absb 8X4In Flxb Shr Wv Srgcl Strl|191.56
880039.2305|Hmst Absb Bionert Arista Ah Mph Plnt|513.34
880039.2305|Hmst Absb Bionert Arista Mph Plnt Strh 1|257.97
880064.1702|Hndl Scrdrvr Spctrm Crnl Taperlock|733.26
880039.3573|Hndpc Esurg 35cm 5mm Thunderbeat Frn|1,454.40
880045.2488|Hndpc Esurg 35Cm 5Mm Thunderbeat Pstl|2,121.00
880039.1602|Hndpc Esurg 36Cm Hrmn Crv Piezoelectric|2,711.85
880095.3672|Hng Tib Eleos W Rot Stp|6,659.17
880095.3672|Hng Tib Eleos W Rot Stp 1 Sz|6,659.17
60061010|Homocysteine Blood Quant|316
60049830|Homogenization Tissue|27
60062970|Homovanillic Acid Urine Timed|335
880039.3513|Hood Srg T7plus Plwy Face Shld Strl Lf|152.47
830643|Hosptl or Obs Disch Day Mgmt <=30 Min|147
830643|Hosptl or Obs Disch Day Mgmt <=30 Min|341
830651|Hosptl or Obs Disch Day Mgmt >30|345
830651|Hosptl or Obs Disch Day Mgmt >30|507
880039.1066|Hovermatt Pt Trans Aid 39In|255.43
833888|Hp Arthroplasty Ghj Hemiarthroplasty|5,945.00
833943|Hp Arthroscopy Knee|2,028.00
833940|Hp Arthroscopy Shldr Distal Clav|3,329.00
833938|Hp Arthroscopy Shldr Surg Debrd Ltd|2,825.00
833937|Hp Arthroscopy Shldr W Rmv Loose Body|2,882.00
833947|Hp Injection Mammary Duct|384
833948|Hp Nipple Exploration|1,664.00
833919|Hp Open Tx Radial Hd/Nk Fx W Prosth|3,596.00
833934|Hp Osteotomy,Any Phalanx,Any Toe|1,582.00
833918|Hp Radial Head Arthroplasty|3,131.00
833917|Hp Repair Elbow W/Debridement Open|2,563.00
833930|Hp Revise Replace Knee Joint 1 Component|6,954.00
833925|Hp Revise Total Hip Arthropl Acetabul|7,287.00
833899|Hp Shave Lesion Face 0.6 - 1.0cm|190
833900|Hp Shave Lesion Face 1.1-2.0cm|224
833961|Hp Stab Phlebect Vn >20 Stab Inc|2,790.00
833889|Hp Tx Disloc Acromioclav Open W Graft|3,214.00
833927|Hp Tx Fx Greater Trochanter Open|3,662.00
8102185|Hpv Virus Vaccine 9 Val Im|1,060.81
60083890|Htlv I II Antibody|222
890022.6412|Human Papillomavirus (HPV) 9-Valent Recomb Vac IM Susp|1,060.82
890022.6412|Human Papillomavirus (HPV) 9-Valent Recomb Vac Susp Pref Syr|1,060.82
800881|Humerus 2+ Vw|458
890022.5968|Hyaluronan Intra-articular Soln Prefilled Syringe 30 MG/2ML|864.61
8102198|Hyaluronan Monovisc Inj per Dose|2,273.28
8101268|Hyaluronan/Deriv Euflexxa Ia Inj Pd|543.43
60084330|Hyaluronic Acid Quant|391
890022.5489|Hyaluronidase Bovine Inj 150 Unit/ML|158.28
890022.1866|Hyaluronidase Human Inj 150 Unit/ML|158.28
890001.2421|Hyaluronidase Ovine Inj 200 Unit/ML|294
890022.2421|Hyaluronidase Ovine Inj 200 Unit/ML|314.14
890022.6332|Hydralazine HCl Inj 20 MG/ML|74.5
890023.5108|Hydralazine HCl Tab 10 MG|3.1
890023.6808|Hydralazine HCl Tab 10 MG|3.1
890023.9046|Hydralazine HCl Tab 10 MG|3.1
890023.9046|Hydralazine HCl Tab 25 MG|3.1
890023.293|Hydrochlorothiazide Cap 12.5 MG|3.1
890023.6069|Hydrochlorothiazide Tab 25 MG|3.1
890023.6669|Hydrocodone-Acetaminophen Soln 7.5-325 MG/15ML|3.96
890023.406|Hydrocodone-Acetaminophen Tab 10-325 MG|3.1
890023.406|Hydrocodone-Acetaminophen Tab 5-325 MG|3.1
890023.6808|Hydrocodone-Acetaminophen Tab 5-325 MG|3.1
890023.5027|Hydrocodone-Acetaminophen Tab 7.5-325 MG|3.1
890023.5747|Hydrocortisone Acetate Suppos 25 MG|32.2
890023.3768|Hydrocortisone Acetate w/ Pramoxine Perianal Foam 1-1%|491.88
890023.458|Hydrocortisone Cream 1%|6.28
890023.9048|Hydrocortisone Cream 1%|3.98
890023.168|Hydrocortisone Cream 2.5%|9.21
890023.316|Hydrocortisone Cream 2.5%|11.63
890023.6256|Hydrocortisone Enema 100 MG/60ML|73.15
890023.168|Hydrocortisone Oint 1%|16.77
890023.4721|Hydrocortisone Oint 1%|15.05
890023.6498|Hydrocortisone Perianal Cream 2.5%|55.49
890022.9001|Hydrocortisone Sodium Succinate PF For Inj 100 MG|74.5
890023.5976|Hydrocortisone Tab 10 MG|3.1
890022.4091|Hydromorphone HCl Inj 1 MG/ML|74.5
890022.4091|Hydromorphone HCl Inj 1 MG/ML|74.5
890022.7605|Hydromorphone HCl Inj 1 MG/ML|74.5
890022.4093|Hydromorphone HCl Inj 2 MG/ML|74.5
890023.4286|Hydromorphone HCl Tab 2 MG|3.1
60063391|Hydroxybutyrate Beta I|30
890023.5027|Hydroxychloroquine Sulfate Tab 200 MG|4.12
60084810|Hydroxyindolacetic Acid|340
60047420|Hydroxylase-21 Antibody|356
60063210|Hydroxyprogesterone 17-|297
890022.5515|Hydroxyprogesterone Caproate IM in Oil 250 MG/ML|1,455.83
890022.6924|Hydroxyprogesterone Caproate IM in Oil 250 MG/ML|671.61
890023.4988|Hydroxyurea Cap 500 MG|3.1
890022.5174|Hydroxyzine HCl IM Soln 25 MG/ML|74.5
890023.9047|Hydroxyzine HCl Tab 25 MG|3.1
890022.5847|Hylan G-F 20 Intra-articular Soln Prefilled Syr 48 MG/6ML|1,756.23
833771|Hymenectomy Simple Incision|79
833771|Hymenectomy Simple Incision|203
8101144|Hymenectomy Simple Incision|82
890023.4219|Hyoscyamine Sulfate Tab Disint 0.125 MG|3.1
SUP30343|Hypothermia Blanket|36
834311|Hyst Vag <=250gm W Repair Enterocele|3,743.00
834309|Hyst Vag <=250gm W Rmvl Tube Ov and Rpr|4,206.00
834307|Hyster Abd Ttl W Partial Vaginectomy|5,639.00
817627|Hyster Steril W/Bil Fallopian Cann|5,196.00
833823|Hyster Steril W/Bil Fallopian Cannulat|818
833823|Hyster Steril W/Bil Fallopian Cannulat|1,838.00
834310|Hyster Vag W Colpourethrocystopexy|4,482.00
834326|Hysterectomy After C-Section|2,083.00
834326|Hysterectomy After C-Section|2,455.00
833282|Hysterectomy Total Abdominal|4,252.00
8101181|Hysterocopy W Endo Bx|754
833819|Hysteroscopy Diagnostic|382
833819|Hysteroscopy Diagnostic|809
8101180|Hysteroscopy Diagnostic|610
817005|Hysteroscopy Endomet Ablation|4,636.00
833340|Hysteroscopy Endomet Ablation|707
833340|Hysteroscopy Endomet Ablation|1,456.00
833339|Hysteroscopy W Endo Bx|547
833339|Hysteroscopy W Endo Bx|1,134.00
833821|Hysteroscopy W Leiomyomata Remvl|2,328.00
833820|Hysteroscopy W Lysis Intraut Adhesions|1,455.00
833822|Hysteroscopy W Rem Impacted FB|1,234.00
834315|Hysteroscpy Division Intrauterine Septum|1,645.00
830632|Hysterosonography W/WO Color Doppler|84
810490|I and D Abcess Cyst Hematoma Dentoalveolar|422
812744|I and D Abscess Complex or Multiple|575
812744|I and D Abscess Complex or Multiple|580
810492|I and D Abscess Gland Bartholins|233
810492|I and D Abscess Gland Bartholins|242
812429|I and D Abscess Perianal|767
812393|I and D Abscess Perirectal|1,623.00
812393|I and D Abscess Perirectal|1,667.00
810493|I and D Abscess Smpl Sngl|349
810493|I and D Abscess Smpl Sngl|374
813171|I and D Abscess Vulva Perineal|192
813171|I and D Abscess Vulva Perineal|232
830366|I and D Bartholin Gland Abscess|165
830366|I and D Bartholin Gland Abscess|200
830366|I and D Bartholin Gland Abscess|387
830430|I and D Bursa Elbow Infected|786
831663|I and D Complex Post OP Wound|815
812745|I and D Cyst Pilonidal Simple|436
812745|I and D Cyst Pilonidal Simple|610
812746|I and D Hemorrhoid Thrombosed Externl|382
812746|I and D Hemorrhoid Thrombosed Externl|606
810495|I and D Pilonidal Cyst Cmplx|819
830580|I and D Pilonidal Cyst Smpl|173
830580|I and D Pilonidal Cyst Smpl|194
814478|I and D Rectal Submucosal Abscess|954
831683|I and D Rectal Submucosal Abscess|347
810491|I&D Abcess Finger Smpl|219
830579|I&D Abscess Complx or Mult Profee|422
830579|I&D Abscess Complx or Mult Profee|585
830579|I&D Abscess Complx or Mult Profee|876
831908|I&D Abscess Finger Complex|904
830427|I&D Abscess Perianal|213
830467|I&D Abscess Perirectal|924
830467|I&D Abscess Perirectal|1,112.00
830467|I&D Abscess Perirectal|1,883.00
816289|I&D Abscess Peritonsillar|491
830334|I&D Abscess Peritonsillar|1,232.00
830665|I&D Abscess Simple|61
830669|I&D Cyst Pilonidal Simple|194
810038|I&D Hematoma Seroma Fluid|447
810038|I&D Hematoma Seroma Fluid|514
830047|I&D Hemorrhoid Thrombosed Ext|171
830047|I&D Hemorrhoid Thrombosed Ext|250
830047|I&D Hemorrhoid Thrombosed Ext|487
830336|I&D of Vulva or Perineal Abscess|171
830336|I&D of Vulva or Perineal Abscess|209
830048|I&D Pilonidal Cyst Cmplx|401
890023.5058|Ibuprofen Susp 100 MG/5ML|6.7
890023.6809|Ibuprofen Susp 100 MG/5ML|3.1
890023.8888|Ibuprofen Susp 100 MG/5ML|3.1
890023.9048|Ibuprofen Tab 200 MG|3.1
814034|ICU Daily|6,561.00
816480|Icu/OB Recovery Room 0-30 Min|1,083.00
816481|Icu/OB Recovery Room 1 Hour|1,752.00
816482|Icu/OB Recovery Room 1 Hr 15 Min|2,418.00
816484|Icu/OB Recovery Room 1 Hr 45 Min|2,759.00
816485|Icu/OB Recovery Room 2 Hour|3,092.00
816486|Icu/OB Recovery Room 2 Hr 15 Min|3,421.00
816487|Icu/OB Recovery Room 2 Hr 30 Min|3,494.00
816488|Icu/OB Recovery Room 45 Min|1,416.00
832151|ID Abcess Hematoma Neck Thorax|1,078.00
832164|ID Abscess Hematoma Ankle|1,910.00
832162|ID Abscess Hematoma Thigh Knee|2,430.00
833404|ID Abscess Ischrectl Submusc W Fistultmy|1,897.00
832286|ID Abscess Pelvis/Hip Deep|2,170.00
830239|ID Abscess Smpl Sngl|201
830239|ID Abscess Smpl Sngl|210
830239|ID Abscess Smpl Sngl|467
832193|ID Epididymis Testis Scrotum|742
831477|ID Hematoma Seroma Fluid|273
831477|ID Hematoma Seroma Fluid|281
831477|ID Hematoma Seroma Fluid|579
890022.597|Idarucizumab IV Soln 2.5 GM/50ML|13,161.83
60064290|Ife Blood|285
60064310|Ife Urine|261
60010750|Iga Blood|115
60089850|Iga Blood I|115
60067920|IGD|78
60010870|IGE|335
60010800|Igg Blood|209
60010801|Igg Blood I|22
60010810|Igg CSF|11
60064240|Igg Subclasses|224
60010850|Igm Blood|335
60052880|Ihc 1st Stn Tc|583
60120040|Ihc Adtl Stn Each Tc II|95
832633|Ileostomy Jejunostomy Nontube|5,149.00
814574|Imadm Any Route 1st Vac/Tox|57
8102425|Imaging Myocardial Strain|795
835562|Img Guide Drain W Cath Sft Tiss Perc|367
8100866|Img Guide Drain W Cath Sft Tiss Perc|2,338.00
890023.6958|Imipramine HCl Tab 25 MG|3.1
SUP28709|Immobilizer Knee 19inch Universal|44
SUP28711|Immobilizer Knee 24inch Universal|51
SUP38380|Immobilizer Shoulder|37
SUP28710|Immobilzier Knee 22inch Universal|48
810873|Immuniz Admin 1 Sngl/Comb Vac/Toxoid|57
810873|Immuniz Admin 1 Sngl/Comb Vac/Toxoid|82
810874|Immuniz Admin Ea Addl Sngl/Comb Vac|57
816011|Immuniz Admin Intranasal/Oral 1 Vac/Tox|57
813075|Immuniz Admin Nasal Oral Ea Addl|57
60088180|Immunoassay Analyte Quantitative|178
60069880|Immunoglobulin|162
60052020|Immunohisto Tumor|419
60052021|Immunohisto Tumor Ea Tc Nl|419
60053400|Immunohistochemistry Each Ab|635
60053030|Immunoperoxidase|635
880105.6996|Impl Brst 9Cm Natrelle Mcghn P3Cm Mdrt|744
880045.2485|Impl Fem 24Mm 10Mm Aperfix Am Kn Insrtr|1,800.48
880045.2497|Impl Fem 24Mm 9Mm Aperfix Am Kn Insrtr|1,662.84
880045.2485|Impl Fem 29Mm 11Mm Aperfix Ii Peek-Optm|1,551.24
880045.2486|Impl Fem Mirr 46mm 2 Post Smtr|3,162.00
880045.2485|Impl Fem Mirr 50Mm 2 Post Smtr|3,162.00
880045.1263|Impl Fx 16Mm 1.1Mm Contr Mnsc Arw 96L/4D|280.97
880064.1067|Impl Fx 30Mm 10Mm Aperfix Ii Tib|833.28
880045.2485|Impl Fx 30Mm 11Mm Aperfix Ii Tib|803.52
880045.1829|Impl Fx 30mm 9mm Aperfix Ii Tib|833.28
880045.2485|Impl Fx 8Mm 3.4Mm 3Mm Toe 2 Stp Hmr|1,674.00
880142.2659|Impl Inj 1Ml Coaptite Syr Bulk Agnt|560.79
880039.4399|Impl Inj Cntgn Prurth Bvn Clgn Inj Clgn|650.91
880045.2367|Implt Artc Surf Flexfix Sz 9 46 X 74Mm|1,123.44
880045.2351|Implt Artc Surf Mold Sz Ab 3-4 14Mm|1,646.17
880045.3842|Implt Body Zmr Tapr Exten Off Xl 103Mm|5,856.40
880095.2489|Implt Fem Cr-Flex R Sz H|10,412.76
880045.2486|Implt Kn Fem Bear L Medial R Lat Sz 5|6,603.09
880045.1321|Implt Psn Asf Ps Ve L 10-11 Ef 12Mm|2,911.83
880045.1324|Implt Stem Tib Psn R 5Deg Sz J|3,099.69
802706|In III Oxyquinoline / 0.5 Mci|1,328.00
814573|Inadm Any Route Addl Vac/Tox <=18 Yrs|57
833720|Incise Finger Tendon Sheath|1,508.00
836235|Incision Deep Hand or Finger|1,703.00
813606|Incision Lingual Frenum|538
832287|Incision Lingual Frenum|124
833110|Incision of Tendon Sheath|1,633.00
890022.8128|Indigotindisulfonate Sodium IV Soln 8 MG/ML|502.48
890023.6363|Indomethacin Cap 25 MG|3.1
833844|Induced Abortion by 1 or More Supp|1,770.00
833446|Induced Abortion by D+C|703
835519|Induced Abortion by Vag Supp Dc Evac|2,080.00
835449|Inf Cont Epidural Cervical Thor WO Img|2,724.00
835451|Inf Cont Epidural Lumb Sacral WO Img|2,724.00
8104606|Inf or Inj Casirvimab and Imdevimab Admin|1,011.00
8104836|Inf or Inj Casirvimb Imdeimb Subsq Admin|1,011.00
890022.5789|Infliximab For IV Inj 100 MG|2,713.49
890022.7821|Infliximab-abda For IV Inj 100 MG|2,299.06
60064860|Influenza a Antibody|105
60072670|Influenza a or B Ag Rapid|166
60064870|Influenza B Antibody|105
60000160|Influenza Dna Amp Probe Multiple T|150
60045030|Influenza Pcr Multiple Types|150
890022.4928|Influenza Vac Split High-Dose Quad PF Susp Pref Syr 0.7 ML|257.82
890022.4928|Influenza Vac Split High-Dose Quad PF Susp Pref Syr 0.7 ML|257.82
890022.1952|Influenza Virus Vac Split Quadrivalent Susp Pref Syr 0.5ML|74.5
890022.1952|Influenza Virus Vac Split Quadrivalent Susp Pref Syr 0.5ML|74.5
811994|Inhalation Treatment W/Med|88
811994|Inhalation Treatment W/Med|172
811993|Inhalation Treatment W/Med Subsequent|161
60086640|Inhibin A|309
832010|Init Pm E/M New Pat 65 and Over|509
834525|Init Prev Exam Screen Ekg W Intr and Rpt|22
833753|Init Preventive Exam New Benef|507
834194|Init Prevnt Exam Scrn Ekg Interp Only|33
813050|Initial Hospital Care Levl II|145
830373|Initial Hospital or Obs Care Level I|220
830373|Initial Hospital or Obs Care Level I|479
830374|Initial Hospital or Obs Care Level II|299
830374|Initial Hospital or Obs Care Level II|645
830375|Initial Hospital or Obs Care Level III|444
830375|Initial Hospital or Obs Care Level III|953
830521|Inj Aa Strd Axillary Nerve W Img|2,421.00
832048|Inj Aa Strd Brachial Plexus Cont Infus W Img|3,937.00
832059|Inj Aa Strd Brachial Plexus Sngl W Img|2,421.00
830515|Inj Aa Strd Femoral Nerve Blk W Img|2,120.00
830522|Inj Aa Strd Femoral Nerve Cont Infus W Img|3,633.00
835931|Inj Aa Strd Genicular Nrv Branch W Img|2,120.00
830737|Inj Aa Strd Greater Occipitl Nrv|691
830737|Inj Aa Strd Greater Occipitl Nrv|1,594.00
818045|Inj Aa Strd Ilioinguinal Nerve|352
832411|Inj Aa Strd Ilioinguinal Nerve|301
832411|Inj Aa Strd Ilioinguinal Nerve|1,514.00
802768|Inj Aa Strd Intercostal Nerv Addl Lvl|457
802769|Inj Aa Strd Intercostal Nerve Sngl|217
830516|Inj Aa Strd Intercostal Nrve Sngl|127
830516|Inj Aa Strd Intercostal Nrve Sngl|1,514.00
830517|Inj Aa Strd Intercostl Nrve Blk Add|293
830517|Inj Aa Strd Intercostl Nrve Blk Add|2,421.00
811519|Inj Aa Strd Nerve Gr Occipital|486
814062|Inj Aa Strd Paracervical Nerve|276
833267|Inj Aa Strd Paracervical Nerve|166
811533|Inj Aa Strd Peripheral Nerve|168
811533|Inj Aa Strd Peripheral Nerve|486
830582|Inj Aa Strd Peripheral Nerve|80
830582|Inj Aa Strd Peripheral Nerve|428
830582|Inj Aa Strd Peripheral Nerve|1,514.00
830514|Inj Aa Strd Sciatic Nerve Cont Inf W Img|3,633.00
830518|Inj Aa Strd Sciatic Nerve W Img|2,120.00
830740|Inj Aa Strd Suprascapular Nerve|1,514.00
803145|Inj Contrast Eval Existing GI Tube|966
802773|Inj Contrast via Prev Catheter|273
8104270|Inj Durolane Intraarticular 1mg|1,436.61
8102673|Inj Epidural Lumbar Sacral W Img|2,627.00
813401|Inj Facet Jnt L/S 2nd Lvl|211
813652|Inj Facet Jnt L/S Sngl Lvl|1,376.00
801081|Inj for Sentinel Node ID|2,121.00
833951|Inj for Sentinel Node ID|201
8103414|Inj Hydroxyprogst Caproate Nos 10mg|26.41
813231|Inj Intralesional <= 7 Lesions|115
830722|Inj Intralesional Up to 7 Lesions|59
811099|Inj Lumb Epidur Blood/Clot Patch|3,716.00
831694|Inj Neurolytic Substance|328
817114|Inj Plasma Platelet Rich|362
835685|Inj Plasma Platelet Rich|293
802778|Inj Sacroiliac Joint|2,418.00
816074|Inj Scler Sol Mult Vns Same Leg|575
833515|Inj Scler Sol Mult Vns Same Leg|282
818040|Inj Sclerosing Soln Spider Vn Sngl Mult|339
834225|Inj Sclerosing Soln Spider Vn Sngl Mult|177
830504|Inj Sngl/Mult Trgr Pt>3 Mscl|129
833903|Inj Subq of Fill Material 1cc or Less|146
8100242|Inj Subq of Fill Material 1cc or Less|224
830796|Inj Tendon Sheath Ligamnt|129
810879|Inj Ther/Proph/Diag Subq/Im|120
810879|Inj Ther/Proph/Diag Subq/Im|135
810879|Inj Ther/Proph/Diag Subq/Im|137
811697|Inj Therapeutic Carpal Tunnel|185
830335|Inj Therapeutic Carpal Tunnel|144
814203|Inj Tndn Ligmnt Sngl Apnuros|154
814203|Inj Tndn Ligmnt Sngl Apnuros|355
830723|Inj Tndn Ligmnt Sngl Aponeurosis|129
830723|Inj Tndn Ligmnt Sngl Aponeurosis|175
803732|Inj Trans Nerve C or T Bilat Add|211
803624|Inj Trans Nerve C/T Sngl Bil|1,970.00
803731|Inj Trans Nerve L or S Bilat Add|843
803625|Inj Trans Nerve L/S Sngl Bilat|2,043.00
802780|Inj Transfor Epid Cer/Thor Sng|1,970.00
803075|Inj Transformal Nerve C/T Addl|211
803077|Inj Transformal Nerve L/S Addl|211
803076|Inj Transformal Nerve L/S Sngl|2,627.00
811102|Inj Trigger Point 1 or 2 Musc|71
811102|Inj Trigger Point 1 or 2 Musc|523
816356|Inj Trigger Point 1 or 2 Musc|145
830503|Inj Trigger Point 1 or 2 Musc|105
830503|Inj Trigger Point 1 or 2 Musc|115
815163|Inj Trigger Points >=3 Muscles|83
802783|Inject for Extremity Venogram|461
813139|Inject Tndn Origin Insert|155
802786|Injection Arthrogram Ankle|557
802787|Injection Arthrogram Elbow|557
802788|Injection Arthrogram Hip|720
802789|Injection Arthrogram Knee|720
802790|Injection Arthrogram Shoulder|722
802791|Injection Arthrogram Wrist|414
802794|Injection Cystogram|248
802800|Injection Hysterosalpingogram|281
802800|Injection Hysterosalpingogram|1,034.00
802803|Injection Mammary Duct|645
802804|Injection Myelogram Lumbar|728
802808|Injection Sialography|540
802809|Injection Sinus Tract|338
813318|Injection Tendon/Sheath/Ligamnt|155
813318|Injection Tendon/Sheath/Ligamnt|355
802812|Injection Urethrogram Retrogra|260
880039.3689|Injector Palagun Bone Cem App Strl Disp|144.45
830348|Inpatient or Obs Consult High V|653
830346|Inpatient or Obs Consult Low III|372
830347|Inpatient or Obs Consult Mod IV|538
830345|Inpatient or Obs Consult Strtfwd II|245
880045.1763|Ins Actb 49Mm 32Mm Std Hip Prm Drsl|2,806.74
880045.2464|Ins Actb 51Mm 28Mm Hip Cnstrn Drsl Epsln|4,956.71
880045.375|Ins Actb 51Mm 32Mm Std Hip Prm Drsl|2,806.74
880045.2882|Ins Actb 53Mm 28Mm Hip Cnstrn Drsl Epsln|4,956.71
880045.2464|Ins Actb 53Mm 32Mm Hip Prm Hood|3,725.58
880045.2464|Ins Actb 53Mm 32Mm Std Hip Prm|3,543.30
880045.3751|Ins Actb 53Mm 32Mm Std Hip Prm Drsl|2,806.74
880045.2464|Ins Actb 55Mm 32Mm Hip Cnstrn Drsl Epsln|4,956.71
880045.2464|Ins Actb 55Mm 32Mm Hip Prm Hood|3,725.58
880045.3857|Ins Actb 55Mm 32Mm Hip Prm Hood Drsl|2,962.98
880045.3867|Ins Actb 55Mm 32Mm Std Hip Prm Drsl|2,806.74
880045.1291|Ins Actb 55Mm 38Mm Std Hip Prm Drsl|3,228.96
880045.2464|Ins Actb 57Mm 32Mm Hip Cnstrn Drsl Epsln|4,956.71
880045.2464|Ins Actb 57Mm 32Mm Hip Prm Hood|3,725.58
880045.3857|Ins Actb 57Mm 32Mm Std Hip Prm|3,543.30
880045.1427|Ins Actb 57Mm 32Mm Std Hip Prm Drsl|2,806.74
880045.1291|Ins Actb 57Mm 38Mm Std Hip Prm Drsl|3,228.96
880045.122|Ins Actb 59Mm 32Mm Hip Cnstrn Drsl Epsln|4,956.71
880045.2464|Ins Actb 59Mm 32Mm Hip Prm Hood|3,725.58
880045.2464|Ins Actb 59Mm 32Mm Std Hip Prm|3,543.30
880045.3751|Ins Actb 59Mm 32Mm Std Hip Prm Drsl|2,806.74
880045.2272|Ins Actb 59Mm 38Mm Std Hip Prm Drsl|3,228.96
880045.2464|Ins Actb 61Mm 32Mm Hip Prm Hood|3,725.58
880045.2464|Ins Actb 61Mm 32Mm Std Hip Prm|3,543.30
880045.3867|Ins Actb 61Mm 32Mm Std Hip Prm Drsl|2,806.74
880045.2464|Ins Actb 61Mm 38Mm Hip Cnstrn Drsl Epsln|4,956.71
880045.1291|Ins Actb 61Mm 38Mm Std Hip Prm Drsl|3,228.96
880045.2463|Ins Actb 61Mm 44Mm Std Hip Prm Drsl|3,228.96
880045.2464|Ins Actb 63Mm 32Mm Hip Prm Hood|3,725.58
880045.2464|Ins Actb 63Mm 32Mm Std Hip Prm|3,543.30
880045.2463|Ins Actb 63Mm 32Mm Std Hip Prm Drsl|2,806.74
880045.2464|Ins Actb 63Mm 38Mm Hip Cnstrn Drsl Epsln|4,956.71
880045.2463|Ins Actb 63Mm 38Mm Std Hip Prm Drsl|3,228.96
880045.2463|Ins Actb 63Mm 44Mm Std Hip Prm Drsl|3,228.96
880045.2464|Ins Actb 65Mm 32Mm Hip Prm Hood|3,725.58
880045.2464|Ins Actb 65Mm 32Mm Std Hip Prm|3,543.30
880045.2463|Ins Actb 65Mm 32Mm Std Hip Prm Drsl|2,806.74
880045.3857|Ins Actb 65Mm 38Mm Hip Cnstrn Drsl Epsln|4,956.71
880045.3867|Ins Actb 65Mm 38Mm Std Hip Prm Drsl|3,228.96
880045.2463|Ins Actb 65Mm 44Mm Std Hip Prm Drsl|3,228.96
880045.2464|Ins Actb 67Mm 32Mm Hip Prm Hood|3,725.58
880045.2464|Ins Actb 67Mm 32Mm Std Hip Prm|3,543.30
880045.2463|Ins Actb 67Mm 32Mm Std Hip Prm Drsl|2,806.74
880045.2464|Ins Actb 67Mm 38Mm Hip Cnstrn Drsl Epsln|4,956.71
880045.2463|Ins Actb 67Mm 38Mm Std Hip Prm Drsl|3,228.96
880045.2463|Ins Actb 67Mm 44Mm Std Hip Prm Drsl|3,228.96
880045.2464|Ins Actb 69Mm 32Mm Hip Prm Hood|3,725.58
880045.2464|Ins Actb 69Mm 32Mm Std Hip Prm|3,543.30
880045.1069|Ins Actb 69Mm 32Mm Std Hip Prm Drsl|2,806.74
880045.3857|Ins Actb 69Mm 38Mm Hip Cnstrn Drsl Epsln|4,956.71
880045.2463|Ins Actb 69Mm 38Mm Std Hip Prm Drsl|3,228.96
880045.2463|Ins Actb 69Mm 44Mm Std Hip Prm Drsl|3,228.96
880045.2465|Ins Actb 71Mm 32Mm Hip Prm Hood|3,725.58
880045.2464|Ins Actb 71Mm 32Mm Std Hip Prm|3,543.30
880045.2463|Ins Actb 71Mm 32Mm Std Hip Prm Drsl|2,806.74
880045.2464|Ins Actb 71Mm 38Mm Hip Cnstrn Drsl Epsln|4,956.71
880045.2463|Ins Actb 71Mm 38Mm Std Hip Prm Drsl|3,228.96
880045.2463|Ins Actb 71Mm 44Mm Std Hip Prm Drsl|3,228.96
880045.2463|Ins Actb 73Mm 44Mm Std Hip Prm Drsl|3,228.96
880045.8047|Ins Actb 75Mm 44Mm Std Hip Prm Drsl|3,228.96
880045.2463|Ins Actb 77Mm 44Mm Std Hip Prm Drsl|3,228.96
880045.2463|Ins Actb 79Mm 44Mm Std Hip Prm Drsl|3,228.96
880045.2359|Ins Artc 1 11Mm Kn Uncmp Nt Mld Uhmwpe|1,173.36
880045.2359|Ins Artc 1 12Mm Kn Uncmp Nt Mld Uhmwpe|1,173.36
880045.2359|Ins Artc 1 14Mm Kn Uncmp Nt Mld Uhmwpe|1,173.36
880045.2359|Ins Artc 1 8Mm Kn Uncmp Nt Mld Uhmwpe Hi|1,173.36
880045.2359|Ins Artc 1 9Mm Kn Uncmp Nt Mld Uhmwpe Hi|1,417.32
880095.2424|Ins Artc 10-11 Ef 10Mm Kn Lt Post Stab|2,566.80
880095.1319|Ins Artc 10-11 Ef 10Mm Kn Rt Post Stab|2,566.80
880095.2424|Ins Artc 10-11 E-F 11Mm Kn Lt Ps Pe|2,566.80
880095.1319|Ins Artc 10-11 E-F 11Mm Kn Rt Ps Pe|2,566.80
880095.2424|Ins Artc 10-11 E-F 12Mm Kn Lt Ps Pe|2,566.80
880095.1319|Ins Artc 10-11 Ef 12Mm Kn Rt Post Stab|2,566.80
880095.2424|Ins Artc 10-11 E-F 13Mm Kn Lt Ps Pe|2,566.80
880045.1319|Ins Artc 10-11 E-F 13Mm Kn Rt Ps Pe|2,566.80
880095.2424|Ins Artc 10-11 E-F 14Mm Kn Lt Ps Pe|2,566.80
880095.1319|Ins Artc 10-11 E-F 14Mm Kn Rt Ps Pe|2,566.80
880095.2424|Ins Artc 10-11 E-F 16Mm Kn Lt Ps Pe|2,566.80
880045.1319|Ins Artc 10-11 E-F 16Mm Kn Rt Ps Pe|2,566.80
880095.2424|Ins Artc 10-11 E-F 18Mm Kn Lt Ps Pe|2,566.80
880045.1319|Ins Artc 10-11 E-F 18Mm Kn Rt Ps Pe|2,566.80
880045.2424|Ins Artc 10-11 E-F 20Mm Kn Lt Ps Pe|2,566.80
880045.1319|Ins Artc 10-11 E-F 20Mm Kn Rt Ps Pe|2,566.80
880095.2424|Ins Artc 10-12 Gh 10Mm Kn Lt Post Stab|2,566.80
880095.1319|Ins Artc 10-12 Gh 10Mm Kn Rt Post Stab|2,566.80
880095.1323|Ins Artc 10-12 Gh 10Mm Kn Rt Post Stab|2,911.83
880095.2424|Ins Artc 10-12 G-H 11Mm Kn Lt Ps Pe|2,566.80
880095.1319|Ins Artc 10-12 G-H 11Mm Kn Rt Post Stab|2,566.80
880095.2424|Ins Artc 10-12 G-H 12Mm Kn Lt Ps Pe|2,566.80
880095.1319|Ins Artc 10-12 G-H 12Mm Kn Rt Ps Pe|2,566.80
880095.2392|Ins Artc 10-12 Gh 12Mm Kn Rt Tib Mid Lvl|3,475.41
880095.2424|Ins Artc 10-12 G-H 13Mm Kn Lt Ps Pe|2,566.80
880095.1319|Ins Artc 10-12 G-H 13Mm Kn Rt Ps Pe|2,566.80
880095.2424|Ins Artc 10-12 Gh 14Mm Kn Lt Post Stab|2,566.80
880095.1319|Ins Artc 10-12 G-H 14Mm Kn Rt Ps Pe|2,566.80
880045.2424|Ins Artc 10-12 G-H 16Mm Kn Lt Ps Pe|2,566.80
880095.1319|Ins Artc 10-12 G-H 16Mm Kn Rt Ps Pe|2,566.80
880095.2424|Ins Artc 10-12 G-H 18Mm Kn Lt Ps Pe|2,566.80
880045.1319|Ins Artc 10-12 G-H 18Mm Kn Rt Ps Pe|2,566.80
880045.2424|Ins Artc 10-12 G-H 20Mm Kn Lt Ps Pe|2,566.80
880095.1319|Ins Artc 10-12 G-H 20Mm Kn Rt Ps Pe|2,566.80
880045.1324|Ins Artc 10-12 J 10Mm Kn Rt Post Stab|1,488.00
880095.1321|Ins Artc 10Mm Persona 10-12 Gh Kn Lt|1,488.00
880045.2351|Ins Artc 1-2 A-B 10Mm Kn Nt Mld Fx|1,181.17
880045.2351|Ins Artc 1-2 A-B 12Mm Kn Nt Mld Fx|1,646.17
880045.2351|Ins Artc 1-2 A-B 17Mm Kn Nt Mld Fx|1,646.17
880045.2351|Ins Artc 1-2 A-B 20Mm Kn Nt Mld Fx|1,646.17
880045.2351|Ins Artc 1-2 A-B 23Mm Kn Nt Mld Fx|1,646.17
880045.358|Ins Artc 1-2 A-B Mic 58X40X10Mm Kn Nt|1,063.92
880045.358|Ins Artc 1-2 A-B Mic 58X40X12Mm Kn Nt|1,063.92
880045.358|Ins Artc 1-2 A-B Mic 58X40X14Mm Kn Nt|1,063.92
880045.358|Ins Artc 1-2 A-B Mic 58X40X17Mm Kn Nt|1,171.80
880045.3581|Ins Artc 1-2 A-B Mic 58X40X20Mm Kn Nt|1,063.92
880045.3581|Ins Artc 1-2 A-B Mic 58X40X23Mm Kn Nt|1,063.92
880045.2488|Ins Artc 1-2 C-D 12Mm Kn Fx Brng Prlng|2,600.28
880045.2361|Ins Artc 1-2 C-D 23Mm Kn Nt Mld Fx|1,646.17
880045.2387|Ins Artc 1-2 C-D Mic 58X40X10Mm Kn Nt|1,181.17
880045.3727|Ins Artc 1-2 C-D Mic 58X40X10Mm Kn Rev|3,639.09
880045.2387|Ins Artc 1-2 C-D Mic 58X40X12Mm Kn Nt|1,181.17
880045.3727|Ins Artc 1-2 C-D Mic 58X40X12Mm Kn Rev|3,361.02
880045.2387|Ins Artc 1-2 C-D Mic 58X40X14Mm Kn Nt|1,181.17
880045.3726|Ins Artc 1-2 C-D Mic 58X40X14Mm Kn Rev|3,571.20
880045.2387|Ins Artc 1-2 C-D Mic 58X40X17Mm Kn Nt|1,181.17
880045.3726|Ins Artc 1-2 C-D Mic 58X40X17Mm Kn Rev|3,571.20
880045.2387|Ins Artc 1-2 C-D Mic 58X40X20Mm Kn Nt|1,063.92
880045.3726|Ins Artc 1-2 C-D Mic 58X40X20Mm Kn Rev|3,639.09
880045.2387|Ins Artc 1-2 C-D Mic 58X40X23Mm Kn Nt|1,063.92
880045.3726|Ins Artc 1-2 C-D Mic 58X40X23Mm Kn Rev|3,361.02
880045.3726|Ins Artc 1-2 C-D Mic 58X40X28Mm Kn Rev|1,601.46
880045.3726|Ins Artc 1-2 C-D Mic 58X40X33Mm Kn Rev|1,601.46
880045.3158|Ins Artc 1-2 C-H Std 58X40X12Mm Kn Prlng|2,589.12
880045.2446|Ins Artc 1-2 E 14Mm Kn Fx Brng Prlng|1,936.26
880045.2446|Ins Artc 1-2 E 20Mm Kn Fx Brng Prlng|1,936.26
880045.3385|Ins Artc 12 Gh 16mm Kn Rt Crcte Rtn|306.9
880045.2392|Ins Artc 12Mm Persona 6-9 Ef Kn Rt|3,475.41
880045.2457|Ins Artc 1-6 B 58X40X12Mm Kn Rot Hng|2,316.26
880045.2457|Ins Artc 1-6 B 58X40X14Mm Kn Rot Hng|2,316.26
880045.2457|Ins Artc 1-6 B 58X40X17Mm Kn Rot Hng|2,316.26
880045.2457|Ins Artc 1-6 B 58X40X20Mm Kn Rot Hng|2,316.26
880045.2457|Ins Artc 1-6 B 58X40X23Mm Kn Rot Hng|2,316.26
880045.2457|Ins Artc 1-6 B 58X40X26Mm Kn Rot Hng|2,316.26
880039.2359|Ins Artc 2 10Mm Kn Tib Uncmp Nt Mld|1,739.70
880038.2359|Ins Artc 2 11Mm Kn Uncmp Hi Flx Zm|1,739.70
880045.2359|Ins Artc 2 12Mm Kn Uncmp Nt Mld Uhmwpe|1,173.36
880045.2359|Ins Artc 2 14Mm Kn Uncmp Nt Mld Uhmwpe|1,173.36
880045.2487|Ins Artc 2 Kn Uncmp|1,830.24
880045.952|Ins Artc 25X40X10Mm Kn Ser 1 Uncmp Mach|858.76
880045.9521|Ins Artc 25X40X12Mm Kn Ser 1 Uncmp Mach|858.76
880045.9512|Ins Artc 25X40X14Mm Kn Ser 1 Uncmp Mach|858.76
880045.9519|Ins Artc 25X40X8Mm Kn Ser 1 Uncmp Mach|858.76
880045.2457|Ins Artc 2-6 C 64X40X12Mm Kn Rot Hng|2,316.26
880045.2457|Ins Artc 2-6 C 64X40X14Mm Kn Rot Hng|2,316.26
880045.2457|Ins Artc 2-6 C 64X40X17Mm Kn Rot Hng|2,316.26
880045.2457|Ins Artc 2-6 C 64X40X20Mm Kn Rot Hng|2,316.26
880045.2457|Ins Artc 2-6 C 64X40X23Mm Kn Rot Hng|2,316.26
880045.2457|Ins Artc 2-6 C 64X40X26Mm Kn Rot Hng|2,316.26
880045.9524|Ins Artc 27X44X10Mm Kn Ser 2 Uncmp Mach|915.12
880045.9525|Ins Artc 27X44X12Mm Kn Ser 2 Uncmp Mach|858.76
880045.9526|Ins Artc 27X44X14Mm Kn Ser 2 Uncmp Mach|858.76
880045.9522|Ins Artc 27X44X8Mm Kn Tib Uncmp Mach Mld|989.52
880045.2486|Ins Artc 3 11Mm Kn Tib Uncmp Vivacit-E|1,830.24
880045.236|Ins Artc 3 11Mm Kn Uncmp Nt Mld Uhmwpe|1,173.36
880095.236|Ins Artc 3 12Mm Kn Uncmp Nt Mld Uhmwpe|1,705.58
880045.236|Ins Artc 3 14Mm Kn Uncmp Nt Mld Uhmwpe|1,173.36
880039.2358|Ins Artc 3 8Mm Kn Uncmp Hi Flx Zm|1,739.70
880045.2487|Ins Artc 3 Kn Tib Uncmp Vivacit-E|1,173.36
880045.2487|Ins Artc 3 Kn Tib Uncmp Vivacit-E Zm|1,830.24
880045.9527|Ins Artc 30X48X10Mm Kn Tib Uncmp Mach|858.76
880045.9528|Ins Artc 30X48X12Mm Kn Tib Uncmp Mach|858.76
880045.953|Ins Artc 30X48X14Mm Kn S3 Uncmp Mach Mld|858.76
880045.9523|Ins Artc 30X48X8Mm Kn Tib Uncmp Mach Mld|915.12
880045.132|Ins Artc 3-11 Ef 14Mm Kn Lt Crcte Rtn|8,481.60
880045.9532|Ins Artc 32X52X10Mm Kn S4 Uncmp Mach Mld|858.76
880045.9529|Ins Artc 32X52X12Mm Kn S4 Uncmp Mach Mld|858.76
880045.9533|Ins Artc 32X52X14Mm Kn S4 Uncmp Mach Mld|858.76
880045.9531|Ins Artc 32X52X8Mm Kn S4 Uncmp Mach Mld|858.76
880045.2351|Ins Artc 3-4 A-B 10Mm Kn Nt Mld Fx|1,646.17
880045.2351|Ins Artc 3-4 A-B 12Mm Kn Nt Mld Fx|1,646.17
880045.2488|Ins Artc 3-4 A-B 14Mm Kn Fx Brng Prlng|2,600.28
880045.2351|Ins Artc 3-4 A-B 17Mm Kn Nt Mld Fx|1,646.17
880045.2351|Ins Artc 3-4 A-B 20Mm Kn Nt Mld Fx|1,646.17
880045.2351|Ins Artc 3-4 A-B 23Mm Kn Nt Mld Fx|1,646.17
880045.2387|Ins Artc 3-4 A-B Mic 66X42X10Mm Kn Nt|1,063.92
880045.2387|Ins Artc 3-4 A-B Mic 66X42X12Mm Kn Nt|1,171.80
880045.8068|Ins Artc 3-4 A-B Mic 66X42X14Mm Kn Nt|1,181.17
880045.2387|Ins Artc 3-4 A-B Mic 66X42X17Mm Kn Nt|1,063.92
880045.2388|Ins Artc 3-4 A-B Mic 66X42X20Mm Kn Nt|1,063.92
880045.2388|Ins Artc 3-4 A-B Mic 66X42X23Mm Kn Nt|1,063.92
880095.38|Ins Artc 3-4 C-D 12Mm Kn Fx Brng Prlng|2,189.22
880045.4344|Ins Artc 3-4 C-D 14Mm Kn Fx Brng Prlng|2,189.22
880045.1243|Ins Artc 3-4 C-D 20Mm Kn Fx Brng Prlng|2,111.17
880045.1503|Ins Artc 3-4 C-D 23Mm Kn Fx Brng Prlng|2,111.17
880045.2389|Ins Artc 3-4 C-D Std 66X42X12Mm Kn Nt|1,181.17
880045.2389|Ins Artc 3-4 C-D Std 66X42X14Mm Kn Nt|1,181.17
880045.8066|Ins Artc 3-4 C-D Std 66X42X17Mm Kn Nt|1,063.92
880045.617|Ins Artc 3-4 C-D Std 66X42X20Mm Kn Nt|1,116.00
880045.8067|Ins Artc 3-4 C-D Std 66X42X23Mm Kn Nt|1,063.92
880095.3175|Ins Artc 3-4 C-H 66X42X14Mm Kn Ant|1,822.80
880039.1379|Ins Artc 3-4 C-H Std 66X42X12Mm Kn Prlng|2,589.12
880095.3957|Ins Artc 3-4 C-H Std 66X42X14Mm Kn Prlng|3,572.32
880095.2982|Ins Artc 3-4 C-H Std 66x42x20Mm Kn Prlng|2,189.22
880095.4344|Ins Artc 3-4 E-F 10Mm Kn Fx Brng Prlng|2,189.22
880045.236|Ins Artc 3-4 E-F 12Mm Kn Fx Brng Prlng|2,189.22
880095.2606|Ins Artc 3-4 E-F 14Mm Kn Fx Brng Prlng|2,189.22
880045.1496|Ins Artc 3-4 E-F 17Mm Kn Fx Brng Prlng|2,189.22
880045.236|Ins Artc 3-4 E-F 20Mm Kn Fx Brng Prlng|2,111.17
880045.1088|Ins Artc 3-4 E-F 20Mm Kn Fx Nt Mld|1,887.01
880045.236|Ins Artc 3-4 E-F 23Mm Kn Fx Brng Prlng|2,111.17
880045.2361|Ins Artc 3-4 E-F 23Mm Kn Nt Mld Fx|1,887.01
880045.3725|Ins Artc 3-4 E-F 66X42X10Mm Kn Rev Mach|3,643.74
880045.3725|Ins Artc 3-4 E-F 66X42X12Mm Kn Rev Mach|3,571.20
880045.3725|Ins Artc 3-4 E-F 66X42X14Mm Kn Rev Mach|3,643.74
880045.138|Ins Artc 3-4 E-F 66X42X17Mm Kn Rev Mach|3,571.20
880045.3725|Ins Artc 3-4 E-F 66X42X20Mm Kn Rev Mach|3,571.20
880045.1374|Ins Artc 3-4 E-F 66X42X23Mm Kn Rev Mach|3,643.74
880045.3725|Ins Artc 3-4 E-F 66X42X28Mm Kn Rev Mach|1,601.46
880045.3726|Ins Artc 3-4 E-F 66X42X33Mm Kn Rev Mach|3,639.09
880045.2388|Ins Artc 3-4 E-F Std 66X42X10Mm Kn Nt|1,181.17
880045.2388|Ins Artc 3-4 E-F Std 66X42X12Mm Kn Nt|1,181.17
880045.2388|Ins Artc 3-4 E-F Std 66X42X14Mm Kn Nt|1,181.17
880045.2388|Ins Artc 3-4 E-F Std 66X42X17Mm Kn Nt|1,181.17
880045.2388|Ins Artc 3-4 E-F Std 66X42X20Mm Kn Nt|1,063.92
880045.2388|Ins Artc 3-4 E-F Std 66X42X23Mm Kn Nt|1,181.17
880045.2446|Ins Artc 3-4 G 10Mm Kn Fx Brng Prlng Ng|1,936.26
880045.2446|Ins Artc 3-4 G 12Mm Kn Fx Brng Prlng|1,936.26
880045.2446|Ins Artc 3-4 G 14Mm Kn Fx Brng Prlng|1,936.26
880045.2446|Ins Artc 3-4 G 17Mm Kn Fx Brng Prlng|1,936.26
880045.2446|Ins Artc 3-4 G 20Mm Kn Fx Brng Prlng|1,936.26
880095.2424|Ins Artc 3-5 C-D 10Mm Kn Lt Ps Pe|2,566.80
880095.1319|Ins Artc 3-5 C-D 10Mm Kn Rt Ps Pe|2,566.80
880095.2424|Ins Artc 3-5 C-D 11Mm Kn Lt Ps Pe|2,566.80
880095.1319|Ins Artc 3-5 C-D 11Mm Kn Rt Ps Pe|2,566.80
880095.2424|Ins Artc 3-5 C-D 12Mm Kn Lt Ps Pe|2,566.80
880095.1319|Ins Artc 3-5 C-D 12Mm Kn Rt Ps Pe|2,566.80
880045.2424|Ins Artc 3-5 C-D 13Mm Kn Lt Ps Pe|2,566.80
880095.1319|Ins Artc 3-5 C-D 13Mm Kn Rt Ps Pe|2,566.80
880095.2424|Ins Artc 3-5 C-D 14Mm Kn Lt Ps Pe|2,566.80
880095.1319|Ins Artc 3-5 C-D 14Mm Kn Rt Ps Pe|2,566.80
880095.2424|Ins Artc 3-5 C-D 16Mm Kn Lt Ps Pe|2,566.80
880045.1319|Ins Artc 3-5 Cd 16Mm Kn Rt Post Stab Pe|2,566.80
880045.2473|Ins Artc 3-5 C-D 18Mm Kn Lt Ps Pe|2,566.80
880045.1319|Ins Artc 3-5 C-D 18Mm Kn Rt Ps Pe|2,566.80
880045.2424|Ins Artc 3-5 C-D 20Mm Kn Lt Ps Pe|2,566.80
880045.1319|Ins Artc 3-5 C-D 20Mm Kn Rt Ps Pe|2,566.80
880045.2424|Ins Artc 3-5 E-F 10Mm Kn Lt Ps Pe|2,566.80
880045.1319|Ins Artc 3-5 E-F 10Mm Kn Rt Post Stab Pe|2,566.80
880045.2424|Ins Artc 3-5 E-F 11Mm Kn Lt Ps Pe|2,566.80
880045.1319|Ins Artc 3-5 E-F 11Mm Kn Rt Ps Pe|2,566.80
880045.2424|Ins Artc 3-5 E-F 12Mm Kn Lt Ps Pe|2,566.80
880095.1319|Ins Artc 3-5 E-F 12Mm Kn Rt Post Stab Pe|2,566.80
880045.2424|Ins Artc 3-5 E-F 13Mm Kn Lt Ps Pe|2,566.80
880045.1319|Ins Artc 3-5 E-F 13Mm Kn Rt Ps Pe|2,566.80
880095.2424|Ins Artc 3-5 E-F 14Mm Kn Lt Ps Pe|2,566.80
880045.1319|Ins Artc 3-5 E-F 14Mm Kn Rt Ps Pe|2,566.80
880045.2424|Ins Artc 3-5 E-F 16Mm Kn Lt Ps Pe|2,566.80
880045.1319|Ins Artc 3-5 E-F 16Mm Kn Rt Ps Pe|2,566.80
880045.2424|Ins Artc 3-5 E-F 18Mm Kn Lt Ps Pe|2,566.80
880045.1319|Ins Artc 3-5 E-F 18Mm Kn Rt Ps Pe|2,566.80
880045.2424|Ins Artc 3-5 E-F 20Mm Kn Lt Ps Pe|2,566.80
880045.1319|Ins Artc 3-5 E-F 20Mm Kn Rt Ps Pe|2,566.80
880045.9535|Ins Artc 35X56X10Mm Kn Ser 5 Uncmp Mach|858.76
880045.9537|Ins Artc 35X56X12Mm Kn Ser 5 Uncmp Mach|858.76
880045.9538|Ins Artc 35X56X14Mm Kn Ser 5 Uncmp Mach|858.76
880045.9534|Ins Artc 35X56X8Mm Kn Ser 5 Uncmp Mach|858.76
880045.2457|Ins Artc 3-6 D 70X40X12Mm Kn Rot Hng|2,316.26
880045.2457|Ins Artc 3-6 D 70X40X14Mm Kn Rot Hng|2,625.56
880045.2457|Ins Artc 3-6 D 70X40X17Mm Kn Rot Hng|3,454.02
880045.2457|Ins Artc 3-6 D 70X40X20Mm Kn Rot Hng|2,316.26
880045.2457|Ins Artc 3-6 D 70X40X23Mm Kn Rot Hng|2,316.26
880045.2457|Ins Artc 3-6 D 70X40X26Mm Kn Rot Hng|2,316.26
880095.132|Ins Artc 3-9 Cd 11Mm Kn Lt Cr Vivacit-E|2,911.83
880045.236|Ins Artc 4 12Mm Kn Tib Uncmp Nt Mld|1,173.36
880045.236|Ins Artc 4 14Mm Kn Uncmp Nt Mld Uhmwpe|1,173.36
880045.2487|Ins Artc 4 8Mm Kn Tib Uncmp Vivacit-E|1,173.36
880095.236|Ins Artc 4 8Mm Kn Uncmp Hi Flx Zm|1,739.70
880095.2488|Ins Artc 4 9Mm Kn Tib Uncmp Vivacit-E Zm|1,830.24
880095.1163|Ins Artc 4 9Mm Kn Uncmp Hi Flx|1,739.70
880045.3214|Ins Artc 4-5 E-f 10mm Kn Lt Vivacit-e|2,911.83
880095.2423|Ins Artc 4-6 E 10Mm Kn Mbl Mach Mld Pe|3,711.72
880045.2457|Ins Artc 4-6 E 74X44X12Mm Kn Rot Hng|2,316.26
880045.2457|Ins Artc 4-6 E 74X44X14Mm Kn Rot Hng|2,316.26
880045.2457|Ins Artc 4-6 E 74X44X17Mm Kn Rot Hng|2,316.26
880045.2457|Ins Artc 4-6 E 74X44X20Mm Kn Rot Hng|2,316.26
880045.2457|Ins Artc 4-6 E 74X44X23Mm Kn Rot Hng|2,316.26
880045.2457|Ins Artc 4-6 E 74X44X26Mm Kn Rot Hng|2,316.26
880095.236|Ins Artc 5 10Mm Kn Uncmp Nt Mld Uhmwpe|1,705.58
880095.2487|Ins Artc 5 11Mm Kn Tib Uncmp Vivacit-E|1,830.24
880045.236|Ins Artc 5 11Mm Kn Uncmp Nt Mld Uhmwpe|1,173.36
880045.236|Ins Artc 5 12Mm Kn Uncmp Nt Mld Uhmwpe|1,173.36
880045.236|Ins Artc 5 14Mm Kn Uncmp Nt Mld Uhmwpe|1,173.36
880045.2487|Ins Artc 5 8Mm Kn Tib Uncmp Vivacit-E|1,830.24
880095.236|Ins Artc 5 8Mm Kn Uncmp Hi Flx|1,705.58
880045.236|Ins Artc 5-6 C-D 10Mm Kn Fx Brng Prlng|2,111.17
880045.2361|Ins Artc 5-6 C-D 10Mm Kn Fx Nt Mld|1,646.17
880045.236|Ins Artc 5-6 C-D 12Mm Kn Fx Brng Prlng|2,111.17
880045.2361|Ins Artc 5-6 C-D 12Mm Kn Fx Nt Mld|1,646.17
880045.236|Ins Artc 5-6 C-D 14Mm Kn Fx Brng Prlng|2,111.17
880045.236|Ins Artc 5-6 C-D 17Mm Kn Fx Brng Prlng|2,111.17
880045.2361|Ins Artc 5-6 C-D 17Mm Kn Fx Nt Mld|1,646.17
880045.236|Ins Artc 5-6 C-D 20Mm Kn Fx Brng Prlng|2,111.17
880045.2361|Ins Artc 5-6 C-D 20Mm Kn Nt Mld Fx|1,646.17
880045.236|Ins Artc 5-6 C-D 23Mm Kn Fx Brng Prlng|2,111.17
880045.2361|Ins Artc 5-6 C-D 23Mm Kn Nt Mld Fx|1,646.17
880045.2386|Ins Artc 5-6 C-D Std 74X46X10Mm Kn Nt|1,063.92
880045.2386|Ins Artc 5-6 C-D Std 74X46X12Mm Kn Nt|1,063.92
880045.2386|Ins Artc 5-6 C-D Std 74X46X14Mm Kn Nt|1,063.92
880045.2386|Ins Artc 5-6 C-D Std 74X46X17Mm Kn Nt|1,063.92
880045.2386|Ins Artc 5-6 C-D Std 74X46X20Mm Kn Nt|1,063.92
880045.2387|Ins Artc 5-6 C-D Std 74X46X23Mm Kn Nt|1,063.92
880045.1628|Ins Artc 5-6 C-H Std 74X46X10Mm Kn Prlng|2,589.12
880095.1391|Ins Artc 5-6 C-H Std 74X46X14Mm Kn Prlng|3,572.32
880045.2488|Ins Artc 5-6 C-H Std 74X46X17Mm Kn Prlng|2,589.12
880095.4344|Ins Artc 5-6 E-F 10Mm Kn Fx Brng Prlng|3,572.32
880095.236|Ins Artc 5-6 E-F 12Mm Kn Fx Brng Prlng|2,189.22
880095.236|Ins Artc 5-6 E-F 14Mm Kn Fx Brng Prlng|2,189.22
880045.1362|Ins Artc 5-6 E-F 17Mm Kn Fx Brng Prlng|2,111.17
880045.1094|Ins Artc 5-6 E-F 20Mm Kn Fx Brng Prlng|2,111.17
880045.2361|Ins Artc 5-6 E-F 20Mm Kn Fx Nt Mld|1,887.01
880045.236|Ins Artc 5-6 E-F 23Mm Kn Fx Brng Prlng|2,111.17
880045.2361|Ins Artc 5-6 E-F 23Mm Kn Nt Mld Fx|2,444.04
880045.6167|Ins Artc 5-6 E-F 74X46X12Mm Kn Rev Mach|3,643.74
880045.6167|Ins Artc 5-6 E-F 74X46X14Mm Kn Rev Mach|3,643.74
880045.4528|Ins Artc 5-6 E-F 74X46X17Mm Kn Rev Mach|3,643.74
880045.617|Ins Artc 5-6 E-F Std 74X46X10Mm Kn Nt|1,181.17
880045.358|Ins Artc 5-6 E-F Std 74X46X12Mm Kn Nt|1,181.17
880045.358|Ins Artc 5-6 E-F Std 74X46X14Mm Kn Nt|1,181.17
880045.358|Ins Artc 5-6 E-F Std 74X46X17Mm Kn Nt|1,181.17
880045.8078|Ins Artc 5-6 E-F Std 74X46X20Mm Kn Nt|1,065.41
880045.2457|Ins Artc 5-6 F 77X44X12Mm Kn Rot Hng|3,454.02
880045.2457|Ins Artc 5-6 F 77X44X14Mm Kn Rot Hng|2,316.26
880045.2457|Ins Artc 5-6 F 77X44X17Mm Kn Rot Hng|2,316.26
880045.2457|Ins Artc 5-6 F 77X44X20Mm Kn Rot Hng|2,316.26
880045.1974|Ins Artc 5-6 F 77X44X23Mm Kn Rot Hng|2,316.26
880045.2457|Ins Artc 5-6 F 77X44X26Mm Kn Rot Hng|2,316.26
880045.3726|Ins Artc 5-6 G 74X46X10Mm Kn Rev Mach|3,643.74
880045.3726|Ins Artc 5-6 G 74X46X12Mm Kn Rev Mach|3,643.74
880045.3727|Ins Artc 5-6 G 74X46X14Mm Kn Rev Mach|3,643.74
880045.3727|Ins Artc 5-6 G 74X46X17Mm Kn Rev Mach|3,643.74
880045.3727|Ins Artc 5-6 G 74X46X20Mm Kn Rev Mach|3,639.09
880045.3727|Ins Artc 5-6 G 74X46X23Mm Kn Rev Mach|3,361.02
880045.3727|Ins Artc 5-6 G 74X46X28Mm Kn Rev Mach|1,601.46
880045.3727|Ins Artc 5-6 G 74X46X33Mm Kn Rev Mach|2,817.53
880045.236|Ins Artc 5-6 G-H 10Mm Kn Fx Brng Prlng|2,189.22
880095.236|Ins Artc 5-6 G-H 12Mm Kn Fx Brng Prlng|2,189.22
880045.1428|Ins Artc 5-6 G-H 14Mm Kn Fx Brng Prlng|2,189.22
880045.2361|Ins Artc 5-6 G-H 17Mm Kn Fx Brng Prlng|2,189.22
880045.2361|Ins Artc 5-6 G-H 20Mm Kn Fx Brng Prlng|2,111.17
880045.2361|Ins Artc 5-6 G-H 20Mm Kn Fx Nt Mld|1,887.01
880045.236|Ins Artc 5-6 G-H 23Mm Kn Fx Brng Prlng|3,393.57
880045.2361|Ins Artc 5-6 G-H 23Mm Kn Nt Mld Fx|1,646.17
880045.3724|Ins Artc 5-6 G-H Std 74X46X10Mm Kn Nt|1,181.17
880045.3724|Ins Artc 5-6 G-H Std 74X46X12Mm Kn Nt|1,181.17
880045.3724|Ins Artc 5-6 G-H Std 74X46X14Mm Kn Nt|1,181.17
880045.3724|Ins Artc 5-6 G-H Std 74X46X17Mm Kn Nt|1,116.00
880045.3725|Ins Artc 5-6 G-H Std 74X46X20Mm Kn Nt|1,123.44
880045.3725|Ins Artc 5-6 G-H Std 74X46X23Mm Kn Nt|1,181.17
880045.2699|Ins Artc 5-6 Rt Cr Xlpe Journey Ii|4,872.01
880045.2487|Ins Artc 6 10Mm Kn Tib Uncmp Vivacit-E|1,830.24
880045.236|Ins Artc 6 10Mm Kn Uncmp Nt Mld Uhmwpe|1,173.36
880045.236|Ins Artc 6 12Mm Kn Uncmp Nt Mld Uhmwpe|1,173.36
880045.236|Ins Artc 6 14Mm Kn Uncmp Nt Mld Uhmwpe|1,173.36
880095.236|Ins Artc 6 9Mm Kn Uncmp Nt Mld Uhmwpe Hi|1,705.58
880045.3313|Ins Artc 6-7 13mm Kn Crcte Rtn Vivacit-e|2,911.83
880045.2902|Ins Artc 6-7 C-D 11Mm Kn Lt Vivacit-E|1,832.10
880045.2628|Ins Artc 6-7 C-D 11Mm Kn Rt Vivacit-E|2,911.83
880045.2935|Ins Artc 6-7 Ef 10Mm Kn Lt Crcte Rtn|2,911.83
880045.2734|Ins Artc 6-7 E-F 10Mm Kn Rt Vivacit-E|2,911.83
880045.2734|Ins Artc 6-7 Ef 11Mm Kn Rt Vivacit-E|2,911.83
880095.294|Ins Artc 6-7 Ef 12Mm Kn Rt Vivacit-E|2,911.83
880095.2424|Ins Artc 6-9 Cd 10Mm Kn Lt Post Stab Pe|2,566.80
880095.1323|Ins Artc 6-9 Cd 10Mm Kn Rt Fx Brng Post|1,488.00
880095.1319|Ins Artc 6-9 Cd 10Mm Kn Rt Post Stab Pe|2,566.80
880095.2424|Ins Artc 6-9 Cd 11Mm Kn Lt Post Stab Pe|2,566.80
880095.1319|Ins Artc 6-9 Cd 11Mm Kn Rt Post Stab Pe|2,566.80
880095.2424|Ins Artc 6-9 Cd 12Mm Kn Lt Post Stab Pe|2,566.80
880095.1319|Ins Artc 6-9 C-D 12Mm Kn Rt Post Stab Pe|2,566.80
880095.2424|Ins Artc 6-9 C-D 13Mm Kn Lt Ps Pe|2,566.80
880095.1319|Ins Artc 6-9 C-D 13Mm Kn Rt Ps Pe|2,566.80
880095.2424|Ins Artc 6-9 C-D 14Mm Kn Lt Ps Pe|2,566.80
880095.1319|Ins Artc 6-9 Cd 14Mm Kn Rt Post Stab Pe|2,566.80
880045.2392|Ins Artc 6-9 Cd 14Mm Kn Rt Tib Mid Lvl|3,475.41
880045.2424|Ins Artc 6-9 C-D 16Mm Kn Lt Ps Pe|2,566.80
880095.1319|Ins Artc 6-9 C-D 16Mm Kn Rt Ps Pe|2,566.80
880045.2424|Ins Artc 6-9 C-D 18Mm Kn Lt Ps Pe|2,566.80
880045.1319|Ins Artc 6-9 C-D 18Mm Kn Rt Ps Pe|2,566.80
880045.2424|Ins Artc 6-9 C-D 20Mm Kn Lt Ps Pe|2,566.80
880045.1319|Ins Artc 6-9 C-D 20Mm Kn Rt Ps Pe|2,566.80
880095.2424|Ins Artc 6-9 E-F 10Mm Kn Lt Post Stab Pe|2,566.80
880045.1323|Ins Artc 6-9 Ef 10Mm Kn Rt Post Stab|2,911.83
880095.1319|Ins Artc 6-9 Ef 10Mm Kn Rt Post Stab Pe|2,566.80
880095.2424|Ins Artc 6-9 Ef 11Mm Kn Lt Post Stab Pe|2,566.80
880095.1323|Ins Artc 6-9 Ef 11Mm Kn Rt Post Stab|2,911.83
880095.1319|Ins Artc 6-9 E-F 11Mm Kn Rt Ps Pe|2,566.80
880095.2424|Ins Artc 6-9 Ef 12Mm Kn Lt Post Stab Pe|2,566.80
880095.1319|Ins Artc 6-9 E-F 12Mm Kn Rt Ps Pe|2,566.80
880095.2424|Ins Artc 6-9 Ef 13Mm Kn Lt Post Stab Pe|2,566.80
880095.1319|Ins Artc 6-9 E-F 13Mm Kn Rt Ps Pe|2,566.80
880095.2424|Ins Artc 6-9 E-F 14Mm Kn Lt Ps Pe|2,566.80
880095.1319|Ins Artc 6-9 E-F 14Mm Kn Rt Ps Pe|2,566.80
880095.1321|Ins Artc 6-9 Ef 16Mm Kn Lt Post Stab|3,459.60
880095.2424|Ins Artc 6-9 E-F 16Mm Kn Lt Ps Pe|2,566.80
880095.1319|Ins Artc 6-9 E-F 16Mm Kn Rt Ps Pe|2,566.80
880095.2424|Ins Artc 6-9 E-F 18Mm Kn Lt Ps Pe|2,566.80
880095.1319|Ins Artc 6-9 E-F 18Mm Kn Rt Ps Pe|2,566.80
880045.2424|Ins Artc 6-9 E-F 20Mm Kn Lt Ps Pe|2,566.80
880045.1319|Ins Artc 6-9 E-F 20Mm Kn Rt Ps Pe|2,566.80
880095.2424|Ins Artc 6-9 Gh 10Mm Kn Lt Post Stab Pe|2,566.80
880095.1319|Ins Artc 6-9 G-H 10Mm Kn Rt Ps Pe|2,566.80
880095.2424|Ins Artc 6-9 G-H 11Mm Kn Lt Ps Pe|2,566.80
880095.1319|Ins Artc 6-9 G-H 11Mm Kn Rt Ps Pe|2,566.80
880095.2424|Ins Artc 6-9 G-H 12Mm Kn Lt Ps Pe|2,566.80
880095.1319|Ins Artc 6-9 G-H 12Mm Kn Rt Ps Pe|2,566.80
880045.2424|Ins Artc 6-9 G-H 13Mm Kn Lt Ps Pe|2,566.80
880095.1319|Ins Artc 6-9 G-H 13Mm Kn Rt Ps Pe|2,566.80
880045.2424|Ins Artc 6-9 G-H 14Mm Kn Lt Ps Pe|2,566.80
880095.1319|Ins Artc 6-9 G-H 14Mm Kn Rt Ps Pe|2,566.80
880045.2424|Ins Artc 6-9 G-H 16Mm Kn Lt Ps Pe|2,566.80
880095.1319|Ins Artc 6-9 G-H 16Mm Kn Rt Ps Pe|2,566.80
880045.2424|Ins Artc 6-9 G-H 18Mm Kn Lt Ps Pe|2,566.80
880045.1319|Ins Artc 6-9 G-H 18Mm Kn Rt Ps Pe|2,566.80
880045.2424|Ins Artc 6-9 G-H 20Mm Kn Lt Ps Pe|2,566.80
880045.1319|Ins Artc 6-9 G-H 20Mm Kn Rt Ps Pe|2,566.80
880095.3957|Ins Artc 7-10 C-H Std 82X51X12Mm Kn|3,643.76
880095.7567|Ins Artc 7-10 E-F 10Mm Kn Fx Brng Prlng|3,572.32
880045.2361|Ins Artc 7-10 E-F 14Mm Kn Fx Brng Prlng|2,189.22
880045.2361|Ins Artc 7-10 Ef 14Mm Kn Nt Mld Fx|1,181.17
880045.1236|Ins Artc 7-10 E-F 17Mm Kn Fx Brng Prlng|2,013.71
880045.2361|Ins Artc 7-10 E-F 17Mm Kn Fx Nt Mld|1,887.01
880045.2361|Ins Artc 7-10 E-F 20Mm Kn Fx Brng Prlng|2,111.17
880045.2361|Ins Artc 7-10 E-F 20Mm Kn Fx Nt Mld|1,646.17
880045.2361|Ins Artc 7-10 E-F 23Mm Kn Fx Brng Prlng|2,111.17
880045.2361|Ins Artc 7-10 E-F 23Mm Kn Nt Mld Fx|1,646.17
880045.2386|Ins Artc 7-10 E-F Std 82X50X10Mm Kn Nt|1,181.17
880045.2386|Ins Artc 7-10 E-F Std 82X50X12Mm Kn Nt|1,171.80
880045.2386|Ins Artc 7-10 E-F Std 82X50X14Mm Kn Nt|1,063.92
880045.808|Ins Artc 7-10 E-F Std 82X50X17Mm Kn Nt|1,063.92
880045.2386|Ins Artc 7-10 E-F Std 82X50X20Mm Kn Nt|1,063.92
880045.2386|Ins Artc 7-10 E-F Std 82X50X23Mm Kn Nt|1,063.92
880095.112|Ins Artc 7-10 G-H 10Mm Kn Fx Brng Prlng|2,189.22
880045.2361|Ins Artc 7-10 G-H 14Mm Kn Fx Brng Prlng|2,189.22
880045.2361|Ins Artc 7-10 G-H 17Mm Kn Fx Brng Prlng|2,111.17
880045.2361|Ins Artc 7-10 G-H 17Mm Kn Fx Nt Mld|2,444.04
880045.2361|Ins Artc 7-10 G-H 20Mm Kn Fx Nt Mld|1,181.17
880045.2361|Ins Artc 7-10 G-H 20Mm Kn Fx Prlng Ng|2,111.17
880045.2361|Ins Artc 7-10 G-H 23Mm Kn Fx Brng Prlng|2,111.17
880045.2361|Ins Artc 7-10 G-H 23Mm Kn Nt Mld Fx|1,814.43
880045.1416|Ins Artc 7-10 G-H 82X50X12Mm Kn Rev Mach|3,571.20
880045.3579|Ins Artc 7-10 G-H Std 82X50X10Mm Kn Nt|1,171.80
880045.3579|Ins Artc 7-10 G-H Std 82X50X12Mm Kn Nt|1,181.17
880045.3579|Ins Artc 7-10 G-H Std 82X50X14Mm Kn Nt|1,171.80
880045.3579|Ins Artc 7-10 G-H Std 82X50X17Mm Kn Nt|1,063.92
880045.358|Ins Artc 7-10 G-H Std 82X50X20Mm Kn Nt|1,063.92
880045.358|Ins Artc 7-10 G-H Std 82X50X23Mm Kn Nt|1,063.92
880045.132|Ins Artc 7-12 Gh 12Mm Kn Lt Cr Vivacit-E|2,911.83
880095.3226|Ins Artc 8-11 11mm Kn Crcte Rtn|2,910.90
880045.2666|Ins Artc 8-11 E-F 10Mm Kn Lt Vivacit-E|2,911.83
880045.2644|Ins Artc 8-11 E-F 10Mm Kn Rt Vivacit-E|2,911.83
880045.2712|Ins Artc 8-11 G-H 10Mm Kn Lt Vivacit-E|2,911.83
880045.3357|Ins Artc 8-11 G-h 11mm Kn Rt Vivacit-e|2,910.90
880045.3357|Ins Artc 8-9 C-d 10mm Kn Lt Vivacit-e|2,910.90
880045.2711|Ins Artc C 14Mm Kn Rot Hng Seg Mach Mld|3,746.41
880045.2497|Ins Artc C 17Mm Kn Rot Hng Seg Mach Mld|3,746.41
880045.261|Ins Artc C 23Mm Kn Rot Hng Seg Mach Mld|3,746.41
880095.2426|Ins Artc Cr Netshape Mld Optn Nxgn|6,450.48
880095.2425|Ins Artc Fem Cmnt Vivacit-E Zuk|5,859.00
880095.2431|Ins Artc Kn Tib Ptlr Hbrd Flx Cmnt|8,310.48
880045.2486|Ins Kn Tib L Medial R Lat Sz 3-4 9.0Mm|1,109.30
880045.277|Ins Tib 10Mm Persona Vivacit-E Strl|930
880045.3394|Ins Tib 11 Ef 18mm Kn Rt Cndrl Vivacit-e|5,115.00
880045.2486|Ins Tib 1-2 8Mm Lt Mdl Rl Kn Mtl Uncmp|1,109.30
880045.2486|Ins Tib 1-2 9Mm Lt Mdl Rl Kn Mtl Uncmp|1,109.30
880045.2486|Ins Tib 1-2 9Mm Rmll Kn Uncmp Journey|1,109.30
880095.7465|Ins Tib 3 10Mm Lt Kn Cnfrm Prfx|2,187.36
880045.2856|Ins Tib 3 66X42X17Mm Kn Uhmwpe Cmnt Cr|2,072.04
880045.2358|Ins Tib 3 9Mm Kn X3 Post Stab Brng|1,413.04
880095.3192|Ins Tib 3 A-B 66X42X14Mm Kn Uhmwpe Cmnt|1,972.53
880045.2487|Ins Tib 3-4 8Mm Lt Mdl Rl Kn Poly Uncmp|1,109.30
880095.3193|Ins Tib 5 C-D 74X46X17Mm Kn Uhmwpe Cmnt|1,972.53
880045.3023|Ins Tib 5 E-F 74x46x17Mm Kn Uhmwpe Cmnt|1,972.53
880045.2486|Ins Tib 52 Flt 8mm Kn Lt Mdl Rl Uhmwpe|1,116.00
880045.2485|Ins Tib 52 Flt 9Mm Kn Rmll Uhmwpe Mdlr|1,116.00
880045.2486|Ins Tib 5-6 11Mm Rmll Kn Uncmp Journey|1,109.30
880095.3131|Ins Tib 5-6 9Mm Kn Xlpe Cr Hi Flxn|4,585.64
880045.2857|Ins Tib 6 74X50X10Mm Kn Alply Cmnt Cr|2,072.04
880045.286|Ins Tib 6 E-F 74X50X10Mm Kn Uhmwpe Cmnt|1,972.53
880045.1322|Ins Tib 6-9 Ef 14Mm Fem Lt Vivacit-E|3,475.41
880045.1865|Ins Tib 8 13Mm Kn X3 Tl Stab + Trthln|3,627.93
880045.137|Ins Tib 8 16Mm Kn X3 Tl Stab + Trthln|2,026.19
880045.1716|Ins Tib B Kn Pe Xt|747.72
880095.2383|Ins Tib C 8Mm Kn Rt Mdl Vivacit-E|2,232.00
880045.2383|Ins Tib D 8Mm Kn Rt Mdl Vivacit-E|1,674.00
880045.2383|Ins Tib E 12Mm Kn Rt Mdl Vivacit-E|2,232.00
880045.2383|Ins Tib E 8Mm Kn Rt Mdl Vivacit-E|2,232.00
880045.2383|Ins Tib E 9Mm Kn Rt Mdl Vivacit-E|1,674.00
880045.2383|Ins Tib F 12Mm Kn Rt Mdl Vivacit-E|2,232.00
880045.2383|Ins Tib F 8Mm Kn Lt Mdl Vivacit-E|2,232.00
880095.2383|Ins Tib F 8Mm Kn Rt Mdl Vivacit-E|2,232.00
880095.2383|Ins Tib F 9Mm Kn Rt Mdl Vivacit-E|2,232.00
880095.2383|Ins Tib G 11Mm Kn Lt Mdl Vivacit-E|1,674.00
880095.2383|Ins Tib G 9Mm Kn Lt Mdl Vivacit-E|2,232.00
880045.2383|Ins Tib H 8Mm Kn Lt Mdl Vivacit-E|2,232.00
812446|Insert Bladder Cath|151
810505|Insert Cath Straight|256
830286|Insert Cath Straight|56
830285|Insert Cath Suprapubic|488
830401|Insert Cath Temp Indwell Bladder Cmplx|214
810507|Insert Cath Temp Indwell Bladder Smpl|332
830268|Insert Cath Vein Umbilical P|308
831762|Insert Cath,Arterial,Cutdown|328
831904|Insert Drug Implant|170
831904|Insert Drug Implant|1,777.00
8100714|Insert Drug Implant|274
830284|Insert Gastro Tube Perc W/Fluoro|996
834206|Insert Mesh Pelvic Flr Addon|1,085.00
812749|Insert Non Tun Cvc >=5 Yrs|455
812749|Insert Non Tun Cvc >=5 Yrs|479
830054|Insert Non Tun Cvc >=5 Yrs|428
830054|Insert Non Tun Cvc >=5 Yrs|605
832581|Insert Picc W Port >=5yrs|1,499.00
835784|Insert Picc WO Sq Pt >=5yrs W Img|1,212.00
803000|Insert Picc WO Sq Pt >=5yrs WO Img|902
803000|Insert Picc WO Sq Pt >=5yrs WO Img|4,180.00
831687|Insert Picc WO Sq Pt >=5yrs WO Img|314
810281|Insert Repl Pm Temp Sngl Chmbr|6,755.00
832579|Insert Tun Cvad W Port >=5yrs|1,774.00
832355|Insert Tun Cvc WO Pt/Pp 5+Yrs|1,392.00
830431|Insertion Catheter Urinary|74
813204|Insertion Intrauterine Device|111
833808|Insertion Intrauterine Device|116
833808|Insertion Intrauterine Device|188
880039.249|Inst Biopsy 16Cm 14Ga Bard Mnpty Ang 22|118.13
880045.3357|Inst Orth Aug Gd Lt Cmprh Rvrs Shldr Sys|3,064.50
880038.3226|Inst Orth Aug Gd Rt Cmprh Disp Nonster|3,064.50
880039.3362|Inst Orth Gd Lt Cmprh Disp Nonster Lf|2,575.50
880039.335|Inst Orth Gd Rt Cmprh Tl Shldr Sys Disp|2,575.50
880039.2487|Inst Orth Kn Disp Nonster|1,212.00
880039.2487|Inst Orth Kn Disp Nonster|1,212.00
811548|Instill Agent Anticancer Bladder|585
890025.1694|Insulin Aspart Prot & Aspart (Human) Inj 100 Unit/ML (70-30)|351.39
890025.1696|Insulin Aspart Soln Pen-injector 100 Unit/ML|163.04
890025.1694|Insulin Detemir Inj 100 Unit/ML|359.41
890025.1696|Insulin Detemir Soln Pen-injector 100 Unit/ML|143.71
890025.1696|Insulin Detemir Soln Pen-injector 100 Unit/ML|162.2
890025.8822|Insulin Glargine Inj 100 Unit/ML|343.34
890025.8822|Insulin Glargine Soln Pen-Injector 100 Unit/ML|138.88
890025.8825|Insulin Glulisine Inj 100 Unit/ML|335.22
60063600|Insulin Level|339
890025.2459|Insulin Lispro Inj Soln 100 Unit/ML|90.5
890025.2751|Insulin Lispro Prot & Lispro Inj 100 Unit/ML (75-25)|335.97
890025.288|Insulin Lispro Soln Pen-injector 100 Unit/ML (1 Unit Dial)|157.35
890025.2832|Insulin NPH (Human) (Isophane) Inj 100 Unit/ML|199.97
890025.1692|Insulin NPH Isophane & Regular Human Inj 100 Unit/ML (70-30)|188.97
890022.338|Insulin Regular (Human) in NaCl 0.9% IV Soln 100 Unit/100ML|86.27
890022.338|Insulin Regular (Human) in NaCl 0.9% IV Soln 100 Unit/100ML|86.27
890025.2822|Insulin Regular (Human) Inj 100 Unit/ML|95.88
890025.285|Insulin Regular (Human) Inj 500 Unit/ML|1,589.48
890025.2882|Insulin Regular (Human) Soln Pen-Injector 500 Unit/ML|480.41
890025.2882|Insulin Regular (Human) Soln Pen-Injector 500 Unit/ML|480.41
880253.2703|Intbody Expand|6,882.00
818417|Interactive Complexity Add On|8
832809|Interactive Complexity Add On|38
60083860|Interleukin 6|312
814459|Intermediate Care Daily|5,615.00
60058940|Interphase Hybrid 100-300|551
812169|Interrogate Device Pm or Leadls Pm|145
814704|Interview Psych Dx|84
832390|Intra Abd Omental Flap|1,351.00
833043|Intramedullary Nailing Humerus|3,591.00
833856|Intraop Map of Sentinel Lymph Node|675
8101736|Intraut Copper Contraceptive|2,467.75
880039.5028|Intro Kt Perc Peel Apart 10Fr|295.55
802825|Introduction of Long GI Tube|273
810513|Intubation Endotracheal Emergent|373
830495|Intubation Endotracheal Profee|915
830495|Intubation Endotracheal Profee|1,970.00
890023.3953|Iodine Solution Strong 5% (Lugol's)|3.1
890023.4843|Iodine Solution Strong 5% (Lugol's)|89.99
890005.4072|Iodixanol Inj 320 MG/ML (Iodine Equivalent)|295.46
890005.4072|Iodixanol Inj 320 MG/ML (Iodine Equivalent)|416.41
890005.4071|Iohexol Inj 240 MG/ML|109.37
890005.4071|Iohexol Inj 300 MG/ML|77.59
890005.4071|Iohexol Inj 300 MG/ML|76
890005.4071|Iohexol IV Soln 350 MG/ML|154.85
890005.4071|Iohexol IV Soln 350 MG/ML|142.43
890005.4071|Iohexol IV Soln 350 MG/ML|140.76
815743|Iontophoresis Ea 15 Min Ot|224
815744|Iontophoresis Ea 15 Min Pt|224
812088|Iop Psychotherapy Group|17
890005.2701|Iopamidol Inj 41%|247.03
890005.2701|Iopamidol IV Soln 41%|178
890005.2701|Iopamidol IV Soln 61%|61.52
890005.2701|Iopamidol IV Soln 61%|65.43
890005.2701|Iopamidol IV Soln 76%|141.73
890005.2701|Iopamidol IV Soln 76%|196.28
890005.1909|Iothalamate Meglumine Inj 17.2%|83.7
890005.191|Iothalamate Meglumine Inj 60%|108.81
890023.597|Ipratropium Bromide HFA Inhal Aerosol 17 MCG/ACT|1,242.02
890000.762|Ipratropium Bromide Inhal Soln 0.02%|3.1
890023.2421|Ipratropium Bromide Nasal Soln 0.03% (21 MCG/SPRAY)|101.86
890023.54|Ipratropium Bromide Nasal Soln 0.03% (21 MCG/SPRAY)|100.44
890023.597|Ipratropium Bromide Nasal Soln 0.03% (21 MCG/SPRAY)|382.93
890023.597|Ipratropium-Albuterol Inhal Aerosol Soln 20-100 MCG/ACT|1,287.50
890000.487|Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML|72.5
803164|IR Facet Lumbar Single Level|1,376.00
890002.3172|Irbesartan Tab 300 MG|3.1
811875|Iridotomy Iridectomy Laser Sgy|2,303.00
60015050|Iron Blood|176
890022.2361|Iron Dextran Inj 50 MG/ML (Elemental Iron)|74.5
890022.5172|Iron Sucrose Inj 20 MG/ML (Fe Equiv)|81.88
810882|Irrigation Vad|113
833910|Irrigation Vad|4
60082260|Islet Cell Antibody|75
890001.8691|Isopropyl Alcohol, Rubbing 70%|5.28
890023.6808|Isosorbide Dinitrate Tab 10 MG|3.1
890023.2283|Isosorbide Mononitrate Tab 20 MG|3.1
890023.5027|Isosorbide Mononitrate Tab ER 24HR 30 MG|3.1
890023.5027|Isosorbide Mononitrate Tab ER 24HR 30 MG|3.1
890023.6218|Isosorbide Mononitrate Tab ER 24HR 30 MG|3.1
890023.9046|Isosorbide Mononitrate Tab ER 24HR 30 MG|3.1
890022.6746|Isosulfan Blue Subcutaneous Soln 1%|492.7
8104686|IV Inf Bamlanivimab and Estesevima Admin|1,011.00
810883|IV Inf Chemo 1 Hr|1,009.00
810884|IV Inf Chemo Ea Addl Hr|178
810885|IV Inf Chemo Ea Seq Inf to 1hr|659
8104977|IV Inf Sotrovimab Admin|1,011.00
813788|IV Inf Therapeutic Return Same Day|86
8104782|IV Inf Tocilizumab Admin 1st Dose|1,011.00
8104783|IV Inf Tocilizumab Admin 2nd Dose|1,011.00
813789|IV Infusion 2 Therapeutic Concurren|86
813784|IV Infusion Hydration 1st Hr|1,009.00
813785|IV Infusion Hydration Add 1-8 Hrs|191
813786|IV Infusion Therapeutic 1st Hr|1,009.00
813787|IV Infusion Therapeutic Add 1-8 Hrs|191
8105048|IV Inj Bebtelovimab Admin|788
813791|IV Push Each Add IV Push|239
813790|IV Push Initial or Single|239
812991|Ivp Tpd Ea Add Push Same Drug|239
60081940|Jc Virus by Pcr|181
60060520|Jo-1 Antibody|135
800243|Joint Survey 1 Vw 2+ Joints|743
880064.7649|Joint Toe 16X2-5.5X1.2Mm Smrt Toe Ii 0D|1,732.59
880045.1745|Joint Toe 19X2-5.5X1.2Mm Smrt Toe Ii 10D|2,546.34
880064.1181|Joint Toe 19X2-5.5X1.2Mm Smrt Toe Ntrl|1,732.59
880045.2582|Joint Toe Swnsn 2S Lat Mtp Sil Ti Grmt|2,585.40
880045.2582|Joint Toe Swnsn 3S Lat Mtp Sil Ti Grmt|2,585.40
880045.2582|Joint Toe Swnsn 5 Sm Grmt Mtp Lat Ti Sil|2,509.14
60089800|Kaolin Clot Screen|112
60063680|Kappa Light Chains|131
60133711|Kappa Lite Chain Free I|24
890008.3381|KCl 20 MEQ/L (0.15%) in Dextrose 5% & NaCl 0.45% Inj|97.3
890008.3381|KCl 20 MEQ/L (0.15%) in Dextrose 5% & NaCl 0.9% Inj|97.3
890022.3381|KCl 20 MEQ/L (0.15%) in NaCl 0.45% Inj|97.3
890022.3381|KCl 20 MEQ/L (0.15%) in NaCl 0.9% Inj|97.3
890001.144|Ketamine HCl Inj 50 MG/ML|74.5
890023.1671|Ketoconazole Cream 2%|67.13
890022.6332|Ketorolac Tromethamine IM Inj 30 MG/ML|74.5
890022.7227|Ketorolac Tromethamine IM Inj 30 MG/ML|74.5
890000.6076|Ketorolac Tromethamine Ophth Soln 0.4%|169.52
890000.1748|Ketorolac Tromethamine Ophth Soln 0.5%|40.79
890000.6051|Ketorolac Tromethamine Ophth Soln 0.5%|178.89
890000.6131|Ketorolac Tromethamine Ophth Soln 0.5%|78.12
890023.3557|Ketorolac Tromethamine Tab 10 MG|3.1
802709|Kinevac 5mcg 5ml/Vial|211
880039.1038|Kit Arg Cath 28Fr Troc Strl|91.16
880064.171|Kit Arthsc Fx 1.5Mm Jggrknt Crv Gd|316.2
880039.2485|Kit Arthsc Fx 10Mm Aperfix Ez Shtl Lopro|797.94
880039.2488|Kit Arthsc Fx 11Mm Aperfix Ez Shtl Prtl|1,075.65
880045.1282|Kit Arthsc Fx 3Mm Tigertape Sutlso 2Mm 2|2,092.50
880039.2497|Kit Arthsc Fx 9Mm Aperfix Ez Shtl Prtl|1,075.65
880064.1742|Kit Arthsc Fx Aperfix Acl Disp|797.94
880039.2681|Kit Arthsc Fx Crossfix Ii Prb Intro Knt|654.48
880045.7679|Kit Arthsc Fx Tghtrp 5 Ss Uhmwpe Kntls|1,581.00
880039.1822|Kit Arthsc Fx Tghtrp Ss Syndmos Repr|920.7
880045.232|Kit Arthsc Fx Toggleloc Ziploop|3,109.92
880064.1072|Kit Bngf 2.5Cc Dbm Ncrstln Ca Phos|3,675.36
880045.1067|Kit Bngf 5Cc Ca Phos B-Bsm Inj Chsv|4,943.88
880039.5479|Kit Bone Cmnt Acm Brkwy Mx Bwl Bs Crtdg|243.92
880039.2582|Kit Bone Cmnt Bioprep Fem Prep Plg|183.58
880045.2493|Kit Bone Cmnt Ostbnd Cplymr 40Gm|125.98
880039.2365|Kit Brstpmp Initiate Bpa Fr Sphn Lc 35Ml|92.16
880039.1886|Kit Cnn Juggerloc Disp|781.74
880039.751|Kit Cntrf 30Ml 1 Pltl Conc Disp Gps Iii|2,338.10
880039.1591|Kit Crico Er|396.11
880039.2607|Kit Drg Drp Spy-Phi|1,287.75
880039.2485|Kit Drl 6Mm Strl|1,196.85
880039.2485|Kit Drl 7Mm Strl|1,196.85
880039.2485|Kit Drl 8Mm Strl|1,196.85
880039.2489|Kit Drn 5In 10Fr Pvc Cmpct Evac Bond Sux|176.35
880039.8083|Kit Drn Pleurx Plr|1,666.50
880039.424|Kit Drp Pckt Rio|153.62
880039.1985|Kit Drsg 18X12.5Cm Grnfm Slvr Sensatrac|204.86
880039.6409|Kit Drsg 20X12.5X3Cm Renasys Med Fm Port|86.9
880039.9842|Kit Drsg 20X12X3Cm Renasys-F Med Fm Sft|86.88
880039.6409|Kit Drsg 25X15X3Cm Renasys Lg Fm Port Qc|123.45
880039.9843|Kit Drsg 25X15X3Cm Renasys-F Lg Fm Sft|123.45
880039.4365|Kit Drsg 26X15Cm Vac Gfm Thk3.2Cm Std Lg|165.1
SUP100062|Kit Electrode Trans Pacing|408
880045.1634|Kit Escp Inst Pushlock 17Ga 2.9Mm Cnn|666.6
880039.1607|Kit Escp Inst Tghtrp Cann Flxb Strl Disp|1,499.85
880039.2456|Kit Gstrm 18Fr Intro Sty Lg Dil Dehp-Fr|490.25
880070.4505|Kit Hdr+ Plymr Urmt U Qd-Fold 18F X4Cm|924.15
8101651|Kit Hip Compression Wrap|46
880039.4023|Kit Hysterolux Hyscp Fld Mgmt|1,018.08
880045.2485|Kit Impl Iuni Kn Uncndl Ipoly Ptspc Strl|9,114.00
880045.7562|Kit Inst 2.9Mm Disp 2.9Mm Pushlock|757.5
880064.9075|Kit Inst 2.9Mm Gd Drlbt Obt Sft Anchor|1,163.52
880039.5974|Kit Inst Acl Hall Saw Blade Disp Trntb|138.51
880039.2569|Kit Inst Acl Trntb Disp|439.35
880039.1819|Kit Inst Babsr Btnds Disp Strl|530.25
880045.7678|Kit Inst Shldr Drl Spr Disp Strl Mtl 3.5|757.5
880039.171|Kit Inst Str 1.5Mm Gd Lg Shnk Drl Sft|656.58
8101650|Kit Knee Compression Wrap|42
SUP33672|Kit Lavage Peritoneal|62
880039.249|Kit Pe Prss Mntr Ped .015In 5Cm 3Fr Radl|111.29
SUP28792|Kit Percutaneous Introducer|87
880039.2487|Kit Pg 18Fr Gstrm Tube Intro Dil Strl|1,090.80
880039.1092|Kit Pg 20Fr Sil Fnstrt Drp Clp Pul Evv|212.1
880051.7907|Kit Pg 20Fr Xlcn Sil Pul Meth Amp Troc|301.36
8104564|Kit Platelet Rich Plasma|447
880039.2493|Kit Pls Lav Vapls Fan Spry|132.32
880039.5825|Kit Prc Ectr2 Prb Rtrgd 3Ang Knf Hand Pd|588.64
880039.2485|Kit Prc Quattro Lck-Stch Disp|952.94
880039.1419|Kit Prep Quik-Use Fem Pe Baso4 Bone Cmnt|456.62
880039.6607|Kit Pstn Trimano Beach Chr Arm Hldr Drp|222.71
880039.2589|Kit Pu Arwg+Ard Blu + Blu Flxtp Cath|242.37
880095.2425|Kit Repl Anat Hemishoulder|6,510.00
880095.2425|Kit Repl Anat T/S|9,300.00
880095.2432|Kit Repl Cmnt Hemishoulder|6,510.00
880095.2431|Kit Repl Glnd Trb Mtl Por T/S|9,300.00
880095.2432|Kit Repl Por Hemishoulder|6,510.00
880095.2455|Kit Repl Por Hemishoulder|7,812.00
880095.2432|Kit Repl Shldr Anat Cmnt Rvrs|13,020.00
880095.2432|Kit Repl Shldr Glnd Trb Mtl Cmnt|9,300.00
880095.2432|Kit Repl Shldr Glnd Trb Mtl Rvrs Stm Std|14,508.00
880045.3357|Kit Repl Shldr Glnd Xlpe Shrt Stm Rvrs|14,508.00
880095.2432|Kit Repl Shldr Por Anat Rvrs|13,020.00
880095.2432|Kit Repl Shldr Trb Mtl Anat Cmnt Rvrs|13,020.00
880095.2432|Kit Repl Shldr Trb Mtl Por Anat Rvrs|13,020.00
880045.2347|Kit Repl Versa-Dial Shldr Glnd Rgnrx|9,300.00
880045.3105|Kit Repl Versa-Dial Shldr Glnd Shrt Stm|13,643.10
880045.2497|Kit Repl Versa-Dial Shldr Shrt Stm Head|13,643.10
880039.7537|Kit Repr Plvc Flr Apcl Ant Op Ac Mesh|3,461.46
880095.2425|Kit Thr Epoch Hip Trb Mtl Vit E Cerm Por|9,114.00
880095.2425|Kit Thr Epoch Hip Trb Mtl Vit E Cerm Por|9,114.00
880095.2425|Kit Thr Epoch Hip Trb Mtl Vit E Por Stm|8,649.00
880095.243|Kit Thr Fitmore Hip Trb Mtl Vit E Por|8,649.00
880095.2431|Kit Thr Hip Trb Mtl Vit E Cerm Por Stm|9,858.00
880095.2429|Kit Thr Hip Trb Mtl Vit E Por Stm Cup|8,463.00
880095.2428|Kit Thr Kinectiv Hip Xlpe Cerm Por Ha|8,184.00
880095.2429|Kit Thr Mayo Lg Xlpe Por Prm Cup Stm|6,975.00
880095.2429|Kit Thr Mayo Xlpe Por Prm Cup Stm|6,975.00
880039.1757|Kit Thr Prpim Hip Plg Brsh Spng Sux Lf|560.55
880095.2428|Kit Thr Vrsy Xlpe Por Mdct Prm Cup Stm|6,975.00
880045.2486|Kit Tkr Itotal Ipoly Ptspc Crcte Rtn|10,416.00
880045.248|Kit Tkr Itotal Ipoly Xe Ptspc Crcte Rtn|9,858.00
880045.2689|Kit Tkr Itotal Post Stab Strl Lf|9,858.00
880095.2427|Kit Tkr Lgc Flut Fem Tib Post Stab Optn|6,450.48
880095.2431|Kit Tkr Trlg Biolox Actb Trb Mtl E-Poly|9,114.00
SUP33739|Kit Transducer Trifurcated|47
880039.8009|Kit Ut Suresound Endmtrl Ablt|2,378.62
880039.6432|Kit Vtrs Cobas 250 350 950 5600 Clbrt 3|133.25
60031860|Kleihauer Betke Stain|261
800197|Knee 1 or 2 Vw|510
800200|Knee 3 Vw|628
812181|Knee Immobilizer|63
835468|Knee Open Tx Dislc W Rpr/Reconst|4,994.00
834227|Knee Scope Clean Drain W Latrl|2,001.00
833158|Knee Scope Clean/Drain|2,144.00
800204|Knees Ap Bilateral Standing|556
SUP33773|Knife Myringotomy|46
880039.7541|Knife Opth 2.4Mm Intrepid Ang 2 Bvl Mic|157.29
818665|Ko Adjust Jnt POS Rigid Support|132
818666|Ko W Adj Flexext Rotator Cus|581
880064.2549|Kt Arthsc Fx Btn Drl Pin Insrtr Screw|1,581.00
880039.249|KT CATH CEN TRI 7FR 20CM|180.59
880039.249|Kt Cath Dual Site|287.85
880039.2487|Kt Epidrl Comb|146.25
880045.2486|Kt Implt Itot P.S. Ipoly L|9,486.00
880039.2493|Kt Intro 8Fr|143.17
880039.6126|Kt Jej Compat 7Fr|187.98
880045.2485|Kt Kn Ins Itotal Cr-Ipoly Xe-Lat L 10|744
880045.2485|Kt Kn Ins Itotal Cr-Ipoly Xe-Medial L 10|744
880039.4894|Kt Nvsr V5 Cmb AFF|3,008.36
880045.1232|Kt Sut Perc Ins Disp|518.94
880039.4894|Kt Sux Cnstr Acc AFF|117.97
8103515|Kyleena System 19.5 Mg|3,073.74
890022.7227|Labetalol HCl IV Soln 5 MG/ML,Labetalol HCl IV Soln Prefilled Syringe 20 MG/4ML (5 MG/ML),Labetalol HCl IV Soln Prefilled Syringe 25 MG/5ML (5 MG/ML),Labetalol HCl IV Soln Prefilled Syringe 50 MG/10ML (5 MG/ML),Labetalol HCl IV Soln Prefilled Syringe 10 M|74.5
890022.7261|Labetalol HCl IV Soln 5 MG/ML,Labetalol HCl IV Soln Prefilled Syringe 20 MG/4ML (5 MG/ML),Labetalol HCl IV Soln Prefilled Syringe 25 MG/5ML (5 MG/ML),Labetalol HCl IV Soln Prefilled Syringe 50 MG/10ML (5 MG/ML),Labetalol HCl IV Soln Prefilled Syringe 10 M|74.5
890023.6069|Labetalol HCl Tab 100 MG|3.1
814522|Labor Fee (0-8hrs)|3,232.00
814524|Labor Fee (16-24 Hrs)|3,635.00
814525|Labor Fee (24+ Hrs)|4,042.00
814523|Labor Fee (9-16 Hrs)|3,437.00
890022.338|Lactated Ringer's Solution|97.3
890022.338|Lactated Ringer's Solution|97.3
890022.338|Lactated Ringer's Solution|97.3
890022.338|Lactated Ringer's Solution|97.3
890022.338|Lactated Ringer's Solution|97.3
890023.9046|Lactic Acid (Ammonium Lactate) Cream 12%|13.28
890023.458|Lactic Acid (Ammonium Lactate) Lotion 12%|43.52
890023.9046|Lactic Acid (Ammonium Lactate) Lotion 12%|10.72
60015150|Lactic Acid Blood|141
60015160|Lactic Acid CSF|163
60025210|Lactoferrin Fecal Qualitative|250
890023.5038|Lactulose (Encephalopathy) Solution 10 GM/15ML|3.1
890023.1211|Lactulose Solution 10 GM/15ML|3.1
890023.1211|Lactulose Solution 10 GM/15ML|3.1
60063720|Lambda Light Chains|131
60133721|Lambda Lite Chain Free I|24
60082930|Lamotrigine Level|363
890023.1671|Lamotrigine Tab 200 MG|3.1
890023.6808|Lamotrigine Tab 25 MG|3.1
880045.2488|Lamp Cfl Plug-In Biax 9W|2,363.07
832387|Lap Abd Perit Omentum W Bx|1,705.00
833816|Lap Asst Vag Hyst 250gm or Less|3,747.00
834205|Lap Asst Vag Hyst W Tubes/Ovaries <=250gm|4,166.00
835598|Lap Colectomy Part W End Stoma Dis Close|6,446.00
832780|Lap Colectomy Part W Remvl Term Ileum|6,153.00
833652|Lap Colectomy Partial W Anastomosis|7,598.00
832732|Lap Fulgurate Excise Lesn Ovary Peritnl|3,528.00
833814|Lap Myomectomy 1-4 Myomas 250gm or More|3,805.00
833815|Lap Myomectomy 5 or More Myomas >250gm|4,786.00
832383|Lap Proc Intest Not Rectum|2,595.00
832707|Lap Rpr Hernia Ing Init|2,095.00
834275|Lap Sling for Stress Incontinence|3,584.00
832382|Lap Surg Enterctmy W Resect/Anast|5,301.00
832801|Lap Surg Enterolysis|4,514.00
833824|Lap Surg Hyst Total Uterus 250gm or Less|3,942.00
833826|Lap Surg Hyst Total Uterus Over 250gm|4,919.00
833825|Lap Surg Hyst Total W T/O 250gm or Less|4,418.00
833827|Lap Surg Hyst Total W T/O Over 250gm|5,664.00
833812|Lap Surg Hyst Uterus >250gm|4,159.00
833810|Lap Surg Hyst Uterus 250gm or Less|3,663.00
833813|Lap Surg Hyst W Tubes/Ovaries >250gm|4,519.00
833811|Lap Surg Hyst W Tubes/Ovaries 250gm or Less|4,097.00
835297|Lap Surg Proctopext W Sig Resect|5,952.00
833834|Lap Tx Ect Preg W Salpingect or Oophor|3,767.00
833833|Lap Tx Ect Preg WO Salpingect or Oophor|3,288.00
833655|Lap Urethral Suspension|3,177.00
833817|Lap Vag Hyst Complex >250gm|4,825.00
833818|Lap Vag Hyst W Tubes/Ovaries Compl >250gm|5,601.00
833830|Lap W Destruction of Oviducts|1,697.00
834314|Lap W Hyster Rad W Bil Ttl Lymphctmy|7,785.00
833831|Lap W Occlusion of Oviducts W Device|1,549.00
831847|Lap W/Rpr Hernia Paraesoph W/Mesh|5,810.00
831846|Lap W/Rpr Hernia Paraesoph W/O Mesh|5,168.00
832386|Laparoscopic Cholecystectomy|3,223.00
832632|Laparoscopic Colostomy|6,050.00
832688|Laparoscopy Abdomen Diagnostic|1,500.00
832689|Laparoscopy Aspirate Cavity Cyst|1,698.00
832606|Laparoscopy Esophagogastric Fundoplasty|5,317.00
834301|Laparoscopy for Colpopexy|4,106.00
832731|Laparoscopy Remvl Adnexal Structure|3,225.00
833752|Laparoscopy W Lysis of Adhesions|2,854.00
832655|Laparscopic Proctopexy|3,723.00
832678|Lapcholecystectomy W Cholangiogram|3,501.00
833953|Laps Mobil Splenic Flxr Perf W/Prtl Cole|935
814671|Laryngeal Mask|40
832775|Laryngoscopy Direct Diagnostic|677
832346|Laryngoscopy Direct W/ Remv FB|918
814469|Laryngoscopy Flex Diagnostic|299
831682|Laryngoscopy Flex Diagnostic|154
890023.7007|Latanoprost Ophth Soln 0.005%|13.81
60101530|Lchg Alcohol Biomarkers 1-2|141
60015230|Lchg Alcohol Breath Test|94
60104500|Lchg Alpha Defensins Antibody|22
60037020|Lchg Antibody Screen Ref|18
60019950|Lchg Blood Draw|50
60019580|Lchg Blood Draw Capillary|68
60064060|Lchg Ca 15-3|177
60082200|Lchg Chlamydia Antibody Iga|82
60061350|Lchg Cholinesterase RBC|214
60065600|Lchg Coccidioides Antibody ID|250
60039100|Lchg Compatibility Test Immediate Spin|141
60010300|Lchg Complement C3|239
60038190|Lchg Coombs Indirect Qual Each|28
60040230|Lchg Culture Afb|75
60055411|Lchg Cytopath Cell Tc Nl|146
60055331|Lchg Cytopath Cerv/Vag Thin Layer Tc Nl|65
60048811|Lchg Dna or Rna Each Org Ampl Probe I|11
60041440|Lchg Epstein-Barr Virus Antibody Igm|138
60102110|Lchg Hpv High Risk Types|115
60101970|Lchg Ihc Adtl Stn Each Tc|95
60082261|Lchg Islet Cell Antibody I|60
60102180|Lchg Mlh1 Promoter Methylation|608
60066311|Lchg Mycoplasma Dna Pcr I|24
60044660|Lchg Organic Acid Urine Qual Each Spec|156
60049970|Lchg Organism ID Presumptive|173
60067390|Lchg Pancreatic Elastase Feces|884
60015901|Lchg Ph Fluid I|17
60038250|Lchg Platelet Pheresis|2,837.00
60022280|Lchg Protein S Activity|108
60018090|Lchg Protein Urine Random Quant|96
60086720|Lchg Reticulin Antibody Iga Titer|245
60021090|Lchg Semen Analysis Post Vasectomy|164
60070311|Lchg Smooth Muscle Antibody I|25
60058970|Lchg Tissue Cult Neoplastic/Bm/Bld|1,301.00
60066070|Lchg Varicella Zoster Antibody Igm|219
60063960|Lchg Vasoactive Intestine Peptide|384
880157.3534|Ld Ingevity+ Pace 45cm Strd Ss Sil Rbr|744
880157.3351|Ld Ingevity+ Pace 52cm Strd Ss Sil Rbr|744
880157.3351|Ld Ingevity+ Pace 59cm Strd Ss Sil Rbr|744
60015250|Ldh Blood|155
60015260|Ldh CSF|141
60015300|Ldh Fluid|155
60010950|Ldh Isoenzymes|262
60015030|Ldl Cholesterol|285
60063800|Lead Blood|228
60021000|Lead Blood Referral|19
60084220|Lead Occupational|34
880045.2659|Lead Tndrl Mri Optim Pace 46Cm 8Fr Ecrdm|186
60063850|Lead Urine|271
60064880|Legionella Antibody|245
60063510|Legionella Antigen Urine|302
60063900|Legionella Dfa|92
880035.3479|Lens Iol +10.0 Diop Mod C Bcnvx|193.44
880035.2485|Lens Iol +10.5 Diop C Hpt Bcnvx Tecnis|277.14
880035.3479|Lens Iol +10.5 Diop Mod C Bcnvx|193.44
880035.3479|Lens Iol +11 Diop Mod C Bcnvx|277.14
880035.3479|Lens Iol +11.5 Diop Mod C Bcnv|277.14
880035.3479|Lens Iol +12.0 Diop Mod C Bcnv|193.44
880035.3479|Lens Iol +12.0 Diop Mod C Bcnvx|193.44
880035.3479|Lens Iol +12.5 Diop Mod C Bcnv|193.44
880035.3479|Lens Iol +12.5 Diop Mod C Bcnvx|193.44
880035.1935|Lens Iol +12.5 Diop Mod C Bcnvx Tecnis|277.14
880035.3479|Lens Iol +13 Diop Mod C Bcnvx|277.14
880035.3479|Lens Iol +13.0 Diop Mod C Bcnvx|193.44
880035.3479|Lens Iol +13.5 Diop Mod C Bcnv|193.44
880035.3479|Lens Iol +13.5 Diop Mod C Bcnvx|193.44
880035.1935|Lens Iol +13.5 Diop Mod C Bcnvx Tecnis|277.14
880035.1935|Lens Iol +14 Diop Mod C Bcnvx Tecnis|277.14
880035.3479|Lens Iol +14.0 Diop Mod C Bcnv|193.44
880035.3479|Lens Iol +14.0 Diop Mod C Bcnvx|193.44
880035.3479|Lens Iol +14.5 Diop Mod C Bcnv|193.44
880035.3479|Lens Iol +14.5 Diop Mod C Bcnvx|193.44
880035.1935|Lens Iol +14.5 Diop Mod C Bcnvx Tecnis|277.14
880035.3479|Lens Iol +15 Diop Mod C Bcnvx|277.14
880035.1935|Lens Iol +15 Diop Mod C Bcnvx Tecnis|277.14
880035.3479|Lens Iol +15.0 Diop Mod C Bcnvx|193.44
880035.3479|Lens Iol +15.5 Diop Mod C Bcnv|277.14
880035.3479|Lens Iol +15.5 Diop Mod C Bcnvx|193.44
880035.1935|Lens Iol +15.5 Diop Mod C Bcnvx Tecnis|277.14
880035.3479|Lens Iol +16 Diop Mod C Bcnvx|277.14
880035.1935|Lens Iol +16 Diop Mod C Bcnvx Tecnis|277.14
880035.3479|Lens Iol +16.0 Diop Mod C Bcnvx|193.44
880035.3479|Lens Iol +16.5 Diop Mod C Bcnv|277.14
880035.3479|Lens Iol +16.5 Diop Mod C Bcnvx|193.44
880035.1935|Lens Iol +16.5 Diop Mod C Bcnvx Tecnis|277.14
880035.3479|Lens Iol +17 Diop Mod C Bcnvx|277.14
880035.1935|Lens Iol +17 Diop Mod C Bcnvx Tecnis|277.14
880035.3479|Lens Iol +17.0 Diop Mod C Bcnvx|193.44
880035.3479|Lens Iol +17.5 Diop Mod C Bcnv|193.44
880035.3479|Lens Iol +17.5 Diop Mod C Bcnvx|193.44
880035.1935|Lens Iol +17.5 Diop Mod C Bcnvx Tecnis|277.14
880035.3479|Lens Iol +18 Diop Mod C Bcnvx|277.14
880035.1935|Lens Iol +18 Diop Mod C Bcnvx Tecnis|277.14
880035.3479|Lens Iol +18.0 Diop Mod C Bcnvx|193.44
880035.3479|Lens Iol +18.5 Diop Mod C Bcnv|277.14
880035.3479|Lens Iol +18.5 Diop Mod C Bcnvx|193.44
880035.1935|Lens Iol +18.5 Diop Mod C Bcnvx Tecnis|277.14
880035.3479|Lens Iol +19 Diop Mod C Bcnvx|277.14
880035.1935|Lens Iol +19 Diop Mod C Bcnvx Tecnis|277.14
880035.348|Lens Iol +19.0 Diop Mod C Bcnvx|193.44
880035.3479|Lens Iol +19.5 Diop Mod C Bcnv|277.14
880035.348|Lens Iol +19.5 Diop Mod C Bcnvx|193.44
880035.3479|Lens Iol +20 Diop Mod C Bcnvx|277.14
880035.1935|Lens Iol +20 Diop Mod C Bcnvx Tecnis|277.14
880035.348|Lens Iol +20.0 Diop Mod C Bcnvx|193.44
880035.3479|Lens Iol +20.5 Diop Mod C Bcnv|277.14
880035.348|Lens Iol +20.5 Diop Mod C Bcnvx|193.44
880035.1935|Lens Iol +20.5 Diop Mod C Bcnvx Tecnis|277.14
880043.1272|Lens Iol +21 Diop Cnvxpln Klmn Multiflex|279
880035.3479|Lens Iol +21 Diop Mod C Bcnvx|277.14
880035.1935|Lens Iol +21 Diop Mod C Bcnvx Tecnis|277.14
880035.348|Lens Iol +21.0 Diop Mod C Bcnvx|193.44
880035.3479|Lens Iol +21.5 Diop Mod C Bcnv|277.14
880035.348|Lens Iol +21.5 Diop Mod C Bcnvx|193.44
880035.1935|Lens Iol +21.5 Diop Mod C Bcnvx Tecnis|277.14
880035.1935|Lens Iol +22 Diop Bcnvx Tecnis Tecnis|277.14
880035.3479|Lens Iol +22.0 Diop Mod C Bcnv|277.14
880035.3479|Lens Iol +22.5 Diop Mod C Bcnv|277.14
880035.1935|Lens Iol +22.5 Diop Mod C Bcnvx Tecnis|277.14
880035.3479|Lens Iol +23 Diop Mod C Bcnvx|277.14
880035.1935|Lens Iol +23 Diop Mod C Bcnvx Tecnis|277.14
880035.348|Lens Iol +23.0 Diop Mod C Bcnvx|193.44
880035.1935|Lens Iol +23.5 Diop Hpt C Bcnvx Tecnis|277.14
880035.3479|Lens Iol +23.5 Diop Mod C Bcnv|277.14
880035.348|Lens Iol +23.5 Diop Mod C Bcnvx|193.44
880035.3479|Lens Iol +24 Diop Mod C Bcnvx|277.14
880035.1935|Lens Iol +24 Diop Mod C Bcnvx Tecnis|277.14
880035.348|Lens Iol +24.0 Diop Mod C Bcnvx|193.44
880035.3479|Lens Iol +24.5 Diop Mod C Bcnv|193.44
880035.348|Lens Iol +24.5 Diop Mod C Bcnvx|193.44
880035.1935|Lens Iol +24.5 Diop Mod C Bcnvx Tecnis|277.14
880035.3479|Lens Iol +25 Diop Mod C Bcnvx|277.14
880035.1935|Lens Iol +25 Diop Mod C Bcnvx Tecnis|277.14
880035.348|Lens Iol +25.0 Diop Mod C Bcnvx|193.44
880035.3479|Lens Iol +25.5 Diop Mod C Bcnv|277.14
880035.348|Lens Iol +25.5 Diop Mod C Bcnvx|193.44
880035.1935|Lens Iol +25.5 Diop Mod C Bcnvx Tecnis|277.14
880035.3479|Lens Iol +26 Diop Mod C Bcnvx|193.44
880035.1935|Lens Iol +26 Diop Mod C Bcnvx Tecnis|277.14
880035.348|Lens Iol +26.0 Diop Mod C Bcnvx|193.44
880035.3479|Lens Iol +26.5 Diop Mod C Bcnv|193.44
880035.348|Lens Iol +26.5 Diop Mod C Bcnvx|193.44
880035.1935|Lens Iol +26.5 Diop Mod C Bcnvx Tecnis|277.14
880035.3479|Lens Iol +27 Diop Mod C Bcnvx|193.44
880035.1935|Lens Iol +27 Diop Mod C Bcnvx Tecnis|277.14
880035.348|Lens Iol +27.0 Diop Mod C Bcnvx|193.44
880035.348|Lens Iol +27.5 Diop Mod C Bcnvx|193.44
880035.195|Lens Iol +27.5 Diop Mod C Bcnvx Tecnis|277.14
880035.195|Lens Iol +28 Diop Mod C Bcnvx Tecnis|277.14
880035.3479|Lens Iol +28.0 Diop Mod C Bcnv|277.14
880035.348|Lens Iol +28.0 Diop Mod C Bcnvx|193.44
880035.1938|Lens Iol +28.5 Diop C Hpt Bcnvx Tecnis|277.14
880035.3479|Lens Iol +28.5 Diop Mod C Bcnv|193.44
880035.348|Lens Iol +28.5 Diop Mod C Bcnvx|193.44
880035.3479|Lens Iol +29.0 Diop Mod C Bcnv|193.44
880035.348|Lens Iol +29.0 Diop Mod C Bcnvx|193.44
880035.348|Lens Iol +29.5 Diop Mod C Bcnvx|193.44
880035.195|Lens Iol +30 Diop Mod C Bcnvx Tecnis|277.14
880035.3479|Lens Iol +30.0 Diop Mod C Bcnv|193.44
880035.348|Lens Iol +30.0 Diop Mod C Bcnvx|193.44
880035.195|Lens Iol +30.5 Diop C Hpt Bcnvx Tecnis|277.14
880035.195|Lens Iol +32 Diop Mod C Bcnvx Tecnis|277.14
880035.195|Lens Iol +8 Diop Mod C Bcnvx Tecnis|277.14
880035.195|Lens Iol +9 Diop Mod C Bcnvx Tecnis|277.14
880043.2496|Lens Iol +9.5 Diop Mod C Sofport 13Mm 6|288.3
880035.5304|Lens Iol 0 D +10 Diop Mod L Bcnvx Acrsf|277.14
880035.195|Lens Iol 0 D +10 Diop Mod L Planar Acrsf|288.3
880035.5304|Lens Iol 0 D +10.5 Diop Mod L Bcnvx|277.14
880035.195|Lens Iol 0 D +10.5 Diop Mod L Planar|288.3
880035.5304|Lens Iol 0 D +11 Diop Mod L Bcnvx Acrsf|277.14
880035.1717|Lens Iol 0 D +11 Diop Mod L Planar Acrsf|288.3
880035.5304|Lens Iol 0 D +11.5 Diop Mod L Bcnvx|277.14
880035.1939|Lens Iol 0 D +11.5 Diop Mod L Planar|288.3
880035.5305|Lens Iol 0 D +12 Diop Mod L Bcnvx Acrsf|277.14
880035.195|Lens Iol 0 D +12 Diop Mod L Planar Acrsf|277.14
880035.5305|Lens Iol 0 D +12.5 Diop Mod L Bcnvx|277.14
880035.195|Lens Iol 0 D +12.5 Diop Mod L Planar|277.14
880035.5304|Lens Iol 0 D +13 Diop Mod L Bcnvx Acrsf|277.14
880035.1939|Lens Iol 0 D +13 Diop Mod L Planar Acrsf|288.3
880035.5305|Lens Iol 0 D +13.5 Diop Mod L Bcnvx|277.14
880035.1939|Lens Iol 0 D +13.5 Diop Mod L Planar|288.3
880035.195|Lens Iol 0 D +14 Diop Mod L Acrsf Iq|288.3
880035.5305|Lens Iol 0 D +14 Diop Mod L Bcnvx Acrsf|277.14
880035.5305|Lens Iol 0 D +14.5 Diop Mod L Bcnvx|279
880035.195|Lens Iol 0 D +14.5 Diop Mod L Planar|288.3
880035.195|Lens Iol 0 D +15 Diop Mod L Acrsf Iq|288.3
880035.5305|Lens Iol 0 D +15 Diop Mod L Bcnvx Acrsf|277.14
880035.195|Lens Iol 0 D +15.5 Diop Mod L Acrsf Iq|288.3
880035.5305|Lens Iol 0 D +15.5 Diop Mod L Bcnvx|277.14
880035.1939|Lens Iol 0 D +16 Diop Mod L Acrsf Iq|277.14
880035.5305|Lens Iol 0 D +16 Diop Mod L Bcnvx Acrsf|277.14
880035.5305|Lens Iol 0 D +16.5 Diop Mod L Bcnvx|277.14
880035.195|Lens Iol 0 D +16.5 Diop Mod L Planar|277.14
880035.1939|Lens Iol 0 D +17 Diop Mod L Acrsf Iq|277.14
880035.5305|Lens Iol 0 D +17 Diop Mod L Bcnvx Acrsf|277.14
880035.1939|Lens Iol 0 D +17.5 Diop Mod L Acrsf Iq|277.14
880035.5306|Lens Iol 0 D +17.5 Diop Mod L Bcnvx|277.14
880035.1939|Lens Iol 0 D +18 Diop Mod L Acrsf Iq|277.14
880043.5282|Lens Iol 0 D +18 Diop Mod L Bcnvx Acrsf|277.14
880035.1939|Lens Iol 0 D +18.5 Diop Mod L Acrsf Iq|277.14
880035.5306|Lens Iol 0 D +18.5 Diop Mod L Bcnvx|277.14
880035.5306|Lens Iol 0 D +19 Diop Mod L Bcnvx Acrsf|277.14
880035.195|Lens Iol 0 D +19 Diop Mod L Planar Acrsf|277.14
880035.1938|Lens Iol 0 D +19.5 Diop Mod L Acrsf Iq|277.14
880035.1938|Lens Iol 0 D +20 Diop Mod L Acrsf Iq|277.14
880035.5306|Lens Iol 0 D +20 Diop Mod L Bcnvx Acrsf|277.14
880035.1938|Lens Iol 0 D +20.5 Diop Mod L Acrsf Iq|277.14
880035.5306|Lens Iol 0 D +20.5 Diop Mod L Bcnvx|277.14
880035.195|Lens Iol 0 D +21 Diop Mod L Acrsf Iq|277.14
880035.5306|Lens Iol 0 D +21 Diop Mod L Bcnvx Acrsf|277.14
880035.1938|Lens Iol 0 D +21.5 Diop Mod L Acrsf Iq|277.14
880035.5306|Lens Iol 0 D +21.5 Diop Mod L Bcnvx|277.14
880035.1939|Lens Iol 0 D +22 Diop Mod L Acrsf Iq|288.3
880035.5306|Lens Iol 0 D +22 Diop Mod L Bcnvx Acrsf|277.14
880035.1939|Lens Iol 0 D +22.5 Diop Mod L Acrsf Iq|277.14
880035.5307|Lens Iol 0 D +22.5 Diop Mod L Bcnvx|277.14
880035.5307|Lens Iol 0 D +23 Diop Mod L Bcnvx Acrsf|277.14
880035.1939|Lens Iol 0 D +23 Diop Mod L Planar Acrsf|277.14
880035.1939|Lens Iol 0 D +23.5 Diop Mod L Acrsf Iq|277.14
880035.5306|Lens Iol 0 D +23.5 Diop Mod L Bcnvx|277.14
880035.195|Lens Iol 0 D +24 Diop Mod L Acrsf Iq|288.3
880035.1939|Lens Iol 0 D +24.5 Diop Mod L Acrsf Iq|288.3
880035.5307|Lens Iol 0 D +24.5 Diop Mod L Bcnvx|277.14
880035.1939|Lens Iol 0 D +25 Diop Mod L Acrsf Iq|277.14
880035.5307|Lens Iol 0 D +25 Diop Mod L Bcnvx Acrsf|277.14
880035.5307|Lens Iol 0 D +25.5 Diop Mod L Bcnvx|277.14
880035.1939|Lens Iol 0 D +25.5 Diop Mod L Planar|277.14
880035.5307|Lens Iol 0 D +26 Diop Mod L Bcnvx Acrsf|279
880035.195|Lens Iol 0 D +26 Diop Mod L Planar Acrsf|288.3
880035.5307|Lens Iol 0 D +26.5 Diop Mod L Bcnvx|277.14
880035.195|Lens Iol 0 D +26.5 Diop Mod L Planar|288.3
880035.5307|Lens Iol 0 D +27 Diop Mod L Bcnvx Acrsf|277.14
880035.195|Lens Iol 0 D +27 Diop Mod L Planar Acrsf|288.3
880035.5307|Lens Iol 0 D +27.5 Diop Mod L Bcnvx|279
880035.5308|Lens Iol 0 D +28 Diop Mod L Bcnvx Acrsf|277.14
880035.5308|Lens Iol 0 D +28.5 Diop Mod L Bcnvx|277.14
880035.5308|Lens Iol 0 D +29 Diop Mod L Bcnvx Acrsf|277.14
880035.5308|Lens Iol 0 D +29.5 Diop Mod L Bcnvx|277.14
880035.5308|Lens Iol 0 D +30 Diop Mod L Bcnvx Acrsf|277.14
880035.195|Lens Iol 0 D +6 Diop Mod L Acrsf Iq|288.3
880035.195|Lens Iol 0 D +6.5 Diop Mod L Acrsf Iq|288.3
880035.195|Lens Iol 0 D +7 Diop Mod L Acrsf Iq|288.3
880035.195|Lens Iol 0 D +7.5 Diop Mod L Acrsf Iq|288.3
880035.195|Lens Iol 0 D +8 Diop Mod L Acrsf Iq|288.3
880035.195|Lens Iol 0 D +8.5 Diop Mod L Acrsf Iq|288.3
880035.195|Lens Iol 0 D +9 Diop Mod L Acrsf Iq|288.3
880035.195|Lens Iol 0 D +9.5 Diop Mod L Acrsf Iq|288.3
880039.4908|Lens Iol 10 D +10 Diop Mod C Bcnvx Acrsf|277.14
880039.4908|Lens Iol 10 D +11 Diop Mod C Bcnvx Acrsf|277.14
880039.4908|Lens Iol 10 D +11.5 Diop Mod C Bcnvx|277.14
880039.3678|Lens Iol 10 D +12 Diop Mod C Bcnvx Acrsf|230.64
880039.4909|Lens Iol 10 D +12 Diop Mod C Bcnvx Acrsf|277.14
880039.423|Lens Iol 10 D +12.5 Diop Mod C Bcnvx|230.64
880039.4909|Lens Iol 10 D +12.5 Diop Mod C Bcnvx|277.14
880035.4909|Lens Iol 10 D +13 Diop Mod C Bcnvx Acrsf|816.54
880035.4909|Lens Iol 10 D +13.5 Diop Mod C Bcnvx|277.14
880035.4909|Lens Iol 10 D +14 Diop Mod C Bcnvx Acrsf|277.14
880039.4247|Lens Iol 10 D +14 Diop Mod C Bcnvx Acrsf|230.64
880035.4909|Lens Iol 10 D +14.5 Diop Mod C Bcnvx|277.14
880039.4251|Lens Iol 10 D +14.5 Diop Mod C Bcnvx|230.64
880035.4909|Lens Iol 10 D +15 Diop Mod C Bcnvx Acrsf|277.14
880035.491|Lens Iol 10 D +16 Diop Mod C Bcnvx Acrsf|277.14
880039.3613|Lens Iol 10 D +16 Diop Mod C Bcnvx Acrsf|230.64
880035.3614|Lens Iol 10 D +16.5 Diop Mod C Bcnvx|230.64
880035.491|Lens Iol 10 D +16.5 Diop Mod C Bcnvx|277.14
880035.3616|Lens Iol 10 D +17 Diop Mod C Bcnvx Acrsf|230.64
880035.491|Lens Iol 10 D +17 Diop Mod C Bcnvx Acrsf|277.14
880035.491|Lens Iol 10 D +17.5 Diop Mod C Bcnvx|277.14
880035.491|Lens Iol 10 D +18 Diop Mod C Bcnvx Acrsf|277.14
880039.3618|Lens Iol 10 D +18 Diop Mod C Bcnvx Acrsf|277.14
880035.491|Lens Iol 10 D +18.5 Diop Mod C Bcnvx|277.14
880035.491|Lens Iol 10 D +19 Diop Mod C Bcnvx Acrsf|277.14
880039.3584|Lens Iol 10 D +19 Diop Mod C Bcnvx Acrsf|230.64
880035.359|Lens Iol 10 D +19.5 Diop Mod C Bcnvx|230.64
880035.4911|Lens Iol 10 D +20 Diop Mod C Bcnvx Acrsf|277.14
880035.491|Lens Iol 10 D +20.5 Diop Mod C Bcnvx|277.14
880039.3592|Lens Iol 10 D +20.5 Diop Mod C Bcnvx|230.64
880035.3593|Lens Iol 10 D +21 Diop Mod C Bcnvx Acrsf|230.64
880035.4911|Lens Iol 10 D +21 Diop Mod C Bcnvx Acrsf|277.14
880035.3594|Lens Iol 10 D +21.5 Diop Mod C Bcnvx|230.64
880035.4911|Lens Iol 10 D +21.5 Diop Mod C Bcnvx|277.14
880035.3596|Lens Iol 10 D +22 Diop Mod C Bcnvx Acrsf|230.64
880035.4911|Lens Iol 10 D +22 Diop Mod C Bcnvx Acrsf|277.14
880035.3589|Lens Iol 10 D +22.5 Diop Mod C Bcnvx|230.64
880035.4907|Lens Iol 10 D +22.5 Diop Mod C Bcnvx|277.14
880035.4908|Lens Iol 10 D +23 Diop Mod C Bcnvx Acrsf|277.14
880039.3598|Lens Iol 10 D +23 Diop Mod C Bcnvx Acrsf|277.14
880039.36|Lens Iol 10 D +23.5 Diop Mod C Bcnvx|230.64
880039.4908|Lens Iol 10 D +23.5 Diop Mod C Bcnvx|277.14
880035.4908|Lens Iol 10 D +24 Diop Mod C Bcnvx Acrsf|277.14
880039.3595|Lens Iol 10 D +24 Diop Mod C Bcnvx Acrsf|230.64
880035.4909|Lens Iol 10 D +24.5 Diop Mod C Bcnvx|277.14
880035.4909|Lens Iol 10 D +25 Diop Mod C Bcnvx Acrsf|277.14
880035.4909|Lens Iol 10 D +25.5 Diop Mod C Bcnvx|277.14
880039.3574|Lens Iol 10 D +25.5 Diop Mod C Bcnvx|230.64
880035.4911|Lens Iol 10 D +26 Diop Mod C Bcnvx Acrsf|277.14
880039.3571|Lens Iol 10 D +26 Diop Mod C Bcnvx Acrsf|230.64
880035.4911|Lens Iol 10 D +26.5 Diop Mod C Bcnvx|277.14
880039.1752|Lens Iol 10 D +26.5 Diop Mod C Bcnvx|230.64
880035.4911|Lens Iol 10 D +27 Diop Mod C Bcnvx Acrsf|277.14
880039.3568|Lens Iol 10 D +27 Diop Mod C Bcnvx Acrsf|230.64
880035.4911|Lens Iol 10 D +27.5 Diop Mod C Bcnvx|277.14
880039.1756|Lens Iol 10 D +27.5 Diop Mod C Bcnvx|230.64
880035.4911|Lens Iol 10 D +28 Diop Mod C Bcnvx Acrsf|277.14
880035.4911|Lens Iol 10 D +28.5 Diop Mod C Bcnvx|277.14
880035.4912|Lens Iol 10 D +29 Diop Mod C Bcnvx Acrsf|277.14
880035.4912|Lens Iol 10 D +29.5 Diop Mod C Bcnvx|277.14
880035.4912|Lens Iol 10 D +30 Diop Mod C Bcnvx Acrsf|277.14
880043.4907|Lens Iol 10 D +6 Diop Mod C Bcnvx Acrsf|230.64
880043.7118|Lens Iol 10D Mod C Bcnvx Acrsf 13Mm 6Mm|230.64
880035.1935|Lens Iol 360 D +19.5 Diop Bcnvx Tecnis|277.14
880035.1811|Lens Iol POS Wf Fld w/Isrt 6.0D|288.3
60064890|Leptospira Antibody|239
60020350|Leukocyte Alk Phos W Count|216
890022.7436|Leuprolide Acetate For Inj Kit 3.75 MG|4,557.91
890000.762|Levalbuterol HCl Soln Nebu 0.63 MG/3ML (Base Equiv)|3.1
890000.762|Levalbuterol HCl Soln Nebu 1.25 MG/3ML (Base Equiv)|72.5
890022.4092|Levetiracetam Inj 500 MG/5ML (100 MG/ML)|74.5
60086400|Levetiracetam Level|517
60086401|Levetiracetam Level I|48
890023.1671|Levetiracetam Oral Soln 100 MG/ML|133.29
890023.6808|Levetiracetam Tab 250 MG|3.1
890000.2421|Levobunolol HCl Ophth Soln 0.5%|49.97
890000.6076|Levobunolol HCl Ophth Soln 0.5%|12.97
890022.2502|Levofloxacin in D5W IV Soln 250 MG/50ML|97.3
890022.144|Levofloxacin in D5W IV Soln 500 MG/100ML|97.3
890022.144|Levofloxacin in D5W IV Soln 750 MG/150ML|97.3
890023.9046|Levofloxacin Tab 250 MG|3.1
8102445|Levonorgestrel Iu 52mg 5 Yr|2,660.29
890022.5042|Levonorgestrel IUD 20 MCG/DAY (Initial) (52 MG Total)|2,660.29
890022.5042|Levonorgestrel Releasing IUD 17.5 MCG/DAY (19.5 MG Total)|3,073.74
890001.6332|Levothyroxine Sodium For IV Inj 100 MCG|219.71
890023.9047|Levothyroxine Sodium Tab 100 MCG|3.1
890023.6069|Levothyroxine Sodium Tab 112 MCG|3.1
890023.5273|Levothyroxine Sodium Tab 125 MCG|3.1
890023.5273|Levothyroxine Sodium Tab 150 MCG|3.1
890023.6069|Levothyroxine Sodium Tab 25 MCG|3.1
890023.6069|Levothyroxine Sodium Tab 50 MCG|3.1
890023.6069|Levothyroxine Sodium Tab 75 MCG|3.1
890023.5273|Levothyroxine Sodium Tab 88 MCG|3.1
880039.704|Lgtr 2300Mm 30Mm Pllp Preld Dev Intgr|262.94
60064050|LH|398
890023.4961|Lidocaine Cream 4%|19.53
890000.4961|Lidocaine Cream 4% & Transparent Dressing Kit|111.77
890022.4095|Lidocaine HCl (Cardiac) IV Soln 100 MG/5ML (2%),Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%),Lidocaine HCl (Cardiac) IV PF Soln 100 MG/5ML (2%),Lidocaine HCl(Cardiac) IV PF Soln Pref Syr 100 MG/5ML (2%),Lidocaine HCl IV Inj 20 MG/ML|74.5
890023.5361|Lidocaine HCl Cream 4%|33.69
890000.6332|Lidocaine HCl Local Inj 2%|74.5
890000.6332|Lidocaine HCl Local Inj 2%|74.5
890000.6332|Lidocaine HCl Local Preservative Free (PF) Inj 0.5%|74.5
890000.5515|Lidocaine HCl Local Preservative Free (PF) Inj 1%|74.5
890000.6332|Lidocaine HCl Local Preservative Free (PF) Inj 1%|74.5
890000.6332|Lidocaine HCl Local Preservative Free (PF) Inj 1%|74.5
890000.6332|Lidocaine HCl Local Preservative Free (PF) Inj 1%|74.5
890000.4094|Lidocaine HCl Local Preservative Free (PF) Inj 2%|74.5
890000.5515|Lidocaine HCl Local Preservative Free (PF) Inj 2%|74.5
890000.6332|Lidocaine HCl Local Preservative Free (PF) Inj 2%|74.5
890000.5435|Lidocaine HCl Soln 4%|111.6
890000.1748|Lidocaine HCl Urethral/Mucosal Gel 2%|298.39
890000.7633|Lidocaine HCl Urethral/Mucosal Gel Prefilled Syringe 2%|16.74
890000.1211|Lidocaine HCl Viscous Soln 2%|3.47
890000.7289|Lidocaine HCl Viscous Soln 2%|30.69
890000.8888|Lidocaine HCl Viscous Soln 2%|3.1
890001.4093|Lidocaine Inj 1% w/ Epinephrine-1:100000|74.5
890001.6332|Lidocaine Inj 1% w/ Epinephrine-1:100000|74.5
890001.6332|Lidocaine Inj 1% w/ Epinephrine-1:100000|74.5
890001.6332|Lidocaine Inj 1% w/ Epinephrine-1:200000|74.5
890001.4091|Lidocaine Inj 1.5% w/ Epinephrine-1:200000|74.5
890001.6332|Lidocaine Inj 2% w/ Epinephrine-1:100000|74.5
890001.6332|Lidocaine Inj 2% w/ Epinephrine-1:100000|74.5
890001.6332|Lidocaine Inj 2% w/ Epinephrine-1:200000|74.5
890001.6332|Lidocaine Inj 2% w/ Epinephrine-1:200000|74.5
890022.338|Lidocaine IV Infusion in D5W Inj 8 MG/ML|97.3
890023.6032|Lidocaine Patch 5%|8.37
890023.168|Lidocaine-Prilocaine Cream Kit 2.5-2.5%|115.28
835359|Lig Div Lng Saph Vn Jct Dist|1,119.00
833828|Ligate Fallop Tube Abd/Vag; Postpartum|1,643.00
833829|Ligate Fallop Tube W Cesarian Section|363
833739|Ligation Fallopian Tube W Csection|330
833439|Ligation of Hemorrhoid(S)|904
833439|Ligation of Hemorrhoid(S)|943
818480|Ligation of Hemorrhoids|406
833382|Ligation or Bx Artery Temporal|527
833382|Ligation or Bx Artery Temporal|919
60056130|Light Chains Free Ea|273
880045.2273|Liner Actb 0D Std 66Mm 40Mm Xlpe Hip|3,191.76
880045.3748|Liner Actb 10D 80Mm 36Mm Lngvt Mdlr Cup|2,431.39
880045.2486|Liner Actb 10D Oblq 58Mm 36Mm Lngvt Hip|3,325.68
880045.6623|Liner Actb 10D Oblq 62/64Mm 40Mm Lngvt|3,600.22
880045.2487|Liner Actb 1Mm 1.8Mm Ofst 58Mm 36Mm|6,138.00
880045.2446|Liner Actb 45D Ee Elev 44Mm 28Mm Lngvt|1,627.50
880045.2446|Liner Actb 45D Ee Elev 46Mm 28Mm Lngvt|1,627.50
880045.2446|Liner Actb 45D Elev Jj 54Mm 32Mm Lngvt|1,627.50
880045.2446|Liner Actb 45D Ll Elev 58Mm 32Mm Lngvt|1,627.50
880045.986|Liner Actb 45D Mm Elev Rm 60Mm 32Mm|1,627.50
880045.2446|Liner Actb 45D Nn Elev 62Mm 32Mm Lngvt|1,627.50
880045.2446|Liner Actb 45D Oo Elev 64Mm 32Mm Lngvt|1,627.50
880045.2447|Liner Actb 45D Pp Elev 66Mm 32Mm Lngvt|1,627.50
880045.2447|Liner Actb 45D Pp Elev 66Mm 36Mm Lngvt|1,999.50
880045.4266|Liner Actb 45D Qu Elev 68Mm 32Mm Lngvt|1,627.50
880045.2447|Liner Actb 45D Qu Elev 68Mm 36Mm Lngvt|1,999.50
880045.2484|Liner Actb G7 +5Mm I Ntrl 40Mm E1 Hip|2,966.70
880045.1379|Liner Actb G7 D 36Mm E1 Hip Hw|2,604.00
880095.2902|Liner Actb G7 D 40Mm Cocr Hip 2 Mbl|2,883.00
880045.1516|Liner Actb G7 E 36Mm E1 Hip Hw|2,418.00
880045.1908|Liner Actb G7 E 42Mm Cocr Hip 2 Mbl|2,883.00
880045.1622|Liner Actb G7 E Ntrl 36Mm Hip|2,418.00
880045.1397|Liner Actb G7 F 36Mm E1 Hip Hw|1,767.00
880045.1516|Liner Actb G7 F 40Mm Hip Hw|2,418.00
880045.2497|Liner Actb G7 F 44Mm Cocr Hip 2 Mbl|2,883.00
880045.2485|Liner Actb G7 Frdm F 36Mm E1 Hip Cnstrn|3,502.38
880095.1516|Liner Actb G7 G 36Mm E1 Hip Hw|2,511.00
880045.1516|Liner Actb G7 G 40Mm E1 Hip Hw|2,418.00
880095.1644|Liner Actb G7 G 46Mm Cocr Hip 2 Mbl|2,883.00
880045.1707|Liner Actb G7 H 50Mm Cocr Hip 2 Mbl|2,883.00
880045.2485|Liner Actb G7 H Ntrl 40Mm Hip|2,418.00
880039.161|Liner Actb Gg Ntrl 48Mm 32Mm Lngvt Hip|2,779.45
880045.245|Liner Actb Gg Tpr 48Mm 32Mm Metasul Hip|3,438.10
880045.3854|Liner Actb Hgp Ii C Std 28Mm Lngvt Hip|2,283.06
880045.3855|Liner Actb Hgp Ii D Ntrl 28Mm Lngvt Hip|2,283.06
880045.3855|Liner Actb Hgp Ii E Elev 28Mm Lngvt Hip|2,283.06
880045.3854|Liner Actb Hgp Ii E Std 28Mm Lngvt Hip|2,283.06
880045.3855|Liner Actb Hgp Ii E Std 32Mm Lngvt Hip|2,283.06
880045.2466|Liner Actb Hgp Ii F 28Mm Lngvt Hip Prm|2,283.06
880045.3855|Liner Actb Hgp Ii F Std 28Mm Lngvt Hip|2,283.06
880045.3855|Liner Actb Hgp Ii F Std 32Mm Lngvt Hip|2,283.06
880045.243|Liner Actb Hgp Ii G 32Mm Lngvt Hip Prm|2,283.06
880045.2395|Liner Actb Hgp Ii G Elev 28Mm Lngvt Hip|2,283.06
880045.2466|Liner Actb Hgp Ii G Std 28Mm Lngvt Hip|2,283.06
880045.3856|Liner Actb Hgp Ii G Std 32Mm Lngvt Hip|2,283.06
880045.243|Liner Actb Hgp Ii H Ntrl 32Mm Lngvt Hip|2,283.06
880045.3856|Liner Actb Hgp Ii H Std 32Mm Lngvt Hip|2,283.06
880045.2466|Liner Actb Hgp Ii J Elev 28Mm Lngvt Hip|2,283.06
880045.3856|Liner Actb Hgp Ii J Elev 32Mm Lngvt Hip|2,283.06
880045.3855|Liner Actb Hgp Ii J Std 28Mm Lngvt Hip|2,283.06
880045.3856|Liner Actb Hgp Ii J Std 32Mm Lngvt Hip|2,283.06
880045.3855|Liner Actb Hgp Ii K Elev 28Mm Lngvt Hip|2,283.06
880045.2466|Liner Actb Hgp Ii K Std 28Mm Lngvt Hip|2,283.06
880045.3856|Liner Actb Hgp Ii K Std 32Mm Lngvt Hip|2,283.06
880045.2466|Liner Actb Hgp Ii L 28Mm Lngvt Hip Prm|2,283.06
880045.3856|Liner Actb Hgp Ii L Elev 32Mm Lngvt Hip|2,283.06
880045.3855|Liner Actb Hgp Ii L Std 28Mm Lngvt Hip|2,283.06
880045.3856|Liner Actb Hgp Ii L Std 32Mm Lngvt Hip|2,283.06
880045.3857|Liner Actb Hgp Ii M 32Mm Lngvt Hip Prm|2,283.06
880045.2466|Liner Actb Hgp Ii M Elev 28Mm Lngvt Hip|2,283.06
880045.3855|Liner Actb Hgp Ii M Std 28Mm Lngvt Hip|2,283.06
880045.3856|Liner Actb Hgp Ii M Std 32Mm Lngvt Hip|2,283.06
880045.2466|Liner Actb Hgp Ii N Elev 28Mm Lngvt Hip|2,283.06
880045.2464|Liner Actb Hgp Ii N Elev 32Mm Lngvt Hip|2,283.06
880045.2466|Liner Actb Hgp Ii N Std 28Mm Lngvt Hip|2,283.06
880045.3856|Liner Actb Hgp Ii N Std 32Mm Lngvt Hip|2,283.06
880045.2466|Liner Actb Hgp Ii P Elev 28Mm Lngvt Hip|2,283.06
880045.3857|Liner Actb Hgp Ii P Elev 32Mm Lngvt Hip|2,283.06
880045.2466|Liner Actb Hgp Ii P Std 28Mm Lngvt Hip|2,283.06
880045.3856|Liner Actb Hgp Ii P Std 32Mm Lngvt Hip|2,283.06
880045.2466|Liner Actb Hgp Ii Std H 28Mm Lngvt Hip|2,283.06
880045.245|Liner Actb Hh Tpr 50Mm 36Mm Metasul Hip|3,438.10
880039.7612|Liner Actb Ii Elev Rm 52Mm 36Mm Lngvt|3,261.88
880045.245|Liner Actb Ii Tpr 52Mm 36Mm Metasul Hip|3,438.10
880095.2017|Liner Actb Jj Elev Rm 54Mm 36Mm Lngvt|3,261.88
880045.2446|Liner Actb Kk Elev 56Mm 32Mm Lngvt Hip|1,627.50
880095.3979|Liner Actb Kk Ntrl 56Mm 40Mm Lngvt Hip|3,197.92
880095.1727|Liner Actb Kk Ntrl 56Mm 40Mm Vivacit-E|3,035.52
880095.4304|Liner Actb Ll Ntrl 58Mm 40Mm Lngvt Hip|3,261.88
880095.2487|Liner Actb Ll Ntrl 60Mm 40Mm Vivacit-E|3,035.52
880045.4003|Liner Actb Mm Ntrl 60Mm 40Mm Lngvt Hip|1,999.50
880045.2451|Liner Actb Nn Ntrl 62Mm 32Mm Lngvt Hip|2,329.02
880045.2451|Liner Actb Nn Ntrl 62Mm 36Mm Lngvt Hip|3,074.91
880045.4007|Liner Actb Nn Ntrl 62Mm 40Mm Lngvt Hip|1,999.50
880045.2451|Liner Actb Nn Tpr 62Mm 40Mm Metasul Hip|3,438.10
880045.2451|Liner Actb Oo Ntrl 64Mm 32Mm Lngvt Hip|2,329.02
880045.2451|Liner Actb Oo Ntrl 64Mm 36Mm Lngvt Hip|3,074.91
880095.4237|Liner Actb Oo Ntrl 64Mm 40Mm Lngvt Hip|3,197.92
880095.2485|Liner Actb Oo Ntrl 64Mm 40Mm Vivacit-E|2,975.07
880045.2451|Liner Actb Oo Tpr 64Mm 40Mm Metasul Hip|3,438.10
880045.2451|Liner Actb Pp Ntrl 66Mm 32Mm Lngvt Hip|2,329.02
880045.2451|Liner Actb Pp Ntrl 66Mm 36Mm Lngvt Hip|3,074.91
880045.2446|Liner Actb Pp Ntrl 66Mm 40Mm Lngvt Hip|1,999.50
880045.2451|Liner Actb Pp Tpr 66Mm 40Mm Metasul Hip|3,438.10
880045.2451|Liner Actb Qu Ntrl 68Mm 32Mm Lngvt Hip|2,329.02
880045.2451|Liner Actb Qu Ntrl 68Mm 36Mm Lngvt Hip|1,999.50
880045.3966|Liner Actb Qu Ntrl 68Mm 40Mm Lngvt Hip|1,999.50
880045.2451|Liner Actb Qu Tpr 68Mm 40Mm Metasul Hip|3,438.10
880045.2284|Liner Actb Trdnt 0D E 5.9Mm 36Mm X3 Hip|2,515.65
880045.3768|Liner Actb Trlg 0D Std Ntrl 11.9Mm 68Mm|3,191.76
880045.3768|Liner Actb Trlg 0D Std Ntrl 12.9Mm 70Mm|2,463.38
880045.2274|Liner Actb Trlg 0D Std Ntrl 5.3Mm 44Mm|1,842.14
880045.2014|Liner Actb Trlg 0D Std Ntrl 8.9Mm 62Mm|3,191.76
880045.2254|Liner Actb Trlg 0D Std Ntrl 9.8Mm 60Mm|2,345.94
880045.2364|Liner Actb Trlg 0D Std Ntrl 9.9Mm 64Mm|3,191.76
880045.2447|Liner Actb Trlg 10.8Mm 62Mm 36Mm Lngvt|9,281.40
880045.1785|Liner Actb Trlg 10D 13.8Mm 68Mm 36Mm|2,272.18
880045.3734|Liner Actb Trlg 10D 14.8Mm 70Mm 36Mm|2,521.97
880045.2366|Liner Actb Trlg 10D 17.8Mm 76Mm 36Mm|2,431.39
880045.3748|Liner Actb Trlg 10D 5.3Mm 44Mm 28Mm|1,553.10
880045.237|Liner Actb Trlg 10D Elev 14.4Mm 72Mm 32|1,553.10
880045.237|Liner Actb Trlg 10D Elev 15.4Mm 74Mm 32|1,944.82
880045.237|Liner Actb Trlg 10D Elev 16.3Mm 76Mm 32|1,534.50
880045.2366|Liner Actb Trlg 10D Elev 16.9Mm 74Mm 36|2,431.39
880045.237|Liner Actb Trlg 10D Elev 17.3Mm 78Mm 32|1,534.50
880045.237|Liner Actb Trlg 10D Elev 18.3Mm 80Mm 32|1,534.50
880045.2366|Liner Actb Trlg 10D Elev 18.9Mm 78Mm 36|2,431.39
880045.3734|Liner Actb Trlg 10D Elev 7.9Mm 56Mm 36Mm|2,272.18
880045.1701|Liner Actb Trlg 10D Elev Rm 11.9Mm 64Mm|2,671.89
880095.3734|Liner Actb Trlg 10D Elev Rm 8.9Mm 58Mm|3,197.92
880045.2274|Liner Actb Trlg 10D Std 72Mm 36Mm Lngvt|2,345.94
880045.2447|Liner Actb Trlg 11.4Mm 64Mm 36Mm Lngvt|9,281.40
880045.2447|Liner Actb Trlg 12.8Mm 66Mm 36Mm Lngvt|9,281.40
880045.2447|Liner Actb Trlg 13.4Mm 70Mm 36Mm Lngvt|9,281.40
880045.2447|Liner Actb Trlg 13.8Mm 68Mm 36Mm Lngvt|9,281.40
880045.3733|Liner Actb Trlg 14.1Mm 62Mm 32Mm Trb Mtl|1,432.20
880045.2447|Liner Actb Trlg 15.8Mm 72Mm 36Mm Lngvt|9,281.40
880045.2447|Liner Actb Trlg 16.8Mm 74Mm 36Mm Lngvt|9,281.40
880045.2447|Liner Actb Trlg 17.8Mm 76Mm 36Mm Lngvt|9,281.40
880045.2447|Liner Actb Trlg 18.8Mm 78Mm 36Mm Lngvt|9,281.40
880045.2447|Liner Actb Trlg 19.8Mm 80Mm 36Mm Lngvt|9,281.40
880045.237|Liner Actb Trlg 20D 16.3Mm 76Mm 32Mm|1,534.50
880045.2366|Liner Actb Trlg 20D 5.3Mm 44Mm 28Mm|2,042.28
880045.2366|Liner Actb Trlg 20D 6.3Mm 46Mm 28Mm|2,118.87
880045.6165|Liner Actb Trlg 20D 6.3Mm 48Mm 28Mm|708.66
880045.237|Liner Actb Trlg 20D Elev 14.4Mm 72Mm 32|1,534.50
880045.237|Liner Actb Trlg 20D Elev 15.4Mm 74Mm 32|1,534.50
880045.237|Liner Actb Trlg 20D Elev 17.3Mm 78Mm 32|1,534.50
880045.237|Liner Actb Trlg 20D Elev 18.3Mm 80Mm 32|1,534.50
880095.2375|Liner Actb Trlg 20D Elev 5.3Mm 48Mm 32Mm|2,878.85
880095.3546|Liner Actb Trlg 20D Elev 6.3Mm 50/52/54|2,878.85
880095.2375|Liner Actb Trlg 20D Elev 6.4Mm 56Mm 32Mm|2,878.85
880045.8973|Liner Actb Trlg 6.4Mm 56Mm 32Mm Lngvt|9,281.40
880045.2344|Liner Actb Trlg 7.3Mm 50Mm 28Mm Lngvt|7,648.32
880045.2447|Liner Actb Trlg 7.4Mm 58Mm 32Mm Lngvt|9,281.40
880045.3733|Liner Actb Trlg 7Mm Ofst 10.3Mm 64Mm 32|1,897.20
880045.2367|Liner Actb Trlg 7Mm Ofst 11.4Mm 66Mm 32|1,897.20
880045.2367|Liner Actb Trlg 7Mm Ofst 12.4Mm 68Mm 32|1,897.20
880045.2367|Liner Actb Trlg 7Mm Ofst 13.3Mm 70Mm 32|1,897.20
880045.2367|Liner Actb Trlg 7Mm Ofst 5.3Mm 48Mm 32Mm|1,897.20
880045.2367|Liner Actb Trlg 7Mm Ofst 6.3Mm 50/52/54|1,897.20
880045.2367|Liner Actb Trlg 7Mm Ofst 6.4Mm 56Mm 32Mm|1,817.22
880045.2367|Liner Actb Trlg 7Mm Ofst 7.3Mm 58Mm 32Mm|1,897.20
880045.2367|Liner Actb Trlg 7Mm Ofst 8.4Mm 60Mm 32Mm|1,817.22
880045.2367|Liner Actb Trlg 7Mm Ofst 9.3Mm 62Mm 32Mm|1,897.20
880045.2447|Liner Actb Trlg 9.8Mm 60Mm 36Mm Lngvt|9,281.40
880045.3733|Liner Actb Trlg Ecntrc 14.8Mm 64Mm 32Mm|1,432.20
880045.3734|Liner Actb Trlg Ecntrc 15.8Mm 66Mm 32Mm|1,432.20
880045.3734|Liner Actb Trlg Ecntrc 16.8Mm 68Mm 32Mm|1,432.20
880045.3734|Liner Actb Trlg Ecntrc 17.8Mm 70Mm 32Mm|1,432.20
880045.3733|Liner Actb Trlg Oblq 10.6Mm 56Mm 32Mm|1,432.20
880045.2367|Liner Actb Trlg Oblq 11.3Mm 50/52/54Mm|1,432.20
880045.3733|Liner Actb Trlg Oblq 11.8Mm 58Mm 32Mm|1,432.20
880045.3733|Liner Actb Trlg Oblq 13Mm 60Mm 32Mm|1,887.90
880045.3842|Liner Actb Trlg Ring 10.3Mm 64Mm 32Mm|2,633.95
880045.3841|Liner Actb Trlg Ring 11.4Mm 66Mm 32Mm|2,633.95
880045.3842|Liner Actb Trlg Ring 12.4Mm 68Mm 32Mm|2,633.95
880045.2273|Liner Actb Trlg Ring 13.3Mm 70Mm 32Mm|2,633.95
880045.1694|Liner Actb Trlg Ring 6.4Mm 56Mm 32Mm Tiv|2,633.76
880045.3841|Liner Actb Trlg Ring 7.3Mm 58Mm 32Mm Tiv|2,633.76
880045.3841|Liner Actb Trlg Std 6.3Mm 50/52/54Mm 32|2,633.76
880045.2701|Liner Actb Trlg Std 6.8Mm 58Mm 40Mm|2,599.35
880095.2254|Liner Actb Trlg Std 7.9Mm 56Mm 36Mm|3,197.92
880045.1517|Liner Actb Trlg Std Ntrl 10.9Mm 62Mm 36|2,272.18
880045.2254|Liner Actb Trlg Std Ntrl 11.9Mm 64Mm 36|2,272.18
880045.3734|Liner Actb Trlg Std Ntrl 12.9Mm 66Mm 36|2,272.18
880045.3735|Liner Actb Trlg Std Ntrl 13.9Mm 68Mm 36|2,272.18
880045.3598|Liner Actb Trlg Std Ntrl 14.4Mm 72Mm 32|1,465.68
880045.3735|Liner Actb Trlg Std Ntrl 14.9Mm 70Mm 36|2,272.18
880045.3598|Liner Actb Trlg Std Ntrl 15.4Mm 74Mm 32|1,465.68
880045.2274|Liner Actb Trlg Std Ntrl 15.9Mm 72Mm 36|2,431.39
880045.3598|Liner Actb Trlg Std Ntrl 16.3Mm 76Mm 32|1,465.68
880045.3748|Liner Actb Trlg Std Ntrl 16.9Mm 74Mm 36|2,431.39
880045.3598|Liner Actb Trlg Std Ntrl 17.3Mm 78Mm 32|1,465.68
880045.3748|Liner Actb Trlg Std Ntrl 17.9Mm 76Mm 36|2,431.39
880045.3599|Liner Actb Trlg Std Ntrl 18.3Mm 80Mm 32|1,465.68
880045.3748|Liner Actb Trlg Std Ntrl 18.9Mm 78Mm 36|2,431.39
880045.3748|Liner Actb Trlg Std Ntrl 19.9Mm 80Mm 36|2,431.39
880045.3748|Liner Actb Trlg Std Ntrl 6.3Mm 46Mm 28Mm|1,842.14
880095.2254|Liner Actb Trlg Std Ntrl 6.7Mm 50Mm 36Mm|3,197.92
880045.261|Liner Actb Trlg Std Ntrl 7.9Mm 60Mm 40Mm|2,599.35
880045.3841|Liner Actb Trlg Std Ring 8.4Mm 60Mm 32Mm|2,633.95
880045.3842|Liner Actb Trlg Std Ring 9.3Mm 62Mm 32Mm|2,633.95
880045.2823|Liner Actb Vivacit-E Nn Elev 62Mm 36Mm|1,767.00
880045.3779|Liner Biplr 40/41Mm 22Mm Vrsy Ld/Fx Hip|418.5
880095.1364|Liner Biplr 44/45/46Mm 28Mm Vrsy Ld/Fx|614.73
880095.153|Liner Biplr 47/48/49Mm 28Mm Vrsy Ld/Fx|614.73
880095.1373|Liner Biplr 50/51/52Mm 28Mm Vrsy Ld/Fx|614.73
880095.2431|Liner Biplr 53/54/55Mm 28Mm Vrsy Ld/Fx|614.73
880045.1734|Liner Biplr 57/58Mm 28Mm Vrsy Ld/Fx Hip|418.5
880045.2362|Liner Biplr 60/62Mm 28Mm Vrsy Ld/Fx Hip|418.5
880045.2389|Liner Glnd Cmprh Shldr E1 Cnvr|1,832.10
880045.1992|Liner Shldr 36Mm 7D +6Mm Ofst Std Hum|1,918.40
880045.1794|Liner Shldr H+3Mm 36Mm 7D Std Hum Trb|1,918.40
880045.2396|Liner Shldr H+6Mm 40Mm 7D Std Hum Trb|1,918.40
890022.7813|Linezolid IV Soln 600 MG/300ML (2 MG/ML)|120.53
890023.6788|Linezolid Tab 600 MG|7.67
890023.6788|Linezolid Tab 600 MG|9.77
890023.743|Liniments & Rubs - Ointment,Menthol-Methyl Salicyclate oint,Camphor-Menthol,Menthol-Methyl Salicylate Cream,Menthol-Camphor - Ointment,Camphor-Menthol-Methyl Salicylate Cream 4-10-30%|9.22
880095.1516|Linr Acetab Hi-Wall E1 Sz H 40Mm|2,418.00
880045.3409|Linr Actb G7 F 36mm Vivacit-e Hip Lum|1,953.00
880045.3559|Linr Actb G7 G 40mm Vivacit-e Hip Lum|2,418.00
880045.339|Linr Actb G7 G 40mm Vivacit-e Hip Lum Hw|2,325.00
880045.1051|Linr Hooded Durausl Epsilon 28Mm X 49Mm|2,962.98
880045.3857|Linr Hooded Durausl Epsilon 32Mm X 51Mm|2,962.98
880045.24|Linr Hooded Durausl Epsilon 32Mm X 53Mm|1,706.55
880045.4022|Linr Hooded Durausl Epsilon 32Mm X 57Mm|2,962.98
880045.3751|Linr Hooded Durausl Epsilon 32Mm X 59Mm|2,962.98
880045.1057|Linr Hooded Durausl Epsilon 32Mm X 61Mm|2,962.98
880045.2464|Linr Hooded Durausl Epsilon 32Mm X 63Mm|2,962.98
880045.2464|Linr Hooded Durausl Epsilon 32Mm X 65Mm|2,962.98
880045.126|Linr Hooded Durausl Epsilon 32Mm X 67Mm|2,962.98
880045.2464|Linr Hooded Durausl Epsilon 32Mm X 69Mm|2,962.98
880045.2464|Linr Hooded Durausl Epsilon 32Mm X 71Mm|2,962.98
880045.2602|Linr Total Hip W/Vit E|10,309.05
60015350|Lipase Blood|162
60010420|Lipid Profile|272
60045060|Lipid Profile I|272
60081440|Lipoprotein A|239
60055630|Lipoprotein Blood by Nmr|486
890023.6069|Lisinopril Tab 2.5 MG|3.1
890023.6808|Lisinopril Tab 2.5 MG|3.1
890023.7628|Lisinopril Tab 20 MG|3.1
890023.9047|Lisinopril Tab 5 MG|3.1
890023.5485|Lithium Carbonate Cap 150 MG|3.1
60015450|Lithium Level|141
880045.2485|Ln Oss Cp/E1|5,812.50
60061420|Long Chain Fatty Acids|419
890023.9303|Loperamide HCl Cap 2 MG|3.1
890023.9047|Loratadine Tab 10 MG|3.1
890022.6416|Lorazepam Inj 2 MG/ML|74.5
890022.6416|Lorazepam Inj 2 MG/ML|74.5
890023.9046|Lorazepam Tab 0.5 MG|3.1
890023.6932|Lorazepam Tab 1 MG|3.1
890023.5027|Losartan Potassium Tab 25 MG|3.1
890023.5027|Losartan Potassium Tab 25 MG|3.1
890023.6868|Loteprednol Etabonate Ophth Susp 0.5%|596.25
800209|Lower Extremity Infant 2 Vw|630
60039400|Lr Cells|1,000.00
815891|Lt Compres Band >=3in <5in/Yd|6
814724|Lubricant for Plugs Molds and Ha|5
802833|Lumbar Puncture|436
802833|Lumbar Puncture|4,086.00
8104154|Lumbar Puncture Dx W Fl or CT|4,086.00
830297|Lumbar Puncture Dx WO CT Fl|213
830297|Lumbar Puncture Dx WO CT Fl|2,627.00
800671|Lumbar Spine 2 or 3 Vw|709
800698|Lumbar Spine 4+ Vw|1,293.00
800710|Lumbar Spine W Bending Vw|1,380.00
816850|Lung Ventilat&Perfus Imaging|2,526.00
816852|Lung Ventilation Imaging|2,523.00
8101759|Lupron Depot per 3.75 Mg Inj|4,557.91
60065160|Lyme Disease Ab Igm|311
60080760|Lyme Disease Ab Index|274
60087770|Lyme Disease Ab Screen CSF|17
60080810|Lyme Disease Antibody Screen Blood|271
60080730|Lyme Disease Pcr Blood|105
60080960|Lyme Disease Western Blot Igg|69
60080990|Lyme Disease Western Blot Igm|69
60065680|Lysozyme|102
60017200|Lytes (Na K Cl Co2) Blood|211
60015550|Magnesium Blood|145
890023.6945|Magnesium Citrate Soln|4.19
890023.121|Magnesium Hydroxide Susp 400 MG/5ML|3.1
890023.6498|Magnesium Oxide Tab 400 MG,Magnesium Oxide Tab 400 MG (240 MG Elemental Mg),Magnesium Oxide Tab 400 MG (241.3 MG Elemental Mg),Magnesium Oxide Tab 400 MG (241.3 MG Elemental Mg)|3.1
890022.6332|Magnesium Sulfate in Dextrose 5% IV Soln 1 GM/100ML|97.3
890022.6332|Magnesium Sulfate Inj 50%|97.3
890022.2502|Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML)|97.3
890022.4092|Magnesium Sulfate IV Soln 20 GM/500ML (40 MG/ML)|97.3
890022.6332|Magnesium Sulfate IV Soln 4 GM/100ML (40 MG/ML)|97.3
60013870|Magnesium Urine Quant|145
817960|Major Hearing Aid Rep After 5 Yrs|395
60020360|Malaria Smear|116
8102679|Mamm Dx Bilateral Includes Cad|422
8102678|Mamm Dx Unilateral Includes Cad|314
8102680|Mamm Screen Bilat Includes Cad|336
8103266|Mamm Screen Unilat Includes Cad|211
800614|Mammo Ductogram Multiple|1,029.00
800630|Mammo Exam Breast Specimen|309
800612|Mammo Mammary Duct Single|962
800264|Mandible < 4 Vw|709
800362|Mandible 4+ Vw|1,005.00
60068340|Manganese|210
834383|Manip Knee Joint W General Anesth|601
880039.7562|Manip Uter Vcare Std|239.37
890001.338|Mannitol IV Soln 20%|175.77
815756|Manual Ther Tech 1+Regions Ea 15 M|200
815755|Manual Ther Tech 1+Regions Ea 15 Min|200
832727|Marsupialization Cyst Bartholin Gland|772
833718|Mast Modf Rad W/Ax Lymph Nod W/WO Pect|5,834.00
814707|Mastectomy Bra|82
833717|Mastectomy Smpl Compl|4,927.00
800550|Mastoids 3+ Vw|1,078.00
815984|Mastotomy W/Expl/Drainage Abscess Deep|1,616.00
832338|Mastotomy W/Expl/Drainage Abscess Deep|661
832338|Mastotomy W/Expl/Drainage Abscess Deep|1,381.00
880039.2963|Mat Pt 36In Prmrpro Remuv Lng Nyl Pvc|131.71
880038.2497|Matrs Air Pilo Pd W/End Flap|129.46
811878|Maximum Breathing Capacity|204
831999|Maximum Breathing Capacity|41
831870|MD Attendance at Delivery|268
814693|MD Medical Evaluation/Physical|295
813532|Mdi Hold Chamber|190
811278|Mdi Treatment Subseq|211
813733|Measles Mumps Rubella Mmr Vaccine|285.8
890022.6468|Measles-Mumps-Rubella Virus Vaccines For Inj Soln|285.8
890022.6468|Measles-Mumps-Rubella Virus Vaccines For Inj Soln|285.8
834066|Mech Remv Obst Material Cvad|211
811125|Mechanical Traction Therapy|162
890023.5027|Meclizine HCl Tab 12.5 MG|3.1
890023.5027|Meclizine HCl Tab 12.5 MG|3.1
814035|Med Surg Daily|2,288.00
814043|Med Surge Hospice Respite Daily|275
814039|Med/Surg Swing Bed Daily|1,036.00
814692|Medical Follow Up|142
890022.5515|Medroxyprogesterone Acetate IM Susp 150 MG/ML,Medroxyprogesterone Acetate IM Susp Prefilled Syr 150 MG/ML|172.48
890022.5515|Medroxyprogesterone Acetate IM Susp Prefilled Syr 150 MG/ML|172.48
890023.5551|Medroxyprogesterone Acetate Tab 2.5 MG|3.1
890023.6438|Megestrol Acetate Susp 40 MG/ML|3.1
890023.6438|Megestrol Acetate Tab 40 MG|3.1
890023.5027|Meloxicam Tab 7.5 MG|3.1
890023.6838|Meloxicam Tab 7.5 MG|3.1
890023.9047|Memantine HCl Tab 10 MG|3.1
890022.4928|Meningococcal (A, C, Y, and W-135) Diphth Conjugate Vaccine|535.36
890022.5816|Meningococcal (A, C, Y, and W-135) Oligo Conj Vac IM Soln|535.1
8102461|Meningococcal Rp W Omv Vaccine Im|984.6
890022.5816|Meningococcal Vac B (Recomb OMV Adjuv) Inj Prefilled Syringe|984.6
813742|Meningococcal Vaccine Im|535.35
833076|Meniscectomy Medial and Lat Knee|2,773.00
833133|Meniscectomy Medial or Lat Knee|2,667.00
890023.4117|Menthol Gel 2.5%|12.44
890023.743|Menthol Gel 2.5%|10.02
890022.4091|Meperidine HCl Inj 50 MG/ML|74.5
818563|Mepilex Foam Dressing|94
60064110|Mercury Blood|415
60064100|Mercury Urine|296
890022.6332|Meropenem IV For Soln 1 GM|74.5
890022.6332|Meropenem IV For Soln 500 MG|74.5
SUP50994|Mesh 3d Max Lg L|462
SUP50995|Mesh 3d Max Lg R|462
SUP50992|Mesh 3d Max MD L|412
SUP50993|Mesh 3d Max MD R|412
SUP58400|Mesh Patch Ventralex Circlr Med|1,330.00
SUP58399|Mesh Patch Ventralex Circlr Sm|1,112.00
880102.3343|Mesh Srg 3dmax 14x8cm Med Mid Lt Ingnl|455.7
880102.3343|Mesh Srg 3dmax 14x8cm Med Mid Rt Ingnl|455.7
880102.3343|Mesh Srg 3dmax 16x10cm Lg Mid Lt Ingnl|483.41
880102.3343|Mesh Srg 3dmax 16x10cm Lg Mid Rt Ingnl|483.41
880102.7676|Mesh Srg 3Dmax 6.2X4.1In Lg 3D Mfl Sl|354.7
880102.8958|Mesh Srg 3Dmax 6.7X4.8In Xl Ltwt Mfl|494.39
880102.8973|Mesh Srg 3Dmax 6.7X4.8In Xl Ltwt Pore|391.34
880102.9046|Mesh Srg 3Dmax 7X5In Xl 3D Crv Contr Sl|511.5
880102.9047|Mesh Srg 3Dmax 7X5In Xl 3D Crv Contr Sl|511.5
880102.1141|Mesh Srg Bard 12X12In Sq Mfl Sft Ltwt|744
880102.1732|Mesh Srg Bard 3Dmax 5X3In Med 3D Crv|276.95
880102.1733|Mesh Srg Bard 3Dmax 5X3In Med 3D Crv|238.08
880102.7669|Mesh Srg Bard 3Dmax 6.2X4.1In Lg 3D Mfl|449.75
880102.173|Mesh Srg Bard 3Dmax 6X4In Lg Crv Left|465
880102.1734|Mesh Srg Bard 3Dmax 6X4In Lg Crv Right|465
880102.3512|Mesh Srg Bard 6X3In Rect Mfl Gld Std Flt|66.4
880102.493|Mesh Srg Bard Mrlx 14X10In Rect Mfl Gld|398.41
880102.1341|Mesh Srg Bard Mrlx 6x6in Sq Mfl Gld Std|162.94
880102.3976|Mesh Srg Cmpsx 10X8In Elip Mfl Nabsb Sl|2,306.40
880102.222|Mesh Srg Collamend 6X4In Elip Fen Hrn|3,839.04
880102.1467|Mesh Srg C-Qur Tacshield 6X3In Oblng Adv|911.4
880102.106|Mesh Srg C-Qur V-Ptch 1.7X1.7In Sm 2 Xtd|688.2
880039.106|Mesh Srg C-Qur V-Ptch 3.2X3.2In Lg 2 Xtd|1,116.00
880102.9078|Mesh Srg C-Qur V-Ptch Med 2 Xtd Strap|865.83
880039.2684|Mesh Srg Ethicon Physiomesh 15X10Cm Ovl|1,381.55
880102.4002|Mesh Srg Ethicon Physiomesh 25X20Cm Ovl|2,301.27
880102.7813|Mesh Srg Physiomesh 20X15Cm Flxb Compst|1,485.62
880102.3796|Mesh Srg Prc 10X8In Ovl Flxb Tissue Sep|2,352.40
880102.1589|Mesh Srg Prln 6X4In Ptch Sft Flt Hrn|152.89
880102.6176|Mesh Srg Prln 6X6In Flt Sq Cstm Knit|368.34
880102.2491|Mesh Srg Proloop 1.9X1.6In Lg 3 Dmn Plg|255.75
880039.2739|Mesh Srg Sprmsh Ip Sepra 12X8In Rect Mfl|2,483.10
880039.3971|Mesh Srg Sprmsh Ip Sepra 6X3In Rect Mfl|500.34
880039.5008|Mesh Srg Sprmsh Ip Sepra 8X4In Rect Mfl|612.05
880102.2739|Mesh Srg Sprmsh Ip Sepra 8X6In Rect Mfl|1,142.51
880102.1467|Mesh Srg Surgimesh Wn 15X10Cm|744
880039.8772|Mesh Srg Ultrapro 6X6In Flt Prt Absb|169.89
880039.2485|Mesh Srg Ultrapro Adv 15X15Cm Sq Prt|182.04
880102.1435|Mesh Srg Vcl 12X12In Knit|1,265.21
880102.2777|Mesh Srg Ventralight St Echo 2 20X15Cm|2,452.41
880102.2994|Mesh Srg Ventralight St Echo 2 25X20Cm|4,040.48
880102.2789|Mesh Srg Ventralight St Sepra 6X4In|1,062.80
880102.2789|Mesh Srg Ventralight St Sepra Crc 4.5In|1,190.40
880045.2487|Mesh Srg Vitamesh 6X3In Rect Flt Sethr|97.19
880045.2487|Mesh Srg Vitamesh 6X4In 2.4Mm Flt Rect|114.86
833178|Metacrp Fx Perc Skel Fixation Ea|2,327.00
60087440|Metanephrines Plasma|419
60064150|Metanephrines Urine|322
890023.9047|Metformin HCl Tab 500 MG|3.1
890023.5023|Metformin HCl Tab 850 MG|3.1
890023.7001|Metformin HCl Tab ER 24HR 500 MG|3.1
890023.4066|Methadone HCl Tab 10 MG|3.1
890023.6846|Methadone HCl Tab 10 MG|3.1
60012020|Methemoglobin|164
890023.2316|Methimazole Tab 5 MG|3.1
60064200|Methotrexate Level|271
890022.617|Methotrexate Sodium Inj PF 25 MG/ML,Methotrexate Sodium Inj PF 100 MG/4ML (25 MG/ML),Methotrexate Sodium Inj PF 50 MG/2ML (25 MG/ML),Methotrexate Sodium Inj PF 250 MG/10ML (25 MG/ML),Methotrexate Sodium Inj PF 1000 MG/40ML (25 MG/ML),Methotrexate Sodium I|74.5
890022.1673|Methotrexate Sodium Tab 2.5 MG (Base Equiv)|3.1
890022.517|Methylene Blue IV Soln 50 MG/10ML (5 MG/ML)|311.7
890022.5199|Methylergonovine Maleate Inj 0.2 MG/ML|74.5
890023.6924|Methylergonovine Maleate Tab 0.2 MG|46.04
60068970|Methylmalonic Acid Blood|572
890025.6565|Methylnaltrexone Bromide Inj 12 MG/0.6ML (20 MG/ML)|463.54
817454|Methylprednis 40 Mg Inj|74.5
890022.1671|Methylprednisolone Acetate Inj Susp 40 MG/ML|74.5
890022.9307|Methylprednisolone Acetate Inj Susp 40 MG/ML|74.5
890022.7012|Methylprednisolone Acetate Inj Susp 80 MG/ML|74.5
890022.703|Methylprednisolone Acetate Inj Susp 80 MG/ML|74.5
890022.9031|Methylprednisolone Acetate Inj Susp 80 MG/ML|74.5
890022.9348|Methylprednisolone Acetate Inj Susp 80 MG/ML|74.5
890022.9002|Methylprednisolone Sod Succ For Inj 1000 MG (Base Equiv)|166.89
890022.9005|Methylprednisolone Sod Succ For Inj 125 MG (Base Equiv)|74.5
890022.9004|Methylprednisolone Sod Succ For Inj 40 MG (Base Equiv)|74.5
890022.9004|Methylprednisolone Sod Succ For Inj 40 MG (Base Equiv)|74.5
890022.9004|Methylprednisolone Sod Succ For Inj 40 MG (Base Equiv)|74.5
890022.9076|Methylprednisolone Sod Succ For Inj 500 MG (Base Equiv)|75.55
890022.5975|Methylprednisolone Tab Therapy Pack 4 MG (21)|3.1
890022.2316|Metoclopramide HCl Inj 5 MG/ML (Base Equivalent)|74.5
890023.9322|Metoclopramide HCl Tab 5 MG (Base Equivalent)|3.1
890023.7289|Metolazone Tab 2.5 MG|3.1
890023.5027|Metoprolol Succinate Tab ER 24HR 100 MG (Tartrate Equiv)|3.1
890023.9046|Metoprolol Succinate Tab ER 24HR 25 MG (Tartrate Equiv)|3.1
890000.4092|Metoprolol Tartrate IV Soln 5 MG/5ML|74.5
890023.6258|Metoprolol Tartrate Tab 100 MG|3.1
890023.5108|Metoprolol Tartrate Tab 25 MG|3.1
890023.7131|Metronidazole Gel 0.75%|273.45
890022.4734|Metronidazole IV Soln 500 MG/100ML|97.3
890023.6069|Metronidazole Tab 500 MG|3.1
890023.7817|Metronidazole Vaginal Gel 0.75%|341.19
60061860|Mexiletine Level|328
890022.2502|Micafungin Sodium For IV Soln 100 MG|573.61
890023.9045|Miconazole Nitrate Vaginal Supp 200 MG & 2% Cream 9 GM Kit|21.46
890023.4722|Miconazole Nitrate Vaginal Suppos 200 MG|44.41
60081170|Microalbumin Urine Random Quant|271
60055810|Microdissection Manual|608
60064470|Microsomal Antibody|40
60067930|Microsomal Antibody Liver/Kidney|143
890022.2316|Midazolam HCl Inj 1 MG/ML (Base Equivalent),Midazolam HCl Inj 2 MG/2ML (Base Equivalent),Midazolam HCl Inj 5 MG/5ML (Base Equivalent),Midazolam HCl Inj 10 MG/10ML (Base Equivalent),Midazolam HCl Inj PF 2 MG/2ML (Base Equivalent),Midazolam HCl Inj PF 5 MG/|74.5
890022.4092|Midazolam HCl Inj 1 MG/ML (Base Equivalent),Midazolam HCl Inj 2 MG/2ML (Base Equivalent),Midazolam HCl Inj 5 MG/5ML (Base Equivalent),Midazolam HCl Inj 10 MG/10ML (Base Equivalent),Midazolam HCl Inj PF 2 MG/2ML (Base Equivalent),Midazolam HCl Inj PF 5 MG/|74.5
890022.6416|Midazolam HCl Inj 1 MG/ML (Base Equivalent),Midazolam HCl Inj 2 MG/2ML (Base Equivalent),Midazolam HCl Inj 5 MG/5ML (Base Equivalent),Midazolam HCl Inj 10 MG/10ML (Base Equivalent),Midazolam HCl Inj PF 2 MG/2ML (Base Equivalent),Midazolam HCl Inj PF 5 MG/|74.5
890022.6332|Midazolam HCl Inj 2 MG/2ML (Base Equivalent)|74.5
890022.6416|Midazolam HCl Inj 5 MG/5ML (Base Equivalent)|74.5
890022.2316|Midazolam HCl Inj 5 MG/ML (Base Equivalent),Midazolam HCl Inj 10 MG/2ML (Base Equivalent),Midazolam HCl Inj 25 MG/5ML (Base Equivalent),Midazolam HCl Inj 50 MG/10ML (Base Equivalent),Midazolam HCl Inj PF 10 MG/2ML (Base Equivalent),Midazolam HCl Inj PF 5 |74.5
890022.6416|Midazolam HCl Inj 5 MG/ML (Base Equivalent),Midazolam HCl Inj 10 MG/2ML (Base Equivalent),Midazolam HCl Inj 25 MG/5ML (Base Equivalent),Midazolam HCl Inj 50 MG/10ML (Base Equivalent),Midazolam HCl Inj PF 10 MG/2ML (Base Equivalent),Midazolam HCl Inj PF 5 |74.5
890023.574|Midazolam HCl Syrup 2 MG/ML (Base Equivalent)|181.4
890023.6809|Midazolam HCl Syrup 2 MG/ML (Base Equivalent)|14.7
890022.144|Milrinone Lactate in Dextrose 5% IV Soln 20 MG/100ML|97.3
890023.368|Mineral Oil|7.92
890023.4843|Mineral Oil|3.1
890023.5416|Mineral Oil|3.1
890023.132|Mineral Oil Enema|5.19
890023.6332|Mineral Oil Light (Bulk)|48.91
890023.5416|Mineral Oil Light (Topical)|11.86
890023.6374|Mirtazapine Tab 15 MG|3.1
890023.1014|Misoprostol Tab 100 MCG|3.1
890023.1014|Misoprostol Tab 200 MCG|3.1
60060910|Mitochondrial Antibody Screen|56
880095.5757|Mllt Srg 19.7Cm 38.1Mm Trb Mtl 2Lb|808.95
813734|Mmrv Vaccine Live Subq Use|656.75
880039.7668|Mnplt Ez Ld Lck Hndl Safely Ins Esurg|318.27
880038.1766|Mnplt Srg Vcare + Crv Cup 37Mm Lg|215.74
880039.7668|Mnplt Ut 4Cm Rumi Ii Koh-Efct K Cp Esurg|318.27
810940|Mnt Init Indiv Ea 15 Min|55
813569|Mnt Reassess Indiv Ea 15 Min|55
810941|Mnt Subseq Change Dx Indiv Ea 15 Min|55
833324|Mobilize Splenic Flex|600
8102681|Mod Sed Same Phys <5 Yrs Init 15 Min|346
8102682|Mod Sed Same Phys 5>=Yrs Init 15 Min|346
8102683|Mod Sed Same Phys Ea Addl 15 Min|176
880045.1842|Model Trn Ct Gd Bone Modl Glnd Sgntr|2,511.00
880045.2694|Model Trn Ct Gd Bone Modl Glnd Sgntr|2,511.00
880045.1422|Mold Fem Hd 52Mm Stg1 Slct Hip Sil 2 40G|2,039.58
880045.2067|Mold Fem Stm 200Mm 11Mm Stg1 Slct Hip Ss|2,549.78
890002.6516|Mometasone Furoate Nasal Susp 50 MCG/ACT|334.81
812854|Monitor Pulse Ox Overnite|653
60070400|Mononucleosis Screen|126
890023.6586|Montelukast Sodium Tab 10 MG (Base Equiv)|3.1
60053730|Mopath Procedure Level 4|274
60050500|Mopath Procedure Level 4 Jak2|890
60002990|Mopath Procedure Unlisted Ibd|150
890022.7605|Morphine Sulfate Inj 2 MG/ML|74.5
890022.6416|Morphine Sulfate Inj PF 1 MG/ML|80.23
890022.7633|Morphine Sulfate IV Soln 1 MG/ML|74.5
890022.7633|Morphine Sulfate IV Soln 1 MG/ML,Morphine Sulfate-Sodium Chloride 0.9% IV Soln 100 MG/100ML,Morphine Sulfate-NaCl Sol Pref Syr 50 MG/50ML-0.9% (1 MG/ML),Morphine Sulfate-Sodium Chloride 0.9% IV Soln 50 MG/50ML,Morphine Sulfate-NaCl Sol Pref Syr 30 MG/30ML|97.3
890022.7633|Morphine Sulfate IV Soln 1 MG/ML,Morphine Sulfate-Sodium Chloride 0.9% IV Soln 100 MG/100ML,Morphine Sulfate-NaCl Sol Pref Syr 50 MG/50ML-0.9% (1 MG/ML),Morphine Sulfate-Sodium Chloride 0.9% IV Soln 50 MG/50ML,Morphine Sulfate-NaCl Sol Pref Syr 30 MG/30ML|97.3
890022.7633|Morphine Sulfate IV Soln 1 MG/ML,Morphine Sulfate-Sodium Chloride 0.9% IV Soln 100 MG/100ML,Morphine Sulfate-NaCl Sol Pref Syr 50 MG/50ML-0.9% (1 MG/ML),Morphine Sulfate-Sodium Chloride 0.9% IV Soln 50 MG/50ML,Morphine Sulfate-NaCl Sol Pref Syr 30 MG/30ML|97.3
890022.7633|Morphine Sulfate IV Soln 1 MG/ML,Morphine Sulfate-Sodium Chloride 0.9% IV Soln 100 MG/100ML,Morphine Sulfate-NaCl Sol Pref Syr 50 MG/50ML-0.9% (1 MG/ML),Morphine Sulfate-Sodium Chloride 0.9% IV Soln 50 MG/50ML,Morphine Sulfate-NaCl Sol Pref Syr 30 MG/30ML|97.3
890022.7633|Morphine Sulfate IV Soln 1 MG/ML,Morphine Sulfate-Sodium Chloride 0.9% IV Soln 100 MG/100ML,Morphine Sulfate-NaCl Sol Pref Syr 50 MG/50ML-0.9% (1 MG/ML),Morphine Sulfate-Sodium Chloride 0.9% IV Soln 50 MG/50ML,Morphine Sulfate-NaCl Sol Pref Syr 30 MG/30ML|97.3
890022.7633|Morphine Sulfate IV Soln 1 MG/ML,Morphine Sulfate-Sodium Chloride 0.9% IV Soln 100 MG/100ML,Morphine Sulfate-NaCl Sol Pref Syr 50 MG/50ML-0.9% (1 MG/ML),Morphine Sulfate-Sodium Chloride 0.9% IV Soln 50 MG/50ML,Morphine Sulfate-NaCl Sol Pref Syr 30 MG/30ML|97.3
890022.4092|Morphine Sulfate IV Soln PF 10 MG/ML|74.5
890022.6416|Morphine Sulfate IV Soln PF 10 MG/ML|74.5
890022.4092|Morphine Sulfate IV Soln PF 4 MG/ML|74.5
890022.6416|Morphine Sulfate IV Soln PF 4 MG/ML|74.5
890023.6809|Morphine Sulfate Oral Soln 10 MG/5ML|3.1
890023.4068|Morphine Sulfate Oral Soln 100 MG/5ML (20 MG/ML)|3.1
890023.5405|Morphine Sulfate Oral Soln 100 MG/5ML (20 MG/ML)|3.1
890023.9999|Morphine Sulfate Oral Soln 100 MG/5ML (20 MG/ML)|3.1
890023.9999|Morphine Sulfate Oral Soln 100 MG/5ML (20 MG/ML)|3.1
890023.99999-9106-55|Morphine Sulfate Oral Soln 100 MG/5ML (20 MG/ML)|3.1
890023.5402|Morphine Sulfate Tab 15 MG|3.1
890023.5402|Morphine Sulfate Tab 15 MG|3.1
890023.9047|Morphine Sulfate Tab ER 15 MG|3.19
890023.9047|Morphine Sulfate Tab ER 30 MG|3.1
890023.4858|Mouthwashes - Liquid|3.1
890023.4858|Mouthwashes - Liquid|7.93
890022.6746|Moxifloxacin HCl 400 MG/250ML in Sodium Chloride 0.8% Inj|122.76
890001.7817|Moxifloxacin HCl Ophth Soln 0.5% (Base Equiv)|97.65
890023.6586|Moxifloxacin HCl Tab 400 MG (Base Equiv)|8.21
8101594|Mpv Vaccine Subcutaneous|535.09
800326|Mra Angio Head Non Contrast|4,199.00
800328|Mra Angio Head With and Without Contrast|6,172.00
800327|Mra Angio Head With Contrast|4,496.00
800329|Mra Angio Neck Non Contrast|4,199.00
800331|Mra Angio Neck With and Without Contrast|6,172.00
800330|Mra Angio Neck With Contrast|4,467.00
800354|Mra Angio Pelvis|4,000.00
800350|Mra Angio Spine|4,341.00
800177|Mra Chest|6,172.00
800191|Mra Lower Extremity|3,985.00
801534|Mra Lwr Ext W/O Fol W/Contras|4,199.00
801576|Mra Upper Extrem W or WO Con|4,199.00
880039.7076|Mrcltr Lapscp Morcellex Tissue Lf|1,935.72
880039.1139|Mrcltr Srg Truclear Rot Hyscp Disp|1,619.32
800384|MRI Abdomen Non Contrast|4,199.00
800387|MRI Abdomen With and Without Contrast|6,791.00
800386|MRI Abdomen With Contrast|6,167.00
800332|MRI Brain Non Contrast|6,183.00
800335|MRI Brain With and Without Contrast|8,274.00
800334|MRI Brain With Contrast|7,338.00
800336|MRI Chest Non Contrast|4,199.00
800338|MRI Chest With and Without Contrast|6,738.00
800337|MRI Chest With Contrast|6,183.00
800381|MRI Lower Ext Any Jnt W and WO Contrast|6,726.00
800377|MRI Lower Ext Any Joint Non Contrast|4,199.00
800379|MRI Lower Ext Any Joint With Contrast|6,229.00
800375|MRI Lower Ext Non Jnt W and WO Contrast|6,726.00
800370|MRI Lower Ext Non Joint Non Contrast|4,199.00
803043|MRI Lower Ext Non Joint With Contrast|6,229.00
801523|MRI Mra Abd W/O Fol W/Contrast|3,985.00
801531|MRI Mra Chest W/O Fol W/Contrast|6,172.00
800325|MRI Orbit Face Neck With and WO Contrast|6,726.00
800351|MRI Pelvis Non Contrast|3,719.00
800353|MRI Pelvis With and Without Contrast|6,791.00
800340|MRI Spine Cervical Non Contrast|5,766.00
800347|MRI Spine Cervical With and WO Contrast|7,522.00
800342|MRI Spine Cervical With Contrast|6,284.00
800345|MRI Spine Lumbar Non Contrast|6,122.00
800349|MRI Spine Lumbar With and Without Contrast|7,522.00
800346|MRI Spine Lumbar With Contrast|7,338.00
800343|MRI Spine Thoracic Non Contrast|5,766.00
800348|MRI Spine Thoracic With and WO Contrast|7,522.00
800344|MRI Spine Thoracic With Contrast|6,122.00
800321|MRI Temporomandibular Joints|3,719.00
800367|MRI Upper Ext Any Jnt W and WO Contrast|6,726.00
800361|MRI Upper Ext Any Joint Non Contrast|4,199.00
800365|MRI Upper Ext Any Joint With Contrast|6,167.00
800359|MRI Upper Ext Non Jnt W and WO Contrast|6,172.00
800355|MRI Upper Ext Non Joint Non Contrast|4,199.00
880039.1845|Mrkr Mamrk Cormark Tissue Brstbio Bowtie|277.55
880039.1933|Mrkr Rgd Shrp Dlv Sys Hydromark Brstbio|141.6
880039.2655|Mrkr Rgd Shrp Dlv Sys Hydromark Brstbio|230.67
880134.138|Mrkr Rgd Shrp Dlv Sys Hydromark Brstbio|230.67
880039.1846|Mrkr Securmark Brstbio Celero Sys|153.36
880039.1716|Mrkr Srg Ckpnt Kt Strl Lf Disp|305.27
60043290|Mrsa Amplified Probe|123
880039.1899|Mtrs 39In .5 Lgth Pt Hovermatt Disp|237.55
814669|Multinex|457
890000.5751|Multiple Vitamin Inj|74.5
890023.9045|Multiple Vitamins w/ Minerals Tab,Multiple Vitamins w/Minerals Tab,Multiple Vitamins w/ Minerals EC Tab,Multiple Vitamins w/ Iron Tab|3.1
60066120|Mumps Antibody Igg|133
60027110|Mumps Antibody Igg I|152
60066110|Mumps Antibody Igm|138
890022.5108|Mycophenolate Mofetil Cap 250 MG|3.1
890022.1673|Mycophenolate Sodium Tab DR 180 MG (Mycophenolic Acid Equiv)|3.1
60081880|Mycoplasma Pneumo Antibody Igg|276
60081890|Mycoplasma Pneumo Antibody Igm|276
60064300|Myelin Basic Protein CSF|281
8101789|Myelogram Lumbosac via Lumbar Injection|2,869.00
60063540|Myeloperoxidase Antibody|202
60064350|Myoglobin Blood|232
60063640|Myoglobin Urine Quantitative|250
833802|Myomectomy Abd Complex 5 or More Myomas|4,902.00
832850|Myomectomy Uterus 1-4 <=250g via Abdomin|3,903.00
890023.7628|Nadolol Tab 20 MG|3.1
890001.4457|Nafcillin Sodium For Inj 1 GM|74.5
880064.1398|Nail 11Mm 18Cm Im Fem Ss Itst Unv Shrt|1,519.38
880064.2489|Nail Fem Im  L 11Mm X 36Cm|2,448.11
880064.2489|Nail Fem Im  L 12Mm X 32Cm|2,448.11
880064.2489|Nail Fem Im  R 14Mm X 38Cm|2,448.11
880064.2489|Nail Fem Im L 12Mm X 42Cm|2,448.11
880064.2489|Nail Fem Im R 10Mm X 34Cm|2,448.11
880064.2489|Nail Fem Std Rg 13Mm X 42Cm|2,142.61
880045.5805|Nail Im 10Mm 11Mm 28Cm Ntr Nail Tib|2,841.15
880045.5806|Nail Im 10Mm 11Mm 36Cm Ntr Nail Tib|3,241.53
880045.9215|Nail Im 10Mm 11Mm 40Cm Ntr Nail Tib|3,241.53
880045.9195|Nail Im 10Mm 15.5Mm 34Cm Ntr Nail|4,455.39
880045.9197|Nail Im 10Mm 15.5Mm 36Cm Ntr Nail|4,455.39
880045.9202|Nail Im 10Mm 15.5Mm 42Cm Ntr Nail|4,455.39
880064.5806|Nail Im 10Mm 34Cm Ntr Nail Tib Ant Post|3,241.53
880039.7578|Nail Im 11.5Mm 15.5Mm 21.5Cm Ntr Nail|2,776.70
880045.577|Nail Im 11.5Mm 15.5Mm 21.5Cm Ntr Nail|2,853.05
880045.9191|Nail Im 11.5Mm 15.5Mm 30Cm Ntr Nail|3,844.99
880045.9192|Nail Im 11.5Mm 15.5Mm 30Cm Ntr Nail|3,844.99
880045.9194|Nail Im 11.5Mm 15.5Mm 32Cm Ntr Nail|3,960.35
880045.7718|Nail Im 11.5Mm 15.5Mm 34Cm Ntr Nail|4,455.39
880045.9197|Nail Im 11.5Mm 15.5Mm 36Cm Ntr Nail|4,455.39
880045.5805|Nail Im 11.5Mm 15.5Mm 38Cm Ntr Nail|4,455.39
880045.5805|Nail Im 11.5Mm 15.5Mm 38Cm Ntr Nail|4,455.39
880045.9213|Nail Im 11Mm 30Cm Ntr Nail Tib Ti-6Al-4V|3,241.53
880064.9214|Nail Im 11Mm 34Cm Ntr Nail Tib Ti-6Al-4V|3,241.53
880064.9214|Nail Im 12Mm 32Cm Ntr Nail Tib Suprpat|3,241.53
880064.5806|Nail Im 12Mm 38Cm Ntr Nail Tib Suprpat|3,241.53
880045.9215|Nail Im 13Mm 11Mm 36Cm Ntr Nail Tib|3,241.53
880045.9082|Nail Im 13Mm 15.5Mm 21.5Cm Ntr Nail|2,599.35
880045.919|Nail Im 13Mm 15.5Mm 21.5Cm Ntr Nail|2,636.14
880045.9192|Nail Im 13Mm 15.5Mm 30Cm Ntr Nail|3,844.99
880045.9193|Nail Im 13Mm 15.5Mm 32Cm Ntr Nail|4,455.39
880045.9194|Nail Im 13Mm 15.5Mm 32Cm Ntr Nail|4,455.39
880045.9195|Nail Im 13Mm 15.5Mm 34Cm Ntr Nail|4,455.39
880045.9195|Nail Im 13Mm 15.5Mm 34Cm Ntr Nail|4,455.39
880045.9196|Nail Im 13Mm 15.5Mm 34Cm Ntr Nail|4,294.24
880045.5805|Nail Im 13Mm 15.5Mm 36Cm Ntr Nail|4,455.39
880045.9156|Nail Im 13Mm 15.5Mm 36Cm Ntr Nail|4,455.39
880045.5805|Nail Im 13Mm 15.5Mm 38Cm Ntr Nail|4,455.39
880045.9198|Nail Im 13Mm 15.5Mm 38Cm Ntr Nail|4,455.39
880045.92|Nail Im 13Mm 15.5Mm 40Cm Ntr Nail|3,905.07
880045.92|Nail Im 13Mm 15.5Mm 40Cm Ntr Nail|4,455.39
880045.92|Nail Im 13Mm 15.5Mm 40Cm Ntr Nail|4,455.39
880045.9201|Nail Im 13Mm 15.5Mm 42Cm Ntr Nail|3,960.35
880045.9203|Nail Im 13Mm 15.5Mm 44Cm Ntr Nail|4,455.39
880045.9204|Nail Im 13Mm 15.5Mm 44Cm Ntr Nail|4,455.39
880045.9208|Nail Im 13Mm 16Cm Ntr Nail Fem Rtrgd Ant|3,739.64
880045.919|Nail Im 14.5Mm 15.5Mm 21.5Cm Ntr Nail|2,965.66
880045.2485|Nail Im 7Mm 24Cm Mdn Hum Bilat Sld Ss|2,896.69
880045.2485|Nail Im 7Mm 24Cm Mdn Hum Bilat Sld Ss|288.97
880045.204|Nail Im 8Mm 200Mm Versanail Hum Mlt Lck|2,717.46
880045.1175|Nail Im 8Mm 240Mm Versanail Hum Mlt Lck|2,717.46
880045.5805|Nail Im 9.3Mm 30Cm Ntr Nail Tib Ti-6Al-4|3,241.53
880045.2485|Nail Im 9Mm 22.5Cm Mdn Hum Bilat Cls Ss|2,896.69
890022.36|Naloxone HCl Inj 0.4 MG/ML,Naloxone HCl Inj 4 MG/10ML,Naloxone HCl Soln Cartridge 0.4 MG/ML|74.5
890022.6416|Naloxone HCl Soln Prefilled Syringe 2 MG/2ML|74.5
890022.6576|Naltrexone For IM Extended Release Susp 380 MG|3,135.89
890023.6516|Naproxen Tab 250 MG|3.1
890023.6069|Naproxen Tab 500 MG|3.1
800076|Nasal Bones|585
880039.8095|Ndl Asp 15Mm 20Ga 1.8Mm Excelon Trnbr|295.73
880039.1055|Ndl Biop Core 18Ga 21Cm|134.82
880064.1785|Ndl Epdrl 3.5In 16Ga Rx Cde Thnwl Pls|466.62
880039.2659|Ndl Escp 14.6In Rgd Impl Inj Sdkck|121.34
880039.7256|Ndl Insfl 120Mm 14Ga Std Srgndl Pnmprtn|130.39
880039.2497|Ndl Insfl 150Mm 14Ga Lng Srgndl Pnmprtn|105.51
880039.143|Ndl Io 25Mm 15Ga Ezio Ez Cnct Ss Wrst|398.14
880039.1133|Ndl Repl Gore|423.2
880039.2497|Ndl Retroscp|212.1
880039.7563|Ndl Schlerther Ped 25Ga|152.83
880039.1816|Ndl Sclrtx 25Ga 2.3Mm .24Mm Inr Cath|155.14
880039.2492|Ndl Splt Shth Into|96.3
880045.3327|"Ndl Sut Bbnd Loop 25"" Bk/bl 1.5mm"|236.34
880039.1421|Ndl Sut Mf Scrpn|515.1
890023.4355|Nebivolol HCl Tab 10 MG (Base Equivalent)|3.1
816477|Nebulizer Treatment Prn|233
880045.3907|Neck Fem 40Mm 35Mm Zmr Aa Hip Fem Tiv|7,386.99
880045.3907|Neck Fem 40Mm 35Mm Zmr Xl Aa Hip Tiv Por|8,968.92
880095.2426|Neck Fem Kinectiv Str Mtlc Por|6,975.00
880045.2487|Neck Fem Zm Ml Kinectiv E Str Tpr Hip|2,354.76
800374|Neck Soft Tissue|431
SUP100068|Needle Adult 1 Ez Conect 25mm 15ga|259
834180|Neg Press Tx Non Dme Equip 50cm or Less|239
8101814|Neg Press Tx Non Dme Equip 50cm or Less|498
8102300|Neg Pressure Wnd Tx <=50 Cm W Dme Eq Pt|212
812637|Neg Pressure Wnd Tx <=50 Sq Cm W Dme Eq|113
812637|Neg Pressure Wnd Tx <=50 Sq Cm W Dme Eq|212
832744|Neg Pressure Wnd Tx <=50 Sq Cm W Dme Eq|94
832744|Neg Pressure Wnd Tx <=50 Sq Cm W Dme Eq|118
8102301|Neg Pressure Wnd Tx >50 Cm W Dme Eq Pt|226
812638|Neg Pressure Wnd Tx >50 Sq Cm W Dme Eq|226
812638|Neg Pressure Wnd Tx >50 Sq Cm W Dme Eq|470
832745|Neg Pressure Wnd Tx >50 Sq Cm W Dme Eq|129
832745|Neg Pressure Wnd Tx >50 Sq Cm W Dme Eq|204
890023.458|Neomycin-Bacitracin-Polymyxin Oint|3.1
890023.713|Neomycin-Bacitracin-Polymyxin Oint|7.67
890023.9041|Neomycin-Bacitracin-Polymyxin Oint|5.86
890023.2421|Neomycin-Polymy-Gramicid Op Sol 1.75-10000-0.025MG-UNT-MG/ML|142.43
890001.2421|Neomycin-Polymyxin-Dexamethasone Ophth Oint 0.1%|44.33
890000.6131|Neomycin-Polymyxin-Dexamethasone Ophth Susp 0.1%|50.22
890023.2421|Neomycin-Polymyxin-HC Otic Susp 3.5 MG/ML-10000 Unit/ML-1%|234.08
890022.6416|Neostigmine Methylsulfate Inj 1 MG/ML,Neostigmine Methylsulfate IV Soln 10 MG/10 ML,Neostigmine Methylsulfate Soln Pref Syr 3 MG/3ML (1 MG/ML),Neostigmine Methylsulfate Soln Pref Syr 4 MG/4ML (1 MG/ML),Neostigmine Methylsulfate Soln Pref Syr 5 MG/5ML (1 M|74.5
815750|Neuromusc Reeducat 1+ Areas Ea 15|178
815749|Neuromusc Reeducat 1+ Areas Ea 15 in OP Ot|178
60041160|Neuronal Nuclear Antibody|285
833513|Neuroplasty Ulnar Nerve at Elbow|2,578.00
835774|Neuropsych Test First Hour|351
8103689|Neuropsych Test First Hour|70
831869|Newbn Care Norml a/Dc Same Day|431
831867|Newborn Care Normal per Day|355
831868|Newborn Care Normal Subsq Day|159
830663|Newborn Resusitation|2,627.00
60067700|Newborn Screen|1,696.00
60149060|Nfct Ds Bv/Vaginitis Mult Amp Probe|238
890023.5965|Niacin Tab ER 500 MG (Antihyperlipidemic)|3.1
890022.5515|Nicardipine HCl IV Soln 2.5 MG/ML|74.5
890023.436|Nicotine TD Patch 24HR 14 MG/24HR|3.1
890023.436|Nicotine TD Patch 24HR 14 MG/24HR|3.1
890023.436|Nicotine TD Patch 24HR 21 MG/24HR|3.1
890023.436|Nicotine TD Patch 24HR 21 MG/24HR|3.1
890023.6051|Nicotine TD Patch 24HR 7 MG/24HR|5.16
890023.2316|Nifedipine Cap 10 MG|3.1
890023.7121|Nifedipine Tab ER 24HR Osmotic Release 30 MG|3.1
890022.4928|Nirsevimab-alip IM Soln Prefilled Syringe 100 MG/ML|1,020.78
890022.4928|Nirsevimab-alip IM Soln Prefilled Syringe 100 MG/ML|1,020.78
890022.4928|Nirsevimab-alip IM Soln Prefilled Syringe 50 MG/0.5ML|2,040.67
890022.4928|Nirsevimab-alip IM Soln Prefilled Syringe 50 MG/0.5ML|2,040.67
890001.7076|Nitrofurantoin Macrocrystalline Cap 50 MG|3.1
890023.6363|Nitrofurantoin Monohydrate Macrocrystalline Cap 100 MG|3.1
890022.3381|Nitroglycerin IV Soln 200 MCG/ML in D5W|97.3
890023.281|Nitroglycerin Oint 2%|3.1
890023.3789|Nitroglycerin TD Patch 24HR 0.1 MG/HR|3.1
890023.3789|Nitroglycerin TD Patch 24HR 0.2 MG/HR|3.1
890023.3789|Nitroglycerin TD Patch 24HR 0.4 MG/HR|3.1
890023.3789|Nitroglycerin TD Patch 24HR 0.6 MG/HR|3.1
890001.436|Nitroprusside Sodium IV Soln 25 MG/ML|74.5
800462|NM Bone Scan 3 Phase|3,373.00
800457|NM Bone Scan Limited Area|2,424.00
800460|NM Bone Scan Muliple Areas|1,752.00
800461|NM Bone Scan Whole Body|2,842.00
800480|NM Cardiac Muga Scan|3,278.00
800446|NM Gastric Emptying|1,728.00
800453|NM GI Blood Loss|2,721.00
803196|NM IV Inj Rp Local Non Img Study|1,714.00
800435|NM Liver Spleen Scan|2,384.00
800491|NM Lung Scan Perfusion Particulate|2,910.00
800430|NM Lymphoscintigraphy|2,644.00
800454|NM Meckels|2,180.00
800474|NM Myocard Perfusion Spect|6,499.00
800475|NM Myocard Perfusion Spect Stress and Rest|9,879.00
800415|NM Parathryoid Planar Imaging|1,992.00
800506|NM Pet Brain Metabolic Eval Imaging|7,018.00
803121|NM Pet CT Whole Body|7,018.00
800151|NM Pet/CT Limited Area|7,018.00
801127|NM Pet/CT Skull to Mid Thigh|7,018.00
800427|NM Red Cell Sequestration|1,695.00
800520|NM Renogram W Flow and Function|1,910.00
800521|NM Renogram W Pharm Single|1,910.00
800530|NM Testicular Imaging W Vascular Flow|1,771.00
800406|NM Thyroid Uptake and Scan|1,992.00
60084300|Nmr Lipoprofile|486
811287|Noninvasive Oxygen Saturation Mult|55
810529|Noninvasive Oxygen Saturation Sngl|10
810529|Noninvasive Oxygen Saturation Sngl|29
816161|Noninvasive Oxygen Saturation Sngl|29
8102804|Non-Pneum Walk Boot Prefab|55
890001.6746|Norepinephrine Bitartrate IV Soln 1 MG/ML (Base Equivalent)|74.5
890000.338|Norepinephrine-Dextrose IV Solution 8 MG/250ML-5%|97.65
890023.6846|Norethindrone Acetate Tab 5 MG|3.1
60027370|Norovirus Stool Pcr|741
890023.5167|Nortriptyline HCl Cap 10 MG|3.1
890023.6069|Nortriptyline HCl Cap 25 MG|3.1
890023.6069|Nortriptyline HCl Cap 25 MG|3.1
880039.3689|Noz Med 241Mm Plc Pro Bone Cmnt Flxb|96.3
880039.3689|Noz Shrt 65Mm Plc Pro Bone Cmnt W Kn Prs|96.3
SUP100069|Noz Stop Epi Staxi S Balon Cath Kit|90
60085180|N-Telopeptide Crossl Blood|216
60085170|N-Telopeptide Crossl Urine|565
830701|Nursing Fac Care Subseq Low|222
831990|Nursing Fac Care Subseq Lvl 1|144
830714|Nursing Fac Care Subseq Mod SNF|293
830717|Nursing Fac Dc Day> 30 Min SNF|339
830709|Nursing Fac Dischrge Day 30 Min|131
830699|Nursing Facility Care Init High|540
830697|Nursing Facility Care Init Low|299
830698|Nursing Facility Care Init Mod|428
890023.458|Nystatin Cream 100000 Unit/GM|39.05
890023.168|Nystatin Oint 100000 Unit/GM|39.05
890023.5167|Nystatin Susp 100000 Unit/ML|14.73
890023.6043|Nystatin Susp 100000 Unit/ML|3.1
890023.9047|Nystatin Susp 100000 Unit/ML|3.1
890023.6831|Nystatin Topical Powder 100000 Unit/GM|19.54
890023.458|Nystatin-Triamcinolone Cream 100000-0.1 Unit/GM-%|58.46
60041890|O+P|228
832273|OB Amniocentesis|149
832273|OB Amniocentesis|345
830188|OB Delivery Only Cesarean|4,645.00
830183|OB Fetal Non Stress Test|60
830183|OB Fetal Non Stress Test|200
814513|OB Outpatient/Observ (0 - < 4hrs)|1,067.00
814516|OB Outpatient/Observ (12 - < 16hrs)|1,569.00
814517|OB Outpatient/Observ (16 - < 20hrs)|1,773.00
814518|OB Outpatient/Observ (20 - 24hrs)|1,984.00
814514|OB Outpatient/Observ (4 - < 8hrs)|1,169.00
814515|OB Outpatient/Observ (8 - < 12hrs)|1,364.00
830186|OB Rpr Episiotomy or Vag Not Attending|634
814360|OB/Gyn .5 Addtl Operating Room Time|2,737.00
814340|OB/Gyn .5 Hr Operating Room Time|4,441.00
814341|OB/Gyn .75 Hrs Operating Room Time|5,612.00
814342|OB/Gyn 1.0 Hr Operating Room Time|6,786.00
814343|OB/Gyn 1.25 Hrs Operating Room Time|7,957.00
814344|OB/Gyn 1.5 Hrs Operating Room Time|9,135.00
814345|OB/Gyn 1.75 Hrs Operating Room Time|10,310.00
814346|OB/Gyn 2.0 Hrs Operating Room Time|11,284.00
814347|OB/Gyn 2.25 Hrs Operating Room Time|12,262.00
814348|OB/Gyn 2.5 Hours Operating Rm Time|13,241.00
814349|OB/Gyn 3.0 Hrs Operating Room Time|14,216.00
814350|OB/Gyn 3.5 Hrs Operating Room Time|15,196.00
814351|OB/Gyn 4.0 Hrs Operating Room Time|16,173.00
814352|OB/Gyn 4.5 Hrs Operating Room Time|16,959.00
814353|OB/Gyn 5.0 Hrs Operating Room Time|17,741.00
814354|OB/Gyn 5.5 Hrs Operating Room Time|18,519.00
814355|OB/Gyn 6.0 Hrs Operating Room Time|19,301.00
814356|OB/Gyn 6.5 Hrs Operating Room Time|20,085.00
814357|OB/Gyn 7.0 Hrs Operating Room Time|20,868.00
814358|OB/Gyn 7.5 Hrs Operating Room Time|21,651.00
814359|OB/Gyn 8.0 Hrs Operating Room Time|22,431.00
814460|OB/Gyn Daily|2,439.00
814519|Obs 1st Hr M/Sand WC|784
814520|Obs Sub Hr M/S and WC|65
8104300|Obsv Icu 1st Hr|1,915.00
8101702|Obsv Icu Ea Addl Hr|162
830653|Obsv or Inpt Adm Dc Same Day Low|638
830654|Obsv or Inpt Adm Dc Same Day Mod|547
830654|Obsv or Inpt Adm Dc Same Day Mod|805
830655|Obsv or IP Adm Dc Same Day High|701
830655|Obsv or IP Adm Dc Same Day High|1,038.00
815042|Obtaining Screen Pap Smear|112
834243|Obtaining Screen Pap Smear|48
60075880|Occult Blood Feces Non Cancer Scrn|98
60075450|Occult Blood Gastric|83
890025.6416|Octreotide Acetate Inj 500 MCG/ML (0.5 MG/ML),Octreotide Acetate Subcutaneous Soln Pref Syr 500 MCG/ML|74.5
810055|Office Outpt Nurse Visit Est Level 1|52
810903|Office Outpt Visit Est Level 3|122
810903|Office Outpt Visit Est Level 3|329
810903|Office Outpt Visit Est Level 3|382
810059|Office Outpt Visit Est Level 4|174
810060|Office Outpt Visit Est Level 5|221
830207|Office Outpt Visit Est Levl V|241
830207|Office Outpt Visit Est Levl V|644
830629|Office/Outpt Visit Est Level I|22
830629|Office/Outpt Visit Est Level I|194
830630|Office/Outpt Visit Est Level II|56
830630|Office/Outpt Visit Est Level II|258
830631|Office/Outpt Visit Est Level III|115
830631|Office/Outpt Visit Est Level III|295
830631|Office/Outpt Visit Est Level III|377
830206|Office/Outpt Visit Est Level IV|171
830206|Office/Outpt Visit Est Level IV|483
830209|Office/Outpt Visit New Levl II|109
830209|Office/Outpt Visit New Levl II|309
830210|Office/Outpt Visit New Levl III|162
830210|Office/Outpt Visit New Levl III|452
830211|Office/Outpt Visit New Levl IV|279
830211|Office/Outpt Visit New Levl IV|579
890000.7076|Ofloxacin Ophth Soln 0.3%|41.85
890022.3172|Olanzapine For IM Inj 10 MG|74.5
890023.6051|Olanzapine Tab 2.5 MG|3.1
60006250|Oligoclonal Bands Blood|46
60064930|Oligoclonal Bands CSF|115
60064931|Oligoclonal Bands CSF I|46
890023.586|Olopatadine HCl Ophth Soln 0.1% (Base Equivalent)|21.2
890022.5024|Omalizumab Subcutaneous Soln Prefilled Syringe 150 MG/ML|3,645.33
890023.6808|Omeprazole Cap Delayed Release 20 MG|3.1
890023.9047|Omeprazole Cap Delayed Release 20 MG|3.1
890022.2339|OnabotulinumtoxinA (Cosmetic) For Inj 50 Unit|561.61
890022.2311|OnabotulinumtoxinA For Inj 100 Unit|1,407.28
890022.6051|Ondansetron HCl Inj 2 MG/ML,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),Ondansetron HCl Inj 40 MG/20ML (2 MG/ML),Ondansetron HCl Inj Soln Pref Syr 4 MG/2ML|74.5
890023.1671|Ondansetron HCl Oral Soln 4 MG/5ML|19.73
890023.9999|Ondansetron HCl Oral Soln 4 MG/5ML|66.92
8102506|Ondansetron Oral 1 Mg|3.1
890023.1671|Ondansetron Orally Disintegrating Tab 4 MG|3.1
832737|Oophorectomy|2,104.00
814010|OP Family Psychotherapy W Pt 50 Min|57
8104242|OP Family Psychotherapy WO Pt 50min|57
830539|OP New Pt Level V|365
8104241|OP Psychotherapy for Crisis Addl 30min|34
813043|OP Psychotherapy W Pt 30 Min|34
813044|OP Psychotherapy W Pt 45 Min|45
800059|OP Psychotherapy W Pt 60 Min|66
8104935|OP Pulm Rehab W Cont Oximetry Monitor|297
8104934|OP Pulm Rehab WO Cont Oximetry Monitor|297
835977|OP Tx Elbow Pa Fx/Dislocation|3,971.00
836141|Open Bx Exc Inguinofemoral Nodes|485
8104874|Open Bx Exc Inguinofemoral Nodes|715
833120|Open Rx Femur Fx+Plate/Screw|4,802.00
834221|Open Rx Patella Fx|3,441.00
832345|Open Tx Art Fx Meta Jnt W/WO Fix|2,579.00
833007|Open Tx Bilmalleolar Ankle Fx|3,540.00
833168|Open Tx Clavicular Fx|2,754.00
833077|Open Tx Distal Fibular Fx|3,214.00
831548|Open Tx Distal Fx Phalanx Fng/Thmb|1,653.00
831803|Open Tx Fracture Distal Tibia & Fibula|4,967.00
831802|Open Tx Fracture Distal Tibia Only|3,800.00
831570|Open Tx Fx Phalanx Otr/Than Grt Toe|1,473.00
833056|Open Tx Metacarpal Fx Single Each|2,089.00
833051|Open Tx Proximal Humeral Fx|3,860.00
890000.6508|Ophthalmic Irrigation Solution - Intraocular|32.02
890000.6508|Ophthalmic Irrigation Solution - Intraocular|97.65
890000.6518|Ophthalmic Irrigation Solution - Intraocular|93.47
890001.6508|Ophthalmic Irrigation Solution - Intraocular|32.02
890001.6508|Ophthalmic Irrigation Solution - Intraocular|262.26
833031|Opn Tnt Femoral Fx Distal End|4,049.00
835595|Opn Tx Tarsal Fx Excep Talus and Calc|2,508.00
8101920|Oral Prescrip Drug Non Chemo|3.1
890001.574|Oral Vehicles|3.1
890023.574|Oral Vehicles - Syrup|48.83
800220|Orbits 4+ Vw|558
831950|Orchiectomy Simple|1,240.00
60064960|Organic Acids Urine|2,157.00
60088550|Organism ID Aerobe|242
60049280|Organism ID Afb|276
60049230|Organism ID Anaerobe|173
60088570|Organism ID Arthropod|96
60049800|Organism ID Mold|173
60049730|Organism ID Parasite|103
60049980|Organism ID Strep Latex|23
60049530|Organism ID Urine|173
60069120|Organism ID Virus|42
833061|Orif Ankle|3,520.00
833014|Orif Femoral Fracture|5,904.00
833137|Orif Tibia|4,923.00
833078|Orif Ulna/Elbow|612
833078|Orif Ulna/Elbow|2,722.00
814319|Ortho .5hr Operating Room Time|4,508.00
814320|Ortho .75hr Operating Room Time|5,664.00
814321|Ortho 1.0hr Operating Room Time|6,825.00
814322|Ortho 1.25hr Operating Room Time|7,986.00
814323|Ortho 1.5hr Operating Room Time|9,144.00
814324|Ortho 1.75hr Operating Room Time|10,304.00
814325|Ortho 2.0hr Operating Room Time|11,269.00
814326|Ortho 2.25hr Operating Room Time|12,237.00
814327|Ortho 2.5hr Operating Room Time|13,204.00
814328|Ortho 3.0hr Operating Room Time|14,168.00
814329|Ortho 3.5hr Operating Room Time|15,139.00
814330|Ortho 4.0hr Operating Room Time|16,097.00
814331|Ortho 4.5hr Operating Room Time|16,874.00
814332|Ortho 5.0hr Operating Room Time|17,648.00
814333|Ortho 5.5hr Operating Room Time|18,418.00
814334|Ortho 6.0hr Operating Room Time|19,192.00
814335|Ortho 6.5hr Operating Room Time|19,967.00
814336|Ortho 7.0hr Operating Room Time|20,739.00
814337|Ortho 7.5hr Operating Room Time|21,513.00
814338|Ortho 8.0hr Operating Room Time|22,283.00
814339|Ortho Addl Half Hour Operating Rm Time|2,709.00
811048|Orthotic Mgmt and Training Ea 15 Min|179
815770|Orthotic Mgmt and Training Ea 15 Min OP Ot|179
8100872|Oscillation Chest Wall Mech per Session|152
890023.6438|Oseltamivir Phosphate Cap 30 MG (Base Equiv)|3.35
890023.6438|Oseltamivir Phosphate Cap 75 MG (Base Equiv)|3.1
890023.6818|Oseltamivir Phosphate For Susp 6 MG/ML (Base Equiv)|6.98
60015700|Osmolality Blood|245
60015750|Osmolality Urine|192
60020340|Osmotic Fagility RBC|295
833933|Osteotomy Metatarsal|1,853.00
835294|Osteotomy Tibia|2,781.00
8102711|Ot Eval High Complexity|502
8102709|Ot Eval Low Complexity|502
8102710|Ot Eval Mod Complexity|502
8102712|Ot Reeval Low Complexity|233
830660|Outpatient Consult High|728
812976|Outpatient Consult Low|187
830658|Outpatient Consult Low|216
830658|Outpatient Consult Low|403
812977|Outpatient Consult Mod|249
830659|Outpatient Consult Mod|344
830659|Outpatient Consult Mod|600
816013|Outpatient Consult Strtfwd|143
830657|Outpatient Consult Strtfwd|154
830657|Outpatient Consult Strtfwd|296
880039.8878|Ovrtb Escp 50Cm 19.5Mm 9.8-11.7Mm 16.7Mm|590.85
60064450|Oxalate Urine|240
60019700|Oxalate Urine Risk|33
60085230|Oxcarbazepine|135
890023.6808|Oxcarbazepine Tab 150 MG|3.1
890023.5282|Oxybutynin Chloride Tab 5 MG|3.1
890023.9047|Oxybutynin Chloride Tab ER 24HR 5 MG|7.81
890001.327|Oxychlorosene Sodium Powder|15.62
890023.6669|Oxycodone HCl Soln 5 MG/5ML|3.1
890023.9047|Oxycodone HCl Soln 5 MG/5ML|4.02
890023.4286|Oxycodone HCl Tab 5 MG|3.1
890023.5901|Oxycodone HCl Tab ER 12HR Deter 10 MG|14.01
890023.5901|Oxycodone HCl Tab ER 12HR Deter 20 MG|13.05
890023.4061|Oxycodone w/ Acetaminophen Tab 5-325 MG|3.1
8102335|Oxygen per Day|207
890023.9047|Oxymetazoline HCl Nasal Soln 0.05%|6.28
890023.9047|Oxymetazoline HCl Nasal Soln 0.05%|5.57
890022.4202|Oxytocin Inj 10 Unit/ML|74.5
890022.6332|Oxytocin Inj 10 Unit/ML|74.5
890022.7127|Oxytocin-Sodium Chloride 0.9% IV Soln 30 Unit/500 mL|97.3
890022.889|Oxytocin-Sodium Chloride 0.9% IV Soln 30 Unit/500 mL|97.3
890022.9999|Oxytocin-Sodium Chloride 0.9% IV Soln 30 Unit/500 mL|97.3
890022.9999|Oxytocin-Sodium Chloride 0.9% IV Soln 30 Unit/500 mL|97.3
880045.1065|Pacemkr Adapta Dr 2.8V .91Ah 2 Chmbr|3,228.96
831690|Pacing External Temp|98
880039.1105|Pack Intvn Closurefast Peel Pch Strl|271.19
880039.696|Pack Phaco .9Mm Abs Lgc Mxv 30D Rnd Strl|351.09
880039.2491|Pack Phaco .9Mm Intrepid 30D Ult|329.51
880039.1752|Pack Phaco Ring Injector|232.5
880039.8455|Pack Srg Cnvrt Eclps Ascp I Tbl Cvr|95.79
880039.2494|Pack Srg Eclps Csect Birth Ii Strl Lf|91.23
880039.1457|Pack Srg Spt Bilat Seprapack Strl Lf|104.35
880045.2485|Pad Impctr Persona Prt Kn Tib Nonster|256.34
811906|Pad Rehab|171
890022.6057|Palivizumab IM Soln 100 MG/ML|4,983.59
890023.3212|Pancrelipase (Lip-Prot-Amyl) DR Cap 12000-38000-60000 Unit|11.04
890023.3212|Pancrelipase (Lip-Prot-Amyl) DR Cap 6000-19000-30000 Unit|5.52
890023.6069|Pantoprazole Sodium EC Tab 20 MG (Base Equiv)|3.1
890023.5027|Pantoprazole Sodium EC Tab 40 MG (Base Equiv)|3.1
890022.7813|Pantoprazole Sodium For IV Soln 40 MG (Base Equiv)|74.5
816823|Paracentesis Abd W Guidance|2,526.00
832129|Paracentesis Abd W Guidance|421
816821|Paracentesis Abd WO Guidance|657
816821|Paracentesis Abd WO Guidance|2,526.00
832128|Paracentesis Abd WO Guidance|421
832128|Paracentesis Abd WO Guidance|1,611.00
816567|Paraffin Bath Ot|173
835520|Parathyroidectomy or Exploration|3,699.00
835831|Paravert Block Thoracic Cont Inf Bilat|5,754.00
834806|Paravert Block Thoracic Continuoustherm|4,240.00
834804|Paravert Block Thoracic Single Injon|2,724.00
834805|Paravert Block Thoracic Subsequentermal|1,514.00
831480|Paring Hyperkeratotic Single Lesion|59
890023.9046|Paroxetine HCl Tab 10 MG|3.1
833325|Part Removal Colon W Coloproc Colost|7,115.00
833149|Part Removal Colon W Colostomy|8,355.00
832143|Partial Hymenectomy or Revision|791
832096|Partial Mastectomy|3,183.00
833849|Partial Mastectomy W Ln Removal|4,382.00
835433|Partial Thyroid Excision Unil W Csl|4,217.00
834056|Partial Thyroid Lobectomy Unilateral|3,486.00
60066170|Parvovirus B19 Antibody Igg|192
60067960|Parvovirus B19 Antibody Igm|192
880039.2388|Pass Sut Shuttle Relay|89.88
880045.2485|Pat Gsf Flx Cem Fm/Cem Tib Prling Surf/V|6,231.00
SUP108534|Patch Fetal and Maternal|179
880039.247|Patch Srg 1.7X1.7In Slf Xpd Prt Absb|631.92
880102.4313|Patch Srg 10.1X6.1In Sprg Opn Bioresbl|3,640.02
880102.1459|Patch Srg 4.3X3.1In Sft Flexiblel Flp|859.32
880102.4313|Patch Srg 4.5In Sprg Opn Bioresbl Slf Xp|1,060.94
880102.4313|Patch Srg 5.5X4.3In Sprg Opn Bioresbl|1,790.25
880102.3963|Patch Srg 7X5.4In Sprg Opn Bioresbl Slf|2,290.78
880039.1155|Patch Srg Mfl Slf Xpd Strap Pckt Vntrlx|693.78
880039.1155|Patch Srg Mfl Slf Xpd Strap Pckt Vntrlx|829.56
880039.25|Patch Srg Slf Xpd Flxb Lmnt Lg Pore Mfl|755.76
880102.425|Patch Srg Sprg Opn Bioresbl Strap 1.7In|842.77
880102.425|Patch Srg Sprg Opn Bioresbl Strap 2.5In|1,007.75
880102.3971|Patch Srg Strap Vntrlx St Sprmsh 3.2In|1,172.54
60052871|Path Consult Surg Frozen|496
60052860|Path Consult Surg Frozen Tc|985
60052870|Path Consult Surg Frzn Add Tc|496
60052861|Path W Surg Frozen Tc Nl|985
8105139|Pcv20 Vaccine Im|1,035.20
890023.5227|PEG 3350-KCl-Na Bicarb-NaCl-Na Sulfate For Soln 236 GM|66.96
880045.1861|Peg Fx 3.2Mm 30Mm Lck Nonster Gld|252.96
880064.1979|Peg Fx 3.2Mm 34Mm Lck Nonster Gld|353.4
880045.1861|Peg Fx 3.2Mm 36Mm Lck Nonster Gld|252.96
880045.1821|Peg Fx 3.2Mm 40Mm Lck Nonster Gld|252.96
880045.2353|Peg Hld Mg2 Kn Fem Fnsh Gd Ss|125.99
814990|Pelvic Exam|234
832728|Pelvic Examination W Anesth|301
832728|Pelvic Examination W Anesth|498
800731|Pelvis 1 or 2 Vw|540
800740|Pelvis 3+ Vw|1,005.00
890022.6079|Penicillin G Benzathine IM Susp Pref Syr 1200000 Unit/2ML|319.34
890022.6079|Penicillin G Benzathine IM Susp Pref Syr 1200000 Unit/2ML|319.34
890022.4905|Penicillin G Potassium For Inj 20000000 Unit|108.84
890022.4457|Penicillin G Potassium For Inj 5000000 Unit|74.5
890023.9341|Penicillin V Potassium For Soln 250 MG/5ML|24.83
890023.9341|Penicillin V Potassium For Soln 250 MG/5ML|24.83
890023.9341|Penicillin V Potassium For Soln 250 MG/5ML|36.27
890023.9341|Penicillin V Potassium For Soln 250 MG/5ML|9.49
890023.1671|Penicillin V Potassium Tab 250 MG|3.1
890023.9045|Pentoxifylline Tab ER 400 MG|3.1
833926|Per Skel Fix Fem W Pinning|4,475.00
803143|Perc Duod or Jej Tube Rp|2,643.00
832132|Perc Duod or Jej Tube Rp|258
832132|Perc Duod or Jej Tube Rp|372
833509|Perc Fix Dstl Phalnx Fx Fing/Thum|1,724.00
835604|Perc Inc Adductor/Hamstring Tendon Mult|776
8103846|Perc Inc Adductor/Hamstring Tendon Multi|971
835603|Perc Incis Hip Adductor|736
8103845|Perc Incis Hip Adductor|799
834871|Perc Plcmt Enteral Aliment Tube|599
833045|Percut Skeltl Fixation Humeral Fx|3,229.00
890005.1199|Perflutren Lipid Microsphere IV Susp 6.52 MG/ML|229.07
833778|Perineoplasty Repair Perineum Nonob|1,096.00
890023.1671|Permethrin Cream 5%|276.21
8103350|Pet Skull Base to Mid Thigh|7,018.00
8103351|Pet Whole Body|7,018.00
890023.5361|Petrolatum Ointment|34.2
814727|Pft Industrial|53
60075400|Ph Feces|8
60015900|Ph Fluid|152
60010720|Ph Gastric|166
60075080|Ph Urine|33
60015820|Ph Venous|166
8103481|Phase II Recovery 1st Hour|784
8103482|Phase II Recovery Subsequent Hours|65
890023.6516|Phenazopyridine HCl Tab 100 MG|3.1
890023.6032|Phenobarbital Elixir 20 MG/5ML|6.32
890023.0SSM015082A|Phenobarbital Elixir 20 MG/5ML|25.28
60011000|Phenobarbital Level|245
890023.1431|Phenobarbital Tab 30 MG|3.1
890023.7121|Phenobarbital Tab 32.4 MG|3.1
890001.7811|Phenol Liquid 1.4%|12.35
890025.5122|Phentolamine Mesylate For Inj 5 MG|983.18
890022.436|Phenylephrine HCl (PF) IV Soln 0.5 MG/5ML (100 MCG/ML)|74.5
890022.2502|Phenylephrine HCl IV Soln 10 MG/ML|74.5
890023.2251|Phenylephrine HCl Nasal Soln 0.5%|9.12
890023.6069|Phenytoin Chew Tab 50 MG|4.19
60013850|Phenytoin Level|262
60010280|Phenytoin Level Free|200
890023.6808|Phenytoin Sodium Extended Cap 100 MG|3.1
890022.6413|Phenytoin Sodium Inj 50 MG/ML|74.5
890023.6669|Phenytoin Susp 125 MG/5ML|208.95
60015950|Phosphorus Blood|152
60082620|Phosphorus Blood I|24
60013860|Phosphorus Urine Quant|33
60012160|Phosphorus Urine Random|132
812955|Phototherapy|177
833250|Physcn Prevent Estab Pt 12-17yrs|373
833249|Physcn Prevent Estab Pt 1-4yrs|336
832438|Physcn Prevent Estab Pt 18-39yrs|384
832439|Physcn Prevent Estab Pt 40-64yrs|389
832824|Physcn Prevent Estab Pt 5-11yrs|329
815781|Physcn Prevent Estab Pt 65+Yrs|209
832440|Physcn Prevent Estab Pt 65+Yrs|203
833248|Physcn Prevent Estab Pt Infant|349
832823|Physcn Prevent New Pt 12-17yrs|419
833247|Physcn Prevent New Pt 1-4yrs|369
832436|Physcn Prevent New Pt 18-39yrs|407
832437|Physcn Prevent New Pt 40-64yrs|470
832822|Physcn Prevent New Pt 5-11yrs|381
833246|Physcn Prevent New Pt Infant|454
813256|Physical Performance Test Ea 15min Pt|68
890001.1748|Physostigmine Salicylate Inj 1 MG/ML|74.5
890022.7633|Phytonadione Inj 1 MG/0.5ML (2 MG/ML)|127.21
890022.436|Phytonadione Inj 10 MG/ML|74.5
890022.436|Phytonadione Inj 10 MG/ML|74.5
890023.7071|Phytonadione Tab 5 MG|39.25
880039.1814|Pick Srg 13Cm 1.5Mm 45D Xl Powerpick Pwr|306.03
SUP15161|Pillow Abduction Med|69
890023.7007|Pilocarpine HCl Ophth Soln 1%|206.99
890023.6924|Pilocarpine HCl Ophth Soln 2%|179.96
880045.1915|Pin Fx 102Mm 3.2Mm Rush A Im Ss Nonster|127.28
880045.1915|Pin Fx 114Mm 3.2Mm Rush B Im Ss|127.28
880045.4637|Pin Fx 127Mm 3.2Mm Rush C Im Ss Nonster|127.28
880045.4637|Pin Fx 140Mm 3.2Mm Rush Mdlry Lf|127.28
880045.1915|Pin Fx 152Mm 3.2Mm Rush E Im Ss|127.28
880045.1915|Pin Fx 165Mm 3.2Mm Rush F Im Ss Nonster|127.28
880045.1915|Pin Fx 178Mm 3.2Mm Rush G Im Ss|127.28
880045.1915|Pin Fx 19.1Cm 3.2Mm Rush H Mdlry Ss|127.28
880045.1328|Pin Fx 2.5Mm Shldr Trb Mtl Rvrs Sys Strl|537.54
880045.1916|Pin Fx 203Mm 3.2Mm Rush I Im Ss|127.28
880045.1914|Pin Fx 203Mm 4.8Mm Rush A Im Ss|159.98
880045.1916|Pin Fx 216Mm 3.2Mm Rush J Im Ss Nonster|127.28
880045.1914|Pin Fx 222Mm 4.8Mm Rush B Im Ss|159.98
880045.1916|Pin Fx 229Mm 3.2Mm Rush K Im Ss Nonster|115.32
880045.1916|Pin Fx 241Mm 3.2Mm Rush L Im Ss Nonster|127.28
880045.1914|Pin Fx 241Mm 4.8Mm Rush C Im Ss|159.98
880045.4594|Pin Fx 254Mm 3.2Mm Rush M Im Ss Nonster|127.28
880045.1915|Pin Fx 260Mm 4.8Mm Rush D Im Ss|159.98
880045.1914|Pin Fx 279Mm 4.8Mm Rush E Im Ss|159.98
880045.1914|Pin Fx 298Mm 4.8Mm Rush F Im Ss|159.98
880064.1259|Pin Fx 2Mm Ntr Nail Tib|186.22
880039.7578|Pin Fx 30.5Cm 3Mm Tib Thrd Ntr Nail Sys|292.12
880045.1915|Pin Fx 318Mm 4.8Mm Rush G Im Ss|159.98
880045.1915|Pin Fx 337Mm 4.8Mm Rush H Im Ss|159.98
880045.1915|Pin Fx 356Mm 4.8Mm Rush I Im Ss|159.98
880064.7578|Pin Fx 3Mm Ntr Nail Tib Thrd Nonster|314.6
880039.3953|Pin Fx 4Mm 110Mm Strl|204.83
880039.3953|Pin Fx 4Mm 140Mm Kn Str Strl|204.83
880039.3953|Pin Fx 4Mm 170Mm Kn Strl|204.83
880045.2486|Pin Fx 508Mm 3.2Mm Nonthread Ntr Nail|220.71
880039.7673|Pin Fx 508Mm 3.2Mm Ntr Nail|404.47
880064.2489|Pin Fx 60Cm 3.2Mm Stnm Cocr 1 End Dmd Pt|290.16
880045.1831|Pin Fx 9In .093In Stnm Ss Smth Troc Pnt|76.26
880039.1153|Pin Fx 9In 3.2Mm Stnm Thrd Acc T/S Sys|342.39
880095.3672|Pin Fx Eleos 2 Fem Rsrfc Ax Lmb Slvg Sys|4,172.00
880095.3672|Pin Fx Eleos 3 Fem Rsrfc Ax Lmb Slvg Sys|4,172.00
880095.3672|Pin Fx Eleos 4 Fem Rsrfc Ax Lmb Slvg Sys|4,172.00
880095.3672|Pin Fx Eleos Fem Dist Ax|3,335.22
880039.1294|Pin Gd 2Mm Bynt|93
880039.2431|Pin Hld Mg Kn Uncmp Collapse Slot Ss|303
880039.1122|Pin Hld Nxgn Kn Hdls 48Mm|96.3
880039.8518|Pin Hld Nxgn Kn Hdls 75Mm|97.68
880039.2353|Pin Hld Nxgn Kn Shrt Head Ss 17Mm|112.35
880064.1391|Pin Hld Persona Kn Hdls Gld Uncmp Hi Flx|187.47
880045.549|Pin Hlf 80Mm 3Mm Apx Orth Ss Slfdrl|223.2
880045.3497|Pin Stnm 3.2 X 254mm Thrd Semi-blunt|1,023.00
60040780|Pinworms Smear|141
890023.6586|Pioglitazone HCl Tab 15 MG (Base Equiv)|3.1
890022.7819|Piperacillin Sod-Tazobactam Na For Inj 3.375 GM (3-0.375 GM)|74.5
890022.6332|Piperacillin Sod-Tazobactam Sod For Inj 2.25 GM (2-0.25 GM)|74.5
890022.6522|Piperacillin Sod-Tazobactam Sod For Inj 4.5 GM (4-0.5 GM)|97.3
880038.9739|Pk 5.5Cm Nsl Infl Unlat Wo Arwy Rp Rhn|122.75
880038.974|Pk 7.5Cm Nsl Infl Unlat Wo Arwy Rp Rhn|127.37
880039.2491|Pk Eye|1,030.81
880039.2485|Pk Eye Custom|981.6
880039.3575|Pk Srg 48in 12in Ult Mayo Kn Ascp|106.12
60068210|Pku Neonatal|126
834062|Place Seton Suture|1,074.00
880045.5769|Plate 1/3 Tblr 107Mm 8 Hl Ss 3.5Mm Screw|337.96
880045.313|Plate 1/3 Tblr 121X9X1Mm 10 Hl Colr Ss|154.38
880045.364|Plate 1/3 Tblr 37X9X1Mm 3 Hl Colr Ss 3.5|61.16
880045.312|Plate 1/3 Tblr 49X9X1Mm 4 Hl Colr Ss 3.5|70.98
880045.311|Plate 1/3 Tblr 61X9X1Mm 5 Hl Colr Ss 3.5|133.92
880045.315|Plate 1/3 Tblr 85X9X1Mm 7 Hl Colr Ss 3.5|153.17
880045.318|Plate 1/3 Tube 25X9X1Mm Ss 3.5Mm Scr Sm|58.48
880045.332|Plate 1/3 Tube 73X9X1Mm Ss 3.5Mm Scr Sm|132.06
880045.316|Plate 1/3 Tube 97X9X1Mm Ss 3.5Mm Scr Sm|159.03
880039.238|Plate 10 Hl 2 Comp Slot Smtr 146Mm Str|1,619.23
880045.1994|Plate 10 Hl Lck 133Mm 1/3 Tblr Ss 3.5Mm|344.84
880045.3932|Plate 10 Hl Lck Lopro 2 Comp Slot Fib Lt|1,586.28
880045.5771|Plate 10 Hl Lck Lopro 2 Comp Slot Fib Rt|1,586.28
880045.205|Plate 10 Hl Lck Lopro 2 Comp Slot Tib Rt|2,869.11
880064.9143|Plate 10 Hl Lck Lopro 2 Comp Slot Tib Rt|2,620.81
880045.5769|Plate 104Mm 6 Hl Lck Lopro 2 Comp Slot|2,158.53
880045.3981|Plate 105Mm 6 Hl 4.5Mm Screw Tib Rt Strl|1,298.52
880045.1983|Plate 11 Hl Lck Lopro Dist Blt Tip Tib|2,293.38
880039.1349|Plate 117X9X1Mm Ss 3.5Mm Scr Sm Frag Set|371.63
880045.2381|Plate 12 Hl Fem Lt Prox 285Mm Sclp Ncb|2,731.17
880045.2355|Plate 12 Hl Lck Recon 157Mm Str Ss 3.5Mm|1,117.30
880095.1995|Plate 120Mm 6 Hl Lck Lopro 2 Comp Slot|2,800.14
880045.5685|Plate 121X10X3.3Mm 10 Hl Ss 3.5Mm Cort|277.14
880064.1257|Plate 13 Hl Fem Rt Dist 324Mm Ncb Ti Al|2,382.94
880045.2711|Plate 133Mm 7 Hl Lo Tmx Hum Lt Prox Alps|5,654.40
880045.1125|Plate 135D Shrt Brl 78X19X5.8Mm 4 Hl|580.32
880045.1129|Plate 135D Std Brl 110X19X5.8Mm 6 Hl|580.32
880045.3476|Plate 135D Std Brl 142X19X5.8Mm 8 Hl|773.16
880045.1095|Plate 135D Std Brl 174X19X5.8Mm 10 Hl|773.16
880045.1126|Plate 135D Std Brl 78X19X5.8Mm 4 Hl|1,026.72
880045.1127|Plate 135D Std Brl 94X19X5.8Mm 5 Hl|1,016.12
880045.1995|Plate 14 Hl Lck Lopro 2 Comp Slot Tib Rt|2,951.88
880045.1112|Plate 140D Std Brl 110X19X5.8Mm 6 Hl|580.32
880045.113|Plate 140D Std Brl 78X19X5.8Mm 4 Hl|978.36
880045.1131|Plate 140D Std Brl 94X19X5.8Mm 5 Hl|621.39
880045.5768|Plate 144Mm 8 Hl Lck Lopro 2 Comp Slot|2,841.52
880045.1107|Plate 145D Std Brl 110X19X5.8Mm 6 Hl|580.32
880045.1105|Plate 145D Std Brl 78X19X5.8Mm 4 Hl|978.36
880045.1106|Plate 145D Std Brl 94X19X5.8Mm 5 Hl|580.32
880045.36|Plate 146Mm 6 Hl Nonlock Ss Fem Lt Dist|1,128.28
880045.36|Plate 146Mm 6 Hl Nonlock Ss Fem Rt Dist|1,107.07
880045.204|Plate 15 Hl Fem Lt Dist 317Mm 95D Sclp|2,896.69
880045.238|Plate 15 Hl Fem Rt Prox 324Mm Sclp Ncb|2,896.69
880045.1121|Plate 150D Shrt Brl 78X19X5.8Mm 4 Hl|580.32
880045.1111|Plate 150D Std Brl 110X19X5.8Mm 6 Hl|580.32
880045.1109|Plate 150D Std Brl 78X19X5.8Mm 4 Hl|580.32
880045.111|Plate 150D Std Brl 94X19X5.8Mm 5 Hl|580.32
880045.36|Plate 178Mm 8 Hl Nonlock Ss Fem Lt Dist|1,107.07
880045.36|Plate 178Mm 8 Hl Nonlock Ss Fem Rt Dist|1,248.66
880039.268|Plate 2 Hl Elongate Hl Prox Tab Olcrn Rt|1,884.78
880045.3599|Plate 210Mm 10 Hl Nonlock Ss Fem Lt Dist|1,151.71
880045.36|Plate 210Mm 10 Hl Nonlock Ss Fem Rt Dist|1,107.07
880045.5053|Plate 216Mm 14 Hl Lck Tpr Shft Lopro Ss|2,951.88
880045.3599|Plate 242Mm 12 Hl Nonlock Ss Fem Lt Dist|1,107.07
880045.36|Plate 242Mm 12 Hl Nonlock Ss Fem Rt Dist|1,107.07
880045.3599|Plate 273Mm 14 Hl Nonlock Ss Fem Lt Dist|1,107.07
880045.36|Plate 273Mm 14 Hl Nonlock Ss Fem Rt Dist|1,379.79
880045.1665|Plate 3 Hl Anat Gft Wdw Rds Lt Wrst Volr|1,478.70
880045.3924|Plate 3 Hl Comp Hip Cndyl 62Mm 140D Std|701.22
880045.1975|Plate 3 Hl Lck Elb Rt Ulna Prox 77Mm Zm|1,475.95
880045.1351|Plate 3 Hl Lck Elb Ulna Lt Prox Periart|1,475.95
880045.5693|Plate 3 Hl Lopro Fem Prox 62X19X5.8Mm|829.56
880045.2486|Plate 3 Hl Lopro Rds Lt Dist Volr Nar|1,586.28
880045.2486|Plate 3 Hl Lopro Rds Lt Volr Dist Std|1,586.28
880045.2486|Plate 3 Hl Lopro Rds Rt Dist Volr Nar|1,586.28
880039.2618|Plate 3 Lvl Spne Crv Ant 45Mm Trestle Ti|186
880045.3599|Plate 305Mm 16 Hl Nonlock Ss Fem Lt Dist|1,193.56
880045.36|Plate 305Mm 16 Hl Nonlock Ss Fem Rt Dist|1,107.07
880045.3599|Plate 337Mm 18 Hl Nonlock Ss Fem Lt Dist|1,107.07
880045.36|Plate 337Mm 18 Hl Nonlock Ss Fem Rt Dist|1,193.56
880039.255|Plate 4 Hl Elongate Hl Prox Tab Olcrn Lt|1,883.25
880045.2486|Plate 4 Hl Hi Hum Rt Prox 90Mm Alps Tmx|4,650.00
880064.2912|Plate 4 Hl Hum Prox 80Mm Ncb Protasul-64|2,579.45
880064.1989|Plate 4 Hl Lck Lopro 2 Comp Slot Fib Lt|1,289.72
880064.2095|Plate 4 Hl Lck Lopro 2 Comp Slot Fib Rt|1,289.72
880064.5782|Plate 4 Hl Lck Lopro 2 Comp Slot Hum Rt|2,489.01
880045.1821|Plate 4 Hl Lo Hum Lt Prox 83Mm Alps Tmx|3,013.20
880045.2619|Plate 4 Hl Lo Hum Rt Prox 83Mm Alps Tmx|4,836.00
880064.5779|Plate 4 Hl Lopro Comp Ky Hip Fem 86Mm|931.08
880064.1188|Plate 4 Hl Lopro Lmt Cntct Tib Prox|1,953.56
880045.1719|Plate 4 Hl Lopro Utl Smtr Lt 28Mmx1.5Mm|2,259.90
880039.2157|Plate 5 Hl Fem Lt Dist 167Mm Ncb|2,758.75
880064.2009|Plate 5 Hl Lck Elb Rt Ulna Prox 103Mm Zm|1,283.12
880039.5861|Plate 5 Hl Lopro Cut To Lgth 38Mm Lcp|493.83
880045.2497|Plate 5 Hl Lopro Rds Lt Volr Dist Std|1,724.22
880045.2487|Plate 5 Hl Lopro Rds Rt Dist Volr Nar|1,532.64
880045.1506|Plate 5 Hl Lopro Utl Smtr Lt 34Mmx1.5Mm|2,259.90
880064.198|Plate 6 Hl 6 Band 187Mm Cbl Rd Bone|1,151.41
880045.1901|Plate 6 Hl Lck 81Mm 1/3 Tblr Ss 3.5Mm|310.36
880064.1894|Plate 6 Hl Lck Lopro 2 Comp Slot Fib Lt|1,379.38
880045.3927|Plate 6 Hl Lck Lopro 2 Comp Slot Fib Rt|1,379.38
880039.1664|Plate 6 Hl Lmt Cntct Tpr End 85X11X3.4Mm|639.47
880045.2036|Plate 6 Hl Nonlock Tib Rt Prox Mdl 82Mm|1,558.70
880064.9671|Plate 7 Hl Comp Dynmc Troch 210Mm Ss Bmp|1,506.60
880064.2912|Plate 7 Hl Hum Prox 117Mm Ncb|3,144.98
880045.1366|Plate 7 Hl Lck 94Mm 1/3 Tblr Ss 3.5Mm|288.15
880045.207|Plate 77X11X3.3Mm Ss 3.5Mm Scr 6 Hl Lc|299.46
880045.3252|Plate 8 Hl Clvcl Rt Sup 90mm Alps Bone|2,823.48
880045.9036|Plate 8 Hl Lck Ankl 98Mm 1/3 Tube Ss|422.96
880045.5914|Plate 8 Hl Lck Lopro 2 Comp Slot Fib Lt|1,489.73
880045.3911|Plate 8 Hl Lck Lopro 2 Comp Slot Fib Rt|1,489.73
880064.5782|Plate 8 Hl Lck Lopro 2 Comp Slot Tib Rt|2,050.61
880045.1979|Plate 9 Hl Fem Lt Dist 238Mm 95D Ncb|2,593.23
880045.3929|Plate 9 Hl Fem Lt Dist 246Mm Ncb|2,758.75
880045.5769|Plate 9 Hl Lck 2 Comp 118Mm Contr Ss 3.5|669
880045.208|Plate 90X11X3.3Mm 7 Hl Ss 3.5Mm Screw Sm|310.62
880045.1137|Plate 95D Shrt Brl 114X16X5.4Mm 6 Hl|1,005.29
880045.631|Plate 95D Shrt Brl 146X16X5.4Mm 8 Hl|1,005.29
880045.1133|Plate 95D Shrt Brl 178X16X5.4Mm 10 Hl|1,005.29
880045.1128|Plate 95D Shrt Brl 210Mm 12 Hl Ss 4.5Mm|1,005.29
880045.1245|Plate 97X10X3.3Mm 8 Hl Ss 3.5Mm Cort|325.5
880045.561|Plate Ang Lt L Btrs 86X14X3.8Mm 4 Hl|357.12
880045.562|Plate Ang Rt L Btrs 86X14X3.8Mm 4 Hl|357.12
880045.3134|Plate Brd 106X17.5X5.2Mm 6 Hl Ss 4.5Mm|230.34
880045.2391|Plate Brd 124X17.5X5.2Mm 7 Hl Ss 4.5Mm|230.34
880045.3528|Plate Brd 12In 11 Hl 12 Grv Comp Rnd End|781.2
880045.364|Plate Brd 142X17.5X5.2Mm 8 Hl Ss 4.5Mm|287.48
880045.1483|Plate Brd 160X17.5X5.2Mm 9 Hl Ss 4.5Mm|287.48
880045.3128|Plate Brd 178X17.5X5.2Mm 10 Hl Ss 4.5Mm|287.48
880045.3629|Plate Brd 196X17.5X5.2Mm 11 Hl Ss 4.5Mm|294.62
880045.3114|Plate Brd 214X17.5X5.2Mm 12 Hl Ss 4.5Mm|305.34
880045.2391|Plate Brd 250X17.5X5.2Mm 14 Hl Ss 4.5Mm|305.34
880045.383|Plate Brd 6.5In 5 Hl 6 Grv Comp Rnd End|781.2
880045.3528|Plate Brd 8In 7 Hl 8 Grv Comp Rnd End Ss|928.51
880045.204|Plate Clvrlf 104X15X2Mm 4 Hl Thn Blade|348.19
880045.205|Plate Clvrlf 88X15X2Mm 3 Hl Shft Thn|324.98
880064.1353|Plate Crsslck Lopro Rds Rt Dist Volr 56|1,662.84
880045.2488|Plate Dics 90Deg 10Hole|1,005.29
880045.3025|Plate Fem Troch Lt W Ncb Protasul-64|2,013.90
880095.129|Plate Flute Mobile Precoat Sz4|5,124.00
880045.3675|Plate L Ang Rt 85Mm 4 Hl Btrs Ss 4.5Mm|503.48
880045.21|Plate Lc Dcp 3.5Mm 10 Hole 129Mm|183.92
880045.209|Plate Lc Dcp 3.5Mm 8 Hole 103Mm|326.43
880045.211|Plate Lc Dcp 3.5Mm 9 Hole 116Mm|180.35
880039.5745|Plate Lck 3 Hle/Hd 5 Hl Shft 73Mm T Ss|655.2
880064.13|Plate Lopro Fsn Midfoot Ankl 37X27X2Mm|1,409.88
880045.1571|Plate Lopro Pin Fx Thrd Hl Smtr Rt 1.5Mm|2,713.28
880045.2251|Plate Nar 106X13.5X4.2Mm 6 Hl Ss 4.5Mm|171.42
880045.3636|Plate Nar 124X13.5X4.2Mm 7 Hl Ss 4.5Mm|171.42
880045.3637|Plate Nar 142X13.5X4.2Mm 8 Hl Ss 4.5Mm|171.42
880045.3637|Plate Nar 160X13.5X4.2Mm 9 Hl Ss 4.5Mm|171.42
880045.3636|Plate Nar 178X13.5X4.2Mm 10 Hl Ss 4.5Mm|224.99
880045.3061|Plate Nar 196X13.5X4.2Mm 11 Hl Ss 4.5Mm|224.99
880045.3058|Plate Nar 214X13.5X4.2Mm 12 Hl Ss 4.5Mm|224.99
880045.3637|Plate Nar 70X13.5X4.2Mm 4 Hl Ss 4.5Mm|150.88
880045.3638|Plate Nar 88X13.5X4.2Mm 5 Hl Ss 4.5mm|150.88
880045.243|Plate Oblq T 75X10X1.5Mm 3 Hle/Hd 5 Hl|443.8
880045.24|Plate Rt Ang T 50X10X1.2Mm 3 Hle/Hd 3 Hl|133.03
880045.246|Plate Rt Ang T 56X10X1.2Mm 4 Hle/Hd 4 Hl|137.49
880045.563|Plate Smtb 103X12X1Mm 6 Hl Ss 3.5/4.5Mm|75.44
880045.567|Plate Smtb 119X12X1Mm 7 Hl Ss 3.5/4.5Mm|81.24
880045.564|Plate Smtb 71X12X1Mm 4 Hl Ss 3.5/4.5Mm|68.3
880045.566|Plate Smtb 87X12X1Mm 5 Hl Ss 3.5/4.5Mm|70.98
880045.2628|Plate Std Contr 5 Hl Lopro Rds Rt Dist|1,724.22
880045.5768|Plate Str 92Mm 7 Hl Recon Ss 3.5Mm Screw|965.56
880039.24|Plate Strg 98X10.1X3.5Mm Ss 3.5Mm Scr Sm|1,078.06
880045.45|Plate T 116Mm 6 Hl Shft Ss 4.5Mm Screw|312.48
880045.56|Plate T 148Mm 8 Hl Shft Ss 4.5Mm Screw|437.47
880045.447|Plate T 84Mm 4 Hl Shft Ss 4.5Mm Screw Lg|269.63
880045.5769|Plate T 85Mm 6 Hle/Hd 4 Hl Shft Lck Ss|674.36
880045.2355|Plate T Oblq 63Mm 4 Hle/Hd 3 Hl Shft Lck|682.81
880045.3732|Plate Tib 12Mm Lpsflx Nxgn 7 Trb Mtl|6,006.31
880045.9536|Plate Tib 25X40Mm Mg 1 Kn Lt Mdl Rl Tiv|1,940.17
880045.9539|Plate Tib 25X40Mm Mg 1 Kn Rmll Tiv|1,940.17
880045.1069|Plate Tib 27X44Mm Mg 2 Kn Lt Mdl Rl Tiv|1,934.40
880045.954|Plate Tib 27X44Mm Mg 2 Kn Rmll Tiv|1,940.17
880045.9542|Plate Tib 30X48Mm Mg 3 Kn Lt Mdl Rl Tiv|1,940.17
880045.9541|Plate Tib 30X48Mm Mg 3 Kn Rmll Tiv|1,934.40
880045.9544|Plate Tib 32X52Mm Mg 4 Kn Rmll Tiv|1,940.17
880045.9545|Plate Tib 32X52Mm Mg Kn Lt Mdl Rl Tiv|1,940.17
880045.9543|Plate Tib 35X56Mm Mg Kn Lt Mdl Rl Tiv|1,940.17
880045.9546|Plate Tib 35X56Mm Mg Kn Rmll Tiv|1,940.17
880095.2489|Plate Tib 3Deg Flute Sz 6|4,553.19
880045.2457|Plate Tib 56X41Mm Nxgn 1 Kn Zml Pmma|5,293.93
880045.2457|Plate Tib 62X41Mm Nxgn 2 Kn Zml Pmma|5,293.93
880045.2457|Plate Tib 62X41Mm Nxgn 2 Kn Zml Pmma|5,293.93
880045.2016|Plate Tib 67X46Mm Nxgn 3 Kn Zml Pmma|7,800.84
880045.2457|Plate Tib 67X46Mm Nxgn 3 Kn Zml Pmma|5,293.93
880095.3731|Plate Tib Blu 10Mm Lpsflx Nxgn 7 G-H Kn|6,006.31
880045.3732|Plate Tib Blu 10Mm Lpsflx Nxgn 8 G-H Kn|6,006.31
880045.3732|Plate Tib Blu 12Mm Lpsflx Nxgn 8 G-H Kn|6,006.31
880045.3732|Plate Tib Blu 14Mm Lpsflx Nxgn 7 G-H Kn|6,006.31
880045.3732|Plate Tib Blu 14Mm Lpsflx Nxgn 8 G-H Kn|6,006.31
880045.3732|Plate Tib Blu 17Mm Lpsflx Nxgn 7 G-H Kn|6,006.31
880045.3732|Plate Tib Blu 17Mm Lpsflx Nxgn 8 G-H Kn|6,006.31
880045.237|Plate Tib Blu Blu Strp 82X50X7Mm Optn|1,904.64
880045.3189|Plate Tib Blu Blu Strp 82X51Mm Nxgn 7|3,820.44
880045.237|Plate Tib Blu Blu Strp 82X54X8Mm Optn|1,608.90
880095.1734|Plate Tib Grn 10Mm Lpsflx Nxgn 5 E-F Kn|6,006.31
880045.1962|Plate Tib Grn 10Mm Lpsflx Nxgn 6 E-F Kn|6,006.31
880045.3731|Plate Tib Grn 12Mm Lpsflx Nxgn 5 E-F Kn|6,006.31
880095.3731|Plate Tib Grn 12Mm Lpsflx Nxgn 6 E-F Kn|6,006.31
880045.3731|Plate Tib Grn 14Mm Lpsflx Nxgn 5 E-F Kn|6,006.31
880045.3731|Plate Tib Grn 14Mm Lpsflx Nxgn 6 E-F Kn|6,006.31
880045.3731|Plate Tib Grn 17Mm Lpsflx Nxgn 5 E-F Kn|6,006.31
880045.3731|Plate Tib Grn 17Mm Lpsflx Nxgn 6 E-F Kn|6,006.31
880045.1391|Plate Tib Grn Grn Strp 74X46Mm Nxgn 5|3,820.44
880045.237|Plate Tib Grn Grn Strp 74X46X5Mm Optn|1,813.50
880045.3189|Plate Tib Grn Grn Strp 74X50Mm Nxgn 6|3,820.44
880045.237|Plate Tib Grn Grn Strp 74X50X6Mm Optn|1,608.90
880095.2426|Plate Tib Lpsflx|6,450.48
880095.2426|Plate Tib Lpsflx Optn Kn Prect Flxn Mbl|6,450.48
880045.898|Plate Tib Nxgn 10 Kn Prect Stm|2,025.80
880045.1384|Plate Tib Nxgn 3 Wdg Kn Cmnt Prect Mdlr|3,820.44
880095.3957|Plate Tib Nxgn 4 Kn Prect Pg|3,796.74
880095.901|Plate Tib Nxgn 4 Kn Prect Stm|3,099.69
880045.2457|Plate Tib Nxgn 4 Kn Zml Pmma Uhmwpe Rot|7,800.84
880045.3169|Plate Tib Nxgn 5 Kn Prect Pg|3,437.28
880045.2457|Plate Tib Nxgn 5 Kn Zml Pmma Uhmwpe Rot|7,800.84
880095.905|Plate Tib Nxgn 6 Kn Prect Stm|3,099.69
880045.2457|Plate Tib Nxgn 6 Kn Zml Pmma Uhmwpe Rot|5,293.93
880045.3169|Plate Tib Nxgn 7 Kn Prect Pg|3,437.28
880095.4366|Plate Tib Nxgn 7 Kn Prect Stm|3,099.69
880095.908|Plate Tib Nxgn 8 Kn Prect Stm|3,696.23
880095.2426|Plate Tib Optn Nxgn Kn Fem Plg|6,450.48
880095.2426|Plate Tib Optn Nxgn Kn Prect Stm Cr|6,450.48
880045.2602|Plate Tib Prox Lock Lt 5H Lg|2,226.42
880045.373|Plate Tib Ylw 10Mm Lpsflx Nxgn 3 C/D Kn|6,006.31
880045.373|Plate Tib Ylw 10Mm Lpsflx Nxgn 4 C-D Kn|6,006.31
880045.373|Plate Tib Ylw 12Mm Lpsflx Nxgn 3 C-D Kn|6,006.31
880045.3731|Plate Tib Ylw 12Mm Lpsflx Nxgn 4 C-D Kn|6,006.31
880045.373|Plate Tib Ylw 14Mm Lpsflx Nxgn 3 C-D Kn|6,006.31
880045.3731|Plate Tib Ylw 14Mm Lpsflx Nxgn 4 C-D Kn|6,006.31
880045.373|Plate Tib Ylw 17Mm Lpsflx Nxgn 3 C-D Kn|6,006.31
880045.3731|Plate Tib Ylw 17Mm Lpsflx Nxgn 4 C-D Kn|6,006.31
880045.1741|Plate Tib Ylw Strp 10Mm Lpsflx Nxgn 3|6,006.31
880045.1536|Plate Tib Ylw Strp 10Mm Lpsflx Nxgn 4|6,006.31
880045.3732|Plate Tib Ylw Strp 12Mm Lpsflx Nxgn 3|6,006.31
880045.2397|Plate Tib Ylw Strp 12Mm Lpsflx Nxgn 4|5,744.42
880045.3733|Plate Tib Ylw Strp 14Mm Lpsflx Nxgn 4|6,006.31
880045.3732|Plate Tib Ylw Strp 17Mm Lpsflx Nxgn 3|6,006.31
880045.2367|Plate Tib Ylw Strp 17Mm Lpsflx Nxgn 4|6,006.31
880045.237|Plate Tib Ylw Ylw Strp 66X42X3Mm Optn|1,919.87
880045.1391|Plate Tib Ylw Ylw Strp 66X46Mm Nxgn 4|3,820.44
880045.237|Plate Tib Ylw Ylw Strp 66X46X4Mm Optn|1,608.90
880039.624|Plate Va Rds Lt Volr Dist 51X22Mm Nar|2,202.24
880045.2628|Plate Wide Contr 5 Hl Lopro Rds Rt Dist|1,724.22
60065760|Platelet Aggregation|514
60068390|Platelet Antibody (Pla-1)|224
60022290|Platelet Count Auto|103
60020270|Platelet Count Manual|98
60037500|Platelet Pheresis Lr Cmv Neg Irrad|1,921.00
60038860|Platelet Pheresis Lr Irrad|1,834.00
60039440|Platelet Pheresis Unmatch|2,837.00
8100808|Plcmt Breast Local Perc 1st Lsn Mamm|1,777.00
833988|Plcmt Breast Local Perc 1st Lsn US|367
833988|Plcmt Breast Local Perc 1st Lsn US|1,979.00
8100812|Plcmt Breast Local Perc 1st Lsn US|294
8100812|Plcmt Breast Local Perc 1st Lsn US|1,777.00
830337|Plcmt Cervical Cerclage W Pregnancy|653
816830|Plethysmography for Lung Volumes|413
832049|Plethysmography for Lung Volumes|41
880045.3357|Plg Bone Cmnt Sm Dia 14mm|221.34
SUP100059|Pluerevac Sahara Adult|114
880045.2451|Plug Actb Cup Contin 3 Pk Screw Lf|316.2
880045.2493|Plug Bone Cmnt 1 Uhmwpe 11Mm Hip|186
880045.7667|Plug Bone Cmnt 12Mm Aln 7C Medulla Baso4|167.77
880045.2485|Plug Bone Cmnt 16Mm Aln 8C Medulla Hdpe|167.77
880045.2493|Plug Bone Cmnt 2 Uhmwpe 12.5Mm Hip|207.58
880045.7567|Plug Bone Cmnt 20Mm Aln 10C Medulla Hdpe|167.77
880045.277|Plug Bone Cmnt 24Mm Aln 12C Medulla Hdpe|167.77
880045.2493|Plug Bone Cmnt 3 Uhmwpe 17.5Mm Hip|186
880045.2493|Plug Bone Cmnt 4 Uhmwpe 23Mm Hip|186
880045.2493|Plug Bone Cmnt 5 Uhmwpe 17Mm Hip|186
880045.2493|Plug Bone Cmnt 6 Uhmwpe 18Mm Hip|186
880045.2493|Plug Bone Cmnt 7 Uhmwpe 20Mm Hip|186
880045.2451|Plug Dome Hl Contin Actb 1 Pk Lf|167.4
880039.2447|Plug Dome Hl Contin Actb 3 Screw|390.6
813741|Pneumo Polysac Vaccine >=2yrs Subq Im|503.69
890022.5197|Pneumococcal 13-Valent Conjugate Vaccine Inj|999.71
60082540|Pneumococcal Antibody I|44
890022.6484|Pneumococcal Vaccine Polyvalent Inj 25 MCG/0.5ML|503.69
60080230|Pneumocystis by Dfa Smear|82
814414|Pod .5 Hr Operating Room Time|3,187.00
814415|Pod .75 Hr Operating Room Time|4,281.00
814416|Pod 1.0 Hr Operating Room Time|5,377.00
814417|Pod 1.25 Hr Operating Room Time|6,472.00
814418|Pod 1.5 Hrs Operating Room Time|7,556.00
814419|Pod 1.75 Hrs Operating Room Time|8,651.00
814420|Pod 2.0 Hrs Operating Room Time|9,561.00
814421|Pod 2.25 Hrs Operating Room Time|10,472.00
814422|Pod 2.5 Hrs Operating Room Time|11,381.00
814423|Pod 3.0 Hrs Operating Room Time|12,293.00
814424|Pod Addl Half Hour Operating Rm Time|2,548.00
890023.899|Poison Ivy Treatment - Wash|61.35
813735|Poliovirus Vacc (Ipv) Inactivated|183.76
890022.4928|Poliovirus Vaccine, IPV Injection|143.12
890023.1152|Polyethylene Glycol 3350 Oral Packet 17 GM|3.15
890023.9047|Polyethylene Glycol 3350 Oral Packet 17 GM|3.88
890023.6131|Polymyxin B-Trimethoprim Ophth Soln 10000 Unit/ML-0.1%|28.88
890023.6304|Polysaccharide Iron Complex Cap 150 MG (Iron Equivalent)|3.1
811302|Polysomn 4 or More >=6yrs|5,950.00
811303|Polysomn W/Cpap >=6yrs|6,254.00
890023.5361|Polyvinyl Alcohol-Povidone Ophth Soln 2.7-2%,Polyvinyl Alcohol,Polyvinyl Alcohol Ophth Soln 1.4%,Polyvinyl Alcohol Ophth Soln 0.6%,Polyvinyl Alcohol-Povidone Ophth Soln 2.7-2%,Polyvinyl Alcohol-Povidone Ophth Soln 5-6 MG/ML (0.5-0.6%),Artificial Tear Opht|17.2
880045.2685|Por St/Oss Cp/E1 Aa Dm Ln Cer|11,076.30
60064560|Porphobilinogen Urine Quantitative|384
60064610|Porphyrins Urine Timed Fractionation|276
880039.1658|Port Hand Acc 120Mm Wnd Rtrctr Mrk Pen|1,590.75
880127.7745|Port Implinfn Powerport Mri Argd Chrnflx|511.5
880039.4646|Port Implinfn Smrt Port Fluoromax Vtx Ti|556.14
880127.1139|Port Implinfn Smrt Port Vtx Carbothane|556.14
880039.1153|Port Implinfn Vtx Ti 7Fr 1.3Mm Atch Cath|1,015.56
880039.1494|Port Infs Acc Atch Cath Intro 7.2Fr 8Fr|613.8
811306|POS Airway Pressure Cpap|787
8103513|POS Airway Pressure Cpap Limited|787
880035.2032|Post Iol Uv Wavfrnt Fld W/Isrt 19.0|288.3
880045.3833|Post Tpr 15Mmx9.5Mm Hemicap Toe|960.36
833783|Posterior Colporrhaphy Rpr Rectocele|2,864.00
830295|Postpartum Care Only OB|920
890023.6026|Potassium & Sodium Phosphates Powder Pack 280-160-250 MG|3.1
890001.4098|Potassium Acetate Inj 2 mEq/ML|74.5
60016150|Potassium Blood|103
890008.3381|Potassium Chloride 20 MEQ/L (0.15%) in D5W Lactated Ringers|74.5
890008.4097|Potassium Chloride 20 MEQ/L (0.15%) in D5W Lactated Ringers|74.5
890008.9907|Potassium Chloride 20 MEQ/L (0.15%) in D5W Lactated Ringers|97.3
890022.3381|Potassium Chloride Inj 10 mEq/100ML|97.3
890022.4097|Potassium Chloride Inj 2 mEq/ML|74.5
890022.6332|Potassium Chloride Inj 2 mEq/ML|74.5
890022.3381|Potassium Chloride Inj 20 mEq/100ML|97.3
890023.8103|Potassium Chloride Oral Soln 10% (20 MEQ/15ML)|5.86
890023.245|Potassium Chloride Powder Packet 20 mEq|7.95
890023.2455|Potassium Chloride Tab ER 10 mEq|3.1
890001.4097|Potassium Phosphates Inj 15 mM/5ML (Phos) 22 mEq/5ML,Potassium Phosphates Inj 45 mM/15ML (Phos) 66 mEq/15,Potassium Phosphate Dibasic Inj 3 MMole/ML,Potassium Phosphate Inj 150 mM/50ML (Phos) 220 mEq|74.5
890001.6522|Potassium Phosphates Inj 15 mM/5ML (Phos) 22 mEq/5ML,Potassium Phosphates Inj 45 mM/15ML (Phos) 66 mEq/15,Potassium Phosphate Dibasic Inj 3 MMole/ML,Potassium Phosphate Inj 150 mM/50ML (Phos) 220 mEq|75.25
60016250|Potassium Urine Random|75
60013760|Potassium Urine Timed I|33
890023.5238|Povidone-Iodine Oint 10%|3.1
890023.5361|Povidone-Iodine Oint 10%|4.2
890001.6762|Povidone-Iodine Soln 10%|7.93
890023.9047|Pramipexole Dihydrochloride Tab 0.25 MG|3.1
890023.5186|Pramoxine HCl Perianal Foam 1%|114.38
890023.5733|Pramox-PE-Glycerin-Petrolatum Perianal Cream 1-0.25-14.4-15%|16.47
890023.6069|Pravastatin Sodium Tab 20 MG|3.1
60016210|Prealbumin|202
890023.6076|Prednisolone Acetate Ophth Susp 1%|122.76
890022.1211|Prednisolone Sod Phosphate Oral Soln 15 MG/5ML (Base Equiv)|3.1
890022.0SSM029032A|Prednisolone Sod Phosphate Oral Soln 15 MG/5ML (Base Equiv)|4.38
890022.0SSM029302A|Prednisolone Sod Phosphate Oral Soln 15 MG/5ML (Base Equiv)|3.1
890025.5038|Prednisolone Soln 15 MG/5ML|147.98
890025.8811|Prednisolone Soln 15 MG/5ML|6.72
890025.0SSM006871A|Prednisolone Soln 15 MG/5ML|7.11
890022.5487|Prednisone Tab 1 MG|3.1
890022.54|Prednisone Tab 10 MG|3.1
890022.5487|Prednisone Tab 2.5 MG|3.1
890022.9047|Prednisone Tab 20 MG|3.1
818662|Prefab Elastic Ko W Jnts|112
890023.6069|Pregabalin Cap 25 MG|3.76
890023.7628|Pregabalin Cap 75 MG|3.1
880045.2485|Prem St/Oss Cp/E1 Ln/Cer Hd|10,695.00
880045.3559|Prem ST/OSS CP/E1 LN/STD HD|10,695.00
890023.4843|Prenatal Vit w/ Fe Fumarate-FA Tab 28-0.8 MG,Prenatal Multivitamins & Minerals w/Iron & FA Tab 0*,Prenatal Vit w/ Fe Fumarate-FA Tab 27-0.8 MG,Prenatal Vit w/ Fe Sulfate-FA Tab 27-0.8 MG,Prenatal Vit w/ Fe Fumarate-FA Tab 27-1 MG,Prenatal Vit w/ Iron Carb|3.1
834102|Prep Oral Surg Splint|1,257.00
8103397|Prep Oral Surg Splint|2,082.00
813169|Preventive Counseling Indiv 15 Min|56
834235|Preventive Counseling Indiv 15 Min|64
813750|Prevnar - 13 Vaccine|999.71
60015600|Primidone Level|52
890023.6958|Primidone Tab 50 MG|3.1
814722|Pro Plugs Ear Protection|25
880039.2494|Probe Arthsc Mlbl Shft Temp Cntrl Blu|957.48
880039.1648|Probe Arthsc Msr 60D 220Mm|606
880045.2586|Probe Esurg 33Cm 5Mm Mnplr L Tip|538.13
880039.2477|Probe Esurg 3Mm Coolcut 90D Aspirate|530.25
880039.2494|Probe Esurg Blk Ablator 60D Shldr Kn S|424.2
880039.3899|Probe Esurg Dynablator|857.19
880039.1465|Probe Oral Ax 4Ft Well Kt Mntr Temp Cord|125.22
880039.7491|Probe Vitrtm 21Ga Ant Infs Cnn Strl|502.98
880039.9022|Probe Vitrtm 23ga Infnt Ultravit Ant|572.67
890023.3942|Probiotic Product - Cap|3.1
60011100|Procainamide Napa Level|295
60046110|Procalcitonin Level|115
890022.4307|Prochlorperazine Edisylate Inj 10 MG/2ML,Prochlorperazine Edisylate Inj 50 MG/10ML,Prochlorperazine Edisylate Inj 5 MG/ML|74.5
890022.4307|Prochlorperazine Edisylate Inj 5 MG/ML,Prochlorperazine Edisylate Inj 10 MG/2ML,Prochlorperazine Edisylate Inj 50 MG/10ML|74.5
890025.5975|Prochlorperazine Maleate Tab 5 MG (Base Equivalent)|3.1
833956|Proctectomy Ap Resect+Ostomy|9,163.00
833957|Proctectomy Partial|5,381.00
833234|Proctoplasty for Prolapse Mucous|2,920.00
833279|Proctosigmoidoscopy Rigid W Biopsy|306
830593|Profee Crtcl Care Ea Addl 30 Min|402
830593|Profee Crtcl Care Ea Addl 30 Min|905
60064650|Progesterone|341
60087460|Progesterone|15
60065270|Proinsulin|44
60064700|Prolactin|518
836077|Prolong Outpt E+M Visit Ea Addl 15 Min|61
8104706|Prolong Outpt E+M Visit Ea Addl 15 Min|54
890001.3172|Promethazine HCl Suppos 25 MG|9.3
890001.3172|Promethazine HCl Suppos 25 MG|9.3
890025.9046|Promethazine HCl Tab 25 MG|3.1
890022.1671|Propofol IV Emul 10 MG/ML,Propofol IV Emul 100 MG/10ML (10 MG/ML),Propofol IV Emul 200 MG/20ML (10 MG/ML),Propofol IV Emul 500 MG/50ML (10 MG/ML)|97.3
890022.1671|Propofol IV Emul 10 MG/ML,Propofol IV Emul 100 MG/10ML (10 MG/ML),Propofol IV Emul 200 MG/20ML (10 MG/ML),Propofol IV Emul 500 MG/50ML (10 MG/ML)|97.3
890022.6332|Propofol IV Emul 10 MG/ML,Propofol IV Emul 100 MG/10ML (10 MG/ML),Propofol IV Emul 200 MG/20ML (10 MG/ML),Propofol IV Emul 500 MG/50ML (10 MG/ML)|97.3
890022.2316|Propofol IV Emul 1000 MG/100ML (10 MG/ML)|97.3
890022.1671|Propofol IV Emul 200 MG/20ML (10 MG/ML)|74.5
890022.6332|Propofol IV Emul 200 MG/20ML (10 MG/ML)|74.5
890022.1671|Propofol IV Emul 500 MG/50ML (10 MG/ML)|97.3
890022.1671|Propofol IV Emul 500 MG/50ML (10 MG/ML)|97.3
890023.5274|Propranolol HCl Cap ER 24HR 60 MG|3.1
890023.5274|Propranolol HCl Cap ER 24HR 80 MG|3.1
890023.6069|Propranolol HCl Tab 20 MG|3.1
890001.574|Propylene Glycol Liquid|23.75
890023.6808|Propylthiouracil Tab 50 MG|7.81
834088|Prostate Ca Screening Dig Rectal|84
60064750|Prostate Specific Antigen Diag|369
60016660|Prostate Specific Antigen Screen|363
817120|Prosthetic Train Extrem Ea 15 Min Ot|162
812865|Prosthetic Train Extrem Ea 15 Min Pt|162
890022.6332|Protamine Sulfate Inj 10 MG/ML|74.5
890022.6332|Protamine Sulfate Inj 10 MG/ML|74.5
60083060|Protein C Activated Resistance|248
60065930|Protein C Activity|328
60065920|Protein C Antigen|281
60016450|Protein CSF|103
60011200|Protein Electrophoresis Blood|239
60011150|Protein Electrophoresis CSF|92
60011250|Protein Electrophoresis Urine Timed|285
60016400|Protein Fluid|96
60065960|Protein S Free|335
60065940|Protein S Total|598
60016500|Protein Total Blood|103
60016550|Protein Urine Timed Quantitative|103
60016551|Protein Urine Timed Quantitative I|20
60060040|Proteinase 3|202
890022.6383|Prothrombin Complex Conc Human For Inj Kit 500 Unit|4,157.10
890022.6383|Prothrombin Complex Conc Human For Inj Kit 500 Unit|4,157.10
60083290|Psa Free|216
60019720|Psa Total|56
60019721|Psa Total Refer|21
880039.1627|Pshr Sut Ctr Strl Knt Fstfx Str Mnscl|378.75
880039.2935|Psr E-Zpass 90D Up Sut|848.4
880039.2488|Psr Fastpass Scrpn Mf Scrpn Sut Ascp|9,068.65
880039.1558|Psr Fbrwr 18Ga Sut Ntnl Ascp Strl Disp|227.25
880039.1829|Psr Quattro Ndl Sut Strl|509.04
880039.2694|Psr Speedsnare 30D Rt Sut|921.12
880039.7478|Psr Sutlso 90D 2.3Mm Elb Shldr Wire Loop|393.9
880039.2788|Psr Sutlso Sd 1.8Mm 3.8Mm Wireloop Sut|89.88
880039.1718|Psr Sutlso Sd 25D Tight Lt Crv 1.8Mm 3.8|424.2
880039.2073|Psr Sutlso Sd 25D Tight Rt Crv 1.8Mm 3.8|424.2
880039.2073|Psr Sutlso Sd 45D Rt Crv 1.8Mm 3.8Mm Thb|424.2
880039.1528|Psr Sutlso Sd Sm Crsnt 1.8Mm 3.8Mm Thb|424.2
880039.6522|Psr Sutlso Unv Bna 2.3Mm Rotr Cuf Sut|393.9
880039.172|Pstnr Or Lg Kt Disp|119.41
835785|Psy Neuropsy Test >=2 by Dr Qhp 1st 30m|204
8104113|Psy Neuropsy Test >=2 by Dr Qhp 1st 30m|34
818337|Psych Diag Eval W Med Srvcs|87
832810|Psych Diag Eval W Med Srvcs|365
830677|Psychiatric Diagnostic Interview|336
818614|Psychoanalysis|55
835989|Psychoanalysis|236
835772|Psychological Testing First Hr|351
8103687|Psychological Testing First Hr|70
818609|Psychother 30min W Pt and Em Service|40
832811|Psychother 30min W Pt and Em Service|168
818610|Psychother 45min W Pt and Em Service|49
832812|Psychother 45min W Pt and Em Service|213
818611|Psychother 60min W Pt and Em Service|66
832814|Psychother 60min W Pt and Em Service|281
832874|Psychotherapy for Crisis Ea Addl 30 Min|168
830834|Psychotherapy W Pt 30 Min|168
830678|Psychotherapy W Pt 45 Min|225
832813|Psychotherapy W Pt 60 Min|336
890023.37|Psyllium Powder Packet 58.12%|3.1
8102705|Pt Eval High Complexity|508
8102703|Pt Eval Low Complexity|508
8102704|Pt Eval Mod Complexity|508
60069730|PT I|143
8102706|Pt Reeval Low Complexity|234
60088260|Pth Hormone|24
60065140|Pth Intact|56
60063570|Pth Related Peptide|281
60024010|Pt-Inr|131
60024020|PTT|143
60089550|Ptt II|132
60024230|Ptt Inhibitor|452
812867|Pulmonary Strength Training Group|120
8103268|Pulmonary Stress Test|220
880039.2488|Pump Infs 5Ml/Hr Rnd Cath Kt Rsrv Rgd|523.86
880039.2487|Pump Pain 1-14Ml/Hr 30 Min Bls Autofuser|924.15
833345|Punc Asp Hrydocele Tunica Vaginalis|201
817022|Punc Asp Hydrocele Tunica Vaginalis|259
831900|Punc/Aspir Breast Cyst, Ea Addtl|71
880039.7173|Punch Arthsc Disp 5.5 Crkscr Ft 4.75/5.5|227.25
880045.1155|Punch Arthsc Tap 5.5 Mm Crkscr Ft 5.5 Mm|1,499.85
802718|Puncture Aspiration Cyst Breast|401
802718|Puncture Aspiration Cyst Breast|663
831792|Puncture Aspiration Cyst Breast|146
803067|Puncture Aspiration Cyst Breast Ea Addl|59
803067|Puncture Aspiration Cyst Breast Ea Addl|713
812208|Pure Tone Thresh Air Conduction|161
812207|Pure Tone Thresh Airandbone Conduc|298
60085000|Purkinje Cell Cytoplas Antibody|261
890022.6332|Pyridoxine HCl Inj 100 MG/ML|74.5
890023.1001|Pyridoxine HCl Tab 50 MG|3.1
60065290|Pyruvate Blood|341
60065950|Q Fever Antibody|10
60042850|Quantiferon TB-Gold|314
890023.9047|Quetiapine Fumarate Tab 100 MG|3.1
890023.5027|Quetiapine Fumarate Tab 25 MG|3.1
60064630|Rabies Antibody Immune Status|184
890022.1353|Rabies Immune Globulin (Human) Inj 300 Unit/ML|1,453.78
890022.1353|Rabies Immune Globulin (Human) Inj 300 Unit/ML|4,175.75
890022.5816|Rabies Vaccine, PCEC For Inj|1,152.32
890022.4928|Rabies Virus Vaccine, HDC For Inj Susp|1,171.27
890001.4876|Racepinephrine HCl Soln Nebu 2.25% (Base Equivalent)|72.5
835330|Rad Exc Bursa Synovia Wrist|3,292.00
800308|Rad Guidance Perc Drain Placement S and I|1,997.00
890023.6023|Raltegravir Potassium Tab 400 MG (Base Equiv)|88.83
SUP100067|Rapid Rhino 7.5cm Anterior/Posterior|82
880039.1546|Rasp Srg 13Cmx4Mm Flt Powerasp Coolcut|439.35
880039.3712|Rasp Srg 18.3Mm 3.2Mm Med Tps|312.21
60038810|RBC Lr Cmv Neg|737
60037510|RBC Lr Cmv Neg Irrad|821
60038850|RBC Lr Irrad|735
60037070|RBC Pretreat Serum Diff RBC Abso|270
60037040|RBC Pretreatment W Chem|269
60037030|RBC Treatment Enzymes|75
880045.2602|Ream Compr Aug Gd Bushing|454.5
817961|Rechargeable Hearing Aid Battery|25
814786|Reconstruct Nail Bed W/Grft|770
832336|Reconstruct Nail Bed W/Grft|452
834209|Reconstruct Shoulder Joint|6,121.00
813968|Recovery Room 0-30minutes|1,402.00
813969|Recovery Room 1 Hour|2,080.00
813970|Recovery Room 1 Hr 15 Min|2,411.00
813971|Recovery Room 1 Hr 30 Min|2,745.00
813972|Recovery Room 1 Hr 45 Min|3,086.00
813973|Recovery Room 2 Hr|3,418.00
813974|Recovery Room 2 Hr 15 Min|3,763.00
813975|Recovery Room 2 Hr 30 Min|3,818.00
814441|Recovery Room 45 Minutes|1,739.00
814537|Recovery Room Addtl 1/4 Hr|307
60075410|Reducing Substance Feces|127
60075090|Reducing Substance Urine|59
813152|Refill Maint Portable Pump|836
890022.6746|Regadenoson IV Inj 0.4 MG/5ML (0.08 MG/ML)|81.27
833890|Reinsert Bicep or Tricep Tnd Dstl|3,814.00
880039.1901|Reload Stplr 40Mmx4.7Mm Contr Thktis Grn|766.92
880039.7628|Reload Stplr 45Mm Egia Med Thktis Pur|1,299.35
880045.1761|Reload Stplr 45Mm Egia Med Vasc Tissue|1,540.15
880039.8924|Reload Stplr 45Mmx2.5Mm Egia Rotc Thn|1,151.82
880039.409|Reload Stplr 45Mmx2.5Mm Epth Ets Thn|355.24
880039.185|Reload Stplr 45Mmx2.6Mm Echln Epth Echln|449.02
880039.8909|Reload Stplr 45Mmx3.5Mm Egia Rotc Vasc|1,188.67
880045.2574|Reload Stplr 45Mmx3.5Mm Epth Ets Reg|355.24
880039.3402|Reload Stplr 45Mmx4.1Mm Epth Ets Thktis|355.24
880039.149|Reload Stplr 55Mmx3.8Mm Prx Reg Tissue|122.11
880045.1795|Reload Stplr 60Mm 3-Stpl 2 Vasc Med|1,587.96
880039.1523|Reload Stplr 60Mmx2.6Mm Epth Echln Flx|485.5
880039.6|Reload Stplr 60Mmx3.5Mm Prx Tx Reg|113.63
880045.598|Reload Stplr 60Mmx4.8Mm Prx Tx Thktis|113.63
880039.3415|Reload Stplr 75Mm Prx Reg Tissue Blu 4|171.13
880039.1371|Reload Stplr 75Mmx4.5Mm Prx Thktis Grn 4|174.5
880039.141|Reload Stplr 75Mmx4.5Mm Prx Thktis Grn 4|349.54
880039.7071|Reload Stplr 90Mmx4.4Mm Prx Tl Reg Very|143.07
880039.5214|Reload Stplr Tk Qck Ld Thn Vasc Tissue|134.82
880039.248|Reload Sut As 2-0 48In 3 Stch Coat Nabsb|172.23
890022.6196|Remdesivir for IV Soln 100 MG|1,344.76
831860|Remote 30 Day Ecg Review and Interp|25
8101856|Remote 30 Day Ecg Tech Supp|2,098.00
833516|Remov Skin Tag Ea Addl 10 Lesions|44
832799|Remov Stomach Part Distal|7,321.00
831496|Removal Foreign Body Pharynx|431
812380|Removal Foreign Body Subq Complex|559
830419|Removal Foreign Body Subq Complex|308
830419|Removal Foreign Body Subq Complex|913
830420|Removal Foreign Body Subq Simple|184
830420|Removal Foreign Body Subq Simple|211
830420|Removal Foreign Body Subq Simple|447
832783|Removal Gallbladder|4,255.00
832544|Removal Implant Deep|2,094.00
833259|Removal Implant Superficial|671
830668|Removal Intrauterine Device|145
812350|Removal Nail Finger or Toe|656
812350|Removal Nail Finger or Toe|957
830437|Removal Nail Finger or Toe|432
830437|Removal Nail Finger or Toe|660
833329|Removal of Anal Tags|367
833329|Removal of Anal Tags|795
8101495|Removal of Anal Tags|724
834524|Removal of FB From Abdomen|3,120.00
835495|Removal of Hip Prosthesis Complex|6,703.00
833491|Removal of Implant Breast Ruptured|3,136.00
834223|Removal of Knee Prosthesis|5,517.00
8105427|Removal of Lens Material Phaco Tech|4,180.00
832851|Removal of Ovarian Cyst|3,441.00
834186|Removal of Rectal Marker|202
834186|Removal of Rectal Marker|364
8102098|Removal of Rectal Marker|432
813225|Removal Skin Tags <= 15 Lesions|282
830243|Removal Skin Tags <= 15 Lesions|143
830243|Removal Skin Tags <= 15 Lesions|356
813226|Removal Skin Tags Ea Addl 10 Lesions|35
834376|Remove Anal Fist Complex|2,151.00
832693|Remove Cath IP Tunneled|738
810536|Remove Cerumen Impacted W Instrument Uni|149
810536|Remove Cerumen Impacted W Instrument Uni|241
830058|Remove Cerumen Impacted W Instrument Uni|105
830058|Remove Cerumen Impacted W Instrument Uni|127
835138|Remove Cerumen Impacted W Lavage Uni|105
8102387|Remove Cerumen Impacted W Lavage Uni|241
833884|Remove Clavicle Partial|2,870.00
815078|Remove Ext Hem Groups 2 or More|1,514.00
831992|Remove Ext Hem Groups 2 or More|732
831992|Remove Ext Hem Groups 2 or More|1,366.00
832558|Remove Foreign Body Foot Deep|537
831554|Remove Foreign Body Thigh/Knee|1,477.00
813174|Remove Implantable Contraceptive Cap|267
833769|Remove Implantable Contraceptive Cap|204
833730|Remove in Ex Hem Groups = 2|1,890.00
833731|Remove in Ex Hem Grps and Fiss|2,096.00
831800|Remove Int/Ext Hem 1 Group|1,538.00
834013|Remove Mesh From Abd Wall|962
810537|Remv FB Auditory Canal Ext No Gen Ans|201
810539|Remv FB Eye Conjunctival Superficial|120
810539|Remv FB Eye Conjunctival Superficial|162
810541|Remv FB Eye Corneal WO Lamp|325
810541|Remv FB Eye Corneal WO Lamp|464
810070|Remv FB Foot Subq|853
830214|Remv FB Foot Subq|323
810542|Remv FB Nose|312
811622|Remv FB Pharynx|605
810546|Remv Hemorrhoid Thrombotic Ext|614
830064|Remv Hemorrhoid Thrombotic Ext|282
830064|Remv Hemorrhoid Thrombotic Ext|409
831665|Remv Nail Plate E Addl|72
814292|Remv Nail Plate Ea Addl|92
810366|Remv Transven Pacer Electrode 1 Lead Sys|1,270.00
831905|Remvl Non Bio Drug Implant|204
831905|Remvl Non Bio Drug Implant|427
8101756|Remvl Non Bio Drug Implant|300
813352|Remvl Tun Cvad W Sq Pt/Pmp|870
832585|Remvl Tun Cvad W Sq Pt/Pmp|578
832585|Remvl Tun Cvad W Sq Pt/Pmp|868
813351|Remvl Tun Cvc WO Sq Pt/Pp|422
832356|Remvl Tun Cvc WO Sq Pt/Pp|393
832356|Remvl Tun Cvc WO Sq Pt/Pp|641
60016670|Renal Function Panel|132
60064900|Renin|524
880039.2497|Rental Endocap Lapscy Program|299.97
832878|Reopen Recent Abd Exploratory|4,561.00
833732|Repair Anal Fistula Rect Adv Flap|2,198.00
832295|Repair Bladder Wound Simple|3,677.00
834300|Repair Defect Paravaginal Laproscopic|3,896.00
834296|Repair Defect Paravaginal via Vag|2,843.00
834292|Repair Enterocele Vaginal|2,037.00
835606|Repair Fibula Nonunion|3,883.00
833410|Repair Hernia Femoral Reduc Initial|2,185.00
832025|Repair Lip Over One Half Vert Ht|2,110.00
833039|Repair of Kneecap Tendon|2,475.00
830601|Repair of Nail Bed|209
830601|Repair of Nail Bed|409
830601|Repair of Nail Bed|427
831539|Repair of Tendon / Hand|2,709.00
835700|Repair Rectovaginal Fistula Abd Apprch|3,584.00
833127|Repair Recurr Inguin Hern Strang|2,971.00
835203|Repair Rotator Cuff Chronic|3,557.00
835714|Repair Rotator Cuff Shoulder|3,137.00
833004|Repair Tendon Arm|3,664.00
834048|Repair Tunica Vaginalis Hydrocele|1,862.00
833922|Replacement Hip Partial Prosthesis|5,589.00
830272|Repos Cath Central Venous W/Fluo C|210
830272|Repos Cath Central Venous W/Fluo C|283
802984|Reposition Cent Ven Cath W/Fl|410
814530|Repr Bl Ves Direct Low Extrem|1,151.00
831689|Repr Bl Ves Direct Low Extrem|2,095.00
831845|Resect Abd Tum > 5 Cm|6,097.00
834319|Resect Ca W Bso Omentectomy Tah Lymph|5,970.00
834765|Resect Scrotum|1,790.00
832624|Resect Small Intest Ea Addl Resect|1,109.00
832623|Resect Small Intest Sngl Resec Anas|6,011.00
834034|Resection Recrt Mal W Omentectomy|7,702.00
811314|Resp Procedure Other Indiv|127
60004180|Respiratory Virus 12-25 Targets|289
60004170|Respiratory Virus 3-5 Targets|150
60004160|Respiratory Virus 6-11 Targets|381
60021910|Retic Count|173
880039.934|Retvr Sut Med Blue Disp|118.77
833954|Rev Colostomy Rpr Paracolo Hernia|5,835.00
830734|Rev Remv Sp Neurostim Gen Recv W Dtch Cn|1,292.00
832123|Revise Colostomy|3,073.00
833630|Revise Colostomy Complicated|5,192.00
835516|Revise Prosth Vag Graft Lap|3,591.00
832360|Revise Secondary Varicosity|675
832360|Revise Secondary Varicosity|1,116.00
835374|Revise Shoulder Plasty Total Hum Glen|7,709.00
833931|Revise Tot Knee Arthropl Fem & Tib Comp|8,706.00
833924|Revise Total Hip Arthropl Both Comp|9,492.00
834534|Revise Total Hip Arthropl Femoral|6,719.00
835493|Revision of Unstable Patella|3,064.00
880037.6429|Rgt Clpk Anly Nhzr|99.19
880037.1492|Rgt Coag Plsm Edta Bd Bbl Drct Tube Meth|587.82
880037.6429|Rgt Rtsrch Ii Dye Pls Rtsrch Ii Anly 4X3|566.67
880037.6429|Rgt Strm 4Dl Smx Xe Anly 5L Lys Sol|296.49
880037.6429|Rgt Stromatolyser-Fb Smx Sf Anly 5L Lys|234.07
60070460|Rheumatoid Factor Blood Quant|28
60070450|Rheumatoid Factor Blood Screen|162
60089230|Rheumatoid Factor II|40
817464|Rho D Ig Humn 300 Mcg Inj|311.31
890022.5628|Rho D Immune Globulin IM Soln Pref Syr 1500 Unit (300MCG)|311.31
819519|Rho Immune Globulin Full Dose Im|311.31
60063380|Ribosomal P Protein Antibody|40
800551|Ribs Bilateral 3 Vw|939
800553|Ribs Bilateral W Pa Chest|1,292.00
800516|Ribs Unilateral 2 Vw|939
800537|Ribs Unilateral W Pa Chest|1,118.00
60080330|Rickettsia Antibody|334
890023.6069|Rifampin Cap 150 MG|4.44
890023.6565|Rifaximin Tab 550 MG|53.43
890023.7262|Rimegepant Sulfate Tab Disint 75 MG|331.82
880045.3863|Ring Actb 50Mm 46Mm Zca 45Mm Hip Ti Rev|2,415.68
880045.3863|Ring Actb 52Mm 48Mm Zca 47Mm Hip Ti Rev|2,786.75
880045.3863|Ring Actb 54Mm 50Mm Zca 49Mm Hip Ti Rev|2,415.68
880045.3864|Ring Actb 56Mm 52Mm Zca 51Mm Hip Ti Rev|2,415.68
880045.3864|Ring Actb 58Mm 54Mm Zca 53Mm Hip Ti Rev|2,415.68
880045.3864|Ring Actb 60Mm 56Mm Zca 55Mm Hip Ti Rev|2,415.68
880045.3864|Ring Actb 62Mm 58Mm Zca 57Mm Hip Ti Rev|2,415.68
880045.3864|Ring Actb 64Mm 60Mm Zca 59Mm Hip Ti Rev|2,415.68
60081050|Risperidone Level|428
890022.125|Risperidone Subcutaneous For ER Susp Prefilled Syr 120 MG|4,306.47
890023.4355|Risperidone Tab 0.25 MG|3.1
890023.9046|Risperidone Tab 1 MG|3.1
890022.5551|Rituximab-arrx IV Soln 100 MG/10ML (10 MG/ML),Rituximab-arrx IV Soln 500 MG/50ML (10 MG/ML)|819.28
890022.5551|Rituximab-arrx IV Soln 100 MG/10ML (10 MG/ML),Rituximab-arrx IV Soln 500 MG/50ML (10 MG/ML)|3,686.48
890023.5046|Rivaroxaban Tab 10 MG|50.45
880039.4047|Rmr Srg 10Mm Cann Head Acl Strl Disp|684.78
880039.2485|Rmr Srg 10Mm Cncv|909
880039.2485|Rmr Srg 10Mm Cnvx|909
880039.2485|Rmr Srg 4.5Mm Ntnl Swh Cut Psr Hip 10Mm|1,624.08
880039.7571|Rmr Srg 5Mm Cann Head Acjt Strl|651.45
880039.2485|Rmr Srg 6Mm Kt Swh Cut 11Mm|1,939.20
880039.1017|Rmr Srg 7.5Mm Pilt Head Strl|621.15
880039.7542|Rmr Srg 7Mm Cann Head Acl Strl Disp|651.45
880039.1885|Rmr Srg 7Mm Slot Juggerloc|1,348.35
880039.1017|Rmr Srg 8.5Mm Pilt Head Strl|621.15
880039.8998|Rmr Srg 8Mm Cann Acl Lopro Strl Disp|590.85
880039.1536|Rmr Srg 8Mm Pilt Head Strl|621.15
880039.2485|Rmr Srg 8Mm Slot Juggerloc|1,348.35
880045.154|Rmr Srg 9Mm Pilt Head Strl|621.15
880039.914|Rmr Srg Cann Lopro Strl Disp|684.78
880039.3595|Rmr Srg Rem Core 10mm Aperfix Strl|2,590.65
834222|Rmv Knee Synovium Ant Post|3,126.00
803760|Rmv Perm Intraperitoneal Cath|536
831906|Rmvl and Reinstn Non Biodegrdbl D|380
8101135|Rmvl and Reinstn Non Biodegrdbl D|322
830554|Rmvl Bivlv Cast Gaunt Bdy Boot|142
836093|Rmvl FB Shoulder Deep|1,527.00
814970|Rmvl Lesn Benign Tk/Extrm 1.1-2cm|546
832011|Rmvl Lesn Benign Tk/Extrm 1.1-2cm|250
832011|Rmvl Lesn Benign Tk/Extrm 1.1-2cm|556
814288|Rmvl Lesn Benign Tk/Extrm 2.1-3cm|604
832026|Rmvl Lesn Benign Tk/Extrm 2.1-3cm|316
832026|Rmvl Lesn Benign Tk/Extrm 2.1-3cm|719
814971|Rmvl Lesn Benign Tk/Extrm 3.1-4cm|683
832521|Rmvl Lesn Benign Tk/Extrm 3.1-4cm|365
832521|Rmvl Lesn Benign Tk/Extrm 3.1-4cm|697
814972|Rmvl Lesn Bngn Sc/Nk/H/F >4cm|712
832524|Rmvl Lesn Bngn Sc/Nk/H/F >4cm|503
832524|Rmvl Lesn Bngn Sc/Nk/H/F >4cm|1,246.00
60070830|Rnp Antibody|9
60064170|Rochalimaea Hens Antibody|36
890001.1439|Rocuronium Bromide IV Soln 10 MG/ML,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),Rocuronium Bromide IV Soln 100 MG/10ML (10 MG/ML),Rocuronium Bromide IV Soln Pref Syr 100 MG/10ML (10 MG/ML),Rocuronium Bromide IV Soln Pref Syringe 50 MG/5ML (10 MG/ML)|74.5
890001.4091|Rocuronium Bromide IV Soln 10 MG/ML,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),Rocuronium Bromide IV Soln 100 MG/10ML (10 MG/ML),Rocuronium Bromide IV Soln Pref Syr 100 MG/10ML (10 MG/ML),Rocuronium Bromide IV Soln Pref Syringe 50 MG/5ML (10 MG/ML)|74.5
880039.1788|Rod Extfix 100Mm 4Mm Cfbr Sef Nonster|80.89
880039.179|Rod Xtrnfx 120Mm 4Mm Cfbr Sef Ns|100.31
880039.1789|Rod Xtrnfx 140Mm 4Mm Cfbr Sef Ns|110.17
880039.225|Rod Xtrnfx 160Mm 4Mm Cfbr Sef Ns|160.59
880039.3602|Rod Xtrnfx 180Mm 4Mm Cfbr Sef Ns|160.59
880039.1791|Rod Xtrnfx 200Mm 4Mm Cfbr Ns|110.17
880039.1792|Rod Xtrnfx 60Mm 4Mm Cfbr Ns|80.89
880039.1757|Rod Xtrnfx 80Mm 4Mm Cfbr Sef Ns|100.31
890022.5551|Romosozumab-aqqg Inj Soln Prefilled Syringe 105 MG/1.17ML|3,864.11
890023.9046|Ropinirole Hydrochloride Tab 0.25 MG|3.1
890023.9046|Ropinirole Hydrochloride Tab 1 MG|3.1
890022.6332|Ropivacaine HCl Inj 10 MG/ML|74.5
890022.2502|Ropivacaine HCl Inj 2 MG/ML|74.5
890022.6332|Ropivacaine HCl Inj 2 MG/ML|74.5
890022.5515|Ropivacaine HCl Inj 5 MG/ML|74.5
890022.5515|Ropivacaine HCl Inj 7.5 MG/ML|74.5
890023.5027|Rosuvastatin Calcium Tab 10 MG|3.1
890023.1671|Rosuvastatin Calcium Tab 5 MG|3.1
813731|Rotateq (Rotavirus Vaccine)|293.81
60041170|Rotavirus Antigen Feces|207
817899|Rotavirus Vacc 2 Dose Oral|375.87
833840|Rout OB Care After Cesarean Deliv|9,992.00
833840|Rout OB Care After Cesarean Deliv|11,775.00
833838|Rout OB Care After Vag Deliv|9,349.00
833838|Rout OB Care After Vag Deliv|11,016.00
833836|Routine OB Care Vaginal Delivery|8,915.00
833836|Routine OB Care Vaginal Delivery|10,504.00
800534|Rp Localzn Tmr Spect 1 Area 1 Day|3,548.00
60070500|RPR|103
810555|Rpr Face Ear Intrmd 5.1-7.5 Cm|994
810555|Rpr Face Ear Intrmd 5.1-7.5 Cm|1,132.00
830070|Rpr Face Ear Intrmd 5.1-7.5 Cm|488
830070|Rpr Face Ear Intrmd 5.1-7.5 Cm|663
830071|Rpr Face Ear Intrmd 7.6-12.5 Cm|538
830073|Rpr Face Ear Smpl 12.6-20 Cm|412
830074|Rpr Face Ear Smpl 2.6-5 Cm|201
810560|Rpr Face Ear Smpl 5.1-7.5 Cm|371
830075|Rpr Face Ear Smpl 5.1-7.5 Cm|241
810561|Rpr Face Ear Smpl 7.6-12.5 Cm|442
830076|Rpr Face Ear Smpl 7.6-12.5 Cm|305
830077|Rpr Face/Nk/Hd/Ft Cmplx 1.1cm-2.5 Cm|600
810563|Rpr Face/Nk/Hd/Ft Cmplx 2.6-7.5 Cm|1,088.00
836239|Rpr Hernia Ant Abd Init <3cm Incr Strng|3,852.00
836238|Rpr Hernia Ant Abd Init <3cm Reducible|3,133.00
836243|Rpr Hernia Ant Abd Init >10cm Incr Strng|4,560.00
836242|Rpr Hernia Ant Abd Init >10cm Reducible|4,086.00
836241|Rpr Hernia Ant Abd Init 3-10cm Incr Strn|4,206.00
836240|Rpr Hernia Ant Abd Init 3-10cm Reducbl|3,609.00
836245|Rpr Hernia Ant Abd Recur <3cm Incr Strng|4,154.00
836244|Rpr Hernia Ant Abd Recur <3cm Reducible|3,133.00
836249|Rpr Hernia Ant Abd Recur >10cm Incr Strn|5,965.00
836248|Rpr Hernia Ant Abd Recur >10cm Reducible|4,154.00
836247|Rpr Hernia Ant Abd Recur 3-10cm Incr Str|4,608.00
836246|Rpr Hernia Ant Abd Recur 3-10cm Reducbl|3,505.00
832697|Rpr Hernia Ing Init 6mo- <5yr Incarc|2,510.00
831498|Rpr Hernia Ing Init Incarc >= 5yrs|2,866.00
831914|Rpr Hernia Ing Init Reducible >=5yrs|2,546.00
832698|Rpr Hernia Ing Recur Reducible|3,092.00
831848|Rpr Hiatal Hern W/Laparotomy W/O Mesh|4,640.00
810566|Rpr Nail Bed|629
810566|Rpr Nail Bed|988
830083|Rpr Nk/Hd/Ft/Gen Intrmd 7.6-12.5 Cm|491
830083|Rpr Nk/Hd/Ft/Gen Intrmd 7.6-12.5 Cm|898
834533|Rpr Non Malunion Humerus WO Graft|4,619.00
833059|Rpr Open/Perc Ruptured Achilles|2,899.00
832847|Rpr Recur Hernia Inguinal Laprascopic|2,726.00
810570|Rpr Sclp Extrm Cmplx 1.1-2.5 Cm|1,004.00
810571|Rpr Sclp Extrm Cmplx 2.6-7.5 Cm|1,214.00
830084|Rpr Sclp Extrm Cmplx 2.6-7.5 Cm|614
810572|Rpr Sclp Extrm Cmplx Ea Addl 5 Cm|355
830085|Rpr Sclp Extrm Cmplx Ea Addl 5 Cm|222
810574|Rpr Sclp/Trnk/Extrm Intrmd 12.6-20 Cm|1,123.00
830087|Rpr Sclp/Trnk/Extrm Intrmd 12.6-20 Cm|538
810073|Rpr Sclp/Trnk/Extrm Intrmd 2.6-7.5 Cm|763
810073|Rpr Sclp/Trnk/Extrm Intrmd 2.6-7.5 Cm|792
830088|Rpr Sclp/Trnk/Extrm Intrmd 2.6-7.5 Cm|339
830088|Rpr Sclp/Trnk/Extrm Intrmd 2.6-7.5 Cm|656
830088|Rpr Sclp/Trnk/Extrm Intrmd 2.6-7.5 Cm|948
810576|Rpr Sclp/Trnk/Extrm Intrmd 7.6-12.5 Cm|838
810576|Rpr Sclp/Trnk/Extrm Intrmd 7.6-12.5 Cm|1,077.00
831510|Rpr Sclp/Trnk/Extrm Intrmd 7.6-12.5 Cm|434
831510|Rpr Sclp/Trnk/Extrm Intrmd 7.6-12.5 Cm|633
831510|Rpr Sclp/Trnk/Extrm Intrmd 7.6-12.5 Cm|1,013.00
830247|RPR SCLP/TRNK/EXTRm SMP 7.6-12.5 CM CC|258
830091|Rpr Sclp/Trnk/Extrm Smpl <= 2.5cm|146
830091|Rpr Sclp/Trnk/Extrm Smpl <= 2.5cm|222
830091|Rpr Sclp/Trnk/Extrm Smpl <= 2.5cm|277
830092|Rpr Sclp/Trnk/Extrm Smpl >30 Cm|447
810579|Rpr Sclp/Trnk/Extrm Smpl 12.6-20 Cm|419
830093|Rpr Sclp/Trnk/Extrm Smpl 12.6-20 Cm|304
830094|Rpr Sclp/Trnk/Extrm Smpl 2.6-7.5 Cm|196
830094|Rpr Sclp/Trnk/Extrm Smpl 2.6-7.5 Cm|260
830094|Rpr Sclp/Trnk/Extrm Smpl 2.6-7.5 Cm|356
830095|Rpr Sclp/Trnk/Extrm Smpl 20.1-30 Cm|368
830600|Rpr Tndn Extensor Finger Ea|2,766.00
810586|Rpr Trunk Cmplx 1.1-2.5 Cm|846
810564|Rpr Wnd Cmplx Face/Nk/Hd/Ft Ea Addl 5cm|435
830608|Rpr Wnd Cmplx Face/Nk/Hd/Ft Ea Addl 5cm|336
880045.2355|Rstrc Cmnt 26Mm Cncv Hip Actb Trb Mtl|1,878.60
880045.7724|Rstrc Cmnt 32Mm Hip Actb Trb Mtl Strl|1,878.60
880045.3815|Rstrc Cmnt 38Mm Cncv Hip Actb Trb Mtl|1,878.60
60025160|Rsv Ag Rapid by Immunoassay|149
60073970|Rsv Pcr|150
890022.6903|RSV Pre-Fusion F A&B Vac Recomb For IM Soln 120 MCG/0.5ML|681.61
890022.6903|RSV Pre-Fusion F A&B Vac Recomb For IM Soln 120 MCG/0.5ML|681.61
880039.2497|Rtrctr 10Mm Expose Infl Strl Disp Escp 3|287.85
880039.7886|Rtrctr Alexis O 360D Lg Rgd Ring Atrm|157.29
880039.2497|Rtrctr Tlc Srg|267.25
880039.7565|Rtrctr/Elevr Lapscp Vcare Cup Crvx Ut|239.37
880039.152|Rtrv Sut 10.1In Hwsn Drl Gd Lgmnt Strl|137.23
880039.468|Rtrv Sut 3/8In Sm Mini Opn Strs Riser|118.77
60070930|Rubella Immune Status|131
60066230|Rubeola Antibody Igg|138
800760|Sacroiliac Joints 3+ Vw|541
800768|Sacrum and Coccyx|583
60140140|Salicylate Assay|72
890001.4092|Saline Injection Bacteriostatic,saline flush,NS flush,Saline injection w/benzyl alcohol|74.5
890001.4092|Saline Injection Bacteriostatic,Saline injection w/benzyl alcohol|74.5
890001.4092|Saline Injection Bacteriostatic,Saline injection w/benzyl alcohol|74.5
890023.5928|Saline Nasal Gel|12.81
890023.9044|Saline Nasal Spray 0.65%|3.1
800385|Salivary Gland|324
832733|Salpingectomy Unilat or Bilat|2,878.00
832301|Salpingo Coml/Part Unil or Bil|3,076.00
890023.6516|Salsalate Tab 500 MG|3.1
830292|Sampling Chorionic Villus OB|565
8105600|Sars Covid19 Vacc 10mcg|155.72
8105601|Sars Covid19 Vacc 30mcg|241.8
60134800|Sars-Cov-2 (Covid-19)|150
60136220|Sars-Cov-2 (Covid-19) Antibody Igg|50
60139610|Sars-Cov-2 (Covid-19) Antigen|48
60134830|Sars-Cov-2 (Covid-19) Ih|94
60134820|Sars-Cov-2 (Covid-19) II|48
60134860|Sars-Cov-2 (Covid-19) Iiii|301
800799|Scapula|604
SUP59944|Scd Device Comb W/ Knee Reg|61
SUP59947|Scd Sleeve Knee Large|93
SUP59945|Scd Sleeve Knee Reg|61
SUP32164|Scd Sleeve Thigh Small|99
60060590|Scl70 Antibody|9
833068|Scope Aided Tmt Tib Fx Prox Unico|3,012.00
8105417|Scope Vortex Bronchofles|831
880039.2486|Scrdrvr Hex Ss Al Cbl Rd 3Mm Srg Nonster|659.15
880039.1151|Scrdrvr Lg Hex 3.5Mm Srg|715.08
880045.2486|Scrdrvr Shrt Hex Ntr Nail Cptr 3.5Mm Srg|1,851.44
812206|Screening Test Pure Tone Air Only|59
880064.8416|Screw 1.2Mm 10Mm Crnmxf Lag Ti Bone|93
880064.9031|Screw 1.2Mm 12Mm Crnmxf Lag Ti Bone|93
880064.8416|Screw 1.2Mm 14Mm Hand Lag Ti Hps Bone|93
880064.8416|Screw 1.2Mm 16Mm Hand Lag Ti Hps Bone|106.02
880064.8889|Screw 1.2Mm 6Mm Crnmxf Lag Ti Bone|93
880064.8889|Screw 1.2Mm 8Mm Lag Hand Ti Hps Bone|102.3
880064.1441|Screw 1.5Mm 10Mm Ft Cort Bone|111.6
880039.1068|Screw 1.5Mm 10Mm T4 Slf-Tap Strdr Cortx|87.05
880064.2952|Screw 1.5Mm 11Mm Ft Cort Bone|83.7
880064.1441|Screw 1.5Mm 12Mm Ft Cort Bone|111.6
880039.1067|Screw 1.5Mm 12Mm T4 Lck Slf-Tap Strdr|87.05
880039.1067|Screw 1.5Mm 13Mm T4 Lck Slf-Tap Strdr|215.95
880064.3166|Screw 1.5Mm 3Mm 10Mm Cortx Slf-Tap Ti|110.67
880064.3168|Screw 1.5Mm 3Mm 6Mm Cortx Slf-Tap Ti|110.67
880039.7244|Screw 1.5Mm 8Mm T4 Lck Slf-Tap Strdr Slf|215.95
880045.3413|Screw 1.5mm 9mm Ft Cort Bone|111.6
880039.7244|Screw 1.5Mm 9Mm T4 Lck Slf-Tap Strdr Slf|215.95
880045.5802|Screw 10.5Mm 100Mm Lag Cephlmed Ti6Al4V|1,075.92
880064.5775|Screw 10.5Mm 105Mm Lag Cephlmed Ti-6Al-4|1,075.92
880045.577|Screw 10.5Mm 110Mm Lag Cephlmed Ti6Al4V|1,075.92
880045.5802|Screw 10.5Mm 115Mm Lag Slf-Tap Cephlmed|1,075.92
880064.5802|Screw 10.5Mm 80Mm Lag Slf-Tap Cephlmed|1,075.92
880045.5802|Screw 10.5Mm 85Mm Lag Slf-Tap Cephlmed|1,075.92
880045.5802|Screw 10.5Mm 90Mm Lag Slf-Tap Cephlmed|1,075.92
880039.5771|Screw 10.5Mm 95Mm Lag Cephlmed Ti6Al4V|1,075.92
880064.1398|Screw 11Mm 100Mm Std Fem 1 Pc Lag Itst|509.18
880064.1142|Screw 11Mm 105Mm Std 1 Pc Lag Itst Ss|509.18
880064.1936|Screw 11Mm 85Mm Std 1 Pc Lag Fem Itst Ss|509.18
880064.1402|Screw 11Mm 90Mm Std Fem 1 Pc Lag Itst Ss|509.18
880045.5779|Screw 12.7Mm 110Mm Std Thrd Comp Lag Lnk|520.39
880064.1038|Screw 12.7Mm 50Mm Lg Hip Cndyl Thrd|366.05
880064.842|Screw 12.7Mm 8Mm 2.7Mm 100Mm Hip Cndrl|652.86
880064.844|Screw 12.7Mm 8Mm 2.7Mm 105Mm Hip Cndrl|652.86
880064.841|Screw 12.7Mm 8Mm 2.7Mm 110Mm Hip Cndrl|647.84
880064.3536|Screw 12.7Mm 8Mm 2.7Mm 115Mm Hip Cndrl|693.78
880064.3536|Screw 12.7Mm 8Mm 2.7Mm 120Mm Hip Cndrl|366.05
880064.3536|Screw 12.7Mm 8Mm 2.7Mm 125Mm Hip Cndrl|366.05
880064.849|Screw 12.7Mm 8Mm 2.7Mm 130Mm Hip Cndrl|366.05
880064.3536|Screw 12.7Mm 8Mm 2.7Mm 135Mm Hip Cndrl|366.05
880064.3536|Screw 12.7Mm 8Mm 2.7Mm 140Mm Hip Cndrl|366.05
880064.86|Screw 12.7Mm 8Mm 2.7Mm 50Mm Hip Cndrl|366.05
880064.2481|Screw 12.7Mm 8Mm 2.7Mm 55Mm Lag Cann Hip|366.05
880064.848|Screw 12.7Mm 8Mm 2.7Mm 60Mm Hip Cndrl|366.05
880064.85|Screw 12.7Mm 8Mm 2.7Mm 65Mm Hip Cndrl|366.05
880064.3536|Screw 12.7Mm 8Mm 2.7Mm 70Mm Hip Cndrl|392.83
880064.851|Screw 12.7Mm 8Mm 2.7Mm 75Mm Hip Cndrl|366.05
880064.852|Screw 12.7Mm 8Mm 2.7Mm 80Mm Hip Cndrl|647.84
880064.847|Screw 12.7Mm 8Mm 2.7Mm 85Mm Hip Cndrl|444.54
880064.845|Screw 12.7Mm 8Mm 2.7Mm 90Mm Hip Cndrl|652.86
880064.846|Screw 12.7Mm 8Mm 2.7Mm 95Mm Hip Cndrl|444.54
880064.5741|Screw 12.7Mm 90Mm Std Thrd Comp Lag Lnk|613.84
880039.162|Screw 2.3Mm 16Mm Ft Cort Lck Hex Ti|193.44
880039.1772|Screw 2.3Mm 18Mm Ft Cort Lck Hex Ti|169.26
880039.1772|Screw 2.3Mm 20Mm Ft Cort Lck Hex Ti|193.44
880039.1271|Screw 2.3Mm 24Mm Ft Cort Lck Hex Ti|193.44
880045.3322|Screw 2.4mm 10mm Cortx Dist Rds Plate|126.91
880045.2485|Screw 2.4Mm 11Mm Cortx Dist Rds Plate|126.91
880045.1092|Screw 2.4Mm 12Mm Cann Tiger Nonster Bone|372
880045.2487|Screw 2.4Mm 12Mm Cortx Dist Rds Plate|126.91
880064.6894|Screw 2.4Mm 12Mm Lag Hand Ti Hps Bone|106.02
880045.2486|Screw 2.4Mm 12Mm Lck Pa Dist Rds Plate|186.22
880045.2486|Screw 2.4Mm 13Mm Cortx Dist Rds Plate|126.91
880045.2487|Screw 2.4Mm 13Mm Lck Pa Dist Rds Plate|186.22
880045.2486|Screw 2.4Mm 14Mm Cortx Dist Rds Plate|126.91
880064.6893|Screw 2.4Mm 14Mm Hand Lag Ti Hps Bone|106.02
880045.5771|Screw 2.4Mm 14Mm Lck M Thrd Head Periart|165.54
880045.2487|Screw 2.4Mm 14Mm Lck Pa Dist Rds Plate|186.22
880045.2485|Screw 2.4Mm 15Mm Cortx Dist Rds Plate|126.91
880045.2486|Screw 2.4Mm 16Mm Cortx Dist Rds Plate|126.91
880064.6893|Screw 2.4Mm 16Mm Hand Lag Ti Hps Bone|96.72
880045.1376|Screw 2.4Mm 16Mm Slf-Tap Lck Va Sld|260.4
880045.2487|Screw 2.4Mm 18Mm Cortx Dist Rds Plate|126.91
880064.6893|Screw 2.4Mm 18Mm Lag Hand Ti Hps Bone|106.02
880045.2487|Screw 2.4Mm 18Mm Lck Pa Dist Rds Plate|186.22
880045.1376|Screw 2.4Mm 18Mm Slf-Tap Lck Va Ti Acpt|260.4
880064.6893|Screw 2.4Mm 20Mm Hand Lag Ti Hps Bone|111.6
880045.1376|Screw 2.4Mm 20Mm Slf-Tap Lck Va Ti Acpt|260.4
880045.2487|Screw 2.4Mm 22Mm Cortx Dist Rds Plate|126.91
880064.8799|Screw 2.4Mm 22Mm Lag Cann Sld Core Hand|269.7
880045.2487|Screw 2.4Mm 22Mm Lck Pa Dist Rds Plate|186.22
880045.2486|Screw 2.4Mm 22Mm Lopro Cortx Bone|204.6
880045.1656|Screw 2.4Mm 22Mm Slf-Tap Lck Va Ti Acpt|260.4
880045.2501|Screw 2.4Mm 22Mm Strp Flut Crfrm Lopro|279
880045.2486|Screw 2.4Mm 24Mm Cortx Dist Rds Plate|126.91
880045.1598|Screw 2.4Mm 24Mm Lck Gld Head Forefoot|437.1
880045.2487|Screw 2.4Mm 24Mm Lck Pa Dist Rds Plate|186.22
880064.8856|Screw 2.4Mm 24Mm P/T Lopro Slfret Cann|286.44
880045.2486|Screw 2.4Mm 24Mm Slf-Tap Lck Va Ti Acpt|260.4
880045.2487|Screw 2.4Mm 26Mm Lck Pa Dist Rds Plate|186.22
880064.8719|Screw 2.4Mm 26Mm P/T Lopro Slfret Cann|286.44
880045.2644|Screw 2.4Mm 26Mm Rds Cort Dist Plate Sys|126.91
880064.872|Screw 2.4Mm 28Mm Lag Cann Sld Core Hand|286.44
880064.8875|Screw 2.4Mm 32Mm Lag Cann Bone|362.7
880045.2499|Screw 2.4Mm 40Mm Cann Tiger Nonster Bone|418.5
880064.6893|Screw 2.4Mm 8Mm Hand Lag Ti Hps Bone|93
880064.2495|Screw 2.5Mm .9Mm 8Mm Cann Lag Slf Drl|162.75
880064.2495|Screw 2.5Mm 10Mm Cann Lopro Orth Ss Bone|153.45
880064.2496|Screw 2.5Mm 28Mm Lag Vilex Ss Nonster|153.45
880064.2495|Screw 2.5Mm 3.8Mm 18Mm 1 Troc P/T Lopro|184.14
880064.2496|Screw 2.5Mm 3.8Mm 30Mm 1.1Mm P/T Lag|153.45
880045.1143|Screw 2.7Mm 10Mm Lck Elb Periart Ss|213.81
880045.6586|Screw 2.7Mm 12Mm Cncl Lck Fib Radl|104.85
880064.1143|Screw 2.7Mm 12Mm Lck Biodur 108 Nonster|213.81
880064.5914|Screw 2.7Mm 14Mm Cncl Lck Elb Ss Nonster|104.85
880064.1893|Screw 2.7Mm 14Mm Lck Biodur 108 Nonster|213.81
880064.1226|Screw 2.7Mm 14Mm Lck Cort Dvr Nonster|223.2
880045.5914|Screw 2.7Mm 16Mm Cncl Periart Ss Nonster|104.85
880064.1143|Screw 2.7Mm 16Mm Lck Biodur 108 Nonster|213.81
880064.1332|Screw 2.7Mm 16Mm Lopro Nonster Bone Lf|133.92
880064.1271|Screw 2.7Mm 16Mm Sq Lck Rds Dist Volr|223.2
880064.1271|Screw 2.7Mm 18Mm 3 Ld Thrdlk Tpr Head|223.2
880045.5914|Screw 2.7Mm 18Mm Cncl Elb Periart Ss|104.85
880064.1895|Screw 2.7Mm 18Mm Lck Elb Periart Ss|213.81
880045.3936|Screw 2.7Mm 20Mm Cncl Lck Periart Ss|104.85
880064.1271|Screw 2.7Mm 20Mm Crsslck Tpr Head 3 Ld|223.2
880064.1894|Screw 2.7Mm 20Mm Lck Elb Periart Ss|213.81
880045.5914|Screw 2.7Mm 22Mm Cncl Elb Periart Ss|104.85
880064.1298|Screw 2.7Mm 22Mm Lck Cort Nonster Bone|223.2
880064.1144|Screw 2.7Mm 22Mm Lck Elb Periart Ss|213.81
880064.1271|Screw 2.7Mm 24Mm Crsslck Tpr Head 3 Ld|223.2
880045.3921|Screw 2.7Mm 24Mm Lck Elb Periart Ss|213.81
880064.1353|Screw 2.7Mm 26Mm 3 Ld Thrd Crsslck Tpr|223.2
880064.1353|Screw 2.7Mm 26Mm Crsslck Lopro Nonlock|133.92
880045.5941|Screw 2.7Mm 26Mm Lck Elb Periart Ss|213.81
880064.1353|Screw 2.7Mm 28Mm Crsslck Lopro Nlckg Rds|133.92
880045.5765|Screw 2.7Mm 40Mm Tib Periart Prox Lck M|172.42
880045.5765|Screw 2.7Mm 42Mm Tib Periart Prox Lck M|172.42
880045.5765|Screw 2.7Mm 44Mm Tib Periart Prox Lck M|172.42
880045.5765|Screw 2.7Mm 50Mm Tib Periart Prox Lck M|172.42
880064.2775|Screw 2.7Mm 5Mm 14Mm Ft Cortx Slf-Tap|74.4
880045.8743|Screw 2Mm 10Mm Ft Cort Bone|122.76
880064.325|Screw 2Mm 10Mm Mini Hand Lag Ti Hps Bone|100.44
880064.2501|Screw 2Mm 12Mm Cann Tiger Nonster Bone|372
880064.6895|Screw 2Mm 12Mm Mini Hand Lag Ti Hps Bone|91.14
880064.6894|Screw 2Mm 14Mm Mini Hand Lag Ti Hps Bone|154.38
880039.2645|Screw 2Mm 14Mm T6 Slf-Tap Lck Slf Rtn|229.34
880064.6894|Screw 2Mm 16Mm Mini Lag Hand Ti Hps Bone|104.16
880039.2646|Screw 2Mm 16Mm T6 Slf-Tap Lck Slf Rtn|229.34
880039.2555|Screw 2Mm 16Mm T6 Slf-Tap Slf Rtn Strdr|71.15
880064.6894|Screw 2Mm 18Mm Mini Hand Lag Ti Hps Bone|91.14
880039.2495|Screw 2Mm 18Mm Slf-Tap Slfdrl Cann Hand|184.14
880039.2555|Screw 2Mm 18Mm T6 Slf-Tap Slf Rtn Strdr|71.15
880064.6894|Screw 2Mm 20Mm Mini Hand Lag Ti Hps Bone|91.14
880039.752|Screw 2Mm 20Mm T6 Slf-Tap Lck Slf Rtn|229.34
880039.7519|Screw 2Mm 20Mm T6 Slf-Tap Slf Rtn Strdr|71.15
880064.6894|Screw 2Mm 22Mm Mini Hand Lag Ti Hps Bone|91.14
880039.752|Screw 2Mm 22Mm T6 Slf-Tap Lck Slf Rtn|229.34
880039.6624|Screw 2Mm 22Mm T6 Slf-Tap Slf Rtn Strdr|71.15
880064.2495|Screw 2Mm 8Mm Cann Lopro Orth Ss Bone|162.75
880064.6895|Screw 2Mm 8Mm Mini Hand Lag Ti Hps Bone|100.44
880039.2603|Screw 3.5 Hex Impct Kn Ckpnt Strl Bone|354.51
880045.2092|Screw 3.5Mm 12Mm 2.7Mm Slf-Tap Cortx Ss|71.74
880039.1773|Screw 3.5Mm 12Mm Cort Ti Nonster Bone|115.32
880045.2381|Screw 3.5Mm 12Mm Lck Fem Troch Ncb Ti6Al|200.02
880045.1574|Screw 3.5Mm 12Mm Lck M Thrd Head Ss|206.91
880045.3252|Screw 3.5mm 12mm T15 Lopro Nonlock Cls|111.6
880045.1973|Screw 3.5Mm 14Mm 2.5Mm Slf-Tap Sm Hex|51.04
880064.1723|Screw 3.5Mm 14Mm 2.7Mm Slf-Tap Cortx Ss|71.74
880045.2093|Screw 3.5Mm 14Mm Lck M Thrd Head Ss|206.91
880045.3955|Screw 3.5Mm 14Mm T15 Ft Nonlock Slf-Tap|65.1
880045.9151|Screw 3.5Mm 14Mm T15 Ft Slf-Tap Sld Hxlb|139.5
880045.3252|Screw 3.5mm 14mm T15 Lopro Nonlock Cort|111.6
880045.1973|Screw 3.5Mm 16Mm 2.5Mm Slf-Tap Sm Hex|51.04
880064.1723|Screw 3.5Mm 16Mm 2.7Mm Slf-Tap Cortx Ss|71.74
880045.346|Screw 3.5Mm 16Mm Fx Ang Lck Ft/Ankl|406.22
880045.2094|Screw 3.5Mm 16Mm Lck M Thrd Head Ss|206.91
880045.238|Screw 3.5Mm 16Mm Lck Ncb Ti6Al4V Nonster|200.02
880045.9146|Screw 3.5Mm 16Mm T15 Ft Lopro Lck Ss|204.6
880045.914|Screw 3.5Mm 16Mm T15 Ft Slf-Tap Sld Hxlb|102.3
880045.3252|Screw 3.5mm 16mm T15 Lopro Nonlock Cort|111.6
880045.1364|Screw 3.5Mm 18Mm 2.5Mm Slf-Tap Sm Hex|51.04
880064.2092|Screw 3.5Mm 18Mm 2.7Mm Slf-Tap Cortx Ss|71.74
880039.2094|Screw 3.5Mm 18Mm Lck M Thrd Head Ss|206.91
880045.9033|Screw 3.5Mm 18Mm T15 Ft Lopro Lck Ss|204.6
880045.3252|Screw 3.5mm 18mm T15 Lopro Nonlock Cls|111.6
880045.2157|Screw 3.5Mm 2.5Mm 80Mm Slf-Tap Sm Hex|193.12
880064.1975|Screw 3.5Mm 2.7Mm 100Mm Elb Cort Periart|71.74
880045.2106|Screw 3.5Mm 2.7Mm 10Mm Lck Elb Fib|200.02
880064.7576|Screw 3.5Mm 2.7Mm 110Mm Elb Cort Periart|57.03
880064.2096|Screw 3.5Mm 2.7Mm 12Mm Lck Periart Elb|200.02
880064.2095|Screw 3.5Mm 2.7Mm 14Mm Lck Elb Fib|200.02
880064.2096|Screw 3.5Mm 2.7Mm 16Mm Lck Periart Ss|200.02
880064.2096|Screw 3.5Mm 2.7Mm 18Mm Lck Periart Ss|200.02
880064.2096|Screw 3.5Mm 2.7Mm 20Mm Lck Elb Periart|200.02
880064.332|Screw 3.5Mm 2.7Mm 22Mm Lck Tib Periart|200.02
880064.1011|Screw 3.5Mm 2.7Mm 24Mm Lck Ss Nonster|200.02
880045.102|Screw 3.5Mm 2.7Mm 26Mm Lck Ss Nonster|200.02
880045.102|Screw 3.5Mm 2.7Mm 28Mm Lck Elb Fib|200.02
880039.1725|Screw 3.5Mm 2.7Mm 32Mm Elb Cort Periart|57.03
880064.2017|Screw 3.5Mm 2.7Mm 36Mm Lck Elb Fib|200.02
880039.1346|Screw 3.5Mm 2.9Mm 10Mm T15 Ft Slf-Tap|251.1
880039.1349|Screw 3.5Mm 2.9Mm 12Mm T15 Ft Slf-Tap|251.1
880039.1349|Screw 3.5Mm 2.9Mm 14Mm T15 Ft Slf-Tap|251.1
880064.134|Screw 3.5Mm 2.9Mm 16Mm T15 Ft Slf-Tap|251.1
880039.1346|Screw 3.5Mm 2.9Mm 18Mm T15 Ft Slf-Tap|251.1
880039.1333|Screw 3.5Mm 2.9Mm 20Mm T15 Ft Slf-Tap|251.1
880039.1332|Screw 3.5Mm 2.9Mm 24Mm T15 Ft Plv|251.1
880039.1187|Screw 3.5Mm 2.9Mm 26Mm T15 Ft Slf-Tap|251.1
880064.1188|Screw 3.5Mm 2.9Mm 28Mm T15 Ft Slf-Tap|251.1
880064.1191|Screw 3.5Mm 2.9Mm 36Mm T15 Ft Slf-Tap|251.1
880064.1191|Screw 3.5Mm 2.9Mm 40Mm T15 Ft Slf-Tap|251.1
880064.1187|Screw 3.5Mm 2.9Mm 45Mm T15 Ft Slf-Tap|251.1
880039.1186|Screw 3.5Mm 2.9Mm 50Mm T15 Ft Slf-Tap|251.1
880045.1187|Screw 3.5Mm 2.9Mm 55Mm Ft Plv Slf-Tap|251.1
880039.1187|Screw 3.5Mm 2.9Mm 60Mm T15 Ft Slf-Tap|251.1
880045.1986|Screw 3.5Mm 20Mm 2.5Mm Slf-Tap Sm Hex|51.04
880064.1365|Screw 3.5Mm 20Mm 2.7Mm Slf-Tap Cortx Ss|71.74
880045.1365|Screw 3.5Mm 20Mm Lck M Thrd Head Ss|206.91
880045.1995|Screw 3.5Mm 22Mm 2.5Mm Slf-Tap Sm Hex|51.04
880045.3861|Screw 3.5Mm 22Mm 2.7Mm Slf-Tap Cortx Ss|71.74
880045.346|Screw 3.5Mm 22Mm Fx Ang Lck Ft/Ankl|406.22
880039.9498|Screw 3.5Mm 22Mm Lck M Thrd Head Ss|206.91
880045.2506|Screw 3.5Mm 22Mm T15 Nonlock Lopro|122.76
880045.3306|Screw 3.5Mm 22Mm T15 Slf-Tap Lck Tpr|221.34
880045.5574|Screw 3.5Mm 22Mm T15 Slf-Tap Tip Lck|96.72
880045.1972|Screw 3.5Mm 24Mm 2.5Mm Slf-Tap Sm Hex|51.04
880045.2093|Screw 3.5Mm 24Mm 2.7Mm Slf-Tap Cortx Ss|71.74
880045.346|Screw 3.5Mm 24Mm Fx Ang Lck Ft/Ankl|406.22
880045.2051|Screw 3.5Mm 24Mm Lck M Thrd Head Ss|206.91
880045.2659|Screw 3.5Mm 24Mm T15 Nonlock Lopro|122.76
880045.3306|Screw 3.5Mm 24Mm T15 Slf-Tap Lck Tpr|221.34
880045.3966|Screw 3.5Mm 26Mm 2.5Mm Nonlock Hex Drv|83.7
880045.405|Screw 3.5Mm 26Mm 2.5Mm Slf-Tap Sm Hex|51.04
880045.1905|Screw 3.5Mm 26Mm 2.7Mm Slf-Tap Cortx Ss|71.74
880045.2041|Screw 3.5Mm 26Mm Ft Sld Hum Cort Prox|66.96
880064.1971|Screw 3.5Mm 26Mm Lck M Thrd Head Ss|206.91
880045.4003|Screw 3.5Mm 26Mm T15 Lck Lopro Slf-Tap|96.72
880045.1825|Screw 3.5Mm 26Mm T15 Nonlock Lopro|132.06
880045.262|Screw 3.5Mm 26Mm T15 Slf-Tap Lck Tpr|221.34
880045.1973|Screw 3.5Mm 28Mm 2.5Mm Slf-Tap Sm Hex|51.04
880045.2093|Screw 3.5Mm 28Mm 2.7Mm Slf-Tap Cortx Ss|71.74
880045.4042|Screw 3.5Mm 28Mm Lck M Thrd Head Ss|206.91
880045.2735|Screw 3.5Mm 28Mm T15 Nonlock Lopro|132.06
880045.3307|Screw 3.5Mm 28Mm T15 Slf-Tap Lck Tpr|221.34
880045.238|Screw 3.5Mm 2Mm 24Mm Lck Slf-Tap Ti Al|200.02
880045.2051|Screw 3.5Mm 30Mm 2.5Mm Slf-Tap Sm Hex|51.04
880064.2396|Screw 3.5Mm 30Mm 2.7Mm Slf-Tap Cortx Ss|71.74
880064.198|Screw 3.5Mm 30Mm Cncl Periart Cann Ss|193.12
880045.2666|Screw 3.5Mm 30Mm Ft Sld Hum Cort Prox|66.96
880045.1743|Screw 3.5Mm 30Mm Lck M Thrd Head Ss|206.91
880045.1979|Screw 3.5Mm 30Mm T15 Nonlock Lopro|186
880045.3307|Screw 3.5Mm 30Mm T15 Slf-Tap Lck Tpr|221.34
880045.2051|Screw 3.5Mm 32Mm 2.5Mm Slf-Tap Sm Hex|51.04
880045.1743|Screw 3.5Mm 32Mm Lck M Thrd Head Ss|206.91
880045.3572|Screw 3.5Mm 32Mm Slf-Tap Cortx Ss|62.09
880064.1179|Screw 3.5Mm 32Mm T15 Lck Lopro Slf-Tap|96.72
880045.2627|Screw 3.5Mm 32Mm T15 Nonlock Lopro|186
880045.3307|Screw 3.5Mm 32Mm T15 Slf-Tap Lck Tpr|221.34
880045.4016|Screw 3.5Mm 34Mm 2.5Mm Slf-Tap Sm Hex|51.04
880045.3793|Screw 3.5Mm 34Mm Lck M Thrd Head Ss|206.91
880045.2648|Screw 3.5Mm 34Mm T15 Nonlock Lopro|132.06
880045.5762|Screw 3.5Mm 35Mm Cann Lck M Thrd Head Ss|183.92
880045.198|Screw 3.5Mm 35Mm Cncl Periart Cann Ss|193.12
880045.2085|Screw 3.5Mm 36Mm 2.5Mm Slf-Tap Sm Hex|51.04
880045.3306|Screw 3.5Mm 36Mm Ft Slf-Tap Hex Lopro|83.7
880064.1973|Screw 3.5Mm 36Mm Lck M Thrd Head Ss|206.91
880064.2659|Screw 3.5Mm 36Mm T15 Nonlock Lopro|122.76
880064.1299|Screw 3.5Mm 36Mm T15 Slf-Tap Lck Lopro|96.72
880045.118|Screw 3.5Mm 36Mm T15 Slf-Tap Lck Tpr|221.34
880045.1995|Screw 3.5Mm 38Mm 2.5Mm Slf-Tap Sm Hex|51.04
880045.238|Screw 3.5Mm 38Mm Lck Fem Troch Ncb Ti6Al|200.02
880045.2051|Screw 3.5Mm 38Mm Lck M Thrd Head Ss|206.91
880045.2052|Screw 3.5Mm 40Mm 2.5Mm Slf-Tap Sm Hex|51.04
880045.5762|Screw 3.5Mm 40Mm Cann Lck M Thrd Head Ss|206.91
880064.198|Screw 3.5Mm 40Mm Cncl Tib Periart Prox|193.12
880064.2051|Screw 3.5Mm 40Mm Lck M Thrd Head Ss|206.91
880045.262|Screw 3.5Mm 40Mm T15 Lck Slf-Tap Tip Tpr|221.34
880045.2829|Screw 3.5Mm 40Mm T15 Nonlock Lopro|122.76
880045.2051|Screw 3.5Mm 42Mm Lck M Thrd Head Ss|206.91
880045.2619|Screw 3.5Mm 42Mm T15 Lck Slf-Tap Tip Tpr|221.34
880039.1744|Screw 3.5Mm 44Mm Lck M Thrd Head Ss|206.91
880045.262|Screw 3.5Mm 44Mm T15 Slf-Tap Lck Tpr|221.34
880045.2051|Screw 3.5Mm 45Mm 2.5Mm Slf-Tap Sm Hex|51.04
880064.5763|Screw 3.5Mm 45Mm Cann Cncl Head Ss|193.12
880045.5762|Screw 3.5Mm 45Mm Periart Cann Lck Ss|183.92
880045.1744|Screw 3.5Mm 46Mm Lck M Thrd Head Ss|206.91
880045.3307|Screw 3.5Mm 46Mm T15 Slf-Tap Lck Tpr|221.34
880039.1744|Screw 3.5Mm 48Mm Lck M Thrd Head Ss|206.91
880045.3678|Screw 3.5Mm 50Mm 2.5Mm Slf-Tap Sm Hex|51.04
880064.1723|Screw 3.5Mm 50Mm 2.7Mm Slf-Tap Cortx Ss|71.74
880045.5762|Screw 3.5Mm 50Mm Cann Lck M Thrd Head Ss|183.92
880045.198|Screw 3.5Mm 50Mm Cncl Tib Periart Prox|193.12
880045.4044|Screw 3.5Mm 50Mm Lck M Thrd Head Ss|206.91
880045.1113|Screw 3.5Mm 50Mm T15 Slf-Tap Lck Tpr|221.34
880045.1113|Screw 3.5Mm 54Mm T15 Lck Slf-Tap Tip Tpr|221.34
880045.1995|Screw 3.5Mm 54Mm Tib Periart Prox Lck Ss|206.91
880045.198|Screw 3.5Mm 55Mm Cncl Tib Periart Prox|193.12
880045.1354|Screw 3.5Mm 56Mm T15 Lck Slf-Tap Tip Tpr|221.34
880045.1163|Screw 3.5Mm 58Mm Tib Periart Prox Lck Ss|149.88
880045.1929|Screw 3.5Mm 5Mm 30Mm P/T Rvrs Cut Flut|321.41
880045.1929|Screw 3.5Mm 5Mm 32Mm P/T Rvrs Cut Flut|321.41
880045.1929|Screw 3.5Mm 5Mm 34Mm P/T Rvrs Cut Flut|321.41
880045.1944|Screw 3.5Mm 5Mm 36Mm P/T Rvrs Cut Flut|321.41
880045.1902|Screw 3.5Mm 5Mm 38Mm P/T Rvrs Cut Flut|321.41
880045.1949|Screw 3.5Mm 5Mm 55Mm P/T Rvrs Cut Flut|321.41
880064.3721|Screw 3.5Mm 60Mm 2.7Mm Slf-Tap Cortx Ss|71.74
880045.1995|Screw 3.5Mm 60Mm Lck M Thrd Head Ss|206.91
880045.198|Screw 3.5Mm 60Mm Lng Cncl Hum Periart|193.12
880045.1229|Screw 3.5Mm 60Mm T15 Lck Slf-Tap Tip Tpr|221.34
880045.5762|Screw 3.5Mm 60Mm Tib Periart Prox Cann|155.35
880045.1995|Screw 3.5Mm 65Mm Lck M Thrd Head Ss|234.51
880045.5768|Screw 3.5Mm 65Mm Periart Cann Lck Ss|155.35
880045.3573|Screw 3.5Mm 65Mm Slf-Tap Cortx Ss|62.09
880064.5575|Screw 3.5Mm 65Mm Sq Drv Nonlock Lopro|96.72
880064.1229|Screw 3.5Mm 65Mm T15 Lck Slf-Tap Tip Tpr|221.34
880064.537|Screw 3.5Mm 6Mm 12Mm 2.5Mm Ft Slf-Tap|54.81
880064.535|Screw 3.5Mm 6Mm 16Mm 2.5Mm Ft Slf-Tap|54.81
880064.53|Screw 3.5Mm 6Mm 18Mm Ft Cort Slf-Tap Sm|54.81
880064.538|Screw 3.5Mm 6Mm 20Mm 2.5Mm Ft Slf-Tap|54.81
880064.539|Screw 3.5Mm 6Mm 22Mm 2.5Mm Ft Slf-Tap|50.22
880064.715|Screw 3.5Mm 6Mm 24Mm 2.5Mm Ft Slf-Tap|54.81
880064.36|Screw 3.5Mm 6Mm 26Mm 2.5Mm Ft Slf-Tap|49.38
880064.54|Screw 3.5Mm 6Mm 30Mm 2.5Mm Ft Slf-Tap|46.97
880064.536|Screw 3.5Mm 6Mm 32Mm 2.5Mm Ft Slf-Tap|46.97
880064.361|Screw 3.5Mm 6Mm 36Mm 2.5Mm Ft Slf-Tap|46.97
880064.544|Screw 3.5Mm 6Mm 38Mm 2.5Mm Ft Slf-Tap|46.97
880064.365|Screw 3.5Mm 6Mm 45Mm Ft Cortx Slf-Tap Sm|46.97
880064.366|Screw 3.5Mm 6Mm 50Mm Slf-Tap Sm Hex Sckt|46.97
880039.912|Screw 3.5Mm 70Mm 2.5Mm Slf-Tap Sm Hex|51.04
880045.6514|Screw 3.5Mm 70Mm 2.7Mm Slf-Tap Cortx Ss|71.74
880045.1995|Screw 3.5Mm 70Mm Lck M Thrd Head Ss|234.51
880045.198|Screw 3.5Mm 70Mm Lng Cncl Hum Periart|173.91
880045.3573|Screw 3.5Mm 70Mm Slf-Tap Cortx Ss|62.09
880045.3793|Screw 3.5Mm 75Mm Lck M Thrd Head Ss|234.51
880064.1299|Screw 3.5Mm 75Mm T15 Lck Lopro Slf-Tap|96.72
880045.3808|Screw 3.5Mm 80Mm Lck M Thrd Head Ss|234.51
880039.5763|Screw 3.5Mm 80Mm Lng Hum Periart Prox|184.14
880045.2603|Screw 3.5Mm 80Mm Sq Drv Nonlock Lopro|96.72
880045.3808|Screw 3.5Mm 85Mm Tib Periart Prox Lck Ss|204.6
880045.3792|Screw 3.5Mm 90Mm Tib Periart Prox Cann|234.51
880045.37|Screw 3.7Mm 27.5Mm Sm Intlk Fem Mdn Ss|365.55
880045.9001|Screw 3.7Mm 70Mm T15 Ft Slf Drl Cann Lck|385.02
880045.9001|Screw 3.7Mm 80Mm T15 Ft Slf Drl Cann Lck|385.02
880064.1132|Screw 36Mm Hip Cndrl Comp Dhs Dcs Ss|82.44
880064.2496|Screw 3Mm 1.1Mm 16Mm P/T Lopro Slf Drl|162.75
880064.2501|Screw 3Mm 12Mm Cann Tiger Nonster Bone|372
880064.6885|Screw 3Mm 12Mm Hand Cann Lag M3-X Ti Hps|98.58
880045.1348|Screw 3Mm 12Mm T8 Lck Strdr Tx Head Ti|386.42
880064.2496|Screw 3Mm 14Mm Cann Lopro Orth Ss Bone|130.2
880064.2501|Screw 3Mm 14Mm Cann Tiger Nonster Bone|372
880064.6883|Screw 3Mm 14Mm Hand Cann Lag M3-X Ti Hps|98.58
880045.1332|Screw 3Mm 14Mm Std T8 Tx Head Ti Nonster|265.05
880045.1185|Screw 3Mm 14Mm T8 Lck Strdr Tx Head Ti|386.42
880045.2501|Screw 3Mm 16Mm Cann Tiger Nonster Bone|279
880064.6884|Screw 3Mm 16Mm Hand Cann Lag M3-X Ti Hps|98.58
880045.2486|Screw 3Mm 18Mm Cann Tiger Nonster Bone|279
880064.6885|Screw 3Mm 18Mm Hand Cann Lag M3-X Ti Hps|98.58
880064.2496|Screw 3Mm 2.5Mm 28Mm Lopro Hex Lag Cann|172.05
880064.6885|Screw 3Mm 20Mm Hand Cann Lag M3-X Ti Hps|98.58
880064.6884|Screw 3Mm 22Mm Hand Cann Lag M3-X Ti Hps|98.58
880064.2486|Screw 3Mm 24Mm Cann Tiger Nonster Bone|372
880064.6884|Screw 3Mm 24Mm Hand Cann Lag M3-X Ti Hps|117.18
880064.6884|Screw 3Mm 26Mm Hand Cann Lag M3-X Ti Hps|102.3
880045.2501|Screw 3Mm 28Mm Cann Tiger Nonster Bone|372
880064.6883|Screw 3Mm 28Mm Hand Cann Lag M3-X Ti Hps|102.3
880045.2501|Screw 3Mm 30Mm Cann Tiger Nonster Bone|279
880064.6884|Screw 3Mm 30Mm Hand Cann Lag M3-X Ti Hps|102.3
880064.6884|Screw 3Mm 32Mm Hand Cann Lag M3-X Ti Hps|117.18
880064.6884|Screw 3Mm 34Mm Hand Cann Lag M3-X Ti Hps|102.3
880064.6883|Screw 3Mm 36Mm Hand Cann Lag M3-X Ti Hps|102.3
880045.1931|Screw 3Mm 4Mm 32Mm .5 Thrd Rvrs Cut Flut|303.55
880045.1942|Screw 3Mm 4Mm 38Mm .5 Thrd Rvrs Cut Flut|303.55
880045.1941|Screw 3Mm 4Mm 38Mm 1/3 Thrd Rvrs Cut|341.5
880045.1943|Screw 3Mm 4Mm 40Mm .5 Thrd Rvrs Cut Flut|341.5
880045.1942|Screw 3Mm 4Mm 40Mm 1/3 Thrd Rvrs Cut|341.5
880045.2368|Screw 4.2Mm 25Mm Med Intlk Fem Cortx Ss|365.55
880045.2368|Screw 4.2Mm 27.5Mm Med Intlk Fem Cort|365.55
880045.2368|Screw 4.2Mm 32.5Mm Med Intlk Fem Cort|365.55
880045.225|Screw 4.2Mm 35Mm Med Intlk Fem Cortx Ss|365.55
880045.2368|Screw 4.2Mm 42.5Mm Med Intlk Fem Cort|365.55
880045.3548|Screw 4.2Mm 45Mm Med Intlk Fem Cortx Ss|365.55
880064.2496|Screw 4.3Mm 3Mm 30Mm Lopro Hex Lag Cann|144.15
880045.7798|Screw 4.5Mm 24Mm Slf-Tap Lck Canc Ncb|209.81
880064.1177|Screw 4.5Mm 32Mm Oblq Ft Slf-Tap Sld 2|66.96
880045.4938|Screw 4.5Mm 34Mm Oblq Ft Slf-Tap Sld 2|66.96
880045.1794|Screw 4.5Mm 36Mm Canc Inverse Rvrs Lck|209.81
880045.2252|Screw 4.5Mm 36Mm Oblq Ft Slf-Tap Sld 2|66.96
880045.2912|Screw 4.5Mm 38Mm 3.5Mm Slf-Tap Hex Hum|248.29
880064.3574|Screw 4.5Mm 38Mm Cort Periart Slf-Tap Ss|52.95
880045.5024|Screw 4.5Mm 38Mm Oblq Ft Slf-Tap Sld 2|66.96
880045.2912|Screw 4.5Mm 40Mm 3.5Mm Slf-Tap Hex Drv|248.29
880064.3574|Screw 4.5Mm 40Mm Cort Periart Slf-Tap Ss|52.95
880064.2088|Screw 4.5Mm 42.5Mm Med Intlk Fem Cort|260.7
880045.2912|Screw 4.5Mm 42Mm 3.5Mm Slf-Tap Hex Drv|248.29
880064.3574|Screw 4.5Mm 42Mm Cort Periart Slf-Tap Ss|52.95
880045.2912|Screw 4.5Mm 44Mm 3.5Mm Slf-Tap Hex Drv|248.29
880064.8205|Screw 4.5Mm 44Mm Cort Nonster Versanail|66.96
880064.3575|Screw 4.5Mm 44Mm Cort Periart Slf-Tap Ss|52.95
880045.2912|Screw 4.5Mm 48Mm 3.5Mm Slf-Tap Hex Drv|248.29
880045.2912|Screw 4.5Mm 50Mm 3.5Mm Slf-Tap Hex Drv|248.29
880064.4643|Screw 4.5Mm 6.5Mm 1.75Mm 20Mm Ft Rvrs|246.41
880064.281|Screw 4.5Mm 6.5Mm 1.75Mm 20Mm P/T Rvrs|318.06
880064.282|Screw 4.5Mm 6.5Mm 1.75Mm 22Mm P/T Rvrs|246.41
880064.283|Screw 4.5Mm 6.5Mm 1.75Mm 24Mm P/T Rvrs|246.41
880064.273|Screw 4.5Mm 6.5Mm 1.75Mm 26Mm 1/3 Thrd|246.41
880064.7192|Screw 4.5Mm 6.5Mm 1.75Mm 28Mm Ft Rvrs|246.41
880064.285|Screw 4.5Mm 6.5Mm 1.75Mm 28Mm P/T Rvrs|246.41
880064.5475|Screw 4.5Mm 6.5Mm 1.75Mm 30Mm Ft Rvrs|246.41
880064.284|Screw 4.5Mm 6.5Mm 1.75Mm 30Mm P/T Rvrs|246.41
880064.351|Screw 4.5Mm 6.5Mm 1.75Mm 32Mm Ft Rvrs|246.41
880064.51|Screw 4.5Mm 6.5Mm 1.75Mm 32Mm P/T Rvrs|264.27
880064.349|Screw 4.5Mm 6.5Mm 1.75Mm 34Mm Ft Rvrs|246.41
880064.513|Screw 4.5Mm 6.5Mm 1.75Mm 34Mm P/T Rvrs|246.41
880064.512|Screw 4.5Mm 6.5Mm 1.75Mm 36Mm P/T Rvrs|295.74
880064.511|Screw 4.5Mm 6.5Mm 1.75Mm 38Mm P/T Rvrs|246.41
880064.611|Screw 4.5Mm 6.5Mm 1.75Mm 40Mm Ft Rvrs|246.41
880064.508|Screw 4.5Mm 6.5Mm 1.75Mm 40Mm P/T Rvrs|422.22
880064.509|Screw 4.5Mm 6.5Mm 1.75Mm 42Mm P/T Rvrs|264.27
880064.276|Screw 4.5Mm 6.5Mm 1.75Mm 44Mm P/T Rvrs|264.27
880064.941|Screw 4.5Mm 6.5Mm 1.75Mm 46Mm Ft Rvrs|246.41
880064.28|Screw 4.5Mm 6.5Mm 1.75Mm 46Mm P/T Rvrs|372
880064.4455|Screw 4.5Mm 6.5Mm 1.75Mm 48Mm Ft Rvrs|246.41
880064.517|Screw 4.5Mm 6.5Mm 1.75Mm 48Mm P/T Rvrs|344.1
880064.274|Screw 4.5Mm 6.5Mm 1.75Mm 50Mm P/T Rvrs|422.22
880064.352|Screw 4.5Mm 6.5Mm 1.75Mm 52Mm Ft Rvrs|372
880064.514|Screw 4.5Mm 6.5Mm 1.75Mm 52Mm P/T Rvrs|264.27
880064.515|Screw 4.5Mm 6.5Mm 1.75Mm 54Mm P/T Rvrs|246.41
880064.503|Screw 4.5Mm 6.5Mm 1.75Mm 56Mm P/T Rvrs|246.41
880064.507|Screw 4.5Mm 6.5Mm 1.75Mm 60Mm P/T Rvrs|246.41
880064.506|Screw 4.5Mm 6.5Mm 1.75Mm 64Mm P/T Rvrs|318.06
880064.4811|Screw 4.5Mm 6.5Mm 1.75Mm 68Mm Ft Rvrs|246.41
880064.557|Screw 4.5Mm 6.5Mm 1.75Mm 68Mm P/T Rvrs|318.06
880064.35|Screw 4.5Mm 6.5Mm 1.75Mm 72Mm Ft Rvrs|246.41
880064.505|Screw 4.5Mm 6.5Mm 1.75Mm 72Mm P/T Rvrs|318.06
880039.2112|Screw 4.5Mm 6.5Mm 56Mm 1/3 Thrd Hex Rvrs|325.07
880039.1887|Screw 4.5Mm 6.5Mm 72Mm 1/3 Thrd Rvrs Cut|325.07
880045.2912|Screw 4.5Mm 65Mm 3.5Mm Slf-Tap Hex Drv|248.29
880064.307|Screw 4.5Mm 8Mm 62Mm Cortx Slf-Tap Lg|47.9
880064.1329|Screw 4.75Mm 15Mm 3.5Mm Lck Fx Ang Hex|139.5
880045.1337|Screw 4.75Mm 15Mm 3.5Mm Va Nonlock Hex|139.5
880064.1394|Screw 4.75Mm 20Mm 3.5Mm Lck Fx Ang Hex|139.5
880064.1337|Screw 4.75Mm 20Mm 3.5Mm Va Hex Cmprh Ti|139.5
880064.1329|Screw 4.75Mm 25Mm 3.5Mm Lck Fx Ang Hex|139.5
880045.1416|Screw 4.75Mm 25Mm 3.5Mm Va Hex Cmprh Ti|102.3
880045.9161|Screw 4.7Mm 9.4Mm 19Mm Comp Hex Hip Fem|113.01
880064.2712|Screw 4.7Mm 9.4Mm 25Mm Hex Comp Hip Vfx2|137.94
880045.2666|Screw 4.8Mm 7.8Mm 40Mm Ft End Cap Lck|230.64
880045.3237|Screw 48mm 3.5mm Hex Persona Strl Bone|368.28
880045.1354|Screw 4Mm 28Mm T15 Lck Slf-Tap Tpr Thrd|221.34
880045.1962|Screw 4Mm 3.5Mm 28Mm Slf-Tap Hex Drv Hum|206.91
880045.1935|Screw 4Mm 3.5Mm 30Mm Slf-Tap Hex Drv Hum|206.91
880045.1935|Screw 4Mm 3.5Mm 38Mm Slf-Tap Hex Drv Hum|206.91
880045.4433|Screw 4Mm 30Mm T15 Lck Slf-Tap Tpr Thrd|221.34
880064.444|Screw 4Mm 32Mm T15 Lck Slf-Tap Tpr Thrd|221.34
880045.3307|Screw 4Mm 34Mm T15 Lck Slf-Tap Tpr Thrd|221.34
880064.9254|Screw 4Mm 36Mm P/T Slf Rtn Cann Lag|262.26
880045.3308|Screw 4Mm 36Mm T15 Slf-Tap Lck Tpr Thrd|221.34
880064.3308|Screw 4Mm 40Mm T15 Lck Slf-Tap Tpr Thrd|221.34
880045.3308|Screw 4Mm 42Mm T15 Lck Slf-Tap Tpr Thrd|221.34
880045.3308|Screw 4Mm 44Mm T15 Slf-Tap Lck Tpr Thrd|221.34
880045.3308|Screw 4Mm 46Mm T15 Lck Slf-Tap Tip Tpr|221.34
880064.3308|Screw 4Mm 48Mm T15 Lck Slf-Tap Tip Tpr|221.34
880045.3308|Screw 4Mm 50Mm T15 Lck Slf-Tap Tip Tpr|221.34
880045.1942|Screw 4Mm 5Mm 40Mm 1/3 Thrd Rvrs Cut|374.98
880045.1943|Screw 4Mm 5Mm 42Mm .5 Thrd Rvrs Cut Flut|374.98
880045.1947|Screw 4Mm 5Mm 46Mm .5 Thrd Rvrs Cut Flut|374.98
880045.1887|Screw 4Mm 5Mm 46Mm 1/3 Thrd Rvrs Cut|374.98
880045.1948|Screw 4Mm 5Mm 50Mm .5 Thrd Rvrs Cut Flut|374.98
880045.1526|Screw 4Mm 5Mm 50Mm 1/3 Thrd Rvrs Cut|319.18
880045.195|Screw 4Mm 5Mm 55Mm .5 Thrd Rvrs Cut Flut|374.98
880045.1952|Screw 4Mm 5Mm 60Mm .5 Thrd Rvrs Cut Flut|374.98
880045.1951|Screw 4Mm 5Mm 60Mm 1/3 Thrd Rvrs Cut|374.98
880045.9151|Screw 4Mm 6.2Mm 24Mm 3.5Mm Slf-Tap Hex|206.91
880045.9151|Screw 4Mm 6.2Mm 26Mm 3.5Mm Slf-Tap Hex|206.91
880045.1935|Screw 4Mm 6.2Mm 32Mm 3.5Mm Slf-Tap Hex|206.91
880045.1962|Screw 4Mm 6.2Mm 34Mm 3.5Mm Slf-Tap 2 Ld|206.91
880045.2918|Screw 4Mm 6.2Mm 40Mm 3.5Mm Slf-Tap 2 Ld|206.91
880045.9151|Screw 4Mm 6.2Mm 50Mm 3.5Mm Slf-Tap Hex|206.91
880045.37|Screw 4Mm 60Mm Ft Canc Ss Nonster|62.09
880064.37|Screw 5.5Mm 100Mm Lg Fem Cort Intlk Ss|260.7
880064.14|Screw 5.5Mm 30Mm Lg Fem Cort Intlk Ss|260.7
880064.2106|Screw 5.5Mm 40Mm Lg Fem Cort Intlk Ss|260.7
880064.2135|Screw 5.5Mm 45Mm Lg Fem Cort Intlk Ss|260.7
880064.8447|Screw 5.5Mm 50Mm Lg Fem Cort Intlk Ss|260.7
880064.4|Screw 5.5Mm 55Mm Lg Fem Cort Intlk Ss|260.7
880064.1991|Screw 5.5Mm 80Mm Lg Fem Cort Intlk Ss|260.7
880064.37|Screw 5.5Mm 95Mm Lg Fem Cort Intlk Ss|260.7
880064.1101|Screw 5Mm 25Mm 3.5Mm Ft Slf-Tap Fx Ang|386.23
880064.2012|Screw 5Mm 3.5Mm 16Mm Slf-Tap Hex Head|275.63
880045.9184|Screw 5Mm 3.5Mm 22.5Mm Ft Slf-Tap Fx Ang|386.23
880045.9185|Screw 5Mm 3.5Mm 27.5Mm Ft Slf-Tap Fx Ang|386.23
880045.58|Screw 5Mm 3.5Mm 30Mm Ft Slf-Tap Fx Ang|386.23
880064.577|Screw 5Mm 3.5Mm 32.5Mm Ft Slf-Tap Fx Ang|386.23
880039.5771|Screw 5Mm 3.5Mm 35Mm Ft Slf-Tap Fx Ang|386.23
880045.58|Screw 5Mm 3.5Mm 37.5Mm Ft Slf-Tap Fx Ang|386.23
880064.58|Screw 5Mm 3.5Mm 40Mm Ft Slf-Tap Fx Ang|386.23
880045.5801|Screw 5Mm 3.5Mm 42.5Mm Ft Slf-Tap Fx Ang|386.23
880045.5801|Screw 5Mm 3.5Mm 45Mm Ft Fx Ang Hex Head|386.23
880045.5801|Screw 5Mm 3.5Mm 47.5Mm Ft Slf-Tap Fx Ang|386.23
880064.1543|Screw 5Mm 3.5Mm 48Mm Slf-Tap Hex Head|324.16
880045.5801|Screw 5Mm 3.5Mm 50Mm Ft Slf-Tap Fx Ang|386.23
880064.1543|Screw 5Mm 3.5Mm 50Mm P/T Hex 2 Ld Thrd|275.88
880045.5801|Screw 5Mm 3.5Mm 52.5Mm Ft Slf-Tap Fx Ang|386.23
880045.9186|Screw 5Mm 3.5Mm 55Mm Ft Slf-Tap Fx Ang|386.23
880045.5801|Screw 5Mm 3.5Mm 57.5Mm Ft Fx Ang Hex|386.23
880045.5801|Screw 5Mm 3.5Mm 60Mm Ft Fx Ang Hex Head|386.23
880064.5801|Screw 5Mm 3.5Mm 65Mm Ft Slf-Tap Fx Ang|386.23
880045.5801|Screw 5Mm 3.5Mm 70Mm Ft Slf-Tap Fx Ang|386.23
880064.1543|Screw 5Mm 3.5Mm 75Mm P/T Hex Fem Canc|275.88
880039.2012|Screw 5Mm 3.5Mm 80Mm Slf-Tap Hex Head|324.16
880045.3929|Screw 5Mm 3.5Mm 85Mm P/T Hex 2 Ld Thrd|275.88
880039.4401|Screw 5Mm 3.5Mm 85Mm Slf-Tap Hex Head|324.16
880045.5797|Screw 5Mm 6.2Mm 12Mm 2 Ld Thrd|296.58
880045.238|Screw 5Mm 6.2Mm 14Mm 2 Ld Thrd Shlw Prfl|296.58
880045.2917|Screw 5Mm 6.2Mm 28Mm 3.5Mm Slf-Tap 2 Ld|279.74
880064.1981|Screw 5Mm 6.2Mm 30Mm 3.5Mm Slf-Tap 2 Ld|324.16
880064.3928|Screw 5Mm 6.2Mm 32Mm 3.5Mm 2 Ld Thrd|324.16
880039.1542|Screw 5Mm 6.2Mm 34Mm 3.5Mm 2 Ld Thrd|324.16
880064.1542|Screw 5Mm 6.2Mm 36Mm 3.5Mm 2 Ld Thrd|324.16
880039.1542|Screw 5Mm 6.2Mm 38Mm 3.5Mm Slf-Tap 2 Ld|324.16
880064.1543|Screw 5Mm 6.2Mm 40Mm 3.5Mm 2 Ld Thrd|324.16
880064.1543|Screw 5Mm 6.2Mm 42Mm 3.5Mm 2 Ld Thrd|324.16
880064.1543|Screw 5Mm 6.2Mm 44Mm 3.5Mm Slf-Tap 2 Ld|324.16
880064.1543|Screw 5Mm 6.2Mm 46Mm 3.5Mm Slf-Tap 2 Ld|324.16
880045.1543|Screw 5Mm 6.2Mm 50Mm 3.5Mm Slf-Tap 2 Ld|324.16
880064.2012|Screw 5Mm 6.2Mm 50Mm P/T Hex Fem Canc|275.88
880045.2115|Screw 5Mm 6.2Mm 55Mm 3.5Mm P/T Slf-Tap 2|275.88
880045.2132|Screw 5Mm 6.2Mm 55Mm 3.5Mm Slf-Tap 2 Ld|324.16
880045.2012|Screw 5Mm 6.2Mm 60Mm 3.5Mm P/T Slf-Tap 2|275.88
880045.9161|Screw 5Mm 6.2Mm 60Mm 3.5Mm Slf-Tap 2 Ld|324.16
880045.2918|Screw 5Mm 6.2Mm 65Mm 3.5Mm Slf-Tap 2 Ld|324.16
880045.1981|Screw 5Mm 6.2Mm 70Mm 3.5Mm Slf-Tap 2 Ld|324.16
880064.2012|Screw 5Mm 6.2Mm 70Mm P/T Hex Fem Canc|372
880045.2012|Screw 5Mm 6.2Mm 75Mm 3.5Mm Slf-Tap 2 Ld|324.16
880064.3673|Screw 6.5Mm 15Mm Canc Adv Ss Strl Bone|386.69
880045.1516|Screw 6.5Mm 15Mm Dome Lopro Hip Actb G7|74.4
880045.357|Screw 6.5Mm 15Mm Slf-Tap Hip Actb Hgp Ii|134.01
880045.896|Screw 6.5Mm 15Mm Slf-Tap Trlg Bone|199.95
880045.6747|Screw 6.5Mm 16Mm Hmsphr Canc Trdnt Ti|174.84
880064.1436|Screw 6.5Mm 20Mm 3.5Mm Cntr Hex Cmprh Ti|186
880064.3673|Screw 6.5Mm 20Mm Canc Adv Ss Strl Bone|386.69
880064.1428|Screw 6.5Mm 20Mm Dome Lopro Hip Actb G7|74.4
880045.357|Screw 6.5Mm 20Mm Hip Actb Slf-Tap Trb|134.01
880064.895|Screw 6.5Mm 20Mm Hip Trlg Trb Mtl Strl|199.95
880064.1505|Screw 6.5Mm 25Mm 3.5Mm Cntr Hex Shldr|102.3
880064.3673|Screw 6.5Mm 25Mm Canc Adv Ss Strl Bone|386.69
880064.894|Screw 6.5Mm 25Mm Hip Trlg Trb Mtl Bone|199.95
880045.357|Screw 6.5Mm 25Mm Slf-Tap Actb Canc Tiv|228.78
880064.1422|Screw 6.5Mm 30Mm 3.5Mm Cntr Hex Shldr|264.12
880045.1588|Screw 6.5Mm 30Mm Actb Trdnt Scrft Tx Ti|195.3
880064.3673|Screw 6.5Mm 30Mm Canc Adv Strl Bone|386.69
880045.3571|Screw 6.5Mm 30Mm Hip Actb Slf-Tap Trb|209.25
880064.893|Screw 6.5Mm 30Mm Slf-Tap Actb Cort Trlg|199.95
880064.2801|Screw 6.5Mm 35Mm 3.5Mm Cntr Hex Shldr|186
880045.3571|Screw 6.5Mm 35Mm Actb Canc Slf-Tap Tiv|228.78
880064.3673|Screw 6.5Mm 35Mm Canc Adv Strl Bone|386.69
88045.874|Screw 6.5Mm 35Mm Hip Slf-Tap Bone|199.95
88045.876|Screw 6.5Mm 40Mm Actb Cort Slf-Tap Trlg|199.95
880064.3673|Screw 6.5Mm 40Mm Canc Adv Strl Bone|386.69
880045.357|Screw 6.5Mm 40Mm Slf-Tap Hip Actb Hgp Ii|228.78
880045.1107|Screw 6.5Mm 45Mm Actb Canc Tx Ti Nonster|174.84
880064.3673|Screw 6.5Mm 45Mm Canc Adv Ti Strl Bone|386.69
880045.1564|Screw 6.5Mm 45Mm Dome Lopro Hip Actb G7|74.4
880045.877|Screw 6.5Mm 50Mm Actb Cort Slf-Tap Trlg|199.95
880064.3673|Screw 6.5Mm 50Mm Canc Adv Strl Bone|386.69
880045.3571|Screw 6.5Mm 50Mm Slf-Tap Hip Actb Hgp Ii|171.19
880064.3673|Screw 6.5Mm 55Mm Canc Adv Ti Strl Bone|386.69
880045.3571|Screw 6.5Mm 60Mm Actb Slf-Tap Hgp Ii|134.01
880064.3673|Screw 6.5Mm 60Mm Canc Adv Ti Strl Bone|386.69
880045.3688|Screw 6.5Mm 60Mm Canc Lg Hex Head Ss|71.74
880045.1313|Screw 6.5Mm 60Mm Ft Actb Canc Cup|199.95
880045.878|Screw 6.5Mm 60Mm Hip Actb Slf-Tap Trlg|199.95
880064.3673|Screw 6.5Mm 65Mm Canc Adv Ti Strl Bone|386.69
880045.3688|Screw 6.5Mm 65Mm Lg Hex Canc Ss|71.74
880064.3673|Screw 6.5Mm 70Mm Canc Adv Ti Strl Bone|386.69
880045.2694|Screw 6.5Mm 70Mm Lng Bone Cann Tmx|511.5
880064.3673|Screw 6.5Mm 75Mm Canc Adv Ti Strl Bone|386.69
880045.1788|Screw 6.5Mm 75Mm P/T Cann Mtp Tmx|511.5
880064.3673|Screw 6.5Mm 80Mm Canc Adv Ti Strl Bone|386.69
880064.1788|Screw 6.5Mm 80Mm Cann Lng Bone Tmx|511.5
880045.3688|Screw 6.5Mm 80Mm Lg Hex Canc Zm Ss|71.74
880064.442|Screw 6.5Mm 8Mm 35Mm 3.5Mm Ft Canc Lg|65.7
880064.444|Screw 6.5Mm 8Mm 45Mm 3.5Mm P/T Canc Lg|61.85
880045.1958|Screw 6.5Mm 8Mm 80Mm Rvrs Cut Flut Cann|398.78
880064.232|Screw 6.5Mm 8Mm 85Mm 3.5Mm P/T Canc Lg|68.36
880045.334|Screw 6.5mm 90mm 16mm Cann Lng Bone Tmx|511.5
880045.9187|Screw 6Mm 3.5Mm 90Mm Ft Slf-Tap Fx Ang|355.58
880064.2494|Screw 6Mm Prefix Bone|102.3
880064.621|Screw 7.3Mm 8.2Mm 2.9Mm 100Mm P/T Rvrs|544.05
880064.679|Screw 7.3Mm 8.2Mm 2.9Mm 100Mm P/T Rvrs|515.22
880064.637|Screw 7.3Mm 8.2Mm 2.9Mm 105Mm P/T Rvrs|316.05
880064.681|Screw 7.3Mm 8.2Mm 2.9Mm 105Mm P/T Rvrs|544.05
880064.641|Screw 7.3Mm 8.2Mm 2.9Mm 110Mm P/T Rvrs|440.82
880064.677|Screw 7.3Mm 8.2Mm 2.9Mm 110Mm P/T Rvrs|316.05
880064.682|Screw 7.3Mm 8.2Mm 2.9Mm 115Mm P/T Rvrs|602.64
880064.642|Screw 7.3Mm 8.2Mm 2.9Mm 115Mm Rvrs Cut|316.05
880064.632|Screw 7.3Mm 8.2Mm 2.9Mm 120Mm P/T Rvrs|316.05
880064.678|Screw 7.3Mm 8.2Mm 2.9Mm 120Mm P/T Rvrs|316.05
880064.1481|Screw 7.3Mm 8.2Mm 2.9Mm 125Mm P/T Rvrs|316.05
880064.645|Screw 7.3Mm 8.2Mm 2.9Mm 125Mm P/T Rvrs|316.05
880064.646|Screw 7.3Mm 8.2Mm 2.9Mm 130Mm P/T Rvrs|316.05
880064.1481|Screw 7.3Mm 8.2Mm 2.9Mm 130Mm Rvrs Cut|316.05
880064.626|Screw 7.3Mm 8.2Mm 2.9Mm 30Mm P/T Rvrs|316.05
880064.629|Screw 7.3Mm 8.2Mm 2.9Mm 35Mm P/T Rvrs|316.05
880064.63|Screw 7.3Mm 8.2Mm 2.9Mm 40Mm P/T Rvrs|316.05
880064.615|Screw 7.3Mm 8.2Mm 2.9Mm 45Mm P/T Rvrs|377.58
880064.354|Screw 7.3Mm 8.2Mm 2.9Mm 50Mm P/T Rvrs|316.05
880064.614|Screw 7.3Mm 8.2Mm 2.9Mm 50Mm P/T Rvrs|316.05
880064.446|Screw 7.3Mm 8.2Mm 2.9Mm 55Mm P/T Rvrs|316.05
880064.618|Screw 7.3Mm 8.2Mm 2.9Mm 55Mm P/T Rvrs|316.05
880064.355|Screw 7.3Mm 8.2Mm 2.9Mm 60Mm P/T Rvrs|316.05
880064.627|Screw 7.3Mm 8.2Mm 2.9Mm 60Mm P/T Rvrs|316.05
880064.356|Screw 7.3Mm 8.2Mm 2.9Mm 65Mm P/T Rvrs|316.05
880064.633|Screw 7.3Mm 8.2Mm 2.9Mm 65Mm P/T Rvrs|316.05
880039.636|Screw 7.3Mm 8.2Mm 2.9Mm 70Mm P/T Rvrs|316.05
880064.619|Screw 7.3Mm 8.2Mm 2.9Mm 70Mm P/T Rvrs|476.16
880064.357|Screw 7.3Mm 8.2Mm 2.9Mm 75Mm P/T Rvrs|476.16
880064.634|Screw 7.3Mm 8.2Mm 2.9Mm 75Mm P/T Rvrs|476.16
880064.628|Screw 7.3Mm 8.2Mm 2.9Mm 80Mm P/T Rvrs|602.64
880064.635|Screw 7.3Mm 8.2Mm 2.9Mm 80Mm P/T Rvrs|316.05
880064.348|Screw 7.3Mm 8.2Mm 2.9Mm 85Mm P/T Rvrs|602.64
880064.622|Screw 7.3Mm 8.2Mm 2.9Mm 85Mm P/T Rvrs|602.64
880064.623|Screw 7.3Mm 8.2Mm 2.9Mm 90Mm P/T Rvrs|602.64
880064.62|Screw 7.3Mm 8.2Mm 2.9Mm 95Mm P/T Rvrs|407.34
880064.683|Screw 7.3Mm 8.2Mm 2.9Mm 95Mm P/T Rvrs|515.22
880064.359|Screw 7.3Mm 8.2Mm 90Mm 4Mm P/T Lg Bone|316.05
880064.2494|Screw 7Mm Prefix Bone|102.3
880064.1974|Screw 8Mm 75Mm Cann Lng Bone Tmx Nonster|520.8
880064.2988|Screw 8Mm 80Mm Cann Lng Bone Tmx Nonster|520.8
880064.2494|Screw 9Mm Prefix Bone|102.3
880045.2373|Screw Aug 20Mm 6.5Mm Mg2 Kn Tiv Por|73.94
880045.2373|Screw Aug 25Mm 6.5Mm Mg2 Kn Tiv Por|73.94
880045.2373|Screw Aug 30Mm 6.5Mm Mg2 Kn Tiv Por|73.94
880045.2373|Screw Aug 35Mm 6.5Mm Mg2 Kn Tiv Por|73.94
880045.2373|Screw Aug 40Mm 6.5Mm Mg2 Kn Tiv Por|73.94
880045.2373|Screw Aug 45Mm 6.5Mm Mg2 Kn Tiv Por|73.94
880045.2373|Screw Aug 50Mm 6.5Mm Mg2 Kn Tiv Por|73.94
880045.2373|Screw Aug 55Mm 6.5Mm Mg2 Kn Tiv Por|73.94
880045.2373|Screw Aug 60Mm 6.5Mm Mg2 Kn Tiv Por|73.94
880045.2485|Screw Babsr 30Mm 9Mm Compositcp Rnd Head|948.6
880064.4643|Screw Bn 4.5Mm 6.5Mm 1.75Mm 26Mm Ss|246.41
880064.345|Screw Bn 4.5Mm 6.5Mm 7.5Mm 22Mm Ss Ft Lg|246.41
880064.346|Screw Bn 4.5Mm 6.5Mm 7.5Mm 24Mm Ss Ft Lg|246.41
880064.4643|Screw Bn 4.5Mm 6.5Mm 7.5Mm 36Mm Ss Ft Lg|246.41
880064.446|Screw Bn 4.5Mm 6.5Mm 7.5Mm 38Mm Ss Ft Lg|422.22
880064.3217|Screw Bn 4.5Mm 6.5Mm 7.5Mm 42Mm Ss Ft Lg|246.41
880064.347|Screw Bn 4.5Mm 6.5Mm 7.5Mm 44Mm Ss Ft Lg|295.74
880064.942|Screw Bn 4.5Mm 6.5Mm 7.5Mm 50Mm Ss Ft Lg|246.41
880064.943|Screw Bn 4.5Mm 6.5Mm 7.5Mm 54Mm Ss Ft Lg|246.41
880064.446|Screw Bn 4.5Mm 6.5Mm 7.5Mm 56Mm Ss Ft Lg|344.1
880064.4366|Screw Bn 4.5Mm 6.5Mm 7.5Mm 60Mm Ss Ft Lg|246.41
880064.353|Screw Bn 4.5Mm 6.5Mm 7.5Mm 64Mm Ss Ft Lg|246.41
880095.1046|Screw Bsplt 15Mm 6.5Mm Prfx Tib|257.8
880095.7929|Screw Bsplt 20Mm 6.5Mm Prfx Tib|257.8
880095.793|Screw Bsplt 25Mm 6.5Mm Prfx Tib|257.8
880095.793|Screw Bsplt 30Mm 6.5Mm Prfx Tib|257.8
880095.793|Screw Bsplt 40Mm 6.5Mm Prfx Tib|257.8
880045.2685|Screw Composit Cp 60 11X30Mm Int|922.56
880039.2689|Screw Extfix 100Mm 4Mm Schnz Hip Cndyl|291.28
880039.3894|Screw Extfix 150Mm 4Mm Schnz Hip Cndyl|474.5
880045.1391|Screw Gd 27Mm Persona Kn Ss Head|142.12
880045.3915|Screw Gd 33Mm Hex Head Mis|111.6
880064.1391|Screw Gd 48Mm Persona M/Gss Kn Head|111.6
880045.2458|Screw Gd 48Mm Qd-Spr Hex Head Mis Strl|111.6
880045.2602|Screw Gd Aug Rm|279
880045.3237|Screw Hex Head 3.5mm|235.29
880045.2485|Screw Intfr 14Mm 7Mm Biceps Prox Bolt|845.84
880045.2485|Screw Intfr 16Mm 8Mm Biceps Prox Bolt|845.84
880045.2485|Screw Intfr 16Mm 9Mm Biceps Prox Bolt|845.84
880045.2945|Screw Intfr 30Mm 10Mm Ft Compositcp|877.92
880045.2485|Screw Intfr 30Mm 8Mm Rnd Head Compositcp|848.16
880045.2486|Screw Intfr 4Mm N-Frc Blu|9,300.00
880039.764|Screw Intfr Bcmps 15Mm 4.75Mm Acl|585.9
880039.3949|Screw Intfr Bcmps 23Mm 7Mm Acl Tenodesis|585.9
880039.6564|Screw Intfr Bcmps 23Mm 8Mm Stp Tpr Acl|418.5
880039.1062|Screw Intfr Bcmps 28Mm 10Mm Dlt Tpr|418.5
880045.3931|Screw Intfr Bcmps 28Mm 11Mm Dlt Tpr|418.5
880039.4027|Screw Intfr Bcmps 35Mm 10Mm Dlt Acl Cann|598.92
880039.1926|Screw Intfr Bcmps 35Mm 12Mm Dlt Acl Cann|418.5
880064.3672|Screw Rsrfc Fem Tpr|1,109.86
880045.9133|Screw Set Cephlmed Ti6Al4V Ntr Nail Sys|459.94
880064.3672|Screw Tib Bsplt Tpr|1,109.86
833292|Scrn Colonoscopy Pt Not Hi Risk|1,067.00
880064.2494|Scrw Acl Intrfer 8.0Mm|102.3
880064.2495|Scrw Cann 2.0 X 6Mm|162.75
880064.9531|Scrw Cann 3 X 24Mm|144.15
880064.2495|Scrw Cann Ss 2.5 X 12Mm|153.45
880064.2495|Scrw Cann Ss 2.5 X 14Mm|153.45
880064.2495|Scrw Cann Ss 2.5 X 16Mm|139.5
880064.2495|Scrw Cann Ss 2.5 X 20Mm|130.2
880064.2495|Scrw Cann Ss 2.5 X 22Mm|139.5
880064.2495|Scrw Cann Ss 2.5 X 6Mm|139.5
880064.2495|Scrw Cann Ss 3.0 X 10Mm|130.2
880064.2495|Scrw Cann Ss 3.0 X 12Mm|130.2
880064.2496|Scrw Cann Ss 3.0 X 18Mm|130.2
880064.2496|Scrw Cann Ss 3.0 X 20Mm|130.2
880064.2496|Scrw Cann Ss 3.0 X 22Mm|130.2
880064.2495|Scrw Cann Ti 2.0 X 10Mm|162.75
880064.2495|Scrw Cann Ti 2.0 X 14Mm|148.8
880064.2495|Scrw Countersink Manual|306.9
880045.1166|Scrw Cup 6.5Mm X 15Mm|129.49
880045.1166|Scrw Cup 6.5Mm X 20Mm|127.63
880045.1166|Scrw Cup 6.5Mm X 30Mm|127.63
880045.1166|Scrw Cup 6.5Mm X 35Mm|127.63
880064.2495|Scrw Lag 2.4 X 10Mm|102.3
880045.2452|Scrw Lok 2.7Mm|615.51
880045.6586|Scrw Lok 2.7Mm X 28Mm|213.81
880064.2489|Scrw Mini Bone 2.5Mm X 24Mm|651.74
880038.2485|Scsr Mnplr 32Cm 5Mm Hk Blade Unv Cord|197.31
880039.258|Seal Floseal Matrix Hmsta 5.0Ml|569.91
60022830|Sed Rate Westergren Auto|121
835526|Self Mgmnt Education Indiv Ea 30 Min|113
60021110|Semen Analysis|612
890023.9047|Sennosides Tab 8.6 MG|3.1
890023.5361|Sennosides-Docusate Sodium Tab 8.6-50 MG|3.1
60049850|Sensitivity Urine|23
817121|Sensory Integrative Devel 15 Min Ot|178
880039.2494|Sep Opt W/Hand 12 X 100|122.27
880039.2508|Sep Opt W/Hand 12 X 150Mm|100.41
814540|Sequential Compression Device (Scd)|64
890023.6069|Sertraline HCl Tab 25 MG|3.1
890023.6069|Sertraline HCl Tab 50 MG|3.1
60061960|Sertraline Level|328
834540|Sesamoidectomy 1st Toe|1,421.00
880039.4744|Set Art Ln 12Cm 4Fr .021In Str Fem Gw|130.9
880039.2493|Set Biopsy 9Cm 18Ga 16Ga Q Cor Echtp 5Cm|145.22
880038.1084|Set Cath Er Crico Std 4.2Cm Mlkr 15Mm 4|547.4
880039.1745|Set Drl 2.4Mm Trnfx2 Acl Gft Pass Wire|460.56
880038.742|Set Hndpc Intpls Coax Hflo Tip Sux Tube|159.15
880039.4688|Set Hndpc Intpls Coax Tip Sux Tube AFF|564.19
880045.2486|Set Impl 35Mm Cbl Rd Ptlr 2 Cblpn 2 Crmp|1,719.01
880064.1257|Set Impl 40Mm Cbl Rd Ptlr 2 Cblpn 2 Crmp|1,719.01
880064.1257|Set Inst 45Mm Cbl Rd 2 Cblpn 2 Crmp Psr|1,719.01
880039.2755|Set Intpls Bone Cln Tip Sux Tube Hndpc|99.61
880039.1502|Set Ndl 25Mm 15Ga Ezio Ez-Cnct Ss Wrsbnd|413.9
880039.142|Set Ndl 45Mm 15Ga Ezio Ez-Cnct Ndl Vise|413.9
880045.242|Set Orth Fem 11.5Mm Trphn Mnl Rev Inst|1,333.20
880045.2485|Set Screw 3Mm .5 Thrd Std Cann|13,356.29
880045.2485|Set Screw 4Mm .5 Thrd Std Cann|16,665.60
880045.2485|Set Screw 4Mm 1/3 Thrd Std Cann|24,331.78
880045.2353|Set Screw Hip Plr|1,203.42
880039.3899|Set Srg Irr/Asp Tube Veriflow Csst|365.87
880039.877|Set Stent 24Cm 6Fr Rsnce Ureter Mtl|1,581.00
880039.7544|Set Sut Mndr Ii Mnscl Disp Strl|303.21
880039.7107|Set Thermoablation Hta Procerva Endmtrl|2,383.50
880095.2426|Set Thr 38Mm Xlpe Por Nk Cup Linr Head|6,975.00
880095.2425|Set Thr Epoch Cerm Xlpe Ha Por Stm Cup|7,440.00
880095.243|Set Thr Fitmore Lg Std Ha Xlpe Cerm Por|6,649.50
880095.243|Set Thr Fitmore Xl Std Ha Por Cup Head|6,975.00
880095.243|Set Thr Fitmore Xl Std Por Cup Head Linr|6,975.00
880095.243|Set Thr Fitmore Xl Std Xlpe Ha Por Cup|6,975.00
880095.2427|Set Thr Kinectiv Durom Lg Metasul Ldh Ha|6,975.00
880095.2428|Set Thr Kinectiv Durom Lg Metasul Ldh Ha|6,975.00
880095.2427|Set Thr Kinectiv Lg Ha Por Stm Nk Eprsth|5,994.78
880095.2427|Set Thr Kinectiv Lg Std Xlpe Ha Por Nk|6,975.00
880095.2427|Set Thr Kinectiv Lg Xlpe Ha Cerm Por Nk|7,440.00
880095.2427|Set Thr Kinectiv Std Ha Por Nk Cup Linr|6,975.00
880095.2427|Set Thr Kinectiv Std Ha Por Nk Cup Linr|6,975.00
880095.2427|Set Thr Kinectiv Xlpe Ha Cerm Por Nk Cup|7,440.00
880095.2428|Set Thr Lg Trb Mtl Ha Por Stm Cup Linr|7,719.00
880095.2429|Set Thr Trb Mtl Metasul Ldh Stm Cup Head|7,719.00
880095.2429|Set Thr Xlng Std Trb Mtl Xlpe Ha Por Stm|7,719.00
880039.242|Set Tl Jnt 11Mm Trphn Mri 8In Nonster|1,333.20
880039.1706|Set Tube Dualwave Csst Oflw Ascp Pmp|115.56
890002.1002|Sevoflurane Inhal Soln|379.44
890002.6679|Sevoflurane Inhal Soln|332.01
60062240|Sex Hormone Binding Globulin|105
880039.6855|Shaft Scrdrvr 2.4Mmx3Mm Mnl|427.23
880039.2489|Shaft Scrdrvr 2.5Mm Std Hex Periart Ss|1,296.84
880039.6855|Shaft Scrdrvr Spctrm 2-2.4Mm Mnl|424.2
814221|Shave Lesion Face <= 0.5cm|402
811630|Shave Lesion Face >2.0cm|602
835636|Shave Lesion Face >2.0cm|289
813228|Shave Lesion Face 0.6 - 1.0cm|341
811631|Shave Lesion Face 1.1-2.0cm|544
833393|Shave Lesion S/N/H/F/G 0.6-1.0 Cm|164
812035|Shave Lesion Sclp/Nk/Hnd/Ft .6-1.0cm|416
812034|Shave Lesion Sclp/Nk/Hnd/Ft <=0.5cm|336
832334|Shave Lesion Sclp/Nk/Hnd/Ft <=0.5cm|138
812052|Shave Lesion Sclp/Nk/Hnd/Ft >2cm|471
833898|Shave Lesion Sclp/Nk/Hnd/Ft >2cm|251
833898|Shave Lesion Sclp/Nk/Hnd/Ft >2cm|338
812051|Shave Lesion Sclp/Nk/Hnd/Ft 1.1-2cm|436
832790|Shave Lesion Sclp/Nk/Hnd/Ft 1.1-2cm|187
832335|Shave Lesion Sngl Face <=0.5cm|138
833135|Shave Lesion Trunk/Arm/Leg <=0 5cm|101
833135|Shave Lesion Trunk/Arm/Leg <=0 5cm|147
812033|Shave Lesion Trunk/Arm/Leg <=0.5cm|360
814220|Shave Lesion Trunk/Extrm > 2cm|530
834027|Shave Lesion Trunk/Extrm >2cm|214
813227|Shave Lesion Trunk/Extrm 0.6 -1.0cm|413
832333|Shave Lesion Trunk/Extrm 0.6 -1.0cm|154
811632|Shave Lesion Trunk/Extrm 1.1-2.0cm|489
834026|Shave Lesion Trunk/Extrm 1.1-2.0cm|180
880045.7567|Shell 48Mm|1,944.82
880045.8167|Shell Actb 44Mm Hip Prm Mlhl Tiv Por|1,618.27
880045.387|Shell Actb 45Mm Cnvrg Hip Por Rev Mlhl|3,084.44
880045.3866|Shell Actb 45Mm Hip Ch Por Cnvrg|1,756.27
880045.3871|Shell Actb 47Mm Cnvrg Hip Por Rev Mlhl|3,084.44
880045.3867|Shell Actb 47Mm Hip Ch Por Cnvrg|1,756.27
880045.2447|Shell Actb 48Mm Hip Mlhl Snpft Intgr Lck|7,384.20
880045.888|Shell Actb 48Mm Hip Prm Mlhl Tiv Por|3,336.84
880045.1813|Shell Actb 48Mm Hip Prm Sld Tiv Por Trlg|1,484.28
880045.2447|Shell Actb 48Mm Hip Unihole Snpft Intgr|5,710.20
880045.1763|Shell Actb 49Mm Cnvrg Hip Por Prm Ch Sl|1,756.27
880045.3871|Shell Actb 49Mm Cnvrg Hip Por Rev Mlhl|3,084.44
880045.2485|Shell Actb 49Mm Hip Sl Screw Hl Por|15,438.00
880045.2485|Shell Actb 50Mm Hip 3 Hl Clr Cd Osseoti|5,196.84
880045.2447|Shell Actb 50Mm Hip Mlhl 12 Sclp Snpft|7,384.20
880045.889|Shell Actb 50Mm Hip Prm Mlhl Tiv Por|3,409.38
880045.1813|Shell Actb 50Mm Hip Prm Sld Tiv Por Trlg|1,484.28
880045.2447|Shell Actb 50Mm Hip Unihole Snpft Intgr|5,710.20
880045.3871|Shell Actb 51Mm Cnvrg Hip Por Rev Mlhl|3,084.44
880045.3751|Shell Actb 51Mm Hip Prm Clstr Sl Screw|1,756.27
880045.2486|Shell Actb 52Mm Hip 3 Hl Clr Cd Osseoti|5,196.84
880095.1823|Shell Actb 52Mm Hip Mlhl Clr Cd Osseoti|6,275.64
88045.879|Shell Actb 52Mm Hip Prm Ch Tiv Por Trlg|3,758.20
880045.89|Shell Actb 52Mm Hip Prm Mlhl Tiv Por|3,409.38
880045.1813|Shell Actb 52Mm Hip Prm Sld Tiv Por Trlg|1,484.28
880045.2447|Shell Actb 52Mm Hip Unihole Snpft Intgr|5,710.20
880045.3871|Shell Actb 53Mm Cnvrg Hip Por Rev Mlhl|3,084.44
880105.2485|Shell Actb 54Mm Hip 4 Hl Clr Cd Osseoti|5,196.84
880045.4236|Shell Actb 54Mm Hip Mlhl 12 Sclp Snpft|4,664.88
880045.234|Shell Actb 54Mm Hip Mlhl Clr Cd Osseoti|6,275.64
880045.2646|Shell Actb 54Mm Hip Prm Ch Rim Tritanium|3,383.34
88045.88|Shell Actb 54Mm Hip Prm Ch Tiv Por Trlg|3,758.20
880045.891|Shell Actb 54Mm Hip Prm Mlhl Tiv Por|1,618.27
880045.1813|Shell Actb 54Mm Hip Prm Sld Tiv Por Trlg|1,484.28
880045.2447|Shell Actb 54Mm Hip Unihole Snpft Intgr|5,710.20
880045.1386|Shell Actb 55Mm Cnvrg Hip Por Prm Ch Sl|1,756.27
880045.3871|Shell Actb 55Mm Cnvrg Hip Por Rev Mlhl|3,084.44
880095.2486|Shell Actb 56Mm Hip 4 Hl Clr Cd Osseoti|5,196.84
880045.4312|Shell Actb 56Mm Hip Mlhl 12 Sclp Snpft|3,839.78
880045.2485|Shell Actb 56Mm Hip Mlhl Osseoti G7 F|6,275.64
88045.881|Shell Actb 56Mm Hip Prm Ch Tiv Por Trlg|3,758.20
880045.2373|Shell Actb 56Mm Hip Prm Sld Tiv Por Trlg|1,484.28
880045.2447|Shell Actb 56Mm Hip Unihole Snpft Intgr|5,710.20
880045.1779|Shell Actb 57Mm Cnvrg Hip Por Prm Ch Sl|1,756.27
880045.3871|Shell Actb 57Mm Cnvrg Hip Por Rev Mlhl|3,084.44
880045.2486|Shell Actb 58Mm Hip 4 Hl Clr Cd Osseoti|5,196.84
880095.2931|Shell Actb 58Mm Hip Mlhl Clr Cd Osseoti|6,275.64
880045.2734|Shell Actb 58Mm Hip Mlhl Mdlr Trb Mtl Ti|4,664.88
880045.1486|Shell Actb 58Mm Hip Prm Ch Rim Tritanium|3,383.34
880045.6165|Shell Actb 58Mm Hip Prm Mlhl Tiv Por|3,409.38
880045.2373|Shell Actb 58Mm Hip Prm Sld Tiv Por Trlg|1,484.28
880045.2447|Shell Actb 58Mm Hip Unihole Snpft Intgr|5,710.20
880045.2273|Shell Actb 59Mm Cnvrg Hip Por Prm Ch Sl|1,756.27
880045.3751|Shell Actb 59Mm Cnvrg Hip Por Rev Mlhl|3,084.44
880045.2486|Shell Actb 60Mm Hip 4 Hl Clr Cd Osseoti|5,196.84
880045.4003|Shell Actb 60Mm Hip Mlhl 12 Sclp Snpft|4,664.88
880045.1564|Shell Actb 60Mm Hip Mlhl Clr Cd Osseoti|6,275.64
880045.2273|Shell Actb 60Mm Hip Mlhl Mdlr Trb Mtl Ti|4,664.88
880045.257|Shell Actb 60Mm Hip Mlhl Snpft Intgr Lck|3,692.10
880045.8189|Shell Actb 60Mm Hip Prm Sld Tiv Por Trlg|1,484.28
880045.11|Shell Actb 60Mm Hip Rev Trb Mtl Tntlm|6,225.05
880045.2447|Shell Actb 60Mm Hip Unihole Snpft Intgr|5,710.20
880045.3751|Shell Actb 61Mm Cnvrg Hip Por Prm Ch Sl|1,756.27
880045.3871|Shell Actb 61Mm Cnvrg Hip Por Rev Mlhl|3,084.44
880045.2485|Shell Actb 62Mm Hip 4 Hl Clr Cd Osseoti|5,196.84
880045.1706|Shell Actb 62Mm Hip Mlhl Clr Cd Osseoti|6,275.64
880045.871|Shell Actb 62Mm Hip Prm Mlhl Tiv Por|3,409.38
880045.1813|Shell Actb 62Mm Hip Prm Sld Tiv Por Trlg|1,484.28
880045.2447|Shell Actb 62Mm Hip Unihole Snpft Intgr|5,710.20
880045.3871|Shell Actb 63Mm Cnvrg Hip Por Rev Mlhl|3,084.44
880045.3867|Shell Actb 63Mm Hip Ch Por Cnvrg|1,756.27
880045.2485|Shell Actb 64Mm Hip 4 Hl Clr Cd Osseoti|5,196.84
880095.245|Shell Actb 64Mm Hip Ch 12 Sclp Snpft Lck|5,419.37
880045.4237|Shell Actb 64Mm Hip Mlhl 12 Sclp Snpft|7,384.20
880045.191|Shell Actb 64Mm Hip Mlhl Clr Cd Osseoti|6,275.64
880045.1706|Shell Actb 64Mm Hip Prm Mdlr Cup Mlhl|5,907.36
880045.87|Shell Actb 64Mm Hip Prm Mlhl Tiv Por|3,409.38
880045.1813|Shell Actb 64Mm Hip Prm Sld Tiv Por Trlg|1,484.28
880045.11|Shell Actb 64Mm Hip Rev Cup Trb Mtl|6,225.05
880045.2447|Shell Actb 64Mm Hip Unihole Snpft Intgr|5,710.20
880045.3871|Shell Actb 65Mm Cnvrg Hip Por Rev Mlhl|3,084.44
880045.3867|Shell Actb 65Mm Hip Ch Por Cnvrg|1,756.27
880045.1695|Shell Actb 66Mm Hip Mlhl Clr Cd Osseoti|6,275.64
880045.2446|Shell Actb 66Mm Hip Mlhl Snpft Lck Grv|7,384.20
880045.2273|Shell Actb 66Mm Hip Prm Mdlr Mlhl Trb|5,459.47
880045.872|Shell Actb 66Mm Hip Prm Mlhl Tiv Por|3,177.25
880045.1812|Shell Actb 66Mm Hip Prm Sld Tiv Por Trlg|1,484.28
880045.2447|Shell Actb 66Mm Hip Unihole Trb Mtl Tiv|5,710.20
880045.3871|Shell Actb 67Mm Cnvrg Hip Por Rev Mlhl|3,084.44
880045.3867|Shell Actb 67Mm Hip Ch Por Cnvrg|1,756.27
880045.245|Shell Actb 68Mm Hip Ch Snpft Grv Intgr|4,570.99
880045.4266|Shell Actb 68Mm Hip Mlhl Trb Mtl Tiv|7,384.20
880045.887|Shell Actb 68Mm Hip Prm Ch Trlg Strl|1,618.27
880045.3814|Shell Actb 68Mm Hip Prm Mdlr Ch Trb Mtl|3,299.27
880045.1785|Shell Actb 68Mm Hip Prm Mdlr Mlhl Trb|3,850.67
880045.869|Shell Actb 68Mm Hip Prm Mlhl Tiv Por|1,639.59
880045.1812|Shell Actb 68Mm Hip Prm Sld Tiv Por Trlg|1,484.28
880045.2429|Shell Actb 68Mm Hip Rev Trb Mtl Tntlm|5,747.40
880045.2446|Shell Actb 68Mm Hip Unihole Trb Mtl Tiv|5,710.20
880045.3817|Shell Actb 69Mm Cnvrg Hip Por Rev Mlhl|3,084.44
880045.3867|Shell Actb 69Mm Hip Ch Por Cnvrg|1,756.27
880045.3813|Shell Actb 70Mm Hip Mlhl Trb Mtl|4,664.88
880045.6165|Shell Actb 70Mm Hip Prm Ch Tiv Por Trlg|1,562.40
880045.3814|Shell Actb 70Mm Hip Prm Mdlr Ch Trb Mtl|3,299.27
880045.873|Shell Actb 70Mm Hip Prm Mlhl Tiv Por|1,618.27
880045.617|Shell Actb 70Mm Hip Prm Sld Tiv Por Trlg|1,484.28
880045.3872|Shell Actb 71Mm Cnvrg Hip Por Rev Mlhl|3,084.44
880045.3867|Shell Actb 71Mm Hip Ch Por Cnvrg|1,756.27
880045.2273|Shell Actb 72Mm Hip Prm Mdlr Mlhl Trb|5,907.36
880045.2389|Shell Actb 72Mm Hip Prm Mlhl Tiv Por|3,336.84
880045.3872|Shell Actb 73Mm Cnvrg Hip Por Rev Mlhl|3,084.44
880045.3813|Shell Actb 74Mm Hip Prm Mdlr Mlhl Trb|3,850.67
880045.2389|Shell Actb 74Mm Hip Prm Mlhl Tiv Por|1,562.40
880045.3872|Shell Actb 75Mm Cnvrg Hip Por Rev Mlhl|3,084.44
880045.2389|Shell Actb 76Mm Hip Prm Mlhl Tiv Por|1,639.59
880045.3813|Shell Actb 78Mm Hip Prm Mdlr Mlhl Trb|3,850.67
880045.239|Shell Actb 78Mm Hip Prm Mlhl Tiv Por|1,484.28
880045.3872|Shell Actb 79Mm Cnvrg Hip Por Rev Mlhl|3,084.44
880045.3813|Shell Actb 80Mm Hip Prm Mdlr Mlhl Trb|3,850.67
880045.239|Shell Actb 80Mm Hip Prm Mlhl Tiv Por|1,484.28
880045.3872|Shell Actb 81Mm Cnvrg Hip Por Rev Mlhl|3,084.44
880045.3778|Shell Biplr 40Mm Mlplr Hip Mtl Strl|678.9
880045.3779|Shell Biplr 41Mm Mlplr Hip Mtl|678.9
880095.1407|Shell Biplr 44Mm Mlplr Hip Mtl|1,026.72
880095.1555|Shell Biplr 45Mm Mlplr Hip Mtl|1,026.72
880095.2424|Shell Biplr 46Mm 28Mm Rnglc Hip Cocr 2|2,070.18
880045.4626|Shell Biplr 46Mm Mlplr Hip Mtl|1,026.72
880095.2272|Shell Biplr 47Mm Mlplr Hip Mtl|855
880045.153|Shell Biplr 48Mm Mlplr Hip Mtl|1,026.72
880045.1373|Shell Biplr 50Mm Mlplr Hip Mtl|1,026.72
880045.3779|Shell Biplr 53Mm Mlplr Hip Mtl|822.12
880045.3779|Shell Biplr 54Mm Mlplr Hip Mtl|1,026.72
880045.1734|Shell Biplr 57Mm Mlplr Hip Mtl|678.9
880045.3779|Shell Biplr 60Mm Mlplr Hip Mtl|678.9
880045.3872|Shell Converge Multi Hole 77Mm|3,084.44
60075810|Shiga-Like Toxin Direct|57
60048831|Shiga-Like Toxin I|57
800819|Shoulder 1 Vw|398
800834|Shoulder 2+ Vw|538
880039.1158|Shr Esurg Hrmn Ati 23Cm 360D Crv 2|1,146.79
880039.1122|Shr Esurg Hrmn Ati 36Cm Crv 2 Hndcntl|1,445.34
880037.1414|Shr Esurg Hrmn Focus+ 9Cm Crv Tpr 2|1,424.89
880039.1083|Shth Escp 4Mm Pwr Ep1 Ref Shrt Obt Hndl|128.82
880039.1001|Shth Escp 5.5Mm Shrt Obt Hndl Strl Olv|128.82
880020.6812|Shunt Prtnl Dnvr Asct 2 Vlv Std Flw|3,321.01
880039.3899|Shvr 3.5Mm Srg Std|167.26
880039.3899|Shvr Arthsc 3.5Mm Std Crv|188.16
60021920|Sickle Cell Screen|122
814534|Sigmoid Flex W Rem Lesions by Hbf/Bpc|986
831693|Sigmoid Flex W Rem Lesions by Hbf/Bpc|302
831693|Sigmoid Flex W Rem Lesions by Hbf/Bpc|548
810074|Sigmoidoscopy Flex Diagnostic|389
810074|Sigmoidoscopy Flex Diagnostic|500
831691|Sigmoidoscopy Flex Diagnostic|138
831691|Sigmoidoscopy Flex Diagnostic|164
831691|Sigmoidoscopy Flex Diagnostic|312
814533|Sigmoidoscopy Flex W Bx|600
814533|Sigmoidoscopy Flex W Bx|628
831692|Sigmoidoscopy Flex W Bx|200
831692|Sigmoidoscopy Flex W Bx|209
831692|Sigmoidoscopy Flex W Bx|371
833558|Sigmoidoscopy Flex W Dilation by Balloon|575
834386|Sigmoidoscopy Flex W FB Removal|391
834521|Sigmoidoscopy Flex W Submucosal Injectn|387
833962|Sigmoidoscopy Remv Lesn Snare|696
831894|Sigmoidoscpy Flex Screening High Risk|1,067.00
890000.1287|Silver Nitrate-Potassium Nitrate Applicator 75-25%|3.1
890023.436|Silver Sulfadiazine Cream 1%|34.6
890023.436|Silver Sulfadiazine Cream 1%|147.31
890023.9047|Simethicone Chew Tab 80 MG|3.1
890023.5361|Simethicone Susp 40 MG/0.6ML,Simethicone Liquid 40 MG/0.6ML|6.11
890023.3953|Simple - Syrup|3.1
810514|Simple Bladder Irrig Lavage or Instill|211
831662|Simple Bladder Irrig Lavage or Instill|129
890023.6374|Simvastatin Tab 10 MG|3.1
890023.6374|Simvastatin Tab 40 MG|3.1
800257|Sinuses 3+ Vw|877
890023.6022|Sitagliptin Phosphate Tab 25 MG (Base Equiv)|50.89
890023.5416|Skin Protectants Misc - Cream|11.05
890023.6192|Skin Protectants Misc - Cream|7.16
890023.6192|Skin Protectants Misc - Cream|7.16
890023.7214|Skin Protectants Misc - Cream|13.52
890023.9277|Skin Protectants Misc - Cream|10.4
890023.411|Skin Protectants Misc - Ointment,Diaper Rash Products - Ointment,Vitamins A & D Oint,Lanolin-Petrolatum Oint 15.5-53.4%|7.47
800273|Skull < 4 Vw|541
800284|Skull Complete 4+ Vw|975
8102052|Skyla 13.5mg|2,559.40
880039.8982|Slide Instructional Hmrhd Thd Sys|1,664.99
833787|Sling OP for Stress Incontinence|2,990.00
880050.2493|Sling Orth 15D Lg 13+ In Arm Lt|185.89
880050.2492|Sling Orth 15D Med 11-13In Arm Lt|203.46
880050.2492|Sling Orth 15D Med 11-13In Arm Rt|203.46
880038.1931|Sling Orth Lg 13-15In Arm Rotr Cuf Drt|159.63
880050.2495|Sling Orth Med 11-13In Arm Drt Strap Hk|152.95
880045.1487|Sling Ureth Aris Thk.3Mm Polypro|1,767.00
880050.2493|Slng Ultr Er 15Deg Pllw Lg R|185.89
880039.4021|Slr/Divr Lapscp 18.8Cm Ligasure 28D 14.7|1,155.34
880039.1758|Slr/Divr Lapscp 18Cm 13.5Mm Ligasure|1,776.70
880039.1904|Slr/Divr Lapscp 37Cm Ligasure 350D 18.5|1,428.19
880039.1348|Slr/Divr Ligasure Md 5Mm 1 Stp Sl Mlfnc|2,194.57
880045.2882|Slv Adpr V40 +4Mm Ofst Unv Tpr Hip Ti|299.46
880045.2379|Slv Cbl 1.6Mm Dlmls Sm Hip Vit Crmp|214.5
880045.2379|Slv Cbl 2Mm Dlmls Med Hip Vit Grp Crmp|214.5
880039.1227|Slv Hld Hex Scrdrvr Lg Frag Set|682.62
880045.2389|Slv Hum 11Mm Cmprh Shldr Pstn|437.1
880045.3023|Slv Tib 3Cm Oss Prox Osseoti|4,464.00
60070840|Sm Antibody Ena|9
60070310|Smooth Muscle Antibody|309
60086700|Smooth Muscle Antibody Titer|92
818681|So Fig of 8 Restrainer Canvas Webbing|129
890023.1036|Sod Bicarb-Citric Acid-Simeth Gran Pack 2.21-1.53-0.04 GM|7.78
890001.4097|Sodium Acetate Inj 2 mEq/ML|74.5
890001.4096|Sodium Bicarbonate IV Soln 4.2%|74.5
890001.4096|Sodium Bicarbonate IV Soln 4.2%|74.5
890001.4095|Sodium Bicarbonate IV Soln 8.4%|121.52
890001.4097|Sodium Bicarbonate IV Soln 8.4%|74.5
890001.5175|Sodium Bicarbonate IV Soln 8.4%|74.5
890023.6655|Sodium Bicarbonate Tab 650 MG|3.1
60016750|Sodium Blood|99
890001.6381|Sodium Chloride Flush IV Soln 0.9%|97.3
890001.829|Sodium Chloride Flush IV Soln 0.9%|74.5
890023.1748|Sodium Chloride Hypertonic Ophth Oint 5%|29.21
890023.2421|Sodium Chloride Hypertonic Ophth Oint 5%|44.59
890008.338|Sodium Chloride Inj 3%|97.3
890001.338|Sodium Chloride Irrigation Soln 0.9%|97.3
890001.338|Sodium Chloride Irrigation Soln 0.9%,Sodium Chloride IV Soln 0.9%,Sodium Chloride Inj 0.9%|97.3
890008.338|Sodium Chloride IV Soln 0.45%|97.3
890022.2648|Sodium Chloride IV Soln 0.9%|97.3
890022.2648|Sodium Chloride IV Soln 0.9%|97.3
890022.338|Sodium Chloride IV Soln 0.9%|97.3
890022.338|Sodium Chloride IV Soln 0.9%,Sodium Chloride Inj 0.9%|97.3
890022.338|Sodium Chloride IV Soln 0.9%,Sodium Chloride Inj 0.9%|97.3
890022.338|Sodium Chloride IV Soln 0.9%,Sodium Chloride Inj 0.9%|97.3
890008.338|Sodium Chloride IV Soln 3%|97.3
890001.6332|Sodium Chloride IV Soln 4 mEq/ML (23.4%)|74.5
890000.4879|Sodium Chloride Soln Nebu 0.9%|72.5
890000.4879|Sodium Chloride Soln Nebu 0.9%|72.5
890001.4879|Sodium Chloride Soln Nebu 3%|72.5
890023.2232|Sodium Chloride Tab 1 GM|3.1
890023.1211|Sodium Citrate & Citric Acid Soln 500-334 MG/5ML|3.1
890024|Sodium Citrate & Citric Acid Soln 500-334 MG/5ML|3.1
890022.8913|Sodium Hyaluronate Intra-articular Gel Pref Syr 60 MG/3ML|1,461.61
890022.8912|Sodium Hyaluronate Intra-articular Inj 20 MG/2ML|288.31
890023.4361|Sodium Hypochlorite Soln 0.125%|31.67
890023.4361|Sodium Hypochlorite Soln 0.25%|31.67
890023.132|Sodium Phosphates - Enema|3.1
890001.4097|Sodium Phosphates Inj 15 mM/5ML (Phos) 20 mEq/5ML (Na),Sodium Phosphates Inj 45 mM/15ML (Phos) 60 mEq/15ML (Na),Sodium Phosphates Inj 150 mM/50ML (Phos) 200 mEq/50ML (Na)|74.5
890001.6332|Sodium Phosphates Inj 15 mM/5ML (Phos) 20 mEq/5ML (Na),Sodium Phosphates Inj 45 mM/15ML (Phos) 60 mEq/15ML (Na),Sodium Phosphates Inj 150 mM/50ML (Phos) 200 mEq/50ML (Na)|74.5
60016850|Sodium Urine Random|121
60013740|Sodium Urine Timed I|33
890023.3101|Sodium Zirconium Cyclosilicate For Susp Packet 10 GM|72.68
890023.3101|Sodium Zirconium Cyclosilicate For Susp Packet 10 GM|72.67
890023.1012|Soft Contact Lens Products - Solution|6.91
880039.1134|Sol Inj Contrst Omniscan 20Ml Vi|105.93
880039.2387|Sol Wnd Clnsg Bactisure Etoh Act Na Act|1,818.00
890023.5023|Solifenacin Succinate Tab 5 MG|3.1
60063360|Somatomedin C (Igf-1)|297
890023.4629|Sorbitol Oral Solution 70%,Sorbitol Solution (Bulk)|3.1
890023.5416|Sorbitol Oral Solution 70%,Sorbitol Solution (Bulk)|3.1
890023.6051|Sotalol HCl Tab 80 MG|3.1
801122|Sp Endovenous Radiofreq 1st Vein|12,738.00
60052740|Sp G+M Level II Tc|471
60052741|Sp G+M Level II Tc Nl|471
60052750|Sp G+M Level III Tc|538
60052751|Sp G+M Level III Tc Nl|538
60051550|Sp G+M Level IV|776
60052760|Sp G+M Level IV Tc|828
60120020|Sp G+M Level IV Tc Nl II|828
60052770|Sp G+M Level V Tc|1,348.00
60052771|Sp G+M Level V Tc Nl|1,348.00
60052780|Sp G+M Level VI Tc|1,802.00
60052781|Sp G+M Level VI Tc Nl|1,802.00
60052350|Sp Gross Level I Tc|236
60052351|Sp Gross Level I Tc Nl|236
60052820|Sp Stain Frozen Tc|524
60052800|Sp Stain Group I Tc|338
60052801|Sp Stain Group I Tc Nl|338
60052810|Sp Stain Group II Tc|210
60120030|Sp Stain Grp II Tc Nl II|210
890000.4214|Spacer/Aerosol-Holding Chambers - Device|15.07
890000.4351|Spacer/Aerosol-Holding Chambers - Device|110.74
880045.3689|Spcr Cmnt Exch G Hip L Lng 60Mm X 251Mm|6,975.00
880045.3689|Spcr Cmnt Exch G Hip L Shrt 60Mm X 135Mm|6,975.00
880045.3689|Spcr Cmnt Exch G Hip M Lng 54Mm X 251Mm|6,975.00
880045.3689|Spcr Cmnt Exch G Hip M Shrt 54Mm X 135Mm|6,975.00
880045.3689|Spcr Cmnt Exch G Hip S Lng 46Mm X 251Mm|6,975.00
880045.3689|Spcr Cmnt Exch G Hip S Shrt 46Mm X 135Mm|6,975.00
880045.3689|Spcr Cmnt Exch G Hip XL Lng 65Mm X 251Mm|6,975.00
880045.3689|Spcr Cmnt Exch G Hip XL Shrt 65MmX135Mm|6,975.00
880045.3689|Spcr Cmnt Exch G Kn Lg 74Mm Fem 74Mm Tib|6,975.00
880045.3689|Spcr Cmnt Exch G Kn Sm 54Mm Fem 53Mm Tib|6,975.00
880045.3689|Spcr Cmnt Kn Med 64Mm Fem 64Mm Tib|6,975.00
880045.3199|Spcr Hum +12Mm Shldr Trb Mtl Rvrs Strl|1,208.63
880045.1992|Spcr Hum +9Mm Shldr Trb Mtl Rvrs Strl Lf|1,208.63
880095.3672|Spcr Tib 10Mm Eleos Kn Poly Lmb Slvg Sys|3,238.56
880095.3672|Spcr Tib 12Mm Eleos Kn Poly Lmb Slvg Sys|3,238.56
880095.3672|Spcr Tib 16Mm Eleos Kn Poly Lmb Slvg Sys|3,238.56
880095.3672|Spcr Tib 20Mm Eleos Kn Poly Lmb Slvg Sys|3,238.56
880095.3672|Spcr Tib 8Mm Eleos Kn Poly Lmb Slvg Sys|3,238.56
60075390|Specific Gravity Fluid|44
812223|Speech Disc/Recept Threshold|194
812210|Speech Reception Threshold|138
880045.1692|Sphr Glnd 36Mm Shldr Trb Mtl Pe Rvrs|2,249.86
880045.2022|Sphr Glnd 40Mm Shldr Trb Mtl Pe Rvrs|2,249.86
800585|Spine 1 View|913
811323|Spirometry|139
811323|Spirometry|609
830216|Spirometry|28
830216|Spirometry|41
811637|Spirometry Bedside|224
890023.6374|Spironolactone Tab 25 MG|3.1
833631|Splenectomy Total|3,690.00
SUP100011|Splint Ankle Stirrup Brace|30
830468|Splint Arm Long Profee|149
830468|Splint Arm Long Profee|213
830470|Splint Finger Static Profee|82
830471|Splint Leg Long Profee|461
830472|Splint Leg Short Profee|125
830472|Splint Leg Short Profee|461
8101447|Splint Short Leg Fiberglas Adlt >=11 Yrs|53
832834|Split Autograft Trunk Ext 100 Sqcm|2,406.00
880038.2489|Splnt Nsl 50X28Mm Mini Vlcr Al Fm Dnvr 2|139.19
880038.2489|Splnt Nsl Sm/Med|139.19
880037.5837|Splnt Orth 15Ftx2In Wrst Wrnkl Fr Strch|108.31
880037.1628|Splnt Orth 15Ftx3In Wrst Wrnkl Fr Strch|150.58
880037.1625|Splnt Orth 15Ftx4In Wrst Wrnkl Fr Strch|170.53
880037.5837|Splnt Orth 15Ftx6In Wrst Imb Rl Intlk|265.67
833478|Splt Tk Autgrft Fac/Hd 100cm|365
833478|Splt Tk Autgrft Fac/Hd 100cm|3,456.00
833479|Splt Tk Autgrft Fac/Hd Ea Addl 100cm|463
814791|Splt Tk Autgrft Face/Hd 100cm|607
880039.2495|Spng Absb 4X3In Hlstat Hmst Agnt 5Ml|410.5
880045.2598|Spng Prs Shldr Zotefoam Bglni/Fltw Disp|111.6
835840|Sports Physical Clinic/Open House|15
836135|Sports Physical Exam Self Pay|30
815774|Sputum Mobilization Initial|274
880045.1321|Srfc Artc 10Mm 10-11 Ef Kn Lt Vivacit-E|2,911.83
880045.3592|Srfc Artc 10mm Persona Mdl Cngr 8-11 G-h|1,841.40
880045.3342|Srfc Artc 10mm Persona Mdl Cngr 8-9 Cd|2,911.83
880045.1321|Srfc Artc 11Mm 10-12 Gh Kn Lt Vivacit-E|1,488.00
880045.1323|Srfc Artc 11Mm Persona 10-11 Ef Kn Rt|1,488.00
880045.1323|Srfc Artc 11Mm Persona 10-12 Gh Rt Kn|2,911.83
880045.3327|Srfc Artc 11mm Persona Mdl Cngr 6-7 Ef|930
880045.1323|Srfc Artc 12Mm Persona 10-11 Ef Rt Kn|2,911.83
880045.1321|Srfc Artc 13Mm 10-11 Ef Kn Lt Vivacit-E|2,911.83
880045.1321|Srfc Artc 13Mm 6-9 Ef Kn Lt Vivacit-E|2,911.83
880045.1323|Srfc Artc 13Mm Persona 10-11 Ef Rt Kn|1,488.00
880045.1323|Srfc Artc 13Mm Persona 6-9 Cd Rt Kn|2,911.83
880045.1323|Srfc Artc 13Mm Persona 6-9 Ef Rt Kn|1,488.00
880045.1321|Srfc Artc 14Mm 10-11 Ef Kn Vivacit-E|3,459.60
880045.3238|Srfc Artc 14mm Most Ii B Kn Rot Hng Seg|3,746.41
880045.1323|Srfc Artc 14Mm Persona 10-11 Ef Rt Kn|1,488.00
880045.1323|Srfc Artc 14Mm Persona 6-9 Ef Rt Kn|2,911.83
880045.1321|Srfc Artc 16Mm 6-9 Cd Kn Vivacit-E|1,488.00
880045.2392|Srfc Artc 16Mm Persona 6-9 Cd Kn Rt|3,475.41
880045.1321|Srfc Artc 20Mm 6-9 Cd Kn Vivacit-E|2,911.83
60060730|Ss-a Antibody|27
60060770|Ss-B Antibody|27
880045.2486|St Fx Ank|372
880039.2492|St Gastro/Jejunostmy|681.75
880045.2486|St Jt Reconstr|465
816078|Stab Phlebect Vn 10-20 St Inc|1,369.00
833950|Stab Phlebect Vn 10-20 St Inc|945
833950|Stab Phlebect Vn 10-20 St Inc|2,267.00
60043670|Staph Aureus Amplified Probe|123
818689|Static Afo|102
880045.2367|Stem Cem Versys Ld/Fx 15Mm X 140Mm|1,577.28
880045.3956|Stem Exten Offst 18Mm X 155Mm|2,526.81
880045.7889|Stem Fem 105Mm Hip 127D 4 42Mm Hi Ofst|7,074.51
880045.3305|Stem Fem 105X7.5Mm Hip 0 12/14 32Mm Std|4,945.74
880045.1534|Stem Fem 10Mm 119Mm Hip 12/14 44Mm Std|6,881.07
880045.3861|Stem Fem 10Mm 119Mm Hip 12/14 49Mm Xtd|4,624.43
880095.3979|Stem Fem 10Mm 120Mm Cmnt Vrsy Ld/Fx 11|3,039.15
880045.2486|Stem Fem 11Mm 104Mm Hip 130D Hi Ofst|3,673.50
880045.2485|Stem Fem 11Mm 104Mm Hip 135D Std Ofst|3,673.50
880095.1383|Stem Fem 11Mm 117Mm Prm Prft Tiv Trb Mtl|12,875.68
880045.3579|Stem Fem 11Mm 120Mm Prft Zml Vrsy Ld/Fx|2,678.40
880045.3726|Stem Fem 11Mm 120Mm Prm Tiv Fm Beaded|4,724.40
880045.3735|Stem Fem 11Mm 120Mm Prm Tiv Fm Por Vrsy|4,809.85
880095.3727|Stem Fem 11Mm 120Mm Prm Tiv Fm Por Vrsy|10,757.20
880095.2487|Stem Fem 11Mm 121Mm Hip 12/14 42Mm Std|6,881.07
880095.1524|Stem Fem 11Mm 121Mm Hip 12/14 44Mm Std|6,881.07
880045.2464|Stem Fem 11Mm 121Mm Hip 12/14 49Mm Xtd|6,881.07
880045.2458|Stem Fem 11Mm 130Mm Hip 135D 36Mm Std|6,629.19
880045.2458|Stem Fem 11Mm 130Mm Hip 135D 36Mm Std|6,629.19
880045.2458|Stem Fem 11Mm 130Mm Hip 135D 41Mm Xtd|6,629.19
880045.2458|Stem Fem 11Mm 130Mm Hip 135D 41Mm Xtd|6,629.19
880045.2964|Stem Fem 11Mm 130Mm Hip 41Mm Xtd Ofst|8,024.04
880045.2743|Stem Fem 11Mm 135Mm Hip 130D Lat Ofst|3,673.50
880045.3748|Stem Fem 11Mm 160Mm Prm Algn Gd Zml|5,319.28
880045.3749|Stem Fem 11Mm 160Mm Prm Algn Gd Zml|4,943.88
880095.2487|Stem Fem 12.5Mm 124Mm Hip 12/14 42Mm Std|6,881.07
880045.1723|Stem Fem 12.5Mm 124Mm Hip 12/14 45Mm Std|6,881.07
880045.2486|Stem Fem 12Mm 106.5Mm Hip 130D Hi Ofst|3,673.50
880039.2485|Stem Fem 12Mm 106.5Mm Hip 135D Std Ofst|3,673.50
880045.3738|Stem Fem 12Mm 115Mm Str Tiv Por Zmr Hip|4,290.09
880095.209|Stem Fem 12Mm 125Mm Cmnt Zml Vrsy Ld/Fx|3,357.30
880045.3729|Stem Fem 12Mm 125Mm Hip 39Mm Std Ofst|4,235.37
880045.3722|Stem Fem 12Mm 125Mm Prm Tiv Fm Por Vrsy|4,724.40
880095.3721|Stem Fem 12Mm 125Mm Prm Tiv Fm Por Vrsy|10,757.20
880095.1365|Stem Fem 12Mm 128Mm Hip 12/14 43.5Mm Xtd|13,133.20
880039.2361|Stem Fem 12Mm 128Mm Prm Prft Trb Mtl Tiv|13,133.20
880045.2458|Stem Fem 12Mm 140Mm Hip 135D 39Mm Std|6,629.19
880095.2458|Stem Fem 12Mm 140Mm Hip 135D 39Mm Std|14,029.92
880045.2458|Stem Fem 12Mm 140Mm Hip 135D 44Mm Xtd|6,629.19
880045.2458|Stem Fem 12Mm 140Mm Hip 135D 44Mm Xtd|6,629.19
880045.3749|Stem Fem 12Mm 160Mm Prm Algn Gd Zml|8,849.88
880045.3748|Stem Fem 12Mm 160Mm Prm Rev Algn Gd Dist|5,319.28
880045.3738|Stem Fem 12Mm 170Mm Rev Comp Nut Tiv|5,392.14
880045.3859|Stem Fem 12Mm 190Mm Hip 39Mm Ofst Str Lm|8,674.26
880045.7718|Stem Fem 12Mm 50Mm Kn Cmnt Trthln|1,738.17
880045.2367|Stem Fem 13 X 130|1,577.28
880045.3738|Stem Fem 13.5Mm 115Mm Str Tiv Por Zmr|5,428.41
880045.3861|Stem Fem 13.5Mm 126Mm Hip 12/14 46Mm Std|6,881.07
880045.2464|Stem Fem 13.5Mm 126Mm Hip 12/14 51Mm Xtd|4,624.43
880045.3738|Stem Fem 13.5Mm 170Mm Rev Comp Nut Tiv|6,335.16
880045.2463|Stem Fem 13.5Mm 177Mm Hip Clcr 42Mm Ofst|9,022.86
880095.3859|Stem Fem 13.5Mm 190Mm Hip 42Mm Ofst Str|12,101.23
880045.3857|Stem Fem 13.5Mm 200Mm Hip 42Mm Ofst Lm|9,148.63
880045.3858|Stem Fem 13.5Mm 200Mm Hip 42Mm Ofst Std|9,148.63
880045.2463|Stem Fem 13.5Mm 240Mm Hip Clcr 42Mm Ofst|9,774.77
880045.2463|Stem Fem 13.5Mm 240Mm Hip Clcr 42Mm Ofst|9,774.77
880045.3859|Stem Fem 13.5Mm 250Mm Hip 42Mm Ofst Lm|9,830.83
880045.386|Stem Fem 13.5Mm 250Mm Hip 42Mm Ofst Std|9,830.83
880045.2485|Stem Fem 130X10Mm Hip 5 12/14Mm 45Mm Xtd|4,945.74
880045.286|Stem Fem 130X9Mm Hip 1 12/14 39Mm Xtd|4,945.74
880045.2487|Stem Fem 130X9Mm Hip 2 12/14 41Mm Xtd|4,945.74
880095.3305|Stem Fem 130X9Mm Hip 3 12/14 37Mm Std|2,976.00
880045.2486|Stem Fem 13Mm 109Mm Hip 130D Hi Ofst|3,673.50
880045.2486|Stem Fem 13Mm 109Mm Hip 135D Std Ofst|3,673.50
880045.1394|Stem Fem 13Mm 130Mm Prft Zml Vrsy Ld/Fx|3,024.58
880045.3723|Stem Fem 13Mm 130Mm Prm Tiv Fm Por Vrsy|4,640.70
880095.2255|Stem Fem 13Mm 130Mm Prm Tiv Fm Por Vrsy|10,757.20
880095.3551|Stem Fem 13Mm 130Mm Prm Tiv Fm Por Vrsy|10,757.20
880095.2361|Stem Fem 13Mm 138Mm Hip 12/14 45Mm Xtd|13,133.20
880039.2361|Stem Fem 13Mm 138Mm Prm Prft Trb Mtl Tiv|13,133.20
880045.2458|Stem Fem 13Mm 140Mm Hip 135D 39Mm Std|6,629.19
880095.2458|Stem Fem 13Mm 140Mm Hip 135D 39Mm Std|13,754.83
880039.2458|Stem Fem 13Mm 140Mm Hip 135D 44Mm Xtd|14,029.92
880095.2458|Stem Fem 13Mm 140Mm Hip 135D 44Mm Xtd|14,029.92
880045.3749|Stem Fem 13Mm 160Mm Hip 44Mm Xtd Ofst|6,520.23
880045.3749|Stem Fem 13Mm 160Mm Prm Rev Algn Gd Dist|8,849.88
880045.264|Stem Fem 13Mm 170Mm Hip Clcr 41Mm Ofst|8,883.36
880045.3736|Stem Fem 13Mm 210Mm Hip Clcr 41Mm Ofst|9,430.20
880045.3736|Stem Fem 13Mm 250Mm Rev Cmnt Zml Vrsy 41|6,420.72
880045.2641|Stem Fem 13Mm 300Mm Rev Cmnt Zml Vrsy 41|6,420.72
880045.2486|Stem Fem 14Mm 111.5Mm Hip 130D Hi Ofst|3,673.50
880095.3545|Stem Fem 14Mm 135Mm Cmnt Zml Vrsy Ld/Fx|3,039.15
880045.3739|Stem Fem 14Mm 135Mm Hip 3.5D Tpr Rev 3|4,920.63
880045.3579|Stem Fem 14Mm 135Mm Hip 40Mm Ofst Prft|2,351.97
880045.3723|Stem Fem 14Mm 135Mm Prm Tiv Fm Beaded|4,724.40
880095.3722|Stem Fem 14Mm 135Mm Prm Tiv Fm Por Vrsy|10,757.20
880045.2458|Stem Fem 14Mm 140Mm Hip 135D 42Mm Std|7,028.01
880045.2458|Stem Fem 14Mm 140Mm Hip 135D 47Mm Xtd|6,629.19
880095.2361|Stem Fem 14Mm 149Mm Hip 12/14 41.5Mm Std|12,875.68
880095.1181|Stem Fem 14Mm 149Mm Prm Prft Trb Mtl Tiv|12,875.68
880045.3551|Stem Fem 14Mm 160Mm Hip 42Mm Std Ofst|8,370.00
880045.3749|Stem Fem 14Mm 160Mm Hip 47Mm Xtd Ofst|8,849.88
880045.3749|Stem Fem 14Mm 160Mm Prm Algn Gd Zml|8,849.88
880045.2572|Stem Fem 14Mm 185Mm Hip 3.5D Tpr Rev 3|5,621.85
880045.2591|Stem Fem 14Mm 225Mm Hip 135D 12/14 Tpr|9,396.72
880045.2486|Stem Fem 15Mm 114Mm Hip 130D Hi Ofst|3,673.50
880095.2671|Stem Fem 15Mm 114Mm Hip 135D Std Ofst|3,673.50
880045.3739|Stem Fem 15Mm 115Mm Str Tiv Por Zmr|4,559.14
880045.2464|Stem Fem 15Mm 129Mm Hip 12/14 46Mm Std|6,881.07
880045.2464|Stem Fem 15Mm 129Mm Hip 12/14 51Mm Xtd|6,881.07
880045.1092|Stem Fem 15Mm 135Mm Tiv Zmr 3.5D Tpr Hip|4,642.56
880045.3579|Stem Fem 15Mm 140Mm Hip 40Mm Ofst Prft|2,351.97
880045.3723|Stem Fem 15Mm 140Mm Prm Tiv Fm Beaded|4,873.20
880045.3722|Stem Fem 15Mm 140Mm Prm Tiv Fm Por Vrsy|4,873.20
880095.2361|Stem Fem 15Mm 160Mm Hip 12/14 48Mm Xtd|12,875.68
880045.2458|Stem Fem 15Mm 160Mm Hip 135D 42Mm Std|7,028.01
880045.2458|Stem Fem 15Mm 160Mm Hip 135D 42Mm Std|7,028.01
880045.2458|Stem Fem 15Mm 160Mm Hip 135D 47Mm Xtd|6,629.19
880045.2458|Stem Fem 15Mm 160Mm Hip 135D 47Mm Xtd|6,629.19
880045.1531|Stem Fem 15Mm 160Mm Prm Algn Gd Zml|6,520.23
880045.3749|Stem Fem 15Mm 160Mm Prm Algn Gd Zml|4,943.88
880045.2463|Stem Fem 15Mm 167Mm Hip Clcr 45Mm Ofst|9,022.86
880045.3739|Stem Fem 15Mm 170Mm Rev Str Comp Nut Sys|6,335.16
880045.2463|Stem Fem 15Mm 177Mm Hip Clcr 45Mm Ofst|10,179.78
880095.3736|Stem Fem 15Mm 180Mm Hip Clcr 44Mm Ofst|8,011.95
880045.3739|Stem Fem 15Mm 185Mm Hip 3.5D Tpr Rev 3|5,621.85
880095.2462|Stem Fem 15Mm 190Mm Hip 45Mm Ofst Str Lm|12,101.23
880045.3858|Stem Fem 15Mm 200Mm Hip 45Mm Ofst Std|9,148.63
880045.3736|Stem Fem 15Mm 220Mm Rev Cmnt Zml Vrsy 44|9,430.20
880045.2463|Stem Fem 15Mm 230Mm Hip Clcr +20Mm 45Mm|9,774.77
880045.2463|Stem Fem 15Mm 230Mm Hip Clcr +20Mm 45Mm|9,774.77
880045.2463|Stem Fem 15Mm 240Mm Hip Clcr 45Mm Ofst|9,774.77
880045.2463|Stem Fem 15Mm 240Mm Hip Clcr 45Mm Ofst|9,774.77
880045.3859|Stem Fem 15Mm 250Mm Hip 45Mm Ofst Lm Bdy|9,830.83
880045.386|Stem Fem 15Mm 250Mm Hip 45Mm Ofst Std|9,830.83
880045.2463|Stem Fem 15Mm 250Mm Hip 45Mm Ofst Str Lm|13,354.80
880045.3736|Stem Fem 15Mm 250Mm Rev Cmnt Zml Vrsy 44|6,420.72
880045.3737|Stem Fem 15Mm 300Mm Hip Clcr 44Mm Ofst|8,233.85
880045.2464|Stem Fem 16.25Mm 132Mm Hip 12/14 47Mm|6,881.07
880045.2464|Stem Fem 16.25Mm 132Mm Hip 12/14 52Mm|4,624.43
880045.3739|Stem Fem 16.5Mm 115Mm Str Tiv Por Zmr|5,428.41
880045.2463|Stem Fem 16.5Mm 167Mm Hip Clcr 45Mm Ofst|9,022.86
880045.3845|Stem Fem 16.5Mm 170Mm Hip Bw Tiv Por Zmr|5,194.98
880045.3845|Stem Fem 16.5Mm 170Mm Hip Str Tiv Por|5,194.98
880045.3739|Stem Fem 16.5Mm 170Mm Rev Comp Nut Tiv|5,863.65
880045.2463|Stem Fem 16.5Mm 177Mm Hip Clcr 45Mm Ofst|9,022.86
880045.2462|Stem Fem 16.5Mm 190Mm Hip 45Mm Ofst Str|8,674.26
880045.3858|Stem Fem 16.5Mm 200Mm Hip 45Mm Ofst Lm|9,148.63
880045.3858|Stem Fem 16.5Mm 200Mm Hip 45Mm Ofst Std|9,148.63
880045.3845|Stem Fem 16.5Mm 220Mm Hip Bw Tiv Por Zmr|5,938.42
880045.2463|Stem Fem 16.5Mm 230Mm Hip Clcr +20Mm 45|9,774.77
880045.2463|Stem Fem 16.5Mm 230Mm Hip Clcr +20Mm 45|9,774.77
880045.2463|Stem Fem 16.5Mm 240Mm Hip Clcr 45Mm Ofst|9,774.77
880045.2463|Stem Fem 16.5Mm 240Mm Hip Clcr 45Mm Ofst|9,774.77
880095.3859|Stem Fem 16.5Mm 250Mm Hip 45Mm Ofst Lm|13,654.33
880045.386|Stem Fem 16.5Mm 250Mm Hip 45Mm Ofst Std|9,830.83
880045.2463|Stem Fem 16.5Mm 250Mm Hip 45Mm Ofst Str|13,354.80
880045.3847|Stem Fem 16.5Mm 260Mm Hip Bw Tiv Por Zmr|6,028.26
880045.2485|Stem Fem 16Mm 116.5Mm Hip 130D Hi Ofst|3,673.50
880045.2486|Stem Fem 16Mm 116.5Mm Hip 135D Std Ofst|3,673.50
880045.1808|Stem Fem 16Mm 135Mm Hip 3.5D Tpr Rev 3|4,920.63
880095.3579|Stem Fem 16Mm 145Mm Hip 42Mm Ofst Prft|2,678.40
880045.3723|Stem Fem 16Mm 145Mm Prm Tiv Fm Beaded|4,873.20
880045.3722|Stem Fem 16Mm 145Mm Prm Tiv Fm Por Vrsy|4,873.20
880095.3551|Stem Fem 16Mm 145Mm Prm Tiv Fm Por Vrsy|10,757.20
880045.2458|Stem Fem 16Mm 160Mm Hip 135D 45Mm Std|6,629.19
880045.2458|Stem Fem 16Mm 160Mm Hip 135D 45Mm Std|6,629.19
880039.2458|Stem Fem 16Mm 160Mm Hip 135D 50Mm Xtd|14,041.08
880045.2458|Stem Fem 16Mm 160Mm Hip 135D 50Mm Xtd|6,629.19
880045.3749|Stem Fem 16Mm 160Mm Prm Algn Gd Zml|5,389.35
880045.375|Stem Fem 16Mm 160Mm Prm Algn Gd Zml|8,849.88
880045.2361|Stem Fem 16Mm 171Mm Hip 12/14 49.5Mm Xtd|5,392.94
880045.1092|Stem Fem 16Mm 185Mm Hip 3.5D Tpr Rev 3|5,301.00
880045.277|Stem Fem 16Mm 190Mm Hip 135D 12/14 Tpr|9,396.72
880045.2485|Stem Fem 16Mm 225Mm Hip 135D 12/14 Tpr|9,396.72
880045.374|Stem Fem 16Mm 235Mm Hip 3.5D Tpr Rev 3|5,767.86
880045.2487|Stem Fem 16Mm 305Mm Hip 135D 12/14 Tpr|10,412.28
880045.59|Stem Fem 17.5Mm 134Mm Prm Tiv Por 47Mm|6,881.07
880045.2497|Stem Fem 17Mm 119Mm Hip 130D Hi Ofst|3,673.50
880045.3842|Stem Fem 17Mm 135Mm Hip 3.5D Tpr Rev|4,113.02
880045.374|Stem Fem 17Mm 135Mm Hip 3.5D Tpr Rev 3|4,920.63
880045.3723|Stem Fem 17Mm 150Mm Prm Tiv Fm Beaded|4,873.20
880095.3722|Stem Fem 17Mm 150Mm Prm Tiv Fm Por Vrsy|10,757.20
880045.2458|Stem Fem 17Mm 160Mm Hip 135D 45Mm Std|6,629.19
880045.2458|Stem Fem 17Mm 160Mm Hip 135D 50Mm Xtd|7,028.01
880045.2458|Stem Fem 17Mm 160Mm Hip 135D 57Mm Xtd|6,629.19
880045.3749|Stem Fem 17Mm 160Mm Prm Algn Gd Zml|4,943.88
880045.375|Stem Fem 17Mm 160Mm Prm Algn Gd Zml|8,849.88
880045.2361|Stem Fem 17Mm 172Mm Prm Prft Trb Mtl Tiv|5,392.94
880045.2361|Stem Fem 17Mm 172Mm Prm Prft Trb Mtl Tiv|5,392.94
880045.4009|Stem Fem 17Mm 185Mm 3 Pnt Fx Tiv Zmr Tpr|5,301.00
880045.3843|Stem Fem 17Mm 185Mm Hip 3.5D Tpr Rev|4,933.28
880045.3737|Stem Fem 17Mm 190Mm Rev Cmnt Zml Vrsy 47|9,430.20
880045.2485|Stem Fem 17Mm 225Mm Hip 135D 12/14 Tpr|9,396.72
880045.3737|Stem Fem 17Mm 230Mm Rev Cmnt Zml Vrsy 47|8,728.98
880045.3843|Stem Fem 17Mm 235Mm Hip 3.5D Tpr Rev|5,167.64
880045.1067|Stem Fem 17Mm 235Mm Tpr Rev Tiv Por Zmr|5,792.04
880045.3739|Stem Fem 18Mm 115Mm Rev Tiv Por Zmr Str|5,017.35
880045.3843|Stem Fem 18Mm 135Mm Hip 3.5D Tpr Rev|4,113.02
880045.1659|Stem Fem 18Mm 135Mm Hip 3.5D Tpr Rev 3|4,920.63
880045.3545|Stem Fem 18Mm 155Mm Cmnt Zml Vrsy Ld/Fx|2,036.70
880045.3723|Stem Fem 18Mm 155Mm Prm Tiv Fm Beaded|4,873.20
880045.3722|Stem Fem 18Mm 155Mm Prm Tiv Fm Por Vrsy|4,873.20
880045.2458|Stem Fem 18Mm 160Mm Hip 135D 48Mm Std|6,629.19
880045.2458|Stem Fem 18Mm 160Mm Hip 135D 48Mm Std|6,629.19
880045.2458|Stem Fem 18Mm 160Mm Hip 135D 53Mm Xtd|6,629.19
880045.2458|Stem Fem 18Mm 160Mm Hip 135D 53Mm Xtd|6,629.19
880045.375|Stem Fem 18Mm 160Mm Prm Algn Gd Zml|8,849.88
880045.2463|Stem Fem 18Mm 167Mm Hip Clcr 48Mm Ofst|9,022.86
880045.3845|Stem Fem 18Mm 170Mm Hip Bw Tiv Por Zmr|5,194.98
880045.3845|Stem Fem 18Mm 170Mm Hip Str Tiv Por Zmr|5,194.98
880045.3739|Stem Fem 18Mm 170Mm Rev Comp Nut Tiv|5,863.65
880045.2361|Stem Fem 18Mm 172Mm Prm Prft Trb Mtl Tiv|5,392.94
880045.2361|Stem Fem 18Mm 172Mm Prm Prft Trb Mtl Tiv|5,392.94
880045.2463|Stem Fem 18Mm 177Mm Hip Clcr 48Mm Ofst|9,022.86
880045.3843|Stem Fem 18Mm 185Mm Hip 3.5D Tpr Rev|4,698.92
880045.374|Stem Fem 18Mm 185Mm Hip 3.5D Tpr Rev 3|5,621.85
880045.2586|Stem Fem 18Mm 190Mm Hip 135D 12/14 Tpr|9,396.72
880045.2462|Stem Fem 18Mm 190Mm Hip 48Mm Ofst Str Lm|8,674.26
880045.3857|Stem Fem 18Mm 200Mm Hip 48Mm Ofst Lm Bdy|9,148.63
880045.3858|Stem Fem 18Mm 200Mm Hip 48Mm Ofst Std|9,148.63
880045.3845|Stem Fem 18Mm 220Mm Hip Bw Tiv Por Zmr|5,938.42
880045.2497|Stem Fem 18Mm 225Mm Hip 135D 12/14 Tpr|9,396.72
880045.2463|Stem Fem 18Mm 230Mm Hip Clcr +20Mm 48Mm|9,774.77
880045.2463|Stem Fem 18Mm 230Mm Hip Clcr +20Mm 48Mm|9,774.77
880045.3843|Stem Fem 18Mm 235Mm Hip 3.5D Tpr Rev|5,167.64
880045.374|Stem Fem 18Mm 235Mm Hip 3.5D Tpr Rev 3|6,141.72
880045.2463|Stem Fem 18Mm 240Mm Hip Clcr 48Mm Ofst|14,230.86
880045.2463|Stem Fem 18Mm 240Mm Hip Clcr 48Mm Ofst|14,230.86
880045.3859|Stem Fem 18Mm 250Mm Hip 48Mm Ofst Lm Bdy|9,830.83
880045.386|Stem Fem 18Mm 250Mm Hip 48Mm Ofst Std|9,830.83
880045.2463|Stem Fem 18Mm 250Mm Hip 48Mm Ofst Str Lm|13,354.80
880045.3847|Stem Fem 18Mm 260Mm Hip Bw Tiv Por Zmr|6,028.26
880045.2628|Stem Fem 18Mm 98Mm Full Prfl Echo Bmtrc|3,673.50
880045.3739|Stem Fem 19.5Mm 115Mm Rev Tiv Por Zmr|5,016.42
880045.2463|Stem Fem 19.5Mm 167Mm Hip Clcr 48Mm Ofst|9,022.86
880045.3846|Stem Fem 19.5Mm 170Mm Hip Bw Tiv Por Zmr|5,194.98
880045.2462|Stem Fem 19.5Mm 170Mm Hip Str Tiv Por|5,194.98
880045.3739|Stem Fem 19.5Mm 170Mm Rev Str Comp Nut|4,623.40
880045.2463|Stem Fem 19.5Mm 177Mm Hip Clcr 48Mm Ofst|9,022.86
880045.3858|Stem Fem 19.5Mm 200Mm Hip 48Mm Ofst Lm|9,148.63
880045.2462|Stem Fem 19.5Mm 200Mm Hip 48Mm Ofst Str|8,674.26
880045.3846|Stem Fem 19.5Mm 220Mm Hip Bw Tiv Por Zmr|5,938.42
880045.2463|Stem Fem 19.5Mm 230Mm Hip Clcr +20Mm 48|9,774.77
880045.2463|Stem Fem 19.5Mm 230Mm Hip Clcr +20Mm 48|9,774.77
880045.2463|Stem Fem 19.5Mm 240Mm Hip Clcr 48Mm Ofst|14,230.86
880045.2463|Stem Fem 19.5Mm 240Mm Hip Clcr 48Mm Ofst|14,230.86
880045.3859|Stem Fem 19.5Mm 250Mm Hip 48Mm Ofst Lm|9,830.83
880045.386|Stem Fem 19.5Mm 250Mm Hip 48Mm Ofst Std|9,830.83
880045.2463|Stem Fem 19.5Mm 250Mm Hip 48Mm Ofst Str|13,354.80
880045.3847|Stem Fem 19.5Mm 260Mm Hip Bw Tiv Por Zmr|6,028.26
880045.3843|Stem Fem 19Mm 135Mm Hip 3.5D Tpr Rev|4,113.02
880045.1701|Stem Fem 19Mm 135Mm Hip 3.5D Tpr Rev 3|4,174.68
880045.3722|Stem Fem 19Mm 155Mm Prm Tiv Fm Beaded|4,724.40
880045.3723|Stem Fem 19Mm 155Mm Prm Tiv Fm Beaded|4,724.40
880045.3721|Stem Fem 19Mm 155Mm Prm Tiv Fm Por Vrsy|4,640.70
880045.3722|Stem Fem 19Mm 155Mm Prm Tiv Fm Por Vrsy|4,724.40
880045.3843|Stem Fem 19Mm 185Mm Hip 3.5D Tpr Rev|4,698.92
880045.1092|Stem Fem 19Mm 185Mm Hip 3.5D Tpr Rev 3|5,621.85
880045.3858|Stem Fem 19Mm 200Mm Hip 48Mm Ofst Std|9,148.63
880045.3737|Stem Fem 19Mm 200Mm Rev Cmnt Zml Vrsy 50|8,728.98
880045.2487|Stem Fem 19Mm 225Mm Hip 135D 12/14 Tpr|10,412.28
880045.3843|Stem Fem 19Mm 235Mm Hip 3.5D Tpr Rev|5,167.64
880045.374|Stem Fem 19Mm 235Mm Tpr Rev Tiv Por Zmr|5,792.04
880095.2912|Stem Fem 20Mm 126.5Mm Hip 135D Std Ofst|3,673.50
880045.2587|Stem Fem 20Mm 126.8Mm Hip 125D 12/14|5,829.98
880045.3843|Stem Fem 20Mm 135Mm Hip 3.5D Tpr Rev|4,113.02
880045.2463|Stem Fem 20Mm 139Mm Hip 12/14 49Mm Std|4,624.43
880045.2463|Stem Fem 20Mm 139Mm Hip 12/14 54Mm Xtd|4,624.43
880045.3722|Stem Fem 20Mm 155Mm Prm Tiv Fm Beaded|4,724.40
880045.3723|Stem Fem 20Mm 155Mm Prm Tiv Fm Beaded|4,724.40
880045.3721|Stem Fem 20Mm 155Mm Prm Tiv Fm Por Vrsy|4,873.20
880045.3722|Stem Fem 20Mm 155Mm Prm Tiv Fm Por Vrsy|4,724.40
880045.3844|Stem Fem 20Mm 185Mm Hip 3.5D Tpr Rev|4,698.92
880045.4038|Stem Fem 20Mm 185Mm Hip 3.5D Tpr Rev 3|5,621.85
880045.3843|Stem Fem 20Mm 235Mm Hip 3.5D Tpr Rev|5,167.64
880045.1092|Stem Fem 20Mm 235Mm Tpr Tiv Zmr Hip Strl|5,767.86
880045.2486|Stem Fem 21Mm 127Mm Hip 125D 12/14 37.5|5,829.24
880045.3844|Stem Fem 21Mm 135Mm Hip 3.5D Tpr Rev|4,113.02
880045.2463|Stem Fem 21Mm 167Mm Hip Clcr 48Mm Ofst|9,022.86
880045.3846|Stem Fem 21Mm 170Mm Hip Bw Tiv Por Zmr|5,194.98
880045.3845|Stem Fem 21Mm 170Mm Hip Str Tiv Por Zmr|5,194.98
880045.2463|Stem Fem 21Mm 177Mm Hip Clcr 48Mm Ofst|9,022.86
880045.3844|Stem Fem 21Mm 185Mm Hip 3.5D Tpr Rev|4,698.92
880045.2462|Stem Fem 21Mm 190Mm Hip 48Mm Ofst Str Lm|8,674.26
880045.3858|Stem Fem 21Mm 200Mm Hip 48Mm Ofst Lm Bdy|9,148.63
880045.3859|Stem Fem 21Mm 200Mm Hip 48Mm Ofst Std|9,148.63
880045.3846|Stem Fem 21Mm 220Mm Hip Bw Tiv Por Zmr|5,938.42
880045.2484|Stem Fem 21Mm 225Mm Hip 135D 12/14 Tpr|9,396.72
880045.2463|Stem Fem 21Mm 230Mm Hip Clcr +20Mm 48Mm|9,774.77
880045.2463|Stem Fem 21Mm 230Mm Hip Clcr +20Mm 48Mm|9,774.77
880045.2855|Stem Fem 21Mm 235Mm Hip 3.5D Tpr Rev|5,167.64
880045.2463|Stem Fem 21Mm 240Mm Hip Clcr 48Mm Ofst|9,774.77
880045.2463|Stem Fem 21Mm 240Mm Hip Clcr 48Mm Ofst|9,774.30
880045.2463|Stem Fem 21Mm 250Mm Hip 48Mm Ofst Lm Bdy|9,830.83
880045.386|Stem Fem 21Mm 250Mm Hip 48Mm Ofst Std|9,830.83
880045.2463|Stem Fem 21Mm 250Mm Hip 48Mm Ofst Str Lm|13,354.80
880045.3847|Stem Fem 21Mm 260Mm Hip Bw Tiv Por Zmr|6,028.26
880045.2464|Stem Fem 22.5Mm 144Mm Hip 12/14 50Mm Std|4,624.43
880045.2463|Stem Fem 22.5Mm 167Mm Hip Clcr 48Mm Ofst|9,022.86
880045.3846|Stem Fem 22.5Mm 170Mm Hip Bw Tiv Por Zmr|5,194.98
880045.3845|Stem Fem 22.5Mm 170Mm Hip Str Tiv Por|5,194.98
880045.2463|Stem Fem 22.5Mm 177Mm Hip Clcr 48Mm Ofst|9,022.86
880045.2462|Stem Fem 22.5Mm 190Mm Hip 48Mm Ofst Str|8,674.26
880045.3858|Stem Fem 22.5Mm 200Mm Hip 48Mm Ofst Lm|9,148.63
880045.3859|Stem Fem 22.5Mm 200Mm Hip 48Mm Ofst Std|9,148.63
880045.3846|Stem Fem 22.5Mm 220Mm Hip Bw Tiv Por Zmr|5,938.42
880045.2463|Stem Fem 22.5Mm 230Mm Hip Clcr +20Mm 48|9,774.77
880045.2463|Stem Fem 22.5Mm 230Mm Hip Clcr +20Mm 48|9,774.77
880045.2463|Stem Fem 22.5Mm 240Mm Hip Clcr 48Mm Ofst|9,774.77
880045.2463|Stem Fem 22.5Mm 240Mm Hip Clcr 48Mm Ofst|9,774.77
880045.3859|Stem Fem 22.5Mm 250Mm Hip 48Mm Ofst Lm|9,830.83
880045.386|Stem Fem 22.5Mm 250Mm Hip 48Mm Ofst Std|9,830.83
880045.3847|Stem Fem 22.5Mm 260Mm Hip Bw Tiv Por Zmr|6,028.26
880045.3844|Stem Fem 22Mm 135Mm Hip 3.5D Tpr Rev|4,113.02
880045.374|Stem Fem 22Mm 185Mm 3 Pnt Fx Tiv Zmr Tpr|5,621.85
880045.3844|Stem Fem 22Mm 185Mm Hip 3.5D Tpr Rev|4,698.92
880045.3844|Stem Fem 22Mm 235Mm Hip 3.5D Tpr Rev|5,167.64
880045.374|Stem Fem 22Mm 235Mm Hip 3.5D Tpr Rev 3|5,767.86
880045.3844|Stem Fem 23Mm 235Mm Hip 3.5D Tpr Rev|5,167.64
880045.3846|Stem Fem 24Mm 170Mm Hip Bw Tiv Por Zmr|5,194.98
880045.3845|Stem Fem 24Mm 170Mm Hip Str Tiv Por Zmr|5,194.98
880045.3844|Stem Fem 24Mm 185Mm Hip 3.5D Tpr Rev|4,698.92
880045.3846|Stem Fem 24Mm 220Mm Hip Bw Tiv Por Zmr|5,938.42
880045.3844|Stem Fem 24Mm 235Mm Hip 3.5D Tpr Rev|5,167.64
880045.3847|Stem Fem 24Mm 260Mm Hip Bw Tiv Por Zmr|6,028.26
880045.3846|Stem Fem 25.5Mm 170Mm Hip Bw Tiv Por Zmr|5,194.98
880045.3845|Stem Fem 25.5Mm 170Mm Hip Str Tiv Por|5,194.98
880045.3846|Stem Fem 25.5Mm 220Mm Hip Bw Tiv Por Zmr|5,938.42
880045.3847|Stem Fem 25.5Mm 260Mm Hip Bw Tiv Por Zmr|6,028.26
880045.2464|Stem Fem 4Mm 107Mm Hip 12/14 35Mm Std|4,624.43
880045.2464|Stem Fem 4Mm 107Mm Hip 12/14 40Mm Xtd|4,624.43
880045.2464|Stem Fem 5Mm 109Mm Hip 12/14 40Mm Std|4,624.43
880045.2735|Stem Fem 5Mm 109Mm Hip 12/14 41Mm Xtd|2,866.26
880045.2464|Stem Fem 5Mm 109Mm Hip 12/14 45Mm Xtd|4,624.43
880045.2464|Stem Fem 6Mm 111Mm Hip 12/14 40Mm Std|6,881.07
880045.2464|Stem Fem 6Mm 111Mm Hip 12/14 45Mm Xtd|4,624.43
880095.2487|Stem Fem 7.5Mm 114Mm Hip 12/14 37Mm Std|6,881.07
880045.58|Stem Fem 7.5Mm 114Mm Hip 12/14 43Mm Std|6,881.07
880045.2914|Stem Fem 7.5Mm 114Mm Hip 132D 12/14 Tiv|5,115.00
880045.2485|Stem Fem 8Mm 96.5Mm Hip 135D Std Ofst|3,673.50
880045.2486|Stem Fem 9Mm 117Mm Hip 12/14 38Mm Std|6,881.07
880045.1843|Stem Fem 9Mm 117Mm Hip 12/14 43Mm Std|6,881.07
880045.2488|Stem Fem 9Mm 117Mm Hip 12/14 43Mm Xtd|6,881.07
880045.2586|Stem Fem 9Mm 99Mm Hip 130D Hi Ofst Full|4,929.00
880095.2428|Stem Fem Hip 6Mm Str Lm Bdy Zrcn Xlpe|7,440.00
880095.2428|Stem Fem Hip 6Mm Str Xlpe Beaded Fc Por|6,975.00
880095.2431|Stem Fem Hip Clstr Cup Std Linr Head Por|6,975.00
880095.2426|Stem Fem Hip Cmnt Cup Linr Hbrd Trb Mtl|8,323.50
880095.2426|Stem Fem Hip Cmnt Cup Linr Hbrd Trb Mtl|9,114.00
880095.2431|Stem Fem Hip Cmnt Cup Xl Linr Hbrd Xlpe|6,184.50
880095.2431|Stem Fem Hip Cmnt Cup Xl Linr Hbrd Xlpe|6,184.50
880095.2428|Stem Fem Hip Cmnt Xlpe Por Vrsy|6,184.50
880095.2428|Stem Fem Hip Crv Xlpe Por Anat|6,975.00
880095.2428|Stem Fem Hip Cup Lg Hdnk Xlpe Cerm Ha|7,440.00
880095.2429|Stem Fem Hip Cup Lg Linr Head Cerm Xlpe|7,440.00
880095.243|Stem Fem Hip Cup Lg Linr Head Xlpe Cerm|7,440.00
880095.2427|Stem Fem Hip Cup Lg Linr Head Xlpe Por|6,975.00
880095.2429|Stem Fem Hip Cup Lg Linr Lstd Head Xlpe|6,975.00
880095.243|Stem Fem Hip Cup Lg Linr Lstd Head Xlpe|6,975.00
880095.2427|Stem Fem Hip Cup Linr Hdnk Trb Mtl Vit E|9,114.00
880095.2427|Stem Fem Hip Cup Linr Head Mlplr Nk Xlpe|5,994.78
880095.2426|Stem Fem Hip Cup Linr Head Trb Mtl Vit E|9,114.00
880095.243|Stem Fem Hip Cup Linr Head Trb Mtl Vit E|9,114.00
880095.243|Stem Fem Hip Cup Linr Head Xlpe Cerm Ha|7,440.00
880095.243|Stem Fem Hip Cup Linr Lg Head Trb Mtl|9,114.00
880095.243|Stem Fem Hip Cup Linr Lstd Head Trb Mtl|8,649.00
880095.2427|Stem Fem Hip Cup Linr Std Hdnk Trb Mtl|8,649.00
880095.2427|Stem Fem Hip Cup Linr Std Hdnk Trb Mtl|9,114.00
880095.2427|Stem Fem Hip Cup Linr Std Hdnk Xlpe Ha|6,975.00
880095.2425|Stem Fem Hip Cup Linr Std Head Trb Mtl|8,649.00
880095.2425|Stem Fem Hip Cup Linr Std Head Trb Mtl|8,649.00
880095.2425|Stem Fem Hip Cup Linr Std Head Trb Mtl|8,649.00
880095.2425|Stem Fem Hip Cup Linr Std Head Trb Mtl|6,928.50
880095.243|Stem Fem Hip Cup Linr Std Head Xlpe Ha|6,975.00
880095.2429|Stem Fem Hip Cup Linr Std Head Xlpe Por|6,975.00
880095.2455|Stem Fem Hip Cup Linr Xlpe Por Epoch|7,719.00
880095.2427|Stem Fem Hip Cup Lstd Linr Hdnk Xlpe Ha|6,975.00
880095.2429|Stem Fem Hip Cup Lstd Linr Head Cerm Por|7,440.00
880095.243|Stem Fem Hip Cup Lstd Linr Head Ha Por|6,975.00
880095.2429|Stem Fem Hip Cup Lstd Linr Head Por|6,975.00
880095.2429|Stem Fem Hip Cup Lstd Linr Head Tiv Por|7,719.00
880095.243|Stem Fem Hip Cup Lstd Linr Lg Head Cerm|7,440.00
880095.2429|Stem Fem Hip Cup Lstd Linr Lg Head Tiv|8,184.00
880095.2427|Stem Fem Hip Cup Std Linr Hdnk Tiv Por|7,719.00
880095.243|Stem Fem Hip Cup Std Linr Head Cerm Ha|7,440.00
880095.2429|Stem Fem Hip Cup Std Linr Head Cerm Por|7,440.00
880095.243|Stem Fem Hip Cup Std Linr Head Ha Por|6,975.00
880095.2429|Stem Fem Hip Cup Std Linr Head Por|6,975.00
880095.2429|Stem Fem Hip Cup Std Linr Head Tiv Cerm|8,184.00
880095.2429|Stem Fem Hip Cup Std Linr Head Tiv Por|7,719.00
880095.2426|Stem Fem Hip Cup Xl Linr Std Hdnk Xlpe|6,975.00
880095.2425|Stem Fem Hip Cup Xlpe Por Epoch|6,975.00
880095.2428|Stem Fem Hip Fm Mdct Xlpe Por Vrsy|6,975.00
880095.243|Stem Fem Hip Lg Cup Ins Head Metasul Ha|6,975.00
880095.2428|Stem Fem Hip Lg Cup Linr Hdnk Xlpe Cerm|7,440.00
880095.2455|Stem Fem Hip Linr Lg Head Xlpe Por Epoch|8,835.00
880095.2428|Stem Fem Hip Lm Bdy Beaded Mdct Por Vrsy|6,975.00
880095.2429|Stem Fem Hip Lm Bdy Fm Xlpe Ha Por Vrsy|6,975.00
880095.2428|Stem Fem Hip Lm Bdy Zrcn Tcp Vrsy|6,975.00
880095.2428|Stem Fem Hip Mdct Por Vrsy|6,975.00
880095.2427|Stem Fem Hip Mnblck Cup Hdnk Tiv Cerm|8,184.00
880095.2427|Stem Fem Hip Mnblck Cup Lg Hdnk Tiv Cerm|8,184.00
880095.2427|Stem Fem Hip Mnblck Cup Std Hdnk Tiv Por|7,719.00
880095.2426|Stem Fem Hip Moncup Std Hdnk Por|6,975.00
880095.2428|Stem Fem Hip Prft Cup Por Vrsy|6,975.00
880095.2429|Stem Fem Hip Std Cup Ins Head Metasul|6,975.00
880095.243|Stem Fem Hip Std Cup Ins Head Metasul|7,719.00
880095.2431|Stem Fem Hip Std Cup Xl Linr Xlpe Ha Por|6,975.00
880095.243|Stem Fem Hip Std Unplr Endo Head Por|5,994.78
880095.2429|Stem Fem Hip Str Cmnt Por Vrsy|6,184.50
880095.2428|Stem Fem Hip Str Fm Mdct Xlpe Por Vrsy|6,975.00
880095.2428|Stem Fem Hip Str Lm Bdy Fm Mdct Xlpe Por|6,975.00
880095.2429|Stem Fem Hip Tpr Fm Ha Tcp Vrsy|6,975.00
880095.2429|Stem Fem Hip Tpr Fm Ha Tcp Vrsy|6,975.00
880095.2429|Stem Fem Hip Tpr Fm Xlpe Por|6,975.00
880095.2429|Stem Fem Hip Tpr Lm Bdy Fm Xlpe Ha Vrsy|6,975.00
880095.2428|Stem Fem Hip Xlpe Ha Tcp Por Vrsy|6,975.00
880095.2428|Stem Fem Hip Xlpe Ha Tcp Por Vrsy|6,975.00
880095.2428|Stem Fem Hip Xlpe Ha Tcp Vrsy|6,975.00
880095.2428|Stem Fem Hip Xlpe Ha Tcp Vrsy|6,975.00
880095.2429|Stem Fem Hip Xlpe Por Vrsy Hr|6,184.50
880045.1692|Stem Hum 130Mm 10Mm Trb Mtl Tiv Shldr|10,299.56
880045.2396|Stem Hum 17Mm 14Mm Rvrs Trb Mtl Shldr|10,299.56
880095.1836|Stem Hum Hemi Cmnt Rvrs Trb Mtl Shldr|9,672.00
880095.2455|Stem Hum Hemi Cmnt Rvrs Trb Mtl Shldr|10,602.00
880095.2455|Stem Hum Hemi Cmnt Rvrs Trb Mtl Shldr|7,812.00
880095.2455|Stem Hum Hemi Cmnt Rvrs Trb Mtl Shldr|14,880.00
880045.1506|Stem Hum W/Align Tpr 45Deg 11Mm X 140Mm|3,720.00
880095.1506|Stem Hum W/Align Tpr 45Deg 9.0Mm X 140Mm|3,720.00
880045.2485|Stem Por W/Cer Hd|4,417.50
880045.1817|Stem Radl 30Mm 9Mm Explor Elb Mdlr|4,951.32
880045.313|Stem Tib L+135Mm 20Mm Persona Str Kn Rev|3,529.35
880045.2463|Stem Versys Str 10.0In 22.5Mm X 250Mm|13,354.80
880045.3577|Stem Xtn 130Mm 15Mm Nxgn Kn Fem Shrp|1,934.40
880045.313|Stem Xtn L+135Mm 15Mm Persona 6Mm Ofst|5,319.60
880001.3091|Stent Cor 12Mm 3.5Mm Cocr Mtlnk Mvsn 2|623.1
880001.16|Stent Cor 12Mm 3Mm Cocr Mtlnk Mvsn 2|623.1
880001.1603|Stent Cor 12Mm 4Mm Cocr Mtlnk Mvsn 2|623.1
880001.1602|Stent Cor 15Mm 3.5Mm Cocr Mtlnk Mvsn 2|623.1
880001.3091|Stent Cor 15Mm 3Mm Cocr Mtlnk Mvsn 2|623.1
880001.1603|Stent Cor 15Mm 4Mm Cocr Mtlnk Mvsn 2|623.1
880001.1602|Stent Cor 18Mm 3.5Mm Cocr Mtlnk Mvsn 2|623.1
880001.1601|Stent Cor 18Mm 3Mm Cocr Mtlnk Mvsn 2|623.1
880001.3091|Stent Cor 18Mm 4Mm Cocr Mtlnk Mvsn 2|623.1
880001.3091|Stent Cor 23Mm 3.5Mm Cocr Mtlnk Mvsn 2|623.1
880001.1634|Stent Cor 23Mm 4Mm Cocr Mtlnk Mvsn 2|623.1
880001.3091|Stent Cor 28Mm 3.5Mm Cocr Mtlnk Mvsn 2|623.1
880001.3091|Stent Cor 28Mm 3Mm Cocr Mtlnk Mvsn 2|623.1
880001.3091|Stent Cor 28Mm 4Mm Cocr Mtlnk Mvsn 2|623.1
880001.3091|Stent Cor 8Mm 3.5Mm Cocr Mtlnk Mvsn 2|623.1
880001.2298|Stent Cor 8Mm 4Mm Cocr Mtlnk Mvsn 2|623.1
880124.2633|Stent Covera 10Mm 8Fr 30Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 10Mm 8Fr 30Mm Av Cvr Hlcl|4,278.00
880124.2632|Stent Covera 10Mm 8Fr 40Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 10Mm 8Fr 40Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 10Mm 8Fr 40Mm Cvr Hlcl|4,278.00
880124.2632|Stent Covera 10Mm 8Fr 60Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 10Mm 8Fr 60Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 10Mm 8Fr 60Mm Cvr Hlcl|4,278.00
880110.2633|Stent Covera 10Mm 9Fr 100Mm Av Cvr Hlcl|4,278.00
880124.2632|Stent Covera 10Mm 9Fr 100Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 10Mm 9Fr 100Mm Av Cvr Hlcl|4,278.00
880124.2632|Stent Covera 10Mm 9Fr 80Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 10Mm 9Fr 80Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 10Mm 9Fr 80Mm Av Cvr Hlcl|4,278.00
880124.2632|Stent Covera 6Mm 8Fr 100Mm Av Cvr Hlcl|4,278.00
880124.2632|Stent Covera 6Mm 8Fr 100Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 6Mm 8Fr 100Mm Av Cvr Hlcl|4,278.00
880124.2632|Stent Covera 6Mm 8Fr 30Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 6Mm 8Fr 30Mm Av Cvr Hlcl|4,278.00
880124.2632|Stent Covera 6Mm 8Fr 40Mm Av Cvr Hlcl|4,278.00
880124.2632|Stent Covera 6Mm 8Fr 40Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 6Mm 8Fr 40Mm Av Cvr Hlcl|4,278.00
880124.2632|Stent Covera 6Mm 8Fr 60Mm Av Cvr Hlcl|4,278.00
880124.2632|Stent Covera 6Mm 8Fr 60Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 6Mm 8Fr 60Mm Av Cvr Hlcl|4,278.00
880124.2632|Stent Covera 6Mm 8Fr 80Mm Av Cvr Hlcl|4,278.00
880124.2632|Stent Covera 6Mm 8Fr 80Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 6Mm 8Fr 80Mm Av Cvr Hlcl|4,278.00
880124.2632|Stent Covera 7Mm 8Fr 100Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 7Mm 8Fr 100Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 7Mm 8Fr 100Mm Av Cvr Hlcl|4,278.00
880124.2632|Stent Covera 7Mm 8Fr 30Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 7Mm 8Fr 30Mm Av Cvr Hlcl|4,278.00
880124.2632|Stent Covera 7Mm 8Fr 40Mm Av Cvr Hlcl|4,278.00
880124.2632|Stent Covera 7Mm 8Fr 40Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 7Mm 8Fr 40Mm Av Cvr Hlcl|4,278.00
880124.2632|Stent Covera 7Mm 8Fr 60Mm Av Cvr Hlcl|4,278.00
880124.2632|Stent Covera 7Mm 8Fr 60Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 7Mm 8Fr 60Mm Cvr Hlcl Strut|4,278.00
880124.2632|Stent Covera 7Mm 8Fr 80Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 7Mm 8Fr 80Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 7Mm 8Fr 80Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 8Mm 8Fr 30Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 8Mm 8Fr 30Mm Av Cvr Hlcl|4,278.00
880124.2632|Stent Covera 8Mm 8Fr 40Mm Av Cvr Hlcl|2,139.00
880124.2633|Stent Covera 8Mm 8Fr 40Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 8Mm 8Fr 40Mm Cvr Hlcl Strut|4,278.00
880124.2632|Stent Covera 8Mm 8Fr 60Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 8Mm 8Fr 60Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 8Mm 8Fr 60Mm Cvr Hlcl Strut|4,278.00
880124.2632|Stent Covera 8Mm 8Fr 80Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 8Mm 8Fr 80Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 8Mm 8Fr 80Mm Cvr Hlcl Strut|4,278.00
880124.2632|Stent Covera 8Mm 9Fr 100Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 8Mm 9Fr 100Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 8Mm 9Fr 100Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 9Mm 8Fr 30Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 9Mm 8Fr 30Mm Av Cvr Hlcl|4,278.00
880124.2632|Stent Covera 9Mm 8Fr 40Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 9Mm 8Fr 40Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 9Mm 8Fr 40Mm Cvr Hlcl Strut|4,278.00
880124.2632|Stent Covera 9Mm 8Fr 60Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 9Mm 8Fr 60Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 9Mm 8Fr 60Mm Av Cvr Hlcl|4,278.00
880124.2632|Stent Covera 9Mm 8Fr 80Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 9Mm 8Fr 80Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 9Mm 8Fr 80Mm Av Cvr Hlcl|4,278.00
880124.2632|Stent Covera 9Mm 9Fr 100Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 9Mm 9Fr 100Mm Av Cvr Hlcl|4,278.00
880124.2633|Stent Covera 9Mm 9Fr 100Mm Av Cvr Hlcl|4,278.00
880020.2497|Stent Percuflex 6Fr X 30|241.8
880002.3567|Stent Tack 4fr 6mm Radopq Otw 4 Preld|5,198.70
880002.3567|Stent Tack 6fr 6mm Radopq Otw 6 Preld|3,710.70
880002.3567|Stent Tack 6fr 6mm Radopq Otw 6 Preld|3,710.70
880002.3567|Stent Tack 8fr 6mm Radopq Otw 6 Preld|3,710.70
880020.1032|Stent Uret 6Fr 22Cm Pgtl Crv Radopq Tpr|148.8
880020.9653|Stent Uret 6Fr 24Cm 2 Pgtl Crv Pshr Fl|314.82
880020.9651|Stent Uret 6Fr 26Cm 2 Pgtl Crv Pshr Fl|314.82
880020.2003|Stent Uret 6Fr 26Cm Pgtl Crv Radopq Tpr|148.8
880020.9652|Stent Uret 6Fr 28Cm 2 Pgtl Crv Pshr Fl|314.82
880020.8791|Stent Uret 6Fr 28Cm 3Cm .038In Pgtl Crv|277.14
880020.7376|Stent Uret 6Fr 32Cm 2 Pgtl Crv Tpr Tip|247.38
880020.8474|Stent Uret 7Fr 22Cm Pgtl Crv Radopq Tpr|258.54
880020.2433|Stent Uret 7Fr 24Cm Pgtl Crv Radopq Tpr|148.8
880039.2434|Stent Uret 7Fr 26Cm Pgtl Crv Radopq Tpr|148.8
880020.2434|Stent Uret 7Fr 28Cm Pgtl Crv Radopq Tpr|148.8
880020.2497|Stent Uret Sgl 6 X 20|393.9
800555|Sternum 2+ Vw|565
819520|Stimi Cath Kit Femoral|275
880045.1506|Stm Hum 55mm 10mm Cmprh Por Mic Shldr|3,720.00
880095.3671|Stm Seg Eleos Bw Slt 2/3 28Mm 11MmX152Mm|6,695.54
880095.3671|Stm Seg Eleos Bw Slt 2/3 28Mm 12MmX152Mm|6,695.54
880095.3671|Stm Seg Eleos Bw Slt 2/3 28Mm 13MmX152Mm|6,695.54
880095.3671|Stm Seg Eleos Bw Slt 2/3 32Mm 14MmX152Mm|6,695.54
880095.3671|Stm Seg Eleos Bw Slt 2/3 32Mm 15MmX152Mm|6,695.54
880095.3671|Stm Seg Eleos Bw Slt 2/3 36Mm 16MmX152Mm|6,695.54
880095.3672|Stm Seg Eleos Bw Slt 2/3 36Mm 17MmX152Mm|6,695.54
880095.3672|Stm Seg Eleos Bw Slt 2/3 36Mm 18MmX152Mm|6,695.54
880095.3672|Stm Seg Eleos Bw Slt 2/3 36Mm 19MmX152Mm|6,695.54
880095.3672|Stm Seg Eleos Bw Slt 2/3 36Mm 20MmX152Mm|6,695.54
880095.3672|Stm Seg Eleos Bw Slt 2/3 36Mm 21MmX152Mm|6,695.54
880095.3671|Stm Seg Eleos Cmnt Bw 28Mm 11MmX152Mm|5,542.61
880095.3671|Stm Seg Eleos Cmnt Bw 28Mm 11MmX200Mm|5,907.83
880095.3671|Stm Seg Eleos Cmnt Bw 28Mm 13MmX152Mm|5,542.61
880095.3671|Stm Seg Eleos Cmnt Bw 28Mm 13MmX200Mm|5,907.83
880095.3671|Stm Seg Eleos Cmnt Bw 30Mm 15MmX200Mm|5,907.83
880095.3671|Stm Seg Eleos Cmnt Bw 32Mm 11MmX255Mm|5,907.83
880095.3671|Stm Seg Eleos Cmnt Bw 32Mm 15MmX152Mm|5,542.61
880095.3671|Stm Seg Eleos Cmnt Bw 36Mm 17MmX152Mm|5,542.61
880095.3671|Stm Seg Eleos Cmnt Bw 36Mm 17MmX200Mm|5,907.83
880095.3671|Stm Seg Eleos Cmnt Str 24Mm 10MmX100Mm|5,243.90
880095.3671|Stm Seg Eleos Cmnt Str 24Mm 11MmX100Mm|5,243.90
880095.3671|Stm Seg Eleos Cmnt Str 24Mm 13MmX100Mm|5,243.90
880095.3671|Stm Seg Eleos Cmnt Str 24Mm 15MmX100Mm|5,243.90
880095.3671|Stm Seg Eleos Cmnt Str 24Mm 17MmX100Mm|5,243.90
880095.3671|Stm Seg Eleos Cmnt Str 24Mm 9MmX100Mm|5,243.90
880095.3673|Stm Seg Eleos Mdlr Cmnt Flut 10Mm X 100M|5,203.61
880095.3673|Stm Seg Eleos Mdlr Cmnt Flut 11Mm X 120M|5,203.61
880095.3673|Stm Seg Eleos Mdlr Cmnt Flut 13Mm X 120M|5,203.61
880095.3673|Stm Seg Eleos Mdlr Cmnt Flut 15Mm X 120M|5,203.61
880095.3673|Stm Seg Eleos Mdlr Cmnt Flut 17Mm X 120M|5,203.61
880095.3673|Stm Seg Eleos Mdlr Cmnt Flut 9MmX100Mm|5,203.61
880095.3671|Stm Seg Eleos Str Full  28Mm 12MmX120Mm|6,132.89
880095.3671|Stm Seg Eleos Str Full 28Mm 11MmX120Mm|6,132.89
880095.3671|Stm Seg Eleos Str Full 28Mm 13MmX120Mm|6,132.89
880095.3671|Stm Seg Eleos Str Full 32Mm 14MmX120Mm|6,746.16
880095.3671|Stm Seg Eleos Str Full 32Mm 15MmX120Mm|6,746.16
880095.3671|Stm Seg Eleos Str Full 36Mm 16MmX120Mm|7,420.79
880095.3671|Stm Seg Eleos Str Full 36Mm 17MmX120Mm|7,420.79
880095.3671|Stm Seg Eleos Str Full 36Mm 18MmX120Mm|7,420.79
880095.3671|Stm Seg Eleos Str Full 36Mm 19MmX120Mm|7,420.79
880095.3671|Stm Seg Eleos Str Full 36Mm 20MmX120Mm|7,420.79
880095.3671|Stm Seg Eleos Str Full 36Mm 21MmX120Mm|7,420.79
880045.3573|Stm Tib 135+ Mm 14mm Persona Str Kn|3,529.35
880045.3237|Stm Tib 135+ Mm 15mm Persona Str Kn Rev|3,529.35
880045.3325|Stm Tib 135+ Mm 16mm Persona Str Kn Rev|3,529.35
880045.3515|Stm Tib 135+ Mm 17mm Persona Str Kn|3,529.35
880045.3394|Stm Tib 175+ Mm 15mm Persona Str Kn Rev|3,529.35
880095.3672|Stm Xtn 100Mm 10Mm Eleos Str Cyl Flut|2,078.48
880095.3672|Stm Xtn 100Mm 11Mm Eleos Str Cyl Kn Tib|2,078.48
880095.3672|Stm Xtn 100Mm 12Mm Eleos Str Cyl Flut|2,078.48
880095.3672|Stm Xtn 100Mm 12Mm Eleos Str Cyl Kn Tib|2,078.48
880095.3672|Stm Xtn 100Mm 13Mm Eleos Str Cyl Kn Tib|2,078.48
880095.3672|Stm Xtn 100Mm 14Mm Eleos Str Cyl Flut|2,078.48
880095.3672|Stm Xtn 100Mm 14Mm Eleos Str Cyl Kn Tib|2,078.48
880095.3672|Stm Xtn 100Mm 15Mm Eleos Str Cyl Kn Tib|2,078.48
880095.3672|Stm Xtn 100Mm 16Mm Eleos Str Cyl Flut|2,078.48
880095.3672|Stm Xtn 100Mm 16Mm Eleos Str Cyl Kn Tib|2,078.48
880095.3672|Stm Xtn 100Mm 17Mm Eleos Str Cyl Kn Tib|2,078.48
880095.3672|Stm Xtn 100Mm 18Mm Eleos Str Cyl Flut|2,078.48
880095.3672|Stm Xtn 100Mm 18Mm Eleos Str Cyl Kn Tib|2,078.48
880095.3672|Stm Xtn 100Mm 19Mm Eleos Str Cyl Kn Tib|2,078.48
880095.3673|Stm Xtn 100Mm 21Mm Eleos Str Cyl Kn Tib|2,078.48
880045.3238|Stm Xtn 130mm 14mm Nxgn Str Flut Kn Fem|7,177.00
880045.3357|Stm Xtn 135+ Mm 11mm Persona 6mm Ofst|5,319.60
880045.3386|Stm Xtn 135+ Mm 12mm Persona 6mm Ofst|5,319.60
880045.3325|Stm Xtn 135+ Mm 13mm Persona 6mm Ofst|5,319.60
880045.3515|Stm Xtn 135+ Mm 15mm Persona 3mm Ofst|5,319.60
880045.3413|Stm Xtn 135+ Mm 17mm Persona 6mm Ofst|5,319.60
880095.3672|Stm Xtn 140Mm 11Mm Eleos Str Cyl Kn Tib|2,078.48
880095.3672|Stm Xtn 140Mm 12Mm Eleos Str Cyl Kn Tib|2,078.48
880095.3672|Stm Xtn 140Mm 13Mm Eleos Str Cyl Kn Tib|2,078.48
880095.3672|Stm Xtn 140Mm 14Mm Eleos Str Cyl Kn Tib|2,078.48
880095.3672|Stm Xtn 140Mm 15Mm Eleos Str Cyl Kn Tib|2,078.48
880095.3672|Stm Xtn 140Mm 16Mm Eleos Str Cyl Kn Tib|2,078.48
880095.3672|Stm Xtn 140Mm 17Mm Eleos Str Cyl Kn Tib|2,078.48
880095.3672|Stm Xtn 140Mm 18Mm Eleos Str Cyl Kn Tib|2,078.48
880095.3673|Stm Xtn 140Mm 19Mm Eleos Str Cyl Kn Tib|2,078.48
880095.3673|Stm Xtn 140Mm 21Mm Eleos Str Cyl Kn Tib|2,078.48
880095.3672|Stm Xtn 140Mm Eleos M To F Mid-Sect Lmb|6,297.83
880045.3394|Stm Xtn 175+ Mm 13mm Persona 6mm Ofst|5,319.60
880095.3672|Stm Xtn 30Mm 15Mm Eleos Str Cyl Flut Kn|2,078.48
880095.3672|Stm Xtn 40Mm Eleos Male-Male Mid-Sect|9,503.04
880095.3672|Stm Xtn 50Mm Eleos M To F Mid-Sect Lmb|6,297.83
880095.3672|Stm Xtn 50Mm Eleos Male-Male Mid-Sect|9,503.04
880095.3672|Stm Xtn 60Mm Eleos Male-Male Mid-Sect|9,503.04
880095.3672|Stm Xtn 65Mm 10Mm Eleos Str Cyl Flut Kn|2,078.48
880095.3672|Stm Xtn 65Mm 12Mm Eleos Str Cyl Flut Kn|2,078.48
880095.3672|Stm Xtn 65Mm 14Mm Eleos Str Cyl Flut Kn|2,078.48
880095.3672|Stm Xtn 65Mm 16Mm Eleos Str Cyl Flut Kn|2,078.48
880095.3672|Stm Xtn 65Mm Eleos Fem Rt Dist Seg Lmb|10,258.12
880095.3672|Stm Xtn 70Mm Eleos M To F Mid-Sect Lmb|6,297.83
880095.3672|Stm Xtn 70Mm Eleos Male-Male Mid-Sect|9,503.04
880095.3672|Stm Xtn 90Mm Eleos M To F Mid-Sect Lmb|6,297.83
880045.3237|Stm Xtn L+135mm 12mm Persona 3mm Ofst|5,319.60
60065050|Stone Analysis Quant|250
880045.2373|Stpl Bone 19X15.9Mm 2.4Mm Ss Fx|1,484.28
880045.2373|Stpl Bone 19X22Mm 2.4Mm Ss Fx|93.28
880039.856|Stpl Bone 23.22X11.11Mm Med Cocr Fx Spk|263.52
880064.854|Stpl Bone 23.22X14.29Mm Lg Reg Orth Cocr|157
880039.855|Stpl Bone 23.22X7.94Mm Sm Spk Cocr|189.87
880039.7436|Stpl Bone 5.5Mm Arthsc|303
880039.7436|Stpl Bone 6.7Mm Arthsc Adlt|303
880039.2493|Stpl Bone Med Arthsc|303
880039.2488|Stpl Coventry|303
880039.2494|Stpl Coventry|303
880039.2494|Stpl Coventry|303
880039.5943|Stpl Insorb Absorb|139.09
880039.9855|Stplr 10Mmx4Mm E Unv Thktis Lnr Ctr Troc|1,424.07
880039.902|Stplr 16Cmx4Mm Egia Ult X Thktis Artc|1,033.75
880039.3875|Stplr 40Mmx4.7Mm Echln Contr Thktis 4|1,526.73
880039.2826|Stplr 5.2Mmx1.5-2.2Mm Echln Circ 3D 29Mm|1,093.65
880039.591|Stplr 5.3Mmx3.7Mm Epth Lnr Ctr Mlfd Ti|415.75
880039.6686|Stplr 5.5Mm Epth Intrlum Lnr Ctr Adj|724.75
880039.1409|Stplr 5.5Mm Prx Intrlum Lnr Ctr Adj Flxb|778.95
880039.1413|Stplr 55Mmx3.5Mm Prx Ac Reg Tissue 2 Row|574.31
880039.599|Stplr 60Mmx3.5Mm Prx Reg Tissue 2 Row|214.55
880039.606|Stplr 60Mmx4.8Mm Prx Thktis 2 Row Lnr|214.55
880039.8909|Stplr 60Mmx4Mm Egia Vasc 6 Row Crtdg 15|1,007.05
880039.1423|Stplr Prx Pph Set Intnl 33Mm Strl Lf|1,204.43
880039.4381|Stplr Pwr 45Mm 45Mm Std Echln 3K 340Mm|1,019.56
880039.4381|Stplr Pwr 60Mm 60Mm Std Echln 3K 340Mm|1,223.48
880039.6915|Stplr Skn 4.8X3.4Mm 35 W Stpl 360D Rot|250.7
880039.1314|Strap Dstrct Guhl Ft/Ankl Ninvs Strl Lf|148.14
60070340|Strep a Screen Direct by Eia|135
60070341|Strep a Screen Direct Immuno|135
60043450|Strep B Amplified Probe|232
60071190|Strep Pneumo Antigen Urine|339
800236|Stress Any Joint|386
830649|Stress Test Cardiac Supervision Only|108
880064.1644|Sub Bngf 120Mm 11Ga Scp Accuport Kn Sd|7,226.10
880045.7072|Sub Bngf 3Mm Ostst 3Ml|892.8
880045.5479|Sub Bngf 4.8Mm Ostst Ca Slf Pelt|1,162.50
880045.5607|Sub Bngf 4.8Mm Ostst Ca Slf Pelt|2,018.10
880045.4035|Sub Bngf Equivabone Hmn Dbm Snth Ca Phos|5,319.60
880045.4036|Sub Bngf Equivabone Hmn Dbm Snth Ca Phos|12,480.60
880045.7223|Sub Bngf Gma-Bsm Ca Phos 10Cc Strl|11,067.00
880045.1395|Sub Bngf Gma-Bsm Ca Phos Mld Mtrl Fst St|7,607.40
880045.7072|Sub Bngf Ostst M2G115 Inj Mn Invsv 15Ml|3,468.90
813052|Subsequent Hospital Care Levl I|38
830376|Subsequent Hospital or Obs Care Levl I|87
830376|Subsequent Hospital or Obs Care Levl I|187
830377|Subsequent Hospital or Obs Care Levl II|159
830377|Subsequent Hospital or Obs Care Levl II|341
830378|Subsequent Hospital or Obs Care Levl III|230
830378|Subsequent Hospital or Obs Care Levl III|491
833803|Subtotal Abd Hysterectomy|4,073.00
890022.7129|Succinylcholine Chloride Inj 20 MG/ML,Succinylcholine Chloride Sol Pref Syr 100 MG/5ML (20 MG/ML),Succinylcholine Chloride Sol Pref Syr 140 MG/7ML (20 MG/ML),Succinylcholine Chloride Sol Pref Syr 200 MG/10ML (20 MG/ML)|74.5
890023.1211|Sucralfate Susp 1 GM/10ML|30.13
890023.9322|Sucralfate Tab 1 GM|3.1
814673|Suction Sset|68
890000.6542|Sugammadex Sodium IV 200 MG/2ML (Base Equivalent)|225.98
890023.2421|Sulfacetamide Sodium Ophth Soln 10%|136.01
890023.6076|Sulfacetamide Sodium Ophth Soln 10%|87.19
890001.704|Sulfamethoxazole-Trimethoprim IV Soln 400-80 MG/5ML|74.5
890001.704|Sulfamethoxazole-Trimethoprim IV Soln 400-80 MG/5ML|74.5
890023|Sulfamethoxazole-Trimethoprim Susp 200-40 MG/5ML|63.28
890023.5038|Sulfamethoxazole-Trimethoprim Susp 200-40 MG/5ML|11.05
890023.5275|Sulfamethoxazole-Trimethoprim Susp 200-40 MG/5ML|120.09
890023.999|Sulfamethoxazole-Trimethoprim Susp 200-40 MG/5ML|3.1
890023.6586|Sulfamethoxazole-Trimethoprim Tab 400-80 MG|3.1
890023.9043|Sulfamethoxazole-Trimethoprim Tab 800-160 MG|3.1
890023.5976|Sulfasalazine Tab 500 MG|3.1
60081480|Sulfate Urine Timed|17
890025.5515|Sumatriptan Succinate Inj 6 MG/0.5ML,Sumatriptan Succinate Solution Jet-injector 6 MG/0.*,Sumatriptan Succinate Solution Prefilled Syringe 6 *,Sumatriptan Succinate Solution Cartridge 6 MG/0.5ML,Sumatriptan Succinate Solution Auto-injector 6 MG/0*,Sumatri|74.5
890023.6276|Sumatriptan Succinate Tab 50 MG|3.1
8105266|Supernova Et System Medium|246
8104207|Supplies Acapella Rt|131
8104204|Supplies T1 Vent Invasive Mode|262
8104205|Supplies T1 Vent Non Invasive Mode|282
8104206|Supplies V60 Phillips Rt|146
831909|Surg Dx Exam Anorectal|362
814977|Surg Prep Site Sc/N/F/H 1st 100cm|869
832975|Surg Prep Site Sc/N/F/H 1st 100cm|586
814975|Surg Prep Site Tk Ext 100sqcm|787
832976|Surg Prep Site Tk Ext 100sqcm|467
830364|Surg Tx Missed Ab 2nd Trimester OB|1,518.00
814783|Surgery Acne Remvl/Marsup Cyst|268
835440|Surgery Acne Remvl/Marsup Cyst|200
832661|SURGICAL TX ANAL FISTULA intersphinct|1,894.00
832660|Surgical Tx Anal Fistula Subcut|849
832660|Surgical Tx Anal Fistula Subcut|1,919.00
60049010|Susceptibility Anaerobic|294
60040570|Susceptibility Beta Lactamase|224
60049020|Susceptibility Disc Method|44
60049040|Susceptibility Mic|224
880045.3573|Sut Ethln 0 Ctx 72in Blk Mfl Nabsb|128.46
880039.1592|Sut Fbrwr 2 .5 Crc Str Dmd Pt Rvrs Cut|99.51
880039.1487|Sut Fbrwr 5 Ccs-1 38In Blu Brd Tie Ms|115.56
880039.1528|Sut Fbstk Tigerstick 2 50In Blu 1 End|147.66
880039.1674|Sut Fiberloop 2 7Mm Str 20In Blu Brd Ms|144.45
880039.1409|Sut Fibersnare Fbrwr 2 26In Grn Cls Loop|303
880039.1777|Sut Fibertag Speedwhip Fiberloop 2 Nabsb|232.5
880064.1607|Sut Fibertape Fbrwr 2 Tpr 54In Blu Brd|195.3
880039.2004|Sut Fibertape Fbrwr 2 Tpr 7Inx2Mm Blu|144.45
880095.1252|Sut Labraltape 1.5Mm 36In Wht Nabsb|196.95
880045.3357|Sut Maxbrd #2 Mo-6-ndl Bk/bl+bl Nabsb|218.16
880039.2065|Sut Mers 5Mm Bp-1 12In Wht 2 Arm Wvn|87.86
880039.3876|Sut Mers 5Mm Ctx 12In Wht 2 Arm Wvn|90.62
880039.2592|Sut Mxbrd 2 C-7 Brd Nabsb|96.3
880045.3327|Sut Nabsb Bbnd Tape 2pk BK/BL+BK 1.5mm|202.89
880039.2497|Sut Pds Quill Srs 0 Ct1 7X7Cm Rbtc|160.5
880045.3357|Sut Pe 2 38in Nabsb|96.3
880039.2434|Sut Saver|144.45
880039.4893|Sut Suturetape 1.3Mm 40In AFF|112.35
880045.3381|"Sut Tape Bbnd Mini 5"" Lp Bk/bl 20"" #2 Tl"|154.53
880045.3357|"Sut Tape Bbnd Mini Loop 5"" Blu 1.5mm 20"""|154.53
880039.5033|Sut Tigerloop Tigerwire 2 Str 20In|144.45
880039.3931|Sut Tigertape Tigerwire 2 Tpr 7Inx2Mm|160.5
880039.1689|Sut Trlnk 2 B/W Ndl Nabsb|1,257.45
880039.2497|Sut Vcl 2-0 En-S 48In Brd Coat Viol Absb|154.82
833273|Suture Intestine Large Sngl Perforatn|4,835.00
880039.4073|SUTURE NYLON BLACK LOOPED XLH 1X72IN AFF|96.94
832636|Suture Sm Intest Single Perf|6,157.00
880039.1328|Sux/Irr Lapscp Strkfl2 Wo Tip Strl Lf|168.13
800755|Swallow Funct W Video W Contrast|1,045.00
835594|Synov Exten Tend Sheath Wrist 1 C|1,506.00
880039.9859|Syr Epdrl Plstr Prtx Polypro Lor Ls Tray|417.2
880039.1999|Syr Infl Aln Ii Ga Strl Disp 60Ml|123.39
880039.2496|Syr Irr Ast Ato Refl Unv Cnct Arsw Tcrn|225.83
880039.233|Sys Atf .25In Cbc Ii Pvc Drn Rsrv Tube|333.3
880039.2489|Sys Atf 6In 1/8In Thrd Pvc 2 Troc Bld|567.88
880095.2455|Sys Biplr Hip Por|4,138.50
880039.1067|Sys Birth Cntrl Essure 2 Dev Vlv Intro|3,180.60
880048.1053|Sys Bnanch Prc Spdtc Trnvg Mfl Sut Strs|979.76
880039.1708|Sys Bone Cmnt 3 Ds Cmpct Vac Mx|291.56
880039.1269|Sys Bone Cmnt Abs Dlv Mx 3Ml|572.67
880039.7007|Sys Bone Cmnt Gry Mxvc3 Unv Hi Vac Spat|141.24
880039.238|Sys Bone Cmnt Mxvc3 Sm Sm Spat Mxr Strl|162.5
880039.2493|Sys Bone Cmnt Vtx Kt|141.36
880039.5832|Sys Bone Cmnt Vtx Vac Mxr|551.16
880045.1049|Sys Cbl 121Mm Cbl Rd Lng Gt Reatt Lf|2,904.58
880039.1426|Sys Cbl 121X23Mm Cbl Rd Lng 4 Intgr Gt|4,786.45
880039.198|Sys Cbl 5.1X2.21Cm Cbl Rd Shrt Tiv 2 Hl|2,094.34
880039.204|Sys Cbl 559Mm 1.8Mm Cbl Rd Ss Crlge Strl|731.07
880038.4702|Sys Comp Thrp 18-23In Cryo/Cuf Autochill|182.32
880038.4702|Sys Comp Thrp 20-31In Cryo/Cuf Lg Kn|181.8
880039.8789|Sys Comp Thrp 32-48In Cryo/Cuf Unv Xl|209.07
880001.1653|Sys Cor Stent 18Mm 2.75Mm Mtlnk Mvsn|623.1
880001.1783|Sys Cor Stent 23Mm 2.75Mm Mtlnk Mvsn|623.1
880001.2301|Sys Cor Stent 28Mm 2.25Mm Mtlnk Mvsn|623.1
880001.23|Sys Cor Stent Mtlnk Mvsn 2.25Mm 12Mm Rap|623.1
880001.2301|Sys Cor Stent Mtlnk Mvsn 2.25Mm 15Mm Rap|623.1
880001.2301|Sys Cor Stent Mtlnk Mvsn 2.25Mm 18Mm Rap|623.1
880001.2301|Sys Cor Stent Mtlnk Mvsn 2.25Mm 23Mm Rap|623.1
880001.23|Sys Cor Stent Mtlnk Mvsn 2.25Mm 8Mm Rap|623.1
880001.2301|Sys Cor Stent Mtlnk Mvsn 2.5Mm 12Mm Rap|623.1
880001.2301|Sys Cor Stent Mtlnk Mvsn 2.5Mm 15Mm Rap|623.1
880001.2301|Sys Cor Stent Mtlnk Mvsn 2.5Mm 18Mm Rap|623.1
880001.2301|Sys Cor Stent Mtlnk Mvsn 2.5Mm 23Mm Rap|623.1
880001.2302|Sys Cor Stent Mtlnk Mvsn 2.5Mm 28Mm Rap|623.1
880001.2301|Sys Cor Stent Mtlnk Mvsn 2.5Mm 8Mm Rap|623.1
880001.3091|Sys Cor Stent Mtlnk Mvsn 2.75Mm 12Mm Otw|623.1
880001.3091|Sys Cor Stent Mtlnk Mvsn 2.75Mm 15Mm Otw|623.1
880001.2298|Sys Cor Stent Mtlnk Mvsn 2.75Mm 28Mm Otw|623.1
880001.2299|Sys Cor Stent Mtlnk Mvsn 2.75Mm 8Mm Otw|623.1
880001.2299|Sys Cor Stent Mtlnk Mvsn 2Mm 12Mm Rap Ex|623.1
880001.2299|Sys Cor Stent Mtlnk Mvsn 2Mm 15Mm Rap Ex|623.1
880001.2299|Sys Cor Stent Mtlnk Mvsn 2Mm 18Mm Rap Ex|623.1
880001.23|Sys Cor Stent Mtlnk Mvsn 2Mm 23Mm Rap Ex|623.1
880001.23|Sys Cor Stent Mtlnk Mvsn 2Mm 28Mm Rap Ex|623.1
880001.2299|Sys Cor Stent Mtlnk Mvsn 2Mm 8Mm Rap Ex|623.1
880001.3091|Sys Cor Stent Mtlnk Mvsn 3Mm 23Mm Otw|623.1
880001.9626|Sys Cor Stent Mtlnk Ul 4.5Mm 13Mm Rap Ex|623.1
880001.9627|Sys Cor Stent Mtlnk Ul 4.5Mm 18Mm Rap Ex|623.1
880001.9627|Sys Cor Stent Mtlnk Ul 4.5Mm 28Mm Rap Ex|623.1
880001.9627|Sys Cor Stent Mtlnk Ul 4.5Mm 38Mm Rap Ex|623.1
880001.9626|Sys Cor Stent Mtlnk Ul 5Mm 13Mm Rap Ex|623.1
880001.9627|Sys Cor Stent Mtlnk Ul 5Mm 18Mm Rap Ex|623.1
880001.3091|Sys Cor Stent Mtlnk Ul 5Mm 28Mm Rap Ex|623.1
880001.9627|Sys Cor Stent Mtlnk Ul 5Mm 38Mm Rap Ex|623.1
880001.2302|Sys Cor Stent Mtlnk Vsn 2.75Mm 12Mm Rap|623.1
880001.2302|Sys Cor Stent Mtlnk Vsn 2.75Mm 15Mm Rap|623.1
880001.2302|Sys Cor Stent Mtlnk Vsn 2.75Mm 18Mm Rap|623.1
880001.2302|Sys Cor Stent Mtlnk Vsn 2.75Mm 23Mm Rap|623.1
880001.2302|Sys Cor Stent Mtlnk Vsn 2.75Mm 28Mm Rap|623.1
880001.2302|Sys Cor Stent Mtlnk Vsn 2.75Mm 8Mm Rap|623.1
880001.2303|Sys Cor Stent Mtlnk Vsn 3.5Mm 12Mm Rap|623.1
880001.2303|Sys Cor Stent Mtlnk Vsn 3.5Mm 15Mm Rap|623.1
880001.2303|Sys Cor Stent Mtlnk Vsn 3.5Mm 18Mm Rap|623.1
880001.2303|Sys Cor Stent Mtlnk Vsn 3.5Mm 23Mm Rap|623.1
880001.2303|Sys Cor Stent Mtlnk Vsn 3.5Mm 28Mm Rap|623.1
880001.2303|Sys Cor Stent Mtlnk Vsn 3.5Mm 8Mm Rap Ex|623.1
880001.2302|Sys Cor Stent Mtlnk Vsn 3Mm 12Mm Rap Ex|623.1
880001.2302|Sys Cor Stent Mtlnk Vsn 3Mm 15Mm Rap Ex|623.1
880001.2303|Sys Cor Stent Mtlnk Vsn 3Mm 18Mm Rap Ex|623.1
880001.2303|Sys Cor Stent Mtlnk Vsn 3Mm 23Mm Rap Ex|623.1
880001.2303|Sys Cor Stent Mtlnk Vsn 3Mm 28Mm Rap Ex|623.1
880001.2302|Sys Cor Stent Mtlnk Vsn 3Mm 8Mm Rap Ex|623.1
880001.2304|Sys Cor Stent Mtlnk Vsn 4Mm 12Mm Rap Ex|623.1
880001.2304|Sys Cor Stent Mtlnk Vsn 4Mm 15Mm Rap Ex|623.1
880001.2304|Sys Cor Stent Mtlnk Vsn 4Mm 18Mm Rap Ex|623.1
880001.2304|Sys Cor Stent Mtlnk Vsn 4Mm 23Mm Rap Ex|623.1
880001.2304|Sys Cor Stent Mtlnk Vsn 4Mm 28Mm Rap Ex|623.1
880001.2303|Sys Cor Stent Mtlnk Vsn 4Mm 8Mm Rap Ex|623.1
880110.1522|Sys Cor Stent Xience Alpine 2.25Mm 12Mm|1,209.00
880110.2021|Sys Cor Stent Xience Alpine 2.25Mm 12Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 2.25Mm 15Mm|1,209.00
880110.16|Sys Cor Stent Xience Alpine 2.25Mm 15Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 2.25Mm 18Mm|1,209.00
880110.16|Sys Cor Stent Xience Alpine 2.25Mm 18Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 2.25Mm 23Mm|1,209.00
880110.16|Sys Cor Stent Xience Alpine 2.25Mm 23Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 2.25Mm 28Mm|1,209.00
880110.16|Sys Cor Stent Xience Alpine 2.25Mm 28Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 2.25Mm 8Mm|1,209.00
880110.16|Sys Cor Stent Xience Alpine 2.25Mm 8Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 2.5Mm 12Mm|1,209.00
880110.2021|Sys Cor Stent Xience Alpine 2.5Mm 12Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 2.5Mm 15Mm|1,209.00
880110.16|Sys Cor Stent Xience Alpine 2.5Mm 15Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 2.5Mm 18Mm|1,209.00
880110.2021|Sys Cor Stent Xience Alpine 2.5Mm 18Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 2.5Mm 23Mm|1,209.00
880110.16|Sys Cor Stent Xience Alpine 2.5Mm 23Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 2.5Mm 28Mm|1,209.00
880110.2021|Sys Cor Stent Xience Alpine 2.5Mm 28Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 2.5Mm 33Mm|1,209.00
880110.16|Sys Cor Stent Xience Alpine 2.5Mm 33Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 2.5Mm 38Mm|1,209.00
880110.16|Sys Cor Stent Xience Alpine 2.5Mm 38Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 2.5Mm 8Mm|1,209.00
880110.2021|Sys Cor Stent Xience Alpine 2.5Mm 8Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 2.75Mm 12Mm|1,209.00
880110.16|Sys Cor Stent Xience Alpine 2.75Mm 12Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 2.75Mm 15Mm|1,209.00
880110.16|Sys Cor Stent Xience Alpine 2.75Mm 15Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 2.75Mm 18Mm|1,209.00
880110.16|Sys Cor Stent Xience Alpine 2.75Mm 18Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 2.75Mm 23Mm|1,209.00
880110.2021|Sys Cor Stent Xience Alpine 2.75Mm 23Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 2.75Mm 28Mm|1,209.00
880110.16|Sys Cor Stent Xience Alpine 2.75Mm 28Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 2.75Mm 33Mm|1,209.00
880110.16|Sys Cor Stent Xience Alpine 2.75Mm 33Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 2.75Mm 38Mm|1,209.00
880110.16|Sys Cor Stent Xience Alpine 2.75Mm 38Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 2.75Mm 8Mm|1,209.00
880110.16|Sys Cor Stent Xience Alpine 2.75Mm 8Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 3.25Mm 12Mm|1,209.00
880110.3091|Sys Cor Stent Xience Alpine 3.25Mm 12Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 3.25Mm 15Mm|1,209.00
880110.3091|Sys Cor Stent Xience Alpine 3.25Mm 15Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 3.25Mm 18Mm|1,209.00
880110.3091|Sys Cor Stent Xience Alpine 3.25Mm 18Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 3.25Mm 23Mm|1,209.00
880110.3091|Sys Cor Stent Xience Alpine 3.25Mm 23Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 3.25Mm 28Mm|1,209.00
880110.3091|Sys Cor Stent Xience Alpine 3.25Mm 28Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 3.25Mm 33Mm|1,209.00
880110.3091|Sys Cor Stent Xience Alpine 3.25Mm 33Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 3.25Mm 38Mm|1,209.00
880110.3091|Sys Cor Stent Xience Alpine 3.25Mm 38Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 3.25Mm 8Mm|1,209.00
880110.3091|Sys Cor Stent Xience Alpine 3.25Mm 8Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 3.5Mm 12Mm|1,209.00
880110.2021|Sys Cor Stent Xience Alpine 3.5Mm 12Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 3.5Mm 15Mm|1,209.00
880110.2021|Sys Cor Stent Xience Alpine 3.5Mm 15Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 3.5Mm 18Mm|1,209.00
880110.16|Sys Cor Stent Xience Alpine 3.5Mm 18Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 3.5Mm 23Mm|1,209.00
880110.16|Sys Cor Stent Xience Alpine 3.5Mm 23Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 3.5Mm 28Mm|1,209.00
880110.16|Sys Cor Stent Xience Alpine 3.5Mm 28Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 3.5Mm 33Mm|1,209.00
880110.16|Sys Cor Stent Xience Alpine 3.5Mm 33Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 3.5Mm 38Mm|1,209.00
880110.16|Sys Cor Stent Xience Alpine 3.5Mm 38Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 3.5Mm 8Mm|1,209.00
880110.16|Sys Cor Stent Xience Alpine 3.5Mm 8Mm|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 3Mm 12Mm Otw|1,209.00
880110.2021|Sys Cor Stent Xience Alpine 3Mm 12Mm Rap|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 3Mm 15Mm Otw|1,209.00
880110.2021|Sys Cor Stent Xience Alpine 3Mm 15Mm Rap|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 3Mm 18Mm Otw|1,209.00
880110.2021|Sys Cor Stent Xience Alpine 3Mm 18Mm Rap|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 3Mm 23Mm Otw|1,209.00
880110.16|Sys Cor Stent Xience Alpine 3Mm 23Mm Rap|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 3Mm 28Mm Otw|1,209.00
880110.16|Sys Cor Stent Xience Alpine 3Mm 28Mm Rap|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 3Mm 33Mm Otw|1,209.00
880110.16|Sys Cor Stent Xience Alpine 3Mm 33Mm Rap|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 3Mm 38Mm Otw|1,209.00
880110.16|Sys Cor Stent Xience Alpine 3Mm 38Mm Rap|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 3Mm 8Mm Otw|1,209.00
880110.16|Sys Cor Stent Xience Alpine 3Mm 8Mm Rap|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 4Mm 12Mm Otw|1,209.00
880110.16|Sys Cor Stent Xience Alpine 4Mm 12Mm Rap|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 4Mm 15Mm Otw|1,209.00
880110.16|Sys Cor Stent Xience Alpine 4Mm 15Mm Rap|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 4Mm 18Mm Otw|1,209.00
880110.16|Sys Cor Stent Xience Alpine 4Mm 18Mm Rap|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 4Mm 23Mm Otw|1,209.00
880110.16|Sys Cor Stent Xience Alpine 4Mm 23Mm Rap|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 4Mm 28Mm Otw|1,209.00
880110.16|Sys Cor Stent Xience Alpine 4Mm 28Mm Rap|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 4Mm 33Mm Otw|1,209.00
880110.2021|Sys Cor Stent Xience Alpine 4Mm 33Mm Rap|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 4Mm 38Mm Otw|1,209.00
880110.16|Sys Cor Stent Xience Alpine 4Mm 38Mm Rap|1,209.00
880110.1522|Sys Cor Stent Xience Alpine 4Mm 8Mm Otw|1,209.00
880110.16|Sys Cor Stent Xience Alpine 4Mm 8Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 2.25Mm 12Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 2.25Mm 15Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 2.25Mm 18Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 2.25Mm 23Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 2.25Mm 28Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 2.25Mm 33Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 2.25Mm 38Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 2.25Mm 8Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 2.5Mm 12Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 2.5Mm 15Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 2.5Mm 18Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 2.5Mm 23Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 2.5Mm 28Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 2.5Mm 33Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 2.5Mm 38Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 2.5Mm 8Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 2.75Mm 12Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 2.75Mm 15Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 2.75Mm 18Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 2.75Mm 23Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 2.75Mm 28Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 2.75Mm 33Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 2.75Mm 38Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 2.75Mm 8Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 3.25Mm 12Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 3.25Mm 15Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 3.25Mm 18Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 3.25Mm 23Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 3.25Mm 28Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 3.25Mm 33Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 3.25Mm 38Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 3.25Mm 8Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 3.5Mm 12Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 3.5Mm 15Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 3.5Mm 18Mm Rap|1,209.00
880110.3076|Sys Cor Stent Xience Srr 3.5Mm 23Mm Rap|1,209.00
880110.3076|Sys Cor Stent Xience Srr 3.5Mm 28Mm Rap|1,209.00
880110.3076|Sys Cor Stent Xience Srr 3.5Mm 33Mm Rap|1,209.00
880110.3076|Sys Cor Stent Xience Srr 3.5Mm 38Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 3.5Mm 8Mm Rap|1,209.00
880110.3075|Sys Cor Stent Xience Srr 3Mm 12Mm Rap Ex|1,209.00
880110.3075|Sys Cor Stent Xience Srr 3Mm 15Mm Rap Ex|1,209.00
880110.3075|Sys Cor Stent Xience Srr 3Mm 18Mm Rap Ex|1,209.00
880110.3075|Sys Cor Stent Xience Srr 3Mm 23Mm Rap Ex|1,209.00
880110.3075|Sys Cor Stent Xience Srr 3Mm 28Mm Rap Ex|1,209.00
880110.3075|Sys Cor Stent Xience Srr 3Mm 33Mm Rap Ex|1,209.00
880110.3075|Sys Cor Stent Xience Srr 3Mm 38Mm Rap Ex|1,209.00
880110.3075|Sys Cor Stent Xience Srr 3Mm 8Mm Rap Ex|1,209.00
880110.3076|Sys Cor Stent Xience Srr 4Mm 12Mm Rap Ex|1,209.00
880110.3076|Sys Cor Stent Xience Srr 4Mm 15Mm Rap Ex|1,209.00
880110.3076|Sys Cor Stent Xience Srr 4Mm 18Mm Rap Ex|1,209.00
880110.3076|Sys Cor Stent Xience Srr 4Mm 23Mm Rap Ex|1,209.00
880110.3076|Sys Cor Stent Xience Srr 4Mm 28Mm Rap Ex|1,209.00
880110.3076|Sys Cor Stent Xience Srr 4Mm 33Mm Rap Ex|1,209.00
880110.3076|Sys Cor Stent Xience Srr 4Mm 38Mm Rap Ex|1,209.00
880110.3076|Sys Cor Stent Xience Srr 4Mm 8Mm Rap Ex|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 2.25Mm 12|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 2.25Mm 15|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 2.25Mm 18|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 2.25Mm 23|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 2.25Mm 28|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 2.25Mm 8|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 2.5Mm 12|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 2.5Mm 15|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 2.5Mm 18|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 2.5Mm 23|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 2.5Mm 28|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 2.5Mm 33|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 2.5Mm 38|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 2.5Mm 8Mm|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 2.75Mm 12|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 2.75Mm 15|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 2.75Mm 18|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 2.75Mm 23|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 2.75Mm 28|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 2.75Mm 33|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 2.75Mm 38|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 2.75Mm 8|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 3.25Mm 12|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 3.25Mm 15|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 3.25Mm 18|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 3.25Mm 23|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 3.25Mm 28|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 3.25Mm 33|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 3.25Mm 38|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 3.25Mm 8|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 3.5Mm 12|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 3.5Mm 15|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 3.5Mm 18|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 3.5Mm 23|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 3.5Mm 28|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 3.5Mm 33|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 3.5Mm 38|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 3.5Mm 8Mm|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 3Mm 12Mm|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 3Mm 15Mm|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 3Mm 18Mm|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 3Mm 23Mm|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 3Mm 28Mm|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 3Mm 33Mm|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 3Mm 38Mm|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 3Mm 8Mm|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 4Mm 12Mm|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 4Mm 15Mm|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 4Mm 18Mm|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 4Mm 23Mm|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 4Mm 28Mm|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 4Mm 33Mm|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 4Mm 38Mm|1,209.00
880110.1016|Sys Cor Stent Xience Xpedition 4Mm 8Mm|1,209.00
880039.7458|Sys Dlv Cost++ Cls Injectate Rm Temp|80.89
880037.173|Sys Drg Dlv 2-14Ml/Hr Onq Cblc Slct|818.1
880039.2489|Sys Drn Pvc Chst Thrx 1 Chmbr 1 Wy Vlv|140.92
880039.2381|Sys Escp Pnpt Paq Flur Img|462.08
880045.6587|Sys Fx 19.1Mm 4.75Mm Speedbridge|3,087.60
880045.155|Sys Fx 37Cm Cpsr Str Ss Peek Perm Hndl|969.6
880039.2445|Sys Fx Permafix Nabsb Fstnr|757.5
SUP107734|Sys Jada 2002 Hemorage Vac Vlv Blu Kt|3,219.00
880039.1168|Sys Neg Prss 12X4In Pico Drsg Kt Wnd|666.6
880039.9827|Sys Nvg Vizadisc Hip Trk Kt|691.29
880039.2603|Sys Nvg Vizadisc Kn Trk Kt|691.29
880095.2429|Sys Orth Cmnt Kn Jnt|6,891.30
880104.3143|Sys Pace Transcatheter Mdtrnc Micra Av|20,925.00
880039.1336|Sys Pltl Conc Biocue Bn Mrw Acd-A Gze|5,793.04
880039.1868|Sys Rtnt Pannus Lbr And Dlv Adh Hpoal St|227.25
880039.2505|Sys Sut Speedsnare 30 Deg L|921.12
880095.2431|Sys Thr 32Mm Ha Xlpe Por Cup Head Linr|6,975.00
880095.2429|Sys Thr 32Mm Med Xlpe Por Head Cup|6,975.00
880095.2429|Sys Thr 32Mm Trb Mtl Xlpe Por Cup Linr|7,719.00
880095.2429|Sys Thr 38Mm Xlpe Por Cup Head Linr|6,975.00
880095.2431|Sys Thr 38Mm Xlpe Por Cup Linr Hbrd Cmnt|6,184.50
880095.2427|Sys Thr 40Mm Durom Ldh Por Metasul Stm|6,975.00
880095.243|Sys Thr Biolox Cerm Xlpe Ha Por Head|7,440.00
880095.243|Sys Thr Biolox Lg Std Por Cmnt Stm Cup|6,649.50
880095.243|Sys Thr Biolox Lg Std Trb Mtl Cerm Por|8,928.00
880095.243|Sys Thr Biolox Lg Std Trb Mtl Por Stm|8,184.00
880095.243|Sys Thr Biolox Lg Std Xlpe Por Cmnt Stm|6,649.50
880095.2454|Sys Thr Biolox Lg Xlpe Por Stm Cup Linr|9,393.00
880095.243|Sys Thr Biolox Lng Std Cerm Xlpe Ha Por|7,440.00
880095.2455|Sys Thr Biolox Por Cup Linr Cap Stm|10,323.00
880095.243|Sys Thr Biolox Std Cerm Xlpe Ha Por Cup|7,440.00
880095.243|Sys Thr Biolox Std Ha Por Cup Linr|7,440.00
880095.243|Sys Thr Biolox Std Ha Por Cup Linr|7,440.00
880095.243|Sys Thr Biolox Trb Mtl Cerm Xlpe Ha Por|8,184.00
880095.3096|Sys Thr Biolox Trb Mtl Por Por Cap Cpt|9,858.00
880095.2454|Sys Thr Blx D Cerm Xlpe Por Stm Cup Linr|8,928.00
880095.2426|Sys Thr Cap|5,301.00
880095.2428|Sys Thr Cerm Por Hbrd Stm Std Linr Head|6,184.50
880095.2426|Sys Thr Cerm Xlpe Ha Por Stm Cup Linr|7,440.00
880095.2429|Sys Thr Cerm Xlpe Ha Por Stm Cup Linr|7,440.00
880095.2427|Sys Thr Cerm Xlpe Por Stm Cup Linr Hdnk|7,440.00
880095.243|Sys Thr Dlt Poly Cerm Cmnt Std Head|6,649.50
880095.243|Sys Thr Dlt Std Por Cup Linr|7,440.00
880095.243|Sys Thr Dlt Xlpe Por Cup Linr Hbrd Cmnt|6,649.50
880095.2425|Sys Thr Durom Metasul Ldh Ha Por Stm Cup|6,975.00
880095.2455|Sys Thr Durom Metasul Ldh Por Stm Cup|10,788.00
880095.2425|Sys Thr Epoch Cerm Xlpe Ha Por Stm Head|7,440.00
880095.2425|Sys Thr Epoch Hedrocel Por Cup|7,719.00
880095.2425|Sys Thr Epoch Lg Cerm Xlpe Por Stm Cup|7,440.00
880095.2425|Sys Thr Epoch Lg Trb Mtl Metasul Ldh Por|7,719.00
880095.2425|Sys Thr Epoch Lg Trb Mtl Xlpe Stm Cup|7,719.00
880095.2455|Sys Thr Epoch Med Durom Metasul Ldh Por|10,788.00
880095.2425|Sys Thr Epoch Mtl Stm Head|6,975.00
880095.2455|Sys Thr Epoch Por Mlplr Cup Stm|6,138.00
880095.2455|Sys Thr Epoch Por Unplr Stm|6,138.00
880095.2455|Sys Thr Epoch Trb Mtl Cerm Xlpe Por Cup|9,858.00
880095.2455|Sys Thr Epoch Trb Mtl Cerm Xlpe Stm Cup|10,323.00
880095.2455|Sys Thr Epoch Trb Mtl Xlpe Por Cup Linr|7,719.00
880095.2425|Sys Thr Epoch Xlpe Ha Por Cup Linr|6,975.00
880095.2455|Sys Thr Epoch Zrcn Xlpe Por Stm Head|8,928.00
880095.2428|Sys Thr Fem Ptlr Tib Trb Mtl Xlpe Hbrd|8,310.48
880095.2429|Sys Thr Fitmore Cerm Xlpe Por Cup Linr|7,440.00
880095.243|Sys Thr Fitmore Durom Ldh Metasul Stm|6,975.00
880095.243|Sys Thr Fitmore Lg Kn Trb Mtl Por Stm|7,719.00
880095.2429|Sys Thr Fitmore Lg Std Trb Mtl Xlpe Cup|7,719.00
880095.243|Sys Thr Fitmore Lg Trb Mtl Cerm Xlpe Stm|8,184.00
880095.243|Sys Thr Fitmore Mlplr Std Hip Por Biplr|5,994.78
880095.2429|Sys Thr Fitmore Std Trb Mtl Xlpe Por Stm|7,719.00
880095.2429|Sys Thr Fitmore Trb Mtl Cerm Xlpe Por|8,184.00
880095.243|Sys Thr Gndr Sol Lg Fem Ptlr Tib Trb Mtl|8,751.30
880095.243|Sys Thr Ha Por Lg Cerm Head Xlpe Linr|7,440.00
880095.2425|Sys Thr Ha Por Unplr|5,994.78
880095.2425|Sys Thr Ha Trb Mtl Por Cup Head Linr|7,719.00
880095.2431|Sys Thr Ha Ult Hdmnd Cup|6,975.00
880095.243|Sys Thr Ha Xlpe Por Cup Linr Head Stm|7,440.00
880095.2431|Sys Thr Hbrd|6,184.50
880095.2426|Sys Thr Hedrocel Cerm Cup Head Hdmnd|8,184.00
880095.2425|Sys Thr Hedrocel Cup Hbrd|6,928.50
880095.2425|Sys Thr Hedrocel Hdmnd|7,719.00
880095.2425|Sys Thr Hedrocel Ult Hdmnd|7,719.00
880095.2425|Sys Thr Hedrocel Xlpe Mdrt Dmnd|6,928.50
880095.243|Sys Thr Hip Cerm Xlpe Ha Cup Head Hbrd|6,649.50
880045.3573|Sys Thr Hip Cmnt Stm Cup Linr Biplr|3,255.00
880095.2425|Sys Thr Hip Durom Metasul Ldh Cmnt Stm|6,184.50
880095.2454|Sys Thr Hip Durom Metasul Ldh Por Cmnt|10,788.00
880095.2429|Sys Thr Hip Por Hbrd Std Linr Dlt Cerm|6,975.00
880095.2454|Sys Thr Hip Trb Mtl Xlpe Por Cup|9,300.00
880095.2455|Sys Thr Kinectiv Cpt Kt|9,765.00
880095.2427|Sys Thr Kinectiv Lg Cerm Xlpe Por Cup Nk|7,440.00
880095.2428|Sys Thr Kinectiv Lg Trb Mtl Cerm Xlpe|8,184.00
880095.2427|Sys Thr Kn Fem Ptlr Tib Trb Mtl Prlng|8,751.30
880095.2428|Sys Thr Kn Fem Ptlr Tib Trb Mtl Prlng|8,310.48
880095.2428|Sys Thr Kn Fem Ptlr Tib Trb Mtl Xlpe Por|8,751.30
880095.243|Sys Thr Lg Cerm Xlpe Ha Por Cup Linr Stm|7,440.00
880095.2426|Sys Thr Lg Cerm Xlpe Ha Por Nk Mis|7,440.00
880095.2425|Sys Thr Lg Hip Trb Mtl Hbrd Cmnt Stm Cup|6,928.50
880095.2429|Sys Thr Lg Std Trb Mtl Xlpe Ha Por Stm|5,952.00
880095.2455|Sys Thr Lg Std Trb Mtl Xlpe Por Stm Cup|9,393.00
880095.2454|Sys Thr Lg Std Trb Mtl Xlpe Por Stm Linr|8,835.00
880095.2428|Sys Thr Lg Std Trb Mtl Xlpe Stm Cup Nk|7,719.00
880095.2425|Sys Thr Lg Trb Mtl Cerm Xlpe Cmnt Cup|6,928.50
880095.2429|Sys Thr Lg Trb Mtl Cerm Xlpe Stm Cup|8,184.00
880095.2425|Sys Thr Lg Trb Mtl Ha Por Cup Linr Head|7,719.00
880095.2451|Sys Thr Lg Trb Mtl Ha Por Cup Linr Head|10,788.00
880095.2451|Sys Thr Lg Trb Mtl Por Head Cup Stm Linr|10,788.00
880095.2451|Sys Thr Lg Trb Mtl Por Nk Stm Cup Linr|10,788.00
880095.2425|Sys Thr Lg Trb Mtl Xlpe Ha Ult Hdmnd|7,719.00
880095.2455|Sys Thr Lg Trb Mtl Xlpe Hbrd|7,905.00
880095.2428|Sys Thr Lg Trb Mtl Xlpe Por Cup Linr Lo|7,719.00
880095.2429|Sys Thr Lg Trb Mtl Xlpe Stm Cup Linr|8,463.00
880095.2453|Sys Thr Lg Trb Mtl Xlpe Stm Linr Head|9,188.40
880095.2431|Sys Thr Lg Xlpe Ha Cup Head Hbrd|6,184.50
880095.2425|Sys Thr Lg Xlpe Ha Por Head|6,975.00
880095.2425|Sys Thr Lg Xlpe Ha Stm Cup Linr Head|6,975.00
880095.2455|Sys Thr Lg Xlpe Head Linr Hbrd|6,975.00
880095.2454|Sys Thr Lg Xlpe Head Linr Hdmnd|8,835.00
880095.243|Sys Thr Lg Xlpe Por Ha Stm Cup Linr Hdnk|7,440.00
880095.2428|Sys Thr Lngvt Por Stm Hbrd Linr Std Head|6,184.50
880095.2431|Sys Thr Lo Dmnd|6,184.50
880095.2431|Sys Thr Lo Dmnd Eprsth|3,357.30
880095.2429|Sys Thr Mayo Durom Metasul Ldh Por Stm|6,975.00
880095.2429|Sys Thr Mayo Hedrocel Xlpe Por Cup Linr|7,719.00
880095.2429|Sys Thr Mayo Lngvt Por Stm Cup Linr Std|6,975.00
880095.2429|Sys Thr Mayo Str Cerm Xlpe Por Head Linr|7,440.00
880095.2429|Sys Thr Mayo Trb Mtl Vivacit-E Ha Por|8,463.00
880095.2429|Sys Thr Mayo Trb Mtl Vivacit-E Por Stm|8,649.00
880095.2429|Sys Thr Mayo Trb Mtl Xlpe Ha Stm Cup|7,719.00
880095.2429|Sys Thr Mayo Xlpe Ha Por Stm Cup|6,975.00
880095.243|Sys Thr Mdrt Dmnd|6,184.50
880095.2431|Sys Thr Mdrt Dmnd Cmnt Cerm Head|6,649.50
880095.2425|Sys Thr Med Hedrocel Ins Hbrd|6,184.50
880095.2451|Sys Thr Med Hip Trb Mtl Hbrd Cmnt Stm|10,788.00
880095.2431|Sys Thr Mlplr Cerm Cmnt Stm Cup Linr|5,124.30
880095.2426|Sys Thr Mtl Ins Hdmnd|6,975.00
880095.2425|Sys Thr Mtrsl Head Ult Hdmnd|6,975.00
880095.2428|Sys Thr Nxgn Kn Fem Ptlr Tib Trb Mtl|8,310.48
880095.2426|Sys Thr Std Ha Por Stm Cup Linr Hdnk Cpt|6,975.00
880095.2427|Sys Thr Std Ha Xlpe Por Nk Cup Linr Head|6,975.00
880095.2427|Sys Thr Std Kn Fem Ptlr Tib Trb Mtl Por|8,751.30
880095.2426|Sys Thr Std Lg Xlpe Ha Por Stm Cup Linr|6,975.00
880095.2455|Sys Thr Std Lg Xlpe Por Cup Linr Hdnk|8,835.00
880095.2431|Sys Thr Std Poly Por Cup Head Hbrd|6,184.50
880095.2426|Sys Thr Std Por Stm Cup Linr Cpt Kt Mis|6,975.00
880095.2429|Sys Thr Std Trb Mtl Ha Linr Cup|6,928.50
880095.2428|Sys Thr Std Trb Mtl Lngvt Por Ha Stm Cup|8,649.00
880095.2428|Sys Thr Std Trb Mtl Lngvt Por Ha Stm Cup|8,649.00
880095.2428|Sys Thr Std Trb Mtl Lngvt Vivacit-E Stm|8,649.00
880095.2429|Sys Thr Std Trb Mtl Por Stm Cup Linr|8,463.00
880095.2429|Sys Thr Std Trb Mtl Por Stm Cup Linr|8,928.00
880095.2429|Sys Thr Std Trb Mtl Por Stm Linr|7,719.00
880095.2428|Sys Thr Std Trb Mtl Stm Cup Nk Head Linr|7,719.00
880095.2425|Sys Thr Std Trb Mtl Vivacit-E Cmnt Stm|7,858.50
880095.2429|Sys Thr Std Trb Mtl Xlpe Ha Stm Cup Linr|7,719.00
880095.2455|Sys Thr Std Trb Mtl Xlpe Por Stm Cup|9,300.00
880095.2428|Sys Thr Std Trb Mtl Xlpe Stm Cup Nk Head|7,719.00
880095.2426|Sys Thr Std Xlpe Ha Por Stm Cup Linr|6,975.00
880095.2428|Sys Thr Std Xlpe Por Lo Dmnd Stm Linr|6,975.00
880095.2455|Sys Thr Std Xlpe Por Stm Cup Linr Hdnk|8,370.00
880095.2427|Sys Thr Tcp Ha Cup|6,975.00
880095.2431|Sys Thr Trb Mtl Cerm Cup Linr Head Stm|5,994.78
880095.2426|Sys Thr Trb Mtl Cerm Ha Cup Head Ult|8,184.00
880095.2426|Sys Thr Trb Mtl Cerm Ha Head|8,184.00
880095.2429|Sys Thr Trb Mtl Cerm Ha Por Stm Cup Nk|9,114.00
880095.2425|Sys Thr Trb Mtl Cerm Xlpe Cup Head Hbrd|7,393.50
880095.2429|Sys Thr Trb Mtl Cerm Xlpe Ha Por Stm Cup|8,184.00
880095.2455|Sys Thr Trb Mtl Cerm Xlpe Por Stm Cup|9,858.00
880095.2429|Sys Thr Trb Mtl Metasul Cerm Stm Head|7,719.00
880095.2426|Sys Thr Trb Mtl Por Mnblck Cerm Head|8,184.00
880095.2451|Sys Thr Trb Mtl Por Nk Stm Cup Linr|10,788.00
880095.2455|Sys Thr Trb Mtl Por Stm Biplr Mlplr Cup|6,138.00
880095.2451|Sys Thr Trb Mtl Por Stm Cup Head Linr|10,788.00
880095.2451|Sys Thr Trb Mtl Por Stm Cup Linr Head|10,788.00
880095.2455|Sys Thr Trb Mtl Por Unplr Stm|6,138.00
880095.2429|Sys Thr Trb Mtl Vit E Cerm Por Stm Cup|9,858.00
880095.2426|Sys Thr Trb Mtl Vivacit-E Cerm Hbrd Cmnt|8,323.50
880095.2454|Sys Thr Trb Mtl Xlpe Cerm Cup Head Hdmnd|9,858.00
880095.2455|Sys Thr Trb Mtl Xlpe Cup Hbrd|7,440.00
880095.2454|Sys Thr Trb Mtl Xlpe Por Stm Cup Linr|9,672.00
880095.2454|Sys Thr Trb Mtl Xlpe Por Stm Linr|8,704.80
880095.243|Sys Thr Ult Hdmnd|6,975.00
880095.2431|Sys Thr Ult Hdmnd Biplr|5,994.78
880095.2455|Sys Thr Unplr|4,138.50
880095.2425|Sys Thr Vivacit-E Epoch Lg Hip Trb Mtl|8,649.00
880045.2486|Sys Thr Vivacit-E Hip Trb Mtl Hbrd Std|7,858.50
880095.2428|Sys Thr Vivacit-E Lg Hip Trb Mtl Cerm Ha|8,184.00
880045.2487|Sys Thr Vivacit-E Lg Hip Trb Mtl Hbrd|7,579.50
880095.2455|Sys Thr Vrsy Ld/Fx Lo Dmnd Unplr|3,255.00
880095.2455|Sys Thr Vrsy Ld/Fx Std Biplr Prft Stm|4,278.00
880095.2455|Sys Thr Vrsy Ld/Fx Std Prft Stm Unplr|4,138.50
880095.2431|Sys Thr Xl Std Ha Xlpe Por Cup Head Linr|6,975.00
880095.2425|Sys Thr Xl Std Ha Xlpe Por Cup Linr Head|6,975.00
880095.243|Sys Thr Xl Std Xlpe Por Cup Head Linr|6,975.00
880095.2431|Sys Thr Xlpe Ha Por Cup Linr|6,975.00
880095.2431|Sys Thr Xlpe Ha Por Linr|6,975.00
880095.2431|Sys Thr Xlpe Ha Ult Hdmnd|6,975.00
880095.2431|Sys Thr Xlpe Ha Ult Hdmnd|6,975.00
880095.2455|Sys Thr Xlpe Hbrd|6,510.00
880095.2431|Sys Thr Xlpe Linr|6,184.50
880095.2431|Sys Thr Xlpe Mdrt Dmnd|6,184.50
880095.3987|Sys Thr Xlpe Por Cup Linr|8,370.00
880095.2428|Sys Thr Xlpe Por Stm Cup Lg Linr Head|6,975.00
880095.2425|Sys Thr Xlpe Ult Hdmnd|7,719.00
880095.2431|Sys Thr Xple Tcp Ha Cup Hbrd|6,184.50
880095.2425|Sys Thr Zrcn Cerm Head Hbrd|6,649.50
880095.2425|Sys Thr Zrcn Cerm Por Head Hdmnd|7,440.00
880095.2425|Sys Thr Zrcn Cerm Xlpe Ha Por Head Hdmnd|7,440.00
880095.2425|Sys Thr Zrcn Cerm Xlpe Ha Por Head Hdmnd|7,440.00
880095.2425|Sys Thr Zrcn Cerm Xlpe Ha Por Head Ult|7,440.00
880095.2425|Sys Thr Zrcn Cerm Xlpe Ha Por Head Ult|7,440.00
880095.2425|Sys Thr Zrcn Cerm Xlpe Head Hbrd|6,184.50
880095.2425|Sys Thr Zrcn Cerm Xlpe Por Head Hdmnd|7,440.00
880095.2429|Sys Thr Zrcn Trb Mtl Cerm Por Stm Head|8,184.00
880095.2429|Sys Thr Zrcn Trb Mtl Cerm Xlpe Ha Stm|8,184.00
880095.2454|Sys Thr Zrcn Trb Mtl Cerm Xlpe Por Stm|8,928.00
880045.277|Sys Tkr Cmnt|25,389.00
880095.2455|Sys Tkr Cmnt|7,060.56
880095.2794|Sys Tkr Cmnt Flx|7,254.00
880095.2425|Sys Tkr Cmnt Uncmp|5,301.00
880095.2427|Sys Tkr Cr-Flx Gndr Sol Std Tib Por Cmnt|6,891.30
880095.2429|Sys Tkr Cr-Flx Gndr Sol Tib Ptlr Prlng|6,891.30
880095.2426|Sys Tkr Cr-Flx Gndr Sol Trb Mtl Cmnt|8,310.48
880095.2426|Sys Tkr Cr-Flx Std Fem Ptlr Tib Cmnt|6,450.48
880095.2426|Sys Tkr Cr-Flx Std Fem Ptlr Tib Cmnt|6,450.48
880095.2426|Sys Tkr Cr-Flx Std Fem Ptlr Tib Cmnt Nsm|6,450.48
880095.2429|Sys Tkr Cr-Flx Std Fem Ptlr Tib Por Hbrd|6,891.30
880095.2429|Sys Tkr Cr-Flx Std Fem Ptlr Tib Por Hbrd|5,952.00
880095.2426|Sys Tkr Cr-Flx Std Fem Ptlr Tib Prect|6,450.48
880095.2426|Sys Tkr Cr-Flx Std Fem Ptlr Tib Prlng|6,450.48
880095.2425|Sys Tkr Dmnd Mdrt|6,450.48
880095.243|Sys Tkr Fem Ptlr Mtl|5,301.00
880095.2426|Sys Tkr Fem Ptlr Prlng Trb Mtl Flxb Cmnt|6,450.48
880095.2431|Sys Tkr Fem Ptlr Tib Alply Xlpe Flx Cmnt|6,450.48
880095.2428|Sys Tkr Fem Ptlr Tib Mtl Prlng Por Hbrd|6,891.30
880095.2428|Sys Tkr Fem Ptlr Tib Por Hbrd Cmnt|5,952.00
880095.2428|Sys Tkr Fem Ptlr Tib Por Hbrd Cmnt Inact|5,952.00
880095.2428|Sys Tkr Fem Ptlr Tib Por Hbrd Cmnt Inact|5,952.00
880095.2428|Sys Tkr Fem Ptlr Tib Por Hbrd Flx Cmnt|5,952.00
880095.2428|Sys Tkr Fem Ptlr Tib Prlng Hbrd Cmnt|8,310.48
880095.2429|Sys Tkr Fem Ptlr Tib Prlng Hbrd Flx Cmnt|5,952.00
880095.2427|Sys Tkr Fem Ptlr Tib Prlng Mtl Cmnt|6,450.48
880095.2426|Sys Tkr Fem Ptlr Tib Prlng Mtl Cmnt Srfc|6,450.48
880095.2429|Sys Tkr Fem Ptlr Tib Prlng Mtl Por Hbrd|5,952.00
880095.2429|Sys Tkr Fem Ptlr Tib Prlng Por Hbrd Flx|5,952.00
880095.2429|Sys Tkr Fem Ptlr Tib Prlng Por Hbrd Flx|6,891.30
880095.2429|Sys Tkr Fem Ptlr Tib Prlng Por Hbrd Flx|6,891.30
880095.2429|Sys Tkr Fem Ptlr Tib Prlng Por Hbrd Flx|5,952.00
880095.2426|Sys Tkr Fem Ptlr Tib Prlng Trb Mtl Cmnt|5,952.00
880095.2426|Sys Tkr Fem Ptlr Tib Prlng Trb Mtl Cmnt|5,952.00
880095.2426|Sys Tkr Fem Ptlr Tib Prlng Trb Mtl Por|8,751.30
880095.2431|Sys Tkr Fem Ptlr Tib Prlng Trb Mtl Por|8,751.30
880095.2431|Sys Tkr Fem Ptlr Tib Prlng Trb Mtl Por|8,751.30
880095.2426|Sys Tkr Fem Ptlr Tib Prlng Xlpe Cmnt|6,450.48
880095.2431|Sys Tkr Fem Ptlr Tib Prlng Xlpe Cmnt|6,450.48
880095.2426|Sys Tkr Fem Ptlr Tib Prlng Xlpe Cmnt Flx|6,450.48
880095.2427|Sys Tkr Fem Ptlr Tib Prlng Xlpe Por Hbrd|6,891.30
880095.2427|Sys Tkr Fem Ptlr Tib Prlng Xlpe Por Hbrd|6,891.30
880095.2427|Sys Tkr Fem Ptlr Tib Prlng Xlpe Por Hbrd|6,891.30
880095.2427|Sys Tkr Fem Ptlr Tib Prlng Xlpe Por Hbrd|6,891.30
880095.2429|Sys Tkr Fem Ptlr Tib Prlng Xlpe Por Hbrd|5,952.00
880095.2431|Sys Tkr Fem Ptlr Tib Prlng Xlpe Por Hbrd|6,891.30
880095.2431|Sys Tkr Fem Ptlr Tib Prlng Xlpe Prect|6,891.30
880095.2427|Sys Tkr Fem Ptlr Tib Tiv Por Cmnt Flx|5,952.00
880095.2429|Sys Tkr Fem Ptlr Tib Trb Mtl Hbrd Flx|8,751.30
880095.2432|Sys Tkr Fem Ptlr Tib Trb Mtl Por Cmnt|8,751.30
880095.2426|Sys Tkr Fem Ptlr Tib Trb Mtl Prlng Cmnt|6,450.48
880095.2428|Sys Tkr Fem Ptlr Tib Trb Mtl Prlng Hbrd|8,310.48
880095.2428|Sys Tkr Fem Ptlr Tib Trb Mtl Prlng Hbrd|8,751.30
880095.2429|Sys Tkr Fem Ptlr Tib Trb Mtl Prlng Hbrd|8,751.30
880095.2429|Sys Tkr Fem Ptlr Tib Trb Mtl Prlng Hbrd|8,310.48
880095.243|Sys Tkr Fem Ptlr Tib Trb Mtl Xlpe Flx|8,751.30
880045.2485|Sys Tkr Fem Ptlr Tib Vivacit-E Prlng|6,231.00
880045.2485|Sys Tkr Fem Ptlr Tib Vivacit-E Prlng|5,766.00
880095.2426|Sys Tkr Fem Ptlr Tib Xlpe Cmnt|6,450.48
880095.2427|Sys Tkr Fem Ptlr Tib Xlpe Por Cmnt|5,952.00
880095.2425|Sys Tkr Fem Ptlr Tib Xlpe Por Hbrd Cmnt|6,891.30
880095.2425|Sys Tkr Fem Ptlr Tib Xlpe Por Hbrd Cmnt|6,891.30
880095.2425|Sys Tkr Fem Ptlr Tib Xlpe Por Hbrd Stm|6,891.30
880095.2425|Sys Tkr Fem Ptlr Tib Xlpe Por Hbrd Stm|6,891.30
880095.243|Sys Tkr Fem Ptlr Xlpe Cmpnt|5,301.00
880095.2426|Sys Tkr Fem Tib Cerm Srfc Prlng|5,952.00
880095.2426|Sys Tkr Fem Tib Cmnt|6,450.48
880095.2432|Sys Tkr Fem Tib Cmnt Mbl|6,450.48
880095.2431|Sys Tkr Fem Tib Flx Cmnt Surfacing Plg|6,450.48
880095.2428|Sys Tkr Fem Tib Kn Por Hbrd Cmnt|6,891.30
880095.2428|Sys Tkr Fem Tib Kn Por Prlng Flx Cmnt|6,891.30
880095.2429|Sys Tkr Fem Tib Kn Por Prlng Flx Cmnt|5,952.00
880095.2429|Sys Tkr Fem Tib Kn Por Prlng Flx Cmnt|6,891.30
880095.2428|Sys Tkr Fem Tib Kn Trb Mtl Flx Cmnt|8,310.48
880095.2426|Sys Tkr Fem Tib Poly Cmnt|6,450.48
880095.2425|Sys Tkr Fem Tib Por Cmnt Mbl Srfc Hbrd|6,891.30
880095.2428|Sys Tkr Fem Tib Por Hbrd Cmnt Std Srfc|5,952.00
880095.2426|Sys Tkr Fem Tib Prlng Cmnt Mnblck|6,450.48
880095.2426|Sys Tkr Fem Tib Prlng Cmnt Srfc Flx|6,450.48
880095.2431|Sys Tkr Fem Tib Prlng Flx Cmnt|5,952.00
880095.2431|Sys Tkr Fem Tib Prlng Flx Cmnt Surfacing|6,450.48
880095.2431|Sys Tkr Fem Tib Prlng Por|6,891.30
880095.2432|Sys Tkr Fem Tib Prlng Prect Cmnt Flx|6,450.48
880095.2428|Sys Tkr Fem Tib Prlng Prect Cmnt Flx Mis|6,450.48
880095.2432|Sys Tkr Fem Tib Prlng Xlpe Prect Por|6,891.30
880095.243|Sys Tkr Fem Tib Trb Mtl Flx Mnblck|8,751.30
880095.2427|Sys Tkr Fem Tib Trb Mtl Por Flx Mis|8,751.30
880095.2429|Sys Tkr Fem Tib Trb Mtl Prlng Hbrd Cmnt|5,952.00
880095.2428|Sys Tkr Fem Tib Trb Mtl Prlng Por Flx|8,751.30
880095.2431|Sys Tkr Fem Tib Trb Mtl Prlng Prect Cmnt|6,450.48
880095.243|Sys Tkr Fem Tib Trb Mtl Prlng Xlpe Prect|6,891.30
880095.2432|Sys Tkr Fem Tib Trb Mtl Xlpe Prect Por|6,891.30
880095.2431|Sys Tkr Flx Cmnt Stm Xtn Mis|6,450.48
880095.2431|Sys Tkr Flx Cmnt Stm Xtn Mis|6,450.48
880095.2426|Sys Tkr Flx Cmnt Uncmp Lo Dmnd|5,301.00
880095.2425|Sys Tkr Gndr Sol Cr-Flx Std Fem Ptlr Tib|6,450.48
880095.2426|Sys Tkr Gndr Sol Cr-Flx Std Fem Ptlr Tib|6,891.30
880095.2426|Sys Tkr Gndr Sol Cr-Flx Std Fem Ptlr Tib|6,891.30
880095.2426|Sys Tkr Gndr Sol Cr-Flx Std Fem Ptlr Tib|6,450.48
880095.2427|Sys Tkr Gndr Sol Cr-Flx Std Fem Ptlr Tib|5,952.00
880095.2427|Sys Tkr Gndr Sol Cr-Flx Std Fem Ptlr Tib|6,891.30
880095.2427|Sys Tkr Gndr Sol Cr-Flx Std Fem Ptlr Tib|5,952.00
880095.4494|Sys Tkr Gndr Sol Fem Prlng Flx Cmnt|5,952.00
880095.243|Sys Tkr Gndr Sol Fem Ptlr Tib Mtl Por|6,891.30
880095.2425|Sys Tkr Gndr Sol Fem Ptlr Tib Por Hbrd|6,891.30
880095.2427|Sys Tkr Gndr Sol Fem Ptlr Tib Por Hbrd|5,952.00
880095.243|Sys Tkr Gndr Sol Fem Ptlr Tib Por Hbrd|6,891.30
880095.243|Sys Tkr Gndr Sol Fem Ptlr Tib Por Hbrd|6,891.30
880095.2428|Sys Tkr Gndr Sol Fem Ptlr Tib Prlng|6,450.48
880095.2428|Sys Tkr Gndr Sol Fem Ptlr Tib Prlng Flx|6,450.48
880095.2426|Sys Tkr Gndr Sol Fem Ptlr Tib Prlng Mtl|6,450.48
880095.243|Sys Tkr Gndr Sol Fem Ptlr Tib Prlng Por|6,891.30
880095.243|Sys Tkr Gndr Sol Fem Ptlr Tib Prlng Por|6,891.30
880095.2431|Sys Tkr Gndr Sol Fem Ptlr Tib Prlng Por|6,891.30
880095.2426|Sys Tkr Gndr Sol Fem Ptlr Tib Prlng Trb|5,952.00
880095.2427|Sys Tkr Gndr Sol Fem Ptlr Tib Prlng Xlpe|6,891.30
880095.2427|Sys Tkr Gndr Sol Fem Ptlr Tib Prlng Xlpe|6,891.30
880095.2431|Sys Tkr Gndr Sol Fem Ptlr Tib Prlng Xlpe|6,891.30
880095.2425|Sys Tkr Gndr Sol Fem Ptlr Tib Trb Mtl|8,751.30
880095.2427|Sys Tkr Gndr Sol Fem Ptlr Tib Trb Mtl|8,310.48
880095.2427|Sys Tkr Gndr Sol Fem Ptlr Tib Trb Mtl|8,310.48
880095.2429|Sys Tkr Gndr Sol Fem Ptlr Tib Trb Mtl|8,751.30
880095.2429|Sys Tkr Gndr Sol Fem Ptlr Tib Trb Mtl|8,751.30
880095.2429|Sys Tkr Gndr Sol Fem Ptlr Tib Trb Mtl|8,751.30
880095.2429|Sys Tkr Gndr Sol Fem Ptlr Tib Trb Mtl|8,751.30
880095.243|Sys Tkr Gndr Sol Fem Ptlr Tib Trb Mtl|8,751.30
880095.243|Sys Tkr Gndr Sol Fem Ptlr Tib Trb Mtl|8,751.30
880095.243|Sys Tkr Gndr Sol Fem Ptlr Tib Trb Mtl|8,751.30
880095.243|Sys Tkr Gndr Sol Fem Ptlr Tib Trb Mtl|8,751.30
880095.243|Sys Tkr Gndr Sol Fem Ptlr Tib Trb Mtl|8,751.30
880095.243|Sys Tkr Gndr Sol Fem Ptlr Tib Trb Mtl|8,751.30
880095.243|Sys Tkr Gndr Sol Fem Ptlr Tib Trb Mtl|8,751.30
880095.2431|Sys Tkr Gndr Sol Fem Ptlr Tib Trb Mtl|6,891.30
880095.2425|Sys Tkr Gndr Sol Fem Ptlr Tib Xlpe Cmnt|6,450.48
880095.2425|Sys Tkr Gndr Sol Fem Ptlr Tib Xlpe Por|6,891.30
880095.2425|Sys Tkr Gndr Sol Fem Ptlr Tib Xlpe Por|6,891.30
880095.243|Sys Tkr Gndr Sol Fem Ptlr Tib Xlpe Por|8,751.30
880095.243|Sys Tkr Gndr Sol Fem Ptlr Tib Xlpe Por|6,891.30
880095.243|Sys Tkr Gndr Sol Fem Ptlr Tib Xlpe Por|6,891.30
880095.243|Sys Tkr Gndr Sol Fem Ptlr Tib Xlpe Por|6,891.30
880095.2428|Sys Tkr Gndr Sol Fem Ptlr Trb Mtl Flx|5,952.00
880095.2426|Sys Tkr Gndr Sol Fem Ptlr Trb Mtl Xlpe|5,952.00
880095.2426|Sys Tkr Gndr Sol Fem Ptlr Trb Mtl Xlpe|5,952.00
880095.2427|Sys Tkr Gndr Sol Fem Ptlr Trb Mtl Xlpe|8,310.48
880095.2427|Sys Tkr Gndr Sol Fem Ptlr Xlpe Hbrd Flx|5,952.00
880095.2425|Sys Tkr Gndr Sol Fem Tib Flx Cmnt|6,450.48
880095.2428|Sys Tkr Gndr Sol Fem Tib Flx Cmnt|6,450.48
880095.2428|Sys Tkr Gndr Sol Fem Tib Flx Cmnt|5,952.00
880095.2427|Sys Tkr Gndr Sol Fem Tib Flx Cpt Kt Mis|8,310.48
880095.2431|Sys Tkr Gndr Sol Fem Tib Kn Prlng Hbrd|8,310.48
880095.2429|Sys Tkr Gndr Sol Fem Tib Por Flx|8,751.30
880095.2425|Sys Tkr Gndr Sol Fem Tib Prlng Cmnt Flx|6,450.48
880095.2426|Sys Tkr Gndr Sol Fem Tib Prlng Flx Cmnt|6,450.48
880095.2431|Sys Tkr Gndr Sol Fem Tib Prlng Por Flx F|6,891.30
880095.2431|Sys Tkr Gndr Sol Fem Tib Prlng Por Hbrd|6,891.30
880095.2428|Sys Tkr Gndr Sol Fem Tib Prlng Prect|6,450.48
880095.265|Sys Tkr Gndr Sol Fem Tib Prlng Xlpe Flx|5,952.00
880095.2431|Sys Tkr Gndr Sol Fem Tib Trb Mtl Por|8,751.30
880095.2428|Sys Tkr Gndr Sol Flx Cmnt Cpt Stm Plg Kt|6,450.48
880095.2428|Sys Tkr Gndr Sol Flx Cmnt Cpt Stm Xtn Kt|6,450.48
880095.2427|Sys Tkr Gndr Sol Hbrd Flx Cpt Kt|5,952.00
880095.2431|Sys Tkr Gndr Sol Kn Fem Tib Prlng Xlpe|6,450.48
880095.2425|Sys Tkr Gndr Sol Lps Std Fem Ptlr Tib|5,952.00
880095.2455|Sys Tkr Gndr Sol Lpsflx Std Fem Ptlr Tib|7,533.00
880095.2455|Sys Tkr Gndr Sol Optn Fem Flx Cmnt|7,254.00
880095.2428|Sys Tkr Gndr Sol Por Cpt Kt Mis|5,952.00
880095.2428|Sys Tkr Gndr Sol Prlng Flx Cmnt Artcsurf|6,450.48
880095.2428|Sys Tkr Gndr Sol Prlng Flx Cmnt Artcsurf|6,450.48
880095.2426|Sys Tkr Gndr Sol Ptlr Trb Mtl Hbrd Flx|5,952.00
880095.2428|Sys Tkr Gndr Sol Ptlr Xlpe Flx Cmnt Cpt|6,450.48
880095.2427|Sys Tkr Gndr Sol Ptlr Xlpe Hbrd Flx Cpt|5,952.00
880095.2425|Sys Tkr Gndr Sol Std Fem Ptlr Tib Cmnt|6,450.48
880095.2426|Sys Tkr Gndr Sol Std Fem Ptlr Tib Cmnt|6,450.48
880095.2426|Sys Tkr Gndr Sol Std Fem Ptlr Tib Cmnt|6,450.48
880095.2428|Sys Tkr Gndr Sol Std Fem Ptlr Tib Flx|6,450.48
880095.2426|Sys Tkr Gndr Sol Std Fem Ptlr Tib Por|6,891.30
880095.2426|Sys Tkr Gndr Sol Std Fem Ptlr Tib Por|6,891.30
880095.2427|Sys Tkr Gndr Sol Std Fem Ptlr Tib Por|6,891.30
880095.2427|Sys Tkr Gndr Sol Std Fem Ptlr Tib Por|5,952.00
880095.2428|Sys Tkr Gndr Sol Std Fem Ptlr Tib Por|6,891.30
880095.2429|Sys Tkr Gndr Sol Std Fem Ptlr Tib Por|6,891.30
880095.2429|Sys Tkr Gndr Sol Std Fem Ptlr Tib Por|6,891.30
880095.243|Sys Tkr Gndr Sol Std Fem Ptlr Tib Por|6,891.30
880095.2431|Sys Tkr Gndr Sol Std Fem Ptlr Tib Por|6,891.30
880095.2425|Sys Tkr Gndr Sol Std Fem Ptlr Tib Prlng|6,450.48
880095.2425|Sys Tkr Gndr Sol Std Fem Ptlr Tib Prlng|6,450.48
880095.2425|Sys Tkr Gndr Sol Std Fem Ptlr Tib Prlng|6,450.48
880095.2426|Sys Tkr Gndr Sol Std Fem Ptlr Tib Prlng|6,450.48
880095.2426|Sys Tkr Gndr Sol Std Fem Ptlr Tib Prlng|6,450.48
880095.2427|Sys Tkr Gndr Sol Std Fem Ptlr Tib Prlng|6,891.30
880095.2428|Sys Tkr Gndr Sol Std Fem Ptlr Tib Prlng|6,450.48
880095.243|Sys Tkr Gndr Sol Std Fem Ptlr Tib Prlng|6,891.30
880095.243|Sys Tkr Gndr Sol Std Fem Ptlr Tib Prlng|6,891.30
880095.2427|Sys Tkr Gndr Sol Std Fem Ptlr Tib Trb|6,891.30
880095.2428|Sys Tkr Gndr Sol Std Fem Ptlr Tib Trb|6,891.30
880095.2431|Sys Tkr Gndr Sol Std Fem Ptlr Tib Trb|8,751.30
880095.2428|Sys Tkr Gndr Sol Std Fem Ptlr Tib Xlpe|6,891.30
880095.2431|Sys Tkr Gndr Sol Std Fem Tib Por Flx|6,891.30
880095.2427|Sys Tkr Gndr Sol Std Fem Tib Por Hbrd|5,952.00
880095.2426|Sys Tkr Gndr Sol Std Fem Tib Ptlr Prlng|6,450.48
880095.2427|Sys Tkr Gndr Sol Std Kn Fem Ptlr Tib Por|6,891.30
880095.2427|Sys Tkr Gndr Sol Std Kn Fem Ptlr Tib Por|5,952.00
880095.2427|Sys Tkr Gndr Sol Std Tib Ptlr Prlng Por|5,952.00
880095.2426|Sys Tkr Gndr Sol Std Tpr Fem Ptlr Tib|6,450.48
880095.2426|Sys Tkr Gndr Sol Std Tpr Fem Ptlr Tib|6,450.48
880095.2426|Sys Tkr Gndr Sol Std Tpr Fem Tib Cmnt|6,450.48
880095.2427|Sys Tkr Gndr Sol Tib Hbrd Cpt Kt|8,310.48
880095.2427|Sys Tkr Gndr Sol Tib Hbrd Flx Cpt Kt Mis|8,310.48
880095.2431|Sys Tkr Gndr Sol Tib Prlng Trb Mtl Por|8,751.30
880095.2428|Sys Tkr Gndr Sol Tib Ptlr Prlng Xlpe|6,450.48
880095.2429|Sys Tkr Gndr Sol Tib Trb Mtl Flx Cpt Kt|8,751.30
880095.243|Sys Tkr Gndr Sol Tib Trb Mtl Flx Cpt Kt|8,751.30
880095.243|Sys Tkr Gndr Sol Tib Trb Mtl Prlng Cpt|8,751.30
880095.2426|Sys Tkr Gndr Sol Tpr Fem Ptlr Tib Prlng|6,450.48
880095.2426|Sys Tkr Gndr Sol Tpr Fem Ptlr Tib Trb|5,952.00
880095.2426|Sys Tkr Gndr Sol Tpr Fem Tib Prox Lat|6,450.48
880095.2427|Sys Tkr Gndr Sol Trb Mtl Por Cmnt Hbrd|8,310.48
880095.2429|Sys Tkr Hbrd Flx|6,891.30
880095.2431|Sys Tkr Hbrd Flx Stm Xtn Mis|6,891.30
880095.2431|Sys Tkr Hbrd Stm Xtn Mis|6,891.30
880095.2431|Sys Tkr Hdmnd Netshape|6,891.30
880095.2429|Sys Tkr Kn Fem Tib Por Hbrd Flx Cmnt Std|6,891.30
880095.2735|Sys Tkr Lo Dmnd|5,952.00
880095.2432|Sys Tkr Lps Fem Ptlr Tib Trb Mtl Cmnt|6,450.48
880095.2432|Sys Tkr Lps Fem Tib Flx Cmnt Mbl|6,450.48
880095.2427|Sys Tkr Lps Std Fem Ptlr Tib Artcsurf|6,450.48
880095.2428|Sys Tkr Lps Std Fem Ptlr Tib Artcsurf|6,450.48
880095.2428|Sys Tkr Lps Std Fem Ptlr Tib Prlng Srfc|6,450.48
880095.2427|Sys Tkr Lpsflx Fem Ptlr Tib Tiv Prect|6,450.48
880095.2426|Sys Tkr Lpsflx Fem Ptlr Tib Tiv Prlng|6,450.48
880095.2432|Sys Tkr Lpsflx Fem Ptlr Tib Xlpe Cmnt|6,450.48
880095.2426|Sys Tkr Lpsflx Fem Tib Prlng Tiv Cmnt|6,450.48
880095.2426|Sys Tkr Lpsflx Fem Tib Ptlr Tiv Xlpe|6,450.48
880095.2426|Sys Tkr Lpsflx Fem Tib Ptlr Trb Mtl Tiv|5,952.00
880095.2426|Sys Tkr Lpsflx Fem Tib Ptlr Trb Mtl Tiv|5,952.00
880095.2426|Sys Tkr Lpsflx Flut Tib Mbl Optn Flx|6,450.48
880095.2427|Sys Tkr Lpsflx Kn Fem Tib Tiv Por Cmnt|5,952.00
880095.2427|Sys Tkr Lpsflx Kn Fem Trb Mtl Tiv Hbrd|8,310.48
880095.2427|Sys Tkr Lpsflx Kn Tib Fem Ptlr Trb Mtl|8,310.48
880095.2427|Sys Tkr Lpsflx Kn Tib Ptlr Tiv Prlng Por|5,952.00
880095.2427|Sys Tkr Lpsflx Kn Tib Ptlr Tiv Xlpe Por|5,952.00
880095.2427|Sys Tkr Lpsflx Kn Tib Ptlr Trb Mtl Tiv|8,310.48
880095.2427|Sys Tkr Lpsflx Kn Tib Ptlr Trb Mtl Tiv|8,310.48
880095.2427|Sys Tkr Lpsflx Ptlr Fem Trb Mtl Tiv Hbrd|8,310.48
880095.2426|Sys Tkr Lpsflx Std Fem Ptlr Tib Cmnt|6,450.48
880095.2426|Sys Tkr Lpsflx Std Fem Ptlr Tib Cmnt|6,450.48
880095.2455|Sys Tkr Lpsflx Std Fem Ptlr Tib Cmnt Mbl|7,533.00
880095.2426|Sys Tkr Lpsflx Std Fem Ptlr Tib Prect|6,450.48
880095.2428|Sys Tkr Lpsflx Std Fem Ptlr Tib Prect|6,450.48
880095.2426|Sys Tkr Lpsflx Std Fem Ptlr Tib Prlng|6,450.48
880095.2431|Sys Tkr Lpsflx Std Fem Ptlr Tib Prlng|6,450.48
880095.2426|Sys Tkr Lpsflx Std Fem Ptlr Tib Tiv|6,450.48
880095.2431|Sys Tkr Med Ptlr Por|6,891.30
880045.277|Sys Tkr Ng Lgc Kn Lt Jig Nonster Disp|744
880045.2486|Sys Tkr Ng Lgc Kn Rt Jig Nonster Disp|1,212.00
880045.2485|Sys Tkr Ng Lgc Ofst Kn Lt Tib Jig Rot|744
880045.2486|Sys Tkr Ng Lgc Ofst Kn Rt Tib Jig Rot|744
880095.2425|Sys Tkr Persona Fem Ptlr Tib Trb Mtl|9,858.00
880045.2587|Sys Tkr Persona Fem Ptlr Tib Vivacit-E|11,150.70
880095.2425|Sys Tkr Persona Fem Ptlr Tib Vivacit-E|6,975.00
880045.2486|Sys Tkr Persona Fem Ptlr Tib Xlpe Cmnt|7,021.50
880045.2485|Sys Tkr Persona Fem Tib Trb Mtl|7,021.50
880095.2425|Sys Tkr Persona Fem Tib Trb Mtl Hbrd|8,928.00
880045.2384|Sys Tkr Persona Fem Tib Vivacit-E Uncmp|6,928.50
880045.2486|Sys Tkr Persona Lt Jigs Aref Tib Rot|744
880039.2486|Sys Tkr Persona Rt Jigs Aref Tib Rot|744
880095.2425|Sys Tkr Persona Std Fem Ptlr Tib Trb Mtl|9,486.00
880095.2431|Sys Tkr Por|6,891.30
880095.2427|Sys Tkr Por Cpt Kt|8,751.30
880095.2427|Sys Tkr Por Cpt Kt|8,751.30
880095.2428|Sys Tkr Por Cpt Kt|8,310.48
880095.2427|Sys Tkr Por Flx|8,751.30
880095.2431|Sys Tkr Por Flx|6,891.30
880095.2428|Sys Tkr Prect Flx Cmnt Mis|6,450.48
880095.2432|Sys Tkr Prlng Cmnt Stm Plg Mis|6,450.48
880095.2431|Sys Tkr Prlng Cmnt Stm Xtn Mis|6,450.48
880095.2692|Sys Tkr Prlng Flx Cmnt|5,952.00
880095.2432|Sys Tkr Prlng Flx Cmnt Stm Plg Mis|6,450.48
880095.2431|Sys Tkr Prlng Flx Cmnt Stm Xtn Mis|6,450.48
880095.2431|Sys Tkr Prlng Hbrd Stm Xtn Mis|6,891.30
880095.2455|Sys Tkr Prlng Mdrt Poly|7,254.00
880095.2431|Sys Tkr Prlng Por Flx|6,891.30
880095.2431|Sys Tkr Prlng Por Poly|6,891.30
880095.243|Sys Tkr Ptlfem Trb Mtl|7,161.00
880095.2425|Sys Tkr Ptlr Mtl Prlng Cmnt Bck|6,450.48
880095.3299|Sys Tkr Ptlr Prlng Cmnt|5,952.00
880095.2431|Sys Tkr Ptlr Prlng Por|6,891.30
880095.271|Sys Tkr Ptlr Prlng Xlpe Flx Cmnt|5,766.00
880095.2431|Sys Tkr Ptlr Tib Artcsurf Prlng Xlpe|5,952.00
880095.2431|Sys Tkr Ptlr Trb Mtl Cmnt|6,450.48
880095.2431|Sys Tkr Ptlr Trb Mtl Flx|8,751.30
880095.2432|Sys Tkr Ptlr Trb Mtl Flx Cmnt|5,952.00
880095.243|Sys Tkr Ptlr Trb Mtl Flx Mnblck|8,751.30
880095.243|Sys Tkr Ptlr Trb Mtl Poly Flx Mnblck|8,751.30
880095.2431|Sys Tkr Ptlr Trb Mtl Prlng Cmnt|6,450.48
880095.243|Sys Tkr Ptlr Trb Mtl Prlng Flx|8,751.30
880095.2431|Sys Tkr Ptlr Trb Mtl Prlng Hbrd Flx|8,310.48
880095.2425|Sys Tkr Ptlr Xlpe Cmnt|6,450.48
880095.243|Sys Tkr Ptlr Xlpe Flx Cmnt|6,450.48
880095.2431|Sys Tkr Ptlr Xlpe Por|6,891.30
880095.2427|Sys Tkr Std Fem Ptlr Prlng Cmnt Srfc|6,450.48
880095.2428|Sys Tkr Std Fem Ptlr Tib Cerm Por Hbrd|5,952.00
880095.2426|Sys Tkr Std Fem Ptlr Tib Cmnt Flx Post|6,450.48
880095.2426|Sys Tkr Std Fem Ptlr Tib Cmnt Flx Post|6,450.48
880095.2426|Sys Tkr Std Fem Ptlr Tib Cmnt Stm Xtn|6,450.48
880095.2426|Sys Tkr Std Fem Ptlr Tib Cmnt Stm Xtn|6,450.48
880095.2426|Sys Tkr Std Fem Ptlr Tib Crcte Rtn Flx|6,450.48
880095.2431|Sys Tkr Std Fem Ptlr Tib Flx Cmnt|6,450.48
880095.2431|Sys Tkr Std Fem Ptlr Tib Flx Cmnt|6,450.48
880095.2455|Sys Tkr Std Fem Ptlr Tib Flx Cmnt|7,254.00
880095.2428|Sys Tkr Std Fem Ptlr Tib Kn Trb Mtl Flx|8,310.48
880095.2428|Sys Tkr Std Fem Ptlr Tib Kn Trb Mtl Flx|8,310.48
880095.2426|Sys Tkr Std Fem Ptlr Tib Mtl Cmnt Cpt Kt|6,450.48
880095.2428|Sys Tkr Std Fem Ptlr Tib Mtl Por Hbrd|6,891.30
880095.2429|Sys Tkr Std Fem Ptlr Tib Mtl Por Hbrd|5,952.00
880095.2425|Sys Tkr Std Fem Ptlr Tib Por Cmnt Mbl|6,891.30
880095.2425|Sys Tkr Std Fem Ptlr Tib Por Flx Cr|6,891.30
880095.2425|Sys Tkr Std Fem Ptlr Tib Por Flx Post|6,891.30
880095.2427|Sys Tkr Std Fem Ptlr Tib Por Hbrd Cmnt|6,891.30
880095.2427|Sys Tkr Std Fem Ptlr Tib Por Hbrd Cmnt|6,891.30
880095.2428|Sys Tkr Std Fem Ptlr Tib Por Hbrd Cmnt|6,891.30
880095.2428|Sys Tkr Std Fem Ptlr Tib Por Hbrd Cmnt|6,891.30
880095.2428|Sys Tkr Std Fem Ptlr Tib Por Hbrd Cmnt|5,952.00
880095.2428|Sys Tkr Std Fem Ptlr Tib Por Hbrd Cmnt|6,891.30
880095.2428|Sys Tkr Std Fem Ptlr Tib Por Hbrd Cmnt|6,891.30
880095.2425|Sys Tkr Std Fem Ptlr Tib Por Hbrd Flx|6,891.30
880095.2429|Sys Tkr Std Fem Ptlr Tib Por Hbrd Flx|6,891.30
880095.2429|Sys Tkr Std Fem Ptlr Tib Por Hbrd Flx|5,952.00
880095.2426|Sys Tkr Std Fem Ptlr Tib Prect Cmnt Cpt|6,450.48
880095.2426|Sys Tkr Std Fem Ptlr Tib Prlng Cmnt Srfc|6,450.48
880095.2431|Sys Tkr Std Fem Ptlr Tib Prlng Cmnt Srfc|6,450.48
880095.2426|Sys Tkr Std Fem Ptlr Tib Prlng Cmnt Stm|6,450.48
880095.2431|Sys Tkr Std Fem Ptlr Tib Prlng Flx Cmnt|6,450.48
880095.2428|Sys Tkr Std Fem Ptlr Tib Prlng Hbrd Cmnt|8,310.48
880095.2431|Sys Tkr Std Fem Ptlr Tib Prlng Por Flx|6,450.48
880095.2427|Sys Tkr Std Fem Ptlr Tib Prlng Por Hbrd|6,891.30
880095.2427|Sys Tkr Std Fem Ptlr Tib Prlng Por Hbrd|6,891.30
880095.2428|Sys Tkr Std Fem Ptlr Tib Prlng Por Hbrd|6,891.30
880095.2429|Sys Tkr Std Fem Ptlr Tib Prlng Por Hbrd|5,952.00
880095.2426|Sys Tkr Std Fem Ptlr Tib Prlng Prect|6,450.48
880095.2432|Sys Tkr Std Fem Ptlr Tib Prlng Prect|6,450.48
880095.2427|Sys Tkr Std Fem Ptlr Tib Trb Mtl Hbrd|8,310.48
880095.2428|Sys Tkr Std Fem Ptlr Tib Trb Mtl Hbrd|8,751.30
880095.2429|Sys Tkr Std Fem Ptlr Tib Trb Mtl Hbrd|8,310.48
880095.243|Sys Tkr Std Fem Ptlr Tib Trb Mtl Hbrd|8,310.48
880095.243|Sys Tkr Std Fem Ptlr Tib Trb Mtl Hbrd|8,310.48
880095.2432|Sys Tkr Std Fem Ptlr Tib Trb Mtl Prlng|5,952.00
880095.2428|Sys Tkr Std Fem Ptlr Tib Xlpe Por Hbrd|6,891.30
880095.2429|Sys Tkr Std Fem Ptlr Tib Xlpe Por Hbrd|5,952.00
880095.2429|Sys Tkr Std Fem Ptlr Tib Xlpe Por Hbrd|6,891.30
880095.2429|Sys Tkr Std Fem Ptlr Tib Xlpe Por Hbrd|5,952.00
880095.2431|Sys Tkr Std Fem Ptlr Tib Xlpe Trb Mtl|8,310.48
880095.2431|Sys Tkr Std Fem Tib Flx Cmnt Surfacing|5,952.00
880095.2429|Sys Tkr Std Fem Tib Kn Por Flx Cmnt|6,891.30
880095.2428|Sys Tkr Std Fem Tib Kn Trb Mtl Flx Cmnt|8,310.48
880095.2428|Sys Tkr Std Fem Tib Kn Trb Mtl Prlng Flx|8,310.48
880095.2426|Sys Tkr Std Fem Tib Mtl Cmnt Uncmp|5,301.00
880095.2431|Sys Tkr Std Fem Tib Por|6,891.30
880095.2425|Sys Tkr Std Fem Tib Por Cr Nsm|6,891.30
880095.2429|Sys Tkr Std Fem Tib Por Hbrd Cmnt Nsm|5,952.00
880095.2429|Sys Tkr Std Fem Tib Por Hbrd Cmnt Post|5,952.00
880095.2425|Sys Tkr Std Fem Tib Por Post Stab Nsm|6,891.30
880095.2431|Sys Tkr Std Fem Tib Prlng Flx Cmnt|6,450.48
880095.2427|Sys Tkr Std Fem Tib Prlng Por Hbrd Cmnt|6,891.30
880095.2432|Sys Tkr Std Fem Tib Prlng Prect Cmnt|6,450.48
880095.2426|Sys Tkr Std Fem Tib Ptlr Prlng Cmnt Flx|6,450.48
880095.2429|Sys Tkr Std Kn Fem Tib Ptlr Por Cr Hbrd|5,952.00
880095.2455|Sys Tkr Std Ptlfem|7,068.00
880095.2425|Sys Tkr Std Tib Ptlr Por Prect Hbrd Mdlr|6,891.30
880095.2432|Sys Tkr Std Tib Ptlr Por Prect Hbrd Mdlr|6,891.30
880095.2425|Sys Tkr Std Tib Ptlr Prlng Por Prect|6,891.30
880095.2425|Sys Tkr Std Tib Ptlr Prlng Por Prect|6,891.30
880095.2431|Sys Tkr Std Tpr Fem Ptlr Tib Prlng Cmnt|6,450.48
880095.2431|Sys Tkr Std Tpr Fem Ptlr Tib Trb Mtl|6,450.48
880095.2431|Sys Tkr Stm Cup Mlplr|3,357.30
880095.243|Sys Tkr Tib Hbrd Mnblck|8,310.48
880095.243|Sys Tkr Tib Hdmnd Mnblck|8,751.30
880095.243|Sys Tkr Tib Hedrocel Hbrd Cr Hdmnd|8,751.30
880095.243|Sys Tkr Tib Hedrocel Mdrt|8,310.48
880095.2429|Sys Tkr Tib Prect Flx Cmnt Mis|6,450.48
880095.2426|Sys Tkr Tib Prect Flx Cmnt Surfacing Std|6,450.48
880095.243|Sys Tkr Tib Prect Hbrd Flx Mis|6,891.30
880095.243|Sys Tkr Tib Prect Hbrd Flx Mis|6,891.30
880095.243|Sys Tkr Tib Prlng Hdmnd Poly|6,891.30
880095.2428|Sys Tkr Tib Prlng Prect Flx Cmnt|6,450.48
880095.243|Sys Tkr Tib Prlng Prect Hbrd Flx Mis|6,891.30
880095.243|Sys Tkr Tib Prlng Prect Hbrd Flx Mis|6,891.30
880095.2431|Sys Tkr Tib Ptlr Hbrd Mnblck|8,310.48
880095.243|Sys Tkr Tib Ptlr Hedrocel Hdmnd|8,751.30
880095.243|Sys Tkr Tib Ptlr Prlng Hdmnd|6,891.30
880095.2429|Sys Tkr Tib Ptlr Prlng Prect Flx Cmnt|6,450.48
880095.2429|Sys Tkr Tib Ptlr Prlng Prect Flx Cmnt|6,450.48
880095.2428|Sys Tkr Tib Ptlr Prlng Xlpe Prect Flx|6,450.48
880095.2431|Sys Tkr Tib Ptlr Trb Mtl Prect Hbrd Mis|6,891.30
880095.2428|Sys Tkr Tib Ptlr Trb Mtl Prlng Flx Cmnt|5,952.00
880095.243|Sys Tkr Tib Ptlr Xlpe Prect Flx Cmnt Mis|6,450.48
880095.2431|Sys Tkr Tib Ptlr Xlpe Prect Hbrd Flx Mis|6,450.48
880095.2431|Sys Tkr Tib Trb Mtl Hbrd Mnblck|8,310.48
880095.2431|Sys Tkr Trb Mtl Hbrd Flx Mnblck|8,310.48
880095.2427|Sys Tkr Uncmp Hbrd|5,301.00
880095.2431|Sys Tkr Unv Por|5,301.00
880093.1117|Sys Ureth Supp Blu 22Cm .15Mm Obtryx Ii|1,778.79
880045.256|Sys Ureth Supp Obtryx Midurethral Trnstr|2,283.34
880045.2626|Sys Ureth Supp Obtryx Midurethral Trnstr|1,671.58
880039.261|Sys Wnd Irr 0.05% Chg H2O Irrisept Dbrd|196.95
60063920|T3 Free|359
60065470|T3 Reverse|232
60011040|T3 Total|224
60011400|T3 Uptake|132
60011470|T4 Free|204
60011450|T4 Total|179
880037.6427|Tab Ua Actst Kt-Dstx Ktn Kt Rgt|102.43
890022.9047|Tacrolimus Cap 0.5 MG|3.62
60083120|Tacrolimus Level|155
890023.6233|Tadalafil Tab 10 MG|3.1
890023.6374|Tamoxifen Citrate Tab 10 MG (Base Equivalent)|3.1
890023.6808|Tamsulosin HCl Cap 0.4 MG|3.1
880039.248|Tap 110Mm Qc Srg Ti 3.5Mm Cort Screw Gld|367.96
880039.4896|Tap 110Mm Qck Cnct Srg Ss Elb Periart|286.37
834461|Tap Block by Injection Bilateral|3,633.00
834460|Tap Block by Injection Unilateral|162
834460|Tap Block by Injection Unilateral|2,120.00
834834|Tap Block Infusion Bilat|5,148.00
834833|Tap Block Infusion Uni|3,633.00
8101824|Tap Block Unilateral by Injection|353
880039.2361|Tap Qck Cnct Srg Ss Periart 3.5 Mm Lck|561.76
812567|TB Skin Test|29
813720|Tc 99m Albumin per Dose to 10mci|269
802693|Tc 99m Filtered Sulfur Colloid <=20mci|253
8101133|Tc99 Tilmanocept Diag 0.5mci|507
802692|Tc99m Dtpa Aerosol per Dose to 75 Mci|238
812795|Tc99m Dtpa Pentetate per Dose to 75mci|269
802699|Tc-99m Dtpa per Dose Up to 25 Mci|253
802681|Tc99m Maa per Dose Up to 10cmi|238
802683|Tc99m Mebrofenin per Dose to 15mci|253
802700|Tc99m Medronate <= 30 Mci|253
802701|Tc-99M PERCTECHNETATE PER mCi|131
802695|Tc99m Sestamibi per Dose|413
802703|Tc-99m Sulfur Colloid <=20mci|253
802696|Tc99m Tagged Rbc's per Dose to 30mci|253
813736|Td Preserve Free 7 Yrs and Older|142.21
813737|Tdap Vaccine > 7 Yrs Im|86
813737|Tdap Vaccine > 7 Yrs Im|239.38
835841|Teacher Employment Physical|60
890023.2282|Temazepam Cap 15 MG|3.1
814676|Temp Sensor|107
818811|Temporal Artery Procedure|1,005.00
800333|Temporomandibular Joints Bilateral|1,089.00
800322|Temporomandibular Joints Unilateral|307
890022.5024|Tenecteplase For IV Soln Kit 50 MG|6,710.45
890022.5024|Tenecteplase For IV Soln Kit 50 MG|8,923.93
834790|Tenodesis Biceps Long Tendon|3,260.00
834045|Tenodesis Bicp Tend Elbo Sep Proc|3,016.00
890022.144|Terbutaline Sulfate Inj 1 MG/ML|74.5
60109580|Testosterone Bioavailable|53
60065420|Testosterone Free|22
60065421|Testosterone Free I|52
60065200|Testosterone Total|514
60067550|Testosterone Total I|75
60056070|Testosterone Total II|122
890022.5816|Tet Tox-Diph-Acell Pertuss Ad Inj 5-2.5-18.5 LF-LF-MCG/0.5ML,Tet-Diph-Acell Pertuss Ad Pref Syr 5-2.5-18.5 LF-MCG/0.5ML|239.39
890022.5816|Tet Tox-Diph-Acell Pertuss Ad Inj 5-2.5-18.5 LF-LF-MCG/0.5ML,Tet-Diph-Acell Pertuss Ad Pref Syr 5-2.5-18.5 LF-MCG/0.5ML|239.39
890022.4928|Tet Tox-Diph-Acell Pertuss Ad Inj 5-2-15.5 LF-LF-MCG/0.5ML|239.39
890022.1353|Tetanus Immune Globulin (Human) IM Soln Pref Syr 250 Unit/ML|1,403.54
890022.1353|Tetanus-Diphtheria Toxoids (Td) Inj 2-2 LF/0.5ML|130.47
890022.4928|Tetanus-Diphtheria Toxoids (Td) Inj 5-2 LFU|137.89
890001.1748|Tetracaine HCl Inj 1%|127.21
890023.6507|Tetracaine HCl Ophth Soln 0.5%|34.8
890023.6868|Tetracaine HCl Ophth Soln 0.5%|251.1
60039130|Thaw Components Each (Stats Only)|131
60039131|Thaw Components Each I|131
890023.5224|Theophylline Cap ER 24HR 100 MG|8.94
60011500|Theophylline Level|262
815759|Ther Activities Ea 15 Min Ot|181
815760|Ther Activities Ea 15 Min Pt|181
811070|Ther Exercise Ea 15 Min|181
815747|Ther Exercise Ea 15 Min Ot|181
812683|Therap Serv for Speech Gener Dev|582
812684|Therap Serv Non-Speech Gener Dev|551
811646|Therapeutic Procedures Group|75
810425|Therapy Strength Endur Indiv Ea 15 Min|127
890022.6746|Thiamine HCl Inj 100 MG/ML|74.5
60059970|Thiopurine Meth Transferase|470
SUP100031|Thoracentesis Tray|82
818295|Thoracentesis W Imaging|1,611.00
832828|Thoracentesis W Imaging|397
818294|Thoracentesis WO Imaging|1,611.00
832827|Thoracentesis WO Imaging|397
800625|Thoracic Spine 2 Vw|709
800649|Thoracolumbar Spine 2 Vw|630
803669|Thoracostomy W Tube Open|657
830671|Thoracostomy W Tube Open|1,611.00
60024170|Thrombin Time|184
813913|Thumb Spica Support|119
60082600|Thyroglobulin|200
60066700|Thyroglobulin Antibody|48
60065350|Thyroid Binding Globulin|328
60066750|Thyroid Peroxidase Antibody|15
60080280|Thyroid Peroxidase Antibody I|314
834169|Thyroidectomy Post Prev Thyr Surg|5,030.00
833990|Thyroidectomy Total or Complete|3,529.00
880095.3672|Tib Seg Eleos Prox W Biogrip Por Tch|11,969.94
60015110|TIBC|189
800207|Tibia and Fibula 2 Vw|462
890023.1861|Ticagrelor Tab 90 MG|13.58
890022.8499|Tigecycline For IV Soln 50 MG|393.31
814765|Time Based Surgical Case D/C in Asp|1,604.00
890023.2501|Timolol Maleate Ophth Gel Forming Soln 0.25%|290.13
890023.6131|Timolol Maleate Ophth Gel Forming Soln 0.25%|442.49
890023.6076|Timolol Maleate Ophth Soln 0.25%|8.31
890023.6076|Timolol Maleate Ophth Soln 0.5%|15.26
890023.5074|Timolol Maleate Preservative Free Ophth Soln 0.5%|3.1
60059920|Timp-1|391
890023.597|Tiotropium Bromide Monohydrate Inhal Cap 18 MCG (Base Equiv)|56.59
880039.1788|Tip Drl 300Mm 2.8Mm Gd Pin Strl Disp|530.25
880039.2988|Tip Drl 450Mm 2.8Mm Gd Pin Strl Disp|448.44
880045.238|Tip Insrtr Persona Brng Prt Kn Sys Disp|279
880039.7121|Tip Mnplt 6.7Mm Rumi Ii Ut 6Cm Strl Lf|156.32
880039.7039|Tip Mnplt 6.7Mm Rumi Ii Ut Artc Lck Hndl|156.32
880039.7039|Tip Mnplt 6.7Mm Rumi Ii Ut Flxb 8Cm Strl|156.32
880039.6516|Tip Pcs Ii Vtrs 250 950 Versatip Anly|166.89
880043.7078|Tip Phaco .9Mm Trbsnc Mctip Abs 30D Tpr|238.61
880039.2494|Tiss Allogrft Bo|827.7
835281|Tiss Trans Sc Arm Leg Adj 10.1 to 30cm|2,991.00
833946|Tiss Trans Trunk Adjc 10.1-30cm|3,204.00
832532|Tiss Transfer Adj Any Area 30.1-60cm|4,346.00
833619|Tiss Transfer Adj Any Area Ea Addl 30cm|1,097.00
833093|Tiss Transfer Adj Face Hnd Ft 10.1-30cm|3,381.00
832047|Tissue Trans Face Adjc <=10 Sqcm|3,316.00
60086650|Tissue Transglutaminase Ab Iga|131
60087000|Tissue Transglutaminase Ab Igg|131
890023.6808|Tizanidine HCl Tab 2 MG (Base Equivalent)|3.1
880045.2602|Tm St Comp Rvs Pe Ab|17,706.00
880039.2489|Tmplt Rod Mg2 Kn Tib Ss Algn|111.6
880095.2429|Tmplt Sz Cup Head Mnblck|8,463.00
880095.2451|Tmplt Sz Std Lg Actb Cup Linr Head|10,155.60
60011650|Tobramicin Level Peak|309
890001.6506|Tobramycin Ophth Oint 0.3%|598.07
890001.7007|Tobramycin Ophth Soln 0.3%|13.95
890022.707|Tobramycin Sulfate For Inj 1.2 GM|108.05
890022.36|Tobramycin Sulfate Inj 40 MG/ML,Tobramycin Sulfate Inj 80 MG/2ML (40 MG/ML),Tobramycin Sulfate Inj 1.2 GM/30ML (40 MG/ML),Tobramycin Sulfate Inj 2 GM/50ML (40 MG/ML)|74.5
890001.7809|Tobramycin-Dexamethasone Ophth Oint 0.3-0.1%|734.72
890000.5744|Tobramycin-Dexamethasone Ophth Susp 0.3-0.1%|105.82
890022.5024|Tocilizumab IV Inj 80 MG/4ML,Tocilizumab IV Inj 200 MG/10ML,Tocilizumab IV Inj 400 MG/20ML|3,704.87
890022.5024|Tocilizumab IV Inj 80 MG/4ML,Tocilizumab IV Inj 200 MG/10ML,Tocilizumab IV Inj 400 MG/20ML|7,409.74
800224|Toes 2+ Vw|371
890023.4398|Tolterodine Tartrate Cap ER 24HR 2 MG|3.1
800244|Tomogram Single Plane|1,162.00
8101792|Tomosynthesis Digital Breast Dx Bilat|50
8101791|Tomosynthesis Digital Breast Dx Unilat|50
8101795|Tomosynthesis Digital Breast Screen Bilat|50
8102094|Tomosynthesis Digital Breast Scrn Unilat|50
880045.187|Tool Linr Rem Sux Cup G7 Disp Strl|137.64
60084080|Topiramate Level|384
890023.6808|Topiramate Tab 100 MG|3.1
890023.691|Topiramate Tab 25 MG|3.1
890023.6808|Torsemide Tab 20 MG|3.1
834306|Tot Abd Hyst W Colp Urethrocysto|5,292.00
833958|Total Thyroid Lobectomy Unilat|3,504.00
60065450|Toxoplasma Antibody Igg|62
60069820|Toxoplasma Antibody Igg I|250
60068040|Toxoplasma Antibody Igm|62
60069830|Toxoplasma Antibody Igm I|272
8104971|Trab Bone Score Tech Calculation|491
890001.5178|Trace Min (Cr-Cu-Mn-Se-Zn) Inj 10-1000-500-60-5000 MCG/ML|74.5
SUP100048|Trach Tube Shiley #4 Cuffless|120
SUP18279|Trach Tube Shiley #8|102
830440|Tracheostomy Emerg Cricoth|1,657.00
812404|Tracheostomy Emergency Cricothyrd|673
SUP100103|Traction Deluxe Splint Boot Lg|92
SUP100060|Traction Deluxe Splint Boot Med|92
SUP100070|Traction Deluxe Splint Boot Sm|92
815763|Train Self Care Ea 15 Min Ot|173
816451|Train Self Care Ea 15 Min Pt|173
890023.6516|Tramadol HCl Tab 50 MG|3.1
890000.7249|Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML)|74.5
60108890|Tranforming Growth Factor Beta|306
834086|Transect or Avulse Other Spinal Nerve|2,556.00
60065500|Transferrin|250
814437|Transfusion Bl/Bl Comp 1-2 Units|1,429.00
814438|Transfusion Bl/Bl Comp 3-4 Units|2,151.00
814439|Transfusion Bl/Bl Comp 5+ Units|2,471.00
60039610|Transfusion Reaction|127
8104094|Trauma Activation Lvl4 Class 1 W Cc|6,047.00
890023.6051|Travoprost Ophth Soln 0.004% (Benzalkonium Free) (BAK Free)|350.87
890023.6503|Travoprost Ophth Soln 0.004% (Benzalkonium Free) (BAK Free)|1,082.35
SUP27601|Tray Amniocentesis|36
SUP19503|Tray Bone Marrow|62
SUP19293|Tray Cath Foley 16 Fr|27
SUP35720|Tray Chest Tube|242
880039.2377|Tray Drn 41Cm 20Fr Thlqk Thrx 4 Sdprt 1|407.35
814731|Tray Epidural Catheterization|87
SUP100064|Tray Epidural Catheterization|87
SUP35747|Tray Epidural Injection|46
880045.3357|Tray Hum Cmprh +3mm +10mm Shldr Rvrs|1,860.00
880095.3376|Tray Hum Cmprh +3mm Std Shldr Rvrs|3,030.00
880039.3025|Tray Hum Cmprh Std Shldr Rvrs|2,706.30
880095.2455|Tray Inst Tib Mg Alply|4,278.00
SUP35821|Tray Paracentesis|82
880039.1796|Tray Spbc 14Fr 12Fr Foly Cath Ndl Intro|247.25
880039.1785|Tray Thor Pr 5Fr Thora-Pr Drn 2 Indct|95.63
880095.5106|Tray Tib 67Mm As Mx Kn Intlk Cocr 1 Pc|3,285.50
880095.899|Tray Tib 71Mm As Mx Kn Intlk Cocr 1 Pc|3,285.50
880095.1206|Tray Tib 75Mm As Mx Kn Intlk Cocr 1 Pc|3,285.50
880095.5104|Tray Tib 79Mm As Mx Kn Intlk Cocr 1 Pc|3,285.50
880095.7856|Tray Tib 83Mm As Mx Kn Intlk Cocr 1 Pc|3,285.50
880095.3789|Tray Tib 87Mm As Mx Kn Intlk Cocr 1 Pc|3,285.50
880039.2485|Tray Tib Boneplast Kn Mld|1,502.88
SUP18368|Tray Umbilical Vessel Insert|131
890023.9047|Trazodone HCl Tab 50 MG|3.1
60061410|Trazodone Level|328
833057|Treat Clavicle Dislocation|2,809.00
833112|Treat Humerus Fracture|2,933.00
833086|Treat Knee Fracture|3,392.00
814021|Treat Pleurodesis W Agent|4,576.00
812675|Treatment Sp Lang Dysph|399
880045.266|Trial Hip 56Mm 48Mm Actb Lt Linr Shl|1,023.00
880045.2913|Trial Hip 62Mm 54Mm Actb Rt Linr Shl|948.6
880045.2486|Trial Hip 66Mm 58Mm Actb Rt Linr Shl|902.1
880095.2388|Trial Kn 10Mm Lps Artcsurf|1,181.17
880045.2354|Trial Kn Blu Blu Strp 82X50Mm Nxgn 7 Std|238.08
880045.2354|Trial Kn Blu Blu Strp 82X54Mm Nxgn 8 Std|238.08
880045.2354|Trial Kn Grn Grn Strp 74X50Mm Nxgn 6 Std|238.08
880045.2353|Trial Kn Grn Strp 74X46Mm Nxgn 5 Std Tib|238.08
880045.2353|Trial Kn Nxgn D Fem Ss Aug|230.64
880045.2485|Trial Kn Persona +0Mm G-H Tib Lt Btm|632.4
880045.2353|Trial Kn Pur Pur Strp 58X40Mm Nxgn 1 Mic|238.08
880045.2353|Trial Kn Ylw Ylw Strp 66X42Mm Nxgn 3 Std|238.08
880045.2353|Trial Kn Ylw Ylw Strp 66X46Mm Nxgn 4 Std|238.08
880064.2487|Trial Shldr 7Mm Swivelock Biceps|697.5
880064.2487|Trial Shldr 8Mm Swivelock Biceps|697.5
890023.168|Triamcinolone Acetonide Cream 0.025%|25.89
890023.3334|Triamcinolone Acetonide Cream 0.025%|6.4
890023.458|Triamcinolone Acetonide Cream 0.1%|9.04
890023.713|Triamcinolone Acetonide Cream 0.1%|16.52
890023.3334|Triamcinolone Acetonide Cream 0.5%|15.78
890022.3049|Triamcinolone Acetonide Inj Susp 10 MG/ML|74.5
890022.1671|Triamcinolone Acetonide Inj Susp 40 MG/ML|74.5
890023.458|Triamcinolone Acetonide Oint 0.025%|13.85
890023.168|Triamcinolone Acetonide Oint 0.1%|12.97
890023.458|Triamcinolone Acetonide Oint 0.1%|28.57
890023.5257|Triamcinolone Acetonide Oint 0.5%|19.54
890022.6505|Triamcinolone Acetonide Ophth Inj 40 MG/ML|11.24
890023.6808|Triamterene & Hydrochlorothiazide Tab 37.5-25 MG|3.1
60042920|Trichomonas Rapid Test|36
60040730|Trichomonas Smear|112
60007780|Trichomonas Vaginalis Amplified Probe|62
60049130|Trichrome Stain|68
890023.6131|Trifluridine Ophth Soln 1%|497.6
60016900|Triglycerides Blood|131
810079|Trim Hyperkeratotic Skin Lesion >4|197
834003|Trim Hyperkeratotic Skin Lesion >4|107
810080|Trim Hyperkeratotic Skin Lesion 2-4|193
832982|Trim Hyperkeratotic Skin Lesion 2-4|88
810081|Trim Hyperkeratotic Skin Lesion Sngl|169
811653|Trim Nails Nondystrophic|36
831799|Trim Nails Nondystrophic|27
834093|Trimming of Dystrophic Nail Any Number|22
8101695|Trimming of Dystrophic Nail Any Number|62
880045.3689|Trl Copal Exch G Hip L Cmnt Spcr|1,363.50
880045.3689|Trl Copal Exch G Hip M Cmnt Spcr|1,363.50
880045.3689|Trl Copal Exch G Hip S Cmnt Spcr|1,363.50
880045.3689|Trl Copal Exch G Hip XL Cmnt Spcr|1,363.50
880045.3689|Trl Copal Exch G Kn S-L Cmnt Spcr|1,363.50
812676|Trmt Swallow/Oral Fnctn for Feedi|491
880039.1855|Troc 12Mm Smth Slv 100Mm Blnt Hsn Unsl|81.47
880039.2374|Troc 3.2Mm Mdn Srg Ss Dist Im Nail|396.93
880039.2375|Troc 3.7Mm Mdn Srg Ss Dist Im Nail|384.96
880039.2374|Troc 5Mm Mdn Srg Ss Tib Dist Im Nail Sys|384.96
890023.4117|Trolamine Salicylate Cream 10%|6.12
890023.4117|Trolamine Salicylate Cream 10%|13.28
890023.4117|Trolamine Salicylate Cream 10%|20.85
60084040|Tropheryma Whipplei Dna|611
60082750|Troponin I|335
880039.3496|Trphn 19mm 8in Srg Mri Nonster|1,333.20
880039.3496|Trphn 20mm 8in Srg Mri Nonster|1,333.20
833030|Trtmt of Femoral Fracture W Int I|6,070.00
890001.688|Trypan Blue Intraocular Soln Pref Syr 0.06%|255.45
60061280|Tryptase|173
60011600|TSH|322
60063810|Tsh Receptor Antibody|281
60065380|TSI|296
812801|Tte 2d W Con W Doppler and Color Cmplt|3,282.00
815034|Tte 2d W/ Contrast Limited|2,015.00
812798|Tte 2d WO Con W Doppler and Color Cmpl|2,887.00
810123|Tte Follow Up or Limited WO Contrast|1,536.00
880051.907|Tube 18Fr Balln Repl Blstr Std Pr Gstrm|197.56
880039.2489|Tube 20Fr Sil Nonballoon Repl Dehp-Fr|551.46
880039.1608|Tube 62Mm 9.4Mm 5Mm Cuf Disp Inr Cnn|112.35
SUP29173|Tube Feeding Jejunal|208
880039.249|Tube Jjnstm 35In 22Fr Sil Dbhf Gstrc|245.76
880038.2489|Tube Jjnstm 90Cm 9Fr Pu Kngr Entstr|173.41
SUP19312|Tube Trach Dic 7 Mm|108
SUP19311|Tube Trach Dic Xlt 6 Mm|108
SUP36050|Tube Trach Neonatal Shiley Uncuffed 4.0|87
880039.3527|Tube Trch 10 79mm 10.0mm Shly Cuf Disp|142.33
880039.3527|Tube Trch 10 79mm 10.0mm Shly Uncuf Disp|127.47
880039.3527|Tube Trch 4 62mm 6.5mm Shly Cuf Disp Inr|142.33
880039.3527|Tube Trch 4 62mm 6.5mm Shly Uncuf Disp|127.47
880039.3527|Tube Trch 5 68mm 7.0mm Shly Cuf Disp|142.33
880039.3527|Tube Trch 5 68mm 7.0mm Shly Uncuf Disp|127.47
880039.3527|Tube Trch 6 74mm 7.5mm Shly Cuf Disp|142.33
880039.3527|Tube Trch 6 74mm 7.5mm Shly Uncuf Disp|127.47
880039.3527|Tube Trch 7 77mm 8.0mm Shly Cuf Disp|142.33
880039.3527|Tube Trch 7 77mm 8.0mm Shly Uncuf Disp|127.47
880039.3527|Tube Trch 8 79mm 8.5mm Shly Cuf Disp|142.33
880039.3527|Tube Trch 8 79mm 8.5mm Shly Uncuf Disp|127.47
880039.3527|Tube Trch 9 79mm 9.0mm Shly Cuf Disp|142.33
880039.3527|Tube Trch 9 79mm 9.0mm Shly Uncuf Disp|127.47
880039.1706|Tube Vnt Blu 1.27Mm 1.37Mm Duravent Tpr|52.86
880039.4511|Tube Vnt Blu 12X9.8Mm 1.14Mm Lng T Ear|64.17
833842|Tx Abortion Missed Surg 1st Tri|1,511.00
833511|Tx Disloc IP Jt Single Open|2,075.00
814097|Tx Disloc Shoulder Clsd W Manip W Anes|572
830109|Tx Disloc Shoulder Clsd W Manip W Anes|483
830109|Tx Disloc Shoulder Clsd W Manip W Anes|1,731.00
830408|Tx Disloc Shoulder Clsd W Manip WO Anes|1,307.00
830466|Tx Disloc Tmj Closed|82
812708|Tx Dislocated Hip Prosth Clsd WO Ane|377
836345|Tx Ectop Preg Abd/Vag Rmv Tube/Ovary|2,605.00
833123|Tx Fibular Fx Open Proxml Unicond|3,757.00
810618|Tx Fx Ankle Bimall Clsd W/O Manip|944
834791|Tx Fx Ankle Malleolus W Fix Post Lip Opn|3,824.00
830591|Tx Fx Ankle Trimall Clsd W Manip|853
810620|Tx Fx Ankle Trimall Clsd W/O Manip|909
814108|Tx Fx Articular Mcp IP Clsd W Manip|285
810622|Tx Fx Calcaneal W/O Manip|586
816784|Tx Fx Carpal Clsd W/O Manip|781
810624|Tx Fx Carpal Scaphoid Clsd W/O Manip|928
835695|Tx Fx Dislc Post Pelv Ring Clsd WO Manip|780
8102808|Tx Fx Dislc Post Pelv Ring Clsd WO Manip|937
816922|Tx Fx Fem Condy Clsd W Manip|1,195.00
835654|Tx Fx Fem Condy Clsd W Manip|1,202.00
833079|Tx Fx Fem Shaft W Intramed Implnt Open|6,600.00
833117|Tx Fx Femr Dis Cndy Clsd W O Manip|947
816068|Tx Fx Femr Dis Cndy Clsd W/O Manip|1,335.00
817006|Tx Fx Femr Gr Troch Clsd W/O Man|853
833020|Tx Fx Femr Gr Troch Clsd W/O Man|675
817702|Tx Fx Femr Prox Hd No Manip|930
833009|Tx Fx Femur Trochanter W Plate Screw|6,069.00
810626|Tx Fx Fibula Distal Clsd W/O Manip|1,026.00
830122|Tx Fx Fibula Distal Clsd W/O Manip|520
830122|Tx Fx Fibula Distal Clsd W/O Manip|1,401.00
817009|Tx Fx Hum Gr Tubr Clsd W/O Manip|774
833097|Tx Fx Hum Gr Tubr Clsd W/O Manip|389
835391|Tx Fx Humeral Supracondylar Open W Extn|4,541.00
810627|Tx Fx Humerus Prox Clsd W/O Manip|1,070.00
831521|Tx Fx Humerus Prox Clsd W/O Manip|516
831521|Tx Fx Humerus Prox Clsd W/O Manip|1,501.00
814098|Tx Fx Humrl Shft Clsd WO Manip|1,151.00
832998|Tx Fx Lower Leg Jt Open|2,739.00
810630|Tx Fx Medial Malleous Clsd W/O Manip|1,078.00
810631|Tx Fx Metacarpal Clsd Ea W/ Manip|262
810631|Tx Fx Metacarpal Clsd Ea W/ Manip|923
810632|Tx Fx Metacarpal Clsd Ea W/O Manip|983
816217|Tx Fx Metacarpal Clsd Ea W/O Manip|700
813363|Tx Fx Metatarsal Clsd Ea W/O Manip|732
814114|Tx Fx Patella Clsd WO Manip|1,051.00
812386|Tx Fx Phalanx Distl Clsd WO Manip|590
812736|Tx Fx Phalanx Shaft Clsd W Manip|277
814116|Tx Fx Prox Fibula Clsd WO Manip|1,007.00
833920|Tx Fx Rad Distal Open W Int Fix|3,599.00
834511|Tx Fx Rad Distal Opn W Interm Fix 2 Frag|3,580.00
833921|Tx Fx Rad Distal Opn W Interm Fix 3+Frag|5,139.00
814104|Tx Fx Rad Shaft Clsd WO Manip|878
810641|Tx Fx Radial Distal Clsd W/ Manip|1,418.00
810642|Tx Fx Radial Distal Clsd W/O Manip|1,115.00
830132|Tx Fx Radial Distal Clsd W/O Manip|480
814100|Tx Fx Radial Head Neck Clsd WO Manip|893
810643|Tx Fx Radial Head/Neck W/O Manip|876
830134|Tx Fx Radial Ulnar Shft Clsd W/ Manip|2,302.00
810645|Tx Fx Radial Ulnar Shft Clsd W/O Manip|707
812387|Tx Fx Scapula Closed WO Manip|559
831520|Tx Fx Scapula Closed WO Manip|316
810648|Tx Fx Supracondylar Clsd W/O Manip|1,127.00
810649|Tx Fx Tibia Distal Clsd W/O Manip|895
833065|Tx Fx Tibia Shaft Open|3,561.00
814115|Tx Fx Tibial Plateau Clsd WO Manip|822
810651|Tx Fx Tibial Shft Clsd W/O Manip|899
831532|Tx Fx Ulnar Prox Closed WO Manip|463
810652|Tx Fx Ulnar Prox W/O Manip|949
814106|Tx Fx Ulnar Styloid Clsd|1,006.00
814105|Tx Fx Ulnr Shft Clsd WO Manip|884
830190|Tx Incomplete Ab Any Trimester Cmplt|1,256.00
833052|Tx Scapular Fx Open|3,435.00
834327|Tx Septic Abortion Surgically|1,857.00
831566|Tx Tarsal Bone Fracture W/O Man.|350
814117|Tx Tarsal Bone Fx W/O Manip|713
830145|Tx Wound Dehiscence Cmplx|3,986.00
880039.5585|Ty Spbc 14ga 18ga 11in Cath Pnct Ndl|176.56
880039.249|Ty Umb Cath Ins|166.65
812212|Tympanometry|192
813648|Tympanometry and Reflex Threshold|329
818686|Ue Fx Orthosis Humeral|206
890023.501|Ulipristal Acetate Tab 30 MG|99.74
815745|Ultrasound Therapy Ea 15 Min Ot|177
815746|Ultrasound Therapy Ea 15 Min Pt|177
832686|Umbilectomy Omphalectomy|2,538.00
890023.1731|Umeclidinium Br Aero Powd Breath Act 62.5 MCG/ACT (Base Eq)|72.5
880039.2497|Un Solcotrans|274.91
880039.7218|Unit Esurg Prc Set Gs Hta|2,951.00
833048|Up GI Endoscopy Remv Tumor Forceps|835
817633|Upper Ext Fx Orthosis Wrist Prefab|112
800972|Upper Extremity Infant 2+ Vw|630
833387|Upper GI Endo Remv Tumor Lesn Snare|1,040.00
60016790|Urea Nitrogen Urine Random|99
60017000|Uric Acid Blood|143
60019710|Uric Acid Urine Risk|33
60017050|Uric Acid Urine Timed|132
60075320|Urinalysis Dipstick Auto|42
60075220|Urinalysis Microscopic Only|75
60075030|Urinalysis Routine Auto W Microscopic|135
814381|Urol Addl Half Hour Operating Rm Ti|2,548.00
814361|Urology .5 Hr Operating Room Time|2,841.00
814362|Urology .75hr Operating Room Time|3,932.00
814364|Urology 1.25hr Operating Room Time|6,122.00
814365|Urology 1.5hr Operating Room Time|7,212.00
814366|Urology 1.75hr Operating Room Time|8,309.00
814363|Urology 1hr Operating Room Time|5,029.00
814367|Urology 2.0hr Operating Room Time|9,219.00
814368|Urology 2.25hr Operating Room Time|10,127.00
814369|Urology 2.5hr Operating Room Time|11,038.00
814370|Urology 3.0hr Operating Room Time|11,945.00
814371|Urology 3.5hr Operating Room Time|12,860.00
814372|Urology 4.0hr Operating Room Time|13,769.00
814373|Urology 4.5hr Operating Room Time|14,498.00
814374|Urology 5.0hr Operating Room Time|15,227.00
814375|Urology 5.5hr Operating Room Time|15,953.00
814376|Urology 6.0hr Operating Room Time|16,680.00
814377|Urology 6.5hr Operating Room Time|17,410.00
814378|Urology 7.0hr Operating Room Time|18,138.00
814379|Urology 7.5hr Operating Room Time|18,866.00
814380|Urology 8.0hr Operating Room Time|19,589.00
814763|Urology Bundle D/C in Or|17,469.00
890023.4229|Ursodiol Cap 300 MG|3.1
813718|US Aaa Screening|1,115.00
800560|US Abdomen Complete|1,389.00
800561|US Abdomen Limited|131
800561|US Abdomen Limited|1,115.00
803556|US Abdomen Limited|44
802888|US Art Doppler Abd Pelv Retrop|852
8101827|US Breast Bilateral Limited|1,157.00
8101793|US Breast Unilateral Complete|780
8101794|US Breast Unilateral Limited|975
801836|US Chest|485
803796|US Extrem Non Vas Limited|86
800577|US Fetal Biophysical Profile W/O Nst|1,357.00
800062|US Guidance for Needle Placement|50
800062|US Guidance for Needle Placement|1,337.00
800600|US Guide Amniocentesis|59
800600|US Guide Amniocentesis|991
830197|US Guide Amniocentesis S&I OB|44
830197|US Guide Amniocentesis S&I OB|133
800604|US Guide Intraoperative|1,337.00
800594|US Guide Vascular Access|1,337.00
830675|US Guided Needle Placement|116
831224|US Head Neck Tissues B - Scan Real Time|75
800556|US Head Neck Tissues Real Time|388
800556|US Head Neck Tissues Real Time|1,190.00
800583|US Hystosonogram|320
800583|US Hystosonogram|1,104.00
800589|US Infant Hips W Manipulation|780
800588|US Joint Complete|296
800588|US Joint Complete|1,296.00
803795|US Joint Complete|115
814179|US Joint or Nonvasc Ext Limited|85
814179|US Joint or Nonvasc Ext Limited|921
802889|US Ltd Doppler Abd Pelv Scrot Retrop|528
801065|US Measure Bladder Capacity|60
801065|US Measure Bladder Capacity|288
830333|US Nuchal Measure 1 Gestation|136
830332|US Nuchal Measure Add on OB|115
800568|US OB < 14 Wks Ea Additional Gest|95
800568|US OB < 14 Wks Ea Additional Gest|556
800567|US OB < 14 Wks Single Gest|296
800567|US OB < 14 Wks Single Gest|1,123.00
800570|US OB 14+ Wks Additional Gest|202
800570|US OB 14+ Wks Additional Gest|725
800569|US OB 14+ Wks Single Gest|360
800569|US OB 14+ Wks Single Gest|1,292.00
800572|US OB Detail Fetal Anatomy Additional Gest|556
800571|US OB Detail Fetal Anatomy Single Gest|1,145.00
800584|US Pelvis Complete|324
800584|US Pelvis Complete|1,299.00
831243|US Pelvis Complete|80
800586|US Pelvis Limited|131
800586|US Pelvis Limited|750
814017|US Pelvis Non-OB Limited|44
830343|US Preg Uterus < 14 Wks|115
830304|US Preg Uterus < 14 Wks Ea Adl Gest OB|122
830192|US Preg Uterus >14 Wks Ea Addl Gest OB|113
830191|US Preg Uterus >14 Wks OB|115
801853|US Preg Uterus Follow Up per Fetus|281
801853|US Preg Uterus Follow Up per Fetus|780
830194|US Preg Uterus Follow-Up Ea Gest OB|98
830193|US Preg Uterus Lmtd One or > Gest OB|75
802893|US Preg Uterus Nuchal Meas Ea Addl|144
802893|US Preg Uterus Nuchal Meas Ea Addl|2,323.00
802892|US Preg Uterus Nuchl Meas Sgl/1st|258
802892|US Preg Uterus Nuchl Meas Sgl/1st|1,123.00
830307|US Preg Uterus Transvaginal OB|105
800573|US Pregnant Uterus Limited 1+ Fetuses|219
800573|US Pregnant Uterus Limited 1+ Fetuses|780
800575|US Pregnant Uterus Transvaginal|261
800575|US Pregnant Uterus Transvaginal|855
803002|US Remove Intrauterine Device|170
800562|US Retroperitoneal Complete|1,322.00
800563|US Retroperitoneal Limited|1,145.00
831246|US Scrotum & Contents|115
802946|US Scrotum and Contents|296
802946|US Scrotum and Contents|1,401.00
800565|US Spinal Canal and Contents|750
800319|US Transrectal|1,275.00
800582|US Transvaginal Non OB|331
800582|US Transvaginal Non OB|1,576.00
831242|US Transvaginal Non OB|79
833845|Ut Evac and Curette Hydatiform Mole|2,001.00
8104841|V60 Heating Circuit Rt|178
8105571|Vac Rsv Monoclonal Antibody 0.5 Ml|155.72
8105572|Vac Rsv Monoclonal Antibody 1 Ml|241.8
8105569|Vac Rsv Pref Bivalent Im|681.61
813740|Vaccine Dtap Hep Ipv Intramuscular|479.24
8104127|Vaccine Typhoid Vicps Im|508.8
833839|Vag Deliv After Cesarean Incl Po|4,891.00
833839|Vag Deliv After Cesarean Incl Po|5,758.00
833806|Vag Hyst Complex Uterus >250gm|4,893.00
833807|Vag Hyst Incl Tubes/Ovaries Compl >250gm|5,295.00
835517|Vag Hyst Uterus >250gm T/O W Repair|5,587.00
833804|Vag Hyst Uterus 250gm or Less|3,509.00
833805|Vag Hyst W Tubes/Ovaries 250gm or Less|3,916.00
890002.144|Valproate Sodium Inj 100 MG/ML|74.5
890023.1211|Valproate Sodium Oral Soln 250 MG/5ML (Base Equiv)|52.79
890001.6945|Valproic Acid Cap 250 MG|3.1
60010170|Valproic Acid Level|315
890023.3172|Valsartan Tab 80 MG|3.1
890023.1211|Vancomycin HCl Cap 125 MG (Base Equivalent)|5.58
890022.1439|Vancomycin HCl For IV Soln 1 GM (Base Equivalent)|74.5
890022.1671|Vancomycin HCl For IV Soln 5 GM (Base Equivalent)|97.3
890022.1671|Vancomycin HCl For IV Soln 500 MG (Base Equivalent)|74.5
890022.4097|Vancomycin HCl For IV Soln 750 MG (Base Equivalent)|74.5
60011770|Vancomycin Level Random|316
60011800|Vancomycin Level Trough|316
813738|Varicella (Chicken Pox) Vaccine|367.63
890022.6483|Varicella Virus Vac Live For Subcutaneous Inj 1350 PFU/0.5ML|367.63
60066060|Varicella Zoster Antibody Igg|98
60073700|Varicella Zoster by Dfa Smear|236
814382|Vasc .5 Hr Operating Room Time|2,548.00
814402|Vasc .5 Hrs Additional Oper Room Time|2,548.00
814383|Vasc .75 Hrs Operating Room Time|3,638.00
814384|Vasc 1.0 Hr Operating Room Time|4,737.00
814385|Vasc 1.25 Hrs Operating Room Time|5,827.00
814386|Vasc 1.5 Hrs Operating Room Time|6,919.00
814387|Vasc 1.75 Hrs Operating Room Time|8,012.00
814388|Vasc 2.0 Hrs Operating Room Time|8,920.00
814389|Vasc 2.25 Hrs Operating Room Time|9,832.00
814390|Vasc 2.5 Hrs Operating Room Time|10,743.00
814391|Vasc 3.0 Hrs Operating Room Time|11,651.00
814392|Vasc 3.5 Hrs Operating Room Time|12,567.00
814393|Vasc 4.0 Hrs Operating Room Time|13,475.00
814394|Vasc 4.5 Hrs Operating Room Time|14,204.00
814395|Vasc 5.0 Hrs Operating Room Time|14,929.00
814396|Vasc 5.5 Hrs Operating Room Time|15,656.00
814397|Vasc 6.0 Hrs Operating Room Time|16,385.00
814398|Vasc 6.5 Hrs Operating Room Time|17,112.00
814399|Vasc 7.0 Hrs Operating Room Time|17,844.00
814400|Vasc 7.5 Hrs Operating Room Time|18,572.00
814401|Vasc 8.0 Hrs Operating Room Time|19,296.00
818487|Vasectomy Unilat or Bilat|1,269.00
833538|Vasectomy Unilat or Bilat|580
833538|Vasectomy Unilat or Bilat|981
812632|Vasopneumatic Compression Ot|156
60065580|Vasopressin|273
890022.549|Vasopressin IV Soln 20 Unit/ML (For IV Infusion)|114.98
890001.5515|Vecuronium Bromide For Inj 10 MG|74.5
830511|Venipuncture >=3yrs Non Routine|328
830510|Venipuncture Fm Jg < 3yrs Non Routine|328
890023.6808|Venlafaxine HCl Cap ER 24HR 150 MG (Base Equivalent)|3.1
890023.9047|Venlafaxine HCl Cap ER 24HR 37.5 MG (Base Equivalent)|3.1
890023.9391|Venlafaxine HCl Tab 37.5 MG (Base Equivalent)|3.1
800685|Venogram Extremity Bilateral|2,215.00
812877|Vent Mgmt IP/Obsv Initial Day|787
811333|Vent Mgmt IP/Obsv Subseq Days|741
890001.4307|Verapamil HCl IV Soln 2.5 MG/ML|74.5
890001.7012|Verapamil HCl IV Soln 2.5 MG/ML|74.5
890001.7071|Verapamil HCl IV Soln 2.5 MG/ML|74.5
890023.591|Verapamil HCl Tab 40 MG|3.1
890023.6846|Verapamil HCl Tab ER 120 MG|3.1
880038.1382|Vest 1 Frn Zip Adj Shldr Strap Cup|176.35
880038.1382|Vest 3 Med Frn Zip Adj Shldr Strap Cup|179.59
880038.1382|Vest 4 Lg Frn Zip Adj Shldr Strap Cup|179.8
880038.1453|Vest 5 Xl Frn Zip Adj Shldr Strap Cup|179.59
880038.1381|Vest Srg 2 Sm Frn Zip Adj Shldr Strap|176.35
60073010|Viral Culture Adenovirus|143
60073320|Viral Culture Herpes Simplex|365
60088580|Viral Culture Shell Vial|94
812213|Visual Reinforcement Audiometry|261
60065590|Vitamin A|202
60065440|Vitamin B1|90
60012500|Vitamin B12|297
60087050|Vitamin B12 Binding Capacity|42
817469|Vitamin B12 Inj to 1000mcg|74.5
60060750|Vitamin C|52
60060690|Vitamin D 1 25 Dihydroxy|404
60060480|Vitamin D 25-Hydroxy|242
60065460|Vitamin E|69
60065550|Vma Urine Timed|359
814764|Vnus Procedure D/C in Or|9,555.00
800975|Voiding Cystogram S and I|1,885.00
60069980|Volume Measure Urine|52
833776|Vulvectomy Simple, Partial|2,151.00
818031|Walker Boot Tracker Lg|55
880039.5098|Wand Esurg Brt Orng Cbltr Rflx Ul Sm|742.35
880039.2053|Wand Esurg Cbltr Procise Xp Tnsl Adnd 1|742.35
880039.1421|Wand Esurg Cbltr Rflx Ul 45 Lng Plsm Sux|651.45
880039.4257|Wand Opes Raised 90Deg 4Mm|393.9
890023.8321|Warfarin Sodium Tab 1 MG|3.1
890023.5602|Warfarin Sodium Tab 2 MG|3.1
890023.6258|Warfarin Sodium Tab 2 MG|3.1
890023.6808|Warfarin Sodium Tab 2.5 MG|3.1
890023.8321|Warfarin Sodium Tab 2.5 MG|3.1
890023.5602|Warfarin Sodium Tab 3 MG|3.1
890023.8321|Warfarin Sodium Tab 3 MG|3.1
890023.6258|Warfarin Sodium Tab 5 MG|3.1
890001.4094|Water For Inject, Bacteriostatic Benzyl Alcohol|74.5
890001.4094|Water For Inject, Bacteriostatic Benzyl Alcohol|74.5
890001.338|Water For Irrigation, Sterile Irrigation Soln|22.32
890001.338|Water For Irrigation, Sterile Irrigation Soln|41.85
60020330|Wbc Count Auto|71
60020050|Wbc Count W Auto Differential|96
880045.3582|Wedge Tib 11Mm Nxgn 7D 9 Full Kn Tiv|976.5
880045.3769|Wedge Tib 7.6Mm Nxgn 7D 2 Full Kn Tiv|1,264.24
814461|Well Baby Daily (N1)|1,015.00
60087020|West Nile Virus Antibody Igg|365
60087030|West Nile Virus Antibody Igm|365
60059800|West Nile Virus Pcr|905
60041940|Wet Prep Smear|102
8102093|Wheelchair Mgmnt Training Ea 15min Pt|133
816051|Whfo WO Joints Prefab|119
815740|Whirlpool Pt|176
890023.168|White Petrolatum Ointment|55.68
890023.2439|White Petrolatum Topical Gel|9.24
816542|Who Wrist Ext Control Cock Up|43
830449|Wind Rpr Intermed Face >30cm|923
830449|Wind Rpr Intermed Face >30cm|1,199.00
880039.2493|Wire .04In 24Mm Vit Fx|134.69
880045.1316|Wire K 1.2Mm 65Mm Smth Troc Tip Fx Olv|321.59
880045.1176|Wire K 1.6Mm 6In Hlf Bynt Pnt Ss Fx|50.22
880045.1727|Wire K 1.6Mm Ss Fx Nonster|66.96
880045.1774|Wire K 2Mm 152Mm Top Tray Ss Fx|50.22
830612|Wnd Rpr Cmp Sclp Arm Leg 1.1-2.5cm|496
812768|Wnd Rpr Cmplx Nk Hn Ft Gn 11-25mm|1,124.00
812406|Wnd Rpr Complex Trunk 2.6-7.5cm|1,156.00
812437|Wnd Rpr Complex Trunk Ea Addl 5cm|337
830485|Wnd Rpr Complex Trunk Ea Addl 5cm|190
830485|Wnd Rpr Complex Trunk Ea Addl 5cm|312
830615|Wnd Rpr Complx Nk Hn Fl Gn 26-75m|1,436.00
830617|Wnd Rpr Complx Trunk 1.1-2.5cm|401
830445|Wnd Rpr Complx Trunk 2.6-7.5cm|538
830445|Wnd Rpr Complx Trunk 2.6-7.5cm|1,054.00
812407|Wnd Rpr Int Face <=2.5cm|576
812407|Wnd Rpr Int Face <=2.5cm|840
830479|Wnd Rpr Int Face <=2.5cm|372
830479|Wnd Rpr Int Face <=2.5cm|401
830479|Wnd Rpr Int Face <=2.5cm|713
830448|Wnd Rpr Int Face 25-50mm Profee|389
830448|Wnd Rpr Int Face 25-50mm Profee|493
830448|Wnd Rpr Int Face 25-50mm Profee|996
812410|Wnd Rpr Int Face 26-50mm|695
812410|Wnd Rpr Int Face 26-50mm|918
830619|Wnd Rpr Int Face 76-125mm Profee|811
830450|Wnd Rpr Int Nk Hn Ft Gn 1-25mm PR|276
830450|Wnd Rpr Int Nk Hn Ft Gn 1-25mm PR|336
830450|Wnd Rpr Int Nk Hn Ft Gn 1-25mm PR|648
830453|Wnd Rpr Int Nk Hn Ft Gn 2.6-7.5 Cm|427
830453|Wnd Rpr Int Nk Hn Ft Gn 2.6-7.5 Cm|524
830453|Wnd Rpr Int Nk Hn Ft Gn 2.6-7.5 Cm|829
812416|Wnd Rpr Int Nk Hn Ft Gn 26-75mm|720
812416|Wnd Rpr Int Nk Hn Ft Gn 26-75mm|800
830620|Wnd Rpr Int Nk Hn Ft Gn 76-125mm|663
812418|Wnd Rpr Int Sc Ax Tk Xt <2.5cm|580
812418|Wnd Rpr Int Sc Ax Tk Xt <2.5cm|792
830455|Wnd Rpr Int Sc Ax Tk Xt <2.5cm|258
830455|Wnd Rpr Int Sc Ax Tk Xt <2.5cm|344
830455|Wnd Rpr Int Sc Ax Tk Xt <2.5cm|695
812778|Wnd Rpr Int Sc Ax Tk Xt 126-200mm|1,265.00
830621|Wnd Rpr Int Sc Ax Tk Xt 126-200mm|726
830621|Wnd Rpr Int Sc Ax Tk Xt 126-200mm|1,109.00
810567|Wnd Rpr Intermd Nk Hd Ft Gen <=2.5cm|480
810567|Wnd Rpr Intermd Nk Hd Ft Gen <=2.5cm|745
812411|Wnd Rpr Intermed Face >30cm|1,499.00
812411|Wnd Rpr Intermed Face >30cm|1,676.00
812408|Wnd Rpr Intermed Face 12.6-20cm|1,361.00
812408|Wnd Rpr Intermed Face 12.6-20cm|1,474.00
830446|Wnd Rpr Intermed Face 12.6-20cm|693
830446|Wnd Rpr Intermed Face 12.6-20cm|1,021.00
812409|Wnd Rpr Intermed Face 20.1-30cm|1,550.00
812409|Wnd Rpr Intermed Face 20.1-30cm|1,596.00
830447|Wnd Rpr Intermed Face 20.1-30cm|817
830447|Wnd Rpr Intermed Face 20.1-30cm|1,107.00
812773|Wnd Rpr Intermed Face 7.6-12.5cm|1,045.00
812773|Wnd Rpr Intermed Face 7.6-12.5cm|1,293.00
812417|Wnd Rpr Intermed Nk Hn Ft Gn >30cm|1,501.00
812417|Wnd Rpr Intermed Nk Hn Ft Gn >30cm|1,885.00
830454|Wnd Rpr Intermed Nk Hn Ft Gn >30cm|761
830454|Wnd Rpr Intermed Nk Hn Ft Gn >30cm|1,183.00
812414|Wnd Rpr Intermed Nk Hn Ft Gn 12.6-20cm|1,152.00
812414|Wnd Rpr Intermed Nk Hn Ft Gn 12.6-20cm|1,313.00
830451|Wnd Rpr Intermed Nk Hn Ft Gn 12.6-20cm|577
830451|Wnd Rpr Intermed Nk Hn Ft Gn 12.6-20cm|818
812415|Wnd Rpr Intermed Nk Hn Ft Gn 20.1-30cm|1,399.00
812415|Wnd Rpr Intermed Nk Hn Ft Gn 20.1-30cm|1,623.00
830452|Wnd Rpr Intermed Nk Hn Ft Gn 20.1-30cm|660
830452|Wnd Rpr Intermed Nk Hn Ft Gn 20.1-30cm|981
812776|Wnd Rpr Intermed Nk Hn Ft Gn 7.6-12.5cm|1,054.00
812776|Wnd Rpr Intermed Nk Hn Ft Gn 7.6-12.5cm|1,132.00
812421|Wnd Rpr Intermed Sc Ax Tk Xt >30cm|1,294.00
812421|Wnd Rpr Intermed Sc Ax Tk Xt >30cm|1,734.00
830458|Wnd Rpr Intermed Sc Ax Tk Xt >30cm|768
830458|Wnd Rpr Intermed Sc Ax Tk Xt >30cm|1,159.00
830458|Wnd Rpr Intermed Sc Ax Tk Xt >30cm|1,434.00
812419|Wnd Rpr Intermed Sc Ax Tk Xt 20.1-30cm|1,181.00
812419|Wnd Rpr Intermed Sc Ax Tk Xt 20.1-30cm|1,479.00
830456|Wnd Rpr Intermed Sc Ax Tk Xt 20.1-30cm|650
830456|Wnd Rpr Intermed Sc Ax Tk Xt 20.1-30cm|953
830456|Wnd Rpr Intermed Sc Ax Tk Xt 20.1-30cm|1,028.00
812412|Wnd Rpr Sim Face >30cm|215
812412|Wnd Rpr Sim Face >30cm|909
830462|Wnd Rpr Sim Face >30cm|555
830462|Wnd Rpr Sim Face >30cm|1,647.00
812781|Wnd Rpr Sim Face 12.6-20cm|512
812781|Wnd Rpr Sim Face 12.6-20cm|1,097.00
812422|Wnd Rpr Sim Face 1-25mm|332
812422|Wnd Rpr Sim Face 1-25mm|550
830459|Wnd Rpr Sim Face 1-25mm Profee|176
830459|Wnd Rpr Sim Face 1-25mm Profee|338
830606|Wnd Rpr Sim Face 126-200mm|1,117.00
812423|Wnd Rpr Sim Face 20.1-30cm|192
830460|Wnd Rpr Sim Face 20.1-30cme|489
812424|Wnd Rpr Sim Face 26-50mm|354
812424|Wnd Rpr Sim Face 26-50mm|624
830461|Wnd Rpr Sim Face 26-50mm Profee|201
830461|Wnd Rpr Sim Face 26-50mm Profee|414
812783|Wnd Rpr Sim Face 51-75mm|713
830622|Wnd Rpr Sim Face 51-75mm Profee|644
812784|Wnd Rpr Sim Face 76-125mm|893
830623|Wnd Rpr Sim Face 76-125mm Profee|859
830624|Wnd Rpr Sim Sc Ax Tk Xt >300mm PR|1,143.00
812785|Wnd Rpr Sim Sc Ax Tk Xt >30cm|562
812785|Wnd Rpr Sim Sc Ax Tk Xt >30cm|1,159.00
812425|Wnd Rpr Sim Sc Ax Tk Xt 1-25m|292
812425|Wnd Rpr Sim Sc Ax Tk Xt 1-25m|456
812787|Wnd Rpr Sim Sc Ax Tk Xt 126-200mm|816
830625|Wnd Rpr Sim Sc Ax Tk Xt 126-200mm|780
812788|Wnd Rpr Sim Sc Ax Tk Xt 20.1-30|500
812788|Wnd Rpr Sim Sc Ax Tk Xt 20.1-30|1,035.00
830626|Wnd Rpr Sim Sc Ax Tk Xt 201-300mm|1,048.00
812426|Wnd Rpr Sim Sc Ax Tk Xt 26-75mm|330
812426|Wnd Rpr Sim Sc Ax Tk Xt 26-75mm|544
830465|Wnd Rpr Sim Sc Ax Tk Xt 76-125 Pf|602
812427|Wnd Rpr Sim Sc Ax Tk Xt 76-125mm|354
812427|Wnd Rpr Sim Sc Ax Tk Xt 76-125mm|657
812791|Wnd Rpr Sim Superficl Dehiscence|925
812791|Wnd Rpr Sim Superficl Dehiscence|1,746.00
830627|Wnd Rpr Sim Superficl Dehiscn Pro|461
830627|Wnd Rpr Sim Superficl Dehiscn Pro|794
830627|Wnd Rpr Sim Superficl Dehiscn Pro|949
814448|Wnd Tx Super Deh W/Pack|433
832149|Wnd Tx Super Deh W/Pack|291
812643|Work Environment Analysis|161
890023.9958|Wound Dressings - Gel|98.58
880039.3954|Wrap Trc Mcconnell Lg Hand Arm Hldr|115.56
800001|Wrist 2 Vw|610
800022|Wrist 3+ Vw|779
833970|Wrist Arthroscop W Rls Transv Carp Lig|1,701.00
813912|Wrist Support/Brace/Fit|43
880045.296|Wshr Orth Ss 3.5-4 Mm Cann Screw Nonster|77.25
880039.5778|Wshr Orth Ss 4.5 Mm Cann Screw Nonster|61.38
800239|Xr Bone Age Study|630
800864|Xr Foot 1vw|343
800869|Xr Hand 1vw|428
800202|Xr Knee 4+ Vw|699
800721|Xr Lumbar Spine Bending Only 2-3 V|414
800238|Xr Sinuses < 3vw|510
800566|Xr Sternoclavicular Joints 3+ Vw|554
800805|Xray Abd Acute Series W Pa Chest|961
8103263|Xray Abdomen 1 View|431
8103264|Xray Abdomen 2 Views|743
8103260|Xray Chest 2 Views|645
8103261|Xray Chest 3 Views|736
8103259|Xray Chest Single View|461
800779|Xray Clavicle Complete|428
800766|Xray Colon Double Contrast|1,798.00
800016|Xray Colon Single Contrast|1,092.00
8104161|Xray Esoph Double Contrast|1,522.00
800754|Xray Esophagus Sngl Contrast|758
60148290|X-Ray Exam, Breast Specimen Tc|911
8102399|Xray Femur 1 View|398
8102400|Xray Femur Minimum 2 Views|565
800859|Xray Finger(S) Min 2 Vw|366
8102393|Xray Hip Unilat 1 View|398
8102394|Xray Hip Unilat 2-3 Views|750
8102396|Xray Hips Bilat W Pelvis 2 Views|893
8102397|Xray Hips Bilat W Pelvis 3-4 Views|1,036.00
8102398|Xray Hips Bilateral W Pelv Min 5 Vw|1,178.00
8104160|Xray Sm Intestine Follow Through|2,235.00
800988|Xray Small Bowel Single Contrast|1,191.00
8102389|Xray Spine Entire 1 View|508
8102390|Xray Spine Entire 2 or 3 Views|576
800759|Xray Upper GI Double Contrast|1,522.00
800991|Xray Upper GI Single Contrast|1,522.00
800242|Xrays Bone Survey Infant|1,150.00
880045.13|Xtn Stm 100Mm 10Mm Nxgn Str Kn Tib Rot|1,936.26
880045.13|Xtn Stm 100Mm 12Mm Nxgn Str Kn Tib Rot|1,936.26
880045.13|Xtn Stm 100Mm 13Mm Nxgn Str Kn Tib Rot|1,936.26
880045.3578|Xtn Stm 100Mm 145Mm 11Mm Kn Fem Nxgn|2,525.88
880045.3578|Xtn Stm 100Mm 145Mm 12Mm Kn Fem Nxgn|2,525.88
880045.138|Xtn Stm 100Mm 145Mm 13Mm Kn Fem Nxgn|2,525.88
880045.3578|Xtn Stm 100Mm 145Mm 14Mm Kn Fem Nxgn|2,525.88
880039.3578|Xtn Stm 100Mm 145Mm 15Mm Kn Fem Nxgn|2,525.88
880045.1377|Xtn Stm 100Mm 145Mm 16Mm Kn Fem Nxgn|2,525.88
880045.3578|Xtn Stm 100Mm 145Mm 17Mm Kn Fem Tiv Nxgn|2,297.10
880045.3579|Xtn Stm 100Mm 145Mm 18Mm Kn Fem Nxgn|2,525.88
880045.1054|Xtn Stm 100Mm 14Mm Nxgn Str Kn Tib Rot|1,936.26
880045.3735|Xtn Stm 100Mm 15Mm Nxgn Str Kn Tib Rot|1,936.26
880045.1054|Xtn Stm 100Mm 16Mm Nxgn Str Kn Tib Rot|1,936.26
880045.1054|Xtn Stm 100Mm 17Mm Nxgn Str Kn Tib Rot|1,936.26
880045.1054|Xtn Stm 100Mm 18Mm Nxgn Str Kn Tib Rot|1,936.26
880045.1055|Xtn Stm 100Mm 20Mm Nxgn Str Kn Tib Rot|2,019.03
880045.3735|Xtn Stm 100Mm 22Mm Nxgn Str Kn Tib Rot|2,019.03
880045.1054|Xtn Stm 100Mm 24Mm Nxgn Str Kn Tib Rot|1,934.40
880045.2487|Xtn Stm 130Mm 12Mm Cmnt Seg Kn Fem Trb|7,177.00
880045.261|Xtn Stm 130Mm 15Mm Cmnt Seg Kn Fem Trb|7,177.00
880045.2497|Xtn Stm 130Mm 16Mm Cmnt Seg Kn Fem Trb|7,177.00
880045.3576|Xtn Stm 130Mm 175Mm 10Mm Shrp Repl Screw|1,934.40
880045.3576|Xtn Stm 130Mm 175Mm 11Mm Shrp Repl Screw|1,934.40
880045.3576|Xtn Stm 130Mm 175Mm 12Mm Shrp Repl Screw|1,934.40
880045.3576|Xtn Stm 130Mm 175Mm 13Mm Shrp Repl Screw|1,934.40
880045.3577|Xtn Stm 130Mm 175Mm 14Mm Shrp Flut Repl|1,897.20
880045.3577|Xtn Stm 130Mm 175Mm 16Mm Shrp Repl Screw|1,934.40
880045.3577|Xtn Stm 130Mm 175Mm 17Mm Fem Kn Nxgn|1,934.40
880045.3577|Xtn Stm 130Mm 175Mm 18Mm Shrp Repl Screw|1,853.49
880045.3577|Xtn Stm 130Mm 175Mm 19Mm Shrp Repl Screw|1,934.40
880045.3578|Xtn Stm 130Mm 175Mm 20Mm Shrp Repl Screw|1,934.40
880045.3578|Xtn Stm 130Mm 175Mm 22Mm Shrp Repl Screw|1,934.40
880045.3578|Xtn Stm 130Mm 175Mm 24Mm Shrp Repl Screw|952.32
880045.2712|Xtn Stm 130Mm 17Mm Cmnt Seg Kn Fem Trb|7,177.00
880045.1376|Xtn Stm 145Mm 11Mm Kn Str|1,936.26
880045.3913|Xtn Stm 155Mm 13Mm Nxgn Str Kn Tib Rot|1,593.65
880045.2444|Xtn Stm 155Mm 17Mm Nxgn Str Kn Tib Rot|2,019.03
880045.2444|Xtn Stm 155Mm 18Mm Nxgn Str Kn Tib Rot|1,934.40
880045.2632|Xtn Stm 155Mm 200Mm 12Mm Kn Fem Nxgn|2,526.81
880045.3945|Xtn Stm 155Mm 200Mm 13Mm Kn Fem Nxgn|2,526.81
880045.3916|Xtn Stm 155Mm 200Mm 14Mm Kn Fem Nxgn|2,526.81
880045.3945|Xtn Stm 155Mm 200Mm 16Mm Kn Fem Nxgn|2,526.81
880045.1375|Xtn Stm 155Mm 200Mm 17Mm Kn Fem Nxgn|2,526.81
880045.2487|Xtn Stm 155Mm 200Mm 18Mm Kn Fem Nxgn|2,589.12
880045.3945|Xtn Stm 200Mm 155Mm 15Mm Kn Fem Tiv Nxgn|2,526.81
880045.2395|Xtn Stm 30+ Mm 14Mm Kn Tib Persona Tpr|3,348.00
880095.2863|Xtn Stm 30Mm 12.7Mm Nxgn Str Kn Tib Rot|1,936.26
880045.2385|Xtn Stm 30Mm 15Mm Nxgn Str Kn Tib Rot|1,936.26
880045.3576|Xtn Stm 75Mm 10Mm Nxgn Flut Kn Tib Shrp|1,934.40
880045.3576|Xtn Stm 75Mm 11Mm Nxgn Flut Kn Tib Shrp|1,849.77
880045.3576|Xtn Stm 75Mm 12Mm Nxgn Flut Kn Tib Tiv|1,934.40
880045.3576|Xtn Stm 75Mm 13Mm Nxgn Flut Kn Tib Shrp|1,934.40
880045.3577|Xtn Stm 75Mm 14Mm Nxgn Flut Kn Tib Shrp|1,757.89
880045.3577|Xtn Stm 75Mm 15Mm Nxgn Flut Kn Tib Tiv|1,736.87
880045.2372|Xtn Stm 75Mm 16Mm Nxgn Flut Kn Tib Tiv|1,736.87
880045.3577|Xtn Stm 75Mm 17Mm Nxgn Flut Kn Tib Tiv|1,360.59
880045.3577|Xtn Stm 75Mm 18Mm Nxgn Flut Kn Tib Tiv|1,428.63
880045.3743|Xtn Stm 75Mm 19Mm Nxgn Flut Kn Tib Tiv|1,181.10
880045.2372|Xtn Stm 75Mm 20Mm Nxgn Flut Kn Tib Shrp|1,934.40
880045.3578|Xtn Stm 75Mm 22Mm Nxgn Flut Kn Tib Shrp|1,934.40
880045.3578|Xtn Stm 75Mm 24Mm Nxgn Flut Kn Tib Tiv|952.32
817694|Yag Bilateral Laser Surgery|4,604.00
814715|Yag Laser Surgery|2,303.00
814762|Yag Procedure D/C in Or|1,727.00
60082310|Yersinia Antibody|212
60065650|Zinc Blood|155
890023.8068|Zinc Gluconate Tab 50 MG (Elemental Zn)|3.1
890023.168|Zinc Oxide Oint 20%|11.07
890023.4612|Zinc Oxide Oint 20%|5.41
890023.5361|Zinc Oxide Oint 20%|8.37
890023.5366|Zinc Oxide Oint 20%|5.78
890023.5366|Zinc Oxide Oint 20%|20.27
60084710|Zinc Protoporphyrin|601
60133110|Zinc Protoporphyrin Wb Indus|25
890023.6586|Ziprasidone HCl Cap 20 MG|3.1
890022.436|Ziprasidone Mesylate For Inj 20 MG (Base Equivalent)|125.98
890022.4094|Zoledronic Acid Inj Conc For IV Infusion 4 MG/5ML|95.93
890022.2502|Zoledronic Acid IV Soln 4 MG/100ML|502.2
890022.2502|Zoledronic Acid IV Soln 5 MG/100ML|976.5
890023.9046|Zolpidem Tartrate Tab 5 MG|3.1
890023.6846|Zonisamide Cap 50 MG|3.1
8103510|Zoster Vaccine Recombinant Im|366.35