Billing Information & Healthcare Prices
Medical costs often happen when you can least afford them. If you need financial assistance, the hospital will try to help you.
Patient and prospective patients have a right to request a personalized estimate from the hospital. You may request an itemized statement that will reflect your detailed charges for your hospital care.
Some doctors at Lakeside Medical Center do not work for the hospital. These doctors are in “Private Practice.” They will bill you directly. Private services are in addition to the hospital bill. Private services may be other doctors like the one who took your x-rays, the ER doctor, or the doctor who tested your kidneys, etc. The private bills must be paid to the doctor.
Different doctors have different contracts with insurance companies. Please check to make sure your private practice doctors are covered by your insurance company.
* Service bundle information found on this pricing website is a non-personalized estimate of costs that may be incurred by the patient for anticipated services and that actual costs will be based on services actually provided to the patient.
Download Cash Pay Price for Common Charges (XLSX)
Download Billing and Collections Procedure (PDF)
Healthcare Price Estimation Tool
Pricing Table as of 1/1/2021
Price Transparency Table
| SERVICE DESCRIPTION |
STANDARD CHARGES |
| A & D OINT 45GM |
5.45 |
| A-1 ANTITRYPSIN GENO |
178.20 |
| A-1 ANTITRYPSIN PHEN |
59.04 |
| AB ACTINOMYCES |
178.00 |
| AB ADENOVIRUS |
164.00 |
| AB AMOEBIC |
221.00 |
| AB ANTI-DNA |
164.00 |
| AB ASPERGILLUS |
182.00 |
| AB BACTERIUM NES |
285.00 |
| AB BARTONELLA |
338.00 |
| AB BLASTOMYCES |
152.00 |
| AB BRUCELLA |
168.00 |
| AB CARDIOLIPIN |
240.00 |
| AB CAT SCRATCH FEVER |
338.00 |
| AB CENTROMERE |
154.00 |
| AB CHLAMYDIA |
184.00 |
| AB CMV |
172.00 |
| AB CMV IGM |
172.00 |
| AB COCCIDIOIDES |
164.00 |
| AB COXSACKIE A |
328.00 |
| AB CRYPTOCOCCUS |
139.00 |
| AB DIPTHERIA |
366.00 |
| AB DNA DS |
164.00 |
| AB EBV EARLY AG |
285.00 |
| AB EBV NUC AG |
244.00 |
| AB ECHOVIRUS |
281.00 |
| AB ENCEPH ST LOUIS |
366.00 |
| AB FLUORES SCR EA |
149.00 |
| AB FTA |
196.00 |
| AB GLUTAMIC ACID |
396.00 |
| AB HELICOBACTER PYLO |
145.00 |
| AB HELMINTH NOS |
176.00 |
| AB HEPATITIS DELTA |
184.00 |
| AB HERPES OTH TYPES |
235.00 |
| AB HERPES TYPE I |
149.00 |
| AB HERPES TYPE II |
149.00 |
| AB HISTOPLASMA |
207.00 |
| AB HIV-1 |
125.00 |
| AB HIV1/HIV2 P24 ABA |
147.00 |
| AB HIV-2 |
170.00 |
| AB HTLV/HIV CONFIRM |
227.00 |
| AB HTLVI |
164.00 |
| AB ID RBC EA |
326.00 |
| AB INFLUENZA-A |
158.00 |
| AB INSULIN |
350.00 |
| AB INTRINSIC FACTOR |
111.00 |
| AB ISLET CELL |
170.00 |
| AB JO-1 |
188.00 |
| AB LEGIONELLA |
164.00 |
| AB LEPTOSPIRA |
242.00 |
| AB LYME DISEASE |
154.00 |
| AB MICROSOMAL EA |
258.00 |
| AB MITOCHONDRIAL |
145.00 |
| AB MUMPS |
209.00 |
| AB MURINE TYPHUS |
279.00 |
| AB MYCOPLASMA TITER |
274.00 |
| AB PARVOVIRUS IGG |
178.00 |
| AB PARVOVIRUS IGM |
178.00 |
| AB PHOSPHOLIPID |
240.00 |
| AB Q FEVER |
279.00 |
| AB RICKETTSIA |
143.00 |
| AB RNP |
149.00 |
| AB SCLERODERMA |
133.00 |
| AB SCREEN |
203.00 |
| AB SJOGRENS SSA |
174.00 |
| AB SJOGREN'S SSB |
174.00 |
| AB SMITH |
149.00 |
| AB SMOOTH MUSCLE |
176.00 |
| AB TETANUS |
244.00 |
| AB THYROID PEROXIDAS |
260.00 |
| AB TITER |
164.00 |
| AB TOXOCARA TITER |
369.00 |
| AB TOXOPLASMA |
235.00 |
| AB TOXOPLASMA IGM |
235.00 |
| AB TRANSGLUTOMINASE |
171.00 |
| AB TRICHINELLA |
216.00 |
| AB VARICELLA ZOSTER |
258.00 |
| AB, VIRUS, NOS |
288.00 |
| ABACAV SULF 300MG T |
101.20 |
| ABDOMINAL XRAY & UP |
231.00 |
| ABDOMINAL XRAY & UP |
231.00 |
| ABDOMINAL XRAY (KUB) |
174.00 |
| ABDOMINAL XRAY (KUB) |
174.00 |
| ABG W/CALC O2 SAT |
104.00 |
| ABG W/DIR MSR O2 SAT |
173.00 |
| ABLAT THER DEVICE |
1244.00 |
| ABO BLOOD TYPE |
201.00 |
| ABSCESS DRAINAGE |
538.00 |
| ABSCESS DRAINAGE |
538.00 |
| ACET 650MG/20.3 SUSP |
5.20 |
| ACET,COD #3 T |
3.80 |
| ACET/COD ELIX 12.5ML |
4.50 |
| ACETAM 100MG/1ML |
.35 |
| ACETAM 160/5 5ML |
4.15 |
| ACETAM 325MG T |
.25 |
| ACETAM 500MG T |
.25 |
| ACETAM RS 120MG |
1.25 |
| ACETAM RS 325MG |
1.40 |
| ACETAM RS 650 MG |
1.40 |
| ACETAMINOPHEN |
281.00 |
| ACETAZOL 500MG INJ |
297.30 |
| ACETAZOLAM 250MG T |
37.95 |
| ACETIC AC OT 2% 15ML |
301.90 |
| ACETIC ACID 0.25% 1L |
83.90 |
| ACETONE QUAL |
135.00 |
| ACETONE QUANTITATIVE |
49.00 |
| ACETYLCYS 1GM L 6GM |
48.00 |
| ACID PHOSPH PROST (P |
164.00 |
| ACID PHOSPHATASE TO |
164.00 |
| ACIDOPHILUS TAB |
3.00 |
| ACROMIOCLAVICULARJTS |
174.00 |
| ACROMIOCLAVICULARJTS |
174.00 |
| ACTEMRA 200MG |
5229.55 |
| ACTH, PLASMA (RIA) |
395.00 |
| ACUTE ABD SERIES |
490.00 |
| ACUTE ABD SERIES |
490.00 |
| ACUTE HEP PANEL |
297.00 |
| ACYCL 5% OINT 15G |
1507.45 |
| ACYCLOVIR 200/5 5ML |
54.25 |
| ACYCLOVIR 200MG C |
17.55 |
| ACYCLOVIR 5MG J .5G |
.62 |
| ACYCLOVIR 5MG J 1G |
455.05 |
| ACYLCARNITINE QT |
257.00 |
| ADAPTER FIBEROPTIC |
42.00 |
| ADAPTER IV |
746.00 |
| ADAPTER NOMOLINE |
78.00 |
| ADENOSINE 6MG/2ML J |
77.90 |
| ADENOVIRUS EIA STOOL |
66.33 |
| ADENOVIRUS-DFA |
61.00 |
| ADHESIVE TISSUE .4ML |
44.00 |
| ADJ TUBING ANCH |
9.75 |
| ADJ TUBING ANCHOR |
9.75 |
| ADL/15 MIN |
59.00 |
| ADMIN OF FLU VACC |
108.00 |
| ADMIN OF FLU VACC |
108.00 |
| ADMIN OF FLU VACC |
108.00 |
| ADMIN OF FLU VACC |
108.00 |
| ADMIN OF FLU VACC |
108.00 |
| ADMIN OF FLU VACC |
108.00 |
| ADMIN OF HEP B VACC |
126.93 |
| ADMIN OF HEP B VACC |
108.00 |
| ADMIN OF HEP B VACC |
108.00 |
| ADMIN OF HEP B VACC |
108.00 |
| ADMIN OF HEP B VACC |
108.00 |
| ADMIN OF HEP B VACC |
108.00 |
| ADMIN OF PNEUMO VACC |
133.46 |
| ADMIN OF PNEUMO VACC |
133.46 |
| ADMIN OF PNEUMO VACC |
133.46 |
| ADMIN OF PNEUMO VACC |
108.00 |
| ADMIN OF PNEUMO VACC |
108.00 |
| ADMIN OF PNEUMO VACC |
133.46 |
| ADMISSION KITS |
16.60 |
| ADV FIT SYS VAG MESH |
3093.00 |
| ADVERA LIQ 240ML |
15.40 |
| AEROBIC ID/SUSCEPTIB |
45.00 |
| AEROCHAMBER |
329.50 |
| AEROSOL CONTINUOUS |
448.38 |
| AEROSOL INITIAL |
448.38 |
| AEROSOL SUB |
448.38 |
| AFB PROBE PCR |
340.00 |
| AG SCREEN EA UNIT |
559.02 |
| AH50 |
126.00 |
| AIR LMA REUSE SZ2.5 |
533.00 |
| AIR/WATER ENDO VALVE |
15.75 |
| AIRSELECT MED BOOT |
146.73 |
| AIRW LMA REUSE SZ1.5 |
533.00 |
| AIRWAY BER/PHAR 100M |
285.00 |
| AIRWAY BER/PHAR 90M |
285.00 |
| AIRWAY LMA REUSE SZ1 |
533.00 |
| AIRWAY NASAL |
8.00 |
| AIRWAY NASO 12FR |
131.00 |
| AIRWAY NASO 14FR |
131.00 |
| AIRWAY NASO 16FR |
131.00 |
| AIRWAY NASO 18FR |
131.00 |
| AIRWAY NASO 19FR |
131.00 |
| AIRWAY NASO 20FR |
131.00 |
| AIRWAY NASO 22FR |
131.00 |
| AIRWAY NASO 24FR |
131.00 |
| AIRWAY NASO 26FR |
131.00 |
| AIRWAY NASO 28FR |
131.00 |
| AIRWAY NASO 30 FR |
131.00 |
| AIRWAY NASO 32FR |
131.00 |
| AIRWAY NASO 34FR |
131.00 |
| AIRWAY NASO 36FR |
131.00 |
| AIRWAY ORAL |
8.00 |
| AIRWAY XCH CATH 14FR |
187.14 |
| AIRX CATH 14FRX83CM |
616.00 |
| AL OH MG OH 30ML |
7.70 |
| ALA |
129.00 |
| ALB/IPRAT 3MG/.5MG |
6.90 |
| ALB/IPRATR 14.7G AER |
1095.10 |
| ALBENDAZOLE 200MG T |
1284.20 |
| ALBUMIN 25% 50 ML |
496.10 |
| ALBUMIN 5% 50ML |
295.35 |
| ALBUMIN OTHER SOURCE |
23.00 |
| ALBUMIN, SERUM |
135.00 |
| ALBUT 2.5MG/.5NEB |
5.20 |
| ALBUT 1MG N 1.25MG/3 |
18.35 |
| ALBUT 2.5MG/3NEB |
3.80 |
| ALBUTEROL 17GM INH |
223.20 |
| ALBUTEROL 2/5 5ML |
7.40 |
| ALBUTEROL 2MG T |
177.00 |
| ALBUTEROL 4MG SRT |
26.75 |
| ALBUTEROL 8GM INH |
505.55 |
| ALC SEP STER 70% 16Z |
22.00 |
| ALCOHOL, BLOOD |
221.00 |
| ALCOHOL, BREATH |
101.00 |
| ALDOLASE |
90.00 |
| ALDOSTERONE |
377.00 |
| ALDOSTERONE 24H UR |
225.00 |
| ALENDRONATE 10MG T |
33.70 |
| ALEXIS O WND PRO/MED |
160.00 |
| ALEXIS O WND PRO/XLG |
308.00 |
| ALFENT 500MCG/ML J 5 |
190.10 |
| ALK/PHOS ISOENZYMES |
321.00 |
| ALKALINE PHOSPHATASE |
160.00 |
| ALLERGEN IGE EA |
364.00 |
| ALLERGEN PF FD&SFISH |
21.30 |
| ALLERGEN PF-FD&MILK |
38.00 |
| ALLERGEN PFILE BFOOD |
9.00 |
| ALLERGENS PED 0-3 YR |
21.30 |
| ALLERGENS ZONE 4 |
31.00 |
| ALLERGENS ZONE 5 |
25.00 |
| ALLIANCE 2 SYRINGE |
87.60 |
| ALLIGATOR TRAY |
68.00 |
| ALLOPUR 100 MG T |
4.25 |
| ALPHA 2-MACROGLOBULI |
55.56 |
| ALPHA PVP QT URINE |
240.99 |
| ALPHA-1-ANTITRYP TOT |
121.00 |
| ALPHA-FETOPROT SER |
274.00 |
| ALPHA-FETOPROTN AMNI |
203.00 |
| ALPRAZOL 0.25MG T |
7.25 |
| ALPROST PED 500MCG J |
686.45 |
| ALT/SGPT |
184.00 |
| ALTEPLAS R 1MG J 100 |
399.18 |
| ALTEPLASE R 1MG J 2 |
405.00 |
| ALTEPLASE R 1MG J 50 |
399.19 |
| ALTEPLASE RECOM 1MG |
104.00 |
| ALUM OH GEL 30ML |
4.05 |
| ALUMNUM |
295.00 |
| AMANTAD 100MG C |
23.20 |
| AMIKACIN |
213.00 |
| AMIKACIN 100MG J 1G |
29.63 |
| AMIKACIN PEAK |
83.37 |
| AMINO ACIDS 6> QUAN |
1043.00 |
| AMINO ACIDS QN EACH |
182.00 |
| AMINOCAP AC 250MG J |
99.25 |
| AMINOCAP AC 500MG T |
21.85 |
| AMINOPHY 250/10 J |
150.40 |
| AMIOD 30MG PFS 150MG |
21.77 |
| AMIODAR 30MG J 150MG |
5.54 |
| AMIODARONE |
171.00 |
| AMIODARONE 200MG T |
38.30 |
| AMITRIPT 10MG T |
3.80 |
| AMITRIPT 25MG T |
7.40 |
| AMITRIPTYLINE |
102.00 |
| AMLODIPINE 10MG T |
19.55 |
| AMLODIPINE 5MG T |
19.85 |
| AMMONIA |
213.00 |
| AMMONIA AR EA INH |
1.15 |
| AMNI HOOK |
2.00 |
| AMNIOFUSION |
806.00 |
| AMOX 125/5 5ML |
9.00 |
| AMOX 250/5 5ML |
3.80 |
| AMOX 250MG C |
3.80 |
| AMOX 500MG C |
4.40 |
| AMOX,KCLAV 200/5 50M |
22.85 |
| AMOX,KCLAV 500T |
43.60 |
| AMOX/KCLAV 875MG T |
58.25 |
| AMPHETAMNES QUANT |
192.00 |
| AMPHOTER B 50MG J |
358.60 |
| AMPICIL 250MG C |
3.80 |
| AMPICILLIN 125MG J |
14.20 |
| AMPICILLIN 250MG J |
85.50 |
| AMPICILLIN 500MG C |
7.40 |
| AMPICILLIN 500MG J |
48.25 |
| AMPICILLIN 500MG J1G |
49.85 |
| AMPICILLIN 500MG J2G |
40.11 |
| AMPL PROBE TECH NOS |
121.77 |
| AMYL NITRATE 0.3ML H |
3.80 |
| AMYLASE |
102.00 |
| AMYLASE ISOENZYMES |
203.00 |
| ANA |
149.00 |
| ANA TITER |
215.00 |
| ANAEROBIC ID/SUSCEPT |
45.00 |
| ANAGRELIDE 0.5MG C |
112.50 |
| ANCA |
242.00 |
| ANDROSTENDIONE |
393.00 |
| ANES 1ST 15MIN |
444.00 |
| ANES EA ADD 15MIN |
178.00 |
| ANES EPIDURAL |
317.00 |
| ANESTHESIA |
315.00 |
| ANGIO AV SHUNT |
618.00 |
| ANGIO BRACHIAL RETRO |
7171.47 |
| ANGIO CAROT CERE BIL |
11921.88 |
| ANGIO CAROT CERE UNI |
11921.88 |
| ANGIO EXT BIL |
3088.00 |
| ANGIO EXT UNIL |
7171.47 |
| ANGIO INTERNAL MAMMA |
7171.47 |
| ANGIO PULMONARY |
1783.00 |
| ANGIO PULMONARY BIL |
7171.47 |
| ANGIO PULMONARY UNI |
7171.47 |
| ANGIO RENAL BIL |
7171.47 |
| ANGIO RENAL UNI |
7171.47 |
| ANGIO VISCERAL |
11921.88 |
| ANGIOTNSIN I CONVRT |
156.00 |
| ANKLE 2 VIEWS |
174.00 |
| ANKLE 2 VIEWS |
174.00 |
| ANKLE BILAT MIN 6V |
345.00 |
| ANKLE BILAT MIN 6V |
345.00 |
| ANKLE BILAT MIN 6V |
434.00 |
| ANKLE BILAT MIN 6V |
434.00 |
| ANKLE COMPLETE |
212.00 |
| ANKLE COMPLETE |
212.00 |
| ANKLE LEFT 2V |
172.50 |
| ANKLE LEFT MIN 3V |
172.50 |
| ANKLE LEFT MIN 3V |
172.50 |
| ANKLE LT MIN 3V |
172.50 |
| ANKLE LT MIN 3V |
172.50 |
| ANKLE RIGHT 2V |
172.50 |
| ANKLE RIGHT 2V |
172.50 |
| ANKLE RIGHT MIN 3V |
172.50 |
| ANKLE RIGHT MIN 3V |
172.50 |
| ANOSCOPE, LIGHTED |
28.89 |
| ANOSCOPY |
3695.00 |
| ANSTA FLEXTIP |
59.40 |
| ANTI SAC CER AB |
316.00 |
| ANTI-CCP |
195.00 |
| ANTIFUNGAL SUSCEPT |
134.00 |
| ANTI-HU |
176.00 |
| ANTIPARIETAL CELL AB |
52.00 |
| ANTITHROMBIN III ACT |
270.00 |
| ANTIVENIN CROT 1GJ1V |
14506.10 |
| ANUSOL HC SUPP |
145.35 |
| ANUSOL OINT 30GM |
10.00 |
| ANUSOL SUPP |
.50 |
| AORTA THOR W SER |
11921.88 |
| AORTA THORAC WO SER |
7171.47 |
| AORTO ABD LOW EXT |
3088.00 |
| AORTOGRAM ABDOMNAL |
3241.00 |
| APAP/CAFF/BUT T |
17.20 |
| APAP/ISO/D C |
8.20 |
| APIXABAN 2.5MG T |
108.60 |
| APOLIPOPROTEIN |
57.90 |
| APP CAST CYLINDER |
229.00 |
| APP CAST LEG RIGID |
395.00 |
| APP CAST LONG ARM |
670.62 |
| APP CAST LONG LEG |
272.00 |
| APP CAST SHORT ARM |
670.62 |
| APP CAST SHORT LEG |
670.62 |
| APP GAUNTLET |
152.00 |
| APP SPL FINGER DYN |
106.00 |
| APP SPL FINGER ST |
73.00 |
| APP SPL LONG ARM |
151.00 |
| APP SPL LONG LEG |
140.00 |
| APP SPL SHRT ARM DYN |
129.00 |
| APP SPL SHRT ARM ST |
107.00 |
| APP SPL SHRT LG |
133.00 |
| APPAREL KIT |
152.00 |
| AQUAPHOR OINT 1OZ |
2.60 |
| AQUATIC THER/15 MIN |
70.00 |
| ARGA 1MG ESRD 250 J |
9.25 |
| ARGA 1MG NESRD 250 J |
9.07 |
| ARGATR 1MG ESRD PMJ |
14.42 |
| ARGATR 1MG NESRD PMJ |
14.42 |
| ARISTA POWDER 3G |
630.60 |
| ARSENIC BLOOD |
77.52 |
| ARTERIAL CATH |
226.00 |
| ARTERIAL LINE TRAY |
170.79 |
| ARTERIAL PUNCTURE |
326.34 |
| ASA 325MG ECT |
.25 |
| ASA 325MG T |
.25 |
| ASA 81MG EC T |
.25 |
| ASA BABY 81MG T |
.25 |
| ASA SUPP 300MG |
3.10 |
| ASC AC 500MG T |
.25 |
| ASCORBIC ACID |
187.00 |
| ASCORBIC ACID 50 J |
478.85 |
| ASH CATH 14.5FR X 19 |
898.80 |
| ASH CATH INSERTION |
4200.00 |
| ASH INS EGD 2 PEG |
13725.00 |
| ASO SCREEN |
121.00 |
| ASO TITER |
145.00 |
| ASP OF GANGLION CYST |
480.00 |
| ASPER GALAG TO MANNA |
163.00 |
| ASPIRAT MECONIUM NAS |
349.00 |
| ASPIRATOR MECONIUM |
17.00 |
| ASSESSMENT APHASIA |
210.00 |
| AST/SGOT |
184.00 |
| ATENOLOL 50MG T |
10.25 |
| ATHRCTMY CORO W/WO A |
29573.70 |
| ATHRCTMY CORONARY EA |
7227.00 |
| ATORVASTAT 10MG T |
4.15 |
| ATORVASTATIN 20MG T |
6.00 |
| ATORVASTATIN 80MG T |
22.40 |
| ATOVAQUONE 750/5 SUS |
300.35 |
| ATRACUR 10MG J |
21.93 |
| ATROP .05MG EMS 1MG |
5.44 |
| ATROP OS 1% 5ML |
205.95 |
| ATROPINE.05MGJ1MG/ML |
7.30 |
| ATROVENT UD .02% |
3.80 |
| AUGMENTATION |
289.00 |
| AURAL REHAB |
325.00 |
| AURALGAN 5.4-1.4% |
99.25 |
| AUTOABSORPTION |
112.00 |
| AVITENE 1GM POW |
1005.50 |
| AZITHRO 200MG/5ML 5M |
67.05 |
| AZITHROM 1% OS2.5ML |
1091.25 |
| AZITHROMY 250MG C |
85.30 |
| AZITHROMYCIN 500MG J |
194.05 |
| AZITHROMYCIN 600MG T |
188.10 |
| AZTREONAM 1GM J |
298.50 |
| AZTREONAM 2GM J |
506.15 |
| B NATRIURETIC PEPTID |
316.00 |
| B PERTUSSIS AB |
221.00 |
| B2 GLYCOPROT I AB EA |
182.00 |
| BACITRAC OINT 30GM |
11.40 |
| BACITRACIN 0.9GM PKT |
3.80 |
| BACITRACIN 50,000UJ |
90.00 |
| BACLOFEN 10MG T |
8.40 |
| BAG 2L LATEX FREE |
7.00 |
| BAG BILE |
32.00 |
| BAG DECANTER OR |
8.00 |
| BAG ENEMA |
3.00 |
| BAG FEEDING |
11.00 |
| BAG LEG |
6.35 |
| BAG MOTHERS MILK FRZ |
25.10 |
| BAG PRESSURE INFUS |
38.00 |
| BAG REPLACE DIGNI SH |
10.32 |
| BAG URINARY DRAIN |
35.00 |
| BAG URINE LV |
68.00 |
| BALLOON CERV 18 F |
150.99 |
| BANDAGE ELASTIC NS |
3.00 |
| BANDAGE ESMARK 4" |
9.00 |
| BANDAGE ESMARK 6" |
10.00 |
| BARD POWERPORT DUO |
1070.00 |
| BARD POWERPORT SINGL |
1185.00 |
| BARIUM ENEMA |
461.04 |
| BARIUM ENEMA |
461.04 |
| BARTONELLA AB PROF |
56.31 |
| BARTONELLA DNA PCR |
236.00 |
| BASIC METABOLIC PANE |
336.00 |
| BASKET STONE EXTRACT |
438.00 |
| BATH DEODORANT |
8.85 |
| BE THERAPEUTIC |
561.00 |
| BE THERAPEUTIC |
561.00 |
| BE WITH AIR CONTRAST |
689.00 |
| BE WITH AIR CONTRAST |
689.00 |
| BECLOMET 6.7G AER |
311.10 |
| BECLOMET AQ DS 84MCG |
288.55 |
| BECLOMETH 42MCG AER |
154.75 |
| BECLOMETH AQ 25G INH |
318.40 |
| BELT/PANTY MATERNITY |
20.00 |
| BENAZEPRIL 10MG T |
8.35 |
| BENZION SWAB |
397.65 |
| BENZO 20% SPR APP |
113.45 |
| BENZO LIQ 20% 30ML |
105.85 |
| BENZOCAINE GEL 7.5% |
6.90 |
| BENZODIAZEPINES |
222.00 |
| BENZOIN CT TSPR 30G |
64.95 |
| BENZON 100MG SRC |
11.40 |
| BENZTROPINE 1MG J2MG |
185.05 |
| BENZTROPINE MES 1MG |
4.60 |
| BETA 2 PROTEIN |
168.00 |
| BETA D GLUCAGON |
285.00 |
| BETA-2 TRANSFERRIN |
177.00 |
| BETAMETH SS 3MGJ15MG |
38.94 |
| BETHANECHOL 25MG T |
30.70 |
| BICALUTAMIDE 50MG T |
203.55 |
| BI-CAP COAGULATION |
4858.00 |
| BICITRA 500MG/334MG |
20.90 |
| BILE ACIDS TOTAL |
63.93 |
| BILIRUBIN DIRECT |
108.00 |
| BILIRUBIN TOTAL |
108.00 |
| BINDER ABDOMINAL |
35.00 |
| BIOFEEDBACK |
156.00 |
| BIOFEEDBACK W/EMG |
240.00 |
| BIOPSY ASAP SYSTEM |
239.00 |
| BIPAP INITIAL DAY |
1278.00 |
| BIPAP SUBSEQUENT DAY |
1278.00 |
| BISACODYL 5MG T |
.25 |
| BISACODYL SUPP 10MG |
.40 |
| BISMUTH 4 OZ |
1.20 |
| BISOPRO,HCTZ 5/6.25 |
41.20 |
| BITE STICK |
6.00 |
| BITOLTER AER 0.8 15M |
145.45 |
| BLAD EDGE INSUL COAT |
27.00 |
| BLAD OSCIL SAW L19.0 |
92.00 |
| BLAD OSCIL SAW LG 32 |
92.00 |
| BLAD OSCIL SAW LG 51 |
92.00 |
| BLAD RADNOID |
300.00 |
| BLADDER CATH INSERT |
179.00 |
| BLADDER SCAN |
162.90 |
| BLADDER SCAN |
162.90 |
| BLADDER SCAN |
162.90 |
| BLADDER SCAN |
162.90 |
| BLADDER SCAN |
162.90 |
| BLADDER SCAN |
162.90 |
| BLADE CLIPPER |
9.00 |
| BLADE ELECTRODE |
22.00 |
| BLADE FULL RAD 4.5 |
294.00 |
| BLADE MAC SIZE 4 DIS |
11.73 |
| BLADE MILLER SIZE 2 |
11.73 |
| BLADE SAG SAW DUAL |
478.00 |
| BLADE SAW |
116.00 |
| BLADE SAW 75X13X1.27 |
148.86 |
| BLADE SAW 75X13X1.27 |
148.86 |
| BLADE SAW 75X18X1.27 |
148.86 |
| BLADE SAW 90X13X1.27 |
148.86 |
| BLADE SAW 90X18X1.27 |
148.86 |
| BLADE SIZE 3 |
11.73 |
| BLADE TURB WISK 4.5 |
290.00 |
| BLADES GLIDESCOPE |
59.00 |
| BLANKET CARDIAC LOWR |
28.00 |
| BLANKET HYPO/HYPER A |
16.00 |
| BLANKET INFANT DISP |
31.00 |
| BLANKET LOWER EXT |
36.00 |
| BLANKET MAXI ADULT |
79.14 |
| BLANKET MAXI-THERM |
135.00 |
| BLANKET UPPER |
44.85 |
| BLD BNK PHY SVC I/R |
327.00 |
| BLD WBC-RD |
581.41 |
| BLD WBC-RD CMV NEG |
439.00 |
| BLD WBC-RD FRZ/WASH |
503.00 |
| BLD WBC-RD IRRAD |
551.00 |
| BLD WHOLE |
189.00 |
| BLEEDING TIME |
176.00 |
| BLOOD FATTY ACIDS |
140.00 |
| BLOOD GASES |
400.00 |
| BLOOD PH |
110.00 |
| BODY BAG |
14.00 |
| BODY FLUID CELL CT W |
348.00 |
| BONE AGE STUDY |
174.00 |
| BONE AGE STUDY |
174.00 |
| BONE DENSITY |
406.00 |
| BONE DENSITY |
406.00 |
| BONE DENSITY FOREARM |
271.00 |
| BONE DENSITY FOREARM |
271.00 |
| BONE LENGTH STUDY |
226.00 |
| BONE LENGTH STUDY |
226.00 |
| BONE MARROW SMEAR |
728.82 |
| BONE SURVEY COMP |
1024.00 |
| BONE SURVEY COMP |
1024.00 |
| BONE SURVEY INFANT |
739.00 |
| BONE SURVEY INFANT |
739.00 |
| BONE SURVEY LTD METS |
739.00 |
| BONE SURVEY LTD METS |
739.00 |
| BOOT CRADLE |
51.00 |
| BOTTLE TRANSFER DEVI |
31.00 |
| BOWEL RESECTION |
154.49 |
| BR GRN,PROFL,GENV AP |
72.70 |
| BRACK DISINFECT WIPE |
51.00 |
| BRIDGE CVP MEDEX |
15.00 |
| BRIEF ADULT |
20.00 |
| BRITE PRO SOLO HANDL |
20.79 |
| BRITEPRO SOLO STUBBY |
20.79 |
| BRONCH THRU TRACH L2 |
1941.00 |
| BRONCH W BX L1 |
3165.00 |
| BRONCH W FB REM L2 |
3165.00 |
| BRONCH W LAVAGE L2 |
3165.00 |
| BRONCH W/ TRANSB ASP |
6768.00 |
| BRONCH W/BIOPSY |
4129.00 |
| BRONCH W/LAV |
4673.00 |
| BRONCH W/W/O WASH |
3165.00 |
| BRONCHO W BRUSH L 1 |
3165.00 |
| BRONCHOSCOPY |
4450.00 |
| BRONCHOSCOPY WITH LA |
154.49 |
| BRONCHOSCOPY WITH LA |
154.49 |
| BRONCHW/TRNBR LUNGBX |
10373.00 |
| BROS HINK KIT WHITE |
315.00 |
| BROSE PED EMER TAPE |
50.00 |
| BROSL HINK KIT BLUE |
315.00 |
| BRUSH CYTOLOGY |
59.00 |
| B-T CATH BALLON |
232.00 |
| BUDESON .5MG/2 RSP |
112.50 |
| BULB + BLADDER DISP |
80.13 |
| BULB WELCH ALL#08800 |
51.00 |
| BULB WELCH ALLYN |
365.00 |
| BUMETANIDE 1MG T |
12.55 |
| BUMETANIDE 2.5MG J |
43.60 |
| BUN |
144.00 |
| BUPIV .5% 50ML J |
32.90 |
| BUPIV 0.25% 30ML |
58.85 |
| BUPIV 0.5% 10ML |
36.00 |
| BUPIV 0.5% 30ML |
40.85 |
| BUPIV,EPI 0.5% 10ML |
32.75 |
| BUPIV,EPI 0.5% 30ML |
33.45 |
| BUPIV/DEX 0.75% 2ML |
32.10 |
| BUPIV/EPI 0.25% 30ML |
101.40 |
| BUPROPION 100MG T |
12.25 |
| BUR FIN DIAM 3MM LON |
268.00 |
| BUR SSRND 1MM 75MM |
250.00 |
| BUR ULTRA 3MM LONG |
307.00 |
| BUR ULTRA 6M MED |
724.00 |
| BURR EGG |
181.00 |
| BURR ROUND MED |
99.00 |
| BUSPIRONE 10MG TAB |
13.70 |
| BUSPIRONE 5MG T |
8.90 |
| BUTOCONAZ 2% CR 20GM |
26.25 |
| BUTORPHANOL 1MG J |
60.35 |
| BX EA ADDL LESION |
185.00 |
| BX SKIN LESION |
379.00 |
| BX SKIN LESION |
379.00 |
| BX THYROID PERCU |
768.00 |
| BX THYROID PERCU |
1451.98 |
| C DIFF AB NEUTRAL |
225.00 |
| C1 ESTERASE FUNCTION |
137.00 |
| C1Q IMMUNE COMPLEX |
748.00 |
| CA 125 |
174.00 |
| CA 15-3 |
151.00 |
| CA 19-9 |
172.00 |
| CA 27-29 |
207.00 |
| CAB 02 EAG 4000 12' |
295.00 |
| CAB MULT 12 ECG ER |
221.00 |
| CAD DIAGNASTIC |
21.00 |
| CAD DIAGNASTIC |
21.00 |
| CAD SCREEN |
21.00 |
| CAD SCREEN |
21.00 |
| CAFF/NA BENZ 500MG J |
222.50 |
| CAL CARB VIT D 600MG |
3.80 |
| CALAMINE LOT 120ML |
3.40 |
| CALC CARB 500MG CHEW |
.25 |
| CALCANEUS (HEEL) |
174.00 |
| CALCANEUS (HEEL) |
174.00 |
| CALCANEUS BILAT MIN4 |
348.00 |
| CALCANEUS BILAT MIN4 |
348.00 |
| CALCIFEROL (VITAMN D |
362.00 |
| CALCITON 400U J |
9014.70 |
| CALCITONIN |
235.00 |
| CALCITRIOL 0.25MCG C |
13.85 |
| CALCITRIOL VITD 1,25 |
174.00 |
| CALCIUM |
123.00 |
| CALCIUM ACE 667MG T |
9.00 |
| CALCIUM CARB 500MG T |
.25 |
| CALCIUM CL 1G/10 EMS |
108.85 |
| CALCIUM GLUC 1GM J |
97.15 |
| CALCIUM IONIZED |
205.00 |
| CALCIUM UA QUANT |
123.00 |
| CALCTRI.1MCG J 1MCG |
8.29 |
| CALCULUS QUAL |
143.00 |
| CALCULUS QUANT |
285.00 |
| CALFACTANT 6ML INH |
3442.20 |
| CANDESART 4MG T |
38.10 |
| CANDIDA ALBICANS AG |
221.00 |
| CANDIDA SK TS 0.1ML |
238.15 |
| CANISTER ON/OFF VAL |
64.00 |
| CANNABINOID SYN URIN |
240.00 |
| CANNABINOIDS |
332.00 |
| CANNISTER SUCTION LR |
6.95 |
| CANNISTER SUCTION ME |
6.00 |
| CANNISTER VAC |
169.00 |
| CANNULA ADULT 7FT 02 |
6.96 |
| CANNULA INNER SHILEY |
10.45 |
| CANNULA LEVER LOCK |
1.00 |
| CANNULA NALS COZ SAM |
3.48 |
| CAP MINI DIALYSIS PO |
55.80 |
| CAPIO SLIM OPEN ACCE |
1278.00 |
| CAPSAI 0.025% CR 60G |
21.25 |
| CAPSAICIN 0.075% 60G |
237.70 |
| CAPTOPRIL 12.5MG T |
10.10 |
| CAPTOPRIL 25MG T |
10.90 |
| CAPTOPRIL 50MG T |
18.70 |
| CAR REHAB OP SESSION |
271.86 |
| CARB,LEVO 25/100 T |
9.10 |
| CARBAMAZEPINE TOT |
188.00 |
| CARBAMIDE PEROX 6.5% |
3.70 |
| CARBAMZ 100MG T |
7.50 |
| CARBAMZ OS 100/5 30 |
9.55 |
| CARBON DIOXIDE |
135.00 |
| CARBON MONOXIDE QN |
104.00 |
| CARBON MONOXIDE QUAN |
100.00 |
| CARBOPROST 250MG J |
1607.70 |
| CARDEC S 4/60/5ML |
7.05 |
| CARDIAC HISTORY |
368.00 |
| CARDIAC OUTPUT SUBSE |
53.00 |
| CARDIOVERSION |
1345.75 |
| CARDIOVERSION |
1364.00 |
| CARDIOVERSION |
1364.00 |
| CARISOP,ASA,COD T |
369.45 |
| CARNITINE/TOTAL&FREE |
188.00 |
| CAROTENE |
68.00 |
| CARVEDILOL 3.125MG T |
24.60 |
| CARVEDILOL 6.25MG T |
24.60 |
| CASCARA 5ML |
.25 |
| CAST APP FOREARM |
336.00 |
| CAST APP SHORT LEG |
349.00 |
| CAST APP SHORT LEG W |
376.00 |
| CAST RMV/RP BOOT/BOD |
241.00 |
| CAST RMV/RP FULL ARM |
269.00 |
| CAST WINDOWING |
266.00 |
| CASTOR OIL 120ML |
65.95 |
| CATECHOLAMINES 24H U |
140.00 |
| CATECHOLAMINES FRACT |
326.00 |
| CATECHOLAMNES TOTAL |
225.00 |
| CATH ARTERY RADIAL |
43.00 |
| CATH BALLOON DILATOR |
597.00 |
| CATH BRON LEFT 28FR |
202.00 |
| CATH BRON LEFT 32FR |
202.00 |
| CATH BRON LEFT 35FR |
202.00 |
| CATH BRON LEFT 37FR |
202.00 |
| CATH BRON LEFT 39FR |
202.00 |
| CATH BRON RIGHT 35FR |
237.00 |
| CATH BRON RIGHT 37FR |
238.00 |
| CATH BRON RIGHT 39FR |
233.00 |
| CATH BRONCH LT 41F |
123.12 |
| CATH CHOLANGIOGRAM |
85.00 |
| CATH COMP BY MD |
681.00 |
| CATH EMBOLECTOMY |
131.00 |
| CATH ERCP BALL 3 LUM |
525.00 |
| CATH ERCP COMBO |
1110.00 |
| CATH EXTERNAL MALE |
6.00 |
| CATH FEMALE QUICK |
6.30 |
| CATH FOLEY |
5.00 |
| CATH FOLEY 2-WAY 30C |
16.00 |
| CATH FOLEY 2-WAY 5CC |
27.00 |
| CATH FOLEY 3-WAY 30C |
16.00 |
| CATH FOLEY 3-WAY 5CC |
36.00 |
| CATH FOLEY COUDE |
32.10 |
| CATH GROSHONG DUAL |
345.00 |
| CATH GROSHONG SIMPLE |
405.00 |
| CATH HICKMAN DUAL |
507.00 |
| CATH INFUS-A-PORT |
762.00 |
| CATH INSERT NSG |
391.00 |
| CATH IV |
6.60 |
| CATH IV TWIN |
37.00 |
| CATH L/R PULM ART |
619.00 |
| CATH LT HT BY CUTDOW |
2260.00 |
| CATH LT HT BY LV PUN |
3826.00 |
| CATH MALECOT MUSH |
40.00 |
| CATH NASAL POST |
88.00 |
| CATH NEX DIFF 229 |
18.36 |
| CATH NEX DIFF 189 |
18.36 |
| CATH NEX DIFF 209 |
18.36 |
| CATH PLUG |
2.00 |
| CATH QUINT DUAL LUME |
328.00 |
| CATH RED RUBBER |
14.00 |
| CATH RT & LT |
6488.00 |
| CATH SECURE STRAP |
11.95 |
| CATH SIMPL 22FR 3WAY |
43.00 |
| CATH SUCT DELEE |
5.00 |
| CATH SUCT MUCUS TRAP |
4.00 |
| CATH SUCTION |
2.05 |
| CATH SUPRA PUBIC |
150.00 |
| CATH SUPRAPUB 16FR |
187.47 |
| CATH SWAN GANZ |
74.00 |
| CATH SWAN GANZ THERM |
195.70 |
| CATH SWAN GANZ VIP |
352.30 |
| CATH SWAN V-PACING |
391.40 |
| CATH TESSIO DIALYSIS |
157.00 |
| CATH THORACIC |
22.00 |
| CATH TROCAR |
68.00 |
| CATH UMBILICAL |
76.00 |
| CATH URETERAL CONE |
40.00 |
| CATH URETERAL DISP |
38.00 |
| CATH URETERAL WHISTL |
27.00 |
| CATH URETHRAL |
1.35 |
| CATH, BRONCHO LT 41F |
123.12 |
| CATH, BRONCHO RT 41F |
144.48 |
| CATH, BRONCHO RT 41F |
144.48 |
| CATHETER NEX DIF 249 |
18.36 |
| CAUT HITEMP HANDLE |
114.00 |
| CAUTERY DISP |
32.00 |
| CAVILOW SKIN PROTECT |
23.73 |
| CBC AUTO W/PLT WO/DF |
151.00 |
| CBC W/AUTO DIFF |
178.00 |
| CD 4 |
252.00 |
| CD4 & CD8 COUNT W/RA |
400.00 |
| CDS C-SECTION BOX |
289.00 |
| CEA |
192.00 |
| CEFACLOR 250/5 5ML |
19.10 |
| CEFACLOR 250MG C |
21.35 |
| CEFADROXIL 250/5 5ML |
35.10 |
| CEFAZOL 500MG JPM 1G |
36.40 |
| CEFAZOLIN 500MG J 1G |
11.43 |
| CEFEPIME 500MG J 1G |
39.48 |
| CEFEPIME 500MG J 2G |
14.82 |
| CEFOTAXIME 1G J 2G |
65.53 |
| CEFOTAXIME 1GM J |
30.45 |
| CEFOTAXIME 500MG J |
20.75 |
| CEFOTETAN 1GM J |
116.95 |
| CEFOXITIN 1G J 2G |
77.10 |
| CEFOXITIN 1GM J |
120.35 |
| CEFPODOX 100/5 S 5ML |
99.35 |
| CEFPODOXIME 200MG T |
97.50 |
| CEFPRO 250MG/5ML 5ML |
45.00 |
| CEFTAROLI 10MG J 400 |
26.69 |
| CEFTAROLI 10MG J 600 |
17.79 |
| CEFTAZIDI 500MG J 1G |
29.08 |
| CEFTAZIDI 500MG J 2G |
28.45 |
| CEFTRIAXO 250MG J 1G |
83.91 |
| CEFTRIAXO 250MG J 2G |
4.93 |
| CEFTRIAXONE 250MG J |
10.40 |
| CEFUROX 125MG/5ML 5M |
100.50 |
| CEFUROX 750MG J 1.5G |
40.45 |
| CEFUROX AX 25O T |
50.65 |
| CELEBREX 100MG CAP |
21.00 |
| CELECOXIB 100MG C |
50.30 |
| CELIAC DIS HLA TYPE |
412.50 |
| CELIAC DZ-HLA TYPING |
412.50 |
| CENTRUM T |
.25 |
| CEPACOL |
1.25 |
| CEPACOL LOZ EACH |
.40 |
| CEPASTAT LOZ EACH |
.35 |
| CEPHALEX 125/5 100ML |
13.60 |
| CEPHALEX 250MG C |
7.95 |
| CEPHALEX 500MG C |
9.90 |
| CER SPN AP/LAT 2/3V |
190.00 |
| CER SPN AP/LAT 2/3V |
190.00 |
| CERULOPLASMN |
84.00 |
| CERV COMP W/FLEX-EXT |
414.00 |
| CERV COMP W/FLEX-EXT |
414.00 |
| CERV FLX/EXT 2 OR 3V |
191.00 |
| CERV FLX/EXT 2 OR 3V |
191.00 |
| CERV FLX/EXT 2 OR 3V |
285.66 |
| CERV FLX/EXT 2 OR 3V |
285.66 |
| CERV SPIN COMPLETE |
378.00 |
| CERV SPIN COMPLETE |
378.00 |
| CERVICAL MYELOGRAM |
718.00 |
| CERVICAL MYELOGRAM |
718.00 |
| CERVICAL MYELOGRAM W |
1366.11 |
| CETACAINE SPRAY 56GM |
894.00 |
| CHAIR ER EXECUT BLAC |
189.00 |
| CHANGE GASTROSTOMY T |
433.00 |
| CHARC ACT AQ 25GM |
261.85 |
| CHARCOAL W/SORB 25GM |
168.35 |
| CHARGE AMINOFUSION |
2022.90 |
| CHARGE AMNIOCENTESIS |
806.00 |
| CHARGE EPIDURAL |
289.00 |
| CHARGE EPIDURAL INI |
317.00 |
| CHARGE FETAL NST/ |
181.00 |
| CHARGE MAG SULFATE |
32.00 |
| CHARGE MECONIUM |
289.00 |
| CHEST 1 VIEW |
247.00 |
| CHEST 1 VIEW |
247.00 |
| CHEST 2 V W/LORDOTIC |
217.00 |
| CHEST 2 V W/LORDOTIC |
217.00 |
| CHEST 2 V W/OBLIQUES |
217.00 |
| CHEST 2 V W/OBLIQUES |
217.00 |
| CHEST 2 VIEW |
247.00 |
| CHEST 2 VIEW |
247.00 |
| CHEST COMP W/ FLUORO |
252.00 |
| CHEST COMP W/ FLUORO |
252.00 |
| CHEST DECUBITUS BIL |
235.00 |
| CHEST DECUBITUS BIL |
235.00 |
| CHG GASTRO TUBE |
5446.00 |
| CHLAMYDIA NAA |
121.65 |
| CHLAMYDIA PNEU DNA |
121.77 |
| CHLAMYDIA PNEUM PCR |
291.00 |
| CHLAMYDIA PROBE |
223.00 |
| CHLAMYDIA URINE PCR |
291.00 |
| CHLOR 26ML APPLICAT |
366.00 |
| CHLORAMPHENICOL |
203.00 |
| CHLORASEPTIC LOZE |
.30 |
| CHLORASEPTIC SPRAY |
5.45 |
| CHLORDIAZ 10MG C |
7.15 |
| CHLORDIAZ 25MG C |
7.60 |
| CHLORHEX GLUC 0.12% |
3.80 |
| CHLORIDE BLOOD |
129.00 |
| CHLORPROM 25MGT |
70.85 |
| CHLORPROM 50MG J |
436.75 |
| CHOLANG CATH 5FR |
148.50 |
| CHOLANGIO INTRAOP AD |
137.00 |
| CHOLANGIO INTRAOP AD |
137.00 |
| CHOLANGIO OR |
521.00 |
| CHOLANGIO OR |
521.00 |
| CHOLANGIO THRU CATH |
8696.94 |
| CHOLANGIO THRU CATH |
8696.94 |
| CHOLECYSTOGRAM |
341.00 |
| CHOLECYSTOGRAM |
341.00 |
| CHOLECYSTOGRAM REPEA |
341.00 |
| CHOLECYSTOGRAM REPEA |
341.00 |
| CHOLESTEROL, SERUM |
219.00 |
| CHOLESTYRAM 4MG POW |
38.75 |
| CHOLINESTERASE SERUM |
149.00 |
| CHROM AMNIO 15C/C 1 |
1732.00 |
| CHROM TST 5 CL CT 1 |
1239.00 |
| CHROMATOGRAPHY PAPER |
157.00 |
| CHROMIUM |
178.00 |
| CHROMIUM PER DOSE |
206.75 |
| CHROMOGRANIN A |
84.00 |
| CHROMOTOGRAPHY QUAL |
143.00 |
| CHROMSM 15-20C CT 2 |
1634.00 |
| CHYLOMICRONS |
207.00 |
| CILOSTAZOL 100MG T |
21.00 |
| CINACALCET 30MG T NO |
284.55 |
| CINALCALCET 1MG T 30 |
5.74 |
| CINE W/EXAM |
197.00 |
| CINE W/EXAM |
197.00 |
| CINERADIOGRAPHY |
279.00 |
| CINERADIOGRAPHY |
279.00 |
| CIPROFLOX 500MG T |
58.85 |
| CIRCUIT ANES BREATH |
12.70 |
| CIRCUMCISION |
4996.44 |
| CIT AC,SOD CIT 30ML |
20.65 |
| CITRATE |
350.00 |
| CKMB |
285.00 |
| CL TX HIP DISL WO AN |
2348.00 |
| CLAMP BAG |
107.85 |
| CLAMP CORD UMB |
2.00 |
| CLARIFY VISUAL SYS |
107.37 |
| CLARITH 250/5 100ML |
107.95 |
| CLARITHRO 500MGT |
52.15 |
| CLAVICAL BILAT |
345.00 |
| CLAVICAL LT |
172.50 |
| CLAVICLE |
190.00 |
| CLAVICLE |
190.00 |
| CLAVICLE BILATERAL |
345.00 |
| CLAVICLE LT |
172.50 |
| CLAVICLE LT |
172.50 |
| CLAVICLE RT |
172.50 |
| CLAVICLE RT |
172.50 |
| CLEANER SKIN HIBICLE |
53.00 |
| CLEARLINK EXTENSION |
13.56 |
| CLEVIPREX |
553.05 |
| CLIN SWALLOW EVAL |
175.00 |
| CLINDAMY 150MG C |
13.25 |
| CLINDAMY 600MG/4 INJ |
40.15 |
| CLIP APPLIER |
376.00 |
| CLIP APPLIER ENDO |
913.00 |
| CLIP ENDO MULTI 10MM |
255.00 |
| CLIP ENDOCLIP |
648.90 |
| CLIP FILSHIE |
177.00 |
| CLIP SURGICLIP |
583.00 |
| CLONAZEPAM 1MG T |
9.80 |
| CLONIDINE 0.1MG T |
3.80 |
| CLONIDINE 0.2MG T |
10.00 |
| CLONIDINE TTS-1 TDP |
292.40 |
| CLONIDINE TTS-2 TDP |
351.65 |
| CLONIDINE TTS-3 TDP |
487.85 |
| CLOPIDOGREL 75ML T |
80.30 |
| CLORAZEP 3.75MG T |
23.40 |
| CLOSURE DEVICE DISP |
27.36 |
| CLOTEST UREASE ACT |
129.00 |
| CLOTH CHLORHEXIDINE |
9.36 |
| CLOTH MEDI H SOFT |
198.00 |
| CLOTRIM CR 1% 15G |
11.95 |
| CLOTRIM, BETA CR 15G |
178.40 |
| CLOTRIMA BT 10MG |
16.40 |
| CLSD TX ACETAB FX W/ |
2427.00 |
| CLSD TX BIMALLE FX W |
1594.00 |
| CLSD TX CALCAN FX W/ |
1352.00 |
| CLSD TX CLAV FX W/O |
1027.00 |
| CLSD TX DIST FIBULAR |
1422.00 |
| CLSD TX DIST RAD FX |
2470.00 |
| CLSD TX ELB DIS W/O |
1908.00 |
| CLSD TX FEM FX W/O M |
2307.00 |
| CLSD TX FEM FX W/O M |
2751.00 |
| CLSD TX FINGER DIS |
1338.00 |
| CLSD TX HUMERUS FX W |
1445.00 |
| CLSD TX HUMERUS FX W |
1485.00 |
| CLSD TX INTCOND SP F |
2194.00 |
| CLSD TX INTTROCH FX |
2117.00 |
| CLSD TX MANDIB FX W/ |
2120.00 |
| CLSD TX MED MALLE FX |
1504.00 |
| CLSD TX METACARP DIS |
1490.00 |
| CLSD TX METACARP FX |
1050.00 |
| CLSD TX METARSAL FX |
1117.00 |
| CLSD TX NOSE FX W/O |
540.00 |
| CLSD TX ORBIT FX W/O |
811.00 |
| CLSD TX PATELLAR FX |
1444.00 |
| CLSD TX PELV RG FX/D |
2251.00 |
| CLSD TX PHALANG SHFT |
896.00 |
| CLSD TX PHALANG SHFT |
1549.00 |
| CLSD TX PROX FIB FX |
1378.00 |
| CLSD TX RAD HD SUBLU |
760.00 |
| CLSD TX RAD SHFT FX |
1155.00 |
| CLSD TX RAD/ULN FX W |
2401.00 |
| CLSD TX RAD/ULNA FX |
1152.00 |
| CLSD TX RIB FX |
549.00 |
| CLSD TX SHO W MANIP |
1869.00 |
| CLSD TX SKULL FX W/O |
585.00 |
| CLSD TX SPINE PROC F |
931.00 |
| CLSD TX STERNUM FX |
696.00 |
| CLSD TX TIBIA FX |
1538.00 |
| CLSD TX TOE FX |
614.00 |
| CLSD TX ULN/RAD HD D |
2431.00 |
| CLSD TX ULNAR SHAFT |
1086.00 |
| CLSD TX WRIST BONE F |
1229.00 |
| CMAC BLADE D BLADE |
42.09 |
| CMAC BLADE SZ 4 |
42.09 |
| CMAC PROT TUBE |
23.10 |
| CMAC SZ 3 |
42.09 |
| CMV DNA PCR |
457.00 |
| CNT LINE/PICC DRESS |
11.00 |
| CNTRST BATH/15 MIN |
54.00 |
| COCAINE QUANT |
235.00 |
| COCAINE TS 4% APP |
983.95 |
| COGNITIVE/15 MIN |
78.00 |
| COLCHICINE 0.6MG T |
77.65 |
| COLCHICINE 1AMP J |
76.70 |
| COLD AGGLUTININ SCRN |
145.00 |
| COLISTIMETHA 150MG J |
296.15 |
| COLISTIN |
317.00 |
| COLLAR CERVICAL |
11.00 |
| COLLAR PHILI |
35.00 |
| COLLODION PER USE |
238.15 |
| COLLOIDAL OATMEAL |
1.60 |
| COLON 1/EXLAP/COLOST |
17126.87 |
| COLON LV 1/CYST EXC |
2425.00 |
| COLON STOMA/TAKEDOWN |
2370.00 |
| COLON THROUGH STOMA |
2370.00 |
| COLON W BLD CNTRL L2 |
2370.00 |
| COLON W BLN DIL L2 |
2370.00 |
| COLON W BX LEVEL 1 |
2370.00 |
| COLON W BX NO STOMA |
2370.00 |
| COLON W DECOMP L2 |
2370.00 |
| COLON W FB REM L2 |
2370.00 |
| COLON W POLYP HOT ET |
2370.00 |
| COLON W TISS INJ L2 |
2370.00 |
| COLON W/ABLATION |
6288.00 |
| COLON W/BIOPSY |
5720.00 |
| COLON W/W/0 BRUSH |
2370.00 |
| COLONOSCOPY ADD PROC |
2246.34 |
| COLONOSCOPY LEVEL 1 |
2370.00 |
| COLONOSCOPY LEVEL 2 |
2370.00 |
| COLONOSCOPY WITH BIO |
110.35 |
| COLONOSCOPY WITH BIO |
110.35 |
| COLONOSCOPY |
110.35 |
| COLONOSCOPY |
110.35 |
| COLOPLAST BULK 3ML |
1050.00 |
| COLOPLAST BULK AGENT |
350.00 |
| COM BILE DUCT KIT EX |
2610.00 |
| COMBITUBE |
273.00 |
| COMM WORK TRN/15 MIN |
73.00 |
| COMM/WORK RE-INTEGR |
105.00 |
| COMP ARM/LEG |
467.00 |
| COMP METABOLIC PANEL |
453.00 |
| COMP PRESS CHK NEEDL |
868.44 |
| COMPL FACE 1.1-2.5 |
1650.00 |
| COMPLEMENT AG EA |
229.00 |
| COMPLEMENT C2 |
157.00 |
| COMPLEMENT C3 |
157.00 |
| COMPLEMENT C4 |
160.00 |
| COMPLEMENT CH50 |
238.00 |
| COMPLEMENT CIQ |
179.00 |
| CONCURRENT IV THERAP |
130.00 |
| CONCURRENT IV THERAP |
130.00 |
| CONCURRENT IV THERAP |
130.00 |
| CONCURRENT IV THERAP |
130.00 |
| CONCURRENT IV THERPY |
130.00 |
| CONIVAPTAN 20MG/4MLJ |
1964.10 |
| CONS SEDAT ADD 15MIN |
131.00 |
| CONS SEDATION CHILD |
522.00 |
| CONSCIOUS SEDATION |
522.00 |
| CONSCIOUS SEDATION |
1552.00 |
| CONSCIOUS SEDATION |
1552.00 |
| CONT NASAL BLDG COMP |
793.00 |
| CONT NASAL BLDG POST |
974.00 |
| CONT NASAL BLDG POST |
1123.00 |
| CONT NASAL BLDG SMP |
447.00 |
| CONTRAST X RAY OF AN |
997.83 |
| CONTRAST X RAY OF AN |
997.83 |
| CONTRAST X RAY OF AN |
1995.66 |
| CONTRAST X RAY OF EL |
1366.11 |
| CONTRAST X RAY OF EL |
1366.11 |
| CONTRAST X RAY OF EL |
1995.66 |
| CONTRAST X RAY OF KN |
997.83 |
| CONTRAST X RAY OF KN |
997.83 |
| CONTRAST X RAY OF KN |
1995.66 |
| CONTRAST X RAY OF WR |
544.65 |
| CONTRAST X RAY OF WR |
544.65 |
| CONTRAST X RAY OF WR |
1089.30 |
| COOK CERVICAL RIPENI |
182.84 |
| COPPER |
133.00 |
| CORTISOL FREE 24H UR |
70.00 |
| CORTISOL TOTAL |
172.00 |
| COSYNTROPIN 0.25MG J |
564.00 |
| COUNTERSINK 3.5M&4M |
489.00 |
| COVER STRET PAD REPL |
378.00 |
| COVID-19 |
154.00 |
| COVID-19 CONVAL PLAS |
2250.00 |
| CPAP INST & MGMT |
1278.00 |
| C-PEPTIDE |
182.00 |
| CPK |
129.00 |
| CPK ISOENZYMES |
184.00 |
| CPR |
2182.00 |
| CPR |
1906.00 |
| CPR |
2182.00 |
| CPR |
2182.00 |
| CPT INITIAL |
407.79 |
| CPT SUBSEQUENT |
129.72 |
| CREAM SKIN |
16.00 |
| CREATINE |
117.00 |
| CREATININE BLOOD |
115.00 |
| CREATININE CLEARANCE |
115.00 |
| CREATININE OTHER |
115.00 |
| CRITICAL CARE 1ST HR |
1935.69 |
| CRITICAL CARE EA ADD |
418.00 |
| CROMOL NA 20MG |
78.35 |
| CROUP TENT DAILY |
578.00 |
| CROUP TENT EA ADD HR |
29.00 |
| CRP |
144.00 |
| CRP HIGH SENSITIVITY |
194.00 |
| CRUTCHES-ADULT-ALUM |
43.00 |
| CRUTCHES-MEDIUM-ALUM |
22.80 |
| CRUTCHES-YOUTH-ALUM |
41.00 |
| CRYOGLOBULIN |
203.00 |
| CRYOPRECIPITATE |
181.00 |
| CRYPTOCOCCUS ANTIGEN |
282.00 |
| CRYSTALS-BODY FLUID |
144.00 |
| C-SECTION WITH BILAT |
176.56 |
| C-SECTION WITH BILAT |
176.56 |
| C-SECTION |
176.56 |
| C-SECTION |
176.56 |
| CSF LEAK DETECT & LO |
1201.00 |
| CT 3D W/POST PROCESS |
368.00 |
| CT ABD |
1171.00 |
| CT ABD W W/WO |
1780.00 |
| CT ABD W/CONT |
1760.00 |
| CT ABD/PELVIS |
1911.00 |
| CT ABD/PELVIS |
1911.00 |
| CT ABD/PELVIS W |
2940.00 |
| CT ABD/PELVIS W |
2940.00 |
| CT ABD/PELVIS W/WO |
3255.00 |
| CT ABD/PELVIS W/WO |
3255.00 |
| CT C SPINE |
1087.00 |
| CT C SPINE |
1087.00 |
| CT C SPINE W/CONT |
1145.00 |
| CT C SPINE W/WO |
1203.00 |
| CT CONTRAST NONION |
149.00 |
| CT DRAIN ABD WALL |
900.00 |
| CT DRAIN ORGAN |
3058.13 |
| CT DRAIN RET/PER |
3058.12 |
| CT FACIAL BONES |
940.00 |
| CT FACIAL BONES |
940.00 |
| CT FACIAL BONES W |
1172.00 |
| CT FACIAL BONES W |
1172.00 |
| CT FACIAL BONES W/WO |
1142.00 |
| CT GUIDE NDLE BX |
998.00 |
| CT GUIDED LNG BIOPSY |
3380.06 |
| CT HEAD |
1375.00 |
| CT HEAD |
1375.00 |
| CT HEAD W/CONT |
1560.00 |
| CT HEAD W/WO |
1668.00 |
| CT HEAD W/WO |
1668.00 |
| CT ISOVUE 300 |
.75 |
| CT ISOVUE 300 |
.75 |
| CT ISOVUE 370 |
1.25 |
| CT ISOVUE 370 |
1.25 |
| CT L SPINE |
1087.00 |
| CT L SPINE |
1087.00 |
| CT L SPINE W/CONT |
1145.00 |
| CT L SPINE W/WO |
1203.00 |
| CT LIVER BX |
1894.40 |
| CT LOW DOSE CHEST W/ |
481.38 |
| CT LOW EXT LT W/WO |
672.00 |
| CT LOW EXT BI W/WO |
1344.00 |
| CT LOW EXT BIL W/WO |
1344.00 |
| CT LOW EXT BILAT |
638.28 |
| CT LOW EXT LT |
319.14 |
| CT LOW EXT LT |
319.15 |
| CT LOW EXT LT W/WO |
672.00 |
| CT LOW EXT RT |
319.14 |
| CT LOW EXT RT W/WO |
672.00 |
| CT LOW EXT RT W/WO |
672.00 |
| CT LOWER EXT |
712.00 |
| CT LOWER EXT W/CONT |
1222.00 |
| CT LOWER EXT W/WO |
1249.00 |
| CT LUNG BX |
1894.40 |
| CT OMNIPAQ 300MG/ML |
1.00 |
| CT OMNIPAQUE 350MG/M |
3.75 |
| CT ORB/SEL/IAC W/WO |
1142.00 |
| CT ORB/SELLA/IAC /W |
1024.00 |
| CT ORBITS/SELLA/IAC |
940.00 |
| CT ORBITS/SELLA/IAC |
940.00 |
| CT PELVIS |
906.00 |
| CT PELVIS |
906.00 |
| CT PELVIS W/CONT |
1329.00 |
| CT PELVIS W/WO |
1652.00 |
| CT RENAL BX |
1894.40 |
| CT SFT TIS NECK W/WO |
1428.00 |
| CT SFT TISSUE NECK W |
1318.00 |
| CT SFT TISSUE NECK W |
1318.00 |
| CT SINUS |
940.00 |
| CT SINUS |
940.00 |
| CT SINUS W/CONT |
1172.00 |
| CT SINUS W/WO |
1142.00 |
| CT SOFT TISSUE NECK |
934.00 |
| CT SOFT TISSUE NECK |
934.00 |
| CT T SPINE |
1087.00 |
| CT T SPINE |
1087.00 |
| CT T SPINE W/CONT |
1145.00 |
| CT T SPINE W/WO |
1203.00 |
| CT THORAX |
1428.00 |
| CT THORAX |
1428.00 |
| CT THORAX W/CONT |
1747.00 |
| CT THORAX W/CONT |
1747.00 |
| CT THORAX W/WO |
1790.00 |
| CT UP EX RT W/WO |
672.00 |
| CT UP EXT BIL W/WO |
1344.00 |
| CT UP EXT LT |
319.14 |
| CT UP EXT LT W/WO |
672.00 |
| CT UP EXT LT W/WO |
986.52 |
| CT UP EXT RT W/WO |
986.52 |
| CT UP EXT RT W/WO |
1973.04 |
| CT UPPER EXT |
862.00 |
| CT UPPER EXT BILAT |
638.28 |
| CT UPPER EXT RT |
319.14 |
| CT UPPER EXT W/CONT |
1074.00 |
| CT UPPER EXT W/WO |
1223.00 |
| CT VISIPAQUE 320MG/M |
2.00 |
| CTA ABD W/WO |
1775.00 |
| CTA ABD/PELV W/WO |
2650.00 |
| CTA ABD/PELV W/WO |
2650.00 |
| CTA BILAT LOWER EXT |
2612.00 |
| CTA CHEST W/WO |
2218.00 |
| CTA CHEST W/WO |
2218.00 |
| CTA HEAD W/WO |
1584.00 |
| CTA LOW EXT BI W/WO |
1344.00 |
| CTA LOW EXT LT W/WO |
672.00 |
| CTA LOW EXT RT W/WO |
672.00 |
| CTA LOW EXT W/WO |
1574.00 |
| CTA NECK W/WO |
1579.00 |
| CTA NECK W/WO |
1579.00 |
| CTA PELVIS W/WO |
1775.00 |
| CTA UP BIL W/WO |
1344.00 |
| CTA UP EXT LT W/WO |
672.00 |
| CTA UP EXT RT W/WO |
672.00 |
| CTA UPPER EXT W/WO |
1574.00 |
| CUFF B/P DISP |
6.40 |
| CUFF TOURN DISP 34 |
100.08 |
| CUFF TOURN DISP 42 |
84.30 |
| CULT - SEROTYPING |
105.00 |
| CULT -LEGIONELLA |
197.00 |
| CULT- PERTUSIS |
221.00 |
| CULT THROAT OR NOSE |
139.00 |
| CULT- URINE ID |
164.00 |
| CULT-AFB |
139.00 |
| CULT-ANAEROBIC |
189.00 |
| CULT-ANAEROBIC ID |
178.00 |
| CULT-BLOOD |
242.00 |
| CULT-CHLAMYDIA |
219.00 |
| CULT-FUNGUS ID |
168.00 |
| CULT-FUNGUS-OTH |
139.00 |
| CULT-GROUP B STREP |
139.00 |
| CULT-HERPES |
342.00 |
| CULT-MYCOPLASMA |
197.00 |
| CULT-OTH SOURCE |
328.00 |
| CULT-RESP VIRUS |
342.00 |
| CULT-STOOL |
139.00 |
| CULTURE GC |
139.00 |
| CULTURE IDENT EACH |
164.00 |
| CULTURE LOW RESP |
159.00 |
| CULT-URINE CC |
139.00 |
| CULT-VIRAL |
342.00 |
| CURETT EAR MULTIPACK |
185.00 |
| CUROSURF |
2074.30 |
| CURRETTE 14 CURVED |
227.00 |
| CURRETTE 16 CURVED |
227.00 |
| CUSHION DONUT |
6.00 |
| CUTER ARTICUL LINEAR |
347.00 |
| CUTTER ENDO ORTICULA |
570.00 |
| CVC BUNDLE 16RM |
358.98 |
| CVP INSERTION ADULT |
1095.00 |
| CVP INSERTION ADULT |
1095.00 |
| CVP INSERTION CHILD |
525.00 |
| CVP INSERTION CHILD |
525.00 |
| CYANIDE |
174.00 |
| CYANIDE ANTIDOTE KIT |
1737.60 |
| CYANOCOB 1000MCG J |
95.65 |
| CYANOCOBAL 500MCG T |
1.00 |
| CYCLOBENZ 10MG T |
3.80 |
| CYCLOSPORINE |
188.00 |
| CYPROHEP 4MG T |
12.25 |
| CYSTATIN C |
144.00 |
| CYSTICERCOSIS |
173.00 |
| CYSTICERCOSIS ANTIBO |
264.00 |
| CYSTOGRAM |
785.32 |
| CYSTOGRAM |
785.32 |
| CYTO INT/RPT |
152.00 |
| CYTO TIS CULT-LYMP |
152.00 |
| CYTOPATHOLOGY S&I |
189.00 |
| DACRIOSE OS 30ML |
49.25 |
| DAKINS SOL FS 480ML |
140.50 |
| DANAZOL 100MG C |
62.75 |
| DANAZOL 200MG C |
42.40 |
| DANAZOL 50MG T |
41.75 |
| DANTROLENE 20MG J |
529.20 |
| DANTROLENE 250 MG J |
12791.65 |
| DANTROLENE 25MG C |
22.25 |
| DAPSONE 25MG T |
28.40 |
| DAPTOMYCIN 1MG J 500 |
4.04 |
| DARBEPO ER 1MCG 100 |
18.88 |
| DARUNAVIR 300MG T |
99.95 |
| DARUNAVIR 600MG T |
266.60 |
| DARUNAVIR 800MG T |
444.90 |
| D-DIMER FDP SEMI-QUA |
232.00 |
| DEB SL WO/AN LTD OT |
106.00 |
| DEBR NSL WO/ANES LTD |
465.21 |
| DEBR SKIN FULL THICK |
291.00 |
| DEBR SKIN PART THICK |
277.00 |
| DEBR SKIN TISS/MUSC |
944.00 |
| DEBR SKIN TISSUE |
553.00 |
| DEBR SL WO/ANES LTD |
465.21 |
| DEFEROXAMINE 500MG J |
113.80 |
| DELIVERY OF PLACENTA |
5597.73 |
| DELIVERY VAG COMPLIC |
5017.00 |
| DELIVERY VAGINAL |
3573.00 |
| DEMECLOCY 150MG T |
97.60 |
| DENALI FEMORAL VCF |
3450.00 |
| DENGUE FEVER AB |
145.00 |
| DENGUE FEVER IGM |
71.00 |
| DENGUE FEVER IJG |
95.00 |
| DEPOPROVRA 1MG J 150 |
4.11 |
| DERM CAR 2, 1.5 -1 |
154.59 |
| DERMA BOND ADHESVIE |
100.50 |
| DERMABOND PRINCO |
242.25 |
| DESMOPRE 1MCG J 4MCG |
31.08 |
| DEVELOP TST EXT/HR |
204.00 |
| DEVELOP TST LTD |
103.00 |
| DEVICE BRST BX 14 GA |
204.00 |
| DEXAMET 0.25MG T 4MG |
.87 |
| DEXAMETH 10MG/ML J |
174.25 |
| DEXAMETH 1MG J 4MG |
4.26 |
| DEXMED 200MCG/2ML JL |
179.00 |
| DEXMED 200MCG/50ML J |
349.25 |
| DEXMED 80MCG/20ML J |
277.85 |
| DEXTRAN 32/10 100ML |
37.85 |
| DEXTROSE 10% 5ML J |
22.15 |
| DEXTROSE 50% 50ML EM |
160.25 |
| DEXTROSE 50% 50ML J |
40.85 |
| DEXTROSE SYR 25 10 |
110.55 |
| DHEA SULFATE |
203.00 |
| DIAG LAP |
154.49 |
| DIAGNOSTIC LAPAROSCO |
154.49 |
| DIAGNOSTIC LAPAROSCO |
154.49 |
| DIAPER MEDIUM SIZE 3 |
1.00 |
| DIAPER RASH OI 120GM |
11.30 |
| DIAPER,LG,SIZE 4 |
1.00 |
| DIATHERMY/VISIT |
33.00 |
| DIAZEPAM 2MG T |
3.80 |
| DIAZEPAM 5MG J 10 MG |
144.70 |
| DIAZEPAM 5MG T |
3.80 |
| DIAZEPAM 5MG/ML INJ |
50.40 |
| DICLOFEN SOD 25MG T |
6.30 |
| DICYCLOMI 1MG J 20MG |
12.83 |
| DICYCLOMINE 20MG T |
4.05 |
| DIDANOSIN ER 125MG C |
44.55 |
| DIDANOSINE 100MG T |
27.00 |
| DIDANOSINE 400MG ECC |
123.90 |
| DIDANOSINE 50MG T |
12.55 |
| DIFFERENTIAL-MANUAL |
82.00 |
| DIFFUSING CAPACITY |
164.00 |
| DIG IMM FAB 1VIAL J |
18026.05 |
| DIG MAMMO BILATERAL |
168.00 |
| DIG MAMMO BILATERAL |
168.00 |
| DIG MAMMO UNLATERAL |
147.00 |
| DIG MAMMO UNLATERAL |
147.00 |
| DIGITEX SUTURE CART |
110.68 |
| DIGITEX SUTURE DELIV |
623.24 |
| DIGNISHIELD FECAL SY |
344.04 |
| DIGOXIN |
199.00 |
| DIGOXIN 0.125MG T |
19.40 |
| DIGOXIN 0.1MG/ML J |
579.45 |
| DIGOXIN 0.25/5 5ML |
141.10 |
| DIGOXIN 0.25MG T |
19.40 |
| DIGOXIN 0.5MG/2ML J |
43.05 |
| DIHYDROTESTOSTERONE |
243.00 |
| DILATION AND CURRETA |
110.35 |
| DILATION AND CURRETA |
110.35 |
| DILATION AND CURRETA |
110.35 |
| DILATION AND CURRETA |
110.35 |
| DILATION AND EVACUAT |
110.35 |
| DILATION AND EVACUAT |
110.35 |
| DILTIAZEM 100MG INJ |
275.40 |
| DILTIAZEM 120MG SRC |
4.95 |
| DILTIAZEM 180MG SRC |
20.75 |
| DILTIAZEM 25/5ML V J |
40.50 |
| DILTIAZEM 30MG T |
11.40 |
| DILTIAZEM 60MG T |
5.95 |
| DIMETAPP ELIXIR |
.40 |
| DINOPROS 10MG VS |
1974.20 |
| DINOPROST VGEL 3G |
2569.80 |
| DIPHEN,ATR 2.5/0.025 |
10.05 |
| DIPHENH 25MG C |
.25 |
| DIPHENH 50MG C |
.25 |
| DIPHENHY 12.5/5 5ML |
7.65 |
| DIPHENHYD CR 2% |
88.40 |
| DIPHENHYDR 50MG J |
38.10 |
| DIPHENHYDR 50MG JEMS |
24.00 |
| DIPYR/ASA 25/200 SRC |
79.85 |
| DIPYRIDAM 25MG T |
16.40 |
| DIPYRIDAMOLE 10MG J |
34.60 |
| DIRECT COOMBS |
121.00 |
| DIRECT COOMBS-BB |
35.00 |
| DISL TX SHOULDER W/A |
1726.00 |
| DISOPYRAM 100MG C |
55.50 |
| DISOPYRAM 150MG C |
9.35 |
| DISP C-SECTION TRAY |
327.00 |
| DISP L HOOK |
86.13 |
| DISPOSABLE PROC TRAY |
105.00 |
| DISS BALL SYST |
1859.25 |
| DISSECTER 5MM CURVED |
168.42 |
| DISSECTOR PEANUT PUS |
156.24 |
| DISSECTOR PNUT PUSH |
109.00 |
| DIVALPROEX 250 ECT |
20.05 |
| DOBUTAM 250MG/20ML J |
76.75 |
| DOCUS CA 240MG C |
3.80 |
| DOCUSATE 100MG C |
.25 |
| DOCUSATE NA 50MG/5ML |
.25 |
| DOCUSATE,CASAN C |
3.30 |
| DOLASETRON 10MG INJ |
120.28 |
| DONEPEZIL 5MG T |
8.90 |
| DONNATAL ELIXIR 10ML |
190.25 |
| DONNATAL TABS |
3.00 |
| DOT PHYSICAL |
42.00 |
| DOXAPRAM 20MG/ML J |
366.05 |
| DOXAZOSIN 2MG TABS |
43.25 |
| DOXEPIN 10MG C |
7.25 |
| DOXYCY 100MG C |
110.90 |
| DOXYCY 100MG J |
278.60 |
| DRAIN ABRAMSON |
174.00 |
| DRAIN GLAND ABSCESS |
395.00 |
| DRAIN JP FLAT |
39.00 |
| DRAIN JP ROUND |
36.00 |
| DRAIN OF ABCESS EYE |
875.00 |
| DRAIN PENROSE |
33.00 |
| DRAIN ROUND 15 FR |
80.73 |
| DRAIN SUMP SALEM |
12.00 |
| DRAIN TUBE ATT DEVIC |
109.00 |
| DRAIN/INJ/BURSA MAJO |
330.00 |
| DRAIN/INJ/BURSA SM J |
330.00 |
| DRAINAGE HRT SAC |
114.87 |
| DRAINAGE OF HARTSAC |
1480.00 |
| DRAPE 3M IDBON |
55.89 |
| DRAPE GYN UROLOOGY W |
68.88 |
| DRAPE IOBAN 2 6657 |
47.00 |
| DRAPE ISOLATION |
53.00 |
| DRAPE MAYO |
7.00 |
| DRAPE MICROSCOPE |
83.00 |
| DRAPE UNDERBUTTOCKS |
7.52 |
| DRAPE UTIL TOW 19X30 |
372.00 |
| DRAPE VIDEO |
51.00 |
| DRES WOUND MIC 3.5X6 |
84.00 |
| DRESS FOAM MEP AG4X4 |
22.05 |
| DRESS MACORB AG SILV |
26.47 |
| DRESS SIL SAC 6X6X7 |
16.35 |
| DRESSING FOAM ADHESI |
25.44 |
| DRESSING IOBAN 6648 |
31.00 |
| DRESSING MEDIHONEY |
25.62 |
| DRESSING MEDIHONEY |
25.62 |
| DRILL BIT 2.7MM |
592.00 |
| DRILL BIT 5.0MM |
620.00 |
| DRILL GUID UNIVERSAL |
578.00 |
| DRILL GUIDE |
200.00 |
| DRN BLADR BY NDL ASP |
428.00 |
| DRN BLADR BY NDL ASP |
428.00 |
| DRN MOUTH LESION |
411.00 |
| DRN MOUTH LESION |
411.00 |
| DRN/INJ BURSA INT JT |
330.00 |
| DRN/INJ BURSA MAJ JT |
330.00 |
| DRN/INJ BURSA SM JT |
330.00 |
| DRN/INJ/BURSA INTRMD |
330.00 |
| DRNG TONSIL ABSCESS |
771.00 |
| DRONABINOL 2.5MG C |
49.60 |
| DROTREC ALFA 20MG J |
5494.10 |
| DROTREC ALFA 5MG J |
1373.50 |
| DRUG ASSAY FOR PANEL |
240.00 |
| DRUG ASSAY FOR PANEL |
401.64 |
| DRUG COLLECTION |
22.00 |
| DRUG CONFIRMATION |
346.00 |
| DRUG SCREEN URINE |
296.88 |
| DRVVT |
97.00 |
| DSG ABD/SURGIPAD |
1.00 |
| DSG ADAPTIC |
3.00 |
| DSG ADAPTIC 3 X 3 |
1.00 |
| DSG AQUACEL |
35.00 |
| DSG BIO PATCH |
28.15 |
| DSG CHG OT/BRN W/ANS |
431.00 |
| DSG COBAN NS |
20.00 |
| DSG COBAN STR |
10.80 |
| DSG COVERLET |
1.70 |
| DSG DOME PASTE |
38.00 |
| DSG DUODERM 6 X 6 |
20.00 |
| DSG DUODERM 8 X 8 |
26.00 |
| DSG EYE PAD |
.25 |
| DSG GAUZE 2X2 ST |
.10 |
| DSG GAUZE 4 X 4 / 10 |
1.75 |
| DSG INTERCEED 3 X 4 |
836.00 |
| DSG KERLIX SPONGE |
6.00 |
| DSG KLING/CONFORM |
1.60 |
| DSG LYAFOAM |
12.00 |
| DSG MEROCEL |
321.00 |
| DSG NASAL TAMPON |
265.00 |
| DSG NU-GEL |
8.00 |
| DSG OPSITE 10X14 |
5.00 |
| DSG OPSITE 5X7.5 |
2.00 |
| DSG PACKING IODO |
8.10 |
| DSG PACKING PLAIN |
6.45 |
| DSG SPANDAGE NET |
25.00 |
| DSG SPONGE 8X4 STR |
5.00 |
| DSG SPONGE RAYTEC |
2.00 |
| DSG STERI STRIP |
4.00 |
| DSG TEGADERM 2 X 3 |
1.00 |
| DSG TEGADERM 4 X 5 |
7.60 |
| DSG TEGADERM 4x4 |
3.00 |
| DSG TELFA 3 X 8 |
.35 |
| DSG TIELLE |
11.00 |
| DSG TUBE GAUZE |
14.00 |
| DSG VAC |
205.00 |
| DSG VASELINE GAUZE |
6.30 |
| DSG XEROFORM 1 X 8 |
.65 |
| DSG XEROFORM 5 X 9 |
4.00 |
| DUP AORT/IVC/ILI LTD |
384.00 |
| DUP PENILE VESS COMP |
522.00 |
| DURASPHERE NEEDLE |
76.00 |
| DVT CALF 60 |
121.53 |
| DYSPHAGIA EVAL LTD |
284.00 |
| DYSPHAGIA SCREEN |
105.00 |
| DYSPHAGIA TX LTD |
116.00 |
| EA ADDL PERIPH ART A |
1739.00 |
| EACH ADDITIONAL VACC |
108.00 |
| EACH ADDITIONAL VACC |
108.00 |
| EACH ADDITNL VACC |
108.00 |
| EARACHE DROP OT 10ML |
21.35 |
| EBV AB, IGG |
100.00 |
| EDROPHONIUM 10ML J |
308.55 |
| EDROPHONIUM 15ML J |
94.60 |
| EEG AWAKE & DROWSY |
554.00 |
| EEG CERBRL DEATH EVL |
675.45 |
| EEG COMA/ASLEEP ONLY |
571.74 |
| EFAVIRENZ 200MG C |
131.75 |
| EGD |
4337.00 |
| EGD + COLON W POLYPE |
4605.00 |
| EGD ADD PROCEDURE |
3088.38 |
| EGD BX AND ASH CATH |
4482.00 |
| EGD BX COLON LEV1 |
4470.00 |
| EGD CONTRL BLD LEV 2 |
3192.00 |
| EGD DIAG W BRSH WASH |
2235.00 |
| EGD L 1/COLON BX L1 |
4605.00 |
| EGD L 1/FLEX SIG |
5611.00 |
| EGD L1 + COLON L1 |
4605.00 |
| EGD L1/HEMORRHOIDECT |
5930.00 |
| EGD LEV 1/ANOSCOPY |
5930.00 |
| EGD LEV 1/ASH CATH |
6435.00 |
| EGD LEV 1/DIAG LAP |
4470.00 |
| EGD LEVEL 1 |
2235.00 |
| EGD LEVL 1/LAP |
4470.00 |
| EGD LV 1/LAP CHOLE |
15135.00 |
| EGD REM G TUBE L2 |
3747.00 |
| EGD REM LES/COLON L2 |
5562.00 |
| EGD W BAND LIG LEV 1 |
3192.00 |
| EGD W BIOPSY LEV 1 |
2235.00 |
| EGD W BLD CTRL/COLO1 |
5562.00 |
| EGD W BX L 1/BRON W, |
5400.00 |
| EGD W BX/COLON W BX |
4605.00 |
| EGD W BX+LAP CHOLE |
15135.00 |
| EGD W DIL W BAL OV W |
2253.00 |
| EGD W DILATION L2 |
3192.00 |
| EGD W G TUBE L2 |
6908.00 |
| EGD W GJ TUBE INS |
3747.00 |
| EGD W INJECTION L 1 |
3192.00 |
| EGD W J TUBE INS L2 |
3747.00 |
| EGD W PEG + TRACH |
12613.00 |
| EGD W PEG LEVEL 1 |
1482.00 |
| EGD W PEG/LAP PEG |
4002.00 |
| EGD W PLACE PEG L2 |
9525.00 |
| EGD W POLYPECTOMY |
2235.00 |
| EGD W REM GJ TUBE L2 |
3747.00 |
| EGD W REM J TUBE L2 |
3747.00 |
| EGD W REM OF TUM/POL |
3192.00 |
| EGD W REMOV TUM |
3192.00 |
| EGD W REMOVAL OF FB |
2236.80 |
| EGD W REPO G TUBE L2 |
3747.00 |
| EGD W REPO GJ TUBE |
3747.00 |
| EGD W REPOS GJ TUBE |
3747.00 |
| EGD W STENT |
9525.00 |
| EGD W SUBMUC INJ LEV |
2235.00 |
| EGD W/ABLATION |
7136.00 |
| EGD W/BIOPSY |
5151.00 |
| EGD W/DILATION |
7346.00 |
| EGD W/LIGATION |
7346.00 |
| EGD W/REM FB |
6591.00 |
| EGD WITH ABLATION |
4268.52 |
| EGD WITH BIOPSY |
132.42 |
| EGD WITH BIOPSY |
132.42 |
| EGD WITH PEG PLACEME |
132.42 |
| EGD WITH PEG PLACEME |
132.42 |
| EGD |
132.42 |
| EGD |
132.42 |
| EGD/PEG COLON DECOMP |
14064.00 |
| EGDL1/EXLAP/BOWELRES |
17619.00 |
| EGDL1/LAP/GASTRIC AN |
8940.00 |
| EGDL1BX/DIAGLAP/APPY |
4624.49 |
| EGG CRATE MATTRESS |
22.00 |
| EGG CRT MATT PAD |
38.38 |
| EHRLICHIA ANTIBODY |
179.00 |
| EKG TRACING |
213.00 |
| ELBOW 2 VIEWS |
174.00 |
| ELBOW 2 VIEWS |
1740.00 |
| ELBOW BILAT MIN 6V |
348.00 |
| ELBOW BILAT MIN 6V |
348.00 |
| ELBOW COMP BILAT |
345.00 |
| ELBOW COMP BILAT |
345.00 |
| ELBOW COMP BILAT |
345.00 |
| ELBOW COMP LEFT |
172.50 |
| ELBOW COMP LEFT |
172.50 |
| ELBOW COMP LEFT |
172.50 |
| ELBOW COMP RIGHT |
172.50 |
| ELBOW COMP RIGHT |
172.50 |
| ELBOW COMP RT |
172.50 |
| ELBOW COMPLETE |
174.00 |
| ELBOW COMPLETE |
174.00 |
| ELBOW LEFT 2 VIEWS |
172.50 |
| ELBOW LEFT 2 VIEWS |
172.50 |
| ELBOW LT 2 VIEWS |
172.50 |
| ELBOW RIGHT 2 VIEWS |
172.50 |
| ELBOW RT 2 VIEWS |
172.50 |
| ELEC PAIRED SUBER 2C |
314.00 |
| ELECT STIM/VISIT |
54.00 |
| ELECTRIC STIM/15 MIN |
54.00 |
| ELECTROD LOOP GYNACA |
49.00 |
| ELECTRODE BALL |
55.00 |
| ELECTRODE BALL TIP |
43.00 |
| ELECTRODE COAG |
603.00 |
| ELECTRODE FETAL SPIR |
13.00 |
| ELECTRODE LOOP |
420.00 |
| ELECTRODE NERVE STEM |
314.00 |
| ELECTRODE NIOBODES |
3.00 |
| ELECTROLYTE PANEL |
283.00 |
| ELUTION |
126.00 |
| EMERGENCY KIT |
416.00 |
| EMTRICITABIN 200MG C |
189.25 |
| ENALAPRIL 10MG T |
11.05 |
| ENALAPRIL 2.5MG T |
8.45 |
| ENALAPRIL 2.5MG/2ML |
108.70 |
| ENALAPRIL 5MG T |
10.60 |
| ENDO CATCH BAG |
558.00 |
| ENDO CLOSURE DEVICE |
2117.97 |
| ENDO SHEARS MINI |
300.00 |
| ENDO TISSUE TACKER |
1922.00 |
| ENDO VERISNEEDLE |
81.00 |
| ENDOCATCH 10MM |
208.00 |
| ENDOCLIP CORIDIEN 10 |
680.40 |
| ENDOTRACH INTUB EMER |
930.00 |
| ENDOTRACHEAL INTUBAT |
921.00 |
| ENOXA 10MG PFS 100MG |
51.20 |
| ENOXA 10MG PFS 120MG |
21.03 |
| ENOXA 10MG PFS 30MG |
71.58 |
| ENOXA 10MG PFS 40MG |
27.46 |
| ENOXA 10MG PFS 60MG |
24.04 |
| ENOXA 10MG PFS 80MG |
24.04 |
| ENSEAL LAPAROSCOPIC |
1395.48 |
| ENSURE 240ML |
4.20 |
| ENSURE PLUS 240ML |
4.60 |
| ENTER SM B G TO J TU |
3747.00 |
| ENTER SM B W CON BLE |
3747.00 |
| ENTER SM B W J TUBE |
3747.00 |
| ENTER W FB REM L2 |
2556.00 |
| ENTERO SM BOW BX L1 |
2556.00 |
| ENTERO SM BOW HOT BX |
3747.00 |
| ENTERO SM BOW W POLY |
3747.00 |
| ENTERO SM BOW W/STOM |
2556.00 |
| ENTEROVIRUS PCR |
372.00 |
| ENTIRE SPINE MYELOGR |
1295.00 |
| ENTIRE SPINE MYELOGR |
1295.00 |
| ENZ DETECT BETA LACT |
128.00 |
| EOSINOPHIL COUNT |
113.00 |
| EP RPD RHI W/AIRW5.5 |
141.00 |
| EPHEDR 50MG J |
332.45 |
| EPI FENT2/BUP.125/NS |
124.17 |
| EPIDUR TUB SET ORD |
20.64 |
| EPIDURAL FOR OB PAIN |
132.42 |
| EPIFILM |
313.00 |
| EPIN HCL OS 2% 15ML |
49.00 |
| EPINEP .1MG J 1MG/ML |
2.91 |
| EPINEP .1MG J 30MG |
3.79 |
| EPINEPH .1MG EMS 1MG |
10.59 |
| EPINEPH 2.25% SOL |
10.40 |
| EPITAXIS RPD RHI 4.5 |
120.00 |
| EPITAXIS RPD RHI 5.5 |
115.00 |
| EPIX SCISSOR 6PARD |
135.00 |
| EPIX SUCTION IRRIGAT |
184.00 |
| EPO ESRD 1000U J<10K |
22.85 |
| EPO ESRD 1000U J10K+ |
12.12 |
| EPO NR 1000U J 10K |
121.22 |
| EPO NR 1000U J 20K |
121.23 |
| EPTIFIBATIDE 5MG J |
248.06 |
| EPTIFIBATIDE 5MG PM |
177.66 |
| EQUI.SPLIT-TIP CATH |
1103.00 |
| EQUIS SPLIT TIP CURV |
964.00 |
| ER CRIT CARE |
1935.69 |
| ER CRIT CARE ADD 30 |
418.00 |
| ER O2 UP TO 4 HOURS |
159.00 |
| ER OXYGEN UP 4 HOURS |
159.00 |
| ER VISIT LEV2 |
307.64 |
| ER VISIT LEV3 |
507.43 |
| ER VISIT LEV4 |
895.41 |
| ER VISIT LEV5 |
1389.95 |
| ER VISIT LEVEL 0 |
87.00 |
| ER VISIT LEVEL 1 |
169.66 |
| ER VISIT LVL 1 |
169.66 |
| ER VISIT LVL 2 |
307.64 |
| ER VISIT LVL 3 |
507.43 |
| ER VISIT LVL 4 |
895.41 |
| ER VISIT LVL 5 |
1389.95 |
| ERCP |
4988.00 |
| ERCP |
824.00 |
| ERCP |
824.00 |
| ERCP W/ABLATION |
7766.00 |
| ERCP W/BALLOON DIL |
7327.00 |
| ERCP W/BIOPSY |
6389.00 |
| ERCP W/LITHO STONE |
7139.00 |
| ERCP W/REM STONE |
7078.00 |
| ERCP W/TUBE/STENT |
7327.00 |
| ERCP/SPHINCTEROTOMY |
6420.00 |
| ERGONOVINE PROVOCATI |
1480.00 |
| ERTAPENEM 500MG J 1G |
340.43 |
| ERYTH 0.5% OO 1GM |
102.90 |
| ERYTH ES 200MG/5ML 5 |
200.00 |
| ERYTH ESS 400MG T |
147.15 |
| ERYTH LAC 500MG J |
615.30 |
| ERYTHR BASE 250MG T |
140.30 |
| ERYTHR LAC 1G J |
140.00 |
| ERYTHROPOIETIN |
229.00 |
| ESMOLOL 2.5G/10 J |
2121.35 |
| ESMOLOL100MG/10ML J |
100.95 |
| ESOPH DIL CATH 10-12 |
516.00 |
| ESOPH DIL CATH 12-15 |
516.00 |
| ESOPH DIL CATH 15-18 |
516.00 |
| ESOPH DILATION UNGUI |
7094.00 |
| ESOPHAG BAUDUIG KIT |
615.00 |
| ESOPHAGRAM |
390.00 |
| ESOPHAGRAM |
390.00 |
| ESOPHOGEAL DILATION |
6624.00 |
| ESR NONAUTO |
125.00 |
| ESTR CONJ 0.625MG T |
81.70 |
| ESTR CONJ VAG CR 1.5 |
2668.80 |
| ESTRADIOL |
227.00 |
| ESTRADIOL TDP 0.1MG |
59.05 |
| ESTRIOL |
196.00 |
| ESTROG CONJ 25MG J |
1413.60 |
| ESTROGEN RECPT ASSAY |
724.00 |
| ESTROGENS FRACT |
493.00 |
| ESTROGENS TOTAL |
213.00 |
| ESTRONE |
39.00 |
| ET TUBE HOLDER MICRO |
34.00 |
| ET TUBE HOLDER MINI |
34.00 |
| ET TUBE HOLDER ULTRA |
34.00 |
| ET TUBEHOLDER BLUELG |
34.00 |
| ETHAMBUTOL 400MG T |
11.20 |
| ETHANOL 100MG/2ML J |
1939.15 |
| ETHYL CHL SPY 3.5OZ |
298.20 |
| ETHYLENE GLYCOL |
166.00 |
| ETOMIDATE 2MG/ML 20 |
96.95 |
| ETTUBE HOER XL ROSE |
34.00 |
| EVACUATION HEMORRHOD |
629.00 |
| EVAL ORAL SP DEVICE |
267.00 |
| EVICEL 2ML CM KIT OR |
151.00 |
| EVICEL 45 CM FLEX TI |
72.63 |
| EVICEL 5 ML KIT |
1474.38 |
| EVICEL AIRLESS TIPS |
70.62 |
| EXAM UNDER ANESTHESI |
22.07 |
| EXC NAIL AND MATRIX |
661.00 |
| EXC NAIL AND MATRIX |
661.00 |
| EXP PENETRAT WND ABD |
499.70 |
| EXP PENETRAT WND CHE |
460.02 |
| EXP PENETRAT WND EXT |
595.76 |
| EXP PENETRAT WND NEC |
638.68 |
| EXPAREL INJ |
954.40 |
| EXPLORATORY LAP |
12756.87 |
| EXPLORATORY LAPAROTO |
154.49 |
| EXR TX LTD 15" OT |
65.00 |
| EXT ART STDY U/L BIL |
162.00 |
| EXT ART STDY U/L MUL |
730.00 |
| EXT BREATH CIRCUIT |
276.00 |
| EYE FB BILAT |
345.00 |
| EYE FB LT |
172.50 |
| EYE FB RT |
172.50 |
| EYE FOREIGN BODY |
151.00 |
| EYE FOREIGN BODY |
343.71 |
| EYE FOREIGN BODY BIL |
345.00 |
| EYE FOREIGN BODY LT |
172.50 |
| EYE FOREIGN BODY RT |
172.50 |
| EYE WASH BUFF 4OZ |
6.15 |
| EZETIMIBE 10MG T |
113.80 |
| FACIAL BONES COMPLET |
348.00 |
| FACIAL BONES COMPLET |
348.00 |
| FACIAL BONES LMT <3V |
348.00 |
| FACIAL BONES LMT <3V |
348.00 |
| FACIAL NERVE BLOCK |
579.00 |
| FACTOR II DNA ANALY |
327.00 |
| FACTOR IX |
187.00 |
| FACTOR V |
275.00 |
| FACTOR V LEIDEN MUT |
327.00 |
| FACTOR VII |
187.00 |
| FACTOR VIII ONE STAG |
315.00 |
| FACTOR X |
187.00 |
| FACTOR XIII, FIBRIN |
187.00 |
| FAMCICLOVIR 500 T |
140.60 |
| FAMOTID 20/2.5ML SUS |
97.30 |
| FAMOTIDINE 20/2ML J |
12.00 |
| FAMOTIDINE 20MG T |
.25 |
| FB CORN W/O SLIT LAM |
1450.00 |
| FCE 15MN |
75.00 |
| FCT VIII VW AG |
187.00 |
| FE PSACC CMP100/5ML |
64.80 |
| FE S04 75/0.6 |
.35 |
| FE SUL 220MG/5ML |
3.80 |
| FE SUL SA 160MG T |
3.80 |
| FE SULF 50MG SRT |
.45 |
| FEBRILE AGGLUTININS |
289.00 |
| FECAL FAT QUAL |
366.00 |
| FECAL FAT QUANT |
366.00 |
| FELODIPINE 5MG 5 |
17.40 |
| FEMUR |
174.00 |
| FEMUR |
174.00 |
| FEMUR 2V BILAT |
345.00 |
| FEMUR 2V LT |
172.50 |
| FEMUR 2V LT |
172.50 |
| FEMUR 2V LT |
172.50 |
| FEMUR 2V RT |
172.50 |
| FEMUR 2V RT |
172.50 |
| FEMUR 2V RT |
172.50 |
| FEMUR 4 V BILAT |
345.00 |
| FEMUR 4V BILAT |
345.00 |
| FENTANYL .1MG J .1MG |
22.15 |
| FENTANYL .1MG J.5MG |
8.45 |
| FENTANYL TD 25MCG/HR |
187.50 |
| FENTANYL TD 50MCG/HR |
293.55 |
| FENTANYL.1MG J.25MG |
33.25 |
| FER SUL 324MG T |
.25 |
| FERRITIN |
269.00 |
| FERSS (MONSEL) 60ML |
303.30 |
| FERSS (MONSEL) 8ML P |
165.50 |
| FETAL CONTRACTION ST |
297.00 |
| FETAL FIBRONECTIN |
247.00 |
| FETAL MEM ROM |
143.00 |
| FEXOFEN 180 MG T |
6.10 |
| FEXOFENAD 60MG T |
8.20 |
| FFP SINGLE DONOR |
241.33 |
| FFP THAWING/UNIT |
234.00 |
| FIBERGLASS CAST 5" |
148.00 |
| FIBRIN SPLT PROD(FDP |
205.00 |
| FIBRINOGEN ACTIVITY |
137.00 |
| FILGRA 1MCG J 300MCG |
4.76 |
| FILTER VAPOR CLEAN |
328.98 |
| FILTER VENA CAVA |
5595.00 |
| FINASTERIDE 5MG T |
35.90 |
| FINGERS |
174.00 |
| FINGERS |
174.00 |
| FINGERS 2V LEFT |
172.50 |
| FINGERS BILAT 4V |
345.00 |
| FINGERS BILAT 4V |
345.00 |
| FINGERS LEFT 2V |
172.50 |
| FINGERS LEFT 2V |
172.50 |
| FINGERS RIGHT 2V |
172.50 |
| FINGERS RIGHT 2V |
172.50 |
| FINGERS RT 2V |
172.50 |
| FINGERS RT 2V |
172.50 |
| FIRST MED IV PUSH |
277.20 |
| FIRST MED IV PUSH |
248.00 |
| FIRST MED IV PUSH |
248.00 |
| FISH RET LG |
1454.88 |
| FISH RET MED |
1454.88 |
| FISTULA PLUG |
1785.00 |
| FISTULA STUDY NON GI |
775.00 |
| FISTULA STUDY NON GI |
775.00 |
| FL GUIDE BX INTRATHO |
378.00 |
| FLAKKA 2 PVP CORD BL |
870.00 |
| FLAKKA 2PVP URINE |
401.64 |
| FLECAINIDE 50MG T |
46.75 |
| FLEX SIG REC EX UA |
4928.00 |
| FLEX SIG/EGD BX L1 |
5611.00 |
| FLEX SIG/EX LAP |
6242.00 |
| FLOW CYTOTOM EA MARK |
133.00 |
| FLU 4V 0.25ML |
456.70 |
| FLU 4V 3YRS+.5ML PFS |
302.45 |
| FLUCON 10MG/ML SOLR |
11.30 |
| FLUCONAZ 100MG T |
95.90 |
| FLUCYTOSINE |
378.00 |
| FLUCYTOSINE 250MG C |
31.60 |
| FLUCYTOSINE 250MG C |
516.95 |
| FLUCYTOSINE 250MG C |
536.05 |
| FLUCYTOSINE(ANCOBON) |
378.00 |
| FLUDROCOR 0.1MG T |
18.35 |
| FLUMAZ 0.5MG/5ML J |
93.80 |
| FLUNISOL 250MCG AER |
355.10 |
| FLUNISOL 25MCG AER |
306.85 |
| FLUOCIN .05% 15 GM |
343.90 |
| FLUORESC STRIP EA |
3.80 |
| FLUORO <=1HR |
389.00 |
| FLUORO > 1 HR |
911.00 |
| FLUORO DRAINAGE |
1260.00 |
| FLUORO DRAINAGE |
1260.00 |
| FLUORO GI TUBE PLACE |
348.00 |
| FLUORO GI TUBE PLACE |
348.00 |
| FLUORO GUIDE BX/ASP |
528.00 |
| FLUORO GUIDE BX/ASP |
528.00 |
| FLUORO OVER 1 HR |
1607.00 |
| FLUORO OVER 1 HR |
1607.00 |
| FLUORO PACMKR W/FILM |
28598.49 |
| FLUORO PACMKR W/FILM |
28598.49 |
| FLUORO SPINE GUIDE |
365.00 |
| FLUORO UP TO 1 HR |
477.64 |
| FLUORO UP TO 1 HR |
477.64 |
| FLUOROM OS 0.% 10ML |
78.10 |
| FLUOXETINE 10 MG C |
27.80 |
| FLUOXETINE 20MG C |
28.60 |
| FLUPHENAZINE 5MG T |
106.15 |
| FLURAZEPAM |
184.00 |
| FLURO LINE PLACMENT |
341.00 |
| FLURO LINE PLACMENT |
341.00 |
| FLURO SPINE GUIDE |
129.74 |
| FLUTIC/PRO 50MCG INH |
537.15 |
| FLUTIC/SALMET 100MCG |
1376.50 |
| FLUTIC/SALMET 250MCG |
1376.50 |
| FLUTICA PROP 110 AER |
1170.75 |
| FLUTICA PROP 44 AER |
253.80 |
| FLUTICA/VILANT 100 A |
737.55 |
| FLUTICA/VILANT 200 A |
737.55 |
| FOAM HEADREST |
57.00 |
| FOAM WEDGE |
93.49 |
| FOLEY CATH-TEMPPROBE |
247.00 |
| FOLIC ACID 1MG T |
.75 |
| FOLIC ACID 5MG INJ |
36.90 |
| FOLIC ACID, SERUM |
233.00 |
| FOLTX TAB 1EA |
10.50 |
| FONDAPAR 0.5MG-10 J |
29.94 |
| FONDAPAR 0.5MG-2.5 J |
72.70 |
| FONDAPAR 0.5MG-5 J |
59.89 |
| FONDAPAR 0.5MG-5 J |
63.02 |
| FONDAPAR 0.5MG-7.5 J |
39.92 |
| FOOT 2 VIEWS |
174.00 |
| FOOT 2 VIEWS |
174.00 |
| FOOT BILAT 4V |
345.00 |
| FOOT BILAT MIN 6V |
366.00 |
| FOOT BILAT MIN 6V |
366.00 |
| FOOT BILATERAL 4V |
345.00 |
| FOOT BILATERAL 4V |
345.00 |
| FOOT COMPLETE |
183.00 |
| FOOT COMPLETE |
183.00 |
| FOOT COMPLETE LEFT |
172.50 |
| FOOT COMPLETE LEFT |
172.50 |
| FOOT COMPLETE LT |
172.50 |
| FOOT COMPLETE RIGHT |
172.50 |
| FOOT COMPLETE RIGHT |
172.50 |
| FOOT COMPLETE RT |
172.50 |
| FOOT LEFT 2V |
172.50 |
| FOOT LEFT 2V |
172.50 |
| FOOT LEFT 2V |
172.50 |
| FOOT RIGHT 2 V |
172.50 |
| FOOT RIGHT 2 V |
172.50 |
| FOOT RIGHT 2V |
172.50 |
| FOR EAR 3.0MMX7.0MM |
378.00 |
| FOR NASAL 40MMX100MM |
512.00 |
| FOR NASAL POL FULLSZ |
578.00 |
| FORCEP BIOPSY DISP |
363.00 |
| FORCEP EAR 1.0MM |
609.00 |
| FORCEP EAR 6.0MM |
305.00 |
| FORCEP EAR 7.0MM |
315.00 |
| FORCEP EAR 8.0MM |
357.00 |
| FORCEP GRASPING DISP |
13.00 |
| FORCEP JUMBO BX |
79.50 |
| FORCEP JUMBO BX |
79.50 |
| FORCEP LG BX |
40.50 |
| FORCEP LG BX |
40.50 |
| FORCEP MULT BX |
110.40 |
| FORCEP MULT BX |
110.40 |
| FORCEP NASAL 50MM |
622.00 |
| FORCEP OLYMPUS BX |
18.00 |
| FORCEP PULM RAD JAW |
392.00 |
| FORCEP RADIAL JAW CO |
40.50 |
| FORCEP SIDE CUT 8" |
628.00 |
| FOREARM |
174.00 |
| FOREARM |
174.00 |
| FOREARM BILAT 2V |
345.00 |
| FOREARM BILT 2V |
345.00 |
| FOREARM LEFT 2V |
730.90 |
| FOREARM LEFT 2V |
730.90 |
| FOREARM LT 2V |
172.50 |
| FOREARM RIGHT 2V |
172.50 |
| FOREARM RIGHT 2V |
172.50 |
| FOREARM RT 2V |
172.50 |
| FOSINOPRIL 10MG T |
8.35 |
| FOUR CANIST MANIFOLD |
37.00 |
| FRUCTOSAMNE |
242.00 |
| FRUCTOSE SEMEN |
211.00 |
| FSH |
174.00 |
| FUROSEM 20/2ML J |
33.00 |
| FUROSEM 20MG J 100MG |
9.74 |
| FUROSEM 20MG J 40MG |
21.75 |
| FUROSEMIDE 20MG T LA |
3.00 |
| FUROSEMIDE 40MG T LA |
3.80 |
| G TUBE INJECTION |
307.71 |
| G6PD QUANT |
199.00 |
| GABAPENTIN |
305.00 |
| GABAPENTIN 100MG C |
7.95 |
| GABAPENTIN 300MG C |
19.15 |
| GAIT TRAINING/15 MIN |
59.00 |
| GALACTOSEMIA GENE AN |
700.00 |
| GALCTOSE TRSF |
196.00 |
| GANCICLOVIR 250MG C |
54.45 |
| GAS DILUTION OR WASH |
399.48 |
| GASTRIC ACID FR &TL |
141.00 |
| GASTRIC INTUBATION |
705.75 |
| GASTRIN |
164.00 |
| GASTRO TUBE PLACE |
6908.00 |
| GASTRO/ENDO PRCDR ER |
1546.00 |
| GASTROGRAFIN ENEMA |
442.00 |
| GASTROGRAFIN ENEMA |
442.00 |
| GASTROSTOMY TUBE CHG |
433.00 |
| GASTROSTOMY TUBE PLC |
1595.00 |
| GASTROSTOMY TUBE PLM |
1595.00 |
| GBM ANTIBODY |
293.00 |
| GC NUCLEIC ACID |
121.65 |
| GC PROBE |
224.00 |
| GEL FOAM #50 |
61.00 |
| GEL POINT |
1350.00 |
| GEL-FOAM #100 |
297.00 |
| GELPORT HAND ASST PT |
1725.00 |
| GEMFIBROZIL 600MG T |
13.40 |
| GENTAM .1% OINT |
372.75 |
| GENTAM 20MG/2ML J |
27.25 |
| GENTAM 40MG/2ML J |
3.00 |
| GENTAM 80MG J |
44.65 |
| GENTAMIC 00 3.5GM |
267.85 |
| GENTAMICIN |
272.00 |
| GENTAMICIN OS 5ML |
193.35 |
| GGT |
199.00 |
| GIA ENDO 30-2.5 STRA |
318.00 |
| GIA ENDO 30-3.5 STRA |
318.00 |
| GIARD/CRYPTO AG EIA |
211.00 |
| GIARDIA AG STOOL |
162.00 |
| GLIADIN ANTIBODY |
162.00 |
| GLIMEPIRIDE 2MG T |
14.05 |
| GLIPIZIDE 10MG TABS |
7.10 |
| GLIPIZIDE 5MG T |
4.25 |
| GLIPIZIDE XL 5MG TAB |
4.60 |
| GLOVE PROTEXIS ORTH6 |
4.95 |
| GLOVE SURG ORTHO COT |
5.00 |
| GLOVE SURG ULTRA DER |
6.00 |
| GLOVES SURGICAL 6.5 |
1.00 |
| GLOVES SURGICAL 7.0 |
1.00 |
| GLOVES SURGICAL 7.5 |
1.00 |
| GLOVES SURGICAL 8.0 |
1.00 |
| GLOVES SURGICAL 8.5 |
1.00 |
| GLUC BLD REAGENT STR |
22.00 |
| GLUCAGON 1U /1MG J |
908.10 |
| GLUCERNA 240ML |
7.10 |
| GLUCOSE 40% 15G GEL |
49.95 |
| GLUCOSE POINT/CARE |
22.00 |
| GLUCOSE QUANT |
199.00 |
| GLUTAMINE 10GM PKT |
18.70 |
| GLUTOSE GEL 15 |
3.80 |
| GLYB/METF 5/500 T |
5.00 |
| GLYBURIDE 2.5MG T |
5.20 |
| GLYBURIDE 3MG T |
5.95 |
| GLYBURIDE 5MG T |
8.90 |
| GLYCERIN RS ADULT |
.90 |
| GLYCERIN RS CHILD |
.25 |
| GLYCOPYR 0.2MG/ 1ML |
163.80 |
| GLYCOPYRR 1MG T |
15.10 |
| GM-1 ANTIBODY |
245.00 |
| GONIOSCOPY |
154.00 |
| GOV SEAM GUA STAPLI |
195.00 |
| GRADUATE CONTAINER |
1.00 |
| GRAM STAIN |
132.00 |
| GRASPER RESCUE RET |
255.00 |
| GRISEOF U/F 500MG |
14.30 |
| GRISEOFUL 125/5 5ML |
30.25 |
| GROUP THERAPY |
54.00 |
| GTT EA ADD >3 |
199.00 |
| GTT UP TO 3 SPEC |
399.00 |
| GUAIF/PHENYLEPH LA T |
7.20 |
| GUAIFEN 600MG SRT |
1.00 |
| GUAIFEN DM 10ML |
1.55 |
| GUAIFEN-DM 1ML |
3.30 |
| GUAIFENESIN 10ML |
1.35 |
| GUAIFENESIN AC 10ML |
9.35 |
| GUARDUS OVERTUBE |
675.00 |
| GUIDE AMNIOCENTESIS |
798.00 |
| GUIDE NEEDLE FLUORO |
310.00 |
| GUIDE WIRE COOK |
41.00 |
| GUIDE WIRE J WIRE |
48.00 |
| GUIDE WIRE PTFE |
76.00 |
| GUIDEWIRE .32 X 60 |
30.72 |
| GVL STAT 3 |
40.53 |
| GVL STAT 4 |
42.15 |
| GYN OBS EA ADDL HR |
25.00 |
| GYN OBS FIRST HR |
276.00 |
| H PYLORI AG |
289.00 |
| H.PYLOIR IGM QUANT |
83.34 |
| H.PYLORI IGG QUANT |
83.34 |
| H1N1 |
448.00 |
| HALOP CT 2MG 15ML |
9.55 |
| HALOPERIDOL 1MG T |
5.65 |
| HALOPERIDOL 50MG/ML |
460.75 |
| HALOPERIDOL 5MG J |
16.60 |
| HALOPERIDOL 5MG T |
11.20 |
| HAND 2 VIEWS |
174.00 |
| HAND 2 VIEWS |
174.00 |
| HAND BILAT MON 6V |
348.00 |
| HAND BILAT MON 6V |
348.00 |
| HAND COMP LEFT MIN2V |
172.50 |
| HAND COMP LEFT MIN2V |
172.50 |
| HAND COMP LT MIN 2V |
172.50 |
| HAND COMP RT MIN2V |
172.50 |
| HAND COMP RT MIN2V |
172.50 |
| HAND COMPLETE |
174.00 |
| HAND COMPLETE |
174.00 |
| HAND LEFT 2 VIEWS |
285.66 |
| HAND LEFT 2 VIEWS |
285.66 |
| HAND LEFT 2 VIEWS |
285.66 |
| HAND RIGHT 2 VIEWS |
285.66 |
| HAND RIGHT 2V |
285.66 |
| HAPTOGLOBIN |
133.00 |
| HARMONIC ACE 7 SHEAR |
2017.11 |
| HARMONIC ENSAL X1 |
1524.48 |
| HARMONIC FOCUS SHEAR |
1846.11 |
| HARMONIC HD1000ISHEA |
2670.78 |
| HAVIRX |
540.45 |
| HBSAG NEUTRALIZATION |
151.00 |
| HCG SERUM QUAL |
135.00 |
| HCG SERUM QUANT |
192.00 |
| HCOD APAP 7.5 /750MG |
3.80 |
| HCOD,APAP-5/500 T |
3.80 |
| HCTZ 25MG T |
3.80 |
| HCV/RNA NAA QUAL |
165.00 |
| HDL |
139.00 |
| HEART MUSC BLD MULTI |
1404.00 |
| HEART MUSC BLD SING |
3460.08 |
| HEAVY METAL QUANT EA |
590.00 |
| HEEL LEFT MIN 2V |
172.50 |
| HEEL LEFT MIN 2V |
172.50 |
| HEEL RIGHT MIN 2V |
172.50 |
| HEEL RIGHT MIN 2V |
172.50 |
| HEMATOCRIT |
66.00 |
| HEMOCLIP |
176.00 |
| HEMOCYTE F TAB |
4.60 |
| HEMOCYTE PLUS TAB |
7.75 |
| HEMOGLBIN ELECTRO |
184.00 |
| HEMOGLOBIN |
66.00 |
| HEMOGLOBIN A2 QUANT |
76.71 |
| HEMOGLOBIN GLYCAT |
219.00 |
| HEMOGLOBIN ROSETTE |
203.00 |
| HEMORROIDECTOMY |
3336.00 |
| HEMOSIDERIN QUAL |
186.00 |
| HEMOSIDERM QT |
186.00 |
| HEMOSTAT GEL FOAM 50 |
222.00 |
| HEMOSTAT GEL FOAM PW |
395.00 |
| HEMOSTAT GELFILM |
1191.00 |
| HEMOSTAT HELISTAT |
184.00 |
| HEMOSTAT SURGICEL 2 |
336.00 |
| HEP 10U/ML J 50U PFS |
1.31 |
| HEP 1K PMHNS25K |
4.66 |
| HEP A AB IGM |
125.00 |
| HEP A AB TOTAL |
258.00 |
| HEP B CORE AB IGM |
125.00 |
| HEP B CORE AB TOTAL |
67.00 |
| HEP B CORE AB TOTAL |
258.00 |
| HEP B DNA QT BY NA |
516.00 |
| HEP B IG PER ML J |
468.05 |
| HEP B PCR |
448.00 |
| HEP B SURFACE AB |
171.00 |
| HEP B SURFACE AG |
114.00 |
| HEP B VACC ADULT |
461.85 |
| HEP B VACC PED/ADOL |
261.85 |
| HEP BE AB |
199.00 |
| HEP BE AG |
199.00 |
| HEP C AB |
229.00 |
| HEP C RNA PRB PCR QT |
535.00 |
| HEP C RNA QUANT |
536.00 |
| HEP DELTA AG |
270.00 |
| HEPARIN 1000U J 1K |
28.60 |
| HEPARIN 1000U J 5K |
12.00 |
| HEPARIN 1K PMD5 25K |
6.80 |
| HEPARIN ASSAY |
240.00 |
| HEPARIN INJ 10,000 U |
100.95 |
| HEPARIN-INDUCED PLT |
75.00 |
| HEPATIC FUNCT PANEL |
326.00 |
| HERPES SIMPLX V 1/11 |
153.00 |
| HERPES VIR PCR |
508.00 |
| HETEROPHIL SCREEN |
149.00 |
| HGH |
156.00 |
| HIAA 5 |
182.00 |
| HIP BILATERAL |
414.00 |
| HIP BILATERAL |
414.00 |
| HIP COMP MIN |
172.50 |
| HIP COMP MIN 2V LT |
172.50 |
| HIP COMP MIN 2V LT |
172.50 |
| HIP COMP MIN 2V RT |
172.50 |
| HIP FILM IN OR |
339.00 |
| HIP FILM IN OR |
339.00 |
| HIP UNILAT COMPLETE |
211.00 |
| HIP UNILAT COMPLETE |
211.00 |
| HIPS INFANT BILAT |
211.00 |
| HIPS INFANT BILAT |
211.00 |
| HISPEED DRIL COOLANT |
41.00 |
| HISTAMINE DETRMINTN |
46.00 |
| HISTOPLASMA AG EIA |
285.00 |
| HIV RNA QUAL |
122.00 |
| HIV-1 AG EIA |
233.00 |
| HIV-1 PROBE PCR |
533.00 |
| HIV-1 VIRAL LOAD |
533.00 |
| HIV-2 QPCR |
210.00 |
| HLA B27 |
298.00 |
| HLA B57:01 |
260.00 |
| HLA TYPING A/B/C SNG |
536.00 |
| HLA TYPING MULT AG |
815.00 |
| HOLD |
172.00 |
| HOLTER 24HR RECORD |
218.00 |
| HOMATROPINE 2% OS |
301.70 |
| HOMOCYSTINE QUANT |
352.00 |
| HOOD OXYGEN MED |
40.53 |
| HOOD OXYGEN SM |
40.53 |
| HOT/COLD PACKS TX |
56.00 |
| HUBBARD TANK/15 MIN |
55.00 |
| HUMAN EPIDID PROT4 |
302.00 |
| HUMERUS |
174.00 |
| HUMERUS |
174.00 |
| HUMERUS BILAT MIN 4V |
348.00 |
| HUMERUS BILAT MIN 4V |
348.00 |
| HUMERUS LEFT MIN 2V |
172.50 |
| HUMERUS LEFT MIN 2V |
172.50 |
| HUMERUS RIGHT MIN 2V |
172.50 |
| HUMERUS RIGHT MIN 2V |
172.50 |
| HURRICAINE SPR 20% |
323.20 |
| HYALUR RECO 1U J 150 |
2.81 |
| HYCODAN SYRUP 5ML |
10.60 |
| HYDRAL ISOS 37.5/20T |
51.45 |
| HYDRALAZ 10 MG T |
6.10 |
| HYDRALAZ 25 MG T |
5.75 |
| HYDRALAZINE 20MG J |
158.15 |
| HYDRO PEROXIDE 16OZ |
2.80 |
| HYDRO/PRAMOX FM 10G |
791.65 |
| HYDROCOD/APAP 5/325T |
7.85 |
| HYDROCOD/APAP7.5/325 |
7.05 |
| HYDROCOR SS 100MG J |
177.60 |
| HYDROCOR SS 250MG J |
287.55 |
| HYDROCORT .5% 30M |
5.70 |
| HYDROCORT 1% CR/OI |
8.65 |
| HYDROCORT 1% OI 30GM |
10.15 |
| HYDROCORT 2.5% CR |
110.90 |
| HYDROCORT PWD 1GM |
24.35 |
| HYDROM DISP SUCT-IRR |
80.00 |
| HYDROMOR 2MG T |
4.25 |
| HYDROMORPH 0.5MG J |
37.40 |
| HYDROMORPH 1MG J |
9.25 |
| HYDROMORPH 2MG J |
21.55 |
| HYDROXOCOBALAMI 5G J |
3725.50 |
| HYDROXY 10MG T |
3.80 |
| HYDROXY HCL 10MG/5ML |
9.70 |
| HYDROXYCORTICOSTERDS |
182.00 |
| HYDROXYPROGEST 17D |
237.00 |
| HYDROXYPROLINE, TOTA |
264.00 |
| HYDROXYUR 500MG C |
12.70 |
| HYDROXYZ 25MG C |
3.80 |
| HYDROXYZINE 25MG TAB |
10.50 |
| HYDROXYZINE 50MG J |
235.50 |
| HYDRXCHLORQ 200 T |
50.65 |
| HYOSCY 0.375MG SRC |
12.50 |
| HYOSCY GTTS 15ML |
30.60 |
| HYSTEROSALPINGOGRM |
364.00 |
| HYSTEROSALPINGOGRM |
364.00 |
| I&D COMP HEMAT/FLD |
2621.00 |
| I&D COMP HEMAT/FLD |
2621.00 |
| I&D COMP SKIN ABSC |
853.00 |
| I&D COMP SKIN ABSC |
853.00 |
| I&D PERINEAL ABSCESS |
2542.00 |
| I&D SMPL LESION PUNC |
426.00 |
| I&D SMPL PILON CYST |
674.00 |
| I&D SMPL PILON CYST |
674.00 |
| I&D SMPL SKIN ABSC |
451.00 |
| I&D SMPL SKIN ABSC |
451.00 |
| I&D VULVA/PERINEAL A |
2542.00 |
| IBERET-FOLIC-500 TAB |
11.50 |
| IBUPRO SUSP 100MG/5M |
2.65 |
| IBUPROFEN |
192.00 |
| IBUPROFEN 200MG T |
.25 |
| IBUPROFEN 400MG T |
.25 |
| IBUPROFEN 600MG T |
3.00 |
| IBUPROFEN 800MG T |
3.80 |
| IC URINEMETER FT 18F |
224.52 |
| IC URINMETER FT 16FR |
224.52 |
| ICE PACKS |
1.00 |
| ICU |
1847.00 |
| ICU |
1847.00 |
| ICU |
1847.00 |
| ICU PRIV ISOL |
2681.00 |
| ICU PRIV ISOL |
2681.00 |
| IGA IGD IGG OR IGM |
142.00 |
| IGE |
196.00 |
| IGE RABBIT MEAT |
25.00 |
| IGE RABBIT SKIN/DDER |
25.00 |
| IGF P-3 |
255.00 |
| IGG 1,2,3,4 EA |
289.00 |
| IM/SQ INJECTION |
146.00 |
| IMIP/CIL 250MG J .5G |
103.73 |
| IMIPENEM 250MG J |
118.55 |
| IMIPRAMINE 25MG T |
10.05 |
| IMIPRAMNE |
192.00 |
| IMIQUIMOD 5% CR PK |
216.95 |
| IMM GLOB LIQ 500MG J |
404.43 |
| IMMOB KNEE |
40.00 |
| IMMOBILIZ IV PED/INF |
7.00 |
| IMMOBILIZER IV ADULT |
2.00 |
| IMMUN ADMIN 1 VACC |
108.00 |
| IMMUN ADMIN 1 VACC |
108.00 |
| IMMUN ADMIN 1 VACC |
108.00 |
| IMMUN ADMIN 1 VACC |
133.46 |
| IMMUN ADMIN 1 VACINE |
108.00 |
| IMMUNOELECTRO SERUM |
272.00 |
| IMMUNOFIX ELECTROPH |
256.00 |
| IMMUNOFIXATION UR |
162.30 |
| IMMUNOHISTOCHEMISTRY |
246.00 |
| IMP ANCH/STPLS GRP A |
355.00 |
| IMP ANCH/STPLS GRP B |
711.00 |
| IMP ANCH/STPLS GRP C |
1066.00 |
| IMP ANCH/STPLS GRP D |
1421.00 |
| IMP BARS GRP A |
1421.00 |
| IMP BN ART/AUG GRP D |
2843.00 |
| IMP BN ART/AUG GRP F |
4264.00 |
| IMP BN ART/AUG GRP G |
4975.00 |
| IMP BN ART/AUG GRP I |
6396.00 |
| IMP BREAST GRP A |
711.00 |
| IMP BREAST GRP B |
1421.00 |
| IMP BREAST GRP C |
2132.00 |
| IMP BREAST GRP D |
2843.00 |
| IMP BREAST GRP E |
3553.00 |
| IMP BREAST GRP F |
4264.00 |
| IMP BREAST GRP G |
4975.00 |
| IMP BREAST GRP H |
5685.00 |
| IMP BREAST GRP I |
6396.00 |
| IMP CLAMPS GRP A |
2132.00 |
| IMP CLAMPS GRP B |
2843.00 |
| IMP EXFIX GRP A |
355.00 |
| IMP EXFIX GRP B |
711.00 |
| IMP EXFIX GRP C |
1066.00 |
| IMP EXFIX GRP D |
1421.00 |
| IMP EXFIX GRP E |
1777.00 |
| IMP EXFIX GRP F |
2132.00 |
| IMP EXFIX GRP G |
2487.00 |
| IMP EXFIX GRP H |
2843.00 |
| IMP EXFIX GRP I |
3198.00 |
| IMP FOOT JOINT GRP A |
711.00 |
| IMP FOOT JOINT GRP B |
1421.00 |
| IMP FOOT JOINT GRP C |
2132.00 |
| IMP FOOT JOINT GRP D |
2843.00 |
| IMP FOOT JOINT GRP E |
3553.00 |
| IMP FOOT JOINT GRP F |
4264.00 |
| IMP FOOT JOINT GRP G |
4975.00 |
| IMP FOOT JOINT GRP H |
5685.00 |
| IMP FOOT JOINT GRP I |
6396.00 |
| IMP HIP JOINT GRP A |
711.00 |
| IMP HIP JOINT GRP B |
1421.00 |
| IMP HIP JOINT GRP C |
2132.00 |
| IMP HIP JOINT GRP D |
2843.00 |
| IMP HIP JOINT GRP E |
3553.00 |
| IMP HIP JOINT GRP F |
4264.00 |
| IMP HIP JOINT GRP G |
4975.00 |
| IMP HIP JOINT GRP H |
5685.00 |
| IMP HIP JOINT GRP I |
6396.00 |
| IMP HOOKS GRP A |
2132.00 |
| IMP HOOKS GRP B |
2843.00 |
| IMP IOL GRP A |
355.00 |
| IMP IOL GRP B |
711.00 |
| IMP IOL GRP C |
1066.00 |
| IMP IOL GRP D |
1421.00 |
| IMP IOL SP CARVE OUT |
1777.00 |
| IMP IOL SP CARVE OUT |
1777.00 |
| IMP IOL SP CARVE OUT |
1777.00 |
| IMP IOL SP CARVE OUT |
1777.00 |
| IMP IOL SP CARVE OUT |
1777.00 |
| IMP KNEE JOINT GRP A |
711.00 |
| IMP KNEE JOINT GRP B |
1421.00 |
| IMP KNEE JOINT GRP C |
2132.00 |
| IMP KNEE JOINT GRP D |
2843.00 |
| IMP KNEE JOINT GRP E |
3553.00 |
| IMP KNEE JOINT GRP F |
4264.00 |
| IMP KNEE JOINT GRP G |
4975.00 |
| IMP KNEE JOINT GRP H |
5685.00 |
| IMP KNEE JOINT GRP I |
6396.00 |
| IMP MESH COMPOSIX LG |
3757.00 |
| IMP MESH GRP B |
512.00 |
| IMP MESH GRP E |
1843.00 |
| IMP MESH GRP Z |
1764.00 |
| IMP MESH PLUG |
832.00 |
| IMP MIDDLE EAR GRP A |
711.00 |
| IMP MIDDLE EAR GRP B |
1421.00 |
| IMP MIDDLE EAR GRP C |
2132.00 |
| IMP MIDDLE EAR GRP D |
2843.00 |
| IMP MIDDLE EAR GRP E |
3553.00 |
| IMP MIDDLE EAR GRP F |
4264.00 |
| IMP MIDDLE EAR GRP G |
4975.00 |
| IMP MIDDLE EAR GRP H |
5685.00 |
| IMP MIDDLE EAR GRP I |
6396.00 |
| IMP NAILS GRP A |
956.00 |
| IMP PENILE GRP A |
711.00 |
| IMP PENILE GRP B |
1421.00 |
| IMP PENILE GRP C |
2132.00 |
| IMP PENILE GRP D |
2843.00 |
| IMP PENILE GRP E |
3553.00 |
| IMP PENILE GRP F |
4264.00 |
| IMP PENILE GRP G |
4975.00 |
| IMP PENILE GRP H |
5685.00 |
| IMP PENILE GRP I |
6396.00 |
| IMP PHALANGES GRP A |
711.00 |
| IMP PHALANGES GRP B |
1421.00 |
| IMP PHALANGES GRP C |
2132.00 |
| IMP PHALANGES GRP D |
2843.00 |
| IMP PHALANGES GRP E |
3553.00 |
| IMP PHALANGES GRP F |
4264.00 |
| IMP PHALANGES GRP G |
4975.00 |
| IMP PHALANGES GRP H |
5685.00 |
| IMP PHALANGES GRP I |
6396.00 |
| IMP PINS/WIRES GRP B |
711.00 |
| IMP PINS/WIRES GRP E |
1777.00 |
| IMP PINS/WIRES GRP F |
2132.00 |
| IMP PINS/WIRES GRP G |
2487.00 |
| IMP PINS/WIRES GRP H |
2843.00 |
| IMP PLATE GRP C |
1066.00 |
| IMP PLATE GRP F |
2132.00 |
| IMP PLATE GRP H |
2843.00 |
| IMP PLATE GRP I |
3198.00 |
| IMP PLATE GRP J |
3553.00 |
| IMP PLATE GRP K |
3909.00 |
| IMP PLATE GRP L |
4264.00 |
| IMP PLATE GRP N |
4975.00 |
| IMP PLATE GRP O |
5330.00 |
| IMP PM LEADS GRP A |
4264.00 |
| IMP PM LEADS GRP B |
5685.00 |
| IMP PM LEADS GRP C |
7106.00 |
| IMP PM LEADS GRP D |
8528.00 |
| IMP PM NPT GEN GRP A |
21319.00 |
| IMP PM NPT GEN GRP B |
24873.00 |
| IMP PM NPT GEN GRP C |
28426.00 |
| IMP PM NPT GEN GRP D |
31662.00 |
| IMP PORT INDWELLING |
1185.00 |
| IMP RODS GRP D |
4264.00 |
| IMP RODS GRP E |
4975.00 |
| IMP RODS GRP F |
5685.00 |
| IMP RODS GRP H |
7106.00 |
| IMP RODS GRP I |
7817.00 |
| IMP RODS GRPG |
6396.00 |
| IMP SCREW GRP C |
1066.00 |
| IMP SHLD JOINT GRP A |
711.00 |
| IMP SHLD JOINT GRP B |
1421.00 |
| IMP SHLD JOINT GRP C |
2132.00 |
| IMP SHLD JOINT GRP D |
2843.00 |
| IMP SHLD JOINT GRP E |
3553.00 |
| IMP SHLD JOINT GRP F |
4264.00 |
| IMP SHLD JOINT GRP G |
4975.00 |
| IMP SHLD JOINT GRP H |
5685.00 |
| IMP SHLD JOINT GRP I |
6396.00 |
| IMP VASCULAR GRP F |
2618.00 |
| IMP VASCULAR GRP H |
4264.00 |
| IMP WSHR/NUTS GRP B |
711.00 |
| IMP WSHR/NUTS GRP C |
1066.00 |
| IMPLANT APLE INC 2.5 |
939.00 |
| IMPLANT GOLD TOR 8.0 |
1081.00 |
| IMP-PINS/WIRES GRP A |
355.00 |
| INANT LOW EXT BILAT |
345.00 |
| INANT LOW EXT BILAT |
345.00 |
| INCENT SPIRO EQUIP |
26.00 |
| INCISN OF BRST LION |
4034.00 |
| INDIA INK |
126.00 |
| INDIA INK PREP |
168.00 |
| INDIGO CAR 5ML INJ |
958.75 |
| INDINAVIR 400MG C |
35.10 |
| INDOCYANINE GREEN |
2674.20 |
| INDOCYANINE GREEN |
3740.60 |
| INDOMETH 25MG C |
4.60 |
| INDOMETH 50MG C |
9.90 |
| INDOMETH RS 50MG |
28.85 |
| INDUCTION |
289.00 |
| INF AGENT-EA ORGANIS |
61.00 |
| INF INTRAOS NEED 18G |
176.25 |
| INF THER NON-CHEMO |
3045.00 |
| INFANT LOW EXT LT 2V |
172.50 |
| INFANT LOW EXT LT 2V |
172.50 |
| INFANT LOW EXT RT 2V |
172.50 |
| INFANT LOW EXT RT 2V |
172.50 |
| INFANT UPPER EXT BIL |
571.32 |
| INFANT UPPER EXT LT |
285.66 |
| INFANT UPPER EXT LT |
285.66 |
| INFANT UPPER EXT RT |
285.66 |
| INFANT UPPER EXT RT |
285.66 |
| INFANT UPPER EXTREM |
174.00 |
| INFANT UPPER EXTREM |
174.00 |
| INFECT AGENT GENOTYP |
670.00 |
| INFECT DISEASE RISK |
368.00 |
| INFLU IA DIR OPT OBS |
84.00 |
| INFLUENZA A VIR-DFA |
61.00 |
| INFLUENZA A/B AB QNT |
75.00 |
| INFLUENZA B VIR DFA |
61.00 |
| INFRARED/VISIT |
30.00 |
| INGUINAL HERNIA REPA |
110.35 |
| INJ EPIDURAL PATCH |
1013.00 |
| INJ GOLD PROBE |
840.00 |
| INJ HT CATH AORTOGRA |
650.00 |
| INJ HT CATH CORO ART |
1748.00 |
| INJ HT CATH PULM ANG |
1236.00 |
| INJ HT CTH VEN BYPAS |
596.00 |
| INJ NERVE BLOCK PERI |
842.00 |
| INJ PROC SEL RV/RA A |
308.00 |
| INJ SNGL-MULTI PTS |
579.00 |
| INJ TNDN/LIGMNT/CYST |
330.00 |
| INJ TRIG/TEN/LIG |
330.00 |
| INJECTION IA |
248.00 |
| INJECTION IV |
248.00 |
| INJECTION IV PUSH |
248.00 |
| INJECTION SC/IM |
248.00 |
| INJECTION SQ/IM |
248.00 |
| INJECTION SUBQ/IM |
248.00 |
| INJECTION SUBQ/IM |
248.00 |
| INS A MIX 5U PFS 3ML |
9.86 |
| INS ASP 5U J 100U |
15.31 |
| INS ASP 5U PFS 3ML |
9.86 |
| INS DETEM 5U PFS 3ML |
8.15 |
| INS GLAR 5U P3 |
7.50 |
| INS HUM 70/30 5UX60 |
5.62 |
| INS HUM N 5U X 60 |
5.62 |
| INS HUM R 5U X 60 |
5.62 |
| INS LISP 5U J 100U |
14.54 |
| INS LISP 5U P3 |
9.36 |
| INS LISP 75/25 5U P3 |
9.36 |
| INS PM GENERATOR SGL |
21194.64 |
| INS PM TRNS ATR/VENT |
28598.49 |
| INS PM TRNS ELCT ATR |
28598.49 |
| INS PM TRNS VENTR |
28598.49 |
| INSERT CATH SVC/IVC |
240.00 |
| INSERT IAB DEV PERC |
3276.00 |
| INSERT URINARY CATH |
179.00 |
| INSORBSUBSTAPLER |
154.18 |
| INSULIN GROWTH FAC 1 |
118.00 |
| INSULIN GROWTH FAC 2 |
75.00 |
| INSULIN TOTAL |
270.00 |
| INT B SERON |
715.00 |
| INT CATH RT HT/PULM |
245.00 |
| INTR CATH/STNT URTR- |
7723.25 |
| INTRAOSSEOUS NEEDLE |
390.00 |
| INTRAVASC ULTRASOUND |
2498.00 |
| INTRO CATH AORTA |
298.00 |
| INTRO CATH REN PELV |
3039.06 |
| INTRO CATH REN PELV |
3039.06 |
| INTRO CATH RENAL PEL |
4996.44 |
| INTRO GUIDE RENAL PE |
7724.25 |
| INTRO NDL VEIN/I V S |
71.00 |
| INTRO NEED/CATH VEIN |
450.00 |
| INTUBATION EMERGENCY |
921.00 |
| INTUBATION ENDOTRACH |
921.00 |
| INTUBATION GASTRIC |
705.75 |
| INTUBATION SUPPLIES |
315.00 |
| I-O STRATOFIX PDS SU |
121.37 |
| IODINE STR 5% 8ML |
71.65 |
| IODINE STR 7% 30ML |
159.95 |
| IODINE TINCT 2% TIN |
24.35 |
| IONTOPHORESIS/15 MIN |
66.00 |
| IPECAC 30ML |
7.70 |
| IPRATROP 17MCG INH |
1866.05 |
| IPV VENTILATION INIT |
407.79 |
| IPV VENTILATION SUB |
129.72 |
| IRON |
139.00 |
| IRON BINDNG CAPACITY |
139.00 |
| IRON DEXTRAN 50MG J |
176.60 |
| IRRIG HYDRO SURG PLU |
122.19 |
| IRRIGATER STRYKFLOW2 |
121.89 |
| IRRIGATION BLADDER |
519.00 |
| ISDN 10MG T |
3.00 |
| ISDN 20MG T |
13.75 |
| ISMN 30MG T |
12.80 |
| ISONIAZID 300MG T |
14.75 |
| ISONIAZID SYR 50MG/5 |
49.85 |
| ISOPROPANOL |
166.00 |
| ISOPROTERENOL .2 MG |
361.50 |
| ISOSORBIDE DN 40MG T |
6.10 |
| ISRADIPINE 2.5MG C |
8.45 |
| ITRACON 100MG C |
106.95 |
| IV AMINO AC 10% 500 |
182.50 |
| IV BRANCH CAA 4% 500 |
393.00 |
| IV BUTTERFLY |
2.00 |
| IV CEFTRIA.25G PM 1G |
42.89 |
| IV CEFTRIA.25G PM 2G |
4.93 |
| IV D10W 1000ML |
89.65 |
| IV D5 .33 NS 1000ML |
92.00 |
| IV D5 .45NACL 20KCL |
70.15 |
| IV D5 W 20KCL 1000ML |
106.25 |
| IV D5.9NS 20KCL 1000 |
101.20 |
| IV D5/.2NS 20KCL1000 |
110.80 |
| IV D5/0.2NS 1000ML |
73.75 |
| IV D5/0.45NS 1000ML |
64.15 |
| IV D5/0.45NS 500ML |
103.00 |
| IV D5/LR 1000ML |
64.85 |
| IV D5/NS 500ML J 1L |
30.53 |
| IV D50W 500ML |
149.40 |
| IV D5W .33 NACL 500M |
8.00 |
| IV D5W 100ML ADV |
68.75 |
| IV D5W 100ML IVPB |
31.95 |
| IV D5W 150ML IVPB |
92.10 |
| IV D5W 250ML |
46.85 |
| IV D5W 500ML |
48.70 |
| IV D5W 500ML J 1L |
30.13 |
| IV D5W 50ML IVPB |
32.30 |
| IV DEX 10% 250ML |
65.55 |
| IV DEX 5% 250ML EXCE |
39.45 |
| IV DEX 5% ADV 50ML |
68.75 |
| IV DIAL-A-FLOW |
147.60 |
| IV DOBUT 250MG PM |
203.65 |
| IV DOP 400MG /D5 500 |
14.73 |
| IV DOPAM 40MG PM 800 |
8.98 |
| IV ETOH 10%D5W 1L |
204.00 |
| IV FLUC 200MG PM |
83.10 |
| IV FLUC 200MG PM 400 |
84.68 |
| IV FLUID FOR HYDRATI |
454.00 |
| IV FLUID HYD ADD 1HR |
130.00 |
| IV FLUID HYDR ADD HR |
159.00 |
| IV FLUID MED ADD HR |
130.00 |
| IV FLUID W MED EC HR |
146.00 |
| IV FLUID W/ MEDS |
532.00 |
| IV FLUID WITH MED |
454.00 |
| IV FLUID-HYDRATION |
454.00 |
| IV HESPAN 6/.9 NS |
180.80 |
| IV INF ADD HOURS |
130.00 |
| IV INF ADD HOURS |
130.00 |
| IV INF MEDICATION |
519.54 |
| IV INF MEDICATION |
519.54 |
| IV INF PREPACKED |
454.00 |
| IV INF PREPACKED |
454.00 |
| IV INFUS ADD HOURS |
130.00 |
| IV INFUS MEDICATION |
454.00 |
| IV INFUSION PREPACK |
454.00 |
| IV INJ ADD NEW DRUG |
248.00 |
| IV INJ ADD NEW MED |
146.00 |
| IV INJ ADD SAME DRUG |
248.00 |
| IV INJ INIT IV PU |
322.84 |
| IV INJ SAME MED |
146.00 |
| IV INJECTION SITE |
10.00 |
| IV LAC RING 1L J |
61.25 |
| IV LACT RINGERS 500M |
54.70 |
| IV LEVOFL.25G PM |
63.70 |
| IV LEVOFL.25G PM 500 |
46.55 |
| IV LEVOFL.25G PM 750 |
34.35 |
| IV LIDO 10MG PM 2G |
.40 |
| IV LINEZOLID 200/100 |
119.37 |
| IV LIPID 20% 500ML |
329.55 |
| IV MAG 500MG PM 20G |
1.94 |
| IV MAG 500MG PM 2GM |
193.95 |
| IV MAG 500MG PM 4GM |
.48 |
| IV MANN 20% 500ML |
416.45 |
| IV MEROP 100MG PM |
26.28 |
| IV MORPH 10MG PM50MG |
.76 |
| IV NACL .09 20KCL |
101.20 |
| IV NACL .45 20KCL 1L |
85.85 |
| IV NACL 0.45% 1000ML |
68.20 |
| IV NACL 0.45% 500ML |
101.00 |
| IV NACL 0.9 150ML |
92.10 |
| IV NACL 0.9% 100ML |
29.75 |
| IV NACL 0.9% 100ML A |
68.75 |
| IV NACL 0.9% 250ML |
46.60 |
| IV NACL 0.9% 50ML IV |
27.70 |
| IV NACL 3% 500ML |
75.35 |
| IV NITRO 50MG D5 250 |
204.55 |
| IV NOREPINEP 16MG PM |
296.70 |
| IV NOREPINEPH 8MG PM |
3.80 |
| IV NS .9% 500ML J |
50.10 |
| IV NS .9% 500ML J 1L |
29.25 |
| IV OXTOCIN10U PM 30 |
97.59 |
| IV PHENYLE 10MG PM40 |
27.46 |
| IV PREPACK ADD HOURS |
130.00 |
| IV PREPACK ADD HOURS |
130.00 |
| IV PREPACK ADD HRS |
130.00 |
| IV PROCALAM 1000ML |
310.20 |
| IV PUMP LEASE AGREE |
1270.00 |
| IV PUSH ADD DRUG |
248.00 |
| IV PUSH ADD DRUG |
248.00 |
| IV PUSH ADD DRUG |
248.00 |
| IV PUSH DIFF MED |
248.00 |
| IV PUSH DIFF MED |
248.00 |
| IV PUSH DIFF MED |
248.00 |
| IV START KIT PEDI |
8.25 |
| IV STENT PLACEMENT |
2415.00 |
| IV TPN KABI 1.5L PMJ |
340.15 |
| IV WATER ST 1000ML I |
105.10 |
| IVD5W/NACL .33 20KCL |
110.00 |
| IVERMECTIN 3MG T |
64.40 |
| IVP |
680.00 |
| IVP |
680.00 |
| IVPB CEFAZOLIN 500MG |
.95 |
| IVPB CLINDAM 300MG |
113.45 |
| IVPB CLINDAM 600MG |
149.50 |
| IVPB CLINDAM 900MG |
182.65 |
| IVPB FAMOT 20MG/50ML |
66.45 |
| IVPB GENTAMI 80MG |
47.30 |
| IVPB GENTAMI 80MG PM |
29.15 |
| IVPB KCL 10 MEQ/100M |
46.85 |
| IVPB KCL20MEQ/100ML |
48.45 |
| IVPB LEVETIR 10MG 1G |
3.75 |
| IVPB METRONID 500MG |
25.05 |
| IVPB MIDAZ 1MG/ML 50 |
3.80 |
| IVPB PIPR TAZ 4.5G |
264.60 |
| IVPBNACL .9 ADV 50ML |
68.75 |
| JELLY VASS STRIPS |
1.00 |
| JEVITY 240ML |
5.15 |
| JEVITY PLUS 240ML |
6.10 |
| KALETRA 100/25MG T |
59.10 |
| KANAMYCIN 1GM J |
5.15 |
| KAOLIN,PECTIN 30ML K |
.40 |
| KARL DISPOSABLE SCIS |
101.25 |
| KCENTRA |
36.25 |
| KEPPRE LEVEL |
187.00 |
| KERI LOTION 6.5 OZ |
7.05 |
| KERLIX BANDAGE (RI) |
3.00 |
| KETAMINEHCL 100MG MD |
161.30 |
| KETOCON CR 2% 15G |
272.55 |
| KETOCONA 200MG T |
43.60 |
| KETOROL 0.5% OS |
471.25 |
| KETOROL TR 10MGT |
26.10 |
| KETOROLA 15MG J 60MG |
9.95 |
| KETOROLAC 15MG J 30 |
34.63 |
| KETOSTER 17 TOTAL UA |
137.00 |
| KIT 20FRMIC REGSAF |
562.58 |
| KIT CATH INFANT |
14.00 |
| KIT CHOLANGIO DISP |
273.00 |
| KIT DRAIN PLEURX |
323.00 |
| KIT DRESSING CHANGE |
54.00 |
| KIT EZ PREP |
12.05 |
| KIT GJENDO 16FRX30CM |
666.15 |
| KIT I.V. START |
12.75 |
| KIT INTRODUCER |
357.00 |
| KIT IV TRANSPAC |
31.95 |
| KIT JTUBE INTRODUCER |
633.33 |
| KIT LAP CHOLE |
1779.00 |
| KIT MATERNITY |
30.00 |
| KIT NEONATE |
123.00 |
| KIT OB VAC EXTRACT |
97.00 |
| KIT PEDIATRIC |
504.00 |
| KIT PEG - PONSKY |
303.00 |
| KIT PEG PULL 20 FR |
281.49 |
| KIT PERI CLENZ |
11.00 |
| KIT PLEURX CATHETER |
2709.00 |
| KIT PNEUMOTHORAX |
362.00 |
| KIT PRESSURE MONITOR |
101.00 |
| KIT SHAVE PREP DISP |
3.00 |
| KIT SUCTION |
4.00 |
| KIT SUTURE REMOVAL |
3.00 |
| KIT TRACH EMERGENCY |
105.00 |
| KLEIHAUER-BETKE STAI |
203.00 |
| KNE COMP BILAT MIN3V |
366.00 |
| KNE COMP BILAT MIN6V |
366.60 |
| KNEE 2 VIEWS |
174.00 |
| KNEE 2 VIEWS |
174.00 |
| KNEE AP ERECT BILAT |
348.00 |
| KNEE AP ERECT BILAT |
348.00 |
| KNEE COMP LT 3V |
172.50 |
| KNEE COMP LT 3V |
172.50 |
| KNEE COMP RT 3V |
172.50 |
| KNEE COMP RT 3V |
172.50 |
| KNEE COMP W/PATELLA |
213.00 |
| KNEE COMP W/PATELLA |
213.00 |
| KNEE COMPLETE |
183.00 |
| KNEE COMPLETE |
183.00 |
| KNEE LT 2 VIEWS |
172.50 |
| KNEE LT 2 VIEWS |
172.50 |
| KNEE LTD BILAT 4V |
345.00 |
| KNEE LTD BILAT 4V |
345.00 |
| KNEE PATELLA BILAT 8 |
571.32 |
| KNEE PATELLA LT 4VMI |
285.66 |
| KNEE PATELLA LT 4VMI |
285.66 |
| KNEE PATELLA RT 4VMI |
285.66 |
| KNEE PATELLA RT 4VMI |
285.66 |
| KNEE RT 2 VIEWS |
172.50 |
| KNEE RT 2 VIEWS |
172.50 |
| KNEE SUP W/OPEN PATE |
33.00 |
| KNIFE MYRINGOTOMY |
24.00 |
| KOOL KIT HYPO TX |
1607.00 |
| L HOOK DISPOSABLE |
86.13 |
| L&D OVS EA ADDL HOUR |
25.00 |
| L&D OVS FIRST HOUR |
1484.79 |
| L.T.A.-II KIT |
264.60 |
| L/S RATIO |
338.00 |
| LABETAL 100MG/20 J |
46.95 |
| LABETALOL 200MG T |
9.10 |
| LABOR RM/HR |
229.00 |
| LAC ACID BODY FLUID |
63.00 |
| LACRILUBE OINT 3.5GM |
87.25 |
| LACTASE 3300 IU T |
55.75 |
| LACTIC ACID |
131.00 |
| LACTOB,BUL T |
4.35 |
| LACTOB,BULG PKT |
1.80 |
| LACTOFERRIN |
193.00 |
| LACTULOSE 30ML |
34.25 |
| LAMICTAL |
165.00 |
| LAMIV/AZT 150/300 T |
156.45 |
| LAMIVUDINE 150MG T |
82.60 |
| LAMIVUDINE OS 10MG/M |
6.35 |
| LAMOTRIGINE 100MG T |
54.80 |
| LAMOTRIGINE 25MG T |
50.65 |
| LANGUAGE SCREEN |
105.00 |
| LANSOPRAZ 15MG C |
58.90 |
| LANSOPRAZ 30MG SOLUT |
75.45 |
| LANSOPRAZOLE 30 SRC |
58.90 |
| LANSOPRAZOLE 30MG J |
219.05 |
| LAP APPY |
154.49 |
| LAP BILIARY STENT |
1890.00 |
| LAP CHOLE |
176.56 |
| LAP CHOLECYSTECTOMY |
12900.00 |
| LAP G TUBE/PARACENT |
8120.98 |
| LAP SMOKE EVAC SYST |
102.00 |
| LAP SMOKE EVAC SYST |
105.00 |
| LAPAROSCOPIC APPENDE |
154.49 |
| LAPAROSCOPIC APPENDE |
154.49 |
| LAPAROSCOPIC CHOLECY |
176.56 |
| LAPAROSCOPIC CHOLECY |
176.56 |
| LARGE FOAM KIT SUCT |
106.55 |
| LARGE LEFT ANKLE |
49.92 |
| LARGE RT ANKLE |
49.92 |
| LATANOPROST OS 2.5ML |
195.95 |
| LATE CLOSURE WOUND |
4834.00 |
| LDH ISOENZYMES |
313.00 |
| LDH SERUM |
139.00 |
| LDL |
139.00 |
| LEAD |
135.00 |
| LEE & WHITE COAGULAT |
223.00 |
| LEGGINGS STERILE |
7.20 |
| LEGIONELLA AG DFA |
231.00 |
| LEGIONELLA AG EIA |
182.00 |
| LEGIONELLA PNEU-DFA |
61.00 |
| LENS MORGAN EYE |
93.00 |
| LESS THAN 15 MINUTES |
130.00 |
| LEUCOVORIN 5MG T |
37.50 |
| LEUKOCYTE ALK PHOS |
252.00 |
| LEVALBUT 0.1.25/3ML |
77.30 |
| LEVALBUT 0.63/3ML AE |
119.65 |
| LEVETIR 10MG J 500MG |
1.06 |
| LEVETIRACET 100MG/ML |
8.30 |
| LEVETIRACETAM 250MG |
33.10 |
| LEVOBUNO 0.5% OS 5ML |
332.25 |
| LEVOCARN 100MG/ML OS |
3.00 |
| LEVOFLOX 250MG J 500 |
168.90 |
| LEVOFLOX 250MG J 750 |
124.68 |
| LEVOFLOX 250MG T |
148.35 |
| LEVOFLOX 500MG T |
169.55 |
| LEVOFLOX 750MG T |
221.10 |
| LEVOTHROX 88 MCG T |
6.35 |
| LEVOTHYR 200MCG J |
320.85 |
| LEVOTHYROX 112 MCG T |
17.90 |
| LEVOTHYROX 25 MCG T |
5.40 |
| LEVOTHYROX 50MCG T |
6.10 |
| LG CURRETAGE CANN |
20.70 |
| LH |
174.00 |
| LID/EPI 1% 20ML MDV |
51.95 |
| LID/EPI 1% MPF 10ML |
102.10 |
| LID/EPI 1% MPF 30ML |
67.25 |
| LIDO 0.5% MPF 50ML |
126.90 |
| LIDO 1%/EPI 50CC |
70.25 |
| LIDO 2% JELLY 30ML |
565.95 |
| LIDO 2% MPF POLYAMP |
43.15 |
| LIDO 2% VISC 20ML |
12.45 |
| LIDO DEX SPIN 5% 2M |
110.25 |
| LIDO MPF/EPI 2% 20ML |
190.10 |
| LIDO TS 4% 50ML |
362.40 |
| LIDO URO GEL 2% 20ML |
92.45 |
| LIDO URO GEL 2% EACH |
88.75 |
| LIDOC,EPI 2% 20ML |
62.10 |
| LIDOCAINE |
190.00 |
| LIDOCAINE 1% 20ML |
40.85 |
| LIDOCAINE 1% 2ML J |
22.75 |
| LIDOCAINE 1% 50ML J |
38.65 |
| LIDOCAINE 1% 5ML J |
30.80 |
| LIDOCAINE 1% MPF 10M |
23.40 |
| LIDOCAINE 2% 100MGC |
44.65 |
| LIDOCAINE 2% 5ML J |
37.75 |
| LIDOCAINE 4% MPF 5ML |
3.30 |
| LIDOCAINE PATCH |
108.00 |
| LIGASUR10MM37CM ATLA |
1699.05 |
| LIGASUR5MM37CM BLUNT |
1423.02 |
| LIGASURE ATLAS 20CM |
524.00 |
| LIGASURE ATLAS 37CM |
595.00 |
| LIGASURE IMPACT |
1853.67 |
| LIGASURE MARYLAND 23 |
1535.31 |
| LIGASURE MD 37 CM |
1534.02 |
| LIGSUR10MM20CM ATLAS |
1498.05 |
| LIMBHOLDER |
57.00 |
| LINDANE LOT 60ML |
585.40 |
| LINDANE SH 60ML |
585.40 |
| LINEZOLID 600MG T |
810.00 |
| LIPASE |
139.00 |
| LIPID PANEL |
362.00 |
| LIPOPROTEIN ELECTRPH |
282.00 |
| LISINOPRIL 10MG T |
10.85 |
| LISINOPRIL 2.5MG T |
7.40 |
| LITH CARB 300MG C |
3.80 |
| LITH CARB 450 SRT |
9.20 |
| LITHIUM |
139.00 |
| LITHO EXTCORP SHOCK |
10584.36 |
| LITHOTRIPSY ADDL |
1733.00 |
| LIV-KID MICROSOMALAB |
88.00 |
| LMA AIR Q 3.5 |
67.86 |
| LMA AIR Q 4.5 |
67.44 |
| LMA DISPOS SIZE 1.5 |
44.00 |
| LMA DISPOS SIZE 2.5 |
44.00 |
| LMA SIZE #3 |
20.40 |
| LMA SIZE #4 |
20.40 |
| LMA SUPREME SZ 3 |
114.33 |
| LMA SUPREME SZ 4 |
114.33 |
| LONE STAR RETRACTOR |
335.40 |
| LOOP EXTRALARGE BRUC |
643.32 |
| LOOP MESSROGHLI SUPR |
643.32 |
| LOOP VESSEL |
4.00 |
| LOPERA 2MG/10ML |
1.00 |
| LOPERAMIDE 2MG C |
1.85 |
| LOPINAV/RITONAV CAP |
39.80 |
| LOPINAV/RITONAV SUSP |
193.55 |
| LOPINAV/RITONAV TAB |
103.20 |
| LORATAD10/10 10ML |
2.90 |
| LORATADINE 10MG T CL |
26.20 |
| LORAZEPAM 1MG T |
3.80 |
| LORAZEPAM 2MG J |
40.40 |
| LORAZEPAM 2MG J 40MG |
7.96 |
| LOSARTAN K 25MG T |
13.60 |
| LOW EXT INFNT UNILAT |
174.00 |
| LOW EXT INFNT UNILAT |
174.00 |
| LOW LEVEL OP PROC |
225.00 |
| LOW LEVEL OP PROCED |
500.00 |
| L-SPINE FLEX-EXT |
348.00 |
| L-SPINE FLEX-EXT |
348.00 |
| LUMBAR MYELOGRAM |
750.00 |
| LUMBAR MYELOGRAM |
750.00 |
| LUMBAR MYELOGRAM W/I |
1366.11 |
| LUMBAR PUNCT DIAG |
852.00 |
| LUMBAR PUNCTURE DX |
852.00 |
| LUMBAR SPINE AP/LAT |
190.00 |
| LUMBAR SPINE AP/LAT |
190.00 |
| LUMBAR SPINE COMPLET |
404.00 |
| LUMBAR SPINE COMPLET |
404.00 |
| LUPUS ANTICOAGULANT |
366.00 |
| LYME PCR |
550.00 |
| LYMPHOCYTE TRANSFORM |
489.00 |
| LYR CLS <2.5CM INT F |
936.00 |
| LYR CLS <2.5CM INT N |
811.00 |
| LYR CLS <2.5CM INT S |
738.00 |
| LYR CLS 12.6-20CM IN |
1523.00 |
| LYR CLS 2.6-5.0CM IN |
969.00 |
| LYR CLS 2.6-7.5CM IN |
971.00 |
| LYR CLS 2.6-7.5CM IN |
999.00 |
| LYR CLS 20.1-30CM IN |
2127.00 |
| LYR CLS 5.1-7.5CM IN |
1065.00 |
| LYR CLS 7.6-12.5CM I |
1023.00 |
| LYR CLS 7.6-12.5CM I |
1083.00 |
| LYR CLS 7.6-12.5CM I |
1185.00 |
| LYSERGIC ACID DIE UR |
126.00 |
| M AVIUM PROBE |
267.00 |
| M PNEUMONIAE DNA PRO |
121.77 |
| MAALOX PLUS 30ML |
8.10 |
| MAG 50% 500MG J 10ML |
4.97 |
| MAG 50% 500MG J 2ML |
10.90 |
| MAG CAR/AL OH/A 30ML |
.90 |
| MAG CITRATE 300ML |
4.25 |
| MAG CL EL 64MG SRT |
3.80 |
| MAG OXIDE 400MG T |
3.80 |
| MAG SO4 50% 50ML J |
98.95 |
| MAG SULF SALT DOSE |
.85 |
| MAGALDRATE 30ML |
3.00 |
| MAGIC MWASH 45ML BTL |
18.92 |
| MAGNESIUM SERUM |
326.00 |
| MAMMO GUIDE NEEDLE |
876.00 |
| MAMMO GUIDE NEEDLE |
876.00 |
| MAMMOGRAM BILATERAL |
146.00 |
| MAMMOGRAM BILATERAL |
146.00 |
| MAMMOGRAM UNILATERAL |
116.00 |
| MAMMOGRAM UNILATERAL |
116.00 |
| MANAN BINDING LECTIN |
197.00 |
| MANDIBLE COMPLET 4 V |
247.00 |
| MANDIBLE COMPLET 4 V |
609.82 |
| MANIPULATOR UTERINE |
85.00 |
| MANNITOL 25% 12.5G J |
30.25 |
| MANOMETER DISPOSABLE |
16.26 |
| MANUAL THER/15 MIN |
47.00 |
| MARKE CELERO BRST BX |
166.05 |
| MASK LARYNGEAL AIRWA |
97.00 |
| MASSAGE/15 MIN |
73.00 |
| MASTISOL ADH 2/3ML |
5.45 |
| MASTOIDS COMPLETE |
455.00 |
| MASTOIDS COMPLETE |
455.00 |
| MASTOIDS MIN 3V LT |
172.50 |
| MASTOIDS MIN 3V RT |
172.50 |
| MASTOIDS MIN 6V BILA |
3435.00 |
| MATTRESS ALT PRESSUR |
121.00 |
| MATTRESS GEL W/HEAT |
110.48 |
| MATTRESS SPEC OVERLY |
126.00 |
| MAXIMU VOLUME VENT |
326.34 |
| MAXI-THERM LT BLAKET |
48.00 |
| MC OBSERVATION/HR |
25.00 |
| MD AMP MULTIPLEX EA |
155.00 |
| MD AMPLIFICATION |
205.00 |
| MD ENZYMATIC DIG |
256.00 |
| MD INTERP AND REPORT |
136.00 |
| MD ISOL/EXTR PURIFED |
155.00 |
| MD PROBE EA |
160.00 |
| MD SEPARATION |
273.00 |
| MDI INITIAL |
448.38 |
| MDI SUB |
448.38 |
| MECH TRACTION/VISIT |
49.00 |
| MECKEL'S DIVERT EXAM |
944.00 |
| MECLIZINE 25MG T |
9.80 |
| MED FOAM KIT SUCTION |
92.85 |
| MED/SUR OBS ADD HR |
25.00 |
| MED/SUR OBS FIRST HR |
276.00 |
| MED/SURG OBS 1ST HR |
276.00 |
| MED/SURG OBS ADD HR |
25.00 |
| MED/SURG PRIV ISOL |
2041.00 |
| MED/SURG PRIV ISOL |
2041.00 |
| MED/SURG PRIVATE |
906.00 |
| MED/SURG PRIVATE |
906.00 |
| MED/SURG PRIVATE |
906.00 |
| MED/SURG PRIVATE |
906.00 |
| MED/SURG PVT ISOL |
2041.00 |
| MEDIHONEY 1.5OZ TUBE |
34.14 |
| MEDIPLEX SACRUM 18X |
19.83 |
| MEDIUM LEFT ANKLE |
49.92 |
| MEDIUM RT ANKLE |
49.92 |
| MEDROXYPR 10MGT |
5.65 |
| MEGESTR 400MG/10ML S |
52.15 |
| MEGESTROL 20MG T |
7.50 |
| MELANOCYTE S H |
75.00 |
| MEPERIDINE 25MG J |
31.05 |
| MEPERIDINE 50MG J |
55.40 |
| MEPERIDINE 50MG T |
34.75 |
| MEPERIDINE 75MG J |
5.60 |
| MEPILEX FOAM 20 CM |
36.00 |
| MEPILEX FOAM 4X4 |
10.56 |
| MEPILEX LIGHT 1.6 |
4.50 |
| MEPIPLEX 3X3 THIN |
6.03 |
| MEPLIX DRESSING 2X5 |
5.43 |
| MERCURY QUANT |
164.00 |
| MERCURY BLOOD |
66.42 |
| MEROPE 100MG J 500MG |
24.19 |
| MEROPENE 100MG J 1G |
21.17 |
| MES 30 MAX LIT RTLG |
975.00 |
| MESALAMINE 400MG T |
53.65 |
| MESALAMINE RS 500MG |
48.70 |
| MESH 30MAX LIT LTXLG |
1080.00 |
| MESH 30MAXLT LT LG |
966.00 |
| MESH 30MX LT LT XLG |
1080.00 |
| MESH 30MXLITE RTXLG |
1080.00 |
| MESH 3D MAX LG LEFT |
570.00 |
| MESH 3D MAX LG RIGHT |
570.00 |
| MESH 3D MAX MEDLIFT |
519.00 |
| MESH 3D MED RIGHT |
519.00 |
| MESH BARD 2"X 4" |
225.00 |
| MESH BARD KUG PAT SM |
508.00 |
| MESH MARLEX 3X6 |
326.00 |
| MESH SURGIMESH WN |
394.00 |
| MESH VENTLT ST 4.5 C |
2821.80 |
| MESH VENTLT ST 6 CIR |
2925.00 |
| MESH VENTLT ST4X6 EL |
2209.20 |
| MESH VENTRALI 8 CIR |
3900.00 |
| MESH VENTRALI8X10 EC |
4584.00 |
| METANEPHRINE |
70.00 |
| METANEPHRINES |
190.00 |
| METAXALONE 800MG T |
69.00 |
| METFORMIN 500MG T |
8.90 |
| METFORMIN 850MG T |
16.85 |
| METHANOL |
285.00 |
| METHAZOLA 50MG T |
7.10 |
| METHEMOGLOBIN QUANT |
222.00 |
| METHERGINE .2MG TAB |
470.60 |
| METHERGINE 0.2MG/ML |
287.00 |
| METHIMA 5MG T |
5.05 |
| METHOHEXL 100MG J SY |
153.70 |
| METHOHEXL 500MG J |
589.15 |
| METHPREDSS 125MG J |
117.10 |
| METHPREDSS 125MGJ 1G |
38.75 |
| METHPREDSS 40MG J |
83.20 |
| METHYL BLUE 1% 1ML |
177.55 |
| METHYLDOP 250MG T |
4.15 |
| METHYLDOPATE 250MG J |
362.40 |
| METHYLMALONIC ACID |
68.00 |
| METHYLPHEN 5MG T |
8.55 |
| METHYLPRED 4MG T |
16.40 |
| METHYLPRED LA 40 J |
127.80 |
| METHYLPRED LA 80 J |
157.95 |
| METOCLOPR 10MG T |
8.30 |
| METOCLOPR 10MG/2ML J |
46.40 |
| METOCLOPR 1MG SYR |
25.60 |
| METOLAZ 2.5MG T |
37.85 |
| METOLAZ 5MG T |
11.15 |
| METOPROL 50MG T |
3.80 |
| METOPROL 5MG/5ML EMS |
79.95 |
| METOPROL 5MG/5ML J |
22.50 |
| METOPROL XL 50MG TAB |
13.40 |
| METOPROL XR 25MG T |
12.10 |
| METOPROLOL 25MG TAB |
3.80 |
| METOPROT SO4 INH |
339.80 |
| METRONID 250MG T |
19.35 |
| METRONID 500MG T |
9.45 |
| METRONID V GEL 0.75 |
718.95 |
| MEXILETINE 150MG C |
29.20 |
| MEXILETINE 200MG C |
15.25 |
| MICAFUNGIN 1MG J 100 |
9.90 |
| MICKEY 16 FR 1.5 |
273.66 |
| MICKEY 16FR LAP INTR |
666.15 |
| MICKY 12 FRENCH 1.5 |
273.66 |
| MICKY 14 FR 1.5 |
273.66 |
| MICONAZ 200MG VSUP |
37.50 |
| MICONAZO V CR 45GM |
18.40 |
| MICROALBUMN QUANT UA |
120.00 |
| MICROBIAL PROBE PCR |
599.00 |
| MICROWAVE/VISIT |
32.00 |
| MIDAZOLAM 1MG J 2MG |
6.35 |
| MIDAZOLAM 1MG J 50MG |
1.91 |
| MIDAZOLAM 1MG J 5MG |
2.81 |
| MIDAZOLAM PER 5MG J |
22.25 |
| MIDLINE <5 YRS |
4921.35 |
| MIDLINE >5 YERS |
4921.35 |
| MIDLINE DRESSING KIT |
66.00 |
| MIDODRINE 10MG T |
55.75 |
| MIDODRINE 2.5MG TAB |
13.85 |
| MILK MAG/CASCARA |
9.00 |
| MILK OF MAG 30ML |
5.00 |
| MILRINONE 40MG/200ML |
36.13 |
| MIN OIL ENEMA 120ML |
4.45 |
| MINERAL OIL ST 10ML |
21.80 |
| MINOXIDIL 10MG T |
14.90 |
| MINOXIDIL 2.5MG T |
6.70 |
| MIRTAZAPINE 15MG T |
32.90 |
| MIRTAZAPINE 30MG T |
76.15 |
| MISC HEMATOLOGY TEST |
85.00 |
| MISC INST KIT-RIB SP |
84.00 |
| MISOPROS 100 MCG T |
28.50 |
| MISOPROS 200MCG T |
16.50 |
| MMR 0.5ML J |
354.70 |
| MNT GRP/PERSON/30MN |
102.00 |
| MNT IND ASSESS/15MN |
51.00 |
| MOD ORAL SP DEVICE |
184.00 |
| MODIFIED HODGE TEST |
128.00 |
| MOLECULAR MENIN PANE |
139.00 |
| MOMET 50MCG NSP 17G |
417.20 |
| MONITORED EX 2 |
174.00 |
| MONO SCREEN |
149.00 |
| MONO TITER |
296.00 |
| MONTELUK 5MG CHEWT |
57.95 |
| MONTELUK 4MG TAB |
65.20 |
| MORPH 10MG PFS J |
102.35 |
| MORPH 2MG/2ML PF J |
109.65 |
| MORPH 2MG/ML J |
25.95 |
| MORPH 5MG/10ML PF J |
306.50 |
| MORPH PCA 10MG J50MG |
3.80 |
| MORPHINE 10MG J |
32.10 |
| MORPHINE 10MG/5ML EL |
9.70 |
| MORPHINE 15MG SRT |
21.55 |
| MORPHINE 4MG/ML |
25.95 |
| MRA ABDOMEN |
2931.00 |
| MRA CHEST |
2931.00 |
| MRA CHEST |
2931.00 |
| MRA HEAD |
2931.00 |
| MRA HEAD |
2931.00 |
| MRA HEAD W/CONT |
3130.00 |
| MRA HEAD W/WO |
4568.00 |
| MRA LOW EXT BIL W/WO |
6236.00 |
| MRA LOW EXT LT W/WO |
3118.00 |
| MRA LOW EXT RT W/WO |
31.18 |
| MRA NECK |
2931.00 |
| MRA NECK W/CONT |
3130.00 |
| MRA NECK W/WO |
4568.00 |
| MRA PELVIS |
2931.00 |
| MRCP |
2205.00 |
| MRCP W/WO |
2415.00 |
| MRCP W/WO |
2415.00 |
| MRI ABD |
2688.00 |
| MRI ABD W/CONT |
2688.00 |
| MRI ABD W/WO |
3472.00 |
| MRI BRAIN |
1600.00 |
| MRI BRAIN |
1600.00 |
| MRI BRAIN |
2423.00 |
| MRI BRAIN |
2423.00 |
| MRI BRAIN W/CONT |
3118.00 |
| MRI BRAIN W/WO |
3045.00 |
| MRI BRAIN W/WO |
3858.00 |
| MRI BRAIN W/WO |
3858.00 |
| MRI BRAIN WCON |
18500.00 |
| MRI BRN W/CONT |
1850.00 |
| MRI C SPINE |
3038.00 |
| MRI C SPINE |
3038.00 |
| MRI C SPINE W/CONT |
3118.00 |
| MRI C SPINE W/WO |
3326.00 |
| MRI CHEST |
2688.00 |
| MRI L SPINE |
3038.00 |
| MRI L SPINE |
3038.00 |
| MRI L SPINE W/CONT |
3118.00 |
| MRI LOW EXT |
2422.00 |
| MRI LOW EXT BILAT W/ |
2577.90 |
| MRI LOW EXT BILAT W/ |
2577.90 |
| MRI LOW EXT LEFT W/ |
1288.95 |
| MRI LOW EXT RIGHT W/ |
1288.95 |
| MRI LOW EXT RT W/WO |
1288.95 |
| MRI LOW JNT EXT BIL |
2577.90 |
| MRI LOW JNT EXT BILA |
1552.14 |
| MRI LOW JNT EXT BILA |
2577.90 |
| MRI LOW JNT EXT LEFT |
776.07 |
| MRI LOW JNT EXT LEFT |
776.07 |
| MRI LOW JNT EXT LEFT |
1288.95 |
| MRI LOW JNT EXT LEFT |
1288.95 |
| MRI LOW JNT EXT RIGH |
776.07 |
| MRI LOW JNT EXT RIGH |
1288.95 |
| MRI LOW JNT EXT RT W |
1288.95 |
| MRI LOW JNT EXT W/WO |
3255.00 |
| MRI LOWER EXT BILAT |
1552.14 |
| MRI LOWER EXT LEFT |
776.07 |
| MRI LOWER EXT RIGHT |
776.07 |
| MRI LOWER EXT W/CONT |
2688.00 |
| MRI LOWER EXT W/WO |
3118.00 |
| MRI LOWER JOINT EXT |
3118.00 |
| MRI LOWERJNTEXT W/CO |
3200.00 |
| MRI LSPINE W/WO |
3326.00 |
| MRI LSPINE W/WO |
3326.00 |
| MRI MAGNEVIST |
1.00 |
| MRI MAGNEVIST |
1.00 |
| MRI OMNISCAN /ML |
1.00 |
| MRI ORB/FAC/NCK W/WO |
2732.00 |
| MRI ORB/FACE/NCK W |
1682.00 |
| MRI ORB/FACE/NECK |
1682.00 |
| MRI PELVIS |
2422.00 |
| MRI PELVIS |
2422.00 |
| MRI PELVIS W/CONT |
2688.00 |
| MRI PELVIS W/WO |
3472.00 |
| MRI T SPINE |
3038.00 |
| MRI T SPINE |
3038.00 |
| MRI T SPINE W/CONT |
3118.00 |
| MRI T SPINE W/WO |
3326.00 |
| MRI TMJ |
1570.00 |
| MRI TMJ BILATERAL |
517.38 |
| MRI TMJ LEFT |
258.69 |
| MRI TMJ RIGHT |
258.69 |
| MRI UP EXT BILAT W/W |
2577.90 |
| MRI UP EXT LEFT W/WO |
1288.95 |
| MRI UP EXT RIGHT W/W |
1288.95 |
| MRI UP JNT EXT BIL W |
2577.90 |
| MRI UP JNT EXT LT W/ |
1288.95 |
| MRI UP JNT EXT RT W/ |
1288.95 |
| MRI UP JNT EXT W/WO |
3255.00 |
| MRI UPER EXT BILAT W |
2577.90 |
| MRI UPER EXT LEFT W/ |
1288.95 |
| MRI UPER EXT RIGHT W |
1288.95 |
| MRI UPER JNT EXT BIL |
2577.90 |
| MRI UPER JNT EXT LT |
1288.95 |
| MRI UPER JNT EXT RT |
1288.95 |
| MRI UPPER EXT |
2422.00 |
| MRI UPPER EXT BILAT |
1552.14 |
| MRI UPPER EXT LEFT |
776.07 |
| MRI UPPER EXT RIGHT |
776.07 |
| MRI UPPER EXT W/WO |
2688.00 |
| MRI UPPER JNT EXT BI |
1552.14 |
| MRI UPPER JNT EXT LE |
776.07 |
| MRI UPPER JNT EXT RI |
776.07 |
| MRI UPPER JOINT EXT |
3118.00 |
| MRI LOW EXT LEFT W/ |
1288.95 |
| MS TELEMETRY |
1559.00 |
| MS TELEMETRY ISOL |
2694.00 |
| MS TELEMETRY ISOL |
2694.00 |
| MS TELEMETRY ISOL |
2694.00 |
| MS TELEMETRY PVT |
1607.00 |
| MS TELEMETRY PVT |
1607.00 |
| MS TELEMETRY PVT |
1607.00 |
| MS TELEMETRY PVT |
1607.00 |
| MS TELEMTRY ISOL |
2694.00 |
| MTX 2.5MG T |
27.45 |
| MULTIPLE GESTATION |
289.00 |
| MULTIVIT DROP 50ML |
.45 |
| MUMPS STA 0.1ML INJ |
498.55 |
| MUPIRO OINT 2% 15G |
113.30 |
| MUPIROCIN 2% OINT 1G |
12.80 |
| MURAMIDASE (LYSOZYME |
196.00 |
| MUSC MAN BDY W/ HAND |
136.00 |
| MUSC MAN BDY WO HAND |
95.00 |
| MUSC MAN EXTREM/TRNK |
63.00 |
| MUSC TST BODY W/HND |
140.00 |
| MUSC TST BODY WO/HND |
97.00 |
| MUSCLE TST HAND |
60.00 |
| MUSCLE TST TRUNK |
65.00 |
| MVI W/MIN T |
.25 |
| MVI LIQ 5ML |
.65 |
| MVI-12 INJ |
122.25 |
| MVI-PEDI INJ |
130.05 |
| MYCOPLAS/UREAPLAS |
63.00 |
| MYCOPLASMA URINE |
122.00 |
| MYELIN BASIC PROTEIN |
211.00 |
| MYOGLOBIN QUANT |
176.00 |
| N COMPASS NIT STONE |
899.25 |
| NA PHOS MONO 500MGT |
6.90 |
| NADOLOL 40MG T |
83.30 |
| NAFCILLIN 1GM J |
147.05 |
| NAFCILLIN 2GM J |
305.70 |
| NAIL DEBR ANY 1-5 |
116.00 |
| NAIL DRAIN BLD |
197.00 |
| NAIL DRAIN BLD |
197.00 |
| NAIL PLT AVULS EA AD |
165.00 |
| NAIL PLT AVULS EA AD |
165.00 |
| NAIL PLT AVULS SGL |
350.00 |
| NAIL PLT AVULS SGL |
350.00 |
| NALBUPHINE 10MG J |
50.10 |
| NALOXON 0.4MG/ML EMS |
186.70 |
| NALOXONE 0.4MG/ML 1M |
120.95 |
| NALOXONE 1MG/ML VIA |
25.85 |
| NAPHAZOLINE OS 15ML |
82.15 |
| NAPROXEN 250MG T |
8.90 |
| NAS AIR SPLN DOY II |
52.00 |
| NASAL BONES COMPLET |
235.00 |
| NASAL BONES COMPLET |
235.00 |
| NASAL SMEAR FOR EOS |
167.00 |
| NASAL SPLINT RICHARD |
64.00 |
| NB HEAR SCRN ABR CMP |
440.00 |
| NB RESUSCITATION |
2645.00 |
| NB UMB VEIN CATH INS |
478.00 |
| NDL BIOP BONE MARROW |
82.00 |
| NDL BIOPSY TRU-CUT |
102.00 |
| NDL HUBER |
22.00 |
| NDL INTRAOSEOUS |
147.00 |
| NDL PICC LINE |
85.00 |
| NDL PLCMT INTRAOSS |
390.00 |
| NDL SCHLEROTHERAPY |
210.00 |
| NDL SPINAL |
18.00 |
| NECK SOFT TISSUE |
206.00 |
| NECK SOFT TISSUE |
206.00 |
| NEDL COOK YUEH CENTE |
67.00 |
| NEDL STIMU[ A 22GX2 |
33.00 |
| NEDLSTIM D22G 3 1/8 |
23.00 |
| NEEDLE DIS CAR LOCKE |
67.00 |
| NEEDLE SPIN 24X90 |
35.64 |
| NEEDLE SPIN24X120 |
63.69 |
| NEG PRS WND CARE>50C |
888.96 |
| NEG PRS WNDCARE<50CM |
255.27 |
| NELFINAVIR 250MG T |
55.95 |
| NELFINAVIR 625MG T |
122.35 |
| NEO BAC PMX ONT PCKT |
3.80 |
| NEO,BAC,P,HC OO3.5 |
224.90 |
| NEO,BAC,PMX OO 3.5 |
331.00 |
| NEO,PMX GU 1ML |
303.65 |
| NEO,PMX,GM OS 10ML |
385.95 |
| NEO,PMX,HC OS 7.5ML |
700.75 |
| NEO,PMX,HC OT 10ML |
201.45 |
| NEO,PMX,HC OT 10ML |
462.50 |
| NEO/POLY/DEX OO 3.5 |
470.65 |
| NEOMYCIN 500MG T |
15.70 |
| NEOSTIG 0.5MG J 10MG |
8.59 |
| NEPHROCAP C |
7.50 |
| NEPRO 240ML |
8.65 |
| NERVE BLOCK INJ FACE |
579.00 |
| NERVE BLOCK PERIPH |
842.00 |
| NEURO RE-ED/15 MIN |
62.00 |
| NEUROBEHAVIOR EXM/HR |
204.00 |
| NEUROMUSC RE-ED/15" |
95.00 |
| NEUROMYELITIS OPT AB |
473.00 |
| NEUTRA PHOS PKT |
7.50 |
| NEUTROPHIL FUNC TEST |
386.00 |
| NEUTROPHIL FUNC TEST |
386.00 |
| NEVIRAPINE 200MG T |
109.25 |
| NEVIRAPINE OS 50MG/M |
56.55 |
| NEW EXP PROB FOCUSED |
147.00 |
| NEW SKIN SPRAY |
51.70 |
| NEWBORN CARE |
338.00 |
| NG TUBE NO FLURO |
150.00 |
| NIACIN 250MG SRC |
3.80 |
| NICARDIPINE 20/200 J |
537.95 |
| NICO ETCO2 MONITOR |
586.68 |
| NICOTINE 14MG TDP |
4.55 |
| NICOTINE 21MG TDP |
4.55 |
| NICOTINE 7MG TDP |
4.55 |
| NICOTINE LOZENGE 2MG |
1.00 |
| NIFEDIPINE 10MG C |
14.75 |
| NIFEDIPINE 30MG SRT |
14.40 |
| NIFEDIPINE 60MG SRT |
22.70 |
| NIMODIPINE 30MG C |
193.85 |
| NITRO TAB 0.4MG |
11.75 |
| NITROBLUE TETR REDUC |
218.00 |
| NITROBULE TERZ RDUCT |
218.00 |
| NITROFUR 50MG C |
24.60 |
| NITROPRUS 50MG J |
793.80 |
| NO PRENATAL CARE |
368.00 |
| NONEND RECPTR ASSAY |
350.00 |
| NOREPINEPH 4ML J |
105.85 |
| NORG/E.ESTR .3/.03 T |
12.55 |
| NORTRIP 25MG C |
3.80 |
| NORTRIPT 10/5 SOLN |
22.25 |
| NORTRIPTYLINE |
184.00 |
| NOSE TO RECTUM FB CH |
151.00 |
| NOSE TO RECTUM FB CH |
151.00 |
| NOVAS ENDO ABLATIO |
747.00 |
| NOVASUE ENDOM ABLAHO |
2130.00 |
| NTG 0.1MG/HR TDP |
21.35 |
| NTG 0.2MG/HR TDP |
18.55 |
| NTG 0.4MG/HR TDP |
21.25 |
| NTG 2% OINT 1G |
31.75 |
| NTG 50MG/10ML J |
172.55 |
| NUC BONE 3 PHASE |
1293.00 |
| NUC BONE 3 PHASE |
1293.00 |
| NUC BONE LIMITED |
1105.00 |
| NUC BONE SPECT |
1476.00 |
| NUC BONE WHOLE BODY |
1091.00 |
| NUC BONE WHOLE BODY |
1091.00 |
| NUC BRAIN STATIC |
895.00 |
| NUC BRAIN W/FLOW |
904.00 |
| NUC BRAIN W/SPECT |
3460.08 |
| NUC CARDIO PERF EJEC |
3460.08 |
| NUC CERETEC |
41.00 |
| NUC CSF LEAK EXAM |
3606.00 |
| NUC GAL TUMOR SPECT |
2587.00 |
| NUC GAL WB MULT DAY |
2835.00 |
| NUC GALIUM TUMOR BDY |
2217.00 |
| NUC GALIUM TUMOR LTD |
803.00 |
| NUC GALLBLADDER |
1251.00 |
| NUC GALLBLADDER |
1251.00 |
| NUC GALLBLADDER LMT |
904.00 |
| NUC GALLIUM CITRATE |
37.00 |
| NUC GASTRIC EMPTYING |
1016.00 |
| NUC I-123 NAI CAPSUL |
108.00 |
| NUC I-123 NAI CAPSUL |
108.00 |
| NUC LIVER |
3460.08 |
| NUC LIVER / SPLEEN |
895.00 |
| NUC LIVER FUNCTION |
1251.00 |
| NUC LIVER SPECT |
3460.08 |
| NUC LIVER W/VASC FLO |
3460.08 |
| NUC LIVER/SPLN W/FLO |
904.00 |
| NUC LUNG PERF & VENT |
1313.54 |
| NUC LUNG PERF & VENT |
1313.54 |
| NUC LUNG PERFUSION |
895.00 |
| NUC LUNG VENT |
895.00 |
| NUC LYMPH & NODES |
1106.00 |
| NUC MAG-3 |
314.00 |
| NUC MUGA FIRST PASS |
961.00 |
| NUC MUGA REST OR STR |
2825.04 |
| NUC MUGA REST/STRESS |
1109.00 |
| NUC PARATHYROID |
561.00 |
| NUC PROV DX RADPHAR |
1663.00 |
| NUC RBC BLEED SCN |
1251.00 |
| NUC RENAL |
895.00 |
| NUC RENAL FLOW & FUN |
895.00 |
| NUC RENAL LASIX SCAN |
904.00 |
| NUC RENAL SPECT |
954.00 |
| NUC RENAL W/FLOW |
895.00 |
| NUC REST AND STRESS |
3516.92 |
| NUC REST OR STRESS |
1109.00 |
| NUC REST OR STRESS |
3460.08 |
| NUC SPLEEN |
904.00 |
| NUC STRAIGHT TECH |
122.00 |
| NUC TC-99M CHOLETEC |
64.00 |
| NUC TC-99M CHOLETEC |
64.00 |
| NUC TC-99M DTPA AERO |
64.00 |
| NUC TC-99M DTPA AERO |
64.00 |
| NUC TC-99M MAA |
32.00 |
| NUC TC-99M MAA |
32.00 |
| NUC TC-99M MDP/HDP |
32.00 |
| NUC TC-99M MDP/HDP |
32.00 |
| NUC TC-99M MYOVIEW |
193.00 |
| NUC TC-99M SESTAMIBI |
193.00 |
| NUC TC-99M SULFUR CO |
38.00 |
| NUC TESTICULAR |
842.00 |
| NUC THYROID |
617.00 |
| NUC THYROID & UPTAKE |
929.00 |
| NUC THYROID & UPTAKE |
929.00 |
| NUC THYROID VASC FLO |
831.00 |
| NUC ULTRATAG |
206.00 |
| NUC VASCULAR FLOW |
702.00 |
| NUC WBC LIMITED |
2707.00 |
| NUC WBC SPECT |
1384.00 |
| NUC WBC WHOLE BODY |
3046.00 |
| NURSERY LVL 1 |
412.00 |
| NURSERY LVL 2 |
650.00 |
| NURSERY LVL 3 |
860.00 |
| NURSERY PEDS |
906.00 |
| NUTRAMIGEN PWD |
66.50 |
| NUTRIHEP 250ML |
48.95 |
| NYS,TRIAM CR 15GM |
493.65 |
| NYSTATIN 5ML |
17.65 |
| NYSTATIN CREAM 15GM |
176.40 |
| NYSTATIN OINT 15GM |
176.40 |
| NYSTATIN PWD 15GM |
242.20 |
| O&P EXAM |
162.00 |
| O2 PER DAY |
529.00 |
| O2 UPTAKE EXP GAS |
192.00 |
| OB O2 UP TO 4 HOURS |
188.00 |
| OB OBS EA ADDL HR |
25.00 |
| OB OBS FIRST HR |
276.00 |
| OB PRIVATE |
906.00 |
| OBS DIRECT ADMIT |
1442.07 |
| OBTRYX II SYSTEM CUR |
1901.80 |
| OCC BLOOD FECES |
84.00 |
| OCTREOT 25MCG J 100 |
30.04 |
| OFLOXACIN 0.3% OP |
184.70 |
| OLANZAPINE 5 MG T |
133.15 |
| OLIGOCLONAL BANDS |
184.00 |
| OMEP/SODBI 20MG SOLR |
583.30 |
| ONDANSET 1MG ODT 4MG |
49.15 |
| ONDANSETRO 1MG J 4MG |
6.93 |
| ONDANSETRON 4MG T |
138.90 |
| OPEN APPENDECTOMY |
154.49 |
| OPEN TX DIST PHAL FX |
2097.00 |
| OPEN TX GR TOE FX W/ |
2591.00 |
| OPEN TX PHAL OTH FX |
2393.00 |
| OPITGURD EYE PROTECT |
250.00 |
| OPIUM,BELLA RS 16A |
295.00 |
| OPTHALMIC US FB LOCA |
220.00 |
| OPTIC FORAMNA |
348.00 |
| OPTIC FORAMNA |
348.00 |
| ORBITS 1 |
348.00 |
| ORBITS 1 |
348.00 |
| ORBITS 2 |
348.00 |
| ORBITS 2 |
348.00 |
| ORBITS COMPLETE |
348.00 |
| ORBITS COMPLETE |
348.00 |
| ORLISTAT 120MG T |
12.35 |
| ORPHEN CIT 100MG T |
26.55 |
| ORPHENADRINE 60MG J |
195.80 |
| ORTHO CHECKOUT 15MN |
59.00 |
| ORTHO FIT/TRAIN/15M |
64.00 |
| ORTHO GLASS 2" |
10.00 |
| ORTHO GLASS 3" |
13.00 |
| ORTHO GLASS 5" |
16.00 |
| ORTHO GLASS 5" |
20.00 |
| ORTHO GLASS 6" |
24.00 |
| ORTHO TRAIN/15 MIN |
66.00 |
| OSEL/PHOS 75MG C |
183.65 |
| OSELTAM 12MG/ML SOLR |
23.65 |
| OSELTAM 6MG/ML SOLR |
34.95 |
| OSELTAMIVIR 30MG C |
168.55 |
| OSMOLALITY SERUM |
154.00 |
| OSMOTIC FRAGILITYRBC |
129.00 |
| OST CLAMP POUCH |
3.00 |
| OST FLANGE |
18.00 |
| OST PASTE |
14.00 |
| OST POUCH FECAL |
26.00 |
| OST POUCH OSTOMY |
5.00 |
| OST POUCH STOMA |
3.00 |
| OSTEO MAN TX 1-2 REG |
77.46 |
| OSTOMY SET OR |
17.00 |
| OT EVAL LTD |
178.00 |
| OT RE-EVAL LTD |
69.00 |
| OVARIAN MALLGNANCY |
868.50 |
| OVS 1ST HOUR |
276.00 |
| OVS ADD HR |
25.00 |
| OXACILLIN 250MG J |
29.20 |
| OXACILLIN 250MG J 2G |
31.17 |
| OXAPROZIN 600MG T |
16.85 |
| OXCARBAZEPINE |
188.00 |
| OXYBUTYNIN 1MG SYRP |
3.80 |
| OXYBUTYNIN 5MG SRT |
13.60 |
| OXYBUTYNIN 5MG T |
5.75 |
| OXYCO,APAP 5/325 T |
15.70 |
| OXYCODONE 10MG SRT |
12.60 |
| OXYCODONE 20MG SRT |
111.80 |
| OXYCODONE 40MG SRT |
42.85 |
| OXYCODONE 5MG TAB |
6.25 |
| OXYHOOD EA ADDL HR |
42.00 |
| OXYMET NS 15ML |
2.70 |
| OXYTOCIN 10U J |
20.55 |
| OYS CAL 500T |
.25 |
| PACK ARTHROSCOPY |
32.00 |
| PACK C-SECTION |
1081.00 |
| PACK HIP |
95.00 |
| PACK SHOULDER ORTHO |
78.00 |
| PACKING SINUS KENNED |
66.00 |
| PAD BODY MICRO PREVA |
23.00 |
| PAD DEFIB |
81.90 |
| PAD GROUNDING ADULT |
10.90 |
| PAD GROUNDING PEDI |
10.00 |
| PAD MATERNITY/PK |
3.00 |
| PAD NURSING/BREAST |
13.70 |
| PAD OB INSERT |
1.00 |
| PAMIDRONATE 30MG J |
285.75 |
| PAMIDRONATE 90MG J |
2518.80 |
| PANCREA ELASTASE FEC |
233.00 |
| PANCRELIPASE CAPS |
24.60 |
| PANCURONIUM 10MG J |
71.75 |
| PANCURONIUM 2MG J |
29.20 |
| PANTOPRAZ 40MG SOLR |
191.30 |
| PANTOPRAZOLE 20MG T |
45.90 |
| PANTOPRAZOLE 40MG J |
69.25 |
| PANTOPRAZOLE 40MG T |
60.70 |
| PAPAIN-UREA OINT 30G |
272.70 |
| PAPAV 60MG/2ML J |
38.75 |
| PARACENT ABD INIT |
909.00 |
| PARACENTESIS |
1212.98 |
| PARAFFIN BATH/VISIT |
48.00 |
| PARAINFLUENZA VIRUS |
72.00 |
| PARATHYROID HORM MP |
58.00 |
| PAROMOMYCIN 250MG C |
65.45 |
| PAROXETINE 20MG T |
32.10 |
| PASSY MUIR VALVE |
222.54 |
| PCP QUANT |
221.00 |
| PE/FEXOFEN 12/60 SRT |
15.35 |
| PEA TUB SET ORDER |
30.58 |
| PEAK FLOW INIT |
169.00 |
| PEDIASURE 240ML |
5.10 |
| PEDIAZ 200/600MG/5ML |
8.70 |
| PEDS PRIV ISOLATION |
2041.00 |
| PEDS PRIVATE |
906.00 |
| PEG POWDER 3350 17G |
2.35 |
| PEG/ELECTR 4000ML |
171.35 |
| PELVIC FLOOR KIT |
6166.00 |
| PELVIMETRY |
348.00 |
| PELVIMETRY |
348.00 |
| PELVIS 1 OR 2V |
174.00 |
| PELVIS 1 OR 2V |
174.00 |
| PELVIS COMP 3 VIEWS |
240.00 |
| PELVIS COMP 3 VIEWS |
240.00 |
| PEMOLINE 18.75MG T |
8.60 |
| PEN G NA 5MU J |
247.60 |
| PEN G BEN,PRO 1.2MU |
105.85 |
| PEN G K 5MU J |
153.10 |
| PEN G PROC 2.4MU J |
93.50 |
| PEN G PROC 600,000 J |
29.60 |
| PEN VK 250MG T |
9.80 |
| PEN VK 500MG T |
3.85 |
| PENCICLO CR 1% 2G |
168.30 |
| PENCIL BOVIE |
45.00 |
| PENCIL SMOKE EVAC |
90.69 |
| PENGBEN 100KU J 1.2M |
75.92 |
| PENGBEN 100KU J 2.4M |
66.68 |
| PENGPRO 600KU J 1.2M |
208.90 |
| PENTAMIDINE 300MG J |
883.15 |
| PENTOXIFY 400MG SRT |
7.00 |
| PEPTAMEN JR 250ML |
15.55 |
| PERATIVE 240ML |
45.00 |
| PERC NDL BX THYROID |
768.00 |
| PERC PLEU DRN W CATH |
639.00 |
| PERC TUBE CHG W/CON |
775.00 |
| PERC TUBE CHG W/CON |
775.00 |
| PERICARDIOCENTESIS |
1130.00 |
| PERITONEAL DIALYSIS |
609.00 |
| PERMETH 5% CR 60G |
523.90 |
| PERPHEN 2MG T |
13.40 |
| PERS WELLNESS/VISIT |
29.00 |
| PERSONAL WELLNESS |
58.00 |
| PETROLAT OINT 30 G |
5.80 |
| PFT PRE & POST BD |
586.68 |
| PFT SIMPLE |
399.48 |
| PHARYNX/CERV ESOPHAG |
190.00 |
| PHARYNX/CERV ESOPHAG |
190.00 |
| PH-BODY FLUID |
297.00 |
| PHENAZOP 200MG T |
46.05 |
| PHENO W/DRG RES 1-10 |
670.00 |
| PHENO W/DRG RES ADDL |
533.00 |
| PHENOB 20/5 5ML |
11.20 |
| PHENOBARB 130MG J |
470.50 |
| PHENOBARB 60 MG T |
9.70 |
| PHENOBARBITAL |
66.00 |
| PHENOBARBITAL |
199.00 |
| PHENTOL MESY 5MG J |
2022.20 |
| PHENYLEPH 1% 10MG J |
83.10 |
| PHENYLEPH 200MCG PMJ |
49.05 |
| PHENYLEPH 400MCG PMJ |
6.00 |
| PHENYLEPH NAS 0.25 1 |
3.80 |
| PHENYLEPH NSP 0.5%30 |
8.10 |
| PHENYTOIN 100MG C DI |
7.40 |
| PHENYTOIN 125/5 5ML |
108.85 |
| PHENYTOIN 50MG J 100 |
8.70 |
| PHENYTOIN 50MG J 250 |
5.01 |
| PHENYTOIN TOTAL |
205.00 |
| PHOSPHOLIPIDS |
196.00 |
| PHOSPHORUS INORG |
182.00 |
| PHOSPHOSODA EN 45ML |
6.35 |
| PHYSOSTIGMINE 1MG J |
56.10 |
| PHYTONADI 1MG J 10MG |
36.47 |
| PHYTONADIONE 1MG J |
340.20 |
| PHYTONADIONE 5MG T |
444.20 |
| PICC DRESSING CHANGE |
53.00 |
| PICC INSERTION CHG |
974.00 |
| PICC INSERTION CHG |
974.00 |
| PICC INSERTION CHG |
2590.43 |
| PICC INSERTION CHG |
974.00 |
| PICC INSERTION CHG |
3408.00 |
| PICC INSERTION CHG |
974.00 |
| PILL CRUSHER |
196.00 |
| PILOCARP OS 1% 15ML |
620.90 |
| PIMOZIDE 2MG T |
32.40 |
| PIOGLITAZONE 15MG T |
80.80 |
| PIPTAZ 1.125G J 2.25 |
47.55 |
| PIPTAZ 1.125G J 4.5 |
46.46 |
| PIPTAZ 1.125GJ 3.375 |
63.95 |
| PKU BLOOD |
110.00 |
| PLASMNOGEN |
250.00 |
| PLASMNOGEN ANTIGENI |
250.00 |
| PLATE 10 HOLE |
313.00 |
| PLATELET ABS |
203.00 |
| PLATELET CT AUTO |
102.00 |
| PLATELET CT MANUAL |
204.00 |
| PLC IVC FILTER |
11921.88 |
| PLI NED NOSE LON JAW |
475.00 |
| PLIER FLAT NOS KWIRE |
218.00 |
| PLT CONC/UNIT |
181.00 |
| PLT IRRAD |
429.00 |
| PLT PHER |
1043.00 |
| PLT PHER IRRAD |
1192.00 |
| PLT WBC-RD |
247.00 |
| PLT WBC-RD A/PH |
1518.84 |
| PLT WBC-RD CMV- A/PH |
1282.02 |
| PLT WBC-RD IRR A/PH |
1966.80 |
| PLT WBC-RD IRRAD |
337.00 |
| PLURONIC GEL 30% |
233.90 |
| PM ANALYSIS |
767.49 |
| PNEU CONJ VACC 13V |
1101.75 |
| PNEU P-SAC VACC 23V |
556.65 |
| PNEUMOCOCCAL IM(IA S |
100.00 |
| PNEUMOTHORAX SET |
617.55 |
| PODOFILOX .5% 3.5ML |
501.35 |
| POLY VI SOL W/FE |
.25 |
| POLY0MAVIRUS BK QUAN |
446.00 |
| POLYCOSE 400GM |
98.90 |
| POLYDERM HYDRO WH FO |
14.00 |
| POLYMIX B 50000U VL |
133.05 |
| POLYS/IRON 150MG C |
3.80 |
| POLYTRIM OP SOL |
575.05 |
| POM ENDO MASK |
34.50 |
| POOL PLTS/BLD PROD |
133.00 |
| PORPHOBILINOGEN QT |
164.00 |
| PORPHOBILINOGEN QUA |
164.00 |
| PORPHYRINS FECES Q |
410.00 |
| PORPHYRINS FECES Q |
410.00 |
| POT AC 40MEQ/20ML J |
47.10 |
| POT CH 40MEQ 20ML J |
5.65 |
| POT CITRATE 10MEQ T |
31.75 |
| POT CL 10MEQ C |
11.55 |
| POT CL 20% 15ML ORAL |
187.50 |
| POT CL 2MEQ J 20MEQ |
4.49 |
| POT CL EFF 25MEQ T |
3.30 |
| POT CL PKT 20MEQ |
102.80 |
| POT PO4 22MEQ/5ML J |
67.15 |
| POTASSIUM CL 8MEQ T |
3.30 |
| POTASSIUM SERUM |
139.00 |
| POTASSIUM URINE |
139.00 |
| POV IODINE SOLN 30ML |
8.40 |
| POV IODINE SOLN 4OZ |
3.25 |
| POV IODINE SOLN 60ML |
3.25 |
| POV-IOD .3% VD 180ML |
21.80 |
| POV-IOD 10% OINT UD |
3.30 |
| POV-IOD SWAB |
8.40 |
| POWER PICC 4F S |
700.00 |
| POWER PICC 5 F D |
737.00 |
| POWER PICC 5 F T |
845.00 |
| POWER SAFT INF 20G |
18.60 |
| POWERGLIDE ST 20/10C |
381.00 |
| POWERGLIDE STMB 186/ |
426.00 |
| POWERGLIDE STMB 20G/ |
426.00 |
| POWERGLIDEST 20/8CM |
381.00 |
| PPD SKIN TEST |
44.00 |
| PRALIDOXIME 1G INJ |
458.80 |
| PRASUGREL 10 MG T |
166.20 |
| PRAVASTATIN 40MG T |
38.10 |
| PRAZOSIN 1MG C |
20.90 |
| PRBC |
258.00 |
| PRBC DEGLYC |
873.00 |
| PRBC IRRAD |
353.00 |
| PRBC WASHED |
353.00 |
| PREALBUMN |
139.00 |
| PRED 1MG DEL OR |
.38 |
| PREDN IMMED REL O 1M |
.19 |
| PREDNIS 5MG SYR 15MG |
7.38 |
| PREDNIS OS 1% 5ML |
348.50 |
| PRENATAL VIT W/ FE |
.25 |
| PREP DURA PREP |
32.00 |
| PREPUTIAL STRETCHING |
421.27 |
| PREVALON TAP SYSTEM |
241.00 |
| PRIMAFIT FEMALE |
44.52 |
| PRIMAQUINE 26.3MG |
24.60 |
| PRIMIDONE |
182.00 |
| PRIV BED |
908.00 |
| PRO III CANSITER |
59.25 |
| PROB PRASS MONO STIM |
187.00 |
| PROB RECT SURE TEMP |
197.00 |
| PROBE BICAP HEMOS |
510.00 |
| PROBE ESOP/RECT TEMP |
77.00 |
| PROBE VASCULAR |
144.00 |
| PROBENECID 500MG T |
11.30 |
| PROCAIN 1G/10ML J |
457.10 |
| PROCAIN 1G/2ML J |
541.90 |
| PROCAIN 250MG 12HR |
3.00 |
| PROCAIN 250MG 6HRC |
7.75 |
| PROCAIN 500MG 12HR |
9.25 |
| PROCAIN 500MG 6HRC |
3.00 |
| PROCAIN HCL 375MG C |
3.00 |
| PROCAINAMIDE |
259.00 |
| PROCAINAMIDE |
259.00 |
| PROCALCITONIN |
227.00 |
| PROCHLOR 5MG/5ML SUS |
10.50 |
| PROCHLORP 10/2 J |
195.80 |
| PROCHLORP 10MG T |
18.10 |
| PROCHLORP RS 25MG |
126.80 |
| PROCHLORPER 5MG RS |
26.55 |
| PROGEST RECPTR ASSAY |
707.00 |
| PROGESTERONE |
192.00 |
| PROINSULIN |
58.00 |
| PROLACTIN |
219.00 |
| PROMETH 12.5MG T 25 |
5.48 |
| PROMETH 25MG INJ |
25.50 |
| PROMETH 50MG INJ |
35.75 |
| PROMETH 6.25MG/5ML |
3.80 |
| PROMETH RS 12.5 MG |
178.40 |
| PROMETH RS 25MG |
178.40 |
| PROMETH/COD 5ML |
25.95 |
| PROMOD 9.7 OZ |
150.40 |
| PROPAFENONE 150MG T |
18.80 |
| PROPAR0.5% OS 15ML |
331.20 |
| PROPOFOL 10MG/ML 100 |
226.25 |
| PROPOFOL 10MG/ML 50 |
129.20 |
| PROPOFOL 200/10 10ML |
33.25 |
| PROPRAN 10MG T |
3.80 |
| PROPRAN 20MG T |
5.05 |
| PROPRANOLOL 1MG J |
110.80 |
| PROPYLTHIOUR 50MG |
10.40 |
| PROSTH TRAIN/15 MIN |
66.00 |
| PROSTIN E2 VS 20MG |
10016.25 |
| PROT ELECTROPH UR |
40.00 |
| PROT ELECTROPH UR |
40.00 |
| PROT TOT BODY FLUID |
144.00 |
| PROT TOT URINE |
144.00 |
| PROTAMINE 10MG J 50 |
29.71 |
| PROTECT EXTERNAL EAR |
43.00 |
| PROTECTOR HEEL/ELBOW |
217.90 |
| PROTEIN C ANTIGEN |
436.00 |
| PROTEIN ELECT F&Q |
211.00 |
| PROTEIN POW 21.5G |
1.00 |
| PROTEIN S TOTAL |
711.00 |
| PROTEIN TOTAL |
144.00 |
| PROTOPORPHYRIN RBC |
180.00 |
| PROZAC |
227.00 |
| PRT AGGLUT SCR EA AB |
494.00 |
| PSA FREE |
176.00 |
| PSA TOTAL |
197.00 |
| PSEUDOFED 30MG T |
.25 |
| PSYLLIUM PACK |
.55 |
| PT |
204.00 |
| PT EVAL COMP |
173.00 |
| PT EVAL HIGH-COMP 45 |
244.47 |
| PT EVAL INT |
173.00 |
| PT EVAL LOW-COMP 20M |
244.47 |
| PT EVAL LTD |
173.00 |
| PT EVAL MOD-COMP 30M |
244.47 |
| PT RE-EVAL EXT |
67.00 |
| PT RE-EVAL LTD |
67.00 |
| PT UNLISTED THER PR |
69.00 |
| PTA AORTIC |
29627.70 |
| PTA FEM POPLITEAL |
14658.87 |
| PTA ILIAC |
14658.87 |
| PTA PULMONARY ART SN |
29573.70 |
| PTA RENAL/VISCERAL |
14658.87 |
| PTA TIBIOPERONEAL EA |
29627.00 |
| PTA VENOUS |
493.00 |
| PTCA EA ADD VESSEL |
1548.00 |
| PTCA SINGLE VESSEL |
7506.00 |
| PTH (PARATHYROID) |
340.00 |
| PTT |
204.00 |
| PTT SUBS PLS FRACT |
97.00 |
| PULL UPS ADULT |
37.00 |
| PULL UPS YOUTH |
27.00 |
| PULMOCARE 240ML |
25.75 |
| PULSE OX CONT ON |
389.25 |
| PULSE OX MULTIPLE |
104.00 |
| PULSE OX SINGLE DET |
63.00 |
| PUMP BREAST DISP |
72.50 |
| PUNCTURE CLOSURE DEV |
244.00 |
| PURSTRING APPLC DISP |
384.00 |
| PURSTRING DEV 45MM |
1805.76 |
| PUSH OR INFUS <16MIN |
288.00 |
| PW LOC+20G 1.0HUBER |
30.00 |
| PW LOC+20G 1.5HUBER |
30.00 |
| PWR PICC SOLO EXT ST |
32.00 |
| PYRAZIN 500MG T |
32.90 |
| PYRIDOSTIG 10MG/2ML |
289.85 |
| PYRIDOSTIG BR 60MG |
14.65 |
| PYRIDOXINE 100MG J |
183.85 |
| PYRIDOXINE 50MG T |
.25 |
| PYRIMETHAMINE 25MG T |
3402.00 |
| PYRUVATE KINASE |
266.00 |
| PYRUVIC ACID |
266.00 |
| QUANTIFERON TB GOLD |
374.00 |
| QUETIAPINE 100MG T |
74.65 |
| QUETIAPINE 25MG TAB |
43.50 |
| QUINAPRIL 10MG T |
10.10 |
| QUINIDINE |
170.00 |
| QUINIDINE 300MG SRT |
10.95 |
| QUININE SULF 325 T |
7.60 |
| QUINTION ADAPTER |
24.00 |
| QUINTION CATH |
323.00 |
| QUINTON ACCESSORY KT |
302.00 |
| RA FACTOR QUAL |
121.00 |
| RA FACTOR QUANT |
164.00 |
| RAB IG 150U/ML J10ML |
1470.20 |
| RAB IG 300U/ML J 5ML |
2332.37 |
| RABIES VAC 2.5U/ML J |
1155.60 |
| RALTEGRAVIR 400 MG T |
291.60 |
| RAMIPRIL 2.5 MG C |
20.75 |
| RANITID 150MG/10ML |
84.10 |
| RAPID COVID 19 |
154.00 |
| RBC |
88.00 |
| RBC INC W/CHEM/DRUG |
112.00 |
| RBC INC W/ENZ EA |
559.02 |
| REC LOCAL ANESTHESIA |
158.00 |
| REC RM PHASE 1 30 MI |
711.00 |
| REC RM PHASE 2 15MIN |
228.00 |
| REC RM PHASE 2 1HR |
1735.00 |
| REC RM PHASEI SUB 15 |
133.00 |
| RECORDING RT VENTRIC |
2243.00 |
| RECTAL EXAM UA |
6584.85 |
| REDUCE TESTIS TORSIO |
5200.00 |
| REDUCE TESTIS TORSIO |
5200.00 |
| REGADENOSON 0.1MG J |
321.44 |
| REGISTER OF DEATHS |
388.00 |
| RELOAD 30 MM TXB |
108.45 |
| RELOAD 35MM VASCULAR |
478.77 |
| RELOAD 45 MM GREEN |
356.16 |
| RELOAD 45 MM POWE WH |
386.49 |
| RELOAD 45MM POW BLUE |
386.49 |
| RELOAD 45MM POW GREE |
386.49 |
| RELOAD 60 MM TXB |
116.82 |
| RELOAD 60 MM TXG |
116.82 |
| RELOAD 65MM ENDO UNI |
371.07 |
| RELOAD BLUE 45MM LIN |
318.75 |
| RELOAD GIA 30 VASC |
123.93 |
| RELOAD LIN 45MM WHIT |
318.66 |
| RELOAD LIN STAP 60MM |
164.00 |
| REM FB AUD CANAL |
490.00 |
| REM FECAL IMPACTION |
1331.00 |
| REM IABD PERCUTAN |
2116.00 |
| REM PM GENERATOR |
21194.67 |
| REMOV TUNNEL CV CATH |
582.00 |
| REMOVAL FB OF FOOT |
1125.00 |
| REMOVAL STENT |
3520.00 |
| REMOVE BODY FROM ARM |
1287.00 |
| REMVL FB OF FOOT SQ |
1718.00 |
| RENAL DIALYSIS |
2469.00 |
| RENAL DIALYSIS |
2469.00 |
| RENAL FUNCTION PANEL |
336.00 |
| RENIN ACTIVITY-PLASM |
209.00 |
| REP VIRUS 12:25 TARG |
1703.25 |
| REPAGLINIDE 1 MG T |
42.10 |
| REPAIR ART BLOCK ADD |
1024.00 |
| REPAIR HAND TENDON |
2677.00 |
| REPAIR NAIL BED |
716.00 |
| REPAIR NAIL BED |
716.00 |
| REPAIR OF VAGINA |
4117.00 |
| REPTILASE TEST |
143.00 |
| RES POLY MESH 24X4CM |
2499.00 |
| RESCUE NET |
255.00 |
| RESCUE NET RETR DEV |
259.84 |
| RESET DISLOCATED JAW |
246.00 |
| RESOLUTION CUP |
533.00 |
| RESOURCE LIQ 240ML |
14.35 |
| RESP.SYNCYTIAL VIR |
61.00 |
| RESTRAINT LIMB BLK |
109.00 |
| RESTRAINT VEST |
41.00 |
| RESUSCITATOR ADULT |
28.00 |
| RESUSCITATOR CHILD |
30.00 |
| RESUSCITATOR INFANT |
31.00 |
| RETEPLASE 37.6MG/2VL |
6787.00 |
| RETICULOCYTE COUNT |
203.00 |
| RETROGRADE UROGRAM |
565.00 |
| RETROGRADE UROGRAM |
565.00 |
| REUA/COLONOSCOPY |
4470.00 |
| REV PM/DEFIB ELECTRD |
21194.67 |
| REVALIT |
67.00 |
| REVERSE T3 |
45.00 |
| RH TYPE |
201.00 |
| RHO D IMMGLOB 300MCG |
366.00 |
| RHYTHM ECG TRACING |
129.72 |
| RIBS BILATERAL |
318.00 |
| RIBS BILATERAL |
318.00 |
| RIBS UNILATERAL |
318.00 |
| RIBS UNILATERAL |
318.00 |
| RID SHAMPOO |
20.65 |
| RIFABUTIN 150MG C |
176.30 |
| RIFAMPIN 300MG C |
23.20 |
| RIFAMPIN 600MG J |
595.35 |
| RILUZOLE 50MG T |
338.70 |
| RIMEXOLONE 1% OS 5ML |
451.15 |
| RING CUT REPLACE BLA |
57.00 |
| RISPERIDONE 1MG T |
52.60 |
| RISPERIDONE 1MG/ML |
64.40 |
| RITONAVIR 100MG C |
103.60 |
| RIVAROXABAN 15MG T |
189.40 |
| RIVAROXABAN 20MG T |
189.40 |
| RIVASTIGMINE 1.5MG C |
53.75 |
| RIVASTIGMINE 4.5MG C |
20.05 |
| RMV FB CORNEA W/O SL |
1450.00 |
| RMV FB DEEP |
1020.00 |
| RMV FB EAR |
490.00 |
| RMV FB FROM EYE |
413.00 |
| RMV FB MOUTH EMB SMP |
638.00 |
| RMV FB MUSC/TNDN SMP |
1245.00 |
| RMV FB SMPL |
466.00 |
| RMV FB SMPL |
466.00 |
| RMV FB SQ |
541.00 |
| RMV IMPACTED CERUM |
217.00 |
| RMV NASAL FB |
875.00 |
| RMV SKIN TAG |
248.00 |
| RMVAL OF FB FROM EYE |
270.00 |
| RMVAL OF FB FROM EYE |
270.00 |
| RMVL FB EMBEDDED |
1002.00 |
| RMVL FB FROM EYE |
413.00 |
| RMVL FB MUSC/TNDN SM |
1245.00 |
| RMVL FOREIGN BODY |
4858.00 |
| RMVL IMPACTED CERUM |
217.00 |
| ROCURON 10MG/ML 5ML |
18.76 |
| ROFECOXIB 12.5MG T |
24.75 |
| ROM MEASURE EXTREM |
62.00 |
| ROM MEASURE HAND |
30.00 |
| ROM MEASURE TRUNK |
67.00 |
| RONDEC DM 5ML |
3.80 |
| RONDEC DM DPS 1ML |
7.40 |
| ROPINIROLE 1MG T |
28.85 |
| ROSIGLIT MAL 4MG T |
18.00 |
| ROTAVIRUS AG EIA |
164.00 |
| RP WND <2.5CM COMP F |
1273.00 |
| RP WND <2.5CM SMP FE |
688.00 |
| RP WND <2.5CM SMP SN |
649.00 |
| RP WND 12.6-20CM SMP |
1007.00 |
| RP WND 2.6-5.0CM SMP |
754.00 |
| RP WND 2.6-7.5CM COM |
1766.00 |
| RP WND 2.6-7.5CM SMP |
692.00 |
| RP WND 5.1-7.5CM SMP |
878.00 |
| RP WND 7.6-12.5CM SM |
800.00 |
| RP WND 7.6-12.5CM SM |
1117.00 |
| RP WND OVER 30.0 CM |
1307.00 |
| RPCMPLX LAC 2.6-7.5C |
1248.13 |
| RPCMPLX LAC 2.6-7.5C |
1248.13 |
| RPR 2.6-7.5 ADDL 5CM |
870.00 |
| RPR BLD VESSEL LESIO |
1519.00 |
| RPR QUAL |
207.00 |
| RPR WND 12.6-20.0 CM |
1007.00 |
| RPR WND 12.6-20.0CM |
235.00 |
| RPR WOUND <2.5 CM SM |
130.00 |
| RPR WOUND <2.5 CM SM |
649.00 |
| RPR WOUND > 30.0 CM |
189.00 |
| RPR WOUND > 30.0 CM |
222.00 |
| RPR WOUND 2.6-5.0CM |
139.00 |
| RPR WOUND 2.6-7.5 CM |
692.00 |
| RPR WOUND 20.1-30 CM |
120.00 |
| RPR WOUND 20.1-30CM |
169.00 |
| RPR WOUND 5.1-7.5CM |
161.00 |
| RPR WOUND 7.6-12.5 C |
800.00 |
| RPR WOUND 7.6-12.5CM |
193.00 |
| RPR/VDRL QUANT |
255.00 |
| RSV AG EIA |
199.00 |
| RT CORD ABG |
499.00 |
| RT CORD DRAW |
326.34 |
| RT DELIVERY ATTNDCE |
263.00 |
| RT PT ASSESS/EVAL |
407.79 |
| RUBELLA SCREEN |
121.00 |
| RUBELLA TITER |
190.00 |
| RUBEOLA TITER |
190.00 |
| SACRIOILIAC JOINTS |
235.00 |
| SACRIOILIAC JOINTS |
235.00 |
| SACRUM / COCCYX |
268.00 |
| SACRUM / COCCYX |
268.00 |
| SAFE SHEATH 7FR |
218.00 |
| SAFETOUCH COLL SYSTE |
309.00 |
| SAGE MOUTH CARE |
60.00 |
| SALICYLATES |
149.00 |
| SALINE FL 10ML VIAL |
10.15 |
| SALMETEROL INH 6.5G |
1247.00 |
| SANTLY 250U/GM OINT |
658.30 |
| SAQUINAVIR 200MG C |
22.40 |
| SARS COV 2 AB (LC) |
127.00 |
| SARS COV 2 AB (LMC) |
127.00 |
| SARS-COV-2 AB IGA |
120.00 |
| SARS-COV-2 AB IGG |
126.00 |
| SARS-COV-2 AB IGM |
126.00 |
| SARS-COV2 COVID19 |
126.39 |
| SCALPEL #10 |
3.00 |
| SCALPEL HARMONIC LCS |
696.00 |
| SCAPULA |
190.00 |
| SCAPULA |
190.00 |
| SCAPULA BILATERAL |
345.00 |
| SCAPULA LT |
172.50 |
| SCAPULA LT |
172.50 |
| SCAPULA RT |
172.50 |
| SCAPULA RT |
172.50 |
| SCERO INTRAP AEROSOL |
131.00 |
| SCHLERATHERAPY |
7347.00 |
| SCOLIOSIS STUDY |
298.00 |
| SCOLIOSIS STUDY |
298.00 |
| SCOPOL 1.5MG TDP |
188.75 |
| SCREEING DIG MAMMO |
126.00 |
| SCREEING DIG MAMMO |
126.00 |
| SCREENING DIG UNI |
100.00 |
| SCREENING DIG UNI |
100.00 |
| SCREW DRIVER HEX |
401.00 |
| SECOBARB 100MG C |
279.25 |
| SEG/SUBSEQ PULM ART |
619.00 |
| SELENIUM |
152.00 |
| SELF SEAL CAP |
23.97 |
| SELLA TURCICA |
252.00 |
| SELLA TURCICA |
252.00 |
| SEMEN ANAL COMPLETE |
473.00 |
| SEMEN ANAL CT & MOTI |
258.00 |
| SENNA CONC,DOC T |
3.80 |
| SENS AFB EA DRUG |
111.00 |
| SENS DISK METHOD |
128.00 |
| SENS MIC |
120.00 |
| SENS FUNGI EA DRUG |
111.00 |
| SENSOR OXIMETER |
22.41 |
| SENSOR OXIMETER |
44.84 |
| SENSOR OXIMETER ADUL |
35.44 |
| SENSOR OXIMETER PEDS |
35.44 |
| SENSOR SKIN |
4.00 |
| SENSORY TRN/15 MIN |
78.00 |
| SEPRAF ADHES BAR 5X6 |
252.00 |
| SEPRAFILM 6 SHEET3X5 |
2210.90 |
| SEQ INFUSION OF MED |
146.00 |
| SEQ INFUSION OF MED |
146.00 |
| SEQ IV THER ADD HR |
133.46 |
| SEQ IV THER ADD HRS |
133.46 |
| SEQUENTIAL INFU MED |
146.00 |
| SEROTONIN-BLOOD |
140.00 |
| SERTERA INTRO-14 |
46.74 |
| SERTRALINE 50MG T |
32.75 |
| SERUM GALACT ANTIGEN |
268.00 |
| SERUM GALT ANTIGEN |
268.00 |
| SERUM LIGHTCHAINS |
61.00 |
| SET BLOOD WARMING |
62.00 |
| SET IRRIGATION TUBIN |
81.00 |
| SET IV EXTENSION |
98.25 |
| SET IV INFUS RAPID |
23.11 |
| SET LAP SUC IRR TUBI |
103.00 |
| SET TRANSDUCER DISP |
50.30 |
| SET TRANSFER |
1397.70 |
| SET TUBING CARD OP |
196.80 |
| SEVELAMER 400MG T |
36.70 |
| SEVELAMER 800MG T |
70.25 |
| SEX HORMONE BINDING |
34.00 |
| SHEAR HARMONIC 5MM |
626.00 |
| SHEATH ACCESS |
105.00 |
| SHEET GLIDE 35X55 |
93.75 |
| SHEET SILICONE 1.02M |
39.00 |
| SHOE POST-OP |
13.50 |
| SHOULDER |
190.00 |
| SHOULDER |
190.00 |
| SHOULDER ARTHOGRAM |
414.00 |
| SHOULDER ARTHOGRAM |
414.00 |
| SHOULDER BILAT MIN4V |
380.00 |
| SHOULDER BILAT MIN4V |
380.00 |
| SHOULDER MIN 2V LT |
172.50 |
| SHOULDER MIN 2V LT |
172.50 |
| SHOULDER MIN 2V RT |
172.50 |
| SHOULDER MIN 2V RT |
172.50 |
| SIALOGRAM |
361.00 |
| SIALOGRAM |
361.00 |
| SICKLE CELL |
57.00 |
| SICKLE CELL SCREEN |
187.00 |
| SIGM CNTRL BLEED L2 |
2481.00 |
| SIGM W DECOMPR L2 |
2481.00 |
| SIGMOID W DIAGNOS L1 |
1479.00 |
| SIGMOID W FB REM L1 |
1479.00 |
| SIGMOID W POLYPEC L2 |
2481.00 |
| SIGMOID W TISS INJ L |
1482.00 |
| SIGMOIDOSCOPY FLEX |
3376.00 |
| SIGMOIDOSCOPY W BIO |
1479.00 |
| SILVER NIT STK APP |
7.60 |
| SILVER SD 20 G CR |
103.15 |
| SILVER SD 400G CR |
400.60 |
| SIMETH 40MG/.6ML .6M |
.25 |
| SIMETHICONE 80MG T |
.25 |
| SIMPLE LACERATION RE |
448.00 |
| SIMVASTATIN 10MG T |
32.10 |
| SIMVASTATIN 40MG TAB |
56.75 |
| SINCALIDE 5MCG J |
535.35 |
| SINU-FOAM |
203.00 |
| SINU-KNIT FOAM |
200.00 |
| SINUS COMPLETE |
360.00 |
| SINUS COMPLETE |
360.00 |
| SINUS LIMITED <3V |
318.00 |
| SINUS LIMITED <3V |
318.00 |
| SIROLIMUS LEVEL |
179.00 |
| SIZE #5 LMA DISPOSIB |
31.00 |
| SKIN PROTE SURE PREP |
16.67 |
| SKULL COMPLETE |
348.00 |
| SKULL COMPLETE |
348.00 |
| SKULL LIMITED <4V |
311.00 |
| SKULL LIMITED <4V |
311.00 |
| SLEEVE STERILE |
237.00 |
| SLEEVE THIGH COMPRES |
121.00 |
| SLING & SWATHE |
33.00 |
| SLING ARM |
10.00 |
| SLING CRADLE |
10.00 |
| SLING INFANT ARM |
26.00 |
| SM RT ANKLE |
49.92 |
| SMALL ANKLE LEFT |
49.92 |
| SMALL BOWEL SERIES |
378.00 |
| SMALL BOWEL SERIES |
378.00 |
| SMALL FOAM KIT SUCT |
75.36 |
| SMEAR AFB |
132.00 |
| SMEAR FOR WBCS NONSP |
121.00 |
| SMEAR FUNGAL KOH |
136.00 |
| SMEAR INTRACELL PARA |
129.00 |
| SMEAR MALARIAL |
141.00 |
| SMEAR PNEUMOCYSTIS |
207.00 |
| SMEAR REVIEW ONLY |
40.00 |
| SMEAR REVIEW -PATHOL |
80.00 |
| SMEAR WET MOUNT |
168.00 |
| SMOKING CES 3<10 MIN |
75.00 |
| SMOKING CESS >10MIN |
125.00 |
| SNARE CAPT LG |
39.00 |
| SNARE POLYPECTOMY DI |
98.00 |
| SOAP SUD ENEMA |
9.45 |
| SOD AC 40MEQ/20ML J |
18.90 |
| SOD BIC 8.4% 50ML EM |
163.30 |
| SOD BIC INF 5MEQ EMS |
13.08 |
| SOD BICARB 50 MEQ |
117.10 |
| SOD BICARB 650MG T |
3.80 |
| SOD CHL 10ML FLUSH |
42.10 |
| SOD CHL 23.4% 30ML J |
62.10 |
| SOD CHL VIAL .9% |
3.80 |
| SOD CL 0.9% 3ML FLUS |
5.75 |
| SOD CL 1GM T |
.25 |
| SOD CL 3% 15ML NEB |
10.25 |
| SOD CL AER 3ML |
3.00 |
| SOD CL INH 0.9% 15ML |
3.80 |
| SOD CL NSP 0.625% 45 |
4.55 |
| SOD FER GLU 12.5MG J |
57.62 |
| SOD PHOS 3MM INJ |
67.15 |
| SOD PHOS ENEMA AD |
2.20 |
| SOD PHOS PED EN 66ML |
3.25 |
| SOD POLYS S 15G/60ML |
113.40 |
| SOD THIOSULF 12.5G J |
471.85 |
| SODIUM SERUM |
121.00 |
| SODIUM URINE |
121.00 |
| SOLN DIALYSIS |
138.90 |
| SOLN GLYCINE 3M BG |
57.00 |
| SOLN H20 IRRI 1M BTL |
42.60 |
| SOLN NS IRRI 1M BTL |
42.60 |
| SOLUBLE LIVER AG |
197.00 |
| SOLYX SIX |
3794.00 |
| SOMATOMEDIN (IGF-1) |
280.00 |
| SORBITOL S 70% 15ML |
3.80 |
| SOTALOL HCL 80MG T |
29.55 |
| SPATULA LAPAROSCOPIC |
86.13 |
| SPC STAINS GROUP I |
310.00 |
| SPC STAINS GROUP II |
259.00 |
| SPEC ANOSCOPE |
23.00 |
| SPEC SIGMOIDSCOPE |
10.00 |
| SPEC VAGINAL DISP |
6.00 |
| SPECIAL RECON CT/MRI |
462.00 |
| SPECIALTY BEDS |
252.00 |
| SPECTROPHOTMTRY ANLY |
167.00 |
| SPEECH SCREEN |
105.00 |
| SPIN NEED 25X3.5 INT |
39.72 |
| SPIN NEED 25X4.75 |
55.98 |
| SPINAL NEED W INT 22 |
40.38 |
| SPINE ONE VIEW |
163.00 |
| SPINE ONE VIEW |
163.00 |
| SPINE STAND SCOLIOSI |
281.00 |
| SPINE STAND SCOLIOSI |
281.00 |
| SPIRONOLAC 25MGT |
4.85 |
| SPIRONOLAC 50MG T |
9.20 |
| SPLINT ACCUFOAM NASA |
36.00 |
| SPLINT AIR ANKLE |
65.00 |
| SPLINT COLLES |
56.90 |
| SPLINT FINGER |
6.00 |
| SPLINT THER XOMED |
28.00 |
| SPLIT BLD/PROD EA |
309.90 |
| SPLNT APP FINGER STA |
186.00 |
| SPLT APP FINGER STAT |
273.00 |
| SPLT APP FOREARM STA |
273.00 |
| SPLT APP LONG ARM |
347.00 |
| SPLT APP LONG LEG |
303.00 |
| SPLT APP LOWER LEG |
264.00 |
| SPONGE LAP |
4.00 |
| SPONGE NEURO |
24.00 |
| SPONGE PEANUT |
3.00 |
| SPONGE SOFTWICK |
.40 |
| SPONGE TONSIL LG |
4.00 |
| SPOT ENDOSCOPIC MARK |
118.00 |
| SPUTUM IND INITIAL |
448.38 |
| SPUTUM IND SUBS |
448.38 |
| SSKI 30 ML |
198.95 |
| ST EVAL LTD |
154.00 |
| ST GRP TX LTD |
50.00 |
| ST IND TX LTD |
95.00 |
| STAP,LIN ARTI, 45MM |
588.00 |
| STAPLER 30 MM TXG |
230.31 |
| STAPLER 35 MM POWERE |
976.05 |
| STAPLER 45MM POWERED |
906.49 |
| STAPLER 60 MM TXG |
233.64 |
| STAPLER CIR 33M |
1564.00 |
| STAPLER CIRCULAR |
1328.00 |
| STAPLER CIRCULAR |
1917.00 |
| STAPLER CIRCULAR 25M |
943.00 |
| STAPLER CIRCULAR 29M |
558.00 |
| STAPLER ENDO UNIV 65 |
1179.30 |
| STAPLER LDS PLDS 15W |
413.00 |
| STATLOCK IV ULTR ADU |
9.27 |
| STAVUDINE 1MG/ML 200 |
25.40 |
| STAVUDINE 30MG C |
93.95 |
| STAVUDINE 40MG CAP |
95.65 |
| STENT URETE 4.8X22CM |
257.00 |
| STENT URETE 4.8X24CM |
257.00 |
| STENT URETHERAL |
257.00 |
| STERILE WATER 10 ML |
12.00 |
| STERILE WATER 2L J |
72.70 |
| STERNOCLAVICULAR JTS |
190.00 |
| STERNOCLAVICULAR JTS |
190.00 |
| STERNUM |
318.00 |
| STERNUM |
318.00 |
| STETHOSCOPE DISP |
48.00 |
| STOCK ANTI-EM KNEE |
11.00 |
| STOCK ANTI-EM THIGH |
20.00 |
| STOCKINETTE STERILE |
266.00 |
| STOPCOCK 3-WAY W/EXT |
42.60 |
| STPL EMS |
616.00 |
| STPL LINEAR |
356.85 |
| STPL PROXIMATE |
285.00 |
| STPL RELOAD |
706.00 |
| STPL SKIN |
29.35 |
| STPL SKIN REMOVER |
3.00 |
| STPL TA 30 |
394.00 |
| STPL TA 55 |
404.00 |
| STPL TA 90 |
375.00 |
| STRAP ANKLE |
380.19 |
| STRAP CLAVICLE |
33.00 |
| STRAP DENISBROWN SPL |
111.00 |
| STRAP ELB/WRIST |
85.00 |
| STRAP HAND/FINGER |
78.00 |
| STRAP HIP |
99.00 |
| STRAP KNEE |
103.00 |
| STRAP LOW BACK |
113.00 |
| STRAP SHOULDER |
106.00 |
| STRAP THORAX |
380.19 |
| STRAP TOES |
82.00 |
| STRAP UNNA BOOT |
421.65 |
| STRCYHNINE SCREEN |
166.00 |
| STREP A AG EIA |
203.00 |
| STREP PNEUMO ANTIGEN |
126.00 |
| STREPTOCOCCUS SCREEN |
170.00 |
| STREPTOKINASE/250000 |
291.00 |
| STREPTOMYCIN 1GM J |
590.60 |
| STRESS TEST |
1293.00 |
| STRESS TEST TRACING |
744.49 |
| STROKE ALERT HEAD CT |
1375.00 |
| STYL RIG GLIDERITE |
137.00 |
| STYLET |
25.00 |
| STYLET INTUBATING |
31.00 |
| SUBOXONE ST |
69.35 |
| SUCC CH 20MG J 200MG |
4.35 |
| SUCRALFATE 1GM T |
4.25 |
| SUCTION CATH 14FR |
62.00 |
| SUCTION COAGULATOR |
17.00 |
| SUCTION YANKAUER |
1.00 |
| SUFENTANIL 50MCG J |
62.10 |
| SUGAMMADEX 200MG J |
554.15 |
| SULFAC OS 10% 2.5ML |
384.30 |
| SULFADIAZINE 500 T |
58.15 |
| SULFANIL 15% VCR 15 |
1196.40 |
| SULFASALA 500MG T |
6.35 |
| SULFONYLUREA |
282.00 |
| SUMATRIP S 6MG/0.5 J |
535.50 |
| SUPLENA 240ML |
6.85 |
| SUPPORT SCROTAL |
49.00 |
| SUPRAPUB CATH CHANGE |
107.25 |
| SUPRAPUB CATH NO ASP |
767.91 |
| SURG EA ADD 15MN |
888.00 |
| SURG MINOR ADD 15MIN |
1248.75 |
| SURG PATH LVL 4 |
280.00 |
| SURG PATH LVL 5 |
557.00 |
| SURGERY 1ST HOUR MAJ |
7121.00 |
| SURGERY MINOR |
800.00 |
| SURGICAL LAP TIP |
58.17 |
| SURGICAL POWDER |
575.25 |
| SURGICAL SNOW |
386.19 |
| SUSCEP TES AEO/ANAER |
48.00 |
| SUT 2-0 PDS PDP339H |
5.73 |
| SUT 2-0 VICRYL VR932 |
16.15 |
| SUT GROUP A |
73.00 |
| SUT GROUP B |
13.00 |
| SUT GROUP C |
35.00 |
| SUT GROUP D |
51.00 |
| SUT GROUP E |
38.00 |
| SUT GROUP F |
24.00 |
| SUT GROUP G |
87.00 |
| SUT GROUP H |
24.00 |
| SUT GROUP I |
24.00 |
| SUT GROUP J |
24.00 |
| SUT GROUP L |
95.00 |
| SUT GROUP M |
24.00 |
| SUT GROUP N |
225.00 |
| SUT GROUP O |
24.00 |
| SUT GROUP P |
24.00 |
| SUT GROUP Q |
24.00 |
| SUT GROUP R |
24.00 |
| SUT GROUP S |
24.00 |
| SUT GROUP T |
24.00 |
| SUT GROUP U |
24.00 |
| SUT GROUP V |
24.00 |
| SUT GROUP W |
24.00 |
| SUT GROUP X |
24.00 |
| SUT GROUP Y |
24.00 |
| SUT GROUP Z |
77.00 |
| SUT MO 4-0 P-3 Y494G |
175.00 |
| SUT STEATAFIX PGA PC |
101.37 |
| SUT STRATAFIX SPIRAL |
106.47 |
| SUT3-0 MONO MCP936H |
52.41 |
| SUTUR 0 STRAT LUNG |
286.52 |
| SUTURE 0 36IN VICRYL |
10.64 |
| SUTURE 3-0 27 INCH |
10.12 |
| SUTURE 3-0 NURULON |
21.27 |
| SUTURE 3-0MONO |
6.81 |
| SUTURE 4-0 STRAFIX |
101.71 |
| SUTURE BONDEK-O |
100.00 |
| SUTURE BOOT |
164.00 |
| SUTURE BRAIDED POLYE |
100.00 |
| SUTURE CHR GUT 2-0 |
18.12 |
| SUTURE CHR GUT 3-0 |
18.68 |
| SUTURE CHR GUT 3-0 |
18.76 |
| SUTURE CHR GUT 3-0CT |
64.00 |
| SUTURE CHR GUT 36 IN |
20.28 |
| SUTURE CHROME GUT 0 |
18.68 |
| SUTURE CHROME GUT 1 |
20.80 |
| SUTURE ETHIBOND ETRA |
25.60 |
| SUTURE ETHIBOND XTRA |
10.40 |
| SUTURE GROUP K |
80.00 |
| SUTURE MONOCRYL 3-0 |
12.24 |
| SUTURE NEEDLE BOX |
7.74 |
| SUTURE PLAIN GUT 3-0 |
18.84 |
| SUTURE PLN GUT 3-0 |
36.16 |
| SUTURE PROLENE 1 CT |
13.36 |
| SUTURE PROLENE 2-0 |
13.36 |
| SUTURE RAP.VICRYL5.0 |
15.00 |
| SUTURE SILK 0 BLK BR |
8.00 |
| SUTURE SILK 2-0 CT |
8.16 |
| SUTURE SILK 5-0 BLK |
21.76 |
| SUTURE VICRYL RAPIDE |
30.84 |
| SUTUREVIC3-0 VCP8640 |
29.13 |
| SWAB STICK LEMON GLY |
1.00 |
| SWALLOW REHAB STUDY |
419.00 |
| SWALLOW REHAB STUDY |
419.00 |
| SYRINGE ANGIOGRAPHIC |
33.00 |
| SYRINGE CONTROL |
3.00 |
| SYRINGE SPRINGWIRE |
32.00 |
| SYS PROLENE HERNIA |
690.00 |
| SYS PROLENE HERNIA |
690.00 |
| SYSTEM CHEST DRAIN |
88.00 |
| SYSTEM IRRIG/ASPIRAT |
189.00 |
| SZ 5 LMA, DISPOSABLE |
18.75 |
| T CELLS TOTAL COUNT |
400.00 |
| T3 FREE |
144.00 |
| T3 TOTAL |
139.00 |
| T3 UPTAKE |
135.00 |
| T4 FREE |
176.00 |
| T4 TOTAL |
144.00 |
| TACKER BARD ABSORB |
1170.00 |
| TACROLIMUS |
293.00 |
| TAMOXIFEN 10MG T |
21.80 |
| TAMSULOS O.4MG SRC |
48.60 |
| TAND TUB CANIST SUCT |
113.00 |
| TAP 4.5 |
300.00 |
| TB PROBE |
305.00 |
| TBG |
170.00 |
| TD VACCINE >=7YR J |
313.00 |
| TDAP 0.5ML J (ADULT) |
331.65 |
| TEARS NAT OS 15ML |
3.55 |
| TEGE SUPERABSO 20X20 |
17.97 |
| TEGEDERM SAC 6.4 |
21.99 |
| TEGEDERM SILVER AG |
19.02 |
| TEGRETOL FREE |
55.00 |
| TEMAZEPAM 15MG C |
8.20 |
| TEMAZEPAM 30MG C |
9.55 |
| TEMAZEPAM 7.5MG C |
267.25 |
| TEMP PROBE INTERNAL |
24.00 |
| TEMP TRANSCUT PACING |
706.00 |
| TENECTEPL 1MG J 50MG |
564.18 |
| TENOFOVIR DF 300MG T |
306.00 |
| TENS |
73.00 |
| TENS APPLICATION |
71.00 |
| TERAZOSIN 1MG T |
18.45 |
| TERBUTALINE 1MG J |
55.40 |
| TERBUTALINE 2.5MG T |
62.75 |
| TERCON V CR 0.8%20G |
212.80 |
| TERCONAZ VCR 45G |
324.65 |
| TERCONAZOLE VS 80MG |
212.75 |
| TESTOST CYP 200MG J |
211.70 |
| TESTOSTERONE FREE |
344.00 |
| TESTOSTERONE TOTAL |
344.00 |
| TET IMM GLOB 250U J |
2523.85 |
| TET TOXOID |
58.00 |
| TET/DIPHTH<7 YRS |
31.00 |
| TET/DIPHTH>7 YRS |
58.00 |
| TETRAC OS 0.5% 2ML |
111.10 |
| TETRAC OS 0.5% 4ML |
128.00 |
| TETRACA 1% INJ |
66.25 |
| TETRACYCL 250MG C |
3.80 |
| THEO 80MG/15ML 15M |
3.85 |
| THEOPH 300MG SRT |
7.85 |
| THEOPH 200MG SRT |
8.05 |
| THEOPH 400MG SRT |
15.55 |
| THEOPH TRC 100MG |
3.30 |
| THEOPH TRC 200MG |
3.60 |
| THEOPHYLLINE |
182.00 |
| THER EXER/15 MIN |
78.00 |
| THER PHLEBOTOMY |
101.16 |
| THER PHLEBOTOMY |
577.00 |
| THERAP INJ SUBQ/IM |
226.00 |
| THERAPACT/15 MIN |
66.00 |
| THERMOSET INJECTATE |
41.00 |
| THERMOVENT T |
4.98 |
| THIAMI 100MG J 200MG |
60.18 |
| THIAMINE 100MG T |
.25 |
| THIAMINE 100MG TAB |
.65 |
| THICK IT PWD 8OZ |
57.60 |
| THIOCYNATE |
169.00 |
| THIOPENTAL 500MG J |
328.30 |
| THIORIDAZ 25MG T |
8.75 |
| THIORIDAZINE (MELLAR |
266.00 |
| THORACEN W/TUBE INS |
859.00 |
| THORACENTESIS |
762.00 |
| THORACENTESIS |
762.00 |
| THORACENTESIS |
1212.98 |
| THORACENTESIS W/TBE |
859.00 |
| THORACIC MYELOGRAM |
1521.51 |
| THORACIC MYELOGRAM |
1521.51 |
| THORACIC SPIN COMPLE |
316.00 |
| THORACIC SPIN COMPLE |
316.00 |
| THORACIC SPINE 2 |
298.00 |
| THORACIC SPINE 2 |
298.00 |
| THORACOSTOMY TUBE |
971.00 |
| THRMB CORONARY CORO |
1028.00 |
| THROMB TRNSCTH THE A |
11921.88 |
| THROMBIN 20000U |
1348.10 |
| THROMBIN TIME |
160.00 |
| THROMBIN TOP 5000U |
581.10 |
| THROMBOLYSIS |
1343.00 |
| THROMBOLYSIS DSLV IV |
1343.00 |
| THYROGLOBULIN |
215.00 |
| TIBIA/FIBULA |
174.00 |
| TIBIA/FIBULA |
174.00 |
| TIBIA/FIBULA BILATER |
345.00 |
| TIBIA/FIBULA BILATER |
345.00 |
| TIBIA/FIBULA LEFT |
172.50 |
| TIBIA/FIBULA LEFT |
172.50 |
| TIBIA/FIBULA RIGHT |
172.50 |
| TIBIA/FIBULA RIGHT |
172.50 |
| TICAR, KCLAV 3/0.1 J |
161.30 |
| TIMOLOL OS 0.25% 5ML |
69.25 |
| TIMOLOL OS 0.5% 5ML |
78.45 |
| TIP H TEMP CAUT VASE |
20.00 |
| TIP H TEMP CAUTERY A |
17.00 |
| TLC SELF RETAINING |
304.00 |
| TMJ BILATERAL |
318.00 |
| TMJ BILATERAL |
318.00 |
| TMJ BILATERAL |
1089.30 |
| TMJ LT |
544.65 |
| TMJ RT |
544.65 |
| TOBRA,DEX OO 3.5G |
1035.10 |
| TOBRA,DEX OS 5ML |
535.20 |
| TOBRAMY OS 0.3% 5 |
146.75 |
| TOBRAMYCIN |
340.00 |
| TOBRAMYCIN 80MG J |
27.35 |
| TOBRAMYCN OO 3.5GM |
972.30 |
| TOES |
174.00 |
| TOES |
174.00 |
| TOES BILATERAL MIN 4 |
345.00 |
| TOES LEFT MIN 2V |
172.50 |
| TOES LEFT MIN 2V |
172.50 |
| TOES RIGHT MIN 2V |
172.50 |
| TOES RIGHT MIN 2V |
172.50 |
| TOLTERODINE 2MG T |
39.10 |
| TOMO NON UROGRAPHY |
59.00 |
| TOMO NON UROGRAPHY |
590.00 |
| TONOGRAPHY & EYE EVL |
259.00 |
| TONOGRAPHY & EYE EVL |
259.00 |
| TOOTHETTE ORAL CARE |
84.00 |
| TOPIRAMATE |
166.00 |
| TOPIRAMATE 25MG T |
23.30 |
| TORADOL 15 MG |
51.95 |
| TORSEMID 10MG J 20MG |
52.68 |
| TORSEMIDE 20MG T |
9.45 |
| TOTAL ABDOMINAL HYST |
154.49 |
| TOURNIQUET DISPOSIBL |
40.65 |
| TPA BOLUS |
560.22 |
| TPA INFUSION |
560.22 |
| TRAC BELT PELVIC |
59.00 |
| TRAC BOOT BUCKS |
121.00 |
| TRACE METALS 1ML J |
148.15 |
| TRACH TUBE 8.0 XLT |
165.09 |
| TRAMADOL 50MG T |
9.10 |
| TRANEXAMIC 650MG T |
85.50 |
| TRANEXAMIC ACID 1G J |
271.80 |
| TRANSCUT PACING TEMP |
706.00 |
| TRANSDUCR INTRAUTERI |
87.00 |
| TRANSFERRIN |
135.00 |
| TRANSFUS BLD/BLD CP |
726.00 |
| TRANSFUS BLD/COMP |
736.00 |
| TRANSFUSION ADMIN |
736.00 |
| TRANSFUSION MED NOS |
194.00 |
| TRANSFUSION REACTION |
167.00 |
| TRAY AMNIOCENTESIS |
38.00 |
| TRAY CATH FOLEY |
19.25 |
| TRAY CATH INTRODUCER |
120.00 |
| TRAY CIRC |
84.00 |
| TRAY CRYCO |
515.00 |
| TRAY CSECTION |
327.00 |
| TRAY CYSTO IRRI |
60.60 |
| TRAY DRESSING CHANGE |
56.00 |
| TRAY EPIDURAL |
122.80 |
| TRAY GYN EACH |
101.00 |
| TRAY HEMODIALYSIS |
1190.00 |
| TRAY I & D |
24.50 |
| TRAY IRRIGATION |
3.35 |
| TRAY LACERATION |
29.30 |
| TRAY LUMBAR ADULT |
39.60 |
| TRAY LUMBAR PEDI |
48.00 |
| TRAY MULITILUMEN CVC |
173.64 |
| TRAY MULTI LUMEN |
107.00 |
| TRAY PARACENTESIS |
170.00 |
| TRAY PERI LAVAGE |
98.00 |
| TRAY PERITONEAL DIAL |
126.45 |
| TRAY PICC LINE |
567.00 |
| TRAY POWER PICC LINE |
729.00 |
| TRAY QUINTON CATH |
309.50 |
| TRAY REDUCTION CLOSE |
244.00 |
| TRAY SPINAL |
53.00 |
| TRAY THORACENTESIS |
144.00 |
| TRAY THORACOTOMY |
123.00 |
| TRAY TRACHEAL |
3.45 |
| TRAY UMBILICAL |
285.00 |
| TRAY URINE METER |
35.00 |
| TRAY UVC |
458.00 |
| TRAY VAGINAL |
133.90 |
| TRAY WOUND CARE |
36.00 |
| TRAZODONE 50MG T |
4.95 |
| TREAT ANKLE DISLOCAT |
1181.00 |
| TREAT FINGER FRACTUR |
342.00 |
| TRIAM HCTZ 37.5/25 M |
4.50 |
| TRIAM/HCTZ 75/50 T |
10.50 |
| TRIAMCIN 10MG J 40MG |
28.30 |
| TRIAMCIN AER 20G |
329.15 |
| TRIAMCIN CR/O 0.1 15 |
64.40 |
| TRIAZOLAM 0.125MGT |
10.70 |
| TRICHOPHYTON 0.1ML J |
19.60 |
| TRICYCL ANTIDPRSSNTS |
242.00 |
| TRIETHANOL 10% OT 6 |
222.45 |
| TRIFLURIDIN OS 7.5ML |
356.40 |
| TRIGLYCERIDE |
144.00 |
| TRIHEXYPHN 2MG T |
3.80 |
| TRIM,SULF 800/160 T |
21.10 |
| TRIM/SULF 160/10ML J |
151.60 |
| TRIM/SULF 200/40 5ML |
13.75 |
| TRIM/SULF 480/30ML J |
340.80 |
| TRIM/SULF 80MG/5ML J |
86.80 |
| TRIMETHOBEN RS 100 |
13.55 |
| TRIMETHOBEN RS 200 |
13.75 |
| TRIMETHOBENZ 200MG J |
320.20 |
| TRNSCTH PLC CORO STN |
7500.00 |
| TROC KIR WIRE.035X9 |
172.00 |
| TROC KIR WIRE.045X9 |
172.00 |
| TROCAR 10MM |
673.00 |
| TROCAR 12MM |
538.30 |
| TROCAR 15MM FLEX |
333.24 |
| TROCAR 15MM FLEXIBLE |
283.00 |
| TROCAR 5MM |
406.70 |
| TROCAR 7/8 MM FLEX |
333.24 |
| TROCAR 7/8MM FLEXIBL |
283.00 |
| TROCAR OBTURATOR 10M |
297.00 |
| TROCAR REDUCER |
19.00 |
| TROCAR VISIiPORT |
230.00 |
| TROCHAR BLADED 11MM |
81.00 |
| TROCHAR BLADED 12MM |
81.00 |
| TROCHAR BLADED 5M |
51.90 |
| TROPICAMIDE OS 1% 15 |
205.75 |
| TROPONIN QUANT |
256.00 |
| TRYP,BALS,CAS TS 56G |
150.80 |
| TRYPANOSOMA CRUZ IGG |
75.00 |
| TRYPANOSOMA CRUZ IGM |
75.00 |
| TRYPSIN FECES QUAL |
305.00 |
| TRYPTASE |
152.00 |
| TSH RECEPTOR AB |
78.00 |
| TSI (THYR STMG IMMNG |
171.00 |
| T-SPINE COMP W/OBLIQ |
334.00 |
| T-SPINE COMP W/OBLIQ |
334.00 |
| TUB CHEST 40FR W/TRO |
35.00 |
| TUB GAUZ 1 5/8X50YD |
43.00 |
| TUBE BLACKEMERE 20F |
1113.78 |
| TUBE BLAKEMERE 20F |
1113.78 |
| TUBE BLAKEMORE |
1026.00 |
| TUBE BLAKEMORE 20 FR |
1114.00 |
| TUBE CHEST 20F NOINX |
28.41 |
| TUBE ENDO 3.0 CUFF |
60.00 |
| TUBE ENDO 3.5 CUFF |
60.00 |
| TUBE ENDO 4.0 CUFFED |
60.00 |
| TUBE ENDO 4.5 CUFFED |
60.00 |
| TUBE ENDO 5.5 UNCUFF |
40.00 |
| TUBE ENDO 6 UNCUF OR |
43.00 |
| TUBE ENFIL J 16 FR |
390.36 |
| TUBE ET CUFFED |
70.00 |
| TUBE ET HOLDER |
17.00 |
| TUBE ET UNCUFF |
32.00 |
| TUBE FEEDING |
10.00 |
| TUBE FLATUS |
52.00 |
| TUBE GASTRO |
140.00 |
| TUBE HOLDER ET SMALL |
34.00 |
| TUBE INSUFFLATION |
63.25 |
| TUBE J 16FR |
390.63 |
| TUBE J-JUNOSTOMY |
639.00 |
| TUBE OUTER REUSE END |
390.00 |
| TUBE RECTAL |
729.75 |
| TUBE RICH MOD TTUBE |
65.00 |
| TUBE SHEPARD |
39.00 |
| TUBE SHILEY |
131.00 |
| TUBE STOMACH |
12.00 |
| TUBE THORACOSTOMY |
165.00 |
| TUBE TRACH BIVONA |
415.00 |
| TUBE TUM-E-VAC |
109.00 |
| TUBE,CHEST 20F NO IN |
28.41 |
| TUBERCUL ST 5TU/0.1M |
107.45 |
| TUBING 20IN EXT |
169.00 |
| TUBING BLOOD |
98.85 |
| TUBING BLOOD PUMP |
51.00 |
| TUBING BURETROL |
195.75 |
| TUBING FLUID WARM |
98.00 |
| TUBING IV CONNECTOR |
1.75 |
| TUBING IV J-LOOP |
147.60 |
| TUBING IV NITRO |
202.95 |
| TUBING IV PRIMARY |
93.60 |
| TUBING IV T-PORT |
64.05 |
| TUBING PCA |
69.45 |
| TUBING PRESSURE |
4.00 |
| TUBING PUMP EPIDURAL |
311.55 |
| TUBING SECONDARY |
32.40 |
| TUBING SUCTION LONG |
5.20 |
| TUBING SUCTION REG |
3.00 |
| TUBING UTERINE ASP |
40.00 |
| TUBOCURARINE 3MG J |
111.25 |
| TULAREMIA AGGLUT. |
125.00 |
| TX BURN 1ST DEG LOC |
333.00 |
| TX BURN 1ST DEG LOC |
333.00 |
| TX BURN LG W/O ANES |
921.00 |
| TX BURN LG W/O ANES |
921.00 |
| TX BURN MED W/O ANES |
651.00 |
| TX BURN SM W/O ANES |
337.00 |
| TX BURN SM W/O ANES |
337.00 |
| TX DISL SHOULDER W/O |
1523.00 |
| TX GREAT TOE DISLOC |
361.00 |
| TX GREAT TOE DISLOC |
361.00 |
| UA AUTO W/O MICRO |
77.00 |
| UA MICRO ONLY |
61.00 |
| UA QUAL/SEMIQUAN |
84.00 |
| UGI AIR W/SMALL BOW |
505.00 |
| UGI AIR W/SMALL BOW |
505.00 |
| UGI W/SMALL BOWEL |
483.00 |
| UGI W/SMALL BOWEL |
483.00 |
| ULTRASENSITVE TSH |
221.00 |
| ULTRASOUND/15 MIN |
72.00 |
| ULTRAVIOLET/VISIT |
32.00 |
| ULTSOUND PROVE COVER |
35.91 |
| UMBILICAL HERNIA REP |
110.35 |
| UMECLI/VILANT 62.5 A |
536.60 |
| UMECLIDINIUM 62.5 A |
550.80 |
| UNASYN 1.5GM INJ |
73.15 |
| UNASYN 3GM INJ |
69.05 |
| UNDERPAD DISP |
8.00 |
| UNLIST PROC INTEST |
4872.00 |
| UNLISTED IP PROC |
93.00 |
| UPPER GI |
462.00 |
| UPPER GI |
462.00 |
| UPPER GI W/AIR CONT |
490.00 |
| UPPER GI W/AIR CONT |
490.00 |
| UR INCONT DEV SL GFT |
3731.00 |
| UREA CLEARANCE |
22.00 |
| URETHROCYSTOGRAM |
492.00 |
| URETHROCYSTOGRAM |
492.00 |
| URIC ACID BLOOD |
144.00 |
| URIC ACID OTH SOURC |
144.00 |
| URINALYSIS A W/MICRO |
137.00 |
| URINALYSIS AUTO WO M |
77.00 |
| URINE ACYLGLYCINE |
340.00 |
| URINE CHLORIDE |
129.00 |
| URINE GLUCOSE QUAL |
77.00 |
| URINE HCG |
135.00 |
| URINE KETONES QUAL |
78.00 |
| URINE OSMOLALITY |
154.00 |
| URINE OXALATE |
184.00 |
| URINE PORPHYRINS QL |
121.00 |
| URINE PORPHYRINS QT |
203.00 |
| URINE SPECIFIC GRAVI |
78.00 |
| URN VOL MSR TIME COL |
72.00 |
| UROBILINIGEN UR QUAN |
168.00 |
| URSODIOL 300MG C |
110.55 |
| US 1ST TRI MULTI |
200.00 |
| US 1ST TRI SINGLE |
231.00 |
| US 1ST TRI SINGLE |
231.00 |
| US ABDOMEN COMPLETE |
1045.00 |
| US ABDOMEN COMPLETE |
1045.00 |
| US ABDOMEN LIMITED |
410.24 |
| US ABDOMEN LIMITED |
410.24 |
| US AORTA SCREENING |
375.00 |
| US AORTA/ILIAC/IVC |
581.81 |
| US ART LOW EXT BIL |
730.00 |
| US ART LOW EXT UNI |
410.24 |
| US ART SEG COMP W/EX |
898.00 |
| US ART SEG COMPLETE |
824.00 |
| US ART SEG LIMITED |
730.00 |
| US ART UPPER EXT BIL |
730.00 |
| US ART UPPER EXT UNI |
410.24 |
| US BIOPHYSICAL W NST |
375.00 |
| US BIOPHYSICAL W/O N |
336.00 |
| US BIOPHYSICAL W/O N |
336.00 |
| US BREAST COMP BILAT |
522.42 |
| US BREAST COMP LT |
261.21 |
| US BREAST COMP RT |
261.21 |
| US BREAST LIMITED LT |
261.21 |
| US BREAST LIMITED RT |
261.21 |
| US BREAST UNI |
325.00 |
| US BREAST UNI LTD |
250.00 |
| US BREAST W BIOP |
4044.00 |
| US BREAST W BIOPSY |
4044.00 |
| US BREAST LTD BILAT |
522.42 |
| US CAROTID DOPPLER |
581.81 |
| US CHEST |
400.00 |
| US DRAINAGE W/RAD |
1260.00 |
| US ECHO LIMITED |
1276.00 |
| US ECHO REST/STRESS |
1725.00 |
| US ECHOCARDIOGRAM |
3282.00 |
| US ECHOCARDIOGRAM |
3282.00 |
| US EXT NON VASC LTD |
861.00 |
| US EXT NON VASCULAR |
1276.00 |
| US FINE NDLE PLCMT |
1028.10 |
| US GUIDE NDL BX |
473.00 |
| US GUIDED NEEDLE |
578.00 |
| US HYSTEROGRAPHY |
475.00 |
| US INFANT HIPS |
1155.00 |
| US NEONATAL HEAD |
789.00 |
| US PELVIC NON OB |
545.00 |
| US PELVIC NON OB |
545.00 |
| US PELVIC NON OB LTD |
375.00 |
| US PREG COMP MULTI |
368.00 |
| US PREG COMP SINGLE |
428.00 |
| US PREG COMP SINGLE |
428.00 |
| US PREG LIMITED (FU) |
274.52 |
| US PREG LIMITED (FU) |
274.52 |
| US PREG LTD W/O MEAS |
208.00 |
| US PREG TRANSVAGINAL |
189.00 |
| US PREG TRANSVAGINAL |
189.00 |
| US PROSTATE TRANSABD |
545.00 |
| US PROSTATE TRANSREC |
345.00 |
| US PVR W/OUT BLADDER |
250.00 |
| US RENAL |
537.00 |
| US RENAL ART/VEIN |
581.81 |
| US RETROPERINEAL LTD |
428.00 |
| US SCROTUM |
416.00 |
| US SOFT TIS HD/NECK |
410.24 |
| US SPINAL CANAL |
313.00 |
| US THYROID |
410.24 |
| US TRANSVAG NON OB |
1375.00 |
| US UMBILICAL DOP |
375.00 |
| US UNLISTED PROCEDUR |
368.00 |
| US VASCULAR ACCESS |
362.00 |
| US VENOUS EXT BILAT |
1050.00 |
| US VENOUS EXT UNILAT |
545.00 |
| US VENOUS EXT UNILAT |
545.00 |
| UTERINE MANIP |
73.86 |
| UTERINE MANIPULATOR |
73.86 |
| VAC GUAFOAM LG |
235.48 |
| VAG DELIVERY |
3573.00 |
| VAG DELIVERY |
3572.00 |
| VAG POSITION SYSTEM |
645.00 |
| VALACYCLOV 500MG T |
83.30 |
| VALGANCICLOV 450MG C |
467.80 |
| VALPROATE 250/5 5ML |
8.65 |
| VALPROATE 500MG INJ |
287.35 |
| VALPROIC ACID |
158.00 |
| VALSARTAN 80MG C |
55.85 |
| VALVE ANTI-REFLUX |
14.00 |
| VALVE BIOPSY |
21.00 |
| VALVE HEIMLICH CHEST |
63.00 |
| VALVE SPEAKING PASSE |
180.72 |
| VALVE SUCTION BRONCH |
28.00 |
| VANCO 125MG/2.5ML PO |
20.90 |
| VANCOMYC 500MG PM 1G |
143.23 |
| VANCOMYCIN |
274.00 |
| VANCOMYCIN 500MG J |
111.25 |
| VANCOMYCIN 500MG J1G |
96.15 |
| VASOPNEUM/VISIT |
54.00 |
| VASOPRESS 20U 1ML VI |
59.10 |
| VASOPRESSIN |
344.00 |
| VCARE EXTRA LARGE |
229.60 |
| VCARE LARGE |
229.60 |
| VCARE MEDIUM |
229.60 |
| VCARE SMALL |
229.60 |
| VDRL-CSF |
207.00 |
| VECURONIUM 10MG/10ML |
107.05 |
| VENIPUNCTURE |
29.00 |
| VENLAFAX 75MG T |
25.15 |
| VENO EPIDURAL |
694.00 |
| VENO EXT BILAT |
1262.00 |
| VENO IVC W SERIAL |
7171.47 |
| VENO RENAL BIL SEL |
7171.47 |
| VENO RENAL UNI SEL |
7171.47 |
| VENO SINUS/JUGULAR |
7171.47 |
| VENO SVC W SERIAL |
1112.00 |
| VENOGRAM BILATERAL |
748.00 |
| VENOGRAM BILATERAL |
748.00 |
| VENOGRAM EXT UNIL |
994.00 |
| VENOGRAM UNILATERAL |
2049.69 |
| VENOGRAM UNILATERAL |
2049.69 |
| VENOUS THROMBO STUDY |
721.00 |
| VENT MGMT INIT/DAY |
926.85 |
| VENT MGMT SUBSEQ/DAY |
926.85 |
| VENTRA ST PATCH 4CM |
1838.49 |
| VENTRAL HERNIA REPAI |
154.49 |
| VENTRAL ST 6.4CM MES |
2199.00 |
| VENTRALEX ST HERNIA |
2500.00 |
| VERAP 80MG T |
6.55 |
| VERAPAM 10MG/4ML EMS |
225.00 |
| VERAPAMIL 180 SRT |
5.05 |
| VERAPAMIL 240MG SRT |
5.05 |
| VERAPAMIL 5MG/2MLJ |
306.25 |
| VERAPAMIL40MG T |
3.00 |
| VERESS INSUFF NEED |
39.00 |
| VERSED DRIP MIX |
3.80 |
| VIDEO SWALLOW EVAL |
284.00 |
| VIP PLASMA |
78.00 |
| VIRAL CULT FLU A+B |
80.00 |
| VISCOSITY |
129.00 |
| VISTASEAL 10ML KIT |
1474.38 |
| VISTSEAL 45CM FLX TP |
187.92 |
| VIT B-COMPLEX TAB |
3.80 |
| VIT D 50000 IUNITS C |
19.40 |
| VIT D3 125 MCG |
3.80 |
| VIT E 400U C |
.25 |
| VITAL CAP TTL SEP PR |
399.48 |
| VITAMIN A 10000IU C |
.25 |
| VITAMIN B-2 |
209.00 |
| VITAMIN K |
152.00 |
| VITAMN A |
168.00 |
| VITAMN B-1 (THIAMNE) |
162.00 |
| VITAMN B-12 |
162.00 |
| VITAMN B-6 |
209.00 |
| VITAMN E (TOCOPHEROL |
274.00 |
| VIVONEX PKG |
3.55 |
| VIVONEX TEN PWD |
84.35 |
| VMA URINE |
162.00 |
| VOIDING U CYSTOGRAM |
604.00 |
| VOIDING U CYSTOGRAM |
604.00 |
| VORICONAZOLE 50MG T |
82.90 |
| WARFARIN SOD 1MG T |
28.50 |
| WARFARIN SOD 2.5MG T |
30.70 |
| WARFARIN SOD 2MG T |
29.75 |
| WARFARIN SOD 5MG T |
31.95 |
| WBC |
88.00 |
| WELLNESS |
42.00 |
| WHEELCHAIR TRN/15 MI |
47.00 |
| WHIRLPOOL/ VISIT |
41.00 |
| WIPE COMFORT SHIELD |
34.76 |
| WIRE ERCP ZEBRA |
390.00 |
| WITCH HAZ 50% PD 40 |
1.65 |
| WND CARE EC ADD 20SP |
81.00 |
| WND CARE W/WP<20SQCM |
449.32 |
| WND EXPLOR |
1425.00 |
| WORK COND EA ADD HR |
68.00 |
| WORK CONDITION/2HR |
217.00 |
| WORK HARD INT 2HR |
108.00 |
| WORKHARD 1ST 2HR |
106.00 |
| WORKHARD EA ADDL HR |
106.00 |
| WOUND CARE NONSELECT |
465.18 |
| WRIST 2 VIEWS |
174.00 |
| WRIST 2 VIEWS |
174.00 |
| WRIST BILAT MIN 3V |
348.00 |
| WRIST BILAT MIN 6V |
348.00 |
| WRIST COMP LEFT 3V |
172.50 |
| WRIST COMP LEFT 3V |
172.50 |
| WRIST COMP RIGHT 3V |
172.50 |
| WRIST COMPLETE |
174.00 |
| WRIST COMPLETE |
174.00 |
| WRIST LEFT 2 VIEWS |
172.50 |
| WRIST LEFT 2 VIEWS |
172.60 |
| WRIST RIGHT 2 VIEWS |
172.50 |
| X RAY EXAM OF ANKLE |
345.00 |
| X RAY EXAM OF ELBOW |
345.00 |
| X RAY EXAM OF FOOT B |
345.00 |
| X RAY EXAM OF HAND B |
571.32 |
| X RAY EXAM OF HEEL B |
345.00 |
| X RAY EXAM OF HIP BI |
345.00 |
| X RAY EXAM OF HIP BI |
345.00 |
| X RAY EXAM OF HUMERU |
345.00 |
| X RAY EXAM OF KNEE 3 |
345.00 |
| X RAY EXAM OF WRIST |
345.00 |
| XM EA UNIT AHG |
254.00 |
| XRAY OF SPECIMEN |
834.81 |
| XRAY OF SPECIMEN |
834.81 |
| Y CONNECTER PRO III |
12.75 |
| Y CONNECTOR |
7.30 |
| ZAFIRLUKAST 20MG T |
11.05 |
| ZIDOVUD 10MG J 200MG |
13.22 |
| ZIDOVUD 50MG/5ML 5ML |
13.85 |
| ZIDOVUDINE 100MG C |
23.20 |
| ZIKA VIRUS PROFILE |
720.00 |
| ZINC |
192.00 |
| ZINC OXIDE 60GM |
58.25 |
| ZINC SULF 220MG C |
3.80 |
| ZINC SULF ANY DOSE |
281.35 |
| ZIPRASID 10MG J20MG |
196.98 |
| ZIPWARE STRAIGHT 150 |
204.36 |
| ZIPWIRE ANGLED 150CM |
204.36 |
| ZOLPIDEM TAR 5MG T |
53.20 |
| ZONEGRAN |
280.00 |
| 1-0 STRATAFIX SUTURE |
121.37 |
| 12/15MM RETRIEVALSYS |
300.00 |
| 12MM EX LONG TROLAR |
120.00 |
| 12X12 BARD SOFT MESH |
453.39 |
| 13FRX15CM CUR TRI |
2400.00 |
| 13FRX20CM SRT TRI |
2250.00 |
| 14F PNEUMOTHORAX CAT |
599.01 |
| 17 HYDROXYPREGNENOL |
148.00 |
| 18G NEEDLE GD ST RT |
85.00 |
| 18G PW GLIDE FULL KT |
328.00 |
| 18G PWR GLD BASIC KT |
180.00 |
| 18GX7CM PERC ENT NDL |
24.12 |
| 1ST ORD ABD/PEL/LOW |
2553.00 |
| 2 ORD ABD/PEL/LOW EX |
2832.00 |
| 2/3 ORD ABD/PEL/LO E |
2832.00 |
| 20G PW GLIDE FUL KT |
246.00 |
| 24 HR HOLTER SCAN |
362.00 |
| 29MM INTRA L STAP |
5033.04 |
| 2WAY 10FR 3CC PEDS |
14.00 |
| 2WAY FOLEY 12FR 5CC |
16.00 |
| 3 FR SINGLE MIDLINE |
399.00 |
| 3 ORD ABD/PEL/LOW EX |
2961.00 |
| 33MM INTRA L STAP |
5033.04 |
| 35CM NEEDLE BLADDER |
232.00 |
| 4 FR DUAL MIDLINE |
486.00 |
| 4.8FX24CM ASCERTA ST |
296.00 |
| 4.8FX26CM ASCERTA ST |
296.00 |
| 4.8FX28CM ASCERTA ST |
296.00 |
| 4F SINGLE POWER MID |
399.00 |
| 4MM PUNCH BOX |
5.00 |
| 5' NUCLEOTIDASE |
243.00 |
| 5.4X7 OVAL VENTRIO H |
4838.00 |
| 5MM EX LONG TROLAR |
76.00 |
| 6FX22CM ASCERTA STEN |
296.00 |
| 6FX24CM ASCERTA STEN |
296.00 |
| 6FX26CM ASCERTA STEN |
296.00 |
| 6FX28CM ASCERTA STEN |
296.00 |
| 6FX30CM ASCERTA STEN |
296.00 |
| 6MP METABOLITES THIO |
375.00 |
| 8.7X10.7 OVAL VENTRI |
7821.00 |