description charge 17 hydroxyprogester, ser 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir...

224
DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 HR URINE CHLORIDE 118 24 HR URINE COPPER 289 24 HR. URINE/CITRIC ACID 657 3-D TUMOR LOCAL 5,000 3D W/INTERP&POSTPROC-SAME WRKST 906 3D W/INTRP&POSTPROC-REQ.DIFF.WKST 1,768 A-AUGMENTIN SUSP, 600MG/5ML 19 ABACAVIR SOLN, 20 MG/ML (240ML 4 ABACAVIR TAB, 300MG 57 ABACAVIR/LAMIVUDINE/ZIDOVUDINE 171 ABATACEPT, PER 10 MG, INJ (250MG) 266 ABCIXIMAB INJ, 10MG/5ML 8,332 ABD PARACENTESIS W/IMAGING 2,758 ABD PARACENTESIS W/O IMAGING GUID 1,581 ABD.ACUTE(SUP/ER-DECUB)W/1V CHEST 833 ABDOMEN RETROPERT COM 2,126 ABDOMEN RETROPERT LTD 1,457 ABDOMEN XRAY 1 VIEW 490 ABDOMEN XRAY 2 VIEWS 612 ABDOMEN XRAY 3 OR MORE VIEWS 719 ABDOMEN,COMPLETE 2,125 ABDOMEN,LIMITED 1,689 ABDOMEN-2 VIEWS 609 ABDOMEN-SINGLE AP 616 ABDOMINAL AORTOGRAPHY/RADIOL S&I 4,949 ABG ARTERIAL BLOOD GAS 338 ABLAT.PROBE HIPVAC 50IFS 72290004 2,773 ABLATE ARRHYTHMIA ADD ON-8246 13,801 ABLATION PROBE-CERTUS-LK/LN/PR/SR 7,425 ABLATION, AVN 8,035 ABSORBABLE GELATIN FILM, (10X12.5 7,996 A-C JOINTS BILAT 265 ACCOLADE C DISTAL SPACER 10596715 473 ACCULIF CAGE 6-9X11X34 305006 32,926 ACET REV SHELL 64MM 00700006420 19,395 ACET REV SYS CAGE RT 00713506254 2,831 ACET REV SYSTCROSSLINK00710506236 10,695 ACETAMINOPHEN 120MG SUPP 3 ACETAMINOPHEN 325MG SUPP 4 ACETAMINOPHEN 325MG TAB 0 ACETAMINOPHEN 325MG/10ML ELIX 20 ACETAMINOPHEN 500MG TAB 0 ACETAMINOPHEN 650MG SUPP 3 ACETAMINOPHEN 80MG CHEW TAB 0 ACETAMINOPHEN ASSAY 374

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Page 1: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

DESCRIPTION CHARGE

17 HYDROXYPROGESTER, SER 641

24 HR URINE CHLORIDE 118

24 HR URINE COPPER 289

24 HR. URINE/CITRIC ACID 657

3-D TUMOR LOCAL 5,000

3D W/INTERP&POSTPROC-SAME WRKST 906

3D W/INTRP&POSTPROC-REQ.DIFF.WKST 1,768

A-AUGMENTIN SUSP, 600MG/5ML 19

ABACAVIR SOLN, 20 MG/ML (240ML 4

ABACAVIR TAB, 300MG 57

ABACAVIR/LAMIVUDINE/ZIDOVUDINE 171

ABATACEPT, PER 10 MG, INJ (250MG) 266

ABCIXIMAB INJ, 10MG/5ML 8,332

ABD PARACENTESIS W/IMAGING 2,758

ABD PARACENTESIS W/O IMAGING GUID 1,581

ABD.ACUTE(SUP/ER-DECUB)W/1V CHEST 833

ABDOMEN RETROPERT COM 2,126

ABDOMEN RETROPERT LTD 1,457

ABDOMEN XRAY 1 VIEW 490

ABDOMEN XRAY 2 VIEWS 612

ABDOMEN XRAY 3 OR MORE VIEWS 719

ABDOMEN,COMPLETE 2,125

ABDOMEN,LIMITED 1,689

ABDOMEN-2 VIEWS 609

ABDOMEN-SINGLE AP 616

ABDOMINAL AORTOGRAPHY/RADIOL S&I 4,949

ABG ARTERIAL BLOOD GAS 338

ABLAT.PROBE HIPVAC 50IFS 72290004 2,773

ABLATE ARRHYTHMIA ADD ON-8246 13,801

ABLATION PROBE-CERTUS-LK/LN/PR/SR 7,425

ABLATION, AVN 8,035

ABSORBABLE GELATIN FILM, (10X12.5 7,996

A-C JOINTS BILAT 265

ACCOLADE C DISTAL SPACER 10596715 473

ACCULIF CAGE 6-9X11X34 305006 32,926

ACET REV SHELL 64MM 00700006420 19,395

ACET REV SYS CAGE RT 00713506254 2,831

ACET REV SYSTCROSSLINK00710506236 10,695

ACETAMINOPHEN 120MG SUPP 3

ACETAMINOPHEN 325MG SUPP 4

ACETAMINOPHEN 325MG TAB 0

ACETAMINOPHEN 325MG/10ML ELIX 20

ACETAMINOPHEN 500MG TAB 0

ACETAMINOPHEN 650MG SUPP 3

ACETAMINOPHEN 80MG CHEW TAB 0

ACETAMINOPHEN ASSAY 374

Page 2: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

ACETAMINOPHEN ELIX 640MG/20ML 14

ACETAMINOPHEN SUPP 80MG 5

ACETAMINOPHEN SUPP, 650MG 164

ACETAMINOPHEN SUSP, 160MG/5ML 9

ACETAMINOPHEN,@ 10MG,INJ (1000MG) 2

ACETAZOLAMIDE 500MG CAP SEQUEL 24

ACETAZOLAMIDE SOD@ 500MG INJ(500) 282

ACETAZOLAMIDE TAB, 250MG 24

ACETIC ACID IRRIG.SOL,0.25%-500ML 28

ACETIC ACID OTIC SOLN 15ML 227

ACETYCHOLINE INTRAOCULAR, 1% 582

ACETYLCHOLINE RECEPTOR AB 853

ACETYLCYSTEINE SOLN, 20% (10ML) 83

ACETYLCYSTEINE SOLN, 20% (4ML) 85

ACETYLCYSTEINE SOLN,10%(30ML) 65

ACETYLCYSTEINE,@100MG,INJ(6000MG) 21

ACETYLCYSTINE SOL 20% D5W 100ML 24

ACID PHOS (PROSTATIC) 180

ACL GRAFT KNIFE 10MM 232110 1,019

ACL GRAFT KNIVE 9MM 232109 1,019

ACTH 905

ACTIVATED CLOTTING TIME 170

ACTIVATED PROTEIN C RESIS 327

ACTIVE WOUND CARE > 20 CM 735

ACTIVE WOUND CARE/20 CM OR < 1,248

ACULAR OPHTH SOLN 0.5% 780

ACUPUNCTURE-W/O STIM-1ST 15 MIN 50

ACUTE HEPATITIS PANEL 1,114

ACYCLOVIR @ 5MG INJ (500MG/10ML) 1

ACYCLOVIR @ 5MG INJ(1000MG/20ML) 1

ACYCLOVIR @ 5MG INJ(50MG-PED SYR) 0

ACYCLOVIR @ 5MG INJ(5MG-NICU SYR) 1

ACYCLOVIR 5% OINT 15GM 4,519

ACYCLOVIR CAP, 200MG 7

ACYCLOVIR CRM 5%, (5 GM) 4,557

ACYCLOVIR SUSP 200MG/5ML 27

ACYCLOVIR TAB, 800MG 21

ADAPER OFFSET TRIATH 2MM 55705020 6,418

ADAPT STEM OSS 1CM 150494 27,404

ADAPT TRAY HUMER EQUINOXE 3201000 8,976

ADAPTER APEX PIN HOFFMAN 49331020 1,458

ADAPTER OFFSET 4MM 6,418

ADAPTER SMR STD+4 133015274 2,045

ADAPTER STAGE1 HIP NECK 431186 1,432

ADAPTER TUOHY BORST G18813 163

ADAPTOR FEMORAL 5 8,554

ADAPTOR TAPER HUM HEAD 118001 1,148

Page 3: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

ADENOSINE,PER 1 MG, INJ (12MG) 6

ADENOSINE,PER 1 MG, INJ (60 MG) 10

ADENOSINE,PER 1 MG, INJ (6MG) 7

ADENOVIRUS 302

ADHESIVE SKIN MASTISOL 2OZ 052306 157

ADL/LIFE SKILLS OCCUPATIONAL THER 255

ADMINISTRATION OF FLU VACCINE 68

ADMINISTRATION-HEP.B VACCINE 102

ADMINISTRATION-PNEUMONIA VACCINE 102

ADRENAL ANTIBODY 283

AEQUALIS REVERSED 9,180

AEQUALIS REVERSED 3MM 8,494

AEROBIC ISOLATE ID 189

AEROSOL TRMT/INITIAL EVAL 340

AEROSOLIZED TREATMENT SUBSEQUENT 209

AFB SMEAR ONLY 125

AGGRENOX CAPSULE, 25MG-200MG 47

ALBENDAZOLE TAB, 200 MG 763

ALBUMIN 25%, PER 50ML, INJ(100ML) 564

ALBUMIN 5%, PER 250ML, INJ(500ML) 354

ALBUMIN INJ, 25% (50ML) 564

ALBUMIN INJ, 5% (250ML) 637

ALBUMIN INJ, 5% (50ML) 167

ALBUMIN, SERUM 116

ALBUTEROL 2MG/5ML SYRUP 4

ALBUTEROL CFC FREE INHALER,90MCG/ 386

ALBUTEROL HFA INHALER, 18 GM 365

ALBUTEROL NEB SOLN, 0.083% (3ML) 2

ALBUTEROL NEB SOLN, 0.5% (20ML) 1

ALBUTEROL NEB SOLN,0.021%(3ML)PED 6

ALBUTEROL NEB SOLN,0.042%(3ML)PED 7

ALBUTEROL NEB SOLN,0.5%(0.5ML) 1

ALBUTEROL SULFATE INHALER, 18GM 132

ALBUTEROL SULFATE PER MG 15

ALCHOL SOL, 70% (480ML) 12

ALCOHOL,BLOOD-ETHANOL ASSAY 252

ALDACTAZINE ORAL SUSP 3

ALDOLASE SERUM 226

ALDOSTERONE PLASMA 959

ALEXIS EXTRACTION SYSTEM GTG17 4,816

ALEXIS ORTHO PROTECT SM/MED HR004 847

ALISKIREN TAB, 150MG 41

ALKALINE PHOS BONE ISO 29498 545

ALKALINE PHOSPHAT ISOENZ 344

ALKALINE PHOSPHATASE 122

ALLERGY TESTING,PERC/DERM,# TESTS 100

ALLOGRAFT ACHILL TENDW/BLCK453042 11,676

Page 4: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

ALLOGRAFT BIOADAPT DBM BRIDGE24CC 8,173

ALLOGRAFT BIOREADY DBM5CC DS00105 3,503

ALLOGRAFT BONE PATELLA10MM 443002 21,490

ALLOGRAFT BONEPAT TEND9/10 443012 20,141

ALLOGRAFT BREASTFLEXHD11X20SF2000 30,836

ALLOGRAFT BREASTFLEXHD13X22SF3000 33,483

ALLOGRAFT BREASTFLEXHD13X22SF3300 30,636

ALLOGRAFT BRST KIT 9X15 SF1000 19,017

ALLOGRAFT CANC PLUG 11 FCPD11 2,611

ALLOGRAFT FEM HEMICOND LFT FCA80 67,843

ALLOGRAFT FEMORAL CORT STRUT 25CM 14,960

ALLOGRAFT FIBULA SHAFT 10 CM 4,782

ALLOGRAFT FLEXIGRAFT FROZ FGL 13,830

ALLOGRAFT GRAFIXCORE5X5CM PS12055 15,967

ALLOGRAFT ILIUM 60MM 450910 18,476

ALLOGRAFT ILLUM 2.2CMX55MM 400520 15,636

ALLOGRAFT LATERAL MENISCUS 34,990

ALLOGRAFT MENISCUS LFT FMNLL 26,884

ALLOGRAFT PATELTENDON11/11 443005 20,141

ALLOGRAFT POST TIB 220MM 443016 15,179

ALLOGRAFT REV CORE 14MM 400134 6,867

ALLOGRAFT REV CORE10MM 400130 6,526

ALLOGRAFT STRAVIX 2X4CM PS60005 9,428

ALLOGRAFT STRAVIX 3X6CM PS60008 14,974

ALLOGRAFT TALUS LFT 32647002 37,947

ALLOGRAFT TEND VERSAGRAFT VRG001 7,531

ALLOGRAFT TENDON3-10MMX26 430350 8,845

ALLOGRAFT TISJUVCARTIL00560600011 25,595

ALLOGRAFT TRINITY ELITE 410002 17,689

ALLOGRAFT WEDG25-30MM ILIAC450914 9,097

ALLOGRAFT WEDGE8MM ILIAC CR450913 5,494

ALLOGRAFT WEDGE9MM ILIAC CR450912 5,882

ALLOGRFT GRAFIXPRIME2X3CM PS11023 6,101

ALLOGRFT GRAFIXPRIME3X4CM PS11034 7,487

ALLOGRFT GRAFIXPRIME5X5CM PS11055 15,973

ALLOGRFT PUROS CANC PART1CC 68211 800

ALLOPURINOL TAB, 100MG 2

ALLOWRAP DS 2X2 CM 31022002 6,120

ALLUPURINOL TAB, 300 MG 4

ALPHA FETOPROTEIN SERUM 391

ALPHA I ANTITRYPSIN 316

ALPHA/ANTITRYPSIN PHENOTY 337

ALPHAGAN P 0.15% 738

ALPRAZOLAM 0.25MG TAB 0

ALPRAZOLAM 0.5MG TAB 4

ALPROSTADIL PED INJ, 500MCG/ML 2

ALS I NON-EMERGENCY TRANSPORT 1,538

Page 5: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

ALS LEVEL 1 ASSESSMENT ONLY 3,432

ALS LEVEL 1 EMERGENCY TRANSPORT 3,432

ALS LEVEL 2 3,820

ALTAZANAVIR CAP, 150MG 157

ALTAZANAVIR CAP, 200MG 157

ALTEPLASE, PER 1 MG, INJ (1MG/ML) 266

ALTEPLASE, PER 1 MG, INJ (2MG) 491

ALTEPLASE, PER 1 MG,INJ (100 DIL) 560

ALUM HYDROXIDE SUSP, 320 MG/5ML 27

ALUM. AMMONIUM PWD. 255

ALUMINUM 590

AMANTADINE 100MG CAP 12

AMANTADINE SYRUP, 50MG/5ML 8

AMBULANCE SERVICE(BLS)TRANSPORT 943

AMIKACIN SULF@100MG INF(500MG-PB) 17

AMIKACIN SULF@100MG INF(5MG-NICU) 6

AMILORIDE TAB, 5 MG 7

AMINO ACID 5% / DEX 15%, 2000 ML 453

AMINO ACID 5% / DEX 20%, 2000 ML 567

AMINO ACID INJ, 10% (PEDIATRIC) 21

AMINO ACID INJ, 15% (NOVAMINE) 85

AMINO ACID QUANT ON CSF 1,179

AMINO ACID QUANTIT ON URI 401

AMINOCAPROIC ACID 500MG TAB 140

AMINOCAPROIC ACID INJ, 5G/20ML 15

AMINOPHYLLIN @ 250MG INJ (250MG) 23

AMIODARENE 249

AMIODARONE 200MG TAB 3

AMIODARONE HCL @ 30 MG INJ (150) 5

AMIODARONE HCL @ 30 MG INJ (450) 2

AMIODARONE HCL @ 30 MG INJ (900) 4

AMIPICILLIN @500MG INJ(VIAL125MG) 118

AMIPICILLIN @500MG INJ(VIAL250MG) 45

AMIPICILLIN @500MG INJ(VIAL500MG) 25

AMITRIPTYLINE ASSAY 417

AMITRIPTYLINE HCL TAB 50MG 4

AMITRIPTYLINE HCL TAB, 10MG 1

AMITRIPTYLINE HCL TAB, 25MG 2

AMLODIPINE BESYLATE TAB, 2.5MG 9

AMLODIPINE BESYLATE TAB, 5MG 9

AMLODIPINE TAB, 10MG 1

AMMONIA PLASMA 342

AMMONIA SPIRIT, ARROMTIC INH 2

AMNIOCENTESIS 989

AMOXICILLIN & K CLAVANATE 28

AMOXICILLIN 250MG CAP 1

AMOXICILLIN CAP, 500MG 2

Page 6: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

AMOXICILLIN SUSP 125MG/5ML (UD) 2

AMOXICILLIN SUSP, 250MG/5ML (UD) 2

AMOXICILLIN SUSP, 400 MG/5ML 3

AMPHOTERICIN B@50MG INJ(50MGVIAL) 258

AMPICILLIN @500MG INJ (1G ADD) 24

AMPICILLIN @500MG INJ (1G VIAL) 25

AMPICILLIN @500MG INJ (2G ADD) 24

AMPICILLIN @500MG INJ (2G VIAL) 23

AMPICILLIN CAP, 250MG 1

AMPICILLIN CAP, 500MG 2

AMPICILLIN SUSP,250MG/5ML (UD) 4

AMYLASE SERUM 170

ANA 313

ANA QUANTITATION 261

ANAEROBIC ISOLATE ID 190

ANBESOL LIQUID (9ML) 27

ANCH SUT HEALIX BR 5.5 3SUT222298 1,860

ANCH SUTSWVLCK5.5X19.1MMAR2323BCC 2,290

ANCHOR CANC HTO 28MM AR1340128 1,506

ANCHOR CANC IBAL HTO26MMAR1340126 1,507

ANCHOR CANCELL HTO 30MM AR1340130 1,507

ANCHOR CANCELL HTO 32MM AR1340132 1,507

ANCHOR CORKSCREW 5.5 AR1927BCT 2,033

ANCHOR CORT HTO 32MM AR1340230 1,506

ANCHOR CORT HTO 38MM AR1340238 1,507

ANCHOR CORT HTO 44MM AR1340244 1,507

ANCHOR GRYPHON PEEK 3.0 223147 2,678

ANCHOR KNOTLESS TITAN MITEK212029 1,913

ANCHOR MINI SUT #0 ORTHO 212038 2,391

ANCHOR PEG SHOULDERGLENOID SZ52MM 9,040

ANCHOR QCKANCHR2MMW2ORTHCRD212035 1,891

ANCHOR QFIX SUR 1.8 251800 2,189

ANCHOR QFIX SUT 2.8 252800 2,189

ANCHOR SUT 4.75X19.1 AR2324PSLC 1,927

ANCHOR SUT BIO4.75X19.1 AR2324BCC 2,290

ANCHOR SUT BIOC 6.25X19.1AR1662BC 2,048

ANCHOR SUT FIBERTAK DBLLD AR36022 2,160

ANCHOR SUT FOOTPRINT 4.5 72202901 2,074

ANCHOR SUT FOOTPRINT 4.5 72203783 2,481

ANCHOR SUT HEALICOIL 4.5 72203378 2,210

ANCHOR SUT HEALICOIL 5.5 72203380 2,299

ANCHOR SUT HEALICOIL 5.5 72203983 2,189

ANCHOR SUT HEALICOIL 5.5 72203984 2,189

ANCHOR SUT HEALIX 5.5 222331 2,105

ANCHOR SUT MENS DARTSHEALTHAR3007 536

ANCHOR SUT MULTIFIX 5.5 72290001 2,189

ANCHOR SUT PEEK 2.9X12.5 AR2923PS 1,985

Page 7: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

ANCHOR SUT PEEK 4.75 AR2324PCT 2,481

ANCHOR SUT PEEK 5.5 72203379 2,014

ANCHOR SUT PEEK 5.5X20 AR2323PSL 2,145

ANCHOR SUT PEEK 7X19.5 AR1662PSL7 2,317

ANCHOR SUT PEEK5.5X19.1AR2323PSLC 1,927

ANCHOR SUT RELOAD AR7203 132

ANCHOR SUT SWIVLCK8X19.5AR1662BC8 2,440

ANCHOR SUTURE 2.4X6.5 AR1320BCNF 1,859

ANCHOR SUTURE 2.9X12.5 AR2923BC 2,288

ANCHOR SUTURE 3X14MM AR1934BCF2 1,927

ANCHOR SUTURE BIORAP 72201541 1,643

ANCHOR SUTURE FASTIN#2 222720 2,163

ANCHOR SUTURE FOOTPNT5.5 72202902 1,722

ANCHOR SUTURE GII SZ2 222983 1,860

ANCHOR SUTURE HEALIX 6.5MM 222301 1,860

ANCHOR SUTURE HEALIX BR4.5 222296 1,860

ANCHOR SUTURE PEEK4.75 AR2324PCTT 2,481

ANCHOR SUTURE TIGER STICK AR7209T 276

ANCHOR SUTUREFIX 1.7MM 72203852 1,894

ANCHOR SUTUREFIX 1.9MM 72203854 1,925

ANDROSTENEDIONE 691

ANELGESICS,NON-OPIOID,1-2 ASSAY 642

ANESTHESIA ENDO 3,116

ANESTHESIA EPIDURAL/SPINAL/OB 3,525

ANESTHESIA OR 7,287

ANG,EXTREMY, BILAT,S&I 5,322

ANG,PEL,SEL/SUB-SEL S 4,603

ANG,PUL,UNI,SELCT, S& 3,222

ANG,VISC,SEL/SUB SEL 8,072

ANGIO CONV ENZYME 343

ANGIO EXT UNI S&I 4,867

ANGIOGRAPHY,SPINAL SELECTIVE 5,373

ANKLE 2 VIEWS 577

ANKLE 3+ VIEWS 649

ANNULOTOMY KNIVE 158703 1,662

ANTENNA INTERSTIM EXTERNAL 519

ANTEPARTUM MANIPULATION (VERSION) 3,426

ANTHOLOGY OFFSET STD SZ 7 13,153

ANTHOLOGY SZ 10 STD HA 13,153

ANTHOLOGY SZ 11 13,153

ANTHOLOGY SZ 12 STD ST (71357012) 13,153

ANTI DNA DOUBLE STRAND 451

ANTI DNA SINGLE STRAND 284

ANTI DNASE B TITER 311

ANTI GLIADIN ANTIBODIES 283

ANTI HEPATITIS B CORE IGM 278

ANTI JO-1 (POLYMYOSITIS) 419

Page 8: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

ANTI MITOCHONDRIAL 282

ANTI RNA 419

ANTI SCLERODERMA 419

ANTIBODY ELUTION, RBC 288

ANTIBODY ID, RBC, EACH 556

ANTIBODY, INFLUENZA VIRUS 317

ANTIBODY, WEST NILE VIRUS 208

ANTIBODY, WEST NILE VIRUS, IGM 244

ANTIBODY,CMV,IGM 399

ANTIBODY,HIV-1 208

ANTICARDIOLIPIN ANTIBODY 601

ANTICOAG.PRACTICE-PHARM.VISIT PT 128

ANTIDIURETIC HORMONE 809

ANTI-ENDOMYSIAL ANTIBODIE 283

ANTIGLORMERULAR BASE MEM 302

ANTIHISTONE ANTIBODIES 257

ANTIMYOCARDIAL 283

ANTINEUTROPHIL ANTIBODY 283

ANTINUCLEAR ANTIB ON BD F 313

ANTIOXIDANT MULTIVIT W/MINERAL PE 2

ANTIPANCREAT ISLE CELL AB 419

ANTIPARIETAL ANTIBODY 283

ANTIPLATELET ANTIBODY 434

ANTISMITH AB 282

ANTI-STREP TITER 172

ANTITHROMBIN III 279

ANTITHROMBIN III ANTIGEN 256

ANTITHYROGLOBULIN ANTIBOD 370

ANUSOL SUPP 2

AORT, THOR, BY SER S&I 3,067

AORTOGRAM, AORTOFEM 362

APEX PIN BOLT 3-6 49331022 729

APH-DIAGNOSTIC INTERVIEW W/ OTHER 491

APH-DIAGNOSTIC INTERVIEW-DR/APN 700

APH-EDUCATION AND TRAINING 566

APHERESIS RED BLOOD CELLS 2,907

APH-FAMILY PSYCHOTHER.W/ PAT. 500

APH-GROUP PSYCHOTHERAPY 500

APH-MED.MANAGEMENT-DETAIL/MODER. 255

APH-MED.MANAGEMENT-EXPAND/LOW 196

APH-PATIENT PSYCHOTHER.-45 MIN. 650

APIXIBAN TAB, 2.5 MG 47

APIXIBAN TAB, 5 MG 44

APNEA TEST 154

APOLIPOPROTEIN EACH 360

APPL LOWER LEG SPLINT 301

APPL OF FINGER SPLINT 301

Page 9: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

APPL OF FOREARM CAST 730

APPLICATION COLD PACKS 77

APPLICATION HOT PACKS 77

APPLICATION OF PASTE BOOT 525

APPLICATION OF PASTE BOOT BILATER 788

APPLICATOR ENDOSCOPIC FOR SURG 281

APPLICATOR FUSE CEMENT 985002 1,156

APPLIER CLIP LIGAMAX 5 1,071

APPLY FOREARM SPLINT 301

APPLY FOREARM SPLINT-DYNAMIC 267

APPLY LONG ARM SPLINT 301

APPLY MULTLAY COMPRS LWR LEG 1,017

APPLY ON-BODY INJECTOR,TIMED INJ. 495

APPLY RIGID LEG CAST 1,177

APPLY SHORT LEG CAST 505

AQUAPHOR OINT, 1.75G 24

AQUASOL A INJ 100,000U/2ML 7,852

ARCH FOOT 155MM 49346155 6,072

ARGATROBAN,NON-ESRD,PER 1 MG (50) 32

ARGATROBAN,NON-ESRD,PER 1MG (250) 12

ARGININE INFUSION 10% 300ML 238

ARIPIPRAZOLE ORAL SOLN, 1MG/ML (1 44

ARIPIPRAZOLE TAB, 10MG 182

ARIPIPRAZOLE TAB, 15MG 174

ARIPIPRAZOLE TAB, 2MG 175

ARIPIPRAZOLE TAB, 5MG 170

ARISTA 1GR HEMOSTAT SM0005USA 497

ARISTA 3GR HEMOSTAT SM002USA 989

ARSENIC, URINE 447

ART,ABD,TRAN, BY SER, S 3,361

ARTERIAL PUNCTURE 116

ARTERIOGRAM EXTREMITY BIL-S & I 5,322

ARTERIOGRAM EXTREMITY UNIL-S & I 4,949

ARTHROFLEX 2MM DECELLDERM AFLEX20 21,647

ARTHROFLEX 3MM 40X70 AFLEX301 22,704

ARTHROFLEX1.5 35X35DERMISAFLEX100 12,287

ARTHROGRAPHY SHOULDER CMP 801

ARTICULAR SURFACE SZ 5-6 12MM 5,117

ARTICULAR SURFACE SZ E F 10MM 5,117

ARTIFICIAL TEARS OPHTH SOLN 15ML 29

ASCA ANTIBODIES/FUNGUS (NES) 289

ASCORBIC ACID 250MG TAB 0

ASCORBIC ACID 500MG TAB 0

ASCORBIC ACID 500MG/5ML SYR 12 1

ASCORBIC ACID INJ 500 MG/ML 1ML 12

ASPIRATE PLEURA W/IMAGING 2,063

ASPIRATE PLEURA W/O IMAGING 1,300

Page 10: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

ASPIRATION, HIP KNEE SHOULDER 542

ASPIRIN 300MG SUPP 8

ASPIRIN 325MG E.C. TAB 0

ASPIRIN SUPP, 600MG 9

ASPIRIN TAB CHEW, 81MG 1

ASPIRIN TAB EC, 325MG 0

ASPIRIN TAB EC, 81MG 0

ASPIRIN,BUFFERED 325MG TAB 0

ASSAY OF FETAL FIBRONECTIN 1,533

ASSAY OF LIPOPROTEIN(A) 94

ASSAY OF NOS VITAMIN 402

ASSAY OF URINE SULFATE 122

ASSAY TEST FOR BLOOD FECAL 179

ASSAY, NEPHELOMETRY EACH ANALYTE 315

ASSAY, PH, BODY FLUID, NOS 57

ASSEMBLY 1MM BF PIRANHA 2,561

ASSEMBLY FEM LEG HK SZ3 71421373 51,031

ASSEMBLY FEM LEG HK SZ5 71421375 51,031

ASSESS CYST, CONTRAST INJECT 264

ATENOLOL TAB 50MG 5

ATENOLOL TAB, 25MG 5

ATOMEXETINE CAP, 25MG 82

ATOMOXETINE CAP, 10MG 39

ATOMOXETINE CAP, 40MG 89

ATORVASTATIN TAB, 10MG 3

ATORVASTATIN TAB, 20MG 3

ATORVASTATIN TAB, 40MG 4

ATOVAQUONE SUSP 750MG/5ML 215

ATOVAQUONE SUSP, 750 MG/5 ML 205

ATRICLIP 40MM PRO140 15,617

ATROPINE 0.4MG/ML INJ 1ML 1

ATROPINE INJ, 1MG/ML (1ML) 0

ATROPINE OPTH SOLN 1% 1ML 174

ATROPINE SYRN, 0.1MG/ML (10ML) 0

AUG AEQ GLENOID SZMED DWK404RA25S 17,000

AUG AEQ GLENOID SZMED DWK404RA35S 17,000

AUG AEQ PERF GLEN MED DWK404LA35S 17,000

AUG AEQ PERFORM GLEN DWK405RA15S 17,000

AUG AEQ PERFORMLRGLFT DWK405LA25S 17,000

AUG AEQ PERFORMSM LFT DWK403LA25S 17,000

AUG AEQPERFORMGLENLRG DWK405LA35S 17,000

AUG CORTILOCGLEN LRGRTDWK405RA25S 17,000

AUG FEM ATTUNE REV SZ3 154703001 7,064

AUG FEM ATTUNE REV SZ5 154705001 7,064

AUG FEM ATTUNE REV SZ5 154905001 7,064

AUG FEM ATTUNE REV SZ6 154706001 7,064

AUG FEM ATTUNE REV SZ6 154706002 7,064

Page 11: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

AUG FEM ATTUNE REV SZ7 154707002 7,064

AUG FEM ATTUNE REVSZ4 4 154904001 5,394

AUG FEM ATTUNE REVSZ5 8 154705002 5,394

AUG FEM ATTUNE SZ4 4MM154704001 7,064

AUG FEM ATTUNE SZ4 8MM 154704002 7,064

AUG FEM ATTUNE SZ6 REV 154906001 7,064

AUG FEM ATTUNE SZ7 4 154707001 7,064

AUG FEM ATTUNE SZ7 REV 154907001 7,064

AUG FEM ATTUNEREV SZ8 4 154908001 7,064

AUG FEM ATTUNEREV SZ8 8 154708002 7,064

AUG FEM ATTUNEREVSZ4 12 154704003 5,394

AUG FEM ATTUNEREVSZ5 12 154705003 5,394

AUG FEM ATUNEREV SZ4 8 154708001 7,064

AUG FEM CONE TRIATH SZA 5549A110 19,265

AUG FEM CONE TRIATH SZB 5549A120 19,265

AUG FEM CONE TRIATH SZC 5549A130 19,265

AUG FEM CONE TRIATH SZD 5549A140 19,265

AUG FEM CONETRIATH SZ7/8 5549A371 19,265

AUG FEM OSS SZ SM 151853 15,634

AUG FEM TRIATH SZ1 5MM 5540-A-101 6,698

AUG FEM TRIATH SZ1 5MM 5543A100 6,495

AUG FEM TRIATH SZ2 15 5542A201 6,557

AUG FEM TRIATH SZ3 10MM5544A300 6,495

AUG FEM TRIATH SZ3 5MM 5543A300 6,377

AUG GLENOID AEQ SM RT DWK403RA15S 17,000

AUG TIB ATTUNE 5MM 152303001 8,027

AUG TIB ATTUNE REV 10MM 152303102 8,027

AUG TIB CONE TRIATH SZB 5549A221 19,265

AUG TIB CONE TRIATH SZD 5549A241 19,265

AUG TIB CONE TRIATH SZD 5549A242 19,265

AUG TIB TRIATH SZ1 5545A102 4,947

AUG TIB TRIATH SZ1 5546A101 5,221

AUG TIB TRIATH SZ1 RT 5546A102 3,313

AUG TIB TRIATH SZ5 5MM HF BLK LFT 5,662

AUGMENT BONE GRAFT 3CC K20003010 20,433

AUGMENT DISTAL 5MM WITH SCREW SZ 5,894

AUGMENT DISTAL FEM#3 10MM5541A302 6,698

AUGMENT DISTAL LEFT FEM 5541A201 6,698

AUGMENT DISTAL LEFT FEMORAL 6,377

AUGMENT DISTAL LEFT FEMORAL #5 5M 6,377

AUGMENT DISTAL RT FEMORAL #3 5MM 6,377

AUGMENT FEM TRIATH SZ5 5540A502 6,377

AUGMENT FEM TRIATHSZ4 0MM5541A401 6,698

AUGMENT FEM TRIATHSZ4 5MM5540A401 6,377

AUGMENT FEM TRIATHSZ65MM5540A602 6,377

AUGMENT POSTERIOR 5MM SCREW SZ D 5,894

AUGMENT POSTERIOR FEMORAL 6,377

Page 12: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

AUGMENT TIBIAL HALF BLOCK5545A101 5,749

AUGMENTATION DISTAL 3.0 (96-0860) 4,158

AUGMENTIN SUSP, 125MG/5ML 189

AUGMENTIN SUSP, 200MG/5ML 11

AUGMENTIN SUSP, 250MG/5ML 41

AUGMENTIN SUSP, 400MG/5ML 20

AUGMENTIN TAB 500MG 21

AUGMENTIN TAB, 250MG 34

AUTOLOGOUS BLOOD UNIT PROCESSING 632

AVITENE HEMOSTAT, 70MM X 35MM 619

AVULSION OF NAIL PLATE, SINGLE 493

AXILLARY SHEATHKITIMPELLA00520011 1,460

AXLE 150480 2,625

AXLE FOR SM DISTAL FEMUR 64952115 6,847

AZACITIDINE, PER 1 MG, INJ(100MG) 35

AZATHIOPRINE @ 50 MG TAB (ORAL) 13

AZITHROMYCIN 151

AZITHROMYCIN CAP, 250MG 42

AZITHROMYCIN SUSP, 200MG/5ML 33

AZITHROMYCIN,@ 500MG, INJECTION 51

AZITHROMYCIN,@ 500MG,INJ (50-PED) 41

AZITHROMYCIN,@ 500MG,INJ (A-VANT) 67

AZTREONAM IN DEXTROSE 5% INF 2G 453

AZTREONAM IN DEXTROSE 5% INF, 1G 227

AZTREONAM INJ, 1GM (VIAL) 224

AZTREONAM, 2 GM, INJ (VIAL) 455

B CELLS TOTAL COUNT 759

B PERTUSSIS/PARA IGA AB 312

B PERTUSSIS/PARA IGG AB 312

B PERTUSSIS/PARA IGM AB 312

B12 DETERMINATION 353

BACITRACIN 50,000U INJ 68

BACITRACIN OINT (15G) 11

BACITRACIN OINT 30GM 32

BACITRACIN OINT PKTS 1

BACITRACIN OPHTH OINT 3.5GM 424

BACLOFEN TAB, 10MG 3

BACTERIAL SCREEN, SINGLE ORGANISM 240

BACTRIM INJ, 80MG TMP/5ML 10ML 76

BACTRIM SUSPENSION 20ML 2

BACTRIM TAB, 400/80 4

BACTRIM-DS TAB, 800/160 2

BAG NEURO EXT DRAIN CODMAN821732 211

BAG RESUS ADULT MSK & 02 51

BAG SPECIMEN MONARCH 459

BALDE SAW 90X13X1.19 6113169090 255

BALL ARTICULEZE 28 +1.5 GR 3,488

Page 13: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

BALL LUTONIX035X150 LX3513051505F 10,508

BALL TIP NEURO PROBE 302404000160 739

BALL.DILAT.IC VASOSPASM,EA.ADDL. 4,652

BALL.DILAT.IC VASOSPASM,INIT.VESS 11,487

BALL.DIL-URETRL STRICT-IMAG.GUID 2,930

BALLO DISTEN,1500CC OMS-PDBS2 1,955

BALLOON CUTTING 8MMX2CMX90CM 4,083

BALLOON FOR BFUC160F MAJ1351 118

BALLOON PUMP PERCUT INSERT 16,120

BALLOON PUMP PERCUT.REMOVAL 1,307

BALLOON, VALVULOPLASTY 3,958

BALLOON,CAROTID,PTA,AVIATOR,CORDI 2,984

BALMEX OINT (60GM) 14

BAND ANNULO MITRAL CG FUTURE 28MM 16,846

BAR,ARCH,DENTAL,ERICH 207

BAR,LOCKING,(141205) 867

BARIUM ENEMA 1,048

BARIUM ENEMA WITH AIR 1,248

BARRIER ADHESINTERCEED3X4MESH4350 1,805

BARTONELLA ANTIBODY PANEL 240

BASE PL TIBMAKOREST SZ3 LM 180603 6,266

BASE PL TIBMAKOREST SZ3 RM 180613 6,266

BASE TIB ATTUNE CEM SZ3 150680003 8,027

BASE TIB ATTUNE REV SZ6 150640006 18,944

BASE TIB ATTUNE ROT SZ4 150680004 8,027

BASE TIB ATTUNE ROT SZ5 150680005 8,027

BASE TIB ATTUNE ROT SZ6 150680006 5,499

BASE TIB ATTUNE ROT SZ7 150660007 28,834

BASE TIB ATTUNE ROT SZ7 150680007 8,027

BASE TIB ATTUNE SZ2 150600002 5,867

BASE TIB ATTUNE SZ3 150600003 5,867

BASE TIB ATTUNE SZ3 150610003 8,027

BASE TIB ATTUNE SZ3 150640003 18,944

BASE TIB ATTUNE SZ3 151710306 13,143

BASE TIB ATTUNE SZ3 CEM 150660003 52,425

BASE TIB ATTUNE SZ4 150600004 5,867

BASE TIB ATTUNE SZ4 150610004 8,027

BASE TIB ATTUNE SZ4 15064004 18,944

BASE TIB ATTUNE SZ5 150600005 5,867

BASE TIB ATTUNE SZ5 15061005 8,027

BASE TIB ATTUNE SZ5 150660005 28,834

BASE TIB ATTUNE SZ6 150600006 5,867

BASE TIB ATTUNE SZ6 150610006 8,027

BASE TIB ATTUNE SZ6 150660006 28,834

BASE TIB ATTUNE SZ7 150600007 5,867

BASE TIB ATTUNE SZ7 150610007 8,027

BASE TIB ATTUNE SZ8 150600008 5,499

Page 14: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

BASE TIB ATTUNE SZ8 15068008 8,027

BASE TIB ATTUNE SZ9 150600009 5,499

BASE TIB ATTUNEBEAR SZ5 150640005 18,944

BASE TIB GENESIS POLYSZ6 71420458 4,203

BASE TIBIAL SZ 2 RT 13,801

BASE TIBIAL SZ 3 LT 13,801

BASE TIBIAL SZ 3 RT 13,801

BASE TIBIAL SZ 4 LT 13,801

BASE TIBIAL SZ 4 RT 13,801

BASE TIBIAL SZ 5 LT 13,801

BASE TIBIAL SZ 5 RT 13,801

BASE TIBIAL SZ 6 RT (71424016) 13,801

BASE TIBIAL SZ 7 LT 71424007 13,801

BASE TIBIAL SZ 7 RT 13,801

BASEPL TIB MAKO RESTOR SZ5 180615 6,266

BASEPLATE # 7 TIBIAL TRIATHLON 4,864

BASEPLATE #4 TIBIAL TRIATHLON 4,864

BASEPLATE #8 PRIMARY TIBIAL TRIAT 4,864

BASEPLATE AEQ PERFORM REV25DWJ401 9,808

BASEPLATE AEQ PERFORM REV25DWJ505 20,512

BASEPLATE AEQ REV 25X25 DWE725 4,075

BASEPLATE AEQ REV 25X30 DWE730 4,348

BASEPLATE AEQ REV 25X35 DWE735 4,075

BASEPLATE AEQ REV 25X40 DWE740 4,075

BASEPLATE AEQ REV 29X25 DWE825 4,075

BASEPLATE AEQ REV 29X30 DWE830 5,243

BASEPLATE GLEN AEQ REV29MM DWD067 10,510

BASEPLATE GLEN RSA 28MM 55722800 10,278

BASEPLATE GLENAEQREV25X25MMDWD171 11,229

BASEPLATE GLENOIDAEQ25X15MMDWD170 9,344

BASEPLATE JOURN TIB SZ1 74022221 2,919

BASEPLATE TIB #1 TRIATH TOT KNEE 4,864

BASEPLATE TIB #2 TRIATH TOT KNEE 4,864

BASEPLATE TIB #5 TRIATH PRIMARY 4,864

BASEPLATE TIB #6 TRIATH TOT KNEE 4,864

BASEPLATE TIB JOURN SZ4 74022224 5,255

BASEPLATE TIB JOURN SZ7 74022227 4,925

BASEPLATE TIB JOURN SZ8 74022228 2,919

BASEPLATE TIB JOURNEYSZ5 74022215 5,377

BASEPLATE TIB LEG HK SZ2 71421302 25,505

BASEPLATE TIB LEG HK SZ4 71421304 25,505

BASEPLATE TIB LEG REV SZ5 7193579 12,435

BASEPLATE TIB LEG SZ3 LFT71421303 25,505

BASEPLATE TIB LEGION SZ3 71421903 27,214

BASEPLATE TIB LEGREV SZ6 71933572 12,435

BASEPLATE TIB MAKO RESTSZ6 180606 6,266

BASEPLATE TIB OSS 59X160X9 161022 17,928

Page 15: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

BASEPLATE TIB OSS 63X160X9 161038 18,150

BASEPLATE TIB RESTMAKO SZ6 180616 6,266

BASEPLATE TIB RESTORIS SZ4 180604 6,266

BASEPLATE TIB RESTORIS SZ4 180614 6,266

BASEPLATE TIB RESTORMCKSZ5 180605 6,266

BASEPLATE TIBIAL #1 (5521-B-100) 13,582

BASEPLATE TIBIAL #3 5521B300 14,153

BASEPLATE TIBIAL #4 5521-B-400 14,153

BASEPLATE TIBIAL #5 14,153

BASEPLATE TIBIAL #6 14,153

BASEPLATE TIBIAL#3TRIATH TOT KNEE 4,864

BASEPLATE TIBJOURNEY SZ2 74022222 5,068

BASEPLATE TRIATHLON #2 14,153

BASEPLATE TRIATHLON (5521-B-700) 14,153

BASIC METABOLIC PANEL 200

BASIC METABOLIC PANEL(CALCIUM,ION 200

BASIC PRE/POST BRONCHIO 512

BASIC RADIATION DOSIMETRY CALC 454

BASKET DIMENSION STONE SZ 042313 1,162

BASKET DIMENSION STONE SZ 042316 1,162

BASKET RET 1.3FX120CM M0063903010 1,782

BASKET RETREIVAL 10X1.2 FG51D 1,272

BASKET RETREIVAL 11X1.2 FG52D 1,272

BEARING 28X42 EP200148 10,117

BEARING 28X44 SZF EP200150 10,117

BEARING ARCOM 28X44 XL200150 8,013

BEARING ARCOM XL 28X38 XL200144 8,013

BEARING ARCON 28X40 XL200146 8,013

BEARING CONSTRAINED 11146752 10,631

BEARING HUM 44X36 EP115393 13,030

BEARING LS TIB OSS SZ16 161096 4,951

BEARING MENISCAL MED LT 3MM 4,768

BEARING MENSICAL MED LT 4MM 4,768

BEARING TIB OSS 14MM 161095 4,951

BEARING TIB PCM 12X63 12155612 10,129

BEARING TIBIAL VANGUARD 4,885

BED MOBILITY PHYSICAL THERAPY 175

BEHAV CHNG SMOKING 3-10 MIN 49

BEHAVRAL/QUALIT.ANAL.-VOICE&RESON 583

BELLADONNA ALKALOIDS-PB ELIXER 21

BELLADONNA/OPIUM SUPP 16.2MG/30MG 156

BELLADONNA/PHENOBARBITAL ELIXIR 205

BENADRYL/LIDOCAINE/MYLANTA 180ML 31

BENADRYL/LIDOCAINE/NYSTATIN SUSP 112

BENAZEPRIL HCL TAB,5MG 6

BENAZEPRIL TAB, 10MG 5

BENDAMUSTINE @1MG,BENDEKA (100MG) 168

Page 16: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

BENDAMUSTINE @1MG,TREANDA (100MG) 177

BENZATROPINE TAB ,1MG 3

BENZOCAINE SPRAY 85GM 32

BENZOCAINE/TETRACAINE SPRAY(20GM) 410

BENZOIN TINCTURE 60ML 24

BENZONATATE PERLES CAP, 100MG 3

BENZSOCAINE DENTAL SOLN, 20% 60ML 177

BENZTROPINE MESYLATE,@ 1MG,INJ(2) 169

BENZTROPINE TAB, 0.5MG 1

BENZTROPINE TAB,2MG 1

BETA 2 MICROGLOBULIN 383

BETA-HYDROXYBUTYRIC ACID 434

BETAMETHASONE SOD INJ, 6MG/ML (5M 35

BETAXOLOL OPTH SOLN, 0.5% 2.5ML 263

BETAXOLOL OPTH SUSP 0.25% 5ML 919

BETHANECHOL TAB, 10MG 11

BETHANECHOL TAB,25 MG 15

BEVACIZUMAB, 10 MG, INJ, (100MG) 482

BEVACIZUMAB, PER 10 MG, INJ (400) 482

BICALUTAMIDE TAB, 50MG 93

BILE ACIDS TOTAL 404

BILE DUCT BIOPSY SING OR MULTI 4,888

BILE DUCT PORTOL VEIN CAT 1,775

BILIRUBIN DIRECT, SERUM 119

BILIRUBIN TOTAL, SERUM 119

BIOCARTILAGE 1CC ABS1010BC 5,721

BIODESIGN HERNIA RPR 20X30 G48216 65,123

BIOGLUE CARTRIDGE 10ML PREFILLED 5,178

BIOPHYSICAL PROFILE W/NON-STRESS 955

BIOPHYSICAL PROFILE W/O NON-STRES 664

BIOPSY BONE SUPERFICIAL 1,219

BIOPSY LUNG OR MEDIDSTINU 2,019

BIOPSY MAXCORE 18GX20CM MC1820 244

BIOPSY OF SKIN,SUBC TISSUE,SINGLE 680

BIOPSY THYROID PERCUTAN. NED. COR 679

BIOPSY/EXC.LYMPH NODES,NEEDLE 2,340

BISACODYL 10MG SUPP 1

BISACODYL TAB EC, 5MG 0

BISMUTH SUBSALICYLATE SUSP (120ML 7

BISOPROLOL TAB, 10MG 7

BISOPROLOL TAB, 5MG 8

BIT DISC 9.5MM 423872 4,443

BIT DRILL 1.1MM 387

BIT DRILL 1.1MM (310.111) 387

BIT DRILL 1.4X150MM 702448 858

BIT DRILL 1.4X70 P991951407 1,532

BIT DRILL 1.5/85MM 429

Page 17: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

BIT DRILL 1.5MM 416

BIT DRILL 1.5X50 2544905 744

BIT DRILL 1.5X96MM QCK COUP310507 988

BIT DRILL 1.6 P991951607 766

BIT DRILL 1.8MM 310.509 937

BIT DRILL 2.0 100MM 00480610020 521

BIT DRILL 2.0MM (310.201) 416

BIT DRILL 2.0MM 703701 841

BIT DRILL 2.0MM AR894316 573

BIT DRILL 2.1MM IS1113 1,310

BIT DRILL 2.3X289MM 702743 447

BIT DRILL 2.5 00483620525 736

BIT DRILL 2.5 324153 1,652

BIT DRILL 2.5 DIAMOND 00480611025 521

BIT DRILL 2.5/125MM 588

BIT DRILL 2.5MM 700342 588

BIT DRILL 2.5MM 829029070 587

BIT DRILL 2.5MM AR894313 529

BIT DRILL 2.5MM AR894330 529

BIT DRILL 2.5MM AR894342 511

BIT DRILL 2.5MM DISP DB25 619

BIT DRILL 2.5X180 00480718025 1,204

BIT DRILL 2.5X180 10325180 600

BIT DRILL 2.6MM 703702 841

BIT DRILL 2.6MM AR894302 666

BIT DRILL 2.7 405889 1,559

BIT DRILL 2.7 CANN LRG 705250 1,579

BIT DRILL 2.7MM 00236020527 854

BIT DRILL 2.7MM 703703 826

BIT DRILL 2.7MM FOR 4.0 CAN SCREW 2,375

BIT DRILL 2.7X125MM 700348 588

BIT DRILL 2.9X70 829031070 514

BIT DRILL 2X110MM XFO082001 794

BIT DRILL 2X125MM 700346 549

BIT DRILL 2X128 0277082085S4 304

BIT DRILL 2X135 VAR 703896 811

BIT DRILL 3.0MM AR894336 716

BIT DRILL 3.0MM AR897030 1,138

BIT DRILL 3.2 324212 1,249

BIT DRILL 3.2 405883 1,226

BIT DRILL 3.2X145 00480614532 521

BIT DRILL 3.2X145MMCOMP FIT700358 894

BIT DRILL 3.2X230 705232 668

BIT DRILL 3.2X300MM DISP 702626 447

BIT DRILL 3.5 CANN LRG 705251 1,579

BIT DRILL 3.5MM 588

BIT DRILL 3.5MM 703704 885

Page 18: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

BIT DRILL 3.5MM AR416035 476

BIT DRILL 3.5X110 00480611035 521

BIT DRILL 35MM 829032070 639

BIT DRILL 4.0 AR416040 730

BIT DRILL 4.2/130MM 908

BIT DRILL 4.2/180MM STERILE 908

BIT DRILL 4.2/340MM STERILE 908

BIT DRILL 4.2X360MM 13203642S 484

BIT DRILL 4.3 324213 1,249

BIT DRILL 4.3X19 NCB 0200024346 714

BIT DRILL 4.3X24 NCB 200021346 714

BIT DRILL 4.5MM 894

BIT DRILL 4.5X216MM 705078 1,281

BIT DRILL 4.9 702601 1,645

BIT DRILL 4.9 CANN 705252 1,579

BIT DRILL 4MM 31406182 1,576

BIT DRILL 4X70 829033070 546

BIT DRILL 5X230MM AO 18065000S 908

BIT DRILL 8.00 CANN 702613 2,149

BIT DRILL AEQ PERFORM 3.2 MWJ126 742

BIT DRILL AEQ REV3MM SGLUS DWD055 662

BIT DRILL ASNIS 1.7MM 4520011 409

BIT DRILL ATLANTIS 11MM 7080510 810

BIT DRILL AVIATOR 10MM 48771610 2,305

BIT DRILL AVIATOR 12MM 48771612 2,305

BIT DRILL AXOS3.6X122MM 4535020 876

BIT DRILL AXSOS 2.5 703966 1,063

BIT DRILL AXSOS 2.5X216 705025 1,239

BIT DRILL AXSOS 2.6X135 703691 732

BIT DRILL AXSOS 2.7X135 703695 732

BIT DRILL AXSOS 2X135 703690 732

BIT DRILL AXSOS 3.1X216 705031 741

BIT DRILL AXSOS 3.2X216 705032 1,239

BIT DRILL AXSOS 3.5 703978 1,063

BIT DRILL AXSOS 3.5X135 703694 947

BIT DRILL AXSOS 4.3 X216 705043 774

BIT DRILL BONE 3.2/100MM HIGH-PER 194

BIT DRILL CANN 1.7 AR8610DB25C 1,022

BIT DRILL CANN 2.0 0023601720 1,379

BIT DRILL CANN 2.3 P991102312 1,292

BIT DRILL CANN 2.75 P409202707 1,292

BIT DRILL CANN 3.0MM AR8610DB43C 1,022

BIT DRILL CANN 3.5 P409203507 1,292

BIT DRILL CANN 4.3 AR8610DB65 1,022

BIT DRILL CANN LRG DISP 702611 1,463

BIT DRILL CANNULATED 2.0/15MM QC 2,395

BIT DRILL CANNULATED 5.0MM 2,701

Page 19: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

BIT DRILL DART 2.5MM DSDS0025 1,261

BIT DRILL EQUINOXE 2X3.2 3212000 1,479

BIT DRILL EVOLVETRIAD2.0 49510112 992

BIT DRILL FIBULOCK 2.5 CS6125 117

BIT DRILL FIXOS 2.7MM XFO094501 4,729

BIT DRILL FIXOS2.5X32MM XF0073200 1,607

BIT DRILL GAMMA 42 X 300 841

BIT DRILL GEM 2.5X40 DRLLSSC25040 508

BIT DRILL GEM 2X40 DRLLSSC20040 508

BIT DRILL INFINITY 2.4 G3606010 2,148

BIT DRILL LCP 250/225 03113023 757

BIT DRILL LCP2.8 250/225 03113024 819

BIT DRILL MENOFIX 2.0 MS2620 2,791

BIT DRILL NAIL LONG4.3 415S002352 1,553

BIT DRILL NCB 2.5X245 0200024342 714

BIT DRILL NCB 3.3 0200024133 1,747

BIT DRILL NCB 3.3X195 0200024118 784

BIT DRILL NCB 4.3X195 0200024002 714

BIT DRILL NCB 4.3X215 0200024003 784

BIT DRILL PHALINX 2.55 45303055 1,693

BIT DRILL QUICK COUPLING (310.23) 715

BIT DRILL QUICK COUPLING 3.2MM 377

BIT DRILL RINGLOC3.2X30MM31323230 589

BIT DRILL RSA 3.1 59011126 560

BIT DRILL SILOK CANN 7.5 639217 3,153

BIT DRILL SUPERELAS 2MM XFO012002 1,671

BIT DRILL TM REV 2.5MM47430904601 1,943

BIT DRILL TRAB 6MM 47430706100 3,091

BIT DRILL TWIST 1.4X27MM 6014326 393

BIT DRILL TWIST2.2 X105 500220307 744

BIT DRILL TWIST2.2X70 500220107 744

BIT DRILL UNIV 1X50MM 6MM 6010506 764

BIT DRILL VALOR 4.3 415S002351 1,553

BIT DRILL VERTEX2.4MM SPIN7756010 2,591

BIT DRILL VPC 3.4 231201130 2,043

BIT DRILL VPC CANN 1.8 231201025 2,102

BIT EXTRACTOR 15.0 18066119 2,204

BIT SCREWDRIVERTIP3.5MMSGL DWD167 1,114

BIVALIRUDIN, PER 1MG, INJ (250) 26

BLADE 25MM X 9MM 2296-33-111 213

BLADE 4.5MM 17 LNGCURV 7205323 499

BLADE 8MM SH MRI OSTEO47998602120 934

BLADE ACROBAT 1.5IN STER DB1000 488

BLADE BONECUT 4.5X180 7210979 737

BLADE CROSS 53X40X.64MM5400134285 213

BLADE DERM1.25-4.25IN D0880000010 204

BLADE FULL RAD 5.5MM 7205307 324

Page 20: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

BLADE HO RECIP HEAVY DUTY OFFSET 181

BLADE HOOK NARROW MEDIUM IMPLANT 5,130

BLADE INCISOR PLUS ELITE 4.5 648

BLADE LONG 4.5 CURVED I.P.E. 713

BLADE MICRO 13X39X.51MM 229633526 249

BLADE MICRO FEATH 25DEGDISP K5310 388

BLADE NARROW LARGE IMPLANTABLE 6,178

BLADE NOTCHBLASTER 4.0 7205328 324

BLADE OST 10MM SHRTDISP4799862121 1,089

BLADE OSTEO 12X93MM 62100740 969

BLADE OSTEOME GRAY8X80 62100730 969

BLADE OSTEOTOME 12MM 4799862122 1,032

BLADE OSTEOTOME 8MM 4799862120 654

BLADE OXFORD STABLE CUT 506298 1,751

BLADE RECIPROCATING DOUBLE SIDED 172

BLADE SAG DUAL CUT (11 X 1.2) 181

BLADE SAW 12X9X.38MM 2296003231 228

BLADE SAW 18.5X7X.38 22963114 248

BLADE SAW 25X9X.38 2296003111 205

BLADE SAW 34.5X9X.64MM 2108148 137

BLADE SAW 41X19.5X.38MM 22963254 213

BLADE SAW 79.5X25X1.24MM SAG 137

BLADE SAW 90X18X1.27 618812790 267

BLADE SAW 90X25X1.19 4125119090 239

BLADE SAW 90X25X1.27 6125127090 267

BLADE SAW GIGLI 280802 152

BLADE SAW INBONE 7 NAR 200138107S 1,010

BLADE SAW MAKO 116170 1,693

BLADE SAW MAKO NAR 116171 1,665

BLADE SAW SAGITA/OSC REPLACES #12 267

BLADE SAW SAGITAL XWIDE 210814000 137

BLADE SHAVER 2.9 DISP 72201520 496

BLADE SHAVER 2.9MMX7CM 72201509 715

BLADE SHAVER 2MMX7CM 72201507 715

BLADE SHAVER 3.5MM FR 7205305 385

BLADE SHAVER 3.5X7 DISP 72201510 438

BLADE SHAVER 4.5 STR 7205316 237

BLADE SHAVER DYNOMICS3.5 72201519 496

BLADE SHAVER MENISEC 3.0MM010640 149

BLADE SHAVERDYONICS2.9X7 72201513 745

BLADE SHAVERINCISOR4.5DISP7205345 385

BLADE SINUS RAD 40 CURVED 4.0MM 992

BLADE SINUS RAD 60 CURVED 4.0MM 1,079

BLADE SINUS TRICUT STRAIGHT 4.0M 1,090

BLADE SMALL NARROW IMPLANTABLE 5,130

BLADE STONECUTTER 5.5MM (6/BX) 385

BLADE TEND GRAFTSTRIP10MMAR238510 1,022

Page 21: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

BLADE TURBINATE 2.0 1882040HR 1,130

BLADE TURBINATE 2.9MM 1882940HR 1,130

BLADE XLONG 50X.64X13MM2296310855 213

BLEOMYCIN SULF,@ 15UNITS,INJ (30) 259

BLEPS 7,861

BLEPS AFTER DRUG INFUSION 3,033

BLEPS W/CS 4,090

BLEPS W/LV 1,011

BLEPS W/MAPPING 6,836

BLOCK CORT 5X14X11MM 400541 6,159

BLOCK CORT LORD 7X14X11 400741 7,451

BLOCK CORT LORD 9X14X11MM 400941 6,834

BLOCK CORT LORD6X14X11 400641 6,834

BLOCK CORTLORDOTIS8X14X11MM400841 7,451

BLOCK FEM AUG NEXGSZG 00599003724 5,762

BLOCKAUGTIBNEXG SZ7.5 00598800726 5,576

BLOCKER MANTIS REUX LT 48289999 1,664

BLOCKER XIA 3 1LEV 48230000 1,851

BLOCKER XIA SMALL 4885000 1,664

BLOOD ADMINISTRATION CHARGE 2,580

BLOOD CULTURES X 1 286

BLOOD DRAW FROM IMPLANTED VEN.DEV 77

BLOOD GAS 02 SAT ONLY 70

BLOOD L/R IRRAD 1,294

BLOOD PHENOTYPING, RH 162

BLOOD SPLIT UNIT 467

BLOOD SUGAR 69

BLOOD SUGAR POST PRANDIAL 69

BLOOD TRANSFUSION SERVICE 1,078

BLOOD TRANSFUSION SERVICE 1,437

BLOOD TYPING, ABO 130

BLOOD TYPING, AG, PATIENT 164

BLOOD TYPING, ANTIGEN TESTING OF 197

BLOOD TYPING, RH 80

BLOOD,OCCULT,QUAL.OTHER SOURCES 76

BLS EMERGENCY TRANSPORT 1,278

BLS NON-EMERGENCY TRANSPORT 943

BODY CONE RESTOR +20 29MM62761229 21,449

BODY CONE RESTOR+30MM 6276-1-325 23,000

BODY FLUID ALBUMIN 116

BODY FLUID AMYLASE 170

BODY FLUID GLUCOSE 69

BODY FLUID LDH 144

BODY FLUID PROTEIN 112

BODY FLUID SPEC GRAV 59

BODY RES MODULAR CONE 21X30MM 23,000

BOLT FEMORAL ADAPTOR 1,175

Page 22: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

BOLT FEMORAL ADAPTOR +2/-2 OFFSET 1,175

BOLT HALF PIN FIX 6MM 982

BOLT HINGE MED 49341008 512

BOLT TRUELOCK 8MM 5411540 1,395

BOLT TRUELOK WIRE FIX 541152 512

BOLT WIRE ADAPT LONG 49331005 1,063

BOLT WIRE HOFF 49331002 349

BOLT WIRE HOFF LRF LNG 49331003 349

BOLTWIRE ADAPT SHORT 49331004 1,063

BOLTWIRE HOFFMAN LRF SHT 49331001 349

BONE 8MM PLANER P4090000801 1,292

BONE ANCHOR W/DEL SYST 2503A 4,437

BONE BIOPSY DEEP 2,240

BONE CANCELLOUS 15CC CUBE 2,618

BONE CANCELLOUS CRUSHED CHIPS30CC 4,417

BONE CULTURE 204

BONE IMAGING SPECT 2,209

BONE MARROW ASPIRATION 2,610

BONE MARROW BX,NEEDLE OR TROCAR 3,552

BONE MARROW KIT ANGELSYS ABS10062 5,721

BONE MARROW, BIOPSY,NEEDLE/TROCAR 3,552

BONE MATRIX BIO4 10CC 31022110 22,418

BONE MATRIX BIO4 10CC PS51010 16,580

BONE MATRIX BIO4 2.5CC 31022102 7,443

BONE MATRIX BIO4 2.5CC PS51002 7,443

BONE MATRIX BIO4 5CC 31022105 13,136

BONE MATRIX BIO4 5CC PS51005 13,136

BONE MATRIX INFUSE MEDIUM BMP 31,704

BONE OSTEOTOMY CORTICAL WEDGE 9,881

BONE PLUG LARGE ARTISAN 62155021 464

BONE PLUG,MED 13-17MM CANL HOWM 464

BONE SCAN BONE/JOINT LTD 2,788

BONE SCAN BONE/JOINT TOT 3,450

BONE/JOINT 3 PHASE STUDY 3,014

BORRELIA BURGDORFERI, AMPL TECH 3,137

BORTEZOMIB,@ 0.1 MG ,INJ (3.5MG) 308

BOTH KNEES,STANDING, ANTEROP 261

BOTTLE,DRAINAGE 375

BOTULINUM TOXIN A,PER 1 UNIT(100U 36

BOTULINUM TOXIN A,PER 1 UNIT(200) 36

BR.TH.ISODOSE PLAN,MEDT,5-10,CALC 1,154

BR.TH.ISODOSE PLAN,SIMPL,1-4,CALC 786

BRACHYTX, NON-STR, HDR IR-192 3,923

BRAF GENE ANALYSIS,V600E VARIANT 316

BRAIN FLOW IMAGING ONLY 1,436

BREAST BX,STEREOTACTIC,1ST LESION 5,735

BREAST BX,STEREOTACTIC,EA.ADD.LSN 3,065

Page 23: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

BREAST BX,ULTRASOUND,1ST LESION 5,284

BREAST BX,ULTRASOUND,EA.ADD.LSN 2,642

BRIMONIDINE OPHTH SOLN,0.1%(10ML) 824

BRINZOLAMIDE OPHTH SUSP 1% (5ML) 691

BROMOCRIPTINE TAB, 2.5MG 33

BRONCH-DIAG. W/ ALVEOLAR LAVAGE 6,755

BRONCH-DIAG. W/ BRUSHINGS 5,053

BRONCH-DIAG. W/ OR W/O WASHINGS 4,876

BRONCH-EBUS DX/THER-PERIPH.LESNS 3,282

BRONCH-EBUS SAMPLING,1-2 MD/NODE 4,689

BRONCH-EBUS SAMPLING,3,+ MD/NODE 5,380

BRONCHOSCOPY-THERAPEUTIC 2,549

BRONCH-UP.AIR.NDL.ASP.BX(S),1ONLY 6,612

BRONCH-VIA ESTABLISH.TRACHEOSTOMY 1,715

BRONCH-W/BR-ENDOBR.BX(S),1/MULTI 6,294

BRONCH-W/TRANSBR.BX(S),ADD.LOBE 7,728

BRONCH-W/TRANSBRONCH.BX(S),1 LOBE 8,451

BRUSH FEM CANAL W IRR 0067910 1,048

BSS OPHTH SOLN 15ML 59

BUDESONIDE RESPULES, 0.25MG/2ML 59

BUDESONIDE RESPULES, 0.5MG/2ML 63

BUMETANIDE 0.25MG/ML INJ 4ML 15

BUMETANIDE INJ, 0.25MG/ML 17

BUMETANIDE TAB, 0.5MG 6

BUMETANIDE TAB, 1MG 11

BUMEX DRIP 0.25MG/ML 100ML 340

BUN 90

BUPIVACAINE 0.25% INJ, (10ML) 13

BUPIVACAINE INJ 0.5% 30ML 15

BUPIVACAINE INJ, 0.25% (30ML) 14

BUPIVACAINE INJ, 0.5% (10ML) 15

BUPIVACAINE INJ,0.5% W/EPI1-200,0 31

BUPIVACAINE INJ,0.5%W/EPI(1@200K) 19

BUPIVACAINE LIPOSOME @ 1 MG (266) 8

BUPIVACAINE LIPOSOME@1MG INJ(133) 9

BUPIVICAINE SPINAL INJ, 0.75% 2ML 16

BUPRENORPHINE 2/NALOX .5 MG TAB 26

BUPRENORPHINE 8/NALOX 2 MG TAB 46

BUPRENORPHINE INJ 0.3MG/ML 1ML 11

BUPROPION HCL 10

BUPROPION TAB 75MG 9

BUPROPION TAB SR, 100MG 9

BUPROPION TAB XL, 150MG 27

BUPROPION TAB XL, 300MG 16

BUR 1.7MM MATCH HD 582010753053 860

BUR 2.2MM MATCH HEAD 5820107022 672

BUR 3.0 RND DIAM 5820012030D 672

Page 24: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

BUR 3.0PRECISIONMATCHHD5820107530 672

BUR 4.0 PRECISION RDN 5820009040 1,189

BUR 4.0MM RND DIAM 5820012040D 672

BUR 4.0MM RND FLUT CARB5820110040 672

BUR 5.0MM RD DIAM 5820012050D 672

BUR 6.0MM PRECISION RND5820009060 1,189

BUR ACORN MIDAS 6MMX9CM 9AC60 883

BUR BALL MIDAS 1X10 10BA10D 818

BUR BALL MIDAS 2MM 10CM 10BA20DMN 940

BUR BALL MIDAS 3X10 10BA30D 818

BUR BALL MIDAS 3X10 10BA30DC 863

BUR BALL MIDAS 4X7 7BA40 747

BUR BALL MIDAS 5MM 10CM 10BA50MN 883

BUR BALL MIDAS 5MMX14CM 14BA50 1,003

BUR BALL MIDAS 5MMX15CM 15BA50 984

BUR BALL MIDAS 5MMX9CM 9BA50 921

BUR BALL MIDAS 6X7 7BA60 747

BUR BALL MIDAS REX 4MMX9CM 9BA40 921

BUR BALL MIDAS REX 6MMX14CM14BA60 984

BUR BALL MIDAS REX5MMX14CM14BA50D 1,042

BUR CUT 25.4X.08 DISC 5120130250 603

BUR CUT 3.2X18.3MM RASP5120080030 651

BUR CYLIN MIDAS REX3MMX14CM14MH30 908

BUR ENDO 4X180MM 72203132 778

BUR HOLE COVER 12MM DIAMETER 1,287

BUR LNG RD 5X69.9 5300020513 196

BUR MAT HEAD MIDAS 2.2X10 10MH22 729

BUR MATCH HD MIDAS 3MMX9CM 9MH30 903

BUR MATCH MIDAS 2.2MMX15CM15 MH22 895

BUR MATCHHDMIDREX1.7MMX15CM15MH17 895

BUR MATCHHDMIDREX1.7MMX8CM 8MH17 744

BUR MIDAS REX 2.2MMX8CM 8MH22 744

BUR MIDAS REX 3MMX10CM 10MH30 796

BUR MIDAS REX 3MMX9CM F2/9TA30 812

BUR RND 5.0 BLADE 5820110050 672

BUR ROUTER 2.3 TAP STR 5120070012 584

BUR ROUTER 2.3 TAPERED 5407FA2023 674

BUR STONECUTTER 4MM STR 7205330 237

BUR STONECUTTER ELITE5.5 72200729 210

BUR TAP MIDAS 1.1MMX8CM 8TA11 667

BUR TAP MIDAS 2.3MMX8CMF2/8TA23 730

BURR ANSPACH BALL 6MM LHD68M 347

BURR ARTHROPLASTY 5.5MM 7205329 1,905

BURR DYONIC 4X180MM 72203130 778

BURR FEM NEXGEN PFJ 00592705000 1,360

BURR MAKO BALL 6MM 110135 347

BUSHING FEM GMRS SMALL 64952105 2,104

Page 25: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

BUSHING FEMORAL MRH 1,483

BUSHING FEMUR 2,424

BUSHING TIBIAL 1,730

BUSPIRONE 5MG TAB 4

BUSPIRONE TAB 10MG 8

BUTORPHANOL 1MG INJ 27

BUTORPHANOL INJ, 2MG/ML (1ML) 17

BUTTON DOG BONE AR2270 2,043

BUTTON HEX 3.5MM 223200135 556

BUTTON PEC KIT LRG AR2269 9,633

BUTTON SUTURE 3.5X11 AR8920 551

BUTTON SUTURERETROBUT11MM AR-1592 1,597

C02 SERUM 90

C-1 ESTERASE 280

C1 ESTERASE INHIBIT FUNCI 566

CA 125 490

CA 19-9 490

CA 27.29 489

CA SCREEN,PELVIC/BREAST EXAM 203

CABAZITAXEL @ 1 MG INJ (60MG) 1,187

CABLE ASSEM1.8MMX635CM00223200418 2,270

CABLE BUTTON NCB 2.5 47223206001 1,108

CABLE DALL MILES 2.0MM 1,535

CABLE DALL MILES 2.MM HOLES 816

CABLE DALL MILES 2.MM/650MM SS 1,518

CABLE NIM POWEREASE 2344000 1,943

CABLE PACEMAKER12FT DISP 5833SL 488

CABLE STIMULATION TEST 357501 234

CABLE SURG 12FT DISP 405IL 194

CABLE/SLEEVE,2.0MM,DALL MILES,VIT 1,753

CABLES,COIL CONNECTING,BS 3,645

CAFFEINE 249

CAFFEINE CITRATE INJ 60MG/3ML 11

CAFFEINE CITRATE ORAL SOLN,60MG 3 16

CAFFEINE TAB, 200 MG 1

CAGE 10X50X8 7D 71070310N 42,034

CAGE 12X22X30 ANCHORL 48662128 43,201

CAGE 12X25X35 ANCHORL 48663122 43,201

CAGE 12X40 336612040 22,251

CAGE 14X25X35 ANCORL 48663148 43,201

CAGE 15X12X6MM 6D G6626526 18,543

CAGE 7D 18X50X12 71070312 41,726

CAGE ACCULIF 8-12X11X34 305008 32,926

CAGE BULLETT 12X23 SPINE187823512 19,802

CAGE BULLETT 8X23 SPINE 187823508 19,802

CAGE CERV 12X14X6 SM 51461206 19,249

CAGE CERV 12X14X7 SM 51461207 19,249

Page 26: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

CAGE CERV 12X14X9 51461209 19,249

CAGE CERV 14X16X8 51661408 19,249

CAGE CERV 16X18X9 51861609 19,249

CAGE CERV 6D 12X14X12 51461212 19,249

CAGE CERV 6D12X14X8 51461208 19,249

CAGE CERV 6X14X17 48987066 8,319

CAGE CERV 7X12X14 48982076 8,319

CAGE CERV 7X14X17 10D 48987071 8,319

CAGE CERV 7X14X17 48987076 8,319

CAGE CERV 9X14X17 48987096 8,319

CAGE CERV8X14X17 6D 48987086 8,319

CAGE CONCORDBULLET13X23 187823513 19,802

CAGE CONCORDBULLET13X27 187827513 19,802

CAGE CONCORDE 10X23 187823510 19,802

CAGE CONCORDE 9X10X23MM 187823410 33,213

CAGE CORNERST 12X12 PEEK6277241 5,743

CAGE CORNERST 13X14 PEEK 6277341 5,743

CAGE CORNERST 25X14 PEEK 6277025 12,265

CAGE CURV 10X27X11 48930116 32,926

CAGE CURV10X27X10 48930106 32,926

CAGE CURV10X27X9 48930096 32,926

CAGE ENDOSKELCERV16X18X8 51861608 19,249

CAGE LUM 8X11X23 48951086 31,163

CAGE LUM TRI 12X11X23 32,926

CAGE LUMB 11X11X28 48955116 32,926

CAGE LUMB 12X11X28 48955126 32,926

CAGE LUMB 14X23X11 48951146 32,926

CAGE LUMB 8X28X11 48955086 32,926

CAGE LUMB TRIT10X23X11 48951106 32,926

CAGE LUMB TRIT11X23X11 48951116 32,926

CAGE LUMB TRIT9X11X23 48951096 32,926

CAGE NANOLOCK 14X12X6 51461206N 19,265

CAGE NANOLOCK 14X12X7 51461207N 19,265

CAGE NANOLOCK 14X12X8 51461208N 16,346

CAGE NANOLOCK 14X12X9 51461209N 16,346

CAGE NANOLOCK 14X16X10 51661410N 19,265

CAGE NANOLOCK 14X16X7 51661407N 19,265

CAGE NANOLOCK 14X16X7 53661407N 35,612

CAGE NANOLOCK 14X16X8 51661408N 19,265

CAGE NANOLOCK 18X16X7 51861607N 19,265

CAGE NANOLOCK 18X16X8 51861608N 19,265

CAGE NANOLOCK 18X16X8 53861608N 35,612

CAGE NANOLOCK 18X16X9 51861609N 19,265

CAGE NANOLOCK 30X11X10 41143010N 25,687

CAGE NANOLOCK 30X11X12 41143012N 25,687

CAGE NANOLOCK TC14X16X6 51661406N 19,265

CAGE NANOLOCK TC14X16X9 51661409N 19,265

Page 27: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

CAGE PEEK SILVER28X10X9 ST52809T 23,352

CAGE PEEK SILVERSTONE SP301012TS 23,352

CAGE SILVERSTON26X12 7DSP261012T2 23,352

CAGE SILVERSTON28X12X5 ST52812T 23,352

CAGE SILVERSTONE 26X10 SP261010T2 23,352

CAGE SILVERSTONE 28X10X13 ST52813 23,352

CAGE SILVERSTONE-P26X11SP261011T2 23,352

CAGE SILVERSTONE-P26X7 SP261007TC 23,352

CAGE TC CERV 14X16X11 51661411 19,249

CAGE TC CERV 14X16X7 51661407 19,249

CAGE TC CERV 14X16X9 51661409 19,249

CAGE TC CERV14X16X10MED51661410 19,251

CAGE TL 18X50X8H 71070308 35,466

CAGE TL 18X50X9H 71070309 35,466

CAGE TRIT 10X11X28 48955106 32,926

CAGE TRIT 7X23X11 48951076 32,926

CAGE TRIT 9X28X11 48955096 32,926

CAGE TRITANIUM13X11X28 48955136 31,163

CALADRYL LOTION (180ML) 20

CALAMINE LOTION (120ML) 20

CALCITONIN 631

CALCITONIN SALMON,< 400U,INJ(200) 15,523

CALCITRIOL 0.25MCG CAP 7

CALCITRIOL LIQUID, 1 MCG/ML,ORAL 68

CALCIUM ACETATE TAB 667MG 10

CALCIUM CARB TAB (CALCIUM 500MG) 1

CALCIUM CARBONATE LIQ 125MG/5ML 16

CALCIUM CARBONATE+D TAB, 250MG 0

CALCIUM CARBONATE+D TAB, 500MG 1

CALCIUM CHLORIDE SRYN 10% 10ML 58

CALCIUM CHLORIDE VIAL, 10% (10ML) 131

CALCIUM GLUCONATE INJ, 10% 48

CALCIUM GLUCONATE INJ, 10ML 10% 62

CALCIUM TOTAL SERUM 122

CALCIUM, IONIZED. 214

CALDESENE PROTECTING PWD, 2.5OZ 13

CALPROTECTIN,FECAL - ASSAY 220

CANAGLIFLOZIN, 100 MG, TAB 96

CANAGLIFLOZIN, 300 MG, TAB 96

CANASA(MESALAMINE) 1000 MG SUPP 84

CANCER ANTIGEN 15-3 489

CANDESARTAN TAB, 16 MG 18

CANDESARTAN TAB, 4 MG 22

CANDIDA DNA DIR PROBE 404

CANE ADJUST/FIXED WITH TIP(59400) 31

CANE ADJUSTABLE CHROME 32

CANISTER BIOPSY KITCARTILAGE80001 3,210

Page 28: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

CANISTER INFOVAC 1000 ML W/GEL 403

CANISTER INFOVAC 500 ML W/O GEL 207

CANN 800ML EZMAX 66021066 128

CANN 8X2 PASSPORT AR65920820 187

CANN ARTH 12X3CM AR65921230 350

CANN ARTH10X3 PASSPORT AR65921030 187

CANN SEAL DAVINCI 8.5X3 420206 234

CANNISTER APOLLO COLLECT APCAN1 2,102

CANNISTER DRAIN500MLW/GELM8275063 187

CANNISTER W/GEL 800ML 66020912 131

CANNUL COUNTERSINK4.5/6.7AR8945CS 1,284

CANNULA 8.25MM/7CM(EACH) 152

CANNULA 8.25X7CM EXP TIP AR6569 235

CANNULA 8MMX3CM AR65920830 187

CANNULA ARTH 5.75MM X 7CM AR6560 152

CANNULA ARTH 8.25MMX9CM AR6540 152

CANNULA ARTHR 10MMX2CM AR65921020 187

CANNULA BIOMEDICUS 25MM 96880025 2,591

CANNULA CLEAR TRAC 7X110 72200439 1,173

CANNULA SEAL DAVINCI STAP 410351 117

CANNULA TWIST IN 7MM ID (AR-6570) 152

CAP BLOCKER OASIS 48551000 899

CAP END +10MM STERILE 885

CAP END +15MM 885

CAP END 11.5MM +5MM 18500005S 1,094

CAP END T2 +5MM 885

CAP END T2 8MM 18500002S 732

CAP ENDAPEX3MMPINFIX DISP50471030 156

CAP LOCK/OFFSET CONN A1059339501 292

CAP LOCKING VALENCIA 9151911 1,489

CAP NXS LOCK N105933104 1,168

CAP SCREW NCP 3.5 LCK 0203150300 1,016

CAP SCREW PED NXS N1059331 292

CAP SET SCREW BREAKOFF 7440020 983

CAP SR LOCK 105934601 292

CAPSAICIN HP CREAM 75

CAPSICUM CREAM .025% 58

CAPSTONE 12X26 2991226 20,285

CAPSULE BRAVO-91035 1,181

CAPSULE, ESOPHAGEAL-91111 1,771

CAPSULE,SM BOWEL,WIRELESS-91110 1,771

CAPTOPRIL 12.5MG TAB 10

CAPTOPRIL ORAL SOL,.03MG/ML(NICU) 1

CAPTOPRIL ORAL SOLN, 1MG/ML(PEDS) 1

CAPTOPRIL TAB, 25MG 11

CARBAMAZEPHINE SUSP 200MG/10ML 25

CARBAMAZEPHINE TAB CHEW 100MG 4

Page 29: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

CARBAMAZEPINE 341

CARBAMAZEPINE 100MG/5ML ORAL SUSP 6

CARBAMIDE PEROXIDE OTIC SOLN (15M 26

CARBOPLATIN INJ 150MG 43

CARBOPLATIN INJ 450MG 45

CARBOPLATIN INJ 50MG 90

CARBOPLATIN INJ, 0.1MG/0.1ML 34

CARBOPLATIN INJ,600MG/60ML(VIAL) 37

CARBOPROST TROMETHAMINE INJ 250MG 1,227

CARBOXYHEMOGLOBIN QUANT 292

CARCINOEMBRYONIC ANTIGEN (CEA) 447

CARDENE IV INJ 2.5MG/ML 137

CARDIAC BLOOD POOL - MULTI 3,207

CARDIAC BLOOD POOL - SINGLE 2,704

CARDIOPLEGIA SOLN FORMULA C 2,181

CARDIOPLEGIA SOLN HI K 850

CARDIOPLEGIA SOLN LOW K 1,637

CARDIOPLEGIA SOLUTION, DEL NIDO 283

CARDIOPULMONARY RESUSCITATION-CPR 971

CARDIOVERSION ELECTRICAL EXTERNAL 1,897

CARDIOVERSION W/EKG TRACING 726

CARDIOVERSION, ELECTIVE 4,987

CARDIOVERSION, INTERNAL 5,675

CARFILZOMIB, PER 1 MG, INJ. (60) 171

CARISOPRODOL TAB, 350MG 4

CARNITINE 397

CAROTENE BETA 219

CAROTID DUPLEX COMPLETE 2,688

CAROTID DUPLEX LTD 811

CAROTID STENT SYSTEM,ABBOTT 17,298

CAROTID STENTING W/EMBOLIC FILTER 21,282

CAROTID STENTING W/O EMBOLIC FILT 12,596

CARRIER,GRAFT,SKIN,8IN,STERILE 160

CARTEOLOL 1% OPHTH SOLN (5ML) 121

CARTRIDGE RELOAD CUTTER LINEAR 55 365

CARTRIDGE THREAD ADAPTER110030166 128

CARVEDILOL TAB, 12.5MG 12

CARVEDILOL TAB, 3.125MG 12

CARVEDILOL TAB, 6.25MG 12

CASPOFUNGIN INJ 70MG 10ML 170

CASTOR OIL LIQ (30ML) 3

CATECHOLAMINES BLOOD FRAC 593

CATECHOLAMINES URINE FRAC 593

CATH ANGIO TEMPO 5FR SRD5836 172

CATH BALL 12FR 10-50MMX65 Q5065P 2,819

CATH BALL 4X40X135 3.8FR032404010 2,192

CATH BALL 5.8FR 14MM M001145120 1,524

Page 30: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

CATH BALL MUST6X40H74939171060470 991

CATH BALL STENT 8FRX100X12 REL46 2,883

CATH BALL.035 5X40MMX135CM040135 1,192

CATH BALL2X40X150 H74939032200410 1,601

CATH BALLMUST8X40 39171080470 992

CATH BALLOON HYPERFORM 4 X 7 MM 7,493

CATH BALLOON HYPERGLIDE 3 X 10 MM 6,070

CATH BALLOON HYPERGLIDE 4 X 10 MM 6,056

CATH BALLSTERL2X40H74939135204010 1,601

CATH COATED 4FR 150CM CG432 283

CATH COBRA 5FR 65CM CG502 283

CATH COUDE 18FR A304718A 158

CATH CXI 2.3FR 90CM G18371 1,138

CATH DIALYSIS PALINDROME(COVIDIEN 5,190

CATH DIL TREK 2X20X145 101227020 730

CATH EMB SPIDER5X320 SPD2US050320 8,144

CATH EMBOLECT 2FR/60CM 120602F 493

CATH EMBOLECT 6FR 80CM 120806F 248

CATH EVERCROSS6X135 AB35W06040135 788

CATH EVERCROSS7X135 AB35W07040135 788

CATH FOLEY 16FR A303416A 147

CATH FOLEY 18FR 303418A 140

CATH FOLEY 3WAY 30CC IC S 113

CATH FOLEY COMPL 16FR 919116A 242

CATH FOLEY EDELMAN 16FR 087016 349

CATH FOLEY SURESTEP KIT A319516AM 184

CATH GLIDECATH 038 4FR120CM CG417 314

CATH GUIDING CHAPERON 6FR MP 1,930

CATH HEMODIALYSIS 13FR 5605240 1,332

CATH INTRACRANIAL NEURON(PENUMBRA 1,563

CATH LUMB EXT DRAIN 46CM 821706 956

CATH MARINBEREN 4FR H787117236015 217

CATH MARINER .038 65H787117140095 217

CATH MARINER BEREN5FRH78711221025 217

CATH MARINER5FR 110 H787117221035 224

CATH MICRO ECHELON10 .017X150 3,818

CATH MICRO HEADWAY MC172150SX 4,506

CATH MICRO MARATHON 170/165CM 3,529

CATH NASAL EPISTAT 1527031 639

CATH PLACEMENT - ART SYS 970

CATH PLACEMENT AORTA 12,853

CATH PLCMT ARTERIAL LE 2ND ORDER 11,233

CATH PLCMT ARTERIAL LE 3RD OR GTR 11,556

CATH QUICKCRS1.5F .014X150 518065 877

CATH THORACIC STRAIGHT 32

CATH TIP CULTURE 204

CATH TRAILBLAZ014X150 SC014150 876

Page 31: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

CATH VENT 23CM 41115 852

CATH, EP, DIAG/ABL, 3D/VECT 22,900

CATH, INTRA ECHOCARDIOGRAPHY 20,817

CATH, TRANS ATHERECTOMY, DIR 11,022

CATH,BALLOON GUIDING,CONCENTRIC 7,072

CATH,CRYOBALLOON-ARCTIC FRONT 29,143

CATH,DRUG-ELUTING,LUTONIX-ALL 9,808

CATH,EKOS SYSTEM 18,892

CATH,PERIPHERAL ATHERECTOMY 24,570

CATH,TRANS ATHERECTOMY,ROTATIONAL 11,022

CATHETER 22FR 30ML 570622 219

CATHETER 4FR BERENSTEIN (CG415) 315

CATHETER ANG035IN5FR65CM760220M65 584

CATHETER ANGIO.038IN5FR65CM CG501 315

CATHETER BALLON XFORCE U-30 W/ IN 1,542

CATHETER BALLOON HYPERFORM EV3 7,496

CATHETER BALLOON OCCLUSION HYPERF 5,145

CATHETER BALLOON X-FORCE N-30 W/ 1,542

CATHETER COLANGIOGRAM 240153 467

CATHETER DAC GUIDING,MERCI,CONCEN 7,639

CATHETER E VENTRICULAR ANTIBIOTIC 1,753

CATHETER EMB FOG 4FR 80CM120804F 248

CATHETER EMBOLEC 3FR/40C 120403F 248

CATHETER EMBOLECTOMY 3FR/80CM 248

CATHETER EMBOLECTOMY 4FR/40CM 248

CATHETER EMBOLECTOMY 5FR/80CM 248

CATHETER EP-DX/ABLATE,FLEXABILITY 9,995

CATHETER GLIDEPATH 19CM 5393190 1,226

CATHETER GLIDEPATH 23CM 5393230 1,226

CATHETER GLIDEPATH 27CM 5393270 1,226

CATHETER HEMOD 13FR 20CM 5605200 1,385

CATHETER IRRIG 4FR/80CM 220804F 156

CATHETER LAP CHOLE PERC W/KARLAN 475

CATHETER MEDTR PERITONEAL 23047 1,062

CATHETER NEPH 12FR24CM M001271810 560

CATHETER NEPH 24FR M0064101070 584

CATHETER NEPHROSTOMY FLEXIMA 8FR 560

CATHETER PERIT1.3X2.5MMX12CM23092 1,019

CATHETER PERITONEAL CURL 57CM DIA 562

CATHETER PERITONEAL CURL 62CM 584

CATHETER PIGTAIL 5FR 100CM FL VES 584

CATHETER SYSTEM CSF LUMBO PERITON 3,808

CATHETER THERMACHOICE DOMESTIC 7,412

CATHETER URET DBL LUM 10FR 405100 552

CATHETER URET SZ 5FR70CM 036105 274

CATHETER URETERAL .038 X (130200) 227

CATHETER URETERAL FLEXI TIP DUAL 269

Page 32: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

CATHETER VENT 14CM 1.4X2.7 823041 934

CATHETER XFORCE 8MMX15CM 996081 1,539

CATHETER, ABLATION 7,703

CATHETER, BALLOON - ALL 2,161

CATHETER, BALLOON WEDGE PRESSURE 270

CATHETER, FASTRACKER 2,666

CATHETER, FOGARTY ART EMBOLECTOMY 154

CATHETER, GUIDING 587

CATHETER, HALO 10,660

CATHETER, JOSEPHSON QUAD 3,423

CATHETER, SCHON, ALL 998

CATHETER, STEERABLE DIAGNOSTIC 4,346

CATHETER, SWAN 499

CATHETER, THROMBECTOMY, ALL 1,590

CATHETER, TUNNEL, ALL 2,316

CATHETER, WHITE VESSEL SIZING #N 197

CATHETER,DILITATION,VIATRAC,ABBOT 2,026

CATHETER,MICRO, MARKSMAN EV3 6,600

CATHETER,OCCLUSION,BALLOON,EV3 9,240

CATHETER,PLEURX TUNNELED PLUERAL 3,657

CATHETER,REPERFUSION,PENUMBRA 8,831

CATHETER,THROMBECTOMY/EMBOLECTOMY 23,107

CATHETER,WIRE CONTROL(VENTURE) 6,141

CATH-FLUORO 646

CATH-US GUIDE VASCULAR ACCESS 3,594

CBC 153

CBC - AUTO DIFF. 183

CBG CAPILLARY BLOOD GAS 305

CBT 1ST HOUR 723

CBT, EACH ADDL HOUR 217

CCP ANTIBODY 218

CC-PLACE CATH CAROT/INOM ART EXT ANG 13,191

CC-PLACE CATH CAROT/INOM ART INT ANG 18,141

C-DIFF AMPLIFIED PROBE 451

CEFAZOLIN 1GM INJ VIAL 8

CEFAZOLIN IN D5W INF 1GM 14

CEFAZOLIN IN D5W,2GM/50ML(DUPLEX) 12

CEFAZOLIN INJ, 100MG/ML (PED SYR) 7

CEFAZOLIN INJ, 10G (BULK VIAL) 7

CEFAZOLIN INJ, 500MG (VIAL) 20

CEFAZOLIN SOD. @ 500MG,INF (1 GM) 13

CEFDINIR CAP, 300MG 29

CEFDINIR SUSP, 250MG/5ML 47

CEFEPIME ADD-VANT INF 1G 19

CEFEPIME HCL,@ 500MG,INJ(D5W,2GM 29

CEFEPIME IN INJ,100MG/ML(NICU SYR 27

CEFEPIME IN SWF1,1GM/50ML(PB) 39

Page 33: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

CEFEPIME INJ, 1GM(VIAL) 58

CEFEPIME INJ,2GM(VIAL) 57

CEFOXITIN SOD.@ 1GM, INJ(2GM VIAL 34

CEFOXITIN SOD.@ 1GM, INJ(D5W/1GM) 76

CEFOXITIN SOD.@ 1GM, INJ(D5W/2GM) 70

CEFPODOXIME 100 MG, TAB 38

CEFPODOXIME TABS, 200MG 48

CEFPROZIL 250MG/5ML SUSP 22

CEFTAROLINE FOSAMIL INJ, 10 MG 18

CEFTAROLINE INJ, 10 MG (400MG VIA 27

CEFTAZIDIME INJ,50MG/ML(NICU SYR) 18

CEFTAZIDIME INJ,50MG/ML(PED SYR) 2

CEFTAZIDIME, @ 500 MG,INJ (1 GM) 15

CEFTAZIDIME, @ 500 MG,INJ (2 GM) 19

CEFTAZIDIME.5G/AVIBACTAM .125G,IJ 482

CEFTOLOZANE 50MG/TAZOBACTAM 25MG 33

CEFTRIAXONE 1GM INJ VIAL 3

CEFTRIAXONE 250MG INJ VIAL 6

CEFTRIAXONE 500MG INJ VIAL 76

CEFTRIAXONE ADD-VANT INF, 2G 2

CEFTRIAXONE INJ, 100MG/ML (PED SY 72

CEFTRIAXONE INJ,40MG/ML(NICU SYR) 93

CEFTRIAXONE(PB) 1MG/50ML DEXTROSE 40

CEFTRIAXONE(PB) 2GM/50ML DEXTROSE 56

CEFUROXIME 1.5GM INJ VIAL 38

CEFUROXIME 750MG INJ VIAL 36

CEFUROXIME AXETIL TAB 250MG 25

CEFUROXIME INJ (SYRINGE) 38

CEFUROXIME SUSP, 250MG/5ML 17

CELECOXIB CAP, 100MG 25

CELECOXIB CAP, 200MG 43

CELL COUNT, BODY FLUID 112

CELL SAVER COMPLETE 3,189

CELL SAVER LIMITED 2,309

CEMENT BONE PALAC1X40 00111214001 651

CEMENT BONE PALACOS G 1,847

CEMENT BONE SURGI SIMPLEX RADIOPA 451

CEMENT COBALT W/GENTAMYCIN 1,267

CEMENT DEL MIX SYST 00504904501 631

CEMENT HYDROSET 10CC 7943910 18,133

CEMENT KYPHX HVR AND MIXER CO1B 1,338

CEMENT RESTRICTOR 9-13 TPA13 613

CEMENT SIMPLEX HV FD40G 61941010 350

CEMENT SIMPLEX SPEEDSET 61921010 1,100

CEMENT SIMPLEX WITH TOBRAMYCIN 1,763

CEMENT SPACER MOLD 8MM431408 27,964

CENTERPIECE PLATE19X28 9391928 45,653

Page 34: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

CENTROMERE AB 227

CENTRUM LIQUID 2

CEPHALEXIN CAP, 250MG 4

CEPHALEXIN CAP, 500MG 7

CEPHALEXIN SUSP 250MG/5ML 8

CERCLAGE OF CERVIX, DURING PREGNA 3,684

CEREBRAL SONOGRAPHY 860

CERULOPLASMIN 252

CERVICAL SPINE 4 OR 5 VIEWS 884

CERVICAL SPINE, 2 OR 3 VIEWS 708

CERVICAL SPINE, 6 OR MORE VIEWS 1,216

CESSATION THROMBO THRPY CATH REM 9,173

CESSJ THERAPY CATH REMOVAL 6,179

CETUXIMAB, PER 10 MG,INJ (200) 386

CETUXIMAB,PER 10 MG,INJ (100 MG) 386

CFTR GENE COM VARIANTS 172

CH 50 476

CHANGE EXT/INT URETER STENT 2,462

CHANGE GASTROSTOMY TUBE 2,281

CHANGE G-TUBE TO G-J PERC 1,206

CHARCOAL SORBITOL SUSP 120ML 88

CHARCOAL, AQUEOUS SUSP (120ML) 170

CHARCOAL, SORBITAL SUSP (240ML) 54

CHEMICAL CAUTERY, TISSUE 735

CHEMO ADMINISTRATION IV PUSH TECH 578

CHEMO HORMON ANTINEOPL SQ/IM 589

CHEMO IV INFUS EACH ADDL SEQ 462

CHEMO, ANTI-NEOPL, SQ/IM 389

CHEMO, IV PUSH, ADDL DRUG 401

CHEMOTHER.ADM.INTRA-ARTERIAL,PUSH 392

CHEMOTX ADM, IV INF UP TO 1HR 1,513

CHEMOTX ADM, IV INF, ADDL HR 646

CHEST & SPECIAL VIEWS 604

CHEST 1 VIEW 557

CHEST 2 VIEWS & APICA 580

CHEST 2 VIEWS & FLOURO 534

CHEST 2 VIEWS & OBLIQ 580

CHEST WALL MANIPULATION-INITIAL 255

CHEST WALL MANIPULATION-SUBSEQ 209

CHEST XRAY 1 VIEW 557

CHEST XRAY 2 VIEWS 581

CHEST XRAY 3 VIEWS 683

CHEST XRAY 4 OR MORE VIEWS 751

CHILD FILM-NOSE/RECTUM 204

CHIPS BONE CORT/CANN 4-10MM/45CC 4,633

CHIPS CANCELLOUS 30CC (CUBES) 3,228

CHLAMYDIA ANTIBODIES 256

Page 35: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

CHLAMYDIA TRACHOMATIS IGM 300

CHLORDIAZEPOXIDE 10MG CAP 4

CHLORDIAZEPOXIDE 25MG CAP 4

CHLORDIAZEPOXIDE 5MG CAP 5

CHLORHEXIDINE LIQ, 4% (120ML) 33

CHLORHEXIDINE ORAL RINSE (15 ML) 12

CHLORHEXIDINE ORAL RINSE (480ML) 54

CHLORIDE SERUM 108

CHLOROPROCAINE-MPF INJ, 3%(30ML) 227

CHLOROTHIAZIDE 250MG/5ML SUSP 10

CHLOROTHIAZIDE TAB, 250MG 4

CHLORPROMAZINE INJ, 25MG/ML (2ML) 50

CHLORPROMAZINE TAB, 100MG 18

CHLORPROMAZINE TAB,10MG 38

CHLORPROMAZINE TAB,25MG 43

CHLORTHALIDONE 25MG TAB 13

CHOLANGIO ENDO MIXTER SET G09331 289

CHOLANGIOG-OPERATIV 760

CHOLECALCIFEROL ORAL, 400 UNIT/ML 1

CHOLESTEROL 100

CHOLESTYRAMINE POWDER PKT 19

CHORIONIC VILLUS SAMPLING 989

CHROMIUM 471

CHROMOGRANIN A 302

CHYLMD TRACH, DNA, AMP PROBE 451

CICLOPIROX OLAMINE CR 1% 15G 279

CILASTATIN-IMIPENEM,@ 250MG(250) 85

CILASTATIN-IMIPENEM,@250MG(5NICU) 85

CILASTATIN-IMIPENEM,@250MG,(500) 85

CILOSTAZOL TAB, 100MG 13

CIMETIDINE 400MG TAB 15

CINACALCET TAB, 30MG 183

CIPRODEX OTIC SUSP (7.5ML) 857

CIPROFLOXACIN 250MG TAB 1

CIPROFLOXACIN 500MG TAB 2

CIPROFLOXACIN 750MG TAB 43

CIPROFLOXACIN IN DEXTROSE 5% 200M 17

CIPROFLOXACIN IN DEXTROSE 5%,400M 11

CIPROFLOXACIN INJ 200MG/20ML 18

CIPROFLOXACIN OPHTH SOLN, 0.3% 2. 142

CIRCUMCISION NURSERY NEWBORN 1,560

CISATRACURIUM INJ 200MG/20ML 97

CISPLATIN INJ, 1MG/ML (100ML) 24

CITALOPRAM TAB 10MG 14

CITALOPRAM TAB, 20MG 15

CK QUICK LOAD 030874 1,555

CK-MB FRACTION ONLY 172

Page 36: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

CL TR ANKLE DISLOCATION W/O ANEST 664

CL TR DISTAL FIBULAR FX 1,268

CL TR ELBOW DISLOC CHILD W/MANIP 1,011

CL TR FX PHALANGE W/MANIP EACH 838

CL TR HIP PST/ARTH DISLOC W/O ANE 661

CL TR KNEE DISLOCATION W/O ANESTH 736

CL TR MANDIBLE FX W/O MANIP 606

CL TR RADIAL, ULNAR FX W/O MANIP 896

CL TR TIBIAL SHAFT FX W/O MANIP 900

CL TRT FRAC RADIUS/ULNA W/O MANIP. 1,011

CL TRT POST HIP ARTHRO.DISLOC-REQ.ANES. 4,214

CLAMP 10 HOLE PIN MRI COMPATIBLE 4,256

CLAMP COMBIN/LRG EXT FIX 390005 4,393

CLAMP CONNECTING 3X3 395133 4,010

CLAMP CRANIOFIX 2 TITANIUM 11MM 673

CLAMP CRANIOFIX 2 TITANIUM 16MM 839

CLAMP EXFIX LRG 6POSTITION390010 3,100

CLAMP EXFIX LRG OPEN 390008 3,619

CLAMP HOFF3 5H 49222240 3,214

CLAMP HOFFMAN R TO R 49221015 3,655

CLAMP HOFFMAN3 49602020 2,469

CLAMP HOLDING 1.25 395125 4,313

CLAMP HOLDING 1.6 395126 4,313

CLAMP PIN HOFF3 5H 49222020 2,908

CLAMP VENOUS BIOVER 2MM TKMV1 1,474

CLAMP VENOUS BIOVER 2MM TKMV2 2,871

CLARITHROMYCIN SUSP, 250MG/5ML 50 55

CLARITHROMYCIN SUSP,125MG/5ML 100 38

CLARITHROMYCIN TAB, 250MG 34

CLARITHROMYCIN TAB, 500MG 35

CLAVICLE UNILATERAL 628

CLEAR OUTER EAR CANAL 737

CLEARIFY VISUALIZATION SYST 21345 233

CLEVIDIPINE INFUSION, 25MG /50ML 18

CLEVIDIPINE INFUSION, 50MG/100ML 18

CLINDAMYCIN HCL CAP, 150MG 4

CLINDAMYCIN INJ 150MG/ML 10

CLINDAMYCIN INJ, 300MG/2ML 17

CLINDAMYCIN INJ,150MG/ML(PED SYR) 9

CLINDAMYCIN INJ,6MG/ML(NICU SYR) 8

CLINDAMYCIN LOTION, 1% (60ML) 816

CLINDAMYCIN SUSP, 75 MG/5ML 18

CLINDAMYCIN VAG CREAM, 2% (40G) 739

CLINDAMYCIN/D5W INFUSION, 600MG 85

CLINDAMYCIN/D5W INFUSION, 900MG 102

CLINDAMYCIN/D5W INFUSION,300MG 57

CLINIC-APPLY FOREARM SPLINT 302

Page 37: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

CLIP APPLIER EPIX 5X34 CA500 438

CLIP APPLIER SUTURE LAPRATY 364

CLIP ATRICLIP 35MM ACH235 6,889

CLIP ATRICLIP 40MM ACH240 6,889

CLIP ATRICLIP 45MM ACH245 6,889

CLIP ATRICLIP 50MM ACH250 6,889

CLIP CLOSED TUBE 488

CLIP LIG HEMOLOCK MED/LRG544230 304

CLIP LIGATING HEMOLOCK 544240 126

CLIP LOCK FOR REAMER 352260S 439

CLIP MAKO ANSPACH IRRCLIP40 540

CLIP SUGITA 11.0 CURVED 1700166 1,976

CLIP SUGITA 5.0 70D 1700208 1,781

CLIP SUGITA 7.0 STRAIGHT 1700181 2,177

CLIP SUGITA 8.5 STR 7MM 17-001-01 1,976

CLIP SUGITA AVM 2MM 0793202 1,810

CLIP SUGITA AVM 3MM 0793203 1,809

CLIP SUGITA AVM 5MM 0793205 1,338

CLIP SUGUITA AVM 4MM 0793204 1,809

CLIP,ACRACLIP SERATED 15 500-106 258

CLIPS TRUELOK HEXSTRUT KIT5010214 771

CLIPS TRUELOK HEXSTRUT KIT5010215 771

CLN-ADMIN INFLUENZA VACCINE 164

CLN-ADMIN PNEUMOCOCCAL VACCINE 202

CLOBETASOL CRM,0.05%(15GM) 727

CLOBETASOL CRM,0.05%(45GM) 2,180

CLOBETASOL OINT,0.05%(15GM) 168

CLOBETASOL OINT,0.05%(45GM) 331

CLOBETASOL SOLN,0.05%(25ML) 585

CLOMIPRAMINE CAP 25MG 64

CLONAZEPAM 249

CLONAZEPAM 0.5MG TAB 4

CLONIDINE 0.3MG PATCH 438

CLONIDINE HCL @ 1 MG INJ (1MG) 170

CLONIDINE HCL TAB, 0.1MG 1

CLONIDINE HCL TAB, 0.2MG 2

CLONIDINE HCL TAB, 0.3 MG 3

CLONIDINE PATCH, 0.1 MG/24HR 188

CLONIDINE PATCH, 0.2MG/24HR 316

CLOPIDOGREL TABS. 75MG 2

CLOTRIMAZOLE 10MG TROCHE 6

CLOTRIMAZOLE CREAM, 1% (15G) 49

CLOTRIMAZOLE VAG CR 1% 45G 46

CLOTRIMAZOLE W/BETAMETHASONE 247

CLOTTRIMAZOLE CREAM 1% 45G 278

CLOZAPINE 100MG TAB 19

CLOZAPINE TAB 25MG 7

Page 38: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

CLOZAQINE & NORCLOZAPINE 249

CMV ANTIBODY 341

CMV CULTURE 610

CMV CULTURE-CONVENL TUBE 970

COAGULATION FACTOR VIIA 5000MCG 15

COCAINE TOPICAL SOLN, 10% 423

COCAINE TOPICAL SOLN, 4% (4ML) 1,264

COCAINE TOPICAL SOLN, 4%(10ML) 3,159

CODE BOX - DRUGS 1,966

CODE SUPPLIES 586

CODEINE SULFATE TAB, 15MG 3

COGNITIVE ACTIVITIES O.T. 127

COIL DETACHER,V-GRIP,MICROVENTION 1,420

COIL EMBOL CASHMERE FRAME/FILL 8,982

COIL ENDOVASCULAR AXIUM HELICAL(E 5,156

COIL SYSTEM DETACHABLE AXIUM EV3 6,535

COIL,HELICA,REGULAR,MICROVENTION 11,300

COIL,HELICA,SOFT,MICROVENTION 6,467

COIL,MICROPLEX,COMPLEX,MICROVENTI 9,182

COILS,SOFT SR DETACHABLE,BS 7,445

COILS,STANDARD DETACHABLE,BS 12,998

COILS,STANDARD SR DETACHABLE,BS 11,975

COILS,ULTRASOFT,DETACHABLE,BS 8,741

COL.CHROMOTOGR.QUAL/QUAN,EA.SPEC. 85

COL.STOMA-DIAG.W/,W/O WASH/BRUSH 4,208

COL.STOMA-SNARE REMOV-TUM/POL/LES 8,074

COL.STOMA-W/BIOPSY,SINGLE/MULTPLE 6,276

COL.STOMA-W/CONTROL BLEEDING,ANY 8,968

COL-BENEMID TAB 5

COLCHICINE 0.6MG TAB 38

COLD AGGLUTININ 193

COLISTIMETHATE INJ,150MG 190

COLLAGEN CROSS LINKS, ANY METHOD 829

COLLAGEN VASCGRFT CAR 7X45AG1015 7,408

COLLAGENASE OINT 30G 1,535

COLLAR CERV MIAMI J MED MJR400 272

COLLAR CERV MIAMI J SM MJR300 272

COLLAR CERV MIAMI J STOUT MJR200L 272

COLLAR CERV MIAMIJ LRG MJR500 229

COLLAR CERV MIAMIJ SZ6-12 MJRP3 222

COLLAR CERVMIAMI SUP SHRT MJR200S 272

COLLAR MIAMI J W/PADS 246

COLLAR NECLOC 82

COLLAR PHILADELPHIA 67

COLLAR VISTA W PAD 984000 344

COLON W/BALLOON DILATION 6,723

COLON.STOMA-W/MUCOSAL RESECTION 6,325

Page 39: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

COLON.STOMA-W/SUBMUCOSAL INJ(S) 6,200

COLON-CHROMOSCOPY (UNLISTED) 8,731

COLON-DIAGNOST.,W/,W/O WASH/BRUSH 7,800

COLON-ENDOSC.MUCOSAL RESECTION 7,140

COLON-HOT BIOPSY REM.-TUM/POL/LES 7,262

COLONOSC.W/ABLATION-INCL.DIL/GDWR 7,196

COLON-SNARE REMOVAL-TUM/POL/LES 8,074

COLON-W/ FOREIGN BODY REMOVAL 9,389

COLON-W/BAND LIGATION(S) 7,800

COLON-W/BIOPSY, SINGLE/MULTPLE 6,886

COLON-W/CONTROL BLEEDING,ANY METH 9,016

COLON-W/DECOMPRESS (INCL.TUBE) 6,840

COLON-W/SUBMUCOSAL INJ(S),ANY 6,192

COLYTE FLAVORED PWD (PINEAPPLE) 111

COM FEM JOURN SZ3 LFT 74021163 9,925

COMBIVENT INHALER (14.7GM) 2,132

COMBIVIR 150MG/300MG TAB 104

COMP ACET AUG 54X15 00489405415 14,319

COMP DISTAL FEM XX-SM RT REPLCMNT 46,297

COMP FEM #3RT CEM TRIATH 5510F302 7,997

COMP FEM ATTUNE LFT SZ8 150440108 38,370

COMP FEM ATTUNE REV SZ4 150440104 29,301

COMP FEM ATTUNE REV SZ5 150440205 38,370

COMP FEM ATTUNE REV SZ6 150440106 38,370

COMP FEM ATTUNE REV SZ6 150440206 38,370

COMP FEM ATTUNE REV SZ7 150440107 38,370

COMP FEM ATTUNE RT SZ3 150440203 38,370

COMP FEM ATTUNE SZ1 LFT 150410101 7,006

COMP FEM ATTUNE SZ1 RT 150410201 7,006

COMP FEM ATTUNE SZ2 150410202 7,006

COMP FEM ATTUNE SZ3 150410203 7,475

COMP FEM ATTUNE SZ3 LFT 150410103 7,475

COMP FEM ATTUNE SZ3N 150410123 7,475

COMP FEM ATTUNE SZ4 150410104 7,475

COMP FEM ATTUNE SZ4 150410204 7,475

COMP FEM ATTUNE SZ4N 150410124 7,475

COMP FEM ATTUNE SZ4N RT 150410224 7,475

COMP FEM ATTUNE SZ5 150410205 7,475

COMP FEM ATTUNE SZ5 LFT 150410105 7,475

COMP FEM ATTUNE SZ5N NAR150410125 7,475

COMP FEM ATTUNE SZ5N RT 150410225 7,006

COMP FEM ATTUNE SZ6 LFT 154010106 7,475

COMP FEM ATTUNE SZ6 RT 150410206 7,006

COMP FEM ATTUNE SZ6N LFT150410126 7,475

COMP FEM ATTUNE SZ6N RT150410226 7,475

COMP FEM ATTUNE SZ7 150410107 7,475

COMP FEM ATTUNE SZ7 RT 150410207 7,475

Page 40: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

COMP FEM ATTUNE SZ8 150410108 7,006

COMP FEM ATTUNE SZ8 RT 150410208 7,006

COMP FEM ATTUNE SZ9 150410109 7,006

COMP FEM ATTUNE SZ9 RT 150410209 7,006

COMP FEM ATTUNEREV SZ5 150440105 38,370

COMP FEM AUG PFC SZ 1.5 4 960800 3,250

COMP FEM AUG SGMA SZ3 960872 4,017

COMP FEM AUG SIG 8MM SZ 4 960888 4,157

COMP FEM AUG SIG SZ4 960883 4,157

COMP FEM AUG SIGMA SZ2.5 960851 3,900

COMP FEM AUG SIGMA SZ3 960861 4,158

COMP FEM CEMTLSSPS SZ3 RT5516F302 7,774

COMP FEM CEMTLSSPSSZ6 LFT5516F601 7,774

COMP FEM CEMTLSSPSZ5 LFT5516F501 7,774

COMP FEM CRF REV SZ3 150440103 38,370

COMP FEM CRF REV SZ4 150440204 38,370

COMP FEM CRF REV SZ7 RT 150440207 38,370

COMP FEM GMRS SMALL 64952010 49,042

COMP FEM IBAL SZ4 RT AR501UFRD 17,514

COMP FEM IBAL SZ5 RT AR501VFRE 10,946

COMP FEM IBAL UKA SZ2 AR501UFLB 10,946

COMP FEM IBAL UKA SZ3 AR501UFLC 17,514

COMP FEM IBAL UKA SZ3 AR501UFRC 17,514

COMP FEM IBAL UKA SZ4 AR501UFLD 10,946

COMP FEM JOURN SZ1 74022121 9,925

COMP FEM JOURN SZ2 LFT 74022122 9,925

COMP FEM JOURN SZ3 74021153 9,925

COMP FEM JOURN SZ4 RT 74021154 9,925

COMP FEM JOURN SZ6 74021156 9,925

COMP FEM JOURN SZ8 74022128 9,925

COMP FEM JOURN SZ9 74022129 9,925

COMP FEM JOURNEY SZ2 74022112 44,601

COMP FEM JOURNEY SZ3 74022113 11,348

COMP FEM JOURNEY SZ3 74022123 14,327

COMP FEM JOURNEY SZ4 LFT 74022124 11,348

COMP FEM JOURNEY SZ4 RT 74022114 11,348

COMP FEM JOURNEY SZ5 74022115 11,348

COMP FEM JOURNEY SZ5 LFT 74022125 11,348

COMP FEM JOURNEY SZ6 LFT 74022126 14,327

COMP FEM JOURNEY SZ6 RT 74022116 11,348

COMP FEM JOURNEY SZ7 74022127 11,348

COMP FEM JOURNEY SZ7 RT 74021157 9,925

COMP FEM JOURNEY SZ7 RT 74022117 11,348

COMP FEM JOURNEY SZ8 RT 74022118 11,348

COMP FEM LEG CONST SZ7 71426007 19,265

COMP FEM LEGION SZ4 LFT 71421374 51,031

COMP FEM MAKO RESTOR SZ5 180505 10,597

Page 41: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

COMP FEM MAKO RESTOR SZ5 180515 10,597

COMP FEM MAKO SZ6 180506 10,597

COMP FEM MAKORESTOR LM SZ3 180503 10,597

COMP FEM MAKORESTOR RM SZ3 180513 10,597

COMP FEM OSS 3CM LFT 161006 33,989

COMP FEM OSS 7CM 150457 29,978

COMP FEM OSS BUSHING SET 161034 2,183

COMP FEM OSS RT 3CM 151805 62,525

COMP FEM OXFORD MED PART 161469 15,422

COMP FEM PATELLA MAKO SZ5 180405 10,597

COMP FEM REDAPT SZ18 71354743 29,774

COMP FEM REST MAKO SZ4 180516 10,597

COMP FEM RESTORIS MAKO SZ2 180412 10,597

COMP FEM RESTORIS MAKO SZ4 180504 10,597

COMP FEM RESTORIS MCK SZ4 180514 10,597

COMP FEM SIGMA SZ1.5 8MM960802 3,889

COMP FEM TRIATH 8RT 5510F802 7,997

COMP FEM TRIATH SZ 7 LFT 5510F701 7,997

COMP FEM TRIATH SZ7 RT 5510F702 7,997

COMP FEM TRIATH SZ8 5510F801 7,997

COMP FEM XX-SM REPL PIN 1,531

COMP GLEN AEQ M30 DWE511 11,419

COMP GLEN AEQ PERFORM L40 DWE421 12,673

COMP GLEN AEQUALIS M35 DWE412 12,675

COMP GLENOID 48MM 113642026 9,783

COMP GLENOID AEQ CORILOC DWE411 11,419

COMP GLENOID AEQ L50 DWE422 12,184

COMP GLENOID AEQ L60 DWE423 11,419

COMP GLENOID AEQ S35 DWE402 12,672

COMP GLENOID AEQ S40 DWE503 11,419

COMP GLENOID AEQUALIS M40 DWE413 12,672

COMP GLENOID AEQUALIS S30 SWE401 12,675

COMP GLENOID AWQ S40 DWE403 12,737

COMP HEAD 41MM UNITRAX 69425041 1,550

COMP HEAD 43MM UNITRAX 69425043 1,720

COMP HEAD 47MM UNITRAX 1,720

COMP OSS RS AXLE 161035 2,364

COMP RADIAL STEM 6.5MM 496-S-065 9,947

COMP TIB IBAL SZ3 AR501TTRC 10,508

COMP TIB IBAL SZ4 RT AR501TTRD 6,568

COMP TIB IBAL UKA SZ1 AR501TTLA 6,568

COMP TIB IBAL UKA SZ3 AR501TTLC 6,568

COMP TIB IBAL UKART SZ6 AR501TTRF 6,568

COMP TIB NEXGEN SZ3 00599602317 6,655

COMP TIB SZ 4 (5980-37-02) 6,609

COMP TIB SZ3 TRAY REV 129435130 19,201

COMP TIB TRAY IBAL SZ2 AR501TTLB 6,568

Page 42: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

COMP TIB TRIATH 16MM SZ5 5535A516 6,763

COMP TIB TRIATH SZ4 5535A416 6,763

COMPAT TEST ANTIGLOBULIN, EACH 89

COMPATABILITY TEST, IMMED SPIN 223

COMPLEMENT C3 280

COMPLEMENT C4 280

COMPLX REPR-EYE/NS/EAR EA ADD 5CM 644

COMPON CEM TRIATH CR FEM 5510F401 7,997

COMPONENT #1 RIGHT TRIATHLON 7,997

COMPONENT #1 RT TRIATHLON 7,997

COMPONENT #1 TRIATHLON 7,997

COMPONENT #2 TRIATHLON FEMORAL 7,997

COMPONENT #3 TRIATHLON FEMORAL 7,997

COMPONENT #6 LEFT TRIATHLON FEM 7,997

COMPONENT #6 TRIATHLON FEMORAL 7,997

COMPONENT ANTHOLOGY FEMORAL SZ8 13,153

COMPONENT ANTHOLOGY SZ 7 71357107 13,153

COMPONENT ARTICULAR 12MM SZ C,D 11,216

COMPONENT FEM #4 RT TRIATH PS 7,997

COMPONENT FEM 4RT CR 5510F402 7,997

COMPONENT FEM AUG SZ3 12MM 960870 4,158

COMPONENT FEM LEGACY SIZE F LEFT 12,896

COMPONENT FEM LEGION SZ8 71421178 31,006

COMPONENT FEM NEXSZ2RT00592601202 37,063

COMPONENT FEM P.S TRIATH #7 RIGHT 7,997

COMPONENT FEM SIGMA SZ1.5 960085 24,297

COMPONENT FEM SZ1 LFT TS 5512F101 35,421

COMPONENT FEM TRIATH 5010F301 7,997

COMPONENT FEM TRIATH SZ6 5510F601 7,997

COMPONENT FEM TRIATH SZ6 5510F602 7,997

COMPONENT FEMORAL #2 LEFT CEMENTE 7,997

COMPONENT FEMORAL #2 RIGHT CEMENT 7,997

COMPONENT FEMORAL #2 RT -TRIATH 7,997

COMPONENT FEMORAL #4 TRIATH PS 7,997

COMPONENT FEMORAL #5 TRIATH PS 7,997

COMPONENT FEMORAL 65MM/61MM 26,321

COMPONENT FEMORAL 66MM/ML 61MM LT 23,504

COMPONENT FEMORAL CR #1 LFT CEMEN 7,997

COMPONENT FEMORAL GMRS PROXIMAL S 37,790

COMPONENT FEMORAL NEXGEN SZ D RT 33,422

COMPONENT FEMORAL NEXGEN SZ G LFT 33,413

COMPONENT FEMORAL PS #7 LEFT TRI 7,997

COMPONENT FEMORAL PS TRIATH #8 RT 7,997

COMPONENT FEMORAL SIZE E RIGHT 33,413

COMPONENT FEMORAL SIZE F LEFT 12,247

COMPONENT FEMORAL STND (71357009) 13,153

COMPONENT FEMORAL SZ (5512-F-602) 33,734

Page 43: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

COMPONENT FEMORAL SZ 2 LT TS 33,734

COMPONENT FEMORAL SZ 3 LT TS 33,734

COMPONENT FEMORAL SZ 3 RT TS 33,734

COMPONENT FEMORAL SZ 4 LT 33,734

COMPONENT FEMORAL SZ 5 LT TS 33,734

COMPONENT FEMORAL SZ D LT NEXGET 12,896

COMPONENT FEMORAL SZ D RT NEXGEN 12,896

COMPONENT FEMORAL SZ E LFT LEG 12,247

COMPONENT FEMORAL SZ E LFT NEXGEN 12,896

COMPONENT FEMORAL SZ E RIGHT LEGA 12,247

COMPONENT FEMORAL SZ E RT NEXGEN 12,896

COMPONENT FEMORAL SZ F RT NEXG 12,896

COMPONENT FEMORAL SZ G LT 12,247

COMPONENT FEMORAL SZ G RT 12,247

COMPONENT FEMORAL SZF RT 59641652 12,247

COMPONENT FEMORAL TC3 71MM/65MM 24,297

COMPONENT FEMTRIATHSZ5 RT5510F502 7,997

COMPONENT FEMTRIATHSZ5LFT5510F501 7,997

COMPONENT KNEE HINGE ROTATAXLE 5,080

COMPONENT LEGION HEMI SZ 3-4.5MM 7,168

COMPONENT LEGION HEMI SZ 5-6 8MM 7,168

COMPONENT PATELLA MEDIUM AVON 1,982

COMPONENT PFJ X-SMALL RIGHT 22,559

COMPONENT TC3 63MM/59MM 24,297

COMPONENT TIB ROTATING XS- XL MRH 14,265

COMPONENT TIBIAL LEGIONHEMI SZ3-4 7,168

COMPONENT TIBIAL STEMMED SZ 3 6,609

COMPONENT TIBIAL STEMMED SZ3 14,632

COMPONENT TIBIAL SZ 6 NEXGEN 6,609

COMPONENT TOTAL STAB FEM 5512F502 33,734

COMPONENT TRIATH #5 FEM OS 7,997

COMPONENT TRIATH PS FEM 5515F801 7,997

COMPONENTGLENOID40MMPOLY113640026 9,783

COMPREHEN METABOLIC PANEL 224

COND NRV NEUROFLEX2.5X2.5CNCF2525 7,435

CONE BODY 19MM STD 62761019 23,000

CONE BODY 21MM 23,000

CONE BODY 23MM STD 23,000

CONE BODY 23MM+10 23,000

CONE BODY 25MM STD 62761025 23,000

CONE BODY 27MM +10 (6276-1-127) 23,000

CONE BODY RESTOR 31MM HP 62761131 20,102

CONE FEM ARCOS 50MM SZA 11301300 34,152

CONE FEM ARCOS 60MM SZB 11301302 34,152

CONE FEM ARCOS SZA 60 11301311 39,990

CONE FEM ARCOS SZC 60MM 11301303 34,152

CONE FEM LEGION 18MM LFT 71935400 19,265

Page 44: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

CONE FEM LEGION 20MM RT71935408 19,265

CONE FEM LEGION 20MMLFT 71935401 19,265

CONE FEM LEGION ID22L 71935402 19,265

CONE FEM LEGION ID22R 71935409 19,265

CONE FEM SZD 60MM 11301314 34,152

CONE TIB LEGION 18 SHRT 71935386 19,265

CONE TIB LEGION ID22SHORT71935388 19,265

CONE TIB LEGION ID24 71935389 19,265

CONE TIB LEGION ID26 71935390 19,265

CONE TIBIAL LEGION ID18 71935393 19,265

CONFORMER OCULAR MEDPOR 9779 340

CONN CROSS REFORM 47-67 59CC0047 6,696

CONN LEGACY 15MM CROSSLINK8110715 8,389

CONN OMEGA VARIAC SYST 1004930 1,226

CONN SPINAL L 13MM 7756068 3,314

CONN SPINAL TSRH3DX MED 8351521 7,054

CONN STREAMLINE OCT 26OFFSETCONNS 3,707

CONN VAR 5.5-6.35X5.5 179774555 11,087

CONN XIA 10D ROD TO ROD 03820136 4,641

CONN YSHAPE ACCUFLO 3W 821521 1,224

CONNECT AXOGUARDNERVE10X40 AG1040 11,710

CONNECTOR 5.5 AXIAL 779115555 8,379

CONNECTOR 90* OFFSET 5,934

CONNECTOR OASYS 12MM 48551081 3,777

CONNECTOR OFFSET 3.2TO3.5 7750443 4,748

CONNECTOR SMALL TSRH-3D RP 5,606

CONNECTOR SPIN TSRH 3DX SM8351520 6,536

CONNECTOR SPINAL 10MM 7756067 3,314

CONNECTOR TSRH 3DX 8351523 7,706

CONNECTOR TSRH XLRG 8351522 6,608

CONNECTOR VELENCIA LRG 9164256 5,949

CONNECTOR VELENCIA52-76XL 9165276 5,949

CONNECTOR XIA 35MM LONG 03820131 4,641

CONNECTOR XIA ILIOSTOP/SD48235011 6,154

CONNECTOR XIACROSSLINK30 48236030 6,714

CONTRAST VISIPAQUE 320MG V564 432

CONTROL NASAL HEMORRHAGE ANY METH 1,068

CONTROL OF NOSEBLEED-ANTERIOR 1,070

CONTROL OF NOSEBLEED-POSTERIOR 1,011

CONTROL THROAT BLEEDING 954

COOMBS ANTIBODY DIRECT 144

COOMBS ANTIBODY, INDIR 129

COOMBS, C3 144

COOMBS, IGG 144

COORDINATION & BALANCE P.T. 175

COPPER SERUM 289

COR KNOT QCK LOAD 030850 258

Page 45: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

CORKSCREW 4.5MM BIO AR8927BC 1,897

CORKSCREW BIOC 5.5MM AR1927BCF3 1,958

CORONARY ART/GRFT ANGIO S&I 20,800

CORONARY ARTERY ANGIO S&I 17,954

CORTISOL SERUM 384

CORTISPORIN CREAM 7.5G 659

CORTISPORIN OINT (15G) 902

CORTISPORIN OTIC SOLN (10ML) 174

CORTISPORIN OTIC SUSP 10ML 174

COSYNTROPIN INJ, 0.25MG 545

COUNTERSINK 3.5/4 AR895003 876

COUNTERSINK 4.5,6.5 00480904500 1,471

COUNTERSINK CANN 2.8 DSDS1028 952

COUNTERSINK FOR2.5SCREWP209152500 1,292

COUNTERSINK FOR3.5SCREWP209153500 1,293

COUNTERSINKFOR2.0SCREWP209152000 1,292

COUP HOFF3 5/8/11RODTROD49221010 2,772

COUP MICROVAS ANAST 3.0 GEM2754FC 5,798

COUPL HOFF3 5/8/11PINTROD49221020 2,772

COUPLER MICROVASC 2.5MM GEM2753 967

COUPLER MICROVASC 2MM GEM2752 2,008

COUPLER MICROVASC 2MM GEN2752FC 5,798

COUPLER MICROVASCULAR2.5GEM2753/L 2,020

COUPLER MICROVASCULAR3MMGEM2754/L 2,020

COUPLER OFFSET LEN 2MM 7,291

COUPLER OFFSET LGN 4MM 7,291

COUPLER OFFSET LGN 6MM 7,291

COUPLING HOFF ROD TO ROD 49601010 2,336

COVER BURR HOLE 17MM 1,219

COVER BURR HOLE 24MM 1,302

COVER TIP SZ1 DAVINCI DISP 400180 130

COXSACKIE A VIRUS AB 294

COXSACKIE B VIRUS AB 294

CPAP/BIPAP THERAPY 702

C-PEPTIDE 489

CPK TOTAL 154

CPK, ISO ELECTROPHORESIS 278

C-REACTIVE PROTEIN 122

CREATININE AMNIOTIC FLUID 122

CREATININE OTHER SOURCE 122

CREATININE SERUM 119

CRISIS STABILIZATION 1,488

CRITICAL CARE, ADD 30 MINUTES 1,845

CRITICAL CARE,1ST HR W/MODIFIER25 3,933

CROSS CONNECTOR 44MM XIA 48236035 5,429

CROSS LINK A 5 11,098

CROSSLINK #6 SFX 189401406 10,705

Page 46: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

CROSSLINK 19MM LP 8,856

CROSSLINK 30MM 10,270

CROSSLINK 8115539 10,270

CROSSLINK LARGE ROD 7752537 7,605

CROSSLINK LOW PROFILE 45-58MM 10,270

CROSSLINK LPS FLEX SZ CD 12MM ART 5,117

CROSSLINK LPS FLEX SZ CD 59623014 5,117

CROSSLINK LPS FLEX SZ EF 12MM 5,117

CROSSLINK LPS FLEX SZ EF 14MM ART 4,751

CROSSLINK LPS FLEX SZ GH 10MM 5,117

CROSSLINK PROLONG SIZE GH 10MM 5,117

CROSSLINK PROLONG SZ EF 10MM 5,117

CROSSLINK SFX A4 189401404 10,705

CROSSLINKSTREAMLINEMED26R2RXLINKM 5,400

CROSSMATCH(ELECTRONIC), EACH UNIT 188

CRUTCHES, PAIR, ALL SIZES 58

CRYO-CUFF SHOULDER NO COOLER12A01 262

CRYO-CUFF SHOULDER XLRG 12AXL01 262

CRYOGLOBULIN QUALITATIVE 142

CRYOPRECIPITATE 237

CRYOPRECIPITATE IGA 220

CRYOPRECIPITATE IGG 220

CRYPTOCOCCAL ANTIGEN 240

CRYPTOSPORIDIUM 125

CRYPTOSPORIDIUM, E/A 888

CS LEADS 25,564

C-SECTION DELIVERY 6,406

CSF EBV AB TO EARLY AB-RE 308

CSF FOR CELL COUNT 129

CSF FOR GLUCOSE 93

CSF FOR PROTEIN 112

CSF IMMUNOGLOBULIN G(IGG) 220

CT ABD AND PELVIS W/CONTRAST 7,676

CT ABD AND PELVIS W/O AND W/CONTR 9,448

CT ABD AND PELVIS W/O CONTRAST 6,358

CT ABDOMEN W & W/O CONTRA 6,299

CT ABDOMEN W/CONTRAST 5,116

CT ABDOMEN W/O CONTRAST 4,239

CT ABDOMINAL AORTA 2,080

CT ANGIO ABD&PELV W/O&W/DYE 7,658

CT ANGIO HRT W/3D IMAGE 2,364

CT CERV SPINE W/CONTRAST 5,242

CT CERV SPINE W/O CONTRAS 4,239

CT CERV SPINE W/O CONTRAST 4,239

CT CERVICAL SPINE W/O & W/CONTR. 6,055

CT CHEST (THORAX) W/ CONTRAST 5,279

CT CHEST (THORAX) W/O CONTRAST 4,239

Page 47: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

CT CHEST (THORAX)W/& W/O CONTRAST 6,545

CT EXTREM/LOW W/CONTRAST 4,421

CT EXTREM/LOW W/O CONTRAST 3,748

CT EXTREM/UP W/CONTRAST 4,427

CT EXTREM/UP W/O CONTRAST 3,750

CT FACIAL BONES W/O CONTRAST 4,305

CT HEAD OR BRAIN W&W/O CONTRAST 5,274

CT HEAD OR BRAIN W/ CONTRAST 4,243

CT HEAD OR BRAIN W/O CONTRAST 3,432

CT HRT W/3D IMAGE 2,364

CT HRT W/3D IMAGE, CONGEN 2,364

CT INNER EAR W CONTRAST 4,294

CT LIMITED OR LOCALIZED FOLLOW UP 1,768

CT LUMB SPINE W/CONTRAST 5,251

CT LUMB SPINE W/O CONTRAST 4,239

CT MAXILLOFACIAL W&W/O CONTRAST 6,611

CT MAXILLOFACIAL W/ CONTRAST 5,333

CT MAXILLOFACIAL W/O CONTRAST 4,305

CT NECK W/O & W/CONTR 5,313

CT NECK WITH CONTRAST 4,306

CT ORBIT/EAR/FOSSA W&W/O CONTRAST 5,256

CT ORBIT/EAR/FOSSA W/ CONTRAST 4,294

CT ORBIT/EAR/FOSSA W/O CONTRAST 3,620

CT PELVIS W/O CONTRAST 4,239

CT PELVIS WITH & W/O CONTRAST 6,252

CT PELVIS WITH CONTRAST 5,088

CT PERFUSION W/CONTRAST,CBF 918

CT SCAN FOR NEEDLE PLACEMENT 2,429

CT SINUS(MAXILLOFACIAL)W/O CONTR. 4,305

CT SOFT TISSUE NECK W&W/O CONTR. 5,313

CT SOFT TISSUE NECK W/ CONTRAST 4,306

CT SOFT TISSUE NECK W/O CONTRAST 3,625

CT THOR SPINE W/O CONTRAST 4,239

CT THORACIC SPINE W/CONTR 5,267

CT THORACIC SPINE W/O & W/CONTR. 6,024

CTA ABDOMEN 6,655

CTA CHEST 6,655

CTA HEAD 6,655

CTA LOWER EXTREMITY 4,476

CTA NECK 6,655

CTA PELVIS 6,655

CTA UPPER EXTREMITY 3,990

CT-ABLATE LIVER TUMOR/S,RADIOFREQ 6,500

CT-DIAGN.BONE MARROW-BIOPSY & ASPIR. 3,552

CT-LOW DOSE-LUNG CANCER SCREENING 310

CT-VENOGRAPHY, EXTREM UNILAT 1,556

CUFF TOURNIQUET DUAL 24 607070104 161

Page 48: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

CUFF TOURNIQUET DUAL 42 607070107 201

CUFF TOURNIQUET DUAL SINGLE 18IN 144

CUFF TOURNIQUET DUAL SINGLE 42IN 188

CULT & SENS (BODY FLUID) 204

CULT & SENS (BRONCHIAL) 204

CULT & SENS (CSF) 204

CULT & SENS (EYE) 204

CULT & SENS (GENITAL) 204

CULT & SENS (MISC) 204

CULT & SENS (SPUTUM) 204

CULT & SENS (STOOL) 284

CULT & SENS (THROAT) 204

CULT & SENS (TISSUE/BONE) 204

CULT & SENS (URINE) 189

CULT & SENS WOUND/LESION 204

CULT CHLAMYDIA NOT GENITL 466

CULTURE AFB 256

CULTURE ANAEROBIC 224

CULTURE CLOSTR DIFF STOOL 259

CULTURE FUNGUS 200

CULTURE VIRAL 610

CULTURE, SURVEILLANCE 158

CULTURE,TYPE,IMMUN.NO IM-FLUOR@AS 133

CULTURED FIBROBLASTIC CEL 2,956

CUP ACET GRIPTON 48 121732048 8,221

CUP ACET GRIPTON 50MM 121732050 8,765

CUP ACET GRIPTON 54MM 121732054 8,221

CUP ACET GRIPTON 62MM 121732062 10,483

CUP ACET PINNACLE 62MM 121722062 6,302

CUP ACET PROSTALAC42X32 154142320 2,919

CUP ACET RESTOR 46MM LFT 12352462 16,165

CUP ACET RESTOR 48MM 12352481 16,165

CUP ACET RESTOR 50MMM 12352502 16,165

CUP ACETAB PINN GRIP54MM121730054 13,400

CUP ACETAB SZ54MM PIN 121732054 10,483

CUP ACETABULAR 121732056 10,483

CUP ACETABULAR 50MM 121722050 8,536

CUP ACETABULAR 54MM DEPUY 8,591

CUP ACETABULAR 56MM DEPUY 8,760

CUP ACETABULAR GRIP 52MM121732052 10,483

CUP ACETABULAR PINN 52MM121722052 7,328

CUP ACETABULAR XZ 55MM 121732058 8,765

CUP BIPOLAR SHELL 44MM 2,734

CUP HUM REUNION RSA32X4 55703204 8,757

CUP HUM RSA 36X4MM 55703604 9,344

CUP HUMERAL DIA 38 +3MM 7,045

CUP HUMERAL STD 38 +6MM 7,045

Page 49: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

CUP HUMERAL STD 38+9MM 7,045

CUP PINNACLE SECTOR GRIP121732060 8,765

CUP VCARE CERV 32MM SM606085200 605

CUP VCARE CERV 34MM MED 606085201 605

CUP VCARE CERV 36MM LRG 606085202 605

CUP VCARE CERV 40MM XL 606085203 605

CUP,BIOPOLAR,HIP,48MM,11-165220 4,232

CURETTAGE, POSTPARTUM 3,812

CUTTER 10MM REAMER AR1204AF100 1,959

CUTTER 7.5 SNGL USE AR1204AF75 1,897

CUTTER 7MM SGLE USE AR1204AF70 1,897

CUTTER 8.5MM REAMER AR1204AF85 1,897

CUTTER 9.0MM REAMERSGL AR1204AF90 1,897

CUTTER 9.5 SGL USE AR1204AF95 1,897

CUTTER DIAM MIDAS REX25.4 MC254 1,074

CUTTER FLIPCUTTER10.5 AR1204AF105 1,897

CUTTER LINEAR 30MM ART ATB35 1,979

CUTTER LINEAR 55MM TITANIUM 682

CUTTER LINEAR 75MM RELOAD REFILL 570

CUTTER LINEAR 75MM RELOAD WITH LO 1,017

CUTTER STAPLER CURVED COUNTOUR 40 3,026

CUTTER STAPLER CURVED COUNTOUR -C 3,026

CUTTING BALLOON POST ANGIO 7,561

CVVD - CRRT 5,598

CYANOCOBALAMIN @ 1000 MCG INJ 47

CYANOCOBALAMIN TAB 1000MCG 2

CYANOCOBALAMIN TAB, 100MCG 2

CYCLOBENZAPRINE 10MG TAB 5

CYCLOMYDRIL OPHTH SOLN 2ML 189

CYCLOPENTOLATE 0.5% OPHTH SOLN 517

CYCLOPENTOLATE 2% OPHTH SOLN 2 167

CYCLOPENTOLATE POH SOLN 1% 2ML 7

CYCLOPHOSPHAMIDE,@ 100MG,INJ(1GM) 468

CYCLOPHOSPHAMIDE,@ 25MG, CAP (25) 53

CYCLOPHOSPHAMIDE,@ 25MG, CAP (50) 49

CYCLOSPORIN 420

CYCLOSPORIN @ 100 MG CAP (NEORAL) 53

CYCLOSPORIN @ 100 MG CAP (ORAL) 91

CYCLOSPORINE @ 100MG ORAL (100MG) 33

CYCLOSPORINE CAP, 25MG 13

CYCLOSPORINE CAP,25MG(SANDIMMUNE) 23

CYROHEPTADINE HCL TAB, 4MG 6

CYSTINE, 24 HOUR URINE 397

CYSTO.CALIB/DIL.URETH.STRIC/STENO 5,224

CYSTOGRAPHY 1,210

CYSTOSTOMY TUBE CHANGE 1,162

CYTO FLUID W/CONCENTRATE 72

Page 50: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

CYTO FLUID W/O CONCENTRATE 62

CYTO OTHER INTERP CHARGE 89

CYTOGENETICS INTERPRET AND REPORT 1,742

CYTOMEGALOVIRUS,DNA,QUANTIFICATIO 757

CYTOMEGLOVIR-AB-IGM (CMV) 399

CYTOPATH SMEAR, OTHER SOURCE 240

CYTOPATH,C/V,AUTO TH.L,MAN.RESCR. 79

CYTOPATH,CELL ENHANCE, NON-GYN 112

CYTOPATH,EVAL FNA, 1ST, EA. SITE 115

CYTP FNA EVAL EA ADDL 300

D.H.E.INJ, 1MG/ML 893

D5W/NACL 0.45%/KCL 10MEQ (1000ML) 13

D5W/NACL 0.45%/KCL 20MEQ (1000ML) 15

D5W/NACL 0.45%/KCL 40MEQ (1000ML) 19

DABIGATRAN CAP, 150MG 41

DABIGATRAN CAP, 75MG 41

DACARBAZINE INJ,100MG/10ML 76

DAILY CARE CARDIOVASCULAR UNIT 10,348

DAILY CARE INTERMEDIATE ICU 7,245

DAILY CARE LABOR & DELIVERY 6,407

DAILY CARE MEDICAL ICU 8,227

DAILY CARE NEONATAL 5,332

DAILY CARE NEONATAL STEP DOWN 5,022

DAILY CARE NURSERY 3,328

DAILY CARE SEMI PRIVATE-MED/SURG 5,062

DAILY CARE SEMI PRIVATE-PSYCH 3,762

DAILY CARE TRAUMA ICU 9,516

DAKIN'S 0.25% (HALF STRENGTH) SOL 80

DANAZOL 100MG CAP 31

DANAZOL 200MG CAP 51

DANTROLENE SOD. 250MG VIAL, INJ 16,259

DANTROLENE SODIUM CAP,25MG 6

DANTROLENE SODIUM INJ, 20MG 476

DAPSONE 25MG TAB 16

DAPTOMYCIN,@ 1MG,INJECTION(500MG) 6

DARBEPOETIN NON-ESRD@1 MCG,(100) 53

DARBEPOETIN NON-ESRD@1 MCG,(150) 53

DARBEPOETIN NON-ESRD@1 MCG,(200) 53

DARBEPOETIN NON-ESRD@1 MCG,(25) 53

DARBEPOETIN NON-ESRD@1 MCG,(300) 53

DARBEPOETIN NON-ESRD@1 MCG,(40) 53

DARBEPOETIN NON-ESRD@1 MCG,(60) 53

DARUNAVIR ORAL SUSP,100 MG/ML 27

DARUNAVIR TAB, 800 MG 326

DEBRIDE BONE,EACH ADDT'L 20SQ CM 2,625

DEBRIDE MUSCLE/FASCIA EA ADDT'L 1,125

DEBRIDE MUSCLE/FASCIA,20 SQCM OR< 1,125

Page 51: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

DEBRIDE MYCOTIC NAILS <6 265

DEBRIDE MYCOTIC NAILS >6 364

DEBRIDE SKIN/TISSUE 499

DEBRIDE SUBQ TISSUE,FIRST 20 SQCM 1,125

DEBRIDE SUB-Q,EACH ADDT'L 20SQ CM 1,125

DEBRIDE TISSUE/MUSCLE/BONE 2,125

DECALCIFICATION PROCEDURE 158

DECITABINE INJ, @ 1 MG (50 MG VL) 221

DECLOT VASCULAR DEVICE 964

DEFIBRILLATOR BI-VENT, MULTI-LEAD 98,000

DEGARELIX PER 1MG INJ (120MG)-NF 43

DEHYDRATED ALCOHOL INJ 59

DEHYDRATED ALCOHOL INJ, 100% 252

DELIVERY OF PLACENTA ONLY 5,654

DELIVERY-LITE BIO 48288214 2,773

DEMECLOCYCLINE TAB, 150MG 60

DENOSUMAB, PER 1 MG, INJ (120) 126

DENOSUMAB, PER 1 MG, INJ (60) 134

DENTAL SURGERY PROCEDURE 654

DERMABOND PRINEO 22CM CLR222US 461

DERMABOND, 0.5ML 160

DERMACARRIER,1 1/2 TO 1 RATIO 132

DERMACARRIER,3 TO 1 RATIO 142

DESCTRUCT BENIGN LESIONS,UP TO 14 442

DESIGN MLC DEVICE FOR IMRT 2,226

DESIPRAMINE HCL TAB, 25MG 15

DESITIN OINTMENT 30G 16

DESLORATIDINE TAB 5MG 28

DESMOPRESSIN 0.1 MG TAB 17

DESMOPRESSIN 4MCG INJ 100

DESMOPRESSIN NASAL 0.1MG/ML 2.5ML 1,797

DESMORPRESSIN INJ,4MCG/ML(10ML) 101

DESOXIMETASONE 0.25% CREAM 15G 331

DESOXIMETASONE 0.25% OINT 15GM 602

DESVENLAFAXINE 100MG TAB 65

DESVENLAFAXINE TAB, 50MG 65

DETACHER INSTANT ENDOVASCULAR EV3 327

DETECT AGENT NOS DNA QUANT 902

DETECT AGENT NOS,DNA,AMP(CHOP PED 833

DEV FIX ENDOBUTTON 10MM 72203331 2,007

DEV FIX SECURESTRAP STRAP25 3,317

DEV GREENLIGHT FIBER 00102400 6,393

DEV INTRACORP KNOTDISP MICOTIE001 1,973

DEV MYOSURE XL TIS REMOVAL50503XL 7,006

DEV.COGNITIVE SKILLS-DIRECT-15MIN 127

DEVICE BONE BIOP F07A 892

DEVICE BONE KYPHOPL BIOP DIS F05A 958

Page 52: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

DEVICE CLOSURE 6/7FR VASC MX6721 1,168

DEVICE CLOSURE ANGIOSEAL(ST JUDE) 2,677

DEVICE CLOSURE BOOMERANG(CARDIMA) 2,436

DEVICE CLOSURE FEMSTOP(ST JUDE) 987

DEVICE CLOSURE MYNX 5FR MX5021 1,168

DEVICE FIX OPTIFIX30CT ABS0113126 2,510

DEVICE FIX SORBAFIX30CTABS0113080 3,876

DEVICE LAP 5MM 5/10-12MM CTI512N 748

DEVICE MYOSURE TISS REM 10403FC 7,492

DEVICE MYOSURELT TISSREM30403LITE 3,795

DEVICE PRESTO INFLAT 30CC 1D4030 146

DEVICE SUT CAPIO SLIM M0068318261 2,896

DEVICE,NOVA,ENDOMETRIAL ABALATE 7,515

DEXAMETHASONE 4MG TAB 4

DEXAMETHASONE LIQ, 0.5MG/5ML 8

DEXAMETHASONE OPH SOLN 0.1% 98

DEXAMETHASONE SOD. PF@1MG INJ(10) 4

DEXAMETHASONE SOD. PF@1MG(0.1NICU 2

DEXAMETHASONE SOD.PH.@1MG INJ (4) 2

DEXAMETHASONE SOD.PH.@1MG INJ(20) 1

DEXAMETHASONE TAB, 0.5MG 1

DEXAMETHASONE TAB, 1.5MG 2

DEXMEDETOMIDINE INF, 200MCG/2ML 130

DEXMEDETOMIDINE INF,400MCG/100ML 753

DEXRAZOXANE HCL,@ 250MG,INJ (500) 1,864

DEXTRAN SLN D5W, LOW MOLEC WT 10% 170

DEXTRAN SOLN, LOW MOLECULAR WT 198

DEXTROAE INJ, 10% (1000ML) 57

DEXTROSE 10% INJ,250ML 14

DEXTROSE 2.5%/NACL 0.45% (1000ML) 57

DEXTROSE 25% INJ 2.5GM/10ML (SYR) 57

DEXTROSE 5% (LV), 100ML 11

DEXTROSE 5%/KCL 20MEQ (1000ML) 13

DEXTROSE 5%/KCL 40MEQ (1000ML) 57

DEXTROSE 5%/LACTATED RINGERS 1000 13

DEXTROSE 5%/NACL 0.225% (1000ML) 57

DEXTROSE 5%/NACL 0.45% (1000ML) 57

DEXTROSE 5%/NACL 0.9% (1000ML) 28

DEXTROSE 5%/NACL 0.9% (500ML) 28

DEXTROSE 5%/NACL O.45% (500ML) 28

DEXTROSE 5%NACL.9% KCL20MEQ 19

DEXTROSE 50% INJ 50ML 17

DEXTROSE 50% INJ SYR 50ML 54

DEXTROSE 70%, 2000 ML, INJ (TPN) 7

DEXTROSE INJ (PB), 5% 250ML 57

DEXTROSE INJ 5% 50ML 11

DEXTROSE INJ, 10% (500ML) 28

Page 53: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

DEXTROSE INJ, 10% (500ML, PF) 28

DEXTROSE INJ, 5% (1000ML) 57

DEXTROSE INJ, 5% (150ML) 8

DEXTROSE INJ, 50% (500ML,PF) 85

DEXTROSE INJ,(PB),5% 500ML 28

DHEA 604

DHEA SULFATE SERUM 493

DIAG.BREAST TOMOSYNTHESIS-UNI/BI 176

DIAG.MAMMOGRAM W/CAD-BOTH BREASTS 1,149

DIAG.MAMMOGRAM W/CAD-ONE BREAST 902

DIAGN.BONE MARROW-BIOPSY & ASPIR. 3,936

DIAGNOSTIC MAMMO.& CAD,UNILATERAL 902

DIAGNOSTIC SONOGRAM 264

DIAZEPAM @ 5MG INJ (20) 9

DIAZEPAM RECTAL GEL,2.5MG 1,739

DIAZEPAM TAB, 2MG 1

DIAZEPAM TAB, 5MG 2

DIAZOXIDE SUSP, 50 MG/ML (30ML) 53

DICLOXACILLIN CAP, 250MG 4

DICYCLOMINE 20MG/2ML INJ 139

DICYCLOMINE HCL CAP, 10MG 3

DICYCLOMINE HCL TAB, 20 MG 2

DICYCLOMINE SYRUP,10MG/5ML 8

DIFFUSING CAPACITY(CLOSING VOLUME 512

DIGOXIN 0.25MG TAB 10

DIGOXIN ELIXIR., 0.25MG/5ML 79

DIGOXIN IMMUNE INJ FAB, 40MG 24,133

DIGOXIN INJ PEDIATRIC 100MCG/1ML 469

DIGOXIN INJ, 0.5MG/2ML 37

DIGOXIN LEVEL 311

DIGOXIN TAB, 0.125MG 10

DIHYDROTESTOSTERENE ASSAY 595

DILANTIN 309

DILATION OF NEPHROSTOMY S&I 1,451

DILATOR SET AMPLATZ REN (G14292) 1,370

DILATOR URET SET60-18FR60CMG14297 904

DILTIAZEM 60MG TAB 2

DILTIAZEM HCL 5 MG/ML (10ML) INJ 27

DILTIAZEM HCL CAP CD, 180MG 3

DILTIAZEM HCL CAP CD, 240MG 5

DILTIAZEM HCL CAP CD, 300MG 15

DILTIAZEM HCL CAP SR 60MG 22

DILTIAZEM HCL CAP SR 90MG 21

DILTIAZEM HCL CAP, 120MG 2

DILTIAZEM HCL INJ, 5MG/ML (25ML) 41

DILTIAZEM HCL INJ, 5MG/ML (5ML) 16

DILTIAZEM HCL TAB 90MG 5

Page 54: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

DILTIAZEM TAB 30MG 1

DIMENTHYDRINATE 50MG TAB 1

DINOPROSTONE 20MG VAG SUPP 12,584

DINOPROSTONE VAG INSERT, 10MG 2,549

DIPHENHYDRAMIN 2% CREAM 30GM 25

DIPHENHYDRAMINE CAP 50MG 0

DIPHENHYDRAMINE CAP, 25MG 0

DIPHENHYDRAMINE CREAM 1% 30G 19

DIPHENHYDRAMINE ELIX,25MG/10ML UD 1

DIPHENHYDRAMINE HCL,@ 50MG,INJ 19

DIPHENOXYLATE/ATROP SULF TAB 5

DIPHTH/TETANUS/AC.PERT-DTAP,< 7YR 146

DIPHTHERIA-TETANUS ADULT 0.5ML 222

DIPYRIDAMOLE TAB, 25MG 6

DIPYRIDAMOLE TAB, 50MG 10

DISC MOBI-C CERV 13X17 MB3375 36,779

DISC MOBI-C CERV 13X17 MB3376 36,779

DISC MOBI-C CERV 15X15 MB3555 36,779

DISC MOBI-C CERV 15X17 MB3576 36,779

DISC MOBI-C CERV 15X19 MB3595 36,779

DISC MOBI-C CERV 15X19 MB3596 36,779

DISC MOBI-C CERV 15X19 MB3597 36,779

DISKOGRAPHY, LUMBAR, S & I 3,792

DISOPYRAMIDE 100MG CAP SA 22

DISOPYRAMIDE CAP,100MG 8

DISOPYRAMIDE CAP,150MG 9

DISSECTOR BALL SPACEMAKER SMCYCST 3,646

DISSECTOR BALLOON SPCMKR SMBTTOVL 3,268

DISSECTOR MARYLANDDAVINCI428050 724

DISSECTOR,ENDO,5MM (5DCD) 477

DIVALPROEX 250MG TAB EC 10

DIVALPROEX ER TAB 500MG 14

DIVALPROEX ER TAB, 250MG 14

DIVALPROEX SPRINKLE CAP, 125MG 4

DIVALPROEX TAB EC 125MG 5

DIVALPROEX TAB EC, 500MG 8

DNA/RNA, HPV,HIGH-RISK TYPES 814

DNA/RNA,CANDIDA SPECIES,AMPLIF.PR 73

DNA/RNA,HPV, 16&18 ONLY,INCL.45 814

DOBUTAMINE HCL,PER 250MG,INJ(250) 39

DOBUTAMINE-D5,@ 250 MG,INJ (250) 71

DOBUTAMINE-D5,@ 250 MG,INJ (500) 50

DOCETAXEL,PER 1 MG,INJ, (160 MG) 108

DOCETAXEL,PER 1 MG,INJ, (20 MG) 23

DOCUSATE CAP, 100 MG 1

DOCUSATE LIQUID, 100MG/10ML 4

DOFETILIDE CAP, 125 MCG 21

Page 55: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

DOFETILIDE CAP, 250MG 21

DOFETILIDE CAP, 500MG 21

DONEPEZIL TAB, 10MG 1

DONEPEZIL TAB. 5MG 1

DONNATAL TAB 53

DOPAMINE HCL @ 40 MG INJ (400) 2

DOPAMINE HCL @ 40MG INJ(200-NICU) 12

DOPAMINE IN DEXTROSE 5% INF, 400M 11

DOPPLER GUIDED NEEDLE ASSEMBLIES 866

DOPPLER,ECHOCARD-COLOR FLOW 881

DORZOLAMIDE HCL DROP, 2% (5ML) 378

DOUBLE LUMEN (5FR) W/ CLAMPS 657

DOXAZOSIN TAB, 1MG 21

DOXAZOSIN TAB, 2MG 21

DOXEPIN 10MG CAP 4

DOXEPIN 25MG CAP 5

DOXEPIN ORAL SOLN, 10MG/ML 1

DOXERCALCIFEROL @ 1 MCG INJ (4) 21

DOXERCALCIFEROL CAP, 0.5MG 97

DOXERCALCIFEROL CAP, 2.5MCG 206

DOXORUBICIN INJ, 10 MG (50MG TACE 331

DOXORUBICIN LIPOSOM.@ 10MG INJ(50 3,626

DOXORUBICIN PFS INJ, 2MG/ML (25ML 30

DOXORUBICIN PFS INJ, 2MG/ML (5ML) 62

DOXYCYCLINE CAP, 100MG 23

DR.SCR-OPIOIDS&OPIATE ANALOGS,1-2 465

DRAIN BL W/CATH INSERTION 5,537

DRAIN BLADDER BY NEEDLE 308

DRAIN BLAKE 10MM 2213 127

DRAIN BLAKE 24FR 117

DRAIN EXTERNAL EAR LESION 346

DRAIN PELVIC ABSCESS 4,933

DRAIN/INJECT JOINT/BURSA-INTERMED 916

DRAIN/INJECT JOINT/BURSA-MAJOR 1,973

DRAINAGE CATHETER, ALL 729

DRAINAGE KIT, ALL 1,507

DRAINAGE OF FINGER ABSCESS 999

DRAINAGE OF GLAND ABSCESS 1,874

DRAINAGE OF GUM LESION 946

DRAINAGE OF HEMATOMA/FLUID 2,592

DRAINAGE OF PILONIDAL CYST 1,007

DRAINAGE OF SKIN ABSCESS COMPLEX 777

DRAINAGE OF SKIN ABSCESS SIMPLE 686

DRAINAGE OF TONSIL ABSCESS 3,563

DRAINAGE UNIT CHEST PLUER EVAC 139

DRAINAGE UNIT CHEST PLUER EVAC 129

DRAPE WARMER SCOPE PILLOW ORS400 321

Page 56: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

DRESS/DEBRID P-THICK BURN, M 735

DRESS/DEBRID P-THICK BURN, S 735

DRESSING ABDOMIN 17X17 TEMP XTAC 1,879

DRESSING ABTHERAW/VISCERAL370605S 2,326

DRESSING AQUACEL 9X30CM 420670 186

DRESSING AQUACEL 9X35 412012 174

DRESSING AQUACEL9X15CM 412010 124

DRESSING AQUACEL9X25CM 412011 186

DRESSING CHANGE KIT 20

DRESSING COMP CRYOCUFF KNEELRG11B 356

DRESSING COMP CRYOCUFF KNEEMED11A 356

DRESSING KIT FOAM RENASYS66020796 302

DRESSING KIT MED RENASYS 66020795 213

DRESSING KIT SM RENASYSF 66020794 169

DRESSING MEROCEL NASAL 440410 1,273

DRESSING VAC INFO LARGE GRANUFOAM 354

DRESSING VAC INFO MEDIUM GRANUFOA 293

DRESSING VAC INFO SMALL GRANUFOAM 233

DRESSINGNASOPORE4CMFIRM5400020004 488

DRILL 1.5X115 SGLUSE 254691107 744

DRILL 2.0MM QCK REL 800318 443

DRILL 2.6X122MM WL 70MM 4535010 407

DRILL 2.8MM QCK REL 800387 609

DRILL 3.2X200MM 50852032 511

DRILL 4MM SCREWS0.9X46MM6009504 764

DRILL 5.0/340MM 908

DRILL APEX PIN 2.2X100MM 50851222 506

DRILL ASNIS2.1MM SGLEUSE 4530005S 1,041

DRILL BIT 1.7MM AR891614 461

DRILL BIT 2.0MM WITHDEPTH MARKING 1,502

DRILL BIT 2.4MM VERTEX MAX RECON 2,293

DRILL BIT 2.5 AR873709 876

DRILL BIT 2.5/110MM QUICK COUPLE 373

DRILL BIT 2.5MM FOR 3 (48560323) 1,986

DRILL BIT 2.5MM L230MM 894

DRILL BIT 2.8MM (324.214) 1,061

DRILL BIT 24MM 482

DRILL BIT 2X102MM WL50MM 4527010 339

DRILL BIT 3 FLUTED 330MM X 4.2MM 1,196

DRILL BIT 3.1MM L204MM 377

DRILL BIT 3.2 894

DRILL BIT 3.5MM 894

DRILL BIT 3.5MM DEPUY 894

DRILL BIT 3.5X130MM 908

DRILL BIT 4.3MM (310.431) 642

DRILL BIT 4X200MM 50852040 523

DRILL BIT ASNIS 1.7MM 4520005S 1,044

Page 57: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

DRILL BIT ASNISLLL 5MM 702447 1,608

DRILL BIT CANN 3.0 AR894530C 584

DRILL BIT CANN 4.0 AR896740C 876

DRILL BIT CANNULATED 3.5MM(702450 1,004

DRILL BIT DISP 2.5MM LONG DWD063 729

DRILL BIT QUICK COUP 2.8MM/165MM 622

DRILL BIT QUICK COUPLING 3.5MM 373

DRILL BIT T2 3.5X230MM AO 908

DRILL BIT VAR 2.8X102MM 4527020 436

DRILL BIT4.2 TIBIAL (03.010.104) 983

DRILL BONE GRAFT 10MM DISPBG8020S 2,342

DRILL BONE GRAFT 8MM DISPBG8010S 2,342

DRILL CALIBRATED 4.8 11021A 732

DRILL CANN 3.0MM 705357 1,401

DRILL CANN 3.5 AR8956C35PD 1,022

DRILL CANN HEAD 4.3 44112011 1,645

DRILL CANN POLYAX 2.0 DRLLPLS20 508

DRILL CANNULATED 2.7MM 1,004

DRILL MICRO DRILL 1,256

DRILL PHALINX CANN 2.45MM 05610 1,315

DRILL PHALINXNONCANN2.45 45303145 1,594

DRILL PHALINXNONCANN2.55 45303155 1,594

DRILL PIN ACL 4MM AR1595TC 715

DRILL PIN ACL TIGHTROPE AR1595T 730

DRILL TWIST 1.5X50 2544907 744

DRILL TWIST 1.7MM 72203855 1,146

DRILL TWIST 1.9MM 72203856 1,146

DRILL TWIST 1.9X27MM 6019326 393

DRILL TWIST 1.9X70 254601907 566

DRILL TWIST 12MM 1001112 1,284

DRILL TWIST 2.2X50 010220107 871

DRILL TWIST 2X41X105MM 6020385 339

DRILL TWIST BIT 1.6X127 72204438 351

DRILL VALOR NAIL 415S002350 1,600

DRILL XIA 5.0MM 48856450 2,207

DRILL XIA CORT 5MM 48856455 2,207

DRIVE SHAFT SEAL 351718S 134

DRIVER CONN GEMINUS 2.0DRVRASS20 433

DRIVER NEEDLE ENDOWRIST DA VINCIS 1,284

DRIVER NEEDLE SUTURE CUT1.4X54CM 1,401

DRIVER UNIV QUICK CONN DRVRVQCT10 508

DRONABINOL 2.5MG CAP 30

DRONEDARONE TAB, 400MG 26

DRUG ADMIN HEMODYNMIC MEAS 3,594

DRUG ELUTING STENT EACH 16,992

DRUG SCREEN QNT-ALCOHOLS 252

DRUG SCREEN QNT-ALKALOIDS, NOS 251

Page 58: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

DRUG SCREEN,QUANT,LEVETIRACETUM 85

DRUG SCREEN,QUANT,OXCARBAZEPIN 85

DRUG SCREEN-AMPHETAMINES,1-2 1,299

DRUG SCREEN-ANABOLIC STEROIDS,1-2 251

DRUG SCREEN-BARBITURATES 324

DRUG SCREEN-BENZODIAZEPINES,1-12 251

DRUG SCREEN-BUPRENORPHINE 465

DRUG SCREEN-CANNABINOIDS,NATURAL 251

DRUG SCREEN-COCAINE 465

DRUG SCREEN-OPIATES, 1 OR MORE 465

DRUG TEST PRESUM.-CHEM.ANALZR-DOS 251

DULOXETINE CAP, 20MG 34

DULOXETINE CAP, 30MG 44

DULOXETINE CAP, 60MG 34

DUONEB INH SOLN, 2.5-0.5/3ML 13

DUP SCAN EXT VEINS COMP BILATERAL 2,755

DUP SCAN EXT VEINS LTD 2,182

DUPLEX ABD/PELV ART COMP 4,116

DUPLEX ABD/PELVIS LTD 2,288

DUPLEX ARM/ART F/U LTD 1,070

DUPLEX LEG/ART F/U LTD 1,940

DURAGEN 3X3 DURAL GRAFT MATRIX 4,864

DURAGEN 4X5 DURAL GRAFT MATRIX 8,177

DURAGUARD PATCH 4CMX4CM 1,380

DURAGUARD PATCH 6CMX 8CM 2,249

DURAGUARD PATCH 8CM X (DG-0814SN) 2,936

DURASEAL DURAL SEALANT SYSTEM 5ML 4,275

DURVALUMAB PER 10MG, INJ (500 MG) 473

DUTASTERIDE CAP, 0.5MG 34

DXA BONE DENSITY,AXIAL 789

DXA BONE DENSITY,PERIPHERAL 234

DYAZIDE CAP, 37.5/25 2

DYSPHAGIA TREATMENT 1 UNIT 316

DYSPHAGIA TREATMENT 2 UNITS 461

DYSPHAGIA TREATMENT 3 UNITS 674

EAR CULTURE 204

EBNA 360

ECG RECORDING 266

ECHOGRAPH PELVIC B-SCAN 1,070

ECHOGRAPH PELVIC LIMITED/AFI 1,213

EDUCATION OCCUPATIONAL THERAPY 235

EDUCATION PHYSICAL THERAPY 235

EEG RECORDING AWAKE AND ASLEEP 1,147

EEG W/ HYPER VENT & PHOTIC STIM 1,545

EFAVIRENZ CAP 200MG 73

EFAVIRENZ TAB 600MG 218

EGD-ABLATION (INCL. DIL/GWIRE) 7,177

Page 59: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

EGD-DIAGNOSTIC,W/, W/O WASH/BRUSH 4,205

EGD-ENDOSCOPIC MUCOSAL RESECTION 6,511

EGD-ESOPH.BALLOON DILATION,< 30MM 7,616

EGD-EUS EXAM LMTD-ESOPH,STOM,DUOD 2,880

EGD-EUS EXAM-ESOPH/STOM&DUOD,JEJU 5,383

EGD-EUS FNA/BX-ESO/STOM&DUOD,JEJU 5,130

EGD-EUS FNA/BX-ESOPH,STOM,DUOD 3,569

EGD-HOT BIOPSY REM.-TUM/POL/LES 7,977

EGD-INJ.SCLEROSIS-ESOP/GASTR.VAR. 7,169

EGD-INSERT GWIRE W/DILATOR(SAVORY 4,205

EGD-SNARE REMOVAL-TUM/POL/LES 8,134

EGD-STENT PLACE.(INCL.DIL/GWIRE) 9,744

EGD-W/ PEG TUBE PLACEMENT 5,361

EGD-W/BAND LIGAT-ESOPH/GASTR.VAR. 5,667

EGD-W/BIOPSY, SINGLE/MULTIPLE 7,096

EGD-W/CONTROL BLEEDING,ANY METHOD 8,379

EGD-W/DILATION GASTR/DUOD STRICT 5,362

EGD-W/FOREIGN BODY REMOVAL 2,462

EGD-W/INTRALUM.TUBE/CATH PLACE(NG 10,636

EGD-W/SUBMUCOSAL INJ(S),ANY SUB 4,777

EGD-W/TRANSMURAL DRAINAGE CYST 7,844

EHC BLS EMERGENCY TRANSPORT 1,317

EKG(INCL RHYTHM STRIP) 208

ELBOW-2 VIEWS 529

ELBOW-3 VIEWS 680

ELCTRODE BLADE 11MMX10FT607510005 194

ELEC BUTTON VAPOR 12+30D WA22557C 2,632

ELEC LOOP TUR 24FR 30DEG WA22306D 2,632

ELEC LOOP VAP 24FR 12DEG WA22302D 2,632

ELECTR LOOP CUT 22FR30D 504990314 757

ELECTRIC STIMULATION 135

ELECTRODE 2FRX105CM BE208 540

ELECTRODE 3FRX105CM BE302 540

ELECTRODE BLADE PEAK PLASMABLADE 1,770

ELECTRODE BUGBEE 5 FR 58 (BE-558) 292

ELECTRODE CONE BIOPSY LRG 900152 120

ELECTRODE HOOK 5MM/34CM 200

ELECTRODE KNIFE RESECT 24FR KE24 3,401

ELECTRODE LOOP CUT 26FR MLE26012 351

ELECTRODE LOOP CUTTING 24F 0.012 351

ELECTRODE VAPOR S90 (225370) 973

ELECTRODE VAPR 3.5MM DISP225303 1,165

ELECTRODE VAPR 90 DEGREE (225305) 842

ELECTROLYTE PANEL 125

ELECTRON MICRO, REF LAB 1,107

ELECTROPHORESIS HEMOGLOB 301

ELECTROPHORESIS PROTEIN URINE 251

Page 60: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

ELOTUZUMAB, PER 1MG,INJ (300 NF) 42

EMBLEM SUB Q-ICD ELECTRODE #3401 49,000

EMBOLIC PROTEC DEVICE,CORDIS 14,178

EMBOLIC PROTECTION SYS,RX ABBOTT 11,909

EMBOLIZATION EXTRACRAN EXAM 10,526

EMBOLIZATION PARTICLES/COILS 1,445

ENALAPRIL 10MG TAB 1

ENALAPRIL 5MG TAB 0

ENALAPRIL TAB 2.5MG 8

ENALAPRILAT INJ 2.5MG/2ML 32

ENALAPRILAT INJ, 1.25MG/ML 13

END CAP BLUE 156

END CAP FIBULOCK FIB6000 701

END CAP T2 SCN 885

ENDCAP 12MM SM RND 33661200SR 2,235

ENDCAP 12MM SM RND 5D 33661205SR 2,235

ENDCAP LOCK ORTHO 11190010 2,032

ENDO EMERGENCY OVERFLOW 5,062

ENDO GIA RELOAD 60MM EGIATRS60AMT 2,679

ENDOBUTTON 15MM 72200146 1,633

ENDOBUTTON 4MMX12MM 013186 966

ENDOBUTTON CLOSED LOOP (CL)20MM7 1,633

ENDOBUTTON PAC CL 1,747

ENDOCATCH POUCH 15MM ECATCH15 1,494

ENDOCLIP,ENDO,MED/LGE,ER320 640

ENDOCLOSE TROCAR SITE CLOSURE DEV 361

ENDOCUTTER 45MM FLEX ATIC (ATS45) 1,464

ENDO-HYDRATE IV INFUSION, ADD ON 205

ENDO-HYDRATION IV INFUSION,INIT. 490

ENDOPR 12FR 18MMX9.5 LEGPLC181000 25,783

ENDOPR 18FR 16X11.5 LEG PLC161200 25,783

ENDOPROS 12FR 27X10 LEG PLC271000 25,783

ENDOPROS 14FR 23X14 LEG PLC231400 25,540

ENDOPROS 27X14 LEG PLC271400 25,540

ENDOPROS AAA 27X12 PLC271200 24,792

ENDOPROS AAA 32X4.5 EXT PLA320400 17,379

ENDOPROS AAA 8X11.5 LEG PLC181200 24,792

ENDOPROS AAA EXCLUD12X7HGB161207A 17,858

ENDOPROS AAA16X13.5 LEG PLC161400 24,792

ENDOPROS AAAEXCLUD20X9.5PLC201000 24,792

ENDOPROS AAAEXCLUD23X10 PLC231000 24,792

ENDOPROS CONTRALATERAL LEG DEVICE 25,044

ENDOPROS EXC EXT16X12X7 PLL161207 17,858

ENDOPROS EXCL 14.5/14MM PXC141400 25,044

ENDOPROS EXCL18X13.5LEG PLC181400 25,540

ENDOPROS EXCLUD 14.5X10 PXC141000 25,788

ENDOPROS EXCLUD 14.5X12 PXC141200 25,044

Page 61: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

ENDOPROS EXCLUDER28X3.3 PLA280300 17,858

ENDOPROS EXT 16X10X7 PLL161007 17,858

ENDOPROS FEM8X5X120 7FR VBJ080502 18,110

ENDOPROS ILLIAC BR12X10CEB231210A 62,759

ENDOPROS ILLIAC14.5X7HGN161407A 17,514

ENDOPROS VIAB 7X79 BXA077902A 20,007

ENDOPROS VIABAHN 9X79 BXA097901A 20,019

ENDOPROS31X13X14.5 TRNK RLT311413 64,751

ENDOPROS35X14.5X14 TRUNKRLT351414 64,751

ENDOPROST 26X12MMX16CM PXT261216 54,233

ENDOPROSTH TRUNK 26X14.5PLC261412 54,233

ENDOPROSTHESIS 12MM X (PXC121400) 25,044

ENDOPROSTHESIS CONTRALATERAL LEG 25,044

ENDOPROSTHESIS EXCLUDER 26MM/14.5 25,044

ENDOPROTHESIS TRUNK 54,233

ENDO-RECOVERY 1ST HOUR 364

ENDOSHEARS (5DCS) 464

ENDOSTITCH 0 48 SURGIDAC 315

ENDOSTITCH 10 MM SUTURIN (173016) 1,581

ENDOSTITCH 2-0 7IN SILK SU 170002 305

ENDO-THER/PROPH/DIAG INJ, SC/IM 153

ENDO-THER/PROPH/DIAG IV INF ADDON 220

ENDO-THER/PROPH/DIAG IV INF,INIT. 590

ENDO-TX/PRO/DX INJ NEW DRUG ADDON 245

ENDO-TX/PRO/DX INJ SAME DRUG ADDON 199

ENDO-TX/PROPH/DG ADDL SEQ IV INFUSION 261

ENDOVAGINAL ULTRASOUND 955

ENDOVAS RPR AAA SUPERVIS INTERP 1,664

ENDOVASC TEMPORARY VESSEL OCCL 15,373

ENOXAPARIN SOD.@ 10MG,INJ (100/1) 46

ENOXAPARIN SOD.@ 10MG,INJ (150/1) 14

ENOXAPARIN SOD.@ 10MG,INJ (30/.3) 14

ENOXAPARIN SOD.@ 10MG,INJ (40/.4) 13

ENOXAPARIN SOD.@ 10MG,INJ (60/.6) 14

ENOXAPARIN SOD.@ 10MG,INJ (80/.8) 46

ENOXAPARIN SOD.@ 10MG,INJ(120/.8) 122

ENSEAL LRG JAW SEALER NSLX120C 3,096

ENTACAPONE, 200 MG, TAB 52

ENVEL ANTIBAC TYRX/PACE CMRM6122 5,809

ENVIRONMENT CULTURE 204

EP & ABLATE SUPRAVENT ARRHYT-8246 27,602

EP & ABLATE VENTRIC TACHY-8246 27,602

EP-CARDIOPULMONARY RESUSCITATION-CPR 987

EP-FLOUROSCOPY 153

EPHEDRINE INJ, 50MG/ML 216

EPHEDRINE PREFILLED SYR,50MG/5ML 60

EPINEPHRINE INHAL SOLN, 2.25% 15M 106

Page 62: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

EPINEPHRINE INJ 0.3MG / 0.3ML SYR 354

EPINEPHRINE INJ 1-1000 30ML 3

EPINEPHRINE INJ, 1-10,000 (ABBOJE 3

EPINEPHRINE INJ, 1-1000 10

EPINEPHRINE TOP SOLN 1-000 (30ML) 690

EPINEPHRINE,0.1 MG (PENJR .15 MG) 708

EPLERENONE TAB, 25MG 56

EPOETIN EPOGEN >10,000U 175

EPOETIN INJ 2,000U (PROCRIT) 175

EPOETIN INJ, 10,000U (EPOGEN) 175

EP-THER/PROPH/DIAG IV INF INITIAL 549

EPTIFIBATIDE, PER 5 MG, INJ (2MG) 280

EPTIFIBATIDE, PER 5 MG,INJ(.75MG) 233

EP-VASCULAR CLOSURE DEVICE 2,115

ER VISIT - LEVEL 1 722

ER VISIT - LEVEL 2 1,423

ER VISIT - LEVEL 3 2,149

ER VISIT - LEVEL 4 2,675

ER VISIT - LEVEL 5 3,205

ER-ABD PARACENTESIS W/O IMAG GUID 2,244

ER-ACTIVE WOUND CARE/20 CM OR< 350

ER-BLOOD TRANSFUSION SERVICE 2,798

ER-CARDIOPULMONARY RESUSCITATION-CPR 1,210

ERCP BILE DUCTS 1,648

ERCP PANCREAS DUCTS 1,648

ERCP-BALL.DILAT-AMP,B/P DUCTS,EA 13,174

ERCP-DIAGNOSTIC,W/,W/O WASH/BRUSH 8,803

ERCP-REM.FB/STENT-BIL/PANC DUCTS 17,565

ERCP-REPLACE STENT(S),(W/DIL/GWIR 20,556

ERCP-STENT PLACE-DUCT(+DIL/GDWR) 16,121

ERCP-W/BIOPSY, SINGLE/MULTIPLE 11,837

ERCP-W/CANN.PAPILLA-DIR.VIS.DUCTS 9,615

ERCP-W/DESTRUCT,ANY METHOD(LITHO) 12,982

ERCP-W/SPHINCTEROTOMY/PAPILLOTOMY 15,621

ERCP-W/STONE/DEBRIS REMOV-BIL/PAN 12,642

ER-DRAINAGE SKIN ABCESS, COMPLEX 1,009

ER-DRAINAGE SKIN ABCESS, SIMPLE 999

ER-DRAINAGE UNIT CHEST PLUER EVAC 764

ERGOCALCIFEROL 50,000U CAP 9

ERGOCALCIFEROL LIQUID,8000 INTER 9

ERIBULIN,INJ,PER 0.1MG (1MG VIAL) 673

ER-INJ ANESTH, OTHER PERIPHERAL NERV 1,882

ER-INSERT PICC CATH W/O PORT > 5 YRS 2,044

ER-LARYNGOSCOPY, DIAGNOSTIC 346

ER-LARYNGOSCOPY,FLEX FIBEROPTIC,DIAG 327

ERLICHIOSIS TITER 307

ER-NA W/O IMAGE 480

Page 63: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

ER-PUNCTURE DRAINAGE OF LESION 1,007

ER-SPINAL FLUID TAP,DIAGNOSTIC 1,414

ERTAPENEM,@ 500MG, INJECTION(1GM) 425

ER-THER/DIAG CONCURRENT INFUS 210

ERTHROPOIETIN 444

ERYTHROMYCIN BASE TAB, 250MG 11

ERYTHROMYCIN ES SUSP, 200MG/5ML 128

ERYTHROMYCIN LACTOBIO.@ 500MG INJ 485

ERYTHROMYCIN OPHTH OINT,0.5% (3.5 108

ERYTHROMYCIN OPTH OINT, 0.5% 1GM 11

ERYTHROMYCIN SUSP 250MG/5ML 4

ESMOLOL 2500MG IN NSS 250ML, INF 1,728

ESMOLOL INJ, 10MG/ML 10ML 50

ESOMEPRAZOLE CAP, 40MG 52

ESOMEPRAZOLE ORAL SUSP, 10 MG 61

ESOMEPRAZOLE ORAL SUSP, 40 MG 61

ESOPHAGEAL CAPSULE ENDOSCOPY 1,576

ESOPHAGUS 1,135

ESOPH-BALLOON DILATION,<30MM DIAM 2,855

ESOPH-DIAG, W/ OR W/O WASH/BRUSH 3,868

ESOPH-STENT INSERT(INCL.DIL/GWIRE 27,302

ESOPH-TRANSEND.U/S-FN ASPIR/BIOPS 10,876

ESOPH-W/ ENDOSCOPIC U/S EXAM 3,840

ESOPH-W/BIOPSY, SINGLE/MULTIPLE 8,348

ESOPH-W/FOREIGN BODY REMOVAL 7,269

ESTAB PT LEVEL 1 128

ESTAB PT LEVEL 2 166

ESTAB PT LEVEL 3 196

ESTAB PT LEVEL 4 255

ESTAB PT LEVEL 5 321

ESTRADIOL 0.05MG PATCH 96

ESTRADIOL PATCH 0.1MG/24HR 77

ESTRADIOL SERUM 655

ESTRADIOL TAB, 1MG 4

ESTRIOL, SERUM 566

ESTROGEN CONJUGATED @ 25 MG INJ 2,018

ESTROGENS,CONJ 0.3MG TAB 36

ESTROGENS,CONJ VAG CR .0625% (42. 955

ESTROGENS,CONJUGATED TAB,0.625MG 36

ESTRONE 583

ETHACRYNATE SODIUM INJ, 50MG 23,425

ETHACRYNIC ACID TAB, 25 MG 137

ETHAMBUTOL TAB, 400MG 5

ETHANOLAMINE,@ 100MG, INJ(100 5%) 2,906

ETHYL GLYCOL 279

ETIDRONATE TAB, 200MG 24

ETOMIDAE INJ, 2MG/1ML 42

Page 64: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

ETOPOSIDE INJ, 20MG/ML 5ML 6

EUCERIN CREAM (120GM) 27

EUCERIN CREAM 60GM 32

EVACUATION SUBUNGUAL HEMATOMA 344

EVALUATE SPEECH SOUND PRODUCTION 583

EVALUATION OF SPEECH FLUENCY 583

EVENT RECORDER, IMPLANT 11,344

EVENT RECORDER, IMPLANT DEVICE 33,306

EVENT RECORDER, REMOVAL 7,563

EVEROLIMUS DRUG ASSAY 115

EVICEL 2ML KIT *** REFRIGERATED I 1,412

EVICEL FIBRIN SEALANT 5ML KIT ** 3,248

EXC ABD TUM 5CM OR LESS 400

EXCH.BILIARY DRAIN.CATH.-COMPLETE 5,287

EXCH.NEPHROSTOMY CATH.-COMPLETE 9,500

EXCHANGE DRAINAGE CATH-RAD.GUID. 2,900

EXCISION OF NAIL FOLD, TOE 808

EXCISION,LESION DIAMETER 0.6-1.0 680

EXCISOR BIOPSY 12X15MM 900151 134

EXCISOR BIOPSY SM 9X12 900151 125

EXCLUDER CONTRALATERAL LIMB 25,044

EXERCISE W/HEMODYNAMIC MEAS 13,823

EXHALED CARBON DIOXIDE TEST 342

EXPANDER TIS SILTEX 350ML 3548312 8,874

EXPANDER TISSUE 200-400 SHRLR200S 3,123

EXPANDER TISSUE 350ML 3549312 8,465

EXPANDER TISSUE 450ML 3549313 8,465

EXPLORE WOUND,ABDOMEN 5,572

EXPLORE WOUND,EXTREMITY 2,311

EXT LOWER INFANT 2 VIEWS 225

EXT STEM NEX 14X100MM00598801014 6,347

EXT STEM NEXGEN15X30MM00598801215 6,347

EXT STEM TRIATH 21X100MM5565S021 6,200

EXT STEM TRIATH22X100 5565S022 5,811

EXT STEM13X30MM TIB CEM 866401 4,114

EXT TIP DRIVE DISP 120 423838 5,137

EXT UPPER,INFANT 2 VIEWS 243

EXTENDER STEM TRIATH (5571-S-050) 5,431

EXTENDER STEM TRIATH25MM 5571S025 5,431

EXTRACT ALEXIS SYST 14CM GTG114 4,816

EXTRACTOR STN1.7FR115CMX8MMG48294 1,463

EXTRACTOR STONE10FR 38X2CM G32862 768

EXTREMITY STUDY SINGLE LEVEL 991

EYE FOR FOREIGN BODY 505

EZETIMIDE TAB 10MG 75

F/U FETAL ECHOCARD 667

F5 GENE 103

Page 65: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

FACIAL BONES 2 VIEWS 240

FACIAL BONES 3 VIEWS 417

FACTOR 8 ANTIGEN 544

FACTOR II ASSAY 308

FACTOR IX ASSAY 447

FACTOR IX COMPLEX, 1000 UNITS 5

FACTOR V ASSAY 417

FACTOR VII ASSAY 427

FACTOR VIII ANTIHEMOPHILIC 250 UN 7

FACTOR VIII ASSAY 422

FACTOR VIII RECOMB 1000 UN 9

FACTOR VIII RECOMB 2000 UN 9

FACTOR X ASSAY 423

FACTOR XI ASSAY 419

FAMCICLOVIR TAB, 250MG 37

FAMCICLOVIR TAB, 500MG 16

FAMOTIDINE IN NACL 0.9% INF, 20MG 65

FAMOTIDINE INJ 10MG/ML 14

FAMOTIDINE INJ, 10MG/ML 2ML 6

FAMOTIDINE,10MG/ML-20ML(VIAL),INJ 50

FAMOTIDNE 20MG TAB 1

FDG 389

FDP D-DIMER SEMI QUANT OR QUAL 182

FELODIPINE TAB, 5MG 9

FELODOPINE TAB, 2.5MG 9

FELT PTF 1X6 007976 224

FELT PTF 6X6 007837 790

FEM COMP CEMTLSSCR SZ2 RT5517F202 7,774

FEM COMP CEMTLSSCR SZ3 RT5517F302 7,774

FEM COMP CEMTLSSCR SZ3LFT5517F301 7,774

FEM COMP CEMTLSSCR SZ4 RT5517F402 7,774

FEM COMP CEMTLSSCR SZ4LFT5517F401 7,774

FEM COMP CEMTLSSCR SZ5 RT5517F502 7,774

FEM COMP CEMTLSSCR SZ5LFT5517F501 7,774

FEM COMP CEMTLSSCR SZ6 RT5517F602 7,774

FEM COMP CEMTLSSCR SZ6LFT5517F601 7,774

FEM COMP CEMTLSSCR SZ7 RT5517F702 7,774

FEM COMP CEMTLSSCR SZ7LFT5517F701 7,774

FEM COMP CEMTLSSCR SZ8LFT5517F801 7,774

FEM COMP CEMTLSSCRSZ2 LFT5517F201 7,774

FEM COMP CEMTLSSPS SZ2 RT5516F202 7,774

FEM COMP CEMTLSSPS SZ4 RT5516F402 7,774

FEM COMP CEMTLSSPS SZ5 RT5516F502 7,774

FEM COMP CEMTLSSPS SZ6 RT5516F602 7,774

FEM COMP CEMTLSSPS SZ7 RT5516F702 7,774

FEM COMP CEMTLSSPSSZ1 LFT5516F101 7,774

FEM COMP CEMTLSSPSSZ2 LFT5516F201 7,774

Page 66: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

FEM COMP CEMTLSSPSSZ3 LFT5516F301 7,774

FEM COMP CEMTLSSPSSZ4 LFT5516F401 7,774

FEM COMP CEMTLSSPSSZ7 LFT5516F701 7,774

FEM CONE LEGION 24MM 71935403 19,265

FEM/POPL REVAS W/ATHER 16,395

FEM/POPL REVAS W/TLA 16,395

FEM/POPL REVASC STNT & ATHER 50,960

FEM/POPL REVASC W/STENT 16,395

FEMORAL OXINIUM SZ 3RT 31,006

FEMORAL OXINIUM SZ 4 LT 31,006

FEMORAL OXINIUM SZ 4 RT 31,006

FEMORAL OXINIUM SZ 5 LT 31,006

FEMORAL OXINIUM SZ 5 RT 71421175 31,006

FEMORAL OXINIUM SZ 6 LT 7142116 31,006

FEMORAL OXINIUM SZ 6 R (71421176) 31,006

FEMORAL OXINIUM SZ 6 RT 11,248

FEMORAL OXINIUM SZ3 LT 31,006

FEMORAL OXINIUM SZ5 LT 11,248

FEMORAL OXINIUM SZ8 LT 71421168 31,006

FEMORAL SIZE 2 RT 31,006

FEMUR OSS 3CM COCR LFT 151802 58,382

FEMUR PERSONA SZ7 RT 42500606202 8,845

FEMUR, 1 VIEW 275

FEMUR, 2+ VIEWS 425

FENOFIBRATE TAB, 145MG 29

FENOFIBRATE TAB, 48MG 3

FENTANYL PATCH 100MCG 446

FENTANYL PATCH 25MCG 120

FENTANYL PATCH 50MCG/HR 149

FENTANYL PATCH 75MCG/ML 336

FENTANYL PATCH, 12MCG/HR 115

FENTANYL,@ .1MG, 1000MCG/20ML 5

FENTANYL,@ .1MG,250 MCG/5ML VIAL 4

FENTANYL,@ .1MG,50MCG/ML,2ML VIAL 8

FENTANYL,@ .1MG,INF,2500MCG/250ML 9

FENTANYL,@ .1MG,INJ, 50MCG/ML,2ML 10

FENTANYL,@ .1MG,INJ,50MCG/ML,20ML 4

FENTANYL,@ .1MG,INJ,50MCG/ML,2ML 14

FENTANYL/BUPIVACAINE 0.125%/2MCG 176

FERRIC CARBOXYMALTOSE,@ 1MG (750) 9

FERRIC SUBSULFATE TOPICAL SOLN 67

FERRITIN 318

FERROUS GLUCONATE 320MG TAB 1

FERROUS SULFATE DROPS (50ML) 1

FERROUS SULFATE SOLN, 300MG/5ML(U 13

FERROUS SULFATE TAB SR 160MG 1

FERROUS SULFATE TAB, 325 MG 0

Page 67: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

FERUMOXYTOL NON-ESRD@1MG,INJ(510) 12

FETAL ACID RESIST HG 183

FETAL ECHOCARD DOPPLER 424

FETAL ECHOCARD DOPPLER F/U 258

FETAL ECHOCARDIOGRAPHY-M-MODE 1,724

FETAL FLUID DRAINAGE W/US GUIDANC 1,461

FIBER 1000 MICRON DUR1000DBX 5,509

FIBER LASER 200MIC HOLM SMH1020F1 3,404

FIBER LASER 400MIC HOLM SMH1040F1 2,431

FIBER LASER 600MIC HOLM SMH1060F1 3,078

FIBER LASER200FLEXIVAM006R8403961 3,274

FIBER,365,MICRON 2,007

FIBERLASE 2.0 LONG AC1059590 5,780

FIBERWIRE #2 (AR 7200) 126

FIBERWIRE 2-0 MENISCUS REPAIR NEE 392

FIBERWIRE 200 MICRON 2,202

FIBRINOGEN 203

FIBRINOLYSINS SCREEN 122

FIDAXOMICIN TAB, 200 MG 1,138

FILGRASTIM (G-CSF),@ 1 MCG (300) 5

FILGRASTIM (G-CSF),@ 1 MCG (480) 7

FILGRASTIM BIOSIM.@1MCG(ZARXIO300 6

FILGRASTIM BIOSIM.@1MCG(ZARXIO480 6

FILIFORM SPIRAL URETHRAL 5FR 203

FILTER DENALI VENA CAVA DL900J 5,254

FILTER SYSTEM CAROTID (SUPPLY) 16,536

FILTER VENA CAVA FEM G52917 7,692

FILTER, VENA CAVA, ALL 9,709

FILTERWIRE EZ EMOBOLIC SYSTEM 13,656

FILTERWIRE,RX ACCUNET,ABBOTT 11,909

FINASTERIDE TAB 18

FINE NEEDLE ASPIR W/O BIOPSY 408

FINGER STICK 19

FINGERS 2 VIEWS 493

FIORICET TAB 10

FIORINAL CAP 10

FIRST RESPONDER CV SCREENING 50

FISH OIL CONC CAP, 1000MG(OMACOR) 21

FISTULA-SINUS COM S/I 1,085

FIXATOR WRIST YEL MONOTUBE STERIL 8,042

FLECAINIDE 249

FLECAINIDE 100MG TAB 20

FLECAINIDE TAB, 50MG 23

FLEET ADULT ENEMA (133ML) 8

FLEET PEDIATRIC ENEMA 66ML 7

FLEX.SIG-DIAG. W/,W/O WASH/BRUSH 2,866

FLEX.SIG-ENDOSCOPIC US EXAM 4,972

Page 68: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

FLEX.SIG-SNARE REMOVE-TUM/POL/LES 4,263

FLEX.SIG-W/ FOREIGN BODY REMOVAL 5,004

FLEX.SIG-W/BAND LIGATION(S)-HEMOR 6,942

FLEX.SIG-W/BIOPSY, SINGLE/MULTPLE 3,463

FLEX.SIG-W/CONTROL BLEED,ANY METH 5,269

FLEX.SIG-W/DECOMPRESS.(W/TUBE PL) 5,004

FLEX.SIG-W/SUBMUCOSAL INJ(S),ANY 1,215

FLUCONAZOLE @ 200MG INJ (2-NICU) 4

FLUCONAZOLE IN D5W,200MG/100ML(PB 68

FLUCONAZOLE IN NACL 0.9% INF, 200 62

FLUCONAZOLE IN NACL 0.9% INF, 400 45

FLUCONAZOLE IN NSS,100MG/50ML(PB) 113

FLUCONAZOLE SUSP 200MG/5ML 21

FLUCONAZOLE SUSP 50MG/5ML 6

FLUCONAZOLE TAB 100MG 136

FLUCONAZOLE TAB, 200MG 93

FLUDROCORTISONE ACETATE TAB, 0.1M 5

FLUMAZENIL INJ, 0.1MG/ML (5ML) 46

FLUOCINOLONE ACET OINT 0.025% (15 191

FLUOCINOLONE ACETONIDE .01%CR 15G 252

FLUOCINOLONE ACETONIDE CR.025% ( 254

FLUOCINONIDE CREAM,0.05% (15G) 517

FLUOCINONIDE OINT,0.05% (15G) 401

FLUORESCEIN OPHTH STRIPS 300'S 1

FLUORI-METHANE SPRAY(105ML) 190

FLUORO EXAM OF G/COLON TUBE 180

FLUOROGUIDE FOR SPINE INJECT 449

FLUOROGUIDE FOR VEIN DEVICE 1,602

FLUOROMETHOLONE OPH SUSP,0.1%(5ML 57

FLUOROSCOPY UP TO 1 HOUR 1,020

FLUOROURACIL 500MG INJ 10ML 20

FLUOROURACIL INJ, 1000MG 20

FLUOXETINE 20MG CAP 14

FLUOXETINE LIQUID, 20MG/5ML 105

FLUPHENAZINE 1MG TAB 3

FLUPHENAZINE 2.5MG TAB 4

FLUPHENAZINE DECONATE INJ 125MG/5 211

FLUPHENAZINE HCL ELIXER, 5MG/ML 4

FLUPHENAZINE HCL INJ 2.5MG/ML 443

FLUPHENAZINE HCL TAB, 10MG 5

FLUPHENAZINE HCL TAB, 5MG 5

FLUTICASONE FUROATE 100 MCG, INH 486

FLUTICASONE FUROATE 200 MCG, INH 650

FLUTICASONE INH, 50 MCG (60'S) 1,173

FLUTICASONE NASAL SPRAY 0.05MG/IN 483

FLUTICASONE/VILENTEROL 100/25,INH 812

FLUTICASONE/VILENTEROL 200/25,INH 812

Page 69: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

FLUXETINE CAP, 10MG 14

FNA INTERP AND REPORT CHARGE 128

FOLGARD RX 2.2 TAB 3

FOLIC ACID 344

FOLIC ACID 5MG/ML INJ 10ML 4

FOLIC ACID TAB, 1MG 2

FOLLOWER PHILIPS THREADED 10FR 377

FOMEPIZOLE, PER 15 MG,INJ (1000) 64

FONDAPARINUX SOD.@ 0.5MG,INJ (10) 36

FONDAPARINUX SOD.@ 0.5MG,INJ(2.5) 62

FONDAPARINUX SOD.@ 0.5MG,INJ(7.5) 49

FOOT 2 VIEWS 582

FOOT 3+ VIEWS 647

FOOT STRAP ANKLE DISP 014407 185

FORCEP BIPOLA 5MM SGL SITE 428093 1,498

FORCEP BIPOLAR 10.5INDISP 632678S 7,126

FORCEP BIPOLAR ENDOWRIST 558MM 20 1,576

FORCEP BIPOLAR ENDOWRIST 8MM 0-45 1,576

FORCEP BIPOLAR MLD SGLSITE 428080 1,498

FORCEP CUTTING PKS 5MM/33CM W/ AT 2,585

FORCEP DA VINCI S/SI CADIERE ENDO 1,168

FORCEP DISSECTING ENDOWRIST PK CU 1,693

FORCEP ENDO 3.3FR115CM DISPG14922 1,914

FORCEP ENDOPATH WITH MACRO JAWS B 449

FORCEP ENDOSCOPIC ENDOWRIST PROGR 1,284

FORCEP GRASP3NAIL 10MMDISPFG54D 1,488

FORCEP PENCILBAYONET BIPOL9569575 600

FORCEP TENACULUM ENDOWRIST 8MM 0- 1,284

FORCEPS BYONET BIPOLAR 675170S 8,296

FOREARM 2 VIEWS 607

FORMOTEROL NEB SOLN,20MCG/2ML(2ML 110

FOSAPREPITANT, PER 1MG,INJ (150) 14

FOSFOMYCIN 3 GM PACKET 491

FOSINOPRIL TAB, 10MG 2

FOSPHENYTOIN INJ, 50MG/ML (10ML) 68

FOSPHENYTOIN INJ, 50MG/ML (2ML) 10

FRACTIONATED ESTRO 24 HR U 2,759

FREE DILANTIN 320

FREE T3 447

FREE T4 - THYROXINE, FREE 209

FRESH FROZEN PLASMA 353

FROZEN SECT ADD BLOCK 170

FRUCTOSAMINE 353

FSH 434

FTA 311

FULVESTRANT, 25 MG, INJ (250MG) 599

FUNCTIONAL TREATMENT O.T. 205

Page 70: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

FUNGUS CULT SKIN ONLY 181

FUNNEL ABS1003 163

FUROSEMIDE 40MG/5ML SOLN UD 14

FUROSEMIDE TAB 20MG 1

FUROSEMIDE TAB 40MG 1

FUROSEMIDE TAB 80MG 2

FUROSEMIDE,PER 20 MG,INJ (1000MG) 0

FUROSEMIDE,PER 20 MG,INJ (100MG) 5

FUROSEMIDE,PER 20 MG,INJ (20MG) 28

FUROSEMIDE,PER 20 MG,INJ (40MG) 9

G6PD QUANT. 227

GABAPENTIN CAP, 300MG 1

GABAPENTIN CAP, 400MG 1

GABAPENTIN CAPS, 100MG 3

GABAPENTIN SOLN. 250MG/5ML 2

GADOLINIUM CONTRAST PER ML 20

GADOXETATE DISODIUM,PER 1 ML, INJ 42

GAIT TRAINING & ELEVATIONS P.T. 175

GALLIUM SCAN TOTAL 2,533

GAMMAGLOBULIN IGA 220

GAMMAGLOBULIN IGE 387

GAMMAGLOBULIN IGM 331

GARAMYCIN GENTAMYCIN,@80MG,INJ(20 27

GARAMYCIN GENTAMYCIN,@80MG,INJ(80 9

GARDNER VAG DNA DIR PROBE 404

GASTRIN 406

GAVISCON SUSP, 360ML 41

GDM CONFIRMATORY GLUCOSE 227

GELATIN SPONGE 12 X 7 51

GELATIN SPONGE COMP SIZE 100 170

GELATIN SPONGE SIZE 100 170

GELPORT KIT 100MM WITHOUT TROCARS 3,726

GEMCITABINE HCL,@ 200 MG,INJ(1GM) 854

GEMFIBROZIL TAB 600MG 7

GENETIC VIRUS ISOLATE, HSV 329

GENITAL CULTURE 158

GENOTYPE, DNA, HIV REVERSE T 778

GENTAMICIN 0.1% CREAM 15GM 280

GENTAMICIN OINT 0.1% 15G 280

GENTAMICIN OPHTH SOLN 0.3% (1ML) 109

GENTAMICIN OPTH OINT 0.3%(3.5G) 111

GENTAMYCIN PEAK 389

GENTAMYCIN,@ 80MG,INJ (10MG-PED) 14

GENTAMYCIN,@ 80MG,INJ (2MG-NICU) 28

GENTAMYCIN-NSS,@ 80MG,INF (40MG) 23

GENTAMYCIN-NSS,@ 80MG,INF (60MG) 14

GENTAMYCIN-NSS,@ 80MG,INF (80MG) 23

Page 71: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

GENTAMYCIN-NSS,@ 80MG,INF(100MG) 20

GENTAMYCIN-NSS,@ 80MG,INF(120MG) 11

G-ESOPH REFLX TST W/ELECTRO-10000 2,113

GGT 167

GI TRACT CAPSULE ENDOSCOPY-11861 824

GI TRACT,UPPER,AIR,BARIUM,W/ KUB 1,828

GI TRACT,UPPER,AIR,BARIUM,W/O KUB 1,981

GI UPPER W/SM.INT,AIR,BARIUM,SERL 1,991

GIARDIA LAMBLIA AG, E/A 258

GLEN HEAD EQUINOXE 38 REV 3200138 6,900

GLEN REUNIO RSA 32X2 5573C3202 8,757

GLENOID PERFORM GUIDE SGL MWJ021 4,087

GLENOID SIMPLICITY SZ3 DWG403 25,755

GLENOID SMR BASEPLATE 137515610 10,946

GLENOID SMR BASEPLATE SM137515605 10,946

GLENOID SMR SHOULD MED 137514662 13,136

GLENOID SMR SHOULD SM RT137514651 13,136

GLENOSHERE 38MM ECCENTRIC 11,542

GLENOSHERE 41MM CURV 115323 8,407

GLENOSHERE HUM BEARING36MM 115310 8,407

GLENOSHPERE 38MM ECCENTRIC 13,000

GLENOSPHERE AEQ 36MM DWJ012 18,433

GLENOSPHERE AEQ 36MM+3 DWJ022 18,433

GLENOSPHERE BASE REV TH 115330 8,786

GLENOSPHERE HUM BEAR 36MM 115313 8,407

GLENOSPHERE REUNION36X2 5573C3602 9,344

GLENOSPHERE RVRS SHLD36MM 115316 8,407

GLENOSPHEREMINIBASEPLATE010000589 16,212

GLIDECATH, ALL 504

GLIDEWIRE .035 180CM STR (GR3503) 253

GLIDEWIRE .035-180 ANGLE (GS3508) 299

GLIDEWIRE ANGLED .035 X (GR3506) 189

GLIDEWIRE STRAIGHT .035 (GR3501) 189

GLIDEWIRE, ALL 579

GLIDEWIRE,.035-180-ANG (46-152) 253

GLIDEWIRE.035 ANGLED 260CM(46-154 285

GLIDEWIRE.035X150CM,ANGLED(46-151 192

GLIMEPIRIDE TAB, 2MG 7

GLIMEPIRIDE TAB,1 MG 6

GLIPIZIDE 5MG TAB 2

GLIPIZIDE XL TAB, 10MG 4

GLIPIZIDE XL TAB, 2.5 MG 4

GLIPIZIDE XL TAB, 5MG 3

GLOBULINS TOTAL (SERUM) 271

GLUCAGON RECOMB, @ 1MG,INJ (1MG) 1,167

GLUCATROL TAB, 10MG 4

GLUCOSE GEL 15GM DOSE(37.5GM TUBE 9

Page 72: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

GLUCOSE GEL 15GM(60ML BOTTLE) 13

GLUCOSE METER BILL ONLY 96

GLUCOSE TOLERANCE LIQ 300ML 61

GLUCOSE, 1 HOUR 112

GLUCOSE, QUANT, BLOOD. 69

GLUTAMIC ACID DECARBOXYLASE 318

GLYBURIDE 2.5MG TAB 3

GLYBURIDE 5MG TAB 1

GLYBURIDE TAB, 3MG 3

GLYCERIN ADULT SUPP 1

GLYCERIN SUPP.PEDIATRIC 1

GLYCOPROTEIN ANTIBODY 83

GLYCOPYROLATE 1 MG, TAB 7

GLYCOPYRROLATE INJ, 0.2MG/1ML 5

GLYCOSYLATED HB HOME DEVICE 209

GOLIMUMAB @ 1 MG, IV (50MG) 214

GOSERELIN ACETATE INJ, 3.6 MG 3,402

GOSERELIN ACETATE,PER 3.6MG(10.8) 4,113

GRAFT BIO HERNIA 13X22 G46600 36,809

GRAFT BIOADAPT DBM 46CC DS0462 15,179

GRAFT DURAL DURAGEN 1X1IN ID1101 1,568

GRAFT FILTER FOR RIA 352229S 1,976

GRAFT HEAD FEM 20-70MM 450205 12,412

GRAFT HEAD FEM 44MM OR GR450100 8,347

GRAFT HEMA 1 BRANCH 26MM 175826 10,117

GRAFT HEMA 1 BRANCH 30MM 175830 10,117

GRAFT HEMASHIELD 10MM/30CM 3,824

GRAFT HEMASHIELD 8MM/30CM GOLD 4,017

GRAFT HEMASHIELD1BRNCH32MM175832P 10,116

GRAFT HEMASHLD 24MM TGRFT 175824P 10,117

GRAFT HERN 7X10 G31455 5,604

GRAFT INTEGRA2X2IN MATRIX MWM2021 15,374

GRAFT MAP3 STRIPS ALLOG5CC M35005 13,427

GRAFT MATRIX BOATS 2.5X5CM A42210 9,701

GRAFT MESH WOUND 4X5IN MWM4051 19,439

GRAFT MOPS PATELLA RT MOPS16 38,303

GRAFT PROPATEN 6X80MM 17,235

GRAFT PUTTY 1ML 43102 1,111

GRAFT SCLERA WHOLE GLOBE SCLERA 3,503

GRAFT STENT22X70X16 BEA227011630 81,726

GRAFT VASC 14X7X40 M00202166147P 5,115

GRAFT VASC 47MM/10CM/45CM RING 4,207

GRAFT VASC 4-7MMX45CM H470045A 7,796

GRAFT VASC 6MMX10CM S0601 1,003

GRAFT VASC 6MMX5CM 0650HYB0605A 14,303

GRAFT VASC 8MM/40CM/50CM 6,233

GRAFT VASC 8MM-70CM X 80CM 8,722

Page 73: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

GRAFT VASC ARTEGRAFT 6X40 AG740 7,117

GRAFT VASC GORE 8X5 0650HYB0805A 15,641

GRAFT VASC PROPATEN 8X90 HAX02A 25,214

GRAFT VASC PROPATEN40X6 H060040A 6,066

GRAFT VASC RINGS 6MM/50CM THIN 5,560

GRAFT VASC STRETCH 4-7MM/30CM 2,542

GRAFT VASC STRETCH 4-7MM/40CM TAP 3,292

GRAFT VASC STRETCH 7MM/10CM STAND 1,018

GRAFT VASC STRETCH4-7MM/45CM 3,628

GRAFT VASC4-7X45ACUSEALECH470045A 8,751

GRAFT VASCULAR PROPATEN 8MMX80CM 17,755

GRAFT VITOSS BB 2.5CC 21022202 7,032

GRAFT VITOSS BB TRAUMA 21022201 4,102

GRAFT VITOSS TRAUMA 5CC 21022205 13,184

GRAFT VITOSS10CCFOAM PACK21022210 24,607

GRAFT XENAB 19X28CM COLL 1151928 85,507

GRAFT XENMATRIX 10X15 1151015 25,003

GRAFT XENMATRIX 15X20 1151520 48,922

GRAFT XL GRAFTLINK GRX001 14,595

GRAFT ZENAPRO HYB 10X15 G35477 5,149

GRAFT ZENAPRO HYB HERNIA G35476 20,024

GRAFTON 5CC PUTTY **DELI (P43105) 4,506

GRAFTON ORTHOBL SM DEF 10CC 44150 8,350

GRAFTON,GEL,5CC 4,414

GRAM, SMEAR ONLY 100

GRAPTOR ATRAUMATIC GRASPING RETRA 1,401

GRASPER CROCODILE DAVINCI428059 695

GRFT TRUNK IPSILATERAL LEG DEVICE 54,233

GRIP DALL MILES MEDI (6704-3-082) 7,430

GRIP MED 100MM LG W2CAB 67043081 7,430

GRIP MEDIUM DALL MILES 6,037

GROUP II STAIN, REF LAB 350

GROUP PSYCHOTHERAPY MEDICARE 500

GROWTH HORMONE 387

GUAIFENESIN DM SYR (4 OZ. BOTTLE) 14

GUAIFENESIN SYRUP (4 OZ. BOTTLE) 14

GUAIFENESIN SYRUP 100MG/5ML 3

GUAIFENESIN TAB CR, 600MG 6

GUANFACINE TAB 1MG 5

GUID.FOR TARGET VOL-NOT IMRT/SRS 458

GUIDANCE FOR DRAINAGE OF 1,248

GUIDE CATHETER, ALL 877

GUIDE PIN 3.2X444 281001175 739

GUIDE WIRE 3.2MM (03.010.115) 572

GUIDE WIRE BLUNT (8670001) 498

GUIDE WIRE SHARP 498

GUIDE WIRE VIPER 1,711

Page 74: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

GUIDE,SUTURE GAB TANGLE FREE VALV 170

GUIDEROD T2X800 SMOOTHTIP 908

GUIDEWIRE (DIAGNOSTIC CATH ONLY) 92

GUIDEWIRE (INTERVENTIONAL WIRE) 791

GUIDEWIRE .014X300 ANG GA1430 1,343

GUIDEWIRE .018INX300CM M001468540 620

GUIDEWIRE .035 150CM ANGLED FLEXA 175

GUIDEWIRE .035INX260CM G01253 139

GUIDEWIRE .035X150CM STRL TIP EZ 175

GUIDEWIRE .035X180CM5CMM001465911 370

GUIDEWIRE 035X145CM M0066401041 207

GUIDEWIRE 035X180 STR 503456 260

GUIDEWIRE 035X180CM 503456M5 260

GUIDEWIRE 035X180CM M001465251 259

GUIDEWIRE 035X260CM M001465261 272

GUIDEWIRE 035X300 503456X 359

GUIDEWIRE 038X145CM M001465171 171

GUIDEWIRE 1.25/150MM THREADED 157

GUIDEWIRE 1.45 VIPER 286705320 2,977

GUIDEWIRE 1.4MMX150 705233 395

GUIDEWIRE 1.4X150MM ASNS111 194

GUIDEWIRE 2.5X200MM 310243 352

GUIDEWIRE 2.5X300 03120026 425

GUIDEWIRE 2.8/300MM THREADED FOR 241

GUIDEWIRE 260CM .035 ANG (GS3510) 317

GUIDEWIRE 2X150 705234 395

GUIDEWIRE 3.2MM/400MM 497

GUIDEWIRE 3.2X230 705235 455

GUIDEWIRE 3.2X230 THREAD 705236 485

GUIDEWIRE 3X80 281001080 706

GUIDEWIRE 3X80CM 281001100 706

GUIDEWIRE 3X98 SS 27922 882

GUIDEWIRE 47225508 817

GUIDEWIRE ACUTRAK .054 AT25400 969

GUIDEWIRE ADVANT 035X260 GA3502 1,051

GUIDEWIRE ADVANTAGE014X180GA1418 1,722

GUIDEWIRE AEQ PERFORM 2.5 DWD017 613

GUIDEWIRE ANCH 1.2X70 AGK0212070 142

GUIDEWIRE BALL TIP 2.5X800MM STER 908

GUIDEWIRE BALL TIP 3.0/800MM STER 908

GUIDEWIRE BALL TIP 3.0X1000MM 977

GUIDEWIRE BALLTIP3X285MM18060050S 598

GUIDEWIRE DUAL FLEX 3/150CM SENS 344

GUIDEWIRE K 1.25X100 292600 2,577

GUIDEWIRE K 1.6X100 2,577

GUIDEWIRE LAT ACCESS SYST54GW0051 1,753

GUIDEWIRE NICORE STR 150NFS35 146

Page 75: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

GUIDEWIRE NITINOL 1.1MMX15 266

GUIDEWIRE NITINOL 450 75701450 934

GUIDEWIRE NT 1.6X150MM 900601 274

GUIDEWIRE OMEGA3 2.8X230 704012S 595

GUIDEWIRE OMEGA3 2.8X230MM704011S 222

GUIDEWIRE PTFE 3CM FLEXTIP COATED 138

GUIDEWIRE SMOOTH TIP 3.0/800MM 908

GUIDEWIRE STIFF035X75 M001465631 146

GUIDEWIRE SUBFIX 1.9 XBR001001 759

GUIDEWIRE THREADED 1.1 (292.622) 179

GUIDEWIRE THREADED 3.2X300MM 190

GUIDEWIRE TRAXCESS 14EX 0.014X200 2,446

GUIDEWIRE URET .035X150CM G30476 222

GUIDEWIRE VASC.035X150M00146155B1 192

GUIDEWIRE VASC.035X180M00146156B1 262

GUIDEWIRE, ALL 828

GUIDEWIRE,DIAGNOSTIC 99

GUIDEWIRE,HYDROPHILIC,HYBRID,MICR 2,949

GUIDEWIRE,HYDROPHILIC,MICROVENTIO 2,343

GUIDEWIRE,INTERVENTIONAL 804

GUIDEWIRE.035X150 ANG M0066703061 331

GUIDEWIRE.078 2X203.2MM AR8956K01 156

GUIDEWIRES, SYNCHRO -10,BS 3,936

GUIDEWIRES, SYNCHRO -14,BS 4,473

GUIDEWIRES, SYNCHRO,BS 4,245

GUIDEWIRES, TRANSEND .010,BS 3,094

GUIDEWIRES, TRANSEND 300,BS 3,542

GUIDEWIRES, TRANSEND EX .014,BS 2,972

GUIDEWIRGRAPHX014X300H74914914012 555

GWIRE 045X6.84 AR895006 117

H PYLORI PANEL,IGA 339

H. PYLORI IGG 339

H.PYLORI IGG QUANTITATION 339

HAEMOPHILUS B CONJUGATE(PRP-T)VAC 60

HALDOL - HALOPERIDOL 249

HALF PIN 150X30 50173150S 686

HALF PIN 150X35 50179150S 686

HALF PIN SD 180X30 50173180S 686

HALF PIN SD 180X40 50174180S 686

HALO 90 ABLATION CATHETER 2,584

HALOPERIDOL 10MG TAB 10

HALOPERIDOL CONC, 2MG/ML 3

HALOPERIDOL DECAN.,@ 50MG,INJ(50) 191

HALOPERIDOL DECAN.,@50MG,INJ(100) 335

HALOPERIDOL TAB, 0.5MG 2

HALOPERIDOL TAB, 2MG 4

HALOPERIDOL TAB, 5MG 10

Page 76: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

HALOPERIDOL,PER 5 MG,INJ (50 MG) 39

HALOPERIDOL,PER 5MG,INJ(LACT-5MG) 6

HAND 2 VIEWS 573

HAND 3 VIEWS 648

HANDPIEC BNDABEAM 6IN 10FT 134006 467

HANDPIECE BENDABEAM 134003 457

HANLE ELECTROSURGICAL PISTOL EPH2 381

HAPTOGLOBIN 296

HBO COMMERCIAL INS 2,998

HCG TUMOR MARKER 353

HDL CHOLESTEROL 190

HDR RADN.INTERST/CAV.BR,2-12CH,SB 8,776

HDR RADNU.INTERST/CAV.BR,1 CH,SUB 8,465

HDR RADNUCL.INTERST/CAV.BR,2-12CH 8,776

HDR RADNUCL.INTERST/CAV.BRAC,1 CH 8,465

HEAD 49MM UNITRAX MOD 69425049 1,720

HEAD ARTICULATE FEMERAL 28MM +5 3,491

HEAD BIOLOX 36MM -3 1363630 4,379

HEAD BIOLOX CER 28MM 12115110 6,276

HEAD BIPOLAR 28/44 103544000 2,725

HEAD BIPOLAR UHR 51/26MM 7,129

HEAD BIPOLAR UHR50MM UNIV UH15026 7,129

HEAD BIPOLAR UNIV UHR 45MM 7,129

HEAD BIPOLAR UNIVERSAL 52/26MM 7,129

HEAD CER V40 28MM BIOLOX DELTA 5,736

HEAD CER V40 36MM BIO DELTA 0-536 5,736

HEAD CERAMIC CTAPER 183625 5,736

HEAD CERAMIC V40 28MM BIO DEL 5,736

HEAD CERAMIC V40 28MM BIO DELTA 5,736

HEAD CERAMIC V40 28MM BIOLOX DELT 6,780

HEAD CERAMIC V40 32MM BIO +4DEGRE 5,736

HEAD CERAMIC V40 32MM BIO 0DEGREE 5,736

HEAD CERAMIC V40 32MM BIO DELTA 5,736

HEAD CERAMIC V40 36MM BIO DELTA 5,736

HEAD CERAMIC V40 36MM BIOLOX DELT 5,736

HEAD CERAMIC V40 36MM DELTABIOLOX 5,736

HEAD CTAP +7.5OFF SZ32 S1400HH34 3,855

HEAD CTAP BIOLOX CER 36MM 183600 5,736

HEAD C-TAPER 28 BIOLOX CER 182825 5,736

HEAD C-TAPER BIOLOX CERAMIC 32MM 5,736

HEAD EVOLVE 22MM 496H022 11,337

HEAD FEM 12/14 28MM +7 0081802814 2,785

HEAD FEM 22MM +4 71342204 9,297

HEAD FEM 28MM +3 101812000 2,897

HEAD FEM 28MM +7.5 S1400HH84 3,593

HEAD FEM 28MM ARTICUL 136514000 2,332

HEAD FEM 28MM+4 71342804 6,013

Page 77: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

HEAD FEM 28X46 103546000 2,725

HEAD FEM 31MM +6 1363604 4,379

HEAD FEM 32MM/14 NECK 902634 2,526

HEAD FEM 36MM ARTCULEZE 136550000 3,702

HEAD FEM 36MM BIOLOX 1363600 4,379

HEAD FEM ART 33MM +1.5MM136536710 19,846

HEAD FEM ARTICUL 28MM 136512000 2,332

HEAD FEM ARTICUL/EZE 22 136530000 2,309

HEAD FEM BIO 36MM +7MM00877703604 6,965

HEAD FEM BIOL 36MM +12 136536340 6,719

HEAD FEM BIOLIX28MM+1.5 136528710 11,868

HEAD FEM BIOLOX 28MM +5 182805 5,561

HEAD FEM BIOLOX 28MM 12115109 6,276

HEAD FEM BIOLOX 28MM 136528320 5,640

HEAD FEM BIOLOX 28MM -2.5 18283 5,348

HEAD FEM BIOLOX 28MM 6501055 18,522

HEAD FEM BIOLOX 28MM0MM 182800 5,561

HEAD FEM BIOLOX 32 +9 136532330 5,972

HEAD FEM BIOLOX 32MM 1363260 4,379

HEAD FEM BIOLOX 32MM-3 1363230 4,379

HEAD FEM BIOLOX 33MM-2.5MM18363 5,736

HEAD FEM BIOLOX 36MM CER 650-1057 8,908

HEAD FEM BIOLOX 36MM-5MM 18365 5,736

HEAD FEM BIOLOX CER28MM 136528740 8,296

HEAD FEM BIOLOX CERM 36 136536320 6,302

HEAD FEM BIOLOX28MM+0 00877702802 6,276

HEAD FEM BIOLOX28MM+1.5 136528310 6,302

HEAD FEM BIOLOX28MM+8.5 136528330 5,640

HEAD FEM BIOLOX32MM+0 00877703202 6,276

HEAD FEM BIOLOX36MM+5 136536720 10,156

HEAD FEM BIOLOX36MM+7.5 183675 5,736

HEAD FEM BIOLOX36MM+8.5 136536330 6,720

HEAD FEM BIOLOX36MM+8.5 136536730 10,156

HEAD FEM BIOLOX40MM+0 00877504002 6,965

HEAD FEM BIOLOXDELTA32MM136532310 6,302

HEAD FEM BIOLOXDELTA36MM136536310 6,302

HEAD FEM BIPOL 28X43 103543000 2,725

HEAD FEM BIPOL 28X45 103545000 2,725

HEAD FEM BIPOL 28X48 103548000 2,725

HEAD FEM BIPOL 28X53 103553000 2,725

HEAD FEM BIPOL28X49 103549000 2,725

HEAD FEM BIPOL28X52 103552000 2,737

HEAD FEM BIPOLAR 28X47 103547000 2,725

HEAD FEM CER BIOLOX 36MM 1363613 4,379

HEAD FEM CER BIOLOX 36MM136536230 6,302

HEAD FEM CERAMIC 136536310 6,302

HEAD FEM CERAMIC 36MM 1363660 4,379

Page 78: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

HEAD FEM DELTA 36MM -5 65700036 5,736

HEAD FEM ECHELON 28MM 71342808 6,013

HEAD FEM FREEDOM 36MM 11-107018 9,350

HEAD FEM HIP MOLD 52MM 431182 5,721

HEAD FEM HIP MOLD 56MM 431183 5,722

HEAD FEM HIP MOLD 64MM 431185 5,500

HEAD FEM HIP MOLD STAGE1 431181 5,721

HEAD FEM HIP MOLD STAGE1 431184 5,721

HEAD FEM LFIT 36MM +10MM 06-3610 6,526

HEAD FEM OXIN 28MM +0MM 71342800 6,673

HEAD FEM OXIN 28MM +12 71342812 6,013

HEAD FEM OXIN 32MM 71343200 6,673

HEAD FEM OXIN 40MM 71342340 19,439

HEAD FEM OXINIUM +8 36MM 71343608 6,673

HEAD FEM OXINIUM 22MM 71342200 9,297

HEAD FEM OXINIUM 22MM 71342208 9,297

HEAD FEM PCA 36MM+15MM 62800436 12,473

HEAD FEM RESTOR 22MM 062200 2,300

HEAD FEM RESTOR 22MM+5 062205 2,010

HEAD FEM RESTOR22.2MM+3MM62604222 2,300

HEAD FEM UNITRAX 42MM 69425042 1,721

HEAD FEM UNITRAX 44MM 69425044 1,720

HEAD FEM UNITRAX 45MM 69425045 1,721

HEAD FEM UNITRAX 46MM 69425046 1,720

HEAD FEM UNITRAX 48MM 69425048 1,721

HEAD FEM UNITRAX 50MM 69425050 1,720

HEAD FEM UNITRAX 51MM 69425051 1,720

HEAD FEM UNITRAX 52MM 69425052 1,721

HEAD FEM UNITRAX 54MM 69425054 1,821

HEAD FEM UNITRAX 55MM69425055 1,720

HEAD FEM V40 32MM +12 6260-5-432 2,299

HEAD FEM V40 32MM+0 62609132 2,299

HEAD FEM V40/26MM STANDARD NECK 2,300

HEAD FEM V40LOW FRICT36MM STD NCK 2,300

HEAD FEMOR 32M 12/14 +5 136532320 6,953

HEAD FEMORAL 12/14 SZ 00877503601 6,965

HEAD FEMORAL 12/14 TPR 28MM 2,665

HEAD FEMORAL 22MM STD V40 2,300

HEAD FEMORAL 22MM V40 62604322 2,300

HEAD FEMORAL 28+0 71302000 2,665

HEAD FEMORAL 28MM /18MM 2,665

HEAD FEMORAL 28MM +4 (6260-5-228) 2,300

HEAD FEMORAL 28MM ZIMMER 2,785

HEAD FEMORAL 32MM 6,673

HEAD FEMORAL 32MM OXINIUM +8 9,661

HEAD FEMORAL 32MM STD NECK V40 2,300

HEAD FEMORAL ARTICULEZE 32MM 3,569

Page 79: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

HEAD FEMORAL DELTA 5,736

HEAD FEMORAL OXINIUM 12/14 36MM 6,673

HEAD FEMORAL OXINIUM 32MM 6,673

HEAD FEMORAL OXINIUM 36MM +12 6,416

HEAD FEMORAL OXINIUM 36MM -3 6,673

HEAD FEMORAL V40 26MM-3MM NECK 2,300

HEAD FEMORAL V40 32MM/8MM NECK 2,300

HEAD FEMORAL V40 4MM NECK METAL 2,300

HEAD FEMORAL V40 LFIT 36MM/10MM 6,528

HEAD HUM 15X45X4 COCR DWG145 9,633

HEAD HUM 17X51X4 DWG151 9,633

HEAD HUM 18X42X35 DWG144 9,633

HEAD HUM 18X54X4 DWG154 9,633

HEAD HUM 20X51X1.5 DWG052 9,633

HEAD HUM 42X14 COCR DWG042 9,633

HEAD HUM 45X15X1.5 COCR DWG045 9,633

HEAD HUM 48X16X1.5 DWG048 9,633

HEAD HUM 48X18X1.5 COCR DWG049 9,633

HEAD HUM 52X21MM 110052620 9,523

HEAD HUM AEQ 43X16 DWF043 9,633

HEAD HUM AEQ 43X16 DWF143 10,278

HEAD HUM AEQ 46X17MM DWF146 10,278

HEAD HUM AEQ 48X17 DWF148 9,633

HEAD HUM AEQ 48X18 DWF048 9,633

HEAD HUM AEQ 50X16 DWF050 9,633

HEAD HUM AEQ 50X19MM DWF051 10,278

HEAD HUM AEQ 50X19X4 DWF151 10,278

HEAD HUM AEQ 50Z14Z4 DWF150 9,633

HEAD HUM AEQ 52X19MM DWF052 10,278

HEAD HUM AEQ 52X19X4 DWF152 10,278

HEAD HUM AEQ 52X23 DWF053 10,278

HEAD HUM AEQUALIS 46X17 DWF046 10,278

HEAD HUM FLEX 51X17 DWG051 9,633

HEAD HUM GLOB 52X18MM110052610 9,523

HEAD HUM GLOBAL 44X15 110044600 8,925

HEAD HUM GLOBAL 44X18 110044610 9,523

HEAD HUM GLOBAL 48X18MM 110048610 9,523

HEAD HUM GLOBAL48X18MM 110048600 9,240

HEAD HUM GLOBAL52X15 110052600 8,925

HEAD HUM PCA 28MM+0 62800128 2,833

HEAD HUM SIMPLICITI50X19 7122874 19,859

HEAD HUM SIMPLICITY52X19 7122875 19,859

HEAD HUM SMR 52MM 132209520 7,154

HEAD HUMERAL 48X18 9,615

HEAD MODULAR 36MM 11363660 3,726

HEAD OXINIUM FEMORAL 12/14 36MM 6,673

HEAD RAD EVOLVE 20MM 496H020 11,337

Page 80: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

HEAD RAD EXPLOR 10X20 11210022 7,368

HEAD RAD EXPLOR 10X22 11210031 7,368

HEAD RAD EXPLOR 12X20 11210023 7,368

HEAD RAD EXPLOR 12X24 11210042 7,368

HEAD RAD EXPLOR 14X20 11210024 7,368

HEAD RAD SZ3 RHAS3 14,142

HEAD RADIAL COMP SZ3 RHAH3 8,598

HEAD RADIAL EXPLOR 10X24 11210041 7,368

HEAD TAPER BIOL CER 32 -2.5 18323 5,736

HEAD TAPER BIOLOX CERAMIC 32MM 5,736

HEAD TAPER C +5 DELTA 5,736

HEAD UHR BIPOLAR 44/26MM UHL4426 7,129

HEAD UHR UNIV BIPOLAR 46MM/26MM 7,129

HEAD UM ART 28MM+8.5 136513000 2,587

HEAD UNIV BIPLOAR 47X26MM UHR 7,129

HEAD UNIVERSAL 53MM 7,129

HEAD V40 ANATOMIC 36MM/-2.5 BIOLO 5,736

HEAD,26MM X4 5-40 TAPER VIT 2,300

HEAD,MODULAR,HIP,STD,163662 3,726

HEART VALVE&RETROFLEX DEL.KIT-RF3 73,125

HEARTSTRING 3.8 SEAL HSK-2038 3,564

HEELBOOT LGE W/LAUNDRY BAG 358

HELIOX TREATMENT 209

HEMODIALYSIS IP (W/1 MD EVAL) 3,693

HEMODIALYSIS,LTACH,BEDSIDE 3,693

HEMODIALYSIS-OUTPATIENT 3,217

HEMOGLOBIN GLYCOLATED 226

HEMORRHOIDAL-H OINT (30GM) 27

HEMOSIDERIN STAINE, URINE 320

HEMOVAC,WOUND DRAINAGE,800ML,LRG 160

HEP B SURFACE ANTIBODY 251

HEP B SURFACE ANTIGEN* 241

HEP.VENOGRAM 4,582

HEPARIN ANTI XS-ASSAY 278

HEPARIN DRIP 'PER PROTOCOL' 3

HEPARIN IN DETROSE 5%, 25,000U 2

HEPARIN IN NALC 0.9% 1000U 28

HEPARIN INDUCED PLATELET AB 509

HEPARIN INJ, 1000 U/ML (30ML) 16

HEPARIN INJ, 1000U/ML 10ML 5

HEPARIN SOD.@ 1000 U,(4000 NEURO) 28

HEPARIN SOD.FLUSH @ 10U INJ (1) 0

HEPARIN SOD.FLUSH @ 10U INJ(100) 5

HEPARIN SOD.FLUSH-PF @ 10U INJ 0

HEPARIN SODIUM @ 1000U INJ 27

HEPARIN SODIUM @ 1000U INJ (10K) 1

HEPARIN SODIUM @ 1000U INJ (5K) 6

Page 81: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

HEPATIC FUNCTION PANEL 190

HEPATIC VENO WEDGED W/O H 9,163

HEPATITIC C DNA BY PCR 470

HEPATITIS A & B RECOMB VAC, 1ML 676

HEPATITIS A AB IGG 286

HEPATITIS A ANTIBODY IGM 264

HEPATITIS B CORE TOTAL AB 282

HEPATITIS B DNA QUANT 114

HEPATITIS B IMMUNE GLOB INJ 5M 911

HEPATITIS B IMMUNE GLOBULIN,0.5ML 496

HEPATITIS B SURF FAB QUAN 251

HEPATITIS B VACCINE 20MCG/ML 1 348

HEPATITIS B, DNA, AMP PROBE 1,714

HEPATITIS BE ANTIBODY 270

HEPATITIS BE ANTIGEN 268

HEPATITIS B-VACCINE 10MCG/0.5ML 138

HEPATITIS C ANTIBODY 332

HEPATITIS C GENOTYPE DNA 5,979

HEPATITIS C, AMPLIFIED PROBE TECH 814

HEPATITIS C, RNA, QUANTITATIVE 989

HEPATOBILIARY SYSTEM IMAGING 2,160

HEPATOBILIARY SYSTEM W/DRUG 2,160

HERPES AMPLIF PROBE,DET NUCLEIC 835

HERPES SIMPLEX, NON-SPECIFIC TYPE 153

HERPES SIMPLEX-TYPE 2 451

HERPESVIURS 6 AB IGG 301

HFE GENE 220

HIP ARTHROGRAPHY S & I 803

HIP CANNULA 7X90 72200440 196

HIP SYS REST MOD 21MM+10 62761121 23,000

HIP SYSTEM REST MOD 25MM 62761225 23,000

HIP SYSTEM RESTOR 15MM 62767015 16,644

HIP SYSTEM RESTORATION MODUL 23MM 23,000

HIP(INCL.PELVIS),UNILAT,1 VIEW 275

HIP(INCL.PELVIS),UNILAT,2-3 VIEWS 425

HIP(INCL.PELVIS),UNILAT,4+VIEW 750

HIPS(INCL.PELVIS),BILAT, 2 VIEWS 425

HIPS(INCL.PELVIS),BILAT, 5+ VIEWS 800

HIPS(INCL.PELVIS),BILAT,3-4 VIEWS 600

HISTAMINE 705

HISTOPATHOLOGY FROZEN 520

HIV PCR QUANT CSF 1,967

HIV-1 & HIV-2,SINGLE ASSAY,SCREEN 320

HIV-1 W/AMPLIC. PCR 451

HIV-2 242

HLA COMPATIBLE 2,200

HLA I TYPING 1 ANTIGEN LR 33

Page 82: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

HLA II,TYPE1,HR,1 ALLELE/GRP,EA. 234

HLA II,TYPE1,LR,1 AG EQUIV,EA. 234

HOCM <=149 MG/ML IODINE, PER 1ML 1

HOLTER RECORDING UP TO 48 HOURS 473

HOMATROPINE OPHTH SOLN, 2% (5ML) 197

HOMATROPINE OPHTH SOLN, 5% (5ML) 98

HOMOCYSTEINE, SERUM 397

HOOD FLYTE SURICOOL 0408801400 146

HOOK CAUTERY DAVINCI 428090 832

HOOK DA VINCI S/SI PERMANENT CAUT 1,168

HOOK SUTURE SPECLL45D DIS C6381 423

HOOK SUTURE SPECLL4X20MMDISPC6386 423

HOOK SUTURE SPECTLL50D DISP C6382 423

HOOK SUTURE SPECTLL60D DISP C6383 423

HOT/COLD PACKS EACH PACK 18

HP FAST 258

HPYLORI PANEL-IGM 339

HPYLORI, STOOL, EIA 2,089

HSV TYPE 1 IGG 311

HT MUSCLE IMAGE SPECT, MULT 6,448

HT MUSCLE IMAGE SPECT, SING 4,368

HTLV-1 198

HU AUTOANTIBODY,SER OR CS 282

HU-IMMUNOREACTIVITY 302

HUM BEARING E1 44X36 EP115395 13,030

HUM TRAY W/LOCK RING 115370 14,834

HUMALOG INSULIN 75/25 4

HUMERAL SMR BODY 135015110 18,320

HUMERUS 2 VIEWS 676

HYALURONIDASE @ 150U INJ 379

HYDRALAZINE 10MG TAB 3

HYDRALAZINE TAB, 50MG 2

HYDRALAZINE TAB,25MG 2

HYDRALAZINE,PER 20MG, INJECTION 82

HYDRALAZINE/ISOSORBIDE37.5MG/20MG 22

HYDRATE IV INFUSION, ADD ON 576

HYDRATION FLUID 16

HYDRATION IV INFUSION 1ST HOUR 448

HYDRATION IV INFUSION,INIT. 1,347

HYDROCHLOROTHIAZIDE 25MG TAB 1

HYDROCHLOROTHIAZIDE CAP 12.5MG 2

HYDROCODONE/APAP TAB, 10/325 6

HYDROCODONE/APAP TAB, 7.5/325 4

HYDROCODONE/APAP TAB,5/325 2

HYDROCOIL,HELICA,REGULAR,MICROVEN 13,223

HYDROCORTISONE 0.5%OINT 30GM 24

HYDROCORTISONE 1% CREAM 30GM 17

Page 83: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

HYDROCORTISONE 1% OINT 30GM 22

HYDROCORTISONE 1% RECTAL CR 30 219

HYDROCORTISONE 10MG TAB 4

HYDROCORTISONE 1MG/ML, INJ (NICU) 6

HYDROCORTISONE 2.5% CR 30GM 28

HYDROCORTISONE 2.5% RECTAL CRM 141

HYDROCORTISONE CREAM, 0.5%(30GM) 8

HYDROCORTISONE ENEMA (CORTENEMA) 71

HYDROCORTISONE OINT 2.5% 30GM 24

HYDROCORTISONE SUPP, 25MG 22

HYDROCORTISONE,@ 100 MG,INJ (100) 27

HYDROCORTISONE,@ 100 MG,INJ (250) 23

HYDROGEN BREATH TEST 1,822

HYDROGEN PEROXIDE 3% SOLN 120M 2

HYDROMORPHINE TAB, 2MG 4

HYDROMORPHONE @ 4MG INJ (0.5MG) 187

HYDROMORPHONE @ 4MG INJ (1 MG) 85

HYDROMORPHONE @ 4MG INJ (2 MG) 46

HYDROMORPHONE @ 4MG INJ (2MG-VL) 6

HYDROMORPHONE @ 4MG INJ (PCA 30) 37

HYDROMORPHONE @ 4MG INJ(HP-50MG) 5

HYDROMORPHONE TAB, 4MG 4

HYDROSET 15CC 16,765

HYDROSET 5 CC 6,074

HYDROXYCHLOROQUINE 200MG TAB 3

HYDROXYUREA CAP, 500MG 5

HYDROXYZINE HCL INJ 12

HYDROXYZINE HCL SYRUP, 10MG/5ML 2

HYDROXYZINE HCL TAB 10MG 2

HYDROXYZINE HCL TAB 25MG 2

HYDROXYZINE TAB, 50MG 6

HYOSCYAMINE 0.125MG TAB 5

HYPERBARIC OXYGEN,EA.30 MIN,MEDIC 1,125

HYPERTONIC SALINE SOLTN.@1ML(100) 1

HYSTERECTOMY, TOTAL 18,991

HYSTERO SONOGRAPHY W/O COLOR FLOW 1,248

HYSTERO, INJECTION 227

HYSTEROSALPINGRY, S & I 505

I&D ABSCESS,SIMPLE OR SINGLE 943

I&D EPID,TESTIS&/OR SCRO W/O ANES 7,037

I&D VULVA OR PERINEAL ABSCESS 978

I&R FOREIGN BODY SUBC TISSUE,SIMP 903

IABP CATHETER ONLY 10,696

IABP MONITOR(SPECIALTY CARE)-@ HR 501

IBUPROFEN 200MG TAB 0

IBUPROFEN 400MG TAB 1

IBUPROFEN CHILDRENS SUSP 100MG/5M 5

Page 84: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

IBUPROFEN CHILDRENS SUSP 20MG/ML 27

IBUPROFEN INFANT DROPS,50MG/1.25M 3

IBUPROFEN ORAL SUSP, 200 MG/10ML 6

IBUPROFEN TAB, 600MG 2

IBUTILIDE INJ, 1MG/10ML 3,074

ICD CHECK NOT @ IMPLANT 4,759

ICD DUAL CHAMBER 97,200

ICD GENERATOR RMVL W/LEAD RMVL 8,320

ICD LEAD 41,592

ICD REVISION OF SKIN POCKET 3,672

ICD SINGLE CHAMBER 96,500

ICD W/GENERATOR CHECK @ IMPLANT 1,743

IDARUCIZUMAB, 2.5GM/50ML VIAL,INJ 11,897

IDC-ACTIVE WOUND CARE/20 CM OR < 289

IGF BP-3 458

IGG SUBCLASSES 339

IHC ANTIBODY 370

ILEO.STOMA-DX W/, W/O WASH/BRUSH 4,310

ILIAC ART ANGIO,CARDIAC CATH 1,440

ILIAC REVASC 16,395

ILIAC REVASC ADD-ON 5,250

ILIAC REVASC W/STENT 16,395

ILIAC REVASC W/STENT ADD-ON 16,395

ILLUMINATOR ORTHOLIGHTDISP OM2130 420

ILLUMINATOR SURG 5CM 2CM VA2550 387

IMAGE-COLL.CATH,PERITONEAL/RETRO 2,754

IMAGE-FL.COLL.DRNG-CATH,VISCERAL 2,272

IMIPRAMINE ASSAY 398

IMIPRAMINE TAB, 10MG 2

IMMOBILIZER KNEE 71

IMMUNE GLOB(GAM-CGAM),@500MG(10G) 329

IMMUNE GLOB(PRIVIGEN),@500MG(10G) 377

IMMUNE GLOB(PRIVIGEN),@500MG(20G) 377

IMMUNE GLOB(UNSPEC),@ 500MG (1G) 329

IMMUNE GLOB(UNSPEC),@ 500MG (5G) 377

IMMUNIZATION ADMIN ONE VACCINE 202

IMMUNIZATION ADMIN, EACH ADD 106

IMMUNO ANALYTE O/T INFECT AGT AB 257

IMMUNOASSAY ANALYTE 1 302

IMMUNOASSAY ANALYTE 2 302

IMMUNOASSAY QUANTITATIV 1 352

IMMUNOASSAY RIA, BNP 318

IMMUNOASSAY,ANALYTE,QUANTIT,NOS 302

IMMUNOFIXATION,SERUM 529

IMMUNOFLORESC,@ SPEC,ADD.AB STAIN 425

IMMUNOFLORESCENCE 331

IMMUNOGLOBULIN D 220

Page 85: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

IMMUNOGLOBULIN G, SERUM 220

IMMUNOHIST.-SPEC, EA.SINGLE AB ST 278

IMMUNOHISTO CHEM TISSUE 370

IMP ACHILLES SPDBRIDG AR8928BCJCP 11,647

IMP BREAST 295CCMEMORYGEL SMPX295 5,429

IMP BREAST 300ML 3341102 6,714

IMP BREAST 525CC MEMORY SMPX525 5,429

IMP BREAST COHESIVE 345CC 3341152 7,881

IMP BREAST COHESIVE 620CC 3341402 7,881

IMP BREAST COHESIVE260 3341052 6,714

IMP BREAST COHESIVE290CC 3341207 6,714

IMP BREAST COHESIVE685CC 3341452 7,881

IMP BREAST MEMORYGEL240CC SMPX240 5,079

IMP CAGE NANO32X21X13 23120113N 56,629

IMP CAGE PLIF 13X26 31142613 22,460

IMP CAGENANOLOCK11X26X9 31142611N 25,687

IMP CRANIAL PEEK LARGE 7810030 89,511

IMP CRANIAL PEEK SM CUST 7810010 65,386

IMP CRANIAL PEEK XL CUST 7850040 90,489

IMP CUSTOM TRUSS CAGE 06201711B 67,137

IMP HAMMERTUBE 2.75X14P400010275S 8,297

IMP NANOLOCK 31X11X9 31103109N 26,855

IMP NASAL LATERA LATSYS03 7,006

IMP NP LORD 7X17X14 G6626747 18,543

IMP PATEL TRIATH 10X36MM 5550G360 3,022

IMP PATELLA ATTUNE 32MM 151810032 3,115

IMP PATELLA ATTUNE 41MM 151810041 2,919

IMP PATELLA DURACON XL 66422200 3,861

IMP PATELLA GENLL 10X41MM71421041 2,209

IMP PATELLATRIATH11X539MM5550G391 3,022

IMP PHALINX CANN MED 05042 6,533

IMP PLATE HTO LRG 9D AR13400L09 11,449

IMP PLATE HTO LRG11DEG AR13400L11 11,450

IMP REGENETEN BIOIND LRG 21693 16,346

IMP REGENETENBIO MED 21692 13,427

IMP SPINE COFLEX 10MM UQI00010 42,109

IMP SUBFIX ARTH 6.5MM SUT0065 7,574

IMP SUBFIX ARTH GOLD 8MM SUT0080 7,574

IMP TALIEN TALAR SZ2 RT LJU202T 23,988

IMP TIB SALTO TALARIS SZ2 LJU222T 45,245

IMP XIA3 53X43 CROSSLINK48236043 10,736

IMP XIA3 53X73 CROSSLINK48236053 10,736

IMPELLA 5.0 PUMP SET 005062 99,999

IMPELLA PERCUTANEOUS HEART PUMP 99,000

IMPL ACHILLES SPEEDBRIDAR8928BCCP 10,158

IMPL AUTO MACI MEMBRANE81073 99,999

IMPL BREAST 14.1 450 3505001BC 5,862

Page 86: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

IMPL BREAST 425CC 3504254BC 5,830

IMPL BREAST COHES 295CC 3341155 6,714

IMPL BREAST COHES 390CC 3341202 7,881

IMPL BREAST COHES440CC 3341252 7,881

IMPL BREAST COHESIVE170 3507170MC 4,524

IMPL BREAST COHESIVE255 3507255MC 4,524

IMPL BREAST COHESIVE495CC 3341302 7,881

IMPL BREAST COHESIVE555CC3341352 7,881

IMPL BREAST MEMGEL750CC 3507504BC 5,793

IMPL BREAST MEMORYGEL685 SMPX685 5,429

IMPL CAGE12X22 PLIF 31142212 22,460

IMPL CRAN MEDPOR 130X130X3 81038 55,127

IMPL CRANIAL PEEK PRIORLRG7850030 89,321

IMPL ENDOSKEL 31X13 31103113 25,671

IMPL ENDOSKEL PLIF11X26 31142611 22,460

IMPL FINGER MCP SZ40 MCP40 3,194

IMPL HAMMERTUBE3.5X16 P400010350S 8,297

IMPL IFUSE 3D 7X35 7035M90 16,551

IMPL IFUSE 3D 7X40 7040M90 16,551

IMPL IFUSE 3D 7X55 7055M90 16,551

IMPL LAT ANKLE RECON AR1675BCCP 10,217

IMPL MEDPOR 38X50X.85 7210 2,475

IMPL MEDPOR 41X42X1MM 81034 5,374

IMPL MEDPOR TITAN 3D SM 81041 13,136

IMPL MEDPOR40X62X85 FAN 81049 6,821

IMPL NORIAN INJ 10CC 07704010S 16,972

IMPL ORBITAL BIOEYE 20MM I00020S 4,860

IMPL ORBITAL BIOEYE 22MM 100022S 4,641

IMPL PATELLA ATTUNE 35MM151820035 3,115

IMPL PATELLA ATTUNE 38MM151820038 3,115

IMPL PATELLA ATTUNE29MM 151810029 3,115

IMPL PATELLA ATTUNE32MM 151820032 3,115

IMPL PATELLA ATTUNE35MM 151810035 3,115

IMPL PATELLA ATTUNE38MM 151810038 3,115

IMPL PATELLA JOURNEY 32MM74024832 2,168

IMPL PATELLA TRIATH 33X9 5556L339 3,582

IMPL PATELLA TRIATH29X9 5552L299 3,582

IMPL PATELLA TRIATH32X10 5552L320 3,582

IMPL PATELLA TRIATH35X10 5552L350 3,582

IMPL PATELLA TRIATH38X11 5552L381 3,582

IMPL PATELLA TRIATH40X11 5552L401 3,582

IMPL PATELLATRIATH9XS31MM5550G319 3,022

IMPL PHALINX CANN SM 05041 6,833

IMPL PLIF 12MMX26MM 31142612 22,460

IMPL SHOULD DELTA+10 MET140760020 15,107

IMPL SYS CMCTIGHTROPE1.1AR89190DS 5,121

IMPL TALIEN TALAR COMPSZ1 LJU211T 34,269

Page 87: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

IMPL TALIEN TALAR SZ0 LJU200T 23,988

IMPL TALIEN TALAR SZ0 LJU210T 23,988

IMPL TALIEN TALAR SZ1 LJU201T 23,988

IMPL TALIEN TALARCOMP SZ2 LJU212T 23,988

IMPL TIB COMP SALTO SZ1 LJU221T 31,671

IMPL TIB COMP TALARIS SZ0 LJU220T 31,671

IMPL TIB SALTO TALARIS LJU223 27,147

IMPL TIGHTROPE KNOTLESS AR8926T 5,294

IMPLANT BREAST 200CC GEL3502001BC 5,830

IMPLANT JOURNEY SM LT PFJ 25,757

IMPLANT JOURNEY SM RT PF 25,757

IMPLANT METAGLENE DELTA XTEND 9,112

IMPLANT PATALLA GEN9X32MM71420576 2,189

IMPLANT STERNAL ZIPFIX0850100120S 505

IMPLANT TOE SZ1 LPT REG 487S001 8,985

IMPRAMINE TAB, 25MG 4

IMRT PLANNING 9,004

IMRT W/GUID&TRACK,COMPLEX 4,257

IMRT W/GUID&TRACK,SIMPLE 3,957

INC W/RMVL F/B SUBCUTANEOUS CO 3,461

INCENT SPIROMETER W INSTRUCTION 462

INCIS&DRAINAGE-UP.ARM/ELBOW,BURSA 4,275

INCISE & DRAIN ABCESS,COMPLICATED 4,924

INCISION OF ANAL ABSCESS 2,344

INCISION OF RECTAL ABSCESS 5,177

INCISION THROMBOSED HEMMORHOID 1,211

INDAPAMIDE TAB, 1.25MG 8

INDERMIL TISSUE ADHESIVE,0.5GM 112

INDOCYANINE GREEN INJ,25 MG VIAL 561

INDOMETHACIN 25MG CAP 2

INDOMETHACIN INJ 1MG/1ML 3,640

INDOMETHACIN SUPP, 50MG 64

INDUCED SPUTUM/TRMT 209

INFECTIOUS AG EACH 259

INFECTIOUS AGENT, AMP PROBE 833

INFLIXIMAB, PER 10 MG (100),INJ 734

INFLUENZA VACC,QUAD,SPLIT,PF,<3YR 114

INFLUENZA VIRUS VACC(IIV4),6-35MO 130

INFUSION CATHETER, ALL 740

INFUSION WIRE, ALL 1,538

INHIBIN A 364

INITIAL TREATMENT OF BURN(S) 857

INJ AIR/CONTRAST PER CAVI 222

INJ ANES,INTERCOS NERVES,MULTIPLE 1,843

INJ ANESTH, TRIGEMINAL NERVE 916

INJ CONTRAST VEIN, EXTREMITY 1,562

INJ PERC TR EXTREMITY PSEUDOANEUR 679

Page 88: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

INJ R VENTR/ATRIAL ANGIO 1,335

INJ SUPRVLV AORTOGRAPHY 1,196

INJ TRIGGER POINT(S) 1-2 MUSCLES 650

INJ W/FLUOR,EVALUATE CV DEVICE 520

INJ,CHOLANGIO,& GUID,EXIST.ACCESS 5,287

INJ,CHOLANGIO,& GUID,NEW ACCESS 5,629

INJ,NEPH/URETEROGR. GUID,NEW ACC. 4,737

INJ,NEPH/URETEROGR.GUID,EXIST.ACC 2,077

INJ. PROC-SHOULDER ARTHROGRAPHY 342

INJ.ANESTH.AGENT,CELIAC PLEXUS 1,500

INJ.ANESTH.AGENT-PERIPHERAL NERVE 1,650

INJ.LYMPHANGIO ID SENTINAL NODE 462

INJ.PROC-HIP ARTHROGR, W/ANESTH 492

INJ.PROC-HIP ARTHROGR, W/O ANESTH 364

INJECT PULM ART HRT CATH 1,335

INJECT.TREAT.NERVE,CELIAC PLEXUS 3,500

INJECTION ANES AGENT,FACIAL NERVE 790

INJECTION PROC FOR CYSTOGRAPHY 305

INS ARTGENESISCONSTSZ1-2 71420970 8,866

INS CATH REN ART 1ST BILAT 14,900

INS CATH REN ART 1ST UNILAT 11,233

INS JOURN SZ1-2 12MM 74027224 4,087

INS VAG BRACHYTX DEVICE 2,826

INS/REPL.PERM.LEADLES.PMKR,VENTR 29,252

INS/REPL.SUBQ.DEFIB.W/ELEC.&PROG 67,008

INS/REPL.TEMP.1 CHM.ELECT/PM CATH 8,686

INSERT 1 ELECTRODE-PPM/DEFIB 10,204

INSERT 11MM CONST G2 SZ 1-2 9,842

INSERT 2 ELECTRODES-PPM/DEFIB 12,563

INSERT 36MM D TRIDENT XE 3,401

INSERT 36MM TRIDENT 3,401

INSERT 9MM CONST G2 SZ 1-2 9,842

INSERT ACET 32X53 433832053 5,365

INSERT ACET REST 28X46 12362846 3,065

INSERT ACET REST22.2X38MM12362244 3,401

INSERT ACET RESTOR 28X50 12362850 3,065

INSERT ACET RESTOR28X48MM12362848 3,401

INSERT ACET RESTOR28X52MM12362852 3,401

INSERT ACET RESTOR28X54MM12362854 3,404

INSERT ACET RESTOR28X58MM12362858 3,404

INSERT ACET RESTOR28X60 12362860 3,270

INSERT ACET TRID SZE 6231036E 3,404

INSERT ACET TRIDENT SZE 6630036E 8,057

INSERT ACET TRIDENT SZF 6630036F 8,769

INSERT ACETAB SIZE C 0* 6230032C 3,401

INSERT ACETAB SZB 0D28MM62300288B 3,401

INSERT ACETABULAR SIZE G TRIDENT 15,821

Page 89: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

INSERT ACETRESTOR22.2X36 12362242 3,404

INSERT AEQUALIS REV36X12MM DWB995 4,219

INSERT AEQUALIS REVERSED 6MM 4,640

INSERT ART GEN SZ1-2 18MM71420966 9,842

INSERT ART GEN SZ3-4 18MM71420530 8,770

INSERT ART GEN SZ5-6 15MM71420542 8,770

INSERT ART GEN SZ7-8 11MM71420552 8,770

INSERT ART GENESIS SZ3-4 71420534 7,903

INSERT ART GENISIS SZ7-8 71420554 8,770

INSERT ART GENLLSZ5-6 18 71420544 8,770

INSERT ART JOURN SZ 7-8 74027271 4,087

INSERT ART JOURN SZ1-2 74027212 4,087

INSERT ART JOURN SZ1-2 74027214 4,087

INSERT ART JOURN SZ1-2 74029222 7,909

INSERT ART JOURN SZ1-2 9 74029221 7,909

INSERT ART JOURN SZ3-4 74025741 4,087

INSERT ART JOURN SZ3-4 74029231 7,909

INSERT ART JOURN SZ3-4 74029232 7,909

INSERT ART JOURN SZ3-4 74029237 7,909

INSERT ART JOURN SZ3-4 74029242 7,909

INSERT ART JOURN SZ5-6 74027255 4,087

INSERT ART JOURN SZ5-6 74027263 6,040

INSERT ART JOURN SZ5-6 74027264 4,087

INSERT ART JOURN SZ5-6 74029261 7,909

INSERT ART JOURN SZ5-6 74029262 7,909

INSERT ART JOURN SZ5-6 74029263 7,909

INSERT ART JOURN SZ5-6 74029264 7,909

INSERT ART JOURN SZ5-6 7402952 7,909

INSERT ART JOURN SZ5-6RT 74025751 4,087

INSERT ART JOURN SZ7-12 74027274 4,087

INSERT ART JOURN SZ7-8 740207273 5,661

INSERT ART JOURN SZ7-8 74027275 4,087

INSERT ART JOURN SZ7-8 74027281 4,087

INSERT ART JOURN SZ7-8 74027283 4,087

INSERT ART JOURN SZ7-8 74027284 4,087

INSERT ART JOURN SZ7-8 74029272 7,909

INSERT ART JOURN SZ7-8 74029273 7,909

INSERT ART JOURNEY SZ1-2 74027211 6,040

INSERT ART JOURNEY SZ1-2 74027213 4,087

INSERT ART JOURNEY SZ1-2 74027223 6,040

INSERT ART JOURNEY SZ1-2 74029211 8,439

INSERT ART JOURNEY SZ3-4 74027233 6,040

INSERT ART JOURNEY SZ3-4 74027234 6,040

INSERT ART JOURNEY SZ3-4 74027236 6,040

INSERT ART JOURNEY SZ3-4 74027242 6,040

INSERT ART JOURNEY SZ3-4 74027243 6,160

INSERT ART JOURNEY SZ3-4 74027244 6,040

Page 90: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

INSERT ART JOURNEY SZ3-4 74029243 7,909

INSERT ART JOURNEY SZ5-6 74027252 6,040

INSERT ART JOURNEY SZ5-6 74029251 8,439

INSERT ART JOURNEY SZ7-8 74027282 4,087

INSERT ART JOURNSZ1-2 10 74029212 7,909

INSERT ART JOURNSZ1-2 11 74029213 7,909

INSERT ART JOURNSZ3-4 11 74029233 7,909

INSERT ART JOURNSZ3-4 12 74029244 7,909

INSERT ART JOURNSZ3-4 13 74027335 6,040

INSERT ART JOURNSZ3-4 13 74029245 7,909

INSERT ART JOURNSZ3-4 18 74029247 7,909

INSERT ART JOURNSZ5-6 10 74027262 6,040

INSERT ART LEG HK SZ2-3 71423342 13,376

INSERT ART LEG HK SZ2-3 71423343 13,376

INSERT ART LEG SZ3-4 9MM 71453246 18,692

INSERT ART LEG SZ4-5 11MM71423352 14,272

INSERT ART LEG SZ5-6 11MM71453252 8,998

INSERT ART LEG SZ5-6 15 71453255 5,546

INSERT ART LEGION SZ3-4 71934973 7,903

INSERT ART LEGION SZ4-5 71423354 13,376

INSERT ART LEGION SZ5-6 71934981 7,903

INSERT ARTJOURN SZ1-2 11 74029223 7,909

INSERT ARTJOURN SZ1-2 12 74029214 7,910

INSERT ARTJOURN SZ3-4 25 74029249 7,909

INSERT ARTLEGIONHK SZ2-3 71423345 13,376

INSERT ATTUNE BEARSZ3 8 151700308 14,128

INSERT ATTUNE BEARSZ9 7 151640907 5,254

INSERT ATTUNE BEARSZ9 8 151640908 5,254

INSERT ATTUNE REV SZ3 151710312 17,210

INSERT ATTUNE REV SZ4 151710406 13,143

INSERT ATTUNE REV SZ4 151710410 13,143

INSERT ATTUNE REV SZ6 151710606 17,210

INSERT ATTUNE REV SZ6 151710610 13,143

INSERT ATTUNE REV SZ6 151710616 17,210

INSERT ATTUNE REV SZ7 151710710 17,210

INSERT ATTUNE REVSZ4 14 151710414 13,143

INSERT ATTUNE SZ5 REV 151710508 17,210

INSERT ATTUNE SZ6 REV 151710612 17,210

INSERT ATTUNE SZ7 REV 151710708 17,210

INSERT ATTUNEREV ROTSZ5 151710512 17,210

INSERT ATTUNEREV SZ3 14 151710314 13,143

INSERT ATTUNEREV SZ4 8MM151710408 13,143

INSERT ATTUNEREV SZ5 14 151710514 17,210

INSERT ATTUNEREVCRS SZ4 151710412 13,143

INSERT ATTUNEREVCRS SZ5 151710510 17,210

INSERT ATTUNREV CRS SZ8 151710812 17,210

INSERT BEARING TIBIAL SZ 1 PMM TR 6,113

Page 91: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

INSERT BUMPER 3* MRH DURATION 3,044

INSERT BUMPER NEUTRAL MRH 3,044

INSERT CEN/VEN AC/DEVICE W/PORT<5 4,972

INSERT CEN/VEN CATH,W/O PORT>5YRS 7,146

INSERT CENTR/VEN CATH W/O PORT <5 5,153

INSERT CENTRAL VENOUS W/PORT >5YR 8,789

INSERT CERV.DILATOR-LAMINAR/PROST 850

INSERT CHEST TUBE 841

INSERT CON ART 11MM SZ 3-4 8,770

INSERT CON ART 11MM SZ 5-6 7,801

INSERT CON ART 15MM SZ 3-4 8,770

INSERT CON ART 9MM SZ 3-4 8,770

INSERT CONART 5-6MM 8,770

INSERT DBL TRACTION 66MM INTRAK 130

INSERT EMERGENCY AIRWAY 1,889

INSERT HEART PM VENTRICULAR 23,544

INSERT HEPATIC SHUNT (TIPS) 5,617

INSERT HUM AEQUAL REV6X36MMDWD860 4,640

INSERT HUM RSA 36X4MM 5571S3604 7,475

INSERT HUMSTANDREUN36X4 5571S3206 7,006

INSERT IMPELLA (ARTERIAL ONLY)-IP 8,348

INSERT INDW.TUNNEL.PLEURAL CATH. 5,041

INSERT INTRAVAS VENA CAVA FILTER 7,624

INSERT JOURN SZ3-4 9MM 74029241 4,087

INSERT JOURN SZ5-6 74027254 4,087

INSERT JOURN SZ7-8 74029282 7,909

INSERT JOURN SZ7-8 RT 74027276 4,087

INSERT JOURNCONSTR SZ3-4 74029238 7,909

INSERT JOURNCONSTR SZ3-4 74029246 7,909

INSERT JOURNEY SZ1-2 74027222 6,040

INSERT JOURNEY SZ1-2 9MM 74027221 6,040

INSERT JOURNEY SZ3-4 10MM74027232 6,040

INSERT JOURNEY SZ3-4 9MM 74025731 4,087

INSERT JOURNEY SZ3-4 9MM 74027231 6,040

INSERT JOURNEY SZ3-4 9MM 74027241 6,160

INSERT JOURNEY SZ5-6 9MM 74027251 6,040

INSERT JOURNEY SZ5-6 9MM 74027261 6,160

INSERT JOURNEY SZ7-8 10MM74027272 6,040

INSERT JOURNEYLL SZ7-8 74029281 7,909

INSERT JOURNEYSZ5-6 11MM 74027253 6,040

INSERT JOURNSZ1-2 RT 74025711 4,087

INSERT LEG ART SZ3-4 71934977 7,899

INSERT LEG ARTCONS SZ7-8 71934984 30,795

INSERT LEG ARTCONSTSZ3-4 71934976 7,903

INSERT LEG XLPE SZ1-2 9MM71453241 8,997

INSERT LEGION ART SZ7-8 71934987 7,903

INSERT LEGION CONSTSZ3-4 71934975 7,903

Page 92: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

INSERT LEGION HK SZ2-3 71423348 13,376

INSERT LOCKING 5.0MM 370003 1,020

INSERT PACE-DEFIB WITH LEAD 56,853

INSERT PACING LEAD & CONNECT 29,452

INSERT PULSE GEN DUAL LEADS 22,465

INSERT SALTO RT SZ2 JLU257T 7,969

INSERT SALTO TAL SZ1 LJU235T 7,969

INSERT SALTO TIB SZ00 LJU408T 7,969

INSERT SHOULD +6X42 DWF421B 6,568

INSERT SHOULD +9X36MM DWF362B 7,008

INSERT SHOULD REV+9X42 DWF422B 6,568

INSERT SHOULDER FLEX+6X36 DWF361B 7,008

INSERT SIGMA SZ 2 17.5MM 10,297

INSERT SIGMA SZ 2 22.5MM 10,297

INSERT SIGMA SZ 3 15.0MM 9,128

INSERT SIGMA TC3 SZ3 10.0MM 11,155

INSERT STABILIZER T (5537-G-213) 13,211

INSERT SZ #1 11MM TIBIAL BEARING 6,113

INSERT SZ #1 13MM TIBIAL BEARING 6,113

INSERT SZ #4 9MM TYP CS 5531G409 6,113

INSERT SZP4 32 63025094 2,540

INSERT TC3 SZ 2.5MM 17.5 10,297

INSERT TC3 SZ 3 9,960

INSERT TEMP.BLAD.CATH,SIMP(FOLEY) 790

INSERT TIB ATTUN SZ5 7MM151640507 5,606

INSERT TIB ATTUNE SZ1 6 151640106 5,254

INSERT TIB ATTUNE SZ1 8 151640108 5,254

INSERT TIB ATTUNE SZ2 15160207 5,254

INSERT TIB ATTUNE SZ2 5 151640205 5,254

INSERT TIB ATTUNE SZ3 151640305 5,606

INSERT TIB ATTUNE SZ3 151640306 5,606

INSERT TIB ATTUNE SZ3 151640308 5,254

INSERT TIB ATTUNE SZ3 151640310 5,254

INSERT TIB ATTUNE SZ3 151650310 7,735

INSERT TIB ATTUNE SZ4 15160408 5,254

INSERT TIB ATTUNE SZ4 15160410 5,254

INSERT TIB ATTUNE SZ4 151650405 7,735

INSERT TIB ATTUNE SZ4 151650407 7,735

INSERT TIB ATTUNE SZ4 151650408 7,735

INSERT TIB ATTUNE SZ5 151640506 5,606

INSERT TIB ATTUNE SZ5 151640508 5,606

INSERT TIB ATTUNE SZ5 151640510 5,254

INSERT TIB ATTUNE SZ5 151650505 7,735

INSERT TIB ATTUNE SZ5 151650506 7,735

INSERT TIB ATTUNE SZ5 151650507 7,735

INSERT TIB ATTUNE SZ5 151650510 7,735

INSERT TIB ATTUNE SZ6 151640605 5,254

Page 93: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

INSERT TIB ATTUNE SZ6 151640606 5,606

INSERT TIB ATTUNE SZ6 151640607 5,254

INSERT TIB ATTUNE SZ6 151640608 5,254

INSERT TIB ATTUNE SZ6 151640612 5,254

INSERT TIB ATTUNE SZ6 151650605 7,735

INSERT TIB ATTUNE SZ6 151650606 7,735

INSERT TIB ATTUNE SZ6 151650607 7,735

INSERT TIB ATTUNE SZ7 151640705 5,606

INSERT TIB ATTUNE SZ7 151640706 5,867

INSERT TIB ATTUNE SZ7 151640707 5,606

INSERT TIB ATTUNE SZ7 151640708 5,254

INSERT TIB ATTUNE SZ7 151640710 5,254

INSERT TIB ATTUNE SZ7 151640712 5,254

INSERT TIB ATTUNE SZ7 151650705 7,735

INSERT TIB ATTUNE SZ7 151650706 7,735

INSERT TIB ATTUNE SZ7 151650708 7,735

INSERT TIB ATTUNE SZ8 151640805 5,254

INSERT TIB ATTUNE SZ8 151640806 5,254

INSERT TIB ATTUNE SZ8 151640807 5,254

INSERT TIB ATTUNE SZ8 151640810 5,254

INSERT TIB ATTUNE SZ8 151640812 5,254

INSERT TIB ATTUNE SZ8 151650805 7,735

INSERT TIB ATTUNE SZ9 151640905 5,254

INSERT TIB ATTUNE SZ9 151640906 5,254

INSERT TIB ATTUNE SZ9 151640910 5,254

INSERT TIB ATTUNE SZ9 151650908 7,735

INSERT TIB ATTUNEFIXSZ5 151640512 5,254

INSERT TIB ATTUNESZ3 7MM151640307 5,606

INSERT TIB ATTUNESZ4 16 151700416 14,128

INSERT TIB ATTUNESZ4 5MM151640405 5,606

INSERT TIB ATTUNESZ4 6MM151640406 5,606

INSERT TIB ATTUNESZ4 7MM151640407 5,606

INSERT TIB ATTUNESZ5 5MM151640505 5,606

INSERT TIB ATTUNESZ8 8MM151640808 5,254

INSERT TIB BEAR IBAL SZ4AR521TBD8 3,503

INSERT TIB BEAR IBALSZ1 AR521TBA9 3,503

INSERT TIB BEAR IBALSZ3 AR521TBC8 3,503

INSERT TIB BEARIBAL SZ1 AR521TBB8 3,503

INSERT TIB DURACON SZ MED66421713 3,407

INSERT TIB IBAL SZ3 AR501TBC8 4,670

INSERT TIB IBAL UKA SZ3 AR521TBC9 5,254

INSERT TIB IBAL UKA SZ6 AR521TBF8 3,503

INSERT TIB LEG SZ 3-4 9MM71453211 7,152

INSERT TIB LEG SZ3-4 11MM71453212 7,152

INSERT TIB LEG SZ5-6 13MM71453223 7,152

INSERT TIB LPS XSM 28MM 198727128 11,211

INSERT TIB LPS XXSM 12MM198727012 11,211

Page 94: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

INSERT TIB MAKO 6X8 1807061 10,597

INSERT TIB MAKO SZ3 8 1807331 4,100

INSERT TIB MAKO SZ3 9 1807332 4,100

INSERT TIB MAKO SZ5 8 1807351 4,100

INSERT TIB MAKO X3 SZ6 1807361 4,100

INSERT TIB RESTORISMCKSZ4 1807041 4,100

INSERT TIB SALTO RT SZ28MMLJU255T 7,969

INSERT TIB SALTO SZ00 LJU410T 7,969

INSERT TIB SALTO SZ1 LJU247T 7,969

INSERT TIB SALTO SZ1 RT LJU236T 7,969

INSERT TIB SALTO SZ2 LJU258T 7,969

INSERT TIB SALTO SZ2 LJU265T 7,969

INSERT TIB SALTO TAL SZ2 LJU267T 7,969

INSERT TIB SALTO TALAR SZ2LJU268T 7,969

INSERT TIB SALTOTAL SZ00 9 LJU419 7,969

INSERT TIB SCORP SZ5 12MM72250512 5,397

INSERT TIB SCORP SZ7 12MM72250712 5,397

INSERT TIB SCORP SZ7 15MM72250715 5,397

INSERT TIB SCORPIO SZ11 72251112 4,863

INSERT TIB SCORPIO SZ5 8270518 5,476

INSERT TIB SCORPIO SZ9 72250915 4,863

INSERT TIB SCORPIO SZ9 72250918 4,863

INSERT TIB SCORPSZ25 10MM72250510 5,397

INSERT TIB SIGMA TC3 SZ1.5 962312 9,656

INSERT TIB SZ2.5 22.5MM 962336 10,297

INSERT TIB SZ6 10MM 151650610 7,735

INSERT TIB SZ8 9MM 5531G809 6,113

INSERT TIB TC3 SZ4 962357 9,659

INSERT TIB TRI SZ4 13MM5531-G-413 6,113

INSERT TIB TRIA SZ8 9MM5532-G-809 5,919

INSERT TIB TRIATH P.S 2 X 11 5,919

INSERT TIB TRIATH SZ1 5531G116 5,700

INSERT TIB TRIATH SZ1 5537G122 12,319

INSERT TIB TRIATH SZ4 5537G422 12,811

INSERT TIB TRIATH SZ5 9MM5531G509 6,113

INSERT TIB TRIATH SZ513MM5531G513 6,113

INSERT TIB TRIATH SZ6 9MM5531G609 6,113

INSERT TIB TRIATH SZ7 5531G716 5,928

INSERT TIB TRIATH SZ7 5537G725 11,545

INSERT TIB TRIATH SZ8 5532G813 5,519

INSERT TIB TRIATH X3 SZ4 5531G419 5,342

INSERT TIB TRIATHSZ2 16MM5531G216 6,113

INSERT TIB TRIATHSZ3 13MM5531G313 6,113

INSERT TIB TRIATHSZ3 16MM5531G316 6,113

INSERT TIB TRIATHSZ3 19MM5537G319 13,211

INSERT TIB TRIATHSZ4 11MM5531G411 6,113

INSERT TIB TRIATHSZ4 16MM5531G416 6,113

Page 95: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

INSERT TIB TRIATHSZ5 11MM5531G511 6,113

INSERT TIB TRIATHSZ5 22MM5537G522 13,202

INSERT TIB TRIATHSZ6 11MM5531G611 6,113

INSERT TIB TRIATHSZ6 13MM5531G613 6,113

INSERT TIB TRIATHSZ6 16MM5531G616 6,113

INSERT TIB TRIATHSZ6 22MM5537G622 12,319

INSERT TIB TRIATHSZ7 11MM5531G711 6,113

INSERT TIB TRIATHSZ8 11MM5532G811 5,919

INSERT TIB TS TRIATH19MM 5537G219 13,211

INSERT TIB TS TRIATH22MM 5537G222 13,211

INSERT TIB X3 MAKO SZ4 1807341 4,100

INSERT TIB XXSM 18MM 198727018 11,211

INSERT TIBATTUNE REVSZ7 151700718 14,128

INSERT TIBATTUNESZ6 10MM151640610 5,254

INSERT TIBIAL #1 11M (5537-G-111) 13,211

INSERT TIBIAL #1 16M (5537-G-116) 13,211

INSERT TIBIAL #2 TRIATHLON 6,113

INSERT TIBIAL #2 TRIATHLON 13MM 6,113

INSERT TIBIAL #3 22MMX3 5537G322 13,211

INSERT TIBIAL #5 SCORPIO NRG 10MM 6,079

INSERT TIBIAL #6 11M (5537-G-611) 13,211

INSERT TIBIAL 10MM ROTATING HINGE 5,607

INSERT TIBIAL 13MM #4 X 3 5,919

INSERT TIBIAL 16MM - (6481-3-316) 5,002

INSERT TIBIAL BEARING (82-7-0910) 6,079

INSERT TIBIAL BEARING SZ #7-9MM 5,919

INSERT TIBIAL P.S. #2-9MM X 3 13,211

INSERT TIBIAL P.S. #3-11MMX3TS 13,211

INSERT TIBIAL P.S. #4-11MM 13,211

INSERT TIBIAL P.S. #5-9MM 13,211

INSERT TIBIAL PS #3 16MM 5537G316 13,211

INSERT TIBIAL PS #3-9MM X 3 13,211

INSERT TIBIAL PS#3 13MMX35537G313 13,211

INSERT TIBIAL STEMMED SZ 7 6,609

INSERT TIBIAL T.S. #2-11MM X3 13,211

INSERT TIBIAL T.S. #4 9MM 13,211

INSERT TIBIAL T.S. #4-13MM 13,211

INSERT TIBIAL T.S. #5 -13MM 13,211

INSERT TIBIAL TRIATH (5537-G-416) 13,211

INSERT TIBIAL TRIATHLON #6 PS 9MM 5,919

INSERT TIBIAL TRIATHLON 13MM #3 5,919

INSERT TIBIAL TRIATHLON 16MM #3X3 5,919

INSERT TIBIAL TS #2-16MM 5537G216 13,211

INSERT TIBOPTETRAKSZ3 02012443013 18,010

INSERT TIBSALTOTAL SZ00 10 LJU420 7,969

INSERT TIBSALTOTALARIS SZ2LJU266T 7,969

INSERT TRIATH 11MM SZ3 5531G311 6,113

Page 96: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

INSERT TRIATH TIB P.S#6 11MM 5,919

INSERT TRIATH TIB P.S#7 X3 11MM 5,919

INSERT TRIATH TIB X3 P.S 11MM #5 5,919

INSERT TRIATH X3 PS 9MM #1 5,919

INSERT TRIATH X3 TIB #5 PS #9MM 5,919

INSERT TRIATHALON X3 PS #2 16MMX3 5,919

INSERT TRIATHLON TIB X3 11MM #3 5,919

INSERT TRIATHLON TIBIAL #4 11MM 5,919

INSERT TRIATHLON TIBIAL #4 9MM 5,919

INSERT TRIATHLON TIBIAL PS #2 9MM 5,919

INSERT TRIATHLON TIBIAL PS #4 16M 5,919

INSERT TRIATHLON TIBIAL PS #7 5,919

INSERT TRIATHLON TIBIAL PS#7X3 16 5,919

INSERT TRIATHLON TIBIAL X3 PS 13M 5,919

INSERT TRIATHLON TIBIAL X3PS#5/16 5,919

INSERT TRIATHLON X3 TIB PS#6 16MM 5,919

INSERT TRIATHLON X3 TIBIAL#6 13MM 5,919

INSERT TRIATHOLON X3 PS #3 -9MM 5,919

INSERT TRIATHOLON X3 PS 13MM 5,919

INSERT TRIDENT 10D 36MM 6231036F 3,401

INSERT TRIDENT 11 DEGREE SZ 36MM 3,401

INSERT TRIDENT 40MM 0DEA 6230040R 3,401

INSERT TRIDENT ACETABULAR SZ E 15,821

INSERT TRIDENT CONST (690-00-28F) 15,821

INSERT TRIDENT X3 10 (623-10-32D) 3,401

INSERT TRIDENT X-3 36MM F 3,401

INSERT TRIDENT X-3 36MM G 3,401

INSERT TUNN.INTRAPERIT.CATH-COMPL 2,877

INSERT URTERI TANDEMS/OVOIDS 4,986

INSERT X3 TRIATH SZ3 9MM5531G309 6,113

INSERT XS TRIATH SZ2 9MM 5531G209 6,113

INSERTHUMREUNIONRSA32X4 557153204 7,006

INSERTION CENTRAL VENOUS CATH >5 2,080

INSERTS OCTOBAS SUTURE HLDER28707 258

INSITU HYBRIDIZATION,AUTO 2,402

INSRT HEART PM ATRIAL &VENTRI 28,360

INSRT TIB TRI X3 SZ7 9MM 5531G709 6,113

INSRT/REPL TEMP SNGL CHAMB PACEMA 7,262

INSULIN (LISPRO), 100U/ML 4

INSULIN ANTIBODIES 504

INSULIN DETEMIR PEN,PER 5 U.(300) 9

INSULIN DETEMIR,100UNIT/ML(LEVEMI 3

INSULIN LEVEL 270

INSULIN, NPH HUMAN INJ 1UNIT (DI) 5

INSULIN, PROTAMINE PER 5 UNITS 11

INSULIN, REG, HUMAN INJ (1U) 5

INT BRACE LIG AUG REPAIR AR1688CP 6,276

Page 97: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

INTERCED BARRIER ETHICON 4350 1,331

INTERROG DEV.EVAL-AN/RV/RPT,PACEM 134

INTERSTIM II 67,257

INTRACARDIAC 3D MAPPING 3,330

INTRACARDIAC ECG FOR CATH GUIDANC 1,514

INTRACRAN ANGIOPLSTY W/STENT 6,563

INTRACRANIAL ANGIOPLASTY 5,744

INTRACRANIAL STUDY-COMPLETE 2,928

INTRACRANIAL STUDY-LIMITED 1,702

INTRAVAS PRESSURE EACH ADDL 970

INTRAVAS PRESSURE GUIDEWIRE/RADI 7,561

INTRAVAS PRESSURE RESERVE 11,440

INTRAVASC.US NONCORONARY,1ST VESS 7,610

INTRAVASC.US NONCORONARY,EA.+VESS 2,630

INTRINSIC FACTOR AB 355

INTRO GUIDO RENAL PELVIS 2,390

INTRO OF NEED OR INTRACATH EXT AR 243

INTRO SHEATH PINNACLE6FR RSP01 555

INTRO.CATH,DIAL.CIR.W/IV.STENT(S) 24,451

INTRO.CATH,DIAL.CIR.W/TR.B.ANGIO 18,720

INTRO.CATH,DIAL.CIRC,INCL.IMAG/FL 4,689

INTROD CATH SILH 5FR 018X40G36333 196

INTROD SET TRACH CIAGLIA 131630 1,284

INTROD SHEATH 7FR 13CM SU7 292

INTRODUC/SHEATH,AGILIS,STEERABLE 6,375

INTRODUCER LEAD 6FR WIT (HLS1006) 332

INTRODUCER LEAD 7FR WITH HEMOSTAS 332

INTRODUCER LEAD 9FR W/ (HLS1009) 332

INTRODUCER SAFE SHEATH (HLS1008) 332

INTRODUCER,FLEXCATH,STEER.(3FC10) 7,013

IODINE/POTASSIUM IODIDE 5%10% TOP 354

IONIZED CALCIUM 229

IOP PATIENT PSYCHOTHERAPY 30 MIN 630

IOP PATIENT PSYCHOTHERAPY, 45 MIN 650

IOP PSYCHIATRIC DX INTERVIEW 520

IOP-FAMILY THERAPY WITH PATIENT 500

IOP-GROUP PSYCHOTHERAPY 500

IPILIMUMAB, 1 MG, INJ (50MG/10ML) 975

IPPB THERAPY 209

IPPB THERAPY, SUBSEQUENT 209

IPRATOPIUM NEB SOLN, 0.02% (2.5ML 8

IPRATROPIUM INH 14GM 987

IPRATROPIUM NASAL SPR, 0.06% 542

IPRATROPIUM NASAL SPRAY 0.03% 632

IR-ASPIRATE PLEURA W/IMAGING 1,453

IR-ASPIRATE PLEURA W/O IMAGING 1,453

IRBESARTAN TAB, 150MG 18

Page 98: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

IRBESARTAN TAB, 300MG 23

IR-BRACHYTHER,NON-STR,Y90MICROSPH 50,815

IR-CAROTID STENTING W/EMBOLIC FILTER 13,910

IR-FEM/POPL REVAS W/ATHER 10,856

IR-FEM/POPL REVAS W/TLA 5,250

IR-FEM/POPL REVASC STNT & ATHER 29,252

IR-FEM/POPL REVASC W/STENT 10,856

IR-ILIAC REVASC W/ TLA 5,250

IR-ILIAC REVASC W/STENT 10,856

IR-ILIAC REVASC W/STENT ADD-ON 5,250

IR-IMAGE-FL.COLL.DRNG-CATH,VISCERAL 4,463

IRINOTECAN HCL INJ, 20MG/ML (5ML) 46

IRINOTECAN LIPOSOME,@ 1MG,INJ(43) 310

IR-INSERT PICC CATH W/O PORT > 5 YRS 2,028

IR-INSERTION OF CHEST TUBE (OPEN) 882

IR-LIVER BIOPSY 2,636

IRON BINDING CAPACITY-SER 205

IRON COMPLEX, POLYSACCHARIDE CAP 1

IRON DEXTRAN COMPLEX INJ,100MG/2M 127

IRON SERUM 182

IRON SUCROSE INJ, 20MG/ML (5ML) 3

IRON SUCROSE,PER 1 MG, INJ (200) 3

IRON SUCROSE@ 1 MG(20MG/ML,2.5ML) 3

IR-PLACE CATH SUBCLAVIA ARTERY 3,909

IR-PLACE CATH VERTEBRAL ARTERY 6,394

IR-RADIATION HANDLING (SUP/LOAD) 248

IR-REPLACE PICC CATH W/O PORT>5 YRS 2,025

IRRIGATION OF PORT-RX DELIVERY 149

IRRISEPT SYST/DEBRID IRRISEPT403 363

IR-THROMBOLYTIC ART THERAPY 2,276

IR-TIB/PER REVASC STENT & ATHER 29,252

IR-TRCATH.PL.STENT OPEN/PERC,1ST ART 19,188

IR-VASCULAR CLOSURE DEVICE 1,340

ISLET CELL ANTIBODY 705

ISODOSE PLAN,COMPLEX W/DOSI CALCS 1,128

ISONIAZID TAB 7

ISOPROTERENOL DRIP, 8MCG/ML (250M 11,063

ISOSORBIDE DINITRATE TAB 10MG 7

ISOSORBIDE DINITRATE TAB, 20MG 7

ISOSORBIDE DINITRATE TAB, 5MG 8

ISOSORBIDE MONONITRATE 9

ISOSORBIDE MONONITRATE TAB 5

ISOSORBIDE MONONITRATE TAB, 120MG 13

ISOSORBIDE MONONITRATE TAB, 60MG 11

ISOSULFAN BLUE @ 1 MG INJ (50) 102

ISRADIPINE CAP, 5MG 21

ISTAT EC8V-PH,PCO2 463

Page 99: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

ISTAT EC8V-POTASSIUM,SERUM 93

ISTAT EC8V-SODIUM,SERUM 116

ITRACONAZOLE CAP, 100MG 32

IUD CULTURE 204

IVERMECTIN TAB, 3MG 28

IVUS CATHETER ONLY 5,641

IVUS CORONARY, EACH ADDL VESSEL 646

IVUS CORONARY, INITIAL VESSEL 12,203

JAK2 GENE 267

JUGGERKNOT 2.9SUT W/NDL 110005093 1,746

JUGGERKNOT 2.9SUT W/NDL 110005096 1,746

KCENTRA, PER I.U. (1000 UNIT 6

KETAMINE 200MG INJ (20ML VIAL) 117

KETAMINE INJ, 50MG/ML (10ML) 24

KETAMINE PREFILL SYR 50MG/5ML INJ 31

KETAMINE PREFILLED SYR,100MG/10ML 92

KETOCONAZOLE 2% CREAM 30GM 1,181

KETOCONAZOLE TAB 18

KETOROLAC INJ 30MG/ML 17

KETOROLAC INJ 60MG 5

KETOROLAC OPHTH SOLN,0.5%(3ML) 276

KETOROLAC TAB, 10MG 12

KIDNEY FLOW/FUNCTION IMAGE,SINGLE 3,508

KIRBY BOWER SENSITIVITY 162

KIT ABLATION NOVASURE NS2013KITUS 19,493

KIT ACC VASOVIEW VESHARVSYSVH2004 824

KIT ACP SERIES1 ABS10011 1,022

KIT ARCUS STAPLE GUIDE ARCSSTK 642

KIT ARTHROPLAS OPT TOT HIP 417000 616

KIT BOLT SLEEV LEGION15MM71421387 6,237

KIT BOLT&SLEEV LEG HK18MM71421388 5,845

KIT BOLT&SLEEVE LEG HK13 71421386 5,845

KIT BOLT&SLEEVE LEGION 71421385 6,237

KIT BONE CEMENT FEMBAR00504905500 1,196

KIT CALCIUM BONE FILLER 620010 8,163

KIT CASULF 5CC BONE FILL 620005 4,962

KIT CATH TROCAR 170

KIT CHECKPOINT TIB FEM 111645 905

KIT CK COR KNOT 14CMX5 SGL 030884 4,535

KIT CK COR KNOT 14CMX5MM031350 3,882

KIT COR KNOT DVC SGLUSE 030800 2,591

KIT CRANIAL ACCESSCSF DRAIN826614 1,726

KIT DILATOR ESTECH (001-200-120) 1,267

KIT DISP FOR 2.9 SUT ANC AR2923DS 1,022

KIT DISP FOR STR FIBERTAK AR3600D 1,022

KIT DRAINAGE 1000ML FOR PLEURX 369

KIT FIX ARTHO ACL DISP 232300 2,106

Page 100: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

KIT FIX BIOTENODESIS DIS AR1676DS 1,054

KIT FIX REPAIR TIGHTROPE AR8926SS 5,122

KIT FOAMDRESS RENASYS-MED66800795 203

KIT FOR 3.5 PUSHLOCK ANC AR1926DS 1,001

KIT FOR BIOTENOD3X8 DISP AR1530DS 1,168

KIT FOR SM JOINTTAK DISPAR8934DSC 730

KIT GUIDE NAVIGUS BIOPSY 7,385

KIT HEMOSTAT FLOSEAL 5ML 1501825 1,189

KIT INFUSE LARGE BMP PRODUCT 35,040

KIT INFUSE SML BMP PROD 4BONE FUS 22,361

KIT INSTR DISP FOR STAK AR1320DSC 1,001

KIT INTRODUCER INTERSTIM 1,815

KIT IRRIGATION FMS SGL USE 284222 328

KIT JACKSON SPINE PAD 5802 178

KIT JUGGERKNOT 2.9 912057 1,370

KIT LATARJETPROW3/380 KWIRE288238 5,546

KIT LATERJET CAN KWIRE DISP285180 4,017

KIT LEAD ENTERRALL 435135 12,844

KIT MENISCUS MENDER 746

KIT MULTI LUMEN 7F (CDC-45703-1A) 453

KIT OFIX HIP 1.8 DISP 251811 1,074

KIT OPTIVAC 120 GRAM TRIPLE MIX 616

KIT PEG PUSH SAFETY 20F M00566471 583

KIT PLEURX PLEURAL CATHETER 3,286

KIT PLUG BONE 464

KIT PROC.BLOOD ANGEL PRP ABS10063 1,722

KIT QFIX 1.8 251810 1,074

KIT QFIX IMPL 2.8MM DISP 252810 1,074

KIT RECOVERY FILTER FEM DELIVERY 7,776

KIT REPAIR ACHILLES TEND 72203796 7,298

KIT RESECT TUMOR CRAN DISP9733607 4,179

KIT SHUNT AXIEM CRANICAL 9733605 4,002

KIT SHUNT CRANIAL 9733606 4,018

KIT STOR AUTO CRANBONEFLAP70-0057 1,476

KIT STRUT HEXAPOD 49351100 1,594

KIT SUCTION IRRIGATION SP3000 234

KIT SYST ATRIAL LIFTDISP MIALS001 532

KIT SYST ATRIALLIFTDISP MLALSM001 1,943

KIT TRUELOK EMERG TAB 5624040 1,115

KIT VIZADISC TRACKING KNEE 107120 1,991

KIT WILSON FRAME PILLOW 5322 185

KIT-DOUBLE LUMEN PICC 652

KITFIXREPAIR TIGHTRP SGLAR-8920DS 2,983

KIT-INSERT PORT-A-CATH 2,547

KIT-SINGLE LUMEN PICC 517

KIT-TRIPLE LUMEN PICC 892

KIWI PAML PUMP PRO CUP 626

Page 101: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

KIWI VACUUM SYSTEM W/PALM PUMP 631

KNEE 1 OR 2 VIEWS 622

KNEE 3 VIEWS 709

KNEE COMP 4+ VIEWS 733

KNEE COMPLE NEXGEN 12MM W/LOCKING 11,216

KNEE HINGE ROTATING SMALL 1 14,840

KNEE PS FEM COMPONENT #3 RIGHT 7,997

KNIFE 134MM BAYONET 156400 2,265

KNIFE BAYONET ANNULOTOMY675405S 4,991

KOH TISSUE EXAM 43

KRAS GENE ANAL,VAR-CODONS 12&13 330

KWIRE .035INX4IN DOUBLE-ENDED TR 152

KWIRE .062 X 4 DOUB END TROCAR 152

KWIRE .9X150 DSDS1009 175

KWIRE .9X150 P992920915 175

KWIRE 1.1INX4IN 128030 152

KWIRE 1.35X170 AR8610K43 117

KWIRE 1.4MM 24872018 148

KWIRE 1.4X102 PHALINX LRG45302003 158

KWIRE 1.6MM(2360-33-16) 713

KWIRE 2.0/450MM 320

KWIRE 2.00MM 705355 593

KWIRE 2.0MM 194

KWIRE 3X1.15MM KN1116 194

KWIRE 4X1.20MM KN1117 194

KWIRE CHAR 1.6X150MM 44112008 188

KWIRE EVANS SMOOTH 1.2 P991921215 175

KWIRE EX2 BLUNT 48280232 404

KWIRE FIBULOCK 1.25X6 CS60136 117

KWIRE FIX 3X285 TIB 18061417S 592

KWIRE GLOBUS 675399S 1,874

KWIRE LATARJET 150MM SHRT 285260 648

KWIRE PHALINX .9MM XS 05306 187

KWIRE PHALINX 1.1X102 05307 187

KWIRE SILOK 2.4 300MM 639001 660

KWIRE SILOK 2.4 450 639002 660

KWIRE SILOK 2.4 X450 639008 660

KWIRE TROCAR 1.1X150 P992921115 175

KWIRE VALOR NAIL 3.0 4150004025 1,343

KWIRE VALOR NAIL3.0BEAD4150004030 1,343

KWIRE VPC 1.1X105 231211105 175

KWIRE VPC COCR .9X95 231209095 234

KWIRE XIA CANN 48230231 404

L HRT ART/GRFT ANGIO 24,960

L HRT ARTERY/VENTRICLE ANGIO 22,880

L VENTRIC PACING LEAD ADD-ON 20,415

LABETALOL 100MG TAB 13

Page 102: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

LABETALOL 200MG TAB 4

LABETALOL 300MG TAB 6

LABETALOL 5MG/ML INJ 20ML 23

LABETALOL PREFILLED SYR,25MG/5ML 52

LABETALOL SYR, 5MG/ML (4ML) 46

LAC-HYDRIN CREAM 12% (140GM) 111

LAC-HYDRIN LOTION 12% (400GM) 159

LACOSAMIDE INJ, 200MG/20ML 2

LACOSAMIDE TAB, 100 MG 78

LACOSAMIDE TAB, 50 MG 50

LACRI-LUBE OPHTH OINT 37

LACTASE TAB, 3000 UNIT 1

LACTATE, LACTIC ACID. 249

LACTATED RINGERS INJ, (1000ML) 57

LACTATED RINGERS INJ,(500ML) 28

LACTIC ACID 223

LACTINEX GRANULES 5

LACTOBAC ACIDOPHIL CAP (FLORA-Q) 7

LACTOBACILLUS ACIDOPHILUS CAP 2

LACTOBACILLUS CHEW, TAB 4

LACTOFERRIN FECAL (QUANT) 306

LACTULOSE 200GM IN STERILE WATER 136

LACTULOSE SYRUP, 20G/30ML (UD) 5

LAMICTAL 249

LAMIVUDINE SOLN, 10MG/ML 3

LAMIVUDINE TAB, 150MG 52

LAMOTRIGINE TAB, 100MG 29

LAMOTRIGINE TAB, 150MG 41

LAMOTRIGINE TAB, 200MG 45

LAMOTRIGINE TAB, 25MG 1

LANETOLOL DRIP, 5MG/ML(500ML) 45

LANOLIN OINT 1/4OZ 48

LANREOTIDE ACETATE,@ 1MG,INJ(120) 173

LANSOPRAZOLE SUSP 3MG/ML 35

LARYNGOSCOPY-IND-FIBER SC 611

LARYNGOSCOPY-INDIRECT SCO 327

LASER FIBER365FLEXIVAM006R8403921 2,448

LATANOPROST OPTH SOLN,.005% (2,5M 538

LATEX (K82) IGE 124

LAYER CLOSURE OF WOUND(S) 563

LAYER CLOSURE WNDS FACE 20.1-30CM 1,600

LC BEADS EMB.PART,70-150(VE020GS) 19,960

LC BEADS,100-700(VE220GS-VE620GS) 13,605

LDH SERUM 144

LEAD CAPSURE 8FR 35CM 496835 3,239

LEAD CAPSURE FIX NOVUS 3,239

LEAD CAPSURE FIX NOVUS 45CM 3,239

Page 103: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

LEAD CAPSUREFIX NOVUS 45CM 3,239

LEAD CAPSUREFIX NOVUS 52CM 3,239

LEAD CAPSUREFIX NOVUS 58CM 3,239

LEAD FEP 83

LEAD INGEVITY 45CM 7735 2,627

LEAD INGEVITY MRI FIX 45CM7740 2,890

LEAD INGEVITY MRI FIX 52CM 7741 2,890

LEAD INTERSTIM 28CM 20,475

LEAD PACING INGEVITY 59CM 7742 2,890

LEAD POISONING PROFILE 282

LEAD TENDRIL 46CM LPA1200M46 2,912

LEAD TENDRIL 52MM LPA1200M52 2,912

LEAD TENDRIL 58CM LPA1200M/58 2,912

LEAD W/OSHA 282

LEFT HRT CATH W/VENTRCLGRPHY 16,797

LEGIONELLA ANTIGEN-URINE 364

LETROZOLE TAB, 2.5MG 103

LEUCINE AMINOPEPTIDASE LAP 638

LEUCOCYTE ALK PHOSPHA 204

LEUCOVORIN CALCIUM,@50MG,INJ(100) 62

LEUKENS OBTAINED BY RESP 186

LEUPROLIDE ACETATE DEPOT INJ 7,273

LEUPROLIDE ACETATE DEPOT,7.5MG(45 7,273

LEUPROLIDE ACETATE, 7.5MG (45)SYR 3,071

LEUPROLIDE ACETATE,7.5MG(22.5)3MO 7,273

LEUPROLIDE ACETATE,7.5MG(22.5)SYR 3,071

LEUPROLIDE INJ SUSP,7.5MG SYRINGE 3,071

LEVABUTEROL SOL 1.25MG/3ML 38

LEVALBUTEROL,INH,UD,@.5MG(.63MG) 38

LEVEL IV SURG PATH, REF LAB 713

LEVETIRACETAB SOLUTION, 100MG/ML 21

LEVETIRACETAM TAB, 250 MG 16

LEVETIRACETAM TAB, 500MG 18

LEVETIRACETAM TAB, 750MG 24

LEVETIRACETAM,@ 10MG,INJ(500/5ML) 2

LEVETIRACETAM,@10MG,INJ(10/ML-NIC 0

LEVETIRACETAM,@10MG,INJ(500/100ML 2

LEVETIRACETAM-NSS,@ 10MG (1000MG) 2

LEVOBUNOLOL 0.5% OPHTH SOLN 5M 32

LEVOCARNITINE,@ 1 MG,INJ (1000MG) 225

LEVOCARNITINE,@ 1 MG,INJ (100MG) 20

LEVOFLOXACIN ORAL SOLN,25MG/ML 159

LEVOFLOXACIN TAB, 250 MG 83

LEVOFLOXACIN TAB, 500MG 95

LEVOFLOXACIN TAB, 750 MG 139

LEVOFLOXACIN,@ 250 MG,INJ (250MG) 40

LEVOFLOXACIN,@ 250 MG,INJ (500MG) 37

Page 104: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

LEVOFLOXACIN,@ 250 MG,INJ (750MG) 17

LEVONORGESTREL TAB, 1.5MG 207

LEVOTHRYOXINE TAB 0.100MG 8

LEVOTHYROXINE 7

LEVOTHYROXINE 7

LEVOTHYROXINE 0.025MG TAB 7

LEVOTHYROXINE INJ .200MG 1,435

LEVOTHYROXINE INJ, 100 MCG (VIAL) 718

LEVOTHYROXINE SODIUM 7

LEVOTHYROXINE TAB, 0.050MG 7

LEVOTHYROXINE TAB, 0.125MG 7

LEVOTHYROXINE TAB, 0.150MG 7

LEVOTHYROXINE TAB, 0.200MG 8

LEXAPRO TAB, 10MG 25

LH SERUM 433

LIDO 1%W/EPI 1-200,000 (30ML) INJ 70

LIDOCAINE 350

LIDOCAINE % W/EPI DENTAL 2

LIDOCAINE 0.5% INJ 50ML 3

LIDOCAINE 1% INJ 2ML MPF 14

LIDOCAINE 1% W/EPI 1-100,000 (30M 34

LIDOCAINE 1%/EPI 1-100K INJ (MDV) 20

LIDOCAINE 1%/EPI 1-100K INJ(50ML) 54

LIDOCAINE 1%EPI 1-100,000 20MLMDV 14

LIDOCAINE 2% EPI 1-200,00 (20MLSD 31

LIDOCAINE 2% UROJET JELLY 10ML 39

LIDOCAINE 2% VISCOUS SOLN 20ML 6

LIDOCAINE 2% W/EPI 1-1000,000 20

LIDOCAINE 4%/EPINE0.05%/TETRA GEL 57

LIDOCAINE CRM, 4% W/DRESSING 11

LIDOCAINE HCL-D5,@ 10MG,INF (2GM) 0

LIDOCAINE INJ 1% (MPF) (5ML) 23

LIDOCAINE INJ 1% BUFFERED 18

LIDOCAINE INJ, 1% (30ML) 10

LIDOCAINE INJ, 1% (MPF) (30ML) 20

LIDOCAINE INJ, 1.5% (MPF) (20ML) 54

LIDOCAINE INJ, 100MG/5ML 2

LIDOCAINE INJ, 2% (MPF) (2ML) 17

LIDOCAINE INJ, 2% (MPF) (5ML) 17

LIDOCAINE INJ, 2% 20ML 15

LIDOCAINE INJ, 50ML 20

LIDOCAINE INJ. 4%(PF)(5ML) 29

LIDOCAINE JELLY 2% (30GM) 95

LIDOCAINE JELLY, 2% (5ML) 44

LIDOCAINE PATCH 4% 9

LIDOCAINE SPINAL INJ,7.5% (2ML) 62

LIDOCAINE TOPICAL SOLN, 4% (50ML) 272

Page 105: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

LIDOCAINE VISC SOLN,2% (100ML) 74

LIGATION OF EXTREMITY ARTER 6,072

LIGATION,TUBAL,POSTPARTUM 9,772

LIGHT PIPE 915

LINAGLIPTIN TAB, 5 MG 85

LINER 00434906500 6,100

LINER 240 (RD115931) 9,926

LINER 36MM 58-60 XLPE 71333346 4,157

LINER 48MM TANDEM BIPOLAR 3,349

LINER ACET 0DEG 40X58MM 71338680 6,739

LINER ACET 0DEG 40X60MM 71338681 8,870

LINER ACET 0DEG 40X62MM 71338682 8,870

LINER ACET 22.2X38MM 6260038D 7,776

LINER ACET 36MM SZ62NN00875101536 3,887

LINER ACET 36X52 XLPE 71336952 4,034

LINER ACET 56MM 71339156 32,198

LINER ACET ALTRX 32X48 122132048 4,254

LINER ACET ALTRX 36X50MM122132050 6,407

LINER ACET ALTRX 36X52MM122136052 6,407

LINER ACET ALTRX 36X58 122136058 5,810

LINER ACET ALTRX 36X62 122136062 5,166

LINER ACET ALTRX36X56MM122136056 6,408

LINER ACET ALTRX36X60 122136060 5,733

LINER ACET ARCOMXL SZ26 XL105996 5,564

LINER ACET DUROLOK36X54 122036454 5,704

LINER ACET ESCAL 36X58+0 1703658 4,670

LINER ACET ESCAL 36X62 +0 1703662 4,670

LINER ACET ESCALADE 32X52 1703252 4,670

LINER ACET ESCALADE 36X52 1703652 4,670

LINER ACET ESCALADE 36X60 1703660 4,670

LINER ACET ESCALADE32X50 1703250 4,670

LINER ACET ESCALADE36X54 1703654 4,670

LINER ACET ESCALADE36X56 1703656 4,670

LINER ACET ESCALADE36X64 1703664 4,670

LINER ACET G7 SZE 42MM 110024463 10,170

LINER ACET MDM 28X46MM 6260046F 7,776

LINER ACET MDM 36MM 6260036C 7,776

LINER ACET MDM 42MM 626W42E 7,776

LINER ACET MDM 52MM 62600524H 7,776

LINER ACET MDM 54MM 62600541 7,250

LINER ACET MDM X3 48MM 6260048G 7,543

LINER ACET PINNACLE 28MM122128044 4,711

LINER ACET R3 0DEG 36MMX52 XLPE 4,476

LINER ACET REFLEC SZD 71333423 3,791

LINER ACET RGLCSZ220 28MMRD115901 10,743

LINER ACET RINGLOC SZ24 EP105994 10,818

LINER ACET SZC 38 110024461 10,170

Page 106: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

LINER ACET SZD 40 110024462 10,170

LINER ACET SZF 44MM 110024464 10,170

LINER ACET TRID SZF 663-10-36F 9,732

LINER ACET28X44/45/46 00500104428 1,815

LINER ACET36MM SZ52II 00875101036 3,887

LINER ACETABUL TRILOGY 36MM/3.5MM 3,564

LINER ACETABULAR 2,917

LINER ACETABULAR 32MMX48MM R3 0D 4,476

LINER ACETABULAR 32MMX50MM R3 0DE 4,476

LINER ACETABULAR R3 0 DEG 36X54MM 4,476

LINER ACETABULAR R3 0D 36MMX58MM 4,476

LINER ACETABULAR R3 0DEG36MMX60MM 4,476

LINER ACETABULAR R3 XLPE 0D 36MM 4,476

LINER ACETABULAR R3.0 DEG 36MMX56 4,476

LINER ACETALTRX+4 36X58 122136458 5,510

LINER ALTRX +4 36X52 122136452 5,166

LINER ALTRX 36X54 122136054 5,166

LINER FREEDOM SZ25 10D 11107424 13,766

LINER GLEN 65D +6MM 00434906506 6,100

LINER GLEN 65D36MM+3 00434906503 6,100

LINER GLENOID 40MM+3 00434906606 5,543

LINER HUM 38MM EQUINOXE3203800 3,934

LINER LEGEND 36X50 1723650 4,670

LINER LEGEND 36X52 1723652 4,670

LINER LEGEND 36X54 HXLPE 1723654 4,670

LINER LEGEND 36X56 1723656 4,670

LINER LEGEND HXLPE 32X48 1723248 4,670

LINER LEGEND HXLPE 36X62 1723662 4,670

LINER POLY 32MM X 3 0 DEGREE 3,401

LINER SMR SHOULD 137750010 4,379

LINER SMR SHOULD SM RT 137750005 4,379

LINER TRABEC REV36MM00434903606 6,100

LINER TRIDENT X-3 32 MM D 3,401

LINER TRIDENT X-3 36MM E LINER 3,401

LINER TRILOGY 28MM X 50/52/54MM 21,962

LINEZOLID SUSP, 100MG/5ML 97

LINEZOLID TAB, 600MG 1,037

LINEZOLID,PER 200 MG ,INF (600MG) 1,473

LIOTHRONINE 25CG TAB 14

LIOTHYRONINE TAB, 5MCG 11

LIPASE SERUM 162

LIPID EMULSION INF, 20% (250ML) 241

LIPID EMULSION INF,20%(100ML) 193

LIPID EMULSION INFUSION,20%(500ML 170

LIPID PANEL(CHOLES,HDL,TRIGLICER) 312

LIPOPRO BLD, ELECTROPHORETIC 229

LIPOPROTEIN DIRECT LDL 225

Page 107: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

LIPOPROTEIN, BLD, BY NMR 732

LISINOPRIL 10MG TAB 7

LISINOPRIL TAB 40 MG 9

LISINOPRIL TAB, 2.5MG 4

LITHIUM 154

LITHIUM 300MG TAB 1

LITHIUM CARBONATE CR, 300MG 3

LITHIUM ELIXIR 600MG/10ML 10

LITHIUM TAB SR 450MG 4

LIVER BIOPSY 1,977

LIVER CYST ASPIRATION 1,126

LIVER IMAGING SPECT 1,092

LIVER KIDNEY MICROSOML AB 341

LOCAL ANESTHESIA 749

LOCM 100-199MG/ML IODINE,1ML 7

LOCM 300-349MG/ML IODINE,1ML 1

LOCM 300-399MG/ML IODINE,1ML 7

LONG NAIL 13X400 RT 34253400S 7,932

LOOP LRG BIPOLAR CUTTING 27040GP 2,048

LOOP SUPER MAXI .5 X 22IN 011021 240

LOOPOGRAM INJECTION 515

LOPERAMIDE 2MG CAP 5

LOPERAMIDE LIQUID,1 MG/5ML 120 ML 0

LOPERAMIDE ORAL SOLN 2MG/10ML 11

LOPINAVIR 200MG/RITONAVIR 50MG TA 51

LOPINAVIR 400MG/RITONAVIR 100MG P 19

LORATADINE/PSEUDOEPHEDRINE (12H) 5

LORATADINE/PSEUDOEPHEDRINE (24H) 6

LORAZEPAM 0.5MG TAB 1

LORAZEPAM 1MG TAB 1

LORAZEPAM INJ, 2MG/ML (SYRINGE) 5

LORAZEPAM ORAL SOLN 2MG/ML 4

LORAZEPAM,PER 2MG (20 MG),INJ 46

LOSARTAN POTASSIUM 13

LOSARTAN TAB, 25MG 10

LOTRISONE CREAM 15G 120

LOTRISONE LOTION 30ML 950

LOXAPINE 10MG CAP 7

LUBRICATING SURGICAL JELLY 127.5G 14

LUBRICATING SURGICAL JELLY 3G 58

LUBRICATING SURGICAL JELLY,(60GM) 13

LUMB SPINE COM, BEND VIEW 1,513

LUMBAR PUCT PROC FOR MYLE 238

LUMBO SAC SP AP & LAT 740

LUMBO SACRAL COMP OBL 1,156

LUNG PERF&VENTILAT DIFFERENTIA 2,272

LUNG VENTILAT&PERFUS IMAGING 2,389

Page 108: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

LUPINE BR DS W/ORTHOCORD 210712 1,943

LURASIDONE TAB, 40MG 277

LYMES DIFFERENT IGG-IGM 401

LYMES W/BLOT 364

LYMES, QUANTITATIVE IGM 401

LYMPHOSINTIGRAPHY 4,289

LYR CLOSURE 12.6-20CM FACE EAR 1,500

LYR CLSR 12.6-20.0CM SCALP/AXILLA 1,247

LYR CLSR NECK HAND 7.6-12.5CM 859

LYR CLSR WND - FACE <2.5CM 940

LYR CLSR WND,2.5 OR LS 1,133

LYR CLSR WND,2.5CM OR LS(N/H/F) 695

LYR CLSR WND,2.6-5.0CM(FACE) 1,025

LYR CLSR WND,2.6-7.5CM 1,133

LYR CLSR WND,2.6-7.5CM(N/H/F) 725

LYR CLSR WND,5.1-7.5CM(FACE) 1,125

LYR CLSR WND,7.6-12.5CM 1,133

LYR CLSR WOUND FACE 7.6 - 12.5CM 1,382

LYSOZYME (MURAMIDASE) 441

MAG.SULF/D5W100ML,@500MG INF(1GM) 28

MAG.SULF/SWFI 100,@500MG INF(4GM) 6

MAG.SULF/SWFI1000,@500MG INF(40G) 1

MAG.SULF/SWFI50ML,@500MG INF(2GM) 25

MAGNESIUM 158

MAGNESIUM CHLORIDE TAB SR 64MG 1

MAGNESIUM CITRATE 300ML 7

MAGNESIUM HYDROXIDE SUSP 30ML 14

MAGNESIUM OXIDE 400MG TAB 1

MAGNESIUM SULF@500MG INJ(4.06MEQ) 1

MAGNESIUM SULFATE@ 500MG INJ(1GM) 5

MAGNESIUM SULFATE@ 500MG INJ(5GM) 1

MAGNESIUM,RBC 348

MALARIAL SMEAR 144

MANDIBLE 4 VIEWS 738

MANIPULATOR,UTERINE,CLEAR-VIEW, 384

MANIPULATOR,UTERINE,ZUMI-4.5 171

MANNITOL 20% 500ML SOLN 113

MANNITOL,25% IN 50ML,INJ (50ML) 14

MANOMETRY-ESOPHAGEAL 2,766

MANUAL DIFFERENTIAL 84

MARKER 2/2 SPIRAL BIOZORB F0202 5,809

MARKER BIOZORB 2X3CM FO203 5,809

MARKER BIOZORB 2X3X1 F0231 5,809

MARKER BIOZORB 3X3 TI CLIP FO303 5,809

MARKER BIOZORB 3X3X1 F0331 5,809

MARKER BIOZORB 3X4CM FO304 5,809

MASSAGE P.T. 286

Page 109: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

MATRIX DURA 4X5IN CDSLM45 6,317

MATRIX SURGIFLO 8ML 2991 838

MATRIX SURGIFLO 8ML W/THR 2993 1,016

MAXITROL OPTH OINT .6G 118

MAXITROL OPTH SUSP 5ML 112

MCT OIL (946ML) 24

MDI SPACER 73

MDI TREATMENT INITIAL 340

MEASLES ACUTE TITER 226

MEASLES IGM 226

MEASLES,MUMPS,RUBELLA VACC INJ 482

MECLIZINE TAB, 12.5MG 4

MECLIZINE TAB, 25MG 5

MED.ONC.-HYDRATE IV INFUSION, ADD ON 567

MED.ONC.-HYDRATION IV INFUSION,INIT. 1,345

MED.ONC.-IMMUNIZ.ADMIN,EA. ADDL.VACC 102

MED.ONC.-IRRIGATION OF PORT 199

MED.ONC.-THER/PROPH/DIAG INJ, SC/IM 215

MED.ONC.-THER/PROPH/DIAG IV INF ADDON 555

MED.ONC.-THER/PROPH/DIAG IV INF,INIT. 612

MED.ONC.-TX PROPH/DG ADDL SEQ IV INF 253

MED.ONC.-TX/PRO/DX INJ NEW DRUG ADDON 284

MEDI NUTRIT, INDIV,F/U,PER 15 MIN 80

MEDI NUTRIT, INDIV,GRP,PER 30 MIN 57

MEDI NUTRIT, INDIV,INT,PER 15 MIN 134

MEDROXYPROGESTERONE 2.5MG TAB 2

MEDROXYPROGESTERONE ACET@ 150 MG 2

MEDROXYPROGESTERONE TAB, 10MG 3

MEGESTROL SUSP, 400 MG/10 ML 25

MEGESTROL SUSP, 40MG/ML 4

MEGESTROL TAB, 20MG 4

MEGESTROL TAB, 40MG 6

MELILETINE 200MG CAP 17

MEMANTINE TAB, 10MG 5

MEMANTINE TAB, 5MG 5

MEMBRANE SUB DURAMATRIX3X3CDSLM33 3,725

MENINGOCOCCAL CONJUGATE VAC PWDR 779

MENTHOL-PHENOL LOZ 1

MEPERIDINE HCL,@ 100 MG,INJ(50MG) 76

MEPERIDINE HCL,@ 100 MG,INJ(75MG) 47

MEPERIDINE HCL,@ 100MG,INJ(100MG) 36

MEPERIDINE HCL@100MG INJ(25MG-SDV 57

MEPERIDINE HCL@100MG INJ(25MG-SYR 147

MEPERIDINE TAB, 50MG 17

MERCAPTOPURINE 50MG TAB 22

MERCI, GUIDING BALLOON CATHETER 7,089

MERCURY BLOOD 384

Page 110: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

MERCURY, URINE 384

MEROGEL DRESSING SINUS STENT 4X4C 572

MEROPENEM @ 100MG INJ(1 GM VIAL) 29

MEROPENEM @ 100MG INJ(500MG VIAL) 8

MESALAMINE CAP SR, 250MG 19

MESALAMINE RECTAL SUSP 4G 60ML 139

MESALAMINE TAB EC, 1.2 GM 57

MESALAMINE TAB EC, 800 MG 61

MESH 15X15 MONOFIL 0117011 321

MESH 190X140 CUST 92-00647 92,822

MESH BARD 3D MAX LG LFT 1,044

MESH BARD 3D MAX LG RT 1,044

MESH DUAL 8/12/1 GORTEX 1DLMCP02 2,189

MESH GORETEX 7.5X10CM 1DLMCP05 1,687

MESH HERN 15.2X10.2CM 1190200 11,676

MESH HERN 3DMX4.9X6.8 LFT 0117311 1,133

MESH HERN3DMAX4.9X6.8 RT 0115322 1,022

MESH HERNIA 10X14IN 0112660 1,543

MESH HERNIA 7X10CM 1200710 7,765

MESH HERNIA PHASIX20X30CM 1192030 55,695

MESH HERNIA PROGRIP LPG1510 4,681

MESH HERNIA PROGRIP16X12 LPG1612 2,855

MESH HERNIAVENTRALEX2.5DIA5950008 2,448

MESH HERNIAVENTRALEX3.2DIA5950009 3,131

MESH MICRO 60X60X.2MM 1.2 5400272 3,392

MESH MICRO TO60X60X.1NEURO5400262 3,392

MESH NEURO 90X90X.3MM 54-00346 10,125

MESH NEURO 90X90X.6MM 54-00646 10,125

MESH PARIETENE 30X30CM PPM3030 755

MESH PARIETENE 45X30 PPM4530 1,669

MESH PARIETENE20X20CM PPM2020 759

MESH PARIETEX 30X15CM TEM3015G 2,945

MESH PARIETEX 6X4 IN TEC1510 723

MESH PATCH MED W/PRESHAPED OVER 1,178

MESH PATCH W/PRESHAPED OVE P3DPL 1,178

MESH PHASIX 15X20CM 1190300 22,142

MESH PHASIX 20X25CM 1202025 56,640

MESH PROLENE HERNIA SYS EACH 1,455

MESH PROLITE 6X6IN 100060600 200

MESH SYMBOTEX 12CM SYM12 4,033

MESH SYMBOTEX 15CM RD SU,15 5,279

MESH SYMBOTEX 15X10 SYM1510 2,937

MESH SYMBOTEX 20X15CM SYM2015 4,326

MESH SYMBOTEX 25X20CM SYM2520 9,386

MESH SYMBOTEX 9CM RND SYM9 2,941

MESH UPHOLD LITE M0068318170 13,766

MESH URETH 24X4CM 501420 6,157

Page 111: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

MESH VENTRALIGHT 6IN CIRC 5955600 7,940

MESH VENTRALIGHT 8X10IN 5955810 13,217

MESH VENTRALIGHT6X8INELLIP5955680 10,820

MESH VENTRLIGHT 8IN CIRCLE5955800 13,632

MESH ZENAPRO HERNIA 15X22 G23771 14,875

MESH ZENAPRO HERNIA 20X30 G23770 24,029

MESH ZENAPRO HERNIA 30X30 G35114 29,750

MESH ZENOPRO HERN15CCMCIRCG23772 7,006

MESH,MARLEX,6X6,0112720 851

MESH,PLUG,MARLEX,LARGE 1,807

MESH,PLUG,MARLEX,X-LARGE 2,132

MESH,PROLENE,12X12 1,613

MESH,PROLENE,3X6IN 206

MESH,PROLENE,6 X 6 238

MESH,PROLENE-XTENDED,HERNIA SYS 1,455

MESH,VICRYL,WOVEN,12X12 11,265

METANEPHRINES FRACTION UA 551

METFORMIN 8

METFORMIN TAB, 500MG 0

METHADONE INJ, TO 10MG (10 MG/ML 270

METHADONE TAB, 10MG 3

METHANOL - PLASMA 379

METHAZOLAMIDE 50MG TAB 58

METHIMAZOLE TAB 5MG 2

METHIMAZOLE TAB, 10MG 4

METHOCARBAMOL INJ, 100MG/ML 449

METHOCARBAMOL TAB, 500 MG 2

METHOCARBAMOL TABS. 750MG 4

METHOTREXATE 2.5MG TAB 35

METHOTREXATE INJ 250MG/10ML 12

METHOTREXATE LPF INJ, 50MG/2ML 2

METHYL SALICYLATE CREAM (85GM) 14

METHYLDOPA TAB, 250 MG 2

METHYLDOPA TAB, 500MG 4

METHYLENE BLUE 1% @ 1MG,INJ(10MG) 6

METHYLENE BLUE 1% @1MG,INJ(100MG) 11

METHYLERGONOVINE INJ, 0.2MG/ML 134

METHYLERGONOVINE TAB, 0.2 MG 381

METHYLMALONIC ACID (SERUM) 324

METHYLMALONIC ACID RAN UA 324

METHYLPHENIDATE 5MG TAB 4

METHYLPREDNISOLONE @4MG TAB(ORAL) 12

METHYLPREDNISOLONE ACET,@40MG,INJ 36

METHYLPREDNISOLONE DRIP, 50MG/ML 31

METHYLPREDNISOLONE INJ REPOS, 40M 61

METHYLPREDNISOLONE INJ REPOS,80MG 105

METHYLPREDNISOLONE INJ, 125MG 58

Page 112: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

METHYLPREDNISOLONE INJ, 1G 28

METHYLPREDNISOLONE INJ, 500MG 35

METOCLOPRAMIDE INJ, 10MG/2ML 8

METOCLOPRAMIDE SYRUP 10MG/10ML UD 12

METOCLOPRAMIDE TAB, 10MG 1

METOLAZONE TAB, 2.5MG 19

METOLAZONE TAB, 5MG 21

METOPROLOL 100MG TAB 5

METOPROLOL 1MG/ML INJ 5ML 11

METOPROLOL 50MG TAB 4

METOPROLOL TAB CR, 25MG 6

METOPROLOL TAB, 25MG 2

METOPROLOL TAB. CR. 50MG 7

METRONIDAZOLE 500MG TAB 5

METRONIDAZOLE GEL 0.75% 981

METRONIDAZOLE IN NACL 0.45%,500MG 11

METRONIDAZOLE INJ,5MG/ML(NICU SYR 5

METRONIDAZOLE SUSP, 50MG/ML 1

METRONIDAZOLE TAB, 250 MG 3

METRONIDAZOLE VAGINAL GEL (70G) 864

MEXILETINE 249

MEXILETINE 150MG CAP 14

MFH-ECHOGRPH. COMP. MULT. GEST. 1,070

MFH-ROUTINE VENIPUNCTURE 53

MIACALCIN NASAL SPRAY (2 509

MICAFUNGIN SOD INJ, 1MG (100MG) 13

MICAFUNGIN SOD INJ, 1MG (50MG) 13

MICONAZOLE 3 VAG SUPP 200MG 298

MICONAZOLE 7 VAG CREAM, 2% (45GM) 64

MICONAZOLE 7 VAG SUPP, 100MG 37

MICONAZOLE AF CRM, 2% (60GM) 32

MICONAZOLE CHLORIDE TAB SR, 64MG 41

MICRO PUNCTURE 4FR KIT G48003 271

MICROALBUMIN, RANDOM UA 134

MICROCATHETER, EV3 4,862

MICROCATHETER, EXCELSION SL-10,BS 8,045

MICROCATHETER, FASTRACKER -10,BS 5,692

MICROCATHETER, FASTRACKER-18,BS 5,477

MICROCATHETER, NEURO RENEGADE 5,060

MICROCATHETER, RENEGADE 18,BS 5,105

MICROCATHETER,MERCI,CONCENTRIC 5,467

MICROCATHETER,PROWLER,CODMAN 5,217

MICROCATHETER,REGULAR,MICROVENTIO 5,751

MICROLASE OTO FIBER25USEAC1148120 467

MICROPUNCT KIT 4FR G47942 163

MICROPUNCT KIT 5FR CANULA G48007 287

MICROPUNCT KIT 5FR G43870 163

Page 113: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

MICROPUNCTURE INTRO SET 4F G47945 162

MICROSOMAL AB. THYROID 341

MICROSPORIDIA SPORE DETET 144

MIDAZOLAM HCL @1MG,INJ (10MG/2ML) 1

MIDAZOLAM HCL,@ 1 MG ,INJ (2MG) 3

MIDAZOLAM HCL,@ 1 MG ,INJ (50MG) 1

MIDAZOLAM HCL,@ 1MG,INJ(1MG/5ML) 1

MIDAZOLAM HCL,@ 1MG,INJ(5MG/1ML) 1

MIDAZOLAM SYRUP, 2MG/ML (118) 12

MIDAZOLAM SYRUP, 2MG/ML (5 ML) 42

MIDDLE CEREBRAL ARTERY ECHO 758

MIDODRINE TAB, 5 MG 15

MILEAGE 21

MILL BONE FINE DISP 5400702000 1,900

MILRINONE DRIP, 200MCG/ML (200ML) 5

MILRINONE INJ, 1MG/ML (20ML) 134

MIN INHIB CONC SENSITIVITY 204

MINERAL OIL 180ML 2

MINERAL OIL ENEMA,ADULT 133ML 15

MINERAL OIL LIQUID STERILE 10ML 95

MINI MONOKA STERILE S11500U 1,134

MINOCYCLINE CAP, 100MG 9

MINOCYCLINE HCL, 1 MG INJ (100MG 10

MINOXIDIL TAB, 10MG 7

MINOXIDIL TAB, 2,5MG 10

MIRTAZAPINE TAB, 15MG 16

MIRTAZAPINE TAB, 30MG 16

MIS ILLUMIN SYST 698605S 9,656

MISOPROSTOL 200MCG TAB 11

MISOPROSTOL TAB, 100MCG 21

MISTER/BLOWER ARIES CTS CB-1000 339

MITOMYCIN, @ 5 MG, INJ (20MG) 616

MITOXANTRONE INJ, 2MG/ML (12.5ML) 766

MOBILE INT CARE MILEAGE 21

MOD.SED-DIFF.PRO,INIT.15MIN,5+ YR 550

MOD.SED-SAME PRO,EA.ADDL.15 MIN. 330

MOD.SED-SAME PRO,EA.ADDL.15 MIN. 330

MOD.SED-SAME PRO,INIT.15MIN,< 5YR 660

MOD.SED-SAME PRO,INIT.15MIN,5+ YR 495

MOD.SED-SAME PRO,INIT.15MIN,5+ YR 495

MODAFINIL TAB 100MG 139

MODAFINIL TAB 200MG 226

MOLD CEMENT FEMUR 65MM 9,913

MOLD SPACER 9X125 FEM 431190 7,138

MOLD SPACER ADAP +6 NECK 431187 1,432

MOLECULAR PATHOLOGY PROC.,LEVEL 2 152

MOLECULAR PATHOLOGY PROC.,LEVEL 3 234

Page 114: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

MOLECULAR PATHOLOGY PROC.,LEVEL 4 317

MONO SCREEN 124

MONOPOLAR PROBE DISP 30247000275 3,693

MONTELUKAST CHEW TAB, 4MG 21

MONTELUKAST TAB, 10MG 31

MONTELUKAST TAB, 5MG 23

MORE THAN FOUR LESIONS 385

MORPHINE 10MG INJ SYRINGE 13

MORPHINE 30MG TAB SA 19

MORPHINE DRIP,PER 10MG (250ML) 2

MORPHINE INJ (SYRINGE) 4MG/ML 15

MORPHINE INJ 10MG/ML SDV 7

MORPHINE INJ, (PCA) 1MG/ML (30ML) 15

MORPHINE INJ, (PCA) 5MG/ML (30ML) 4

MORPHINE INJ, (SYRINGE) 15MG/ML 8

MORPHINE INJ, (SYRINGE) 2MG/ML 15

MORPHINE INJ, 5GM/ML(SDV) 7

MORPHINE ORAL CONC, 10MG/0.5ML 1

MORPHINE ORAL CONC, 20MG/ML (1ML) 5

MORPHINE ORAL SOLN 0.4MG/ML 1

MORPHINE ORAL SOLN, 20MG/5ML (UD) 5

MORPHINE ORAL SOLN,10MG/5ML 9

MORPHINE SULF @10MG INJ(2MG-SDPF) 89

MORPHINE SULF-PF,10 MG,INJ (.5MG) 31

MORPHINE SULF-PF-EP/INTR,10MG,INJ 107

MORPHINE SULPHATE, @10 MG (1000) 1

MORPHINE TAB 15MG SA 5

MORPHINE TAB SR 60MG 30

MORPHINE TAB SR. 100MG 43

MORPHINE TAB, 15MG 3

MORPHINE-PF @10MG,EP/INT.INJ(4MG) 32

MOTION FLUOROSCOPY/SWALLOW 1,246

MOUTH CULTURE 204

MP CONTINUING PHYSICS SUP 880

MP RX DEVICE DESIGN & CON 1,077

MP RX DEVICE SIMPLE CONSTRUCT. 445

MP SPEC PHYS CON-LEVEL I 1,030

MP SPECIAL BEAM PLAN - LE I 1,281

MP SPECIAL DOSIMETRY 231

MR SPECTROSCOPY 1,148

MRA ABD W/O FOLLOWED BY W/CONTRAS 1,623

MRA ABDOMEN W/O CONTRAST 1,123

MRA CHEST W/O FOLLOWED BY W/CONTR 2,843

MRA HEAD W & W/O CONTRAST 5,565

MRA HEAD W/CONTRAST 4,873

MRA HEAD W/O CONTRAST 4,092

MRA LOWER EXTREMITY W&W/O CONTR. 1,622

Page 115: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

MRA NECK W & W/O CONTRAST 5,408

MRA NECK W/O CONTRAST 3,890

MRA PELVIS W/O & W/CONTRAST 1,623

MRA PELVIS W/O CONTRAST 1,123

MRA SPINAL CANAL&CONTENTS W/CONTR 4,092

MRA SPINAL CANAL/ALL-W/O&W/ CONTR 5,565

MRI ABDOMEN W/O THEN W/CONTRAST 6,760

MRI ABDOMEN WITHOUT CONTRAST 3,890

MRI BRAIN W & W/O CONTRAST 7,072

MRI BRAIN W/CONTRAST 5,928

MRI BRAIN W/O CONTRAST 5,174

MRI BREAST BILATERAL W&W/O CONTR. 2,416

MRI BREAST BILATERAL W/CONTRAST 1,983

MRI CERV SPINE W & W/O CONTRAST 6,760

MRI CERVICAL SPINE W/CONTRAST 5,835

MRI CERVICAL SPINE W/O CONTRAST 5,304

MRI CHEST W & W/O CONTRAST 5,565

MRI CHEST W/O CONTRAST 3,890

MRI JAW JOINT 6,242

MRI LO.EXTR-ANY JNT- W/O CONTR. 4,020

MRI LO.EXTR-ANY JOINT- W/CONTR. 4,198

MRI LO.EXTR-ANY JT- W&W/O CONTR 5,426

MRI LO.EXTR-NO JNT- W&W/O CONTR 5,204

MRI LOW.EXTR-NO JNT- W/O CONTR. 3,941

MRI LOW.EXTR-NO JNT-RT W/ CONTR. 4,599

MRI LUMBAR SP W/CONTRAST 6,552

MRI LUMBAR SP W/O CONTRAST 6,136

MRI LUNBAR SP W & W/O CONTRAST 7,592

MRI MULTIHANCE CONTRAST 20

MRI ORBIT/FACE &/OR NECK W&W/O CO 4,811

MRI ORBIT/FACE &/OR NECK W/O CONT 4,208

MRI PELVIS 4,413

MRI PELVIS W & W/O CONTRAST. 5,645

MRI PELVIS W/O CONTRAST 3,890

MRI THORACIC SPINE W&W/O CONTRAST 6,838

MRI THORACIC SPINE W/CONST 6,079

MRI THORACIC SPINE W/O CONTRAST 5,682

MRI UP.EXTR-ANY JNT-W/O CONTR. 3,890

MRI UP.EXTR-ANY JOINT- W/CONTR. 4,162

MRI UP.EXTR-ANY JT- W&W/O CONTR 5,565

MRI UP.EXTR-NO JNT- W/O CONTR. 3,890

MRI UP.EXTR-NO JT-W&W/O CONTR. 6,094

MRSA CULTURE, ADMIT 158

MRV HEAD W & W/O CONTRAST 5,565

MRV HEAD W/O CONTRAST 4,092

MRV NECK W/O CONTRAST 3,890

MULLICA TWP BLS EMERGENCY TRANSP 1,382

Page 116: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

MULTICLIP,ENDO,LARGE,ER420 666

MULTICLIP,LARGE,MCL20 409

MULTICLIP,MEDIUM,MCM20 404

MULTICLIP,SHORT/MEDIUM,MSM20 404

MULTICLIP,SMALL,MCS20 403

MULTIVITAMIN TAB 0

MULTIVITAMIN THERAPEUTIC TAB 1

MULTIVITAMIN W/IRON CAP(FERREXFO 7

MULTIVITAMIN W/IRON DROPS, 50ML 1

MULTIVITAMIN W/IRON TAB 0

MULTIVITAMIN, PED DROP 50ML 1

MULTIVITAMIN, PRENATAL, CAP 19

MULTIVITAMIN, THERAPUTIC W/MINERA 1

MULTIVITAMINS 9+3 10ML 69

MULTIVITAMINS LIQUID 5ML 1

MULTIVITAMINS,RENAL CAP 6

MUMPS ANTIBODY TITER 305

MUMPS IGM AB 305

MUPIROCIN CREAM 2% 15G 833

MUPIROCIN NASAL OINTMENT 2% 29

MUPIROCIN OINT 2% 15G 142

MVI PEDIATRIC INJ 5ML 16

MYCLOG OINT 15GM 634

MYCOLOG CREAM (15GM) 634

MYCOPHENOLATE MOFETIL CAP, 250MG 22

MYCOPHENOLATE MOFETIL INJ, 500MG 673

MYCOPHENOLATE MOFETIL TAB, 500MG 45

MYCOPHENOLATE MOFETIL,250MG (200) 51

MYCOPLASMA PNEUMONIA CULT 368

MYCOPLASMA TITER 316

MYELIN BASIC PROTEIN-CSF 408

MYELOGRAPHY,2-3 REG.,+ LUMBAR INJ 2,871

MYELOGRAPHY,CERVICAL,+ LUMBAR INJ 2,871

MYELOGRAPHY,LUMBOSAC,+ LUMBAR INJ 2,871

MYELOPEROXIDASE ANTIBODIE 302

MYLANTA/MAALOX PLUS SUSP,30ML 15

MYOGLOBIN 92

MYOGLOBIN-SERUM 305

MYSOLINE (PRIMIDONE) 384

N.GONORRHOEAE, DNA, AMP PROB 451

NABUMETONE TAB, 500MG 5

NACL. 0.9% FOR IRRIGATION (300ML) 47

NACL.9% KCL20MEQ 15

NADALOL TAB 20MG 21

NADOLOL TAB, 40MG 41

NAFCILLIN INJ, 100MG/ML 16

NAFCILLIN INJ, 1GM 82

Page 117: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

NAFCILLIN INJ,20MG/ML(NICU SYR) 14

NAFCILLIN INJ,2GM 160

NAIL 10X170 TFN SHORT 04037042S 11,503

NAIL 10X420 CANN 04037062S 16,122

NAIL 11X360 CANN130D RT 04037156S 16,122

NAIL 11X400 HFN 814311400 12,234

NAIL 12X170 CANN 04037242S 11,503

NAIL 15X420X120 34205420S 7,932

NAIL ANKLE 11X150 LFT 18181115S 9,083

NAIL ANKLE 11X200 LFT 18181120S 9,083

NAIL ANKLE T2 10X200 LFT18181020S 9,083

NAIL ANKLE T2 11X200RT 18191120S 9,083

NAIL ANKLE T2 12X150 18181215S 10,079

NAIL ANKLE T2 12X200 18181220S 9,083

NAIL ANKLE T2 RT12X150MM18191215S 10,079

NAIL ANKLE12X300 RT 18191230S 9,083

NAIL CANN 11X380 RT 04037158S 16,122

NAIL CONDYLER T2 SUPRA 14X200MM 8,991

NAIL FEM 10X360MM RT 18510036S 12,051

NAIL FEM 10X400 04013460S 9,315

NAIL FEM 10X400MM LCK 18281040S 7,876

NAIL FEM 11X400 LOCK 18281140S 7,095

NAIL FEM GTN 10X400MM 1850-1040S 12,052

NAIL FEM GTN 12X440 18511244S 8,057

NAIL FEM T2 10X260 18511026S 7,637

NAIL FEM T2 10X360 LFT 18501036S 8,939

NAIL FEM T2 10X400MMRT 18511040S 8,940

NAIL FEM T2 10X420 LOCK 18281042S 7,095

NAIL FEM T2 11X380 LFT 18501138S 8,057

NAIL FEM T2 11X400 LFT 18501140S 8,057

NAIL FEM T2 11X400 RT 18511140S 8,057

NAIL FEM T2 14X440 LOCK 18281444S 7,095

NAIL FEM T2 8X400 RT 18510840S 8,445

NAIL FEM T2 9X340MM 18510934S 12,052

NAIL FEM T2 9X380 LOCK 18280938S 7,095

NAIL FEM12X360MM LOCK 18281236S 9,194

NAIL FIBULA 3X130 FIB30130L 17,485

NAIL FIBULA RT 3X130 FIB3013OR 20,427

NAIL FIBULOCK PROCEDUR PACKST6100 4,022

NAIL GAMMA 10X420 15250420S 7,932

NAIL GAMMA 11X320 35251320S 7,932

NAIL GAMMA 11X320 RT 34251320S 7,932

NAIL GAMMA 11X340MM 35251340S 7,932

NAIL GAMMA 11X380 35251380S 7,932

NAIL GAMMA 11X380MM 34251380S 8,463

NAIL GAMMA 11X420MM 35251420S 7,932

NAIL GAMMA 11X440 35251440S 7,932

Page 118: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

NAIL GAMMA 11X440 RT 34251440S 7,932

NAIL GAMMA 120 DEG X 180MM 6,259

NAIL GAMMA 13X340 RT 34253340S 7,932

NAIL GAMMA 13X380 34253380S 7,932

NAIL GAMMA 15X400 3255400S 7,932

NAIL GAMMA 15X400 34255400S 7,920

NAIL GAMMA 3 11X180X125 6,259

NAIL GAMMA3 11X34 125D 34251340S 8,802

NAIL GAMMA3 11X360 34251360S 7,932

NAIL GAMMA3 11X360MM 35251360S 7,932

NAIL GAMMA3 11X400MM 35251400S 7,932

NAIL GAMMA3 11X420 34251420S 7,932

NAIL GAMMA3 13X400 35253400S 7,932

NAIL GAMMA3 5X11X400 34251400S 8,802

NAIL HUM 9X300 LOCK 18300930S 6,096

NAIL INSERT SLEEVE TIB 18061406S 622

NAIL KIT LONG 13X420 35253420S 7,932

NAIL LONG 14X320MM SUPRA18261432S 8,991

NAIL LONG GAM10X380 125D34250380S 17,431

NAIL LONG T2 11X340MM 1826-1134S 8,991

NAIL RECON 10X320 RT 18451032S 8,379

NAIL RECON 10X400 LFT 18431040S 8,379

NAIL RECON 10X400 RT 18451040S 8,379

NAIL RECON 10X440 RT 18451044S 8,379

NAIL RECON 11X420 RT 18451142S 8,379

NAIL RECON 13X340 RT 18451334S 4,073

NAIL RECON 13X380 LFT 18431338S 8,379

NAIL RECON 13X420 RT 18451342S 8,379

NAIL RECON T2 11X400 RT 18451140S 8,379

NAIL RECON T2 11X440 1845114S 8,379

NAIL RECONST 13X380 RT 18451338S 8,379

NAIL SLEEVE T2 TIB 18061407S 622

NAIL SUPRACONDYLAR 13 X 200MM 8,991

NAIL T2 13X360 18261336S 8,251

NAIL T2 13X400 SUPRACOND18281340S 7,095

NAIL T2 9X260 SUPROCOND 18260926S 8,251

NAIL TIB T2 11X300MM 1822-1130S 7,168

NAIL TIB T2 14X360 18221436S 6,108

NAIL TIBIA 11 X 315 T2 7,168

NAIL TIBIA T2 9X345 7,168

NAIL TIBIAL 10X315MM 7,168

NAIL TIBIAL 12X35MM 7,168

NAIL TIBIAL 9 X 30MM (1822-0930S) 7,168

NAIL TIBIAL T2 09X285MM 7,168

NAIL TIBIAL T2 10MMX330MM STD 7,168

NAIL TIBIAL T2 10MMX345 7,168

NAIL TIBIAL T2 10X360MM 7,168

Page 119: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

NAIL TIBIAL T2 9X315 7,168

NAIL TIBIAL T2 9X360MM 18220936S 7,168

NAIL TIBIAL T2 STD 11/360MM 7,168

NAIL TIBIAL T2 STD 11/375MM 7,168

NAIL TIBIAL T2 STD 9/330MM 7,168

NAIL TROCH 10X340MM 125D34250340S 10,623

NAIL TROCH GAMA 10X360MM65250360S 10,623

NAIL TROCH GAMMA10X170MM31300170S 9,889

NAIL TROCH GAMMA10X400MM34250400S 10,623

NAIL TROCH1.5X10X40MM 3425-0400S 10,621

NAIL TROCH10X360MM 125D 34250360S 10,623

NAIL TROCHANGAMMA10X38035250380S 10,623

NAIL TROCHANGERIC 11X180/130* 7,013

NAIL TROCHANT 10X170MM 31250170S 9,889

NAIL TROCHANTERIC SMALL 31200170S 9,889

NAIL VALOR 11.5X200 RT 415101120R 15,996

NAIL VALOR MED11.5X200 415101120L 17,858

NAILTROCANGAM1.510X320MM35250320S 10,623

NALBUPHINE 10MG INJ 16

NALBUPHINE INJ, 10MG/ML 24

NALOXONE 0.4MG INJ 1ML 341

NALOXONE 0.4MG/ML INJ 10ML 202

NALOXONE INJ, 1MG/ML 58

NALTREXONE TAB, 50MG 24

NAPROXEN 375MG TAB 6

NAPROXEN SUSP, 125MG/5ML 37

NAPROXEN TAB, 250MG 4

NASAL BONES 612

NASAL SEPTAL BUTTON SZ3X4 SP78100 476

NASAL SINUS CULTURE 204

NASO/OROGASTRIC TUBE PLACEMENT 180

NEBIVOLOL TAB, 10 MG 27

NEBIVOLOL TAB, 2.5 MG 30

NEBIVOLOL TAB, 5 MG 30

NECK FOR SOFT TISSUE 513

NEEDLE 3 CM 20 G HAWKINS (253030) 144

NEEDLE ASPIR 2.4X1.52 M00550020 1,358

NEEDLE BIOPSY 11GAX4IN DJ4011X 144

NEEDLE BIOPSY 14GAX6IN 2N2704X 184

NEEDLE BIOPSY 2.2MM 9733068 3,608

NEEDLE BONE MAR ASP 11G 20909028 449

NEEDLE BONE MAR ASP 8G 20909029 449

NEEDLE CANNULA VERES BLUE 4.5 DIS 143

NEEDLE DEL 10GAX10CM DLS710301S 392

NEEDLE ESZ 100 48850100 449

NEEDLE EUS/FNB 19G M00555580 3,211

NEEDLE EXPRESS 8.5-9IN 214141 609

Page 120: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

NEEDLE HAWK 20G BREAST 253125 175

NEEDLE LOCALIZATION BY XRAY 752

NEEDLE MENISCAL REPAIR EYELET8570 162

NEEDLE MULTIFIRESCORPION AR13995N 992

NEEDLE PEDACCESSTIGER2.9X42 TN100 449

NEEDLE PNEUMO ENDOPATH 150MM DISP 258

NEEDLE SCORPION KNEE AR12990N 1,138

NEEDLE SUTURE FIBERWIRE2-0 AR7221 120

NEEDLE TRUEPASS DISP 72203793 847

NEEDLE,TRANSSEPTAL(ST JUDE) 1,944

NEEDLEMACROPLAS3.8FRX14.5INMRN420 194

NEG PRESS WOUND TX, <50 CM 754

NEG.PRESS.WND.TX,DISP.EQ,< 50 CM 835

NEOMYCIN 500MG TAB 11

NEONATAL T4 TO THE STATE 154

NEOSPORIN GU IRRIGANT SOLN 1ML 73

NEOSPORIN OINT, 30GM 20

NEOSPORIN OINTMENT 1GM 2

NEOSPORIN OPTH OINT 3.5G 323

NEOSTIGMINE [email protected] (10MG) 14

NEOSTIGMINE [email protected],IJ(4MG 30

NERVE BLOCK INJ,INTERCOSTAL,SINGL 746

NEURO MAX SHEATH 6F 90X4CM 2,542

NEUROFLEX COLL CUFF 2X2.5 CCF2025 9,489

NEUROFLEX COLLAGEN6X2.5 CNCF6025 8,551

NEUROFLEX COLLGNCUFF3X2.5CNCF3025 7,435

NEUROMED COLLGNWRAP6X2.5CMCNW6025 9,396

NEUROMUSCULAR REEDUCATION 175

NEURONTIN (GABA PENTIN) 249

NEUROSTIMULATOR ENTERRALL 37800 50,791

NEUROSTIMULATOR VERIFY EXT 3531 2,335

NEUTRA-PHOS PWD, 1.25G 3

NEVIRAPINE SUSP, 50MG/5ML 26

NEVIRAPINE TAB, 200MG 97

NEW PATIENT LEVEL 1 131

NEW PATIENT LEVEL 2 173

NEW PATIENT LEVEL 3 239

NEW PATIENT LEVEL 4 316

NEW PATIENT LEVEL 5 388

NIACIN 250MG CAP SA 0

NIACIN TAB CR 500MG 33

NIACIN TAB, 100MG 0

NICARDIPINE IN NSS INF 691

NICARDIPINE PREMIX 40MG IN NSS 20 1,382

NICOTINE PATCH, 14MG/24HR 12

NICOTINE PATCH, 21MG/24HR 12

NICOTINE PATCH, 7MG/24HR 12

Page 121: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

NIFEDIPINE 10MG CAP 11

NIFEDIPINE SR TAB 90MG 15

NIFEDIPINE TAB 30MG SA 8

NIFEDIPINE TAB 60MG SA 12

NIMODIPINE 30MG CAP 90

NIMODIPINE, ORAL SOLN, 60MG/20ML 496

NITROFURANTOIN MONO CAP, 100MG 15

NITROGLYCERIN 0.1MG/HR PATCH 11

NITROGLYCERIN 0.2MG/HR PATCH 9

NITROGLYCERIN 0.3MG/HR PATCH 36

NITROGLYCERIN 0.4MG TAB SL 25' 7

NITROGLYCERIN 0.4MG/HR PATCH 12

NITROGLYCERIN 0.6MG/HR PATCH 14

NITROGLYCERIN CAP SA, 2.5MG 5

NITROGLYCERIN IN DEXTROSE 5%, 50M 127

NITROGLYCERIN INJ 5MG/ML 10ML 92

NITROGLYCERIN OINT FOILPAC 2% 16

NITROGLYCERIN SPRAY 1,272

NITROPRUSSIDE 50MG INJ 1,869

NIVOLUMAB, PER 1 MG, INJ (100) 178

NIVOLUMAB, PER 1 MG, INJ (40) 178

NIZORAL SHAMPOO 2%, 120ML 156

NM CARDIOLITE 340

NM CITRATE 576

NM DPTA/TC99M 108

NM G.I. BLEEDING SCAN 2,696

NM GASTRIC EMPTYING SCAN 3,957

NM I-123 200 UCI 235

NM I-131,DIAG.-SOD.IOD.CAP.@ 1MCI 83

NM LIVER-SPLEEN SCAN 1,092

NM LUNG SCAN PERFUSION 2,232

NM MDP/TC99M 361

NM MECKLE SCAN 1,590

NM OCTREOSCAN 6,764

NM PERTECH 340

NM SALIVARY GLAND SCAN 1,092

NM SULFCOL 258

NM TECHNETIUM TC-99 MAA 340

NM WBC 340

NM XENON 340

NM-BRACHYTHER,NON-STR,Y90MICROSPH 50,815

NM-TC99M-MEBROFENIN,<15MCI (CHOL) 1,350

NON-COVERED MEDICARE MILEAGE 21

NON-STRESS TEST 1,144

NOREPINEPHRINE DRIP,4MG(250ML D5W 132

NOREPINEPHRINE INF, 4MG NSS 250ML 142

NORMOSOL-R INF, [PH-7] 170

Page 122: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

NORTRIPTYLINE 10MG CAP 2

NORTRIPTYLINE 25MG CAP 8

NORTRIPTYLINE 50MG CAP 4

NOSE CULTURE 204

NUCLEOTIDASE, 5' 264

NUT CONDYLE 5MM 885

NYSTATIN CREAM 15GM 99

NYSTATIN OINT (15MG) 95

NYSTATIN ORAL SUSP 100MU/ML 8

NYSTATIN POWDER 15GM 212

NYSTATIN SUSP, 500,000U 6

O2 THERAPY/DAILY 150

OB EMERGENCY VISIT-LEVEL 1 722

OB EMERGENCY VISIT-LEVEL 2 1,423

OB EMERGENCY VISIT-LEVEL 3 2,149

OB EMERGENCY VISIT-LEVEL 4 2,675

OB EMERGENCY VISIT-LEVEL 5 3,205

OB EMERGENCY VISIT-TRIAGE ONLY 128

OB US NUCHAL MEAS, 1 GEST 770

OB US NUCHAL MEAS, ADD-ON 482

OB,US,>/=14WKS,SINGLE FETUS 666

OBINUTUZUMAB INJ, PER 10MG (1000) 439

OBSERVATION PER HOUR 211

OBTURATOR ENDO 8MM DISP 420023 162

OCCULT BLOOD FECAL SCR 1-3 DETERM 119

OCCULT BLOOD, FECAL DIAGNOSTIC 76

OCCUPATIONAL THPY GAIT TRAINING 107

OCCUPATIONAL THPY ORTHO MGMT&TREA 250

OCCUPATIONAL THPY THERAPEU EXERCI 190

OCTREOTIDE NON-DEP,@25MCG,INJ(100 17

OCTREOTIDE NON-DEP,@25MCG,INJ(500 12

OCTREOTIDE,DEPOT,PER 1MG,INJ (20) 1,261

OCTREOTIDE,DEPOT,PER 1MG,INJ (30) 1,259

OCUFLOX OPHTH SOLN 5ML 119

OFLOXACIN OTIC DROPS, 0.3% 105

OLANZAPINE TAB, 2.5MG 63

OLANZAPINE ZYDIS TAB 15MG 73

OLANZAPINE ZYDIS TAB, 10MG 119

OLANZAPINE ZYDIS TAB, 5MG 81

OLIGIOCLONAL BANDING 472

OLMESARTAN TAB, 5MG 32

OLMESARTANTAB, 20MG 36

OLOPATAD9NE OPHTH SOLN, 0.01% 5M 1,514

OMNIPAQUE 300-399MG/ML IODINE,1ML 3

ONDANSETRON INJ 2MG/ML 20ML 2

ONDANSETRON INJ, 2MG/ML (2ML) 2

ONDANSETRON ODT 8MG 210

Page 123: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

ONDANSETRON ODT TAB, 4MG 131

ONDANSETRON ORAL SOLN, 4MG/5ML 68

ONDANSETRON TAB, 8MG 29

ONYX 34 LIQUID EMBOLIC AGENT EV3 18,229

OPERATING ROOM BASE TIME 1 HOUR 13,819

OPERATING ROOM ECH ADDED 1/2 HOUR 4,238

OR SEN-EEG NON CRANIAL 206

ORAL ADMIN-RADIOPHARM THERAPY 1,802

ORBITAL IMP W CONF 10001 100018S 4,816

ORBITS COMPLETE 911

ORITAVANCIN,PER 10 MG, INJ. (400) 169

ORTLOPANTOGRAM 170

OS CALCIS 2+ VIEWS 542

OSELTAMIVIR PHOSPHATE CAP., 75MG 88

OSELTAMIVIR SUSP,6MG/ML(60ML) 15

OT EVAL-HIGH COMPLEXITY (60 MIN) 867

OT EVAL-LOW COMPLEXITY (30 MIN) 490

OT EVAL-MODERATE COMPLEX.(45 MIN) 652

OT RE-EVAL-EST.CARE PLAN (30 MIN) 537

OXACILLIN SOD,@250MG,IJ(20MG-NIC) 16

OXALATE, 24 HOUR URINE 305

OXALIPLATIN,PER .5MG, INJ (100MG) 3

OXAZEPAM 10MG CAP 5

OXAZEPAM 15MG CAP 6

OXCARBAZEPINE SUSP., 300MG/5ML 47

OXCARBAZEPINE TAB, 150MG 9

OXCARBAZEPINE TAB, 300MG 4

OXYBUTYNIN TAB, 5MG 4

OXYCODONE CONTROLLED RELEASE 48

OXYCODONE IR TAB, 15MG 10

OXYCODONE SOLN, 5MG/5ML 49

OXYCODONE SR TAB, 10MG 26

OXYCODONE TAB, 5MG 3

OXYCONTIN SR TAB, 40MG 81

OXYGEN THERAPY/RECOVERY 238

OXYMETAZOLINE NAS SPRAY,0.95%(15M 12

OXYTOCIN,@ 10U, INJ (10 U) 10

OXYTOCIN,@ 10U, INJ (20 U-LR) 85

OXYTOCIN,@ 10U, INJ (30 U-NSS) 38

P/M TEMPORARY WIRE 1,425

PACEMAKER 1 CHAMB ASSURITY PM1272 16,472

PACEMAKER 2CHAMB ADVISAMRI A2DR01 31,743

PACEMAKER ACCOLADE DR IS1 L301 19,265

PACEMAKER ACCOLADE IS-1 L310 29,190

PACEMAKER ACCOLADE MRI DR L311 32,109

PACEMAKER ACCOLADE SR SGL L300 16,346

PACEMAKER ADAPTA DR (MEDTRONIC) 26,567

Page 124: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

PACEMAKER ADAPTA SR (MEDTRONIC) 24,622

PACEMAKER ASSURITY DR-RF PM2272 21,963

PACEMAKER ASSURITY47X50X6 PM2240 30,523

PACEMAKER AZURE XT MRI W1DR01 25,582

PACEMAKER AZURE XT MRI W1SR01 19,032

PACEMAKER BIVENT ALLURE PM3222 33,831

PACEMAKER IPG ADVISA A3SR01 25,687

PACEMAKER VALITUDE CRTP U125 39,698

PACEMAKER-MICRA(SINGLE-RATE RESP) 39,390

PACK ARTHROSCOPY MAIN CUSTOM 331

PACK BARIATRIC CUSTOM DYNJ43531 1,227

PACK BASIC NEURO CTYCSTMDYNJ34405 686

PACK BASIC NEURO CUSTOM 700

PACK CARDIAC OPEN HEART CUSTOM 1,847

PACK CARIDAC SURGERY CABG CUSTOM 757

PACK C-SECTION BIRTH TRAY CUSTOM 267

PACK D&C HYSTER CUSTOM DYNJ33779 216

PACK E P DEVICE 414

PACK GENERAL LAP CUSTOMDYNJ33778A 260

PACK GENERAL SURGERY CUSTOM 184

PACK HIP SCOPE ARTHROS DISP COMP 1,562

PACK LAPARASCOPY MINOR DYNJ33780 298

PACK ORTHO SPINE DYNJ39261 746

PACK PRESERV 1/8IN KIT KNEE864192 746

PACK PROCEDURE AV CUST DYNJ32603 273

PACK SHOULDER ARM CUST DYNJ32604 619

PACK TAVR CUSTOM DYNJ47834 1,244

PACK TOTAL HIP CUSTOM 1,032

PACK TOTAL JOINT CUSTOM 1,436

PACK TOTAL KNEE CUSTOM 1,247

PACK VASCULAR CUSTOM DYNJ32915 271

PACKING NASAL 10CM 440406 150

PACKING NASAL MEROGEL4X4 1517002 483

PACKING NASAL RHINO 7.5CM RR750 220

PACLITAXEL PROT-BOUND,@ 1MG,(100) 91

PACLITAXEL,PER 1 MG, INJ (100 MG) 2

PACLITAXEL,PER 1 MG, INJ (30 MG) 3

PACLITAXEL,PER 1 MG, INJ (300 MG) 3

PAD FOOT FOR HPS TABLE DISPOSABLE 842

PAD PERONEAL SUPINE 488

PALIPERIDONE TAB ER, 3MG 173

PALIPERIDONE TAB ER, 6MG 173

PALIPERIDONE TAB ER, 9MG 259

PALONOSETRON INJ 0.05 MG/ML (5ML 190

PAMIDRONATE INJ, 30MG 128

PAMIDRONATE INJ,@ 30MG (90MG) 98

PANCRELIPASE CAP SR 17

Page 125: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

PANC-UNLIST(NECROSECT.PANCR.CYST) 2,950

PANCURONIUM 10MG INJ 10ML 32

PANITUMUMAB, @ 10 MG, INJ (400) 807

PANTOPRAZOLE EC TAB 40MG 23

PANTOPRAZOLE INJ 40MG 44

PANTOPRAZOLE ORAL SUSP, 40MG 30

PARACENTESIS 1,219

PARATHYROID HORMONE INTAC 958

PARATHYROID SCAN 2,191

PARAVERINE INJ 30MG/ML (2ML) 19

PARIETEX 14CMX9CM TEM1409GL 2,116

PARIETEX PROGRIP 12X8 TEM1208GL 1,798

PARIETEX PROGRIP 14X9 TEM1409GR 1,666

PARIETEX PROGRIP 15X15 TEM1515G 1,745

PAROXETINE TAB, 20MG 15

PAROXETINE TAB, 30MG 15

PAROXETINE TAB. 10MG 15

PARVO VIRUS 242

PASSER CATHERTER 55CM DISP 821516 580

PASSER CATHETER 65CM XLONG 821517 572

PASSER SUTLASSO1.8MM25DAR406825TL 843

PASSER SUTURE MICRO STR AR8703 801

PASSER SUTURE SHUTTLE RELAY C6004 213

PATALLAR OVAL RSURF 38MM 2,210

PATCH CAROTID 8X75 HGKTP0875CPUT 802

PATCH COMPOSITE PAR 8CM PCO8VP 3,793

PATCH DURAL10X16CMBOVINE DG1016SN 3,712

PATCH EVARREST 2X4 EVT5024 7,006

PATCH PERIGUARD 6X8CM PC0608N 2,195

PATCH VAS ALBOSUR1X15X.04AP10150R 1,482

PATCH VASC ALBO.8X7.5X.4 AP08075T 654

PATCH VENTRAL 4.6CM PCO4VP 2,837

PATCH VENTRAL PARIETEX 6CM PC06VP 2,953

PATCH XENOSURE 8X8 EO8P8 1,022

PATCH,VASC,HEMA 8/75M 019579 863

PATCH,VASC,HEMA,8/150MM,FINESSE 1,028

PATCH,VASU,2CM X 9CM,(1802009004) 1,380

PATCH,VASU,THIN,2CM X 9CM,OVAL-S 1,349

PATEL STAN SZ 29M DIA 8.0M THICK 2,591

PATELLA ASSYMETRIC # 35 3,022

PATELLA ASYMET TRIATH A405551L401 2,066

PATELLA ASYMETR A38X11MM 5551L381 2,066

PATELLA ASYMETRIC (6642-2-050) 3,982

PATELLA ASYMETRIC 10MMX3 TRIATHLO 3,022

PATELLA ASYMETRIC A35 551L350 2,066

PATELLA ASYMMETRIC A29X9MM TRIATH 2,066

PATELLA ASYMMETRIC A32X10MM TRIAT 2,066

Page 126: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

PATELLA DOME 35MM 2,948

PATELLA DURACON ASYMMETRIC 11MM 3,982

PATELLA DUVACON 9MM ASYMETRIC 3,982

PATELLA LRG DURACOR 3,982

PATELLA PSA 32MM 42540000032 2,008

PATELLA RESURFACE GEN II 35MM 2,189

PATELLA RESURFACINT 35MM STD 2,255

PATELLA STD 38MM 2,591

PATELLA STD SZ 32MM 2,591

PATELLA SYMME X3 TRIATH 8MM S27MM 3,022

PATELLA SYMMETRIC X3 TRIA 8XS29MM 3,022

PATELLA SZ35MM/9.0MM NEXGEN 2,591

PATELLA TRI X3 9XS33MM 5550G339 3,022

PATELLA TRIATH ASYM 11MM A38 3,022

PATELLA TRIATHLON X3 (5551-G-299) 3,022

PATELLAR OVAL GII 35MM 2,210

PATELLAR OVAL RESURF GII 29MM 2,210

PATELLAR SURFACE 32MM 2,210

PATHOLOGY CONSULT DURING SURGERY 40

PEAK FLOW METER, PORTABLE 72

PEEL AWAY, INTRODUCER 450

PEG FEMORAL 958

PEG FIX 2X20MM P20000 560

PEG FIX DVR 2.0X22MM P22000 560

PEG FIX DVR 2X18MM P18000 560

PEG GEMINUS 2.7X18 HCLP27180TS 479

PEG LOCK GEM 2.3X16 TPLS23160TS 455

PEG LOCK GEM 2.7X16 HCLP27160TS 455

PEG LOCK GEMIN 2.3X14TPLS231440TS 455

PEG PONSKY PULL DELUXE W/SNARE 584

PEG REMOVAL/CHANGE 1,000

PEG SHOULDER ANCHOR SZ 44M GLEN 9,783

PEGFILGRASTIM PER 6MG,INJ (0.6ML) 42,359

PEGFILGRASTIM,@ 6MG,INJ(KIT-.6ML) 42,359

PELVIS COMPLETE NON-OB 1,639

PELVIS LTD NON-OBSTETRIC 729

PEMBROLIZUMAB INJ,PER 1MG (100MG) 287

PEMETREXED,PER 10 MG,INJ (500 MG) 377

PENICILLIN BENZ 2.4MU INJ 30

PENICILLIN G BENZ 1.2MU INJ 28

PENICILLIN G BENZATHINAL INJ, 0.6 62

PENICILLIN G POT,@600K U,INJ (5M) 23

PENICILLIN G POT,@600K(100K-NIC-S 16

PENICILLIN G POT,@600K(100K-NICU) 6

PENICILLIN G POT,@600K,(3M-D5W)PB 14

PENICILLIN G PROCAINE,@600K U,INJ 97

PENICILLIN G SODIUM INJ, 5MU 326

Page 127: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

PENICILLIN V POTASSIUM TAB, 250MG 5

PENICILLIN VK SUSP 250MG/5ML 2

PENTOBARBITAL SOD.@50MG,INJ(2500) 307

PENTOXIFYLLINE 400MG TAB 8

PEP THERAPY EACH 15 MIN 152

PERC CHOLECYSTOSTOMY 4,790

PERC CRYO ABLATE RENAL TUM 10,998

PERC D-E COR REVASC CHRO SIN 40,325

PERC D-E COR REVASC T CABG B 22,377

PERC D-E COR REVASC T CABG S 40,325

PERC D-E COR REVASC W AMI S 41,600

PERC D-E COR STENT ATHER BN 40,294

PERC D-E COR STENT ATHER S 40,325

PERC DRAINAGE CATH PERIT ABSCESS 1,215

PERC DRUG-EL COR STENT ADD.BRANCH 11,188

PERC DRUG-EL COR STENT SING 22,377

PERC.VERT.AUGMNT,1BODY,LUMB,+GUID 10,596

PERC.VERT.AUGMNT,1BODY,THOR,+GUID 17,840

PERCEPTUAL MOTOR TASKS O.T. 205

PERCOCET TAB 8

PERCUT R.F. ABLATION RENAL TUMORS 12,366

PERCUT TRANS W/HEMODY EVAL, S&I 3,282

PERCUTANEOUS CATH CHANGE OR DR CA 2,312

PERFLUTREN MICROSPH. @1ML INJ(2ML 442

PERFORATOR,CRANIAL,HUDSON,14MM 1,114

PERFUSION OFF PUMP 14,560

PERFUSION ON PUMP 21,822

PERICARDIOCENTESIS, INITIAL 11,233

PERIPHERAL GUIDE CATHETER 2,702

PERI-PROC.DEVICE EVAL,IMPL.DEFIB. 242

PERITONEAL LAVAGE INCL. IMAGING 2,620

PERITONEOGRAM 880

PERMACATH, ALL 899

PERMETHRIN CREAM 5% (60G) 700

PERMETHRIN CRM RINSE, 1%(60ML) 57

PERMETHRIN LOT, 1%(60ML) 48

PERPHENAZINE 2MG TAB 10

PERPHENAZINE 4MG TAB 10

PERQ.PL.DEV.BREAST,MAMMO,1ST LSN 2,205

PERQ.PL.DEV.BREAST,MAMMO,EA.+LSN 1,103

PERQ.PL.DEV.BREAST,ULTRSD,1ST.LSN 4,460

PERQ.PL.DEV.BREAST,ULTRSD,EA.+LSN 2,230

PERTUZUMAB,INJ,PER 1 MG(420VIAL) 81

PET - FDG 389

PET IMAGE W/CT,FULL BODY W/PS MOD 4,567

PET IMAGE W/CT,SKULL-THIGH 4,567

PH ELECTRODE ESOPHAGUS 504

Page 128: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

PHARMACOLOGIC STRESS 1,248

PHENAZOPYRIDINE HCL TAB 100MG 14

PHENCYCLIDINE ASSAY 212

PHENERGAN 25MG TAB 3

PHENOBARBITAL 100MG TAB 2

PHENOBARBITAL 30MG TAB 5

PHENOBARBITAL ELIX, 20MG/5ML (UD) 6

PHENOBARBITAL ELIXIR, 30MG/7.5ML 9

PHENOBARBITAL SERUM 267

PHENOBARBITAL SOD,@ 120MG,INJ(65) 18

PHENOBARBITAL SOD,@120MG,INJ(130) 314

PHENOBARBITAL TAB, 15MG 4

PHENOL 1.4% TROPICAL THROAT SPRAY 20

PHENOTYPE,DNA HIV W/CULTURE 11,280

PHENTOLAMINE MESYLATE@5MG INJ(5MG 28,892

PHENYLEPHRINE NASAL SPRA .25% 15M 21

PHENYLEPHRINE NASAL SPRA .5% 15ML 21

PHENYLEPHRINE NASAL SPRAY,1% 15ML 24

PHENYLEPHRINE OPHTH.SOLN,2.5%-2ML 230

PHENYLEPHRINE,@ 1ML(100MCG/1ML)BO 17

PHENYLEPHRINE,@ 1ML(10MG/1ML),INJ 82

PHENYLEPHRINE,@ 1ML(10MG/ML)(5ML) 35

PHENYLEPHRINE,@ 1ML(1MG/10ML)NSS 59

PHENYTOIN 125MG/5ML SUSP 5ML 4

PHENYTOIN CAP SR 30MG 6

PHENYTOIN CAP SR,100MG 8

PHENYTOIN INJ, 50MG/ML 5ML 2

PHENYTOIN INJ,50MG/ML (2ML) 4

PHENYTOIN TAB CHEW, 648MG 9

PHLEBOTOMY THERAPEUTIC 283

PHOSPHORUS 8 MMOL/SODIUM 6.9MEQ/P 3

PHOSPHORUS SERUM 112

PHOTENGUIDE LIGHT WIDE 104015 1,605

PHOTONGUIDE LIGHT NAR FLAT 104008 1,605

PHP FAMILY PSYCHOTHERAPY W/PAT 500

PHP GROUP PSYCHOTHERAPY 500

PHP MED.MANAGEMENT-DETAIL/MODER. 255

PHP PATIENT PSYCHOTHERAPY, 30 MIN 630

PHP PATIENT PSYCHOTHERAPY, 45 MIN 650

PHP PSYCHIATRIC DX INTERVIEW 600

PHYSICAL THPY ORTHO MGMT&TRAINING 250

PHYTONADIONE @ 1 MG INJ 122

PHYTONADIONE @ 1 MG INJ (10) 11

PHYTONADIONE TAB,5MG 363

PICC 631

PIC-INSERT PICC CATH W/O PORT > 5 YRS 3,457

PILLOW,ABDUCT,ZIMFOAM,LRG DISPOSE 145

Page 129: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

PILOCARPINE OPHTH SOLN, 1%(15ML) 231

PILOCARPINE OPTH SOLN 4% 1ML 249

PIN 45MM STERILE 74013471 257

PIN ANCHOR4X35MMNAVDISP6007435000 1,491

PIN ANCHOR4X40MMNAVDISP6007440000 1,491

PIN APEX 150X40 50174150S 686

PIN APEX 4X120MM 50233120 535

PIN APEX 5 X 200MM 632

PIN APEX 5/6 300X40 50504300 613

PIN APEX 5X250MM 50187250 627

PIN APEX 5X300MM 6X50 50505300 687

PIN APEX ADAPTER LONG 49331021 1,396

PIN APEX S/O 3X110MM 320

PIN BONE MAKO 3.2X110 143110 590

PIN BONE MAKO 3.2X140 143140 590

PIN BONE MAKO 3X17 144170 590

PIN BONE MAKO 4X110 144110 590

PIN BONE MAKO 4X140 144140 590

PIN BONE MAKO 4X80 144080 590

PIN CANC 5X250MM 50157250 660

PIN DISTRACTION CASPAR (800-500X) 344

PIN DISTRACTION CASPER16MM80-501X 317

PIN DISTRACTION CASTER 12MM 344

PIN GUIDE 3.2X343 71631436 872

PIN GUIDE SIMPLICITY 3X75 9722908 613

PIN HALF 5X180 50185180 565

PIN HALF APEX 20X120 50268120 653

PIN HALF APEX 2X45X12 50802012 319

PIN HALF APEX 4X120MM 50235120S 538

PIN HALF APEX 5X120 50185120 565

PIN HALF APEX 5X200 50186200 627

PIN HALF APEX SELF DRILLING 5X180 632

PIN HALF APEX4X120MM 5023-5-120 535

PIN HEADLESS 3.2X75MM 00590102000 692

PIN HEADLESS FL 3.2 89MM76502038A 2,713

PIN HLF SLF DRILL 5X180 50175180S 826

PIN IBAL THREAD SHRT AR61115 245

PIN IBAL UKA TROCAR AR61350 797

PIN LOCKING 1,276

PIN MAKO 3.2X110 213524 1,179

PIN MAKO 3.2X140 213527 1,179

PIN PACK ATTUNE 254400111 3,001

PIN RUSH 4.8X203 00080200102 788

PIN RUSH 4.8X241 00080200104 788

PIN RUSH MEDUL6.4X337 00080100105 788

PIN S/D APEX 5/150MM 632

PIN SCHANZ 5.0 AR895401 1,751

Page 130: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

PIN SELF-DRILLING APEX 5/150MM 632

PIN SKULL MAYFIELD DISPOSABLE PLA 391

PIN SLF DRILL APX 5X150 50175150S 826

PIN STEINMAN 3.2MM 110003484 960

PIN STEINMAN 3/32X9IN 72204561 695

PIN STEINMANN 9 405800 1,243

PIN TRANSFIX 04X250MM 607

PIN TRANSFIXATION 6.0MM/225MM 786

PIN TROCAR 1/8X5 71210003 687

PINDOLOL TAB, 5MG 7

PINHALFAPEX6X200MM50MM5014-5-200S 876

PINNACLE 6FR HOCKEYSTICK RSC05 578

PINNACLE 7FR STR 5474501 520

PINS SALTO TAL SGL USE LJU095 1,138

PINS THREADED SIGMA 950502303 2,913

PIOGLITAZONE TAB, 15MG 32

PIOGLITAZONE TAB, 30MG 49

PIOGLITAZONE TAB, 45MG 53

PIPELINE EMBOLIZATION DEVICE(EV3) 83,383

PKU TO THE STATE 131

PLACE ACC-BIL.TREE/SM.BWL,NEW ACC 5,422

PLACE BILIARY DRAIN.CATH,EXTERNAL 7,381

PLACE BILIARY DRAIN.CATH,INT-EXT 6,656

PLACE CATH CARO/INOM ART.EXT-CRAN 3,909

PLACE CATH CARO/INOM ART.INT-CRAN 3,909

PLACE CATH CAROTID ARTERY 6,394

PLACE CATH SUBCLAVIAN ART 4,949

PLACE CATH THORACIC AORTA 3,909

PLACE CATH VERTEBRAL ART 14,908

PLACE CATH XTRNL CAROTID 2,019

PLACE DEVICE/MARKER NON-PROSTATE 2,776

PLACE DUOD/JEJ TUBE PERC 2,713

PLACE GASTRO TUBE 4,269

PLACE GASTROSTOMY TUBE PERC 1,206

PLACE NEEDLE IN VEIN 1,440

PLACE NEPHRO/URET CATH,NEW ACCESS 14,597

PLACE NEPHROSTOMY CATH,COMPLETE 8,578

PLACE NEPHROSTOMY CATH,PRE-EXIST 9,500

PLACE URET.STENT,NEW ACC,NO CATH 14,597

PLACE URET.STENT,PRE-EX.NEPH.TR 14,597

PLACEMENT LOOP RECORDER - MINI 1,021

PLACEMENT OF NEEDLE FOR INTRAOSSE 457

PLACENTA CULTURE 204

PLASMA, FRESH FROZEN (8-24 HRS) 565

PLASMINOGEN,EXCEPT ANTIGENIC ASSA 154

PLATE 1.2MM 24H 5506224 2,923

PLATE 15H RIB RT 04501002 9,254

Page 131: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

PLATE 16H RIB RT 04501004 9,254

PLATE 2.4 LCP 6H RT 0211550 6,028

PLATE 2.4 VALCP 6H 02111520 6,616

PLATE 2.7X93 8H SS 00492800803 1,064

PLATE 3.5MM LCP 10 HOLE (245.101) 3,552

PLATE 3.5MM LCP 14 HOLE (223.641) 3,802

PLATE 355MM NCB 18H 0203264118 10,368

PLATE 3D MAX 10X10MM 5506237 7,836

PLATE 3D MAX 2X2MM 5506231 1,360

PLATE 3D MAX 2X6MM 5506233 2,444

PLATE 3H 25MM AR800725 5,809

PLATE 5HL RECON NON LOCK 430105 1,430

PLATE 5TH METATARSAL RT AR8956R03 7,443

PLATE 6 HOLE SYMPHYSIS PUBIS 3,247

PLATE 65MM VAR RT 3H 629363 3,837

PLATE 6HL RECON NONLK 430106 1,530

PLATE 7 HOLE 98MM 1,783

PLATE 84MM VAR HUM 629223 3,837

PLATE 86MM 3 HL PROXIMAL AXSOS 6,562

PLATE 9 HOLE 3.5MM/116M (223.591) 2,236

PLATE ANCHORAGE LRG LFT PLP30201 5,449

PLATE ANCHORAGE MED RT PLP30172 5,743

PLATE ANCHORAGE MTP5H RT PLP11342 5,449

PLATE ANCHORAGE RT PLP20342 5,449

PLATE ANCHORAGE WEDGE4MM PLP54230 5,449

PLATE ANCHORAGEMTPLFT SM PLP11341 5,449

PLATE ANCHORL LOCK 48667000 3,007

PLATE ANT ANKLE LFT AR8970AL 12,114

PLATE ANT CERV 1LEV 18MM 31118 5,809

PLATE ANT CERV 4LEV 76MM 31476 9,773

PLATE ANT CERV 4LEV 84MM 31484 5,254

PLATE ANTHOLOGY HIGH SZ3 71357103 13,153

PLATE ATL VISION 67.5 7200167 8,730

PLATE ATL VISION 72.5 7200072 8,536

PLATE ATL VISION 75MM 7200075 8,730

PLATE ATLANTIS 50MM 7200050 10,350

PLATE ATLANTIS ELITE 47.5 7200147 8,536

PLATE ATLANTIS VISION70MM 7200070 8,536

PLATE AVIATOR 1LEV 14MM 48811114 10,634

PLATE AVIATOR 2L 32MM 48811232 11,243

PLATE AVIATOR 2LEV 30MM 48811230 11,165

PLATE AVIATOR 2LEV 45MM 48811345 11,165

PLATE AVIATOR 2LEV SZ26 48811226 10,062

PLATE AVIATOR 2LEV SZ28 48811228 10,062

PLATE AVIATOR 3LEV 48MM 48811348 12,010

PLATE AVIATOR 3LEV 51MM 48811351 12,010

PLATE AVIATOR 3LEV54MM 48811354 12,010

Page 132: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

PLATE AVIATOR 4LEV 64MM 48811464 13,190

PLATE AVIATOR 4LEV 72MM 48811472 13,190

PLATE AVIATOR SZ12 1LEV 48811112 10,636

PLATE AXSOS 10H 199MM FEM 627340 7,410

PLATE AXSOS 10H FEM 627640 8,670

PLATE AXSOS 10HL 5MM L187 427110S 828

PLATE AXSOS 12H 202MM 627242 12,487

PLATE AXSOS 12H 274MM 627642 8,844

PLATE AXSOS 12H LFT 627612 8,844

PLATE AXSOS 14H 227 LFT TIB627414 9,681

PLATE AXSOS 14H 228 627244S 11,746

PLATE AXSOS 14H 229 RT 627494 8,011

PLATE AXSOS 14H 310 627644 9,020

PLATE AXSOS 14H 310MM LFT 627614 9,020

PLATE AXSOS 14H TIB RT 627744 9,280

PLATE AXSOS 166 4H 627604 8,844

PLATE AXSOS 166MM 6H 627606 8,670

PLATE AXSOS 16H 254 627246S 11,748

PLATE AXSOS 16H 343MM627646 9,201

PLATE AXSOS 2H 95MM 627332 7,122

PLATE AXSOS 379MM FEM 18H 627618S 14,317

PLATE AXSOS 3H 621424 786

PLATE AXSOS 3H 86MM HUM 627233 7,832

PLATE AXSOS 3H SM FRAG 621423 601

PLATE AXSOS 3H SPS 621428 829

PLATE AXSOS 4H 127MM 627304 5,580

PLATE AXSOS 4H 71MM 627734 7,772

PLATE AXSOS 5X263MM 14H 427144S 1,253

PLATE AXSOS 6H 127MM 627336 7,122

PLATE AXSOS 6H 127MM LFT 627306 5,580

PLATE AXSOS 6H TI 621426 829

PLATE AXSOS 6H TIB LOCK 627706 8,275

PLATE AXSOS 8H 173MM 627338 7,264

PLATE AXSOS 8H FEM 627608 8,500

PLATE AXSOS 8H LFT 627308 7,264

PLATE AXSOS 8H RT TIB 627738 7,264

PLATE AXSOS 95MM 2H 627302 5,954

PLATE AXSOS FEM 10H LFT 627610 8,670

PLATE AXSOS HUM RT 4HL 627234 8,224

PLATE AXSOS HUM RT 5H 627235 9,153

PLATE AXSOS HUM RT 6H 6277236 11,956

PLATE AXSOS NAR 10H 627540 8,665

PLATE AXSOS TIB 16H 253 627446S 9,897

PLATE AXSOS TIB 18H 279 627448S 10,106

PLATE AXSOS TPLATE 4H 621434 650

PLATE BASE TIB JOURN SZ2 74022212 5,255

PLATE BASE TIBIAL LFT SZ3 JOURNEY 5,592

Page 133: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

PLATE BASE TIBIAL LT SZ 5 JOURNEY 5,592

PLATE BASE TIBIAL LT SZ6JOURNEY 5,592

PLATE BASE TIBIAL RT SZ 3 JOURNEY 5,592

PLATE BASE TIBIAL RT SZ4 JOURNEY 5,592

PLATE BASETIB JOURNEYSZ7 74022217 5,255

PLATE BOX 2X2 SM UNIV 5334228 1,051

PLATE BOX LRG UNIV 5334240 315

PLATE BURR HOLE 7MM 5334507 1,418

PLATE BUTTON CLAVICLE AR2658 2,027

PLATE CALC VAR LRG MESH 4010106 3,072

PLATE CALC VAR SM MESH 40-10102 2,672

PLATE CALCANEAL LONG RT AR89544RL 6,393

PLATE CALCANEAL LONGLFT AR8954MLL 6,393

PLATE CALCFX AR8954YRS 6,393

PLATE CALCFX TUBE L AR8954YLL 6,393

PLATE CERV 1LEV 17MM 31117 5,254

PLATE CERV 1LEV 20MM 31120 5,809

PLATE CERV 1LEV 22MM 31122 5,809

PLATE CERV 2LEV 34MM 31234 6,936

PLATE CERV 2LEV 36MM 31236 6,936

PLATE CERV 2LEV 38MM 31238 6,936

PLATE CERV 2LEV 40MM 31240 6,936

PLATE CERV 2LEV 46MM 31246 5,254

PLATE CERV 3LEV 48MM 31348 5,254

PLATE CERV 3LEV 54MM 31354 7,496

PLATE CERV 3LEV 57MM 31357 7,496

PLATE CERV 3LEV 60MM 31360 7,496

PLATE CERV 4 LEV 72MM 31472 9,773

PLATE CERV 4LEV 80MM 31480 5,254

PLATE CERV 53MM 2LEV 1140253 6,936

PLATE CERV ALTANTIS 77.5 7200077 10,764

PLATE CERV ATL 23MM 7200023 8,639

PLATE CERV ATL 40MM 7200040 9,506

PLATE CERV ATL VISION27.5 7200027 12,379

PLATE CERV ATL VISION42.5 7200042 9,506

PLATE CERV ATLANTIS 25MM 7200025 12,379

PLATE CERV ATLANTIS 30MM 7200030 8,639

PLATE CERV ATLANTIS 37.5 7200037 9,506

PLATE CERV ATLANTIS 45MM 7200045 13,377

PLATE CERV ATLANTIS 52.5 7200052 10,764

PLATE CERV ATLANTIS 55MM 7200055 14,871

PLATE CERV ATLANTIS 57.5MM7200057 10,764

PLATE CERV ATLANTIS 70MM 7200170 9,700

PLATE CERV FUJI 1LEV 20MM 1140120 7,519

PLATE CERV FUJI 1LEV 22 1140122 5,809

PLATE CERV FUJI 1LEV 24MM 1140124 5,809

PLATE CERV FUJI 1LEV 26MM 1140126 5,809

Page 134: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

PLATE CERV FUJI 1LEV 28MM1140128 5,809

PLATE CERV FUJI 2LEV 35 1140235 6,936

PLATE CERV FUJI 2LEV 38MM 1140238 6,936

PLATE CERV FUJI 2LEV 44MM 1140244 6,936

PLATE CERV FUJI 2LEV 56 1140256 6,936

PLATE CERV FUJI 3LEV 50MM 1140350 7,496

PLATE CERV FUJI 3LEV 53 1140353 7,496

PLATE CERV FUJI 3LEV 56 1140356 7,496

PLATE CERV FUJI 3LEV 59 1140359 7,496

PLATE CERV FUJI 3LEV 62MM 1140362 7,496

PLATE CERV FUJI 3LEV 65MM 1140365 7,496

PLATE CERV FUJI 4LEV 77MM 1140477 9,773

PLATE CERV FUJI 4LEV 80MM 1140480 9,773

PLATE CERV FUJI 4LEV 83MM 1140483 9,773

PLATE CERV FUJI 4LEV 86MM 1140486 9,773

PLATE CERV VECTRA 34MM2L 04613134 6,498

PLATE CLAV 8H LFT AR2657DL 3,211

PLATE CLAV VAR 4H RT 628224S 4,554

PLATE CLAV VAR 5H RT 628225S 4,554

PLATE CLAV VAR 7H 628227S 5,616

PLATE CLAV VAR 7H LFT 628207S 5,992

PLATE CLAVICAL VAR 86MM4H 678204S 5,054

PLATE CMF 26H LEV1 507972609 9,447

PLATE CMF LOCK 4H 507720409 3,420

PLATE CMF LSHAPE 4X3H 253100709 1,480

PLATE CMF MIDFACE 6H 253101609 4,660

PLATE COMP 9H 627539 8,758

PLATE COMP AXSOS 169MM 9H427109S 828

PLATE COMP AXSOS5X227MM12H427142S 1,253

PLATE COMP4.5X167 10H 00494501000 1,138

PLATE COMP5X299MM 16H 427146S 1,339

PLATE COVER BUR HL 10MM 5334510 266

PLATE COVER BUR HL 14MM 5334514 1,328

PLATE CROSS CNCT 32MM 48551074 10,225

PLATE CROSSLINK 5.5X34 8115534 10,270

PLATE CURV LEIB1.7MM 6H 55-05188 1,439

PLATE CURV VAR RT 4H 40-15011 1,410

PLATE CURV VAR RT 5H 4015012 2,659

PLATE CURVE 5H LFT 4015013 1,529

PLATE CURVE MPS 8H 425658 1,694

PLATE CURVED 10HL 1.2MM UF5506250 1,405

PLATE DIST LAT 6H 627636 8,671

PLATE DVR 24X59MM DVRAL 5,195

PLATE DVR LFT XSHORT 5425673 4,174

PLATE FEM 317MM 15H 0203264115 9,900

PLATE FEM AXSOS 16H RT 343 436536 4,423

PLATE FEM NCB 238MM9H 0202264109 8,862

Page 135: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

PLATE FEM NCB224MM LFT 0203263115 9,900

PLATE FEM NCP 324MM 0203263015 9,900

PLATE FEMOSTEOLFT L/XL AR13110L02 6,568

PLATE FIB 7H 2.7 LEFT 02118409 6,704

PLATE FIB BAR 6H 84MM 4020806S 1,746

PLATE FIB FT WARIAX 5H 4020905 3,092

PLATE FIB LCK DIST 4H AR8943BR04 3,313

PLATE FIB LCP 4H 02118402 5,602

PLATE FIB LOCK 4H AR8943BL04 3,211

PLATE FIB LOCK 5H AR8943BR05 3,795

PLATE FIB LOCK RT 6H AR8943BR06 4,233

PLATE FIB VAR 10H 132MM 4020810S 1,746

PLATE FIB VAR 12H 4020812S 2,411

PLATE FIB VAR 149MM 9H 4020909 2,952

PLATE FIB VAR 14H 180MM 4020814S 2,413

PLATE FIB VAR 16H 204MM 4020816S 2,413

PLATE FIB VAR 4H 4020804 1,853

PLATE FIB VAR 7H 4020907 3,364

PLATE FIB VAR 7H 96MM 4020807 2,671

PLATE FIB VAR 8H 137MM 40-20908 3,364

PLATE FIB VARIAX 5H 72MM 4020805S 1,746

PLATE FIB VARIAX 8H 108MM 4020808 1,854

PLATE FIB VARIAX FOOT 4H 4020904 3,092

PLATE FIB VARIAX FT 3H 4020903 3,092

PLATE FIBULA VARIAX FT 6H 4020906 3,092

PLATE FUJI CERV 3LEV 47 1140347 16,872

PLATE GLEN EQUINOXE REV 3201501 7,499

PLATE HOFFMAN 49341060 836

PLATE HUM 12H 202MM 627212 11,029

PLATE HUM 163MM 10H LFT 629390S 7,531

PLATE HUM 163MM 12H 629392S 5,197

PLATE HUM 173MM 10H 629250S 7,531

PLATE HUM AXSOS 10H 176 627210 10,557

PLATE HUM AXSOS 14H 228 627214S 10,557

PLATE HUM AXSOS 16H 627216S 10,557

PLATE HUM AXSOS 3H LFT 627203 8,224

PLATE HUM AXSOS 4H 627204 8,224

PLATE HUM AXSOS 5H 627205 8,224

PLATE HUM LCP 3.5X91MM2H 02123020 10,131

PLATE HUM LCP 3H 75MM 02117203 7,850

PLATE HUM LCP 4H 108MM 02117404 7,850

PLATE HUM VAR 109MM 4H 629204 5,620

PLATE HUM VAR 12H LFT 629252S 7,921

PLATE HUM VAR 14H 629254S 5,580

PLATE HUM VAR 14H RT 629274S 5,954

PLATE HUM VAR 150MM 8H RT 629268 4,684

PLATE HUM VAR 196MM 12H 629272S 7,922

Page 136: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

PLATE HUM VAR 85 3H 629203S 4,623

PLATE HUM VAR ELB105MM 4H 629244 5,620

PLATE IBAL LRG 7DEG AR13400L007 11,092

PLATE INFRAPECTINEAL SM 425932S 5,768

PLATE L 1.7MM 5H 2MM BAR 5506761 1,212

PLATE L 5H 100D 2MM 55-06760 1,212

PLATE L LEIB 6H 100D 5506766 1,367

PLATE L LEIB 6H 8MM 5506764 1,329

PLATE L LEIB 8H 90D 55-06260 1,083

PLATE L LEIB1.7MM6H100D8MM5506765 1,331

PLATE L LEIBINGER 1.2MM 8H5506261 1,083

PLATE LAPIDUS LFT PLP20341 5,449

PLATE LCDCP 2X39 6H 243586 1,644

PLATE LCK VAR ELB 116MM 6H 629386 4,726

PLATE LCP 10 HOLE 1/3 TUBULAR 980

PLATE LCP 12 HOLE 3.5/1 (223.621) 2,542

PLATE LCP 2.0 02130350 2,837

PLATE LCP 2.4MM 3HL 02111630 5,800

PLATE LCP 2.4X58 3H 249615 4,039

PLATE LCP 2.7X67MM 7H 249683 2,762

PLATE LCP 2MM 52MMX7H 247347 1,311

PLATE LCP 2MMX2H 247349 5,151

PLATE LCP 2X8H 247348 1,527

PLATE LCP 3.5 8H CLAV 02112031 6,554

PLATE LCP 3.5MM 85MMX6H 02112080 5,064

PLATE LCP 3.5X197 12H 239962 10,218

PLATE LCP 3.5X79 2H 02120702S 6,833

PLATE LCP 4H 2.4MM 241685 4,402

PLATE LCP 6 HOLE 3.5MM/85MM 1,710

PLATE LCP 8 HOLE 3.5MM/111MM 1,870

PLATE LCP3.5MM 115MMX8H02.112.085 5,333

PLATE LEV ONE CFF 6H 507900609 5,172

PLATE LEV ONE CMF 4H 257520409 1,571

PLATE LEV1 4H 2-2.5X24 257500409 1,480

PLATE LEV1 6H 2.7MM 507920609 5,172

PLATE LEVEL ONE 12H 37 5072312 2,436

PLATE LEVEL ONE CMF 6H 253081609 1,328

PLATE LISFRANC MED LFT PLP30171 5,449

PLATE LOCK 1/3 TUBE 5H AR8943T05 1,344

PLATE LOCK 129 7H 00235800907 5,434

PLATE LOCK 3H AR8943H03 4,816

PLATE LOCK 3RDTUB 4H AR9943T04 1,314

PLATE LOCK 5H 103MM 00235801205 5,202

PLATE LOCK ACUMED 10H PLSLB10L 10,126

PLATE LOCK ACUMED 9H LFT PLSMB09L 9,394

PLATE LOCK AXS5X238 10X5X5H437510 6,803

PLATE LOCK AXSOS 12H 627312 7,277

Page 137: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

PLATE LOCK AXSOS 202 12H 437112S 6,520

PLATE LOCK AXSOS 4H 627704 7,277

PLATE LOCK AXSOS 4H TIB 627334 6,982

PLATE LOCK AXSOS 5H 627705 7,277

PLATE LOCK AXSOS 6H 627736 7,277

PLATE LOCK AXSOS 6H TIB 627486 5,798

PLATE LOCK AXSOS 8H 627408 7,726

PLATE LOCK AXSOS 8H 627456 8,011

PLATE LOCK AXSOS 8H 627458 8,011

PLATE LOCK AXSOS 8H 627488 5,798

PLATE LOCK HAND VAR 8H 5715361 1,970

PLATE LOCK LAT HOOK 3H AR8943TH03 4,087

PLATE LOCK THIRD TUB10H AR9943T10 1,601

PLATE LOCK VAR 10H 49MM 5425683 4,454

PLATE LOCK VAR 3MMX92MM 4H 629384 5,620

PLATE LOCK VAR 6H 5715340 1,246

PLATE LOCK VAR DORSAL RT 5425290 3,821

PLATE LOCK VAR SHORT RT 5425583 8,027

PLATE LOCK VAR2.3X1.5 7H 5715370 1,727

PLATE LOCK VARIAX 6H 5715321 1,157

PLATE LOCK VARIEX SHRT 5425573 8,565

PLATE LOCKING 1/3 TUB 7HL 427067 588

PLATE LOCKING AXSOS 6HL 427006S 678

PLATE LOCKING RECON 10HL 427040S 2,425

PLATE M LOCK 2.3X1.5MM 16H5715316 1,860

PLATE MALTA PELVIC 6 HOLE 1,679

PLATE MAX 1.2MM 4H STAN UP5506254 689

PLATE MAX 1.2MM 7H 5506240 1,015

PLATE MAX 1.2MM8H STRAIT 5506208 1,568

PLATE MONZA 50MM 3LEV 1160350 7,496

PLATE MONZA 56MM 3LEV 1160356 17,379

PLATE NCB 14H 289 203265014 4,479

PLATE NCB 238 9H 0203264009 8,862

PLATE NCB 238MM 9H 0202264009 8,862

PLATE NCB FEM 278MM 0203264112 9,339

PLATE NCB FEM RT 12HL 0203264012 9,339

PLATE NCB FEMRT 15H317 0203264015 9,900

PLATE NCB TIB 192MM 9H 0202261209 9,195

PLATE NEURO SM 6H 5334612 1,748

PLATE OASYS CNCT SM 48551073 10,225

PLATE OASYS OCCIPUT LRG 48551047 25,395

PLATE OASYS OCCIPUT MED 48551045 25,395

PLATE OLECRAN VAR 113MM 6H 629366 5,928

PLATE OLECRAN VAR 65 3H 629363S 4,623

PLATE OLECRANON VAR 113MM6H629346 5,928

PLATE OLECRANON VAR 137MM8H629348 6,239

PLATE OLECRANON VAR 89MM 4H629344 5,620

Page 138: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

PLATE OLECRANON VAR65MM3H 629343S 4,933

PLATE OLECRANON VAR89MM3H 629343 4,623

PLATE OMEGA 150MM 4H135D 597404S 6,739

PLATE OMEGA 2H 597022S 1,991

PLATE OMEGA 3H 597023S 1,991

PLATE ONE THIRD TUB 2H 23 626672S 1,536

PLATE ONE THIRD TUB 7HL SS 430207 257

PLATE ONETHIRD 38MMX7H 430203 226

PLATE ONETHIRD TUB 3H 3.5 626673S 1,366

PLATE ONETHIRD TUB 4H 47 626674S 1,366

PLATE ONETHIRD TUB 6H 71 626676S 1,366

PLATE ONETHIRD TUB 8H 626678S 1,366

PLATE ONETHIRD TUB 9H 626679S 1,366

PLATE ONETHIRD VAR 10H 626680S 1,973

PLATE ONETHIRD VAR TUB 12H626682S 1,973

PLATE ORBITAL 3D LRG 5404005 7,849

PLATE ORBITAL FLOOR 3D LFT5404006 8,163

PLATE ORBITAL FLOOR3DSM RT5404004 8,163

PLATE PELV CURV 108MM 6H 425606 1,677

PLATE PELV3.2X60.5MM 4H 425794 3,085

PLATE PELVIC 108MM 8H 425608 1,880

PLATE PELVIC 118.5MM 10H 425760 1,947

PLATE PELVIC 122.5 5H 425708 1,512

PLATE PELVIC 186 12H SS 425662 1,867

PLATE PELVIC 250 16H 425616 2,228

PLATE PELVIC 70.5 6H 425756 1,454

PLATE PELVIC 94.5MM 8H 425758 1,745

PLATE PELVIC MPS 42.5 3H 425703 1,512

PLATE PELVIC QLS RT 425911S 7,286

PLATE PELVIC SPS 46.5MM 4H 425754 1,355

PLATE PELVIC42.5 6H 425706 1,336

PLATE PLANTAR LAPID LFT AR8941PLS 8,728

PLATE PLATAR LAPID LFT AR8941PL 8,728

PLATE PLYMOUTH THORLUM21 11051015 47,282

PLATE POLYAXIAL TALAR LOCK626880S 4,098

PLATE PROXIMAL 4.5MM LC (240.041) 8,895

PLATE RAD GEMINUS 4H RT GMNRTS4HL 4,355

PLATE RECON 2.8X10X84MM 7H 430107 1,530

PLATE RECON AXSOS4X72MM 6H427036S 2,143

PLATE SC CERV 2L 41MM 1140241 8,745

PLATE SM TRANSLABYRINT 5300342 4,701

PLATE STRAIGHT 12H 507601209 5,434

PLATE STRAIGHT 12H LOCK 02130351 3,047

PLATE STRAIGHT 20 H 507942009 5,434

PLATE STRAIGHT 4H 1.5 5334406 703

PLATE STRAIGHT 6H 507960609 5,329

PLATE STRGHT LEIB1.7MM24H55-06724 3,059

Page 139: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

PLATE SUBOCCIPITAL SM 5300382 4,701

PLATE SUP 10H RT 628030S 4,554

PLATE SUP 6H BRIDGE LFT 628046S 5,009

PLATE SUP 6H RT 628066S 5,345

PLATE SUP 7H RT 628027 4,549

PLATE SUPERIOR 8H LEFT 628048S 5,009

PLATE SUPERIOR 8H RT 6280285 5,053

PLATE T 3H 49MM 431024 563

PLATE T SPS 3HD HL 66MM 431026 894

PLATE TEMPORAL .3MM 5300324 4,701

PLATE THIRD TUB LOCK 8H AR9943T08 1,547

PLATE TIB 1X9X77 6H 621124 255

PLATE TIB COUNTOUR 11 AR13725110 5,838

PLATE TIB JOURNEY SZ1 74022211 5,255

PLATE TIB JOURNEY SZ6 RT 74022216 5,255

PLATE TIB LOCK 8H 3.5 00235700408 8,652

PLATE TIBIAL 4 HOLE PROXIMAL LATE 5,955

PLATE TIBIAL STEMMED NEXGEN SZ 5 6,609

PLATE TLTS 2.0-2.5 4H 507120409 2,491

PLATE TROCHANTER NCB 0202263301 6,541

PLATE TUB ONETHIRD 7H 83 626677S 1,366

PLATE ULS 3.5X57 12H 00493601207 2,531

PLATE UNIV2 LP 2X2H 5334300 1,716

PLATE UNIVER3 2H 12MM5336212 597

PLATE VA LCP 2.4X46 5H 02115530 3,245

PLATE VACLP 2.4X63MM 6X4H02111540 6,273

PLATE VALCP 2.4 186 6H 02111691S 13,964

PLATE VALCP 2.4MM 3H 02115231 3,409

PLATE VALCP 2.4MM 3H 02115330 3,649

PLATE VALCP 2.4X49MM 2H 02115640 4,066

PLATE VALCP 2.4X51MM 6X3H02111531 6,043

PLATE VALCP 2.4X66MM 6X4H02111640 6,273

PLATE VALCP 3.5X237 14H 02127260 14,285

PLATE VALCP 4.5X266 12H 02124413 12,520

PLATE VALCP 4.5X301 14H 02124414 12,902

PLATE VALCP2.4X2.7 109MM02111671S 12,585

PLATE VALCP2.4X51MM 6X3H 02111530 6,043

PLATE VALCP2.4X54MM 6X3H 02111631 5,800

PLATE VALCP2.4X55MM 7X3H 02111730 6,043

PLATE VALCP2.4X57 5H 02115851 6,373

PLATE VALCP2.7/3.5X116 4H02107204 6,897

PLATE VALOR 14H RT 5425687 4,812

PLATE VAR 1/3 TUB 5H 626675S 1,366

PLATE VAR 10H 161MM 4020910S 5,830

PLATE VAR 128 6H HUM 629246 4,259

PLATE VAR 12H 185MM 4020912S 5,830

PLATE VAR 2.7X100 8H 542544S 5,643

Page 140: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

PLATE VAR 5H SLIM STRT 626965 4,223

PLATE VAR 7H STRT 626977 5,027

PLATE VAR ANATOMIC LFT XS 5423773 4,174

PLATE VAR BROAD 5H 626995 5,431

PLATE VAR CLAV 9H 16MM 628529S 5,464

PLATE VAR COMP 10H 629510 2,732

PLATE VAR COMP 10H CURV 629560 2,732

PLATE VAR COMP 12H CURV 629562 3,188

PLATE VAR COMP 16H 199 629556S 5,725

PLATE VAR COMP 7H NAR 629507S 1,821

PLATE VAR COMP 8H 629508 2,732

PLATE VAR COMP 8H 629548 2,732

PLATE VAR COMP 9H 629559S 2,732

PLATE VAR COMPRESS 9H114MM629509S 2,732

PLATE VAR CURV 11H 629561 3,188

PLATE VAR CURV 14H 629564S 3,188

PLATE VAR CURV 6HL 4015014 2,799

PLATE VAR FOOT 4H 626994 5,431

PLATE VAR FOOT 7H 626997 5,431

PLATE VAR FOOT ANKL 2H 626992 5,431

PLATE VAR HUM LATERAL 3H 629223S 4,623

PLATE VAR HUM MEDIAL 3H 629383S 4,623

PLATE VAR NARROW STR 4H 626964 4,223

PLATE VAR RADIUS 10H 5425684 4,174

PLATE VAR STRAIGHT 7H 626967 4,223

PLATE VAR STRAIGHT WRIST 629590 6,535

PLATE VAR YPLATE 2H 626982 4,626

PLATE VARIAX 6H SLIM 626966 4,223

PLATE VARIAX 89MM 4H 629364 7,491

PLATE VARIAX COMP 10H 629560S 2,732

PLATE VARIAX COMP 8H 629508S 2,732

PLATE VARIAX FOOT 3H 626993 5,431

PLATE VARIAX FOOT SLIM 3H 626983 4,626

PLATE VECTRA 16.5X28 2LEV04613128 6,498

PLATE VECTRA 16.5X30 2L 04613130 6,498

PLATE VECTRA 16.5X32 2L 04613132 6,498

PLATE VECTRA 21X12 1LEV 04613012 5,879

PLATE VECTRA 25X14 2LEV 04613014 5,879

PLATE VECTRA 25X16 1LEV 04613016 5,879

PLATE VECTRA 27X18 1LEV 04613018 5,879

PLATE VECTRA 57X45 3LEV 04613245 7,117

PLATE VECTRA 57X48 3LEV 04613248 7,117

PLATE VECTRA 60X51 3L 04613251 7,117

PLATE VECTRA 60X54 3L 04613254 7,117

PLATE VECTRA 64MM 4L 04613364 7,735

PLATE WRIST LCP2.4X170MM SD242003 9,364

PLATE X 4HL UNIV 5334630 1,466

Page 141: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

PLATE Y DOUBLE Y 6H 5334608 1,466

PLATE ZEVO 63MM 3L 3003063 9,700

PLATE ZEVO ANT CERV 29MM 3001029 7,786

PLATE ZEVO CERV 37MM 3002037 8,566

PLATE ZEVO CERV 3LEV 71MM 3003071 9,700

PLATELET AGGREGATION 509

PLATELET APH/PHER L/R IRRAD UNIT 2,099

PLATELET APH/PHER L/R UNIT 2,391

PLATESUBOCCIPITAL65X40X.4 5300486 5,645

PLCEMENT PROSTHESIS EACH ADD VESS 2,900

PLCEMENT PROSTHESIS RPR AAA 1,450

PLCEMENT PRXML DSTL PROSTHESIS 1,692

PLUG CABLE AXSOS 5MM 370005 1,020

PLUG MESH MARLEX MEDIUM 1,807

PLUG PARIETEX 6.5CM RND PNP6X3 2,090

PLUG PARIETEX 8CM RND PNP8X3 4,757

PLUMEPEN WITH TUBING PLP2020 161

PM SINGLE/DUAL TELE EVAL PER 90 D 244

PNEUMOCOCCAL 13-VALENT VAC 0.5 ML 1,219

PNEUMOCOCCAL VACC.23-VALENT,2+ YR 642

PNEUMOGRAM- PH ELECTRODE 2,000

PNEUMOGRAM STANDARD CIRCADIAN 1,728

PNEUMONOSTOMY W/PERC DRNG BY CATH 4,396

POINTER AXIEM CRAN TRACER 9733423 3,335

POLIOVIRUS INJ 216

POLYCARBOPHIL CHEW TAB, 625MG 1

POLYETHYLENE GLYCOL W/ELECTROLYTE 536

POLYETHYLINE GLYCOL 3350 (17GM) 9

POLYMIXIN B SULF INJ 500MU 76

POLYSPORIN OINT (15MG) 24

POLYSPORIN OPTH OINT 3.5G 148

POLYSTYRENE SOD SULF SUSP 60ML 65

POLYTRIM OPHTH SOL (10ML) 74

POOLING, BLOOD PRODUCTS 114

PORACTANT SUSP, 80MG/ML (3ML) 5,456

PORT AIRSEAL 5MM IASB5150 518

PORT PASV MINI 8FR 1,621

PORT SINGLE 428065 832

PORT XCELA8FR/2.6 1.6MMH965451110 1,938

PORT, ALL 3,576

PORT,GROSH,HICKMAN,SINGLE-LUMEN 1,621

PORT.EEG MONITOR-@ 24 HR,UNATTEND 3,370

PORTACTANT SUSP, 80MG/ML (1.5ML) 2,767

POSITION SYS PIGAZ KIT 40581 502

POSITIONER SHOULDER SC (BC-1000X) 174

POSITIONER SURG KIT AF1001 154

POST 30* ANGLED MRI COMPATIBLE 529

Page 142: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

POST HOFF3 11MM 30D 49222140 506

POST HOFF3 11MM 90D 49222160 731

POST HOFF3 11MM STRAIGHT 49222120 616

POST OUTRIGGER 11MM 30* (390.012) 759

POST ROD ADAPT HOFF 8X44 49331644 404

POST STRAIGHT 670

POST TRUELOK 1H 5411600 795

POST TRUELOK 2H 5411610 871

POST TRUELOK 3H 5411620 905

POT CHLOR ORAL SOLN,2MEQ/ML(NICU) 0

POTASIUM CHLORIDE CAP SR, 10MEQ 4

POTASS.CHL INJ@2MEQ-10MQ/50MLSWFI 5

POTASS.CHL INJ@2MEQ-20MQ/50MLSWFI 1

POTASSIUM ACETATE INJ,2MEQ/ML 1

POTASSIUM CHL INJ @ 2MEQ (40MEQ) 3

POTASSIUM CHL INJ @2MEQ(/ML, 5ML) 5

POTASSIUM CHL INJ @2MEQ(/ML,10ML) 1

POTASSIUM CHL INJ @2MEQ(/ML,15ML) 2

POTASSIUM CHL INJ @2MEQ(/ML,20ML) 1

POTASSIUM CHL INJ @2MEQ(/ML,30ML) 1

POTASSIUM CHL INJ@2MEQ(40MEQ BOL) 1

POTASSIUM CHL. @ 2MEQ INJ (20MEQ) 2

POTASSIUM CHLORIDE TAB 20MEQ 4

POTASSIUM CHLORIDE USP PWD 11

POTASSIUM CL 20MEQ PWD PKT 58

POTASSIUM IODIDE 1GM/ML SOLN 3 127

POTASSIUM PHOSPHATE INFUSION 101

POTASSIUM SERUM 93

POVIDINE IODINE SOLN, 1O% (120ML) 7

POVIDINE SWAB 2

POVIDONE IODINE OINT, 10% (0.94G) 17

POVIDONE IODINE SCRUB, 7.5% 7

POVIDONE IODINE SOLN,10%(AMP) 1

POWERPICK 45DEG1.5X13 AR8150PP45 590

PPM BI-VENTRICULAR 68,739

PPM DUAL CHAMBER 49,962

PPM LEAD 5,205

PPM REMOVE LEAD DUAL CHAMBER 7,485

PPM REMOVE LEAD SNGL CHAMBER 8,090

PPM REVISION SKIN POCKET 8,320

PPM SINGLE CHAMBER 39,390

PRAMIPEXOLE TAB, 1MG 19

PRAMIPEXOLE TAB,0.5MG 5

PRAMIPEXOLE TAB. 0.25MG 1

PRAMOXINE AEROSOL 1% 15GM 297

PRAMOXINE HC AEROSOL, 1% (10GM) 880

PRASUGREL TAB, 10MG 43

Page 143: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

PRASUGREL TAB, 5MG 43

PRAVASTATIN TAB, 10MG 16

PRAVASTATIN TAB, 20MG 14

PRAZOSIN 2MG CAP 14

PRAZOSIN CAP 1MG 10

PRAZOSIN HCL CAP, 5MG 24

PREALBUMIN 343

PREDNISOLONE AC OPHTH SUSP,1%(5ML 89

PREDNISOLONE AC OPHTH SUSP0.12%(5 182

PREDNISOLONE LIQUID 1MG/ML 5

PREDNISOLONE SYRUP,15MG/5ML 3

PREDNISONE @ 1 MG TAB (10MG-ORAL) 0

PREDNISONE @ 1 MG TAB (20MG-ORAL) 0

PREDNISONE @ 1 MG TAB (50MG-ORAL) 0

PREDNISONE @ 1 MG TAB (5MG-ORAL) 0

PREDNISONE @ 1 MG TAB (ORAL) 2

PREGABALIN CAP, 100MG 43

PREGABALIN CAP, 25 MG 39

PREGABALIN CAP, 75MG 43

PREGNANCY TEST QUANTATIVE 353

PREGNANCY TEST SERUM 208

PREGNANCY TEST URINE 208

PRE-OP PM DEVICE EVAL 113

PREP.FECAL MICROBIOTA FOR INSTILL 208

PREVENA INCISION MGTVAC PRE1001US 2,890

PRIM ART MECH THROMBECTOMY 11,562

PRIM ART MECH THROMBECTOMY ADD-ON 3,482

PRIMAXIN LEVEL 704

PRIMIDONE 50MG TAB 4

PRIMIDONE TAB, 250 MG 5

PROAMATINE 2.5MG TAB 10

PROBE 10MM PIERCSGL USE OHP2100SU 1,943

PROBE 10MM SCRAP SGLUSE OHS2100SU 2,919

PROBE 220M 60D AR407001 1,168

PROBE 8IN 675706S 2,674

PROBE CRYOICE 10CM CRY03 14,881

PROBE CRYOICE ABL 10CM CRY02 14,881

PROBE DOPPER .8MMDIA 140MM0715010 1,058

PROBE DOPPLER 2MMDIA 140MM0715012 2,025

PROBE INTERVASC 10/1.5MM 7081015 449

PROBE LITHO 9FR 54CM E49F 1,313

PROBE NEURO MONITOR 54NP1000 436

PROBE, CRYOABLATION 21,772

PROBE8MM PIERCER SGLUSE OHP2080SU 1,751

PROBENECID TAB,500MG 9

PROCAINAMIDE PER GM,INJ(100MG/10 94

PROCAINAMIDE PER GM,INJ(500MG/2) 61

Page 144: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

PROCALCITONIN (PCT) 608

PROCHLORPERAZINE INJ, 10MG/2ML 126

PROCHLORPERAZINE SUPP, 25MG 21

PROCHLORPERAZINE TAB,10MG 5

PROCHLORPERAZINE TAB,5MG 3

PROGESTERONE 492

PROGRAF 249

PROGRAMMER PATIENT INTERSTIM 7,710

PROINSULIN 422

PROLACTIN 451

PROMETHAZINE HCL,@ 50MG,INJ (25) 16

PROMETHAZINE HCL/CODEINE 5ML 2

PROMETHAZINE SUPP, 12.5MG 25

PROMETHAZINE SUPP, 25MG 25

PROMETHAZINE SYRUP, 6.25MG/5ML 1

PROPAFENONE TAB, 150MG 5

PROPOFOL,PER 10MG,INJ (100MG) 22

PROPOFOL,PER 10MG,INJ (20MG) 20

PROPOFOL,PER 10MG,INJ (50MG) 22

PROPRANLOL HCL TAB 40MG 7

PROPRANLOL HCL TAB, 10MG 2

PROPRANOLOL CAP 80MG SA 9

PROPRANOLOL HCL CAP SR 120MG 17

PROPRANOLOL HCL CAP SR 60MG 12

PROPRANOLOL OINT (15MG) 54

PROPYLTHIOURACIL 50MG TAB 5

PROSTATE TRANSRECTAL 1,575

PROSTHESIS AVON FEMORAL XSMALL 16,418

PROTACK HERNIA TACKER 30 3,083

PROTAMINE INJ, 10MG/ML (5MG) 17

PROTAMINE INJ, 10MG/ML [25ML] 10

PROTEIN C 282

PROTEIN C ACTIVITY 327

PROTEIN S 270

PROTEIN S FUNCTIONAL ACTI 361

PROTEIN,TOTAL,EX BY REFRACT,SERUM 86

PROTEIN,TOTAL,EX BY REFRACT,URINE 95

PROTHOMBIN TIME W/ MODIFIER QW 93

PROTHROMBIN COMPLEX CONC, PER IU 11

PRQ CARD ANGIO/ATHRECT 1 ART 27,040

PRQ CARD ANGIO/ATHRECT ADDL 14,861

PRQ CARD REVASC CHRONIC 1VSL 37,440

PRQ CARD REVASC CHRONIC ADDL 20,162

PRQ CARD REVASC MI 1 VSL 39,520

PRQ CARD STENT W/ANGIO 1 VSL 20,297

PRQ CARD STENT W/ANGIO ADDL 9,108

PRQ CARD STENT/ATH/ANGIO 1 ART 37,440

Page 145: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

PRQ CARD STENT/ATH/ANGIO ADDL BRN 40,294

PRQ CARDIAC ANGIO ADDL ART 7,208

PRQ CARDIAC ANGIOPLAST 1 ART 16,496

PRQ REVASC BYP GRAFT 1 VSL 37,440

PSA FREE 428

PSA TOTAL REF LAB 428

PSA, TOTAL SCREEN 423

PSA, TOTAL SERIAL 428

PSEUDOEPHEDRINE TAB, 30MG 0

PSYLLIUM POWDER 2

PT 93

PT EVAL-HIGH COMPLEXITY (45 MIN) 897

PT EVAL-LOW COMPLEXITY (20 MIN) 507

PT EVAL-MODERATE COMPLEX.(30 MIN) 674

PT RE-EVAL-EST.CARE PLAN (20 MIN) 555

PT THERAPEUTIC GROUP PER PATIENT 139

PT,SUBSTITUT.,PLASMA FRACTION,EA. 443

PTCA BALLOON ONLY 2,126

PT-CRUTCHES 200

PTH RELATED PROTEIN 34478 318

PTT 142

PTT/MIX CORRECTION 153

PULMONARY FUNCTION TEST BY GAS 416

PULSE OXIMETRY-CONTINUOUS DETERMI 322

PULSE OXIMETRY-MULTI DETERMINATIO 137

PULSE OXIMETRY-SINGLE DETERMINATI 92

PUMP IRRIGAT SAPS SGL M0067201001 336

PUNCTURE DRAINAGE OF ABSCESS 427

PURKINJE(YO)ANTI SER OR C 282

PUSHER KNOT 38X20X1.1CM MLKP001 1,621

PUSHER KNOT/SUTURE CUTTER 7209084 761

PUTTY DBX 1CC 1,524

PYRAZINAMIDE 500MG TAB 37

PYRIDOSTIGMINE 60MG TAB 8

PYRIDOXINE HCL @ 100 MG INJ 103

PYRIDOXINE HCL TAB, 50MG 1

PYRIDOXINE TAB, 100MG 0

Q FEVER (C. BURNETTI) 284

QUETIAPINE 200 MG TAB 6

QUETIAPINE TAB 100 MG 3

QUETIAPINE TAB XR , 50MG 50

QUETIAPINE TAB XR, 200MG 99

QUETIAPINE TAB XR, 300MG 130

QUETIAPINE TAB, 25MG 2

QUETIAPINE TAB, 300 MG 3

QUINAPRIL HCL TAB, 10MG 7

QUINAPRIL TAB, 5MG 7

Page 146: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

QUINAPRIL TABS, 20MG 7

QUINIDINE GLUCONATE TAB, 324MG 51

QUINIDINE SULF 200MG TAB 1

QUININE SULF 325MG CAP 30

R HRT ART/GRFT ANGIO 10,438

R HRT CORONARY ARTERY ANGIO 13,513

R&L HRT ART/VENTRICLE ANGIO W/GRA 27,040

R&L HRT ART/VENTRICLE ANGIO W/INJ 23,920

R&L HRT CATH W/VENTRICLGRPHY 18,802

RA LATEX 133

RABIES IMMUNE GLOB HUM. 150IU/ML 1,464

RABIES VACCINE HUMAN INJ 2,307

RABIES VACCINE INJ, (RABAVERT) 2,083

RAD.TX.DELIV,1 ,+ MEV,SIMPLE 524

RAD.TX.DELIV,1,+MEV,COMPLEX 690

RADIONUCLIDE MYOVIEW 1,248

RADIONUCLIDE THALLIUM 381

RADIOPHARM.THERAPY,BY IV ADMIN. 1,802

RADIORX THER.INTRA-ARTERIAL ADMIN 955

RALOXIFENE TAB, 60MG 42

RALTEGRAVIR TAB, 400 MG 168

RAMIPRIL 2.5MG 10

RAMIPRIL CAP, 1.25MG 11

RAMIPRIL CAP., 5MG 11

RAMUCIRUMAB, @ 5 MG,INJ (100) 377

RANDOM UA MAGNESIUM 158

RANITIDINE 150MG/10ML SYRUP UD 42

RANITIDINE INJ, 25MG/ML 2ML 44

RANOLAZINE TAB, 500MG 28

RAPID SEQUENCE INTUBATION BOX 500

RASBURICASE @ 0.5MG, INJ (7.5MG) 1,876

RAST- ALTERNARIA TENIUS 124

RAST- ASPERGILLUS FUMIGAT 124

RAST- CANDIDA ALBICANS 124

RAST- CAT EPITHELIA 124

RAST- CHOCOLATE 124

RAST- CLADOSPORIUM HERBAR 124

RAST- COMMON RAGWEED,SHRT 124

RAST- DERMATOPHAGOIDES 124

RAST- DOG DANDER 124

RAST- ELM 124

RAST- HOUSE DUST 83

RAST- HOUSE DUST(HOLL-STI 124

RAST- LAMB'S QUARTERS 124

RAST- MAPLE (BOX ELDER) 124

RAST- MOLDS 83

RAST- MUCOR RACEMOSUS 124

Page 147: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

RAST- NE PROFILE 124

RAST- OAT 124

RAST- TIMOTHY GRASS 124

RBC - LEUKOCYTE FILTERED 1,456

RBC FOLATE 398

REAMER 13MM 352252S 2,190

REAMER 14MM 352254S 2,420

REAMER 15.5 352257S 1,971

REAMER 16.5 352259S 1,971

REAMER 3MM XFO013002 744

REAMER CIRCULAR 22MM AR8944MC22 2,627

REAMER CORING 8MM AR1222S 1,197

REAMER HEAD 12.5 352251S 2,190

REAMER HEAD 13.5 352253S 1,971

REAMER HEADED 7MM AR1452 1,197

REAMER METATARSAL 22MM AR8944MR22 2,627

REAMER PHALANGEAL 22MM AR8944PR22 2,627

REAMER SHAFT BIXCUT 8.0X450MM 908

RECONSTRUCTION OF NAIL BED 1,135

RECOVERY ROOM TO 1.0 HR 4,090

RECOVERY ROOM TO 1.5 HR 4,546

RECOVERY ROOM TO 2.0 HR 4,942

RECOVERY ROOM TO 2.5 HR 5,365

RECOVERY ROOM TO 3.0 HR 5,776

RECOVERY ROOM TO 3.5 HR 6,206

RECOVERY ROOM TO 4.0 HR 6,619

RECOVERY ROOM-EXTENDED CARE 7,796

REFORM CAP LOCK SCREW 39LS0100 851

REGADENOSON,PER 0.1MG,INJ(.4/5ML) 413

REGAGLINIDE TAB, 1MG 21

REGALINIDE TAB, 0.5MG 4

RELOAD BLUE 3.5M EC60 819

RELOAD ENDOPATH 45MM WHITE FOR VA 738

RELOAD FOR 55MM CUTTER THICK TISS 365

RELOAD FOR 75MM CUTTER THICK TISS 530

RELOAD FOR CS40B COUNTOUR CUTTER 1,702

RELOAD FOR CS40G CONTOUR CURVED C 1,702

RELOAD FOR LONG 45A STAPLER 777

RELOAD GOLD 3.8MMFOR EC60 DEEP 819

RELOAD STAPLER 60MM THICK TISSUE 349

RELOAD WHITE 2.5MM EC60 819

RELOAD WHITE ECHEL 45 STAPLER ECR 819

REM TUNNEL CV CATH W-W/O SUB PORT 2,476

REM. IMPACTED CERUMEN,IRR/LAV-UNI 430

REMIFENTANIL INJ, 2 MG 802

REMIFENTANIL INJ, 5MG 819

REMOVAL NASAL FOREIGN BODY 738

Page 148: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

REMOVAL OF FOOT FOREIGN BODY 1,789

REMOVAL OF NAIL BED 1,767

REMOVAL OF PM GENERATOR 7,563

REMOVAL OF SKIN TAGS,UP TO 15 LES 447

REMOVAL/REVISION OF CAST 340

REMOVE BIL.DRN.CATH.REQ.FL.GUID. 1,420

REMOVE CERCLAGE SUTURE W/ANESTH. 3,426

REMOVE FOREIGN BODY 957

REMOVE FOREIGN BODY EYE W/SLIT 868

REMOVE FOREIGN BODY FROM EYE 849

REMOVE FOREIGN BODY,LARYNX 4,447

REMOVE IMPACTED EAR WAX 568

REMOVE IMPELLA (DIFF.SESS.)-IP 3,758

REMOVE INTRAVAS VENA CAVA FILTER 6,473

REMOVE INTRVAS FOREIGN BODY 6,285

REMOVE PLUERAL CATHETER 763

REMOVE PULSE GENERATOR 7,563

REMOVE RENAL TUBE W/FLUORO 642

REMOVE TUN CEN/VEN AC/DEVICE W/PO 2,892

REMOVE URETER STENT,PERCUTANEOUS 2,903

REMOVE&REPLACE PM GEN DUAL 18,001

REMOVE&REPLACE PM GEN MULTI 18,001

REMOVE&REPLACE PM GEN SNGL 18,001

REMV&REPLC CVD GEN DUAL LEADS 67,008

REMV&REPLC CVD GEN MULTI LEADS 67,008

REMV&REPLC CVD GEN SING LEAD 67,008

RENAL BIOPSY PERCUTANEOUS 2,019

RENAL CYST ASPIRATION 2,019

RENAL FUNCTION PANEL 203

RENAL SCAN 4,614

RENAL VENOGRAM 606

RENIN, PLASMA 520

REPAGLINIDE TAB, 2MG 20

REPAIR LAC <2.5CM MOUTH, TONGUE 562

REPAIR LIP 2,968

REPAIR WND/LESION EACH ADDED 5CM 447

REPL COMP TUNNEL CEN/VEN W/O PORT 5,221

REPLACE CATH ONLY CEN/VEN AC/DEVI 3,515

REPLACE COMP CEN/VEN CATH W/OPORT 1,012

REPLACE COMP CEN/VEN CATH W/PORT 6,673

REPLACE DUOD/JEJ TUBE PERC 1,249

REPLACE G/C TUBE PERC 1,249

REPLACE G-J TUBE PERC 1,249

REPLACE PICC CATH W/O PORT>5 YRS 2,276

REPOS C/V CATH WITH FLUORO GUIDAN 1,012

REPOSITION L VENTRIC LEAD 7,563

REPOSITION PACING-DEFIB LEAD 8,320

Page 149: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

RESECTOR FULL RADIUS 4.5MM SLICE 385

RESET DISLOCATED JAW 1,328

RESPIRATORY MOTION MGMT.SIMULATE 173

RESTRICT CEM SZ2 10.75MM546012000 1,018

RESTRICTOR CEM POLY SZ1 546010000 959

RESTRICTOR CEMENT SZ5 546018000 668

RESTRICTOR SZ3 13.25MM 546014000 959

RESTRICTOR, TORNIER 913

RESTRICTORCEMSZ4 15.75MM546016000 1,018

RETAIN,VISCERA,FISH,SML,GLASSMAN 145

RETICULOCYTE COUNT 94

RETINOL BIND PROTEIN(RBP) 315

RETRACTOR ALEXIS O MEDIUM 137

RETRACTOR ALEXIS O SMALL 137

RETRACTOR FAN DISPOSABLE 1,812

RETRACTOR OB MOBIUS ELASTC LRG EA 356

RETRACTOR RING 32.5X18.3 3304G 382

RETRACTOR RING14.1X14.1 DISP3307G 355

RETRACTOR SURGICAL-DISPOSABLE(330 331

RETRIEVAL SYSTEM 12/15INZII CD004 584

RETRIEVAL SYSTEM 5MM INZII CD003 350

RETRIEVER,MERCI,CONCENTRIC 25,059

RETRIEVER,SUTURE,HEWSON,11-1579 299

RETROGRADE BRACHIAL ARTER 236

RETROGRADE URETHROGRAM 215

RETROGRADE URETHROGRAM EXAM 946

REVISION OF AORTIC VALVE 22,963

REVISION OF TIPSS 10,856

RHEUMATOID FACTOR, QUANT 133

RHO(D)IMMUNE GLOB 300MCG/2ML(SYR) 379

RHOGAM PREPARATION 164

RI AUTOANTIBODY,SER OR CS 282

RIB UNILAT & PA CHEST 701

RIB UNILATERAL 2 VIEWS 680

RIBS BILAT & PA CHEST 4+VIEWS 1,095

RIBS BILATERAL 3 VIEWS 728

RICKETTSIA IGG AB PANEL 458

RICKETTSIA IGM AB PANEL 458

RIFAMPIN CAP, 150MG 8

RIFAMPIN CAP, 300MG 8

RIFAMPIN INF, 600MG 846

RIFAMPIN INJ,30MG/ML(NICU SYR) 41

RIFAPENTINE TAB, 150MG 26

RIFAXIMIN TAB, 200MG 34

RIGHT HEART CATH 11,440

RING 155MM HOFFMAN 49336155 5,161

RING 155MM HOFFMAN FRAME49335155 5,464

Page 150: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

RING 155MM HOFFMAN LONG 49344155 6,982

RING 180MM HOFFMAN 49335180 5,830

RING ACETABULAR LOCKING 731

RING ANNULOP MITRALSZ32MM4450-M32 12,503

RING ANNULOPL MITRALSZ34 4450-M34 12,503

RING ANNULOPLASTY MITRAL SZ 28MM 12,503

RING ANNULOPLASTY MITRAL SZ 30MM 12,503

RING LCKACET DURALOC54MM124954000 854

RING MITRAL SZ 38MM 4450M38 12,120

RING TRICUSPID CLASSIC 30MM 10,207

RING TRICUSPID CLASSIC 32MM 10,716

RING TRICUSPID CLASSIC 34MM 10,716

RING TRUELOK FULL 140 5620000 7,706

RING TRUELOK FULL 160MM 5620020 7,706

RING TRUELOK TLHEX 180 5620040 7,706

RISPERIDONE DISINT TAB, 0.5MG 28

RISPERIDONE DISINT TAB, 1MG 31

RISPERIDONE DISINT TAB, 2MG 53

RISPERIDONE DISINTEGRAT TAB,3MG 64

RISPERIDONE SOLN, 1MG/ML 29

RISPERIDONE TAB 0.25MG 62

RISTOCETIN COFACTOR 545

RITONAVIR CAP, 100MG 51

RITONAVIR ORAL SUSP, 80MG/ML (240 36

RITONAVIR TAB, 100 MG 64

RITUXIMAB, @ 10 MG ,INJ (100MG) 639

RIVAROXABAN TAB, 15 MG 50

RIVAROXABAN TAB, 20 MG 50

RIVAROXABAN TAB,10MG 95

ROBITUSSIN AC SYRUP (10ML) 5

ROBITUSSIN AC SYRUP 5ML 4

ROCURONIUM INJ, 10MG/ML (10ML) 54

ROCURONIUM INJ, 10MG/ML (5ML) 30

ROCURONIUM, 50MG/5ML,PREFIL.SYR 167

ROD 08X174MM SEMI CURVED 1,360

ROD 100CM (8690100) 2,213

ROD 3.2/240MM TI VERTEX SYSTEM 2,086

ROD 3.5X120MM 48552120 2,107

ROD 3.5X240 48552240 2,516

ROD 3.5X30 48552030 1,445

ROD 3.5X70 TI 7753770 3,223

ROD 3.5X80 48552080 1,445

ROD 35MM 8690035 2,045

ROD 3X45 EXFIX 395107 246

ROD 40MM 2,213

ROD 5.5 TITANIUM EXTRA LONG 2,630

ROD 5.5MM/4CM 2,001

Page 151: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

ROD 5.5X100 CURV 155501100 3,163

ROD 5.5X100 SOLERA STRT 155320110 2,861

ROD 5.5X110 STR 1555006110 3,503

ROD 5.5X115 STR SOLERA 1553201110 2,861

ROD 5.5X120 CURV 1555501120 3,163

ROD 5.5X120 STR 1555006120 3,503

ROD 5.5X130 CURV 9245630 1,693

ROD 5.5X160 SPIN 486613160 1,751

ROD 5.5X30 SOLERA TI 1553201030 2,002

ROD 5.5X35 SOLERA TI 1553201035 2,002

ROD 5.5X40 STR SOLERA 155 3201040 2,861

ROD 5.5X45 482806045 2,831

ROD 5.5X50 CURV 1555501050 3,163

ROD 5.5X500 STR SOLERA 1553200500 2,861

ROD 5.5X55 REFORM 39LT5055 1,504

ROD 5.5X55 SOLERA 1553201055 2,861

ROD 5.5X60 SOLERA 1553201060 2,861

ROD 5.5X80 STRAITSOLERA1553201080 2,002

ROD 6CM (8690060) 2,213

ROD 6X250 HOFFMAN 49331250 273

ROD 6X60 HOFFMAN 49331060 213

ROD 6X80 HOFFMAN 49331080 213

ROD 7CM 8690070 2,213

ROD 90CM 2,213

ROD BENT 5.5MM/6CM 2,001

ROD CARBON FIBER 350MM 39486 1,293

ROD CONN HOFF3 11X150MM 49228150 1,466

ROD CONN HOFF3 11X250MM 49228250 1,509

ROD CONN HOFF3 11X350 49228350 1,544

ROD CONNECTING 8X150MM MRI COMP 953

ROD CONNECTING 8X200MM MRI COMPAT 982

ROD CONNECTING 8X250MM MRI COMP 982

ROD CREO 35MM CURV 11197035 1,565

ROD CROSSLINK VERT MED 7752536 9,176

ROD ES2 5.5X35 482806035 2,831

ROD ESZ 5.5X40 482806040 2,831

ROD EXPED 5.5X120 179771120 2,785

ROD EXPED 5.5X55MM 179771055 2,249

ROD EXPEDIUM 480MM 3,357

ROD EXPEDIUM 5.5X100 179771100 1,856

ROD EXPEDIUM 5.5X40MM 179771040 3,312

ROD EXPEDIUM5.5X95MM 179771095 2,267

ROD EXPER 5.5X75MM 179771075 2,249

ROD GUIDE TRIG3X1000MM 7163-1626 887

ROD HOFF SEMICIRC11X220 49227220 1,837

ROD HOFF3 11X450MM 49228450 1,769

ROD HOFFMAN 11X500 49228500 1,670

Page 152: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

ROD HOFFMAN 3X120 50796120 282

ROD HOFFMAN MRI 11X200 49228200 1,451

ROD HOFFMAN3 11X400 49228400 1,620

ROD INFINITY 60MM 3603760 3,223

ROD LEGACY 5.5X500 1555200500 3,503

ROD LEGACY 5.5X75 8699075 2,406

ROD LEGACY 5.5X80 8699080 2,406

ROD LORD 5.5X30 L10593385030 730

ROD LORD 5.5X35 L10593385035 730

ROD LORD 5.5X40 39LT5040 1,504

ROD LORD 5.5X55 L10593385055 730

ROD LORD 5.5X60 L10593385060 730

ROD LORD 5.5X65 L10593385065 730

ROD LORD 5.5X75 L10593385075 730

ROD LORDOTIC 5.5X40 L10593385040 730

ROD LORDOTIC 5.5X45 L10593385045 730

ROD LORDOTIC 5.5X95 L10593385095 730

ROD NXS 42MM N1059305542 730

ROD NXS SLIP 27MM N1059303527 730

ROD OCT 3.2X40 26CCPBROD40 3,503

ROD ONE CAP NXS35MM N1059303035 730

ROD PRE CUT 70MM OASIS (48552070) 1,465

ROD PREBENT 5.5X30MM 8690030 2,213

ROD PREBENT 5.5X50MM SPIN 8690050 2,213

ROD PREBENT 5/580MM SPINAL8690080 2,213

ROD PREBENT5.5X45MM 8690045 2,045

ROD RADIAL XIA3 6X70MM 48238070 3,717

ROD REAMING 2.5MM/950MM 691

ROD REFORM COCR 65X4.75 59LC5065 1,734

ROD REFORM LORD 4.75X35 59LC5035 1,734

ROD REFORM LORD 4.75X40 59LC5040 1,734

ROD REFORM LORD 4.75X45 59LC5045 1,734

ROD REFORM LORD 4.75X50 59LC5050 1,734

ROD REFORM LORD 5.5X35 39LT5035 1,504

ROD REFORM LORD 5.5X70 39LT5070 1,504

ROD REFORM LORD5.5X45 39LT5045 1,504

ROD REFORM SPINE 5.5X65 39LT5065 1,504

ROD REFORM SPINE5.5X80 39LT5080 1,504

ROD REVERE 40MM 11197040 1,775

ROD SPIN 5.5MMX3.5CM 8370035 2,001

ROD SPINAL EXPED 5.5X45 179771045 2,249

ROD SPINAL EXPED 5.5X65 179771065 3,311

ROD SPINAL EXPED5.5X110 179771110 1,856

ROD SPINAL EXPED5.5X85MM179771085 1,980

ROD SPINAL OASYS3.5X25MM 48552025 1,604

ROD SPINAL6X10 XIA 48238100 1,576

ROD SPINEXPEDIUM5.5X35MM179772035 2,249

Page 153: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

ROD STREAMLIN3.2X120 26CCPBROD120 3,503

ROD STREAMLINE 120MM 23CCROD120 3,503

ROD STREAMLINE 3.2X80 26CCPBROD80 3,503

ROD THREADED6X120 49331120 243

ROD VALENCIA 5.5X120 9245620 1,693

ROD VALENCIA 5.5X30 CURV 9235030 1,576

ROD VALENCIA 5.5X35 CURV 9236035 1,576

ROD VALENCIA 5.5X40 9245540 1,693

ROD VALENCIA 5.5X40CURV 9235040 2,959

ROD VALENCIA 5.5X45 9245545 1,693

ROD VALENCIA 5.5X50 9245550 1,693

ROD VALENCIA 5.5X55 CURV9235055 1,576

ROD VALENCIA 5.5X60 9245560 1,693

ROD VALENCIA 5.5X60 CURV 9235060 2,959

ROD VALENCIA 5.5X65 9245565 1,693

ROD VALENCIA 5.5X70 9245570 1,693

ROD VALENCIA 5.5X70 CURV 9235070 1,682

ROD VALENCIA 5.5X80 9245580 3,070

ROD VALENCIA 5.5X90 CURV 9235090 1,576

ROD VALENCIA5.5X110 CURV 9235110 1,576

ROD VALENCIA5.5X45 CURV 9235045 1,576

ROD VERTEX 3.5X240MM 7750015 2,917

ROD VERTEX 3.5X50MM 7753750 3,738

ROD VERTEX SELECT 3.5X25 7753725 3,503

ROD XIA 3.6X60MM 48238060 3,718

ROD XIA 3.6X80 48238080 3,574

ROD XIA 4.5X30 481322030 1,576

ROD XIA 4.5X35 481322035 1,576

ROD XIA 4.5X40 481322040 3,574

ROD XIA 4.5X60MM 481322060 3,574

ROD XIA 4.5X70MM 481322070 3,717

ROD XIA 6MM MAX RAD 48239060 3,887

ROD XIA 6X120 48238120 1,576

ROD XIA 6X35MM 48238035 1,576

ROD XIA 6X50 48238050 1,576

ROD XIA 6X70 48239070 1,576

ROD XIA 6X80 48239080 1,576

ROD XIA3 6X110 48238110 1,576

ROD XIA3 6X30MM 48238030 1,576

ROD XIA3 6X40MM 48238040 1,905

ROD XIA3 6X45MM 48238045 3,717

ROD XIA3 6X480MM 48233480 4,406

ROD XIA3 6X90MM 48238090 3,717

ROD XIA3 6X90MM 48239090 3,887

ROD+ONE CAP NXS 27MM N1059303027 730

ROD+ONE CAP NXS 30 N1059303530 730

ROD+ONE CAP NXS 32MM N1059303032 730

Page 154: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

ROD+ONE CAP NXS 32MM N1059303532 730

ROD+ONE CAP NXS 35MM N1059303535 730

ROD+ONE CAP NXS 37MM N1059303537 730

ROD5.5X45STRAIGHTSOLERA1553201045 2,861

ROD5.5X70STRAIGHTSOLERA1553201070 2,861

ROMIPLOSTIM @ 10 MCG INJ (250MCG) 396

ROPINIROLE TAB, 0.25MG 3

ROPINIROLE TAB, 1MG 4

ROPIVACAINE HCL @ 1 MG INJ (150) 1

ROPIVACAINE INJ,0.2%(100ML) 1

ROSUVASTATIN TAB, 10MG 54

ROSUVASTATIN TAB, 20MG 49

ROTABLATOR CATHETER ONLY 8,456

ROTAVIRUS 262

ROTAVIRUS VACC.PENTAVALENT,2ML-OR 532

ROUTINE VENIPUNCTURE-ONLY 54

RPR (VDRL/SEROLOGY) 116

RPR COMPLEX WND EA ADD 5CM(ADD ON 644

RPR WND COMP.,1.1-2.5CM(HEAD) 1,052

RPR WND COMP.,2.6-7.5CM(FACE) 1,224

RPR WND COMP.,2.6-7.5CM(HEAD) 1,195

RPR WND COMP.,2.6-7.5CM(S/A/L) 1,174

RPR, QUANTITATIVE 104

RR-BAIR HUGGER 125

RS-ABDOMEN BIOPSY 2,019

RSP-CHLORIDE, BLOOD. 40

RSP-SODIUM, SERUM. 45

RSV TITER 307

RSV TITER/RESP (NASAL WASHING) 186

RUBELLA ANTIBODY SCREEN 337

RUBELLA IGG AB 337

RUBELLA IGM AB 337

RUBELLA IMMUNE STATUS 337

RUBEOLA 226

RUMI MANIPULATOR TIP6.7X12 UM0672 243

RUSSELL VIPER VENOM TIME 321

S.T DYSPHAGIA EVAL 1 UNIT 318

S.T. DYSPHAGIA EVAL-2 UNITS 659

S.T. DYSPHAGIA EVAL-3 UNITS 993

S.T. TX 1 UNIT 412

S.T. TX 2 UNITS 425

S2(RACEPINEPHRINE)INH SOL,2.25% 7

SABER ABLATION 3MM AC433001 1,109

SACROILIAC STUDY 3 VIEW 924

SACRUM &/OR COCCYX 2 VIEW 675

SACUBITRIL24/VALSARTAN26,TAB,50MG 42

SACUBITRIL49/VALSARTAN51,TAB100MG 42

Page 155: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SACUBITRIL97/VALSARTAN103, 200MG 49

SAGITAL SAW BLADE DUAL CUT 227

SALIVA SUBSTITUTE (75G) 30

SALMETEROL XINAFOATE 54

SBRT/FRAC,W/IMG-COURSE TO 5 FRACT 7,480

SCAFFOLD BIOA 8X8CM TISSYN FS0808 2,656

SCAFFOLD BIOA 9X15CM TISSYNFS0915 4,729

SCAFFOLD HERN 20X30CM TIS FS2030 25,238

SCAFFOLD HERNIA7X10CM TISSUE HH07 3,306

SCAPULA 2 VIEWS 216

SCISSOR ENDOWRIST 13MM JAW 559MM 1,868

SCISSOR LAP 5MM 31CM DISP PO888 290

SCISSORS CURV DAVINCI 428057 3,620

SCISSORS POTTS 8MM DAVINCI 420001 1,138

SCLEROSOL INTERPLEURAL AEROSOL 700

SCOPOLAMINE 1.5 MG PATCH 145

SCRE NON LOCKING4.5X18MM METAGLEN 850

SCREEN.MAMMO.& CAD,BILAT-EA.2VIEW 830

SCREEN.MAMMO.W/CAD-UNILAT-2 VW/BR 652

SCREW 1.5X4 UNIV NEURO5015994 409

SCREW 1.5X5MM SDRILL 92-15905 456

SCREW 12MM MMF 5020362 800

SCREW 2.3X15 CMF 258831591 616

SCREW 2.5X60 LP CORT AR883560 204

SCREW 2.7X10 FT 656410 455

SCREW 2.7X12 LP CORTEX AR882712 263

SCREW 2.7X12 VAR 656312 586

SCREW 2.7X12 VAR FT 656412 455

SCREW 2.7X12MM NL 614712 279

SCREW 2.7X14 VAR 656414 455

SCREW 2.7X14MM NL 614714 404

SCREW 2.7X14MM ST 02118514 304

SCREW 2.7X16 LP CORTEX AR882716 263

SCREW 2.7X16 VAR 656316 586

SCREW 2.7X16 VAR 656416 455

SCREW 2.7X16 VAR 657116 455

SCREW 2.7X16MM ST 02118516 304

SCREW 2.7X18 FIBULOCK SC2718S 730

SCREW 2.7X18 LOCK 00482801802 718

SCREW 2.7X18 VAR 656318 586

SCREW 2.7X18 VAR 656418 455

SCREW 2.7X18 VAR FT 657118 455

SCREW 2.7X19 CROSSDRIVE 257741991 673

SCREW 2.7X20 FIBULOCK SC2720S 730

SCREW 2.7X20 LP CORT AR882720 263

SCREW 2.7X20 VAR 656320 586

SCREW 2.7X20 VAR 656420 455

Page 156: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SCREW 2.7X20 VAR FT 657120 455

SCREW 2.7X22 VAR FT 656422 455

SCREW 2.7X22 VAR FT 657122 455

SCREW 2.7X24 VAR 656324 586

SCREW 2.7X24 VAR FT 656424 455

SCREW 2.7X24MM NL 614724 403

SCREW 2.7X26 VAR FT 656326 586

SCREW 2.7X26 VAR FT 657126 455

SCREW 2.7X28 VARIAX FT 657128 455

SCREW 2.7X8 LOCK 00482800802 718

SCREW 20MM HEAD 368

SCREW 2X12 THREADED 250924291 420

SCREW 2X8 THREADED 250923891 420

SCREW 3.4X24 VPC 233230024 3,386

SCREW 3.5MM LCK ST 02127160 972

SCREW 3.5MM X 14MM VERTEX 7,025

SCREW 3.5MMX12MM VERTEX 6958712 7,025

SCREW 3.5MMX16MM VERTEX 7,025

SCREW 3.5MMX20MM VERTEX SELECT 7,025

SCREW 3.5MMX22MM VERTEX SELECT 7,025

SCREW 3.5X10 48554310 1,149

SCREW 3.5X10 LOCK LP AR8935L10 876

SCREW 3.5X10 VAR FT LOCK657310 865

SCREW 3.5X12 LP TI AR893512 350

SCREW 3.5X13 LOCK 53023513 584

SCREW 3.5X13 SD 7713513 1,924

SCREW 3.5X14 LOCK 00235901438 670

SCREW 3.5X14 LP AR893514 350

SCREW 3.5X14 LP LOCK AR8935L14 496

SCREW 3.5X14 VAR FT 656314 586

SCREW 3.5X14MM T10 NL 614814 466

SCREW 3.5X16 LOCK 00235901638 670

SCREW 3.5X18 LOCK 00235901838 670

SCREW 3.5X18 ST 00234801835 236

SCREW 3.5X18 VAR FT LOCK657318 865

SCREW 3.5X20 ST 00234802035 236

SCREW 3.5X20 VAR FT 657320 865

SCREW 3.5X22 VAR FT 657322 865

SCREW 3.5X22MM T10 NL 614822 466

SCREW 3.5X24 48555324 7,991

SCREW 3.5X26 NCB 0203155026 744

SCREW 3.5X28 VAR LOCK FT 657328 865

SCREW 3.5X30 FT LOCK 656330 586

SCREW 3.5X32 LOCK VAR FT 657332 865

SCREW 3.5X32 VAR FT 657430 455

SCREW 3.5X34 LOCK AR8935L34 486

SCREW 3.5X34 PTMAS 6958734 6,606

Page 157: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SCREW 3.5X34 VAR FT 657434 455

SCREW 3.5X36 VAR FT 657436 455

SCREW 3.5X36 VAR LCK FT 657336 865

SCREW 3.5X38 VAR FT 657438 455

SCREW 3.5X38 VAR LOCK 657338 865

SCREW 3.5X40 LP AR883540 204

SCREW 3.5X40 VAR LOCK 657340 865

SCREW 3.5X40MM VAR FT 657440 455

SCREW 3.5X44 LOCK 657344 865

SCREW 3.5X46 LOCK ST 212136 862

SCREW 3.5X46 T10 LOCK 657346 865

SCREW 3.5X46MM NL 614846 466

SCREW 3.5X50MM NL 614850 466

SCREW 3.5X52MM NL T10 614832 466

SCREW 3.5X55 LP CORT AR883555 204

SCREW 3.5X70 PERI LOCK00235907035 788

SCREW 3.5X75MM LCK ST 02127175 972

SCREW 3.5X8 48554308 1,149

SCREW 3.5X80 PERI LOCK00235908035 788

SCREW 3.5X80MM LCK ST 02127180 972

SCREW 3.5X85MM LCK ST 02127185 972

SCREW 3.5X90 PERI LOCK00235909035 788

SCREW 3.5X95 0202150095 1,068

SCREW 3X14 CANN 3193014 1,168

SCREW 3X24 HEADLESS D2N30024 1,594

SCREW 3X3.4 HEADED IC3034 1,024

SCREW 4.0MM X 38MM ASNI (325038S) 850

SCREW 4.0MMX36MM ASNIS III CANNUL 850

SCREW 4.0MMX40MM LOCKING 689

SCREW 4.35X16 CERV SCREW 1114316 1,524

SCREW 4.35X16 FUJI ST 1214316 1,524

SCREW 4.5/38MM SELF TAP 127

SCREW 4.5MM 34MM CORTEX SELF TAP 127

SCREW 4.5MM X42MM CORTEX SELF TAP 127

SCREW 4.5X13 ST 3125313 1,732

SCREW 4.5X17 SD 3125417 1,693

SCREW 4.5X25 POLYAX 26PA4525 6,714

SCREW 4.5X28 LP NL AR854528 429

SCREW 4.5X28 MAS 6958928 5,825

SCREW 4.5X28 OASYS 48558528 8,420

SCREW 4.5X32 MAS 6958932 5,825

SCREW 4.5X34 MAS 6958934 5,825

SCREW 4.5X35 COBALT 55840014535 8,663

SCREW 4.5X38 LP NF AR854538 438

SCREW 4.5X40 COBALT 55840014540 8,663

SCREW 4.5X40 LP PT AR904540PT 4,641

SCREW 4.5X44 LP NL AR854544 438

Page 158: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SCREW 4.75X20 NL 180558 1,354

SCREW 4.75X25 NL REV 180559 1,354

SCREW 4X12 LP TI AR894012 350

SCREW 4X14 BIASED ANG 48552414 8,175

SCREW 4X15 ST 3120215 1,732

SCREW 4X17 SD 3120417 1,693

SCREW 4X18 MAS 6958818 5,825

SCREW 4X20 BIASED ANG 48552420 8,175

SCREW 4X34 PTMAS 6958834 5,825

SCREW 4X50 NCB 0203155050 744

SCREW 4X8 48554408 1,262

SCREW 5.5X25 TAS 23005525 584

SCREW 5.5X40 CNMAS 55840015540 8,546

SCREW 5.5X50 CD MAS 55840015550 8,546

SCREW 5/35MM LOCKING T2 STERILE 885

SCREW 5MM LOW PROFILE 423

SCREW 5X12 LP LOCK AR8935L12 496

SCREW 5X12 UNICORT 0203151012 1,016

SCREW 5X16 UNICORT 0203151016 1,016

SCREW 5X2 ANCHORL 48665025 1,839

SCREW 5X26 LOCK AXSOS 661126 786

SCREW 5X35 55840016535 8,546

SCREW 5X40MM 595

SCREW 5X42 ASNIS CANN 601642 680

SCREW 5X44 AXSOS LOCK 661144 786

SCREW 5X75 LOCK ST 02231275 1,254

SCREW 5X80 LOCK ST 02231280 1,254

SCREW 5X85 LOCK ST 02231285 1,254

SCREW 5X90 LOCK ST 02231290 1,254

SCREW 6.5X15 LP 70306515 283

SCREW 6.5X20 115394 1,337

SCREW 6.5X30 115396 1,337

SCREW 6.5X40 55840016540 8,546

SCREW 6.5X40 ES2 48280460 8,553

SCREW 6.5X40 LP 70306540 283

SCREW 6.5X40XIA SERRANTO482616540 7,093

SCREW 6.5X45 55840016545 8,546

SCREW 6X85 CANC FT 608085 280

SCREW 7.5X40 POLYAX LP 1059308740 3,795

SCREW 7.5X40 REFORM CORT 59BP7540 3,024

SCREW 7.5X45 CNMAS 55840017545 8,546

SCREW 7.5X45 ES2 482804745 8,553

SCREW 80MMX5.0MM CANNULATED ASNIS 876

SCREW 8MM MMF 5020358 800

SCREW ACET 6.5X45MM 20800045 696

SCREW ACET 6.5X50MM 20800050 696

SCREW ACET6.5X35MM GAP 2080-0035 698

Page 159: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SCREW ACUTRAX2 30MM AT2C30S 1,956

SCREW AEQ PERFORM REV5X14DWJ314 971

SCREW AEQ PERFORM REV5X18 DWJ318 971

SCREW AEQ PERFORM REV5X22 DWJ322 971

SCREW AEQ PERFORM REV5X26 DWJ326 971

SCREW AEQ PERFORM REV6.5X25DWJ125 3,269

SCREW AEQ REV 5X34 DWJ334 971

SCREW AEQ REV 5X42 DWJ342 971

SCREW AEQ REV 9.5X25 DWJ225 3,269

SCREW ANG OASYS3.5X16MM 48552316 8,869

SCREW ANG OASYS3.5X18MM 48552318 8,869

SCREW ANG OASYS3.5X30MM 48556330 9,073

SCREW ANIS 6.5 X 100 1,153

SCREW ANIS CANN 2X20 4020120 719

SCREW ANIS MICRO2X26 4020126 719

SCREW ASNIS 3X19MM PT 4030119 710

SCREW ASNIS 3X22MM PT 4030122 758

SCREW ASNIS 4X40 663440 5,464

SCREW ASNIS 4X42 PT 604642 683

SCREW ASNIS 50MM 876

SCREW ASNIS 55MM (325455S) 876

SCREW ASNIS 5X44 663544 8,407

SCREW ASNIS 6.5 X 80 1,153

SCREW ASNIS 6.5X110MM 1,153

SCREW ASNIS 6.5X85MM 326495S 1,150

SCREW ASNIS 6X48 663648 5,464

SCREW ASNIS 8X75MM 326675S 1,130

SCREW ASNIS CANN 2X22 4020122 719

SCREW ASNIS CANN 2X24 4020124 719

SCREW ASNIS CANN 2X28 4020128 719

SCREW ASNIS CANN 4X26 604726S 729

SCREW ASNIS CANN 4X30 604730S 729

SCREW ASNIS CANN 4X36 604736S 729

SCREW ASNIS CANN 4X38 604738S 729

SCREW ASNIS CANN 4X40 604740S 729

SCREW ASNIS CANN 4X42 604742S 729

SCREW ASNIS CANN 4X44 604744S 729

SCREW ASNIS CANN 4X46 604746S 729

SCREW ASNIS CANN 4X48 604748S 729

SCREW ASNIS CANN 4X50 604750S 729

SCREW ASNIS CANN 6.5X85MM 326285S 1,153

SCREW ASNIS COMP 4X55 663455 5,464

SCREW ASNIS COMP 5X48 663548 5,464

SCREW ASNIS COMP 6X36 663636 5,464

SCREW ASNIS MICRO 3X30 4030130 710

SCREW AT2 20.0MM 2,527

SCREW AT2 22.0MM 2,527

Page 160: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SCREW ATL 4X13IN 3120513 2,135

SCREW ATLAN 4.5X13MM 3125413 2,384

SCREW ATLANTIS 4.5X15 3125415 1,924

SCREW ATLANTIS 4X14 3120514 2,135

SCREW ATLANTIS 4X14IN 3120414 1,693

SCREW ATLANTIS 4X15 3120515 2,135

SCREW ATLANTIS 4X15 ST 3120315 2,579

SCREW ATLANTIS 4X16 3120516 2,053

SCREW ATLANTIS 4X17 SD 3120517 2,135

SCREW AVIAOR 4X14MM 48844014 2,602

SCREW AVIATOR 4.35X14 ST 48814514 2,481

SCREW AXSOS 4X95 LOCK 661095 739

SCREW BIAS ANGLE4.0X12MM 48552412 8,287

SCREW BIASED 3.5X28 48555328 7,991

SCREW BIASED 4X16 48552416 8,175

SCREW BIO COMP 3X16 AR5025B16 2,260

SCREW BIOABS 7-9X30MM 254624 1,224

SCREW BIOABS BIOCOMP 7X23AR1570BC 1,898

SCREW BIOCOMP 4.75X15 AR1547CDS 2,248

SCREW BIOCOMP 4X10 AR1540CDS 2,364

SCREW BIOCOMP INTER 9X23 AR1390C 1,344

SCREW BIOCOMP TENOD8X23MMAR1580BC 1,898

SCREW BIO-INTRA FIX 6-8 1,224

SCREW BIOSURE INTERF7X20 72204394 3,497

SCREW BN VAR FT LK3.5X18MM4035618 682

SCREW BONE 1.2X5MM ST 5012005 413

SCREW BONE 1.7MM ST 5017004 351

SCREW BONE 1.7X8MM FT 5817008E 324

SCREW BONE 2.3X10MM FT 5823010E 306

SCREW BONE 2.3X11MM 5823011E 351

SCREW BONE 2.3X12MM FT 5823012E 306

SCREW BONE 2.3X13MM FT 5823013E 306

SCREW BONE 2.3X14MM 5823014E 351

SCREW BONE 2.3X16MM 5823016E 351

SCREW BONE 2.3X8MM FT 5823008E 306

SCREW BONE 2.7X18MM 614718 403

SCREW BONE 3.5X40MM LCK 4035648 682

SCREW BONE 6.5/35MM 571

SCREW BONE 6.5/40MM 571

SCREW BONE 6.5MM 538

SCREW BONE 6.5MM/15MM 571

SCREW BONE 6.5MM/30MM 571

SCREW BONE 6.5MM/30MM DEPUY 553

SCREW BONE ASNIS 3X16MM 4030116 710

SCREW BONE ASNIS 3X18 PT 4030118 787

SCREW BONE ASNIS 3X20 PT 4030120 758

SCREW BONE ASNIS 3X24MM 4030124 758

Page 161: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SCREW BONE ASNIS 3X28MM6MM4030128 1,062

SCREW BONE ASNIS 3X36MM 4030136 787

SCREW BONE ASNIS 3X40 4030140 710

SCREW BONE ASNIS 3X40MM 4030140S 1,062

SCREW BONE ASNIS3X26MMPT 4030126 1,062

SCREW BONE ASNIS3X34MM 7MM4030134 787

SCREW BONE ASNIS3X38MM 8MM4030138 787

SCREW BONE BASEPLATE 38MM TORNIER 325

SCREW BONE BASEPLATE 4.5MM/32MM 325

SCREW BONE CANCELLO 6.5MM LGT 20 598

SCREW BONE CANCELLOUS 45MM 325

SCREW BONE CANCELLOUS 6.5/16MM 325

SCREW BONE CANCELLOUS 6.5/20MM 325

SCREW BONE CANCELLOUS 6.5/25MM 325

SCREW BONE CROSSPIN1.2X3MM5012903 462

SCREW BONE CROSSPIN1.2X4MM5012904 462

SCREW BONE CROSSPIN1.7X4MM5017904 394

SCREW BONE EMER CR1.4X3MM 5014003 431

SCREW BONE HAND 2.3X20MM 5823020E 351

SCREW BONE HAND 2.3X9 FT 5823009E 316

SCREW BONE HAND1.7X9MM 5817009E 337

SCREW BONE NEURO2 1.5X6MM 5015006 615

SCREW BONE T10 3.5X18MM 4035018 292

SCREW BONE T10 3.5X28MM 4035028 292

SCREW BONE UNIV 1.2X4MM5/P5012004 413

SCREW BONE UNIV 2X3MM 5/P 5012003 413

SCREW BONE VAR 2.7X12 4027012 243

SCREW BONE VAR 2.7X12MM5327212E 420

SCREW BONE VAR 2.7X14MM 5327214E 810

SCREW BONE VAR 2.7X16MM 5327216E 810

SCREW BONE VAR 2.7X20MM 40-27020 242

SCREW BONE VAR 2.7X24MM 4027024 242

SCREW BONE VAR 2.7X30MM 4027030 243

SCREW BONE VAR 2.7X32MM 40-27032 242

SCREW BONE VAR 2.7X34MM 40-27034 242

SCREW BONE VAR 3.5 X44MM 4035644 682

SCREW BONE VAR 3.5X14MM NL4035014 292

SCREW BONE VAR 3.5X20MM NL4035020 292

SCREW BONE VAR 3.5X22MM 4035622 682

SCREW BONE VAR 3.5X26 657426 455

SCREW BONE VAR 3.5X26MM NL4035026 292

SCREW BONE VAR 3.5X28 657428 455

SCREW BONE VAR 3.5X32MM 4035632 627

SCREW BONE VAR 3.5X46MM 4035646 627

SCREW BONE VAR 3.5X46MM NL4035046 292

SCREW BONE VAR 3.5X50MM 4035650 627

SCREW BONE VAR 3.5X60 657460 455

Page 162: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SCREW BONE VAR 3.5X60MM 4035060 276

SCREW BONE VAR FT 3.5X16MM4035016 292

SCREW BONE VAR FT 3.5X22MM4035022 292

SCREW BONE VAR..5X44MM NL40-35044 292

SCREW BONE VAR2.7X14MM 4027014 242

SCREW BONE VAR2.7X16MM 4027016 242

SCREW BONE VAR2.7X26 NL 4027026 243

SCREW BONE VAR3.5X36MMLCK4035636 682

SCREW BONE VAR3.5X55MMLCK40-35055 292

SCREW BONE VAR3.5X65MM NL 4035065 290

SCREW BONE VARIAX 3.5X10MM4035610 682

SCREW BONE VARIAX 3.5X12MM4035012 292

SCREW BONE VARIAX 3.5X12MM4035612 682

SCREW BONE VARIAX 3.5X14MM4035614 682

SCREW BONE VARIAX 3.5X16MM4035616 682

SCREW BONE VARIAX 3.5X38MM4035638 627

SCREW BONE VARIAX 3.5X42MM4035042 292

SCREW BONE VARIAX 3.5X48MM4035048 292

SCREW BONE VARIAX 3.5X50MM4035050 292

SCREW BONE VARIAX 3.5X55MM4035655 627

SCREW BONE VARIAX 35X24MM 4035024 292

SCREW BONE VARIAX2.7X18MM5327218E 607

SCREW BONE VARIAX2.7X20MM5327220E 607

SCREW BONE VARIAX3.5X10MM4035010 292

SCREW BONE VARIAX3.5X26MM 4035626 682

SCREW BONE VARIAX3.5X30MM 4035030 292

SCREW BONE VARIAX3.5X34MM4035034 292

SCREW BONE VARIAX3.5X36MM4035036 292

SCREW BONE VARIAX3.5X40MM 4035040 292

SCREW BONEVAR3.5X30MMLCK 40-35630 682

SCREW BONEVAR3.5X38MMNL 40-35038 292

SCREW BREAKOFF 682

SCREW CAN 2.7X14MM LCK AR8827L14 1,308

SCREW CAN 4X60MM ASNIS 325060S 850

SCREW CAN ASNIS 6.5X120MM 326320S 1,153

SCREW CAN ASNIS4X65 PT 604665S 809

SCREW CAN AXSOS 4X40MM 607340 167

SCREW CAN AXSOS 4X70MM 607370 167

SCREW CAN ESCALDE6.5X35 1703035 584

SCREW CAN6.5X45 SOLERA54840016545 8,546

SCREW CANC 2.7X16MM LCK AR8827L16 654

SCREW CANC 4X24 NL LP AR884024 204

SCREW CANC 4X30 LP AR884030 204

SCREW CANC 6.5/65MM TI AR1328065 511

SCREW CANC 6.5X25MM FT 343025 156

SCREW CANC 6.5X30MM 2030-6530-1 325

SCREW CANC 6.5X30MM FT 343030 156

Page 163: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SCREW CANC 6.5X45 LP 1703045 584

SCREW CANC 6.5X45MM FT 343045 156

SCREW CANC 6.5X70MM TIB AR1328070 511

SCREW CANC 6.5X80MM FT 343080 159

SCREW CANC 6X75 608475 280

SCREW CANC 6X80 608080 200

SCREW CANC 6X90 608090 200

SCREW CANC AXSOS 4X20 607320 167

SCREW CANC AXSOS 4X24 607324 167

SCREW CANC AXSOS 4X24 607344 167

SCREW CANC AXSOS 4X30 607330 167

SCREW CANC AXSOS 4X32 607332 167

SCREW CANC AXSOS 4X36 607336 167

SCREW CANC AXSOS 4X38 607338 167

SCREW CANC AXSOS 4X38 607438 167

SCREW CANC AXSOS 4X42 607342 167

SCREW CANC AXSOS 4X42 607442 167

SCREW CANC AXSOS 4X48 607348 280

SCREW CANC AXSOS 4X50 607350 280

SCREW CANC AXSOS 4X65 607365 280

SCREW CANC AXSOS 4X70 607470 167

SCREW CANC AXSOS 6.5X85MM 343085 156

SCREW CANC ESCALADE6.5X15 1703015 584

SCREW CANC ESCALADE6.5X25 1703025 584

SCREW CANC ESCALADE6.5X30 1703030 584

SCREW CANC FT 3X14 AR883014 204

SCREW CANC VERT 3.5X30MM 6958730 7,970

SCREW CANC VERT 3.5X32MM 6958732 7,970

SCREW CANC VERT 4X14MM 6958814 7,025

SCREW CANC VERT3.5X28MM 6958728 7,970

SCREW CANC VERTEX 4.5X24 6958924 6,332

SCREW CANC VERTEX 4.5X26 6958926 5,825

SCREW CANC6.5X75MM FT 343075 156

SCREW CANCELL 6.5/50 TI AR1328050 511

SCREW CANCELLOUS 6.5MMX25MM 368

SCREW CANCELLOUS BONE 6.5/35MM 325

SCREW CANCELLOUS6.5X55 AR1328055 511

SCREW CANN 2.4X18 211842 1,145

SCREW CANN 2X15 HEADLESP20520015S 1,817

SCREW CANN 2X18 ST P20120018S 1,532

SCREW CANN 2X22 AUTOFIX 1412022 868

SCREW CANN 2X22 ST P20120022S 1,532

SCREW CANN 3.5X26 ST P20535026S 1,817

SCREW CANN 3.7X46 FT 02240246 1,151

SCREW CANN 3X16 3193016 1,197

SCREW CANN 4.0/44MM LONG TH207744 1,104

SCREW CANN 4.0/44MM SHORT THREAD 1,204

Page 164: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SCREW CANN 4X28 3194028 2,014

SCREW CANN 4X35 LP LT AR8840CL35 963

SCREW CANN 4X44MM PT 604644S 850

SCREW CANN 4X50MM PT 604650S 808

SCREW CANN 4X70MM PT 325070S 850

SCREW CANN 5X42MM PT 325442S 865

SCREW CANN 5X44 PT 325444S 876

SCREW CANN ASNIS 2X11 4020111 719

SCREW CANN ASNIS 2X14MM 4020114 767

SCREW CANN ASNIS 2X15MM 4020115 767

SCREW CANN ASNIS 2X16 4020116 719

SCREW CANN ASNIS 2X18 4020118 841

SCREW CANN ASNIS 4X30 PT 604630S 809

SCREW CANN ASNIS 4X32 604632S 729

SCREW CANN ASNIS 4X34 604634S 729

SCREW CANN ASNIS 4X34 604734S 729

SCREW CANN ASNIS 4X36 604636S 729

SCREW CANN ASNIS 4X40 PT 60460S 809

SCREW CANN ASNIS 4X42MM 604642S 729

SCREW CANN ASNIS 4X44 PT 604644 683

SCREW CANN ASNIS 4X46 PT 604646S 808

SCREW CANN ASNIS 4X48 604648S 729

SCREW CANN ASNIS 4X48 PT 604648 683

SCREW CANN ASNIS 4X50 PT 604650 683

SCREW CANN ASNIS 4X55 604655S 729

SCREW CANN ASNIS 4X70MM 604670S 808

SCREW CANN ASNIS 5X44 PT 601644S 798

SCREW CANN ASNIS 5X48 601648 644

SCREW CANN ASNIS 6.5X60 602660S 1,072

SCREW CANN ASNIS 6.5X80PT 326480S 1,026

SCREW CANN ASNIS 6.5X95MM 326295S 1,153

SCREW CANN ASNIS 8X100MM 326700S 704

SCREW CANN ASNIS 8X145 326745 1,263

SCREW CANN ASNIS 8X155 326755 1,263

SCREW CANN ASNIS 8X175 326770 1,059

SCREW CANN ASNIS 8X175 326775S 1,059

SCREW CANN ASNIS 8X95MM 326695S 1,176

SCREW CANN ASNIS4X38MM PT 604638S 850

SCREW CANN ASNIS6.5X100MM 326300S 1,153

SCREW CANN ASNIS8X105MM 326705S 1,175

SCREW CANN ASNIS8X155 326750 1,263

SCREW CANN ASNISLLL 8X80MM326680S 1,176

SCREW CANN ASNISLLL4X18MM 604618S 850

SCREW CANN ASNISLLL4X60MM 604660S 850

SCREW CANN ASNISLLL5X38 PT325438S 876

SCREW CANN ASNISLLL8X65MM 326665S 1,175

SCREW CANN AUTOFIX 2.5X16 1412516 1,740

Page 165: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SCREW CANN AUTOFIX 2X16 1412016 1,576

SCREW CANN AUTOFIX 2X20 1412020 1,740

SCREW CANN AUTOFIX 2X26 1412026 1,740

SCREW CANN AUTOFIX 3X22 1413022 1,740

SCREW CANN AUTOFIX 3X24 1413024 1,740

SCREW CANN AUTOFIX 3X28 1413028 1,740

SCREW CANN AUTOFIX 3X34 1413034 1,740

SCREW CANN AUTOFIX2.5X26 1412526 1,740

SCREW CANN AUTOFIX2.5X27 1412527 1,740

SCREW CANN AUTOFIX3.6X40 1413040 1,740

SCREW CANN AXSOS 4X34 607334 167

SCREW CANN AXSOS 4X48 607448 167

SCREW CANN CHARLOT4.3 44112003 1,289

SCREW CANN CORT 7.3X70 02205270 1,090

SCREW CANN ESCALADE6.5X20 1703020 584

SCREW CANN PINN6.5X35MM 121735500 517

SCREW CANNHEADLSS3.5X18P20535018S 1,817

SCREW CANNUL 4X44MM PT 325044S 850

SCREW CANNULAT ASNIS III 6.5X75MM 1,153

SCREW CANNULATED 4.0MMX32MM 850

SCREW CANNULATED 4.0MMX34MM 850

SCREW CANNULATED 4.0MMX40MM 850

SCREW CANNULATED 4.0MMX42MM 850

SCREW CANNULATED 4.0MMX46MM 850

SCREW CANNULATED 4.0MMX50MM 850

SCREW CANNULATED 42MM/4.0 LONG TH 1,204

SCREW CANNULATED 48MMX4.0MM 850

SCREW CANNULATED 5.0MMX70MM 876

SCREW CANNULATED 6.5MM (208.442) 1,586

SCREW CANNULATED 6.5MM/90MM FT 1,153

SCREW CANNULATED 6.5MMX70MM 1,153

SCREW CANNULATED 6.5X85MM 1,153

SCREW CANNULATED ASN III 6.5X90MM 1,153

SCREW CANNULATED ASN III 6.5X95MM 1,153

SCREW CANNULATED ASNIS 8.0X85MM 1,180

SCREW CANNULATED LOC (02.205.275) 1,074

SCREW CANNULATED WASHER SS 390019 156

SCREW CANNULTAED ASNIS 8.0X90MM 1,180

SCREW CANSOLERA6.5X50 55840016550 8,546

SCREW CENTRAL 6.5X25 115395 1,337

SCREW CENTRAL 6.5X40 115398 1,337

SCREW CENTRAL6.5X35 115397 1,337

SCREW CERV 4.35X14 3164314 1,524

SCREW CERV 4.35X14 3174314 1,524

SCREW CERV 4.35X16 3174316 1,524

SCREW CERV 4.35X48 3164318 876

SCREW CERV 4X14 3164014 1,524

Page 166: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SCREW CERV 4X14 SD 3174014 1,524

SCREW CERV 4X18 SD 3174018 876

SCREW CERV VECTRA 4.5X16 04613568 1,392

SCREW CERV VECTRA 4X14 04613714 1,392

SCREW CERV VECTRA 4X15 04613515 1,392

SCREW CERV VECTRA 4X16 04613516 1,392

SCREW CERV VECTRA 4X18 04613518 1,392

SCREW CMF 1.5X5MM 258760591 273

SCREW CMF 2X5MM 258820591 701

SCREW CMF 2X9 MAXDRIVE 258830991 771

SCREW CMF MAXDRIVE 2X5 258790591 328

SCREW CMF MAXDRIVE 2X7 258790791 328

SCREW CMF2.3X11MAXDRIVE 258831191 771

SCREW CMF2.3X13MAXDRIVE 258831391 771

SCREW CNMASS 5X50 54840015550 8,658

SCREW COMP 2.5X20X.91 SV20 3,077

SCREW COMP 2.5X22X.91 SV22 3,077

SCREW COMP 2.5X24X.91 SV24 3,077

SCREW COMP 2.5X28X.91 SV28 2,872

SCREW COMP 2.5X30 1412530 1,740

SCREW COMP 2.5X30X.91MM SV30 3,077

SCREW COMP 4.75X15 NL 180557 1,354

SCREW COMP 4X28MM MV28A 3,187

SCREW COMP 4X36 AR874036H 1,722

SCREW COMP 4X40MM MV40A 3,077

SCREW COMP 4X42MM MV42A 3,077

SCREW COMP 7X45 ST 658345 2,960

SCREW COMP 8X14.5MM 18180001S 808

SCREW COMP AEQUALIS4.5X20MMVDV220 394

SCREW COMP AEQUALIS4.5X35MMVDV235 394

SCREW COMP AEQULIS4.5X26MM VDV226 423

SCREW COMP EQUINOX 4.5X22 3202022 587

SCREW COMP EQUINOX 4.5X30 3202030 587

SCREW COMP EQUINOX 4.5X46 3202046 587

SCREW COMP EQUINOX4.5X18 3202018 587

SCREW COMP FIXOS 2.5X12 SV12 1,442

SCREW COMP FIXOS 2.5X18 SV18 1,442

SCREW COMP FIXOS 2.5X26 SV26 1,442

SCREW COMP FIXOS 4X26 MV26A 1,442

SCREW COMP FIXOS 4X30MM MV30A 2,872

SCREW COMP FIXOS 4X32MM MV32A 3,064

SCREW COMP FIXOS 4X38MM MV38A 3,064

SCREW COMP FIXOS 4X46MM MV46A 2,773

SCREW COMP HEADLESS 5X32 658132 1,670

SCREW COMP HEADLESS4.3X28AR864328 2,189

SCREW COMP HEADLESS4.3X32AR864332 2,189

SCREW COMP NEXA 4.5X32MM VDV232 370

Page 167: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SCREW COMP REV SHLD4.75X30 180560 1,354

SCREW COMP3X30 HDLESS ST 02226030 1,917

SCREW COMP3X36 HDLESS ST 02226036 1,917

SCREW COMPRESS FIXOS 4X44 MV44A 2,959

SCREW COMPRESSION (596001S) 550

SCREW COMPREVSHOULD4.75X25 180561 1,354

SCREW CONDYLE 5/75MM 885

SCREW CONDYLE 5X60MM 18955060S 786

SCREW COR 4.5X36MM OST AR1338036 511

SCREW CORT 1.5X14 ST 200814 182

SCREW CORT 1.5X16 ST 200816 182

SCREW CORT 1.5X18 ST 200818 182

SCREW CORT 2.4X16MM ST 201.766 285

SCREW CORT 2.4X30MM ST 201.78 320

SCREW CORT 2.7X12 ST 00482701201 140

SCREW CORT 2.7X18 ST 00482701801 140

SCREW CORT 3.5X14 ST 00483501401 161

SCREW CORT 3.5X16 ST 00483501601 161

SCREW CORT 3.5X18 ST 00483501801 161

SCREW CORT 3.5X20 ST 00483502001 161

SCREW CORT 3.5X24 ST 00483502401 161

SCREW CORT 3.5X28 ST 00493502801 197

SCREW CORT 3.5X32 ST 00493503201 197

SCREW CORT 3.5X34 ST 0049350340 197

SCREW CORT 3.5X34 ST 0203131034 911

SCREW CORT 3.5X38 ST 00483503801 161

SCREW CORT 3.5X40 00483504001 161

SCREW CORT 3.5X40 ST 0203131040 911

SCREW CORT 3.5X45 ST 00483504501 161

SCREW CORT 3.5X50MM ST 204850 131

SCREW CORT 4.5/40MM TI AR1338040 511

SCREW CORT 4.5/48MM TI AR1338048 511

SCREW CORT 4.5X120 FT ST 340720 134

SCREW CORT 4.5X26 ST 00484502601 193

SCREW CORT 4.5X28 ST 00484502801 193

SCREW CORT 4.5X30 ST 00484503001 193

SCREW CORT 4X30 ST 0203155030 744

SCREW CORT 4X32 ST 0203155032 744

SCREW CORT 4X34 ST 0203155034 744

SCREW CORT 4X36 ST 0203155036 744

SCREW CORT 4X42 ST 0203155042 744

SCREW CORT 4X44 ST 0203155044 744

SCREW CORT 5X28 ST 0203150028 1,112

SCREW CORT 5X30 EXPED 186731530 8,354

SCREW CORT 5X30 ST 0203150030 1,112

SCREW CORT 5X32 ST 0203150032 1,112

SCREW CORT 5X34 ST 0203150034 1,112

Page 168: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SCREW CORT 5X35 EXPED 186731535 8,354

SCREW CORT 5X36 ST 0203150036 1,112

SCREW CORT 5X40 814550040 995

SCREW CORT 5X40 EXPED 186731540 8,354

SCREW CORT 5X40 ST 0203150040 1,112

SCREW CORT 5X44 814550044 995

SCREW CORT 5X46 ST 0283150046 1,112

SCREW CORT 5X48 ST 203150048 1,112

SCREW CORT 5X50 ST 0203150050 1,112

SCREW CORT 5X55 ST 0203150055 1,112

SCREW CORT 5X60 ST 0203150060 1,112

SCREW CORT 5X60 ST 203150060 1,112

SCREW CORT 5X65 ST 0203150065 1,112

SCREW CORT 5X70 ST 0203150070 1,112

SCREW CORT 5X75 ST 0203150075 1,112

SCREW CORT 5X80 ST 0203150080 1,112

SCREW CORT 5X85 ST 0203150085 1,112

SCREW CORT 6.5X40 59BP6540 3,024

SCREW CORT 6.5X45 59BP6545 3,024

SCREW CORT 6X35 EXPED 186731635 8,914

SCREW CORT 6X40MM EXPED 186731640 11,742

SCREW CORT 6X45 EXPEDIUM186731645 8,354

SCREW CORT 6X50 EXPEDIUM186731650 8,354

SCREW CORT 7.5X45 59BP7545 3,024

SCREW CORT 7X45 EXPED 186731745 8,354

SCREW CORT 8X35 EXPED 186731835 8,914

SCREW CORT AXSOS 3.5X14 661414 117

SCREW CORT AXSOS 3.5X20 661420 117

SCREW CORT AXSOS 3.5X22 661422 117

SCREW CORT AXSOS 3.5X24 661424 117

SCREW CORT AXSOS 3.5X28 661428 117

SCREW CORT AXSOS 3.5X30MM 661430 117

SCREW CORT AXSOS 3.5X32 661432 117

SCREW CORT AXSOS 3.5X36 661436 117

SCREW CORT AXSOS 3.5X38 661438 117

SCREW CORT AXSOS 3.5X40 661440 117

SCREW CORT AXSOS 3.5X42 661442 117

SCREW CORT AXSOS 3.5X44 661444 117

SCREW CORT AXSOS 3.5X48MM 661448 117

SCREW CORT AXSOS 3.5X50 661450 117

SCREW CORT AXSOS 3.5X55 661455 117

SCREW CORT AXSOS 3.5X60 661460 117

SCREW CORT AXSOS 3.5X65 661465 117

SCREW CORT AXSOS 3.5X70MM 661470 117

SCREW CORT AXSOS 3.5X75 661475 117

SCREW CORT AXSOS 3.5X80 661480 117

SCREW CORT AXSOS 3.5X85 661485 117

Page 169: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SCREW CORT AXSOS 4.5X24 661724 134

SCREW CORT AXSOS 4.5X26 661726 134

SCREW CORT AXSOS 4.5X28MM 661728 143

SCREW CORT AXSOS 4.5X30MM 661730 143

SCREW CORT AXSOS 4.5X32MM 661732 143

SCREW CORT AXSOS 4.5X34 661734 134

SCREW CORT AXSOS 4.5X36 661736 134

SCREW CORT AXSOS 4.5X38 661738 134

SCREW CORT AXSOS 4.5X40 661740 134

SCREW CORT AXSOS 4.5X44 661744 134

SCREW CORT AXSOS 4.5X48 661748 134

SCREW CORT AXSOS 4.5X50 661750 134

SCREW CORT AXSOS 4.5X55 661755 134

SCREW CORT AXSOS 4.5X60 661760 134

SCREW CORT AXSOS 4.5X65 661765 134

SCREW CORT AXSOS 4.5X70 661770 134

SCREW CORT AXSOS 4.5X75 661775 134

SCREW CORT AXSOS 4.5X80 661780 134

SCREW CORT AXSOS 4X55 661055 739

SCREW CORT AXSOS 5X42 661742 134

SCREW CORT AXSOS3.5X26MM 661426 117

SCREW CORT AXSOS3.5X46 661446 117

SCREW CORT DVR 3.5X14MM CS14000 560

SCREW CORT DVR 3.5X15MM CS15000 466

SCREW CORT DVR 3.5X16MM CS16000 560

SCREW CORT GEMIN3.5X12COLS35120TS 455

SCREW CORT GEMIN3.5X13PANL35130TS 455

SCREW CORT NCB 4X40 ST 0203155040 744

SCREW CORT NCB 5X42 ST 203150042 1,112

SCREW CORT NCB3.5X34 0203150038 1,112

SCREW CORT ST 2X20 201820 216

SCREW CORTEX 1.3X16MM ST 200696 508

SCREW CORTEX 2.4MM 14MM (201.764) 329

SCREW CORTEX 2.4MM 20MM 201.770 329

SCREW CORTEX 2.4X10MM ST 201760 285

SCREW CORTEX 2.4X11MM ST 201761 321

SCREW CORTEX 2.4X12 LP AR872412 629

SCREW CORTEX 2.4X12MM ST 201762 285

SCREW CORTEX 2.4X13MM ST 201.763 321

SCREW CORTEX 2.4X18MM ST 201768 285

SCREW CORTEX 2.7MM/18MM (202.818) 137

SCREW CORTEX 2.7X12MM ST 202872 190

SCREW CORTEX 2.7X14MM ST 202874 190

SCREW CORTEX 2.7X18MM ST 202.878 190

SCREW CORTEX 2X10 ST 201810 230

SCREW CORTEX 2X10MM ST 20136097 189

SCREW CORTEX 2X11 ST 216

Page 170: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SCREW CORTEX 2X11MM ST 20136197 211

SCREW CORTEX 2X12MM ST 20136297 189

SCREW CORTEX 2X13MM ST 20136397 211

SCREW CORTEX 2X14MM ST 20136497 189

SCREW CORTEX 2X18 ST 201818 222

SCREW CORTEX 2X22MM ST 20137297 189

SCREW CORTEX 2X24MM ST 20137497 189

SCREW CORTEX 2X8MM ST 20135897 189

SCREW CORTEX 2X9 ST 201809 230

SCREW CORTEX 2X9MM ST 20135997 189

SCREW CORTEX 3.5 X 28MM SELF 139

SCREW CORTEX 3.5 X 34MM SLF TAP 139

SCREW CORTEX 3.5MMX14MM SELF TAP 131

SCREW CORTEX 3.5MMX24MM SELF TAP 131

SCREW CORTEX 3.5X16MM SELF TAP 131

SCREW CORTEX 3.5X18 LP ST02206218 248

SCREW CORTEX 3.5X22 02206222 239

SCREW CORTEX 3.5X24 02206224 239

SCREW CORTEX 3.5X26MM SELF TAP 131

SCREW CORTEX 3.5X32MM SELF TAPPIN 139

SCREW CORTEX 3.5X38MM SELF TAP 139

SCREW CORTEX 3.5X40MM SELF TAPPIN 139

SCREW CORTEX 3.5X45MM SELF TAPPIN 131

SCREW CORTEX 3.5X50MM ST 02206250 239

SCREW CORTEX 3.5X56 LP ST02206256 248

SCREW CORTEX 4.5/32MM S (214.832) 123

SCREW CORTEX 4.5/36MM S (214.836) 127

SCREW CORTEX LCP1.5X10MM 02214110 239

SCREW CORTEX ST 2X16 201816 216

SCREW CORTEX ST 2X8 201808 182

SCREW CORTEX W.YX16MM ST 202876 190

SCREW CORTEX4.5/40MM SELF TAP 127

SCREW CORTI 4.5/42MM TI AR1338042 511

SCREW CORTIC 3.5 X 18MM SELF TAPP 131

SCREW CORTICAL 3.5MMX12MM SELF T 131

SCREW CORTICAL 3.5X20MM SELF TAP 153

SCREW CORTICAL6.5X20MM00625006520 571

SCREW CREWO 5.5 LP 11190110 2,464

SCREW CROSSDRIVE 2.7X10 256771091 591

SCREW CROSSDRIVE 2.7X11 257741191 841

SCREW CROSSDRIVE 2.7X13 257741391 841

SCREW CROSSDRIVE 2.7X15 257741591 841

SCREW CROSSDRIVE 2.7X9 257740991 841

SCREW CROSSDRIVE2.7X17 257741791 841

SCREW CROSSDRIVE3.2X12 256775291 652

SCREW DISTAL 2.7X16 SC2716 520

SCREW EMER 1.7X4MM 50-17304 444

Page 171: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SCREW EMERG 1.9X4MM 400854 501

SCREW EQUINOXE 4.5X34 LOCK3202034 587

SCREW EQUINOXE 4.5X42 LOCK3202042 587

SCREW EQUINOXE 4.5X86 LOCK3202026 587

SCREW EQUINOXE TORQUE KIT 3202000 1,320

SCREW ES2 6.5X45 482804645 8,553

SCREW ES2 7.5X40 482804740 8,553

SCREW ES2 7.5X40 CANN 482802740 8,553

SCREW FENESTRAT TFNA 95 04038195S 5,883

SCREW FIBERLOCK 3.5X45 CO3545DS 1,839

SCREW FIBULOCK 2.7X14 SC2714S 730

SCREW FIBULOCK 2.7X16 SC2716S 730

SCREW FIBULOCK 3.5X50 CO3550DS 1,839

SCREW FIBULOCK 3.5X55 CO3555DS 1,839

SCREW FIXOS 2X11MM SD WS11 1,539

SCREW FIXOS 2X12MM SD WS12 1,539

SCREW FIXOS 2X13 SD WS13 1,442

SCREW FIXOS 2X14 SD WS14 1,442

SCREW FIXOS 2X15 WS15 1,442

SCREW FIXOS COMP 4X22 658022 1,670

SCREW FIXOS COMP 4X24 658024 1,670

SCREW FIXOS COMP 4X26 658026 2,960

SCREW FIXOS COMP 4X28 658028 2,960

SCREW FIXOS COMP 4X30 658030 1,782

SCREW FIXOS COMP 4X32 658032 2,960

SCREW FIXOS COMP 4X34 658034 1,670

SCREW FIXOS COMP 4X36 658036 2,960

SCREW FIXOS COMP 4X38 658038 1,782

SCREW FIXOS COMP 4X40 658040 1,782

SCREW FIXOS COMP 4X42 658042 1,670

SCREW FIXOS COMP 4X44 658044 1,670

SCREW FIXOS COMP 4X46 658046 1,782

SCREW FIXOS COMP 4X50 658050 1,670

SCREW FIXOS COMP 5X44 658144 1,670

SCREW FIXOS COMP 7X60 658360 1,670

SCREW FIXOS COMP 7X65 658365 1,670

SCREW FIXOS COMP 7X65 658565 2,960

SCREW FIXOS COMP 7X70 658370 2,960

SCREW FIXOS COMP 7X75 658375 2,960

SCREW FIXOS COMP 7X80 SHT 658380 2,960

SCREW FIXOS COMP 7X85 ST 658385 2,960

SCREW FIXOS COMP CANN 4X36 MV36A 1,442

SCREW FIXOS COMPR 7X55MM 658355S 1,782

SCREW FT CANC 6X60 608060 280

SCREW FT CANC 6X65 608065 200

SCREW FT CANC 6X75 608075 280

SCREW FUJI 4.35X14 ST 1214314 1,524

Page 172: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SCREW FUJI 4.35X16 ST 1364316 1,524

SCREW FUJI 4X16 SD 1124016 1,524

SCREW FUJI SD 4.35X12 1114312 1,693

SCREW FUJI SD 4.35X12 1124312 1,524

SCREW FUJI SD 4.35X14 1114314 1,524

SCREW FUJI SD 4.35X14 1124314 1,524

SCREW FUJI SD 4.3X16 1124316 1,524

SCREW FUJI SD 4X12 1124012 1,524

SCREW FUJI SD 4X14 1124014 1,524

SCREW FUJI ST 4.35X12 1214312 1,524

SCREW FUJI ST 4X12 1224012 1,524

SCREW FUJI ST 4X14 1214014 1,524

SCREW FUJI ST 4X14 1364014 1,524

SCREW GAMMA 8X17.5MM SET 845

SCREW GAMMA LAG 010.5X105MM 2,367

SCREW HD MIS QUAD 33MM00598304033 712

SCREW HEADED 48MM LENGTH UNICOMPA 713

SCREW HEADLESS 2X18 ST P20525018S 1,817

SCREW HEADLESS 3X20 IH3020 1,888

SCREW HEADLESS 3X40MM 02226140 2,246

SCREW HEADLESS 6.5X50 AR86651850 3,357

SCREW HEADLESS COMP2.5X24AR862524 1,605

SCREW HEADLESS COMP2.5X26AR862526 1,605

SCREW HEADLS COMP6.5X40AR86651840 3,357

SCREW HEADLSSCOMP6.5X45AR86651845 3,357

SCREW HEXALOBE 3.5X22 NL 300239 613

SCREW HEXALOBE 3.5X28 NL 300265 379

SCREW HEXALOBE 3.5X8 LOCK 300232 613

SCREW HEXALOBE 3.5X8 NL 300255 379

SCREW HIP LOW PRF 35MM 103534 648

SCREW ILIOS MED 8.5X60 4823718560 8,553

SCREW ILIOS POLYAX 10.5X40 482311 8,553

SCREW ILIOS XIA 8.5X40 482318540 8,553

SCREW ILIOSPOLYAX8.5X60 482388560 8,553

SCREW INFINITY 3.5X14 3603514 5,825

SCREW INFINITY 4X26 3604026 5,825

SCREW INTERF 6X25 72204392 1,746

SCREW INTERF 9X30 ABSORB72201782 1,565

SCREW INTERF MIL 9X23MM 231818 1,963

SCREW INTERF MILAGRO7X23 231816 1,963

SCREW INTERF MILAGRO8X23 231817 1,963

SCREW INTERFERENCE 10X23 231819 1,963

SCREW LAG 10.5X105 HIP 814510105 3,404

SCREW LAG 105MM STAN (3362-5-105) 1,288

SCREW LAG 13X100 33625100 1,272

SCREW LAG 13X110 33625110 1,272

SCREW LAG 13X90 33625090 1,357

Page 173: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SCREW LAG 6.5MMX100MM 1,191

SCREW LAG 6.5X115 18976115S 974

SCREW LAG 6.5X90MM 18976095S 1,191

SCREW LAG 75MM 2,367

SCREW LAG 80MM (1897-6080S) 1,191

SCREW LAG GAMMA 10.5X100MM 2,367

SCREW LAG GAMMA 10.5X110MM 2,367

SCREW LAG GAMMA 105X85MM(30600008 2,367

SCREW LAG GAMMA 3 10.5X80MM 2,367

SCREW LAG GAMMA 3 10.5X90MM 2,367

SCREW LAG RECON 85 M (1897-6085S) 1,191

SCREW LAG RECON 90MM (1897-6090S) 1,191

SCREW LATARJET 34MM 288225 1,290

SCREW LATARJET 36MM 288226 1,290

SCREW LATARJET TOP HAT 288231 1,389

SCREW LCK 2.7X12MM AR8827L12 633

SCREW LCK 2.7X18MM AR8827L18 633

SCREW LCK 2.7X20MM AR8827L20 633

SCREW LCK 3.5X12MM AR8835L12 663

SCREW LCK VAR 2.3X8MM 5323008E 425

SCREW LCK VAR 2.7X16MM 4027616 617

SCREW LCOKING 2.7MM X 1 (202.212) 628

SCREW LCOKING 5.0MM (04.005.560S) 1,335

SCREW LCOKING AXSOS 5X22MM 371332 792

SCREW LEG 7.5X45MM 7577545 10,249

SCREW LEGACY 5.5X35 ST 6543535 6,445

SCREW LEGACY 5.5X40 ST 6543540 6,445

SCREW LEGACY 6.5X35 ST 6543635 6,445

SCREW LEGACY 6.5X40 ST 6543640 6,445

SCREW LEGACY 6.5X50 CANN 7576550 10,249

SCREW LEGACY 7.5X30 7577530 9,234

SCREW LEGION 5DX5P 5,153

SCREW LEGION SZ3 71421723 4,641

SCREW LEV ONE 2.7X14 256771491 473

SCREW LEVEL1 2.7X7 257740791 673

SCREW LGN DIS FEM WEDGE SZ 5 5MM 5,153

SCREW LGN DIS FEM WEDGE SZ2 10MM 5,153

SCREW LGN DIS FEM WEDGE SZ3 5MM 5,153

SCREW LOCK 2.4 X18MM FT02.210.118 726

SCREW LOCK 2.4X10MM 02210110 819

SCREW LOCK 2.4X12 FT 656012 781

SCREW LOCK 2.4X12MM FT 02210112 819

SCREW LOCK 2.4X14 FT 656014 781

SCREW LOCK 2.4X14MM FT 02.210.114 726

SCREW LOCK 2.4X16MM FT 02.210.116 726

SCREW LOCK 2.4X20MM FT 02.210.120 726

SCREW LOCK 2.4X20MM ST 212.820 606

Page 174: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SCREW LOCK 2.4X22MM FT 02210122 782

SCREW LOCK 2.4X24MM 02210124 782

SCREW LOCK 2.7X10 FT 656310 586

SCREW LOCK 2.7X10 ST 02211010 887

SCREW LOCK 2.7X10 VAR 657010 865

SCREW LOCK 2.7X12MM ST 02211012 918

SCREW LOCK 2.7X14 VAR 657014 865

SCREW LOCK 2.7X14MM 614514 687

SCREW LOCK 2.7X14MM ST 02211014 946

SCREW LOCK 2.7X16 ST 02211016 946

SCREW LOCK 2.7X16 VAR 657016 865

SCREW LOCK 2.7X18MM ST 02211018 918

SCREW LOCK 2.7X20MM ST 02211020 918

SCREW LOCK 2.7X22MM ST 02211024 946

SCREW LOCK 2.7X28 FT 656328 586

SCREW LOCK 2.7X36MM ST 02211036 918

SCREW LOCK 2.7X40 ST 02211040 946

SCREW LOCK 2.7X42MM ST 02211042 946

SCREW LOCK 2.7X56MM 02211056 946

SCREW LOCK 2.9X10 0450102001 1,165

SCREW LOCK 2X10MM ST 201880 711

SCREW LOCK 2X11MM ST 201881 711

SCREW LOCK 2X12MM ST 201.882 679

SCREW LOCK 2X14MM ST 201884 710

SCREW LOCK 2X16MM ST 201886 711

SCREW LOCK 3.5X12MM 300234 579

SCREW LOCK 3.5X16 00236901635 670

SCREW LOCK 3.5X20 00236902035 670

SCREW LOCK 3.5X24 00235902438 670

SCREW LOCK 3.5X26 00236902635 670

SCREW LOCK 3.5X26 AR8935L26 486

SCREW LOCK 3.5X26 VAR 657326 865

SCREW LOCK 3.5X28 00236902835 670

SCREW LOCK 3.5X30 AR8935L30 486

SCREW LOCK 3.5X30MM 614630 953

SCREW LOCK 3.5X34 00236903435 670

SCREW LOCK 3.5X34 VAR 657334 865

SCREW LOCK 3.5X36 00235903638 670

SCREW LOCK 3.5X38MM 614638 953

SCREW LOCK 3.5X42 VAR 657342 865

SCREW LOCK 3.5X42MM 614642 953

SCREW LOCK 3.5X44 0023904435 670

SCREW LOCK 3.5X48MM ST STAR 21212 664

SCREW LOCK 3.5X50MM T10 614650 953

SCREW LOCK 3.5X55 VAR 657355 865

SCREW LOCK 3.5X8MM ST 614608 724

SCREW LOCK 4.5X41MM DWD041 1,251

Page 175: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SCREW LOCK 4.75X20 180551 1,354

SCREW LOCK 4.75X25 180552 1,354

SCREW LOCK 4.75X30 180553 1,419

SCREW LOCK 4.75X35 180554 1,419

SCREW LOCK 40X5MM 212214 662

SCREW LOCK 4X34MM FT 18964034S 885

SCREW LOCK 4X38MM ST 371538 689

SCREW LOCK 4X50MM FT 18964050S 885

SCREW LOCK 4X60 FT 18964060S 740

SCREW LOCK 5.0X65MM 370365 573

SCREW LOCK 5X12MM ST 02231012 1,700

SCREW LOCK 5X50 FT 04005550 1,093

SCREW LOCK 5X52 FT 18965052S 762

SCREW LOCK 5X55MM ST 370355 573

SCREW LOCK 5X57.5MM FT 18965057S 885

SCREW LOCK 5X74MM FT 04005564S 1,379

SCREW LOCK AEQ 4.5X20MM DWD020 808

SCREW LOCK ANCHORAGE3X14 PLSL3014 774

SCREW LOCK ANCHORAGE3X16 PLSL3016 774

SCREW LOCK ANCHORAGE3X18 PLSL3018 774

SCREW LOCK ANCHORAGE3X20 PLSL3020 774

SCREW LOCK ANCHORAGE3X22 PLSL3022 774

SCREW LOCK AXSOS 3.5X34 661434 117

SCREW LOCK AXSOS 4X14MM 661014 739

SCREW LOCK AXSOS 4X16 661016 739

SCREW LOCK AXSOS 4X18 661018 739

SCREW LOCK AXSOS 4X18MM ST 371518 689

SCREW LOCK AXSOS 4X20 661020 739

SCREW LOCK AXSOS 4X22 661022 739

SCREW LOCK AXSOS 4X24 661024 739

SCREW LOCK AXSOS 4X26 661026 739

SCREW LOCK AXSOS 4X28 661028 739

SCREW LOCK AXSOS 4X30 661030 531

SCREW LOCK AXSOS 4X32 661032 739

SCREW LOCK AXSOS 4X34MM 661034 567

SCREW LOCK AXSOS 4X36MM 661036 739

SCREW LOCK AXSOS 4X36MM ST 371536 689

SCREW LOCK AXSOS 4X38MM 661038 739

SCREW LOCK AXSOS 4X40MM 661040 739

SCREW LOCK AXSOS 4X42MM 661042 739

SCREW LOCK AXSOS 4X44 661044 739

SCREW LOCK AXSOS 4X46 661046 739

SCREW LOCK AXSOS 4X48 661048 739

SCREW LOCK AXSOS 4X50 661050 739

SCREW LOCK AXSOS 4X60 661060 739

SCREW LOCK AXSOS 4X60MM ST 371560 689

SCREW LOCK AXSOS 4X65 661065 531

Page 176: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SCREW LOCK AXSOS 4X70 661070 567

SCREW LOCK AXSOS 4X75MM 371575 689

SCREW LOCK AXSOS 4X80 661080 167

SCREW LOCK AXSOS 4X85 661085 167

SCREW LOCK AXSOS 4X90 661090 739

SCREW LOCK AXSOS 5X18 661118 786

SCREW LOCK AXSOS 5X20 661120 786

SCREW LOCK AXSOS 5X22 661122 786

SCREW LOCK AXSOS 5X28 661128 786

SCREW LOCK AXSOS 5X32 661132 786

SCREW LOCK AXSOS 5X34 661134 786

SCREW LOCK AXSOS 5X36MM 661136 839

SCREW LOCK AXSOS 5X40 661140 786

SCREW LOCK AXSOS 5X42 TI 661142 786

SCREW LOCK AXSOS 5X42MM 371342 792

SCREW LOCK AXSOS 5X46 661146 786

SCREW LOCK AXSOS 5X48MM ST 371348 627

SCREW LOCK AXSOS 5X50 661150 785

SCREW LOCK AXSOS 5X50MM ST 371350 792

SCREW LOCK AXSOS 5X55 661155 786

SCREW LOCK AXSOS 5X60 661160 786

SCREW LOCK AXSOS 5X65 661165 786

SCREW LOCK AXSOS 5X70MM 661170 839

SCREW LOCK AXSOS 5X75MM 661175 839

SCREW LOCK AXSOS 5X80 661180 786

SCREW LOCK AXSOS 5X85 661185 786

SCREW LOCK AXSOS 5X90 661190 786

SCREW LOCK AXSOS5X55MM ST 371355 792

SCREW LOCK EQUINOXE GLEN3201505 587

SCREW LOCK FT 2.7 656322 586

SCREW LOCK GEMIN3.5X13COLS35130TS 605

SCREW LOCK HEX 3.5X16MM 300236 603

SCREW LOCK HEXALOB 3.5X18 300237 595

SCREW LOCK SXSOS 4X75MM 661075 567

SCREW LOCK T2 5X25MM FT 18965025S 845

SCREW LOCK VAR 2.3X10MM 5323010E 413

SCREW LOCK VAR 2.3X11MM 5323011E 413

SCREW LOCK VAR 2.7X10MM 5327610E 526

SCREW LOCK VAR 2.7X20MMFT532762OE 704

SCREW LOCK VAR 2.7X30 FT 4027630 593

SCREW LOCK VAR 2.7X32 4027632 556

SCREW LOCK VAR 27X28 4027628 556

SCREW LOCK VAR 3.5X65 FT 657365 455

SCREW LOCK VAR2.7X26MMFT53-27626E 704

SCREW LOCK VARIAX 2.7X20MM4027620 632

SCREW LOCK VARIAX 2.7X24MM4027624 632

SCREW LOCK VARIAX 2.7X26MM4027626 632

Page 177: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SCREW LOCK VARIAX2.3X12MM5323012E 413

SCREW LOCK VARIAX2.3X14MM5323014E 339

SCREW LOCK VARIAX2.3X16MM5323016E 339

SCREW LOCK VARIAX2.7X12MM5327612E 704

SCREW LOCK VARIAX2.7X24MM5327624E 704

SCREW LOCKAXSOS 4X46 607346 739

SCREW LOCKING 10.5X95MM 2,367

SCREW LOCKING 2.4 X 14M (212.814) 698

SCREW LOCKING 2.4 X 16M (212.816) 698

SCREW LOCKING 2.4 X 18M (212.818) 698

SCREW LOCKING 2.4MM X 1 (212.812) 698

SCREW LOCKING 2.4X6MM ST 212806 606

SCREW LOCKING 2.7MMX14MM 620

SCREW LOCKING 3.5/10MM 764

SCREW LOCKING 3.5/14MM 212103 664

SCREW LOCKING 3.5/20MM SELF TAPPI 664

SCREW LOCKING 3.5/50MM SELF TAP 764

SCREW LOCKING 3.5MM/16MM SELF TAP 764

SCREW LOCKING 3.5MM/18MM SELF TAP 664

SCREW LOCKING 3.5MM/30MM SELF TAP 764

SCREW LOCKING 3.5MM/36MM SELF TAP 764

SCREW LOCKING 3.5X10MM 614610 953

SCREW LOCKING 3.5X12 614612 889

SCREW LOCKING 3.5X14MM NS 614614 953

SCREW LOCKING 3.5X16MM NS 614616 953

SCREW LOCKING 3.5X18MM NS 614618 953

SCREW LOCKING 3.5X20MM 614620 953

SCREW LOCKING 3.5X22MM 614622 953

SCREW LOCKING 3.5X24MM 614624 889

SCREW LOCKING 3.5X28MM 614628 889

SCREW LOCKING 3.5X36MM 614636 889

SCREW LOCKING 3.5X40MM 614640 889

SCREW LOCKING 4.0XX34MM 689

SCREW LOCKING 4.5X23MM DWD023 769

SCREW LOCKING 4.5X24MM METAGLENE 1,459

SCREW LOCKING 4.5X26MM DWD026 876

SCREW LOCKING 4.5X29MM DWD029 769

SCREW LOCKING 4.5X30MM METAGLENE 1,749

SCREW LOCKING 4.5X32MM DWD032 769

SCREW LOCKING 4.5X35MM 769

SCREW LOCKING 4.5X36MM METAGLENE 1,459

SCREW LOCKING 4.5X38MM DWD038 519

SCREW LOCKING 4.5X42MM METAGLENE 1,749

SCREW LOCKING 4.5X44MM 769

SCREW LOCKING 4.5X48MM METAGLENE 1,459

SCREW LOCKING 4X28MM 371528 689

SCREW LOCKING 4X30MM 371530 689

Page 178: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SCREW LOCKING 4X55MM FT 18964055S 885

SCREW LOCKING 5.0MM (04.005.524S) 1,335

SCREW LOCKING 5.0MM (04.005.532S) 1,335

SCREW LOCKING 5.0MM X 32MM STERIL 1,335

SCREW LOCKING 5.0MM/36MM STARDRIV 1,335

SCREW LOCKING 5.0MM/38MM STARDRIV 1,335

SCREW LOCKING 5.0X50MM 1,161

SCREW LOCKING 5/30MM F/T 885

SCREW LOCKING 5/65MM T2 STERILE 885

SCREW LOCKING 5MMX75MM 885

SCREW LOCKING 5X27.5MM 18965027S 885

SCREW LOCKING 5X32.5MM 885

SCREW LOCKING 5X37.5 885

SCREW LOCKING 5X42.5MM 885

SCREW LOCKING 5X45MM FT 18965045 726

SCREW LOCKING 5X47.5MM 885

SCREW LOCKING 5X60MM 18965060S 885

SCREW LOCKING 70MM FULLY THREADED 885

SCREW LOCKING 75MM/5.0 1,222

SCREW LOCKING AXSOS 4X44MM371544 689

SCREW LOCKING AXSOS 4X46MM371546 689

SCREW LOCKING AXSOS 4X48MM371548 689

SCREW LOCKING AXSOS 5X24MM 371324 792

SCREW LOCKING AXSOS 5X38MM371338 792

SCREW LOCKING AXSOS 5X46MM371346 1,055

SCREW LOCKING CAN 5.0MM/65MM 1,222

SCREW LOCKING CANNULATED 5MM/60MM 978

SCREW LOCKING F/T 5/45MM 885

SCREW LOCKING F/T 5/50MM 885

SCREW LOCKING FULLY THREAD 5X40MM 885

SCREW LOCKING T10 3.5X20MM4035620 682

SCREW LOCKING T10 3.5X24MM4035624 682

SCREW LOCKING T10 3.5X28MM4035628 682

SCREW LOCKING T2 4X24MM FULL THRE 829

SCREW LOCKING T2 5.0/55MM STERILE 885

SCREW LOCKING T2 5.0/85MM STERILE 885

SCREW LOCKING T2 5/80MM 885

SCREW LOCKING T2/FT 4MMX40MM STER 885

SCREW LOCKING T7 2.7X14MM 4027614 632

SCREW LOCKING T7 2.7X8MM 4027608 632

SCREW LOCKING VAR2.7X14MM5327614E 940

SCREW LOCKING VAR2.7X16MM5327616E 704

SCREW LOCKING VAR2.7X18MM5327618E 704

SCREW LOCKING VAR2.7X22MM5327622E 940

SCREW LOCKING W/SHAFT 18915045S 885

SCREW LOCKING5.0MM/46MM STARDRIVE 1,335

SCREW LOW PROFILE 5MM SELF DRILL 412

Page 179: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SCREW LP 3.5X20 LOCK AR8835L20 671

SCREW LP 3.5X28 AR893528 321

SCREW LP 3.5X36 AR893536 350

SCREW LP 3.5X40 AR893540 350

SCREW LP 4.5X28 AR8545L28 1,138

SCREW LP 4X22 AR894022 321

SCREW LP 4X40 LT AR8840CL40 876

SCREW LP 4X42 CANN AR8840CL42 876

SCREW LP 4X50 CANN LT AR8840CL50 876

SCREW LP 6.5X20 70306520 283

SCREW LP 6.5X30 70306530 283

SCREW LP 6.7X50 CANN AR89671850 1,284

SCREW LP 6.7X70 CANN AR89671870 1,460

SCREW LP CANN 4.5X40 AR894540PT 876

SCREW LP CANN 4.5X45 AR894545PT 876

SCREW LP CORT 2.4X10 AR872410 629

SCREW LP CORT 3.5X18 AR893518 321

SCREW LP CORT 3.5X20 AR883520 204

SCREW LP CORT 3.5X27MM AR883528 218

SCREW LP CORT 3.5X30 AR883530 204

SCREW LP CORT 3.5X35 AR883535 204

SCREW LP CORT TI 3X16 AR893316 642

SCREW LP HEX 6.5X25 70306525 283

SCREW LP LOCK 3.5X20 AR8935L20 434

SCREW LP LOCK 3.5X36 AR8935L36 438

SCREW LP N L3.5X30 AR893530 319

SCREW LP NL 3.5X20 AR893520 321

SCREW LP NL 3.5X26 AR893526 321

SCREW LP NL 3.5X34 AR893534 321

SCREW LP NL COR T3.5X32 AR893532 319

SCREW LP NL CORT 3.5X14 AR883514 204

SCREW LP NL CORT 3.5X16 AR883516 218

SCREW LP NL CORT 3.5X24 AR883524 204

SCREW LP TI 4.5X34 AR854534 438

SCREW LP TI 4.5X36 AR854536 438

SCREW MAXDR 1.5X5 8780591 342

SCREW MAXDR 2X11 258821191 701

SCREW MAXDRIVE2X7 258820791 701

SCREW MAXDRIVE2X9 258820991 701

SCREW MEDIAL 4X24 4855424 8,175

SCREW MEDIAL 4X28 48555428 8,175

SCREW MEDIAL BIAS 3.5X20 48555320 7,991

SCREW MEDIAL BIASED 4X22 48555422 8,175

SCREW MEDIAL XIA7.5X35 4823717535 8,553

SCREW MEDIAL XIA7.5X40 4823717540 8,553

SCREW MICRO ACUTRAK 18.0 2,527

SCREW MICRO BONE 20MM AT2C20S 2,527

Page 180: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SCREW MILAGR 10X30 231823 1,888

SCREW MILAGRO 11X30MM 231824 1,888

SCREW MILAGRO 12X30 231832 1,769

SCREW MILAGRO 7X30 231831 1,888

SCREW MILAGRO 8X30 231821 1,888

SCREW MILAGRO 9X30 231822 1,888

SCREW MMF 12MM 5020362 735

SCREW MMF 8MM 5020358 735

SCREW MONZA 4.35X14 ST 1104314 1,524

SCREW MONZA 4X14 ST 1354014 1,524

SCREW MONZO 4.35X16 ST 1354316 1,524

SCREW MULTIAXIAL SET 6950315 793

SCREW NCB 5.5X55 ST 0202150055 1,068

SCREW NCB 5.5X85 ST 0202150085 1,068

SCREW NCB 5X10 UNICORT 0203151010 1,016

SCREW NCB 5X100 0202150100 1,068

SCREW NCB 5X14 UNICORT 023151014 1,016

SCREW NCB 5X34 ST 0202150034 1,068

SCREW NCB 5X36 ST 0202150036 1,068

SCREW NCB 5X38 ST 0202150038 1,068

SCREW NCB 5X40 ST 0202150040 1,068

SCREW NCB 5X42 ST 0202150042 1,068

SCREW NCB 5X48 ST 0202150048 1,068

SCREW NCB 5X60 ST 0202150060 1,068

SCREW NCB 5X70 ST 0202150070 1,068

SCREW NCB 5X75 ST 0202150075 1,068

SCREW NCB 5X80 ST 0202150080 1,068

SCREW NCB 5X90 ST 0202150090 1,068

SCREW NCB CANC 5X70 0203152070 946

SCREW NCB CANC 5X80 0203152080 946

SCREW NL 2.7X16MM ST 614716 298

SCREW NL 2.7X38 614738 279

SCREW NL 2.7X42 614742 279

SCREW NL 3.5X10MM ST 614810 354

SCREW NL 3.5X12MM 300257 367

SCREW NL 3.5X16MM 300259 368

SCREW NL 3.5X16MM 614816 437

SCREW NL 3.5X18MM AR883518 211

SCREW NL ANCHORAGE 3X12 PLSL3012 774

SCREW NL ANCHORAGE 3X12 PLSS3012 531

SCREW NL ANCHORAGE 3X14 PLSS3014 531

SCREW NL ANCHORAGE 3X16 PLSS3016 531

SCREW NL ANCHORAGE 3X18 PLSS3018 531

SCREW NL ANCHORAGE 3X20 PLSS3020 531

SCREW NL ANCHORAGE 3X22 PLSS3022 531

SCREW NL ANCHORAGE 3X24 PLSS3024 531

SCREW NL CORT 3.5X12MM AR883512 211

Page 181: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SCREW NL DELTA 4.5X24 130770024 798

SCREW NL3.5X12MM ST 614812 354

SCREW NON LOCKING 3.5X18MM 614818 437

SCREW NON LOCKING 3.5X24MM 614824 466

SCREW NON LOCKING 3.5X26MM 614826 437

SCREW NON LOCKING 3.5X30MM 614830 437

SCREW NON LOCKING 3.5X40MM 614840 437

SCREW NONLOCK 3.5X28MM 614828 466

SCREW NONLOCKING 3.5X20MM 614820 466

SCREW OASIS 3.5 X 12MM (48552312) 8,101

SCREW OASYS CANC 4X10 48147540 7,093

SCREW OASYS POLY 3.5X16 48558316 7,991

SCREW OASYS POLY4.5X24 48558524 8,420

SCREW OASYS3.5X14MM 48552314 8,869

SCREW PED 8.5X80 MULTIAX 9708580 5,721

SCREW PED CANN 7.5X40 9807540 6,568

SCREW PED POLYAX7.5X45 1059309745 3,795

SCREW PED VALENCIA 7.5X40 9707540 5,809

SCREW PED VALENCIA6.5X40 9706540 5,809

SCREW PED VALENCIA6.5X45 9706545 6,541

SCREW PED VALENCIA7.5X35 9707535 6,541

SCREW PEDICLE TSRH 3D 6.5/40MM TI 2,606

SCREW PEEK 5.5X8MM AR1655PS 1,664

SCREW PERI AXSOS LOCK5X10MM370110 801

SCREW PERIART 2.7X18 00235901826 355

SCREW PERIART 2.7X20 00235902026 355

SCREW PERIART3.5X16 ST00234801635 236

SCREW PERIART3.5X26 ST00234802635 236

SCREW PERIART3.5X28 ST00234802835 236

SCREW PERIPROST LOCK 5X10 661310 1,008

SCREW PERIPROST LOCK 5X12 661312 1,008

SCREW PERPROS 5X18 LOCK 661318 1,008

SCREW PERSONA2.5X25FEM42509902525 940

SCREW PLATE GAP 15 RESTOR20800015 698

SCREW PLATE GAP 20 RESTORATION 698

SCREW PLATE GAP 25 RESTORATION 698

SCREW POLY OCT 3.5X12 26PA3512 6,714

SCREW POLY OCT 3.5X16 26PA3516 6,714

SCREW POLYAX 6.5X35 1059309635 3,795

SCREW POLYAX 6.5X40 1059302640 3,795

SCREW POLYAX 6.5X45 1059302645 3,795

SCREW POLYAX 6.5X45 39PA6545 7,560

SCREW POLYAX 7.00 1059309A70 4,962

SCREW POLYAX 7.5X40 03829740 8,553

SCREW POLYAX 7.5X40 1059302740 3,795

SCREW POLYAX 7.5X45 1059302745 3,795

SCREW POLYAX 8X49 1059309A80 3,795

Page 182: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SCREW POLYAX LCK2.5X22PALS25220CC 765

SCREW POLYAX XIA 6.5X30 482316530 10,680

SCREW POLYAX XIA 7.5X40 482317540 7,093

SCREW POLYAX XIA 7.5X45 482317545 7,093

SCREW POLYAX XIA6.5X35 482316535 11,106

SCREW POLYAX XIA6.5X40 482316540 11,106

SCREW QUICKFIX 2X13 AR893013 1,284

SCREW QUICKFIX 3X30 PT AR873030PT 876

SCREW QUICKFIX 4X38 AR874038PTS 963

SCREW QUICKFIX CANN4X34AR874034PT 963

SCREW QUICKFIXCANN4X36AR874036PTS 876

SCREW QUICKFIXCANN4X40AR874040PTS 876

SCREW QUICKFIXCANN4X46AR874046PTS 963

SCREW QUICKFIXCANN4X48AR874048PTS 963

SCREW QUICKFX CANN4X42AR874042PTS 876

SCREW QUICKFX4X52 CANNAR874052PTS 963

SCREW RADIUS 5.75X65 482315535 7,093

SCREW RECON LAG 6.5X105 18976105S 974

SCREW RECON LAG 6.5X70MM18976070S 1,191

SCREW REFORM 5X30 59BP5030 3,024

SCREW REFORM CORT 6.5X30 59BP6530 3,024

SCREW REFORM LOCK SET 59LS0100 849

SCREW REFORM TULIP 39MT0301 4,536

SCREW REFORM TULIP 4.75 59MT0301 4,536

SCREW REFORMPOLYAX7.5X40 39PA7540 7,560

SCREW REFORMPOLYAX7.5X45 39PA7545 7,560

SCREW RENION RSA4.5X40 55724540 876

SCREW RESTOR6.5X40MMGAPPL20800040 698

SCREW RESTOR6.5X55MMGAPPL20800055 698

SCREW RESTORATION GAP (2080-0030) 698

SCREW REUNION 6.5X28MM 55736528 935

SCREW REUNION RSA 6.5X40 55736540 876

SCREW REUNION RSA4.5X20 55724520 876

SCREW REUNION RSA4.5X36 55724536 876

SCREW REUNION4.5X28SHOULD55724528 935

SCREW REUNION4.5X32SHOULD55724532 935

SCREW REVERE 6/5X30MM 11191430 7,818

SCREW REVERE CREWO6/5X35 11191435 7,327

SCREW RSA 4.5X16MM 55724516 935

SCREW RSA 4.5X24MM 55724524 935

SCREW RSA 6.5X24MM 55736524 876

SCREW SCHANTZ 5.0/80/200MM SELF 997

SCREW SD 1.5X4 5615904 465

SCREW SD 1.5X5 NEURO 5615905 465

SCREW SD 3.5X15MM G6623515 2,977

SCREW SELF TAPPING 3.5 (212.123) 764

SCREW SET 10.5X80 30660080S 3,254

Page 183: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SCREW SET 10.5X90 3066090S 3,254

SCREW SET CERVICO 26SETSCREW 584

SCREW SET CONNECTOR 779170005 1,074

SCREW SET LEGACY 964

SCREW SET VIPER 186715000 826

SCREW SEXTANT 6.5X35 10,249

SCREW SEXTANT 6.5X40 7576540 10,249

SCREW SEXTANT 6.5X45 10,249

SCREW SILOK 10X30 139502S 16,942

SCREW SILOK 10X30 139702S 16,055

SCREW SILOK 10X34 139505S 16,346

SCREW SILOK 10X35 139503S 16,942

SCREW SILOK 10X35 139703S 16,055

SCREW SILOK 10X40 139704S 16,055

SCREW SILOK 10X40 139706S 16,055

SCREW SILOK 10X45 139705S 16,055

SCREW SILOK 10X50 139506S 16,942

SCREW SILOK HA 10X40 139504S 16,942

SCREW SMR ST 6.5X25 842015020 731

SCREW SMR ST 6.5X30 842015030 731

SCREW SMR ST 6.5X35 842015040 731

SCREW SOFTSILK 1.5 8X20 7207004 856

SCREW SOFTSILK 2X7X20 7207256 942

SCREW SOFTSILK 7X20MM 7207001 856

SCREW SOFTSILK 7X25MM 7207002 856

SCREW SOFTSILK 9X30MM 7207009 686

SCREW SOFTSILK1.5 8X25 7207005 701

SCREW SOLERA 7.5X40 55840007540 9,820

SCREW SOVEREIGN 2.5X25 7975525 3,738

SCREW SPINAL 3DX6.5X40 83565409 3,563

SCREW SPINAL TSRH6.5X35 83565359 3,339

SCREW SPINAL TSRH7.5X40MM83575409 3,706

SCREW SPINE 4.5X15MM SD 3125515 1,924

SCREW SPINE TSRH 7.5X45 83575459 3,339

SCREW SPINE4.5X13MM SD 3125513 1,924

SCREW STAR 3.5X30MM LOCK 02127130 1,002

SCREW STAR 3.5X65MM LOCK 02127165 1,002

SCREW STARDRIVE 3.5X40 ST02127140 1,037

SCREW STARDRIVE 3.5X56 ST02127156 1,037

SCREW STARDRIVE3.5X50LOCK02127150 845

SCREW STREAM POLYAX4X18 26PA4018 6,714

SCREW STREAM POLYAX4X26 26PA4026 6,714

SCREW STREAMLINE 3.5X18 26PA3518 6,714

SCREW STREAMLINE 4X12 26PA4012 6,714

SCREW STREAMLINE 4X24 26PA4024 6,714

SCREW STRMLNEPLYAX3.5X20 26PA3520 6,714

SCREW T10 VAR 3.5X22 657422 455

Page 184: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SCREW TCS 3.5X14 LOCK 53023514 584

SCREW TENDOES 5.5X12MM AR1655PS12 1,719

SCREW TENODESIS 5.5X10MM PEEK 1,719

SCREW TFNA 100MM 04038200S 5,883

SCREW TRUEPOLYAX6.5X40 1059309640 3,795

SCREW TRUEPOLYAX6.5X45 105930964S 3,795

SCREW TRUEPOLYAX7.5X40 1059309740 3,795

SCREW TRUSS VAR ANG5.5X39 163639 4,437

SCREW TSRH 3D 7.5X40 8372740 2,113

SCREW TSRH 5X45 83555459 3,005

SCREW TSRH-3D 5.5X40MM TI 2,606

SCREW U-BLADE 10.5X115 30660115S 3,254

SCREW VA 2.4X10 AR8724V10 817

SCREW VALENCIA 5.5X45 9705545 5,809

SCREW VALENCIA 5/5X40MM 9705540 6,541

SCREW VALENCIA 7.5X45 9707545 5,809

SCREW VALOR 5X30 4151150030 1,740

SCREW VALOR 5X35 4151150035 1,740

SCREW VALOR 5X40 4151150040 1,798

SCREW VALOR 5X45 4151150045 1,798

SCREW VALOR 5X65 4151150065 1,512

SCREW VALOR 5X70 4151150070 1,740

SCREW VALOR 5X80 4151150080 1,851

SCREW VAR 2.4 X10 FT 656110 455

SCREW VAR 2.4X12 FT 656112 455

SCREW VAR 2.4X14 FT 656114 455

SCREW VAR 2.4X16 FT 656116 455

SCREW VAR 2.4X20 FT 656120 455

SCREW VAR 2.7X10 4027010 249

SCREW VAR 2.7X18MM NL 4027018 228

SCREW VAR 2.7X20 LCK FT 657020 865

SCREW VAR 2.7X24 LOCK FT 657024 865

SCREW VAR 2.7X28 LOCK FT 657028 865

SCREW VAR 2.7X8 NL 4027008 228

SCREW VAR 3.5X10 657410 455

SCREW VAR 3.5X16MM 657416 455

SCREW VAR 3.5X18MM 657418 455

SCREW VAR 3.5X20MM 657420 455

SCREW VAR 3.5X24 657424 455

SCREW VAR 3.5X32 657432 455

SCREW VAR 3.5X42 657442 455

SCREW VAR 3.5X44 657444 455

SCREW VAR 3.5X46 657446 455

SCREW VAR 3.5X50 657450 455

SCREW VAR 4.5X14MM MAXAN 14521644 2,332

SCREW VAR 4X11 SD 3120511 1,693

SCREW VAR FOOT 2.7X28 NL 4027028 228

Page 185: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SCREW VAR FT 2.7X14 657114 455

SCREW VAR FT 3.5X12 657412 455

SCREW VAR FT 3.5X14 657414 455

SCREW VAR LOCK 3.5X48 657348 865

SCREW VAR LOCK 3.5X8 657308 865

SCREW VAR LOCK FT 3.5X12 657312 865

SCREW VAR LOCK FT 3.5X14 657314 865

SCREW VARANG CITADEL6.5X39 130639 3,573

SCREW VARIAX 3.5X16 LOCK 657316 865

SCREW VARIAX 3.5X24 LOCK 657324 865

SCREW VARIAX 3.5X30 LOCK 657330 865

SCREW VARIAX 3.5X48 657448 455

SCREW VARIAX 3.5X50 LOCK 657350 865

SCREW VARIAX 3.5X55 657455 455

SCREW VECTRA 4X17 VAR 04613517 1,392

SCREW VERTEX 3.5X18MM 6958718 7,025

SCREW VERTEX 4X24 6958824 6,332

SCREW VERTEX 4X30MM 6958830 7,023

SCREW VERTRA 4X14MM 04613614 1,392

SCREW VIPER2 5MM SD 286715500 4,470

SCREW VPC 2.5X14 233225014 3,503

SCREW VPC 2.5X16 233225016 3,503

SCREW XCALIBER 260/25 99622625 761

SCREW XCALIBER6-5.6X30 99622630 761

SCREW XIA 4.5 6.5X45MM 48146545 11,106

SCREW XIA 5.5X30 488515530 8,553

SCREW XIA 6.5X25 482316525 7,093

SCREW XIA 6.5X40 48146540 10,680

SCREW XIA 7.5X35 482317535 7,093

SCREW XIA CORT 5X30 488515030 8,553

SCREW XIA POLYAX 5X35 488515035 8,553

SCREW XIA POLYAX 6.5X40 488516540 8,553

SCREW XIA POLYAX 7.5X40 488517540 8,553

SCREW XIA POLYAX 7.5X45 482617545 7,093

SCREW XIA POLYAX 8.5X45 482618545 7,093

SCREW XIA SERRATO6.5X45 482616545 7,093

SCREW XIA SERRATO7.5X40 482617540 7,093

SCREW XIA3 5.5X30MM 482315540 11,106

SCREW XIA3 5.5X40 48824014 2,343

SCREW XIA3 6.5X40MM 4823716540 11,106

SCREW ZEVO 3.5X13 7723513 1,924

SCREW ZEVO 4X13 SD 7714013 1,924

SCREW ZEVO 4X13MM 7724013 1,924

SCREW5.5/6SOLER6.5X35 55840006535 1,264

SCREWBONE EMG 1.4X5MM1.2MM5014005 431

SCREWBONE VAR 2.7X22MM 4027022 242

SCREWILIOSPOLYAX6.5X35 4823716535 7,093

Page 186: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SCREWLOCK 5X54MM FT STAR040055445 1,161

SCROTAL SONOGRAPHY 1,562

SCT TRANSPORT 3,820

SEALANT DURASEAL EXACT 5ML 206520 6,298

SEALANT PROGEL 4ML SGL PGPS002 5,506

SEALANT TISSEEL 4ML 1501262 1,324

SEALER ENSEAL 22CM6.7X40NSEALX22L 4,038

SEALER LIGASURE 18CMX36MM LF4200 4,211

SEALER LIGASURE 18X36 LF4418 4,039

SEALER LIGASURE37CMX19.5MM LF1537 3,077

SEALER TIS AQUA BIPOLSGLUSE231121 3,208

SEALER TIS ENSEAL 35CMX5ETR10335H 3,200

SEALER TISS LIGASURE37MM LF1637 3,066

SEALER TISSUE LIGASURE44CM LF1744 3,693

SEALER VESSEL DAVINC ENDOWR410322 3,474

SEAMGUARD GORE BIOABSOR(12BSGEC60 1,057

SEAMGUARD GORE BIOABSOR(12BSGETS4 1,057

SECOND ART MECH THROMBECT ADD-ON 3,482

SEDIMENTATION RATE (ESR) 83

SEL ANGIO AFTER BASIC EXA 11,571

SEL CATH PL ART SYS, 2ND ORDER 2,075

SEL CATH PL ART SYS, 3RD ORDER 2,484

SEL CATH PL ART SYS, FIRST ORDER 1,215

SEL CATH PL ART SYS,ADD ORDERS 2,484

SEL CATH PL INI SEC ORD OR BRACHI 953

SEL CATH PL INI THIRD ORD & BEYON 1,054

SEL CATH PL SECOND ORDER 1,948

SEL CATH PLACMT 1ST ORD MAIN BILA 8,435

SEL CATH PLACMT 1ST ORD MAIN RENA 3,228

SEL.CATH.EA.2ND+ ORD-THRC/BRCEPH 335

SELECTIVE CATHETER PLACEMENT ARTE 1,980

SELEGILINE TAB 5MG 13

SELENIUM 599

SELENIUM 1% SHAMPOO 120ML 23

SELENIUM TAB, 50MCG 0

SELENIUM, 4 MCG/ML, INJ (NICU) 0

SEMEN EXAM POST VASECTOMY 83

SEMITEN TENDON 200-220 453015 9,633

SEMITEND TENDON200-220 443015 9,633

SEN-BRAINSTEM AUDITORY EVOK(BAER) 891

SEN-CRANIAL NERVES BILATERAL 619

SEN-CRANIAL NERVES UNILATERAL 412

SEN-EMG-BILATERAL/UNILAT 206

SEN-INTRAOP TESTING PER 15 MIN 28

SENNA SYRUP, 15 ML (UD) 11

SENNA TAB 0

SENOKOT S TAB 1

Page 187: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SENSOR WIRE 0.38 AN (M0066703101) 331

SENSOR WIRE 0.38 ST (M0066703091) 331

SEN-SSEP UPPER & LOWER (BOTH) 1,554

SEN-SSEP UPPER ONLY 824

SEN-TCEMEP UPPER & LOWER (BOTH) 1,154

SEN-TCEMEP UPPER ONLY 479

SEPARATOR,PENUMBRA 18,554

SEPRAFILM BARRIER 1,435

SEPRAFILM BARRIER FILM5X6 4301-02 1,666

SEPTAL DEFECT IMP SYS 47,248

SEROTONIN-BLOOD 729

SERTRALINE 50MG TAB 2

SERTRALINE ORAL CONC 20MG/ML 23

SERUM OSMOLALITY 159

SERUM VISCOSITY 142

SET BONE GRAFT OATS10MM AR198110S 3,134

SET IRRIGATION LEV 1 DISP IR600 333

SET NEPH CYBERWAND SGLUSE CWRBPBX 4,858

SET NEPH7FRX18CM CATH STENTG14510 509

SET PERCUT NEPPROT24FRX30CMG14333 457

SET SCREW 4.75MM BREAKOFF 5440030 1,189

SET SCREW 5/6 5540430 1,932

SET SCREW 8MM RETROGRADE18470001S 829

SET SCREW INFINITY 3600315 657

SET SCREW SOLERA BREAKOFF 5540030 1,326

SET SCREW TSRH 3DX 8351500 998

SET STRAP ARM WRIST 10170060 294

SET TRANSFER BAXTER 5C4482 314

SET TUBING ACCULIF SGLUSE 905103 4,116

SET, HEMO CATH DIALYSIS 357

SET,FAST TRACK TUNNELER-#42-3500 1,138

SEVELAMER PWD PKT, 0.8 GM 107

SEVELAMER TAB, 400MG 22

SEVELAMER TAB, 800MG 48

SEX HORMONE BIND GLOBULIN 502

SGOT 119

SGPT 124

SHAFT REAM BISCUT8X510MM02278510S 605

SHAFT REAMERBIXCUT8X284 02278240S 908

SHEALTH 20MM RETRIEV KIT 2,043

SHEALTH 24FRX17CM 994081 188

SHEALTH AFX 17FR DISP S1745 2,105

SHEAR HARMONIC ACE 5MM LAPAROS 3,507

SHEAR HARMONIC FOCUS 9CM HAR9F 2,935

SHEAR HARMONIC WAVE 18CMX8.5MM 2,456

SHEAR LAP HARM ACE 5MMX45CMACE45E 3,956

SHEATH 14FR 4.6X5.5X28 DSL1428 1,558

Page 188: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SHEATH 19FR 30CM FH604SU 1,444

SHEATH BIO INTRAFIX LARGE 254628 1,289

SHEATH DRY 18FR6.1X6.8X28DSL1828 1,911

SHEATH DRYSEAL INTROD 12F DSF1245 3,649

SHEATH DRYSEAL INTROD15FR DSF1533 1,652

SHEATH DRYSL12FR 4.3X5X28DSL1228 1,620

SHEATH DRYSL16FR5.3X6.2X28DSL1628 1,620

SHEATH ENDOSCRUB 4MM WOLF 1912008 375

SHEATH GORE DRY SEAL 12FR SDV1228 1,609

SHEATH GORE DRY SEAL 18FR SDV1828 1,898

SHEATH INTRO 6FR 55CM 401655M 117

SHEATH INTROD 7F 23CM 401723M 117

SHEATH IVC TULIP RETREIVAL G13287 1,803

SHEATH MENISCAL DART 15D AR300715 536

SHEATH PINN 5FR 10CM RSP502 135

SHEATH PINNACLE 10CM RSB802 135

SHEATH PINNACLE 10CM6FR RSB602 135

SHEATH PINNACLE 5FR 45CM 5454501 520

SHEATH PINNACLE 7FR 10CM RSB702 1,354

SHEATH PINNACLE 8FR RSB804H 143

SHEATH RENAL LONG 268

SHEATH SHUTTLE 6FR 90 G13264 900

SHEATH SOLOPATH 19-23FR SR1935 4,495

SHEATH STAPLER 45 DAVINCI 410370 117

SHEATH TIB BIOINTRA8.9X30MM254629 1,289

SHEATH URET 12FR 35CM SZ2 B7016 584

SHEATH URETERAL FLEXOR 12 FRX35CM 843

SHEATH URETERAL FLEXOR ACCESS 12 843

SHEATH, ALL 389

SHEATH, DIAGNOSTIC LONG 423

SHEATH, LOCKING 583

SHEATHDRYSEALFLEXINTROD18FDSF1833 2,014

SHELL 50MM CLUST HL TRIT 5020350D 7,358

SHELL 54MM TRITAN HEMI 5020354E 7,358

SHELL ACE TRID32X6MM10D663-10-32D 8,941

SHELL ACET 28X54MM W/LIN 71322054 3,349

SHELL ACET 3H SZD 50 110010243 25,232

SHELL ACET 45MM 00500104500 2,734

SHELL ACET 56MM SZF 110010266 17,928

SHELL ACET LEGEND 3H 48 1700548 5,254

SHELL ACET LEGEND 50MM 1700550 5,254

SHELL ACET LEGEND 52MM 1700552 5,254

SHELL ACET LEGEND 54MM 3H 1700554 5,254

SHELL ACET LEGEND 56MM 1700556 5,254

SHELL ACET LEGEND 58MM 1700558 5,254

SHELL ACET LEGEND 60MM 1700560 5,254

SHELL ACET LEGEND 62MM 1700562 5,254

Page 189: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SHELL ACET LEGEND 68 1700568 5,254

SHELL ACET OSSEO SZC 48 110010242 25,232

SHELL ACET OSSEO SZF 56 110010246 25,232

SHELL ACET PINNACLE 44MM121730044 8,037

SHELL ACET SZ52LL 00875705202 16,977

SHELL ACET TRID 44MM 5421144C 3,924

SHELL ACET TRID 62MM 542-11-62H 3,924

SHELL ACET TRID SZG62MM509-02-62G 17,943

SHELL ACET TRIDENT 7020460G 6,432

SHELL ACET TRIDENT PSL HA 46MM 3,924

SHELL ACET TRIDENT PSL HA 56MM 3,924

SHELL ACET TRIDENT SZB 7020444B 6,432

SHELL ACET TRIDENT SZC 7020446C 6,432

SHELL ACET TRIDENT SZD 7020450D 6,432

SHELL ACET TRIDENT SZE 7020452E 6,432

SHELL ACET TRIDENT SZE54 7020454E 6,432

SHELL ACET TRIDENT SZF56 7020456F 6,461

SHELL ACET TRIDENT SZF58 7020458F 6,432

SHELL ACET TRIDENTSZF60MM5090260F 17,943

SHELL ACETAB 54MM TRIDENT PSL HA 3,924

SHELL ACETABULAR 48MM R3 3 HOLE 4,860

SHELL ACETABULAR 50MM R3 3 HOLE 4,860

SHELL ACETABULAR 54MM R3 3 HOLE 4,860

SHELL ACETABULAR 56MM R3.3 HOLE 4,860

SHELL ACETABULAR 58MM R3 3 HOLE 4,860

SHELL ACETABULAR 60MM R 3 3 HOLE 4,860

SHELL ACETABULAR 62MM R3 3 HOLE 4,860

SHELL ACETABULAR TRIDENT 48MM 3,924

SHELL ACETABULAR TRIDENT 50MM 3,924

SHELL ACETABULAR TRIDENT 52MM 3,924

SHELL ACETABULAR TRIDENT 58MM 3,924

SHELL ACETABULAR TRIDENT 60MM 3,924

SHELL ACETABULUM 52MM R3 3 4,860

SHELL ACETCMTLESS SZF54 110010245 25,232

SHELL ACETTRIDENT SZH 68 5090268H 16,165

SHELL ACT COCR 22X41 71322041 3,028

SHELL BIPOLAR 28MM/53MM 3,349

SHELL RESTOR SZE 62LFT 5040262EL 24,666

SHELL RESTOR SZF 66 5040266FR 24,666

SHELL RESTOR SZF 68 5040268FL 24,666

SHELL RESTOR SZG 72RT 5040272GR 24,666

SHELL TANDEM 28X50 3,349

SHELL TRAB REV SZ60 00700006020 19,395

SHELL TRIDENT 54MM HEMISPHERICAL 17,943

SHELL TRIDENT 56MM HEMISPHERICAL 17,943

SHELL TRIDENT 58MM HEMISPHERE 17,943

SHELL TRIDENT 64MM H (509-02-64G) 17,943

Page 190: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SHELL TRIDENT 72MM H (509-02-721) 16,846

SHELL TRIDENT SZ D 48 7020448D 6,432

SHIELD FACET5 HOOD PEEL0400800100 143

SHOULDER 1 VIEW 551

SHOULDER 2 VIEWS 695

SHUNT ADJ VALVE STRATA 42866 22,350

SHUNT COR 1.25X16.25MM OF1250 577

SHUNT COR 1.5X16.25MM OF1500 577

SHUNT COR 1.75X17.5MM OF1750 577

SHUNT COR 2.25X18.5MM OF2250 577

SHUNT COR 2X18MM OF2000 577

SHUNT COR 3X20MM OF3000 577

SHUNT CORANARY AXIS 2.75MM SHORT 577

SHUNT CORONARY AXIS 2.5MM SHORT 577

SHUNT FLOTHRU 1.5MM FT12150 341

SHUNT FLOTHRU 1.75MM (FT12175) 330

SHUNT FLOTHRU 2.0MM FT12200 360

SHUNT FLOTHRU 2.25MM FT12225 330

SHUNT FLOTHRU 2.5 FT12250 406

SHUNT FLOTHRU 2.75 FT12275 406

SHUNT JAVID CAROTID BYPASS 5/BX 616

SICKLE CELL EXAM 284

SILDENAFIL TAB, 20MG 115

SILICONE SHEET 2X3 5013S23 164

SILICONE SHEET 6X8 5013568 938

SILVER NITRATE STICKS 100'S 4

SILVER NITRATE STICKS 10'S 4

SILVER SULFADIAZINE CR, 1% (85G) 149

SILVER SULFADIAZINE CR,1% (50G) 85

SILVER SULFADIZINE CR,1% (400G) 363

SIM RPR WND 2.5CM OR LS 1,130

SIM RPR WND,12.6-20.0CM 1,137

SIM RPR WND,12.6-20.0CM(FACE) 1,138

SIM RPR WND,2.5-5.0CM(FACE) 1,135

SIM RPR WND,2.5CM OR LS (FACE) 1,135

SIM RPR WND,2.6-7.5CM 1,130

SIM RPR WND,20.1-30.0CM 1,138

SIM RPR WND,20.1-30.0CM(FACE) 1,138

SIM RPR WND,5.1-7.5CM(FACE) 1,135

SIM RPR WND,7.6-12.5CM 1,135

SIM RPR WND,7.6-12.5CM(FACE) 1,136

SIMETHICONE CHEWABLE TAB, 80MG 1

SIMETHICONE DROPS, 40/MG/0.6ML (3 20

SIMP REPAIR WND,SCALP/NECK>30.0CM 1,150

SINCALIDE INJ, 5MCG 688

SINEMET TAB CR, 25-100 5

SINEMET TAB CR, 50-200 10

Page 191: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SINEMET TAB, 10-100 7

SINEMET TAB, 25-100 3

SINEMET TAB, 25-250 9

SINUSES, PARANASA COMP 982

SITAGLIPTIN TAB, 100MG 97

SITAGLIPTIN TAB, 25MG 48

SITAGLIPTIN TAB, 50MG 97

SIZER BREAST 350CC SGL SZHP68350 204

SKIN SUB GRAFT FACE/NK/HF/G 1,127

SKIN SUB GRAFT TRNK/ARM/LEG 1,127

SKIN SUBS,PURAPLY (H),PER 1 SQ CM 232

SKIN SUBSTI,OASIS WOUND,PER SQ CM 58

SKIN SUBSTITUT,APLIGRAF, PER SQCM 155

SKN SUB-LOW-GRAFT FACE/NK/H/FT-25 1,127

SKN SUB-LOW-GRAFT TRNK/ARM/LEG-25 1,127

SKN SUB-LOW-GRFT TRNK/ARM/LEG-+25 414

SKULL COMPLETE 1,103

SKULL LESS THAN 4 VIEWS 313

SLEEVE 4MM UNITRAX V40 69426070 724

SLEEVE ADAPTER C-TAPER V40 1,867

SLEEVE ADAPTER CTAPER-2.5 190325T 779

SLEEVE CAB DALLMILES SM2 67043070 5,275

SLEEVE CABLE DALL MILES 2.0MM 826

SLEEVE CABLEDALLMILES1.6 37040410 1,753

SLEEVE CERV 40MM AL13142001 177

SLEEVE CERV 60MM AL13142002 177

SLEEVE COMP LRG 14IN V3022 178

SLEEVE FEM ATTUNE 35MM 151101203 18,790

SLEEVE FEM ATTUNE 45MM 151101105 18,790

SLEEVE FEM BIOLOX +3 6501067 1,482

SLEEVE FEM BIOLOX +6MM 6501068 1,543

SLEEVE FEM BIOLOX 0MM 650-1066 1,543

SLEEVE FEM BIOLOX -3 6501065 1,542

SLEEVE FEM BIOLOX-6MM 650-1064 1,543

SLEEVE FEM LPS ADAP+5 198706005 1,858

SLEEVE FEM UNITRAX +0 69426065 724

SLEEVE FEMORAL REVISION 34MM 1294 10,520

SLEEVE FEMORAL UNIVERSAL 46MM 12,098

SLEEVE FOR COMPRESSION X-LG 14IN 238

SLEEVE MOD HEAD +4 12/17 71344248 973

SLEEVE MOD HEAD +8 71344249 973

SLEEVE TIB ATTUNE 29MM 151111101 16,198

SLEEVE TIB ATTUNE 29MM 151111201 38,566

SLEEVE TIB ATTUNE 37MM 151111102 16,198

SLEEVE TIB ATTUNE 37MM 151111202 21,211

SLEEVE TIB ATTUNE 45MM 151111103 21,211

SLEEVE TIB ATTUNE 45MM 151111203 21,211

Page 192: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SLEEVE TIB ATTUNE 53MM 151111204 21,211

SLEEVE TIB MBT 61MM TRAY129454130 11,624

SLEEVE TIBIAL ROTATING KNEE 2,548

SLEEVE V40 4MM UNITRAX 69426060 724

SLING ADVANTAGE FIT (CAN BE ORDER 6,707

SLING URETHRAL SOLYXSIS0068507000 8,845

SLING VAG ALTIS 519650 7,473

SLING/SWATHE UNIVERSAL 49

SM.BWL.TO ILEUM-W/LESN ABLATION 7,750

SM.BWL-ABLATION REM.-TUM/POL/LES 7,750

SM.BWL-DIAGNOST,W/,W/O WASH/BRUSH 5,584

SM.BWL-IL-CONTROL BLEED,ANY METH 10,720

SM.BWL-IL-DX W/ OR W/O WASH/BRUSH 6,645

SM.BWL-W/BIOPSY, SINGLE/MULTPLE 7,659

SM.BWL-W/CONTROL BLEED,ANY METHOD 8,379

SMALL BOWEL W/FLUORO 786

SMOOTH MUSCLE ANTIBODY 283

SNARE WIRE GUIDE FOR CRS-100 CURR 6,065

SNARE, GOOSENECK, ALL 2,390

SNARE/SNARE18-30MM120CM7FR T CATH 2,270

SOD CHLORIDE 2% OPHTHSOLN 15M 103

SOD CHLORIDE 5% OPHTH 15M 69

SOD CHLORIDE ORAL SUSP 2.5MEQ/ML 0

SOD CITRATE SOLN 30ML 12

SOD HYPOCHL 0.125%(1/4 STR)480ML 80

SODIUM ACETATE INJ, 2MEQ/ML (10ML 12

SODIUM BICARB 4.2% INJ 10ML SY 70

SODIUM BICARB INJ, 1MEQ/ML (50ML) 62

SODIUM BICARB SYRN, 8.4% (10ML) 96

SODIUM BICARBONATE INJ 71

SODIUM BICARBONATE TAB, 648MG 0

SODIUM CHLORIDE 0.9 KCL 40MEQ 20

SODIUM CHLORIDE 0.9% INJ 10ML 5

SODIUM CHLORIDE 2.5MEQ/ML 40ML 0

SODIUM CHLORIDE INJ (PB) 0.9% 250 14

SODIUM CHLORIDE INJ 0.9% (PB) 500 13

SODIUM CHLORIDE INJ, 0.45% (500ML 28

SODIUM CHLORIDE INJ, 0.45%(1000CC 57

SODIUM CHLORIDE INJ, 0.9% (1000ML 13

SODIUM CHLORIDE INJ, 0.9% (100ML) 11

SODIUM CHLORIDE INJ, 0.9% (150ML) 34

SODIUM CHLORIDE INJ, 3% (500ML) 28

SODIUM CHLORIDE INJ,0.9% (50ML) 8

SODIUM CHLORIDE INJ,0.9%PF(50ML) 14

SODIUM CHLORIDE INJ. 23.4 31

SODIUM CHLORIDE IRR 0.9% 1000ML 57

SODIUM CHLORIDE IRR SOL 0.9% (500 28

Page 193: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SODIUM CHLORIDE NASAL SPRAY 45ML 13

SODIUM CHLORIDE NEB SOLN 0.9% 3ML 1

SODIUM CHLORIDE NEB SOLN, 3% (15 5

SODIUM CHLORIDE NEB SOLN,0.9%(15M 5

SODIUM CHLORIDE TAB, 1GM 1

SODIUM HYPOCHLORITE 0.5%(FULLSTR) 54

SODIUM PHOSPH.INJ,3MMOL/ML (5ML) 101

SODIUM PHOSPHATE 1.5GM (40 TAB) 1,527

SODIUM PHOSPHATE INJ,3MMO/ML(15ML 95

SODIUM SALT OPHTH SOLN 120ML 20

SODIUM SALT OPHTH SOLN 30ML 117

SODIUM SERUM 116

SOFT GOODS SET MCCONNELL, 12-401 255

SOL9% NACL1000CC DBL WRAP STERIL 201

SOLITAIRE REVASC DEVICE SFR-4-20 38,619

SOLITAIRE REVASC DEVICE SFR-6-30 38,619

SOMATOMEDIN-C PLASMA 458

SOTALOL TAB, 80MG 15

SPACER 10X22X28 8D 48326108 39,646

SPACER 15X9 PEEK 889925 5,569

SPACER 16X22X28 8D 48326168 39,646

SPACER 8-15MM 6DEG 193325 47,434

SPACER ACCOL CDIST 15MM 10594515 526

SPACER ACCOLADE C SM 10592313 473

SPACER ACCOLADE MED 16 10594516 459

SPACER ACIS PROTI 10MM 108843010 7,779

SPACER ACIS PROTI 7MM 108843007 7,779

SPACER ACIS PROTI 8MM 108843008 7,779

SPACER ACIS PROTI 9MM 108843009 7,779

SPACER CALIBEREXP10X269X13 194426 32,378

SPACER CAPSTONE 10X22MM 2991022 21,060

SPACER CAPSTONE 13X26MM 2991326 33,528

SPACER CAPSTONE 8X22MM 2990822 21,060

SPACER CEMENT MOLD 70MM 4,665

SPACER CEMENT MOLD KNEE FEMORAL 9,913

SPACER CEMENT MOLD KNEE TIB 4,665

SPACER CRESCENT 25X11 9392511 27,333

SPACER HUMERAL +9MM 8,626

SPACER LORD 10MM ACF 017710 7,181

SPACER LORD 11MM ACF 017711 7,181

SPACER LORD 12MM ACF 017712 7,181

SPACER LORD 8MM ACF 017708 7,181

SPACER LORD 9MM ACF 017709 7,181

SPACER LORDOTIC 7MM ACF WEDGE 8,805

SPACER MOLD FEMORAL 60MM 9,913

SPACER MOLD FEMORAL CEME (432175) 9,913

SPACER MOLD TIBIAL 75MM 4,665

Page 194: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SPACER NANOLOCK 31X11X8 31103108N 26,855

SPACER PEEK 15X8 889924 5,569

SPACER SILVERST22X10X11 SP221011 23,352

SPACER SILVERST22X10X12 SP221012 23,352

SPACER SILVERST22X10X13 SP221013 23,352

SPACER SILVERSTO22X10X14 SP221014 23,352

SPACER SILVERSTON22X10X10SP221010 23,352

SPACER SILVERSTON28X10X10ST52810T 23,352

SPACER SILVERSTONE22X10X8SP221008 23,352

SPACER SOVEREIGN32X23X16 7967816 55,713

SPACER SUZUKA 14X12.5X6 S420506T 12,260

SPACER SUZUKA 14X12.5X8 S420508T 12,260

SPACER SUZUKA 14X12.5X9 S420509T 12,260

SPACER SUZUKA 14X12.7X7 S420507T 12,260

SPACER SUZUKA 17X13.5X6 S730506T 12,260

SPACER SUZUKA 17X13.5X7 S730507T 12,260

SPACER SUZUKA 17X13.5X8 S730508T 12,260

SPACER SUZUKO 17X13.5X9 5730509T 12,260

SPACER TRAB HUM 12MM 00434903912 4,076

SPACER TRAB MET REV9MM00434903909 4,076

SPACER VERT 14X24X26MM 8915414 26,628

SPACER VERT CAPSTONE12X22 2991222 21,060

SPACER VERTSTACK16X24X26MM8915416 26,628

SPATULA ENDOWRIST CAUTERY 420184 1,246

SPCER CAPSTONE 9X22MM 2990922 24,798

SPECIAL STAIN I 57

SPECIAL STAIN, GROUP II 350

SPECIMEN HANDLING-SEND OUT 25

SPEECH SOUND,LANG COMPREH/EXPRESS 583

SPEEDBRIDGE IMP SYS AR2600SBS6 9,253

SPHERE GLEN AEQ REV 42MM DWD184 15,465

SPHERE GLEN AEQ REV25X42MM DWD183 17,157

SPHERE GLEN AEQ REV29X42 DWD194 17,432

SPHERE GLENOID AEQ REV 10D DWD181 21,278

SPHERE GLENOID AQREV25X36MMDWD180 18,873

SPHERE GLENOIDAEQ REV29X12 DWD193 15,465

SPINAL CANAL 795

SPINAL PUNCTURE,LUMBAR DIAGNOSTIC 1,325

SPINE 1 VIEW-SPECIFY LEVEL 493

SPINE,ENTIRE, 1 VIEW 275

SPINE,ENTIRE, 2-3 VIEWS 425

SPIROLNOLACTONE TAB, 100MG 8

SPIRONOLACTONE 25MG TAB 2

SPIRONOLACTONE ORAL SUSP, 5 MG/ML 3

SPIRONOLACTONE-HCTZ TAB,25/25 9

SPLINT AIR GEL ANKLE 63

SPLINT COCKUP WRIST 39

Page 195: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SPLINT FIBERGLASS 2INX15FT 76002 237

SPLINT FIBERGLASS 4INX15FT OG4L2 395

SPLINT FIBERGLASS 5INX15FT 76005 493

SPLINT FIBGLASS 3INX15FTCAST76003 330

SPLINT LONG LEG 541

SPLINT NASAL 50X28MM 10150005KM 271

SPLINT NASAL DENVER LRG 10021 1,438

SPLINT NASAL DENVER SM/MED VELCRO 280

SPLINT NASAL DOYLE 1524050 299

SPLINT ROLL ORTHO GLASS 6INX15F 591

SPLIT BLOOD PRODUCTS, EACH 162

SPRAY EVICEL TIP 3921S 147

SPY ELITE SGL VIAL PACK LC3001 8,690

SPYSCOPE CATHETER 9,930

SQUAMOUS CELL CARCINOMA AG 485

SR SEN-BRAINSTEM AUDITORY EVOK(BA 965

SR SEN-EEG NON CRANIAL 280

SR SEN-INTRAOP TESTING PER 15 MIN 71

SR SEN-SSEP UPPER & LOWER (BOTH) 1,682

SRS,TRMT.CRAN.LES.-1 SESS.,LIN.AC 11,020

SR-U/S GUIDANCE-NEEDLE PLACEMENT 1,838

SSA ANTIBODY 419

SSB ANTIBODY 419

STABILIZER TISSUE OCTOPUS TS2000 6,220

STAPLE 15X15X15 MEMOFIX MS151515 10,561

STAPLE 15X15X15MM EZ151515 10,274

STAPLE 18X14X14 MEMOFIX MS181414 10,561

STAPLE 25X22X22MM EZ252222 12,970

STAPLE BONE XS 6.35X15MM128720 870

STAPLE COMPRESSION 15X15 FFS1515 11,904

STAPLE EASYCLIP 18X17X15 EZ181715 4,630

STAPLE EASYCLIP 18X19X17 EZ181917 4,630

STAPLE EASYCLIP 20X20X20 EZ202020 5,844

STAPLE EASYCLIP12X10X10 EZM121010 4,062

STAPLE EASYCLIP12X15X13 EZB121513 3,415

STAPLE EASYCLIP15X12X12 EZ151212 5,070

STAPLE ENDO GIA 60MM EGIA60AVM 1,877

STAPLE ENDO GIA UNIV EGIAUSTND 896

STAPLE ENDO GIA45MM BLK EGIA45AXT 1,750

STAPLE ENDO GIA45MMPURP EGIA45AMT 1,491

STAPLE ENDO GIA60MM BLK EGIA60AXT 4,932

STAPLE ENDOGIA30MMRELOAD SIG30AMT 1,068

STAPLE ENDOGIA30MMTAN EGIA45CTAVM 1,736

STAPLE ENDOGIA60MM PURP EGIA60AMT 1,960

STAPLE ENDOPATH ECHE LINCUT SC45 1,338

STAPLE ENDOWRIST45 DAVINCI 410298 817

STAPLE FIXATION W/SPIKES MEDIUM 870

Page 196: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

STAPLE GIA 430MM CURV EG1A30TAVM 1,443

STAPLE LEGACY 21MM CAUDAL 6541121 9,543

STAPLE LEGACY 23MM 6541023 9,543

STAPLE RELOAD ECH 60 BLK ECR60T 783

STAPLE RELOAD ECH 60 GST60D 882

STAPLE RELOAD ECHEL60 4.1MMECR60G 819

STAPLE RELOAD GST ECHEL45 GST45W 823

STAPLE RELOAD GST ECHEL60B GST60B 882

STAPLE RELOAD GST ECHEL60G GST60G 882

STAPLE RELOAD GST ECHELON45B GST4 823

STAPLER 65MM SZ2-0 020242 878

STAPLER CIRCULAR 25MM 2,196

STAPLER ECH 60X440MM PLE60A 2,466

STAPLER ECH POWER 60X340MM PSE60A 2,466

STAPLER ECHELON 45X440MM PLE45A 2,310

STAPLER ECHELON25X340MM SGLE C45A 2,074

STAPLER ENDO GIA EGIAUXL 1,449

STAPLER ENDOSCOPIC CIRCULAR 29MM 2,196

STAPLER ENDOSCOPIC CIRCULAR 33 MM 2,196

STAPLER ENDOWRIST45B RELOAD41645B 1,051

STAPLER ENDOWRIST45G RELOAD41445G 1,051

STAPLER LINEAR 30MM BLUE 3.5 LEG 653

STAPLER LINEAR 30MM GREEN 4.8 LEG 857

STAPLER LINEAR 60MM BLUE 664

STAPLER LINEAR 60MM GREEN THICK T 664

STAPLER LINEAR 90MM TLH90 712

STAPLER LINEAR ART 60MM340MMEC60A 2,209

STAPLER POWERED LDS-15W (PLDS15) 2,130

STAPLER RELOAD 3.5MM SZ45 ECR45B 819

STAPLER RELOAD LIN 30MM XR30B 297

STAPLER RELOAD LINEAR 60MM BLUE 332

STEM #6 ACCOLADE 132 (6058-0637D) 12,963

STEM 11 X 100 G2 71421310 5,491

STEM 13MM X 127 21,079

STEM ACCO TMZF PLUS #5 6021-0537 15,909

STEM ACCOL C #5 37 145MM60580537D 12,963

STEM ACCOL SZ2 132D 67200230 15,909

STEM ACCOL SZ4 127D 67210535 15,907

STEM ACCOLADE C #4 C (6057-0435D) 12,963

STEM ACCOLADE SZ11 67201140 15,906

STEM ACCOLADE SZ3 AS7D 67210330 15,909

STEM ACCOLADE SZ4 132D 67200435 15,909

STEM ACCOLADE SZ6 127D 67210635 15,909

STEM ACCOLADE SZ6 132D 67200635 15,909

STEM ACCOLADE SZ7 132D 67200737 15,909

STEM ACCOLADE2 SZ9 67200937 15,909

STEM ADAPT ATTUNE 2MM 151302000 5,137

Page 197: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

STEM ADAPT ATTUNE 6MM 151306000 3,923

STEM AEQUAL REV HUM7X130MM DWD901 29,029

STEM ANTHOLOGY 6 HO HA 71357106 13,153

STEM ANTHOLOGY 6 STD 13,153

STEM ANTHOLOGY 9 HO HA 13,153

STEM ARCOS 16X115 11301416 19,353

STEM ARCOS 16X200 11300616 19,353

STEM ARCOS 18X150 11300818 15,938

STEM ATTUNE 14X50 151214050 6,085

STEM ATTUNE 14X80 151214080 6,085

STEM ATTUNE 16X60 151316060 9,617

STEM ATTUNE 18X60 REV 151318060 9,617

STEM ATTUNE PRESS 20X60 151320060 9,617

STEM ATTUNE PRESS14X110 151314110 9,617

STEM ATTUNE PRESS22X60 151322060 9,617

STEM ATTUNE REV 10X160 151310160 9,617

STEM ATTUNE REV 12X110 151312110 9,617

STEM ATTUNE REV 12X60 151312060 9,617

STEM ATTUNE REV 14X60 151314060 9,617

STEM ATTUNE REV 16X110 151316110 9,617

STEM ATTUNE REV 18X110 151318110 7,344

STEM ATTUNE REV 22X110 151322110 9,617

STEM ATTUNE20X110PRSSFIT151320110 9,617

STEM AVENIR SZ1 38MM 0106010201 24,957

STEM CEMENTED TRIATHLON 12MMX50MM 5,998

STEM CEMENTLESS SZ1 75100464 11,851

STEM CEMENTLESS SZ5 75100468 11,851

STEM CEMENTLESS SZ6 75100469 12,545

STEM CEMENTLESS SZ9 75100472 12,545

STEM CEMENTRALIZER 10.5 137638000 537

STEM CENTRALIZER 11 137620000 566

STEM CENTRALIZER 13MM 137622000 566

STEM CENTRALIZER 8.5 137646000 566

STEM CENTRALIZER 9.25 137647000 566

STEM CENTRALIZER SUM12MM137621000 566

STEM CONICAL DISTA18X155 62767018 16,644

STEM CONICAL DISTAL 17X155MM STR 16,644

STEM CONICAL DISTAL 17X195 STR 17,617

STEM CONICAL DISTAL 19 X 155 STR 16,644

STEM EPIPHYIS SZ 1 RT 130720103 20,289

STEM EPIPHYSIS SZ 1 LFT DELTA XTE 20,289

STEM EXT 16MM/100MM STRAIGHT 1016 6,347

STEM EXT NEXGXL20X200 32598801220 8,757

STEM EXT PERSONA14X30 42557000114 13,136

STEM EXT TRIATH 15X150MM55665015 7,648

STEM FEM 20X75MM REV 867419 6,008

STEM FEM ACCOL SZ2 127D6057-0230D 12,963

Page 198: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

STEM FEM ACCOLADE C SZ4 60580435D 12,963

STEM FEM ACCOLADE SZ2(60200230) 15,909

STEM FEM ACTIS SZ1 101011010 16,281

STEM FEM ACTIS SZ10 101011100 16,281

STEM FEM ACTIS SZ2 101011020 16,281

STEM FEM ACTIS SZ3 101011030 16,281

STEM FEM ACTIS SZ3 101012030 16,281

STEM FEM ACTIS SZ4 101011040 16,281

STEM FEM ACTIS SZ4 101012040 16,281

STEM FEM ACTIS SZ5 101011050 16,281

STEM FEM ACTIS SZ5 101012050 16,281

STEM FEM ACTIS SZ6 101012060 16,281

STEM FEM ACTIS SZ7 101011070 16,281

STEM FEM ACTIS SZ7 101012070 16,281

STEM FEM ACTIS SZ8 101011080 16,281

STEM FEM ACTIS SZ8 101012080 16,281

STEM FEM ANTH SZ10 71357110 13,153

STEM FEM ANTHOLG SZ14 71934665 11,851

STEM FEM ARCOS 17X190 11300917 15,938

STEM FEM CEMENT SZ3 157013090 10,600

STEM FEM CORAIL SZ 18 3L92508 16,281

STEM FEM CORAIL SZ14CMTLSS L98014 30,941

STEM FEM CORAIL SZ16 L98116 30,941

STEM FEM DUOFIX SZ6 101011060 16,281

STEM FEM HIP MOLD 15X155MM 431193 7,426

STEM FEM HIP MOLD13X200MM431197 7,426

STEM FEM LEG 10X220MM REV71424063 7,387

STEM FEM LEG 22X160MM 71424055 7,097

STEM FEM LEG REV20X220 71424073 7,101

STEM FEM LEG14X220MM REV 71424067 7,387

STEM FEM LEG18X220MM REV 71424071 7,387

STEM FEM LEGION SZ4 71421364 54,450

STEM FEM MOLD 11X135MM 431191 7,426

STEM FEM MOLD13X145MM431192 7,426

STEM FEM MRS 10MM 64853019 21,075

STEM FEM OSS 15X90 150363 8,664

STEM FEM REDAPT SZ1 240 71354704 29,774

STEM FEM REDAPT SZ16 71354705 29,774

STEM FEM REDAPT SZ18 190 71354467 29,774

STEM FEM REDAPT SZ18 71354707 29,774

STEM FEM REDAPT SZ19 240 71354708 29,774

STEM FEM REDAPT SZ20 190 71354469 29,774

STEM FEM RESTOR 15X195MM 62767115 15,521

STEM FEM RESTOR 18X195MM 62767118 17,085

STEM FEM RESTOR 20X235 62767320 17,109

STEM FEM RESTOR 21X195 62767121 14,974

STEM FEM RESTOR 22X155MM 62767022 16,143

Page 199: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

STEM FEM RESTOR19X195MM62767119 17,085

STEM FEM REV 14X100MM 71421314 5,491

STEM FEM REV 16X100MM 71421316 5,491

STEM FEM SUMMIT SZ3 108 157013090 10,600

STEM FEM SUMMIT SZ3 157003090 10,600

STEM FEM SUMMIT SZ5 157003110 10,600

STEM FEM SUMMIT SZ5 157011110 14,618

STEM FEM SUMMIT SZ6 127 157013120 10,600

STEM FEM SUMMIT SZ6 157003120 10,600

STEM FEM SUMMIT SZ7 157003135 10,600

STEM FEM SUMMIT SZ8 157003150 10,600

STEM FEM SZ4 114 157003100 10,600

STEM FEM SZ7 HIP STAND 157001135 15,587

STEM FEM SZ8 157001150 15,587

STEM FEMACTIS SZ9 CMTLSS101012090 16,281

STEM FEMORAL 2 HO ANTHOLOGY 13,153

STEM FEMORAL 3 HO ANTHOLOGY 13,153

STEM FEMORAL 4 HO ANTHOLOGY 13,153

STEM FEMORAL 5 HA ANTHOLOGY 13,153

STEM FLUTED #14 6,650

STEM FLUTED #16 6,650

STEM FLUTED 115X12MM 6,508

STEM FLUTED 11MM X 100MM TS 6,650

STEM FLUTED 12MMX100MM TS 6,650

STEM FLUTED 12MMX150MMTS 5566S012 7,648

STEM FLUTED 13MMX100MM TS 6,650

STEM FLUTED 14X150MM TS 5566S014 7,648

STEM FLUTED 15MM X 100MM TS 6,650

STEM FLUTED 16MMX150MM TS5566S016 7,648

STEM FLUTED 17MM X 100MM TS 6,650

STEM FLUTED 18MMX100MMTS 6,650

STEM FLUTED 19MM X 1 (5565-S-019) 6,650

STEM FLUTED 75MMX12MM 6,008

STEM FLUTED 75MMX16M 6,008

STEM FLUTED 75MMX18MM 6,008

STEM FLUTED UNIVERSAL 115X14MM 6,008

STEM FLUTED UNIVERSAL 115X16 MM 6,008

STEM FLUTED UNIVERSAL 115X18MM 6,511

STEM FLUTED17MMX150MM TS 5566S017 7,648

STEM GLOBAL AP PC 8MM 113008200 23,327

STEM GMRS 30MM DIST FEM 64956030 21,552

STEM GMRS PRESSFIT18X150 64955218 33,386

STEM HIP #10 RESTORATION HA 30,858

STEM HIP #3 TMZF ACCOLADE 15,909

STEM HIP 140MM 157001100 14,618

STEM HIP 145MM SZ.5 (1570-01-110) 19,503

STEM HIP 150MM 15,319

Page 200: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

STEM HIP ACCOL SZ3 132D 67200330 15,909

STEM HIP ACCOL SZ4 127D 67210435 15,907

STEM HIP ACCOL SZ5 132D 67200535 15,909

STEM HIP ACCOL SZ7 127D 67210737 15,909

STEM HIP ACCOL SZ8 132D 67200837 15,909

STEM HIP ACCOLADE SZ10 67201040 15,906

STEM HIP ACCOLADE SZ9 67210937 15,294

STEM HIP ACCOLADESZ8 127D67210837 15,909

STEM HIP ACOLADE SZ2 127D67210230 15,909

STEM HIP ANGLE 132 DEG 60510830S 15,909

STEM HIP OVATION SZ6 1010306 10,508

STEM HIP OVATION SZ7 1010307 10,508

STEM HIP REST SZ11 -5MMS26521115 30,858

STEM HIP RESTOR #9 35MM S26520915 30,858

STEM HIP RESTOR SZ9 -5 S26510913 29,138

STEM HIP SECUR SZ10 132D60511035S 15,909

STEM HIP SZ13 132D170MM6051-1340S 15,909

STEM HIP SZ6 150MM TAP 12/14 W PO 21,452

STEM HIP SZ7 W/PORACOAT 155MM LGT 17,238

STEM HIPANG132#9 35X150 60510935S 15,909

STEM HIPRESTORSZ12 -5MMSZ6 521218 30,858

STEM HUM 10X130MM SHLD00434901013 33,281

STEM HUM 10X170 SHOULD00434901017 28,335

STEM HUM 14X130 SHOULD00434901413 33,281

STEM HUM 16X130MM 00434901613 30,233

STEM HUM AEQ 6.5X150 DWB941 12,803

STEM HUM AEQ ASCEND SZ1B DWF611B 18,320

STEM HUM AEQ ASCEND SZ6B DWF606B 18,320

STEM HUM AEQ SZ 2C DWF602C 18,320

STEM HUM AEQ SZ 4C DWF604C 19,547

STEM HUM AEQ SZ1B DWF601B 18,320

STEM HUM AEQ SZ2B 70MM DWF602B 19,547

STEM HUM AEQ SZ2B DWF613B 19,370

STEM HUM AEQ SZ3C DWF603C 18,320

STEM HUM AEQ SZ4A DWF604A 18,320

STEM HUM AEQ SZ4B DWF614B 18,320

STEM HUM AEQ SZ5B 74MM DWF615B 18,320

STEM HUM AEQ SZ5B 82 DWF605B 19,547

STEM HUM AEQALIS SZ48 DWF604B 19,547

STEM HUM AEQUALIS SZ5C DWF605C 19,547

STEM HUM AWQ SZ2B 93MM DWF612B 19,547

STEM HUM AWQ SZ3A 74MM DWF603A 18,320

STEM HUM DELTA EXT SZ1 130720101 20,289

STEM HUM EQUINOXE 8.5 3042109 10,742

STEM HUM GLOBAL 10MM 113010200 26,824

STEM HUM GLOBAL 44X15 110044500 8,479

STEM HUM GLOBAL SZ6 110006100 19,896

Page 201: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

STEM HUM GLOBAL SZ8 110008100 19,131

STEM HUM GLOBAL44X18 110044510 8,925

STEM HUM SZ10 113MM 110010100 19,131

STEM HUM UNITE SZ12 110012100 19,131

STEM HUMAEQ SZ 6B DWF616B 18,320

STEM HUMERAL 00434901217 33,281

STEM HUMERAL 12MMX130MM 33,281

STEM HUMERAL GLOB 14MM 113014200 31,101

STEM HUMERAL SZ3B DWF603B 19,547

STEM LAT CEMTLESS SZ8 75100471 11,851

STEM LEGION 17X160 XK0006121 12,791

STEM LEGION PRESS 17X160XK0006361 13,136

STEM LPS STR 16X125 198725416 12,742

STEM OMNIFIT SZ5 30X110 60980530 11,680

STEM OSS 11X120 151857 16,673

STEM OSS 11X150 CP11652 16,603

STEM OSS 17X150 150371 9,428

STEM OSS STR 11X225 150490 10,047

STEM OSS STR 13X90 CP111647 16,603

STEM OVATION SZ 8.5 1010385 10,508

STEM OVATION SZ10 1010310 10,508

STEM OVATION SZ11.5 1010397 10,508

STEM OVATION SZ4 1010304 10,508

STEM OVATION SZ8 1010308 10,508

STEM OVATION SZ9 1010309 10,508

STEM OVATION SZ9 1010395 10,508

STEM OVATION SZ9.5 1011395 10,508

STEM PC 12MM GLOBAL AP 113012200 31,101

STEM POLAR CEMENTLSS SZ4 75100467 12,645

STEM POLAR HA SZ3 75018403 11,851

STEM POLAR SZ5 W CONE 75100478 11,851

STEM POLAR SZ6 12/14 CONE75018406 11,851

STEM POLAR SZ9 75018409 11,851

STEM POLARSTEM CMTLESSZ7 75100470 11,851

STEM POLARSTEM SZ10 75100473 11,851

STEM POLARSTEM SZ2 75018402 11,851

STEM POLARSTEM SZ2 75100465 11,851

STEM POLARSTEM SZ3 75100466 11,851

STEM POLARSTEM SZ3 75100476 11,851

STEM POLARSTEM SZ4 75018404 11,851

STEM POLARSTEM SZ5 75018405 11,851

STEM PRESSFIT 11MM X 160MM 7,097

STEM PRESSFIT 11MMX120MM 7,097

STEM PRESSFIT 12MMX120MM 7,097

STEM PRESSFIT 12MMX160MM 7,097

STEM PRESSFIT 13MMX120MM 6,588

STEM PRESSFIT 13MMX160MM 7,097

Page 202: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

STEM PRESSFIT 14MM X 120MM 7,097

STEM PRESSFIT 14MM X 160MM 7,097

STEM PRESSFIT 15MM X 120MM 7,097

STEM PRESSFIT 15MMX160MM 7,097

STEM PRESSFIT 16MMX120MM 7,097

STEM PRESSFIT 16MMX160MM 7,097

STEM PRESSFIT 16MMX220MM 71424069 7,387

STEM PRESSFIT 18MMX120MM 7,097

STEM PRESSFIT 18MMX160MM 7,097

STEM PRESSFIT 20MM X 1 (71424053) 7,097

STEM PROSTALAC SZ1 105 154106000 18,098

STEM RAD EXPLOR 7X26 11210062 8,734

STEM RAD EXPLOR 8X28 11210063 8,734

STEM RAD HEAD 5.5MM+2 496S255 13,480

STEM RAD HEAD 7.5MM 496S075 13,480

STEM RADIAL 6X24 11210061 8,734

STEM REDAPT FEM SZ17H 71354724 29,774

STEM REDAPT SZ16 190 71354465 29,774

STEM REDAPT SZ19 190 71354468 29,774

STEM RESTOR SZ8 30X155 S26510812 26,258

STEM RESTOR SZ9 -5MM S26510915 28,017

STEM REUNION HUM 10X123 55680010 19,831

STEM REUNIONRFX HUM9X118 55680009 22,984

STEM RFX HUM 7X113 55680007 22,984

STEM SECURE FIT 132* 15,909

STEM SECURFIT SZ10 60521035S 13,904

STEM SHOULD 6X83 LNG 113626 24,187

STEM SMR CEMENTLESS23MM 130415230 7,299

STEM SZ0 12/14 CONE 75018400 11,851

STEM SZ11 127D 40MM 60521140S 15,909

STEM SZ11 132DEG 40MM 60511140S 15,909

STEM TRI PRESSFIT20X100MM5565S020 6,650

STEM UNIV 150X12 867440 4,636

STEMHUM14X170SHOULDREV00434901417 28,335

STENT 6FRX24 CM BLACK SILICONE 816

STENT 6FRX26 CM BLACK SILICONE 816

STENT 8X20MMX75CM 6F M001712160 6,389

STENT CATHETER, NON COATED 10,395

STENT COATED W/DELIVERY SYSTEM 2,184

STENT ENTERPRISE 4.5 14 ENF451412 33,470

STENT ENTERPRISE 4.5 22 ENF452212 33,470

STENT ENTERPRISE 4.5 28 ENF452800 33,470

STENT ENTERPRISE 4.5 28 ENF452812 33,470

STENT ENTERPRISE 4.5 37 ENF453712 33,470

STENT INLAY 6X22 623

STENT INLAY 6X24 623

STENT INLAY 6X26 623

Page 203: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

STENT INLAY 6X28 623

STENT INLAY 7X24 623

STENT LIFESTREAM US LSMU0800377 13,136

STENT PERIPH5X80X120 S50080120P6 9,049

STENT SYSTEM CAROTID (SUPPLY) 20,317

STENT SYSTEM PERIPHERAL (SUPPLY) 16,301

STENT URET 4.7FR 22-32 788400 660

STENT URET 4.7FR 22-32CM G14916 744

STENT URET 4.7FR 24CM 778424 623

STENT URET 4.7FR 26CM 778426 623

STENT URET 6FR 22-32CM 788600 660

STENT URET 6FR 22-32CM G14836 744

STENT URET 7FRX90CM 5230600 1,555

STENT URET INLAY 7FRX26CM 778726 450

STENT URET INLAY4.7FRX20CM 778420 450

STENT URET INLAY4.7FRX22CM 778422 450

STENT URET INLAY4.7FRX28CM 778428 450

STENT URET OPTIMA 4.7FR 787400 682

STENT URET OPTIMA 6FR22-32 787600 682

STENT UTET 4.7FR 22-32CM 786400 817

STENT, ENDOPROSTHESIS COVERED 14,446

STENT, MED, 5FR SHAFT, ALL 10,104

STENT, URET & NEPHROURETERAL ALL 1,114

STENT,CAROTID,PRECISE,CORDIS 17,415

STENT,EXPRESSLD-ILIAC/BILIARY OTW 7,674

STENT,RX ACCULINK,ABBOTT 16,569

STENT,WALL,UNISTEP,ERCP 10X80 6,507

STENTINNOVA8X60X75 3086070 6,393

STEPDRILL T2 RECONT 18063026S 1,032

STERILE LIGHT ILLUMINATOR54LC5200 1,477

STERILE WATER FOR INJ (10ML) 24

STERILE WATER FOR INJ (20 ML) 8

STERILE WATER FOR INJ (50ML) 14

STERILE WATER FOR INJ, (1000ML) 57

STERNUM 255

STIMULATOR,NERVE,VARI-SLIM,3,85 328

STITCH KIT SUTURE DAVINCI SK002A 1,722

STONE ANALYSIS 307

STOOL FECAL LEUKOCYTES 100

STOOL OVA & PARASITES 208

STRAP CLAVICLE 42

STRAPPING OF SHOULDER 301

STRAPPING UNNA BOOT 478

STRAPPING, TOES 678

STREP A ASSAY W/OPTIC 235

STREPTOZYME 135

STRESS ECHO 2,103

Page 204: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

STRESS ECHO W/ CONTRAST 2,504

STRESS ECHO W/DOBUTAMINE 1,862

STRESS TEST - TRACING ONLY 1,248

STRUT HEXAPOD MED 49350030 9,146

STRUT HEXAPOD SHORT 49350020 8,582

STRUT HEXAPOD XSHORT 49350010 8,582

STRUT HOFF SHORT119-161 49330120 5,540

STRUT TELESCOP177-277HOFF49330180 5,911

STRUT TELESCOPIC MED 49330140 5,540

STRUT TELESCOPIC SM 9560502 2,771

STRUT TRUELOK 45MM-101 5010100 6,679

STRUT TRUELOK 92-122 5010200 6,679

STRUT TRUELOK LRG 156-318 5010400 6,679

STRUT TRUELOK MED 114-184 5010300 6,679

SUCCINYCHOLINE CHL,@20MG,INJ(200) 13

SUCCINYCHOLINE,@ 20MG,INJ(200SYR) 43

SUCKER INTRACARDIAC DISP8MM 4300S 169

SUCRALFATE 1GM TAB 2

SUCRALFATE SUSP, 1GM/10ML (U/D) 79

SUCROSE SOLN 11% 41

SUCTION BY RESP THERAPY 154

SUCTION CHEST DRAIN OASIS 3600100 177

SUCTION IRR8MM ENDO DAVINCI410299 1,284

SUCTION IRRIGATOR DAVINCI 428054 1,664

SUCTION MALL FUSION LRG 9735019 1,605

SUCTION,IRRIG,SIMPULSE,SPIT/SUCK 201

SUFENTANIL 50 MCG INJ AMP 30

SUFENTANIL INJ 250MCG/5ML 99

SUFENTANIL INJ, 100MCG/2ML 51

SUGAMMADEX 200MG/2ML VIAL,INJ 587

SUGAMMADEX 500MG/5ML VIAL,INJ 215

SUGARS,SINGLE QUANT,EA.SPEC. 55

SULFACETAMIDE OPHTH SOLN 10% 2.5 346

SULFASALAZINE TAB 200 MG 9

SULFASALAZINE TAB 500MG 1

SULFONLYLUREA SCREEN - BLOOD 353

SUMATRIPTAN INJ, 6MG/0.5ML 482

SUMATRIPTAN TAB, 100MG 142

SUMATRIPTAN TAB, 25MG 153

SUPER SEL CATH PLACMT 1 OR > 2ND 4,555

SUPER SEL CATH PLACMT 1 OR > BILA 9,834

SUPERFICIAL MUSCLE BIO 836

SUPPLIES,NON-STERILE,PENUMBRA 4,862

SUPPORT SHOULD KIT DISP 90403 253

SUPRAPUBIC SET COPE LOOP (G16813) 1,275

SURF ART CROSSLINKSZ2 00584209212 3,503

SURF ART INS NEXGEN LPS SIZE CD 5,117

Page 205: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SURF ART NEX SZE 4-6 00588005014 8,724

SURF ART NEXG SZE14MM00591705014 7,164

SURF ART NEXG SZGH 00596205012 4,612

SURF ART NEXGED SZG 00599405023 10,107

SURF ART NEXGEN SZEF 00596204017 4,921

SURF ART PERSONA SZCD 42521400513 4,962

SURF ART SZE-F 3-4 00596203217 5,117

SURG. PATHOLOGY LVL III 713

SURG.PATH-PROSTATE BX,ANY METHOD 3,430

SURGICAL ABSORB HEMOSTAT 538

SURGICAL HEMOSTAT SNOW, 4X4 1,118

SURGICAL PATHOLOGY LVL 1 350

SURGICAL PATHOLOGY LVL II 350

SURGICAL PATHOLOGY LVL IV 713

SURGICAL PATHOLOGY LVL V 1,088

SURGICAL PATHOLOGY LVL VI 1,088

SURGICEL 261

SURGICEL ABSORBABLE HEMOSTAT,4X8 430

SURGICEL FIBRILLAR 4X4 680

SURGICEL FIBRILLAR HEMOSTAT,3X4 381

SURGICEL FIBRILLER 1IN X 2IN 904

SURGICEL HEMOSTAT, 2X14 237

SURGICEL,2X14 344

SUT ANCHOR OSTEORAPT 2.9 72201995 1,911

SUT FIBLOOP17.9MM3/8CIRC AR722912 175

SUT QUILL SRS PDOSZ2 36X36RA1065Q 130

SUTUR STRTAFIX1.36X36 230XPD2B400 121

SUTURE #2 FIBERLOOP AR7264 730

SUTURE 3 PEEK 4.5 223135 2,176

SUTURE ANCHOR CORK3.5X10 AR1915FT 1,664

SUTURE COTTONY 1MM HC-5 X5798 181

SUTURE ENDOKNOT VICRYL 0 JK10G 173

SUTURE ENDOSTITCH 2-0 PO (170053) 305

SUTURE ENDOSTITCH 48 120 170052 313

SUTURE ENDOSTITCH SURGID (173021) 305

SUTURE ETHIBOND 20 30 GRNWHT V5 P 435

SUTURE ETHIBOND 2-0 SH 10X86 W/PL 285

SUTURE ETHIBOND 20 SH PXX85 WPLED 316

SUTURE ETHIBOND 2-OSH PXX86 W/PL 397

SUTURE ETHILON 9-0BV100-4 2829G 134

SUTURE FIBERLOOP 2 15IN BL AR7233 271

SUTURE FIBERTAPE 2MM 54IN AR7237 573

SUTURE FIBERWIRE #5 218

SUTURE FIBERWIRE 2MM 7IN AR723377 271

SUTURE FIBERWIRE 2MM AR72377T 263

SUTURE FIBERWIRE 3-0 18INAR722701 126

SUTURE FIBERWIRE 4-0 20INAR722920 175

Page 206: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SUTURE FIBERWIRE#2 AR-7235 301

SUTURE GORETEX CU2 PS4 48IN 2U22A 130

SUTURE GORETEX CV2 2N05A 143

SUTURE GORETEX CV4 36IN 145

SUTURE GORETEX CV6 6K02B 139

SUTURE GORETEX CV7-T TC-9 24IN 120

SUTURE GORETEXCV5 TT13 TAPER 130

SUTURE GORETEXCV6 TTC13 24IN 153

SUTURE GORTEX CV6 PT9 6MO6A 186

SUTURE LASSO 48* LEFT 843

SUTURE LASSO CORKS (AR-4068-25TR) 843

SUTURE LASSO SD 45 DEGREE CRVD RT 843

SUTURE LASSO STRAIGHT 90* 843

SUTURE MERSILENE CTXCTX316X12 RS2 224

SUTURE ORTHOCORD 2 MO7 223104 157

SUTURE ORTHOCORD MO7 100CM 223114 2,106

SUTURE PASSER CRESCENT XL 232005 1,921

SUTURE PASSER SGL USE 224038 934

SUTURE PASSER1STPASS SGLUSE224039 934

SUTURE PROLENE 50 24 BLU MONO C1 176

SUTURE PROLENE 5-0 C1 MB321 204

SUTURE PROLENE 60 24 BLU MONO BV1 269

SUTURE PROLENE 60 30 BLU MONO C1 201

SUTURE PROLENE 6-0 C1 M8718 18IN 176

SUTURE PROLENE 7-0 18IN BL MONO B 272

SUTURE PROLENE 70 24 BL MONO CC M 337

SUTURE PROLENE 70 24 BLU MONO BV1 272

SUTURE PROLENE 7-0 24IN BLU MONO 325

SUTURE PROLENE 80 18 M8738 BV1305 341

SUTURE PROLENE 8-0 18IN BLU MONO 173

SUTURE PROLENE 8-0 24IN 8732HBVI3 174

SUTURE PROLENE 8-0 24IN BLU MONO 335

SUTURE QUILL 2-0 16/16 RS1005Q 148

SUTURE QUILL PDO2 36X36CM RX1066A 149

SUTURE QUILL SRS2-0 30X30 YA1024Q 130

SUTURE SHUTTLE 45D LEFT 251003 759

SUTURE SHUTTLE 45D LRT 251004 759

SUTURE SHUTTLE 90DEG 251005 759

SUTURE STL MULTI 20 24 CT BB1SKS3 148

SUTURE STRATAFIX 36X36 SXPD2B202 119

SUTURE STRATAFIX 45CM SXPP1A400 124

SUTURE SURGIDAC 2-0 48IN (173023) 305

SUTURE TAK BIOCOMP3MMAR8934BCNF00 1,781

SUTURE TAK BIOCOMPOSITE 3.0MM 1,838

SUTURE TAPE 1.3 WHT/BLUE AR7500 204

SUTURE ULTRABRAID LL #2 72202965 134

SUTURE ULTRATAPE 2MM 72203896 274

Page 207: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

SUTURE ULTRATAPE COBRAID 72203897 274

SUTURE VICRYL 0 18IN VIOL EJ10G 262

SUTURE VICRYL O 27 VIO TN JTNOG 207

SUTURE VLOC 180 2-0 12INVLOCL0615 139

SUTURE VLOC 180 2-0 18INVLOCL0325 159

SUTURE VLOC 180 VLOCL0306 749

SUTURE VLOC 90 2-0 VOLCM0625 212

SUTURE VLOC 90 3-0 VLOCM0644 191

SUTURE VLOC 90 3-0 VLOCM1744 146

SUTURE VLOC GS21 VLOCL0316 172

SUTURE VLOC GS21 VLOCL0326 154

SUTURE VLOC GS21 VLOCN1126 169

SWAN CATHETER ONLY 332

SWEAT CHLORIDE COLLECTION 267

SWIVELOCK 3.5X8.5 ANCHOR KIT 1,605

SWIVELOCK DX 3.5X8.5 AR8978P 2,481

SYNAGIS INJ., 50MG. 10,176

SYRINGE INFLATION 60ML M00550601 191

SYRNG ENCORE 26 INFL DEV 15-105 227

SYS FLEX SHOULD6MMREV TRAY DWF501 7,298

SYS IMPLANT AC REPAIR 2MM AR2271 6,517

SYS SHUNT VALVE CEREB 823111 22,376

SYS SLING ADV MIDURETHM0068502000 7,030

SYS VENT EDS3 CSF EXT DRAIN821731 1,020

SYST BIRTH CNTL ESSURE PRM ESS305 10,043

SYST CEMENT MIX REVOLUT0606553000 327

SYST CLOSURE PERCLOSE 6FR 1267303 1,523

SYST CORON ACROBAT I STAB OM1000 6,803

SYST CORONORY ACROBAT L XP5000 4,213

SYST DRAIN CERESPINE INS8401 1,742

SYST FLEX 40MM TRAY DWF500 7,298

SYST FLEX SHOULD 40MM DWF510 7,787

SYST IMPL DRILL PIN SGLUSE AR2260 5,123

SYST INTERPULSE SUCTION 021011000 195

SYST ISOLATOR SURG ABLAT EMT1 18,244

SYST LAP ALEXIS 2.5-6 C8701 299

SYST MENISCAL FASTFIX360 72202468 2,647

SYST MENISCAL FASTFIX360 72202469 2,647

SYST MIX & DELIVERY SYST ABS1000 1,103

SYST TISS RETREIV12X240EMP160ECOS 623

SYST TISSU RETRIEV12X240EMP200ECO 623

SYSTEM CEMENT MIX 0606563000 668

SYSTEM CEMENT MIXING COMPACT VACC 708

SYSTEM FAST FIX 360 STR 72202674 768

SYSTEM FLEX SHOULD 40MM DWF520 7,787

SYSTEM FLEX SHOULDER 60MM DWF521 7,787

SYSTEM KIT TENODESIS IMPL AR2290 3,941

Page 208: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

T CELL, TOTAL 673

T3 (TOTAL) SERUM 329

T3 (UPTAKE) SERUM 150

T3 REVERSE 1,671

T4 (TOTAL) SERUM 194

T4, T8 RATIO 1,089

TACK PLATE ACUMED TI PLPTACK 227

TACROLIMUS CAP, 1MG 16

TACROLIMUS CAP, 5MG 25

TACROLIMUS CAP,0.5MG 41

TACROLIMUS INJ, 5MG / 1 ML 1,399

TAMOXIFEN CITRATE TAB, 10MG 3

TAMSULOSIN CAP, 0.4MG 24

TANDEM BIPOLAR 28 / 57 3,349

TANDEM BIPOLAR 49MM 3,349

TAP BONE CANN 4.5 AR8956C45T 1,022

TAP CERV OASYS3.5MM DISP 48560314 2,957

TAP ES2 CANN FOR6.5 SCREW48280165 3,921

TAP MARKER XIA 5X35 48857535 2,207

TAP OASYS OCCIPUT 3.5 48561053 1,511

TAP SCREW 5.5 CANN 48280155 3,921

TAP SCREW OASYS 18MM 48561314 1,722

TAP SERRATO 5.5 48260055 2,207

TAP SERRATO 6.5 48260065 2,207

TAP XIA 5.5 48856055 2,207

TAP XIA 5X30 48857530 2,207

TAP XIA MOD 5.0 48556050 2,207

TAPE, GLOW N TELL 325

TAPER ASSEMBLY 135DEGREES 575

TB TEST CELL IMMUN MEASURE 1,849

TB TEST-AG RESPONSE,T-CELL SUSP 696

TBO-FILGRASTIM,@1MCG,INJ(480/.8ML 5

TBO-FILGRASTIM,PER 1 MCG,INJ(300) 5

TEE(ESOPH ECHO)W/CONTRAST-COMPLET 4,347

TEE, PLACEMENT OF PROBE ONLY 1,379

TEE-TRANS ESOPHAGEAL ECHO COMPLET 3,650

TEE-TRANSESOPHAGEAL ECHO LIMITED 1,144

TELAVANCIN INJ, 250MG VIAL 52

TELAVANCIN INJ, 750MG VIAL 36

TEMAZEPAM CAP, 15MG 4

TEMP TRANSCUTANEOUS PACING 1,229

TEMPORARY PACING LEAD 1,196

TENDON ANCHORS REGENETEN 25041 4,670

TENECTEPLASE INJ, 50MG VIAL 665

TENOFOVIR TAB, 300MG 230

TERAZOSIN HCL CAP 1MG 9

TERAZOSIN HCL CAP 5MG 8

Page 209: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

TERAZOSIN HCL TAB 2MG 8

TERBUTALINE 1MG INJ 27

TERBUTALINE 2.5MG TAB 31

TERBUTALINE 5MG TAB 4

TERCONAZOLE 3 VAG SUPP, 80 MG 277

TERCONAZOLE 7 VAG CREAM 0.4% 45G 252

TESTOSTERONE 600

TESTOSTERONE, FREE 525

TETANUS IMMUNE GLOBULIN,@250U,INJ 2,567

TETANUS/DIPHTHER/PERTUSSIS INJ SY 298

TETANUS/DIPTHER/PERTUS 5 UNIT/2.5 231

TETRACAINE OPTH SOL .5% (1ML) 63

TETRACAINE SPINAL INJ,1% 53

TH I131 SO IODIDE CAP PER MCI 69

THEOPHYLLINE 332

THEOPHYLLINE 200MG TAB SA 3

THEOPHYLLINE 80MG/15ML UD 1

THEOPHYLLINE CAP SR 100MG 2

THEOPHYLLINE TAB SR 400MG 7

THEOPHYLLINE TAB SR, 300MG 24

THER/PROPH/DIAG INJ ADD-ON 161

THER/PROPH/DIAG INJ, SC/IM 206

THER/PROPH/DIAG INJ,IV PUSH 416

THER/PROPH/DIAG IV INF ADDON 576

THER/PROPH/DIAG IV INF,INIT. 582

THER/PROPH/DX CONCURRENT INFUSION 168

THERABAND 37

THERAPEUTIC APHERESIS-PLASMA 3,578

THERAPEUTIC APHERESIS-PLATELETS 2,200

THERAPEUTIC EXERCISE PT 175

THERMODILUTION CATHETER ONLY 297

THIAMINE - VITAMIN B1 494

THIAMINE HCL @ 100 MG INJ 35

THIAMINE TAB, 100MG 0

THIGH SUPPORT FOAM DISP 72201813 420

THIOTHIXENE 10MG CAP 4

THIOTHIXENE 1MG CAP 7

THIOTHIXENE 2MG CAP 14

THIOTHIXENE CAP, 5MG 21

THORACIC SPINE 2 VIEW 342

THORACIC SPINE 3 VIEW 404

THORACIC SPINE MIN. 4 VIEW 426

THORACOPORT 11.5MM 356

THROMBATE 111, INJ 0

THROMBC/INF.DIAL.CIR.W/IV STENT(S 37,482

THROMBC/INF.DIAL.CIR.W/TR.B.ANGIO 24,615

THROMBC/INF.DIAL.CIRC,INC.IM/INJ 11,225

Page 210: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

THROMBIN RECOMB TOPICAL PWD,20000 2,339

THROMBIN RECOMB TOPICAL PWD,5000I 585

THROMBLYTIC ART/VEN THERAPY 5,153

THROMBOLYTIC ART THERAPY 9,173

THROMBOLYTIC VENOUS THERAPY 2,770

THYROGLOBULIN 379

THYROID CAR NET WHOLE 5,602

THYROID IMAGE W/BLD FLOW W/UPTAKE 2,250

THYROID SONOGRAPHY 1,472

THYROID STIM. IMMUNO. 1,188

THYROID STIMULATING HORM (TSH) 391

THYROTROPIN ALPHA INJ, 1.1MG 8,424

THYROXINE BIND GLOB (TBG) 346

TIB BASE ATTUNE SZ4 150670004 5,499

TIB BASE ATTUNEBEAR SZ3 150670003 5,499

TIB BASE ATTUNEBEAR SZ5 150670005 5,499

TIB BASE ATTUNEBEAR SZ6 150670006 5,499

TIB BASE ATTUNEBEAR SZ7 150670007 5,499

TIB BASE ATTUNEBEAR SZ8 150670008 5,499

TIB BASE ATTUNEBEAR SZ9 150670009 5,499

TIB BASEPLATE ATTUNE SZ1 15067000 5,499

TIB BASEPLATE ATTUNESZ2 150670002 5,499

TIB BASEPLATE ATTUNESZ4 150660004 28,834

TIB BASEPLATE CEMTLSSSZ1 5536B100 7,126

TIB BASEPLATE CEMTLSSSZ2 5536B200 7,126

TIB BASEPLATE CEMTLSSSZ3 5536B300 7,126

TIB BASEPLATE CEMTLSSSZ4 5536B400 7,126

TIB BASEPLATE CEMTLSSSZ5 5536B500 7,126

TIB BASEPLATE CEMTLSSSZ6 5536B600 7,126

TIB BASEPLATE CEMTLSSSZ7 5536B700 7,126

TIB BASEPLATE CEMTLSSSZ8 5536B800 7,126

TIB BEAR OSS 12MM 161094 4,951

TIB BEARING OSS 14MM 150411 5,914

TIB COMP NEXGEN LEG SZ5 599602514 9,574

TIB CONE LEGION ID 20 71935394 19,265

TIB CONE LEGION ID26 71935395 19,265

TIB RS MOD 9CM CP113461 39,319

TIB/PER REVASC ADD-ON 5,250

TIB/PER REVASC W/ATHER 19,188

TIB/PER REVASC W/ATHER ADD-ON 19,188

TIB/PER REVASC W/STENT 27,493

TIB/PER REVASC W/TLA 5,250

TIBIA & FIBULA 2 VIEWS 624

TIBIA CONE LEG ID20 SHRT71935387 20,614

TIBIA PSN 5D SZD RT 42532006702 5,992

TIBIA STAGE ONE MOLD 4,665

TIBIAL CONE TRIATH SZE 5549A150 19,265

Page 211: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

TICAGRELOR TAB, 90MG 36

TIGECYCLINE INJ,50MG 19

TIGHT ROPE BUTTON8X12 AR1588TB 828

TIGHTROPE ABS 14MM AR1588TB4 1,308

TIGHTROPE ABS IMPL AR1588TN 1,074

TIGHTROPE ABS OPEN IMPL AR1588TN1 1,133

TIGHTROPE ACR RT AR1588RT 1,605

TIGHTROPE BTB IMPL AR1588BTB 2,189

TILT TEST W OR W/O DRUGS 3,967

TIMOLOL OPHTH SOLN, 0.25% (2.5ML) 85

TIMOLOL OPHTH SOLN, 0.5% (2.5ML) 96

TIMOLOL TAB, 10MG 10

TIMOLOL/DORZOLAMIDE OPHTH SOL 5ML 382

TIMOPTIC XE 0.5% OPHTH GEL 331

TIMOPTIC XE 9.25% OPHTH GEL 280

TIOTROPIUM BROMIDE INH,18MCG-5/BX 535

TIP APPLICAT EXT DURASEL8CM205108 453

TIP APPLICATOR EVICEL45CM 3909 151

TIP APPLICATOR EXT 15CM 205115 453

TIP ASPIR BARRACUD DISP5450800310 4,076

TIP ASPIR SONOPET LONG 5450800302 4,904

TIP ASPIR SONOPET MICRO5450800309 4,320

TIP ASPIR STRAIGHT DISP5450800307 3,525

TIP ASPIRSONOPET SUPLNG5450815114 6,067

TIP INSERTPRODISC6MMDISP03820134S 1,143

TIP LAPARASCOPIC 35 CM RIGID 248

TIPSPRAY PROGEL16CMSGL PGEN00506 551

TIPSS KIT 2,380

TIROFIBAN HCL @ 0.25MG (5MG) INF 84

TISSUE CULTURE, POC 3,338

TISSUE IN SITU HYBRIDIZATION I&R 381

TISSUE MARKER VISI COIL IMPLANTAB 986

TISSUE MARKER, IMPLANTABLE 2,326

TIZANIDINE HCL TAB 4MG 8

TM JOINTS 643

TM PORTAL FILMS 174

TM SPECIAL RX PROCEDURE 2,615

TMA-HYDRATION IV INFUSION,EA ADD HR 544

TNDN ACHILLES W/BONE NON IRRADIA 12,150

TNDN ANTER TIBIS NON IRRADIATED 10,920

TOBRADEX 0.3%0.1% OPHTH SUSP (5ML 689

TOBRADEX OPHTH OINT (3.5 GM) 1,421

TOBRADEX OPTH SUSP 2.5ML 228

TOBRAMYCIN 60 MG/ML 5 ML NEB SOLN 729

TOBRAMYCIN OPHTH OINT 0.3% (3.5) 588

TOBRAMYCIN OPTH SOLN, 0.3% (5ML) 82

TOBRAMYCIN PEAK 381

Page 212: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

TOBRAMYCIN SULF@ 80MG INJ (80) 23

TOBRAMYCIN SULF@ 80MG INJ(1.2GM) 38

TOBRAMYCIN TROUGH 381

TOCOPHEROL CAP 400U 1

TOCOPHEROL CAP,1000 UNIT 2

TOES 2+ VIEWS 493

TOLNAFTATE 1% CREAM 15GM 25

TOLTERODINE CAP, 4MG 69

TOLTERODINE LA CAP 2MG 68

TOLVAPTAN TAB, 15MG 2,919

TOLVAPTIN TAB, 30 MG 3,028

TOOL DILATION 6X18MM DISP LPLF106 10,644

TOOL LEGEND 4.0MM D TIP 10BA40MDN 921

TOOL LEGEND 5.0MM D TIP 10BA50DMN 903

TOOL LEGEND 9CM 6MMBALL FL 9BA60 921

TOOL LEGEND3MM METAL CUTTER MC30 1,302

TOPIRAMATE #30965 279

TOPIRAMATE TAB, 100MG 35

TOPIRAMATE TAB, 25MG 12

TOPOTECAN,@ 0.1 MG ,INJ (4MG) 51

TORSEMIDE 5

TORSEMIDE 16

TORSEMIDE @ 10MG INJ (20) 26

TORSEMIDE TAB, 10MG 4

TOTAL ESTROGEN 24 HR UA 1,250

TOTAL PROTEIN 86

TOTAL VOLUME 72

TOXOPLASMA IGG ANTIBODY 336

TOXOPLASMA IGM ANTIBODY 339

TP SIM SET COMPLEX 2,071

TP SIM SET SIMPLE 1,090

TPLATE 2MM 2H/8H SHAFT 247232 1,476

TRACE ELEMENTS INJ, MTE-5 22

TRACE ELEMENTS INJ, NEONATAL 10

TRACER POINTER 9733367 2,811

TRACH CIAGLIA BL RHINO G53177 2,557

TRAMADOL TAB, 50MG 5

TRANEXAMIC ACID INJ,1000MG/10ML A 208

TRANEXAMIC ACID,650 MG,TAB 42

TRANSCA THR W/ANGIOSI 1,505

TRANSCATH CLOSURE OF ASD 19,240

TRANSCATH OCCLUSION, CNS 8,564

TRANSCATH STENT, CCA W/O EPS 11,020

TRANSCATHETER BIOPSY 8,346

TRANSCATHETER BX 5,038

TRANSESOPH.ECHO-GUIDANCE FOR TAVR 3,650

TRANSFER TRAINING PT 175

Page 213: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

TRANSFERRIN 461

TRANSITWIRE 2.5FR 150CM 3,770

TRANSJUGULAR KIT 2,374

TRAP FINGER LRG 10170053 395

TRAP FINGER MED 10170052 395

TRAP FINGER XL 10170054 395

TRASTUZUMAB @ 10MG ,INJ (150 MG) 706

TRAUMA ALERT LEVEL 1 14,560

TRAUMA ALERT LEVEL 2 9,568

TRAUMA LEVEL 1 W/MOD 25 1,116

TRAUMA LEVEL 2 W/MOD 25 1,961

TRAUMA LEVEL 3 W/MOD 25 3,479

TRAUMA LEVEL 4 W/MOD 25 4,368

TRAUMA LEVEL 5 W/MOD 25 4,992

TRAUMA LVL 6-CRITICAL CARE-1ST HR 5,928

TRAUMA-CRITICAL CARE-ADD 30 MIN 1,845

TRAY ANGIO CUSTOM (DYNJ24736A) 449

TRAY FOLEY CATH 16FR W/ URINE MET 133

TRAY FOLEY CATH 18FR W/ URINE 133

TRAY FOLEY CATH IC SLVR LA 131

TRAY KYPHOPAC EXP 15/2 KPE1003 14,721

TRAY KYPHOPAC EXTEND 15/3 KPT1505 14,721

TRAY LUMBAR PUNCTURE 82

TRAY REVISION CEMENTED SZ 4 18,572

TRAY REVISION TIBIAL SZ 2 33,227

TRAY REVISION TIBIAL SZ 3 33,230

TRAY REVISION TIBIAL SZ3 +25 33,230

TRAY SLEEVE POROUS M/L 29MM 10,539

TRAY SLEEVE POROUS M/L 37MM 10,539

TRAY SLEEVE POROUS M/L 45MM 10,539

TRAY SLEEVE POROUS M/L 53MM 8,625

TRAY TEMP SENSING WITH URINEMETE 199

TRAY TIBIAL MBT CEMENTED 1.5 19,201

TRAY TIBIAL MBT CEMENTED 2.0 20,802

TRAY TIBIAL MBT CEMENTED 2.5 18,572

TRAY TIBIAL SZ D LEFT 10,898

TRAZODONE 100MG TAB 4

TRAZODONE HCL TAB 50MG 2

TRCATH.PL.STENT OPEN/PERC,1ST ART 23,583

TRCATH.PL.STENT OPEN/PERC,1ST VEN 19,188

TRCATH.PL.STENT OPEN/PERC,ADD.ART 8,720

TRCATH.PL.STENT OPEN/PERC,ADD.VEN 8,720

TREAT ARTIC FINGER FRAC,EA. CLOSD 479

TREAT BIMALLEOLAR FRACTURE 1,015

TREAT DISLOCATION/FRACTURE SHOULD 696

TREAT DISTAL FIBULAR FRACTURE 950

TREAT DISTAL FINGER FRAC,EA CLOSD 888

Page 214: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

TREAT ELBOW DISLOCATION W/O ANEST 1,011

TREAT ELBOW DISLOCATION,W/ ANEST 3,016

TREAT ELBOW FRACTURE 3,370

TREAT FINGER DISLOCATION 888

TREAT FINGER FRAC., EACH W/MANIP. 838

TREAT FRAC RADIUS & ULNA W/MANIP. 1,110

TREAT FRAC. RADIUS/ULNA W/ MANIP. 2,220

TREAT HAND DISLOCATION 935

TREAT HIP DISLOCATION W/ANESTH. 4,635

TREAT HIP DISLOCATION W/O ANEST. 1,745

TREAT HUMERUS SHAFT FRAC. W/MANIP 896

TREAT KNEECAP DISL W/O ANTHES 1,011

TREAT KNUCKLE DISLOCATION 885

TREAT LOWER LEG FRACTURE 3,179

TREAT METACARPAL FRAC. W/MANIP. 954

TREAT METACARPAL FRAC. W/O MANIP. 882

TREAT SHOULDER DISLOC. W/ANESTH 5,247

TREAT SHOULDER DISLOC. W/O ANESTH 1,745

TREAT THUMB DISLOCATION 668

TREAT TOE DISLOCATION-INTERPAHL 890

TREAT TOE DISLOCATION-TARSOMET 838

TREAT TRIMALLEOLAR FRACTURE 954

TREATMENT OF BURN(S) 855

TREATMENT OF MEDIAL MALLE FRACT 3,370

TREATMENT OF PENIS LESION 1,015

TREATMENT OF THIGH FRACTURE 2,277

TREPHINE CROWNDRILL 4MM18066166 2,900

TRIAGE ONLY 128

TRIAMCINOLONE 0.1% PASTE 5GM 457

TRIAMCINOLONE ACET @ 10MG INJ(40) 15

TRIAMCINOLONE ACET @ 10MG INJ(50) 16

TRIAMCINOLONE CRM, 0.025% (15G) 25

TRIAMCINOLONE CRM, 0.1% (15G) 33

TRIAMCINOLONE INHALER 20GM 32

TRIAMCINOLONE INJ, 40MG/ML(1ML) 15

TRIAMCINOLONE OINT, 0.025% (15G) 35

TRIAMTERENE 10

TRICHOMONAS VAGIN DIR PROBE 404

TRIETHANOLAMINE CREAM 10% 60G 19

TRIFLUOPERAZINE 5MG TAB 6

TRIFLUOPERAZINE TAB, 2 MG 5

TRIFLUOPERAZINE TAB,1MG 8

TRIFLURIDINE 1% OPHTH SOLN 7.5 874

TRIGLYCERIDES 134

TRIHEXYPHENIDYL TAB, 2MG 3

TRIHEXYPHENIDYL TAB, 5MG 2

TRIM SKIN LESION 250

Page 215: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

TRIMETHOBENZAMIDE CAP, 300MG 9

TRIMETHOBENZAMIDE INJ,200MG/2ML 45

TRIMETHOPRIM TAB, 100MG 4

TRIMMING NONDYSTROPIC NAILS 190

TRIPLE DYE SWAB 2

TRIPTORELIN @ 3.75MG INJ 5,528

TRIPTORELIN @ 3.75MG INJ (11.25) 5,528

TRIPTORELIN INJ,22.5MG VIAL 5,528

TRI-VI-SOL W/IRON SROP, PED 50ML 42

TRLUM.BAL.ANGIO./IMAG-1ST ARTERY 14,480

TRLUM.BAL.ANGIO./IMAG-1ST VEIN 12,123

TRLUM.BAL.ANGIO./IMAG-EA.ADD.ART. 8,038

TRLUM.BAL.ANGIO./IMAG-EA.ADD.VEIN 6,730

TRLUM.BAL.ANGIO.-CTR.DIAL.SG-IMAG 6,514

TROCAR AIRSEAL 12X120MM IAS12120 536

TROCAR AIRSEAL8X120DISP IAS8120LP 495

TROCAR AND INFLATION B (OMST10SB) 1,143

TROCAR ENDO 10/11MM100MM L DILATI 258

TROCAR FLEXIPATH 7MM FP007 286

TROCAR GELPORT 12MM BALLO (C0747) 511

TROCAR LAP 11X100MM CFB33 223

TROCAR LAP FIOS KLL12X100MM CTF74 262

TROCAR LAP KII 12X100MM CF183 262

TROCAR LAP KII 5X150MM COQ05 173

TROCAR LAP KLL 12X150MM COR31 224

TROCAR LAP KLL 5X100MM CTF03 216

TROCAR UNIVERSAL SEPARATOR SYSTEM 376

TROPICAMIDE 0.5% OPHTH SOLN 15 151

TROPICAMIDE OPTH SOLN 1% 3ML 5

TROPONIN I 206

TRUNK EXCLUDER PXT261218 54,233

TRUSS 9X22X10 6D PSTSSM061022SP 29,190

TRUSS 9X22X12 6D PSTSSM061222SP 29,190

TRUSS 9X22X8 PSTSSM060822SP 29,190

TRUSS CERV 11X14X7 CSTSSM0706 5,838

TRUSS CERV 14X11X7 7D CSTSSM0707 5,838

TRUSS CERV 14X11X7 CSTSSM0007 5,838

TRUSS CERV 14X11X8 7K CSTSSM0708 5,838

TRUSS CERV 14X11X8 CSTSSM0008 5,838

TRUSS CERV 14X11X9 7D CSTSSM0709 5,838

TRUSS CERV 17X14X10 CSTSM00710 5,838

TRUSS CERV 17X14X11 CSTSMD0011 5,838

TRUSS CERV 17X14X12 CSTSMD0012 5,838

TRUSS CERV 17X14X6 CSTSMD0006 5,838

TRUSS CERV 17X14X6 CSTSMD0706 5,838

TRUSS CERV 17X14X7 CSTSMD0007 5,838

TRUSS CERV 17X14X7 CSTSMD0707 5,838

Page 216: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

TRUSS CERV 17X14X8 CSTSMD008 5,838

TRUSS CERV 17X14X8 CSTSMD0708 5,838

TRUSS CERV 17X14X9 CSTSMD0009 5,838

TRUSS CERV17X14X9 7K CSTSMD0709 5,838

TRUVADA TAB 251

TRYPTASE 302

TSH SERUM 391

TTE (ECHO), COMPLETE 3,506

TTE (ECHO), FL/LIMITED 1,170

TTE (ECHO)W/CONTRAST-COMPLETE 4,175

TTE (ECHO)W/CONTRAST-LMTD/FOLW-UP 1,953

TTG IGA(TISSUE TRANSGLUTAMIN) 302

TTP VARIAC SYST TOTAL 1004020 2,592

TTP VARIAL SYST 1002020 2,592

TUBE AIRSEAL IFS DISP ASMEVAC 538

TUBE ASSEMBLY RIA 520MM 314746S 2,639

TUBE COMP DIST HOFF 20MM 49210015 2,884

TUBE ENDO TRACH 7.5FR AGENTO SILV 539

TUBE ENDO TRACH 7FR AGENTO SILVER 539

TUBE ENDO TRACH 8FR AGENTO SILVER 539

TUBE ENDOTRACH AGENTO IC SILVER 574

TUBE FEEDING FM STANDARD (COOK) 625

TUBE FEEDING MIC TRANS GASTRIC JE 1,370

TUBE GAST 18F MIC J 010018 230

TUBE JEJUANAL FEED KIT 22FR026022 1,872

TUBE JEJUNOSTOMY 18FR 020018 765

TUBE SALEM SUMP18FR W/ANTI-FLUX 22

TUBE T 1.14X12MM 10-16010 177

TUBE TIBIAL 8MM SGLUSE 18060073S 1,195

TUBE TRACH 10MM 6DCT 250

TUBE TRACH 12MM 8DCT 250

TUBE TRACH FENEST 8.5MM 4DFEN 265

TUBE TRACH FENESTRATED 12MM 8DFEN 266

TUBE TRACH SHIRL SZ6 CUFF 60XLTCD 419

TUBE TRACH SHIRL SZ8 CUFF 80XLTCP 419

TUBE VNT SOILEAU TIT1.27MM1056111 209

TUBERCULIN 5UN/1ML-TB INTRADERMAL 23

TUBESET IRRIGATION AHTO0250070620 206

TUBING APOLLO IRRIGATION APTUBE1 701

TUBING AQUILEX DISP INFLOW AQL110 117

TUBING AQUILEX DISP OUTFLOWAQL111 117

TUBING HYDROFLEX HD W/O D (25300) 538

TUBING HYSTER PUMP FL 0502200000A 529

TUBING INSUF PNEUM18.7X5.83X12.52 209

TUBING IRRIG HYDROFLEX 0025200 408

TUBING IRRIG KIT 1WAY VLV 284549 272

TUBING IRRIG SET FLUID 284504 259

Page 217: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

TUBING KAIRISON DISP FK8885U 853

TUBING LAP SMOKEVAC 5X33CM0025410 299

TUBING ORANGE FMS OUTFLOW 284610 303

TUBING SET ASPIRSONOPET5450850003 2,563

TUBING SMOKE EVAC SC082500 138

TUBING SUCTION REDIFLOW REG631033 344

TUBING,ASPIRATION,PENUMBRA 2,997

TUMOR IMMUNOHISTOCHEM/MAN EACH AB 504

TUMOR LOCALIZATION (SPECT 3,531

TUNNELER SHEATH FOR GRAFT 900923 318

TWINS AFTER 1ST TRIMESTER 532

TWIST DRILL BIT 4.5 /6.5MM 894

TWO OR FOUR LESIONS 261

TX ATRIAL FIB PULM VEIN ISOL 45,152

TX GASTRO INTUB W/ASP 823

TX L/R ATRIAL FIB ADDL 22,575

TX/PRO/DX INJ NEW DRUG ADDON 277

TX/PRO/DX INJ SAME DRUG ADDON 277

TX/PROPH/DG ADDL SEQ IV INFUSION 210

TYLENOL W/CODEINE #3 TAB 2

TYLENOL W/CODEINE ELIXER 12.5MG 10

TYLENOL W/CODEINE ELIXIR (5ML) 8

U/S DETAIL FETAL ANATOMIC 1ST TRI 1,664

U/S-BREAST-COMPLETE-UNILAT 453

U/S-BREAST-LIMITED-UNILAT 356

ULTRASLING LRG BLACK 11044940600 296

ULTRASLING MED BLACK 1104493060 296

ULTRASOUND - 1 UNIT 237

ULTRASOUND STY FOLLOW-UP 833

ULTRASOUND,SOFT TISSUE,HEAD/NECK 1,472

ULTRATAG RBC DIAGNOSTIC KIT 449

UMBILICAL ARTERY ECHO 735

UMECLIDINIUM 62.5 MCG,INH 424

UMECLIDINIUM/VINTEROL 62.5/25,INH 1,182

UNASYN @ 1.5GM INJ (1.5 GM) 24

UNASYN @ 1.5GM INJ (3GM VIAL) 41

UNASYN INJ,(PED SYR) 33

UNLISTED MOLECULAR PATHOLOGY PROC 111

UREAPLASMA PNEUMONIA 368

URETERAL CATH W/WO DILAT 2,593

URETERAL DILATION SYSTEM LUBERGL 1,199

URETEROSTOMY TUBE CHANGE 1,641

URETHROC, VOIDS, S & I 1,775

URIC ACID ON BODY FLUID 112

URIC ACID SERUM 120

URIC ACID, URINE RANDOM 112

URINALYSIS AUTO W/O SCOPE 54

Page 218: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

URINALYSIS AUTO W/SCOPE 84

URINALYSIS MACROSCOPIC ON 84

URINALYSIS ROUTINE 54

URINE 5HIAA (SEROTONIN) 302

URINE AMPHETAMINES (EMIT) 219

URINE AMYLASE 2HR SPEC 170

URINE BARBITURATES (EMIT) 207

URINE BENZODIAZAPINE - EMIT 207

URINE COCAINE (EMIT) 219

URINE COLONY COUNT 189

URINE CREAT CLEARANCE 24H 222

URINE CREATININE 24 HR SP 122

URINE EOSINOPHILS-SMEAR W/ STAIN 59

URINE FREE CORTISOL 446

URINE IMMUNOELECT-IEP 24H 529

URINE MARIJVANA (EMIT) 219

URINE OPIATES (EMIT) 219

URINE ORGANIC ACID 391

URINE OSMOLALITY 161

URINE PCP (EMIT) 207

URINE PHOSPHORUS 24HR SPC 124

URINE POTASSIUM 24HR SPEC 100

URINE POTASSIUM RANDOM 100

URINE PROTEIN/24HR SPEC 95

URINE QUANTITATIVE,TIMED SPECIMEN 674

URINE SODIUM 24 HR SPEC 115

URINE SODIUM RANDOM 115

URINE UREA NITROGEN 112

URINE URIC ACID 112

URINE VMA 24 HR SPECIMEN 364

UROGRAM I V 816

UROGRAPHY ANTEGRADE, S & I 1,510

UROGRAPHY RETRO GRADE 1,367

URSODIOL 300MG CAP 13

URSODIOL ORAL SUSP,25MG/1ML 1

US 1ST TRIMESTER NUCHAL TRANSLUCE 330

US EXAM CHEST, INCL.MEDIASTINUM 1,225

US EXAM K TRANSPL W/DOPPLER 1,688

US GUID FOR CVS 570

US GUID VAS/ACC REQ EVAL REALTIME 505

US GUIDANCE FOR AMNIO 405

US GUIDANCE-PERICARDIOCENTESIS 1,479

US GUIDE,INTRAOP 1,063

US INFANT HIPS REQUIRING MANIPUL 1,076

US PREG REALTIME TRANSVAG W/DOCUM 1,496

US PREG REALTIME W/DOCUMEN FOL/UP 808

US PREG RLTIME <14WKS EA ADD GEST 431

Page 219: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

US PREG RLTIME DTLD FETAL ADD GES 899

US PREG RLTIME<14WKS SGL/1ST GEST 1,083

US PREG.UTERUS LIMITED,1/>FETUSES 808

US XTR NON-VASC COMPLETE 860

US XTR NON-VASC LIMITED 676

USTEKINUMAB @ 1MG, IV INJ (130)NF 84

UTERINE CULTURE 204

UTEROPLASTY, PLAS OP UTER 9,979

VAGINAL DELIVERY W/ ANESTHESIA 4,731

VAGINAL DELIVERY W/O ANESTHESIA 5,095

VAGINAL DELIVERY-EA.ADDL. BIRTH 5,095

VALACYCLOVIR TAB, 500MG 41

VALPROATE SODIUM INF, 500MG 118

VALPROIC ACID (DEPAKENE) 227

VALPROIC ACID 250MG/5ML SYR UD 4

VALPROICACID 250MG CAP 6

VALSARTAN CAP, 160MG 28

VALSARTAN CAP, 80MG 26

VALSARTAN TAB, 40MG 22

VALVE AORTIC CARP19MM 3300TFX19MM 46,060

VALVE AORTIC CARP21MM 3300TFX21MM 46,060

VALVE AORTIC CARP23MM 3300TFX23MM 46,060

VALVE AORTIC CARP25MM 3300TFX25MM 46,060

VALVE AORTIC CARP27MM 3300TFX27MM 46,060

VALVE AORTIC CARP29MM 3300TFX29MM 46,060

VALVE AORTIC INSPIRIS23MM11500A23 45,536

VALVE HEART MIT MOSIAC 310C27 42,358

VALVE HEART MITRAL MOSAIC 31MM 44,060

VALVE HEART MOSAIC 29MM 44,060

VALVE HEART MOSAIC 33MM 44,060

VALVE HRT MITRL MSIAC25MM310C2501 27,215

VALVE MAGNA MITRAL 29MM 7300TFX29 37,334

VALVULOTOME LEM EXPAND 1000-95 6,472

VANCOMYCIN HCL @ 500MG (5 NICU) 1

VANCOMYCIN HCL @ 500MG (50 PED) 2

VANCOMYCIN HCL @ 500MG (5GM COMP) 14

VANCOMYCIN HCL @ 500MG INJ 25

VANCOMYCIN HCL @ 500MG INJ (10GM) 16

VANCOMYCIN HCL @ 500MG INJ (1G) 20

VANCOMYCIN INJ, 100MG/ML (ORAL US 4

VANCOMYCIN PEAK 228

VARICELLA ZOSTER ANTIBODY 301

VARICELLA ZOSTER IGM 301

VASC.EMBOL/OCCL.W/RAD.IMAG,ARTERY 19,188

VASC.EMBOL/OCCL.W/RAD.IMAG,BLEED 19,188

VASC.EMBOL/OCCL.W/RAD.IMAG,ORGAN 12,811

VASC.EMBOL/OCCL.W/RAD.IMAG,VENOUS 19,188

Page 220: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

VASCULAR CLOSURE DEVICE 2,221

VASOPRESSIN INJ, 20U/ML 337

VASOVIEW VES HARVEST SYST VH3000 5,863

VAXCEL PORT RESERVOIR 2,841

VECURONIUM 10MG INJ 34

VECURONIUM INJ, 20MG 68

VEDOLIZUMAB @ 1MG INJ (300MG) V 95

VEMLAVAXINE 15

VEN,CAV,INFE,SER S& 4,949

VEN,CAV,SUPE,SER,S& 4,579

VEN,RENL, UNIT.SL.S& 4,949

VENACAVOGRAM (SUP OR INF) 313

VENLAFAXINE 15

VENLAFAXINE HCL 12

VENLAFAXINE TAB, 37.5MG 11

VENLAFAXINE TAB, 75MG 12

VENLAFAXINE XR CAP CR, 75MG 24

VENLAFAXINE XR CAP, 37.5MG 71

VENOGRAM 1,623

VENOGRAM S&I EXTREMITY UNILATERAL 1,248

VENOGRAPHY, EXTREM UL 1,248

VENOGRAPHY, EXTREMITY, BILATERAL 1,560

VENOUS CATH SEL ORGAN BL 2,411

VENOUS MECH THROMBECTOMY 8,762

VENOUSE MECH THROMBECTOMY ADD-ON 8,280

VENT MGMT, INITIAL DAY 2,704

VENT MGMT, SUBSEQUENT DAY 2,496

VERAPAMIL 120MG TAB 4

VERAPAMIL 5MG INJ 190

VERAPAMIL 80MG TAB 3

VERAPAMIL HCL INJ, 10 MG/ 4 ML 10

VERAPAMIL HCL TAB 40MG 2

VERAPAMIL HCL TAB SR 14

VERAPAMIL HCL TAB SR, 120MG 13

VERAPAMIL HCL TAB SR, 240MG 14

VERTEBROPLASTY KIT 2,468

VIDEO ESOPHAGUS 1,459

VINBLASTINE SULFATE,@ 1MG,INJ(10) 19

VINCRISTINE SULFATE,@ 1 MG,INJ(1ML) 102

VINCRISTINE SULFATE,@ 1 MG,INJ(2ML) 37

VINORELBINE INJ, 50MG/5ML 116

VIRAL CAPSID AG - EBV IGG 428

VIRAL CAPSID AG - EBV IGM 428

VISIPAQUE 300-399MG/ML IODINE,1ML 6

VISIPRO BILIARY STENTPXB350737135 5,663

VISIPRO BILIARY STENTPXB350831135 5,663

VIT B12 UNSAT BINDING CAP 339

Page 221: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

VITAL CAPACITY TOTAL 228

VITAMIN A 268

VITAMIN A CAPS, 10,000 UNITS 0

VITAMIN B COMPLEX W/ C TAB 0

VITAMIN B2 483

VITAMIN B6 659

VITAMIN D 25-DIHYDROXYVITAMIN 898

VITAMIN D TAB. 400 I.V. 0

VITAMIN D(1,25 DIHYDROXY) 898

VITAMIN D3 TAB, 1000 UNITS 0

VITAMIN E 336

VITAMINS A&D OINTMENT PKT, (5G) 1

VON WILLEBRAND FACTOR 500/1200UNI 6

VORICONAZOLE TAB, 200MG 224

VP-ABI,SINGLE LEVEL,UNILATERAL 463

VP-AORT/IFC/ILIAC/GRF DUPLX,COMPL 1,400

VP-COVIDIEN ABLATION PROCEDURE 4,992

VP-EXTR.VENOUS DUPLEX,COMPL,BILAT 1,600

VP-LO EXT.ART.REST+STRESS,COMP/BI 1,200

VP-LOW.EXT.ART.DUPLEX,COMPL,BILAT 1,300

VP-LOW.EXT.ART.DUPLEX,LMTD,UNILAT 700

VP-UP OR LO EXT.ART.COMP.BI-3+LVL 997

VP-UP OR LO EXT.ART.LMT.BILAT-2LV 700

VP-UP.EXT.ART.DUPLEX,COMPL,BILAT 3,200

VP-UP.EXT.ART.DUPLEX,LMTD,UNILAT 800

VP-VESSEL MAPPING HEMO ACCESS 492

V-STIM W/HIS RECORDING 4,617

VW FACTOR, MULTIMETRIC 546

WALLSTENT, PALMAZ, ALL 10,197

WAND APOLLO LARGE AP9 32,664

WARFARIN 2.5MG TAB 15

WARFARIN SODIUM TAB, 10MG 22

WARFARIN SODIUM TAB, 1MG 14

WARFARIN SODIUM TAB, 2MG 15

WARFARIN SODIUM TAB, 5MG 16

WARFARIN TAB, 3MG 15

WARFARUB 7.5MG TAB 21

WASHER 10MM AR8945W 467

WASHER 390018 156

WASHER 7.0 SS AR8870W 175

WASHER 7.0MM AR8740W 204

WASHER ASNIS FOR 3.5 SCREW619920 152

WASHER ASNIS TI 5.0 619906 124

WASHER FOR 3.5MM SCREWS 4035900 388

WASHER HOFF 4MM BLUE 49331712 167

WASHER HOFFMAN 2MM 49331711 167

WASHER HOFFMAN 7MM 49331713 167

Page 222: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

WASHER SCREW ASNIS 2MM 4020900 286

WASHER SCREW ASNIS 3.0MM 4030900 840

WASHER SCREW ASNIS 3.0MM 4030900S 488

WASHER SCREW ASNIS 4MM390016 156

WASHER SCREW VAR 2.7MM 4027900 339

WASHER SCREWASNISLLL7X.08MM619905 156

WASHER STEEL FOR 5MM SCREW 156

WASHER T2 HUM SQUARE 18300009S 741

WEDGE BIOSYNC 18X18X8 AR8942W810S 12,814

WEDGE BIOSYNC 20X20X12AR8942W2012 12,814

WEDGE BIOSYNC 20X4.5 AR8948W2045 11,647

WEDGE BIOSYNC 20X5.5 AR8948W 11,647

WEDGE BIOSYNC 20X6.5 AR8948W2065 11,647

WEDGE BIOSYNC18X18X10 AR8942W1810 11,378

WEDGE BIOSYNC18X18X6.5AR8942W1806 12,814

WEDGE BIOSYNC20X7.5 AR8948W2075 11,647

WEDGE DIST FEM SZ4 15MM71421663 5,150

WEDGE DISTAL 45MM 5,153

WEDGE DISTAL 5MM SZ 2 5,153

WEDGE DISTAL 5MM SZ8 71421674 5,153

WEDGE EVANS 22X22X6.5 AR8942W2206 12,814

WEDGE EVANS TITAN SM P03EVN0012S 13,683

WEDGE FEM 5MM SZ6SCR DIST71421667 5,153

WEDGE FEM LEGION SZ4 71422156 8,059

WEDGE FEM LEGION SZ4 71422157 7,549

WEDGE LEGION SZ8 5X10 71421772 4,952

WEDGE POST 5MM 5,153

WEDGE TIB SZ 5-6 10MM 71423059 7,531

WEDGEBIOSYNC20X20X6.5 AR8942W2006 12,814

WEST NILE AB PANEL-CSF 1,541

WESTERN BLOT TEST 416

WHIRLPOOL 140

WHIRLPOOL STERILE CHLORAZINE 177

WHOLE BLOOD PROC FEE 1,360

WIRE 2X450 W/OLIVE 49338040 364

WIRE BB TAK LRG AR897009T 876

WIRE GUIDE 1/1/15MM PLAIN 171

WIRE GUIDE BENTSON 035X260 G01063 133

WIRE GUIDELUND035X260TSMG35260LES 601

WIRE INTERMED TIP .018 80 CM 432

WIRE K .9X127MM KWIRSTD15127 127

WIRE K 1.6X150MM AGK16150 310

WIRE K 1.8X310MM 0152-02185 641

WIRE K ASNIS3X1.2X100MM4530015S 185

WIRE K AXSOS 2.0 705002 479

WIRE KIRCH 1.4X100MM AGK0214100 281

WIRE KIRCH 2.0 100 0211190201 251

Page 223: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

WIRE KIRCH1.4X150MM AGK0214150 292

WIRE KIRSCH .9X152 KWIRSTD09152 134

WIRE KIRSCH .9X70MM AGKO9070M 292

WIRE KIRSCH 1.25X150 00490101215 556

WIRE KIRSCH 2.0 29020280 149

WIRE KIRSCH 3.2X400MM 18063031S 778

WIRE KIRSH .8X100MM 4520015S 143

WIRE KIRSH 3.2X450MM 12106450S 584

WIRE LUND XS 035X260 G53967 669

WIRE PILOT REUNION 59016072 230

WIRE RSA SHOULDER 59011119 209

WIRE TAK BALL TIP TEMP AR13226T 434

WIRE TAK TEMP FIX AR13226 174

WIRE TRUELOK 1.8 541215 981

WIRE TRUELOK 1.8X400 541216 656

WITCH HAZEL PADS 19

WND-BIOPSY, SKIN LESION SINGLE 735

WOUND CARE - 3 AREAS 480

WOUND CARE - 4 AREAS 638

WOUND(S) CARE NON-SELECTIVE 385

WRAP NEUROMEND 6MMX5CM CNW6050 9,967

WRENCH AUDIBLE TORQ DISP48561028 1,722

WRENCH KIT 5873W 292

WRIST 2 VIEWS 581

WRIST 3 VIEWS 653

XENFORM SOFT6X10MATRIX M006830250 7,566

XM ARCHIVE TISSUE MOLEC ANAL 300

XOFIGO-RADIUMRA223DICHLORIDE,@MCI 362

XRAY EXAM SURG SPECIMEN 618

XRAY EXAM-PELVIS-1 OR 2 VIEWS 560

XRAY EXAM-PELVIS-3 OR MORE VIEWS 560

XRAY, TRANSCATHETER THERAP 11,305

X-RAYS BONE LENGTH STUDY 293

X-RAYS FOR BONE AGE 192

X-RAYS,BONE SURVEY COMPLETE 1,872

X-RAYS,BONE SURVEY,INFANT 452

XYPREXA TAB, 7.5MG 91

YOKE 6,131

ZAFIRLUKAST TAB, 20MG 17

ZIAC 10 MG TAB 6

ZIAC 2.5MG/6.25MG TAB 6

ZIAC 5 MG TAB 6

ZIDOVUDINE @ 10 MG INJ (200) 10

ZIDOVUDINE @ 10MG INJ(4MG-NICU) 8

ZIDOVUDINE 100MG CAP 11

ZIDOVUDINE SYRUP 50MG/5ML 7

ZINC 268

Page 224: DESCRIPTION CHARGE 17 HYDROXYPROGESTER, SER 641 24 … · a-augmentin susp, 600mg/5ml 19 abacavir soln, 20 mg/ml (240ml 4 abacavir tab, 300mg 57 ... abdomen retropert ltd 1,457 abdomen

ZINC OXIDE OINT, 20% (30GM) 19

ZINC SULFATE CAP, 220MG 1

ZINC SULFATE INJ, 1MG/ML 18

ZIPRASIDONE CAP, 20MG 45

ZIPRASIDONE CAP, 40MG 48

ZIPRASIDONE CAP, 60MG 58

ZIPRASIDONE CAP, 80MG 6

ZIPRASIDONE MESYLATE @10MG INJ(20 97

ZOLEDRONIC ACID,@ 1MG (4MG),INJ 170

ZOLEDRONIC ACID,@ 1MG (5MG),INJ 391

ZOLEDRONIC ACID,@ 1MG(4MG-PB),INJ 306

ZOLPIDEM TARTRATE TAB, 5MG 1

ZOSYN,@ 1/.125GM,INJ (2/.25-D5W) 47

ZOSYN,@ 1/.125GM,INJ (2/.25-VIAL) 41

ZOSYN,@ 1/.125GM,INJ (3/.375-D5W) 47

ZOSYN,@ 1/.125GM,INJ (4/.5-D5W) 45

ZOSYN,@ 1/.125GM,INJ (4/.5-VIAL) 39

ZOSYN,@ 1/.125GM,INJ(3/.375-VIAL) 23

ZOSYN,@ 1/.125GM,INJ(30MG-NICU) 38