The Physicians’ Hospital in Anadarko uses a chargemaster to determine its standard charge for services and supplies associated with patient care/treatment. The "chargemaster" is a comprehensive list of prices established by the hospital for services and supplies used during individual patient treatment. This list reflects standard charges and may not reflect actual patient balance since payment rates are negotiated with health plans, predetermined by the federal government for Medicare or set by the state government for Medicaid participants. Further, uninsured patients are not generally expected to pay the hospitals standard charges in the chargemaster and may be eligible for financial assistance. For more information regarding financial assistance, please review our Charity Care Policy and Procedures listed on the home page of this website.

           
Description Standard Charge
.045 K WIRE 29.75
".062"" K-WIRE" 57.90
0 SILK TIE SA86G 8.16
02 NASAL CANNULA 20.25
1.1 MICROSMOOTH PHACO TIP SLEEVE 72.00
1.5 CORITCAL SCREW 10MM TRI-MED 405.00
"1.7MM SUTUREFIX ULTRA ANCHOR W/46"" ULTRA" 1,050.57
1.8 MM Q-FIX IMPLANT 25-1800 2,100.00
1.8MM Q-FIX DRILL KIT 1,800.00
2.0 CORTICAL SCREW 10MM TRI-MED 405.00
2.0 CORTICAL SCREW 8MM TRI-MED 405.00
2.5MM DRILL BIT 8290-29-070 330.00
24 HR URIN SODIUM 80.00
24 HR URINE CHLORIDE 120.15
24 HR URINE POTASSIUM 80.00
24 HR URINE TOTAL PROTIEN 63.00
24 HR URINE(FREE CORTIZOL) 154.00
24-HOUR URINARY CALCIUM 120.15
24HR PROTEIN ELECTROPHEN 41.40
24HR URINE CREAT 55.65
25-HYDROXY VITAMIN D 264.48
3.5 CORTEX SCREW SELF TAPING 16MM 204.81 126.00
3.5 CORTEX SCREW SELF TAPING 18MM 204.81 126.00
3.5MM 100 DEGREES, TUBULAR PLATE 7 HOLE 312.00
3.5MM CORTICAL SCREW 12MM 8150-37-014 174.00
3.5MM CORTICAL SCREW 14MM 8150-37-014 174.00
3.5MM CORTICAL SCREW 16MM 8150-37-016 174.00
3.5MM CORTICAL SCREW 18MM 8150-37-018 174.00
3.5MM LCP RECONSTRUCTION PLATES 1,135.00
30 DEG ROND 1.1 FLARED IVS PHACO TIP 195.00
4.0mm ABRADER Burr 7205324 173.67
4.0MM ACROMIONER BURR 7205326 173.67
4.0MM CANCELLOUS SCREW FT 16MM 174.00
4.0MM CANNULATED CANCELLOUS SCREW PT 40M 564.00
4.0MM CANNULATED CANCELLOUS SCREW PT 44M 564.00
4.5MM FOOTPRINT ULTRA PK SUTURE ANCHOR 1,186.56
4X4 SILVASORB DRESSING 50.19
5.5 SHAVER 72203519 319.83
5.5MM FOOTPRINT ULTRA PK SUTURE ANCHOR 1,186.56
ABCESS CULTURE/AEROBIC 15.00
ABCESS CULTURE/AEROBIC 15.00
ABDOMEN 1V PORTABLE 248.48
ABDOMEN ACUTE SERIES COMPLETE 457.88
ABDOMEN XRAY 1 VIEW 248.48
ABDOMEN XRAY 2 VIEWS 457.84
ABDOMEN XRAY 3 OR MORE VIEWS 457.84
ABILIFY 8.30
ABILIFY 1.00
ABILIFY 30MG TAB 117.60
ABO/RH 65.75
ABSCESS CULTURE AEROBIC 20.01
ABSCESS CULTURE ANAEROBIC 20.01
ABSCESS CULTURE/AEROBIC 15.00
ABSCESS GRAM STAIN 20.01
ABSORBTION MAT CLOUD 9 ARTHRO 7209462 24.45
ACAPELLA PEP THERAPY SYSTEM 153.00
ACCU-PASS SUTURE SHUTTLE 70 DEG 72200419 393.12
ACE (angiotensin-1) 130.94
"ACE BANDAGE 6""" 9.75
ACE BANDAGE 2IN 9.75
ACE BANDAGE 2INCH 9.75
ACE BANDAGE 3IN 4.00
ACE BANDAGE 4IN 6.75
ACE BANDAGE 4INCH 6.75
ACELLULAR DERM MATRIX IMPLANT 5,857.10
ACETAMINOPHEN 208.78
ACETAZOLAMIDE SODIUM 500MG 129.95
ACETONE 60.67
ACETYLCHOLINE RECEPTOR BINDING AB 215.28
ACETYLCHOLINE RECEPTOR BLOCK AB 357.00
ACETYLCHOLINE RECEPTOR MODULATING AB 225.00
ACETYLCYSTEINE 6 GM/ 30 ML 269.24
ACETYLCYSTEINE 600 CAPS 18.75
ACID FAST STUDIES 110.00
ACID FAST STUDIES 20.01
ACID FAST STUDIES 20.01
ACID FAST STUDIES 20.01
ACL DISPOSABLE PROCEDURE KIT 1,287.00
ACTH 233.44
ACTICOAT SILVER DRESSING 4X4 35.25
ACTIDOSE SORBITOL SOL 25 GRAM 66.55
ACTIDOSE/SORBITOL 50 GM 94.35
ACTIDOSE/WATER 25 GRAM 70.55
ACTIVASE IV 100 MG 32,537.00
ACTIVE WOUND MGMNT/NON-SEL DEBRIDEMENT 334.92
ACTOS 30 MG 5.50
ACTOS 45 MG TAB 5.50
ACTOS TAB 15 MG 34.95
ACULAR 0.5% OPHTH SOLN 23.70
ACUTRAK SCREW 1,155.00
ACYCLOVIR 800 MG TAB 5.50
ACYCLOVIR ORAL TAB 400 MG 5.50
ADALAT CC TAB 30 MG 5.50
ADAPT MEDICAL ADHESIVE SPRAY 66.57
ADAPTER INLINE NEB TEE W/VALVE BLUE TEE 4.83
ADAPTER VENT CIRCUIT 15MM 2.67
ADAPTER VENT CIRCUIT 22MM 1.00
ADAPTIC DRESSING 3 X 8 3.50
ADAPTIC DRESSING 3X3 2.25
ADDERALL 306.00
ADHESIVE ALLEVYN 3X3 13.00
ADHESIVE ALLEVYN 5 X 5 19.50
ADHESIVE ALLEVYN 7X7 53.00
ADHESIVE SKIN DERMABOND 181.50
ADHESIVE SKIN STITCH duplicate 74.25
ADHESIVE/LIQUID- MASTISOL 4.50
ADJ TIS TRNSFR/REARRGMT E/N/E/L DFCT 7,842.15
ADMIT KIT 8.75
ADRENALIN INJ 1 MG/ML 1 ML VIAL 9.80
ADRENALIN INJ 30 MG/30 ML 31.95
ADRENALIN INJ SYRINGE 1 MG/10 mL 22.60
ADULT AMBU BAG 82.50
ADULT CANNULA NASAL 7.25
ADULT LG PULL UP/PER PK 5.04
ADULT OXYGEN MASK 7.25
ADVAIR DISKUS MDI 100-50 MCG 6,802.60
ADVAIR DISKUS MDI 250-50 MCG 485.90
ADVAIR DISKUS MDI 500-50 MCG 791.95
AFO BRACE 103.50
AFP MATERNAL SERUM 79.35
AFP TM 72.60
AFRIN NASAL 5.75
AGGRENOX 25/200 42.15
AIR LIFE NEBULIZER 5.00
AIRTRAQ LARYNGOSCOPE DISP 264.00
AIRWAY 4.75
AIRWAY NASAL 34FR 7.74
ALBUMIN 45.16
ALBUMIN 25GM/100ML (25%) 348.40
ALBUTEROL 2.5/0.5ML CONCENTRATE 5.50
ALCOHOL PREP PADS 1.50
ALDACTONE TAB 25 MG 5.50
ALDOLASE 39.51
ALDOSTERONE 198.48
ALGINATE DRESSING SMALL 12.75
ALKALINE PHOSPHATASE ISOENZYMES 73.33
ALLEGRA 180 MG TAB 5.50
ALLOPURINOL TAB 100 MG 5.50
ALLOPURINOL TAB 300 MG 5.50
ALPHA - 1 ANTITRYPSIN 46.08
ALPHA FETOPROTIEN 182.97
ALPHAGAN P 0.15% OPHTH SOLN 355.80
ALT 22.00
ALTACE CAP 2.5 MG 5.50
ALUMINUM-6021 198.00
AMARYL 2 MG 5.50
AMARYL TAB 4 MG 5.50
AMBIEN TAB 5 MG 5.50
AMBIENT MEGAVAC 90IFS 4.2MM 690.00
AMBIENT SUPER MULTIVAC 50 IFS 3.75MM 690.00
AMBIO 2 GRAFT 1.5 X 2CM 1,425.00
AMIDATE INJ 40 MG/20 ML 29.00
AMINOPHYLLINE INJ 25 MG/ML 10ml vial 7.35
AMINOS RT ACELLULAR LIQUID AMNION 2.0ML 5,406.00
AMIODARONE INJ 450 MG/9 ML 20.85
AMIODARONE INJ 150 MG/3 mL 8.50
AMION GRAFT AG-2015 1,800.00
AMMONIA 110.59
AMNIHOOKS 11.00
Amniotic Membrane Allograft 2.0x3.0cm 3,585.00
AMO LENS 477.00
AMOXICILLIN 400MG/5ML 22.15
AMOXICILLIN SUSP 125MG/5ML 12.40
AMOXIL CAP 250 MG 5.50
AMOXIL CAP 500 MG 5.50
AMOXIL SUSP 250 MG/5 mL 100ML 12.70
AMOXIL SUSP 250 MG /5ML 150 ML 12.70
AMPICILLIN 1 GM 7.35
AMPUTATION ABOVE THE KNEE 24,846.30
AMPUTATION METATARSAL WITH TOE-SINGLE 8,717.60
AMPUTATION TOE PARTIAL IP JOINT 7,276.30
AMYLASE 95.33
ANAL FISTULA REPAIR FISTULECTOMY/OTOMY 9,707.15
ANALYSIS NEUROSTIM SPINE/PERIPH COMPLEX 546.10
ANCA Screen 183.95
ANCEF INJ 1 GRAM 9.20
ANECTINE INJ 200 MG/10 ML 39.50
ANES 02 PER 15 min 75.00
ANES BIER BLOCK 249.75
ANES MACHINE 158.50
ANES MASK ADULT SZ 5 26.50
ANESTHESIA MASK (INFANT) BUBBLE GUM 4 7.00
ANESTHESIA TECHNICAL COMPONENT 49.50
ANGIOTENSIN II 267.00
ANGIOTENSION II 267.00
ANKLE 2 VIEWS 148.50
ANKLE 3 VIEWS 284.80
ANKLE DISLOCATION CLOSED W/O ANES 599.49
ANKLE DISLOCATION CLOSED W/O ANES 299.75
ANORECTAL EXAM SURGICAL DIAGNOSTIC 7,275.80
ANOSCOPY DIAGNOSTIC 455.90
ANOSCOPY W/BIOPSY 4,137.10
ANOSCOPY WITH DILATION 4,388.00
ANTERIOR CHAMBER CANNULA 72.00
ANTERIOR CHAMBER MAINTAINER 70.89
ANTERIOR CHAMBER MAINTAINER 70.89
ANTERIOR COLPARRAPHY RP CYSTOCELE W/CYST 20,559.05
ANTERIOR VITRECTOMY PACK 522.90
ANTI FOG 12.00
ANTI REFLUX VALVE 20.15
ANTIBODY ID PANEL 165.00
ANTIBODY SCREEN 94.29
ANTICARDIOLIPIN AB 88.00
ANTIFUNGAL CREAM 14.46
ANTIFUNGAL OINTMENT 20.76
ANTIFUNGAL POWDER 16.11
ANTIMITOCHONDRIAL AB 176.91
ANTI-MULLERIAN HORMONE 124.86
ANTINUCLEAR ANTIBODY (ANA) 112.43
ANTI-PHOSPHOLIPASE AB 150.00
ANTIPHOSPHOLIPID AB 290.43
ANTITHROMBIN III NAG 88.00
ANTIVERT TAB 25 MG 5.50
ANUCORT-HC SUPP 25 MG 5.50
APERFIX FEMORAL IMPLANT SYS 9MMX29MM ACL 2,709.00
APERFIX II CANNULATED TIBIAL PEEK IMP 9M 1,344.00
APHERESIS FRESH FROZEN PLASMA 247.50
APLISOL [5 TU/0.1 ML] 175.45
APO B 122.40
APP MODALITY 1/> AREA EL MA STI EA 15MIN 75.00
APP MODALITY 1/> AREA HUBBARD TANK EA15M 75.00
APP MODALITY 1/> AREA MECHANICAL TRACTIO 180.00
APP MODALITY 1/> AREA ULTRASOUND EA15MIN 75.00
APP MODALITY 1/> AREA VASOPNEUMAT DEVICE 180.00
APPENDECTOMY OPEN ADD ON 414.30
APPLICATE MULTILAYER VENOUS WND COMP 400.84
APPLICATION OF UNNA BOOT-LEFT 553.24
APPLICATION OF UNNA BOOT-RIGHT 553.24
APPLICATION RIGID TOTAL CONTACT LEG CAST 1,186.40
APPLICATOR COTTON TIP 1.00
APPLY SKIN GRAFT FEET; 1ST 100 CM 7,138.90
APPLY SKIN GRAFT FEET; 1ST 25 CM OR LESS 7,138.90
APPLY SKIN GRAFT FEET; EA ADD 100 CM 1,784.70
APPLY SKIN GRAFT FEET; EA ADD 25 CM UP T 1,784.70
APPLY SKIN GRAFT LEGS; 100 CM OR LESS 7,138.90
APPLY SKIN GRAFT LEGS; 1ST 25 CM OR LESS 7,138.90
APPLY SKIN GRAFT LEGS; EA ADD 100 CM 1,784.70
APPLY SKIN GRAFT LEGS; EA ADD 25 CM UP T 1,784.70
APRESOLINE INJ 20 MG/mL 17.15
APRESOLINE TAB 25 MG 5.50
APRISO ER 0.375G CAPSULE 1.00
APTT 45.57
AQUACEL AG DRESSING 3/4 x 18 duplicate 37.71
"AQUACEL DRESSING 3/4""X18""" 41.00
AQUA-MEPHYTON INJ 10 MG/ML 146.60
AQUA-MEPHYTON INJ NEONATE 1MG/0.5ML 18.00
AQUAPAK ADAPTER 7.17
AQUATIC THERAPY W/EXERCISE EA15 MIN 75.00
ARANESP 60MCG/0.3ML 1,748.68
ARGININE VASSIPRESSIN 670.95
ARGON UHP 6000(CYLINDER) 1,063.53
ARHTROSCOPY, KNEE SURGICAL; ABRASION ART 12,191.20
ARICEPT TAB 5 MG 5.50
ARIXTRA 2.5MG/0.5ML 53.90
ARMBOARD ADULT 12.00
ARMBOARD CHILD 2.25
ARTANE 1.00
ARTANE 2MG TAB 5.50
ARTERIAL BLOOD GASES 190.11
ARTERIAL STRESS TEST REST/TREADMILL BIL 508.40
ARTHORCENTESIS ASPIRATION; MJR JOINT 140.70
ARTHROCENTESIS LG JT 913.65
ARTHROCENTESIS, ASPIRATION; MJR JOINT 140.70
ARTHROSCOPY KNEE MEDIAL AND LATERAL 12,191.70
ARTHROSCOPY KNEE MEDIAL OR LATERAL 12,191.70
ARTHROSCOPY KNEE W/MENISCUS RPR MED/LAT 12,191.70
ARTHROSCOPY PACK 181.50
ARTHROSCOPY PUMP TUBE SET A127 259.20
ARTHROSCOPY SHLDR SURG SYNOVECTOMY PART 26,107.85
ARTHROSCOPY SHLDR SURGICAL CAPSULORRHAPH 28,030.10
ARTHROSCOPY SHOULDER EXTENSIVE 12,191.70
ARTHROSCOPY SHOULDER EXTENSIVE DEBRIDEME 12,191.70
ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR 28,032.10
ARTHROSCOPY SHOULDER SLAP LESION 26,107.85
ARTHROSCOPY TUBING 174.66
ARTHROSCOPY, KNEE SURGICAL REMOVAL OF LO 5,000.00
ARTHROSCOPY, KNEE, SURGICAL SYNOVECTOMY 13,226.15
ARTHROSCOPY, SHOULDER SURGICAL, DECOMPRE 6,613.10
ARTHROSCOPY, SHOULDER, SURGICAL; DEBRIDE 13,226.15
ARTHROSCOPY, SHOULDER, SURGICAL; DISTAL 13,226.15
ARTHROSCOPY, SHOULDER, W/WO BIOPSY 13,226.15
ARTHROTOMY INTERPHALANGEAL JOINT 12,191.70
ARTHROTOMY, ANKLE, W/JOINT EXPLORATION 12,191.50
ARTHROTOMY, ELBOW 1,315.83
ARTHROTOMY, ELBOW 1,315.83
ARTHROTOMY, W/SYNOCECTOMY KNEE 28,592.74
ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR 13,226.15
ARTIFICIAL TEARS 5.50
ARTIFICIAL TEARS OS 9.10
ASACOL HS 800MG 1.00
ASCENDA CATHETER MEDTRONIC 8780 3,300.00
ASCORBIC ACID TAB 500 MG 5.50
ASO ANTIBODY 90.00
ASPIRATION BLADDER INSERT SUPRAPUBIC CAT 8,478.40
ASPIRATION, WRIST, ELBOW OR ANKLE 116.37
ASPIRATION, WRIST, ELBOW OR ANKLE 116.37
ASPIRIN TAB 325 MG 5.50
ASPIRIN CHEWABLE TAB 81 MG 5.50
ASPIRIN ENTERIC COATED TAB 81 MG 5.50
ASPIRIN ENTERIC COATED TAB 325 MG 5.50
ASPIRIN SUP 300 MG 7.15
ASPIRIN SUP 600 MG 7.50
ASSAY VITAMIN B 180.00
ASSESS APHASIA W/INTERP & REPORT PER HR 270.00
AST 22.00
ATARAX 25MG TAB 6.05
ATIVAN 0.5 MG TAB 7.25
ATIVAN INJ 2 MG/ML 5.50
ATIVAN INJ 4 MG/ML 13.20
ATIVAN INJ [2 MG/ ML ] 8.20
ATIVAN TAB 1 MG 5.50
ATROPINE & TREATMENT 49.50
ATROPINE INJ 0.4 MG 9.80
ATROPINE INJ PED SYR 0.25 MG/5 ML 62.05
ATROPINE INJ SYR 1 MG/10 ML 40.45
ATROVENT 6.50
ATROVENT MDI 17 MCG/INH 117.95
AUGMENTIN 250M 62MG/5 ML 27.00
AUGMENTIN 400-57MG 12.85
AUGMENTIN TAB 500-125 MG 5.50
AUGMENTIN TAB 875-125 MG 41.25
AURALGAN OTIC SOLN 24.75
AUTOIMMUNE PROFILE 197.73
AVULSION NAIL PLATE PART 259.50
AVULSION NAIL PLATE, SIMPLE 157.95
AVULSION OF NAIL PLATE 307.00
AZITHROMYCIN 500MG 10.25
AZULFADINE 500 MG 5.50
B12/FOLATE PANEL 106.00
B6 (Pyridoxine) 111.98
BABY POWDER 2.50
BABY WIPES 10.00
BACITRACIN OINT 1/32 OZ 5.50
BACK BRACE XXL 78.21
BACLOFEN 20MG 5.70
BACTERIAL FILTER 3.75
BACTERIAL IDENTIFICATION 64.07
BACTERIAL SENSITIVITY 93.46
Bactitracin-Polymyxin B 97.60
BACTRIM DS 800/160 INJ 67.50
BACTRIM DS TAB 800-160 MG 5.50
BACTROBAN 2% OINT 62.50
BAG DRAIN URINE 13.25
BAG LEG URINE 9.75
BAG PED URINE COLLECTION 6.00
BAG PRESSURE INFUSE 51.75
BAIR HUGGER WARMER UNIT 49.50
BANDAGE ESMARK 6 IN 38.75
BANDAID/KNEE ELBOW 0.75
BARIATRIC LIFT RENTAL PER DAY 57.60
BARIUM SWALLOWING FUNCTION 418.00
BARRON MARKING DONOR CORNEAL PUNCH 7.25 175.50
BARRON MARKING DONOR CORNEAL PUNCH 7.50 175.50
BARRON MARKING DONOR CORNEAL PUNCH 7.75 175.50
BARRON MARKING DONOR CORNEAL PUNCH 8.0 175.50
BARRON MARKING DONOR CORNEAL PUNCH 8.25 175.50
BASIC PACK 170.50
BASIC SET UP PACK 26.50
BASIC-M 143.49
BASIN EMESIS 4.75
BASIN PACK, STERILE 6.00
BASIN/WASH 1.75
BATHING SYSTEM HIBICLENS 56.16
BATTERY (MEDTRONIC) 18,000.00
BAZA ANTIFUNGAL CREAM 6.00
BBK A1-TYPE AB 4 93.00
BBK AB ABSORP-04E 612.00
BBK AB ELUTION-04B 615.00
BBK AB L19 657.00
BBK AB TITER-L07 147.00
BBK ANTI-C RH4 132.00
BBK ANTI-C RH5 132.00
BBK ANTI-s MS4 252.00
BBK COLD AGG-04A 615.00
BBK COMPATIBILITY TEST-LI2 252.00
BBK CW-RH8 177.00
BBK E-RH3 93.00
BBK FULL CROSSMATCH-12B 333.00
BBK FYA-FYI 219.00
BBK Fyb-Fy2 219.00
BBK JK3-JK1 219.00
BBK JKb-JK2 219.00
BBK K-K1 93.00
BBK k-K2 132.00
BBK Lea-LE1 252.00
BBK Leb-LE2 252.00
BBK M-MS1 252.00
BBK N-MSZ 132.00
BBK PI-P1 252.00
BBK SICKLE-L89 204.00
BBK S-MS3 252.00
BBK-04F 234.00
BBK-C RH2 93.00
BBK-EXT 93.00
BBK-RARE ANTISERA-OTH 177.00
BBK-RMT 780.00
BED-BARIATRIC 299.70
BED-LOW AIR LOSS 264.00
BED-SANDBED DAILY RENTAL 390.00
BEDSIDE COMMODE 5.50
BEHAVIORAL QUAL ANALYSIS OF VOICE RESONA 270.00
BELT OB SANITARY 3.75
BELT RESTRAINT POSEY 31.50
BELT RIB FEMALE LG 30.25
BELT RIB MALE LG 30.25
BENADRYL 50MG CAP 5.50
BENADRYL CAP 25 MG 5.50
BENADRYL ELIXIR 12.5 MG/5 ML 10 ML UD 5.50
BENADRYL INJ 50 MG/ML 5.50
BENEFIBER POWDER MIX 5.50
BENTYL CAP 10 MG 5.50
BENZOIN APPLICATOR 2.25
BETA 2 GLYCOPROTEIN I Ab PANEL 290.43
BETA MICROGLOBULIN 59.88
BETADINE 5% SOL 1 OZ 27.75
BETADINE SCRUB 2.50
BETADINE SOLUTION 4OZ 4.50
BETADINE SWABSTICKS 2.50
BETA-HYDROXYBUTYRATE 184.53
Betamethasone Valerate 0.1% 45 g 75.36
BIAXIN SUSP 125 MG/5 ML 91.50
BIAXIN TAB 250 MG 18.05
BIAXIN TAB 500 MG 15.25
BICITRA 49.50
BILATERAL EXTREMITY DRAPE 6.11
BILE ACIDS FRACTIONATED/TOTAL/PREGNANCY 361.83
BILE ACIDS/FRACTIONATED/TOTAL PREGNANCY 361.83
BINDER ABDOMINAL LG 42.25
BIOIMPEDANCE 90.25
BIOPSY ABD OR RETROPERITONEAL MASS PERCU 4,709.90
BIOPSY ANORECTAL WALL ANAL APPROACH 8,307.50
BIOPSY EXTERNAL EAR 1,089.40
BIOPSY FORCEPS(NEEDLE 2N2704) 51.36
BIOPSY HIP DEEP/SUBFASCIAL/INTRAMUSCULAR 4,132.90
BIOPSY LYMPH NODE(S) OPEN SUPERFICIAL 10,939.70
BIOPSY OF LIVER, NEEDLE; PERCUTANEOUS 3,383.50
BIOPSY OF STOMACH BY LAPAROTOMY 12,000.00
BIOPSY OPEN DEEP CERVICAL LYMPH NODES 10,939.70
BIOPSY OPEN DEEP CERVICAL NODE(S) 10,939.70
BIOPSY SKIN LESION/SINGLE 730.70
BIOPSY SKIN SUBQ 585.00
BIOPSY SOFT TISSUE KNEE 0.00
BIOPSY SOFT TISSUE OF NECK 6,707.05
BIOPSY SOFT TISSUE SHOULDER 4,132.90
BIOPSY TONGUE ANTERIOR 3,448.15
BIOPSY VAGINAL MUCOSA SIMPLE 2,436.25
BIPAP MACHINE DAILY CHARGE 33.84
BIPAP MASK NASAL MD/LG 55.20
BIPAP MASK W/HEADGEAR LARGE 294.03
BIPAP MASK W/HEADGEAR MEDIUM 294.03
BIPAP MASK W/HEADGEAR SMALL 294.03
BIS SENSOR 86.25
BK VIRUS PCR 1,086.24
BK VIRUS, QUANTITATIVE, REAL TIME PCR 158.70
BLADDER SCAN 231.75
BLADE BONE CUTTER 3.5 FULL RADIUS 285.00
BLADE FULL RADIUS 5.5MM SER 3000 7206010 284.43
BLADE FULL RADIUS EP-1 4.5 7205349 203.73
BLADE LONG MEDIUM 31MM X 9MM 2296-3-125 237.00
BLADE LONG NARROW PRECISION THIN 115 237.00
BLADE MED NARROW PRECISION THIN 22963114 237.00
BLADE MEDIUM NARROW 237.00
BLADE MICRO STRAIGHT 22996-003-255 237.00
BLADE SCALPEL 15 7.50
BLADE SHAVER 218.00
BLADE SHORT NARROW STRYKER 237.00
BLANKET BAIR HUGGER FULL BODY 23.00
BLANKET BAIR HUGGER LOWER BODY 34.00
BLANKET BAIR HUGGER UPPER BODY 34.00
BLANKET FULL ACCESS UNDERBODY BAIR 93.50
BLEPHAROPLASTY, LOWER EYELID 7,461.10
BLEPHAROPLASTY, UPPER EYELID 7,578.00
BLEPHAROPTOSIS REPAIR 6,871.35
BLEPHAROPTOSIS RPR LEVATOR RESECT/INTERN 7,249.60
BLOOD ADMIN. SET 26.75
BLOOD ADMINISTRATION/TRANSFUSION 412.50
BLOOD CULTURE 168.99
BLOOD PROCESSING/STORAGE 70.00
BLOOD PUMP 26.50
B-NATRIURETIC PEPTIDE 201.10
BONE GRAFT TBH0781872 5,445.00
BONE GRAFT, ANY DONOR AREA, MAJOR 16,819.26
BONE MARROW INTRASSEOUS NEEDLE 60.75
BONE SURVEY INFANT 268.31
BONE WAX 10.65
BOOST PLUS 237 ML 17.50
BORDETELLA PERTUSSIS CULTURE 131.25
BOTH KNEES STANDING ANTEROPOSTERIOR 229.40
BOTTLE GLUCOSE H2O 5.50
BP MONITOR 53.25
BREAST BIOPSY - EXCISIONAL 1,452.00
BREAST LUMPECTOMY/PARTIAL MASTECTOMY 10,838.20
BREATHING CIRCUIT 36.25
BREATHING CIRCUIT 10.25
BRETHINE INJ 1 MG/ML 6.80
BRILINTA90MG 23.12
BRONCHODILATION RESPONSIVENESS 947.44
BRONCHOSPASM PROVOCATION EVALUATION 947.44
BROVANA 15MCG/2ML 80.55
BUBBLE HUMIDIFIER HIGH FLOW 12.75
BULB SYRINGE 60 CC 2.50
BUMEX INJ 0.5 MG/2 mL 6.65
BUMEX TAB 1 MG 5.50
BUN 55.17
BURETTE SET 15.25
BURR 4.0 STRYKER 204.00
BURR DIAMOND ROUND 3.0MM 570.00
BURR EGG 4.0MM 396.00
BURR ROUND CARBIDE 3.0MM 225.00
BURR ROUND CARBIDE 6.0MM 396.00
BUSPAR TAB 5 MG 5.50
BUSPIRONE 10MG TAB 5.50
BX, SOFT TISSUE LEG/ANKLE AREA; SUPERFIC 6,183.10
BYSTOLIC TAB 5 MG 14.00
C. DIFF TOXIN A AND B 121.00
C1 INHIBITOR 178.86
C3 COMPLIMENT 197.73
C4 COMPLIMENT 80.25
CA 125 151.74
CA 15-3 85.29
CA 19-9 192.50
CA 27-29 147.40
CAFFEINE LEVEL 150.00
CALAN INJ 2.5 MG/ML 2ML VIAL 123.55
CALAN SR TAB 180 MG 5.50
CALAN SR TAB 240 MG 5.50
CALAZYME SKIN PROTECTANT PASTE 10.86
CALCANEUS 2 VIEWS 287.99
CALCITONIN 66.00
CALCITROL 0.25MCG 5.50
CALCIUM - URINE 254.52
CALCIUM ACETATE 667MG 5.50
CALCIUM CARBONATE SUSP 35.15
CALCIUM CHEW TAB 500 MG 5.50
CALCIUM GLUCONATE 10% INJ 10 ML 20.00
CALCIUM SERUM 52.18
CALCIUM TAB 600 MG + D 400 5.50
CALIUM CHLORIDE 10% INJ 10 ML 18.45
CALMOSEPTINE 25.60
CALPROTECTIN STOOL 420.00
CAMPYLOBACTER 20.00
C--ANCA TITER 120.00
CANNISTER INFOVAC WOUNDVAC 1000ML 165.00
CANNISTER INFOVAC WOUNDVAC 500ML 111.54
CANNULA 7.0 GREEN ORTHO 4617 75.93
CAPOTEN TAB 25 MG 5.50
CAPSULOTOMY MTP JOINT W/WO TENORRHAPHY 12,191.70
CARAFATE SUSP UD 1 GM/10 ML 17.85
CARAFATE TAB 1 GM 5.50
CARBAMAZEPINE ORAL SUSP 200MG/10ML 55.00
CARDENE 20MG/200ML 1.00
CARDIOLIPIN ANTIBODY 290.43
CARDIOPULMONARY EXERCISE TESTING 947.44
CARDIZEM CD 240 MG 13.95
CARDIZEM CD CAP 180 MG 5.50
CARDIZEM CD CAP 180 MG 7.55
CARDIZEM CD TAB 120 MG 5.50
CARDIZEM INJ 5 MG 5 ml VIAL 5.50
CARDIZEM INJ 250 MG 25 ml VIAL 23.35
CARDIZEM TAB 30 MG 5.50
CARDURA 4MG TAB 34.75
CARNITINE TTL & FREE 330.00
CARPAL TUNNEL RELEASE 6,605.10
CARTER-THOMASON CT CLOSE SYS 406.62
CASH SHOE, LARGE 100.00
CASSETTE VARALINK 38MM (WV) 165.00
CAST PADDING SYNTHETIC 2IN 1.50
CAST PADDING SYNTHETIC 3IN 2.97
CAST PADDING SYNTHETIC 4IN 2.82
CAST PADDING SYNTHETIC 6IN 4.26
CAST TAPE 4IN 18.50
CATAPRES TAB 0.1 MG 5.50
CATAPRES TAB 0.2 MG 5.50
CATAPRESS 0.1MG/DAY PATCH 200.35
CATAPRES-TTS-2 Patch 0.2 MG/24 Hour 143.10
CATARACT CARE KIT (EYE KIT) 12.00
CATARACT EXTRACTION W/O IOL 10,771.75
CATARACT REMOVAL W/INSERT OF LENS 8,493.00
CATECHOLAMINES - 24HR 262.23
CATH FOLEY 10FR 3CC SILICONE 17.00
CATH FOLEY 3 CC. 8FR ALL SILICONE 36.25
CATH FOLEY 30CC 3WAY 24FR 29.00
CATH FOLEY 5 CC 12FR ALL SILICONE 18.25
CATH KIT FEMALE 11.00
CATH KIT/MID STREAM 2.25
CATH KIT/MULTI LUMEN 314.20
CATH PLAIN ST 18.25
CATH PLUG 4.75
CATH SECURE 5.00
CATH SUCTION 6FR 4.75
CATH SUCTION 8FR 4.75
CATH TEXAS 8.50
CATHETER 3 WAY 26FR 30CC 57.84
CATHETER ANGIO 8.50
CATHETER FOLEY 18FR 5CC 22.11
CATHETER LEG STRAP 11.00
CATHETER/FOLEY TRAY 16FR 36.25
CATHETER/URETHRAL 30.25
CATHFLO ACTIVASE 2MG 1,049.30
CAUT. PAD CHILD 12.75
CAUTERY BOVIE LONG EXT 16.89
CAUTERY PEN 26.50
CBC 94.59
CBC (DISCOUNTED) 4.50
CCHD CHEST XRAY 2V 77.00
CCHD LATERAL ONLY 38.50
CCHD PA ONLY 38.50
CCPS 200.00
CD-4 382.95
CEA 212.98
CEFEPIME 1GM 27.50
CEFTIN 250MG TAB 29.30
CEFTIN TAB 500 MG 5.50
CELEBREX 100 MG 12.65
celeBREX CAP 200 MG 28.05
CELESTONE 6MG/1ML 137.30
celeXA TAB 20 MG 5.50
CELIAC DISEASE COMPREHENSIVE (01) 155.26
CELIAC DISEASE COMPREHENSIVE (02) 155.26
CELL COUNT/DIFF, BODY FLUID 108.60
CENTRAL VEIN CATH SET 163.25
CEPACOL LOZENGE 5.50
CEREBYX INJ 100 MG / 2 ml 69.45
CEREBYX INJ 500 MG / 10 ml 342.20
CERUMEN IMPACTION REMOVAL 231.75
CERUMEN IMPACTION REMOVAL 93.42
CERUMEN IMPACTION REMOVAL 146.75
CERUPLASMIN 85.31
CERVICAL/THORACIC INJECTION W/O IMAGING 2,535.95
CERVICAL/THORACIC INJECTION WITH IMAGING 2,535.95
CHANGE OF GASTO TUBE W/O IMAGE OR GUIDE 137.52
CHEMICAL CAUTERIZATION GRANULATED TISSUE 585.00
CHEST PHYSIOTHERAPY EACH ADDITIONAL 209.48
CHEST PHYSIOTHERAPY INITIAL 658.52
CHEST TUBE SET-UP 244.50
CHEST XRAY 2 VIEWS 248.48
CHEST XRAY 3 VIEWS 248.48
CHEST XRAY 4 OR MORE VIEWS 457.84
CHEST XRAY SINGLE VIEW 248.48
CHIKUNGUNYA AB W/REFLEX TO TITER 285.00
CHIN STRAP-BIPAP 58.80
CHLAMYDIA BY DNA PROBE 33.00
CHLAMYDIA/N. GONORRHOEAE/RNA, TMA 66.25
CHLORAPREP 1ML 2.46
CHLORAPREP W/TINT 21.00
CHLORHEXIDINE 4% 4OZ BOTTLE 5.94
CHLORIDE C1- 44.00
CHLORIDE, RAND URINE W/O CREATNINE-14520 32.28
CHLOROSEPTIC SPRAY 6.40
CHLORTHALIDONE 25MG 5.50
CHOLANGIOGRAM CATH 45.50
CHOLANGIOGRAPHY INTRAOPERATIVE 422.50
CHOLANGIOGRAPHY T-TUBE/EXISTING CATHETER 274.00
CHOLECYSTECTOMY OPEN 5,212.10
CHOLECYSTECTOMY, LAPAROSCOPIC 17,055.00
CHOLESTEROL 55.00
CHROMATIN (NUCLEOSOMAL) ANTIBODY 165.00
CHROMIUM 208.65
CIPRO IVPB PREMIX 400 MG/200 ML 44.90
CIPRO OPTH SOLUTION 20.65
CIPRO OTIC SOLUTION 1.00
CIPRO TAB 250 MG 5.50
CIPRO TAB 500 MG 5.50
CIPRO/HC OTIC SUSP 1,464.40
CIPRODEX OTIC SOL 52.50
CIRCUIT BIPAP VISION 20.13
CIRCUIT VAPOTHERM 446.58
CIRCUIT VENT 840 7.80
CITRATE OF MAGNESIA 9.90
CITRIC ACID/SODIUM CITRATE SOL 5.50
CK-MB 131.15
CLAFORAN INJ 1 GM 7.55
CLARITIN TAB 10 MG 5.50
CLAVICLE COMPLETE 349.47
CLEAR FLOW SMOKE EVACUATOR 39.50
CLEOCIN CAP 300 MG 5.50
CLEOCIN INJ 300 MG/2 ML 12.70
CLIMA VENT HME 12.00
CLINIMIX 4.25/10 425.00
CLINIMIX 4.25/25 713.30
CLINIMIX 5/20 925.00
CLINIMIX E 5/15 650.00
CLINIMIX E 5/20 198.55
CLINIMIX E 5/25 193.75
CLOBAZAM 240.00
CLOBETASOL CREAM 362.80
CLOSED REDUCTION HIP, W/MANIPULATION 2,496.81
CLOSED REDUCTION HIP, W/MANIPULATION 2,496.81
CLOSED REDUCTION OF TOE 385.00
CLOSED TREATMENT OF SHOULDER DISLOCATION 844.75
CLOSED TREATMENT PHALANGEAL FRACTURE 999.15
CLOSED TX CARPMETACARPAL FX DISLOC 1,049.55
CLOSED TX CARPOMETACARPAL FX DISLOC 1,808.85
CLOSED TX OF PATELLA 671.73
CLOSED TX OF PATELLA 671.73
CLOSED TX, RADIAL SHAFT FX W/MANIPULATIO 6,749.70
CLOTRIMAZOLE VAGINAL CREAM 26.15
CMV 918.00
CMV IgG 108.00
CMV IgM 108.00
CO2 DETECTOR 44.50
CO2 DETECTOR ADULT 44.50
CO2 DETECTOR PEDIATRIC 37.68
COBALT 162.00
COBAN 4IN 7.50
COCCIDIOIDES AB 228.90
CODE BLUE WORK 344.75
COGENTIN 2MG TAB 24.05
COGENTIN TAB 1 MG 5.50
COLACE CAP 100 MG 5.50
COLACE SYRUP 50 MG/5 ML 10 ML UD 5.50
COLCHICINE TAB 0.6 MG 24.25
COLESTIPOL HCL 5GM PACKETS 15.50
COLESTIPOL MICRONIZED 1GM TAB 5.50
COLLAR CERVICAL SM 30.25
COLONOSCOPY 3,327.85
COLONOSCOPY THROUGH STOMA W/BIOPSY 4,388.00
COLONOSCOPY W ABLATION OF TUMOR, POLYP 3,949.30
COLONOSCOPY W/ BIOPSY SINGLE OR MULTI 3,327.85
COLONOSCOPY W/ REMOVAL OF POLYP 3,327.85
COLONOSCOPY W/ SNARE 3,327.85
COLONOSCOPY W/LESION REMOVAL 3,276.55
COLONOSCOPY WITH DECOMPRESSION 4,388.00
COLONOSCOPY WITH HEMORRHOID BANDING 3,949.30
"COLOSTOMY BAG 13/4"" (45MM)" 9.75
COLPOCLEISIS (LE FORT TYPE) 20,559.05
COLPOSCOPY CERVIX W/LOOP ELECTRODE 6,876.00
COLSC FIX W/DIRECTED SUBMUCOSAL NJX 4,681.95
COMBIVENT MDI 103 mcg /18 mcg 1,178.45
COMBIVIR 150/300MG 31.90
COMBND ANTERPOST COLPORRHAPHY W/CYSTO 20,559.05
COMMUNITY/WORK REINTEGRATION TRNG EA15MI 75.00
COMP M (DISCOUNTED) 11.00
COMP M PANEL 175.70
COMPAZINE INJ 5 MG/ML 58.80
COMPLEMENT COMPONENT C1Q 211.50
COMPRESSION GLOVE 28.44
CONJUGATED BILIRUBIN 8.85
CONJUGATED BILIRUBIN 8.85
CONJUNCTIVAL FLAP 13,340.00
CONJUNCTIVOPLASTY; RECON CULDESAC 14,757.85
CONRAY CONTRAST 43 50ML 70.00
CONSC SEDATION 1ST 15MIN SAME PHY 5YRS/U 165.00
CONSC SEDATION ADD 15MIN SAME PHY 5YRS/U 66.45
CONSC SEDATION EACH ADDL 15MIN 5YRS/UP 111.00
CONSC SEDATION INITIAL 15 MIN 5 YRS/UP 204.40
CONTRAST BATHS EACH 15 MINUTES 44.00
COOK NEEDLE LIVER BIOPSY 162.00
COPILOT INTRODUCER BOUGIE 15.00
COPILOT SHEATH SZ 3 30.00
COPILOT SHEATH SZ 4 30.00
CORD CLAMP 3.75
COREG TAB 12.5 MG 5.50
COREG TAB 25 MG 5.50
COREG TAB 3.125 MG 5.50
COREG TAB 6.25 MG 5.50
CORNEA TRANSPLANT TISSUE 10,800.00
CORNEAL TRANSPLANT 17,093.80
CORRECTION BUNION SIMPLE 12,191.70
CORRECTION BUNION W/METATARSAL OSTEOTOMY 13,382.30
CORRECTION HALLUX VALGUS W/SESAMOIDECTOM 26,107.85
CORRECTION, LID RETRACTION 9,056.75
CORRUGATED TUBING 7.25
CORTEF TAB 20MG 26.45
CORTISOL LEVEL 49.50
COTTON BALLS 3.75
COUMADIN TAB 1 MG 5.50
COUMADIN TAB 2 MG 5.50
COUMADIN TAB 2.5 MG 5.50
COUMADIN TAB 3 MG 5.50
COUMADIN TAB 5 MG 5.50
COVER LIGHT HANDLE 3.75
COVER PIN 10.75
COVIDEAN SPACEMAKER PLUS DISSECTOR SYST 2,242.23
COXSACKIE A 80.01
COZAAR TAB 100 MG 5.50
COZAAR TAB 50 MG 5.50
C-PEPTIDE 135.39
CPK 80.40
CPM MACHINE 25.50
CPM PAD 115.50
CPR 734.40
CPR 940.75
C-REACTIVE PROTEIN (QUANT) 69.70
CREATININE 58.69
CREATININE CLEARANCE 141.52
CREON CAP 36,000 U 43.90
CRESCENT BLADE 49.89
CRICOIDOTOMY KIT - TRANSCRIOCOTHYROTOMY 542.43
CRITICAL CARE - FIRST 30-74 MIN 787.00
CRITICAL CARE, EACH ADDITIONAL 30 MINUTE 352.25
CroFab Intravenous Solution [1 GM] 24,685.44
CROSS MATCH EACH UNIT 160.27
CROUP TENT SET-UP 137.50
CRUTCHES, ADULT PAIR 69.25
CRUTCHES, CHILD PAIR 55.50
CRYOBLATE PROSTATE 37,981.30
CRYOGLOBULIN 229.98
CRYSTALS SYNOVIAL FLUID 94.17
CSF CELL COUNT 50.00
CSF CULTURAL/GRAM STAIN 141.96
CSF GLUCOSE 50.00
CSF PROTEIN 30.00
C-SPINE 2 OR 3 VIEWS 264.00
C-SPINE 4 OR MORE VIEWS 495.95
C-SPINE COMPLETE W/OBLIQUES 6+VIEWS 336.50
C-SPINE SOFT TISSUE 194.75
CT ABD/PELVIS W/CONTRAST 2,948.15
CT ABD/PELVIS W/O CONTRAST 2,057.55
CT ABD/PELVIS W-W/O CONTRAST 2,948.15
CT ABDOMEN W/CONTRAST 1,983.80
CT ABDOMEN W/O CONTRAST 1,656.65
CT ABDOMEN W/WO CONTRAST 2,205.58
CT CHEST W/CONTRAST 1,831.20
CT CHEST W/O CONTRAST 1,656.65
CT CHEST W/WO CONTRAST 2,129.53
CT C-SPINE W/CONTRAST 1,983.80
CT C-SPINE W/O CONTRAST 1,656.65
CT HEAD/BRAIN W/CONTRAST 1,831.20
CT HEAD/BRAIN W/O CONTRAST 1,691.44
CT HEAD/BRAIN W/WO CONTRAST 2,129.53
CT LOWER EXT W/CONTRAST 1,640.00
CT LOWER EXT W/O CONTRAST 1,392.50
CT L-SPINE W/O CONTRAST 1,656.65
CT MAXILLOFACIAL W/O CONTRAST 1,662.00
CT NECK SOFT TISSUE W/O CONTRAST 1,656.65
CT NECK SOFT TISSUE W/WO CONTRAST 2,129.53
CT ORBITS W/O CONTRAST 505.88
CT PELVIS W/CONTRAST 1,983.80
CT PELVIS W/O CONTRAST 1,656.65
CT PELVIS W/WO CONTRAST 2,205.58
CT T-SPINE W/O CONTRAST 1,656.65
CT T-SPINE W/WO CONTRAST 2,137.72
CT UPPER EXT W/O CONTRAST 1,551.03
CTA-ABDOMEN 1,610.00
CTA-ABDOMEN/PELVIS 1,700.00
CT-ABDOMEN & PELVIS W/WO CONTRAST 2,568.52
CT-ABDOMEN W/ CONTRAST 2,057.55
CT-ABDOMEN W/O CONTRAST 1,400.00
CT-ABDOMEN W/WO CONTRAST 1,820.00
CTA-HEAD (COW) 1,800.00
CTA-LOWER EXTREMITY 1,200.00
CTA-NECK (CAROTIDS) 1,500.00
CTA-PELVIS 1,700.00
CTA-UPPER EXTREMITY 1,300.00
CT-CHEST W/CONTRAST 1,916.68
CT-C-SPINE W/CONTRAST 1,916.68
CT-C-SPINE W/WO CONTRAST 2,137.72
CT-HEAD W/CONTRAST 1,910.49
CT-LOWER EXTREMITY W/CONTRAST 1,910.49
CT-LOWER EXTREMITY W/WO CONTRAST 2,129.53
CT-L-SPINE W/CONTRAST 2,100.78
CT-L-SPINE W/WO CONTRAST 2,310.78
CT-ORBITS/SELLA W/CONTRAST 1,947.34
CT-PELVIS W/CONTRAST 1,610.00
CT-PELVIS W/O CONTRAST 1,400.00
CT-PELVIS W/WO CONTRAST 1,820.00
CTRL NOSEBLEED (1025) 634.25
CTRL NOSEBLEED (2160) 736.75
CTRL NOSEBLEED(1025) 276.09
CTRL OF NOSEBLEED (2158) 303.75
CTRL OF NOSEBLEED (2158) 303.75
CT-SINUS/MAXILLOFACIAL W/CONTRAST 1,848.96
CT-SOFT TISSUE NECK W/CONTRAST 2,085.80
CT-T-SPINE W/CONTRAST 1,916.68
CT-T-SPINE W/WO CONSTRAST 2,137.72
CT-UPPER EXT W/WO CONTRAST 2,205.58
CT-UPPER EXTREMITY W/O CONTRAST 1,971.03
CT-UPPER EXTREMITY W/WO CONTRAST 1,761.03
CUBICIN 500 MG 1,896.00
CULTURE, WOUND/ANAEROBIC 92.42
CUP DENTURE 3.75
CURRETTE 7MM DISPOSABLE 6.33
CUSTOM CATARACT PACK #CMP-1217 893.19
CVAD DECLOTTING 90.39
CVAD/PICC BLOOD COLLECTION 61.38
CYANOCOBALAMIN INJ (1000 MCG/mL) 7.50
CYANOCOBOLAMINE TAB 1000 MCG 5.50
CYCLOGEL 1% OPHTH SOLN 95.85
CYCLOSPORINE 619.05
CYMBALTA 30 MG CAP 35.60
CYMBALTA 60 MG CAP 40.60
CYSTO PACK 91.26
CYSTOLITHOTOMY CYSTOTOMY W/REMOVAL CALCU 18,530.15
CYSTOURETHROSCOPY W/EJACULATOR DUCT CATH 2,828.00
CYSTOURETHROSCOPY W/TRANSURETHRAL RESECT 13,483.80
CYSTOURETHROSCOPY W/URETEROSCOPY &/OR PY 18,530.15
CYSTOURETHROSCOPY, W/DIRECT VISION INT 8,478.40
CYSTOURETRHOSCOPY W/INSERT OF STENT 13,483.80
CYTOPATHOLOGY CERVICAL 140.25
D-10 250 ML 71.50
D-5 2% N.S. 250 ML 71.50
D5W 500 BTL 93.50
DAKINS SOLUTION 0.125% 473ML 70.40
DANTRIUM INJ 20 MG 325.00
DAVITA LAB TEST 0.00
DAVOL SORBAFIX 1,905.00
D-DIMER 142.11
DEBRIDE BONE EACH ADDITIONAL 20CM 388.32
DEBRIDE BONE FIRST 20CM 2,563.64
DEBRIDE DEVITALIZED TISSUE ADD 20CM 240.00
DEBRIDE DEVITALIZED TISSUE FIRST 20CM 585.00
DEBRIDE MUSCLE/FASCIA EA ADDITIONAL 20CM 217.72
DEBRIDE MUSCLE/FASCIA FIRST 20CM 1,099.24
DEBRIDE SUBQ TISSUE EACH ADDITIONAL 20CM 240.00
DEBRIDE SUBQ TISSUE FIRST 20CM 1,099.24
DEBRIDE/REMOVE ECZEMATOUS TISSUE 1ST 10% 1,099.24
DEBRIDE/REMOVE ECZEMATOUS TISSUE ADD 10% 240.00
DEBRIDEMENT BONE FIRST 20CM OR LESS 4,132.90
DEBRIDEMENT II 129.39
DEBRIDEMENT SELECTIVE 372.75
DEBRIDEMENT SELECTIVE >20CM 198.00
DEBRIDEMENT W/REMOVAL OF FB 727.11
DEBROX EARWAX TREATMENT DROPS 29.90
DECADRON INJ 4 MG/mL 5.50
DECADRON INJ 10 MG/ML 7.15
DECADRON SYRUP 0.5 MG/5 ML 24.10
DECADRON TAB 4 MG 5.50
DECOMPRESSION OF TIBIA NERVE 6,605.10
DECOMPRESSION; UNSPEC NERVE(S) 6,605.10
DEFIB PADS 90.00
DEHYDRATED INJ ALCOHOL 42.00
DELIVER PLACENTA 288.75
DELTA AMNIOLEVULINIC ACID 241.62
DELTASONE TAB 1 MG 5.50
DELTASONE TAB 10 MG 5.50
DELTASONE TAB 20 MG 5.50
DELTASONE TAB 5 MG 5.50
DELUXE SHOULDER IMMOBILIZER 17.88
DEMADEX INJ 50 MG/ 5 ML 28.30
DEMADEX TAB 20 MG 8.75
DEMEROL INJ 100 MG/ML 9.30
DEMEROL INJ 25 MG 9.60
DEMEROL INJ 50 MG/ML 9.95
DENTURE ADHESIVE 15.78
DEODORANT 1.25
DEPAKOTE 250MG/5ML SOLUTION 30.65
DEPAKOTE TAB 250 MG 5.50
DEPO-MEDROL IM INJ 40 MG/ML 23.70
DEPO-MEDROL IM INJ 80 MG 37.95
DEPO-TESTOSTERONE 183.05
DEPRESSOR TONGUE STERILE 1.25
DEPUY QUICK G2 BONE ANCHOR 212034 1,455.00
DEPUY SAW BLADE 515.00
DERMASPAN ACD 4X7 CM 48-1100407 6,045.00
DESTR BY NEURO AGENT TRIGEMINAL NV 2/3 D 6,605.10
DESTR BY NEURO AGENT, L/S EA ADDL JNT 2,614.35
DESTR BY NEUROLYTIC AGENT/ INTERC NERVE 4,511.60
DESTR NEURO AGENT LUMBAR/SACRAL 1 FACET 4,511.60
DESTR NEURO AGENT OTHER PERIPHERAL NERVE 3,194.65
DESTR OF LESION(S), ANUS, SURGICAL EXCIS 7,578.20
DESTRUCTION BENIGN LESION UP TO 14 765.60
DESTRUCTION C/TH FACET JOINT EACH ADDL 3,481.40
DESTRUCTION CERV/THOR FACET JOINT 6,962.80
DESTRUCTION OF BENIGN LESION, 15 OR MORE 765.60
DESYREL TAB 50 MG 5.50
DETROL LA CAP 4 MG 33.65
DEVELOP COG SKILLS DIRECT CONTACT DAILY 75.00
DEX. 5% 1/2 NS 1000 ML 93.50
DEX. 5% IN 1/2 NS 1000 ML. 93.50
DEX. 5% IN WATER 1000 ML. 93.50
DEX. 5% IN WATER 250 ML. 71.50
DEX. 5% IN WATER 500 ML. 93.50
DEXAMETHASONE-29391 256.80
DEXTROSE 5% LR 1000 ML 93.50
DEXTROSE 5% LR 500 ML. 93.50
DEXTROSE 5% NS 1000 ML 93.50
DEXTROSE 50% INJ SYRINGE 44.40
DHEA 183.60
DIAMOND/BEVEL TROCAR SZ 2 MEDTRONIC T34A 2,100.00
DIAMOND/BEVEL TROCAR SZ 2 MEDTRONIC T34A 2,100.00
DIAMOX INJ 500 MG 129.95
DIAMOX TAB 125 MG 5.50
DIAPER ADULT PULL-ON 40.50
DIAPER LG ADULT 5.00
DIAPER TODDLER 33.00
DIAPERS/PREEMIE 16.50
DIFLUCAN IVPB PREMIX 400 MG/200 ML 34.30
DIFLUCAN TAB 100 MG 31.10
DIFLUCAN TAB 200 MG 34.45
DIGOXIN 106.23
DILANTIN 119.99
DILANTIN CAP 100 MG 5.50
DILANTIN ORAL CAPSULE 100 MG 258.40
DILANTIN SUSP 125 MG/5 ML 5.50
DILATATION BALLOON CATHETER 561.00
DILATION AND CURETTAGE 7,221.05
DILAUDID 4MG/1ML 15.75
DILAUDID INJ 2 MG/ML 9.50
DILAUDID TAB 2 MG 5.50
DILTIAZEM HCL 50 MG/10 ML 22.90
DIPRIVAN INJ 200 MG/20 ML 28.15
DIPTHERIA 233.79
DIRECT ANTIBODY SCREEN 99.00
DIRECT LDL-8293 26.88
DIRECT STREP AG 97.05
DISLOCATED FINGER, CLOSED 883.71
DISLOCATION ELBOW, CLOSED 244.23
DISLOCATION ELBOW, CLOSED 244.24
DISLOCATION, CLAVICLE 2,137.14
DISLOCATION, CLAVICLE 1,068.57
DISLOCATION, CLOSED KNEE 1,116.63
DISLOCATION, CLOSED KNEE 1,116.63
DISLOCATION, CLOSED TMJ 86.64
DISLOCATION, CLOSED,TMJ 86.64
DISLOCATION, ELBOW, CLOSED 1,076.00
DISLOCATION, ELBOW, CLOSED 1,076.00
DISLOCATION, FINGER CLOSED 630.54
DISLOCATION, FINGER CLOSED 630.54
DISLOCATION, FINGER CLOSED 630.54
DISLOCATION, HIP W/O ANES 613.56
DISLOCATION, HIP W/O ANES 613.56
DISLOCATION, HIP/CLOSED 971.97
DISLOCATION, HIP/CLOSED 971.97
DISLOCATION, METATARSOPHALANGEAL DISLOC 307.50
DISLOCATION, METATARSOPHALNGEAL CLOSED 307.50
DISLOCATION, SHOULDER, OPEMN 746.40
DISLOCATION, SHOULDER, REDUCTION 533.70
DISLOCATION, SHOULDER, REDUCTION 746.40
DISLOCATION, TARSAL BONE, CLOSED 481.17
DISLOCATION, TARSAL BONE, CLOSED 481.17
DISP SUCTION SWABS 3.50
DISPOSABLE BP CUFF (ADULT LONG) 11.49
DISPOSABLE BP CUFF (ADULT) 8.16
DISPOSABLE BP CUFF (CHILD) 6.18
DISPOSABLE BP CUFF (LG ADULT) 8.40
DISPOSABLE BP CUFF (SMALL ADULT) 11.25
DISPOSABLE I&A 126.00
DISPOSABLE INNER CANNULA SIZE 4 11.55
DISPOSABLE INNER CANNULA SIZE 6 11.55
DISPOSABLE INNER CANNULA SIZE 6 XLT 15.51
DISPOSABLE INNER CANNULA SIZE 8 11.55
DISPOSABLE INNER CANNULA SZ 5XLT 18.48
DISPOSABLE IRIS RETRACTOR 309.00
DISPOSABLE STETHOSCOPE 5.00
DITROPAN TAB 5 MG 11.35
DLO SPECIMEN COLLECTION ONLY 5.00
DNA ANTIBODY; DOUBLE STRANDED 197.73
DOLPHIN MATTRESS 160.53
DONNATAL ELIXIR 41.70
DOPAMINE/D5W PREMIX 400 MG/250 mL 47.85
DOUBLE NELSON EXTENSION TUBING 24.09
DOXEPIN 25 MG 5.50
DRAIN BAG AEROSOL 2.22
DRAIN JACKSON PRATT FLAT 70.25
DRAIN J-P RESERVE 100CC 45.00
DRAIN OF PILONIDAL CYST 487.00
DRAIN PENROSE 1/2 9.25
DRAIN PENROSE 1/4 9.25
DRAIN PENROSE 1IN 2.43
DRAINAGE OF HYDROCELE 2,403.20
DRAINAGE SYSTEM CLOSED 187.00
DRAPE EXTREMITY 25.25
DRAPE LAP CHOLE 46.53
DRAPE SHEET 3/4INCH 12.00
DRAPE SHEET LAP 41.75
DRAPE SPLIT SURGICAL 24.57
DRAPE STERI 1010 7.86
DRAPE STERI 1020 3.81
DRAPE TRANSVERSE T 22.74
DRAPE U IMPERVIOUS 10.32
DRESSING (PORT ACCESS) CHANGE KIT 28.86
DRESSING 2 X 3 TRANS 13.25
DRESSING 2X2 NON STERILE EACH 1.00
DRESSING 4X4 DRAIN SPONGE 2.25
DRESSING 4X4 GAUZE SPONGE NON-STERILE 2.25
DRESSING 4X4 NON-STERILE EACH 0.11
DRESSING AG ROPE 22.62
DRESSING ALIGNINATE LG 10.75
DRESSING ALLEVYN HEEL 26.46
DRESSING ALLEVYN SACRUM 21.09
DRESSING ALLEVYN TRACH 10.17
DRESSING AMD 3.5x3.5 23.91
DRESSING AMD 4x4 20.97
DRESSING BIOCLUSIVE 5X7 4.00
DRESSING BIOCLUSIVE 8X10 6.00
DRESSING CHANGE 101.83
DRESSING COBAN 3 INCH 7.25
DRESSING COFLEX TLC 53.07
DRESSING COFLEX TLC LITE 53.07
DRESSING COFLEX TLC XL 66.45
DRESSING DERMAGEL 4X4 20.40
DRESSING ENLUXTRA 4x4 37.43
DRESSING GAUZE VASELINE 3 X 9 7.25
DRESSING GAUZE XEROFORM 5 X 9 7.25
DRESSING GRANUFOAM SENSATRAC, BLACK MED 134.73
DRESSING HYDROCELLULAR FOAM 4X4 NONADHES 4.53
DRESSING HYDROGEL 4X4 IMPREGNATED GAUZE 2.40
DRESSING ISLAND 4 X 10 6.50
DRESSING KERLIX SPONGE 8.50
"DRESSING KLING 4""" 8.50
DRESSING MAXORB 4X4 6.27
DRESSING MAXORB AG 4X4.75 35.58
DRESSING MEDIPORE 3 1/2X 8 1.75
DRESSING MEPILEX 4X4 21.12
DRESSING MEPILEX AG 8X8 178.71
DRESSING MINI 2.50
DRESSING OPTICELL 4.25X4.25 10.86
DRESSING OPTIFOAM AG SACRUM 46.05
DRESSING OPTIFORM GENTLE AG 4X4 25.59
DRESSING OPTILOCK 4X4 9.84
DRESSING PACKING IODOFORM 1/4 14.00
"DRESSING PACKING PLAIN 1/4""" 14.00
DRESSING PRISMA MATRIX 4.75IN 27.48
DRESSING PURACOL PLUS 4X4 69.00
DRESSING PURACOL PLUS AG 108.15
DRESSING SILVASORB SHEET 39.06
DRESSING SILVERLON ISLAND 4X10 105.09
DRESSING SIMPLACE EX MEDIUM WOUNDVAC 141.45
DRESSING SIMPLACE EX SMALL WOUNDVAC 112.29
DRESSING SORBSAN 4X4 60.50
DRESSING VERFLO MED (WOUNDVAC) 345.00
DRESSING VERIFLO CLEANSE CHOICE MED (WV) 414.00
DRESSING WHITE FOAM LG WOUND VAC 36.03
DRESSING, 4X4 GAUZE STERILE 8.50
DRESSING, GAUZE TUBE 1 6.00
DRESSING, GAUZE TUBE 1 1/2 8.50
DRESSING, KERLIX AMD 4.00
DRESSING, KERLIX ROLL 6.00
"DRESSING, KLING 2""" 6.00
"DRESSING, KLING 3""" 7.25
DRESSING, TEGADERM 6x8 1628 6.00
DRESSING,MEDIPORE 6x6 3.22
DRESSING/DEBRIDE PART THICK BURN LARGE 585.00
DRESSING/DEBRIDE PART THICK BURN MEDIUM 585.00
DRESSING/DEBRIDE PART THICK BURN SMALL 585.00
DRESSING/TEGADERM 1624 23/8x23/4 2.75
DRILL 1.2/085 TRI-MED 576.00
DRILL 1.7MM S DISPOSABLE 72203855 712.23
DRSGS SIR STRIP MEDIUM 11.00
DRUG SCREEN CITY OF ANADARKO 44.00
DRUG SCREEN COMP W/CONF SERUM (01) 292.50
DRUG SCREEN COMP W/CONF SERUM (02) 292.50
DRUG TEST SINGLE DRUG-DLO 69.15
DRUG TOX MONITORING ALCOHOL METABOLITES, 180.00
DT VACCINE 95.16
DUAL-CHANNEL RECHARGE (BATT/RECHAR) 22,200.00
DULCOLAX SUPP 10 MG 5.50
DULCOLAX TAB 5 MG 5.50
DULEX SCAN VASCULAR UNILATERAL/LIMITED 457.84
DUO DERM 8x8 14.25
DUO-DERM 4X4 12.75
DUO-NEB 71.50
DUONEB 0.5 - 2.5 MG /3 ML 5.50
DUOVISC/VISCOAT 468.30
DUPLEX SCAN ARTERIAL FLOW COMPLETE 903.64
DUPLEX SCAN ARTERIAL FLOW LIMITED 450.92
DUPLEX SCAN VASCULAR COMPLETE 929.24
DURA KOLD CONSUMER WRAP 69.25
DURAGESIC 100MCG/HR 144.00
DURAGESIC PATCH 25 MCG/HR 16.75
DURAGESIC PATCH 50 MCG/HR 28.80
DURAPREP 18.25
DURAPREP 26ML 12.87
E.COLIO 220.00
E.E.S.-200 SUSP 200 MG/5 ML 26.05
EAKIN SEAL 11.64
EAR CULTURE 15.00
EARWICK 8.75
ECG ELECTRODES 25.25
ECG MONITOR 77.00
ECG TRANSTHORACIC COMPLETE W/SPEC-COLOR 1,798.72
ECG TRANSTHORACIC REST/STRESS TEST 1,798.72
ECHO LIMITED 903.64
ECHO, COMPETE 1,946.76
ED - ADENOCARD INJ 12 MG /4 MLl 156.05
ED - ADENOCARD INJ 6 MG/2 ML 176.65
ED - ADRENALIN INJ 1 MG/ML 9.80
ED - ADRENALIN INJ 30 MG/ 30 ML 12.95
ED - ADRENALIN INJ SYRINGE 1 MG/10 mL 22.60
ED - AMIDATE INJ 40 MG/20 ML 57.50
ED - AMIODARONE INJ 150 MG/3 ML 8.50
ED - ANECTINE INJ 200 MG/10 ML 19.75
ED - ATIVAN INJ 2 MG/ML VIAL 5.50
ED - ATROPINE INJ SYR 1 MG/10 ML 14.70
ED - BENADRYL INJ 50 MG/ML 5.50
ED - BUMEX INJ 1 MG/4 mL 6.60
ED - CALAN INJ 2.5 MG/ML 123.55
ED - CALCIUM GLUCONATE 10% INJ 10 ML 80.00
ED - CEREBYX INJ 500 MG/10 ML 342.20
ED - DECADRON INJ 4 MG/ML 5.50
ED - DEMADEX INJ 50 MG/5 ML 28.30
ED - DEMEROL INJ 100 MG/ML 9.30
ED - DEMEROL INJ 50 MG/ML 9.95
ED - DILAUDID INJ 2 MG/ML 9.50
ED - DIPRIVAN INJ 200 MG/20 ML 28.15
ED - GENTAMICIN INJ 40 MG/mL 5.50
ED - GLUCAGON KIT 1 MG 681.40
ED - HALDOL INJ 5 MG/ML 10.25
ED - INDERAL INJ I MG/ML 10.45
ED - INTEGRILIN INJ 20 MG/10 ML 618.30
ED - INTEGRILIN INJ 75 MG/100 ML 1,935.10
ED - LANOXIN INJ 0.25 MG/ML 17.50
ED - LASIX INJ 100 MG/10mL 54.50
ED - LASIX INJ 20 MG/2 mL 12.70
ED - LASIX INJ 40 MG/4mL 40.10
ED - LIDOCAINE INJ SYR 100 MG/5 mL 11.75
ED - LOPRESSOR INJ 5 MG/5 ML 10.15
ED - MORPHINE INJ 10 MG/ML 7.60
ED - MORPHINE INJ 4 MG/ML 7.60
ED - NARCAN INJ 1 MG/ML - 2 mL 67.65
ED - NITROPRESS INJ 25 MG/ML 222.95
ED - NUBAIN INJ 10 MG/ML 10.25
ED - PEPCID INJ 20 MG/2mL 5.50
ED - PHENERGAN INJ 25 MG/ML 5.50
ED - PROTONIX INJ 40 MG 19.45
ED - ROBINUL INJ 0.2 MG/mL 5.50
ED - ROMAZICON INJ 0.1 MG/ML 33.85
ED - SOD BICARB INJ SYR 50 MEQ/50 ML 36.75
ED - SODIUM CHLORIDE 0.9% FLUSH 5.50
ED - solu-CORTEF INJ 100 MG 25.60
ED - SOLU-MEDROL INJ 125 MG 25.60
ED - TORADOL INJ 30 MG/ ML 5.50
ED - TRANDATE INJ 100 MG/20 mL 7.35
ED - VASOTEC INJ 1.25 MG/ML 8.60
ED - ZEMURON INJ 10 MG/ML 25.15
ED- ADENOCARD INJ 6 MG/2 ML 264.98
ED LEVOPHED INJ 4 MG/4 mL 55.15
ED- ZOFRAN INJ 2 MG/mL 5.50
ED-100mg B1/1mg folate/10mL MVI/1L NS 251.25
EDEMA GLOVE MED LEFT 35.55
EDEMA GLOVE MED RIGHT 35.55
ED-HEPARIN INJ 1000units/mL 33.85
ED-SOD BICARB INJ 5 MEQ/10 ML*INFANT* 41.65
EFFEXOR 75 MG 5.50
EFFEXOR ER 75MG 8.75
EGD UPPER W/BIOPSY SINGLE OR MULTI 3,002.00
EGD UPPER W/WO SPECIMEN 3,002.35
EGD W/DILATION 3,030.50
EGD W/REM OF FOREIGN BODY 2,956.05
EGD W/REMOVAL POLYP BY SNARE 5,324.30
EGD WITH THERMOABLATION 5,324.30
EGD, INSRT GUIDE WIRE DILATOR PASSAGE 3,717.45
EGD, UPPER W/PLACEMENT OF GAS TUBLE 4,496.00
EGD, UPPER; REM OF POLYPS; HOT FORCEPS 4,425.00
EGGCRATE MATTRESS 42.25
EHRLICHIA 1gm, 1gG 416.73
EKG ROUTINE 12 LEADS 204.25
ELAVIL TAB 25 MG 5.50
ELBOW 3 VIEWS 289.86
ELBOW AP/LAT 2 VIEWS 291.98
ELECROSURGICAL CAUTERY 71.50
ELECTRIC STEM EACH 15 MINUTES 78.78
ELECTROCARDIGRAM 49.75
ELECTRODE 2 / 2 12.75
ELECTRODE 45 DEGREE FLATBLADE 7205442 117.30
ELECTRODE 90 DEGREE FLAT BLADE 7205443 117.30
ELECTRODE ROLLER (LOOP) 16.80
ELECTRODE TRANS Q 23.00
ELECTRODE/INFANT 14.25
ELECTRODES ADULT 8.50
ELECTRONIC ANALYSIS OF NEUROSTIM, SIMPLE 575.90
ELEQUIS 5 MG 12.50
ELIQUIS 2.5 TAB 10.00
EMBOLECTOMY/THROMBECTOMY, ARM 14,357.15
EME BAG 5.00
EME BAG 5.00
EMER CARDIOVERSION 967.75
EMER CARDIOVERSION 967.75
EMLA CREAM 2.5% 39.25
ENDO CLIP APPLIER 5MM 459.75
ENDO CLOSE 326.75
ENDO INJ OF IMP TISS, URETHRA/BLADDER NE 13,483.80
ENDO TUBE & INTUBATION 192.50
ENDOCATCH 421.25
ENDOCUFF LARGE GREEN 240.00
ENDOMETRIAL ABLATION WITH NOVASURE 13,393.05
ENDOSCOPY PACK 120.25
ENDOSCOPY-UPPER SMALL INTESTINE 3,675.00
ENDOTRACH TUBE 7.0 7.50
ENDOTRACH TUBE CUFFED 5.0 7.65
ENDOTRACH TUBE CUFFED 5.5 7.65
ENDOTRACH TUBE CUFFED 6.0 7.65
ENDOTRACH TUBE CUFFED 6.5 7.65
ENDOTRACH TUBE CUFFED 7.0 7.65
ENDOTRACH TUBE CUFFED 7.5 7.65
ENDOTRACH TUBE CUFFED 8.0 7.65
ENDOTRACH TUBE CUFFED 8.5 7.65
ENDOTRACH TUBE CUFFED 9.0 7.65
ENDOTRACH TUBE UNCUFFED 2.0 4.38
ENDOTRACH TUBE UNCUFFED 2.5 4.38
ENDOTRACH TUBE UNCUFFED 3.0 4.38
ENDOTRACH TUBE UNCUFFED 3.5 4.38
ENDOTRACH TUBE UNCUFFED 4.0 4.38
ENDOTRACH TUBE UNCUFFED 4.5 4.38
ENDOTRACH TUBE UNCUFFED 5.0 4.38
ENDOTRACH TUBE UNCUFFED 6.0 4.38
ENEMA UNIT 7.25
ENLON 300.05
ENTAMOEBA HISTOLYTICA AB 220.00
ENTERECTOMY, RESECTION, SMALL INTESTINE; 25,000.00
ENTROPION REPAIR BY SUTURE 7,673.35
ENTROPION REPAIR; EXTENSIVE 6,871.35
ePHEDrine INJ 50 MG/ML 47.60
EPIDURAL TRAY 43.50
EPIDUROGRAPHY 264.36
EPIPEN 2 PK 2,983.95
EPIPEN JR 1,190.36
EPISTAXIS BALLOON CATH 166.86
EPSTIEN BAR VIRUS 66.57
EPSTIEN BAR VIRUS 66.57
EQUIP AIR EQUIPMENT 120.00
EQUIP TOURNIQUET 27.50
EQUIPMENT GASTRI SCOPE & LIGHT SOURCE 330.00
ER CRITICAL CARE, EACH ADD'L 30 MINUTES 345.42
ER CRITICAL CARE, FIRST 30-74 MINUTES 1,547.21
ER LEVEL I 173.16
ER LEVEL II 256.14
ER LEVEL III 445.75
ER LEVEL IV 761.96
ER LEVEL V 1,259.18
ER- MSE NON-EMERGENT 0.00
ER PHYSICIAN CPR 940.75
ER SUTURE PACK EACH 18.25
ER-VISIT LEVEL I 52.00
ER-VISIT LEVEL II 85.75
ER-VISIT LEVEL III 193.00
ER-VISIT LEVEL IV 301.50
ER-VISIT LEVEL V 471.50
ERYTHROCIN INJ 500 MG 110.30
ERYTHROMYCIN OPTHALMIC OINTMENT 6.25
ERYTHROMYCIN TAB 250 MG 10.20
ERYTHROPOIETIN LEVEL 148.50
ESMARK 23.00
ESMOLOL INJ 10 MG/ML 95.05
ESOPHAGEAL INTUBATION DETECTOR BULB 60.50
ESOPHAGEAL STETHOSCOPE 12FR ES12400 9.75
ESTABLISHED PATIENT VISIT LEVEL 1 200.00
ESTABLISHED PATIENT VISIT LEVEL 2 300.00
ESTABLISHED PATIENT VISIT LEVEL 3 400.00
ESTABLISHED PATIENT VISIT LEVEL 4 500.00
ESTABLISHED PATIENT VISIT LEVEL 5 600.00
E-STEM UNATTENDED 140.00
E-STIM UNATTENDED OTHER THAN WOUND CARE 55.00
ESTRADIOL 199.02
ESTRIOL-34883 122.40
ESTROGEN 441.60
ESTRONE 504.30
ESU ELECTRODE TIP 29.50
ESU PENCIL 31.50
ET COMBITUBE 313.50
ET TUBE RESTRAINT 27.50
ETHANOL 170.82
ETOH-URINE 195.72
Etomidate 20MG/10Ml vial 14.70
ETRAP POLYP TRAP 27.00
EUCERIN ADVANCED REPAIN CREAM 5.50
EVAL OF SUBUNGUAL HEMATOME 78.63
EVAL OF SUBUNGUAL HEMATOME 78.63
EVAL ORAL/PHARYNGEAL SWALLOWING FUNCTION 270.00
EVAL SPEECH SOUND PRODUCTION W/LANGUAGE 270.00
EVALUATION OF SPEECH FLUENCY 270.00
EVALUATION OF SPEECH SOUND PRODUCTION 270.00
EVEROLIMUS LC/MS/MS BLOOD 336.00
EXC 1/> LESION SMALL/LARGE INTESTINE 10,744.55
EXC ARM/ELBOW LES SC 3 CM/> 8,137.85
EXC B9 LESION F/E/E/N/L/MM 0.6CM-1.0CM 2,695.55
EXC BACK/FLANK SOFT TISSUE 3CM/GREATER 9,121.55
EXC BACK/FLANK SOFT TISSUE LESS THAN 3CM 6,707.05
EXC BENIGN LESION .5 CM< 2,894.20
EXC BENIGN LESION 0.6 TO 1.0 CM 1,547.30
EXC BENIGN LESION MRGN XCP SK TG S/N/H/F 6,183.10
EXC BENIGN LESION S/N/H/F/G 1.1-2.0CM 4,132.90
EXC BENIGN LESION S/N/H/F/G OVER 4CM 7,071.40
EXC EXCESSIV SKIN/SUBQ TISSUE OTHER AREA 6,707.05
EXC F/E/E/N/L MAL 2.1 - 3 CM 2,894.20
EXC F/E/E/N/L MAL+MRG>4CM 8,137.85
EXC FACE LES SC <2 CM 2,894.20
EXC FACE MM B9 3.1 - 4 CM 2,894.20
EXC FACE-MM B9+MARG 0.5 1,547.30
EXC H-F-NK-SP B9+MARG 0.6 - 1.0 CM 2,894.20
EXC INTERDIGITAL NEUROMA SINGLE EACH 6,087.10
EXC LESION, TOE(S), EACH 7,731.40
EXC LESION/TENDON/SHEATH/CAPSULE FOOT 12,191.70
EXC MAL LESION TRNK/ARM/LEG 2.1-3.0CM 4,132.90
EXC MALIG LESION S/N/H/F/G OVER 4.0CM 9,121.55
EXC MALIG LESION TRUNK/ARM/LEG 3.1-4.0CM 4,132.90
EXC MALIGNANT LESION EAR 1.1 TO 2.0CM 4,132.90
EXC MALIGNANT LESION F/E/E/N/L 0.6-1.0CM 2,403.20
EXC MALIGNANT LESION S/N/H/F/G 1.1-2.0CM 2,695.55
EXC OF PENILE PLAQUE; W/GRAFT > 5 CM 37,981.30
EXC RECTAL TUMOR INCL MUSCULARIS PROPRIA 10,837.55
EXC REPAIR EYELID ONE FOURTH LID MARGIN 9,056.75
EXC SINGLE EXTERNAL PAPILLA OR TAG-ANUS 5,409.60
EXC SKIN LESION;BENIGN;2.1 - 3.0 CM 2,894.20
EXC SKIN LESION;BENIGN;3.1 - 4.0 CM 4,709.90
EXC TRANSVERSE WEDGE LIP/PRIMARY CLOSURE 9,731.00
EXC TR-EXT B9+ MARG 0.5 1,547.30
EXC TR-EXT MAL+MARG>4CM 5,948.70
EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFAS 11,624.35
EXC TUMOR SOFT TISSUE ANT. THORAX 3CM/> 9,121.55
EXC TUMOR SOFT TISSUE PELVIS/HIP SQ 3CM< 10,744.55
EXC TUMOR, SOFT TISS ABD WALL, >3CM 8,137.85
EXC, MALIGNANT LESION INCL MARGINS, TRUN 6,740.15
EXC, PREPATELLAR BURSA 7,722.15
EXCHANGE INTRAOCULAR LENS 9,121.75
EXCI TUMOR SOFT TISSUE THIGH/KNEE 3CM/< 10,744.55
EXCISION AND REPAIR EYELID 8,507.40
EXCISION BENIGN LESION OVER 4.0CM 6,707.05
EXCISION BENIGN LESION S/N/H/F/G 2.1-3.0 4,709.90
EXCISION BENIGN LESION S/N/H/F/G 3.1-4.0 7,071.40
EXCISION BENIGN TUMOR STOMACH 10,427.35
EXCISION BENIGN/MALIGNANT BREAST TISSUE 10,838.20
EXCISION CYST/ADENOMA OF THYROID 20,995.65
EXCISION GANGLION, WRIST; PRIMARY 7,722.15
EXCISION HIDRADENITIS AXILLARY SMPL/INT 9,121.55
EXCISION HYDROCELE OF SPERMATIC CORD UNI 12,712.80
EXCISION LACTIFEROUS DUCT FISTULA 12,497.40
EXCISION LESION CONJUNCTIVA 7,673.35
EXCISION LESION CONJUNCTIVA UP TO 1CM 5,404.55
EXCISION LESION, TENDON SHEATH/CAPSULE L 12,191.50
EXCISION LESION; 1.1CM - 2.0CM 1,572.00
EXCISION LESION; 1.1CM - 2.0CM 294.00
EXCISION LESION; 2.1CM - 3.0CM 2,894.20
EXCISION MALIG LES F/E/E/N//L 3.1-4.0CM 6,707.05
EXCISION MULTIPLE EXT PAPILLA/TAG ANUS 8,307.50
EXCISION NEUROMA HAND/FOOT 7,817.10
EXCISION OLECRANON BURSA 7,722.15
EXCISION PILONIDAL CYST/SINUS SIMPLE 9,121.55
EXCISION PTERYGIUM W/GRAFT 7,673.35
EXCISION RECTAL TUMOR TRANSANAL APPROACH 11,633.20
EXCISION SACRAL PRESSURE ULCER W/SUTURE 6,183.10
EXCISION SPERMATOCLEL, W/WO EPID 8,478.40
EXCISION SUBMANDIBULAR/MAXILLARY GLAND 19,779.90
EXCISION THROMBOSED EXTERNAL HEMORRHOID 7,275.80
EXCISION TUMOR FOREARM/WRIST SUBQ 3CM/> 8,682.65
EXCISION TUMOR SOFT TIS BACK/FLANK 5CM/> 10,744.55
EXCISION TUMOR SOFT TISSUE ANKLE 3CM/> 10,744.55
EXCISION, VAGINAL CYST/TUMOR 11,386.58
EXCISION/CURETTAGE, BONE CYST/BENIGN TUM 12,191.70
EXCISION/FULGRATION; URETHRAL CARUNCLE 8,478.40
EXPLOR W/REMOVAL OF FB, FOREARM/ WRIST 1,088.82
EXSCISION TUMOR, SOFT TISSUE OF SHOULDER 6,740.15
EXT NEUROSTIM MEDTRONIC 353101 1,200.00
EXT SET TPN 0.2 MICRON 9.00
EXT SET TPN 1.2 MICRON-LIPIDS 12.00
EXT. SET 3 LEAD 6.50
EXT. SET W/FINAL FILTER 4.75
EXTENSION O2 TUBING 7.25
EXTENSION SET 6 INCH 9.78
EXTENSION SET METERED 12.25
EXTERNAL IV JUGULAR 55.00
EXTERNAL PULSE GENERATOR KIT-2 PORT HEAD 4,800.00
EXTRACAPSULAR CATARACT REMOVAL COMPLEX 9,121.75
EXTREMITY PACK MAJOR 126.96
EXTREMITY SHEETS 25.00
EXTRICATION COLLAR 33.75
EXU DRY DRESSING 6X9 8.70
EYE CULTURE 15.00
EYE CULTURE 15.00
EYE WASH 9.90
"EZ CAST SYSTEM 3""" 356.40
"EZ CAST SYSTEM 4""" 356.40
EZ INTRAOSSEOUS NEEDLE SET W/DRIVER 383.00
FACIAL BONES LESS THAN 3 VIEWS 247.50
FACIAL BONES MINIMUM 3 VIEWS 227.50
FACTOR V LEIDEN 132.00
FACTOR V LEIDEN AB 576.54
FACTOR VIII ACTIVITY 220.50
FACTOR VIII ANTIGEN 540.00
FACTOR X ACTIVITY 410.46
FAN CLIP ON PATIENT 23.73
FASCIA LATA GRAFT; INCISION & AREA EXPOS 7,842.15
FASCIECTOMY, PLANTAR FASCIA; PARTIAL 7,731.40
FASCIOTOMY, FOOT AND/OR TOE 7,731.40
FASTFIX 360 CURVED NEEDLE DEL SYSTEM 1,396.68
FASTFIX 360 STRAIGHT NEEDLE DEL SYSTEM 1,396.68
FB REMOVAL SUBQ 1,736.52
FB REMOVAL SUBQ 1,736.52
FB REMOVAL, AUDITORY CANAL 231.75
FB REMOVAL, AUDITORY CANAL 161.85
FB REMOVAL, CORNEA W/O SL 370.30
FB REMOVAL, SKIN COMPLEX 516.15
FB REMOVAL, SKIN, COMPLEX 6,041.85
FB REMOVAL/SUBCUTANEOUS/SIMPLE 980.20
FECAL FAT SCRN 22.00
FECAL LEUKOCYTES 32.75
FECAL MANAGEMENT COLLECTION BAG 16.29
FECAL MANAGEMENT SYSTEM 821.64
FEEDING PUMP BAG 8.19
FEEDING PUMP BAG W/FLUSH 17.16
FEEDING PUMP SPIKE SET 18.63
FEEDING PUMP SPIKE W/FLUSH 15.60
FEMUR AP/LAT 2 VIEWS 331.68
FENTANYL PATCH 12MCG/HR 42.30
FEOSOL TAB 325 MG 5.50
FERRITIN LEVEL 99.26
FERROUS SULFATE SOLUTION 300MG/5ML 6.70
FETAL MONITOR 83.50
FIBERCON TAB 5.50
FIBRINOGIN 27.50
FILTER VENT 840 45.39
FINGER FLEXION GLOVE S/M LEFT 83.25
FINGER PROTECTOR 6.00
FINGER SEPARATOR W/PILLOW 90.00
FINGER SPLINT 116.25
FINGER SPLINT - APPLICATION 400.60
FINGERS MINIMUM 2 VIEWS 242.78
FIRE HAT SPEC COLLECT 6.00
FIRST DEGREE BURN(S)-INITIAL TREATMENT 243.32
FIRST FRACTURE KIT-MEDTRONIC KPE 1001 8,850.00
FISTULA MANAGEMENT SYSTEM 4 X 6.25 377.70
FISTULA MGMT SYSTEM 6 1/3.x8 7/8 617.61
FIXATION OF PHALANGEAL FRACTURE 13,226.15
FIXATION OF SHOULDER 5,407.20
FLAGYL PREMIX 500 MG/100 ML 57.95
FLAGYL TAB 500 MG 5.50
FLANDERS BUTTPASTE 5.50
FLEET ENEMA 5.90
FLEX ENDO EVAL OF SWALLOW BY CINE OR VID 1,625.00
FLEX ENDO EVAL SWALL/LARYN SENSORY TEST 270.00
FLEXERIL TAB 10 MG 5.50
FLEXIGEL 4X4 11.50
FLOMAX CAP 0.4 MG 5.50
FLONASE NAS SPRAY 50 MCG 67.90
FLOOR SUCTION FLUID/ARTHROSCOPY 54.63
FLORASTOR 5.50
FLORINEF TAB 0.1 MG 5.50
FLOURO GUIDE/LOCAL-EPIDURAL 440.11
FLOUROSCOPIC GUIDANCE NEEDLE PLACEMENT-A 500.00
FLOUROSCOPY UP TO 1 HOUR 192.50
FLOVENT HFA MDI 110 MCG 785.75
FLU CONFIRMATION 79.56
FLU VACCINE ADMIN-OFFSITE 10.00
FLU VACCINE-DISCOUNTED 10.00
FLUOR-I-STRIP OPHTH TEST STRIP 1 MG 5.50
FLUOROSCOPIC GUIDANCE FOR CVAD 224.80
FLURO DRAPE/C-ARM DRAPE 38.25
FOLEY CATH COUDE 14FR 28.00
FOLIC ACID TAB 1 MG 5.50
FOLIC ACID (FOLATE) 103.07
FOLIC ACID INJ 5MG/ML 94.20
FOOD ALLERGY PANEL 50.93
FOOT 3 VIEWS 291.66
FOOT AP/LAT 2 VIEWS 215.98
FOOT PRINTER DISPOSABLE 3.50
FOREARM 2 VIEWS 263.00
FOREIGN BODY REMOVAL, CORNEA W/SL 160.50
FORIEGN BODY REMOV/VESTIBULE OF MOUTH 313.47
FORIEGN BODY REMOVAL, CORNEA W/O SL 108.00
FORIEGN BODY REMOVAL, CORNEA W/O SL 108.00
FORMULA GERBER GOODSTART 3OZ 3.99
FORTAZ 1 GM INJ 27.00
FRAZIER SUCTION TIP 2.76
FREE T3 190.80
FREE T-4 90.86
FREE T4/TSH (DISCOUNTED) 22.00
FREEING INTESTIONAL ADHESIONS 5,355.60
FROZEN PLASMA THAWING 75.00
FSH (FOLLICLE STIMULATING HORMONE) 126.07
FT SKIN GRAFT F/C/C/M/N/A/G/H/F 20CM/< 7,138.85
FT SKIN GRAFT F/C/C/M/N/A/G/H/F ADD 20CM 3,569.45
FTA-ABS 39.00
FULL THICKNESS GRAFT/FREE/20SQCM/< 12,523.45
FULL THICKNESS GRAFT/FREE/EA AD 20SQCM 6,261.73
FULL THICKNESS SKIN GRAFT EAR 7,037.10
FUNCTIONAL ACTIVITIES, EACH 15 MINUTES 106.54
FUNGUS CULTURE 45.00
FUSION OF TOES 7,731.40
G8978CH/MOBILITY: WALK/MOVE CURRENT 0.01
G8978CI/MOBILITY: WALK/MOVE CURRENT 0.01
G8978CJ/MOBILITY: WALK/MOVE CURRENT 0.01
G8978CK/MOBILITY: WALK/MOVE CURRENT 0.01
G8978CL/MOBILITY: WALK/MOVE CURRENT 0.01
G8978CM/MOBILITY: WALK/MOVE CURRENT 0.01
G8978CN/MOBILITY: WALK/MOVE CURRENT 0.01
G8979CH/MOBILITY: WALK/MOVE GOAL 0.01
G8979CI/MOBILITY: WALK/MOVE GOAL 0.01
G8979CJ/MOBILITY: WALK/MOVE GOAL 0.01
G8979CK/MOBILITY: WALK/MOVE GOAL 0.01
G8979CL/MOBILITY: WALK/MOVE GOAL 0.01
G8979CM/MOBILITY: WALK/MOVE GOAL 0.01
G8979CN/MOBILITY: WALK/MOVE GOAL 0.01
G8980CH/MOBILITY: WALK/MOVE DISCHARGE 0.01
G8980CI/MOBILITY: WALK/MOVE DISCHARGE 0.01
G8980CJ/MOBILITY: WALK/MOVE DISCHARGE 0.01
G8980CK/MOBILITY: WALK/MOVE DISCHARGE 0.01
G8980CL/MOBILITY: WALK/MOVE DISCHARGE 0.01
G8980CM/MOBILITY: WALK/MOVE DISCHARGE 0.01
G8980CN/MOBILITY: WALK/MOVE DISCHARGE 0.01
G8981CH/CHANGE/MAINTAIN BODY CURRENT 0.01
G8981CI/CHANGE/MAINTAIN BODY CURRENT 0.01
G8981CJ/CHANGE/MAINTAIN BODY CURRENT 0.01
G8981CK/CHANGE/MAINTAIN BODY CURRENT 0.01
G8981CL/CHANGE/MAINTAIN BODY CURRENT 0.01
G8981CM/CHANGE/MAINTAIN BODY CURRENT 0.01
G8981CN/CHANGE/MAINTAIN BODY CURRENT 0.01
G8982CH/CHANGE/MAINTAIN BODY GOAL 0.01
G8982CI/CHANGE/MAINTAIN BODY GOAL 0.01
G8982CJ/CHANGE/MAINTAIN BODY GOAL 0.01
G8982CK/CHANGE/MAINTAIN BODY GOAL 0.01
G8982CL/CHANGE/MAINTAIN BODY GOAL 0.01
G8982CM/CHANGE/MAINTAIN BODY GOAL 0.01
G8982CN/CHANGE/MAINTAIN BODY GOAL 0.01
G8983CH/CHANGE/MAINTAIN BODY DISCHARGE 0.01
G8983CI/CHANGE/MAINTAIN BODY DISCHARGE 0.01
G8983CJ/CHANGE/MAINTAIN BODY DISCHARGE 0.01
G8983CK/CHANGE/MAINTAIN BODY DISCHARGE 0.01
G8983CL/CHANGE/MAINTAIN BODY DISCHARGE 0.01
G8983CM/CHANGE/MAINTAIN BODY DISCHARGE 0.01
G8983CN/CHANGE/MAINTAIN BODY DISCHARGE 0.01
G8984CH/CARRY/HANDLE OBJECTS CURRENT 0.01
G8984CI/CARRY/HANDLE OBJECTS CURRENT 0.01
G8984CJ/CARRY/HANDLE OBJECTS CURRENT 0.01
G8984CK/CARRY/HANDLE OBJECTS CURRENT 0.01
G8984CL/CARRY/HANDLE OBJECTS CURRENT 0.01
G8984CM/CARRY/HANDLE OBJECTS CURRENT 0.01
G8984CN/CARRY/HANDLE OBJECTS CURRENT 0.01
G8985CH/CARRY/HANDLE OBJECTS GOAL 0.01
G8985CI/CARRY/HANDLE OBJECTS GOAL 0.01
G8985CJ/CARRY/HANDLE OBJECTS GOAL 0.01
G8985CK/CARRY/HANDLE OBJECTS GOAL 0.01
G8985CL/CARRY/HANDLE OBJECTS GOAL 0.01
G8985CM/CARRY/HANDLE OBJECTS GOAL 0.01
G8985CN/CARRY/HANDLE OBJECTS GOAL 0.01
G8986CH/CARRY/HANDLE OBJECTS DISCHARGE 0.01
G8986CI/CARRY/HANDLE OBJECTS DISCHARGE 0.01
G8986CJ/CARRY/HANDLE OBJECTS DISCHARGE 0.01
G8986CK/CARRY/HANDLE OBJECTS DISCHARGE 0.01
G8986CL/CARRY/HANDLE OBJECTS DISCHARGE 0.01
G8986CM/CARRY/HANDLE OBJECTS DISCHARGE 0.01
G8986CN/CARRY/HANDLE OBJECTS DISCHARGE 0.01
G8987CH/SELF CARE CURRENT 0.01
G8987CI/SELF CARE CURRENT 0.01
G8987CJ/SELF CARE CURRENT 0.01
G8987CK/SELF CARE CURRENT 0.01
G8987CL/SELF CARE CURRENT 0.01
G8987CM/SELF CARE CURRENT 0.01
G8987CN/SELF CARE CURRENT 0.01
G8988CH/SELF CARE GOAL 0.01
G8988CI/SELF CARE GOAL 0.01
G8988CJ/SELF CARE GOAL 0.01
G8988CK/SELF CARE GOAL 0.01
G8988CL/SELF CARE GOAL 0.01
G8988CM/SELF CARE GOAL 0.01
G8988CN/SELF CARE GOAL 0.01
G8989CH/SELF CARE DISCHARGE 0.01
G8989CI/SELF CARE DISCHARGE 0.01
G8989CJ/SELF CARE DISCHARGE 0.01
G8989CK/SELF CARE DISCHARGE 0.01
G8989CL/SELF CARE DISCHARGE 0.01
G8989CM/SELF CARE DISCHARGE 0.01
G8989CN/SELF CARE DISCHARGE 0.01
G8990CH/OTHER PRIMARY FUNCTION CURRENT 0.01
G8990CI/OTHER PRIMARY FUNCTION CURRENT 0.01
G8990CJ/OTHER PRIMARY FUNCTION CURRENT 0.01
G8990CK/OTHER PRIMARY FUNCTION CURRENT 0.01
G8990CL/OTHER PRIMARY FUNCTION CURRENT 0.01
G8990CM/OTHER PRIMARY FUNCTION CURRENT 0.01
G8990CN/OTHER PRIMARY FUNCTION CURRENT 0.01
G8991CH/OTHER PRIMARY FUNCTION GOAL 0.01
G8991CI/OTHER PRIMARY FUNCTION GOAL 0.01
G8991CJ/OTHER PRIMARY FUNCTION GOAL 0.01
G8991CK/OTHER PRIMARY FUNCTION GOAL 0.01
G8991CL/OTHER PRIMARY FUNCTION GOAL 0.01
G8991CM/OTHER PRIMARY FUNCTION GOAL 0.01
G8991CN/OTHER PRIMARY FUNCTION GOAL 0.01
G8992CH/OTHER PRIMARY FUNCTION DISCHARGE 0.01
G8992CI/OTHER PRIMARY FUNCTION DISCHARGE 0.01
G8992CJ/OTHER PRIMARY FUNCTION DISCHARGE 0.01
G8992CK/OTHER PRIMARY FUNCTION DISCHARGE 0.01
G8992CL/OTHER PRIMARY FUNCTION DISCHARGE 0.01
G8992CM/OTHER PRIMARY FUNCTION DISCHARGE 0.01
G8992CN/OTHER PRIMARY FUNCTION DISCHARGE 0.01
G8993CH/OTHER SUBSEQUENT FUNC. CURRENT 0.01
G8993CI/OTHER SUBSEQUENT FUNC. CURRENT 0.01
G8993CJ/OTHER SUBSEQUENT FUNC. CURRENT 0.01
G8993CK/OTHER SUBSEQUENT FUNC. CURRENT 0.01
G8993CL/OTHER SUBSEQUENT FUNC. CURRENT 0.01
G8993CM/OTHER SUBSEQUENT FUNC. CURRENT 0.01
G8993CN/OTHER SUBSEQUENT FUNC. CURRENT 0.01
G8994CI/OTHER SUBSEQUENT FUNC. GOAL 0.01
G8994CJ/OTHER SUBSEQUENT FUNC. GOAL 0.01
G8994CK/OTHER SUBSEQUENT FUNC. GOAL 0.01
G8994CL/OTHER SUBSEQUENT FUNC. GOAL 0.01
G8994CM/OTHER SUBSEQUENT FUNC. GOAL 0.01
G8994CN/OTHER SUBSEQUENT FUNC. GOAL 0.01
G8995CH/OTHER SUBSEQUENT FUNC. DISCHARGE 0.01
G8995CI/OTHER SUBSEQUENT FUNC. DISCHARGE 0.01
G8995CJ/OTHER SUBSEQUENT FUNC. DISCHARGE 0.01
G8995CK/OTHER SUBSEQUENT FUNC. DISCHARGE 0.01
G8995CL/OTHER SUBSEQUENT FUNC. DISCHARGE 0.01
G8995CM/OTHER SUBSEQUENT FUNC. DISCHARGE 0.01
G8995CN/OTHER SUBSEQUENT FUNC. DISCHARGE 0.01
GAIT TRAINING 89.54
GAIT TRAINING/INCL STAIR CLIMB EA 15MIN 75.00
GANGLIOSIDE GD1b ANTIBODY 300.00
GANGLIOSIDE GD1b ANTIBODY 300.00
GARAMYCIN 0.3% OPHTH SOLN 34.10
GASTRIC INTUBATION 491.25
GASTRIC INTUBATION 103.40
GASTROGRAFIN ORAL SOLUTION 77.05
GAUZE (DRESSING) 4X4 STERILE 8.50
GAVILAX PWDR [17 GM/ DOSE] 42.25
GAVISCON CHEW TAB 5.50
GAVISCON ORAL SUSP 6.25
GEL SAFE CREAM 26.25
GEMFIBROZIL TAB 600MG 27.50
GENERAL CUSTOM SURGICAL PACK 259.26
GENERAL HEALTH PANEL 396.02
GENITAL CULTURE 27.00
GENTAMICIN INJ 40 MG/mL 5.50
GENTAMICIN SULFATE OINTMENT 0.1% 15G 10.80
GENTAMICIN-8575 43.50
GEODON 20MG CAP 76.00
GGTP 63.77
GI Cocktail maalox/visc lido/donnatal 52.50
GIARDIA ANTIGEN 92.25
GIARDIA W/CRYPTOSPORDUIM ANTIGEN PANEL 467.28
GLAUKOS I-STENT LEFT 8,100.00
GLIADIN ANTIBODY IgA 308.01
GLOVE EXAM LATEX NON-STERILE 19.00
GLOVE EXAM LATEX STERILE 6.00
GLOVE FINGER FLEXION DELUXE SM/MD RIGHT 97.20
GLOVE STERILE PROTEXIS PI SZ 6.5 5.64
GLOVE STERILE PROTEXIS PI SZ 7.0 5.64
GLOVE STERILE PROTEXIS PI SZ 7.5 5.64
GLOVE STERILE PROTEXIS PI SZ 8.0 5.64
GLOVE STERILE PROTEXIS PI SZ 8.5 5.64
GLOVE STERILE SZ 6 6.00
GLOVES STERILE SURGERY 1.05
GLOVES, STERILE - MAXXON 9.75
GLOVES, STERILE - WHITE 9.75
GLUCAGON KIT 1 MG 681.40
GLUCOPHAGE TAB 500 MG 5.50
GLUCOSE 45.23
GLUCOSE (DISCOUNTED) 5.50
GLUCOSE SYNOVIAL FLUID 20.70
GLUCOSE TOLERANCE 209.64
GLUCOSE USING GLUCOMETER 38.50
GLUCOTROL ER TAB 5 MG 5.50
GLUCOTROL TAB 10 MG 5.50
GLUCOTROL TAB 5 MG 5.50
GLUCOTROL TAB 5 MG 5.50
GLUCOTROL XL TAB 10 MG 5.50
GLYCERIN SUPP ADULT 5.50
GLYCERIN SUPP CHILD 5.50
GLYCOSYLATED HGB 82.18
GOLYTELY 37.25
GONIOTOMY 17,093.80
GOWN STERILE XXL EXTRA LONG 14.13
GOWN SURGICAL LARGE 7.41
GOWN SURGICAL X-LARGE 11.37
GOWN SURGICAL XXL 10.14
GRAFT AFFINITY 2.5CMX2.5CM AF-1250 2,985.00
GRAFT AMNICORE 4.0X6.0CM AMG-5460 6,525.00
GRAFT AMNICORE 6X16CM AMG-5616 21,980.00
GRAFT AMNIFIX 4.0X4.0CM APS-5440 4,290.00
GRAFT AMNIOCORE 2X3CM AMG-5230 3,980.00
GRAFT AMNIOCORE 3.0X3.0CM AMG-5330 3,690.00
GRAFT AMNIOCORE 4.0X4.0CM AMG-5440 4,290.00
GRAFT AMNIOFIX 2.0X3.0CM APS-5230 2,985.00
GRAFT AMNIOFIX 6.0X16.0CM APS-5616 16,485.00
GRAFT DERMA-FAT-FASCIA 10,687.45
GRAFT SEMI-T (ACL) 4,800.00
GRAFT; AFFINITY 1.5CMX1.5CM 1,485.00
GRAFT; AMNIOCORD 2X3 AC-5230 4,785.00
GRAFT; AMNIOCORD 3X5MC AC-5350 12,475.00
GRAFT; AMNIOCORE 16MM AMD-5160 1,470.00
GRAFT; AMNIOFIX 3X3 AAS-5330 22,500.00
GRAFT; APLIGRAF 44CMX44CM 3,885.00
GRAFT; PURAPLY AM 2X2 3,750.00
GRAFT; PURAPLY AM 2X4 2,850.00
GRAFT; PURAPLY AM 5X5 9,600.00
GRAFT; PURAPLY AM 6X9CM 20,100.00
GRAFT; PURAPLY AM 8X16CM 47,850.00
GRAM STAIN 68.88
GROWTH HORMONE 33.00
GUARDOUS OVERTUBE GASTRIC STD 50 CM 540.00
GUARDUS OVERTUBE ESOPHAGEAL STD 25CM 465.00
GUIDEWIRE .035 X 150CM STRAIGHT UP 141.00
GUIDEWIRE/03.010.024 90.50
H. PYLORI ANTIBODY 113.65
HAEMOPHILUS INF TYPE B IGG 195.00
HAIR BRUSH 5.00
HALCION 0.125MG 5.50
HALDOL INJ 5 MG/mL 9.85
HALDOL TAB 1 MG 5.50
HALDOL TAB 5 MG 5.50
HALLUX RIGIDUS CORRECTION MTP JOINT 11,977.95
HAND 2 VIEWS 148.50
HAND 3 VIEWS 278.79
HAPTOGLUBLIN LEVEL 161.48
HARMONIC BLADE DISP 1,182.50
HARMONIC SCALPEL 1,527.00
HASSON TROCAR 12MM 210.00
HCV RNA QN PCR W/REFLEX TO GENOTYPE 1,266.00
HE4 768.00
HEAD LIGHT AND LIGHT SOURCE 57.75
HEAD REST FOAM 10.80
HEAD/NECK EENT PACK 32.67
HEART MONITOR ER 60.50
HEAT MOISTURE EXCHANGER - HME 17.61
HEEL LIFT 26.85
HEEL LIFT 1/2IN 53.25
HEEL PROTECTOR VENTOPEDIC (WOUND) 185.64
HEEL/ELBOW PROTECTOR 19.00
HEIMLICH HEST VALVE 52.50
HELIOBACTOR TITER 198.00
HELIUM UHP 6000(CYLINDER) 2,264.64
HEMACLEAR TOURNIQUET A; FOOT AND ANKLE 81.00
HEMACLEAR TOURNIQUET F; HAND 55.50
HEMACLEAR TOURNIQUET LG 147.00
HEMACLEAR TOURNIQUET MD; UPPER EXT 114.00
HEMACLEAR TOURNIQUET XL; LOWER EXT 147.00
HEMATOCRIT 41.57
HEMATOMA, FINGER, DRAIN 596.28
HEMATOMA, FINGER, DRAIN 298.14
HEMOCHROMATOSIS DNA MUTATION ANALYSIS 135.00
HEMOCLIP LG 23.75
HEMODIALYSIS W/REPEATED EVALUATIONS 2,486.61
HEMODIALYSIS W/SINGLE EVALUATION 1,657.74
HEMOGLOBIN 35.56
HEMOGLOBIN ELECTROPHORESIS 408.57
HEMOLOCK/WECK CLIP 168.84
HEMORRHOIDECTOMY INT/EXT 2/> COLUMN 10,837.55
HEMORRHOIDECTOMY INTERNAL AND EXTERNAL 9,707.15
HEMORRHOIDECTOMY INTERNAL LIGATION 9,707.15
HEMORRHOIDECTOMY INTERNAL LIGATION 2+GRP 8,307.50
HEMORRHOIDECTOMY, INTERNAL, RUBBER BAND 1,945.10
HEP A IgG 94.56
HEP A IgM 27.00
HEP AG/AB PROFILE 296.93
HEP B CORE ANTIBODY 126.42
HEP B SURFACE ANTIGEN 78.75
HEP C GENOTYPE 220.00
HEPARIN FLUSH 100 UNITS/ML 5 ML SYR 97.50
HEPARIN INJ 10,000 UNITS/ML 10.05
HEPARIN INJ 5,000 UNITS/ML 5.50
HEPARIN INJ 1,000 units/ml 33.85
HEPARIN/D5W IV PREMIX 25,000 UNT/250ML 26.85
HEPATIC PANEL 117.28
HEPATITIS B SURFACE ANTIBODY 143.98
HEPATITIS C ANTIBODY 113.56
HEPATITIS C RNA/PCR QUANT 798.00
HEREDITARY HEMACHROMATOSIS GENE MUTATION 1,202.58
HERNIA, INCISIONAL, INITIAL;INCAR/STRANG 11,698.00
HERNIA, LAPAROSCOPIC; INCISIONAL REPAIR 27,395.65
HERNIA; RECURRENT; INCARC/STRANG 11,520.00
HERPES SIMPLEX 1 & 2 pcr 427.50
HESSBURG BARRON VACUUM TREPHINE 7.0 198.00
HESSBURG BARRON VACUUM TREPHINE 7.5 198.00
HESSBURG BARRON VACUUM TREPHINE 8.0 198.00
HHN TEACHING/DEMONSTRATION ONCE PER DAY 486.24
HHN TREATMENT 486.24
HIBICLENS FOAM 4OZ 12.48
HIBICLENS SOLUTION 4OZ BOTTLE 12.45
HIP ABDUCTION BRACE 1,071.21
HIP BILATERAL MIN 2 VIEWS AP/PELVIC 244.75
HIP UNILATERAL 1 VIEW 149.50
HIP UNILATERAL 2 VIEWS AP/PELVIC 278.70
HISTOPLASMA Ab 160.65
HIV I AND II 220.00
HIV QUALITATIVE 357.00
HIV RNA BY PCR QUANT 885.00
HLA B27 ANTIGENT 210.00
HOMOCYSTEINE 176.00
HOSPITAL DISCHARGE DAY MANAGEMENT >30MIN 600.00
HOSPITAL DISCHARGE DAY MANAGEMENT 30MIN< 300.00
HOT OR COLD PACK 22.00
HOT PACKS 22.00
HPC0025/HEX HEAD screw 375.00
HPYLORI BREATH ADULT 421.74
HPYLORI BREATH CHILD 421.74
HPYLORI STOOL 294.48
HU ANTIBODY W/REFLEX PANEL (01) 379.65
HU/YO/RI ANTIBIODIES W/REFLEX (01) 379.65
HU/YO/RI ANTIBIODIES W/REFLEX (02) 379.65
HU/YO/RI ANTIBIODIES W/REFLEX (03) 379.65
HUBER NEEDLE 19G 1IN 6.50
"HUBER NEEDLE 20G ""1" 8.82
HUMERUS 2 VIEWS 286.71
HUMIDIFIER 124.75
HUMIDIFIER COOL MIST 66.00
HUMIDIFIER DISPOS 99.00
HYDRALAZINE 50 MG TAB 10.10
HYDROCHLOROTHIAZIDE TAB 25 MG 5.50
HYDROCODONE SYRUP [7.5/325] 15 ML 27.50
HYDROCORTISONE 1% CRM 11.75
HYDROCORTISONE CREAM 1% 5.50
HYDRODISSECTION CANULA OPTHALMIC 14.43
HYDROFLEX ARTHROSCOPIC IRR TUBING 138.50
HYDROGEL SKINTEGRITY GEL 1OZ TUBE 13.05
HYDROGEL SKINTEGRITY GEL 40Z TUBE 38.64
HYDROGEN PEROXIDE 473ML 5.50
HYDROXYPROGESTERONE-17 133.95
HYDROXYUREA 500MG CAP 12.50
HYSTEROSCOPY W/BIOPSY 8,816.85
HYTRIN CAP 5 MG 5.50
I & D ABDOMINAL WALL ABSCESS 4,884.40
I & D PILONIDAL CYST/ABSCESS COMPLICATED 4,329.80
I & D SKIN, MULT OR COMP 504.70
I & D SKIN, MULT OR COMP 509.50
I&D COMPLEX POSTOP WOUND INFECTION 10,744.55
I&D DRAINAGE HEMATOMA/SEROMA/FLUID COLL. 3,378.20
I&D EYE LID 292.00
I&D OF EAR 474.75
I&D SKIN 283.00
I&D SKIN 283.00
I&D SKIN ABCESS; COMPLICATED 505.00
I&D SKIN ABCESS; SIMPLE 505.00
I&D SKIN, SIMPLE 504.70
I&D VULVA ABCESS UNILAT BARTOLIN 262.41
I&D VULVA ABCESS UNILAT BARTOLIN 262.41
I.V. SETUP 11.50
I.V. TUBING (BURET IV SET) 29.75
IAAD IA ADENOVIRUS ENTERIC TYP 40/41 267.00
IADNA CANDIDA SPECIES AMPLIFIED PRO (01) 137.73
IADNA CHLAMYDIA TRACHOMATIS AMP (01) 137.73
IADNA GARDNERELLA VAGINALIS (01) 195.00
IADNA GARDNERELLA VAGINALIS QUANT (01) 137.73
IADNA NEISSERIA GONORRHOEAE AMPL (01) 137.73
IADNA NOS QUANT EACH ORGANISM (01) 137.73
IADNA NOS QUANT EACH ORGANISM (01) 195.00
IADNA TRICHOMONAS VAGINALIS AMP (01) 137.70
ICE BAG 5.50
ICE PACK 2.25
ICE PACK STAY DRY 6.00
ICE PACK, PERINEAL 6.00
ICE PACK/INSTANT 7.25
ICEMAN, COLD THERAPY SYSTEM 393.25
IFE RANDOM URINE 115.77
IGE 72.00
IGF BINDING PROTEIN 1 171.63
IGF, BINDING PROTIEN 3-34458 288.27
IGF, LC/MS-16293 171.63
IGG 37.17
IMDUR ER TAB 30 MG 5.50
IMDUR ER TAB 60 MG 5.50
IMMOBILIZER SHOULDER SM 43.50
IMMODIUM CAP 2 MG 5.50
IMMODIUM LIQ 2 MG/10 ML 5.50
IMMUKNOW 630.00
IMMUNOFIXATION, ELECTRO; URINE 186.00
IMMUNOGLOBULIN PANEL (01) 37.17
IMMUNOGLOBULIN PANEL (02) 37.17
IMMUNOGLOBULIN PANEL (03) 37.17
IMPLANT SPINAL CANAL CATH 14,585.30
IMPLANTATION/REPLACE DEVICE, INTRATHECAL 49,322.40
INC IMPLT NEUROSTIMULATOR ELTRD SACRAL N 30,278.05
INCISE FINGER TENDON SHEATH 6,013.20
INCISION & DRAINAGE LABIA/VULVA 330.25
INCISION & DRAINAGE, SKIN COMP 509.50
INCISION AND DRAINAGE ABSCESS SIMPLE 638.64
INCISION AND DRAINAGE PERIRECTAL ABSCESS 7,275.80
INCISION EXTENSOR TENDON SHEATH WRIST 8,195.35
INCISION FLEXOR TENDON SHEATH WRIST 6,087.10
INCISION OF IMPLANT OF NEUROSTIMULATOR 91,844.45
INCISOR PLUS BLAD (KNEE SHAVER) 4.5MM 319.83
INDERAL INJ I MG/ML 10.45
INDERAL TAB 10 MG 5.50
INDOMETHACIN 50MG CAP 13.45
INDUSTRY URINE DRUG COLLECTION 19.25
INFANT WARMER 385.00
INFED INFUSION 235.30
INFLAMMATORY BOWEL DISEASE DIFF (01) 204.59
INFLAMMATORY BOWEL DISEASE DIFF (02) 204.59
INFLAMMATORY BOWEL DISEASE DIFF (03) 204.59
INFLAMMATORY BOWEL DISEASE DIFF (04) 204.59
INFLAMMATORY BOWEL DISEASE DIFF (05) 204.59
INFLUENZA A 241.38
INFLUENZA ANITBODIES 351.60
INFLUENZA B 241.38
INFLUENZA SWAB 127.65
INFUVITE ADULT VITS FOR INF 36.40
ING HERNIA RPR, INCARC/STRANG; > 5 YRS 11,517.85
INGUINAL HERNIA INITIAL 5 YRS OR OLDER 11,698.00
INHALATION BRONCHIAL CHALLENGE TESTING 947.44
INIT TREATMENT 1ST DEGREE 208.25
INIT TX, 1ST DEGREE BURN 307.25
INITIAL HOSPITAL CARE/DAILY 30 MINUTES 300.00
INITIAL HOSPITAL CARE/DAILY 50 MINUTES 300.00
INITIAL HOSPITAL CARE/DAILY 70 MINUTES 600.00
INITIAL INSERT ANT SEG TRABECULAR DEVICE 17,093.80
INITIAL OBSERVATION CARE/DAY 30 MINUTES 300.00
INITIAL OBSERVATION CARE/DAY 50 MINUTES 300.00
INITIAL OBSERVATION CARE/DAY 70 MINUTES 600.00
INITIAL SWINGBED CARE/DAILY 25 MINUTES 300.00
INITIAL SWINGBED CARE/DAILY 35 MINUTES 300.00
INITIAL SWINGBED CARE/DAILY 45 MINUTES 300.00
INJ ANES AGENT, ILIOINGUINAL ILIOHYPOGRA 2,716.90
INJ ANES. AGENT OTHER PERIPHERAL NERVE 2,535.95
INJ FORAMEN EPIDURAL C/T 2,614.35
INJ FORAMEN EPIDURAL I-ON 1,363.70
INJ FORAMEN EPIDURAL I-ON 1,363.70
INJ FORAMEN EPIDURAL L/S 2,614.35
INJ PARAVERT FACET JNT C/T 1ST LEV 3,360.90
INJ PARAVERT FACET JNT C/T 2ND LEV 1,680.45
INJ PARAVERT FACET JNT C/T 3RD/ADD LEV 1,680.45
INJ PARAVERT FACET JNT L/S 1ST LEV 3,360.90
INJ PARAVERT FACET JNT L/S 2ND LEV 1,680.45
INJ PARAVERT FACET JNT L/S 3RD/ADD LEV 1,680.45
INJ PROC, HIP ARTHROGRAPHY W/ANES 1,000.00
INJ SI JOINT ARTHROGRAPHY & ANES/STER W/ 2,716.90
INJ STABL DEV W/O DCMPRN LUMBAR;SECOND 23,056.50
INJ STBL DEV W/O DCMPRN LUMBAR, SINGLE 46,113.00
INJ, ANESTHETIC AGENT; TRIGEMINAL NERVE 913.65
INJECT ANES AGENT SCIATIC NERVE SINGLE 3,360.30
INJECT CONTRAST FISTULA TRACT DIAGNOSTIC 2,596.40
INJECT SCLEROSING SOLUTION SINGLE VEIN 1,415.70
INJECTION ANES AGENT LUMBAR OR THORACIC 2,614.35
INJECTION CAP 3.75
INJECTION CAP 2N3399 5.00
INJECTION HIP ARTHROGRAPHY W/O ANESTHES 1,155.00
INJECTION SHOULDER ARTHROGRAPHY 1,155.00
INJECTION VACCINE 69.80
INJECTION, EPIDURAL, BLOOD CLOT PATCH 2,716.90
INJECTION, SUB Q OR IM 55.86
INJ-TRIGGER POINT 1-2 MUSCLES 96.87
INLET CLOSURE SYSTEM 147.00
INLINE SUCTION CATH FOR ET TUBE 14FR 40.38
INLINE SUCTION CATH FOR TRACHS 14FR 38.01
INS - HUMULIN R INJ 100 UNITS/ML 5.50
INS - LANTUS INJ 100 UNITS/ML 38.95
INSERT ANTERIOR DRAINAGE DEVICE 16,903.85
INSERT CENTRAL LINE 609.87
INSERT SUPRAPUBIC BLADDER CATH 676.71
INSERT SUPRAPUBIC BLADDER CATH 676.71
INSERT/REPLACE PERIPHERAL/NEUROSTIMULATO 55,106.67
INSERT/REPLACE SPINAL GENERATOR/RECEIVER 54,094.22
INSERTION CENTRAL LINE < 5 YRS 351.63
INSERTION CENTRAL LINE > 5 YRS 351.63
INSERTION OF NON INDWELLING BLADDER CATH 235.25
INSERTION OF NONINDWELLING BLADDER CATH 235.25
INSERTION SECONDARY LENS IMPLANT 8,763.10
INSERTION TEMP INDWELLING BLADDER CATH 289.50
INSERTION, CVA DEVICE, > 5 YRS 10,784.00
INSTR ENDO SCISSORS SHEAR 894.25
INSTRUMENT STERILE 7.25
INSUFFLATION TUBING STRYKER 132.00
Insulin Humalog 5.50
Insulin Humalog 75/25 5.50
Insulin Humulin 70/30 5.50
Insulin Humulin N 5.50
INSULIN LEVEL 86.15
INSULIN SYRINGE 1.00
INTEGRILIN INF 75 MG/100 ML 1,935.00
INTEGRILIN INJ 20 MG/10 ML 494.64
INTER LAC 12.6-20.0 CM EXT 924.50
INTER LAC 12.6-20.0 CM EXT 924.50
INTER LAC WOUND 12.6-20CM 621.39
INTER LAC WOUND 12.6-20CM 621.39
INTERM CAC 5.1-7.5CM 216 335.50
INTERM LAC < 2.5 CM 483.63
INTERM LAC 0-2.5 CM 204 524.25
INTERM LAC 0-2.5 CM 209 580.75
INTERM LAC 0-2.5CM 204 524.14
INTERM LAC 0-2.5CM 214 672.25
INTERM LAC 2.6 TO 5.0 C 215 703.83
INTERM LAC 2.6-5.0 CM 672.25
INTERM LAC 2.6-7.5 C 205 732.50
INTERM LAC 2.6-7.5 C 205 732.50
INTERM LAC 2.6-7.5 C 211 704.50
INTERM LAC 2.6-7.5 C 211 704.50
INTERM LAC 7.6-12.5 327.25
INTERM LAC 7.6-12.5 206 722.75
INTERM LAC 7.6-12.5 206 722.75
INTERMED REPAIR; FACE; 5.1-7.5CM 932.40
INTERMEDIATE REPAIR FACE, EAR, ETC 1,156.85
INTERN BRACE AR1688CP IMPLANT SYS RPR 4,608.00
INTEROSSCOUS ACCESS 563.65
INTEROSSCOUS ACCESS 205.75
INTRAOCULAR LENS - IRIS SUPPORTED 220.00
INTRAOP CHOLANGIOGRAPHY-ADDITIONAL SET 422.50
INTUBATION 940.75
INTUBATION, ENDOTRACHEAL 360.00
INTUBATION, ENDOTRACHEAL 360.00
INVALID RING 11.00
INVanz INJ 1 GRAM 346.85
IOBAN 23 x 23 36.33
IODINE LEVEL-RANDOM URINE 122.40
IODOFLEX PAD 4X6CM 14.40
IONIZED CALCIUM 110.17
IONTOPHORESIS EACH 15 MINUTES 133.02
IP/OBS ADMIT/DISCHARGE SAME DAY 40 MIN 300.00
IP/OBS ADMIT/DISCHARGE SAME DAY 50 MIN 300.00
IP/OBS ADMIT/DISCHARGE SAME DAY 55 MIN 300.00
IPPB SET UP 49.50
IPPB TX 1560 27.50
IRON TOTAL SERUM 9.00
IRON with TIBC 62.66
IRR- NACL 0.9% 1000 mL 5.50
IRR- NACL 0.9% 500 mL 26.25
IRRADIATED LEUCOCYTE REDUCED RBC 808.50
IRRIGATING ANTERIOR CHAMBER CANNULA 11.37
IRRIGATING OCUTOME PROBE 297.60
IRRIGATION 8.50
IRRIGATION BLADDER TRAY 240.00
IRRIGATION TRAY STERILE 12.00
ISNARE SYSTEM 378.00
ISOLATION SET UP 54.50
ISORDIL 20 MG 5.50
ISOVUE-300 134.80
ISOVUE-M 200 PER ML 192.80
I-STAT CHEM 8-BMP 143.49
I-STAT CK-MB 131.15
I-STAT TROPONIN 153.24
ISTENT INJECT 8,475.00
IV 0.9% NACL + KCL 20 MEQ/L PREMIX 25.00
IV 20 MEQ NL 1000ML 93.50
IV CATHETER 14G 5.28
IV CATHETER 16G 5.28
IV CATHETER 18G 5.28
IV CATHETER 20G 5.28
IV CATHETER 22G 5.28
IV CATHETER 24G 5.28
IV CONTROLLER/PCA PUMP 8.50
IV D5 0.9% NS + KCL PreMix 20 MEQ/L 25.00
IV D5 1/2 NACL 1000 mL 25.00
IV D5 1/2 NACL+KCL PREMIX 20 MEQ/1000 ML 25.00
IV D5 1/2 NACL+KCL PREMIX 40 MEQ/L 25.00
IV D5 LR 1000 mL 25.00
IV D5 NACL 1000 mL 25.00
IV D5W 100 mL 27.50
IV D5W 1000 mL 25.00
IV D5W 250 mL 25.00
IV DRIP AMIODARONE 150MG/3ML 6.90
IV DRIP BREVIBLOC 95.05
IV DRIP CALCIUM GLUCONATE 100M/ML 16.20
IV DRIP DEXTROSE 42.15
IV DRIP DIGOXIN .25MG/ML 293.65
IV DRIP DILTIAZEM 25MG/5ML 7.00
IV DRIP EPINEPHRINE 1MG/ML 31.30
IV DRIP HEPARIN 33.40
IV DRIP INSULIN HUMULIN R 62.10
IV DRIP LABETALOL 22.05
IV DRIP LEVOPHED 70.65
IV DRIP LIDOCAINE 11.85
IV DRIP MANNITOL 20% 44.10
IV DRIP NICARDIPINE 57.80
IV DRIP NITROGLYCERIN 250ML 30.85
IV DRIP VASOPRESSIN 20U/1ML 225.70
IV EXT TUBING 21IN 2C6226 2.25
"IV EXTENSION HIGHFLOW 60"" 2N3349" 5.00
IV INF, ADD SEQU INF UP TO 1 HOUR 130.51
IV INF, ADD SEQU INF UP TO 1 HR 90.42
IV INF, CONCURRENT 54.21
IV INF, CONCURRENT INF 93.46
IV INF, EACH ADD HOUR 171.80
IV INF, EACH ADD HOUR 58.05
IV INF, HYDRATION 31 TO 60 MINS 145.47
IV INF, HYDRATION INITIAL 31 TO 60 MINS 262.13
IV INF, HYDRATION, EACH ADD HOUR 108.70
IV INF, HYDRATION, EACH ADD HOUR 42.81
IV INF, INITIAL, UP TO 1 HOUR 303.90
IV INF, UP TO 1 HOUR 177.39
IV KCL PREMIX 20mEQ/100 ML 11.70
IV NACL 0.45% + KCL 20 MEQ/L 25.00
IV NACL 0.45% 1000 mL 25.00
IV NACL 0.9% 100 mL ADVANTAGE BAG 15.20
IV NACL 0.9% 1000 mL 27.50
IV NACL 0.9% 250 mL 25.00
IV NACL 0.9% 50 mL 27.50
IV NACL 0.9% 50 mL ADVANTAGE BAG 27.50
IV NACL 0.9% 500 mL 27.50
IV NS 0.9% 100 mL 125.00
IV PUSH, EACH ADD SAME DRUG 126.01
IV PUSH, EACH ADD SEQU NEW DRUG 142.27
IV PUSH, EACH ADD SEQU NEW DRUG 61.35
IV PUSH, EACH ADD SEQU SAME DRUG 61.35
IV PUSH, SINGLE OR INITIAL 158.41
IV PUSH, SINGLE OR INITIAL 140.82
IV RINGERS 1000 ML 25.00
IV SORBVIEW SHIELD 7.05
IV START KIT 22.00
IV TUBING 10 DROP 5.00
IV TUBING 15GTT SUR 375100 9.00
IV TUBING 60 DROP 5.00
JANTOVEN TAB [ 3 MG ] 75.50
J-BRACE PATELLAR STABILIZER 92.25
JEVITY 1.2 CAL 1000 LTR 28.95
JOINT FLUID-CELL COUNT DIFF 142.43
JUGGERKNOT ANCHOR #2 MAXBRAID CUTTING NE 1,008.00
JUGGERKNOT DRILL SHORT 2.9MM BIOMET 1100 258.00
KAHOOK DUAL BLADE 1,275.00
KANGAROO FEEDING PUMP 8.19
KAPPA LIGHT CHAIN (01) 360.00
KAYEXALATE LIQ 15 GRAM/60 ML 29.90
KCI 203.50
KCI LIFT 110.00
KCL 10MEQ/D5W/NACL 0.45% 10.80
K-DUR TAB 20 MEQ 5.50
KEFLEX CAP 250 MG 39.10
KEFLEX CAP 500 MG 5.50
KEITH NEEDLE OR MAYO 3.50
KENALOG IN ORABASE 42.75
KENALOG-40 IM INJ 40 MG/ML 41.90
KEPPRA 78.30
KEPPRA 100M/ML 5ML IV 261.95
KERLIX SUPER SPONGE 27.00
KETAMINE 500MG/5ML (100MG/ML) 1.00
KETAMINE 50MG/ML 10ML 19.60
KETORLAC TAB 10 ML 5.50
KETOROLAC 30MG/ML 1 ML 5.50
KINETIC UNIVERASL ICE PACK 71.75
KLEENEX BEDSIDE 3.75
KLONOPIN 0.5 MG *ODT* 5.50
KLONOPIN 1MG 14.40
KlonoPIN TAB 0.5 MG 5.50
KLOR-CON M10 TAB [ 10 MEQ ] CR 159.40
KLOR-CON TAB 10 MEQ 5.50
KNEE 1 OR 2 VIEWS 277.34
KNEE 3 VIEWS 327.77
KNEE 4 OR MORE VIEWS 247.50
KNEE ARTHROSCOPY W/LATERAL RELEASE 10,373.10
KNEE SLEEVE 82.50
"KNEE SPLINT 16""" 32.01
KNEE WRAP W/2 180.00
KNOT PUSHER/SUTURECUTTER CURVED72202675 461.76
K-PAD 21.00
K-THERM PUMP SET UP 30.25
KUGEL MESH LARGE 2,972.58
KUMAR CATHETER 101.25
K-WIRE 1.6/100MM TRI-MED 72.00
KYPHON HV-R CEMENT-MEDTRONIC C01A 429.00
KYPHOPLASTY SYSTEM 11,800.00
KYPHOPLASTY-BONE CEMENT & MIXER 560.00
LAC REPAIR SIMPLE S/N/T/E/H/F OVER 30CM 418.65
LAC REPAIR SIMPLE S/N/T/E/H/F OVER 30CM 146.88
LAC REPAIR, INTERMED 0-2.5CM 627.50
LAC REPAIR/SIMPLE 2.5 CM OR LESS 251.19
LAC REPAIR/SIMPLE 2.5 CM OR LESS 83.73
LAC, SIMPLE 7.6CM-12.5CM 250.65
LACERATION TRAY, DISPOSABLE 24.25
LACERATION TRAY, STERILE DISPOSABLE 24.25
LACERATION, INT 20.1CM-30.0CM 743.67
LACERATION, INT 20.1CM-30.0CM 743.67
LACERATION, INTER 7.6-12.5 CM 597.90
LACOSAMIDE 285.00
LACTATED RINGERS 1000ML 93.50
LACTIC ACID 98.46
LACTOBACILLUS 5.50
LACTOFERRIN 220.00
LACTULOSE LIQ 10 GM/15 ML 5.50
LACTULOSE ORAL SOLUTION 10 GM/15 ML 5.50
LAMBDA LIGHT CHAIN (02) 360.00
LAMICTAL 110.00
LAMICTAL 200MG 12.50
LAMOTRIGINE 150MG 6.35
LANOXIN INJ 0.25 MG/ML 17.50
LANOXIN TAB 0.125 MG 11.75
LANOXIN TAB 0.25 MG 5.50
LANTHANUM 1GM CHEWABLE 408.80
LANTISEPTIC 20.05
LANTISEPTIC OINTMENT 20.05
LANTUS 5.50
LAP CHOLE W/CHOLIANGIOGRAPHY 18,897.00
LAP REPAIR PARAESOPHAGEAL HERNIA WO MESH 27,395.65
LAP RPR RECURR INCARC INCISIONAL HERNIA 34,849.20
LAP SPONGE 4 X 18 DISP 5.00
LAP TUBAL FULG OVIDUCTS 16,791.75
LAP VENTRAL HERNIA REPAIR WITH MESH 27,395.65
LAPAROS BIOPSY W/ASPIRATION OVARIAN CYST 15,084.65
LAPAROSCOPIC APPENDECTOMY 18,897.00
LAPAROSCOPIC INGUINAL HERNIA REPAIR 18,897.00
LAPAROSCOPIC LYSIS OF ADHESIONS 18,897.00
LAPAROSCOPIC SCISSORS 5MM 197.76
LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDU 20,995.65
LAPAROSCOPY PACK 129.75
LAPAROSCOPY UNLISTED PROCEDURE STOMACH 20,995.65
LAPAROSCOPY WITH BIOPSY 20,995.65
LAPAROSCOPY, ABDOMINAL 13,815.00
LAPS RPR INCISIONAL HERNIA NCRC8/STRANGU 34,849.20
LARYNGOSCOPE BLADE DISPOSABLE MAC 0 14.55
LARYNGOSCOPE BLADE DISPOSABLE MAC 1 14.55
LARYNGOSCOPE BLADE DISPOSABLE MAC 2 14.55
LARYNGOSCOPE BLADE DISPOSABLE MAC 3 14.55
LARYNGOSCOPE BLADE DISPOSABLE MAC 4 14.55
LARYNGOSCOPE BLADE DISPOSABLE MILLER 0 14.55
LARYNGOSCOPE BLADE DISPOSABLE MILLER 1 14.55
LARYNGOSCOPE BLADE DISPOSABLE MILLER 2 14.55
LARYNGOSCOPE BLADE DISPOSABLE MILLER 3 14.55
LARYNGOSCOPE BLADE DISPOSABLE MILLER 4 14.55
LARYNGOSCOPE HANDLE LED DISPOSABLE 15.45
LASIX INJ 20 MG/2 mL 12.80
LASIX INJ 40 MG/4mL 40.10
LASIX TAB 20 MG 5.50
LASIX TAB 40 MG 5.50
LATERAL CANTHOPEXY 10,995.30
LAVAGE KIT/GASTRIC 34FR 27.75
LAVH PACK 360.50
LAW ENFORCEMENT SAMPLE COLLECTION FEE 19.25
LC/MS/MS 151.20
LDH 58.46
LE ARTERIAL DUPLEX BILATERAL COMPLETE 903.64
LE ARTERIAL DUPLEX UNILATERAL OR LTD 450.92
LE/UE BILATERAL ARTERIAL LIMITED 400.08
LE/UE VENOUS DUPLEX BILATERAL COMPLETE 903.64
LE/UE VENOUS DUPLEX UNILATERAL/LIMITED 450.92
LEAD 30.00
LEGIONELLA AG, EIA, URINE 319.59
LEGIONELLA CULTURE 121.98
LENGTHENING/SHORT TENDON, LEG/ANKLE 13,226.15
LENS-ALCON ACRY SOFT NATURAL 450.00
LENS-HOYA PRE LOADED INTRA 300.00
LEUKOREDUCED RBC 657.00
LEVAQUIN IVPB PREMIX 500 MG/100 mL 31.70
LEVAQUIN IVPB PREMIX 750 MG 118.85
LEVAQUIN TAB 250 MG 5.50
LEVAQUIN TAB 500 MG 9.70
Levemir insulin 5.50
LEVETIRACETAM 500MG 6.25
LEVETIRACETAM ORAL SOLN 500MG/5ML 137.50
LEVOFLOXACIN IN D5W [ 500 MG ] 1,217.76
LEVOTHYROXINE 100MCG/VIAL 522.90
LEVSIN TAB 0.125 MG 5.50
LEXAPRO TAB 10 MG 25.90
LH (LUTEINIZING HORMONE) 178.90
LH (LUTEINIZING HORMONE) 371.70
LIBRIUM 5 MG CAP 5.50
LIBRIUM CAP 25 MG 5.50
LICE KILLING SHAMPOO 120ML 27.95
LIDOCAINE 1% INJ - 20 ML Vial 5.50
LIDOCAINE INJ SYR 100 MG/5 ML 12.00
LIDOCAINE LTA SURG KIT 160MG/4ML 85.80
LIDOCAINE/D5W IV PREMIX 2000MG/500ML 11.85
LIDODERM 5% TOPICAL PATCH 42.05
LIGACLIP LARGE 43.35
LIGACLIP MEDIUM 26.82
LIGAMENTOUS RECONSTRUCTION (AUGMENTATION 28,032.10
LIGATOR HEMORRHOID KIT 39.50
LINEAR CUTTER 75 1,584.00
LINEAR CUTTER RELOAD 291.75
LINEAR CUTTER/STAPLER 60MM TX60B 289.05
LIORESAL TAB 10 MG 5.50
LIPASE 103.40
LIPID PROFILE (DISCOUNTED) 11.00
LIPID-M PANEL 113.29
LIPITOR 10MG 5.95
LIPITOR 20MG 12.80
LISINOPRIL TAB [20 MG] 5.50
LISINOPRIL TAB 10MG 5.50
LITHIUM 86.43
LITHOTOMY PACK 36.21
LITHOTOMY PACK III 36.25
LIVER BIOPSY PERCUTANEOUS ADDL PROCEDURE 951.50
LMA AIRWAY 108.50
LMA MASK DISP SZ 1 23.82
LMA MASK DISP SZ 2 27.00
LMA MASK DISP SZ 3 27.00
LMA MASK DISP SZ 4 27.00
LMA MASK DISP SZ 5 27.00
LOMOTIL TAB 2.5 MG/0.025 MG 5.50
LONESTAR RETRACTER 3307g 208.92
LONESTAR RETRACTER STAYS ELASTIC 5MM SHA 208.92
LONG ARM SPLINT 247.50
LONG ARM SPLINT - APPLICATION 400.60
LONG LEG SPLINT 217.25
LONG LEG SPLINT - APPLICATION 217.25
LOOP ELECTRODE 20MM X 15 MM 11CM SHAFT 5.25
LOPEZ VALVE 4.65
LOPRESSOR 5.50
LOPRESSOR INJ 5 MG/5 ML 5.50
LOPRESSOR TAB 25 MG 5.50
LOPRESSOR TAB 50 MG 5.50
LOR SYRINGE 5.46
LORAZEMPAM ORAL CONCENTRATE 2MG/1ML 5.50
LORTAB 10/500 9.80
LORTAB ELIXIR 7.5/500 15 ML 27.75
Lortab Oral Tablet 5-500 MG 8.95
LORTAB TAB 7.5-500 mg 5.50
LOSARTAN POTASSIUM TAB [50 MG] 5.50
LOTENSIN 10MG TAB 7.25
LOTENSIN TAB [20 MG] 5.50
LOTION 3.69
LOTRIMIN 1% TOP CRM 27.25
LOTRISONE CREAM 5.50
LOVASTATIN 20MG TAB 11.25
LOVENOX INJ 100 MG/1 ML 75.95
LOVENOX INJ 30 MG/0.3mL 46.40
LOVENOX INJ 40 MG 61.90
LOVENOX INJ 60 MG/0.6mL 92.95
LOVENOX INJ 80 MG/0.8mL 123.95
L-SPINE AP/LAT 2 OR 3 VIEWS 325.45
L-SPINE AP/LAT/OBLIQUES MINIMUM 4VIEWS 478.30
LUMBAR PUNCTURE 459.50
LUMBAR PUNCTURE TRAY PED 34.25
LUMBAR/SACRAL INJECTION W/O IMAGING 2,535.95
LUMBAR/SACRAL INJECTION WITH IMAGING 2,535.95
LUPUS ANTICOAGULANT 57.25
LUPUS PANEL (01) 25.00
LUPUS PANEL (02) 25.00
LUPUS PANEL (03) 25.00
LUPUS PANEL (04) 125.00
LUPUS PANEL (05) 125.00
LUPUS PANEL (06) 62.00
LUPUS PANEL (07) 63.00
LUPUS PANEL (08) 62.50
LUPUS PANEL (09) 51.00
LYME DISEASE TITER WITH REFLEX 210.00
LYRICA 50MG CAP 37.87
LYRICA 75MG 29.75
MAALOX SUSPENSION 5.50
MACROBID CAP 100 MG 10.00
MAGIC MOUTHWASH Maalox/ViscLido/Diphenh 52.50
MAGNESIUM 74.88
MAGNESIUM CITRATE 6.60
MAGNESIUM SULFATE INJ 1 GM/2 ML 9.90
MAGNEVIST SOLUTION PER ML 149.80
MAG-OX TAB 400 MG 5.50
MALYUGIN RING SZ 6.25 375.00
MALYUGIN RING SZ 7 375.00
MANDIBLE LESS THAN 4 VIEWS 227.50
MANIPULATION KNEE JOINT UNDER GENERAL AN 6,749.70
MANNITOL 20% IV PREMIX 15 GM/500 ML 113.45
MANNITOL INTRAVENOUS SOL 25% 7.40
MANUAL THERAPY EACH 15 MINUTES 120.87
MARCAINE 0.5 % 30 ml 27.50
MARCAINE 0.5% 10ML INJ W/EPI 8.88
MARCAINE 0.5% INJ - 10 ml 14.60
MARCAINE 0.75% INJ - 10ml 27.50
MARCAINE SPINAL - 2 ML AMP 27.50
MARCAINE W/EPI 0.5% 30 ML 18.95
MARCAINE/EPI 0.25% 38.45
MARCAINE-PF 0.25% INJ - 10 ML 22.15
MARINOL 2.5 13.85
MASK AEROSOL PEDIATRIC 7.25
MASK AEROSOL LG ADULT 7.25
MASK ANES ADULT LARGE SZ 6 5.22
MASK ANES ADULT MEDIUM SZ 5 5.13
MASK ANES CH/SM ADULT BUBBLEGUM SZ 4 5.76
MASK ANES CH/SM ADULT SZ 4 5.76
MASK ANES INFANT CHERRY SZ 2 6.24
MASK ANES INFANT STRAWBERRY SZ 2 6.24
MASK ANES TODDLER BUBBLEGUM SZ 3 5.76
MASK ANES TODDLER SZ 3 5.76
MASK INFANT O2 7.25
MASK ISOLATION PROCEDURE 25.50
MASK O2 CHILD 1042 8.50
MASTECTOMY MODIFIED RADICAL W/LYMPH NODE 20,752.25
MASTECTOMY PARTIAL W/AX LYMPHADENECTOMY 22,097.30
MASTECTOMY SIMPLE/COMPLETE 15,063.85
MAX BREATHING CAPACITY/VOLUNTARY VENILAT 527.00
MAXITROL OPTH SUSP 44.00
MAXVAC CASSETTE BSS #20500MV 105.00
MAXZIDE TAB 37.5-25 MG 5.50
MAXZIDE TAB 75 MG/50 MG 5.50
MAYO ENEMA 5.00
MAYO STAND COVER 7.25
MAYO STAND COVER 5.75
MEASLES IgG 94.50
MEASLES IgM 94.50
MECHANICAL CHEST WALL OSCILLATION/PER SE 658.52
MEDICAL AIR 15.50
MEDROL DOSEPACK 4 MG 88.70
MEDTRONIC ACCESSORY KIT 600.00
MEDTRONIC LEAD KIT 977D260 2,400.00
MEDTRONIC-97712 MRI PERC SYS 9771UP 38,000.00
MEFOXIN INJ 1 GM 47.80
MEGACE ORAL SUSP 400 MG/10 ML 12.95
MEGACE TAB 40 MG 5.50
MEGESTEROL ACETAT [40MG/ML] 187.80
MEGLITINIDE SCREEN 378.00
MELATONIN 3MG TAB 5.50
MERLIN/DURAPREP 5.00
MERREM 1 [GM] 50.00
MESH 3D MAX 648.50
MESH ECHO PS 15.9X21CM 0144680 4,462.80
MESH IMPLANTATION 11,698.00
MESH PLUG PERFIX LARGE 775.14
MESH PLUG PERFIX MEDIUM 768.30
MESH PROCEED VENTRAL PATCH MEDIUM 2,227.17
MESH PROLITE 3X6 198.00
MESH VENTRALIGHT ST 4.5 CIRCLE W/ECHO SY 3,506.40
MESH VENTRALIGHT W/ECHO 6IN/15.2CM CIRCL 3,431.40
MESH, ALLOMAX SURGICAL 13,758.00
MESH, ATRIUM 6X6 355.85
MESH-ALLOMAX SURG GRAFT #1180060 1,480.00
METANEB CIRCUIT 255.00
METANEB MACHINE/7 90.00
METANEPHRINES - 24HR 390.48
METHYLENE BLUE 1% INJ 34.20
METOCLOPRAMIDE HCL [5MG/ML] 92.20
METOCLOPRAMIDE HCL TABS [10 MG] 5.50
METOPROLOL TART IV [1MG/ML] 34.80
METOPROLOL TART TAB [25 MG] 5.50
METOPROLOL TART TAB [50 MG] 5.50
METRONIDAZOLE IN NACL [500 MG/100ML] 215.70
METRONIDAZOLE TAB [500 MG] 5.50
MICROALBUMIN URINE QUANTITATIVE 85.69
MICROALBUMIN URINE REAGENT STRIP ASSAY 51.20
MICROKLENZ WOUND CLEANER 29.75
MICRON FILTER .2 FOR AMIODARONE 5.22
MICRONEFRIN & TREATMENT 49.50
MIDAZOLAM HCL ORAL SYRUP [2MG/ML] 422.40
MIDAZOLAM SYRUP 5MG/2.5ML 27.50
MIDLINE INSERTION 4,914.35
MILK OF MAGNESIA 30 ML 5.50
MILOOP 600.00
MINERAL OIL 6.00
MINOCIN IV 100MG 798.80
MINOCYCLINE 100MG 27.50
MINOR TRAY 53.00
MIOSTAT 1.00
MIRALAX POWDER - 17 GRAM 5.50
MIRAPEX 0.25 11.85
MISC. LAB CHARGE 25.00
MITEK ANCHORS EACH 1,413.00
MITTEN HAND CONTROL 32.19
MOBIC 15 MG 5.50
MOBIC TAB 7.5 MG 5.50
MOBILIZATION/TAKE DOWN SPLENIC FLEXURE 2,000.00
MOL AMP OF NUC ACID, 1ST TWO SEQU 144.00
MOL AMP OF NUC ACID, EACH ADD 144.00
MOL INTERP AND REPORT 117.00
MONO SCREEN 105.39
MORGAN LENS 40.25
MORPHINE INJ 10 MG/ML 10.90
MORPHINE INJ 4 MG/ML 7.60
MORPHINE INJ PCA 30 MG/30 ML 36.50
MORPHINE SULFATE INJ [10MG/ML] 5.50
MORPHINE SULFATE INJ [2MG/ML] 7.60
MORPHINE SULFATE INJ [4MG/ML] 7.60
MORPHINE SULFATE TAB [15 MG] 32.70
MOTRIN LIQ 100 MG/5 Ml 5.50
MOTRIN TAB 200 MG 5.50
MOTRIN TAB 400 MG 5.50
MOTRIN TAB 800 MG 5.50
MOUTHWASH 2.50
MRI, LUMBAR W/O CONTRAST 2,449.05
MS CONTIN ER TAB 15 MG 5.50
MS CONTIN ER TAB 30 MG 5.50
MS CONTIN ER TAB 60 MG 5.50
MSLT ATTENDED 2,827.00
MUCINEX TAB 600 MG 5.50
MUCOMIST 49.50
MUCOMYST 20% SOLN- 10 ML 29.90
MULTI-VITAMIN DAILY 5.50
MULTI-VITAMIN/MINERALS 5.50
MUMPS IgG 60.00
MUSK QUANT ANTIBODY TITER 3,120.00
MYASTHENIA GARVIS PANEL 665.28
MYCAMINE 100MG 258.92
MYCELEX TROCHE 10 MG 5.50
MYCOBACTERIA CULTURE W/FLOURCHROME(01) 16.35
MYCOBACTERIA CULTURE W/FLUROCHROME (02) 16.35
MYCOBACTERIA CULTURE W/FLUROCHROME (03) 16.35
MYCOBACTERIA CULTURE W/FLUROCHROME (04) 16.35
MYCOBACTERIA CULTURE W/FLUROCHROME (05) 16.35
MYCOBACTERIA CULTURE W/FLUROCHROME (06) 16.35
MYCOBACTERIA, CULTURE, WITH FLOUROCHROME 103.38
MYCOPHENOLIC ACID DR 180MG 160.28
MYCOPHENOLIC ACID-10662 277.65
MYELIN ASSOCIATED GLYCOPROTEIN 324.00
MYELIN ASSOCIATED GLYCOPROTEIN 324.00
MYELOGRAPHY VIA LUMBAR INJECT RS&I LUMBO 1,909.40
MYELOPEROXIDASE ANTIBODY 120.00
MYLICON DROPS 40 mg/ 0.6 ml 6.25
MYLICON CHEW TAB 80 MG 5.50
MYOGLOBIN 152.24
N BLOCK INJ INTERCOST MLT 2,614.35
NACL 0.9% FLUSH 10 ML 5.50
NACL 0.9% INJ 20 ML 5.50
NaCL 0.9% W/ POTASSIUM CHLOR 40 mEq/LT 27.50
NAFCILLIN 2GM 45.00
NAFCILLIN INJ 1 GM 53.30
NAIL POLISH REMOVER PAD 0.25
NAIL REMOVAL PARTIAL 431.13
NAIL REMOVAL PARTIAL 431.13
NALOXONE HCL INJ [1 MG/ML] 54.12
NAMENDA 5 MG 32.90
NAPROXEN SODIUM 500 MG TABLET 5.50
NARCAN INJ 0.4 MG 46.65
NAROPIN 0.2% PREMIX INF 100 ML 168.75
NASAL BONES MINIMUM 3 VIEWS 227.50
NASAL CANNULA C02 SALTER 5.04
NASAL CANNULA HIGH FLOW 5.79
NASAL CULTURE 27.00
NASAL DECONGESTANT SPRAY 0.05% 5.50
NASAL PILLOW W/MASK 376.68
NASAL SWAB (SCREEN) 92.33
NASOGASTRIC/OROGASTRIC TUBE PLACEMENT 452.97
NASOGASTRIC/OROGASTRIC TUBE PLACEMENT 118.75
NEBULIZER CONTINUOUS HEART 14.43
NEBULIZER HAND HELD UPDRAFT 5.50
NEBULIZER WATER 11.00
NEEDLE 1.00
NEEDLE 18G 3.5IN RX CURVED EPIDURAL 47.67
NEEDLE BLUNT NERVE BLOCK COUDE 20G 11CM 47.67
NEEDLE BLUNT NERVE BLOCK COUDE 20G 15CM 47.67
NEEDLE BLUNT NERVE BLOCK COUDE 20G 20CM 47.67
NEEDLE CATHETER INJECTION 87.00
NEEDLE CATHLON 7.25
NEEDLE COUNT PAD 3.50
NEEDLE DECOMPRESSION 12G 3IN IV CATH 46.56
NEEDLE EPIDURAL 18G 3.5 RX STRAIGHT 46.56
"NEEDLE EPIDURAL TUOHY 18G 16""" 29.43
"NEEDLE EPIDURAL TUOHY 18G 3.5""" 10.05
NEEDLE NERVE BLOCK 20G 4IN 46.32
NEEDLE NERVE BLOCK 22G 2IN 42.63
"NEEDLE QUINCKE TUOHY SPINAL 25G 3.5""" 5.97
NEEDLE SPINAL 18G 3IN 6.27
NEEDLE SPINAL 22G 3.5IN 6.45
NEEDLE SPINAL 22G 5IN 16.02
NEEDLE SPINAL 22G 5IN 20.04
"NEEDLE SPINAL 22G7""" 8.04
NEEDLE SPINAL ACUTIP 9.00
NEEDLE SPINAL QUINCKE 25G 2.5 3.45
NEEDLE, SPATULATED #556-DA2624N-12 34.50
NEEDLE/FILTER 1.00
NEEDLE-BONE MARROW 30.75
NEEDLELESS HEP LOC 10.00
NEG PRESSURE WOUND THERAPY, LESS 50CM 1,554.00
NEOMYCIN-POLY-HC OTIC SOLUTION 1% 110.40
NEO-SYNEPHRINE 0.25% NASAL SPRAY 19.30
NEO-SYNEPHRINE 1% NASAL SPRAY 9.90
NEO-SYNEPHRINE NASAL SPRAY 0.25% 5.50
NEPRO 237ML 13.85
NEPRO TN DIALYSIS 1800CAL/LTR 61.15
NERVE BLOCK INJ INTCOST NERVE SINGLE 1,863.80
NERVE BLOCK STELLATE GANGLION 2,614.35
NERVE BLOCK; GRTR OCCIPITAL NERVE 1,363.70
NEURECTOMY FOOT 6,605.10
NEURO THERM RF GROUNDING PAD 30.00
NEURO THERM RF Needle 20g Straight 84.00
NEUROMUSCULAR RE-ED 100.11
NEURONTIN CAP 100 MG 5.50
NEURONTIN CAP 300 MG 5.50
NEURONTIN CAP 400 MG 14.40
NEUROPLASTY/TRANSPOS ULNAR NERVE ELBOW 8,052.50
NEUROPLASTY/TRANSPOSITION ULNAR NRV WRIS 8,052.50
NEUROSTIM LEAD 28 CM-3889-28 10,665.00
NEUROSTIM LEAD INTRODUCTORY KIT-355018 840.00
NEUROSTIM PATIENT PROGRAMMER-3037 3,593.80
NEUROSTIMULATOR, MEDTRONIC 3058 35,040.00
NEUROSTIMULATOR, PERIPHERAL NERVE 30,278.05
NEUROTHERM RF CANNULA 10 CM 18G 36.00
NEUROTHERM RF CANNULA 10cm 20g 84.00
NEUROTHERM RF CANNULA 15CM 18G 36.00
NEUROTHERM RF CANNULA 15cm 20g 84.00
NEUROTHERM RF CANNULA 5CM 84.00
NEUROTHERM RF ELECTRODE 10CM 345.00
NEUROTHERM RF ELECTRODE 15CM 345.00
NEUROTHERM RF ELECTRODE 5CM 345.00
NEURSTIM ANTENNA 240.00
NEUTRAL ELECTRODE STRYKER 49.47
NEW PATIENT VISIT LEVEL 1 400.00
NEW PATIENT VISIT LEVEL 2 500.00
NEW PATIENT VISIT LEVEL 3 600.00
NEW PATIENT VISIT LEVEL 4 700.00
NEW PATIENT VISIT LEVEL 5 800.00
NEXIUM 40MG IV 30.75
NEXIUM INJ 40MG 31.40
NG STRIP 4.00
NIACIN TR CAP 500 MG 5.50
NICODERM PATCH 14 MG/24HR 20.10
NICODERM PATCH 21 MG/24 HR 22.50
NICODERM PATCH 7 MG /24HR 18.30
NICORETTE LOZENGE 4MG 1.00
NICOTINE TRANSDERMAL PATCH 21 MG 178.45
NICOTINE/COTININE 238.68
NIHON DISP SENSOR 39.50
NIMBEX 10MG/5ML 46.05
NIPPLE 2.50
NITRO GLY. 1\2 INCH 5.50
NITRO SET VENTED 26.75
NITRO-BID 2% OINT 1 INCH Packet 7.85
NITROFURANTOIN MAC CAP [100 MG] 582.10
NITROGLYCERIN IN D5W 100-5 MCG/ML 310.80
NITROLINGUAL SPRAY 0.4 MG/SPRAY 132.05
NITROPRESS 25MG/ML D5W 250ML 3,159.95
NITROPRESS INJ 25 MG/ML 222.95
NITROSTAT TAB 0.4 MG 5.50
NITRO-TRANSDERM PAT 0.2 MG/HR 5.50
NITRO-TRANSDERM PAT 0.4 MG/HR 6.75
NM-TC99M MAA 143.00
NO RINSE FOAM SHAMPOO/BODY WASH 11.46
NON REBREATHER MASK ADULT 7.25
NON-REBREATHER MASK, PEDIATRIC 24.25
NORCO TAB 10/325 MG 5.50
NORCO TAB 5/325 MG 7.30
NORCO TAB 7.5/325 MG 5.50
NORCURON INJ 10MG/10 ML 14.00
NORFLEX INJ 30 MG/ML 21.00
NORMAL SALINE 100 ML 71.50
NORMAL SALINE 1000 CC/ NACL 8.50
NORMAL SALINE 150 ML. 71.50
NORMAL SALINE 250 ML. 71.50
NORMAL SALINE 50 ML. 71.50
NORMAL SALINE 500 ML. 93.50
NORMAL SALINE ADV (SNAP) 100 CC 15.16
NORMAL SALINE FLUSH 0.9% 5.50
NORMAL SALINE FLUSH 0.9% 70.45
NORMAL SALINE IRRIGATION 3000 43.91
NORMODYNE TAB 100 MG 5.50
NOROVIRUS EIA (STOOL) 15544 294.00
NORVASC 10MG 5.50
NORVASC TAB 5 MG 5.50
NOSE BLEED CONTROL, ANY METHOD 380.35
NOVA SURE ABLATION 3,732.75
Novolin Insulin 70/30 5.50
Novolog insulin per 50 units 82.68
Novolog Mix 70/30 5.50
NPWT 334.92
NPWT >/= TO 50SQ CM - WOUND VAC APP 589.56
NS 1000 IRRIGATION BOTTLE 9.75
NS 250 BTL 71.50
NS 250 IRRIGATION 2.75
NS100 ADD-VANTAGE (SCREW) 6.38
NS250CC ADD-VANTAGE (SCREW) 6.69
NUBAIN INJ 10 MG/ML 8.55
NUBAIN INJ 20 MG/ML 13.45
NYSTATIN MOUTH/THROAT SUSP 100000/ML 6.45
NYSTATIN SUSP 500,000 UNITS/5 ML 5.70
NYSTATIN TOP CREAM 30 GM 5.50
NYSTATIN TOP POWDER 100MU/ ML 5.50
O2 ANALYZER 23.00
O2 MONITOR ANES 36.25
OB PACK 73.75
OBSERVATION CARE DISCHARGE MANAGEMENT 300.00
OBSERVATION DIRECT ADMIT 325.00
OBSERVATION PER EACH HOUR 32.50
OBSERVATION WITH TELEMETRY - EACH HOUR 42.50
OCCULT BLOOD COLORECTAL SCREENING 42.68
OCCULT BLOOD OTHER THAN SCREEN 40.48
OCCUPATIONAL THERAPY EVAL HIGH RISK 300.00
OCCUPATIONAL THERAPY EVAL LOW COMPLEXITY 270.00
OCCUPATIONAL THERAPY EVAL MOD COMPLEXITY 285.00
OCCUPATIONAL THERAPY RE-EVALUATION 270.00
OCTREOTIDE ACET INJ 50 MCG/ML 12.00
OFIRMEV 1000MG/100ML 70.65
OLIVIMINE DIMETHICONE SKIN PROTECTANT 19.29
OLMESARTAN 40MG TAB 30.00
OMNI JUG 108.90
OMNICEF 300MG CAP 42.50
OMNICEF ORAL SUSP 250 MG /5 ML 11.75
OMNIPAQUE 300MG/ML 10ML 198.75
OMS BLUNT TIP TROCAR/SYRINGE 485.00
ONDANSETRON HCL INJ 4 MG/2ML 9.40
ONDANSETRON TAB DISPERSIBLE [4 MG] 19.60
ONE SPOT KIT 85.75
ONGLYZA TAB 2.5MG 18.45
OPEN APPENDECTOMY 11,429.55
OPEN CHOLECYSTECTOMY W/CHOLANGIOGRAPHY 30,008.65
OPEN TREATMENT HUMERAL, EPICONDYLAR 50,614.60
OPEN TREATMENT METACARPAL FX, SINGLE W/W 13,226.15
OPEN TREATMENT, DISTAL FIBULAR, FX W/WO 28,032.10
OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXATI 28,032.10
OPEN TX, PATELLAR FX W/INT FIXATION PATE 26,107.85
OPEN TX, PHALANGEAL SHARFT, FX, PROXIMAL 12,191.70
OPSITE FLEXIGRID DRESS 4x4 3/4 5.00
OPTHALMIC OPERAID DRAIN 5.00
OPTI-CLEAR OPTHALMIC SOLUTION 0.05% 5.95
OR BITE BLOCK 7.50
OR BLADE-SURGICAL 1.00
OR ENDO LOOP 93.50
OR LAP KITTNER 52.75
OR PEANUTS 5.00
OR SUCTION IRREGATOR 95.75
OR SUCTION IRRIGATOR 95.75
ORAL AIRWAY 100MM 1.47
ORAL AIRWAY 40MM 1.02
ORAL AIRWAY 60MM 1.02
ORAL AIRWAY 80MM 1.02
ORAL AIRWAY 90MM 1.02
ORAL CARE KIT 50.01
ORAL SUCTION BRUSH 7.25
ORBITS MINIMUM 4 VIEWS 227.50
ORGANIC ACID SING QUANT-PANEL 538.29
ORTHO WEDGE SHOE (OFFLOADING) LG 83.76
ORTHOPEDIC TRAY 86.75
OSTECTOMY COMP EXC 1ST METATARSAL HEAD 7,276.30
OSTEOECTOMY FOR SPUR 11,977.95
OSTEOTOMY, CALCANEUS,W/WO INT FIXATION 28,032.10
OSTOMY EAKIN WOUND POUCH 42.78
OSTOMY STOMAHESIVE PASTE 15.96
OSTOMY STOMAHESIVE POWDER 10.92
OTHER PT SUBSEQUENT FUNCTION DISCHARGE 0.01
OVA PARASITES STOOL 125.56
OVARIAN AB 1,950.00
OXALIC ACID 24HR URINE W/O CREATININE 57.63
OXISENSOR INFANT 73.50
OXISENSOR NELLCOR INF-ADULT 56.50
OXISENSOR NK INF-ADULT 57.75
OXYBUTYNIN CHLORIDE TAB [5 MG] 31.00
OXYCODONE 10MG TAB IR 8.75
OXYCODONE IMMED REL TAB 5 MG 5.50
OXYCODONE/ACETAMINOPHEN 7.5-325 MG 6.00
Oxycodone-APAP 10-325 MG 5.50
OXYCONTIN ER TAB 10 MG 9.65
OXYCONTIN ER TAB 20 MG 18.45
OXYCONTIN ER TAB 60 MG 23.25
OXYGEN LESS THAN 5 LITERS PER HOUR 15.50
OXYGEN MASK 46.25
OXYGEN MORE THAN 5 LITERS PER HOUR 27.50
OXYGEN SET UP 58.25
OZYMIZER CANNULA (PENDANT) 40.41
PACERONE TAB 200 MG 5.50
PACKING STRIP - ALGIDEX SILVER 1/4INCH 61.11
PACU MONITOR 69.25
PAD DRI FLO 39.50
PAD GROUNDING 29.25
PAD LEG HOLDER DISPOSABLE 114.42
PAD QUICK COMBO ADULT LIFEPAK12 114.50
PAD QUICK COMBO PED LIFEPACK 12 118.00
PAD,ABDOMINAL 8x10 STERILE 6.00
PAD,COLD ICE MAN 120.00
PAD,EYE 2.50
PAD-OB 6.00
PADS/UNDER 8.50
PAD-TELFA 3 X 8 3.75
PAN BED 6.00
PAN BED FRACTURE 8.50
P-ANCA TITER 120.00
P--ANCA TITER 120.00
PANCREATIC ELASTASE-1 672.00
PANEL CODE-DO NOT USE 117.00
PANEL CODE-DO NOT USE 117.00
PANTOPRAZOLE SODIUM TAB [40 MG] 118.75
PARACENTESIS W/O IMAGING 1,468.05
PARAFFIN BATH 57.64
PARATHYROID HORMONE INTACT W/O CALCIUM 75.00
PARATHYROIDECTOMY OR EXPLORATION 20,654.70
PARING/CUTTING OF BENIGN HYPERKARTOTIC L 844.75
PARLODEL 2.5MG (BROMOCRIPTINE) 243.40
PAROTIDECTOMY LATERAL LOBE W/NERVE PRES 19,779.90
PAROXETINE HC TAB [20 MG] 13.50
PART REMOVAL OF METATARSAL 7,731.40
PARTIAL EXC BONE; PHALANX OF TOE 7,731.40
PARTIAL EXCISION BONE TARSAL/METATARSAL 7,276.30
PARTIAL OPEN COLECTOMY W/ANASTOMOSIS 25,583.00
PARTIAL REMOVAL OF FOOT BONE 7,731.40
PARTIAL REMOVAL VITREOUS EYE FLUID 8,574.45
PASSER MEDTRONIC 8591-38 294.00
PASSY AIR SPEAKING VALVE- AQUA 232.02
PATELLA TRACKER BRACE MEDIUM 146.25
PATIENT PROGRAMMER 97740 11,100.00
PATIENT SLIPPER LG 1.62
PATIENT SLIPPER XL 1.62
PATIENT SLIPPER XXL 1.71
PAXIL TAB 20 MG 20.60
PCA PUMP 11.50
PCA PUMP TUBING 13.00
PDB100/OVAL 917.50
PEAK FLOW METER (Volumetric Exerciser) 45.75
PEDIALYTE 1L BOTTLE 18.21
PEDIALYTE 2OZ UNFLAVORED 4.17
PEDIAPRED LIQ 6.7 MG/5 ML 17.25
PEDIATRIC CANNULA 7.25
PEDIATRIC CPR BAG 44.00
PEDIATRIC OXYGEN MASK 7.25
PEDIAZOLE SUSP 200-600 MG /5ML 12.75
PELVIC EXAM 18.25
PELVIC EXAMINATION UNDER ANESTHESIA 10,427.35
PELVIS 1 OR 2 VIEW 269.28
PENICILLIN 3 ML IV 69.25
PENICILLIN V POTASSIUM SUSP 250MG/5ML 24.15
PENICILLIN V POTASSIUM TAB 500 MG 5.50
PEN-O.R. MARKING 4.25
PEPCID INJ 20 MG/2mL 5.50
PEPCID TAB 20 MG 5.50
PEPTO BISMOL SUSP 5.50
PERCOCET TAB 5-325 MG 5.50
PERCUT IMPLANT NEUROELECTRODES EPIDURAL 11,490.22
PERFECTPASSER CONNECTOR SMARTSTITCH OM-8 804.00
PERFECTPASSER SUTURE CARTRIDGE OM-8177 927.00
PERI WASH 11.00
PERICARDIOCENTESIS 354.00
PERIPHERAL BLOOD SMEAR 80.27
PERITONEAL LAVAGE KIT 99.00
PERMETHRIN 417.00
PERQ VENT AGMNTJ CAVITY CRTJ UNI/BI CANN 28,032.10
PERQ VERT AGMNTJ CAVITY CRTJ EA ADD 7,008.02
PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI 14,016.05
PERQ VERTEBRAL AGMENTATION LUMAR, CAVITY 28,032.10
PHENAZOPYRIDINE HCL 200 MG 5.50
PHENERGAN INJ 25 MG/ML 5.50
PHENERGAN SUPP 12.5 MG 16.25
PHENERGAN SUPP 25 MG 16.25
PHENOBARBITAL 105.68
PHENOBARBITAL ORAL TAB [30 MG] 51.25
PHENOBARBITAL SODIUM 130 MG/ML 66.00
PHENOBARBITAL SOL 20 MG/5ML 6.25
PHENobarbital TAB 30 MG 5.50
Phenylephrine 49.95
PHENYLEPHRINE 2.5% OPTH SOLN 7.35
PHENYLEPHRINE INJ 10 MG/ML - 5 ML 34.00
PHENYTOIN INJ [100 MG/ 2ML] 27.50
PHONOPHORESIS 55.00
PHOS-NAK 8.95
PHOSPHATE; ALKALINE 60.00
PHOSPHORUS 46.68
PHYSOSTIGMINE SALICYLATE INJ 1 MG/1ML 21.65
PHYTOPLEX HYDRATING CLEANSING GEL 6.60
PICC LINE INSERTION 4,914.35
PICC LINE TRAY SINGLE LUMEN 4FR X 60CM 257.10
PICO 4X8 DISPOSABLE WOUND VAC 693.66
PICO 6X6 DISPOSABLE WOUND VAC 693.66
PICO 6X8 DISPOSABLE WOUND VAC 693.66
PILL CRUSHER 27.69
PINWORM EXAMINATION 52.20
PIPERACILLIN SOD-TAZOBACTAM 3-0.375 GM 25.40
PIPERACILLIN SOD-TAZOBACTAM IV 4-0.5GM 35.20
PITOCIN INJ 10U/ ML 5.50
PITOCIN INJ 10 UNIT/ML 5.50
PITRESSIN SYNTHETIC INJ 20 UNITS/ML 10.80
PLASTER CASTING 2IN 7.65
PLASTER CASTING 3IN 8.94
PLASTER CASTING 4IN 12.84
PLASTER CASTING 5IN 15.75
PLASTER CASTING 6IN 19.14
PLATE WIDE PL-DR30R 2,623.50
PLATELET APHERESIS 825.00
PLATELET COUNT ONLY 43.00
PLAVIX TAB 75 MG 5.50
PLEATMANS POUCH 155.00
PLETAL 5OMG TAB 11.25
PLETAL TAB 100 MG 5.50
PNEUMOCOCCAL VAC 25MCG/0.5ML 2,427.24
PNEUMOCYSTIS, DFA 252.00
POLIO VIRUS (TYPE1,3) AB NEUTRALIZATION- 158.25
POLOCAINE MPF 1% INJ - 30 ML 27.20
POLYSOMNOGRAPHY;1-3 PARA, ATTENDED 1,710.00
POLYSOMNOGRAPHY;4 + PARA; ATTENDED 2,827.00
POLYSOMNOGRAPHY;4 + W/CPAP;ATTENDED 2,827.00
PORPHOBILINOGEN, UR,Qnt 110.00
PORPHYRINS 24 HR URINE 401.64
PORPHYRINS-PLASMA 498.18
PORT REPLACEMENT/SAME VENOUS ACCESS 18,976.40
PORTA CATH LOW PROFILE 1,561.00
POST COLPORRHAPHY RECTOCELE W/WO PERINEO 20,559.05
POST OP SHOE FEMALE LARGE 14.31
POST OP SHOE FEMALE MEDIUM 14.31
POST OP SHOE MALE LARGE 14.31
POST OP SHOE MALE MEDIUM 14.31
POST OP SHOE MALE SMALL 14.31
POST VASECTOMY SPERMATOZOA QUALITATIVE 202.50
POST-OP SHOE FEMALE SMALL 15.75
POSTURAL DRAINAGE (PDC) 52.75
POTASSIUM 49.44
POTASSIUM CHLORIDE 40 MEQ/30 ML SYRUP 100.50
POTASSIUM CHLORIDE SOL 40 MEQ/15 ML 5.50
POTASSIUM PHOSPHATE INJ 15 mEq/22mEq 5.95
POTASSIUM W/CREATININE RANDOM URINE (01) 25.14
POTASSIUM W/CREATININE RANDOM URINE (02) 25.14
POTASSIUM W/O CREATININE RANDOM URINE 32.28
POUCH FISTULA/WOUND 9.7x6.3 85.89
POUCH WOUND/FISTULA EAKIN 4.3x3 74.34
POWERPORT 8FR 3,442.32
PRAVACHOL 40MG TAB 6.00
PRAVASTATIN 20MG 5.50
PREALBUMIN 91.71
PRECIP PACK 34.00
PREGNANCY TEST (DISCOUNTED) 8.75
PREGNANCY TEST (SERUM) 148.37
PREGNANCY TEST, URINE 98.72
PRELONE LIQ 15 MG/5 ML 6.25
PREPARATION H RECTAL OINT 1% 6.40
PRESSURE LINE ADAPTOR 2.00
PREVNAR-13 (PNEUMOCOCCAL) 925.20
PRIMARY TUBING IV 15GTT PUMP 32.50
PRIMAXIN 500MG 49.45
PRINCIPEN 500MG CAP 14.00
PRINCIPEN INJ 1 GM 18.10
PRO, RANDOM URINE W/CREATINE 60.00
PROAMATINE 10MG TAB 10.30
PROAMATINE 5MG TAB 18.75
PROBING NASOLACRIMAL DUCT W/WO IRRIGATIO 1,338.30
PROBING, NASOLACRIMAL DUCT W/WO IRRIGATI 9,056.75
ProBNP 387.00
PROCAINAMIDE HCL INJ 100 MG 110.30
PROCALCITONIN 779.70
PROCARDIA 10 MG 5.50
PROCARDIA XL 30 MG EXT RELEASE 13.10
PROCHLORPERAZINE MALEATE TAB 10 MG 5.50
PROCLAIM 7 ELITE BATTERY 3662 2,700.00
PROCLAIM PATIENT CONTROLLER 3883 2,700.00
PROCTOSIGMOIDOSCOPY W/CONTROL BLEEDING 4,388.00
PROGESTRONE 80.00
PROGRAF 0.5MG 32.88
PROGRAFIN LEVEL 219.73
PROINSULIN 544.20
PROLACTIN 33.00
PROLENE MESH 6 X 6 1,566.03
PROLENE MESH 6X6 263.00
PROLITE MESH 12X12 405.00
PROLITE MESH 2.5X5.5 IN 221.37
PROLITE MESH 2X4 222.75
PROLITE MESH 6X6 240.00
PROMOGRAM PRISMA DRESSING 4.75IN 27.48
Promthazine HCL Oral Tablet 25 mg 5.50
Proparacaine opth 0.5% 15ml 8.35
PROPOFOL 1000 MG/ 100 ML 5.50
PROPRANOLOL TAB 20 MG 5.50
PROSCAR 5 MG 6.25
PRO-STAT LIQUID PROTEIN 10.10
PROSTATE CRYOTHERAPY KIT 11,250.00
PROSTIGMIN INJ 1 MG/ML 56.20
PROTACK 1,534.50
PROTAMINE SULFATE INJ 10 MG/1 ML 31.75
PROTECTIVE SWABS 5.50
PROTEIN C FUNCTIONAL 192.50
PROTEIN S FUNCTIONAL 192.50
PROTEIN SYNOVIAL FLUID 20.70
PROTEINASE-3 ANTIBODY 120.00
PROTHIN FACTOR II 132.00
PROTIEN ELECTROPHORESIS 126.44
PROTIME w/INR 55.84
PROTONIX 40MG IV 120.25
PROTONIX INJ 40 MG 19.45
PROTONIX ORAL SUSP PACKET 40MG 11.50
PROTONIX TAB 40 MG 19.45
PROVENTIL HFA MDI 17 GM 86.75
PROVIGIL 200MG TAB 56.12
PROzac CAP 10 mg 5.50
PROzac CAP 20 MG 5.50
PRQ IMPLT NEUROSTIM ELTRD SACRAL NERVE 30,278.05
PSA FREE/TOTAL 135.00
PSA SCREENING 77.67
PSA TOTAL 123.09
PT AQUATIC THERAPY-15 MIN 110.73
PT EVALUATION HIGH COMPLEXITY 323.99
PT EVALUATION LOW COMPLEXITY 223.99
PT EVALUATION MODERATE COMPLEXITY 273.99
PT RE-EVALUATION 117.42
PTM - PATIENT REMOTE MEDTRONIC TH90T01 3,585.00
PULMOCARE 39.50
PULMOCORT 0.25 MG UD 49.50
PULMONARY COMPLIANCE STUDY 645.12
PULMONARY STRESS TEST 527.00
PULSE OXIMETER SINGLE DETERMINATION 52.00
PULSE SUCTION IRRIGATOR/ SIMPULSE 118.35
PUNCTURE DRAINAGE OF LESIONS 235.56
PUNCTURE DRAINAGE OF LESIONS 235.56
PYELOPLASTY, FOLEY Y-PYELOPLASTY 25,000.00
PYELOPLASTY, FOLEY Y-PYELOPLASTY, PLASTI 18,956.44
QUANTIFERON/TB GOLD 396.00
QUANTITATION H.C.G. 160.99
QUESTASSURE D D2 AND D3 90.00
QUESTASSURE D/ D2 AND D3 90.00
QUESTRAN 28.75
RAD EXAM ABSCESS/FISTULA/SINUS TRACT 1,348.12
RADIOLOGICAL EXAM COLON W/CONTRAST 373.86
RAE ET TUBE 14.31
RAPID RHINO ROCKET 5.5CM 110.10
RAPID RHINO ROCKET 7.5CM 113.70
RBC ANTIGEN SCREEN 82.50
REACH & RANGE SHOULDER PULLEY 59.50
REACHER 31.25
READY BATH SHAMPOO CAP 5.00
READYBATH WASHCLOTH 3.51
RECHARGER (MEDTRONIC) 3,000.00
RECONSTRUCT POSTERIOR TIBIAL TENDON 26,107.85
RECONSTRUCTION EYELID SECOND STAGE 7,005.80
RECOVERY EACH ADDITIONAL 15 MIN 105.50
RECOVERY ROOM 1ST HOUR 528.00
RED RUBBER CATH 12HR 5.00
REDUCTION CLOSED RADIUS AND ULNA 520.38
REDUCTION CLOSED RADIUS AND ULNA 375.47
REFILL KIT (SYNCHRO MED II PUMP) 84.00
REGIONAL NERVE BLOCK 267.25
REGLAN INJ 5 MG/ML 5.50
REGLAN LIQUID 5 MG/5ML 5.50
REGLAN TAB 10 MG 5.50
REHAB 84.18
RELAFEN TAB 500 MG 5.50
REMERON TAB 15 MG 17.35
REMOTE/PROGRAMMER (MEDTRONIC) 3,000.00
REMOVAL CVAC W/PORT 3,878.30
REMOVAL FB EAR 356.75
REMOVAL FB INTRAOCULAR ANTERIOR CHAMBER 5,808.00
REMOVAL FB, FOOT, DEEP 1,199.00
REMOVAL FB/SKIN/SIMPLE 980.00
REMOVAL FB-FOOT-DEEP 1,199.00
REMOVAL FB-FOOT-SUBCU 380.13
REMOVAL FOREGIN BODY SQ COMPLICATED 7,071.40
REMOVAL FOREIGN BODY FOOT DEEP 7,071.40
REMOVAL FOREIGN BODY TONSIL 456.50
REMOVAL FOREIGN BODY, FOOT; SUBCUTANEOUS 2,894.20
REMOVAL FOREIGN BODY; INTRANASAL 292.11
REMOVAL FOREIGN BODY; INTRANASAL 292.11
REMOVAL HYDROCELE UNILATERAL 13,377.15
REMOVAL IMPLANT DEEP 9,121.55
REMOVAL INTRAUTERINE DEVICE 1,378.80
REMOVAL LENS MATERIAL ASPIRATION 1+STAGE 5,808.00
REMOVAL LENS MATERIAL-ASPIRATION TECHNIQ 8,763.10
REMOVAL NEUROSTIMULATOR GENERATOR 13,452.30
REMOVAL OF ANAL FISSURE 8,536.30
REMOVAL OF NAIL BED 1,547.30
REMOVAL OF TAZOR PROBE 250.00
REMOVAL OF TAZOR PROBE 250.00
REMOVAL OF TONSILS/ADENOIDS 21,693.95
REMOVAL PILONIDAL CYST-EXTENSIVE 9,121.55
REMOVAL PROSTHETIC MATERIAL/MESH, ABD WA 14,000.00
REMOVAL SESAMOID BONE 8,717.60
REMOVAL SKIN TAGS 307.25
REMOVAL SPINAL NEUROSTIMULATOR 7,817.10
REMOVAL SUTURES UNDER ANES/OTHER SURGEON 2,143.35
REMOVE EYELID LESION 2,683.00
REMOVE NAIL BED/FINGER TIP 6,087.10
REMOVE TENDON SHEATH LESION 6,013.20
REMV FB CORNEA EY 2324 160.50
REMV FB EXT EYE CO 160.00
REMV FB OUTER EAR 356.75
REMV FB SUBQ SIMPL 393.00
REMV IMPACTED CERUMEN 146.75
REMV/REPL NON-INFLAT PENILE PROSTHESIS 78,489.10
RENAL PANEL 152.95
REPAIR ANAL FISTULA W/RECTAL FLAP 8,536.30
REPAIR ANORECTAL FISTULA W/PLUG 11,533.55
REPAIR BOTH COLLATERAL LIGAMENTS ANKLE 26,107.85
REPAIR BROW PTOSIS 9,524.55
REPAIR COMPLEX E/N/E/L 2.6-7.5 CM 2,150.60
REPAIR INCARCERATED RECU INGUINAL HERNIA 13,377.15
REPAIR INCICIONAL OR VENTRAL HERNIA 13,377.15
REPAIR LATERAL COLLATERAL LIGAMNET, ELBO 13,226.15
REPAIR OF ECTROPION; EXC TARSAL WEDGE 6,871.35
REPAIR OF ECTROPION; SUTURE 6,871.35
REPAIR OF ENTROPION; EXC TARSAL WEDGE 6,871.35
REPAIR OF HAMMERTOE 7,731.40
REPAIR PARAESOPHAGEAL HIATAL HERNIA 30,084.65
REPAIR PRIMARY DISRUPTED LIGAMENT ANKLE 26,107.85
REPAIR PRIMARY RUPTURED ACHILLES TENDON 11,977.95
REPAIR RECURRENT INGUINAL HERNIA ANY AGE 13,062.85
REPAIR SLIDING INGUINAL HERNIA ANY AGE 14,313.70
REPAIR, INITIAL FEMORAL HERNIA, ANY AGE 14,555.80
REPAIR, INTER, NECK; 2.6CM - 7.5CM 1,157.00
REPAIR, INTER; FACE; 2.6CM - 5.0CM 1,157.00
REPAIR, INTERMEDIATE 2.6 CM - 7.5 CM 1,156.85
REPAIR, RUPTURED MUSCULOTENDINOUS CUFF, 26,107.85
REPAIR, SIMPLE 2.5 CM < LESS 424.30
REPAIR, SIMPLE 2.6 CM - 5.0 CM 424.30
REPAIR, SIMPLE, 1.6 CM 424.30
REPAIR, SIMPLE, 12.6 CM 320.70
REPAIR, SIMPLE, 2.6CM-7.5CM 424.30
REPAIR; INTERMEDIATE; 2.6CM - 7.5CM 1,157.00
REPAIRE, INTER, FACE; 2.5CM OR LESS 1,157.00
REPEAT EKG - SAME DAY 85.75
REPLACE GASTROSTOMY TUBE W/GUIDANCE 2,440.30
REPR OF ANAL FISTULA W/GLUE 11,533.55
REQUIP TAB 0.5 MG 5.50
RESPIRATORY FLOW VOLUME LOOP 645.12
RESTORIL CAP 15 MG 5.50
RESTRANT,LIMB HOLDER 24.25
RETIC AUTO 63.15
RETROBULBAR NEEDLE 13.08
RETROVIR CAP 100 MG 12.38
REVISE VAG GRAFT VIA VAGINA 11,363.85
REVISE/REMOVE GASTRIC NEUROSTIM, GENERAT 14,396.90
REVISE/REMOVE PERIPHERAL NEURSTIM, ELECT 14,396.90
REVISION OF UPPER EYELID 7,461.10
RH TYPE 350.43
RHEUMATOID FACTOR 200.48
RHINO ROCKET, SMALL 29.70
RHINO ROCKET,LARGE 36.25
RHINO ROCKET,MEDIUM 29.75
RI ANTIBODY W/REFLEX PANEL (03) 379.65
RIBS BILATERAL 3 VIEWS 241.00
RIBS BILATERAL 3 VIEWS W/PA-CXR MIN 4V 274.00
RIBS UNILATERAL 2 VIEWS 329.08
RIBS UNILATERAL MINIMUM 3V W/CXR-PA 354.14
RIFAMPIN 300MG 11.65
RISPERDAL TAB 1 MG 5.50
RISPERDAL TAB 0.25 TAB 7.50
RMSF ANTIBODIES 162.21
ROBAXIN TAB 500 MG 5.50
ROBINUL INJ 0.2 MG/ML - 2 ML 40.80
Robitussin AC 100/10 MG 5.50
ROBITUSSIN DM LIQUID 200/10/5ML 5.50
ROBITUSSIN SYRUP 100 MG/5 ML UD 5.50
Rocephin IM 1 gm/ Lidocaine 1% 5.90
ROCEPHIN INJ 1 GM 5.90
ROCEPHIN INJ 500 MG 5.90
Rocephin IVPB 1 GM/100 ML NS 5.90
ROCEPHIN PER 250 MG INJ 56.00
ROLLER BALL 5MM 10.00
ROM HINGED KNEE BRACE REG 237.50
ROMAZICON INJ 0.1 MG/ML - 5 ML 33.85
ROOM CHARGE ICU 1,320.00
ROOM CHARGE ISOLATION 900.00
ROOM CHARGE PRIVATE 780.00
ROOM CHARGE PRIVATE/WITH TELEMETRY 1,020.00
ROOM SWINGBED PER DAY 702.00
ROOM SWINGBED-PATIENT CONVENIENCE 0.00
ROPINIROLE 0.25MG TAB 20.20
ROPINIROLE 1 MG 27.50
ROTAVIRUS ANTIGEN 93.40
ROTH NET 87.00
ROXANOL 20MG/ML ORAL SUSPENSION 5.50
ROXICODONE 10MG TAB 5.50
RPR 66.66
RPR COMPLEX E/N/E/L 1.1CM-2.5CM 2,150.60
RPR COMPLEX F/C/C/M/N/A/G/H/F 1.1-2.5CM 1,099.65
RPR COMPLEX SCALP/ARMS/LEGS 2.6CM-7.5CM 2,150.60
RPR COMPLEX SCALP/ARMS/LEGS EA ADD 5CM 1,071.70
RPR ECTROPION; SUTURE; EXTENSIVE 6,871.35
RPR INTERMEDIATE F/E/E/N/L/MM OVER 30CM 765.60
RPR INTRM WOUND SCALP,TRUNK,EXTRM<2.5CM 1,139.00
RPR RECRT INCAL/VNT HERNIA REDUCIBLE 20,995.65
RSV ANTIGEN 84.95
RT - ALBUTEROL NEB SOLN 2.5 MG/3 mL 5.50
RT - ATROVENT NEB SOLN 0.02% 5.50
RT - MICRONEFRIN 2.25% NEB 0.5 ML 5.95
RT - PULMICORT NEB SOLN 0.5 MG/2 mL 50.25
RT - SODIUM CHLORIDE 0.9% 3ML NEB 5.50
RT - XOPENEX NEB SOLN 0.63 MG/3 ML 30.40
RUBELLA 170.00
SACCHAROMYCES IGA ANTIBODY 120.00
SACROILIAC JOINT LESS THAN 3 VIEWS 73.38
SACRUM/COCCYX 2 VIEWS 294.53
SAFETY/POSEY VEST SM 41.00
SALEM SUMP NG TUBE 10FR 4.86
SALEM SUMP NG TUBE 12FR 4.77
SALEM SUMP NG TUBE 14FR 4.77
SALEM SUMP NG TUBE 16FR 4.77
SALEM SUMP NG TUBE 16FR/SILICONE 41.34
SALEM SUMP NG TUBE 18FR 4.77
SALEM SUMP NG TUBE 18FR/SILICONE 41.34
SALICYLATE 133.49
SALINE FOR GARGLE 1.25
SALINE NASAL SPRAY 9.46
SALPINGO-OOPHORECTOMY COMP/PART UNIL/BIL 22,500.00
SAMPLE COLLECTION FEE 15.00
SANDOSTATIN 73.60
SANTYL OINT 178.25
SAW BLADE ZIMMER ROUND GILI 30.48CM 72.00
SCABIES 89.25
SCALPEL BLADE 1.00
SCALPEL BLADE SURGICAL 10 6.00
SCALPEL BLADE SURGICAL 11 6.00
SCALPEL BLADE SURGICAL 15 8.50
SCALPEL, DESPOSABEL 6.00
SCAPULA COMPLETE 460.99
SCD COMPRESSION SETUP 220.00
SCD PUMP 15.75
SCD SETUP 220.00
SCD SLEEVE 148.50
SCD SLEEVE 40.62
SCD SLEEVE LG 192.50
SCD SLEEVE LG 552.51
SCREENING COLONOSCOPY; HIGH RISK 3,030.50
SCREENING COLONOSCOPY; NOT HIGH RISK 3,030.50
SCREW-5.0MM CANN LOCKING 70MM 586.25
SCREW-5.0MM CONICAL 80MM 515.50
SCROTAL SUPPORT LG 24.50
SECONDARY IV TUBING 3.50
SECURE STRAP MESH FIXATION DEVICE 1,924.38
SEDIMENTATION RATE (ESR) 69.33
SELF CARE HOME MGMT EACH 15 MIN 75.00
SENNA TAB 8.6 MG 5.50
SENOKOT S 5.50
SENOSRY PANEL (11) 407.61
SENSIPAR 30MG 106.36
SENSIPAR 90MG TABLET 321.60
SENSORY PANEL (1) 407.61
SENSORY PANEL (10) 407.61
SENSORY PANEL (2) 407.64
SENSORY PANEL (3) 407.64
SENSORY PANEL (4) 407.64
SENSORY PANEL (5) 407.64
SENSORY PANEL (6) 407.64
SENSORY PANEL (7) 407.61
SENSORY PANEL (8) 407.61
SENSORY PANEL (9) 407.61
SEPTRA SUSP. 9.25
SEROQUEL 100MG 11.65
SEROQUEL TAB [25 MG] 5.50
SERUM COPPER 89.71
SERUM OSMO 60.00
SERUM ZINC 90.00
SET BASIC INSTR 55.00
Sevelamer Carbonate 800 mg Tab 5.50
SEVELAMER CARBONATE PACKET 2.4GM 47.40
SEXUAL ASSAULT EXAM 66.50
SHAMPOO 4.75
SHAMPOO NON RINSE 4.25
SHAMPOO/BODY WASH KIWI MANGO 5.00
SHAVE CREAM 2.75
SHAVING BENIGN LESION TRUNK/ARMS/LEGS 730.70
SHAVING LESION F/E/E/N/L/M 0.5CM OR LESS 1,127.75
SHIELD/EYE 2.50
SHIELD/FACE 10.25
SHIGA TOXIN 80.36
SHOE, OFFLOADING HEEL LG 84.66
SHOE, OFFLOADING HEEL MD 84.66
SHOE, OFFLOADING HEEL SM 84.66
SHOE, OFFLOADING HEEL XL 84.66
SHOE, OFFLOADING TOE LG 37.98
SHOE, OFFLOADING TOE MD 37.98
SHOE, OFFLOADING TOE SMALL 37.98
SHOE, OFFLOADING TOE XL 37.98
SHORT ARM SPLINT 187.50
SHORT ARM SPLINT - APPLICATION 400.60
SHORT LEG SPLINT 189.75
SHORT LEG SPLINT - APPLICATION 400.60
SHOULDER 1 VIEW 167.36
SHOULDER 2 VIEWS 309.27
SHOULDER IMMOBILIZATION 183.25
SHOULDER IMMOBILIZATION 122.10
SHOULDER IMMOBILIZATION 183.25
SHOULDER PACK 84.30
SHOULDER SUSPENSION KIT 72200195 237.42
SICKLE CELL SCREEN 30.78
SIDEPORT KNIFE I-KNIFE MACKOOL 25.20
SIGMOIDOSCOPY FLEX W/WO BIOPSY 2,462.25
SIGMOIDOSCOPY W/ABLATION 3,763.80
SIGMOIDOSCOPY W/BIOPSY 1,716.00
SIGMOIDOSCOPY W/POLYPECTOMY 2,178.95
SILDENAFIL 20 MG TABLET 51.05
SILICONE CATH 18.25
SILVADENE 1% CRM 50 GM 49.50
SILVADENE 1% CRM 400 GM 65.55
SILVER NITRATE STK 5.50
SILVERCEL DRESSING 4.25 X 4.25 23.97
SILVERLON DRESSING 4X4 94.53
SILVERSORB GEL 1.5OZ 48.87
SIMPLE FOLEY INSERT 289.50
SIMPLE LAC 2.6 - 7.5 462.00
SIMPLE LAC 2.6 - 7.5CM 503.50
SIMPLE LAC 2.6-5.0 CM 503.50
SIMPLE LAC 7.6 - 12.5 541.75
SIMPLE LAC 7.6-12.5CM 596.75
SIMPLE LAC D-2.5 434.50
SIMPLE LAC REPAIR 7.5-12.5 541.75
SIMPLE REPAIR 2.5 CM OR LESS 273.36
SIMPLE REPAIR 2.5CM OR LESS 273.36
SIMVASTATIN ORAL TAB 20 MG 48.55
SIMVASTATIN TAB 20 MG 5.50
SIMVASTATIN TAB 40 MG 5.50
SINEMET TAB 25-100 MG 9.25
SINEMET TAB 10-100 MG 5.50
SINEQUAN 100MG 6.25
SINGULAIR TAB 10 MG 5.50
SINUSES LESS THAN 3 VIEW 181.50
SINUSES MINIMUM 3 VIEWS 227.50
SIROLIMUS 387.45
SITZ BATH 11.73
SITZ BATH DISPOS. 12.00
SJOGREN'S ANTIBODIES (SSA,SSB) 230.00
SKIN PINCH GRAFT UP TO 2CM 1,637.64
SKIN REPAIR CREAM 4OZ 9.78
SKIN STAPLE 35 60.50
SKIN STAPLE DS-15 35.00
SKIN STAPLE REMOVER 18.25
SKIN STAPLER 30.50
SKIN STAPLES 1-5 17.00
SKIN TEMP SENSOR 46.25
SKULL LESS THAN 4 VIEWS 227.50
SKULL MINIMUM 4 VIEWS 383.30
SLING ARM MED 11.00
SLING LG DISPOSABLE PATIENT LIFT 113.70
SLING MONARCH BLADDER 3,285.00
SLING OPERATION, STRESS INCONTINANCE 20,559.05
SLING TRIANGULAR 3.25
SLIT KNIFE 2.75 ANGLED CLEAR CUT 76.50
SM ANTIBODY 150.00
SMALL ADULT AEROSOL MASK 7.25
SMALL INTESTINE MULTIPLE FILM 645.69
SMALL TREAT OF BURN(S) 266.00
SMALL TREATMENT BURN(S) 266.00
SMOFLIP LIPIDS 20% 250ML 93.80
SMOKING CESSATION ASYMPTOMATIC/>10MIN 104.08
SMOKING CESSATION ASYMPTOMATIC/3-10MIN 104.08
SMOKING CESSATION COUNSELING/> 10MIN 104.08
SMOKING CESSATION COUNSELING/3-10MIN 104.08
SNAP DISP WOUND VAC CARTRIDGE 409.50
SNAP DRESSING KIT 10X10CM 150.75
SNAP DRESSING KIT 15X15CM 160.80
SNAP DRESSING KIT 20X20CM 194.40
SNAP STRAP LARGE 31.50
SNAP STRAP MEDIUM 31.50
SNAP STRAP SMALL 31.50
SNIP INCISION LACRIMAL PUNCTUM 1,338.30
SOAP, BATH 1.25
SOAP,ENEMA CASTELL 2.50
SOCK-AID 43.00
SOD BICARB INJ SYR 50 MEQ/50 ML 27.90
SOD BICARB INJ SYR 5MEQ/10ML *INFANT* 24.50
SODIUM 56.57
SODIUM BICARB INJ 50 mEQ/50 ML - VIAL 5.50
SODIUM BICARBONATE 650 MG TAB 5.50
SODIUM CHLORIDE TABLET 1GM 27.50
SOFT ROLL CAST PADDING 4IN 4.75
SOFT ROLL CAST PADDING 6IN 7.75
solu-CORTEF INJ 100 MG 25.60
Solu-CORTEF INJ 250 MG 45.35
SOLU-MEDROL INJ 125 MG 13.70
SOMA TAB 350 MG 5.50
SONICBEAT 5MM 35CM 1,245.00
SORBITOL 7.55
SPECIMEN COVER 5.00
SPECULUM VAGINAL SM DISPOS 7.75
SPINAL NEEDLE 20G 23.00
SPINAL NEEDLE 20G 1.5IN 4.35
SPINAL NEEDLE 20G 3.5IN 3.75
SPINAL NEEDLE 25G 3IN 3.66
SPINAL NEEDLE 25G 5IN 38.85
SPINAL TRAY 249.75
SPINE 1VIEW SPECIFY LEVEL 142.00
SPIRIVA MDI 18 MCG/CAP 1,275.00
SPIROMETRY INCLUDING GRAPHIC RECORD 645.12
SPIRONOLACTONE ORAL TAB 25 MG 37.40
SPLINT CLAVICLE SM 35.00
SPLINT COD FINGER 46.25
SPLINT COLLES SM RIGHT 26.50
SPLINT FINGER COT MD 23.00
SPLINT FINGER CRVD MD 7.25
SPLINT FROG FINGER SM 52.75
"SPLINT KNEE/IMMOBILIZER 20""" 81.25
"SPLINT KNEE/IMMOBILIZER 24""" 36.25
"SPLINT KNEE/IMMOBILIZER 26""" 98.50
SPLINT ORTHO GLASS 2IN/1-12 IN 15.75
SPLINT ORTHO GLASS 2IN/12-24 IN 31.75
SPLINT ORTHO GLASS 3IN/1-12 IN 13.00
SPLINT ORTHO GLASS 3IN/12-24 IN 26.25
SPLINT ORTHO GLASS 4IN/1-12 IN 15.75
SPLINT ORTHO GLASS 4IN/12-24 IN 31.75
SPLINT ORTHO GLASS 4X15 33.00
SPLINT ORTHO GLASS 5IN/1-12 IN 19.75
SPLINT ORTHO GLASS 5IN/12-24 IN 39.50
SPLINT ORTHO GLASS 5X45 103.50
SPLINT PLASTER MEDIUM 42.25
SPLINT, LONG ARM, SHOULDER - HAND 164.40
SPLINT, SHORT LEG, CALF - FOOT 137.94
SPLINT/FINGER 5.50
SPONGE LAP 18X18 27.50
SPONGE RAYTEC 4X4 (1O'S) 7.75
SPONGE/LAP 5.00
SPONGE-GAUZE 3X3 1.00
SPONGE-RAYTEC 11.25
SPORANOX 100MG CAP 1,045.20
SPUTUM CULTURE 15.00
SPUTUM CULTURE 15.00
STAB PHLEBECTOMY VARICOSE VEINS >20 12,463.70
STAB PHLEBOTOMY VARICOSE VEINS, I EXT>20 12,463.70
STAB PHLEBT VARICOSE VEINS 1 XTR 10-20 S 10,858.60
STABILEYES TENSION RING 12.00MM 600.00
STABILEYES TENSION RING 13.00MM 600.00
STAPLER SKIN 35W 94.83
STAT PAD FOR ZOLL 165.00
STATLOCK - PICC LINE 15.00
STATLOCK-CATH SECURE 9.30
STATLOCK-IV 28.44
STERI DRAPE 3M 1060 22.11
STERI STRIP 1/2 13.00
STERILE SCRUB 14.50
STERILE UNDERGLOVE BLUE SZ 6.5 4.20
STERILE UNDERGLOVE BLUE SZ 7.0 4.20
STERILE UNDERGLOVE BLUE SZ 7.5 4.20
STERILE UNDERGLOVE BLUE SZ 8.0 4.20
STERILE UNDERGLOVE BLUE SZ 8.5 4.20
STERILE WATER BAG FOR INHALATION 1000ML 5.76
STERILE WATER BOTTLE INHALATION 500ML 3.75
STERILE WATER FOR INHALATION 1000ML 4.14
STERILE WATER FOR INJ SOLUTION 5.50
STERILE WATER FOR NEB AQUAPAK 760ML 6.29
"STERI-STRIP 1/4""" 8.50
STERNUM MINIMUM OF 2 VIEWS 231.00
STIFF NECK COLLAR 41.40
STIMEX, INSULATED NEEDLE 22G X 2 1/8 25.75
STIM-Q NEUROSTIM KIT 45,000.00
STING RAY CONNECTOR 21G 13.65
STOCKINETTE IMPERVIOUS 21.69
STOCKINETTE IMPERVIOUS LRG 12X48 34.00
STOCKINETTE-STERILE 6INCH 38.00
STOMA BAG AND WAFER 7.25
STOMA PASTE 40.00
"STOMA WAFER 21/4"" (57MM)" 8.50
STONE ANALYSIS 186.00
STONE ANALYSIS 169.17
STOOL CULTURE 60.77
STOOL CULTURE 129.86
STOOL CULTURE 20.01
STOOL CULTURE 20.01
STOOLYERSINIA 22.00
STOPCOCK 3 WAY 3.75
STRAIGHT CATH FOR URINE 235.25
STRAPPING, KNEE 473.28
STRAPPING, KNEE 473.28
STRATAFIX 0 CT-A 71.70
STRATAFIX 4-0 PF-1 SXMD2B150 70.17
STREP PNEUMONIAE AG, URING 309.12
STREPTOCCUS PNEUMONIAE IGG AB 321.30
STREPTOCOCCUS PNEUMONIA IGG (01) 53.55
STREPTOCOCCUS PNEUMONIA IGG (02) 53.55
STREPTOCOCCUS PNEUMONIA IGG (03) 53.55
STREPTOCOCCUS PNEUMONIA IGG (04) 53.55
STREPTOCOCCUS PNEUMONIA IGG (05) 53.55
STREPTOCOCCUS PNEUMONIA IGG (06) 53.55
STREPTOCOCCUS PNEUMONIA IGG (07) 53.55
STREPTOCOCCUS PNEUMONIA IGG (08) 53.55
STREPTOCOCCUS PNEUMONIA IGG (09) 53.55
STREPTOCOCCUS PNEUMONIA IGG (10) 53.55
STREPTOCOCCUS PNEUMONIA IGG (11) 53.55
STREPTOCOCCUS PNEUMONIA IGG (12) 53.55
STREPTOCOCCUS PNEUMONIA IGG (13) 53.55
STREPTOCOCCUS PNEUMONIA IGG (14) 53.55
STREPTOCOCCUS PNEUMONIA IGG (15) 53.55
STREPTOCOCCUS PNEUMONIA IGG (16) 53.55
STREPTOCOCCUS PNEUMONIA IGG (17) 53.55
STREPTOCOCCUS PNEUMONIA IGG (18) 53.55
STREPTOCOCCUS PNEUMONIA IGG (19) 53.55
STREPTOCOCCUS PNEUMONIA IGG (20) 53.55
STREPTOCOCCUS PNEUMONIA IGG (21) 53.55
STREPTOCOCCUS PNEUMONIA IGG (22) 53.55
STREPTOCOCCUS PNEUMONIA IGG (23) 53.55
STRESS ECHO TEST CONTINUOUS MONITORING 1,798.72
STRIATED MUSCLE ANTIBIODY W/REFLEX 81.42
STRIATED MUSCLE ANTIBODY W/REFLEX 81.42
STRYKER CANNULA ABLATION 75.00
STRYKER SAW BLADE 90.75
STYLETTE LARGE 43.00
STYLETTE MEDIUM 27.50
SUBLIMAZE INJ 100 MCG/2 ML 5.50
SUBSEQUENT HOSPITAL CARE/DAILY 15 MIN 300.00
SUBSEQUENT HOSPITAL CARE/DAILY 25 MIN 300.00
SUBSEQUENT HOSPITAL CARE/DAILY 35 MIN 300.00
SUBSEQUENT OBSERVATION CARE/DAY 15 MIN 300.00
SUBSEQUENT OBSERVATION CARE/DAY 25 MIN 300.00
SUBSEQUENT OBSERVATION CARE/DAY 35 MIN 300.00
SUBSEQUENT SWINGBED CARE/DAILY 10 MIN 300.00
SUBSEQUENT SWINGBED CARE/DAILY 15 MIN 300.00
SUBSEQUENT SWINGBED CARE/DAILY 25 MIN 300.00
SUBSEQUENT SWINGBED CARE/DAILY 35 MIN 300.00
SUCTION CANNISTER 13.25
SUCTION SETUP 17.00
SUCTION TUBING 6.50
SUCTION TUBING 6.50
SUCTION TUBING 10' 2.19
SUCTION YANKAUER TIP 1.00
SUDAFED 120MG ER 1.00
SULFAMETHOXAZOLE-TMP DS 800-160 MG 142.20
sulfamthoxazole-Trimethoprim oral 200/40 5.50
SULFONYLUREA 378.00
SUMATRIPTAN TAB [50 MG] 27.50
SUPERION IDS 10MM 22,500.00
SUPERION IDS-10MM 22,506.00
SUPPORT PILLOW 82.50
SUPRAPUBIC INTRODUCER KIT 182.50
SUPREP BOWEL PREP KIT 263.40
SURESWAB TRICHOMONAS 270.00
SURGICAL CLIPPER BLADE 11.00
SURGICAL CLIPPER BLADE 11.00
SURGICEL 2X3 196.35
SURGILUBE 4.75
SURGIMESH XB TINTRAEL 1522 7,950.00
SUTURE 0 ETHIBOND CT-1 X424H 5.88
SUTURE 0 ETHIBOND CT-2 CR CX27D 39.96
SUTURE 0 ETHIBOND SH X524H 10.53
SUTURE 0 ETHILON CT L886T 10.14
SUTURE 0 PDS CT-1 9.75
SUTURE 0 PDS II CT-2 VIL MONO Z334H 9.66
SUTURE 0 PDS II TP-1 Z334H 15.84
SUTURE 0 PROLENE CT-1 8424H 8.97
SUTURE 0 PROLENE CT-2 8412H 26.01
SUTURE 0 SILK CT-1 424H 5.10
SUTURE 0 SILK FSL 678G 6.30
SUTURE 0 VICRYL CR/CT J752D 29.49
SUTURE 0 VICRYL CT 27IN J352H 4.62
SUTURE 0 VICRYL CT 36IN J958H 4.62
SUTURE 0 VICRYL CT-1 J346H 6.36
SUTURE 0 VICRYL CT-1 VCP840D 38.13
SUTURE 0 VICRYL CT-2 J270H 6.21
SUTURE 0 VICRYL REEL J287G 7.20
SUTURE 0 VICRYL UR-6 J603H 7.35
SUTURE 1 CHROMIC CT-1 925H 8.31
SUTURE 1 ETHILON LR 489T 11.55
SUTURE 1 VICRYL CT-1 J261H 4.62
SUTURE 1 VICRYL CT-2 J335H 4.65
SUTURE 1 VICRYL CTX J365H 4.68
SUTURE 10-0 ETHILON CS160-6 9001G 43.65
SUTURE 10-0 ETHILON CSB6 9007G 49.77
SUTURE 10-0 NYLON NU-5 94.56
SUTURE 2 ETHILON LR 490T 9.33
SUTURE 2-0 CHROMIC CT 913H 12.90
SUTURE 2-0 CHROMIC CT-1 923H 8.13
SUTURE 2-0 CHROMIC CT-2 11.94
SUTURE 2-0 CHROMIC SH G123H 7.44
SUTURE 2-0 ETHIBOND CT-1 X423H 4.98
SUTURE 2-0 ETHIBOND MO-7 CX42D 34.35
SUTURE 2-0 ETHIBOND SH X523H 10.38
SUTURE 2-0 ETHILON FS 664G 6.36
SUTURE 2-0 ETHILON FSLX 1674H 6.36
SUTURE 2-0 PROLENE FSLX 8689H 6.66
SUTURE 2-0 PROLENE SH 8533H 11.64
SUTURE 2-0 SILK 12-30 LABYRINTH A305 7.11
SUTURE 2-0 SILK CT-1 423H 4.50
SUTURE 2-0 SILK FS-1 1689H 6.48
SUTURE 2-0 SILK SH 30IN K833H 4.80
SUTURE 2-0 SILK SH C012D 31.35
SUTURE 2-0 VICRYL CT J957H 4.89
SUTURE 2-0 VICRYL CT-1 J945H 6.12
SUTURE 2-0 VICRYL CT-2 J269H 6.33
SUTURE 2-0 VICRYL CT-2 J333H 4.56
SUTURE 2-0 VICRYL LIGAPAK J286G 5.37
SUTURE 2-0 VICRYL REEL J286G 6.39
SUTURE 2-0 VICRYL SH J417H 5.70
SUTURE 2-0 VICRYL SUTUPAK J105T 21.24
SUTURE 2-0 VICRYL UR-6 J602H 5.61
SUTURE 3-0 CHROMIC CT-1 982H 15.39
SUTURE 3-0 CHROMIC SH G122H 22.41
SUTURE 3-0 ETHILON FS-1 663G 6.66
SUTURE 3-0 ETHILON FSL 1671H 6.45
SUTURE 3-0 ETHILON PS-2 1669H 13.05
SUTURE 3-0 ETHILON X-1 642G 5.04
SUTURE 3-0 PDS SH Z416H 8.85
SUTURE 3-0 PROLENE PS-2 8687H 39.75
SUTURE 3-0 SILK 12-18 LABYRINTH A184H 4.44
SUTURE 3-0 SILK FS-1 684G 13.86
SUTURE 3-0 SILK SH K832H 5.04
SUTURE 3-0 SURGICAL STEEL FSL 6.48
SUTURE 3-0 VICRYL CR/SH J864D 9.75
SUTURE 3-0 VICRYL CT-1 J258H 4.47
SUTURE 3-0 VICRYL PS-2 J497G 31.08
SUTURE 3-0 VICRYL RB-1 J215H 19.29
SUTURE 3-0 VICRYL SH J416H 5.97
SUTURE 3-0 VICRYL SJ J316H 5.28
SUTURE 3-0 VICRYL SUTUPAK J104T 21.09
SUTURE 4-0 CHROMIC FS-2 635H 23.40
SUTURE 4-0 CHROMIC PS-2 1637G 23.19
SUTURE 4-0 CHROMIC RB-1 U203H 7.86
SUTURE 4-0 ETHILON FS-1 1629H 6.78
SUTURE 4-0 ETHILON FS-2 662G 6.39
SUTURE 4-0 ETHILON PS-2 1667H 12.54
SUTURE 4-0 MERSILENE S-2 1779G 31.23
SUTURE 4-0 MONOCRYL PS-2 Y426H 17.79
SUTURE 4-0 MONOCRYL RB-1 Y214H 4.83
SUTURE 4-0 PDS SH Z315H 10.17
SUTURE 4-0 PROLENE PC-3 8634G 43.62
SUTURE 4-0 PROLENE PS-2 8682G 43.68
SUTURE 4-0 PROLENE RB-1 8557H 11.67
SUTURE 4-0 PROLENE RB-1 NC M8557 78.30
SUTURE 4-0 SILK CR/SH C018D 33.69
SUTURE 4-0 SILK FS-1 684G 5.04
SUTURE 4-0 SILK G-3 783G 21.84
SUTURE 4-0 SILK P-3 641G 29.52
SUTURE 4-0 VICRYL PS-2 J496G 13.89
SUTURE 4-0 VICRYL SUTUPAK J103T 21.72
SUTURE 5-0 ETHILON FS-2 661G 14.76
SUTURE 5-0 ETHILON P-3 698G 12.51
SUTURE 5-0 ETHILON PC-3 1865G 15.66
SUTURE 5-0 ETHILON PS-2 1666G 12.48
SUTURE 5-0 ETHILON PS-3 1668G 12.30
SUTURE 5-0 PROLENE P-3 8698G 11.85
SUTURE 5-0 PROLENE PC-1 8618G 12.78
SUTURE 5-0 PROLENE PC-3 8635G 48.72
SUTURE 5-0 PROLENE PS-2 8686G 11.70
SUTURE 5-0 VICRYL PS-2 J495G 10.32
SUTURE 5-0 VICRYL PS-5 J593G 10.32
SUTURE 6-0 ETHILON C-2 668G 5.13
SUTURE 6-0 ETHILON PC-3 18IN 1866G 12.06
SUTURE 6-0 ETHILON PC-3 1966G 15.36
SUTURE 6-0 ETHILON PS-3 1665G 29.01
SUTURE 6-0 PLAIN GUT G-1 770G 37.35
SUTURE 6-0 PROLENE P-3 8695G 47.07
SUTURE 6-0 PROLENE PC-1 8617G 18.93
SUTURE 6-0 SILK G-1 780G 21.78
SUTURE 6-0 SILK S-14 1780G 23.91
SUTURE 6-0 SILK SIDE CUT SPAT NEEDLE 34.50
SUTURE 6-0 VICRYL S-14 J570G 29.19
SUTURE 6-0 VICRYL TG100-8 118.11
SUTURE 7-0 VICRYL TG140-8 J546G 35.31
SUTURE ANCHOR AR2324BCC 4.75X19.1MM 1,716.00
SUTURE MAXBRAID ACL 76.50
SUTURE NEEDLE ANCHOR SZ 6 1824-6DC 9.12
SUTURE REMOVAL SET 17.00
SUTURE STRATAFIX 4-0 PS-1 PGA-PCL 70.17
SUTURE STRIP PLUS CLOSURE (BROWN) 8.25
SUTURE SURGIPRO LOOPED GS-26 1 POLYPROPY 36.03
SUTURE VICRYL PLUS CT-1 VCPP40D 32.94
SWAB LEMON GLYCERINE PACK 1.25
SWINGBED DISCHARGE DAY MANAGEMENT >30MIN 600.00
SWINGBED DISCHARGE DAY MANAGEMENT 30MIN< 300.00
SWINGBED PER DAY W/TELEMETRY 942.00
SWITCHPEN ORTHO 7205440 66.15
SWIZZLE STICK/INTRODUCER ET BOUGIE 15FR 18.27
SYCHRO MED II PUMP (MEDTRONIC) 35,400.00
SYMMETREL 100MG 10.00
SYNOVATOR 4.5mm CURVED 7205334 203.31
SYNTHROID TAB 100 MCG 6.25
SYNTHROID TAB 112 MCG 5.50
SYNTHROID TAB 125 MCG 5.50
SYNTHROID TAB 50 MCG 5.50
SYNTHROID TAB 75 MCG 5.50
SYNTHROID TAB 88 MCG 5.50
SYRINGE 20CC. 6.00
SYRINGE 30 CC 7.25
SYRINGE 3CC 4.75
SYRINGE 3CC, 5CC, 10CC, & 23G 6.00
SYRINGE 60 CC. 7.25
SYRINGE 60CC CATH TIP 8.50
SYRINGE ASEPTO GLASS 32.75
SYRINGE EAR 11.00
SYRINGE, 3,5,10CC 6.00
SYRINGE, TB 3.75
SYSTEMIC LUPUS ERYTHEMATOSUS (01) 84.61
SYSTEMIC LUPUS ERYTHEMATOSUS (02) 84.61
SYSTEMIC LUPUS ERYTHEMATOSUS (03) 84.61
SYSTEMIC LUPUS ERYTHEMATOSUS (04) 84.61
T-3 TOTAL 101.29
T-3 UPTAKE 16.08
TAMIFLU CAP 75 MG 54.20
TAMIFLU SUSP 6MG/1ML 9.85
TAPE 1-12 6.00
TAPE 36 OR LESS 2.50
"TAPE HYPAFIX 2""" 15.75
"TAPE HYPAFIX 4""" 14.25
TAPE MICROPORE 13.25
TAPE TRANSPARENT 12.00
TAPE TRANSPORE 2IN 6.00
TAPE TRANSPORE 3IN 11.50
TAPE/PAPER MEASURING 0.25
TARSORRHAPHY 7,673.35
TCR55 RELOAD 115.50
TDAP BOOSTRIX TETANUS-DIPT-PERT VAC 171.65
TED HOSE KNEE XL LONG 19.00
TED HOSE THIGH LARGE REG 35.75
TED HOSE X-LG 47.50
TEFLARO 600MG IV 1.00
TEGADERM ROPE 12IN 10.95
TEGRETOL 142.25
TEGretol TAB 200 MG 5.50
TELEMETRY PER DAY 111.25
TEMAZEPAM CAP 15 MG 40.90
TEMAZEPAM ORAL CAP 30 MG 5.50
TEMPORAL ARTERY LIGATION/BIOPSY 3,954.25
TENIVAC IM INJ 5-2 LFU 93.90
TENORMIN TAB 25 MG 5.50
TENORMIN TAB 50 MG 5.50
TENOTOMY, ELBOW, LATERAL/MEDIAL, DEBRIDE 12,191.70
TENS UNIT SET UP 65.00
TENT MASK W/O TUBING 5.25
TEST STIM KIT MEDTRONIC-309101 240.00
TEST STIM LEAD MEDTRONIC-305901 120.00
TESTOSTERONE FREE 229.02
TESTOSTERONE FREE/BIO/TOTAL PANEL (01) 138.24
TESTOSTERONE FREE/BIO/TOTAL PANEL (02) 138.24
TESTOSTERONE FREE/BIO/TOTAL PANEL (03) 138.24
TESTOSTERONE TOTAL 229.02
TESTOSTERONE TOTAL LC/MS/MS FEMALE 129.03
TETANUS 233.79
TETANUS TOXOID ABSORBED,IM OR JET INJ 108.15
TETANUS-DIPH TOXOID TD IM 2-2 LF/0.5 ML 41.22
TETRACAINE HCL 21.85
TETRACYCLINE 500MG CAP 28.75
TETRAHYDROZOLINE HCL 0.05% 5.50
THEO-DUR SR TAB 200 MG 5.50
THEO-DUR SR TAB 300 MG 5.50
THEOPHYLLINE 95.36
THERA BAND 6.25
THERAP ACTIVITY DIRECT CONTACT EA 15MIN 75.00
THERAPEUTIC ACTIVITY DIRECT CONTACT E15M 75.00
THERAPEUTIC EXCERCISE 1/> AREA EA 15MIN 75.00
THERAPEUTIC EXERCISE I 94.58
THERAPEUTIC NEUROMUSC RE-EDUCATION EA15M 75.00
THERM PUMP PAD 17.00
THERM PUMP PER DAY 17.00
THERMAL HATS 5.00
THERMOMETER DISPOSABLE 4.75
THIAMINE INJ 100 MG/ML 43.90
THIAMINE TAB 100 MG 5.50
THIORIDAZINE 25MG 6.25
THOMAS ET TUBE HOLDER-ADULT 12.50
THORACENTESIS 329.76
THORACENTESIS 329.76
THORACENTESIS 329.76
THORACENTESIS ASPIRATION 526.75
THORACENTESIS TRAY W/CATH 66.00
THORACENTESIS TRAY W/CATH 198.00
THORA-KLEX CHEST DRAIN 271.25
THORAZINE INJ 25MG / ML 110.75
THROAT CULTURE 27.00
THROMBIN-JMI W/DIL SPRAY 1,380.00
THUMB SPICA SPLINT 54.84
THUMB SPLINT 187.50
THUMB SPLINT - APPLICATION 187.50
THUNDERBEAT DEVICE 1,515.00
THUNDERBEAT MEDIUM 1,515.00
THUNDERBEAT OPEN COLON TB-0920OE 1,515.00
THUNDERBEAT SHORT 1,515.00
THYROGLOBIN 55.46
THYROID STIMULATING IMMUNOGLOBULIN 921.21
THYROIDECTOMY TOTAL 21,298.05
THYROXINE, TOTAL 72.74
TIBIA/FIBULA AP/LATERAL 2VIEW 282.82
TIGAN INJ 52.55
TI-KNOT QUICKLOAD 120.00
TI-KNOT TK DEVICE 525.00
Tikosyn 125 mcg [0.125 MG] 21.75
TIPS 22.75
TISSEEL FIBRANT SEALANT/ THROMBIN 2ML 546.59
TISSUE GRAFTS; OTHER 13,552.40
TISSUE RETRIEVER ANCHOR 231.00
TISSUE TRANSGLUTAMINASE Ab (01) 170.00
TISSUE TRANSGLUTAMINASE IGA (03) 170.00
TISSUE TRANSGLUTAMINASE IgG 308.01
TISSUE TRANSGLUTAMINASE IGG (02) 170.00
TITAN ASSEMBLY KIT (PENILE IMPLANT) 1,755.00
TITAN CL RESERVOIR 125cc (PENILE IMPLANT 6,402.00
TITAN TCH INFRAPUBIC SET (PENILE IMPLANT 29,148.00
TIZANIDINE HCL TAB 4 MG 5.50
TOBRAMYCIN SULF INJ SOL 80 MG/ 2ML 5.50
TOBRAMYCIN SULFATE INJ 40MG/1ML 8.05
TOBRAMYCIN/TROUGH LEVEL 165.00
TOES MINIMUM OF 2 VIEWS 248.10
TONSILLECTOMY 12 YEARS OR OLDER 9,731.00
TONSILLECTOMY W/ADENOIDECTOMY 9,731.00
TONSILLECTOMY YOUNGER THAN 12 YRS 8,713.20
TOOMEY SYRINGE 6.50
TOOTHBRUSH 2.50
TOOTHETTE 1.25
TOOTHPASTE 2.50
TOPAMAX 100MG TAB 12.35
TOPROL XL TAB 25 MG 5.50
TOPROL XL TAB 100 MG 5.50
TOPROL XL TAB 50 MG 5.50
TORADOL INJ 30 MG/ ML 5.50
TOTAL IgA 104.57
TOTAL PROTEIN 44.00
TOURNIQUET 57.75
TOWEL PACK STERILE 27.00
TOWEL PACK, STERILE 9.00
TOXOPLASMA ANTIBODIES IgG 213.00
TOXOPLASMA Igm 213.00
TPN SPECIAL FORMULA 1,000.00
TPO AB 98.88
TRABECULOPLASTY BY LASER SURGERY 2,439.90
TRAC PAD WOUNDVAC SENSATRAC 51.09
TRACE MINERALS 35.95
TRACH CAP/PLUG 13.71
TRACH COLLAR 7.32
TRACH MASK ADULT 7.15
TRACH TUBE DISTAL CUFFED 5XLT 578.04
TRACH TUBE EXCHANGER 17.67
TRACH TUBE PROXIMAL CUFFED 5XLT 578.04
TRACH TUBE SHILEY SZ 4 CUFFED 5.0MM 138.75
TRACH TUBE SHILEY SZ 4 CUFFLLESS 5.0MM 132.18
TRACH TUBE SHILEY SZ 6 CUFFED 6.4MM 138.75
TRACH TUBE SHILEY SZ 6 CUFFLLESS 6.4MM 132.18
TRACH TUBE SHILEY SZ 8 CUFFED 7.6MM 138.75
TRACH TUBE SHILEY SZ 8 CUFFLLESS 7.6MM 132.18
TRACH TUBE SIZE 6 XLT PROXIMAL CUFFED 192.24
TRACH TUBE SZ 6XLT CUFFLESS PROXIMAL 192.24
TRACHEOSTOMY, TRANSTRACHEAL 644.94
TRACHEOSTOMY, TRANSTRACHEAL 644.94
TRACHEOSTOMYCLEANING KIT 14.50
TRACTION MECHANICAL 49.50
TRADJENTA 5MG TAB 62.25
TRAMADOL HCL TAB 50 MG 13.95
TRANDATE INJ 100 MG/20 mL 7.35
TRANSCUTANEOUS PACING 478.95
TRANSDERM SCOP 1.0MG/72HR 74.60
TRANSFERRIN 137.70
TRANSURETHRAL ELECTROSURGICAL RESECTION 18,530.15
TRAP/MUCOUS SPECIMEN 11.00
TRAPEZE TRACTION BAR 17.00
TRAY IRRIGATION 11.00
TRAY LUMBAR PUNC. ADULT 47.25
TRAY SHAVE PREP 9.75
TRAY SKIN PREP 45.00
TRAY URETHRAL CATHETER 12.00
TRAY/EAR/NOSE/THROAT 38.50
TRAY/EMERGENCY EYE 82.50
TREATMENT SHOULDER DISLOCATION 844.75
TREATMENT, SUPERFICIAL WOUND DEHISCHENCE 2,441.00
TRENTAL TAB 400 MG 5.50
TRI GRADUATE 1.75
TRIAMCINOLONE ACETONIDE 0.1% 5.50
TRICHOMONAS VAGINALIS RNA QUALITATIVE 336.00
TRICOR 1.00
TRIGGER POINT INJ 1/2 MUSCLE 131.82
TRIGGER POINT INJ 1-2 MUSCLE 1,096.38
TRIGGER POINT INJECTION 1 OR 2 MUSCLES 1,056.05
TRIGLICERIDES 55.00
TRILEPTAL/10-HYDROXYCARBAZEPINE 213.00
TRIMMING OF CALLOUS 844.75
TRIMMING OF NONDYSTROPHIC NAIL 23.67
TRIMMING OF NONDYSTROPHIC NAIL 23.67
TRIPLE ANTIBIOTIC OINT - UD 5.50
TRIPLE LUMEN 210.00
TROCAR 5MM 409.00
TROCAR REDUCER CAP 15.75
TROCAR W/SLEEVE 10/12MM 192.50
Tropicamide opth solution 0.5% 15 ml 11.05
TROPONIN 153.24
TRTMT S/L/V/C AND/OR AUD PROCESS DISORDE 180.00
TRTMT SWALLOWING DYSFUNCTION &/OR ORAL 180.00
TRUE FLO ADMIN. SET 19.50
TSH 125.73
T-SPINE AP/LAT 2 VIEWS 313.64
T-SPINE AP/LAT/SWIM 3 VIEWS 403.72
TUBAL LIGATION-BILATERAL 12,801.50
TUBE GASTROINTESTINAL 368.50
"TUBE GAUZE 5/8""" 32.04
TUBE RECTAL 12.00
TUBE THORACOSTOMY 1,956.65
TUBE THORACOSTOMY 662.50
TUBE/FEEDING/PED 5 F 8.50
TUBERSOL PPD 171.45
TUBIGRIP SIZE E 10M 102.90
TUBING CYSTO IRRIGATION 11.00
TUBING INSUFFLATION CO2 (KIT) 98.00
TUBING IRRIGATION SECONDARY 11.00
TUBING IV PRIMARY SET 60gtt PUMP 59.50
TUBING SUCTION 6' 1.32
TUBING SUCTION CONN. 13.25
TUOHY NEEDLE 20G 3.5IN 12.09
TUR-Y SET/URETH IRRIG TUBING 46.48
"TWINFIX TI 2.8MM SUTURE ANCHOR W/38"" ULT" 798.72
TWOCAL HN 9.25
TX OF NOSE FX-CLOSED 366.72
TX RADIAL HEAD/NECK FX W/ MANIP, CLOSED 947.01
TX, SUPERFICIAL WOUND, DEHISCENCE, SIMPL 2,441.00
TYGACIL INJ 50MG 426.45
TYLENOL #3 TAB 300-30 MG 5.50
TYLENOL 160 MG/5 ML UD 5.50
TYLENOL ES TAB 500 MG 5.50
TYLENOL LIQ 160 MG/5 ML UD 5.50
TYLENOL SUPP 120 MG 5.50
TYLENOL SUPP 325 MG 5.50
TYLENOL SUPP 650 MG 5.50
TYLENOL TAB 325 MG 5.50
TYLENOL/CODEINE LIQ 120-12MG/5ML-15mlUD 5.50
UE ARTERIAL DUPLEX BILATERAL COMPLETE 903.64
UE ARTERIAL DUPLEX UNILATERAL OR LTD 450.92
UGI-AIR CONTRAST W/KUB 534.50
UGI-AIR WITH SMALL BOWEL 785.50
UGI-W/KUB SCOUT 485.00
UGI-W/SMALL BOWEL 729.25
ULNAR DEVIATION STRAP SMALL LEFT 50.25
ULTANE (SEVO) 1ST 30 MINS 41.25
ULTANE (SEVO) PER MIN 1.50
ULTRAM TAB 50 MG 5.50
ULTRASOUND EACH 15 MINUTES 83.63
UMBILECTOMY 14,313.70
UMBILICAL HERNIA REPAIR OPEN/INCARCERATE 13,377.15
UMBILICAL HERNIA REPAIR REDUCIBLE 5YRS/> 13,377.15
UNASYN INJ 3 GM 18.10
UNASYN INJ 1.5 GM 25.45
UNCONJUGATED BILIRUBIN 8.85
UNCONJUGATED BILIRUBIN 8.85
UNDERPAD BREATHABLE 6.87
UNIVERSAL GAIT BELT 13.71
UNNA BOOT/PROFORE 71.50
UNRINALYSIS, MACRO 55.68
URECHOLINE TAB 10 MG 5.50
URECHOLINEN TAB 25MG 6.45
URETERAL CATH TIGERTAIL 5 FR X 70CM 120.78
URETERAL STENT 4.5FR X 24CM DOUBLE PIGTA 350.07
URETEROPYELOSTOMY, ANASTOMOSIS 25,000.00
URETHRAL CATHATER 5FR COOK OPEN ENDED 32.49
URETHROCYSTOGRAPHY, RETROGRADE READ S&I 1,161.55
URIC ACID 52.15
URIC ACID SYNOVIAL FLUID 19.20
URINAL 6.00
URINALYSIS (DISCOUNTED) 35.36
URINALYSIS, COMPLETE 68.89
URINARY PROTEIN 63.00
URINE CULTURE 109.90
URINE DRUG SCREEN (IN-HOUSE) 112.49
URINE DRUG SCREEN COMPREHENSIVE LC-MS/MS 160.35
URINE IMMUNOELECTROPHORESIS 100.00
URINE METER W/BAG 37.50
URINE OSMO 218.19
URINE SODIUM 148.50
URINE STRAINER 3.75
UROSTOMY POUCH KIT 2 1/4IN 18.36
US ABD AORTA/KIDNEYS/LIMITED 450.92
US ABDOMINAL AORTA 450.92
US ABDOMINAL COMPLETE 450.92
US CAROTID DUPLEX BILATERAL COMPLETE 903.64
US CAROTID DUPLEX UNILATERAL OR LIMITED 450.92
US CHEST W/MEDIASTINUM 457.84
US GALLBLADDER 450.92
US KIDNEY 450.92
US PELVIC/NON-OBSTETRIC COMPLETE 450.92
US PELVIC/NON-OBSTETRIC LIMITED 450.92
US RETROPERITONEAL COMPLETE 450.92
US SCROTUM AND CONTENTS 450.92
US SOFT TISSUE HEAD/NECK-THYROID 450.92
US TRANSVAGINAL 450.92
US, BREAST UNILATERAL COMPLETE 457.84
US, BREAST UNILATERAL LIMITED 248.48
US, EXTREMITY NONVASCULAR COMPLETE 457.84
US, EXTREMITY NONVASCULAR LIMITED 248.48
VAC - DECAVAC 188.65
VAC - ENGERIX-B INJ 10 MCG/0.5 ML 257.45
VAC - FLUZONE VACCINE 104.75
VAC - PNEUMOVAX 23 INJ 0.5 mL 156.50
VACCUM EVACUATION BOTTLE 14.00
VAC-HAVRIX ADULT VACCINE 1440UNITS/ML 494.05
VAGINAL DELIVERY 2,192.75
VAGINAL DELIVERY ONLY 10,427.35
VAGINAL DELIVERY ONLY AFTER C-SECTION 2,219.13
VAGINAL DELIVERY VBAC 2,219.13
VAGINAL PACKING 19.71
VAGINECTOMY, COMP REMOVAL, VAGINAL WALL 25,000.00
VALIUM INJ 10 MG/2ML 41.25
VALIUM TAB 10 MG 5.50
VALIUM TAB 2 MG 5.50
VALIUM TAB 5 MG 5.50
VALPROIC ACID 143.40
VALSARTAN 80MG TAB 17.80
VANCOMYCIN 162.05
VANCOMYCIN 25MG/ML 300ML SUSPENSION 5.50
VANCOMYCIN HCL IV SOLUTION 1000 MG 220.65
VANCOMYCIN INJ 1 GM 15.90
VANCOMYCIN IV RECONSTITUTED 1000 MG 265.45
VANCOMYCIN IV SOLUTION 500 MG 11.50
Vancomycin IVPB 1000 mg / NS 250 ml 26.25
VAPOTHERM HIGH FLOW CANNULA 19.14
VARICELLA ZOSTER 177.00
VASECTOMY 9,060.90
VASELINE 4.50
VASOPNEUMATIC DEVICE 43.00
VASOPRESSIN INJ 20 UNITS/ML 8.35
VASOTEC INJ 1.25 MG/ML 8.60
VASOTEC TAB 10 MG 19.75
VASOTEC TAB 5 MG 5.50
VENIPUNCTURE 15.00
VENOFER 20 MG/ML 5 ML 131.56
VENOUS PH 72.41
VENT CONNECTOR 4.50
VENTILATOR CIRCUIT OY1779 149.58
VENTILATOR DAILY 91.25
VENTILATOR SET UP 137.50
VENTRALIGHT ST ELLIPTICAL MESH 2,184.00
VENTURI MASK ADULT 7.25
VERAPAMIL HCL TAB 80 MG 5.50
VERSA KATH 21G 202.23
VERSED INJ 2 MG/2 ML 5.50
VERSED IV 5MG/5ML 5.50
VERSED SYRUP 5MG 17.05
VIBRAMYCIN INJ 100 MG 68.20
VIBRAMYCIN TAB 100 MG 46.65
VIRAL CULTURE-WOUND 315.00
VISTARIL CAP 25 MG 5.50
VISTARIL INJ 25MG/ML 15.90
VIT D 1,25 HYDROXY 350.00
VITAL CAPACITY TOTAL 645.12
VITAMIN A 85.29
VITAMIN B12 102.10
VITAMIN B12 250 MCG 7.70
VITAMIN B2 306.15
VITAMIN C 125.55
VITAMIN D 25-HYDROX & 1, 25-DIHYDROX 456.60
VITAMIN D 25-OH 105.00
VITAMIN D 3 50,000 UNITS 6.25
VITAMIN E 249.00
VITAMIN E CAP 400 MG 5.50
VITAMIN K TAB [5MG] 398.10
VOLTAREN TOPICAL GEL 1.00
VULVECTOMY SIMPLE PARTIAL 9,305.90
WALKER 78.57
WALL SUCTION 14.50
WARFARIN (1) 750.00
WARFARIN (2) 750.00
WARFARIN SODIUM TAB 5 MG 75.25
WATER BABY GERBER 3OZ 5.19
WATER BABY GLUCOSE 5% 3OZ 5.19
WATER STERILE INJ 5.50
WATER/DISTILLED 500 ML 7.25
WATER/IRRIG 1500 CC 9.75
WATER-STERILE 1000 ML. BOTTLE 7.25
WECK-CEL SURGICAL SPEAR 5.13
WEDGE BIOPSY OF LIVER 4,097.95
WELLBUTRIN ER TAB 150 MG 5.50
WEST NILE VIRUS IgG 67.20
WEST NILE VIRUS; 1gM 67.20
WET PREP 77.72
WHEELCHAIR MANAGEMENT EACH 15 MINUTES 75.00
WHIPPLES AB SCREEN 969.00
WHIRLPOOL 54.50
WHIRLPOOL/STERILE 112.33
WHITACRE NEEDLE 25G 5IN 16.35
WOODS LAMP 7.25
WOUND AEROBIC 40.02
WOUND ANAEROBIC 190.24
WOUND CLOSURE BY ADHESIVE 74.37
WOUND CLOSURE BY ADHESIVE 266.50
WOUND CULTURE AEROBIC 15.00
WOUND CULTURE AEROBIC 15.00
WOUND EXPLORATION, EXTREMITY 1,623.75
WOUND GRAM STAIN 20.01
WOUND VAC SPONGE 165.00
WOUND VAC UNIT 157.50
WRIST 2 VIEWS 145.25
WRIST 3 VIEWS 284.78
WRIST JOING INJECTION 1,056.05
WRIST SUPPORT LACE UP LG LT 29.52
WRIST SUPPORT LACE UP LG RIGHT 29.52
WRIST SUPPORT LACE UP MD LT 29.52
WRIST SUPPORT LACE UP MD RIGHT 29.52
WRIST SUPPORT LACE UP SM LT 29.52
WRIST SUPPORT LACE UP SM RIGHT 29.52
WRIST SUPPORT LACE UP XL LT 25.92
WRIST SUPPORT LACE UP XL RIGHT 29.52
WRIST SUPPORT LACE UP XS LT 29.52
WRIST SUPPORT LACE UP XS RIGHT 29.52
WRIST SUPPORT SM LEFT 42.25
XANAX TAB 0.25 MG 5.50
XANAX TAB 0.5 MG 5.50
XANAX TAB 1 mg 5.50
XARELTO 10MG TAB 41.65
XARELTO 15 MG TAB 41.65
XARELTO 20MG TAB 41.65
XIFAXAN 550 167.35
XOPENEX 1.25/3 ML 5.50
XOPENEX CONCENTRAT 1.25/0.5ML 5.50
XRAY SPONGE 4X4 RAYTEC STERILE 2.00
XRAY; SOFT TISSUE NECK 248.48
XYLOCAINE 2% JELLY 14.85
XYLOCAINE 2% PF INJ 10 ML 19.50
XYLOCAINE 2% VISC 20 ML UD 12.95
XYLOCAINE/EPINEPHRIN INJ1%-1:100000-20ML 6.70
XYLOCAINE/EPINEPHRINE INJ 2%-1:100000 11.00
XYLOCAINE/LIDOCAINE 1% MPF 2ML 5.50
XYLOCAINE-MPF 1% 30ML 24.10
Y-KNOT DISP BROACHING PNCH 2.8 MM 942631 801.00
Y-KNOT RC W/NEEDLES ALL SUTURE ANCHOR 2,334.00
YO ANTIBODY W/REFLEX PANEL (02) 379.65
ZANTAC TAB 150 MG 5.50
ZANTAC INF 50 MG 13.70
ZEMURON INJ 10 MG/ML 25.15
ZERBAXA 1.5MG 575.00
ZESTRIL TAB 10 MG 5.50
ZESTRIL TAB 20 MG 5.50
ZESTRIL TAB 5 MG 5.50
ZINC OXIDE TOP 24.40
ZINC SULFATE CAP 220 MG 5.50
ZIPTIGHT ANKLE SYDESMOSIS FIXATION SYSTE 4,020.00
ZITHROMAX 500MG TAB 6.25
ZITHROMAX INJ 500 MG 27.95
Zithromax IVPB 500 mg / NS 250 ml 50.95
Zithromax IVPB 500 mg/NS 250 ml 40.76
ZITHROMAX SUSP 100 MG/5 ML 11.63
ZITHROMAX SUSP 200 MG/5 mL 49.05
ZITHROMAX TAB 250 MG 8.05
ZOCOR TAB TAB 10 MG 5.50
ZOFRAN INJ 2 MG/mL 9.55
ZOFRAN ODT TAB 4 MG 5.50
ZOFRAN ORAL SOLUTION 4MG/5ML 12.25
ZOFRAN TAB 4 MG 7.95
ZOLOFT TAB 50 MG 5.50
ZOLPIDEM TARTRATE 10 MG 5.50
ZOLPIDEM TARTRATE TAB 10 MG 24.55
ZOSYN INJ 2.25 GM 16.15
ZOSYN INJ 3.375 GM 150.00
ZOSYN INJ 4.5 GM 76.60
ZOVIRAX CAP 200 mg 6.45
ZOVIRAX INJ 500 MG 22.45
ZOVIRAX TAB 800MG 27.50
ZYPREXA 10MG/VIAL *IM ONLY* 1.00
ZYPREXA 5MG TAB 10.40
ZyrTEC LIQ 1 MG/ML 27.25
ZyrTEC TAB 10 MG 5.50
ZYVOX 600MG TABLET 767.10
ZYVOX IV SOLUTION [600 MG/300 ML] 678.15