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MNEMONIC DESCRIPTION CHG.CAT CHARGE HCPC CPT
12000001 VIP ROOM RATE 121 518
12000027 ROOM CHARGE-S.N.F. 550 252
12000030 BED HOLD-ASA NON VENT 130 800
12000031 BED HOLD-ASA VENT 120 1000
12000036 ROOM CHARGE-NEURO NON VENT 130 800
12000037 ROOM CHARGE-NEURO VENT 130 1000
12000038 ROOM CHG-NEURO3 NON VENT ADLT 130 800
12000039 ROOM CHG-NEURO3 VENT ADLT 130 1000
12000040 BEDHOLD ASA3 NON VENT 130 800
12000041 BEDHOLD ASA3 VENT 130 1000
12100004 ROOM CHARGE WARD 121 532
12100027 TIC ROOM CHARGE 139 538
12100036 ROOM CHARGE MED/SURG 121 1000
12200018 ROOM CHARGE-OB 122 1000
12300027 ROOM CHARGE PED 123 1000
12300036 ROOM CHARGE-PEDS NEURO NONVENT 120 1300
12300037 ROOM CHARGE-PEDS NEURO VENT 120 1500
12300038 BED HOLD-PSA NON-VENT 120 1300
12300039 BED HOLD-PSA VENT 120 1500
12400027 ROOM CHARGE PSYCHIATRIC ACUTE 124 1200
12400028 ROOM CHARGE-PSYCH ADMIN DAY 124 1200
17000007 ROOM CHARGE NSY BDR 171 500
17000018 ROOM CHARGE NEWBORN NSY 171 400
20000001 D.O. ROOM CHARGE ICU 200 1535
21000001 ROOM CHARGE CCU 210 2000
25000041 ALKA SELTZER 250 2.31
25000621 MAG SULFATE(ABBOJEC) 250 34.2
25001459 ATABRINE 100MG 250 1.61
25003113 INTAL MDI 250 215.84 J3535
25008172 DRAMAMINE 50MG/CC 250 15 J1240
25009207 PHENERGAN 50MG/CC 250 15
25009827 BETIO.5% 250 24.75
25011592 FREAMINE III 8.5% 250 48
25011718 NACL 250 14
25014058 PROVIPPB 250 4
25080000 HETASTARCH 6% /NS500ML 500M BL 250 126
25080001 ZAFIRLUKAST 20 MG TABLET 250 4
25080002 QUINAPRIL HCL 10 MG TABLET 250 4
25080003 QUINAPRIL HCL 20 MG TABLET 250 4
25080004 PAPAIN/UREA 30 GM TUBE 250 163.65
25080007 ACETAZOLAMIDE 250 MG TABLET 250 4
25080008 ACETAMINOPHEN 500 MG TABLET 250 4
25080009 ACETIC ACID IRR 0.25% 1000 MLB 250 68.22
25080010 P-EPHED HCL/TRIPROLIDINE HCL 1 250 4
25080011 P-EPHED HCL/TRIPROLIDINE HCL 1 250 9.45
25080012 ACYCLOVIR 200 MG CAPSULE 250 4
25080013 ACYCLOVIR 800 MG TABLET 250 10.65
25080014 ADENOSINE 3 MG/ML 2ML DISP.SYR 636 50.4 J0150
25080015 FLUNISOLIDE 7 GM INH 250 189.66
25080016 OXYMETAZOLINE HCL 15 ML BOTTLE 250 13.65
25080017 ALBENDAZOLE 200 MG TABLET 250 4
25080018 ALBUTEROL SYRUP 2 MG/5 ML SOLN 250 4
25080019 ALBUTEROL SULFATE 2 MG/5 ML ML 250 4 J7619
25080020 ALBUTEROL SULFATE 2 MG TABLET 250 4
25080022 ALBUTEROL SULFATE 4 MG TABLET 250 4
25080023 URINE ALBUMIN TEST 1 STRIP BOT 250 4
25080024 ALBUTEROL 17 GM AEROSOL 250 68.19 J3530
25080025 SPIRONOLACTONE 50 MG TABLET 250 4
25080026 ALFENTANIL 2ML AMP 500 MCG/ML 250 15.78
25080030 ALLOPURINOL 300 MG TABLET 250 4
25080031 MAG HYDROX/AL HYDROX/SIMETH 35 250 10.65
25080032 MAG HYDROX/AL HYDROX/SIMETH 36 250 13.35
25080033 BRIMONIDINE OPTH SOLN 10ML BOT 250 162.9
25080034 ALUMINUM HYDROXIDE 400 MG CAPS 250 4
25080035 ALUMINUM CARBONATE BASIC 400 M 250 4
25080037 METAPROTERENOL SULFATE 14 GM 250 75.99
25080038 AMANTADINE HCL 100 MG CAPSULE 250 4
25080039 ZOLPIDEM TARTRATE 10 MG TABLET 250 6.42
25080040 ZOLPIDEM TARTRATE 5 MG TABLET 250 5.22
25080041 AMINOPHYLLINE LIQUID 105 MG/5M 250 0.54 J8490
25080042 AMINO ACIDS 8.5% 500 ML BOTTLE 250 229.83
25080044 AMITRIPTYLINE HCL 10MG TABLET 250 4 J8490
25080045 AMITRIPTYLINE HCL 25MG TABLET 250 4 J8490
25080046 AMITRIPTYLINE HCL 50MG TABLET 250 4 J8490
25080047 AMITRIPTYLINE HCL 50 MG TABLET 250 4 J8490
25080048 AMMONIA 0.33 ML AMPUL 250 10
25080049 AMOXICILLIN TRIHYDRATE 125 MG/ 250 4
25080050 AMOXICILLIN TRIHYDRATE 250 MG/ 250 4
25080051 AMOXICILLIN TRIHYDRATE 250 MG 250 4
25080052 AMOXICILLIN TRIHYDRATE 250 MG/ 250 4
25080053 AMOXICILLIN TRIHYDRATE 400 MG/ 250 7.5
25080054 AMPICILLIN 125 MG/5 ML 100ML B 250 4
25080055 AMPICILLIN 250 MG/5ML 100ML 250 4
25080056 ALUMINUM HYDROXIDE GEL 320 MG/ 250 4
25080057 ALUMINUM HYDROXIDE 320 MG/5 ML 250 4
25080059 AMPICILLIN 250 MG CAPSULE 250 4
25080060 AMPICILLIN 500 MG CAPSULE 250 4
25080062 HYALURONATE SODIUM 12 MG/ML DI 250 525
25080063 CLOMIPRAMINE HCL 25 MG CAPSULE 250 4
25080064 CLOMIPRAMINE HCL 50 MG CAPSULE 250 4.35
25080065 ANASTROZOLE 1MG TABLET 250 19.44
25080066 BENZOCAINE/POVIDONE-IODINE/PH 250 14.7
25080067 HYDROCORTISONE ACETATE 25 MG/ 250 4 J1700
25080068 RESOR/BALSAM/BIS SG/ANOX 1 SUP 250 4
25080069 HYDRALAZINE HCL 25 MG TABLET 250 4
25080070 HYDRALAZINE HCL 10 MG TABLET 250 4
25080071 PHYTONADIONE 10MG/ML AMPUL 250 13.8
25080072 PHYTONADIONE 1 MG/0.5 ML AMPUL 250 18.18 J3430
25080073 TRIHEXYPHENIDYL HCL 2 MG/5 ML 250 4
25080074 ASPIRIN 300 MG/SUPP. RECT SUPP 250 4
25080075 ASPIRIN 325 MG TABLET 250 4
25080076 ASPIRIN 600 MG/SUPP. RECT SUPP 250 4
25080077 ASCORBIC ACID 250 MG TABLET 250 4
25080079 ASCORBIC ACID 500 MG TABLET 250 4
25080080 ASPIRIN 81 MG TABLET.EC 250 4
25080081 ATENOLOL 50 MG TABLET 250 4
25080082 ATROPINE SULFATE 15 ML BOTTLE 250 10.68
25080083 ATROPINE SULFATE INJ 1 MG/10 M 250 4
25080084 IPRATROPIUM NASAL SP 0.03% 21 250 85.02 J3535
25080085 IPRATROPIUM BROMIDE 14 GM AER. 250 112.11 J3535
25080086 AMOX TR/POTASSIUM CLAVULANATE 250 71.85
25080087 AMOX TR/POTASSIUM CLAVULANATE 250 137.1
25080088 AMOX TR/POTASSIUM CLAVULANATE 250 7.44
25080089 ANTIPYRINE/BENZOCAINE OTIC SOL 250 51.12
25080090 TRIAMCINOLONE ACETONIDE 20 GM 250 159.84
25080091 BACITRACIN ZINC 15 GM TUBE 250 4.8
25080092 BACITRACIN ZINC 30 GM TUBE 250 6.6
25080093 BACITRACIN ZINC 0.9 GM/PKT PAC 250 4
25080094 BACITRACIN OPTH OINTMENT 3.5 G 250 11.37
25080095 BACLOFEN 10 MG TABLET 250 4
25080096 SULFAMETH/TRIMETH DS 800/160 1 250 4
25080097 BACTROBAN OINTMENT 2% 22GM 250 118.35
25080098 DIMERCAPROL 100 MG/ML 3ML AMP 250 74.76
25080099 ALUMINUM CARBONATE, BASIC 500 250 4
25080100 ALUMINUM CARBONATE, BASIC 500 250 4
25080101 VITAMIN B COMPLEX 1 TAB TABLET 250 4
25080102 BECLOMETHASONE NASAL 16.8 GM I 250 129.24
25080103 BELLADONNA ALKALOIDS/PHENOBA 250 4
25080106 DIPHENHYDRAMINE HCL 25 MG CAPS 250 4
25080107 DIPHENHYDRAMINE HCL 50 MG CAPS 636 4 Q0163
25080109 DIPHENHYDRAMINE HCL 30 GM TUBE 250 10.5
25080110 DICYCLOMINE HCL 10 MG/5 ML SYR 250 4
25080111 DEXTROMETHORPHAN HBR 15 MG/5ML 250 4
25080113 BENZTROPINE MESYLATE 0.5 MG TA 250 4
25080114 BENZONATATE 100 MG CAPSULE 250 4
25080116 BENZTROPINE MESYLATE 1 MG TABL 250 4
25080118 BENZTROPINE MESYLATE 2 MG TAB 250 4
25080119 BENZOIN COMPOUND TINCTURE 60 250 6.45
25080120 BETAMETHASONE VALERATE OINT 1 250 14.79
25080121 POVIDONE-IODINE 15 ML BOTTLE 250 4.8
25080122 LEVOBUNOLOL OPTH SOLN 5 ML BO 250 59.64
25080123 POVIDONE-IODINE OINTMENT 30 GM 250 4
25080124 BETHANECHOL CHLORIDE 10 MG TA 250 4
25080125 BETHANECHOL CHLORIDE 25 MG TA 250 4
25080126 BETAXOLOL OPTH SOLN 10 ML BOTT 250 156.75
25080127 BETAXOLOL OPTH SUSPENSION 5 MI 250 77.64
25080128 CLARITHROMYCIN 250 MG TABLET 250 10.26
25080129 CLARITHROMYCIN 500 MG TABLET 250 10.26
25080130 CLARITHROMYCIN 500 MG TABLET 250 10.32
25080131 CITRIC ACID/ SODIUM CITRATE 30 250 4
25080132 BIPERIDEN HCL 2 MG TABLET 250 4
25080133 BISACODYL 5 MG TABLET.EC 250 4
25080134 SOD SULFACETAMIDE OPTH OINT 3. 250 20.85
25080135 SOD SULFACETAMIDE 10% OPTH SO 250 11.91
25080136 SOD SULFACETAMIDE 10% OPTH SO 250 8.43
25080137 NA SUL/PREDNISOL 0.2% OPTH SOL 250 81.15
25080138 CAMPHOR/PHENOL/PET HY-PHL 6 GM 250 4
25080139 TERBUTALINE SULFATE 1 MG/ML AM 250 10 J3105
25080140 BROMOCRIPTINE MESYLATE 2.5 MG 250 6.15
25080141 NA/K/CA/MAG EYE SOLUTION 15 ML 250 17.82
25080142 NA/K/CA/MAG EYE SOLUTION 500 M 250 68.25
25080143 BUMETANIDE 0.5 MG TABLET 250 4
25080144 BUSPIRONE HCL 10 MG TABLET 250 4.26
25080146 BUSPIRONE HCL 5 MG TABLET 250 4
25080147 CALCIUM CHLORIDE 10% PF SOLN10 250 4
25080148 CALAMINE/PRAMOXINE LOTION 180 250 13.77
25080149 CALCIUM CARBONATE/MAG HYDROX 250 4
25080150 CALCIUM CARBONATE 500 MG TAB.O 250 4
25080151 CALCIUM CARBONATE 650 MG TABLE 250 4
25080152 CALCIUM CARBONATE 1.25 G TABLE 250 4
25080153 EDETATE CALCIUM DISODIUM 200 M 250 25.32
25080154 CALCIUM GLUCONATE 500 MG TABLE 250 4
25080155 CALCIUM GLUCONATE 650 MG TABLE 250 4
25080156 CAPSAICIN 0.025% 60 GM TUBE 250 20.85
25080157 CAPTOPRIL 12.5 MG TABLET 250 4
25080158 CAPTOPRIL 25 MG TABLET 250 4
25080160 CAPTOPRIL 50 MG TABLET 250 4
25080161 SUCRALFATE 1 GM TABLET 250 4
25080162 CARBAMAZEPINE 100 MG TAB.CHEW 250 4
25080163 CARBAMAZEPINE 200 MG TABLET 250 4
25080165 P-EPHED HCL/CARBINOX MAL SYRP 250 46.77
25080166 DILTIAZEM HCL SUSTAINED RELEAS 250 4
25080167 DOXAZOSIN MESYLATE 1 MG TABLET 250 4
25080168 DOXAZOSIN MESYLATE 2 MG TABLET 250 4
25080169 DOXAZOSIN MESYLATE 4 MG TABLET 250 4
25080170 DILTIAZEM HCL SUSTAINED RELEAS 250 4.35
25080171 DILTIAZEM HCL SUSTAINED RELEAS 250 7.95
25080172 DEXTROMETH/PSEUD/CARBINOX DR 250 14.85
25080173 DEXTROMETH/PSEUD/CARBINOX SYRP 250 32.4
25080174 P-EPHED HCL/CARBINOX MAL SYRP 250 36
25080175 NICARDIPINE HCL 20 MG CAPSULE 250 4
25080176 NICARDIPINE HCL 30 MG CAPSULE 250 4
25080177 CARISOPRODOL 350 MG TABLET 250 4
25080178 LEVOCARNITINE 1 GM/10 ML 118ML 250 4
25080179 CASTOR OIL 60 ML BOTTLE 250 4
25080180 CLONIDINE HCL 0.1 MG/24 HR PAT 250 28.38
25080181 CLONIDINE HCL 0.2MG/24 HR PATC 250 47.76
25080182 CLONIDINE PATCH TTS-3 0.3MG/2 250 66.24
25080183 CEFACLOR 125 MG/5ML 75ML BOTTL 250 4
25080184 CEFACLOR 250 MG CAPSULE 250 5.91
25080185 CEFPODOXIME PROXETIL 200 MG TA 250 12.87
25080186 CEFUROXIME AXETIL 250 MG TABLE 250 11.82
25080187 CITALOPRAM HYDROBROMIDE 20 MG 250 6.3
25080188 CITALOPRAM HYDROBROMIDE 40 MG 250 6.3
25080189 MENTHOL/CETYLPYRD CL 2 MG LOZE 250 4
25080190 CETYLPYRIDINIUM CHLORIDE 120ML 250 4
25080191 CEPHALEXIN MH 250 MG/5 ML 100M 250 4
25080192 CEPHALEXIN MH 250 MG/5 ML 100M 250 4
25080193 CEPHALEXIN MH 250 MG CAPSULE 250 4
25080194 CEPHALEXIN MH 500 MG CAPSULE 250 5.19
25080195 D-METHORPHAN HB/PE HCL/CP 118 250 30.33
25080196 TRIETHANOLAMINE OTIC SOLN 6 ML 250 63.48
25080197 TETRACAINE/BENZOCAINE/BUTAMB 250 156
25080198 BLOOD SUGAR DIAGNOSTIC 50'S 1 250 4
25080199 CHERRY FLAVOR 480 ML SYRUP 250 14.4
25080200 CHLORPROMAZINE HCL LIQUID 100 250 4
25080201 CHLORDIAZEPOXIDE HCL 10 MG CAP 250 4
25080202 CHLOROTHIAZIDE 250 MG TABLET 250 4
25080203 CHLORPROPAMIDE 250 MG TABLET 636 4 Q0171
25080204 CHLORDIAZEPOXIDE HCL 25 MG CAP 250 4
25080205 CHLORPROMAZINE HCL LIQUID 25 M 250 4
25080206 CHLORPROMAZINE HCL LIQUID 30 M 250 4
25080207 CHLORPHENIRAMINE 4 MG TABLET 250 4
25080208 CHLORPHENIRAMINE 4 MG TABLET 250 4
25080209 CHLOROTHIAZIDE 500 MG TABLET 250 4
25080210 CHLORPROMAZINE HCL LIQUID 50 M 250 4
25080211 BENZOCAINE/MENTHOL 1 EA LOZENG 250 4
25080212 CHLORAMPHENICOL/OPTH OINT 3.5 250 52.26
25080213 CHOLESTYRAMINE/ASPARTAME 4 G 250 5.55
25080214 CIPROFLOXACIN OPTH SOLUTION 5 250 88.14
25080216 CIMETIDINE HCL 300 MG/5 ML BOT 250 7.56
25080217 CIPROFLOXACIN HCL 250 MG TABLE 250 11.04
25080218 CISAPRIDE 10 MG TABLET 250 4
25080219 CISAPRIDE 1 MG/ML BOTTLE 250 4
25080220 CISAPRIDE 20 MG TABLET 250 5.01
25080222 LORATADINE 10 MG TABLET 250 6.72
25080223 P-EPHED SUL/LORATADINE 1 UDTAB 250 4
25080224 CLINDAMYCIN PALITATE 75MG/5ML 250 26.1
25080225 CLINDAMYCIN PHOSPHATE 30 GM G 250 84.75
25080226 CLINDAMYCIN PHOSPHATE 30 ML SO 250 32.91
25080227 CLINDAMYCIN HCL 150 MG CAPSULE 250 4
25080231 CLONIDINE HCL 0.3 MG TABLET 250 4
25080232 CLONAZEPAM 0.5 MG TABLET 250 4
25080233 CLONAZEPAM 0.5 MG TABLET 250 4
25080234 CLONAZEPAM 1 MG TABLET 250 4
25080235 CLONIDINE HCL 0.1 MG TABLET 250 4
25080236 CLONAZEPAM 2 MG TABLET 250 4
25080237 CLONIDINE HCL 0.2 MG TABLET 250 4
25080239 CLOZAPINE 100 MG TABLET 250 9.45
25080240 CLOZAPINE 25 MG TABLET 250 4.08
25080241 COCAINE HCL 4 ML SOLUTION 250 61.11
25080242 BENZTROPINE MESYLATE 1 MG/ML 2 250 11.31
25080243 COLCHICINE 0.5 MG TABLET 250 4
25080245 ALBUTEROL SULFATE/IPRATROPIUM 250 116.43
25080246 PROCHLORPERAZINE MALEATE 10 MG 250 4 J0780
25080247 PROCHLORPERAZINE MALEATE 5 MG 636 4 Q0164
25080248 AMIODARONE HCL 200 MG TABLET 250 10.65 J8490
25080249 AMIODARONE HCL 50 MG/ML AMPUL 250 84.03 J8490
25080250 CARVEDILOL 6.25 MG TABLET 250 4.65
25080251 HYDROCORTISONE CYPIONATE 10 MG 250 4
25080252 NEOMYCIN/POLYMYX/HC OTIC SOLN 250 107.46
25080253 NEOMYCIN/POLYMYX/HC OTIC SOLN 250 116.16
25080254 NEOMYCIN/POLY/HC OTIC SUSP 1 250 84
25080255 NEOMY/BACI/POLY/HC OP OINT 3.5 250 17.13
25080256 WARFARIN SODIUM 1 MG TABLET 250 4
25080257 WARFARIN SODIUM 10 MG TABLET 250 4
25080258 WARFARIN SODIUM 2 MG TABLET 250 4
25080259 WARFARIN SODIUM 2.5 MG TABLET 250 4
25080260 WARFARIN SODIUM 5 MG TABLET 250 4
25080261 WARFARIN SODIUM 7.5 MG TABLET 250 4
25080262 LOSARTAN POTASSIUM 50 MG TABLE 250 4
25080263 INDINAVIR SULFATE 200 MG CAPS 250 4
25080264 INDINAVIR SULFATE 400 MG CAPS 250 7.74
25080265 POLOXAMER 360 ML BOTTLE 250 36.18
25080266 CYANOCOBALAMIN 100 MCG TABLET 250 4
25080267 CYANOCOBALAMIN 500 MCG TABLET 250 4
25080268 CYCLOSPORINE 100 MG CAPSULE 636 19.83 J7502
25080269 CYCLOBENZAPRINE HCL 10 MG TAB 250 4
25080270 CYCLOBENZAPRINE HCL 10 MG TAB 250 4
25080271 CYCLOSPORINE 25 MG CAPSULE 250 4.95 J7515
25080272 CYCLOPENTOLATE 1% OPTH SOLN 2 250 27.75
25080273 MEDROXYPROGESTERONE ACET 10 250 4
25080274 CYPROHEPTADINE HCL 2 MG/5 ML S 250 4
25080275 CYPROHEPTADINE HCL 4 MG TABLE 250 4
25080276 MISOPROSTOL 100 MCG TABLET 250 4
25080277 LIOTHYRONINE SODIUM 25 MCG TAB 250 4
25080278 KCL 30MEQ/D5.51000 1000 ML 250 4
25080279 KCL 30MEQ/D5.51000 1000 ML 250 4
25080281 DANTROLENE SODIUM 25 MG CAP 250 4
25080282 PYRIMETHAMINE 25 MG TABLET 250 4
25080283 CARBAMIDE PEROXIDE 15 ML DROPS 250 16.5
25080284 DEXAMETHASONE 0.5 MG/5 ML ELIX 250 4
25080285 DEMECLOCYCLINE HCL 150 MG TAB 250 14.07
25080286 ETHYL ALCOHOL 5 ML AMPUL 250 110.64
25080287 DEXTROMETHORPHAN POLISTIREX 250 4
25080288 DEMECLOCYCLINE HCL 300 MG TAB 250 25.59
25080289 MEPERIDINE HCL 50 MG TABLET 250 4
25080290 DIVALPROEX SODIUM 125 MG CAP 250 4
25080293 DIVALPROEX SODIUM 500 MG TAB 250 4.65
25080294 VALPROATE SODIUM 250 MG/5 ML 250 4
25080295 DESIPRAMINE HCL 50 MG TABLET 250 4
25080296 DESIPRAMINE HCL 50 HCL TABLET 250 4
25080297 COD LIVER OIL/ZINC OXIDE 120 G 250 8.67
25080298 DEXAMETHASONE 0.5 MG TABLET 250 4
25080299 DEXAMETHASONE 4 MG TABLET 250 4
25080300 DEXTROSE 50%-WATER 50 ML DISP 250 19.62
25080301 D-AMPHETAMINE SULFATE 5 MG TAB 250 4
25080302 DIHYDROERGOTAMINE MESYLATE 1 250 41.49
25080306 DIBUCAINE 30 GM OINT..GM. 250 6.75
25080307 DICLOXACILLIN SODIUM 250 MG 250 4
25080308 DICLOFENAC SODIUM 25 MG TABLET 250 4
25080309 DICLOFENAC SODIUM 50 MG TABLET 250 4
25080310 DICLOFENAC SODIUM 75 MG TABLET 250 4
25080311 DICYCLOMINE HCL 10 MG CAPSULE 250 4
25080312 DICYCLOMINE HCL 20 MG CAPSULE 250 4
25080313 ETIDRONATE DISODIUM 400 MG TAB 250 14.85 J1436
25080314 FLUCONAZOLE 100 MG TABLET 250 21.72
25080315 DIGOXIN 250 MCG/ML AMPUL 250 10 J1160
25080316 DIGOXIN 125 MCG TABLET 250 4
25080318 DIGOXIN 250 MCG TABLET 250 4
25080319 DIGOXIN 50 MCG/ML ELIXER 250 4
25080321 PHENYTOIN SODIUM EXTENDED 100 250 4
25080322 PHENYTOIN SODIUM EXTENDED 30 250 4
25080323 PHENYTOIN 125 MG/5 ML ORAL. SU 250 4
25080325 DILTIAZEM HCL SUSTAINED RELEAS 250 6.21
25080327 DILTIAZEM HCL 30 MG TABLET 250 4
25080329 DILTIAZEM HCL 60 MG TABLET 250 4
25080330 DILTIAZEM HCL 90 MG TABLET 250 4
25080332 PPA HCL/BR-PHENIR MAL 120 ML 250 15.06
25080333 D-METHORPHAN HB/PPA HCL/BPM 36 250 32.94
25080334 DOCUSATE SODIUM 50 MG/5 ML LIQ 250 4
25080335 CASANTHRANOL/DOCUSATE SODIUM 250 17.31
25080336 DIPHENHYDRAMINE HCL 12.5 MG/5 250 4
25080339 DIPHENOXYLATE HCL/ATROP SULF 6 250 18.84
25080340 PROPOFOL 10 MG/ML AMPUL 250 10
25080341 BETAMET DIPROP/PROP GLY 50 GM 250 209.64
25080342 BETAMETHASONE DIPROPIONATE 15 250 20.25
25080343 DIPYRIDAMOLE 25 MG TABLET 250 4
25080345 DISULFIRAM 250 MG TABLET 250 4
25080346 CHLOROTHIAZIDE 250 MG/5 ML ORA 250 4
25080347 DEPAKOTE 250 MG ER TABLET 250 111.63
25080348 DOCUSATE SODIUM 100 MG CAPSUL 250 4
25080349 DOCUSATE CALCIUM 240 MG CAPSUL 250 4
25080350 DOCUSATE SODIUM 250 MG CAPSUL 250 4
25080351 CALCIUM ACETATE/AL SULFATE 1 P 250 4
25080352 ATTAPULGITE 600 MG/15 ML LIQUI 250 4
25080353 BELLADONNA ALKALOIDS/PHENOBA 250 4
25080354 GUAIFEN/DM HB/P-EPHEDRINE 120 250 13.86
25080355 DOXEPIN HCL 10 MG/ML ORAL.CONC 250 4
25080356 DOXEPIN HCL 25 MG CAPSULE 250 4
25080357 DOXEPIN HCL 50 MG CAPSULE 250 4
25080358 CASANTHRANOL/DOCUSATE SODIUM 250 4
25080359 DOXYCYCLINE HYCLATE 100 MG CAP 250 4
25080360 DIMENHYDRINATE 50 MG/ML DISP.S 250 20.19 J1240
25080361 DIMENHYDRINATE 50 MG TABLET 250 4
25080362 P-EPHED SUL/D-DROMP MAL 1 TAB. 250 4
25080365 BISACODYL 10 MG/SUPP.RECT SUPP 250 4
25080366 FENTANYL 25 MCG/72HRS PATCH.TD 250 35.28
25080367 FENTANYL 50 MCG/72HRS PATCH.TD 250 55.47
25080368 FENTANYL 75 MCG/72HRS PATCH.TD 250 88.89
25080369 CEFADROXIL 500 MG CAPSULE 250 12
25080370 DICLOXACILLIN SODIUM 62.5 MG/5 250 4
25080371 ASPIRIN 325 MG TABLET.EC 250 4
25080372 VENLAFAXINE HCL 100 MG TABLE 250 4.02
25080373 VENLAFAXINE HCL 25 MG TABLET 250 4
25080374 VENLAFAXINE HCL 37.5 MG TABLET 250 4
25080375 VENLAFAXINE HCL 75 MG TABLET 250 4
25080376 PERMETHRIN 60 GM CREAM.GM. 250 78.75
25080377 MOMETASONE FUROATE 15 GM CRE 250 60.09
25080378 MOMETASONE FUROATE 15 GM OINT 250 60.09
25080379 LIDOCAINE/PRILOCAINE 5 EA KIT 250 24.66
25080380 ENALAPRIL MALEATE 2.5 MG TABLE 250 4
25080381 EPINEPHRINE 1 MG/ML AMPUL 250 10 J0170
25080382 EPINEPHRINE 0.1 MG/ML DISP.SYR 250 4.95
25080383 HC ACETATE/PRAMOXINE HCL 10 GM 250 53.25
25080384 EPINEPHRINE 30ML SOLUTION 250 34.35
25080385 LAMIVUDINE 150 MG TABLET 250 12.99
25080386 ERYTHROMYCIN ETHYLSUCCINATE 2 250 4
25080387 ERYTHROMYCIN ESTOLATE 250 MG/5 250 4
25080388 ERYTHROMYCIN BASE 3.5 GM OINT. 250 13.29
25080389 ERYTHROMYCIN BASE 3.5 GM OINT 250 13.29
25080390 ERYTHROMYCIN STEARATE 250 MG 250 4
25080391 ERYTHROMYCIN BASE 500MG TABLE 250 4
25080392 ERYTHROMYCIN BASE/ETHANOL 30 250 93.57
25080393 ERYTHROMYCIN BASE/ETHANOL 60 250 20.64
25080395 ESTROGENS,CONJUGATED 0.3 MG T 250 4
25080396 ESTRADIOL 0.5 MG TABLET 250 4
25080398 ESTROGENS,CONJUGATED 0.9 MG T 250 4
25080401 ESTROGENS,CONJUGATED 2.5 MG T 250 4
25080402 ESTRADIOL 0.05MG/24 H/PATCH.BW 250 8.55
25080403 ETHAMBUTOL HCL 100 MG TABLET 250 4
25080404 ETHANOLAMINE OLEATE 2ML AMPUI 636 86.07 Q2007
25080405 ENFLURANE 125 ML GAS 250 445.29
25080406 CONTAINER,EMPTY 1 BOT BOTTLE 250 65.01
25080407 CONTAINER,EMPTY 1 BOT BOTTLE 250 58.02
25080408 CONTAINER,EMPTY 1 BOT BOTTLE 250 59.04
25080409 FAMCICLOVIR 250 MG TABLET 250 10.5
25080410 FENTANYL CITRATE 0.05MG/ML AMP 636 10 J3010
25080411 FENTANYL CITRATE 100MCG/2ML AM 636 10 J3010
25080412 FENTANYL CITRATE 250MCG/5ML AM 636 10 J3010
25080413 FERROUS FUMARATE 300 MG 250 4
25080414 FERROUS GLUCONATE 325 MG TAB 250 4
25080415 FERROUS SULFATE 75MG/0.6 ML DR 250 4
25080416 FERROUS SULFATE 220MG/5 ML ELI 250 4
25080417 FERROUS SULFATE 325 MG TABLET 250 4
25080418 FE FUMARATE/VIT C/B12-IF/FA 1C 250 4
25080419 CALCIUM POLYCARBOPHIL 625 MG T 250 4
25080420 ASPIRIN/CAFFEINE/BUTALBITAL 1C 250 4
25080421 APAP/COD 300MG/15MG 30 MG CAPS 250 4
25080422 NA PHOS,M-B/NA PHOS,DI-BA 133M 250 4
25080423 MINERAL OIL 133 ML ENEMA 250 4.83
25080424 SODIUM PHOSPHATE/DIBASIC 66.6 250 4
25080425 NA PHOS,M-B/NA PHOS,DI-BA 90ML 250 6.42
25080426 TAMSULOSIN HCL 0.4MG CAP.SR.24 250 4.5
25080427 FLUDROCORTISONE ACETATE 0.1 MG 250 4
25080428 OFLOXACIN 400 MG TABLET 250 14.1
25080429 FLUORESCEIN SODIUM 9MG/STRIP S 250 4
25080430 FLUPHENAZINE HCL 10 MG TABLET 250 5.1
25080431 FLUPHENAZINE HCL 1 MG TABLET 250 4
25080432 FLUPHENAZINE HCL 2.5 MG TABLET 250 4
25080433 FLUPHENAZINE HCL 5 MG TABLET 250 4.05
25080434 FLURBIPROFEN 100 MG TABLET 250 4
25080435 FLURAZEPAN HCL 30 MG CAPSULE 250 4
25080436 FLUOROMETHOLONE 5 ML DROPS. S 250 63.99
25080437 FOLIC ACID 1 MG TABLET 250 4
25080438 FOLIC ACID 1 MG TABLET 250 4
25080439 ISOFLURANE 100 ML LIQUID 250 445.29 J3990
25080440 ALENDRONATE SODIUM 10 MG TABL 250 5.91
25080441 ALENDRONATE SODIUM 5 MG TABLET 250 5.91
25080442 FOSINOPRIL SODIUM 10 MG TABLET 250 4
25080443 NITROFURAZONE 28 GM CREAM.GM 250 61.5
25080444 NITROFURANTOIN 25MG/5 ML ORAL 250 4
25080445 FUROSEMIDE 10 MG/ML SOLUTION 250 4
25080446 FUROSEMIDE 20 MG TABLET 250 4
25080448 FUROSEMIDE 40 MG TABLET 250 4
25080449 FUROSEMIDE 40 MG TABLET 250 4
25080450 FUROSEMIDE 80 MG TABLET 250 4
25080451 GABAPENTIN 300 MG CAPSULE 250 4
25080453 GELATIN SPONGE, ABSORBABLE 100 250 97.62
25080454 GELATIN SPONGE,ABSORBABLE 50/S 250 65.31
25080455 GEMFIBROZIL 600 MG TABLET 250 4
25080456 GENTIAN VIOLET 30 ML SOLUTION 250 5.64
25080457 GENTAMICIN SULFATE 15 GM OINT 250 10.8
25080458 GENTAMICIN OPTH SOLN 5ML BOTTL 250 9.6
25080459 GLIMEPIRIDE 1 MG TABLET 250 8
25080460 GLIPIZIDE 10 MG TABLET 250 4
25080462 GLIPIZIDE 5 MG TABLET 250 4
25080465 GLYBURIDE 2.5 MG TABLET 250 4
25080467 GLYBURIDE 5 MG TABLET 250 4
25080468 GLYCERIN 1 SUPP.ADULT SUPP.REC 250 4
25080469 GLYCERIN 1 SUPP.PED SUPP.RECT 250 4
25080470 CARBAMIDE PEROXIDE 15 ML SOLUT 250 13.74
25080471 SOD SULF/SOD/NAHCO3/KCL/PEG'S 250 120
25080472 TRYPSIN/BALSAM PERU/CASTOR OIL 250 52.5
25080473 GRISEOFULVIN ULTRAMICROSIZE 12 250 4
25080474 GUAIFENESIN 100 MG/5 ML SYRUP 250 4
25080475 GUAIFENESIN 100 MG/5 ML SYRUP 250 4
25080476 CLOTRIMAZOLE 45 GM CREAM.APPL 250 21.6
25080477 NICOTINE TRANSDERMAN 14MG PTCH 250 13.26
25080478 HALOPERIDOL DECANOATE 50 MG/M 250 94.56 J1631
25080479 HALOPERIDOL LACTATE 5 MG/ML AM 250 22.41
25080481 HALOPERIDOL 0.5 MG TABLET 250 4
25080482 HALOPERIDOL 10 MG TABLET 250 4
25080484 HALOPERIDOL 1 MG TABLET 250 4
25080485 HALOPERIDOL LACTATE 2 MG/ML OR 250 4
25080487 HALOPERIDOL 2 MG TABLET 250 4
25080488 HALOPERIDOL 5 MG TABLET 250 4
25080489 HALOTHANE 125 ML LIQUID 250 47.55
25080490 HEPATITIS B INMUNE GLOBUL. 0.5 250 502.5
25080492 METHENAMINE HIPPURATE 1 GM TAB 250 4
25080493 BENZOCAINE 3.75 GM GEL 250 17.01
25080494 BENZOCAINE 60 ML SPRAY 250 42.57
25080495 HYDROCORTISONE 1% 30 GM CREAM 250 8.4
25080496 HYDROCORTISONE 1% 28.35GM OINT 250 10.02
25080497 HYDROCORTISONE 0.5% 30GM CREAM 250 6
25080498 HIDROXYZINE HCL 10MG/ 5ML SYRU 250 4
25080499 HYDROXYZINE HCL 10 MG TABLET 250 4
25080500 HYDROCORTISONE 1% 30 GM CREAM 250 26.52
25080501 HYDROXYZINE PAMOATE 25 MG CAP 636 4 Q0177
25080502 HYDROXYZINE HCL 25 MG TABLET 250 4
25080503 HYDROMORPHONE HCL 2MG TABLET 250 4
25080504 HYDROXYZINE PAMOATE 50MG CAP 636 4 Q0177
25080506 HYDROXYUREA 500 MG CAPSULE 250 4.26
25080507 HYDROCHLOROTHIAZIDE 25 MG TABL 250 4
25080508 BELLADONNA ALKALOIDS/PHENOBARB 250 4
25080509 TERAZOSIN HCL 2 MG CAPSULE 250 5.7
25080510 TERAZOSIN HCL 5 MG CAPSULE 250 5.34
25080511 LOSARTAN POTASSIUM/HCTZ 1 TAB 250 4
25080512 IBUPROFEN 200 MG TABLET 250 4
25080513 IBUPROFEN 400 MG TABLET 250 4
25080515 IBUPROFEN 600 MG TABLET 250 4
25080517 IBUPROFEN 800 MG TABLET 250 4
25080519 ISOSORBIDE MONONITRATE 30MG TA 250 4.5
25080520 ISOSORBIDE MONONITRATE 60 MG T 250 4.74
25080522 IMIPRAMINE HCL 25 MG TABLET 250 4
25080523 SUMATRIPTAN SUCCINATE 25 MG TA 250 44.49
25080524 SUMATRIPTAN SUCCINATE 50 MG TA 250 44.49
25080525 AZATHIOPRINE 50 MG TABLET 250 4.38
25080526 PROPRANOLOL HCL 1 MG/ML AMPUL 250 33.21 J1800
25080527 INDIGOTINDISULFONATE SODIUM 5 250 27
25080528 INDOMETHACIN 25 MG CAPSULE 250 4
25080529 PREDNISOLONE SOD PHOSPHATE 5 250 23.25
25080530 CROMOLYN SODIUM 87.1 GM AEROSO 250 141.33
25080532 IPECAC 30 ML SYRUP 250 6
25080533 POLIOMYELTIS VAC,KILLED 0.5 ML 250 73.2
25080534 POLIOMYELITIS VAC,KILLED 0.5 M 250 73.17
25080535 ISONIAZID 50 MG/5 ML SYRUP 250 46.11
25080536 ISONIAZID 100 MG TABLET 250 4
25080538 ISONIAZID 300 MG TABLET 250 4
25080539 SCOPOLAMINE HYDROBROMIDE 5 MI 250 44.82
25080540 ISOSORBIDE DINITRATE 10 MG TAB 250 4
25080542 ISOSORBIDE DINITRATE 20 MG TAB 250 4
25080543 ISOSORBIDE DINITRATE 5 MG TABL 250 4
25080544 ISOPROTERENOL HCL 0.2 MG/ML AM 250 18.06
25080545 ISOPROTERENOL HCL 0.2 MG/ML 5 250 13.08
25080546 KAOLIN/PECTIN 30 ML EACH 250 4
25080548 LANOLIN/MINERAL OIL 120 GM CRE 250 11.73
25080549 KETOCONAZOLE 200 MG TABLET 250 10.11
25080550 LABETALOL HCL 100 MG TABLET 250 4
25080554 LANOLIN/MIN OIL /PETROLAT WHT 250 25.95
25080555 LACTULOSE 10 G/15 ML SYRUP 250 13.2
25080556 LACTULOSE 10 G/15 ML SYRUP 250 4
25080557 ACIDOPHILUS/BULGARICUS 1 TAB 250 4
25080558 LAMOTRIGINE 100 MG TABLET 250 18
25080559 LAMOTRIGINE 25 MG TABLET 250 5.64
25080560 LANSOPRAZOLE 15 MG CAPSULE. DR 250 10.98
25080561 LANSOPRAZOLE 15 MG CAPSULE.DR 250 10.98
25080562 LANSOPRAZOLE DELAY RLS 30 MG 250 4
25080563 FLUVASTATIN SODIUM 20MG CAP 250 4
25080564 CHLORAMBUCIL 2MG TABLET 250 4.5
25080565 HYOSCYAMINE SULFATE 0.5 MG/ML 250 33.63
25080568 LEVONTHYROXINE SODIUM 150 MCG 250 4
25080569 LEVOTHYROXINE SODIUM 200 MCG 250 4
25080570 LEVONTHYROXINE SODIUM 25 MCGT 250 4
25080572 LEVONFLOXACIN 500 MG TABLET 250 24.33
25080573 NOREPINEPHRINE BITARTRATE 1 MG 250 12.48
25080574 HYOSCYAMINE SULFATE 0.125 MG 250 4
25080575 HYOSCYAMINE SULFATE 0.375 MG 250 4
25080576 CLIDINIUM/CHLORDIAZEPOXINE 1CA 250 4.11
25080577 FLUOCINONIDE 15 GM CREAM.GM 250 25.92
25080578 LIDOCAINE HCL 15 MG/ML AMPUL 250 4
25080579 LIDOCAINE HCL 40 MG/ML SOLUTIO 250 4
25080580 LIDOCAINE HCL 20 MG/ML DISP. 250 4
25080581 LIDOCAINE HCL 10 MG/ML 30ML DI 250 4
25080582 LIDOCAINE HCL 20 MG/ML SOLUTIO 250 4 J2000
25080583 LINDANE 60 ML LOTION 250 10.05
25080584 LINDANE 60 ML SHAMPOO 250 49.2
25080586 LITHIUM CARBONATE 450 MG TABLE 250 4
25080587 LITHIUM CARBONATE 450 MG TABLE 250 4
25080588 LITHIUM CITRATE 8 MEQ/5MLSYRUP 250 4
25080589 NORGESTREL-ETHINYL ESTRADIOL 250 4.38
25080590 NORGESTREL-ETHINYL ESTRADIOL 250 4
25080591 DIPHENOXYLATE HCL/ATROP SULF1 250 4
25080592 MINOXIDIL 10 MG TABLET 250 4.35
25080593 MINOXIDIL 2.5 MG TABLET 250 4
25080594 LOPERAMIDE HCL 1 MG/ML LIQUID 250 6.54
25080595 LOPERAMIDE HCL 2 MG CAPSULE 250 4
25080596 LORAZEPAM 0.5 MG TABLET 250 4
25080597 LORAZEPAM 1 MG TABLET 250 4
25080598 LORAZEPAM 2 MG TABLET 250 4
25080599 MAGALDRATE 540 MG/5 ML ORAL.SU 250 4
25080600 BENAZEPRIL HCL 10 MG TABLET 250 4
25080601 BENAZEPRIL HCL 20 MG TABLET 250 4
25080602 BENAZEPRIL HCL 5 MG TABLET 250 4
25080603 CLOTRIMAZOLE 15 GM CREAM 250 14.67
25080604 CLOTRIMAZOLE 45 GM CREAM.GM 250 57
25080605 CLOTRIMAZOLE/BETAMET DIPROP 250 70.62
25080606 CLOTRIMAZOLE/BETAMET DIPROP 250 152.13
25080607 ENOZAPARIN SODIUM 30 MG/0.3 ML 250 38.91
25080608 LOXAPINE SUCCINATE 25 MG CAPSU 250 4.95
25080609 LOXAPINE SUCCINATE 5 MG CAPSUL 250 4
25080610 INDAPAMIDE 2.5 MG TABLET 250 4
25080611 CHLORPHEX GL/GLYCERIN/HE-CELL1 250 4.8
25080612 CHLORPHEX GL/GLYCERIN/HE-CELL5 250 4
25080613 FLUVOXAMINE MALEATE 50 MG TABL 250 7.65
25080614 MAGNESIUM SALT 500 MG TABLET 250 4
25080615 MAGNESIUM OXIDE 400 MG TABLET 250 4
25080616 MAPROTILINE HCL 25 MG TABLET 250 4
25080617 HCTZ/TRIAMTERENE 1 UDTAB TABLE 250 4
25080618 NEO/POLYMYX B SULF/DEXAMETH 5 250 96
25080619 NEO/POLYMYXB SULF/DEXAMETH 3 250 24.45
25080620 MEDIUM CHAIN TRIGLYCERIDES 960 250 171
25080621 MECLIZINE HCL 12.5 MG TABLET 250 4
25080622 MECLIZINE HCL 25 MG TABLET 250 4
25080624 MEDROXYPROGESTERONE ACET 2.5 250 4
25080625 MEDROXYPROGESTERONE ACET 5 250 4
25080626 MEGESTROL ACETATE 20 MG TABLET 250 4
25080627 MEGESTROL ACETATE 40 MG/ML OR 250 4
25080628 MEGESTROL ACETATE 40 MG TABLET 250 4
25080630 MEPERIDINE HCL 100 MG/ML INJ. 250 4 J2175
25080631 MEPERIDINE HCL 25 MG/ML DISP 250 4
25080632 MEPERIDINE HCL 50MG/ML SYRINGE 250 10
25080633 MEPERIDINE HCL 75 MG/ML DISP 250 20 J2175
25080634 PHYTONADIONE 5 MG TABLET 250 4
25080635 MESALAMINE 400 MG TABLET.EC 250 4
25080636 MESORIDAZINE BESYLATE 10 MG TA 250 4
25080637 PYRIDOSTIGMINE BROMIDE 60 MG 250 4
25080638 METAPROTERENOL SULFATE 10 MG 250 4
25080639 METAPROTERENOL SULFATE 10 MG 250 4
25080640 METFORMIN HCL 500 TABLET 250 4
25080641 METFORMIN HCL 850 MG TABLET 250 4
25080642 METHYLERGONOVINE MALEATE 0.2 250 4
25080643 METHADONE HCL 10 MG TABLET 250 4
25080645 METHYLPREDNISOLONE 4 MG TABLET 250 4 J7509
25080646 METHOCARBAMOL 500 MG TABLET 250 4
25080647 METHADONE HCL 5 MG/5 ML SOLUTI 250 4
25080648 METHADONE HCL 5 MG TABLET 250 4
25080649 METHACARBAMOL 750 MG TABLET 250 4
25080651 METHYLENE BLUE 10 ML AMPUL 250 35.25
25080652 METHYLERGONOVINE MALEATE 0.2 250 10.62 J2210
25080653 METOCLOPRAMIDE HCL 10 MG TABL 250 4
25080654 METOCLOPRAMIDE HCL 10 MG TABL 250 4
25080655 METOCLOPRAMIDE HCL 10 MG TABL 250 4
25080656 METOPROLOL TARTRATE 50 MG TAB 250 4
25080657 METOCLOPRAMIDE HCL 5 MG/5 ML S 636 13.02 J2765
25080658 METOCLOPRAMIDE HCL 5 MG TABLET 250 4
25080659 METOCLOPRAMIDE HCL 5 MG TABLET 250 4
25080660 METOPROLOL TARTRATE 1 MG/ML 5M 250 10
25080661 METRONIDAZOLE 250 MG TABLET 250 4
25080662 METRONDAZOLE 500 MG TABLET 250 4
25080663 METRONIDAZOLE 70 GM GEL.W.APP 250 116.1
25080664 LOVASTATIN 20 MG TABLET 250 7.38
25080665 MEXILETINE HCL 150 MG CAPSULE 250 4
25080666 AMILORIDE HCL 5 MG TABLET 250 4
25080667 MINERAL OIL 480 ML OIL 250 14.4
25080668 MINOCYCLINE HCL 50 MG CAPSULE 250 4
25080669 MINERAL OIL 10 ML OIL 250 4.05
25080670 THIABENDAZOLE 500 MG TAB.CHEW 250 4
25080671 ACETYLCHOLINE CHLORIDE 2 ML DR 250 79.59
25080672 CALCIUM POLYCARBOPHIL 500 MG T 250 4
25080673 MAGNESIUM HYDROXIDE 80 MEQ/30 250 4
25080674 CASCARA SAGRADA/MAG HYDROX 1 250 4
25080675 MICONAZOLE NITRATE 45 GM CREAM 250 31.65
25080676 MICONAZOLE NITRATE 100 MG/SUPP 250 4.95
25080677 MORPHINE SULFATE 10 MG/ML DISP 636 4 J2275
25080678 MORPHINE SULFATE 2 MG/ML DISP. 250 4
25080679 MORPHINE SULFATE 4 MG/ML DISP. 250 10 J2270
25080680 IBUPROFEN 100 MG/5ML ORAL SUSP 250 20.55
25080681 MORPHINE SULFATE 15 MG TABLET 250 4
25080682 MORPHINE SULFATE 30 MG TABLET 250 6.48
25080683 URINE MULTIPLE TEST 1 STRIP ST 250 4
25080684 MULTIVITAMINS THERAPEUTIC 1 UD 250 4
25080685 MULTIVITAMINS THER W-MINERALS 250 4
25080686 SODIUM CHLORIDE 3.5 GM OINT GM 250 37.32
25080687 CLOTRIMAZOLE 10 MG TROCHE 250 4
25080688 NYSTATIN/TRIAMCIN 15 GM CREAM 250 40.74
25080689 NYSTATIN/TRIAMCIN 15 GM OINT G 250 10.74
25080690 TROPICAMIDE 2 ML DROPS 250 51.21
25080691 MAG HYDROX/AL HYDROX/SIMETH 3 250 10.8
25080693 MAG/ALUMINUM/SIMETH 360ML BTL 250 17.52
25080694 SIMETHICONE 40 MG/0.6 ML DROPS 250 4
25080695 SIMETHICONE 40 MG/0.6 ML DROPS 250 4
25080696 MAG HYDROX/AL HYDROX/SIMETH 1 250 4.44
25080697 PHENYLEPH HCL/PP HC/P-TLOX/CP3 250 14.67
25080698 PHENYLEPH HCL/PP HC/P-TLOX/CP4 250 41.01
25080699 GUAFEN/D-METHORPHAN HB/PPA 12 250 13.53
25080700 NAPHAZOLINE HCL 15 ML DROPS 250 42.93
25080701 NAPROXEN 125 MG/5 ML ORAL.SUSP 250 78.6
25080702 NAPROXEN 250 MG TABLET 250 4
25080703 NAPROXEN 375 MG TABLET 250 4
25080704 NAPROXEN 500 MG TABLET 250 4
25080705 NALOXONE HCL 0.4 MG/ML AMPUL 250 10
25080706 NALOXONE HCL 0.02 MG/ML 2ML AM 250 10
25080707 NALOXONE HCL 1 MG/ML 2ML AMPUL 250 10 J2310
25080708 FLUNISOLIDE 25 ML SPRAY 250 125.46
25080709 THIOTHIXENE HCL 5 MG/ML ORAL.C 250 102.84
25080710 CALCIUM GLUBIONATE 1.8 G/5ML S 250 73.95
25080711 NEOMYCIN SULFATE/DEX NA PH 5 M 250 26.49
25080713 NEOMYCIN SULFATE 500 MG TABLET 250 4
25080714 NEOMYCIN SULFATE 30 GM OINT.GM 250 6.51
25080715 NEOMY SULF/GRAMICID D/POLY 10M 250 68.04
25080716 NEOMY SULF/BACITRA/POLYMYXIN B 250 13.29
25080717 NEOMY SULF/BACITRA/POLYMYXIN B 250 4
25080718 NEOMY SULF/BACITRA/POLYMYXIN B 250 5.4
25080719 PHENYLEPHRINE HCL 15 ML SPRAY 250 10.47
25080720 PHENYLEPHRINE HCL 15 ML SPRAY 250 10.47
25080721 PHENYLEPHRINE HCL 15 ML SPRAY 250 11.85
25080722 PHENYLEPHRINE HCL 15 ML DROPS 250 10.47
25080723 NEPHRO-VITE 1EA CAPSULE 250 4
25080724 GABAPENTIN 100 MG CAPSULE 250 4
25080725 GABAPENTIN 400 MG CAPSULE 250 4.2
25080726 NAPH MB-DB/K PH MBDB 1 PKT PK 250 4
25080727 POTASSIUM PHOS M BASIC-D-BASIC 250 4
25080728 NIACIN 100 MG TABLET 250 4 J2350
25080729 NICOTINE POLACRILEX 4 MG GUM 250 4
25080734 IRON POLYSACCHARIDES COMPLEX 250 4
25080735 NIFEDIPINE 20 MG CAPSULE 250 4
25080736 NIMODIPINE 30 MG CAPSULE 250 19.41
25080737 NITROGLYCERIN 1 PATCH.24 H 250 5.01
25080738 NITROGLYCERIN 1 PATCH.24 H 250 5.55
25080739 NITROGLYCERIN 0.4. MG TAB 250 4
25080740 NITROGLYCERIN 2.5. MG CAPSULE 250 4
25080741 NITROGLYCERIN 30 GM OINT. GM 250 20.85
25080742 NITROFURANTOIN MACROCRYSTAL 250 4
25080743 URINE PHENAPHTHAZINE-PH TEST 250 78.78
25080744 NITROGLYCERIN 14.49 GM AEROSOL 250 93.66
25080745 KETOCONAZOLE 60 GM CREAM.GM. 250 128.58
25080746 KETOCONAZOLE 300 MG TABLET 250 10.14
25080747 KETOCONAZOLE 120 ML SHAMPOO 250 62.22
25080748 TAMOXIFEN CITRATE 10 MG TABLET 250 5.28 J7599
25080750 LABETALOL HCL 200 MG TABLET 250 4
25080751 DISOPYRAMIDE PHOSPHATE 150 MG 250 4
25080752 NORTRIPTYLINE HCL 10 MG CAPSUL 250 4
25080753 NORTRIPTYLINE HCL 25 MG CAPSU 250 4
25080754 NORTRIPTYLINE HCL 50 MG CAPSU 250 4.11
25080755 AMLODIPINE BESYLATE 5 MG TAB 250 4 J8490
25080756 PHENYLEPHRINE HCL/CHLOR-MAL 250 16.44
25080757 SODIUM CL IRRIG SOLN 1000ML 250 38.73
25080758 NITROGLYCERIN/D5W 0.2 MG/ML 250 4
25080759 INFANT FORMULA SPEC.MATABOLIC 250 73.26
25080760 NYSTATIN 100 MU/ML ORAL SUSP 250 4
25080761 NYSTATIN 100 MU/ML ORAL SUSP 250 4
25080762 NYSTATIN 100 MU/ML ORAL SUSP 250 4
25080763 NYSTATIN 15 GM CREAM.GM. 250 7.92
25080764 NYSTATIN 15 GM OINT. GM 250 8.1
25080765 NYSTATIN 15 GM POWDER 250 81.57
25080766 NYSTATIN 100 MU TABLET 250 5.49
25080767 SODIUM CHLORIDE 45 ML SPRAY 250 6.96
25080768 OCTREOTIDE ACETATE 0.05 MG/ML 636 15.93 J2352
25080769 OCTYREOTIDE ACETATE 0.1 MG/ML 636 35.34 J2352
25080770 FLURBIPORFEN SODIUM 2.5 ML 250 49.68
25080771 ESTROPIPATE 0.75 MG TABLET 250 4
25080773 ONDANSETRON HCL 8 MG TABLET 636 76.14 Q0179
25080774 BENZOCAINE 7 GM GEL 250 11.43
25080777 CALCIUM CARBONATE 1.25 G TAB 250 4
25080778 CALCIUM CARBONATE/VITAMIN D1 250 4
25080779 OXACILLIN SODIUM 250 MG/5 ML 250 8.7
25080780 OXAPROZIN 600 MG TABLET 250 4.38
25080781 OXAZEPAM 15 MG CAPSULE 250 4
25080782 OXAZEPAM 30 MG CAPSULE 250 4
25080783 OXYBUTYNIN CHLORIDE 5 MG TAB 250 4
25080784 AMYLASE/LIPASE/PROTEASE 1 CAP 250 4
25080785 TRANYLCYPROMINE SULFATE 10MG 250 4
25080787 PAROXETINE HCL 20 MG TABLET 250 7.14
25080789 ATROPINE SULFATE 0.05 MG/ML 250 7.05
25080790 PREDNISOLONE SOD PHOSPHATE 250 44.31 J2640
25080791 ERY E-SUCC/SULFISOXAZOLE 150 250 79.11
25080792 PENICILLIN V POTASSIUM 125 MG/ 250 4
25080793 PENICILLIN V POTASSIUM 250 MG/ 250 4
25080794 PENICILLIN V POTASSIUM 250 MG 250 4
25080795 PENICILLIN V POTASSIUM 500 MG 250 4
25080797 FAMOTIDINE 20 MG TABLET 250 5.31
25080798 FAMOTIDINE 10 MG TABLET 250 4
25080799 FAMOTIDINE 10 MG TABLET 250 4
25080801 PERPHENAZINE 2MG TABLET 250 4
25080802 PERPHENAZINE 4MG TABLET 636 4 Q0175
25080803 DIPYRIDAMOLE 5 MG/ML 2ML AMPUL 636 44.52
25080805 PHENOBARBITAL 100 MG TABLET 250 4
25080807 PROMETHAZINE HCL 12.5 MG/SUP 636 9.12 Q0169
25080808 PHENOBARBITAL SODIUM 130 MG/ML 250 8.94
25080809 PHENOBARBITAL 15 MG TABLET 250 4
25080810 PHENYLEPH HCL/PP HC/P-TLOX/CP 250 4
25080811 PHENYLEPHRINE HCL 2 ML DROPS 250 11.19
25080812 PHENAZOPYRIDINE HCL 200 MG 250 4
25080814 PHENOBARBITAL 20 MG/5 MG 250 4 J2560
25080815 PROMETHAZINE HCL 25MG/SUPP 250 10.44
25080816 PROMETHAZINE HCL 25 MG TABLET 636 4 Q0169
25080817 PHENOBARBITAL SODIUM 30 MG 250 8.97
25080818 PHENOBARBITAL 30 MG TABLET 250 4
25080819 PHENOBARBITAL 60 MG TABLET 250 4
25080820 CODEINE/PROMETHAZINE HCL 120 250 35.25
25080821 PHENYLEPHRINE HCL/PROMETH 250 21.9
25080822 PHENYLEPHRINE HCL/PROMETH 250 12
25080825 PHENOBARBITAL 20 MG/5 ML 480ML 250 18
25080826 PHENYLEPHRINE HCL/COD/PRO 250 11.85
25080827 CALCIUM ACETATE 667 MG TABLET 250 4
25080828 ECHOTHIOPHATE IODIDE 5 ML DROP 250 82.17
25080829 PILOCARPINE HCL 15 ML DROPS 250 14.46
25080830 PILOCARPINE HCL 15 ML DROPS 250 20.67
25080831 PILOCARPINE HCL 15 ML DROPS 250 53.25
25080832 PILOCARPINE HCL 15 ML DROPS 250 91.38
25080833 PIROXICAM 10 MG CAPSULE 250 4
25080834 HYDROXYCHLOROQUINE SULFATE 250 4.23
25080835 CLOPIDOGREL BISULFATE 75 MG 250 9.03
25080836 FELODIPINE 5 MG TAB SR 24HR 250 4
25080838 BACITRACIN/POLYMYXIN B SULFATE 250 11.4
25080839 BACITRACIN/POLYMYXIN B SULFATE 250 31.2
25080840 BACITRACIN/POLYMYXIN B SULFATE 250 27.72
25080841 NEOMY SULF/POLYMYX B SULF 250 69.27
25080842 FLUORIDE ION/MULTIVITS W-FE 250 4
25080843 FLUORIDE ION/MULTIVITAMINS 250 4
25080844 FLUORIDE ION/MULTIVITIS W-FE 250 4
25080845 FLUORIDE ION/MULTIVITS W-FE 250 4
25080846 FLUORIDE ION/MULTIVITAMINS 0.5 250 4
25080847 FLUORIDE ION/MULTIVITAMINS 250 4
25080849 TETRACAINE HCL 30 ML SOLUTION 250 100.32
25080851 POTASSIUM CHLORIDE 10 MEQ TAB 250 4
25080852 POTASSIUM CHLORIDE 20 MEQ/15 250 4
25080853 POTASSIUM CHLORIDE 20 MEQ/15 250 4
25080854 POTASSIUM CHLORIDE 20 MEQ TAB 250 4
25080855 POTASSIUM CHLORIDE 20 MEQ/15 250 4
25080856 POTASSIUM CHLORIDE 20 MEQ/15 250 4
25080857 POTASSIUM CHLORIDE 8 MEQ TAB 250 4
25080859 PRAVASTATIN SODIUM 10 MG TAB 250 6.45
25080860 PRAZOSIN HCL 1 MG CAPSULE 250 4
25080861 ACARBOSE 50 MG TABLET 250 4
25080863 PREDNISONE 10 MG TABLET 250 4
25080866 PREDNISONE 20 MG TABLET 250 4
25080867 PREDNISONE 50 MG TABLET 250 4
25080868 PREDNISONE 5MG/5 ML SOLUTION 250 4
25080870 PREDNISONE 5 MG TABLET 250 4 J7506
25080871 PREDNISOLONE ACETATE 5 ML BOT 250 56.79
25080872 GENTAM SULF/PREDNISOL AC 5ML 250 71.82
25080873 INFANT FORMULA W-IRON 454GM 250 79.98
25080874 PREDNISOLONE 15 MG/5 ML SYRUP 250 49.32
25080875 PREDNISOLONE 5 MG/5 ML SYRUP 250 4
25080877 ESTROGENS CONJUGATED 1.25MG 250 4
25080878 ESTROGENS CONJUGATED 0.625 MG 250 4
25080879 ESTROGEN CON/M-PROGEST ACET 250 4
25080881 PRENATAL VIT/FE FUMARATE 250 4
25080883 LANSOPRAZOLE 15 MG CAPSULE 250 10.98
25080884 LANSOPRAZOLE 30 MG CAPSULE 250 11.19
25080886 OMEPRAZOLE 10 MG CAPSULE 250 10.71
25080887 OMEPRAZOLE 20 MG CAPSULE 250 11.97
25080888 PRIMIDONE 250 MG TABLET 250 4
25080889 PRIMIDONE 50 MG TABLET 250 4
25080890 MILRINONE LACTATE 1 MG/ML 636 25.98 J2260
25080892 LISINOPRIL 10 MG TABLET 250 4
25080893 TOLAZOLINE HCL 25 MG/ML 4ML 250 11.25
25080895 PROCHLORPERAZINE MALEATE 25MG 636 216 Q0164
25080896 NIFEDIPINE 30 MG TABLET SA 250 4
25080899 NIFEDIPINE 60 MG TABLET.SA 250 6.06
25080901 AA 3% ELECTROLYTE-TPN SOLN 250 164.79
25080902 NIFEDIPINE 10MG CAPSULE 250 4
25080903 FLUPHENAZINE HCL 5MG/ML BOTTLE 250 4
25080905 PROMETHAZINE HCL 25MG/ML 250 10
25080906 PROMETHAZINE HCL 50MG/ML AMPUL 250 10 J2550
25080907 PROMETHAZINE HCL 6.25 MG/5 ML 250 4
25080908 PROTEIN SUPP 275GM/CAN 250 98.61
25080910 PROPRANOLOL HCL 10 MG TABLET 250 12
25080911 PROPOXYPHENE NAPSYLATE/APAP 250 4
25080913 PROPRANOLOL HCL 20 MG TABLET 250 12
25080914 PROPYLTHIOURACIL 50MG TABLET 250 4
25080915 PROPOXYPHENE HCL 65 MG CAP 250 20
25080916 CISAPRIDE 10 MG TABLET 250 8
25080918 FINASTERIDE 5 MG TABLET 250 6.84
25080919 ALBUTEROL 17 GM INH 250 94.68 J3530
25080920 ALBUTEROL SULFATE 2MG/5ML 250 10 J7618
25080921 FLUOXETINE HCL 20MG CAPSULE 250 7.92
25080922 FLUOXETINE HCL 10 MG CAPSULE 250 4
25080924 PSEUDOEPHEDRINE 30MG/5ML BOTT 250 4
25080925 PYRAZINAMIDE 500 MG TABLET 250 12
25080927 PYRIDOXINE HCL 50 MG TAB 250 4
25080928 PHENAZOPYRIDINE HCL 100 MG TAB 250 4
25080929 CHOLESTYRAMINE/SUCROSE 1 PKT 250 5.55
25080930 QUETIAPINE FUMARATE 25 MG TABL 250 4
25080931 QUINIDINE SULFATE 200MG TABLET 250 4
25080932 QUININE SULFATE 260 MG TABLET 250 4
25080934 QUINIDINE SULFATE 300 MG TABLE 250 4
25080935 QUININE SULFATE 325 MG CAPSULE 250 4
25080936 RAMIPRIL 1.25 MG CAPSULE 250 4
25080937 METOCLOPRAMIDE HCL 5MG/5 ML S 636 4 J2765
25080938 BECAPLERMIN 15 GM GEL 250 1189.62
25080940 MIRTAZAPINE 15 MG TABLET 250 6.96
25080941 MIRTAZAPINE 30 MG TABLET 250 7.17
25080942 ZIDOVUDINE 100 MG CAPSULE 250 5.07
25080943 TROGLITAZONE 200 MG TABLET 250 8.94
25080945 RIFAMPIN 300 MG CAPSULE 250 6.33
25080946 RIFAMPIN/ISONIAZID 1 CAP CAPSU 250 7.29
25080947 MAGALDRATE 540 MG/5 ML ML 250 4
25080948 RISPERIDONE 1 MG/ML BOTTLE 250 9.03
25080950 RISPERIDONE 1 MG TABLET 250 7.59
25080951 RISPERIDONE 2 MG TABLET 250 12.15
25080952 RISPERIDONE 3 MG TABLET 250 14.37
25080953 GLYCOPYRROLATE 1 MG TABLET 250 4
25080954 GUAIFENESIN 100MG/5 ML SYRUP 250 4
25080955 CALCITRIOL 0.25 MCG CAPSULE 250 4
25080956 DEXTROMETH/PSEUD/CARBINOX DR 250 113.22
25080957 P-EPHED HCL/CARBINOX MAL SYRP 250 87.93
25080958 P-EPHED HCL/CARBINOX MAL SYRP 250 87.93
25080959 OXYCODONE HCL/ACETAMINOPHEN 250 10
25080960 OXYCODONE/ASPIRIN 1 UDTAB TABL 250 4
25080961 GUAIFENESIN 100 MG/5 ML SYRUP 250 4
25080962 GUAIFEN/D-METHORPHAN HB/PPA 250 12.63
25080963 GUAIFENESIN/D-METHORPHAN HB 250 12.63
25080964 GUAIFENESIN/P-EPHED HCL 120 ML 250 12.63
25080965 GUAIFEN/D-METHORPHAN HB/PPA 250 20.31
25080966 GUAIFENESIN/D-METHORPHAN HB 250 25.14
25080967 BACTERIOSTATIC SODIUM CHLORIDE 250 4
25080968 SODIUM CHLORIDE 15 ML SPRAY 250 11.73
25080969 SALSALATE 750 MG TABLET 250 4
25080971 COLLAGENASE 30 GM TUBE 250 170.82
25080972 SCOPOLAMINE HYDROBROMIDE 1 250 14.43
25080973 SELEGILINE 5 MG TABLET 250 6.3
25080974 SELENIUM SULFIDE 210 ML SHAMPO 250 13.71
25080975 SENNA 187 MG TABLET 250 4
25080976 MESORIDAZINE BESYLATE 25 MG/ML 250 16.59
25080977 MESORIDAZINE BESYLATE 100MG TA 250 4
25080978 SALMETEROL XINAFOATE 13 GM A 250 185.64
25080979 QUETIAPINE FUMARATE 200 MG TAB 250 14.04
25080980 NEFAZODONE HCL 100 MG TABLET 250 4
25080981 SILVER NITRATE 1 PKT EACH 250 4
25080985 SIMETHICONE 80 MG TAB. CHEW 250 4
25080986 CARBIDOPA/LEVODOPA 1 UDTAB TAB 250 4
25080987 CARBIDOPA/LEVODOPA 1 UDTAB TAB 250 4
25080988 CARBIDOPA/LEVODOPA 1 UDTAB TAB 250 4
25080989 CARBIDOPA/LEVODOPA 1 TAB TABLE 250 4
25080990 CARBIDOPA/LEVODOPA 1 UDTAB TAB 250 4
25080991 CARBIDOPA/LEVODOPA 1 TAB TABLE 250 4
25080992 CARBIDOPA/LEVODOPA 1 UDTAB TAB 250 4
25080993 THEOPHYLLINE ANHYDROUS 200 MG 250 4
25080995 THEOPHYLLINE ANHYDROUS 300 MG 250 4
25080996 MAGNESIUM CHLORIDE 64 MG TABLE 250 4
25080998 SODIUM BICARBONATE 0.5 MEQ/ML 250 4.74
25081000 SODIUM BICARBONATE 1 MEQ/ML 250 4.5
25081001 SODIUM CHLORIDE 1 G TABLET 250 4
25081002 SOD PHOSPH,M-BASIC-D-BASIC 15M 250 4
25081003 ALGINATE DRESSING 1 BANDAGE PA 250 7.35
25081005 ALGINATE DRESSING 1 BANDAGE PA 250 12.75
25081006 SORBITOL SOLUTION 480 ML SOLUT 250 15
25081007 SODIUM TETRADECYL SULFATE 2 ML 250 77.25
25081008 ECONAZOLE NITRATE 30 GM TUBE 250 75.24
25081009 SPIRONOLCATONE 25 MG TABLET 250 4
25081011 SODIUM POLYSTYRENE SULFONATE 250 17.55
25081012 SILVER SULFADIAZINE 400 GM JAR 250 76.86
25081013 SILVER SULFADIAZINE 50 GM TUBE 250 17.1
25081014 POTASSIUM IODINE 1 G/ML SOLUTI 250 4
25081015 SUCRALFATE 1 GM/10ML 480ML BOT 250 25.8
25081018 PSEUDOEPHEDRINE HCL 30 MG TAB 250 4
25081019 PSEUDOEPHEDRINE HCL 60 MG TAB 250 4
25081020 SUFENTANIL CITRATE 100 MCG/2ML 250 30.57
25081021 SULFASAZINE 500 MG TABLET 250 4
25081022 SULINDAC 150 MG TABLET 250 4
25081023 SULINDAC 200 MG TABLET 250 4
25081025 CEFIXIME 100 MG/5ML 50 ML SUSP 250 91.2
25081026 FLUOCINOLONE ACETONIDE 60 ML 250 32.4
25081027 FLUOCINOLONE ACETONIDE 15 GM 250 9.15
25081028 FLUOCINOLONE ACETONIDE 15 GM 250 6.45
25081029 LEVOTHYROXINE SODIUM 50 MCG TA 250 4
25081030 LEVOTHYROXINE SODIUM 75 MCG TA 250 4
25081031 LEVOTHYROXINE SODIUM 125MCG TA 250 4
25081032 LEVOTHYROXINE SODIUM 100 MCG T 250 4
25081033 FLECAINIDE ACETATE 100 MG TABL 250 6.21
25081034 TETANUS DIPHTHER TOXOID 0.5 ML 250 16.05
25081035 TETANUS DIPHTHERIA TOXOID PED 250 16.05
25081036 POLYVINYL ALCOHOL 15 ML DROPS 250 12.33
25081037 TEMAZEPAM 15 MG CAPSULE 250 4
25081038 TEMAZEPAM 30 MG CAPSULE 250 4
25081039 TEMAZEPAM 7.5 MG CAPSULE 250 4
25081040 GUANFACINE HCL 1 MG TABLET 250 4
25081041 TERCONAZOLE 45 GM CREAM APPL 250 86.22
25081042 TERBUTALINE SULFATE 2.5 MG TAB 250 4
25081044 TETANUS TOXOID ADSORBED 0.5ML 250 6.66
25081046 TETRACYCLINE HCL 250 MG CAPSUL 250 4
25081047 TETRACAINE HCL 15 ML DROPS 250 6.93
25081048 TETRACAINE HCL 1 ML DROPS 250 8.43
25081049 THEOPHYLLINE ANHYDROUS 200 MG 250 4
25081050 THEOPHYLLINE ANHYDROUS 200 MG 250 4
25081052 THEOPHYLLINE ANHYDROUS 300 MG 250 4
25081053 THEOPHYLLINE ANHYDROUS 300 MG 250 4
25081054 THEOPHYLLINE ANHYDROUS 80 MG 250 4
25081055 THIAMINE HCL 100 MG TABLET 250 4
25081056 THIORIDAZINE HCL 100 MG TABLET 250 4
25081057 THIORIDAZINE HCL 10 MG TABLET 250 4
25081058 THIORIDAZINE HCL 25 MG TABLET 250 4
25081059 THIOTHIXENE 2 MG CAPSULE 250 4
25081060 THIORIDAZINE HCL 30 MG/ML ORAL 250 4
25081061 THIORIDAZINE HCL 50 MG TABLET 250 4
25081062 THIOTHIXENE 5 MG CAPSULE 250 4
25081063 CHLORPROMAZINE HCL LIQUID 25 250 10
25081064 TICLOPIDINE HCL 250 MG TABLET 250 6.21
25081065 TRIMETHOBENZAMIDE HCL 200 MG/S 250 4
25081066 TRIMETHOBENZAMIDE HCL 100 MG/ 250 10
25081067 TRIMETHOBENZAMIDE HCL 100 MG 250 4
25081068 TRIMETHOBENZAMIDE HCL 250 MG 636 4 Q0173
25081069 TIMOLOL 0.5% 2.5 ML BOTTLE 250 31.47
25081070 TOBRAMYCIN SULFATE 5 ML DROPS 250 45
25081071 TOBRAMYCIN SULFATE 3.5 GM OINT 250 90
25081072 TOBRAMYCIN SULFATE/DEXAMETH 250 96
25081073 TOBRAMYCIN SULFATE/DEXAMETH 250 104.25
25081074 IMIPRAMINE HCL 10 MG TABLET 250 4
25081075 TOLBUTAMIDE 500 MG TABLET 250 4
25081077 TOPIRAMATE 100 MG TABLET 250 8.52
25081078 METOPROLOL SUCCINATE 50 MG TAB 250 4
25081079 KETOROLAC TROMETHAMINE 10 MG 250 4
25081080 TRAZODONE HCL 100 MG TABLET 250 4
25081081 TRAZODONE HCL 50 MG TABLET 250 4
25081083 PENTOXIFYLLINE 400 MG TABLET S 250 4
25081084 TRIAMCINOLONE ACET0 250 12.78
25081085 TRIAMCINOLONE ACETONIDE 80 GM 250 15.72
25081086 TRIAZOLAM 0.25 MG TABLET 250 4
25081087 TRIAMCINOLONE ACETONIDE/L.S.B 250 85.86
25081088 TRIAMCINOLONE ACETONIDE 15 GM 250 6.27
25081089 TRIFLUOPERAZINE HCL 10 MG TABL 250 4.77
25081090 TRIFLUOPERAZINE HCL 2 MG TABLE 250 4
25081091 TRIFLUOPERAZINE HCL 5 MG TABLE 250 4
25081092 TRIHEXYPHENIDYL HCL 2MG TABLET 250 4
25081093 TRIHEXYPHENIDYL HCL 5 MG TABLE 250 4
25081094 TRIMETHOBENZAMIDE HCL 100 MG 250 4.56
25081095 TRIMETHOBENZAMIDE HCL 100 MG 250 4
25081097 SULFATHIAZ/SULFACET/SULFABENZ 250 22.17
25081099 IRON/VITAMINS A,C,AND D 50 ML 250 21.06
25081100 VITAMINS A,C,AND D 50 ML BOTTL 250 24.21
25081101 FLUORIDE ION/VIT A,C&D 0.5 MG/ 250 4
25081102 FLUORIDE ION/VIT A,C&D 0.25 MG 250 4
25081104 TROGLITAZONE 400 MG TABLET 250 14.22
25081105 TROVAFLOXACIN MESYLATE 100 MG 250 17.76
25081106 DORZOLAMIDE HCL 5 ML BOTTLE 250 72.3
25081107 HAMAMELIS LEAF/GLYCERIN 1 MED. 250 4
25081108 CALCIUM CARBONATE 500 MG TAB.C 250 4
25081109 ACETAMINOPHEN 120 MG/SUPP.REC 250 4
25081110 APAP/COD 300MG/15MG 1 TAB TABL 250 4
25081111 APAP/COD 300MG/30MG 1 TAB TABL 250 4
25081112 ACETAMINOPHEN 325 MG/SUPP.REC 250 4
25081113 ACETAMINOPHEN 325 MG TABLET 250 4
25081115 ACETAMINOPHEN 650 MG/SUPP.REC 250 4
25081116 APAP/COD ELIXIR 120/12 5 ML ML 250 4
25081118 ACETAMINOPHEN 500 MG TABLET 250 4
25081119 ACETAMINOPHEN 100 MG/ML BOTTLE 250 7.8
25081120 ACETAMINOPHEN 160 MG/5 ML ML 250 4
25081121 TRAMADOL HCL 50 MG TABLET 250 4
25081122 THEOPHYLLINE ANHYDROUS 400 MG 250 4
25081123 DIAZEPAM 10 MG TABLET 250 4
25081124 DIAZEPAM 2 MG TABLET 250 4
25081125 DIAZEPAM 5 MG TABLET 250 4
25081126 VALPROATE SODIUM 250 MG/5 ML S 250 57.45
25081127 VALACYCLOVIR HCL 500 MG TABLET 250 9.27
25081128 VANCOMYCIN HCL 250 MG/5 ML 20M 250 27.81
25081129 BECLOMETHASONE DIPROPIONATE 250 159.36
25081130 BECLOMETHASONE DIPROPIONATE 250 125.25
25081131 PETROLATUM,WHITE 30 GM JELLY 250 4
25081132 PETROLATUM,WHITE 5 GM JELLY 250 4
25081133 ENALAPRIL MALEATE 10 MG TABLET 250 4
25081134 ENALAPRIL MALEATE 5 MG TABLET 250 4
25081135 NA SULFACETM/PREDNIS SP 10 ML 250 76.32
25081136 NAPHAZOLINE HCL/ANTAZOLINE 15 250 24.39
25081137 ISOXSUPRINE HCL 10 MG TABLET 250 4
25081138 NA SULFACETM/PHENYLEPHRINE HO 250 50.64
25081142 VERAPAMIL HCL 120 MG TABLET.SA 250 4
25081143 VERAPAMIL HCL 120 MG TABLET 250 4
25081144 VERAPAMIL HCL 180 MG TABLET.SA 250 4.29
25081145 VERAPAMIL HCL 240 MG TABLET.SA 250 4.89
25081146 VERAPAMIL HCL 80 MG TABLET 250 4
25081147 MULTIVITAMINS 50 ML DROPS 250 36.51
25081148 MULTIVITAMINS W-IRON 50 ML DRO 250 36.51
25081149 NELFINAVIR MESYLATE 250 MG TAB 250 6.48
25081150 TETRAHYDROZOLINE HCL 15 ML DRO 250 6.3
25081152 ASCORBIC ACID 500 MG/5 ML SYRU 250 4
25081153 ASCORBIC ACID 250 MG/5 ML SYRU 250 4
25081154 VITAMIN E 1 MU CAPSULE 250 4
25081155 VITAMIN E 400 U CAPSULE 250 4
25081156 VITAMINS A AND D 5 GM PACKET 250 4
25081157 WATER FOR IRRIGATION,STERILE 1 250 38.73
25081158 LATANOPROST 2.5 ML DROPS 250 135.09
25081159 LIDOCAINE HCL 5 ML JEL 250 21.3
25081160 LIDOCAINE HCL 35 GM OINT..GM. 250 43.05
25081161 LIDOCAINE HCL 2% JEL 30ML TUBE 250 51.75
25081162 LIDOCAINE HCL 15 MG/ML AMPUL 250 10
25081163 METOLAZONE 2.5 MG TABLET 250 4
25081164 METOLAZONE 5 MG TABLET 250 4
25081165 BISOPROLOL FUMARATE 10 MG TABL 250 4
25081166 BISOPROLOL FUMARATE 5MG TAB 250 4
25081167 ZERIT 40MG 250 14.19
25081168 LISINOPRIL 20MG TABLET 250 4
25081169 ZESTORETIC 10/12.5 TAB 250 4
25081170 ZINC SULFATE 220MG CAPSULE 250 4
25081171 ZINC SULFATE 220MG 250 4
25081172 ZINC OXIDE OINTMENT 250 4.8
25081173 ZITHROMAX 250MG 250 19.65
25081174 ZOCOR 10MG 250 6.54
25081175 ZOFRAN 4MG 250 45.72
25081176 ZOLOFT 50MG 250 6.81
25081177 ZOMIG 2.5MG 250 42.51
25081178 ZOVIRAX OINTMENT 15GM 250 141.99
25081179 ZYLOPRIM 100MG 250 4
25081180 ZYPREXA 10MG 250 25.2
25081181 ZYPREXA 5MG 250 16.59
25081182 FLURAZEPAM HCL 15MG CAPSULE 250 4
25081183 XANAX 0.25MG TABLET 250 4
25081184 XANAX 0.5MG TABLET 250 4
25081185 BUPROPION 100MG TABLET 250 31.71
25081186 PROPRANOLOL HCL 40MG TABLET 250 4
25081187 CELECOXIB 100 MG CAPSULE 250 8.58
25081188 CHLORAL HYDRATE 500 MG/5ML 250 4
25081189 SULFAM/TRIM 200/40 5ML SUSP 250 16.38
25081190 SOLUTION - IV 250 89
25081191 DIPRIVAN 1% DRIP 250 157.02
25081192 GELFOAM 250 50.8
25081193 ATROVENT .5MG 250 10
25081194 PROVENTAL 2.5MG 250 10
25081195 INTAL 20MG 250 4
25081196 ALUPENT .3CC 250 8.47
25081197 VAPONEPHRINE .25CC 250 7.52
25081198 NORMAL SALINE 3CC 250 14.12
25081199 HYPER 3% 15 INHALER 250 21.42 J3535
25081200 IV SET PCA EACH 250 30
25081201 IV SET 1418 250 30
25081202 IV SET 1922 250 30
25081203 IV SET 5404 250 30
25081204 IV SET 6313 250 30
25081205 PRIMARY IV SET 15 DROPS ML EA 250 30
25081206 IV SET 6415 250 30
25081207 BACLOFEN 20MG TABLET 250 4
25081208 MULTIVITAMIN, THERAPEUTIC 250 25.32
25081209 IV SET BLOOD TRANSFUSION 250 30
25081210 ASPIRIN 81 MG TABLET 250 4
25081211 ATORVASTATIN 10 MG TAB 250 5.07
25081212 VALSARTAN 80 MG CAPSULE 250 29.4
25081213 HYDROCODONE 5/APAP 500 TAB 250 8
25081214 HYDROCODONE/APAP TABLET 250 10
25081215 GUAIFENESIN/W CODEINE 120 ML 250 13.5
25081216 QUETIAPINE FUMARATE 100 MG 250 22.08
25081217 MAGNESIUM CITRATE 8OZ 296ML 250 4
25081218 NORGESTREL-ETHINYL ESTRADIOL 250 4
25081219 BACLOFEN 1MG/ML 480ML BOTTLE 636 42.12 J0476
25081220 ACTIVATED CHARCOAL 50GM/240ML 250 27.75
25081221 RANITIDINE SYRUP 5MG/ML 250 30
25081222 CELECOXIB 200MG CAPSULE 250 5.97
25081223 LACTULOSE 10 G/15ML 480ML 250 20
25081224 METOPROLOL TARTRATE 100MG TAB 250 4
25081225 DOCUSATE SODIUM 50 MG/ML 250 13.86
25081226 BUPROPION 75MG TABLET 250 47.58
25081227 MEPHOBARBITAL 32 MG TABLET 250 4
25081228 TRIFLURIDINE 1% 7.5 ML BOTTLE 250 184.83
25081229 AMANTADINE HCL 50 MG/5ML 250 78.75
25081230 DANTROLENE SODIUM 5 MG/ML 250 75
25081231 OPTHALMIC DRUG PACK PACK 250 72.12
25081232 ROSIGLITAZONE 2MG TABLET 250 52.2
25081233 TIZANIDINE HCL 4MG TABLET 250 4
25081234 PROMETHAZINE HCL 120 ML BTL 250 13.5
25081235 DINOPROSTONE 20 MS SUPP. VAG 250 1062
25081236 SENNA 8.8MG/5ML BOTTLE 250 15.6
25081237 XANAX 1MG TABLET 250 4
25081238 COAL TAR EXTRACT SHAMPOO 250 15.3
25081239 DESMOPRESSIN 0.01% NASAL SPRAY 250 353.46
25081240 CAPTOPRIL 1 MG/ML 100 ML BTL 250 60
25081241 FAMOTIDINE 8MG/ML 50 ML BTL 250 63
25081242 BOWEL PREP KIT 250 47.7
25081243 MESORIDAZINE BESYLATE 25MG TAB 250 8
25081244 HCTZ/TRIAMTERENE CAPSULE 250 4
25081245 PROTEIN SUPPLEMENT 454GM CAN 250 45.15
25081246 CPR LIST EACH 250 21
25081247 DRONABINOL 2.5MG CAPSULE 636 150 Q0167
25081248 CLINICAL MONITORING EA CHG 250 125
25081249 PREDNISONE 1 MG TABLET 250 4
25081250 PRN ADAPTER EACH 250 4
25081251 PROAMATINE 5MG TABLET 250 5.13
25081252 CANDESARTAN 16MG TABLET 250 4
25081253 CARBAMIDE PEROXIDE 60ML BOTTLE 250 24.84
25081254 CASTOR OIL 120ML BOTTLE 250 14.4
25081255 CHLORPROMAZINE LIQUID 10MG/5ML 250 75.45
25081256 CEFPODOXIME PROXETIL 100MG/5ML 250 91.17
25081257 CHOLINE MAGNESIUM TRISALCYLAT 250 4
25081258 CIPROFLAXACIN HCL 100ML BOTTLE 250 106.8
25081259 CLOTRIMAZOLE 1% 10ML BOTTLE 250 14.67
25081260 COLCHICINE 0.6MG TABLET 250 4
25081261 EPINEPHRINE 15ML BOTTLE 250 33.12
25081262 ESTRADIOL 0.1MG PATCH 250 9.6
25081263 GUAIFENESIN 600MG TABLET 250 4
25081264 OFLOXACIN OPTH DROPS 5ML BOTL 250 70.2
25081265 OSELTAMIVIR PHOSPHATE 75MG CAP 250 13.35
25081266 PHARM CHG - CLINIC MONITOR 250 120
25081267 SALSALATE 500MG TABLET 250 35.25
25081268 SINGLE DOSE SPIKE EACH 250 4
25081269 SPIRONOLACTONE 2MG/ML 50ML 250 60
25081270 TACROLIMUS 1MG CAPSULE 636 30.84 J7507
25081271 TERAZOSIN HCL 1MG CAPSULE 250 5.34
25081272 VERAPAMIL HCL 40MG TABLET 250 4
25081274 PERPHENAZINE 4MG TABLET 636 4.92 Q0175
25081275 DINOPROSTONE 10MG SUPP. VAG 250 550.38
25081276 CHLORPROMAZINE LIQUID 10MG/5ML 250 75.45
25081277 STAVUDINE 15MG CAPSULE 250 49.2
25081278 GANCICLOVIR 250MG CAPSULE 250 40.2
25081279 METHAZOLAMIDE 25MG TABLET 250 48.72
25081280 METHYLPHENIDATE 10MG TABLET 250 4
25081281 MONTELUKAST SODIUM 10MG TABLET 250 7.11
25081282 HYDROCORTISONE ACETATE 1.67 MG 250 40.14
25081283 RAMIPRIL 2.5 MG CAPSULE 250 9.12
25081284 CARISPRODOL 200MG/325MG TABLET 250 6.24
25081285 TRIMETHOPRIM/POLYMYXI 10ML BOT 250 12.48
25081286 TOLTERODINE 2MG TABLET 250 4
25081287 SERTRALINE HCL 100 MG TABLET 250 13.62
25081288 BACTROBAN CREAM 2% 15GM 250 51.75
25081289 METHYPHENIDATE 5MG TABLET 250 4
25081290 FLONASE NASAL 0.05% SPRAY 250 160.08
25081291 MOMETASONE NASAL SPRAY 17G BOT 250 160.5
25081292 CHLOROQUINE PHOSPHATE 500MG 250 15.3
25081293 BISOPROLOL/HYDROCHLOR 2.5MG 250 4
25081294 THYM/MENTH/GLYCER/CALA OINT 250 15
25081295 PIOGLITAZONE HCL 45MG TABLET 250 14.85
25081296 PIMOZIDE 2 MG TABLET 250 25.11
25081297 THERAPEUTIC ANALGESIC CRM 150G 250 19.86
25081298 TERBINAFINE CREAM 1% 15GM TUBE 250 55.05
25081299 MYCOPHENOLATE 250MG CAP 250 27
25081300 QUINIDINE GLUCONATE 324MG TAB 250 10.65
25081301 PHENELZINE 15MG TABLET 250 28.26
25081302 METHYLDOPA 250MG TABLET 250 4
25081303 NARDIL 15MG TAB 100 250 4.7
25081304 CELLCEPT 250MG CAP 100 250 2.25
25081305 DAPSONE 100MG TABLET 250 5.94
25081306 REPAGLINIDE 0.5MG TABLET 250 68.76
25081307 REPAGLINIDE 2 MG TABLET 250 4
25081308 CITRUCEL SF ORANGE PKT 20 250 1.2
25081309 DDAVP 4 MCG/ML AMP 10 X 1 ML 250 50.94
25081310 STREPTOKINASE KIT KIT 250 1800
25081311 DONEPEZIL 5 MG TABLET 250 25.26
25081312 MIGLITOL 25 MG TABLET 250 14.64
25081313 PYRIDOXINE HCL 100 MG TABLET 250 4
25081314 MULTIVITAMINS/MINERALS 120ML 250 18.45
25081315 AMYLASE/LIPASE/PROTEASE 20 CAP 250 4.95
25081316 AMYLASE/LIPASE/PROTEASE 10 CAP 250 4
25081317 AMOXICILLIN TRIHYDRATE 500 MG 250 4
25081318 BENZOLYL PEROXIDE 140G BOTTLE 250 48.96
25081319 PSYLLIUM 5.8 GM PACKET 250 4
25081320 AMINO ACID 5.4% 500ML BOTTLE 250 356.85
25081321 CHLORPROPAMIDE 10MG TABLET 636 4 Q0171
25081322 THIAMINE HCL 50MG TABLET 250 4
25081323 MEBENDAZOLE 100MG TABLET 250 35.46
25081324 TIMOPTIC 0.25% 5 ML BOTTLE 250 16.47
25081325 NITRO-DUR PATCH 0.6 MG/HR 1 P 250 17.94
25081326 TERBUTALINE SULFATE 5MG TABLET 250 4
25081327 PETRO/MO/CERESIN/LANOLIN 240GM 250 18
25081328 NITROGLYCERIN OINT 1 GM PACKET 250 8.07
25081329 PERPHENAZINE/AMITRIPTYLINE TAB 250 4
25081330 FLUVOXAMINE MALEATE 100 MG TAB 250 17.28
25081331 FEXOFENADINE 60 MG CAPSULE 250 4
25081332 CHLORDIAZEPOXIDE HCL 5 MG CAP 250 4
25081333 ETHAMBUTOL HCL 400MG TABLET 250 5.94
25081334 TIAZAC 180MG TABLET 250 4
25081335 OFLOXACIN 5 ML BOTTLE 250 108
25081336 TIAGABINE 4 MG TABLET 250 4
25081337 PYRANTIL PAMOATE 50MG 30ML BTL 250 14.6
25081338 PAPAVERINE HCL 150MG CAPSULE 250 4.54
25081339 BENZOYL PEROXIDE 10% 60GM TUBE 250 10.98
25081340 BENZOYL PEROXIDE 5% 60GM TUBE 250 11.36
25081341 NISOLDIPINE SA (24HR) 10MG TAB 250 4
25081342 CALCITONIN BOTTLE 250 184.05
25081343 CICLOPIROX OLANINE 30GM TUBE 250 75.54
25081344 ANPRENAVIR 150MG CAPSULE 250 16
25081345 EFAVIREZ 200 MG CAPSULE 250 39.42
25081346 NYSTATIN 30 GM TUBE 250 15
25081347 CILOSTAZOL 50 MG TABLET 250 21.6
25081348 TALWIN 50MG TABLET 250 4
25081349 EPINEPHRINE BOTTLE 250 94.05
25081350 NEFAZODONE HCL 150MG TABLET 250 4
25081351 DILTIAZEM HCL SUS RL 360MG CAP 250 5.79
25081352 LISINOPRIL 5 MG TABLET 250 4
25081353 VENLAFAXINE HCL 150 MG TABLET 250 7.59
25081354 CIPROFLOXACIN HCL 500MG TABLET 250 9.1
25081355 PAROXETINE HCL 10MG TABLET 250 6.99
25081356 RITONAVIR 100MG CAPSULE 250 7.17
25081357 ABACAVIR 300MG TABLET 250 10.98
25081358 TAZOROTENE TOPICAL GEL 0.05% 250 185.4
25081359 NEVIRAPINE 200MG TABLET 250 29.22
25081360 CHLORHEXIDINE/GLYCERIN 473ML 250 31.2
25081361 DRISDOL 8000 U/ML 60ML BOTTLE 250 157.11
25081362 DILTIAZEM HCL SUS REL 360 CAP 250 5.79
25081363 LACTASE ENZYME 1 EA TABLET 250 8
25081364 THIOTHIXENE 10 MG CAPSULE 250 5.1
25081365 DIAZEPAM 1 MG/ML 500ML BOTTLE 250 4
25081366 POLYCITRA 480ML BOTTLE 250 80.46
25081367 CHLORTHALIDONE 25MG TABLET 250 4
25081368 CARBAMAZEPINE 20MG 450ML BOTTL 250 84.09
25081369 CHLORIDIAZEPOXIDE 100MG AMPUL 250 63.54
25081370 BENZOCAINE/MENTHOL 1 EA BOTTLE 250 18.51
25081371 IBESARTAN 150MG TABLET 250 4
25081372 NICOTINE TRANSDERMAL 21M PATCH 250 13.26
25081373 METHYLPREDNISOLONE 4MG/21 TAB 250 4
25081374 METHYLERGONOVINE MALEATE 0.2MG 250 10.62
25081375 NYSTATIN/TRIAM OINT 15GM TUBE 250 10.74
25081376 MAGNESIUM/ALUM/SIM 360M BOTTLE 250 17.52
25081377 NEPHRO-VITE 1 EA CAPSULE 250 4
25081378 GLYCOPYRROLATE 0.1MG/ML ML 250 4
25081379 CARBIDOPA/LEVODOP 50/200 1 TAB 250 8.01
25081380 LEVOTHYROXINE SOD 112MCG TAB 250 4
25081381 TIMOLOL 0.5% 5ML BOTTLE 250 18.27
25081382 TRIFLUOPERAZINE HCL 1MG TABLET 250 4
25081383 ACETAMINOPHEN/COD #4 1 TABLET 250 4
25081384 BUPROPION 150MG TAB.PRT.SR 250 4.56
25081385 ROFECOXIB 25MG TABLET 250 5.91
25081386 FLUTICASONE PROP 13 GM MDI 250 130.44
25081387 PIOGLITZONE HCL 15 MG TABLET 250 8.85
25081389 OXYBUTYNIN XL 5 MG TAB 250 4
25081390 LEVOFLOXACIN 250MG TABLET 250 22.08
25081391 IBUPROFEN 100 MG 5 ML 250 5.76
25081392 CHEMSTRIP 1 UNIT EACH 250 4
25081393 LITHOBID 300MG TABLET 250 8.4
25081394 PHENOXYBENZAMINE 10MG CAPSULE 250 4
25081395 NEOSPORIN GU IRRIGATION 1ML 250 19.2
25081396 ACETAMINOPHEN 160MG/5ML SOLN 250 4
25081397 VENLAFAXINE HCL 37.5MG CAPSULE 250 6.21
25081398 SEVELAMER 403MG CAPSULE 250 8
25081399 SCROTAL SUPPORT EACH 250 14.64
25081400 BISMUTH SUBSALICYLATE SUS 17.5 250 6.45
25081401 PREDNISOLONE 15MG 5ML SYRUP 250 6.75
25081402 DONNATAL ELIXIR 5ML ML ML 250 4
25081999 LACTULOSE 10 G/15 ML 480ML BOT 250 8
25082209 DEXTROSE 10% WATER 1000ML BOT 250 40.92
25083554 ROSIGLITAZONE 2 MG TABLET 250 52.2
25084212 PENICILLIN G BENZANTHINE 6000 250 27.03 J0530
25084333 PROTEIN SUPPLEMENT 454 GM CAN 250 45.15
25084399 CASTOR OIL 120 ML BOTTLE 250 14.4
25084511 AMPHOTERICIN 50 MG/VIAL 636 55.53 J0286
25084555 PROAMATINE 5MG 5 MG TABLET 250 4
25084630 DESMOPRESSIN 0.01% NASAL SPRAY 250 353.46
25084865 ROFERON-A 6 MU/ML VIAL 250 209.73
25084974 OSELTAMIVIR PHOSPHATE 75 MG CA 250 13.35
25084987 DANTROLENE SODIUM 5 MG/ML 120M 250 5
25086000 RANITIDINE SYRUP 15 MG/ML ML 250 360
25086225 MEASLES,MUMPS,&RUBELLA 0.5ML V 250 15
25086310 SENNA 8.8 MG/5ML BOTTLE 250 5
25086388 GUAIFENESIN 600 MG TABLET 250 8
25086444 MORPHINE SULFATE 1 MG/ML BOT 250 1.98
25086448 MIDAZOLAM 10 MG/2ML 5 MG/ML V 250 52.59
25086611 ALBUTEROL 17 GM INH 250 8 J3530
25086778 DIPHTHERIA, TETANUS&PERTUSSIS 250 15
25086787 PROMETHAZINE HCL 120 ML BOTTLE 250 13.5
25086897 HAEMOPHILUS B CONJ VAC 0.5 ML 250 15
25086989 DACARBAZINE 100 MG/VIAL 20ML 636 199.62 J9130
25086990 DONNATAL ELIXER 5ML 250 4
25086991 TOPAMAX 25 MG TABLET 250 4
25086992 HEPARIN SODIUM,PORCINE 100U/ML 250 10
25086993 DIABETIC GUAIFENESIN 118ML BTL 250 22.5
25086994 COMBIVAR 150/300MG TABLET 250 62.04
25086995 ACETAMINOPHEN 325 5ML 250 4
25086996 URSODIOL 300 MG 250 0
25086997 TROLAMINE SALICYLATE 10% 180GM 250 0
25086998 IRBESARTAN/HCTZ 250 0
25087000 COLLOIDAL OATMEAL 250 0
25087001 OPIUM/BELLADONNA 15MG 250 0
25087002 PENICILLIN G BENZANTH 1200000U 250 0
25087003 PENCILLIN G BENZANTH 2400000U 250 0
25087004 BUPROPION 100 MG 250 0
25087005 ESTRADIOL TRANSDERMAL O.05 MG 250 0
25087006 DORZOLAMIDE 5ML 250 0
25087007 DORZOLAMIDE/TIMOLOL OPT SOL5ML 250 0
25087008 SODIUM HYPOCHLORITE SOL 1000ML 250 0
25087009 MEDROXYPROGESTERONE AC 150MG/M 250 0
25087010 BENZOLYL PEROXIDE 140G 250 0
25087011 DONNATAL ELIXER 5ML 250 0
25087012 MAGNESIUM SULFATE 454GM 250 0
25087013 ESTRADIOL 0.625MG 250 0
25087014 FIXODENT DENTURE ADHESIVE 250 0
25087015 FLOVENT 44MCG INH 13GM 250 0
25087016 CARBOPROST TROMEHTHAMINE 250MC 250 0
25087017 HYDROCORTISONE OINT 0.5% 30GM 250 0
25087018 HYDROCORTISONE 1% LOTION 250 0
25087019 APRACLONIDINE 5ML 250 0
25087020 INSULIN REG HUMAN REC 100U/ML 250 0
25087021 LEUCOVORIN 10MG TABLET 250 0
25087022 LOTEPREDNOL 0.5% OPTH SOLN 250 0
25087023 HCTZ/TRIAMTERENE 1UDTAB 250 0
25087024 METHOTREXATE SODIUM 2.5MG TAB 250 0
25087025 MINOCYCLINE HCL 100MG 250 0
25087026 NICOTINE TRANSDERMAL 7MG 250 0
25087027 NITROGYLCERIN IV TUBING 250 0
25087028 DELAVIRDINE 200MG 250 0
25087029 RYNATAN PED SUSP 4OZ 250 0
25087030 SODIUM CHLORIDE 5MEQ/ML 480ML 250 0
25087031 SULFADIAZINE 500MG TAB 250 0
25087032 TESTOSTERONE 100MG/ML 5ML 250 0
25087033 THYROID 60MG 250 0
25087034 PERPHENAZINE/AMITRIPTYLLINE 250 0
25087035 DIABETIC GUAIFENSIN DM 118ML 250 0
25087036 ULTRA-KLENZ 240ML 250 0
25087037 AZITHROMYCIN 600MG 250 0
25087038 DIPIVEFRIN 5ML 250 0
25087039 SORBITOL 70%SOLN.30ML 250 0
25087040 NIZORAL 2% CREAM 15GM 250 0
25087041 NIZORAL 2% CREAM 30MG 250 0
25087042 COMPLETE RTU LIQ.50ML 250 0
25087043 ULTRA-KLENZ SPY 8OZ. 250 0
25087044 SAQUINAVIR 200MG CAPSULE 250 5.94
25087046 SNAKE ANTIVENIN EQUINE INJECT 250 1171.16
25087047 DINOPROSTONE VAGINAL 10MG SUPP 250 388.26
25087048 HYCOMTIN 4MG INJECTION 250 30000 J9350
25087049 CURASOL WOUND DRESSING GEL 3OZ 250 24.5
25087050 METHIMAZOLE 10MG TABLET 250 4
25087051 ALTEPLASE 100MG VIAL 250 5500 J2997
25087052 GENTAMICIN 0.3% 3.5 GM 258 30.32
25087053 AMVISC PLUS SYRINGE 250 325 J7315
25087054 CROLALIDAE POLYVALENT IMMU INJ 250 3875
25087055 LINEZOLID 600MG/30MG BAG 250 152.38
25087056 OLANZAPINE 2.5MG TABLET 250 10
25087057 ATOVASTATIN 20MG 250 7
25087058 ATOVASTATIN 40 MG TAB 250 7
25087059 ATOVASTATIN 80 MG 250 7
25087060 ATENOLOL 25 MG 250 4
25087061 POVIDONE-IDDINE 4OZ BOTTLE 250 5
25087062 PANTOPRAZOLE 40MG TAB 250 6.5
25087063 ZIPRASIDONE 20MG CAPSULE 250 8
25087064 ALBUTEROL SULFATE 6.7 MG MDI 250 66.44
25087065 DICLOFENAC 50/MISOPROSTOL TAB 250 4
25087066 ATOVAQUONE 750MG/5ML SUSP 250 30.34
25087067 RISPERIDONE 4MG TAB 250 14.5
25087068 ZYPREXA 2.5 MG TAB 250 10
25087069 ALBUTEROL 5% SOL 20ML 258 30
25087070 AUGMENTIN 500MG TAB 250 8.5
25087071 DECADRON OPTHAL SOLUTION 258 26.2
25087072 TNKASE-TENECTEPLASE 50MG INJ 250 5280.04 C9002
25087073 VICOPROFEN 250 4
25087074 OXCARBAZEPINE 150MG TAB 250 4
25087075 DIVAL PROEXSODIUM ER 500MG TAB 250 4
25087076 SODIUM CHLORIDE 0.9% 3ML VIAL 250 4
25087077 Timolol X E 0.5% Eyedrops 250 38
25087078 Torsemide 20mg Tab 250 38
25087079 Amlodipine 10mg tablet 250 5
25087080 Septraline 25mg tablet 250 5
25087081 Albuterol HFA 6.7gm MDI 250 67
25087082 Azithormycin 200MG\5ML\15ML BO 250 60
25087083 ZIDOVUDINE 300MG TABLET 250 11
25087084 TIMOLOL XE 0.5% GEL 250 37
25087085 LEVOTHYROXINE 0.088 MG 250 4
25087086 ACTONEL 5MG 250 6
25087087 HYDROGEN PEROXIDE 8 OZ 250 4
25087088 EPOGEN 20,000 UNITS/2 ML INJEC 250 525
25087089 RACEPINEPHRINE INH SOL 0.5ML 250 10
25087090 DICYCLOMINE 10MG CAPSULE 250 4
25087091 LORAZEPAM 2MG/ML 30ML BOTTLE 250 80
25087092 OXYCONTIN 20MG TABLET 250 4
25087093 COMPAGINE 5MG SUPPOSITORY 250 4
25087094 ZOCOR 20MG 250 4
25087095 GLUCOPHAGE 1GM TABLET 250 5
25087096 AVANDIA 8MG TABLET 250 5
25087097 AVANDIA 4MG TABLET 250 5
25087098 ISOSORBIDE MONONITRATE 20MG TB 250 5
25087099 AUGMENTIN 500MG TABLET 250 7
25087100 METROGEL 0.75% GEL 45 GM 250 103
25087101 SAQUINAVIR 200 MG CAPSULE 250 5.5
25087103 DID ANOSINE 100MG TABLET 250 5
25087104 LANTUS INSUL 100UNITS/ML 10ML 250 87
25087105 STARLIK 120 MG 250 4
25087106 ALTACE 5 MG 250 4
25087107 FLOVEN T 220 MCG MDI 250 220
25087108 TUSSIONEX 5MG SYRUP 250 5
25087109 ADDERALL 20MG 250 6
25087110 PRAVACHOL 20 MG TABLET 250 4
25087111 PREM PRO 0.625/5 MG 250 4
25087112 Lovenox 40mg inj 250 49
25087113 Surgicel 250 46
25087114 Lovenox 100mg Inj 250 124
25087115 Lovenox 80mg Inj 250 97.96
25087116 Baytet Injection 250 250
25087117 Terbinafine 250mg Tablet 250 17
25087118 Augmentin 875mg Tablet 250 10
25087119 Phytonadione 5mg Tablet 250 4
25087120 Phenytoin 100mg Inj 250 8
25087121 Urocit K5 Tablet 250 4
25087122 Cipro HC Otic Solution 250 150
25087123 Plumset IV Tubing 250 30
25087124 Differin Cream 45gm 250 150
25087125 Ben Gay 250 14
25087126 Coreg 25mg Tablet 250 4
25087127 Buspirone 15mg Tablet 250 8
25087128 Actos 30mg 250 4
25087129 Aquaphor 250 9
25087130 Pulmicort Respules 250 10
25087131 Disalcid 750mg Tablet 250 4
25087132 Lupron 7.5 mg Kit 250 1100
25087133 Lidex Ointment 15gm 250 14
25087134 Casodex 50mg Tablet 250 25
25087135 Zithromax 200mg/5ml 250 61
25087136 Patanol 0.1% 5ml 250 130
25087137 Ferrlecit 62.5mg/5ml amp 250 80
25087138 Nadolol 40 mg Tablet 250 4
25087139 TUBE FEEDING FORMULA 250 0
25087140 AGGRENOX CAPSULE 250 5
25087141 ZONLSAMIDE 100 MG CAPSULE 250 4
25087142 PHENYTEK 200MG CAPSULE 250 6
25087143 FIORECET TABLET 250 4
25087144 Win Rho 1.5 MU Inj 250 708
25087145 0.22 Nicron Inline Filter 250 20
25087146 Carbatrol 300 Mg Capsule 250 4
25087147 Carbatrol 200Mg Capsule 250 4
25087148 Singulair 5 mg Tablet 250 4
25087149 Singulair 4 mg Tablet 250 4
25087150 Lancit 250 4
25087151 Atenolol 100 mg Tablet 250 4
25087152 Norethindrone 5 mg Tablet 250 4
25087153 Alendronate 70 mg Tablet 250 32.38
25087156 Pulmicort Turbuhaler 200 mcg 250 260
25087157 Sucralfate 1gm/10ml UD Cup 250 8
25087158 Colace 100mg/30ml UD Cup 250 4
25087159 Acetaminophen 650mg/20.3ml UD 250 4
25087160 Diphenhydramine 50mg/20ml UD C 250 4
25087161 Acetaminophen 325mg/10.5ml UD 250 4
25087162 Pletal 100mg Tablet 250 4
25087163 Robitussin 10ml UD Cup 250 4
25087164 Phenergan DM 5ml UD Cup 250 4
25087165 Phenergan/Codine 5ml UD Cup 250 4
25087166 Valproic Acid 500mg/10ml UD Cu 250
25087167 Valproic Acid 250mg/5ml UD Cup 250
25087168 MUI 5ml UD Cup 250 4
25087169 Metoclopramide 10mg/10ml ud cu 250 4
25087170 Lactulise 20gm/30ml ud cup 250 4
25087171 Nystatin 5ml ud cup 250 4
25087172 Ferrous Sulfate 300mg/5ml ud c 250 4
25087173 Pneumococcal Vaccine 250 96.39
25087174 Femhrt Tablet 250 4
25087175 Tums Ultra 250 4
25087176 Clorazepate 3.75 mg Tablet 250 4
25087177 Risperidol 0.5mg Tablet 250 5
25087178 Prograf 1mg Capsule 250 6.06
25087179 Sirolimus 1mg Tablet 250 14.5
25087180 Mivacurium 20mg Vial 250 28
25087181 Fragmin 5000 Units Inj 250 50
25087182 Zyrtec 10 mg Tablet 250 4.5
25087183 Phenytoin 100 mg 14ml UD Cup 250 4
25087184 Astelin Nasal Spray 250 110
25087185 Spec Admin Misc Drug Codes 250 0
25087186 Olanzapine 15 Mg Tablet 250 27
25087187 Misc Drug Code 250 0
25087188 Probenecid 500mg Tablet 250 4
25087189 Ketotifen Fumarate Opth Drops 250 90
25087190 Levetiracetam 500mg Tablet 250 4
25087191 FENOLDOPAM 10MG INJECTION 250 520
25087192 CYLERT 37.5 MG TABLET 250 4
25087193 AMARYL 4MG TABLET 250 4
25087194 Pantoprazole 40mg IV 250 50
25087195 LITHIUM 300MG VD LIQUID 250 4
25087196 OXY IR 5MG CAPSULE 250 4
25087197 MORPHINE 20MG 1ML 30ML BOTTLE 250 52
25087198 RAMIPRIL 10MG CAPSULE 250 4
25087199 OLANZAPINE 20MG TABLET 250 32.64
25087200 TRILEPTAL SUSPENSION 250ML 250 178
25087201 GUAFENICIN/DM 5ML UP CUP 250 4
25087202 MECLIZINE 25MG TABLET 250 4
25087203 FLUPHENAZINE 5MG/2ML SYRINGE 250 16
25087204 ENALAPRIL 20MG TABLET 250 4
25087205 DEXAMETHASONE 4MG/ML 5ML VIAL 250 4
25087206 AVELOX IVPB 400MG/250ML 250 43.75
25087207 OLANZAPINE 7.5MG TABLET 250 22
25087208 PROVIGEL 200MG TABLET 250 16
25087209 RISPERDAL 1 MG/ML ORAL LIQUID 250 7.22
25087210 MOXIFLOXACIN 400MG BAG IV 250 87.5
25087211 AMLODIPINE 2.5 MG TABLET 250 4
25087212 GEODON 80 MG CAPSULE 250 16
25087213 GEODON 40 MG CAPSULE 250 16
25087214 HEPATITIS A VACCINE PEDIATRIC 250 149
25087215 VARICILLA VACCINE 250 128
25087216 PAROXETINE 30MG TABLET 250 5.81
25087217 PAROXETINE 40MG TABLET 250 6.14
25087218 FLUOXETINE 40MG CAPSULE 250 9.4
25087219 FLUTAMIDE 125 MG CAPSULE 250 9
25087220 PULMOCARE 1500ML RTH 250 46
25087221 GEMZAR 200MG INJECTION 250 1002 J9201
25087222 PR0MOTE W/FIBER 8OZ CAN 250 4.8
25087223 PROMOTE W/FIBER 1500ML 250 44
25087224 PULMOGARE 8OZ CAN 250 5.22
25087225 VIVONEX 1 PACKET 250 12
25087226 PEDIASURE W/O FIBER 8OZ CAN 250 4.88
25087227 PEDIASURE 8OZ CAN 250 4.88
25087228 OSMOLITE 8OZ CAN 250 4.75
25087229 OSMOLITE HN PLUS 1500RTH 250 44.5
25087230 OSMOLITE 1500ML RTH 250 44
25087231 GLUCERNA 8OZ CAN 250 6.5
25087232 GLUCERNA 1500ML 250 27
25087233 JEVITY PLUS 1500ML RTH 250 48
25087234 JEVITY 1500ML RTH 250 40
25087235 NEPRO 8OZ CAN 250 8
25087236 LUPRON 3.75 MG INJ 250 1071 J1950
25087237 CYTOSAR 500 MG INJ 250 72 J9100
25087238 INFLUENZA VACCINE 0.5 ML INJ 250 28
25087239 DILAUDID 1MG 1ML INJ 250 10
25087240 ASCORBIC ACID 500MG/ML INJ 250 10
25087241 SUPLENA 8OZ CANS 250 6.34
25087242 ENSURE PLUS HN 1000 RTH 250 27
25087243 ZOSYN 4.5 GM INJ 250 42
25087244 TWO CAL HN 8OZ CAN 250 4.84
25087245 PEDIALYTE 250 4
25087246 FLEXIFLO SPIKE SET 250 12
25087247 FLEXIFLO BAG & SPIKE SET 250 24
25087248 CLINDAMYCIN 900 MG VIAL 250 20
25087249 COLCHICINE 1MG/2ML VIAL 250 7.76 J0760
25087250 CITALOPRAM 10MG TABLET 250 4.44
25087251 CISATRACURIUM 10MG/5ML VIAL 250 80
25087252 CIPROFLOXIN 200MG/100ML IVPB 250 64 S0024
25087253 CARVEDILOL 12.5MG TABLET 250 4
25087254 CHLORHEXIDINE 4% LIQUID 120ML 250 9
25087255 CEFOTETAN 2GM VIAL 250 52.66
25087256 CALAMINE LOTION 120ML 250 4
25087257 PULMICORT 0.5 MG/2ML 250 9.04
25087258 BENAZEPRIL 40MG TABLIT 250 4
25087259 AVEENO BATH PACKET 250 12
25087260 EXCEDRIN TABLIT 250 4
25087261 ABELECIT 5MG INJECTION 250 27 J0286
25087262 ALTEPLASE 2MG INJECTION 250 150 J2996
25087263 CYCLOSPORINE MODIFIED 250 12.22 K0418
25087264 QUETIAPINE 300MG TABLET 250 14.5
25087265 ZETIA 10MG 250 72.38
25087266 LEXAPRO 10MG 250 66.71
25087267 ERYTHROMYCIN 333MG 250 37.06
25087268 PIROXICAM 20 MG 250 7
25087269 SENNA/DOCUSATE 8.6 MG 250 4
25087270 DOXIDAN 50 MG 250 4
25087271 AURODEX OTIC SOLUTION 250 9
25087272 PROZAC 10MG TABLET 250 9
25087273 RENAGEL 800 MG 250 4.5
25087274 AUGMENTIN 1000MG XR 250 9
25087275 TUSSIONEX 2 250 606
25087276 VANCOMYCIN 125 MG CAPSULES 250 8
25087277 LESCOL 80MG XL 250 4
25087278 SANDOLAR 250 2085.86
25087279 TAXOL 1000MG/16.7ML VIAL 250 584.51
25087280 CAFERGOT SUPP (CAFERGOTS) 250 7.5
25087281 DEPAKOTE ER 250MG TAB 250 4
25087282 PROPECIA 1MG TAB 250 4
25087283 SENNA-S TABLET 250 4
25087284 TRIZIVIR 300MG TAB 250 19.4
25087285 CHLORHEXIDINE 0.12% RINSE 250 10.92
25087286 FOSFOMYCIN 3GM POWER 250 36.5
25087287 ACETYLCYSTEINE 4ML VIALS 250 6.56
25087288 ZANAFLEX 2MG (ZANA2MG) 250 4
25087289 PEN g BENZ 600000 U SYR 250 20.8
25087290 PARAXETINE 12.5MG TAB 250 4
25087291 REQUIP 4MG TABLET (REQUIP) 250 4
25087292 AZOPT 1% OPTHALMIC SUSP 250 33
25087293 CROMOLYN 4% EYE DROPGS 250 28.49
25087294 TOBRAMYCIN 80MG/2ML MDV 250 6.25
25087295 DOVONEX 0.005% OINTMENT 250 133.99
25087296 ANCONBON 250MG TAB 250 4.5
25087297 CARIMUNE NF 3GM VIAL 250 303
25087298 DIMETAPP INFANT DROPS 250 7.46
25087299 LUMINGAN 0.03% SOL 2.5ML 250 62.1
25087300 CARIMUNE NF 12GM VIAL 250 1212
25087301 ZELNORM 6MG TAB (ZELNORM6) 250 172.74
25087302 OCTREOTIDE ACETATE .5MG/ML 1ML 250 93.3
25087303 FORADIL AEROLIZER 12MCG CAP 250 4
25087304 SALIVA SUBSTITUTE 120ML 250 8
25087305 ADDERALL XR 10MG TAB 250 4
25087306 STRATTERA 40MG (ATOMOXETINE) 250 4
25087307 RISPERDALCONSTA 25MG DOSE PCK 250 258.29
25087308 VITAMIN D 50,000 UNITS 250 4
25087309 MEDROL DOSEPAK 4MG 250 23.37
25087310 STRATTERA 10 MG (ATOMOXETINE) 250 4
25087311 WYDASE 150 IU/ML 250 34.5
25087312 PEG-INTRON 120 250 370.35
25087314 NATRECOR 1.5 MG 5ML VIAL 250 529.93
25087315 OXYCONTIN 10 MG (OXY10) 250 5
25087316 OPTIVAR (OPHTHALMIC DROPS) 250 76.1
25087317 CRESTOR 10MG 250 4
25087318 NULYTELY (ORAL SOLUTION) 250 25.65
25087319 RISPERDAL CONSTA 37.5 MG 250 350
25087320 REYATAZ 150 MG CAPSULE 250 14.45
25087321 VIDEX 250 EC CAPSULE 250 7.17
25087322 EMTRIVA CAPSULES 250 10.1
25087323 TEMOVATE CREAM .05% 250 55.02
25087324 ATAZANAVIR 200 MG 250 11.44
25087325 THIOGUANINE 250 5.32
25087326 POTASSIUM CITRATE 10 MEQ TAB 250 4
25087327 QUIXON 250 30.54
25087328 CYMBALTA 60 MG 250 4
25087329 ADVICOR TABLETS 250 4
25087330 NAMENDA 10MG 250 4
25087331 DYRENIUM 100MG 250 4
25087332 RITUXAN 500 MG 250 2743
25087333 QVAR 80 MCG 250 71.7
25087334 PULMICORT TURBINAIRE 250 165
25087335 ULTRACET 250 4
25087336 ACETYLCYSTEINE 10 ML VIAL 250 1.6
25087337 TRILEPTAL 300 MG 250 2.19
25087338 CORTROSYN 0.25 MG 250 89
25087339 INVANZ 1GM 250 54
25087340 DYNACIRC 2.5 MG CAPSULE 250 4
25087341 ADALAT CC 30 MG TABLET 250 4
25087342 ZILACTIN GEL 250 5.55
25087343 MORPHINE SULFATE ORAL LIQ. 250 2
25087344 ELOXATIN 100MG 250 2068
25087345 CROFAB (ANTIVENIM) 250 1208
25087346 AVASTIN 100MG 250 687
25087347 PROPRANOLOL ORAL SOLN. 4MG/ML 250 0.75
25087348 CYMBALTA 20MG CAPSULE 250 4
25087349 BENZOYL PEROXIDE WASH 10% 250 33.74
25087350 FEMARA 2.5 MG 250 8.84
25087351 AMOXIL 200MG/5ML 250 4
25200001 RALOXIFENE 60 MG TABLET 252 4
25200002 MEROPENEM 500 MG INJ 252 77.7
25200003 ZYPREXA INTRAMUSCULAR 10 MG 252 22.19
25800100 0.45 N.S. 500CC 258 35.74
25800200 0.45 N.S. 1000CC 258 44.52
25800300 0.9 N.S. 1000CC 258 44.52
25800400 0.9 N.S. 250CC 258 35.74
25800500 0.9 N.S. 500CC 258 39.26
25800700 45NS 250ML 258 37.32
25800800 5%DISOLYTE P-500CC 258 40.41
25800900 60% D/W 500 258 108.38
25801000 60% DEXTROSE 500ML 258 2.31
25801043 TERBUTALINE SULFATE 5 MG TABLE 250 4 J8499
25801200 D/W 30% 500CC P/F 258 15.49
25801400 DEXTROSE WATER 10%-1000ML 258 40.92
25801500 D10/W 500CC 258 38.49
25801600 D10/W 250CC 258 37.49
25801900 D20/W 500CC 258 15.49
25802100 D30/W 500CC/EVAC 258 58.8
25802200 D40/W 500CC 258 58.64
25802300 D40W/500ML 258 74
25802400 D50.9N.S. 1000CC 258 46.32
25802900 D5/0.2N.S. 1000CC 258 46.32
25803000 D5/0.2N.S. 250CC 258 38.49
25803100 D5/0.2N.S. 500CC 258 38.49
25803200 D5/0.3N.S. 1000CC 258 42.15
25803300 D5/0.3N.S. 250CC 258 38.49
25803400 D5/0.3N.S. 500CC 258 42.34
25803500 D5/0.45N.S. 250CC 258 38.49
25803600 D5/0.45N.S. 500CC 258 42.34
25803700 D5/0.45NS 1000CC 258 46.45
25803800 D5/0.9N.S. 500CC 258 38.49 J7042
25803900 D5/ALCOHOL 5%-1000CC 258 37.28
25804000 D5/ISOLYTE M 250CC 258 44.27
25804100 D5/ISOLYTE P-250CC 258 48.96
25804200 D5/ISOLYTE R 1L 258 54.35
25804300 D5/LR-1000CC 258 48.87
25804400 D5/LR-500CC 258 40.41
25805200 D5/WATER 25CC 258 20.22
25805400 D50/W 500CC 258 73.33
25805500 D50/WATER-500CC 258 88.47
25806200 D5W 50CC 258 32.84
25806600 D5W-1000CC 258 46.32
25806700 D5W-100CC 258 29.84
25806800 D5W-250CC 258 42.34
25806900 D5W-500CC 258 42.34
25807000 D70/WATER-500CC 258 108.86
25807500 DEXTROSE 50% VIAL 258 24.12
25809100 IV SOLUTIONS-PB 258 20.22
25809300 LR. 1000CC 258 44.14 J7120
25809400 LR.500CC 258 40.41
25810500 MISC.IV CHARGE 258 0
25810600 N.S. 100CC 258 35.74
25810700 N.S. 150CC 258 38.82
25810800 N.S. 50CC 258 35.74
25811500 NACL 3% 500CC 258 38.23
25811600 NACL 5% 500CC 258 40.41
25811700 NACLIPPB 258 4
25813200 STERILE WATER 100 ML 258 12.3
25880001 SODIUM CHLORIDE 0.45% 1000ML 258 35.91
25880002 SODIUM CHLORIDE 0.45% 500ML 258 33.06
25880003 DEXTROSE 10%-WATER 1000ML BAG 258 40.92
25880004 DEXTROSE 10%-WATER 500ML 258 35.28
25880005 DEXTROSE 5%-0.25%SALINE 1000ML 258 38.7
25880006 DEXTROSE 5%-0.25%SALINE 250ML 258 30.42
25880008 DEXTROSE 5%-0.33%SALINE 1000ML 258 35.88
25880009 DEXTROSE 5%-0.33%SALINE 250ML 258 31.65
25880010 DEXTROSE 5%-0.33%SALINE 500ML 258 31.65
25880011 DEXTROSE 5%-0.45%SALINE1000ML 258 39.33
25880012 DEXTROSE 5%-0.45%SALINE 250ML 258 31.71
25880013 KCL 40MEQ/D5.51000 40MEQ/L 258 25
25880014 DEXTROSE 5%-0.45%SALINE 500ML 258 32.64
25880015 DEXTROSE 5%-LACTATED RINGERS 258 43.05
25880016 DEXTROSE 5%-LACTATED RINGERS 258 36.18
25880017 DEXTROSE 5%-NORMAL SALINE 1000 258 38.76
25880018 DEXTROSE 5%-NORMAL SALINE 500 258 32.58
25880019 DEXTROSE 5%-WATER 100ML 258 31.83
25880020 DEXTROSE 5%-WATER 1000ML 258 35.91
25880021 DEXTROSE 5%-WATER 250ML 258 30.78
25880022 DEXTROSE 5%-WATER 50 ML 258 31.53
25880023 DEXTROSE 5%-WATER 500 ML 258 33.42 J7060
25880024 DEXTROSE 20%-WATER 500 ML 258 45.9
25880025 DEXTROSE 30%-WATER 500ML BOTT 258 83.28
25880026 DEXTROSE 40%-WATER 500 ML 258 101.76
25880027 DEXTRAN 40/DEXTROSE 5%-WATER 258 408.06 J7100
25880028 DEXTROSE 50%-WATER 500ML 258 78.72
25880029 DEXTROSE 70%-WATER 500 ML 258 108.75
25880030 DOBUTAMINE HCL/D5W 500MG/250MG 258 25
25880031 DOPAMINE HCL/DEXTROSE 5%-WATER 258 25
25880032 FAT EMULSIONS 250ML IV 258 112.65
25880033 FAT EMULSIONS 500ML IV 258 182.31
25880034 FAT EMULSIONS 250ML IV 258 161.1
25880035 FAT EMULSIONS 500 ML IV 258 338.88
25880036 AMINO ACIDS 8% 500ML IV 258 345.45
25880037 SODIUM CHLORIDE 3% 500 ML IV 258 39.66
25880038 SODIUM CHLORIDE 5% 500ML IV 258 37.86
25880039 ELECTROLYTE-P SOLUTION/D5W 250 258 70.59
25880040 LIDOCAINE HCL/D5W 4MG/ML IV 258 4
25880041 RINGRS SOLUTION,LACTATED 1000 258 40.02
25880042 RINGERS SOLUTION,LACTATED 500 258 34.92
25880043 MANNITOL 500 ML IV 258 168.18
25880044 SODIUM CHLORIDE 0.9% 1000 ML 258 36.96
25880045 SODIUM CHLORIDE 0.9% 100 ML 258 31.5
25880046 SODIUM CHLORIDE 0.9% 250 ML 258 30.78 J7050
25880047 SODIUM CHLORIDE 0.9% 50 ML IV 258 31.68
25880048 SODIUM CHLORIDE 0.9% 500ML IV 258 33.42 J2912
25880049 THEOPHYLLINE/DEXTROSE 5%WATER 258 9
25880050 WATER FOR INJECT.STERILE 500 258 32.46
25880051 CIPROFLOXACIN LACTATE/D5W 400 258 10
25880052 FLUCONAZOLE/DEXTROSE-WATER 2 258 256.83 J1450
25880053 METRONIDAZOLE/SODIUM CHLORIDE 258 4
25880054 LEVOFLOXACIN/DEXTROSE 5%WATER 258 59.4
25880055 LEVOFLOXACIN/DEXTROSE 5%WATER 258 10
25880056 HETASTARCH 6%/NS 500ML 258 126
25880057 DEXTROSE 10%-WATER 1000ML IV. 259 40.92
25880058 IV DONOR SET EACH 258 30
25880060 SOD CHLORIDE 0.25% 1000ML BAG 258 17.96
25880061 HEPARIN SODIUM PORCINE 1ML INJ 258 10
25880063 DEXTROSE 10%-WATER 1000ML IV 258 0
25880064 DEXTROSE 5%-0.25% SALINE 500ML 258 0
25880065 GAMIMMUNE 500 MG IV-IMMUNE GLO 258 0
25880066 IMMUNE GLOBULIN IV 5GM 258 0
25880067 DEXTROSE 5%-0.25%SALINE 500ML 258 31.65
25880068 AMINOSYN 2 15% (AA15%) 258 84
25980001 FLUOROURACIL 50 MG/ML 10ML VL 259 40
25980002 ALTEPLASE 100 MG/VIAL 636 8250 J2996
25980003 DOXORUBICIN HCL 50 MG VIAL 636 804.54 J9000
25980004 DOXORUBICIN HCL 20 MG VIAL 636 321.84 J9000
25980005 METHYLDOPATE INJ 5ML50MG/ML V 259 18.72
25980006 AMINOCAPROIC ACID 20ML 250MG V 259 10
25980007 AMIKACIN SULFATE 250 MG/ML 2ML 259 65.64
25980008 AMINOPHYLLINE 25 MG/ML 20ML V 259 10 J0280
25980009 AMPICILLIN SODIUM 1G VIAL 259 10
25980010 AMPICILLIN SODIUM 250 MG VIAL 259 10
25980011 AMPICILLIN SODIUM 2 G VIAL 259 10
25980012 AMPICILLIN SODIUM 500 MG VIAL 259 10 J0290
25980013 CEFAZOLIN SODIUM 1 G/VIAL 259 12.39
25980014 SUCCINYLCHOLINE CHLORIDE 20MG 259 10 J0330
25980015 PHYSOSTIGMINE SALICYLATE 1MG/M 259 10
25980016 HYDRALAZINE HCL 20 MG/ML VIAL 259 26.25 J0360
25980017 METARAMINOL BITARTRATE 10MG 259 10 J0380
25980018 PAMIDRONATE DISODIUM 90 30MGVL 636 2034.93 J2430
25980019 TRIAMCINOLONE DIACETATE 25 MG/ 259 12.69
25980020 TRIAMCINOLONE DIACETATE 40 MG/ 259 19.65
25980021 ATRACURIUM BESYLATE 50 MG/5 ML 259 15.84
25980022 ATROPINE SULFATE 0.4 MG/ML VL 259 10 J0460
25980023 ATROPINE SULFATE 1MG/ML VL 259 10
25980024 AZTREONAM 1 G/VIAL 259 48.45
25980025 AZTREONAM 2 G/VIAL 259 96.72
25980026 CYANOCOBALAMIN 1000 MCG/ML VL 259 10 J3420
25980027 BACITRACIN 50 MU/VIAL 259 15
25980028 BACTERIOSTATIC SODIUM CHLORIDE 259 10
25980029 SULFAMETHOXAZOLE/TRIMETHOPRI 259 38.07
25980031 DIPHENHYDRAMINE HCL 50MG/ML V 259 10 J1200
25980032 FACTOR IX COMPLEX,HUMAN RECOM 636 10 J7194
25980033 BLEOMYCIN SULFATE 15 U VIAL 636 877.38 J9040
25980034 METHOHEXITAL SODIUM 500 MG/VL 259 73.77
25980035 ESMOLOL HCL 10 MG/ML VIAL 259 10
25980036 BUMETANIDE 0.25 MG/ML 2ML VIAL 259 10
25980037 BUMETANIDE 0.25 MG/ML 4ML VIAL 259 10
25980038 CALCIUM CHLORIDE 100 MG/ML 10M 259 10
25980039 CALCIUM GLUCONATE 100 MG/ML 10 259 10 J0610
25980040 IRINOTECAN HCL 20 MG/ML 5ML VL 636 347.73 J9206
25980042 DILTIAZEM HCL 5MG/ML 10ML VL 259 127.32
25980043 BETAMETHASONE SODIUM PHOSPHA 259 11.64 J0704
25980044 FOSPHENYTOIN SODIUM 50 MG/ML 1 636 16.2 Q2009
25980045 FOSPHENYTOIN SODIUM 50 MG/ML 2 636 27 Q2009
25980046 DAUNORUBICIN HCL 20 MG/VL 636 505.5 J9150
25980047 CHLORAMPHENICOL NA SUCC 1G VL 259 18.93 J0720
25980048 CIMETIDINE HCL 150MG/ML 2ML VL 259 10
25980049 CISPLATIN 100MG VL 636 960 J9050
25980050 CISPLATIN 50 MG VL 636 12.75
25980051 CEFOTAXIME SOD INJECTION 1G VL 259 40.71 J0698
25980052 CEFOTAXIME SOD INJECTION 2G VL 259 79.86 J0698
25980053 CLINDAMYCIN PHOSPHATE 150MG 259 10.41
25980054 PROCHLORPERAZINE EDISYLATE 5M 259 10
25980055 HYDROCORTISONE SOD SUCCINATE 259 10.02
25980056 HYDROCORTISONE SOD SUCCINATE 259 22.68
25980057 CYCLOPHOSPHAMIDE 500 MG VL 636 74.07 J9070
25980058 DANTROLENE SODIUM 20MG/VL 259 205.5
25980059 DEXAMETHASONE SOD PHOSPHATE 259 10
25980060 METHYLPREDNISOLONE ACETATE 40 259 18.33
25980061 METHYLPREDNISOLONE ACETATE 80 259 30.3
25980062 DEXAMETHASONE SOD PHOSPHATE 259 10
25980063 ACETAZOLAMIDE SODIUM 500 MG/VL 259 119.64
25980064 DIAZEPAM 5 MG/ML VIAL 259 10 J3360
25980065 DIGOXIN IMMUNE FAB 38 MG/VL 636 1610.64 Q2006
25980066 DILTIAZEM HCL 5MG/ML VIAL 259 10
25980067 PROPOFOL 10MG/ML 100ML VIAL 259 160.35
25980068 DOBUTAMINE HCL 12.5 MG/ML 20ML 259 10 J1250
25980069 DOPAMINE HCL 40MG/ML 10ML VL 259 10
25980070 DOXAPRAM HCL 20MG/ML 20ML VL 259 12.75
25980071 DOXORUBICIN HCL 10MG/VIAL 636 160.92 J9000
25980072 DOXYCYCLINE HYCLATE 100MG/VL 259 44.25
25980073 HEPATITIS B VIRUS VACCINE 10MC 259 145.2
25980074 HEPATITIS B VIRUS VACCINE 20MC 259 165.3
25980075 EPHEDRINE SULFATE 50MG/ML VIAL 259 10
25980076 EPINEPHRINE 1MG/ML 30ML VIAL 259 10
25980077 EPOETIN ALFA 10 MU/ML VIAL 636 360 Q0136
25980078 EPOETIN ALFA 2000 U/ML VIAL 636 72 Q0136
25980079 EPOETIN ALFA 3000 U/ML VIAL 636 108 Q0136
25980080 EPOETIN ALFA 4000 U/ML VIAL 636 144 Q0136
25980081 ERYTHROMYCIN LACTOBIONATE 1G 259 66.45
25980082 ERYTHROMYCIN LACTOBIONATE 500 259 38.13 J1364
25980083 FOLIC ACID 5 MG/ML 10ML VIAL 259 10
25980084 FLUPHENAZINE HCL 2.5MG/ML 10ML 259 10
25980085 CEFTAZIDIME PENTAHYDRATE 1G/V 259 64.2
25980086 CEFTAZIDIME PENTAHYDRATE 2 G/V 259 85.35
25980087 FUROSEMIDE 10 MG/ML VIAL 259 10
25980088 GENTAMICIN SULFATE 10MG/ML 2ML 259 10 J1580
25980089 GENTAMICIN SULFATE 40MG/ML 20M 259 10
25980090 GENTAMICIN SULFATE 40MG/ML 2M 259 10
25980091 GLUCAGON, HUMAN RECOMBINANT 1 259 198 J1610
25980092 HEPATITIS B IMMUNE GLOBULIN 1M 259 502.5
25980093 HEPATITIS B IMMUNE GLOBULIN 5M 259 1875
25980094 HEPARIN SODIUM,PROCINE 1MU/ML 259 10
25980095 HEPARIN SODIUM,PORCINE 10 MU/M 259 10
25980096 HEPARIN SODIUM,PORCINE 5 MU/ML 259 10
25980097 HEPARIN SODIUM,PORCINE 10MU/M 259 10
25980098 HEPARIN SODIUM PORCINE 10U/ML 259 10
25980099 ELECTROLYTE SOLUTION INJ 20ML 259 13.14
25980100 INSUL NPH HU REC/INS RG HU REC 259 68.82 J1820
25980101 IDARUBICIN HCL 20MG/VIAL 636 4030.14 J9211
25980102 IFOSFAMIDE 1G/VIAL 636 408.33 J9208
25980103 SUMATRIPTAN SUCCINATE 6MG/0.5 259 270.18 J3030
25980104 INSULIN NPH HUMAN RECOM 100 UM 259 10 J1820
25980105 DROPERIDOL 2.5 MG/ML 2ML VIAL 259 10
25980106 IRON DEXTRAN COMPLEX 50 MG/ML 259 56.55 J1750
25980107 INSULIN REG HUMAN REC 100 U/ML 259 68.7 J1820
25980108 KANAMYCIN SULFATE 250 MG/ML 2M 259 10.08
25980109 POTASSIUM CHLORIDE 2MEQ/ML 20 259 10 J3480
25980110 KETAMINE HCL 100 MG/ML VIAL 259 13.35
25980111 FUROSEMIDE 10 MG/ML VIAL 259 10
25980113 LEUCOVORIN CALCIUM 50 MG/VIAL 636 168.75 J0640
25980114 SARGRAMOSTIM 50 MCG/VIAL 636 388.38 J2820
25980116 LIDOCAINE HCL/EPINEPHRINE 30 259 15.6 J2000
25980118 LIDOCAINE HCL/EPINEPHRINE 20 259 10 J2000
25980119 LOXAPINE HCL 50 MG/ML 10ML VI 259 34.98
25980120 MAGNESIUM SULFATE 4 MEQ/ML 2ML 259 50
25980121 MANNITOL 12.5 GM/50ML VIAL 259 18.39
25980122 CEFEPIME HCL 1 G/VIAL VIAL 259 47.82
25980124 METHYLPREDNISOLONE SOD SUCC 259 16.92 J2920
25980125 METHYLPREDNISOLONE SOD SUCC 259 95.4 J2930
25980126 METHYLPREDNISOLONE SOD SUCC 259 10
25980127 CEFOXITIN SODIUM 1 G/VIAL VIAL 259 31.47 J0694
25980128 MEPERIDINE HCL 100 MG/ML VIAL 259 10
25980129 MEPERIDINE HCL 50 MG/ML VIAL 259 10
25980130 MEPERIDINE HCL 75 MG/ML VIAL 259 10
25980131 MESNA 100 MG/ML VIAL 259 52.71 J9209
25980132 METHOTREXATE SODIUM 25 MG/ML 636 10 J9250
25980133 CARBACHOL 1.5 ML VIAL 259 82.5
25980134 MORPHINE SULFATE 10 MG/ML VIAL 636 10 J2275
25980135 SODIUM MORRHUATE 50 MG/ML 30M 259 10
25980136 MULTIVITAMINS 10 ML VIAL 259 24.48
25980137 NAFCILLIN SODIUM 1 G/VIAL VIAL 259 10
25980138 NAFCILLIN SODIUM 2 G/VIAL VIAL 259 13.2
25980139 VINORELBINE TARTRATE 10 MG/ML 636 209.16 J9390
25980140 NEOSTIGMINE METHYLSULFATE 10M 259 26.79 J2710
25980141 FILGRASTIM 300 MCG/ML VIAL 636 516.9 J1440
25980142 NITROPRUSSIDE SODIUM 25 MG/ML 259 14.7
25980143 VECURONIUM BROMIDE 10 MG/VIAL 259 75.06
25980144 LABETALOL HCL 5 MG/ML 20ML VIA 259 10
25980145 SODIUM CHLORIDE 0.9% 10ML VIAL 259 50 J2912
25980146 NITROGLYCERIN 5 MG/ML 10ML VIA 259 10
25980147 OXACILLIN SODIUM 2 G/VIAL VIAL 259 15.42 J2700
25980148 PANCURONIUM BROMIDE 2 MG/ML VI 259 10
25980149 PAPAVERINE HCL 30 MG/ML VIAL 259 10 J2440
25980150 CARBOPLATIN 450 MG/VIAL VIAL 636 2698.71 J9045
25980151 CARBOPLATIN 50 MG/VIAL VIAL 636 299.88 J9045
25980152 FAMOTIDINE 10 MG/ML 2ML VIAL 259 10 J3790
25980153 FAMOTIDINE 10 MG/ML 20ML VIAL 259 123.6 J3790
25980154 PHENYLEPHRINE HCL 10 MG/ML VIA 259 10
25980155 PHENOBARBITAL SODIUM 130 MG/ML 259 10
25980156 PHENOBARBITAL SODIUM 65 MG/ML 259 10
25980157 PIPERACILLIN SODIUM 2 G/VIAL V 259 38.88
25980158 PIPERACILLIN SODIUM 3 G/VIAL V 259 59.88
25980159 PIPERACILLIN SODIUM 4 G/VIAL V 259 77.76
25980160 OXYTOCIN 10 U/ML VIAL 259 10 J2590
25980161 POTASSIUM ACETATE 2 MEQ/ML VIA 259 10
25980162 POTASSIUM PHOS M-BASIC-D-BASIC 259 20.37
25980163 ESTROGENS,CONJUGATED 25 MG/VIA 259 145.92
25980164 IMIPENEM/CILASTATIN SODIUM 250 259 45.9 J0743
25980165 IMIPENEM/CILASTATIN SODIUM 500 259 86.4
25980166 PROCAINAMIDE HCL 500 MG/ML 2ML 259 40.29 J2690
25980167 PROGESTERONE 50 MG/ML 10ML VIA 259 10
25980168 PRALIDOXIME CHLORIDE 1 G/VIAL 259 192.39 J2730
25980169 PYRIDOXINE HCL 100 MG/ML VIAL 259 10
25980170 PHENTOLAMINE MESYLATE 5 MG/VIA 259 100.8 J2760
25980171 METOCLOPRAMIDE HCL 5 MG/ML VIA 636 10 J2765
25980172 METHOCARBAMOL 100 MG/ML 10ML 259 10 J2800
25980173 GLYCOPYRROLATE 0.2 MG/ML VIAL 259 10 J7642
25980174 CEFTRIAXONE SODIUM 1 G/VIAL VI 259 157.02
25980175 CEFTRIAXONE SODIUM 250 MG/VIAL 259 44.43 J0696
25980176 CEFTRIAXONE SODIUM 2 G VIAL 259 254.94
25980177 CEFTRIAXONE SODIUM 500 MG/VIAL 259 117.09
25980178 FLUMAZENIL 0.1 MG/ML 5ML VIAL 259 27.18 J3790
25980179 RUBELLA VACCINE 1 VIAL VIAL 259 42.75
25980180 BUPIVACAINE HCL/EPINEPHRINE 30 259 19.23
25980181 BUPIVACAINE HCL/EPINEPHRINE 30 259 20.73
25980182 BUPIVACAINE HCL/EPINEPHRINE 30 259 21.33
25980183 BUPIVACAINE HCL 2.5 MG/ML VIAL 259 10
25980184 BUPIVACAINE HCL/EPINEPHRINE 50 259 30.84
25980185 BUPIVACAINE HCL 5 MG/ML VIAL 259 10
25980186 BUPIVACAINE HCL/EPINEPHRINE 50 259 33
25980187 BUPIVACAINE HCL 2.5 MG/ML VIAL 259 10
25980188 BUPIVACAINE HCL 5MG/ML VIAL 259 10
25980189 BUPIVACAINE HCL 7.5 MG/ML VIAL 259 10
25980190 SODIUM ACETATE 2 MEQ/ML VIAL 259 10
25980191 SODIUM BICARBONATE 1 MEQ/ML VI 259 10
25980192 SODIUM CHLORIDE 4 MEQ/ML VIAL 259 10
25980193 BUTORPHANOL TARTRATE 1 MG/ML 259 24.27
25980194 BUTORPHANOL TARTRATE 2 MG/ML 259 25.29
25980195 TRIFLUOPERAZINE HCL 2 MG/ML 10 259 17.07
25980196 STREPTOKINASE 1.5 MMU/VIAL VIA 259 1612.02
25980197 LEVOTHYROXINE SODIUM 200 MCG 259 29.25
25980198 LEVOTHYROXINE SODIUM 500 MCG 259 115.29
25980199 PACLITAXEL,SEMI-SYNTHETIC 30MG 636 526.05 J9265
25980200 EDROPHONIUM CHLORIDE 10 MG/ML 259 10
25980201 TETANUS TOXOID,ADSORBED 5 ML 259 28.5
25980202 DIP,PERT,TET,HAEM.CONJ VACC 5 259 1062.69
25980203 THIAMINE HCL 100 MG/ML VIAL 259 10
25980204 THROMBIN 5 MU/VIAL VIAL 259 63.57
25980205 TOBRAMYCIN SULFATE 40 MG/ML VI 259 10 J3260
25980206 KETOROLAC TROMETHAMINE 30 MG 259 26.16 J1885
25980207 KETOROLAC TROMETHAMINE 60 MG 259 27.48 J1885
25980208 ZNS04 HEP/CUS04 P-HYD/MANG/CH 259 10
25980209 ATRACURIUM BESYLATE 10 MG/ML 259 17.01
25980210 ALATROFLOXACIN MESYLATE 5 MG/ 259 10
25980211 ALATROFLOXACIN MESYLATE 5 MG/ 259 10
25980212 TUBOCURARINE CHLORIDE 3 MG/ML 259 10
25980213 AMPICILLIN SODIUM/SULBACTAM NA 259 22.26 J0295
25980214 AMPICILLIN SODIUM/SULBACTAM NA 259 42.03
25980216 VANCOMYCIN HCL 1 G/VIAL VIAL 259 48.75
25980217 VANCOMYCIN HCL 500 MG/VIAL VIA 259 23.4 J3370
25980218 VARICELLA VIRUS VACCINE LIVE 1 259 165.42
25980219 ENALAPRILAT DIHYDRATE 1.25 MG/ 259 45.9
25980220 VASOPRESSIN 20 U/ML VIAL 259 16.2
25980221 ENALAPRILAT DIHYDRATE 1.25 MG/ 259 45.99
25980222 ETOPOSIDE 20 MG/ML VIAL 636 66 J9181
25980223 VERAPAMIL HCL 2.5 MG/ML 2ML VI 259 10
25980224 HYDROXYZINE HCL 25 MG/ML VIAL 259 10
25980225 HYDROXYZINE HCL 50 MG/ML VIAL 259 10
25980226 WATER FOR INJECTION,STERILE 10 259 10
25980227 RHO(D) IMMUNE GLOBULIN 5 MU/VI 636 3244.5 J2790
25980228 HYALURONIDASE 150 U/VIAL 259 49.98 J3470
25980229 LIDOCAINE HCL 10 MG/ML VIAL 259 10 J2000
25980230 LIDOCAINE HCL 5 MG/ML VIAL 259 10 J2000
25980231 LIDOCAINE HCL/EPINEPHRINE 50 M 259 15.48 J2000
25980232 LIDOCAINE HCL/EPINEPHRINE 10ML 259 10 J2000
25980233 LIDOCAINE HCL/EPINEPHRINE 20ML 259 10 J2000
25980234 LIDOCAINE HCL 40 MG/ML VIAL 259 10 J2000
25980235 LIDOCAINE HCL 5 MG/ML VIAL 259 10 J2000
25980236 LIDOCAINE HCL/EPINEPHRINE 30 M 259 29.76 J2000
25980237 LIDOCAINE HCL 20 MG/ML VIAL 259 10 J2000
25980238 CEFUROXIME SODIUM 1.5 G VIAL 259 38.37
25980239 AZITHROMYCIN 500 MG VIAL 259 71.13 J0456
25980240 ONDANSETRON HCL 2 MG/ML VIAL 636 38.46 J2405
25980241 PIPERACILLIN/TAZOB SOD 3.375 V 259 48.63
25980242 ACYCLOVIR SODIUM 500 MG/VIAL V 259 133.74
25980243 CEFOTETAN 1GM VIAL 259 60
25980244 HEPARIN SODIUM,PORCINE 5000ML 259 10
25980245 LORAZEPAM 2MG/ML SYRINGE 259 24.93 J2060
25980246 FUROSEMIDE 10 MG/ML 2ML VIAL 259 10 J1940
25980247 ALBUMIN 12.5 GM VIAL 259 30
25980248 MUCOSIL 10% 4ML 259 21.42 J7610
25980249 LIDOCANE 10 MG/ML 20ML VIAL 259 20 J2000
25980250 MIDAZOLAM INJ 2MG/2ML 259 16.5 J2250
25980251 THIOPENTAL SODIUM 500 MG SYR 259 34.8
25980252 KCL IVPB 20 MEQ/100ML BOTTLE 259 60
25980253 HEPARIN DRIP 25000 U/250 ML 259 60
25980254 PENICILLIN G BENZANTH 1200000 259 53.01 J0570
25980255 MAGNESIUM SULFATE 100ML BOTTLE 259 60
25980256 LIDOCAINE 20 MG/ML VIAL 259 10 J2000
25980257 NITROUS OXIDE 100ML VIAL 259 60
25980258 MORPHINE SULFATE 1MG/ML 259 59.37 J2270
25980259 ACETYLCYSTEINE 30 ML VIAL 259 24.81
25980260 HAEMOPHILUS B CONJ VACCINE 259 63
25980261 MIDAZOLAM 10 MG/25ML VIAL 259 52.59
25980262 MAGNESIUM SULFATE 1000 ML 259 60
25980263 DIPTHERIA, TETANUS & PERTUSSIS 259 96.63
25980264 PENICILLIN G BENZ 600000 SYR 259 27.03 J0560
25980265 ALBUTEROL SULFATE 3ML VIAL 259 10
25980266 AMPHOTERICIN 50MG VIAL 636 55.53 J0286
25980267 CROMOLYN SODIUM 2ML VIAL 259 12
25980268 DACARBAZINE INJ 200MG VIAL 636 99.81 J9130
25980269 HAEMOPHILUS B & HEP B VACCINE 259 122.19
25980270 IPRATROPIUM BROMIDE 2.5ML VIAL 259 10 J7644
25980271 MEASLES,MUMPS,RUBELLA 0.5ML VI 259 83.01
25980272 MEPERIDINE HCL 100MG/ML SYRING 259 69.09
25980273 METAPROTERENOL SULFATE 2.5ML 259 10 J7672
25980274 PENICILLIN G POTASSIUM 5MU VIA 259 18
25980275 ROFERON-A 6MU/ML VIAL 259 209.73
25980276 SODIUM CHLORIDE 0.9% 15ML VIAL 259 48
25980277 SODIUM CHLORIDE 5ML VIAL 259 42.36
25980278 ENOXAPARIN SODIUM 60MG/.6ML SY 259 72.63 J1650
25980279 VINBLASTINE 1 MG/ML 10ML VIAL 636 95.43 J9360
25980280 PROTAMINE 10MG/ML VIAL 259 25 J2720
25980281 VINCRISTINE 2MG/2ML VIAL 636 41.6 J9370
25980282 SOD PHOSPH, M,D-BASIC 4MEQ/ML 259 10
25980283 ACTIVATED FACTOR IX CONCN 500V 259 1800
25980284 BREYTLIUM TOSYLATE 500MG/10ML 259 67.23
25980285 TICARCILLIN/K CLAVULNATE 3.1V 259 15.1
25980286 SODIUM PHOSPHATE 3MM/ML 15ML/V 259 10
25980287 QUINUPRISTIN/DALFOPRISTIN VIAL 259 322.29
25980288 SYNERCID I.V. 500MG VIAL 10 259 107.43
25980289 TIMENTIN 3.1GM VIAL 10X50ML 259 15.1
25980290 MIACALCIN 200 UN/ML VIAL 2ML 259 107.01
25980291 DNASE 1 MG/ML VIAL 259 119.37
25980292 CALCITONIN 200 U/ML 2ML VIAL 259 428.04
25980293 FLUPHENAZINE DECANOATE 25MG/ML 259 84.42 J2680
25980294 TESTOSTERONE 200 MG/ML VIAL 259 126.3
25980295 INSULIN LISPRO INJ 100 U/ML 259 106.2 J1080
25980296 VALPROATE SODIUM 100MG 5ML VL 259 31.26
25980297 CEFUROXIME SODIUM 750MG INJ 259 25 J0697
25980298 TALWIN 30MG/ML INJECTION 259 10 J3070
25980299 ALDESLEUKIN 22MU VIAL 259 1341.5
25980300 RIFAMPIN 600MG 30ML VIAL 259 155
25980301 ALBUMIN 5GM/100ML 250ML VIAL 259 120.96
25980302 RANITIDINE 25 MG/ML 40ML VIAL 259 181.62
25980303 COLLAGENASE 1 GM SYRINGE 259 337.5
25980304 EPIRUBICIN 2 MG/ML 25ML VIAL 259 1312.5 J9178
25980305 TAXOTERE 80MG INJ 40MG/2ML VL 259 1926.16
25980306 LORAZEPAM 4 MG/ML VIAL VIAL 259 48
25980307 PIPERACILLIN/TAZOB SOD 2.25 VL 259 32.4
25980308 MAGNESIUM SULF 0.5GM 2ML VIAL 259 10
25980309 ALBUMIN 2.5 GM 50 ML VIAL 259 97.9
25980310 ALBUMIN 5 GM 20 ML VIAL 259 97.9
25980311 IMMUNE GLOBULIN 10%VL 1GM VIAL 259 1350
25980312 HEPARIN SOD,PORCINE 1000U 1ML 259 10
25980313 INFLUENZA VACCINE 0.5ML VIAL 259 15.96
25980314 ELOXITAN 50MG 259 994.28
25990123 CEFEPIME HCL 2 G/VIAL VIAL 259 94.89
26000000 ASPARAGINASE ELSPAR (ASPAR) 260 65.91
27000000 MOBILE CPR CART 270 268.65
27000001 PORTEX INNER CANNULA #6 270 8.8
27000002 DSG KERLX FLUFF PK 270 18.7 A6264
27000003 BAG:BILE 270 27.3
27000004 TOOTHPASTE 270 3.3 A9900
27000005 IV LOOP CONNECTOR 270 18.7
27000006 BANDAGE:MUSLIN 270 18.1
27000007 IV ADAPTER PRN/MULTI 270 18.7
27000008 PLASTIC TRAY 270 104.8
27000009 ADMIT KIT CUSTOM 270 27.5 A9190
27000010 CATH:FOLEY 3-WAY 270 90.6
27000011 BIOPSY BRUSH:URTERA 270 314.8
27000012 CATH:SUPRAPUBIC INTRODUCER SET 270 227.2
27000013 BLOOD PUMP 270 98.9
27000014 MONITOR: CARDIAC 270 98.9
27000015 PUMP: IV 270 49.4
27000016 OXYGEN 270 16.9
27000017 CATH:PHILIP FOLLOWER 270 56.3 A4353
27000018 CATH:ACMI FILIFORM 270 38.1
27000019 CATH:FOLEY SILASTIC 270 81.7
27000020 CATH:SUCTION 270 18.1
27000021 SUCT CATH KIT INFANT 270 15.4 A4624
27000022 CATH:CONE 270 56.3
27000023 CATH:OLIVE 270 38.1
27000024 CATH:PIGTAIL 270 63.3
27000025 CATH:WHISTLE 270 63.3
27000026 TOOTHBRUSH 270 3.3 A9900
27000027 IV START KIT W/GARD 270 27.5
27000028 CATH:COUDE 270 81.7
27000029 CATH:FOLEY 270 90.6
27000030 CATH:MUSHROOM/MALCOT 270 56.3
27000031 CATH:THORO 270 63.3
27000032 CAUTERY:DISPOSABLE 270 155.7
27000033 CLIP:RANEY 270 7.3
27000034 BAG:URINARY DRAIN 270 38.1 A4357
27000035 MAJOR BASIN SET 270 88
27000036 BAG:COLOSTOMY 270 47.3
27000037 CATH:Y CONNECTOR 270 18.1 A4335
27000038 BANDAGE ELASTIC NS 2-4",5 270 5.5 A6263
27000039 DRAIN:SHIRLEY WOUND 270 56.3
27000040 BILI-LITE 270 82.4 E0205
27000041 PORTEX INNER CANNULA #7 270 8.8
27000042 DRESG:BANDAID 8X6",16.4 270 7.3 A6200
27000043 PACK -RITODRINE 270 12.8
27000044 FETAL MONITOR EXT 270 75.2 59020
27000045 EVACUTION:ELIK DVOL 270 56.3
27000046 IRRIGATION SET 270 63.3 A9900
27000047 FETAL MONITOR INT 270 98.3 59020
27000048 STRESS TEST - OB 920 124.8 59020
27000049 HEMOVAC 270 161.2
27000050 MANOMETER 270 27.3
27000051 P K U TEST 300 27.8 84030
27000052 STRAP/TIES:MONTGOMR 270 18.1
27000053 MONITOR:FETAL 270 124.8
27000054 PORTEX INNER CANNULA #8 270 8.8
27000055 INNER CANNULA PORTEX #9 270 8.8
27000056 PAD:OXYCEL 270 18.1
27000057 PLEUROVAC 270 314.8
27000058 CATH:PLUG 270 7.3
27000059 POUCH DRAINABLE 1 1/2 270 4.9
27000060 PORTEX TRACH TUBE DIC#9 FEN 270 121
27000061 PERI PAD PK12 270 3.3
27000062 PORTEX TRACH TUBE DIC#9 N/FEN 270 121
27000063 DSG STOCKINET TUBULR 270 75.9 A6264
27000064 STOPCOCK:3-WAY 270 18.1
27000065 SURGICAL PATTIES 270 27.3
27000066 PORTEX TRACH TUBE #7 FEN DIC 270 121
27000067 TRACH TUBE PORTEX NONFEN #8 270 121
27000068 TRACH TUBE PORTEX NONFEN #7 270 121
27000069 PORTEX TRACH TUBE #6 CUFFD DIC 270 121
27000070 TUBE:CHAFFIN 270 155.7
27000071 PORTEX TRACH TUBE #6 N/FEN DIC 270 121
27000072 TRAY:SHAVE EZ PREP 270 37.4 A9900
27000073 PEDIATRIC BROSELOW CRASH CART 270 358.6
27000074 TUBE:ENDO TRACH 270 38.1
27000076 URIMETER 270 63.3
27000077 BAG:URETERAL DRAIN 270 56.3
27000078 SORBITAL 270 63.3
27000081 CATH:CHOLANGIO 270 90.6
27000082 CATH:ACMI LOOP 270 161.2
27000083 STONE BASKET:CATHETE 270 314.8
27000084 STONE BASKET:PHFSTER 270 253.3
27000085 SHIELD:EYE 270 18.1
27000086 TUBING:CYSTO 270 27.3
27000087 TUBING:POLYETHYLENE 270 18.1
27000089 VITRECTOMY:SET 270 282.4
27000090 TRAY:BLITT 270 155.7
27000091 DRAIN:SUMP WOUND 270 18.1
27000092 DRAIN:JKSN-PRAT 270 117.7
27000093 DSG ADAPTIC 3X8 270 18.7 A6200
27000094 ADAPTER-SWIVAL 270 161.2
27000095 BOLT TIBIA 278 117.7
27000098 CONNECTOR:W/TEFLON 270 38.1
27000099 SUTURE:AUTO EEA 270 396.4
27000102 SUTURE:BOLSTER/RETN 270 38.1
27000105 SUTURE:OTHER 270 63.3
27000106 DSG HEAVY DRAIN TRAY 270 46.2
27000107 NAIL-JEWETT 270 363.7
27000108 NEEDLE:TRU CUT 270 97.9
27000109 PIN:KNOWLES 278 117.7
27000110 PIN:STEINMAN 270 63.3
27000111 HIP:ASTN-MORE SOLID 278 1031.3
27000112 HIP COMP SET-ZIMER 278 369.1
27000113 SPACER:TENDON 278 253.3
27000114 TESTICULAR 278 309.6
27000115 TOE:GREAT IMPLANT 278 351.2
27000116 CANCELLUS SCREW 278 114.2
27000117 SCREW:WOODRUFF 278 38.1
27000118 SHUNT:SAF T 270 161.2
27000119 VESSEL TIP:TEFLON 270 192.1
27000120 CATH:INTRODUCER 270 148.5
27000121 ARCH BAR/BAND 270 38.1
27000123 PACKING NUGAUZE PLN 270 34.1 A9900
27000124 INTERMED LEAD WIRES 270 202.4
27000125 P O R P/T O R P 270 334.8
27000126 VENT TUBE:AMSTRG/GRM 270 97.9
27000127 COLD/HOT PACK DISP 270 3.3
27000128 VENT TUBE:RICHARDS T 270 81.7
27000129 ISOLATION GOWN PK 270 34.1
27000130 BURR HOLE COVER 270 390.9
27000131 CRANIOPLASTY KIT 270 438.1
27000132 CATH:MFP VENTRICULAR 270 97.9
27000133 HYDROCEPHALUS SHUNT 270 1005.9
27000134 HOLTER VALVE 270 1468.9
27000135 CORPOREAL 270 542.8
27000136 BINDER SURGICAL 12",90. 270 99
27000137 FIXATION SET:HOFFMAN 270 117.7
27000138 ECT-COMP PLATE SET 278 613.5
27000139 SCREW:EUROPEAN MALLE 278 63.3
27000141 KNEE - TOTAL 278 4929.5
27000142 PIN:GUIDE 270 38.1
27000143 PIN:HAGIE 270 117.7
27000144 PIN SET:RUSH 270 743.5
27000145 SCREW:HIP COMPRESSIO 278 56.3
27000146 STAPLE:PLAIN 270 47.3
27000147 STAPLE:BORBEC 270 56.3
27000148 KARLIN KNIFE 270 66
27000149 LLETZ LOOP ELECTRODE 270 49.5
27000150 TUBE PLATE 278 400
27000151 SCREW:LAG 278 273.3
27000152 ACETABULAR COMPONENT 278 805.1
27000153 HIP - TOTAL 278 3927.4
27000154 AUFRANC TURNER 278 2552.4
27000155 CPI(PACEMAKER) 275 348.4
27000156 BABY AMNIHOOK 270 14.3 A4649
27000157 LEADS 275 1805.3
27000158 SUPRAPUBIC CATH TRAY 270 209.6
27000159 FINGER:SWANSON 270 423.5
27000160 SHEETING SILASTIC 270 365.7
27000161 GRAFT:BOVINE 278 2427.7
27000162 GRAFT:GORTEX 1",1679.1 278 1908.5
27000164 SHUNT:CLAMP 270 56.3
27000165 CAST:LEG CHILD 270 104.5 A4580
27000167 AUTO:SKIN STAPLER 270 163.9
27000168 STENT URETERAL 270 389.1
27000169 STENT:GIBBONS 270 264
27000173 LOC ANES AGENTS-15M 270 7.3
27000178 OB ANESTHESIA 270 441.4
27000179 DRAPE:SPLIT SHEET 270 63.3
27000180 BLADE:BEAVER ENT 270 97.9
27000181 DRAPE:MICROSCOPE 270 47.3
27000182 DRAPE SHEET 270 18.7
27000183 DRAPE:3-M SMALL 270 38.1
27000185 DRAPE:UROLOGICAL 270 117.7
27000186 BLADE:BEAVER KNEE 270 56.3
27000187 BLADE:BROWN DEMATM 270 72.4
27000188 BLADE:DAVOL DEMATM 270 63.3
27000189 BLADE:NEURO 270 161.2
27000190 KNIFE:MYRINGOTOMY 270 63.3
27000191 VEIN STRIPPERS:DIS 270 81.7
27000192 PACK C SECTION 270 68.2
27000193 DRAPE:BASIC 270 97.9
27000194 DRAPE:CASETTE X-RAY 270 27.3
27000195 SPONGE KERLIX SUPER 270 13.2 A6251
27000196 DRAPE:HEAD & NECK 270 155.7
27000197 DRAPE:LAP 270 81.7
27000198 DRAPE:CRANI 270 155.7
27000200 PACK ORTH MAJOR 270 311.3
27000201 PACK-CV MINOR 270 441.4
27000203 RT VENT SUCT KIT 270 62.7
27000204 PACK-TOTAL JOINT 270 589.9
27000205 MYRINGOTOMY TRAY 270 134.7
27000206 TLC LINEAR CUTTER 55 270 761.2
27000207 NEEDLE MENISCUS 270 136.4
27000208 TRV 30 STAPLER 270 742.5
27000209 AIR EQUIPMENT 270 204.8
27000210 ANTHROSCOPE 270 106.9
27000211 BABY WARMER UNIT 270 154
27000212 BLOOD WARMING UNIT 270 128.6 A9900
27000213 BRONCHOSCOPE 270 76.3
27000214 ELECTRO SURG UNIT 270 103.3
27000215 CELL SAVER 270 512.1
27000216 COLONOSCOPY 270 76.3
27000217 ENDOSCOPE 270 76.3
27000218 FRIGITONICS 270 128.6
27000219 HYPOTHERMIA UNIT 270 103.3
27000220 ANES:LTA KIT 270 39.6
27000221 LAPAROSCOPE 270 76.3
27000224 STETH-ESOPH/TEMP 270 20.1
27000225 ARTERIAL LINE 270 220.9
27000226 AUTO TOURNIQUET 270 38.1
27000227 ORTHO VIDEO SET-OP 270 124.8
27000228 ORTHO VIDEO DAILY 270 143.2
27000229 O/R SET 270 210
27000230 MONITOR - CARDIAC* 270 103.3
27000231 ARTERIAL LINE SET 270 220.9
27000232 OXYGEN 270 18.1
27000234 TRAY-GYN MAJOR 270 369.1
27000236 TRAY-LAMINECTOMY 270 490.3
27000237 TRAY-TOTAL JOINT 270 713
27000238 STAPLE:REMOVER 270 38.1 A9900
27000239 CUSA USE OF AND PACK 270 747.5
27000240 SPLINT:LEG 270 184.6
27000242 CAST:SPICA FULL-LITE 270 467
27000243 AVITENE PAD 270 464.2
27000244 OXYGEN HOUR SURGERY 270 10.4
27000246 TRAY-THORACOTOMY 270 467 A4550
27000247 TRAY-THYROIDECTOMY 270 369.1
27000248 BURHAM FINGER SPLINT 270 80.8
27000249 CATH ARGYLE INGRAM 270 59.9
27000250 MYRINGOTOMY PACK 270 109.2
27000251 PULSE OXIMETER 710 184.8
27000252 SAW:GIGLI 270 81.7
27000253 CEMENT BOWL SCND USE 270 7.6
27000254 CHUX 270 7.6
27000255 DILATOR PERIPHBALLON 270 84.4
27000256 CRASH CART:USE OF * 270 318.5
27000257 BRIEF CONT ADULT LRG 270 23.1
27000259 SPLINT:ARM 270 161.2
27000260 HAND DRESSING 270 27.3
27000261 ICP CUP CATH 270 122.5
27000262 INTRODUCER SHEATH 270 13.7
27000263 CAST:SPICA 1/2 LITE 270 369.1
27000264 SPLINT:SPICA-FULL 270 343.9
27000265 MONITOR KIT BOLD 270 535.7
27000266 MONITOR KIT PST CRAN 270 522.5
27000267 MONITOR KIT VENT DRN 270 371.3
27000268 MONITORKITVENT PRES 270 271.9
27000269 NASAL AIRWAY 270 19.8
27000270 PACK BABY 270 95.2
27000271 PERFORATOR DISP 270 136.8
27000272 OXYGEN EA ADD 15MIN 270 5.2
27000273 ROLL COTTON 270 23.9
27000274 SHUNT KIT CORDIS 270 883.5
27000275 SUBCLAVIAN CATHETER 270 34
27000276 SUCTION CATHETER 270 12
27000277 SUCTION KIT 270 12
27000278 NITROUS OX HOUR 270 19.8
27000279 SUCTION TIP 270 12
27000280 NITROUS OX EA ADD 15 270 10.4
27000282 TUBE BRONCHIALLT & RT 270 127.6
27000286 SLEEVE SURGICAL 270 11.7
27000287 IMMOBILIZER KNEE 274 103.3 L1830
27000288 IMMOBILIZER SHOULDER 274 53.9 L3650
27000289 WIRE-PASS DRILL 270 54.5
27000290 USE OF DYONIC DRILLS 270 47.7
27000291 USE OF MICROSCOPE 270 177.7
27000292 USE OF CAMERA & FILM 270 34
27000293 USE OF ICP MONITOR 270 68
27000294 USE OF APNEA MONITOR 270 68
27000295 USE OF VIDEO & CAMERA 270 203.9
27000297 SHAVE PREP TRAY 270 15 A9900
27000298 VENT DRAIN EXT CORDI 270 139.5
27000299 IVAC DAILY 270 27 A4211
27000300 CONTAMINATED CASE 270 68
27000301 DRESSING:KLING-ALL 270 18.1
27000302 CATH:ANGIO 270 18.1
27000303 BAG:BILE 270 27.3
27000304 CULTURE TUBE 270 10.9 A9900
27000305 BANDAGE:ELSTIC/AGE 270 18.1
27000306 BANDAGE:MUSLIN 270 18.1
27000307 PAD:PERI/BELT 270 18.1
27000308 PLASTIC TRAY 270 104.8
27000309 BIOP KIT:BRSH CYTO 270 25.6
27000310 BIOPSY KIT;BRSH GI 270 117.7
27000311 BIOPSY BRSH:URTERA 270 314.8
27000312 CATH:ROBINSON 270 7.3
27000426 NEEDLE:BIPSY TRU CUT 270 97.9 A4215
27000427 PIN:KNOWLES 270 117.7
27000429 HIP:ASTN-MORE SOLID 270 1031.3
27000431 SPACER:TENDON 270 253.3
27000432 TESTICULAR 278 309.6
27000433 TOE:GREAT 278 351.2
27000434 CANCELLUS SCREW 278 114.2
27000435 SCREW:WOODRUFF 278 38.1
27000436 SHUNT:SAFT 270 161.2
27000437 VESSEL TIP:TEFLON 270 192.1
27000438 K-WIRES 270 56.3
27000439 ARCH BAR/BAND 270 38.1
27000441 MYRINGOTOMY KNIFE 270 63.3
27000442 DRILL BURRS 270 155.7
27000443 PORP/TORP 270 334.8
27000444 VENT TUBE:AMSTRG/GRM 270 97.9
27000445 VENT TUBE: HOSE WFE 270 222.7
27000446 VENT TUBE:RICHARDS T 270 81.7
27000447 VENT TUBE:SHEPARD 270 56.3
27000448 BURR HOLE:COVER 270 390.9
27000449 CARNIOPLASTIC KIT 270 438.1
27000450 0.22 MICRON FILTER 270 3.9 A4770
27000451 HYDROCEPHALUS SHUNT3 270 1005.9
27000453 CORPOREAL 270 542.8
27000454 CEMENT RESTRICTOR 270 81.7
27000455 FIXATION SET:HOFFMAN 270 117.7
27000456 ECT-COMP PLATE SET 278 613.5
27000457 SCREW:EUROPEAN MALLE 278 63.3
27000458 SCREW:CORTICAL 360 38.1
27000460 PIN:GUIDE 270 38.1
27000461 PIN:HAGIE 278 117.7
27000462 PIN SET:RUSH 278 743.5
27000463 SCREW:HIP COMPRESSIO 278 56.3
27000464 STAPLE:PLAIN 270 47.3
27000465 STAPLE:BORBEC 270 56.3
27000466 STAPLE:COVENTRY 270 63.3
27000467 STAPLE:STONE/TABLE 270 63.3
27000468 TUBE PLATE 278 400
27000469 SCREW:LAG 278 314.6
27000470 ACETABULAR COMPONENT 278 805.1
27000473 CPI(PACEMAKER) 275 348.4
27000474 LINEAR TRH 30 270 383.2 E0205
27000475 LEADS 275 1805.3
27000476 CARRION PENILE 278 1340.5
27000477 FINGER:SWANSON 278 423.5
27000478 SHEETING SILASTIC 278 365.7
27000479 GRAFT:BOVINE 278 2427.7
27000482 SHUNT:CLAMP 270 56.3
27000483 USCI BIF:KNITTED 278 852.2
27000484 USCI BIF:WOVEN 278 792.4
27000485 USCI STRT:WOVEN 278 595.4
27000486 STENT:DOUBLE J 270 389.1
27000487 STENT:GIBBONS 270 264
27000488 DRAPE:SPLIT SHEET 270 63.3
27000489 BLAD:BEAVER ENT 270 97.9
27000490 DRAPE:MICROSCOPE 270 47.3
27000491 DRAPE: U 3-M 270 63.3
27000492 DRAPE:3-M SMALL 270 38.1
27000493 DRAPE:3-M LARGE 270 38.1
27000494 DRAPE:UROLOGICAL 270 117.7
27000495 BLADE:BEAVER KNEE 270 56.3
27000496 BLADE:BROWN DEMATM 270 72.4
27000497 BLADE: DAVOL DEMATM 270 63.3
27000498 BLADE:NEURO 270 161.2
27000499 KNIFE:MYRINGOTOMY 270 63.3
27000500 VEIN STRIPPERS:DIS 270 81.7
27000501 VESSEL LOOPS 270 38.1
27000502 DRAPE:BASIC 270 97.9
27000503 DRAPE:CASETTE X-RAY 270 27.3
27000504 DRAPE:HALF 270 18.1
27000505 DRAPE:HEAD & NECK 270 155.7
27000506 DRAPE:LAP 270 81.7
27000507 DRAPE:GRANI 270 155.7
27000508 CAST:GAUNTLET 270 159.5
27000509 PACK-CV MAJOR 270 736.3
27000510 PACK-CV MINOR 270 441.4
27000511 PACK-CYSTO 270 233.6
27000512 PACK-EAR 270 295
27000513 PACK-ENDOSCOPY 270 197.2
27000514 PACK-GYN MAJOR 270 307.7
27000515 PACK-GYN MINOR 270 135.6
27000516 PACK-LAMINECTOMY 270 282.4
27000517 PACK-LAPAROSCOPY 270 172.1
27000518 PACK-MAJOR 270 197.2
27000519 PACK-MINOR 270 172.1
27000520 PACK-NASAL 270 210
27000521 PACK-OPTH-MAJOR 270 369.1
27000522 PACK-OPTH-MINOR 270 220.9
27000523 PACK-ORTHO-MAJOR 270 307.7
27000524 PACK-ORTHO-MINOR 270 269.5
27000525 PACK-T&A 270 111.1
27000526 PACK-THORACOTOMY 270 528.5
27000527 PACK-THYROIDECTOMY 270 392.5
27000528 PACK-TOTAL JOINT 270 589.9
27000529 PACK-TRACH 270 197.2
27000531 O.P. LOCAL SET 270 411.3
27000532 PACK-TURP 270 1105.4
27000533 O/R SET 270 210
27000534 ARTERIAL LINE 270 220.9
27000535 ARTERIAL LINE SET 270 220.9
27000536 CVP LINE 270 184.6 A4300
27000537 CUP-LINE SET 270 184.6
27000538 TRAY-CV MAJOR 270 613.5
27000539 TRAY-CV MINOR 270 467
27000540 ACCUPRO TUBING 270 35.8
27000541 TRAY-EAR 270 515.5
27000542 TRAY-ENDOSCOPY 270 97.9
27000543 TRAY-CISTO 270 123.1
27000544 TRAY-GYN MINOR 270 97.9
27000545 TRAY-LAMINECTOMY 270 490.3
27000546 TRAY-LAPAROSCOPY 270 430.6
27000547 TRAY-MAJOR 270 343.9
27000548 TRAY-MINOR 270 307.7
27000549 TRAY-NASAL 270 430.6
27000550 TRAY-OPTH-MAJOR 270 490.3
27000551 TRAY-OPTH MINOR 270 307.7
27000552 TRAY-ORTHO-MAJOR 270 638.5
27000553 TRAY-ORTH-MINOR 270 430.6
27000554 TRAY-T & A 270 307.7
27000555 TRAY-THORACOTOMY 270 467
27000556 THYROIDECTOMY 270 369.1 A4554
27000557 TRAY-TOTAL JOINT 270 713
27000558 TRAY-TRACH 270 369.1
27000559 MYRINGOTOMY PACK 270 109.2
27000560 TRAY-TURP 270 220.9
27000561 SAW:GIGLI 270 81.7
27000562 SGMOIDSOPE 270 27.3
27000563 STAPLE:REMOVER 270 38.1
27000564 CUSA USE OF AND PACK 270 747.5
27000565 CRASH CART:USE OF* 270 318.5
27000566 SPLINTING MATERIALS 270 87.1
27000567 SPLINTING MATERIALS 270 110.6
27000568 SPLINT:ARM LIGHT 270 161.2
27000569 SPLINT:LEG LIGHT 270 184.6
27000570 ACCUSET 270 60.4
27000571 SPLINT:SPICA-1/2 270 269.5
27000572 CAST:SPICA 1/2 LITE 270 369.1
27000573 SPLINT:SPICA-FULL 270 343.9
27000574 SPLINT:POSTERIOR 270 197.2
27000576 SCHNEIDER INSTRUMENT 270 175.4
27000577 K PAD USE 270 47.7
27000578 NUTRAKE TRAY 270 198.9
27000579 CORD BLOOD TUBE 270 7.6
27000580 ARTHROSCOPY PUMP USE 270 47.7
27000584 CATH PERITONEAL 270 95.2
27000587 SCHNEIDER ROD 270 203.9
27000591 QUINTON INJ CAP 270 62.1
27000592 AMSQUICK CONNECT 270 40.9
27000593 FLEXDRILLHARRIS GAL 270 157.8
27000594 STAPLE SET 270 163.2
27000595 POLYPLUG 270 95.2
27000599 HOFFMANADJ ROD 278 244.8
27000600 HOFFMAN LG CONN ROD 278 95.2
27000601 HOFFMAN COODING ROD 278 223
27000602 HOFFMAN PIN 278 95.2
27000603 HOFFMAN PIN CAP 278 11.7
27000604 HOFFMAN RUNNER PINS 278 95.2
27000605 NAIL LOTUS 278 136
27000607 CLOUTIER TOTAL KNEE 278 1637.8
27000608 CLOUTIER BRETAINER 278 734.1
27000609 CLOUT TIBAIPLATEAU 278 237.9
27000610 CLOUTPATELLARDOME 278 258.3
27000611 ARTHROSCOPY TRAY 270 407.8
27000612 ARTHROSCOPY PACK 270 271.9
27000613 ARM SLING 270 37.6
27000614 ARTHROSCOPIC CANNWLA 270 47.7
27000616 MICROBIOLOGY BRUSH 270 18
27000618 AX55G ARTICULATOR 270 1158.2
27000619 ARTHROSCOPY BLADE 270 47.7
27000620 CANICULUS INTUB SET 270 129.2
27000621 USE OF DOUNUT 270 13.7
27000622 DRAPE THYROID 270 16.5
27000624 BEDPAN URINAL 270 15
27000625 LIGHT GLOVES 270 11.7
27000627 NASAL SPLINT 270 32.7
27000628 NERVE STIMULATOR 270 107.5 E0745
27000629 TROCAR LAPAROSCOPY 270 214.5
27000631 WIPE MENTOR 270 7.6
27000632 ARTHROSCOPY IRRIG 270 34
27000633 DOPPLER USE OF 270 34
27000634 DRILLS DYONICS 270 47.7
27000635 MINIFRAGMENT SET USE 270 297.7
27000636 SM FRAG SET USE OF 270 297.7
27000637 ARTHROS SHAVER ABRAD 270 47.7
27000638 GARDNER TONGS 270 122.5
27000639 KIRSCHNER USE 270 13.7 A9190
27000640 CRANIOTOMY TRAY 270 679.6
27000641 CRANIOTOMY PACK 270 407.8
27000642 PLASTIC PACK 270 76.3
27000643 CONTAMINATED CASE 270 68
27000645 MAST SUIT 270 47.7
27000647 TCT 75 RELOADER 270 567.3
27000648 TLC 55 RELOADER 270 761.2
27000649 TCT 75 CUTTER LINEAR 270 1286.5
27000651 PRW 35 ROTATIND HEAD 270 224.1
27000652 TCT 55 RELOADER 270 169
27000653 OSTOMY BRIDGE 270 154
27000655 TPV 30 RELOADER 270 346.5
27000656 STRYKER CBC RESERVOIR 270 594
27000657 STRYKER PVC DRAIN 270 59.4
27000658 HEMOCLIP ECOSYSTEM 270 81.4
27000659 PANTALOON 270 418
27000660 CATH SILASTIC COUN 270 27.5
27000661 LARYNGEAL AIRWAY 270 275
27000662 PRESSURE BAG IV 270 66
27000664 DERMATONE BLADE 270 74.8
27000665 SET-GEN ANESTHESIA 270 202.8
27000831 GUIDEWIRE CATH 70 CM 270 55
27001010 CATH:KIT FEMALE 270 16.5 A4328
27001011 CRANIOTOMY KIT 270 371.3
27001012 CAUTERY TIP TEFLON 270 27
27001013 MAYFIELD SKULL PINS 270 47.2
27001014 ESOPH. DIL. PACK 270 14.8
27001020 SCLEROSING PACK 270 119.9
27001021 SCEROTHERAPY NEEDLE 270 72
27001022 SIGMOID PACK 270 52.4
27001028 CYTOLOGY DISPOSIBLE 270 59.4
27001030 PARACENTESIS 270 118.8
27001031 HEATHER PROBE COAG 270 202
27001032 RIGFLEX BALLOON DIL. 270 202
27001033 SAVARY GILLARD DILAT 270 89.1
27001034 CONSCIOUS SEDATION 270 0 99141
27001035 E-WALD LAVAGE 270 178.2
27001037 ESOPHAGEAL DILATATION BALLOON 360 0 43220
27001038 FOREIGN BODY REMOVAL 270 178.2
27001039 NASOBILIARY/NASOPANCREATIC DRN 360 0 43267
27001040 POLIPECTOMY 360 0 43251
27001041 PROCEDURE CHARGE: 1RST 30 MIN 270 0
27001042 PROC.CHARGES:EA/ADD'L 15 MIN 270 0
27001051 GT BALOON REPLACEMENT 270 110
27001053 SPECIMEN TRAP 270 22
27001135 WIRE GUIDE 270 220
27001136 BILIARY STENT KIT 270 220
27001137 ULTRATOME 270 385
27001138 SPHINCTEROTOME 270 550
27001139 SAVARY GUIDEWIRE 270 110
27001140 RETRIEVAL BALOON 270 242
27001141 BALOON DILATION CATH 270 297
27001142 DISP PRESSURE GAUGE 270 44
27001143 WIRE BASKET 270 330
27001144 FLOOROTOME 270 330
27001145 SOLOPASS BILIARY ST 270 330
27001146 BILLARY STENT KIT 270 198
27001490 ORTH HIP ASTN MOORE 270 1042.8
27001511 CUSHION INFLATABLE RING 270 26.4 A9900
27001514 TRAY:BRONCHOSCOPY 270 140.8 A4550
27001518 CATH:Y CONNECTOR 270 18.7
27001520 TRACT:BUCK O/H-SETUP 270 99 E0880
27001524 BLADE NEURO 270 163.9
27001528 BRACE:ELBOW 270 27.5
27001529 NEEDLE SELDINGER 18GA X 2 7/8 270 44 A4215
27001534 PACER ELECT BIPOLAR 270 242 A4301
27001537 MASK BILI INFANT EYE COVER 270 27.5 E0205
27001543 PACK SCLEROSING 270 69.3
27001555 RT CIRCUIT AEROSOL 270 26.4
27001562 TRAY PERCUTANEOUS 270 99 A4550
27001563 ANES:PARACENTIS TRAY 270 125.4
27001564 CANE QUAD 270 99
27001565 TUBE RECTAL RUBBER 270 0
27001566 ORTHO PELVIC BELT 270 132 E0944
27001570 TRAC INTERMITENT 270 49.5
27001580 TRAY MYELOGRAM 270 99
27001593 RT PEAK FLOW METER 270 61.6
27001604 TUBE:LINTON 270 280.5 A9900
27001608 SUT CARDIOVASCULAR 270 58.3
27001609 SUTURE EXTRA 270 30.8
27001611 SUT BOLSTER/RETN 270 39.6
27001612 SUT OTHER 270 64.9
27001619 KNIFE MYRO/OPTH 270 64.9
27001624 FEED SUPP ADULT 270 4.4
27001625 ORTH IMPLANT CHARGE 278 1349.7
27001629 TRACT:BUCK O/H-DAILY 270 137.5 E0880
27001636 SUSPENSORY/SUPPORTER 270 18.7
27001637 PACK CARD MAJOR 270 744.7
27001638 PACK ENDOSCOPY 270 101.2
27001639 PACK LAMINECTOMY 270 286
27001640 PACK MAJOR 270 200.2
27001641 PACK MINOR 270 174.9
27001642 PACK T&A 270 112.2
27001643 PACK THOROCOTOMY 270 534.6
27001645 PACK TURP 270 1117.6
27001647 TUBING OXY CONNECT 270 20.9
27001649 RT CIRCUIT VENT 270 61.6
27002020 DRESSING:BURN 270 33
27002340 ARTERIAL SHEATH 270 33
27003915 MOBILE CPR CART 270 310.7
27003924 ANESTHESIA MACHINE 270 128.7
27003933 SUTURE EACH 270 11
27003942 DRESSING:KLING-ALL 270 17.6
27003951 CATH:ANGIO 270 17.6
27003969 CULTURE TUBE 270 11
27003978 BANDAGE:ELSTIC/ACE 270 17.6
27003987 PAD:PERI/BELT 270 3.3
27003996 BIO KIT:BRSH CYTO 270 25.3
27004005 BIOPSY KIT:BRSH GI 270 117.7
27004014 CATH:ROBINSON 270 7.7
27004023 CATH:EMBOLECTOMY 270 222.2
27004032 CATH:FOLEY 270 47.3
27004041 TRAY:CATHETER FOL 270 81.4
27004059 CATH:URETERAL 270 56.1
27004068 BOT-O-JET 270 38.5
27004077 DRAIN:PENROSE 270 7.7
27004086 GAUZE:MEDICATED 270 17.6 A9900
27004095 DRESSING:ADAPTIC 270 17.6 A6200
27004104 DRESSING:TELFA 270 7.7
27004113 DRESSING:KERLIX 270 17.6 A6264
27004122 CLIP:HEMO PACKAGE 270 17.6
27004131 PEN:MARKING 270 17.6
27004149 TRAP:BRONCH 270 27.5
27004158 NASAL STENT 270 38.5
27004167 NEEDLE:SPINAL 270 17.6
27004176 RAYTEC 270 7.7
27004185 LAP:SPONGES 270 7.7
27004194 DRESSING:STERI STRIP 270 17.6
27004203 STOKNETE:TBLAR STA 270 117.7
27004212 STOCKINGS:TED 270 56.1
27004221 SURGICEL 270 81.4
27004239 SYRINGE:IRRIGATION 270 17.6
27004248 SYRINGE:BULB 270 17.6
27004257 TRAY:IRRIGATION 270 27.5 A4320
27004266 TUBE:T 270 47.3
27004275 TUBE:TRACH SHILEY 270 161.7
27004284 TUBE:SUCTION 270 17.6
27004293 TUBE:LEVINE 270 17.6
27004302 IRRIGANTS 270 27.5
27004311 TUBING:TUR 270 38.5
27004329 RSRVOR:JKSN-PRAT 270 117.7
27004338 STAPLE:SKIN 270 161.7 A9900
27004347 CEMENT SET:BONE 270 283.8
27004350 BILIARY DRAINAGE SET 621 183
27004356 SUTURE:AUTO OTHER EE 270 396
27004365 SUTURE:CV 270 56.1
27004374 SUTURE:EYE/MICRO 270 117.7
27004383 MARLEX MESH 278 305.8
27004392 K-WIRES 270 56.1
27004401 LENS-INTRAOCULAR 276 1105.5
27004419 MYRINGOTOMY KNIFE 270 63.8
27004428 VNET TUBE:HOSE WFE 270 222.2
27004437 VENT TUBE:SHEPARD 270 56.1
27004446 CEMENT RESTRICTOR 270 81.4
27004455 SCREW:CORTICAL 278 38.5
27004536 DRAPE:U 3-M 270 63.8
27004545 DRAPE:3-M SMALL 270 38.5
27004554 DRAPE:3-M LARGE 270 38.5
27004563 VESSEL LOOPS 270 38.5
27004572 DRAPE:HALF 270 17.6
27004581 IMPLANT CHARGE 278 0
27004599 PACK - CV MAJOR 270 735.9
27004608 PACK - CYSTO 270 233.2
27004617 PACK -EAR 270 294.8
27004626 PACK -ENDOSCOPY 270 196.9
27004635 PACK -GYN MAJOR 270 308
27004644 PACK -GYN MINOR 270 135.3
27004653 PACK -LAPAROSCOPY 270 171.6
27004662 PACK MAJOR 270 196.9
27004671 PACK MINOR 270 171.6
27004689 PACK NASAL 270 210.1
27004698 PACK-OPTH-MAJOR 270 369.6
27004707 PACK-OPTH-MINOR 270 221.1
27004716 PACK-ORTHO-MAJOR 270 308
27004725 PACK-ORTHO-MINOR 270 269.5
27004734 PACK-T & A 270 111.1
27004743 PACK-TRACH 270 196.9
27004752 PACK-TURP 270 1105.5
27004761 CVP LINE 270 184.8
27004770 BLD.PUMP SET SURG 270 30.8
27004779 TRAY-CV MAJOR 270 613.8
27004788 TRAY - CV MINOR 270 467.5
27004789 LITHOTRIPTER MACHUSE 270 110
27004790 LITHOTRIPTER PROBES 270 524.2
27004791 DISP ACTIVE CORD 270 55
27004792 LOOP CUTTING 270 66
27004793 LEVEEN INFLATOR 270 88
27004794 WECK SPEARS 270 20.9 A4649
27004797 TRAY - CYSTO 270 123.2
27004798 PLATE COMP KEYFREE 278 440
27004799 CLIP GUN RANEY 270 82.5
27004800 ARTHROSCOPY IRRIGTUB 270 88
27004801 SURGICLIP 270 374
27004802 PURSTRING SUTURE AUT 270 110
27004803 ROTICULATOR 278 500.5
27004804 NUCLEOTOME & DISP KIT 270 1320
27004805 C-SECTION TRAY 270 143 A4550
27004806 TRAY - EAR 270 515.9
27004807 INTRAOP AUTOTRANS 270 220
27004808 AUTOTRANS REPL KIT 270 110
27004809 POSTOP CBC RESEVOIR 270 181.5
27004810 PACK CUSTOM ARTH 270 145.2
27004811 MALIS IRRIG&TUBING 270 110
27004814 NEEDLE POP N COUNT 270 16
27004815 TRAY - ENDOSCOPY 270 97.9
27004816 PAD PERI EXTRA 270 7.3
27004817 TOURNIQUET DISP 270 88
27004818 SUTURE STATEK 270 310.2
27004820 BSS SOLUTION 270 88
27004821 STAPLER PDS DISP 270 249.6
27004823 CAMERA COVER 270 11.6
27004824 TRAY -GYN MINOR 270 97.9
27004825 CAUTERY OPTHALMIC 270 29.2
27004826 CLIP MICHELLE 270 29.2
27004827 CLIP VARIANGLE 270 253
27004828 DERMAHOOK 270 33
27004829 DRAPE MAYO 270 25.9
27004830 DRILL BIT 270 55
27004831 JURGAN PINBALLS 270 16
27004832 I KNIFE 270 55
27004833 TRAY-LAPAROSCOPY 270 430.1
27004834 NEEDLE ADKINSON 270 12.7
27004835 ALCOHOL PREP KIT 270 19.3
27004836 DISP HOLSTER 270 9.4
27004837 TUBING SILICONE JP 270 48.4
27004838 NEEDLE CYSTOTOME 270 12.7
27004840 SHEET TRANSVERSE LAP 270 29.2
27004841 SHEET LAPAROSCOPY 270 29.2
27004842 TRAY - MAJOR 270 344.3
27004843 DRAPE EYE CLEARVIEW 270 12.7
27004844 DRESSING 4X4 270 7.3
27004845 SHIELD FULLER 270 25.9
27004846 SUCTION CANNISTER 270 13.5
27004847 SUTURE TA55 270 666.6
27004848 SUTURE PLASTIC 270 16
27004849 DRAIN CRANIOTOMY 270 161.2
27004850 BIPOLAR CORD DISP 270 39.1
27004851 TRAY - MINOR 270 308
27004852 PENILE PROSTHESISINF 270 7700
27004869 TRAY - NASAL 270 430.1
27004878 TRAY -OPTH -MAJOR 270 490.6
27004887 TRAY -OPTH -MINOR 270 308
27004890 BLOOD Y-TYPE 270 12.9
27004896 TRAY -ORTHO -MAJOR 270 638
27004900 CUT RESISTANT GLOVES 270 64.7
27004905 TRAY -ORTHO -MINOR 270 430.1
27004914 TRAY T & A 270 308
27004923 TRAY TRACH 270 369.6 A4625
27004932 TRAY TURP 270 221.1
27004941 SGMOIDSCPE 270 27.5
27004959 SPLINTING MATERIALS 270 86.9
27004968 SPLINTING MATERIALS 270 111.1
27004977 SPLINT:POSTERIOR 270 196.9
27004986 O/R SUPPLIES 270 0
27004995 PACK ICE 270 3.3
27005000 TLC 75 LINEAR CUTTER 270 367
27005001 TCR 75 RELOAD 270 191.9
27005004 TRAY SURGICAL PREP 270 36.3
27005013 TRAY: C-SECTION PREP 270 68.2
27005022 TRAY:DELIVERY 270 215.6 A4550
27005031 RAZOR:DISPOSABLE 270 2.2 A9900
27005049 BASIN:EMESIS 270 13.2
27005058 CATH:UMBILICAL 270 60.5
27005067 CATH:URINE ST 270 18.7
27005076 COLLAR:ICE 270 13.2
27005085 IRRIGANT:ALL SIZES 270 33 A4712
27005090 PRE FILL HUMID 500 270 26
27005093 STERILE H20 500 ML 270 18.5
27005094 IV START PCK W/OP-S* 270 14.3
27005095 OXY MASK P 270 16.8
27005103 SPONGE:4X4 STR 10/PK 270 18.7 A6251
27005112 SYRINGE:BULB/EAR 270 18.7
27005121 TRAY:CATHETER FOLEY 270 82.5 A4310
27005139 TRAY:MONITORING 270 99
27005148 UNDERPAD:EACH 270 13.2
27005157 TRAY:PUDENDAL 270 63.8
27005166 PUMP:IVAC-DAILY 270 33
27005175 PUMP:IVAC-SETUP 270 46.2
27005184 SET:ANESTHESIA 270 69.3
27005193 SET:ANESTHESIA 270 69.3
27005202 ANGIOCATH 270 14.3
27005211 SET:ANESTHESIA 270 69.3
27005229 ELECTRODE:SPIRAL INF 270 30.8
27005238 PACK:DELIVERY ROOM 270 66
27005247 AMNIHOOK 270 13.2
27005256 PAD:ATTENDS PK/6 270 22
27005265 FATHER'S SCRUB SET 270 19.8
27005274 VACUUM EXTRACTION 270 63.8
27005283 UNDERPADS BULK 270 14.3 A4554
27005292 UNDERPAD 6/PK 270 18.7 A4554
27005301 CATH IV ANGIO 270 8.8
27005319 SET CATH ANGIO W/ADP 270 22
27005328 BRIEF CONT ADULT LRG 270 3.3
27005337 IV START PACK 270 15.4
27005346 SPONGE 4X4 STER 2 PK 270 14.3 A6251
27005355 DSG SPNG DRAIN S PK2 270 14.3 A6264
27005364 SPONGE 4X4 STR 10/PK 270 18.7 A6251
27005373 THERMOMETER KIT 270 27.5
27005382 RAZOR SINGLE EDGE 270 3.3 A9900
27005391 KIT:SUCT 14FR 10/PK 270 15.4 A4624
27005409 TISSUE BEDSIDE 270 3.3 A9900
27005418 DSG IV CATH TRANSPORT 270 27.5
27005427 SWABSTICK BETADINE 270 3.3 A9900
27005436 URINAL 270 3.3
27005445 DRESSING:KERLIX ROLL 270 18.7 A6264
27005454 BEDPAN FRACT/STACK 270 3.3
27005463 COMB BABY 270 3.3 A9900
27005472 DSG KLING STR 270 18.7
27005481 DSG TELFA 270 11
27005499 TRAY CATHETER FOLEY 270 83.6
27005508 TRAY ADD A FOLEY 270 53.9 A4354
27005517 SUCT CANNISTER 1200M 270 27.5 A7000
27005526 MATTRESS:EGGCRATE 270 36.3 A9190
27005535 SUCTION TIP YANKAUER 270 15.4 A4624
27005544 SWAB LEMON GLYCERIN 270 3.3 A9900
27005553 TUBE ENDOTRACH 3.5MM W/O CUFF 270 31.9
27005562 TUBE TRACH #7 FENESTRATED 270 121
27005571 SPECIPAN 270 18.7 A9900
27005589 CONTAINER SPECIPAN STERILE 270 14.3
27005598 DSG GZ XEROFORM 270 16.5
27005607 BASIN EMESIS 270 3.3
27005616 BASIN RECT 8 QT 270 3.3
27005625 MTHWASH NON ALC 4 OZ 270 3.3 A9900
27005634 SYRINGE BULB/EAR 270 3.3 A9900
27005643 POWDER BABY 4 OZ 270 3.3 A9900
27005652 CARAFE 270 3.3
27005661 SLIPPERS DISP 270 3.3 A9900
27005679 CLOSURE STERI-STRIP 270 18.7
27005688 PAD PERI STR EA 270 3.3
27005697 IV ARMBOARD 270 18.7
27005706 TUBE:SUCTION CONNECT 270 18.7
27005715 RESTRAINT WRIST 270 30.8 E0710
27005724 SUCTION CATH 270 18.7
27005733 LOTION BODY 4 OZ 270 3.3
27005742 CREAM SHAVE 1 OZ 270 5.1 A9900
27005751 TUBE FEEDING 5FR 15" 270 18.7 A9900
27005769 BAG FEEDING W/PATROL PUMP SET 270 20.9 A4649
27005778 KIT SUTURE REMOVAL 270 28.6 A4550
27005787 STAPLE EXTRACTOR 270 39.6 A9900
27005796 PACK:INSTANT COLD 270 3.3 A9900
27005805 TRAY CATH URETHRAL 270 27.5
27005814 PAD ABO TENDERSORB 270 13.2
27005823 CATH FOLEY 5CC 30FR 270 21.4
27005832 CATH FOLEY 3WAY 5CC 16FR 270 92.4 A4338
27005841 CATH COUDE 270 83.6
27005859 TUBE:LEVIN 270 19.8
27005868 CRUTCHES EXTRA SMALL 270 80.3
27005877 TRAY TRACH CARE/CLEA 270 20.9 A4625
27005886 DIAPER INFANT PK (12) 270 3.3
27005895 BELT MATERNITY 270 3.3 A4649
27005904 URINE METER 270 64.9 A9900
27005913 KIT URINE MIDSTREAM SPECIMEN 270 60.5 A4329
27005922 STOCKING ANTIEMBOLSM 270 60.5 A4510
27005931 BUCKET ENEMA 270 5.5
27005949 HOLDER ENDOTRAC TUBE 270 27.5
27005958 CATH:URINARY EXT ML 270 27.5
27005967 TRAY IRRIGATION 270 27.5 A4320
27005976 SPUTUM COLLECTION KIT 270 27.5 A9900
27005985 TRAY SHAVE PREP 270 3.7 A9900
27005994 KIT:ADMIT PEDIATRIC 270 27.5
27006003 CERVICAL COLLAR 274 46.2 L0120
27006012 IMMOBILIZER SHOULDER 274 67.1 L1830
27006021 KNEE IMMOBILIZER 274 127.6 L3650
27006039 SPLINT CLAVICLE 270 60.5 A4570
27006048 ELECTRODE EKG PK 270 16.5 A4300
27006057 PERI BOTTLE 270 3.3 A5149
27006066 PAD:OB MAXI BX/10 270 3.3 A9900
27006075 A & D OINTMENT PACKET 270 3.3 A9900
27006093 SHAMPOO 270 12.1 A9190
27006102 IV BUTTERFLY 270 14.3
27006111 COLLECTOR URINE NB 270 4.8
27006129 SLING ARM 270 45.1 A4565
27006138 CULTURETTE 270 14.3 A9900
27006165 DRESSING VASELINE GAUZE 3"X36" 270 18.7
27006174 SPLINT:FINGER 270 22 A4570
27006183 DSG TUBE GZ/BAND NET 270 23.1
27006192 BAG LEG DISPOSAL 270 27.5
27006201 BLOOD FILTER 270 53.9
27006219 CATH PLUG 270 13.2 A4357
27006228 PROTECTOR HEEL 270 61.6 E0191
27006237 AIRWAY ORAL 270 27.5
27006246 BAG ANTIREFLEX 2000C 270 39.6
27006255 TRAY INTUBATION ADULT 270 192.5 A4629
27006264 CONNECTOR 5 IN 1 270 18.7
27006273 TRAY INFANT LUMBAR PUNCTURE 270 67.1 A4550
27006282 TRAP MUCOUS SPEC 80C 270 22 A9900
27006291 DSG DUODERM 4X4 270 36.3 A6257
27006309 RESTRAINT VEST/JACKET 270 78.1 E0710
27006318 COLLECTOR URINE PEDIATRIC 270 4.8
27006327 POUCH DRAINABLE 270 18.7
27006345 STOPCOCK 3 WAY 270 18.7 A4329
27006363 EYE PROTECTOR BLACK 270 6.6 A6264
27006372 TRAY ENT 270 122.1 A4550
27006381 TRACT:W/TRAPEZE-DLY 270 93.5 E0910
27006399 WAFER:STOMAHSIVE 270 27.5
27006408 SHROUD ADULT 270 15.4 A9900
27006417 KIT GASTRIC LAVAGE 270 60.5 A4550
27006435 TRAY THORACENTESIS 270 99 A4550
27006444 STRAINER:URINE 270 3.3
27006453 CLAMP COLOSTOMY 270 18.7 A4421
27006462 SPLINT:COLLES 270 67.1 A4570
27006471 PAD DEFIBRILLATOR 270 27.5 A9900
27006489 SITZ BATH 270 6.2 A9900
27006498 HYPOTHERMIA BLANKET 270 127.6 E0218
27006507 TRAY:NASAL HEMMORAGE 270 119.9 A4550
27006516 SPLINT WRIST FOREARM 270 53.9 A4570
27006525 SHIELD NIPPLE 270 40.7 A9900
27006534 BAG DOUCHE 270 27.5 A4649
27006543 AIRWAY NASAL 270 39.6
27006552 TRAY CVP DSG CHANGE 270 31.9 A4550
27006561 SPLINT TRACTION BUCK 270 127.6 A4570
27006579 PELVIC HOLDER LARGE 270 77 E0944
27006588 TRAY:THORACOTOMY ADULT 270 473 A4550
27006597 TRAY:PLASTIC 270 97.9
27006606 SPLT ANTER/POSTERIOR 270 75.9
27006615 TUBE TRACH SHILEY 270 163.9
27006624 TRACT:W/TRAPEZE-SETU 270 88 E0910
27006633 TRAY:UMBILICAL 270 159.5 A4550
27006642 PEDIALYTE 4 OZ BTL 270 3.7 A4712
27006651 TRAY:CHEST 270 187 A4311
27006678 PROBE TEMPERATURE 270 74.8 A9900
27006705 TRAY:DRESSSING 270 80.3 A4550
27006714 IRRIGANT SOL 1000CC 270 16.5 A4323
27006723 ANTI-REFLUX VALVE 270 25.3
27006732 SPLINT:MAXIPOST<10 270 51.7
27006741 SPLINT:MAXIPOST>10 270 62.7
27006759 KIT PEDIATRIC CATHETER 270 13.2 A4329
27006768 EXT CATH Y-TYPE INT 270 42.9 A4335
27006777 INJECTION SITE 270 16.5 A4230
27006778 MISC CHARGE 270 0 A4649
27006786 PAD EYE GAUZE 270 2.2 A9900
27006795 NASAL CANNULA ADULT 270 8.8 A4615
27006804 CAST ARM-SHORT 270 132
27006813 CAST LEG-LONG 270 126.5 A4580
27006822 CAST LEG-SHORT 270 115.5 A4580
27006831 SUPRAPUBIL INTRO SET 270 214.5 A4550
27006849 MASK OXYGEN ADULT 270 26.4 A9900
27006858 PAD LEG EXERCISER 270 178.2 E0189
27006867 RESTRAINT HAND MITTENS 270 35.1 E0710
27006876 SET CONT OVRHD IRRIG 270 22 A4355
27006885 TELEMETRY:DAILY 270 231 A9900
27006894 TRAP:INFANT MUCUS 270 16.5 A9900
27006903 BODY ALIGNER 270 38.5
27006912 KIT:PERITONEAL LAVAG 270 121 A4301
27006939 BOTTLE:BABY 8 OZ 270 3.8
27006948 K-PAD:DISP 25 X 22 270 36.7
27006957 IRRIGANT SOL 2000 CC 270 33 A4712
27006966 KIT SUCTION 14FR EA 270 3.9 A4624
27006975 SPECULUM VAGINAL DISP 270 18.7 A9900
27006984 STOCKINETTE BIAS YD 270 3.3 A4580
27006993 TUBE:COLON 270 44
27007002 CATH:TWO LUMEN HEMO 270 308 A4301
27007011 TRAY SUTURE DISP 270 44 A4550
27007029 TRAY:DEL OB INSTR 270 137.5 A4550
27007038 PCA PUMP DAILY 270 44 E0783
27007047 PCA PUMP SET-UP 270 44 E0783
27007056 EXTN SET W/INJ SITE 270 29.7 A4335
27007065 SPLINT ARM 270 55 A4570
27007074 BED:THERAPY AIR FLUID 270 341 E0277
27007083 CART:ISOLATION SET UP 270 269.5 A9900
27007092 CART:ISOLATION DAILY 270 121 A9900
27007101 EXERCISER:LEG DAILY 270 77 E0935
27007119 EXCERCISER:LEG SET-UP 270 66 E0935
27007128 UNIT:HYPOTHERMIA DAILY 270 72.6 E0218
27007137 UNIT:HYPOTHERMIA SETUP 270 82.5 E0218
27007146 K-PAD:DAILY 270 44 E0217
27007155 K-PAD:SETUP 270 44
27007164 PUMP:GOMCO-DAILY 270 44 A9900
27007173 PUMP:GOMCO-SETUP 270 44 A9900
27007182 PUMP:IVAC CONT-DAILY 270 71.5 A9900
27007191 PUMP:IVAC CONT-SETUP 270 71.5 A9900
27007209 PUMP: SUCTION DAILY 270 44
27007218 PUMP: SUCTION SET-UP 270 44 A9900
27007227 SCD MACHINE - DAILY 270 44 E0182
27007236 SCD MACHINE - SET UP 270 44 E0182
27007245 PUMP FEEDING - DAILY 270 44 A9900
27007254 PUMP FEEDING - SET UP 270 44 A9900
27007263 SHAMPOO NO RINSE 8OZ 270 7.7 A9190
27007272 TOWEL 2PK STERILE 270 11 A9900
27007281 CART:CRASH 270 311.3 A9900
27007299 DRESSING ADAPTIC 3" X 8" 270 11 A6257
27007308 SHOE POST OP-MALE 270 30 A9900
27007317 SPONGE GAUZE ST 2X2 270 13.2 A6251
27007326 TUBE:SALEM SUMP 270 26.4
27007335 SPONGE COVER 270 4.4
27007344 DRESSENETTE 270 38.5 A6406
27007353 LAMBS WOOL 270 27.5 E0189
27007362 TRAY:INFECT CONTROL 270 49.5 A4310
27007371 SCD THIGH SLEEVE 270 404.8 E0181
27007389 GARMENT CALF 270 299.2 E0181
27007398 PRESSURE MONITOR W/VAMP 270 345.8 A4300
27007407 KIT MONITORING PRES (DUALLINE) 270 308.4 A4300
27007416 CO-SET ROOM TEMP 270 55 A4300
27007425 ISOMIL DF 8OZ 270 3.3
27007434 NEEDLE:INTRAOSSEUOS 270 92.4 A4215
27007443 DRESSING HYDROGEL 270 5.5
27007452 CATH FILIFORM 4FR STRAIGHT TIP 270 209
27007461 TRAY:SUTURE NON DISP 270 33 A4550
27007479 CANNULA NASAL INFANT 270 11
27007488 PEDIATRIC NASAL CANNULA 270 6.6 A4615
27007497 STAPLER SKIN 270 46.2
27007506 TUBE:STOMACH EVAC 270 214.5
27007515 SUTURE SET N/DIS 270 75.9
27007524 OXISENSOR 270 17.6 A9900
27007533 TRAY SUCTION 270 4.4
27007542 CANNULA INNER 270 8.8
27007551 KIT PAP SMEAR 270 19.8 A4301
27007569 KIT MULTI LUMEN CENTRAL 270 231 A4301
27007578 CART GU 270 165 A9900
27007587 UNV LUMBO SACRAL SUP 270 63.8 A9900
27007596 VENI GARD W/TRANSPARENT MEMB 270 2.2
27007605 CS/OR SUPPLY MISC 270 68.2 A9900
27007623 POLYPECTOMY PACK 270 61.6
27007632 ENDO PACK 270 88
27007641 COLON PACK 270 86.9
27007659 SIGMOID PACK 270 55
27007668 XYLOJEL5 270 22
27007677 AEROSOL TUBING 270 20.9
27007722 OXYGEN PER HR 270 8.8
27007749 SNARE-CAUTERY DISP 270 110
27007758 PERC GASTRO TUBE 270 237.6
27007767 DISP.BIOPSY FORCEPS 270 106.7
27007794 WATER EJECTOR 270 110
27007803 PEG FORCEPS 270 27.5
27007812 PEG SNARE 270 27.5
27008310 CATHETER,CEREBRAL 621 42.9
27008340 CATHETER, JB 1/2/3 621 42.9
27008370 CATHETER, PIGTAIL 621 42.9
27008400 CATHETER,STRAIGHT 621 42.9
27008430 CATHETER, VISCERAL 621 42.9
27008460 CATHETER, HEAD-HUNTER 621 42.9
27009882 RECOVERY CARDIAC MONITOR 710 55
27009883 CAMINO 1104HC 270 1058.8
27009884 TA 30 35 270 413.6
27009885 RELOAD TR 90 270 424.6
27009989 TRACTION STRIP FLEX FOAM 4" 270 31.8
27009991 CART:CAST 270 165 A4580
27009992 CATHETER COUNCIL 14FR 5CC 270 58.5 A4338
27009994 TRAY PER Q CATH 4FR 270 255.2
27009995 KIT HICKMAN CATH REPAIR 1.6 270 286 A4820
27009999 CS/MED SURG MISC 270 507.1 A9900
27010128 ELECTRODE EKG EA 270 16.5 A4300
27010130 SUTR SET/TRAY MAJOR 270 75.9
27010131 ABG KIT 270 27.5
27010132 LAP SPONGE 270 8.8
27010142 TRAY DELIVERY 270 215.6 A4550
27010143 PACK:DELIVERY ROOM 270 67.1
27010144 ANES:SET 270 71.5
27010145 GRADUATE DISPOSABLE 270 3.3
27010150 DRAPE BARRIER S 270 13.2
27010151 DRAPE STERI 270 39.6
27010152 DRAPE UROL 270 79.2
27010154 DRAPE SURG GOWN 270 9.9
27010156 BABY AMNIHOOK 270 14.3
27010157 DSG SPNG RAYTEX 270 8.8
27010158 PACK FATHER'S SCRUB 270 20.9 A4649
27010160 ANES:PUD/EPI/SP TRAY 270 64.9
27010162 DSG BETADINE 270 18.7 A6200
27010164 CAST:LEG ADULT 270 103.4 A4580
27010168 TRACT:BALANCE-DAILY 270 93.5 E0920
27010175 TRAY:EYE 270 81.4
27010181 BLOOD PUMP SET 270 30.8
27010199 DSG SURGICEL 270 64.9
27010204 SPLINT PLASTER 270 91.3 A4570
27010209 CATH:SWANZ GANZ BIPL 270 203.5 A4301
27010211 NEEDLE SPINAL 270 26.4
27010214 LAB CULTURE TUBE 270 12.1
27010242 BABY CORD CLAMP 270 14.3 A4649
27010243 ENEMA FLEET/PHOS/MIN 270 11
27010244 TUBING TUR 270 39.6
27010245 ORTH STEINMAN PIN 270 64.9
27010249 CATH:ROBINSON/URETH 270 14.3
27010250 TRAY:CIRCUMCISION 270 143 A4550
27010256 CATH:SUBLAVIAN 270 40.7
27010265 PACK:BURN LINEN 270 100.1 A9900
27010269 CAST:ARM ADULT 270 291.5 A4580
27010270 DRAIN PENROSE 270 8.8
27010271 INST VACUM EXTRACTOR 270 64.9
27010273 CAST:ARM CHILD 270 275 A4580
27010274 DRAIN JACKSON PRATT 270 119.9
27010276 DRAPE CRANI 270 158.4
27010277 CAST:PADDING 270 27.5
27010288 CATHETER TROCAR 28FR 270 104.5
27010304 EYE LENS 276 1117.6
27010307 DSG SPNG EYE SPEAR 270 5.5
27010313 CATH:EMBOLECTOMY 270 222.7
27010314 CATH:SUPRAPUBIC 270 97.9
27010315 CATH:FOLEY 270 47.3
27010316 CATH:FOLEY 3-WAY 270 90.6
27010317 CATH:PHILIPS FOLOWE 270 56.3
27010318 CATH:ACMI FELIFORM 270 38.1
27010319 CATH:FOLEY SILASTIC 270 81.7
27010320 CATH:SUCTION 270 18.1
27010321 TRAY:CATHETER FOL 270 81.7
27010322 CARD CATH INTRO KIT 270 104.5
27010323 CATH:OLIVE 270 38.1
27010324 CATH:PIGTAIL 270 63.3
27010325 CATH:WHISTLE 270 63.3
27010326 CATH:URETERAL 270 56.3
27010327 BOT-O-JET 270 38.1
27010328 CATH:COUDE 270 81.7
27010329 SUTR MARLEX MESH 270 310.2
27010330 CATH:MUSHROOM/MALCOT 270 56.3
27010331 HOT ICE WRIST HAND 270 154
27010333 JAMSHIDI NEEDLE 270 88 A4215
27010335 URETERAL STENT BARD 270 616
27010336 TRV 30 STAPLER 270 742.5
27010338 PERC CATH INTRODUCER 270 412.5
27010340 TRAY:SUBLAVIAN 270 93.5
27010342 ARTERIAL LINE SET 270 224.4
27010343 HOT ICE BACK HIP PAD 270 374
27010344 TCT LINEAR CUTTER 55 270 845.5
27010345 GRAFT IMPRA 6X5 278 264
27010347 BRUSH CYTOLOGY 270 27.5
27010348 TCR 75 RELOADER 270 630.3
27010349 TPV 30 RELOADER LINEAR 270 788.9
27010351 CLIP:RANEY PACKAGE 270 7.3
27010352 COLLECTOR FECAL 270 27.5
27010355 RT SWIVEL ADAPTOR 270 15.4
27010356 DRAIN:PENROSE 270 7.3
27010358 TUBE:CHEST 270 145.2
27010359 DRESSING:ADAPTIC 270 18.1 A6200
27010361 DRESSING:A BD 270 7.3
27010362 DRESSING:TELFA 270 7.3
27010363 EVACUTION:ELIK DVOL 270 56.3
27010364 IRRIGATION SET 270 63.3 A4320
27010365 DRESSING:ERLIX 270 18.1
27010366 CAP LUER LOCK 270 16.5
27010367 DRAPE IMAGE/C ARM 270 130.9
27010368 MONOMETER 270 27.3 A4300
27010369 PEN:MARKING 270 18.1
27010370 STRAP/TIES:MONTGOMAR 270 18.1
27010371 TRAP:BRONCH 270 27.3
27010372 MONITOR CVP 270 46.2 A4300
27010373 NEEDLE:SPINAL 270 18.1
27010374 TRANS SINGLE LINE 270 100.1
27010375 PLEJROVAC 270 314.8
27010376 CATH:PLUG 270 7.3
27010377 RAYOTEC 270 7.3
27010378 TRAY:CUT-DOWN 270 302.5 A4550
27010379 DRESSING:STERI STRIP 270 18.1
27010380 STONETE:TBLAR STA 270 117.7
27010381 STOCKINGS:TED 270 56.3
27010382 STOPCOCK:3-WAY 270 18.1
27010385 SYRINGE:IRRIGATION 270 18.1
27010386 SYRINGE:BULB 270 18.1
27010390 TUBE:TRACH SHILEY 270 161.2
27010391 TUBE:SUCTION 270 18.1
27010392 TUBE:ENDO TRACH 270 38.1
27010393 TUBE:LEVINE 270 18.1
27010394 URIMETER 270 63.3 A9900
27010395 TUBING EXTENSION 270 18.7
27010396 SORBITAL 270 63.3
27010397 IRRIGANTS 270 27.3
27010398 CATH:THROMBECTOMY 270 222.7
27010399 DRAPE LAP 270 83.6
27010401 STONE BASKET:CATHETE 270 314.8
27010402 NEEDLE BIOPSY 270 49.5 A4215
27010403 TUBING:CYSTO 270 27.3
27010405 TUBING:POLYETHYLENE 270 18.1
27010406 KIT:ARTERIAL CATH 270 67.1
27010408 TRAY:BLITT 270 155.7
27010409 DSG GZ PACKING NASAL 270 27.5 A6264
27010410 SUTJRE:AUTO EEA 270 968
27010411 RSRVOR:JSN-PRAT 270 117.7
27010412 ADAPTER-SWIVEL 270 161.2
27010413 BOLT TIBIA 278 117.7
27010414 STAPLE:SKIN 270 110
27010415 CEMENT SET:BONE 270 284.1
27010416 CONNECTOR:W/TEFLON 270 38.1
27010417 CANE ALUM ADJUST 270 56.1
27010418 TR 90 AUTO SUTURE 270 396.4
27010420 SUTURE:BOLSTER/RETN 270 38.1
27010421 SUTURE:CV 270 56.3
27010422 SUTURE:EYE/MICRO 270 117.7
27010423 SUTURE:OTHER 270 63.3
27010424 MARLEX MESH 278 294.1
27010425 NAIL-JEWETT 278 363.7
27010426 TRAY BASIC BIOPSY 270 187 A4550
27010427 CATH:THORACIC 270 64.9
27010428 PIN:STEINMAN 270 63.3 A4550
27010429 EYE LENS MORGAN 270 58.3 A4649
27010430 HIP:COMP SET ZIMER 278 369.1
27010431 TRAY:BONE MARROW 270 275 A4550
27010435 BELT RIB 270 53.9 A4572
27010436 SPLT KNEE POST OP 270 82.5 A4570
27010439 CATH:TRERMO/THROMBO 270 291.5
27010449 CATH:MFP VENTRICULR 270 97.9
27010450 CATH FILIFORM STRAIGHT TIP 3FR 270 132 A4335
27010451 TRAY:SALPINGOGRAM 270 189.2 A4550
27010454 CATH:EMBOLECTOMY 270 225.5
27010455 ORTH BONE CEMENT SET 270 288.2
27010471 SPLT HAND COCKUP 270 44 A4570
27010472 NDL SCLEROTHERAPY 270 77
27010486 TRAY:TRACHEOSTOMY 270 374 A4550
27010703 TUBE VENT AR/GR/SH 270 85.8
27010729 IV NORMAL SALINE 270 16.5
27010732 IV NACL 3.0 270 44
27010740 IV SET DIAL A FLO 270 36.3 A4211
27010743 IV SET IRRG CONT 270 22
27010744 IV SET PEDS 270 14.3
27010763 CAST:BOOT 270 80.5 A4580
27010764 CAST:SPECA FUL-LITE 270 467
27010765 CAST:SPICA 1/2 LITE 270 369.1
27010766 CAST:ARM LONG<10 270 133.5 A4580
27010767 CAST:ARM LONG >10 270 133.5 A4580
27010768 CAST:ARM SHORT <10 270 89.6 A4580
27010769 CAST:ARM SHORT >10 270 130 A4580
27010770 CAST:LEG LONG <10 270 102.5 A4580
27010771 CAST:LEG LONG >10 270 108 A4580
27010772 CAST:LEG SHORT <10 270 93.2 A4580
27010773 CAST:LEG SHORT >10 270 98.8 A4580
27010778 BAG BILE REGULAR 19OZ 270 38.5 A4335
27010779 BAG:ICE 270 18.7 A9190
27010781 CAST:ARM LONG 270 159.5 A4580
27010783 SHOE CAST 270 96.8 A4580
27010786 EPISTIX 270 13.2
27010787 CATH:UMBILICAL 270 60.5
27010788 COIL BLOOD WARMING 270 100.1 A9900
27010789 BITE BLOCK 270 13.2
27010790 PERCUTANEOUS CATH 270 145.2
27010792 DRAIN AUTOTRANSFUSIN 270 286
27010795 PUMP BREAST 270 59.4 A9900
27010798 SET 2-BTL T.U.R IRRG 270 33 A4355
27010799 SHEEPSKIN 270 81.4 E0189
27010800 SOCK FRACTURE CAST 270 126.5 A9900
27010801 BINDER ABDOMINAL 3 PANEL SMALL 270 33
27010803 STRAP MONTGOMERY 7 1/4X 11 1/8 270 18.7 A9900
27010804 TUBE BLAKEMORE ADULT 20FR 39"L 270 918.5
27010805 KIT:RADIAL ARTERY CATERIZATION 270 82.5 A4301
27010807 SUPPORT:WRIST 270 38.5
27010808 BOWL UTILITY STERILE 1 QT 270 11 A9900
27010809 SUPPORT:ANKLE 270 22
27010811 BOTTLE:THORA DRAINER 270 49.5 A9900
27010813 RESUSCITATOR:INFANT 270 49.5 A4618
27010814 RESUSCITATOR:CHILD 270 46.2
27010815 RESUSCITATOR CODEPACK ADULT 270 33 A4618
27010816 CAST:TAPE DELTA LITE 270 22 A4580
27010817 ASPIRATOR:MECONIUM 270 22 A4617
27010821 SET:EXTENSION WT 270 7.7 A9900
27010823 NEEDLE:PORT A CATH 19G X 1 1/4 270 27.5 A4215
27010825 BANDAGE ELASTOPLAST 2" 270 27.5
27010826 BANDAGE PLASTER FAST 270 18.7
27010827 BANDAGE PLASTER X-FAST 270 22
27010828 PLASTER SPLINT-FAST 270 18.7 A4580
27010829 PLASTER SPLINT-XFAST 270 22 A4580
27010832 PADDING CAST 2" 270 16.5 A4580
27010835 DRESSING:PRIMAPORE 270 13.2 A6251
27010838 STOCKINETTE TUBULAR 270 3.3 A4580
27010839 COLLAR:PHILADELPHIA 270 71.5
27010841 TUBE:RECTAL 270 44 A9900
27010842 TUBE FEEDING - LONG 270 18.7
27010843 PASTE STOMAHESIVE 270 41.8 A5149
27010844 KIT:CENTRAL VEIN CATHETER 270 66 A4301
27010848 TRAY ASPIRATING 270 228.8 A4550
27010850 SET:ANGIOGRAM BASIN 270 104.5 A4649
27010851 TRAY:ANGIOGRAM 270 253 A4550
27010853 TRAY:CHEST NEWBORN 270 165 A4311
27010855 TRAY:EMERG DELIVERY 270 137.5 A4550
27010856 TRAY:HEMORRHAGE 270 99 A4550
27010857 TRAY:INCISION/DRAIN 270 154 A4550
27010859 TRAY:STEINMAN PIN 270 211.2 A4550
27010861 TRAY:UROLOGICAL 270 148.5
27010865 DEODORIZER:ROOM DLY 270 44
27010872 LIGHT:BILI-DAILY 270 57.2 E0205
27010873 MATT:ALT PRESS-DAILY 270 44 E0180
27010886 BANDAGE ELASTIC NS 6",8 270 11 A6263
27010888 CATH:FILIFORM OLIVE 270 132 A4335
27010889 CATH:ALL PURPOSE 270 6.6 A4649
27010891 HEAD HALTER/SUPPORT ADULT 270 77 E0942
27010892 TUBE:MILLER-ABBOTT 270 115.5 A9900
27010893 BANDAGE TRIANGULAR 270 5.5 A6263
27010895 TRACT:BALANCE-SETUP 270 99 E0920
27010896 MATT:ALT PRESS-SETUP 270 55 E0180
27010897 MATT:FLOTATION-DAILY 270 39.6 E0186
27010898 MATT:FLOTATION-SETUP 270 44 E0186
27010899 LAMP:HEAT DAILY 270 22 E0205
27010900 LAMP:HEAT SET-UP 270 22 E0205
27010901 TRACT:BRYANT DAILY 270 165 E0946
27010902 TRACT:BRYANT-SETUP 270 82.5 E0946
27010903 TRACT:CERVICAL-DAILY 270 137.5 E0948
27010904 TRACT:CERVICAL-SETUP 270 170.5 E0948
27010905 TRACT:PELVIC DAILY 270 137.5 E0947
27010906 TRACT:PELVIC SET-UP 270 220 E0947
27010907 TRACT:RUSSELL-DAILY 270 154 E0946
27010908 TRACT:RUSSELL-SETUP 270 82.5 E0946
27010909 KIT:PNEUMOTHORAX 270 121 A4301
27010910 ELECTRODE:TEMP PACE 270 99
27010911 TUBE:CANTER 270 145.2 A9900
27010912 DRGS DUODERM 8X8 270 79.2 A6251
27010913 CLAMP CORD 270 13.2
27010915 PKNG NUGAUZE 1000FM 270 27.5
27010916 PROTECTOR HEEL PEDIATRIC 270 13.2 E0191
27010917 PROBE:TRANSLUMINAL 270 418 A4301
27010918 SHOE POST-OP FEMALE 270 33 A9900
27010920 SPNGE GAUZE N/ST 2X2 270 11 A6251
27010922 SPNGE GAUZE NS 4X4 270 26.4 A6251
27010924 CANNULA DECANN 270 27.5 A4623
27010925 CATH:INTRACATH 270 21.2
27010927 ADAPTER SWIVEL 270 41.8 A4617
27010929 CONNECTOR Y UROGATE 270 35.2
27010930 SHIELD FULLER 270 11
27010931 PAD:FOAM RESTON 270 22
27010932 TUBE:FEED-WEIGHTED 270 61.6 A9900
27010933 BRACE FRACTURE FEMOR 270 231
27010934 DRESSING TUBE GAUZE 270 13.2 A6264
27010936 KIT:TEMP TRANS PACIN 270 236.5
27010938 BASIN:DELIVERY -OB 270 110 A4649
27010939 PAD:ATTENDS (PK/6) 270 22.2
27010940 DADDY PACKS 270 20.1
27010941 VACUUM EXTRACTORS 270 64
27010942 TRAY:C-SECTION PREP 270 67.7 A4550
27010943 TRAY:OB DELIVERY PACK 270 64.9 A4550
27010944 TRAY:MONITORING 270 176
27010945 CATH:INTRAUTERINE 270 106.2
27010946 BELT PELVIC TRACTION 270 104.5 E0944
27011000 INTRA05 SEOUS NEEDLE 270 86.9
27013800 DONOR SET 270 60.4
27014324 VAMP NEEDLELESS CANN 270 1.6
27014325 VAMP SYSTEM 270 2.2
27016470 EVAC-Q-KWIK 270 22.5
27016530 EVACUATED CONT 500CC 270 39.4
27016680 EXTENSION SET 270 17.8
27016740 EXTERNAL PACER 270 550
27019830 GUIDE WIRE 621 36.3
27019840 SET:THORACENTESIS 30 270 37.4 A4550
27019841 SHILEY INNER ACNNULE 270 16
27019842 EAR CURRETTE DISP 270 3.5 A9900
27019845 EYE OCCLUSOR COVER 270 1.1 A4649
27019846 HOLDER TRACH TUBE 270 3.3 A4621
27019850 MASK PEDIATRIC 270 4
27019853 SHIELD EYE PLASTIC 270 7 A9900
27019854 MASK:INFANT OXYGEN 270 6.6
27019855 EAR WICK 270 12.6 A9900
27019861 DIAL A FLOW 270 17.6 A7004
27019863 GAUZE HYDROGEL IMPGT 270 5.2
27019864 KIT CARE STERILE 270 121
27019900 PEDS CATH SINGLE LUM 270 22 A4301
27019983 XOMICEL FLEX NASL PK 270 15.4 A9900
27019984 RESPRODE 2.5 270 44
27019985 KIT PERCARDIOCENTSIS 270 1751.2 A4301
27019986 SET THORA PLEURA SEL 270 92.4 A4649
27019987 LIGHT BILI SETUP 270 55 E0205
27019988 TRAY DEBRAVEMENT 270 66 A4550
27020280 HEMI ARM SLING 270 127.6
27020340 HI FLOW CONNECTING 621 16.5
27021060 INTEROSSEOUS NEEDLES 270 88 A4215
27021480 IV SET 270 16.5
27021510 IV SET 270 16.5
27021600 IV SET 270 16.5
27023970 LABELED WBC 636 1267.2 C1091
27025710 MEDRAD SYRINGE 621 13.8
27026640 N.S. IRRIG.-1000CC 270 50.9
27026670 N.S. IRRIG.-500CC 270 43.5
27027150 NEEDLE CHIBA 621 44.4
27027180 NEEDLE KOPANS 621 53.5
27027270 NEPHRO, CATHETER 621 44.4
27027330 NEPHROSTOMY SET 621 186.1
27030240 PERITONEAL TRAY 270 101.2 A9900
27032910 QUIK FILL TUBING 621 9.4
27033090 REACHER 270 55
27033240 RENAL STENT SET 621 166.3
27033750 RING BILIARY NEEDLE 621 169.2
27034110 SECONDARY TUBING 270 15.1
27036720 SOCK AID 270 33
27037200 SPLENIC NEEDLE 621 66
27044760 THIN WALL NEEDLE 621 13.2
27045360 TRANS LUMBAR SET 621 79.4
27045361 CONTRAST 300-100ML 320 293.7
27045362 CONTRAST 300-50ML 320 165
27053280 WATER IRRIG.-500CC 270 39.4
27053340 WATER-1000CC 270 44.5 A4649
27053400 WHEEL CHAIR ARM TRAY 270 160.6
27053401 INFUSION PUMP 270 64.9 E0779
27053402 SUCTION HOOK-UP 275 33.8
27053403 EYE TRAY 270 88
27053404 SUTURE - REGULAR 270 16.5
27053405 DEFIBRILLATOR 270 55.2
27053406 AMBU-BAG 270 67.1
27053407 KIT CVP CATHETER 270 16.5 A4550
27053408 SET 270 44
27053409 IV START KIT 270 15.4 A4211
27053410 MESH: MARLEX 278 305.8
27053411 GRAFT: IMPRA 278 1775.4
27053412 BONE WAX 270 18.6
27053413 CATH: FOGARTY IRRIGATION 270 90.6
27053414 DRESSING: ABD 270 7.3 A6251
27053415 TRAY: MYRINGOTOMY 270 467
27053416 BOBBIN REWTER VENT TUBE 270 107.1
27053417 PRESSURE MONITOR KIT: STRYKER 270 266.2
27053418 BARD VAS CATH 270 1408
27053419 TESIO HEMO CATH 270 1245.2
27053420 PROLENE HERNIA MESH 278 607.2 E0191
27053421 STRAIGHT GLIDE WIRE 270 220 A4649
27053422 ANGLED GLIDE WIRE 270 138
27053423 FALOPE RING BAND 270 156.2
27053424 DRESSING: GELFOAM 270 56.1
27053425 KIT: FEMALE CATH 270 16.5 A4329
27053426 CARDIAC MONITOR 270 52.2
27053427 PACING PADS 270 0
27053428 ET - STYLET 270 20.9
27053429 ESOPHAGEAL AIRWAY 270 23
27053430 TRAY:THORACOTOMY PEDS 270 495 A4554
27053431 CARDBOARD: ARM 270 27.5
27053432 CARDBOARD: LEG 270 55
27053433 SPLINT: LEG 270 189.2 A4570
27053434 SPLINT:FINGER GUARD 270 16.5
27053435 CATHETER, RED RUBBER 270 7.7 A4353
27053436 ELECTRODE: SPIRAL INFANT 270 33
27053437 SPECULAM VAGINAL WA 270 18.7
27053438 NO CHARGE TODAY 270 0
27053439 TRAY: AMNIOCENTESIS 270 99 A4550
27053440 ABD BINDER (EX-LARGE) 62"X75" 270 77.9 A4462
27053441 ABD BINDER X-LARGE 270 77.9 A4462
27053442 ABD BINDER X-LARGE 62"X75" 270 77.9
27053443 ADAPTER LUER STUB 17GA 270 24.1 A4649
27053444 ADAPTER LUER STUB 18GA 270 21.3 A4649
27053445 AIRWAY CATH GUIDE #10 100MM 270 3.7 A4629
27053446 AIRWAY CATH GUIDE #11 105MM 270 3.3 A4629
27053447 AIRWAY CATH GUIDE #6 60MM 270 3.3 A4629
27053448 AIRWAY CATH GUIDE #7 70MM 270 3.3 A4629
27053449 AIRWAY CATH GUIDE #8 80MM 270 3.3 A4629
27053450 AIRWAY GUIDE SZ 000 REUSABLE 270 8.6 A4629
27053451 AIRWAY OROPHARYNGEM #12 115MM 270 5.5 A4629
27053452 AIRWAY:NASOPHARYGEAL 7.0MM 270 15.4 A4629
27053453 AIRWAY:NASOPHARYNGEAL 6.0MM 270 15.4 A4629
27053454 AIRWAY:GUEDEL,SIZE 00 270 3.5 A4629
27053455 AIRWAYS-GUEDEL SIZE O REUSABLE 270 8.6 A4629
27053456 ALIGNER BODY 270 34.2 A9190
27053457 APPLICATOR COTTON TIP 6" STERI 270 3.3 A4649
27053458 APRON DISPOSABLE PLASTIC 270 3.3 A4649
27053459 ARMBOARD 18" 270 3.3 A4649
27053460 ARMBOARD DISPOSABLE 9IN 270 3.3 A4649
27053464 BAG FEEDING W/SNAP CAP 270 11.7 A4649
27053465 BAG LEG LARGE 32OZ 270 9.7 A4358
27053467 BAG URINARY DRAINAGE 270 13.2 A4357
27053468 BAG URINE LEG MEDIUM STERILE 270 8.7 A4358
27053469 BANDAGE ELASTIC 2" 270 3.3 A4460
27053470 BANDAGE ELASTIC 3" 270 3.3 A4460
27053471 BANDAGE ELASTIC 4" 270 3.3 A4460
27053472 BANDAGE ELASTIC 6" 270 3.3 A4460
27053473 BANDAGE KERLIX ROLL 4.25 STRL 270 4.2 A6406
27053474 BANDAGE PLASTER FAST 2" 270 4.2 A4580
27053475 BANDAGE PLASTER FAST 3" 270 5.1 A4580
27053476 BANDAGE PLASTER FAST 4" 270 7.2 A4580
27053477 BANDAGE PLASTER FAST 6" 270 10.1 A4580
27053478 BANDAGE PLASTER X-FAST 3" 270 5 A4580
27053479 BANDAGE PLASTER X-FAST 4" 270 7.2 A4580
27053480 BANDAGE PLASTER X-FAST 6" 270 15.8 A4580
27053483 BANDAGE STRETCH GAUZE STRL 2" 270 3.3 A6405
27053484 BANDAGE STRETCH GAUZE STRL 3" 270 3.3 A6405
27053485 BANDAGE STRETCH GAUZE STRL 4" 270 3.3 A6405
27053486 BANDAGE STRETCH GAUZE STRL 6" 270 4 A6405
27053487 BASIN EMESIS 500ML GRADUATED 270 3.3 A4649
27053488 BASIN RECTANGULAR 8QT 270 3.3 A4649
27053493 BEDPAN FRACTURE MAUVE 270 3.3 A4649
27053494 BEDPAN STACKABLE MAUVE 270 3.3 A4649
27053495 BELT RIB FEMALE 270 25.9 A4572
27053496 BELT RIB MALE 24" X 44" 270 22.4 A4572
27053497 BELT SANITARY 270 3.3 A4649
27053498 BINDER SURGICAL 12" UNIV 270 59.8 A4462
27053499 BINDER SURGICAL 9" UNIV 270 40.5 A4462
27053500 BI-POLAR PACING ELECTRODE 6FR 270 95.7 A4550
27053508 BLADE SCALPEL #10 270 3.3 A4649
27053509 BLADE SCALPEL #11 270 3.3 A4649
27053510 BLADE SCALPEL #15 270 3.3 A4649
27053514 BLADE TONGUE STERILE INFANT 270 3.3
27053515 BLANKET HYPOTHERMIA ADULT 270 104.3 E0218
27053517 BOTTLE BABY 8OZ 270 3.8 A9900
27053518 BOTTLE PERINATAL 8OZ 270 3.3 A9900
27053519 BOTTLE THORA DRAIN REPLACEMENT 270 49.2 A9900
27053520 BRIEF CONTOUR ADULT LARGE 270 3.3 A4335
27053521 BRIEF ADULT MEDIUM 270 3.3 A4335
27053522 BRIEF ADULT SMALL 270 3.3 A4335
27053526 CANE UNIPOISE 31" 270 72.7
27053527 CANNISTER SUCTION 1200ML 270 7.6 A7000
27053528 CANNULA OXYGEN INFANT 270 10.8 A4615
27053529 CARAFE MAUVE 36OZ 270 3.3 A4649
27053530 CATH ANGIO 24G X 3/4 270 8.8
27053531 CATH COUDE FOLEY 20FR 5CC 270 52 A4340
27053532 CATH COUDE TIP 12FR 5CC 270 55.7 A4340
27053533 CATH FOLEY 18FR 30CC 270 20.8 A4338
27053534 CATH FOLEY 3CC 8FR 270 31.2 A4338
27053535 CATH FOLEY 5CC 14FR 270 16.1 A4338
27053536 CATH FOLEY 5CC 16FR 270 21.1 A4338
27053537 CATH FOLEY 5CC 18FR 270 21.1 A4338
27053538 CATH FOLEY 5CC 20FR 270 21.1 A4338
27053539 CATH FOLEY 5CC 22FR 270 21.1 A4338
27053540 CATH INTRODUCER 5FR 270 53.9
27053541 CATH INTRODUCER 6FR 270 85.8
27053542 CATH INTRODUCER 7FR 270 53.9
27053543 CATH INTRODUCER 8FR 270 95.7
27053544 CATH IV ANGIO 18G X 1.25 270 8.8 E0785
27053545 CATH IV ANGIO 20G X 1.25 270 8.8 E0785
27053546 CATH IV ANGIO 22G X 1.25 270 8.8 E0785
27053547 CATH MALE EXTERNAL PEDI SMALL 270 5.7 A4326
27053548 CATH SUCTION 10FR 270 3.3 A4623
27053549 CATH SUCTION 12FR 270 3.3 A4623
27053550 CATH SUCTION 14FR 270 3.3 A4623
27053551 CATH SUCTION 16FR 270 3.3 A4623
27053552 CATH SUCTION 18FR 270 3.3 A4623
27053553 CATH SUCTION 5FR 270 3.3 A4623
27053554 CATH SUCTION 8FR 270 3.3 A4623
27053555 CATH THERMODILUTION - 6 270 506 A4301
27053556 CATH TROCAR 20FR 270 72.4 A4550
27053557 CATH URINARY EXT - MALE 270 4 A4326
27053558 CATH COUDE FOLEY 5CC 270 42.7 A4340
27053559 CATH TROCAR 32FR 270 76.5 A4550
27053560 CATHETER COUDE 18FR 5CC 270 32.8 A4340
27053561 CATHETER COUDE 22FR 5CC 270 39.2 A4340
27053562 CATHETER COUDE FOLEY 16FR 5CC 270 46.1 A4340
27053563 CATHETER COUDE FOLEY 5CC 270 43.7
27053564 CATHETER COUDE FOLEY 5CC 270 53
27053565 CATHETER COUDE TIP 12FR 5CC 270 44 A4340
27053566 CATHETER FOLEY 12FR 5CC 270 11.1 A4338
27053567 CATHETER FOLEY 14FR 30CC 270 24.2 A4338
27053568 CATHETER FOLEY 16FR 5CC 270 22.7 A4338
27053569 CATHETER FOLEY 20FR 30CC 270 20.3 A4338
27053570 CATHETER FOLEY 22FR 30CC IRRIG 270 60.5 A4338
27053571 CATHETER FOLEY 24FR 30CC 270 18.9 A4338
27053572 CATHETER FOLEY 24FR 5CC 270 17.6 A4338
27053573 CATHETER FOLEY 26FR 30CC 270 18.9 A4338
27053574 CATHETER FOLEY 26FR 5CC 270 21.1 A4338
27053575 CATHETER FOLEY 28FR 30CC 270 18.9 A4338
27053576 CATHETER FOLEY 30FR 30CC 270 31.4 A4338
27053577 CATHETER FOLEY 3-WAY 18FR 5CC 270 39 A4346
27053578 CATHETER FOLEY 3-WAY 24FR 5CC 270 46 A4346
27053579 CATHETER FOLEY 3-WAY 20FR 5CC 270 44 A4346
27053580 CATHETER FOLEY 3-WAY 22FR 5CC 270 44 A4346
27053581 CATHETER INTRODUCER 7FR 270 40.5 A4335
27053582 CATHETER INTRODUCER 8FR 270 95.7 A4335
27053583 CATHETER MALE EXTERNAL LARGE 270 4.3 A4326
27053584 CATHETER MALE EXTERNAL MEDIUM 270 6.7 A4326
27053585 CATHETER STRAIGHT 5FR 270 21.6 A4351
27053586 CATHETER THERMODILUTION 6FR 270 506 A4300
27053587 CATHETER THORACIC 36FR 270 28.3 A4300
27053588 CATHETER TROCAR 24FR 270 72.4 A4300
27053589 CATHETER UMBILICAL 8FR 270 46.9 A4353
27053590 CATHETER UMBILICAL 5FR 270 46.9 A4353
27053591 CLAMP COLOSTOMY 3" 270 7.4 A4421
27053592 CLAMP UMBILICAL CORD 270 3.3 A9900
27053593 CLAVE CONNECTOR 270 6.6 E0783
27053594 CLOSURE WOUND ADH 1/2X4 270 6.1 A4462
27053595 CLOSURE WOUND ADH 1/4X4 270 6 A4462
27053597 COIL BLOOD WARMING 270 23.5
27053598 COLLAR CERVICAL LARGE 274 15.1 L0120 L0120
27053599 COLLAR CERVICAL MEDIUM 274 15.1 A9900 L0120
27053600 COLLAR CERVICAL SMALL 274 15.1 A9900 L0120
27053601 COLLECTION URINE W/MEASURING 270 3.3 A4357
27053602 COLLECTOR URINE NEWBORN 270 4.8 A4358
27053603 COLLECTOR URINE PEDIATRIC 270 4.8 A4358
27053604 COMB BLACK 7" 270 3.3 A9900
27053605 COMB BABY WHITE 270 3.3 A9900
27053607 CONTAINER URINE STERILE 4OZ 270 3.3 A4358
27053610 COTTON BALL STERILE 270 7.2 A4649
27053611 CREAM SHAVE 1 OZ 270 5.1
27053612 CRUTCHES ADULT REGULAR 270 59.4 E0110
27053613 CRUTCHES ADULT TALL 270 59.4 E0110
27053614 CRUTCHES YOUTH 270 59.4 E0110
27053615 CULTURETTE 270 3.3
27053616 DECANNULATION CAP 270 10.8 A4624
27053618 DRAIN AUTOTRANSFUSION BOTTLE 270 279.1 A9900
27053619 DRAPE STERI (DISP) 270 8.6 A4649
27053620 DRESSING ADAPTIC 3X3" STERILE 270 3.3 A6257
27053621 DRESSING DUO DERM 8X8" 270 78.8 A6257
27053622 DRESSING EXUDERM 4X4" 270 20.2 A6257
27053623 DRESSING OPSITE 11" X 4" 270 33.3 A6257
27053624 DRESSING OPSITE 2X3 270 3.3 A6257
27053625 DRESSING TELFA 4X3" STERILE 270 3.3 A6257
27053626 DRESSING TELFA 8X3" STERILE 270 3.3 A6257
27053627 DRESSING VASELINE GAUZE 270 5.7 A6406
27053628 DRESSING XEROFORM 2X2" 270 4.2 A6257
27053629 DRESSING XEROFORM 5X9" 270 10.6 A6257
27053632 ELECTRODE BI-POLAR PACING 4FR 270 407 A4300
27053633 ELECTRODE BI-POLAR PACING 6FR 270 98.2 A4300
27053636 ENDOTRACH TUBE 2.0 270 4.8 A4624
27053637 ENDOTRACHEAL TUBE HOLDER 270 5.1 A4624
27053638 ENDOTRACHEAL TUBE MOLDER 270 3.3
27053639 ENEMA BUCKET 1500ML 270 4.2
27053640 EPISTIX (TONGUE DEPRESSOR) 270 3.3 A4624
27053641 EYE OCCLUSOR 2X3 PADS 270 3.3 A4649
27053642 SHIELD EYE PLASTIC RIGHT 270 7 A4649
27053643 FEMORAL ARTERY CATH KIT 18GA 270 48.9 A4335
27053644 FILTER BLOOD 270 27.5 A4770
27053646 FOOT GUARD W/LINER 270 56.8 E0189
27053647 FOOTGUARD 270 54.3
27053656 GARMENT THIGH HIGH 270 176 E0669
27053657 GARMENT THIGH X-LARGE 270 228.8 E0669
27053667 GRADUATE 32OZ 270 3.3 A9900
27053669 HEMODIALYSIS CATH KIT 12FR 270 312.4 A4820
27053670 ICE PACK INSTANT COLD 270 3.3 A4649
27053671 IMMOBILIZER KNEE 20" 270 89.4 A4649
27053672 IMMOBILIZER SHOULDER LARGE 270 13.9 A4649
27053673 IMMOBILIZER SHOULDER MEDIUM 270 13.9 A4649
27053674 IMMOBILIZER SHOULDER SMALL 270 13.9 A4649
27053675 INFEC CONTROL FOLEY CATH TRAY 270 61.3 A4550
27053676 INFEC CONTROL FOLEY TRAY 16FR 270 61.3 A4550
27053677 INNER CANNULA 6.0 270 15.1
27053678 INTRAMEDIC LUER STUB ADAPTER 270 5.4
27053679 JACKET POSEY (SMALL) 270 34.6 E0710
27053680 JACKET POSEY LARGE 270 34.6 E0710
27053681 JACKET POSEY MEDIUM 270 34.6 E0710
27053682 KIT CATH INTRODUCER 6FR 270 128.3 A4301
27053683 KIT CATH INTRODUCER 8FR 270 173.1 A4301
27053684 KIT CATHETER FEMALE 270 8.3 A4329
27053685 KIT INTRODUCER CATHETER 7FR 270 173.1 A4301
27053686 KIT THERMODILUTION 7.5FR 270 286 A4501
27053687 KIT THERMODILUTION CATH 7FR 270 250.8 A4301
27053689 K-PAD DISP 15 X 22 270 36.7 E0217
27053696 LOTION BODY/HAND 4OZ 270 3.3 A9900
27053698 MASK OXYGEN PEDIATRIC 270 4 A9900
27053699 MASK RESPIRATOR 270 20.9
27053701 MOUTHPIECE DISP RUBBER 270 5.4 A9900
27053702 MOUTHWASH NON-ALCH,FRESH KLN 270 3.3 A9900
27053704 NEEDLE SPINAL 18GA X 3 1/2 270 6.4 A4215
27053705 NEEDLE SPINAL 20GA X 3.5" 270 5.8 A4215
27053706 NEEDLE SPINAL 22GA X 1" 270 24 A4215
27053707 NEEDLE SPINAL 22GA X 2.5" 270 6.6 A4215
27053708 NEEDLE SPINAL 23GA X 3.5" 270 7.1 A4215
27053709 NEEDLE SPINAL 25GA X 3.5" 270 5.6 A4215
27053711 OSTOMY TUBE HOLDER (ADULT) 270 4.9
27053712 PACKING NUGAUZE IODOFORM 1 270 16.1 A9900
27053713 PACKING NUGAUZE IODOFORM 1/2 270 14 A9900
27053714 PACKING NUGAUZE PLAIN 1/2 270 11.4 A9900
27053715 PAD ABDOMINAL 8 X 7 1/2 270 3.3 A6196
27053716 PAD ALWAYS PLUS 270 3.3 A9900
27053718 PAD EGGCRATE 270 49.1 A9900
27053719 PAD EYE GAUZE 270 3.3
27053721 PAD OB STERILE 270 3.3 A9900
27053723 PADDING CAST 2" 270 3.3 A4580
27053724 PADDING CAST 3" 270 3.3 A4580
27053725 PADDING CAST 4" 270 4.2 A4580
27053726 PADDING CAST 6" 270 6 A4580
27053727 PEDIALYTE 4OZ 270 3.7 A4712
27053728 PLUG CATHETER PROTECTOR 270 3.3 A9900
27053729 POUCH DRAINABLE 4" 270 9.9 A4381
27053730 POUCH DRAINABLE 2 1/4 270 9.4 A4381
27053731 POUCH DRAINABLE 2 3/4 OPAQUE 270 10.4 A4381
27053732 POUCH DRAINABLE TRANS 1 3/4 FL 270 8.8 A4381
27053733 POUCH UROSTOMY (STANDARD) 270 12.6
27053734 POUCH UROSTOMY 1 1/2 270 12.2 A4377
27053735 POUCH UROSTOMY 2 1/4 270 12.6 A4377
27053736 POUCH UROSTOMY 2 3/4" FLANGE 270 12.6 A4377
27053737 POWDER BABY 4OZ 270 3.3
27053738 PROBE HYPOTHERMIA DISP 270 44.3 A9900
27053739 PROBE OXISENSOR INFANT 270 72.2 A9900
27053742 RAZOR SHAVE PREP 270 3.3 A9900
27053743 RESUSCITATOR CODEPACK CHILD 270 27.2 A4618
27053744 SALEM SUMP VALVE 270 27.3 A4649
27053751 SET PATROL PUMP W/SPIKE 270 6.3
27053752 SET EXTENSION 270 4.7
27053753 SET EXTENSION IV CATH 270 14.2 A4649
27053754 SET EXTENSION IV CATH Y 270 8.5 A4649
27053755 SET INFUSION 27GA X 3/8" 270 4 A9900
27053756 SET INFUSION WING 19G X 7/8 270 3.4 A9900
27053757 SET INFUSION WING 21G X 3/4 270 3.4 A9900
27053758 SET INFUSION WING 23G X 3/4 270 3.3 A9900
27053759 SET INFUSION WING 25G X 3/4 270 3.4 A9900
27053760 SET SUPRAPUBIC INTRODUCER 270 216.4 A4550
27053761 SHAMPOO BABY 4OZ 270 3.3 A9190
27053762 SHIELD EYE PLASTIC LEFT 270 7 A9900
27053763 SHILEY CUFFLESS TRACH TUBE 270 158.4
27053764 SHILEY DISP INNER CANNULA #8 270 15.1 A4623
27053765 SHILEY INNER CANNULA 270 15.1
27053766 SHILEY INNER CANNULA #4 270 15.1 A4623
27053767 SHILEY LOW PRES CUFF TRACH 4.5 270 136.7 A4622
27053768 SHILEY LOW PRES CUFFED TT #4 270 172.7 A4622
27053769 SHILEY PED TRACH TUBE 5.0 270 136.7 A4622
27053770 SHILEY PED TRACH W/OBTURATOR 270 136.7
27053771 SHILEY PED TRACH TUBE OPT 270 136.7 A4622
27053772 SHILEY PED TRACH TUBE 5.5 270 136.7 A4622
27053773 SHILEY TRACH TUBE NEONAT OO-PT 270 136.7 A4622
27053774 SHILEY TRACH TB #8 FENESTRATED 270 179 A4622
27053775 SHILEY W/CUFF TRACH TUBE 5.5 270 160.4 A4622
27053776 SHOE POST OP - MENS LARGE 270 30 A9900
27053777 SHOE POST OP - MALE MEDIUM 270 30 A9900
27053778 SHOE POST OP - FEMALE SMALL 270 33 A9900
27053779 SHOE POST OP - FEMALE LARGE 270 28.6 A9900
27053780 SHOE POST OP - FEMALE MEDIUM 270 28.6 A9900
27053781 SHOE POST OP - MALE SMALL 270 34.8 A9900
27053782 SITZ BATH MAUVE 270 6.2 A9900
27053784 SLING ARM LARGE 270 10.2 A4565
27053785 SLING ARM MEDIUM 270 10.2 A4565
27053786 SLING ARM SMALL 270 10.2 A4565
27053787 SLIPPERS DISP LARGE 270 3.3 A9900
27053788 SLIPPERS DISP MEDIUM 270 3.3 A9900
27053789 SLIPPERS DISP SMALL 270 5 A9900
27053790 SOLUTION SODIUM CHLORIDE 2000 270 7.8 A9900
27053791 SOLUTION SODIUM CHLORIDE 1000 270 4 A4323
27053792 SOLUTION STERILE WATER 1000ML 270 3.9 A4712
27053793 SOLUTION STERILE WATER 2000ML 270 7.6 A9900
27053794 SPLINT BUCK TRACTION X-SMALL 270 76.1 A4570
27053795 SPLINT BUCK TRACTION MEDIUM 270 72 A4570
27053796 SPLINT PLASTER 3" 270 3.3
27053797 SPLINT PLASTER FAST 4" 270 3.3
27053798 SPLINT PLASTER FAST 5" 270 3.3
27053799 SPLINT PLASTER X-FAST 3" 270 3.3
27053800 SPLINT PLASTER X-FAST 4" 270 3.3
27053801 SPLINT PLASTER X-FAST 5" 270 3.3
27053802 SPLINT BUCK TRACTION SMALL 270 72 A4570
27053803 SPLINT WRIST 7" LARGE 270 27.1 A4570
27053804 SPLINT WRIST 7" X-LARGE 270 27.1 A4570
27053805 SPLINT BUCK TRACTION LARGE 270 51 A4570
27053806 SPLINT CLAVICLE SMALL 270 24.6 A4570
27053807 SPONGE COVER 4X4 STERILE 270 3.3 A6251
27053808 SPONGE DRAIN STERILE 4X4 270 3.3 A6251
27053809 SPONGE DRESSING STERILE 2X2 270 3.3 A6251
27053810 SPONGE DRESSING STERILE 4X4 270 3.3 A6251
27053812 SPONGE GAUZE STERILE 4X4 10PK 270 3.3 A6251
27053813 STAPLE EXTRACTOR 270 25.5
27053822 STOCKING KNEE LARGE 270 13.1 A4500
27053823 STOCKING KNEE MEDIUM 270 13.1 A4500
27053824 STOCKING KNEE SMALL 270 13.1 A4500
27053825 STOCKING KNEE X-LARGE 270 13.3 A4500
27053826 STOCKING TED THIGH REG MEDIUM 270 23.6 A4495
27053827 STOCKING THIGH LARGE 270 23.6 A4495
27053828 STOCKING THIGH SMALL 270 23.6 A4495
27053829 STOCKING THIGH X-LARGE 270 23.6 A4495
27053830 STOMAHESIVE WAFER 1.75" 270 16 A4404
27053831 STOMAHESIVE WAFER 2.25" 270 16.2 A4404
27053832 STOMAHESIVE WAFER 2.75" 270 16.2 A4404
27053833 STRAP CLAVICLE LARGE 270 31.6 A4565
27053834 STRAP CLAVICLE MEDIUM 270 31.6 A4565
27053835 STYLET INTUBATION 14FR 270 16.5 A9900
27053836 STYLET INTUBATION 5FR PED 270 16.5 A9900
27053837 STYLET INTUBATION 6.5MM-7.5MM 270 11.3 A9900
27053838 STYLET INTUBATION 6 2.5-4.5 270 15.7 A9900
27053839 SUCTION CATH KIT 10FR 270 3.9 A4624
27053840 SUCTION CATH KIT 12FR 270 3.9 A4624
27053841 SUCTION CATH KIT 8FR 270 3.9 A4624
27053842 SUCTION KIT 14FR 2 GLOVE 270 3.3 A4624
27053843 SUCTION KIT 14FR W/WATER 270 3.9 A4624
27053847 SUTURE REMOVAL KIT 270 3.3
27053849 SWABSTICK BETADINE 270 3.3
27053850 SWABSTICK LEMON GLYCERINE 270 3.3
27053858 SYRINGE FEEDING 60 CC 270 3.3
27053859 SYRINGE EAR STERILE 3 OZ 270 3.3 A9900
27053864 TISSUE BEDSIDE 270 3.3 A9900
27053865 TOOTHBRUSH 270 3.3
27053866 TOOTHPASTE 270 3.3 A9900
27053867 TRACH CARE KIT W/GLOVES 270 5.6 A4629
27053868 TRACHEOSTOMY TUBE HOLDER ADULT 270 5 A4621
27053869 TRACHEOSTOMY TUBE HOLDER PED 270 5.1 A4621
27053870 TRACTION STRIPS FLEX FOAM 3" 270 31 A4570
27053871 TRAP MUCOUS SPECIMEN 80CC 270 12.8 A9900
27053872 TRAP MUCOUS SPECIMEN 270 15.6
27053873 TRAY CATH FOLEY 16FR 270 36 A4310
27053874 TRAY CATH FOLEY W/O CATH 270 27.4 A4354
27053875 TRAY CATH URETHERAL 14FR 270 10.8 A4311
27053876 TRAY IRRIGATION 60CC SYRINGE 270 4.5 A4320
27053877 TRAY LACERATION 270 18.7 A4550
27053878 TRAY LUMBAR PUNCTURE ADULT 270 41.7 A4550
27053879 TRAY LUMBAR PUNCTURE PEDS 270 31.3 A4550
27053880 TRAY SHAVE PREP 270 3.7
27053881 TRAY THORACENTESIS 270 56.6 A4550
27053882 TUBE COLON 22FR 270 64.5 A9900
27053883 TUBE COLON 24FR X 30" 270 57.8 A9900
27053884 TUBE COLON 26FR X 30" 270 64.5 A9900
27053885 TUBE COLON 28FR X 30" 270 43.5 A9900
27053886 TUBE COLON 30FR X 30" 270 64.5 A9900
27053887 TUBE COLON 32FR 270 57.9 A9900
27053888 TUBE ENDOTRACH 7.5MM 270 7.4 A4624
27053889 TUBE ENDOTRACH 2.5MM W/O CUFF 270 7.5 A4624
27053890 TUBE ENDOTRACH 7.0MM 270 7.4 A4624
27053891 TUBE ENDOTRACH 8.0MM 270 7.4 A4624
27053892 TUBE ENDOTRACH 8.5MM 270 7.4 A4624
27053893 TUBE ENDOTRACH 9.0MM 270 7.4 A4624
27053894 TUBE ENDOTRACHEAL 3.0 W/O CUFF 270 5.3 A4624
27053895 TUBE ENDOTRACHEAL 4.0 W/O CUFF 270 7.3 A4624
27053896 TUBE ENDOTRACHEAL 4.5 W/O CUFF 270 7.3 A4624
27053897 TUBE ENDOTRACHEAL 9.5 W/CUFF 270 12.2 A4624
27053898 TUBE FEEDING 8FR 270 3.7 A9900
27053899 TUBE LEVIN 12FR 270 3.3 A9900
27053900 TUBE LEVIN 14FR 270 3.3 A9900
27053901 TUBE LEVIN 16FR 270 3.3 A9900
27053902 TUBE LEVIN 18FR 270 3.3
27053903 TUBE RECTAL 24FR 270 16.6 A9900
27053904 TUBE RECTAL 26FR 270 35 A9900
27053905 TUBE RECTAL 30FR 270 39.3 A9900
27053906 TUBE SALEM SUMP 16FR 50" 270 7.2 A9900
27053907 TUBE SALEM SUMP 18FR 270 7.2 A9900
27053908 TUBE TRACH #4 FENSTRD LP CUFFD 270 179 A4622
27053909 TUBE TRACH #6 FENESTRATED 270 179 A4622
27053910 TUBE TRACH #6 LPC 270 172.7 A4622
27053911 TUBE TRACH #8 LPC 270 172.7 A4622
27053912 TUBE TRACH CUFFED #4 LPC 270 172.7 A4622
27053913 TUBE TRACH SHILEY #1 PT 270 136.7 A4622
27053914 TUBE TRACH SHILEY #4 270 136.7 A4622
27053915 TUBE TRACH SHILEY LOW PRES 4.5 270 136.7 A4622
27053916 TUBE TRACH SHILEY NEO 00PT 270 136.7 A4622
27053917 TUBE TRACH SHILEY NEONATAL 3.0 270 136.7 A4622
27053918 TUBE TRACH SHILEY PED 0PT 270 136.7 A4622
27053919 TUBE TRACH SHILEY PED 2PT 270 136.7 A4622
27053920 TUBE TRACH SHILEY PED 3.0 270 136.7 A4622
27053921 TUBE TRACH SHILEY PED 3.5 270 136.7 A4622
27053922 TUBE TRACH SHILEY PED 4.0 270 136.7 A4622
27053923 TUBE TRACH SHILEY PED 4PT 270 136.7 A4622
27053924 TUBE TRACHEOSTOMY LPC #10 270 172.7 A4622
27053925 TUBE TRACHEOSTOMY SHILEY 4CFS 270 158.4 A4622
27053926 TUBE ENDOTRACH 3.0 W/O CUFF 270 5 A4624
27053928 TUBING SCD MACHINE 60" 270 74.8 A9900
27053929 TUBING SOD MACHINE 60" 270 74.8
27053930 TUBING SUCTION CONNECTING 10' 270 3.3 A7002
27053931 TUBING SUCTION CONNECTION 6' 270 3.3 A7002
27053932 TUMBLER UNBREAKABLE 8OZ 270 3.3 A9900
27053933 UNDERPADS PRE-PACK 5'S 30X30 270 3.7 A4554
27053934 UNIV 10" LUMBO SOCRAL SUP24-44 270 65.3 A9900
27053935 URINAL W/HILLROM COMP HANDLE 270 3.3 A9900
27053936 URINE STRAINER DISPOSABLE 270 5.6 A9900
27053937 WAFER STOMAHESIVE 1 1/2 FLANGE 270 16.2 A4404
27053938 WAFER STOMAHESIVE 4" FLANGE 270 22.4 A4404
27053939 YANKAUER HANDLE W/O VENT 270 3.3 A9900
27053940 PEDIATRIC INTUBATION TRAY 270 170.5 A4629
27053941 CHEST TUBE TRAY 270 220 A4301
27053942 CUTDOWN TRAY (PEDS/NURSERY) 270 275 A4550
27053943 NEO-NATAL INTUBATION TRAY 270 181.5 A4629
27053944 THORACENTISIS TRAY(DR.NAGARAJA 270 145.1 A4554
27053945 EXTN CATH REPAIR 10FR 270 349.8 A4335
27053946 JELLY LUBRICATING 4 OZ 270 3.3 A4649
27053947 CATH FOLEY 3CC 10FR 270 31.2 A4338
27053948 DRAPE LARGE INCISE 270 21.8
27053949 THERMOMETER RECTAL 270 3.3 A9900
27053950 THERMOMETER ORAL 270 3.3 A9900
27053951 TUBE ENDOTRACH 5.0MM 270 7.5 A4624
27053952 TUBE ENDOTRACH 5.5MM 270 7.6 A4624
27053953 TUBE ENDOTRACH 6.0MM 270 7.5 A4624
27053954 TUBE ENDOTRACH 6.5MM 270 7.5 A4624
27053955 KIT MONITORING PRESS DUALLINE 270 77 A4301
27053956 TUBE RECTAL 32FR 270 43.3 A9900
27053957 COLLAR CERVICAL SMALL 4 1/4 274 68.6 L0120
27053958 COLLAR CERVICAL SMALL 5 1/4 274 61.5 L0120
27053959 COLLAR CERVICAL MEDIUM 3 1/4 274 61.5 L0120
27053960 COLLAR CERVICAL MEDIUM 4 1/4 274 61.5 L0120
27053961 COLLAR CERVICAL MEDIUM 5 1/4 274 71.3 L0120
27053962 COLLAR CERVICAL LARGE 4 1/4 274 61.5 L0120
27053963 COLLAR CERVICAL LARGE 5 1/4 274 63.4 L0120
27053964 ELECTRODE BI-POLAR PACING 7FR 270 521.4 A4300
27053965 JACKET POSEY SMALL 270 34.6 E0710
27053966 STYLETTE 6FR 2.0-3.5 270 13.2 A9900
27053967 STYLET INTUBATION 6FR 2.5-4.5 270 16.5 A9900
27053968 CATH TROCAR 10FR 270 72.4 A4550
27053969 CATH TROCAR 16FR 270 72.4 A4550
27053970 TUBE RECTAL 28FR 270 35 A9900
27053971 TUBE RECTAL 22FR 270 16.6 A9900
27053972 STOPCOCK ONE WAY W/LUER ADAPT 270 4.6 A4329
27053973 BANDAGE PLASTER 2" X-FAST 270 4.2 A4580
27053974 THORACENTESIS TRAY W/CATH 270 99.3 A4554
27053975 EXTERNAL CATH 10FR REPAIR KIT 270 453.2 A4335
27053976 SWIVEL ADAPTER 270 24.9 A4617
27053977 ELECTRODE BI-POLAR PACING 5FR 270 478.5 A4300
27053978 ELEC BALOON BIPOLAR PACING 5FR 270 443.3 A4300
27053979 COLLAR CERVICAL LARGE 3 1/4 274 71.3 L0120
27053980 STENT: CANALICULAR 270 301.4
27053981 HESSBURG BARRON 270 228.6
27053982 TREPHINE BLADE 270 162.8
27053985 BERKELEY TUBING 270 25.3
27053986 CURETTE DISPOSABLE 270 36.2
27053987 FULLER SHIELD 270 30.2
27053988 MAGNA PAD 270 33
27053989 DRESSING XEROFORM 4X4 270 5.2
27053990 KIT LACTINA CONVERSION 270 18
27053991 DIALYSIS OPTI-FLOW CATH 270 558.8
27053992 CATHETER FOLEY 16FR 30CC 270 20.3
27053994 CATH FOLEY 30FR 5CC 270 15.3
27053995 INTUBATION MODULE - PINK/RED 270 123.1
27053996 INTUBATION MODULE - PURPLE 270 123.1
27053997 INTUBATION MODULE - YELLOW 270 123.1
27053998 INTUBATION MODULE - WHITE 270 123.1
27053999 INTUBATION MODULE - BLUE 270 123.1
27054000 INTUBATION MODULE - ORANGE 270 123.1
27054001 INTUBATION MODULE - GREEN 270 123.1
27054002 I.V. DELIVERY MODULE -PINK/RED 270 79
27054003 I.V. DELIVERY MODULE - PURPLE 270 79
27054004 I.V. DELIVERY MODULE - YELLOW 270 79
27054005 I.V. DELIVERY MODULE - WHITE 270 79
27054006 I.V. DELIVERY MODULE - BLUE 270 79
27054007 I.V. DELIVERY MODULE - ORANGE 270 79
27054008 I.V. DELIVERY MODULE - GREEN 270 79
27054009 INTRAOSSEOUS MODULE - PINK/RED 270 171.5
27054010 INTRAOSSEOUS MODULE - PURPLE 270 171.5
27054011 INTRAOSSEOUS MODULE - YELLOW 270 171.5
27054012 INTRAOSSEOUS MODULE - WHITE 270 171.5
27054013 INTRAOSSEOUS MODULE - BLUE 270 171.5
27054014 TRAY UMBILICAL CATH INSERTION 270 212.3
27054015 CONCHAPAK #20 270 48.4
27054016 7700 YAW OXYGEN DEL MOD YELLOW 270 87.8
27054017 7700 RAW OXYGEN DEL MOD PK/RED 270 87.8
27054018 7700 PAW OXYGEN DEL MOD PURPLE 270 87.8
27054019 7700 WAW OXYGEN DEL MOD WHITE 270 87.8
27054020 7700 BAW OXYGEN DEL MOD BLUE 270 87.8
27054021 7700 OAW OXYGEN DEL MOD ORANGE 270 87.8
27054022 7700 GAW OXYGEN DEL MOD GREEN 270 87.8
27054023 TRACH TUBE PORTEX #6 CUFFED 270 110
27054024 DERMABOND SKIN ADHESIVE 270 77
27054025 OXY TIP SENSOR ADULT/PEDIATRIC 270 46.6
27054026 PULSE OXIMETER 270 184.8
27054027 GLOVES, STERILE 270 11.11
27054028 DISPOSABLE CAUTERY - ER 270 69.52
27054029 DISPOSABLE SCALPEL - ER 270 2.77
27054030 RESTRAINTS,LEATHER 270 69.3 Z7610
27054031 ACCUCHECK PROCEDURE 270 36.05 Z7610
27054032 TUBE LINTON 270 1076.32
27054033 PICS LINE CATH SET 270 300.3
27054034 FNA KIT 270 80.25
27054035 PERINEAL COLD PACK 270 10.95
27054036 PANTIES MESH 270 2.4
30000001 FIBRIN DEGRADATION PRODUCT 300 5.75 85378
30000002 CLOZARIL (CLOZAPINE) 300 20.13 82491
30000003 GONORRHEA DNA PROBE 300 5.44 87590
30000004 VDRL CSF 300 5.13 86592
30000005 EOSINOPHILS URINE 300 41.8 87205
30000006 COMPREHENSIVE METABOLIC PANEL 300 278.8 80053
30000007 CNAB 300 16.75 86021
30000008 VITAMIN D 300 50.6 82652
30000009 VALPROIC ACID 300 14 80164
30000010 TROPONIN - I 300 47.1 84484
30000011 PLATELET ANTIBODY PANEL 300 54.28 86023
30000188 BACTERIAL AG PANEL 300 246.4 87449
30000195 RA LATEX, QUAL 300 65.1 86430
30000231 ARTH PROFILE 300 43.15 80072
30000240 ALCOHOL BLD 300 67 82055
30000276 MARIJUANA TEST 300 120.75 80101
30000402 TESTOSTERONE, TOTAL 300 50.4 84403
30000408 ROTAVIRUS AG DETECT 300 67.2 87425
30000439 CRYOPRECIPITATE 390 168 P9012
30000556 LEPTOSPIROSIS AG-1GG, 1GM 300 19.15 86720
30000560 TRICHINELLA AB -L01 300 25.3 86784
30000576 TYPING BLD RBC ABO 300 27 86900
30000683 PLATELET CONC -LAB 390 168 P9019
30000688 SKIN TEST COCC-LAB 300 49.95 86490
30000783 WHOLE BLOOD 390 756 P9010
30000790 PLASMA FRESH FROZEN 390 184.5 C9503
30000792 PLATELET CONCENTR 390 56 P9019
30000794 RED BLOOD CELLS 390 477.15 P9021
30000796 RED BLOOD CELLS TRPL PK 390 205 P9021
30000816 HCG QUANT 300 51.4 84702
30000829 URINALYSIS MICRO ONLY 300 33.6 81015
30000855 SPERM COUNT & MOTILITY 300 27 89310
30000910 AFB DIR ID HPLC-FL 300 85.15 87118
30000911 AFB PRIMARY MIC PNL 300 12.35 87186
30000912 AFB SMEAR LM 300 4.8 87206
30000913 AEROBIC BACTERIAL ID 300 61.6 87077
30000914 AEROBIC SUSC RTN PNL - MIC 300 60.5 87186
30000915 ANAEROBIIC BACT ID 300 81.8 87076
30000916 ANAEROBIC SUS RTN PN - MIC 300 88.5 87186
30000917 COMP AFB TEST PKG 300 70.6 87116
30000918 FUNGAL CULTURE (SKIN) 300 42.6 87101
30000920 OVAL & PARASITE EXAM 300 9.95 87177
30000921 VIRAL CULTURE (X2) 300 20.1 87252
30000988 SEMEN ANALYSIS, COMPLETE 300 60.5 89320
30000989 BILI T&D 300 70.23 82251
30000992 HEPATITIS B CORE AB 300 12.25 86704
30000995 HEPATITIS B SURFACE AB 300 9.31 86706
30000996 HEPATITIS B SURFACE AG 300 8.5 87340
30001647 ELECTROLYTE PANEL 300 184.8 80051
30001680 PLASTSD 300 139.55
30001681 PLASTSD 1ST UNIT 390 332.65 P9023
30001683 ALBUMIN SERUM -LAB 301 56.92 82040
30001685 LEUKO-REDUCED RED CL 390 571.2
30001686 DIRECTED DONOR RBC 390 756 P9021
30001687 AUTOLOGOUS RBC 390 756 P9021
30001701 AMINO-LEVULIN AC-LAB 301 28 82131
30001755 CHLORIDE URINE -LAB 301 50.54 82436
30001764 CHLORIDE, BODY FLUID 301 50.54 82438
30001791 CORTISOL PLASMA-LAB 301 13.63 82533
30001890 ESTROGENS URINE-L01, TOTAL 301 41.45 82672
30001917 GLUCOSE QUAN BL-LAB 301 48.07 82947
30001944 TROPONIN I, QUANT 301 106.4 84484
30002007 LDH, SERUM -LAB 301 51.55 83615
30002025 LEAD URINE/BLD -LAB 301 9.31 83655
30002043 LITHIUM SERUM -LAB 300 5.88 80178
30002070 OSMOLALITY SERU-LAB 301 12 83930
30002079 OSMOLALITY URIN-LAB 301 31 83935
30002115 POTASSIUM SERUM -LAB 301 49.28 84132
30002124 POTASSIUM URINE 301 59.28 84133
30002151 PROT ELECTRO SE-LAB 301 19.05 84165
30002160 PROTEIN URINE -LAB 301 50.6 84155
30002187 GENTAMICIN SERUM 300 108.46 80170
30002196 FERRITIN SERUM -L01 301 10.31 82728
30002205 TOBRAMYCIN SER-L01 300 20.63 80200
30002214 T-3 UPTAKE,SERUM 301 3.69 84479
30002223 SODIUM SERUM -LAB 301 60.5 84295
30002232 SODIUM URINE 301 60.5 84300
30002241 THEOPHYLLINE SE-LAB 300 145.42 80198
30002259 TSH SERUM -LAB 301 13.63 84443
30002268 TRIGLYCERIDES SE 301 65.34 84478
30002277 BUN, SERUM -LAB UREA QUANT 301 56.7 84520
30002286 URIC ACID SERUM LAB 301 48.07 84550
30002295 STAT CHARGE 300 19.05
30002304 D-DIMER 305 104.72 85378
30002313 HIV 1, WESTERN B 302 20.5 86689
30002484 MYCOPLASMA AB-CF-LO1 302 15.75 86738
30002556 COMPLEMENT-C4 SE-LAB 300 11.75 86160
30002664 CULTURE FOR TBC-LO2 306 110.9 87116
30002718 CLOSTRIDIUM TOX FE 306 26.75 87230
30002736 OCCULT BLOOD FE (1-3 DETERM) 301 63.91 82270
30002763 HANDLING CHARGE 300 16.8 99001
30002772 PLATELET PHERESIS 390 1831.2 C9501
30002781 RHOGAM FOR ADMIN. 636 439.83 J2790
30002817 PREGNANCY TEST SERUM 301 33.27 84703
30002826 SGOT 301 59.18 84450
30002907 CULTURE, LEGIONELLA 300 110.9 87081
30002925 CKMB & INDEX 301 171.75 82553
30003950 BENZODIAZEPINE QUALITATIVE 300 37.28 80101
30005400 CARBAMAZEPINE,SE-L01 300 93.66 80156
30005850 CELL CT FLUIDS-LAB 300 54.94 89051
30005900 CELL CT NO/DIFF -LAB 300 42.02 89050
30008450 CULTURE MISC ROUT-LAB 306 103.29 87070
30008500 CULTURE FECES 306 93.9 87045
30009004 ENCEPHALITIS, CSF 300 91.85 86787
30009350 DIGOXIN,SERUM-LAB 300 145.37 80162
30009450 DILANTIN,SERUM PITENYTOIN, TOT 300 93.66 80185
30009995 MISC.LAB IN HOUSE 300 0
30012050 GLOBUL QUAL CSF-LAB 301 32.5 84155
30013150 HEPATIC FUNCTION PANEL 300 208.35 80076
30016150 LEUKAPHERESIS 940 764.2 36520
30017050 BASIC METABOLIC PANEL 300 169.6 80048
30019350 PHENOBARB:SERUM 300 93.66 80184
30019850 PPD SKIN TEST 302 49.95 86585
30021000 REDCROSS CASE WORKUP BASIC 302 156.8 86870
30022000 RPR 302 2.81 86592
30022550 SALICYLA QUAL-LAB 300 12.5 80101
30022600 SALICYLATES SE-LAB 300 108.46 80196
30022700 SEMEN ANALYSIS COMPL 300 120.75 89320
30023150 NASAL SMEAR FOR EOSIN 300 28.8 89190
30023350 SPEC GRAV URINE 307 17.25 81003
30025350 URINALYSIS COMPLETE 307 44.8 81001
30025400 URINALYSIS NO MICRO 307 16.8 81003
30025850 VENIPUNCTURE-LAB 300 11.2 36415
30026400 VOLUME URINE LAB 307 17.25 81050
30026401 CULTURE STOOL 300 93.9 87045
30026402 STOOL WRIGHT STAIN 300 26.9 87205
30026403 RENAL FUNCTION PANEL 300 213.55 80069
30026406 CD4,REF 310 15.5 88180
30026407 INDIAINK-CRYPTOSPORIDIUM EXAM 300 63.91 87210
30026408 CRYPTOSPORIDIUM EXAM 300 65.1 87272
30026409 LUPUS PANEL,REF 300 4.31
30026410 CYCLOSPORINE HPLC,REF 300 20.44 80158
30026411 ANTICARDIOLIPIN AB,REF 300 22.38 86147
30026412 CLONOPIN,REF 300 29.35 80154
30026413 HEPATITIS PANEL,REF 300 58.44 80074
30026414 LIPID PANEL,REF 300 7.31 80061
30026415 RAPID STREP SCREEN,REF 300 3.15 87880
30026416 CROSSMATCH 37 DEG - INCUBATION 300 92.4 86921
30026417 CROSSMATCH AHG - ANTIGLOBULIN 300 84 86922
30026418 SPECIAL ANTIGEN NEGATIVE 300 50.4 83903
30026419 IRRADIATION SURCHARGE 300 168 86945
30026420 CMV SURCHARGE 300 39.2 86644
30026421 RED CROSS STAT HDLG CHRG-CLS 3 300 78.4
30026422 RED CROSS DELIVERY CHRG-CLS 1 300 39.2
30026423 RED CROSS SAMPLE P/U CHRG,ROUT 300 28
30026424 RED CROSS SAMPLE P/U CHRG,STAT 300 84
30026425 RED CROSS AFTER HRS FEE-PER HR 300 140
30026426 RED CROSS CASE W/U-WARM AUTO 300 392
30026427 RED CROSS CASE W/U-MULTIPLE 300 246.4
30026428 RED CROSS CASE W/U SPEC TECH 300 313.6
30026429 RED CROSS CASE WORK-UP COMPLEX 300 504
30026430 RED CROSS DELIVERY CHRG-CLS 2 300 61.6
30026431 FRESH FRZN PLASMA-THAW EA UNIT 300 43.7 86927
30026432 BLOOD BANK HANDLING FEE 300 39.2
30026433 DU TYPING 390 44.8 86905
30026434 PERTUSSIS CULTURE,DFA 300 106.4 87081
30026435 ANTI-GLOMERULAR AB 300 48.7 83520
30026436 DNA DOUBLE STRAND 300 15.19 86225
30026437 INFLUENZA A & B 300 45 86710
30026438 FIBRONECTIN IGA & IGG 300 70 86332
30026439 CRYPTOCOCCAL ANTIGEN,SERUM 300 13.81 87449
30026440 URINE IDENTIFICATION 300 63.3 87088
30026441 CRYPTOSPORIDIUM ANTIGEN,EIA 300 16.1 87328
30026442 LE CELL PREPARATION-REF 300 18.8 85999
30026443 OLIGOCL0NAL BANDS(CSF)-REF LAB 300 101.6 82664
30026444 Chromosone Study 300 315.4
30026445 B-TYPE NATRIURETIC PEPTIDE 300 150 83880
30026446 CRYPTOCOCCAL ANTIGEN LA 300 13.81 87449
30100210 AC CHOLINE REC-LAB 301 55.25 84238
30100300 ACETOACETIC AC U LAB 307 17.25 81003
30100330 ACETOAMINOPHEN-L01 301 108.46 82003
30100420 ACETONE SERUM QUALITATIVE 301 33 82009
30100480 ACID PHOS SERUM-LAB TOTAL 301 4.25 84060
30100510 ACTH, PLASMA -L12 301 43.7 82024
30100960 ALCOHOL QUANT 301 67 82055
30100990 ALDOLASE, SERUM LAB 301 6.56 82085
30101020 ALDOSTERON SERUM L-12 301 33.69 82088
30101050 ALDOSTERON URINE -L01 301 54.75 82088
30101140 ALK P-TASE ISO -LAB 301 13.81 84080
30101170 ALK PHOS,SERUM LAB 301 56.92 84075
30101230 ALKALOIDS QUAN, URINE 301 143.4 82101
30101290 ALPH 1 ANTITRYP LAB 301 11 82103
30101410 ALUMINUM SERUM LAB 25 301 45.05 82108
30101470 AMIKACIN LEVEL 301 14.38 80150
30101650 AMINO ACID FRACT-L01 301 366.5 82128
30101830 AMINO ACID SC UR-L01 301 24.55 82128
30102040 AMMONIA,BLOOD -LAB 301 105.21 82140
30102070 AMPHETAMI-QUAL-U-L01 301 17.15 80101
30102100 AMPHETAMINES URINE 301 26.55 80101
30102520 AMYLASE,SERUM -LAB 301 84.31 82150
30102550 AMYLASE,URINE -LAB 301 4.5 82150
30102610 ANDROSTENEDIONE -L12 301 45.6 82157
30102640 ANGIO CONVERT ENZ 301 12.88 82164
30102880 ARSENIC QUANT -L01 301 39.15 82175
30102940 ASCORBIC ACID SE-L01 301 18.3 82180
30102970 ATROPINE LEVEL 301 47.95 80299
30103000 AVENTYL,QUANT NOETRIPTYLINE 301 160.65 80182
30103060 BARB-SH/LG QT SE 301 25.1 82205
30103120 BARBITURATES URINE 301 21.2 80101
30103360 BENZODIAZEPINES-LAB 301 31.8 80154
30103420 BERYLLIUM URINE-L01 301 165.8 83018
30103450 BETA LIPOPROT SE-L01 301 97.8 83715
30103480 BICARBONATE SE-LAB 301 45.7 82374
30103510 BILE AC FRACT SE-L01 301 125.8 82240
30103630 BILI DIRECT SER-LAB 301 56.92 82248
30103660 BILI-AMNIOTIC FL-LAB 301 12.1 82247
30103810 BILIRUBIN URINE 301 19.15 82247
30103840 BILIRUBIN,SERUM-LAB 301 27.5 82247
30104200 C-PEPTIDE 301 28.2 84681
30104260 CADMIUM URINE -L01 301 33.6 82300
30104380 CALCIUM ION SER-L03 301 18.75 82330
30104410 CALCIUM ROUT UR-LAB 301 46.15 82310
30104440 CALCIUM SEMI UR-LAB QUANT 301 37.5 82340
30104590 CALCIUM,SERUM-LAB 301 56.92 82310
30104620 CALCULUS ANALYSIS 301 0 82365
30104800 CARBOXYHGB-L01 301 16.3 82375
30104920 CAROTENE SERUM-LAB 301 19.3 82380
30105010 CATECHOLAMIN FR-L01 301 42 82384
30105040 CATECHOLAMIN BLOOD TOTAL 301 22.38 82383
30105070 CATECHOLAMINES-U-LAB 301 22.55 82382
30105130 CEA PLAS-ROCHE-LAB 301 27.71 82378
30105520 CHLORIDE,SERUM 301 45.7 82435
30105640 CHOLESTEROL,SE-LAB 301 56.92 82465
30105670 CHOLINESTERAS-SE-LAB 301 17.1 82480
30105700 CHROM ANAL AMNIO-L01 311 821.3 88267
30105730 CHROMIUM-QUANT-L01 301 19.6 82495
30105760 CHROMO BL W/BAND 311 813.05 88262
30105790 CHROMO BONE MARROW 311 724 88245
30105850 CK-MB 301 93.66 82553
30106180 COCAINE URINE 301 22.55 80101
30106240 COMP, AG, EA 302 65.6 86160
30106330 COPPER,URINE-LAB 301 11.44 82525
30106360 COPPER,SERUM-LAB 301 11.5 82525
30106390 COPROPORPHYR-UR-LAB 301 118.75 82120
30106540 CORTISONE,SERUM-L01 301 21.2 82533
30106600 CPK ISOENZYMES-LAB 301 16.29 82552
30106660 CPK,SERUM-LAB 301 69.63 82550
30106720 CREATINE,SERUM-L01 301 11.95 82550
30106750 CREATINE,URINE 301 50.65 82550
30106900 CREATININE CLEAR-LAB 301 103.29 82575
30107080 CREATININE,SERUM 301 50.27 82565
30107110 CREATININE,URINE 301 55.33 82570
30107140 CRYOFI-QUAN-PLA 301 61.5 82585
30107170 CRYOGLOB-QUAL-SE-LAB 301 5.13 82595
30107200 CRYOGLOB-QUAN-SE-LAB 301 51.75 82595
30107290 CRYSTAL ID-LAB 301 61.5 89060
30107380 CYANIDE,BLD-L01 301 31.9 82600
30107410 CYCLIC AMP SERUM-L12 301 56.35 82030
30107560 CYSTINE-QUANT UR-L01 301 17.65 82131
30107620 DALMANE,QUAL-LAB (FLUORALEPAN) 301 134.75 80101
30107650 DARVOCET QUANT-L01 (PROPOXY) 301 109.2 80299
30107680 DARVON QUAL-URINE 301 107.2 80101
30107710 DARVON QUAN UR-LAB, URINE 301 131.85 80299
30107740 DEOXYCORTICOSTER-L13 301 61.35 82633
30107770 DEOXYCORTISOL.SE-12 301 57.6 82634
30107800 DEPAKANE (VALPROIC ACID) 301 31.9 80164
30107860 DEXAMYL,QUAN SE-L22 (AMPHETAM) 301 89.85 80101
30107950 DHEA,SERUM-L01 301 28.63 82626
30107980 DHEA,URINE-L01 301 57.6 82626
30108010 DHEA-SUL PLASMA-L12 301 31.3 82627
30108040 DIABENESE-L01 (CHLORPOMAZINE) 301 149.2 80299
30108100 COUMADIN 301 143.4 80299
30108250 DIHYDROTESTOSTER-L13 301 44.75 82651
30108520 DORIDEN QUAL SE-LAB 301 214.3 80101
30108550 DORIDEN SERUM-L01 GLUTEHIMIDE 301 109.2 82980
30108610 DRUG CONFIRM GLC-LAB 301 30.7 80102
30108700 ELAVIL,PLASMA-LAB AMYTRIPTYL 301 18.38 80152
30109120 ERTHROPOIET,QUAN-L01 301 73.4 82668
30109210 ESTRADIOL,PLASMA-L12 301 36.2 82670
30109240 ESTRADIOL,URINE-L01 301 40.55 82670
30109270 ESTRIOL PLASMA-L12 301 22.3 82677
30109330 ESTRIOL, URINE-LAB 301 25 82677
30109360 ESTROG FRACT UR-L01 301 84.6 82671
30109390 ESTROG RECEPTOR-L12 301 97.25 84233
30109450 ESTROGENS,PLASMA-L01, TOTAL 301 22 82672
30109510 ESTRONE,PLASMA-L01 301 33.5 82679
30109540 ESTRONE,URINE-L01 301 41.45 82679
30109630 ETHYL ALCOHOL-LAB 301 107.58 82055
30109660 ETIOCHOLANOLONE-L01 301 195.1 82696
30109780 FATTY ACIDS NON-L01 301 20.95 82725
30109900 FETOPROTEIN SE-L01 301 127.25 82105
30109930 FIBRINOGEN PLASM-LAB 305 104.72 85384
30110217 BETA SUB QT SE UR 301 141.7 84702
30110260 FOLATE SERUM-LAB 301 12 82746
30110530 FREE T-4 SPEC-SE-L01 301 51.4 84439
30110560 FRUCTOSE SEMEN -L01 301 147.5 82757
30110620 FSH PLASMA OR SE-LAB 301 14.81 83001
30110650 FSH URINE-LAB 301 21.65 83001
30110710 GALACTOSE SERUM-L01 301 24.3 82760
30110860 GAMMA GLOBUL SE-LAB 301 15.3 82784
30110920 GASTRIN SERUM -L01 301 17.9 82941
30111070 GGT SERUM -LAB 301 68.53 82977
30111190 GLUC TOL ORA 1HR-LAB (3 SPEC) 301 61.5 82951
30111220 GLUC-6-P-D-RBC-LAB 301 76.65 82955
30111250 GLUCAGON 301 32.6 82943
30111490 CSF-PANEL 301 350.9 82947
30111730 GLUCOSE QUANT UR-LAB 301 41.36 82947
30111820 GLUCOSE TOL EA ADBY3 301 103.29 82952
30112090 GLYCOHEMOGLOBIN-L25 301 39.63 83036
30112120 GOLD SERUM -L01 301 40.55 80172
30112150 GROWTH HORMON SE-L12 301 18.3 83003
30112210 HALDAL-QUANT -L22, HALOPERIDOL 301 242.6 80299
30112270 HAPTOGLOBIN 301 19.81 83010
30112570 HEAVY METAL SCR-L01 301 60.4 83015
30112660 HEMOGLO ELEC BL-LAB 301 18.71 83020
30112690 HEMOGLOBIN F BL-LAB 301 10.88 83030
30112720 HEMOGLOBIN PLASM-LAB 305 70.6 85018
30112810 HEMOGLOBIN URINE-LAB 301 15.4 83069
30112870 HEROIN QUAN BLD-L01 301 26.55 80102
30112990 HIAA QUAN URINE-LAB 301 15.5 83497
30113050 HISTAMINE BLOOD 301 43.8 83088
30113170 HOMOVANILLIC ACD-L01 301 29.5 83150
30113260 HYD-PROGESTERONE-L12 301 36.1 83498
30113290 HYD-PROGESTERONE-L13 301 36.1 83499
30113320 HYD-PROLINE FREE-L01 301 45.05 83500
30113350 HYD-PROLINE TOT -L01 301 57.6 83505
30113500 IGA ASSAY SERUM-LAB 301 10.8 82784
30113530 IGD ASSAY SERUM-LAB 301 17.1 82784
30113590 IGE ASSAY SERUM-LAB 301 14.81 82785
30113650 IGG ASSAY SERUM-LAB 301 7.75 82784
30113710 IGM ASSAY SERUM-LAB 301 7.75 82784
30113740 IMIPRAMIN LEVEL 301 19.81 80174
30113800 IMMUNO-ELEC-PHORIS 302 21.38 86320
30113890 INSULIN SERUM -L12 TOTAL 301 10.63 83525
30113920 INSULIN TOL ADDI-L01 TOTAL 301 11.8 83525
30114010 IRON TOT BNDG CAP 301 44.6 83550
30114100 IRON/SERUM 301 3.75 83540
30114280 KETOSTEROIDS UR-LAB 301 57.6 83586
30114310 KGS URINE-LAB 301 107.2 83582
30114340 L-S RATIO AMNIO-L01 301 118.75 83661
30114430 LACTIC ACID BL-LAB 301 18.5 83605
30114520 LACTOSE TOLERANC-L01 (1ST/3) 301 43.6 82951
30114580 LAP SERUM-LAB 301 81.35 83670
30114850 LDH URINE-LAB 301 57.6 83615
30114880 LDH OTHER FLUIDS-LAB 301 3.19 83615
30114970 LH PLASMA-LAB 301 14.81 83002
30115030 LIBRIUM SERUM-LAB 301 131.85 80299
30115060 LIBRIUM URINE-LAB 301 131.5 80154
30115120 LIDOCAINE 301 21.1 80176
30115240 LIPASE SERUM-LAB 301 84.25 83690
30115270 LIPID PHENOTYPE-LAB 301 21 83715
30115300 LIPIDS TOTAL FEC-L01 301 82.5 82715
30115330 LIPOPRO BY ULTRA-L01 301 97.7 83716
30115360 LIPOPROT HIGH DEN 301 13.4 83718
30115540 LSD URINE-L01 301 210.6 80101
30115630 MAGNESIUM SERUM-LAB 301 90.69 83735
30115720 MAGNESIUM URINE-LAB 301 63.3 83735
30115780 MANGANESE BLDUR-L01 301 26.6 83785
30115840 MARIJUANA TEST 301 18.45 80101
30115870 MEBARAL QUANT -L01 301 26.55 80102
30115900 MELLARIL -LAB, PHENOTHIAZINE 301 120.75 80101
30115930 MEPHOBARBITAL -L01, PHENOBARB 301 23.7 80184
30115990 MEPROBAMATE QUAL-LAB 301 25.1 80101
30116020 MEPROBAMATE SE-L01 301 25.1 83805
30116050 MERCURY QUAL UR-L01 301 30.35 83015
30116080 MERCURY QUAN UR-L01 301 134.2 83825
30116140 METANEPHRINE UR-LAB 301 19.25 83835
30116200 METHADONE QUAL-LAB 301 17.1 80101
30116230 METHADONE QUANT -L01 301 19.3 83840
30116260 METHEMALBUMIN -L01 301 92.1 83857
30116290 METHEMOGLOBIN-L01 301 21.5 83050
30116350 METHYLMALONIC AC-L01, VIT B12 301 205 82607
30116410 MICRO HEMOSIDERI-LAB 301 46.2 83070
30116440 LIPIDS MISC - FAT STAIN 301 35.65 89125
30116470 LIPIDS FEC - FAT STAIN 301 57.6 89125
30116500 LIPIDS CSF - FAT STAIN 301 34.65 89125
30116710 MORPHINE QUAL UR-LAB 301 23.7 80101
30116770 MUCIN JOINT FL -LAB 301 42.15 83872
30116890 MYELIN PROTEIN CSF 301 30.36 83873
30116950 MYOGLOBIN QUANT -L03 301 12.13 83874
30117130 NAVANE URINE -L01 301 84.25 80299
30117160 NICKEL URINE/BLD-L01 301 82.6 83885
30117190 NICOTINE URINE -L22 301 268.2 83887
30117220 NOLUDAR QUAN SE -L01 301 109.2 80299
30117250 NORPRAMIN -L01 301 139.9 80160
30117340 NUCLEOTIDASE SE-LAB 301 30.6 83915
30117550 OPIATES SPEC UR-LAB 301 120.75 80101
30117910 OXALATE SERUM -L01 301 31.9 83945
30117970 OXALATE URINE -L01 301 28.46 83945
30118000 OXAZEPAM QUAL -LAB 301 20.1 80154
30118450 PARATHORMONE,SE -L12 301 52.9 83970
30118540 PENTAZOCINE QUAN-L01 301 17.9 80299
30118660 PH MISC FLUIDS -LAB 301 42.15 83986
30118810 PH URINE -LAB 301 17.25 83986
30118870 PHENCYCLIDINE URINE 301 16.46 80101
30118990 PHENOTHIAZ QUAL -LAB 301 21.2 80101
30119020 PHENOTHIAZ QUAN -L01 301 100.1 84022
30119110 PHENYLKETONURIA 301 44.8 84030
30119440 PHOSPHORUS SERUM 301 52.74 84100
30119470 PHOSPHORUS URINE 301 5.96 84105
30119530 PLACENTAL LACTO -L12 301 160.65 83632
30119560 PLACIDYL QUAL UA-LAB 301 107.2 80101
30119590 PLACIDYL QUAN SE-LAB 301 141.7 82690
30119650 PORPHOBILIN QUAN-L01 301 12.5 84110
30119710 PORPHYRINS QUAN -L01 301 51.4 84126
30119740 PORPHYRINS FECES-L06 QUAL 301 51.4 84127
30120070 PREGNANCY URINE 307 33.27 81025
30120100 PREGNANCY-SE QUANT 301 108.46 84702
30120130 PREGNANEDIOL UR -LAB 301 35.1 84135
30120160 PREGNANETRIOL UR-LAB 301 23.2 84138
30120250 PRIMIDONE SERUM -LAB 301 19.3 80188
30120370 PROCAINAMIDE SE-LAB 301 23.96 80190
30120580 PROGEST RECEP AS-L12 301 302.2 84234
30120670 PROGESTERONE SE-L12 301 15.94 84234
30120730 PROLACTIN PLASMA-L12 301 17.13 84146
30120760 PROLIXINE LEVEL 301 114.7 80101
30120820 PROPRANOLOL SE-L01 301 17.5 80299
30120850 PROSTAGLANDIN F2-L03 301 476.45 84150
30120880 PROSTAT P-TASE-LAB 301 8.19 84066
30120940 PROSTATIC SP AG 301 20.06 84153
30120970 PROT ELECTRO CSF-LAB 301 8.94 84165
30121030 PROT ELECTRO UR-LAB 301 8.94 84165
30121390 PROTEIN SERUM -LAB 301 56.92 84155
30121450 PROTEIN-OTHER FL-LAB 301 49.06 84155
30121480 PROTEIN-URINE QU-LAB 301 17.25 84155
30121540 PROTOPORPHYR-RBC-L01 301 22.55 84202
30121630 PTH-INTACT/C-TER L10 301 37.5 83970
30121660 PTT PLASMA -LAB 305 58.9 85730
30121720 QUAALUDE QUAL,SE-LAB 301 214.3 80101
30121810 QUINIDINE SERUM -LAB 301 26.21 80194
30121840 QUININE SERUM -LAB 301 126.6 84228
30121960 REF LAB HDL FEE 301 19.25 99001
30122020 RENIN PLASMA 301 25.1 84244
30122050 RERIP BLD SMR DRUMST 311 0 88140
30122080 T3 TOTAL 301 13.44 84480
30122170 ROBAXIN QUAL SE-LAB 301 195.1 80299
30122260 SALICYLA QUAN UR-LAB 301 14.21 80196
30122380 SEROTONIN BLOOD -L01 301 44.62 84260
30122560 SGPT 301 58.9 84460
30122620 SICKLE CELL BL-LAB 305 5.05 85660
30122650 SINEQUAN QUAN -L01 301 176.2 80166
30122890 SODIUM, BODY FLUID 301 42.15 84295
30122980 SOMA QUAL SE -LAB 301 49.3 80101
30123040 SPEC.STAIN OTHER 312 44.8 88313
30123100 STONE ANALYS IR-L05 301 26.05 82365
30123130 SUGAR ID QUAL PL-L03 301 0 84375
30123160 SUGAR ID QUAL UR-L01 301 0 84375
30123400 T-4 RIA SERUM 301 3.88 84436
30123670 TB ID W/SPECIAT-L02 306 105.4 87118
30123700 TBG SERUM -L12 301 160.65 84442
30123880 TESTOSTERONE 24HR URINE TOTAL 301 30.8 84403
30124090 THIAMINE PLASMA -L01 301 106.4 84425
30124120 THIOCYANATE SE -L01 301 24.6 84430
30124510 TOFRANIL URINE-L01 301 134.2 80174
30124930 TRYPSIN QUAL FEC LAB 301 61.5 84488
30124960 TRYPSIN QUAN FEC-LAB 301 69.1 84490
30125140 UREA NITRO CLEARANCE 301 71.9 84545
30125170 UREA NITRO URINE 301 40.2 84540
30125470 URIC ACID URINE 301 6 84560
30125500 URINE DRUG SCR ROUT 301 61.6 80100
30125560 UROBILI QUAN UR -LAB 301 42.8 84580
30125590 UROBILINOGEN FE -L01 301 82.45 84577
30125650 UROPORPH QUAN UR -L01 301 85.4 84120
30125680 VALIUM QUAL SE -LAB 301 195.1 80101
30125710 VALIUM SERUM -LAB 301 104.3 80154
30125740 VALPROIC ACID 301 98.6 80164
30125830 VANCOMYCIN SERUM 301 108.46 80202
30125950 VASOACT INT PEPTIDE 301 57.6 84586
30126010 VASOPRESSIN ADH -LAB 301 206.65 84588
30126160 VIT A CAROTENE -LAB 301 118.75 82380
30126280 VITAMIN A SERUM -LAB 301 24.7 84590
30126310 VITAMIN B-12 SE-LAB 301 12.38 82607
30126340 VITAMIN B-6 SE -L01 301 121 84207
30126490 VITAMIN D SERUM-L01 301 65.1 82307
30126520 VITAMIN D-3 250H-L03 301 68 82306
30126580 VITAMIN K SE -L01 301 126.6 84597
30126610 VLDL SERUM -LAB 301 0 83719
30126670 VMA URINE -LAB 301 19.3 84585
30126700 VOLATILES 301 20.05 84600
30126820 XYLOSE TOL TEST -L01 301 39.8 84620
30126850 ZARONTIN SERUM -LAB 301 109.4 80168
30126880 ZINC SERUM 301 13.5 84630
30126940 ZINC URINE 301 17.6 84630
30126941 MAPROTILINE (LUDIOMI),REL 301 19.51 80299
30126942 NETILMICIN TROUGH,REF 301 36.75 80299
30126943 LORAZEPAM (ATIVAN),REF 301 19.81 80299
30126944 METHAQUALONE,REF 301 2.19 80299
30126945 NORTRIPTYLINE URINE,REF 301 17 80182
30126946 MEPERIDINE & NORMEPERIDINE,REF 301 4.8 80101
30126947 TEMAZEPAM,REF 301 18.25 80299
30126948 FLUOXETINE (PROZAC),REF 301 20.5 80299
30126949 NORTRIPTYLINE,REF 301 17 80182
30126950 METHAQUALONE,QUANT,UR,REF 301 18.94 80101
30126951 LDL CHOLESTEROL,REF 301 7.31 80061
30126952 SILVER,REF 301 43.2 83015
30126953 SILVER,24HR URINE,REF 301 43.2 83015
30126954 MEPERIDINE (DEMEROL),REF 301 21.25 83925
30126955 LACTATE DEHYDROGENASE CSF,REF 301 4.2 83615
30126956 LEUCINE AMINOPEPTIDASE,REF 301 31.85 83670
30126957 METHSUXIMIDE (CELONTIN),REF 301 26.15 83858
30126958 PREALBUMIN,REF 301 24.84 84134
30126959 VITAMIN B-2,REF 301 12.38 84252
30126960 SEX HORMONE BNDG GLOBULIN,REF 301 20.65 84270
30126961 MELANIN URINE,REF 301 15.65 84999
30126962 URINE 24HR TOTAL PROTEIN,REF 301 6.75 84155
30126963 17-HYDROXYPROGESTERONE BLD,REF 301 30.95 83498
30126964 T.S.H. RECEPTOR AB,REF 301 70.35 84238
30126965 SELENIUM,REF 301 29.35 84255
30126966 PYRUVATEKINASE ERYTHORCYTE,REF 301 27.45 84220
30126967 VITAMIN E,REF 301 28.06 84446
30126968 THYROXINE-BINDING GLOBULIN,REF 301 20.65 84442
30126969 PRE ALBUMIN CSF,REF 301 26.9 84134
30126970 VITAMIN C,REF 301 21.65 82180
30126971 ALPHA FETO PROTEIN,REF 301 16.06 82105
30126972 ALBUMIN PLEURAL FLUID,REF 301 12.2 82042
30126973 ALBUMIN SYNOVIAL FL,REF 301 12.2 82042
30126974 TRICYCLIC ANTIDEPRESSANT,REF 301 22.65 80101
30126975 THIOTHIXENE (NAVANE),REF 301 24.18 80299
30126976 THALLIUM BLOOD,REF 301 27.1 83018
30126977 THALLIUM 24HR URINE,REF 301 27.1 83018
30126978 L/S RATIO,REF 301 28.9 83661
30126979 APOLIPOPROTEIN A-1,REF 301 8.55 82172
30126980 APOLIPOPROTEIN A-1-B,REF 301 12.85 82172
30126981 FREE THYROXINE INDEX,REF 301 7.3 84479
30126982 PHOSPOLIPIDS,REF 301 14.63 86147
30126983 HIV-1 CULTURE,REF 301 189 87390
30126985 ANTI-PARIETAL CELL ANTIBODY,RF 301 13.81 86255
30126986 ANTI-MYOCARDIAL ANTIBODY,REF 301 16.5 86256
30126987 ANTI-MYELIN ANTIBODY,REF 301 103.75 86255
30126988 BABESIA MICROTI,REF 301 32.6 86753
30126989 C-1 INHIBITOR,REF 301 25.3 86161
30126990 COMPLEMENT CLQ COMPONENT,REF 301 25.2 86160
30126991 COMPLEMENT C2,REF 301 46 86160
30126992 COMPLEMENT C6,REF 301 30.3 86160
30126993 C-1 ESTERASE,REF 301 56.87 86161
30126994 DIPHTHERIA ANTITOXID,REF 301 31.68 86648
30126995 EBV NUCLR ANTIGEN ANTIBODY,REF 301 14.13 86664
30126996 FLOURESCENT TREPONEMAL AB CSF 301 41.7 86781
30126997 FLOURESCENT TREPONEMAL AB,REF 301 18.75 86781
30126998 HLA B-27,REF 301 19.13 86812
30126999 HLA A3 301 90 86813
30127000 HLA DR-4 301 84.12 86816
30127001 HLA DR-5,REF 301 84.12 86816
30127002 HLA B-27 RELATED ANTIGEN,REF 301 19.13 86812
30127003 HLA B-8 B-5,REF 301 30.3 86813
30127004 HLA B-8 301 30.3 86813
30127005 HLA COMPLETE DR TYPING,REF 301 84.12 86816
30127006 HLA DR-3 DR-4,REF 301 84.12 86817
30127007 HLA DR-3 301 84.12 86816
30127008 HLA DR-2,REF 301 84.12 86816
30127009 HTLV 1/11 ANTIBODY,REF 301 24.31 86687
30127010 INFLUENZA ANTIBODY,REF 301 31.4 86710
30127011 ROCKY MTN SPOTTED FEVER,REF 301 39.5 86609
30127014 18-OH-CORTICOSTERONE,REF 301 122 83520
30127015 HOMOGENTISIC ACID URINE,REF 301 48 82127
30127016 METHAQUALONE QUALURINE,REF 301 1.13 80101
30127017 NEOPTERIN,REF 301 29.9 80101
30127018 CHOL 50/50,REF 301 7.63 82172
30127019 CLONAZEPAM (CLONOPIN),REF 301 28.38 80154
30127020 SULFAMETHOXAZOLE,REF 301 36.75 80299
30127021 MEPHENYTOIN,REF 301 23.4 80299
30127022 TYPHUS FEVER ANTIBODY,REF 301 30 86609
30127023 SCLERODERMA ANTIBODY,REF 301 15 86235
30127024 LUPUS ANTICOAGUTANT,REF 301 13.75 85705
30127025 REDUCED SUBSTANCE STOOL,REF 301 13.26 81005
30127026 ENTAMOEBA HISTOLYTICA AB,REF 301 20 86753
30127027 ANTIMITOCHONDRIAL AB,REF 301 12.88 86255
30127028 TEICHOIC ACID ANTIBODY,REF 301 18.4 86609
30127029 VITAMIN B1,REF 301 39.7 84425
30127030 UROPORPYRINOGEN FLOUROMETRY 301 44.39 82657
30127031 TERBUTALINE,REF 301 137.84 80299
30127032 APOLIPOPROTEIN B,REF 301 7.63 82172
30127033 ANTI-GLIADIN ANTIBODY,REF 301 50.08 86255
30127034 ANTIDIURETIC HORMONE,REF 301 55.14 84588
30127035 BETA-2 MICROGLOBULIN,REF 301 20.63 82232
30127036 COMPLEMENT CL INHIBITOR,REF 301 32.6 86160
30127037 CARNITINE,REF 301 31 82379
30127038 DELTA AMINOLEVULINIC ACID URIN 301 38 82131
30127039 GIARDIA ANTIGEN DETECTION,REF 301 12.56 87272
30127040 FECAL FAT QUANTITATIVE 72HR,RF 301 48.7 82710
30127041 HEMOCYSTEINE,REF QUANT 301 22.38 83090
30127042 HALCION (TRIAZOLAM),REF 301 29.18 80154
30127043 HEMOGLOBIN 8,REF 301 23.4 82486
30127044 HEMOGLOBIN A2,REF 301 37.81 82491
30127045 MEPHENYTOINAND NIRVANOL,REF 301 28.4 80299
30127046 LACTATE DEHYDROGENASE CSF,REF 301 3.71 83615
30127047 TAY-SACHS CARRIER SCREAM,REF 301 104.94 83080
30127049 PHENYLPROPANOLAMINE,REF 301 4.31 82145
30127050 PHENYLALANIONE 24HR URINE,REF 301 4.31 84030
30127051 PENTOBARBITAL (NEMBATAL),REF 301 5.19 82205
30127052 MAGNESIUM RBC,REF 301 16.13 83735
30127053 TRICHLOROETHANOL,REF 301 47.12 82491
30127054 TRYPTOPHAN,REF 301 19.81 80299
30127055 PROTRIPTYLINE,REF 301 19.03 80299
30127056 WARFARIN,REF 301 21 80299
30127057 L.S.P.G,REF 301 25.8 83661
30127058 TP 24HR TOTAL PROTIENT,REF 301 6.75 84155
30127059 SODIUM 24HR URINE,REF 301 6 84300
30127060 GABAPENTINE LEVEL,REF 301 44 80299
30127061 CHLORIDE 24HR URINE,REF 301 3.5 82436
30127062 NEURONTIN LEVEL,REF 301 44 80299
30127063 VITAMIN B-1,REF 301 39.7 84425
30127064 IBUPROFEN,REF 301 19.81 80299
30127066 THYROID AUTOANTIBODIES,REF 301 11.19 86800
30127068 SULFA LEVEL,REF 301 60 80299
30127069 TRIFLUOPERAZINE,REF 301 31.2 80299
30127070 PHENYLPROPANOLAMINE URINE,REF 301 4.31 82145
30127071 PHENOL URINE,REF 301 40.74 84600
30127072 ALBUMIN, BODY FLUID 301 4.06 82042
30127073 LOXAPINE,REF 301 36.19 80299
30127074 CULTURE & GRAM STAIN - CSF 301 93.9 86325
30127075 CELL COUNT - CSF 301 46.2 89050
30127076 PROTEIN - CSF 301 46.2 84155
30127077 CHLORIDE - CSF 301 50.27 82438
30127078 GLUCOSE, BODY FLUID 301 44.88 82947
30127080 T3-REVERSE REF 301 32.2 84482
30127081 COMPREHENSIVE META PANEL 301 139.4 80053-90
30127082 HEPATIC PANEL 301 104.2 80076-90
30127083 BASIC META PANEL 301 84.8 80048-90
30127084 C02 FLUID 301 3.13 82374
30127085 CHLORIDE FLUID 301 3.5 82436
30127086 SODIUM FLUID 301 2.56 84295
30127087 POTASSIUM FLUID (PLURAL) 301 4.63 84132
30127088 VITAMIN K 301 90 84597
30127089 GROWTH HORMONE 301 20.75 83003
30127090 HERPES IQM 301 12 86695
30127091 HANTA VIRUS 201 47.5 86790
30127092 WEST NILE VIRUS PANEL 301 72.2 86317
30127093 AMOEBIC IGG IGM IGA 301 25.75 86753
30127094 KAPPA LIGHT CHAIN URINE 301 32.14 83883
30127095 HERPES IGG & IGM 301 22.06 86695
30127096 GROWTH HORMONE 301 20.75 83003
30127097 C02 FLUID 301 3.13 82374
30127098 CHLORIDE FLUID 301 3.5 82436
30127099 SODIUM FLUID 301 2.56 84295
30127100 POTASSIUM FLUID (PLURAL) 301 4.63 84132
30127101 HERPES IQM 301 12 86695
30127102 URINE LEGIONELLA AG 301 34.75 87278
30127103 LEGIONELLA PNEUMOPHILA AG(DFA) 301 28 87278
30127104 VITAMIN k 301 90 84597
30127105 NEWBORN HEARING SCREEN TEST 301 30
30206900 ABO GROUP BLOOD -LAB 302 30.6 86900
30207000 ABO TYPING -LAB 302 50.76 86900
30207100 ACID HEMOLYSIN B-LAB 305 61.5 85475
30209000 ALLERGY-RAST,1-5 302 57.35 86003
30209100 GAMMABLOBULINE M 302 50.8 82784
30209200 AMEBIASIS-AB-CF -L01 302 25.55 86753
30209300 AMEBIASIS-AB-HI -L01 302 25.55 86753
30209500 ANA TITER SERUM-LAB 302 136.1 86039
30211900 ANTIBODY IDENTIF-LAB 302 118.75 86870
30212500 ANTIBODY SCREEN-LAB 302 92.4 86850
30212900 ANTIBODY TITER-LAB 302 16.75 86870
30213800 ASO TITER,SERUM-LAB 302 47.2 86060
30213900 ASPERGILUS-AB-CF-L02 302 29.05 86606
30214300 BEN-JONES IEP UR-LAB 302 180.1 86325
30214500 BLASTOMYCO AB CF-L02 302 27.55 86612
30215000 BORDETELLA PERT -L1J 302 46.92 87265
30215100 BRUCELLA -LAB 302 10.8 86000
30215200 C-REACTIVE PROT -LAB 302 6.94 86140
30215800 CANDIDA,AB,SERUM-L02 302 34.5 86628
30216000 CERULOPLASMIN SE-LAB 301 8.88 82390
30216100 CMV AB 1GG, 1GM, SERUM 302 11.06 86644
30216300 COCCI ANTIBODY CF 302 8.81 86635
30216400 COLD AGGLUTIN SE 302 6.69 86156
30216500 COLD AUTO ABSORB LAB 302 35.65 86941
30216700 COMPLEMEN-C-3 SE-LAB 302 9.75 86160
30217200 COOMBS DIRECT 302 33.66 86880
30217600 COXSACKIE AB-CF -L01 302 175.8 86658
30217700 CROSSMATCH EAU, 1 SPIN 302 78.4 86920
30217800 CRYPTOCOCCUS AB -L02 302 99.1 86641
30218100 DENGUE SEROLOGY -L09 302 86.25 86609
30218200 DNA AB BY RIA SE-L01 302 47.5 86225
30218300 DNA AB RIA SGL STR 302 47.5 86226
30218600 EB EARLY AG -L23 302 49.3 86663
30218700 ECHINOCOCCOSI AB-L01 302 64.9 86682
30218800 ECHO VIRUS CF-AB-L01 302 40.2 86658
30218900 ELUTION LAB 302 79.55 86860
30219000 ENA,ANTIBODY,SE-L27 302 151.35 86235
30219100 ENCEPHALITIS AB-L04 302 130.3 86171
30219200 FEBRILE AGGLU-SELAB 302 116.2 86000
30219400 FROZ RBC THAW DEGLY 390 326.6 C9504 88241
30219500 FTA-ABS-STS -LAB 302 21 86781
30219800 GONORRHEA CF AB -L03 302 122.55 86606
30219900 HB CORE ANTIBODY 302 42 86704
30220000 HB S ANTIBODY 302 23.5 86706
30220100 HEP A AB, HAA 302 11.56 86708
30220200 HBE AB 302 20.21 86707
30220300 HBE ANTIGEN-SERUM 306 20.21 87350
30220600 HEPATITIS C VIRUS, 302 17.06 86803
30221200 HERPES SIMP 302 10.13 86695
30221300 HERPES ZOSTER AB-L01 302 16.63 86787
30221400 HETEROPHILE AB TITER 302 93.9 86310
30221500 HISTOPLASMA SP 302 26.8 86698
30221900 HIV-1.SCREEN 302 11.25 86701
30222000 HLA TYPING BLD -L15 302 111.6 86812
30222500 IGG ASSAY CSF -LAB 302 7.75 82784
30222800 PARAINFLUENZA AB-L01 302 25.5 86710
30222900 IMMUNE COMPLEX 302 181.45 86332
30223300 INSULIN AB SE -L01 302 39 86337
30223600 LEGIONARES TITER 302 19.81 86713
30223700 LEPTOSPIROSIS 302 19.15 86720
30223800 LGV AB PH -L09 302 28.8 86727
30223900 LGV CF ANTIBODY -L01 302 118.75 96729
30224000 LISTERIA AB -L14 302 93.9 86723
30224100 LYMPH CHORIOMEN -L01 302 118.75 86727
30224900 MICROSOMAL AB SERUM 302 130.15 86376
30225200 MITOCHONDRIAL AB-LAB 302 48.95 86255
30225300 MONO SPOT 302 4.25 86308
30225400 MUMPS ANTIBODY 302 39.4 86735
30225500 MUMPS CF AB -L01 302 23.1 86736
30225600 MUMPS HI AB -L01 302 33.6 86735
30225900 PARATYPHOID A-B -LAB 302 46.2 86000
30226000 PARIETAL CELL AB-L01 302 45.05 86256
30227000 PNEUMOCYSTIS, AB 302 70.9 86609
30227100 POLIO CF AB -L14 302 143.4 86790
30227500 PRO IMMUNOEL SERUM 302 141.7 86320
30227600 PRO IMMUNOEL UR-LAB 302 189.3 86325
30227700 PRO IMMUNOEL-CSF-LAB 302 168.7 86325
30228900 PROTEUS OX-19 AG-LAB 302 7.46 86000
30229000 PROTEUS OX-2 AGG-LAB 302 27 86000
30229100 PROTEUS OX-K AGG-LAB 302 8.4 86000
30229200 PSITTACOSI-CF AB-L01 302 118.75 86631
30229300 Q FEVER AB -L01 302 25.9 86638
30229800 REOVIRUS AB SE -L01 302 109.2 86790
30229900 RESP SYNCYT AB -L01 302 27.85 86756
30230200 RH PHENOTYPING 302 69.1 86906
30230300 RH TYPING-D-BLD -LAB 302 31.68 86901
30230500 RHOGAM STUDY PANEL 302 107.58 86900
30230600 RICKETTSIAL AGG -LAB 302 55.45 86000
30230900 RUBELLA AB-CF,SE-L01 302 5.13 86762
30231100 RUBELLA 1GG 302 5.13 86762
30231400 RUBEOLA 302 29.96 86765
30231500 SKELETAL MUSC AB-L01 302 0 86255
30231600 SKIN TEST COCCI LAB 302 54.94 86490
30231700 SKIN TEST HISTO-LAB 302 48.56 86510
30231800 SKIN TEST OTHER 302 46.36 86586
30231900 SKIN TEST PSITTACOS 302 44.15 86586
30232000 SKIN TEST TB INTRADE 302 54.94 86580
30232100 SMOOTH MUSCLE AB-LAB 302 13.81 86255
30232700 STREPTOCOCCAL AB 302 12.1 86063
30232800 SUCROS HEMOLYSIN-LAB 302 61.5 85475
30233300 THYROGLOBULIN AB-LAB 302 42.71 86800
30233400 TOXOPLASM HI AB -L01 302 51 86777
30233500 TOXOPLASM-CF AB -L01 302 26.4 86777
30233700 TOXOPLASMA IGG FLNOR 302 12.88 86777
30233800 TOXOPLASMA IGM FLNOR 302 19.31 86778
30233900 TPI-STS -L06 302 51 86781
30234000 TRANSFERRIN SE -LAB 301 24.71 84466
30234200 TRICHINELLA AB -L01 302 11.55 86784
30234400 TYPHOID O-H AGGL-LAB 302 7.46 86000
30234900 VARICELLA ZOSTER-L01 302 25.5 86787
30234901 CA 15-3,REF 302 16 86316
30234902 CA 19-9,REF 302 18.63 86316
30234903 ANTISJORGENS,REF 302 17.06 86255
30234904 SJORGENS ANTIBODY,REF 302 17.06 86235
30234905 RHEUMATOID FACTOR SCREEN,REF 302 4.88 86430
30234906 CA 125,REF 302 16.31 86316
30234907 COMPLEMENT TOTAL (CH50),REF 302 31.25 86162
30234908 CHLAMYDIA TRACHOMATIS AB,REF 302 5.44 86631
30234910 IMMUNOFIXATION URINE,REF 302 13.5 86334
30234912 RHEUMATOID FACTOR TITER,REF 302 8.38 86431
30234913 LYME DISEASE ANTIBODIES,REF 302 9.19 86617
30234914 LYME DISEASE ANTIBODIES CSF,RF 302 10.5 86618
30234915 LYME DISEASE ANTIBODY IGM,REF 302 10.5 86618
30234916 HELICOBACTER PYLON IGA,REF 302 15.63 86677
30234917 MHA-TP,REF 302 18.75 86781
30234918 CARDIOLIPIN A PANEL,REF 302 22.38 86147
30234919 ANTI PH ANTIBODY,REF 302 79.9 86023
30234920 RUBELLA IGG TITER,REF 302 5.13 86762
30234921 LEGIONELLA PNEUMOPHILA 302 28 87278
30234922 URINE LEGIONELLA AG 302 34.75 87278
30234923 COCCIDIOIDES AB CF CSF 302 50.5 86635
30234924 COCCIDIOIDOMYCOSIS AB 302 36 86635
30234925 BLASTIC LEUKEMIA STUDY 302 220 88180
30234926 HELICOBACTEV PYLORI SPECIFIC 302 34.9 87449
30234927 WEST NILE VIRUS PANEL 302 72.2 86317
30234928 COCCIDIOIDES AB CF CSF 302 50.5 86635
30234929 COCCIDIOIDOMYCOSIS AB 302 36 86635
30234930 CRYPTOCOCCAL ANTIGEN LA 302 13.81 87449
30234931 HANTA VIRUS 302 47.5 86790
30234932 ANTI PLATELET AB 302 279.2 86022
30234933 IMMUNOFIXATION PROTEIN ELECTRO 302 22.7 86320
30500493 HEMOGLOBIN BLD -LAB 305 19.15 85018
30500700 ANTITHROMBIN III-LAB 305 126.5 85300
30501100 BLD SMR PRPH INT MD 305 0.6 85060
30501300 BLEED TIME IVY-LAB 305 104.72 85002
30501400 BLEED TIME TEMP 305 59.4 85002
30502100 CBC COMPLETE 305 56.92 85025
30503300 CLOT RETRACTION-LAB 305 38.2 85170
30505800 DIFF CELL CT BL-LAB 305 21.2 85007
30505900 DIFF WBD COUNT BUFFY 305 21.2 85009
30506300 ERYTHRO CT BL -LAB 305 23.1 85041
30506400 FACTOR II ASSAY -LAB 305 151.35 85210
30506600 FACTOR IX ASSAY -LAB 305 135.1 85250
30506700 FACTOR V ASSAY -LAB 305 46 85220
30506800 FACTOR VII -LAB 305 135.1 85230
30506900 FACTOR VIII ASSA-LAB 305 121.4 85240
30507100 FACTOR X ASSAY--LAB 305 135.1 85260
30507200 FACTOR XI ASSAY-LAB 305 135.1 85270
30507300 FACTOR XII ASSAY-LAB 305 177.8 85280
30507400 FACTOR XIII ASSA-LAB 305 77 85290
30507800 FIBRIN MONOMERS -LAB 305 44.15 85366
30507900 FIBRIN SPLIT PRO-LAB 305 14.8 85362
30508300 FIBRINOLYSIN SPE-LAB 305 0 85390
30508400 FIBRINOLYSIN-PLA-LAB 305 0 85390
30508700 HEMATOCRIT BID -LAB 305 17.25 85014
30509100 HEMOGLOBIN 305 19.15 85018
30509200 HEMOGLOBIN & HCT. 305 36.4 85021
30510200 LYSOZYME SE UR -L01 305 22.4 85549
30510700 OSMOTIC FRAGIL -LAB 305 53.55 85555
30511100 PLATELET CT PHAS-LAB 305 42.15 85585
30511200 PLATELET CT BL -LAB 305 48.56 85595
30512200 PROTIME PLASMA -LAB 305 52.74 85610
30512700 RETICULO CT BL -LAB 305 44.38 85044
30513200 SED RATE BLD -LAB 305 35.97 85652
30514400 THROMBIN TIME PL-LAB 305 61.7 85670
30514500 VISCOSITY SERUM-LAB 302 76.65 85810
30514900 WBC BLOOD -LAB 305 26.9 85048
30514901 HAM TEST,REF 305 65 85475
30514902 PROTEIN-S,REF 305 50.6 85306
30514903 CD-4 CD-8 RATIO,REF 305 15.5 86360
30514904 VON WILLEBRAND FACTOR ASSAY,RF 305 117.3 85245
30514905 PROTEIN C,REF 305 32.2 85302
30514906 LEUKOCYTE ALKALINE PHOSPH,REF 305 14 85540
30601700 BACTERIAL ID -MIC 306 81.8 87076
30602900 CONC O&P OR AFB -L02 306 14.6 87015
30605400 CULTURE BLOOD -LAB 306 92.3 87040
30606800 CULTURE EXUDATE -LAB 306 72.7 87070
30607400 CULTURE FUNGUS -LAB 306 11.3 87106
30607600 CULTURE GONORRHE-LAB 306 70.9 87081
30609200 CULTURE THROAT -LAB 306 72.7 87070
30609700 CULTURE URINE -LAB 306 86.25 87086
30610400 CULTURE,HERPES 306 118.75 87252
30610500 CULTURE,MYCOPLAS-L02 306 126.6 87109
30611200 FUNGUS ID -L02 306 20.05 87106
30612800 KOH FOR FUNGI 306 63.91 87220
30613100 MICRO OVA-PARAS-LAB 306 14.6 87177
30613200 MICRO-SPIROCHET -LAB 306 105.4 87166
30614100 PINWORM EXAM 306 50.3 87208
30614600 SENS TB SET -L02 306 149.2 87190
30615200 SENSITIVITY TEST - MIC 306 103.29 87186
30615500 SM VINCENTS STOM-LAB 306 34.65 87207
30616200 SMEAR MALARIA -LAB 306 58.25 87207
30616500 SMEAR-ACID FAST-L02 306 12.2 87206
30616600 SMEAR-FOR GONORR-LAB 306 34.65 87205
30616700 SMEAR-GRAM STAIN-LAB 306 36.4 87205
30616800 SMR OVA PARA 306 14.6 87208
30618000 TB ID-NIACIN -L02 306 61.5 87118
30618500 WET MOUNT 306 63.91 87210
30618700 WT + DRY MT OVA PARA 306 13.4 87177
30618701 PNEUMOCOCCAL IGG VACCINE RESP 306 69.4 90732
30618702 T-LYMPHOCYTES HELPER,REF 306 37.81 85025
30618703 SS-B 306 17.06 86235
30618704 SS-A,REF 306 17.06 86235
30618705 THYROID MICROSOMAL AB,REF 306 11.19 86376
30618706 TICK IDENTIFICATION,REF 306 19.05 87177
30618707 H PYLOR UREASE CULTURE,REF 306 28.3 87081
30618708 HIV P24 ANTIGEN,REF 306 41.63 87390
30618709 FORMALDEHYDE,REF 306 30.69 87075
30618710 CLOS DIFFICILE TOX-B ASSAY,REF 306 23.88 87230
30618711 ADENOVIRUS CULTURE,REF 306 22.1 87252
30618712 PERTUSSIS CULTURE,REF 306 66 87081
30618713 STREP SCREEN,REF 306 3.15 87880
30618714 CHLAMYDIA DNA PROBE,REF 306 5.44 87490
30618715 E. COLI 0157:H7 SEROTYPING 306 56 52065
30618716 STREPTOCOCCUS PNEUMONIAE PANEL 306 6.1 87081
30618717 FUNGAL CULT / SMEAR 306 10.06 87101
30618718 RSV ANTIBODY CF 306 26.26 86756
30701650 DRUG SCREEN SER 307 18.94 80100
30900330 SEMEN ANALYSIS 309 120.75 89300
31000038 SURG PATH LEVEL II 310 336 88302
31000200 ADDITIONAL F.S. 312 54.9 88332
31000700 AUTOPSY-COMPLTE-LAB* 310 0 88025
31000800 AUTOPSY-GROSS-CNS 310 0 88005
31000900 AUTOPSY-GROSS-LAB 310 0 88000
31001000 AUTOPSY-NO CNS-LAB* 310 0 88020
31001200 BONE MARROW ASP 311 355.75 85095
31001300 BONE MARROW BIOPSY 312 183.6 85102
31001500 BONE MARROW EX&BI 312 359.2 88305
31001600 BONE MARROW SMEAR 311 334.55 85097
31004100 CHEMICAL ANALYSIS 310 50.85 82360
31004200 CHLAMYDIA 311 27.6 87320
31004800 CLIN PAH CONSLT LTD 310 0 80500
31004900 CLINICAL PATH CONSLT 310 0 80502
31005000 CMV IFA SERUM 312 37.55 87332
31005100 COMP CONLT REV REC 312 0 88325
31005200 CONS REPORT REF SLS 312 0 88321
31005300 CONS REV REC AND SPC 312 0 88325
31005400 CONSULT REP PREP 312 0 88323
31006100 CYTO PATH GYN 311 49.3 88141
31006300 CYTOLOGY FL-BUTT-LAB 312 106.65 88305
31006500 DECALCIFICATION 312 29.6 88311
31007900 IMMUNOPEROXIDASE 312 280 88342
31009800 PATH CONSULTATION FS 312 195.35 88331
31009900 PATH CONSULTATION OR 312 90.3 88329
31010100 PATHOLOGY MISC 312 0 88399
31013100 SPEC STAIN MICRO ORG 312 41 88312
31013500 SURG PATH CONSULT 312 60.7 88321
31013600 SURG PATH LEVEL III 312 67.2 88304
31013700 SURG PATH LEVEL IV 312 134.4 88305
31013800 SURG PATH LEVEL V 312 201.6 88307
31013900 SURG PATH LEVEL VI 312 425.6 88309
31014000 SURG PATH GROSS ONLY 310 41.9 88300
31014001 ANTI-CENTROMERE ANTIBODY,REF 310 18 88347
31014002 TAUD B LYMPHOCYTES,REF 310 52.63 88180
31102310 CYT FLUID SMRS PREP 311 72.15 88104
31103630 CYTO FLUID CONCENTRA 311 134.65 88108
31103960 CYTO FLUID FILTER 311 106.65 88106
31104290 CYTO PATH GYN 311 60.7 88155
31104950 CYTO SEX CHRO SM-LAB 311 49.3 88130
31105280 CYTO SMEAR 1-3SLIDES 311 82 88160
31105940 CYTO SMEAR 6+SLIDES 311 0 88162
31111220 FINE NDL ASP SUPERFL 311 420 88172
31111550 FINE NEEDLE ASP DEEP 311 490 88173
31113860 SPIRO PRE/POST LOOPS 460 227.6 94060
31115180 SURG PATH GROSS ONLY 312 41.9 88300
32000001 VIDEO ESOPHAGRAM 320 492.8 70371
32000091 HUMERUS RIGHT COMPLETE 320 147.9 73060
32000091.1 HUMERUS LEFT 320 147.9 73060
32000094 FOREARM RIGHT (RADIUS/ULNA) 320 117.1 73090
32000094.1 FOREARM LEFT (RADIUS/ULNA) 320 117.1 73090
32000232 GASTROVIEW 320 92.4
32000650 ABDOMEN FOR FETAL (ONE VIEW) 320 98.6 74000
32000801 RETRO GRAD BRACH-INJ 761 876 36120
32000950 ABDOMEN/KUB/FLAT PLATE-1 VIEW 320 117.1 74000
32000950.1 ABDOMEN/KUB/FL PLATE/PORTABLE 320 154.1 74000
32001000 ABDOMEN TWO VIEWS 320 172.5 74010
32001050 ABDOMEN FETAL 2 VWS 320 166.4 74010
32001071 HAND LTD,2V 320 110.9 73120
32001080 HAND COMP 3V RIGHT 320 135.6 73130
32001080.1 HAND LEFT 3 VIEW 320 135.6 73130
32001089 FINGER THUMB LEFT 320 109.7 73140
32001089 FINGER/2ND LEFT 320 109.7 73140
32001089.2 FINGER 3RD LEFT 320 109.7 73140
32001089.3 FINGER 4TH LEFT 320 109.7 73140
32001089.4 FINGER 5TH LEFT 320 109.7 73140
32001089.5 FINGER THUMB RIGHT 320 109.7 73140
32001089.6 FINGER/2ND RIGHT 320 109.7 73140
32001089.7 FINGER 3RD RIGHT 320 109.7 73140
32001089.8 FINGER 4TH RIGHT 320 109.7 73140
32001089.9 FINGER 5TH RIGHT 320 109.7 73140
32001098 HIP UNILAT COMP 2V RIGHT 320 215.6 73510
32001098.1 HIP UNILAT COMP 2V LEFT 320 215.6 73510
32001107 PELVIS AP & FROG (CHILD) 320 113.4 73540
32001116 FEMUR AP/LAT RIGHT 320 147.9 73550
32001116.1 FEMUR AP/LAT/LEFT 320 147.9 73550
32001134 KNEE COMP RIGHT 4 VIEWS 320 160.2 73564
32001134.1 KNEE COMPLETE LEFT 4 VIEWS 320 160.2 73564
32001143 LOWER LEG (TIB-FIB) RIGHT 320 117.1 73590
32001143.1 LOWER LEG (TIB-FIB) LEFT 320 117.1 73590
32001152 ANKLE LTD RIGHT 2 VIEWS 320 117.1 73600
32001152.1 ANKLE LTD LEFT 2 VIEWS 320 117.1 73600
32001161 ANKLE COMP RIGHT 4 VIEWS 320 135.6 73610
32001161.1 ANKLE COMPLETE LEFT 4 VIEWS 320 135.6 73610
32001170 FOOT LTD LEFT 2 VIEWS 320 92.4 73620
32001170.1 FOOT LTD RIGHT 2 VIEWS 320 92.4 73620
32001179 FOOT COMP RIGHT 3 VIEWS 320 135.6 73630
32001179.1 FOOT COMPLETE LEFT 3 VIEWS 320 135.6 73630
32001197 TOE 5TH RIGHT 320 92.4 73660
32001197 TOE GREAT RIGHT 320 92.4 73660
32001197.2 TOE GREAT LEFT 320 92.4 73660
32001197.3 TOE 2ND LEFT 320 92.4 73660
32001197.4 TOE 4TH LEFT 320 92.4 73660
32001197.5 TOE 5TH LEFT 320 92.4 73660
32001197.6 TOE 3RD LEFT 320 92.4 73660
32001197.7 TOE 2ND RIGHT 320 92.4 73660
32001197.8 TOE 3RD RIGHT 320 92.4 73660
32001197.9 TOE 4TH RIGHT 320 92.4 73660
32001224 ABDOMINAL SERIES 320 215.6 74022
32001233 ESOPHOGRAM 320 240.3 74220
32001250 AC JOINTS BILAT W/WO WEIGHT 320 172.5 73050
32001251 UPPER GI WITH SMALL BOWEL 320 566.8 74245
32001260 SMALL BOWEL 320 240.3 74250
32001269 BARIUM ENEMA W/AIR CONTRAST 320 486.7 74280
32001314 DUPLICATE FILM 320 19.8 76499
32001315 OUTSIDE FILM REFERRAL 320 147.9
32001323 GASTROGRAFIN 120ML 255 108.5 A4644
32001359 CONRAY 60 100ML 255 61.6 A4644
32003050 BONE AGE STUDIES 320 184.8 76020
32003300 BONE LENGTH STUDIES 320 264.9 76040
32003500 BONE SURVEY LIMITED 320 602.5 76061
32003550 BONE SURVEY CHILD 320 283.4 76065
32003950 BRONCHOGRAM UNILAT 320 276.5 71040
32004050 BRONCHOGRAPHY BILAT 320 454.2 71060
32005050 C-SPINE COMPLETE 320 258.8 72052
32005850 CHOLANGIOGPHY POSTOP T-TUBE 320 283.4 74305
32006000 CHOLANGIO OPERATIVE 320 295.7 74300
32006100 CHOLECYSTOGRAPHY 320 221.8 74290
32006450 CLAVICLE LEFT COMPLETE 320 147.9 73000
32006450.1 CLAVICLE RIGHT COMPLETE 320 147.9 73000
32006900 COLON BARIUM ENEMA 320 351.2 74270
32007700 CYSTOGRAM(VOIDING IS 320 473.3 74455
32007750 CYSTOGRAPHY 3V 320 240.3 74430
32008750 ELBOW COMPLETE RIGHT 4 VIEWS 320 147.9 73080
32008750.1 ELBOW COMPLETE LEFT 4 VIEWS 320 147.9 73080
32008900 ELBOW LIMITED RIGHT 2 VIEWS 320 117.1 73070
32008900.1 ELBOW LIMITED LEFT 2 VIEWS 320 117.1 73070
32009600 EYE FOR FOREIGN BODY 320 258.8 70030
32009850 FACIAL BONES COMP 320 283.4 70150
32009900 FACIAL BONES LTD 320 154 70140
32011450 FISTULA/SINUS TCT 320 208.4 76080
32011600 FLUORO LOCALIZATION 320 474.4 76003
32011650 FLUOROSCOPY 320 134.4 76000
32012050 FLUOROSCOPY EXT 1HR 320 492.8 76001
32015150 HIP BILAT COMP 320 240.3 73520
32015250 HIP DURING OR PROC 320 443.6 73530
32016200 HYP URO INF W/NEPHRO 320 431.2 74415
32016350 HYSTEROSALPINGOGRAPHY 320 363.5 74740
32016700 INJ PTA RENAL 761 0 70140
32018100 KNEE LTD RIGHT 2 VIEWS 320 122 73560
32018100.1 KNEE LIMITED LEFT 2 VIEWS 320 122 73560
32018250 L-S SPINE 3 VIEWS 320 197.2 72100
32019050 LUMBAR W/BENDING/FLEXING 320 326.5 72114
32019600 MANDIBLE COMP 320 240.3 70110
32019750 MASTOID SERIES 320 295.7 70130
32020350 MYELOGRAPHY ALL LVLS 320 887.1 72270
32020500 NASAL BONES SERIES 320 178.7 70160
32020700 NECK/SOFT TISSUES 320 117.1 70360
32020850 NEPHROTOMOGRAPHY 320 213.4 74415
32020900 OMNIPAQUE 636 112.8 A4646
32021000 OPTIC FORAMINA COMPLETE 320 197.2 70190
32021150 ORBIT SERIES 320 283.4 70200
32021300 OS CALCIS (CALCANEUS)(HEEL)RT 320 117.1 73650
32021300.1 OS CALCIS (CALCANEUS)(HEEL)LT 320 117.1 73650
32021400 PACEMAKER INSERTION 320 452.5 71090
32021500 PARANASAL SINUS SERIES 320 203.2 70220
32021750 PELVIMETRY 320 295.7 74710
32022050 PELVIS TWO VIEWS 320 228 72170
32022150 PELVIS SINGLE VIEW 320 122 72170
32022300 PERC ABSCESS DRAINAGE 320 0 75989
32022350 PERCUT BIL DRAINAGE 320 1108.8 75980
32023300 PTA ADD VISERAL 320 0 75968
32023550 PTA VISCERAL 320 0 75966
32024200 REPEAT G.B./REDOSE 320 87.2 74291
32024400 RIBS BILAT 3V 320 400.4 71110
32024750 RIBS SERIES RIGHT 320 197.2 71101
32024750.1 RIBS SERIES LEFT 320 197.2 71101
32025050 SACRUM AND COCCYX 320 191 72220
32025200 SCAPULA RIGHT COMPLETE 320 117.1 73010
32025200.1 SCAPULA LEFT COMPLETE 320 117.1 73010
32025850 SHOULDER RIGHT 320 154 73030
32025850.1 SHOULDER LEFT 320 154 73030
32026000 SHOULDER LTD 320 122 73020
32026300 SIALOGRAPHY 320 308 70390
32026600 SKULL SERIES LTD 320 154 70250
32026750 SKULL SERIES COMPLETE 320 295.7 70260
32027500 C-SPINE LTD 320 154 72040
32027850 L-S SPINE COMP 320 283.4 72110
32028150 BONE SURVEY (ENTIRE SPINE) 320 326.5 72010
32028200 T-SPINE (DORSAL) 320 191 72072
32028350 SELLATURCICA 320 135.6 70240
32028450 STERNOCLAVICULAR JT 320 147.9 71130
32028500 STERNUM 2 VIEWS 320 147.9 71120
32028800 SUBTRACTION PER PROJ 320 59.2 76350
32029200 TMJ BILATERAL 320 162.3 70330
32030700 TOMOGRAMS 320 394.3 76100
32030750 TPA RENAL ART 320 201.6 75966
32030800 TRANSHEPAT CHOLANGIO 320 297 74320
32030850 TRANSLUM RENAL STENT 320 268 74480
32031200 UP GASTRO W/KUB 320 382 74241
32031500 UROG-INF-W/NEPHROTOMOS 320 733.1 74415
32031550 UROGRAPHY EXCRETORY 320 406.6 74400
32031600 UROGRAPHY RETROGRADE 320 332.7 74420
32031650 VCU GRAM 320 301.9 74455
32032750 WRIST COMP RIGHT 4 VIEWS 320 129.4 73110
32032750.1 WRIST COMPLETE LEFT 4 VIEWS 320 129.4 73110
32032900 WRIST LTD RIGHT 2 VIEWS 320 117.1 73100
32032900.1 WRIST LIMITED LEFT 2 VIEWS 320 117.1 73100
32033200 ZYGOMATIC ARCH 320 141.7 70150
32033201 ERCP 320 295.7 74330
32033202 BARIUM SWALLOW-VIDEO-SP THER 320 425.1 70371
32033203 PORTABLE CHEST 320 166.4
32033203.1 CHEST 1 VIEW PORTABLE ONLY 324 166.4 71010
32033204 VIDEO ESOPHAGRAM W/FLUOROSCOPY 320 492.8 70371
32033205 DISKOGRAM CERVICAL 320 887.1 72285
32033206 DISKOGRAM LUMBAR 320 887.1 72295
32033207 OMNI 240-10ML 320 86.9
32033208 ISOVUE 200-10ML 320 86.9
32033209 ISOVUE 300-15ML 320 110.5
32100001 PULMONARY ANGIO UNILAT RIGHT 321 985.6 75741
32100001.1 PULMONARY ANGIO UNILAT LEFT 321 985.6 75741
32100002 PULMONARY ANGIO - BILATERAL 321 1971.2 75743
32100330 ABD AORTIC ANGIO 323 1416.8 75605
32100660 ABDOMIN/SERIALOGRAPH 323 848.4 75625
32100990 ABDOMINAL INC L/EXT 323 1416.8 75630
32101320 ADRENAL BILAT 323 1971.2 75733
32101650 ADRENAL UNILAT 323 1416.8 75731
32101980 ARCH/SERIALOGRAPHY 323 848.4 75605
32102310 BILAT CAROTID VERTEB 323 848.4 75662
32102640 CELIAC ARTERY 323 1416.8 75726
32102970 CEREBRAL BILAT 323 1330.6 75671
32103300 CEREBRAL UNILAT 323 848.4 75665
32103630 HEPATIC ARTERY 323 1416.8 75726
32103960 INF VENACAVAGRAM 321 1108.8 75825
32104290 MESENTERIC ARTERY 323 1971.2 75726
32104620 RENAL ARTERY 323 1416.8 75722
32104950 RENAL BILAT 323 1971.2 75724
32105280 SPLENIC ARTERY 323 1416.8 75726
32105610 SPLENOPORTAGRAM 321 1416.8 75810
32105940 SUP VENACAVAGRAM 321 1108.8 75827
32106270 THORACIC AORTA ANGIO 323 1416.8 75625
32106600 THORACIC ARTERY 323 1416.8 75600
32106930 VENOGRAPHY UNILATERAL 321 492.8 75820
32107260 VENOGRAPHY BILATERAL 321 739.2 75822
32202310 KNEE ARTHROGRAM 322 326.5 73580
32300000 ANGIOTRAY 323 179.77
32300001 BILATERAL UPPER EXTREMITY 323 1983.3 75716
32300002 UNILATERAL UPPER EXTREMITY 323 1416.8 75710
32401320 CHEST THREE VIEWS 324 197.2 71021
32402310 CHEST CARDIAC SERIES 324 283.4 71034
32402640 CHEST COMP 4 VIEWS 324 295.7 71030
32404290 CHEST SINGLE VIEW 324 129.4 71010
32404950 CHEST TWO VIEWS 324 166.4 71020
33900000 CONCIOUS SEDATION 339 385
33900001 RAD, RECOVERY 339 107.8
33900002 EPIDURAL LUMBAR/SACRAL CAUDAL 339 355.3 62311
33900003 INJECTION INC CATH PLACEMENT 339 355.3 62319
33900004 EPIDURAL CERVICAL/THORACIC 339 355.3 62310
33900005 INJECT INCLUDE CATH PLACEMENT 339 355.3 62318
33900006 TRIGEMINAL NERVE 339 355.3 64600
33900007 EPIDURAL LUMBAR CAUDAL 339 355.3 62282
33900008 SUBARACHNOID 339 355.3 62280
33900009 LUMBAR SYMPATHETIC 339 355.3 64520
33900010 STELLATE GANGLION 339 355.3 64510
33900011 CELIAC PLEXUS 339 355.3 64530
33900012 FACET CERV THORACIC SINGLE 339 355.3 64470
33900013 FACET LUMBAR SACRAL 339 355.3 64476
33900014 FACET LUMBAR SACRAL SINGLE 339 355.3 64475
33900015 TRANSFORAMINAL EPIDURAL 339 355.3 64484
33900016 TRANSFORAMINAL EPIDURAL 339 355.3 64483
33900017 TRANSFORAMINAL EPIDURAL CERV 339 355.3 64480
33900018 TRANSFORAMINAL EPIDURAL CERV 339 355.3 64479
33900019 PUDENTAL NERVE 339 355.3 64430
33900020 INTERCOSTAL MULTIPLE 339 355.3 64421
33900021 INTERCOSTAL SINGLE 339 355.3 64420
33900022 AXILLARY NERVE BLOCK 339 355.3 64417
33900023 BRACHIAL PLEXUS 339 355.3 64415
33900024 PHRENIC NERVE 339 355.3 64410
33900025 OXYGEN MASK 339 22
33900026 OXYGEN CANNULA 339 20.9
33900027 SUCTION SET UP 339 44
33900028 RAD, RECOVERY 15 MIN 339 53.9
33900039 RAD, RECOVERY 45 MIN 339 160.6
33900040 PREP TRAY 339 28.6
33900041 GOWN STERILE 339 17.6
33900042 GLOVES STERILE 339 9.9
33900043 DRAPE HALF 339 17.6
33900044 RAZOR DISP. 339 7.7
33900045 MARKING PEN 339 16.5
33900046 CONSCIOUS MODERATE SEDATION 339 25.3
33900047 CARDIAC MONITOR 339 55
33900048 BLOOD PRESSURE MONITOR 339 33
33900049 PULSE OXIMETER 339 165
33900050 CANCELLED CASE 339 257
34000010 INDIUM PTPA 636 1232
34000316 MYOCARD SPECT SNGL 340 985.6 78464
34000317 MYOCARD SPECT MULTI 340 1478.4 78465
34000318 MYOCARD INFARCT SPEC 340 862.4 78469
34000319 BRAIN SPECT 340 985.6 78607
34000320 BONE/JOINT SPECT 340 924 78320
34000321 MYOVIEW 636 399.2
34000322 CARDIOLITE 340 399.2 A9500
34000323 PENTETATE RENAL 340 33.3 C1098
34000324 DIAGNOSTIC CAPSULE 340 44.4 C1188
34000325 SODIUM IODIDE THERAPY CAPSULE 340 32.7 C1348
34000326 MERTIATIDE MAG-3 340 462 Q3005
34000327 ALBUMIN AGGREVATED 340 33.3 C1094
34000328 PRYOPHOSPHATE 340 41.6 C1099
34000329 RED BLOOD CELLS LABELED 340 1164.3 Q3010
34000330 MEBROFENIN 340 81.4 C1097
34000331 MEDRONATE 340 33.3 A9503
34000332 SODIUM IODIDE CAPSULE I-123 340 155.3 C1087
34000333 TETROFOSMIN MYOVIEW 340 278.5 A9502
34000334 SULFUR COLLOID 340 33.3 C1202
34000335 GALLIUM CITRATE 340 37 Q3002
34000336 SODIUM IODIDE I-131 PER U CI 340 321.6 C1188
34000337 AGENTS 340 698.6 C1079
34000338 INDIUM CHLORIDE 340 1833.3 C1090
34000339 SODIUM IODIDE I-131 PER M CI 340 221.8
34100171 LIVER & SPLEEN SCAN 341 862.4 78215
34100180 HEPATOBILIARY 341 837.8 78223
34100189 BONE SCAN,W.B. 341 579.1 78306
34100207 VENT LUNG SC W/REBRE 341 510.1 78593
34100243 OP HYPER THYROID 342 184.8 79000
34100270 MDP 636 88.8 A4691
34100279 CHOLETECH 636 141.7 A4641
34100288 PERTECHNOTATE 636 110.9 A4641
34101980 BONE SCAN LTD AREA 341 123.2 78300
34102310 BONE SCAN MULTI 341 455.9 78305
34102640 BONE SCAN PHASE 3 341 672.1 78315
34103300 BONE SCAN WHOLE BODY 341 492.8 78306
34105280 CARDIAC FLOW STUDY 341 768.1 78445
34105940 CARDIOLITE 636 399.2
34106930 CISTERNOGRAM 341 1078 78630
34108250 FIRST PASS/WALL MOTI 341 690.5 78483
34108580 GALLIUM CITRATE 636 462
34108910 GALLIUM SCAN 341 803.7 78278
34110230 GI BLEEDING OR MECKE 341 628.4 78290
34111220 I 131 DIAG 25ML 636 44.4
34111880 INDIUM III WBC SCAN 341 1232 78806
34114850 LUNG VENT MULT PROJ 341 800.8 78587
34115840 MAA 636 88.8
34116500 MUGA-WALL MOTION 341 985.6 78473
34117820 MYOCARDIAL REST. 341 1096.5 78464
34118480 NUC MED PORTABLE 341 0 99199
34119470 PLUM. PERF. SCAN PARTICULATE 341 818.1 78580
34120130 PULMONARY VENT AEROS 341 776.2 78586
34120460 PYP 636 141.7
34120790 RADIO-ISOTAPE CAHRGE 636 44.4
34121450 REANL FLOW ONLLY 341 628.4 78715
34121780 RENAL KIDNEY SCAN STATIC 341 565 78700
34122110 RENOGRAM (HIPPURAN) 341 985.6 78704
34122440 SALIVARY GLANDS 341 609.9 78230
34122770 SCROTAL 341 837.8 78760
34123100 SULFER COLOID 636 308
34124090 THALLONS CHLORIDE 636 141.7
34125410 THYROID UPTAKE ONLY 341 228.2 78000
34125740 THYROID UPTAKE/SCAN 341 566.8 78006
34126730 TUMOR LOCAL LTD 341 1293.6 78800
34127390 VENOGRAM/LUNG PERFUS W/VENT 341 484.1 78584
34128050 XENON GAS 636 308
34128051 CERETEC WBC LABELING 636 1349.1 C1096
34128052 DTPA AEROSOL PENTETATE 636 138 C1098 C1098
34128053 I-123 DIAGNOSTIC DOSE 636 104.8
34128054 Peritoneal Venous Shunt 636 862.4
34128055 Whole Body I 131 Scan 341 1397.2 78018
34128056 PARATHYROID IMAGING 341 815 78070
34200990 IP THERAPY DOSE 342 5544 79900
34201650 OP THERAPY DOSE 342 639.5 79900
34201980 THYROID THERAPY IP ABLATION 342 1594.6 79030
35000001 NEPHROSTOMY W/CT GUIDED 350 1823.4 76360
35000014 CT T-SPINE W/O CONTRAST 352 308 72128
35000040 GASTROVIEW 120 ML 350 108.5 A4644
35000042 OMNIPAQUE 300 10ML 350 86.9 99070
35000431 CYST ASP KIDNEY/PELV 350 1823.4 76360
35000432 NDL BIOPSY BONE SUPE 350 1823.4 76360
35000433 NDL BIOPSY LUNG/MEDI 350 1823.4 76360
35000444 CYST ASP PERITONIUM 350 1823.4 76360
35000445 NDL BIOPSY BONE DEEP 350 1823.4 76360
35000446 CT GUIDED NEEDLE BIOPSY 350 1823.4 76360
35000449 CT BIOPSY SOFT TISS 350 1823.4 76360
35000450 CT NDL BIOPSY PLEURA 350 1823.4 76360
35000451 CT NDL BIOPSY PANCREAS 350 1823.4 76360
35000452 CT NDL BIOPSY ABD/RETRO 350 1823.4 76360
35000453 NDL BIOPSY RENAL PER 350 1823.4 76360
35000454 OMNIPAQUE 300 50ML 350 184.8 99070
35000455 OMNIPAQUE 300 100ML 350 338.8 99070
35000456 Needle Biopsy 43-209 350 295.7
35000457 ISOVUE 300-100ML 350 338.8
35000458 ISOVUE 300-50ML 350 184.8
35000459 CT ABDOMEN ANGIO WITH&W/O CONT 350 1379.9 74175
35000460 CT HEAD ANGIO W/WO CONTRAST 350 1379.9 70496
35000461 CT NECK ANGIO W/WO CONTRAST 350 1663.2 70498
35000462 SAGITAL CORONAL, REFORMATION 350 350 76375
35000463 CT CHEST ANGIO W/WO CONTRAST 350 1540 71275
35000464 CT ABDOMEN ANGIO AORTA 350 1379.9 75635
35000465 CT ABDOMEN WITH CONTRAST 350 1100 74160
35100001 CT SCAN TEMPORAL BONE 351 1663.2 70482
35100054 CT HEAD WITH CONTRAST ONLY 351 958.6 70460
35100063 CT HEAD W/O CONTRAST ONLY 351 860 70450
35100072 CT HEAD WITH AND W/O CONTRAST 351 1379.9 70470
35101650 CT IACS W & W/O 351 1133.5 70482
35103630 CT ORBITS 351 1048.5 70480
35200049 CONTRAST 300 100ML 352 329
35200050 CONTRAST 500 50ML 352 184.8
35200099 CT SCAN UP ABDM W/WO 352 1379.9 74170
35200117 CT CHEST WITH CONTRAST 352 1108.8 71260
35200118 CT SOFT TISSUE NECK W/ CONTRAS 352 1108.8 70491
35200119 CT SOFT TISSUENECK W/O CONTRAS 352 1540 70490
35200135 CT L-SPINE W/O CONTRAST 352 1478.4 72131
35201320 CT C-SPINE W CONTRS 352 1139.6 72126
35201650 CT C-SPINE W-W/O CN 352 1663.2 72127
35201980 CT C-SPINE W/O 352 1139.6 72125
35202300 CT CALL CHG. 352 0
35202310 CT CHEST W/O CONTRAST 352 1108.8 71250
35202640 CT CHEST W-W/O 352 1540 71270
35203960 CT EXTREMITY LOWER LEFT 352 1170.4 73700
35203960.1 CT LOWER EXTREMITY RIGHT 352 1170.4 73700
35204950 CT LOCALIZ W/BIOPSY 352 2439.4 76360
35206270 CT RECONST PER SLICE 352 23.5 76375
35206930 CT SCAN PLEVIS W/O 352 985.6 72192
35207260 CT SCAN PELVIS W/WO CONTRAST 352 1478.4 72194
35207590 CT SCAN ABDM W/O 352 997.6 74150
35208250 CT SINUS W/WO CONTRAST 352 1540 70488
35208250.1 CT SINUS W/O CONTRAST 352 1540 70486
35900027 CT EXTREMITY UPPER RIGHT 352 1170.4 73200
35900027.1 CT UPPER EXTREMITY LEFT 359 1170.4 73200
35900330 CT ABSCESS DRAINAGE 359 1823.4 75989
35900660 CT LARYNX 359 1108.8 70490
36000864 OP RM LESS THAN 24 HR 360 241.95
36000873 SURGICAL RCVY-HOUR 710 400
36000882 O/R HOUR 360 1500
36000891 O/R 15 MINUTES 360 375
36000909 CALL BACK 360 588
36000963 MICROSCOPE 360 156.8
36000972 SUCTION CANNISTER 360 11.8
36001008 SUCTION SET UP 710 105.3
36001017 AMB SURG ROOM USE 360 215.6
36001026 SHT STAY MINOR 30MIN 360 479.4
36001035 SHT STAY SURG MINOR ADD 1/4 HR 360 114.25
36001044 SHT STAY SURG MAJOR 1ST 30 MIN 360 669.8
36001053 SHT STAY SURG MAJOR ADD 1/4 HR 360 114.25
36001062 SHT STAY SURG CATAR 1ST 30 MIN 360 791.85
36001071 SHT STAY SURG CATARA ADD 1/4 360 114.25
36001089 SHT STAY SURG ARTHRO 30 MIN 360 791.85
36001098 SHT STAY SURG ARTHRO ADD 1/4 360 114.25
36001107 BINDER ABDOMINAL 270 75.05
36001116 BOVIE TIP EXTENDED 360 7.85
36001125 BSS SOLUTION 500CC 360 133.3
36001134 CAUTERY DISPOSABLE 360 20.2
36001152 CEMENT BOWL ZIMMER 360 44.8
36001161 DISSECTORS PEANUT 360 12.35
36001179 GLOVES STERILE 360 10.1
36001188 GOWN STERILE 360 17.95
36001197 GUIDE WIRE USCI 360 49.3
36001206 KIT ARROW JUGULAR 360 78.4
36001224 RAZOR DISP 360 7.85
36001233 SYRINGE CONTROL 360 7.85
36001242 SUTURE POP OFF 360 24.65
36001251 TRAY EPIDURAL 360 78.4
36001269 TUBE SALEM SUMP 360 7.85
36001278 VAGINAL PACKING 360 15.7
36001287 HOT ICE KNEE PAD 360 336
36001296 ABDUCTION PILLOW 360 520.8
36001305 CAUTERY/SUCTION DISPOSABLE 360 159.05
36001314 DISP MAJOR BASIN SET 360 89.6
36001323 CATH:ACMI LOOP 360 164.65
36001332 VITRECTOMY:SET 360 287.85
36001359 MYRINGOTOMY TRAY 360 136.65
36001368 TRAY-C-SECTION 360 389.8
36001377 PREP TRAY 360 29.15
36001386 SCREW SELF TAPPING 360 37
36001395 QUINTON CATH 360 180.35
36001404 PIN ASSEMBLY KEYFREE 360 86.25
36001413 HP COMP PLATE 278 318.1
36001422 HP LAG SCREW 278 193.8
36001431 SCREW HEXHEAD 278 52.65
36001449 ARTHROSCOPIC CUTTER 360 168
36001458 PHACO PACK 360 309.15
36001467 MONOFILIMENT WIRE 360 7.85
36001476 SHAVER 360 28
36001485 SET-GEN ANESTHESIA 270 206.1
36001494 LINGMAN URD DRAPE 360 156.8
36001503 ERCA APPLIER M/L 360 658.6
36001512 SURG RECOVERY 45 MIN 710 163.55
36001539 SURGICAL RCVY 15 MIN 710 100
36001548 STRYKER SUCTION IRRI 360 95.2
36001557 STRYKER TIP 360 37
36001566 STRYKER CONE SHIELD 360 28
36001575 CO2 MONITOR USE 360 56
36001593 SAW BLADESRECIRROC 360 40.35
36001602 USE OF PHACO MACHINE 360 112
36001611 DRILL BIT 360 56
36001629 CAMERA AND FILM 360 39.2
36001647 TRAY SPINAL 360 75.05
36001656 OXY CANNULA 360 21.3
36001665 OXY MASK A 360 22.4
36001683 RECOVERY BP MONITOR 710 33.6
36001701 RCVY SUCTION SET UP 710 44.8
36001719 BAIR HUGGER/BLANKET 710 39.2
36001720 MONITOR - CARDIAC 360 105.2
36001721 SUCTION UNIT 360 105.3
36001722 IMAGE INTENSIFIER 360 130.95
36001723 CDH 360 2506.75
36001724 RELOAD 77MM 360 168
36001725 TLC 75 LINEAR CUTTER 360 1156.8
36001726 TRT 55 LINEAR CUTTER 360 505.15
36001727 TRT 75 360 505.15
36001728 TSW 35 360 505.15
36001729 CANCELLED CASE 360 261.65
36001730 HOLMUIM LASER 360 2576
36001731 VIDEO ENDOSCOPY 360 2419.2
36001732 ENDO CATCH 360 586.9
36001733 ENDO LAP TROCAR 360 306.9
36001734 ENDO LOOP VICRYL 360 176.25
36001735 ENDO PATH BLUNT DISSICTA 360 235
36001736 ENDOSCOPIC MULTI-SEAL 360 31
36001737 SURGINEEDLE 360 179.2
36001738 LINVATEC PUMP & 360 1472
36001739 ORATEC SET ABLATOR 360 668
36001740 BEACH CHAIR 360 1200
36001741 KNEE ICE PAD & COOLER 360 1772
36001742 MINI-C-ARM 360 4000
36001743 STRYKER KITS 360 7000
36001744 STRYKER CANNULAS 360 400
36001745 SURGERY CANCELLATION 360 0
37000090 ANECTINE 370 26.9
37000099 COCAINE 370 90.75
37000108 FLUOTHANE 370 25.8
37000117 LTA KIT 370 40.35
37000126 NITROUS OXIDE 370 25.8
37000135 PENTOTHAL/SURITAL 370 38.1
37000144 TUBOCURARE 370 23.55
37000153 XYLOCAINE 370 16.8
37000162 LOCAL 370 13.45
37000163 GEN ANES 1 HOUR 370 225.15
37000164 GEN ANES 15 MIN 370 39.2
37000165 LOC/ST BY ANES - 15 MIN 370 28
37000166 LOC/ST BY ANES - 1 HOUR 370 110.9
37000167 LOC ANES - HOUR 370 26
37000168 LOC ANES - 15 MIN 370 7.4
37000169 ANESTHESIA SET 370 70.6
37000170 REG ANES - HOUR 370 149
37000171 REG ANES - 15 MIN 370 39.2
37000172 ANESTHESIA UNIT 370 131.05
37000173 ISOFLURANE 100ML 370 498.75
39000990 FZ PLASMA PED UNT 390 47.05 P9017
39007260 SALINE WASHED RBC 390 1428 P9022
39100330 BLOOD ADMINISTR-LAB 940 732.5 36430
40200400 ABDOMINAL SURVEY 402 601.3 76700
40200468 RENAL 402 505.2 76770
40200486 PELVIS 402 495.3 76856
40200504 FETAL BIO-PROFILE 402 640.7 76830
40200513 TRANS VAGNAL 402 474.4 76830
40200900 ADRENALS PELVO PER 402 410.3 76770
40202650 AORTA 402 516.3 76775
40211250 ECHO. PORTABLE CHRG 402 142.9 99199
40212250 EXTREMITY 402 215.6 76880
40213150 FETAL ECHO FOLLOW-UP 402 215.6 76816
40214250 GALLBLADDER 402 601.3 76705
40217300 INTRA-UTERINE DEVICE 402 257 76856
40218550 LIVER 402 366 76705
40220850 O.B. BIPARIETAL 402 474.4 76810
40220950 OB LIMITED EMERGENCY 402 431.2 76815
40221000 OB PREG UTERUS ULTRASOUND 402 536 76830
40222850 PANCREAS 402 366 76705
40224150 PLACENTA SCAN ULTRASOUND 402 410.3 76815
40224450 PLEURAL EFFUSION 402 257 76604
40227100 SCROTAL US 402 374.6 76870
40228850 SPLEEN 402 366 76705
40230450 THYROID 402 420.2 76536
40232000 U/S CYST ASPIRATION 402 305.4 76942
40232250 UNILATERAL RENAL 402 228 76775
40232251 RIGHT LOWER QUAD ULTRASOUND 402 474.4 76705
40232252 OB MULTIPLE GESTATION ULTRASOU 402 601.3 76810
40232253 ULTRASOUND SOFT TISSUE NECK 402 420.2 76536
40232254 ABDOMEN LTD ULTRASOUND 402 474.4 76705
40232700 URINARY BLADDER ECHO 402 366 76705
40232701 BREAST ULTRASOUND 402 431.2 76645
40232702 TRANS RECTAL ULTRASOUND 402 714.6 76872
40232703 APPENDIX 402 366 76705
40232704 AMNIOTIC FLUID INDEX 402 277.2 76816
40232705 ULTRASOUND GUID THORACENTESIS 402 492.8 76942
40232706 ULTRASOUND GUID PARACENTESIS 320 492.8 76942
40232707 US GUID PARACEN KIT 402 161.6
41000004 IPPB W/USN TREAT 410 45.5 94650
41000006 USN TREAT 410 26.9 94664
41000013 AIR HR 410 6.4 E0565
41000014 USN HR 410 14.6 94664
41000015 SPUTUM INDUCTION 410 64.2 94664
41000016 ROOM VAP HR 410 51.8 94664
41000021 TENT CANOPY 270 89
41000030 OXY MASK A 270 25.1 A4620
41000031 OXY MASK P 270 18.8 A4620
41000045 VOL VENT RENTAL WK 410 491.5
41000055 PRESS RESP DAY 410 68.3 94656
41000056 AEROSOL TEE ADPT 270 16.8
41000059 25FT NASAL CANNULA 270 16.8 A4615
41000060 TENT SET-UP 270 51.8
41000063 ROOM VAP SET-UP 270 26.9 E0605
41000066 CPAP DISP UNIT 270 75.5
41000069 VENT ORAL SUCT KIT 270 25.1 A4624
41000071 MININEB UNIT 270 56
41000110 MDI ADAPTOR 270 15.4
41000120 PT. EDUCATION 942 45.6
41200441 RESP MEASURE VENT* 460 23.5 94150
41200450 IPPB TREAT 412 72.8 94650
41200459 AERO TREAT 412 29.6 94640
41200468 02 TRANSP 270 45.6
41200477 CHEST PHYSIO THER 412 60.4 94667
41200504 OXYGEN HR 270 11.2
41200513 DISP IPPB ASSY 270 23.5
41200522 VOL VENT DISP CIRC 270 69.1
41200531 OXYGEN SET-UP 270 27.2
41200540 TENT DAY 270 64.1
41200549 OXY CONN TUBE 270 14.8
41200558 AERO MASK ADULT 270 24.7
41200567 AERO MASK PEDS 270 24.7 A4620
41200576 TRACH MASK ADULT 270 24.7 A4620
41200585 TRACH MASK PEDS 270 24.7 A4620
41200594 NON REBREATH MASK 270 24.7
41200603 CPR 1ST 15 MIN 480 125.7 92950
41200612 CPR EA ADD 30 MIN 480 101.1 92950
41200621 STERILE H20 1500 ML 270 39.5
41200630 STERILE H20 500 ML 270 21
41200639 THER ASSIST 15 MIN 412 42 99192
41200648 INC SPIRO TREAT 412 103.6 94060
41200657 DISP AERO UNIT 270 29.6
41200666 PRE FILL HUMID 270 29.6
41200675 DISP TREAT AERO UN 270 28.4
41200684 INC SPIRO UNIT 270 82.6
41200693 VENT CIRUIT 270 151.6 A4618
41200702 AEROSOL DAY * 270 39.5
41200711 OXYGEN DAY * 270 27.2
41200720 AIRWAY CARE SUCT 412 23.5
41200729 VOL VENT DAY 412 115.9 94656
41200738 MAIN BACT FILTER VT 270 24.7
41200747 VENT COMP UNIT 270 17.3
41200756 AERO S V * 270 27.2
41200765 RESUSCITATION BAG 270 75.2
41200774 VENT SUCTION KIT 270 75.2
41200783 DISP TREATMENT MASK 270 24.7
41200801 VENTI MASK 270 30.8
41200810 MDI TX 410 49.3 94664
41200819 FLEX TUBE 270 6.2
41200828 CONCHAPAK#20 270 54.3
41200837 CONCHA COLUMN 270 67.8
41200855 PULSE PROBES OX-SET UP 270 59.2
41200864 PULSE OX-SPOT CHECK 460 42 94760
41200865 PULSE OX - HOURLY 460 14
41200866 PEAK FLOW METER 270 69.7 A4614
41200867 RT NO CHARGE TODAY 412 0
41200868 VENT WEANING 412 123.2
41200869 CPR 1 HR 412 207.1 92950
41200870 CPR 1.5 HRS 412 310.5 92950
41200871 CPR 45 MINUTES 412 155.3 92950
41200872 CPR 30 MINUTES 412 103.6 92950
41200873 VENT MGT 13-24 HR 412 924 94656
41200874 VENT MGT UP TO 12HRS 412 492.8 94656
41200875 P-MIST TX 412 74 94664
42000030 P.T. EVAL 420 246.4 97001
42000043 COBAN 3RL 270 9.9
42000198 HOT OR COLD PACKS 420 65.4 97010
42000207 EXTREMITY WHIRLPOOL 420 98.6 97022
42000234 E STIM UNATTENDED 420 72.8 97014
42000243 TRANSFER/ASST TRAIN 420 76.4 97530
42000261 WOUND CARE 420 72.8 97139
42000315 CHLORAZENE 15GM 270 5.5
42000321 PHYSICAL THERAPY 761 0 11040
42000342 THERABAND 270 7.7
42000351 ELECTRODES 270 57.2
42000378 EXERCISE PUTTY 270 13.2
42001200 CHLORAZENE 200GM 270 27.3
42001300 CHLORAZENE 30GM 270 7.3
42001400 CHLORAZENE 50GM 270 11.7
42001500 COBAN 1RL" 270 4.4
42002200 DEBRIDE BURN LG 761 92.4 16030
42002400 DEBRIDE BURN MED 761 61.6 16025
42002700 DEBRIDEMENT 420 87.6
42002900 DEV.COG.SKILLS 420 76.4 97770
42003900 ELEC STIM - MAN. 420 83.9 97032
42004800 FULL BODY WHIRLPOOL 420 154 97022
42005200 FUNCTIONAL TRAINING 420 76.4 97530
42005500 GAIT TRAINING 15MIN 420 80.8 97116
42006400 HYDROCORTISONE GEL 270 8.8
42006700 INTERMITTENT MECHANICAL TRACT 420 72.2 97012
42007000 IONTOPHORESIS 420 54.9 97033
42007500 JOINT MOBILIZATION 420 98 97140
42008300 MYOFASCIAL RELEASE 420 98 97140
42008500 NEUROMUSC. RE-ED 420 98 97112
42009100 PARAFFIN BATH 420 56.8 97018
42010800 PULSED LAVAGE KIT 270 74.8 A9900
42011200 SUCTION TIPS 270 8.4
42011800 THERABAND 270 7.7
42011900 THERAPEUTIC EX 15 MIN 420 80.8 97110
42014200 ULTRASOUND 420 65.4 97035
42014400 VASOPNEUMATICS 420 69.7 97016
42014401 SWISS BALL 420 138.6
42400990 PT DIC/INTERIM/RE EVAL 424 91.2 97002
42404950 INT EVAL LIMITED 424 152.8 97002
43000081 SPLINTING 430 0 97504
43000099 KINETIC ACT 15MIN 430 44.4 97530
43000117 INTERIM/RE/DC EVALUATION 434 80.1 97004
43012840 DRESSING STICK 270 17.3
43015030 FINGER SLEEVE 270 9.9
43015810 FUNC RETRAIN/ADL'S 430 43.8 97535
43019170 INDIV TREATMT 15MIN 430 43.8 97530
43028560 ORAL STIM KIT 270 39.8
43028561 GLOVES ISOTONIC 270 172.5
43109570 SPLINTING 431 123.2 97500
43402310 FABRICATE ORTHOTICS 430 123.2 97504
43403300 FUNCTIONAL TRAINING 430 87.6 97530
43404950 INITIAL EVALUATION 434 146.7 97003
43407590 ORTHO TRAINING 15MIN 430 49.3 97504
44000063 SPCH/LANG RE-EVAL 444 180 92506
44100330 SP THERAPY 441 62.3 92507
44400091 DYSPHAGIA THERAPY 444 62.3 92526
44400330 DYSPHAGIA EVAL BEDSD SWALLOW 444 377.7 V5364 92525
44400660 DYSPHAGIA EVAL/VIDEO STUDY 444 377.7 V5364 92525
44400990 SPCH THRPY HEAR ACU (SCREEN) 470 72.2 92551
44402310 SPEECH/LANGUAGE EVAL 444 377.7 V5362 92506
45000135 AMBULANCE TRANSFER 450 448
45000660 ER LEVEL 5 & 6 -ADDL 30MIN 450 560 99292
45000990 ER LEVEL 6 450 1120 99291
45010000 TREATMENT RM-LWBS NO CHARGE 450 0
45010230 TREATMENT RM LEVEL 1 450 84 99281
45010560 TREATMENT RM LEVEL 2 450 112 99282
45010890 TREATMENT RM LEVEL 3 450 201.6 99283
45011220 TREATMENT RM LEVEL 4 450 336 99284
45011550 TREATMENT RM LEVEL 5 450 950 99285
45011552 SUCTION HOOK-UP 450 34.4
45011553 CARDIAC MONITOR 450 53.1
45011554 ER RE-CHECK VISIT 450 84 99281
46000018 DLCO 460 170.1 94720
46000064 FRC/RV 460 101.1 94240
46000065 HOME OXYGEN EVALUATION 460 240.3 94620
46000066 NOCTURNAL PXIMETRY STUDY 460 135.6 94762
46000067 INDIRECT CALORIMETRY 460 258.8 94690
46000068 SHUNT 460 246.4 94250
46000069 CLOSING VOLUMES 460 135.6 94370
46000070 SPIROMETRY 460 83.9 94010
46000081 ABG W/PHYS INTERP * 300 193.5 82803
46000082 ARTERIAL PUNCTURE 460 30.8 36600
46000090 SPECIM N/SAMPLE/KIT* 460 29.6 94700
46000108 DISP PEAK FLOW METER 270 70.3
46014520 PEAK FLOW W/PRED 460 29.7 94610
46021450 VC W/PRED 460 29.7 94150
48000001 2-D ECHO 483 733.1 93307
48000003 2-D ECHO STRESS 483 979.5 93350
48000004 TRAN ESOPHAGEAL ECHO 483 1232 93312
48000005 DOPPLER ECHO 483 258.8 93320
48000006 DOPPLER ECHO-LMTD 483 135.6 93321
48000007 DOPPLER COLOR FLOW 483 117.1 93325
48000010 TRAN ESOPHAGEAL ECHO 483 616 93312
48000012 STRESS ECHO 483 733.1 93350
48000013 STRESS ECHO 483 616 93350
48000016 2-D ECHO CONG COMP 483 733.1 93303
48000017 2-D ECHO CONG LMTD 483 363.5 93304
48000032 RHYTHM STRIP 730 70.3 93041
48000049 AFTER HOURS CALL ADD 480 70.3 94799
48000050 MONITOR-EXER RX 730 70.3 93040
48100001 SHOULDER ARTH INJ 361 191 23350
48100007 CAROT VERT INJ PROC. 361 1416.8 36100
48100009 CEREBRAL UNI-INJ 361 704.9 36100
48100013 ABD TRANS LUM INJ 361 522.4 36160
48100014 AORTIC ARCH3 361 1047.2 36200
48100026 ANTEGRADE PYELO INJ 360 585.2
48100034 CATH. 6 F WILLIAMS RIGHT 622 59.2
48100035 CATH. 6 F 1M 622 59.2 99070
48100132 CHOLANGIOGPHY INTRAV 361 363.5 47500
48100153 LEFT HEART CATHETER 481 1416.8 93510
48100180 IMAGING S & I REPORT 481 985.6 93555
48100198 NON-INVASIVE OXIMETER 481 30.8 94060
48100207 HEART PACK 622 221.8
48100225 6F PIGTAIL 622 37
48100226 CONRAY 60 - 50 ML 255 30.8
48100228 CYSTOGRAFIN 300ML 255 184.8
48100234 CATH:6FJL4 622 59.2
48100251 CONRAY 60 50ML 255 30.8
48100253 CONRAY 43 200ML 255 184.8
48100254 CONRAY 30 250ML 255 184.8
48100255 OMNIPAQUE 300 100ML 255 369.6
48100256 OMNIPAQUE 240 100ML 255 329
48100257 OMNIPAQUE 370 150ML 255 492.8
48100258 OMNIPAQUE 350 200ML 255 658
48100259 CONTRAST 150ML 255 492.8
48100261 WIRE:035 MMJ 145CM 622 33.3
48100270 PREP KIT 622 22.3
48100279 CONTRAST 320 50ML 255 184.8 A4644
48100288 CONTRAST 320 100ML 255 369.6 A4644
48100400 CONRAY 60 50ML 255 61.6
48100402 CONRAY 60 150ML 255 92.4
48100403 CONRAY 60 200ML 255 123.2
48100404 CONRAY 76 50ML 255 16.7
48100405 CONRAY 76 150ML 255 92.4
48100406 CONRAY 76 150ML 255 123.2
48100407 CONRAY 76 200ML 255 61.6
48103300 6F SHEATH 622 45.4
48103630 7F SHEATH 622 37
48103960 8F SHEATH 622 37
48104620 AORTIC ROOT INJ 481 554.4 93544
48105280 BILATERAL HEART CATH 481 2402.4 93526
48105940 BYPASS VENOUS INJ 481 554.4 93540
48106600 CARDIAC OUTPUT 481 61.6 93561
48106930 CARDIAC OUTPUT 481 61.6 93561
48108910 CATH:6F AL1 622 59.2
48109240 CATH:6F AL2 622 59.2
48109570 CATH:6F AR1 622 59.2
48109900 CATH:6F AR2 622 59.2
48110230 CATH:6F LT BYPASS 622 59.2
48110560 CATH:6F RT BYPASS 622 59.2
48110890 CATH:6FJL3.5 622 59.2
48111550 CATH:6FJL4.5 622 59.2
48111880 CATH:6FJL5 622 59.2
48112210 CATH:6FJL6 622 59.2
48112540 CATH:6FJR3.5 622 59.2
48112870 CATH:6FJR4 622 59.2
48113200 CATH:6FJR4.5 622 59.2
48113530 CATH:6FJR5 622 59.2
48113860 CATH:6FJR6 622 59.2
48114190 CATH:6F MULTIPURPOSE 622 59.2
48115180 CORONARY ANGIO 481 554.4 93545
48117160 IMAGING S & I COROS 481 1232 93556
48119140 INJ RT VENTRICULARGR 481 554.4 93542
48122110 INTR-AORTIC BALLOON 481 1416.8 93536
48124090 LT VENTRICULAR ANGIO 481 554.4 93543
48129040 SWAN GANZ CATHETER 481 554.4 93503
48129700 TEMPORARY PACEMAKER 480 554.4 93612
48130030 THROMB IC INF EA HR 481 1416.8 92975
48131020 WIRE:.035 3MMJ 175CM 622 33.3
48131350 WIRE:.035 COMPASS 622 110.9
48131680 WIRE:.035 GLIDE 622 110.9
48132340 WIRE:.035 STRAIGHT 622 33.3
48132670 WIR:.035 WHOOLEY 622 240.3
48132671 RIGHT VENTRICULAR INJ 481 554.4 93542
48132672 RIGHT HEART CATH 481 985.6 93501
48132673 SWAN GANZ CATHETER 481 554.4 93503
48132674 ENDOMYOCARDIAL BIOPSY 622 2679.6 93505
48132675 BIOPAL 7 BIOTOME 622 1404.5
48132676 Compass Guide Wires .035X145 481 129.4
48132677 Super VHS 60 481 29
48132678 ET Change J Tip 481 64.6
48132679 6 FR Plus TZ .038X1 481 63.8
48132680 AR 11 MOD 481 64.1
48132681 Amplatz Left III 481 63.8
48132682 Female to Male Luer Lock 36" 481 6.2
48132683 Williams Right WR4 0X100 CM 481 64.1
48132684 Optiray 320 50 ML Syringe 481 377.1
48132685 Primo Pac Card Multipack & In 481 295.7
48132686 Glidewire SS 35X150 CM 481 197.2
48200330 EKG TREADMILL 482 382.6 93017
48300045 2-D ECHO FOLLOW UP 483 363.5 93308
48300054 2-D ECHO COMPLETE 483 492.8 93307
48300063 DOP ECHOCARDIOGRAPHY 483 431.2 93320
48300072 DOP CLR FLW VELOCITY 483 184.8 93325
61100027 MRI HEAD W/O CONT 611 1478.4 70551
61100330 MRI HEAD W CONT 611 1478.4 70552
61100990 MRI HEAD W/WO CONT 611 1848 70553
61200063 MRI T-SPINE W/O CONT 612 1848 72146
61200081 MRI L-SPINE W CONT 612 1478.4 72149
61200330 MRI C-SPINE W CONT 612 1478.4 72142
61200660 MRI C-SPINE W/O CONT 612 1478.4 72141
61200990 MRI C-SPINE W/WO CN 612 1878.8 72156
61201320 MRI FACE 612 1478.4 70540
61201980 MRI L-SPINE W/O CONT 612 1478.4 72148
61202310 MRI L-SPINE W/WO CN 612 1848 72158
61202311 MRI IAC 612 0
61202312 MRI PIT. GLAND 612 0
61202313 MRI PELVIS 612 0
61202314 MRI PELVIS W/CONTRAST 612 0
61202315 MRI PELVIS W/WO/CONTRAST 612 0
61202640 MRI NECK 612 1478.4 70540
61202970 MRI ORBITS 612 1478.4 70540
61203300 MRI T-SPINE W CONT 612 1478.4 72147
61203960 MRI T-SPINE W/WO 612 1478.4 72157
61900000 MRI ABDOMEN 619 1488.3 74181
61900001 MRI ABDOMEN WITH CONTRAST 612 1478.4 74182
61900002 MRI CHEST ANGIO 619 1488.3 71555
61900003 MRI ABD ANGIO 619 1488.3 74185
61900005 MRI ABDOMEN W/WO CONTRAST 612 1848 74181
61900013 MRI TMJ 619 862.4 70336
61900018 MRI UPPER EXT 619 714.6 73220
61900020 MRI UPPER EXT ANGIO 619 714.6 73225
61900021 MRI LOWER EXT 619 714.6 73720
61900023 MRI LOWER EXT ANGIO 619 961 73725
61900024 MRI CARDIAC COMP 619 1503.1 75554
61900025 MRI CARDIAC VELOCITY 619 1503.1 75556
61900026 MRI BONE MARROW 619 1848 76400
61900063 MRI CHEST 619 1488.3 71550
61900072 MRI ANGIO HEAD 619 1909.6 70544
61900081 MRI UPPER EXT W/JT 619 961 73221
61900090 MRI LOWER EXT W/JT 619 961 73721
61900091 MRI ADDL SEQ 12 MIN 612 0
61900099 MRI MAGNAVIST/GADOLINIUM 619 492.8 A4647
61900100 MRI ABDOMEN W/CONTR 619 1488.3 74182
61900101 MRI ABDOMEN W/WO CONTR 619 1848 74181
61900102 MRI ANGIO NECK 619 1488.3 70547
61900103 MRI IAC 619 1488.3 70540
61900104 MRI NO CHARGE TODAY 619 0
61900105 MRI PELVIS 619 1488.3 72196
61900106 MRI PELVIS W/CONTR 619 1488.3 72196
61900107 MRI PELVIS W/WO CONTR 619 1848 72198
61900108 MRI PIT GLAND W/CONTR 619 1478.4 70552
61900109 MRI PIT GLAND W/O CONTR 619 1478.4 70551
61900110 MRI PIT GLAND W/WO CONTR 619 1848 70553
61900111 MRI BREAST 619 1478.4 76094
62007700 MASSAGE 420 72.2 97124
63601650 ADRIAMYCIN 10 MG CIAL 636 127.34 J9000
63601980 ADRIAMYCIN 50 MG VIAL 636 620.99 J9000
63604290 CERUBIDINE 20 MG 636 225.28 J9150
63604950 CIS-PALTINOL 10 MG 636 189.44 J9060
63605280 CIS-PLATINOL 50 MG 636 902.05 J9060
63608580 CYTOZAN 500 MG/VIAL 636 108.93 J9090
63612210 FLOUROURACIL 1GM 636 21.75 J9190
63614520 IFOSFAMIDE 1 GR 636 278.83 J9208
63618480 MESNA 200MG 636 217.74 J9209
63621450 MUSTARGEN 10MG INJ. 636 23.3 J9230
63622440 MUTAMYCIN 5MG VIAL 636 364.33 J9280
63622770 NEOSAR 100 MG 636 94.6 J9070
63623100 NEUPOGEN 300 MCG 636 224.64 J1440
63625080 ONCO2 636 207.66
63625410 ONCOVIN 1MG 636 142.87 J9370
63625740 ONCOVIN 5MG 636 571.34 J9370
63626400 PARAPLETIN 450MG 636 2021.49 J9045
63628050 STILPHOSTROL 1GM 636 132.28 J9165
63628380 STILPHOSTROL 250MG/5 636 31.05 J9165
63629700 THIO TEPA 15MG 636 79.55 J9340
63631020 VELBAN 10MG INJ 636 130.43 J9360
63631350 VEPEDSID 100MG (VP16) 636 214.73 J9181
63631351 Eptifibatide 20mg 636 130
63631352 Eptifibatide 75mg Vial 636 406.26
63631353 Anzemet 12.5 Mg/Amp 636 60
63631354 Amphotec 50 Mg. Inj 636 170
63631355 Ondansterone 4mg Inj 636 51
63631356 TRASTUZUMAB 440MG VIAL 636 5089
72000054 LABOR ROOM CHARGE 720 564.5
72000063 OBSERVATION:HOUR 762 76.5
72000072 NON-STRESS TEST OB 920 63.85 59025
72000081 USE OF DELIVERY ROOM 720 705.6 59610
72200002 DELIVERY CHARGE 722 352.8 59612
72200003 RHOGAM INJECTION 722 0 90788
72200004 IV ANTIBIOTIC INJECTION 722 0 90784
72200005 RHOGAM INJECTION 722 0 90788
72200006 IV ANTIBIOTIC INJECTION 722 0 90784
73005940 EKG 730 118 93005
73005941 REPEAT EKG SAME MD 730 120.2 93005 76
73005942 REPEAT EKG SECOND MD 730 120.2 93005 77
73006600 EKG STAT 730 124.1 93005
73006601 EKG 730 107.2 93005
73101320 HOLTER MONITOR 24 HR 731 586.6 93225
74000660 CEREBRAL SILENCE EVL 740 68.3 95824
74000990 EEG 740 351.9 95819
75000001 USE OF ROOM 750 392
75000005 SIGMOIDOSCOPE 750 30.6
75000007 BIOPSY PACK 750 46.15
75000010 CAUTERY DISP 750 63.2
75000017 ERCP PACK 750 197.35
75000018 ERCP CATH. 750 104.3
75000019 SCLEROSING PACK 750 127.05
75000021 ESOPH.DIL.PACK 750 15.6
75000023 SCLEROTHERAPY NEEDLE 750 76.2
75000024 BRUSH-CYTOLOGY-DIS 750 76.2
75000040 CLO TEST 750 89.6
75000063 MISC. CHARGE 750 0
75000081 VIDEOPHOTO 270 56
75000089 NASO BILIARY DRAINING 750 392
75000090 SANDOZ BALLOON 270 112
75000092 MAMOMETER 750 100.8
75000093 BALLOON GT SANDOZ 750 112
75000095 ESOPHAGEAL BALLOON 750 420
75000096 IRRIGATOR TUBES 750 112
75000098 BEZOAR REMOVAL 750 336
75000099 BICAP PROBE 270 560
75001005 COLON PACK 750 84.6
75001007 ENDO PACK 750 85.6
75001011 ESOPHAGEAL BANDING 750 828.8
75001012 BASKET 750 336
75001013 PANCREATIC STENT 750 336
75001014 USE OF ROOM ADDL 15 MIN 750 100.8
75001015 USE OF ROOM ADDL 30 MIN 750 201.6
76100000 CHEMO ROOM CHARGE 761 283.36
76100001 IV THERAPY ROOM CHARGE 761 283.36
80100001 ACUTE HEMODIALYSIS 801 1025.85
80100003 HEMOPERFUSION 801 1709.8
80100005 DECLOTTING 801 284.95
80100006 DRY RUN 801 333.35
80100007 INSERT FEMORAL CATH 801 238.35
80100008 SET OF SHUNT CLAMPS 801 56.35
80100016 CAPD BAG EXCHANGE 801 365.9
80100018 BICARBONATE DIALYSIS 801 1330.6
80100019 PLASMA APHERESIS 801 1330.6
80100020 DIALYSIS TIME UNITS 800 0
91403960 PRT 1 HOSPITALIZATION 904 448 99223
91404290 PRT 2 HOSPITALIZATION 914 448 99233
91404620 PRT 3 HOSPITALIZATION 914 448 99238
91404950 PRT 4 HOSPITALIZATION 914 448 99231
91500990 GROUP PSYCHOTHERAPY 915 184.8 90857
91600330 MULTI-FAMILY GROUP 916 140 90849
91600990 SINGLE FAMILY GROUP 916 168 90847
91800990 NUTRITIONAL ASSESSMENT 918 179.2 96100
91801320 PSYCHOSOCIAL ASSMNT 918 313.6 96100
92100008 DUP LOWER EXTREMITY BILATERAL 921 862.4 93925
92100009 DUP UPPER EXTREMITY BILATERAL 921 431.2 93930
92100010 DOP EXTRACRANIAL ART BILATERAL 921 431.2 93875
92100012 DOP INTRACRANIAL ART COMPLETE 921 431.2 93886
92100013 HEMODIALYSIS ACCESS 921 431.2 93990
92100014 PENILE FLOW STUDY COMPLETE 921 431.2 93980
92100015 DOPPLER EXT VENOUS BILATERAL 921 431.2 93965
92100017 DUP SCAN AOR/IVC/ILI COMPLETE 921 924 93978
92100018 DUP ART INFLW/VENOUS LIMITED 921 431.2 93976
92100036 ML/LV EXT ART DOPPLR BILATERAL 921 677.6 93923
92100045 DUP EXTRACRANIAL ART BILATERAL 921 431.2 93880
92100054 DUPLEX EXT VENOUS BILATERAL 921 862.4 93970
92109900 PERIPHERAL VASCULAR LAB BILATE 921 431.2 93922
94000009 EXPRESSIVE THERAPY 940 168 Q0082
94000018 REC/LEISURE EDUC 940 168 Q0082
94000027 CURRENT EVENTS 940 123.2 Q0082
94000036 SOCIAL ACT SKILLS 940 168 Q0082
94000045 C.D. ASSESSMENT 940 179.2 96100
94000063 SYMPTOM/ANGER MGMT 940 168 90853
94000072 COMMUNICATION SKILLS 940 168 90853
94000081 PROBLEM SOLVING 940 168 90853
94000090 STRESS MANAGEMENT 940 168 90853
94000099 CHEMICAL DEPENDENCY 940 168 90853
94000106 LIFE MANAGEMENT 940 168 90853
94000108 SELF AWARENESS 940 168 90853
94000117 GOAL SETTING 940 168 90853
94000135 REALITY ORIENTATION 940 112 90853
94000144 COMMUNITY REINTEGRAT 940 168 90853
94000153 MEDICAL ASPECTS 940 212.8
94000301 ACCESING COMMUN RES 940 123.2 Q0082
94000302 ART THERAPY 940 168 Q0082
94000306 ACT OF DAILY LIVING 940 123.2 Q0082
94000308 NUTRITION EDUCATION 940 168 Q0082
94000700 REC THERAPY ASSESSMT 940 246.4 96100
94002001 MEDICATION MANAGEMENT 940 168 90853
94002003 ASSERTIVENESS TRAING 940 168 90853
94002006 DECISION MAKING 940 168 90853
94002011 PERSONAL HLTH IMPROV 940 168 90853
94200002 O/P NUTRITION EDUCATION 942 84 Z6200 59601
94200003 O/P F/U 1/2HR NUTR EDU 942 42 Z6204
94200006 O/P NUTRITION EDUCATION (GRP) 942 56 Z6206
94200007 INITIAL ASSESSMENT W/PT 15MINS 942 20.2 97802
94200008 THER RE-ASSESSMENT W/PT 15MINS 942 20.2 97803
94200009 INTERVENTION-2 OR MORE 30MINS 942 40.35 97804
94300660 CARDIAC EXERCISE MON 943 102.85 93798
98000001 NUTRI CONSULTATION 980 84
98000002 O/NUTR CONSULTATION 980 84
98000003 FOLLOW UP 1/2 HOUR 980 42
98000004 CALORIC/NUTR ANALYS 980 63
98000005 ENTERAL/TPN F/U 980 63
98000240 DRAIN BLADDER 981 62.75 51000
98100000 NO CHARGE - ER PHYSICIAN 981 0
98100001 ABSCESS/CYST 981 100.8 10060
98100002 I & D ABSCESS/CYST 981 201.6 10061
98100003 I & D PILONIDAL CYST 981 100.8 10080
98100005 REMOVE FOREIGN BODY SIMPLE 981 100.8 10120
98100006 REMOVE FOREIGN BODY COMPLEX 981 201.6 10121
98100007 DRAIN HEMATOMA 981 100.8 10140
98100008 PUNCTURE ASPIRATION 981 65 10160
98100009 SURGICAL CLEANSING 981 53.8 11000
98100010 SURGICAL CLEANSING 981 96.35 11001
98100011 DEBRIDE ABRASIONS 981 53.8 11040
98100012 DEBRIDE SKIN 981 122.1 11041
98100013 DEBRIDE SKIN/TISSUE 981 208.35 11042
98100014 DEBRIDE TISSUE/MUSCL 981 377.45 11043
98100016 AVULSION; NAIL PLATE 981 72.8 11731
98100019 RECONST. NAIL BED 981 257.6 11760
98100020 REPAIR NAIL BED COMP 981 394.25 11762
98100021 EXCISE NAIL FOLD 981 174.75 11765
98100026 SURG REPAIR WOUND 20.1 TO 30.0 981 352.8 12006
98100027 SURG REPAIR WOUND 981 520.8 12007
98100031 SURG. REPAIR WOUND 7.6 TO 12.5 981 352.8 12015
98100032 SURG. REPAIR WOUND OVER 12.5 981 554.4
98100033 SURG. REPAIR WOUND 981 666.4 12017
98100034 SURG. REPAIR WOUND 981 828.8 12018
98100035 CLOSE SPLIT WOUND 981 199.4
98100038 LAYER CLOSURE WOUND 2.6 TO 7.5 981 201.6 12032
98100040 LAYER CLOSURE WOUND 12.5 TO 20 981 352.8 12035
98100041 LAYER CLOSURE WOUND OVER 20 981 453.6 12036
98100042 LAYER CLOSURE WOUND 981 610.4 12037
98100044 LAYER CLOSURE WOUND 2.6 TO 7.5 981 252 12042
98100045 LAYER CLOSE WOUND 7.6 TO 12.5 981 364 12044
98100046 LAYER CLOSURE WOUND OVER 20 981 476 12045
98100047 LAYER CLOSURE WOUND 981 543.2 12046
98100048 WOUND REP. OVR 30 CM 981 711.2 12047
98100051 LAYER CLOSURE WOUND 981 364 12053
98100052 LAYER CLOSE WOUND 7.6 TO 12.5 981 554.4 12054
98100053 LAYER CLOUSRE WOUND OVER 12.5 981 719.05 12055
98100054 LAYER CLOSURE WOUND 981 887.05 12056
98100055 LAYER CLOSURE WOUND 981 1055.05 12057
98100056 SURG. REPAIR WOUND 981 252 13100
98100057 SURG REPAIR WOUND 2.6 TO 7.5 981 364 13101
98100058 SURG. REPAIR WOUND 981 364 13120
98100059 SURG. REPAIR WOUND 981 655.2 13121
98100060 SURG REPAIR WOUND 1.0 TO 2.5 981 403.2 13131
98100061 SURG REPAIR WOUND 2.6 TO 7.5 981 869.15 13132
98100062 SURG REPAIR WOUND UP TO 1.0 981 324.8 13150
98100063 SURG REPAIR WOUND 1.1 TO 2.5 981 504 13151
98100064 SURG REPAIR WOUND 2.6 TO 7.5 981 873.6 13152
98100066 REPR. LACERATION ARM 981 1344 13300
98100068 TREATMENT OF BURN- DRESSING SM 981 87.4 16020
98100069 TREATMENT OF BURN- DRESSING MM 981 121 16025
98100070 TREATMENT OF BURN- DRESSING LG 981 177 16030
98100071 REMOVE FB MUSCLE SUPERFICIAL 981 140 20520
98100072 REMOVE FB MUSCLE DEEP 981 311.4 20525
98100074 INJECTION JOINT FINGER OR TOE 981 67.2 20600
98100075 INJECTION JT ELBOW,WRIST,ANKLE 981 84 20605
98100076 INJECTION JT KNEE,SHOULDER,HIP 981 100.8 20610
98100077 CLOSED TREAT. SKULL 981 231.85 21300
98100079 TREAT NOSE FRACTURE 981 171.4 21315
98100080 TREAT ORBIT FRACTURE 981 239.7 21400
98100081 TREAT JAW FRACTURE 981 330.4 21450
98100082 RESET DISLOCATED JAW 981 224 21480
98100084 TREAT RIB FRACTURE 981 168 21800
98100085 TREAT STERNUM FRACTURE 981 206.1 21820
98100086 TREAT VERTEBRAL PROC 981 230.75 22305
98100087 TREAT VERTEBRAL BODY 981 342.75 22310
98100089 TREAT DISLOCATION 981 189.3 23540
98100090 ACROMIOCLAVICULAR DI 981 392 23545
98100091 SCAPULAR FRACTURE 981 200.5 23570
98100093 TREAT TUBEROSITY FX 981 280 23620
98100094 RELOCATE SHOULDER 981 277.8 23650
98100095 RELOCATE SHOULDER 981 378.6 23655
98100096 HUMERUS FRACTURE (SHAFT) 981 292.35 24500
98100097 TREAT CONDYLAR FRACTURE 981 318.1 24530
98100098 TREAT HUMERUS FRACT. 981 252 24560
98100099 TREAT CONDYLAR FRAC. 981 254.25 24576
98100101 ELBOW DISLOCATION 981 384.2 24605
98100102 TREAT ELBOW DISLOCA. 981 140 24640
98100103 TREAT RADIUS FRACTURE (HEAD) 981 206.1 24650
98100105 TREAT ULNAR FRACTURE 981 368.5 24675
98100108 RADIUS FRACTURE (SHAFT) 981 274.4 25500
98100109 TREAT ULNAR FRACTURE (SHAFT) 981 274.4 25530
98100110 TR. RADIAL/ULNAR FRACTURE 981 342.75 25560
98100112 TR. DISTAL RADIAL FR 981 470.4 25605
98100113 TREAT WRIST FRACTURE 981 265.45 25622
98100114 TREAT WRIST FRACTURE-CARPAL BN 981 239.7 25630
98100115 TR. ULNAR STYLOID FRACTURE 981 280 25650
98100120 TREAT METACARPLA FRACTURE 981 188.2 26600
98100121 TREAT METACARPAL FR 981 274.4 26605
98100122 TREAT METACARPAL DIS 981 240.8 26641
98100123 TREAT THUMB FRACTURE 981 330.4 26645
98100124 TR. CARPOMETACARPAL 981 220.65 26670
98100125 TR/ CARPOMETACARPAL 981 403.2 26675
98100127 KNUCKLE DISLOCATION 981 293.45 26705
98100129 TREAT FINGER FRACT. 981 246.4
98100130 TREAT FINGER FRACTUR 981 206.1 26740
98100131 TREAT FINGER FRACTURE-DISTAL 981 134.4 26750
98100132 TREAT FINGER FRACTUR 981 202.75 26755
98100133 TR. FINGER/THUMB FR. 981 349.45 26765
98100135 TREAT HIP DISLOC. 981 219.55 26775
98100136 TREAT COCCYX FRACTURE 981 169.15 27200
98100137 TREAT NECK FRACTURE 981 425.6 27230
98100138 TREAT FEMORAL FRACT. 981 530.9 27238
98100139 TREAT HIP DISLOCAT. 981 485 27250
98100140 TREAT HIP DISLOCAT. 981 664.2 27252
98100141 TREATMENT/THIGH FRACTURE 981 573.45 27500
98100142 TREAT FEMUR FRACTURE 981 498.4 27508
98100143 TREAT KNEECAP FRACTURE 981 308 27520
98100144 TREAT TIBIA FRACTURE (PLATEAU) 981 355.05 27530
98100145 TREAT KNEE DISLOCA 981 412.2 27550
98100146 TREAT KNEE DISLOCA. 981 552.2 27552
98100147 TREAT KNEECAP DISLO. 981 257.6 27560
98100148 TREAT KNEECAP DISLO. 981 566.75 27562
98100149 TREAT TIBIA FRACTURE (SHAFT) 981 342.75 27750
98100150 TREAT TIBIA FRACTURE (DISTAL) 981 285.6 27760
98100151 TREAT FIBIA FRACTURE 981 231.85 27780
98100152 TREAT FIBULA FRACTURE-DISTAL 981 275.55 27786
98100153 TREAT ANKLE FRACT(BIMALLEOLAR) 981 319.2 27808
98100154 TREAT ANKLE FRACT-TRIMALLEOLAR 981 342.75 27816
98100155 TR. DISTAL TIBIA FR. 981 257.6 27824
98100156 TREAT ANKLE DISLOC. 981 309.15 27840
98100157 TREAT ANKLE DISLOCA. 981 401 27842
98100160 TREAT HEEL FRACTURE-CALCANEUS 981 248.65 28400
98100161 TREAT TALUS FRACTURE 981 238.6 28430
98100162 TREAT MIDFOOT FRACT. 981 206.1 28450
98100163 METATARSAL FRACT 981 188.2 28470
98100164 TREAT METATARSAL FR. 981 266.6 28475
98100165 TREAT BIG TOE FRACTURE 981 143.4 28490
98100166 TREAT A BIG TOE FRAC. 981 206.1 28495
98100168 TREAT TOE FRACTURE 981 147.85 28515
98100169 TREAT TOE DISLOCA 981 154.6 28630
98100170 TREAT TOE DISLOCAT. 981 112 28660
98100171 TREAT TOE DISLOCA. 981 189.3 28665
98100172 APPLY LONG ARM SPLNT 981 89.6 29105
98100173 APPLY FOREARM SPLNT 981 72.8 29125
98100174 APPLY FINGER SPLNT 981 28 29130
98100175 APLY. LONG LEG SPLNT 981 106.4 29505
98100176 APLY. LOWER LEG SPLN 981 72.8 29515
98100177 IMMOBILIZE KNEE 981 53.8 29530
98100179 REMOVE/REVISE CAST 981 53.8 29700
98100180 REMOVE/REVISE CAST 981 59.4 29705
98100181 WINDOW CAST 981 42.6 29730
98100182 WEDGE CAST 981 65 29740
98100184 CONTROL NOSEBLEED W/CAUDERY 981 100.8 30901
98100185 CONTROL NOSEBLEED ANT W/PACK 981 201.6 30903
98100186 CONTROL NOSEBLEED POST W/PACK 981 291.2 30905
98100187 CNTRL NASAL HEMORRGE 981 291.2 30906
98100189 TRACHEOTOMY TUBE CHG 981 201.6 31502
98100190 LARYNGOSCOPY 981 171.4 31505
98100191 REMOVE FOREIGN BODY LARYNX 981 215.05 31511
98100192 LARYNGOSCOPY 981 211.7 31515
98100194 LARYNGOSCOPY W/REMOVAL FB 981 439.05 31530
98100196 TRACHEOSTOMY 981 246.4 31603
98100197 CRICOTHYROIDOTOMY 981 582.4 31605
98100198 THORACENTESIS 981 168 32000
98100199 THORACENTESIS 981 429 32002
98100201 THORACOTOMY 981 1787.55 32110
98100202 OPEN HEART MASSAGE 981 1787.55 32160
98100203 PERICARDIOCENTESIS 981 212.8 33010
98100204 PERICARDIOCENTESIS 981 168 33011
98100205 TRANSVENOUS PACER 981 668.65 33210
98100207 INJECT CONTRAST DYE 981 65 36005
98100208 IV EXTERNAL JUGULAR 981 246.4 36011
98100209 ACCESS VEIN FOR IV <3 YRS 981 67.2 36400
98100210 ACCESS SCALP VEIN 981 100.8 36405
98100211 ACCESS VEIN FOR IV 981 156.8 36420
98100212 ACCESS VEIN FOR IV >3 YRS 981 56 36410
98100213 ACCESS VEIN FOR IV 981 201.6 36425
98100214 BLOOD TRANSFUSION 981 71.7
98100215 INSERT IV CATHETER <2 YRS 981 171.4 36488
98100216 INSERT IV CATHETER >2 YRS 981 201.6 36489
98100217 INSERT IV CATHETER 981 377.45 36491
98100218 ARTERIAL PUNCTURE 981 53.8 36600
98100219 ARTERIAL CATHETER 981 171.4 36620
98100220 ARTERIAL CUTDOWN 981 226.25 36625
98100221 INSERT NEEDLE BONE 981 113.15 36680
98100222 REPAIR TONGUE WOUND 981 188.2 41250
98100223 REPAIR TONGUE WOUND 981 277.8 41251
98100224 REPAIR TONGUE WOUND 981 492.8 41252
98100225 DRAIN GUM LESION 981 136.65 41800
98100227 REMOVE FOREIGN BODY 981 171.4 42809
98100228 CHG GASTROSTOMY TUBE 981 118.75 43760
98100231 REM FECAL IMPACTION 981 179.2 45915
98100232 INCISE RECTAL ABSCES 981 325.95 46090
98100233 INCISE ANAL ABSCES 981 201.6 46050
98100234 REM HEMORRHOID CLOT 981 161.3 46320
98100236 ANOSCOPY FOREIGN BDY 981 224 46608
98100237 PERITONEAL LAVAGE 981 291.2 49420
98100238 PERITONEAL LAVAGE 981 119.85 49081
98100239 INSERT ABDOMEN DRAIN 981 153.45 49080
98100241 ASPIRATION BLADDER 981 80.65 51005
98100242 INS SUPRAPUBIC CATH 981 177 51010
98100243 INJECTION CYSTOGRAPH 981 53.8 51600
98100245 IRRIGATE BLADDER 981 44.8 51700
98100246 CHANGE BLADDER TUBE 981 56 51705
98100250 INSERT URINARY CATH 981 56 53670
98100251 INSERT URINARY CATH 981 67.2 53675
98100252 I&D VULVA/PERI AB 981 224 56405
98100253 DRAIN VULVA ABSCESS 981 224 56420
98100254 DRAIN PELVIC FLUID 981 123.2 57020
98100255 TREAT VAGINAL BLEED 981 154.6 57180
98100256 PELVIC EXAMINATION 981 40.35 57410
98100257 REMOVE IUD 981 84 58301
98100259 EMER VAG DELIVERY 981 1227.55 59409
98100260 DELIVER PLACENTA 981 280 59414
98100262 INJ. ANESTHETIC AGT 981 103.05 64402
98100263 INJ, ANESTHETIC AGT 981 100.8 64417
98100264 INJ, ANESTHETIC AGT 981 84 64420
98100266 REM OBJ CONJUNCTIVA 981 49.3 65205
98100267 REM OBJ CONJUNCTIVA 981 72.8 65210
98100268 REMOVE OBJECT CORNEA 981 72.8 65220
98100270 REM OBJECT EYELID 981 202.75 67938
98100271 I & D ABSCESS EAR 981 112 69020
98100273 REMOVE EAR WAX 981 61.6 69210
98100333 IV INFUSION THERAPY 981 50.4 90781
98100334 INJECTION (IV) 981 34.75 90784
98100339 EXTERNAL PACING 981 294.6 92953
98100340 CARDIOVERSION 981 313.6 92960
98100343 INT RHYTHM ECG 981 19.05 93042
98100350 SPECIAL REPORT 981 100.8 99080
98100353 INDUCE VOMITING 981 84 99175
98100357 CONSULTATION INPT 981 100.8 99251
98100359 CONSULTATION 981 184.8 99253
98100360 CONSULTATION 981 187.05 99254
98100361 CONSULTATION 981 241.95 99255
98100372 TELEPHONE CONSULT 981 38.1 99371
98100373 TELEPHONE CONSULT 981 60.5 99372
98100374 TELEPHONE CONSULT 981 94.1 99373
98100375 NEWBN INF HIST;EXAM 981 197.15 99431
98100376 NEWBORN RESUSCITATE 981 616 99440
98100377 REPLACE TRACH TB (1) 981 246.4 31603
98100378 CPR (1) 981 268.8 92950
98100379 THROMB CORO IV (1) 981 280 92977
98100382 INIT TREAT 1ST DEG 981 87.4 16000
98100385 SHOULDER IMMOBILIZER 981 53.8 29240
98100393 SUBSEQUENT HOSP CARE 981 61.6 99231
98100394 SUBSEQUENT HOSP CARE 981 112 99232
98100395 SUBSEQUENT HOSP CARE 981 151.2 99233
98100396 LWBS 981 0
98100414 AVULSION:NAILPLATE 981 134.4 11730
98100423 EVACUATE HEMATOMA 981 67.2 11740
98100432 SURG REPAIR WOUND UP TO 2.5 981 91.85 12001
98100441 SURG REPAIR WOUND 2.6 TO 7.5 981 136.65 12002
98100450 SURG REPAIR WOUND 7.6 TO 12.5 981 188.2 12004
98100459 SURG REPAIR WOUND 12.6 TO 20.0 981 252 12005
98100468 SURG REPAIR WOUND UP TO 2.5 981 138.9 12011
98100477 SURG REPAIR WOUND 2.6 TO 5.0 981 188.2 12013
98100486 SURG REPAIR WOUND 5.1 TO 7.5 981 277.8 12014
98100495 LAYER CLOSURE WOUND UP TO 2.5 981 154.6 12031
98100504 LAYER CLOSE WOUND 7.6 TO 12.5 981 277.8 12034
98100513 LAYER CLOSURE WOUND UP TO 2.5 981 168 12041
98100522 LAYER CLOSURE WOUND UP TO 2.5 981 201.6 12051
98100531 LAYER CLOSURE WOUND 2.6 TO 5.0 981 280 12052
98100540 TREAT NOSE FRACTURE 981 171.4 21310
98100549 TREAT CLAVICLE FRACTURE 981 188.2 23500
98100558 HUMERUS FRACTURE (NECK) 981 302.4 23600
98100567 TREAT ELBOW DISLOCATION 981 303.55 24600
98100576 TREAT ULNA FRACTURE 981 228.5 24670
98100585 TR DISTAL RADIAL FRACTURE 981 275.55 25600
98100594 TREAT KNUCKLE DISLOCATION 981 190.4 26700
98100603 TREAT FINGER FRACTURE-MIDDLE 981 168 26720
98100612 TREAT FINGER DISLOC. 981 166.9 26770
98100621 TREAT TOE FRACTURE (2 TO 5) 981 98.6 28510
98100630 REMOVE FOREIGN BODY (NOSE) 981 100.8 30300
98100639 TRACHEAL INTUBATION 981 246.4 31500
98100648 TUBE THORACOSTOMY 981 429 32020
98100657 LUMBAR PUNCTURE 981 136.65 62270
98100666 NERVE BLOCK 981 80.65 64450
98100675 REM OBJ CORNEA S/LAM 981 106.4 65222
98100684 CLR OUTER EAR CANAL 981 112 69200
98100693 IV INFUSION THERAPY 981 53.8 90780
98100702 N/G INTUBATION/LAV 981 140 91105
98100711 OPHTHALMOLOGICAL SER 981 136.65 92004
98100720 CPR 981 369.6 92950
98100729 CONSULTATION 981 140 99252
98100738 ER PHYS SERV LEVEL I 981 65 99281
98100747 ER PHYS SERV LEVEL II 981 89.6 99282
98100756 ER PHYS SERV LEVEL III 981 136.65 99283
98100765 ER PHYS SERV LEVEL IV 981 215.05 99284
98100774 ER PHYS SERV LEVEL V 981 308 99285
98100783 CRITICAL CARE 60MIN 981 376.35 99291
98100792 CRITICAL CR ADDL 30M 981 190.4 99292
98100801 CENTRAL LINE 981 246.4 36010
98100802 EPISIOTOMY REPAIR ONLY 981 308 59300
98100803 TREAT PELVIS FRACTURE 981 98.6 27210
98100804 TREAT SACRUM FRACTURE 981 98.6 27193
98100805 I & D PILONIDAL CYST COMPLEX 981 201.6 10081
98100806 EXCISION NAIL MATRIX 981 268.8 11750
215087070 MOM 118ML LIQ 250 4.5
301207079 HIV VIRAL BLOOD RNA/PCRQT REF 301 230 87536
CHEMO CHEMO ROOM CHARGE 761 283.36
IV THERAPY IV THERAPY ROOM CHARGE 761 283.36
MEDICAID GL.DEPT GL.DEPT.NAME
425.31700 PHV MED/SURG REV
425.35800 PHV SKILLED NURSING REV
425.35600 PHV ADULT NEURO REV
425.35600 PHV ADULT NEURO REV
425.35600 PHV ADULT NEURO REV
425.35600 PHV ADULT NEURO REV
425.35650 PHV ADULT NEURO3 REVENUE
425.35650 PHV ADULT NEURO3 REVENUE
425.35650 PHV ADULT NEURO3 REVENUE
425.35650 PHV ADULT NEURO3 REVENUE
425.31700 PHV MED/SURG REV
425.31780 PHV TIC REVENUE
425.31700 PHV MED/SURG REV
425.33800 PHV OB/GYN REV
425.32900 PHV PEDS ACUTE REV
425.35700 PHV PEDS NEURO REV
425.35700 PHV PEDS NEURO REV
425.35700 PHV PEDS NEURO REV
425.35700 PHV PEDS NEURO REV
425.33400 PHV ADULT PSY ACUTE REV
425.33400 PHV ADULT PSY ACUTE REV
425.35300 PHV NURSERY ACUTE REV
425.35300 PHV NURSERY ACUTE REV
425.30100 PHV ICU REV
425.30300 PHV CCU REV
Z7610 425.47100 PHV PHARMACY REV
Z7610 425.47100 PHV PHARMACY REV
Z7610 425.47100 PHV PHARMACY REV
Z7610 425.47100 PHV PHARMACY REV
Z7610 425.47100 PHV PHARMACY REV
Z7610 425.47100 PHV PHARMACY REV
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Z7610 425.47100 PHV PHARMACY REV
Z7610 425.47100 PHV PHARMACY REV
Z7610 425.47100 PHV PHARMACY REV
Z7610 425.47100 PHV PHARMACY REV
Z7610 425.47100 PHV PHARMACY REV
Z7601 425.47100 PHV PHARMACY REV
Z7610 425.47100 PHV PHARMACY REV
Z7610 425.47100 PHV PHARMACY REV
Z7610 425.47100 PHV PHARMACY REV
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z7610 425.47100 PHV PHARMACY REV
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Z7610 425.47100 PHV PHARMACY REV
Z7610 425.47100 PHV PHARMACY REV
Z7610 425.47100 PHV PHARMACY REV
Z7610 425.47100 PHV PHARMACY REV
Z7610 425.47100 PHV PHARMACY REV
Z7610 425.47100 PHV PHARMACY REV
Z7610 425.47100 PHV PHARMACY REV
Z7610 425.47100 PHV PHARMACY REV
Z7610 425.47100 PHV PHARMACY REV
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X5650 425.47100 PHV PHARMACY REV
X5652 425.47100 PHV PHARMACY REV
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Z7610 425.47100 PHV PHARMACY REV
z7610 425.47100 PHV PHARMACY REV
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X5704 425.47100 PHV PHARMACY REV
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X5728 425.47100 PHV PHARMACY REV
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Z7610 425.47100 PHV PHARMACY REV
Z7610 425.47100 PHV PHARMACY REV
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X5776 425.47100 PHV PHARMACY REV
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Z7610 425.47100 PHV PHARMACY REV
Z7610 425.47100 PHV PHARMACY REV
Z7610 425.47100 PHV PHARMACY REV
Z7610 425.47100 PHV PHARMACY REV
X5808 425.47100 PHV PHARMACY REV
Z7610 425.47100 PHV PHARMACY REV
Z7610 425.47100 PHV PHARMACY REV
Z7610 425.47100 PHV PHARMACY REV
Z7610 425.47100 PHV PHARMACY REV
Z7610 425.47100 PHV PHARMACY REV
Z7610 425.47100 PHV PHARMACY REV
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Z7610 425.47100 PHV PHARMACY REV
Z7610 425.47100 PHV PHARMACY REV
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75600TC 425.46300 PHV RADIOLOGY DIAG REV
75600TC 425.46300 PHV RADIOLOGY DIAG REV
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30300ZN 425.44700 PHV CENTRAL SUPPLY REV
12001 425.44700 PHV CENTRAL SUPPLY REV
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425.40810 PHV PAIN MANAGEMENT REV
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94664 425.44300 PHV OUTPT SURGERY REV
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99070 425.44500 PHV ANESTHESIA REV
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76830 425.46700 PHV ULTRASOUND REV
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Z7610 425.44700 PHV CENTRAL SUPPLY REV
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Z7610 425.44700 PHV CENTRAL SUPPLY REV
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Z7610 425.44700 PHV CENTRAL SUPPLY REV
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Z7610 425.47900 PHV OCCUPATION THPY REV
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Z7502 425.40100 PHV EMERGENCY ROOM REV
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425.47100 PHV PHARMACY REV
87536TC 425.45000 PHV CLINICAL LAB REV
425.44300 PHV OUTPT SURGERY REV
425.44300 PHV OUTPT SURGERY REV
MNEMONIC DESCRIPTION CHG.CAT CHARGE HCPC CPT
12000036 ROOM CHARGE-NEURO NON VENT 130 800
12000038 ROOM CHG-NEURO3 NON VENT ADLT 130 800
12000039 ROOM CHG-NEURO3 VENT ADLT 130 1000
12100036 ROOM CHARGE MED/SURG 121 1000
12200018 ROOM CHARGE-OB 122 1000
12300027 ROOM CHARGE PED 123 1000
12300036 ROOM CHARGE-PEDS NEURO NONVENT 120 1300
12300037 ROOM CHARGE-PEDS NEURO VENT 120 1500
12400027 ROOM CHARGE PSYCHIATRIC ACUTE 124 1200
17000018 ROOM CHARGE NEWBORN NSY 171 400
21000001 ROOM CHARGE CCU 210 2000
25980265 ALBUTEROL SULFATE 3ML VIAL 259 10
27007182 PUMP:IVAC CONT-DAILY 270 71.5 A9900
27007209 PUMP: SUCTION DAILY 270 44
30017050 BASIC METABOLIC PANEL 300 169.6 80048
35100063 CT HEAD W/O CONTRAST ONLY 351 860 70450
36000882 O/R HOUR 360 1500
41200459 AERO TREAT 412 29.6 94640
41200477 CHEST PHYSIO THER 412 60.4 94667
41200504 OXYGEN HR 270 11.2
41200720 AIRWAY CARE SUCT 412 23.5
41200864 PULSE OX-SPOT CHECK 460 42 94760
41200873 VENT MGT 13-24 HR 412 924 94656
45010890 TREATMENT RM LEVEL 3 450 201.6 99283
45011550 TREATMENT RM LEVEL 5 450 950 99285
MEDICAID GL.DEPT GL.DEPT.NAME
425.35600 PHV ADULT NEURO REV
425.35650 PHV ADULT NEURO3 REVENUE
425.35650 PHV ADULT NEURO3 REVENUE
425.31700 PHV MED/SURG REV
425.33800 PHV OB/GYN REV
425.32900 PHV PEDS ACUTE REV
425.35700 PHV PEDS NEURO REV
425.35700 PHV PEDS NEURO REV
425.33400 PHV ADULT PSY ACUTE REV
425.35300 PHV NURSERY ACUTE REV
425.30300 PHV CCU REV
Z7610 425.47100 PHV PHARMACY REV
Z7610 425.44700 PHV CENTRAL SUPPLY REV
30300 425.44700 PHV CENTRAL SUPPLY REV
80048TC 425.45000 PHV CLINICAL LAB REV
70450TC 425.46800 PHV CAT SCAN REV
425.44200 PHV SURGERY & RECOV REV
94060 TC 425.47200 PHV RESPIRATORY THPY REV
425.47200 PHV RESPIRATORY THPY REV
Z7610 425.47200 PHV RESPIRATORY THPY REV
425.47200 PHV RESPIRATORY THPY REV
94760 425.47200 PHV RESPIRATORY THPY REV
425.47200 PHV RESPIRATORY THPY REV
Z7502 425.40100 PHV EMERGENCY ROOM REV
425.40100 PHV EMERGENCY ROOM REV
MNEMONIC DESCRIPTION CHG.CAT CHARGE GL.DEPT
12000036 ROOM CHARGE-NEURO NON VENT 130 1271 425.356
12000038 ROOM CHG-NEURO3 NON VENT ADLT 130 1271 425.3565
12000039 ROOM CHG-NEURO3 VENT ADLT 130 1532 425.3565
12100036 ROOM CHARGE MED/SURG 121 1538 425.317
12200018 ROOM CHARGE-OB 122 1538 425.338
12300027 ROOM CHARGE PED 123 1000 425.329
12300036 ROOM CHARGE-PEDS NEURO NONVENT 120 2084 425.357
12300037 ROOM CHARGE-PEDS NEURO VENT 120 2340 425.357
12400027 ROOM CHARGE PSYCHIATRIC ACUTE 124 2024 425.334
17000018 ROOM CHARGE NEWBORN NSY 171 400 425.353
21000001 ROOM CHARGE CCU 210 2000 425.303
25980265 ALBUTEROL SULFATE 3ML VIAL 259 20517.73 425.471
27007182 PUMP:IVAC CONT-DAILY 270 136.5 425.447
27007209 PUMP: SUCTION DAILY 270 84 425.447
30017050 BASIC METABOLIC PANEL 300 452 425.45
35100063 CT HEAD W/O CONTRAST ONLY 351 1641.8 425.468
36000882 O/R HOUR 360 2282.9 425.442
41200459 AERO TREAT 412 56.5 425.472
41200477 CHEST PHYSIO THER 412 115.3 425.472
41200504 OXYGEN HR 270 30.3 425.472
41200720 AIRWAY CARE SUCT 412 63.8 425.472
41200864 PULSE OX-SPOT CHECK 460 80.1 425.472
41200873 VENT MGT 13-24 HR 412 1764 425.472
45010890 TREATMENT RM LEVEL 3 450 381.6 425.401
45011550 TREATMENT RM LEVEL 5 450 950 425.401
27007245 PUMP FEEDING - DAILY 270 84 425.447
12000037 ROOM CHARGE-NEURO VENT 130 1532 425.356
30502100 CBC COMPLETE 305 154.87 425.45
39100330 BLOOD ADMINISTR-LAB 940 732.5 425.452
27054015 CONCHAPAK #20 270 92.4 425.447
72000054 LABOR ROOM CHARGE 720 564.5 425.44
30000006 COMPREHENSIVE METABOLIC PANEL 300 278.8 425.45
25087076 SODIUM CHLORIDE 0.9% 3ML VIAL 250 12705 425.471
27006885 TELEMETRY:DAILY 270 441 425.447
27054026 PULSE OXIMETER 270 352.8 425.401
36001731 VIDEO ENDOSCOPY 360 2419.2 425.442
25980270 IPRATROPIUM BROMIDE 2.5ML VIAL 259 18750 425.471
32033203 PORTABLE CHEST 320 452.6 425.463
27053808 SPONGE DRAIN STERILE 4X4 270 6.3 425.447
35206930 CT SCAN PLEVIS W/O 352 1881.6 425.468
45011220 TREATMENT RM LEVEL 4 450 336 425.401
25980301 ALBUMIN 5GM/100ML 250ML VIAL 259 58442.78 425.471
25087210 MOXIFLOXACIN 400MG BAG IV 250 945 425.471
46000081 ABG W/PHYS INTERP * 300 193.5 425.473
73005940 EKG 730 213.7 425.4591
40221000 OB PREG UTERUS ULTRASOUND 402 1023.2 425.467
27053840 SUCTION CATH KIT 12FR 270 3.9 425.447
35207590 CT SCAN ABDM W/O 352 997.6 425.468
72000081 USE OF DELIVERY ROOM 720 705.6 425.44
27004581 IMPLANT CHARGE 278 349817.3 425.447
30000794 RED BLOOD CELLS 390 477.15 425.45
32033203.1 CHEST 1 VIEW PORTABLE ONLY 324 166.4 425.463
27000251 PULSE OXIMETER 710 334.8 425.442
27010944 TRAY:MONITORING 270 336 425.447
27053520 BRIEF CONTOUR ADULT LARGE 270 6.3 425.447
80100018 BICARBONATE DIALYSIS 801 1330.6 425.474
35200099 CT SCAN UP ABDM W/WO 352 2634.3 425.468
25880011 DEXTROSE 5%-0.45%SALINE1000ML 258 795.2 425.471
30025850 VENIPUNCTURE-LAB 300 29.6 425.45
30001944 TROPONIN I, QUANT 301 201.4 425.45
40200400 ABDOMINAL SURVEY 402 1635.9 425.467
25880045 SODIUM CHLORIDE 0.9% 100 ML 258 1630.28 425.471
80100001 ACUTE HEMODIALYSIS 801 1025.85 425.474
40200486 PELVIC 402 945.55 425.467
30121660 PTT PLASMA -LAB 305 160.25 425.45
48300054 2-D ECHO COMPLETE 483 492.8 425.456
30013150 HEPATIC FUNCTION PANEL 300 208.35 425.45
30605400 CULTURE BLOOD -LAB 306 92.3 425.45
27000053 MONITOR:FETAL 270 238.2 425.447
37000163 GEN ANES 1 HOUR 370 225.15 425.445
30512200 PROTIME PLASMA -LAB 305 143.49 425.45
25980174 CEFTRIAXONE SODIUM 1 G/VIAL VI 259 352195.86 425.471
42005200 FUNCTIONAL TRAINING 420 76.4 425.477
30025350 URINALYSIS COMPLETE 307 112.1 425.45
25087123 Plumset IV Tubing 250 345 425.471
43000099 KINETIC ACT 15MIN 430 44.4 425.479
36000891 O/R 15 MINUTES 360 375 425.442
73006601 EKG 730 107.2 425.401
48300063 DOP ECHOCARDIOGRAPHY 483 431.2 425.456
25087234 JEVITY 1500ML RTH 250 81 425.471
27007191 PUMP:IVAC CONT-SETUP 270 136.5 425.447
36001026 SHT STAY MINOR 30MIN 360 479.4 425.442
36000909 CALL BACK 360 588 425.442
30106660 CPK,SERUM-LAB 301 126.13 425.45
41200738 MAIN BACT FILTER VT 270 24.7 425.472
42000243 TRANSFER/ASST TRAIN 420 76.4 425.477
27053867 TRACH CARE KIT W/GLOVES 270 10.64 425.447
72000063 OBSERVATION:HOUR 762 144.8 425.44
36001017 AMB SURG ROOM USE 360 586.6 425.443
25080439 ISOFLURANE 100 ML LIQUID 250 1408.61 425.471
30002295 STAT CHARGE 300 36.35 425.45
72200002 DELIVERY CHARGE 722 352.8 425.44
25880052 FLUCONAZOLE/DEXTROSE-WATER 2 258 7269.66 425.471
42011900 THERAPEUTIC EX 15 MIN 420 80.8 425.477
25880022 DEXTROSE 5%-WATER 50 ML 258 1799.48 425.471
36001512 SURG RECOVERY 45 MIN 710 163.55 425.442
40211250 ECHO. PORTABLE CHRG 402 272.75 425.467
25880041 RINGRS SOLUTION,LACTATED 1000 258 522.25 425.471
36001485 SET-GEN ANESTHESIA 270 206.1 425.442
25980067 PROPOFOL 10MG/ML 100ML VIAL 259 859.31 425.471
45000660 ER LEVEL 5 & 6 -ADDL 30MIN 450 560 425.401
36001721 SUCTION UNIT 360 199.3 425.442
25980013 CEFAZOLIN SODIUM 1 G/VIAL 259 16921.18 425.471
36001720 MONITOR - CARDIAC 360 105.2 425.442
27000234 TRAY-GYN MAJOR 270 369.1 425.447
36000873 SURGICAL RCVY-HOUR 710 400 425.442
36001741 KNEE ICE PAD & COOLER 360 1772 425.442
40200504 FETAL BIO-PROFILE 402 1223.1 425.467
42005500 GAIT TRAINING 15MIN 420 80.8 425.477
30615200 SENSITIVITY TEST - MIC 306 103.29 425.45
40200513 TRANS VAGNAL 402 905.6 425.467
27053677 INNER CANNULA 6.0 270 15.1 425.447
36001368 TRAY-C-SECTION 360 389.8 425.442
30207000 ABO TYPING -LAB 302 96.91 425.45
36001738 LINVATEC PUMP & 360 1472 425.442
27005769 BAG FEEDING W/PATROL PUMP SET 270 39.9 425.447
27053839 SUCTION CATH KIT 10FR 270 7.42 425.447
25081202 IV SET 1922 250 30 425.471
25880047 SODIUM CHLORIDE 0.9% 50 ML IV 258 878.05 425.471
41200874 VENT MGT UP TO 12HRS 412 940.8 425.472
27007092 CART:ISOLATION DAILY 270 121 425.447
40224150 PLACENTA SCAN ULTRASOUND 402 783.3 425.467
27006093 SHAMPOO 270 23.1 425.447
25880044 SODIUM CHLORIDE 0.9% 1000 ML 258 812.22 425.471
35000455 OMNIPAQUE 300 100ML 350 646.8 425.468
27053850 SWABSTICK LEMON GLYCERINE 270 6.3 425.447
32404950 CHEST TWO VIEWS 324 452.6 425.463
36001044 SHT STAY SURG MAJOR 1ST 30 MIN 360 669.8 425.442
30102520 AMYLASE,SERUM -LAB 301 84.31 425.45
36001730 HOLMUIM LASER 360 2576 425.442
30105850 CK-MB 301 93.66 425.45
27005283 UNDERPADS BULK 270 27.3 425.447
30002007 LDH, SERUM -LAB 301 97.55 425.45
25080042 AMINO ACIDS 8.5% 500 ML BOTTLE 250 3449.13 425.471
25087187 Misc Drug Code 250 21151.37 425.471
30609700 CULTURE URINE -LAB 306 86.25 425.45
43015810 FUNC RETRAIN/ADL'S 430 43.8 425.479
30115630 MAGNESIUM SERUM-LAB 301 90.69 425.45
25980247 ALBUMIN 12.5 GM VIAL 259 9933.12 425.471
37000172 ANESTHESIA UNIT 370 131.05 425.445
30115240 LIPASE SERUM-LAB 301 84.25 425.45
41200639 THER ASSIST 15 MIN 412 42 425.472
45000990 ER LEVEL 6 450 1120 425.401
44400091 DYSPHAGIA THERAPY 444 62.3 425.478
25080884 LANSOPRAZOLE 30 MG CAPSULE 250 1281.61 425.471
45010560 TREATMENT RM LEVEL 2 450 212 425.401
35207260 CT SCAN PELVIS W/WO CONTRAST 352 1478.4 425.468
30001647 ELECTROLYTE PANEL 300 352.8 425.45
30212500 ANTIBODY SCREEN-LAB 302 176.4 425.45
27004338 STAPLE:SKIN 270 308.7 425.447
30505800 DIFF CELL CT BL-LAB 305 40.1 425.45
44402310 SPEECH/LANGUAGE EVAL 444 377.7 425.478
32404290 CHEST SINGLE VIEW 324 247 425.463
25880053 METRONIDAZOLE/SODIUM CHLORIDE 258 470.72 425.471
25087223 PROMOTE W/FIBER 1500ML 250 81 425.471
25980176 CEFTRIAXONE SODIUM 2 G VIAL 259 559.65 425.471
27053868 TRACHEOSTOMY TUBE HOLDER ADULT 270 5 425.447
27009882 RECOVERY CARDIAC MONITOR 710 105 425.442
92100054 DUPLEX EXT VENOUS BILATERAL 921 862.4 425.459
25980165 IMIPENEM/CILASTATIN SODIUM 500 259 433.73 425.471
25080797 FAMOTIDINE 20 MG TABLET 250 2572.15 425.471
25081180 ZYPREXA 10MG 250 2687.18 425.471
25980278 ENOXAPARIN SODIUM 60MG/.6ML SY 259 10323.09 425.471
25980214 AMPICILLIN SODIUM/SULBACTAM NA 259 111.15 425.471
25080095 BACLOFEN 10 MG TABLET 250 4119.2 425.471
40200468 RENAL 402 964.4 425.467
30125500 URINE DRUG SCR ROUT 301 61.6 425.45
30217700 CROSSMATCH EAU, 1 SPIN 302 78.4 425.45
61201980 MRI L-SPINE W/O CONT 612 2678.4 425.466
44100330 SP THERAPY 441 62.3 425.478
48300072 DOP CLR FLW VELOCITY 483 184.8 425.456
75000001 USE OF ROOM 750 392 425.476
27004302 IRRIGANTS 270 52.5 425.447
36001053 SHT STAY SURG MAJOR ADD 1/4 HR 360 114.25 425.442
25087246 FLEXIFLO SPIKE SET 250 25 425.471
36001575 CO2 MONITOR USE 360 56 425.442
42002900 DEV.COG.SKILLS 420 76.4 425.477
25980109 POTASSIUM CHLORIDE 2MEQ/ML 20 259 565.42 425.471
27053426 CARDIAC MONITOR 270 99.6 425.447
30121960 REF LAB HDL FEE 301 19.25 425.45
37000170 REG ANES - HOUR 370 149 425.445
25880015 DEXTROSE 5%-LACTATED RINGERS 258 363.63 425.471
36001089 SHT STAY SURG ARTHRO 30 MIN 360 791.85 425.442
25980040 IRINOTECAN HCL 20 MG/ML 5ML VL 636 7544.7 425.471
30008450 CULTURE MISC ROUT-LAB 306 103.29 425.45
36001742 MINI-C-ARM 360 4000 425.442
25087247 FLEXIFLO BAG & SPIKE SET 250 36 425.471
25980077 EPOETIN ALFA 10 MU/ML VIAL 636 18831.96 425.471
25087072 TNKASE-TENECTEPLASE 50MG INJ 250 8497.5 425.471
36001314 DISP MAJOR BASIN SET 360 89.6 425.442
41200657 DISP AERO UNIT 270 29.6 425.472
32001224 ABDOMINAL SERIES 320 411.6 425.463
27007029 TRAY:DEL OB INSTR 270 137.5 425.447
25980107 INSULIN REG HUMAN REC 100 U/ML 259 332.97 425.471
30109630 ETHYL ALCOHOL-LAB 301 107.58 425.45
42000030 P.T. EVAL 420 246.4 425.477
25081116 APAP/COD ELIXIR 120/12 5 ML ML 250 4535.45 425.471
25087273 RENAGEL 800 MG 250 85444.5 425.471
36001739 ORATEC SET ABLATOR 360 668 425.442
41200756 AERO S V * 270 27.2 425.472
27004851 TRAY - MINOR 270 308 425.447
25081205 PRIMARY IV SET 15 DROPS ML EA 250 30 425.471
25880019 DEXTROSE 5%-WATER 100ML 258 1130.18 425.471
25080907 PROMETHAZINE HCL 6.25 MG/5 ML 250 27655.2 425.471
41200810 MDI TX 410 49.3 425.472
46000082 ARTERIAL PUNCTURE 460 30.8 425.473
27004896 TRAY -ORTHO -MAJOR 270 638 425.447
30000790 PLASMA FRESH FROZEN 390 184.5 425.45
25980304 EPIRUBICIN 2 MG/ML 25ML VIAL 259 23967.44 425.471
25880001 SODIUM CHLORIDE 0.45% 1000ML 258 517.01 425.471
27053522 BRIEF ADULT SMALL 270 6.3 425.447
25980241 PIPERACILLIN/TAZOB SOD 3.375 V 259 128.76 425.471
27053751 SET PATROL PUMP W/SPIKE 270 6.3 425.447
27053858 SYRINGE FEEDING 60 CC 270 6.3 425.447
25980086 CEFTAZIDIME PENTAHYDRATE 2 G/V 259 399.25 425.471
30119440 PHOSPHORUS SERUM 301 52.74 425.45
92100008 DUP LOWER EXTREMITY BILATERAL 921 862.4 425.459
36001683 RECOVERY BP MONITOR 710 63.6 425.442
35000040 GASTROVIEW 120 ML 350 207.1 425.468
27010938 BASIN:DELIVERY -OB 270 110 425.447
25880031 DOPAMINE HCL/DEXTROSE 5%-WATER 258 255.42 425.471
27006048 ELECTRODE EKG PK 270 31.5 425.447
32031200 UP GASTRO W/KUB 320 729.2 425.463
36001179 GLOVES STERILE 360 10.1 425.442
25080383 HC ACETATE/PRAMOXINE HCL 10 GM 250 72.27 425.471
25980152 FAMOTIDINE 10 MG/ML 2ML VIAL 259 228.84 425.471
27000211 BABY WARMER UNIT 270 294 425.447
27003933 SUTURE EACH 270 21 425.447
32027500 C-SPINE LTD 320 154 425.463
35200117 CT CHEST WITH CONTRAST 352 1108.8 425.468
30125830 VANCOMYCIN SERUM 301 108.46 425.45
25087194 Pantoprazole 40mg IV 250 125 425.471
27000009 ADMIT KIT CUSTOM 270 52.5 425.447
25880046 SODIUM CHLORIDE 0.9% 250 ML 258 802.92 425.471
36001539 SURGICAL RCVY 15 MIN 710 203.9 425.442
27053696 LOTION BODY/HAND 4OZ 270 6.3 425.447
25081392 CHEMSTRIP 1 UNIT EACH 250 788 425.471
25980018 PAMIDRONATE DISODIUM 90 30MGVL 636 7912.15 425.471
27053939 YANKAUER HANDLE W/O VENT 270 6.3 425.447
32018250 L-S SPINE 3 VIEWS 320 376.4 425.463
41200576 TRACH MASK ADULT 270 24.7 425.472
30002772 PLATELET PHERESIS 390 1831.2 425.45
25080757 SODIUM CL IRRIG SOLN 1000ML 250 596.39 425.471
25980177 CEFTRIAXONE SODIUM 500 MG/VIAL 259 420.25 425.471
27053715 PAD ABDOMINAL 8 X 7 1/2 270 3.3 425.447
27053409 IV START KIT 270 29.4 425.447
30002781 RHOGAM FOR ADMIN. 636 439.83 425.45
41200774 VENT SUCTION KIT 270 75.2 425.472
37000169 ANESTHESIA SET 370 70.6 425.445
61900090 MRI LOWER EXT W/JT 619 961 425.466
30002817 PREGNANCY TEST SERUM 301 33.27 425.45
27004986 O/R SUPPLIES 270 51674.36 425.447
30009450 DILANTIN,SERUM PITENYTOIN, TOT 300 93.66 425.45
25080294 VALPROATE SODIUM 250 MG/5 ML 250 7683.4 425.471
61100027 MRI HEAD W/O CONT 611 2822.4 425.466
74000990 EEG 740 351.9 425.462
27005337 IV START PACK 270 15.4 425.447
25080039 ZOLPIDEM TARTRATE 10 MG TABLET 250 392.34 425.471
25080696 MAG HYDROX/AL HYDROX/SIMETH 1 250 3315.99 425.471
25080952 RISPERIDONE 3 MG TABLET 250 1795.76 425.471
27004842 TRAY - MAJOR 270 657.3 425.447
25980090 GENTAMICIN SULFATE 40MG/ML 2M 259 1514.46 425.471
25087055 LINEZOLID 600MG/30MG BAG 250 242.07 425.471
30120100 PREGNANCY-SE QUANT 301 108.46 425.45
27005499 TRAY CATHETER FOLEY 270 159.6 425.447
30026445 B-TYPE NATRIURETIC PEPTIDE 300 150 425.45
30002115 POTASSIUM SERUM -LAB 301 89.28 425.45
27053401 INFUSION PUMP 270 64.9 425.447
35202310 CT CHEST W/O CONTRAST 352 1108.8 425.468
25080967 BACTERIOSTATIC SODIUM CHLORIDE 250 14 425.471
25880051 CIPROFLOXACIN LACTATE/D5W 400 258 270.09 425.471
36001377 PREP TRAY 360 29.15 425.442
92100045 DUP EXTRACRANIAL ART BILATERAL 921 823.2 425.459
25980305 TAXOTERE 80MG INJ 40MG/2ML VL 259 4147.62 425.471
30002187 GENTAMICIN SERUM 300 108.46 425.45
27004635 PACK -GYN MAJOR 270 308 425.447
36001743 STRYKER KITS 360 7000 425.442
25980216 VANCOMYCIN HCL 1 G/VIAL VIAL 259 1400.2 425.471
27004662 PACK MAJOR 270 375.9 425.447
36001098 SHT STAY SURG ARTHRO ADD 1/4 360 114.25 425.442
25087266 LEXAPRO 10MG 250 796.19 425.471
25980252 KCL IVPB 20 MEQ/100ML BOTTLE 259 433.01 425.471
25080598 LORAZEPAM 2 MG TABLET 250 3323.33 425.471
27005913 KIT URINE MIDSTREAM SPECIMEN 270 60.5 425.447
61900081 MRI UPPER EXT W/JT 619 1834.6 425.466
27004905 TRAY -ORTHO -MINOR 270 430.1 425.447
61100990 MRI HEAD W/WO CONT 611 1848 425.466
32025850 SHOULDER RIGHT 320 154 425.463
27006777 INJECTION SITE 270 31.5 425.447
27007524 OXISENSOR 270 33.6 425.447
72000072 NON-STRESS TEST OB 920 63.85 425.44
36001035 SHT STAY SURG MINOR ADD 1/4 HR 360 114.25 425.442
25980101 IDARUBICIN HCL 20MG/VIAL 636 3471.36 425.471
36001665 OXY MASK A 360 22.4 425.442
25087088 EPOGEN 20,000 UNITS/2 ML INJEC 250 21840 425.471
27007281 CART:CRASH 270 311.3 425.447
25980171 METOCLOPRAMIDE HCL 5 MG/ML VIA 636 2731.91 425.471
25080232 CLONAZEPAM 0.5 MG TABLET 250 3322.16 425.471
25080288 DEMECLOCYCLINE HCL 300 MG TAB 250 1760.46 425.471
25980160 OXYTOCIN 10 U/ML VIAL 259 503.81 425.471
25087232 GLUCERNA 1500ML 250 81 425.471
27007227 SCD MACHINE - DAILY 270 44 425.447
27010943 TRAY:OB DELIVERY PACK 270 64.9 425.447
25081181 ZYPREXA 5MG 250 1086.12 425.471
27004716 PACK-ORTHO-MAJOR 270 308 425.447
30009350 DIGOXIN,SERUM-LAB 300 145.37 425.45
45010230 TREATMENT RM LEVEL 1 450 159 425.401
25880017 DEXTROSE 5%-NORMAL SALINE 1000 258 398.46 425.471
35100072 CT HEAD WITH AND W/O CONTRAST 351 1379.9 425.468
32000950 ABDOMEN/KUB/FLAT PLATE-1 VIEW 320 223.5 425.463
25980145 SODIUM CHLORIDE 0.9% 10ML VIAL 259 3233.73 425.471
27053488 BASIN RECTANGULAR 8QT 270 3.3 425.447
25080768 OCTREOTIDE ACETATE 0.05 MG/ML 636 2715.93 425.471
25080249 AMIODARONE HCL 50 MG/ML AMPUL 250 9435.51 425.471
25980044 FOSPHENYTOIN SODIUM 50 MG/ML 1 636 1824.77 425.471
25980113 LEUCOVORIN CALCIUM 50 MG/VIAL 636 7672.5 425.471
36001647 TRAY SPINAL 360 75.05 425.442
33510000 CHEMOTHERAPY IV ROOM USE 331 540.96 425.443
25980243 CEFOTETAN 1GM VIAL 259 376.67 425.471
25080950 RISPERIDONE 1 MG TABLET 250 2453.16 425.471
32005050 C-SPINE COMPLETE 320 494 425.463
32001080 HAND COMP 3V RIGHT 320 258.8 425.463
32001269 BARIUM ENEMA W/AIR CONTRAST 320 486.7 425.463
25087015 FLOVENT 44MCG INH 13GM 250 34400.34 425.471
36001733 ENDO LAP TROCAR 360 306.9 425.442
27053546 CATH IV ANGIO 22G X 1.25 270 16.76 425.447
30217200 COOMBS DIRECT 302 33.66 425.45
25080951 RISPERIDONE 2 MG TABLET 250 1449.49 425.471
61200660 MRI C-SPINE W/O CONT 612 1478.4 425.466
30107080 CREATININE,SERUM 301 50.27 425.45
25980045 FOSPHENYTOIN SODIUM 50 MG/ML 2 636 1992.37 425.471
36001732 ENDO CATCH 360 586.9 425.442
25081378 GLYCOPYRROLATE 0.1MG/ML ML 250 18452 425.471
36001107 BINDER ABDOMINAL 270 75.05 425.442
36001503 ERCA APPLIER M/L 360 658.6 425.442
25081275 DINOPROSTONE 10MG SUPP. VAG 250 631.56 425.471
25080340 PROPOFOL 10 MG/ML AMPUL 250 135 425.471
27053873 TRAY CATH FOLEY 16FR 270 68.72 425.447
27006255 TRAY INTUBATION ADULT 270 192.5 425.447
35202640 CT CHEST W-W/O 352 1540 425.468
25980080 EPOETIN ALFA 4000 U/ML VIAL 636 14807.79 425.471
32027850 L-S SPINE COMP 320 283.4 425.463
25080573 NOREPINEPHRINE BITARTRATE 1 MG 250 2428.82 425.471
41200828 CONCHAPAK#20 270 54.3 425.472
30002277 BUN, SERUM -LAB UREA QUANT 301 56.7 425.45
40217300 INTRA-UTERINE DEVICE 402 465.5 425.467
27053527 CANNISTER SUCTION 1200ML 270 14.48 425.447
27004644 PACK -GYN MINOR 270 258.3 425.447
25081207 BACLOFEN 20MG TABLET 250 1364 425.471
27053656 GARMENT THIGH HIGH 270 176 425.447
36001287 HOT ICE KNEE PAD 360 336 425.442
25980136 MULTIVITAMINS 10 ML VIAL 259 601.93 425.471
34100180 HEPATOBILIARY 341 837.8 425.465
75000093 BALLOON GT SANDOZ 750 112 425.476
27007083 CART:ISOLATION SET UP 270 269.5 425.447
25080293 DIVALPROEX SODIUM 500 MG TAB 250 164.43 425.471
25880020 DEXTROSE 5%-WATER 1000ML 258 377.64 425.471
25080979 QUETIAPINE FUMARATE 200 MG TAB 250 298.66 425.471
25980141 FILGRASTIM 300 MCG/ML VIAL 636 622.5 425.471
27007794 WATER EJECTOR 270 210 425.447
25087230 OSMOLITE 1500ML RTH 250 81 425.471
27007569 KIT MULTI LUMEN CENTRAL 270 231 425.447
25980263 DIPTHERIA, TETANUS & PERTUSSIS 259 96.63 425.471
27000209 AIR EQUIPMENT 270 204.8 425.447
25080607 ENOZAPARIN SODIUM 30 MG/0.3 ML 250 3358.05 425.471
41000071 MININEB UNIT 270 56 425.472
36001188 GOWN STERILE 360 17.95 425.442
12000030 BED HOLD-ASA NON VENT 130 800 425.356
27006778 MISC CHARGE 270 28464.06 425.447
44400330 DYSPHAGIA EVAL BEDSD SWALLOW 444 377.7 425.478
30102040 AMMONIA,BLOOD -LAB 301 105.21 425.45
35200135 CT L-SPINE W/O CONTRAST 352 1478.4 425.468
27004725 PACK-ORTHO-MINOR 270 269.5 425.447
30000989 BILI T&D 300 70.23 425.45
25880021 DEXTROSE 5%-WATER 250ML 258 420.39 425.471
25087185 Spec Admin Misc Drug Codes 250 680.77 425.471
25980193 BUTORPHANOL TARTRATE 1 MG/ML 259 213.94 425.471
30019350 PHENOBARB:SERUM 300 93.66 425.45
25980245 LORAZEPAM 2MG/ML SYRINGE 259 2614.91 425.471
25980085 CEFTAZIDIME PENTAHYDRATE 1G/V 259 674.46 425.471
25080632 MEPERIDINE HCL 50MG/ML SYRINGE 250 10 425.471
27010939 PAD:ATTENDS (PK/6) 270 42.3 425.447
27010942 TRAY:C-SECTION PREP 270 129.2 425.447
27001138 SPHINCTEROTOME 270 550 425.447
25080278 KCL 30MEQ/D5.51000 1000 ML 250 59.47 425.471
25087279 TAXOL 1000MG/16.7ML VIAL 250 7890.88 425.471
25980126 METHYLPREDNISOLONE SOD SUCC 259 282.38 425.471
61900099 MRI MAGNAVIST/GADOLINIUM 619 940.8 425.466
27053810 SPONGE DRESSING STERILE 4X4 270 3.3 425.447
27053753 SET EXTENSION IV CATH 270 14.2 425.447
32001098 HIP UNILAT COMP 2V RIGHT 320 411.6 425.463
35103630 CT ORBITS 351 2001.65 425.468
32024750 RIBS SERIES RIGHT 320 197.2 425.463
42400990 PT DIC/INTERIM/RE EVAL 424 91.2 425.477
32011650 FLUOROSCOPY 320 134.4 425.463
25087190 Levetiracetam 500mg Tablet 250 3749.62 425.471
35208250 CT SINUS W/WO CONTRAST 352 1540 425.468
30002736 OCCULT BLOOD FE (1-3 DETERM) 301 63.91 425.45
27004824 TRAY -GYN MINOR 270 186.9 425.447
36001722 IMAGE INTENSIFIER 360 130.95 425.442
27004203 STOKNETE:TBLAR STA 270 117.7 425.447
30107800 DEPAKANE (VALPROIC ACID) 301 31.9 425.45
35201980 CT C-SPINE W/O 352 1139.6 425.468
27004041 TRAY:CATHETER FOL 270 81.4 425.447
27053593 CLAVE CONNECTOR 270 6.6 425.447
30110530 FREE T-4 SPEC-SE-L01 301 51.4 425.45
25980213 AMPICILLIN SODIUM/SULBACTAM NA 259 121.27 425.471
30002304 D-DIMER 305 199.92 425.45
25087227 PEDIASURE 8OZ CAN 250 29.28 425.471
32001089 FINGER THUMB LEFT 320 109.7 425.463
30509100 HEMOGLOBIN 305 19.15 425.45
27053841 SUCTION CATH KIT 8FR 270 7.42 425.447
25087186 Olanzapine 15 Mg Tablet 250 41.91 425.471
27053754 SET EXTENSION IV CATH Y 270 8.5 425.447
25980164 IMIPENEM/CILASTATIN SODIUM 250 259 116.04 425.471
36001134 CAUTERY DISPOSABLE 360 20.2 425.442
25081222 CELECOXIB 200MG CAPSULE 250 565.12 425.471
30606800 CULTURE EXUDATE -LAB 306 72.7 425.45
25080769 OCTYREOTIDE ACETATE 0.1 MG/ML 636 3880.05 425.471
32009850 FACIAL BONES COMP 320 541 425.463
25880009 DEXTROSE 5%-0.33%SALINE 250ML 258 226.2 425.471
25980104 INSULIN NPH HUMAN RECOM 100 UM 259 574.13 425.471
27010945 CATH:INTRAUTERINE 270 202.7 425.447
25080438 FOLIC ACID 1 MG TABLET 250 1004 425.471
30508700 HEMATOCRIT BID -LAB 305 17.25 425.45
27053931 TUBING SUCTION CONNECTION 6' 270 6.3 425.447
25980049 CISPLATIN 100MG VL 636 5616 425.471
25080234 CLONAZEPAM 1 MG TABLET 250 2269.1 425.471
27004671 PACK MINOR 270 171.6 425.447
43404950 INITIAL EVALUATION 434 146.7 425.479
34128051 CERETEC WBC LABELING 636 1349.1 425.465
30100330 ACETOAMINOPHEN-L01 301 108.46 425.45
25980217 VANCOMYCIN HCL 500 MG/VIAL VIA 259 2598.39 425.471
25880034 FAT EMULSIONS 250ML IV 258 161.1 425.471
32018100 KNEE LTD RIGHT 2 VIEWS 320 122 425.463
25081216 QUETIAPINE FUMARATE 100 MG 250 443.07 425.471
25080572 LEVONFLOXACIN 500 MG TABLET 250 1863 425.471
25087112 Lovenox 40mg inj 250 7744.75 425.471
34103300 BONE SCAN WHOLE BODY 341 940.8 425.465
25080901 AA 3% ELECTROLYTE-TPN SOLN 250 1167.48 425.471
27005364 SPONGE 4X4 STR 10/PK 270 18.7 425.447
32022150 PELVIS SINGLE VIEW 320 122 425.463
32033204 VIDEO ESOPHAGRAM W/FLUOROSCOPY 320 492.8 425.463
32001152 ANKLE LTD RIGHT 2 VIEWS 320 223.5 425.463
27007389 GARMENT CALF 270 299.2 425.447
27005589 CONTAINER SPECIPAN STERILE 270 14.3 425.447
25980239 AZITHROMYCIN 500 MG VIAL 259 570.89 425.471
43000117 INTERIM/RE/DC EVALUATION 434 80.1 425.479
27005868 CRUTCHES EXTRA SMALL 270 80.3 425.447
32001098.1 HIP UNILAT COMP 2V LEFT 320 215.6 425.463
41200621 STERILE H20 1500 ML 270 39.5 425.472
25980089 GENTAMICIN SULFATE 40MG/ML 20M 259 371.58 425.471
25880014 DEXTROSE 5%-0.45%SALINE 500ML 258 240.02 425.471
25880024 DEXTROSE 20%-WATER 500 ML 258 126.99 425.471
27007722 OXYGEN PER HR 270 8.8 425.447
27007515 SUTURE SET N/DIS 270 75.9 425.447
61200063 MRI T-SPINE W/O CONT 612 1848 425.466
25081241 FAMOTIDINE 8MG/ML 50 ML BTL 250 1938.78 425.471
30001917 GLUCOSE QUAN BL-LAB 301 48.07 425.45
30026431 FRESH FRZN PLASMA-THAW EA UNIT 300 43.7 425.45
25080959 OXYCODONE HCL/ACETAMINOPHEN 250 91.88 425.471
25081235 DINOPROSTONE 20 MS SUPP. VAG 250 1652.04 425.471
32000094 FOREARM RIGHT (RADIUS/ULNA) 320 117.1 425.463
32001143 LOWER LEG (TIB-FIB) RIGHT 320 223.5 425.463
27006849 MASK OXYGEN ADULT 270 26.4 425.447
75000081 VIDEOPHOTO 270 56 425.476
25080953 GLYCOPYRROLATE 1 MG TABLET 250 5314 425.471
37000164 GEN ANES 15 MIN 370 39.2 425.445
41200765 RESUSCITATION BAG 270 75.2 425.472
30008500 CULTURE FECES 306 93.9 425.45
37000166 LOC/ST BY ANES - 1 HOUR 370 110.9 425.445
35000454 OMNIPAQUE 300 50ML 350 184.8 425.468
25080787 PAROXETINE HCL 20 MG TABLET 250 775.85 425.471
40227100 SCROTAL US 402 374.6 425.467
25980285 TICARCILLIN/K CLAVULNATE 3.1V 259 66.09 425.471
42000207 EXTREMITY WHIRLPOOL 420 98.6 425.477
27054031 ACCUCHECK PROCEDURE 270 36.05 425.401
27054025 OXY TIP SENSOR ADULT/PEDIATRIC 270 46.6 425.447
61900072 MRI ANGIO HEAD 619 1909.6 425.466
25080971 COLLAGENASE 30 GM TUBE 250 876.28 425.471
25081209 IV SET BLOOD TRANSFUSION 250 90 425.471
25087075 DIVAL PROEXSODIUM ER 500MG TAB 250 118.59 425.471
27053530 CATH ANGIO 24G X 3/4 270 8.8 425.447
25980308 MAGNESIUM SULF 0.5GM 2ML VIAL 259 584.99 425.471
25087199 OLANZAPINE 20MG TABLET 250 74.67 425.471
25080248 AMIODARONE HCL 200 MG TABLET 250 1223.04 425.471
27006381 TRACT:W/TRAPEZE-DLY 270 93.5 425.447
25980203 THIAMINE HCL 100 MG/ML VIAL 259 275.82 425.471
25980079 EPOETIN ALFA 3000 U/ML VIAL 636 5309.27 425.471
92100014 PENILE FLOW STUDY COMPLETE 921 431.2 425.459
27004833 TRAY-LAPAROSCOPY 270 430.1 425.447
25080451 GABAPENTIN 300 MG CAPSULE 250 554.93 425.471
35100054 CT HEAD WITH CONTRAST ONLY 351 958.6 425.468
30120070 PREGNANCY URINE 307 33.27 425.45
27005301 CATH IV ANGIO 270 8.8 425.447
27000214 ELECTRO SURG UNIT 270 197.2 425.447
25980257 NITROUS OXIDE 100ML VIAL 259 60 425.471
30109930 FIBRINOGEN PLASM-LAB 305 163.07 425.45
32020500 NASAL BONES SERIES 320 341.1 425.463
25080783 OXYBUTYNIN CHLORIDE 5 MG TAB 250 1350.54 425.471
25980124 METHYLPREDNISOLONE SOD SUCC 259 191.94 425.471
25080485 HALOPERIDOL LACTATE 2 MG/ML OR 250 800.7 425.471
27007128 UNIT:HYPOTHERMIA DAILY 270 72.6 425.447
27053702 MOUTHWASH NON-ALCH,FRESH KLN 270 3.3 425.447
25080194 CEPHALEXIN MH 500 MG CAPSULE 250 981.44 425.471
25980007 AMIKACIN SULFATE 250 MG/ML 2ML 259 274.37 425.471
30022600 SALICYLATES SE-LAB 300 108.46 425.45
25080347 DEPAKOTE 250 MG ER TABLET 250 178.29 425.471
25080314 FLUCONAZOLE 100 MG TABLET 250 3895.66 425.471
30005400 CARBAMAZEPINE,SE-L01 300 93.66 425.45
27007011 TRAY SUTURE DISP 270 84 425.447
34111880 INDIUM III WBC SCAN 341 1232 425.465
44400660 DYSPHAGIA EVAL/VIDEO STUDY 444 377.7 425.478
25080835 CLOPIDOGREL BISULFATE 75 MG 250 466.89 425.471
27004248 SYRINGE:BULB 270 17.6 425.447
27005715 RESTRAINT WRIST 270 30.8 425.447
25080479 HALOPERIDOL LACTATE 5 MG/ML AM 250 1444.42 425.471
92100010 DOP EXTRACRANIAL ART BILATERAL 921 823.2 425.459
27053545 CATH IV ANGIO 20G X 1.25 270 16.76 425.447
12000040 BEDHOLD ASA3 NON VENT 130 800 425.3565
25087209 RISPERDAL 1 MG/ML ORAL LIQUID 250 434.67 425.471
32031550 UROGRAPHY EXCRETORY 320 406.6 425.463
25980042 DILTIAZEM HCL 5MG/ML 10ML VL 259 1626.18 425.471
40232251 RIGHT LOWER QUAD ULTRASOUND 402 905.6 425.467
27054024 DERMABOND SKIN ADHESIVE 270 77 425.447
25880048 SODIUM CHLORIDE 0.9% 500ML IV 258 173.78 425.471
25080235 CLONIDINE HCL 0.1 MG TABLET 250 1376 425.471
75001007 ENDO PACK 750 85.6 425.476
25080116 BENZTROPINE MESYLATE 1 MG TABL 250 244 425.471
27006714 IRRIGANT SOL 1000CC 270 16.5 425.447
25980051 CEFOTAXIME SOD INJECTION 1G VL 259 67.56 425.471
25081015 SUCRALFATE 1 GM/10ML 480ML BOT 250 1254.04 425.471
41200837 CONCHA COLUMN 270 67.8 425.472
32018100.1 KNEE LIMITED LEFT 2 VIEWS 320 122 425.463
25080930 QUETIAPINE FUMARATE 25 MG TABL 250 411.17 425.471
30001683 ALBUMIN SERUM -LAB 301 56.92 425.45
27000051 P K U TEST 300 27.8 425.447
32028200 T-SPINE (DORSAL) 320 191 425.463
25880030 DOBUTAMINE HCL/D5W 500MG/250MG 258 258.21 425.471
25080581 LIDOCAINE HCL 10 MG/ML 30ML DI 250 31.68 425.471
41200585 TRACH MASK PEDS 270 24.7 425.472
25980259 ACETYLCYSTEINE 30 ML VIAL 259 44264.85 425.471
25080905 PROMETHAZINE HCL 25MG/ML 250 1577.24 425.471
25980087 FUROSEMIDE 10 MG/ML VIAL 259 10 425.471
25980191 SODIUM BICARBONATE 1 MEQ/ML VI 259 1121.93 425.471
25880033 FAT EMULSIONS 500ML IV 258 182.31 425.471
32001116 FEMUR AP/LAT RIGHT 320 147.9 425.463
32033201 ERCP 320 295.7 425.463
30002259 TSH SERUM -LAB 301 13.63 425.45
27006795 NASAL CANNULA ADULT 270 8.8 425.447
25980307 PIPERACILLIN/TAZOB SOD 2.25 VL 259 72.34 425.471
25980207 KETOROLAC TROMETHAMINE 60 MG 259 67.98 425.471
25980209 ATRACURIUM BESYLATE 10 MG/ML 259 337.67 425.471
25080321 PHENYTOIN SODIUM EXTENDED 100 250 367.75 425.471
32012050 FLUOROSCOPY EXT 1HR 320 492.8 425.463
44000063 SPCH/LANG RE-EVAL 444 180 425.478
63631355 Ondansterone 4mg Inj 636 743.58 425.471
27010922 SPNGE GAUZE NS 4X4 270 26.4 425.447
25080633 MEPERIDINE HCL 75 MG/ML DISP 250 10 425.471
25980192 SODIUM CHLORIDE 4 MEQ/ML VIAL 259 1355.95 425.471
25980037 BUMETANIDE 0.25 MG/ML 4ML VIAL 259 3170.55 425.471
27000237 TRAY-TOTAL JOINT 270 713 425.447
25880010 DEXTROSE 5%-0.33%SALINE 500ML 258 165.64 425.471
17000007 ROOM CHARGE NSY BDR 171 500 425.353
27007236 SCD MACHINE - SET UP 270 44 425.447
41200868 VENT WEANING 412 123.2 425.472
25080024 ALBUTEROL 17 GM AEROSOL 250 340.95 425.471
25980106 IRON DEXTRAN COMPLEX 50 MG/ML 259 937.79 425.471
34125740 THYROID UPTAKE/SCAN 341 566.8 425.465
41200872 CPR 30 MINUTES 412 103.6 425.472
25980001 FLUOROURACIL 50 MG/ML 10ML VL 259 1622.49 425.471
25980267 CROMOLYN SODIUM 2ML VIAL 259 4512 425.471
35203960 CT EXTREMITY LOWER LEFT 352 1170.4 425.468
32000091 HUMERUS RIGHT COMPLETE 320 147.9 425.463
25087307 RISPERDALCONSTA 25MG DOSE PCK 250 1937.61 425.471
27010940 DADDY PACKS 270 20.1 425.447
25080631 MEPERIDINE HCL 25 MG/ML DISP 250 275.59 425.471
25087115 Lovenox 80mg Inj 250 156.94 425.471
25086991 TOPAMAX 25 MG TABLET 250 815.12 425.471
25081000 SODIUM BICARBONATE 1 MEQ/ML 250 805.95 425.471
27000236 TRAY-LAMINECTOMY 270 490.3 425.447
25980099 ELECTROLYTE SOLUTION INJ 20ML 259 717.59 425.471
27053436 ELECTRODE: SPIRAL INFANT 270 63 425.447
25087062 PANTOPRAZOLE 40MG TAB 250 326.43 425.471
25980205 TOBRAMYCIN SULFATE 40 MG/ML VI 259 2230.78 425.471
25080072 PHYTONADIONE 1 MG/0.5 ML AMPUL 250 194.44 425.471
27004817 TOURNIQUET DISP 270 88 425.447
25080558 LAMOTRIGINE 100 MG TABLET 250 1682.64 425.471
25980199 PACLITAXEL,SEMI-SYNTHETIC 30MG 636 3682.35 425.471
27053420 PROLENE HERNIA MESH 278 607.2 425.447
25087294 TOBRAMYCIN 80MG/2ML MDV 250 1171.37 425.471
25087079 Amlodipine 10mg tablet 250 205.07 425.471
25080679 MORPHINE SULFATE 4 MG/ML DISP. 250 91.9 425.471
30112090 GLYCOHEMOGLOBIN-L25 301 39.63 425.45
32001161 ANKLE COMP RIGHT 4 VIEWS 320 258.8 425.463
25087200 TRILEPTAL SUSPENSION 250ML 250 1200.83 425.471
25080181 CLONIDINE HCL 0.2MG/24 HR PATC 250 662.16 425.471
25081213 HYDROCODONE 5/APAP 500 TAB 250 1604 425.471
25980208 ZNS04 HEP/CUS04 P-HYD/MANG/CH 259 1097.36 425.471
27007254 PUMP FEEDING - SET UP 270 44 425.447
35200119 CT SOFT TISSUENECK W/O CONTRAS 352 2940 425.468
27053669 HEMODIALYSIS CATH KIT 12FR 270 312.4 425.447
27000204 PACK-TOTAL JOINT 270 589.9 425.447
25980300 RIFAMPIN 600MG 30ML VIAL 259 252.42 425.471
27001629 TRACT:BUCK O/H-DAILY 270 137.5 425.447
25980011 AMPICILLIN SODIUM 2 G VIAL 259 23.77 425.471
32001134 KNEE COMP RIGHT 4 VIEWS 320 305.8 425.463
30616700 SMEAR-GRAM STAIN-LAB 306 36.4 425.45
25980096 HEPARIN SODIUM,PORCINE 5 MU/ML 259 1061.2 425.471
27016740 EXTERNAL PACER 270 550 425.447
30002286 URIC ACID SERUM LAB 301 91.77 425.45
32001134.1 KNEE COMPLETE LEFT 4 VIEWS 320 160.2 425.463
27053864 TISSUE BEDSIDE 270 3.3 425.447
25087068 ZYPREXA 2.5 MG TAB 250 1416.87 425.471
27007497 STAPLER SKIN 270 46.2 425.447
41200648 INC SPIRO TREAT 412 103.6 425.472
25080656 METOPROLOL TARTRATE 50 MG TAB 250 400.41 425.471
27004788 TRAY - CV MINOR 270 467.5 425.447
25880006 DEXTROSE 5%-0.25%SALINE 250ML 258 248.71 425.471
27010790 PERCUTANEOUS CATH 270 145.2 425.447
25080678 MORPHINE SULFATE 2 MG/ML DISP. 250 177.8 425.471
25081011 SODIUM POLYSTYRENE SULFONATE 250 585.57 425.471
32001179 FOOT COMP RIGHT 3 VIEWS 320 258.8 425.463
12000041 BEDHOLD ASA3 VENT 130 1000 425.3565
25080197 TETRACAINE/BENZOCAINE/BUTAMB 250 156 425.471
25980314 ELOXITAN 50MG 259 994.28 425.471
25087067 RISPERIDONE 4MG TAB 250 55.51 425.471
25080827 CALCIUM ACETATE 667 MG TABLET 250 946.55 425.471
27007218 PUMP: SUCTION SET-UP 270 44 425.447
27006129 SLING ARM 270 45.1 425.447
25087180 Mivacurium 20mg Vial 250 1215 425.471
25880028 DEXTROSE 50%-WATER 500ML 258 426.83 425.471
25080467 GLYBURIDE 5 MG TABLET 250 1089.24 425.471
25080090 TRIAMCINOLONE ACETONIDE 20 GM 250 365.58 425.471
25980062 DEXAMETHASONE SOD PHOSPHATE 259 122.57 425.471
27000116 CANCELLUS SCREW 278 114.2 425.447
27005706 TUBE:SUCTION CONNECT 270 18.7 425.447
27006021 KNEE IMMOBILIZER 274 127.6 425.447
25080640 METFORMIN HCL 500 TABLET 250 531.26 425.471
27005958 CATH:URINARY EXT ML 270 27.5 425.447
27053813 STAPLE EXTRACTOR 270 48.66 425.447
27006606 SPLT ANTER/POSTERIOR 270 75.9 425.447
27004572 DRAPE:HALF 270 17.6 425.447
27000226 AUTO TOURNIQUET 270 38.1 425.447
25080854 POTASSIUM CHLORIDE 20 MEQ TAB 250 111.79 425.471
25087220 PULMOCARE 1500ML RTH 250 81 425.471
32022050 PELVIS TWO VIEWS 320 228 425.463
25087070 AUGMENTIN 500MG TAB 250 24.5 425.471
25080239 CLOZAPINE 100 MG TABLET 250 386.35 425.471
25080281 DANTROLENE SODIUM 25 MG CAP 250 1640 425.471
32032900.1 WRIST LIMITED LEFT 2 VIEWS 320 117.1 425.463
25087048 HYCOMTIN 4MG INJECTION 250 900.2 425.471
12000031 BED HOLD-ASA VENT 120 1000 425.356
25081111 APAP/COD 300MG/30MG 1 TAB TABL 250 1463.33 425.471
30209500 ANA TITER SERUM-LAB 302 136.1 425.45
25080657 METOCLOPRAMIDE HCL 5 MG/5 ML S 636 284.16 425.471
25080417 FERROUS SULFATE 325 MG TABLET 250 12 425.471
25980206 KETOROLAC TROMETHAMINE 30 MG 259 47.08 425.471
61900003 MRI ABD ANGIO 619 1488.3 425.466
30002232 SODIUM URINE 301 60.5 425.45
43402310 FABRICATE ORTHOTICS 430 123.2 425.479
27000201 PACK-CV MINOR 270 441.4 425.447
27001135 WIRE GUIDE 270 220 425.447
25080684 MULTIVITAMINS THERAPEUTIC 1 UD 250 12 425.471
27053402 SUCTION HOOK-UP 275 33.8 425.447
27053933 UNDERPADS PRE-PACK 5'S 30X30 270 3.7 425.447
25980009 AMPICILLIN SODIUM 1G VIAL 259 168.77 425.471
27005886 DIAPER INFANT PK (12) 270 3.3 425.447
25080182 CLONIDINE PATCH TTS-3 0.3MG/2 250 1491.52 425.471
25880012 DEXTROSE 5%-0.45%SALINE 250ML 258 63.39 425.471
25080724 GABAPENTIN 100 MG CAPSULE 250 713.61 425.471
25080490 HEPATITIS B INMUNE GLOBUL. 0.5 250 502.5 425.471
61900021 MRI LOWER EXT 619 1364.2 425.466
27000647 TCT 75 RELOADER 270 567.3 425.447
27053769 SHILEY PED TRACH TUBE 5.0 270 136.7 425.447
25880056 HETASTARCH 6%/NS 500ML 258 345.6 425.471
25081368 CARBAMAZEPINE 20MG 450ML BOTTL 250 928.42 425.471
25080411 FENTANYL CITRATE 100MCG/2ML AM 636 10 425.471
27004104 DRESSING:TELFA 270 7.7 425.447
27053404 SUTURE - REGULAR 270 31.5 425.447
25080414 FERROUS GLUCONATE 325 MG TAB 250 244 425.471
25087302 OCTREOTIDE ACETATE .5MG/ML 1ML 250 281411.46 425.471
35100001 CT SCAN TEMPORAL BONE 351 1663.2 425.468
41200450 IPPB TREAT 412 72.8 425.472
25080825 PHENOBARBITAL 20 MG/5 ML 480ML 250 528.86 425.471
75000017 ERCP PACK 750 197.35 425.476
75001005 COLON PACK 750 84.6 425.476
32001161.1 ANKLE COMPLETE LEFT 4 VIEWS 320 135.6 425.463
25880032 FAT EMULSIONS 250ML IV 258 112.65 425.471
48300045 2-D ECHO FOLLOW UP 483 363.5 425.456
80100019 PLASMA APHERESIS 801 1330.6 425.474
25980120 MAGNESIUM SULFATE 4 MEQ/ML 2ML 259 328.74 425.471
30000916 ANAEROBIC SUS RTN PN - MIC 300 88.5 425.45
32001251 UPPER GI WITH SMALL BOWEL 320 566.8 425.463
32032750 WRIST COMP RIGHT 4 VIEWS 320 129.4 425.463
25080725 GABAPENTIN 400 MG CAPSULE 250 965.52 425.471
36001251 TRAY EPIDURAL 360 78.4 425.442
25087110 PRAVACHOL 20 MG TABLET 250 604.17 425.471
34100171 LIVER & SPLEEN SCAN 341 862.4 425.465
35200118 CT SOFT TISSUE NECK W/ CONTRAS 352 1108.8 425.468
27005598 DSG GZ XEROFORM 270 16.5 425.447
32006900 COLON BARIUM ENEMA 320 351.2 425.463
25080069 HYDRALAZINE HCL 25 MG TABLET 250 1520.94 425.471
32021150 ORBIT SERIES 320 283.4 425.463
37000171 REG ANES - 15 MIN 370 39.2 425.445
25087137 Ferrlecit 62.5mg/5ml amp 250 387 425.471
36001629 CAMERA AND FILM 360 39.2 425.442
27000063 DSG STOCKINET TUBULR 270 75.9 425.447
30107110 CREATININE,URINE 301 55.33 425.45
25880005 DEXTROSE 5%-0.25%SALINE 1000ML 258 104.21 425.471
25081221 RANITIDINE SYRUP 5MG/ML 250 2418.92 425.471
25980046 DAUNORUBICIN HCL 20 MG/VL 636 4775.76 425.471
30114010 IRON TOT BNDG CAP 301 44.6 425.45
40232706 ULTRASOUND GUID PARACENTESIS 320 492.8 425.463
25081281 MONTELUKAST SODIUM 10MG TABLET 250 277.74 425.471
25081212 VALSARTAN 80 MG CAPSULE 250 62.76 425.471
40232700 URINARY BLADDER ECHO 402 366 425.467
25087127 Buspirone 15mg Tablet 250 572.67 425.471
27053761 SHAMPOO BABY 4OZ 270 3.3 425.447
27004167 NEEDLE:SPINAL 270 17.6 425.447
25980138 NAFCILLIN SODIUM 2 G/VIAL VIAL 259 41.53 425.471
32008900 ELBOW LIMITED RIGHT 2 VIEWS 320 117.1 425.463
32008900.1 ELBOW LIMITED LEFT 2 VIEWS 320 117.1 425.463
61100330 MRI HEAD W CONT 611 2822.4 425.466
27010795 PUMP BREAST 270 59.4 425.447
25080118 BENZTROPINE MESYLATE 2 MG TAB 250 366.66 425.471
25080911 PROPOXYPHENE NAPSYLATE/APAP 250 138 425.471
34114850 LUNG VENT MULT PROJ 341 800.8 425.465
27053787 SLIPPERS DISP LARGE 270 6.3 425.447
30127074 CULTURE & GRAM STAIN - CSF 301 93.9 425.45
25080285 DEMECLOCYCLINE HCL 150 MG TAB 250 1319.24 425.471
36001233 SYRINGE CONTROL 360 7.85 425.442
27053529 CARAFE MAUVE 36OZ 270 3.3 425.447
27005517 SUCT CANNISTER 1200M 270 27.5 425.447
25080329 DILTIAZEM HCL 60 MG TABLET 250 2185 425.471
25980253 HEPARIN DRIP 25000 U/250 ML 259 105.13 425.471
25080101 VITAMIN B COMPLEX 1 TAB TABLET 250 4 425.471
27053418 BARD VAS CATH 270 1408 425.447
32032900 WRIST LTD RIGHT 2 VIEWS 320 117.1 425.463
25087104 LANTUS INSUL 100UNITS/ML 10ML 250 1652.1 425.471
25087189 Ketotifen Fumarate Opth Drops 250 6976.5 425.471
25081124 DIAZEPAM 2 MG TABLET 250 1264 425.471
25080755 AMLODIPINE BESYLATE 5 MG TAB 250 149.72 425.471
25081309 DDAVP 4 MCG/ML AMP 10 X 1 ML 250 1936.58 425.471
25980153 FAMOTIDINE 10 MG/ML 20ML VIAL 259 211.8 425.471
27000648 TLC 55 RELOADER 270 761.2 425.447
36001744 STRYKER CANNULAS 360 400 425.442
27053721 PAD OB STERILE 270 6.3 425.447
34127390 VENOGRAM/LUNG PERFUS W/VENT 341 484.1 425.465
27004131 PEN:MARKING 270 17.6 425.447
25081077 TOPIRAMATE 100 MG TABLET 250 224.47 425.471
34102640 BONE SCAN PHASE 3 341 672.1 425.465
30022000 RPR 302 2.81 425.45
25081224 METOPROLOL TARTRATE 100MG TAB 250 244 425.471
27004653 PACK -LAPAROSCOPY 270 171.6 425.447
27007758 PERC GASTRO TUBE 270 237.6 425.447
25081211 ATORVASTATIN 10 MG TAB 250 228.57 425.471
25980100 INSUL NPH HU REC/INS RG HU REC 259 79.68 425.471
30106900 CREATININE CLEAR-LAB 301 103.29 425.45
27004086 GAUZE:MEDICATED 270 17.6 425.447
27053842 SUCTION KIT 14FR 2 GLOVE 270 3.3 425.447
25980031 DIPHENHYDRAMINE HCL 50MG/ML V 259 10 425.471
25080472 TRYPSIN/BALSAM PERU/CASTOR OIL 250 87.46 425.471
27053403 EYE TRAY 270 88 425.447
27000516 PACK-LAMINECTOMY 270 282.4 425.447
25080852 POTASSIUM CHLORIDE 20 MEQ/15 250 1304.15 425.471
25087089 RACEPINEPHRINE INH SOL 0.5ML 250 811.5 425.471
40232705 ULTRASOUND GUID THORACENTESIS 402 492.8 425.467
27053456 ALIGNER BODY 270 34.2 425.447
27006075 A & D OINTMENT PACKET 270 6.3 425.447
25980250 MIDAZOLAM INJ 2MG/2ML 259 114.47 425.471
27006615 TUBE TRACH SHILEY 270 163.9 425.447
25080245 ALBUTEROL SULFATE/IPRATROPIUM 250 154.14 425.471
34121780 RENAL KIDNEY SCAN STATIC 341 1078.55 425.465
32007700 CYSTOGRAM(VOIDING IS 320 473.3 425.463
27004329 RSRVOR:JKSN-PRAT 270 117.7 425.447
25980175 CEFTRIAXONE SODIUM 250 MG/VIAL 259 771.25 425.471
27007038 PCA PUMP DAILY 270 44 425.447
25080348 DOCUSATE SODIUM 100 MG CAPSUL 250 514.33 425.471
25081034 TETANUS DIPHTHER TOXOID 0.5 ML 250 112.35 425.471
32032750.1 WRIST COMPLETE LEFT 4 VIEWS 320 129.4 425.463
25080133 BISACODYL 5 MG TABLET.EC 250 33.33 425.471
25880066 IMMUNE GLOBULIN IV 5GM 258 3645.36 425.471
92100015 DOPPLER EXT VENOUS BILATERAL 921 431.2 425.459
25080478 HALOPERIDOL DECANOATE 50 MG/M 250 650.43 425.471
30026413 HEPATITIS PANEL,REF 300 58.44 425.45
43407590 ORTHO TRAINING 15MIN 430 49.3 425.479
25080597 LORAZEPAM 1 MG TABLET 250 1260 425.471
25080367 FENTANYL 50 MCG/72HRS PATCH.TD 250 770.55 425.471
61900000 MRI ABDOMEN 619 1488.3 425.466
61900102 MRI ANGIO NECK 619 1488.3 425.466
25080945 RIFAMPIN 300 MG CAPSULE 250 947.52 425.471
27004923 TRAY TRACH 270 369.6 425.447
36001735 ENDO PATH BLUNT DISSICTA 360 235 425.442
27007164 PUMP:GOMCO-DAILY 270 44 425.447
25081214 HYDROCODONE/APAP TABLET 250 662 425.471
36000972 SUCTION CANNISTER 360 11.8 425.442
27003978 BANDAGE:ELSTIC/ACE 270 17.6 425.447
25080217 CIPROFLOXACIN HCL 250 MG TABLE 250 358.16 425.471
32008750 ELBOW COMPLETE RIGHT 4 VIEWS 320 282.3 425.463
25980258 MORPHINE SULFATE 1MG/ML 259 47.68 425.471
25087094 ZOCOR 20MG 250 251.79 425.471
25081354 CIPROFLOXACIN HCL 500MG TABLET 250 631.22 425.471
27000162 GRAFT:GORTEX 1",1679.1 278 1908.5 425.447
25080582 LIDOCAINE HCL 20 MG/ML SOLUTIO 250 1436.25 425.471
34125410 THYROID UPTAKE ONLY 341 228.2 425.465
27006462 SPLINT:COLLES 270 67.1 425.447
25087114 Lovenox 100mg Inj 250 183.69 425.471
48100153 LEFT HEART CATHETER 481 1416.8 425.457
25087237 CYTOSAR 500 MG INJ 250 106.92 425.471
25980183 BUPIVACAINE HCL 2.5 MG/ML VIAL 259 63.92 425.471
25087239 DILAUDID 1MG 1ML INJ 250 70.47 425.471
25087081 Albuterol HFA 6.7gm MDI 250 230.28 425.471
25080163 CARBAMAZEPINE 200 MG TABLET 250 538.39 425.471
25080507 HYDROCHLOROTHIAZIDE 25 MG TABL 250 387 425.471
25080655 METOCLOPRAMIDE HCL 10 MG TABL 250 844 425.471
27005472 DSG KLING STR 270 18.7 425.447
27004401 LENS-INTRAOCULAR 276 1105.5 425.447
27004752 PACK-TURP 270 1105.5 425.447
25080300 DEXTROSE 50%-WATER 50 ML DISP 250 157.15 425.471
32020700 NECK/SOFT TISSUES 320 117.1 425.463
27053406 AMBU-BAG 270 67.1 425.447
27053716 PAD ALWAYS PLUS 270 6.3 425.447
25087300 CARIMUNE NF 12GM VIAL 250 5454 425.471
25080515 IBUPROFEN 600 MG TABLET 250 644 425.471
25087060 ATENOLOL 25 MG 250 144 425.471
41200558 AERO MASK ADULT 270 24.7 425.472
32001179.1 FOOT COMPLETE LEFT 3 VIEWS 320 135.6 425.463
27053667 GRADUATE 32OZ 270 6.3 425.447
25087063 ZIPRASIDONE 20MG CAPSULE 250 386.45 425.471
25087170 Lactulise 20gm/30ml ud cup 250 63.25 425.471
25980021 ATRACURIUM BESYLATE 50 MG/5 ML 259 126.62 425.471
27001053 SPECIMEN TRAP 270 42 425.447
27053812 SPONGE GAUZE STERILE 4X4 10PK 270 3.3 425.447
25087057 ATOVASTATIN 20MG 250 32.49 425.471
36001305 CAUTERY/SUCTION DISPOSABLE 360 159.05 425.442
27053742 RAZOR SHAVE PREP 270 6.3 425.447
30230300 RH TYPING-D-BLD -LAB 302 86.18 425.45
27004797 TRAY - CYSTO 270 123.2 425.447
25081187 CELECOXIB 100 MG CAPSULE 250 348.35 425.471
25080471 SOD SULF/SOD/NAHCO3/KCL/PEG'S 250 120 425.471
25080350 DOCUSATE SODIUM 250 MG CAPSUL 250 4 425.471
25080520 ISOSORBIDE MONONITRATE 60 MG T 250 55.12 425.471
40232703 APPENDIX 402 366 425.467
27005445 DRESSING:KERLIX ROLL 270 18.7 425.447
34000326 MERTIATIDE MAG-3 340 462 425.465
25080948 RISPERIDONE 1 MG/ML BOTTLE 250 2367.96 425.471
27053414 DRESSING: ABD 270 7.3 425.447
25080601 BENAZEPRIL HCL 20 MG TABLET 250 398.57 425.471
25980053 CLINDAMYCIN PHOSPHATE 150MG 259 69.32 425.471
25081032 LEVOTHYROXINE SODIUM 100 MCG T 250 124 425.471
25081037 TEMAZEPAM 15 MG CAPSULE 250 192 425.471
27004536 DRAPE:U 3-M 270 63.8 425.447
25080465 GLYBURIDE 2.5 MG TABLET 250 1204 425.471
27000156 BABY AMNIHOOK 270 27.3 425.447
25980249 LIDOCANE 10 MG/ML 20ML VIAL 259 48.48 425.471
25080482 HALOPERIDOL 10 MG TABLET 250 336.08 425.471
27004977 SPLINT:POSTERIOR 270 196.9 425.447
25080446 FUROSEMIDE 20 MG TABLET 250 524 425.471
25080389 ERYTHROMYCIN BASE 3.5 GM OINT 250 62.42 425.471
27007146 K-PAD:DAILY 270 44 425.447
25081391 IBUPROFEN 100 MG 5 ML 250 120.96 425.471
25080071 PHYTONADIONE 10MG/ML AMPUL 250 176.6 425.471
30211900 ANTIBODY IDENTIF-LAB 302 118.75 425.45
36000963 MICROSCOPE 360 156.8 425.442
25080237 CLONIDINE HCL 0.2 MG TABLET 250 524 425.471
25081328 NITROGLYCERIN OINT 1 GM PACKET 250 18 425.471
25980286 SODIUM PHOSPHATE 3MM/ML 15ML/V 259 92.36 425.471
27007767 DISP.BIOPSY FORCEPS 270 203.7 425.447
40232252 OB MULTIPLE GESTATION ULTRASOU 402 601.3 425.467
25081133 ENALAPRIL MALEATE 10 MG TABLET 250 495.32 425.471
25080492 METHENAMINE HIPPURATE 1 GM TAB 250 375.3 425.471
25080097 BACTROBAN OINTMENT 2% 22GM 250 131.55 425.471
25080559 LAMOTRIGINE 25 MG TABLET 250 654.22 425.471
27053807 SPONGE COVER 4X4 STERILE 270 3.3 425.447
32001000 ABDOMEN TWO VIEWS 320 172.5 425.463
34000329 RED BLOOD CELLS LABELED 340 1164.3 425.465
25081291 MOMETASONE NASAL SPRAY 17G BOT 250 202.35 425.471
30609200 CULTURE THROAT -LAB 306 72.7 425.45
30019850 PPD SKIN TEST 302 49.95 425.45
25980029 SULFAMETHOXAZOLE/TRIMETHOPRI 259 250.15 425.471
25081176 ZOLOFT 50MG 250 309.21 425.471
32001170 FOOT LTD LEFT 2 VIEWS 320 92.4 425.463
25080523 SUMATRIPTAN SUCCINATE 25 MG TA 250 2378.56 425.471
75000018 ERCP CATH. 750 104.3 425.476
30000408 ROTAVIRUS AG DETECT 300 67.2 425.45
32001233 ESOPHOGRAM 320 240.3 425.463
32019600 MANDIBLE COMP 320 240.3 425.463
35201320 CT C-SPINE W CONTRS 352 1139.6 425.468
25880013 KCL 40MEQ/D5.51000 40MEQ/L 258 55.56 425.471
25980194 BUTORPHANOL TARTRATE 2 MG/ML 259 39.51 425.471
25081258 CIPROFLAXACIN HCL 100ML BOTTLE 250 445.05 425.471
27010844 KIT:CENTRAL VEIN CATHETER 270 66 425.447
25080488 HALOPERIDOL 5 MG TABLET 250 161.66 425.471
25080586 LITHIUM CARBONATE 450 MG TABLE 250 55.39 425.471
27010781 CAST:ARM LONG 270 159.5 425.447
25086990 DONNATAL ELIXER 5ML 250 599.32 425.471
61202970 MRI ORBITS 612 1478.4 425.466
61203960 MRI T-SPINE W/WO 612 1478.4 425.466
27007074 BED:THERAPY AIR FLUID 270 341 425.447
25080661 METRONIDAZOLE 250 MG TABLET 250 756 425.471
25080096 SULFAMETH/TRIMETH DS 800/160 1 250 380 425.471
25080080 ASPIRIN 81 MG TABLET.EC 250 12 425.471
25081063 CHLORPROMAZINE HCL LIQUID 25 250 2780.54 425.471
25980016 HYDRALAZINE HCL 20 MG/ML VIAL 259 168.75 425.471
30002718 CLOSTRIDIUM TOX FE 306 26.75 425.45
25801400 DEXTROSE WATER 10%-1000ML 258 126.17 425.471
27053744 SALEM SUMP VALVE 270 27.3 425.447
25087097 AVANDIA 4MG TABLET 250 779.07 425.471
27005724 SUCTION CATH 270 18.7 425.447
31113860 SPIRO PRE/POST LOOPS 460 227.6 425.473
25980240 ONDANSETRON HCL 2 MG/ML VIAL 636 615.36 425.471
25080258 WARFARIN SODIUM 2 MG TABLET 250 1188.66 425.471
25081107 HAMAMELIS LEAF/GLYCERIN 1 MED. 250 4 425.471
25080643 METHADONE HCL 10 MG TABLET 250 378 425.471
30127078 GLUCOSE, BODY FLUID 301 44.88 425.45
27010941 VACUUM EXTRACTORS 270 64 425.447
25080462 GLIPIZIDE 5 MG TABLET 250 372 425.471
25980052 CEFOTAXIME SOD INJECTION 2G VL 259 66.72 425.471
27005976 SPUTUM COLLECTION KIT 270 27.5 425.447
25880043 MANNITOL 500 ML IV 258 530.04 425.471
25080921 FLUOXETINE HCL 20MG CAPSULE 250 38.04 425.471
25080161 SUCRALFATE 1 GM TABLET 250 484 425.471
25880067 DEXTROSE 5%-0.25%SALINE 500ML 258 65.57 425.471
32001170.1 FOOT LTD RIGHT 2 VIEWS 320 92.4 425.463
25080600 BENAZEPRIL HCL 10 MG TABLET 250 364 425.471
30513200 SED RATE BLD -LAB 305 35.97 425.45
27053612 CRUTCHES ADULT REGULAR 270 59.4 425.447
25980039 CALCIUM GLUCONATE 100 MG/ML 10 259 311.12 425.471
36001494 LINGMAN URD DRAPE 360 156.8 425.442
30100420 ACETONE SERUM QUALITATIVE 301 33 425.45
25081113 ACETAMINOPHEN 325 MG TABLET 250 430 425.471
25080448 FUROSEMIDE 40 MG TABLET 250 403 425.471
25081223 LACTULOSE 10 G/15ML 480ML 250 1526.7 425.471
27004113 DRESSING:KERLIX 270 17.6 425.447
25087141 ZONLSAMIDE 100 MG CAPSULE 250 555.21 425.471
27004914 TRAY T & A 270 308 425.447
32016350 HYSTEROSALPINGOGRAPHY 320 363.5 425.463
25080131 CITRIC ACID/ SODIUM CITRATE 30 250 18.4 425.471
25087233 JEVITY PLUS 1500ML RTH 250 71.91 425.471
27000073 PEDIATRIC BROSELOW CRASH CART 270 358.6 425.447
25980140 NEOSTIGMINE METHYLSULFATE 10M 259 36.79 425.471
27004878 TRAY -OPTH -MAJOR 270 490.6 425.447
27053518 BOTTLE PERINATAL 8OZ 270 3.3 425.447
25080081 ATENOLOL 50 MG TABLET 250 372 425.471
25080591 DIPHENOXYLATE HCL/ATROP SULF1 250 1743.13 425.471
25980179 RUBELLA VACCINE 1 VIAL VIAL 259 50.67 425.471
25087053 AMVISC PLUS SYRINGE 250 975 425.471
25080368 FENTANYL 75 MCG/72HRS PATCH.TD 250 1311.54 425.471
25980110 KETAMINE HCL 100 MG/ML VIAL 259 154.59 425.471
27053515 BLANKET HYPOTHERMIA ADULT 270 104.3 425.447
25080765 NYSTATIN 15 GM POWDER 250 274.59 425.471
61900023 MRI LOWER EXT ANGIO 619 961 425.466
27053494 BEDPAN STACKABLE MAUVE 270 3.3 425.447
25980083 FOLIC ACID 5 MG/ML 10ML VIAL 259 49.57 425.471
25080627 MEGESTROL ACETATE 40 MG/ML OR 250 479.85 425.471
25081173 ZITHROMAX 250MG 250 710.52 425.471
30127077 CHLORIDE - CSF 301 50.27 425.45
27006975 SPECULUM VAGINAL DISP 270 18.7 425.447
27000149 LLETZ LOOP ELECTRODE 270 49.5 425.447
27000206 TLC LINEAR CUTTER 55 270 761.2 425.447
25080376 PERMETHRIN 60 GM CREAM.GM. 250 204.6 425.471
30002241 THEOPHYLLINE SE-LAB 300 145.42 425.45
27006768 EXT CATH Y-TYPE INT 270 42.9 425.447
36001242 SUTURE POP OFF 360 24.65 425.442
27004626 PACK -ENDOSCOPY 270 196.9 425.447
25081311 DONEPEZIL 5 MG TABLET 250 586.47 425.471
27053605 COMB BABY WHITE 270 3.3 425.447
27053419 TESIO HEMO CATH 270 1245.2 425.447
27053611 CREAM SHAVE 1 OZ 270 9.66 425.447
25087120 Phenytoin 100mg Inj 250 889.93 425.471
34000332 SODIUM IODIDE CAPSULE I-123 340 155.3 425.465
25080144 BUSPIRONE HCL 10 MG TABLET 250 825.36 425.471
25080870 PREDNISONE 5 MG TABLET 250 816.33 425.471
30127076 PROTEIN - CSF 301 46.2 425.45
48117160 IMAGING S & I COROS 481 1232 425.457
61202310 MRI L-SPINE W/WO CN 612 1848 425.466
61900005 MRI ABDOMEN W/WO CONTRAST 612 1848 425.466
61900110 MRI PIT GLAND W/WO CONTR 619 1848 425.466
25980262 MAGNESIUM SULFATE 1000 ML 259 130 425.471
25980242 ACYCLOVIR SODIUM 500 MG/VIAL V 259 178 425.471
27004599 PACK - CV MAJOR 270 735.9 425.447
25087158 Colace 100mg/30ml UD Cup 250 24 425.471
25086994 COMBIVAR 150/300MG TABLET 250 34.26 425.471
35000433 NDL BIOPSY LUNG/MEDI 350 1823.4 425.468
35000446 CT GUIDED NEEDLE BIOPSY 350 1823.4 425.468
35000453 NDL BIOPSY RENAL PER 350 1823.4 425.468
36001296 ABDUCTION PILLOW 360 520.8 425.442
32025050 SACRUM AND COCCYX 320 191 425.463
25081081 TRAZODONE HCL 50 MG TABLET 250 144 425.471
45011554 ER RE-CHECK VISIT 450 84 425.401
25880025 DEXTROSE 30%-WATER 500ML BOTT 258 207.9 425.471
25087074 OXCARBAZEPINE 150MG TAB 250 65.6 425.471
32006450 CLAVICLE LEFT COMPLETE 320 147.9 425.463
25080240 CLOZAPINE 25 MG TABLET 250 201.71 425.471
30001755 CHLORIDE URINE -LAB 301 50.54 425.45
25080677 MORPHINE SULFATE 10 MG/ML DISP 636 2521.16 425.471
27053949 THERMOMETER RECTAL 270 3.3 425.447
35203960.1 CT LOWER EXTREMITY RIGHT 352 1170.4 425.468
30127075 CELL COUNT - CSF 301 46.2 425.45
25080316 DIGOXIN 125 MCG TABLET 250 124 425.471
27000168 STENT URETERAL 270 389.1 425.447
63631353 Anzemet 12.5 Mg/Amp 636 322.77 425.471
25980091 GLUCAGON, HUMAN RECOMBINANT 1 259 432.39 425.471
25080139 TERBUTALINE SULFATE 1 MG/ML AM 250 107.45 425.471
25080160 CAPTOPRIL 50 MG TABLET 250 372 425.471
27005823 CATH FOLEY 5CC 30FR 270 21.4 425.447
25080060 AMPICILLIN 500 MG CAPSULE 250 288.8 425.471
25980036 BUMETANIDE 0.25 MG/ML 2ML VIAL 259 795.49 425.471
25080778 CALCIUM CARBONATE/VITAMIN D1 250 12 425.471
25087167 Valproic Acid 250mg/5ml UD Cup 250 17.14 425.471
36001224 RAZOR DISP 360 7.85 425.442
25087184 Astelin Nasal Spray 250 962.52 425.471
25080250 CARVEDILOL 6.25 MG TABLET 250 487.62 425.471
25080222 LORATADINE 10 MG TABLET 250 276.17 425.471
27053788 SLIPPERS DISP MEDIUM 270 6.3 425.447
25080526 PROPRANOLOL HCL 1 MG/ML AMPUL 250 3340.8 425.471
27021480 IV SET 270 30 425.447
35201650 CT C-SPINE W-W/O CN 352 1663.2 425.468
35900660 CT LARYNX 359 1108.8 425.468
25080618 NEO/POLYMYX B SULF/DEXAMETH 5 250 242.82 425.471
75001011 ESOPHAGEAL BANDING 750 828.8 425.476
27000661 LARYNGEAL AIRWAY 270 275 425.447
25980059 DEXAMETHASONE SOD PHOSPHATE 259 193.88 425.471
25080856 POTASSIUM CHLORIDE 20 MEQ/15 250 24.33 425.471
27053624 DRESSING OPSITE 2X3 270 3.3 425.447
27010204 SPLINT PLASTER 270 91.3 425.447
25080866 PREDNISONE 20 MG TABLET 250 488.66 425.471
25081055 THIAMINE HCL 100 MG TABLET 250 124 425.471
27053499 BINDER SURGICAL 9" UNIV 270 40.5 425.447
27053935 URINAL W/HILLROM COMP HANDLE 270 6.3 425.447
27004194 DRESSING:STERI STRIP 270 17.6 425.447
30002079 OSMOLALITY URIN-LAB 301 31 425.45
32008750.1 ELBOW COMPLETE LEFT 4 VIEWS 320 147.9 425.463
36001656 OXY CANNULA 360 21.3 425.442
25087287 ACETYLCYSTEINE 4ML VIALS 250 118.08 425.471
25980190 SODIUM ACETATE 2 MEQ/ML VIAL 259 260.71 425.471
27000042 DRESG:BANDAID 8X6",16.4 270 7.3 425.447
25080318 DIGOXIN 250 MCG TABLET 250 132 425.471
27053737 POWDER BABY 4OZ 270 3.3 425.447
27053473 BANDAGE KERLIX ROLL 4.25 STRL 270 4.2 425.447
34110230 GI BLEEDING OR MECKE 341 628.4 425.465
27053872 TRAP MUCOUS SPECIMEN 270 15.6 425.447
32001260 SMALL BOWEL 320 240.3 425.463
27000197 DRAPE:LAP 270 81.7 425.447
27053876 TRAY IRRIGATION 60CC SYRINGE 270 4.5 425.447
25087244 TWO CAL HN 8OZ CAN 250 7.26 425.471
25080744 NITROGLYCERIN 14.49 GM AEROSOL 250 93.66 425.471
27007101 EXERCISER:LEG DAILY 270 77 425.447
25081078 METOPROLOL SUCCINATE 50 MG TAB 250 239.33 425.471
25087004 BUPROPION 100 MG 250 30.87 425.471
27010358 TUBE:CHEST 270 145.2 425.447
27053774 SHILEY TRACH TB #8 FENESTRATED 270 179 425.447
25087242 ENSURE PLUS HN 1000 RTH 250 40.53 425.471
25080089 ANTIPYRINE/BENZOCAINE OTIC SOL 250 59.58 425.471
25980144 LABETALOL HCL 5 MG/ML 20ML VIA 259 450 425.471
25087213 GEODON 40 MG CAPSULE 250 109.16 425.471
27006804 CAST ARM-SHORT 270 132 425.447
25080913 PROPRANOLOL HCL 20 MG TABLET 250 252 425.471
27005373 THERMOMETER KIT 270 27.5 425.447
27005535 SUCTION TIP YANKAUER 270 15.4 425.447
25080026 ALFENTANIL 2ML AMP 500 MCG/ML 250 57.34 425.471
25080503 HYDROMORPHONE HCL 2MG TABLET 250 558.21 425.471
25880023 DEXTROSE 5%-WATER 500 ML 258 64.2 425.471
27004801 SURGICLIP 270 374 425.447
27006624 TRACT:W/TRAPEZE-SETU 270 88 425.447
48100180 IMAGING S & I REPORT 481 985.6 425.457
48100254 CONRAY 30 250ML 255 184.8 425.457
61200081 MRI L-SPINE W CONT 612 1478.4 425.466
61202640 MRI NECK 612 1478.4 425.466
27004698 PACK-OPTH-MAJOR 270 369.6 425.447
27053849 SWABSTICK BETADINE 270 3.3 425.447
25080499 HYDROXYZINE HCL 10 MG TABLET 250 364 425.471
25087118 Augmentin 875mg Tablet 250 16.83 425.471
25880026 DEXTROSE 40%-WATER 500 ML 258 184.9 425.471
30512700 RETICULO CT BL -LAB 305 44.38 425.45
27003969 CULTURE TUBE 270 11 425.447
36001729 CANCELLED CASE 360 495.25 425.442
25980004 DOXORUBICIN HCL 20 MG VIAL 636 241.38 425.471
27053622 DRESSING EXUDERM 4X4" 270 20.2 425.447
27007137 UNIT:HYPOTHERMIA SETUP 270 82.5 425.447
27053974 THORACENTESIS TRAY W/CATH 270 99.3 425.447
25080895 PROCHLORPERAZINE MALEATE 25MG 636 1098 425.471
27053871 TRAP MUCOUS SPECIMEN 80CC 270 12.8 425.447
25080426 TAMSULOSIN HCL 0.4MG CAP.SR.24 250 543.15 425.471
27006264 CONNECTOR 5 IN 1 270 18.7 425.447
25080662 METRONDAZOLE 500 MG TABLET 250 670 425.471
32024400 RIBS BILAT 3V 320 764.4 425.463
30000005 EOSINOPHILS URINE 300 41.8 425.45
25980072 DOXYCYCLINE HYCLATE 100MG/VL 259 44.25 425.471
35000042 OMNIPAQUE 300 10ML 350 86.9 425.468
25880042 RINGERS SOLUTION,LACTATED 500 258 76.75 425.471
25080596 LORAZEPAM 0.5 MG TABLET 250 1204 425.471
27004743 PACK-TRACH 270 196.9 425.447
27053594 CLOSURE WOUND ADH 1/2X4 270 11.62 425.447
25080988 CARBIDOPA/LEVODOPA 1 UDTAB TAB 250 364 425.471
25080375 VENLAFAXINE HCL 75 MG TABLET 250 412.33 425.471
25980162 POTASSIUM PHOS M-BASIC-D-BASIC 259 80.62 425.471
25081210 ASPIRIN 81 MG TABLET 250 152 425.471
27053869 TRACHEOSTOMY TUBE HOLDER PED 270 5.1 425.447
36001701 RCVY SUCTION SET UP 710 44.8 425.442
25080070 HYDRALAZINE HCL 10 MG TABLET 250 2176 425.471
25080012 ACYCLOVIR 200 MG CAPSULE 250 364.06 425.471
25087235 NEPRO 8OZ CAN 250 11.97 425.471
25081295 PIOGLITAZONE HCL 45MG TABLET 250 14.85 425.471
25081269 SPIRONOLACTONE 2MG/ML 50ML 250 285 425.471
61203300 MRI T-SPINE W CONT 612 2678.4 425.466
27001140 RETRIEVAL BALOON 270 242 425.447
32015150 HIP BILAT COMP 320 240.3 425.463
27053607 CONTAINER URINE STERILE 4OZ 270 3.3 425.447
25087172 Ferrous Sulfate 300mg/5ml ud c 250 24 425.471
27053791 SOLUTION SODIUM CHLORIDE 1000 270 4 425.447
27006012 IMMOBILIZER SHOULDER 274 67.1 425.447
30002268 TRIGLYCERIDES SE 301 65.34 425.45
25080542 ISOSORBIDE DINITRATE 20 MG TAB 250 18 425.471
25087218 FLUOXETINE 40MG CAPSULE 250 177.82 425.471
27000649 TCT 75 CUTTER LINEAR 270 1286.5 425.447
27004185 LAP:SPONGES 270 7.7 425.447
27006741 SPLINT:MAXIPOST>10 270 62.7 425.447
25980061 METHYLPREDNISOLONE ACETATE 80 259 36.39 425.471
36001726 TRT 55 LINEAR CUTTER 360 505.15 425.442
34000330 MEBROFENIN 340 81.4 425.465
27006183 DSG TUBE GZ/BAND NET 270 23.1 425.447
32028500 STERNUM 2 VIEWS 320 147.9 425.463
25080851 POTASSIUM CHLORIDE 10 MEQ TAB 250 40 425.471
25080008 ACETAMINOPHEN 500 MG TABLET 250 28 425.471
36001723 CDH 360 2506.75 425.442
25080140 BROMOCRIPTINE MESYLATE 2.5 MG 250 501.42 425.471
25080106 DIPHENHYDRAMINE HCL 25 MG CAPS 250 684 425.471
25081385 ROFECOXIB 25MG TABLET 250 1134.37 425.471
25980226 WATER FOR INJECTION,STERILE 10 259 225 425.471
25080388 ERYTHROMYCIN BASE 3.5 GM OINT. 250 70.33 425.471
27004392 K-WIRES 270 56.1 425.447
25087309 MEDROL DOSEPAK 4MG 250 1232.91 425.471
25080863 PREDNISONE 10 MG TABLET 250 942.93 425.471
25081331 FEXOFENADINE 60 MG CAPSULE 250 376 425.471
25080658 METOCLOPRAMIDE HCL 5 MG TABLET 250 12 425.471
25087216 PAROXETINE 30MG TABLET 250 114.36 425.471
30002205 TOBRAMYCIN SER-L01 300 20.63 425.45
25087214 HEPATITIS A VACCINE PEDIATRIC 250 188.45 425.471
25081168 LISINOPRIL 20MG TABLET 250 383.33 425.471
25081239 DESMOPRESSIN 0.01% NASAL SPRAY 250 483.18 425.471
25087207 OLANZAPINE 7.5MG TABLET 250 20.28 425.471
27006228 PROTECTOR HEEL 270 61.6 425.447
27053498 BINDER SURGICAL 12" UNIV 270 59.8 425.447
25980057 CYCLOPHOSPHAMIDE 500 MG VL 636 1351.77 425.471
36001062 SHT STAY SURG CATAR 1ST 30 MIN 360 791.85 425.442
25087095 GLUCOPHAGE 1GM TABLET 250 5.01 425.471
25087181 Fragmin 5000 Units Inj 250 2372.4 425.471
32026750 SKULL SERIES COMPLETE 320 295.7 425.463
27053985 BERKELEY TUBING 270 48.3 425.447
27004815 TRAY - ENDOSCOPY 270 97.9 425.447
25081009 SPIRONOLCATONE 25 MG TABLET 250 165 425.471
35900027 CT EXTREMITY UPPER RIGHT 352 1170.4 425.468
30229900 RESP SYNCYT AB -L01 302 27.85 425.45
25087128 Actos 30mg 250 15.99 425.471
25980055 HYDROCORTISONE SOD SUCCINATE 259 77.26 425.471
30002124 POTASSIUM URINE 301 59.28 425.45
25087105 STARLIK 120 MG 250 18 425.471
27006417 KIT GASTRIC LAVAGE 270 60.5 425.447
27019864 KIT CARE STERILE 270 121 425.447
25087169 Metoclopramide 10mg/10ml ud cu 250 4 425.471
25080510 TERAZOSIN HCL 5 MG CAPSULE 250 201.96 425.471
25081390 LEVOFLOXACIN 250MG TABLET 250 1183.68 425.471
30001687 AUTOLOGOUS RBC 390 756 425.45
25980014 SUCCINYLCHOLINE CHLORIDE 20MG 259 21.25 425.471
30618500 WET MOUNT 306 63.91 425.45
27053618 DRAIN AUTOTRANSFUSION BOTTLE 270 279.1 425.447
25080726 NAPH MB-DB/K PH MBDB 1 PKT PK 250 318 425.471
25081001 SODIUM CHLORIDE 1 G TABLET 250 372 425.471
25080085 IPRATROPIUM BROMIDE 14 GM AER. 250 147.15 425.471
25980027 BACITRACIN 50 MU/VIAL 259 90 425.471
25080162 CARBAMAZEPINE 100 MG TAB.CHEW 250 64 425.471
25080580 LIDOCAINE HCL 20 MG/ML DISP. 250 272.05 425.471
27000014 MONITOR: CARDIAC 270 98.9 425.447
25980050 CISPLATIN 50 MG VL 636 2160.18 425.471
32026600 SKULL SERIES LTD 320 154 425.463
40232701 BREAST ULTRASOUND 402 431.2 425.467
25080815 PROMETHAZINE HCL 25MG/SUPP 250 1458.72 425.471
25980178 FLUMAZENIL 0.1 MG/ML 5ML VIAL 259 263.93 425.471
25080713 NEOMYCIN SULFATE 500 MG TABLET 250 12 425.471
25980111 FUROSEMIDE 10 MG/ML VIAL 259 10 425.471
27054014 TRAY UMBILICAL CATH INSERTION 270 212.3 425.447
25087149 Singulair 4 mg Tablet 250 88.17 425.471
25087238 INFLUENZA VACCINE 0.5 ML INJ 250 49 425.471
27004275 TUBE:TRACH SHILEY 270 161.7 425.447
30005850 CELL CT FLUIDS-LAB 300 54.94 425.45
25081286 TOLTERODINE 2MG TABLET 250 83.66 425.471
27006552 TRAY CVP DSG CHANGE 270 31.9 425.447
30026414 LIPID PANEL,REF 300 7.31 425.45
40202650 AORTA 402 516.3 425.467
37000117 LTA KIT 370 40.35 425.445
40224450 PLEURAL EFFUSION 402 257 425.467
25081384 BUPROPION 150MG TAB.PRT.SR 250 30.48 425.471
25080079 ASCORBIC ACID 500 MG TABLET 250 12 425.471
27000038 BANDAGE ELASTIC NS 2-4",5 270 5.5 425.447
25080371 ASPIRIN 325 MG TABLET.EC 250 4 425.471
25081359 NEVIRAPINE 200MG TABLET 250 18.03 425.471
27006003 CERVICAL COLLAR 274 46.2 425.447
25087099 AUGMENTIN 500MG TABLET 250 535.94 425.471
27006813 CAST LEG-LONG 270 126.5 425.447
36001727 TRT 75 360 505.15 425.442
25080853 POTASSIUM CHLORIDE 20 MEQ/15 250 92 425.471
25080299 DEXAMETHASONE 4 MG TABLET 250 139.66 425.471
41200819 FLEX TUBE 270 6.2 425.472
25980255 MAGNESIUM SULFATE 100ML BOTTLE 259 143.91 425.471
27053467 BAG URINARY DRAINAGE 270 13.2 425.447
43109570 SPLINTING 431 123.2 425.479
25980147 OXACILLIN SODIUM 2 G/VIAL VIAL 259 65.84 425.471
63631354 Amphotec 50 Mg. Inj 636 279.99 425.471
25080385 LAMIVUDINE 150 MG TABLET 250 76.53 425.471
25081149 NELFINAVIR MESYLATE 250 MG TAB 250 121.16 425.471
25980093 HEPATITIS B IMMUNE GLOBULIN 5M 259 1956 425.471
27006408 SHROUD ADULT 270 15.4 425.447
25080459 GLIMEPIRIDE 1 MG TABLET 250 130 425.471
25980143 VECURONIUM BROMIDE 10 MG/VIAL 259 104.86 425.471
25980003 DOXORUBICIN HCL 50 MG VIAL 636 241.36 425.471
27004014 CATH:ROBINSON 270 14.7 425.447
25980078 EPOETIN ALFA 2000 U/ML VIAL 636 1362.21 425.471
25080260 WARFARIN SODIUM 5 MG TABLET 250 198 425.471
27010451 TRAY:SALPINGOGRAM 270 189.2 425.447
30104590 CALCIUM,SERUM-LAB 301 56.92 425.45
25080382 EPINEPHRINE 0.1 MG/ML DISP.SYR 250 237.9 425.471
27006525 SHIELD NIPPLE 270 40.7 425.447
27053670 ICE PACK INSTANT COLD 270 3.3 425.447
25081397 VENLAFAXINE HCL 37.5MG CAPSULE 250 98.01 425.471
27007047 PCA PUMP SET-UP 270 44 425.447
27007173 PUMP:GOMCO-SETUP 270 44 425.447
32001197 TOES 320 92.4 425.463
35000014 CT T-SPINE W/O CONTRAST 352 308 425.468
92100017 DUP SCAN AOR/IVC/ILI COMPLETE 921 924 425.459
25080040 ZOLPIDEM TARTRATE 5 MG TABLET 250 207.96 425.471
25081353 VENLAFAXINE HCL 150 MG TABLET 250 8.85 425.471
25980185 BUPIVACAINE HCL 5 MG/ML VIAL 259 41.92 425.471
25080200 CHLORPROMAZINE HCL LIQUID 100 250 84.42 425.471
32021500 PARANASAL SINUS SERIES 320 203.2 425.463
35000452 CT NDL BIOPSY ABD/RETRO 350 1823.4 425.468
35900330 CT ABSCESS DRAINAGE 359 1823.4 425.468
25080003 QUINAPRIL HCL 20 MG TABLET 250 40.66 425.471
25080315 DIGOXIN 250 MCG/ML AMPUL 250 10 425.471
25880008 DEXTROSE 5%-0.33%SALINE 1000ML 258 120.33 425.471
30105130 CEA PLAS-ROCHE-LAB 301 27.71 425.45
25087160 Diphenhydramine 50mg/20ml UD C 250 38.66 425.471
36001737 SURGINEEDLE 360 179.2 425.442
27053411 GRAFT: IMPRA 278 1775.4 425.447
27000259 SPLINT:ARM 270 161.2 425.447
25080330 DILTIAZEM HCL 90 MG TABLET 250 1204 425.471
25980024 AZTREONAM 1 G/VIAL 259 85.01 425.471
25080256 WARFARIN SODIUM 1 MG TABLET 250 603 425.471
25080254 NEOMYCIN/POLY/HC OTIC SUSP 1 250 92.4 425.471
27053487 BASIN EMESIS 500ML GRADUATED 270 3.3 425.447
25980246 FUROSEMIDE 10 MG/ML 2ML VIAL 259 20.68 425.471
27053629 DRESSING XEROFORM 5X9" 270 10.6 425.447
25980103 SUMATRIPTAN SUCCINATE 6MG/0.5 259 174.15 425.471
25081287 SERTRALINE HCL 100 MG TABLET 250 52.92 425.471
25081355 PAROXETINE HCL 10MG TABLET 250 373.98 425.471
27053738 PROBE HYPOTHERMIA DISP 270 44.3 425.447
30026402 STOOL WRIGHT STAIN 300 26.9 425.45
27004176 RAYTEC 270 7.7 425.447
25080166 DILTIAZEM HCL SUSTAINED RELEAS 250 522.72 425.471
27006372 TRAY ENT 270 122.1 425.447
25980219 ENALAPRILAT DIHYDRATE 1.25 MG/ 259 2051.64 425.471
25080758 NITROGLYCERIN/D5W 0.2 MG/ML 250 30.88 425.471
25080760 NYSTATIN 100 MU/ML ORAL SUSP 250 338.29 425.471
27053727 PEDIALYTE 4OZ 270 3.7 425.447
25087087 HYDROGEN PEROXIDE 8 OZ 250 4 425.471
25087284 TRIZIVIR 300MG TAB 250 58.2 425.471
27006651 TRAY:CHEST 270 187 425.447
25080075 ASPIRIN 325 MG TABLET 250 4 425.471
25980277 SODIUM CHLORIDE 5ML VIAL 259 10 425.471
36001449 ARTHROSCOPIC CUTTER 360 168 425.442
25087096 AVANDIA 8MG TABLET 250 15.39 425.471
25200003 ZYPREXA INTRAMUSCULAR 10 MG 252 101.21 425.471
25087212 GEODON 80 MG CAPSULE 250 12.87 425.471
48115180 CORONARY ANGIO 481 554.4 425.457
48124090 LT VENTRICULAR ANGIO 481 554.4 425.457
25080818 PHENOBARBITAL 30 MG TABLET 250 62.66 425.471
27006732 SPLINT:MAXIPOST<10 270 51.7 425.447
27005481 DSG TELFA 270 11 425.447
27000078 SORBITAL 270 63.3 425.447
40230450 THYROID 402 802.15 425.467
36001359 MYRINGOTOMY TRAY 360 136.65 425.442
34119470 PLUM. PERF. SCAN PARTICULATE 341 818.1 425.465
27054027 GLOVES, STERILE 270 11.11 425.401
27053435 CATHETER, RED RUBBER 270 7.7 425.447
25980274 PENICILLIN G POTASSIUM 5MU VIA 259 71.83 425.471
46000069 CLOSING VOLUMES 460 135.6 425.473
25081134 ENALAPRIL MALEATE 5 MG TABLET 250 378 425.471
25081386 FLUTICASONE PROP 13 GM MDI 250 231.6 425.471
32001315 OUTSIDE FILM REFERRAL 320 282.3 425.463
25087295 DOVONEX 0.005% OINTMENT 250 401.94 425.471
25081317 AMOXICILLIN TRIHYDRATE 500 MG 250 464.8 425.471
27005787 STAPLE EXTRACTOR 270 39.6 425.447
30101470 AMIKACIN LEVEL 301 14.38 425.45
30026444 Chromosone Study 300 315.4 425.45
25081093 TRIHEXYPHENIDYL HCL 5 MG TABLE 250 364 425.471
34000331 MEDRONATE 340 33.3 425.465
27006174 SPLINT:FINGER 270 22 425.447
25080608 LOXAPINE SUCCINATE 25 MG CAPSU 250 92.56 425.471
41200594 NON REBREATH MASK 270 24.7 425.472
25080857 POTASSIUM CHLORIDE 8 MEQ TAB 250 12 425.471
25080014 ADENOSINE 3 MG/ML 2ML DISP.SYR 636 535.81 425.471
41000015 SPUTUM INDUCTION 410 64.2 425.472
27053940 PEDIATRIC INTUBATION TRAY 270 170.5 425.447
30002196 FERRITIN SERUM -L01 301 10.31 425.45
75000019 SCLEROSING PACK 750 127.05 425.476
75000007 BIOPSY PACK 750 46.15 425.476
25087314 NATRECOR 1.5 MG 5ML VIAL 250 1522.8 425.471
25080460 GLIPIZIDE 10 MG TABLET 250 4 425.471
25080682 MORPHINE SULFATE 30 MG TABLET 250 49.68 425.471
25081071 TOBRAMYCIN SULFATE 3.5 GM OINT 250 410.67 425.471
25080204 CHLORDIAZEPOXIDE HCL 25 MG CAP 250 36.66 425.471
25080605 CLOTRIMAZOLE/BETAMET DIPROP 250 78.99 425.471
25080083 ATROPINE SULFATE INJ 1 MG/10 M 250 181.12 425.471
27005436 URINAL 270 3.3 425.447
25081094 TRIMETHOBENZAMIDE HCL 100 MG 250 280.05 425.471
25980296 VALPROATE SODIUM 100MG 5ML VL 259 111.69 425.471
25087082 Azithormycin 200MG\5ML\15ML BO 250 279.09 425.471
61900105 MRI PELVIS 619 1488.3 425.466
61900106 MRI PELVIS W/CONTR 619 1488.3 425.466
27005031 RAZOR:DISPOSABLE 270 4.2 425.447
25080093 BACITRACIN ZINC 0.9 GM/PKT PAC 250 4 425.471
25080502 HYDROXYZINE HCL 25 MG TABLET 250 372 425.471
25081365 DIAZEPAM 1 MG/ML 500ML BOTTLE 250 235.53 425.471
25080186 CEFUROXIME AXETIL 250 MG TABLE 250 64.74 425.471
27053809 SPONGE DRESSING STERILE 2X2 270 3.3 425.447
25087274 AUGMENTIN 1000MG XR 250 735 425.471
25980170 PHENTOLAMINE MESYLATE 5 MG/VIA 259 105 425.471
25980224 HYDROXYZINE HCL 25 MG/ML VIAL 259 10 425.471
27004221 SURGICEL 270 81.4 425.447
25080025 SPIRONOLACTONE 50 MG TABLET 250 28.78 425.471
27004554 DRAPE:3-M LARGE 270 38.5 425.447
25087282 PROPECIA 1MG TAB 250 182.7 425.471
25080180 CLONIDINE HCL 0.1 MG/24 HR PAT 250 364.8 425.471
27005346 SPONGE 4X4 STER 2 PK 270 14.3 425.447
30514900 WBC BLOOD -LAB 305 26.9 425.45
27007155 K-PAD:SETUP 270 44 425.447
41200869 CPR 1 HR 412 207.1 425.472
25087092 OXYCONTIN 20MG TABLET 250 33.6 425.471
27004734 PACK-T & A 270 111.1 425.447
25087241 SUPLENA 8OZ CANS 250 25 425.471
27053718 PAD EGGCRATE 270 49.1 425.447
32100990 ABDOMINAL INC L/EXT 323 1416.8 425.463
46000064 FRC/RV 460 101.1 425.473
25980309 ALBUMIN 2.5 GM 50 ML VIAL 259 656.25 425.471
25980310 ALBUMIN 5 GM 20 ML VIAL 259 93.75 425.471
25080193 CEPHALEXIN MH 250 MG CAPSULE 250 288 425.471
25980066 DILTIAZEM HCL 5MG/ML VIAL 259 411.2 425.471
41200871 CPR 45 MINUTES 412 155.3 425.472
27007344 DRESSENETTE 270 38.5 425.447
25087058 ATOVASTATIN 40 MG TAB 250 40.65 425.471
25080750 LABETALOL HCL 200 MG TABLET 250 244 425.471
25087061 POVIDONE-IDDINE 4OZ BOTTLE 250 4 425.471
34128052 DTPA AEROSOL PENTETATE 636 138 425.465
25087041 NIZORAL 2% CREAM 30MG 250 105.87 425.471
27004848 SUTURE PLASTIC 270 16 425.447
25087016 CARBOPROST TROMEHTHAMINE 250MC 250 171.45 425.471
25081119 ACETAMINOPHEN 100 MG/ML BOTTLE 250 11.82 425.471
30002160 PROTEIN URINE -LAB 301 50.6 425.45
30103630 BILI DIRECT SER-LAB 301 56.92 425.45
25080192 CEPHALEXIN MH 250 MG/5 ML 100M 250 266.91 425.471
27053875 TRAY CATH URETHERAL 14FR 270 10.8 425.447
25087090 DICYCLOMINE 10MG CAPSULE 250 12 425.471
25081030 LEVOTHYROXINE SODIUM 75 MCG TA 250 124 425.471
30507100 FACTOR X ASSAY--LAB 305 135.1 425.45
25980225 HYDROXYZINE HCL 50 MG/ML VIAL 259 10 425.471
25080548 LANOLIN/MINERAL OIL 120 GM CRE 250 213.27 425.471
25087002 PENICILLIN G BENZANTH 1200000U 250 49.65 425.471
25880050 WATER FOR INJECT.STERILE 500 258 175.18 425.471
27004847 SUTURE TA55 270 666.6 425.447
25980122 CEFEPIME HCL 1 G/VIAL VIAL 259 51.15 425.471
27000231 ARTERIAL LINE SET 270 220.9 425.447
30126310 VITAMIN B-12 SE-LAB 301 12.38 425.45
30120940 PROSTATIC SP AG 301 20.06 425.45
27001136 BILIARY STENT KIT 270 220 425.447
27001145 SOLOPASS BILIARY ST 270 330 425.447
27007578 CART GU 270 165 425.447
27010872 LIGHT:BILI-DAILY 270 57.2 425.447
25980266 AMPHOTERICIN 50MG VIAL 636 32.82 425.471
25087231 GLUCERNA 8OZ CAN 250 9.84 425.471
30123400 T-4 RIA SERUM 301 3.88 425.45
25980060 METHYLPREDNISOLONE ACETATE 40 259 132.12 425.471
25080777 CALCIUM CARBONATE 1.25 G TAB 250 252 425.471
27004374 SUTURE:EYE/MICRO 270 117.7 425.447
92100009 DUP UPPER EXTREMITY BILATERAL 921 431.2 425.459
25980248 MUCOSIL 10% 4ML 259 47.79 425.471
27004365 SUTURE:CV 270 56.1 425.447
25087168 MUI 5ml UD Cup 250 36.66 425.471
27053689 K-PAD DISP 15 X 22 270 36.7 425.447
27053847 SUTURE REMOVAL KIT 270 3.3 425.447
25081396 ACETAMINOPHEN 160MG/5ML SOLN 250 84 425.471
25980082 ERYTHROMYCIN LACTOBIONATE 500 259 36.1 425.471
25081158 LATANOPROST 2.5 ML DROPS 250 159 425.471
25087276 VANCOMYCIN 125 MG CAPSULES 250 72 425.471
27053405 DEFIBRILLATOR 270 55.2 425.447
27054036 PANTIES MESH 270 2.4 425.447
30221900 HIV-1.SCREEN 302 11.25 425.45
36001161 DISSECTORS PEANUT 360 12.35 425.442
41200567 AERO MASK PEDS 270 24.7 425.472
34121450 REANL FLOW ONLLY 341 628.4 425.465
25080412 FENTANYL CITRATE 250MCG/5ML AM 636 11.37 425.471
27007056 EXTN SET W/INJ SITE 270 29.7 425.447
25080812 PHENAZOPYRIDINE HCL 200 MG 250 4.02 425.471
36001548 STRYKER SUCTION IRRI 360 95.2 425.442
25980073 HEPATITIS B VIRUS VACCINE 10MC 259 72.6 425.471
27004437 VENT TUBE:SHEPARD 270 56.1 425.447
27005904 URINE METER 270 64.9 425.447
27004887 TRAY -OPTH -MINOR 270 308 425.447
36001611 DRILL BIT 360 56 425.442
27005778 KIT SUTURE REMOVAL 270 28.6 425.447
25980137 NAFCILLIN SODIUM 1 G/VIAL VIAL 259 25 425.471
27053410 MESH: MARLEX 278 305.8 425.447
40232000 U/S CYST ASPIRATION 402 305.4 425.467
25081080 TRAZODONE HCL 100 MG TABLET 250 30 425.471
25081121 TRAMADOL HCL 50 MG TABLET 250 124 425.471
25080663 METRONIDAZOLE 70 GM GEL.W.APP 250 134.46 425.471
27000069 PORTEX TRACH TUBE #6 CUFFD DIC 270 121 425.447
27053878 TRAY LUMBAR PUNCTURE ADULT 270 41.7 425.447
27005859 TUBE:LEVIN 270 19.8 425.447
27006273 TRAY INFANT LUMBAR PUNCTURE 270 67.1 425.447
30125170 UREA NITRO URINE 301 40.2 425.45
25980204 THROMBIN 5 MU/VIAL VIAL 259 801.72 425.471
25080113 BENZTROPINE MESYLATE 0.5 MG TA 250 4 425.471
25081220 ACTIVATED CHARCOAL 50GM/240ML 250 83.25 425.471
27003987 PAD:PERI/BELT 270 6.3 425.447
25080606 CLOTRIMAZOLE/BETAMET DIPROP 250 170.1 425.471
25080940 MIRTAZAPINE 15 MG TABLET 250 66.49 425.471
25081170 ZINC SULFATE 220MG CAPSULE 250 124 425.471
27006282 TRAP MUCOUS SPEC 80C 270 22 425.447
30110260 FOLATE SERUM-LAB 301 12 425.45
27000029 CATH:FOLEY 270 90.6 425.447
42000198 HOT OR COLD PACKS 420 65.4 425.477
46000070 SPIROMETRY 460 83.9 425.473
25080739 NITROGLYCERIN 0.4. MG TAB 250 26 425.471
25080270 CYCLOBENZAPRINE HCL 10 MG TAB 250 412 425.471
30127019 CLONAZEPAM (CLONOPIN),REF 301 28.38 425.45
27053930 TUBING SUCTION CONNECTING 10' 270 3.3 425.447
25980075 EPHEDRINE SULFATE 50MG/ML VIAL 259 10 425.471
27053432 CARDBOARD: LEG 270 105 425.447
27005202 ANGIOCATH 270 14.3 425.447
27000618 AX55G ARTICULATOR 270 1158.2 425.447
36001725 TLC 75 LINEAR CUTTER 360 1156.8 425.442
25087157 Sucralfate 1gm/10ml UD Cup 250 4 425.471
25080227 CLINDAMYCIN HCL 150 MG CAPSULE 250 382.5 425.471
37000165 LOC/ST BY ANES - 15 MIN 370 28 425.445
27007596 VENI GARD W/TRANSPARENT MEMB 270 2.2 425.447
25080444 NITROFURANTOIN 25MG/5 ML ORAL 250 286.52 425.471
27053657 GARMENT THIGH X-LARGE 270 228.8 425.447
25080899 NIFEDIPINE 60 MG TABLET.SA 250 7.89 425.471
25087040 NIZORAL 2% CREAM 15GM 250 96.81 425.471
27053613 CRUTCHES ADULT TALL 270 59.4 425.447
25081272 VERAPAMIL HCL 40MG TABLET 250 372 425.471
25080941 MIRTAZAPINE 30 MG TABLET 250 53.62 425.471
25080613 FLUVOXAMINE MALEATE 50 MG TABL 250 91.57 425.471
27053621 DRESSING DUO DERM 8X8" 270 78.8 425.447
27007749 SNARE-CAUTERY DISP 270 110 425.447
40222850 PANCREAS 402 366 425.467
25080896 NIFEDIPINE 30 MG TABLET SA 250 37.74 425.471
25080922 FLUOXETINE HCL 10 MG CAPSULE 250 527.22 425.471
27010808 BOWL UTILITY STERILE 1 QT 270 11 425.447
42000351 ELECTRODES 270 57.2 425.447
25081029 LEVOTHYROXINE SODIUM 50 MCG TA 250 124 425.471
62007700 MASSAGE 420 72.2 425.477
25080124 BETHANECHOL CHLORIDE 10 MG TA 250 360 425.471
40212250 EXTREMITY 402 215.6 425.467
30103840 BILIRUBIN,SERUM-LAB 301 27.5 425.45
25080312 DICYCLOMINE HCL 20 MG CAPSULE 250 20 425.471
25080782 OXAZEPAM 30 MG CAPSULE 250 401.66 425.471
25080187 CITALOPRAM HYDROBROMIDE 20 MG 250 344.36 425.471
25081178 ZOVIRAX OINTMENT 15GM 250 325.26 425.471
27053615 CULTURETTE 270 3.3 425.447
25080641 METFORMIN HCL 850 MG TABLET 250 136.34 425.471
25980238 CEFUROXIME SODIUM 1.5 G VIAL 259 99.76 425.471
42007000 IONTOPHORESIS 420 54.9 425.477
27004311 TUBING:TUR 270 38.5 425.447
27004806 TRAY - EAR 270 515.9 425.447
25081031 LEVOTHYROXINE SODIUM 125MCG TA 250 132 425.471
25080630 MEPERIDINE HCL 100 MG/ML INJ. 250 10 425.471
25080615 MAGNESIUM OXIDE 400 MG TABLET 250 252 425.471
25087201 GUAFENICIN/DM 5ML UP CUP 250 4 425.471
25980161 POTASSIUM ACETATE 2 MEQ/ML VIA 259 53.75 425.471
25080253 NEOMYCIN/POLYMYX/HC OTIC SOLN 250 168 425.471
25080366 FENTANYL 25 MCG/72HRS PATCH.TD 250 462 425.471
27053425 KIT: FEMALE CATH 270 16.5 425.447
25080445 FUROSEMIDE 10 MG/ML SOLUTION 250 176.35 425.471
25081352 LISINOPRIL 5 MG TABLET 250 126 425.471
30002907 CULTURE, LEGIONELLA 300 110.9 425.45
25080807 PROMETHAZINE HCL 12.5 MG/SUP 636 12.57 425.471
32401320 CHEST THREE VIEWS 324 197.2 425.463
25980022 ATROPINE SULFATE 0.4 MG/ML VL 259 10 425.471
32019050 LUMBAR W/BENDING/FLEXING 320 326.5 425.463
25081290 FLONASE NASAL 0.05% SPRAY 250 195.03 425.471
42000315 CHLORAZENE 15GM 270 5.5 425.447
30105640 CHOLESTEROL,SE-LAB 301 56.92 425.45
25080353 BELLADONNA ALKALOIDS/PHENOBA 250 4 425.471
36001736 ENDOSCOPIC MULTI-SEAL 360 31 425.442
25980043 BETAMETHASONE SODIUM PHOSPHA 259 162.74 425.471
25081083 PENTOXIFYLLINE 400 MG TABLET S 250 364 425.471
27053460 ARMBOARD DISPOSABLE 9IN 270 3.3 425.447
25081188 CHLORAL HYDRATE 500 MG/5ML 250 18 425.471
27053906 TUBE SALEM SUMP 16FR 50" 270 7.2 425.447
25087037 AZITHROMYCIN 600MG 250 685.62 425.471
32011600 FLUORO LOCALIZATION 320 474.4 425.463
25080279 KCL 30MEQ/D5.51000 1000 ML 250 55.56 425.471
25080325 DILTIAZEM HCL SUSTAINED RELEAS 250 229.71 425.471
25080422 NA PHOS,M-B/NA PHOS,DI-BA 133M 250 24 425.471
25080125 BETHANECHOL CHLORIDE 25 MG TA 250 12 425.471
25080839 BACITRACIN/POLYMYXIN B SULFATE 250 231.93 425.471
36001458 PHACO PACK 360 309.15 425.442
25087245 PEDIALYTE 250 7.95 425.471
25880036 AMINO ACIDS 8% 500ML IV 258 229.83 425.471
25081192 GELFOAM 250 50.8 425.471
75000023 SCLEROTHERAPY NEEDLE 750 76.2 425.476
32031650 VCU GRAM 320 301.9 425.463
25980222 ETOPOSIDE 20 MG/ML VIAL 636 112.5 425.471
25081012 SILVER SULFADIAZINE 400 GM JAR 250 47.34 425.471
25081046 TETRACYCLINE HCL 250 MG CAPSUL 250 216 425.471
32020350 MYELOGRAPHY ALL LVLS 320 887.1 425.463
32033206 DISKOGRAM LUMBAR 320 887.1 425.463
25081020 SUFENTANIL CITRATE 100 MCG/2ML 250 91.76 425.471
27004707 PACK-OPTH-MINOR 270 221.1 425.447
27004932 TRAY TURP 270 221.1 425.447
27006471 PAD DEFIBRILLATOR 270 27.5 425.447
27053421 STRAIGHT GLIDE WIRE 270 220 425.447
25081157 WATER FOR IRRIGATION,STERILE 1 250 181.11 425.471
25081342 CALCITONIN BOTTLE 250 164.52 425.471
25980008 AMINOPHYLLINE 25 MG/ML 20ML V 259 98.33 425.471
25080455 GEMFIBROZIL 600 MG TABLET 250 4 425.471
25080214 CIPROFLOXACIN OPTH SOLUTION 5 250 123.93 425.471
27053795 SPLINT BUCK TRACTION MEDIUM 270 72 425.447
30121630 PTH-INTACT/C-TER L10 301 37.5 425.45
25080704 NAPROXEN 500 MG TABLET 250 4.02 425.471
27004869 TRAY - NASAL 270 430.1 425.447
41200666 PRE FILL HUMID 270 29.6 425.472
30026403 RENAL FUNCTION PANEL 300 213.55 425.45
27001537 MASK BILI INFANT EYE COVER 270 27.5 425.447
25081401 PREDNISOLONE 15MG 5ML SYRUP 250 96.33 425.471
25080155 CALCIUM GLUCONATE 650 MG TABLE 250 144.28 425.471
25080167 DOXAZOSIN MESYLATE 1 MG TABLET 250 124 425.471
25080998 SODIUM BICARBONATE 0.5 MEQ/ML 250 26.01 425.471
25087009 MEDROXYPROGESTERONE AC 150MG/M 250 168.33 425.471
25080685 MULTIVITAMINS THER W-MINERALS 250 4 425.471
25087326 POTASSIUM CITRATE 10 MEQ TAB 250 364 425.471
75000095 ESOPHAGEAL BALLOON 750 420 425.476
25980187 BUPIVACAINE HCL 2.5 MG/ML VIAL 259 26.53 425.471
25080262 LOSARTAN POTASSIUM 50 MG TABLE 250 8.88 425.471
27019987 LIGHT BILI SETUP 270 55 425.447
25087080 Septraline 25mg tablet 250 83.16 425.471
25080290 DIVALPROEX SODIUM 125 MG CAP 250 28 425.471
27006138 CULTURETTE 270 14.3 425.447
25080406 CONTAINER,EMPTY 1 BOT BOTTLE 250 19.68 425.471
25080170 DILTIAZEM HCL SUSTAINED RELEAS 250 160.89 425.471
34108910 GALLIUM SCAN 341 803.7 425.465
25087166 Valproic Acid 500mg/10ml UD Cu 250 4.32 425.471
25080386 ERYTHROMYCIN ETHYLSUCCINATE 2 250 698.25 425.471
25080007 ACETAZOLAMIDE 250 MG TABLET 250 138 425.471
27005679 CLOSURE STERI-STRIP 270 18.7 425.447
61900013 MRI TMJ 619 784 425.466
25081189 SULFAM/TRIM 200/40 5ML SUSP 250 298.63 425.471
27010408 TRAY:BLITT 270 155.7 425.447
25980156 PHENOBARBITAL SODIUM 65 MG/ML 259 75.3 425.471
25880055 LEVOFLOXACIN/DEXTROSE 5%WATER 258 129.33 425.471
27053625 DRESSING TELFA 4X3" STERILE 270 3.3 425.447
27053602 COLLECTOR URINE NEWBORN 270 4.8 425.447
25080358 CASANTHRANOL/DOCUSATE SODIUM 250 12 425.471
25080365 BISACODYL 10 MG/SUPP.RECT SUPP 250 72 425.471
25080517 IBUPROFEN 800 MG TABLET 250 4 425.471
25080619 NEO/POLYMYXB SULF/DEXAMETH 3 250 265.4 425.471
25080458 GENTAMICIN OPTH SOLN 5ML BOTTL 250 59.25 425.471
42004800 FULL BODY WHIRLPOOL 420 154 425.477
27004419 MYRINGOTOMY KNIFE 270 63.8 425.447
25080705 NALOXONE HCL 0.4 MG/ML AMPUL 250 40.92 425.471
25080236 CLONAZEPAM 2 MG TABLET 250 4 425.471
25087325 THIOGUANINE 250 667.8 425.471
30111070 GGT SERUM -LAB 301 68.53 425.45
25980281 VINCRISTINE 2MG/2ML VIAL 636 74.36 425.471
27005814 PAD ABO TENDERSORB 270 13.2 425.447
25087163 Robitussin 10ml UD Cup 250 12 425.471
25880040 LIDOCAINE HCL/D5W 4MG/ML IV 258 133.93 425.471
27053792 SOLUTION STERILE WATER 1000ML 270 3.9 425.447
25081316 AMYLASE/LIPASE/PROTEASE 10 CAP 250 12 425.471
27010426 TRAY BASIC BIOPSY 270 187 425.447
25980121 MANNITOL 12.5 GM/50ML VIAL 259 71.76 425.471
27000120 CATH:INTRODUCER 270 148.5 425.447
27007812 PEG SNARE 270 27.5 425.447
25087153 Alendronate 70 mg Tablet 250 207.23 425.471
25980155 PHENOBARBITAL SODIUM 130 MG/ML 259 43.21 425.471
25080495 HYDROCORTISONE 1% 30 GM CREAM 250 40.5 425.471
25087173 Pneumococcal Vaccine 250 105.24 425.471
25080819 PHENOBARBITAL 60 MG TABLET 250 12 425.471
25081038 TEMAZEPAM 30 MG CAPSULE 250 72 425.471
48000012 STRESS ECHO 483 733.1 425.456
25080673 MAGNESIUM HYDROXIDE 80 MEQ/30 250 10 425.471
27053424 DRESSING: GELFOAM 270 56.1 425.447
27053943 NEO-NATAL INTUBATION TRAY 270 181.5 425.447
25080595 LOPERAMIDE HCL 2 MG CAPSULE 250 37.23 425.471
25081374 METHYLERGONOVINE MALEATE 0.2MG 250 36.72 425.471
27006642 PEDIALYTE 4 OZ BTL 270 3.7 425.447
25081219 BACLOFEN 1MG/ML 480ML BOTTLE 636 30 425.471
25081387 PIOGLITZONE HCL 15 MG TABLET 250 9.99 425.471
30002043 LITHIUM SERUM -LAB 300 5.88 425.45
25081372 NICOTINE TRANSDERMAL 21M PATCH 250 13.26 425.471
25081023 SULINDAC 200 MG TABLET 250 244 425.471
30114100 IRON/SERUM 301 3.75 425.45
27000655 TPV 30 RELOADER 270 346.5 425.447
25080594 LOPERAMIDE HCL 1 MG/ML LIQUID 250 314.7 425.471
25080513 IBUPROFEN 400 MG TABLET 250 4 425.471
25080622 MECLIZINE HCL 25 MG TABLET 250 4 425.471
27005967 TRAY IRRIGATION 270 27.5 425.447
27000183 DRAPE:3-M SMALL 270 38.1 425.447
25980272 MEPERIDINE HCL 100MG/ML SYRING 259 47.5 425.471
25080878 ESTROGENS CONJUGATED 0.625 MG 250 28 425.471
25081072 TOBRAMYCIN SULFATE/DEXAMETH 250 178.42 425.471
27053913 TUBE TRACH SHILEY #1 PT 270 136.7 425.447
30121390 PROTEIN SERUM -LAB 301 56.92 425.45
25080718 NEOMY SULF/BACITRA/POLYMYXIN B 250 16.2 425.471
25081183 XANAX 0.25MG TABLET 250 124 425.471
25081240 CAPTOPRIL 1 MG/ML 100 ML BTL 250 75 425.471
25080048 AMMONIA 0.33 ML AMPUL 250 16.12 425.471
75001012 BASKET 750 336 425.476
75001013 PANCREATIC STENT 750 336 425.476
25980173 GLYCOPYRROLATE 0.2 MG/ML VIAL 259 10 425.471
27005553 TUBE ENDOTRACH 3.5MM W/O CUFF 270 31.9 425.447
25080568 LEVONTHYROXINE SODIUM 150 MCG 250 124 425.471
80100006 DRY RUN 801 333.35 425.474
32031600 UROGRAPHY RETROGRADE 320 332.7 425.463
25087286 FOSFOMYCIN 3GM POWER 250 109.5 425.471
25087290 PARAXETINE 12.5MG TAB 250 424 425.471
25081109 ACETAMINOPHEN 120 MG/SUPP.REC 250 74.67 425.471
25080087 AMOX TR/POTASSIUM CLAVULANATE 250 485.37 425.471
25081073 TOBRAMYCIN SULFATE/DEXAMETH 250 483.75 425.471
41000120 PT. EDUCATION 942 45.6 425.472
25081218 NORGESTREL-ETHINYL ESTRADIOL 250 496.68 425.471
25087272 PROZAC 10MG TABLET 250 1672.56 425.471
27000010 CATH:FOLEY 3-WAY 270 90.6 425.447
25080874 PREDNISOLONE 15 MG/5 ML SYRUP 250 313.81 425.471
30118660 PH MISC FLUIDS -LAB 301 42.15 425.45
27005796 PACK:INSTANT COLD 270 3.3 425.447
25087162 Pletal 100mg Tablet 250 15.48 425.471
25080107 DIPHENHYDRAMINE HCL 50 MG CAPS 636 12 425.471
30607400 CULTURE FUNGUS -LAB 306 11.3 425.45
25080519 ISOSORBIDE MONONITRATE 30MG TA 250 44.55 425.471
27007407 KIT MONITORING PRES (DUALLINE) 270 308.4 425.447
27000138 ECT-COMP PLATE SET 278 613.5 425.447
25081039 TEMAZEPAM 7.5 MG CAPSULE 250 124 425.471
25080741 NITROGLYCERIN 30 GM OINT. GM 250 76.59 425.471
25081145 VERAPAMIL HCL 240 MG TABLET.SA 250 6.57 425.471
27000458 SCREW:CORTICAL 360 38.1 425.442
25081346 NYSTATIN 30 GM TUBE 250 60.93 425.471
25080906 PROMETHAZINE HCL 50MG/ML AMPUL 250 62 425.471
27053956 TUBE RECTAL 32FR 270 43.3 425.447
30000911 AFB PRIMARY MIC PNL 300 12.35 425.45
27006237 AIRWAY ORAL 270 27.5 425.447
25080664 LOVASTATIN 20 MG TABLET 250 56.28 425.471
32003500 BONE SURVEY LIMITED 320 602.5 425.463
30220600 HEPATITIS C VIRUS, 302 17.06 425.45
35000456 Needle Biopsy 43-209 350 295.7 425.468
27004617 PACK -EAR 270 294.8 425.447
25080504 HYDROXYZINE PAMOATE 50MG CAP 636 4 425.471
27006597 TRAY:PLASTIC 270 97.9 425.447
27045361 CONTRAST 300-100ML 320 293.7 425.463
73101320 HOLTER MONITOR 24 HR 731 586.6 425.4591
27053485 BANDAGE STRETCH GAUZE STRL 4" 270 3.3 425.447
25080002 QUINAPRIL HCL 10 MG TABLET 250 12 425.471
25081249 PREDNISONE 1 MG TABLET 250 410 425.471
25087161 Acetaminophen 325mg/10.5ml UD 250 12 425.471
27006192 BAG LEG DISPOSAL 270 27.5 425.447
27006822 CAST LEG-SHORT 270 115.5 425.447
30002214 T-3 UPTAKE,SERUM 301 3.69 425.45
25980038 CALCIUM CHLORIDE 100 MG/ML 10M 259 94.16 425.471
25080569 LEVOTHYROXINE SODIUM 200 MCG 250 544 425.471
25980254 PENICILLIN G BENZANTH 1200000 259 171.72 425.471
25880004 DEXTROSE 10%-WATER 500ML 258 82.9 425.471
25980276 SODIUM CHLORIDE 0.9% 15ML VIAL 259 10 425.471
41200866 PEAK FLOW METER 270 69.7 425.472
25087285 CHLORHEXIDINE 0.12% RINSE 250 196.56 425.471
25080985 SIMETHICONE 80 MG TAB. CHEW 250 12 425.471
27045360 TRANS LUMBAR SET 621 79.4 425.447
27005832 CATH FOLEY 3WAY 5CC 16FR 270 92.4 425.447
27053758 SET INFUSION WING 23G X 3/4 270 3.3 425.447
30025400 URINALYSIS NO MICRO 307 16.8 425.45
40232704 AMNIOTIC FLUID INDEX 402 277.2 425.467
25080621 MECLIZINE HCL 12.5 MG TABLET 250 12 425.471
25081088 TRIAMCINOLONE ACETONIDE 15 GM 250 24.3 425.471
25080511 LOSARTAN POTASSIUM/HCTZ 1 TAB 250 13.59 425.471
25086992 HEPARIN SODIUM,PORCINE 100U/ML 250 257.5 425.471
27004122 CLIP:HEMO PACKAGE 270 17.6 425.447
25087164 Phenergan DM 5ml UD Cup 250 12 425.471
30000996 HEPATITIS B SURFACE AG 300 8.5 425.45
25980125 METHYLPREDNISOLONE SOD SUCC 259 54.15 425.471
30121450 PROTEIN-OTHER FL-LAB 301 49.06 425.45
27053484 BANDAGE STRETCH GAUZE STRL 3" 270 3.3 425.447
25087229 OSMOLITE HN PLUS 1500RTH 250 66.87 425.471
27000269 NASAL AIRWAY 270 19.8 425.447
27053614 CRUTCHES YOUTH 270 59.4 425.447
27053859 SYRINGE EAR STERILE 3 OZ 270 3.3 425.447
25087093 COMPAGINE 5MG SUPPOSITORY 250 177.6 425.471
25081184 XANAX 0.5MG TABLET 250 4 425.471
27000526 PACK-THORACOTOMY 270 528.5 425.447
25080540 ISOSORBIDE DINITRATE 10 MG TAB 250 4 425.471
25087193 AMARYL 4MG TABLET 250 18 425.471
27053601 COLLECTION URINE W/MEASURING 270 3.3 425.447
41200630 STERILE H20 500 ML 270 21 425.472
25087130 Pulmicort Respules 250 68.7 425.471
27053964 ELECTRODE BI-POLAR PACING 7FR 270 521.4 425.447
75000005 SIGMOIDOSCOPE 750 30.6 425.476
25080210 CHLORPROMAZINE HCL LIQUID 50 M 250 4 425.471
25080570 LEVONTHYROXINE SODIUM 25 MCGT 250 124 425.471
27000086 TUBING:CYSTO 270 27.3 425.447
27000194 DRAPE:CASETTE X-RAY 270 27.3 425.447
25080723 NEPHRO-VITE 1EA CAPSULE 250 4 425.471
30127080 T3-REVERSE REF 301 32.2 425.45
25080715 NEOMY SULF/GRAMICID D/POLY 10M 250 85.8 425.471
27005454 BEDPAN FRACT/STACK 270 3.3 425.447
27005607 BASIN EMESIS 270 3.3 425.447
25087324 ATAZANAVIR 200 MG 250 137.18 425.471
25080903 FLUPHENAZINE HCL 5MG/ML BOTTLE 250 514.53 425.471
25080084 IPRATROPIUM NASAL SP 0.03% 21 250 171 425.471
25081299 MYCOPHENOLATE 250MG CAP 250 123.48 425.471
27053719 PAD EYE GAUZE 270 3.3 425.447
27053835 STYLET INTUBATION 14FR 270 16.5 425.447
46000018 DLCO 460 170.1 425.473
25080103 BELLADONNA ALKALOIDS/PHENOBA 250 106.2 425.471
25980293 FLUPHENAZINE DECANOATE 25MG/ML 259 253.26 425.471
27000110 PIN:STEINMAN 270 63.3 425.447
27005697 IV ARMBOARD 270 18.7 425.447
25980132 METHOTREXATE SODIUM 25 MG/ML 636 35.5 425.471
25080742 NITROFURANTOIN MACROCRYSTAL 250 484 425.471
27053907 TUBE SALEM SUMP 18FR 270 7.2 425.447
25080978 SALMETEROL XINAFOATE 13 GM A 250 251.49 425.471
25980092 HEPATITIS B IMMUNE GLOBULIN 1M 259 502.5 425.471
27010265 PACK:BURN LINEN 270 100.1 425.447
25080267 CYANOCOBALAMIN 500 MCG TABLET 250 12 425.471
27053898 TUBE FEEDING 8FR 270 3.7 425.447
25080781 OXAZEPAM 15 MG CAPSULE 250 12 425.471
27009991 CART:CAST 270 165 425.447
25080430 FLUPHENAZINE HCL 10 MG TABLET 250 29.32 425.471
27053996 INTUBATION MODULE - PURPLE 270 123.1 425.447
25080509 TERAZOSIN HCL 2 MG CAPSULE 250 292.95 425.471
25087217 PAROXETINE 40MG TABLET 250 9.21 425.471
25081230 DANTROLENE SODIUM 5 MG/ML 250 37.5 425.471
25980231 LIDOCAINE HCL/EPINEPHRINE 50 M 259 17.4 425.471
27054028 DISPOSABLE CAUTERY - ER 270 69.52 425.401
27054030 RESTRAINTS,LEATHER 270 69.3 425.401
27006201 BLOOD FILTER 270 53.9 425.447
27000066 PORTEX TRACH TUBE #7 FEN DIC 270 121 425.447
27001534 PACER ELECT BIPOLAR 270 242 425.447
30002223 SODIUM SERUM -LAB 301 60.5 425.45
27053428 ET - STYLET 270 20.9 425.447
32007750 CYSTOGRAPHY 3V 320 240.3 425.463
25080169 DOXAZOSIN MESYLATE 4 MG TABLET 250 12 425.471
25087205 DEXAMETHASONE 4MG/ML 5ML VIAL 250 105.12 425.471
27006507 TRAY:NASAL HEMMORAGE 270 119.9 425.447
27053628 DRESSING XEROFORM 2X2" 270 4.2 425.447
25080680 IBUPROFEN 100 MG/5ML ORAL SUSP 250 42.77 425.471
25081264 OFLOXACIN OPTH DROPS 5ML BOTL 250 118.65 425.471
27006588 TRAY:THORACOTOMY ADULT 270 473 425.447
25080603 CLOTRIMAZOLE 15 GM CREAM 250 60.75 425.471
25080259 WARFARIN SODIUM 2.5 MG TABLET 250 64 425.471
25080420 ASPIRIN/CAFFEINE/BUTALBITAL 1C 250 124 425.471
27053603 COLLECTOR URINE PEDIATRIC 270 4.8 425.447
30002763 HANDLING CHARGE 300 16.8 425.45
25080660 METOPROLOL TARTRATE 1 MG/ML 5M 250 23.74 425.471
25080910 PROPRANOLOL HCL 10 MG TABLET 250 244 425.471
25080927 PYRIDOXINE HCL 50 MG TAB 250 4 425.471
25080975 SENNA 187 MG TABLET 250 24 425.471
25980282 SOD PHOSPH, M,D-BASIC 4MEQ/ML 259 136.72 425.471
27000246 TRAY-THORACOTOMY 270 467 425.447
25081330 FLUVOXAMINE MALEATE 100 MG TAB 250 10.14 425.471
34000327 ALBUMIN AGGREVATED 340 33.3 425.465
25080151 CALCIUM CARBONATE 650 MG TABLE 250 4 425.471
25080902 NIFEDIPINE 10MG CAPSULE 250 176 425.471
27004455 SCREW:CORTICAL 278 38.5 425.447
27010857 TRAY:INCISION/DRAIN 270 154 425.447
25081319 PSYLLIUM 5.8 GM PACKET 250 366.07 425.471
27000012 CATH:SUPRAPUBIC INTRODUCER SET 270 227.2 425.447
27004077 DRAIN:PENROSE 270 7.7 425.447
27053975 EXTERNAL CATH 10FR REPAIR KIT 270 453.2 425.447
30001791 CORTISOL PLASMA-LAB 301 13.63 425.45
27053517 BOTTLE BABY 8OZ 270 3.8 425.447
36001602 USE OF PHACO MACHINE 360 112 425.442
27010256 CATH:SUBLAVIAN 270 40.7 425.447
25081112 ACETAMINOPHEN 325 MG/SUPP.REC 250 13.85 425.471
27053486 BANDAGE STRETCH GAUZE STRL 6" 270 4 425.447
30114430 LACTIC ACID BL-LAB 301 18.5 425.45
36001557 STRYKER TIP 360 37 425.442
48100207 HEART PACK 622 221.8 425.457
27053544 CATH IV ANGIO 18G X 1.25 270 8.8 425.447
25080533 POLIOMYELTIS VAC,KILLED 0.5 ML 250 87.42 425.471
25080319 DIGOXIN 50 MCG/ML ELIXER 250 187.2 425.471
42000261 WOUND CARE 420 72.8 425.477
25081347 CILOSTAZOL 50 MG TABLET 250 5.16 425.471
25081018 PSEUDOEPHEDRINE HCL 30 MG TAB 250 23.6 425.471
27010181 BLOOD PUMP SET 270 30.8 425.447
25980048 CIMETIDINE HCL 150MG/ML 2ML VL 259 35 425.471
27053784 SLING ARM LARGE 270 10.2 425.447
25080956 DEXTROMETH/PSEUD/CARBINOX DR 250 278.01 425.471
32033200 ZYGOMATIC ARCH 320 141.7 425.463
27009885 RELOAD TR 90 270 424.6 425.447
27001514 TRAY:BRONCHOSCOPY 270 140.8 425.447
27003942 DRESSING:KLING-ALL 270 17.6 425.447
30234916 HELICOBACTER PYLON IGA,REF 302 15.63 425.45
27004689 PACK NASAL 270 210.1 425.447
40232253 ULTRASOUND SOFT TISSUE NECK 402 420.2 425.467
30121030 PROT ELECTRO UR-LAB 301 8.94 425.45
25080487 HALOPERIDOL 2 MG TABLET 250 136 425.471
30501300 BLEED TIME IVY-LAB 305 104.72 425.45
25087198 RAMIPRIL 10MG CAPSULE 250 36.72 425.471
25081125 DIAZEPAM 5 MG TABLET 250 12 425.471
27006984 STOCKINETTE BIAS YD 270 3.3 425.447
27007803 PEG FORCEPS 270 27.5 425.447
27053773 SHILEY TRACH TUBE NEONAT OO-PT 270 136.7 425.447
27000065 SURGICAL PATTIES 270 27.3 425.447
25880037 SODIUM CHLORIDE 3% 500 ML IV 258 51.56 425.471
25880027 DEXTRAN 40/DEXTROSE 5%-WATER 258 408.06 425.471
30002070 OSMOLALITY SERU-LAB 301 12 425.45
30000920 OVAL & PARASITE EXAM 300 9.95 425.45
25081036 POLYVINYL ALCOHOL 15 ML DROPS 250 19.71 425.471
27007272 TOWEL 2PK STERILE 270 11 425.447
27053879 TRAY LUMBAR PUNCTURE PEDS 270 31.3 425.447
25081242 BOWEL PREP KIT 250 58.05 425.471
27004284 TUBE:SUCTION 270 17.6 425.447
30000008 VITAMIN D 300 50.6 425.45
25080177 CARISOPRODOL 350 MG TABLET 250 4 425.471
75001015 USE OF ROOM ADDL 30 MIN 750 201.6 425.476
25087126 Coreg 25mg Tablet 250 314.76 425.471
25087136 Patanol 0.1% 5ml 250 200.64 425.471
25080450 FUROSEMIDE 80 MG TABLET 250 12 425.471
25081042 TERBUTALINE SULFATE 2.5 MG TAB 250 4 425.471
36001125 BSS SOLUTION 500CC 360 133.3 425.442
27005328 BRIEF CONT ADULT LRG 270 3.3 425.447
30127062 NEURONTIN LEVEL,REF 301 44 425.45
36001197 GUIDE WIRE USCI 360 49.3 425.442
25081233 TIZANIDINE HCL 4MG TABLET 250 392.67 425.471
27000527 PACK-THYROIDECTOMY 270 392.5 425.447
36001566 STRYKER CONE SHIELD 360 28 425.442
27053885 TUBE COLON 28FR X 30" 270 43.5 425.447
25080604 CLOTRIMAZOLE 45 GM CREAM.GM 250 48.75 425.471
25080840 BACITRACIN/POLYMYXIN B SULFATE 250 83.16 425.471
25087106 ALTACE 5 MG 250 4.56 425.471
30026407 INDIAINK-CRYPTOSPORIDIUM EXAM 300 63.91 425.45
25080264 INDINAVIR SULFATE 400 MG CAPS 250 18.24 425.471
27010889 CATH:ALL PURPOSE 270 6.6 425.447
27000213 BRONCHOSCOPE 270 76.3 425.447
27000217 ENDOSCOPE 270 76.3 425.447
25080390 ERYTHROMYCIN STEARATE 250 MG 250 180 425.471
27006516 SPLINT WRIST FOREARM 270 53.9 425.447
25080981 SILVER NITRATE 1 PKT EACH 250 172 425.471
25080477 NICOTINE TRANSDERMAN 14MG PTCH 250 13.92 425.471
25980135 SODIUM MORRHUATE 50 MG/ML 30M 259 187.5 425.471
25081234 PROMETHAZINE HCL 120 ML BTL 250 31.02 425.471
25080602 BENAZEPRIL HCL 5 MG TABLET 250 132 425.471
27006102 IV BUTTERFLY 270 14.3 425.447
25980232 LIDOCAINE HCL/EPINEPHRINE 10ML 259 10 425.471
25980271 MEASLES,MUMPS,RUBELLA 0.5ML VI 259 123.3 425.471
27004761 CVP LINE 270 184.8 425.447
27006759 KIT PEDIATRIC CATHETER 270 13.2 425.447
27007623 POLYPECTOMY PACK 270 61.6 425.447
32001197 TOE GREAT RIGHT 320 92.4 425.463
34101980 BONE SCAN LTD AREA 341 123.2 425.465
41200801 VENTI MASK 270 30.8 425.472
27053998 INTUBATION MODULE - WHITE 270 123.1 425.447
27000112 HIP COMP SET-ZIMER 278 369.1 425.447
25980256 LIDOCAINE 20 MG/ML VIAL 259 88.57 425.471
25081092 TRIHEXYPHENIDYL HCL 2MG TABLET 250 4 425.471
25087211 AMLODIPINE 2.5 MG TABLET 250 92.22 425.471
25080242 BENZTROPINE MESYLATE 1 MG/ML 2 250 22.33 425.471
25880035 FAT EMULSIONS 500 ML IV 258 90.87 425.471
25087176 Clorazepate 3.75 mg Tablet 250 17.28 425.471
25980230 LIDOCAINE HCL 5 MG/ML VIAL 259 14.49 425.471
27053986 CURETTE DISPOSABLE 270 36.2 425.447
25087121 Urocit K5 Tablet 250 360 425.471
25081013 SILVER SULFADIAZINE 50 GM TUBE 250 17.1 425.471
25080844 FLUORIDE ION/MULTIVITIS W-FE 250 35.88 425.471
27053671 IMMOBILIZER KNEE 20" 270 89.4 425.447
25087204 ENALAPRIL 20MG TABLET 250 13.68 425.471
27000093 DSG ADAPTIC 3X8 270 18.7 425.447
25080213 CHOLESTYRAMINE/ASPARTAME 4 G 250 11.14 425.471
25880068 AMINOSYN 2 15% (AA15%) 258 50.4 425.471
32021300 OS CALCIS (CALCANEUS)(HEEL)RT 320 117.1 425.463
33900000 CONCIOUS SEDATION 339 350 425.4081
25081185 BUPROPION 100MG TABLET 250 21.6 425.471
32001250 AC JOINTS BILAT W/WO WEIGHT 320 172.5 425.463
25080805 PHENOBARBITAL 100 MG TABLET 250 20 425.471
36001071 SHT STAY SURG CATARA ADD 1/4 360 114.25 425.442
25080838 BACITRACIN/POLYMYXIN B SULFATE 250 22.03 425.471
25080628 MEGESTROL ACETATE 40 MG TABLET 250 64 425.471
30511200 PLATELET CT BL -LAB 305 48.56 425.45
27001609 SUTURE EXTRA 270 30.8 425.447
25980303 COLLAGENASE 1 GM SYRINGE 259 337.5 425.471
30127058 TP 24HR TOTAL PROTIENT,REF 301 6.75 425.45
25080150 CALCIUM CARBONATE 500 MG TAB.O 250 12 425.471
27000125 P O R P/T O R P 270 334.8 425.447
27053412 BONE WAX 270 18.6 425.447
25080433 FLUPHENAZINE HCL 5 MG TABLET 250 4.05 425.471
25081314 MULTIVITAMINS/MINERALS 120ML 250 18.45 425.471
25081383 ACETAMINOPHEN/COD #4 1 TABLET 250 4 425.471
31004200 CHLAMYDIA 311 27.6 425.45
25080694 SIMETHICONE 40 MG/0.6 ML DROPS 250 19.44 425.471
27007119 EXCERCISER:LEG SET-UP 270 66 425.447
36001323 CATH:ACMI LOOP 360 164.65 425.442
25080955 CALCITRIOL 0.25 MCG CAPSULE 250 25.56 425.471
25080189 MENTHOL/CETYLPYRD CL 2 MG LOZE 250 12 425.471
42014200 ULTRASOUND 420 65.4 425.477
27000191 VEIN STRIPPERS:DIS 270 81.7 425.447
46021450 VC W/PRED 460 29.7 425.472
25080147 CALCIUM CHLORIDE 10% PF SOLN10 250 34.66 425.471
25081087 TRIAMCINOLONE ACETONIDE/L.S.B 250 104.1 425.471
25080795 PENICILLIN V POTASSIUM 500 MG 250 4 425.471
27053832 STOMAHESIVE WAFER 2.75" 270 16.2 425.447
25880054 LEVOFLOXACIN/DEXTROSE 5%WATER 258 64.65 425.471
33900002 EPIDURAL LUMBAR/SACRAL CAUDAL 339 323 425.4081
27000082 CATH:ACMI LOOP 270 161.2 425.447
30000002 CLOZARIL (CLOZAPINE) 300 20.13 425.45
30701650 DRUG SCREEN SER 307 18.94 425.45
25081044 TETANUS TOXOID ADSORBED 0.5ML 250 10 425.471
30000992 HEPATITIS B CORE AB 300 12.25 425.45
25080500 HYDROCORTISONE 1% 30 GM CREAM 250 26.52 425.471
27005751 TUBE FEEDING 5FR 15" 270 18.7 425.447
27006543 AIRWAY NASAL 270 39.6 425.447
27000024 CATH:PIGTAIL 270 63.3 425.447
25081115 ACETAMINOPHEN 650 MG/SUPP.REC 250 12 425.471
75000010 CAUTERY DISP 750 63.2 425.476
27006867 RESTRAINT HAND MITTENS 270 35.1 425.447
27000057 PLEUROVAC 270 314.8 425.447
25080126 BETAXOLOL OPTH SOLN 10 ML BOTT 250 156.75 425.471
27000442 DRILL BURRS 270 155.7 425.447
41200870 CPR 1.5 HRS 412 310.5 425.472
27053901 TUBE LEVIN 16FR 270 3.3 425.447
25080030 ALLOPURINOL 300 MG TABLET 250 18 425.471
32009900 FACIAL BONES LTD 320 154 425.463
27053829 STOCKING THIGH X-LARGE 270 23.6 425.447
25081395 NEOSPORIN GU IRRIGATION 1ML 250 38.19 425.471
25080716 NEOMY SULF/BACITRA/POLYMYXIN B 250 87 425.471
27053794 SPLINT BUCK TRACTION X-SMALL 270 76.1 425.447
25087103 DID ANOSINE 100MG TABLET 250 62.1 425.471
27010378 TRAY:CUT-DOWN 270 302.5 425.447
25980064 DIAZEPAM 5 MG/ML VIAL 259 42.4 425.471
75001014 USE OF ROOM ADDL 15 MIN 750 100.8 425.476
25080707 NALOXONE HCL 1 MG/ML 2ML AMPUL 250 77.37 425.471
30000007 CNAB 300 16.75 425.45
25080211 BENZOCAINE/MENTHOL 1 EA LOZENG 250 4 425.471
27053623 DRESSING OPSITE 11" X 4" 270 33.3 425.447
34000334 SULFUR COLLOID 340 33.3 425.465
36001278 VAGINAL PACKING 360 15.7 425.442
25081357 ABACAVIR 300MG TABLET 250 63.72 425.471
25081228 TRIFLURIDINE 1% 7.5 ML BOTTLE 250 297.03 425.471
27006435 TRAY THORACENTESIS 270 99 425.447
25080688 NYSTATIN/TRIAMCIN 15 GM CREAM 250 38.7 425.471
25080307 DICLOXACILLIN SODIUM 250 MG 250 232 425.471
25980306 LORAZEPAM 4 MG/ML VIAL VIAL 259 56.08 425.471
32019750 MASTOID SERIES 320 295.7 425.463
48132685 Primo Pac Card Multipack & In 481 295.7 425.457
25081161 LIDOCAINE HCL 2% JEL 30ML TUBE 250 60.05 425.471
25080990 CARBIDOPA/LEVODOPA 1 UDTAB TAB 250 4 425.471
25980116 LIDOCAINE HCL/EPINEPHRINE 30 259 10 425.471
27000020 CATH:SUCTION 270 18.1 425.447
25080121 POVIDONE-IODINE 15 ML BOTTLE 250 4.8 425.471
27053802 SPLINT BUCK TRACTION SMALL 270 72 425.447
25080764 NYSTATIN 15 GM OINT. GM 250 25.2 425.471
25980142 NITROPRUSSIDE SODIUM 25 MG/ML 259 35 425.471
25081175 ZOFRAN 4MG 250 56.97 425.471
30101170 ALK PHOS,SERUM LAB 301 56.92 425.45
27053728 PLUG CATHETER PROTECTOR 270 3.3 425.447
32003550 BONE SURVEY CHILD 320 283.4 425.463
32402310 CHEST CARDIAC SERIES 324 283.4 425.463
25081356 RITONAVIR 100MG CAPSULE 250 53.5 425.471
36001593 SAW BLADESRECIRROC 360 40.35 425.442
25980026 CYANOCOBALAMIN 1000 MCG/ML VL 259 10 425.471
25087178 Prograf 1mg Capsule 250 29.88 425.471
25980056 HYDROCORTISONE SOD SUCCINATE 259 12.09 425.471
30112270 HAPTOGLOBIN 301 19.81 425.45
32001197.2 TOE GREAT LEFT 320 92.4 425.463
25087315 OXYCONTIN 10 MG (OXY10) 250 25.2 425.471
27005688 PAD PERI STR EA 270 3.3 425.447
27053639 ENEMA BUCKET 1500ML 270 4.2 425.447
32001197.3 TOE 2ND LEFT 320 92.4 425.463
25080442 FOSINOPRIL SODIUM 10 MG TABLET 250 28 425.471
25081217 MAGNESIUM CITRATE 8OZ 296ML 250 4 425.471
27053422 ANGLED GLIDE WIRE 270 138 425.447
27004830 DRILL BIT 270 55 425.447
27010855 TRAY:EMERG DELIVERY 270 137.5 425.447
27053942 CUTDOWN TRAY (PEDS/NURSERY) 270 275 425.447
36001719 BAIR HUGGER/BLANKET 710 39.2 425.442
30000011 PLATELET ANTIBODY PANEL 300 54.28 425.45
27053731 POUCH DRAINABLE 2 3/4 OPAQUE 270 10.4 425.447
27004563 VESSEL LOOPS 270 38.5 425.447
25080157 CAPTOPRIL 12.5 MG TABLET 250 4 425.471
25080550 LABETALOL HCL 100 MG TABLET 250 4 425.471
25080996 MAGNESIUM CHLORIDE 64 MG TABLE 250 244 425.471
32030850 TRANSLUM RENAL STENT 320 268 425.463
25081361 DRISDOL 8000 U/ML 60ML BOTTLE 250 266.58 425.471
25080868 PREDNISONE 5MG/5 ML SOLUTION 250 293.48 425.471
25980312 HEPARIN SOD,PORCINE 1000U 1ML 259 34.44 425.471
27053434 SPLINT:FINGER GUARD 270 16.5 425.447
25087135 Zithromax 200mg/5ml 250 170.54 425.471
25980186 BUPIVACAINE HCL/EPINEPHRINE 50 259 37.65 425.471
43019170 INDIV TREATMT 15MIN 430 43.8 425.479
25080154 CALCIUM GLUCONATE 500 MG TABLE 250 6 425.471
25080453 GELATIN SPONGE, ABSORBABLE 100 250 132.75 425.471
32009600 EYE FOR FOREIGN BODY 320 258.8 425.463
27005616 BASIN RECT 8 QT 270 3.3 425.447
25080051 AMOXICILLIN TRIHYDRATE 250 MG 250 124 425.471
27006561 SPLINT TRACTION BUCK 270 127.6 425.447
25980035 ESMOLOL HCL 10 MG/ML VIAL 259 63.78 425.471
25880016 DEXTROSE 5%-LACTATED RINGERS 258 36.18 425.471
25080246 PROCHLORPERAZINE MALEATE 10 MG 250 4 425.471
27053687 KIT THERMODILUTION CATH 7FR 270 250.8 425.447
25080359 DOXYCYCLINE HYCLATE 100 MG CAP 250 96.48 425.471
30111730 GLUCOSE QUANT UR-LAB 301 41.36 425.45
25087165 Phenergan/Codine 5ml UD Cup 250 12 425.471
27005418 DSG IV CATH TRANSPORT 270 27.5 425.447
27053997 INTUBATION MODULE - YELLOW 270 123.1 425.447
27053999 INTUBATION MODULE - BLUE 270 123.1 425.447
25081053 THEOPHYLLINE ANHYDROUS 300 MG 250 4 425.471
25081302 METHYLDOPA 250MG TABLET 250 18 425.471
25080409 FAMCICLOVIR 250 MG TABLET 250 11.04 425.471
25081379 CARBIDOPA/LEVODOP 50/200 1 TAB 250 38.34 425.471
25080188 CITALOPRAM HYDROBROMIDE 40 MG 250 28.35 425.471
27053902 TUBE LEVIN 18FR 270 3.3 425.447
25080049 AMOXICILLIN TRIHYDRATE 125 MG/ 250 60 425.471
25081389 OXYBUTYNIN XL 5 MG TAB 250 12 425.471
25980023 ATROPINE SULFATE 1MG/ML VL 259 10 425.471
25080525 AZATHIOPRINE 50 MG TABLET 250 23.94 425.471
25081069 TIMOLOL 0.5% 2.5 ML BOTTLE 250 33.99 425.471
27054003 I.V. DELIVERY MODULE - PURPLE 270 79 425.447
25080646 METHOCARBAMOL 500 MG TABLET 250 12 425.471
25080816 PROMETHAZINE HCL 25 MG TABLET 636 364 425.471
25080091 BACITRACIN ZINC 15 GM TUBE 250 14.4 425.471
25080346 CHLOROTHIAZIDE 250 MG/5 ML ORA 250 92.9 425.471
32025200 SCAPULA RIGHT COMPLETE 320 117.1 425.463
25080554 LANOLIN/MIN OIL /PETROLAT WHT 250 155.7 425.471
27053465 BAG LEG LARGE 32OZ 270 9.7 425.447
27053887 TUBE COLON 32FR 270 57.9 425.447
27006579 PELVIC HOLDER LARGE 270 77 425.447
25087059 ATOVASTATIN 80 MG 250 10.92 425.471
25980180 BUPIVACAINE HCL/EPINEPHRINE 30 259 31.93 425.471
25080001 ZAFIRLUKAST 20 MG TABLET 250 4 425.471
25080077 ASCORBIC ACID 250 MG TABLET 250 4 425.471
25087151 Atenolol 100 mg Tablet 250 4 425.471
43015030 FINGER SLEEVE 270 9.9 425.479
30231100 RUBELLA 1GG 302 5.13 425.45
25087122 Cipro HC Otic Solution 250 225 425.471
30126971 ALPHA FETO PROTEIN,REF 301 16.06 425.45
27004059 CATH:URETERAL 270 56.1 425.447
27010789 BITE BLOCK 270 13.2 425.447
27053483 BANDAGE STRETCH GAUZE STRL 2" 270 3.3 425.447
25980012 AMPICILLIN SODIUM 500 MG VIAL 259 25.66 425.471
25080642 METHYLERGONOVINE MALEATE 0.2 250 4 425.471
25080137 NA SUL/PREDNISOL 0.2% OPTH SOL 250 111.63 425.471
27004023 CATH:EMBOLECTOMY 270 222.2 425.447
25080067 HYDROCORTISONE ACETATE 25 MG/ 250 4 425.471
27005994 KIT:ADMIT PEDIATRIC 270 27.5 425.447
27053576 CATHETER FOLEY 30FR 30CC 270 31.4 425.447
30231600 SKIN TEST COCCI LAB 302 54.94 425.45
27053790 SOLUTION SODIUM CHLORIDE 2000 270 7.8 425.447
41000059 25FT NASAL CANNULA 270 16.8 425.472
27053900 TUBE LEVIN 14FR 270 3.3 425.447
30514903 CD-4 CD-8 RATIO,REF 305 15.5 425.45
25080158 CAPTOPRIL 25 MG TABLET 250 4 425.471
25080577 FLUOCINONIDE 15 GM CREAM.GM 250 81 425.471
25081225 DOCUSATE SODIUM 50 MG/ML 250 144 425.471
27005508 TRAY ADD A FOLEY 270 53.9 425.447
40213150 FETAL ECHO FOLLOW-UP 402 215.6 425.467
25087133 Lidex Ointment 15gm 250 53.85 425.471
25080820 CODEINE/PROMETHAZINE HCL 120 250 44.47 425.471
25080387 ERYTHROMYCIN ESTOLATE 250 MG/5 250 74.76 425.471
25980010 AMPICILLIN SODIUM 250 MG VIAL 259 24.58 425.471
25081174 ZOCOR 10MG 250 22.77 425.471
25080276 MISOPROSTOL 100 MCG TABLET 250 12 425.471
25880002 SODIUM CHLORIDE 0.45% 500ML 258 39.67 425.471
30002556 COMPLEMENT-C4 SE-LAB 300 11.75 425.45
35206270 CT RECONST PER SLICE 352 23.5 425.468
25081200 IV SET PCA EACH 250 30 425.471
27053595 CLOSURE WOUND ADH 1/4X4 270 6 425.447
27053712 PACKING NUGAUZE IODOFORM 1 270 16.1 425.447
27007299 DRESSING ADAPTIC 3" X 8" 270 11 425.447
27010288 CATHETER TROCAR 28FR 270 104.5 425.447
32011450 FISTULA/SINUS TCT 320 208.4 425.463
25081179 ZYLOPRIM 100MG 250 12 425.471
25081280 METHYLPHENIDATE 10MG TABLET 250 4 425.471
27001031 HEATHER PROBE COAG 270 202 425.447
25080016 OXYMETAZOLINE HCL 15 ML BOTTLE 250 14.34 425.471
25980235 LIDOCAINE HCL 5 MG/ML VIAL 259 57.36 425.471
25080345 DISULFIRAM 250 MG TABLET 250 4 425.471
25980095 HEPARIN SODIUM,PORCINE 10 MU/M 259 10 425.471
25080129 CLARITHROMYCIN 500 MG TABLET 250 12.42 425.471
30217800 CRYPTOCOCCUS AB -L02 302 99.1 425.45
27053988 MAGNA PAD 270 33 425.447
25081146 VERAPAMIL HCL 80 MG TABLET 250 4 425.471
25087224 PULMOGARE 8OZ CAN 250 7.83 425.471
25980261 MIDAZOLAM 10 MG/25ML VIAL 259 39.8 425.471
27053831 STOMAHESIVE WAFER 2.25" 270 16.2 425.447
25080687 CLOTRIMAZOLE 10 MG TROCHE 250 4.83 425.471
30234912 RHEUMATOID FACTOR TITER,REF 302 8.38 425.45
27005949 HOLDER ENDOTRAC TUBE 270 27.5 425.447
25087113 Surgicel 250 192 425.471
25087159 Acetaminophen 650mg/20.3ml UD 250 12 425.471
25081054 THEOPHYLLINE ANHYDROUS 80 MG 250 17.63 425.471
27000034 BAG:URINARY DRAIN 270 38.1 425.447
25081366 POLYCITRA 480ML BOTTLE 250 95.19 425.471
27053539 CATH FOLEY 5CC 22FR 270 21.1 425.447
25980290 MIACALCIN 200 UN/ML VIAL 2ML 259 63.17 425.471
25980181 BUPIVACAINE HCL/EPINEPHRINE 30 259 23.64 425.471
25087019 APRACLONIDINE 5ML 250 187.5 425.471
30234902 CA 19-9,REF 302 18.63 425.45
25980184 BUPIVACAINE HCL/EPINEPHRINE 50 259 45.19 425.471
30216700 COMPLEMEN-C-3 SE-LAB 302 9.75 425.45
25080527 INDIGOTINDISULFONATE SODIUM 5 250 37 425.471
32000232 GASTROVIEW 320 92.4 425.463
27000240 SPLINT:LEG 270 184.6 425.447
30107290 CRYSTAL ID-LAB 301 61.5 425.45
27053562 CATHETER COUDE FOLEY 16FR 5CC 270 46.1 425.447
25081263 GUAIFENESIN 600MG TABLET 250 4 425.471
27053429 ESOPHAGEAL AIRWAY 270 23 425.447
25087052 GENTAMICIN 0.3% 3.5 GM 258 26.25 425.471
27053822 STOCKING KNEE LARGE 270 13.1 425.447
25080867 PREDNISONE 50 MG TABLET 250 23.2 425.471
30220200 HBE AB 302 20.21 425.45
27006039 SPLINT CLAVICLE 270 60.5 425.447
30000921 VIRAL CULTURE (X2) 300 20.1 425.45
25081108 CALCIUM CARBONATE 500 MG TAB.C 250 12 425.471
25081294 THYM/MENTH/GLYCER/CALA OINT 250 15 425.471
25980228 HYALURONIDASE 150 U/VIAL 259 90 425.471
27053938 WAFER STOMAHESIVE 4" FLANGE 270 22.4 425.447
25087003 PENCILLIN G BENZANTH 2400000U 250 120.84 425.471
41000021 TENT CANOPY 270 89 425.472
27053535 CATH FOLEY 5CC 14FR 270 16.1 425.447
36001734 ENDO LOOP VICRYL 360 176.25 425.442
25080993 THEOPHYLLINE ANHYDROUS 200 MG 250 4 425.471
27053579 CATHETER FOLEY 3-WAY 20FR 5CC 270 44 425.447
42002700 DEBRIDEMENT 420 87.6 425.477
25087023 HCTZ/TRIAMTERENE 1UDTAB 250 129 425.471
25081152 ASCORBIC ACID 500 MG/5 ML SYRU 250 10.83 425.471
30002484 MYCOPLASMA AB-CF-LO1 302 15.75 425.45
27053683 KIT CATH INTRODUCER 8FR 270 173.1 425.447
25080327 DILTIAZEM HCL 30 MG TABLET 250 4 425.471
25080986 CARBIDOPA/LEVODOPA 1 UDTAB TAB 250 16 425.471
25081144 VERAPAMIL HCL 180 MG TABLET.SA 250 17.19 425.471
27054009 INTRAOSSEOUS MODULE - PINK/RED 270 171.5 425.447
27054010 INTRAOSSEOUS MODULE - PURPLE 270 171.5 425.447
27054011 INTRAOSSEOUS MODULE - YELLOW 270 171.5 425.447
27054013 INTRAOSSEOUS MODULE - BLUE 270 171.5 425.447
27000652 TCT 55 RELOADER 270 169 425.447
25080408 CONTAINER,EMPTY 1 BOT BOTTLE 250 18.75 425.471
25080135 SOD SULFACETAMIDE 10% OPTH SO 250 16.26 425.471
30101020 ALDOSTERON SERUM L-12 301 33.69 425.45
27005427 SWABSTICK BETADINE 270 3.3 425.447
27006345 STOPCOCK 3 WAY 270 18.7 425.447
25087331 DYRENIUM 100MG 250 556 425.471
25081142 VERAPAMIL HCL 120 MG TABLET.SA 250 4.53 425.471
30000995 HEPATITIS B SURFACE AB 300 9.31 425.45
25980076 EPINEPHRINE 1MG/ML 30ML VIAL 259 27.75 425.471
30216100 CMV AB 1GG, 1GM, SERUM 302 11.06 425.45
25980074 HEPATITIS B VIRUS VACCINE 20MC 259 165.3 425.471
27004149 TRAP:BRONCH 270 27.5 425.447
27045362 CONTRAST 300-50ML 320 165 425.463
25080333 D-METHORPHAN HB/PPA HCL/BPM 36 250 32.94 425.471
25081208 MULTIVITAMIN, THERAPEUTIC 250 12.66 425.471
25080047 AMITRIPTYLINE HCL 50 MG TABLET 250 24 425.471
25080004 PAPAIN/UREA 30 GM TUBE 250 163.65 425.471
25087117 Terbinafine 250mg Tablet 250 27.15 425.471
25980295 INSULIN LISPRO INJ 100 U/ML 259 162.3 425.471
25080745 KETOCONAZOLE 60 GM CREAM.GM. 250 160.8 425.471
25080141 NA/K/CA/MAG EYE SOLUTION 15 ML 250 17.82 425.471
25080843 FLUORIDE ION/MULTIVITAMINS 250 40.02 425.471
25080343 DIPYRIDAMOLE 25 MG TABLET 250 60 425.471
25080512 IBUPROFEN 200 MG TABLET 250 12 425.471
25080881 PRENATAL VIT/FE FUMARATE 250 4 425.471
25081050 THEOPHYLLINE ANHYDROUS 200 MG 250 12 425.471
25080918 FINASTERIDE 5 MG TABLET 250 7.98 425.471
25980313 INFLUENZA VACCINE 0.5ML VIAL 259 15.96 425.471
27006633 TRAY:UMBILICAL 270 159.5 425.447
25080834 HYDROXYCHLOROQUINE SULFATE 250 11.96 425.471
27004293 TUBE:LEVINE 270 17.6 425.447
27054006 I.V. DELIVERY MODULE - BLUE 270 79 425.447
27054007 I.V. DELIVERY MODULE - ORANGE 270 79 425.447
27053823 STOCKING KNEE MEDIUM 270 13.1 425.447
25080332 PPA HCL/BR-PHENIR MAL 120 ML 250 48.5 425.471
25080708 FLUNISOLIDE 25 ML SPRAY 250 156.72 425.471
25080543 ISOSORBIDE DINITRATE 5 MG TABL 250 4 425.471
27000196 DRAPE:HEAD & NECK 270 155.7 425.447
25080747 KETOCONAZOLE 120 ML SHAMPOO 250 233.28 425.471
27007425 ISOMIL DF 8OZ 270 3.3 425.447
25080440 ALENDRONATE SODIUM 10 MG TABL 250 51.45 425.471
30120730 PROLACTIN PLASMA-L12 301 17.13 425.45
25081159 LIDOCAINE HCL 5 ML JEL 250 28.69 425.471
25080634 PHYTONADIONE 5 MG TABLET 250 12 425.471
25080991 CARBIDOPA/LEVODOPA 1 TAB TABLE 250 4 425.471
27025710 MEDRAD SYRINGE 621 13.8 425.447
30514902 PROTEIN-S,REF 305 50.6 425.45
25080381 EPINEPHRINE 1 MG/ML AMPUL 250 10 425.471
25980166 PROCAINAMIDE HCL 500 MG/ML 2ML 259 75 425.471
25080871 PREDNISOLONE ACETATE 5 ML BOT 250 74.37 425.471
27006444 STRAINER:URINE 270 3.3 425.447
25080528 INDOMETHACIN 25 MG CAPSULE 250 12 425.471
30234906 CA 125,REF 302 16.31 425.45
27004794 WECK SPEARS 270 20.9 425.447
27053620 DRESSING ADAPTIC 3X3" STERILE 270 3.3 425.447
30234927 WEST NILE VIRUS PANEL 302 72.2 425.45
25087215 VARICILLA VACCINE 250 72.11 425.471
25080637 PYRIDOSTIGMINE BROMIDE 60 MG 250 12 425.471
25081289 METHYPHENIDATE 5MG TABLET 250 144 425.471
25081089 TRIFLUOPERAZINE HCL 10 MG TABL 250 26.12 425.471
25081338 PAPAVERINE HCL 150MG CAPSULE 250 6.81 425.471
25081048 TETRACAINE HCL 1 ML DROPS 250 18.88 425.471
27000181 DRAPE:MICROSCOPE 270 47.3 425.447
27053826 STOCKING TED THIGH REG MEDIUM 270 23.6 425.447
27053827 STOCKING THIGH LARGE 270 23.6 425.447
30000003 GONORRHEA DNA PROBE 300 5.44 425.45
30216300 COCCI ANTIBODY CF 302 8.81 425.45
25080088 AMOX TR/POTASSIUM CLAVULANATE 250 8.79 425.471
25080920 ALBUTEROL SULFATE 2MG/5ML 250 135.56 425.471
25081095 TRIMETHOBENZAMIDE HCL 100 MG 250 6 425.471
25087006 DORZOLAMIDE 5ML 250 137.97 425.471
27004941 SGMOIDSCPE 270 27.5 425.447
27053644 FILTER BLOOD 270 27.5 425.447
30105520 CHLORIDE,SERUM 301 45.7 425.45
27053874 TRAY CATH FOLEY W/O CATH 270 27.4 425.447
30026436 DNA DOUBLE STRAND 300 15.19 425.45
25080142 NA/K/CA/MAG EYE SOLUTION 500 M 250 68.25 425.471
25080009 ACETIC ACID IRR 0.25% 1000 MLB 250 68.22 425.471
27000123 PACKING NUGAUZE PLN 270 34.1 425.447
25080045 AMITRIPTYLINE HCL 25MG TABLET 250 12 425.471
25080247 PROCHLORPERAZINE MALEATE 5 MG 636 8 425.471
25080717 NEOMY SULF/BACITRA/POLYMYXIN B 250 4 425.471
25080836 FELODIPINE 5 MG TAB SR 24HR 250 40 425.471
25080992 CARBIDOPA/LEVODOPA 1 UDTAB TAB 250 4 425.471
25081226 BUPROPION 75MG TABLET 250 12 425.471
25087131 Disalcid 750mg Tablet 250 4 425.471
25080651 METHYLENE BLUE 10 ML AMPUL 250 45.25 425.471
25080942 ZIDOVUDINE 100 MG CAPSULE 250 12.3 425.471
27053989 DRESSING XEROFORM 4X4 270 5.2 425.447
25081215 GUAIFENESIN/W CODEINE 120 ML 250 67.5 425.471
25087182 Zyrtec 10 mg Tablet 250 6.12 425.471
25080377 MOMETASONE FUROATE 15 GM CRE 250 67.29 425.471
25080849 TETRACAINE HCL 30 ML SOLUTION 250 44.19 425.471
25080973 SELEGILINE 5 MG TABLET 250 6.3 425.471
25080143 BUMETANIDE 0.5 MG TABLET 250 12 425.471
25080231 CLONIDINE HCL 0.3 MG TABLET 250 12 425.471
27000662 PRESSURE BAG IV 270 66 425.447
30618712 PERTUSSIS CULTURE,REF 306 66 425.45
26000000 ASPARAGINASE ELSPAR (ASPAR) 260 65.91 425.471
25080875 PREDNISOLONE 5 MG/5 ML SYRUP 250 61.75 425.471
27006165 DRESSING VASELINE GAUZE 3"X36" 270 18.7 425.447
27053468 BAG URINE LEG MEDIUM STERILE 270 8.7 425.447
25880018 DEXTROSE 5%-NORMAL SALINE 500 258 32.58 425.471
25081199 HYPER 3% 15 INHALER 250 30 425.471
25980234 LIDOCAINE HCL 40 MG/ML VIAL 259 10 425.471
25980020 TRIAMCINOLONE DIACETATE 40 MG/ 259 21.63 425.471
25081345 EFAVIREZ 200 MG CAPSULE 250 43.2 425.471
27053682 KIT CATH INTRODUCER 6FR 270 128.3 425.447
27053558 CATH COUDE FOLEY 5CC 270 42.7 425.447
25081398 SEVELAMER 403MG CAPSULE 250 8 425.471
30220100 HEP A AB, HAA 302 11.56 425.45
27053537 CATH FOLEY 5CC 18FR 270 21.1 425.447
27053538 CATH FOLEY 5CC 20FR 270 21.1 425.447
25080817 PHENOBARBITAL SODIUM 30 MG 250 27.94 425.471
30618714 CHLAMYDIA DNA PROBE,REF 306 5.44 425.45
27004095 DRESSING:ADAPTIC 270 17.6 425.447
27053995 INTUBATION MODULE - PINK/RED 270 123.1 425.447
25980081 ERYTHROMYCIN LACTOBIONATE 1G 259 47.95 425.471
25081333 ETHAMBUTOL HCL 400MG TABLET 250 32.04 425.471
25080241 COCAINE HCL 4 ML SOLUTION 250 61.11 425.471
25081335 OFLOXACIN 5 ML BOTTLE 250 122.13 425.471
30102550 AMYLASE,URINE -LAB 301 4.5 425.45
27000067 TRACH TUBE PORTEX NONFEN #8 270 121 425.447
27000068 TRACH TUBE PORTEX NONFEN #7 270 121 425.447
27006912 KIT:PERITONEAL LAVAG 270 121 425.447
27053987 FULLER SHIELD 270 30.2 425.447
25080391 ERYTHROMYCIN BASE 500MG TABLE 250 12 425.471
25081201 IV SET 1418 250 30 425.471
25087305 ADDERALL XR 10MG TAB 250 24 425.471
27053777 SHOE POST OP - MALE MEDIUM 270 30 425.447
25980188 BUPIVACAINE HCL 5MG/ML VIAL 259 39.76 425.471
27005076 COLLAR:ICE 270 13.2 425.447
46014520 PEAK FLOW W/PRED 460 29.7 425.473
25080094 BACITRACIN OPTH OINTMENT 3.5 G 250 11.85 425.471
27053591 CLAMP COLOSTOMY 3" 270 7.4 425.447
30002826 SGOT 301 59.18 425.45
27053905 TUBE RECTAL 30FR 270 39.3 425.447
27004850 BIPOLAR CORD DISP 270 39.1 425.447
27053577 CATHETER FOLEY 3-WAY 18FR 5CC 270 39 425.447
25081373 METHYLPREDNISOLONE 4MG/21 TAB 250 116.76 425.471
25080756 PHENYLEPHRINE HCL/CHLOR-MAL 250 115.57 425.471
27010429 EYE LENS MORGAN 270 58.3 425.447
30219200 FEBRILE AGGLU-SELAB 302 116.2 425.45
25081260 COLCHICINE 0.6MG TABLET 250 10 425.471
25081128 VANCOMYCIN HCL 250 MG/5 ML 20M 250 115.68 425.471
25080719 PHENYLEPHRINE HCL 15 ML SPRAY 250 52.35 425.471
30234908 CHLAMYDIA TRACHOMATIS AB,REF 302 5.44 425.45
27053571 CATHETER FOLEY 24FR 30CC 270 18.9 425.447
27053881 TRAY THORACENTESIS 270 56.6 425.447
30104440 CALCIUM SEMI UR-LAB QUANT 301 37.5 425.45
25081035 TETANUS DIPHTHERIA TOXOID PED 250 16.05 425.471
30234905 RHEUMATOID FACTOR SCREEN,REF 302 4.88 425.45
27053626 DRESSING TELFA 8X3" STERILE 270 3.3 425.447
25080593 MINOXIDIL 2.5 MG TABLET 250 12 425.471
25080892 LISINOPRIL 10 MG TABLET 250 4 425.471
25081322 THIAMINE HCL 50MG TABLET 250 8 425.471
27053713 PACKING NUGAUZE IODOFORM 1/2 270 14 425.447
75000090 SANDOZ BALLOON 270 112 425.476
75000096 IRRIGATOR TUBES 750 112 425.476
25080272 CYCLOPENTOLATE 1% OPTH SOLN 2 250 37.32 425.471
25080563 FLUVASTATIN SODIUM 20MG CAP 250 15.21 425.471
25080336 DIPHENHYDRAMINE HCL 12.5 MG/5 250 8.33 425.471
25080415 FERROUS SULFATE 75MG/0.6 ML DR 250 13.77 425.471
27053431 CARDBOARD: ARM 270 27.5 425.447
32001089.5 FINGER THUMB RIGHT 320 109.7 425.463
42001200 CHLORAZENE 200GM 270 27.3 425.447
25080416 FERROUS SULFATE 220MG/5 ML ELI 250 20.96 425.471
25080966 GUAIFENESIN/D-METHORPHAN HB 250 108.9 425.471
25081381 TIMOLOL 0.5% 5ML BOTTLE 250 54.45 425.471
25080357 DOXEPIN HCL 50 MG CAPSULE 250 18 425.471
25080928 PHENAZOPYRIDINE HCL 100 MG TAB 250 33.11 425.471
27053416 BOBBIN REWTER VENT TUBE 270 107.1 425.447
30113800 IMMUNO-ELEC-PHORIS 302 21.38 425.45
30026434 PERTUSSIS CULTURE,DFA 300 106.4 425.45
27053936 URINE STRAINER DISPOSABLE 270 5.6 425.447
25080496 HYDROCORTISONE 1% 28.35GM OINT 250 10.62 425.471
27053550 CATH SUCTION 14FR 270 3.3 425.447
31014002 TAUD B LYMPHOCYTES,REF 310 52.63 425.45
25980148 PANCURONIUM BROMIDE 2 MG/ML VI 259 13.14 425.471
25080255 NEOMY/BACI/POLY/HC OP OINT 3.5 250 26.25 425.471
25080883 LANSOPRAZOLE 15 MG CAPSULE 250 13.11 425.471
25080380 ENALAPRIL MALEATE 2.5 MG TABLE 250 4 425.471
27053891 TUBE ENDOTRACH 8.0MM 270 7.4 425.447
27053730 POUCH DRAINABLE 2 1/4 270 9.4 425.447
27053752 SET EXTENSION 270 4.7 425.447
27000219 HYPOTHERMIA UNIT 270 103.3 425.447
25080123 POVIDONE-IODINE OINTMENT 30 GM 250 5.16 425.471
30233700 TOXOPLASMA IGG FLNOR 302 12.88 425.45
30000816 HCG QUANT 300 51.4 425.45
25081336 TIAGABINE 4 MG TABLET 250 8.52 425.471
25081340 BENZOYL PEROXIDE 5% 60GM TUBE 250 17.04 425.471
36001116 BOVIE TIP EXTENDED 360 7.85 425.442
27053785 SLING ARM MEDIUM 270 10.2 425.447
25980094 HEPARIN SODIUM,PROCINE 1MU/ML 259 27.88 425.471
25080811 PHENYLEPHRINE HCL 2 ML DROPS 250 11.19 425.471
25980221 ENALAPRILAT DIHYDRATE 1.25 MG/ 259 100.29 425.471
25080146 BUSPIRONE HCL 5 MG TABLET 250 4 425.471
25080960 OXYCODONE/ASPIRIN 1 UDTAB TABL 250 4 425.471
75000063 MISC. CHARGE 750 100 425.476
27010815 RESUSCITATOR CODEPACK ADULT 270 33 425.447
27053899 TUBE LEVIN 12FR 270 3.3 425.447
25080196 TRIETHANOLAMINE OTIC SOLN 6 ML 250 97.09 425.471
30233800 TOXOPLASMA IGM FLNOR 302 19.31 425.45
25080925 PYRAZINAMIDE 500 MG TABLET 250 16 425.471
25081019 PSEUDOEPHEDRINE HCL 60 MG TAB 250 12 425.471
25081163 METOLAZONE 2.5 MG TABLET 250 4 425.471
27053500 BI-POLAR PACING ELECTRODE 6FR 270 95.7 425.447
25080037 METAPROTERENOL SULFATE 14 GM 250 95.25 425.471
25080171 DILTIAZEM HCL SUSTAINED RELEAS 250 9.51 425.471
25980172 METHOCARBAMOL 100 MG/ML 10ML 259 47.34 425.471
30213800 ASO TITER,SERUM-LAB 302 47.2 425.45
25980264 PENICILLIN G BENZ 600000 SYR 259 62.62 425.471
30215000 BORDETELLA PERT -L1J 302 46.92 425.45
25080454 GELATIN SPONGE,ABSORBABLE 50/S 250 91.94 425.471
27053947 CATH FOLEY 3CC 10FR 270 31.2 425.447
27010168 TRACT:BALANCE-DAILY 270 93.5 425.447
27010803 STRAP MONTGOMERY 7 1/4X 11 1/8 270 18.7 425.447
27053877 TRAY LACERATION 270 18.7 425.447
25080954 GUAIFENESIN 100MG/5 ML SYRUP 250 52.03 425.471
25080086 AMOX TR/POTASSIUM CLAVULANATE 250 88.96 425.471
32001197 TOE 5TH RIGHT 320 92.4 425.463
25080617 HCTZ/TRIAMTERENE 1 UDTAB TABLE 250 4 425.471
25087196 OXY IR 5MG CAPSULE 250 4 425.471
27053578 CATHETER FOLEY 3-WAY 24FR 5CC 270 46 425.447
25087327 QUIXON 250 91.62 425.471
30116890 MYELIN PROTEIN CSF 301 30.36 425.45
25081288 BACTROBAN CREAM 2% 15GM 250 90.66 425.471
30215200 C-REACTIVE PROT -LAB 302 6.94 425.45
25980302 RANITIDINE 25 MG/ML 40ML VIAL 259 4.5 425.471
27053776 SHOE POST OP - MENS LARGE 270 30 425.447
30026437 INFLUENZA A & B 300 45 425.45
36001152 CEMENT BOWL ZIMMER 360 44.8 425.442
75000040 CLO TEST 750 89.6 425.476
30127041 HEMOCYSTEINE,REF QUANT 301 22.38 425.45
25080178 LEVOCARNITINE 1 GM/10 ML 118ML 250 89.1 425.471
30127095 HERPES IGG & IGM 301 22.06 425.45
25080356 DOXEPIN HCL 25 MG CAPSULE 250 4 425.471
25080609 LOXAPINE SUCCINATE 5 MG CAPSUL 250 8 425.471
25080935 QUININE SULFATE 325 MG CAPSULE 250 4 425.471
25080969 SALSALATE 750 MG TABLET 250 4 425.471
25081021 SULFASAZINE 500 MG TABLET 250 8 425.471
25081062 THIOTHIXENE 5 MG CAPSULE 250 13.24 425.471
25081155 VITAMIN E 400 U CAPSULE 250 4 425.471
25081237 XANAX 1MG TABLET 250 12 425.471
25081393 LITHOBID 300MG TABLET 250 34 425.471
27006876 SET CONT OVRHD IRRIG 270 22 425.447
30100510 ACTH, PLASMA -L12 301 43.7 425.45
25080423 MINERAL OIL 133 ML ENEMA 250 4.83 425.471
25080297 COD LIVER OIL/ZINC OXIDE 120 G 250 8.67 425.471
25081364 THIOTHIXENE 10 MG CAPSULE 250 25.5 425.471
27053585 CATHETER STRAIGHT 5FR 270 21.6 425.447
25080790 PREDNISOLONE SOD PHOSPHATE 250 85.56 425.471
25080082 ATROPINE SULFATE 15 ML BOTTLE 250 85.47 425.471
30127072 ALBUMIN, BODY FLUID 301 4.06 425.45
27053536 CATH FOLEY 5CC 16FR 270 21.1 425.447
25080310 DICLOFENAC SODIUM 75 MG TABLET 250 4 425.471
25081164 METOLAZONE 5 MG TABLET 250 4 425.471
25081283 RAMIPRIL 2.5 MG CAPSULE 250 4 425.471
25087283 SENNA-S TABLET 250 36 425.471
25080283 CARBAMIDE PEROXIDE 15 ML DROPS 250 16.5 425.471
27010409 DSG GZ PACKING NASAL 270 27.5 425.447
27053880 TRAY SHAVE PREP 270 3.7 425.447
25087134 Casodex 50mg Tablet 250 40.53 425.471
27006705 TRAY:DRESSSING 270 80.3 425.447
27054034 FNA KIT 270 80.25 425.447
25080847 FLUORIDE ION/MULTIVITAMINS 250 40.02 425.471
25080469 GLYCERIN 1 SUPP.PED SUPP.RECT 250 4 425.471
25080879 ESTROGEN CON/M-PROGEST ACET 250 4 425.471
25081305 DAPSONE 100MG TABLET 250 4 425.471
25087085 LEVOTHYROXINE 0.088 MG 250 6 425.471
25087171 Nystatin 5ml ud cup 250 4 425.471
25980223 VERAPAMIL HCL 2.5 MG/ML 2ML VI 259 10 425.471
27053755 SET INFUSION 27GA X 3/8" 270 4 425.447
25080711 NEOMYCIN SULFATE/DEX NA PH 5 M 250 26.49 425.471
25080050 AMOXICILLIN TRIHYDRATE 250 MG/ 250 42.08 425.471
27053493 BEDPAN FRACTURE MAUVE 270 3.3 425.447
27053729 POUCH DRAINABLE 4" 270 9.9 425.447
27007488 PEDIATRIC NASAL CANNULA 270 6.6 425.447
25080791 ERY E-SUCC/SULFISOXAZOLE 150 250 79.11 425.471
27054002 I.V. DELIVERY MODULE -PINK/RED 270 79 425.447
27054005 I.V. DELIVERY MODULE - WHITE 270 79 425.447
27054008 I.V. DELIVERY MODULE - GREEN 270 79 425.447
30225400 MUMPS ANTIBODY 302 39.4 425.45
27006309 RESTRAINT VEST/JACKET 270 78.1 425.447
25081123 DIAZEPAM 10 MG TABLET 250 5.55 425.471
27004068 BOT-O-JET 270 38.5 425.447
27007443 DRESSING HYDROGEL 270 5.5 425.447
25080498 HIDROXYZINE HCL 10MG/ 5ML SYRU 250 76.5 425.471
75000024 BRUSH-CYTOLOGY-DIS 750 76.2 425.476
25080801 PERPHENAZINE 2MG TABLET 250 4 425.471
25080809 PHENOBARBITAL 15 MG TABLET 250 4 425.471
25880038 SODIUM CHLORIDE 5% 500ML IV 258 37.94 425.471
30618702 T-LYMPHOCYTES HELPER,REF 306 37.81 425.45
30122020 RENIN PLASMA 301 25.1 425.45
25080374 VENLAFAXINE HCL 37.5 MG TABLET 250 4.65 425.471
25080989 CARBIDOPA/LEVODOPA 1 TAB TABLE 250 17 425.471
36001386 SCREW SELF TAPPING 360 37 425.442
25087263 CYCLOSPORINE MODIFIED 250 12.22 425.471
30116950 MYOGLOBIN QUANT -L03 301 12.13 425.45
27053526 CANE UNIPOISE 31" 270 72.7 425.447
27053739 PROBE OXISENSOR INFANT 270 72.2 425.447
25080044 AMITRIPTYLINE HCL 10MG TABLET 250 4 425.471
25080168 DOXAZOSIN MESYLATE 2 MG TABLET 250 4 425.471
25080298 DEXAMETHASONE 0.5 MG TABLET 250 24 425.471
25080546 KAOLIN/PECTIN 30 ML EACH 250 4 425.471
25080579 LIDOCAINE HCL 40 MG/ML SOLUTIO 250 4 425.471
25081380 LEVOTHYROXINE SOD 112MCG TAB 250 4 425.471
30125140 UREA NITRO CLEARANCE 301 71.9 425.45
30227000 PNEUMOCYSTIS, AB 302 70.9 425.45
48000050 MONITOR-EXER RX 730 70.3 425.4591
25080401 ESTROGENS,CONJUGATED 2.5 MG T 250 5.4 425.471
25080706 NALOXONE HCL 0.02 MG/ML 2ML AM 250 10 425.471
25980251 THIOPENTAL SODIUM 500 MG SYR 259 34.8 425.471
30127102 URINE LEGIONELLA AG 301 34.75 425.45
25080205 CHLORPROMAZINE HCL LIQUID 25 M 250 12 425.471
25081090 TRIFLUOPERAZINE HCL 2 MG TABLE 250 4 425.471
25087175 Tums Ultra 250 4 425.471
27053759 SET INFUSION WING 25G X 3/4 270 3.4 425.447
25080808 PHENOBARBITAL SODIUM 130 MG/ML 250 27.88 425.471
25980088 GENTAMICIN SULFATE 10MG/ML 2ML 259 23.4 425.471
25086993 DIABETIC GUAIFENESIN 118ML BTL 250 22.5 425.471
25080378 MOMETASONE FUROATE 15 GM OINT 250 67.29 425.471
30000912 AFB SMEAR LM 300 4.8 425.45
30122080 T3 TOTAL 301 13.44 425.45
27053890 TUBE ENDOTRACH 7.0MM 270 7.4 425.447
25080334 DOCUSATE SODIUM 50 MG/5 ML LIQ 250 22.17 425.471
25081005 ALGINATE DRESSING 1 BANDAGE PA 250 13.26 425.471
25980189 BUPIVACAINE HCL 7.5 MG/ML VIAL 259 28.69 425.471
25081232 ROSIGLITAZONE 2MG TABLET 250 18 425.471
27010832 PADDING CAST 2" 270 16.5 425.447
27019900 PEDS CATH SINGLE LUM 270 22 425.447
27053560 CATHETER COUDE 18FR 5CC 270 32.8 425.447
30126988 BABESIA MICROTI,REF 301 32.6 425.45
25081375 NYSTATIN/TRIAM OINT 15GM TUBE 250 12.9 425.471
25080522 IMIPRAMINE HCL 25 MG TABLET 250 8 425.471
25080587 LITHIUM CARBONATE 450 MG TABLE 250 4 425.471
25080648 METHADONE HCL 5 MG TABLET 250 4 425.471
25080703 NAPROXEN 375 MG TABLET 250 4 425.471
25080195 D-METHORPHAN HB/PE HCL/CP 118 250 31.95 425.471
25080063 CLOMIPRAMINE HCL 25 MG CAPSULE 250 5.76 425.471
25080748 TAMOXIFEN CITRATE 10 MG TABLET 250 6.33 425.471
30115720 MAGNESIUM URINE-LAB 301 63.3 425.45
25980297 CEFUROXIME SODIUM 750MG INJ 259 15.9 425.471
25080722 PHENYLEPHRINE HCL 15 ML DROPS 250 10.47 425.471
27053472 BANDAGE ELASTIC 6" 270 3.3 425.447
30234907 COMPLEMENT TOTAL (CH50),REF 302 31.25 425.45
25081360 CHLORHEXIDINE/GLYCERIN 473ML 250 31.2 425.471
27053534 CATH FOLEY 3CC 8FR 270 31.2 425.447
27053782 SITZ BATH MAUVE 270 6.2 425.447
30026406 CD4,REF 310 15.5 425.45
30113710 IGM ASSAY SERUM-LAB 301 7.75 425.45
25080064 CLOMIPRAMINE HCL 50 MG CAPSULE 250 7.71 425.471
25081371 IBESARTAN 150MG TABLET 250 14.22 425.471
27053452 AIRWAY:NASOPHARYGEAL 7.0MM 270 15.4 425.447
48100198 NON-INVASIVE OXIMETER 481 30.8 425.457
27053676 INFEC CONTROL FOLEY TRAY 16FR 270 61.3 425.447
27053994 CATH FOLEY 30FR 5CC 270 15.3 425.447
27053477 BANDAGE PLASTER FAST 6" 270 10.1 425.447
27053570 CATHETER FOLEY 22FR 30CC IRRIG 270 60.5 425.447
27053599 COLLAR CERVICAL MEDIUM 274 15.1 425.447
25080257 WARFARIN SODIUM 10 MG TABLET 250 4 425.471
25080610 INDAPAMIDE 2.5 MG TABLET 250 12 425.471
25080649 METHACARBAMOL 750 MG TABLET 250 4 425.471
25081203 IV SET 5404 250 30 425.471
25081204 IV SET 6313 250 30 425.471
25081315 AMYLASE/LIPASE/PROTEASE 20 CAP 250 26.86 425.471
27005409 TISSUE BEDSIDE 270 3.3 425.447
27006363 EYE PROTECTOR BLACK 270 6.6 425.447
27053449 AIRWAY CATH GUIDE #8 80MM 270 3.3 425.447
27053471 BANDAGE ELASTIC 4" 270 3.3 425.447
37000168 LOC ANES - 15 MIN 370 7.4 425.445
41200549 OXY CONN TUBE 270 14.8 425.472
48100234 CATH:6FJL4 622 59.2 425.457
48112870 CATH:6FJR4 622 59.2 425.457
30122560 SGPT 301 58.9 425.45
25087084 TIMOLOL XE 0.5% GEL 250 58.05 425.471
25080339 DIPHENOXYLATE HCL/ATROP SULF 6 250 56.52 425.471
30104200 C-PEPTIDE 301 28.2 425.45
30104380 CALCIUM ION SER-L03 301 18.75 425.45
25080588 LITHIUM CITRATE 8 MEQ/5MLSYRUP 250 56.22 425.471
27004212 STOCKINGS:TED 270 56.1 425.447
25080018 ALBUTEROL SYRUP 2 MG/5 ML SOLN 250 12 425.471
25080914 PROPYLTHIOURACIL 50MG TABLET 250 8 425.471
25080995 THEOPHYLLINE ANHYDROUS 300 MG 250 8 425.471
36001476 SHAVER 360 28 425.442
27053532 CATH COUDE TIP 12FR 5CC 270 55.7 425.447
25081370 BENZOCAINE/MENTHOL 1 EA BOTTLE 250 18.51 425.471
27000660 CATH SILASTIC COUN 270 27.5 425.447
27007416 CO-SET ROOM TEMP 270 55 425.447
27010825 BANDAGE ELASTOPLAST 2" 270 27.5 425.447
36001269 TUBE SALEM SUMP 360 7.85 425.442
25087022 LOTEPREDNOL 0.5% OPTH SOLN 250 13.59 425.471
25081327 PETRO/MO/CERESIN/LANOLIN 240GM 250 18 425.471
27053528 CANNULA OXYGEN INFANT 270 10.8 425.447
27010435 BELT RIB 270 53.9 425.447
27053540 CATH INTRODUCER 5FR 270 53.9 425.447
27053542 CATH INTRODUCER 7FR 270 53.9 425.447
27053564 CATHETER COUDE FOLEY 5CC 270 53 425.447
25080136 SOD SULFACETAMIDE 10% OPTH SO 250 8.82 425.471
27001511 CUSHION INFLATABLE RING 270 26.4 425.447
27053459 ARMBOARD 18" 270 3.3 425.447
27054029 DISPOSABLE SCALPEL - ER 270 2.77 425.401
25080208 CHLORPHENIRAMINE 4 MG TABLET 250 4 425.471
25080275 CYPROHEPTADINE HCL 4 MG TABLE 250 4 425.471
25080468 GLYCERIN 1 SUPP.ADULT SUPP.REC 250 4 425.471
25081244 HCTZ/TRIAMTERENE CAPSULE 250 12 425.471
37000167 LOC ANES - HOUR 370 26 425.445
27053888 TUBE ENDOTRACH 7.5MM 270 7.4 425.447
25081085 TRIAMCINOLONE ACETONIDE 80 GM 250 17.16 425.471
27053805 SPLINT BUCK TRACTION LARGE 270 51 425.447
30225300 MONO SPOT 302 4.25 425.45
30001764 CHLORIDE, BODY FLUID 301 50.54 425.45
30234928 COCCIDIOIDES AB CF CSF 302 50.5 425.45
27053736 POUCH UROSTOMY 2 3/4" FLANGE 270 12.6 425.447
25980154 PHENYLEPHRINE HCL 10 MG/ML VIA 259 10 425.471
27005634 SYRINGE BULB/EAR 270 3.3 425.447
42000043 COBAN 3RL 270 9.9 425.447
25080355 DOXEPIN HCL 10 MG/ML ORAL.CONC 250 49.05 425.471
25080675 MICONAZOLE NITRATE 45 GM CREAM 250 39.15 425.471
25081136 NAPHAZOLINE HCL/ANTAZOLINE 15 250 24.39 425.471
30026435 ANTI-GLOMERULAR AB 300 48.7 425.45
27053937 WAFER STOMAHESIVE 1 1/2 FLANGE 270 16.2 425.447
25081160 LIDOCAINE HCL 35 GM OINT..GM. 250 48.33 425.471
25080309 DICLOFENAC SODIUM 50 MG TABLET 250 4 425.471
25080877 ESTROGENS CONJUGATED 1.25MG 250 12 425.471
25081143 VERAPAMIL HCL 120 MG TABLET 250 4 425.471
25087024 METHOTREXATE SODIUM 2.5MG TAB 250 47.16 425.471
27053584 CATHETER MALE EXTERNAL MEDIUM 270 6.7 425.447
30231800 SKIN TEST OTHER 302 46.36 425.45
27053453 AIRWAY:NASOPHARYNGEAL 6.0MM 270 15.4 425.447
30127018 CHOL 50/50,REF 301 7.63 425.45
48103300 6F SHEATH 622 45.4 425.457
27053598 COLLAR CERVICAL LARGE 274 15.1 425.447
25081070 TOBRAMYCIN SULFATE 5 ML DROPS 250 45 425.471
25087035 DIABETIC GUAIFENSIN DM 118ML 250 22.5 425.471
30114880 LDH OTHER FLUIDS-LAB 301 3.19 425.45
27053445 AIRWAY CATH GUIDE #10 100MM 270 3.7 425.447
25081091 TRIFLUOPERAZINE HCL 5 MG TABLE 250 4 425.471
25081182 FLURAZEPAM HCL 15MG CAPSULE 250 12 425.471
25087033 THYROID 60MG 250 4 425.471
27006993 TUBE:COLON 270 44 425.447
27010817 ASPIRATOR:MECONIUM 270 22 425.447
27053580 CATHETER FOLEY 3-WAY 22FR 5CC 270 44 425.447
27000058 CATH:PLUG 270 7.3 425.447
25080199 CHERRY FLAVOR 480 ML SYRUP 250 32.82 425.471
25080457 GENTAMICIN SULFATE 15 GM OINT 250 32.4 425.471
30221200 HERPES SIMP 302 10.13 425.45
30234910 IMMUNOFIXATION URINE,REF 302 13.5 425.45
94200007 INITIAL ASSESSMENT W/PT 15MINS 942 20.2 425.487
30216400 COLD AGGLUTIN SE 302 6.69 425.45
25080261 WARFARIN SODIUM 7.5 MG TABLET 250 4 425.471
25080289 MEPERIDINE HCL 50 MG TABLET 250 4 425.471
25081334 TIAZAC 180MG TABLET 250 4 425.471
25980069 DOPAMINE HCL 40MG/ML 10ML VL 259 10 425.471
25980118 LIDOCAINE HCL/EPINEPHRINE 20 259 10 425.471
25980273 METAPROTERENOL SULFATE 2.5ML 259 10 425.471
27053825 STOCKING KNEE X-LARGE 270 13.3 425.447
25080887 OMEPRAZOLE 20 MG CAPSULE 250 25.8 425.471
30126943 LORAZEPAM (ATIVAN),REF 301 19.81 425.45
30223600 LEGIONARES TITER 302 19.81 425.45
25081047 TETRACAINE HCL 15 ML DROPS 250 10.93 425.471
25080425 NA PHOS,M-B/NA PHOS,DI-BA 90ML 250 9.63 425.471
30126997 FLOURESCENT TREPONEMAL AB,REF 301 18.75 425.45
30112660 HEMOGLO ELEC BL-LAB 301 18.71 425.45
27053892 TUBE ENDOTRACH 8.5MM 270 7.4 425.447
34000335 GALLIUM CITRATE 340 37 425.465
48100225 6F PIGTAIL 622 37 425.457
25081027 FLUOCINOLONE ACETONIDE 15 GM 250 27.45 425.471
27053446 AIRWAY CATH GUIDE #11 105MM 270 3.3 425.447
27053554 CATH SUCTION 8FR 270 3.3 425.447
25080728 NIACIN 100 MG TABLET 250 2 425.471
25080980 NEFAZODONE HCL 100 MG TABLET 250 12 425.471
25081065 TRIMETHOBENZAMIDE HCL 200 MG/S 250 6 425.471
25081186 PROPRANOLOL HCL 40MG TABLET 250 12 425.471
25980068 DOBUTAMINE HCL 12.5 MG/ML 20ML 259 36 425.471
30125470 URIC ACID URINE 301 6 425.45
25080826 PHENYLEPHRINE HCL/COD/PRO 250 11.85 425.471
30023350 SPEC GRAV URINE 307 17.25 425.45
30100300 ACETOACETIC AC U LAB 307 17.25 425.45
30118810 PH URINE -LAB 301 17.25 425.45
30221300 HERPES ZOSTER AB-L01 302 16.63 425.45
27006957 IRRIGANT SOL 2000 CC 270 33 425.447
27010798 SET 2-BTL T.U.R IRRG 270 33 425.447
27010801 BINDER ABDOMINAL 3 PANEL SMALL 270 33 425.447
27020340 HI FLOW CONNECTING 621 16.5 425.447
27053469 BANDAGE ELASTIC 2" 270 3.3 425.447
25081339 BENZOYL PEROXIDE 10% 60GM TUBE 250 16.47 425.471
25980220 VASOPRESSIN 20 U/ML VIAL 259 32.4 425.471
25080038 AMANTADINE HCL 100 MG CAPSULE 250 4 425.471
25080201 CHLORDIAZEPOXIDE HCL 10 MG CAP 250 12 425.471
25080273 MEDROXYPROGESTERONE ACET 10 250 4 425.471
25080301 D-AMPHETAMINE SULFATE 5 MG TAB 250 16 425.471
25080395 ESTROGENS,CONJUGATED 0.3 MG T 250 4 425.471
25080421 APAP/COD 300MG/15MG 30 MG CAPS 250 4 425.471
25080427 FLUDROCORTISONE ACETATE 0.1 MG 250 4 425.471
25080538 ISONIAZID 300 MG TABLET 250 4 425.471
25080635 MESALAMINE 400 MG TABLET.EC 250 4 425.471
30120670 PROGESTERONE SE-L12 301 15.94 425.45
30126994 DIPHTHERIA ANTITOXID,REF 301 31.68 425.45
25081308 CITRUCEL SF ORANGE PKT 20 250 6.32 425.471
25080720 PHENYLEPHRINE HCL 15 ML SPRAY 250 10.47 425.471
27007263 SHAMPOO NO RINSE 8OZ 270 7.7 425.447
30123880 TESTOSTERONE 24HR URINE TOTAL 301 30.8 425.45
25087026 NICOTINE TRANSDERMAL 7MG 250 10.11 425.471
25080053 AMOXICILLIN TRIHYDRATE 400 MG/ 250 7.5 425.471
25080647 METHADONE HCL 5 MG/5 ML SOLUTI 250 10 425.471
25081194 PROVENTAL 2.5MG 250 10 425.471
27053954 TUBE ENDOTRACH 6.5MM 270 7.5 425.447
30231400 RUBEOLA 302 29.96 425.45
30110620 FSH PLASMA OR SE-LAB 301 14.81 425.45
30114970 LH PLASMA-LAB 301 14.81 425.45
25200001 RALOXIFENE 60 MG TABLET 252 7.35 425.471
27053725 PADDING CAST 4" 270 4.2 425.447
27053780 SHOE POST OP - FEMALE MEDIUM 270 28.6 425.447
27053547 CATH MALE EXTERNAL PEDI SMALL 270 5.7 425.447
27053627 DRESSING VASELINE GAUZE 270 5.7 425.447
30117970 OXALATE URINE -L01 301 28.46 425.45
30618713 STREP SCREEN,REF 306 3.15 425.45
30618707 H PYLOR UREASE CULTURE,REF 306 28.3 425.45
25080052 AMOXICILLIN TRIHYDRATE 250 MG/ 250 12 425.471
27053698 MASK OXYGEN PEDIATRIC 270 4 425.447
25080191 CEPHALEXIN MH 250 MG/5 ML 100M 250 27.91 425.471
25080384 EPINEPHRINE 30ML SOLUTION 250 96.53 425.471
27053673 IMMOBILIZER SHOULDER MEDIUM 270 13.9 425.447
30026439 CRYPTOCOCCAL ANTIGEN,SERUM 300 13.81 425.45
25080859 PRAVASTATIN SODIUM 10 MG TAB 250 27.6 425.471
25080963 GUAIFENESIN/D-METHORPHAN HB 250 13.8 425.471
30221500 HISTOPLASMA SP 302 26.8 425.45
27053497 BELT SANITARY 270 3.3 425.447
27053548 CATH SUCTION 10FR 270 3.3 425.447
27053966 STYLETTE 6FR 2.0-3.5 270 13.2 425.447
27053824 STOCKING KNEE SMALL 270 13.1 425.447
30102640 ANGIO CONVERT ENZ 301 12.88 425.45
30000004 VDRL CSF 300 5.13 425.45
25080746 KETOCONAZOLE 300 MG TABLET 250 25.32 425.471
25080754 NORTRIPTYLINE HCL 50 MG CAPSU 250 5.01 425.471
25080770 FLURBIPORFEN SODIUM 2.5 ML 250 24.58 425.471
25080429 FLUORESCEIN SODIUM 9MG/STRIP S 250 4 425.471
25080727 POTASSIUM PHOS M BASIC-D-BASIC 250 12 425.471
25081067 TRIMETHOBENZAMIDE HCL 100 MG 250 12 425.471
25081110 APAP/COD 300MG/15MG 1 TAB TABL 250 4 425.471
25081153 ASCORBIC ACID 250 MG/5 ML SYRU 250 8 425.471
25087034 PERPHENAZINE/AMITRIPTYLLINE 250 4 425.471
27053706 NEEDLE SPINAL 22GA X 1" 270 24 425.447
30116710 MORPHINE QUAL UR-LAB 301 23.7 425.45
25081147 MULTIVITAMINS 50 ML DROPS 250 23.35 425.471
27005382 RAZOR SINGLE EDGE 270 3.3 425.447
27053447 AIRWAY CATH GUIDE #6 60MM 270 3.3 425.447
27053470 BANDAGE ELASTIC 3" 270 3.3 425.447
30105040 CATECHOLAMIN BLOOD TOTAL 301 22.38 425.45
30101290 ALPH 1 ANTITRYP LAB 301 11 425.45
25080065 ANASTROZOLE 1MG TABLET 250 21.87 425.471
25080252 NEOMYCIN/POLYMYX/HC OTIC SOLN 250 21.83 425.471
27053583 CATHETER MALE EXTERNAL LARGE 270 4.3 425.447
25080767 SODIUM CHLORIDE 45 ML SPRAY 250 6.96 425.471
30127096 GROWTH HORMONE 301 20.75 425.45
30002313 HIV 1, WESTERN B 302 20.5 425.45
25081376 MAGNESIUM/ALUM/SIM 360M BOTTLE 250 18.98 425.471
30026410 CYCLOSPORINE HPLC,REF 300 20.44 425.45
27053786 SLING ARM SMALL 270 10.2 425.447
27000224 STETH-ESOPH/TEMP 270 20.1 425.447
25080074 ASPIRIN 300 MG/SUPP. RECT SUPP 250 4 425.471
25080435 FLURAZEPAN HCL 30 MG CAPSULE 250 4 425.471
25980097 HEPARIN SODIUM,PORCINE 10MU/M 259 10 425.471
25980134 MORPHINE SULFATE 10 MG/ML VIAL 636 10 425.471
30127054 TRYPTOPHAN,REF 301 19.81 425.45
27019854 MASK:INFANT OXYGEN 270 6.6 425.447
30100990 ALDOLASE, SERUM LAB 301 6.56 425.45
30104920 CAROTENE SERUM-LAB 301 19.3 425.45
25086996 URSODIOL 300 MG 250 9.45 425.471
27053575 CATHETER FOLEY 28FR 30CC 270 18.9 425.447
27005571 SPECIPAN 270 18.7 425.447
30002025 LEAD URINE/BLD -LAB 301 9.31 425.45
27053990 KIT LACTINA CONVERSION 270 18 425.447
30119470 PHOSPHORUS URINE 301 5.96 425.45
25080206 CHLORPROMAZINE HCL LIQUID 30 M 250 17.85 425.471
27053572 CATHETER FOLEY 24FR 5CC 270 17.6 425.447
27019842 EAR CURRETTE DISP 270 3.5 425.447
30212900 ANTIBODY TITER-LAB 302 16.75 425.45
27053971 TUBE RECTAL 22FR 270 16.6 425.447
25980229 LIDOCAINE HCL 10 MG/ML VIAL 259 16.53 425.471
27010145 GRADUATE DISPOSABLE 270 3.3 425.447
27053407 KIT CVP CATHETER 270 16.5 425.447
25087140 AGGRENOX CAPSULE 250 5.46 425.471
30106600 CPK ISOENZYMES-LAB 301 16.29 425.45
25080372 VENLAFAXINE HCL 100 MG TABLE 250 16.11 425.471
25080020 ALBUTEROL SULFATE 2 MG TABLET 250 4 425.471
25080068 RESOR/BALSAM/BIS SG/ANOX 1 SUP 250 4 425.471
25080612 CHLORPHEX GL/GLYCERIN/HE-CELL5 250 12 425.471
25080674 CASCARA SAGRADA/MAG HYDROX 1 250 4 425.471
25080702 NAPROXEN 250 MG TABLET 250 8 425.471
25080798 FAMOTIDINE 10 MG TABLET 250 248 425.471
25081279 METHAZOLAMIDE 25MG TABLET 250 4 425.471
25081332 CHLORDIAZEPOXIDE HCL 5 MG CAP 250 36 425.471
25087281 DEPAKOTE ER 250MG TAB 250 16 425.471
27053830 STOMAHESIVE WAFER 1.75" 270 16 425.447
30234901 CA 15-3,REF 302 16 425.45
27053480 BANDAGE PLASTER X-FAST 6" 270 15.8 425.447
25080120 BETAMETHASONE VALERATE OINT 1 250 15.78 425.471
25087306 STRATTERA 40MG (ATOMOXETINE) 250 7.8 425.471
75000021 ESOPH.DIL.PACK 750 15.6 425.476
30222500 IGG ASSAY CSF -LAB 302 7.75 425.45
30107170 CRYOGLOB-QUAL-SE-LAB 301 5.13 425.45
27053600 COLLAR CERVICAL SMALL 274 15.1 425.447
27053889 TUBE ENDOTRACH 2.5MM W/O CUFF 270 7.5 425.447
25080148 CALAMINE/PRAMOXINE LOTION 180 250 14.97 425.471
25080066 BENZOCAINE/POVIDONE-IODINE/PH 250 14.7 425.471
25980015 PHYSOSTIGMINE SALICYLATE 1MG/M 259 14.58 425.471
25080667 MINERAL OIL 480 ML OIL 250 14.4 425.471
27053476 BANDAGE PLASTER FAST 4" 270 7.2 425.447
30126995 EBV NUCLR ANTIGEN ANTIBODY,REF 301 14.13 425.45
30101140 ALK P-TASE ISO -LAB 301 13.81 425.45
30232100 SMOOTH MUSCLE AB-LAB 302 13.81 425.45
25080974 SELENIUM SULFIDE 210 ML SHAMPO 250 13.71 425.471
27053757 SET INFUSION WING 21G X 3/4 270 3.4 425.447
25080842 FLUORIDE ION/MULTIVITS W-FE 250 13.42 425.471
25080092 BACITRACIN ZINC 30 GM TUBE 250 6.6 425.471
25080497 HYDROCORTISONE 0.5% 30GM CREAM 250 6.6 425.471
25087017 HYDROCORTISONE OINT 0.5% 30GM 250 6.6 425.471
27007533 TRAY SUCTION 270 4.4 425.447
27010916 PROTECTOR HEEL PEDIATRIC 270 13.2 425.447
27053549 CATH SUCTION 12FR 270 3.3 425.447
27053551 CATH SUCTION 16FR 270 3.3 425.447
25081271 TERAZOSIN HCL 1MG CAPSULE 250 6.51 425.471
27053704 NEEDLE SPINAL 18GA X 3 1/2 270 6.4 425.447
27019855 EAR WICK 270 12.6 425.447
27053735 POUCH UROSTOMY 2 1/4 270 12.6 425.447
25980280 PROTAMINE 10MG/ML VIAL 259 12.48 425.471
25080138 CAMPHOR/PHENOL/PET HY-PHL 6 GM 250 4 425.471
25080349 DOCUSATE CALCIUM 240 MG CAPSUL 250 4 425.471
25080626 MEGESTROL ACETATE 20 MG TABLET 250 4 425.471
25080934 QUINIDINE SULFATE 300 MG TABLE 250 4 425.471
25081058 THIORIDAZINE HCL 25 MG TABLET 250 4 425.471
25081059 THIOTHIXENE 2 MG CAPSULE 250 4 425.471
25081061 THIORIDAZINE HCL 50 MG TABLET 250 4 425.471
25081329 PERPHENAZINE/AMITRIPTYLINE TAB 250 4 425.471
25087308 VITAMIN D 50,000 UNITS 250 12 425.471
25087328 CYMBALTA 60 MG 250 12 425.471
25087329 ADVICOR TABLETS 250 36 425.471
27053726 PADDING CAST 6" 270 6 425.447
27053714 PACKING NUGAUZE PLAIN 1/2 270 11.4 425.447
30127066 THYROID AUTOANTIBODIES,REF 301 11.19 425.45
30112690 HEMOGLOBIN F BL-LAB 301 10.88 425.45
30113500 IGA ASSAY SERUM-LAB 301 10.8 425.45
30113890 INSULIN SERUM -L12 TOTAL 301 10.63 425.45
25080109 DIPHENHYDRAMINE HCL 30 GM TUBE 250 10.5 425.471
30230900 RUBELLA AB-CF,SE-L01 302 5.13 425.45
30122620 SICKLE CELL BL-LAB 305 5.05 425.45
25080737 NITROGLYCERIN 1 PATCH.24 H 250 5.01 425.471
25080915 PROPOXYPHENE HCL 65 MG CAP 250 10 425.471
25980098 HEPARIN SODIUM PORCINE 10U/ML 259 10 425.471
27053926 TUBE ENDOTRACH 3.0 W/O CUFF 270 5 425.447
27053448 AIRWAY CATH GUIDE #7 70MM 270 3.3 425.447
27053553 CATH SUCTION 5FR 270 3.3 425.447
27053798 SPLINT PLASTER FAST 5" 270 3.3 425.447
27000059 POUCH DRAINABLE 1 1/2 270 4.9 425.447
25081172 ZINC OXIDE OINTMENT 250 4.8 425.471
30234913 LYME DISEASE ANTIBODIES,REF 302 9.19 425.45
30216000 CERULOPLASMIN SE-LAB 301 8.88 425.45
27053732 POUCH DRAINABLE TRANS 1 3/4 FL 270 8.8 425.447
25080054 AMPICILLIN 125 MG/5 ML 100ML B 250 8.61 425.471
27053619 DRAPE STERI (DISP) 270 8.6 425.447
25080763 NYSTATIN 15 GM CREAM.GM. 250 8.4 425.471
25080149 CALCIUM CARBONATE/MAG HYDROX 250 4 425.471
25080266 CYANOCOBALAMIN 100 MCG TABLET 250 4 425.471
25080295 DESIPRAMINE HCL 50 MG TABLET 250 4 425.471
25080361 DIMENHYDRINATE 50 MG TABLET 250 4 425.471
25081014 POTASSIUM IODINE 1 G/ML SOLUTI 250 4 425.471
25081156 VITAMINS A AND D 5 GM PACKET 250 4 425.471
25081307 REPAGLINIDE 2 MG TABLET 250 4 425.471
25081326 TERBUTALINE SULFATE 5MG TABLET 250 4 425.471
25087050 METHIMAZOLE 10MG TABLET 250 53.6 425.471
27053557 CATH URINARY EXT - MALE 270 4 425.447
30113650 IGG ASSAY SERUM-LAB 301 7.75 425.45
42000342 THERABAND 270 7.7 425.447
27053793 SOLUTION STERILE WATER 2000ML 270 7.6 425.447
25080216 CIMETIDINE HCL 300 MG/5 ML BOT 250 47392.92 425.471
27053953 TUBE ENDOTRACH 6.0MM 270 7.5 425.447
25980237 LIDOCAINE HCL 20 MG/ML VIAL 259 7.41 425.471
30126951 LDL CHOLESTEROL,REF 301 7.31 425.45
27053610 COTTON BALL STERILE 270 7.2 425.447
25080119 BENZOIN COMPOUND TINCTURE 60 250 7.05 425.471
27019853 SHIELD EYE PLASTIC 270 7 425.447
27053642 SHIELD EYE PLASTIC RIGHT 270 7 425.447
27053762 SHIELD EYE PLASTIC LEFT 270 7 425.447
27053756 SET INFUSION WING 19G X 7/8 270 3.4 425.447
25081131 PETROLATUM,WHITE 30 GM JELLY 250 6.75 425.471
25081400 BISMUTH SUBSALICYLATE SUS 17.5 250 6.45 425.471
30127059 SODIUM 24HR URINE,REF 301 6 425.45
27053705 NEEDLE SPINAL 20GA X 3.5" 270 5.8 425.447
25081267 SALSALATE 500MG TABLET 250 5.25 425.471
27053636 ENDOTRACH TUBE 2.0 270 4.8 425.447
25080968 SODIUM CHLORIDE 15 ML SPRAY 250 4.38 425.471
25080669 MINERAL OIL 10 ML OIL 250 4.05 425.471
25080059 AMPICILLIN 250 MG CAPSULE 250 4 425.471
25080179 CASTOR OIL 60 ML BOTTLE 250 4 425.471
25080322 PHENYTOIN SODIUM EXTENDED 30 250 4 425.471
25080424 SODIUM PHOSPHATE/DIBASIC 66.6 250 2 425.471
25080501 HYDROXYZINE PAMOATE 25 MG CAP 636 4 425.471
25080681 MORPHINE SULFATE 15 MG TABLET 250 4 425.471
25080784 AMYLASE/LIPASE/PROTEASE 1 CAP 250 4 425.471
25080794 PENICILLIN V POTASSIUM 250 MG 250 4 425.471
25080860 PRAZOSIN HCL 1 MG CAPSULE 250 4 425.471
25080889 PRIMIDONE 50 MG TABLET 250 2 425.471
25080924 PSEUDOEPHEDRINE 30MG/5ML BOTT 250 4 425.471
25080931 QUINIDINE SULFATE 200MG TABLET 250 4 425.471
25081068 TRIMETHOBENZAMIDE HCL 250 MG 636 4 425.471
25081079 KETOROLAC TROMETHAMINE 10 MG 250 4 425.471
25087138 Nadolol 40 mg Tablet 250 4 425.471
25087288 ZANAFLEX 2MG (ZANA2MG) 250 4 425.471
27053454 AIRWAY:GUEDEL,SIZE 00 270 3.5 425.447
27005544 SWAB LEMON GLYCERIN 270 3.3 425.447
27053458 APRON DISPOSABLE PLASTIC 270 3.3 425.447
27053509 BLADE SCALPEL #11 270 3.3 425.447
27053592 CLAMP UMBILICAL CORD 270 3.3 425.447
27053801 SPLINT PLASTER X-FAST 5" 270 3.3 425.447
30026415 RAPID STREP SCREEN,REF 300 3.15 425.45
25980298 TALWIN 30MG/ML INJECTION 259 2.53 425.471
25080055 AMPICILLIN 250 MG/5ML 100ML 250 1.17 425.471
25080964 GUAIFENESIN/P-EPHED HCL 120 ML 250 0.58 425.471
25080405 ENFLURANE 125 ML GAS 250 0 425.471
25080407 CONTAINER,EMPTY 1 BOT BOTTLE 250 0 425.471
25081251 PROAMATINE 5MG TABLET 250 0 425.471
27053427 PACING PADS 270 0 425.447
27053438 NO CHARGE TODAY 270 0 425.447
30234920 RUBELLA IGG TITER,REF 302 0 425.45
35202300 CT CALL CHG. 352 0 425.468
43000081 SPLINTING 430 0 425.479
61900091 MRI ADDL SEQ 12 MIN 612 0 425.466
25980197 LEVOTHYROXINE SODIUM 200 MCG 259 1279.25 425.471
25087221 GEMZAR 200MG INJECTION 250 37687.44 425.471
25080323 PHENYTOIN 125 MG/5 ML ORAL. SU 250 38455.69 425.471
25081120 ACETAMINOPHEN 160 MG/5 ML ML 250 49.4 425.471
12300039 BED HOLD-PSA VENT 120 2340 425.357
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