vena cava filter femoral greenfield c1880 by 6B0Jc44E

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									Hanford Community Medical Center
Charge Master
Tax I. D. # 94-0535360

Charge Code   Charge Description                    Code       Price
13011         ROOM CHARGE - ICU                             5,393.00
21006         ROOM CHARGE - UNIT 100 SURGERY                2,527.00
22004         ROOM CHARGE - UNIT 200 MEDICAL                2,527.00
23010         ROOM / DOU                                    3,400.00
24000         ROOM CHARGE - UNIT 400 MED/SURG               2,527.00
33019         ROOM - BOARDER IN ICU                         2,527.00
44008         ROOM CHARGE - ICU IN UNIT 400                 5,393.00
100859        TRANSFUSION, BLOOD, SURGERY DEPT      36430   1,519.46
101006        TRANSFUSION, BLOOD, ICU DEPT OP       36430   1,519.46
101014        TRANSFUSION, BLOOD, UNIT 100 DEPT     36430   1,519.46
101428        TRANSFUSION, BLOOD, UNIT 200          36430   1,519.46
101527        PHLEBOTOMY, THERAPEUTIC, UNIT 200     99195   1,158.89
101550        TREATMENT ROOM PER HR, DOU UP TO 12             283.33
101568        TREATMENT ROOM PER HR, ICU UP TO 12             449.42
101576        TREATMENT ROOM PER HR UP TO 12 100              210.58
101584        TREATMENT ROOM PER HR UP TO 12 200              210.58
101592        TREATMENT ROOM PER HR UP TO 12 U400             210.58
101600        INFUSION THERAPY UP TO 1 HR DOU       90780     644.24
101618        INFUSION THER ADDNL UP TO 8HR DOU     90781     133.69
101626        INFUSION THERAPY UP TO 1 HR ICU       90780     644.24
101634        INFUSION THER ADDNL UP TO 8HR ICU     90781     133.69
101642        INFUSION THERAPY UP TO 1HR UNIT 100   90780     644.24
101659        INFUSION THER ADDNL HR UP 8 UNIT100   90781     133.69
101667        PHLEBOTOMY, THERAPEUTIC, UNIT 100     99195   1,158.89
101675        PHLEBOTOMY, THERAPEUTIC, ICU          99195   1,158.89
101683        PHLEBOTOMY, THERAPEUTIC, DOU          99195   1,158.89
101691        SHORT STAY, MEDICAL OP DOU PER HR               283.33
101766        CARDIOVERSION ICU                     92960   1,440.54
101774        TRANSFUSION, BLOOD, UNIT 400          36430   1,519.46
101782        INFUSION THERAPY 1 HR UNIT 400        90780     644.24
101790        INFUSION THERAPY ADDNL 8RHS UNIT400   90781     133.69
101808        RECOVERY UNIT 400 PER HR 12 MAX                 210.58
101816        MEDICAL SHORT STAY UNIT 400 PER HR              210.58
101824        PHLEBOTOMY, THERAPEUTIC UNIT 400      99195   1,158.89
102004        TRANSFUSION, BLOOD, DOU DEPT          36430   1,519.46
410647        AUTO SUTURE GIA                                 764.04
411868        CATH. URETERAL                        A4351     127.42
412403        CAST, HAND AND FOREARM                          145.41
412452        CAST, FULL ARM                                  182.03
412502        CAST, SHORT LEG OR ARM                          218.27
412551        CAST, LONG LEG                                  290.98
413716        HIP PLATE                                     1,494.94
413757        HIP NAIL                                        989.50
413849        INTRAOCULAR LENS                      V2632   2,237.06
413864        K-WIRE                                           38.31
414276        PENROSE                                          10.95
414334        RUSH ROD                                        381.88
414375   RUSH ROD (REG)                                334.68
414383   SCREWS 6.5MM                                  198.27
414391   SCREWS, 3.5MM                                  93.30
414409   SCREWS, SELF TAPPING 4.5MM         C1713      383.19
415315   TRACHEOSTOMY TUBE                             425.59
415430   WASHER, METAL/SPIKED                          267.38
417014   PLATE, DCP SMALL FRAGMENT                     625.77
417022   PLATE, TUBULAR SMALL FRAGMENT               1,082.21
417030   PLATE, MINI FRAGMENT                          636.61
417170   SCREW, HERBERT REG                 C1713    1,016.53
417196   SCREW, 1.5MM                       C1713       83.71
417204   SCREW, 2.0MM                                   98.15
417212   SCREW, 2.7MM                                   94.56
417220   SCREW, 4.0MM                                  101.81
417238   SCREW, 7.0MM MAGNAFIX                         860.34
417246   PLATE, DCP LARGE                              862.08
417253   PLATE, TUBULAR LARGE                          774.28
417287   RESERVOIR, JACKSON PRATT SUCTION               77.72
417493   CATH, CONE TIP                                 77.61
417535   SNARE, DISPOSABLE                             191.46
417550   DRAIN, WOUND SOFT SILICONE                    128.35
417576   DRAIN, 1/4 ROUND JACKSON     "                 66.82
417634   UNIT,RELOAD VASCULAR 37MM                     781.31
417667   UNIT,RELOAD 35MM BLUE                         463.30
417675   CATH,3FR/80CM EMBOLECTOMY                     145.35
417832   UNIT,RELOAD BLUE 60MM                         772.27
417840   SHEAR, LAP COAGULATING                      1,891.48
417865   PENILE IMPLANT                     C1813   13,742.61
417964   DEPUY CEMENTRALIZER                           563.04
418004   DEPUY LCS FEMUR                            11,975.83
418012   DEPUY LCS POR PATELLA                       4,637.62
418020   DEPUY LCS POR TIBIAL TRAY                   8,047.58
418038   DEPUY LCS ROT TIBIAL BEARING                3,410.01
418095   PLATE, WRIST FUSION                         1,885.59
418103   COLLAGRAFT STRIPS                  C1768    5,401.28
418186   PHASE II RECOVERY 1ST HOUR                    647.24
418194   PHASE II RECOVERY ADD 15 MIN                  258.88
418202   LEVEL I SURGERY FIRST HOUR                    884.54
418210   LEVEL I SURGERY ADD 15 MIN                    178.05
418228   LEVEL II SURGERY FIRST HOUR                 4,948.33
418236   LEVEL II SURG ADD 15 MIN                      987.43
418244   LEVEL III SURGERY 1ST HOUR                  5,949.71
418251   LEVEL III SURG ADD 15 MIN                   1,190.50
418269   LEVEL IV SURGERY 1ST HOUR                   8,478.07
418277   LEVEL IV SURG ADD 15 MIN                    1,694.02
418285   LEVEL V SURGERY FIRST HOUR                 12,358.31
418293   LEVEL V SURG ADD 15 MIN                     2,472.83
419994   MISC SUPPLIES IMPLANTS 278                       -
420000   TREATMENT ROOM FIRST HOUR                     211.51
420018   TREATMENT ROOM ADDITIONAL 15 MIN               48.61
420026   ANCHOR/SCREW BONE 1                C1713      140.61
420034   ANCHOR/SCREW BONE 2                C1713      905.79
420042    ANCHOR/SCREW BONE 3                   C1713   1,451.88
420067    GRAFT VASCULAR SYNTHETIC 5            C1768   2,091.71
420075    GRAFT VASCULAR SYNTHETIC 6            C1768   2,657.42
420083    GRAFT VASCULAR SYNTHETIC 9            C1768   4,084.23
420091    HIP ACE SHELL 3                               3,379.00
420109    HIP FEMORAL HEAD 2                            1,845.37
420117    HIP STEM 1                                    3,912.01
420125    MESH SYNTHETIC 5                      C1781   2,013.23
420133    MESH SYNTHETIC 8                      C1781   6,366.69
420158    SCREW PLATE ORTHO 1                             491.59
420174    SCREW PLATE ORTHO 3                           1,418.09
420182    SCREW PLATE ORTHO 4                           1,786.51
422022    PHLEBOTOMY, THERAPEUTIC, SURGERY      99195   1,164.56
427526    RECOVERY IN UNIT 200 PER HR 12 MAX              211.51
427534    INFUSION THERAPY UP TO 1HR SURGERY    90780     647.41
427542    INFUSION THERAPY ADDNL 8HR SURGERY    90781     134.40
427559    MISC SUPPLIES STERILE 272                          -
510461    PHASE I RECOVERY 1ST 30 MINUTES                 622.88
510487    PHASE I RECOVERY ADD 15 MINUTES                 499.00
600007    RECOVERY IN ICU PER HOUR-UP TO 12               449.35
600015    RECOVERY IN DOU PER HOUR-UP TO 12               283.35
600023    RECOVERY IN UNIT 100 PER HOUR 12MAX             210.48
943209    02+N20+FORANE 1 HR.                             894.89
943217    02+N02+FORANE ADDITIONAL 15 MIN                 204.48
1010115   SOLU, 0.9% NS 1000ML                             10.30
1010164   OINT, TRIPLE ANTIBIO TUBE                         8.88
1010172   SOLU, ACETIC ACID 0.25%                          44.42
1040450   BAG,LEG DRAINAGE URINARY,MED                     21.36
1042050   SHOE, POST OP MENS SMALL                         76.90
1042258   BRACE, KNEE 19 INCH                   L1832     220.78
1042308   BRACE, KNEE 22 INCH                   L1832     192.28
1042456   CATH I.V INSYTE 22X1                             10.85
1042472   CATH IV INSYTE 24 X 3/4                          12.92
1042506   CAPD DIALYSATE 1.5%                              71.94
1042605   CAPD DIALYSATE 2.50%                             71.94
1042704   CAPD DIALYSATE 4.25%                             71.94
1043223   CATH, COUDE ( ALL SZ)                 A4352     122.68
1043322   CATHETER, CARSON 16FRCC                         121.54
1043330   CATH, FOLEY 30FR 30CC                            56.79
1043454   CATH,24FR 5CC (3 WAY)                 A4346     120.66
1043462   CATH, IRRIGATION 26FR 30CC (3WAY)               119.25
1043553   CATH FOLEY 8FR 3CC                              110.64
1043702   CATH SUCTION 14FR 22 REG-VAC    "                 3.49
1043736   CATHETER, SWANZ GANZ 7.5                        633.51
1043850   CATH THORACIC 28FR (RIGHT ANGLE)                 83.39
1043900   CATH THORACIC (STRAIGHT) 28FR                    57.06
1044304   COLLAR, CERVL-FOAM SM                 L0120      42.62
1044320   COLLAR, PHIL. CERVICAL SM             L1050     196.04
1044445   CRUTCHES, 5'4 X 5'9"      "                     125.95
1045251   DRESSING, ADAPTIC (3 X 3)                         4.69
1045301   DRESSING, ADAPTIC (3X8)                          17.39
1045376   DRESSING, DUO DERM (4 X 4")   "                  57.06
1045384   DRESSING, DUO DERM (8X 8")     "              189.33
1045426   DRESSING, OP-SITE 5 1/2 X 4                    11.55
1045509   DRESSING, TELFA #1238 (8X3 STER)                2.18
1045608   DRESSING, VASELINE (1 X 8 CISION)              11.83
1045707   ELECTRODE, MONITORING #3510                    17.60
1045764   ELECTRODE, PACING ZOLLNTOP                    536.06
1046523   SLING & SWATH DELUX SMALL             L3660   104.64
1047174   TRAY, TRIPLE LUMEN SZ7 20CM                   602.55
1048156   PACKING, GAUZE (IODOFORM)1/4 INCH              56.19
1048206   PACKING, GAUZE (IODOFORM)1/2 INCH              59.46
1048255   PACKING, GAUZE (IODOFORM) 1 INCH               63.06
1048305   PACKING, GAUZE (IODOFORM) 2 INCH               95.43
1048354   PACKING, GAUZE (PLAIN) 1/4TH INCH              52.76
1048404   PACKING, GAUZE (PLAIN)1/2 INCH                 52.76
1048453   PACKING, GAUZE (PLAIN) 1 INCH                  59.46
1049576   RESTRAINT, PERSONAL                            47.96
1050459   UNIT, PLEUR-EVAC CHEST DRAINAGE               604.13
1051002   STOCKING, EMBOLISM (THIGH SM-SHORT)           129.55
1051051   STOCKING, EMBOLISM (KNEE SM.REG.)              47.96
1051507   SLING, ARM VOGUE                               40.60
1051556   SLING, ARM (CHILD PRINT)                       40.77
1051713   SPONGE, GELFOAM (SZ.100)                      273.59
1051879   SPLINT, BUCK'S TRACTION #3829-00      L2999   156.69
1052158   SPLINT, NASAL (ALUMAFOAM)                     109.93
1052398   STYLET, INTUBATING 6 FR                        37.71
1052406   SURGICAL, 2X4 #1951                           266.72
1052455   SURGICEL, 4X8 #1952                           289.94
1052521   SURGICEL, 1/2 X 2 #1955                        78.04
1052604   TRAY, CATH (ADD-A-FOLEY)                       66.93
1052653   TRAY, CATH (SZ 16)                             97.88
1052703   TRAY, CATH (SZ 18)                             97.88
1052711   TRACH CARE (DIRECTIONAL TIP)                  179.58
1053206   TRAY, LUMBAR PUNCT. (ADULT)                   125.95
1053255   TRAY, LUMBAR PUNCT.(INFANT)                   100.12
1053503   TRAY, THORACENTESIS                           195.82
1053784   TUBES, TRACH,PORTEX 6.0                       464.72
1054238   WAFER, STOMAHESIVE 1-3/4       "              208.74
1054253   WIRE, CATHETER GUIDE #7858                    123.93
1055102   BELT, RIB MENS 6          "           L0210    42.07
1055110   BELT, RIB LADIES 8         "          L0210    87.09
1055136   SHOE, POST-OP MENS MED.                        76.90
1055144   SHOE, POST-OP MENS LG                          76.90
1055169   SHOE, POST-OP WOMENS MED.                      76.90
1055284   BRACE, SHOULDER PADDED X LG           L3650    52.16
1055391   CATH, URETHRAL ALL PURP                         9.59
1055409   CATH, COUDE 14FR 5CC                          135.11
1055417   CATH, COUDE 16FR 5CC                          141.10
1055425   CATH, COUDE 18FR 5CC                          141.10
1055433   CATH, COUDE 20FR 5CC                          141.10
1055458   CATH, COUDE 24FR 5CC                  A4340   135.11
1055490   CATH FOLEY 12FR 5CC                            56.90
1055508   CATH, FOLEY 28FR 30CC                 A4338    56.79
1055516   CATH FOLEY 26FR 30CC                          74.45
1055524   CATH FOLEY 24FR 30CC                          65.07
1055532   CATH, FOLEY 22FR 30CC                         65.07
1055540   CATH, FOLEY 20FR 30CC                         62.35
1055557   CATH, FOLEY 18FR 30CC                         62.35
1055573   CATH, FOLEY 14FR 30CC                         83.88
1055581   CATH, FOLEY 30FR 5CC                          49.76
1055599   CATH, FOLEY 28FR 5CC                          49.76
1055607   CATH, FOLEY 26FR 5CC                          69.60
1055615   CATH, FOLEY 24FR 5CC                          54.77
1055623   CATH, FOLEY 22FR 5CC                          56.90
1055631   CATH, FOLEY 20FR 5CC                          56.90
1055649   CATH, FOLEY 18FR 5CC                          54.77
1055656   CATH, FOLEY 14FR 5CC                          56.90
1055664   CATH, FOLEY 16FR 5CC                          54.77
1055680   CATH, IRRIG 22FR 5CC 3-WAY                   131.94
1055698   CATH, IRRIG 24FR 30CC 3-WAY                  146.44
1055706   CATH, IRRIG 22FR 30CC 3-WAY                  133.25
1055730   CATH, IRRIG 20FR 5CC 3-WAY                   131.94
1055748   CATH, IRRIG 18FR 5CC 3-WAY                   120.39
1055755   CATH, FOLEY 10FR 3CC                          98.48
1055888   CATH, THORACIC 36 FR RIGHT ANGLE              83.39
1055896   CATH, THORACIC 32 FR                          60.17
1055904   CATH, THORACIC                                57.01
1055912   CATH, THORACIC 40 FR                         224.98
1055979   COLLAR, CERVI-FOAM SM XLONG          L0120    52.32
1055987   COLLAR, CERVI-FOAM MED               L0120    36.57
1055995   COLLAR, CERVI-FOAM MED XLONG         L0120    55.70
1056001   COLLAR, CERVI-FOAM LG                L0120    61.09
1056027   COLLAR, PHIL.CERVICAL MED MED        L0172   253.04
1056035   COLLAR, PHIL.CERVICAL MED LG         L0172   191.30
1056043   COLLAR, PHIL CERVICAL LNG SM         L0172   212.99
1056050   COLLAR PHIL.CERVICAL LONG MED        L0172   168.79
1056076   CRUTCH ADULT TALL 5'10X 6'6"   "             125.95
1056084   CRUTCH,YOUTH 4'7 X 5'3"      "               125.95
1056134   TUBE,TRACH EXCHANGER LARGE                    71.50
1056290   SLING & SWATHE, DELUX MED            L3660   109.71
1056308   SLING & SWATHE, DELUXE LG            L3660   109.71
1056316   SLING & SWATHE DELUXE XLG            L3660   109.71
1056472   POUCH, DRAINABLE 1 1/2       "               214.35
1056480   POUCH, DRAINABLE 2 1/4       "               214.35
1056498   POUCH, DRAINABLE 2 3/4       "               214.35
1056613   STOCKING, EMBOLISM THI SM-REG                 83.22
1056621   STOCKING, EMBOLISM THI SM-LNG                129.55
1056639   STOCKING, EMBOLISM THIGH MED-SHORT            83.22
1056647   STOCKING, EMBOLISM THIGH MED-REG              83.22
1056654   STOCKING, EMBOLISM THIGH MED-LONG             83.22
1056662   STOCKING, EMBOLISM THIGH LG-SHORT            129.55
1056670   STOCKING, EMBOLISM THIGH LG-REG               83.22
1056688   STOCKING, EMBOLISM THIGH LG-LONG              83.22
1056704   STOCKING, EMBOLISM KNEE MED-REG               47.96
1056712   STOCKING, EMBOLISM KNEE MED-XLN               47.96
1056720   STOCKING, EMBOLISM KNEE LG-REG                     47.96
1056761   SUSPENSORY, XLG                                    47.96
1056779   SLING, ARM MED. VOGUE                              38.10
1056787   SLING, ARM LG VOGUE                                38.10
1056795   SLING ARM XLG VOGUE                                40.77
1056878   SPLINT, FINGER THIMBLE 3       "                   24.69
1057074   STYLET, INTUBATING 14 FR                           55.32
1057124   TUBE PENROSE 1X18NS                                 3.98
1057371   TUBE TRACH PORTEX 7.0                             505.81
1057389   TUBE TRACH PORTEX 8.0                             505.81
1057397   TUBE TRACH PORTEX 9.0                             505.81
1057439   TUBE TRACH CUFFED 8.0                             460.25
1057520   WAFER STOMAHESIVE 2 1/4          "                212.55
1057538   WAFER,STOMAHESIVE 2 3/4          "                208.24
1058338   CATH,SWAN-GANZ TD W/S-TIP 7 FR                    506.47
1058601   GLIDE WIRE,ANGLED .025-150CM                      536.06
1058619   GLIDE WIRE, ANGLED .035-150CM                     384.82
1058635   GLIDE WIRE, STRAIGHT .035-150CM                   384.82
1058643   GLIDE WIRE,J" .035-150CM     "                    329.83
1059187   GUIDE WIRE, J" .038 3MM     "                     143.12
1059195   GUIDE WIRE, STRAIGHT .038-145CTD                  121.70
1059385   GUIDE WIRE WHOLEY HTF KIT (145CM)                 548.87
1059500   INTRODUCER,PINNACLE-SHEATH 5FR-10CC               232.99
1059567   GUIDE WIRE J" TIP MOVABLE .035 "        C1769     134.07
1059765   FORCEPS, BIOPSY (DISP.)                         1,716.26
1060151   CATH, 6FR. PIG .038 SUPER TORQUE                  206.66
1060169   CATH, 6FR. JR4 .038 SUPER TORQUE                  206.66
1060177   INTRODUCER,6FR ARGON PERC CATH                    130.47
1060185   INTRODUCER,7FR ARGON PERC CATH                    130.47
1060193   INTRODUCER,8FR ARGON PERC CATH                    130.47
1060201   GUIDEWIRE, BENTSON .035                           147.86
1060227   DRESSING, 4X4 NU-GEL WOUND                         37.06
1060383   GUIDEWIRE,HI-TORQ FLOPPY II.014/175     C1769     858.21
1060482   DEVICE,20/20 INDEFLATOR                           675.53
1060664   VENA CAVA FILTER-FEMORAL GREENFIELD     C1880   3,285.26
1061282   GUIDEWIRE, 260CM STRAIGHT 35        "   C1769     618.47
1061381   GUIDEWIRE,35 SS STRAIGHT          "               632.25
1062041   GUIDEWIRE, ANGLE SS35-180                         659.67
1062066   GREENFIELD VENA CAVA FILTER-JUGULAR     C1880   3,285.26
1062108   NEEDLE, 18G-71 TRANSEPTAL                       1,328.22
1062306   CATH, 5F COBRA 2 .038/65                          646.10
1063122   TRAY, URINE METER/16 FOLEY CATH                   186.23
1063197   TRAY, DRESSING CUSTOM                              83.11
1063296   ABSCESS, 10F LOCKING LOOP                         548.87
1063346   CATH, COUDE 22F 30CC                              161.70
1063395   CATH, COUDE 24F 30CC                              137.18
1063668   BOOT, ROOKE MEDIUM                                523.42
1063783   POUCH, UROSTOMY 1 1/2                             324.06
1064005   NEEDLE, STERNAL/ILIAC ASPIRATION                  147.37
1064161   INTRODUCER, TUBE INTR                             275.01
1064195   TUBE, EVACUATOR HEMAVAC                           174.07
1064542   WAFER, STOMAHESIVE 1 1/2         "                204.48
1064583   DRESSING, UNNAS BOOT 3       "                77.77
1065606   KIT, DRAIN SYS SZ.7                          257.73
1065895   SPONGE, GELFOAM SZ 12-7                       51.01
1065994   CATH, 5FR/90CM STRAIGHT            C1751     188.41
1066034   DRESSING WOUND DRESS                         156.47
1066067   TRAY, P1CC LINE CATH 2.6FR                   481.02
1066448   CATH, 10 FR DRAIN                            667.08
1066455   CATH, 12 FR DRAIN                            667.08
1066471   GUIDEWIRE, TSCF-21-145             C1769     217.84
1066802   ANCHOR, SUPER (MITEK)              C1713     838.54
1067206   BASKET, GEMINI                             1,305.87
1067214   BASKET, GEMINI 4 WIRE                      1,268.43
1067222   BASKET, GEMINI 4 WIRE                      1,305.87
1067230   BICAP PROBE                                1,656.53
1067297   BIPOLAR CUP, 28MM ID/44MM OD               3,514.05
1067313   BIPOLAR CUP, 28MM ID/46MM OD               3,514.05
1067339   BIPOLAR CUP, 28MM ID/48MM OD               3,725.46
1067719   CATH, IRR FOGARTY CV1010                     522.27
1067792   CATH, 3F EMBOLECTOMY               C1757     600.70
1067834   CATH, 4F EMBOLECTOMY               C1757     522.27
1067842   CATH, 4F 100CM ART EMBOLECTOMY     C1757     600.70
1067859   CATH, 4F 40CM ART EMBOLECTOMY                600.70
1067875   CATH, 4F 80CM ART EMBOLECTOMY      C1757     600.70
1067891   CATH, 4FR OPEN END URETERAL                   81.10
1067933   CATH, 5FR OPEN END URETERAL        C1758      68.83
1067974   CATH, 6F IRR                                 522.27
1068014   CATH, 7F EMBOLECTOMY               C1757     522.27
1068063   CATH, 8FR GROSHONG SINGLE LUMEN    C1788   1,856.54
1068071   CATH, 8FR VAN ANDEL                C1751     302.37
1068089   CATH, 9.5F GROSH DUAL LUMEN CV             2,104.95
1068097   PORT, 9.5F TITANIUM DUAL PORT              1,477.22
1068105   CATH, 9.6F HICKMAN SINGLE LUMEN            1,058.01
1068121   CEMENT, BONE SURG SIMPLEX P                  514.92
1068196   CLIP APPLIER, 10MM                           837.83
1068204   CLIP, APPLIER 12MM                           837.83
1068212   CLIP, HULKA                                  275.01
1068345   ANCHOR, GII (MITEK)                C1713     793.03
1068493   CUTTER, ENDO VASCULAR                      1,647.59
1068501   CUTTER, LINEAR 55MM                          824.75
1068535   CUTTER, THICK TISSUE 55MM LINEA              915.65
1068626   CUTTER, 60MM                               1,914.31
1068634   CUTTER, 75MM LINEAR                        1,294.76
1068642   CUTTER, 75MM TH TISSUE LINEAR              1,393.18
1068659   DILATOR, 7FR BALOON URETERL SET              797.93
1069400   FORCEP, BASKET 3 SEGURA STN RET            1,342.50
1069442   FORCEP, NON-RETRACT STN RETV GR            1,164.12
1069459   FORCEP, 4-PRONG STONE RETV GRAS    C1773   1,111.69
1069467   FORCEPS, 3F/120 GRASP NON-RET              1,164.12
1069483   FORCEPS, BASKET 2 SEGURA STN RET   C1773   1,171.64
1069525   GUIDEWIRE, STRAIGHT .035           C1769     398.67
1069533   GLIDEWIRE, STRAIGHT .038                     171.89
1069574   GRAFT, MARLEX MESH 3X6                       389.57
1069582   GRAFT, OAL AXILOFEM 8X45SLX65        C1768   4,824.61
1069624   GRAFT, 12X6 GELSEAL                  C1768   3,563.81
1069657   GRAFT, 16X8 GELSEAL BIFURCATE        C1768   3,563.81
1069780   GRAFT, 4.5-6.5X100CM GORTEX          C1768   4,930.40
1069798   GRAFT, 4.5-6.5X40CM GORTEX           C1768   2,318.43
1069806   GRAFT, 4-7X45CM GORTEX               C1768   3,110.32
1069814   GRAFT, 4-7X50CM GORTEX               C1768   3,455.74
1069848   GRAFT, 6-8X100CM GORTEX              C1768   4,930.40
1069889   GRAFT, 6 X 70CM GORTEX               C1768   3,675.92
1069913   GRAFT, 8MM STRAIGHT                  C1768   1,641.59
1070259   KIT, MILLER CEMENT INJECT CARTR                658.31
1070325   KIT, TOTAL HIP BONE PREPARATION                826.06
1070390   MESH, PROLENE 12 X 12"        "      C1781     842.13
1070416   MESH, PROLENE 6 X 6"        "        C1781     360.19
1070499   NEEDLE, SPINAL 18 X 6                           30.30
1070648   PATCH,PTFE 2.5CM X 14.0CM X .6MM     C1781   1,410.24
1070705   PIN, ORTHO SORB                                833.20
1070739   PORT, 6.6FR TITANIUM                 C1788   1,059.32
1070747   PORT, 8F TITANIUM GROSH PEEL         C1788   1,113.27
1070853   SCREW, ACUFEX ALL SIZES                        844.31
1071299   STENT, 4.8F VARI LENGTH              C1877     552.96
1071315   STENT, 6F/24-30 MARDIS VAR URET      C1877     552.96
1071323   STENT, 6F/26 HYDRO PLUS MARDIS       C1877     970.05
1071331   STENT, 6F/28 HYDRO PLUS MARDIS       C1877     970.05
1071349   STENT, 7F URINARY DIVERSION          C1877   1,156.54
1071356   STENT, 7F/24-30 MARDIS VAR URET      C1877     552.96
1071364   STENT, 8F/24-30 MARDIS VAR URET      C1877     552.96
1071380   STENT, 8F/70CM URINARY DIVERSON      C1877   1,156.54
1071596   TUBING,STACKHOUSE 7/8X6 CO2 VAC "               53.30
1071604   TAPE, TRANSPORE 1          "                     9.59
1071612   SYRINGE, 30CC ST                                 3.98
1071638   UNIT,RELOAD 75MM BLUE CARTRIDGE                500.20
1071729   SUTURE,PROLENE 3-0 PS-2                         50.85
1071752   SUTURE,ETHILON 3-0 PS-2                         41.42
1071778   SUTURE,CHROMIC 2-0 CTGUT                        43.27
1071794   BRACE,WRIST LT X-RAY                            66.00
1072107   TUBE, VENT .40 PAPERELLA                       139.14
1072123   SCREW, T1 3.5MM                      C1713     384.01
1072172   FOGARTY 4F ADHERENT CLOT CATH 80CM   C2627     826.27
1072222   CHOICE DM                                       17.39
1072255   DRESSING, CANFEEL CLEAR 4X4                     45.45
1072305   COMFEEL PLUS CLEAR 4X4                          46.33
1072313   DRESSING, TIELLE                                60.11
1072503   GUIDING NEEDLE ASAP 17X14.7                    170.37
1072511   GUIDING NEEDLE ASAP 17X9.7                     170.37
1072529   GUIDING NEEDLE ASAP 19X14.7                    170.37
1072552   DRESSING, TIELLS 5X5                            60.11
1072560   DRESSING, TIELLS 7X7                           184.81
1072578   POUCH, DRAINABLE 1 1/4 (32M)                   198.27
1072586   WAFER, STOMAHESIVE 1 1/4 (32M)                 196.47
1072651   SUPPORT,BIO SKIN BACK LG                       261.82
1072743   CRUTCH, YOUTH 4'2X4'10"        "               125.95
1072750   DRESSING FIBRACOL 4X4 3/8                      64.47
1072768   DRESSING, SOF-FOAM                             14.22
1072776   TRAY, THORACENTESIS/PARACENTESIS              356.81
1072792   GEL COLLAGEN WOUNDRESS 1 OZ                    51.45
1072818   DRESSING COM-PLUS CONTOUR 42     "             98.37
1072826   PACKING SEASORB 1.5 X 2.5                      32.32
1072859   ROPE FIBRACOL 3/8 X 8 X 15                     82.73
1072867   DRESSING TIELLE SACRUM 18 X 18                 84.91
1072875   BRACE ANKLE/SM W/STRAP                        248.79
1072883   BRACE ANKLE MED W/STRAP                       248.79
1072891   BRACE ANKLE LG W/STRAP                        248.79
1072909   SPLINT WRIST XS LEFT                           90.36
1072917   SPLINT WRIST XS RIGHT                          90.36
1072925   SPLINT WRIST SM RIGHT                          90.36
1072933   SPLINT WRIST SM LEFT                           90.36
1072941   SPLINT WRIST MED RIGHT                         90.36
1072958   SPLINT WRIST MED LEFT                          90.36
1072966   SPLINT WRIST LARGE RIGHT                       90.36
1072974   SPLINT WRIST LG LEFT                           90.36
1072982   SPLINT WRIST XL RIGHT                          90.36
1072990   SPLINT WRIST XL LEFT                           90.36
1073006   SPLINT THUMB XS RIGHT                         248.79
1073014   SPLINT THUMB XS LEFT                          248.79
1073022   SPLINT THUMB SMALL LEFT                       248.79
1073030   SPLINT THUMB SMALL RIGHT                      248.79
1073048   SPLINT THUMB MED LEFT                         248.79
1073055   SPLINT THUMB MED RIGHT                        248.79
1073071   SPLINT THUMB LG LEFT                          248.79
1073089   SPLINT THUMB LG RIGHT                         248.79
1073097   SPLINT THUMB XL LEFT                          248.79
1073113   BOOT SMALL/MED                                373.33
1073121   BOOT MED/LARGE                                373.33
1073139   BOOT LG/XLG                                   373.33
1073147   BRACE FF ANKLE LEFT                           223.67
1073154   BRACE FF ANKLE RIGHT                          223.67
1073170   TRAY, TRIPLE LUMEN CATH                       480.96
1073212   CANNULA, ERCP CONTOUR                         323.78
1073238   GUIDEWIRE, ZEBRA - MICROVASIVE 5168   C1769   606.80
1073303   TRAY, PEG BARD GW SYSTEM                      511.76
1073337   TUBE, GASTROSTOMY 22F REPLACEMENT             288.47
1073345   TUBE, GASTROSTOMY 20F REPLACEMENT             288.47
1073352   CANNULA, ERCP PRE-CURVED                      381.28
1073378   SPHINCTEROTOMES, ULTRA STD 20MM               822.30
1073386   SPHINCTEROTOMES, ULTRA STD 20MM               822.30
1073394   SPHINCTEROTOMES, ULTRA STD 30MM               822.30
1073410   CANNULA, ERCP FLUORO TIP PAPER                463.63
1073428   STENT, BILIARY COTTON LEUNG SET               564.89
1073477   BALLOON, STONE EXTRACTION                     671.22
1073592   CATH,TROCAR 20FR. ARGYLE #88561043            192.66
1073600   CATH,EXTERNAL MALE BAXTER#C17750020            12.70
1073618   SCREW, 4.5MM (214)                             75.16
1073758   BASKET STONE REMOVAL BARD 050195      C1773   531.16
1073857   ZIMMER CABLE-READY GRIP CERCLAGE CA           1,291.27
1073899   PIN, STEINMAN 3/16X9 N/S                         69.71
1073907   PIN,BALLS-JURGAN DEVEL #W045                     44.74
1073915   ANCHOR, QUICK ROT CUFF (RC) #212410   C1713   1,146.68
1073949   ZIMMER CABLE-READY GRIP GREATER TRO           2,049.85
1073956   ZIMMER CABLE-READY GRIP(CABLE BONE)             929.93
1074004   TRAY VAZ CATH                                   517.97
1074012   DERMA BOND SUPPLY                               311.09
1074053   CATH, MALLECOT SIZES 18FR-30FR                  150.31
1074061   SCREW,ZIMMER MINIMAGNA FIX 4.0/5.0M             524.51
1074079   PATCH, KUGEL HERNIA SM OVAL           C1781   1,115.29
1074087   PATCH, KUGEL HERNIA SM CIRCLE         C1781   1,232.79
1074095   PATCH, KUGEL HERNIA MED OVAL          C1781   1,339.01
1074129   INTERCEED,ABSORBABLE ADHESION BARRI             336.76
1074160   DRAIN, WOUND MED SILICONE 1/8                   121.21
1074202   ZIMMER NEXGEN ARTICULAR SURFACE               2,206.92
1074210   ZIMMER NEXTGEN FEMORAL COMPONENT              4,819.93
1074244   ZIMMER NEXTGEN ALL POLY PATELLA STA           1,428.34
1074277   ZIMMER NEXTEN STEMMED TIBIAL COM PR           4,227.24
1074327   IMPLANT, SUBTALAR                             1,556.79
1074400   ZIMMER VERSYS DISTAL CENTRALIZER                440.47
1074418   ZIMMER VERSYS FEMORAL STEM                    6,040.67
1074426   ZIMMER VERSYS FEMORAL HEAD 28MM               1,652.06
1074442   SCREW, 4.0 CANNULATED SCREW                     425.65
1074467   CATH, QUINTON 60CM                    C1788     454.75
1074483   DEPUY COATING ROT PLATFORM                    6,000.89
1074517   DRAIN, WORTH TRIPLE LUMEN                       303.95
1074541   SCREW MENISCAL CLEARFIX                         615.25
1074574   COLLAGRAFT STRIPS                     C1768   4,393.63
1074582   GUIDEWIRE, PATHFINDER                           587.35
1074590   INJECTOR,VARICES DISPOSABLE                     329.78
1074624   CAPD CATHETER                                   653.24
1074640   SNARE, SMALL OVAL (MINI)                        154.56
1074657   SNARE MED OVAL                                  154.56
1074673   GUIDEWIRE, STRAIGHT .035                        598.52
1074772   ANCHOR LIG ACL (MITEK)                          807.96
1074814   NEPRO FEEDING                                    27.47
1074822   FLEXIBLE TOE IMPLANT (ALL SIZES)      L8641   2,965.13
1074830   PLUG, BARD MESH LG                            1,064.39
1074848   SYNTHES SCREW TIBIAL NAIL                       715.69
1074855   SYNTHES END CAP TIAIAL NAIL                     658.91
1074897   ROD, SMALL X-FIX                                702.07
1074905   SCREW, SMALL X-FIX                              790.74
1074913   CLAMP, SMALL X-FIX                            2,490.21
1074939   PLATE, PELVIC RECON                           1,240.58
1074947   SYNTHES TIBIAL NAIL                           3,085.57
1074954   PERC. TRACHEOSTOMY INTRODUCER                 1,288.27
1074970   ANCHOR, MINI QUICK                    C1713   1,424.58
1078245   BOOT HEELIFT SUSPENSION               L3480     335.12
1078252   PROBE 1.9F LITHOTRIPSY                          915.22
1078260   PROBE 9.0F LITHOTRIPSY                        1,326.91
1078278   GUIDEWIRE PROTECTOR                   C1769     424.88
1078286   CATH PYLORIC BALLOON                  C1726     965.63
1078302   DRAIN, 7MM FLAT JP                               37.55
1078310   DRAIN, 10MM FLAT JP                              37.55
1078328   BOWL, VACUUM MIXING                             375.34
1078336   KIT, COSTAVAC 1/4 WOUND                         575.57
1078344   TRAY, TRIPLE LUMEN 7FR                          313.92
1078369   VAC DRESSING                                    514.64
1082742   MESH, PROLENE 3 X 6                   C1781     440.31
1082759   MESH, PROLENE 6X6 ETHICON PMM         C1781     366.95
1082767   PORT, 6.6FR TITANIUM 60610                    1,079.26
1082775   PORT, 8FR TITANIUM GROSH PEEL                 1,134.20
1082783   CATH, OPERATIVE CHOLANGIOGRAPHY                 208.68
1082791   STAPLER, CURVED ILS 33MM ETH CDH33            1,927.56
1082825   STAPLER, HERNIA STRAIGHT ETH EMS              1,400.11
1082833   STAPLER, LDS 15W W/TITAN STAPLE                 914.29
1082841   STAPLER, ROTICULATING AX55B/G                 2,195.53
1082858   STAPLER, SKIN PPW35                             146.33
1082866   STAPLER, SKIN ROTATING                          365.37
1082874   STAPLER, STEALTH WHITE                        2,059.66
1082882   STAPLER, STEALTH BLUE 29MM                    2,145.77
1082890   STAPLER, STEALTH DK GREEN 33MM                2,059.66
1082908   STAPLER, 30ML RL + LINEAR TX30B                 850.15
1082916   STAPLER, 30 MM VASCULAR RL + TX30V              927.21
1082924   STAPLER, 90 MM HEAVY WIRE RL+ RLH90             878.54
1082932   STENT, 4.8FR VARI LENGTH #125-172     C2617     563.37
1082940   STENT, 6FR URINARY DIVER #160-105     C2617   1,178.34
1082957   STENT, 6F/24-30 MARDIS VAR #125-173             563.37
1082965   STENT,7F URINARY DIVERSION #160-110           1,178.34
1082973   STENT, 7F/24-30 MARDIS VAR #125-175             563.37
1082981   STENT, 8F/24-30 MARDIS VAR #125-176             563.37
1083013   STN RETRIEVAL HELI BASKET 3F/90                 834.56
1083047   UNIT RELOAD 75MM BLUE CART TCR75                509.63
1083062   AVITINE SHEET MEDCHEM 101-008                   469.90
1083070   BALLOON STRUCTIONAL OMS-T10SB         C1727     645.99
1083088   BALLOON, STONE EXTRACTION 5147 MIC              683.81
1083096   BASKET,STONE REMOVAL BARD 050195                541.13
1083104   BRUSH,BILEARY CYTOMAX II DLB35-115              382.59
1083112   BRUSH,CYTOLOGY GEENEN BILI SET                  131.35
1083120   BRUSH, MICROBIOLOGY MILL-ROSE #130              257.62
1083138   CATH, CAPD                                      665.50
1083146   PATCH, CAROTID IMPRA 12X75                      560.86
1083153   CATH,ART EMBOLECTOMY 5FR 80CM                   611.98
1083161   CATH, ADHERENT CLOT 80CM                        841.86
1083179   CATH, ASH SPLIT                                 861.26
1083195   CATH, LEONARD DOUBLE LUMEN 10FR       C1788     753.19
1083237   IMPLANT, COLLAGEN BARD                        1,308.22
1083245   CUTTER,ENDO TXB45/TSW45 ETHICON               1,447.14
1083260   VALVE PERI-VENOUS SHNT DENVER CODMN           3,059.14
1083278   DILATOR, ESOPH BALLOON 12MMX8CM                 636.78
1083294   DILATOR, ESOPH BALLOON 15MMX8CM                 636.78
1083302   DRAIN, 10MM FLAT JACKSON PRATT                   37.55
1083310   DRAIN, 7MM FLAT JACKSON PRAT                     37.55
1083328   DRAIN, WORTH TRIPLE LUMEN                       309.67
1083336   DRAIN, WOUND MED SILICONE 1/8                   123.50
1083344   GUIDEWIRE, HIBRID TRACER HYB48-025              560.86
1083351   GUIDEWIRE, PATHFINDER                 C1769     598.36
1083369   GUIDEWIRE, PROTECTOR                  C1769     424.88
1083377   GUIDEWIRE, STRAIGNT .035              C1769     609.80
1083393   PATCH, HEMACAROTID (INTERVASCULAR)              560.86
1083401   BARRIER, ABSORBABLE ADHES INTERCEED   C1765     343.08
1083419   DRAIN,CONSTAVAC 1/4 WOUND KIT                   575.57
1083427   LIGATOR, RAPID FIRE MULTIBANDING              1,396.13
1083435   LIGATOR, SPEEDBAND MULTIBAND                  2,279.35
1083443   TUBE,GASTROSTOMY 18FR #517719MOSS               612.74
1083450   NET, RETRIEVAL ROTH                             338.01
1083468   PATCH, KUGEL HERNIA LG CIRCLE         C1781   1,040.84
1083476   PATCH, KUGEL HERNIA MED OVAL          C1781   1,364.19
1083484   PATCH, KUGEL HERNIA SM CIRCLE         C1781   1,256.01
1083492   PATCH, KUGEL HERNIA SM OVAL           C1781   1,136.33
1083518   PLUG, MESH LG BARD                            1,064.39
1083526   PROBE, HEMOSTASIS BIPOLAR                       809.22
1083534   SNARE, MED OVAL 000474 BARD                     157.45
1083542   SNARE, SMALL OVAL MINI 000476 BARD              157.45
1083567   SUTURE, TOTAL MICRO/PLASTIC 6-0 OR+             209.93
1083575   TACKER, ORIGIN OMS-TTSD                       1,025.80
1083583   CATH, TESIO                                   1,681.05
1083591   TUBE, TRACH VARIOUS SIZES                       372.07
1083609   TRAP, SPECIMEN                                   15.48
1083617   TRAY, 7FR PERCUTANEOUS CATHETER                 522.33
1083641   TRAY, PEG G/W SYSTEM BARD                       521.35
1083658   TRAY, TRIPLE LUMEN 7FR 20CM X.025               313.92
1083682   TUBE, GASTROSTOMY 20F REPLACEMENT               293.92
1083690   ULTRTOME, 2F 3 LUMEN 20 #3590                   911.79
1083716   UNIT,RELOAD 55MM THICK TIS GRNTVR55             425.10
1083724   UNIT,RELOAD 30ML EHTICON XR30B                  516.82
1083740   UNIT,RELOAD 60MM ETHICON TR60B                  343.08
1083765   UNIT,RELOAD VASULAR WHITE TR45W                 623.59
1083773   UNIT,RELOAD 75MM TH TISS GRN TRT75              572.03
1083781   CLIP APPLIER, VCS VARIOUS SIZES               1,148.75
1083807   TVT DEVICE URINARY INCONT W/SLING     C1771   2,499.32
1083815   MESH, LAP HERNIA ALL SIZES            C1781     605.39
1083856   MITEK FLEXIBLE PROBE                            458.07
1083864   PLATE TUBULAR 241.01 TO 241.10                  232.12
1083872   BONE CHIPS CANCELLOUS 30CC                    1,191.04
1083880   GRAFT PATELLAR LIGAMENT 1/2                   3,129.66
1083906   GRAFT SLING                           C1768   1,194.69
1083914   KIT, INFAST                                   2,137.76
1083922   STAPLER PPH01                                 1,337.59
1083930   ENDOAVITENE                                     433.22
1083948   GRAFT RR47010045L                             1,966.74
1083955   GRAFT V46040L                                 1,634.46
1083971   BASKET UROMAX 225-101                           677.98
1083989   BASKET SERGURA 380-112                          572.85
1083997   SET, INTRODUCER LAP CHOLE                       317.63
1084003   LAP DISK                                        1,389.75
1088913   HIP ORTHOSIS L1686                    L1686     2,494.88
1088921   ADDITION TO HIP ORTHOSIS L2622        L2622     1,006.47
1312008   HMO DRAW (NO CHARGE)                                 -
1331032   OCCULT BLOOD                          82273        61.20
1331057   SEMEN ANALYSIS COMPLETE               89320       156.80
1332022   SALICYLATES                           80196       156.80
1332030   ACETAMINOPHEN                         82003       183.56
1332063   BLOOD ALCOHOL                         82055       244.65
1332113   GENTAMYCIN                            80170       233.31
1332121   TOBRAMYCIN                            80200       233.31
1332154   AMINOPHYLLINE &/OR THEOPHYLLINE       80198       225.79
1332162   GENTAMYCIN PEAK                       80170       233.31
1332550   DEPAKENE                              80164       225.79
1332568   TEGRETOL                              80156       225.79
1332634   DIGOXIN IP                            80162       202.79
1332642   DILANTIN (SERUM)                      80185       225.79
1332659   PHENOBARBITAL (SERUM)                 80184       225.79
1332675   DRUG SCREEN, MULTIPLE CLASS           80100       248.19
1333020   GLYCO-HEMOGLOBIN IP                   83036       175.82
1333723   LITHIUM                               80178       110.85
1336007   PREGNANCY TEST                        81025       141.59
1336015   URINE MONOCLONAL HCG                  84703       141.59
1336585   TUBERCULIN SKIN TEST                  86580        69.00
1337914   UNLISTED MISC TEST REF ARUP                          -
1337948   SPECIMEN COLLECTION VENIPUNCTURE IP   36415         7.00
1337955   FERRITIN IP                           82728       191.30
1337971   VANCOMYCIN, TROUGH                    8020291     109.22
1337989   VANCOMYCIN, RANDOM                    80202       109.22
1338011   VANCOMYCIN PEAK                       80202       109.22
1338060   ARTHRITIS PANEL                       80072       260.73
1338086   MICROALBUMIN IP                       82043        83.93
1381037   OCCULT BLOOD OTHER SOURCE             82273        57.33
1381045   SEMEN ANALYSIS                        89321       103.22
1381052   SEMEN ANALYSIS COMPLETE               89320       156.80
1381201   UREA, 24 HOUR URINE OP                84520        72.70
1382027   SALICYLATES                           80196       126.39
1382035   ACETAMINOPHEN                         82003       164.43
1382068   BLOOD ALCOHOL                         82055       210.37
1382118   GENTAMYCIN                            80170       218.00
1382126   TOBRAMYCIN                            80200       218.00
1382159   AMINOPHYLLINE & OR THEOPHYLLINE       80198       183.56
1382498   GTT DRINK                                           3.71
1382555   DEPAKENE                              80164       195.27
1382563   TEGRETOL                              80156       183.56
1382639   DIGOXIN                               80162       175.82
1382647   DILANTIN (SERUM)                      80185       191.30
1382654   PHENOBARBITAL (SERUM)                 80184       195.27
1382670   DRUG SCREEN, MULTIPLE CLASS           80100       124.10
1382704   REDUCING SUBSTANCE                    81099        53.57
1383025   GLYCO-HEMOGLOBIN/HGB-A1C              83036       149.11
1383728   LITHIUM                               80178       103.22
1386002   PREGNANCY TEST                        81025     118.65
1386010   URINE MONOCLONAL HCG                  84703     118.65
1386069   SPECIMEN COLLECTION VENIPUNCTURE OP   36415       7.00
1386580   TUBERCULIN SKIN TEST                  86580      65.18
1387919   UNLISTED MISC TEST REF ARUP                        -
1387943   FERRITIN                              82728     168.19
1387968   BASIC METABOLIC PANEL                 80048     179.74
1387976   VANCOMYCIN, TROUGH                    8020291    99.30
1387984   COMPREHENSIVE CHEM PANEL              80053     252.44
1387992   LIVER PANEL                           80076     351.96
1388008   ELECTROLYTE PANEL                     80051     160.72
1388016   VANCOMYCIN PEAK                       80202      99.30
1388024   BASIC METABOLIC PANEL                 80048     153.04
1388032   COMPREHENSIVE CHEM PANEL              80053     210.37
1388040   LIVER PANEL                           80076     294.52
1388057   ELECTROLYTE PANEL                     80051     141.59
1388065   ARTHRITIS PANEL                       80072     260.73
1388081   MICROALBUMIN OP                       82043      69.92
1388131   GLUCOSE, POST DOSE                    82950      69.00
1390012   UNILAB DRAW ONLY                                   -
1433036   SICKLE CELL (RBC)                     85660     103.22
1433044   HEMOGLOBIN IP                         85018      55.15
1435015   EOSINOPHIL COUNT                      89190      65.18
1435031   MANUAL DIFFERENTIAL IP                85007      12.92
1435049   RETICULOCYTE COUNT                    85044      69.00
1435056   SPINAL FLUID-CELL COUNT               89051     145.30
1435064   HEMATOCRIT, NOT SPUN IP               85014      55.15
1435155   CELL COUNT, FLUID                     89051     217.84
1435585   PLATELET COUNT IP                     85049      69.00
1436005   CBC WITH AUTO DIFFERENTIAL IP         85025     164.59
1436013   TROPONIN 1                            84484     135.21
1436021   WESTERGREN SED RATE                   85651      59.46
1436047   HEMOGRAM W PLATELET COUNT AUTO IP     85027     151.67
1483031   SICKLE CELL (RBC)                     85660     103.22
1483049   HEMOGLOBIN OP                         85018      27.58
1485036   CBC WITH AUTO DIFFERENTIAL OP         85025      95.54
1485044   RETICULOCYTE COUNT                    85044      61.20
1485051   HEMATOCRIT, NOT SPUN OP               85014      32.21
1485150   CELL COUNT (NOT CSF)                  89051     137.78
1485580   PLATELET COUNT                        85049      57.33
1486000   MANUAL DIFFERENTIAL OP                85007      19.73
1486018   TROPONIN 1                            84484     135.21
1486026   WESTERGREN SED RATE                   85651      56.24
1486034   HEMOGRAM W PLATELET COUNT AUTO OP     85027      75.86
1531052   C DIFF TOXIN                          87803     248.19
1531060   CULTURE - THROAT (STREP)              87081      88.07
1537000   CULTURE BLOOD                         87040     198.98
1537034   CULTURE STOOL                         87045     131.45
1537042   CULTURE ANAEROBIC                     87075     187.37
1537059   CULTURE ROUTINE URINE                 87088     160.72
1537067   CULTURE FUNGUS                        87102     141.59
1537075   DIALYSIS CULTURE                      87070     187.43
1537141   RAPID STREP SCREEN GROUP A           87430    80.17
1537166   INDIA INK PREPARATION IP             87210    65.95
1537174   STOOL,OVA & PARASITES                87177   187.37
1537182   ANTIBIOTIC SENSITIVITY IP            87186   225.79
1537208   SMEARS (WET MOUNT)                   87210    65.18
1537216   SMEARS (GRAM STAIN)                  87205    65.18
1537224   PIN WORM SLIDE                       87172    65.18
1537232   SMEAR - (KOH)                        87220    65.18
1537240   SMEAR (OTHER MISC.)                  87205    65.18
1537935   CULTURE STOOL, CAMPY                 87046    55.86
1537943   CULTURE, ROUTINE, OTHER SOURCE       87070   177.29
1537950   CULTURE, SCREEN MRSA/VRE             87081    88.07
1581057   C DIFF TOXIN                         87803   172.38
1581065   CULTURE - GENITAL/THROAT (STREP)     87081    76.46
1587005   CULTURE BLOOD                        87040   172.06
1587039   CULTURE STOOL                        87045   114.83
1587047   CULTURE ANAEROBIC                    87075   179.74
1587054   CULTURE ROUTINE URINE AEROBIC        87088   145.30
1587062   CULTURE - FUNGUS                     87102   141.59
1587070   DIALYSIS CULTURE OP                  87070   103.44
1587146   RAPID STREP SCREEN GROUP A           87430    76.46
1587179   STOOL,OVA,PARASITES & OCCUT BLOOD    87177   160.72
1587187   ANTIBIOTIC SENSITIVITY               87186   103.44
1587203   SMEARS (WET MOUNT)                   87210    61.20
1587211   SMEARS (GRAM STAIN)                  87205    57.33
1587229   PIN WORM SLIDE                       87172    61.20
1587237   SMEAR - (KOH)                        87220    57.33
1587245   SMEAR-(OTHER MISC.)                  87205    57.33
1587930   CULTURE STOOL, CAMPY                 87046    49.65
1587948   CULTURE, ROUTINE, OTHER SOURCE       87070   160.50
1587955   CULTURE, SCREEN MRSA/VRE             87081    76.46
1632009   ACETONE (BLOOD)                      82010    84.31
1632058   ALBUMIN                              82040   103.22
1632165   BLOOD AMMONIA                        82140   156.80
1632173   AMYLASE                              82150   153.04
1632181   URINE AMYLASE (DIASTASE)             82150   126.39
1632199   BILIRUBIN                            82247   103.22
1632207   CALCIUM                              82310   103.22
1632215   URINE CALCIUM                        82340   156.80
1632231   CARBON DIOXIDE IP                    82374   103.22
1632249   CHLORIDE, URINE IP                   82436   103.22
1632256   CHLORIDE, BLOOD                      82435   103.22
1632264   CHOLESTEROL IP                       82465   103.22
1632504   CPK TOTAL IP                         82550   122.41
1632553   CKMB FRACTION                        82553   313.48
1632561   CREATININE IP                        82565   103.22
1632579   CREATININE CLEARANCE                 82575   237.18
1632942   GLUCOSE IP                           82947   103.22
1632959   GLUCOSE TOLERANCE 3 HR               82951   252.44
1632967   GLUCOSE TOL EA ADDITIONAL SPECIMEN   82952    49.81
1633551   IRON BINDING CAPACITY IP             83550   133.80
1633619   LDH                                  83615   122.41
1633700   HDL DIRECT IP              83718   172.06
1633718   LIPID PANEL IP             80061   240.89
1633734   MAGNESIUM IP               83735   146.61
1633742   BILIRUBIN, DIRECT          82248   103.22
1634070   ALKALINE PHOSPHATASE       84075   126.39
1634104   PHOSPHOROUS IP             84100   103.22
1634138   POTASSIUM, BLOOD           84132   103.22
1634146   POTASSIUM, URINE IP        84133   103.22
1634161   PROTEIN, TOTAL             84155   103.22
1634187   PROTEIN, TOTAL, CSF IP     84157   103.22
1634294   S0DIUM                     84300   103.22
1634302   SODIUM, SERUM IP           84295   103.22
1634310   SODIUM, OTHER SOURCE IP    84302   103.22
1634450   GAMMA GT                   82977   133.80
1634468   SGO-T (GLUTAMIC OXALIC)    84450   133.80
1634476   SGP-T (GLUTAMIC PYRUVIC)   84460   133.80
1634484   TRIGLYCERIDES              84478   114.72
1634526   BUN (UREA NITROGEN) IP     84520   103.22
1634559   URIC ACID IP               84550   103.22
1636018   IRON                       83540   103.22
1636067   LIPASE                     83690   136.52
1637016   PRE ALBUMIN (IP)           84134    91.94
1637040   RENAL PANEL                80069   202.09
1637065   VITAMIN D 25               82306   145.41
1637081   CEA                        82378   204.81
1637099   PROGESTERONE               84144   214.68
1637107   LDS DIRECT IP              83721   150.20
1637115   CRP, HIGH SENSITIVITY      86140   175.82
1637123   FLUID, TOTAL PROTEIN       84156   103.22
1637131   CREATININE, URINE          82570   103.22
1637149   B NATRIURETIC PEPTIDE      83880   206.83
1637156   OSMOLALITY, BLOOD          83930    77.23
1637164   OSMOLALITY, URINE          83935    77.23
1637172   PHOSPHORUS, URINE          84105    87.47
1682004   ACETONE (BLOOD)            82010    65.18
1682053   ALBUMIN                    82040    72.70
1682160   BLOOD AMMONIA              82140   156.80
1682178   AMYLASE                    82150   114.72
1682186   URINE AMYLASE (DIASTASE)   82150   110.85
1682194   BILIRUBIN                  82247    72.70
1682202   CALCIUM (BLOOD)            82310    72.70
1682210   URINE CALCIUM              82340   126.39
1682236   CARBON DIOXIDE             82374    84.31
1682244   CHLORIDE, URINE OP         82436    72.70
1682251   CHLORIDE, BLOOD            82435    72.70
1682269   CHOLESTEROL                82465    72.70
1682509   CPK TOTAL                  82550    93.90
1682558   CPK ISOENZYME              82553   170.80
1682566   CREATININE                 82565    72.70
1682574   CREATININE CLEARANCE       82575   175.82
1682947   GLUCOSE                    82947    87.47
1682954   GLUCOSE TOLERANCE 3 HR     82951   183.56
1682962   GLUCOSE TOL EA ADDITIONAL SPECIMEN   82952      26.60
1683556   IRON BINDING CAPACITY/TIBC           83550     175.82
1683614   LDH                                  83615      91.78
1683705   HDL DIRECT                           83718     126.39
1683713   LIPID PANEL                          80061     196.20
1683739   MAGNESIUM                            83735      91.61
1683747   BILIRUBIN, DIRECT                    82248      72.70
1684075   ALKALINE PHOSPHATASE                 84075      99.41
1684109   PHOSPHOROUS                          84100      87.47
1684133   POTASSIUM, BLOOD                     84132      72.70
1684141   POTASSIUM, URINE OP                  84133      72.70
1684166   PROTEIN, TOTAL                       84155      72.70
1684182   PROTEIN, TOTAL, CSF OP                          72.70
1684299   SODIUM                               84300      72.70
1684307   SODIUM, SERUM OP                     84295        -
1684315   SODIUM, OTHER SOURCE OP              84302      72.70
1684455   GAMMA GT                             82977     107.15
1684463   SGO-T (GLUTAMIC OXALIC)              84450     107.15
1684471   SGP-T (GLUTAMIC PYRUVIC)             84460     107.15
1684489   TRIGLYCERIDES                        84478      91.78
1684521   BUN (UREA NITROGEN)                  84520      72.70
1684554   URIC ACID                            84550      84.31
1685114   PRE ALBUMIN (OP)                     84134      81.31
1686013   IRON                                 83540      72.70
1686021   RENAL PANEL                          80069     163.72
1686039   CEA                                  82378     185.08
1686047   PROGESTERONE                         84144     194.95
1686054   LDL DIRECT                           83721      75.86
1686062   LIPASE                               83690     102.41
1686070   CRP, HIGH SENSITIVITY                86140     134.45
1686088   FLUID, TOTAL PROTEIN                 84156      72.70
1686096   CREATININE, URINE                    82570      72.70
1687144   B NATURIURETIC PEPTIDE               83880     103.44
1687151   GENERAL HEALTH PANEL                 80050     436.00
1687169   OSMOLALITY, BLOOD                    83930      93.58
1687177   OSMOLALITY, URINE                    83935      93.58
1687185   PHOSPHORUS, URINE                    84105     103.22
1736024   R A TEST (RHEUMATOID FACTOR)         86430      84.31
1736040   COLD AGGLUTININ                      86157     126.39
1736057   AST-O                                86060     133.80
1736289   RUBELLA                              86762        -
1736313   HETEROPHILE                          86310     103.22
1736594   RPR (SYPHILIS TESTING)               86592      91.78
1737006   RSV ANTIGEN TEST                     87420     133.80
1737014   ANA                                  86038     185.08
1737022   ANA TITER                            86039     185.08
1737048   HIV IP                               86701      55.15
1737055   H. PYLORI IGG IP                     86318      78.48
1737071   INFLUENZA A SCREEN                   87301      53.14
1737089   COCCI AB IGM IP                      86635      59.95
1737097   COCCI AB IGG IP                      8663559    59.95
1737113   GROUP B STREP BY PCR IP              87798     158.40
1782564   H. PYLORI IGG OP                    86318      70.85
1786029   R A TEST (RHEUMATOID FACTOR)        86430      72.70
1786045   COLD AGGULTRININ                    86157     107.15
1786052   AST-O                               86060     107.15
1786284   RUBELLA                             86762     105.68
1786318   HETEROPHILE                         86310      72.70
1786599   RPR (SYPHILIS TESTING)              86592      65.18
1787001   RSV                                 86756      69.65
1787027   ANA                                 86038     152.06
1787035   ANA TITER                           86039     152.06
1787050   HIV                                 86701      93.09
1787076   INFLUENZA A SCREEN                  87301      53.14
1787084   COCCI AB IGG OP                     86635      52.32
1787092   COCCI AB IGM OP MOD 59              8663559    52.32
1787100   LEGIONELLA PNEUMOPHIIA AG, URINE    87449      17.99
1787118   GROUP B STREP BY PCR OP             87798     132.00
1831007   URINALYSIS, COMPLETE                81001      84.31
1831015   UA AUTO W/O MICRO                   81003      42.13
1831023   UA MICRO IP                         81015      42.13
1832716   SPECIFIC GRAVITY                    81000      57.33
1881002   URINALYSIS, COMPLETE                81001      65.18
1881028   UA MICRO OP                         81015      32.70
1882711   SPECIFIC GRAVITY                    81000      46.11
1884196   UA AUTO W/O MICRO                   81003      32.70
1884204   UA MICROSCOPIC ONLY                 81015      64.53
1884212   UA VOL MEAS. TIMED COLLECTION       81050      37.66
1910405   MISC TEST LAB OTHER REF LAB                      -
1933506   T4 THYROXINE TOTAL IP               84436     113.91
1934256   T3 UPTAKE IP                        84479      95.54
1934447   TSH IP                              84443     168.19
1934454   QUANT BHCG                          84702     214.24
1934462   PSA IP                              84153     248.63
1934504   FREE THYROXINE                      84439     145.30
1934512   FOLIC ACID                          82746     177.29
1934520   ESTRADIOL                           82670     248.63
1934538   FOLLICLE STIMULATING HORMONE        83001     248.19
1934546   LUTEINIZING HORMONE                 83002     248.19
1934553   PROLACTIN                           84146     248.19
1934561   VITAMIN B12                         82607     177.29
1934579   HOMOCYSTEINE IP                     83090     119.90
1934587   CANCER ANTIGEN 125 OP               86304     169.80
1934595   CORTISOL, RANDOM OP                 82533      68.00
1983014   PSA                                 84153     203.23
1983501   T4 THYROXINE TOTAL                  84436      80.17
1984251   T3 UPTAKE                           84479     104.37
1984442   TSH (THYROID STIMULATING HORMONE)   84443     130.09
1984459   QUANT BHCG                          84702     187.37
1984509   T4 FREE (THYROXINE)                 84439     133.80
1984517   FOLIC ACID                          82746     156.20
1984525   ESTRADIOL                           82670     202.79
1984533   FOLLICLE STIMULATING HORMONE        83001     199.96
1984541   LUTEINIZING HORMONE                 83002     199.96
1984558   PROLACTIN                           84146     199.96
1984566   VITAMIN B12                         82607     156.20
1984574   PSA SCREEN G0103                    G0103     203.23
1984582   HOMOCYSTEINE OP                     83090      87.20
1984590   CANCER ANTIGEN 125 IP               86304     203.76
1984608   CORTISOL, RANDOM IP                 82533      81.60
2032720   FIBRINOGEN ACTIVITY                 85384     187.37
2032738   FDP (FIBRIN DEGRADATIONPRODUCTS)    85362     240.89
2032746   PLATELET FUNCTION TEST IP           85576     123.12
2032753   PLATELET FUNCTION CONFIRMATION IP   8557691    86.33
2035004   BLEEDING TIME - IVY                 85002     141.59
2035343   CLOTTING TIME ACTIVATED             85347      71.40
2035616   PROTHROMBIN TIME IP                 85610     118.65
2035731   PTT IP                              85730     118.65
2035749   D-DIMER                             85378     306.13
2082725   FIBRINOGEN ACTIVITY                 85384     153.04
2082733   FDP (FIBRIN DEGRADATIONPRODUCTS)    85362     168.19
2082741   PLATELET FUNCTION TEST OP           85576     106.49
2082758   PLATELET FUNCTION CONFRIMATION OP   8557691    74.34
2085009   BLEEDING TIME - IVY                 85002     122.41
2085348   CLOTTING TIME ACTIVATED             85347      59.50
2085611   PROTHROMBIN TIME                    85610      76.46
2085736   PTT OP                              85730      88.07
2085744   D-DIMER                             85378     223.40
2132041   CATECHOLAMINES/PLASMA FRACT         8238490    31.80
2132223   STONE ANALYSIS/ARAWAK LAB           8236090    43.00
2132272   CHOLINESTERASE,PLASMA               8248090     9.40
2132629   DIGITOXIN                           8029990    22.80
2132686   ZSTROGEN-FRAC                       8267190    28.50
2132694   ESTRIOL/ARUP                        8267790    15.30
2132785   IGE/ARUP                            8278590     8.75
2132983   BHCG-QUANT TUMOR MARKER             8470290    12.90
2133015   HGB ELECTROPHORESIS/ARUP A2,S,C,F   8302190    15.00
2133114   FACTOR V LEIDEN ISOLATION           8389090     8.70
2133122   FACTOR V LEIDEN AMPLIFICATION       8389890    37.20
2133130   FACTOR V LEIDEN INTERPTRETATION     8391290     8.70
2133148   FACTOR V LEIDEN PROBE               8389690     8.70
2133155   IGG, CSF INDEX IMMUNOGLOBULIN       8278490     7.73
2133163   IGG, CSF INDEX ALBUMIN/SERUM        8204090     5.85
2133171   IGG, CSF INDEX ALBUMIN/CSF          8204290     3.89
2133189   NEURONAL NUCLEAR AB, CSF            8625590    79.00
2133197   ANTI NEURONAL NUCLEAR AB, SERUM     8352090    36.00
2133528   T3 BY RIA REFERENCE IP              8447990     5.60
2133643   LEAD/ARUP                           8365590     7.00
2134161   ELECTROPHORESIS FRACT/QUANT ARUP    8416590     9.50
2134260   HLAB-27/ARUP                        8681290    34.93
2134468   TRANSFERRIN/ARUP IP                 8446690     9.00
2134583   VMA/ARUP                            8458590    16.80
2136257   ANA ANTI-NUCLEAR ANTIBODY           8603890     8.17
2136331   IMMUNOGLOBULINS, IGA                8278490     5.20
2136356   ACID PHOSPHATASE                    8406690    13.20
2182228   STONE ANALYSIS/ARAWAK LAB           8236090    23.20
2182269   RAPAMUNE                            8029990   60.00
2182277   CHOLINESTERASE,RBC                  8248290   16.70
2182285   CITRIC ACID, URINE                  8250790   13.50
2182293   CYSTINE, URINE, QUANT               8213190   18.00
2182301   OXALATE, TOTAL, URINE               8394590   14.40
2182632   LEGIONELLA PNEUMOPHILIA AG, URINE   8744990   15.00
2182681   ESTROGEN,FRAC                       8267190   21.55
2182756   GLOMERULAR BASEMENT ELISA           8351690   32.10
2182863   WEST NILE VIRUS IGG, SERUM          8679090   16.50
2182871   WEST NILE VIRUS IGM, SERUM          8679090   16.50
2183010   HGB ELECT/ARUP                      8248690   15.68
2184166   PROTEIN ELECTRO & FRACTION SERUM    8302190   13.50
2186179   COCCI SEROLOGY/DAVIS                8617190   63.00
2186328   COMPLIMENT C3/ARUP                  8616090    8.00
2186351   HIV AB                              8670190    6.80
2186369   AFP - TUMOR MARKER                  8210590   13.50
2186377   HEPATITIS PANEL IP                  8007490   39.00
2186393   CA - 125                            8630490   15.00
2186401   PROGESTERONE                        8414490    7.05
2186419   CORTISOL SERUM                      8253390    9.00
2186427   HERPES CULTURE                      8725290   20.40
2186435   THIAMINE (WHOLE BLOOD)              8442590   21.60
2186484   GASTRIN                             8294190   13.50
2186492   ANTI-MITOCHONDRIAL AB               8351690   10.00
2186500   ANTI-SMOOTH MUSCLE                  8625590    8.75
2186518   HAPTOGLOBIN                         8301090    9.50
2186526   LYMES ANTIBODY                      8661790   21.00
2186583   NORTRIPTYLINE/ARUP                  8018290   19.40
2186591   CARNITINE-FREE                      8237990   12.00
2186617   ALPHA 1 ANTITRYPSIN                 8210390    7.50
2186625   COPPER SERUM                        8252590   13.50
2186633   CERULOPLASIM                        8239090    9.50
2186658   FUNGUS CULT- KPHDL                  8710290   20.00
2186666   INDIA INK - KPHDL                   8721090   16.77
2186674   CRYPTOCOCCUS ANTIGEN                8732790   20.40
2186682   VIRAL CULTURE                       8725290   13.00
2186690   MS PANEL, OLIGO IG                  8391690   26.99
2186708   AFB STAIN - KPHDL                   8720690   13.20
2186716   AFB CULT - KPHDL                    8711690   16.28
2186724   AFP-NTD/PREGNANCY                   8210590     -
2186732   C.DIFFICILE W/TOXIN                 8723090   22.33
2186757   COCCIDIODES ANTIBODY BY CF          8663590   10.50
2186765   CSF-VDRL (ARUP)                     8659290    6.00
2186773   CA 15-3                             8630090   13.50
2186781   CA 19-9                             8630190   15.00
2186799   HEAVY METAL BLOOD ARSENIC           8217590   13.00
2186807   LACTIC ACID                         8360590    7.20
2186815   HEP BSAB                            8670690    7.00
2186823   CYCLOSPORIN/ARUP                    8015890   23.10
2186864   HERPES I & II, IGM IGG              8669490   12.00
2186898   24 HR.UA-KETOSTEROIDS               8358690   21.00
2186922   DHEA-SULFATE                        8262790   12.00
2186930   MYCOPLASMA, IGG                       8673890     8.75
2186963   CMV IGG                               8664490    10.80
2186971   TESTOSTERONE                          8440390    12.60
2187938   HEPATITIS C GENOTYPE, PCR & SEQ       87902     120.00
2188522   SERUM OSMOLALITY                      8393090     6.77
2188548   COMPLEMENT C4                         8616090     8.00
2188555   CH50                                  8616290    10.50
2188589   ANTI DNA-DS.                          8623590    12.00
2188704   ZINC-SERUM                            8463090    10.50
2188712   RHOGAM INJECTION                      J2790      81.95
2188720   T CELL, CD3                           8818090    16.00
2188761   HIV P24 ANTIGEN                       8739090    14.78
2188787   HELIOBACTER PYLORI IGG                8667790    12.00
2188860   RIBONUCLEIC PROTEIN AG, IGG           8623590    13.50
2188886   EPSTEIN-BARR VIRUS CAPSID A IGG       8666590    10.75
2188902   THYROXINE, FREE BY DIR DIAL           8443990    16.50
2188910   INSULIN LIKE GROWTH FACTOR-1 (IGF-1   8430590    18.00
2188928   ALPHA SUB UNIT                        8351990    29.40
2188951   HEPATITIS B SURFACE AG                8734090     5.30
2189017   LEGIONELLA ANTIBODIES (ARVP)          8671390    11.10
2189033   TOXOPLASMA, IGG                       8677790    10.50
2189041   TRICYCLIC ANTIDEPRESS DETECTION       8249190    30.00
2189058   FSH/LH                                8300290    21.60
2189074   VARICELLA ZOSTER 1GM                  8678790    10.50
2189082   VARICELLA-ZOSTER 1GG                  8678790    10.50
2189132   MYELIN BASIC PROTEIN                  8387390    19.50
2189140   METANEPHRINE, UA FRAC                 8383590    22.50
2189157   METHADONE                             8384090    72.62
2189199   MUMPS AB, 1GG                         8673590     9.00
2189207   MUMPS AB, 1GM                         8673590     9.00
2189231   MYOGLOBIN, URINE                      8387490    12.90
2189249   MYOGLOBIN, SERUM                      8387490    12.90
2189264   PH-BODY FLUID                         8398690     6.41
2189272   PLASMINOGEN                           8542090    21.30
2189280   PLATELET ASSOC AB DIRECT              8602390    33.00
2189298   PLATELET ANTIBODY DETECTION INDIREC   8602290    66.00
2189306   PORPHOBILINOGEN,URINE QUANTI          8411090    30.90
2189314   PROTEIN S, FUNCTIONAL                 8530690    39.00
2189322   PROTEIN C, FUNCTIONAL                 8530390    24.00
2189355   PARATHYROID, INTACT                   8397090    20.50
2189363   Q FEVER ANTIBODY                      8663890    18.00
2189371   RENIN ACTIVITY                        8424490    13.50
2189389   RISTOCETIN COFACTOR                   8524590    33.00
2189397   RMSF IGG                              8675790    15.60
2189405   RUBELLA IGM                           8676290     9.00
2189421   RUBEOLA IGG                           8676590    10.20
2189439   RUBEOLA AB IGM                        8676590    10.20
2189447   SEROTONIN, SERUM                      8426090    37.50
2189462   THIOCYANATE LEVEL                     8443090    25.50
2189488   CYANIDE                               8260090    33.00
2189496   D-DIMER                               8537990    45.60
2189504   ECHINOCOCCUS ANTIBODY                 8668290    19.50
2189512   ETHOSUXIMIDE                          8016890   12.00
2189520   FACTOR-X                              8526090   28.50
2189538   FACTOR VII                            8523090   28.50
2189546   FACTOR VIII ACTIVITY                  8524090   19.50
2189553   FACTOR VIII ANTIGEN                   8524790   29.40
2189561   FACTOR IX                             8525090   36.00
2189587   BILIRUBIN, BODY FLUID                 8224790    5.36
2189595   CREATININE, BODY FLUID                8257090    5.28
2189603   FECAL FAT, QUANT                      8271090   23.10
2189611   LDH BODY FLUID IP                     8361590    3.80
2189637   FRUCTOSAMINE                          8298590   11.40
2189645   FTA, FLUORESCENT TREPONEMAL AB ARUP   8678190   10.50
2189660   G6PD                                  8295590   15.00
2189678   GROWTH HORMONE                        8300390   15.00
2189694   HEP A AB, TOTAL                       8670890    8.75
2189702   HEP B CORE AB, TOTAL                  8670490    6.30
2189710   HEP BE AG                             8735090   12.30
2189728   HEPARIN ASSAY                         8552090   90.00
2189736   HEMOGLOBIN A2 BY COLUMN               8302190   11.70
2189751   5-HIAA (SEROTONIN URINE)              8349790   16.80
2189769   HISTOPLASMA AB, 1D                    8669890   10.50
2189777   HEAVY METALS, ARSENIC URINE           8217590   11.48
2189793   HERPES SIMPLEX II, IGM                8669490   12.00
2189819   INSULIN ANTIBODY                      8633790   39.00
2189827   INSULIN                               8352590    9.00
2189835   IMMUNO ELECTRO IGG                    8278490    5.04
2189843   LEUKOCYTE ALK PHOS                    8554090   60.00
2189884   ALPHA 2 ANTIPLASMIN                   8541090   36.60
2189892   ANGIOTENSIN CONV ENZ                  8431190   16.20
2189900   ACTH                                  8202490   21.00
2189918   GLOMERU BASMT ANTIBODIES IGA          8625590   58.95
2189926   ISLET CELL AB, 1GG                    8634190   24.30
2189934   AMINOLEVULIONIC ACID,URINE            8213590   35.10
2189942   ALDOLASE                              8208590    7.00
2189959   ALDOSTERONE, SERUM                    8208890   16.50
2189967   ALDOSTERONE, URINE                    8208890   16.50
2189975   AMEBIASIS AB                          8675390   12.00
2189983   ANTIMICROSOMAL AB                     8637690    9.00
2189991   AMIODARONE                            8029990   19.50
2190007   ANTIMYOCARDIAL AB                     8625590   18.42
2190023   ANTINEUTROCYTO AB PANEL               8625590   24.00
2190031   ANTIPARIETAL AB                       8625590   22.50
2190056   ASPERGILLUS AB (CF)                   8660690   12.00
2190064   ANTITHYROGLOBULIN AB                  8680090    9.00
2190072   BETA 2 MICROGLOBULIN, SERUM           8223290   12.00
2190080   BRUCELLA ANTIBODY                     8662290    8.40
2190106   CAROTENE, SERUM                       8238090   13.50
2190114   CATECHOLAMINES/URINE FRACT            8238490   31.80
2190122   CHLAMYDIA TRACH IGG                   8663190    7.20
2190130   CARBOXYHEMAGLOBIN                     8237590   18.57
2190148   COXSACKIE A VIRUS 7                   8665890   23.70
2190155   COXSACKIE B VIRUS 1                   8665890   19.20
2190163   C-PEPTIDE                          8468190    12.00
2190171   CRYOGLOBULIN, QUAL                 8259590     9.00
2190189   CRYPTOCOCCUS ANTIGEN CSF           87327ZS    21.44
2190197   CRYPTOSPORIDUM ANTIGEN             8732890    18.00
2190429   FECAL FAT, QUALITATIVE             8602390     7.80
2190502   EKG/KOC                            93005     111.30
2190510   SINGLE STRAND DNA                  8622690    19.20
2190528   CLONAXEPAM                         8015490    28.80
2190536   TRANSFUSION REACTION WORKUP        8607890    55.00
2190569   2 GTT                              8295190    43.05
2190585   HOMOCYSTINE-PLASMA                 8309090    21.67
2190601   ROTAVIRUS ANTIGEN                  8742590    15.45
2190627   IMMUNOELECTROPHORESIS, URINE       8204390    36.63
2190635   IONIZED CALCIUM                    8233090     9.00
2190650   HEPATITIS BE, ANTIBODY             8670790    13.80
2190668   HEPATITIS DELTA VIRUS, AB          8669290     7.50
2190676   HIV1/HIV2 COMBO ABS                8670390     7.50
2190684   FACTOR XII ACTIVITY                8528090    49.50
2190759   24 HR URINE - URIC ACID            8100590    28.35
2190809   CLOSTRIDIUM DIFF W/TOXIN           8744990    35.80
2190825   C TRACH AMPLIFIED PROBE SELMA      87491      94.90
2190858   C TRACH AMPLIFIED PROBE SELMA      87491      86.25
2190866   GC AMPLIFIED PROBE SELMA           87591      94.90
2190874   GC AMPLIFIED PROBE SELMA           87591      86.25
2190882   24 HR URINE - PHOSPHORUS           8100590    28.35
2190890   FREE PSA                           8415490    11.25
2190908   HEPATITIS C RNA, QUANT             8752190    97.50
2190916   ANTI THROMBIN III,ACTIVITY PANEL   8530090    25.58
2190932   CA 27.29                           8630090    15.00
2190940   MICROALBUMIN, CREAT                8204390     9.00
2190981   TACROLIMUS                         8019790    48.90
2190999   CD4, ABSOLUTE                      8818090    28.00
2191013   PROINSULIN                         8420690    24.00
2191211   T3, FREE                           8448190    12.90
2191229   THYROGLOBULIN                      8443290    19.80
2191237   SCLERODERMA                        8623590    13.50
2191245   HERPES SIMPLEX VIRUS BY PCR        8752990    60.00
2191252   GIARDIA ANTIGEN                    8732990    18.00
2191260   SMITH ANTIBODY                     8623590    13.50
2191278   ANTI-SSA ANTIBODY                  8623590    13.50
2191286   ANTI-SSB ANTIBODY                  8623590    13.50
2191302   VITAMIN B6 (PYRIDOXINE)            8420790    17.10
2191310   ANTI THROMBIN III,ANTIGEN PANEL    8530190    23.62
2191328   ERYTHROPOIETIN                     8266890    24.00
2191336   PRIMIDONE                          8018890     7.50
2191344   VITAMIN D,25                       8230690    19.50
2191351   ANTI-THYROID MICROSOMAL AB         8637690     8.00
2191369   ANTI-THYROID THYROGLOB AB          8680090     8.00
2191377   ANDROSTENEDIONE                    8215790    22.40
2191385   GLIADIN ANTIBODY IGM               8351690    15.50
2191393   GLIADIN ANTIBODY IGG               8351690    10.50
2191401   HSV BLOT TYPE 1                    8669590    16.52
2191419   HSV BLOT VIRUS,OTHER                  8669690    29.64
2191427   INTRINSIC FACTOR BLOCKING AB          8634090    16.50
2191435   TOPIRAMATE/TOPAMAX                    8020190    42.30
2191443   LAMOTRIGINE                           8249190    21.30
2191450   GEN PROBE CHLAMYDIA                   8749090    19.13
2191468   GEN PROBE GONORRHEA                   8759090    17.48
2191476   GLOMERU BASMT ANTIBODIES IGG          8625590    58.95
2191484   T CELL, CD4                           8818090    20.00
2191492   T CELL, CD8                           8818090    16.00
2191526   HEPATITIS A, IGM                      8670990    10.50
2191534   HEPATITIS B VIRAL DNA BY PCR, QUANT   8751790   100.50
2191559   CALCITONIN                            8230890    24.00
2191567   SELENIUM                              8425590    15.00
2191575   ANTI CENTROMERE ANTIBODY              8603990    15.00
2191583   AMIKACIN                              8015090    12.60
2191591   ALK PHOS ISO TOTAL                    8407590     4.30
2191609   ALK PHOS ISO LIVER                    8408090    12.80
2191625   ANTITHROMBIN III ANTIGEN              8530190    23.70
2191633   APC RESISTANCE                        8530790    21.30
2191641   PROTEIN C/S PANEL,C ACTIVITY          8530390    40.00
2191658   PROTEIN C/S PANEL,S FREE              8530690    36.18
2191666   LUPUS ANTI COAG PANEL,PT              8561090     5.82
2191674   LUPUS ANTI COAG PANEL,R.S.VENOM       8561390    14.28
2191682   LUPUS ANTI COAG PANEL,THROMBO         8573090     9.00
2191690   VITAMIN B6,PYRIDOXINE                 8420790    15.08
2191716   LYME DISEASE SCREEN                   8661890     9.00
2191732   FOLATE, RBC                           8274790     7.50
2191740   NIACIN                                8352090    55.00
2191773   FREE PSA, FREE                        8415490    11.25
2191807   TESTOSTERONE PNL, FREE                8440390    15.60
2191815   TESTOSTERONE PNL, TOTAL               8427090    15.60
2191831   CARDIOLIPIN AB, 1                     8614790    12.60
2191849   CARDIOLIPIN AB, 2                     8614790    12.60
2191856   CARNITINE, TOTAL                      8201790    12.00
2191864   CORTISOL, URINE FREE                  8253090    16.50
2191872   NEURONTIN                             8029990    19.50
2191914   ACETYLCHOLINE RECEPTOR                8423890    36.00
2191922   ANTI NEUTROPHIL ANTIBODY              8602190    69.00
2191930   ASPERGILLUS AB ID                     8660690    12.00
2191955   IMMUNE COMPLEX ASSAY                  8633290    18.00
2191963   CMV, IGM                              8664590    10.80
2191971   COXSACKIE A VIRUS 9                   8665890    21.73
2191989   COXSACKIE A VIRUS 10                  8665890    21.73
2191997   COXSACKIE A VIRUS 16                  8665890    21.73
2192003   COXSACKIE B VIRUS 2                   8665890    19.20
2192011   COXSACKIE B VIRUS 3                   8665890    19.20
2192029   COXSACKIE B VIRUS 4                   8665890    19.20
2192037   COXSACKIE B VIRUS 5                   8665890    19.20
2192045   COXSACKIE B VIRUS                     8665890    19.20
2192052   CHLAMYDIA PNEUMO IGG                  8663190     7.20
2192060   CHLAMYDIA PSITTACI IGG                8663190     7.20
2192078   CHLAMYDIA TRACH IGM                   8663290     7.80
2192086   CHLAMYDIA PNEUMO IGM            8663290    7.80
2192094   CHLAMYDIA PSITTACI IGM          8663290    7.80
2192102   CHLAMYDIA TRACH IGM             8663290    9.00
2192110   CHLAMYDIA PNEUMO IGM            8663290    9.00
2192128   CHLAMYDIA PSITTACI IGM          8663290    9.00
2192136   EPSTEIN-BARR V CAPSID A IGM     8666590   10.75
2192144   EPSTEIN BARR NUC ANTIGEN        8666490    9.22
2192151   EPSTEIN BARR EARLY ANTIGEN      8666390    7.68
2192177   GEN PROBE, CT                   8749090   21.60
2192185   GEN PROBE, GC                   8759090   11.93
2192193   GEN PROBE, CT ONLY              8749090   12.59
2192201   GEN PROBE, GC ONLY              8759090   11.30
2192219   HEAVY METAL BLOOD LEAD          8365590    8.45
2192227   HEAVY METAL BLOOD MERCURY       8382590   11.05
2192235   HEAVY METAL URINE LEAD          8365590    9.31
2192243   HEAVY METAL URINE MERCURY       8382590   12.21
2192250   HELIOBACTOR PYLORI IGA          8667790   12.00
2192268   HEPATITIS C ANTIBODY            8680390   11.50
2192276   HERPES CULTURE, STAIN           8725390    6.30
2192284   HERPES SIMPLEX I, IGM           8669490   12.00
2192318   HERPES SIMPLEX VIRUS DFA, 1     8727490   26.54
2192326   HERPES SIMPLEX VIRUS DFA, 2     8727390   26.54
2192334   IMMUNO ELECTRO IGA              8278490    5.04
2192342   IMMUNO ELECTRO IGM              8278490    5.04
2192359   IMMUNO ELECTRO FRACT & QUANT    8416590    8.72
2192367   IMMUNO ELECTRO FIXATION SERUM   8633490   17.88
2192375   IMMUNO ELECTRO T PROT REFRAC.   8416090    4.13
2192383   IMMUNO ELECTRO MICRO ALB        8204390    6.69
2192391   IMMUNO ELECTRO FIXATION SERUM   8633490   26.09
2192409   IMMUNO ELECTRO NEPHEL KAPPA     8388390   15.86
2192417   IMMUNO ELECTRO NEPHEL LAMBDA    8388390   15.86
2192425   IMMUNOGLOBULINS, IGG            8278490    5.20
2192433   IMMUNOGLOBULINS, IGM            8278490    5.20
2192441   INFLUENZA A                     8671090    8.10
2192458   INFLUENZA B                     8671090    8.10
2192466   METHYLMALONIC ACID              8392190   24.00
2192482   MS PANEL, MBP CSF               8387390   24.06
2192490   MS PANEL, IGG SERUM             8278490    8.33
2192508   MS PANEL, IGG, CSF              8278490    8.33
2192516   MS PANEL, ALB SERUM             8204090    6.22
2192524   MS PANEL, ALB CSF               8204290   17.57
2192540   MYCOPLASMA, IGM                 8673890    8.75
2192565   OSMOLALITY URINE                8393590    9.42
2192573   PARATHYROID, CALCIUM            8231090    2.90
2192581   PRIMIDONE-PHENOBARBITOL         8018490    7.50
2192599   QUINIDINE                       8019490   15.00
2192607   RMSF IGM                        8675790   15.60
2192615   THROMBIN TIME                   8567090   14.70
2192623   THYROGLOBULIN, AB               8680090    6.60
2192680   TOXOPLASMA, IGM                 8677890   10.50
2192698   VITAMIN A (RETINOL)             8459090   14.40
2192714   PROTEIN ELECTRO T. PROTEIN      8416090    7.23
2192722   MICROALBUMIN/CREAT RATIO, URINE       8257090     1.54
2192730   HEPATITIS C VIRUS QNT BNDA            8752290   141.00
2192771   VITAMIN-D 1,25 DIHYDROXYVITAMIN       8265290    30.00
2300010   BONE MARROW ASPIRATION                38220     221.35
2300036   CYLOPATHOLOGY,FLUIDS,WASH,BRSH        88104      85.90
2300044   CYLO CONC TECHNIQUE                   88108      55.35
2300069   CYTO OTHER SCREEN & INTERP            88160      41.55
2300077   CYTO, EXTENDED STUDY                  88162      82.95
2300085   FNA INTERPRETATION AND REPORT         88173      85.90
2300093   SURG PATH LEVEL 1                     88300      24.90
2300101   SURG PATH LEVEL 2                     88302      74.80
2300119   SURG PATH LEVEL 3                     88304      85.90
2300127   SURG PATH LEVEL IV                    88305     127.35
2300135   SURG PATH LEVEL V                     88307     177.15
2300143   SURG PATH LEVEL VI                    88309     260.10
2300150   DECALCIFICATION                       88311      33.30
2300168   SPECIAL STAINS 1                      88312      85.90
2300176   SPECIAL STAINS 11                     88313      72.00
2300192   FROZEN SECTION                        88331      85.90
2300200   EACH ADDITIONAL FROZEN SECTION        88332      44.55
2300226   PERIPHERAL SMEAR REVIEW               85060      84.00
2300234   BONE MARROW SMEAR INTERP              85097     574.20
2300267   IRON STAIN ON BLOOD OR MARROW SMEAR   85535      49.50
2300275   FLUID FOR CRYSTAL ANALYSIS            89060      75.25
2300283   L CONSULTATION DURING SURGERY         88329     178.20
2300309   DIRECT BACTERIAL IDEN EACH,COMM KIT   87077QW    49.00
2300317   PATHOLOGY MISC                                     -
2700003   SPIROMETRY, BASE LINE                 94010     324.98
2700011   SPIROMETRY,BEFORE-AFTER BRONCHODIL    94060     324.98
2700029   RESIDUAL VOLUME, FUNCT RESID CAP      94240     324.98
2700037   DIFFUSION CAPACITY                    94720     324.98
2700052   ARTERIAL BLOOD GAS ANALYSIS           82803     532.08
2700094   ABG DRAW                              36600      89.33
2700102   O2 SATURATION ANALYSIS                82810     189.33
2700110   PULSE OXIMETER MULTIPLE               94761     129.55
2700193   PULSE OXIMETRY                        94760      67.91
2700318   MAXIMUM VOLUME VENTILATION (MBC)      94200     165.24
2960052   BLOOD: STORAGE & PROCESS                         55.00
2960102   BLOOD: STORAGE & PROCESS                        100.00
2960169   LEUKO PLATELETS                                  26.25
2960409   BLOOD: AUTOLOGUS/PACKED CELL (RBC)    P9021     175.00
2960649   BLOOD:PLT PHORESIS-SINGLE DONOR                 550.00
2960706   BLOOD:IRRADIATED SERV.                           40.00
2960714   WHOLE BLOOD FOR TRANSFUSION PR UNIT   P9010     196.00
2960722   CRYOPRECIPITATE PER UNIT              P9012      45.00
2960730   RBC, LEUKOREDUCED PER UNIT            P9016     188.00
2960748   FRESH FROZEN PLASMA ONE DONOR /UNIT   P9017      62.50
2960755   RED BLOOD CELLS PER UNIT              P9021     158.00
2960763   RED BLOOD CELLS WASHED PER UNIT       P9022     230.00
2960789   PLATELETS LEUKOREDUCED IRRAD /UNIT    P9033     578.00
2960797   PLATELETS PHERES LEUKOREDUCED /UNIT   P9035     586.50
2960821   PLATELETS, PHERESIS,L/R,IRRAD,/UNIT   P9037     578.00
2960839   RED BLOOD CELLS,IRRADIATED, /UNIT     P9038       197.75
2960847   AUTOLOGOUS BLOOD PROCESSING           86890        50.00
2960854   THERAPEUTIC APHERESIS, PLASMA EXCHA   36520     1,225.00
3036019   TYPE AND HOLD                         86901       155.43
3036027   ANTIBODY IDENTIFICATION               86870       165.84
3036050   COOMBS DIRECT                         86880        50.09
3036068   ANTIBODY SCREEN                       86850        97.56
3036076   FETAL SCREEN                          85460        79.03
3036084   COMPATIBILITY EA UNIT, IS TECHNIQUE   86920       265.14
3036092   PLATELET, PREP                        86965       132.54
3036100   FRESH FROZEN PLASMA PREPARATION       86927       157.18
3036118   ABO                                   86900        60.60
3036126   RH GROUPING                           86901        47.47
3036134   ABO                                   86900        53.79
3036167   BLOOD SCREEN-ANTIGEN                  86905        42.13
3036191   CLOT TO HOLD                          86999        50.19
3036274   RHOGAM (UNIT & WORKUP)                86922       265.14
3036290   PRENATAL                              80055       341.28
3036308   RH (D)                                86901        53.79
3086014   TYPE AND HOLD                         86850       147.59
3086022   ANTIBODY IDENTIFICATION               86870       165.84
3086055   COOMBS DIRECT                         86880        50.09
3086063   ANTIBODY SCREEN                       86850        79.57
3086089   COMPATIBILITY EA UNIT, IS TECHNIQUE   86920       265.14
3086097   PLATELET, PREP                        86965       132.54
3086113   ABO                                   86900        47.47
3086121   RH GROUPING                           86901        47.47
3086139   ABO                                   86900        46.05
3086279   RHOGAM (UNIT & WORKUP)                J2790       155.76
3086295   PRENATAL                              80055       272.17
3086303   RH (D)                                86901        46.05
3200011   E.K.G.WITH COMPUTER                   93005       416.27
3200029   CAROTID STUDY                         93875     1,189.52
3200037   TRANSESOPHAGEAL STUDY                 93312     1,717.89
3200045   PERIFERIAL VASCULAR SINGLE            93971       764.42
3200052   PERIFERIAL VASCULAR DOUBLE            93970       908.35
3200102   SEGMENTAL PRESSURE                    93923     1,235.13
3200110   ULTRASONIC NEEDLE GUIDANCE            76942       814.07
3200508   2 D SCAN COMBINED                     93307     1,034.25
3200516   M-MODE,MITRAL,AORTIC,ATRIAL COMBINE   93307     1,034.25
3200524   2 D SCAN SINGLE                       93307     1,034.25
3200532   M-MODE,MITRAL,AORTIC,ATRIAL, SINGLE   93307     1,034.25
3200540   ECHOCARDIO M-MODE FOLLOW UP           93308       988.14
3200557   CARDIAC DOPPLER                       93320       630.84
3200565   COLOR FLOW                            93325       677.82
3200581   CAROTID STUDY (BILATERAL)             93875     1,189.52
3200599   COMPUTER ECG (REPEAT)                 9300576     416.27
3458221   EEG ROUTINE                           95819     1,254.32
3458239   EEG ROUTINE IN HOUSE                  95819     1,307.40
3458254   EEG SLEEP DEPRIVED                    95819     1,220.04
3500022   BRONCHOSCOPY,FLEXIBLE                           1,284.57
3500220   SUCTION SETUP                                      64.69
3700309   EYE XRAY DETECT FORIGN BODY        70030   274.52
3700317   NON-IONIC CONTRAST                 A4645   266.23
3701000   MANDIBLE LTD                       70100   311.47
3701109   MANDIBLE COMP                      70110   438.34
3701307   MASTOIDS                           70130   646.32
3701406   FACIAL BONES LTD                   70140   282.42
3701505   FACIAL BONES COMP                  70150   376.98
3701521   ORBITS                             70200   376.98
3701547   ZYCOMA (INC.FACIAL BONES)          70150   405.43
3701604   NASAL BONES                        70160   371.47
3701612   GASTROGRAFIN                               278.33
3702107   SINUS LIMITED                      70210   342.75
3702206   PARANASAL SINUSES                  70220   395.62
3702503   SKULL LTD                          70250   340.03
3702602   SKULL COMP                         70260   430.06
3703006   TRAY, BIOPSY                               307.33
3703303   T.M.J., BILAT                      70330   495.24
3703600   NECK FOR SOFT TISSUE XRAY          70360   225.30
3703709   SFT TISSUE NECK (FLUORO)           70370   372.94
3703717   SPEECH EVAL-DYNAMIC (VIDEO/CINE)   70371   439.54
3710100   CHEST 1V                           71010   290.54
3710209   CHEST 2V                           71020   272.17
3710217   CHEST 3V (LORDOTIC)                71021   475.24
3710233   CHEST 2V W/FLUORO                  71023   475.24
3710241   CHEST 3V (OBL)                     71022   475.24
3710308   CHEST-MIN 4V                       71030   567.13
3710902   PACEMAKER INSERTION                71090   716.89
3711009   RIBS UNI RT                        71100   529.85
3711017   RIBS UNI LT                        71100   529.85
3711108   RIBS BILAT                         71110   592.69
3711116   RIBS BILAT & PACHEST               71111   650.95
3711207   STERNUM                            71120   338.55
3711306   STERNOCLAVICULAR JOINTS            71130   412.62
3720109   SPINE-COMP, AP & LAT               72010   876.85
3720406   CERVICAL SPINE (3 VIEWS)           72040   315.34
3720505   CERV.SPINE (FLEX.EXT.OR OBL)       72050   376.98
3720521   CERV.SPINE (FLEX.EXT. & OBL)       72052   438.34
3720695   SCOLIOSIS                          72069   404.88
3720703   T-SPINE 2V                         72070   494.59
3720729   T-SPINE W/SWIMMERS                 72072   509.68
3720802   THORACO-LUMBAR                     72080   444.28
3721008   LUMBAR SPINE-LIMITED               72100   383.52
3721107   L SPINE COMP. W/OBL.               72110   624.30
3721149   L SPINE COMP (BENDING VIEWS)       72114   624.30
3721206   L SPINE FLEX/EXT BENDING ONLY      72120   541.46
3721701   PELVIS AP                          72170   209.12
3722014   ERCP                               74330   840.61
3722022   SACRO-ILIAC JOINTS                 72202   274.52
3722204   SACRUM & COCCYX                    72220   315.34
3722519   MYELOGRAPY-CONTRAST                        503.69
3730009   CLAVICLE-LEFT                      73000   270.43
3730017   CLAVICLE-RIGHT                     73000   270.43
3730108   SCAPULA-LEFT                         73010   270.43
3730116   SCAPULA-RIGHT                        73010   270.43
3730207   SHOULDER 1V-RT                       73020   223.61
3730215   SHOULDER 1V-LT                       73020   223.61
3730223   SHOULDER 1V-BILAT                    73020   447.17
3730306   SHOULDER-LEFT                        73030   270.43
3730322   SHOULDER-RIGHT                       73030   270.43
3730330   SHOULDER-BILAT                       73030   491.59
3730405   SHOULDER ARTHROGRAM-LEFT             73040   819.14
3730413   SHOULDER ARTHROGRAM-RIGHT            73040   819.14
3730504   ACROMINO-CLAVICULAR JOINTS           73050   373.71
3730603   HUMERUS-LEFT                         73060   270.43
3730611   HUMERUS-RIGHT                        73060   270.43
3730629   HUMERUS-BILAT                        73060   491.59
3730702   ELBOW 2V-LT                          73070   270.43
3730710   ELBOW 2V-RT                          73070   270.43
3730728   ELBOW 2V-BILAT                       73070   491.59
3730801   ELBOW COMPLETE (3 VIEWS)-LEFT        73080   294.85
3730819   ELBOW COMPLETE (3 VIEWS)-RIGHT       73080   294.85
3730827   ELBOW,COMP-BILAT                     73080   536.33
3730850   ELBOW ARTHROGRAM-LEFT                73085   819.14
3730900   FOREARM-LEFT                         73090   270.43
3730918   FOREARM-RIGHT                        73090   270.43
3730926   INFANT UPPER EXT-2V RT               73092   189.93
3730934   INFANT UPPER EXT-BILAT               73092   380.19
3730942   FOREARM-BILAT                        73090   491.59
3731007   WRIST COMPLETE-LEFT                  73110   270.43
3731015   WRIST COMPLETE-RIGHT                 73110   270.43
3731023   WRIST 2V-LT                          73100   210.37
3731031   WRIST 2V-RT                          73100   210.37
3731049   WRIST 2V-BILAT                       73100   420.41
3731106   WRIST,COMP-BILAT                     73110   491.59
3731163   WRIST ARTHROGRAM-RIGHT               73115   716.89
3731205   HAND LIMITED-LEFT                    73120   210.37
3731213   HAND LIMITED-RIGHT                   73120   210.37
3731221   HAND,LTD-BILAT                       73120   420.41
3731304   HAND COMPLETE (3 VIEWS)-LEFT         73130   270.43
3731312   HAND COMPLETE (3 VIEWS)-RIGHT        73130   270.43
3731320   HAND,COMP-BILAT                      73130   491.59
3735008   HIP 1 VIEW-LEFT                      73500   241.71
3735016   HIP 1 VIEW-RIGHT                     73500   241.71
3735107   HIP COMPLETE 2V LEFT                 73510   315.34
3735115   HIP COMPLETE 2V RIGHT                73510   315.34
3735206   HIP (BILAT.WITH PELVIS)              73520   505.27
3735305   HIP PINNING (OPERATIVE) 1 SET LEFT   73530   405.43
3735404   HIP, INFANT 2 VIEW                   73540   190.59
3735503   FEMUR-LEFT                           73550   315.34
3735511   FEMUR-RIGHT                          73550   315.34
3735529   FEMUR-BILAT                          73550   573.61
3735602   KNEE (2 VIEWS)-LEFT                  73560   334.30
3735610   KNEE (2 VIEWS)-RIGHT                 73560   334.30
3735628   KNEE 3V LEFT                         73562   354.20
3735636   KNEE 3V RIGHT                    73562       354.20
3735644   KNEE 3V-BILAT                    73562       708.23
3735651   KNEE 2V-BILAT                    73560       668.39
3735701   KNEE COMP-4+ LT.                 73564       401.45
3735719   KNEE COMP-4+ RT.                 73564       401.45
3735727   KNEE COMP-BILAT                  73564       802.79
3735909   TIBIA & FIBULA-LEFT              73590LT     334.30
3735917   TIBIA & FIBULA-RIGHT             73590       334.30
3735925   TIB/FIB-BILAT                    73590       668.39
3735933   INFANT LOWER EXT 2 VIEW RT       73592       244.92
3735941   INFANT LOWER EXT-BILAT           73592       489.90
3736105   ANKLE COMPLETE-LEFT              73610       274.03
3736113   ANKLE COMPLETE-RIGHT             73610       274.03
3736121   ANKLE 2 VIEW-LEFT                73600       245.96
3736139   ANKLE 2 VIEW-RIGHT               73600       245.96
3736147   ANKLE 2V-BILAT                   73600       491.59
3736154   ANKLE,COMP-BILAT                 73610       547.94
3736303   FOOT COMPLETE-LEFT               73630       274.03
3736311   FOOT COMPLETE-RIGHT              73630       274.03
3736329   FOOT 2 VIEW-LEFT                 73620       245.96
3736337   FOOT 2 VIEW-RIGHT                73620       245.96
3736345   FOOT 2V-BILAT                    73620       491.59
3736352   FOOT COMP-BILAT                  73630       547.94
3736501   HEEL-LEFT                        73650       270.43
3736519   HEEL-RIGHT                       73650       270.43
3736527   HEELS-BILAT                      73650       491.59
3740008   ABDOMEN (1 VIEW)                 74000       229.61
3740016   ACUTE ABDOMEN                    74022       569.53
3740206   ABDOMEN,COMP (DECUB/ERECT)       74020       360.41
3740305   K.U.B.                           74000       229.61
3742202   ESOPHAGUS                        74220       331.69
3742301   SWALLOW EVAL-(VIDEO/CINE)        74230       439.54
3742418   UGI WITH KUB                     74241       439.54
3742426   UGI WITHOUT KUB                  74240       483.42
3742459   U.G.I. & SMALL BOWEL             74245     1,052.12
3742475   UGI W/AIR CON                    74247       950.64
3742491   UGI W/AIR CON & SBFT             74249     1,109.29
3742509   SMALL BOWEL                      74250       479.38
3742517   SMALL BOWEL VIA INTRA-ABD TUBE   74251     1,109.29
3742707   BARIUM ENEMA                     74270       840.61
3742756   BARIUM ENEMA WITH AIR            74280     1,041.55
3743002   OPERATIVE CHOLANGIOGRAM          74300       781.69
3743051   CHOLANGIOGRAM POST OPERATIVE     74305       576.83
3743200   PERCUTANEOUS CHOLANGIOGRAM       74320       953.86
3743408   LOCALIZATION G.I.TUBE            74340       576.28
3744000   I.V.P.                           74400       810.42
3744208   RETROGRADE UROGRAPHY             74420       579.50
3744257   ANTEGRADE NEPHROSTOGRAM          74425       471.26
3744307   CYSTOGRAM                        74430       693.57
3747250   FETAL AGE & POSITION             74000       249.88
3747409   HYSTEROSALPINOGRAM               74740       859.41
3748936   RIBS WITH PA CHEST RT            71101       559.99
3748944   RIBS WITH PA CHEST LT                 71101     559.99
3748951   FLUOROSCOPIC GUIDANCE (SPINAL)        76005     447.01
3760014   FLUORO GUIDE CENTRAL VENOUS DEVICE    75998     290.54
3760055   FLUORO ASSIST (1HR)                   76000   1,024.16
3760089   CHILD TORSO FOR FB SINGLE VIEW        76010     218.38
3760097   VENOGRAM UNILATERAL EXT-RIGHT         75820   1,447.52
3760105   VENOGRAM UNILATERAL EXT-LEFT          75820   1,447.52
3760113   VENOGRAM ,BILATERAL EXTREMITY         75822   1,515.86
3760204   BONE AGE STUDY                        76020     274.52
3760600   BONE SURVEY,LTD                       76061   1,144.06
3760659   BONE SURVEY (INFANT)                  76065     835.49
3760824   ABCESS/FISTULA/SINUS TRACT            76080     491.64
3760907   MAMMOGRAM UNILATERAL-LEFT             76090     262.20
3760915   MAMMOGRAMS (BILATERAL)                76091     474.80
3761004   LAMINOGRAMS                           76100     479.38
3761400   WRITTEN CONSULTATION ON OTSIDE FILM   76140     163.99
3763059   BREAST MASS SPECIMEN                  76098     238.22
3764362   MYELOGRAPHY, LUMBOSACRAL              72265   1,434.06
3764420   URETHROCYSTOGRAPHY, RETROGRADE        74450     573.61
3764438   URETHROCYSTOGRAPHY, VOIDING           74455     573.61
3764453   FLUORO NEEDLE GUIDANCE, BIOPSY/FNA    76003     491.64
3764503   GASTROSTOMY TUBE PLCMNT               74350     819.14
3764545   PERCUTANEOUS NEPHROSTOMY              74475     891.84
3764560   PERC TRANSHEP BILIARY DRAINAGE        75980   1,843.35
3764602   ANKLE ARTHROGRAPHY-RIGHT              73615     675.75
3764610   HIP ARTHROGRAPHY-RIGHT                73525     696.46
3764636   CHEST SPECIAL VIEW                    71035     290.54
3764685   PRE-OP NEEDLE PLCMNT                  19290     290.87
3764842   IVP WITH TOMOS                        74415     869.71
3764966   GASTROGRAFIN WITH AIR                 74280     659.56
3764982   SPINE 1V                              72020     233.70
3765013   HX BONE SURVEY COMPLETE               76062   1,424.41
3765039   SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC   62270     417.25
3765054   CCIC MANDIBLE COMP                    70110     438.34
3765088   CCIC FACIAL BONES LTD                 70140     282.42
3765096   CCIC FACIAL BONES COMP                70150     376.98
3765104   CCIC ORBITS                           70200     376.98
3765112   CCIC NASAL BONES                      70160     371.47
3765138   CCIC SINUS LIMITED                    70210     342.75
3765146   CCIC PARANASAL SINUSES                70220     395.62
3765161   CCIC SKULL LTD                        70250     340.03
3765179   CCIC SKULL COMP                       70260     430.06
3765187   CCIC T.M.J., BILAT                    70330     495.24
3765195   CCIC NECK FOR SOFT TISSUE XRAY        70360     225.30
3765237   CCIC CHEST 1V                         71010     290.54
3765245   CCIC CHEST 2V                         71020     272.17
3765252   CCIC CHEST 3V (LORDOTIC)              71021     475.24
3765260   CCIC CHEST 2V W/FLUORO                71023     475.24
3765294   CCIC CHEST SPECIAL VIEW               71035     290.54
3765302   CCIC RIBS BILAT                       71110     592.69
3765328   CCIC STERNUM                          71120     338.55
3765336   CCIC STERNOCLAVICULAR JOINTS          71130     412.62
3765344   CCIC SPINE-COMP, AP & LAT            72010       876.85
3765369   CCIC CERVICAL SPINE (3 VIEWS)        72040       315.34
3765377   CCIC CERV.SPINE (FLEX.EXT.OR OBL)    72050       376.98
3765385   CCIC CERV.SPINE (FLEX.EXT. & OBL)    72052       438.34
3765393   CCIC SCOLIOSIS                       72069       404.88
3765401   CCIC T-SPINE 2V                      72070       494.59
3765419   CCIC T-SPINE W/SWIMMERS              72072       509.68
3765427   CCIC T-SPINE W/OBLIQUES (4 VIEWS)    72074       574.48
3765435   CCIC THORACO-LUMBAR                  72080       444.28
3765443   CCIC LUMBAR SPINE-LIMITED            72100       383.52
3765450   CCIC L SPINE COMP. W/OBL.            72110       624.30
3765468   CCIC L SPINE COMP (BENDING VIEWS)    72114       624.30
3765476   CCIC L SPINE FLEX/EXT BENDING ONLY   72120       541.46
3765484   CCIC PELVIS AP                       72170       209.12
3765492   CCIC SACRO-ILIAC JOINTS              72202       274.52
3765500   CCIC SACRUM & COCCYX                 72220       315.34
3765518   CCIC EYE DETECTION OF FOREIGN BODY   70030       274.52
3765542   CCIC HIP, INFANT 2 VIEW              73540       190.59
3765575   CCIC ABDOMEN (1 VIEW)                74000       229.61
3765591   CCIC ABDOMEN,COMP (DECUB/ERECT)      74020       360.41
3765609   CCIC ACUTE ABDOMEN                   74022       569.53
3765617   CCIC PHARYNX                         74210       315.34
3765625   CCIC ESOPHAGUS                       74220       331.69
3765658   CCIC UGI WITH KUB                    74241       439.54
3765666   CCIC U.G.I. & SMALL BOWEL            74245     1,052.12
3765674   CCIC UGI W/AIR CON                   74247       950.64
3765682   CCIC UGI W/AIR CON & SBFT            74249     1,109.29
3765690   CCIC SMALL BOWEL                     74250       479.38
3765716   CCIC BARIUM ENEMA                    74270       840.61
3765724   CCIC BARIUM ENEMA WITH AIR           74280     1,041.55
3765740   CCIC GALLBLADDER SERIES              74290       376.98
3765781   CCIC I.V.P.                          74400       810.42
3765914   CCIC BONE LENGTH                     76040       393.22
3765930   CCIC HX BONE SURVEY COMPLETE         76062     1,424.41
3765948   CCIC BONE SURVEY (INFANT)            76065       835.49
3765971   CCIC SCAPULA-BILAT                   7301050     491.59
3765997   CCIC SHOULDER-BILAT                  7303050     491.59
3766011   CCIC ELBOW 2V-BILAT                  7307050     491.59
3766060   CCIC WRIST,COMP-BILAT                7311050     491.59
3766078   CCIC HAND,LTD-BILAT                  7312050     420.41
3766086   CCIC HAND,COMP-BILAT                 7313050     491.59
3766094   CCIC FEMUR-BILAT                     7355050     573.61
3766102   CCIC KNEE 2V-BILAT                   7356050     668.39
3766128   CCIC KNEE COMP-BILAT                 7356450     802.79
3766136   CCIC TIB/FIB-BILAT                   7359050     668.39
3766169   CCIC ANKLE,COMP-BILAT                7361050     547.94
3766177   CCIC FOOT 2V-BILAT                   7362050     491.59
3766185   CCIC FOOT COMP-BILAT                 7363050     547.94
3766193   CCIC HEELS-BILAT                     7365050     491.59
3766201   CCIC RIBS UNI LT                     71100LT     529.85
3766219   CCIC RIBS UNI RT                     71100RT     529.85
3766227   CCIC LT RIBS WITH PA CHEST           71101LT     559.99
3766243   CCIC CLAVICLE-LEFT                    73000LT   270.43
3766250   CCIC CLAVICLE-RIGHT                   73000RT   270.43
3766268   CCIC SCAPULA-LEFT                     73010LT   270.43
3766276   CCIC SCAPULA-RIGHT                    73010RT   270.43
3766292   CCIC SHOULDER 1V-RT                   73020RT   223.61
3766300   CCIC SHOULDER-LEFT                    73030LT   270.43
3766318   CCIC SHOULDER-RIGHT                   73030RT   270.43
3766326   CCIC SHOULDER ARTHROGRAM-LEFT         73040LT   819.14
3766334   CCIC SHOULDER ARTHROGRAM-RIGHT        73040RT   819.14
3766342   CCIC HUMERUS-LEFT                     73060LT   270.43
3766359   CCIC HUMERUS-RIGHT                    73060RT   270.43
3766367   CCIC ELBOW 2V-LT                      73070LT   270.43
3766375   CCIC ELBOW 2V-RT                      73070RT   270.43
3766383   CCIC ELBOW COMPLETE (3 VIEWS)-LEFT    73080LT   294.85
3766391   CCIC ELBOW COMPLETE (3 VIEWS)-RIGHT   73080RT   294.85
3766409   CCIC ELBOW ARTHROGRAM-LEFT            73085LT   819.14
3766425   CCIC FOREARM-LEFT                     73090LT   270.43
3766433   CCIC FOREARM-RIGHT                    73090RT   270.43
3766441   CCIC WRIST 2V-LT                      73100LT   210.37
3766458   CCIC WRIST 2V-RT                      73100RT   210.37
3766466   CCIC WRIST COMPLETE-LEFT              73110LT   270.43
3766474   CCIC WRIST COMPLETE-RIGHT             73110RT   270.43
3766482   CCIC WRIST ARTHROGRAM-LEFT            73115LT   716.89
3766508   CCIC HAND LIMITED-LEFT                73120LT   210.37
3766516   CCIC HAND LIMITED-RIGHT               73120RT   210.37
3766524   CCIC HAND COMPLETE (3 VIEWS)-LEFT     73130LT   270.43
3766532   CCIC HAND COMPLETE (3 VIEWS)-RIGHT    73130RT   270.43
3766534   CCIC HIP (BILAT.WITH PELVIS)          73520     505.27
3766540   CCIC HIP 1 VIEW                       73500     241.71
3766565   CCIC HIP COMPLETE 2V LEFT             73510     315.34
3766573   CCIC HIP COMPLETE 2V RIGHT            73510     315.34
3766599   CCIC HIP ARTHROGRAPHY-RIGHT           73525RT   696.46
3766615   CCIC KNEE 3V BILATERAL                73562     708.23
3766623   CCIC FEMUR-LEFT                       73550LT   315.34
3766631   CCIC FEMUR-RIGHT                      73550RT   315.34
3766649   CCIC KNEE (2 VIEWS)-LEFT              73560     334.30
3766656   CCIC KNEE (2 VIEWS)-RIGHT             73560     334.30
3766664   CCIC KNEE 3V LEFT                     73562LT   354.20
3766672   CCIC KNEE 3V RIGHT                    73562RT   354.20
3766680   CCIC KNEE COMP-4+ LT.                 73564     401.45
3766698   CCIC KNEE COMP-4+ RT.                 73564     401.45
3766714   CCIC KNEE ARTHOGRAPHY RIGHT           73580RT   819.14
3766722   CCIC TIBIA & FIBULA-LEFT              73590LT   334.30
3766730   CCIC TIBIA & FIBULA-RIGHT             73590RT   334.30
3766748   CCIC ANKLE 2 VIEW-LEFT                73600LT   245.96
3766755   CCIC ANKLE 2 VIEW-RIGHT               73600RT   245.96
3766763   CCIC ANKLE COMPLETE-LEFT              73610LT   274.03
3766771   CCIC ANKLE COMPLETE-RIGHT             73610RT   274.03
3766789   CCIC ANKLE ARTHROGRAPHY-LEFT          73615LT   675.75
3766805   CCIC FOOT 2 VIEW-LEFT                 73620LT   245.96
3766813   CCIC FOOT 2 VIEW-RIGHT                73620RT   245.96
3766821   CCIC FOOT COMPLETE-LEFT               73630LT   274.03
3766839   CCIC FOOT COMPLETE-RIGHT              73630RT     274.03
3766847   CCIC HEEL-LEFT                        73650LT     270.43
3766854   CCIC HEEL-RIGHT                       73650RT     270.43
3766896   CCIC HIP WITH PELVIS                  73520       505.27
3900008   MRI ORBITS NECK NECK WO CONT          70540     3,001.10
3900016   MRI BRAIN W/O CONTRAST                70551     3,001.10
3900024   MRI ORB/FACE/NECK WO CONTRAST         70540     3,001.10
3900032   MRI C-SPINE W/O CONTRAST              72141     3,001.10
3900040   MRI T-SPINE W/O CONT                  72146     3,001.10
3900057   MRI L-SPINE W/O CONTRAST              72148     3,001.10
3900065   MRI LOWER EXTREM W/WO CONTRAST LT     73720LT   3,915.93
3900073   MRI ABDOMEN WO CONTRAST               74181     3,001.10
3900099   MRI PELVIS WITH CONTRAST              72196     3,222.31
3900107   MRI LOWER JOINT-LEFT WO CONTRAST      73721LT   3,001.10
3900123   CCIC MRI UPPER EXTREM WO/W CONT LT    73220LT   3,915.93
3900131   MRI UPPER JOINT-LEFT WO CONTRAST      73221LT   3,001.10
3900149   MRI BRAIN W/CONTRAST                  70552     3,222.31
3900156   MRI L-SPINE W/CONTRAST                72149     3,222.31
3900164   MRI T-SPINE W/CONTRAST                72147     3,222.31
3900172   MRI C-SPINE W/CONTRAST                72142     3,222.31
3900180   GADOLINIUM                            A4647       981.49
3900198   MRA, NECK                             70547     3,001.10
3900206   MRA, HEAD WO CONTRAST                 70544     3,001.10
3900263   MRA, LOWER EXTREMITY - LEFT           73725LT   3,001.10
3900305   MRI LOWER JOINT-RIGHT WO CONTRAST     73721RT   3,001.10
3900321   MRI LOWER EXTREMITY W/WO CONT RT      73720RT   3,915.93
3900347   MRA, LOWER EXTREMITY - RIGHT          73725RT   3,001.10
3900388   MRI UPPER JOINT-RIGHT WO CONTRAST     73221RT   3,001.10
3900404   CCIC MRI UPPER EXTREM W/WO CONT RT    73220RT   3,915.93
3900453   MRI BRAIN W/WO CONTRAST               70553     3,915.93
3900461   MRI T SPINE W/WO CONTRAST             72157     3,915.93
3900479   MRI C SPINE W/WO CONTRAST             72156     3,915.93
3900487   MRI L SPINE W/WO CONTRAST             72158     3,915.93
3900511   MRI TMJ'S                             70336     2,897.38
3900529   CCIC MRI UPPER EXT W/WO CONTRAST BI   7322050   5,034.44
3900552   MRI LOWER EXT-BILAT W/WO CONTRAST     7372050   5,034.44
3900560   MRI LOWER JOINT WO CONTRAST BILAT     7372150   4,141.95
3900586   CCIC MRI LOWER EXTREM WO CONT LT      73718LT   3,001.10
3900594   CCIC MRI TMJ'S                        70336     2,897.38
3900602   CCIC MRI FACE, ORBITS AND NECK        70540     3,001.10
3900636   CCIC MRA, HEAD                        70544     3,001.10
3900644   CCIC MRA, NECK                        70547     3,001.10
3900651   CCIC MRI BRAIN W/O CONTRAST           70551     3,001.10
3900669   CCIC MRI BRAIN W/CONTRAST             70552     3,222.31
3900677   CCIC MRI BRAIN W/WO CONTRAST          70553     3,915.93
3900685   CCIC MRI CHEST                        71550     3,001.10
3900693   CCIC MRA, CHEST                       71555     2,438.38
3900701   CCIC MRI C-SPINE W/O CONTRAST         72141     3,001.10
3900719   CCIC MRI C-SPINE W/CONTRAST           72142     3,222.31
3900727   CCIC MRI T-SPINE W/O CONT             72146     3,001.10
3900735   CCIC MRI T-SPINE W/CONTRAST           72147     3,222.31
3900743   CCIC MRI L-SPINE W/O CONTRAST         72148     3,001.10
3900750   CCIC MRI L-SPINE W/CONTRAST           72149     3,222.31
3900768   CCIC MRI C SPINE W/WO CONTRAST        72156     3,915.93
3900776   CCIC MRI T SPINE W/WO CONTRAST        72157     3,915.93
3900784   CCIC MRI L SPINE W/WO CONTRAST        72158     3,915.93
3900792   CCIC MRA, SPINE                       72159     3,001.10
3900800   CCIC MRI PELVIS                       72196     3,222.31
3900818   CCIC MRA, PELVIS                      72198     2,438.98
3900826   CCIC MRI ABDOMEN                      74181     3,001.10
3900834   CCIC MRA, ABDOMEN                     74185     2,438.98
3900842   CCIC MRI, BREAST                      76093     2,993.03
3900859   CCIC MRI BREAST BILAT                 76094     2,902.07
3900867   CCIC MRI UPPER EXT WO CONT BILAT      73218     4,251.05
3900875   CCIC MRI ANY UPPER JOINT-BILAT        7322150   4,251.05
3900883   CCIC MRA, UPPER EXT-BILAT             7322550   3,990.76
3900891   CCIC MRI LOWER EXT-BILAT              7372050   5,034.44
3900909   CCIC MRI LOWER JOINT-BILAT            7372150   4,141.95
3900917   CCIC MRA, LOWER EXT-BILAT             7372550   4,141.95
3900942   CCIC MRI UPPER EXTREMITY WO CONT LT   73218LT   3,001.10
3900958   CCIC MRI UPPER EXTREMITY WO CONT RT   73218RT   3,001.10
3900966   CCIC MRI ANY UPPER JOINT-LEFT         73221LT   3,001.10
3900974   CCIC MRI ANY UPPER JOINT-RIGHT        73221     3,001.10
3900982   CCIC MRA, UPPER EXTREMITY - LEFT      73225LT   2,437.68
3900990   CCIC MRA, UPPER EXTREMITY - RIGHT     73225RT   2,437.68
3901006   CCIC MRI LOWER EXTREMITY - LEFT       73720LT   3,915.93
3901014   CCIC MRI LOWER EXTREMITY - RIGHT      73720RT   3,915.93
3901022   CCIC MRI ANY LOWER JOINT-LEFT         73721LT   3,001.10
3901030   CCIC MRI ANY LOWER JOINT-RIGHT        73721RT   3,001.10
3901048   CCIC MRA, LOWER EXTREMITY - LEFT      73725LT   3,001.10
3901055   CCIC MRA, LOWER EXTREMITY - RIGHT     73725RT   3,001.10
3901063   CCIC GADOLINIUM                       A4647       981.49
3901071   CCIC MRI LOWER JOINT W/WO CONT        73723     3,915.93
3902004   CCIC MRI ORB/FACE/NK W/WO CONTRAST    70543     3,915.93
3902012   CCIC MRA, HEAD W CONTRAST             70545     3,222.31
3902020   CCIC MRI LOWER EXTREM WO CONT RT      73718RT   3,001.10
3902038   CCIC MRI ABDOMEN W/WO CONTRAST        74183     3,915.93
3902046   CCIC MRI PELVIS WO CONTRAST           72195     3,001.10
3902053   CCIC MRI UPPER JOINT W CONTRAST RT    73222RT   3,222.31
3902061   CCIC MRI UPPER JOINT W CONTRAST LT    73222LT   3,222.31
3902079   CCIC MRI UPPER JOINT W CONT BILAT     7322250   4,141.95
3902087   CCIC MRI UPPER JOINT W/WO CONT RT     73223RT   3,915.93
3902095   CCIC MRI UPPER JOINT W/WO CONT LT     73223LT   3,915.93
3902103   CCIC MRI UPPER JNT W/WO CONT BILAT    7322350   5,034.44
3902111   CCIC MRI ORBIT, FACE, NECK W CONT     70542     3,222.31
3902129   CCIC MRI 3D RECONSTRUCTION            76375       456.55
3902137   CCIC MRI LOWER JOINT W/CONTRAST RT    73722RT   3,222.31
3902145   CCIC MRI LOWER JOINT W/CONTRAST LT    73722LT   3,222.31
3902152   CCIC MRI PELVIS W/WO CONTRAST         72197     3,915.93
4181947   PHASE II RECOVERY ADD 15 MIN                      105.73
4182853   PHASE II RECOVERY 1ST HOUR                        387.77
4660007   U/S PERC ABSCESS DRAINAGE             75989     1,424.85
4660015   U/S PARA/THORACENTESIS                76942       993.59
4660023   U/S CYST ASPIRATION                   76942       814.07
4660031   U/S NEEDLE BIOPSY                   76942       814.07
4660056   U/S BIOPHYSICAL PROFILE             76818       979.58
4660064   U/S VASCULAR EXTREMITY-LT           93971       814.07
4660072   DVT VASCULAR, BILATERAL             93970     1,017.57
4660080   U/S VASC. AORTA/IVC, COMP           93978     1,067.60
4660098   U/S VASC. VISCERAL ORGANS, COMP     93975     1,101.72
4660148   U/S VASCULAR EXTREMITY-RT           93971       814.07
4660155   U/S GUIDED BREAST LOC               76096       500.96
4660163   U/S VASC EXT-BILAT                  9397150   1,480.22
4660171   U/S VASC AORTA/IVC,LTD              93979       647.57
4660189   U/S VASC,PENILE VESSELS,COMP        93980       818.75
4660197   U/S VASC PENILE VESSELS,LTD         93981       764.42
4664082   BREAST U/S-BILATERAL                7664550     628.88
4664090   BREAST U/S-LEFT                     76645LT     345.91
4664108   BREAST U/S-RIGHT                    76645RT     345.91
4665006   U/S PELVIS, OB, COMP                76805       851.67
4665105   ECHOGRAPH, OPHTHALMIC               76511       447.83
4665154   U/S PELVIS, NON-OB, COMP.           76856       834.56
4665352   U/S HEAD/NECK SOFT TISSUE/THYROID   76536       712.32
4665360   U/S CHEST OR MEDIASTINUM            76604       600.10
4667002   U/S ABDOMEN, COMPLETE               76700       712.32
4667051   U/S ABDOMEN, LTD.(ONE QUAD/ORGAN)   76705       565.87
4667309   U/S RETROPERITONEUM, COMP           76770       740.22
4667655   U/S RETROPERITONEUM, LTD            76775       712.32
4667713   U/S KIDNEY TRANSPLANT               76778       647.57
4667804   URINARY BLADDER                     76770       712.32
4668000   US OB<14 WEEKS SINGLE FETUS         76801       860.72
4668018   US OB<14 WEEKS ADDNL FETUS          76802       860.72
4668026   US OB DETAILED SINGLE FETUS         76811       860.72
4668042   US OB TRANSVAGINAL                  76817       814.07
4668067   US OB>=14 WKS SINGLE FETUS          76805       860.72
4668075   US OB>=14 WKS ADDNL FETUS           76810       860.72
4668083   US OB LTD ONE OR MORE FETUS         76815       782.35
4668109   U/S PELVIS, OB, MULTI. GEST         76810     1,374.76
4668117   U/S SCROTUM & CONTENTS              76870       797.83
4668125   U/S TRANSRECTAL,COMP                76872       740.22
4668133   U/S TRANSRECTAL,PROSTATE            76873       740.22
4668513   U/S TRANSVAGINAL                    76830       814.07
4668521   FETAL HEAD                          76506       712.32
4668547   EXTREMITY RT UPPER                  93971       814.07
4668562   EXTREMITY LT UPPER                  93971       814.07
4668588   U/S PELVIS, OB, LTD                 76815       782.35
4668604   U/S PELVIS, OB, REPEAT              76816       586.37
4668612   U/S HYSTERO                         76831       740.22
4668620   U/S EYE                             76529       712.32
4668638   U/S HEAD/NECK SOFT TISSUE           76536       712.32
4668646   U/S VASC. VISCERAL ORGANS, LTD      93976       879.25
4668661   U/S PELVIS, NON-OB, LTD.            76705       712.32
4668745   PARACENTESIS                        75989       814.07
4668760   THORACENTESIS                       75989       814.07
4669636   U/S EXTREMITY, LT                   76880LT     814.07
4669644   U/S EXTREMITY, RT                   76880RT     814.07
4669677   U/S EXT-BILAT                         7688050   1,480.22
4669685   U/S INF HIPS,COMP                     76885       613.62
4669693   U/S INF HIPS,LTD                      76886       533.06
4669701   U/S PERICARDIOCENTESIS                76930       993.59
4669719   U/S ENDOMYOCARDIAL BIOPSY             76932       993.59
4669743   U/S INTRAOPERATIVE                    76986       777.39
4669750   U/S CAROTID BILAT                     93880     1,311.92
4669768   U/S CAROTID UNI                       93882     1,200.96
4670006   CCIC U/S FETAL HEAD                   76506       712.32
4670014   CCIC ECHOGRAPH, OPHTHALMIC            76511       447.83
4670022   CCIC ECHOGRAPHY, BIOMETRY             76516       712.32
4670030   CCIC U/S EYE                          76529       712.32
4670055   CCIC U/S HEAD/NECK/THYROID            76536       712.32
4670063   CCIC U/S CHEST OR MEDIASTINUM         76604       600.10
4670071   CCIC U/S BREAST BILATERAL             76645       628.88
4670089   CCIC U/S ABDOMEN, COMPLETE            76700       712.32
4670097   CCIC U/S ABDOMEN, LTD(1 QUAD/ORGAN)   76705       712.32
4670121   CCIC U/S RETROPERITONEAL COMPLETE     76770       712.32
4670147   CCIC U/S RETROPERITONEUM, LTD         76775       712.32
4670154   CCIC U/S KIDNEY TRANSPLANT            76778       647.57
4670162   CCIC U/S PELVIS, OB COMP              76805       851.67
4670170   CCIC U/S PELVIS, OB, MULT GEST        76810     1,374.76
4670188   CCIC U/S PELVIS, OB, LTD              76815       782.35
4670196   CCIC U/S PELVIS, OB, REPEAT           76816       586.37
4670204   CCIC U/S BIOPHYSICAL PROFILE          76819       979.58
4670212   CCIC U/S TRANSVAGINAL                 76830       814.07
4670222   CCIC U/S UTERUS                       76831       740.22
4670238   CCIC U/S PELVIS, NON-OB, COMP.        76856       834.56
4670246   CCIC U/S SCROTUM & CONTENTS           76870       797.83
4670253   CCIC U/S TRANSRECTAL,COMP             76872       740.22
4670261   CCIC U/S TRANSRECTAL,PROSTATE         76873       740.22
4670279   CCIC U/S INF HIPS,COMP                76885       613.62
4670287   CCIC U/S INF HIPS,LTD                 76886       533.06
4670295   CCIC U/S PERICARDIOCENTESIS           76930       993.59
4670303   CCIC U/S GUIDED THERAPY FIELDS        76950       647.57
4670345   CCIC DOPLAR CAROTID BILAT             93880     1,311.92
4670352   CCIC DOPLAR CAROTID UNI               93882     1,200.96
4670360   CCIC DVT VASCULAR, BILATERAL          93970     1,017.57
4670378   CCIC DVT VASCULAR EXTREMITY-LT        93971LT     814.07
4670386   CCIC DVT VASCULAR EXTREMITY-RT        93971RT     814.07
4670410   CCIC DOP VASC VISCERAL ORGANS, COMP   93975     1,101.72
4670436   CCIC DOP VASC VISCERAL ORGANS, LTD    93976       879.25
4670444   CCIC DOPLAR AORTA/IVC, COMP           93978     1,067.60
4670451   CCIC DOPLAR AORTA/IVC,LTD             93979       647.57
4670469   CCIC DOPLAR PENILE VESSELS,COMP       93980       818.75
4670477   CCIC DOPLAR PENILE VESSELS,LTD        93981       764.42
4670485   CCIC DUPLEX SCAN EXTRACRAN ARTER BI   76880     1,480.22
4670501   CCIC U/S BREAST LT                    76645LT     345.91
4670519   CCIC U/S BREAST RIGHT                 76645RT     345.91
4670527   CCIC U/S EXTREMITY NON VASCULAR LT    76880LT     814.07
4670535   CCIC U/S EXTREMITY NON VASCULAR RT    76880RT     814.07
4670543   CCIC US OB<14 WKS SINGLE FETUS        76801       860.72
4670550   CCIC US OB<14 WKS ADDNL FETUS       76802     860.72
4670568   CCIC US OB DETAILED SINGLE FETUS    76811     860.72
4670576   CCIC US OB DETAILED ADDNL FETUS     76812     860.72
4670584   CCIC US OB TRANSVAGINAL             76817     814.07
4670592   CCIC US OB>=14 WKS SINGLE FETUS     76805     860.72
4670600   CCIC US OB>=14 WKS ADDNL FETUS      76810     860.72
4670618   CCIC US OB LTD ONE/MORE FETUS       76815     782.35
4670626   CCIC US OB FOLLOW-UP EACH FETUS     76816     586.37
4780003   BONE SCAN LIMITED                   78300     790.14
4780011   BONE SCAN BODY                      78306   1,021.66
4780037   CISTERNOGRAM                        78630   1,225.00
4780052   GASTROESOPHOGUS REFLUX              78262     935.60
4780060   TUMOR LOCALIZATION                  78802   1,129.35
4780078   GALLIUM ADDED VIEWS                 78800     740.00
4780086   GI BLOOD LOSS SCAN                  78278   1,049.56
4780110   HEPATOBILIARY SCAN                  78223   1,153.17
4780136   LUNG PERFUSION                      78580     838.05
4780144   LUNG VENT                           78593     750.68
4780151   LIVER SCAN                          78201     754.06
4780185   MECKELS DIVERTICULUM                78290   1,049.56
4780219   RENAL - PERFUSION FLOW              78701     869.98
4780227   RENAL SCAN HTN                      78708   1,340.92
4780235   THYROID SCAN TC                     78010     610.73
4780243   THYROID UPTAKE & SCAN               78007     578.63
4780268   THYROID - BODY SCAN                 78018   1,041.06
4780276   URETERAL REFLUX                     78740     554.92
4780284   RADIO NUCLIDE TC                    A4641     287.38
4780292   RADIOPHARMACEUTICAL DIAGNOSTIC TL   A9505   1,093.49
4780300   RADIO NUCLIDE XE 133                A4641     255.33
4780318   RADIO NUCLIDE I 123                 A9516     538.84
4780342   TESTICULAR SCAN                     78761     850.09
4780375   BONE SCAN THREE PHASE               78315   1,153.17
4780383   BONE MARROW IMAGING, LIMITED AREA   78102   1,289.03
4780425   THYROID ADENOMA IMAGING             78070   2,195.75
4780433   THYROID UPTAKE-MULTIPLE             78001     515.57
4780441   WHITE CELL LOCAL-COMPLETE           78806   2,195.75
4780458   WHITE CELL LOCAL-LIMITED            78805   1,873.27
4780466   III IN OXIDE LABELED WBC            A4641   2,332.27
4780482   IN III DTPA                         A4641   2,731.87
4780508   I 131 1-6 MCI                       A4641     806.06
4780516   ABSCESS LOCALIZATION LIMITED        78805   1,581.97
4780532   BILATERAL THROMBOSCINTOGRAM         78458   1,673.42
4780557   ECT BONE                            78320   1,825.21
4780565   ECT BRAIN                           78607   1,825.21
4780573   ECT HEART                           78465   2,267.15
4780581   ECT LIVER                           78205   1,825.21
4780607   GASTRIC EMPTYING STUDY              78264   2,099.07
4780623   MPI SPECT SINGLE STUDY-REST         78464   3,014.18
4780631   MPI SPECT SINGLE STUDY-STRESS       78464   3,014.18
4780664   LIVER SPLEEN IMAGING                78215   1,925.38
4780672   LIVER SPLEEN WITH FLOW              78216   1,825.21
4780680   MUGA EJECT,FRAC WALL MOTION         78472   2,294.78
4780706   TC CERETEC LABELED WBC                A4641   3,737.34
4780730   67 GALLIUM                            Q3002     548.54
4780748   99 MTC CERETEC                        A4641   2,753.56
4780755   99 MTC DTPA                           A4641     251.84
4780771   DIAGNOSTIC RADIOPHARMA CHOLETEC       A4641     251.84
4780789   99 MTC MAA                            A4641     161.21
4780797   99 MTC MAG 3-1 DOSE                   A4641     737.60
4780805   99 MTC MDP                            A9503     161.21
4780813   99 MTC PERTECHNETATE                  A9512       2.00
4780821   99 MTC PYP                            A9514     251.84
4780839   99 MTC SULFUR COLLOID                 A9520     161.21
4780847   99 MTC TAGGED RBC                     Q3010     580.15
4780862   99 MTC HDP                            A4641     251.84
4780888   COMPUTER ENHANCEMENT                  78890     461.62
4780995   I-131 SODIUM IODIDE CAPSULE PER MCI   A9517     131.69
4781027   RADIOPHARMACEUTICAL DIAGNOSTIC MIBI   A9500     700.11
4781043   PERSANTINE, EIPYRIDAMOLE              J1245   1,267.94
4781068   KINEVAC INJECTION FOR NUCLEAR MED     J3490     267.38
4781100   HN LYMPHATICS IMAGING                 78195   1,067.87
4781225   PARATHYROID IMAGING                   78070   1,510.74
4782850   THYROID, SINGLE UPTAKE                78000     644.52
4782868   TYPROID MET IMAGING LIMITED AREA      78015   1,289.03
4782884   BONE IMAGING MULTIPLE AREAS           78305   1,289.03
4782934   HEART WALL MOTION ADD-ON              78478   1,988.49
4782942   HEART FUNCTION ADD-ON                 78480   1,988.49
4783023   KIDNEY FLOW/FUNCTION IMAGING MULTI    78709   1,545.35
4783049   TUMOR IMAGING 3D SPECT                78803   1,545.35
4783072   TECHNELIUM TC 99M TETROFOSMIN         A9502     765.45
4934535   FOLLICLE STIMULATING HORMONE          83001     258.98
4980256   THYROID THERAPY NUCLEAR MEDICINE      79005     598.68
5000013   NASAL SPRAY 4 WAY 1/2 OZ                         17.39
5000088   ACTHAR GEL 40 UNITS INJECTION                   132.38
5000179   ADRENOSEN 10MG INJECTION              J0150      69.65
5000187   ADRENOSEM 2.5 MG TABLET                           6.98
5000203   ADRIAMYCIN 50MG INJECTION             J9000   1,909.14
5000211   ADRIAMYCIN 10MG INJECTION             J9000     215.98
5000229   IBUPROPHEN (ADVIL) 200MG TABLET                   0.50
5000278   ALBUMIN 25% INFUSION                  P9046     435.62
5000286   ALBUMIN 5% INFUSION 250ML             P9045     759.62
5000294   ALCAINE OPHTHALMIC 1% DROPS                     101.04
5000336   ALDACTONE 25 MG TABLET                            6.98
5000351   ALDOMET 250 MG/5CC INJECTION                     80.17
5000369   ALDOMET 250 MG TABLET                             6.98
5000377   ALDOMET 500 MG TABLET                            10.30
5000385   ALDOMET 125 MG TABLET                             6.98
5000427   ALKA SELTZER GOLD 2 TABLETS                       6.98
5000435   ALKA SELTZER GOLD TABLET                          6.98
5000450   ALL B WITH C COMB CAPSULE                         6.98
5000518   ALUPENT 10MG/5CC SYRUP                            6.98
5000526   ALUPENT INHALER                                 174.07
5000559   AMICAR 500 MG TABLET                             14.55
5000567   AMICAR 250 MG INJECTION                         101.04
5000591   AMIKIN 500 MG/2CC INJECTION                 264.87
5000633   AMINOPHYLLINE 250 MG INJECTION      J0280    20.98
5000641   AMINOPHYLLINE 500 MG INJECTION      J0280    38.37
5000690   AMOXIL CHEWABLE 250 MG TABLET                 6.98
5000716   AMMONIA N/A CAPSULE                          10.30
5000724   AMOXICILLIN 125 MG SUSPENSION                31.39
5000732   AMOXICILLIN 250 MG CAPSULE                    6.98
5000740   AMOXICILLIN 125 MG/5CC SUSPENSION             6.98
5000757   AMOXICILLIN 250 MG/5CC SUSPENSION             6.98
5000773   AMOXICILLIN 500 MG CAPSULE                    6.98
5000781   AMOXICILLIN 125CC/5CC SUSPENSION             31.39
5000799   AMOXICILLIN 250 MG SUSPENSION                55.92
5000807   AMPHOGEL 30 CC SUSPENSION                     6.98
5000815   AMPHOGEL GEL                                 31.39
5000823   AMPICILLIN 125MG INJECTION                   69.65
5000831   AMPICILLIN 250 MG CAPSULE                     6.98
5000849   AMPICILLIN 500 MG CAPSULE                     6.98
5000856   AMPICILLIN 1 GRAM INJECTION                 104.64
5000864   AMPICILLIN 250 MG INJECTION                  73.14
5000872   AMPICILLIN 2 GRAMS INJECTION                 69.65
5000880   AMPICILLIN 500 MG INJECTION                  87.25
5000898   AMPICILLIN 250 MG/5 CC SUSPENSION             6.98
5000906   AMPICILLIN 125 MG/5CC/80CC SUSP              31.39
5000922   AMPICILLIN (UNIT DOSE) 125 MG/5CC             6.98
5000989   ANCEF 1 GRAM INJECTION              J0690   132.38
5000997   ANCEF 500 MG INJECTION              J0690    52.21
5001003   ANECTINE 1 GRAM INJECTION                      -
5001011   ANECTINE 20 MG/CC INJECTION                  31.39
5001060   ANTILIRIUM 2 MG INJECTION                    69.65
5001078   ANTIVERT 12.5 MG TABLET                       6.98
5001086   ANTIVERT 25 MG TABLET                         6.98
5001177   APRESOLINE 10 MG TABLET                       6.98
5001185   APRESOLINE 25 MG TABLET                       6.98
5001201   APRESOLINE 20 MG/CC INJECTION                55.92
5001219   AQUAMEPHYTON 10 MG/CC INJECTION              24.47
5001227   AQUAMEPHYTON 1MG/0.5CC INJECTION             31.39
5001276   ARTANE 2 MG TABLET                            6.98
5001326   ASENDIN 50 MG TABLET                          6.98
5001417   ATARAX 25 MG TABLET                           6.98
5001433   ATARAX SYRUP 10 MG/5 CC SYRUP                 6.98
5001441   ATIVAN 1 MG TABLET                            6.98
5001458   ATIVAN 2 MG TABLET                            6.98
5001466   ATIVAN 4 MG/CC INJECTION                     76.57
5001474   ATROMID S 500 MG CAPSULE                      6.98
5001482   ATROPINE 0.4MG AMPULE               J0460    25.56
5001516   ATROPINE 0.1% DROPS                          76.57
5001524   ATROPINE ABBOJECT 0.1MG/ML INJ      J0460    59.30
5001565   ATROVENT INHALER 14 GRAMS           J7644   235.17
5001573   AUGMENTIN 125 MG/5CC SUSPENSION              76.57
5001581   AUGMENTIN 250 MG/5CC SUSPENSION             114.94
5001599   AUGMENTIN-250 TABLET                          6.98
5001607   AUGMENTIN_500 TABLET                         10.30
5001615   AURALGAN DROPS                                104.64
5001623   AVC CREAM 4 OZ CREAM                          156.85
5001631   AVC SUPPOSITORY                               167.21
5001698   AZACTAM 1 GM INJECTION                        156.85
5001706   AZMACORT INHALER                              365.80
5001722   AZULFIDINE TABLET                               6.98
5001730   B & O SUPPOSITORY 30 MG                        36.73
5001763   BACITRACIN 50MU INJECTION                     114.94
5001789   BACITRACIN 30 GRAMS OINTMENT                   38.37
5001797   BACITRACIN OPTH 3.5 GRAMS OINTMENT             38.37
5001839   BACTRIM DS TABLET                              17.39
5001847   BACTRIM SUSPENSION 20 CC                        6.98
5001854   BACTRIM SUSPENSION 15 CC                        6.98
5001938   BENADRYL 25 MG CAPSULE                Q0163     6.98
5001953   BENADRYL 50 MG INJECTION              J1200    31.39
5001961   BENADRYL 25MG/10CC ELIXIR             Q0163     6.98
5001979   BENADRYL 50 MG CAPSULE                Q0163     6.98
5001987   BENEMID 500 MG TABLET                           6.98
5001995   BENTYL 10 MG CAPSULE                            6.98
5002001   BENTYL 20 MG TABLET                             6.98
5002019   BENTYL 10 MG/CC 2CC INJECTION                  55.92
5002068   BENZOIN TINCTURE 30 CC TOPICAL                 10.30
5002076   BETADINE 30 GRAMS OINTMENT                     52.21
5002084   BETADINE 1/32 OZ OINTMENT                       6.98
5002118   BETADINE SOLUTION 8 OZ TOPICAL                 73.14
5002134   BETADINE SWAB STICKS TOPICAL                    6.98
5002142   BETADINE VAG GEL 3 OZ                          76.57
5002159   BETOPTIC .5% DROPS                            101.04
5002167   BICILLIN CR 1.2 MIL UNITS INJECTION           125.40
5002175   BICILLIN CR 600,000 UNITS INJECTION            80.17
5002183   BICILLIN LA 1.2 MIL UNITS INJECTION           135.92
5002191   BICILLIN LA 2.4 MIL UNITS INJECTION           174.07
5002209   BICILLIN LA 600,000 UNITS INJECTION            97.56
5002217   SOD CITRATE/CITRIC ACID SOL                     5.34
5002241   BLEPHAMIDE 5CC DROPS                           73.14
5002332   BRETHINE 2.5 MG TABLET                          6.98
5002340   BRETHINE 5MG TABLET                             6.98
5002357   BRETHINE 1MG/ML INJECTION                      45.34
5002365   BRETYLOL 500 MG/10CC INJECTION                153.25
5002373   BREVITAL 500 MG POWDER                         87.25
5002464   BSS 15CC DROPS                                 80.17
5002472   BSS 500 CC INJECTION                          369.29
5002514   BUMEX 1MG TABLET                                6.98
5002522   BUMEX 0.5/2ML INJECTION                        27.80
5002555   BUMEX 1MG/4CC INJECTION                        31.39
5002563   BUSPAR 5MG TABLET                               6.98
5002605   BUTISOL                                         6.98
5002670   CAFERGOT TABLETS                                6.98
5002688   CAFFEINE SODIUM BENZOATE INECTION              83.66
5002696   CALADRYL LOTION                                24.47
5002704   CALAMINE LOTION                                48.67
5002712   CALAN 5 MG/2 CC INJECTION                     101.04
5002738   CALAN 80 MG TABLET                              6.98
5002746   CALCIUM CHLORIDE 10 CC INJECTION               80.17
5002761   CALCIUM GLUCONATE 10ML INJECTION      J0610    27.80
5002779   CALCIUM GLUCONATE 500 MG TABLET                 6.98
5002845   CAPOTEN 25 MG TABLET                            6.98
5002852   CAPOTEN 50MG TABLET                            10.30
5002860   CAPOTEN 12.5 MG TABLET                          6.98
5002894   CARAFATE 1 GRAM TABLET                         10.30
5002928   CARDIZEM 50 MG CAPSULE                          6.98
5002936   CARDIZEM 30 MG TABLET                           6.98
5002985   CLONIDINE HCL 0.1MG TABLET                      6.98
5002993   CATAPRES 0.2MG TABLET                           6.98
5003009   CECLOR 125MG/5CC SUSPENSION                    87.25
5003017   CECLOR 250MG CAPSULES                          17.39
5003025   CECLAR 250MG/5CC SUSPENSION                   167.21
5003066   CEFADYL 1 GRAM INJECTION                       38.37
5003090   CELESTONE 6MG/CC INJECTION                     48.67
5003157   CEFTIN 500 MG TABLET                           48.67
5003165   CALCIMAR 200U NASAL SPRAY             J0630   119.30
5003173   CEPACOL LOZENGE                                 5.34
5003215   CEPHULAC ELIXIR                                20.98
5003241   CERUMENEX DROPS 6CC                           226.67
5003256   CETACAINE AEROSOL                             132.38
5003264   CHARCOAL AID SYRUP                             76.57
5003298   CHLORAL HYDRATE 500 SYRUP                       6.98
5003389   CHLORTRIMETON 4MG TABLET                        6.98
5003421   CHRONULAC SYRUP                                17.39
5003488   CLAFORAN 2 GRAM INJECTION                     278.55
5003496   CLAFORAN 1 GRAM INJECTION                     156.85
5003512   CLEOCIN 600 MG/4CC INJECTION          J3490   184.59
5003538   CLEOCIN 150 MG CAPSULE                         17.39
5003561   CLINORIL 150 MG TABLET                          6.98
5003595   CLONOPIN 0.5 MG TABLET                          6.98
5003603   COCAINE 4% TOPICAL                            158.43
5003652   COGENTIN 1MG/CC 2CC INJECTION                  31.39
5003660   COGENTIN 1MG TABLET                             6.98
5003678   COGENTIN 2MG TABLET                             6.98
5003694   COLACE 20MG/5CC SYRUP                           6.98
5003702   COLACE 10MG/ML ELIXIR                           6.98
5003728   COLCHICINE 0.6 MG TABLET                        6.98
5003793   COLYTE JUG POWDER                             124.59
5003819   COMPAZINE 10 MG/CC INJECTION                   62.84
5003835   COMPAZINE 25 MG SUPPOSITORY                    10.30
5003843   COMPAZINE 5 MG TABLET                           6.98
5003850   COMPAZINE 10 MG TABLET                          6.98
5003868   COMPAZINE 5MG SUPPOSITORY                      10.30
5003942   CORGARD 40MG TABLET                             6.98
5004007   CORTENEMA ENEMA                                27.80
5004031   CORTISPORIN 15GRM OINTMENT                    101.04
5004049   CORTISPORIN OPTH 3.5GMS OINTMENT               80.17
5004056   CORTISPORIN OTIC SOLUTION 10CC DROP            83.66
5004098   COUMADIN 2.5 MG TABLET                          6.98
5004106   COUMADIN 5MG TABLET                             6.98
5004122   COUMADIN 2 MG TABLET                            6.98
5004130   COUMADIN 10 TABLET                              6.98
5004171   CYCLOGYL OPTH 1% DROPS                        156.85
5004254   DHE 45 INJECTION                               80.17
5004296   DALMANE 15MG CAPSULE                            6.98
5004304   DALMANE 30MG CAPSULE                            6.98
5004338   DANTRIUM 25 MG CAPSULE                          6.98
5004387   DARVOCET N 100 TABLET                           6.98
5004395   DARVOCET N-50 TABLET                            6.98
5004403   DARVON 65 MG CAPSULE                            6.98
5004452   DARVON N 100 CAPSULE                            6.98
5004486   DDAVP 4 MCG/CC                      J2597   1,323.91
5004510   DEBROX 14CC DROPS                              73.14
5004528   DECADRON 0.75MG TABLET              J1100       6.98
5004544   DECADRON 4 MG/CC INJECTION          J1100     129.00
5004577   DECADRON 4MG TABLET                 J1100      17.39
5004619   DECADRON ELIXIR 1.0MG/10CC          J1100       6.98
5004718   DECADRON LA 8 MG/CC INJECTION       J1094     198.60
5004734   DECADRON OPTH 5CC DROPS .1%         J1100      76.57
5004767   DECADRON OPTH 3.5 GRAMS OINTMENT    J1100      38.37
5004858   DECLOMYCIN 150 MG CAPSULE                      17.39
5005004   DELESTROGEN 20MG/CC INJECTION                  18.53
5005012   DEMEROL 25 MG INJECTION             J2175      34.93
5005053   DEMEROL 50 MG TABLET                            6.98
5005087   DEMEROL 75 MG INJECTION             J2175      34.93
5005095   DEMEROL 50 MG INJECTION             J2175      52.21
5005129   DEPAKENE 250 MG/5CC SYRUP                       6.98
5005137   DEPAKENE 250MG CAPSULE                          6.98
5005145   DEPO MEDROL 80 MG/CC INJECTION                121.86
5005152   DEPO MEDROL 40 MG/CC INJECTION                 31.39
5005186   ESTRADIOL VALERATE                             34.39
5005194   DEPO-PROVERA 100MG/CC INJECTION                69.65
5005202   DERMAPLAST AEROSOL                  A4364      37.11
5005210   DESITIN 1.25 OZ OINTMENT                       20.98
5005236   DESYREL 50 MG TABLET                            6.98
5005269   DEXTROSE ABBOJECT 50% 50CC INJECT             142.63
5005327   DIABINESE 100 MG TABLET                         6.98
5005335   DIABINESE 250 MG TABLET                         6.98
5005343   DIAMOX 500 MG TALBET                            6.98
5005368   DIAMOX 250 MG TABLET                            6.98
5005376   DIAMOX 500MG INJECTION                        317.08
5005459   DILANTIN 100 MG INJECTION                      55.92
5005467   DILANTIN 250 MG INJECTION                     170.86
5005475   DILANTIN 100 MG CAPSULE                         6.98
5005491   DILANTIN 125 MG/5 CC SUSPENSION                 6.98
5005509   DILANTIN INFATAB 50 MG TABLET                   6.98
5005541   DILAUDID 2MG INJECTION                         33.14
5005665   DILAUDID 2 MG TABLET                            6.98
5005822   DIMETAPP 60CC ELIXIR                           10.30
5005913   DIMETAPP 5CC ELIXIR                             6.98
5005921   DIMETAPP ELIXIR 5CC SYRUP                       6.98
5005954   DIMETAPP ELIXIR                                 6.98
5005996   DIPTHERIA AND ADULT TETANUOS          90718    55.92
5006085   DITROPAN 5 MG TABLET                            6.98
5006150   DOBUTREX 250 MG/20 CC VIAL                    344.82
5006192   DOCUSATE SODIUM 250 CAPSULE                     6.98
5006432   DONNAGEL PG 5CC SUSPENSION                      6.98
5006440   DONNATAL ELIXIR                                 8.83
5006473   DONNATAL TABLET                                 6.98
5006481   DONNATAL ELIXIR                                 6.98
5006549   DONNATAL NO.2 TABLET                            6.98
5006606   DOPAMINE 200MG/5CC INJECTION          Q4076   111.51
5006697   DOPAMINE 800 MG INJECTION             Q4076   156.85
5006705   DOPAMINE PREMIX 400MG/250CC D5W INJ   Q4076   195.27
5006713   DOPAMINE PREMIXED 500CC INJECTION     Q4076   184.59
5006937   DOXIDAN CAPSULE                                 6.98
5006978   DRAMAMINE 50MG/CC INJECTION                    55.92
5007232   DSS 100MG CAPSULE                               6.98
5007257   DULCOLAX 10MG SUPPOSITORY                       6.98
5007265   DULCOLAX 5MG TABLET                             6.98
5007273   DUO-DERM DRESSING 4 IN X 4 IN TOPIC            31.39
5007281   DUO-DERM GRANULES TOPICAL                      31.39
5007406   DYAZIDE CAPSULE                                 6.98
5007505   DYNAPEN 250MG CAPSULE                          17.39
5007562   E-MYCIN 250MG TABLET                            6.98
5007588   E.E.S. 200MG/5CC 5CC SUSPENSION                 3.49
5007653   ECOTRIN 5 GRAINS TABLET                         6.98
5008024   ELAVIL 10MG/CC INJECTION                       59.30
5008099   ELAVIL 10MG TABLET                              6.98
5008107   ELAVIL 25MG TABLET                              6.98
5008115   ELAVIL 50MG TABLET                              6.98
5008586   EMPTY EVACUATED CONT. 250 ML INJ               83.66
5008727   ENLON 10 MG/ML                                 87.25
5008776   ENTEX CAPSULE                                   6.98
5008883   ENTEX-LA TABLET                                 6.98
5008941   EPHEDRINE 50MG/CC INJECTION                    17.39
5009113   EPINEPHRINE 1:1000 INJECTION                   17.39
5009147   EPINEPHRINE ABBOJECT 1:10,000 INJ              55.92
5009402   ERY-PED 400 MG/5CC POWDER                       6.98
5009410   ERYC 250MG CAPSULE                              6.98
5009428   ERYTHROCIN 500MG INJECTION                    101.04
5009444   ERYTHROMYCIN 200MG/5CC 100CC SUSPEN            27.80
5009501   ERYTHROMYCIN 500MG TABLET                       6.98
5009600   ERYTHROMYCIN 1 GM INJECTION                   114.94
5009691   ERYTHROMYCIN STEARATE 250 MG TABLET             6.98
5009717   ERYTHROMYIN BASE 250 MG TABLET                  6.98
5009931   ESTRACE 1 MG TABLET                             6.98
5009980   ESTROGENIC SUBSTANCE 1 CC INJECTION           125.40
5010012   ETHYL CHLORIDE AEROSOL                         55.92
5010020   ETRAFON 2/25 TABLET                             6.98
5010038   ETRAFON 2/10 TABLET                             6.98
5010186   FEEDING SET AND PUMP SLOW RELEASE              76.57
5010202   FELDENE 10 MG CAPSULE                          17.39
5010236   FENTANYL 10CC INJECTION               J3010      76.57
5010244   FEOSOL TABLET                                     6.98
5010251   FER-IN-SOL 15MG/0.6ML DROPS                      52.21
5010277   FERGON TABLET                                     6.98
5010293   FERROUS SULFATE 300 MG TABLET                     6.98
5010343   FIORINAL TABLET                                   6.98
5010350   FIORINAL # 3 CAPSULE                              6.98
5010368   FLAGYL 500 MG/100 CC INJECTION                  156.85
5010376   FLAGYL 250 MG TABLET                             17.39
5010384   FLAGYL 250 MG INJECTION                         129.00
5010392   FLAGYL 500 MG TABLET                             10.30
5010400   FLEET PHOSPHATE SODA SYRUP                        6.98
5010418   FLEET PREP KIT # 1 ENEMA                         31.39
5010426   FLEETS ENEMA                                     20.98
5010459   FLEXERIL 10 MG TABLET                             6.98
5010467   FLORINEF 0.1 MG TABLET                            6.98
5010483   FLUOR-I-STRIP TOPICAL                             8.83
5010491   FLUOROURACIL 500 MG/10 CC INJECTION   J9190     174.07
5010533   FOLIC ACID 1 MG TABLET                            6.98
5010558   FOLIC ACID 5MG/ML VIAL                           14.39
5010624   GAMA GLOBULIN INJECTION               90281      69.65
5010681   GARAMYCIN 80 MG/2CC INJECTION                    87.25
5010699   GARAMYCIN 15 GRAMS CREAM                         94.18
5010707   GARAMYCIN 15 GRAMS OINTMENT                      94.18
5010715   GARAMYCIN 3.5 GRAMS OINTMENT                     97.56
5010723   GARAMYCIN 5CC DROPS                              83.66
5010731   GARAMYCIN PED 20 MG                              27.80
5010756   GAVISCON TABLET                                   6.98
5010764   GAVISCON LIQUID SUSPENSION                       55.92
5010772   GELFOAM 12 X 7 MM 4'S TOPICAL                   114.94
5011127   GLUCAGON 1MG/CC INJECTION                       195.27
5011200   GLUCOTROL 5MG TABLET                              6.98
5011309   GLYCERIN SUPPOSITORY-PED              O           6.98
5011507   GOLYTELY POWDER                                 219.53
5011705   GRANULEX SPRAY 5 OZ AEROSOL                     101.04
5011903   GYNE-LOTRIMIN VAG.CREAM 1%                      111.51
5012281   HALCION 0.25 MG TABLET                            6.98
5012398   HALDOL 5MG/CC INJECTION                          80.17
5013032   HALDOL 0.5 MG TABLET                              6.98
5013420   HALDOL 5 MG TABLET                               10.30
5013479   HALDOL 2 MG TABLET                                6.98
5013909   HEALON 10MG/CC 0.4 CC INJECTION                 459.76
5013982   HEP LOCK FLUSH 100 UNITS/CC INJ.      J1642       3.60
5014006   HEP-B GAMMA G INJECTION               90371   1,327.29
5014063   HEP-PAK 100 UNITS/ML INJECTION        J1644      20.98
5014162   HEPARIN 1MU/ML INJECTION              J1644       3.60
5014253   HEPARIN 1 UNIT/CC 30 CC INJECTION     J1644      27.80
5014261   HEPARIN 5000 UNITS/CC INJECTION       J1644      76.57
5014279   HEPARIN 10,000 UNITS/CC INJECTION     J1644      83.66
5014303   HEPARIN PF 10 UNITS/CC INJECTION      J1644       6.98
5014956   HYCODAN SYRUP                                     6.98
5015508   HYDROCORTISONE 1% CREAM                          24.47
5015524   HYDRODIURIL 50 MG TABLET                        6.98
5015615   HYDRODIURIL 25MG TABLET                         6.98
5016514   HYDROGEN PEROXIDE 16 OZ TOPICAL                 6.98
5018262   ILOTYCIN OPTH 5MG/GM 1/8OZ OINTMENT            45.34
5018270   IMFERON 50 MG/CC VIAL                         313.48
5018312   IMODIUM 2MG CAPSULE                             6.98
5018353   IMURAN TABLET                                  10.30
5018510   INAPSINE 2.5MG/CC 2CC INJECTION                27.80
5018759   INDERAL 10MG TABLET                             6.98
5018767   INDERAL 20MG TABLET                             6.98
5019120   INDERAL 40MG TABLET                             6.98
5019153   INDERAL 1MG/CC AMPULE                          55.92
5019203   INDERAL FORTE 40 MG TABLET                      6.98
5019229   INDERAL LA 80MG SLOW RELEASE                    6.98
5019393   INDIGO CARMINE 8MG/CC 5CC INJECTION            31.39
5019401   INDOCIN 25MG CAPSULE                            6.98
5019518   INDOCIN SR 75MG SLOW RELEASE                   10.30
5020060   INSULIN NPH U 100 INJECTION           J1815     3.27
5020078   NOVOLIN N 100U VIAL                   J1815     3.60
5020086   INSULIN HUMULIN-R 100 UNITS/CC INJ    J1815     3.60
5020094   INSULIN REGULAR 100 UNITS/CC INJ               97.56
5020136   IPECAC 30CC SYRUP                               8.83
5020359   ISONIAZID 100MG TABLET                          6.98
5020391   ISOPTIN SR 240 MG TABLET                       10.30
5021035   ISORDIL 5MG TABLETS                             6.98
5021050   ISORDIL 10MG TABLETS                            6.98
5021076   ISORDIL 20MG TABLET                             6.98
5022306   ISUPREL ABBOJECT 1:5000 5CC INJ                80.17
5022314   ISUPREL ABBOJECT 1:50,000 10CC INJ             55.92
5022736   KANTREX 1 GRAM/3CC INJECTION                  271.74
5023023   KANTREX 500 MG/2CC INJECTION                  142.63
5024153   KAOPECTATE 30CC SUSPENSION                      6.98
5025069   KAYEXALATE SUSPENSION                          52.21
5025119   KCL 20MEQ INJECTION                   J3480    52.21
5025143   KCL 30MEQ INJECTION                   J3480    52.21
5026000   KCL 40MEQ INJECTION                   J3480    52.21
5026604   KCL 10MEQ INJECTION                   J3480    52.21
5027321   KCL ELIXIR 20 MEQ                               6.98
5027420   KCL 20% ELIXIR                                  6.98
5027446   KLONOPIN 0.5 MG TABLET                          6.98
5027529   KEFLEX 250 MG CAPSULE                          10.30
5028329   KEFLEX 500 MG CAPSULE                          20.98
5028352   KEFLEX 100MG/CC 10 CC SUSPENSION               17.39
5028402   KEFLEX 125MG/5CC 100 SUSPENSION                80.17
5028527   KEFLEX 250MG/5CC 100 SUSPENSION               149.77
5029012   KEFLEX 250MG/5CC 5CC SUSPENSION                20.98
5029954   KEFZOL 1 GRAM INJECTION                       142.63
5029970   KEFZOL/ANCEF/CEFAZOLIN 1 GRAM ING             142.63
5029996   KENALOG 40 MG/CC INJECTION                     38.37
5030093   KENALOG 0.1 OINTMENT                           69.65
5030143   KENALOG CREAM 0.1% 15 GRAMS                    69.65
5030150   KENALOG IN ORABASE 5 GRAMS                     62.84
5030184   KETAJECT 50MG/CC VIAL                         163.72
5030226   KWELL 60CC LOTION                              48.67
5030234   KWELL SHAMPOO 60CC SOAP                        59.30
5030259   LACRI-LUBE OINTMENT                            10.30
5030275   LACTINEX TABLET                                 6.98
5030341   LANOXIN 0.125 MG TABLET                         6.98
5030358   LANOXIN 0.25 MG TABLET                          6.98
5030366   LANOXIN 0.25 INJECTION                         31.39
5030374   LANOXIN 0.05 MG/CC 60CC ELIXIR                 83.66
5030390   LASIX 100MG INJECTION                 J1940   125.40
5030408   LASIX 20MG INJECTION                  J1940    45.34
5030416   LASIX 40MG INJECTION                  J1940    62.84
5030424   LASIX 20MG TABLET                               6.98
5030432   LASIX 40MG TABLET                               6.98
5030440   LASIX 10MG/ML ELIXIR                           76.57
5030499   LEVOPHED 1MG/CC 4CC INJECTION                  52.21
5030515   LEVSIN 0.125 MG TABLET                          6.98
5030531   LIBRAX CAPSULE                                  6.98
5030564   LIBRIUM 5 MG CAPSULE                            6.98
5030572   LIBRIUM 100 MG INJECTION                       45.34
5030580   LIBRIUM 10MG CAPSULE                            6.98
5030614   LIBRIUM 25MG CAPSULE                            6.98
5030622   LIDEX CREAM 15 GRAMS                          104.64
5030721   LIDEX OINTMENT 0.05% OINTMENT                 104.64
5030739   LIDOCAINE 2 GRAM ABBOJECT INJECTION   J2001   125.40
5030903   LIDOCAINE 1 GRAM INJECTION            J2001    76.57
5030952   LIDOCAINE 2 GRAM INJECTION            J2001   101.04
5031117   LIDOCAINE ABBOJECT 100MG/5CC INJ      J2001    62.84
5031265   LIDOCAINE PREMIX 2 GM/5CC INJECTION   J2001   170.86
5032651   LIORESEAL 10MG TABLET                           6.98
5032933   LITHIUM CARBONATE 300MG CAPSULE                 6.98
5033170   LOMOTIL 5CC SYRUP                               6.98
5033261   LOMOTIL 2.5 MG TABLET                           6.98
5033303   LONITEN 2.5 MG TABLET                           6.98
5033634   LOPRESSOR 50MG TABLET                           6.98
5033667   LOPRESSOR 100MG TABLET                          6.98
5033675   LOPRESSOR 5MG INJECTION                        24.47
5033683   LORAZEPAM 1MG TABLET                            6.98
5033691   LORELCO 250 MG TABLET                           6.98
5034178   LOTRIMIN 1% 15 GRAMS CREAM                     69.65
5034194   LOTRISONE CREAM 1% TUBE                       139.41
5036116   MAALOX 30 CC SUSPENSION                         6.98
5037866   MAALOX SUSPENSION                               6.98
5038062   MAALOX PLUS 30CC SUSPENSION                     6.98
5038450   MACRODANTIN 50 MG CAPSULE                       6.98
5038799   MACRODANTIN 100 MG CAPSULE                     10.30
5038823   MAGNESIUM CITRATE 10 0Z ELIXIR                 73.14
5039102   MAGNESIUM SULFATE 50% 2CC INJECTION            55.92
5039110   MAGNESIUM SULFATE ABBOJEC 50%/5CC              55.92
5039151   PHARMACY MISC.                                   -
5039201   MANDELAMINE 500 MG TALBET                       6.98
5039433   MANNITOL 50 CC INJECTION                       97.56
5040019   MARCAINE 1/2% 30CC INJECTION        J3490    83.66
5040027   MARCAINE 0.25% INJECTION                     80.17
5040035   MARCAINE HCL WITH EPI 0.5% INJ               74.94
5040050   MAXITROL 5CC DROPS                          179.63
5040068   MAXITROL OPTH 3.5 GRAMS OINTMENT             80.17
5040076   MAXZIDE 75/50 TABLET                          6.98
5040118   MEDROL 4MG TABLET                             6.98
5040142   MEGACE 40 TABLET                             10.30
5040167   MELLARIL 25 MG TABLET                         6.98
5040233   MEPERIDINE 100MG INJECTION                   34.93
5040241   MEPHYTON 5 MG TABLET                         17.39
5040274   MESTINON 60 MG TABLET                        10.30
5040282   METAMUCIL PK                                  6.98
5040340   METHADONE 5 MG/5CC SYRUP                      6.98
5040357   METHERGINE 0.2 MG/CC INJECTION              114.94
5040365   METHERGINE 0.2 TABLET                         6.98
5040373   METHOTREXATE 50MG INJECTION         J9260   111.51
5040381   METHYLENE BLUE                               54.01
5040415   MEURVAX 2 INJECTION                 90706   153.25
5040423   MICRO K 10 MEQ CAPSULE                        6.98
5040431   MICRO-K 8MEQ(600MG) SLOW RELEASE              6.98
5040449   MICRONASE 5MG TABLET                          6.98
5040480   MILK OF MAG W CASCARA 30CC & 5CC              6.98
5040506   MILK OF MAGNESIA 30 CC SUSPENSION             6.98
5040514   MINERAL OIL 30 CC ELIXIR                      6.98
5040548   MINIPRESS 1MG CAPSULE                         6.98
5040571   MINOCIN 50 MG CAPSULE                         6.98
5040589   MINOCIN 100 MG CAPSULE                       10.30
5040597   MIOCHOL 2 CC INJECTION                      219.53
5040852   MONISTAT 7 47 GRAMS CREAM                   129.00
5040886   MOMISTAT DERM 15 GRAMS CREAM                 59.30
5041108   MONISTAT VAG SUSPPOSITORY TABLET            142.63
5041207   MONISTAT VAG SUPPOSITORY TABLET             142.63
5041215   MONOCID 1 GRAM INJECTION                    226.67
5041249   MORPHINE 10 MG INJECTION            J2270    17.39
5041397   MORPHINE 15 MG INJECTION            J2271    31.39
5041405   MORPHINE 10MG/1CC                   J2270    31.39
5041488   IBUPROPHEN (MOTRIN) 300MG TABLET              0.50
5041538   IBUPROPHEN (MOTRIN) 800MG TABLET              0.50
5041546   MUCOMYST 20% SUSPENSION                     250.81
5041603   MVI 2CC INJECTION                            45.34
5041652   MVI-12 2X5 CC INJECTION                      38.37
5041777   MYAMBUTOL 400 MG TABLET             J8999     6.98
5041793   MYCELEX TROCHE 10 MG LOZENGE                  6.98
5041900   MYCOLOG 11 15 GRAMS CREAM                    94.18
5041918   MYCOLOG II OINTMENT                          94.18
5041926   MYCOSTATIN 15 GRAMS OINTEMNT                 80.17
5041934   MYCOSTATIN 15 GRAMS POWDER                   80.17
5041942   MYCOSTATIN 60 CC SUSPENSION                 167.21
5041967   MYCOSTATIN SYRUP                              6.98
5041983   MYDRIACYL OPTH DROPS 1% 15CC                191.84
5042064   MYLICON-80 80MG TABLET                        6.98
5042080   MYSOLINE 250 MG TABLET                          6.98
5042098   MYSOLINE 25MG TABLET                            6.98
5042163   NAPHCON A 15 CC DROPS                          62.84
5042171   NAPROSYN 250 MG TABLET                          6.98
5042189   NAPROSYN 375MG TABLET                          10.30
5042197   NAPROSYN 500MG TABLET                          17.39
5042221   NARCAN 0.4MG/CC INJECTION                      80.17
5042270   NAVANE 2MG CAPSULE                              6.98
5042288   NAVANE 5MG CAPSULE                              6.98
5042296   NAVANE 1MG CAPSULE                              6.98
5042312   NEBCIN 60MG INJECTION                          59.30
5042320   NEBCIN 80 MG INJECTION                        132.38
5042411   NEO-POLYCIN 3.5 GRAMS OINTMENT                 24.47
5042437   NEO-SYNEPHRINE 1/2% 30CC DROPS                 27.80
5042445   NEO-SYNEPHRINE 10% 5CC DROPS                   69.65
5042460   NEOMYCIN 500 MG TABLET                          6.98
5042486   NEOPOLYCIN OPTH 10CC DROPS                     27.80
5042494   NEOSPORIN 15 GRAMS OINTMENT                    45.34
5042502   NEOSPORIN 5CC DROPS                            83.66
5042510   NEOSPORIN GU IRR 1CC INJECTION                 31.39
5042528   NEOSPORIN OPTH OINTMENT                        83.66
5042536   NEOSYNEPHRINE 1% 1CC INJECTION                 24.47
5042585   NIACIN 100 MG TABLET                            6.98
5042593   NIACIN 50MG TABLET                              6.98
5042650   NIPRIDE 50 MG/5CC INJECTION                   135.92
5042668   NITRAZINE PAPER 15 FEET TOPICAL                55.92
5042676   NITROBID 20 GRAMS OINTMENT                     69.65
5042692   NITROBID 6.5 MG CAPSULE                         6.98
5042700   NITROBID 1 GRAM OINTMENT                        3.60
5042718   NITRODUR 20 CM TOPICAL                         38.37
5042726   NITROGLYCERIN .3MG (1/200)TABLET               27.80
5042734   NITROGLYCERIN 1/100 GR.SLOW RELEASE            52.21
5042742   NITROGYLCERIN 0.3MG TABLET                     20.98
5042759   NITROSTAT 1/150 (0.4MG) NC                       -
5042767   NITROSTAT 0.3MG 1/200 GR TABLET                24.47
5042825   NOLVADEX 10MG TABLET                  J8999     6.98
5042833   NORCURON INJECTION                            170.86
5042841   NORFLEX 60MG/2CC INJECTION                     48.67
5042858   NORFLEX UP TO 60MG INJECTION          J2360    37.77
5042890   NORMAL SALINE 30CC INJECTION                   38.37
5042908   NORMAL SALINE 3000CC IRRIGATION                80.50
5042924   NORMAL SALINE 25CC INJECTION                   80.17
5042932   NORMAL SALINE 10CC VIAL (9% NS)       J7051     1.00
5042965   NORMODYNE 100MG TABLET                          3.49
5042973   NORMODYNE 5MG INJECTION                         8.83
5043021   NORPRAMIN 10MG TABLET                           6.98
5043088   NOVULINE 70/30 100U INJECTION         J1815     3.60
5043096   NUBAIN 10MG/CC INJECTION                       38.37
5043104   NUBAIN 20MG PER CC INJECTION                   76.57
5043120   NUPERCAINAL 30 GRAMS OINTMENT                  27.80
5043310   ORINASE 500 MG TABLET                           6.98
5043344   OS-CAL TABLET                                   6.98
5043369   OS-CAL 500 TABLET                                 6.98
5043450   PAMELOR 10MG CAPSULE                              6.98
5043468   PAMELOR 25MG CAPSULE                              6.98
5043583   PAVULON 2MG/CC INJECTION                         55.92
5043609   PEDIAPRED 5MG/5CC SYRUP                         101.04
5043617   PEDIAZOLE SUSPENSION                             83.66
5043625   PEDIAZOLE SUSPENSION                              6.98
5043641   PEN VEE K 250MG TABLET                            6.98
5043658   PEN VEE K 500 MG TABLET                           6.98
5043666   PENICILLIN GK 1MIL UNITS INJECTION               38.37
5043674   PENICILLIN VK 5MIL UNITS INJECTION               76.57
5043682   PENICILLIN GK 10MIL UNITS INJECTION              59.30
5043690   PENICILLIN GK 20MIL UNITS INJECTION             114.94
5043724   PENTOTHAL 500MG INJECTION                        76.57
5043732   PENTOTHAL KIT SYRINGE                            90.58
5043740   PEPCID 40MG TABLET                                6.98
5043757   PEPTO BISMOL SYRUP                                6.98
5043773   PERCOCET TABLET                                   6.98
5043781   PERCODAN TABLET                                   6.98
5043815   PERI-COLACE CAPSULE                               6.98
5043898   PERSANTINE 25MG TABLET                            6.98
5043914   PHARMACY MISCELLANEOUS TABLET                      -
5043922   PHARMACY MISCELLANEOUS INJECTION                   -
5043930   PHARMACY MISCELLANEOUS INJECTION                   -
5043948   PHARMACY ORAL DOSE                                6.98
5043997   PHENEGRAN 50MG INJECTION              J2550      52.21
5044003   PHENERGAN 12.5 MG SUPPOSITORY                    10.30
5044011   PHENERGAN 25MG SUPPOSITORY                       17.39
5044029   PHENERGAN 50MG SUPPOSITORY                       36.35
5044037   PHENERGAN 25 MG TABLET                Q0170       6.98
5044045   PHENERGAN 25MG/CC INJECTION           J2550      52.21
5044052   PHENERGAN 50MG/CC INJECTION           J2550      52.21
5044086   PHENERGAN EXP SYRUP                   Q0170       6.98
5044094   PHENERGAN EXP/CODEINE SYRUP                       6.98
5044102   PHENERGAN VC SYRUP                                6.98
5044128   PHENERGAN VC/CODEINE SYRUP                        6.98
5044136   PHENOBARBITAL 120 MG INJECTION                   31.39
5044151   PHENOBARBITAL 60MG INJECTION                     17.39
5044177   PHENOBARBITAL 30MG TABLET                         6.98
5044185   PHENOBARBITAL 60MG TABLET                         6.98
5044201   PHENOBARBITAL ELIXIR 20MG/5CC ELIXI               6.98
5044219   PHENYTOIN 100MG/2CC INJECTION                    52.21
5044268   PILOCAR 0.5% DROPS                               52.21
5044284   PILOCAR OPTH 4% 15CC DROPS                       59.30
5044292   PILOCAR OPTH 2% 15CC DR                          55.92
5044300   PIPRACIL 2 GRAM INJECTION                        76.57
5044342   PITOCIN 10 UNITS/CC INJECTION                    52.21
5044367   PITRESSIN 20 UNITS/ML INJECTION                  76.57
5044417   PLAQUENIL 200MG TABLET                           10.90
5044441   PLATINOL 50MG INJECTION               J9060     703.70
5044458   PLATINOL 100MG INJECTION              J9060   1,403.81
5044524   POLYSPORIN 15 GRAMS OINTMENT                     27.80
5044540   PONTOCAINE 15CC DROPS                            62.84
5044573   POTASSIUM PHOSPHATE 15MM INJECTION               27.80
5044599   PRED FORTE OPTH 1% 5CC DROPS                     69.65
5044615   PREDNISOLONE 5MG TABLET                           6.98
5044623   PREDNISONE 20 MG TABLET                           6.98
5044631   PREDNISONE 5MG TABLET                             6.98
5044649   PREDNISONE 10MG TABLET                            6.98
5044664   PREMARIN 0.3MG TABLET                             6.98
5044672   PREMARIN 0.625 MG TABLET                          6.98
5044680   PREMARIN 1.25 MG TABLET                           6.98
5044698   PREMARIN 25 MG/5CC INJECTION                    142.63
5044706   PREMARIN 0.9MG TABLET                             7.74
5044714   PREMARIN VAG 42.5 GRAMS CREAM                    87.25
5044722   PRENATAL VITAMIN TABLET                           6.98
5044748   PRIMAXIN 500 MG INJECTION                       278.55
5044755   PRIMAXIN 250 MG INJECTION                       149.77
5044797   PROCAN SR 750 MG SLOW RELEASE                     6.98
5044805   PROCARDIA 10MG CAPSULE                            6.98
5044813   PROGESTERONE INJECTION                           69.65
5044839   PROLIXIN 2.54MG TABLET                            6.98
5044862   PRONESTYL 250MG CAPSULE                           6.98
5044888   PRONESTYL 100MG/CC INJECTION                    153.25
5044904   PRONESTYL SR 500 MG SLOW RELEASE                  6.98
5044920   PROPYLTHIOURACIL 50MG TABLET                      6.98
5044953   PROSTAPHLIN 1 GRAM INJECTION                    125.40
5044987   PROSTIGMIN 15 MG TABLET                           5.94
5044995   PROSTIN-E2 20MG VAGINAL SUPPOSITORY           1,713.43
5045000   PROTAMINE SD4 50MG INJECTION                     55.92
5045018   PROTAMINE SULFATE 10MG/CC INJECTION             101.04
5045034   PROVENTIL 2MG TABLET                              6.98
5045042   PROVENTIL INHALER 17 GRAMS AEROSOL    J7613     198.60
5045059   PROVENTIL SYRUP 60CC 2MG/5CC SYRUP               24.47
5045067   PROVENTIL UNIT DOSE                   J7613      20.98
5045075   PROVERA 10MG TABLET                               6.98
5045158   PYRAZINAMIDE 500MG TABLET                         6.98
5045166   PYRIDIUM 100MG TABLET                             6.98
5045174   PYRIDIUM 200MG TABLET                             6.98
5045190   PYRIDOXINE 100MG/CC INJECTION                    27.80
5045232   QUESTRAN POWDER                                  17.39
5045307   QUINIDINE 200 MG TABLET                           6.98
5045315   QUINIDINE 300MG TABLET                            6.98
5045331   QUININE SULFATE 325 MG CAPSULE                    6.98
5045349   QUININE SULFATE 3 GRS (194MG)TABLET               6.98
5045372   REGITINE 5 MG/CC INJECTION                      195.27
5045380   METOCLOPRAMIDE 10MG TABLET                        3.00
5045414   METOCLOPRAMIDE 5MG/ML VIAL UNITDOSE   J2765      12.94
5045430   METOCLOPRAMIDE SYRUP 5MG/5ML                      3.00
5045463   RESTORIL 15MG CAPSULE                             6.98
5045471   RESTORIL 30MG CAPSULE                             6.98
5045505   RIFAMPIN 300MG (RIFADIN)300MG CAP                 6.98
5045513   RIOPAN 3CC SUSPENSION                             6.98
5045570   ROBAXIN 1000MG/10CC INJECTION                    38.37
5045588   ROBAXIN 500 MG TABLET                           6.98
5045612   ROBINUL 1MG TABLET                              6.98
5045620   ROBINUL 0.2MG/ML INJECTION                     45.34
5045638   ROBINUL 2MG TABLET                              6.98
5045646   ROBITUSSIN 5CC SYRUP                            6.98
5045653   ROBITUSSIN AC DOSE SYRUP                        6.98
5045661   ROBITUSSIN DAC 5CC SYRUP                        6.98
5045679   ROBITUSSIN DM 15CC SYRUP                        6.98
5045687   ROBITUSSIN DM DOSE SYRUP                        6.98
5045703   ROCALTROL 0.25MCG CAPSULE                       9.21
5045711   ROCEPHIN 1 GRAM INJECTION             J0696   296.15
5045729   ROCEPHIN 250MG INJECTION              J0696   156.85
5045737   ROCEPHIN 500MG INJECTION              J0696   177.62
5045828   RUFEN 600MG TABLET                              6.98
5045877   SECONAL 100MG CAPSULE                           6.98
5045919   SENAKOT TABLET                                  6.98
5045943   SEPTRA I.V.INFUSION INJECTION                  80.17
5045950   SER-AP-ES TABLET                                6.98
5045968   SERAX 10MG CAPSULE                              6.98
5045976   SERAX 15MG CAPSULE                              6.98
5045984   SERAX 30MG CAPSULE                              6.98
5046057   SILVADENE 50GRAMS CREAM                        55.92
5046065   SILVADENE 400 GRAMS CREAM                     198.60
5046073   SILVADENE 20GRAMS CREAM                        34.93
5046081   SILVER NITRATE STICK 10 TOPICAL                 6.98
5046107   SINEMET 10-100 TABLET                           6.98
5046115   SINEMET 25-L00 TABLET                           6.98
5046123   SINEMET 25-250 TABLET                           6.98
5046131   SINEQUAN 100 MG CAPSULE                         6.98
5046149   SINEQUAN 25MG CAPSULE                           6.98
5046222   SLOW FE TABLET                                  6.98
5046230   SLOW-K TABLET                                   6.98
5046255   SODIUM BICARBONATE 5GR TABLET                   6.98
5046263   SODIUM BICARBONATE ABB.8.4% 50CC IN            87.25
5046271   SODIUM CHLORIDE INJECTION                      55.92
5046289   SODIUM CHLORIDE 100MEQ INJECTION               20.98
5046297   SODIUM SULAMYD 10% 15CC DROPS                 104.64
5046321   SOLU-CORTEF (A-HYDROCART) 1GRAM INJ           268.41
5046339   SOLU-CORTEF (A-HYDROCART)100MG INJ             52.21
5046347   SOLU-CORTEF (H-HYDROCART)250MG INJ            114.94
5046354   SOLU-CORTEF (A-HYDROCART)500MG INJ            219.53
5046370   SOLU-MEDROL (A-METHAPRED)125MG INJ    J2930   170.86
5046388   SOLU-MEDROL (A-METHAPRED)40MG INJ     J2920    69.65
5046396   SOLU-MEDROL(A-METHAPRED)500MG INJ     J2930   404.17
5046404   SOLU-MEDROL (A-METHAPRED)1GRAM INJ    J2930   637.43
5046412   SOLU-MEDROL (A-METHAPRED)80MG INJ     J2930    97.56
5046420   SOLUSET INJECTION                              83.66
5046438   SOMA 350MG TABLET                               6.98
5046479   SORBITOL SOLUTION 70%W/W SYRUP                  6.98
5046537   SSKI LIQUID 30CC TOPICAL                       87.25
5046545   STADOL 2MG/CC INJECTION               J0595   113.31
5046560   STELAZINE 2MG TABLET                            6.98
5046578   STELAZINE 5MG TABLET                            6.98
5046594   STERILE WATER 1500CC IRRIGATION                73.14
5046610   STERILE WATER FOR IRRIG3000CC TOP              43.11
5046644   STREPTOKINASE 750,000 UNITS INJ               525.98
5046669   STRESS TABLET 600                               6.98
5046677   STUART NATAL 1+1 TABLET                         6.98
5046685   SUBLIMAZE 0.05 MG/CC 5CC INJECTION             59.30
5046693   SUDAFED 30MG TABLET                             6.98
5046701   SUDAFED 60MG TABLET                             6.98
5046727   SUFENTA 100UG/2CC AMP                         113.36
5046735   SULTRIN VAG 78 GRAMS CREAM                    249.45
5046776   SURFAK 240 MG CAPSULE                           6.98
5046818   SYMMETREL 100MG CAPSULE                         6.98
5046859   SYNTHROID 0.15MG TABLET                         6.98
5046875   SYNTHROID 0.1MG TABLET                          6.98
5046883   SYNTHROID 0.025MG TABLET                        6.98
5046990   TALWIN 50MG TABLET                              6.98
5047006   TALWIN 30MG/CC INJECTION                       48.67
5047030   TEARS NATURALE DROPS                           62.51
5047071   TEGRETOL 100MG TABLET                           6.98
5047089   TEGRETOL 200 MG TABLET                          6.98
5047139   TENEX 1 MG TABLET                              17.39
5047147   TENORETIC-50 TABLET                             6.98
5047154   TENORMIN 50 MG TABLET                           6.98
5047170   TERBUTALINE 1CC INJECTION                      45.34
5047246   TESSALON 100 MG CAPSULE                         6.98
5047261   TETANUS IMMUNE GLOBULIN250 UNITS IN   J1670    69.65
5047279   TETANUS TOXOID 0.5CC SUSPENSION       90703    59.30
5047287   TETRACAINE OPTH 0.5% DROPS                     17.71
5047295   TETRACYCLINE 250 MG CAPSULE                     6.98
5047303   TETRACYCLINE 500 MG CAPSULE                     6.98
5047337   THEO-24 200 MG CAPSULE                          6.98
5047360   THEO-DUR 200 MG TABLET                          6.98
5047378   THEO-DUR 300 MG TABLET                          6.98
5047451   THEOPHYLLIN ELIXIR 80MG/15CC ELIXIR             6.98
5047469   THERAGRAN TABLET                                6.98
5047485   THERAGRAN LIQUID SYRUP                          6.98
5047493   THERAGRAN M TABLET                              6.98
5047519   THIAMINE 50 MG TABLET                 J3411     6.98
5047527   THIAMINE 100 MG INJECTION             J3411    27.80
5047535   THIAMINE 100 MG TABLET                J3411     6.98
5047568   THORAZINE 25MG/CC INJECTION                    31.39
5047576   THORAZINE 25 MG TABLET                          6.98
5047584   THORAZINE 50 MG TABLET                          6.98
5047592   THORAZINE 50 MG/2CC INJECTION                  31.39
5047618   THORAZINE 10 MG TABLET                          6.98
5047642   THROMBIN 5000 UNITS TOPICAL                   179.63
5047667   THYROID 120 MG TABLET                           6.98
5047691   THYROID 60 MG TABLET                            6.98
5047741   TIGAN 100 MG SUPPOSITORY                       10.30
5047758   TIGAN 200 MG SUPPOSITORY                       17.39
5047766   TIGAN 200MG/2CC INJECTION                      27.80
5047774   TIGAN 250 MG CAPSULE                           6.98
5047790   TIMENTIN 3.1 GM INJECTION                     99.30
5047808   TIMETIN 3.1 GM INJECTION                     146.39
5047816   TIMOLIDE 10/25 TABLET                          6.98
5047824   TIMOPTIC 0.5% DROPS 2.5 AND 10ML             155.05
5047832   TIMOPTIC OPTH 0.25% DROPS                    125.40
5047857   TINE TEST 25 INJECTION                        10.30
5047873   TOBREX OPTHALMIC DROPS 0.3                   171.68
5047915   TOFRANIL 25 MG TABLET                          6.98
5048038   TRACE ELEMENTS INJECTION                      62.84
5048046   TRACRIUM 10MGS/ML INJECTION                   38.37
5048061   TRANDATE 100 MG INJECTION                    268.41
5048087   TRANSDERM NITRO 10 TOPICAL                    45.34
5048095   TRANSDERM NITRO 05 TOPICAL                    38.37
5048103   TRANSDERM NITRO 2.5 TOPICAL                   38.37
5048111   TRANSDERM SCOP PATCH TOPICAL                  27.80
5048160   TRENTAL 400 MG TABLET                          6.98
5048210   TRIAVIL 4-25 TABLET                           10.30
5048244   TRIDIL 5 MG/10CC INJECTION                   146.39
5048251   TRIDIL 25MG/5CC INJECTION                    146.39
5048335   TRIPLE ANTIBIOTIC SOL'N TOPICAL              153.25
5048343   TRIPLE DYE TOPICAL                            10.30
5048376   TUBOCURARINE 3MG/CC 10CC INJECTION            59.30
5048384   TUCKS 40 TOPICAL                              24.47
5048558   TYLENOL #3 TABLET                              2.78
5048616   TYLENOL ELIXIR W/CODINE                        6.98
5048707   UNIPEN 1 GRAM INJECTION                       83.66
5048715   UNIPEN 2 GRAMS INJECTION                     156.85
5048723   URECHOLINE 10MG TABLET                         6.98
5048731   URECHOLINE 25MG TABLET                         6.98
5048822   VALIUM 10MG TABLET                             6.98
5048830   VALIUM 2 MG TABLET                             6.98
5048848   VALIUM 5 MG TABLET                             6.98
5048855   VALIUM 10MG/2CC INJECTION            J3360    45.34
5048871   VANCERIL AEROSOL                             167.21
5048897   VASOCIDIN OPTH 5CC DROPS                      73.14
5048962   VASOTEC 10 TABLET                             10.30
5048970   VASOTEC 5MG TABLET                             6.98
5049077   VENTOLIN 2MG/5CC SUSPENSION                    6.98
5049085   VENTOLIN INHALER AEROSOL                     114.94
5049093   VEPESID 100MG INJECTION              J9181   303.24
5049119   VERMOX 100 MG TABLET                          24.47
5049127   VERSED 5MG/1ML 2ML INJECTION         J2250   129.00
5049135   VERSED 5MG INJECTION                 J2250   129.00
5049184   VIBRAMYCIN 100 MG CAPSULE                     20.98
5049200   VIBRAMYCIN 100 MG INJECTION                  226.67
5049218   VIBRAMYCIN 200 MG INJECTION                  202.20
5049226   VIBRAMYCIN 200 MG INJECTION                  247.32
5049234   VICODIN TABLET                                 6.98
5049291   VISCOUS LIDOCAINE TOPICAL                     10.30
5049309   VISINE OPTHALMIC DROPS                        20.98
5049333   VISTARIL 100 MG CAPSULE                       10.30
5049341   VISTARIL 100 MG INJECTION                        24.47
5049358   VISTARIL 50 MG CAPSULE                            6.98
5049366   VISTARIL 50 MG INJECTION                         45.34
5049374   VISTARIL 25 MG CAPSULE                            6.98
5049382   VISTARIL 25 MG 5CC SUSPENSION                     6.98
5049408   VITAMIN B-12 INJECTION 1000MCG        J3420      20.33
5049416   VITAMIN B-12 INJECTION 1000 MCG/CC    J3420      20.33
5049424   VITAMIN B-6 TABLET                                6.98
5049432   VITAMIN C 250 MG TABLET                           6.98
5049440   VITAMIN C 500 MG TABLET                           6.98
5049465   VITAMIN D 50,000 UNITS CAPSULE                    6.98
5049473   VITAMIN E 400IU CAPSULE                           6.98
5049499   VIVONEX T.E.N POWDER                             45.34
5049515   WATER FOR INJECTION                              20.98
5049648   XANAX 0.5 MG TABLET                               6.98
5049655   XANAX 0.25MG TABLET                               6.98
5049671   XYLOCAINE 1% 30 CC INJECTION          J2001      20.98
5049689   XYLOCAINE 2% 30 CC INJECTION          J2001      20.98
5049697   XYLOCAINE 5% OINTMENT                 J2001      59.30
5049705   XYLOCAINE 30 GRAMS GEL                J2001      69.65
5049713   XYLOCAINE 4% 50 CC GEL                J2001      80.17
5049721   XYLOCAINE 2% PF INJECTION             J2001      27.80
5049739   XYLOCAINE SPRAY 10% AEROSOL           J2001     129.00
5049747   XYLOCAINE VISCOUS 100 CC GEL          J2001     101.04
5049754   XYLOCAINE VISCOUS 20 CC GEL           J2001      17.39
5049762   XYLOCAINE WITH EPI 1% 30 CC INJECT    J2001      20.98
5049770   XYLOCAINE WITH EPI 2% 30CC INJECTIO   J2001      33.14
5049861   ZAROXOLYN 2.5 MG TABLET                           6.98
5049879   ZINC OXIDE 30 GRAMS OINTMENT                     20.98
5049895   ZINC SULFATE 220 CAPSULE                          6.98
5049911   ZOVIRAX 200 MG CAPSULE                            6.98
5049929   ZOVIRAX OINTMENT 5%                             222.96
5049937   ZYLOPRIM 100 MG TABLET                            6.98
5049945   ZYLOPRIM 300 MG TABLET                            6.98
5049978   KENALOG 40 MG/CC INJECTION                       38.37
5050000   UNIPHYL 400 MG TABLET                             6.98
5050018   PROVERA 2.5 MG TABLET                             6.98
5050026   FIORCET TABLET                                    6.98
5050042   MUTAMYCIN 5 MG INJECTION              J9280   1,073.05
5050059   INTAL INHALER AEROSOL                           202.20
5050083   NITRO BID 9MG CAPSULE                             6.98
5050125   TUMS TABLET                                       6.98
5050166   POTASSIUM ACETATE 2MEQ/CC 20ML INJ.              32.81
5050174   AMINOSYN 10% 1000CC INJECTION                   588.76
5050182   CATAPRESS PATCH .3MG TOPICAL                     76.57
5050208   INSULIN HUMALIN LENTE 100U/CC PERML   J1815       3.60
5050257   MYLICON DROPS SYRUP                              80.17
5050281   NEO-SYNEPHRINE 2.5% DROPS                        66.05
5050315   PROVENTIL 4 MG                                    6.98
5050349   CEFOTAN 1 GM POWDER                             129.00
5050356   ACTI_DOSE 50 GRAMS SUSPENSION                    38.37
5050372   CIPRO 500 MG TABLET                              55.92
5050380   PREDNISONE 1 MG TABLET                           6.98
5050398   RABIES GLOBLIN IMOGAM 10 CC          90375   2,797.32
5050414   BENGAY OINTMENT                                 24.47
5050430   ZOVIRAX 500MG INJECTION                        379.81
5050455   ZESTRIL 10 MG TABLET                             6.98
5050489   VEPESID 100 MG INJECTION             J9181   1,069.62
5050505   NITIOBID OINTMENT 2%                            17.39
5050547   AMINOSYN 8.5% INJECTION/DEX 50%                484.29
5050554   SYNTHROID 200 MCG INJECTION                    323.95
5050570   VANCOCIN 500MG INJECTION             J3370     275.33
5050588   LEUCOVORIN CALCIUM 100 MG/VILE INJ   J0640   1,783.62
5050604   NIZORAL CREAM 30 GM                            219.53
5050612   CORDARONE 200MG TABLET                          10.30
5050620   LIPOSYN II 20% -500CC                B4186     114.94
5050646   SODIUM ACCTATE 40MEG/20CC                       31.39
5050661   DEPAKOTE 250MG TABLET                            6.98
5050687   TAMBOCOR 100 MG TABLET                          10.30
5050695   TEGRETOL SUSPENSION 100MG/5CC                    6.98
5050711   ACETIC ACID                                      6.98
5050729   PRINIVIL 10 MG                                  10.30
5050760   PROZAC 20MG CAPSULE                             17.39
5050794   FIBERCON TABLETS                                 6.98
5050802   HYTRIN TABLET 5MG                                6.98
5050836   MICRONASE 2.5MG TABLET                           6.98
5050844   CEFOTAN 2 GRAM POWDER                          261.33
5050851   HYCOTUSS                                         6.98
5050885   HEPARIN LOK FLUSHES 100U/CC          J1642     101.04
5050893   DIGIBIND 40MG/CC                     Q2006   2,546.57
5050919   VANCOCIN 1GRAM INJECTION             J3370     379.81
5050935   CIPRO 250 MG TABLET                             45.34
5050950   BUPRENEX .3MG/CC                                59.30
5050976   CALCIUM CARBONATE TAB.10GR/648MG                 6.98
5050984   UNASYN 1.5 GRAMS (ADVANTAGE)         J0295      69.65
5051008   HESPAN 6% 500CC                                470.44
5051016   CETAPRED OPTH SUSPENSION                       149.77
5051040   CYTOTEC 200 MCG TABLET                          10.30
5051057   FUNGIZONE 50 MG INJECTION            J0285     459.76
5051099   TOBRADEX OPTH.SUSP 5 ML                        191.84
5051131   PANCREASE CAPSULE                               10.30
5051149   VANCOCIN 250 MG                      J3370      80.17
5051164   PEPCID 20MG/2CC INJECTION            J3490      94.18
5051172   DECADRON 10MG/1CC VIAL               J1100      31.39
5051180   EPOGEN 4000 UNITS/ML                 Q0136     696.78
5051214   LORTAB 7.5 MG                                    6.98
5051222   HYDREA 500 MG CAPSULES               J8999       6.98
5051248   METHOTREXATE 2.5MG TABLET            J8610      38.37
5051255   ESTRADERM 0.05                                  59.30
5051305   TOBRADEX OPHT.OINT.3.5 GM TUBE                  94.18
5051321   ROCEPHIN 2 GRAM INJECTION            J0696     557.43
5051339   PEPCID 20 MG                                     6.98
5051388   EULEXIN 125MG TABLET                            10.30
5051396   PEDIA PRODFEN 100MG/5CC                          6.98
5051412   MORPHINE SULFATE 30MG/30CC(PCA)       J2270     202.20
5051420   HALCION .125MG TABLET                             6.98
5051446   MORPHINE SULFATE 30 MG TABLET                    10.30
5051453   LUPRON DEPOT 7.5MG INJECTION          J9217   3,428.00
5051461   PROCARDIA XL 30MG                                10.30
5051503   VASOTEC IV 1.25MG/ML                             55.97
5051511   FORTAZ 1 GRAM                         J0713     215.98
5051537   PNEUMOVAX 1CC INJECTION               90732     121.86
5051545   EUCERIN CREAM                                    45.34
5051578   SUPRAX 400 MG TAB                                55.92
5051644   DIFLUCAN 50MG TAB                                48.67
5051651   AEROBID INHALER                                 271.74
5051669   HEMABATE 250MG INJ.                             247.32
5051677   TORADOL 30MG INJECTION                J1885      29.27
5051693   DIDRONEL 300MG/6CC INJECTION          J1436     383.30
5051735   BREVIBLOC 100MG/10CC INJECT.                    174.07
5051750   DIALOSE 100MG                                     6.98
5051784   CARDENE 30 MG CAPSULE                             6.98
5051818   IBUPROPHEN SUSPENSION 100MG/5ML                   0.50
5051834   BACTROBAN 2% OINTMENT                            97.56
5051842   ADENOCARD INJECTION                   J0150     195.27
5051867   CIPRO 750 MG TABLET                              62.84
5051875   TREXAN 50MG TABLET                               38.37
5051925   IFEX 1000                             J9208   1,156.54
5051933   LORTAB LIQUID                                     6.98
5051958   DIFLUCAN 100 MG TAB                              80.17
5051982   HYDROMORPHONE 1MG/ML PCA 50MG(50ML)   J1170      57.93
5051990   DIPRIVAN 10MG/ML 20CC VIAL            J3490     174.07
5052006   PAPAVINE 2MG/CC                       J2440      17.39
5052014   MIOCHOL OPHTHALMIC DROPS                        153.25
5052022   MORRHUATE SODIUM 50MG/CC                         17.39
5052030   ALFENTA 500MG/CC                                 66.33
5052097   K-DUR 10 10MEQ                                   14.01
5052121   MURI-LUBE 10CC                                   41.75
5052139   SUPRAX SUSPENSION                               446.14
5052170   RENOGRAFIN - 76 - #100CC                         80.17
5052188   ZOFRAN 2 MG/CC (ONDANSETRON)          J2405     121.86
5052196   STERILE WATER FOR INJ-100CC                      24.47
5052204   DEMEROL 100MG/CC                      J2175      17.39
5052212   TIMENTIN 3.1GM/100CC COMBINATION                215.98
5052220   VERSED 2MG/2CC                        J2250      69.65
5052253   BIAXIN 250MG TAB                                 17.39
5052287   MAGNISIUM SUL.40MG/STER WTR 1000CC    J3475      76.57
5052295   BIAXIN 500MG TABS                                38.37
5052303   NEUPOGEN 300MCG/ML                    J1440     989.34
5052311   TENORMIN 25MG TABLET                              6.98
5052329   TICLID 250MG TABLET                              17.39
5052337   ASTROMORPH 2MG/2ML                    J2275     121.86
5052345   ASTRAMORPH/PF 10MG/10ML               J2275      73.14
5052352   ASTRAMORPH/PF 2MG/2ML                 J2275      59.30
5052360   NEOSTIGMINE MS 1:1000 VIAL            J2710      32.16
5052378   QUELICIN 100MG/ML                     J0330      40.28
5052386   XYLOCAINE 2% JELLY                               69.65
5052394   TORADOL 60MG/2ML                      J1885     146.39
5052402   METOCLOPRAMIDE 5MG TABLET                         3.00
5052428   SENSORCAINE-MPF 30ML 0.25% STERILE               87.25
5052519   DIFLUCAN IV 200MG                     J1450     522.49
5052527   OPHTHAINE 0.5% 2ML OPHTH. SOLUTION               24.47
5052543   DIFLUCAN W/NS 100CC 200MG PRE-MIX     J1450     522.49
5052576   XYLOCAINE 2% JELLY                              121.86
5052584   NESACAINE 2% 30CC                                44.53
5052592   NESACAINE 3% 30CC                               103.50
5052600   MAZICON 0.5MG/5CC                               195.27
5052618   HURRICAINE SPRAY 2 OZ.                           91.45
5052626   KINEVAC                               J3490     226.67
5052667   CELESTONE 3MG/CC                      J0704      62.84
5052683   POLOCAINE-MPF 2%                                 34.93
5052691   PONTOCAINE 1%                                    34.93
5052709   SENSORCAINE, 0.25% MPF                          104.64
5052717   SENORCAINE-MPF 0.5% EPI STERILE PK              104.64
5052725   UNASYN 3.0 GRAMS                      J0295     156.85
5052733   XYLOCAINE .5% W/MPF                   J2001      69.65
5052758   ACHROMYCIN OINT. 3%                              87.25
5052766   OPTHANE 10 U/CC                                  20.98
5052782   DINOPROSTONE E2 GEL                             627.13
5052790   LOPID 600MG TABLET                               20.98
5052808   SANDOGLOBULIN / INJECTION             90281     870.91
5052816   SANDOSTATIN 50MCG/ML INJECTION        J2352      74.94
5052824   CEFIZOX - 2GM                         J0715     261.33
5052832   ACHROMYCIN OPHTH. OINT.                          73.14
5052840   ELOCON 0.1% CREAM                                78.48
5052865   NEUTRA-PHOS                                       6.98
5052899   ASTRAMORPH PF 10MG/10ML               J2275      73.14
5052915   SODIUM BICARBONATE 4.2 % 5ML/VIAL                34.93
5052949   RELAFEN 500 MG TABLETS                           10.30
5052964   METHOTREXATE 50MG/ML                  J9260      52.21
5052980   OCUFEN SOLUTION 0.03%                           100.12
5052998   LIDOCAINE 1% INJ. 5ML.                J2001       3.49
5053004   ACTIGALL 300MG CAPSULE                           17.39
5053012   PLASMA-LYTE 56% D5W                             129.00
5053020   MUCOSIL-10 30ML 10% SOLUTION          J7610      58.37
5053038   OCEAN NASAL MIST                                 17.00
5053061   0.9% SOD. CHLOR. IRRIGATION 1500 ML             129.00
5053079   VOLTAREN 25MG TABLET                              3.49
5053095   CARIZEM CD 120MG 1 CAPSULE                        8.83
5053129   ZAROXOLYN 5MG                                     5.34
5053137   GAMMAGARD IV 10GMS                    J1563   2,064.30
5053145   VASOTEC 2.5MG TABS.                               5.34
5053160   NEOSPORIN 1/32                                    3.49
5053178   CARDIZEM SR 60MG                                  5.78
5053194   CARDIZEM CD CAPSULE                              14.01
5053210   PHENOBARB ELIXIR. U.D. 5CC                       69.65
5053236   TORADOL 10MG TABLETS                              7.90
5053244   HABITROL                                         27.80
5053251   ADRENALIN CHLORIDE SOLU 1MG/ML        J0170       3.49
5053269   HEPATITIS B VACCINE(ENGERIX-B)20MG    90746     522.49
5053277   IBUPROPHEN (MOTRIN) 400MG TAB                     0.50
5053285   KCL 20MEQ/D5-.45NS 1000ML             J3480      76.57
5053301   SINEMET CR 50-200                                10.30
5053319   METROGEL - VAGINAL                              147.97
5053335   IBUPROPHEN (MOTRIN) 600MG TAB                     0.50
5053350   MEGACE 20MG                           J8999       6.98
5053384   MACROBID 100MG CAPSULES                          13.08
5053392   OVRAL PK. TAB.                                    6.98
5053400   IMITREX 6MG 0.5CC                     J3030     226.67
5053418   DURAGESIC 75 MG/HR PATCH                        130.58
5053442   COCCIDIODIN SPHERULIN                           229.94
5053459   BACITRACIN OINT. 0.5                              6.98
5053467   NICODERM 2MG/DAY                                 27.80
5053475   ISOPTIN SR 180MG                                  5.34
5053525   CYTOVENE                              J1570     252.77
5053533   DURAGESIC PATCH 25MCG/HR PATCH                   57.12
5053566   CIPRO 400MG PRE-MIX                             313.48
5053582   SENSORCAINE 0.25% MPF                           104.64
5053590   SENSORCAINE 0.5% MPF                            121.86
5053624   FLUZONE 5ML VIAL                      90659      75.59
5053632   ERYPED GRANULES                                  10.30
5053640   DIPTHERIA-TETANUS TOXOID PED DOSE     90702      27.80
5053665   POLIOVIRUS VACCINE                    90712     104.64
5053673   FUROSEMIDE 10MG/ML                    J1940       0.55
5053681   TESTOSTERONE CYPIONATE                J1070      90.58
5053731   CORTROSYN                             J0800      87.25
5053749   GLYNASE TABLET 3MG                                6.98
5053756   PARAPLATIN 150 MG                     J9045   1,567.86
5053814   ALUPENT SULFATE INHAL.                            6.98
5053848   BACITRACIN ZINC OINT FOIL PACK                    6.98
5053863   TOBRADEX OPTH DROPS 5CC                         191.84
5053871   PEN VEE K SUSPENSION 125 MG/100CC                17.39
5053889   BICILLIN CR 600,000 UNITS             J0530      41.75
5053897   LOVENOX                               J1650      87.25
5053905   ZOSYN 4.5 GRAMS                       J2543     139.41
5053913   BLINX                                            66.33
5053921   HYDROCORTISONE OINT 1%                           24.47
5053939   CORTOSPORIN OTIC SUSP                           163.72
5053954   TYLENOL #3 PACK OF 6 TABS                        52.21
5053988   MIVACRON                                        104.64
5054010   MAXITROL OPTH SUSPENSION                        160.39
5054028   CYCLOGYL OPTH DROP 1%                            99.52
5054036   DARVOCET-N-100 PACK OF 6 TABS                    52.21
5054044   GLYCERIN SUPPOSITORY-ADULT                        6.98
5054051   ALBUMIN -25%/100ML                    P9047     696.78
5054069   ALBUNIN 25% 100CC                     Q0157     836.08
5054077   XYLOCAINE MPF 1%                      J2001      17.39
5054085   ATROPINE SULFATE 20CC BOTTLE 0.4/CC   J0460      41.75
5054119   VICODIN PACK OF 6 TABS                           52.21
5054127   TETANUS-DIPTHERIA TOXOID-ADULT        90718      34.93
5054135   CARDIZEM INJECTABLE 25MG/1ML                  104.64
5054143   DOBUTAMINE 500MG PREMIX BAG           J1250   174.07
5054168   MYCOSTATIN TOPICAL CREAM 15 GM TUBE           101.04
5054176   TOBREX OPTH OINT 0.3%                         149.77
5054184   PILOCARPINE HCI DROP OPTH 2%                  104.64
5054192   VICODIN ES 1 1/2 TAB                           14.01
5054218   AMIDATE 40MG (2MG/CC)                         146.39
5054226   ZOVIRAX 800MG                                  27.80
5054234   FELBATOL 600 MG                                14.01
5054259   FLOUR-I-STRIP 9MG                               6.98
5054275   AMYL NITRATE                                   24.47
5054309   DEMADEX 20MG                                   10.30
5054317   SEREVENT 120 DS                               355.34
5054333   ZEMURON 10MG/CC VIAL                          310.16
5054341   BLEPH-10 OPTH DROP                            108.02
5054382   STADOL 1MG/CC INJECTION               J0595    64.31
5054390   SEREVENT 60 DS                                215.98
5054408   EPINEPHRINE NASAL 1:1000/TOPICAL               83.66
5054424   CETAMIDE OPTH OINT 10% TUBE 3.5 OZ            121.86
5054432   TAC-TETRACAINE/COCAINE/ADRENALIN              104.64
5054457   NEURONTIN 100MG TABLET                         10.30
5054473   RACEPINEPHRINE INHALATION                      73.14
5054515   BICILLIN CR 1,200,000                 J0540   125.40
5054523   COLUMBIA POWDER                                69.65
5054531   BETAPACE 80MG                                  17.39
5054549   NARCAN 1 MG INJECTION                          41.75
5054556   SEPTRA SUSPENSION                              10.30
5054564   CORTISPORIN OPTH DROPS                        139.41
5054580   SODIUM BICARB-PED 10CC SYRINGE 8.4%           156.85
5054598   BICILLIN CR 2,400,000 UNITS                   156.85
5054622   FENTANYL CITRATE 50MCG/2CC            J3010    17.39
5054648   EYE STREAM                                     87.25
5054663   ISOPTO CARPINE OPHT 0.25% DROPS               106.22
5054689   ZOFRAN 8MG TABLET                             213.26
5054697   HUMALOG 100U/ML PER UNIT              J1815     3.60
5054713   BECLOVENT INHAL COMP 42MCG 17 GRAM            261.33
5054721   VENTOLIN/PROVENTIL                            139.41
5054754   MMR VACCINE                           90707   282.31
5054788   EMLA 30 GRAM CREAM                            205.52
5054804   METHYLPREDNISOLONE 4MG TABLET                 142.63
5054812   CIPRO 200MG IV INJECTABLE 20CC                132.38
5054838   BECONASE AQ NASAL 0.042% SPRAY                282.31
5054846   EMLA 5 GRAM CREAM                              43.49
5054861   CHAR-FLO 50GM/240CC                            66.33
5054879   TORADOL 15MG INJECTABLE SYRINGES               69.65
5054895   PILOPINE HS OPHT GEL 5%/3.5GR                 191.84
5054929   CHAR-FLO 25GM/120ML                            34.93
5054937   DEMADEX 20MG/CC INJECTABLE                     31.39
5054952   ATIVAN 0.5 MG TABLET LORAZEPAM                  6.98
5054986   LOTENSIN 10MG TABLET                            6.98
5054994   LIDOCAINE HCL 4%/50CC BOTTLE          J2001    19.13
5055009   XYLOCAINE 2% JELLY/5CC TUBE                    55.92
5055025   CARDURA 1MG                                      10.30
5055058   SODIUM BICARB 8.4%/50CC BOTTLE                   69.65
5055074   VITAMIN-A 10MIL UNITS TABLET                      6.98
5055082   ULTRAM 50MG TABLET                               10.30
5055116   DEXTROSE 50%/50CC VIAL INJECTABLE                19.13
5055165   PROSCAR 5MG TABLET                               22.67
5055173   AZACTAM 2 GRAM INJECTABLE                       262.96
5055199   GUAIFENESIN TABLET 600MG                          6.98
5055223   CARAFE 1 GRAM SUSPENSION                         14.01
5055231   AZACTAM 500MG INJECTION                          69.65
5055264   HEPARIN 25,000 UNITS PREMIX BAG      J1644      104.64
5055298   OXACILLIN SODIUM 2GRAMS INJECTABLE               94.18
5055306   CERVIDIL 10MG                                 1,463.22
5055314   HYTRIN 1MG TABLET                                12.32
5055322   EPOETIN ALFA 10,000 UNITS            Q0136      740.27
5055348   IMDUR 60 MG                                      10.30
5055355   CLEOCIN 900MG INJECTABLE             J3490       50.58
5055363   DEPO-PROVERA 150MG                              320.46
5055413   MAGNESIUM SULF 50%/10CC VIAL                     15.64
5055421   NORVASEC 5MG TABLET                              10.30
5055439   BUFFERED ASPIRIN 325MG                            6.98
5055447   ZITHROMAX                                        22.67
5055462   MUTAMYCIN 20 MG                      J9280    3,641.74
5055470   CLAFORAN 500MG IV INJECTABLE                     54.01
5055488   MORPHINE SULFATE SR 15MG                         10.30
5055504   BIAXIN SUSPENSION 250MG/5CC                     358.88
5055546   RYTHMOL 150MG TABLET                             10.30
5055553   PRELONE SYRUP 15MG/5CC                           10.30
5055587   RABIES VACCINE                       90675    1,257.59
5055595   ZOSYN 3.37 GRAMS INJECTABLE                     130.58
5055611   VANCOCIN ORAL SOLUTION 1 GRAM                   418.02
5055629   AMOXICILLIN 250MG/PK 3 CAPS                      60.93
5055645   ZOFRAN 20CC BOTTLE                   J2405    2,029.36
5055652   NICODERM 14MG/PATCH                              33.14
5055678   EPINEPHRINE 1:1000 1MG/CC                        85.24
5055710   CATAPRES-TTS 2                                  111.51
5055736   SUPRANE 250CC BOTTLE                            794.23
5055769   ASACOL 400 MG TABLET                              8.83
5055777   CATAPRES-TTS 1                                   66.33
5055793   AMBIEN 5MG TABS                                  12.32
5055827   DEPAKOTE 125 MG CAPSULES                          6.98
5055843   BLEPH-10% OINTMENT                              106.22
5055892   BETOPTIC S OPHT 0.25% 10 CS                     304.66
5055942   STANFORD MOUTHWASH                                8.83
5055959   MAXIDEX 0.1% OPHT DROPS 15CC                    261.33
5055967   DEHYDRATED ALCOHOL 98%                           71.67
5055975   GLUCOPHAGE 500MG                                 34.93
5055991   ERYTHROMYCIN DELAYED RELEASE 250MG               60.93
5056007   ACTIVASE 100MG                       J2997   23,950.52
5056023   CORDARONE IV                                    599.28
5056031   EPOGEN 2000 U/ML                     Q0136      261.33
5056049   RETAVASE VIAL KIT                    J2993   16,115.05
5056056   KEFLEX 250MG CAPSULE                          60.93
5056064   MARCAINE 0.5% 10ML                            16.73
5056098   DURAGESIC TRANSDERM PATCH                    104.64
5056106   VOLTAREN OPTH DROP                           109.44
5056122   IOPIDINE 1% EYE DROPS                        104.64
5056130   GENOPTIC 0.3% OPHT DROP                      118.27
5056148   BACTRIUM DS (15X2) PK                         60.93
5056155   ATROVENT INHALATION                  J7644    17.39
5056197   ISOPTO CARPINE OPHT 1%/15CC                  106.22
5056205   BENADRYL 50MG/PK                              60.93
5056221   COREG 6.25MG TABLET                           12.32
5056247   TUBERSOL SKIN TEST 50 TEST                    34.93
5056262   FLEXERIL 10MG TAB/PK 3 TABS                   60.93
5056270   XYLOCAINE 0.5% HCI                   J2001    69.65
5056288   ARICEPT 5MG TABLET                            27.47
5056312   CEFIZOX 1GRAM                                 56.41
5056338   ZOLOFT 50MG TAB                               14.88
5056361   PRAVACHOL 10MG                                13.19
5056379   EPOGEN 10,000 UNITS                  Q0136   995.28
5056387   WELLBUTRIN 100 MG TABLET                       7.25
5056403   ALTACE 2.5MG TABLET                            8.34
5056411   VIBRAMYCIN 100 MG CAPSULE                     57.99
5056437   NEURONTIN 300MG CAPSULE                       10.03
5056452   NEUMEGA 5MG 1ML VIAL                 J2355   915.60
5056460   ZITROMAX 200MG/5M 30CC BOTTLE                182.63
5056478   CLARITIN-D TABLET                              8.83
5056528   POTASSIUM IV 20MEQ/100CC BAG                  18.37
5056544   XYLOCAINE MPF 20MG/ML W/EPI          J2001    11.72
5056551   DIPRIVAN 10MG/ML 100CC BOTTLE        J3490   501.07
5056569   TEGRETOL XR 100 MG TABLET                      6.65
5056577   PONTOCAINE NNN SOLUTION 2%                    73.03
5056585   ACCOLATE 20MG TABLET                          10.03
5056593   MORPHINE 50MG/ML/50CC VIAL                   205.52
5056601   PREVACID 15MG CAPSULE                         16.79
5056619   FLONASE 0.05%                                292.01
5056643   CYTOTEC 100MG TABLET                           8.34
5056650   PROZAC 10MG CAPSULE                           17.39
5056668   PAXIL 20MG TABLET                             16.73
5056676   LOVENOX PFS 60MG                             240.56
5056684   CARDURA 2 MG TABLET                            8.34
5056700   TAPAZOLE 10MG                                  8.34
5056718   CALCIUM CHLORIDE ABBOJECT                     66.44
5056726   HEPARIN 1000 USP UNITS/10CC VIAL     J1644    49.87
5056742   LOVENOX 100 MG INJECTION                     394.85
5056767   MORPHINE SULFATE SOLUTION 10MG/5ML             6.65
5056775   DOPAMINE HCI 400MG/5ML               Q4076    26.60
5056783   PEPCID IV PREMIXED                            66.44
5056791   PROVISC NR                                   257.78
5056817   ACCUZYME OINTMENT                            201.27
5056825   AUGMENTIN 875MG                               32.54
5056833   PHOSLO 667MG TABLET                            6.98
5056841   NIMBEX 20MG/10CC 2MG/CC                      117.61
5056858   OXYCONTIN 10MG                                 8.34
5056866   DEPACON INJECTION                             63.06
5056882   DEMEROL PCA 10MG/ML (50CC)           J2180   217.18
5056890   LIDOCAIN 1% 5CC VIAL                 J2001     6.65
5056916   MORPHINE SULFATE 15MG TABLET                   8.34
5056924   GENTAMICIN 80MG PRE-MIX BAG                   66.44
5056940   MORPHINE 50MG 1MG/ML                         217.18
5056957   XYLOCAINE 2% 2ML                     J2001     6.65
5056973   IMODIUM A-D SUSPENSION                        54.72
5056981   SODIUM BICARBONATE 4% (5ML) VIAL              19.95
5056999   ANZEMET 12.5MG AMPS 0.625                     33.14
5057005   COZAAR 50MG TABLET                            10.03
5057013   SYNTHROID 0.125 MG TABLET                      8.34
5057021   MEGASE ORAL SUSPENSION 40MG/ML                 9.10
5057039   TEGRETOL XR 200MG                              7.25
5057047   NIMOTOP 30MG CAPSULE                          41.53
5057054   CLIMARA 0.1MG PATCH                           12.59
5057062   MYSOLINE 250MG/5ML SUSPENSION                 15.81
5057070   MESNEX 200MG                         J9209    72.38
5057088   SANDOSTATIN 500MCG/ML INJECTION      J2352   785.51
5057096   ACULAR EYE DROP 0.5%                         232.66
5057104   ACETIC ACID 0.25% 1000CC BAG IRRIG            92.98
5057120   RETROVIR 10MG/ML SYRUP               99070    11.45
5057138   NORVASC 10MG TABLET                           20.33
5057146   LEVAQUIN 500MG TABLET                         46.38
5057153   LAVAQUIN 250MG TABLET                         39.95
5057161   LIPITOR 10MG TABLET                           13.19
5057179   ZITROMAX 500MG INJECTION                     156.09
5057187   NASACORT NASAL INHALER 10GRM                 244.11
5057195   NEURONTIN 400MG CAPSULE                       13.63
5057203   CLARITIN 10MG TABLET                          18.37
5057211   VOLMAX 4MG TABLET                              7.25
5057229   MAG-OX 400MG TABLET                            6.65
5057237   MAGDELAY 64MG TABLET                           6.65
5057245   NORVIR 80MG/ML SOL                            74.72
5057252   SULFAMETHOXAZOLE/TMP SS TAB                    6.05
5057278   TESTOSTERONE ENANTHATE 200MG/ML               80.50
5057286   CLONAZEPAM 1MG TABLET                          5.78
5057294   MERREM 1 GRAM                                290.16
5057302   SPECTAZOLE CREAM 1%                           89.05
5057310   SYNERCID 500MG VIAL                          864.04
5057351   LO/OVRAL                                     175.22
5057377   RESERPINE 0.1MG TABLET                         5.78
5057385   AMOXICILLIN SUSP 400MG/5ML                    11.99
5057393   ZOSYN 2.25 GRAM                               66.05
5057401   COUMADIN 1 MG. TABLET                          6.65
5057419   DIPROLENE 0.05% OINTMENT                     186.77
5057427   MORPHINE SR 100MG TABLET                      10.03
5057435   ZINACEF 750MG VIAL                            63.11
5057443   ROWASA 4 GRAM/60 ML/ENEMA                     66.05
5057476   LOVOXYL 50MCG TAB                              8.34
5057484   UNIPEN SODIUM                                 23.27
5057492   ZINACEF 1.5GM VIAL                            211.68
5057500   MORHINE SULFATE ORAL SOLUTION                  26.60
5057518   XYLOCAINE 4% VIAL                  J2001      261.33
5057534   LYMPHAZURIN 1%/5ML                            517.10
5057542   ORACIT SOLUTION                                10.03
5057559   CELEBREX 200MG. CAPSULE                        22.56
5057567   NEPHRON FA                                     10.03
5057591   FLOVENT 110 MCG                               292.99
5057625   ZOPRAN ODT 4MG TABLET                          74.72
5057633   TRUSOPT 2% EYE DROP                           134.94
5057641   CYTOXAN LYOPHILIZED                            57.50
5057666   SERZONE 50MG TABLET                            11.72
5057682   AGGRASTAT 25MG/500ML               J3246    5,026.97
5057716   IODINE STRONG TINCTURE ORAL SOLU               37.39
5057724   NASACORT A Q NASAL SPRAY                      255.61
5057732   CIPRO SUSPENSION 10 GRAM/100ML                580.70
5057757   ALPHAGAN 0.2 % EYE DROPS                      162.03
5057773   LEVOTHROID 50MCG TABLET                         5.78
5057781   MS CONTIN 60 MG TABLET                         10.03
5057799   CELEBREX 100 MG CAPSULE                        11.72
5057807   TAXOL 300MG/50ML VIAL                      10,372.88
5057823   METHADONE HCL 10MG                              7.25
5057831   PENTAM 300MG/1 VIAL                           123.55
5057856   AGGRASTAT 12.5 MG 1 VIAL 50 ML     J3246    2,684.55
5057872   ANCEF 20 GRAM BULK VIAL                       132.11
5057880   PROLIXIN 1 MG TABLET                            8.34
5057898   MYDFRIN 2.5% EYE DROPS                         81.10
5057914   TRIHEXYPHENIDYL HCL 2MG/5ML                     5.78
5057922   METHYLINE BLUE 1%                              51.78
5057930   DIFLUCAN 0.4G/200ML SALINE         J1450      486.19
5057971   ZOFRAN PRE MIX BAG 32MG            J2405    1,010.54
5058011   NEOMYCIN/POLYMYXIN HC EAR SUSP                106.22
5058052   CARAFETE 1GM/10ML                              13.19
5058169   CLEOCIN PHOSPHATE 600MG/D5W        J3490       38.20
5058219   ETHANOL 98% AMPULE                            242.25
5058284   XYLOCAINE 2% EPI 1:1000                        26.87
5058466   AMINOSYN 7% IV SOLUTION                        76.19
5058524   ALPHAGAN OPTHALMIC                            179.20
5058573   XYLOCAINE-MPF 2% VIAL              J2001       29.87
5058581   VERSED 2MG/1ML SYRUP                          112.11
5058623   LAMICTAL 25MG TABLET                           10.90
5058631   BUPIVACAINE 0.25%                              13.19
5058680   D5W/KCL 20MEQ L IV                             34.93
5058698   MARCAINE W/EPI 0.5%                            38.20
5058748   KCL 20MEQ IN D5W/NACL 0.9%                     34.93
5058755   BUPIVACAINE/EPI 0.5%                           16.73
5058763   AREDIA 90MG VIAL                   J2430    4,910.23
5058805   D5-1/4NS/KCL 20 MEQ/LIV SOL                    34.93
5058813   ASCORBIC ACID 500MG/ML                         36.41
5058821   NAROPIN 5MG/ML VIAL                J2795       78.97
5058862   D5W/KCL 40MEQ/LIV                              34.93
5058888   NORVASC 2.5MG TABLET                           10.63
5058920   KCL 40MEQ/NS 1000 ML                           34.93
5058946   PRINIVIL 2.5MG TABLET                           7.14
5058987   CARDURA 8MG. TABLET                             7.68
5059001   OXYIR 5MG CAPSULE                               7.14
5059043   BLENOXANE 30U VIAL                  J9040   1,803.84
5059100   EPOGEN 20000/ML VIAL                Q0136   1,591.73
5059167   NIACIN 250 MG CAPSULE                           6.65
5059175   AEROCHAMBER                                   134.89
5059233   LEVAQUIN 250MG/50ML D5W             J1956     136.03
5059282   CEFOTAN 1GM/50ML PIGGYBACK          J3490      73.03
5059290   LACTATED RINGERS INJ UP TO 1000ML   J7120      88.62
5059464   CORTEF 5MG TABLET                               6.65
5059662   EPIVIR 10MG/ML SOLUTION             99070      21.58
5059670   FOSAMAX 10MG TABLET                            13.19
5059720   CLOTRIM ANTIFUNGAL CREAM                       99.52
5059779   SENSORCAINE 0.5% VIAL                         166.01
5059787   FLUOTHANE LIQUID                              829.54
5059829   BACITRACIN 500U/GM OINTMENT                    49.87
5059837   PANCURONIUM 2MG/ML AMPUL                       16.73
5059886   BACITRACIN 500U/GM OINTMENT                    49.87
5059894   SENSORCAINE 0.25% VIAL                         33.14
5059944   VASOTEC I.V. 1.25MG/ML VIAL                     6.65
5059951   ACETYLCYSTEINE 20% VIAL                        33.14
5060009   BACITRACIN 500U/GM OINTMENT                    49.87
5060025   HEPARIN LOCK 100U/ML VIAL                      33.14
5060066   ATROPINE 0.1MG/ML ABBOJECT                     16.73
5060074   PANCURONIUM 1MG/ML VIAL                        33.14
5060124   WATER FOR INJECTION FLIPTOP                   331.74
5060132   SSD 1% CREAM                                1,327.08
5060140   LIDOCAINE 1%/EPI 1:100000           J2001     166.01
5060181   AUGMENTIN 125-31.25 SUSPENSION                248.85
5060199   SENSORCAINE 0.75% VIAL                         33.14
5060207   TALWIN 30MG/ML SYRINGE                          6.65
5060249   THROMBIN-JMI 10MU VIAL TOPICAL                365.86
5060264   CLEOCIN 900MG/D5W/GALAXY            J7060     166.01
5060306   APLISOL 5TU/0.1ML VIAL                          3.38
5060314   XYLOCAINE 1%/EPI 1:200000           J2001      99.52
5060322   HYDROMORPHONE 5MG/ML TUBEX                      3.38
5060371   XYLOCAINE 2%/EPI 1:200000           J2001      33.14
5060389   KENALOG-40 40MG/ML VIAL                        33.14
5060397   CALCIJEX (CALCITRIOL)               J0635     109.60
5060421   ATROPINE 0.1MG/ML SYRINGE                      16.73
5060439   BACITRACIN ZINC OINTMENT                       49.87
5060496   XYLOCAINE 1%/EPI 1:100000           J2001      66.44
5060504   LIDOCAINE 1%/EPI 1:100000           J2001      66.44
5060553   XYLOCAINE 1%/EPI 1:100000           J2001     166.01
5060561   EYE-STREAM SOLUTION                            99.52
5060603   ANCEF 1GM PLASTIC BAG                         166.01
5060611   XYLOCAINE 1%/EPI 1:100000           J2001      33.14
5060629   SENSORCAINE/EPI 0.25%/.0005                   166.01
5060660   ATROPINE 1MG/ML VIAL                           16.84
5060678   ZEMURON 10MG/ML VIAL                           33.14
5060686   MILK OF MAGNESIA W/CASCARA                 49.87
5060728   ADENOSCAN 3MG/ML VIAL             J0150    66.44
5060736   ATROPINE 0.4MG/.5ML AMPUL         J0460    25.56
5060744   GLYCOPYRROLATEL 0.2MG/ML VIAL     J7642    26.60
5060793   VERSED 5MG/ML VIAL                         16.73
5060843   TRIAMCINOLONE AT 40MG/ML VIAL              16.73
5060850   CEFAZOLIN 1GM PIGGYBACK VIAL               33.14
5060868   NASAL RELIEF 12 HOUR SPRAY                  3.60
5060900   ANCEF 1GM PIGGYBACK                        33.14
5060918   IPECAC SYRUP                               49.87
5060975   CILOXAN 0.3% EYE DROPS                     81.10
5061650   DILAN (PHENY) 100 MG CAP                    8.83
5061700   DILAUDID (HYD) 4MG AMP            J1170    35.21
5061726   DILAUDID 2MG AMP(HYDR)            J1170    40.33
5061734   DILAUDID 4MG TAB (HYDROM                    8.83
5061809   DIPROVAN (PROPOFOL)                       263.73
5061825   DIPTHERIA/TETANUS TOXDI                    10.63
5061866   DOBUTAMINE 250MG VL (DT)          J1250   409.51
5061874   DOCUSATE SOD 250MG CAP                      5.78
5061940   DONNATAL 5 ML                               8.83
5061965   DOPAMINE 400MG/10ML JECT          Q4076   299.15
5062021   DURAGESIC PATCHES 50MCG                    38.80
5062260   EPHEDRINE 50 MG/ML AMP                     40.33
5062278   EPI 1% 15ML                               156.25
5062294   EPINEPHERINE 1 MG/ML AMP                   40.33
5062377   ERY PED 200 MG/5 ML 100M                  101.70
5062385   ERY-C 250MG CAP                             8.83
5062393   ERYTHROCIN 500 MG VIAL                    115.76
5062401   ERYTHROMYCIN OINT 1GM                      17.00
5062542   FENES EXPECTORANT                           8.83
5062559   FEOSOL ELIXIR 5ML                           8.83
5062666   FLAGYL 500 MG TAB                          26.87
5062757   FOLIC ACID 5 MG/ML                          4.91
5062880   GARAMYCIN OINT 15GM (NT)                   62.84
5062898   GARAMYCIN OPHTH OINT                       83.22
5062906   GARAMYCIN OPHTH SOLN                       83.22
5062914   GARAMYCIN 10MG INJ (GEN           J1580    72.98
5062922   GARAMYCIN 20 MG INJ (GEN                   80.88
5062930   GARAMYCIN 40 MG INJ (GEN                   84.91
5062955   GELFOAM (SIZE 200)                        282.42
5062997   GLUCAGON 1MG VIAL                         198.00
5063011   GLYCERIN PEDI SUPP                         10.25
5063052   H-BIG 1ML                                 321.66
5063094   HEPARIN FLUSH 10/U/ML                      40.33
5063102   HEPARIN 20,000U                           105.24
5063110   ENGERIX-B 10MCG/0.5ML PEDIATRIC   90744    64.69
5063128   HEPLOCK 100U/ML 10ML                       35.21
5063193   HUMULIN N 1ML PER ML              J1815     3.60
5063201   HUMULIN R INSULIN PER ML          J1815     3.60
5063284   HYDROCORT 1% CREAM 30 GM                   32.54
5063292   HYDROCORTISONE 20MG TAB                     8.83
5063334   HYDROXYZINE 25MG TAB                        8.83
5063458   IMODIUM 2 MG CAP                              8.83
5063532   INSULIN HUMLIN N 10ML PER ML      J1815       3.60
5063540   INSULIN HUMULIN L 100U            J1815       3.60
5063557   INSULIN HUMULIN 70/30 PER ML      J1815       3.60
5063565   INSULIN HUMULIN 70/30 1M PER ML   J1815       3.60
5063573   INSULIN LENTE BEEF 10ML PER ML    J1815       3.60
5063607   INSULIN NPH (BEEF) 10ML                     153.53
5063615   INSULIN NPH PORK 10ML                       182.19
5063649   INSULIN REGULAR 10ML                        111.51
5063672   INSULIN HUMAN LENTE 1ML PER ML    J1815       3.60
5063714   INSULIN, NPH (BEEF) 1 ML                     40.33
5063912   ISUPREL 1:5000 5 ML AMP                     113.52
5063979   KANTREX 1 GM/3 ML VIAL                      209.44
5064001   KAYEXALATE (SPS) ENEMA                      145.30
5064019   KCL 10% (20MEQ/15ML)                         20.33
5064035   KEFLEX 250MG/5ML 5ML                         18.37
5064076   KETAMINE 50MG/ML 10ML                       153.64
5064092   KETORLAC                                     29.81
5064175   LACTINEX PKT                                  8.83
5064183   LACTULOSE 30 ML                              38.97
5064209   LANOXIN 0 05MG/ML ELX 5M                     10.25
5064217   LANOXIN 0 5 MG/2 ML AMP                      40.33
5064233   LASIX 40MG AMP (FUR)                         70.80
5064241   LASIX 80MG TAB (FUR)                         10.25
5064282   LEVOPHED 4 ML AMP                           104.26
5064290   LEVORPHANOL 2MG TAB                           8.83
5064506   LOVENOX 100MG PREFILLED SYRINGE   J1650     347.60
5064514   TAB-A-VITE TABLET                             5.78
5064548   AVITENE SHEET 35MMX35MM                     392.67
5064555   LOXITANE 5MG TABLET                          10.08
5064571   ZYPREXA 5MG TABLET                           38.59
5064589   PROAMATINE 5MG TABLET                        12.59
5064597   GENTAMICIN 100MG/NS 100ML         J1580      92.32
5064613   ACCUPRIL 10MG TABLET                          7.58
5064621   DIOVAN 80MG CAPSULE                          20.55
5064639   EFFEXOR 50MG TABLET                          20.55
5064647   ZOCOR 10MG TABLET                            20.55
5064654   PLENDIL 2.5MG TABLET SA                      20.55
5064688   XALATAN 0.005% EYE DROPS                    299.15
5064696   FLOVENT 110MCG INHALER                      382.54
5064704   OGEN 1.25 TABLET                              7.74
5064712   OXANDRIN 2.5MG TABLET                        25.12
5064738   CREON 10 CAPSULE EC                           7.14
5064746   TOPROL XL 50MG TABLET SA                      7.14
5064753   AVANDIA 4MG TABLET                           19.29
5064795   COMBIVENT INHALER                           278.88
5064803   CELEBREX 200MG CAPSULE                       11.23
5064811   SANDOSTATIN 0.1MG/ML, OCTROTIDE   J2352      90.96
5064829   OXYFAST 20MG/ML SOLUTION                      9.21
5064837   AREDIA 30MG VIAL                  J2430   1,536.36
5064845   LEVAQUIN 500MG/100ML D5W          J1956     280.68
5064852   IMMUNE GLOBULIN IV PER GRAM       J1563     480.15
5064860   VERSED 10MG/ML VIAL                   J2250    86.44
5064878   SINGULAIR 10MG TABLET                          18.37
5064886   PROCARDIA XL 60MG TABLET SA                    20.55
5064894   MIACALCIN 200U NASAL SPRAY                    216.96
5064902   CRIXIVAN 400MG CAPSULE                          8.61
5064936   ZYVOX 600MG/300ML IV SOLUTION         J2020   270.92
5064977   PREDNISONE 5MG/5ML SOL                J7506     4.14
5064985   HEPARIN NA 5000U/ML VIAL              J1644     5.78
5064993   ADVAIR 500/50 DISKUS                  J3490   485.88
5065008   LOVENOX 150MG PREFILLED SYRINGE       J1650   343.30
5065016   KETOROLAC 30MG/ML                     J1885    50.69
5065024   WELLBUTRIN 75MG TABLET                          3.92
5065032   DAKIN'S 0.25% SOLUTION                         23.71
5065057   LOTENSIN 5MG TABLET                             5.78
5065065   SEROQUEL 100MG TABLET                           9.92
5065073   LOVENOX 120MG PREFILLED SYRINGE       J1650   323.89
5065081   VITAMIN A 10000 IU SOFTGEL                      5.78
5065099   TRIAMTERENE/HCTZ 50/25 CAPSULE                  5.78
5065107   VIOKASE 8MG TABLET                              3.60
5065115   CYANOCOBALAMIN 100MCG TAB                       5.78
5065123   PULMICORT 0.5MG/2ML RESPULE                     9.27
5065131   NASONEX 50MCG, NASAL SPRAY                    230.75
5065149   RENAGEL 800MG TABLET                  99070     5.34
5065156   OYSTER CA W/VIT D 500/125 TAB                   3.60
5065164   OYSTER CA W/VIT D 250/125 TAB                   3.60
5065172   LANTUS 100U/ML VIAL                   J1815     3.60
5065180   LEVOTHYROXINE 500MCG VIAL                     129.06
5065198   SEROQUEL 100MG TABLET                           3.60
5065206   AMBISOME 50MG VIAL                    J0285   658.85
5065214   ADVAIR 250/50 DISKUS                  J3490   343.80
5065248   LACTINEX TABLET CHEWABLE                        3.60
5065255   ADALAT CC 60MG TABLET                           7.79
5065271   NEO-SYNEPHRINE 0.5% NASAL SPRAY                36.95
5065297   VENOFER 20MG/ML IRON SUCROSE          J1756   230.81
5065347   VITAMIN D 400IU TABLET                          3.60
5065354   PULMICORT 0.25/2ML RESPULE                      9.27
5065362   SINGULAIR 5MG TABLET CHEWABLE                   8.67
5065370   HEPARIN LOCK 10U/ML                   J1642     3.60
5065396   VITAMIN B COMPLEX W/C TAB                       3.60
5065404   OXYCONTIN 80MG SA TABLET                       31.34
5066857   SANDOSTATIN 100MCG/ML INJECTION       J2352   149.82
5075783   CILOXAN 0.3% EYE DROP                         100.50
5075791   REMERON 15 MG (UNIT DOSE)                      14.55
5075809   FLOXIN 400MG TABLET NDC#00062154201            32.21
5075817   RENAGEL 400 MG TABLET                           5.94
5075825   WELLBUTRIN SR 150 MG TABLET                    10.30
5075833   TIMOPTIC XE 0.5% OPHTH SOLN                   176.74
5075874   MYCOBUTIN 150 MG CAPSULE                       32.21
5075908   PROCTOFOAM0-HC 1% NDC#00091069010             236.75
5075916   PREVACID 30MG CAPSULE #00300304611             17.17
5075924   NEOMYCIN/POLYMYCIN B GRAMICIDIN OPH           146.66
5075932   ZYPREXA 2.5MG TAB #00002411233                 29.70
5075940   FLOMAX 0.4MG CAPSULE #00897005801                 10.30
5075957   PEPCID 400MG/50ML SUSPENSION                     568.87
5075965   EFFEXOR 75 MG TAB #00008070402                     9.32
5075973   EFFEXOR 37.5 MG TAB                                8.50
5075981   AMOXAPINE 25 MG TAB #00364243201                   5.94
5075999   EFFEXOR XR 150MG CAP #00008083603                 16.84
5076005   ACYCLOVIR SUSPENSION 200MG/5ML                     6.76
5076013   ROBINUL 1MG TABLET                                 6.98
5076021   TNKASE 50MG KIT NDC#50242003861       J3100   15,233.30
5076039   SYNTHROID 88MCG TABLET                             5.94
5076054   SUMYCIN 125MG.5ML ORAL SUSPENSION                  5.94
5076062   LEVAQUIN 750MG/150ML IVPB             J1956      352.51
5076070   COREG 25MG TABLET                                 10.74
5076088   PRAVACHOL 20MG TABLET                             10.74
5076096   PATANOL 0.1% OPHTH DROPS 5ML                     345.91
5076104   QUININE SULFATE 260MG TABLET                       5.94
5076112   AMBIEN 10MG TABLET                                15.91
5076120   RISPERDAL 0.5MG TABLET                            17.11
5076138   STREPTASE 250000 UNITS/VIAL           J2995      704.19
5076146   NEORAL 100MG CAPSULE                              33.79
5076153   SODIUM PHOSPAGE INJ #03323017015                  14.55
5076161   REVEX 1.1MG/ML 2ML AMP                           132.71
5076179   REMICADE 10OMG VIAL INFLIXIMAB/10MG   J1745    3,687.36
5076187   LOVENOX 80MG/0.8ML ENOXAPARIN/10MG    J1650      271.30
5076195   FLOXIN 0.3% OTIC SOLUTION                        210.32
5076203   COMTAN 200MG TABLET                               10.79
5076211   MVI-12 VIAL NDC#00186119941           J3490       26.49
5076229   LEVAQUIN 750MG TABLET                             53.96
5076237   DIFLUCAN 40MG/ML SUSPENSION                      645.12
5076245   DEPAKOTE ER 500MG                                  7.36
5076260   PLAVIX 75MG TABLET                                14.39
5076278   TEARS NATURALE FREE 0.03 OZ VIAL                   3.98
5076294   METFORMIN HCL 850MG TABLET                         5.12
5076302   FLOVENT 22OMCG INHALER                           402.59
5076328   SELENIUM 40MCG/ML PER ML                           3.60
5076336   NADOLOL 40MG TABLET                                4.52
5076351   LUMINAL 60MG/ML INJECTION             J2560       12.81
5076369   GABAPENTIN 250MG/5ML SUSPENSION                    4.20
5076377   LAMICTAL 100MG TABLET                             11.83
5076419   NICOTINE 7MG/24HR PATCH                           15.21
5076435   THIORIDAZINE 25MG TABLET                           3.60
5076443   OXYBUTYNIN XL 5MG SA TABLET                        3.60
5076450   ACTIDOSE AQUA 50GM 240ML LQD                      49.32
5076468   SENNOSIDE/DOCUSATE SODIUM TABLET                   3.60
5076476   METHOTREXATE 2.5MG TABLET                         13.41
5076484   HUMALOG MIX 75/25                     J1815        3.60
5076492   DEPAKOTE ER 250MG SA TAB                           4.31
5076518   TUSSIONEX PENNKINETIC SUSPENSION                   7.58
5076567   NATRICOR 1.5MG VIAL                            1,607.42
5076575   TOPROL XL 50MG SA TABLET                           3.60
5076591   TOBRAMYCIN 10MG/ML VIAL               J3260        7.19
5076609   ADVAIR 100/50 DISKUS 28UNITS          J3490      278.60
5076617   HUMALOG 100U/ML                       J1815       3.27
5076641   ZOCOR 20MG TABLET                                17.88
5076658   SEREVENT DISKUS 50MCG                           191.24
5076666   MAGNESIUM SULFATE 4% IV SOLUTION      J3475      53.25
5076674   VFEND 200MG TABLET VORICONAZOLE                 107.07
5076690   KCL 30MEQ/D5-1/2NS 1000ML             J3480      47.00
5076724   PENICILLIN GK 2.5MMU/NS 50ML          J2540      59.95
5076740   MAGNESIUM SULFATE 1GM D5W 100ML       J3475      22.52
5076831   OXALIPLATIN 100MG VL PWDR ELOXATIN    J9263   9,824.60
5100003   IV THERAPY                                         -
5104617   PHASE I RECOVERY 1ST 30 MINUTES                 407.28
5104872   PHASE I RECOVERY ADD 15 MINUTES                 203.72
5110051   DEXTRAN 6%W/V CHLOR.SAL.0.9%150504              368.58
5110101   DEXT.2 1/2%1/2 SAL.#7940-09#1509-05             148.29
5110200   DEXT.5% LACT.RINGERS #1529-03                   148.29
5110234   D5%W-50CC (PARTIAL FILL)7923-13                 148.29
5110242   DEXT.5% WATER IV SOLUTION                        66.05
5110267   NTG 100MG/D5W 250 CC                            108.13
5110275   KCL 40MEG/D5 45NS 1000CC              J3480     108.13
5110283   KCL 20MEG/D5-45NS 1000CC              J3480     108.13
5110291   KCL 20MEG/NS 500CC                    J3480     108.13
5110309   DEXT. 10% WATER #1530-03                        148.29
5110317   NOR SAL 0.9% 100CC (7984-13-14)       J7050     148.29
5110408   DEXT. 50% #1536-03                              148.29
5110556   LMD 10% M/V SAL.0.9% #1556-04 500ML             617.21
5110564   SOLU,LMD 10%DEX 5% 500 ML                       617.21
5110655   MANNITOL,I.V.20% #1563-04                       368.58
5110754   NOR.SALINE 0.9% #1583-02                        148.29
5110804   NOR.SAL.0.9%PART.FILL #7984-23        J7030     148.29
5110853   SOD.CHLORIDE 0.45% #7985-09 500ML     J7040      65.95
5110861   SOLU,0.45% SOD/CHLOR 1000 ML          J7030     148.29
5110903   SOD.CHLORIDE 5% HYPERTONIC #158603    J7040     333.16
5111000   AMINOSYN 3.5% M #4154-05                        368.58
5111117   LIPOSYN 10% FAT EMULSION 500ML                  492.63
5111125   SOLU,LIPSOYN II 20% 500ML                       492.63
5111257   SOLU, IRRIGATION NS 1500ML            J7040     148.29
5111307   STR. WATER IRRIG. USP                            49.49
5111315   DEX.5% THERMO JECT KIT (1082-51)      J7060     124.21
5111356   DEX.5% WATER #7922-02                 J7060     148.29
5111380   DEX 5% - 250CC #1522-02               J7060     148.29
5111406   DEX. 5%WATER #7922-03                 J7060     148.29
5111422   D5W-500CC GLASS BOTTLE #1522-03       J7060     148.29
5111455   DEX. 5% WATER #7922-09                J7060     148.29
5111554   DEX.5%1/4 STR.SALINE #7924-09         J7042     148.29
5111653   DEX.5% 1/2 STRENGTH SALINE #7926-09   J7042     148.29
5111703   DEX. 5% LACT. RINGERS #7929-03                  148.29
5111752   DEX. 5% LACT. RINGERS #7929-09                  148.29
5111802   DEX. 5% SAL.0.9 #7941-03              J7042     148.29
5111851   DEX. 5% SAL.0.9 #7941-09              J7042     148.29
5111901   LAC. RINGERS INJ. USP #7953-03        J7120     148.29
5111950   LACT. RINGERS INJ. USP #7953-09       J7120     148.29
5112057   SOLU.IRRIG SOD/CHLOR 1500ML           J7040     148.29
5112107   NOR. R D5-W #7968-09                  J7060       148.29
5112115   SOLU, IRRIG NS 2000ML                 J7040       148.29
5112123   GLYCINE IRRIG 1.5% #7974-08                       148.29
5112131   STER.WATER IRRIG. #7973-08                        148.29
5112156   SOD.CHLOR.INJ. USP 0.9% #7983-03      J7030       148.29
5112164   HYSKON (DEXTRAN 70) 250 ML                        600.81
5112172   HEPARINIZED PRESS BAGS 1000U INJ      J1644       124.21
5112180   DOPAMINE 800MG/D5W 250CC INJ          Q4076       392.73
5112206   SOD.CHLOR.INJ. USP 0.9% #7983-09      J7030       148.29
5112214   SOLU,0.9% SOD/CHLOR 1000ML            J7030       148.29
5112255   CONTAINER, EMPTY EVAC.#1614-05                    148.29
5112503   SOD.CHLOR 250 CC IRRIG.6138-02        J7040        51.78
5112602   STR. WATER IRRIGATION 250CC 613902                148.29
5130166   AMINOSYN II 15%IV 500ML#00074712207               202.79
5130174   D5LR-KCL 20MEQ/L IV 1000ML            J3480       169.28
5130182   D5LR-KCL 40MEQ/L IV 1000ML            J3480       169.28
5130190   KCL 40MEQ IN D5W/NACL 0.9% 1000ML     J3480       169.28
5400015   IPPB OR HHN INITIAL                   94640       106.17
5400106   O2 AND HUMIDIFIER INITIAL                         145.41
5400155   CPAP/BIPAP                            94660       204.32
5400205   VOL. VENTILATOR INITIAL               94656       545.98
5400213   VOLUME VENTILATOR /HR                 94657        98.26
5400270   AIRFLOW RESISTANCE (WEANING)          94360       181.76
5400312   INCENTIVE SPIROMETRY TX               94010       116.79
5400338   POSTURAL DRAINAGE-PERC-VIB INITIAL    94667       180.61
5400445   AEROSOL,USN OR OXYHOOD DSC                         78.48
5400478   HHN, AEROSL,OR USN RX                 94640       107.37
5400528   MIST TENT PER HR                      94665        66.87
5400635   POSTURAL DRAINAGE PERC-VIB SUBSEQ     94668        78.48
5400718   RESPIRATORY CONSULT                               251.30
5400726   RESPIRATORY TX EVAL F/UP IP ONLY                  145.41
5400734   PATIENT EDUCATION & TRAINING                      145.41
5400908   CARDIOPULMONARY RESPIRATION           92950       282.91
5401005   CHARGE REVIEW                                        -
5547419   DIALYSIS ACUTE                        90935     3,473.56
5547427   DIALYSIS ACUTE ADD 1/2 HOUR           90935       415.02
5547443   DRY RUN (INCOMPLETE) NO CHARGE                       -
5610001   PT EVALUATION                         97001GP     240.89
5610019   PT RE-EVALUATION                      97002GP     108.73
5610027   TRACTION, MECHANICAL                  97012GP      40.49
5610035   VASOPNEUMATIC, DEVICES                97016GP      40.49
5610043   PARAFFIN BATH                         97018GP      18.20
5610050   WHIRLPOOL (WET OR DRY)                97022GP      40.71
5610068   ELECTRICAL STIMULATION, MANUAL        97032GP      44.64
5610076   IONTOPHORESIS                         97033GP      55.86
5610084   ULTRASOUND                            97035GP      33.35
5610092   THERAPEUTIC EXERCISE                  97110GP      76.68
5610118   NEUROMUSCULAR RE-EDUCATION            97112GP      79.05
5610126   GAIT TRAINING                         97116GP      67.80
5610134   MANUAL TECHNIQUES                     97140GP      72.89
5610142   GROUP THERAPEUTIC EXERCISE            97150GP      50.52
5610159   ORTHOTIC FITTING                      97504GP      77.72
5610167   PROSTHETIC TRAINING                   97520GP    75.94
5610175   SELF CARE, ADL TRAINING               97535GP    84.24
5610183   COMMUNITY/WORK REINTEGRATION          97537GP    74.14
5610191   WHEELCHAIR MANAGEMENT                 97542GP    76.19
5610217   CHECKOUT ORTHO/PROSTHETIC             97703GP    71.18
5610225   ELECTRO STIMULATION NOT WOUND         G0283GP    35.51
5610233   W UNATTENDED ELECTRO STIMULATION      97014      35.51
5610241   W THERAPEUTIC EXERCISE (WC/MCAL)      97110      76.68
5610258   W ELECTRO STIMULATION, MANUAL         97118      44.64
5610266   W IONTOPHORESIS                       97120      55.86
5610274   W ULTRASOUND                          97128      33.35
5610282   W WOUND DRESSING CARE                 97139     114.83
5610290   W THER EXERCISE ADDNL 15MIN WC/MCAL   97145      49.05
5610308   W STM/MYO RELEASE                     97250      72.89
5610316   W ORTHOTIC TRAINING                   97500      77.72
5610324   W ORTHOTIC TRAINING ADDNL 15 MIN      97501      49.05
5610332   W PROSTHETIC TRAINING                 97520      75.94
5610340   W PROSTHETIC TRAINING ADDNL 15 MIN    97521      49.05
5610357   W JOINT MOBILIZATION                  97616      72.89
5610365   W TAPING                              97618      30.52
5610373   W INTERMEDIATE EVALUATION, NEW        98772     108.73
5610381   W COMPREHENSIVE EVALUATION, NEW       98774     240.89
5610399   W RE-EVALUATION, ESTABLISHED          98776      81.75
5610407   W IONTOPHORESIS PACK                  99070      19.08
5610415   W SHO/KNEE TAPING KIT                 99070      17.00
5610423   W ELECTRODES (4 PACK)                 99070       6.54
5610431   W WOUND DEBRIEDMENT                   11000     114.83
5610449   W OTHRO/PROTHO CHECK OUT              97700      71.18
5620000   PT EVALUATION                         97001GP   240.89
5620018   PT RE-EVALUATION                      97002GP   108.73
5620026   TRACTION, MECHANICAL                  97012GP    40.49
5620034   VASOPNEUMATIC, DEVICES                97016GP    40.49
5620042   PARAFFIN BATH                         97018GP    18.20
5620059   WHIRLPOOL (WET OR DRY)                97022GP    40.71
5620067   ELECTRICAL STIMULATION, MANUAL        97032GP    44.64
5620075   IONTOPHORESIS                         97033GP    55.86
5620083   ULTRASOUND                            97035GP    33.35
5620091   THERAPEUTIC EXERCISE                  97110GP    76.68
5620109   NEUROMUSCULAR RE-EDUCATION            97112GP    79.05
5620117   GAIT TRAINING                         97116GP    67.80
5620125   MANUAL TECHNIQUES                     97140GP    72.89
5620133   GROUP THERAPEUTIC EXERCISE            97150GP    50.52
5620166   SELF CARE, ADL TRAINING               94535GP    84.24
5620174   COMMUNITY/WORK REINTEGRATION          97537GP    74.14
5620208   CHECKOUT ORTHO/PROSTHETIC             97703GP    71.18
5620216   ELECTRO STIMULATION NOT WOUND         G0283GP    35.51
5620224   W UNATTENDED ELECTRO STIMULATION      97014      35.51
5620232   W THERAPEUTIC EXERCISE                97110      76.68
5620240   W ELECTRO STIMULATION, MANUAL         97118      44.64
5620257   W IONTOPHORESIS                       97120      55.86
5620265   W ULTRASOUND                          97128      33.35
5620273   W WOUND DRESSING CARE                 97139     114.83
5620281   W THERAPUTIC EXERCISE ADDL 15 MIN    97145      49.05
5620299   W STM/MYO RELEASE                    97250      72.89
5620307   W ORTHOTIC TRAINING                  97500      77.72
5620315   W ORTHOTIC TRAINING ADDNL 15 MIN     97501      49.05
5620323   W PROSTHETIC TRAINING                97520      76.27
5620331   W PROSTHETIC TRAINING ADDNL 15 MIN   97521      49.05
5620349   W JOINT MOBILIZATION                 97616      72.89
5620356   W TAPING                             97618      30.52
5620364   W INTERMEDIATE EVALUATION, NEW       98772     108.73
5620372   W COMPREHENSIVE EVALUATION, NEW      98774     240.89
5620380   W RE-EVALUATION, ESTABLISHED         98776      81.75
5620398   W IONTOPHORESIS PACK                 99070      19.08
5620406   W SHO/KNEE TAPING KIT                99070      17.00
5620414   W ELECTRODES (4 PACK)                99070       6.54
5620422   W WOUND DEBRIEDMENT                  11000     114.83
5620430   W ORTHO/PROTHO CHECK OUT             97700      71.18
5630009   OT EVALUATION                        97003G0   240.89
5630017   OT RE-EVALUATION                     97004GO   108.73
5630025   TRACTION, MECHANICAL                 97012GO    40.49
5630033   VASOPNEUMATIC, DEVICES               97016GO    40.49
5630041   PARAFFIN BATH                        97018GO    18.20
5630058   WHIRLPOOL (WET OR DRY)               97022GO    40.71
5630066   ELECTRICAL STIMULATION, MANUAL       97032GO    44.64
5630074   IONTOPHORESIS                        97033GO    55.86
5630082   ULTRASOUND                           97035GO    33.35
5630090   THERAPEUTIC EXERCISE                 97110GO    76.68
5630108   NEUROMUSCULAR RE-EDUCATION           97112GO    79.05
5630116   GAIT TRAINING                        97116GO    67.80
5630124   MANUAL TECHNIQUES                    97140GO    72.89
5630132   GROUP THERAPEUTIC EXERCISE           97150GO    50.52
5630140   ORTHOTIC FITTING                     97504GO    77.72
5630157   PROSTHETIC TRAINING                  97520GO    75.94
5630165   SELF CARE, ADL TRAINING              97535GO    84.24
5630173   COMMUNITY/WORK REINTEGRATION         97537GO    74.14
5630181   WHEELCHAIR MANAGEMENT                97542GO    76.19
5630207   CHECKOUT ORTHO/PROTHETIC             97703GO    71.18
5630215   ELECTRO STIMULATION NOT WOUND        G0283GO    35.51
5630223   W UNATTENDED ELECTRO STIMULATION     97014      35.51
5630231   W THERAPEUTIC EXERCISE               97110      76.68
5630249   W ELECTRO STIMULATION, MA            97118      44.64
5630256   W IONTOPHORESIS                      97120      55.86
5630264   W ULTRASOUND                         97128      33.35
5630272   W WOUND DRESSING CARE                97139     114.83
5630280   W THERAPUTIC EXERCISE ADDL 15 MIN    97145      49.05
5630298   W STM/MYO RELEASE                    97250      72.89
5630306   W ORTHOTIC TRAINING                  97500      77.72
5630314   W ORTHOTIC TRAINING ADDNL 15 MIN     97501      49.05
5630322   W PROSTHETIC TRAINING                97520      75.94
5630330   W PROSTHETIC TRAINING ADDNL 15 MIN   97521      49.05
5630348   W JOINT MOBILIZATION                 97616      72.89
5630355   W TAPING                             97618      30.52
5630363   W INTERMEDIATE EVALUATION, NEW       98772     108.73
5630371   W COMPREHENSIVE EVALUATION, NEW   98774     240.89
5630389   W RE-EVALUATION, ESTABLISHED      98776      81.75
5630397   W IONTOPHORESIS PACK              99070      19.08
5630405   W SHO/KNEE TAPING KIT             99070      17.00
5630413   W ELECTRODES (4 PACK)             99070       6.54
5630421   W WOUND DEBRIENDMENT              11000     114.83
5630439   W ORTHO/PROTHO CHECK OUT          97700      71.18
5640008   SPEECH EVALUATION                 92506GN   238.49
5640016   SPEECH TREATMENT                  92507GN   197.94
5640024   SWALLOWING TREATMENT              92526GN   206.45
5640032   SWALLOW EVALUATION                92610GN   108.40
5640040   MOTION FLUOROSCOPY/SWALLOW        92611GN   117.83
5640057   ASSESSMENT OF APHASIA             96105GN   200.89
5647847   CMC THUMB SPLINT, LEATHE                    105.24
5647862   COBAN, 2              "                       9.16
5647953   CYLIND FOAM, LARGE.                           6.10
5647961   CYLIND FOAM, MEDIUM.                          4.69
5647979   CYLIND. FOAM, SMALL                           3.05
5647995   DIGI SLEEVE                                  15.31
5648076   DYN MP FLEX, SPLINT                         121.86
5648118   DYN PIP/DIP FLEX,SPLINT                      76.08
5648126   DYN SUPINATION, SPLINT                      289.34
5648134   DYN THUMB FLEX, SPLINT                       79.24
5648142   DYN WRIST EXT FLEX SPLIN                     91.34
5648175   GLOVE, EDEMA                      E1399      26.98
5648191   ELBOW HINGE SPLINT                          348.69
5648217   ELBOW SUPPORT PAD                            31.99
5648340   SPRING EXT. FINGER                L3948      35.97
5648365   FINGER CRUTCH                                18.31
5648399   FINGER EXT TUBE                   L3948      39.57
5648456   GO WORK CONDITION ADD 1H          97545GP   272.94
5648464   GO WORK CONDITION INT 2H          97545GP   608.98
5648472   DRES/DBRD SM 15                   11040GP   344.71
5648498   DRS/DEBRIDE PART 30               11041GP   402.16
5648506   GP ED OF FAM/PATEINT (15          99078GP   100.55
5648514   GP ELECT STIMPOINT (15)           97032GP   289.34
5648522   GP ELECT.STIM.(UNATTENDE          97014GP   137.01
5648530   GP FUNC ADL TRAIN (15)            97535GP   129.33
5648548   GP GAIT TRAINING (15)             97116GP   129.33
5648555   GP IONTOPHORESIS                  97033GP   203.94
5648563   GP KNEE ORTHO DEROTATION          97033GP      -
5648571   GP KNEE ORTHO W/COND              L1815GP      -
5648597   GP KNEE ORTHOSIS STAYS            L1800GP      -
5648605   GP MANUAL THERAPY TECH 1          97140GP   129.33
5648621   GP MECH.TRACT.C/S-L/S 15          97012GP   152.27
5648639   GP NEUROMUSCUL RE-ED(15           97112GP   143.66
5648647   GP ORTHOTIC FITTING 15            97504GP   129.33
5648662   GP PHYSICAL THERAPY EVAL          97001GP   315.99
5648670   GP PHYSICAL THERAPY RE-E          97002GP   186.66
5648688   GP PROSTHETIC TRAIN 15            97520GP   272.94
5648696   GP THER EX (15 MIN)               97110GP   129.33
5648704   GP THERAPEUTIC ACTIV DIR          97530GP   172.27
5648712   GP TNS SET-UP               97032GP   182.74
5648720   GP U S (15)                 97035GP    86.27
5648738   GP WHEELCHAIR MGMT TRAIN    97542GP   129.33
5648746   GP WHIRLPOOL LG             97022GP   350.16
5648753   GP WHIRLPOOL SM             97022GP   289.34
5648761   H-SPLINT                               91.34
5648787   HANDHELPER, ERGONOMIC                  40.98
5648795   HOME EXEC PROG 15MIN        97535     216.31
5648829   HP/CP                       97010      71.89
5648878   KERLIX, SMALL                           9.16
5648886   KLEINERT, SPLINT                      152.27
5648910   MICROFOAM TAPE                         10.74
5648936   MOD.SAFETY PIN SPLINT                  52.48
5648944   MP BLOCK, SPLINT                       60.93
5648951   MP EXT OUTRIG UNIT SPLIN              315.23
5648985   T-TERFACE                               7.36
5649017   O.T. SPECIAL ORDER                       -
5649041   OPPOCISOR                              38.15
5649116   OTOFORM, LARGE                         45.78
5649132   OTOFORM, SMALL                         21.20
5649140   P.I.P.E EXTENSION,SPLIN               132.38
5649157   PHOENIX WR. UNIT/SPLINT               225.47
5649199   POSTURE ANA.@ REP. 30 MI    97750     289.34
5649207   POSTURE ANA.@ REPORT 15M    97750     198.00
5649249   RADIAL GUTTER, SPLINT                  76.08
5649256   ROL WR HINGE/SPLINT                   364.01
5649272   ROLYAN UD, SPLINT                     103.55
5649298   SHOULDER PULLEY             A9300      62.95
5649322   SPENCO 2ND SKIN                         3.05
5649348   SPLINT,CIRCUM,WRIST,                  121.86
5649355   SPLINT, CMC                            60.93
5649371   STAT.PROG.ATTACH/ EACH                 68.13
5649439   THERABAND                              14.39
5649447   THERAPUTTY, 4 OUNCES                   23.00
5649496   THUMBSCISOR                            38.15
5649520   ULN, GUTTER WRIST SPLINT               76.08
5649538   TUBITON                                 6.10
5649546   W-ADD PROC. OF 15 MIN       97110GP   129.33
5649553   W-ADD TIME & TECH 15 MI     97110GP   106.66
5649611   W-EST,PATIENT INTER EVAL    98776     186.66
5649645   W-FUNCT,ADL TRAIN (30)      97540     258.55
5649652   W-FUNCT,ADL TRAIN ADD 15    97541     129.33
5649660   W-HOME EXER PROG WRITTEN    97612     100.55
5649678   W-INIT EVAL COMPREHENSIVE   98774     359.16
5649710   W-IONTOPHORSIS              97120     203.94
5649728   W-KINETIC ROM/STREN 30      97530     258.55
5649736   W-KINETIC ACT. ADD 15       97531     129.33
5649777   W-ULTRASOUND                97128      86.27
5649793   WEB SPACER,SPLINT                      30.41
5649850   WRIST SPLINT                           76.08
5649942   COMBO US/STIM GP            97035GP   143.88
5649983   GROUP THERAPY EX GP         97110GP   269.78
5650015   MISC SUPPLIES                                   -
5650023   SWISS BALL                         A9300      53.96
5650049   CERVICAL ROLL                      E0943      26.98
5650056   MATERNITY SUPPORT                  L0500      62.95
5650064   LUMBAR ROLL                        L0500      35.97
5650080   PIP FLEXION STATIC                 L3948      35.97
5650098   ELBOW, TENNIS BRACE                L3700      35.97
5650106   MASSAGER, MINI                     E1399      44.96
5650114   WALKER                             E0143     143.88
5650122   AFO                                L1930      44.96
5650130   ANKLE BRACE, AIR CAST              L1906      89.93
5650148   HEEL CUSHION/LIFT                  L3332      35.97
5650155   ARM, SLING                         L3670      21.58
5650163   CANE, QUAD                         E0105      62.95
5650171   TRACTION, DOOR                     E0943      44.96
5672126   CRUTCHES                                      44.74
5672142   PHYSICAL THERAPY OTHER                          -
5672282   CERVICAL PILLOW                               50.52
5672290   GAIT TRAINING MIN.                 97116      57.66
5672316   CPM SET-UP                         97039GP   377.14
5672415   SPEECH DYS/BEDSIDE EVAL 1 HOUR     92525GN   383.79
5672423   SPEECH DYSPHAGIA/VIDEO FL 1 HOUR   92520GN   479.82
5672431   SPEECH AND LANGUAGE EVAL 1 HOUR    92506GN   383.79
5672449   SPEECH THERAPY 1 HOUR              92507GN   318.17
5672456   SPEECH THERAPY 1/2 HOUR            92507GN   157.72
5672464   SPEECH THERAPY 15 MINUTES          92507GN    80.93
5672472   SPEECH THERAPY 3/4 HOUR            92507GN   238.60
5672498   DYSPHAGLD TREATMENT 15 MIN         92526GN    80.93
5672548   THERAPEUTIC EXERCISE 30 MINS       97110     260.62
5672555   FUNCTIONAL ADL TRAINING 15         97535     178.22
5747902   ADD TIME & TECH 15MIN              97504     215.44
5747928   BUDDY STRAP                                    9.16
5747936   CMC THUMB SPLINT, LEATHER                    105.24
5747944   COBAN, 1             "                         7.58
5748025   DESENS DOWEL                                   9.16
5748041   DIGIT EXTENSION TUBE                          62.51
5748058   DIP/PIP WIRE FORM SPLINT                      90.58
5748074   DRES.CHNG. STERILE LARGE           97039GO   167.42
5748231   EXER. THERAPEUTIC 30MIN            97110     289.34
5748314   GO DEVELOP COGNITIVE 15            97003GO   143.66
5748322   GO DRSN/DEBRIDE FULL 45            11041GO   531.48
5748330   GO DRSN/DEBRIDE PART 30            11040GO   402.16
5748348   GO DRSN/DEBRIDE SM 15              11040GO   344.71
5748355   GO ELECT STIM                      97014GO   129.33
5748363   GO FUNC ADL COMPTRAIN 15           97535GO   129.33
5748371   GO IONTOPHORESIS                   97033GO   203.94
5748413   GO OCCUPAT THERAPY EVAL            97003GO   315.99
5748421   GO OCCUPAT THERAPY RE-EV           97004GO   186.66
5748439   GO ORTHO PROSTH ADJ                97703GO   186.66
5748447   GO ORTHOTIC FIT TRAIN 15           97504GO   215.44
5748454   GO PARRIFIN                        97018GO   146.39
5748462   GO PERFORM REPORT                  97750GO   129.33
5748470   GO PROSTHETIC TRAIN 15                97530GO   272.94
5748488   GO TENS SET UP                        97032GO   172.27
5748504   GO THERAPEUTIC EX 15                  97110GO   129.33
5748512   GO THERAPEUTIC PROCD GRP              97150GO   215.44
5748520   GO ULTRASOUND                         97035GO    86.27
5748538   GO W-ADL 30 MIN EACH VIS              97540GO   258.55
5748546   GO W-EVAL PT BRIEF                    98770GO   186.66
5748561   GO WHIRPOOL SM                        97022GO   289.34
5748579   GO WORK HARD ADD 1HR                  97546GO   272.94
5748587   GO WORK HARDENING INIT 2              97545GO   608.98
5748603   H-SPLINT                                         91.34
5748611   HAND BASED THUMB SPICA                           44.91
5748736   KLEINERT, SPLINT                                152.27
5748744   MICROFOAM TAPE                                   10.74
5748751   MOD.SAFETY PIN SPLINT                            52.48
5748801   OT MISC.SUPPLY                                     -
5748835   RADIAL GUTTER, SPLINT                            76.08
5748843   ROLYAN GEL, SHELL SPLINT                         77.83
5748850   ROLYAN UD, SPLINT                               103.55
5748876   SILICON GEL SHEET, SPENC                         31.23
5748959   THERABAND                                        14.39
5748967   THERAPUTTY, 4 OZ                                 23.00
5748975   THERMAL WRIST WRAP                               46.54
5748991   TUBIGRIP                                         12.04
5749007   UNLN, GUTTER WRIST SPLINT                        76.08
5749049   W-ELECT STIM ATT. 30 MIN              97118     289.34
5749114   W-HOME EXER.PROG.WRITTEN              97612     100.55
5749155   W-INIT.EVAL.COMP                      98774     315.99
5749163   W-IONTOPHORISIS                       97120     203.94
5749171   W-KINETIC ACT 30                      97530     258.55
5749189   W-KINETIC ACT. ADD 15MIN              97531     129.33
5749221   W-SOFT TISSUE MOBILIZ.                97610     198.00
5749239   W-ULTRASOUND 15                       97128      86.27
5749262   WRAP ON FINGER HOOK                              13.95
5749361   CONTRAST BATHS (15)                   97034GO   100.55
5749379   NEUROMUSCULAR RE-ED (15)              97112GO   143.66
5749395   ORTHOTIC FITTING TRAINING (15)        97504GO   215.44
5749460   DEVELOP COGNITIVE SKILLS (15)         97003GO   143.66
5749528   SO FIGURE OF EIGHT DESIGN ABDUCTION   L3650     175.27
5749536   SO FIGURE OF EIGHT RESTRAINER CANVA   L3660     270.16
5749544   SO ACROMIO/CLAVICULAR CANVAS          L3670     270.16
5749551   SO VEST TYPE ABDUCT CANVAS            L3675     373.49
5749569   GAMEKEEPERS\                          L3810     129.33
5749577   DYNAMIC THUMB SPR                     L3815     143.66
5749585   WHFO ADD TO SHORT/LONG IP EXT MP      L3820     278.60
5749593   MP EXT BLOCK                          L3825     129.33
5749601   MP EXT FOREARM                        L3830     172.27
5749619   WHFO ADD SHORT/LONG MP SPRING EXT A   L3835     238.49
5749635   WHFO ADD SHORT/LONG THUMB IP ASSIST   L3850     235.44
5749643   WHFO ADD SHORT/LONG ACTION W/DORSIF   L3855     255.71
5749650   WHFO ADD SHORT/LONG ADJUST MP FLEXI   L3860     344.71
5749668   WHFO ADD SHORT/LONG ADJ MP FLEXION    L3860     390.66
5749676   WHO WRIST EXT CONTROL COCK-UP NON M   L3908     178.05
5749684   FINGER FLEX GROUP                     L3914      86.27
5749692   WRIST COCK-UP DORSAL BLOCK            L3916     129.33
5749700   MP EXE/OUTRIGGER                      L3918     344.71
5749718   HFO KNUCKLE BENDER                    L3920     229.83
5749726   HFO KNUCKLE BENDER W/OUTRIGGER        L3920     287.22
5749734   HFO KNUCKLE BENDER TWO SEGMENT FLEX   L3924     287.22
5749742   WHFO OPPENHEIMER                      L3924     292.99
5749759   WHFO THOMAS SUSPENSION                L3926     238.49
5749767   HFO FINGER EXT W/CLOCK SPRING         L3928     172.27
5749775   CUTTER NOT FINGER SPLINT/THUMB SPRA   L3932     129.33
5749783   PIP EXT (DIN)                         L3934      77.50
5749791   PIP EXT(STATIC PROGRESSIVE)PIP FLEX   L3936     172.27
5749809   CARPAL TUNNEL WRIST                   L3938     129.33
5749817   POST REST SPINE\UDAR REST             L3940     143.66
5749825   PHOENIX WRIST UNIT                    L3942     344.71
5749833   HFO REVERSE KNUCKLE BENDER            L3942     143.66
5749841   DYNAMIC MP FLEX/PIP/ASSIST & MP BA    L3946     215.44
5749858   HFO COMPOSITE ELASTIC                 L3948     255.71
5749866   PIP/DIP FLEX (DIN)                    L3948      86.27
5749874   THUMB WEB SPACER                      L3956      71.89
5749882   FINGER SPLINT/BENNED RING/WEB SWEEP   L3980      28.72
5749908   COMBO US/STIM GO                      97035GO      -
5749916   NEURO RE-ED GO                        97112GO    98.92
5749981   IND. GYM PROGRAM                      97799GO    29.98
5749999   MISC SUPPLIES                                      -
6650253   DRUG SCREEN MULTIPLE CLASSES          80100     135.32
6910004   ****HRHN CLINICS****                               -
6910038   UA, NON-AUTO, W/MICROSCOPY            81000      12.37
6910046   GLUCOSE, FINGERSTICK (GLUCOMETER)     82962      12.37
6910053   WET MOUNT W/SINGLE STAIN,BACT,FUNG    87210      16.24
6910079   TB SKIN TEST(TUBERCULOSIS,INTRADERM   86580      25.29
6910103   DERMABOND LIQUID ADHESIVE             A4364      94.72
6910111   HANDLING FEE OFFICE TO LAB            99000      14.77
6910137   EKG 12 LEAD TRACING W/INT/RPT         93000      66.44
6910145   BREATHING TREATMENT                   94640      68.23
6910152   SPIROMETRY                            94010     101.81
6910186   LINCOMYCIN UP TO 300MG                J2010      53.68
6910194   HEMOCCULT                             82270      12.37
6910210   TETANUS TOXOID INJECTION              90703      22.89
6910228   TD(TETANUS/DIPHTH TOX FOR ADULT)      90718      24.85
6910244   MMR (MEASLES, MUMPS & RUBELLA VAC)    90707      99.24
6910269   KENALOG 40MG INJECTION                J3301      41.97
6910277   EPINEPHRINE                           J0170      41.97
6910285   VENIPUNCTURE, ROUTINE                 36415       7.00
6910293   FB REMOVAL SUB Q SIMPLE               10120     154.67
6910301   EXCISION NAIL/MATRIX (INGROWN-NAIL)   11750     257.40
6910343   RESPIRATORY FLOW VOLUME LOOP          94375      94.78
6910392   STREP SCREEN (STREPTOCOCCUS)          87430      46.82
6910491   TRAY, PELVIC, METAL                   A4550      19.24
6910533   EYE PATCH                             A6410       3.16
6910541   AQUA CHAIR PT TREATMENT               97039      29.76
6910582   PHENERGAN 25 - 50MG INJ               J2550    41.97
6910608   BENADRYL 50 MG INJECTION              J1200    41.97
6910616   EXCISE THROMBOSED HEMORRHOID          46083   284.49
6910640   LACERATION NON-FACE <2.5 CM           12001   209.28
6910657   LACERATION NON-FACE 2.6-7.0CM         12002   271.41
6910707   NUBAIN 20 MG                          J2300    41.97
6910715   ROCEPHIN 250 MG                       J0696    62.35
6910814   ROCEPHIN 1.0 GRAM                     J0696   100.72
6910848   TYMPANOMETRY (IMPEDANCE TESTING)      92567    53.08
6910855   STADOL INJECTION 1MG/ML               J0595    41.97
6910863   TRIM NONDYSTROPHIC NAILS ANY NUMBER   11719    23.11
6910871   I&D ABSCESS CYST/SKIN SIMPLE/SINGL*   10060   178.22
6910889   I&D ABSCESS CYST/SKIN COMPLEX/MULT*   10061   369.40
6910905   DEBRIDE/PARTIAL THICKNESS             11040    69.76
6910939   AVULSION NAIL PLATE PARTAL/COMPLET*   11730   153.20
6910947   EVACUATION SUBUNGUAL HEMATOMA         11740    49.87
6910988   LACERATION FACE <2.5 CM               12011   215.28
6911036   LAYER CLOSURE S/A/T/E <=2.5 CM        12031   283.95
6911044   LAYER CLOSURE S/A/T/E 2.6-7.5 CM      12032   362.04
6911077   LAYER CLOSURE N/H/F/G <=2.5 CM        12041   311.74
6911085   LAYER CLOSURE N/H/F/G 2.6-7.5 CM      12042   401.12
6911127   LAYER CLOSURE FACE/ETC <=2.5CM        12051   375.11
6911218   ASPIRATE/INJECT JOINT SMALL *         20600    99.84
6911226   ASPIRATE/INJECT JOINT LARGE *         20610   119.08
6911390   REMOVAL FB INTRANASAL                 30300   137.67
6911465   ANOSCOPY, DIAGNOSTIC                  46600    63.60
6911473   INSERT NON-INDWELLING BLADDER CATH    51701    67.69
6911499   SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC   62270   156.87
6911531   REMOVAL FB CORNEA W/ SL LAMP          65222   116.03
6911549   REMOVAL FB EAR                        69200   147.48
6911556   REMOVAL IMPACTED CERUMEN              69210    82.35
6911580   ASPIRATE/INJECT JOINT MEDIUM *        20605   102.73
6911622   INJECTION MED, SQ/IM                  90782    11.17
6911648   INJECTION ANTIBIOTIC, IM              90788    12.10
6912091   VITAMIN B-12 (CYANOCOBALAMIN) INJ     J3420    41.97
6912125   CAST APP, ELBOW TO FINGER             29075   140.17
6912158   CAST APP, KNEE TO TOES                29405   152.60
6912174   PULSE OXIMETRY (NONINVASIVE)          94760     9.97
6912182   REMOVAL SKIN TAGS>=15                 11200   103.93
6912190   EXC BENIGN LES TRK/LEGS<0.5CM         11400   174.78
6912208   EXC BENIGN LES TRK/L 0.6-1.0 CM       11401   223.61
6912216   EXC BENIGN LES TRK/L 1.1-2.0 CM       11402   257.46
6912224   EXC BENIGN LES TRK/L 2.1-3.0 CM       11403   306.29
6912232   EXC BENIGN LES TRK/L 3.1-4.0 CM       11404   339.32
6912257   EXC BENIGN LES SNHF <0.5 CM           11420   192.06
6912265   EXC BENIGN LES SNHF 0.6-1.0 CM        11421   252.12
6912273   EXC BENIGN LES SNHF 1.1-2.0 CM        11422   292.83
6912281   EXC BENIGN LES SNHF 2.1-3.0 CM        11423   340.73
6912299   EXC BENIGN LES FACE <0.5 CM           11440   238.55
6912307   EXC BENIGN LES FACE 0.6-1.0 CM        11441   296.81
6912315   EXC BENIGN LES FACE 2.1-3.0 CM        11443   406.62
6912323   EXC MALIG LES TRK <0.5 CM             11600   222.41
6912331   EXC MALIG LES TRK 0.6-1.0 CM          11601   293.92
6912349   EXC MALIG LES TRK 1.1-2.0 CM          11602   313.32
6912356   EXC MALIG LES TRK 2.1-3.0 CM          11603   343.40
6912364   EXC MALIG LES SNHF 0.6-1.0 CM         11621   292.99
6912372   EXC MALIG LES SNHF 1.1-2.0 CM         11622   340.08
6912380   EXC MALIG LES FACE/EARS <0.5 CM       11640   241.16
6912398   EXC MALIG LES FACE/E 0.6-1.0 CM       11641   360.84
6912406   EXC MALIG LES FACE/E 2.1-3.0 CM       11643   496.50
6912414   EXC MALIG LES FACE/E 3.1-4.0 CM       11644   641.52
6912430   ROCEPHIN 500 MG                       J0696    75.54
6912448   DEPO-PROVERA 150 MG                   J1055    75.54
6912463   VISTARIL 25/50 MG                     J3410    41.97
6912471   DESTRUCT B9/PREMALIG 1ST LESION *     17000    83.55
6912513   PARING B9 LESION SINGLE               11055    58.53
6912539   EXC MALIG LES FACE/E 1.1-2.0 CM       11642   421.99
6912562   AUDIOGRAM (PURE TONE AUDIOMETRY)      92551    25.29
6912570   AVULSION NAIL PLATE/ADDITIONAL NAIL   11732    78.37
6912596   PARING BENIGN LESIONS MORE THAN 4     11057   107.69
6912687   SOLU-MEDROL UP TO 125MG               J2930    41.97
6912695   DESTRUCTION OF LESION MOUTH           40820   343.95
6912810   BIOPSY OF SKIN                        11100   114.45
6912828   LEVEL 1 (NEW PT) BRIEF, FOCUSED       99201    58.42
6912836   LEVEL 2 (NEW PT) LIMITED,EXPANDED""   99202   115.76
6912844   LEVEL 3 (NEW PT) INTERMED,DETAILED    99203   176.85
6912851   LEVEL 4 (NEW PT) EXTEND,MOD COMPLX    99204   261.60
6912869   LEVEL 5 (NEW PT) COMPLEX, HI COMPLX   99205   347.11
6912877   LEVEL 1 (EST PT) BRIEF, MINIMAL       99211    22.18
6912885   LEVEL 2 (EST PT) LIMITED, FOCUSED     99212    58.42
6912893   LEVEL 3 (EST PT) INTERMED, LIMITED    99213    87.20
6912901   LEVEL 4 (EST PT) EXTEND, DETAILED     99214   143.23
6912919   LEVEL 5 (EST PT) COMPLEX, HI COMPLX   99215   230.37
6912992   POST-OP F/U VISIT,INCLUDE IN GLOBAL   99024      -
6913032   INJECTION LESION, UP TO 7 LESIONS     11900    70.69
6913065   BIOPSY ENDOMETRIUM *                  58100   218.65
6913172   TRAY, SURGERY DRESSING                A4550    49.16
6913198   INITIAL VISIT (NEW PT) WITH SURGERY   99025    37.61
6913214   PREVNAR                               90669    48.67
6913222   HGB/HCT                               85018     9.54
6913230   URINE PREGNANCY TEST, VISUAL          81025    41.97
6913248   LIDOCAINE INJ                         J2001     7.19
6913289   TORADOL                               J1885    41.97
6913305   PLASTER CAST                          A4580   115.16
6913321   PULMICORT BUDESONIDE 0.25MG           J7626    53.96
6913370   BRONCHOSPASM EVAL/ SPIROMETRY         94060   178.05
6913453   INJECTION TENDON, TRIGGER POINT *     20550    96.74
6913479   DESTRUCT 2ND-14TH LES FACE            17003    21.26
6913495   EXC BENIGN LES SNHF >4.0 CM           11426   579.83
6913529   DESTRUCT B9/PREMALIG LESION 15 > *    17004   388.80
6913545   PNEUMOVAX 1 CC                        90732    36.30
6913552   EXC BENIGN LES FACE 1.1-2.0 CM        11442   327.87
6914014   INJECTION TRIGGER PTS 1/2 MUSCLES     20552    94.12
6914022   EXC GANGLION CYST HAND/FINGER         26160   687.95
6914030   CONSULT LEVEL 1 (ESTAB OR NEW)        99241    83.17
6914048   CONSULT LEVEL 2 (ESTAB OR NEW)        99242   170.91
6914055   CONSULT LEVEL 3 (ESTAB OR NEW)        99243   227.86
6914063   CONSULT LEVEL 4 (ESTAB OR NEW)        99244   338.39
6914071   CONSULT LEVEL 5 (ESTAB OR NEW)        99245   448.15
6914089   HISTORY (NEW PT) UNDER 1 YEAR         99381   157.29
6914097   HISTORY (NEW PT) AGE 1-4 YEARS        99382   179.85
6914105   HISTORY (NEW PT) AGE 5-11 YEARS       99383   179.85
6914113   HISTORY (NEW PT) AGE 12-17 YEARS      99384   202.85
6914121   HISTORY (NEW PT) AGE 18-39 YEARS      99385   202.85
6914139   HISTORY (NEW PT) AGE 40-64 YEARS      99386   248.52
6914147   HISTORY (NEW PT) OVER 65 YEARS        99387   271.96
6914154   HISTORY (EST PT) UNDER 1 YEAR         99391   135.05
6914162   HISTORY (EST PT) AGE 1-4 YEARS        99392   157.29
6914170   HISTORY (EST PT) AGE 5-11 YEARS       99393   157.29
6914188   HISTORY (EST PT) AGE 12-17 YEARS      99394   179.80
6914196   HISTORY (EST PT) AGE 18-39 YEARS      99395   179.80
6914204   HISTORY (EST PT) AGE 40-64 YEARS      99396   202.85
6914212   HISTORY (EST PT) OVER 65 YEARS        99397   226.28
6914220   EXC MAL LES SCLP HND FT GNT 2.1-3.0   11623   410.93
6914238   DTP (DIPHTH,TETANUS,PERTUS)           90701    46.76
6914246   DTAP (ACELLULAR)                      90700    46.76
6914253   HEP B - 10MCG (PED DOSAGE)            90744    66.82
6914261   HEP B - 20MCG (ADULT DOSAGE)          90746   152.65
6914279   DTP/HIB (TETRAMUNE) VACCINE           90720   104.04
6914303   ACE WRAP 3- 5" A6449        "         A6449     5.94
6914337   DEMEROL 25 - 100MG                    J2175    41.97
6914352   DEBRIDEMENT NAIL ANY METHOD 1-5       11720    43.49
6914360   ESTRADIAL VALERATE 40MG               J1380    41.97
6914386   CONTROL NASAL HEMORRHAGE SIMPLE       30901   150.09
6914394   THORACENTESIS ASPIRATION INIT/SUBSQ   32000   195.66
6914402   PLACE CENTRAL LINE PERCUTANEOUS >2Y   36489   337.14
6914410   IN-PT ADMIT - BRIEF                   99221   166.33
6914428   IN-PT ADMIT - LIMITED                 99222   276.04
6914436   IN-PT ADMIT - EXTENDED                99223   384.01
6914444   IN-PT VISIT - BRIEF                   99231    82.77
6914451   IN-PT VISIT - LIMITED                 99232   136.80
6914469   IN-PT VISIT - EXTENDED                99233   194.35
6914477   IN-PT DISCHARGE <=30 MINUTES          99238   175.16
6914485   INFLUENZA VIRUS VAC SPLIT VIRUS<3YR   90657    20.98
6914493   INFLUENZA VIRUS VACCINE, 3 YRS +      90658    20.98
6914519   SHAVING EPI/DERM LES FACE <0.5CM *    11310   102.08
6914535   ADMIN VACCINES/TOXOIDS, ONE           90471    19.78
6914543   ADMIN VACCINES/TOX EACH ADDITIONAL    90472    14.06
6914584   ANKLE SPLINT (AIRCAST)                L4350   119.90
6914592   ARM SLING                             A4565    40.28
6914618   ATROVENT/IPRATROPIUM BROMIDE 0.2%ML   J7644     7.68
6914634   SIGMOIDOSCOPY FLEXIBLE DIAGNOSTIC     45330   142.30
6914659   CELESTONE SOLUSPAN INJ                J0702    41.97
6914667   BICILLIN CR 1.2 INJ                   J0540    41.97
6914675   BICILLIN CR 600,000 INJ               J0530    41.97
6914717   CERVICAL COLLAR (FLEXIBLE FOAM)       L0120    21.58
6914741   DECADRON L.A. 8MG INJ                 J1100    41.97
6914758   DECADRON 4MG (DEXAMETHASONE) INJ      J1100    41.97
6914774   DEPOMEDROL 40MG INJ                   J1030    41.97
6914782   DEPOMEDROL 80MG INJ                   J1040    41.97
6914816   MONO TEST                             86308    20.06
6914840   PEDIARIX DTAP-HEPB-IPV                90723   194.24
6914857   HEP B/HIB (CONVAX) VACCINE            90748   135.49
6914865   HELICOBACTER PYLORI TEST              86677    56.30
6914873   INSERTION IUD(INTRAUTERINE DEVICE)*   58300   137.99
6914881   NASAL FLU MIST                        90660    77.94
6914899   ADMIN NASAL IMMUNIZATION              90473    41.09
6914907   IMITREX 6MG INJ                       J3030   124.75
6914915   INSULIN REG UP TO 100 UNITS           J1815    41.97
6914949   POLIO INJ (IPV) VACCINE               90713    64.91
6914956   IRON DEXTRAN 100MG/2ML (INFED) INJ    J1750    41.97
6914964   KNEE IMMOBILIZER                      L1830    67.14
6914972   KNEE SUPPORT (ELASTIC KNEE CAP)       L1825    20.38
6914980   LASIX 40MG INJ (FUROSEMIDE)           J1940    41.97
6915029   SOLU-MEDROL UP TO 40MG INJ            J2920    41.97
6915037   KENALOG 80MG INJECTION                J3301    41.97
6915060   NORPLANT REMOVAL                      11976   243.94
6915086   NORFLEX 60MG INJ                      J2360    80.33
6915094   ESTROGEN CONJUGATED                   J1410    41.97
6915102   PHENERGAN 12.5 MG SUPPOSITORY         J3490     9.21
6915136   ALBUTEROL (PROVENTIL) INH SOLN        J7613    49.16
6915169   PARING BENIGN LESIONS 2-4             11056    83.55
6915177   REMOVAL FULL ARM/FULL LEG CAST        29705   114.72
6915219   RSV ANTIGEN TEST                      87807    69.65
6915250   TESTOSTERONE CYPIONATE 100MG INJ      J1070    41.97
6915268   TESTOSTERONE CYPIONATE 200MG INJ      J1070    41.97
6915292   UNNA BOOT STRAPPING                   29580    89.82
6915318   VITAMIN B-12 (CYANOCOBALAMIN) LEVEL   82607    58.26
6915334   VITAMIN B-12 INJECTION *CASH*         J3420    24.00
6915359   VARICELLA (CHICKENPOX) VACCINE        90716   138.16
6915367   WRIST/FOREARM SUPPORT                 L3908    35.97
6915425   BIOPSY OF BREAST, INCISIONAL *        19101   489.68
6915441   HEPATITIS A VACCINE, ADULT DOSAGE     90632   167.97
6915458   HEPATITIS A VACCINE,PED 2 DOSE SCHE   90633    82.08
6915466   HEPATITIS A VACCINE,PED 3 DOSE SCHE   90634    82.08
6915474   HIB, HBOC CONJ (HIBTITER) VACCINE     90645    66.82
6915524   REMOVE SKIN TAGS ADDNL 10 LESIONS     11201    39.79
6915540   SHAV EPI/DERML LES TRK,ARM,LG<.5CM*   11300    70.41
6915631   SHAV EPI/DERM LES FACE 1.1>2CM *      11312   169.99
6915656   CAUTERIZATION OF GRANULATION TISSUE   17250    81.80
6915672   NORMAL SALINE 500 CC                  J7030    46.05
6915680   ATIVAN 2MG INJ                        J2060    14.33
6915722   PHYSICAL DMV                          99429    58.42
6915730   PHYSICAL FAA                          99429    87.20
6915748   PHYSICAL I.N.S.                       99429    87.20
6915755   KENALOG 60MG INJECTION                J3301    41.97
6915763   INFUSION THERAPY ADMINISTRATION IV    90780   109.11
6915839   URINALYSIS AUTOMATED WO/MICROSCOPY    81003     8.61
6915862   LACTATED RINGERS SOLUTION             J7120        32.92
6915870   COLPOSCOPY W/O BIOPSY *               57452       208.41
6915896   COLPOSCOPY W/BIOPSY *                 57454       322.80
6915912   LEVEL 1 EST PT VISIT MODIFIER 25      9921125      22.18
6915920   LEVEL 2 EST PT VISIT MODIFIER 25      9921225      58.42
6915938   LEVEL 3 EST PT VISIT MODIFIER 25      9921325      87.20
6915946   LEVEL 4 EST PT VISIT MODIFIER 25      9921425     143.23
6915953   PHYSICAL, SPORTS                      99429        29.98
6915961   NURSING FACILITY VISIT LEVEL II       99302       205.52
6915979   NURSING FACILITY DISCHARGE            99315       144.04
6916027   ANKLE SUPPORT L1902                   L1902        53.96
6916035   ANKLE FOOT ORTHOSIS L1930             L1930        83.93
6916068   I&D HEMATOMA,SEROMA OR FLUID COLLEC   10140       235.60
6916076   PREGNANCY TEST-URINE                  81025        24.85
6916084   OBSERVATION MODERATE SEVERITY         99235       437.42
6916092   PERITONEOCENTESIS INITIAL             49080       175.05
6916100   REPAIR INGUIN HERNIA >=5YRS ASSIST    4950580     226.77
6916126   INSERT INDWELLING BLADDER CATHETER    51702        74.28
6916134   DESTRUCTION LESION PENIS CRYO         54056       170.91
6916142   CIRCUMCISION CLAMP/OTHER NEWBORN      54150       183.45
6916159   ALLERGY INJECTION                     95115        38.59
6916175   INJECT LUMBAR/SACRAL NERVE            64475       183.01
6916183   INJECTION MED IV                      90784        46.92
6916191   OFFICE SERVICES ON EMERGENCY BASIS    99058        58.15
6916217   OBSERVATION LOW SEVERITY              99234       330.38
6916225   OBSERVATION HIGH SEVERITY             99236       546.85
6916233   IN-PT DISCHARGE >30 MINUTES           99239       237.62
6916241   NORMAL NEWBORN EXAM/HISTORY           99431       148.68
6916258   NORMAL NEWBORN CARE SUBSEQUENT        99433        78.10
6916266   NORMAL NEWBORN EXAM DISC SAME DAY     99435       191.57
6916274   VITAMIN K INJECTION PER MG            J3430        31.39
6916290   LACERATION NON-FACE <2.5CM MULTIPLE   1200151     151.07
6916308   MANUAL THERAPY TECHNIQUES             97140        67.09
6916316   NURSING FACILITY VISIT LEVEL I        99301       154.29
6916324   NURSING FACILITY VISIT LEVEL III      99303       255.77
6916332   NURSING FACILITY SUBS VISIT LEVEL I   99311        77.17
6916340   NURSING FACILITY SUBS VISIT L II      99312       127.48
6916357   INPT CONSULT INITIAL LEVEL IV         99254       348.31
6916365   RSV IGIM INJECTION                    90378        61.45
6916373   NICU SUBSEQUENT CARE LOW BIRTH WT     99298       354.09
6916381   NICU INITIAL CARE =<28DAYS OLD        99295     2,289.38
6916399   NICU SUBSQUENT CARE =<28DAYS OLD      99296     1,008.36
6916407   INPT INITIAL CONSULT LEVEL V          99255       479.33
6916415   PROLONGED PT CARE FIRST HR            99354       226.83
6916423   WRIST/THUMB SUPPORT L3914             L3914        69.97
6916431   MEMINGOCOCCAL VACCINE                 90733       181.38
6916449   INFLUENZA AB REAGENT STRIP TEST       87804        49.65
6916456   ARM SLING/SWATHE SUPPORT L3650        L3650        30.52
6916464   FINGER SPLINT Q4049                   Q4049        19.62
6916472   SPLINT DAYTIMER                       L3946        69.54
6916480   SUPPORT, SHOE L3260                   L3260        18.53
6916498   WRIST SUPPORT COLLES-PADDED A4570     A4570        17.44
6916506   ACE WRAP >=5 A6450          "         A6450         6.54
6916514   KENALOG INJECTION *CASH*              J3301        24.00
6916522   INFLUENZA VIRUS INJECTION *CASH*      90658        24.00
6916530   TETANUS INJECTION *CASH*              90703        24.00
6916548   TENNIS ELBOW BRACE L3701              L3701        41.42
6916555   THORACIC RIB BELT L0210               L0210        27.25
6916563   FOREARM SUPPORT L3999                 L3999        27.25
6916571   PLASTAZOTE SANDAL                     L3265        32.70
6916589   METOCLOPRAMIDE =<10MG INJ RHC         J2765        41.97
6916597   BREAST PUMP, MANUAL                   E0602        59.39
6916605   VITAMIN B-1 THIAMINE INJECT 100MG     J3411        41.97
6916613   CASTING FIBERGLASS MATERIAL           A4590        58.86
6916621   TRAY, SUTURE REMOVAL                  A4550        19.24
6916639   IMMUNE GLOBULIN (IG) HUMAN            90281        69.65
6916647   GENTAMICIN UP TO 80MG INJECTION       J1580        41.97
6916654   RABIES VACCINE INTRAMUSCULAR USE      90675       385.45
6916662   GI COCKTAIL                                        12.00
6916670   HAND FINGER ORHTOSIS WO/JOINTS        L3923        49.00
6916688   AMPICILLIN 250MG INJECTION            J0290        41.97
6920003   CONFIRMATORY CONSULT LEVEL IV         99274       228.95
6920011   VASECTOMY                             55250       598.85
6920029   NICU LBW 1500-2500 GRAMS              99299       332.78
6920037   REPAIR COMPLEX SCLP/ARMS/LEG2.6-7.5   13121       647.62
6920045   EXC BENIGN LESION >4CM                11406       434.04
6920052   REPAIR COMPLEX TRUNK 2.6-7.5CM        13101       597.97
6920060   INPT CONSULT LOW COMPEX LEVEL III     99253       242.14
6920078   INPT CONSULT, F/U LOW COMPLEX L I     99261        55.64
6920086   FINE NEEDLE ASPIRATION WO IMAGING     10021       173.42
6920094   SPLINT STRAPPING DENIS-BROWNE         29590       103.39
6920102   INJECT ANESTHETIC FACIAL NERVE        64402       172.49
6920110   INPT CONSULTATION INITIAL LEVEL II    99252       176.85
6920128   PROLONGED PT CARE ADDNL 30 MIN        99355       224.92
6920136   DRESSING/DEBRIDEMENT WO ANEST         16020       103.39
6920144   EXCISION GANGLION CYST WRIST          25111       980.51
6920151   REPAIR COMPLEX LAC EA ADDNL =<5CM     13122       204.16
6920169   HYST LAP W/REM TUBE/OV ASSIST 80      5855280     473.61
6920177   HYST SURGICAL W/REM FB ASSIST 80      5866280     348.85
6920185   INITIAL INPATIENT CONSULT             99251        88.07
6920193   LAYER CLOSURE SCALP/A/T/E7.6-12.5CM   12034       423.19
6920201   OPEN TREATMENT FX FINGER/THUMB        26765     1,183.14
6920219   REPAIR TENDON EXTENSOR HAND           26410     2,024.84
6920227   OPEN TREATMENT PHAL SHAFT FX          26735     1,459.07
6920235   REPAIR COMPLEX EYELID 1.1-2.5CM       13151       726.70
6920243   BIOPSY, SKIN, ADDITIONAL LESIONS EA   11101        58.64
6920250   THROMBOENDARTERECTOMY ASSIT           3530180     536.01
6920268   HYSTERECTOMY VAGINAL W/LAP ASSIST     5855080     421.18
6920276   HYSTERECTOMY TOTAL ABDOMENAL ASSIST   5815080     455.51
6920284   DESTROY WART/MOLLUSCUM UP TO 14       17110       106.17
6920292   DESTROY WART/MOLLUSCUM 15 OR MORE     17111       141.65
6920300   EXC LESION MENISCUS OR CAPSULE        27347     1,300.32
6920318   CRITICAL CARE                         99291       505.43
6920326   LAYER CLOSURE FACE 2.6-5CM            12052       400.79
6920334   ASPIRATION OF ABCESS/CYST             10160       159.09
6920342   LEVEL I EMERGENCY ROOM                99281        40.60
6920359   LAYER CLOSURE FACE 5.1-7.5CM          12053       450.69
6920367   TISSUE TRANSFER/REARRAGEMENT <10SQ    14060     1,578.70
6920375   SYGMOIDOSCOPY W/REMOVAL OF POLYPS     45333       246.29
6920383   EXCISION OF OLECRANON BURSA           24105       882.63
6920391   LEVEL III HOME VISIT                  99349       292.07
6920409   INSERT NON-TUNNEDED CENTRAL LINE      36556       309.78
6920417   REMOVE FOREIGN BODY FROM SHOULDER     23330       544.07
6920425   MYOMECTOMY, EXCISE TUMORS ASSIST      5814080     425.26
6920433   LAPAROSCOPY, URETHRAL SUSPENS-ASST    5199080     371.04
6920441   UTERINE SUSPENSION W/PRESACRAL ASST   5841080     376.65
6920458   LEVEL IV EMERGENCY ROOM VISIT         99284       236.31
6920466   APPLY CAST HAND/LOWER FOREARM GAUNT   29085       147.59
6920474   LEVEL II EMERGENCY ROOM VISIT         99282        67.47
6920482   LEVEL III EMERGENCY ROOM VISIT        99283       151.35
6920490   TREATMENT OF WOUND DEHISCENCE         12020       395.51
6920508   LEVEL III INPATIENT FOLLOW-UP         99262       110.64
6920516   PHYSICAL, CITY OF HANFORD             99499       234.35
6920524   APPLICATION OF SHORT ARM SPLINT       29125        97.17
6920532   INJECT TRIGGER PT =>3 MUSCLES         20553       106.31
6920540   APPENDECTOMY ASSIST                   4495080     283.89
6920557   LAPORASCOPY SLING OPERATION           5199280     396.11
6920565   EXPLORATION, PENETRATING WOUND        20103       820.00
6920573   STRAPPING, ANKLE AND/OR FOOT          29540        80.75
6920581   CLOSED TX FRACTURE W/MANIPULATION     25565     1,149.98
6920599   TYPHOID VACCINE                       90691       112.59
6920607   LAPAROSCOPY ABD BRUSH/WASH            4932080     167.09
6920615   INJECTION, CARPAL TUNNEL              20526       130.67
6920623   PHYSICAL THERAPY EVALUATION           97001       158.81
6920631   ABDOMINO-VAG SUSPENSION               5184580     306.37
6920649   DEBRIDEMENT FULL THICKNESS            11041       111.84
6920656   EXC MALIG LES T/A/L 3.1-4.0CM         11604       370.04
6920664   EXC MALIG LES T/A/L OVER 4.0CM        11606       505.97
6920672   DEST LESION VULVA, SIMPLE             56501       275.64
6920680   EXC/FULGURATION URETHRAL POLYPS       53260       506.52
6920698   ADMIN INFLUENZA VACCINE *MEDICARE*    G0008        23.90
6920706   ADMIN PNEUMONIA VACCINE *MEDICARE*    G0009        23.90
6920714   REMOVE FOREIGN BODY, FOOT SUBCUT      28160       519.54
6920722   EXCISION OF LIP                       40510     1,084.10
6920730   INITIAL OBSERVATION CARE              99219       274.07
6920748   OBSERVATION CARE DISCHARGE            99217       164.35
6920755   REPAIR INCIS/VENT HERNIA ASSIST       4956080     342.38
6920763   DRAIN ABSCESS PARATOID SMPL ASSIST    4230080      74.01
6920771   REPAIR UMBILICAL HERNIA ASSIST        4958580     200.19
6920789   INCISION DRAINAGE ABSCESS             56420       256.44
6920797   REPAIR COMPLEX FCMNAGHF 2.6-7.5CM     13132       885.15
6920805   REMOVE FB CONJUNCTIVAL EMBEDDED       65210       108.71
6920813   REMOVAL FB FOOT DEEP                  28192     1,000.40
6920821   CLOSED TX ARTICULAR FRACTURE          26740       451.71
6920839   COMFIRMATORY CONSULTATION             99272       112.76
6920847   REMOVAL FB FOOT SUBCUTANEOUS          28190       519.54
6920854   ER VISIT HIGH COMPLEXITY              99285     368.01
6920862   NEWBORN RESUSCITATION                 99440     370.50
6920870   REPAIR COMPLEX FCMNAGHF 1.1-2.5CM     13131     580.35
6920888   BIOPSY SOFT TISSUE SHOULDER DEEP      23066   1,040.36
6920896   STRAPPING ELBOW OR WRIST              29260      86.37
6920904   NURSING FACILITY DISCHARGE >30MIN     99316     192.49
6920912   DESTRUCTION LESION PENIS SURGICAL     54060     336.55
6920920   PREVENTIVE MEDICINE COUNSELING        99401      63.31
6920938   C O FITNESS EXAM CASH PRICE           99429      35.00
6920953   INJECT ANESTHESIA GREATER OCCIPITAL   64405     166.38
6920961   SHAVE LES TRUNK/ARM/LEG 1.1-2.0CM     11302     146.72
6920979   I & D ABSCESS ISCHIO/PERIRECTAL       46040     785.12
6920987   VITAL CAPACITY, TOTAL                 94150      70.78
6920995   ATTENDANCE AT DELIVERY                99436     188.62
6921001   REMOVAL TUNNELED CVA                  36590     489.40
6921019   DESTRUCT MALIGNANT LESION <=0.5CM     17280     162.69
6921027   PERITONEOCENTESIS SUBSEQUENT          49081     176.62
6921035   TX SUPER WOUND W/PACKING              12021     281.45
6921043   CLOSED TX IP JT DISL WO ANES          26770     557.83
6921050   CAST SHOULDER TO HAND                 29065     155.95
6921068   EXC NAIL/MATRIX W/AMPUT OF DP         11752     438.88
6921076   REMOVE FB CORNEA WO SLIT LAMP         65220      86.56
6921084   EXC OF FRENUM                         40819     574.44
6921092   PF GEN HHA MD RECERTIFICATION         G0179     142.30
6921100   PF GEN HHA MD CERTIFICATION           G0180     185.56
6921118   PF GEN HHA MD SUPERVISION             G0181     307.94
6921126   MISC GLOBAL CLINIC                                 -
6921134   GLOBAL DRNG EXT EAR ABCESS SMPL       69000     194.16
6921142   GLOBAL REP SMP HEAD 2.6-5CM           12013     287.64
6921159   GLOBAL NON SELECTIVE DEBRIDEMENT      97602      42.08
6921167   GLOBAL INFUSION THRPY 1-8HR ADDL      90781      55.46
7400302   LEVEL 1 NEW PT, BRIEF APC             99201      97.28
7400310   LEVEL 2 NEW PT LIMITED APC            99202      97.28
7400328   LEVEL 3 NEW PT INTERMEDIATE APC       99203      98.97
7400336   LEVEL 4 NEW PT EXTENDED APC           99204     164.43
7400344   LEVEL 5 NEW PT COMPLEX APC            99205     164.43
7400351   LEVEL 1 EST PT BRIEF APC              99211      97.28
7400369   LEVEL 2 EST PT LIMITED APC            99212      97.28
7400377   LEVEL 3 EST PT INTERMEDIATE APC       99213      98.97
7400385   LEVEL 4 EST PT EXTENDED APC           99214     164.43
7400393   LEVEL 5 EST PT COMPREHENSIVE APC      99215     260.13
7400906   OFFICE CONSULT BRIEF APC              99242      97.28
8100018   AIDE VISIT                                       95.05
8100026   SKILLED NURSING VISIT                           205.57
8100034   RN VISIT - HIGH TECH                            362.21
8100042   RN VISIT - ADMIT/EVAL                           362.21
8100067   PT VISIT                                        241.82
8100075   OCCUPATIONAL THERAPY VISIT                      270.21
8100083   OCCUP THERAPY EVAL                              217.24
8100091   SPEECH THERAPY VISIT                            249.77
8100117   MSW VISIT                                       322.48
8100125   MSW EVAL                                        283.62
8101081   OINT, TRIPLE ANTIBIO PACK     0.98
8101099   OINT, TRIPLE ANTIBIO TUBE     4.14
8101131   POWDER, COLUMBIA 6 OZ        27.63
8101149   COLUMBIA POWDER - 14OZ       39.51
8101214   ATRACT-TAIN CREAM-TB 5OZ     42.29
8101222   COMFEEL PLUS 4X4             21.31
8101230   COMFEEL PLUS 6X6             58.26
8101248   FIBRACOL 4X4                 32.05
8101271   TIELLE-SACRUM SIZE           82.24
8101297   FIBRACOL 4X8                 48.12
8101305   FIBRACOL PACKING             37.44
8101313   ADAPTER,PRN LONG              3.71
8101321   ADAPTER,PRN SHORT             2.94
8101354   INTERLINK CANNULA             1.04
8101362   LEVER LOCK CANNULA            1.69
8101370   THREADED LOCK CANNULA         2.40
8101388   CATH,IV INSYTE 18X1 1/4       5.23
8101396   CATH,IV INSYTE 20X1 1/4       5.23
8101404   CATH,IV INSYTE 22X1           5.45
8101412   CATH,IV INSYTE 24X3/4         6.43
8101420   NEEDLE LOK DEVICE 18G         6.76
8101438   PICC LINE INTRODUCER 2.6F   110.53
8101446   IV START KIT                  7.85
8101453   GROSHONA PICC LINE KIT 3F   402.97
8101461   GROSHONG PICC LINE KIT 4F   402.97
8101487   CONNECTOR,4F GROS-GRAY       51.83
8101511   SET,EXTEN 7-SITE HFFMA       11.28
8101529   SET,EXTEN 2 INJ SITES         6.32
8101537   SET,LEVER LOCK WITH T         7.41
8101545   BUTTERFLY SET,21G             2.45
8101552   BUTTERFLY SET,23G             2.51
8101560   PICC LINE CATH TRAY 2/6F    241.65
8101578   STOPCOCK                      2.89
8101586   SYRINGE, CANNULA              1.04
8101594   ACUDYNE PREP STICK            0.05
8101644   SUTURE REMOVAL TRAY          11.72
8101651   SKIN STAPLE EXTRACTOR        15.75
8101669   KERLIX SUPER SPONGE 5PK       7.19
8101677   KERLIX SPONGE SINGLES         3.43
8101685   DRAIN SPONGE 4X4              1.91
8101693   DRAIN SPONGE 2X2              0.22
8101701   4X4 GAUZE SPONGE              4.36
8101719   DUODERM 6X6                  26.00
8101727   DUODERM 4X4                  28.67
8101735   VASELINE DRESSING 3X9         6.43
8101750   8X3 TELFA PAD                 1.04
8101768   2X3 TELFA PAD                 0.49
8101776   3X4 TELFA PAD                 0.82
8101784   ABD DRESSING                  0.93
8101792   3X3 ADAPTIC                   2.40
8101800   3X8 ADAPTIC                   8.72
8101818   3X16 ADAPTIC                  7.90
8101826   OP-SITE IV DRESSING,2X3                 5.83
8101834   OP-SITE DRESSING,4X10                  11.45
8101842   OP-SITE DRESSING,4X5                    5.83
8101859   HYDRO/ALGINATE DRESSING                26.16
8101867   XEROFORM 5X9                            5.01
8101875   ACE BANDAGE 2             "             4.14
8101883   ACE BANDAGE 3             "             5.94
8101891   ACE BANDAGE 4             "             9.86
8101909   ACE BANDAGE 6             "            10.46
8101917   KLING BANDAGE 2             "           2.45
8101925   KLING BANDAGE 3             "           3.27
8101933   KLING BANDAGE 4             "           3.92
8101941   KLING BANDAGE 6             "           5.72
8101966   CALC ALGINATE PACKING                  37.55
8101974   PLAIN PACKING 1/2          "           26.54
8101982   PLAIN PACKING 1/4          "           26.54
8101990   PLAIN PACKING 1           "            29.92
8102006   PLAIN PACKING 2           "            35.81
8102014   STRIP CLOSURE 1/4X4                     7.09
8102030   TAPE MISC                               7.85
8102048   WOUND DRESS(SWEEN)                     78.59
8102063   SWEEN CREAM 5OZ                        44.42
8102071   BAZA CREAM                             58.70
8102089   FOLEY CATH 18F 5CC                     27.52
8102105   BETADINE SWABSTICK                      0.98
8102113   SURG GLOVE SIZE 6                       2.40
8102121   SURG GLOVE SIZE 6.5                     2.40
8102139   SURG GLOVE SIZE 7,7.5                   2.40
8102147   SURG GLOVE SIZE 8                       2.40
8102162   SEA CLENS                              41.37
8102170   POUCH, DRAIN 1 1/2                    107.64
8102196   POUCH, DRAIN 1 1/4 ACTIVE             157.45
8102204   POUCH, DRAIN 1 3/4          "         107.64
8102212   POUCH, DRAIN 1 3/4 ACTIVE             162.08
8102279   POUCH, DRAIN 2 1/2 ACTIVE             157.45
8102287   POUCH, DRAIN 2 1/2 12OPQ        "     107.64
8102295   POUCH, DRAIN 2 3/4 12OPQ        "     107.64
8102311   POUCH, UROSTOMY 1 3/4 FLANGE          151.18
8102337   PASTE, STOMASHESIVE                    51.94
8102345   OSTOMY BELT                            31.17
8102352   TAIL CLOSURE                            8.72
8102386   WAFER DURAHESIVE 2            "       213.64
8102402   WAFER, STOMAHESIVE 1 1/2          "    21.75
8102428   WAFER, STOMAHESIVE 1 3/4          "   104.91
8102436   SOLU IRRIG NS 1500ML                    8.18
8102444   SOLU IRRIG NS 250ML                     5.07
8102451   SOLU IRRIG STH2O 1500ML                 7.90
8102469   SOLU IRRIG STH2O 250ML                  4.96
8102477   SOLU O.9%NS 1000ML                      4.74
8102485   SOLU BETADINE 4OZ                       3.49
8102493   SOLU HYDROGENPEROXIDE                   2.29
8102501   WASH BASIN 7 1/2QT                      2.51
8102535   MINERAL OIL ENEMA                          6.81
8102543   PHOSPHATE ENEMA                            3.49
8102550   EGGCRATE MATTRESS                         51.34
8102576   PERI WASH II                              25.94
8102584   ENEMA SET                                  7.47
8102592   LEMON SWABSTICK                            1.04
8102600   CHUX 30X30                                 5.07
8102618   MALE URINAL                                1.85
8102626   DRAIN LEG BAG LG                          10.68
8102642   URINE DRAIN BAG                           19.29
8102659   EXTERNAL CATH                              6.21
8102675   FOLEY CATH 14F 5CC                        28.56
8102683   FOLEY CATH 16F 30CC                       28.45
8102691   FOLEY CATH 16F 5CC                        27.52
8102709   FOLEY CATH 18F 30CC                       31.39
8102717   FOLEY CATH 20F 30CC                       31.39
8102725   FOLEY CATH 22F 30CC                       32.65
8102766   URETHRAL CATH 14F                          4.85
8102774   URETHRAL CATH 16F                          5.01
8102782   URETHRAL CATH 18F                          4.63
8102808   URINE COLLECTION                           4.74
8102816   ADULT DIAPER LG                            3.16
8102824   ADULT DIAPER MED                           2.29
8102832   URINE DISP 10P GRAD                        1.47
8102840   FEMALE CATH KIT                           18.64
8102865   SPECIMEN URINE PAN                         5.34
8102873   CATH TRAY 16F                             49.27
8102881   CATH TRAY 18F                             49.27
8102899   FOLEY CATH TRAY NO CATH                   33.57
8102907   IRRIGATION TRAY                           10.79
8102915   HEEL POSEY PROTECTOR                      37.44
8102931   STOMACH TUBE VENT 16F                     27.63
8102949   STOMACH TUBE VENT 18F                     27.63
8102956   HEMOCCULT TEST KIT                         4.58
8102972   MONTGOMERY STRAP                           8.72
8102980   URETHRAL CATH 12F                          4.36
8102998   BUTTERFLY SET,25G                          2.78
8103004   SPONGE, KERLIX ROLL 4X4                    5.01
8103012   NEEDLE, PORT-A-CATH, 20X1                 36.08
8103038   CLOSURE, SKIN 1/2 X 4                      8.83
8103046   NUTRITIONAL SERVICES                     205.57
8103061   PED INITIAL EVALUATION                   197.56
8103079   OB INITIAL EVALUATION                    197.56
8103418   PACKING IODOFORM 2          "             25.02
8103426   PACKING IODOFORM 1          "             25.02
8103434   PACKING IODOFORM 1/2         "   99070    12.54
8103442   PACKING IODOFORM 1/4         "   99070    13.79
8103459   SOF - FOAM 3X3                             6.05
8103467   SOF - FOAM 4X5                             6.70
8103475   TAPE, HYTAPE 1          "                 19.62
8103483   TAPE, HYTAPE 2          "                 32.97
8103491   UNNA BOOT                                 24.69
8103509   MULTIDEX GEL                                   104.31
8103517   MULTIDEX POWDER                                105.51
8103574   FOLEY CATH 20F 5CC                   99070      18.58
8103616   INCENTIVE SPRIOMETER                            11.72
8103624   LOPEZ VALVE                                      9.70
8103632   MED CHEST                                       21.20
8103640   FOLEY LEG STRAP                                 10.36
8103681   GEO-MATT                                       327.98
8103715   TAPE MEDIPORE 2            "                    25.29
8103723   TAPE MEDIPORE 1            "                     6.21
8103749   BLOCK 4X4                                      115.10
8103756   SAL- JET                                        19.62
8103764   KALTO STAT 4X8                                  51.83
8103772   KALTO STAT 2 GM                                 15.86
8103780   SORBSON 4X4                                     89.54
8103798   TIELLE 7X7                                      91.78
8103806   TIELLE 5X7                                      69.81
8103863   FOLEY CATH 26F 30CC                             29.16
8103871   FOLEY CATH 28F 30CC                             29.16
8109993   MISC SUPPLIES                                     -
8370041   KX-MANDIBLE                          70110     438.34
8370066   KX-MASTOIDS                          70130     487.34
8370108   KX-FACIAL BONES                      70150     376.98
8370124   KX-ORBITS                            70200     376.98
8370165   KX-NASAL BONES                       70160     340.03
8370223   KX-PARANASAL SINUSES                 70220     376.98
8370264   KX-SKULL (LIMITED)                   70250     340.03
8370280   KX-SKULL                             70260     430.06
8370306   KX-T.M.J. BILATERAL                  70330     352.23
8370322   KX-NECK FOR SOFT TISSUE              70360     225.30
8370363   KX-P.A. CHEST                        71010     209.12
8370389   KX-CHEST (2 VIEWS)                   71020     253.97
8370397   KX-CHEST SPECIAL VIEW                71035     290.54
8370405   KX-CHEST (3 VIEWS)                   71021     331.69
8370421   KX-CHEST PORTABLE                    71010     360.41
8370462   KX-BREAST LOCALIZATION-LEFT          76096LT   819.14
8370488   KX-BREAST LOCALIZATION-RIGHT         76096RT   819.14
8370504   KX-RIBS (1 SIDE)-LEFT                71100LT   487.34
8370520   KX-RIBS (1 SIDE)-RIGHT               71100RT   487.34
8370561   KX-STERNUM                           71120     233.53
8370587   KX-STERNOCLAVICULAR JOINTS           71130     249.88
8370603   KX-CERVICAL SPINE (3 VIEWS)          72040     315.34
8370629   KX-CERV. SPINE (FLEX. EXT. OR OBL)   72050     376.98
8370645   KX-CERV SPINE (FLEX. EXT. & OBL)     72052     438.34
8370660   KX-THORACIC SPINE                    72070     376.98
8370686   KX-THORACO-LUMBAR                    72080     340.03
8370702   KX-LUMBAR SPINE-LIMITED              72100     340.03
8370728   KX-LUMBAR SPINE                      72110     421.67
8370744   KX-PELVIS                            72170     209.12
8370769   KX-ERCP                              74330     819.14
8370785   KX-SACRO-ILIAC JOINTS                72202     274.52
8370801   KX-SACRUM & COCCYX                   72220     315.34
8370827   KX-CLAVICLE-LEFT                    73000LT     270.43
8370843   KX-CLAVICLE-RIGHT                   73000RT     270.43
8370868   KX-SCAPULA-LEFT                     70380LT     270.43
8370884   KX-SCAPULA-RIGHT                    73010RT     270.43
8370900   KX-SHOULDER-LEFT                    73030LT     270.43
8370926   KX-SHOULDER-RIGHT                   73030RT     270.43
8370942   KX-ACROMINO-CLAVICULAR JOINTS       73050       270.43
8370967   KX-HUMERUS-LEFT                     73060LT     270.43
8370983   KX-HUMERUS-RIGHT                    73060RT     270.43
8371007   KX-ELBOW LIMITED-LEFT               73070LT     270.43
8371023   KX-ELBOW LIMITED-RIGHT              73070RT     270.43
8371049   KX-ELBOW COMPLETE (3 VIEWS)-LEFT    73080LT     294.85
8371064   KX-ELBOW COMPLETE (3 VIEWS)-RIGHT   73080RT     294.85
8371080   KX-FOREARM-LEFT                     73090LT     270.43
8371106   KX-FOREARM-RIGHT                    73090RT     270.43
8371122   KX-WRIST COMPLETE-LEFT              73110LT     270.43
8371148   KX-WRIST COMPLETE-RIGHT             73110RT     270.43
8371163   KX-WRIST LIMITED-LEFT               73100LT     167.86
8371189   KX-WRIST LIMITED-RIGHT              73100RT     167.86
8371205   KX-HAND LIMITED-LEFT                73120LT     167.86
8371221   KX-HAND LIMITED-RIGHT               73120RT     167.86
8371247   KX-HAND COMPLETE (3 VIEWS)-LEFT     73130LT     270.43
8371262   KX-HAND COMPLETE (3 VIEWS)-RIGHT    73130RT     270.43
8371320   KX-HIP UNILATERAL LIMITED-LEFT      73500LT     241.71
8371346   KX-HIP UNILATERAL LIMITED-RIGHT     73500RT     241.71
8371361   KX-HIP UNILATERAL W/PELVIS-LEFT     73510LT     315.34
8371387   KX-HIP UNILATERAL W/PELVIS-RIGHT    73510RT     315.34
8371403   KX-HIP (BILATERAL WITH PELVIS)      73520       368.80
8371460   KX-FEMUR-LEFT                       73550LT     315.34
8371486   KX-FEMUR-RIGHT                      73550RT     315.34
8371502   KX-KNEE (2 VIEWS)-LEFT              73560LT     270.43
8371528   KX-KNEE (2 VIEWS)-RIGHT             73560RT     270.43
8371544   KX-KNEE COMPLETE (5 VIEWS)-LEFT     73564LT     331.69
8371569   KX-KNEE COMPLETE (5 VIEWS)-RIGHT    73564RT     331.69
8371585   KX-TIBIA & FIBULA-LEFT              73590LT     270.43
8371601   KX-TIBIA & FIBULA-RIGHT             73590RT     270.43
8371627   KX-ANKLE COMPLETE-LEFT              73610LT     270.43
8371643   KX-ANKLE COMPLETE-RIGHT             73610RT     270.43
8371668   KX-ANKLE LIMITED-LEFT               73600LT     213.26
8371684   KX-ANKLE LIMITED-RIGHT              73600RT     213.26
8371700   KX-FOOT COMPLETE-LEFT               73630LT     270.43
8371726   KX-FOOT COMPLETE-RIGHT              73630RT     270.43
8371742   KX-FOOT LIMITED-LEFT                73620LT     213.26
8371767   KX-FOOT LIMITED-RIGHT               73620RT     213.26
8371783   KX-HEEL-LEFT                        73650LT     270.43
8371809   KX-HEEL-RIGHT                       73650RT     270.43
8371866   KX-ABDOMEN (1 VIEW)                 74000       229.61
8371882   KX-ACUTE ABDOMEN                    74022       569.53
8371908   KX-ABDOMEN (2 VIEWS)                74020       360.41
8371924   KX-PHARYNX                          74210       315.34
8371940   KX-C-ARM 1ST 1/2 HOUR               76000     1,024.16
8371981   KX-BONE AGE STUDY                   76020       274.52
8372005   KX-BONE LENGTH                        76040       393.22
8372021   KX-BONE SURVEY                        76061       716.89
8372062   KX-MAMMOGRAM UNILATERAL-RIGHT         76090RT     262.20
8372088   KX-MAMMOGRAM UNILATERAL-LEFT          76090LT     262.20
8372104   KX-MAMMOGRAMS (BILATERAL)             76091       474.80
8372229   KX-BREAST MASS SPECIMEN               76098       151.51
8372377   KX BONE SURVEY COMPLETE               76062     1,256.01
8372385   MANDIBLE LTD                          70100       311.47
8372393   FACIAL BONES LTD                      70140       282.42
8372401   SFT TISSUE NECK (FLUORO)              70370       372.94
8372435   CHEST 2V W/FLUORO                     71023       475.24
8372443   CHEST-MIN 4V                          71030       567.13
8372450   RIBS BILAT & PACHEST                  71111       650.95
8372468   SCOLIOSIS                             72069       404.88
8372476   T-SPINE W/SWIMMERS                    72072       509.68
8372492   L SPINE COMP (BENDING VIEWS)          72114       624.30
8372500   L SPINE FLEX/EXT BENDING ONLY         72120       541.46
8372526   SHOULDER 1V-LT                        73020LT     223.61
8372534   SHOULDER 1V-RT                        73020RT     223.61
8372559   SHOULDER-BILAT                        7303050     491.59
8372567   HUMERUS-BILAT                         7306050     491.59
8372575   ELBOW 2V-BILAT                        7307050     491.59
8372583   ELBOW,COMP-BILAT                      7308050     536.33
8372609   INFANT UPPER EXT-2V                   73092       189.93
8372617   INFANT UPPER EXT-BILAT                7309250     380.19
8372625   WRIST 2V-BILAT                        7310050     420.41
8372633   WRIST,COMP-BILAT                      7311050     491.59
8372641   HAND,LTD-BILAT                        7312050     420.41
8372658   HAND,COMP-BILAT                       7313050     491.59
8372666   HIP,INFANT 2 VIEW                     73540       190.59
8372674   FEMUR-BILAT                           7355050     573.61
8372682   KNEE 2V-BILAT                         7356050     668.39
8372690   KNEE 3V LEFT                          73562LT     354.20
8372708   KNEE 3V RIGHT                         73562RT     354.20
8372716   KNEE 3V-BILAT                         7356250     708.23
8372724   KNEE COMP-BILAT                       7356450     802.79
8372732   KNEES STANDING AP                     73565       334.30
8372740   TIB/FIB-BILAT                         7359050     668.39
8372757   INFANT LOWER EXT 2 VIEW               73592       244.92
8372765   INFANT LOWER EXT-BILAT                7359250     489.90
8372773   ANKLE 2V-BILAT                        7360050     491.59
8372781   ANKLE,COMP-BILAT                      7361050     547.94
8372799   FOOT 2V-BILAT                         7362050     491.59
8372807   FOOT COMP-BILAT                       7363050     547.94
8372815   HEELS-BILAT                           7365050     491.59
8372898   OPERATIVE CHOLANGIOGRAM               74300       781.69
8372922   CHILD TORSO FOR FB SINGLE VIEW        76010       218.38
8372930   KX-MAMMOGRAMS, SCREENING              76092       237.40
8372948   KX-UNLISTED DIAGNOSTIC MAMMOGRAM NC                  -
8390049   KH-MANDIBLE                           70110       438.34
8390064   KH-MASTOIDS                           70130       487.34
8390106   KH-FACIAL BONES                       70150       376.98
8390122   KH-ORBITS                            70200     376.98
8390163   KH-NASAL BONES                       70160     340.03
8390221   KH-PARANASAL SINUSES                 70220     376.98
8390262   KH-SKULL (LIMITED)                   70250     340.03
8390288   KH-SKULL                             70260     430.06
8390304   KH-T.M.J. BILATERAL                  70330     352.23
8390320   KH-NECK FOR SOFT TISSUE              70360     225.30
8390361   KH-P.A. CHEST                        71010     209.12
8390387   KH-CHEST (2 VIEWS)                   71020     253.97
8390502   KH-RIBS (1 SIDE)-LEFT                71100LT   487.34
8390528   KH-RIBS (1 SIDE)-RIGHT               71100RT   487.34
8390544   KH-RIBS (2 SIDES)                    71110     561.24
8390569   KH-STERNUM                           71120     233.53
8390585   KH-STERNOCLAVICULAR JOINTS           71130     249.88
8390601   KH-CERVICAL SPINE (3 VIEWS)          72040     315.34
8390627   KH-CERV. SPINE (FLEX. EXT. OR OBL)   72050     376.98
8390643   KH-CERV SPINE (FLEX. EXT. & OBL)     72050     438.34
8390668   KH-THORACIC SPINE                    72070     376.98
8390684   KH-THORACO-LUMBAR                    72080     340.03
8390700   KH-LUMBAR SPINE-LIMITED              72100     340.03
8390726   KH-LUMBAR SPINE                      72110     421.67
8390742   KH-PELVIS                            72170     209.12
8390783   KH-SACRO-ILIAC JOINTS                72202     274.52
8390809   KH-SACRUM & COCCYX                   72220     315.34
8390825   KH-CLAVICLE-LEFT                     73000LT   270.43
8390841   KH-CLAVICLE-RIGHT                    73000RT   270.43
8390866   KH-SCAPULA-LEFT                      70380LT   270.43
8390882   KH-SCAPULA-RIGHT                     73010RT   270.43
8390908   KH-SHOULDER-LEFT                     73030LT   270.43
8390924   KH-SHOULDER-RIGHT                    73030RT   270.43
8390940   KH-ACROMINO-CLAVICULAR JOINTS        73050     270.43
8390965   KH-HUMERUS-LEFT                      73060LT   270.43
8390981   KH-HUMERUS-RIGHT                     73060RT   270.43
8391005   KH-ELBOW LIMITED-LEFT                73070LT   270.43
8391021   KH-ELBOW LIMITED-RIGHT               73070RT   270.43
8391047   KH-ELBOW COMPLETE (3 VIEWS)-LEFT     73080LT   294.85
8391062   KH-ELBOW COMPLETE (3 VIEWS)-RIGHT    73080RT   294.85
8391088   KH-FOREARM-LEFT                      73090LT   270.43
8391104   KH-FOREARM-RIGHT                     73090RT   270.43
8391120   KH-WRIST COMPLETE-LEFT               73110LT   270.43
8391146   KH-WRIST COMPLETE-RIGHT              73110RT   270.43
8391161   KH-WRIST LIMITED-LEFT                73100LT   167.86
8391187   KH-WRIST LIMITED-RIGHT               73100RT   167.86
8391229   KH-HAND LIMITED-RIGHT                73120RT   167.86
8391245   KH-HAND COMPLETE (3 VIEWS)-LEFT      73130LT   270.43
8391260   KH-HAND COMPLETE (3 VIEWS)-RIGHT     73130RT   270.43
8391328   KH-HIP UNILATERAL LIMITED-LEFT       73500LT   241.71
8391344   KH-HIP UNILATERAL LIMITED-RIGHT      73500RT   241.71
8391369   KH-HIP UNILATERAL W/PELVIS-LEFT      73510LT   315.34
8391385   KH-HIP UNILATERAL W/PELVIS-RIGHT     73510RT   315.34
8391401   KH-HIP (BILATERAL WITH PELVIS)       73520     368.80
8391468   KH-FEMUR-LEFT                        73550LT   315.34
8391484   KH-FEMUR-RIGHT                        73550RT     315.34
8391500   KH-KNEE (2 VIEWS)-LEFT                73560LT     270.43
8391526   KH-KNEE (2 VIEWS)-RIGHT               73560RT     270.43
8391542   KH-KNEE COMPLETE (5 VIEWS)-LEFT       73564LT     331.69
8391567   KH-KNEE COMPLETE (5 VIEWS)-RIGHT      73564RT     331.69
8391583   KH-TIBIA & FIBULA-LEFT                73590LT     270.43
8391609   KH-TIBIA & FIBULA-RIGHT               73590RT     270.43
8391625   KH-ANKLE COMPLETE-LEFT                73610LT     270.43
8391641   KH-ANKLE COMPLETE-RIGHT               73610RT     270.43
8391682   KH-ANKLE LIMITED-RIGHT                73600RT     213.26
8391708   KH-FOOT COMPLETE-LEFT                 73630LT     270.43
8391724   KH-FOOT COMPLETE-RIGHT                73630RT     270.43
8391740   KH-FOOT LIMITED-LEFT                  73620LT     213.26
8391781   KH-HEEL-LEFT                          73650LT     270.43
8391807   KH-HEEL-RIGHT                         73650RT     270.43
8391864   KH-ABDOMEN (1 VIEW)                   74000       229.61
8391880   KH-ACUTE ABDOMEN                      74022       569.53
8391906   KH-ABDOMEN (2 VIEWS)                  74020       360.41
8391989   KH-BONE AGE STUDY                     76020       274.52
8392060   KH-MAMMOGRAM UNILATERAL-RIGHT         76090RT     262.20
8392391   FACIAL BONES LTD                      70140       282.42
8392425   CHEST 3V(OBL)                         71022       475.24
8392458   RIBS BILAT & PACHEST                  71111       650.95
8392466   SCOLIOSIS                             72069       404.88
8392474   T-SPINE W/SWIMMERS                    72072       509.68
8392490   L SPINE COMP (BENDING VIEWS)          72114       624.30
8392516   SCAPULA-BILAT                         7301050     491.59
8392557   SHOULDER-BILAT                        7303050     491.59
8392565   HUMERUS-BILAT                         7306050     491.59
8392581   ELBOW,COMP-BILAT                      7308050     536.33
8392599   FOREARM-BILAT                         7309050     491.59
8392623   WRIST 2V-BILAT                        7310050     420.41
8392631   WRIST,COMP-BILAT                      7311050     491.59
8392656   HAND,COMP-BILAT                       7313050     491.59
8392680   KNEE 2V-BILAT                         7356050     668.39
8392698   KNEE 3V LEFT                          73562LT     354.20
8392706   KNEE 3V RIGHT                         73562RT     354.20
8392714   KNEE 3V-BILAT                         7356250     708.23
8392722   KNEE COMP-BILAT                       7356450     802.79
8392748   TIB/FIB-BILAT                         7359050     668.39
8392789   ANKLE,COMP-BILAT                      7361050     547.94
8392805   FOOT COMP-BILAT                       7363050     547.94
8392813   HEELS-BILAT                           7365050     491.59
8396228   MX SINUSES LIMITED                    70210       318.44
8396236   MX SPINE 1 VW                         72020       233.70
8396244   KX SINUSES LIMITED                    70210       318.44
8396251   KX SPINE 1 VW                         72020       233.70
8580011   CT HEAD WITHOUT CONTRAST              70450     2,462.86
8580029   CT HEAD WITH CONTRAST                 70460     2,669.41
8580037   CT HEAD WITH AND WITHOUT CONTRAST     70470     2,818.58
8580052   CT ORBITS,SELLA,PFOSSA,W/O CONTRAST   70480     2,282.73
8580060   CT SINUS W/O CONTRAST                 70486     2,153.62
8580078   CT C-SPINE,W/WO CONTRAST              72127     3,563.54
8580086   CT UNLISTED PROCEDURE                 76499          -
8580110   CT ABD WITHOUT CONTRAST               74150     2,673.61
8580128   CT ABD WITH CONTRAST                  74160     2,765.33
8580136   CT ABD WITH & WITHOUT CONTRAST        74170     3,024.48
8580144   CT PELVIS W/O & W CONTRAST            72194     2,881.20
8580151   CT GUIDANCE BIOPSY                    76360     3,491.54
8580169   CT RECONSTRUCTION OF IMAGE, ETC       76375       816.25
8580185   CT T-SPINE W/WO CONTRAST              72130     3,563.54
8580193   CT L-SPINE W/WO CONTRAST              72133     3,595.53
8580201   CT CHEST W/CONTRAST                   71260     3,112.55
8580235   CT T-SPINE W/O CONTRAST               72128     2,945.13
8580243   CT PELVIS W/O CONTRAST                72192     2,673.61
8580250   CT PELVIS WITH CONTRAST               72193     2,881.20
8580268   CT UPPER EXTREMITY W/O CONTRAT LEFT   73200LT   2,074.27
8580276   CT LOWER EXTREMITY W/O CONTRAST LFT   73700LT   2,074.27
8580284   CT NECK, SOFT TISSUE W/O CONTRAST     70490     2,476.48
8580292   CT NECK, SOFT TISSUE WITH CONTRAST    70491     2,346.39
8580300   CT CHEST W/O CONTRAST                 71250     2,845.34
8580318   ISOVUE LOCM WITH CT HOCM W/OTHER      A4647       738.09
8580326   CT L-SPINE W/CONTRAST                 72132     3,415.95
8580334   CT NECK SOFT TISSUE WO/W CONTRAST     70492     2,843.54
8580375   CT LOWER EXTREMITY W/WO CONT LT       73702LT   3,024.48
8580383   CT LOWER EXTREMITY W/WO CONT RT       73702RT   3,024.48
8580391   CT LOWER EXTREMITY W/WO CONT BILAT    7370250   3,901.11
8580409   CT PERCUTANEOUS DRAINAGE GUIDANCE     75989     1,777.41
8580417   CT CYST ASPIRATION GUIDANCE           76365     3,491.54
8580425   CT LOWER EXTREMITY W/O CONTRAST RT    73700RT   2,074.27
8580433   CT LOWER EXT W/O CONTRAST BILATERAL   7370050   4,148.43
8580441   CT UPPER EXTREMITY W/O CONTRAST RT    73200RT   2,074.27
8580458   CT UPPER EXT W/O CONTRAST BILATERAL   7320050   4,148.43
8580466   CT C-SPINE W/CONTRAST                 72126     3,415.95
8580482   CT C-SPINE W/O CONTRAST               72125     3,292.07
8580508   CT CHEST W/WO CONTRAST                71270     3,292.07
8580524   CT L-SPINE W/O CONTRAST               72131     3,292.07
8580540   CT T-SPINE W/CONTRAST                 72129     3,192.23
8580565   CT SINUS W/O CONTRAST LIMITED         7048652     719.40
8580581   CT TEMPORAL BONE W/O CONTRAST         70480     2,282.73
8580607   CT ORBIT W/O CONTRAST                 70480     2,282.73
8580623   CT ORBITS,SELLA,P FOSSA,W/CONTRAST    70481     2,471.25
8580664   CT CORONAL/SAGITAL VIEW               76375     1,747.92
8580680   CT MAXILLOFACIAL W/O CONTRAST         70486     2,153.62
8580706   CT MAXILLOFACIAL W/CONTRAST           70487     2,471.25
8580714   CT MAXILLOFACIAL WO/W CONTRAST        70488     2,325.19
8580722   PARACENTESIS, RADIOLOGICAL GUIDANCE   75989     3,491.54
8580748   THORACENTESIS,RADIOLOGICAL GUIDANCE   75989     3,491.54
8580755   CCIC CT POSTERIOR FOSSA WO/W CONT     70482     2,325.19
8580771   CCIC CT PELVIS-ONCOLOGY               72192     2,525.04
8580789   CCIC CT HEAD WITHOUT CONTRAST         70450     2,462.86
8580797   CCIC CT HEAD WITH CONTRAST            70460     2,669.41
8580805   CCIC CT HEAD WITH AND WITHOUT CONT    70470     2,818.58
8580813   CCIC CT ORB/SELLA/PFOSSA W/O CONT     70480     2,282.73
8580839   CCIC CT C-SPINE,W/WO CONTRAST         72127     3,563.54
8580854   CCIC CT ABD WITHOUT CONTRAST          74150     2,673.61
8580862   CCIC CT ABD WITH CONTRAST             74160     2,765.33
8580870   CCIC CT ABD WITH & WITHOUT CONTRAST   74170     3,024.48
8580888   CCIC CT PELVIS W/O & W CONTRAST       72194     2,881.20
8580904   CCIC CT T-SPINE W/WO CONTRAST         72130     3,563.54
8580912   CCIC CT L-SPINE W/WO CONTRAST         72133     3,595.53
8580920   CCIC CT CHEST W/CONTRAST              71260     3,112.55
8580938   CCIC CT T-SPINE W/O CONTRAST          72128     2,945.13
8580946   CCIC CT PELVIS W/O CONTRAST           72192     2,673.61
8580953   CCIC CT PELVIS WITH CONTRAST          72193     2,881.20
8580961   CCIC CT UPPER EXTREMITY W/O CONT LT   73200LT   2,074.27
8580979   CCIC CT LOWER EXTREMITY W/O CONT LT   73700     2,074.27
8580987   CCIC CT NECK, SOFT TISSUE W/O CONT    70490     2,476.48
8580995   CCIC CT NECK, SOFT TISSUE WITH CONT   70491     2,346.39
8581001   CCIC CT CHEST W/O CONTRAST            71250     2,845.34
8581019   CCIC CT L-SPINE W/CONTRAST            72132     3,415.95
8581027   CCIC CT NECK SOFT TISSUE WO/W CONT    70492     2,843.54
8581035   CCIC CT LOWER EXTREMITY W/O CONT RT   73700RT   2,074.27
8581043   CCIC CT LOWER EXT W/O CONTRAST BIL    73700     4,148.43
8581050   CCIC CT UPPER EXTREMITY W/O CONT RT   73200RT   2,074.27
8581068   CCIC CT UPPER EXT W/O CONTRAST BIL    7320050   4,148.43
8581076   CCIC CT C-SPINE W/CONTRAST            72126     3,415.95
8581084   CCIC CT C-SPINE W/O CONTRAST          72125     3,292.07
8581092   CCIC CT CHEST W/WO CONTRAST           71270     3,292.07
8581100   CCIC CT L-SPINE W/O CONTRAST          72131     3,292.07
8581118   CCIC CT T-SPINE W/CONTRAST            72129     3,192.23
8581142   CCIC CT ORBIT/SELLA/PFOSSA W/CONT     70481     2,862.61
8581159   CCIC CT COR/SAG/RECONSTRUCT VIEW      76375       801.86
8581167   CCIC CT MAXIOFACIAL W/O CONTRAST      70486     3,001.10
8581175   CCIC CT MAXIOFACIAL W/CONTRAST        70487     2,471.25
8581183   CCIC CT MAXIOFACIAL WO/W CONTRAST     70488     2,325.19
8581191   CCIC CT LOWER EXT W/WO CONT LT        73702LT   3,024.48
8581209   CCIC CT LOWER EXT W/WO CONT RT        73702RT   3,024.48
8581217   CCIC CT LOWER EXT W/WO CONT BILAT     7370250   3,901.11
8600306   RIGHT HEART CATH ONLY                 93501     5,092.54
8600314   PLACEMENT OF SWAN FOR MONITORING      93503     3,804.26
8600322   LT HEART CATH-PERC                    93510     5,533.60
8600603   PULMONARY ANGIOGRAM, INJ              93541     1,527.74
8600629   INJ PROCD-LV & LA                     93543     1,166.74
8600645   INJ PROCD-SELECT CORONARIES (3)       93545     6,738.65
8600942   PERM PACER-ATRIAL, INSERT             33206     6,194.80
8600959   PERM PACER-VENTR, INSERT              33207     6,194.80
8600967   DUAL CHAMBER (AV SEQ), INSERT         33208     6,194.80
8600983   INSERT/REPAIR OF GEN ONLY             33212     6,635.38
8601163   LT HEART CATH-CUTDOWN                 93511     5,693.02
8601502   INSERT/RPLC TEMP TRANSVENOUS PACER    33210     6,194.80
8601551   INSRT PLS GENERATOR, DUAL CHMB        33213     6,194.80
8601585   PERM PACER - REMOVAL                  33233     6,194.80
8601635   PERIPHERAL STENT PLACEMENT            75960     4,369.81
8601643   TRANSLUM BALLOON ANGIOPLASTY RENAL/   35471     2,637.80
8601650   TRANSLUM BALLOON ANGIOPLASTY ILIAC    35473     2,374.02
8601668   TRANSLUM BALLOON ANGIOPLASTY FEMORA   35474   2,439.97
8601684   INTRODUCE CATHETER AORTA              36200     724.20
8601700   PLACE CATH 1ST ORDER ABDOMINAL        36245     804.53
8601718   TRANSCATH PLACEMENT STENT INTRAVASC   37205   2,155.80
8601726   TRANSCATH STENT PERC ADDL             37206     988.90
8601734   INTERRUPTION INFERIOR VENA CAVA       37620   3,523.86
8605032   PERC IVC FILTER PLACEMENT             75940   3,610.41
8605065   CARDIOVERSION, EXTERNAL-ELECT         92960   3,127.81
8605180   THORACIC AORTIC ARCH (SRL)            75605   2,756.12
8605198   ARTERIO, CAROTID,CEREB,BILAT          75671   3,420.47
8605206   PTA PERIPHERAL ART                    75962   4,370.46
8605214   ARTERIO, EXTREMITY, BILAT             75716   3,895.33
8605263   ARTERIO, EXTREMITY, UNILAT            75710   2,756.12
8605271   ARTERIO, ABDOMINAL, SERIAL            75625   2,756.12
8605305   ARTERIO, CERVICOCERBRAL               75650   3,325.37
8605313   ARTERIO, PELVIC                       75736   2,771.38
8605321   ARTERIO, PULMONARY, SLCT BILAT        75743   3,420.47
8605370   ARTERIO, RENAL, BILAT                 75724   3,325.37
8605388   IVC GRAM, SERIAL                      75825   2,756.12
8605453   ARTERIO, VISCERAL                     75726   2,756.12
8605461   ARTERIO, RENAL, UNILAT                75722   2,756.12
8605594   PACEMAKER INSERT, FL/RAD              71090     665.17
8605768   TRANSCATH RETRVL FORGN BODY           75961   4,370.46
8605925   AORTOGRAPHY, INJ PROCD                93544   1,151.42
8605933   FLUOROSCOPIC LOCALIZATION             76003     456.06
8605941   PTA PERIPHERAL ART EA ADD             75964   2,597.55
8606022   TRANSCATH TX, INFUSION                75896   5,700.65
8606055   AORTOGRAPHY ABD & RUNOFF              75630   2,831.33
8606063   ARTERIO, BRACHIAL, RETROG             75658   3,895.33
8606071   ARTERIO, EXT CAROTID, UNI             75660   3,895.33
8606089   ARTERIO, EXT CAROTID, BILAT           75662   3,420.47
8606105   ARTERIO, CAROTID,CERV,UNI             75676   3,895.33
8606113   ARTERIO, CAROTID,CERV,BILAT           75680   3,420.47
8606188   ARTERIO, EA ADDL VESSEL               75774   2,756.01
8606642   RT & LFT HRT CATH                     93526   8,600.37
8606675   ARTERIAL CONDUITS INJ                 93539   1,873.66
8606683   AORTOCORO VEN/CORO ART GFT INJ        93540   1,873.66
8606691   L HRT, VENT &/OR ATRL ANGIO           93555     813.36
8606709   PLM, AO, COR &/OR VN/ART GFT AG       93556     991.95
8606873   FLUOROSCOPY                           76000     250.21
8606923   VASOSEAL #1                                   1,150.55
8606931   VASOSEAL #2                                   1,150.55
8606964   VASOSEAL #5                                   1,150.55
8606998   BALLOON SMALL                                   679.83
8607004   BALLOON LARGE                                 1,100.68
8607012   WALLSTENT SMALL                               5,053.19
8607020   WALLSTENT LARGE                               8,225.96
8607079   CATHETER, BILLIARY                              421.61
8607087   CATHETER, INFUSION I CATH LAB         C1885      71.56
8607095   CATHETER, INFUSION II CATH LAB        C1885     319.26
8607103   GUIDEWIRE, CATH LAB                             440.85
8607111   CATHETER, GUIDING CATH LAB                      252.88
8607129   STENT, GENESIS                                 4,265.17
8607137   LOW OSM CONT 100-199MG IODINE NC      A4644      735.31
8607145   LOW OSM CONT 200-299MG IODINE NC      A4645      735.31
8607152   LOW OSM CONT 300-399MG IODINE NC      A4646      735.31
8607160   INJECTION EXTREMITY VENOGRAPHY        36005      225.41
8607178   INTRO CATHETER VENA CAVA              36010      579.12
8607186   CATH PLACE SELECT VENOUS 1ST ORDER    36011      643.86
8607202   CATH PLACE SELECT PULMONARY ARETERY   36014      772.16
8607210   CATH PLACE SELCT SEG/SUBSEQ PUL ART   36015      901.65
8607236   INTRO NEEDLE/INTRACATH RET EXTR ART   36140      483.20
8607244   CATH PLACE SELECT ARTERY 1ST ORDER    36215      772.16
8607251   CATH PLACE SELECT THOR/BRACH 2ND OR   36216      997.57
8607269   CATH PLACE SELECT THOR/BRACH 3RD OR   36217    1,158.23
8607285   CATH PLACE SEL ABD/PEL/LEXT 2ND ORD   36246      901.65
8607301   CATH PLACE SEL ABD/PEL/LEXT ADDNL     36248      209.83
8607418   PACEMAKER DUAL NON-RR                 C2619   15,520.89
8607426   PACEMAKER DUAL RATE RESPONSIVE        C1785   15,520.89
8607434   PACEMAKER SINGLE NON-RR               C2620   15,520.89
8607442   PACEMAKER SINGLE RATE RESPONSIVE      C1786   15,520.89
8607459   LEAD, PACEMAKER, TRANSVENOUS          C1779    2,745.71
8607467   INTRODUCER/SHEATH NON PEEL            C1893      196.91
8607475   INTRODUCER/SHEATH PEELAWAY            C1792      196.91
8607483   INTRODUCER/SHEATH STEERABLE           C1766      196.91
8607509   GUIDE WIRE CATH LAB                   C1769      198.38
8607517   FOLEY CATHETER                        A4344       22.35
8607525   URINARY DRAINAGE BAG                  A4354       16.90
8607533   VENA CAVA FILTER OPTEASE              C1880    4,360.00
8900003   ED MEDICAL SCREENING ONLY             99281      273.70
8900011   ED LEVEL 1                            99281      288.74
8900029   ED LEVEL 2                            99282      637.60
8900037   ED LEVEL 3                            99283      962.36
8900045   ED LEVEL 4                            99284    1,233.06
8900052   ED LEVEL 5                            99285    1,611.95
8900060   ED CRITICAL CARE                      99291    3,308.20
8900086   ED INJECTION SQ/IM                    90782      190.42
8900094   ED IV INJECTION                       90784      190.42
8900102   ED INJECTION ANTIBIOTIC               90788      190.42
8900110   ED INFUSION THRPY 1ST HR              90780      329.23
8900128   ED PROCEDURE MIN                      PRMIN      318.83
8900136   ED PROCEDURE LTD                      PRLIM      652.64
8900144   ED PROCEDURE MOD                      PRMOD    1,070.60
8900151   ED PROCEDURE EXT                      PREXT    1,440.54
8900169   ED PROCEDURE COM                      PRCOM    3,530.73
8900177   ED BLOOD TRANSFUSION                  36430    1,156.16
8900193   ED SPIROMETRY PRE/POST BRONCHODILAT   94060      361.55
8900201   ED RHYTHM ECG TRACING                 93041      105.24
8900219   ED ECG TRACING ONLY                   93005      105.24
8900227   ED GASTRIC ASP/LAVAGE                 91105      273.70
8900235   ED AERO/NEB/MDI/IPPB EVAL             94664      108.62
8900243   ED THROMBOLYSIS IV INFUS              92977    6,917.09
8900250   ED VENIPUNCTURE ROUTINE               36415        7.00
8900268   ED TRIAGE ONLY NO CHARGE                            -
8900276   ED OBSRV/HR                           OBSRV   246.61
8900284   ED VISUAL ACUITY                      99173    85.73
8900292   ED VACCINE ADMIN HEP B                90471    79.35
8900300   ED PULSE OXIMETRY SNGL                94760    94.67
8900318   ED PULSE OXIMETRY MULT                94761   149.88
8900326   ED END TIDAL CO2                      94770   214.35
8900334   ED VACCINE ADMIN SNGL                 90471    79.35
8900342   ED VACCINE ADMIN EA ADDL              90472    79.35
8900359   ED AERO/NEB/MDI/IPPB TX               94640   108.62
8900375   ED INFUSION THRPY ADDL HR             90781    72.76
9031808   INFUSION THERAPY UP TO 1HR UNIT 200   90780   644.24
9031816   INFUSION THERAPY ADDNL 8HR UNIT 200   90781   133.69
9031824   MEDICAL SHORT STAY UNIT 200 PER HR            210.58
9031840   SURGICAL SHORT STAY UNIT 100 PER HR           210.58
9100066   ROUTINE HOME CARE                             189.06
9100074   CONTINUOUS HOME CARE                           51.56
9100108   AIDE VISIT                                       -
9100116   SKILLED RN VISIT                                 -
9100124   RN VISIT-HIGH TECH                               -
9100132   RN VISIT-ADMIT/EVAL                              -
9100140   PHYS THER VISIT                                  -
9100157   OCCUP THER VISIT                                 -
9100165   SPEECH THERAPY VISIT                             -
9100173   MSW VISIT                                        -
9100181   AIDE VISIT                                    103.17
9100199   SKILLED RN VISIT                              189.06
9100207   RN VISIT-HIGH TECH                            378.01
9100215   RN VISIT-ADMIT/EVAL                           378.01
9100256   MSW VISIT                                     316.15
9100363   VICODIN                                          -
9100702   OINT, TRIPLE ANTIBIO PACK                       0.98
9100751   POWDER, COLUMBIA 14 OZ                         39.51
9100785   SOLU, IRRIG NS 250ML                            5.40
9100801   SOLU, IRRIG ST H20 250ML                        5.23
9100843   TRAY, SUTURE REMOVAL                           22.94
9100850   EXTRACTOR, SKIN STAPLE                         15.75
9100876   SPONGE, KERLIX ROLL 4X4                         6.81
9100884   SPONGE, KERLIX SUPER ST                         7.19
9100892   SPONGE, KERLIX SUPER STS                        7.19
9100900   SPONGE, DRAIN 4X4-6PLY                          1.91
9100926   SPONGE, GAUZE 4X4-12PLY                         4.36
9100967   DRESS, DUODERM 4X4                             28.67
9100991   DRESS, TELFA 8X3 STERILE                        1.04
9101007   DRESS, TELFA 2X3 STERILE                        0.49
9101015   DRESS, TELFA 3X4 STERILE                        0.82
9101023   DRESS, ABD                                      0.98
9101049   DRESS, ADAPTIC 3X8                              8.72
9101056   DRESS, ADAPTIC 3X16                             7.90
9101064   DRESS, OP-SITE IV 2X3                           1.80
9101072   DRESS, OP-SITE 4X10                             6.38
9101080   DRESS, OP-SITE 4X5                              5.83
9101130   DRESSING, WND DRESS                            78.59
9101148   DRESS, XEROFORM 5X9                 5.01
9101171   BANDAGE, ELASTIC 4          "       9.86
9101189   BANDAGE, ELASTIC 6          "      10.46
9101205   BANDAGE, KLING 3          "         3.27
9101213   BANDAGE, KLING 4          "         3.92
9101247   PACK, CALCIUM ALGINATE             37.55
9101338   CLOSURE, STRIP 1/4X4                7.09
9101361   SOLU, HYDROGEN PEROX                2.29
9101379   STRAP, MONTGOMERY                   8.72
9101387   TAPE, MISC.                         7.85
9101411   GLOVE, SURG SZ 7                    2.40
9101429   GLOVE, SURG SZ 7.5                  2.40
9101668   WAFER, STOMAHES 1 3/4         "   104.91
9101973   BAG, DRAIN LEG LG                  10.68
9101981   BAG, DRAIN LEG MED                 10.68
9101999   BAG, DRAIN URINE                   19.29
9102039   CATH, FOLEY 16FR 30CC              28.45
9102047   CATH, FOLEY 16FR 5CC               27.52
9102054   CATH, FOLEY 18FR 30CC              31.39
9102062   CATH, FOLEY 18FR 5CC               27.52
9102187   DIAPER, ADULT LG                    3.16
9102195   DIAPER, ADULT MED                   2.29
9102203   GRADU, URINE DISP-IOP               1.47
9102252   TRAY, CATH 16FR                    49.27
9102260   TRAY, CATH 18FR                    49.27
9102278   TRAY, FOLEY CATH (TUBING)          33.57
9102286   TRAY, IRRIGATION                   10.79
9102302   BASIN, WASH 7 1/2 QT                2.51
9102310   BEDPAN, FRACTURE                    5.40
9102336   CREAM, BAZA                        58.70
9102351   ENEMA, MINERAL OIL                  6.81
9102369   ENEMA, PHOSPHATE                    3.49
9102377   PAD, EGGCRATE                      51.34
9102393   PERIWASH I                         27.09
9102401   PERIWASH II 8OZ                    27.09
9102419   SET, ENEMA                          7.47
9102427   BULB SYRINGE                        2.29
9102450   SWAB, ACU-DYNE STICK                0.98
9102468   SWABSTIC, LEMON-GLYCER              1.04
9102476   UNDERPAD, 30X30                     5.07
9102484   URINAL, MALE                        1.85
9102708   DIAPER, ADULT LARGE                  -
9102724   GLOVES, N-STER, BOX LG               -
9102732   GLOVES, N-STER, BOX MED              -
9102740   GLOVES, N-STER, BOX SM               -
9102955   NO-RINSE SHAMPOO                     -
9102963   NO-RINSE BODY BATH                   -
9102971   SOLU, GLUCOSE CONTROL                -
9103011   SYRINGE, 30CC ST                     -
9103029   SYRINGE, 20CC ST                     -
9103086   SYRINGE, 10CC ST                     -
9103136   TOOTHETTE                            -
9103235   ROOM & BOARD   110.00

								
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