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									CHARGE          BILLING DESCRIPTION         INPATIENT     OUTPATIENT      DEPARTMENT      DEPARTMENT DESCRIPTION
 CODE                                        CHARGE        CHARGE            CODE
                                             AMOUNT        AMOUNT

41901477   APHERESIS ADSORP/REINFUSE              3500            3500    014190       01 DIALYSIS
41901323   APHERESIS PLASMA                     3171.7          3171.7    014190       01 DIALYSIS
41901475   APHERESIS PLATELET                   3171.7          3171.7    014190       01 DIALYSIS
41901476   APHERESIS SELECTIVE                    1500            1500    014190       01 DIALYSIS
41901474   APHERESIS WBC                        3171.7          3171.7    014190       01 DIALYSIS
41901026   DIALYS HEMO IP                      2223.25         2223.25    014190       01 DIALYSIS
41901469   DIALYS HEMOFILTRATION IP             2021.8          2021.8    014190       01 DIALYSIS
41901042   DIALYS PRITNEAL NOCAPD IP            1950.9          1950.9    014190       01 DIALYSIS
41901473   IRC DECLOT VASC DEVICE               945.65          945.65    014190       01 DIALYSIS
41901468   S STRL ANTIGOAD CITRATE                 58.7            58.7   014190       01 DIALYSIS
41901467   S STRL BETA CAP ADPTR                   23.7            23.7   014190       01 DIALYSIS
41901407   S STRL CAPD Y-SET                     278.6           278.6    014190       01 DIALYSIS
41901257   S STRL CYCLER DRN BAG                 633.6           633.6    014190       01 DIALYSIS
41901125   S STRL D LMN INSRTN TRAY             748.05          748.05    014190       01 DIALYSIS
41901109   S STRL DIANEAL SOLUTION              212.25          212.25    014190       01 DIALYSIS
41901110   S STRL DIANEAL SOLUTION W/TUBI        490.6           490.6    014190       01 DIALYSIS
41901464   S STRL DOUBLE LUMEN CATH              632.3           632.3    014190       01 DIALYSIS
41901299   S STRL DYLS TRFR SE                  393.45          393.45    014190       01 DIALYSIS
41901471   S STRL EFFLUENT BAG                  221.35          221.35    014190       01 DIALYSIS
41901453   S STRL GUIDE WIRE                     205.1           205.1    014190       01 DIALYSIS
41901470   S STRL HMOFLTRTIN FTR TUB           1052.55         1052.55    014190       01 DIALYSIS
41901472   S STRL HMOFLTRTN DIALYSAT            223.25          223.25    014190       01 DIALYSIS
41901443   S STRL TRANSFER PACK CONTAINER       295.25          295.25    014190       01 DIALYSIS
3086001    ROOM ICU INTERM                        5316            5316    013086       01 ACUTE MULTI CARE UNIT
3086002    ROOM TRAUMA ICU INTERM                 5994            5994    013086       01 ACUTE MULTI CARE UNIT
42427146   INTUBATION EMERGENCY                 157.66          157.66    014240       01 AIR AMBULANCE REV
42427022   NIGHT CALL 7PM-7AM                   562.89          562.89    014240       01 AIR AMBULANCE REV
42429003   NIGHT CLL 7P-7A AREA SPEC                240             240   014240       01 AIR AMBULANCE REV
42428102   NIGHT CLL 7P-7A AREA SPEC                320             320   014240       01 AIR AMBULANCE REV
42428103   RTRY 1WAY MULTI AREA SPEC              2090            2090    014240       01 AIR AMBULANCE REV
42429004   RTRY 1WAY MULTI AREA SPEC              1584            1584    014240       01 AIR AMBULANCE REV
42427013   RTRY WING 1WAY                         5820            5820    014240       01 AIR AMBULANCE REV
42428100   RTRY WING 1WAY AREA SPEC      5100       5100     014240   01 AIR AMBULANCE REV
42429001   RTRY WING 1WAY AREA SPEC      2574       2574     014240   01 AIR AMBULANCE REV
42427241   RTRY WING 1WAY MULTI          3461       3461     014240   01 AIR AMBULANCE REV
42427021   RTRY WING EA MILE               207        207    014240   01 AIR AMBULANCE REV
42428101   RTRY WNG EA MILE AREA SPC       115        115    014240   01 AIR AMBULANCE REV
42429002   RTRY WNG EA MILE AREA SPC      91.5       91.5    014240   01 AIR AMBULANCE REV
40402083   CPLX GENRL ANES ADD 15M     369.75     369.75     014040   01 ANESTHESIOLOGY REV
40402082   CPLX GENRL ANES FIRST 30M   1467.5     1467.5     014040   01 ANESTHESIOLOGY REV
40401614   LIDOCAINE LTA II             144.2      144.2     014040   01 ANESTHESIOLOGY REV
40402085   MAC/REG ADD 15M             156.05     156.05     014040   01 ANESTHESIOLOGY REV
40402084   MAC/REG FIRST 30M            622.3      622.3     014040   01 ANESTHESIOLOGY REV
4040515    S STRL CRICOTHYROID KIT     750.85     750.85     014040   01 ANESTHESIOLOGY REV
4040516    S STRL CRICOTHYROID SET     392.15     392.15     014040   01 ANESTHESIOLOGY REV
40401499   S STRL CVP INFUSOR           69.35      69.35     014040   01 ANESTHESIOLOGY REV
40401531   S STRL E T TUBE              82.55      82.55     014040   01 ANESTHESIOLOGY REV
40402059   S STRL EPIDURAL TRAY        171.85     171.85     014040   01 ANESTHESIOLOGY REV
40401564   S STRL ESOPHAGEAL STETH      62.55      62.55     014040   01 ANESTHESIOLOGY REV
4040510    S STRL GUIDE WIRE            46.45      46.45     014040   01 ANESTHESIOLOGY REV
4040503    S STRL INFSN NOHEMODIALYS    246.8      246.8     014040   01 ANESTHESIOLOGY REV
4040520    S STRL INTUB RETROGR         269.9      269.9     014040   01 ANESTHESIOLOGY REV
40401515   S STRL JELCO                   87.5       87.5    014040   01 ANESTHESIOLOGY REV
4040526    S STRL NASAL CANNULA/MASK        6.5        6.5   014040   01 ANESTHESIOLOGY REV
4040518    S STRL PALL FILTER BLOOD     64.05      64.05     014040   01 ANESTHESIOLOGY REV
4040507    S STRL PERCUTANEOUS SHTH     119.8      119.8     014040   01 ANESTHESIOLOGY REV
4040527    S STRL REINFORCED ET TUBE    208.1      208.1     014040   01 ANESTHESIOLOGY REV
40402042   S STRL SPINAL TRAY          138.45     138.45     014040   01 ANESTHESIOLOGY REV
4040513    S STRL TRIPLE LUMEN CATH     215.7      215.7     014040   01 ANESTHESIOLOGY REV
4040528    S STRL UNIVENT              757.85     757.85     014040   01 ANESTHESIOLOGY REV
40402081   STND GENRL ANES ADD 15M         228        228    014040   01 ANESTHESIOLOGY REV
40402080   STND GENRL ANES FIRST 30M   910.45     910.45     014040   01 ANESTHESIOLOGY REV
45500046   CON NI 100S 20ML             162.2      162.2     014450   01 ANGIO/SPECIALS LAB REV
45502706   CON NI 200S 10ML            157.85     157.85     014450   01 ANGIO/SPECIALS LAB REV
45502702   CON NI 300S 125ML           181.25     181.25     014450   01 ANGIO/SPECIALS LAB REV
45502703   CON NI 300S 200ML            243.9      243.9     014450   01 ANGIO/SPECIALS LAB REV
45502700   CON NI 300S 50ML               80.1       80.1    014450   01 ANGIO/SPECIALS LAB REV
45501152   IR Angio Add Vessel Ea       4326.3    4326.3   014450   01 ANGIO/SPECIALS LAB REV
45500027   IR Angio Adrenal Bil        4773.95   4773.95   014450   01 ANGIO/SPECIALS LAB REV
45502583   IR Angio Adrenal Uni        4692.05   4692.05   014450   01 ANGIO/SPECIALS LAB REV
45501160   IR Angio AVS Shunt           1315.8    1315.8   014450   01 ANGIO/SPECIALS LAB REV
45501236   IR Angio Brach              4773.95   4773.95   014450   01 ANGIO/SPECIALS LAB REV
45500004   IR Angio Carotd Cere Bil    5214.75   5214.75   014450   01 ANGIO/SPECIALS LAB REV
45500003   IR Angio Carotd Cere Uni    5050.95   5050.95   014450   01 ANGIO/SPECIALS LAB REV
45502584   IR Angio Carotd Cere Uni    5050.95   5050.95   014450   01 ANGIO/SPECIALS LAB REV
45500006   IR Angio Carotd Cerv Bil     4685.7    4685.7   014450   01 ANGIO/SPECIALS LAB REV
45502585   IR Angio Carotd Cerv Uni    5050.95   5050.95   014450   01 ANGIO/SPECIALS LAB REV
45500005   IR Angio Carotd Cerv Uni    5050.95   5050.95   014450   01 ANGIO/SPECIALS LAB REV
45501431   IR Angio Carotd Xtl Bil     5214.75   5214.75   014450   01 ANGIO/SPECIALS LAB REV
45501467   IR Angio Carotd Xtl Uni     5050.95   5050.95   014450   01 ANGIO/SPECIALS LAB REV
45502586   IR Angio Carotd Xtl Uni     5050.95   5050.95   014450   01 ANGIO/SPECIALS LAB REV
45501447   IR Angio Cervicocerebral     5135.5    5135.5   014450   01 ANGIO/SPECIALS LAB REV
45501202   IR Angio Ext Bil            4773.95   4773.95   014450   01 ANGIO/SPECIALS LAB REV
45502587   IR Angio Ext Uni            4692.05   4692.05   014450   01 ANGIO/SPECIALS LAB REV
45500007   IR Angio Ext Uni            4692.05   4692.05   014450   01 ANGIO/SPECIALS LAB REV
45501419   IR Angio FU Existing Cath    1124.8    1124.8   014450   01 ANGIO/SPECIALS LAB REV
45500111   IR ANGIO INT MAMMARY        4692.05   4692.05   014450   01 ANGIO/SPECIALS LAB REV
45501444   IR Angio Pelv Select        4692.05   4692.05   014450   01 ANGIO/SPECIALS LAB REV
45501443   IR Angio Pulm Bil Select     4937.7    4937.7   014450   01 ANGIO/SPECIALS LAB REV
45500022   IR ANGIO PULM NONSELECT      3702.8    3702.8   014450   01 ANGIO/SPECIALS LAB REV
45502581   IR Angio Pulm Uni Select    4773.95   4773.95   014450   01 ANGIO/SPECIALS LAB REV
45501442   IR Angio Pulm Uni Select    4773.95   4773.95   014450   01 ANGIO/SPECIALS LAB REV
45501278   IR Angio Renl Bil            4858.4    4858.4   014450   01 ANGIO/SPECIALS LAB REV
45501277   IR Angio Renl Uni           4692.05   4692.05   014450   01 ANGIO/SPECIALS LAB REV
45502582   IR Angio Renl Uni           4692.05   4692.05   014450   01 ANGIO/SPECIALS LAB REV
45501445   IR Angio Spinal Select         5186      5186   014450   01 ANGIO/SPECIALS LAB REV
45501446   IR Angio Vertebral          5050.95   5050.95   014450   01 ANGIO/SPECIALS LAB REV
45502580   IR Angio Vertebral          5050.95   5050.95   014450   01 ANGIO/SPECIALS LAB REV
45501244   IR Angio Visc               4692.05   4692.05   014450   01 ANGIO/SPECIALS LAB REV
45501137   IR Aortogram Abd Bil Ext    4948.65   4948.65   014450   01 ANGIO/SPECIALS LAB REV
45501448   IR Aortogram Abd W Ser      4692.05   4692.05   014450   01 ANGIO/SPECIALS LAB REV
45501449   IR Aortogram Thor W Ser        4969      4969   014450   01 ANGIO/SPECIALS LAB REV
45500155   IR ATHERECTOMY PERIPH ADD      2000      2000   014450   01 ANGIO/SPECIALS LAB REV
45500154   IR ATHERECTOMY PERIPH INI      2250      2250   014450   01 ANGIO/SPECIALS LAB REV
45500123   IR BILE STONE EXTRACTION    1129.95   1129.95   014450   01 ANGIO/SPECIALS LAB REV
45500020   IR Bili Drn Int Xtl         2688.55   2688.55   014450   01 ANGIO/SPECIALS LAB REV
45500019   IR Bili Drn Prc              2464.8    2464.8   014450   01 ANGIO/SPECIALS LAB REV
45500029   IR Bili Duct Dilate Prc      2429.4    2429.4   014450   01 ANGIO/SPECIALS LAB REV
45500037   IR Cath Renl Pelv Prc       1602.35   1602.35   014450   01 ANGIO/SPECIALS LAB REV
45502358   IR Chol Transhepat Prc      1296.65   1296.65   014450   01 ANGIO/SPECIALS LAB REV
45500090   IR CV CATH MECH CLEAR          4462      4462   014450   01 ANGIO/SPECIALS LAB REV
45500031   IR Dilate Nephrostomy       1296.65   1296.65   014450   01 ANGIO/SPECIALS LAB REV
45500034   IR Diskogram Cerv Thor       3160.9    3160.9   014450   01 ANGIO/SPECIALS LAB REV
45500035   IR Diskogram Lumb           2986.25   2986.25   014450   01 ANGIO/SPECIALS LAB REV
45502563   IR DRN W CATH PLACE PRC       407.8     407.8   014450   01 ANGIO/SPECIALS LAB REV
45500014   IR Embol Tx                 8578.75   8578.75   014450   01 ANGIO/SPECIALS LAB REV
45500092   IR ENDOVAS REPR IL ART       6467.5    6467.5   014450   01 ANGIO/SPECIALS LAB REV
45500016   IR Exchange Art Cath        7156.75   7156.75   014450   01 ANGIO/SPECIALS LAB REV
45500124   IR FLUOR CVC PLC/RMV/RPR      476.8     476.8   014450   01 ANGIO/SPECIALS LAB REV
4550106    IR FLUORO 1-2 HRS            1096.6    1096.6   014450   01 ANGIO/SPECIALS LAB REV
4550102    IR Fluoro 1Hr or Les         507.75    507.75   014450   01 ANGIO/SPECIALS LAB REV
45500083   IR FLUORO GUIDE SPINE INJ   1588.75   1588.75   014450   01 ANGIO/SPECIALS LAB REV
455097     IR Fluoro Ndl Place          1302.8    1302.8   014450   01 ANGIO/SPECIALS LAB REV
45500017   IR IVC Filter Place         4416.55   4416.55   014450   01 ANGIO/SPECIALS LAB REV
45500137   IR PLACE OCC DEV VEIN ART         0         0   014450   01 ANGIO/SPECIALS LAB REV
45502366   IR PTA Periph Art           5450.85   5450.85   014450   01 ANGIO/SPECIALS LAB REV
45502367   IR PTA Periph Art Add        2939.8    2939.8   014450   01 ANGIO/SPECIALS LAB REV
45502368   IR PTA Renl Visc             5808.4    5808.4   014450   01 ANGIO/SPECIALS LAB REV
45502370   IR PTA Ven                  5529.95   5529.95   014450   01 ANGIO/SPECIALS LAB REV
45502369   IR PTA Visc Add              2939.8    2939.8   014450   01 ANGIO/SPECIALS LAB REV
45500018   IR Retrieval Vascular FB    5461.75   5461.75   014450   01 ANGIO/SPECIALS LAB REV
45500088   IR RMVL CVA DEV OBSTRCTN    6660.65   6660.65   014450   01 ANGIO/SPECIALS LAB REV
45500095   IR SEDATION IV/IM/INH         499.7     499.7   014450   01 ANGIO/SPECIALS LAB REV
45500002   IR STENT NOCORO/CAR/VERT     5303.4    5303.4   014450   01 ANGIO/SPECIALS LAB REV
45500015   IR Transcatheter Tx IV      7538.85   7538.85   014450   01 ANGIO/SPECIALS LAB REV
45500021   IR Tube Cath Chng             985.6     985.6   014450   01 ANGIO/SPECIALS LAB REV
45500030   IR Ureteral Stent Prc       1602.35   1602.35   014450   01 ANGIO/SPECIALS LAB REV
45500125   IR US VASC ACCESS ADD ON     160.15    160.15   014450   01 ANGIO/SPECIALS LAB REV
45501228   IR Ven Sampling             4416.55   4416.55   014450   01 ANGIO/SPECIALS LAB REV
45501195   IR Venogram Ext Bil           985.6     985.6   014450   01 ANGIO/SPECIALS LAB REV
45502592   IR Venogram Ext Uni          644.25    644.25   014450   01 ANGIO/SPECIALS LAB REV
45501194   IR Venogram Ext Uni          644.25    644.25   014450   01 ANGIO/SPECIALS LAB REV
45500012   IR Venogram Hep W Eval      4692.05   4692.05   014450   01 ANGIO/SPECIALS LAB REV
45500013   IR Venogram Hep W/O Eval    4692.05   4692.05   014450   01 ANGIO/SPECIALS LAB REV
45501178   IR Venogram IVC             4692.05   4692.05   014450   01 ANGIO/SPECIALS LAB REV
45500009   IR Venogram Renl Bil         4858.4    4858.4   014450   01 ANGIO/SPECIALS LAB REV
45500008   IR Venogram Renl Uni        4692.05   4692.05   014450   01 ANGIO/SPECIALS LAB REV
45502594   IR Venogram Renl Uni         4826.1    4826.1   014450   01 ANGIO/SPECIALS LAB REV
45501179   IR Venogram SVC             4692.05   4692.05   014450   01 ANGIO/SPECIALS LAB REV
45500103   IR VERTPLASTY EA FLUORO      448.15    448.15   014450   01 ANGIO/SPECIALS LAB REV
45502568   IRC Abscss Cyst Liver Prc    8105.5    8105.5   014450   01 ANGIO/SPECIALS LAB REV
45502569   IRC Abscss Drn Peritnl      7208.75   7208.75   014450   01 ANGIO/SPECIALS LAB REV
45502570   IRC Abscss Drn Renl         9777.35   9777.35   014450   01 ANGIO/SPECIALS LAB REV
45502571   IRC Abscss Drn Subdiap      8066.55   8066.55   014450   01 ANGIO/SPECIALS LAB REV
455073     IRC Asp Renl Cyst            2773.3    2773.3   014450   01 ANGIO/SPECIALS LAB REV
455027     IRC AVS Dial Shunt          2767.95   2767.95   014450   01 ANGIO/SPECIALS LAB REV
455060     IRC Bili Cath Chng          3908.75   3908.75   014450   01 ANGIO/SPECIALS LAB REV
45500105   IRC BILI ENDO W STENT       6272.35   6272.35   014450   01 ANGIO/SPECIALS LAB REV
455062     IRC Bili Endo W/O Stent     5726.45   5726.45   014450   01 ANGIO/SPECIALS LAB REV
455059     IRC Bili Stent Place           7113      7113   014450   01 ANGIO/SPECIALS LAB REV
455064     IRC Bili Stone Extract       6801.9    6801.9   014450   01 ANGIO/SPECIALS LAB REV
455063     IRC Bili Stone Rmvl         6272.35   6272.35   014450   01 ANGIO/SPECIALS LAB REV
45500104   IRC BX BONE DEEP            3022.55   3022.55   014450   01 ANGIO/SPECIALS LAB REV
45500108   IRC BX LIVER                  401.6     401.6   014450   01 ANGIO/SPECIALS LAB REV
45500150   IRC BX RENL                  2980.8    2980.8   014450   01 ANGIO/SPECIALS LAB REV
455034     IRC Cath Abd Low 1st        4629.35   4629.35   014450   01 ANGIO/SPECIALS LAB REV
455035     IRC Cath Abd Low 2nd        4825.85   4825.85   014450   01 ANGIO/SPECIALS LAB REV
455036     IRC Cath Abd Low 3rd        5753.85   5753.85   014450   01 ANGIO/SPECIALS LAB REV
455037     IRC Cath Abd Low Add         917.15    917.15   014450   01 ANGIO/SPECIALS LAB REV
455030     IRC Cath Thor 1st Art       4083.45   4083.45   014450   01 ANGIO/SPECIALS LAB REV
455031     IRC Cath Thor 2nd Art       4825.85   4825.85   014450   01 ANGIO/SPECIALS LAB REV
455032     IRC Cath Thor 3rd Art       5753.85   5753.85   014450   01 ANGIO/SPECIALS LAB REV
455033    IRC Cath Thor Add Art        917.15    917.15   014450   01 ANGIO/SPECIALS LAB REV
45500136 IRC CYSTO TUBE CHNG SMPL      858.15    858.15   014450   01 ANGIO/SPECIALS LAB REV
473103144 IRC DECLOT VASC DEVICE       945.65    945.65   014450   01 ANGIO/SPECIALS LAB REV
45502529 IRC DECLOT XTL CAN W BLN      3259.6    3259.6   014450   01 ANGIO/SPECIALS LAB REV
4550105 IRC Declot Xtl Cannula         2670.9    2670.9   014450   01 ANGIO/SPECIALS LAB REV
45500096 IRC DEST NRV C/T 1 LVL         922.5     922.5   014450   01 ANGIO/SPECIALS LAB REV
45500097 IRC DEST NRV C/T ADDL LVL     307.55    307.55   014450   01 ANGIO/SPECIALS LAB REV
45500086 IRC DESTRUCT NRV L/S           922.5     922.5   014450   01 ANGIO/SPECIALS LAB REV
45500087 IRC DESTRUCT NRV L/S ADD      307.55    307.55   014450   01 ANGIO/SPECIALS LAB REV
45500098 IRC DESTRUCT NRV PERIPH        922.5     922.5   014450   01 ANGIO/SPECIALS LAB REV
455042    IRC Embol Occ NonHead Nec   18287.2   18287.2   014450   01 ANGIO/SPECIALS LAB REV
455044    IRC Exchange Art Cath        2069.1    2069.1   014450   01 ANGIO/SPECIALS LAB REV
45500144 IRC EXTCRAN CV STENT ADD      4117.6    4117.6   014450   01 ANGIO/SPECIALS LAB REV
45500143 IRC EXTCRAN CV STENT INIT    7566.15   7566.15   014450   01 ANGIO/SPECIALS LAB REV
45500093 IRC GRFT RPLC IL ART            9227      9227   014450   01 ANGIO/SPECIALS LAB REV
45500057 IRC INC GRN UNI ENDO PROS     3954.6    3954.6   014450   01 ANGIO/SPECIALS LAB REV
45500139 IRC INJ ANES FEM NRV SNGL      858.1     858.1   014450   01 ANGIO/SPECIALS LAB REV
455056    IRC Inj Chol Transhepat     1970.75   1970.75   014450   01 ANGIO/SPECIALS LAB REV
455057    IRC Inj Chol Via Cath        1026.4    1026.4   014450   01 ANGIO/SPECIALS LAB REV
455083    IRC Inj Cysto Retro         6004.85   6004.85   014450   01 ANGIO/SPECIALS LAB REV
455093    IRC Inj Diskogram Cerv       2773.3    2773.3   014450   01 ANGIO/SPECIALS LAB REV
455092    IRC Inj Diskogram Lumb       3100.8    3100.8   014450   01 ANGIO/SPECIALS LAB REV
45500078 IRC INJ EPID CERV THOR        550.95    550.95   014450   01 ANGIO/SPECIALS LAB REV
45501558 IRC Inj Epid L/S             1501.35   1501.35   014450   01 ANGIO/SPECIALS LAB REV
455018    IRC Inj EXT Venogram         797.25    797.25   014450   01 ANGIO/SPECIALS LAB REV
45500084 IRC INJ FACET C/T 1 LVL          615       615   014450   01 ANGIO/SPECIALS LAB REV
45500085 IRC INJ FACET C/T ADD LVL      422.9     422.9   014450   01 ANGIO/SPECIALS LAB REV
455094    IRC Inj Facet L/S 1 Lvl     1506.85   1506.85   014450   01 ANGIO/SPECIALS LAB REV
455095    IRC Inj Facet L/S Add Lvl   1146.55   1146.55   014450   01 ANGIO/SPECIALS LAB REV
455099    IRC Inj LP                    614.3     614.3   014450   01 ANGIO/SPECIALS LAB REV
4550100 IRC Inj Nephrogram             742.65    742.65   014450   01 ANGIO/SPECIALS LAB REV
45500079 IRC INJ NRV BLK C/T 1 LVL        820       820   014450   01 ANGIO/SPECIALS LAB REV
45500080 IRC INJ NRV BLK C/T ADD       640.65    640.65   014450   01 ANGIO/SPECIALS LAB REV
45500081 IRC INJ NRV BLK L/S 1 LVL      717.5     717.5   014450   01 ANGIO/SPECIALS LAB REV
45500082 IRC INJ NRV BLK L/S ADD        512.5     512.5   014450   01 ANGIO/SPECIALS LAB REV
45500141   IRC INJ NRV BLK LUMB THOR    2261.75    2261.75   014450   01 ANGIO/SPECIALS LAB REV
45500099   IRC INJ SI JNT ANES/STRD     3981.05    3981.05   014450   01 ANGIO/SPECIALS LAB REV
45500064   IRC INJ SI JNT ARTHROGRAM    1506.85    1506.85   014450   01 ANGIO/SPECIALS LAB REV
45500112   IRC INS NON-TUN CV CATH5+    2177.85    2177.85   014450   01 ANGIO/SPECIALS LAB REV
45500116   IRC INS PICC W/O PORT 5+      4355.6     4355.6   014450   01 ANGIO/SPECIALS LAB REV
45500114   IRC INS TUNN CV DEV 5+       2275.35    2275.35   014450   01 ANGIO/SPECIALS LAB REV
45500113   IRC INS TUNN CV NO PORT5+     4355.6     4355.6   014450   01 ANGIO/SPECIALS LAB REV
455025     IRC Intro Brach Art           2527.6     2527.6   014450   01 ANGIO/SPECIALS LAB REV
455029     IRC Intro Cath Aorta          3291.8     3291.8   014450   01 ANGIO/SPECIALS LAB REV
455058     IRC Intro Cath Bili Drn       5737.3     5737.3   014450   01 ANGIO/SPECIALS LAB REV
455019     IRC Intro Cath IVC /SVC      2647.65    2647.65   014450   01 ANGIO/SPECIALS LAB REV
455022     IRC Intro Cath Pulm           2696.9     2696.9   014450   01 ANGIO/SPECIALS LAB REV
455074     IRC Intro Cath Renl Pelv     4449.05    4449.05   014450   01 ANGIO/SPECIALS LAB REV
455026     IRC Intro Ext Art            1998.05    1998.05   014450   01 ANGIO/SPECIALS LAB REV
45502547   IRC Intro G Tube             1600.55    1600.55   014450   01 ANGIO/SPECIALS LAB REV
455045     IRC Intro IVC Filter         10661.3    10661.3   014450   01 ANGIO/SPECIALS LAB REV
455076     IRC Intro Nephrostomy         4787.6     4787.6   014450   01 ANGIO/SPECIALS LAB REV
455075     IRC Intro Stent Cath Uret    5540.85    5540.85   014450   01 ANGIO/SPECIALS LAB REV
455041     IRC IVCH Retrieve FB          5076.8     5076.8   014450   01 ANGIO/SPECIALS LAB REV
45500148   IRC KYPHOPLASTY 1VERT BDY       4200       4200   014450   01 ANGIO/SPECIALS LAB REV
45500149   IRC KYPHOPLASTY ADDL BODY       2100       2100   014450   01 ANGIO/SPECIALS LAB REV
45500161   IRC LP THRP                    614.3      614.3   014450   01 ANGIO/SPECIALS LAB REV
45500121   IRC MECH REMOVE INTRACATH       4462       4462   014450   01 ANGIO/SPECIALS LAB REV
45500119   IRC MECH REMOVE PERICATH      6191.2     6191.2   014450   01 ANGIO/SPECIALS LAB REV
455077     IRC Nephrostomy Tube Chng     1113.9     1113.9   014450   01 ANGIO/SPECIALS LAB REV
45500153   IRC NG TUBE PLC W FLUORO     1015.35    1015.35   014450   01 ANGIO/SPECIALS LAB REV
455040     IRC NonThrombolysis IV          5721       5721   014450   01 ANGIO/SPECIALS LAB REV
45500107   IRC PARACENT ABD INI          714.95     714.95   014450   01 ANGIO/SPECIALS LAB REV
4550109    IRC PERM EMBOL OCC CNS      18721.15   18721.15   014450   01 ANGIO/SPECIALS LAB REV
45500138   IRC PERTNL CATH/CANN TEMP    1598.45    1598.45   014450   01 ANGIO/SPECIALS LAB REV
455090     IRC PRM EMBL OCC HEAD NEC    16753.4    16753.4   014450   01 ANGIO/SPECIALS LAB REV
455013     IRC PTA Aortic                  6207       6207   014450   01 ANGIO/SPECIALS LAB REV
455016     IRC PTA Brachioceph Ea      11709.35   11709.35   014450   01 ANGIO/SPECIALS LAB REV
455015     IRC PTA FemPop              10082.75   10082.75   014450   01 ANGIO/SPECIALS LAB REV
455014     IRC PTA IL                    8352.1     8352.1   014450   01 ANGIO/SPECIALS LAB REV
455012     IRC PTA Renl Visc           13286.95    13286.95    014450   01 ANGIO/SPECIALS LAB REV
455011     IRC PTA Tibeoperoneal Ea     11305.4     11305.4    014450   01 ANGIO/SPECIALS LAB REV
455017     IRC PTA Ven                  5426.25     5426.25    014450   01 ANGIO/SPECIALS LAB REV
45500151   IRC PTATHER FEM                  3500        3500   014450   01 ANGIO/SPECIALS LAB REV
45500157   IRC PTATHER IL                   2640        2640   014450   01 ANGIO/SPECIALS LAB REV
45500156   IRC PTATHER RENL                 3250        3250   014450   01 ANGIO/SPECIALS LAB REV
45500152   IRC PTATHER TIBIA                2996        2996   014450   01 ANGIO/SPECIALS LAB REV
455023     IRC Pulm Art L/R             3040.85     3040.85    014450   01 ANGIO/SPECIALS LAB REV
455024     IRC Pulm Art Seg Sub          3553.8      3553.8    014450   01 ANGIO/SPECIALS LAB REV
45500076   IRC REINSERT BILE TUBE       5326.55     5326.55    014450   01 ANGIO/SPECIALS LAB REV
45500127   IRC REM TUNN CVA DEV W PT     2460.1      2460.1    014450   01 ANGIO/SPECIALS LAB REV
45500118   IRC REMV TUNN CV CATH W/O     979.05      979.05    014450   01 ANGIO/SPECIALS LAB REV
45500140   IRC REPLACE CATH ONLY CV      1551.8      1551.8    014450   01 ANGIO/SPECIALS LAB REV
45500056   IRC REPR AAA W MODULAR         15563       15563    014450   01 ANGIO/SPECIALS LAB REV
45500059   IRC REPR AAA W PROS ADD       2416.1      2416.1    014450   01 ANGIO/SPECIALS LAB REV
45500058   IRC REPR AAA/IL PROS INI     9125.25     9125.25    014450   01 ANGIO/SPECIALS LAB REV
45500120   IRC REPS PREV PLC CV CATH     924.65      924.65    014450   01 ANGIO/SPECIALS LAB REV
45500117   IRC RPLC COMP TUN CV CATH     979.05      979.05    014450   01 ANGIO/SPECIALS LAB REV
45500122   IRC RPLC COMP TUN CV W/PT     8106.5      8106.5    014450   01 ANGIO/SPECIALS LAB REV
455020     IRC Select Cath 1st Ven      2871.55     2871.55    014450   01 ANGIO/SPECIALS LAB REV
455021     IRC Select Cath 2nd Ven       3553.8      3553.8    014450   01 ANGIO/SPECIALS LAB REV
455043     IRC STENT NOCORO/CAR/VERT    7566.15     7566.15    014450   01 ANGIO/SPECIALS LAB REV
4550103    IRC Stent Place NonCo Add     3777.8      3777.8    014450   01 ANGIO/SPECIALS LAB REV
45500077   IRC THORACENTESIS W TUBE        914.1       914.1   014450   01 ANGIO/SPECIALS LAB REV
45502627   IRC THROMBECTOMY AVS FIST    1954.55     1954.55    014450   01 ANGIO/SPECIALS LAB REV
45502626   IRC Thrombectomy AVS fist    4339.85     4339.85    014450   01 ANGIO/SPECIALS LAB REV
455039     IRC Thrombolysis IV NonCo     7309.5      7309.5    014450   01 ANGIO/SPECIALS LAB REV
45500106   IRC TIPS INSERTION          39319.15    39319.15    014450   01 ANGIO/SPECIALS LAB REV
45500094   IRC TIPS REVISION           39319.15    39319.15    014450   01 ANGIO/SPECIALS LAB REV
45502567   IRC Tube Thoracostomy        3431.45     3431.45    014450   01 ANGIO/SPECIALS LAB REV
45500115   IRC TUNN CV W/PORT 2CATH     17295.6     17295.6    014450   01 ANGIO/SPECIALS LAB REV
455038     IRC Ven Cath Blood Sample    1970.75     1970.75    014450   01 ANGIO/SPECIALS LAB REV
45500102   IRC VERTEPLASTY ADD PRC      3122.35     3122.35    014450   01 ANGIO/SPECIALS LAB REV
45500101   IRC VERTEPLASTY LUMB PRC     3122.35     3122.35    014450   01 ANGIO/SPECIALS LAB REV
45500100   IRC VERTEPLASTY THOR PRC     3122.35     3122.35    014450   01 ANGIO/SPECIALS LAB REV
45502288   S CATH DRAINAGE A            188.05    188.05   014450   01 ANGIO/SPECIALS LAB REV
45502598   S CATH DRAINAGE B             263.7     263.7   014450   01 ANGIO/SPECIALS LAB REV
45502671   S CATH DRAINAGE C             437.3     437.3   014450   01 ANGIO/SPECIALS LAB REV
45502284   S CATH DRAINAGE D             892.7     892.7   014450   01 ANGIO/SPECIALS LAB REV
45502285   S CATH DRAINAGE E           1205.95   1205.95   014450   01 ANGIO/SPECIALS LAB REV
45502597   S CATH DRAINAGE F              1218      1218   014450   01 ANGIO/SPECIALS LAB REV
45501001   S CATH DRAINAGE G           1268.25   1268.25   014450   01 ANGIO/SPECIALS LAB REV
45502286   S CATH DRAINAGE H           1800.65   1800.65   014450   01 ANGIO/SPECIALS LAB REV
45501707   S CATH DRAINAGE I            2176.3    2176.3   014450   01 ANGIO/SPECIALS LAB REV
45502670   S CATH GUIDING A             1000.9    1000.9   014450   01 ANGIO/SPECIALS LAB REV
45502656   S CATH GUIDING B             110.35    110.35   014450   01 ANGIO/SPECIALS LAB REV
45502678   S CATH GUIDING C              342.5     342.5   014450   01 ANGIO/SPECIALS LAB REV
45501368   S CATH GUIDING D              626.4     626.4   014450   01 ANGIO/SPECIALS LAB REV
45500047   S CATH GUIDING E             669.05    669.05   014450   01 ANGIO/SPECIALS LAB REV
45502666   S CATH GUIDING F             763.95    763.95   014450   01 ANGIO/SPECIALS LAB REV
45502664   S CATH GUIDING G             1190.9    1190.9   014450   01 ANGIO/SPECIALS LAB REV
45502662   S CATH GUIDING H            1190.95   1190.95   014450   01 ANGIO/SPECIALS LAB REV
45502685   S CATH GUIDING I             1377.8    1377.8   014450   01 ANGIO/SPECIALS LAB REV
45502630   S CATH GUIDING J             1702.7    1702.7   014450   01 ANGIO/SPECIALS LAB REV
45502639   S CATH GUIDING K             2073.6    2073.6   014450   01 ANGIO/SPECIALS LAB REV
45502531   S CATH GUIDING L             2297.6    2297.6   014450   01 ANGIO/SPECIALS LAB REV
45502537   S CATH GUIDING M             2580.9    2580.9   014450   01 ANGIO/SPECIALS LAB REV
45501385   S CATH GUIDING N            3913.85   3913.85   014450   01 ANGIO/SPECIALS LAB REV
45502668   S CATH HD/PERITNL LNG TRM   1863.45   1863.45   014450   01 ANGIO/SPECIALS LAB REV
45502657   S CATH INFSN NO HD A         463.65    463.65   014450   01 ANGIO/SPECIALS LAB REV
45502660   S CATH INFSN NO HD B        1643.95   1643.95   014450   01 ANGIO/SPECIALS LAB REV
45502658   S CATH THROMB/EMBOLCTMY A    410.95    410.95   014450   01 ANGIO/SPECIALS LAB REV
45502680   S CATH THROMB/EMBOLCTMY B    1755.8    1755.8   014450   01 ANGIO/SPECIALS LAB REV
45501384   S CATH THROMB/EMBOLCTMY C   1957.15   1957.15   014450   01 ANGIO/SPECIALS LAB REV
45502602   S CATH THROMB/EMBOLCTMY D    2106.9    2106.9   014450   01 ANGIO/SPECIALS LAB REV
45502663   S CATH THROMB/EMBOLCTMY E   2388.95   2388.95   014450   01 ANGIO/SPECIALS LAB REV
45502675   S CATH THROMB/EMBOLCTMY F   2743.35   2743.35   014450   01 ANGIO/SPECIALS LAB REV
45502681   S CATH THROMB/EMBOLCTMY G   3248.15   3248.15   014450   01 ANGIO/SPECIALS LAB REV
45502524   S CATH THROMB/EMBOLCTMY H    3555.5    3555.5   014450   01 ANGIO/SPECIALS LAB REV
45502525   S CATH THROMB/EMBOLCTMY I    4160.2    4160.2   014450   01 ANGIO/SPECIALS LAB REV
45502676   S CATH THROMB/EMBOLCTMY J     4740.2     4740.2   014450   01 ANGIO/SPECIALS LAB REV
45501386   S CATH THROMB/EMBOLCTMY K     5479.1     5479.1   014450   01 ANGIO/SPECIALS LAB REV
45502682   S CATH THROMB/EMBOLCTMY L     5582.9     5582.9   014450   01 ANGIO/SPECIALS LAB REV
45502641   S CATH THROMB/EMBOLCTMY M    6699.55    6699.55   014450   01 ANGIO/SPECIALS LAB REV
45502667   S CATH TRNSML ANG NOLSR A     952.75     952.75   014450   01 ANGIO/SPECIALS LAB REV
45501387   S CATH TRNSML ANG NOLSR B    2348.35    2348.35   014450   01 ANGIO/SPECIALS LAB REV
45501388   S CATH TRNSML ANG NOLSR C    3913.85    3913.85   014450   01 ANGIO/SPECIALS LAB REV
45501389   S CATH TRNSML ANG NOLSR D     5479.1     5479.1   014450   01 ANGIO/SPECIALS LAB REV
45501390   S CATH TRNSML ANG NOLSR E     6653.1     6653.1   014450   01 ANGIO/SPECIALS LAB REV
45500055   S CATH TRNSML ANG NOLSR F    1138.65    1138.65   014450   01 ANGIO/SPECIALS LAB REV
45502679   S DEVICE CLOSURE VASC A       1050.8     1050.8   014450   01 ANGIO/SPECIALS LAB REV
45502625   S DEVICE CLOSURE VASC B       1261.1     1261.1   014450   01 ANGIO/SPECIALS LAB REV
45502661   S DEVICE RETRIEVAL            1237.6     1237.6   014450   01 ANGIO/SPECIALS LAB REV
45502596   S FILTER VENA CAVA A         3741.95    3741.95   014450   01 ANGIO/SPECIALS LAB REV
45502674   S FILTER VENA CAVA B         4361.05    4361.05   014450   01 ANGIO/SPECIALS LAB REV
45502533   S FILTER VENA CAVA C         5188.05    5188.05   014450   01 ANGIO/SPECIALS LAB REV
45502294   S FILTER VENA CAVA D         9170.65    9170.65   014450   01 ANGIO/SPECIALS LAB REV
45500053   S IMP AVE SG AV EXT CUFF      7051.5     7051.5   014450   01 ANGIO/SPECIALS LAB REV
45500049   S IMP AVE SG BI LONG        26290.05   26290.05   014450   01 ANGIO/SPECIALS LAB REV
45500048   S IMP AVE SG BI SHORT        25246.1    25246.1   014450   01 ANGIO/SPECIALS LAB REV
45500052   S IMP AVE SG IL EXT CUFF      7051.5     7051.5   014450   01 ANGIO/SPECIALS LAB REV
45500051   S IMP AVE SG LEG LONG         8444.4     8444.4   014450   01 ANGIO/SPECIALS LAB REV
45500050   S IMP AVE SG LEG SHORT        7747.5     7747.5   014450   01 ANGIO/SPECIALS LAB REV
45500146   S IMP CAR STENT              2438.05    2438.05   014450   01 ANGIO/SPECIALS LAB REV
45502631   S IMP CNNECTVE NOHUMAN        1948.4     1948.4   014450   01 ANGIO/SPECIALS LAB REV
45500158   S IMP ENDOPROS              15891.25   15891.25   014450   01 ANGIO/SPECIALS LAB REV
45500160   S IMP ENDOPROS L               15239      15239   014450   01 ANGIO/SPECIALS LAB REV
45500159   S IMP ENDOPROS S               13100      13100   014450   01 ANGIO/SPECIALS LAB REV
45500063   S IMP GUIDANT STENTS          4091.7     4091.7   014450   01 ANGIO/SPECIALS LAB REV
45501616   S IMP NOCOR WODEL SYS TM     1691.05    1691.05   014450   01 ANGIO/SPECIALS LAB REV
45502669   S IMP NOCOR WODEL SYS TM      632.25     632.25   014450   01 ANGIO/SPECIALS LAB REV
45502659   S PORT INDWELLING             2153.6     2153.6   014450   01 ANGIO/SPECIALS LAB REV
45502683   S STNT COATED WDEL SYS A      8216.4     8216.4   014450   01 ANGIO/SPECIALS LAB REV
45502611   S STNT COATED WDEL SYS B     9859.65    9859.65   014450   01 ANGIO/SPECIALS LAB REV
45502610   S STNT COATED WDEL SYS C     9859.65    9859.65   014450   01 ANGIO/SPECIALS LAB REV
45502629   S STNT COATED WDEL SYS D      11376.55   11376.55   014450   01 ANGIO/SPECIALS LAB REV
45502653   S STNT NOCOAT WDEL SYS A        5056.3     5056.3   014450   01 ANGIO/SPECIALS LAB REV
45502605   S STNT NOCOAT WDEL SYS B        5561.9     5561.9   014450   01 ANGIO/SPECIALS LAB REV
45502606   S STNT NOCOAT WDEL SYS C        5561.9     5561.9   014450   01 ANGIO/SPECIALS LAB REV
45502607   S STNT NOCOAT WDEL SYS D        5561.9     5561.9   014450   01 ANGIO/SPECIALS LAB REV
45502549   S STNT NOCOAT WDEL SYS E        5642.8     5642.8   014450   01 ANGIO/SPECIALS LAB REV
45502690   S STNT NOCOAT WDEL SYS F       5899.05    5899.05   014450   01 ANGIO/SPECIALS LAB REV
45502550   S STNT NOCOAT WDEL SYS G       6047.35    6047.35   014450   01 ANGIO/SPECIALS LAB REV
45502608   S STNT NOCOAT WDEL SYS H       6067.45    6067.45   014450   01 ANGIO/SPECIALS LAB REV
45502559   S STNT NOCOAT WDEL SYS I        6094.7     6094.7   014450   01 ANGIO/SPECIALS LAB REV
45502689   S STNT NOCOAT WDEL SYS J        6299.3     6299.3   014450   01 ANGIO/SPECIALS LAB REV
45502551   S STNT NOCOAT WDEL SYS K       6451.85    6451.85   014450   01 ANGIO/SPECIALS LAB REV
45502560   S STNT NOCOAT WDEL SYS L       6749.25    6749.25   014450   01 ANGIO/SPECIALS LAB REV
45502617   S STNT NOCOAT WDEL SYS M       6825.95    6825.95   014450   01 ANGIO/SPECIALS LAB REV
45502618   S STNT NOCOAT WDEL SYS N       7559.05    7559.05   014450   01 ANGIO/SPECIALS LAB REV
45502619   S STNT NOCOAT WDEL SYS O       7559.05    7559.05   014450   01 ANGIO/SPECIALS LAB REV
45502620   S STNT NOCOAT WDEL SYS P       7559.05    7559.05   014450   01 ANGIO/SPECIALS LAB REV
45502621   S STNT NOCOAT WDEL SYS Q       7559.05    7559.05   014450   01 ANGIO/SPECIALS LAB REV
45501003   S STNT NOCOAT WDEL SYS R       8077.95    8077.95   014450   01 ANGIO/SPECIALS LAB REV
45501004   S STNT NOCOAT WDEL SYS S        8552.9     8552.9   014450   01 ANGIO/SPECIALS LAB REV
45501005   S STNT NOCOAT WDEL SYS T        9455.7     9455.7   014450   01 ANGIO/SPECIALS LAB REV
45502684   S STNT NOCOAT WO DEL SYSA      4147.85    4147.85   014450   01 ANGIO/SPECIALS LAB REV
45502614   S STNT NOCOAT WO DEL SYSB       4977.5     4977.5   014450   01 ANGIO/SPECIALS LAB REV
45502613   S STNT NOCOAT WO DEL SYSC       4977.5     4977.5   014450   01 ANGIO/SPECIALS LAB REV
45502612   S STNT NOCOAT WO DEL SYSD       4977.5     4977.5   014450   01 ANGIO/SPECIALS LAB REV
45502615   S STNT NOCOAT WO DEL SYSE       5240.8     5240.8   014450   01 ANGIO/SPECIALS LAB REV
45502616   S STNT NOCOAT WO DEL SYSF      5536.65    5536.65   014450   01 ANGIO/SPECIALS LAB REV
45502513   S STRL ACCUSTICK INTRODUCER     419.95     419.95   014450   01 ANGIO/SPECIALS LAB REV
45500067   S STRL ACRYLIC RESIN            673.95     673.95   014450   01 ANGIO/SPECIALS LAB REV
45502295   S STRL ANGIO SET IV NEEDLE       28.15      28.15   014450   01 ANGIO/SPECIALS LAB REV
45502276   S STRL ANGIO TUBING             156.85     156.85   014450   01 ANGIO/SPECIALS LAB REV
45502523   S STRL ANGIOJET PUMP SET       1261.15    1261.15   014450   01 ANGIO/SPECIALS LAB REV
45502651   S STRL BONE ACCESS & PREP      1175.85    1175.85   014450   01 ANGIO/SPECIALS LAB REV
45502645   S STRL BONE BIOPSY NEEDLE        251.2      251.2   014450   01 ANGIO/SPECIALS LAB REV
45502646   S STRL BONE CEMENT                 471        471   014450   01 ANGIO/SPECIALS LAB REV
45500065   S STRL BPSY NDLE 13 X 10           199.6     199.6   014450   01 ANGIO/SPECIALS LAB REV
45500066   S STRL BPSY NDLE 13 X 15           199.6     199.6   014450   01 ANGIO/SPECIALS LAB REV
45500109   S STRL CATH CTO                  6005.35   6005.35   014450   01 ANGIO/SPECIALS LAB REV
45500110   S STRL CATH MGC                   1605.4    1605.4   014450   01 ANGIO/SPECIALS LAB REV
45502665   S STRL CATH OCCLUSION             1032.5    1032.5   014450   01 ANGIO/SPECIALS LAB REV
45500068   S STRL CEMENT DELIVRY TRY        1583.95   1583.95   014450   01 ANGIO/SPECIALS LAB REV
45502279   S STRL COIL A                      595.3     595.3   014450   01 ANGIO/SPECIALS LAB REV
45502280   S STRL COIL B                      939.6     939.6   014450   01 ANGIO/SPECIALS LAB REV
45500054   S STRL COOK SG SHEATHS               880       880   014450   01 ANGIO/SPECIALS LAB REV
45502544   S STRL COPE T-FASTENER            318.95    318.95   014450   01 ANGIO/SPECIALS LAB REV
45502624   S STRL CRANIOPLASTY CEMENT        828.15    828.15   014450   01 ANGIO/SPECIALS LAB REV
45502650   S STRL CRANIOPLASTY KIT           1771.5    1771.5   014450   01 ANGIO/SPECIALS LAB REV
45500131   S STRL CRYO INFLTN UNIT          5733.75   5733.75   014450   01 ANGIO/SPECIALS LAB REV
45500142   S STRL CUTTING BALLOON            4828.4    4828.4   014450   01 ANGIO/SPECIALS LAB REV
45502267   S STRL DILATOR A                  156.85    156.85   014450   01 ANGIO/SPECIALS LAB REV
45502268   S STRL DILATOR B                  782.95    782.95   014450   01 ANGIO/SPECIALS LAB REV
45501509   S STRL DISP ANGIO TRAY            923.85    923.85   014450   01 ANGIO/SPECIALS LAB REV
45500147   S STRL EMB PROT                  1679.55   1679.55   014450   01 ANGIO/SPECIALS LAB REV
45501000   S STRL EMBOLIZATION PARTICLES    1675.35   1675.35   014450   01 ANGIO/SPECIALS LAB REV
45502522   S STRL EPIDURAL NEEDLE 20 X 3      16.55     16.55   014450   01 ANGIO/SPECIALS LAB REV
45502622   S STRL EZ FLOW CEMENT DELIVERY    2607.3    2607.3   014450   01 ANGIO/SPECIALS LAB REV
45502292   S STRL FLUSH SYSTEM                266.4     266.4   014450   01 ANGIO/SPECIALS LAB REV
45501007   S STRL HEMOSTATIC ROTATING VAL    391.75    391.75   014450   01 ANGIO/SPECIALS LAB REV
45501006   S STRL INFLATION DEVICE          1330.85   1330.85   014450   01 ANGIO/SPECIALS LAB REV
45502283   S STRL MYELOGRAM TRAY              330.9     330.9   014450   01 ANGIO/SPECIALS LAB REV
45500132   S STRL N2O CARTRIDGE               362.2     362.2   014450   01 ANGIO/SPECIALS LAB REV
45502291   S STRL NEEDLE - A                 156.85    156.85   014450   01 ANGIO/SPECIALS LAB REV
45501640   S STRL NEEDLE - B                 391.75    391.75   014450   01 ANGIO/SPECIALS LAB REV
45501641   S STRL NEEDLE - C                 782.95    782.95   014450   01 ANGIO/SPECIALS LAB REV
45501642   S STRL NEEDLE - D                 1722.2    1722.2   014450   01 ANGIO/SPECIALS LAB REV
45500045   S STRL NOINTRACARD LSR            317.15    317.15   014450   01 ANGIO/SPECIALS LAB REV
45502192   S STRL NOINTRACARD LSR             939.6     939.6   014450   01 ANGIO/SPECIALS LAB REV
45502242   S STRL NOINTRACARD LSR            516.95    516.95   014450   01 ANGIO/SPECIALS LAB REV
45502673   S STRL NOINTRACARD LSR             264.2     264.2   014450   01 ANGIO/SPECIALS LAB REV
45502672   S STRL NOINTRACARD LSR             73.85     73.85   014450   01 ANGIO/SPECIALS LAB REV
45502538   S STRL NOINTRACARD LSR             472.65     472.65   014450   01 ANGIO/SPECIALS LAB REV
45502573   S STRL NOINTRACARD LSR              316.1      316.1   014450   01 ANGIO/SPECIALS LAB REV
45502628   S STRL NOINTRACARD LSR             218.75     218.75   014450   01 ANGIO/SPECIALS LAB REV
45502649   S STRL NOINTRACARD LSR              274.8      274.8   014450   01 ANGIO/SPECIALS LAB REV
45502652   S STRL NOINTRACARD LSR              416.2      416.2   014450   01 ANGIO/SPECIALS LAB REV
45500135   S STRL PLAQ EXCISION             11558.75   11558.75   014450   01 ANGIO/SPECIALS LAB REV
45500130   S STRL POLARCATH                   3621.3     3621.3   014450   01 ANGIO/SPECIALS LAB REV
45500069   S STRL RHIZOTOMY NEEDLE            148.65     148.65   014450   01 ANGIO/SPECIALS LAB REV
45502575   S STRL SET PULSE SPRAY INJECTO     1821.4     1821.4   014450   01 ANGIO/SPECIALS LAB REV
45502541   S STRL SUTURE 3-0                    13.4       13.4   014450   01 ANGIO/SPECIALS LAB REV
45502540   S STRL SUTURE 4-0                    13.4       13.4   014450   01 ANGIO/SPECIALS LAB REV
45502577   S STRL SUTURE TSL-631-06          1260.95    1260.95   014450   01 ANGIO/SPECIALS LAB REV
45501002   S STRL THORACIC VENT              3052.75    3052.75   014450   01 ANGIO/SPECIALS LAB REV
45502623   S STRL TRACERS-VERTEBROPLASTY         471        471   014450   01 ANGIO/SPECIALS LAB REV
45502543   S STRL TUNNEL DEVICE                184.5      184.5   014450   01 ANGIO/SPECIALS LAB REV
45500074   S STRL VERT HAN/NEED KIT            679.2      679.2   014450   01 ANGIO/SPECIALS LAB REV
45500073   S STRL VERT INJECTOR KIT            731.4      731.4   014450   01 ANGIO/SPECIALS LAB REV
45500070   S STRL VERT MULTI TRAY            2154.75    2154.75   014450   01 ANGIO/SPECIALS LAB REV
45500072   S STRL VERT PREP TRAY               470.2      470.2   014450   01 ANGIO/SPECIALS LAB REV
45500071   S STRL VERT SINGLE TRAY            1505.3     1505.3   014450   01 ANGIO/SPECIALS LAB REV
45502635   S STRL VORTEX COIL-DIAMOND .03     1540.6     1540.6   014450   01 ANGIO/SPECIALS LAB REV
45502633   S STRL VORTEX COIL-DIAMOND 2X3    2213.45    2213.45   014450   01 ANGIO/SPECIALS LAB REV
45502634   S STRL VORTEX COIL-DIAMOND 2X6    2213.45    2213.45   014450   01 ANGIO/SPECIALS LAB REV
45502644   S STRL Z-O SURGIPRO SUT             10.95      10.95   014450   01 ANGIO/SPECIALS LAB REV
45502643   S SYS DIALYSIS ACCESS A             948.3      948.3   014450   01 ANGIO/SPECIALS LAB REV
45502642   S SYS DIALYSIS ACCESS B             379.3      379.3   014450   01 ANGIO/SPECIALS LAB REV
45502688   S SYS DIALYSIS ACCESS C           7373.75    7373.75   014450   01 ANGIO/SPECIALS LAB REV
45502640   S SYS DIALYSIS ACCESS D           8848.45    8848.45   014450   01 ANGIO/SPECIALS LAB REV
45502655   S WIRE GUIDE A                     229.05     229.05   014450   01 ANGIO/SPECIALS LAB REV
45502654   S WIRE GUIDE B                      272.3      272.3   014450   01 ANGIO/SPECIALS LAB REV
45501624   S WIRE GUIDE C                     391.75     391.75   014450   01 ANGIO/SPECIALS LAB REV
45502574   S WIRE GUIDE D                      505.8      505.8   014450   01 ANGIO/SPECIALS LAB REV
45501350   S WIRE GUIDE E                     782.95     782.95   014450   01 ANGIO/SPECIALS LAB REV
45502687   S WIRE GUIDE F                      869.2      869.2   014450   01 ANGIO/SPECIALS LAB REV
45502632   S WIRE GUIDE G                    1042.25    1042.25   014450   01 ANGIO/SPECIALS LAB REV
45502636   S WIRE GUIDE H              1042.25   1042.25   014450   01 ANGIO/SPECIALS LAB REV
45501681   S WIRE GUIDE I              1174.35   1174.35   014450   01 ANGIO/SPECIALS LAB REV
45502677   S WIRE GUIDE J              1336.45   1336.45   014450   01 ANGIO/SPECIALS LAB REV
45502532   S WIRE GUIDE K               1597.7    1597.7   014450   01 ANGIO/SPECIALS LAB REV
45502686   S WIRE GUIDE L                 1728      1728   014450   01 ANGIO/SPECIALS LAB REV
45501682   S WIRE GUIDE M               2583.3    2583.3   014450   01 ANGIO/SPECIALS LAB REV
45500036   XR Chol EXISTING CATH         458.8     458.8   014450   01 ANGIO/SPECIALS LAB REV
45500060   XR Endovas repr abd AO       8887.5    8887.5   014450   01 ANGIO/SPECIALS LAB REV
45502548   XR G Tube Prc                741.25    741.25   014450   01 ANGIO/SPECIALS LAB REV
45501418   XR Myelogram Cerv            1995.5    1995.5   014450   01 ANGIO/SPECIALS LAB REV
45501427   XR Myelogram Lumb            1738.8    1738.8   014450   01 ANGIO/SPECIALS LAB REV
45501429   XR MYELOGRM 1 OR MORE REG   2636.75   2636.75   014450   01 ANGIO/SPECIALS LAB REV
45500061   XR PLACE PROS REPR AAA/IL   4382.95   4382.95   014450   01 ANGIO/SPECIALS LAB REV
45501091   XR Swallowing Fnctn         1551.85   1551.85   014450   01 ANGIO/SPECIALS LAB REV
4550104    XR Urogram Antegrade          597.9     597.9   014450   01 ANGIO/SPECIALS LAB REV
455098     XRC Inj C1 C2 Myelogram     2276.55   2276.55   014450   01 ANGIO/SPECIALS LAB REV
455091     XRC Inj Myelogram           2107.25   2107.25   014450   01 ANGIO/SPECIALS LAB REV
41012445   AB ELUTION                      125       125   014100   01 BLOOD BANK REV
41012430   AB ELUTION                   210.27    210.27   014100   01 BLOOD BANK REV
41012436   AB ID                        538.05    538.05   014100   01 BLOOD BANK REV
41012405   AB ID                           150       150   014100   01 BLOOD BANK REV
41012442   AB ID 2                          50        50   014100   01 BLOOD BANK REV
41012426   AB SCRN                      258.43    258.43   014100   01 BLOOD BANK REV
41012446   AB TTR 2                         90        90   014100   01 BLOOD BANK REV
41012424   ABO TYP                      147.37    147.37   014100   01 BLOOD BANK REV
41012448   AG SCRN PER UNIT PT SPEC      29.09     29.09   014100   01 BLOOD BANK REV
41012437   AG SCRN PER UNIT RGNT         29.09     29.09   014100   01 BLOOD BANK REV
41012433   AG TYP PT RBC EA              65.01     65.01   014100   01 BLOOD BANK REV
41012443   AG TYP PT RBC EA                 40        40   014100   01 BLOOD BANK REV
41012429   COLD AGGLUTININ SCRN         265.64    265.64   014100   01 BLOOD BANK REV
41012440   COMPATIBILITY TEST AHG       167.36    167.36   014100   01 BLOOD BANK REV
41012410   COMPATIBILITY TEST IS            85        85   014100   01 BLOOD BANK REV
41012435   COMPATIBILITY TEST IS        407.42    407.42   014100   01 BLOOD BANK REV
41012431   COOMBS DIRECT C3             203.17    203.17   014100   01 BLOOD BANK REV
41012427   COOMBS DIRECT IG             203.17    203.17   014100   01 BLOOD BANK REV
41012063   CRYO PS                       69       69   014100   01 BLOOD BANK REV
41012432   FETAL FIBRONECTIN         483.38   483.38   014100   01 BLOOD BANK REV
41012428   FETAL SCRN ROSETTE        168.22   168.22   014100   01 BLOOD BANK REV
41012055   FFP PS                        69       69   014100   01 BLOOD BANK REV
41012421   FFP PS                        45       45   014100   01 BLOOD BANK REV
41012030   IG RHO D MINI              91.25    91.25   014100   01 BLOOD BANK REV
41012403   IRRADIATION BLD PROD EA       60       60   014100   01 BLOOD BANK REV
41012113   LEUK TRANSFUSION             560      560   014100   01 BLOOD BANK REV
41012434   MISC TS PROC                   0        0   014100   01 BLOOD BANK REV
41012105   PHER PS                      595      595   014100   01 BLOOD BANK REV
41012423   PLAS CRYO REDUCED PS          56       56   014100   01 BLOOD BANK REV
41012071   PLTC PS                       65       65   014100   01 BLOOD BANK REV
41012384   RBC L/D PS                   171      171   014100   01 BLOOD BANK REV
41012439   RBC PRETRTMT CHEM/DRG        180      180   014100   01 BLOOD BANK REV
41012438   RBC PRETRTMT CHEM/DRG         50       50   014100   01 BLOOD BANK REV
41012411   RBC PRETRTMT CHEM/DRG     195.04   195.04   014100   01 BLOOD BANK REV
41012123   RBC PS                       165      165   014100   01 BLOOD BANK REV
41012133   RBC PS                       100      100   014100   01 BLOOD BANK REV
41012172   RBC PS                       275      275   014100   01 BLOOD BANK REV
41012447   RH PHENOTYP COMPLETE          40       40   014100   01 BLOOD BANK REV
41012425   RH TYP                    143.03   143.03   014100   01 BLOOD BANK REV
40699730   SER PRETRTMT ABSORB           50       50   014100   01 BLOOD BANK REV
41012441   SER PRETRTMT INCUB/ DRG   130.03   130.03   014100   01 BLOOD BANK REV
41012418   SPLIT BLD PROD EA UNIT     10.84    10.84   014100   01 BLOOD BANK REV
41012422   THAWING PROD PER UNIT         20       20   014100   01 BLOOD BANK REV
41012091   WASHED RBC PS                180      180   014100   01 BLOOD BANK REV
44701043   CARDIAC REHAB W EKG       258.25   258.25   014410   01 CARDIAC REHAB REVENUE
44701090   LEVEL 1 EST PATIENT            0        0   014410   01 CARDIAC REHAB REVENUE
44701085   LEVEL 1 NEW PATIENT            0        0   014410   01 CARDIAC REHAB REVENUE
44701091   LEVEL 2 EST PATIENT            0        0   014410   01 CARDIAC REHAB REVENUE
44701086   LEVEL 2 NEW PATIENT            0        0   014410   01 CARDIAC REHAB REVENUE
44701092   LEVEL 3 EST PATIENT        232.7    232.7   014410   01 CARDIAC REHAB REVENUE
44701087   LEVEL 3 NEW PATIENT        232.7    232.7   014410   01 CARDIAC REHAB REVENUE
44701093   LEVEL 4 EST PATIENT        251.6    251.6   014410   01 CARDIAC REHAB REVENUE
44701088   LEVEL 4 NEW PATIENT        251.6    251.6   014410   01 CARDIAC REHAB REVENUE
44701094   LEVEL 5 EST PATIENT          270.55    270.55   014410   01 CARDIAC REHAB REVENUE
44701089   LEVEL 5 NEW PATIENT          270.55    270.55   014410   01 CARDIAC REHAB REVENUE
44300101   CA Cardiac Stres Test        1256.3    1256.3   014111   01 CARDIOVASCULAR REV
44300127   CA Echo 2D Cmpl              1379.2    1379.2   014111   01 CARDIOVASCULAR REV
44300150   CA Echo 2D Ltd               1379.2    1379.2   014111   01 CARDIOVASCULAR REV
44300465   CA Echo Dppler Cmpl          673.05    673.05   014111   01 CARDIOVASCULAR REV
44300131   CA Echo Dppler Color Flow    673.05    673.05   014111   01 CARDIOVASCULAR REV
44300130   CA Echo Transesophageal      2346.6    2346.6   014111   01 CARDIOVASCULAR REV
44300817   CON ECHO PER STUDY           260.55    260.55   014111   01 CARDIOVASCULAR REV
44300671   CT GUIDE NDL PLACEMENT          709       709   014111   01 CARDIOVASCULAR REV
44300669   CT Guide Rad Tx Fields       769.15    769.15   014111   01 CARDIOVASCULAR REV
44300816   IRC INTRO NDL INTRACA VEN     554.7     554.7   014111   01 CARDIOVASCULAR REV
44300505   NI Aorta IVC IL Cmpl        1401.65   1401.65   014111   01 CARDIOVASCULAR REV
44300506   NI Aorta IVC IL Ltd          934.05    934.05   014111   01 CARDIOVASCULAR REV
44300507   NI Dial Acces                 840.4     840.4   014111   01 CARDIOVASCULAR REV
44300805   NI Dppler Ext Veins Bil      3048.8    3048.8   014111   01 CARDIOVASCULAR REV
44300504   NI Duplex Abd Pelv Ltd      1322.55   1322.55   014111   01 CARDIOVASCULAR REV
44300791   NI Duplex Ext Low Bil       1122.45   1122.45   014111   01 CARDIOVASCULAR REV
44300735   NI Duplex Ext Low Uni        2498.3    2498.3   014111   01 CARDIOVASCULAR REV
44300792   NI Duplex Ext Upp Bil       1122.45   1122.45   014111   01 CARDIOVASCULAR REV
44300440   NI Duplex Ext Veins Uni     1524.45   1524.45   014111   01 CARDIOVASCULAR REV
44300366   NI Duplex Extracran Bil     2500.85   2500.85   014111   01 CARDIOVASCULAR REV
44300382   NI Ext Art Multi Bil          993.8     993.8   014111   01 CARDIOVASCULAR REV
44300132   NI Intracran Cmpl              1119      1119   014111   01 CARDIOVASCULAR REV
44300133   NI Intracran Ltd              839.3     839.3   014111   01 CARDIOVASCULAR REV
44300502   S STRL ABBOTT TRANS DUCER    126.15    126.15   014111   01 CARDIOVASCULAR REV
44300818   S STRL TPT                   528.55    528.55   014111   01 CARDIOVASCULAR REV
44300525   US Abd Cmpl                 1125.65   1125.65   014111   01 CARDIOVASCULAR REV
44300803   US Amniocentesis            1125.65   1125.65   014111   01 CARDIOVASCULAR REV
44300793   US Bio Profile W NonStres   1122.45   1122.45   014111   01 CARDIOVASCULAR REV
44300799   US Breast Uni Or Bil        1122.45   1122.45   014111   01 CARDIOVASCULAR REV
44300692   US Chest                     483.25    483.25   014111   01 CARDIOVASCULAR REV
44300536   US Echo Abd Ltd              844.25    844.25   014111   01 CARDIOVASCULAR REV
44300593   US Echo Retrope Ltd         1669.05   1669.05   014111   01 CARDIOVASCULAR REV
44300712   US Encephalogram            1125.65   1125.65   014111   01 CARDIOVASCULAR REV
44300795 US Ext NonVascular          1122.45    1122.45    014111   01 CARDIOVASCULAR REV
44300612 US Guide Art Pseudoaneur       2675       2675    014111   01 CARDIOVASCULAR REV
44300514 US Head & Nec Sft Tissue     784.85     784.85    014111   01 CARDIOVASCULAR REV
44300790 US In OR                     2346.6     2346.6    014111   01 CARDIOVASCULAR REV
44300611 US Ndl Place                 1350.7     1350.7    014111   01 CARDIOVASCULAR REV
44300809 US OB 1ST TRI 1 GEST        1125.65    1125.65    014111   01 CARDIOVASCULAR REV
44300810 US OB 1ST TRI EA GEST       1125.65    1125.65    014111   01 CARDIOVASCULAR REV
44300614 US OB AFTR 1ST TRI 1 GEST   1125.65    1125.65    014111   01 CARDIOVASCULAR REV
44300610 US OB AFTR 1ST TRI EA GES    1350.7     1350.7    014111   01 CARDIOVASCULAR REV
44300811 US OB DTLD FTL EXAM 1 GES   1125.65    1125.65    014111   01 CARDIOVASCULAR REV
44300812 US OB DTLD FTL EXM EA GES   1125.65    1125.65    014111   01 CARDIOVASCULAR REV
44300808 US OB FU/REEVAL EA FETUS    1125.65    1125.65    014111   01 CARDIOVASCULAR REV
44300625 US OB Ltd 1/MORE FETUSES    1122.45    1122.45    014111   01 CARDIOVASCULAR REV
44300813 US OB TRANSVAGINAL               903        903   014111   01 CARDIOVASCULAR REV
44300658 US Pelv Cmpl NonOB           870.95     870.95    014111   01 CARDIOVASCULAR REV
44300681 US Pelv Ltd FU NonOB          611.9      611.9    014111   01 CARDIOVASCULAR REV
44300609 US Pericardiocent                709        709   014111   01 CARDIOVASCULAR REV
44300802 US Renl Transplant          1014.85    1014.85    014111   01 CARDIOVASCULAR REV
44300569 US Retrope Cmpl             1014.85    1014.85    014111   01 CARDIOVASCULAR REV
44300723 US Testicular Scrotum       1125.65    1125.65    014111   01 CARDIOVASCULAR REV
44300778 US Transvaginal                  903        903   014111   01 CARDIOVASCULAR REV
44300814 USC PARACENT ABD INI         714.95     714.95    014111   01 CARDIOVASCULAR REV
44300815 USC THORACENTESIS             430.3      430.3    014111   01 CARDIOVASCULAR REV
47300014 CA 02 SAT VEN                   66.1       66.1   014440   01 CATH LAB REV
47300013 CA ACTIVATED CLTTNG TIME      32.75      32.75    014440   01 CATH LAB REV
47310289 CA ANGIO ADD VESSEL EA       4326.3     4326.3    014440   01 CATH LAB REV
47310290 CA ANGIO AVS SHUNT           1315.8     1315.8    014440   01 CATH LAB REV
473103178 CA ANGIO BRACH S&I         4773.95    4773.95    014440   01 CATH LAB REV
47310272 CA ANGIO CAROTD CERE BIL    5214.75    5214.75    014440   01 CATH LAB REV
47310271 CA ANGIO CAROTD CERE UNI    5050.95    5050.95    014440   01 CATH LAB REV
47310270 CA ANGIO CAROTD CERE UNI    5050.95    5050.95    014440   01 CATH LAB REV
47310275 CA ANGIO CAROTD CERV BIL     4685.7     4685.7    014440   01 CATH LAB REV
47310274 CA ANGIO CAROTD CERV UNI    5050.95    5050.95    014440   01 CATH LAB REV
47310273 CA ANGIO CAROTD CERV UNI    5050.95    5050.95    014440   01 CATH LAB REV
473103175 CA ANGIO CAROTD XTL BIL    5214.75    5214.75    014440   01 CATH LAB REV
473103177 CA ANGIO CAROTD XTL UNI     5050.95   5050.95   014440   01 CATH LAB REV
473103176 CA ANGIO CAROTD XTL UNI     5050.95   5050.95   014440   01 CATH LAB REV
47310269 CA ANGIO CERVICOCEREBRAL      5135.5    5135.5   014440   01 CATH LAB REV
47310281 CA ANGIO EXT BIL             4773.95   4773.95   014440   01 CATH LAB REV
47310280 CA ANGIO EXT UNI             4692.05   4692.05   014440   01 CATH LAB REV
47310279 CA ANGIO EXT UNI             4692.05   4692.05   014440   01 CATH LAB REV
47310297 CA ANGIO FU EXISTING CATH     1124.8    1124.8   014440   01 CATH LAB REV
47310285 CA ANGIO PELV SELECT         4692.05   4692.05   014440   01 CATH LAB REV
47310288 CA ANGIO PULM BIL SELECT      4937.7    4937.7   014440   01 CATH LAB REV
47310105 CA ANGIO PULM NONSELECT      3231.25   3231.25   014440   01 CATH LAB REV
47310287 CA ANGIO PULM UNI SELECT     4773.95   4773.95   014440   01 CATH LAB REV
47310286 CA ANGIO PULM UNI SELECT     4773.95   4773.95   014440   01 CATH LAB REV
47310283 CA ANGIO RENL BIL             4858.4    4858.4   014440   01 CATH LAB REV
47310028 CA ANGIO RENL BIL             2745.1    2745.1   014440   01 CATH LAB REV
47310282 CA ANGIO RENL UNI            4692.05   4692.05   014440   01 CATH LAB REV
47310276 CA ANGIO VERTEBRAL           5050.95   5050.95   014440   01 CATH LAB REV
47310278 CA ANGIO VERTEBRAL           5050.95   5050.95   014440   01 CATH LAB REV
47310277 CA ANGIO VERTEBRAL           5050.95   5050.95   014440   01 CATH LAB REV
47310284 CA ANGIO VISC                4692.05   4692.05   014440   01 CATH LAB REV
47310268 CA AORTOGRAM ABD BIL EXT     4948.65   4948.65   014440   01 CATH LAB REV
47310104 CA AORTOGRAM ABD W SER        2745.1    2745.1   014440   01 CATH LAB REV
47310267 CA AORTOGRAM THOR W SER         4969      4969   014440   01 CATH LAB REV
47301972 CA BIOPSY ENDOMYOCARDIAL     2485.95   2485.95   014440   01 CATH LAB REV
47300002 CA CARDIOVERT ELCTVE EXT     1282.85   1282.85   014440   01 CATH LAB REV
47310100 CA CORO/GRFT/IMA WO LHC       5410.3    5410.3   014440   01 CATH LAB REV
47310102 CA CPR                       1146.55   1146.55   014440   01 CATH LAB REV
47310079 CA DILUTION STDY W OUTPUT    1039.25   1039.25   014440   01 CATH LAB REV
473103180 CA DPPLR W STRESS ADD VSL       400       400   014440   01 CATH LAB REV
473103179 CA DPPLR W STRESS INI          2500      2500   014440   01 CATH LAB REV
47305078 CA EP ABLTN AV NDE/CNDCTN    6929.05   6929.05   014440   01 CATH LAB REV
47310089 CA EP ABLTN OF SVT           6929.05   6929.05   014440   01 CATH LAB REV
47310090 CA EP ABLTN OF VT            6868.05   6868.05   014440   01 CATH LAB REV
47310312 CA EP EVAL COMP W INDUCT     3653.95   3653.95   014440   01 CATH LAB REV
47310094 CA EP EVAL COMP WO INDUCT    3653.95   3653.95   014440   01 CATH LAB REV
473103143 CA EP EVAL ICD LEADS        18854.7   18854.7   014440   01 CATH LAB REV
47310088 CA EP EVAL ICD LEADS/GEN    18854.7   18854.7   014440   01 CATH LAB REV
47310085 CA EP EVAL W L ATR PACING   3653.95   3653.95   014440   01 CATH LAB REV
47310086 CA EP EVAL W L VENT PACNG   1358.95   1358.95   014440   01 CATH LAB REV
47310097 CA EP HIS BUNDLE RECORD      4207.1    4207.1   014440   01 CATH LAB REV
47310093 CA EP INDUCT ARR BY PACNG   4954.15   4954.15   014440   01 CATH LAB REV
44702220 CA EP INTRA ATR PACING      4244.55   4244.55   014440   01 CATH LAB REV
44702216 CA EP INTRA ATR RECORD      4244.55   4244.55   014440   01 CATH LAB REV
47310092 CA EP INTRA VENT PACING      4207.1    4207.1   014440   01 CATH LAB REV
47310091 CA EP MAP VENT/ATR TACHY    4998.75   4998.75   014440   01 CATH LAB REV
47310087 CA EP PRG PCNG POST RX       4207.1    4207.1   014440   01 CATH LAB REV
44702219 CA EP R VENT RECORD         4244.55   4244.55   014440   01 CATH LAB REV
47305079 CA EP TILT TABLE TEST         705.5     705.5   014440   01 CATH LAB REV
47301964 CA ERGONOVINE PROV TEST      4710.2    4710.2   014440   01 CATH LAB REV
473103174 CA EXCHANGE ART CATH       7156.75   7156.75   014440   01 CATH LAB REV
47310107 CA FLUORO 1HR OR LES         507.75    507.75   014440   01 CATH LAB REV
47310130 CA FLUORO NDL PLACE          1302.8    1302.8   014440   01 CATH LAB REV
47301932 CA HEART CATH LEFT           5410.3    5410.3   014440   01 CATH LAB REV
47301833 CA HEART CATH RIGHT          5410.3    5410.3   014440   01 CATH LAB REV
47301643 CA INJ AORTOGRAPHY            173.1     173.1   014440   01 CATH LAB REV
47301650 CA INJ CORO ANGIO            612.85    612.85   014440   01 CATH LAB REV
47301544 CA INJ GRAFT ANGIO            267.1     267.1   014440   01 CATH LAB REV
47300007 CA INJ IMA CONDUIT            240.9     240.9   014440   01 CATH LAB REV
47300008 CA INJ L VENT/ATR ANGIO      173.15    173.15   014440   01 CATH LAB REV
47310101 CA INJ PULM ANGIO             143.8     143.8   014440   01 CATH LAB REV
47310202 CA INJ R VENT/ATR ANGIO       173.1     173.1   014440   01 CATH LAB REV
47300005 CA INSERT SWAN GANZ         2485.95   2485.95   014440   01 CATH LAB REV
47310298 CA IVC FILTER PLACE         4416.55   4416.55   014440   01 CATH LAB REV
47302125 CA IVUS CORO ADD VSL         754.65    754.65   014440   01 CATH LAB REV
47302122 CA IVUS CORO INI VSL         762.55    762.55   014440   01 CATH LAB REV
47300011 CA PERICARDIOCENT             755.6     755.6   014440   01 CATH LAB REV
47310311 CA PLACE DRG EL STNT ADDL   15843.4   15843.4   014440   01 CATH LAB REV
47310310 CA PLACE DRG EL STNT SNGL   15843.4   15843.4   014440   01 CATH LAB REV
47310099 CA PLACE RAD DEL DEVICE     2524.85   2524.85   014440   01 CATH LAB REV
47310106 CA PM INSERT                 132.25    132.25   014440   01 CATH LAB REV
47310302 CA PTA PERIPH ART           5450.85   5450.85   014440   01 CATH LAB REV
47310301 CA PTA PERIPH ART             5450.85    5450.85   014440   01 CATH LAB REV
47310303 CA PTA PERIPH ART ADD          2939.8     2939.8   014440   01 CATH LAB REV
47310304 CA PTA PERIPH ART ADD          2939.8     2939.8   014440   01 CATH LAB REV
47310305 CA PTA RENL VISC               5808.4     5808.4   014440   01 CATH LAB REV
47310306 CA PTA RENL VISC               5808.4     5808.4   014440   01 CATH LAB REV
47310307 CA PTA RENL VISC               5808.4     5808.4   014440   01 CATH LAB REV
47310308 CA PTA VEN                    5529.95    5529.95   014440   01 CATH LAB REV
47309580 CA PTC ATHERCTMY ADD VSL         4020       4020   014440   01 CATH LAB REV
47309590 CA PTC ATHERCTMY ADD VSL         4020       4020   014440   01 CATH LAB REV
47305081 CA PTC ATHERCTMY ADD VSL      14330.7    14330.7   014440   01 CATH LAB REV
47309579 CA PTC ATHERCTMY SNGL VSL     9258.25    9258.25   014440   01 CATH LAB REV
47305080 CA PTC ATHERCTMY SNGL VSL     14330.7    14330.7   014440   01 CATH LAB REV
014440    CA PTC ATHERCTMY SNGL VSL    9258.25    9258.25   014440   01 CATH LAB REV
47309589 CA PTC ATHERCTMY SNGL VSL     9258.25    9258.25   014440   01 CATH LAB REV
47302088 CA PTC ATHERCTMY SNGL VSL     14332.3    14332.3   014440   01 CATH LAB REV
47309584 CA PTC ATHERCTMY SNGL VSL     9258.25    9258.25   014440   01 CATH LAB REV
47302121 CA PTCA ADD VSL               9267.05    9267.05   014440   01 CATH LAB REV
47309583 CA PTCA SNGL VSL               8975.9     8975.9   014440   01 CATH LAB REV
47309578 CA PTCA SNGL VSL               8975.9     8975.9   014440   01 CATH LAB REV
47302110 CA PTCA SNGL VSL              9267.05    9267.05   014440   01 CATH LAB REV
47309588 CA PTCA SNGL VSL               8975.9     8975.9   014440   01 CATH LAB REV
47310300 CA RETRIEVAL VASCULAR FB      5461.75    5461.75   014440   01 CATH LAB REV
47301445 CA RHC/LHC RETRO              7430.75    7430.75   014440   01 CATH LAB REV
47310203 CA RHC/TS LHC INTCT SEP       7364.55    7364.55   014440   01 CATH LAB REV
47300010 CA S/I ANGIO PULM/AO/CORO      2060.7     2060.7   014440   01 CATH LAB REV
47300009 CA S/I ANGIO VENTRCLR/ATR     1358.05    1358.05   014440   01 CATH LAB REV
47310103 CA SEDATION IV/IM/INH           61.25      61.25   014440   01 CATH LAB REV
47309581 CA STENT IC SNGL VSL PRC      11336.5    11336.5   014440   01 CATH LAB REV
47305082 CA STENT IC SNGL VSL PRC      14493.7    14493.7   014440   01 CATH LAB REV
47309576 CA STENT IC SNGL VSL PRC      11336.5    11336.5   014440   01 CATH LAB REV
47310299 CA STENT NOCORO/CAR/VERT       5303.4     5303.4   014440   01 CATH LAB REV
473103172 CA STNT IC ADD VSL PRC       3709.95    3709.95   014440   01 CATH LAB REV
47309577 CA STNT IC ADD VSL PRC           4020       4020   014440   01 CATH LAB REV
47305083 CA STNT IC ADD VSL PRC       13704.35   13704.35   014440   01 CATH LAB REV
47309587 CA STNT IC ADD VSL PRC           4020       4020   014440   01 CATH LAB REV
47310098 CA THROMBECTOMY CORO PRC      711.1     711.1   014440   01 CATH LAB REV
47300003 CA THROMBLYSIS CORO INFSN     580.7     580.7   014440   01 CATH LAB REV
47300004 CA THROMBOLYSIS CORO IV       580.7     580.7   014440   01 CATH LAB REV
47300001 CA TMP TRNSCUTANEOUS PACE     296.7     296.7   014440   01 CATH LAB REV
47310296 CA TRANSCATHETER TX IV      7538.85   7538.85   014440   01 CATH LAB REV
47310293 CA VENOGRAM EXT BIL           985.6     985.6   014440   01 CATH LAB REV
47310291 CA VENOGRAM EXT UNI          644.25    644.25   014440   01 CATH LAB REV
47310292 CA VENOGRAM EXT UNI          644.25    644.25   014440   01 CATH LAB REV
47310294 CA VENOGRAM IVC             4692.05   4692.05   014440   01 CATH LAB REV
47310027 CA VENOGRAM SIN JUGULAR      1995.6    1995.6   014440   01 CATH LAB REV
47310295 CA VENOGRAM SVC             4692.05   4692.05   014440   01 CATH LAB REV
47310236 CAC AVS DIAL SHUNT          2767.95   2767.95   014440   01 CATH LAB REV
47310250 CAC CATH ABD LOW 1ST        4629.35   4629.35   014440   01 CATH LAB REV
47310251 CAC CATH ABD LOW 1ST        4629.35   4629.35   014440   01 CATH LAB REV
473103149 CAC CATH ABD LOW 1ST       4629.35   4629.35   014440   01 CATH LAB REV
47310252 CAC CATH ABD LOW 1ST        4629.35   4629.35   014440   01 CATH LAB REV
47310254 CAC CATH ABD LOW 2ND        4825.85   4825.85   014440   01 CATH LAB REV
47310253 CAC CATH ABD LOW 2ND        4825.85   4825.85   014440   01 CATH LAB REV
47310255 CAC CATH ABD LOW 2ND        4825.85   4825.85   014440   01 CATH LAB REV
473103150 CAC CATH ABD LOW 2ND       4825.85   4825.85   014440   01 CATH LAB REV
47310256 CAC CATH ABD LOW 3RD        5753.85   5753.85   014440   01 CATH LAB REV
47310258 CAC CATH ABD LOW 3RD        5753.85   5753.85   014440   01 CATH LAB REV
47310257 CAC CATH ABD LOW 3RD        5753.85   5753.85   014440   01 CATH LAB REV
47310260 CAC CATH ABD LOW ADD         917.15    917.15   014440   01 CATH LAB REV
47310261 CAC CATH ABD LOW ADD         917.15    917.15   014440   01 CATH LAB REV
47310259 CAC CATH ABD LOW ADD         917.15    917.15   014440   01 CATH LAB REV
47310239 CAC CATH THOR 1ST ART       4083.45   4083.45   014440   01 CATH LAB REV
47310238 CAC CATH THOR 1ST ART       4083.45   4083.45   014440   01 CATH LAB REV
47310240 CAC CATH THOR 1ST ART       4083.45   4083.45   014440   01 CATH LAB REV
47310242 CAC CATH THOR 2ND ART       4825.85   4825.85   014440   01 CATH LAB REV
47310243 CAC CATH THOR 2ND ART       4825.85   4825.85   014440   01 CATH LAB REV
47310241 CAC CATH THOR 2ND ART       4825.85   4825.85   014440   01 CATH LAB REV
47310244 CAC CATH THOR 3RD ART       5753.85   5753.85   014440   01 CATH LAB REV
47310245 CAC CATH THOR 3RD ART       5753.85   5753.85   014440   01 CATH LAB REV
47310246 CAC CATH THOR 3RD ART       5753.85   5753.85   014440   01 CATH LAB REV
47310247 CAC CATH THOR ADD ART          917.15     917.15   014440   01 CATH LAB REV
47310248 CAC CATH THOR ADD ART          917.15     917.15   014440   01 CATH LAB REV
47310249 CAC CATH THOR ADD ART          917.15     917.15   014440   01 CATH LAB REV
473103152 CAC EP INSRT TMP LDS DUAL    2986.65    2986.65   014440   01 CATH LAB REV
47310200 CAC IMPLANT CARD EVNT RCD      785.95     785.95   014440   01 CATH LAB REV
47310026 CAC INJ EXT VENOGRAM            554.7      554.7   014440   01 CATH LAB REV
47310121 CAC INSERT ELECT DUAL          3491.5     3491.5   014440   01 CATH LAB REV
47310113 CAC INSERT ELECT SNGL          3460.1     3460.1   014440   01 CATH LAB REV
47310119 CAC INSERT IABP PRC            5535.7     5535.7   014440   01 CATH LAB REV
473103146 CAC INSERT LD PRIOR PACER     2959.8     2959.8   014440   01 CATH LAB REV
47310128 CAC INSERT PAC GEN DUAL       54156.4    54156.4   014440   01 CATH LAB REV
473103148 CAC INSERT PAC GEN SNGL     36155.35   36155.35   014440   01 CATH LAB REV
47310109 CAC INSERT PACER DUAL LDS    17220.65   17220.65   014440   01 CATH LAB REV
47310111 CAC INSERT PACER GEN DUAL    11199.65   11199.65   014440   01 CATH LAB REV
47310110 CAC INSERT PACER GEN SNGL    11199.65   11199.65   014440   01 CATH LAB REV
47310117 CAC INSERT PACER TMP SNGL     2986.65    2986.65   014440   01 CATH LAB REV
47310029 CAC INSERT PACER W 3RD LD      2959.8     2959.8   014440   01 CATH LAB REV
47310108 CAC INSERT PACER/ELEC VNT     14246.3    14246.3   014440   01 CATH LAB REV
47310120 CAC INSERT PACER/ELECATR      14246.3    14246.3   014440   01 CATH LAB REV
47310116 CAC INSERT/REPO ELEC DUAL     54156.4    54156.4   014440   01 CATH LAB REV
473103147 CAC INSERT/REPO ELEC SNGL   36155.35   36155.35   014440   01 CATH LAB REV
47310232 CAC INTRO BRACH ART            2527.6     2527.6   014440   01 CATH LAB REV
47310231 CAC INTRO BRACH ART            2527.6     2527.6   014440   01 CATH LAB REV
47310230 CAC INTRO BRACH ART            2527.6     2527.6   014440   01 CATH LAB REV
47310237 CAC INTRO CATH AORTA           3291.8     3291.8   014440   01 CATH LAB REV
47310223 CAC INTRO CATH PULM            2696.9     2696.9   014440   01 CATH LAB REV
47310235 CAC INTRO EXT ART             1998.05    1998.05   014440   01 CATH LAB REV
47310118 CAC INTRO EXT ART              1666.4     1666.4   014440   01 CATH LAB REV
47310234 CAC INTRO EXT ART             1998.05    1998.05   014440   01 CATH LAB REV
47310233 CAC INTRO EXT ART             1998.05    1998.05   014440   01 CATH LAB REV
47310266 CAC INTRO IVC FILTER          10661.3    10661.3   014440   01 CATH LAB REV
47310263 CAC IVCH RETRIEVE FB           5076.8     5076.8   014440   01 CATH LAB REV
47300012 CAC PERICARDIOCENT INI         1187.8     1187.8   014440   01 CATH LAB REV
47302217 CAC PTA FEMPOP                9084.55    9084.55   014440   01 CATH LAB REV
47310212 CAC PTA IL                     8352.1     8352.1   014440   01 CATH LAB REV
47310213 CAC PTA IL                     8352.1     8352.1   014440   01 CATH LAB REV
47310211 CAC PTA IL                     8352.1     8352.1   014440   01 CATH LAB REV
47310209 CAC PTA RENL VISC            13286.95   13286.95   014440   01 CATH LAB REV
47310208 CAC PTA RENL VISC            13286.95   13286.95   014440   01 CATH LAB REV
47310210 CAC PTA RENL VISC            13286.95   13286.95   014440   01 CATH LAB REV
47310206 CAC PTA TIBEOPERONEAL EA      11305.4    11305.4   014440   01 CATH LAB REV
47310207 CAC PTA TIBEOPERONEAL EA      11305.4    11305.4   014440   01 CATH LAB REV
47310205 CAC PTA TIBEOPERONEAL EA      11305.4    11305.4   014440   01 CATH LAB REV
47310214 CAC PTA VEN                   5426.25    5426.25   014440   01 CATH LAB REV
47310216 CAC PTA VEN                   5426.25    5426.25   014440   01 CATH LAB REV
47310215 CAC PTA VEN                   5426.25    5426.25   014440   01 CATH LAB REV
47310225 CAC PULM ART L/R              3040.85    3040.85   014440   01 CATH LAB REV
47310224 CAC PULM ART L/R              3040.85    3040.85   014440   01 CATH LAB REV
47310226 CAC PULM ART L/R              3040.85    3040.85   014440   01 CATH LAB REV
47310227 CAC PULM ART SEG SUB           3553.8     3553.8   014440   01 CATH LAB REV
47310228 CAC PULM ART SEG SUB           3553.8     3553.8   014440   01 CATH LAB REV
47310229 CAC PULM ART SEG SUB           3553.8     3553.8   014440   01 CATH LAB REV
473103151 CAC REPO LD/PRIOR PACER       1393.9     1393.9   014440   01 CATH LAB REV
47310122 CAC REPR ELECT DUAL            3460.1     3460.1   014440   01 CATH LAB REV
47310115 CAC RMV ICD ELEC TV EXTRC      1393.9     1393.9   014440   01 CATH LAB REV
47310309 CAC RMV ICD PACING GEN SQ     1716.05    1716.05   014440   01 CATH LAB REV
473103142 CAC RMV ICD PACING GEN SQ     1407.2     1407.2   014440   01 CATH LAB REV
47310201 CAC RMVL CARD EVNT RCDR        702.65     702.65   014440   01 CATH LAB REV
47310125 CAC RMVL PERM PACER GEN        1407.2     1407.2   014440   01 CATH LAB REV
47310126 CAC RMVL TV PACR ELC DUAL      1393.9     1393.9   014440   01 CATH LAB REV
47310127 CAC RMVL TV PACR ELC SNGL      1393.9     1393.9   014440   01 CATH LAB REV
47310124 CAC RVSN PCKT PACING ICD       1191.5     1191.5   014440   01 CATH LAB REV
47310123 CAC RVSN/REL POCKET/PACER      1191.5     1191.5   014440   01 CATH LAB REV
47310219 CAC SELECT CATH 1ST VEN       2871.55    2871.55   014440   01 CATH LAB REV
47310218 CAC SELECT CATH 1ST VEN       2871.55    2871.55   014440   01 CATH LAB REV
47310217 CAC SELECT CATH 1ST VEN       2871.55    2871.55   014440   01 CATH LAB REV
47310222 CAC SELECT CATH 2ND VEN        3553.8     3553.8   014440   01 CATH LAB REV
47310220 CAC SELECT CATH 2ND VEN        3553.8     3553.8   014440   01 CATH LAB REV
47310221 CAC SELECT CATH 2ND VEN        3553.8     3553.8   014440   01 CATH LAB REV
47310264 CAC STENT NOCORO/CAR/VERT     7566.15    7566.15   014440   01 CATH LAB REV
47310265 CAC STENT PLCE NONCOR ADD    3777.8      3777.8     014440   01 CATH LAB REV
47310262 CAC THROMBOLYSIS IV NONCO    7309.5      7309.5     014440   01 CATH LAB REV
47310112 CAC UPGRD PACE SNGL DUAL    14246.3     14246.3     014440   01 CATH LAB REV
47310025 CON NI 300S 50ML                 80.4        80.4   014440   01 CATH LAB REV
47310015 S ADAP/EXT PCE/NEURSTM LD    2633.6      2633.6     014440   01 CATH LAB REV
47305075 S CATH DRAINAGE                297.9       297.9    014440   01 CATH LAB REV
47309565 S CATH EP ABLTN NOCOOL TP   3476.45     3476.45     014440   01 CATH LAB REV
47309566 S CATH EP ABLTN NOCOOL TP    3529.1      3529.1     014440   01 CATH LAB REV
47310010 S CATH EP ABLTN NOCOOL TP   2101.55     2101.55     014440   01 CATH LAB REV
47309575 S CATH EP DX NO3D LT20      1709.35     1709.35     014440   01 CATH LAB REV
47309574 S CATH EP DX NO3D LT20       2159.6      2159.6     014440   01 CATH LAB REV
47309562 S CATH EP DX NO3D LT20       220.85      220.85     014440   01 CATH LAB REV
473103173 S CATH GUIDING                401.1       401.1    014440   01 CATH LAB REV
47310017 S CATH GUIDING                  3213        3213    014440   01 CATH LAB REV
47302232 S CATH GUIDING                      0           0   014440   01 CATH LAB REV
47309570 S CATH GUIDING                  6194        6194    014440   01 CATH LAB REV
47310021 S CATH GUIDING               885.05      885.05     014440   01 CATH LAB REV
47302244 S CATH GUIDING               465.85      465.85     014440   01 CATH LAB REV
47300201 S CATH INTRADISCAL               88.2        88.2   014440   01 CATH LAB REV
47310030 S CATH INTRAVASCULAR US     2809.25     2809.25     014440   01 CATH LAB REV
47302123 S CATH INTRAVASCULAR US     2061.95     2061.95     014440   01 CATH LAB REV
47305073 S CATH OCCLUSION             404.35      404.35     014440   01 CATH LAB REV
47302252 S CATH OCCLUSION             7963.6      7963.6     014440   01 CATH LAB REV
473103163 S CATH THROMB/EMBOLCTMY     8082.4      8082.4     014440   01 CATH LAB REV
473103162 S CATH THROMB/EMBOLCTMY     3892.9      3892.9     014440   01 CATH LAB REV
47301320 S CATH THROMB/EMBOLCTMY         1254        1254    014440   01 CATH LAB REV
47300315 S CATH TRNSLML ATHR DIR     1681.35     1681.35     014440   01 CATH LAB REV
47302090 S CATH TRNSLML ATHR DIR      5252.4      5252.4     014440   01 CATH LAB REV
473103171 S CATH TRNSLML ATHR ROT      12806       12806     014440   01 CATH LAB REV
47300314 S CATH TRNSLML ATHR ROT      5157.5      5157.5     014440   01 CATH LAB REV
47302233 S CATH TRNSLML ATHR ROT      5536.7      5536.7     014440   01 CATH LAB REV
47309591 S CATH TRNSLML ATHR ROT      5536.7      5536.7     014440   01 CATH LAB REV
478103133 S CATH TRNSLMNL ANG LSR     1503.2      1503.2     014440   01 CATH LAB REV
47302228 S CATH TRNSLMNL ANG LSR     1401.15     1401.15     014440   01 CATH LAB REV
47302404 S CATH TRNSLMNL ANG LSR     1214.25     1214.25     014440   01 CATH LAB REV
473103165 S CATH TRNSLMNL ANG LSR     3621.3     3621.3   014440   01 CATH LAB REV
47302243 S CATH TRNSLMNL ANG LSR      5456.3     5456.3   014440   01 CATH LAB REV
47309611 S CATH TRNSLMNL ANG LSR      1291.4     1291.4   014440   01 CATH LAB REV
47302227 S CATH TRNSLMNL ANG LSR     1485.15    1485.15   014440   01 CATH LAB REV
473103141 S CATH TRNSLMNL ANG LSR    5138.65    5138.65   014440   01 CATH LAB REV
47302242 S CATH TRNSLMNL ANG LSR     1198.95    1198.95   014440   01 CATH LAB REV
47302241 S CATH TRNSLMNL ANG LSR      5456.3     5456.3   014440   01 CATH LAB REV
47302240 S CATH TRNSLMNL ANG LSR      5456.3     5456.3   014440   01 CATH LAB REV
473103134 S CATH TRNSLMNL ANG LSR     1503.2     1503.2   014440   01 CATH LAB REV
47302230 S CATH TRNSLMNL ANG LSR     1407.95    1407.95   014440   01 CATH LAB REV
473103133 S CATH TRNSLMNL ANG LSR     1503.2     1503.2   014440   01 CATH LAB REV
47302238 S CATH TRNSLMNL ANG LSR     1198.95    1198.95   014440   01 CATH LAB REV
47302237 S CATH TRNSLMNL ANG LSR      465.85     465.85   014440   01 CATH LAB REV
47301221 S CATH TRNSLMNL ANG LSR       509.6      509.6   014440   01 CATH LAB REV
47302021 S CATH TRNSLMNL ANG LSR      5456.3     5456.3   014440   01 CATH LAB REV
47309547 S DEVICE CLOSURE VASC       1198.95    1198.95   014440   01 CATH LAB REV
47309607 S DEVICE CLOSURE VASC       1260.95    1260.95   014440   01 CATH LAB REV
47309606 S DEVICE CLOSURE VASC       1260.95    1260.95   014440   01 CATH LAB REV
473103138 S DEVICE RETRIEVAL           578.2      578.2   014440   01 CATH LAB REV
473103164 S DEVICE RETRIEVAL          3876.4     3876.4   014440   01 CATH LAB REV
47302333 S EVENT RECORDER CARDIAC    15674.3    15674.3   014440   01 CATH LAB REV
47310129 S ICD DUAL CHAMBER          59219.2    59219.2   014440   01 CATH LAB REV
47310043 S ICD DUAL CHAMBER         67919.45   67919.45   014440   01 CATH LAB REV
47310044 S ICD DUAL CHAMBER         66968.65   66968.65   014440   01 CATH LAB REV
47310074 S ICD DUAL CHAMBER         50939.55   50939.55   014440   01 CATH LAB REV
47310059 S ICD DUAL CHAMBER          96785.2    96785.2   014440   01 CATH LAB REV
47310073 S ICD DUAL CHAMBER          66221.5    66221.5   014440   01 CATH LAB REV
47310075 S ICD DUAL CHAMBER         88632.85   88632.85   014440   01 CATH LAB REV
47302334 S ICD DUAL CHAMBER          89992.1    89992.1   014440   01 CATH LAB REV
47302267 S ICD OTHR THAN SNGL/DL    50562.05   50562.05   014440   01 CATH LAB REV
47302345 S ICD OTHR THAN SNGL/DL     94746.4    94746.4   014440   01 CATH LAB REV
47310077 S ICD OTHR THAN SNGL/DL    69617.45   69617.45   014440   01 CATH LAB REV
47310081 S ICD OTHR THAN SNGL/DL     75497.2    75497.2   014440   01 CATH LAB REV
47310041 S ICD SNGL CHAMBER         62974.95   62974.95   014440   01 CATH LAB REV
47302342 S ICD SNGL CHAMBER         67918.55   67918.55   014440   01 CATH LAB REV
47302338   S ICD SNGL CHAMBER         62974.2     62974.2    014440   01 CATH LAB REV
47310042   S ICD SNGL CHAMBER        62394.15    62394.15    014440   01 CATH LAB REV
47302330   S ICD SNGL CHAMBER        79464.75    79464.75    014440   01 CATH LAB REV
47310058   S ICD SNGL CHAMBER        89993.25    89993.25    014440   01 CATH LAB REV
47310076   S ICD SNGL CHAMBER         56033.6     56033.6    014440   01 CATH LAB REV
47302293   S ICD SNGL CHAMBER         76068.8     76068.8    014440   01 CATH LAB REV
47302329   S ICD SNGL CHAMBER        82860.65    82860.65    014440   01 CATH LAB REV
47302234   S INTRO INTRCARDC NOLSR     5536.7      5536.7    014440   01 CATH LAB REV
47310022   S INTRO INTRCARDC NOLSR     878.75      878.75    014440   01 CATH LAB REV
47310031   S INTRO INTRCARDC NOLSR       816.6       816.6   014440   01 CATH LAB REV
47302351   S LD ICD ENDOCRD 1 COIL    42977.7     42977.7    014440   01 CATH LAB REV
47302353   S LD ICD ENDOCRD 1 COIL   27809.15    27809.15    014440   01 CATH LAB REV
47302307   S LD ICD ENDOCRD 1 COIL    35368.2     35368.2    014440   01 CATH LAB REV
47302275   S LD ICD ENDOCRD 1 COIL      22753       22753    014440   01 CATH LAB REV
47302306   S LD ICD ENDOCRD 1 COIL   27303.55    27303.55    014440   01 CATH LAB REV
47310078   S LD ICD ENDOCRD 2 COIL   29831.55    29831.55    014440   01 CATH LAB REV
47310060   S LD ICD ENDOCRD 2 COIL   27303.55    27303.55    014440   01 CATH LAB REV
47310046   S LD ICD ENDOCRD 2 COIL    35949.6     35949.6    014440   01 CATH LAB REV
47310045   S LD ICD ENDOCRD 2 COIL    42977.7     42977.7    014440   01 CATH LAB REV
47302276   S LD ICD ENDOCRD 2 COIL   27303.55    27303.55    014440   01 CATH LAB REV
47302297   S LD ICD NOEND 1OR2 CL      4213.8      4213.8    014440   01 CATH LAB REV
47302318   S LD ICD NOEND 1OR2 CL      5003.9      5003.9    014440   01 CATH LAB REV
47302305   S LD ICD NOEND 1OR2 CL    27303.55    27303.55    014440   01 CATH LAB REV
47310040   S LD PCR NO TV SNGL PAS    4924.85     4924.85    014440   01 CATH LAB REV
47302383   S LD PCR NO TV SNGL PAS    3555.45     3555.45    014440   01 CATH LAB REV
47302262   S LD PCR NO TV SNGL PAS     3913.5      3913.5    014440   01 CATH LAB REV
47310035   S LD PCR NO TV SNGL PAS     3913.5      3913.5    014440   01 CATH LAB REV
47310067   S LD PCR NO TV SNGL PAS     3555.1      3555.1    014440   01 CATH LAB REV
47302380   S LD PCR NO TV SNGL PAS     4740.5      4740.5    014440   01 CATH LAB REV
47310069   S LD PCR NO TV SNGL PAS     3555.1      3555.1    014440   01 CATH LAB REV
47310068   S LD PCR NO TV SNGL PAS     3555.1      3555.1    014440   01 CATH LAB REV
47310080   S LD PCR NO TV SNGL PAS     6894.9      6894.9    014440   01 CATH LAB REV
47310066   S LD PCR NO TV SNGL PAS     3555.1      3555.1    014440   01 CATH LAB REV
47302312   S LD PCR NO TV SNGL PAS     4213.8      4213.8    014440   01 CATH LAB REV
47310039   S LD PCR NO TV SNGL PAS     5188.1      5188.1    014440   01 CATH LAB REV
47310038   S LD PCR NO TV SNGL PAS         4661.5     4661.5   014440   01 CATH LAB REV
47302295   S LD PCR NO TV SNGL PAS        3950.45    3950.45   014440   01 CATH LAB REV
47310007   S LD PCR NO TV SNGL PAS        6547.85    6547.85   014440   01 CATH LAB REV
47310006   S LD PCR NO TV SNGL PAS        6547.85    6547.85   014440   01 CATH LAB REV
47310037   S LD PCR NO TV SNGL PAS         4266.4     4266.4   014440   01 CATH LAB REV
47310036   S LD PCR NO TV SNGL PAS        4150.45    4150.45   014440   01 CATH LAB REV
47302308   S LD PCR NO TV SNGL PAS         4213.8     4213.8   014440   01 CATH LAB REV
47302292   S LD PCR TV VDD 1 PASS         6067.45    6067.45   014440   01 CATH LAB REV
47302271   S LD PCR TV VDD 1 PASS         3555.45    3555.45   014440   01 CATH LAB REV
47310072   S LD PCR TV VDD 1 PASS        64958.25   64958.25   014440   01 CATH LAB REV
47302375   S LD PCR TV VDD 1 PASS          5003.9     5003.9   014440   01 CATH LAB REV
47310082   S LD PCR/ICD COMBO            28832.95   28832.95   014440   01 CATH LAB REV
47302269   S LD PCR/ICD COMBO             4872.15    4872.15   014440   01 CATH LAB REV
47310071   S LD PCR/ICD COMBO              6636.4     6636.4   014440   01 CATH LAB REV
47310070   S LD PCR/ICD COMBO              6548.3     6548.3   014440   01 CATH LAB REV
47302349   S LD PCR/ICD COMBO            32359.75   32359.75   014440   01 CATH LAB REV
47310008   S LD VENT CORO VEN SYS LT 6          0          0   014440   01 CATH LAB REV
47310011   S LD VENT CORO VEN SYS LT 7          0          0   014440   01 CATH LAB REV
47310009   S LD VENT CORO VEN SYS LT 8     632.55     632.55   014440   01 CATH LAB REV
47302296   S PCR 1 CHMBR NRR              29300.8    29300.8   014440   01 CATH LAB REV
47302315   S PCR 1 CHMBR NRR              18253.1    18253.1   014440   01 CATH LAB REV
47302261   S PCR 1 CHMBR NRR             10744.55   10744.55   014440   01 CATH LAB REV
47302363   S PCR 1 CHMBR RR               19699.1    19699.1   014440   01 CATH LAB REV
47302360   S PCR 1 CHMBR RR              29907.45   29907.45   014440   01 CATH LAB REV
47310055   S PCR 1 CHMBR RR              29392.25   29392.25   014440   01 CATH LAB REV
47302260   S PCR 1 CHMBR RR               27379.4    27379.4   014440   01 CATH LAB REV
47310057   S PCR 1 CHMBR RR               31828.8    31828.8   014440   01 CATH LAB REV
47302313   S PCR 1 CHMBR RR              13752.95   13752.95   014440   01 CATH LAB REV
47302361   S PCR 1 CHMBR RR              34887.85   34887.85   014440   01 CATH LAB REV
47310061   S PCR 1 CHMBR RR               28795.1    28795.1   014440   01 CATH LAB REV
47310033   S PCR 1 CHMBR RR              29907.45   29907.45   014440   01 CATH LAB REV
47310083   S PCR 1 CHMBR RR              27850.95   27850.95   014440   01 CATH LAB REV
47302324   S PCR 1 CHMBR RR               16159.8    16159.8   014440   01 CATH LAB REV
47302279   S PCR 1 CHMBR RR               24750.2    24750.2   014440   01 CATH LAB REV
47310062   S PCR 1 CHMBR RR               26797.9    26797.9   014440   01 CATH LAB REV
47302257 S PCR 2 CHMBR NRR         24497.35   24497.35   014440   01 CATH LAB REV
47302331 S PCR 2 CHMBR NRR          39918.8    39918.8   014440   01 CATH LAB REV
47302397 S PCR 2 CHMBR NRR         30033.95   30033.95   014440   01 CATH LAB REV
47302268 S PCR 2 CHMBR NRR          18177.1    18177.1   014440   01 CATH LAB REV
47310034 S PCR 2 CHMBR RR           21387.4    21387.4   014440   01 CATH LAB REV
47302373 S PCR 2 CHMBR RR           23157.5    23157.5   014440   01 CATH LAB REV
47302396 S PCR 2 CHMBR RR          12109.65   12109.65   014440   01 CATH LAB REV
47310056 S PCR 2 CHMBR RR           34356.9    34356.9   014440   01 CATH LAB REV
47310054 S PCR 2 CHMBR RR           31323.2    31323.2   014440   01 CATH LAB REV
47302258 S PCR 2 CHMBR RR          34887.85   34887.85   014440   01 CATH LAB REV
47302288 S PCR 2 CHMBR RR          26772.65   26772.65   014440   01 CATH LAB REV
47310065 S PCR 2 CHMBR RR           29806.4    29806.4   014440   01 CATH LAB REV
47302332 S PCR 2 CHMBR RR           32182.8    32182.8   014440   01 CATH LAB REV
47302278 S PCR 2 CHMBR RR          29806.45   29806.45   014440   01 CATH LAB REV
47302365 S PCR 2 CHMBR RR           32840.1    32840.1   014440   01 CATH LAB REV
47302273 S PCR 2 CHMBR RR          20199.65   20199.65   014440   01 CATH LAB REV
47302366 S PCR 2 CHMBR RR          29730.55   29730.55   014440   01 CATH LAB REV
47310064 S PCR 2 CHMBR RR           29806.4    29806.4   014440   01 CATH LAB REV
47302371 S PCR 2 CHMBR RR          39438.45   39438.45   014440   01 CATH LAB REV
47310084 S PCR 2 CHMBR RR           32029.6    32029.6   014440   01 CATH LAB REV
47302281 S PCR 2 CHMBR RR          39438.45   39438.45   014440   01 CATH LAB REV
47302369 S PCR 2 CHMBR RR           34710.9    34710.9   014440   01 CATH LAB REV
47310005 S PCR NOT 1 OR 2 CHMBR    49576.05   49576.05   014440   01 CATH LAB REV
47302346 S PCR NOT 1 OR 2 CHMBR     42952.5    42952.5   014440   01 CATH LAB REV
47302400 S STNT COATED WDEL SYS      5979.1     5979.1   014440   01 CATH LAB REV
47302401 S STNT COATED WDEL SYS      6813.3     6813.3   014440   01 CATH LAB REV
47302402 S STNT COATED WDEL SYS      7369.5     7369.5   014440   01 CATH LAB REV
47302398 S STNT COATED WDEL SYS     5431.25    5431.25   014440   01 CATH LAB REV
47302403 S STNT COATED WDEL SYS      7647.6     7647.6   014440   01 CATH LAB REV
473103161 S STNT COATED WDEL SYS    18013.1    18013.1   014440   01 CATH LAB REV
473103160 S STNT COATED WDEL SYS    18013.1    18013.1   014440   01 CATH LAB REV
47302399 S STNT COATED WDEL SYS        5701       5701   014440   01 CATH LAB REV
47309625 S STNT NOCOAT WDEL SYS     7000.35    7000.35   014440   01 CATH LAB REV
47302422 S STNT NOCOAT WDEL SYS     4702.35    4702.35   014440   01 CATH LAB REV
47309622 S STNT NOCOAT WDEL SYS      5205.5     5205.5   014440   01 CATH LAB REV
47302421 S STNT NOCOAT WDEL SYS      4533.8     4533.8   014440   01 CATH LAB REV
47302420 S STNT NOCOAT WDEL SYS      4533.8     4533.8   014440   01 CATH LAB REV
47309621 S STNT NOCOAT WDEL SYS      8077.4     8077.4   014440   01 CATH LAB REV
47302423 S STNT NOCOAT WDEL SYS      4533.8     4533.8   014440   01 CATH LAB REV
47309616 S STNT NOCOAT WDEL SYS      5205.5     5205.5   014440   01 CATH LAB REV
47309619 S STNT NOCOAT WDEL SYS     7000.35    7000.35   014440   01 CATH LAB REV
47309618 S STNT NOCOAT WDEL SYS      5923.4     5923.4   014440   01 CATH LAB REV
47302223 S STNT NOCOAT WDEL SYS      5941.2     5941.2   014440   01 CATH LAB REV
47309617 S STNT NOCOAT WDEL SYS      5564.5     5564.5   014440   01 CATH LAB REV
47309592 S STNT NOCOAT WDEL SYS    10239.05   10239.05   014440   01 CATH LAB REV
473103140 S STNT NOCOAT WDEL SYS    6782.75    6782.75   014440   01 CATH LAB REV
47302245 S STNT NOCOAT WDEL SYS      7887.9     7887.9   014440   01 CATH LAB REV
47309624 S STNT NOCOAT WDEL SYS      5923.4     5923.4   014440   01 CATH LAB REV
47309554 S STNT NOCOAT WDEL SYS      8532.2     8532.2   014440   01 CATH LAB REV
47302247 S STNT NOCOAT WDEL SYS      8532.2     8532.2   014440   01 CATH LAB REV
47302239 S STNT NOCOAT WDEL SYS      7887.9     7887.9   014440   01 CATH LAB REV
47310023 S STNT NOCOAT WDEL SYS      5941.2     5941.2   014440   01 CATH LAB REV
47310024 S STNT NOCOAT WDEL SYS      6320.3     6320.3   014440   01 CATH LAB REV
47310032 S STNT NOCOAT WDEL SYS      4533.8     4533.8   014440   01 CATH LAB REV
47309550 S STNT NOCOAT WDEL SYS     7360.35    7360.35   014440   01 CATH LAB REV
47309552 S STNT NOCOAT WDEL SYS      7887.9     7887.9   014440   01 CATH LAB REV
47309557 S STNT NOCOAT WDEL SYS     9470.85    9470.85   014440   01 CATH LAB REV
47309559 S STNT NOCOAT WDEL SYS     9470.85    9470.85   014440   01 CATH LAB REV
47309560 S STNT NOCOAT WDEL SYS      9998.4     9998.4   014440   01 CATH LAB REV
47309564 S STNT NOCOAT WDEL SYS      4067.6     4067.6   014440   01 CATH LAB REV
47302246 S STNT NOCOAT WDEL SYS      8532.2     8532.2   014440   01 CATH LAB REV
47302325 S STNT NOCOAT WDEL SYS     14258.6    14258.6   014440   01 CATH LAB REV
47309623 S STNT NOCOAT WDEL SYS      5564.5     5564.5   014440   01 CATH LAB REV
47309627 S STNT NOCOAT WDEL SYS      8077.4     8077.4   014440   01 CATH LAB REV
47309626 S STNT NOCOAT WDEL SYS      7718.4     7718.4   014440   01 CATH LAB REV
473103135 S STNT NOCOAT WDEL SYS    7245.25    7245.25   014440   01 CATH LAB REV
47309620 S STNT NOCOAT WDEL SYS      7718.4     7718.4   014440   01 CATH LAB REV
473103139 S STNT NOCOAT WDEL SYS     8324.3     8324.3   014440   01 CATH LAB REV
47309537 S STNT NOCOAT WDEL SYS           0          0   014440   01 CATH LAB REV
47302395 S STNT NOCOAT WDEL SYS      5941.2     5941.2   014440   01 CATH LAB REV
47302424 S STNT NOCOAT WDEL SYS          4702.35   4702.35   014440   01 CATH LAB REV
473103136 S STNT NOCOAT WDEL SYS         7245.25   7245.25   014440   01 CATH LAB REV
47309608 S STRL 7FR. BX FORCEPS-CORDIS    1597.2    1597.2   014440   01 CATH LAB REV
47309614 S STRL AUTOMATED MANIFOLD        147.65    147.65   014440   01 CATH LAB REV
47302211 S STRL CARDIAC CATH PACK         391.85    391.85   014440   01 CATH LAB REV
473103153 S STRL CATH CTO                6005.35   6005.35   014440   01 CATH LAB REV
473103154 S STRL CATH MGC                 1605.4    1605.4   014440   01 CATH LAB REV
473103166 S STRL CRYO INFLTN UNIT        5733.75   5733.75   014440   01 CATH LAB REV
47301079 S STRL ETHICON 2.0 PLAIN GUT      18.75     18.75   014440   01 CATH LAB REV
47302505 S STRL ETHICON 2.0 VICRYL         21.85     21.85   014440   01 CATH LAB REV
47309056 S STRL ETHICON 2-0 ETHBND         113.4     113.4   014440   01 CATH LAB REV
47302507 S STRL ETHICON 4.0 VICRYL          44.4      44.4   014440   01 CATH LAB REV
47302032 S STRL INDEFLATOR                716.65    716.65   014440   01 CATH LAB REV
47310012 S STRL LD STYLT MDTRNC 6254      269.75    269.75   014440   01 CATH LAB REV
47310013 S STRL LD STYLT MDTRNC 6282      269.75    269.75   014440   01 CATH LAB REV
47310014 S STRL LD STYLT MDTRNC 6293      269.75    269.75   014440   01 CATH LAB REV
47310016 S STRL MDTRNIC PIN-PLUG          632.15    632.15   014440   01 CATH LAB REV
473103167 S STRL N2O CARTRIDGE             362.2     362.2   014440   01 CATH LAB REV
47309572 S STRL NOINTRACARD LSR            948.3     948.3   014440   01 CATH LAB REV
47304477 S STRL NOINTRACARD LSR           494.15    494.15   014440   01 CATH LAB REV
47309055 S STRL NOINTRACARD LSR           494.15    494.15   014440   01 CATH LAB REV
47302216 S STRL PRESSURE LINE              10.85     10.85   014440   01 CATH LAB REV
47309571 S STRL PUMP SET                 1261.15   1261.15   014440   01 CATH LAB REV
47310131 S STRL SYVEK PATCH               308.35    308.35   014440   01 CATH LAB REV
47310052 S STRL TEC BATTERY PACK           410.9     410.9   014440   01 CATH LAB REV
47310051 S STRL TEC HEMOSTASIS VALVE       191.8     191.8   014440   01 CATH LAB REV
47300310 S STRL TORQUE DEVICE               25.4      25.4   014440   01 CATH LAB REV
47309594 S STRL TORQUE DEVICE OTD-100     335.35    335.35   014440   01 CATH LAB REV
473103168 S STRL U/S NEEDLE                615.7     615.7   014440   01 CATH LAB REV
473103137 S SYS EMBLZTN PROTCTIVE        7985.15   7985.15   014440   01 CATH LAB REV
473103155 S WIRE GUIDE                     615.7     615.7   014440   01 CATH LAB REV
47309615 S WIRE GUIDE                     625.95    625.95   014440   01 CATH LAB REV
47301534 S WIRE GUIDE                        410       410   014440   01 CATH LAB REV
47300309 S WIRE GUIDE                      629.8     629.8   014440   01 CATH LAB REV
47301522 S WIRE GUIDE                     465.85    465.85   014440   01 CATH LAB REV
47301421 S WIRE GUIDE                  347.65      347.65    014440   01 CATH LAB REV
47302231 S WIRE GUIDE                        0           0   014440   01 CATH LAB REV
47302235 S WIRE GUIDE                  5536.7      5536.7    014440   01 CATH LAB REV
47302236 S WIRE GUIDE                  465.85      465.85    014440   01 CATH LAB REV
47302417 S WIRE GUIDE                  500.45      500.45    014440   01 CATH LAB REV
47302418 S WIRE GUIDE                   474.2       474.2    014440   01 CATH LAB REV
47302419 S WIRE GUIDE                  500.45      500.45    014440   01 CATH LAB REV
47310020 S WIRE GUIDE                  872.35      872.35    014440   01 CATH LAB REV
47310050 S WIRE GUIDE                   606.5       606.5    014440   01 CATH LAB REV
47302224 S WIRE GUIDE                  505.85      505.85    014440   01 CATH LAB REV
47302225 S WIRE GUIDE                  505.85      505.85    014440   01 CATH LAB REV
47300200 S WIRE GUIDE                   923.5       923.5    014440   01 CATH LAB REV
47302109 S WIRE GUIDE                  783.85      783.85    014440   01 CATH LAB REV
473103181 TENSILON TEST FOR MG             900         900   014440   01 CATH LAB REV
40500022 S CATH ABLTN NOCARD ENDVS       2000        2000    014050   01 CENTRAL SUPPLY REV
40540816 S IMP DERMAGRAFT 2 X 3      10136.25    10136.25    014050   01 CENTRAL SUPPLY REV
40508858 S NSTRL AEROCHAMBER            296.4       296.4    014050   01 CENTRAL SUPPLY REV
40543070 S NSTRL AIRWY ESOPH 41FR     1386.88     1386.88    014050   01 CENTRAL SUPPLY REV
40537388 S NSTRL BAG FDING                83.1        83.1   014050   01 CENTRAL SUPPLY REV
40540393 S NSTRL BAG RESUS ADULT       435.13      435.13    014050   01 CENTRAL SUPPLY REV
40550907 S NSTRL BATH SITZ              69.87       69.87    014050   01 CENTRAL SUPPLY REV
40545535 S NSTRL BELT RIB MEN          397.54      397.54    014050   01 CENTRAL SUPPLY REV
40502416 S NSTRL BELT RIB UNI          397.54      397.54    014050   01 CENTRAL SUPPLY REV
40544002 S NSTRL BNDR PELVIC T-POD       3975        3975    014050   01 CENTRAL SUPPLY REV
40505365 S NSTRL BOOT CRADLE           729.98      729.98    014050   01 CENTRAL SUPPLY REV
40502638 S NSTRL BOOT FRAME BUNY       663.81      663.81    014050   01 CENTRAL SUPPLY REV
40532494 S NSTRL BOOT HEEL SUSP         820.5       820.5    014050   01 CENTRAL SUPPLY REV
40503214 S NSTRL BOOT LNR BUNNY        327.14      327.14    014050   01 CENTRAL SUPPLY REV
40545933 S NSTRL BRACE T-SCOPE        1516.46     1516.46    014050   01 CENTRAL SUPPLY REV
40556375 S NSTRL C.P.M. PT PAD          834.4       834.4    014050   01 CENTRAL SUPPLY REV
40500025 S NSTRL CATH CONDOM            70.93       70.93    014050   01 CENTRAL SUPPLY REV
40501595 S NSTRL CATH CONDOM LGE        68.28       68.28    014050   01 CENTRAL SUPPLY REV
40504321 S NSTRL CATH CONDOM PEDI       71.02       71.02    014050   01 CENTRAL SUPPLY REV
40502437 S NSTRL CLAMP COLOSTOMY        73.25       73.25    014050   01 CENTRAL SUPPLY REV
40543073 S NSTRL COLLAR LNR SPC        505.83      505.83    014050   01 CENTRAL SUPPLY REV
40543072 S NSTRL COLLAR PHIL SPC      306.84    306.84   014050   01 CENTRAL SUPPLY REV
40543456 S NSTRL COLOSTOMY CLAMP       34.25     34.25   014050   01 CENTRAL SUPPLY REV
40506081 S NSTRL HYPO THRM BLNKT       631.9     631.9   014050   01 CENTRAL SUPPLY REV
40504195 S NSTRL KNEE IMMOB 20        893.35    893.35   014050   01 CENTRAL SUPPLY REV
40500026 S NSTRL K-PAD DISP 20 X 3    539.94    539.94   014050   01 CENTRAL SUPPLY REV
40513303 S NSTRL LVL DEVICE          1206.93   1206.93   014050   01 CENTRAL SUPPLY REV
40556540 S NSTRL PACK CODE ADLT       233.45    233.45   014050   01 CENTRAL SUPPLY REV
40518897 S NSTRL PAD DUO THR 18X24    648.99    648.99   014050   01 CENTRAL SUPPLY REV
40544801 S NSTRL PENROSE DRAIN         26.05     26.05   014050   01 CENTRAL SUPPLY REV
40546465 S NSTRL POUCH PENIS          181.57    181.57   014050   01 CENTRAL SUPPLY REV
40514774 S NSTRL POUCH URSTY PEDI      96.34     96.34   014050   01 CENTRAL SUPPLY REV
40557100 S NSTRL RESUS BAG             788.7     788.7   014050   01 CENTRAL SUPPLY REV
40537387 S NSTRL SET FDING SPIKE       65.64     65.64   014050   01 CENTRAL SUPPLY REV
40551947 S NSTRL SHOE CAST MED        244.56    244.56   014050   01 CENTRAL SUPPLY REV
40556441 S NSTRL SLEEVE SCD           1406.5    1406.5   014050   01 CENTRAL SUPPLY REV
40532495 S NSTRL SLEEVE,SKIN           489.7     489.7   014050   01 CENTRAL SUPPLY REV
40514785 S NSTRL SLV CONE IRR          60.88     60.88   014050   01 CENTRAL SUPPLY REV
405025990 S NSTRL SLV, SCD FOOT        845.3     845.3   014050   01 CENTRAL SUPPLY REV
405025989 S NSTRL SLV, SCD FT SM       845.3     845.3   014050   01 CENTRAL SUPPLY REV
405021110 S NSTRL SLV, SCD HUNT       1241.8    1241.8   014050   01 CENTRAL SUPPLY REV
405025988 S NSTRL SLV, SCD KNEE        845.3     845.3   014050   01 CENTRAL SUPPLY REV
40526996 S NSTRL VAG SPEC W/SHTH      255.14    255.14   014050   01 CENTRAL SUPPLY REV
40529859 S NSTRL VLV, PASY MUIR       1033.5    1033.5   014050   01 CENTRAL SUPPLY REV
40503906 S NSTRL WARM BLNKT BAIR       551.7     551.7   014050   01 CENTRAL SUPPLY REV
40554545 S ORTHO ABDUCTION SPLINT     794.45    794.45   014050   01 CENTRAL SUPPLY REV
40517663 S ORTHO BOOT SMSN WLKR LG     986.9     986.9   014050   01 CENTRAL SUPPLY REV
40517664 S ORTHO BOOT SMSN WLKR M      986.9     986.9   014050   01 CENTRAL SUPPLY REV
40517665 S ORTHO BOOT SMSN WLKR S      986.9     986.9   014050   01 CENTRAL SUPPLY REV
40531470 S ORTHO BOOT SMSN WLKR XL   1138.15   1138.15   014050   01 CENTRAL SUPPLY REV
40542359 S ORTHO CERVICAL COLLAR      166.74    166.74   014050   01 CENTRAL SUPPLY REV
40553448 S ORTHO CLAVICULAR SPLINT     471.5     471.5   014050   01 CENTRAL SUPPLY REV
40553067 S ORTHO COLLES WRIST 13AP     254.6     254.6   014050   01 CENTRAL SUPPLY REV
40521359 S ORTHO CUFF & COLLAR LG     463.35    463.35   014050   01 CENTRAL SUPPLY REV
40521358 S ORTHO CUFF & COLLAR MED    463.35    463.35   014050   01 CENTRAL SUPPLY REV
40521360 S ORTHO CUFF & COLLAR XL     463.35    463.35   014050   01 CENTRAL SUPPLY REV
40542870   S ORTHO EYE SHIELD METAL       67.65      67.65   014050   01 CENTRAL SUPPLY REV
40553117   S ORTHO FINGER SPLINT          42.75      42.75   014050   01 CENTRAL SUPPLY REV
40527572   S ORTHO HALO RING LARGE     14107.65   14107.65   014050   01 CENTRAL SUPPLY REV
40501579   S ORTHO HEART HUGGER          1329.7     1329.7   014050   01 CENTRAL SUPPLY REV
40501489   S ORTHO HINGED KNEE BRACE     1010.9     1010.9   014050   01 CENTRAL SUPPLY REV
40507025   S ORTHO HIP SPICA             556.15     556.15   014050   01 CENTRAL SUPPLY REV
40540759   S ORTHO KNEE IMBLZXR 24       942.88     942.88   014050   01 CENTRAL SUPPLY REV
40504182   S ORTHO KNEE IMMOB 18         704.85     704.85   014050   01 CENTRAL SUPPLY REV
40504198   S ORTHO KNEE IMMOB 24         942.75     942.75   014050   01 CENTRAL SUPPLY REV
40552325   S ORTHO KNEE IMMOBILIZER       921.6      921.6   014050   01 CENTRAL SUPPLY REV
40552184   S ORTHO PHIL COLLAR            911.8      911.8   014050   01 CENTRAL SUPPLY REV
40552317   S ORTHO POST-OP SHOE          299.35     299.35   014050   01 CENTRAL SUPPLY REV
40504214   S ORTHO SHLD IMBLR S13GL      387.15     387.15   014050   01 CENTRAL SUPPLY REV
40504209   S ORTHO SHLD IMBLR S13GM      387.15     387.15   014050   01 CENTRAL SUPPLY REV
40504208   S ORTHO SHLD IMBLR S13GS      387.15     387.15   014050   01 CENTRAL SUPPLY REV
40504215   S ORTHO SHLD IMBLR S13GXL     387.15     387.15   014050   01 CENTRAL SUPPLY REV
40540742   S ORTHO SLING ARM              112.6      112.6   014050   01 CENTRAL SUPPLY REV
40549180   S ORTHO SLING ARM/SHLDR        603.7      603.7   014050   01 CENTRAL SUPPLY REV
40552291   S ORTHO SLING/SWATHE          445.05     445.05   014050   01 CENTRAL SUPPLY REV
40554115   S ORTHO SUBSPENTION SLING     570.45     570.45   014050   01 CENTRAL SUPPLY REV
40548869   S ORTHO THOMAS SPLINT         646.65     646.65   014050   01 CENTRAL SUPPLY REV
40527576   S ORTHO TRACTN BAIL ASSY         976        976   014050   01 CENTRAL SUPPLY REV
40554123   S ORTHO UNLAT BOOT             788.7      788.7   014050   01 CENTRAL SUPPLY REV
40553166   S ORTHO WRIST/ARM SPLINT       300.7      300.7   014050   01 CENTRAL SUPPLY REV
40551632   S STRL 3-WAY FOLEY CATH        209.4      209.4   014050   01 CENTRAL SUPPLY REV
40531055   S STRL 5 FR UMBI CTH, DBL      644.7      644.7   014050   01 CENTRAL SUPPLY REV
40548176   S STRL ADHV FOAM DRSNG         239.8      239.8   014050   01 CENTRAL SUPPLY REV
40505487   S STRL AIR STRP SRG DRSG        74.7       74.7   014050   01 CENTRAL SUPPLY REV
40503983   S STRL AIRWAY EXCHG CATH     1032.05    1032.05   014050   01 CENTRAL SUPPLY REV
40500008   S STRL AMNIHOOK                69.65      69.65   014050   01 CENTRAL SUPPLY REV
40551079   S STRL AMNIOCENTESIS TRY      322.65     322.65   014050   01 CENTRAL SUPPLY REV
40546509   S STRL ANTI EMBOL STKNG       171.95     171.95   014050   01 CENTRAL SUPPLY REV
40514772   S STRL AQUACEL CALC ALGI      257.95     257.95   014050   01 CENTRAL SUPPLY REV
40514773   S STRL AQUACEL ROPE 3/4X1     332.65     332.65   014050   01 CENTRAL SUPPLY REV
40554362   S STRL ART CATH LINE          791.85     791.85   014050   01 CENTRAL SUPPLY REV
40556409   S STRL ARTERIAL LINE BIN    3060.95   3060.95   014050   01 CENTRAL SUPPLY REV
40554263   S STRL ARTERIAL LINE/CATH    516.55    516.55   014050   01 CENTRAL SUPPLY REV
40554230   S STRL ASPIRATION TRAY        173.8     173.8   014050   01 CENTRAL SUPPLY REV
40546294   S STRL BAG DRAIN INS-8700   1040.15   1040.15   014050   01 CENTRAL SUPPLY REV
40534658   S STRL BALLARD SUC 72 HR     714.61    714.61   014050   01 CENTRAL SUPPLY REV
40556474   S STRL BALLARD SUC CATH      449.16    449.16   014050   01 CENTRAL SUPPLY REV
40507212   S STRL BARIUM VENT CATH     1262.05   1262.05   014050   01 CENTRAL SUPPLY REV
40514795   S STRL BARR SKIN FILM        546.29    546.29   014050   01 CENTRAL SUPPLY REV
40502111   S STRL BARRIER HOLIHANE 4    129.35    129.35   014050   01 CENTRAL SUPPLY REV
40514082   S STRL BBG ASPIRATOR           90.3      90.3   014050   01 CENTRAL SUPPLY REV
40541013   S STRL BILE BAG               285.2     285.2   014050   01 CENTRAL SUPPLY REV
40515426   S STRL BIOPATCH              244.56    244.56   014050   01 CENTRAL SUPPLY REV
40554297   S STRL BIPLOR PACE LEAD     1987.85   1987.85   014050   01 CENTRAL SUPPLY REV
40545881   S STRL BLOOD INLINE FTR      175.25    175.25   014050   01 CENTRAL SUPPLY REV
40552564   S STRL BLOOD PUMP KIT        132.75    132.75   014050   01 CENTRAL SUPPLY REV
40503722   S STRL BLOOD TUBING F-10     741.35    741.35   014050   01 CENTRAL SUPPLY REV
40503749   S STRL BLOOD TUBING Y-30     340.95    340.95   014050   01 CENTRAL SUPPLY REV
40549040   S STRL BLOOD WARMER COIL     485.17    485.17   014050   01 CENTRAL SUPPLY REV
40557027   S STRL BONE MARRW RX TRAY    657.15    657.15   014050   01 CENTRAL SUPPLY REV
40549099   S STRL BOVIE, CAUTRY DISP     215.1     215.1   014050   01 CENTRAL SUPPLY REV
40554792   S STRL BREAST PUMP KITS      146.05    146.05   014050   01 CENTRAL SUPPLY REV
40556254   S STRL CAN INNER             120.16    120.16   014050   01 CENTRAL SUPPLY REV
40544619   S STRL CAN INNER 10.0         72.84     72.84   014050   01 CENTRAL SUPPLY REV
40544617   S STRL CAN INNER 6.0          72.84     72.84   014050   01 CENTRAL SUPPLY REV
40540907   S STRL CAN INNER 6.0         200.63    200.63   014050   01 CENTRAL SUPPLY REV
40543071   S STRL CAN INNER 7.0          72.84     72.84   014050   01 CENTRAL SUPPLY REV
40517284   S STRL CAN INNER 8.0          18.18     18.18   014050   01 CENTRAL SUPPLY REV
40540895   S STRL CAN INNER 8.0         200.63    200.63   014050   01 CENTRAL SUPPLY REV
40544618   S STRL CAN INNER 9.0          72.84     72.84   014050   01 CENTRAL SUPPLY REV
40541698   S STRL CANNISTER WND VAC     916.58    916.58   014050   01 CENTRAL SUPPLY REV
40502900   S STRL CAT SUPRPUBIC 14F     955.49    955.49   014050   01 CENTRAL SUPPLY REV
40520714   S STRL CATH 5 FR BPLR PAC     887.3     887.3   014050   01 CENTRAL SUPPLY REV
40529783   S STRL CATH 5CC 20F. 3 WY    729.15    729.15   014050   01 CENTRAL SUPPLY REV
40541542   S STRL CATH ALL PURPOSE       41.95     41.95   014050   01 CENTRAL SUPPLY REV
40539072   S STRL CATH COUVL 24F 3WY    607.41    607.41   014050   01 CENTRAL SUPPLY REV
45501376   S STRL CATH GUIDING           1550.7     1550.7   014050   01 CENTRAL SUPPLY REV
40501662   S STRL CATH IUP - 400        1171.15    1171.15   014050   01 CENTRAL SUPPLY REV
40525476   S STRL CATH PACEL 5 FR RT     1821.9     1821.9   014050   01 CENTRAL SUPPLY REV
40539120   S STRL CATH PEDI SIL 6FR      718.57     718.57   014050   01 CENTRAL SUPPLY REV
40534872   S STRL CATH SUPRPUBIC 16F      674.5      674.5   014050   01 CENTRAL SUPPLY REV
40520109   S STRL CATH SWN GNZ 8FR       4054.5     4054.5   014050   01 CENTRAL SUPPLY REV
40531052   S STRL CATH UMBI 3.5FR         512.8      512.8   014050   01 CENTRAL SUPPLY REV
40543069   S STRL CATH VNTRCLR          8645.63    8645.63   014050   01 CENTRAL SUPPLY REV
40536318   S STRL CATH, PIC 502CKMS      2787.5     2787.5   014050   01 CENTRAL SUPPLY REV
40536317   S STRL CATH, PIC PSV 4FR     2111.75    2111.75   014050   01 CENTRAL SUPPLY REV
40536529   S STRL CATH, SWN S2 TP 7F    1629.75    1629.75   014050   01 CENTRAL SUPPLY REV
40517340   S STRL CATH,GLND BARTHLIN     778.15     778.15   014050   01 CENTRAL SUPPLY REV
40531054   S STRL CATH,UMBI 3.5FR        967.65     967.65   014050   01 CENTRAL SUPPLY REV
40531053   S STRL CATH,UMBI 5.0FR         512.8      512.8   014050   01 CENTRAL SUPPLY REV
40541633   S STRL CATHETER FOLEY          304.7      304.7   014050   01 CENTRAL SUPPLY REV
40531057   S STRL CHEST DRAINAGE SYS    1094.15    1094.15   014050   01 CENTRAL SUPPLY REV
40510607   S STRL CHRONICURE DRSG        177.95     177.95   014050   01 CENTRAL SUPPLY REV
40514792   S STRL CLOPLST POUCH 5900      10.75      10.75   014050   01 CENTRAL SUPPLY REV
40514793   S STRL CLOPLST POUCH 6100      10.75      10.75   014050   01 CENTRAL SUPPLY REV
40555666   S STRL CO INJECT SYSTEM        675.4      675.4   014050   01 CENTRAL SUPPLY REV
40516202   S STRL CODMAN EXTRL DRAIN    1072.15    1072.15   014050   01 CENTRAL SUPPLY REV
40543431   S STRL COLOSTOMY BELT            123        123   014050   01 CENTRAL SUPPLY REV
40543415   S STRL COLOSTOMY IRRIG        689.65     689.65   014050   01 CENTRAL SUPPLY REV
40550337   S STRL COLOSTOMY KARAYA       394.95     394.95   014050   01 CENTRAL SUPPLY REV
40520290   S STRL COUDE FILFRM 3FR      1159.25    1159.25   014050   01 CENTRAL SUPPLY REV
40529470   S STRL COUDE FILFRM 4FR      1159.25    1159.25   014050   01 CENTRAL SUPPLY REV
40534536   S STRL COUDE FILFRM 5FR      1159.25    1159.25   014050   01 CENTRAL SUPPLY REV
40510554   S STRL COVADERM ADH DRSG        68.1       68.1   014050   01 CENTRAL SUPPLY REV
40504468   S STRL CRICO KIT              2149.6     2149.6   014050   01 CENTRAL SUPPLY REV
40544496   S STRL C-SECTN DEL PACK       831.32     831.32   014050   01 CENTRAL SUPPLY REV
40522247   S STRL CTH BAL 34CC 8F      15880.13   15880.13   014050   01 CENTRAL SUPPLY REV
40508484   S STRL CTH BAL 34CC 9.5F    12604.73   12604.73   014050   01 CENTRAL SUPPLY REV
40522246   S STRL CTH BAL IABP 8F      15880.13   15880.13   014050   01 CENTRAL SUPPLY REV
40555641   S STRL CTH BAL IABP 9.5F    12604.73   12604.73   014050   01 CENTRAL SUPPLY REV
40539070   S STRL CTH GUIDE 7FR GRHM    1135.46    1135.46   014050   01 CENTRAL SUPPLY REV
40500023   S STRL CVR SITE 6 X 6         80.99     80.99   014050   01 CENTRAL SUPPLY REV
40547764   S STRL D LMN CATH 5 FR      1768.88   1768.88   014050   01 CENTRAL SUPPLY REV
40540329   S STRL D LMN CVP KIT 9FR    2313.45   2313.45   014050   01 CENTRAL SUPPLY REV
40523344   S STRL DERMA BOND DB12        990.6     990.6   014050   01 CENTRAL SUPPLY REV
40556482   S STRL DIGIT O2 SENSOR       774.65    774.65   014050   01 CENTRAL SUPPLY REV
40554933   S STRL DISP TRANSDUCER       615.65    615.65   014050   01 CENTRAL SUPPLY REV
40550816   S STRL DISPOZ-A-BAG           96.65     96.65   014050   01 CENTRAL SUPPLY REV
40500855   S STRL DRAINAGE BAG           549.7     549.7   014050   01 CENTRAL SUPPLY REV
40530941   S STRL DRAPE VAC             346.72    346.72   014050   01 CENTRAL SUPPLY REV
40535699   S STRL DRS ODOR ABSORB       894.05    894.05   014050   01 CENTRAL SUPPLY REV
40514815   S STRL DRS TGADERM 8X12      107.46    107.46   014050   01 CENTRAL SUPPLY REV
40539793   S STRL DRSG ACTICOAT 4X5     168.85    168.85   014050   01 CENTRAL SUPPLY REV
40510743   S STRL DRSG HYPFX 4 X 10     434.45    434.45   014050   01 CENTRAL SUPPLY REV
40544660   S STRL DRSG IODOFORM 1       174.69    174.69   014050   01 CENTRAL SUPPLY REV
40544711   S STRL DRSG MEDIFIL          799.33    799.33   014050   01 CENTRAL SUPPLY REV
40519637   S STRL DRSG TRIAD WND        606.11    606.11   014050   01 CENTRAL SUPPLY REV
40539977   S STRL DRSG WND VAC LG       992.54    992.54   014050   01 CENTRAL SUPPLY REV
40539976   S STRL DRSG WND VAC MD       822.35    822.35   014050   01 CENTRAL SUPPLY REV
40539975   S STRL DRSG WND VAC SM       978.22    978.22   014050   01 CENTRAL SUPPLY REV
40545859   S STRL DRSG WND VAC WHT      476.42    476.42   014050   01 CENTRAL SUPPLY REV
40502089   S STRL DUODERM 4X4              244       244   014050   01 CENTRAL SUPPLY REV
40555823   S STRL DUODERM 6X6           493.95    493.95   014050   01 CENTRAL SUPPLY REV
40557050   S STRL ENDOSCOPY KIT         196.75    196.75   014050   01 CENTRAL SUPPLY REV
40541617   S STRL ENDOTRACHEAL TUBE      87.55     87.55   014050   01 CENTRAL SUPPLY REV
40503675   S STRL ENDROTROL TUBE 7       502.9     502.9   014050   01 CENTRAL SUPPLY REV
40503665   S STRL ENDROTROL TUBE 8       502.9     502.9   014050   01 CENTRAL SUPPLY REV
40586355   S STRL ENDROTROL TUBE 9       502.9     502.9   014050   01 CENTRAL SUPPLY REV
40554198   S STRL EXTRL DRNG KIT       2718.15   2718.15   014050   01 CENTRAL SUPPLY REV
40555807   S STRL FECAL INCNT COL        208.3     208.3   014050   01 CENTRAL SUPPLY REV
40551806   S STRL FEEDING TUBE           773.5     773.5   014050   01 CENTRAL SUPPLY REV
40552267   S STRL FEMALE CATH 1 USE        160       160   014050   01 CENTRAL SUPPLY REV
40508910   S STRL FEMOSTOP COMPRS AR   1279.35   1279.35   014050   01 CENTRAL SUPPLY REV
40501098   S STRL FLAT SIL DRN 7MM      296.44    296.44   014050   01 CENTRAL SUPPLY REV
40542953   S STRL FLATUS BAG             50.65     50.65   014050   01 CENTRAL SUPPLY REV
40554255   S STRL FLOW SG CATH           900.3     900.3   014050   01 CENTRAL SUPPLY REV
40545270   S STRL FLWR HYMN 10F          571.7     571.7   014050   01 CENTRAL SUPPLY REV
40545271   S STRL FLWR HYMN 14F          571.7     571.7   014050   01 CENTRAL SUPPLY REV
40545272   S STRL FLWR HYMN 16F          571.7     571.7   014050   01 CENTRAL SUPPLY REV
40545273   S STRL FLWR HYMN 18F          571.7     571.7   014050   01 CENTRAL SUPPLY REV
40545265   S STRL FLWR HYMN 20F          571.7     571.7   014050   01 CENTRAL SUPPLY REV
40534535   S STRL FLWR PHL BGIE 10F    1178.88   1178.88   014050   01 CENTRAL SUPPLY REV
40522386   S STRL FLWR PHL BGIE 12F    1178.88   1178.88   014050   01 CENTRAL SUPPLY REV
40531414   S STRL FLWR PHL BGIE 14F    1178.88   1178.88   014050   01 CENTRAL SUPPLY REV
40522388   S STRL FLWR PHL BGIE 16F    1122.76   1122.76   014050   01 CENTRAL SUPPLY REV
40522389   S STRL FLWR PHL BGIE 18F    1122.76   1122.76   014050   01 CENTRAL SUPPLY REV
40522390   S STRL FLWR PHL BGIE 20F    1178.88   1178.88   014050   01 CENTRAL SUPPLY REV
40522391   S STRL FLWR PHL BGIE 22F    1122.76   1122.76   014050   01 CENTRAL SUPPLY REV
40531413   S STRL FLWR PHL BGIE 8FR    1178.88   1178.88   014050   01 CENTRAL SUPPLY REV
40545266   S STRL FLWR STR TIP 2F      1159.25   1159.25   014050   01 CENTRAL SUPPLY REV
40545268   S STRL FLWR STR TIP 4F      1159.25   1159.25   014050   01 CENTRAL SUPPLY REV
40507517   S STRL FOLEY CATHETER         194.1     194.1   014050   01 CENTRAL SUPPLY REV
40520981   S STRL FOLEY TRAY 5 FR        738.8     738.8   014050   01 CENTRAL SUPPLY REV
40550832   S STRL FOLEY UROTRACK KIT    449.45    449.45   014050   01 CENTRAL SUPPLY REV
40520282   S STRL FOLWR FILFRM 10FR    1073.25   1073.25   014050   01 CENTRAL SUPPLY REV
40520430   S STRL FOLWR FILFRM 12FR    1073.25   1073.25   014050   01 CENTRAL SUPPLY REV
40520431   S STRL FOLWR FILFRM 14FR    1073.25   1073.25   014050   01 CENTRAL SUPPLY REV
40520283   S STRL FOLWR FILFRM 16FR    1073.25   1073.25   014050   01 CENTRAL SUPPLY REV
40520284   S STRL FOLWR FILFRM 18FR    1073.25   1073.25   014050   01 CENTRAL SUPPLY REV
40520285   S STRL FOLWR FILFRM 20FR    1073.25   1073.25   014050   01 CENTRAL SUPPLY REV
40520286   S STRL FOLWR FILFRM 22FR    1073.25   1073.25   014050   01 CENTRAL SUPPLY REV
40520432   S STRL FOLWR FILFRM 24FR    1073.25   1073.25   014050   01 CENTRAL SUPPLY REV
40520289   S STRL FOLWR FILRM 8FR      1073.25   1073.25   014050   01 CENTRAL SUPPLY REV
40540373   S STRL FOLWR HEYMN 12FR      747.45    747.45   014050   01 CENTRAL SUPPLY REV
40557068   S STRL GASTROSTOM TUBE       1026.4    1026.4   014050   01 CENTRAL SUPPLY REV
40544000   S STRL GDWR SCF 21-80        734.46    734.46   014050   01 CENTRAL SUPPLY REV
40518155   S STRL GEL WND CLEAN LODO   1125.55   1125.55   014050   01 CENTRAL SUPPLY REV
40502260   S STRL GELFOAM SZE 100        898.1     898.1   014050   01 CENTRAL SUPPLY REV
40517623   S STRL GRAVITY FEED BAG       95.35     95.35   014050   01 CENTRAL SUPPLY REV
40552556   S STRL HALO RING TRAY          3197      3197   014050   01 CENTRAL SUPPLY REV
40555682   S STRL HEIMLICH CHEST VLV    531.25    531.25   014050   01 CENTRAL SUPPLY REV
40554388   S STRL HEPARIN GUIDE WIR      416.1      416.1    014050   01 CENTRAL SUPPLY REV
40554438   S STRL HICKMAN CATH KIT      1212.9     1212.9    014050   01 CENTRAL SUPPLY REV
40510737   S STRL HYDRCL 8 X 8          629.93     629.93    014050   01 CENTRAL SUPPLY REV
40591954   S STRL HYDRCL SACRUM          44.46      44.46    014050   01 CENTRAL SUPPLY REV
40510553   S STRL INTRA SITE GIL         487.3      487.3    014050   01 CENTRAL SUPPLY REV
40541689   S STRL INTRD 4.5 MICRO       952.81     952.81    014050   01 CENTRAL SUPPLY REV
40525257   S STRL INTRD 4-5F 0658945    833.75     833.75    014050   01 CENTRAL SUPPLY REV
40525258   S STRL INTRD 5-0F 0658950    833.75     833.75    014050   01 CENTRAL SUPPLY REV
40544113   S STRL INTRD INTUB 14FR     1157.72    1157.72    014050   01 CENTRAL SUPPLY REV
40542595   S STRL INTRD INTUB 8FR      1157.72    1157.72    014050   01 CENTRAL SUPPLY REV
40544482   S STRL INTRD SAF 4.5 MCR     846.97     846.97    014050   01 CENTRAL SUPPLY REV
40557156   S STRL INTUBATION TRAY       1203.5     1203.5    014050   01 CENTRAL SUPPLY REV
40501902   S STRL IODOFRM 1/2 INCH      153.51     153.51    014050   01 CENTRAL SUPPLY REV
40502716   S STRL IODOFRM 1/4 INCH       70.54      70.54    014050   01 CENTRAL SUPPLY REV
40548620   S STRL IRR SOL 1000CC        186.95     186.95    014050   01 CENTRAL SUPPLY REV
40548612   S STRL IRR SOL 2000CC            160        160   014050   01 CENTRAL SUPPLY REV
40548638   S STRL IRR SOL 500CC          208.7      208.7    014050   01 CENTRAL SUPPLY REV
40530046   S STRL IV CATH 22 GA X 1      76.22      76.22    014050   01 CENTRAL SUPPLY REV
40532732   S STRL IV CTH SF 14GX1.75     84.17      84.17    014050   01 CENTRAL SUPPLY REV
40543951   S STRL IV LONGWELL            29.65      29.65    014050   01 CENTRAL SUPPLY REV
40542201   S STRL IV TROCAR CATH         633.6      633.6    014050   01 CENTRAL SUPPLY REV
40547879   S STRL IV VEN PRESS CUP      186.95     186.95    014050   01 CENTRAL SUPPLY REV
40552341   S STRL JELCO                    48.6       48.6   014050   01 CENTRAL SUPPLY REV
40550634   S STRL KARAYA SEAL TUBE      394.95     394.95    014050   01 CENTRAL SUPPLY REV
40530191   S STRL KIT 16G PICC LINE    1027.55    1027.55    014050   01 CENTRAL SUPPLY REV
40526701   S STRL KIT ART LINE 20G      718.57     718.57    014050   01 CENTRAL SUPPLY REV
40501504   S STRL KIT AUTOTRANSF       1888.13    1888.13    014050   01 CENTRAL SUPPLY REV
40553430   S STRL KIT CATH 15-27030    1019.59    1019.59    014050   01 CENTRAL SUPPLY REV
40534442   S STRL KIT CRANIAL ACES     4750.12    4750.12    014050   01 CENTRAL SUPPLY REV
40554206   S STRL KIT CVC 16GA          772.85     772.85    014050   01 CENTRAL SUPPLY REV
40505466   S STRL KIT CVC DLMN 4F      1143.36    1143.36    014050   01 CENTRAL SUPPLY REV
40500969   S STRL KIT CVC DLMN 7FR      1151.3     1151.3    014050   01 CENTRAL SUPPLY REV
40544542   S STRL KIT CVRD YANKAUER     127.57     127.57    014050   01 CENTRAL SUPPLY REV
40506387   S STRL KIT ICP MNTR CAM        9063       9063    014050   01 CENTRAL SUPPLY REV
40522188   S STRL KIT ICP MNTR SUBD    9718.88    9718.88    014050   01 CENTRAL SUPPLY REV
40535859   S STRL KIT MICR SNSR        7890.37    7890.37    014050   01 CENTRAL SUPPLY REV
40503952   S STRL KIT PERCU SH INTRO   1131.45    1131.45    014050   01 CENTRAL SUPPLY REV
40550766   S STRL KIT PLEUREVAC         942.51     942.51    014050   01 CENTRAL SUPPLY REV
40536081   S STRL KIT TRACH 7.0        5301.65    5301.65    014050   01 CENTRAL SUPPLY REV
40535984   S STRL KIT TRACH 8.0        5301.65    5301.65    014050   01 CENTRAL SUPPLY REV
40509173   S STRL KIT TRNDCR NEONTL      412.9      412.9    014050   01 CENTRAL SUPPLY REV
40538702   S STRL KIT, GUIDE NEEDLE     635.22     635.22    014050   01 CENTRAL SUPPLY REV
40554685   S STRL KT PERC INTRO 8.5F   1171.15    1171.15    014050   01 CENTRAL SUPPLY REV
40514797   S STRL L CATH MD LEN 18FR      1157       1157    014050   01 CENTRAL SUPPLY REV
40514796   S STRL L CATH MD LEN 20FR      1157       1157    014050   01 CENTRAL SUPPLY REV
40513305   S STRL L-CATH IPCC 60CM        1157       1157    014050   01 CENTRAL SUPPLY REV
40508934   S STRL L-CATH KIT 18 GA      1071.9     1071.9    014050   01 CENTRAL SUPPLY REV
40508937   S STRL L-CATH KIT 20 GA      794.45     794.45    014050   01 CENTRAL SUPPLY REV
40508935   S STRL L-CATH NDL 18 GA       66.55      66.55    014050   01 CENTRAL SUPPLY REV
40508938   S STRL L-CATH NDL 20 GA       66.55      66.55    014050   01 CENTRAL SUPPLY REV
40519624   S STRL L-CATH PLCMT 18X60   1072.15    1072.15    014050   01 CENTRAL SUPPLY REV
40519625   S STRL L-CATH PLCMT 20X60   1072.15    1072.15    014050   01 CENTRAL SUPPLY REV
40508617   S STRL LEVEL 1 BLD WARM       671.8      671.8    014050   01 CENTRAL SUPPLY REV
40548208   S STRL LEVINE TUBE            29.65      29.65    014050   01 CENTRAL SUPPLY REV
40546490   S STRL LRYCT INNER CAN 10    120.16     120.16    014050   01 CENTRAL SUPPLY REV
40546489   S STRL LRYCT INNER CAN 8     120.16     120.16    014050   01 CENTRAL SUPPLY REV
40546317   S STRL LRYCT INNER CAN 9     120.16     120.16    014050   01 CENTRAL SUPPLY REV
40546286   S STRL LRYCT TUBE 10        1065.56    1065.56    014050   01 CENTRAL SUPPLY REV
40546284   S STRL LRYCT TUBE 8         1065.56    1065.56    014050   01 CENTRAL SUPPLY REV
40500140   S STRL LYOFOAM TRACH DRSG       99.5       99.5   014050   01 CENTRAL SUPPLY REV
40514790   S STRL MAX E POUCH           683.05     683.05    014050   01 CENTRAL SUPPLY REV
40501831   S STRL MECONIUM ASPIRATOR    159.05     159.05    014050   01 CENTRAL SUPPLY REV
40510552   S STRL MEDIFIL GEL           561.35     561.35    014050   01 CENTRAL SUPPLY REV
40527805   S STRL MITY VAC CUP          691.25     691.25    014050   01 CENTRAL SUPPLY REV
40527806   S STRL MITY VAC SOFT CUP     673.55     673.55    014050   01 CENTRAL SUPPLY REV
40543173   S STRL MSK AIRWY LMA #3      526.71     526.71    014050   01 CENTRAL SUPPLY REV
40543174   S STRL MSK AIRWY LMA #4      526.71     526.71    014050   01 CENTRAL SUPPLY REV
40543175   S STRL MSK AIRWY LMA #5      526.71     526.71    014050   01 CENTRAL SUPPLY REV
40505305   S STRL MUSHROOM CATH 32FR    664.55     664.55    014050   01 CENTRAL SUPPLY REV
40553414   S STRL NASAL SPLINT             50.8       50.8   014050   01 CENTRAL SUPPLY REV
40551525   S STRL NASALPHARYNGEAL A      145.2      145.2    014050   01 CENTRAL SUPPLY REV
40534888   S STRL NDL HBR 20 X 1        304.37     304.37    014050   01 CENTRAL SUPPLY REV
40536066   S STRL NDL HBR 22 X 3/4      304.37     304.37    014050   01 CENTRAL SUPPLY REV
40535162   S STRL NDL HUBER 20GX1.5     304.37     304.37    014050   01 CENTRAL SUPPLY REV
40544142   S STRL NDL HUBR SFT 20X1     337.73     337.73    014050   01 CENTRAL SUPPLY REV
40547067   S STRL NDL TUOHY 18 GA       370.55     370.55    014050   01 CENTRAL SUPPLY REV
40546351   S STRL NDLE ELECT 26-226    4230.42    4230.42    014050   01 CENTRAL SUPPLY REV
40550980   S STRL NEIMAN NASAL SPLI      893.6      893.6    014050   01 CENTRAL SUPPLY REV
40547018   S STRL NEPH DRN BAG 600CC    410.25     410.25    014050   01 CENTRAL SUPPLY REV
40554511   S STRL NORM SALINE 2000CC        160        160   014050   01 CENTRAL SUPPLY REV
40549073   S STRL NS SOL PB 1500CC       61.41      61.41    014050   01 CENTRAL SUPPLY REV
40549081   S STRL NS SOL PB 500CC        38.64      38.64    014050   01 CENTRAL SUPPLY REV
40510555   S STRL NU-DERM 6X6           300.05     300.05    014050   01 CENTRAL SUPPLY REV
40503697   S STRL NUGEL                    82.3       82.3   014050   01 CENTRAL SUPPLY REV
40503696   S STRL NUGEL                  156.6      156.6    014050   01 CENTRAL SUPPLY REV
40506044   S STRL O2 SNSR NASAL R-15    722.57     722.57    014050   01 CENTRAL SUPPLY REV
40546108   S STRL OVERDOSE KIT         1413.55    1413.55    014050   01 CENTRAL SUPPLY REV
40508626   S STRL OXISNSR ADLT LNG      611.93     611.93    014050   01 CENTRAL SUPPLY REV
40500024   S STRL OXISNSR FRHD RS10      952.8      952.8    014050   01 CENTRAL SUPPLY REV
40542344   S STRL PAD CLO-SUR          1093.12    1093.12    014050   01 CENTRAL SUPPLY REV
40506430   S STRL PALL BLD FTR LEUKO    454.15     454.15    014050   01 CENTRAL SUPPLY REV
40501609   S STRL PALL BLOOD FILTER      154.7      154.7    014050   01 CENTRAL SUPPLY REV
40500541   S STRL PALL PLATLET FTR     1093.25    1093.25    014050   01 CENTRAL SUPPLY REV
40540510   S STRL PARACENTESIS TRAY         430        430   014050   01 CENTRAL SUPPLY REV
40500263   S STRL PARACERVICAL TRAY      173.8      173.8    014050   01 CENTRAL SUPPLY REV
40539456   S STRL PATCH SVP-3X31        1085.4     1085.4    014050   01 CENTRAL SUPPLY REV
40508821   S STRL PEAK FLOW METER       126.05     126.05    014050   01 CENTRAL SUPPLY REV
40510327   S STRL PED ET TUBE OBTR     1222.81    1222.81    014050   01 CENTRAL SUPPLY REV
40553562   S STRL PERI LAVAGE TRAY      646.65     646.65    014050   01 CENTRAL SUPPLY REV
40541161   S STRL PERITON DIAL TRAY         430        430   014050   01 CENTRAL SUPPLY REV
40506592   S STRL PER-Q-CATH TRAY       939.15     939.15    014050   01 CENTRAL SUPPLY REV
40548167   S STRL PICC CATH 4FR        1371.38    1371.38    014050   01 CENTRAL SUPPLY REV
40548076   S STRL PICC CATH 6FR        3478.13    3478.13    014050   01 CENTRAL SUPPLY REV
40547943   S STRL PICC CATH POLYRTH    2583.75    2583.75    014050   01 CENTRAL SUPPLY REV
40513306   S STRL PICC PE 18 PEC 60K      1157       1157    014050   01 CENTRAL SUPPLY REV
40551624   S STRL PLUM FEEDING BAG        334.6       334.6    014050   01 CENTRAL SUPPLY REV
40555732   S STRL PNEUMOTHORAX SET         1352        1352    014050   01 CENTRAL SUPPLY REV
40511514   S STRL POLYMEM DRSG LG         324.1       324.1    014050   01 CENTRAL SUPPLY REV
40511513   S STRL POLYMEM DRSG SM         195.5       195.5    014050   01 CENTRAL SUPPLY REV
40511512   S STRL POLYMEN ROLL           1164.8      1164.8    014050   01 CENTRAL SUPPLY REV
40514771   S STRL POUCH HIGH OUTPUT         19.9        19.9   014050   01 CENTRAL SUPPLY REV
40514762   S STRL POUCH W/FTR 2 1/4         8.35        8.35   014050   01 CENTRAL SUPPLY REV
40514763   S STRL POUCH W/FTR 2 3/4         8.35        8.35   014050   01 CENTRAL SUPPLY REV
40554396   S STRL PRES MONITOR KIT       175.25      175.25    014050   01 CENTRAL SUPPLY REV
40507757   S STRL PROBE SUB-ZERO         316.55      316.55    014050   01 CENTRAL SUPPLY REV
40512768   S STRL PROFORE DRSG KIT        612.2       612.2    014050   01 CENTRAL SUPPLY REV
40510017   S STRL PUMP, DBL BREAST        865.8       865.8    014050   01 CENTRAL SUPPLY REV
40520955   S STRL REPAIR KIT 3FR         338.95      338.95    014050   01 CENTRAL SUPPLY REV
40520956   S STRL REPAIR KIT 4 FR        338.95      338.95    014050   01 CENTRAL SUPPLY REV
40507197   S STRL RHINO ROCKET PCKNG      503.1       503.1    014050   01 CENTRAL SUPPLY REV
40527573   S STRL RING HALO MD         17191.88    17191.88    014050   01 CENTRAL SUPPLY REV
40547312   S STRL SAF INFS SET 20G       444.66      444.66    014050   01 CENTRAL SUPPLY REV
40547313   S STRL SAF INFS SET 22G       344.08      344.08    014050   01 CENTRAL SUPPLY REV
40550717   S STRL SALEM SUMP TUBE        222.35      222.35    014050   01 CENTRAL SUPPLY REV
40510623   S STRL SCD CVR FOOT LG        1223.1      1223.1    014050   01 CENTRAL SUPPLY REV
40510622   S STRL SCD CVR FOOT MD        1223.1      1223.1    014050   01 CENTRAL SUPPLY REV
40537895   S STRL SCD SLV - SMALL       1002.86     1002.86    014050   01 CENTRAL SUPPLY REV
40501578   S STRL SEAMLESS CATH 14FR      36.45       36.45    014050   01 CENTRAL SUPPLY REV
40556772   S STRL SET BLD INFUSION       213.33      213.33    014050   01 CENTRAL SUPPLY REV
40550923   S STRL SET BLD RECIP           209.1       209.1    014050   01 CENTRAL SUPPLY REV
40507332   S STRL SET BLOOD Y ADMN        425.1       425.1    014050   01 CENTRAL SUPPLY REV
40544112   S STRL SET CRICOTHRTMY 5     2563.88     2563.88    014050   01 CENTRAL SUPPLY REV
40507155   S STRL SET CRICOTHRTMY 6     2563.88     2563.88    014050   01 CENTRAL SUPPLY REV
40543067   S STRL SET EPDRL HR           481.71      481.71    014050   01 CENTRAL SUPPLY REV
40541319   S STRL SET INTRO PED 5.5F    1031.41     1031.41    014050   01 CENTRAL SUPPLY REV
40507140   S STRL SET INTUB 11.0        1207.41     1207.41    014050   01 CENTRAL SUPPLY REV
40536570   S STRL SET TRFR PD           1318.62     1318.62    014050   01 CENTRAL SUPPLY REV
40518621   S STRL SET, QCK PRES MNTR     1242.2      1242.2    014050   01 CENTRAL SUPPLY REV
40544504   S STRL SIL BIOPSY NEEDLE      772.65      772.65    014050   01 CENTRAL SUPPLY REV
40546068   S STRL SKCLSR DRMBND         1073.25     1073.25    014050   01 CENTRAL SUPPLY REV
40514769   S STRL SKIN BARRIER 8X8       37.85     37.85   014050   01 CENTRAL SUPPLY REV
40514791   S STRL SKIN BOND CEMENT      215.05    215.05   014050   01 CENTRAL SUPPLY REV
40521713   S STRL SMART CATH BALLOON    801.95    801.95   014050   01 CENTRAL SUPPLY REV
40509170   S STRL SNS STARTER            280.9     280.9   014050   01 CENTRAL SUPPLY REV
40500584   S STRL SNSR TMP UROTRACK     708.25    708.25   014050   01 CENTRAL SUPPLY REV
40540088   S STRL SOL DI-DAK            288.49    288.49   014050   01 CENTRAL SUPPLY REV
40544538   S STRL SPINAL NEEDLE           59.8      59.8   014050   01 CENTRAL SUPPLY REV
40500307   S STRL SPINAL TRAY            522.7     522.7   014050   01 CENTRAL SUPPLY REV
40501312   S STRL SPIRAL ELECTRIDE       307.4     307.4   014050   01 CENTRAL SUPPLY REV
40533903   S STRL SPIRAL FILFRM 3FR    1159.25   1159.25   014050   01 CENTRAL SUPPLY REV
40534537   S STRL SPIRAL FILFRM 4FR    1159.25   1159.25   014050   01 CENTRAL SUPPLY REV
40520288   S STRL SPIRAL FILFRM 5FR    1159.25   1159.25   014050   01 CENTRAL SUPPLY REV
40500483   S STRL SPIROMTER TRI-FLO     204.25    204.25   014050   01 CENTRAL SUPPLY REV
40554867   S STRL ST CATH TRAY           79.95     79.95   014050   01 CENTRAL SUPPLY REV
40538973   S STRL STERICTH 12F 72HR     794.03    794.03   014050   01 CENTRAL SUPPLY REV
40556532   S STRL STPL SKN 35W ROT      913.11    913.11   014050   01 CENTRAL SUPPLY REV
40505950   S STRL STPLR SKIN 35W        341.43    341.43   014050   01 CENTRAL SUPPLY REV
40551640   S STRL SUBCLAVIAN CATH       483.05    483.05   014050   01 CENTRAL SUPPLY REV
40536076   S STRL SUC DVRTR WND TIP     867.65    867.65   014050   01 CENTRAL SUPPLY REV
40548604   S STRL SUC TONSIL YANK        21.17     21.17   014050   01 CENTRAL SUPPLY REV
40549875   S STRL SUCTION CATH BX10     387.15    387.15   014050   01 CENTRAL SUPPLY REV
40549883   S STRL SUCTION CATH/GLOV       39.3      39.3   014050   01 CENTRAL SUPPLY REV
40542086   S STRL SUCTION CATHETER       21.05     21.05   014050   01 CENTRAL SUPPLY REV
40553398   S STRL SURE FIT/DRAIN        359.05    359.05   014050   01 CENTRAL SUPPLY REV
40550253   S STRL SURGCEL/GELFOAM        519.1     519.1   014050   01 CENTRAL SUPPLY REV
40550261   S STRL SURGICEL 4X8           328.9     328.9   014050   01 CENTRAL SUPPLY REV
40550493   S STRL SUTURE PER PKG         94.05     94.05   014050   01 CENTRAL SUPPLY REV
40554552   S STRL SWAN GANG CATH LU    2812.95   2812.95   014050   01 CENTRAL SUPPLY REV
40554677   S STRL SWAN-PACER INS TY     768.25    768.25   014050   01 CENTRAL SUPPLY REV
40546293   S STRL SYS EXT CSF 8301     2762.63   2762.63   014050   01 CENTRAL SUPPLY REV
40539290   S STRL TEGASRB 4 X 4         181.56    181.56   014050   01 CENTRAL SUPPLY REV
40536960   S STRL TEGASRB SACRAL        356.25    356.25   014050   01 CENTRAL SUPPLY REV
40541902   S STRL TEGASRB ULCER         496.53    496.53   014050   01 CENTRAL SUPPLY REV
40554875   S STRL THERAP EYE LENS       701.95    701.95   014050   01 CENTRAL SUPPLY REV
40554248   S STRL THERMOD SG CATH       1292.5    1292.5   014050   01 CENTRAL SUPPLY REV
40500431   S STRL THORA FLEX 7756       1071.5    1071.5   014050   01 CENTRAL SUPPLY REV
40553570   S STRL THORACOTOMY TRAY      723.65    723.65   014050   01 CENTRAL SUPPLY REV
40547994   S STRL THOROCENT TRAY        487.75    487.75   014050   01 CENTRAL SUPPLY REV
40540374   S STRL TIP FILIFORM 3FR     1159.25   1159.25   014050   01 CENTRAL SUPPLY REV
40535566   S STRL TIP FILIFORM 5FR     1181.48   1181.48   014050   01 CENTRAL SUPPLY REV
40520287   S STRL TIP FILIFORM 6FR     1159.25   1159.25   014050   01 CENTRAL SUPPLY REV
40543642   S STRL TIP TNSL SUC CVRD     125.99    125.99   014050   01 CENTRAL SUPPLY REV
40547010   S STRL TRACH FIX CUF 6.0    2484.38   2484.38   014050   01 CENTRAL SUPPLY REV
40547011   S STRL TRACH FIX CUF 7.0    2484.38   2484.38   014050   01 CENTRAL SUPPLY REV
40547012   S STRL TRACH FIX CUF 8.0    2484.38   2484.38   014050   01 CENTRAL SUPPLY REV
40547013   S STRL TRACH FIX CUF 9.0    2484.38   2484.38   014050   01 CENTRAL SUPPLY REV
40556524   S STRL TRACH INNER CAN        172.4     172.4   014050   01 CENTRAL SUPPLY REV
40547457   S STRL TRACH PLUG            437.15    437.15   014050   01 CENTRAL SUPPLY REV
40547580   S STRL TRACH TUBE            1194.3    1194.3   014050   01 CENTRAL SUPPLY REV
40547655   S STRL TRAY BIOPSY DISP       451.7     451.7   014050   01 CENTRAL SUPPLY REV
40540698   S STRL TRAY CATH PEDI 8FR       636       636   014050   01 CENTRAL SUPPLY REV
40502292   S STRL TRAY EPDRL 18GA       614.28    614.28   014050   01 CENTRAL SUPPLY REV
40547887   S STRL TRAY EPIDURAL ANES    792.02    792.02   014050   01 CENTRAL SUPPLY REV
40540981   S STRL TRAY ESPH TRCH 37F   1386.98   1386.98   014050   01 CENTRAL SUPPLY REV
40533891   S STRL TRAY ESPH TRCH 41F   1386.98   1386.98   014050   01 CENTRAL SUPPLY REV
40544494   S STRL TRAY LACERT DISP      384.31    384.31   014050   01 CENTRAL SUPPLY REV
40542233   S STRL TRAY PARA 6FR        1182.56   1182.56   014050   01 CENTRAL SUPPLY REV
40509178   S STRL TRAY PE PIC-04        847.15    847.15   014050   01 CENTRAL SUPPLY REV
40538903   S STRL TRAY SPNL ANES        561.11    561.11   014050   01 CENTRAL SUPPLY REV
40508385   S STRL TRAY THOR VENT       3955.12   3955.12   014050   01 CENTRAL SUPPLY REV
40547960   S STRL TRAY TRACHESOTOMY     129.45    129.45   014050   01 CENTRAL SUPPLY REV
40531056   S STRL TRAY, PNEUMOTHORAX   1143.55   1143.55   014050   01 CENTRAL SUPPLY REV
40545488   S STRL TRCH TB CF 7          982.19    982.19   014050   01 CENTRAL SUPPLY REV
40544884   S STRL TRCH TB FLX BV 8.0   3469.98   3469.98   014050   01 CENTRAL SUPPLY REV
40544634   S STRL TRCH TB PED UC 3.5    998.72    998.72   014050   01 CENTRAL SUPPLY REV
40544636   S STRL TRCH TB PED UC 4.5    998.72    998.72   014050   01 CENTRAL SUPPLY REV
40544612   S STRL TRCH TBE CF 10 DIC    857.92    857.92   014050   01 CENTRAL SUPPLY REV
40544609   S STRL TRCH TBE CF 6 DIC     857.92    857.92   014050   01 CENTRAL SUPPLY REV
40544610   S STRL TRCH TBE CF 8 DIC     857.92    857.92   014050   01 CENTRAL SUPPLY REV
40544611   S STRL TRCH TBE CF 9 DIC     857.92    857.92   014050   01 CENTRAL SUPPLY REV
40544616   S STRL TRCH TBE FEN 10       903.58    903.58   014050   01 CENTRAL SUPPLY REV
40544613   S STRL TRCH TBE FEN 6        903.58    903.58   014050   01 CENTRAL SUPPLY REV
40544614   S STRL TRCH TBE FEN 8        903.58    903.58   014050   01 CENTRAL SUPPLY REV
40544615   S STRL TRCH TBE FEN 9        903.58    903.58   014050   01 CENTRAL SUPPLY REV
40544632   S STRL TRCH TBE LP CF 10     995.72    995.72   014050   01 CENTRAL SUPPLY REV
40544629   S STRL TRCH TBE LP CF 6      898.58    898.58   014050   01 CENTRAL SUPPLY REV
40544630   S STRL TRCH TBE LP CF 8      898.58    898.58   014050   01 CENTRAL SUPPLY REV
40544631   S STRL TRCH TBE LP CF 9      995.72    995.72   014050   01 CENTRAL SUPPLY REV
40544633   S STRL TRCH TBE PED UC 3     998.72    998.72   014050   01 CENTRAL SUPPLY REV
40544635   S STRL TRCH TBE PED UC 4     998.72    998.72   014050   01 CENTRAL SUPPLY REV
40543068   S STRL TRCH TBE PED UC 5     998.72    998.72   014050   01 CENTRAL SUPPLY REV
40544606   S STRL TRCH TBE UC 6 DIC     735.25    735.25   014050   01 CENTRAL SUPPLY REV
40544607   S STRL TRCH TBE UC 8 DIC     735.25    735.25   014050   01 CENTRAL SUPPLY REV
40544608   S STRL TRCH TBE UC 9 DIC     735.25    735.25   014050   01 CENTRAL SUPPLY REV
40531723   S STRL TRU-CLOSE DRNG SYS    833.71    833.71   014050   01 CENTRAL SUPPLY REV
40544500   S STRL TUBAL DEL PACK        947.81    947.81   014050   01 CENTRAL SUPPLY REV
40548109   S STRL TUBE FDING 8FR         55.05     55.05   014050   01 CENTRAL SUPPLY REV
40546285   S STRL TUBE LRYCT 9.0       1065.56   1065.56   014050   01 CENTRAL SUPPLY REV
40510325   S STRL TUBE OBTR ADULT      1098.41   1098.41   014050   01 CENTRAL SUPPLY REV
40539125   S STRL TUBE SALEM SMP 10F    204.86    204.86   014050   01 CENTRAL SUPPLY REV
40539123   S STRL TUBE SALEM SMP 12F    204.86    204.86   014050   01 CENTRAL SUPPLY REV
40540916   S STRL TUBE TRCH DSTL 6.0    1099.1    1099.1   014050   01 CENTRAL SUPPLY REV
40540915   S STRL TUBE TRCH DSTL 8.0    1099.1    1099.1   014050   01 CENTRAL SUPPLY REV
40540918   S STRL TUBE TRCH PROX 6.0    1099.1    1099.1   014050   01 CENTRAL SUPPLY REV
40540917   S STRL TUBE TRCH PROX 8.0    1099.1    1099.1   014050   01 CENTRAL SUPPLY REV
40536979   S STRL TUBG BLD WRM         1666.51   1666.51   014050   01 CENTRAL SUPPLY REV
40504102   S STRL UMBILICAL CATH        442.65    442.65   014050   01 CENTRAL SUPPLY REV
40506011   S STRL UNNA GEL CAST         126.95    126.95   014050   01 CENTRAL SUPPLY REV
40541203   S STRL URETHRAL CATH TR       977.5     977.5   014050   01 CENTRAL SUPPLY REV
40548344   S STRL URETHRAL DIL 12FR    1006.01   1006.01   014050   01 CENTRAL SUPPLY REV
40548345   S STRL URETHRAL DIL 18FR    1006.01   1006.01   014050   01 CENTRAL SUPPLY REV
40548349   S STRL URIMETER              364.45    364.45   014050   01 CENTRAL SUPPLY REV
40548398   S STRL URINE DRAIN BAG       147.65    147.65   014050   01 CENTRAL SUPPLY REV
40514766   S STRL UROSTOMY POUCH          9.15      9.15   014050   01 CENTRAL SUPPLY REV
40554602   S STRL UROSTOMY TUBE          94.05     94.05   014050   01 CENTRAL SUPPLY REV
40514768   S STRL UROSTY POUCH 1 PCE        15.75     15.75    014050   01 CENTRAL SUPPLY REV
40544501   S STRL VAGINAL DEL PACK         875.79    875.79    014050   01 CENTRAL SUPPLY REV
40536077   S STRL VARICAR WND TRACT         889.6     889.6    014050   01 CENTRAL SUPPLY REV
40536075   S STRL VARICARE HANDGUN         1168.9    1168.9    014050   01 CENTRAL SUPPLY REV
40548562   S STRL VASELINE GAUZE              58.6      58.6   014050   01 CENTRAL SUPPLY REV
40548505   S STRL VASELINE GAUZE              77.9      77.9   014050   01 CENTRAL SUPPLY REV
40556466   S STRL VENT CATH CHG KI           3197      3197    014050   01 CENTRAL SUPPLY REV
40500615   S STRL VLV PASSY-MUIR SPK        324.1     324.1    014050   01 CENTRAL SUPPLY REV
40548521   S STRL VSLN GAUZE 3X9              28.5      28.5   014050   01 CENTRAL SUPPLY REV
40514764   S STRL WAFER CUT-UP 1 1/4        10.65     10.65    014050   01 CENTRAL SUPPLY REV
40514765   S STRL WAFER CUT-UP 2 1/4        11.45     11.45    014050   01 CENTRAL SUPPLY REV
40562663   S STRL WAFER STOMA               239.8     239.8    014050   01 CENTRAL SUPPLY REV
40502663   S STRL WAFER STOMACHESIVE        41.35     41.35    014050   01 CENTRAL SUPPLY REV
40544090   S STRL WARM BLANKET FULL         310.2     310.2    014050   01 CENTRAL SUPPLY REV
40524477   S STRL WARM BLANKET UPPER        430.9     430.9    014050   01 CENTRAL SUPPLY REV
40514770   S STRL WND DRNG COLLECTOR        35.95     35.95    014050   01 CENTRAL SUPPLY REV
40501024   S STRL WND SUC 100CC            237.15    237.15    014050   01 CENTRAL SUPPLY REV
40500535   S STRL WND SUC 10FR             453.13    453.13    014050   01 CENTRAL SUPPLY REV
40535240   S STRL WNG INF 24GX1/2 AG       121.22    121.22    014050   01 CENTRAL SUPPLY REV
40538985   S STRL WOUND COVER 2X2          873.43    873.43    014050   01 CENTRAL SUPPLY REV
40538984   S STRL WOUND COVER 2X2          873.43    873.43    014050   01 CENTRAL SUPPLY REV
40538988   S STRL WOUND COVER 6X8          873.43    873.43    014050   01 CENTRAL SUPPLY REV
40551913   S STRL XEROFOAM 1 X 8           129.85    129.85    014050   01 CENTRAL SUPPLY REV
40551921   S STRL XEROFOAM 5 X 9              41.3      41.3   014050   01 CENTRAL SUPPLY REV
40503746   S STRL Y-SET BLD LVL I          239.27    239.27    014050   01 CENTRAL SUPPLY REV
40503022   S STRL Y-SET, TRNSURETHRL        312.3     312.3    014050   01 CENTRAL SUPPLY REV
40611155   1 TOUCH TEST STRIP & PROC        83.43     83.43    014060   01 CLINICAL LABORATORY REV
40619010   1441 FLORIDA, MODESTO CA              0         0   014060   01 CLINICAL LABORATORY REV
40699316   17 OH PROGESTRONE                24.75     24.75    014060   01 CLINICAL LABORATORY REV
40629009   200 1ST ST S.W., ROCHESTER MN         0         0   014060   01 CLINICAL LABORATORY REV
40699024   2151 BERKELEY WAY                     0         0   014060   01 CLINICAL LABORATORY REV
40639008   26441 VIA DE ANZA                     0         0   014060   01 CLINICAL LABORATORY REV
40619018   33608 ORTEGA HWY                      0         0   014060   01 CLINICAL LABORATORY REV
40659211   5 HIAA UR                          15.6      15.6   014060   01 CLINICAL LABORATORY REV
40614277   5 NUCLEOTIDASE                   52.61     52.61    014060   01 CLINICAL LABORATORY REV
40611196   AB SCRN                   275.06    275.06    014060   01 CLINICAL LABORATORY REV
40611014   ABO TYP                   207.07    207.07    014060   01 CLINICAL LABORATORY REV
40699312   ACE (ANGIOTN CONVR ENZ)        15        15   014060   01 CLINICAL LABORATORY REV
40619777   ACETAMINOPHEN             417.61    417.61    014060   01 CLINICAL LABORATORY REV
40614271   ACETYLCHOLINE RECEPT AB        45        45   014060   01 CLINICAL LABORATORY REV
40613405   ACTH                           25        25   014060   01 CLINICAL LABORATORY REV
40654700   ADENOVIRUS AB              23.84     23.84    014060   01 CLINICAL LABORATORY REV
40655000   ADRENAL AB SCRN            31.15     31.15    014060   01 CLINICAL LABORATORY REV
40620064   AFB CULT                    29.5      29.5    014060   01 CLINICAL LABORATORY REV
40614300   AFB CULT BLD                   49        49   014060   01 CLINICAL LABORATORY REV
40613390   AFP TUMOR MARKER               11        11   014060   01 CLINICAL LABORATORY REV
40699699   AG DETECT EIA MULT STEP        24        24   014060   01 CLINICAL LABORATORY REV
40656505   AG DETECT EIA MULT STEP    16.85     16.85    014060   01 CLINICAL LABORATORY REV
40699629   AG DETECT EIA MULT STEP         8         8   014060   01 CLINICAL LABORATORY REV
40699627   AG DETECT EIA MULT STEP         8         8   014060   01 CLINICAL LABORATORY REV
40699626   AG DETECT EIA MULT STEP         8         8   014060   01 CLINICAL LABORATORY REV
40699625   AG DETECT EIA MULT STEP         8         8   014060   01 CLINICAL LABORATORY REV
40699698   AG DETECT EIA MULT STEP     32.2      32.2    014060   01 CLINICAL LABORATORY REV
40699628   AG DETECT EIA MULT STEP         8         8   014060   01 CLINICAL LABORATORY REV
40699216   ALBUMIN                   120.06    120.06    014060   01 CLINICAL LABORATORY REV
40659505   ALBUMIN                     5.45      5.45    014060   01 CLINICAL LABORATORY REV
40699650   ALBUMIN FLD                 5.45      5.45    014060   01 CLINICAL LABORATORY REV
40618316   ALCOHOL (ETHANOL)          282.7     282.7    014060   01 CLINICAL LABORATORY REV
40639031   ALDOLASE                      8.5       8.5   014060   01 CLINICAL LABORATORY REV
40629016   ALDOSTERONE                    27        27   014060   01 CLINICAL LABORATORY REV
40629024   ALDOSTERONE UR 24HR            39        39   014060   01 CLINICAL LABORATORY REV
40699679   ALK PHOS ISOENZYMES        11.22     11.22    014060   01 CLINICAL LABORATORY REV
40617029   ALK PHOSPHATASE           146.44    146.44    014060   01 CLINICAL LABORATORY REV
40649270   ALK PHOSPHATASE             5.78      5.78    014060   01 CLINICAL LABORATORY REV
40639049   ALPHA 1 ANTITRYPSIN        11.63     11.63    014060   01 CLINICAL LABORATORY REV
40617060   ALT (SGPT)                146.44    146.44    014060   01 CLINICAL LABORATORY REV
40613374   AMEBIC AB                  21.28     21.28    014060   01 CLINICAL LABORATORY REV
40618456   AMIKACIN                   28.88     28.88    014060   01 CLINICAL LABORATORY REV
40649610   AMINO ACIDS PLAS >5 QN      96.5      96.5    014060   01 CLINICAL LABORATORY REV
40649600   AMINO ACIDS UR >5 QN         131       131    014060   01 CLINICAL LABORATORY REV
40613438   AMITRIPTYLINE                  23       23   014060   01 CLINICAL LABORATORY REV
40617326   AMMONIA                     282.7    282.7   014060   01 CLINICAL LABORATORY REV
40614280   AMPHETAMINE CONF               35       35   014060   01 CLINICAL LABORATORY REV
40699240   AMPHETAMINE SCRN           236.43   236.43   014060   01 CLINICAL LABORATORY REV
40617169   AMYLASE                    285.57   285.57   014060   01 CLINICAL LABORATORY REV
40699311   AMYLASE UR RAN             245.92   245.92   014060   01 CLINICAL LABORATORY REV
40699310   AMYLASE UR TIM              282.7    282.7   014060   01 CLINICAL LABORATORY REV
40619371   ANA (ANTI NUCLEAR AB)      206.91   206.91   014060   01 CLINICAL LABORATORY REV
40654550   ANA (ANTI NUCLEAR AB)        7.27     7.27   014060   01 CLINICAL LABORATORY REV
40619372   ANA TTR                    206.91   206.91   014060   01 CLINICAL LABORATORY REV
40654560   ANA TTR                         8        8   014060   01 CLINICAL LABORATORY REV
40699326   ANTI DNA DBL STRAND          12.5     12.5   014060   01 CLINICAL LABORATORY REV
40650525   ANTINEUTROPHILIC AB         16.62    16.62   014060   01 CLINICAL LABORATORY REV
40650520   ANTINEUTROPHILIC AB         16.62    16.62   014060   01 CLINICAL LABORATORY REV
40699633   ARSENIC BLD                    19       19   014060   01 CLINICAL LABORATORY REV
40649240   ASCORBIC ACID                  14       14   014060   01 CLINICAL LABORATORY REV
40659138   ASO TTR                      9.75     9.75   014060   01 CLINICAL LABORATORY REV
40654950   ASPERGILLUS AB               6.17     6.17   014060   01 CLINICAL LABORATORY REV
40699741   ASPERGILLUS AB               9.31     9.31   014060   01 CLINICAL LABORATORY REV
40617052   AST (SGOT)                 120.28   120.28   014060   01 CLINICAL LABORATORY REV
40699318   AT3 ACTIVITY                   19       19   014060   01 CLINICAL LABORATORY REV
40649260   ATRIAL NATRIURETIC PROT     224.3    224.3   014060   01 CLINICAL LABORATORY REV
40659010   B & B COURIER CHARGE            0        0   014060   01 CLINICAL LABORATORY REV
40699715   B HENSELAE IGG TIT           6.25     6.25   014060   01 CLINICAL LABORATORY REV
40699712   B HENSELAE IGM TIT           6.25     6.25   014060   01 CLINICAL LABORATORY REV
40620055   B PERTUSSIS/PARAPERT DFA       10       10   014060   01 CLINICAL LABORATORY REV
40699716   B QUINTANA IGG AB            6.25     6.25   014060   01 CLINICAL LABORATORY REV
40699717   B QUINTANA IGG TIT           6.25     6.25   014060   01 CLINICAL LABORATORY REV
40699713   B QUINTANA IGM AB            6.25     6.25   014060   01 CLINICAL LABORATORY REV
40699714   B QUINTANA IGM TIT           6.25     6.25   014060   01 CLINICAL LABORATORY REV
40699748   BACTERIAL AG EA AG             18       18   014060   01 CLINICAL LABORATORY REV
40654800   BACTERIAL AG EA AG              8        8   014060   01 CLINICAL LABORATORY REV
40614281   BARBITURATES CONF           42.26    42.26   014060   01 CLINICAL LABORATORY REV
40699257   BARBITURATES SCRN          236.43   236.43   014060   01 CLINICAL LABORATORY REV
40699726   BARTONELLA AB IGG            6.25     6.25   014060   01 CLINICAL LABORATORY REV
40699718   BARTONELLA AB IGM              6.25     6.25   014060   01 CLINICAL LABORATORY REV
40649295   BASIC METABOLIC PNL          494.11   494.11   014060   01 CLINICAL LABORATORY REV
40679018   BAYLOR-UROLITHIASIS LAB           0        0   014060   01 CLINICAL LABORATORY REV
40699265   BENZODIAZEPINE SCRN          236.43   236.43   014060   01 CLINICAL LABORATORY REV
40614323   BENZODIZEPINE CONF            37.92    37.92   014060   01 CLINICAL LABORATORY REV
40699025   BERKELEY, CA 94704                0        0   014060   01 CLINICAL LABORATORY REV
40619678   BETA HCG QN                   224.3    224.3   014060   01 CLINICAL LABORATORY REV
40699245   BETA HCG QN                      11       11   014060   01 CLINICAL LABORATORY REV
40613386   BETA2 MICROGLOBULIN           19.95    19.95   014060   01 CLINICAL LABORATORY REV
40617375   BILIRUBIN DIRECT             120.06   120.06   014060   01 CLINICAL LABORATORY REV
40613392   BILIRUBIN TOTAL              120.06   120.06   014060   01 CLINICAL LABORATORY REV
40617128   BILIRUBIN TOTAL              146.44   146.44   014060   01 CLINICAL LABORATORY REV
40613218   BLD CNT RBC AUTO             190.49   190.49   014060   01 CLINICAL LABORATORY REV
40652500   BLD CNT RBC AUTO                  4        4   014060   01 CLINICAL LABORATORY REV
40652680   BLD SMR EXAM W MAN DIFF       51.58    51.58   014060   01 CLINICAL LABORATORY REV
40652660   BLD SMR EXAM WO MAN DIFF      42.31    42.31   014060   01 CLINICAL LABORATORY REV
40669740   BORDETELLA AB                   107      107   014060   01 CLINICAL LABORATORY REV
40614033   BRUCELLA AB                   12.76    12.76   014060   01 CLINICAL LABORATORY REV
40617136   BUN                          120.28   120.28   014060   01 CLINICAL LABORATORY REV
40649210   C DIFFICILE TOXIN EIA        227.12   227.12   014060   01 CLINICAL LABORATORY REV
40649515   C PEPTIDE                        16       16   014060   01 CLINICAL LABORATORY REV
40629131   C REACTIVE PROTEIN           100.66   100.66   014060   01 CLINICAL LABORATORY REV
40620303   CA 125                           12       12   014060   01 CLINICAL LABORATORY REV
40620314   CA 15 3 (27.29)                  34       34   014060   01 CLINICAL LABORATORY REV
40620325   CA 19 9                        15.3     15.3   014060   01 CLINICAL LABORATORY REV
40617390   CAFFEINE                       37.8     37.8   014060   01 CLINICAL LABORATORY REV
40699022   CAL DEPT OF HEALTH SERVICE        0        0   014060   01 CLINICAL LABORATORY REV
40679011   CALC ANALYSIS QL               22.5     22.5   014060   01 CLINICAL LABORATORY REV
40651450   CALCIUM                           5        5   014060   01 CLINICAL LABORATORY REV
40618050   CALCIUM                      120.06   120.06   014060   01 CLINICAL LABORATORY REV
40649505   CALCIUM IONIZED              172.56   172.56   014060   01 CLINICAL LABORATORY REV
40618357   CALCIUM IONIZED                  10       10   014060   01 CLINICAL LABORATORY REV
40619413   CALCIUM UR RAN                91.89    91.89   014060   01 CLINICAL LABORATORY REV
40613399   CALCIUM UR TIM               143.84   143.84   014060   01 CLINICAL LABORATORY REV
40699273   CANNABINOID SCRN             236.43   236.43   014060   01 CLINICAL LABORATORY REV
40614324   CANNABINOIDS CONF             37.92     37.92   014060   01 CLINICAL LABORATORY REV
40699693   CAPILLARY PUNCTURE             7.58      7.58   014060   01 CLINICAL LABORATORY REV
40699092   CARBAMAZEPINE TOTAL          414.03    414.03   014060   01 CLINICAL LABORATORY REV
40699723   CARDIOLIPIN AB                26.13     26.13   014060   01 CLINICAL LABORATORY REV
40649302   CARDIOLIPIN IGG AB             17.5      17.5   014060   01 CLINICAL LABORATORY REV
40649303   CARDIOLIPIN IGM AB             17.5      17.5   014060   01 CLINICAL LABORATORY REV
40649200   CARNITINE FREE & TOTAL           31        31   014060   01 CLINICAL LABORATORY REV
40639098   CAROTENE                         15        15   014060   01 CLINICAL LABORATORY REV
40613407   CATECHOL FRAC UR               27.5      27.5   014060   01 CLINICAL LABORATORY REV
40613375   CATECHOL FRAC UR               27.5      27.5   014060   01 CLINICAL LABORATORY REV
40613406   CATECHOLAMINES PLAS            27.5      27.5   014060   01 CLINICAL LABORATORY REV
40613291   CBC AUTO                     145.52    145.52   014060   01 CLINICAL LABORATORY REV
40613010   CBC AUTO W AUTO DIFF WBC     203.71    203.71   014060   01 CLINICAL LABORATORY REV
40659104   CEA                          233.29    233.29   014060   01 CLINICAL LABORATORY REV
40613371   CELL CNT FLD W/ DIFF        1013.35   1013.35   014060   01 CLINICAL LABORATORY REV
40652300   CELL CNT FLD W/O DIFF         244.1     244.1   014060   01 CLINICAL LABORATORY REV
40622011   CELL CNT FLD W/O DIFF        290.45    290.45   014060   01 CLINICAL LABORATORY REV
41699746   CELL MARKR INTERPRET 9-15     40.58     40.58   014060   01 CLINICAL LABORATORY REV
40699731   CELL MARKR TECH EA ADDL       10.69     10.69   014060   01 CLINICAL LABORATORY REV
40658600   CELL MARKR TECH ONLY 1ST      23.51     23.51   014060   01 CLINICAL LABORATORY REV
40699700   CENTROMERE SCREEN              87.5      87.5   014060   01 CLINICAL LABORATORY REV
40629099   CERULOPLASMIN                  9.75      9.75   014060   01 CLINICAL LABORATORY REV
40613377   CHLAMYDIA AB IGG              41.07     41.07   014060   01 CLINICAL LABORATORY REV
40699733   CHLAMYDIA AB IGG                8.5       8.5   014060   01 CLINICAL LABORATORY REV
40699732   CHLAMYDIA AB IGM               8.33      8.33   014060   01 CLINICAL LABORATORY REV
40613378   CHLAMYDIA AB IGM              52.13     52.13   014060   01 CLINICAL LABORATORY REV
40620369   CHLAMYDIA CULT                   23        23   014060   01 CLINICAL LABORATORY REV
40699314   CHLAMYDIA TRACH DIR PRB       171.2     171.2   014060   01 CLINICAL LABORATORY REV
40618043   CHLORIDE                     120.06    120.06   014060   01 CLINICAL LABORATORY REV
40699686   CHLORIDE FLD                  77.96     77.96   014060   01 CLINICAL LABORATORY REV
40622029   CHLORIDE FLD                 190.49    190.49   014060   01 CLINICAL LABORATORY REV
40620281   CHLORIDE UR                  216.23    216.23   014060   01 CLINICAL LABORATORY REV
40617086   CHOLESTEROL                  146.44    146.44   014060   01 CLINICAL LABORATORY REV
40649405   CHOLINESTERASE RBC            12.38     12.38   014060   01 CLINICAL LABORATORY REV
40649410   CHOLINESTERASE SER            12.37     12.37   014060   01 CLINICAL LABORATORY REV
40699745   CHRMOSOM ADD KARY EA         31.83    31.83   014060   01 CLINICAL LABORATORY REV
40699744   CHRMOSOM ANALYZE 20-25       127.3    127.3   014060   01 CLINICAL LABORATORY REV
40658110   CHRMOSOM CNT/KARY           141.34   141.34   014060   01 CLINICAL LABORATORY REV
40639148   CHRMOSOM CNT/KARY                0        0   014060   01 CLINICAL LABORATORY REV
40699706   CHROMAT QN MULT ANALTE          94       94   014060   01 CLINICAL LABORATORY REV
40699244   CK MB FRACTION               282.7    282.7   014060   01 CLINICAL LABORATORY REV
40617185   CK TOTAL                    120.06   120.06   014060   01 CLINICAL LABORATORY REV
40649063   CMV AB IGG                   11.92    11.92   014060   01 CLINICAL LABORATORY REV
40613385   CMV AB IGM                      14       14   014060   01 CLINICAL LABORATORY REV
40699701   CMV AMP PRB                   87.5     87.5   014060   01 CLINICAL LABORATORY REV
40699702   CMV DNA QN                     109      109   014060   01 CLINICAL LABORATORY REV
40618035   CO2 (BICARBONATE)           104.51   104.51   014060   01 CLINICAL LABORATORY REV
40614282   COCAINE CONF                 32.51    32.51   014060   01 CLINICAL LABORATORY REV
40699281   COCAINE SCRN                236.43   236.43   014060   01 CLINICAL LABORATORY REV
40669016   COCCI IMMUNO DIFFUSION          32       32   014060   01 CLINICAL LABORATORY REV
40669012   COCCIDIOIDES AB                 38       38   014060   01 CLINICAL LABORATORY REV
40613465   COCCIDIOIDES AB CSF             32       32   014060   01 CLINICAL LABORATORY REV
40611030   COMPATIBILITY TEST IS       553.54   553.54   014060   01 CLINICAL LABORATORY REV
40659153   COMPLEMENT C3                    8        8   014060   01 CLINICAL LABORATORY REV
40659161   COMPLEMENT C4                    8        8   014060   01 CLINICAL LABORATORY REV
40614299   COMPLEMENT C5                   33       33   014060   01 CLINICAL LABORATORY REV
40614296   COMPLEMENT TOT (CH50)           11       11   014060   01 CLINICAL LABORATORY REV
40649300   COMPR MET PNL               805.09   805.09   014060   01 CLINICAL LABORATORY REV
40649230   COPPER                          15       15   014060   01 CLINICAL LABORATORY REV
40649530   CORTISOL FREE UR             21.25    21.25   014060   01 CLINICAL LABORATORY REV
40659260   CORTISOL TOTAL                  10       10   014060   01 CLINICAL LABORATORY REV
40649055   COXSACKIE AB TYP B           37.77    37.77   014060   01 CLINICAL LABORATORY REV
40650220   C-REACTIVE PROTEIN HS         20.5     20.5   014060   01 CLINICAL LABORATORY REV
40617144   CREATININE                  117.03   117.03   014060   01 CLINICAL LABORATORY REV
40617342   CREATININE CLEARANCE        380.22   380.22   014060   01 CLINICAL LABORATORY REV
40620270   CREATININE UR RAN           217.53   217.53   014060   01 CLINICAL LABORATORY REV
40649770   CRYOGLOB QL OR SEMI QL           5        5   014060   01 CLINICAL LABORATORY REV
40699681   CRYOGLOBULIN IMMUNOFIXATN       29       29   014060   01 CLINICAL LABORATORY REV
40699696   CRYPTO AG DFA                 22.2     22.2   014060   01 CLINICAL LABORATORY REV
40699317   CRYPTO NEOFORMANS EIA        13.75    13.75   014060   01 CLINICAL LABORATORY REV
40654570   CRYPTOCOCCAL AG TTR AGGL      35.5     35.5   014060   01 CLINICAL LABORATORY REV
40613469   CRYPTOSPORIDIUM              21.25    21.25   014060   01 CLINICAL LABORATORY REV
40613437   CRYSTALS FLD                198.29   198.29   014060   01 CLINICAL LABORATORY REV
40625560   CULT BACT AEROBIC ID        189.52   189.52   014060   01 CLINICAL LABORATORY REV
40620060   CULT BACT ANAEROBIC         162.05   162.05   014060   01 CLINICAL LABORATORY REV
40625540   CULT BACT ANAEROBIC ID      162.05   162.05   014060   01 CLINICAL LABORATORY REV
40699608   CULT BETA STREP A ONLY      272.41   272.41   014060   01 CLINICAL LABORATORY REV
40620106   CULT BLD BACTERIA           366.25   366.25   014060   01 CLINICAL LABORATORY REV
40656600   CULT BLD FOR CMV             20.65    20.65   014060   01 CLINICAL LABORATORY REV
40656625   CULT CMV                        40       40   014060   01 CLINICAL LABORATORY REV
40699321   CULT CMV                     68.04    68.04   014060   01 CLINICAL LABORATORY REV
40620073   CULT FUNG SKIN HAIR NAIL    132.14   132.14   014060   01 CLINICAL LABORATORY REV
40614298   CULT FUNGUS BLD              34.45    34.45   014060   01 CLINICAL LABORATORY REV
40650060   CULT FUNGUS MOLD ID          12.95    12.95   014060   01 CLINICAL LABORATORY REV
40656650   CULT FUNGUS MOLD ID          27.15    27.15   014060   01 CLINICAL LABORATORY REV
40620072   CULT FUNGUS OTHER SOURCE    143.84   143.84   014060   01 CLINICAL LABORATORY REV
40625700   CULT FUNGUS YEAST ID        189.52   189.52   014060   01 CLINICAL LABORATORY REV
40656640   CULT FUNGUS YEAST ID         27.15    27.15   014060   01 CLINICAL LABORATORY REV
40620098   CULT GC SCRN                272.41   272.41   014060   01 CLINICAL LABORATORY REV
40699607   CULT GRP B STREP SCRN       272.41   272.41   014060   01 CLINICAL LABORATORY REV
40620082   CULT LEGIONELLA                 56       56   014060   01 CLINICAL LABORATORY REV
40657100   CULT MRSA SCRN               86.69    86.69   014060   01 CLINICAL LABORATORY REV
40658050   CULT SCRN B PERTUSSUS           30       30   014060   01 CLINICAL LABORATORY REV
40699676   CULT SCRN ONLY                19.1     19.1   014060   01 CLINICAL LABORATORY REV
40620056   CULT SPUTUM/BRONCH WASH     443.13   443.13   014060   01 CLINICAL LABORATORY REV
40622228   CULT STL CAMPHYLOB EA PLT    26.93    26.93   014060   01 CLINICAL LABORATORY REV
40622229   CULT STL E COLI EA PLATE     26.93    26.93   014060   01 CLINICAL LABORATORY REV
40622227   CULT STL SALM & SHIG        438.74   438.74   014060   01 CLINICAL LABORATORY REV
40620081   CULT THROAT                 438.74   438.74   014060   01 CLINICAL LABORATORY REV
40625590   CULT TYP AGGL               189.52   189.52   014060   01 CLINICAL LABORATORY REV
40699677   CULT TYP OTHER METHOD        23.81    23.81   014060   01 CLINICAL LABORATORY REV
40620080   CULT UR COLONY CT ONLY      275.06   275.06   014060   01 CLINICAL LABORATORY REV
40657110   CULT VRE SCRN                86.69    86.69   014060   01 CLINICAL LABORATORY REV
40658400   CULTVIRAL                       30       30   014060   01 CLINICAL LABORATORY REV
40699695   CYANIDE SCRN                 35.99    35.99   014060   01 CLINICAL LABORATORY REV
40613467   CYCLOSPORINE (PROGRAF)             0        0   014060   01 CLINICAL LABORATORY REV
40613413   CYCLOSPORINE (PROGRAF)            30       30   014060   01 CLINICAL LABORATORY REV
40649775   CYCLOSPORINE (PROGRAF)         25.35    25.35   014060   01 CLINICAL LABORATORY REV
40649780   CYSTICERCUS AB                 50.62    50.62   014060   01 CLINICAL LABORATORY REV
40658720   CYTGNTC INTERP/RPRT            31.82    31.82   014060   01 CLINICAL LABORATORY REV
40658115   CYTGNTC INTERP/RPRT             6.82     6.82   014060   01 CLINICAL LABORATORY REV
40699674   D DIMER QN                     264.5    264.5   014060   01 CLINICAL LABORATORY REV
40614317   D DIMER SEMI QN/QL             264.5    264.5   014060   01 CLINICAL LABORATORY REV
40613476   D XYLOSE ABS PNL                21.5     21.5   014060   01 CLINICAL LABORATORY REV
40614290   D XYLOSE ABS PNL                21.5     21.5   014060   01 CLINICAL LABORATORY REV
40619454   D XYLOSE ABS PNL                  15       15   014060   01 CLINICAL LABORATORY REV
40613454   DESIPRAMINE                    26.11    26.11   014060   01 CLINICAL LABORATORY REV
40613464   DHEA SULFATE                      12       12   014060   01 CLINICAL LABORATORY REV
40639189   DIGITOXIN                         57       57   014060   01 CLINICAL LABORATORY REV
40618514   DIGOXIN                       281.67   281.67   014060   01 CLINICAL LABORATORY REV
40658500   DNA CL CYCLE                    60.5     60.5   014060   01 CLINICAL LABORATORY REV
40619009   DOCTORS MEDICAL CENTER             0        0   014060   01 CLINICAL LABORATORY REV
40699500   DRG SCRN QL CHROM EA          737.37   737.37   014060   01 CLINICAL LABORATORY REV
40699246   DRG SCRN QL CHROM EA          366.25   366.25   014060   01 CLINICAL LABORATORY REV
40619660   DRG SCRN QL CHROM EA              25       25   014060   01 CLINICAL LABORATORY REV
40650200   E HISTOLYTICA GRP EIA           44.5     44.5   014060   01 CLINICAL LABORATORY REV
40699619   EBV AB EBNA                     9.32     9.32   014060   01 CLINICAL LABORATORY REV
40699671   EBV VCA AB IGG                  9.34     9.34   014060   01 CLINICAL LABORATORY REV
40699620   EBV VCA AB IGM                  9.34     9.34   014060   01 CLINICAL LABORATORY REV
40649950   ELECTRO, PROT/IMM W/TRAC SR        0        0   014060   01 CLINICAL LABORATORY REV
40618175   ELECTROLYTE PNL FLD           276.31   276.31   014060   01 CLINICAL LABORATORY REV
40656210   ENA AB                            18       18   014060   01 CLINICAL LABORATORY REV
40620088   EOSINPHILS SMR NASAL          159.72   159.72   014060   01 CLINICAL LABORATORY REV
40699324   ERYTHROPOIETIN                 20.43    20.43   014060   01 CLINICAL LABORATORY REV
40613451   ESTRADIOL (E2)                456.62   456.62   014060   01 CLINICAL LABORATORY REV
40699329   ESTROGEN TOTAL                    26       26   014060   01 CLINICAL LABORATORY REV
40699707   FAT STL QL                        23       23   014060   01 CLINICAL LABORATORY REV
40613444   FAT STL QN                      44.8     44.8   014060   01 CLINICAL LABORATORY REV
40653070   FCTR IX                         67.5     67.5   014060   01 CLINICAL LABORATORY REV
40653060   FCTR VIII                         45       45   014060   01 CLINICAL LABORATORY REV
40619405   FCTR VIII VW AG                 59       59   014060   01 CLINICAL LABORATORY REV
40653080   FCTR X                          59       59   014060   01 CLINICAL LABORATORY REV
40639213   FERRITIN                    190.49   190.49   014060   01 CLINICAL LABORATORY REV
40613176   FIBRINOGEN                  201.76   201.76   014060   01 CLINICAL LABORATORY REV
40613387   FLECAINIDE                    20.1     20.1   014060   01 CLINICAL LABORATORY REV
40649510   FLUOR AB SCRN EA AB TTR         11       11   014060   01 CLINICAL LABORATORY REV
40659525   FLUXOETINE                    20.5     20.5   014060   01 CLINICAL LABORATORY REV
40659187   FOLATE                      190.49   190.49   014060   01 CLINICAL LABORATORY REV
40659190   FOLATE RBC                    19.9     19.9   014060   01 CLINICAL LABORATORY REV
40614291   FRANCISELLA TULARENSIS AB    25.96    25.96   014060   01 CLINICAL LABORATORY REV
40613458   FREE T4                     251.39   251.39   014060   01 CLINICAL LABORATORY REV
40614297   FRUCTOSAMINE                 10.25    10.25   014060   01 CLINICAL LABORATORY REV
40650001   FSH                         234.76   234.76   014060   01 CLINICAL LABORATORY REV
40629164   FSH                           8.75     8.75   014060   01 CLINICAL LABORATORY REV
40639247   FTA ABS (TPPA)                9.59     9.59   014060   01 CLINICAL LABORATORY REV
40613409   G6PD QN                         14       14   014060   01 CLINICAL LABORATORY REV
40650150   GABAPENTIN                      25       25   014060   01 CLINICAL LABORATORY REV
40613412   GANGLIOSIDE GMI AUTO AB         42       42   014060   01 CLINICAL LABORATORY REV
40659112   GASTRIN                         15       15   014060   01 CLINICAL LABORATORY REV
40699515   GC DIR PRB                   171.2    171.2   014060   01 CLINICAL LABORATORY REV
40699023   GENETIC DISEASE BRANCH           0        0   014060   01 CLINICAL LABORATORY REV
40699612   GENTAMICIN RAN              299.77   299.77   014060   01 CLINICAL LABORATORY REV
40617425   GGT                         120.06   120.06   014060   01 CLINICAL LABORATORY REV
41699747   GLIADIN AB IGA               15.78    15.78   014060   01 CLINICAL LABORATORY REV
40618125   GLUC PRENAT 50 GM SCRN      209.62   209.62   014060   01 CLINICAL LABORATORY REV
40617094   GLUCOSE                     114.86   114.86   014060   01 CLINICAL LABORATORY REV
40618168   GLUCOSE 1HR PP              358.77   358.77   014060   01 CLINICAL LABORATORY REV
40617102   GLUCOSE 2HR PP              263.69   263.69   014060   01 CLINICAL LABORATORY REV
40622052   GLUCOSE CSF                 120.06   120.06   014060   01 CLINICAL LABORATORY REV
40650100   GLUCOSE FLD                 120.06   120.06   014060   01 CLINICAL LABORATORY REV
40620336   GLYCOHEMOGLOBIN              101.8    101.8   014060   01 CLINICAL LABORATORY REV
40649500   GROWTH HORMONE                12.5     12.5   014060   01 CLINICAL LABORATORY REV
40650095   GTT 1ST 3 SPEC INADDITION    298.9    298.9   014060   01 CLINICAL LABORATORY REV
40650080   GTT 4HR EXPLDNG CHRG             0        0   014060   01 CLINICAL LABORATORY REV
40650070   GTT, 2HR - EXPLDNG CHRG          0        0   014060   01 CLINICAL LABORATORY REV
40650075   GTT, 3HR EXPLDNG CHRG           0        0   014060   01 CLINICAL LABORATORY REV
40650085   GTT, 5HR EXPLDNG CHRG           0        0   014060   01 CLINICAL LABORATORY REV
40650090   GTT, 6HR EXPLDG CHRG            0        0   014060   01 CLINICAL LABORATORY REV
40699606   H PYLORI (NOT STL) EIA      50.21    50.21   014060   01 CLINICAL LABORATORY REV
40650005   H PYLORI AB IGA             26.48    26.48   014060   01 CLINICAL LABORATORY REV
40699624   H PYLORI AB IGG             10.84    10.84   014060   01 CLINICAL LABORATORY REV
40613395   H PYLORI AB IGM                34       34   014060   01 CLINICAL LABORATORY REV
40699721   H PYLORI STL EIA            55.86    55.86   014060   01 CLINICAL LABORATORY REV
40650300   H PYLORI STL EIA               53       53   014060   01 CLINICAL LABORATORY REV
40613333   HAPTOGLOBIN QN                 10       10   014060   01 CLINICAL LABORATORY REV
40613394   HAV AB IGM                 200.95   200.95   014060   01 CLINICAL LABORATORY REV
40613393   HAV AB TOTAL                172.5    172.5   014060   01 CLINICAL LABORATORY REV
40614307   HB CORE AB IGM              221.7    221.7   014060   01 CLINICAL LABORATORY REV
40613452   HB CORE AB TOTAL           150.07   150.07   014060   01 CLINICAL LABORATORY REV
40659286   HBS AB                     201.76   201.76   014060   01 CLINICAL LABORATORY REV
40659120   HBs AG                     126.34   126.34   014060   01 CLINICAL LABORATORY REV
40699306   HCV AB                     180.31   180.31   014060   01 CLINICAL LABORATORY REV
40650350   HCV AB CONF                    66       66   014060   01 CLINICAL LABORATORY REV
40620347   HDL CHOLESTEROL            218.66   218.66   014060   01 CLINICAL LABORATORY REV
40613044   HEMATOCRIT                  72.92    72.92   014060   01 CLINICAL LABORATORY REV
40652510   HEMATOCRIT                      3        3   014060   01 CLINICAL LABORATORY REV
40652505   HEMOGLOBIN                      3        3   014060   01 CLINICAL LABORATORY REV
40613043   HEMOGLOBIN                  72.71    72.71   014060   01 CLINICAL LABORATORY REV
40652515   HEMOGLOBIN FRACTION QN         15       15   014060   01 CLINICAL LABORATORY REV
40651040   HEMOGLOBIN FRACTION QN         12       12   014060   01 CLINICAL LABORATORY REV
40699678   HEP C VIRAL RNA GENOTYPE   145.35   145.35   014060   01 CLINICAL LABORATORY REV
40655115   HEP C VIRUS AMP PRB         84.41    84.41   014060   01 CLINICAL LABORATORY REV
40699630   HEP C VIRUS PCR QN          92.86    92.86   014060   01 CLINICAL LABORATORY REV
40655120   HEP C VIRUS PCR QN         106.95   106.95   014060   01 CLINICAL LABORATORY REV
40699232   HEPATIC FUNCTION PNL       480.02   480.02   014060   01 CLINICAL LABORATORY REV
40649330   HEPATITIS PNL ACUTE         571.2    571.2   014060   01 CLINICAL LABORATORY REV
40614083   HETEROPHILE AB SCRN        207.07   207.07   014060   01 CLINICAL LABORATORY REV
40619074   HGB ELECTRO                 20.19    20.19   014060   01 CLINICAL LABORATORY REV
40649121   HISTOPLAS AB                 19.5     19.5   014060   01 CLINICAL LABORATORY REV
40699616   HIV 1 AB                   265.31   265.31   014060   01 CLINICAL LABORATORY REV
40650320   HIV 1 QN PCR                84.15    84.15   014060   01 CLINICAL LABORATORY REV
40699128   HIV 1/HIV 2 AB             234.81   234.81   014060   01 CLINICAL LABORATORY REV
40613388   HIV AB CONF WESTERN BLOT    20.75    20.75   014060   01 CLINICAL LABORATORY REV
40639288   HLA B27                     27.09    27.09   014060   01 CLINICAL LABORATORY REV
40699090   HOMOCYSTINE                 20.19    20.19   014060   01 CLINICAL LABORATORY REV
40613490   HSV 1 AB IGG                15.88    15.88   014060   01 CLINICAL LABORATORY REV
40613491   HSV 2 AB IGG                15.88    15.88   014060   01 CLINICAL LABORATORY REV
40650460   HSV AB                      13.84    13.84   014060   01 CLINICAL LABORATORY REV
40699690   HSV AB                       37.5     37.5   014060   01 CLINICAL LABORATORY REV
40658200   HSV AMP PRB                 95.63    95.63   014060   01 CLINICAL LABORATORY REV
40613379   IGA                           7.3      7.3   014060   01 CLINICAL LABORATORY REV
40649970   IGA                             8        8   014060   01 CLINICAL LABORATORY REV
40651170   IGA                             8        8   014060   01 CLINICAL LABORATORY REV
40639296   IGE                          6.55     6.55   014060   01 CLINICAL LABORATORY REV
40649700   IgE                          10.1     10.1   014060   01 CLINICAL LABORATORY REV
40651175   IGG                             8        8   014060   01 CLINICAL LABORATORY REV
40650330   IGG                         11.15    11.15   014060   01 CLINICAL LABORATORY REV
40649975   IGG                             8        8   014060   01 CLINICAL LABORATORY REV
40699641   IGG                             8        8   014060   01 CLINICAL LABORATORY REV
40699643   IGG                             8        8   014060   01 CLINICAL LABORATORY REV
40659146   IGG                             8        8   014060   01 CLINICAL LABORATORY REV
40651180   IGM                             8        8   014060   01 CLINICAL LABORATORY REV
40613380   IGM                             8        8   014060   01 CLINICAL LABORATORY REV
40649981   IGM                             8        8   014060   01 CLINICAL LABORATORY REV
40699313   IMIPRAMINE                     22       22   014060   01 CLINICAL LABORATORY REV
40699711   IMMUNOASSAY NONINFECT          13       13   014060   01 CLINICAL LABORATORY REV
40655105   IMMUNOASSAY NONINFECT       13.42    13.42   014060   01 CLINICAL LABORATORY REV
40649760   IMMUNOASSAY NOT SPEC           32       32   014060   01 CLINICAL LABORATORY REV
40649710   IMMUNOASSAY NOT SPEC        31.98    31.98   014060   01 CLINICAL LABORATORY REV
40649720   IMMUNOASSAY NOT SPEC        31.98    31.98   014060   01 CLINICAL LABORATORY REV
40649730   IMMUNOASSAY NOT SPEC        31.98    31.98   014060   01 CLINICAL LABORATORY REV
40649750   IMMUNOASSAY NOT SPEC        31.98    31.98   014060   01 CLINICAL LABORATORY REV
40649740   IMMUNOASSAY NOT SPEC        31.98    31.98   014060   01 CLINICAL LABORATORY REV
40699682   IMMUNODIFFUSION                29       29   014060   01 CLINICAL LABORATORY REV
40699743   IMMUNODIFFUSION GEL QUAL     7.84     7.84   014060   01 CLINICAL LABORATORY REV
40651125   IMMUNOELECTROPHORESIS 24HR UR.        0        0   014060   01 CLINICAL LABORATORY REV
40699739   IMMUNOFIX CSF                        32       32   014060   01 CLINICAL LABORATORY REV
40651160   IMMUNOFIX SER                     26.64    26.64   014060   01 CLINICAL LABORATORY REV
40649965   IMMUNOFIX UR                      26.65    26.65   014060   01 CLINICAL LABORATORY REV
40651110   IMMUNOFIX UR                         35       35   014060   01 CLINICAL LABORATORY REV
40651135   IMMUNOFIX UR                         40       40   014060   01 CLINICAL LABORATORY REV
40655070   IMMUNOFIX UR                      30.25    30.25   014060   01 CLINICAL LABORATORY REV
40620031   INDIA INK PREP CSF               159.18   159.18   014060   01 CLINICAL LABORATORY REV
40655050   INFLUENZA A AB                     21.3     21.3   014060   01 CLINICAL LABORATORY REV
40699692   INFLUENZA AG A OR B EACH         179.87   179.87   014060   01 CLINICAL LABORATORY REV
40655055   INFLUENZA B AB                     21.3     21.3   014060   01 CLINICAL LABORATORY REV
40614278   INSULIN                            10.5     10.5   014060   01 CLINICAL LABORATORY REV
40617284   IRON                              282.7    282.7   014060   01 CLINICAL LABORATORY REV
40617292   IRON BINDING CAPACITY             282.7    282.7   014060   01 CLINICAL LABORATORY REV
40655005   ISLET CL AB                        21.5     21.5   014060   01 CLINICAL LABORATORY REV
40617268   KETONES QL                       168.12   168.12   014060   01 CLINICAL LABORATORY REV
40644650   KETONES QN                       100.35   100.35   014060   01 CLINICAL LABORATORY REV
40649370   KETOSTEROIDS 17 TOTAL              18.5     18.5   014060   01 CLINICAL LABORATORY REV
40620049   KOH PREP SKIN HAIR NAIL           73.14    73.14   014060   01 CLINICAL LABORATORY REV
40617334   LACTIC ACID                      245.86   245.86   014060   01 CLINICAL LABORATORY REV
40699703   LAMOTRIGINE                          25       25   014060   01 CLINICAL LABORATORY REV
40650550   LDH                                 5.9      5.9   014060   01 CLINICAL LABORATORY REV
40617078   LDH                              146.44   146.44   014060   01 CLINICAL LABORATORY REV
40650555   LDH ISOENZYMES                     8.85     8.85   014060   01 CLINICAL LABORATORY REV
40639338   LEAD BLD                           8.08     8.08   014060   01 CLINICAL LABORATORY REV
40613391   LEGIONELLA AB                      11.5     11.5   014060   01 CLINICAL LABORATORY REV
40650510   LEGIONELLA AB IGM                    35       35   014060   01 CLINICAL LABORATORY REV
40613435   LEGIONELLA PNEUMO DFA             38.56    38.56   014060   01 CLINICAL LABORATORY REV
40619496   LEUK ALK PHOS                        15       15   014060   01 CLINICAL LABORATORY REV
40650500   LH                               233.89   233.89   014060   01 CLINICAL LABORATORY REV
40699331   LIDOCAINE                         40.55    40.55   014060   01 CLINICAL LABORATORY REV
40650505   LIPASE                             90.1     90.1   014060   01 CLINICAL LABORATORY REV
40650370   LIPASE                              8.5      8.5   014060   01 CLINICAL LABORATORY REV
40617177   LIPASE                              6.5      6.5   014060   01 CLINICAL LABORATORY REV
40613470   LIPID PNL                          38.3     38.3   014060   01 CLINICAL LABORATORY REV
40649299   LIPID PNL                   280.64   280.64   014060   01 CLINICAL LABORATORY REV
40699728   LIPOPROTEIN (A) AB           14.25    14.25   014060   01 CLINICAL LABORATORY REV
40618282   LITHIUM                     256.86   256.86   014060   01 CLINICAL LABORATORY REV
40699719   LYME DISEASE AB IGG WB          25       25   014060   01 CLINICAL LABORATORY REV
40699720   LYME DISEASE AB IGM WB          25       25   014060   01 CLINICAL LABORATORY REV
40699672   MACRO EXAM PARASITE         137.83   137.83   014060   01 CLINICAL LABORATORY REV
40650650   MAG AB                          49       49   014060   01 CLINICAL LABORATORY REV
40617300   MAGNESIUM                   218.88   218.88   014060   01 CLINICAL LABORATORY REV
40699611   MAN DIFF WBC BUFFY COAT     201.76   201.76   014060   01 CLINICAL LABORATORY REV
40629008   MAYO MEDICAL LABORATORIES        0        0   014060   01 CLINICAL LABORATORY REV
40699634   MERCURY                         18       18   014060   01 CLINICAL LABORATORY REV
40629248   METANEPHRINES UR 24HR           28       28   014060   01 CLINICAL LABORATORY REV
40650710   METHOTREXATE                219.15   219.15   014060   01 CLINICAL LABORATORY REV
40650470   METHYLMALONIC ACID QN        31.49    31.49   014060   01 CLINICAL LABORATORY REV
40699323   MEXILETINE                    48.5     48.5   014060   01 CLINICAL LABORATORY REV
40613446   MICRO EXAM UR                42.75    42.75   014060   01 CLINICAL LABORATORY REV
40699687   MICROALBUMIN UR RAN          98.28    98.28   014060   01 CLINICAL LABORATORY REV
40614276   MICROALBUMIN UR RAN          16.15    16.15   014060   01 CLINICAL LABORATORY REV
40699729   MICROSOMAL AB                   15       15   014060   01 CLINICAL LABORATORY REV
40614261   MICROSOMAL AB                 8.88     8.88   014060   01 CLINICAL LABORATORY REV
40699742   MICROSPORA AB                 8.33     8.33   014060   01 CLINICAL LABORATORY REV
40659005   MISC CHEM TEST                                014060   01 CLINICAL LABORATORY REV
40699513   MISC CHEM TEST                   0        0   014060   01 CLINICAL LABORATORY REV
40650660   MISC CHEM TEST                27.5     27.5   014060   01 CLINICAL LABORATORY REV
40699725   MITOCHONDRIAL AB SCRN           11       11   014060   01 CLINICAL LABORATORY REV
40652525   MOL DX AMP PATIENT NA        49.88    49.88   014060   01 CLINICAL LABORATORY REV
40649355   MOL DX AMP PT NA MULTIPLX       15       15   014060   01 CLINICAL LABORATORY REV
40699736   MOL DX AMP PT NA MULTIPLX     15.5     15.5   014060   01 CLINICAL LABORATORY REV
40656020   MOL DX EXTRACTION               44       44   014060   01 CLINICAL LABORATORY REV
40649400   MOL DX EXTRACTION               44       44   014060   01 CLINICAL LABORATORY REV
40649340   MOL DX EXTRACTION HI PUR     11.97    11.97   014060   01 CLINICAL LABORATORY REV
40699734   MOL DX EXTRACTION HI PUR      7.79     7.79   014060   01 CLINICAL LABORATORY REV
40699737   MOL DX GEL ELECTRO SEP       14.54    14.54   014060   01 CLINICAL LABORATORY REV
40649360   MOL DX INTERP & RPT          13.96    13.96   014060   01 CLINICAL LABORATORY REV
40699738   MOL DX INTERP & RPT          10.61    10.61   014060   01 CLINICAL LABORATORY REV
40649350   MOL DX NUC ACID PRB             15        15   014060   01 CLINICAL LABORATORY REV
40649345   MOL DX NUC ACID PRB             15        15   014060   01 CLINICAL LABORATORY REV
40652520   MOL DX NUC ACID PRB         11.97     11.97    014060   01 CLINICAL LABORATORY REV
40699735   MOL DX NUC ACID PRB          1.94      1.94    014060   01 CLINICAL LABORATORY REV
40655410   MUMPS AB IGG                    12        12   014060   01 CLINICAL LABORATORY REV
40613455   MUMPS AB IGM                22.13     22.13    014060   01 CLINICAL LABORATORY REV
40655400   MUMPS AB IGM                24.07     24.07    014060   01 CLINICAL LABORATORY REV
40649175   MYCOPLAS AB IGG             16.25     16.25    014060   01 CLINICAL LABORATORY REV
40649180   MYCOPLAS AB IGM             16.25     16.25    014060   01 CLINICAL LABORATORY REV
40657510   MYCOPLAS CULT                   28        28   014060   01 CLINICAL LABORATORY REV
40613466   MYELIN BASIC PROTEIN CSF        19        19   014060   01 CLINICAL LABORATORY REV
40614263   MYOGLOBIN                    26.5      26.5    014060   01 CLINICAL LABORATORY REV
40699322   MYOGLOBIN UR                25.41     25.41    014060   01 CLINICAL LABORATORY REV
40649263   NATRIURETIC PEPTIDE        296.41    296.41    014060   01 CLINICAL LABORATORY REV
40649262   NATRIURETIC PEPTIDE             70        70   014060   01 CLINICAL LABORATORY REV
40651020   NB GENETIC SCR GALACT           12        12   014060   01 CLINICAL LABORATORY REV
40699694   NEWBORN SCRN PANEL              59        59   014060   01 CLINICAL LABORATORY REV
40639007   NICHOLS INSTITUTE                0         0   014060   01 CLINICAL LABORATORY REV
40613450   NORTRIPTYLINE                16.4      16.4    014060   01 CLINICAL LABORATORY REV
40622102   OCCULT BLD GASTRIC QL      131.98    131.98    014060   01 CLINICAL LABORATORY REV
40616096   OCCULT BLD STL QL DIAG       72.6      72.6    014060   01 CLINICAL LABORATORY REV
40699327   OLIGOCLONAL BANDS CSF        17.5      17.5    014060   01 CLINICAL LABORATORY REV
40614325   OPIATES CONF                43.34     43.34    014060   01 CLINICAL LABORATORY REV
40699299   OPIATES SCRN               236.43    236.43    014060   01 CLINICAL LABORATORY REV
40649620   ORGANIC ACIDS QN TOTAL        125       125    014060   01 CLINICAL LABORATORY REV
40618266   OSMOLALITY SER             299.77    299.77    014060   01 CLINICAL LABORATORY REV
40618274   OSMOLALITY UR              299.77    299.77    014060   01 CLINICAL LABORATORY REV
40699684   OVA & PARASITES W CONC         7.6       7.6   014060   01 CLINICAL LABORATORY REV
40639395   OXALATE UR                       6         6   014060   01 CLINICAL LABORATORY REV
40655600   PARVOVIRUS B19 AB IGG       10.62     10.62    014060   01 CLINICAL LABORATORY REV
40655605   PARVOVIRUS B19 AB IGM       10.62     10.62    014060   01 CLINICAL LABORATORY REV
40699242   PCP SCRN                   236.43    236.43    014060   01 CLINICAL LABORATORY REV
40613468   PH FLD                      49.41     49.41    014060   01 CLINICAL LABORATORY REV
40614326   PHENCYCLIDINE CONF          42.79     42.79    014060   01 CLINICAL LABORATORY REV
40618308   PHENOBARBITAL              299.77    299.77    014060   01 CLINICAL LABORATORY REV
40629265   PHENOBARBITAL                      9.95     9.95   014060   01 CLINICAL LABORATORY REV
40651000   PHENYLALANINE BLOOD                  12       12   014060   01 CLINICAL LABORATORY REV
40699710   PHENYTOIN FREE                     22.5     22.5   014060   01 CLINICAL LABORATORY REV
40618290   PHENYTOIN TOTAL                  299.77   299.77   014060   01 CLINICAL LABORATORY REV
40617011   PHOSHATASE ACID TOTAL               9.5      9.5   014060   01 CLINICAL LABORATORY REV
40699722   PHOSPHOLIPID AB                   27.54    27.54   014060   01 CLINICAL LABORATORY REV
40699724   PHOSPHOROUS UR RAN                91.89    91.89   014060   01 CLINICAL LABORATORY REV
40618068   PHOSPHORUS (PO4)                 120.06   120.06   014060   01 CLINICAL LABORATORY REV
40613400   PHOSPHORUS UR TIM                107.98   107.98   014060   01 CLINICAL LABORATORY REV
40622128   PINWORM CELLOPHANE TAPE          159.18   159.18   014060   01 CLINICAL LABORATORY REV
40614294   PLT AB DIR IGG                    53.09    53.09   014060   01 CLINICAL LABORATORY REV
40651400   PLT AB HEPARIN                       70       70   014060   01 CLINICAL LABORATORY REV
40614316   PLT AGGREGATION EA AGENT         345.93   345.93   014060   01 CLINICAL LABORATORY REV
40613127   PLT CNT AUTO                     183.61   183.61   014060   01 CLINICAL LABORATORY REV
40653020   PLT NEUTRALIZATION                 49.5     49.5   014060   01 CLINICAL LABORATORY REV
40653025   PLT NEUTRALIZATION                 41.5     41.5   014060   01 CLINICAL LABORATORY REV
40656220   PNEUMOCYSTIS CARINII DFA           20.5     20.5   014060   01 CLINICAL LABORATORY REV
40679019   PO BOX 25375, HOUSTON, TX             0        0   014060   01 CLINICAL LABORATORY REV
40689003   PO BOX 92722, LOS ANGELES CA          0        0   014060   01 CLINICAL LABORATORY REV
41012415   POOLING BLD PROD                 131.55   131.55   014060   01 CLINICAL LABORATORY REV
40639171   PORPHYRINS UR QN&FX                21.5     21.5   014060   01 CLINICAL LABORATORY REV
40618027   POTASSIUM                        120.06   120.06   014060   01 CLINICAL LABORATORY REV
40614292   POTASSIUM UR 24 HR               117.95   117.95   014060   01 CLINICAL LABORATORY REV
40699174   POTASSIUM UR RAN                  58.84    58.84   014060   01 CLINICAL LABORATORY REV
40651215   PREALBUMIN                       191.09   191.09   014060   01 CLINICAL LABORATORY REV
40613404   PREALBUMIN                         9.75     9.75   014060   01 CLINICAL LABORATORY REV
40614042   PREGNANCY SCRN UR                 158.2    158.2   014060   01 CLINICAL LABORATORY REV
40629263   PRIMIDONE                            15       15   014060   01 CLINICAL LABORATORY REV
40619710   PROCAINAMIDE & NAPA                20.5     20.5   014060   01 CLINICAL LABORATORY REV
40613424   PROGESTERONE                         12       12   014060   01 CLINICAL LABORATORY REV
40650700   PROLACTIN                        296.03   296.03   014060   01 CLINICAL LABORATORY REV
40620292   PROLACTIN                            10       10   014060   01 CLINICAL LABORATORY REV
40699708   PROTEIN C ACTIVATED                  45       45   014060   01 CLINICAL LABORATORY REV
40699319   PROTEIN C AG                         35       35   014060   01 CLINICAL LABORATORY REV
40651100   PROTEIN ELECT IMMUN, RANDOM UR        0        0   014060   01 CLINICAL LABORATORY REV
40619470   PROTEIN ELECTRO CSF                 25       25   014060   01 CLINICAL LABORATORY REV
40651200   PROTEIN ELECTRO SER                 30       30   014060   01 CLINICAL LABORATORY REV
40651305   PROTEIN ELECTRO SER                 10       10   014060   01 CLINICAL LABORATORY REV
40651105   PROTEIN ELECTRO SER                 15       15   014060   01 CLINICAL LABORATORY REV
40649955   PROTEIN ELECTRO SER                 21       21   014060   01 CLINICAL LABORATORY REV
40651130   PROTEIN ELECTRO SER               23.1     23.1   014060   01 CLINICAL LABORATORY REV
40649985   PROTEIN NEPHELOMET                   3        3   014060   01 CLINICAL LABORATORY REV
40651315   PROTEIN NEPHELOMET                   6        6   014060   01 CLINICAL LABORATORY REV
40699320   PROTEIN S AG TOTAL                  35       35   014060   01 CLINICAL LABORATORY REV
40649960   PROTEIN TOTAL BLOOD                 10       10   014060   01 CLINICAL LABORATORY REV
40617219   PROTEIN TOTAL BLOOD             120.06   120.06   014060   01 CLINICAL LABORATORY REV
40651310   PROTEIN TOTAL BLOOD                  5        5   014060   01 CLINICAL LABORATORY REV
40622086   PROTEIN TOTAL CSF               120.06   120.06   014060   01 CLINICAL LABORATORY REV
40616161   PROTEIN UR QN 24 HR             216.23   216.23   014060   01 CLINICAL LABORATORY REV
40651210   PROTEIN UR QN 24 HR                7.1      7.1   014060   01 CLINICAL LABORATORY REV
40651115   PROTEIN UR QN RAN                    5        5   014060   01 CLINICAL LABORATORY REV
40651205   PROTEIN UR QN RAN                 5.18     5.18   014060   01 CLINICAL LABORATORY REV
40651140   PROTEIN UR QN RAN                    6        6   014060   01 CLINICAL LABORATORY REV
40613101   PROTHROMBIN TIME                 160.8    160.8   014060   01 CLINICAL LABORATORY REV
40659400   PSA FREE                         10.09    10.09   014060   01 CLINICAL LABORATORY REV
40699309   PSA TOTAL DIAG                  259.95   259.95   014060   01 CLINICAL LABORATORY REV
40659405   PSA TOTAL DIAG                    10.1     10.1   014060   01 CLINICAL LABORATORY REV
40651500   PTH C TERMINAL                      34       34   014060   01 CLINICAL LABORATORY REV
40651455   PTH INTACT                        9.25     9.25   014060   01 CLINICAL LABORATORY REV
40613119   PTT PLAS OR WB                  192.88   192.88   014060   01 CLINICAL LABORATORY REV
40653050   PTT PLAS OR WB                    11.6     11.6   014060   01 CLINICAL LABORATORY REV
40649306   PTT PLAS OR WB                    8.88     8.88   014060   01 CLINICAL LABORATORY REV
40650670   PYRUVATE KINASE                  56.33    56.33   014060   01 CLINICAL LABORATORY REV
40649501   Q FEVER AB                        8.13     8.13   014060   01 CLINICAL LABORATORY REV
40649499   Q FEVER AB                        8.13     8.13   014060   01 CLINICAL LABORATORY REV
40649498   Q FEVER AB                        8.13     8.13   014060   01 CLINICAL LABORATORY REV
40649497   Q FEVER AB                        8.13     8.13   014060   01 CLINICAL LABORATORY REV
40619016   QUEST DIAGNOSTICS INCORP. SJC        0        0   014060   01 CLINICAL LABORATORY REV
40618498   QUINIDINE                        13.75    13.75   014060   01 CLINICAL LABORATORY REV
40699691   RAPAMYCIN (SIROLIMUS)               55       55   014060   01 CLINICAL LABORATORY REV
40649320   RENAL FUNCTION PNL         568.87   568.87   014060   01 CLINICAL LABORATORY REV
40629289   RENIN                        16.5     16.5   014060   01 CLINICAL LABORATORY REV
40613143   RETICULOCYTE MAN           183.61   183.61   014060   01 CLINICAL LABORATORY REV
40611022   RH TYP                     159.18   159.18   014060   01 CLINICAL LABORATORY REV
40614091   RHEUMATOID FCTR QL          76.83    76.83   014060   01 CLINICAL LABORATORY REV
40613459   RHEUMATOID FCTR QN          76.83    76.83   014060   01 CLINICAL LABORATORY REV
40699683   RHEUMATOID FCTR QN             29       29   014060   01 CLINICAL LABORATORY REV
40651520   RIBOFLAVIN                     55       55   014060   01 CLINICAL LABORATORY REV
40658000   ROTAVIRUS AG EIA           121.47   121.47   014060   01 CLINICAL LABORATORY REV
40619736   RPR QL                      43.56    43.56   014060   01 CLINICAL LABORATORY REV
40613479   RPR TTR                     52.28    52.28   014060   01 CLINICAL LABORATORY REV
40620090   RSV AB                     142.76   142.76   014060   01 CLINICAL LABORATORY REV
40620094   RSV DFA                        24       24   014060   01 CLINICAL LABORATORY REV
40699100   RUBELLA AB                 207.07   207.07   014060   01 CLINICAL LABORATORY REV
40613373   RUBEOLA AB                   13.9     13.9   014060   01 CLINICAL LABORATORY REV
40653010   RUSSELL VIPER VENOM DILU       15       15   014060   01 CLINICAL LABORATORY REV
40617227   SALICYLATE                  282.7    282.7   014060   01 CLINICAL LABORATORY REV
40619019   SAN JUAN CAPISTRANO CA.         0        0   014060   01 CLINICAL LABORATORY REV
40639009   SAN JUAN CAPISTRANO, CA         0        0   014060   01 CLINICAL LABORATORY REV
40613077   SEDIMENTATION RATE AUTO    143.36   143.36   014060   01 CLINICAL LABORATORY REV
40614284   SEROTONIN BLD                  50       50   014060   01 CLINICAL LABORATORY REV
40613275   SICKLE CL SCRN               9.75     9.75   014060   01 CLINICAL LABORATORY REV
40699727   SJOGRENS AB                  11.5     11.5   014060   01 CLINICAL LABORATORY REV
40656200   SMITH AB                     12.5     12.5   014060   01 CLINICAL LABORATORY REV
40639437   SMOOTH MUSCLE AB SCRN        22.5     22.5   014060   01 CLINICAL LABORATORY REV
40639440   SMOOTH MUSCLE AB TTR         11.5     11.5   014060   01 CLINICAL LABORATORY REV
40699190   SMR GIEMSA                  43.94    43.94   014060   01 CLINICAL LABORATORY REV
40620015   SMR GRAM STAIN             159.18   159.18   014060   01 CLINICAL LABORATORY REV
40622177   SMR MALARIA                    17       17   014060   01 CLINICAL LABORATORY REV
40620122   SMR WET MOUNT              159.18   159.18   014060   01 CLINICAL LABORATORY REV
40618019   SODIUM                     120.06   120.06   014060   01 CLINICAL LABORATORY REV
40614293   SODIUM UR 24HR             117.95   117.95   014060   01 CLINICAL LABORATORY REV
40699158   SODIUM UR RAN               58.84    58.84   014060   01 CLINICAL LABORATORY REV
40651250   SOMATOSTATIN                  140      140   014060   01 CLINICAL LABORATORY REV
40656230   SPEC CONCENTRATION             20       20   014060   01 CLINICAL LABORATORY REV
40699697   SPEC CONCENTRATION           14.8     14.8   014060   01 CLINICAL LABORATORY REV
40659000   SPEC HANDL COURIER             35       35   014060   01 CLINICAL LABORATORY REV
40699656   SPEC HANDL TO REF LAB          15       15   014060   01 CLINICAL LABORATORY REV
40699685   SPEC STAIN GRP II             7.6      7.6   014060   01 CLINICAL LABORATORY REV
40689002   SPECIALITY LABORATORIES         0        0   014060   01 CLINICAL LABORATORY REV
40620262   STREP GRP A AG EIA         168.12   168.12   014060   01 CLINICAL LABORATORY REV
40699688   STRIATED MUSCLE AB SCRN        17       17   014060   01 CLINICAL LABORATORY REV
40699689   STRIATED MUSCLE AB TTR       27.5     27.5   014060   01 CLINICAL LABORATORY REV
40656700   SUSCEPT BY ENZYME DETECT    17.55    17.55   014060   01 CLINICAL LABORATORY REV
40621260   SUSCEPT BY MIC             340.02   340.02   014060   01 CLINICAL LABORATORY REV
40656610   SUSCEPT KB DISK <=12        82.46    82.46   014060   01 CLINICAL LABORATORY REV
40621013   SUSCEPT KB DISK <=12       315.21   315.21   014060   01 CLINICAL LABORATORY REV
40679015   SUTTER MEMORIAL                 0        0   014060   01 CLINICAL LABORATORY REV
40618183   SWEAT COLLECTION           450.06   450.06   014060   01 CLINICAL LABORATORY REV
40656400   T LYMPH CD4 (HELPER) CNT       45       45   014060   01 CLINICAL LABORATORY REV
40655500   T LYMPH CD4 (HELPER) CNT    29.45    29.45   014060   01 CLINICAL LABORATORY REV
40699640   T LYMPH CD4/8 CNT&RATIO     61.75    61.75   014060   01 CLINICAL LABORATORY REV
40659600   T3 FREE                        11       11   014060   01 CLINICAL LABORATORY REV
40699050   T3 TOTAL                   423.03   423.03   014060   01 CLINICAL LABORATORY REV
40619173   T3 UPTAKE                   58.84    58.84   014060   01 CLINICAL LABORATORY REV
40651515   TACROLIMUS (FK506)          54.05    54.05   014060   01 CLINICAL LABORATORY REV
40619008   TEST PERFORMED AT:              0        0   014060   01 CLINICAL LABORATORY REV
40629340   TESTOSTERONE FREE            8.74     8.74   014060   01 CLINICAL LABORATORY REV
40629339   TESTOSTERONE TOTAL          13.06    13.06   014060   01 CLINICAL LABORATORY REV
40618399   THEOPHYLLINE               299.77   299.77   014060   01 CLINICAL LABORATORY REV
40639452   THIOCYANATE                    67       67   014060   01 CLINICAL LABORATORY REV
40613358   THROMBIN TIME                  15       15   014060   01 CLINICAL LABORATORY REV
40650020   THYROGLOBULIN                9.88     9.88   014060   01 CLINICAL LABORATORY REV
40650030   THYROGLOBULIN AB             7.68     7.68   014060   01 CLINICAL LABORATORY REV
40619181   THYROXINE (T4)              76.72    76.72   014060   01 CLINICAL LABORATORY REV
40658700   TISSUE CULT BM/BLD          127.3    127.3   014060   01 CLINICAL LABORATORY REV
40658100   TISSUE CULT SKIN           273.76   273.76   014060   01 CLINICAL LABORATORY REV
40699613   TOBRAMYCIN RAN             299.77   299.77   014060   01 CLINICAL LABORATORY REV
40613441   TOXOPLAS AB                    14       14   014060   01 CLINICAL LABORATORY REV
40613448   TOXOPLAS AB IGM                15       15   014060   01 CLINICAL LABORATORY REV
40699315   TRANSFERRIN                     11       11   014060   01 CLINICAL LABORATORY REV
40629370   TRICYCLIC SCRN               38.35    38.35   014060   01 CLINICAL LABORATORY REV
40618373   TRIGLYCERIDE                120.06   120.06   014060   01 CLINICAL LABORATORY REV
40610010   TROPONIN I QN               259.62   259.62   014060   01 CLINICAL LABORATORY REV
40619603   TSH                          224.3    224.3   014060   01 CLINICAL LABORATORY REV
40651030   TSH                             12       12   014060   01 CLINICAL LABORATORY REV
40651010   TYROSINE                        11       11   014060   01 CLINICAL LABORATORY REV
40669014   UNIVERSITY CA. DAVIS             0        0   014060   01 CLINICAL LABORATORY REV
40613398   UR NITROGEN UR 24HR         244.02   244.02   014060   01 CLINICAL LABORATORY REV
40699680   UREAPLSMA CULTURE               40       40   014060   01 CLINICAL LABORATORY REV
40617151   URIC ACID                   146.44   146.44   014060   01 CLINICAL LABORATORY REV
40613401   URIC ACID UR 24 HR          143.84   143.84   014060   01 CLINICAL LABORATORY REV
40613478   URNALYSIS AUTO W/ MICRO     150.29   150.29   014060   01 CLINICAL LABORATORY REV
40616013   URNALYSIS AUTO W/O MICRO     93.19    93.19   014060   01 CLINICAL LABORATORY REV
40614240   URNALYSIS MAN W/ MICRO       48.98    48.98   014060   01 CLINICAL LABORATORY REV
40616120   URNALYSIS QL OR SEMI QL      91.89    91.89   014060   01 CLINICAL LABORATORY REV
40652800   URNALYSIS VOL MEASURE        28.39    28.39   014060   01 CLINICAL LABORATORY REV
40619751   VALPROIC ACID               304.48   304.48   014060   01 CLINICAL LABORATORY REV
40619744   VANCOMYCIN                  329.95   329.95   014060   01 CLINICAL LABORATORY REV
40622094   VDRL CSF QL                    6.5      6.5   014060   01 CLINICAL LABORATORY REV
40610007   VENIPUNCTURE                 27.14    27.14   014060   01 CLINICAL LABORATORY REV
40699709   VIRUS AB NOT SPEC            30.34    30.34   014060   01 CLINICAL LABORATORY REV
40649107   VIRUS CULT SHELL VIAL        17.83    17.83   014060   01 CLINICAL LABORATORY REV
40649106   VIRUS CULT SHELL VIAL           21       21   014060   01 CLINICAL LABORATORY REV
40639478   VISCOSITY                       15       15   014060   01 CLINICAL LABORATORY REV
40699305   VITAMIN A                    15.77    15.77   014060   01 CLINICAL LABORATORY REV
40639445   VITAMIN B1 (THIAMINE)           25       25   014060   01 CLINICAL LABORATORY REV
40659179   VITAMIN B12                 144.11   144.11   014060   01 CLINICAL LABORATORY REV
40699304   VITAMIN D (125 DI HYDROX)       35       35   014060   01 CLINICAL LABORATORY REV
40699303   VITAMIN D 25HYDROXY          20.19    20.19   014060   01 CLINICAL LABORATORY REV
40659245   VMA UR 24HR                  13.75    13.75   014060   01 CLINICAL LABORATORY REV
40614287   VZV AB IGG                   11.88    11.88   014060   01 CLINICAL LABORATORY REV
40614301   ZINC                            12       12   014060   01 CLINICAL LABORATORY REV
47701007   DIAB TRNG SVCS GRP EA 30      46.2     46.2   014770   01 COMMUNITY HEALTH REV
47701010   DIAB TRNG SVCS IND EA 30     86.55    86.55   014770   01 COMMUNITY HEALTH REV
47701013   DTC P.V. CONSULT                  0         0   014770   01 COMMUNITY HEALTH REV
47701017   DTC P.V. GROUP                    0         0   014770   01 COMMUNITY HEALTH REV
44451765   CON GASTROGRAF 120ML         254.35    254.35   014144   01 CT SCAN REV
44451773   CON NI 200s 10ML                 79        79   014144   01 CT SCAN REV
44451737   CON NI 300S 125ML            181.25    181.25   014144   01 CT SCAN REV
44451738   CON NI 300S 200ML             243.9     243.9   014144   01 CT SCAN REV
44451735   CON NI 300S 50ML               80.1      80.1   014144   01 CT SCAN REV
44451722   CT 3D Reconstruction          679.3     679.3   014144   01 CT SCAN REV
44451202   CT Abd W/Con                 4361.4    4361.4   014144   01 CT SCAN REV
44451201   CT Abd W/O Con              4806.55   4806.55   014144   01 CT SCAN REV
44451203   CT Abd W-W/O Con            5431.25   5431.25   014144   01 CT SCAN REV
44451110   CT Brain W Con              3921.45   3921.45   014144   01 CT SCAN REV
44451102   CT Brain W/O Con            3182.45   3182.45   014144   01 CT SCAN REV
44451300   CT Brain W-W/O Con          5252.15   5252.15   014144   01 CT SCAN REV
444089     CT DRN W CATH PLACE PRC       456.8     456.8   014144   01 CT SCAN REV
44451509   CT Ext Low W Con            2444.15   2444.15   014144   01 CT SCAN REV
44451508   CT Ext Low W/O Con           2064.3    2064.3   014144   01 CT SCAN REV
44451511   CT Ext Upp W Con            2444.15   2444.15   014144   01 CT SCAN REV
44451510   CT Ext Upp W/O Con           2064.3    2064.3   014144   01 CT SCAN REV
44451788   CT GUIDANCE TISSUE ABLTN    3022.55   3022.55   014144   01 CT SCAN REV
44451532   CT GUIDE NDL PLACEMENT       3264.5    3264.5   014144   01 CT SCAN REV
44405066   CT Guide Rad Tx Fields       1901.1    1901.1   014144   01 CT SCAN REV
44451011   CT Ltd Or FU Stdy            2269.5    2269.5   014144   01 CT SCAN REV
44451197   CT Maxillofacial W Con      3921.45   3921.45   014144   01 CT SCAN REV
44451196   CT Maxillofacial W/O Con     3782.5    3782.5   014144   01 CT SCAN REV
44451198   CT Maxillofacial W-W/O       4655.2    4655.2   014144   01 CT SCAN REV
44451200   CT Nec W Con                2715.85   2715.85   014144   01 CT SCAN REV
44451199   CT Nec W/O Con               2327.9    2327.9   014144   01 CT SCAN REV
44451763   CT NEC W-W/O CON            6567.45   6567.45   014144   01 CT SCAN REV
44451195   CT ORBIT SELLA FOSA W-W/O    4655.2    4655.2   014144   01 CT SCAN REV
44451194   CT Orbit Sella Fossa W      3921.45   3921.45   014144   01 CT SCAN REV
44451192   CT Orbit/Sella/Fossa W/O    3785.65   3785.65   014144   01 CT SCAN REV
44451228   CT Pelv W Con               5237.35   5237.35   014144   01 CT SCAN REV
44451227   CT Pelv W/O Con              4355.9    4355.9   014144   01 CT SCAN REV
44451229   CT Pelv W-W/O Con            5625.1    5625.1   014144   01 CT SCAN REV
44451777   CT RECON FOR SURG PLAN        828.35     828.35   014144   01 CT SCAN REV
44451764   CT SEDATION IV/IM/INH         1777.7     1777.7   014144   01 CT SCAN REV
44430201   CT Spine Cerv W Con           6517.3     6517.3   014144   01 CT SCAN REV
44430200   CT Spine Cerv W/O Con         4535.1     4535.1   014144   01 CT SCAN REV
44430202   CT Spine Cerv W-W/O Con      6905.25    6905.25   014144   01 CT SCAN REV
44430207   CT Spine Lumb W Con           6517.3     6517.3   014144   01 CT SCAN REV
44430206   CT Spine Lumb W/O Con         4535.1     4535.1   014144   01 CT SCAN REV
44430208   CT Spine Lumb W-W/O Con      6905.25    6905.25   014144   01 CT SCAN REV
44430204   CT Spine Thor W Con           6517.3     6517.3   014144   01 CT SCAN REV
44430203   CT Spine Thor W/O Con         4535.1     4535.1   014144   01 CT SCAN REV
44430205   CT Spine Thor W-W/O          6905.25    6905.25   014144   01 CT SCAN REV
444090     CT Stereotactic Loc            931.4      931.4   014144   01 CT SCAN REV
44451269   CT Thorax W Con               6517.3     6517.3   014144   01 CT SCAN REV
44451268   CT Thorax W/O Con             5670.3     5670.3   014144   01 CT SCAN REV
44451270   CT Thorax W-W/O              6905.25    6905.25   014144   01 CT SCAN REV
44451787   CTA ABD W RUNOFF W-W/O       4692.05    4692.05   014144   01 CT SCAN REV
44451786   CTA ABD W-W/O CON            6623.45    6623.45   014144   01 CT SCAN REV
44451782   CTA CHEST W-W/O CON          6905.25    6905.25   014144   01 CT SCAN REV
44451785   CTA EXT LOW W-W/O CON        2980.65    2980.65   014144   01 CT SCAN REV
44451784   CTA EXT UPP W-W/O CON        2980.65    2980.65   014144   01 CT SCAN REV
44451780   CTA HEAD W-W/O CON            8856.4     8856.4   014144   01 CT SCAN REV
44451781   CTA NEC W-W/O CON             8347.8     8347.8   014144   01 CT SCAN REV
44451783   CTA PELV W-W/O CON            4841.7     4841.7   014144   01 CT SCAN REV
44451789   CTC ABLTN LIVER RF PRC        1777.7     1777.7   014144   01 CT SCAN REV
44451745   CTC ABSCSS CYST LIVER PRC    2283.65    2283.65   014144   01 CT SCAN REV
44451753   CTC ABSCSS DRN PELV PRC      9225.55    9225.55   014144   01 CT SCAN REV
44451746   CTC ABSCSS DRN PERITNL       2537.05    2537.05   014144   01 CT SCAN REV
444071     CTC Abscss Drn Renl         10950.65   10950.65   014144   01 CT SCAN REV
44451747   CTC ABSCSS DRN RETROPE       2537.05    2537.05   014144   01 CT SCAN REV
444067     CTC Abscss Drn Subdiap       9034.55    9034.55   014144   01 CT SCAN REV
44451749   CTC ASP RENL CYST            3635.05    3635.05   014144   01 CT SCAN REV
444070     CTC Bx Abd Retrope           1916.25    1916.25   014144   01 CT SCAN REV
44403      CTC Bx Bone Deep              2478.5     2478.5   014144   01 CT SCAN REV
44402      CTC Bx Bone Super             1457.8     1457.8   014144   01 CT SCAN REV
444054     CTC Bx Liver                 1872.65    1872.65   014144   01 CT SCAN REV
44409      CTC Bx Lung Mediastnm        2309.25    2309.25   014144   01 CT SCAN REV
44451740   CTC BX MUSCLE                  461.3      461.3   014144   01 CT SCAN REV
44451744   CTC BX NASOPHARNYX            1777.7     1777.7   014144   01 CT SCAN REV
444065     CTC Bx Pancreas              3870.55    3870.55   014144   01 CT SCAN REV
44408      CTC Bx Pleura                 1834.5     1834.5   014144   01 CT SCAN REV
444072     CTC Bx Renl                   2980.8     2980.8   014144   01 CT SCAN REV
44451754   CTC BX THYROID                1778.1     1778.1   014144   01 CT SCAN REV
444066     CTC Drn Abd Abscss Opn        8073.8     8073.8   014144   01 CT SCAN REV
44451768   CTC DRN APPNCL ABSCSS PRC     9846.1     9846.1   014144   01 CT SCAN REV
444055     CTC Drn Liver Lesion          9078.3     9078.3   014144   01 CT SCAN REV
44451770   CTC DRN PANC PSEUDOCYST     11071.05   11071.05   014144   01 CT SCAN REV
44451771   CTC EXCHANGE DRN CATH        2537.05    2537.05   014144   01 CT SCAN REV
44451775   CTC FNA W IMAG GUIDANCE      3981.05    3981.05   014144   01 CT SCAN REV
44451769   CTC INC GALLBLADDER          3981.05    3981.05   014144   01 CT SCAN REV
44451800   CTC INJ ARTHRO HIP            1270.5     1270.5   014144   01 CT SCAN REV
44451776   CTC INJ ARTHRO SHOULDER      3981.05    3981.05   014144   01 CT SCAN REV
44451762   CTC INJ CELIAC PLEX BLK      3981.05    3981.05   014144   01 CT SCAN REV
44451774   CTC INJ CELIAC PLEX LYTIC    3981.05    3981.05   014144   01 CT SCAN REV
44451772   CTC INJ CON ABSCSS            2767.6     2767.6   014144   01 CT SCAN REV
44451755   CTC INJ FACET C/T 1 LVL      3981.05    3981.05   014144   01 CT SCAN REV
44451756   CTC INJ FACET L/S 1 LVL      3981.05    3981.05   014144   01 CT SCAN REV
44451757   CTC INJ FACET L/S ADD LVL     2767.6     2767.6   014144   01 CT SCAN REV
44451751   CTC INJ NEPHROGRAM            2863.4     2863.4   014144   01 CT SCAN REV
44451758   CTC INJ NRV BLK C/T 1 LVL    3981.05    3981.05   014144   01 CT SCAN REV
44451759   CTC INJ NRV BLK C/T ADD       2767.6     2767.6   014144   01 CT SCAN REV
44451760   CTC INJ NRV BLK L/S 1 LVL    3981.05    3981.05   014144   01 CT SCAN REV
44451761   CTC INJ NRV BLK L/S ADD       2767.6     2767.6   014144   01 CT SCAN REV
44451778   CTC INJ SI JNT ARTHROGRAM    3981.05    3981.05   014144   01 CT SCAN REV
44451779   CTC INJ SI JT ANES/STROID    3981.05    3981.05   014144   01 CT SCAN REV
44451750   CTC INTRO CATH RENL PELV     2537.05    2537.05   014144   01 CT SCAN REV
44451752   CTC INTRO NEPHROSTOMY         2863.4     2863.4   014144   01 CT SCAN REV
444069     CTC Paracent Abd Ini         1255.65    1255.65   014144   01 CT SCAN REV
44451748   CTC PARACENT ABD SUBSQ       1531.25    1531.25   014144   01 CT SCAN REV
44451766   CTC PUNCTURE DRN LESION       9846.1     9846.1   014144   01 CT SCAN REV
44451743   CTC THORACENTESIS             1778.1     1778.1   014144   01 CT SCAN REV
44451739   CTC THORACENTESIS W TUBE      914.1     914.1   014144   01 CT SCAN REV
44430209   CTC Tube Thoracostomy       3843.15   3843.15   014144   01 CT SCAN REV
44451742   S STRL CATH DRNG GRDN         310.4     310.4   014144   01 CT SCAN REV
44451796   S STRL COACC INTROD SET      434.55    434.55   014144   01 CT SCAN REV
44451797   S STRL COACCESS SYST 3.0    5281.05   5281.05   014144   01 CT SCAN REV
44451790   S STRL DRAINAGE SYSTEM       1284.3    1284.3   014144   01 CT SCAN REV
44451792   S STRL ELECTRODE 3.0        5281.05   5281.05   014144   01 CT SCAN REV
44451793   S STRL ELECTRODE 3.5         5938.7    5938.7   014144   01 CT SCAN REV
44451794   S STRL ELECTRODE 4.0        6952.65   6952.65   014144   01 CT SCAN REV
44451795   S STRL ELECTRODE LEV 2.0    4073.95   4073.95   014144   01 CT SCAN REV
44451798   S STRL LEV SLIM NDL 2.0      4677.5    4677.5   014144   01 CT SCAN REV
44451799   S STRL LEV SLIM NDL 3.0     4073.95   4073.95   014144   01 CT SCAN REV
44451791   S STRL SUPER PUBIC CATH         353       353   014144   01 CT SCAN REV
44451801   S STRL SUPRA PUB INT SET     569.79    569.79   014144   01 CT SCAN REV
444085     USC Bx Prostate             1757.95   1757.95   014144   01 CT SCAN REV
444092     XRC Inj C1 C2 Myelogram     2276.55   2276.55   014144   01 CT SCAN REV
444093     XRC Inj Myelogram           2107.25   2107.25   014144   01 CT SCAN REV
44451767   XRC INJ SI JNT ARTHROGRAM   3981.05   3981.05   014144   01 CT SCAN REV
3185105    OBS BLADDER IRRIG SMPL       232.32    232.32   013185   01 DIABETIC REV IP
3185109    OBS BLOOD TRANSFSN 2-4 HR   1278.61   1278.61   013185   01 DIABETIC REV IP
3185110    OBS BLOOD TRANSFSN 4-6 HR   1733.71   1733.71   013185   01 DIABETIC REV IP
3185111    OBS BLOOD TRANSFSN GT 6HR   2214.82   2214.82   013185   01 DIABETIC REV IP
3185112    OBS BLOOD TRANSFSN LT 2HR    883.11    883.11   013185   01 DIABETIC REV IP
3185108    OBS DECLOT VASC DEVICE       945.63    945.63   013185   01 DIABETIC REV IP
3185102    OBS EKG 12 LEAD TRACING      357.52    357.52   013185   01 DIABETIC REV IP
3185101    OBS INFUSN W/VASO 0-60 MN    523.26    523.26   013185   01 DIABETIC REV IP
3185106    OBS INS NON-TUN CV CATH5+   2177.81   2177.81   013185   01 DIABETIC REV IP
3185107    OBS INSERT CATH TMP SMPL     162.54    162.54   013185   01 DIABETIC REV IP
3185104    OBS VENIPUNCTURE              40.96     40.96   013185   01 DIABETIC REV IP
3185100    OBSERVATION PER HOUR         101.86    101.86   013185   01 DIABETIC REV IP
3185003    ROOM MED/SURG/GYN              2445      2445   013185   01 DIABETIC REV IP
3030006    ROOM TELEMETRY/SPEC CARE       4689      4689   013185   01 DIABETIC REV IP
3185113    ROOM TRAUMA MED/SURG/GYN       2757      2757   013185   01 DIABETIC REV IP
41103592   EEG AWAKE AND ASLEEP            766       766   014110   01 EKG REV
41103533   EEG AWAKE AND DROWSY            766       766   014110   01 EKG REV
41103534 EEG CEREBRAL DEATH EVAL          766       766   014110   01 EKG REV
41103532 EKG 12 LEAD TRACING           357.55    357.55   014110   01 EKG REV
41103650 EMG FOUR LIMBS                1479.9    1479.9   014110   01 EKG REV
42307209 ADMIN HEPATITIS B VACC          69.8      69.8   014230   01 EMERGENCY ROOM REV
42307215 ADMIN IMMUN SGL VACC           16.25     16.25   014230   01 EMERGENCY ROOM REV
42303306 ALCOHOL (ETHANOL) BREATH        99.5      99.5   014230   01 EMERGENCY ROOM REV
423007216 BLADDER IRRIG SMPL           232.35    232.35   014230   01 EMERGENCY ROOM REV
42307212 BLOOD TRANSFUSN 2-4 HR       1278.65   1278.65   014230   01 EMERGENCY ROOM REV
423007220 BLOOD TRANSFUSN 4-6 HR      1733.75   1733.75   014230   01 EMERGENCY ROOM REV
423007221 BLOOD TRANSFUSN GT 6HR      2214.85   2214.85   014230   01 EMERGENCY ROOM REV
42307211 BLOOD TRANSFUSN LT 2 HR       883.15    883.15   014230   01 EMERGENCY ROOM REV
423007219 DECLOT VASC DEVICE           945.65    945.65   014230   01 EMERGENCY ROOM REV
42307214 ED CC 1ST 30-74 MN           4789.25   4789.25   014230   01 EMERGENCY ROOM REV
42304048 ED LEVEL 1                       155       155   014230   01 EMERGENCY ROOM REV
42304063 ED LEVEL 2                     336.2     336.2   014230   01 EMERGENCY ROOM REV
42303297 ED LEVEL 3                    665.75    665.75   014230   01 EMERGENCY ROOM REV
42303289 ED LEVEL 4                    1197.7    1197.7   014230   01 EMERGENCY ROOM REV
42303271 ED LEVEL 5                   2394.65   2394.65   014230   01 EMERGENCY ROOM REV
42304573 ED PROC MAJOR                 807.45    807.45   014230   01 EMERGENCY ROOM REV
42304572 ED PROC MINOR                 484.45    484.45   014230   01 EMERGENCY ROOM REV
423007214 EKG 12 LEAD TRACING ONLY     357.55    357.55   014230   01 EMERGENCY ROOM REV
42307174 GLUCOSE FINGERSTICK               73        73   014230   01 EMERGENCY ROOM REV
423007213 HEMOGLOBIN                    72.75     72.75   014230   01 EMERGENCY ROOM REV
42307181 INFSN W-W/O MED 0-60 MN       558.15    558.15   014230   01 EMERGENCY ROOM REV
42307201 INFSN W-W/O MED EA ADD HR     558.15    558.15   014230   01 EMERGENCY ROOM REV
42307202 INFUSN W/VASOACT 0-60 MN       523.3     523.3   014230   01 EMERGENCY ROOM REV
42307203 INFUSN W/VASOACT EA AD         523.3     523.3   014230   01 EMERGENCY ROOM REV
42307217 INJECTION ANTIBIOTIC IM       216.75    216.75   014230   01 EMERGENCY ROOM REV
42307205 INJECTION IM/SQ EA              69.8      69.8   014230   01 EMERGENCY ROOM REV
42307204 INJECTION IV EA                 69.8      69.8   014230   01 EMERGENCY ROOM REV
423007218 INSERT CATH TEMP INDWLLNG    162.55    162.55   014230   01 EMERGENCY ROOM REV
423007217 INSRT NON-TUNN CV CATH 5+   2177.85   2177.85   014230   01 EMERGENCY ROOM REV
42307218 LEFT WITHOUT BEING SEEN            0         0   014230   01 EMERGENCY ROOM REV
42307200 MEDICAL ALERT                      0         0   014230   01 EMERGENCY ROOM REV
42307216 OBSERVATION PER-HOUR           101.9     101.9   014230   01 EMERGENCY ROOM REV
42307180 OCCULT BLD STL QL                  36.85      36.85    014230   01 EMERGENCY ROOM REV
42307179 PULSE OXIMETRY - MULTIPLE          454.8      454.8    014230   01 EMERGENCY ROOM REV
42307173 PULSE OXIMETRY - SINGLE            176.5      176.5    014230   01 EMERGENCY ROOM REV
42303420 S NSTRL LNG ARM SPLNT ADL         479.25     479.25    014230   01 EMERGENCY ROOM REV
42304514 S ORTHO FB HP SPC CST 1 1/2 CH    2617.1     2617.1    014230   01 EMERGENCY ROOM REV
42304347 S ORTHO FBGL LNG LG CAST AD      2042.95    2042.95    014230   01 EMERGENCY ROOM REV
42304358 S ORTHO FBGL LNG LG CAST CH       1021.9     1021.9    014230   01 EMERGENCY ROOM REV
42304325 S ORTHO FBGL SHRT LG CAST AD      1404.8     1404.8    014230   01 EMERGENCY ROOM REV
42304492 S ORTHO FBGLS HIP SPICA CAST B    3063.8     3063.8    014230   01 EMERGENCY ROOM REV
42304525 S ORTHO FBGLS HIP SPICA CAST U      3000       3000    014230   01 EMERGENCY ROOM REV
42304536 S ORTHO FBGLS HIP SPICA CAST U   2298.25    2298.25    014230   01 EMERGENCY ROOM REV
42304381 S ORTHO FBGLS LONG ARM CAST AD   1276.95    1276.95    014230   01 EMERGENCY ROOM REV
42304392 S ORTHO FBGLS LONG ARM CAST CH     702.6      702.6    014230   01 EMERGENCY ROOM REV
42304369 S ORTHO FBGLS SHRT ARM CAST AD     670.7      670.7    014230   01 EMERGENCY ROOM REV
42304370 S ORTHO FBGLS SHRT ARM CAST CH    479.25     479.25    014230   01 EMERGENCY ROOM REV
42304425 S ORTHO FBGLS SHRT LEG WALK CA   1564.15    1564.15    014230   01 EMERGENCY ROOM REV
42304336 S ORTHO FBGLS SHRT LG CAST CH      957.8      957.8    014230   01 EMERGENCY ROOM REV
42304436 S ORTHO FBGLS SHRT LG WALD CAS   1181.05    1181.05    014230   01 EMERGENCY ROOM REV
42303438 S ORTHO LONG ARM SPLINT - CHIL    351.55     351.55    014230   01 EMERGENCY ROOM REV
42303495 S ORTHO LONG LEG SPLINT - ADUL    830.15     830.15    014230   01 EMERGENCY ROOM REV
42303503 S ORTHO LONG LEG SPLINT - CHIL     549.9      549.9    014230   01 EMERGENCY ROOM REV
42304270 S ORTHO PLS HP SPC CST 1 1/2 C   1659.95    1659.95    014230   01 EMERGENCY ROOM REV
42304292 S ORTHO PLST HIP SPICA CAST UN   1468.25    1468.25    014230   01 EMERGENCY ROOM REV
42304147 S ORTHO PLST LONG ARM CAST AD     606.85     606.85    014230   01 EMERGENCY ROOM REV
42304158 S ORTHO PLST LONG ARM CAST CH      447.5      447.5    014230   01 EMERGENCY ROOM REV
42304125 S ORTHO PLST SHRT ARM CAST AD      415.2      415.2    014230   01 EMERGENCY ROOM REV
42304081 S ORTHO PLST SHRT LEG CAST - A     798.3      798.3    014230   01 EMERGENCY ROOM REV
42303412 S ORTHO SHORT ARM SPLINT          237.45     237.45    014230   01 EMERGENCY ROOM REV
42303404 S ORTHO SHORT ARM SPLINT           307.8      307.8    014230   01 EMERGENCY ROOM REV
42303479 S ORTHO SHORT LEG SPLINT - ADU    606.85     606.85    014230   01 EMERGENCY ROOM REV
42303487 S ORTHO SHORT LEG SPLINT - CHI     403.5      403.5    014230   01 EMERGENCY ROOM REV
42307206 SLIT LAMP PROCEDURE                125.6      125.6    014230   01 EMERGENCY ROOM REV
42307210 SPEC HANDL DRG SCRN WC               75.4       75.4   014230   01 EMERGENCY ROOM REV
42307175 URNALYSIS MAN W/O MICRO            48.85      48.85    014230   01 EMERGENCY ROOM REV
423007215 VENIPUNCTURE                          41         41   014230   01 EMERGENCY ROOM REV
44221574   ANOSCOPY                           576.5     576.5   014141   01 G.I. LABORATORY REV
44207200   BRONCHOSCOPY                      1485.6    1485.6   014141   01 G.I. LABORATORY REV
44207202   BRONCHOSCOPY INTERVENTN          1963.45   1963.45   014141   01 G.I. LABORATORY REV
44221045   BX BONE MARROW NDL/TROCAR          331.6     331.6   014141   01 G.I. LABORATORY REV
44208221   BX LIVER                          718.45    718.45   014141   01 G.I. LABORATORY REV
44221707   CAC CHNG GT TUBE                  1221.2    1221.2   014141   01 G.I. LABORATORY REV
44208049   COLONOSCOPY                       2941.9    2941.9   014141   01 G.I. LABORATORY REV
44221714   COLONOSCOPY INTERVENTN           3196.55   3196.55   014141   01 G.I. LABORATORY REV
44208064   EGD                               2237.6    2237.6   014141   01 G.I. LABORATORY REV
44221715   EGD INTERVENTN                    2718.7    2718.7   014141   01 G.I. LABORATORY REV
44208304   ERCP                              3218.2    3218.2   014141   01 G.I. LABORATORY REV
44221716   ERCP INTERVENTN                  4945.45   4945.45   014141   01 G.I. LABORATORY REV
44208205   ESOPHAGEAL MOTILITY              3056.75   3056.75   014141   01 G.I. LABORATORY REV
44208247   ILEOSCOPY INTERVENTN              579.75    579.75   014141   01 G.I. LABORATORY REV
44221720   LP DIAGNOSTIC                    1500.75   1500.75   014141   01 G.I. LABORATORY REV
44220861   PARACENT ABD INI                  814.85    814.85   014141   01 G.I. LABORATORY REV
44200901   PH ESOPH NASAL CATH ELECT         1624.3    1624.3   014141   01 G.I. LABORATORY REV
44221719   PHLEBOTOMY THERAPEUTIC             352.2     352.2   014141   01 G.I. LABORATORY REV
44220911   PROCTOSCOPY INTERVENTN             349.9     349.9   014141   01 G.I. LABORATORY REV
44200908   S IMP ESOPHAGL WALLSTENT         7568.15   7568.15   014141   01 G.I. LABORATORY REV
44221632   S STRL CAN ERCP FLRO DISP          254.9     254.9   014141   01 G.I. LABORATORY REV
44221631   S STRL CANNULA PRQ18 ERCP (DIS     331.3     331.3   014141   01 G.I. LABORATORY REV
44221700   S STRL CATH STRETTA              4714.15   4714.15   014141   01 G.I. LABORATORY REV
44221676   S STRL DISP BIOPSY FORCEP          310.9     310.9   014141   01 G.I. LABORATORY REV
44208544   S STRL ELECTROCOAG                 779.7     779.7   014141   01 G.I. LABORATORY REV
44200909   S STRL ENDO BUTTON DEVICE            980       980   014141   01 G.I. LABORATORY REV
44221696   S STRL ESOPHAGEAL BALLOON        1043.15   1043.15   014141   01 G.I. LABORATORY REV
44221704   S STRL ESOPHAGEAL BANDING          691.9     691.9   014141   01 G.I. LABORATORY REV
44221695   S STRL FORN BDY RTVL NET           335.2     335.2   014141   01 G.I. LABORATORY REV
44221157   S STRL GASTRIC LAVAGE KIT         223.55    223.55   014141   01 G.I. LABORATORY REV
44221636   S STRL GLDEWIRE GDWR DISP         1220.7    1220.7   014141   01 G.I. LABORATORY REV
44221674   S STRL GUIDE/GLIDE WIRE           620.95    620.95   014141   01 G.I. LABORATORY REV
44221160   S STRL JAMSHIDI NDLE TRAY          125.6     125.6   014141   01 G.I. LABORATORY REV
44200904   S STRL MARC COLN DECOM ST          474.3     474.3   014141   01 G.I. LABORATORY REV
44200903   S STRL MONOPTY BX TRAY             322.6     322.6   014141   01 G.I. LABORATORY REV
44221688   S STRL NASAL BLR STENT           1063.45    1063.45    014141   01 G.I. LABORATORY REV
44221698   S STRL PARACNTSIS KIT 1K           360.4      360.4    014141   01 G.I. LABORATORY REV
44200902   S STRL PH PROBE                   335.35     335.35    014141   01 G.I. LABORATORY REV
44221699   S STRL PROBE APC                 1366.85    1366.85    014141   01 G.I. LABORATORY REV
44221637   S STRL RETRIEVAL BALLOON (DISP   1229.15    1229.15    014141   01 G.I. LABORATORY REV
44221146   S STRL SCLERO THERP NDL           437.15     437.15    014141   01 G.I. LABORATORY REV
44221687   S STRL SPHINTEROTONE               910.6      910.6    014141   01 G.I. LABORATORY REV
44221652   S STRL STONE RETRIEV BLLN          310.9      310.9    014141   01 G.I. LABORATORY REV
44221717   SCLEROTHERAPY INTERVENTN         3606.15    3606.15    014141   01 G.I. LABORATORY REV
44221718   SEDATION IV/IM/INH                   60.3       60.3   014141   01 G.I. LABORATORY REV
44208429   SIGMOIDOSCOPY                       1374       1374    014141   01 G.I. LABORATORY REV
44208254   SMALL BOWEL ENDO/BIOPSY             1102       1102    014141   01 G.I. LABORATORY REV
44207204   THORACENTESIS                      490.9      490.9    014141   01 G.I. LABORATORY REV
3070005    NEWBORN LEVEL II                    4270       4270    013070   01 ICN II NURSERY
3070006    NEWBORN LEVEL III                   6292       6292    013070   01 ICN II NURSERY
3070007    NEWBORN LEVEL IV                    8427       8427    013070   01 ICN II NURSERY
3010106    OBS BLADDER IRRIG SMPL            232.32     232.32    013010   01 INTENSIVE CARE REV
3010111    OBS BLOOD TRANSFSN 2-4 HR        1278.61    1278.61    013010   01 INTENSIVE CARE REV
3010112    OBS BLOOD TRANSFSN 4-6 HR        1733.71    1733.71    013010   01 INTENSIVE CARE REV
3010113    OBS BLOOD TRANSFSN GT 6HR        2214.82    2214.82    013010   01 INTENSIVE CARE REV
3010110    OBS BLOOD TRANSFSN LT 2HR         883.11     883.11    013010   01 INTENSIVE CARE REV
3010109    OBS DECLOT VASC DEVICE            945.63     945.63    013010   01 INTENSIVE CARE REV
3010103    OBS EKG 12 LEAD TRACING           357.52     357.52    013010   01 INTENSIVE CARE REV
3010102    OBS INFUSN W/VASO 0-60 MN         523.26     523.26    013010   01 INTENSIVE CARE REV
3010107    OBS INS NON-TUN CV CATH5+        2177.81    2177.81    013010   01 INTENSIVE CARE REV
3010108    OBS INSERT CATH TMP SMPL          162.54     162.54    013010   01 INTENSIVE CARE REV
3010105    OBS VENIPUNCTURE                   40.96      40.96    013010   01 INTENSIVE CARE REV
3010100    OBSERVATION PER HOUR              101.86     101.86    013010   01 INTENSIVE CARE REV
3010002    ROOM ICU                            6161       6161    013010   01 INTENSIVE CARE REV
3010101    ROOM TRAUMA ICU                     6948       6948    013010   01 INTENSIVE CARE REV
3010114    ROOM TRAUMA ICU INTERM              5994       5994    013010   01 INTENSIVE CARE REV
44611515   AMINO ACIDS 3.5% 1000ML           118.96     118.96    014171   01 IV THERAPY REV
44611564   CARDIOPLGIC SOL                       400        400   014171   01 IV THERAPY REV
44610491   D10W 1000ML                        80.08      80.08    014171   01 IV THERAPY REV
44610509   D10W 500ML                         80.64      80.64    014171   01 IV THERAPY REV
44610079   D10W 500ML                   82.24    82.24   014171   01 IV THERAPY REV
44610087   D51/2NS 1000ML               79.76    79.76   014171   01 IV THERAPY REV
44611267   D51/2NS 1000ML/KCL 20        106.1    106.1   014171   01 IV THERAPY REV
44610533   D51/2NS 250ML                 3.62     3.62   014171   01 IV THERAPY REV
44610137   D51/2NS 500ML                 79.6     79.6   014171   01 IV THERAPY REV
44610541   D51/4NS 1000ML                79.5     79.5   014171   01 IV THERAPY REV
44610145   D51/4NS 500ML                 79.6     79.6   014171   01 IV THERAPY REV
44610111   D5LR 1000ML                  79.88    79.88   014171   01 IV THERAPY REV
44610657   D5LR 500 ML                  80.04    80.04   014171   01 IV THERAPY REV
44610129   D5NS 1000ML                   79.4     79.4   014171   01 IV THERAPY REV
44610525   D5NS 500ML                    79.6     79.6   014171   01 IV THERAPY REV
44610152   D5W 1000ML                    79.9     79.9   014171   01 IV THERAPY REV
44610475   D5W 100ML                     4.06     4.06   014171   01 IV THERAPY REV
44610483   D5W 150ML                       10       10   014171   01 IV THERAPY REV
44610160   D5W 250ML                       10       10   014171   01 IV THERAPY REV
44611309   D5W 25ML                      5.36     5.36   014171   01 IV THERAPY REV
44610178   D5W 500ML                    79.06    79.06   014171   01 IV THERAPY REV
44610467   D5W 50ML                      4.02     4.02   014171   01 IV THERAPY REV
44611358   D70W 500ML                       0        0   014171   01 IV THERAPY REV
44610046   DEXTRAN 40 500ML            367.88   367.88   014171   01 IV THERAPY REV
44611341   DOPAMINE 400MG/D5W 250ML    139.86   139.86   014171   01 IV THERAPY REV
44612000   FENTANYL EPIDURAL DLY CHG    77.94    77.94   014171   01 IV THERAPY REV
44612018   FENTANYL MARC DLY CHG        79.34    79.34   014171   01 IV THERAPY REV
75013763   FILGRASTIM 300MCG IJ        827.24   827.24   014171   01 IV THERAPY REV
44611614   HEPARIN 1000U/500ML NS       89.74    89.74   014171   01 IV THERAPY REV
44611705   HEPARIN 12500U/250ML DRIP   114.06   114.06   014171   01 IV THERAPY REV
44610624   IONOSOL-T/D5W 1000ML        107.92   107.92   014171   01 IV THERAPY REV
44611473   K CL 10MEQ/SW 50ML PREMX    107.26   107.26   014171   01 IV THERAPY REV
44611481   K CL 20MEQ/SW 100ML PREMX   107.26   107.26   014171   01 IV THERAPY REV
44610277   LACTATED RINGERS 1000         79.5     79.5   014171   01 IV THERAPY REV
44610285   LACTATED RINGERS 500          79.6     79.6   014171   01 IV THERAPY REV
44611093   LIDOCAINE DRP 2GM/500ML     123.94   123.94   014171   01 IV THERAPY REV
44611135   LIPID EMULSION 20% 500ML     251.8    251.8   014171   01 IV THERAPY REV
44611903   MAG SO4 40GM/1000ML         111.84   111.84   014171   01 IV THERAPY REV
44611895   MAG SO4 4GM/100ML PR         117.5    117.5   014171   01 IV THERAPY REV
44611457   MANNITOL 20% 250ML IJ       163.56    163.56    014171   01 IV THERAPY REV
44610301   MANNITOL 20% 500ML          138.56    138.56    014171   01 IV THERAPY REV
44611945   MORPHINE 150MG/NS 150ML      160.2     160.2    014171   01 IV THERAPY REV
44610715   NA CL 0.45% 1000ML          125.84    125.84    014171   01 IV THERAPY REV
44610707   NA CL 0.45% 500ML            78.76     78.76    014171   01 IV THERAPY REV
44610418   NA CL 0.9% 1000ML            79.62     79.62    014171   01 IV THERAPY REV
44610681   NA CL 0.9% 100ML               4.06      4.06   014171   01 IV THERAPY REV
44611325   NA CL 0.9% 10ML                2.32      2.32   014171   01 IV THERAPY REV
44610699   NA CL 0.9% 150ML                8.6       8.6   014171   01 IV THERAPY REV
44610434   NA CL 0.9% 250ML                2.8       2.8   014171   01 IV THERAPY REV
44610426   NA CL 0.9% 500ML             78.56     78.56    014171   01 IV THERAPY REV
44610673   NA CL 0.9% 50ML                3.96      3.96   014171   01 IV THERAPY REV
44610723   NA CL 3% 500ML               97.54     97.54    014171   01 IV THERAPY REV
44610210   NA CL IRRIG 1000ML           27.64     27.64    014171   01 IV THERAPY REV
44610228   NA CL IRRIG 1500ML           30.36     30.36    014171   01 IV THERAPY REV
44610855   NA CL IRRIG 500ML            95.84     95.84    014171   01 IV THERAPY REV
44611630   NTG 50MG/D5W 250ML          115.92    115.92    014171   01 IV THERAPY REV
44610764   S STRL EVAC 1000CC           92.54     92.54    014171   01 IV THERAPY REV
44610798   S STRL EVAC 150CC            37.72     37.72    014171   01 IV THERAPY REV
44610780   S STRL EVAC 250CC            91.12     91.12    014171   01 IV THERAPY REV
44610772   S STRL EVAC 500CC            40.56     40.56    014171   01 IV THERAPY REV
44611994   TOTAL PARENTRL NUTRI DLY      1000      1000    014171   01 IV THERAPY REV
44610459   WATER IJ 1000ML                 4.5       4.5   014171   01 IV THERAPY REV
44610244   WATER IRRIG 1500ML           87.44     87.44    014171   01 IV THERAPY REV
44610863   WATER IRRIG 500ML            83.82     83.82    014171   01 IV THERAPY REV
44611374   WATER STERILE 10ML             2.32      2.32   014171   01 IV THERAPY REV
40103977   ABR SCREEN INIT IP          138.45    138.45    014010   01 LABOR & DELIVERY REV
40103921   AMNIOCENTESIS DX            374.85    374.85    014010   01 LABOR & DELIVERY REV
40103937   CIRCUMCISION                 209.9     209.9    014010   01 LABOR & DELIVERY REV
40103969   CPLX GENRL ANES ADD 15M      317.2     317.2    014010   01 LABOR & DELIVERY REV
40103968   CPLX GENRL ANES FIRST 30M   1265.1    1265.1    014010   01 LABOR & DELIVERY REV
40103973   CPLX PACU ADD 15M            160.4     160.4    014010   01 LABOR & DELIVERY REV
40103972   CPLX PACU FIRST 30M          641.5     641.5    014010   01 LABOR & DELIVERY REV
40103946   CPR                         740.65    740.65    014010   01 LABOR & DELIVERY REV
40103935   CPR                         1255.1    1255.1    014010   01 LABOR & DELIVERY REV
40103509   CST (CONTRAC STRESS TEST)   1035.25   1035.25   014010   01 LABOR & DELIVERY REV
40103974   CST (NIPPLE STIM TEST)        574.3     574.3   014010   01 LABOR & DELIVERY REV
40103012   DELIVERY VAGINAL Level 1    1618.35   1618.35   014010   01 LABOR & DELIVERY REV
40103013   DELIVERY VAGINAL Level 2    3259.05   3259.05   014010   01 LABOR & DELIVERY REV
40103932   EXTERNAL VERSION              905.3     905.3   014010   01 LABOR & DELIVERY REV
40103939   FETAL MON INTERN W/REPORT    1007.9    1007.9   014010   01 LABOR & DELIVERY REV
40103975   GLUCOSE FINGERSTICK              73        73   014010   01 LABOR & DELIVERY REV
40103960   INFSN W-W/O MED 0-60 MN       573.5     573.5   014010   01 LABOR & DELIVERY REV
40103961   INFSN W-W/O MED EA ADD HR     238.9     238.9   014010   01 LABOR & DELIVERY REV
40103940   INJ BLOOD PATCH              974.45    974.45   014010   01 LABOR & DELIVERY REV
40103944   INJECTION ANTIBIOTIC IM      156.85    156.85   014010   01 LABOR & DELIVERY REV
40103942   INJECTION IM/SQ EA            67.55     67.55   014010   01 LABOR & DELIVERY REV
40103943   INJECTION IV EA              156.85    156.85   014010   01 LABOR & DELIVERY REV
40103822   LABOR LEVEL 1 / HR-IP         169.9     169.9   014010   01 LABOR & DELIVERY REV
40103931   LABOR LEVEL 2 / HR-IP        190.45    190.45   014010   01 LABOR & DELIVERY REV
40103953   LEVEL 1 EST PATIENT            98.1      98.1   014010   01 LABOR & DELIVERY REV
40103948   LEVEL 1 NEW PATIENT          113.05    113.05   014010   01 LABOR & DELIVERY REV
40103954   LEVEL 2 EST PATIENT          128.05    128.05   014010   01 LABOR & DELIVERY REV
40103949   LEVEL 2 NEW PATIENT          143.05    143.05   014010   01 LABOR & DELIVERY REV
40103955   LEVEL 3 EST PATIENT          119.95    119.95   014010   01 LABOR & DELIVERY REV
40103950   LEVEL 3 NEW PATIENT             173       173   014010   01 LABOR & DELIVERY REV
40103956   LEVEL 4 EST PATIENT          174.15    174.15   014010   01 LABOR & DELIVERY REV
40103951   LEVEL 4 NEW PATIENT          203.05    203.05   014010   01 LABOR & DELIVERY REV
40103957   LEVEL 5 EST PATIENT             218       218   014010   01 LABOR & DELIVERY REV
40103952   LEVEL 5 NEW PATIENT             233       233   014010   01 LABOR & DELIVERY REV
40103517   NST (NON-STRESS TEST)         567.8     567.8   014010   01 LABOR & DELIVERY REV
40103900   OB OBSERVATION / HR-OP        145.8     145.8   014010   01 LABOR & DELIVERY REV
40103918   OB REGIONAL ANESTHESIA       1046.3    1046.3   014010   01 LABOR & DELIVERY REV
40103814   OBSERVATION PER HOUR          374.3     374.3   014010   01 LABOR & DELIVERY REV
40103938   OCT (OXYTOCIN CHLNG TEST)    674.65    674.65   014010   01 LABOR & DELIVERY REV
40103976   OTOACOUSTC RESCREEN          138.45    138.45   014010   01 LABOR & DELIVERY REV
40103936   OTOACOUSTC SCREEN INIT IP    138.45    138.45   014010   01 LABOR & DELIVERY REV
40103967   REG ADD 15M                   173.1     173.1   014010   01 LABOR & DELIVERY REV
40103966   REG FIRST 30M                691.35    691.35   014010   01 LABOR & DELIVERY REV
40103928   S STRL EPIDURAL TRAY          209.6     209.6   014010   01 LABOR & DELIVERY REV
40103929   S STRL SPINAL TRAY           168.75    168.75   014010   01 LABOR & DELIVERY REV
40103925   S STRL SUTURES EACH           35.45     35.45   014010   01 LABOR & DELIVERY REV
40103965   STND GENRL ANES ADD 15M       211.1     211.1   014010   01 LABOR & DELIVERY REV
40103964   STND GENRL ANES FIRST 30M    843.05    843.05   014010   01 LABOR & DELIVERY REV
40103018   STND PACU LVL 1 ADD 15M      119.05    119.05   014010   01 LABOR & DELIVERY REV
40103017   STND PACU LVL 1 FIRST 30M       748       748   014010   01 LABOR & DELIVERY REV
40103971   STND PACU LVL 2 ADD 15M      130.35    130.35   014010   01 LABOR & DELIVERY REV
40103970   STND PACU LVL 2 FIRST 30M    521.25    521.25   014010   01 LABOR & DELIVERY REV
40103962   SURG LVL 1 ADD 15M            397.7     397.7   014010   01 LABOR & DELIVERY REV
40103920   SURG LVL 1 FIRST 30M        1569.05   1569.05   014010   01 LABOR & DELIVERY REV
40103963   SURG LVL 2 ADD 15M           511.45    511.45   014010   01 LABOR & DELIVERY REV
40103919   SURG LVL 2 FIRST 30M        2042.55   2042.55   014010   01 LABOR & DELIVERY REV
40103016   SURG LVL 3 ADD 15M           670.75    670.75   014010   01 LABOR & DELIVERY REV
40103014   SURG LVL 3 FIRST 30M         2771.8    2771.8   014010   01 LABOR & DELIVERY REV
40103958   TRAUMA OBSERVATION/ HR-OP     242.2     242.2   014010   01 LABOR & DELIVERY REV
40103941   US AMNIOCENTESIS            1372.65   1372.65   014010   01 LABOR & DELIVERY REV
40103078   US OB LTD 1/MORE FETUSES     194.25    194.25   014010   01 LABOR & DELIVERY REV
40103959   VENIPUNCTURE                  33.05     33.05   014010   01 LABOR & DELIVERY REV
47405348   CON GAD 1-10ML                  234       234   014420   01 MAGNETIC RES IMAGING RV
47405349   CON GAD 11-20ML              312.15    312.15   014420   01 MAGNETIC RES IMAGING RV
47405226   MR 3D Reconstruction         1052.6    1052.6   014420   01 MAGNETIC RES IMAGING RV
47405335   MR Abd W Con                   3657      3657   014420   01 MAGNETIC RES IMAGING RV
47401211   MR Abd W/O Con              4562.75   4562.75   014420   01 MAGNETIC RES IMAGING RV
47405366   MR ABD W/O CON              4210.85   4210.85   014420   01 MAGNETIC RES IMAGING RV
47405336   MR Abd W-W/o Con            4563.65   4563.65   014420   01 MAGNETIC RES IMAGING RV
47405121   MR Brain W Stem W Con        5308.6    5308.6   014420   01 MAGNETIC RES IMAGING RV
47405022   MR Brain W Stem W/O Con      4475.4    4475.4   014420   01 MAGNETIC RES IMAGING RV
47405301   MR Brain W Stem W-W/O Con   5492.65   5492.65   014420   01 MAGNETIC RES IMAGING RV
47405354   MR BREAST BIL W CON         4594.35   4594.35   014420   01 MAGNETIC RES IMAGING RV
47405355   MR BREAST BIL W/O CON        4465.5    4465.5   014420   01 MAGNETIC RES IMAGING RV
47405313   MR Breast Bil W-W/O CON     5512.25   5512.25   014420   01 MAGNETIC RES IMAGING RV
47405352   MR BREAST UNI W CON          3233.2    3233.2   014420   01 MAGNETIC RES IMAGING RV
47405353   MR BREAST UNI WO CON        3104.75   3104.75   014420   01 MAGNETIC RES IMAGING RV
47405312   MR Breast Uni W-W/O CON      3879.8    3879.8   014420   01 MAGNETIC RES IMAGING RV
47405319   MR Chest W Con              5003.75   5003.75   014420   01 MAGNETIC RES IMAGING RV
47405048   MR Chest W/O Con             4776.2    4776.2   014420   01 MAGNETIC RES IMAGING RV
47405320   MR Chest W-W/O Con           8347.8    8347.8   014420   01 MAGNETIC RES IMAGING RV
47401425   MR Dental Partial Exam       2928.8    2928.8   014420   01 MAGNETIC RES IMAGING RV
47405331   MR Ext Low Jnt W Con        4442.65   4442.65   014420   01 MAGNETIC RES IMAGING RV
47405332   MR Ext Low Jnt w-w/o con    4442.65   4442.65   014420   01 MAGNETIC RES IMAGING RV
47405089   MR Ext Low Jt W/O Con        3879.8    3879.8   014420   01 MAGNETIC RES IMAGING RV
47405330   MR Ext Low No JNT W Con     4442.65   4442.65   014420   01 MAGNETIC RES IMAGING RV
47405329   MR Ext Low W/O Con             3657      3657   014420   01 MAGNETIC RES IMAGING RV
47405305   MR Ext Low W-W/O Con         4183.3    4183.3   014420   01 MAGNETIC RES IMAGING RV
47405327   MR Ext Upp Jnt W Con        4442.65   4442.65   014420   01 MAGNETIC RES IMAGING RV
47405097   MR Ext Upp Jnt W/O Con       3879.8    3879.8   014420   01 MAGNETIC RES IMAGING RV
47405328   MR Ext Upp Jnt W-W/o Con    4442.65   4442.65   014420   01 MAGNETIC RES IMAGING RV
47405325   MR Ext Upp No Jnt W/Con      3656.9    3656.9   014420   01 MAGNETIC RES IMAGING RV
47405324   MR Ext Upp No Jnt W/O Con    2658.7    2658.7   014420   01 MAGNETIC RES IMAGING RV
47405326   MR Ext Upp No Jnt W-W/O     4442.65   4442.65   014420   01 MAGNETIC RES IMAGING RV
47405345   MR Guide Ndl Place           3884.9    3884.9   014420   01 MAGNETIC RES IMAGING RV
47405318   MR Orbit Face Nec W Con     5003.75   5003.75   014420   01 MAGNETIC RES IMAGING RV
47405105   MR Orbit Face Nec W/O        4174.6    4174.6   014420   01 MAGNETIC RES IMAGING RV
47405322   MR Orbit Face Nec W-W/O      8347.8    8347.8   014420   01 MAGNETIC RES IMAGING RV
47405219   MR Pelv W Con                3879.8    3879.8   014420   01 MAGNETIC RES IMAGING RV
47405346   MR Pelv W/O Con             4300.75   4300.75   014420   01 MAGNETIC RES IMAGING RV
47405365   MR PELV W/O CON               812.7     812.7   014420   01 MAGNETIC RES IMAGING RV
47405323   MR Pelv W-W/O Con           4563.65   4563.65   014420   01 MAGNETIC RES IMAGING RV
47405364   MR SEDATION IV/IM/INH        1777.7    1777.7   014420   01 MAGNETIC RES IMAGING RV
47405337   MR Spectroscopy             4218.45   4218.45   014420   01 MAGNETIC RES IMAGING RV
47405154   MR Spine Cerv W Con          5308.6    5308.6   014420   01 MAGNETIC RES IMAGING RV
47405055   MR Spine Cerv W/O Con        4475.4    4475.4   014420   01 MAGNETIC RES IMAGING RV
47405302   MR Spine Cerv W-W/O Con     8951.25   8951.25   014420   01 MAGNETIC RES IMAGING RV
47405170   MR Spine Lumb W Con          5910.5    5910.5   014420   01 MAGNETIC RES IMAGING RV
47405071   MR Spine Lumb W/O Con       5070.65   5070.65   014420   01 MAGNETIC RES IMAGING RV
47405304   MR Spine Lumb W-W/O          8856.4    8856.4   014420   01 MAGNETIC RES IMAGING RV
47405162   MR Spine Thor W Con          5910.5    5910.5   014420   01 MAGNETIC RES IMAGING RV
47405063   MR Spine Thor W/O Con       5070.65   5070.65   014420   01 MAGNETIC RES IMAGING RV
47405303   MR Spine Thor W-W/O         8951.25   8951.25   014420   01 MAGNETIC RES IMAGING RV
47405360   MR VENOGRAM BRAIN           4864.55   4864.55   014420   01 MAGNETIC RES IMAGING RV
47405350   MRA ABD W CON                3927.8    3927.8   014420   01 MAGNETIC RES IMAGING RV
47405351   MRA ABD W/O CON              3802.3    3802.3   014420   01 MAGNETIC RES IMAGING RV
47405113   MRA Abd W-W/O Con           4713.35   4713.35   014420   01 MAGNETIC RES IMAGING RV
47405356   MRA CHEST W CON              4674.7    4674.7   014420   01 MAGNETIC RES IMAGING RV
47405357   MRA CHEST W/O CON            4546.3    4546.3   014420   01 MAGNETIC RES IMAGING RV
47405147   MRA Chest W-W/O Con         5609.65   5609.65   014420   01 MAGNETIC RES IMAGING RV
47405358   MRA EXT LOW W CON            3927.8    3927.8   014420   01 MAGNETIC RES IMAGING RV
47405359   MRA EXT LOW W/O CON         3799.45   3799.45   014420   01 MAGNETIC RES IMAGING RV
47405334   MRA Ext Low W-W/O Con        5430.5    5430.5   014420   01 MAGNETIC RES IMAGING RV
47405204   MRA Ext Upp W-W/O Con       4713.35   4713.35   014420   01 MAGNETIC RES IMAGING RV
47405340   MRA Head W Con              5003.75   5003.75   014420   01 MAGNETIC RES IMAGING RV
47405347   MRA HEAD W/O CON            4218.45   4218.45   014420   01 MAGNETIC RES IMAGING RV
47405341   MRA Head W-W/O Con           8347.8    8347.8   014420   01 MAGNETIC RES IMAGING RV
47405343   MRA Nec W Con               5003.75   5003.75   014420   01 MAGNETIC RES IMAGING RV
47405342   MRA Nec W/O Con             4041.05   4041.05   014420   01 MAGNETIC RES IMAGING RV
47405344   MRA Nec W-W/O Con            8347.8    8347.8   014420   01 MAGNETIC RES IMAGING RV
47405361   MRA PELV W CON              4300.75   4300.75   014420   01 MAGNETIC RES IMAGING RV
47405362   MRA PELV W/O CON             3879.8    3879.8   014420   01 MAGNETIC RES IMAGING RV
47405363   MRA PELV W-W/O CON           4841.7    4841.7   014420   01 MAGNETIC RES IMAGING RV
3088102    EKG 12 LEAD TRACING ONLY     357.52    357.52   013088   01 MED/SURG 4TH FLOOR
3088105    OBS BLADDER IRRIG SMPL       232.32    232.32   013088   01 MED/SURG 4TH FLOOR
3088110    OBS BLOOD TRANSFSN 2-4 HR   1278.61   1278.61   013088   01 MED/SURG 4TH FLOOR
3088111    OBS BLOOD TRANSFSN 4-6 HR   1733.71   1733.71   013088   01 MED/SURG 4TH FLOOR
3088112    OBS BLOOD TRANSFSN GT 6HR   2214.82   2214.82   013088   01 MED/SURG 4TH FLOOR
3088109    OBS BLOOD TRANSFSN LT 2HR    883.11    883.11   013088   01 MED/SURG 4TH FLOOR
3088108    OBS DECLOT VASC DEVICE       945.63    945.63   013088   01 MED/SURG 4TH FLOOR
3088101    OBS INFUSN W/VASO 0-60 MN    523.26    523.26   013088   01 MED/SURG 4TH FLOOR
3088106    OBS INS NON-TUN CV CATH5+   2177.81   2177.81   013088   01 MED/SURG 4TH FLOOR
3088107    OBS INSERT CATH TMP SMPL     162.54    162.54   013088   01 MED/SURG 4TH FLOOR
3088104    OBS VENIPUNCTURE              40.96     40.96   013088   01 MED/SURG 4TH FLOOR
3088100    OBSERVATION PER HOUR         101.86    101.86   013088   01 MED/SURG 4TH FLOOR
3088001    ROOM MED/SURG/GYN              2445      2445   013088   01 MED/SURG 4TH FLOOR
3088113    ROOM TRAUMA MED/SURG/GYN       2757      2757   013088   01 MED/SURG 4TH FLOOR
41600035   NM ABSCSS LOC LTD             858.1     858.1   014160   01 NUCLEAR MEDICINE REV
41600036   NM ABSCSS LOC WB            1331.65   1331.65   014160   01 NUCLEAR MEDICINE REV
41600038   NM AUTO DATA GEN GT 30        108.4     108.4   014160   01 NUCLEAR MEDICINE REV
41600037   NM AUTO DATA GEN LT 30        108.4     108.4   014160   01 NUCLEAR MEDICINE REV
41600007   NM BONE SCAN MULTI AREAS     1300.7    1300.7   014160   01 NUCLEAR MEDICINE REV
41600015   NM BONE SCAN W SPECT        1286.15   1286.15   014160   01 NUCLEAR MEDICINE REV
41600014   NM BONE SCAN WB              1300.7    1300.7   014160   01 NUCLEAR MEDICINE REV
41600032   NM BONE THREE PHASE          1300.7    1300.7   014160   01 NUCLEAR MEDICINE REV
41600013   NM BOWEL (MECKELS)          1120.45   1120.45   014160   01 NUCLEAR MEDICINE REV
41600024   NM BRAIN CISTERNOGRAM        1300.3    1300.3   014160   01 NUCLEAR MEDICINE REV
41600026   NM BRAIN CMPL W FLOW         650.15    650.15   014160   01 NUCLEAR MEDICINE REV
41600016   NM CARDIAC SHUNT EVAL        677.25    677.25   014160   01 NUCLEAR MEDICINE REV
41600025   NM CSF VENTRICULOGRAPHY      1300.3    1300.3   014160   01 NUCLEAR MEDICINE REV
1060866    NM CYSTOGRAM VOIDING         744.45    744.45   014160   01 NUCLEAR MEDICINE REV
41600030   NM CYSTOGRAM VOIDING         744.45    744.45   014160   01 NUCLEAR MEDICINE REV
41600011   NM GASTRIC EMPTYING          1275.9    1275.9   014160   01 NUCLEAR MEDICINE REV
41600012   NM GI BLEEDING SCAN             971       971   014160   01 NUCLEAR MEDICINE REV
41600017   NM HEART 1S PASS SNGL          1517      1517   014160   01 NUCLEAR MEDICINE REV
41600018   NM HEART MP MULTI W SPECT   1588.55   1588.55   014160   01 NUCLEAR MEDICINE REV
41600034   NM HEART MP SNGL W SPEC         962       962   014160   01 NUCLEAR MEDICINE REV
41600023   NM HEART MP W EF            1605.65   1605.65   014160   01 NUCLEAR MEDICINE REV
41600022   NM HEART MP WALL MOTION     1605.65   1605.65   014160   01 NUCLEAR MEDICINE REV
41600010   NM HEPATOBILIARY DUCTAL     1109.45   1109.45   014160   01 NUCLEAR MEDICINE REV
41600028   NM INFLAM LOCAL W SPECT       965.5     965.5   014160   01 NUCLEAR MEDICINE REV
41600006   NM LIVER FNCTN STDY           805.1     805.1   014160   01 NUCLEAR MEDICINE REV
41600004   NM LIVER SPLEEN W FLOW      1286.15   1286.15   014160   01 NUCLEAR MEDICINE REV
41600009   NM LIVER W SPECT            1286.15   1286.15   014160   01 NUCLEAR MEDICINE REV
41600019   NM LUNG PERF                1120.45   1120.45   014160   01 NUCLEAR MEDICINE REV
41600020   NM LUNG VENT MULTI          1646.85   1646.85   014160   01 NUCLEAR MEDICINE REV
41600027   NM LUNG VENT W GAS          1308.95   1308.95   014160   01 NUCLEAR MEDICINE REV
41600039   NM LYMPHATIC PATHWAY         1300.3    1300.3   014160   01 NUCLEAR MEDICINE REV
41600003   NM PARATHYROID                794.3     794.3   014160   01 NUCLEAR MEDICINE REV
41600021   NM RENOGRAM SNGL W/O DRG     1094.8    1094.8   014160   01 NUCLEAR MEDICINE REV
41600055   NM SCHILLING WO INT FACTR         0         0   014160   01 NUCLEAR MEDICINE REV
41600033   NM TESTICULAR W FLOW          675.1     675.1   014160   01 NUCLEAR MEDICINE REV
41600008   NM THYROID IMAG ONLY         1060.3    1060.3   014160   01 NUCLEAR MEDICINE REV
41600001   NM THYROID IMAG UPT SNGL    1331.65   1331.65   014160   01 NUCLEAR MEDICINE REV
41600002   NM THYROID METS WB           1326.3    1326.3   014160   01 NUCLEAR MEDICINE REV
41600000   NM THYROID UPTAKE SNGL       195.05    195.05   014160   01 NUCLEAR MEDICINE REV
41600029   NM TUMOR LOC MULTI W RP       965.5     965.5   014160   01 NUCLEAR MEDICINE REV
41600031   NM TUMOR LOC WB SNGL DAY     1814.4    1814.4   014160   01 NUCLEAR MEDICINE REV
41600060   NM TX RADIOPHARM ORAL ADM         0         0   014160   01 NUCLEAR MEDICINE REV
41600005   NM VASCULAR FLOW NCARDIO     162.55    162.55   014160   01 NUCLEAR MEDICINE REV
41600059   OCTREOTIDE DEPO 1MG IJ            0         0   014160   01 NUCLEAR MEDICINE REV
41600057   RP GALLIUM GA 67 MCI              0         0   014160   01 NUCLEAR MEDICINE REV
41600047   RP IN111 PROSTASCN/DS             0         0   014160   01 NUCLEAR MEDICINE REV
41600052   RP TC99M CERETEC/DS               0         0   014160   01 NUCLEAR MEDICINE REV
41600045   RP TC99M CHOLETEC/VL              0         0   014160   01 NUCLEAR MEDICINE REV
41600049   RP TC99M DTPA/VL                  0         0   014160   01 NUCLEAR MEDICINE REV
41600051   RP TC99M MAA/1MCI                 0         0   014160   01 NUCLEAR MEDICINE REV
41600044   RP TC99M MAA/1MCI                 0         0   014160   01 NUCLEAR MEDICINE REV
41600041   RP TC99M MDP 1-30MCI              0         0   014160   01 NUCLEAR MEDICINE REV
41600042   RP TC99M MYOVIEW/DS               0         0   014160   01 NUCLEAR MEDICINE REV
41600048   RP TC99M PYP/VL                   0         0   014160   01 NUCLEAR MEDICINE REV
41600046   RP TC99M RBC/TAG/MCI              0         0   014160   01 NUCLEAR MEDICINE REV
41600058   RP TC99M SESTAMIBI/DS             0         0   014160   01 NUCLEAR MEDICINE REV
41600043   RP TC99M SESTAMIBI/DS             0         0   014160   01 NUCLEAR MEDICINE REV
41600054   RP TL-201 PER MCI                 0         0   014160   01 NUCLEAR MEDICINE REV
41600050   RP TX I-131 CAP PER MCI           0         0   014160   01 NUCLEAR MEDICINE REV
41600053   RP XE133/10MCI                    0         0   014160   01 NUCLEAR MEDICINE REV
3170012    NEWBORN BOARDER BABY           1340      1340   013170   01 NURSERY REV
3170008    NEWBORN LEVEL I                1340      1340   013170   01 NURSERY REV
3160001    ROOM OB/MATERNAL               2445      2445   013160   01 OBSTETRIC REV
3160007    ROOM TRAUMA MED/SURG/GYN       2757      2757   013160   01 OBSTETRIC REV
3084105    OBS BLADDER IRRIG SMPL       232.32    232.32   013084   01 ONCOLOGY REV
3084110    OBS BLOOD TRANSFSN 2-4 HR   1278.61   1278.61   013084   01 ONCOLOGY REV
3084111    OBS BLOOD TRANSFSN 4-6 HR   1733.71   1733.71   013084   01 ONCOLOGY REV
3084112    OBS BLOOD TRANSFSN GT 6HR   2214.82   2214.82   013084   01 ONCOLOGY REV
3084109    OBS BLOOD TRANSFSN LT 2HR    883.11    883.11   013084   01 ONCOLOGY REV
3084108    OBS DECLOT VASC DEVICE       945.63    945.63   013084   01 ONCOLOGY REV
3084102    OBS EKG 12 LEAD TRACING      357.52    357.52   013084   01 ONCOLOGY REV
3084101    OBS INFUSN W/VASO 0-60 MN    523.26    523.26   013084   01 ONCOLOGY REV
3084106    OBS INS NON-TUN CV CATH5+         2177.81      2177.81     013084   01 ONCOLOGY REV
3084107    OBS INSERT CATH TMP SMPL           162.54       162.54     013084   01 ONCOLOGY REV
3084104    OBS VENIPUNCTURE                     40.96        40.96    013084   01 ONCOLOGY REV
3084100    OBSERVATION PER HOUR               101.86       101.86     013084   01 ONCOLOGY REV
3084005    ROOM MED/SURG/GYN                     2445         2445    013084   01 ONCOLOGY REV
7910056    ROOM TRAUMA MED/SURG/GYN              2757         2757    013084   01 ONCOLOGY REV
4025015    S IMP HEART VALVE D                 20165        20165     014025   01 OPEN HEART SURGERY
4025016    S IMP HEART VALVE E              22371.25     22371.25     014025   01 OPEN HEART SURGERY
4025017    S IMP HEART VALVE F               24468.5      24468.5     014025   01 OPEN HEART SURGERY
40251205   S LD PCR PACER LEAD                  320.3        320.3    014025   01 OPEN HEART SURGERY
4025547    S STRL ACESS PK ELLE/FUNG         5399.45      5399.45     014025   01 OPEN HEART SURGERY
4025510    S STRL AORTIC PUNCH                  179.8        179.8    014025   01 OPEN HEART SURGERY
4025517    S STRL CAN CRNRY PERFUS              176.5        176.5    014025   01 OPEN HEART SURGERY
4025520    S STRL CAN FEM VENOUS                   177          177   014025   01 OPEN HEART SURGERY
4025522    S STRL CAN SAPHVN                    25.45        25.45    014025   01 OPEN HEART SURGERY
4025516    S STRL CANNULA ART                 102.95       102.95     014025   01 OPEN HEART SURGERY
4025515    S STRL CANNULA ARTC ROOT             137.1        137.1    014025   01 OPEN HEART SURGERY
4025519    S STRL CANNULA FEM ART             136.45       136.45     014025   01 OPEN HEART SURGERY
4025523    S STRL CANNULA VEIN                    44.3         44.3   014025   01 OPEN HEART SURGERY
4025524    S STRL CANNULA VENOUS              181.05       181.05     014025   01 OPEN HEART SURGERY
40251211   S STRL CARC CELL SVR&LNR          3453.85      3453.85     014025   01 OPEN HEART SURGERY
40251199   S STRL CARDIAC SUT UNIT           5181.35      5181.35     014025   01 OPEN HEART SURGERY
4025542    S STRL CARDIOPLEGIA SET MYOTHE     691.25       691.25     014025   01 OPEN HEART SURGERY
40251217   S STRL CATH PERFUS LN GUN            543.5        543.5    014025   01 OPEN HEART SURGERY
4025505    S STRL CATH PRESSURE SET             157.3        157.3    014025   01 OPEN HEART SURGERY
4025546    S STRL COLONOSCPY BX PORT          5100.4       5100.4     014025   01 OPEN HEART SURGERY
4025518    S STRL CRNRY PERFUS CAN            1842.3       1842.3     014025   01 OPEN HEART SURGERY
4025508    S STRL DILATOR VESSEL                  57.4         57.4   014025   01 OPEN HEART SURGERY
4025521    S STRL FEMORAL CANNULA             1722.4       1722.4     014025   01 OPEN HEART SURGERY
4025006    S STRL HEART SUTURE F              362.55       362.55     014025   01 OPEN HEART SURGERY
4025007    S STRL HEART SUTURE G              424.35       424.35     014025   01 OPEN HEART SURGERY
4025011    S STRL HEART SUTURE I             1019.45      1019.45     014025   01 OPEN HEART SURGERY
4025022    S STRL HS2 BLADE SYSTEM           1725.35      1725.35     014025   01 OPEN HEART SURGERY
4025504    S STRL ICP KIT                     1579.2       1579.2     014025   01 OPEN HEART SURGERY
40251207   S STRL OPEN HEART PERFUSION PA   10706.25     10706.25     014025   01 OPEN HEART SURGERY
40251209   S STRL OXYGNTION MEMBRANE          692       692   014025   01 OPEN HEART SURGERY
4025528    S STRL ROTATING CLIP APPLIER    1351.2    1351.2   014025   01 OPEN HEART SURGERY
4025003    S STRL SUTURE HEART C           184.95    184.95   014025   01 OPEN HEART SURGERY
4025004    S STRL SUTURE HEART D            239.5     239.5   014025   01 OPEN HEART SURGERY
4025005    S STRL SUTURE HEART E            309.8     309.8   014025   01 OPEN HEART SURGERY
4025001    S STRL SUTURE HRT A              30.25     30.25   014025   01 OPEN HEART SURGERY
4025002    S STRL SUTURE HRT B             105.95    105.95   014025   01 OPEN HEART SURGERY
40251129   S STRL SUTURE WIRE                74.4      74.4   014025   01 OPEN HEART SURGERY
40251213   S STRL THORACLEX CHEST DRAIN    472.35    472.35   014025   01 OPEN HEART SURGERY
4025513    S STRL VALVE RELIEF VLN          127.3     127.3   014025   01 OPEN HEART SURGERY
4025535    S STRL VASCU STATT               76.55     76.55   014025   01 OPEN HEART SURGERY
4025514    S STRL VENT ATRIAL               165.8     165.8   014025   01 OPEN HEART SURGERY
40251292   S STRL VITAL VUE                451.25    451.25   014025   01 OPEN HEART SURGERY
4025540    S STRL WIRE PACING                68.4      68.4   014025   01 OPEN HEART SURGERY
40251387   SURG LVL 1 ADD 15M               397.7     397.7   014025   01 OPEN HEART SURGERY
40251386   SURG LVL 1 FIRST 30M           1569.05   1569.05   014025   01 OPEN HEART SURGERY
40251389   SURG LVL 2 ADD 15M              511.45    511.45   014025   01 OPEN HEART SURGERY
40251388   SURG LVL 2 FIRST 30M           2042.55   2042.55   014025   01 OPEN HEART SURGERY
40251391   SURG LVL 3 ADD 15M              670.75    670.75   014025   01 OPEN HEART SURGERY
40251390   SURG LVL 3 FIRST 30M            2771.8    2771.8   014025   01 OPEN HEART SURGERY
40251393   SURG LVL 4 ADD 15M              861.45    861.45   014025   01 OPEN HEART SURGERY
40251392   SURG LVL 4 FIRST 30M            3444.7    3444.7   014025   01 OPEN HEART SURGERY
40251395   SURG LVL 5 ADD 15M             1119.35   1119.35   014025   01 OPEN HEART SURGERY
40251394   SURG LVL 5 FIRST 30M            4478.4    4478.4   014025   01 OPEN HEART SURGERY
3083105    OBS BLADDER IRRIG SMPL          232.32    232.32   013083   01 ORTHOPEDIC REV
3083110    OBS BLOOD TRANSFSN 2-4 HR      1278.61   1278.61   013083   01 ORTHOPEDIC REV
3083111    OBS BLOOD TRANSFSN 4-6 HR      1733.71   1733.71   013083   01 ORTHOPEDIC REV
3083112    OBS BLOOD TRANSFSN GT 6HR      2214.82   2214.82   013083   01 ORTHOPEDIC REV
3083109    OBS BLOOD TRANSFSN LT 2HR       883.11    883.11   013083   01 ORTHOPEDIC REV
3083108    OBS DECLOT VASC DEVICE          945.63    945.63   013083   01 ORTHOPEDIC REV
3083102    OBS EKG 12 LEAD TRACING         357.52    357.52   013083   01 ORTHOPEDIC REV
3083101    OBS INFUSN W/VASO 0-60 MN       523.26    523.26   013083   01 ORTHOPEDIC REV
3083106    OBS INS NON-TUN CV CATH5+      2177.81   2177.81   013083   01 ORTHOPEDIC REV
3083107    OBS INSERT CATH TMP SMPL        162.54    162.54   013083   01 ORTHOPEDIC REV
3083104    OBS VENIPUNCTURE                 40.96     40.96   013083   01 ORTHOPEDIC REV
3083100    OBSERVATION PER HOUR        101.86    101.86    013083   01 ORTHOPEDIC REV
3083007    ROOM MED/SURG/GYN             2445      2445    013083   01 ORTHOPEDIC REV
3083113    ROOM TRAUMA MED/SURG/GYN      2757      2757    013083   01 ORTHOPEDIC REV
3120013    OBSERVATION PER HOUR        101.86    101.86    013120   01 PEDIATRIC REV
3120007    ROOM PEDIATRIC                2445      2445    013120   01 PEDIATRIC REV
3120012    ROOM TRAUMA PEDIATRIC         2757      2757    013120   01 PEDIATRIC REV
75047050   ABCIXIMAB 2MG/ML 5ML VIAL   1318.7    1318.7    014170   01 PHARMACY REV
75001735   ACARBOSE 50MG TAB            14.46     14.46    014170   01 PHARMACY REV
75034165   ACEBUTOLOL 200MG CAP         18.04     18.04    014170   01 PHARMACY REV
75034181   ACEBUTOLOL 400MG CAP         19.72     19.72    014170   01 PHARMACY REV
75072041   ACEMANNAN GEL 3OZ            64.28     64.28    014170   01 PHARMACY REV
75008730   ACETAZOLAMIDE 250MG TAB      13.88     13.88    014170   01 PHARMACY REV
75002113   ACETAZOLAMIDE 500MG TAB      16.22     16.22    014170   01 PHARMACY REV
75052720   ACETAZOLAMIDE INJ                96        96   014170   01 PHARMACY REV
75070557   ACETIC ACID 250ML            46.28     46.28    014170   01 PHARMACY REV
75096925   ACETYLCHOLINE OPTH 2ML       101.5     101.5    014170   01 PHARMACY REV
75096974   ACETYLCYSTEINE 10% 4ML       22.98     22.98    014170   01 PHARMACY REV
75096990   ACETYLCYSTEINE 20% 10ML      34.12     34.12    014170   01 PHARMACY REV
75097006   ACETYLCYSTEINE 20% 30ML      60.54     60.54    014170   01 PHARMACY REV
75096982   ACETYLCYSTEINE 20% 4ML       23.64     23.64    014170   01 PHARMACY REV
75047746   ACETYLCYSTEINE 6G/30ML IJ   372.65    372.65    014170   01 PHARMACY REV
75045229   ACYCLOVIR 200MG CAP          16.62     16.62    014170   01 PHARMACY REV
75001834   ACYCLOVIR 200MG/5ML SUSP       27.7      27.7   014170   01 PHARMACY REV
75090019   ACYCLOVIR 5% OINT 3GM       125.08    125.08    014170   01 PHARMACY REV
75069971   ACYCLOVIR 500MG/10ML IJ      249.9     249.9    014170   01 PHARMACY REV
75045237   ACYCLOVIR 800MG TAB          21.42     21.42    014170   01 PHARMACY REV
75089896   ACYCLOVIR OINT 15GM         196.42    196.42    014170   01 PHARMACY REV
75046409   ADENOSINE 6MG INJ           183.88    183.88    014170   01 PHARMACY REV
75073445   AL SO4 PWD                   49.22     49.22    014170   01 PHARMACY REV
75046375   ALBUMIN 25% 100ML               648       648   014170   01 PHARMACY REV
75046359   ALBUMIN 25%/20ML                334       334   014170   01 PHARMACY REV
75046367   ALBUMIN 25%/50ML                434       434   014170   01 PHARMACY REV
75046342   ALBUMIN 5% 500ML                614       614   014170   01 PHARMACY REV
75046334   ALBUMIN 5%/250ML                434       434   014170   01 PHARMACY REV
75046326   ALBUMIN 5%/50ML             189.28    189.28    014170   01 PHARMACY REV
75094367   ALBUTEROL 0.5% IN 20ML           46        46   014170   01 PHARMACY REV
75094433   ALBUTEROL 0.83% IN 3ML UD      17.1      17.1   014170   01 PHARMACY REV
75094771   ALBUTEROL 2.5MG/0.5ML UD       14.8      14.8   014170   01 PHARMACY REV
75000208   ALBUTEROL 2MG TAB             14.44     14.44   014170   01 PHARMACY REV
75000232   ALBUTEROL 4MG TAB             15.06     15.06   014170   01 PHARMACY REV
75098863   ALBUTEROL 6.8GM INH Th        48.96     48.96   014170   01 PHARMACY REV
75096552   ALBUTEROL HFA INH 6.7GM      169.32    169.32   014170   01 PHARMACY REV
75096834   ALBUTEROL INH 6.7GM          112.92    112.92   014170   01 PHARMACY REV
75094409   ALBUTEROL INHALER 17GM       108.62    108.62   014170   01 PHARMACY REV
75029942   ALBUTEROL LIQ 5ML             36.18     36.18   014170   01 PHARMACY REV
75029991   ALBUTEROL REPETAB              15.2      15.2   014170   01 PHARMACY REV
75001883   ALBUTEROL SO4 4MG ER TAB      15.18     15.18   014170   01 PHARMACY REV
75001669   ALENDRONATE 10MG TAB          18.24     18.24   014170   01 PHARMACY REV
75001495   ALENDRONATE 35MG TAB           50.5      50.5   014170   01 PHARMACY REV
75001800   ALENDRONATE 70MG TAB           51.5      51.5   014170   01 PHARMACY REV
75046425   ALFENTANIL INJ 5ML           107.38    107.38   014170   01 PHARMACY REV
75045161   ALLOPURINOL 100MG TAB         13.34     13.34   014170   01 PHARMACY REV
75045179   ALLOPURINOL 300MG TAB         14.56     14.56   014170   01 PHARMACY REV
75000950   ALOH 360ML                    30.08     30.08   014170   01 PHARMACY REV
75044107   ALPRAZOLAM 0.25MG TB          27.14     27.14   014170   01 PHARMACY REV
75044099   ALPRAZOLAM 0.5MG TAB          27.66     27.66   014170   01 PHARMACY REV
75044115   ALPRAZOLAM 1MG TAB            28.56     28.56   014170   01 PHARMACY REV
75066266   ALPROSTADIL PED 500MCG VL       339       339   014170   01 PHARMACY REV
75046292   ALTEPLASE 100MG VIAL TPA     6526.1    6526.1   014170   01 PHARMACY REV
75047654   ALTEPLASE 2MG/2ML IJ SYRG     256.5     256.5   014170   01 PHARMACY REV
75068908   ALTEPLASE 50MG VIAL TPA     3263.06   3263.06   014170   01 PHARMACY REV
75035469   AMANTADINE 100MG CAP           14.2      14.2   014170   01 PHARMACY REV
75035477   AMANTADINE 100MG/10ML LIQ     59.68     59.68   014170   01 PHARMACY REV
75046961   AMIFOSTINE 500MG IJ         1466.34   1466.34   014170   01 PHARMACY REV
75046516   AMIKACIN 500MG VIAL             227       227   014170   01 PHARMACY REV
75022376   AMILORIDE HCL 5MG TAB         13.96     13.96   014170   01 PHARMACY REV
75021246   AMILORIDE HCL TAB 5/50        13.84     13.84   014170   01 PHARMACY REV
44611549   AMINO ACIDS 10% 500ML         248.3     248.3   014170   01 PHARMACY REV
44611606   AMINO ACIDS 15% 2000ML        244.1     244.1   014170   01 PHARMACY REV
75046474   AMINOCAPROIC AC INJ 5GM       54.36     54.36   014170   01 PHARMACY REV
75000711   AMINOCAPROIC AC TAB 1GM      21.74    21.74   014170   01 PHARMACY REV
75000752   AMINOPHYLLINE 100MG TAB      13.12    13.12   014170   01 PHARMACY REV
75034884   AMINOPHYLLINE 105/5ML LIQ     13.6     13.6   014170   01 PHARMACY REV
75000760   AMINOPHYLLINE 200MG TAB      13.14    13.14   014170   01 PHARMACY REV
75046557   AMINOPHYLLINE 250MG IJ VL    97.58    97.58   014170   01 PHARMACY REV
75046581   AMINOPHYLLINE 500MG IJ VL    97.96    97.96   014170   01 PHARMACY REV
75047308   AMIODARONE 150/3ML IJ AMP   313.42   313.42   014170   01 PHARMACY REV
75006676   AMIODARONE TAB 200MG TAB      21.1     21.1   014170   01 PHARMACY REV
75011213   AMITRIPTYLINE 100MG TAB      15.22    15.22   014170   01 PHARMACY REV
75011171   AMITRIPTYLINE 10MG TAB       13.36    13.36   014170   01 PHARMACY REV
75011221   AMITRIPTYLINE 150MG TAB      17.84    17.84   014170   01 PHARMACY REV
75011189   AMITRIPTYLINE 25MG TAB       13.74    13.74   014170   01 PHARMACY REV
75011197   AMITRIPTYLINE 50MG TAB        14.3     14.3   014170   01 PHARMACY REV
75011205   AMITRIPTYLINE 75MG TAB        14.8     14.8   014170   01 PHARMACY REV
75025395   AMLODIPINE 10MG TAB          17.34    17.34   014170   01 PHARMACY REV
75001545   AMLODIPINE 5MG TABLET         16.1     16.1   014170   01 PHARMACY REV
75000869   AMOXICILLIN 125/5 LIQ UD        15       15   014170   01 PHARMACY REV
75000893   AMOXICILLIN 250/5 LIQ UD     13.58    13.58   014170   01 PHARMACY REV
75000919   AMOXICILLIN 250/5ML 150ML    30.64    30.64   014170   01 PHARMACY REV
75000836   AMOXICILLIN 250MG CAP        13.52    13.52   014170   01 PHARMACY REV
75001404   AMOXICILLIN 250MG CHEW TB    13.74    13.74   014170   01 PHARMACY REV
75000844   AMOXICILLIN 500MG CAP        13.98    13.98   014170   01 PHARMACY REV
75047647   AMPHO B 5MG/ML 20ML IJ VL    443.5    443.5   014170   01 PHARMACY REV
75046714   AMPHO B LPD CMPLX 10MG IJ    142.9    142.9   014170   01 PHARMACY REV
75047670   AMPHOTERICIN B 50 MG IJ      494.5    494.5   014170   01 PHARMACY REV
75046730   AMPICILLIN 125MG IJ          99.16    99.16   014170   01 PHARMACY REV
75046771   AMPICILLIN 1GM IJ           111.76   111.76   014170   01 PHARMACY REV
75047712   AMPICILLIN 1GM KIT          111.76   111.76   014170   01 PHARMACY REV
75000984   AMPICILLIN 250MG CAP         13.42    13.42   014170   01 PHARMACY REV
75046748   AMPICILLIN 250MG IJ          99.24    99.24   014170   01 PHARMACY REV
75001057   AMPICILLIN 250MG/5ML LIQ      25.9     25.9   014170   01 PHARMACY REV
75046789   AMPICILLIN 2GM IJ            121.5    121.5   014170   01 PHARMACY REV
75047720   AMPICILLIN 2GM KIT          111.18   111.18   014170   01 PHARMACY REV
75001008   AMPICILLIN 500MG CAP         13.72    13.72   014170   01 PHARMACY REV
75046755   AMPICILLIN 500MG IJ          99.48    99.48   014170   01 PHARMACY REV
75069278   AMPICILLIN/SULB INJ 1.5GM   118.28    118.28    014170   01 PHARMACY REV
75002477   ANAGRELIDE HCL 0.5MG CAP       25.4      25.4   014170   01 PHARMACY REV
75046847   ANA-KIT                     252.38    252.38    014170   01 PHARMACY REV
75001610   ANASTROZOLE 1MG TAB          28.62     28.62    014170   01 PHARMACY REV
75047738   ANTITHROMBIN 3 VL IJ          2743      2743    014170   01 PHARMACY REV
75051177   ANTIVENIN CROTAL INJ VIAL     2330      2330    014170   01 PHARMACY REV
75047043   ANTIVENIN SPIDER             115.8     115.8    014170   01 PHARMACY REV
75070185   ANUSOL 30GM OINT             32.54     32.54    014170   01 PHARMACY REV
75091157   ANUSOL SUP                     13.8      13.8   014170   01 PHARMACY REV
75091025   APAP 10GR SUPP               13.78     13.78    014170   01 PHARMACY REV
75038455   APAP 10ML LIQ                14.08     14.08    014170   01 PHARMACY REV
75038604   APAP 25ML LIQ                14.38     14.38    014170   01 PHARMACY REV
75091009   APAP 2GR SUPP                13.76     13.76    014170   01 PHARMACY REV
75038414   APAP 325MG TAB                    0         0   014170   01 PHARMACY REV
75038497   APAP 500MG TAB                 1.39      1.39   014170   01 PHARMACY REV
75091017   APAP 5GR SUPP                13.88     13.88    014170   01 PHARMACY REV
75038448   APAP 5ML LIQ                 13.96     13.96    014170   01 PHARMACY REV
75038430   APAP DRP 15ML                  5.01      5.01   014170   01 PHARMACY REV
75038695   APAP ELIX 160MG/5ML 120ML    25.25     25.25    014170   01 PHARMACY REV
75038653   APAP TAB 80MG                  1.35      1.35   014170   01 PHARMACY REV
75045716   APAP/COD #3 TAB W/C               0         0   014170   01 PHARMACY REV
75038588   APAP/COD 12.5ML              26.14     26.14    014170   01 PHARMACY REV
75038521   APAP/COD 30MG TAB            26.58     26.58    014170   01 PHARMACY REV
75038547   APAP/COD 5ML LIQ             25.48     25.48    014170   01 PHARMACY REV
75038539   APAP/COD 60MG TAB            26.82     26.82    014170   01 PHARMACY REV
75020164   APAP/HYDROCOD 10/500 TAB       27.1      27.1   014170   01 PHARMACY REV
75020321   APAP/HYDROCOD 10MG TAB       28.12     28.12    014170   01 PHARMACY REV
75042234   APAP/HYDROCOD 5MG TAB          26.8      26.8   014170   01 PHARMACY REV
75045476   APAP/HYDROCOD 5MG TAB W/C         0         0   014170   01 PHARMACY REV
75042168   APAP/HYDROCOD 7.5MG TAB          27        27   014170   01 PHARMACY REV
75045583   APAP/HYDROCOD 7.5MG W/C           0         0   014170   01 PHARMACY REV
75045609   APAP/HYDROCOD ES TAB W/C          0         0   014170   01 PHARMACY REV
75002584   APAP/HYDROCOD LIQ 15ML         31.2      31.2   014170   01 PHARMACY REV
75019950   APAP/HYDROCOD LIQ 5ML        31.68     31.68    014170   01 PHARMACY REV
75020180   APAP/HYDROCOD LIQUID 10ML    78.46     78.46    014170   01 PHARMACY REV
75042085   APAP/HYDROCOD TAB             13.64     13.64   014170   01 PHARMACY REV
75032870   APAP/OXYCOD 5/325MG 5ML        25.9      25.9   014170   01 PHARMACY REV
75027912   APAP/OXYCOD 5MG TAB           25.88     25.88   014170   01 PHARMACY REV
75030262   APAP/OXYCOD 7.5MG TAB         26.94     26.94   014170   01 PHARMACY REV
75008177   APAP/PROPOX NAP 100 TAB       27.18     27.18   014170   01 PHARMACY REV
75045724   APAP/PROPOX NAP 100 W/C           0         0   014170   01 PHARMACY REV
75096297   APRACLONIDINE OP 1% .25ML     47.98     47.98   014170   01 PHARMACY REV
75068148   APROTININ 1 MU/ML 100ML      625.36    625.36   014170   01 PHARMACY REV
75068189   APROTININ 1 MU/ML 200ML     1148.74   1148.74   014170   01 PHARMACY REV
75047183   ARGATROBAN 250MG/2.5ML IJ   1984.26   1984.26   014170   01 PHARMACY REV
75047704   ARSENIC TRIOX 10MG IJ           850       850   014170   01 PHARMACY REV
75091199   ASA 300MG SUPP                13.72     13.72   014170   01 PHARMACY REV
75001990   ASA 325MG TAB                     0         0   014170   01 PHARMACY REV
75091207   ASA 600 MG SUPP                13.7      13.7   014170   01 PHARMACY REV
75001982   ASA 81MG TAB                      0         0   014170   01 PHARMACY REV
75016212   ASA 81MG TABLET                   0         0   014170   01 PHARMACY REV
75003731   ASA BUFFERED TAB               1.33      1.33   014170   01 PHARMACY REV
75001891   ASA BUFFERED TAB               1.33      1.33   014170   01 PHARMACY REV
75002014   ASA EC 325MG TAB               1.31      1.31   014170   01 PHARMACY REV
75011106   ASA EC 325MG TAB               1.31      1.31   014170   01 PHARMACY REV
75012385   ASA/APAP/CAFF EXT/S TAB        13.1      13.1   014170   01 PHARMACY REV
75045567   ASA/CARISOPROD 350MG W/C          0         0   014170   01 PHARMACY REV
75002550   ASA/DIPYR 200MG/25MG TAB      17.18     17.18   014170   01 PHARMACY REV
75027938   ASA/OXYCOD TAB                 27.4      27.4   014170   01 PHARMACY REV
75001859   ASCORBIC ACID 250MG TAB       13.06     13.06   014170   01 PHARMACY REV
75049908   ASCORBIC ACID 500MG AMP      141.36    141.36   014170   01 PHARMACY REV
75001867   ASCORBIC ACID 500MG TAB       13.08     13.08   014170   01 PHARMACY REV
75055046   ASPARAGINASE 10000U IJ       576.84    576.84   014170   01 PHARMACY REV
75036509   ATENOLOL 100MG TAB            15.74     15.74   014170   01 PHARMACY REV
75038893   ATENOLOL 25MG TAB              14.6      14.6   014170   01 PHARMACY REV
75036517   ATENOLOL 50MG TAB             15.24     15.24   014170   01 PHARMACY REV
75020297   ATORVASTATIN 10MG TAB         17.94     17.94   014170   01 PHARMACY REV
75020305   ATORVASTATIN 20MG TAB         20.28     20.28   014170   01 PHARMACY REV
75020313   ATORVASTATIN 40MG TAB         20.28     20.28   014170   01 PHARMACY REV
75068999   ATRACURIUM 100MG INJ         214.78    214.78   014170   01 PHARMACY REV
75047381   ATROPINE 0.4MG/ML 1ML VL     48.88    48.88   014170   01 PHARMACY REV
75047605   ATROPINE 0.4MG/ML 20ML VL       57       57   014170   01 PHARMACY REV
75047431   ATROPINE 0.5MG/5ML JECT      54.96    54.96   014170   01 PHARMACY REV
75094680   ATROPINE 1% OPTH 15ML        33.92    33.92   014170   01 PHARMACY REV
75094664   ATROPINE 1% OPTH 1ML         35.88    35.88   014170   01 PHARMACY REV
75094672   ATROPINE 1% OPTH 5ML         30.88    30.88   014170   01 PHARMACY REV
75047449   ATROPINE 1MG/10ML JECT       56.26    56.26   014170   01 PHARMACY REV
75047415   ATROPINE 1MG/ML 1ML VIAL     48.98    48.98   014170   01 PHARMACY REV
75045617   AUGMENTIN 125MG/5ML          60.28    60.28   014170   01 PHARMACY REV
75045625   AUGMENTIN 250/5 LIQ 5ML      97.02    97.02   014170   01 PHARMACY REV
75002394   AUGMENTIN 250MG TAB           19.1     19.1   014170   01 PHARMACY REV
75002428   AUGMENTIN 250MG/5ML 75ML    116.92   116.92   014170   01 PHARMACY REV
75002535   AUGMENTIN 400/5 LIQ 5ML      94.22    94.22   014170   01 PHARMACY REV
75002543   AUGMENTIN 400/5 LIQ 10ML     94.22    94.22   014170   01 PHARMACY REV
75002402   AUGMENTIN 500MG TAB          21.96    21.96   014170   01 PHARMACY REV
75002469   AUGMENTIN 875MG TAB          24.96    24.96   014170   01 PHARMACY REV
75094730   AURALGAN 15ML                64.72    64.72   014170   01 PHARMACY REV
75070607   AVEENO BATH PACKET            14.4     14.4   014170   01 PHARMACY REV
75017210   AZATHIOPRINE 50MG TAB        16.26    16.26   014170   01 PHARMACY REV
75096131   AZELASTINE NAS SPY 34ML     154.68   154.68   014170   01 PHARMACY REV
75045351   AZITHROMYCIN 200/5 10ML      82.78    82.78   014170   01 PHARMACY REV
75002527   AZITHROMYCIN 200/5 15ML      91.46    91.46   014170   01 PHARMACY REV
75047662   AZITHROMYCIN 200/5 30ML      94.78    94.78   014170   01 PHARMACY REV
75045336   AZITHROMYCIN 200/5 5ML       82.78    82.78   014170   01 PHARMACY REV
75045252   AZITHROMYCIN 250MG TAB        28.7     28.7   014170   01 PHARMACY REV
75047639   AZITHROMYCIN 500MG IJ VL    157.66   157.66   014170   01 PHARMACY REV
75002451   AZITHROMYCIN SUS 1GM PKT     61.74    61.74   014170   01 PHARMACY REV
75047563   AZTREONAM 2GM IJ            247.38   247.38   014170   01 PHARMACY REV
75047555   AZTREONAM INJ 1GM           153.82   153.82   014170   01 PHARMACY REV
75091454   B&O 30MG SUPP                 18.6     18.6   014170   01 PHARMACY REV
75091462   B&O 60MG SUPP                31.68    31.68   014170   01 PHARMACY REV
75084111   BACI/POLYMIX 15GM OINT        62.6     62.6   014170   01 PHARMACY REV
75097642   BACI/POLYMIX 3.75GM OINT     91.28    91.28   014170   01 PHARMACY REV
75084137   BACI/POLYMIX 30GM OINT        42.2     42.2   014170   01 PHARMACY REV
75084129   BACI/POLYMIX OINT PACKET     48.78    48.78   014170   01 PHARMACY REV
75084103   BACI/POLYMIX PWD 10GM         73.38     73.38   014170   01 PHARMACY REV
75048017   BACITRACIN 50MU VIAL         125.76    125.76   014170   01 PHARMACY REV
75071084   BACITRACIN OINT                30.8      30.8   014170   01 PHARMACY REV
75094847   BACITRACIN OPT OINT            34.5      34.5   014170   01 PHARMACY REV
75019505   BACLOFEN 10MG TAB             13.86     13.86   014170   01 PHARMACY REV
75048025   BACTRIM 80MG/ML IJ 10ML       68.42     68.42   014170   01 PHARMACY REV
75048041   BACTRIM 80MG/ML IJ 30ML       142.6     142.6   014170   01 PHARMACY REV
75003038   BACTRIM DS SUSP 20ML           16.4      16.4   014170   01 PHARMACY REV
75003046   BACTRIM TAB                   15.06     15.06   014170   01 PHARMACY REV
75071241   BCG TICE STRAIN INTRAVES      403.3     403.3   014170   01 PHARMACY REV
75086082   BECAPLERMIN GEL 15GM         1091.3    1091.3   014170   01 PHARMACY REV
75094821   BECLOMETHASONE 16.8GM INH     139.2     139.2   014170   01 PHARMACY REV
75099234   BECLOMETHASONE 40MCG INH      138.8     138.8   014170   01 PHARMACY REV
75099242   BECLOMETHASONE 80MCG INH     157.78    157.78   014170   01 PHARMACY REV
75098269   BECLOMETHASONE INH           124.82    124.82   014170   01 PHARMACY REV
75098798   BECLOMETHASONE NAS 19GM       144.2     144.2   014170   01 PHARMACY REV
75094813   BECLOMETHASONE SPY 25GM      168.28    168.28   014170   01 PHARMACY REV
75003574   BENAZEPRIL 10MG TAB           15.34     15.34   014170   01 PHARMACY REV
75020214   BENAZEPRIL 20/12.5 TAB        15.34     15.34   014170   01 PHARMACY REV
75020255   BENAZEPRIL 20MG TABLET        15.34     15.34   014170   01 PHARMACY REV
75020263   BENAZEPRIL 40MG TABLET        15.34     15.34   014170   01 PHARMACY REV
75020206   BENAZEPRIL 5MG TABLET         15.34     15.34   014170   01 PHARMACY REV
75083022   BENZOCAINE 10% 5.6GM JEL       31.6      31.6   014170   01 PHARMACY REV
75005587   BENZOCAINE LOZ                 13.5      13.5   014170   01 PHARMACY REV
75070110   BENZOCAINE OINT               33.72     33.72   014170   01 PHARMACY REV
75077354   BENZOCAINE SPR 20% 60GM       82.98     82.98   014170   01 PHARMACY REV
75073122   BENZOCAINE SPR 20% 90GM       79.38     79.38   014170   01 PHARMACY REV
75071415   BENZOIN TR 120ML TOP         154.68    154.68   014170   01 PHARMACY REV
75036657   BENZONATATE 100MG CAP         15.26     15.26   014170   01 PHARMACY REV
75006312   BENZTROPINE 0.5MG TAB         13.44     13.44   014170   01 PHARMACY REV
75006320   BENZTROPINE 1MG TAB           13.76     13.76   014170   01 PHARMACY REV
75006338   BENZTROPINE 2MG TAB           13.82     13.82   014170   01 PHARMACY REV
75050302   BENZTROPINE 2MG/2ML IJ        67.44     67.44   014170   01 PHARMACY REV
75067900   BERACTANT 25MG/ML 4ML SDV    1059.5    1059.5   014170   01 PHARMACY REV
75067884   BERACTANT 25MG/ML 8ML SDV   1745.88   1745.88   014170   01 PHARMACY REV
75089243   BETAMETHASONE 15GM CRM        37.12      37.12    014170   01 PHARMACY REV
75049551   BETAMETHASONE 3MG/3ML MDV     91.94      91.94    014170   01 PHARMACY REV
75009720   BETAMETHASONE CRM 15GM        109.8      109.8    014170   01 PHARMACY REV
75073395   BETAMETHASONE ONT             79.84      79.84    014170   01 PHARMACY REV
75049569   BETAMETHASONE SL 6MG/ML      108.28     108.28    014170   01 PHARMACY REV
75094581   BETAXOLOL OPH SLN                 73         73   014170   01 PHARMACY REV
75094532   BETAXOLOL OPTH SOL 5ML           105        105   014170   01 PHARMACY REV
75040147   BETHANECHOL 10MG TAB              16         16   014170   01 PHARMACY REV
75040154   BETHANECHOL 25MG TAB          16.98      16.98    014170   01 PHARMACY REV
75048504   BEVACIZUMAB 100MG IJ           1820       1820    014170   01 PHARMACY REV
75048512   BEVACIZUMAB 400MG IJ           5945       5945    014170   01 PHARMACY REV
75003988   BICALUTAMIDE 50MG TAB         41.96      41.96    014170   01 PHARMACY REV
75098970   BIMATOPROST .03% OPT 5ML     273.38     273.38    014170   01 PHARMACY REV
75009837   BISACODYL 5MG TAB               13.1       13.1   014170   01 PHARMACY REV
75091488   BISACODYL SUP                 14.42      14.42    014170   01 PHARMACY REV
75006775   BISACODYL TAB                   13.2       13.2   014170   01 PHARMACY REV
75045294   BISOPROLOL/HCTZ 2.5MG TAB     16.46      16.46    014170   01 PHARMACY REV
75045302   BISOPROLOL/HCTZ 5MG TAB       15.84      15.84    014170   01 PHARMACY REV
75048488   BIVALIRUDIN 250MG IJ             991        991   014170   01 PHARMACY REV
75048322   BLEOMYCIN 15U IJ             1054.3     1054.3    014170   01 PHARMACY REV
75097717   BLEPHAMIDE FORTE OP 10ML      124.1      124.1    014170   01 PHARMACY REV
75094938   BLEPHAMIDE OPTH 10% 10ML      156.2      156.2    014170   01 PHARMACY REV
75094920   BLEPHAMIDE OPTH 10% 5ML      113.42     113.42    014170   01 PHARMACY REV
75048496   BORTEZOMIB 3.5MG IJ         2891.45    2891.45    014170   01 PHARMACY REV
75048082   BOTULINUM 100U IJ              1222       1222    014170   01 PHARMACY REV
75094227   BRIMONIDINE 0.2% OPTH 5ML    201.02     201.02    014170   01 PHARMACY REV
75096230   BRINZOLAMIDE 1% OPTH 5ML          91         91   014170   01 PHARMACY REV
75027342   BROMOCRIPTINE 2.5MG TAB       19.26      19.26    014170   01 PHARMACY REV
75094789   BSS SLN 15ML                  38.38      38.38    014170   01 PHARMACY REV
75098913   BUDESONIDE 0.25MG/2ML RSP       22.5       22.5   014170   01 PHARMACY REV
75098905   BUDESONIDE 0.5MG/2ML RESP       22.5       22.5   014170   01 PHARMACY REV
75098780   BUDESONIDE INH 200MET DS         327        327   014170   01 PHARMACY REV
75098996   BUDESONIDE NASAL SPRY        191.55     191.55    014170   01 PHARMACY REV
75048447   BUMETANIDE 0.25MG/ML IJ       54.26      54.26    014170   01 PHARMACY REV
75048454   BUMETANIDE 0.5MG INJ          54.94      54.94    014170   01 PHARMACY REV
75048470   BUMETANIDE INJ 1MG/4ML       54.5    54.5   014170   01 PHARMACY REV
75004077   BUMETANIDE TAB 0.5MG         13.9    13.9   014170   01 PHARMACY REV
75004085   BUMETANIDE TAB 1MG          14.26   14.26   014170   01 PHARMACY REV
75062372   BUPIV/EPI 0.25% 10ML VL     58.38   58.38   014170   01 PHARMACY REV
75062133   BUPIV/EPI 0.25% 10ML VL      57.4    57.4   014170   01 PHARMACY REV
75062182   BUPIV/EPI 0.25% 30ML        63.62   63.62   014170   01 PHARMACY REV
75062448   BUPIV/EPI 0.5% 10ML VIAL    59.04   59.04   014170   01 PHARMACY REV
75062208   BUPIV/EPI 0.5% IJ           70.68   70.68   014170   01 PHARMACY REV
75062166   BUPIVACAINE 0.25% 30ML VL   56.28   56.28   014170   01 PHARMACY REV
75062174   BUPIVACAINE 0.25% 50ML IJ    69.9    69.9   014170   01 PHARMACY REV
75062158   BUPIVACAINE 0.5% 10ML VL    56.26   56.26   014170   01 PHARMACY REV
75062190   BUPIVACAINE 0.5% 30ML VL     55.7    55.7   014170   01 PHARMACY REV
75062216   BUPIVACAINE 0.5% 50ML VL       60      60   014170   01 PHARMACY REV
75067314   BUPIVACAINE 0.75% PF 10ML    60.6    60.6   014170   01 PHARMACY REV
75062117   BUPIVACAINE SPINL 2ML AMP   56.42   56.42   014170   01 PHARMACY REV
75048462   BUPRENORPHINE 0.3MG/ML IJ   58.52   58.52   014170   01 PHARMACY REV
75043125   BUPROPION 100MG TAB         15.88   15.88   014170   01 PHARMACY REV
75043133   BUPROPION 75 MG TAB         15.16   15.16   014170   01 PHARMACY REV
75043141   BUPROPION SR 150MG TAB      17.02   17.02   014170   01 PHARMACY REV
75004184   BUPROPION XL 150MG TAB      19.45   19.45   014170   01 PHARMACY REV
75003962   BUSPIRONE TAB 10MG          16.04   16.04   014170   01 PHARMACY REV
75003921   BUSPIRONE TAB 5MG           14.76   14.76   014170   01 PHARMACY REV
75067538   BUTORPHANOL 2MG VL          93.56   93.56   014170   01 PHARMACY REV
75067546   BUTORPHANOL 4MG VL           76.5    76.5   014170   01 PHARMACY REV
75098095   BUTORPHANOL NAS SP 2.5ML    175.5   175.5   014170   01 PHARMACY REV
75005041   CA ACET 667MG TAB           13.46   13.46   014170   01 PHARMACY REV
75038265   CA CARB 12 TAB ROLL         25.06   25.06   014170   01 PHARMACY REV
75005744   CA CARB 1250MG/5ML U.D      14.18   14.18   014170   01 PHARMACY REV
75005082   CA CARB 1500MG TAB           13.2    13.2   014170   01 PHARMACY REV
75005033   CA CARB 650MG TAB           13.04   13.04   014170   01 PHARMACY REV
75038232   CA CARB ROLL                25.08   25.08   014170   01 PHARMACY REV
75005801   CA CARB SUSP 1250MG/5ML     37.74   37.74   014170   01 PHARMACY REV
75026393   CA CARB TAB                 13.18   13.18   014170   01 PHARMACY REV
75022897   CA CARB TAB                 13.18   13.18   014170   01 PHARMACY REV
75026476   CA CARB/VIT D 500MG TB      13.24   13.24   014170   01 PHARMACY REV
75026385   CA CARB/VIT D TAB              13.12     13.12   014170   01 PHARMACY REV
75007450   CA CIT TABLET                  13.14     13.14   014170   01 PHARMACY REV
75049007   CA CL INJ 10ML                 97.58     97.58   014170   01 PHARMACY REV
75049015   CA CL JECT                      56.6      56.6   014170   01 PHARMACY REV
75005058   CA GLUCONATE 500MG             13.32     13.32   014170   01 PHARMACY REV
75049023   CA GLUCONATE INJ               97.78     97.78   014170   01 PHARMACY REV
75051194   CAFF CIT 60MG/3ML IJ          141.38    141.38   014170   01 PHARMACY REV
75006023   CAFFEINE 10MG/ML ORAL SYR      56.56     56.56   014170   01 PHARMACY REV
75072033   CALAMINE LTN                    26.8      26.8   014170   01 PHARMACY REV
75072017   CALAMINE LTN                    26.8      26.8   014170   01 PHARMACY REV
75049064   CALCITONIN INJ                 141.9     141.9   014170   01 PHARMACY REV
75097634   CALCITONIN NAS SP 2ML         103.16    103.16   014170   01 PHARMACY REV
75032722   CALCITRIOL 0.25MCG CAP         15.84     15.84   014170   01 PHARMACY REV
75032730   CALCITRIOL 0.5MCG CAP          17.48     17.48   014170   01 PHARMACY REV
75049056   CALCITRIOL INJ 1MCG            81.62     81.62   014170   01 PHARMACY REV
75072066   CALMOSEPTINE OINT 120GM           35        35   014170   01 PHARMACY REV
75002493   CANDESARTAN 4MG TAB            16.08     16.08   014170   01 PHARMACY REV
75002501   CANDESARTAN 8MG TAB            16.08     16.08   014170   01 PHARMACY REV
75007195   CANDIDA SKN TST INJ             85.2      85.2   014170   01 PHARMACY REV
75005943   CAPECITABINE 500MG TAB         38.25     38.25   014170   01 PHARMACY REV
75072025   CAPSAICIN OINT 45GM             70.9      70.9   014170   01 PHARMACY REV
75005363   CAPTOPRIL 12.5MG TAB           15.44     15.44   014170   01 PHARMACY REV
75005215   CAPTOPRIL 25MG TAB             15.64     15.64   014170   01 PHARMACY REV
75005223   CAPTOPRIL 50MG TAB             17.54     17.54   014170   01 PHARMACY REV
75005512   CAPTOPRIL/HCTZ 25/15 TAB       15.68     15.68   014170   01 PHARMACY REV
75036400   CARBAMAZEPINE 100MG TAB         13.7      13.7   014170   01 PHARMACY REV
75036434   CARBAMAZEPINE 200/10ML LQ      25.86     25.86   014170   01 PHARMACY REV
75036392   CARBAMAZEPINE 200MG TAB        14.28     14.28   014170   01 PHARMACY REV
75007716   CARBAMIAZEPINE XR 100MG TB     13.75     13.75   014170   01 PHARMACY REV
75007724   CARBAMIAZEPINE XR 200MG TB     14.45     14.45   014170   01 PHARMACY REV
75013029   CARBONYL IRON 167MG CAP         13.5      13.5   014170   01 PHARMACY REV
75013532   CARBONYL IRON 50MG CAP         13.38     13.38   014170   01 PHARMACY REV
75013037   CARBONYL IRON LIQ 5ML          27.48     27.48   014170   01 PHARMACY REV
75004663   CARBOPLATIN 150MG INJ        1468.92   1468.92   014170   01 PHARMACY REV
75049213   CARBOPLATIN 450MG INJ         3516.8    3516.8   014170   01 PHARMACY REV
75066217   CARBOPROST 1ML AMP          169.86   169.86   014170   01 PHARMACY REV
44611622   CARDIOPLGIC SOL TOB 1L      123.86   123.86   014170   01 PHARMACY REV
44611556   CARDIOPLGIC SOL VH 765ML       400      400   014170   01 PHARMACY REV
75034850   CARISOPRODOL TAB 350MG        20.5     20.5   014170   01 PHARMACY REV
75098897   CARTEOLOL HCL 1% 5ML DROP    64.28    64.28   014170   01 PHARMACY REV
75007666   CARVEDILOL 12.5MG TAB         16.6     16.6   014170   01 PHARMACY REV
75007732   CARVEDILOL 25MG TAB           16.6     16.6   014170   01 PHARMACY REV
75007500   CARVEDILOL 3.125MG TAB        16.6     16.6   014170   01 PHARMACY REV
75007518   CARVEDILOL 6.25MG TAB         16.6     16.6   014170   01 PHARMACY REV
75005330   CASCARA 5ML LIQ              38.76    38.76   014170   01 PHARMACY REV
75051185   CASPOFUNGIN 50MG/10ML VAC   878.42   878.42   014170   01 PHARMACY REV
75024422   CASTOR OIL 120ML LIQ         30.38    30.38   014170   01 PHARMACY REV
75005355   CASTOR OIL 30ML LIQ          19.18    19.18   014170   01 PHARMACY REV
75005405   CEFACLOR 250MG CAP           17.66    17.66   014170   01 PHARMACY REV
75045658   CEFACLOR 250MG/5ML LQ DSE     16.9     16.9   014170   01 PHARMACY REV
75005413   CEFACLOR 500MG CAP            20.8     20.8   014170   01 PHARMACY REV
75010090   CEFADROXIL 500MG CAP         20.74    20.74   014170   01 PHARMACY REV
75049395   CEFAZOLIN 1GM VIAL             108      108   014170   01 PHARMACY REV
75049387   CEFAZOLIN 500MG VIAL         106.4    106.4   014170   01 PHARMACY REV
75063255   CEFEPIME 1GM INJ VIAL       138.16   138.16   014170   01 PHARMACY REV
75050815   CEFOPERAZONE 1GM INJ           138      138   014170   01 PHARMACY REV
75050120   CEFOTAXIME 1GM VL            123.2    123.2   014170   01 PHARMACY REV
75050138   CEFOTAXIME 2GM VL           146.48   146.48   014170   01 PHARMACY REV
75051011   CEFOTETAN 1GM INJ           304.45   304.45   014170   01 PHARMACY REV
75051029   CEFOTETAN 2GM INJ           480.65   480.65   014170   01 PHARMACY REV
75062257   CEFOXITIN 1GM VL            125.96   125.96   014170   01 PHARMACY REV
75062273   CEFOXITIN 2GM VL            149.74   149.74   014170   01 PHARMACY REV
75050997   CEFTAZIDIME 1GM VL          135.86   135.86   014170   01 PHARMACY REV
75051003   CEFTAZIDIME 2GM VL           164.3    164.3   014170   01 PHARMACY REV
75050880   CEFTIZOXIME 1GM VL          124.78   124.78   014170   01 PHARMACY REV
75050898   CEFTIZOXIME 2GM VL          144.28   144.28   014170   01 PHARMACY REV
75051102   CEFTRIAXONE 1000MG IM IJ    204.22   204.22   014170   01 PHARMACY REV
75050971   CEFTRIAXONE 1GM IV INJ      208.58   208.58   014170   01 PHARMACY REV
75051086   CEFTRIAXONE 250MG IM INJ    137.46   137.46   014170   01 PHARMACY REV
75051037   CEFTRIAXONE 250MG INJ       134.96   134.96   014170   01 PHARMACY REV
75050989   CEFTRIAXONE 2GM INJ         305.14   305.14   014170   01 PHARMACY REV
75051094   CEFTRIAXONE 500MG IM INJ    161.74   161.74   014170   01 PHARMACY REV
75050963   CEFTRIAXONE 500MG INJ       161.74   161.74   014170   01 PHARMACY REV
75050955   CEFUROXIME 1.5GM IJ         134.32   134.32   014170   01 PHARMACY REV
75007401   CEFUROXIME TAB 250MG         23.76    23.76   014170   01 PHARMACY REV
75007419   CEFUROXIME TAB 500 MG        32.62    32.62   014170   01 PHARMACY REV
75007625   CELECOXIB 100MG CAP          16.62    16.62   014170   01 PHARMACY REV
75007633   CELECOXIB 200MG CAP          18.94    18.94   014170   01 PHARMACY REV
75072157   CEPACOL 180ML LIQ             25.5     25.5   014170   01 PHARMACY REV
75005603   CEPASTAT LOZ                 13.28    13.28   014170   01 PHARMACY REV
75018226   CEPHALEXIN 125/5ML 200ML      56.5     56.5   014170   01 PHARMACY REV
75018200   CEPHALEXIN 125/5ML LIQ UD     13.9     13.9   014170   01 PHARMACY REV
75018242   CEPHALEXIN 250/5ML 100ML      62.8     62.8   014170   01 PHARMACY REV
75018234   CEPHALEXIN 250/5ML LIQ UD    13.38    13.38   014170   01 PHARMACY REV
75018184   CEPHALEXIN 250MG CAP         14.68    14.68   014170   01 PHARMACY REV
75018192   CEPHALEXIN 500MG CAP         16.52    16.52   014170   01 PHARMACY REV
75072181   CETACAINE APPL                  15       15   014170   01 PHARMACY REV
75072199   CETACAINE SPY               151.08   151.08   014170   01 PHARMACY REV
75072249   CETAPHIL 480ML               43.88    43.88   014170   01 PHARMACY REV
75007658   CETIRIZINE 10MG TAB          17.22    17.22   014170   01 PHARMACY REV
75007641   CETIRIZINE 5MG TAB           17.22    17.22   014170   01 PHARMACY REV
75007484   CHARCOAL 25GM/120ML LIQ      35.56    35.56   014170   01 PHARMACY REV
75007492   CHARCOAL 50GM/240ML LIQ       32.8     32.8   014170   01 PHARMACY REV
75007468   CHARCOAL/SORB 25GM/120 LQ    36.86    36.86   014170   01 PHARMACY REV
75007476   CHARCOAL/SORB 50GM/240 LQ     33.6     33.6   014170   01 PHARMACY REV
75005777   CHLORAL HYDRATE 500MG/5ML    76.28    76.28   014170   01 PHARMACY REV
75024729   CHLORAL HYDRATE LIQ 5ML       14.6     14.6   014170   01 PHARMACY REV
75019299   CHLORAMBUCIL 2MG TAB         17.16    17.16   014170   01 PHARMACY REV
75005884   CHLORASEPTIC LOZ             91.08    91.08   014170   01 PHARMACY REV
75019364   CHLORDIAZEPOXD 10MG CAP      25.64    25.64   014170   01 PHARMACY REV
75019372   CHLORDIAZEPOXD 25MG CAP      25.46    25.46   014170   01 PHARMACY REV
75019356   CHLORDIAZEPOXD 5MG CAP        14.5     14.5   014170   01 PHARMACY REV
75077339   CHLORHEX GLUC 120ML TOP      60.16    60.16   014170   01 PHARMACY REV
75028068   CHLORHEX GLUC 480ML LIQ       36.6     36.6   014170   01 PHARMACY REV
75063875   CHLOROPROCAINE 2% 30ML VL    95.88    95.88   014170   01 PHARMACY REV
75063883   CHLOROPROCAINE 2% PF 30ML    93.12    93.12   014170   01 PHARMACY REV
75063891   CHLOROPROCAINE 3% PF 30ML   102.72   102.72   014170   01 PHARMACY REV
75009456   CHLOROTHIAZIDE 250MG TAB     13.34    13.34   014170   01 PHARMACY REV
75053074   CHLOROTHIAZIDE 500MG INJ    122.26   122.26   014170   01 PHARMACY REV
75009464   CHLOROTHIAZIDE 500MG TAB     13.54    13.54   014170   01 PHARMACY REV
75005900   CHLORPHENIRAMIN 4MG TAB      13.06    13.06   014170   01 PHARMACY REV
75068551   CHLORPROMAZINE 25MG IJ       70.28    70.28   014170   01 PHARMACY REV
75037093   CHLORPROMAZINE 25MG TAB      14.38    14.38   014170   01 PHARMACY REV
75068569   CHLORPROMAZINE 50MG IJ       79.04    79.04   014170   01 PHARMACY REV
75037101   CHLORPROMAZINE 50MG TAB      14.72    14.72   014170   01 PHARMACY REV
75008631   CHLORPROPAMIDE 100MG TAB        14       14   014170   01 PHARMACY REV
75008649   CHLORPROPAMIDE 250MG TAB     14.38    14.38   014170   01 PHARMACY REV
75016667   CHLORTHALIDONE 25MG TAB      13.46    13.46   014170   01 PHARMACY REV
75016675   CHLORTHALIDONE 50MG TAB      13.38    13.38   014170   01 PHARMACY REV
75007823   CHOLECALCIFEROL 400u TAB      13.7     13.7   014170   01 PHARMACY REV
75031062   CHOLESTYRAMINE PWD 4GM PK    18.58    18.58   014170   01 PHARMACY REV
75037994   CHOLINE SALICYL 500MG TAB    15.16    15.16   014170   01 PHARMACY REV
75038000   CHOLINE SALICYL 750MG TAB    15.66    15.66   014170   01 PHARMACY REV
75007849   CILOSTAZOL 100MG TAB          17.1     17.1   014170   01 PHARMACY REV
75068122   CIMETIDINE 300MG IJ          53.98    53.98   014170   01 PHARMACY REV
75036087   CIMETIDINE 300MG TAB         15.38    15.38   014170   01 PHARMACY REV
75036095   CIMETIDINE 300MG/5ML LIQ     203.2    203.2   014170   01 PHARMACY REV
75036103   CIMETIDINE 400 MG TAB        16.96    16.96   014170   01 PHARMACY REV
75036152   CIMETIDINE TAB 800MG         19.56    19.56   014170   01 PHARMACY REV
75007757   CINACALCET 30MG TAB           33.3     33.3   014170   01 PHARMACY REV
75094797   CIPRO 0.3% OPTH SLN         121.38   121.38   014170   01 PHARMACY REV
75006445   CIPRO 100MG/ML LIQ 5ML      287.98   287.98   014170   01 PHARMACY REV
75051060   CIPRO INJ 200MG/20ML        130.82   130.82   014170   01 PHARMACY REV
75051078   CIPRO INJ 400MG/40ML        162.02   162.02   014170   01 PHARMACY REV
75072082   CIPRO OTIC SUSP 10ML        190.38   190.38   014170   01 PHARMACY REV
75007336   CIPRO TAB 250MG              23.26    23.26   014170   01 PHARMACY REV
75007344   CIPRO TAB 500MG              24.98    24.98   014170   01 PHARMACY REV
75007351   CIPRO TAB 750MG              25.58    25.58   014170   01 PHARMACY REV
75064386   CISATRACURIUM 200MG/20ML    452.26   452.26   014170   01 PHARMACY REV
75064311   CISATRACURIUM 2MG/ML 10ML   140.72   140.72   014170   01 PHARMACY REV
75065359   CISPLATIN 100MG IJ          1444.96   1444.96   014170   01 PHARMACY REV
75065334   CISPLATIN 10MG IJ            945.06    945.06   014170   01 PHARMACY REV
75065342   CISPLATIN 50MG IJ            945.06    945.06   014170   01 PHARMACY REV
75007526   CITALOPRAM 20MG TAB           18.32     18.32   014170   01 PHARMACY REV
75007534   CITALOPRAM 40MG TAB           18.56     18.56   014170   01 PHARMACY REV
75003459   CITRIC ACID 30ML LIQ          30.76     30.76   014170   01 PHARMACY REV
75061630   CLADRIBINE 1MG/ML IJ 10ML   1864.78   1864.78   014170   01 PHARMACY REV
75004168   CLARITHROMYCIN 250/5 10ML    116.12    116.12   014170   01 PHARMACY REV
75004119   CLARITHROMYCIN 250/5 50ML    111.16    111.16   014170   01 PHARMACY REV
75004135   CLARITHROMYCIN 250/5 5ML     169.26    169.26   014170   01 PHARMACY REV
75003640   CLARITHROMYCIN 250MG TAB      22.56     22.56   014170   01 PHARMACY REV
75003616   CLARITHROMYCIN 500MG TAB      22.04     22.04   014170   01 PHARMACY REV
75036244   CLEMASTINE 1.34MG TAB         13.66     13.66   014170   01 PHARMACY REV
75006064   CLINDAMYCIN 150MG CAP         18.18     18.18   014170   01 PHARMACY REV
75050161   CLINDAMYCIN 300MG IJ         109.48    109.48   014170   01 PHARMACY REV
75050187   CLINDAMYCIN 600MG IJ          59.58     59.58   014170   01 PHARMACY REV
75050245   CLINDAMYCIN 900MG IJ         122.42    122.42   014170   01 PHARMACY REV
75088179   CLOBETASOL 0.05% CRM 30GM    122.72    122.72   014170   01 PHARMACY REV
75007369   CLOMIPRAIME HCL 25MG CAP      19.58     19.58   014170   01 PHARMACY REV
75006163   CLONAZEPAM 0.5MG TAB           27.1      27.1   014170   01 PHARMACY REV
75006171   CLONAZEPAM 1MG TAB             27.4      27.4   014170   01 PHARMACY REV
75006189   CLONAZEPAM 2MG TAB            28.32     28.32   014170   01 PHARMACY REV
75005371   CLONIDINE 0.1MG TAB           14.82     14.82   014170   01 PHARMACY REV
75005389   CLONIDINE 0.2MG TAB           13.64     13.64   014170   01 PHARMACY REV
75005397   CLONIDINE 0.3MG TAB           16.48     16.48   014170   01 PHARMACY REV
75072744   CLONIDINE TTS-1 PATCH         42.12     42.12   014170   01 PHARMACY REV
75072751   CLONIDINE TTS-2 PATCH         62.04     62.04   014170   01 PHARMACY REV
75072769   CLONIDINE TTS-3 PATCH         83.86     83.86   014170   01 PHARMACY REV
75006635   CLOPIDOGREL 75MG TAB          20.88     20.88   014170   01 PHARMACY REV
75037630   CLORAZEPATE 3.75MG TAB        15.56     15.56   014170   01 PHARMACY REV
75037648   CLORAZEPATE 7.5MG TAB         31.02     31.02   014170   01 PHARMACY REV
75080234   CLOTRI/BETAMETH 15GM CRM      77.66     77.66   014170   01 PHARMACY REV
75080259   CLOTRI/BETAMETH CRM 45GM      138.4     138.4   014170   01 PHARMACY REV
75080176   CLOTRIMAZOLE 15GM CRM         44.54     44.54   014170   01 PHARMACY REV
75081554   CLOTRIMAZOLE 15GM CRM         34.36     34.36   014170   01 PHARMACY REV
75080184   CLOTRIMAZOLE 30GM CRM        80.06    80.06   014170   01 PHARMACY REV
75080192   CLOTRIMAZOLE 45GM CRM       149.16   149.16   014170   01 PHARMACY REV
75092346   CLOTRIMAZOLE CRM              39.4     39.4   014170   01 PHARMACY REV
75080218   CLOTRIMAZOLE SLN             42.96    42.96   014170   01 PHARMACY REV
75023200   CLOTRIMAZOLE TROCHE           16.6     16.6   014170   01 PHARMACY REV
75072355   COCAINE 10% TOP SL 1-4ML    111.02   111.02   014170   01 PHARMACY REV
75072637   COCAINE 4% SOLN 4ML          75.36    75.36   014170   01 PHARMACY REV
75050278   CODEINE 30MG IJ              77.96    77.96   014170   01 PHARMACY REV
75006288   CODEINE 30MG TAB             25.94    25.94   014170   01 PHARMACY REV
75050286   CODEINE 60MG IJ              77.96    77.96   014170   01 PHARMACY REV
75006403   COLBENEMID TAB               14.68    14.68   014170   01 PHARMACY REV
75006429   COLCHICINE 0.5MG TAB          13.8     13.8   014170   01 PHARMACY REV
75006437   COLCHICINE 0.6MG TAB         13.64    13.64   014170   01 PHARMACY REV
75006411   COLESTIPOL PKT               16.78    16.78   014170   01 PHARMACY REV
75070524   COLLAGEN HEMOST 1 GM        280.72   280.72   014170   01 PHARMACY REV
75070532   COLLAGEN HEMOST WEB         306.74   306.74   014170   01 PHARMACY REV
75072405   COLLAGENASE 30GM OINT       167.06   167.06   014170   01 PHARMACY REV
75015495   COLYTE PREP                    122      122   014170   01 PHARMACY REV
75098681   COMBIVENT INH 14.7GM         156.1    156.1   014170   01 PHARMACY REV
75051201   COMVAX INTRAMUSC VACC        159.9    159.9   014170   01 PHARMACY REV
75095448   CORTISPORIN 3.5GM OPTH      108.72   108.72   014170   01 PHARMACY REV
75095471   CORTISPORIN OTIC 1% 10ML    143.72   143.72   014170   01 PHARMACY REV
75095455   CORTISPORIN SUS             145.08   145.08   014170   01 PHARMACY REV
75072652   CORTISPORIN UNG              131.1    131.1   014170   01 PHARMACY REV
75099226   COSOPT OPTH DROPS 5ML       125.76   125.76   014170   01 PHARMACY REV
75050500   COSYNTROPIN 0.25MG/ML VL     140.4    140.4   014170   01 PHARMACY REV
75007609   CREON 10 CAP                 14.96    14.96   014170   01 PHARMACY REV
75007617   CREON 20 CAP                  16.8     16.8   014170   01 PHARMACY REV
75096354   CROMOLYN 20MG/2ML INH SLN    15.44    15.44   014170   01 PHARMACY REV
75096321   CROMOLYN INHALER 14.2GM     141.82   141.82   014170   01 PHARMACY REV
75050625   CYANOCOBALAMIN 1000MCG IJ    97.28    97.28   014170   01 PHARMACY REV
75007682   CYANOCOBALAMIN 1000MCG TB    13.12    13.12   014170   01 PHARMACY REV
75067674   CYANOCOBALAMIN 100MCG IJ     49.28    49.28   014170   01 PHARMACY REV
75007997   CYANOCOBALAMIN 2500MCG TB    13.25    13.25   014170   01 PHARMACY REV
75013433   CYCLOBENZAPRINE 10MG TAB     15.68    15.68   014170   01 PHARMACY REV
75045559   CYCLOBENZAPRINE 10MG W/C         0        0   014170   01 PHARMACY REV
75095588   CYCLOMYDRIL OPH 5ML           76.5     76.5   014170   01 PHARMACY REV
75095513   CYCLOPENTOLATE 1% 2ML OP     51.88    51.88   014170   01 PHARMACY REV
75007070   CYCLOPHOSPHAMID 25MG TAB     17.06    17.06   014170   01 PHARMACY REV
75050740   CYCLOPHOSPHAMID 500MG VL    494.36   494.36   014170   01 PHARMACY REV
75007088   CYCLOPHOSPHAMID 50MG TAB     21.28    21.28   014170   01 PHARMACY REV
75007260   CYCLOSPORINE (S) 25MG CAP    16.48    16.48   014170   01 PHARMACY REV
75007815   CYCLOSPORINE 100MG PO        26.86    26.86   014170   01 PHARMACY REV
75025460   CYCLOSPORINE 100MG PO        25.22    25.22   014170   01 PHARMACY REV
75051714   CYCLOSPORINE 250MG IJ       160.32   160.32   014170   01 PHARMACY REV
75025452   CYCLOSPORINE 25MG CAP        16.06    16.06   014170   01 PHARMACY REV
75028027   CYPROHEPTADINE 4MG TAB       13.96    13.96   014170   01 PHARMACY REV
75050641   CYTARABINE 100MG IJ         462.96   462.96   014170   01 PHARMACY REV
75051136   CYTARABINE 2GM VIAL         545.02   545.02   014170   01 PHARMACY REV
75050682   CYTARABINE 500MG VL         516.28   516.28   014170   01 PHARMACY REV
75052563   D25W 10ML                    63.72    63.72   014170   01 PHARMACY REV
75052670   D50W 50 ML                    2.28     2.28   014170   01 PHARMACY REV
75053371   DACARBAZINE 200MG INJ       492.26   492.26   014170   01 PHARMACY REV
75052035   DACTINOMYCIN 0.5MG IJ       474.24   474.24   014170   01 PHARMACY REV
75073031   DAKINS SLN 0.0625% 1500ML    26.26    26.26   014170   01 PHARMACY REV
75073015   DAKINS SLN 0.25% 1500ML      38.14    38.14   014170   01 PHARMACY REV
75073114   DAKINS SOLN 0.125% 1500ML    38.14    38.14   014170   01 PHARMACY REV
75052050   DANTROLENE 200MG IJ          314.1    314.1   014170   01 PHARMACY REV
75008078   DANTROLENE 50MG CAP          16.56    16.56   014170   01 PHARMACY REV
75008110   DAPSONE TAB 100MG             13.4     13.4   014170   01 PHARMACY REV
75053553   DAPTOMYCIN 500MG IJ VL      552.35   552.35   014170   01 PHARMACY REV
75049817   DAUNORUBICIN 20MG VL        798.76   798.76   014170   01 PHARMACY REV
75052571   DEFEROXAMINE 500MG IJ        91.28    91.28   014170   01 PHARMACY REV
75008466   DEMECLOCYCLINE 150MG TAB     33.98    33.98   014170   01 PHARMACY REV
75024992   DESIPRAMINE 100MG TAB           16       16   014170   01 PHARMACY REV
75028233   DESIPRAMINE 25MG             13.96    13.96   014170   01 PHARMACY REV
75024968   DESIPRAMINE 25MG TAB         16.22    16.22   014170   01 PHARMACY REV
75024976   DESIPRAMINE 50MG TAB         14.18    14.18   014170   01 PHARMACY REV
75024984   DESIPRAMINE 75MG TAB         13.98    13.98   014170   01 PHARMACY REV
75025015   DESIPRAMINE TAB 10MG          13.8     13.8   014170   01 PHARMACY REV
75073213   DESITIN ONT                  72.22    72.22   014170   01 PHARMACY REV
75052167   DESMOPRESSIN INJ 4MCG       156.94   156.94   014170   01 PHARMACY REV
75095679   DESMOPRESSIN NAS SP 5ML     311.68   311.68   014170   01 PHARMACY REV
75095620   DEXAMETHASONE 0.1% OP 5ML    59.62    59.62   014170   01 PHARMACY REV
75008359   DEXAMETHASONE 0.5MG TAB       14.3     14.3   014170   01 PHARMACY REV
75008334   DEXAMETHASONE 0.5MG/ML LQ     13.5     13.5   014170   01 PHARMACY REV
75008375   DEXAMETHASONE 1.5MG TAB      13.28    13.28   014170   01 PHARMACY REV
75052134   DEXAMETHASONE 100MG/10ML     61.22    61.22   014170   01 PHARMACY REV
75052092   DEXAMETHASONE 10MG VIAL      55.66    55.66   014170   01 PHARMACY REV
75008433   DEXAMETHASONE 1MG TAB        13.68    13.68   014170   01 PHARMACY REV
75008383   DEXAMETHASONE 2MG TAB         14.3     14.3   014170   01 PHARMACY REV
75052084   DEXAMETHASONE 4MG IJ VL      53.18    53.18   014170   01 PHARMACY REV
75008391   DEXAMETHASONE 4MG TAB         17.7     17.7   014170   01 PHARMACY REV
75066233   DEXMEDETOMIDINE 200MCG VL    188.5    188.5   014170   01 PHARMACY REV
75052027   DEXTRAN 1 150MG/ML 20ML      69.76    69.76   014170   01 PHARMACY REV
75052688   DEXTROSE 50% 50ML JECT       57.52    57.52   014170   01 PHARMACY REV
75052712   DIAZEPAM 10MG/ML VIAL        56.08    56.08   014170   01 PHARMACY REV
75069351   DIAZEPAM INJ 10MG            56.08    56.08   014170   01 PHARMACY REV
75069344   DIAZEPAM INJ 5MG             91.26    91.26   014170   01 PHARMACY REV
75041103   DIAZEPAM TAB 2MG             26.54    26.54   014170   01 PHARMACY REV
75041111   DIAZEPAM TAB 5MG              27.4     27.4   014170   01 PHARMACY REV
75041129   DIAZEPAM TB 10MG             13.74    13.74   014170   01 PHARMACY REV
75001685   DICLOFEN/MISOPR 75/200 TB    16.82    16.82   014170   01 PHARMACY REV
75042135   DICLOFENAC 25MG TAB           14.2     14.2   014170   01 PHARMACY REV
75042143   DICLOFENAC 50MG TAB          15.32    15.32   014170   01 PHARMACY REV
75042150   DICLOFENAC 75MG TAB           17.7     17.7   014170   01 PHARMACY REV
75009910   DICLOXACILLIN 250MG CAP      14.32    14.32   014170   01 PHARMACY REV
75009928   DICLOXACILLIN 500MG CAP       15.4     15.4   014170   01 PHARMACY REV
75045526   DICLOXACILLIN 500MG W/C          0        0   014170   01 PHARMACY REV
75003301   DICYCLOMINE 10MG CAP          13.7     13.7   014170   01 PHARMACY REV
75003319   DICYCLOMINE 20MG TAB            14       14   014170   01 PHARMACY REV
75048181   DICYCLOMINE INJ 20MG         86.92    86.92   014170   01 PHARMACY REV
75003343   DICYCLOMINE LIQ 10MG/5ML      13.9     13.9   014170   01 PHARMACY REV
75010389   DIDANOSINE 400MG CAP         34.45    34.45   014170   01 PHARMACY REV
75010132   DIFLUNISAL 500MG TAB         15.64    15.64   014170   01 PHARMACY REV
75008995   DIGOXIN 0.125MG TAB            13.5      13.5   014170   01 PHARMACY REV
75010363   DIGOXIN 0.125MG/2.5ML LIQ     15.68     15.68   014170   01 PHARMACY REV
75009001   DIGOXIN 0.25MG TAB             13.5      13.5   014170   01 PHARMACY REV
75009068   DIGOXIN 0.25MG/5ML LIQ        17.54     17.54   014170   01 PHARMACY REV
75052886   DIGOXIN 0.5MG IJ              56.56     56.56   014170   01 PHARMACY REV
75019117   DIGOXIN 60ML ELIX             52.08     52.08   014170   01 PHARMACY REV
75052852   DIGOXIN IMM FAB PER VIAL    1618.48   1618.48   014170   01 PHARMACY REV
75052704   DIHYDROERGOT INJ             141.73    141.73   014170   01 PHARMACY REV
75004994   DILTIAZEM 120MG TAB           16.44     16.44   014170   01 PHARMACY REV
75005173   DILTIAZEM 30MG TAB            14.16     14.16   014170   01 PHARMACY REV
75038968   DILTIAZEM 360MG CAP            18.7      18.7   014170   01 PHARMACY REV
75049361   DILTIAZEM 5MG/ML 10ML VL     159.32    159.32   014170   01 PHARMACY REV
75049296   DILTIAZEM 5MG/ML 5ML VIAL    132.92    132.92   014170   01 PHARMACY REV
75005207   DILTIAZEM 60MG TAB            14.86     14.86   014170   01 PHARMACY REV
75004986   DILTIAZEM 90MG TAB            15.62     15.62   014170   01 PHARMACY REV
75005975   DILTIAZEM CD 120MG CAP        15.88     15.88   014170   01 PHARMACY REV
75007435   DILTIAZEM CD 180MG CAP        16.46     16.46   014170   01 PHARMACY REV
75007443   DILTIAZEM CD 240MG CAP        17.92     17.92   014170   01 PHARMACY REV
75006049   DILTIAZEM CD 300MG CAP        19.34     19.34   014170   01 PHARMACY REV
75038927   DILTIAZEM ER 120MG CAP        15.54     15.54   014170   01 PHARMACY REV
75038935   DILTIAZEM ER 180MG CAP        16.06     16.06   014170   01 PHARMACY REV
75038943   DILTIAZEM ER 240MG CAP        16.58     16.58   014170   01 PHARMACY REV
75038950   DILTIAZEM ER 300MG CAP         18.6      18.6   014170   01 PHARMACY REV
75004960   DILTIAZEM SR 120MG TAB        16.26     16.26   014170   01 PHARMACY REV
75004945   DILTIAZEM SR 60MG TAB          15.2      15.2   014170   01 PHARMACY REV
75004952   DILTIAZEM SR 90MG TAB          15.5      15.5   014170   01 PHARMACY REV
75010256   DILTIAZEM XR 120MG CAP         16.7      16.7   014170   01 PHARMACY REV
75010264   DILTIAZEM XR 180MG CAP        17.36     17.36   014170   01 PHARMACY REV
75010272   DILTIAZEM XR 240MG CAP        17.66     17.66   014170   01 PHARMACY REV
75009324   DIMETAPP LIQ 5ML               12.3      12.3   014170   01 PHARMACY REV
75091710   DINOPROSTONE 10MG VAG SUP    451.58    451.58   014170   01 PHARMACY REV
75093252   DINOPROSTONE SUP            1447.52   1447.52   014170   01 PHARMACY REV
75053041   DIP/TET ADULT IJ              92.95     92.95   014170   01 PHARMACY REV
75053058   DIP/TET PEDI <7YRS IJ            84        84   014170   01 PHARMACY REV
75003210   DIPHENHYDRAMINE 25MG CAP      13.26     13.26   014170   01 PHARMACY REV
75003236   DIPHENHYDRAMINE 25MG/10ML     13.86     13.86   014170   01 PHARMACY REV
75003228   DIPHENHYDRAMINE 50MG CAP      13.54     13.54   014170   01 PHARMACY REV
75048157   DIPHENHYDRAMINE 50MG IJ       71.36     71.36   014170   01 PHARMACY REV
75071209   DIPHENHYDRAMINE CRM           57.84     57.84   014170   01 PHARMACY REV
75098467   DIPIVEFRIN 0.1% OP DP 5ML     53.14     53.14   014170   01 PHARMACY REV
75028191   DIPYRIDAMOLE 25MG TAB          14.1      14.1   014170   01 PHARMACY REV
75028209   DIPYRIDAMOLE 50MG TAB         14.76     14.76   014170   01 PHARMACY REV
75028217   DIPYRIDAMOLE 75MG TAB         15.36     15.36   014170   01 PHARMACY REV
75024943   DISOPYRAMIDE 150MG CAP          177       177   014170   01 PHARMACY REV
75010413   DIVALPROEX 125MG SPKL CAP      14.5      14.5   014170   01 PHARMACY REV
75008656   DIVALPROEX 125MG TAB          14.14     14.14   014170   01 PHARMACY REV
75008599   DIVALPROEX 500MG TAB          17.42     17.42   014170   01 PHARMACY REV
75010371   DIVALPROEX ER 500MG TAB        16.7      16.7   014170   01 PHARMACY REV
75053116   DOBUTAMINE 250MG INJ VIAL    110.76    110.76   014170   01 PHARMACY REV
44611432   DOBUTAMINE 500/D5W250        124.18    124.18   014170   01 PHARMACY REV
75053520   DOCETAXEL 20MG/0.5ML INJ     1198.5    1198.5   014170   01 PHARMACY REV
75053538   DOCETAXEL 80MG/2ML INJ      3458.98   3458.98   014170   01 PHARMACY REV
75006361   DOCUSATE 100MG CAP            13.66     13.66   014170   01 PHARMACY REV
75006379   DOCUSATE 100MG/10ML LQ        13.74     13.74   014170   01 PHARMACY REV
75006387   DOCUSATE 100MG/30ML LQ        28.48     28.48   014170   01 PHARMACY REV
75035444   DOCUSATE 240MG CAP             13.4      13.4   014170   01 PHARMACY REV
75009811   DOCUSATE CAP 250MG            13.14     13.14   014170   01 PHARMACY REV
75028050   DOCUSATE/CASAN CAP            13.08     13.08   014170   01 PHARMACY REV
75010405   DOLASETRON 100MG PO TAB       164.5     164.5   014170   01 PHARMACY REV
75053595   DOLASETRON 12.5MG IJ           87.1      87.1   014170   01 PHARMACY REV
75010397   DOLASETRON 50MG TAB           127.1     127.1   014170   01 PHARMACY REV
75010306   DONEPEZIL 10MG TAB            22.92     22.92   014170   01 PHARMACY REV
75010298   DONEPEZIL 5MG TAB             22.92     22.92   014170   01 PHARMACY REV
75009563   DONNATAL 5ML LQ                14.2      14.2   014170   01 PHARMACY REV
75009589   DONNATAL TAB                  13.74     13.74   014170   01 PHARMACY REV
75053173   DOPAMINE 400MG VIAL           99.06     99.06   014170   01 PHARMACY REV
75066225   DORNASE ALFA 1MG/ML 2.5ML     157.8     157.8   014170   01 PHARMACY REV
75098574   DORZOLAMIDE 2% OPT SL 5ML     83.16     83.16   014170   01 PHARMACY REV
75053199   DOXAPRAM 400MG/20ML VL       296.76    296.76   014170   01 PHARMACY REV
75010223   DOXAZOSIN 1MG TAB             15.38     15.38   014170   01 PHARMACY REV
75010314   DOXAZOSIN 2MG TAB           15.38     15.38    014170   01 PHARMACY REV
75010322   DOXAZOSIN 4MG TAB             15.5      15.5   014170   01 PHARMACY REV
75010330   DOXAZOSIN 8MG TAB           15.62     15.62    014170   01 PHARMACY REV
75034595   DOXEPIN 100MG CAP           15.92     15.92    014170   01 PHARMACY REV
75034553   DOXEPIN 10MG CAP            13.88     13.88    014170   01 PHARMACY REV
75034603   DOXEPIN 150MG CAP           17.16     17.16    014170   01 PHARMACY REV
75034561   DOXEPIN 25MG CAP            14.14     14.14    014170   01 PHARMACY REV
75034579   DOXEPIN 50MG CAP            14.62     14.62    014170   01 PHARMACY REV
75034587   DOXEPIN 75MG CAP            15.68     15.68    014170   01 PHARMACY REV
75046201   DOXORUBICIN 10MG IJ        552.28    552.28    014170   01 PHARMACY REV
75046219   DOXORUBICIN 20MG IJ            500       500   014170   01 PHARMACY REV
75046243   DOXORUBICIN 50MG IJ        981.36    981.36    014170   01 PHARMACY REV
75041509   DOXYCYCLINE 100MG CAP       15.68     15.68    014170   01 PHARMACY REV
75053223   DOXYCYCLINE 100MG IJ       151.78    151.78    014170   01 PHARMACY REV
75041566   DOXYCYCLINE 100MG TAB         14.2      14.2   014170   01 PHARMACY REV
75023309   DRONABINOL 2.5MG CAP        34.28     34.28    014170   01 PHARMACY REV
75023291   DRONABINOL 5MG CAP            44.3      44.3   014170   01 PHARMACY REV
75059139   DROPERIDOL 5MG/2ML IJ       53.98     53.98    014170   01 PHARMACY REV
75070151   DROTRECOGIN 20MG INJ         2265      2265    014170   01 PHARMACY REV
75070086   DROTRECOGIN 5MG INJ        613.38    613.38    014170   01 PHARMACY REV
75010173   DYAZIDE 37.5MG/25MG CAP       14.2      14.2   014170   01 PHARMACY REV
75087478   ECONAZOLE CRM 30GM          98.92     98.92    014170   01 PHARMACY REV
75068213   EDROPHONIUM 10MG IJ         60.36     60.36    014170   01 PHARMACY REV
75027565   EES/SULFISOX 100ML LIQ      139.5     139.5    014170   01 PHARMACY REV
75011056   EES/SULFISOX ES 200MG LQ    13.44     13.44    014170   01 PHARMACY REV
75045682   EES/SULFISOX SUSP 5ML         46.3      46.3   014170   01 PHARMACY REV
75012484   EFAVIRENZ 200MG TAB           22.8      22.8   014170   01 PHARMACY REV
75012559   EFAVIRENZ 600MG TAB           44.4      44.4   014170   01 PHARMACY REV
44611572   ELECTROLYTE ORAL           124.02    124.02    014170   01 PHARMACY REV
75074302   EMLA CRM 5GM                42.88     42.88    014170   01 PHARMACY REV
75074161   EMOLLIENTS 120GM              61.2      61.2   014170   01 PHARMACY REV
75074260   EMOLLIENTS EUCERIN            36.8      36.8   014170   01 PHARMACY REV
75079251   EMOLLIENTS KERI 390ML         27.2      27.2   014170   01 PHARMACY REV
75042101   ENALAPRIL 10MG TAB          15.48     15.48    014170   01 PHARMACY REV
75042051   ENALAPRIL 2.5MG TAB         14.88     14.88    014170   01 PHARMACY REV
75042119   ENALAPRIL 20 MG TAB           16.48     16.48   014170   01 PHARMACY REV
75042093   ENALAPRIL 5MG TAB             15.36     15.36   014170   01 PHARMACY REV
75042127   ENALAPRIL/HCTZ 10/25 TAB      15.78     15.78   014170   01 PHARMACY REV
75069310   ENALAPRILAT INJ 1.25MG          174       174   014170   01 PHARMACY REV
75055392   ENOXAPARIN 100MG IJ SY        187.3     187.3   014170   01 PHARMACY REV
75055368   ENOXAPARIN 30MG IJ SY         91.84     91.84   014170   01 PHARMACY REV
75061564   ENOXAPARIN 40MG IJ SY        105.46    105.46   014170   01 PHARMACY REV
75055376   ENOXAPARIN 60MG IJ SY        132.78    132.78   014170   01 PHARMACY REV
75055384   ENOXAPARIN 80MG IJ SY        160.04    160.04   014170   01 PHARMACY REV
75055095   EPHEDRINE 50MG IJ             98.02     98.02   014170   01 PHARMACY REV
75070029   EPINEPHRINE 0.1% TOP 30ML     93.52     93.52   014170   01 PHARMACY REV
75055129   EPINEPHRINE 1:10,000 10ML     61.64     61.64   014170   01 PHARMACY REV
75055079   EPINEPHRINE 1:1000 30ML      110.76    110.76   014170   01 PHARMACY REV
75046151   EPINEPHRINE 1MG/ML IJ         49.28     49.28   014170   01 PHARMACY REV
75012013   EPOETIN NON-ESRD 10,000U      331.4     331.4   014170   01 PHARMACY REV
75011791   EPOETIN NON-ESRD 2000U VL    107.08    107.08   014170   01 PHARMACY REV
75055400   EPOETIN NON-ESRD 40000U     1234.32   1234.32   014170   01 PHARMACY REV
75011999   EPOETIN NON-ESRD 4000U       163.16    163.16   014170   01 PHARMACY REV
75055459   EPTIFIBATIDE 20MG/10ML       243.76    243.76   014170   01 PHARMACY REV
75055467   EPTIFIBATIDE 75MG/100ML      545.62    545.62   014170   01 PHARMACY REV
75041814   ERGOCALCIFEROL 50,000U CP     16.04     16.04   014170   01 PHARMACY REV
75055426   ERTAPENEM 1GM IJ                110       110   014170   01 PHARMACY REV
75011874   ERYTHROMYCIN 250MG TAB        13.58     13.58   014170   01 PHARMACY REV
75011007   ERYTHROMYCIN 250MG TAB        13.42     13.42   014170   01 PHARMACY REV
75017111   ERYTHROMYCIN 250MG/5ML LQ     13.64     13.64   014170   01 PHARMACY REV
75011817   ERYTHROMYCIN 333MG TAB        13.74     13.74   014170   01 PHARMACY REV
75055194   ERYTHROMYCIN 500MG IJ VL      109.4     109.4   014170   01 PHARMACY REV
75011882   ERYTHROMYCIN 500MG TAB        13.54     13.54   014170   01 PHARMACY REV
75011072   ERYTHROMYCIN ES-200 100ML      30.2      30.2   014170   01 PHARMACY REV
75096289   ERYTHROMYCIN OP ONT 3.5GM     36.16     36.16   014170   01 PHARMACY REV
75098111   ERYTHROMYCIN OPTH 1GM         14.95     14.95   014170   01 PHARMACY REV
75012468   ESCITALOPRAM 10MG TAB         16.95     16.95   014170   01 PHARMACY REV
75012476   ESCITALOPRAM 20MG TAB          17.2      17.2   014170   01 PHARMACY REV
75055293   ESMOLOL DYDROCL 100/10 VL    144.52    144.52   014170   01 PHARMACY REV
75055210   ESMOLOL INJ 10ML             319.82    319.82   014170   01 PHARMACY REV
75074286   ESTRADIOL 0.05MG PATCH       70.1     70.1   014170   01 PHARMACY REV
75074369   ESTRADIOL 0.05MG PATCH       70.1     70.1   014170   01 PHARMACY REV
75074377   ESTRADIOL 0.1MG PATCH       26.12    26.12   014170   01 PHARMACY REV
75074294   ESTRADIOL 0.1MG PATCH       30.54    30.54   014170   01 PHARMACY REV
75074351   ESTRADIOL 0.25MG PATCH      68.06    68.06   014170   01 PHARMACY REV
75052332   ESTRADIOL 10MG IJ            70.3     70.3   014170   01 PHARMACY REV
75074385   ESTRADIOL 2.5/1.74 CREAM     75.6     75.6   014170   01 PHARMACY REV
75052316   ESTRADIOL 20MG IJ            92.3     92.3   014170   01 PHARMACY REV
75012070   ESTRADIOL 2MG TAB           15.02    15.02   014170   01 PHARMACY REV
75052324   ESTRADIOL 40MG IJ          119.55   119.55   014170   01 PHARMACY REV
75052415   ESTRADIOL 5MG/ML IJ        111.82   111.82   014170   01 PHARMACY REV
75012062   ESTRADIOL TB 1MG            14.38    14.38   014170   01 PHARMACY REV
75011734   ESTRATEST TAB               16.24    16.24   014170   01 PHARMACY REV
75012492   ESTRATEST TAB               16.98    16.98   014170   01 PHARMACY REV
75065532   ESTROGEN CONJ 25 MG IJ      238.5    238.5   014170   01 PHARMACY REV
75029058   ESTROGENS 0.3MG TAB         14.68    14.68   014170   01 PHARMACY REV
75029041   ESTROGENS 0.625MG TAB       14.92    14.92   014170   01 PHARMACY REV
75021717   ESTROGENS 0.625MG TAB       14.08    14.08   014170   01 PHARMACY REV
75029033   ESTROGENS 0.9MG TAB         15.32    15.32   014170   01 PHARMACY REV
75021725   ESTROGENS 1.25MG TAB        14.52    14.52   014170   01 PHARMACY REV
75029066   ESTROGENS 1.25MG TAB        15.68    15.68   014170   01 PHARMACY REV
75029074   ESTROGENS 2.5MG TAB          16.6     16.6   014170   01 PHARMACY REV
75084202   ESTROGENS CRM              155.12   155.12   014170   01 PHARMACY REV
75026104   ESTROPIPATE 0.625MG TAB     14.82    14.82   014170   01 PHARMACY REV
75026112   ESTROPIPATE 1.25MG TAB      15.54    15.54   014170   01 PHARMACY REV
75026120   ESTROPIPATE 2.5MG TAB        17.4     17.4   014170   01 PHARMACY REV
75011122   ETHACRYNIC ACID 25MG TAB    13.74    13.74   014170   01 PHARMACY REV
75012096   ETHAMBUTOL 100MG TAB        16.56    16.56   014170   01 PHARMACY REV
75012104   ETHAMBUTOL 400MG TAB        17.52    17.52   014170   01 PHARMACY REV
75074153   ETHYL CL SPY                 42.9     42.9   014170   01 PHARMACY REV
75012112   ETODOLAC 200MG CAP           16.1     16.1   014170   01 PHARMACY REV
75052423   ETOH 5ML AMP               175.76   175.76   014170   01 PHARMACY REV
75047589   ETOMIDATE 2MG/ML IJ 10ML   158.46   158.46   014170   01 PHARMACY REV
75047597   ETOMIDATE 2MG/ML IJ 20ML   158.46   158.46   014170   01 PHARMACY REV
75055350   ETOPOSIDE 100MG/5ML VL     717.98   717.98   014170   01 PHARMACY REV
75012286   EVAC-Q-KWIK KIT              36.26    36.26   014170   01 PHARMACY REV
75074344   EYE IRRIG SOLN 30ML          49.38    49.38   014170   01 PHARMACY REV
75098087   EYE LUBE                     30.86    30.86   014170   01 PHARMACY REV
75096701   EYE LUBE OPTH OINT 0.7GM     28.78    28.78   014170   01 PHARMACY REV
75096727   EYE LUBE SOP                  42.3     42.3   014170   01 PHARMACY REV
75012534   EZETIMIBE 10MG TAB            18.7     18.7   014170   01 PHARMACY REV
75060624   FACTOR 8 HUMAN/IU IJ        260.72   260.72   014170   01 PHARMACY REV
75060616   FACTOR 8 HUMAN/IU IJ        258.06   258.06   014170   01 PHARMACY REV
75058750   FACTOR 8 HUMAN/IU IJ           4.5      4.5   014170   01 PHARMACY REV
75056002   FACTOR 9 CMPLX 500U VL      258.72   258.72   014170   01 PHARMACY REV
75058685   FACTOR COMP HUMAN PER IU      2.25     2.25   014170   01 PHARMACY REV
75013102   FAMCICLOVIR 500MG TAB        30.98    30.98   014170   01 PHARMACY REV
75065029   FAMOTIDINE 20MG IJ          111.46   111.46   014170   01 PHARMACY REV
75027441   FAMOTIDINE LIQ 20MG/2.5ML   240.42   240.42   014170   01 PHARMACY REV
75027904   FAMOTIDINE TAB 20MG          17.06    17.06   014170   01 PHARMACY REV
75027920   FAMOTIDINE TAB 40MG          20.84    20.84   014170   01 PHARMACY REV
75013110   FE GLUCONATE 240MG TAB       13.14    13.14   014170   01 PHARMACY REV
75013276   FE SO4 160MG TAB             13.46    13.46   014170   01 PHARMACY REV
75013250   FE SO4 300MG/5ML LIQ         13.82    13.82   014170   01 PHARMACY REV
75013268   FE SO4 325MG TAB             13.34    13.34   014170   01 PHARMACY REV
75013060   FE SO4 75MG/0.6ML DRP        32.38    32.38   014170   01 PHARMACY REV
75013227   FE SO4/DSS CAP               13.34    13.34   014170   01 PHARMACY REV
75028662   FELODIPINE 5MG TAB           15.72    15.72   014170   01 PHARMACY REV
75013813   FENOFIBRATE 145MG TAB        20.05    20.05   014170   01 PHARMACY REV
75013961   FENOFIBRATE 160MG TAB        19.05    19.05   014170   01 PHARMACY REV
75013805   FENOFIBRATE 48MG TAB         15.35    15.35   014170   01 PHARMACY REV
75013953   FENOFIBRATE 54MG TAB         14.35    14.35   014170   01 PHARMACY REV
75013946   FENOFIBRATE 67MG CAP         14.72    14.72   014170   01 PHARMACY REV
75051151   FENOLDOPAM 10MG/ML 1ML IJ    653.2    653.2   014170   01 PHARMACY REV
75051169   FENOLDOPAM 10MG/ML 2ML IJ    653.2    653.2   014170   01 PHARMACY REV
75056127   FENTANYL 100MCG/2ML IJ        77.3     77.3   014170   01 PHARMACY REV
75075366   FENTANYL 1200MCG LOZENGE     69.08    69.08   014170   01 PHARMACY REV
75075374   FENTANYL 1600MCG LOZENGE     79.34    79.34   014170   01 PHARMACY REV
75075333   FENTANYL 200MCG LOZENGE      41.16    41.16   014170   01 PHARMACY REV
75056135   FENTANYL 250MCG/5ML IJ       77.72    77.72   014170   01 PHARMACY REV
75075341   FENTANYL 400MCG LOZENGE       45.76     45.76   014170   01 PHARMACY REV
75056432   FENTANYL 500MCG/10ML INJ      82.88     82.88   014170   01 PHARMACY REV
75075358   FENTANYL 800MCG LOZENGE          55        55   014170   01 PHARMACY REV
75056598   FENTANYL EPIDURAL CASS        82.28     82.28   014170   01 PHARMACY REV
75056606   FENTANYL MARC EPID CASS       87.88     87.88   014170   01 PHARMACY REV
75056531   FENTANYL TRANSDERM 100MCG    138.95    138.95   014170   01 PHARMACY REV
75056507   FENTANYL TRANSDERM 25MCG       55.3      55.3   014170   01 PHARMACY REV
75056515   FENTANYL TRANSDERM 50MCG      78.36     78.36   014170   01 PHARMACY REV
75056523   FENTANYL TRANSDERM 75MCG     110.86    110.86   014170   01 PHARMACY REV
75014043   FEXOFENADINE 180MG TAB         20.9      20.9   014170   01 PHARMACY REV
75013680   FEXOFENADINE 60MG CAP         15.36     15.36   014170   01 PHARMACY REV
75013771   FILGRASTIM 480MCG IJ         763.25    763.25   014170   01 PHARMACY REV
75013797   FINASTERIDE 5MG TAB           18.58     18.58   014170   01 PHARMACY REV
75011965   FIORICET TAB                  26.64     26.64   014170   01 PHARMACY REV
75013789   FIORICET/COD TAB              29.96     29.96   014170   01 PHARMACY REV
75013375   FIORINAL TAB                   27.1      27.1   014170   01 PHARMACY REV
75013391   FIORINAL/COD #3 CAP           29.42     29.42   014170   01 PHARMACY REV
75040246   FLAVOXATE 100MG TAB           16.18     16.18   014170   01 PHARMACY REV
75036236   FLECAINIDE 100MG TAB          19.82     19.82   014170   01 PHARMACY REV
75013698   FLEET PHOS SODA 45ML           27.4      27.4   014170   01 PHARMACY REV
75013490   FLEET PHOSPHO SODA 90ML       32.02     32.02   014170   01 PHARMACY REV
75056309   FLOXURIDINE 500MG IJ          717.6     717.6   014170   01 PHARMACY REV
75056218   FLU VACC >3YRS                136.2     136.2   014170   01 PHARMACY REV
75013896   FLUCONAZOLE 100MG TAB         31.12     31.12   014170   01 PHARMACY REV
75013144   FLUCONAZOLE 150MG TAB         41.84     41.84   014170   01 PHARMACY REV
75056473   FLUCONAZOLE 200MG IVPB       333.18    333.18   014170   01 PHARMACY REV
75013904   FLUCONAZOLE 200MG TAB         42.64     42.64   014170   01 PHARMACY REV
75056481   FLUCONAZOLE 400MG IVPB       439.89    439.89   014170   01 PHARMACY REV
75013078   FLUCONAZOLE 40MG/ML 5ML      303.58    303.58   014170   01 PHARMACY REV
75056614   FLUDARABINE 50MG IJ         1209.62   1209.62   014170   01 PHARMACY REV
75013466   FLUDROCORTISONE TAB           14.76     14.76   014170   01 PHARMACY REV
75056630   FLUMAZENIL 0.5MG/5ML VIAL    233.98    233.98   014170   01 PHARMACY REV
75056648   FLUMAZENIL 1MG/10ML VIAL     253.77    253.77   014170   01 PHARMACY REV
75097691   FLUNISOLIDE INHALER 7GM       178.9     178.9   014170   01 PHARMACY REV
75097121   FLUNISOLIDE SPY              118.98    118.98   014170   01 PHARMACY REV
75094318   FLUNISOLIDE SPY 7GM          178.9     178.9    014170   01 PHARMACY REV
75087338   FLUOCINOLONE 0.01% 15GM      29.56     29.56    014170   01 PHARMACY REV
75087353   FLUOCINOLONE 0.03% 15GM        81.5      81.5   014170   01 PHARMACY REV
75080101   FLUOCINONIDE 0.05% 15GM      127.8     127.8    014170   01 PHARMACY REV
75080127   FLUOCINONIDE 0.05% 60GM     182.58    182.58    014170   01 PHARMACY REV
75056259   FLUOROURACIL 500MG IJ        452.5     452.5    014170   01 PHARMACY REV
75074005   FLUOROURACIL CRM            384.88    384.88    014170   01 PHARMACY REV
75074013   FLUOROURACIL SLN 2%          576.7     576.7    014170   01 PHARMACY REV
75074021   FLUOROURACIL SLN 5%          464.4     464.4    014170   01 PHARMACY REV
75056465   FLUOROURACIL-5 1000MG INJ   449.66    449.66    014170   01 PHARMACY REV
75013920   FLUOXETINE 10MG CAP          20.24     20.24    014170   01 PHARMACY REV
75030049   FLUOXETINE 20MG/5ML LIQ      365.8     365.8    014170   01 PHARMACY REV
75029975   FLUOXETINE CAP 20MG          20.42     20.42    014170   01 PHARMACY REV
75065748   FLUPHENAZINE 2.5MG IJ            64        64   014170   01 PHARMACY REV
75029256   FLUPHENAZINE 2.5MG TAB         14.8      14.8   014170   01 PHARMACY REV
75065755   FLUPHENAZINE 25MG IJ         301.9     301.9    014170   01 PHARMACY REV
75008003   FLURAZEPAM 15MG CAP          13.58     13.58    014170   01 PHARMACY REV
75096016   FLURBIPROFEN OPT SL 2.5ML    65.96     65.96    014170   01 PHARMACY REV
75096008   FLUROMETHOLONE 0.1% 5ML      77.76     77.76    014170   01 PHARMACY REV
75012625   FLUTAMIDE 125 MG CAP         18.44     18.44    014170   01 PHARMACY REV
75095893   FLUTICASONE 0.05% NS SPY    161.52    161.52    014170   01 PHARMACY REV
75099325   FLUTICASONE 100/50 INH       30.92     30.92    014170   01 PHARMACY REV
75098749   FLUTICASONE 110MCG 13GM     195.22    195.22    014170   01 PHARMACY REV
75095836   FLUTICASONE 220MCG 13GM      289.4     289.4    014170   01 PHARMACY REV
75099333   FLUTICASONE 250/50 INH       32.32     32.32    014170   01 PHARMACY REV
75098731   FLUTICASONE 44MCG 13GM      152.12    152.12    014170   01 PHARMACY REV
75099341   FLUTICASONE 500/50 INH       35.28     35.28    014170   01 PHARMACY REV
75013938   FLUVASTATIN 20MG CAP           16.7      16.7   014170   01 PHARMACY REV
75013482   FOLIC ACID 1MG TAB           13.32     13.32    014170   01 PHARMACY REV
75056291   FOLIC ACID INJ 5MG          126.66    126.66    014170   01 PHARMACY REV
75056663   FOMEPIZOLE 1.5GM IJ           2990      2990    014170   01 PHARMACY REV
75056200   FOSCARNET 24MG/ML 250ML     224.42    224.42    014170   01 PHARMACY REV
75014308   FOSINOPRIL 10MG TAB          15.38     15.38    014170   01 PHARMACY REV
75056689   FOSPHENYTOIN 100MG/2ML VL   149.04    149.04    014170   01 PHARMACY REV
75056697   FOSPHENYTOIN 500MG/2ML VL   241.73    241.73    014170   01 PHARMACY REV
75061101   FUROSEMIDE INJ 100MG          57.88     57.88   014170   01 PHARMACY REV
75061069   FUROSEMIDE INJ 20MG            49.5      49.5   014170   01 PHARMACY REV
75061077   FUROSEMIDE INJ 40MG            55.1      55.1   014170   01 PHARMACY REV
75020057   FUROSEMIDE LIQ 40MG           16.24     16.24   014170   01 PHARMACY REV
75019257   FUROSEMIDE TAB 20MG            13.3      13.3   014170   01 PHARMACY REV
75019265   FUROSEMIDE TAB 40MG           13.66     13.66   014170   01 PHARMACY REV
75019273   FUROSEMIDE TAB 80MG           14.02     14.02   014170   01 PHARMACY REV
75015677   GABAPENTIN 100MG CAP           14.3      14.3   014170   01 PHARMACY REV
75015743   GABAPENTIN 250MG/5ML LIQ       23.5      23.5   014170   01 PHARMACY REV
75015230   GABAPENTIN 300MG CAP          16.04     16.04   014170   01 PHARMACY REV
75015255   GABAPENTIN 400MG CAP          16.54     16.54   014170   01 PHARMACY REV
75015750   GALANTAMINE 4MG TAB           16.45     16.45   014170   01 PHARMACY REV
75057414   GANCICLOVIR 500MG IJ         179.28    179.28   014170   01 PHARMACY REV
75015693   GANCICLOVIR 500MG TAB         30.94     30.94   014170   01 PHARMACY REV
75057554   GATIFLOXACIN 400MG IJ         127.3     127.3   014170   01 PHARMACY REV
75015123   GAVISCON 360ML                27.06     27.06   014170   01 PHARMACY REV
75015099   GAVISCON TAB                   13.2      13.2   014170   01 PHARMACY REV
75076059   GEL OPTH FILM                129.48    129.48   014170   01 PHARMACY REV
75076083   GELATIN SPONGE 100           110.92    110.92   014170   01 PHARMACY REV
75076075   GELATIN SPONGE 12             42.72     42.72   014170   01 PHARMACY REV
75076109   GELFOAM POWDER               207.18    207.18   014170   01 PHARMACY REV
75057539   GEMCITABINE 200MG IJ          717.6     717.6   014170   01 PHARMACY REV
75057547   GEMCITABINE 20MG/ML 50ML    1808.06   1808.06   014170   01 PHARMACY REV
75019687   GEMFIBROZIL 600 MG TAB        16.42     16.42   014170   01 PHARMACY REV
75057232   GENTAMICIN 20MG/2ML VL        97.68     97.68   014170   01 PHARMACY REV
75096099   GENTAMICIN 3MG/ML OPT 1ML      32.9      32.9   014170   01 PHARMACY REV
75057281   GENTAMICIN 80MG/2ML IJ        49.68     49.68   014170   01 PHARMACY REV
75096040   GENTAMICIN DRP                68.68     68.68   014170   01 PHARMACY REV
75096057   GENTAMICIN OPTH DROP 5ML      68.68     68.68   014170   01 PHARMACY REV
75015636   GLIMEPIRIDE 1MG TAB           13.72     13.72   014170   01 PHARMACY REV
75015644   GLIMEPIRIDE 2MG TAB           14.18     14.18   014170   01 PHARMACY REV
75015651   GLIMEPIRIDE 4MG TAB           15.24     15.24   014170   01 PHARMACY REV
75015529   GLIPIZIDE 10MG TAB            14.24     14.24   014170   01 PHARMACY REV
75015511   GLIPIZIDE 5MG TAB             13.72     13.72   014170   01 PHARMACY REV
75015628   GLIPIZIDE XL 10MG TAB          14.8      14.8   014170   01 PHARMACY REV
75015610   GLIPIZIDE XL 5MG TAB          13.9     13.9   014170   01 PHARMACY REV
75057422   GLUCAGON 1U VL              207.26   207.26   014170   01 PHARMACY REV
75017624   GLUCOSE 31GM TUBE            31.26    31.26   014170   01 PHARMACY REV
75015701   GLUCOSE TAB                  13.52    13.52   014170   01 PHARMACY REV
75015537   GLUCOSE TABLETS PACK         13.36    13.36   014170   01 PHARMACY REV
75015545   GLYBURIDE 1.25 MG TAB        13.46    13.46   014170   01 PHARMACY REV
75015719   GLYBURIDE 1.25/250MG TAB      14.8     14.8   014170   01 PHARMACY REV
75015727   GLYBURIDE 2.5/500MG TAB      15.14    15.14   014170   01 PHARMACY REV
75015552   GLYBURIDE 2.5MG TAB          13.92    13.92   014170   01 PHARMACY REV
75015578   GLYBURIDE 3MG TAB            14.28    14.28   014170   01 PHARMACY REV
75015735   GLYBURIDE 5/500MG TAB        15.14    15.14   014170   01 PHARMACY REV
75015560   GLYBURIDE 5MG TAB            14.68    14.68   014170   01 PHARMACY REV
75092312   GLYCERIN ADULT SUP           13.38    13.38   014170   01 PHARMACY REV
75015438   GLYCERIN LIQ 1ML             14.95    14.95   014170   01 PHARMACY REV
75092304   GLYCERIN PED SUP             13.46    13.46   014170   01 PHARMACY REV
75066670   GLYCOPYRROLATE 0.2MG IJ      53.88    53.88   014170   01 PHARMACY REV
75032565   GLYCOPYRROLATE 1MG TB        14.52    14.52   014170   01 PHARMACY REV
75095653   GONAK 2.5% OPTH 15ML         47.38    47.38   014170   01 PHARMACY REV
75018853   GRANISETRON 1MG PO          107.08   107.08   014170   01 PHARMACY REV
75057505   GRANISETRON HCL 1MG IJ VL    441.4    441.4   014170   01 PHARMACY REV
75033068   GUAIF/COD LIQ 10ML            26.1     26.1   014170   01 PHARMACY REV
75032656   GUAIF/DM 10ML LIQ             29.6     29.6   014170   01 PHARMACY REV
75016410   GUAIF/HYDROCOD LIQ 5ML       78.06    78.06   014170   01 PHARMACY REV
75032706   GUAIF/PSEUD 5ML LIQ           13.4     13.4   014170   01 PHARMACY REV
75032615   GUAIFENESIN 10ML LIQ         25.58    25.58   014170   01 PHARMACY REV
75016907   GUAIFENESIN 600MG TAB        14.16    14.16   014170   01 PHARMACY REV
75043109   GUANABENZ 4MG TAB            14.96    14.96   014170   01 PHARMACY REV
75036582   GUANFACINE TAB 1MG           17.34    17.34   014170   01 PHARMACY REV
75016782   HALOPERIDOL 2MG/1ML LIQ      13.75    13.75   014170   01 PHARMACY REV
75057992   HALOPERIDOL INJ 50MG        140.88   140.88   014170   01 PHARMACY REV
75058008   HALOPERIDOL INJ 5MG          71.96    71.96   014170   01 PHARMACY REV
75016063   HALOPERIDOL LQ 40Z          121.64   121.64   014170   01 PHARMACY REV
75016006   HALOPERIDOL TAB .5MG         13.58    13.58   014170   01 PHARMACY REV
75016048   HALOPERIDOL TAB 10MG         16.28    16.28   014170   01 PHARMACY REV
75016014   HALOPERIDOL TAB 1MG           13.9     13.9   014170   01 PHARMACY REV
75016022   HALOPERIDOL TAB 2MG          13.96    13.96   014170   01 PHARMACY REV
75016030   HALOPERIDOL TAB 5MG          14.94    14.94   014170   01 PHARMACY REV
75030114   HCTZ 12.5MG/20MG TAB          15.7     15.7   014170   01 PHARMACY REV
75021378   HCTZ 50/TRIAMTER 75 TAB       15.2     15.2   014170   01 PHARMACY REV
75016527   HCTZ TAB 25MG                13.34    13.34   014170   01 PHARMACY REV
75016535   HCTZ TAB 50MG                13.36    13.36   014170   01 PHARMACY REV
75000307   HCTZ/SPIRON TAB              14.46    14.46   014170   01 PHARMACY REV
75058354   HEP B IMMGLOB/1ML IJ        291.34   291.34   014170   01 PHARMACY REV
75058651   HEP B VACC ADULT IJ         490.47   490.47   014170   01 PHARMACY REV
75058297   HEP B VACC PED/ADOL IJ      111.58   111.58   014170   01 PHARMACY REV
75058107   HEPARIN 10000U/ML 1ML VL     99.22    99.22   014170   01 PHARMACY REV
75058545   HEPARIN 10000U/ML 4ML MDV    61.98    61.98   014170   01 PHARMACY REV
75058065   HEPARIN 1000U/ML 1ML VIAL    53.16    53.16   014170   01 PHARMACY REV
75058560   HEPARIN 1000U/ML MDV 10ML    98.82    98.82   014170   01 PHARMACY REV
75058279   HEPARIN 100U/ML 10 ML VL     49.18    49.18   014170   01 PHARMACY REV
75058339   HEPARIN 100U/ML 30ML VIAL     28.9     28.9   014170   01 PHARMACY REV
75058693   HEPARIN 10U/ML 10ML IJ       49.18    49.18   014170   01 PHARMACY REV
75058388   HEPARIN 30U/30ML VIAL        53.16    53.16   014170   01 PHARMACY REV
75057984   HEPARIN 5000U/1ML IJ         49.98    49.98   014170   01 PHARMACY REV
75058081   HEPARIN 5000U/ML VIAL        53.42    53.42   014170   01 PHARMACY REV
75058024   HEPARIN FLUSH 10U/ML 1ML     26.56    26.56   014170   01 PHARMACY REV
75058503   HEPARIN FLUSH DAILY CHG      30.22    30.22   014170   01 PHARMACY REV
75058636   HEPARIN NEO FLSH DLY CH      97.56    97.56   014170   01 PHARMACY REV
75058255   HETASTARCH 500ML             208.4    208.4   014170   01 PHARMACY REV
75084046   HEXACHLOROPHENE 150ML TOP    40.44    40.44   014170   01 PHARMACY REV
75096628   HOMATROPINE 5% OPTH 15ML     91.38    91.38   014170   01 PHARMACY REV
75069831   HYALURONIDASE 150U IJ          111      111   014170   01 PHARMACY REV
75016378   HYCODAN LQ 5ML                78.1     78.1   014170   01 PHARMACY REV
75016386   HYCODAN TAB                     15       15   014170   01 PHARMACY REV
75001537   HYDRALAZINE 100MG TAB         13.2     13.2   014170   01 PHARMACY REV
75001503   HYDRALAZINE 10MG TAB         13.12    13.12   014170   01 PHARMACY REV
75047084   HYDRALAZINE 20MG/1ML IJ       88.5     88.5   014170   01 PHARMACY REV
75058347   HYDRALAZINE 20MG/ML AMP         81       81   014170   01 PHARMACY REV
75001511   HYDRALAZINE 25MG TAB         13.34    13.34   014170   01 PHARMACY REV
75001529   HYDRALAZINE 50MG TAB         13.42    13.42   014170   01 PHARMACY REV
75025403   HYDROCOD/APAP 10/325MG TB     26.4     26.4   014170   01 PHARMACY REV
75038380   HYDROCOD/CHLORP 5ML LIQ       29.6     29.6   014170   01 PHARMACY REV
75042259   HYDROCOD/IBUPR 7.5/200 TB    27.94    27.94   014170   01 PHARMACY REV
75077230   HYDROCORT 0.005% CRM 30GM    102.9    102.9   014170   01 PHARMACY REV
75077248   HYDROCORT 1% CR 30GM          56.5     56.5   014170   01 PHARMACY REV
75077271   HYDROCORT 1% OIN 30GM         59.2     59.2   014170   01 PHARMACY REV
75067348   HYDROCORT 100MG INJ VIAL    108.06   108.06   014170   01 PHARMACY REV
75016584   HYDROCORT 10MG TAB            13.8     13.8   014170   01 PHARMACY REV
75067371   HYDROCORT 1GM INJ VIAL      135.52   135.52   014170   01 PHARMACY REV
75016592   HYDROCORT 20MG TAB            14.5     14.5   014170   01 PHARMACY REV
75067355   HYDROCORT 250MG INJ VIAL       110      110   014170   01 PHARMACY REV
75016576   HYDROCORT 5MG TAB            13.44    13.44   014170   01 PHARMACY REV
75070193   HYDROCORT CRM                103.7    103.7   014170   01 PHARMACY REV
75077289   HYDROCORT CRM 2/5% 30GM         47       47   014170   01 PHARMACY REV
75072611   HYDROCORT ENEMA              49.24    49.24   014170   01 PHARMACY REV
75084293   HYDROCORT RECT FOAM 10GM    121.32   121.32   014170   01 PHARMACY REV
75074146   HYDROCORT RECT FOAM 10GM     72.38    72.38   014170   01 PHARMACY REV
75091165   HYDROCORT SUP                 20.3     20.3   014170   01 PHARMACY REV
75077297   HYDROGEN PEROX 120ML TOP     49.36    49.36   014170   01 PHARMACY REV
75052936   HYDROMORPHONE 10MG/ML IJ     83.08    83.08   014170   01 PHARMACY REV
75053488   HYDROMORPHONE 1MG/ML IJ      78.06    78.06   014170   01 PHARMACY REV
75052902   HYDROMORPHONE 2MG IJ         78.66    78.66   014170   01 PHARMACY REV
75009167   HYDROMORPHONE 2MG TAB        25.98    25.98   014170   01 PHARMACY REV
75092122   HYDROMORPHONE 3MG SUPP          33       33   014170   01 PHARMACY REV
75052928   HYDROMORPHONE 4MG IJ          79.4     79.4   014170   01 PHARMACY REV
75009183   HYDROMORPHONE 4MG TAB         26.9     26.9   014170   01 PHARMACY REV
75053504   HYDROMORPHONE PCA             94.1     94.1   014170   01 PHARMACY REV
75016501   HYDROXYUREA CAP              15.84    15.84   014170   01 PHARMACY REV
75002071   HYDROXYZINE HCL 10MG TAB      14.4     14.4   014170   01 PHARMACY REV
75069625   HYDROXYZINE HCL 25MG IJ      49.48    49.48   014170   01 PHARMACY REV
75002089   HYDROXYZINE HCL 25MG TAB     15.04    15.04   014170   01 PHARMACY REV
75069633   HYDROXYZINE HCL 50MG IJ      48.98    48.98   014170   01 PHARMACY REV
75002097   HYDROXYZINE HCL 50MG TAB      15.5     15.5   014170   01 PHARMACY REV
75002063   HYDROXYZINE HCL LIQ 5ML      42.08    42.08   014170   01 PHARMACY REV
75041707   HYDROXYZINE PAM 25/5 LIQ    377.76   377.76   014170   01 PHARMACY REV
75041665   HYDROXYZINE PAM 25MG CAP      15.18     15.18   014170   01 PHARMACY REV
75041673   HYDROXYZINE PAM 50MG CAP      15.66     15.66   014170   01 PHARMACY REV
75019349   HYOSCYAMNE 0.125MG TAB        14.46     14.46   014170   01 PHARMACY REV
75006999   HYOSCYAMNE 0.15MG TAB         13.78     13.78   014170   01 PHARMACY REV
75019380   HYOSCYAMNE TIMECP 0.37MG      15.68     15.68   014170   01 PHARMACY REV
75058552   HYSKON INJ 100ML             160.26    160.26   014170   01 PHARMACY REV
75017137   IBUPROFEN 100MG/5ML 120ML     25.06     25.06   014170   01 PHARMACY REV
75017053   IBUPROFEN 100MG/5ML LIQ       25.52     25.52   014170   01 PHARMACY REV
75017038   IBUPROFEN 200MG TAB           13.14     13.14   014170   01 PHARMACY REV
75022665   IBUPROFEN 400MG TAB           13.44     13.44   014170   01 PHARMACY REV
75022673   IBUPROFEN 600MG TAB           13.82     13.82   014170   01 PHARMACY REV
75022681   IBUPROFEN 800MG TAB           13.86     13.86   014170   01 PHARMACY REV
75059758   IBUTILIDE 0.1MG/ML 10ML      680.76    680.76   014170   01 PHARMACY REV
75059766   IDARUBICIN/5MG IJ           1329.08   1329.08   014170   01 PHARMACY REV
75059055   IFOSFAMIDE/1GM IJ            784.68    784.68   014170   01 PHARMACY REV
75065953   IMIPENEM/CILAST INJ 500MG     168.2     168.2   014170   01 PHARMACY REV
75017145   IMIPRAMINE 10MG TAB            15.4      15.4   014170   01 PHARMACY REV
75017152   IMIPRAMINE 25MG TAB              17        17   014170   01 PHARMACY REV
75017160   IMIPRAMINE 50MG TAB            19.8      19.8   014170   01 PHARMACY REV
75019885   INDAPAMIDE 2.5MG TAB           14.7      14.7   014170   01 PHARMACY REV
75059204   INDIGO CARMINE 5ML IJ            69        69   014170   01 PHARMACY REV
75017640   INDINAVIR 400MG CAP           19.08     19.08   014170   01 PHARMACY REV
75059741   INDOMETHACIN 1MG INJ SDV      115.8     115.8   014170   01 PHARMACY REV
75017343   INDOMETHACIN 25MG CAP         14.34     14.34   014170   01 PHARMACY REV
75017350   INDOMETHACIN 50MG CAP          15.2      15.2   014170   01 PHARMACY REV
75017368   INDOMETHACIN SR 75MG CAP      17.74     17.74   014170   01 PHARMACY REV
75066795   INFLIXIMAB/10MG IJ          1485.22   1485.22   014170   01 PHARMACY REV
75059899   INSULIN ASPART 10ML VL        233.8     233.8   014170   01 PHARMACY REV
75059907   INSULIN ASPART 70/30 MIX        109       109   014170   01 PHARMACY REV
75059873   INSULIN ASPART IJ            190.92    190.92   014170   01 PHARMACY REV
75059881   INSULIN ASPART/NPH COMB         109       109   014170   01 PHARMACY REV
75059790   INSULIN GLARGIN 10ML VIAL    183.64    183.64   014170   01 PHARMACY REV
75059816   INSULIN GLARGIN INJ           64.26     64.26   014170   01 PHARMACY REV
75059279   INSULIN LENTE INJ             57.14     57.14   014170   01 PHARMACY REV
75017715   INSULIN LISPRO 10ML VL        184.9     184.9   014170   01 PHARMACY REV
75059782   INSULIN LISPRO INJ               65        65   014170   01 PHARMACY REV
75059808   INSULIN NPH HUM CHG           77.96     77.96   014170   01 PHARMACY REV
75059725   INSULIN NPH HUM IJ             57.4      57.4   014170   01 PHARMACY REV
75059576   INSULIN NPH HUM INJ             112       112   014170   01 PHARMACY REV
75059493   INSULIN REG HUM 10ML VL      115.06    115.06   014170   01 PHARMACY REV
75059744   INSULIN REG HUM DAILY           112       112   014170   01 PHARMACY REV
75059709   INSULIN REG HUM IJ              112       112   014170   01 PHARMACY REV
75059436   INSULIN REG HUM IJ              112       112   014170   01 PHARMACY REV
75059568   INSULIN REG HUM INJ             112       112   014170   01 PHARMACY REV
75059634   INSULIN REG/NPH 70/30 IJ        112       112   014170   01 PHARMACY REV
75059550   INSULIN REG/NPH 70/30 VL        112       112   014170   01 PHARMACY REV
75059329   INSULIN ULTRA INJ               112       112   014170   01 PHARMACY REV
75059261   INTERFERON A-2B 3MIL U IJ     661.7     661.7   014170   01 PHARMACY REV
75059618   INTERFERON A-2B 5MU          587.08    587.08   014170   01 PHARMACY REV
75094391   IPRATROPIUM 0.02% 2.5ML       28.52     28.52   014170   01 PHARMACY REV
75070623   IPRATROPIUM 0.06% NAS SPY    112.84    112.84   014170   01 PHARMACY REV
75094623   IPRATROPIUM INHALER          150.16    150.16   014170   01 PHARMACY REV
75017749   IRBESARTAN 150MG TAB          16.32     16.32   014170   01 PHARMACY REV
75017731   IRBESARTAN 75MG TAB           16.16     16.16   014170   01 PHARMACY REV
75059857   IRINOTECAN 100MG IJ         1585.12   1585.12   014170   01 PHARMACY REV
75025312   IRON COMPLEX 150 CAP          13.78     13.78   014170   01 PHARMACY REV
75059105   IRON DEXTRAN 50MG/ML 2ML      177.4     177.4   014170   01 PHARMACY REV
75069112   IRON SUCROSE 100MG/5ML IJ     239.6     239.6   014170   01 PHARMACY REV
75017400   ISONIAZID TAB 100MG            13.2      13.2   014170   01 PHARMACY REV
75017418   ISONIAZID TAB 300MG           13.24     13.24   014170   01 PHARMACY REV
75078030   ISOPROPYL ETOH 480ML          25.34     25.34   014170   01 PHARMACY REV
75059154   ISOPROTERENOL 0.2MG/ML IJ      62.4      62.4   014170   01 PHARMACY REV
75059428   ISOPROTERENOL 1MG/5ML AMP    109.66    109.66   014170   01 PHARMACY REV
75017533   ISOSORBIDE 10MG TAB           13.36     13.36   014170   01 PHARMACY REV
75017541   ISOSORBIDE 20MG TAB            13.6      13.6   014170   01 PHARMACY REV
75017558   ISOSORBIDE 30MG TAB            14.4      14.4   014170   01 PHARMACY REV
75017566   ISOSORBIDE 40MG TAB           14.52     14.52   014170   01 PHARMACY REV
75017525   ISOSORBIDE 5MG TAB            13.28     13.28   014170   01 PHARMACY REV
75017392   ISOSORBIDE MONO 20MG TAB      15.86     15.86   014170   01 PHARMACY REV
75017707   ISOSORBIDE MONO 30MG TAB      16.86     16.86   014170   01 PHARMACY REV
75017699   ISOSORBIDE MONO 60MG TAB     17.46    17.46   014170   01 PHARMACY REV
75017459   ISOTRETINOIN 40MG 10PK       33.16    33.16   014170   01 PHARMACY REV
75017673   ISRADIPINE 2.5MG CAP          15.9     15.9   014170   01 PHARMACY REV
75017681   ISRADIPINE 5MG CAPSULE       17.24    17.24   014170   01 PHARMACY REV
75059840   ITRACONAZOLE 250MG IJ       525.82   525.82   014170   01 PHARMACY REV
75017723   IVERMECTIN 3MG TAB           23.88    23.88   014170   01 PHARMACY REV
75059865   IVIG LYOPHIL 1G             370.16   370.16   014170   01 PHARMACY REV
75065441   K ACET 40MEQ/20ML VL          99.2     99.2   014170   01 PHARMACY REV
75018606   K ACID PHOS TAB               13.2     13.2   014170   01 PHARMACY REV
75018556   K BICARB/K CIT 25MEQ TAB     15.98    15.98   014170   01 PHARMACY REV
75022335   K CL 10MEQ CAP               13.72    13.72   014170   01 PHARMACY REV
75022228   K CL 10MEQ TAB               13.68    13.68   014170   01 PHARMACY REV
75060103   K CL 20MEQ VIAL               58.4     58.4   014170   01 PHARMACY REV
75018390   K CL 20MEQ/15ML LIQ U.D.     22.78    22.78   014170   01 PHARMACY REV
75018531   K CL 25MEQ TAB               15.98    15.98   014170   01 PHARMACY REV
75018408   K CL 30MEQ/22.5ML LQ UD      18.26    18.26   014170   01 PHARMACY REV
75060137   K CL 40MEQ VIAL              96.68    96.68   014170   01 PHARMACY REV
75018416   K CL 40MEQ/30ML LIQ U.D.     13.78    13.78   014170   01 PHARMACY REV
75018333   K CL PKT 20MEQ               16.22    16.22   014170   01 PHARMACY REV
75018366   K CL TAB 20MEQ                13.7     13.7   014170   01 PHARMACY REV
75035063   K IODIDE DRP 30ML             49.2     49.2   014170   01 PHARMACY REV
75065466   K PHOS 45MM IJ               98.58    98.58   014170   01 PHARMACY REV
75060020   KANAMYCIN 1GM/3ML VL        115.86   115.86   014170   01 PHARMACY REV
75018028   KAOLIN-PECTIN 30ML           13.98    13.98   014170   01 PHARMACY REV
75027417   KAOLIN-PECTIN SLN 120ML      28.74    28.74   014170   01 PHARMACY REV
75060376   KETAMINE 100MG/ML 5ML VL     133.9    133.9   014170   01 PHARMACY REV
75060475   KETAMINE 50MG IJ             70.66    70.66   014170   01 PHARMACY REV
75018861   KETAMINE 50MG/1ML ORAL SY    108.5    108.5   014170   01 PHARMACY REV
75060368   KETAMINE 50MG/ML 10ML VL    135.04   135.04   014170   01 PHARMACY REV
75024703   KETOCONAZOLE 200MG TAB       22.48    22.48   014170   01 PHARMACY REV
75082495   KETOCONAZOLE CRM 15GM        66.92    66.92   014170   01 PHARMACY REV
75095604   KETOROLAC 0.5% OP DRP 5ML    158.7    158.7   014170   01 PHARMACY REV
75060467   KETOROLAC 15MG SYRINGE       65.06    65.06   014170   01 PHARMACY REV
75018952   KETOROLAC 30MG SYRINGE      116.72   116.72   014170   01 PHARMACY REV
75018960   KETOROLAC 60MG SYRINGE       65.72    65.72   014170   01 PHARMACY REV
75019083   LABETALOL 100MG TAB            14.5      14.5   014170   01 PHARMACY REV
75061036   LABETALOL 100MG/20ML IJ       139.5     139.5   014170   01 PHARMACY REV
75019034   LABETALOL 200MG TAB           14.36     14.36   014170   01 PHARMACY REV
75061663   LABETALOL 20MG/4ML IJ         57.55     57.55   014170   01 PHARMACY REV
75019059   LABETALOL 300MG TAB           15.76     15.76   014170   01 PHARMACY REV
75080010   LACHYDRIN 12% LOTION         109.72    109.72   014170   01 PHARMACY REV
75019067   LACTOBACILLUS PKT             14.54     14.54   014170   01 PHARMACY REV
75019075   LACTOBACILLUS TAB             13.32     13.32   014170   01 PHARMACY REV
75005629   LACTULOSE 30ML LIQ            18.78     18.78   014170   01 PHARMACY REV
75072165   LACTULOSE ENEMA 1000ML          119       119   014170   01 PHARMACY REV
75020107   LAMIVUDINE 150MG TAB          23.54     23.54   014170   01 PHARMACY REV
75020487   LAMIVUDINE/ZIDOVUDINE TAB        36        36   014170   01 PHARMACY REV
75020404   LAMOTRIGINE 100MG TAB         19.64     19.64   014170   01 PHARMACY REV
75020396   LAMOTRIGINE 25MG TAB          19.26     19.26   014170   01 PHARMACY REV
75080341   LANOLIN (PURE) 7GM TUBE       56.14     56.14   014170   01 PHARMACY REV
75020271   LANSOPRAZOLE 15MG TAB         22.36     22.36   014170   01 PHARMACY REV
75020289   LANSOPRAZOLE 30MG TAB         22.54     22.54   014170   01 PHARMACY REV
75030254   LANSOPRAZOLE 30MG/10ML LQ     22.54     22.54   014170   01 PHARMACY REV
75020479   LANSOPRAZOLE SOLU 15MG TB      18.9      18.9   014170   01 PHARMACY REV
75020461   LANSOPRAZOLE SOLU 30MG TB      18.9      18.9   014170   01 PHARMACY REV
75098830   LATANOPROST 0.005% 2.5ML      136.2     136.2   014170   01 PHARMACY REV
75061648   LEPIRUDIN 50MG IJ            431.68    431.68   014170   01 PHARMACY REV
75061457   LEUCOVORIN 100MG INJ         456.26    456.26   014170   01 PHARMACY REV
75061150   LEUCOVORIN 50MG IJ            452.5     452.5   014170   01 PHARMACY REV
75019224   LEUCOVORIN 5MG TAB             19.5      19.5   014170   01 PHARMACY REV
75061432   LEUPROLIDE 7.5MG IJ         1815.42   1815.42   014170   01 PHARMACY REV
75061655   LEUPROLIDE/3.75MG IJ        1584.18   1584.18   014170   01 PHARMACY REV
75098848   LEVALBUTEROL 0.63MG/3ML       18.02     18.02   014170   01 PHARMACY REV
75099358   LEVALBUTEROL 1.25MG/0.5ML      21.7      21.7   014170   01 PHARMACY REV
75098855   LEVALBUTEROL 1.25MG/3ML       18.02     18.02   014170   01 PHARMACY REV
75020412   LEVETIRACETAM 500MG TAB        16.7      16.7   014170   01 PHARMACY REV
75094755   LEVOBUNOLOL 0.25% OP 10ML     122.3     122.3   014170   01 PHARMACY REV
75094565   LEVOBUNOLOL 0.5% OP 5ML       89.58     89.58   014170   01 PHARMACY REV
75061580   LEVOFLOX 250MG/50ML D5W      147.66    147.66   014170   01 PHARMACY REV
75061598   LEVOFLOX 500MG/100ML D5W      193.3     193.3   014170   01 PHARMACY REV
75020354   LEVOFLOXACIN 250MG TAB       31.58    31.58   014170   01 PHARMACY REV
75061572   LEVOFLOXACIN 500MG IJ VL     193.3    193.3   014170   01 PHARMACY REV
75020347   LEVOFLOXACIN 500MG TAB       34.26    34.26   014170   01 PHARMACY REV
75019315   LEVORPHANAL 2MG TAB          26.15    26.15   014170   01 PHARMACY REV
75061184   LEVORPHANAL 2MG/1ML AMP      83.92    83.92   014170   01 PHARMACY REV
75035535   LEVOTHYROXINE 0.025MG TAB    13.66    13.66   014170   01 PHARMACY REV
75035626   LEVOTHYROXINE 0.05MG TAB     13.78    13.78   014170   01 PHARMACY REV
75035519   LEVOTHYROXINE 0.075MG TAB    13.82    13.82   014170   01 PHARMACY REV
75035733   LEVOTHYROXINE 0.088MG TAB    13.54    13.54   014170   01 PHARMACY REV
75035741   LEVOTHYROXINE 0.112MG TAB    13.98    13.98   014170   01 PHARMACY REV
75035634   LEVOTHYROXINE 0.125MG TAB    14.06    14.06   014170   01 PHARMACY REV
75035568   LEVOTHYROXINE 0.15MG TAB     14.08    14.08   014170   01 PHARMACY REV
75035659   LEVOTHYROXINE 0.175MG TAB    13.74    13.74   014170   01 PHARMACY REV
75035550   LEVOTHYROXINE 0.1MG TAB       13.9     13.9   014170   01 PHARMACY REV
75035576   LEVOTHYROXINE 0.2MG TAB      14.56    14.56   014170   01 PHARMACY REV
75035584   LEVOTHYROXINE 0.3MG TAB      14.64    14.64   014170   01 PHARMACY REV
75067959   LEVOTHYROXINE 200MCG VL     229.16   229.16   014170   01 PHARMACY REV
75067942   LEVOTHYROXINE 500MCG VL     242.06   242.06   014170   01 PHARMACY REV
75019422   LEVY'S MW NO 5 120ML         29.92    29.92   014170   01 PHARMACY REV
75019455   LEVY'S MW NO 5 240ML         38.84    38.84   014170   01 PHARMACY REV
75019307   LEVY'S WASH 120ML LIQ        29.54    29.54   014170   01 PHARMACY REV
75019323   LEVY'S WASH PT               38.08    38.08   014170   01 PHARMACY REV
75019331   LIBRAX CAP                      18       18   014170   01 PHARMACY REV
75061325   LIDO/DEXTROSE 5%/GLUC7.5%    60.28    60.28   014170   01 PHARMACY REV
75061531   LIDO/EPI 0.5% 50ML VL        63.36    63.36   014170   01 PHARMACY REV
75069872   LIDO/EPI 1% 20ML VIAL        53.76    53.76   014170   01 PHARMACY REV
75061481   LIDO/EPI 1% 30ML VL          48.76    48.76   014170   01 PHARMACY REV
75061168   LIDO/EPI 1% MPF 2ML VL       54.98    54.98   014170   01 PHARMACY REV
75061390   LIDO/EPI 1.5% 30ML AMP       53.76    53.76   014170   01 PHARMACY REV
75069138   LIDO/EPI 2% 20ML AMP         54.22    54.22   014170   01 PHARMACY REV
75069906   LIDO/EPI 2% 20ML VIAL        67.66    67.66   014170   01 PHARMACY REV
75061507   LIDO/EPI MPF 2% 20ML VL       82.8     82.8   014170   01 PHARMACY REV
75061275   LIDOCAINE 1% 10ML VIAL       54.26    54.26   014170   01 PHARMACY REV
75061192   LIDOCAINE 1% 20ML VIAL        60.1     60.1   014170   01 PHARMACY REV
75061366   LIDOCAINE 1% 2ML AMP         55.14    55.14   014170   01 PHARMACY REV
75061556   LIDOCAINE 1% MPF 30ML VL      71.72     71.72   014170   01 PHARMACY REV
75069880   LIDOCAINE 1.5% 20ML AMP        62.9      62.9   014170   01 PHARMACY REV
75061549   LIDOCAINE 1.5% 20ML VL        62.48     62.48   014170   01 PHARMACY REV
75069922   LIDOCAINE 100MG JECT         113.56    113.56   014170   01 PHARMACY REV
75069898   LIDOCAINE 2% 20ML VIAL           55        55   014170   01 PHARMACY REV
75061473   LIDOCAINE 2% 2ML IJ           56.68     56.68   014170   01 PHARMACY REV
75089821   LIDOCAINE 2% JELLY 30GM       66.26     66.26   014170   01 PHARMACY REV
75089839   LIDOCAINE 2.5% OINT 35GM      55.38     55.38   014170   01 PHARMACY REV
75068049   LIDOCAINE 4% PF 5ML AMP       55.58     55.58   014170   01 PHARMACY REV
75089854   LIDOCAINE 4% TOP SL 50ML      68.76     68.76   014170   01 PHARMACY REV
75089847   LIDOCAINE 5% OINT 35GM        31.26     31.26   014170   01 PHARMACY REV
75080325   LIDOCAINE 5% PATCH #5PK        35.2      35.2   014170   01 PHARMACY REV
75069856   LIDOCAINE 5%50ML VIAL         76.46     76.46   014170   01 PHARMACY REV
75074310   LIDOCAINE CREAM 30GM         160.02    160.02   014170   01 PHARMACY REV
75061515   LIDOCAINE MPF 0.5% 50ML       76.46     76.46   014170   01 PHARMACY REV
75061440   LIDOCAINE MPF 1% 10ML VL      63.54     63.54   014170   01 PHARMACY REV
75044065   LIDOCAINE VISCOUS 100ML        30.7      30.7   014170   01 PHARMACY REV
75044057   LIDOCAINE VISCOUS 15ML        56.04     56.04   014170   01 PHARMACY REV
75080291   LIDOCIANE JELLY 5ML            46.6      46.6   014170   01 PHARMACY REV
75019836   LINEZOLID 600MG TAB          141.83    141.83   014170   01 PHARMACY REV
75061614   LINEZOLID 600MG/300ML BAG     272.9     272.9   014170   01 PHARMACY REV
75061622   LINEZOLID/200MG IJ           136.48    136.48   014170   01 PHARMACY REV
75068528   LIOTHYRONINE 10MCG/ML 1ML   1007.98   1007.98   014170   01 PHARMACY REV
75007047   LIOTHYRONINE 25MCG TAB         14.6      14.6   014170   01 PHARMACY REV
75007054   LIOTHYRONINE 50MCG TAB         15.6      15.6   014170   01 PHARMACY REV
75007039   LIOTHYRONINE 5MCG TAB         14.22     14.22   014170   01 PHARMACY REV
75037275   LIOTRIX 1 TAB                 14.46     14.46   014170   01 PHARMACY REV
44611887   LIPID EMULSION 20% 100ML      162.8     162.8   014170   01 PHARMACY REV
75029215   LISINOPRIL 10MG TAB           15.24     15.24   014170   01 PHARMACY REV
75029231   LISINOPRIL 20MG TAB           15.38     15.38   014170   01 PHARMACY REV
75028993   LISINOPRIL 5MG TAB            15.16     15.16   014170   01 PHARMACY REV
75019588   LITHIUM 300MG CAP             13.42     13.42   014170   01 PHARMACY REV
75019604   LITHIUM 300MG CAP             13.52     13.52   014170   01 PHARMACY REV
75019596   LITHIUM 300MG/5ML LIQ         41.78     41.78   014170   01 PHARMACY REV
75019711   LOMOTIL 2.5MG TAB              26.5      26.5   014170   01 PHARMACY REV
75019703   LOMOTIL 60ML LIQ            122.82   122.82   014170   01 PHARMACY REV
75005470   LOMUSTINE 10MG CAP            31.1     31.1   014170   01 PHARMACY REV
75005496   LOMUSTINE 40MG CAP           67.52    67.52   014170   01 PHARMACY REV
75017194   LOPERAMIDE 120ML LIQ         32.02    32.02   014170   01 PHARMACY REV
75017186   LOPERAMIDE CAP               13.96    13.96   014170   01 PHARMACY REV
75017483   LOPERAMIDE LIQ 60ML          39.06    39.06   014170   01 PHARMACY REV
75020222   LORATADINE 10MG TAB          19.46    19.46   014170   01 PHARMACY REV
75002147   LORAZEPAM 0.5MG TB           26.28    26.28   014170   01 PHARMACY REV
75002154   LORAZEPAM 1MG TAB            27.44    27.44   014170   01 PHARMACY REV
75002162   LORAZEPAM 2MG TAB            28.56    28.56   014170   01 PHARMACY REV
75047464   LORAZEPAM INJ 2MG             89.4     89.4   014170   01 PHARMACY REV
75047480   LORAZEPAM INJ 4MG             67.4     67.4   014170   01 PHARMACY REV
75020198   LOSARTAN K 50MG TAB          16.18    16.18   014170   01 PHARMACY REV
75016980   LOSARTAN/HCTZ 50/12.5 TAB    16.18    16.18   014170   01 PHARMACY REV
75020446   LOTREL 2.5MG/10MG TAB         17.4     17.4   014170   01 PHARMACY REV
75020362   LOTREL 5MG/10MG CAP          17.72    17.72   014170   01 PHARMACY REV
75020438   LOTREL 5MG/10MG TAB          17.48    17.48   014170   01 PHARMACY REV
75020453   LOTREL 5MG/20MG TAB          17.74    17.74   014170   01 PHARMACY REV
75022319   LOVASTATIN 20MG TAB          18.36    18.36   014170   01 PHARMACY REV
75087254   LUBRICANTS 60GM TUBE          27.6     27.6   014170   01 PHARMACY REV
75087213   MAFENIDE CRM                100.02   100.02   014170   01 PHARMACY REV
75021048   MAG ALOH HYD 150ML            25.5     25.5   014170   01 PHARMACY REV
75021030   MAG ALOH HYD 30ML             13.9     13.9   014170   01 PHARMACY REV
75021097   MAG ALOH SIMETH 150ML        27.52    27.52   014170   01 PHARMACY REV
75022913   MAG ALOH SIMETH 30ML         14.28    14.28   014170   01 PHARMACY REV
75022855   MAG ALOH SIMETH 30ML         25.94    25.94   014170   01 PHARMACY REV
75023010   MAG ALOH SIMETH LIQ 30ML     14.02    14.02   014170   01 PHARMACY REV
75007104   MAG CIT 300ML                25.66    25.66   014170   01 PHARMACY REV
75021261   MAG CL 64MG TAB              13.32    13.32   014170   01 PHARMACY REV
75021170   MAG GLUC 500MG TAB           13.32    13.32   014170   01 PHARMACY REV
75022616   MAG HYDROXIDE 30ML           13.74    13.74   014170   01 PHARMACY REV
75021337   MAG OXIDE 400MG TAB           13.4     13.4   014170   01 PHARMACY REV
75081661   MAG SO4 (EPSOM SALT)         27.15    27.15   014170   01 PHARMACY REV
75062042   MAG SO4 50% 20ML VL          99.76    99.76   014170   01 PHARMACY REV
75062018   MAG SO4 50% 2ML VL           99.36    99.36   014170   01 PHARMACY REV
75032391   MAGALDRATE LI 360ML          36.54    36.54   014170   01 PHARMACY REV
75062125   MANNITOL 12.5GM VL          106.06   106.06   014170   01 PHARMACY REV
75020024   MAPROTILINE 50MG TAB         14.48    14.48   014170   01 PHARMACY REV
75096800   MAXITROL 0.1% OPTH 5ML      130.88   130.88   014170   01 PHARMACY REV
75098947   MAXITROL OPTH OINT 3.5GM        67       67   014170   01 PHARMACY REV
75021352   MAXZIDE 25MG TAB              14.2     14.2   014170   01 PHARMACY REV
75062943   MECHLORETHAMINE 10MG IJ      76.28    76.28   014170   01 PHARMACY REV
75001354   MECLIZINE 12.5MG TAB         13.74    13.74   014170   01 PHARMACY REV
75001362   MECLIZINE 25MG TAB           13.76    13.76   014170   01 PHARMACY REV
75029611   MEDROXYPROGEST 10MG TAB       15.7     15.7   014170   01 PHARMACY REV
75053470   MEDROXYPROGEST 150MG/ML      168.9    168.9   014170   01 PHARMACY REV
75029603   MEDROXYPROGEST 2.5MG TAB     14.38    14.38   014170   01 PHARMACY REV
75052480   MEDROXYPROGEST 400MG IJ     291.66   291.66   014170   01 PHARMACY REV
75030031   MEDROXYPROGEST 5MG TAB       15.06    15.06   014170   01 PHARMACY REV
75021576   MEGESTROL 20MG TAB           14.46    14.46   014170   01 PHARMACY REV
75021584   MEGESTROL 40MG TAB            15.6     15.6   014170   01 PHARMACY REV
75021683   MEGESTROL 40MG/ML LQ 20ML    51.66    51.66   014170   01 PHARMACY REV
75023531   MEMANTINE 10MG TAB            17.9     17.9   014170   01 PHARMACY REV
75023523   MEMANTINE 5MG TAB             17.7     17.7   014170   01 PHARMACY REV
75062349   MEPERIDINE 100MG IJ          77.12    77.12   014170   01 PHARMACY REV
75062307   MEPERIDINE 25MG IJ           77.86    77.86   014170   01 PHARMACY REV
75062323   MEPERIDINE 50MG IJ           76.72    76.72   014170   01 PHARMACY REV
75062331   MEPERIDINE 75MG IJ            77.9     77.9   014170   01 PHARMACY REV
75053579   MEPERIDINE PCA               83.08    83.08   014170   01 PHARMACY REV
75049155   MEPIVACAINE 1% 30ML VL       74.68    74.68   014170   01 PHARMACY REV
75065714   MEPIVACAINE 2% 20ML VL       69.32    69.32   014170   01 PHARMACY REV
75062463   MEPIVACAINE 2% INJ           76.46    76.46   014170   01 PHARMACY REV
75065664   MEPIVACAINE MPF 1% 30ML       67.5     67.5   014170   01 PHARMACY REV
75063263   MEPIVACAINE MPF 1.5% 30ML    60.92    60.92   014170   01 PHARMACY REV
75021840   MEPROBAMATE 200MG TAB        15.12    15.12   014170   01 PHARMACY REV
75021857   MEPROBAMATE 400MG TAB        27.76    27.76   014170   01 PHARMACY REV
75029637   MERCAPTOPURINE 50MG TAB       22.1     22.1   014170   01 PHARMACY REV
75063305   MEROPENEM 1GM/30ML VIAL        176      176   014170   01 PHARMACY REV
75062950   MEROPENEM 500MG VIAL         113.5    113.5   014170   01 PHARMACY REV
75063313   MEROPENEM 500MG/20ML VIAL   159.22   159.22   014170   01 PHARMACY REV
75022715   MESALAMINE 250MG TAB         14.28    14.28   014170   01 PHARMACY REV
75021899   MESALAMINE 400MG TAB         15.08    15.08   014170   01 PHARMACY REV
75093369   MESALAMINE 500MG SUPP        22.56    22.56   014170   01 PHARMACY REV
75081588   MESALAMINE EMEMA 4GM/60ML    57.02    57.02   014170   01 PHARMACY REV
75063081   MESNA 200MG IJ              883.64   883.64   014170   01 PHARMACY REV
75034389   MESORIDAZINE 25MG TAB        15.42    15.42   014170   01 PHARMACY REV
75097378   METAPROTERENOL 0.4% IN UD    27.46    27.46   014170   01 PHARMACY REV
75097444   METAPROTERENOL 0.6% IN UD    15.46    15.46   014170   01 PHARMACY REV
75000646   METAPROTERENOL 10MG TAB      13.68    13.68   014170   01 PHARMACY REV
75000661   METAPROTERENOL 10MG/5 LIQ     13.5     13.5   014170   01 PHARMACY REV
75000653   METAPROTERENOL 20MG TAB      13.94    13.94   014170   01 PHARMACY REV
75094482   METAPROTERENOL INH 15ML       92.3     92.3   014170   01 PHARMACY REV
75023358   METFORMIN 500 MG TAB         14.62    14.62   014170   01 PHARMACY REV
75023366   METFORMIN 850MG TAB          15.76    15.76   014170   01 PHARMACY REV
75022186   METHADONE 10MG TAB           25.88    25.88   014170   01 PHARMACY REV
75023143   METHADONE 10MG/5ML LIQ        14.9     14.9   014170   01 PHARMACY REV
75022178   METHADONE 5MG TAB            25.76    25.76   014170   01 PHARMACY REV
75021220   METHENAMINE 1GM TAB          15.46    15.46   014170   01 PHARMACY REV
75036178   METHIMAZOLE 10MG TAB         14.96    14.96   014170   01 PHARMACY REV
75036160   METHIMAZOLE 5MG TAB          13.88    13.88   014170   01 PHARMACY REV
75032516   METHOCARBAMOL 500MG TAB      13.74    13.74   014170   01 PHARMACY REV
75032524   METHOCARBAMOL 750MG TAB      15.32    15.32   014170   01 PHARMACY REV
75066654   METHOCARBAMOL INJ 1GM        82.54    82.54   014170   01 PHARMACY REV
75048397   METHOHEXITAL 500MG IJ       136.08   136.08   014170   01 PHARMACY REV
75062547   METHOTREXATE 100MG IJ       457.12   457.12   014170   01 PHARMACY REV
75022152   METHOTREXATE 2.5MG TAB        23.5     23.5   014170   01 PHARMACY REV
75062570   METHOTREXATE 50MG IJ           455      455   014170   01 PHARMACY REV
75062661   METHOTREXATE INJ 1GM        567.88   567.88   014170   01 PHARMACY REV
75062620   METHOTREXATE INJ 250MG       74.76    74.76   014170   01 PHARMACY REV
75062446   METHOTREXATE INJ 500MG       470.7    470.7   014170   01 PHARMACY REV
75007096   METHYLCELLULOSE PKT 19GM     13.52    13.52   014170   01 PHARMACY REV
75000406   METHYLDOPA 250MG TAB          13.9     13.9   014170   01 PHARMACY REV
75000414   METHYLDOPA 500MG TAB         14.76    14.76   014170   01 PHARMACY REV
75046417   METHYLDOPATE 250MG/5MG VL    99.98    99.98   014170   01 PHARMACY REV
75062596   METHYLENE BLUE 10MG/ML IJ       65       65   014170   01 PHARMACY REV
75022137   METHYLERGONOVIN 0.2MG TAB   200.56   200.56   014170   01 PHARMACY REV
75062455   METHYLERGONOVIN INJ          60.54    60.54   014170   01 PHARMACY REV
75032466   METHYLPHENIDATE 10MG TAB     26.48    26.48   014170   01 PHARMACY REV
75032474   METHYLPHENIDATE 20MG TAB     14.38    14.38   014170   01 PHARMACY REV
75032458   METHYLPHENIDATE 5MG TAB      26.04    26.04   014170   01 PHARMACY REV
75067413   METHYLPRED 125MG IJ VL      109.88   109.88   014170   01 PHARMACY REV
75067447   METHYLPRED 1GM INJ VIAL     144.36   144.36   014170   01 PHARMACY REV
75067397   METHYLPRED 40MG INJ VIAL     108.2    108.2   014170   01 PHARMACY REV
75052431   METHYLPRED 40MG/ML VL       118.12   118.12   014170   01 PHARMACY REV
75067439   METHYLPRED 500MG IJ VL      122.96   122.96   014170   01 PHARMACY REV
75052449   METHYLPRED 80MG/ML VL       128.66   128.66   014170   01 PHARMACY REV
75021519   METHYLPRED TB 4MG            15.22    15.22   014170   01 PHARMACY REV
75022038   METHYLTESTOS 10MG TAB        17.02    17.02   014170   01 PHARMACY REV
75066571   METOCLOPRAMIDE 10MG IJ        55.7     55.7   014170   01 PHARMACY REV
75032110   METOCLOPRAMIDE 10MG LIQ      15.16    15.16   014170   01 PHARMACY REV
75032102   METOCLOPRAMIDE 10MG TAB      15.08    15.08   014170   01 PHARMACY REV
75032136   METOCLOPRAMIDE 5MG TAB       14.32    14.32   014170   01 PHARMACY REV
75045104   METOLAZONE 10MG TAB          16.94    16.94   014170   01 PHARMACY REV
75045088   METOLAZONE 2.5MG TAB          15.9     15.9   014170   01 PHARMACY REV
75045096   METOLAZONE 5MG TAB            16.3     16.3   014170   01 PHARMACY REV
75019786   METOPROLOL 100MG TAB          15.8     15.8   014170   01 PHARMACY REV
75022756   METOPROLOL 25MG TAB           13.5     13.5   014170   01 PHARMACY REV
75019778   METOPROLOL 50MG TAB             15       15   014170   01 PHARMACY REV
75061234   METOPROLOL INJ 5MG           123.6    123.6   014170   01 PHARMACY REV
75023382   METOPROLOL SUCC 100MG TAB    15.36    15.36   014170   01 PHARMACY REV
75023374   METOPROLOL SUCC 50MG TAB     14.56    14.56   014170   01 PHARMACY REV
75081620   METRONIDAZOLE 0.75% 30GM     103.5    103.5   014170   01 PHARMACY REV
75081646   METRONIDAZOLE 0.75% 70GM    144.76   144.76   014170   01 PHARMACY REV
75013417   METRONIDAZOLE 250MG TAB      17.88    17.88   014170   01 PHARMACY REV
75056168   METRONIDAZOLE 500MG VL       21.56    21.56   014170   01 PHARMACY REV
75056150   METRONIDAZOLE RTU 500MG     197.62   197.62   014170   01 PHARMACY REV
75013425   METRONIDAZOLE TB 500MG       21.74    21.74   014170   01 PHARMACY REV
75023259   MEXILETINE 150MG CAP         14.38    14.38   014170   01 PHARMACY REV
75023267   MEXILETINE 200MG CAP         14.64    14.64   014170   01 PHARMACY REV
75081299   MICONAZOLE 2% 15GM CRM       65.86    65.86   014170   01 PHARMACY REV
75081307   MICONAZOLE 2% 30GM CRM        56.98     56.98   014170   01 PHARMACY REV
75081604   MICONAZOLE 2% POWDER 30GM     93.56     93.56   014170   01 PHARMACY REV
75092767   MICONAZOLE 200MG 3EA VAG       40.5      40.5   014170   01 PHARMACY REV
75092775   MICONAZOLE 7S SUP             16.46     16.46   014170   01 PHARMACY REV
75092734   MICONAZOLE CRM                49.16     49.16   014170   01 PHARMACY REV
75069179   MIDAZOLAM 10MG/2ML VIAL       110.8     110.8   014170   01 PHARMACY REV
75042309   MIDAZOLAM 2MG/2ML LIQ 5ML     88.48     88.48   014170   01 PHARMACY REV
75069187   MIDAZOLAM 2MG/2ML VIAL        79.76     79.76   014170   01 PHARMACY REV
75042242   MIDAZOLAM 2MG/ML LIQ 1ML       78.5      78.5   014170   01 PHARMACY REV
75068056   MIDAZOLAM 50MG/50ML DRIP      145.3     145.3   014170   01 PHARMACY REV
75069104   MIDAZOLAM 5MG/ML 10ML VL      90.74     90.74   014170   01 PHARMACY REV
75069161   MIDAZOLAM 5MG/ML 1ML VL       82.48     82.48   014170   01 PHARMACY REV
75022244   MIDRIN CAP                    26.12     26.12   014170   01 PHARMACY REV
75062984   MILRINONE 20MG/20ML IJ VL    442.84    442.84   014170   01 PHARMACY REV
75081380   MINERAL OIL 10ML              14.16     14.16   014170   01 PHARMACY REV
75022327   MINERAL OIL 30ML              18.06     18.06   014170   01 PHARMACY REV
75081653   MINERAL OIL OINT 3.5GM        64.45     64.45   014170   01 PHARMACY REV
75022434   MINOCYCLINE 100MG CAP         21.02     21.02   014170   01 PHARMACY REV
75022426   MINOCYCLINE 50MG CAP          16.38     16.38   014170   01 PHARMACY REV
75019752   MINOXIDIL 10MG TAB               17        17   014170   01 PHARMACY REV
75019745   MINOXIDIL 2.5MG TAB           14.82     14.82   014170   01 PHARMACY REV
75023440   MIRALAX 17GM PWD PKT          17.22     17.22   014170   01 PHARMACY REV
75023390   MIRTAZAPINE 15MG TAB           19.3      19.3   014170   01 PHARMACY REV
75023408   MIRTAZAPINE 30MG TAB           19.5      19.5   014170   01 PHARMACY REV
75023416   MIRTAZAPINE 45MG TAB          19.62     19.62   014170   01 PHARMACY REV
75062687   MISC INJECTION                    0         0   014170   01 PHARMACY REV
75023101   MISC ORAL LIQUID                  0         0   014170   01 PHARMACY REV
75023093   MISC ORAL SOLID                   0         0   014170   01 PHARMACY REV
75088385   MISC TOPICAL/RECTAL               0         0   014170   01 PHARMACY REV
75007781   MISOPROSTOL 100MG TAB         14.94     14.94   014170   01 PHARMACY REV
75007799   MISOPROSTOL 200MG TAB         15.82     15.82   014170   01 PHARMACY REV
75062976   MITOMYCIN 20MG IJ           1350.98   1350.98   014170   01 PHARMACY REV
75062968   MITOMYCIN 5MG IJ              713.3     713.3   014170   01 PHARMACY REV
75064287   MITOXANTRONE 20MG IJ        3477.12   3477.12   014170   01 PHARMACY REV
75063214   MIVACURIUM 2MG/ML IJ 10ML    139.26    139.26   014170   01 PHARMACY REV
75063271   MIVACURIUM 2MG/ML IJ 50ML    227.2    227.2   014170   01 PHARMACY REV
75063206   MIVACURIUM 2MG/ML IJ 5ML    125.86   125.86   014170   01 PHARMACY REV
75063321   MMR VACC                       145      145   014170   01 PHARMACY REV
75023515   MODAFINIL 200MG TAB          26.18    26.18   014170   01 PHARMACY REV
75022632   MOM/CASCARA 15ML LIQ            14       14   014170   01 PHARMACY REV
75074237   MOMETASONE CRM 1% 15GM       82.12    82.12   014170   01 PHARMACY REV
75023432   MONTELUKAST 10MG TAB         19.26    19.26   014170   01 PHARMACY REV
75023424   MONTELUKAST 5MG TAB          19.26    19.26   014170   01 PHARMACY REV
75063008   MORPHINE 10MG IJ             77.48    77.48   014170   01 PHARMACY REV
75062802   MORPHINE 10MG INJ             78.3     78.3   014170   01 PHARMACY REV
75063248   MORPHINE 10MG RT INHAL       27.38    27.38   014170   01 PHARMACY REV
75062794   MORPHINE 15MG INJ           107.86   107.86   014170   01 PHARMACY REV
75023457   MORPHINE 200MG/10ML SYR         36       36   014170   01 PHARMACY REV
75033050   MORPHINE 20MG/ML LQ 1ML       77.3     77.3   014170   01 PHARMACY REV
75033043   MORPHINE 20MG/ML LQ 3ML       79.9     79.9   014170   01 PHARMACY REV
75062760   MORPHINE 2MG INJ              78.3     78.3   014170   01 PHARMACY REV
75062778   MORPHINE 4MG INJ              78.3     78.3   014170   01 PHARMACY REV
75033167   MORPHINE 600MG/30ML LIQ         58       58   014170   01 PHARMACY REV
75062786   MORPHINE 8MG INJ              78.3     78.3   014170   01 PHARMACY REV
75022640   MORPHINE CONT 100MG TAB      35.94    35.94   014170   01 PHARMACY REV
75022418   MORPHINE CONT 60MG TAB       33.66    33.66   014170   01 PHARMACY REV
75022442   MORPHINE CONT TAB 15MG          27       27   014170   01 PHARMACY REV
75063339   MORPHINE LIPOSOM 10MG IJ       506      506   014170   01 PHARMACY REV
75063347   MORPHINE LIPOSOM 15MG IJ    543.95   543.95   014170   01 PHARMACY REV
75063354   MORPHINE LIPOSOM 20MG IJ     581.8    581.8   014170   01 PHARMACY REV
75063289   MORPHINE PCA                 134.2    134.2   014170   01 PHARMACY REV
75062851   MORPHINE PF 10MG IJ          94.44    94.44   014170   01 PHARMACY REV
75023341   MORPHINE SO4 30MG TAB        28.78    28.78   014170   01 PHARMACY REV
75022285   MORPHINE TAB 30MG            28.78    28.78   014170   01 PHARMACY REV
75062893   MORRHUATE IJ 30ML              227      227   014170   01 PHARMACY REV
75062901   MUMPS SKIN TEST             335.88   335.88   014170   01 PHARMACY REV
75071035   MUPIROCIN OINT 15GM          161.8    161.8   014170   01 PHARMACY REV
75059824   MVI                         119.08   119.08   014170   01 PHARMACY REV
75036939   MVI 5ML LIQ                   13.7     13.7   014170   01 PHARMACY REV
75059832   MVI PEDI                    128.88   128.88   014170   01 PHARMACY REV
75035253   MVI PRENATAL TAB             13.52    13.52   014170   01 PHARMACY REV
75022707   MVI TAB                       13.1     13.1   014170   01 PHARMACY REV
75030205   MVI/FE DROPS 50ML            40.52    40.52   014170   01 PHARMACY REV
75036913   MVI/MIN TAB                   13.2     13.2   014170   01 PHARMACY REV
75063016   MVI-12 IJ 10ML               70.34    70.34   014170   01 PHARMACY REV
75007575   MYCOPHENOLATE 250MG PO       19.16    19.16   014170   01 PHARMACY REV
75067157   NA ACET 40MEQ/20ML VL         99.4     99.4   014170   01 PHARMACY REV
75034769   NA BICARB 325MG TAB          13.02    13.02   014170   01 PHARMACY REV
75063800   NA BICARB 4.2% IJ 10ML      106.58   106.58   014170   01 PHARMACY REV
75067652   NA BICARB 4.2% VIAL          57.28    57.28   014170   01 PHARMACY REV
75034777   NA BICARB 650MG TAB          13.18    13.18   014170   01 PHARMACY REV
75067223   NA BICARB 8.4% 50ML VIAL     97.38    97.38   014170   01 PHARMACY REV
75067207   NA BICARB 8.4% IJ 10ML       57.82    57.82   014170   01 PHARMACY REV
75067215   NA BICARB 8.4% IJ 50ML       107.3    107.3   014170   01 PHARMACY REV
75067173   NA BIPHOSPHATE 45MM VL       98.86    98.86   014170   01 PHARMACY REV
75064261   NA CL .9% IJ 30ML             26.1     26.1   014170   01 PHARMACY REV
75064253   NA CL 0.9% 10ML VL           49.86    49.86   014170   01 PHARMACY REV
75097741   NA CL 10% INH SLN 15ML        14.6     14.6   014170   01 PHARMACY REV
75034793   NA CL 1GM TAB                13.14    13.14   014170   01 PHARMACY REV
75063552   NA CL 4MEQ/ML 30ML VL         99.6     99.6   014170   01 PHARMACY REV
75094276   NA CL 5% OPTH 15ML           55.56    55.56   014170   01 PHARMACY REV
75097261   NA CL SPY 45ML                30.4     30.4   014170   01 PHARMACY REV
75058669   NA HYALURONATE 10MG/ML IJ    213.5    213.5   014170   01 PHARMACY REV
75024125   NABUMETONE 500MG TAB         16.22    16.22   014170   01 PHARMACY REV
75006684   NADOLOL 40MG TAB             17.14    17.14   014170   01 PHARMACY REV
75006692   NADOLOL 80MG TAB             15.94    15.94   014170   01 PHARMACY REV
75063578   NAFCILLIN 1GM VL             108.7    108.7   014170   01 PHARMACY REV
75063594   NAFCILLIN 2GM VL            113.26   113.26   014170   01 PHARMACY REV
75064105   NALBUPHINE 10MG IJ           54.36    54.36   014170   01 PHARMACY REV
75064113   NALBUPHINE 20MG IJ           101.2    101.2   014170   01 PHARMACY REV
75063644   NALOXONE 0.02MG IJ            55.1     55.1   014170   01 PHARMACY REV
75063651   NALOXONE 0.4MG IJ            58.16    58.16   014170   01 PHARMACY REV
75063842   NALOXONE 0.4MG/ML 1ML IJ     53.96    53.96   014170   01 PHARMACY REV
75063537   NALOXONE 1MG/ML IJ 2ML SY   107.96   107.96   014170   01 PHARMACY REV
75063669   NALOXONE INJ 4MG/10ML MDV      190      190   014170   01 PHARMACY REV
75053512   NANDROLONE 100MG/ML 2ML       83.28      83.28    014170   01 PHARMACY REV
75098350   NAPHAZOLONE OPTH 15ML         36.24      36.24    014170   01 PHARMACY REV
75024075   NAPROXEN 250MG TAB            15.22      15.22    014170   01 PHARMACY REV
75024083   NAPROXEN 375MG TAB            15.84      15.84    014170   01 PHARMACY REV
75024091   NAPROXEN 500MG TAB            16.48      16.48    014170   01 PHARMACY REV
75045518   NAPROXEN 500MG TAB W/C             0          0   014170   01 PHARMACY REV
75064329   NATALIZUMAB 300MG IJ        4621.25    4621.25    014170   01 PHARMACY REV
75025429   NATEGLINIDE 120MG TAB         15.26      15.26    014170   01 PHARMACY REV
75025411   NATEGLINIDE 60MG TAB          15.18      15.18    014170   01 PHARMACY REV
75098608   NEDOCROMIL INHALER 16.2GM    164.72     164.72    014170   01 PHARMACY REV
75022780   NEFAZODONE 100MG TAB          16.58      16.58    014170   01 PHARMACY REV
75042267   NELFINAVIR 250MG TAB          18.04      18.04    014170   01 PHARMACY REV
75024448   NEOMYCIN 500MG TAB            16.96      16.96    014170   01 PHARMACY REV
75082305   NEOSPORIN 15GM OINT           32.48      32.48    014170   01 PHARMACY REV
75082297   NEOSPORIN 30GM OINT           64.76      64.76    014170   01 PHARMACY REV
75082560   NEOSPORIN GU 15GM CRM         32.34      32.34    014170   01 PHARMACY REV
75063818   NEOSPORIN GU 1ML IJ          131.14     131.14    014170   01 PHARMACY REV
75097154   NEOSPORIN OINT                97.18      97.18    014170   01 PHARMACY REV
75097139   NEOSPORIN OTIC 10ML          100.06     100.06    014170   01 PHARMACY REV
75063776   NEOSTIGMINE 1MG/ML 10ML         59.5       59.5   014170   01 PHARMACY REV
75063685   NEOSTIGMINE 1MG/ML IJ            112        112   014170   01 PHARMACY REV
75063925   NESIRITIDE 1.5MG INJ VIAL      1116       1116    014170   01 PHARMACY REV
75024331   NEUTRA-PHOS PACKET            13.98      13.98    014170   01 PHARMACY REV
75024364   NEUTRA-PHOS-K PKT             49.24      49.24    014170   01 PHARMACY REV
75024356   NEUTRA-PHOS-K TAB             14.18      14.18    014170   01 PHARMACY REV
75024869   NEVIRAPINE 200MG TAB          25.02      25.02    014170   01 PHARMACY REV
75024554   NIACIN 500MG CAP              13.16      13.16    014170   01 PHARMACY REV
75024588   NIACIN 500MG TAB              13.18      13.18    014170   01 PHARMACY REV
75025536   NIACIN ER 1000MG TAB          16.65      16.65    014170   01 PHARMACY REV
75025510   NIACIN ER 500MG TAB             14.8       14.8   014170   01 PHARMACY REV
75025528   NIACIN ER 750MG TAB           15.95      15.95    014170   01 PHARMACY REV
75004614   NICARDIPINE 20MG CAP          13.58      13.58    014170   01 PHARMACY REV
75050534   NICARDIPINE 25MG INJ AMP     298.25     298.25    014170   01 PHARMACY REV
75004689   NICARDIPINE 30MG CAP          14.26      14.26    014170   01 PHARMACY REV
75004697   NICARDIPINE SR 30MG CAP       14.98      14.98    014170   01 PHARMACY REV
75082073   NICOTINE 14MG/24 HR PATCH    18.24    18.24   014170   01 PHARMACY REV
75082289   NICOTINE 21MG/24 HR PATCH    18.24    18.24   014170   01 PHARMACY REV
75082131   NICOTINE 7MG/24 HR PATCH     18.24    18.24   014170   01 PHARMACY REV
75024885   NICOTINE GUM                 13.88    13.88   014170   01 PHARMACY REV
75098814   NICOTINE INHALER KIT            35       35   014170   01 PHARMACY REV
75029223   NIFEDIPINE 10MG CAP          14.34    14.34   014170   01 PHARMACY REV
75030007   NIFEDIPINE 20MG CAP          15.24    15.24   014170   01 PHARMACY REV
75002386   NIFEDIPINE 30MG TAB          16.14    16.14   014170   01 PHARMACY REV
75002170   NIFEDIPINE 60MG TAB          18.58    18.58   014170   01 PHARMACY REV
75002196   NIFEDIPINE 90MG TAB          19.22    19.22   014170   01 PHARMACY REV
75030015   NIFEDIPINE XL 30MG TAB       16.24    16.24   014170   01 PHARMACY REV
75030023   NIFEDIPINE XL 60MG TAB       19.24    19.24   014170   01 PHARMACY REV
75030098   NIFEDIPINE XL 90MG CAP       19.46    19.46   014170   01 PHARMACY REV
75024794   NIMODIPINE 30MG CAP             29       29   014170   01 PHARMACY REV
75025346   NISOLDIPINE 10MG TAB         15.66    15.66   014170   01 PHARMACY REV
75025353   NISOLDIPINE 20MG TAB         15.66    15.66   014170   01 PHARMACY REV
75024711   NITROFURANTOIN 100MG CAP     17.52    17.52   014170   01 PHARMACY REV
75021147   NITROFURANTOIN 100MG CAP      17.3     17.3   014170   01 PHARMACY REV
75013615   NITROFURANTOIN 50/10 LIQ     21.38    21.38   014170   01 PHARMACY REV
75021139   NITROFURANTOIN 50MG CAP      15.42    15.42   014170   01 PHARMACY REV
75063958   NITROPRUSSIDE 50MG/2ML VL    99.68    99.68   014170   01 PHARMACY REV
75061200   NOREPINEPHRINE 4MG/4ML IJ   128.16   128.16   014170   01 PHARMACY REV
44611960   NORMOSOL R 1000ML            82.15    82.15   014170   01 PHARMACY REV
75002220   NORTRIPTYLINE 10MG CAP       14.06    14.06   014170   01 PHARMACY REV
75027037   NORTRIPTYLINE 25MG CAP       21.52    21.52   014170   01 PHARMACY REV
75027250   NORTRIPTYLINE 50MG CAP       29.04    29.04   014170   01 PHARMACY REV
75027045   NORTRIPTYLINE 75MG CAP       37.46    37.46   014170   01 PHARMACY REV
75025148   NTG 0.4MG TAB                13.44    13.44   014170   01 PHARMACY REV
75025155   NTG 0.4MG TAB #25             25.2     25.2   014170   01 PHARMACY REV
75082669   NTG 10MG PATCH               18.16    18.16   014170   01 PHARMACY REV
75082677   NTG 15MG PATCH               56.84    56.84   014170   01 PHARMACY REV
75024620   NTG 2.5MG CAP                13.36    13.36   014170   01 PHARMACY REV
75082644   NTG 2.5MG PATCH              16.34    16.34   014170   01 PHARMACY REV
75063982   NTG 50MG/D5W 250ML            99.6     99.6   014170   01 PHARMACY REV
75082651   NTG 5MG PATCH                 16.3     16.3   014170   01 PHARMACY REV
75024638   NTG 6.5MG CAP                13.38    13.38   014170   01 PHARMACY REV
75082636   NTG 7.5MG PATCH              18.08    18.08   014170   01 PHARMACY REV
75082701   NTG OINT 1GM TUBE            44.68    44.68   014170   01 PHARMACY REV
75082156   NTG OINT 2% 30GM             26.36    26.36   014170   01 PHARMACY REV
75082552   NTG OINT APPL.                46.8     46.8   014170   01 PHARMACY REV
75082693   NTG SPRAY APPL.              48.52    48.52   014170   01 PHARMACY REV
75097253   NTG SPY                     156.38   156.38   014170   01 PHARMACY REV
75081406   NYSTATIN 1% 15 GM CRM        64.98    64.98   014170   01 PHARMACY REV
75081414   NYSTATIN 1% 30 GM CRM        92.58    92.58   014170   01 PHARMACY REV
75081489   NYSTATIN 15GM CRM            84.42    84.42   014170   01 PHARMACY REV
75081497   NYSTATIN 30GM CRM            84.42    84.42   014170   01 PHARMACY REV
75022798   NYSTATIN 5ML LIQ             30.38    30.38   014170   01 PHARMACY REV
75022814   NYSTATIN 60ML LIQ            58.88    58.88   014170   01 PHARMACY REV
75081505   NYSTATIN OINT                84.42    84.42   014170   01 PHARMACY REV
75081448   NYSTATIN PWD                 86.02    86.02   014170   01 PHARMACY REV
75081422   NYSTATIN/TRIAMC 60GM         75.76    75.76   014170   01 PHARMACY REV
75067231   OCTREOTIDE 50 MCG/ML         70.94    70.94   014170   01 PHARMACY REV
75067165   OCTREOTIDE 50 MCG/ML          89.7     89.7   014170   01 PHARMACY REV
75067025   OCTREOTIDE 500 MCG/ML        237.6    237.6   014170   01 PHARMACY REV
75097824   OFLOXACIN 0.3% OPT SL 5ML   117.12   117.12   014170   01 PHARMACY REV
75026682   OFLOXACIN 200MG TAB          23.64    23.64   014170   01 PHARMACY REV
75026708   OFLOXACIN 300MG TAB          24.38    24.38   014170   01 PHARMACY REV
75026690   OFLOXACIN 400MG TAB          27.12    27.12   014170   01 PHARMACY REV
75026724   OLANZAPINE 10MG TAB          33.78    33.78   014170   01 PHARMACY REV
75026799   OLANZAPINE 2.5MG TAB         24.58    24.58   014170   01 PHARMACY REV
75026716   OLANZAPINE 5MG TAB           26.68    26.68   014170   01 PHARMACY REV
75026823   OLMESARTAN MED 20MG TAB       16.4     16.4   014170   01 PHARMACY REV
75098962   OLOPATADINE 0.1% OPT 5ML    173.76   173.76   014170   01 PHARMACY REV
75028803   OMEPRAZOLE 10MG CAP           20.4     20.4   014170   01 PHARMACY REV
75019737   OMEPRAZOLE 20MG CAP          22.22    22.22   014170   01 PHARMACY REV
75026641   ONDANSETRON 4MG TAB          55.04    55.04   014170   01 PHARMACY REV
75064618   ONDANSETRON 4MG/2ML IJ      155.44   155.44   014170   01 PHARMACY REV
75026658   ONDANSETRON 8MG PO           83.04    83.04   014170   01 PHARMACY REV
75026807   ONDANSETRON ODT 4MG TAB      56.35    56.35   014170   01 PHARMACY REV
75026815   ONDANSETRON ODT 8MG TAB      85.26    85.26   014170   01 PHARMACY REV
75026609   OPIUM TINCTURE 1ML LIQ       158.38    158.38   014170   01 PHARMACY REV
75064436   OPRELVEKIN 5MG IJ               715       715   014170   01 PHARMACY REV
75064055   ORPHENADRINE 60MG IJ             96        96   014170   01 PHARMACY REV
75024828   ORPHENADRINE TAB              17.62     17.62   014170   01 PHARMACY REV
75003426   ORTHONOVUM 1/50 #21 TAB      104.62    104.62   014170   01 PHARMACY REV
75064576   OXALIPLATIN 50MG IJ         2433.52   2433.52   014170   01 PHARMACY REV
75008151   OXAPROZIN 600MG TAB           17.26     17.26   014170   01 PHARMACY REV
75034330   OXAZEPAM 10MG CAP             26.72     26.72   014170   01 PHARMACY REV
75034348   OXAZEPAM CAP 15MG             27.18     27.18   014170   01 PHARMACY REV
75034355   OXAZEPAM CAP 30MG             27.84     27.84   014170   01 PHARMACY REV
75009381   OXYBUTYNIN 5MG TAB               15        15   014170   01 PHARMACY REV
75009399   OXYBUTYNIN LIQ 5ML             13.8      13.8   014170   01 PHARMACY REV
75026831   OXYBUTYNIN XL 5MG TAB            20        20   014170   01 PHARMACY REV
75026740   OXYCODONE 10MG TAB            28.12     28.12   014170   01 PHARMACY REV
75026757   OXYCODONE 20MG TAB            30.98     30.98   014170   01 PHARMACY REV
75026765   OXYCODONE 20MG/ML LIQ 1ML      28.1      28.1   014170   01 PHARMACY REV
75026773   OXYCODONE 40MG TAB            35.62     35.62   014170   01 PHARMACY REV
75026732   OXYCODONE 5MG TAB             25.84     25.84   014170   01 PHARMACY REV
75026781   OXYCODONE 60MG/3ML ORL SY      31.9      31.9   014170   01 PHARMACY REV
75094334   OXYMETAZOLINE SPY 15ML         30.7      30.7   014170   01 PHARMACY REV
75094342   OXYMETAZOLINE SPY 30ML         33.1      33.1   014170   01 PHARMACY REV
75065227   OXYTOCIN 10U IJ                 108       108   014170   01 PHARMACY REV
75064584   OXYTOCIN 10U IJ                53.7      53.7   014170   01 PHARMACY REV
75066241   PACLITAXEL 100MG IJ          845.45    845.45   014170   01 PHARMACY REV
75066258   PACLITAXEL 300MG IJ         1643.86   1643.86   014170   01 PHARMACY REV
75064808   PACLITAXEL 30MG IJ            810.3     810.3   014170   01 PHARMACY REV
75067124   PALIVIZUMAB/50MG IJ          1704.3    1704.3   014170   01 PHARMACY REV
75067140   PALIVIZUMAB/50MG IJ         1581.08   1581.08   014170   01 PHARMACY REV
75047571   PAMIDRONATE/30MG IJ          661.72    661.72   014170   01 PHARMACY REV
75027276   PANCREASE MT 16 CAP           16.55     16.55   014170   01 PHARMACY REV
75027235   PANCREASE TAB                 14.14     14.14   014170   01 PHARMACY REV
75064790   PANCURONIUM IJ 10ML           59.66     59.66   014170   01 PHARMACY REV
75030270   PANTOPRAZOLE 20MG TAB         20.66     20.66   014170   01 PHARMACY REV
75029645   PANTOPRAZOLE 40MG TAB         20.66     20.66   014170   01 PHARMACY REV
75066274   PANTOPRAZOLE/VIAL IJ            162       162   014170   01 PHARMACY REV
75070631   PAPAIN/UREA DEBR ONT 30GM    134.1     134.1    014170   01 PHARMACY REV
75064733   PAPAVERINE 30MG/ML 2ML VL        58        58   014170   01 PHARMACY REV
75068593   PARICALCITOL 5MCG/ML 1ML     160.4     160.4    014170   01 PHARMACY REV
75030155   PAROXETINE 10MG TAB          18.62     18.62    014170   01 PHARMACY REV
75030163   PAROXETINE 20MG TAB              19        19   014170   01 PHARMACY REV
75030171   PAROXETINE 30MG TAB          19.06     19.06    014170   01 PHARMACY REV
75030296   PAROXETINE CR 12.5MG TAB     17.85     17.85    014170   01 PHARMACY REV
75030304   PAROXETINE CR 25MG TAB         18.1      18.1   014170   01 PHARMACY REV
75048298   PCN G BENZ 1.2MILU/2ML IJ   123.08    123.08    014170   01 PHARMACY REV
75048306   PCN G BENZ 2.4MILU/4ML IJ   238.76    238.76    014170   01 PHARMACY REV
75048280   PCN G BENZ 600MU/ML IJ       74.78     74.78    014170   01 PHARMACY REV
75048264   PCN G BENZ CR 1.2ML IJ      129.56    129.56    014170   01 PHARMACY REV
75048256   PCN G BENZ CR 600MU IJ       96.36     96.36    014170   01 PHARMACY REV
75064881   PCN G K 10MIL VL            122.18    122.18    014170   01 PHARMACY REV
75064832   PCN G K 1MIL VL              97.86     97.86    014170   01 PHARMACY REV
75064873   PCN G K 5MIL VL              19.88     19.88    014170   01 PHARMACY REV
75069815   PCN G PROC 1.2MU IJ            87.3      87.3   014170   01 PHARMACY REV
75069823   PCN G PROC 2.4MU IJ         185.12    185.12    014170   01 PHARMACY REV
75045690   PCN V K 125MG/5ML LQ DSE     29.52     29.52    014170   01 PHARMACY REV
75027821   PCN V K 250MG TAB            13.48     13.48    014170   01 PHARMACY REV
75045708   PCN V K 250MG/5ML LQ DSE         14        14   014170   01 PHARMACY REV
75027839   PCN V K 500MG TAB            13.18     13.18    014170   01 PHARMACY REV
75065607   PEGFILGRASTIM 6MG IJ          6306      6306    014170   01 PHARMACY REV
75073411   PENCICLOVIR CREAM 1.5GM        77.9      77.9   014170   01 PHARMACY REV
75064931   PENTAMIDINE 300MG VL        208.14    208.14    014170   01 PHARMACY REV
75098640   PENTAMIDINE PWD 300MG VL     299.5     299.5    014170   01 PHARMACY REV
75036111   PENTAZOC/NALOX 50MG TAB        27.9      27.9   014170   01 PHARMACY REV
75038620   PENTOXIFYLLINE 400MG TAB       14.7      14.7   014170   01 PHARMACY REV
75065789   PERFLUTREN TYPE A 3ML IJ     338.3     338.3    014170   01 PHARMACY REV
75030189   PERGOLIDE 0.25MG TAB         17.14     17.14    014170   01 PHARMACY REV
75074336   PERMETHRIN 5% CREAM 60GM       90.5      90.5   014170   01 PHARMACY REV
75082800   PERMETHRIN CR RNSE 60ML        43.4      43.4   014170   01 PHARMACY REV
75037960   PERPHENAZINE 4MG TAB         14.54     14.54    014170   01 PHARMACY REV
75089367   PETROLATUM 30GM TUBE         27.46     27.46    014170   01 PHARMACY REV
75029686   PHENAZOPYRIDINE 100MG TAB    14.46     14.46    014170   01 PHARMACY REV
75029694   PHENAZOPYRIDINE 200MG TAB    15.82    15.82   014170   01 PHARMACY REV
75028472   PHENOBARBITAL 100MG TAB      25.16    25.16   014170   01 PHARMACY REV
75065144   PHENOBARBITAL 130MG/ML VL    55.06    55.06   014170   01 PHARMACY REV
75028449   PHENOBARBITAL 15MG TAB       25.08    25.08   014170   01 PHARMACY REV
75028456   PHENOBARBITAL 30MG TAB       25.08    25.08   014170   01 PHARMACY REV
75028548   PHENOBARBITAL 30MG/7.5ML     25.84    25.84   014170   01 PHARMACY REV
75028464   PHENOBARBITAL 60MG TAB       25.14    25.14   014170   01 PHARMACY REV
75065136   PHENOBARBITAL 65MG/ML VL      54.4     54.4   014170   01 PHARMACY REV
75008789   PHENOXYBENZAMIN 10MG CAP     26.26    26.26   014170   01 PHARMACY REV
75066555   PHENTOLAMINE 5MG/ML VL         172      172   014170   01 PHARMACY REV
75097170   PHENYLEPHRINE 0.25% SPY      31.98    31.98   014170   01 PHARMACY REV
75097212   PHENYLEPHRINE 0.5% DRP       31.98    31.98   014170   01 PHARMACY REV
75097188   PHENYLEPHRINE 0.5% SPY       32.34    32.34   014170   01 PHARMACY REV
75098590   PHENYLEPHRINE 1% DRP          32.9     32.9   014170   01 PHARMACY REV
75082743   PHENYLEPHRINE 1% SPY 15ML    33.22    33.22   014170   01 PHARMACY REV
75097162   PHENYLEPHRINE 10% NAS DP     85.08    85.08   014170   01 PHARMACY REV
75063834   PHENYLEPHRINE 10MG/ML IJ    110.78   110.78   014170   01 PHARMACY REV
75097238   PHENYLEPHRINE 2.5% 15ML      87.88    87.88   014170   01 PHARMACY REV
75097014   PHENYLEPHRINE 2.5% OP 3ML    48.26    48.26   014170   01 PHARMACY REV
75028357   PHENYLEPHRINE EXP 5ML LIQ     13.8     13.8   014170   01 PHARMACY REV
75009076   PHENYTOIN 100MG CAP           13.7     13.7   014170   01 PHARMACY REV
75052944   PHENYTOIN 100MG/2ML IJ        99.5     99.5   014170   01 PHARMACY REV
75009142   PHENYTOIN 100MG/4ML LQ UD    16.86    16.86   014170   01 PHARMACY REV
75052951   PHENYTOIN 250MG/5ML IJ VL    99.02    99.02   014170   01 PHARMACY REV
75009100   PHENYTOIN 50MG CAP            13.8     13.8   014170   01 PHARMACY REV
75018572   PHOSPHORUS TAB                13.3     13.3   014170   01 PHARMACY REV
75047019   PHYSOSTIGMINE 2MG/2ML IJ     60.72    60.72   014170   01 PHARMACY REV
75047118   PHYTONADIONE 10MG INJ AMP    62.84    62.84   014170   01 PHARMACY REV
75047100   PHYTONADIONE 1MG INJ AMP     56.16    56.16   014170   01 PHARMACY REV
75021824   PHYTONADIONE 5MG TAB          14.3     14.3   014170   01 PHARMACY REV
75097584   PILOCARPINE 1% OPTH 15ML      43.4     43.4   014170   01 PHARMACY REV
75098327   PILOCARPINE 1% OPTH 1ML       30.9     30.9   014170   01 PHARMACY REV
75097592   PILOCARPINE 2% OPTH 15ML     54.06    54.06   014170   01 PHARMACY REV
75098335   PILOCARPINE 2% OPTH 1ML       30.9     30.9   014170   01 PHARMACY REV
75097600   PILOCARPINE 3% OPTH 15ML     46.36    46.36   014170   01 PHARMACY REV
75097618   PILOCARPINE 4% OPTH 15ML      57.6     57.6   014170   01 PHARMACY REV
75097626   PILOCARPINE 6% OPTH 15ML      51.4     51.4   014170   01 PHARMACY REV
75084053   PIMECROLIMUS 1% CRM 30GM     168.8    168.8   014170   01 PHARMACY REV
75029967   PINDOLOL 10MG TAB            14.98    14.98   014170   01 PHARMACY REV
75029959   PINDOLOL 5MG TAB             14.46    14.46   014170   01 PHARMACY REV
75027896   PINK BISMUTH 120ML           26.32    26.32   014170   01 PHARMACY REV
75027953   PINK BISMUTH TAB             13.22    13.22   014170   01 PHARMACY REV
75030221   PIOGLITAZONE 15MG TAB        19.92    19.92   014170   01 PHARMACY REV
75030239   PIOGLITAZONE 30MG TAB        24.08    24.08   014170   01 PHARMACY REV
75030197   PIOGLITAZONE 45MG TAB        25.02    25.02   014170   01 PHARMACY REV
75066126   PIPERACILLIN 2GM VL           68.4     68.4   014170   01 PHARMACY REV
75066084   PIPERACILLIN 3GM VL           77.1     77.1   014170   01 PHARMACY REV
75066092   PIPERACILLIN 4GM VL         160.98   160.98   014170   01 PHARMACY REV
75013656   PIROXICAM 20MG CAP           17.42    17.42   014170   01 PHARMACY REV
75028522   PLAQUENIL 200MG TAB          16.78    16.78   014170   01 PHARMACY REV
75065375   PNEUMOCOCCAL VACC           295.94   295.94   014170   01 PHARMACY REV
75065730   POLIO VACC                  597.16   597.16   014170   01 PHARMACY REV
75013318   POLYCARBOPHIL TAB            13.26    13.26   014170   01 PHARMACY REV
75097402   POLYMYX/HC DRP              135.48   135.48   014170   01 PHARMACY REV
75098954   POLYMYX/TRIMETH OPT 10ML        60       60   014170   01 PHARMACY REV
75065391   POLYMYXIN B 500MU VL         79.76    79.76   014170   01 PHARMACY REV
75018150   POLYSTYRENE 15GM/60ML LIQ    37.54    37.54   014170   01 PHARMACY REV
75092601   POLYSTYRENE-25 ENM           64.35    64.35   014170   01 PHARMACY REV
75092619   POLYSTYRENE-50 ENM           64.34    64.34   014170   01 PHARMACY REV
75078022   POVIDONE IODINE 10% 120ML    36.42    36.42   014170   01 PHARMACY REV
75071480   POVIDONE IODINE 240ML        26.94    26.94   014170   01 PHARMACY REV
75071423   POVIDONE IODINE 30GM OINT    44.02    44.02   014170   01 PHARMACY REV
75098889   POVIDONE IODINE 5% 30ML      46.88    46.88   014170   01 PHARMACY REV
75065946   PRALIDOXIME 1GM VL          267.76   267.76   014170   01 PHARMACY REV
75023465   PRAMIPEXOLE 0.125MG TAB      15.06    15.06   014170   01 PHARMACY REV
75023473   PRAMIPEXOLE 0.25MG TAB       15.62    15.62   014170   01 PHARMACY REV
75023481   PRAMIPEXOLE 0.5MG TAB        17.64    17.64   014170   01 PHARMACY REV
75023507   PRAMIPEXOLE 1.5MG TAB        17.64    17.64   014170   01 PHARMACY REV
75023499   PRAMIPEXOLE 1MG TAB          18.16    18.16   014170   01 PHARMACY REV
75084285   PRAMOXINE 15GM RECTAL         86.7     86.7   014170   01 PHARMACY REV
75028712   PRAVASTATIN 20 MG TAB        19.16    19.16   014170   01 PHARMACY REV
75029579   PRAVASTATIN 40MG TAB         22.04    22.04   014170   01 PHARMACY REV
75022343   PRAZOSIN 1MG CAP             14.64    14.64   014170   01 PHARMACY REV
75022350   PRAZOSIN 2MG CAP             16.38    16.38   014170   01 PHARMACY REV
75022368   PRAZOSIN 5MG CAP             17.68    17.68   014170   01 PHARMACY REV
75096065   PRED/GENT OPT OINT 3.5GM     64.38    64.38   014170   01 PHARMACY REV
75097709   PREDNISOLONE 1% OPTH 5ML     74.58    74.58   014170   01 PHARMACY REV
75029520   PREDNISOLONE 15MG/5ML SYU     29.4     29.4   014170   01 PHARMACY REV
75028845   PREDNISOLONE LIQ 5ML         77.84    77.84   014170   01 PHARMACY REV
75028910   PREDNISONE 10MG TAB          13.26    13.26   014170   01 PHARMACY REV
75028878   PREDNISONE 1MG TAB           13.46    13.46   014170   01 PHARMACY REV
75028886   PREDNISONE 2.5MG TAB         13.22    13.22   014170   01 PHARMACY REV
75028944   PREDNISONE 20MG TAB          13.34    13.34   014170   01 PHARMACY REV
75028985   PREDNISONE 50MG TAB          13.68    13.68   014170   01 PHARMACY REV
75028894   PREDNISONE 5MG TAB           13.14    13.14   014170   01 PHARMACY REV
75028860   PREDNISONE 5MG/5ML LIQ       15.02    15.02   014170   01 PHARMACY REV
75027300   PREMPRO .625MG/2.5MG TB      15.98    15.98   014170   01 PHARMACY REV
75030247   PREMPRO 0.625MG/5MG TAB      15.82    15.82   014170   01 PHARMACY REV
75084228   PREPARATION H 30GM TUBE       69.6     69.6   014170   01 PHARMACY REV
75093245   PREPARATION H SUP            14.06    14.06   014170   01 PHARMACY REV
75023044   PRIMIDONE 250MG TAB          16.48    16.48   014170   01 PHARMACY REV
75023036   PRIMIDONE 50MG TAB           13.96    13.96   014170   01 PHARMACY REV
75003285   PROBENECID 500MG TAB         17.38    17.38   014170   01 PHARMACY REV
75029132   PROCAINAMIDE 250MG CAP       14.36    14.36   014170   01 PHARMACY REV
75029157   PROCAINAMIDE 500MG CAP        14.9     14.9   014170   01 PHARMACY REV
75065615   PROCAINAMIDE 500MG/ML IJ     54.66    54.66   014170   01 PHARMACY REV
75029207   PROCAINAMIDE SR 500MG TAB    14.98    14.98   014170   01 PHARMACY REV
75027383   PROCAINAMIDE SR 750MG TAB     14.8     14.8   014170   01 PHARMACY REV
75065656   PROCAINE 2% 30ML VL          55.12    55.12   014170   01 PHARMACY REV
75050351   PROCHLORPERAZIN 10MG INJ    144.12   144.12   014170   01 PHARMACY REV
75006569   PROCHLORPERAZIN 10MG TAB      15.2     15.2   014170   01 PHARMACY REV
75091843   PROCHLORPERAZIN 25MG SUPP    20.68    20.68   014170   01 PHARMACY REV
75091835   PROCHLORPERAZIN 5MG SUPP      19.2     19.2   014170   01 PHARMACY REV
75006551   PROCHLORPERAZIN 5MG TAB      14.48    14.48   014170   01 PHARMACY REV
75028332   PROMETH DM 5ML LIQ           13.22    13.22   014170   01 PHARMACY REV
75028365   PROMETH VC/COD 5ML LIQ       14.2     14.2   014170   01 PHARMACY REV
75028324   PROMETH/COD 5ML LIQ         77.18    77.18   014170   01 PHARMACY REV
75093203   PROMETHAZINE 12.5MG SUPP    21.74    21.74   014170   01 PHARMACY REV
75028373   PROMETHAZINE 12.5MG TAB     13.66    13.66   014170   01 PHARMACY REV
75065094   PROMETHAZINE 25MG INJ        57.2     57.2   014170   01 PHARMACY REV
75093211   PROMETHAZINE 25MG SUPP      23.04    23.04   014170   01 PHARMACY REV
75028381   PROMETHAZINE 25MG TAB       14.18    14.18   014170   01 PHARMACY REV
75065102   PROMETHAZINE 50MG INJ       58.66    58.66   014170   01 PHARMACY REV
75093229   PROMETHAZINE 50MG SUPP      25.84    25.84   014170   01 PHARMACY REV
75028340   PROMETHAZINE 6.25/5 LIQ      13.6     13.6   014170   01 PHARMACY REV
75032953   PROPAFENONE 150MG TAB       17.26    17.26   014170   01 PHARMACY REV
75029108   PROPANTHELINE 15MG TAB      14.18    14.18   014170   01 PHARMACY REV
75097311   PROPARACINE 0.5% OP 15ML    74.38    74.38   014170   01 PHARMACY REV
75065292   PROPOFOL 200MG AMP          86.96    86.96   014170   01 PHARMACY REV
75053033   PROPOFOL 500MG VIAL        110.16   110.16   014170   01 PHARMACY REV
75008201   PROPOXYPHENE 65MG CAP       25.74    25.74   014170   01 PHARMACY REV
75008235   PROPOXYPHENE CPD-65 CAP     14.54    14.54   014170   01 PHARMACY REV
75017236   PROPRANOLOL 10MG TAB         13.9     13.9   014170   01 PHARMACY REV
75059162   PROPRANOLOL 1MG IJ         139.12   139.12   014170   01 PHARMACY REV
75017244   PROPRANOLOL 20MG TAB        14.26    14.26   014170   01 PHARMACY REV
75017251   PROPRANOLOL 40MG TAB        14.64    14.64   014170   01 PHARMACY REV
75017269   PROPRANOLOL 80MG TAB         15.6     15.6   014170   01 PHARMACY REV
75017301   PROPRANOLOL LA 120MG CAP    16.96    16.96   014170   01 PHARMACY REV
75017574   PROPRANOLOL LA 160MG CAP    16.96    16.96   014170   01 PHARMACY REV
75017178   PROPRANOLOL LA 60MG CAP     15.54    15.54   014170   01 PHARMACY REV
75017277   PROPRANOLOL LA 80MG CAP      16.2     16.2   014170   01 PHARMACY REV
75029512   PROPYLTHIOURACL 50MG TAB    13.32    13.32   014170   01 PHARMACY REV
75065573   PROTAMINE 250MG IJ VL      141.98   141.98   014170   01 PHARMACY REV
75065920   PROTAMINE 50MG IJ VL       115.32   115.32   014170   01 PHARMACY REV
75000075   PSEUD/TRIP TAB              13.06    13.06   014170   01 PHARMACY REV
75035311   PSEUDOEPHEDRINE 30MG TAB    13.14    13.14   014170   01 PHARMACY REV
75022012   PSYLLIUM PKT                 13.7     13.7   014170   01 PHARMACY REV
75029777   PYRAZINAMIDE 500MG TAB       15.2     15.2   014170   01 PHARMACY REV
75062380   PYRIDOSTIGMINE 10MG IJ      62.56    62.56   014170   01 PHARMACY REV
75021931   PYRIDOSTIGMINE 60MG TAB     14.34    14.34   014170   01 PHARMACY REV
75029710   PYRIDOXINE 25MG TAB          13.04    13.04   014170   01 PHARMACY REV
75029728   PYRIDOXINE 50MG TAB          13.06    13.06   014170   01 PHARMACY REV
75069674   PYRIDOXINE HCL 100 MG IJ     108.6    108.6   014170   01 PHARMACY REV
75035832   QUETIAPINE 100MG TAB          19.2     19.2   014170   01 PHARMACY REV
75035824   QUETIAPINE 25MG TAB           16.4     16.4   014170   01 PHARMACY REV
75000273   QUINAPRIL 10MG TAB           15.52    15.52   014170   01 PHARMACY REV
75031377   QUINAPRIL 20MG TAB            15.7     15.7   014170   01 PHARMACY REV
75031328   QUINAPRIL 5MG TAB            15.52    15.52   014170   01 PHARMACY REV
75031237   QUINIDINE 200MG TAB          13.44    13.44   014170   01 PHARMACY REV
75031211   QUINIDINE 300MG TAB           15.3     15.3   014170   01 PHARMACY REV
75031179   QUINIDINE 324MG TAB          14.22    14.22   014170   01 PHARMACY REV
75031245   QUINIDINE 324MG TAB          15.74    15.74   014170   01 PHARMACY REV
75066340   QUINIDINE 80MG/ML IJ 10ML     55.5     55.5   014170   01 PHARMACY REV
75031278   QUININE 200MG CAP            14.12    14.12   014170   01 PHARMACY REV
75031286   QUININE 325MG CAP            14.56    14.56   014170   01 PHARMACY REV
75031195   QUININE TAB                  14.74    14.74   014170   01 PHARMACY REV
75001784   RABEPRAZOLE 20MG TAB          21.9     21.9   014170   01 PHARMACY REV
75066720   RABIES IMMGLOB (RIG)        1851.5   1851.5   014170   01 PHARMACY REV
75066563   RABIES VACC INTRAMUSCULAR   383.08   383.08   014170   01 PHARMACY REV
75098921   RACEPINEPHRINE 2.25% UD       15.5     15.5   014170   01 PHARMACY REV
75098657   RACEPINEPHRINE SOLN 15ML      50.5     50.5   014170   01 PHARMACY REV
75095265   RACEPINEPHRINE TX             27.5     27.5   014170   01 PHARMACY REV
75011239   RALOXIFENE 60MG TAB           18.4     18.4   014170   01 PHARMACY REV
75033027   RAMIPRIL 2.5MG CAP           15.68    15.68   014170   01 PHARMACY REV
75033035   RAMIPRIL 5MG CAP             15.92    15.92   014170   01 PHARMACY REV
75045047   RANITIDINE 150MG TAB         17.38    17.38   014170   01 PHARMACY REV
75045112   RANITIDINE 150MG/10ML LIQ     84.2     84.2   014170   01 PHARMACY REV
75069195   RANITIDINE IJ 50MG          109.98   109.98   014170   01 PHARMACY REV
75045070   RANITIDINE TAB 300MG         20.84    20.84   014170   01 PHARMACY REV
75066647   RAPID SEQ INDUCT KIT(EXP)        0        0   014170   01 PHARMACY REV
75066837   REMIFENTANIL 1MG IJ          102.4    102.4   014170   01 PHARMACY REV
44612026   RENAL REPLACEMENT SOLN       152.7    152.7   014170   01 PHARMACY REV
75033118   REPAGLINIDE 0.5MG TAB        15.18    15.18   014170   01 PHARMACY REV
75033126   REPAGLINIDE 1MG TAB          15.18    15.18   014170   01 PHARMACY REV
75033134   REPAGLINIDE 2MG TAB          15.18    15.18   014170   01 PHARMACY REV
75066621   RETEPLASE 18.1MG 2VL IJ        5847       5847    014170   01 PHARMACY REV
75066779   RETEPLASE 18.1MG IJ          2974.5     2974.5    014170   01 PHARMACY REV
75097899   RIBAVIRIN 6GM VIAL           2968.1     2968.1    014170   01 PHARMACY REV
75033241   RIFAMPIN 10MG/ML LIQ 15ML       54.3       54.3   014170   01 PHARMACY REV
75032292   RIFAMPIN 300MG CAP            17.48      17.48    014170   01 PHARMACY REV
75066704   RIFAMPIN 600MG/25ML VL       236.98     236.98    014170   01 PHARMACY REV
75002576   RISEDRONATE 30MG TAB          48.24      48.24    014170   01 PHARMACY REV
75002568   RISEDRONATE 5MG TAB           16.84      16.84    014170   01 PHARMACY REV
75033175   RISPERIDONE 0.25MG TAB        19.34      19.34    014170   01 PHARMACY REV
75033183   RISPERIDONE 0.5MG TAB           19.7       19.7   014170   01 PHARMACY REV
75032987   RISPERIDONE 1MG TAB           20.12      20.12    014170   01 PHARMACY REV
75032995   RISPERIDONE 2MG TAB           24.16      24.16    014170   01 PHARMACY REV
75033001   RISPERIDONE 3MG TAB           26.76      26.76    014170   01 PHARMACY REV
75033191   RITONAVIR/LOPINAVIR CAP         26.1       26.1   014170   01 PHARMACY REV
75066845   RITUXIMAB 100MG IJ           1500.2     1500.2    014170   01 PHARMACY REV
75066852   RITUXIMAB 500MG INJ VIAL    5720.06    5720.06    014170   01 PHARMACY REV
75069096   ROCURONIUM 10MG/ML 10ML       165.9      165.9    014170   01 PHARMACY REV
75068965   ROCURONIUM 10MG/ML 5ML VL    135.28     135.28    014170   01 PHARMACY REV
75033258   ROFECOXIB 12.5MG TAB          19.02      19.02    014170   01 PHARMACY REV
75033266   ROFECOXIB 25MG TAB            19.02      19.02    014170   01 PHARMACY REV
75032011   ROFECOXIB 25MG/5ML LIQ       293.56     293.56    014170   01 PHARMACY REV
75066811   ROPIVACAINE 2MG/ML 100ML      93.72      93.72    014170   01 PHARMACY REV
75066803   ROPIVACAINE 2MG/ML 20ML       64.68      64.68    014170   01 PHARMACY REV
75066878   ROPIVACAINE 5MG/ML 30ML         81.5       81.5   014170   01 PHARMACY REV
75066886   ROPIVACAINE 7.5MG/ML 20ML     78.06      78.06    014170   01 PHARMACY REV
75002485   ROSIGLITAZONE 4MG TAB         18.78      18.78    014170   01 PHARMACY REV
75066712   RUBELLA VACC IJ               92.28      92.28    014170   01 PHARMACY REV
75034017   SALIVA SUBSTITE SUBST 40Z       35.1       35.1   014170   01 PHARMACY REV
75098632   SALMETEROL 6.5GM INH         138.92     138.92    014170   01 PHARMACY REV
75098764   SALMETEROL INH #28'S          29.06      29.06    014170   01 PHARMACY REV
75098525   SALMETEROL INH 13GM           208.8      208.8    014170   01 PHARMACY REV
75034991   SAQUINAVIR 200MG CAP          15.92      15.92    014170   01 PHARMACY REV
75067199   SARGRAMOSTIM 500MCG IJ       696.46     696.46    014170   01 PHARMACY REV
75067009   SCOPOLAMINE 0.4MG/ML VL       54.96      54.96    014170   01 PHARMACY REV
75088369   SCOPOLAMINE 1.5MG PATCH       25.48      25.48    014170   01 PHARMACY REV
75034116   SECOBARBITAL 100MG CAP       14.6    14.6   014170   01 PHARMACY REV
75011569   SELEGILINE 5MG TAB          19.72   19.72   014170   01 PHARMACY REV
75034223   SENNA LIQ 5ML               31.58   31.58   014170   01 PHARMACY REV
75034231   SENNA TAB                   13.42   13.42   014170   01 PHARMACY REV
75012344   SENNA TAB                   13.14   13.14   014170   01 PHARMACY REV
75034249   SENNA/DOCUSATE TAB          13.86   13.86   014170   01 PHARMACY REV
75034488   SERTRALINE 100MG TAB        18.46   18.46   014170   01 PHARMACY REV
75034462   SERTRALINE 50MG TAB         18.46   18.46   014170   01 PHARMACY REV
75033142   SEVELAMER 400MG CAP         14.48   14.48   014170   01 PHARMACY REV
75033159   SEVELAMER 800MG CAP         15.74   15.74   014170   01 PHARMACY REV
75087155   SILV SULFADIAZN 400GM CRM   95.14   95.14   014170   01 PHARMACY REV
75087148   SILV SULFADIAZN 50GM CRM    41.44   41.44   014170   01 PHARMACY REV
75087171   SILVER NIT APP TOP          25.16   25.16   014170   01 PHARMACY REV
75023002   SIMETHICONE 80MG TAB        13.22   13.22   014170   01 PHARMACY REV
75022988   SIMETHICONE DROPS 30ML      46.58   46.58   014170   01 PHARMACY REV
75045245   SIMVASTATIN 10MG TAB        18.26   18.26   014170   01 PHARMACY REV
75035774   SIMVASTATIN 20MG TAB        22.18   22.18   014170   01 PHARMACY REV
75035782   SIMVASTATIN 40MG TAB        22.18   22.18   014170   01 PHARMACY REV
75060426   SINCALIDE 5MCG VL           152.5   152.5   014170   01 PHARMACY REV
75034512   SINEMET 10/100 TAB           14.8    14.8   014170   01 PHARMACY REV
75034520   SINEMET 25/100 TAB          14.86   14.86   014170   01 PHARMACY REV
75034538   SINEMET 25/250 TAB          15.38   15.38   014170   01 PHARMACY REV
75034751   SINEMET CR 50/200 TAB       17.26   17.26   014170   01 PHARMACY REV
75034934   SORBITOL 480ML               33.5    33.5   014170   01 PHARMACY REV
75034942   SORBITOL 70% 30ML LIQ       26.14   26.14   014170   01 PHARMACY REV
75034819   SOTALOL 80MG TABLET          19.4    19.4   014170   01 PHARMACY REV
75000182   SPIRONOLACTONE 100MG TAB    17.22   17.22   014170   01 PHARMACY REV
75000323   SPIRONOLACTONE 25MG TAB     14.36   14.36   014170   01 PHARMACY REV
75000331   SPIRONOLACTONE 50MG TAB      15.5    15.5   014170   01 PHARMACY REV
75099887   STATISTICAL TRACKING RX         0       0   014170   01 PHARMACY REV
75035204   STAVUDINE 40MG CAP          24.92   24.92   014170   01 PHARMACY REV
75067686   STREPTOKINASE/250KIU IJ       231     231   014170   01 PHARMACY REV
75046995   SUCCINYLCHOLINE 1GM VL         59      59   014170   01 PHARMACY REV
75046979   SUCCINYLCHOLINE 200MG VL    53.28   53.28   014170   01 PHARMACY REV
75005827   SUCRALFATE 1GM/10ML SUSP    27.04   27.04   014170   01 PHARMACY REV
75005249   SUCRALFATE TAB 1GM           15.18     15.18    014170   01 PHARMACY REV
75067991   SUFENTANIL 100MCG/2ML IJ     88.76     88.76    014170   01 PHARMACY REV
75097956   SULFACETAMIDE 10% OP 15ML      41.2      41.2   014170   01 PHARMACY REV
75097972   SULFACETAMIDE OINT             64.9      64.9   014170   01 PHARMACY REV
75094474   SULFACETAMIDE OPT SL 5ML     62.42     62.42    014170   01 PHARMACY REV
75003053   SULFAMETHOXAZOL TAB          15.18     15.18    014170   01 PHARMACY REV
75091223   SULFANILAMIDE CRM 120GM     122.24    122.24    014170   01 PHARMACY REV
75002311   SULFASALAZINE 500MG TAB        13.7      13.7   014170   01 PHARMACY REV
75006122   SULINDAC 200MG TAB           16.02     16.02    014170   01 PHARMACY REV
75099275   SUMATRIPTAN 20MG NAS SPRY    81.45     81.45    014170   01 PHARMACY REV
75035790   SUMATRIPTAN 25MG TAB         53.14     53.14    014170   01 PHARMACY REV
75035808   SUMATRIPTAN 50MG TAB         48.72     48.72    014170   01 PHARMACY REV
75099267   SUMATRIPTAN 5MG NAS SPRAY    81.45     81.45    014170   01 PHARMACY REV
75067850   SUMATRIPTAN 6MG/0.5ML IJ    171.76    171.76    014170   01 PHARMACY REV
75066431   SYNERCID 500MG IJ           485.55    485.55    014170   01 PHARMACY REV
75036061   TACROLIMUS/1MG PO            19.64     19.64    014170   01 PHARMACY REV
75088088   TALC STERILE 5GM             68.32     68.32    014170   01 PHARMACY REV
75024802   TAMOXIFEN 10MG TAB           17.46     17.46    014170   01 PHARMACY REV
75038877   TAMSULOSIN 0.4MG TAB         17.14     17.14    014170   01 PHARMACY REV
75039057   TEGASEROD 2MG TAB              18.9      18.9   014170   01 PHARMACY REV
75039065   TEGASEROD 6MG TAB            18.65     18.65    014170   01 PHARMACY REV
75032235   TEMAZEPAM 15MG CAP           26.42     26.42    014170   01 PHARMACY REV
75032243   TEMAZEPAM 30MG CAP           26.66     26.66    014170   01 PHARMACY REV
75036459   TEMAZEPAM 7.5 MG CAP         28.22     28.22    014170   01 PHARMACY REV
75068650   TENECTEPLASE/50MG IJ          5767      5767    014170   01 PHARMACY REV
75039040   TENOFOVIR 300MG TAB            46.2      46.2   014170   01 PHARMACY REV
75036525   TENORETIC TAB 50MG           16.12     16.12    014170   01 PHARMACY REV
75037077   TERAZOSIN 1MG TAB            17.36     17.36    014170   01 PHARMACY REV
75016444   TERAZOSIN 2MG TAB            17.36     17.36    014170   01 PHARMACY REV
75037028   TERAZOSIN 5MG TAB            17.64     17.64    014170   01 PHARMACY REV
75039008   TERBINAFINE 250MG TAB        32.66     32.66    014170   01 PHARMACY REV
75068239   TERBUTALINE 1MG IJ          115.98    115.98    014170   01 PHARMACY REV
75003541   TERBUTALINE 2.5MG TAB        13.86     13.86    014170   01 PHARMACY REV
75003558   TERBUTALINE 5MG TAB          14.24     14.24    014170   01 PHARMACY REV
75088195   TERCONAZOLE VAG CR 45GM     142.06    142.06    014170   01 PHARMACY REV
75093765   TERCONAZOLE VAG SUPP         43.36    43.36   014170   01 PHARMACY REV
75052555   TESTOSTERONE 200MG/ML IJ    253.78   253.78   014170   01 PHARMACY REV
75068338   TETANUS IMMGLOB 250IU IJ       313      313   014170   01 PHARMACY REV
75068320   TETANUS TOXOID              401.62   401.62   014170   01 PHARMACY REV
75098137   TETRACAINE 0.5% 1ML          72.98    72.98   014170   01 PHARMACY REV
75098145   TETRACAINE OPT 2ML           26.12    26.12   014170   01 PHARMACY REV
75036673   TETRACYCLINE 250MG CAP       13.16    13.16   014170   01 PHARMACY REV
75036681   TETRACYCLINE 500MG CAP       13.38    13.38   014170   01 PHARMACY REV
75098434   TETRAHYDROZOLIN OP 15ML       29.2     29.2   014170   01 PHARMACY REV
75098392   TH ALBUTEROL INHALER 17GM     34.8     34.8   014170   01 PHARMACY REV
75096826   TH MAXITROL OINT 3.5GM          13       13   014170   01 PHARMACY REV
75098939   TH TOBRA/DEXAMETH 3.5GM      71.45    71.45   014170   01 PHARMACY REV
75038786   THEOPHYLLINE 100 MG CAP      13.94    13.94   014170   01 PHARMACY REV
75036723   THEOPHYLLINE 100MG TAB        14.1     14.1   014170   01 PHARMACY REV
75011288   THEOPHYLLINE 160/30 LIQ      25.68    25.68   014170   01 PHARMACY REV
75038794   THEOPHYLLINE 200 MG CAP         13       13   014170   01 PHARMACY REV
75036731   THEOPHYLLINE 200MG TAB       13.72    13.72   014170   01 PHARMACY REV
75034645   THEOPHYLLINE 300MG CAP       14.72    14.72   014170   01 PHARMACY REV
75036749   THEOPHYLLINE 300MG TAB       13.78    13.78   014170   01 PHARMACY REV
75038802   THEOPHYLLINE 300MG TAB       14.66    14.66   014170   01 PHARMACY REV
75036970   THEOPHYLLINE 450MG TAB       14.38    14.38   014170   01 PHARMACY REV
75040121   THEOPHYLLINE TAB 200MG       14.24    14.24   014170   01 PHARMACY REV
75040105   THEOPHYLLINE TAB 400MG       15.22    15.22   014170   01 PHARMACY REV
75037002   THIAMINE 100MG TAB           13.04    13.04   014170   01 PHARMACY REV
75036996   THIAMINE 50MG TAB            13.02    13.02   014170   01 PHARMACY REV
75068460   THIAMINE HCL 100 MG IJ          53       53   014170   01 PHARMACY REV
75065003   THIOPENTAL 500MG JECT         87.1     87.1   014170   01 PHARMACY REV
75021667   THIORIDAZINE 100MG TAB       14.72    14.72   014170   01 PHARMACY REV
75021642   THIORIDAZINE 25MG TAB        14.22    14.22   014170   01 PHARMACY REV
75021659   THIORIDAZINE 50MG TAB        14.48    14.48   014170   01 PHARMACY REV
75024265   THIOTHIXENE 10MG CAP         16.08    16.08   014170   01 PHARMACY REV
75024273   THIOTHIXENE 20MG CAP         16.74    16.74   014170   01 PHARMACY REV
75024240   THIOTHIXENE CAP 2MG          17.32    17.32   014170   01 PHARMACY REV
75024257   THIOTHIXENE CAP 5MG           15.1     15.1   014170   01 PHARMACY REV
75068627   THROMBIN 10MU VL            248.24   248.24   014170   01 PHARMACY REV
75068221   THROMBIN 5000U IJ            13.62    13.62   014170   01 PHARMACY REV
75068635   THROMBIN KIT 20MU            465.9    465.9   014170   01 PHARMACY REV
75037218   THYROID 120MG TAB            13.68    13.68   014170   01 PHARMACY REV
75037192   THYROID 30MG TAB              13.5     13.5   014170   01 PHARMACY REV
75037200   THYROID 60MG TAB             13.54    13.54   014170   01 PHARMACY REV
75068718   TICAR/CLAV 3.1GM IJ          133.4    133.4   014170   01 PHARMACY REV
75037952   TICLOPIDINE HCL 250MG TAB    17.94    17.94   014170   01 PHARMACY REV
75093658   TIGAN 100MG SUPP             18.56    18.56   014170   01 PHARMACY REV
75093666   TIGAN 200MG SUPP              19.6     19.6   014170   01 PHARMACY REV
75037325   TIGAN 250MG CAP              14.44    14.44   014170   01 PHARMACY REV
75068734   TIGAN 250MG IJ               63.32    63.32   014170   01 PHARMACY REV
75098665   TIMOLOL 0.25 OPTH DP 5ML     62.36    62.36   014170   01 PHARMACY REV
75098178   TIMOLOL 0.25% OP DP 2.5ML    44.02    44.02   014170   01 PHARMACY REV
75098194   TIMOLOL 0.25% OPTH 5ML          55       55   014170   01 PHARMACY REV
75098251   TIMOLOL 0.5% OPT DP 2.5ML    47.66    47.66   014170   01 PHARMACY REV
75098202   TIMOLOL 0.5% OPTH DP 5ML      69.2     69.2   014170   01 PHARMACY REV
75098715   TIMOLOL XE 0.5% GL 2.5ML     64.46    64.46   014170   01 PHARMACY REV
75098723   TIMOLOL XE 0.5% GL 5ML          89       89   014170   01 PHARMACY REV
75098053   TIOTROPIUM #3 CAP STRIP         60       60   014170   01 PHARMACY REV
75098038   TIOTROPIUM INH/#6 CAPS          89       89   014170   01 PHARMACY REV
75068080   TIROFIBAN 12.5MG IJ         1043.4   1043.4   014170   01 PHARMACY REV
75038976   TIZANIDINE 4MG TAB           16.26    16.26   014170   01 PHARMACY REV
75096933   TOBRA/DEXAMETH OPT 3.5GM    149.76   149.76   014170   01 PHARMACY REV
75098582   TOBRA/DEXAMETH OPT SL 5CC      140      140   014170   01 PHARMACY REV
75098566   TOBRAMYCIN 0.3% OP 3.5GM    127.26   127.26   014170   01 PHARMACY REV
75098558   TOBRAMYCIN 0.3% OPTH 5ML    118.26   118.26   014170   01 PHARMACY REV
75068452   TOBRAMYCIN 1.2GM IJ PWD      778.5    778.5   014170   01 PHARMACY REV
75068775   TOBRAMYCIN 40MG/ML IJ       116.56   116.56   014170   01 PHARMACY REV
75068817   TOBRAMYCIN 80MG IJ          114.48   114.48   014170   01 PHARMACY REV
75037556   TOLAZAMIDE 100MG TAB         14.02    14.02   014170   01 PHARMACY REV
75037564   TOLAZAMIDE 250MG TAB         15.26    15.26   014170   01 PHARMACY REV
75037572   TOLAZAMIDE 500MG TAB         14.02    14.02   014170   01 PHARMACY REV
75088047   TOLNAFTATE CRM               36.08    36.08   014170   01 PHARMACY REV
75010348   TOLTERODINE 1MG TAB           16.6     16.6   014170   01 PHARMACY REV
75010355   TOLTERODINE 2MG TAB           16.7     16.7   014170   01 PHARMACY REV
75033209   TOLTERODINE LA 2MG TAB        18.55      18.55    014170   01 PHARMACY REV
75033217   TOLTERODINE LA 4MG TAB          18.7       18.7   014170   01 PHARMACY REV
75039032   TOPIRAMATE 100MG TAB              23         23   014170   01 PHARMACY REV
75039024   TOPIRAMATE 25MG TAB           18.55      18.55    014170   01 PHARMACY REV
75070573   TOPOTECAN 4MG IJ               2259       2259    014170   01 PHARMACY REV
75038851   TORSEMIDE 10MG TAB            14.74      14.74    014170   01 PHARMACY REV
75053355   TORSEMIDE 20MG IJ AMP         114.2      114.2    014170   01 PHARMACY REV
75038869   TORSEMIDE 20MG TAB            15.02      15.02    014170   01 PHARMACY REV
75052043   TORSEMIDE 50 MG IJ AMP       119.06     119.06    014170   01 PHARMACY REV
75038836   TRAMADOL 50MG TAB             15.48      15.48    014170   01 PHARMACY REV
75039016   TRAMADOL/APAP TAB               14.4       14.4   014170   01 PHARMACY REV
75051110   TRANEXAMIC ACID 1GM IJ VL    174.33     174.33    014170   01 PHARMACY REV
75058677   TRASTUZUMAB 440MG IJ        5829.76    5829.76    014170   01 PHARMACY REV
75038687   TRAZODONE 100MG TAB           20.88      20.88    014170   01 PHARMACY REV
75038679   TRAZODONE 50MG TAB              17.5       17.5   014170   01 PHARMACY REV
75079004   TRIAMCINOLONE 0.025% 15GM         57         57   014170   01 PHARMACY REV
75079202   TRIAMCINOLONE 0.1% 15GM       55.26      55.26    014170   01 PHARMACY REV
75079020   TRIAMCINOLONE 0.1% 15GM       55.28      55.28    014170   01 PHARMACY REV
75079145   TRIAMCINOLONE 0.1% 5GM        58.98      58.98    014170   01 PHARMACY REV
75079038   TRIAMCINOLONE 0.1% 60GM         98.9       98.9   014170   01 PHARMACY REV
75079210   TRIAMCINOLONE 0.1% 60GM       98.12      98.12    014170   01 PHARMACY REV
75079046   TRIAMCINOLONE 0.1% 80GM      114.32     114.32    014170   01 PHARMACY REV
75079228   TRIAMCINOLONE 0.1% 80GM         62.5       62.5   014170   01 PHARMACY REV
75079061   TRIAMCINOLONE 0.5% 15GM       125.9      125.9    014170   01 PHARMACY REV
75060319   TRIAMCINOLONE 10MG IJ         54.75      54.75    014170   01 PHARMACY REV
75070466   TRIAMCINOLONE 20GM INH       185.28     185.28    014170   01 PHARMACY REV
75060327   TRIAMCINOLONE 40MG IJ           65.6       65.6   014170   01 PHARMACY REV
75060392   TRIAMCINOLONE 40MG/ML 5ML        123        123   014170   01 PHARMACY REV
75097279   TRIAMCINOLONE INH 10GM       217.88     217.88    014170   01 PHARMACY REV
75079111   TRIAMCINOLONE LTN 15         124.34     124.34    014170   01 PHARMACY REV
75098988   TRIAMCINOLONE NASAL SPRY         183        183   014170   01 PHARMACY REV
75009985   TRIAMTERENE 100MG CAP         16.86      16.86    014170   01 PHARMACY REV
75016139   TRIAZOLAM 0.125MG TAB         16.06      16.06    014170   01 PHARMACY REV
75016105   TRIAZOLAM 0.25MG TAB          27.92      27.92    014170   01 PHARMACY REV
75095224   TRIETHANOLAMINE OTIC 8ML      82.78      82.78    014170   01 PHARMACY REV
75035113   TRIFLUOPERAZINE 10MG TAB      16.36     16.36   014170   01 PHARMACY REV
75035105   TRIFLUOPERAZINE 5MG TAB       15.22     15.22   014170   01 PHARMACY REV
75001768   TRIHEXYPHENIDYL TAB 2MG       13.52     13.52   014170   01 PHARMACY REV
75001776   TRIHEXYPHENIDYL TAB 5MG       13.72     13.72   014170   01 PHARMACY REV
75038042   TRILISATE 500MG/5ML LIQ        14.1      14.1   014170   01 PHARMACY REV
75038018   TRIMETHOPRIM 100MG TAB        14.36     14.36   014170   01 PHARMACY REV
75097030   TROPICAMIDE 1% OPT SL 3ML        50        50   014170   01 PHARMACY REV
75065474   TUBERCULN SKIN TEST INTRA    104.76    104.76   014170   01 PHARMACY REV
75069047   TUBOCURARINE 30MG IJ           69.5      69.5   014170   01 PHARMACY REV
75088310   TUCKS PADS 40                 25.18     25.18   014170   01 PHARMACY REV
75079384   UREA OINT 30GM                134.1     134.1   014170   01 PHARMACY REV
75040204   URISED TAB                    14.14     14.14   014170   01 PHARMACY REV
75046003   UROKINASE 250K IU IJ        1181.56   1181.56   014170   01 PHARMACY REV
75000257   URSODIOL 300MG CAP            20.78     20.78   014170   01 PHARMACY REV
75053546   VALPROATE 500MG IJ VIAL      129.92    129.92   014170   01 PHARMACY REV
75008573   VALPROIC ACID 250MG           17.32     17.32   014170   01 PHARMACY REV
75008581   VALPROIC ACID 250MG/5ML        29.6      29.6   014170   01 PHARMACY REV
75042226   VALSARTAN 160MG CAP           16.04     16.04   014170   01 PHARMACY REV
75042218   VALSARTAN 80MG CAP             15.8      15.8   014170   01 PHARMACY REV
75041368   VANCOMYCIN 125MG CAP          27.12     27.12   014170   01 PHARMACY REV
75041830   VANCOMYCIN 125MG/2.5ML LQ     20.88     20.88   014170   01 PHARMACY REV
75041574   VANCOMYCIN 1GM ORAL SUSP     179.12    179.12   014170   01 PHARMACY REV
75069146   VANCOMYCIN 1GM VIAL          114.12    114.12   014170   01 PHARMACY REV
75041384   VANCOMYCIN 250 MG CAP         41.26     41.26   014170   01 PHARMACY REV
75069443   VANCOMYCIN 500MG INJ VIAL    119.36    119.36   014170   01 PHARMACY REV
75068346   VARICELLA VACC                215.6     215.6   014170   01 PHARMACY REV
75065276   VASOPRESSIN 20U IJ            70.24     70.24   014170   01 PHARMACY REV
75064048   VECURONIUM 10MG IJ           124.32    124.32   014170   01 PHARMACY REV
75011619   VENLAFAXINE 37.5MG TAB         16.6      16.6   014170   01 PHARMACY REV
75042184   VENLAFAXINE 50MG TAB          16.88     16.88   014170   01 PHARMACY REV
75042192   VENLAFAXINE 75MG TAB          16.94     16.94   014170   01 PHARMACY REV
75042291   VENLAFAXINE XR 150MG CAP       20.1      20.1   014170   01 PHARMACY REV
75042275   VENLAFAXINE XR 37.5MG CAP     18.82     18.82   014170   01 PHARMACY REV
75042283   VENLAFAXINE XR 75MG CAP       19.52     19.52   014170   01 PHARMACY REV
75041319   VERAPAMIL 120MG TAB           16.02     16.02   014170   01 PHARMACY REV
75041228   VERAPAMIL 240MG TAB          17.16     17.16   014170   01 PHARMACY REV
75041657   VERAPAMIL 40MG TAB           14.06     14.06   014170   01 PHARMACY REV
75069526   VERAPAMIL 5MG INJ VIAL       98.06     98.06   014170   01 PHARMACY REV
75041293   VERAPAMIL 80MG TAB           14.52     14.52   014170   01 PHARMACY REV
75041749   VERAPAMIL HCL 180MG TAB      16.44     16.44   014170   01 PHARMACY REV
75069476   VINBLASTINE 10MG IJ         117.26    117.26   014170   01 PHARMACY REV
75069591   VINCRISTINE 1MG IJ           508.5     508.5   014170   01 PHARMACY REV
75069609   VINCRISTINE 2MG IJ           521.5     521.5   014170   01 PHARMACY REV
75042200   VINORELBINE/10MG IJ        1640.28   1640.28   014170   01 PHARMACY REV
75041640   VIOKASE 325MG TAB            13.82     13.82   014170   01 PHARMACY REV
75042010   VIT A CAP 10MU                13.1      13.1   014170   01 PHARMACY REV
75042028   VIT A CAP 25MU               13.24     13.24   014170   01 PHARMACY REV
75070045   VIT A&D OINT 15GM            29.68     29.68   014170   01 PHARMACY REV
75035212   VIT B CMPLX 600 TAB          13.34     13.34   014170   01 PHARMACY REV
75041756   VIT B CMPLX COM EX TAB       13.06     13.06   014170   01 PHARMACY REV
75024653   VIT B CMPLX TAB              13.34     13.34   014170   01 PHARMACY REV
75038034   VIT B&C FE CAP               13.68     13.68   014170   01 PHARMACY REV
75041848   VIT E CAP 100U               13.06     13.06   014170   01 PHARMACY REV
75041863   VIT E CAP 400U                13.1      13.1   014170   01 PHARMACY REV
75069120   VORICONAZOLE 200MG IJ       269.88    269.88   014170   01 PHARMACY REV
75006858   WARFARIN 10MG TAB            15.34     15.34   014170   01 PHARMACY REV
75006809   WARFARIN 1MG TAB              14.5      14.5   014170   01 PHARMACY REV
75006825   WARFARIN 2.5MG TAB           14.62     14.62   014170   01 PHARMACY REV
75006817   WARFARIN 2MG TAB             14.56     14.56   014170   01 PHARMACY REV
75006882   WARFARIN 3MG TAB             14.62     14.62   014170   01 PHARMACY REV
75006767   WARFARIN 4MG TAB             14.62     14.62   014170   01 PHARMACY REV
75006833   WARFARIN 5MG TAB             14.68     14.68   014170   01 PHARMACY REV
75006981   WARFARIN 6MG TAB             15.18     15.18   014170   01 PHARMACY REV
75006841   WARFARIN 7.5MG TAB           15.24     15.24   014170   01 PHARMACY REV
75058578   WATER 10ML VIAL               2.32      2.32   014170   01 PHARMACY REV
75089912   XAP (ZAP) SOLUTION APPL.      54.2      54.2   014170   01 PHARMACY REV
75001719   ZAFIRLUKAST 20MG TAB         15.68     15.68   014170   01 PHARMACY REV
75032250   ZIDOVUDINE CAP 100MG          17.1      17.1   014170   01 PHARMACY REV
75090068   ZINC OX OINT                    29        29   014170   01 PHARMACY REV
75045146   ZINC SO4 220MG CAP           13.12     13.12   014170   01 PHARMACY REV
75045369 ZIPRASIDONE 20MG CAP            23.3      23.3   014170   01 PHARMACY REV
75045377 ZIPRASIDONE 40MG CAP            23.3      23.3   014170   01 PHARMACY REV
75068247 ZOLEDRONIC ACID 4MG INJ      2009.22   2009.22   014170   01 PHARMACY REV
75045278 ZOLPIDEM TART 10MG TAB         30.62     30.62   014170   01 PHARMACY REV
75045260 ZOLPIDEM TART 5MG TAB           29.8      29.8   014170   01 PHARMACY REV
75069054 ZOSYN 2.25GM IJ VL            124.66    124.66   014170   01 PHARMACY REV
75069062 ZOSYN 3.375GM IJ VL           135.98    135.98   014170   01 PHARMACY REV
42001575 PT ADL TRAIN ADD 15           136.85    136.85   014200   01 PHYSICAL THERAPY REV
42001824 PT ADL TRAIN EA 15            136.85    136.85   014200   01 PHYSICAL THERAPY REV
42001576 PT ADL TRAIN INIT 30           273.6     273.6   014200   01 PHYSICAL THERAPY REV
42001831 PT BURN DSG / DEBRIDE LG       252.6     252.6   014200   01 PHYSICAL THERAPY REV
42001832 PT BURN DSG / DEBRIDE MED     189.45    189.45   014200   01 PHYSICAL THERAPY REV
42001833 PT BURN DSG / DEBRIDE SM       126.3     126.3   014200   01 PHYSICAL THERAPY REV
42001825 PT DEBRIDE SEL<=20CM 15MN      126.3     126.3   014200   01 PHYSICAL THERAPY REV
442001827 PT DEBRIDE SEL<=20CM 30MN     378.9     378.9   014200   01 PHYSICAL THERAPY REV
42001827 PT DEBRIDE SEL<=20CM 30MN      252.6     252.6   014200   01 PHYSICAL THERAPY REV
42001829 PT DEBRIDE SEL<=20CM 60MN      515.2     515.2   014200   01 PHYSICAL THERAPY REV
42001826 PT DEBRIDE SEL>20CM 15MN      189.45    189.45   014200   01 PHYSICAL THERAPY REV
42001828 PT DEBRIDE SEL>20CM 30MN       378.9     378.9   014200   01 PHYSICAL THERAPY REV
42001830 PT DEBRIDE SEL>20CM 60MN      772.95    772.95   014200   01 PHYSICAL THERAPY REV
42001588 PT DEBRIDE/DRESS ADD 15       136.85    136.85   014200   01 PHYSICAL THERAPY REV
42001589 PT DEBRIDE/DRESS INIT 30       273.6     273.6   014200   01 PHYSICAL THERAPY REV
42001562 PT E-STIM ADD 15              166.95    166.95   014200   01 PHYSICAL THERAPY REV
42001542 PT E-STIM EA 15               136.85    136.85   014200   01 PHYSICAL THERAPY REV
42001573 PT E-STIM MANUAL ADD 15       136.85    136.85   014200   01 PHYSICAL THERAPY REV
42001574 PT E-STIM MANUAL INIT 30       273.6     273.6   014200   01 PHYSICAL THERAPY REV
42001590 PT E-STIM SUP INIT 30          331.9     331.9   014200   01 PHYSICAL THERAPY REV
42001555 PT E-STIM SUPERVISED 15       166.95    166.95   014200   01 PHYSICAL THERAPY REV
42001539 PT E-STIM SUPERVISED 30        331.9     331.9   014200   01 PHYSICAL THERAPY REV
42001556 PT EVAL 15                    136.85    136.85   014200   01 PHYSICAL THERAPY REV
42001557 PT EVAL 30                     273.3     273.3   014200   01 PHYSICAL THERAPY REV
42001819 PT EVAL 45                    410.05    410.05   014200   01 PHYSICAL THERAPY REV
42001564 PT EVAL ADD 15                136.85    136.85   014200   01 PHYSICAL THERAPY REV
42001591 PT EVAL INIT 30                273.6     273.6   014200   01 PHYSICAL THERAPY REV
42001566 PT GAIT TRAIN ADD 15          136.85    136.85   014200   01 PHYSICAL THERAPY REV
42001549   PT GAIT TRAIN EA 15         136.85   136.85   014200   01 PHYSICAL THERAPY REV
42001558   PT GAIT TRAIN INIT 30        273.6    273.6   014200   01 PHYSICAL THERAPY REV
42001550   PT MANUAL THER EA 15        136.85   136.85   014200   01 PHYSICAL THERAPY REV
42001577   PT MANUAL TRACT ADD 15      136.85   136.85   014200   01 PHYSICAL THERAPY REV
42001578   PT MANUAL TRACT INIT 30      273.6    273.6   014200   01 PHYSICAL THERAPY REV
42001567   PT NEUROMUSC REED ADD 15    136.85   136.85   014200   01 PHYSICAL THERAPY REV
42001548   PT NEUROMUSC REED EA 15     136.85   136.85   014200   01 PHYSICAL THERAPY REV
42001559   PT NEUROMUSC REED INIT 30    273.6    273.6   014200   01 PHYSICAL THERAPY REV
42001580   PT RE-EVAL 15               136.85   136.85   014200   01 PHYSICAL THERAPY REV
42001581   PT RE-EVAL 30                273.6    273.6   014200   01 PHYSICAL THERAPY REV
42001582   PT RE-EVAL 45                410.4    410.4   014200   01 PHYSICAL THERAPY REV
42001583   PT RE-EVAL ADD 15           136.85   136.85   014200   01 PHYSICAL THERAPY REV
42001584   PT RE-EVAL INIT 30           273.6    273.6   014200   01 PHYSICAL THERAPY REV
42001568   PT THER EX ADD 15           136.85   136.85   014200   01 PHYSICAL THERAPY REV
42001547   PT THER EX EA 15            136.85   136.85   014200   01 PHYSICAL THERAPY REV
42001560   PT THER EX INIT 30           273.6    273.6   014200   01 PHYSICAL THERAPY REV
42001569   PT THER MASSAGE ADD 15      136.85   136.85   014200   01 PHYSICAL THERAPY REV
42001551   PT THER MASSAGE EA 15       136.85   136.85   014200   01 PHYSICAL THERAPY REV
42001561   PT THER MASSAGE INIT 30      273.6    273.6   014200   01 PHYSICAL THERAPY REV
42001570   PT ULTRASOUND ADD 15        136.85   136.85   014200   01 PHYSICAL THERAPY REV
42001545   PT ULTRASOUND EA 15         136.85   136.85   014200   01 PHYSICAL THERAPY REV
42001579   PT ULTRASOUND INIT 30        273.6    273.6   014200   01 PHYSICAL THERAPY REV
42001821   PT WHIRLPOOL 15              331.9    331.9   014200   01 PHYSICAL THERAPY REV
42001822   PT WHIRLPOOL 30              558.8    558.8   014200   01 PHYSICAL THERAPY REV
42001571   PT WHIRLPOOL SUP ADD 15      331.9    331.9   014200   01 PHYSICAL THERAPY REV
42001572   PT WHIRLPOOL SUP INIT 30     558.8    558.8   014200   01 PHYSICAL THERAPY REV
40806219   CO DIFFUSING CAPACITY       542.85   542.85   014080   01 PULMONARY FUNCTION REV
40806192   NITROGEN WASHOUT             401.9    401.9   014080   01 PULMONARY FUNCTION REV
40806220   RESP FLOW VOLUME LOOP        401.9    401.9   014080   01 PULMONARY FUNCTION REV
40806243   SPIROMETRY                   385.9    385.9   014080   01 PULMONARY FUNCTION REV
40806184   SPIROMETRY PRE/POST BD      644.05   644.05   014080   01 PULMONARY FUNCTION REV
40806244   VITAL CAPACITY               385.9    385.9   014080   01 PULMONARY FUNCTION REV
44120003   PULSE OXIMETRY MULTIPLE       94.6     94.6   014412   01 PULMONARY REHAB REV
44120010   S STRL ACAPELLA DVC DISP     77.75    77.75   014412   01 PULMONARY REHAB REV
44120002   THER PROC STRNTH/ENDR 15M   115.35   115.35   014412   01 PULMONARY REHAB REV
44120030   THERAPEUTIC PROCEDURE 15M    115.35    115.35   014412   01 PULMONARY REHAB REV
41529110   MR 3D RECONSTRUCTION         828.35    828.35   014150   01 RADIATION ONCOLOGY REV
41527078   RO APLY INTRACV RAD CMPLX    2652.5    2652.5   014150   01 RADIATION ONCOLOGY REV
41527002   RO APLY INTRACV RAD INTRM   3083.55   3083.55   014150   01 RADIATION ONCOLOGY REV
41527000   RO APLY INTRACV RAD SMPL       2070      2070   014150   01 RADIATION ONCOLOGY REV
41527033   RO APLY SURFACE RAD          514.25    514.25   014150   01 RADIATION ONCOLOGY REV
41527076   RO BRACHY DOSE PLAN CMPLX    2255.1    2255.1   014150   01 RADIATION ONCOLOGY REV
41528746   RO BRACHY DOSE PLAN INTRM      2654      2654   014150   01 RADIATION ONCOLOGY REV
41528720   RO BRACHY DOSE PLAN SMPL     1976.6    1976.6   014150   01 RADIATION ONCOLOGY REV
41527079   RO BRACHY HI INT 1-4CATH     1278.9    1278.9   014150   01 RADIATION ONCOLOGY REV
41527080   RO BRACHY HI INT 5-8CATH    1342.95   1342.95   014150   01 RADIATION ONCOLOGY REV
41527081   RO BRACHY HI INT 9-12CATH   1435.75   1435.75   014150   01 RADIATION ONCOLOGY REV
41528738   RO CONSULT CONT MED PHYSC    812.35    812.35   014150   01 RADIATION ONCOLOGY REV
41527082   RO DOSIMETRY SPECIAL          94.55     94.55   014150   01 RADIATION ONCOLOGY REV
41528688   RO DVCS CONSTRUCT CMPLX      1402.3    1402.3   014150   01 RADIATION ONCOLOGY REV
41527083   RO DVCS CONSTRUCT INTRM       615.7     615.7   014150   01 RADIATION ONCOLOGY REV
41528845   RO DVCS CONSTRUCT SMPL       560.95    560.95   014150   01 RADIATION ONCOLOGY REV
41527098   RO GUIDE RAD TX FIELDS          489       489   014150   01 RADIATION ONCOLOGY REV
41527100   RO IMRT DLVR EA SESSION      1845.1    1845.1   014150   01 RADIATION ONCOLOGY REV
41527099   RO IMRT PLAN                5535.35   5535.35   014150   01 RADIATION ONCOLOGY REV
41528886   RO ISODOSE PLAN CMPLX          2514      2514   014150   01 RADIATION ONCOLOGY REV
41528613   RO ISODOSE PLAN INTRM       1258.15   1258.15   014150   01 RADIATION ONCOLOGY REV
41528605   RO ISODOSE PLAN SMPL          769.2     769.2   014150   01 RADIATION ONCOLOGY REV
41527088   RO LEVEL 1 EST PATIENT        34.65     34.65   014150   01 RADIATION ONCOLOGY REV
41527093   RO LEVEL 1 NEW PATIENT        34.65     34.65   014150   01 RADIATION ONCOLOGY REV
41527089   RO LEVEL 2 EST PATIENT        69.25     69.25   014150   01 RADIATION ONCOLOGY REV
41527094   RO LEVEL 2 NEW PATIENT        69.25     69.25   014150   01 RADIATION ONCOLOGY REV
41527090   RO LEVEL 3 EST PATIENT       103.85    103.85   014150   01 RADIATION ONCOLOGY REV
41527095   RO LEVEL 3 NEW PATIENT       103.85    103.85   014150   01 RADIATION ONCOLOGY REV
41527091   RO LEVEL 4 EST PATIENT       138.45    138.45   014150   01 RADIATION ONCOLOGY REV
41527096   RO LEVEL 4 NEW PATIENT       138.45    138.45   014150   01 RADIATION ONCOLOGY REV
41527092   RO LEVEL 5 EST PATIENT          173       173   014150   01 RADIATION ONCOLOGY REV
41527097   RO LEVEL 5 NEW PATIENT          173       173   014150   01 RADIATION ONCOLOGY REV
41529111   RO LINEAR ACC STER RS PLN   5201.15   5201.15   014150   01 RADIATION ONCOLOGY REV
41527001   RO LOADING RAD SOURCE        514.25    514.25   014150   01 RADIATION ONCOLOGY REV
41528894   RO RAD PORT FILM(S)          327.55    327.55   014150   01 RADIATION ONCOLOGY REV
41527021   RO RAD TX 2 AREA 11-19MEV     959.5     959.5   014150   01 RADIATION ONCOLOGY REV
41527086   RO RAD TX 2 AREA 1-5MEV       271.6     271.6   014150   01 RADIATION ONCOLOGY REV
41527087   RO RAD TX 2 AREA 6-10MEV      607.6     607.6   014150   01 RADIATION ONCOLOGY REV
41527025   RO RAD TX 3/MORE 11-19MEV   1123.25   1123.25   014150   01 RADIATION ONCOLOGY REV
41527084   RO RAD TX 3/MORE 1-5MEV      433.85    433.85   014150   01 RADIATION ONCOLOGY REV
41527024   RO RAD TX 3/MORE 6-10MEV     968.75    968.75   014150   01 RADIATION ONCOLOGY REV
41527017   RO RAD TX SNGL 11-19MEV      679.25    679.25   014150   01 RADIATION ONCOLOGY REV
41527085   RO RAD TX SNGL 1-5MEV        247.15    247.15   014150   01 RADIATION ONCOLOGY REV
41527016   RO RAD TX SNGL 6-10MEV       503.95    503.95   014150   01 RADIATION ONCOLOGY REV
41528704   RO RADIAT DOSIMETRY CALC     397.25    397.25   014150   01 RADIATION ONCOLOGY REV
41527102   RO RADIATION FIELD PLACE      510.9     510.9   014150   01 RADIATION ONCOLOGY REV
41527077   RO RADIATION PHYSICS CNSL    377.85    377.85   014150   01 RADIATION ONCOLOGY REV
41529109   RO RADIOSRGRY CMPLT TX       1845.1    1845.1   014150   01 RADIATION ONCOLOGY REV
41529112   RO RADIOSRGRY TX EA SESSN   1733.75   1733.75   014150   01 RADIATION ONCOLOGY REV
41529108   RO SIMULATION 3D            12075.1   12075.1   014150   01 RADIATION ONCOLOGY REV
41528902   RO SIMULATION CMPLX          1710.2    1710.2   014150   01 RADIATION ONCOLOGY REV
41528589   RO SIMULATION INTRM          1284.7    1284.7   014150   01 RADIATION ONCOLOGY REV
41528571   RO SIMULATION SMPL           854.75    854.75   014150   01 RADIATION ONCOLOGY REV
41529033   RO SPECIAL PORT PLAN BODY    3132.1    3132.1   014150   01 RADIATION ONCOLOGY REV
41529082   RO SPECIAL TX PROCEDURE      2429.8    2429.8   014150   01 RADIATION ONCOLOGY REV
41527101   RO US BREAST UNI OR BIL     1122.45   1122.45   014150   01 RADIATION ONCOLOGY REV
41527074   S STRL NU GEL 03696           27.15     27.15   014150   01 RADIATION ONCOLOGY REV
41527075   S STRL NU GEL 03697            52.1      52.1   014150   01 RADIATION ONCOLOGY REV
41418647   CON CYSTOGRAF 300ML            70.4      70.4   014140   01 RADIOLOGY REV
41418655   CON NI 100S 20ML              162.2     162.2   014140   01 RADIOLOGY REV
41418656   CON NI 200S 10ML             157.85    157.85   014140   01 RADIOLOGY REV
41418651   CON NI 300S 100ML             132.9     132.9   014140   01 RADIOLOGY REV
41418657   CON NI 300S 10ML             157.85    157.85   014140   01 RADIOLOGY REV
41401204   CON NI 300S 125ML            181.25    181.25   014140   01 RADIOLOGY REV
41418654   CON NI 300S 200ML             243.9     243.9   014140   01 RADIOLOGY REV
41418653   CON NI 300S 250ML             388.8     388.8   014140   01 RADIOLOGY REV
41418652   CON NI 300S 50ML               80.1      80.1   014140   01 RADIOLOGY REV
4140110    CT GUIDE NDL PLACEMENT        811.9     811.9   014140   01 RADIOLOGY REV
41406737   IR FLUORO 1-2 HRS             982.1     982.1   014140   01 RADIOLOGY REV
414050     IRC Chng GT Tube            1071.05   1071.05   014140   01 RADIOLOGY REV
41406547   S STRL LONG SPINAL NEEDLE     101.5     101.5   014140   01 RADIOLOGY REV
45502552   US Ndl Place                 170.45    170.45   014140   01 RADIOLOGY REV
41402355   XR Abd 1V AP                 484.25    484.25   014140   01 RADIOLOGY REV
41402363   XR Abd Cmpl Decub Erect       676.6     676.6   014140   01 RADIOLOGY REV
40407012   XR ABD CMPL W 1V CHEST       1152.6    1152.6   014140   01 RADIOLOGY REV
41401936   XR Abscss Fist Sin Tract     632.35    632.35   014140   01 RADIOLOGY REV
41403288   XR AC Jnt                     581.1     581.1   014140   01 RADIOLOGY REV
41406483   XR Ankle 2V                  706.05    706.05   014140   01 RADIOLOGY REV
41406484   XR Ankle 2V                  706.05    706.05   014140   01 RADIOLOGY REV
41406450   XR Ankle 3V Or More           581.1     581.1   014140   01 RADIOLOGY REV
41406452   XR Ankle 3V Or More          1162.1    1162.1   014140   01 RADIOLOGY REV
41406451   XR Ankle 3V Or More           581.1     581.1   014140   01 RADIOLOGY REV
4140109    XR Arthro Hip                917.15    917.15   014140   01 RADIOLOGY REV
41401902   XR Arthro Knee               1173.6    1173.6   014140   01 RADIOLOGY REV
41402397   XR BE                        1632.3    1632.3   014140   01 RADIOLOGY REV
41402405   XR BE W Air Con              1807.2    1807.2   014140   01 RADIOLOGY REV
41402349   XR Bone Length Stdy           773.9     773.9   014140   01 RADIOLOGY REV
41402348   XR Bone Survey Cmpl         2168.55   2168.55   014140   01 RADIOLOGY REV
41406545   XR Bone Survey Inf           841.35    841.35   014140   01 RADIOLOGY REV
41406476   XR Calcaneous 2V Or More      581.1     581.1   014140   01 RADIOLOGY REV
41406477   XR Calcaneous 2V Or More      581.1     581.1   014140   01 RADIOLOGY REV
41406478   XR Calcaneous 2V Or More     1162.1    1162.1   014140   01 RADIOLOGY REV
41402132   XR Chest 1V                     476       476   014140   01 RADIOLOGY REV
41402140   XR Chest 2V                   772.9     772.9   014140   01 RADIOLOGY REV
41406380   XR Chest 4V Cmpl             1724.4    1724.4   014140   01 RADIOLOGY REV
41406398   XR CHEST SPECIAL V EA           476       476   014140   01 RADIOLOGY REV
414096     XR Chol EXISTING Cath        478.85    478.85   014140   01 RADIOLOGY REV
41402497   XR Chol In OR                1423.6    1423.6   014140   01 RADIOLOGY REV
41402454   XR Cholecystogram Oral        909.7     909.7   014140   01 RADIOLOGY REV
41406464   XR Clavicle Cmpl                419       419   014140   01 RADIOLOGY REV
41406465   XR Clavicle Cmpl                419       419   014140   01 RADIOLOGY REV
41406466   XR Clavicle Cmpl              837.9     837.9   014140   01 RADIOLOGY REV
41403403   XR Cystogram 3V Or More      521.45    521.45   014140   01 RADIOLOGY REV
41403593   XR DENTAL PARTIAL EXAM        323.5     323.5   014140   01 RADIOLOGY REV
41406445   XR Elbow 2V                  567.55    567.55   014140   01 RADIOLOGY REV
41406446   XR Elbow 2V                 1135.05   1135.05   014140   01 RADIOLOGY REV
41406444   XR Elbow 2V                  567.55    567.55   014140   01 RADIOLOGY REV
47309596   XR Epidurogram               876.85    876.85   014140   01 RADIOLOGY REV
41406125   XR ERCP Bili Panc Duct       1429.9    1429.9   014140   01 RADIOLOGY REV
41402413   XR Esoph                     1166.3    1166.3   014140   01 RADIOLOGY REV
41406538   XR Ext Inf Low Les 1Yr        641.6     641.6   014140   01 RADIOLOGY REV
41406540   XR Ext Inf Low Les 1Yr        641.6     641.6   014140   01 RADIOLOGY REV
41406536   XR Ext Inf Upp Les 1Yr        641.6     641.6   014140   01 RADIOLOGY REV
41406537   XR Ext Inf Upp Les 1Yr        641.6     641.6   014140   01 RADIOLOGY REV
41404278   XR Eye For FB                  98.4      98.4   014140   01 RADIOLOGY REV
41402306   XR Facial Bone 3V Or More    1222.5    1222.5   014140   01 RADIOLOGY REV
41402304   XR Facial Bone Les 3V         520.8     520.8   014140   01 RADIOLOGY REV
41406459   XR Femur 2V                  758.35    758.35   014140   01 RADIOLOGY REV
41406460   XR Femur 2V                  758.35    758.35   014140   01 RADIOLOGY REV
41406461   XR Femur 2V                 1516.65   1516.65   014140   01 RADIOLOGY REV
41406546   XR Finger(s) 2V Or More       312.7     312.7   014140   01 RADIOLOGY REV
41406542   XR Finger(s) 2V Or More       312.7     312.7   014140   01 RADIOLOGY REV
41418658   XR FLUORO 1HR OR LES         484.25    484.25   014140   01 RADIOLOGY REV
47309598   XR Fluoro Guide Spine Inj     614.3     614.3   014140   01 RADIOLOGY REV
41407014   XR FLUORO NDL PLACE           982.1     982.1   014140   01 RADIOLOGY REV
41406495   XR Foot 2V                   706.05    706.05   014140   01 RADIOLOGY REV
41406524   XR Foot 2V                  1411.95   1411.95   014140   01 RADIOLOGY REV
41406496   XR Foot 2V                   706.05    706.05   014140   01 RADIOLOGY REV
41406428   XR Foot 3V or More            581.1     581.1   014140   01 RADIOLOGY REV
41406429   XR Foot 3V or More            581.1     581.1   014140   01 RADIOLOGY REV
41406430   XR Foot 3V or More           1162.1    1162.1   014140   01 RADIOLOGY REV
41406475   XR Forearm 2V               1094.15   1094.15   014140   01 RADIOLOGY REV
41406474   XR Forearm 2V                 547.1     547.1   014140   01 RADIOLOGY REV
41406473   XR Forearm 2V                 547.1     547.1   014140   01 RADIOLOGY REV
414099     XR GI Tube Insert Long       521.45    521.45   014140   01 RADIOLOGY REV
41407001   XR HAND 2V                   234.85    234.85   014140   01 RADIOLOGY REV
41407000   XR HAND 2V                   234.85    234.85   014140   01 RADIOLOGY REV
41406415   XR Hand 3V Or More           563.65    563.65   014140   01 RADIOLOGY REV
41406416   XR Hand 3V Or More          1127.15   1127.15   014140   01 RADIOLOGY REV
41406422   XR Hand 3V Or More           563.65    563.65   014140   01 RADIOLOGY REV
41406463   XR Hip Uni 2V Or More        700.15    700.15   014140   01 RADIOLOGY REV
41406462   XR Hip Uni 2V Or More        700.15    700.15   014140   01 RADIOLOGY REV
41406535   XR Hip Uni 2V Or More       1400.15   1400.15   014140   01 RADIOLOGY REV
41418661   XR HIPS BIL 2V W PELV       1947.25   1947.25   014140   01 RADIOLOGY REV
41406470   XR Humerus 2V Or More         581.1     581.1   014140   01 RADIOLOGY REV
41406471   XR Humerus 2V Or More         581.1     581.1   014140   01 RADIOLOGY REV
41406472   XR Humerus 2V Or More        1162.1    1162.1   014140   01 RADIOLOGY REV
4140108    XR Intraluminal Dilate      1352.95   1352.95   014140   01 RADIOLOGY REV
41403445   XR IVP W Nephrotomogram      1979.2    1979.2   014140   01 RADIOLOGY REV
41407008   XR IVP W-W/O TOMOGRAM        1829.1    1829.1   014140   01 RADIOLOGY REV
41406453   XR Knee 1 Or 2V               644.2     644.2   014140   01 RADIOLOGY REV
41406454   XR Knee 1 Or 2V               644.2     644.2   014140   01 RADIOLOGY REV
41406455   XR Knee 1 Or 2V             1288.35   1288.35   014140   01 RADIOLOGY REV
41407003   XR KNEE 3V                    644.2     644.2   014140   01 RADIOLOGY REV
41407002   XR KNEE 3V                    644.2     644.2   014140   01 RADIOLOGY REV
41407011   XR KNEE 3V                   1288.4    1288.4   014140   01 RADIOLOGY REV
41407010   XR KNEE 3V                    644.2     644.2   014140   01 RADIOLOGY REV
41407009   XR KNEE 3V                    644.2     644.2   014140   01 RADIOLOGY REV
41407004   XR KNEE 3V                   1288.4    1288.4   014140   01 RADIOLOGY REV
41407007   XR KNEE 4V OR MORE            644.2     644.2   014140   01 RADIOLOGY REV
41407005   XR KNEE 4V OR MORE            644.2     644.2   014140   01 RADIOLOGY REV
41407006   XR KNEE 4V OR MORE           1288.4    1288.4   014140   01 RADIOLOGY REV
41402298   XR Mandible 4V Or More       780.45    780.45   014140   01 RADIOLOGY REV
41402297   XR Mandible Les 4V            645.9     645.9   014140   01 RADIOLOGY REV
41402314   XR Nasal Bones 3V Or More    659.15    659.15   014140   01 RADIOLOGY REV
4140100    XR Nec Soft Tissue            213.8     213.8   014140   01 RADIOLOGY REV
41402330   XR Orbits 4V Or More         894.95    894.95   014140   01 RADIOLOGY REV
41402181   XR Pelv 1 Or 2V               547.1     547.1   014140   01 RADIOLOGY REV
4140107    XR Pelv Hip 2V Inf Chld       276.4     276.4   014140   01 RADIOLOGY REV
41402546   XR Pelvimetry                 892.1     892.1   014140   01 RADIOLOGY REV
41402157   XR Ribs Bil W PA CXR         1084.6    1084.6   014140   01 RADIOLOGY REV
41418659   XR Ribs Uni & PA Chest      1204.95   1204.95   014140   01 RADIOLOGY REV
41406479   XR Ribs Uni 2V               729.05    729.05   014140   01 RADIOLOGY REV
41406480   XR Ribs Uni 2V               729.05    729.05   014140   01 RADIOLOGY REV
41402264   XR Sacrum Coccyx 2 V More       652       652   014140   01 RADIOLOGY REV
41406467   XR Scapula Cmpl              506.35    506.35   014140   01 RADIOLOGY REV
41406468   XR Scapula Cmpl              506.35    506.35   014140   01 RADIOLOGY REV
41406469   XR Scapula Cmpl             1012.55   1012.55   014140   01 RADIOLOGY REV
41406449   XR Shoulder 2V Or More      1012.55   1012.55   014140   01 RADIOLOGY REV
41406448   XR Shoulder 2V Or More       506.35    506.35   014140   01 RADIOLOGY REV
41406447   XR Shoulder 2V Or More       506.35    506.35   014140   01 RADIOLOGY REV
41402262   XR SI Jnt 3V Or More          666.6     666.6   014140   01 RADIOLOGY REV
41403973   XR Sin Para 3V Or More       1425.1    1425.1   014140   01 RADIOLOGY REV
41402272   XR Skull Les 4V             1168.75   1168.75   014140   01 RADIOLOGY REV
4140102    XR Sm Bowel Enteroclysis     700.85    700.85   014140   01 RADIOLOGY REV
41403452   XR Sm Bowel Series           1183.6    1183.6   014140   01 RADIOLOGY REV
41401308   XR Specimen Surgical         354.95    354.95   014140   01 RADIOLOGY REV
4140105    XR Spine C 4V & Flex/Ext    1402.45   1402.45   014140   01 RADIOLOGY REV
41402215   XR Spine Cerv 2-3V              974       974   014140   01 RADIOLOGY REV
4140106    XR Spine Cerv 4V Or More    1168.75   1168.75   014140   01 RADIOLOGY REV
41402249   XR Spine Lumb 2-3V           780.45    780.45   014140   01 RADIOLOGY REV
41402256   XR Spine Lumb 4V Or More     1142.9    1142.9   014140   01 RADIOLOGY REV
41406307   XR Spine Sngl V Cerv          547.1     547.1   014140   01 RADIOLOGY REV
41418660   XR SPINE SNGL V THOR         514.05    514.05   014140   01 RADIOLOGY REV
41402231   XR Spine Thor 3V             790.15    790.15   014140   01 RADIOLOGY REV
41406936   XR Spine Thor Lumb 2V         290.6     290.6   014140   01 RADIOLOGY REV
41402165   XR Sternum 2V Or More        425.85    425.85   014140   01 RADIOLOGY REV
41406457   XR Tibia Fibula 2V            641.6     641.6   014140   01 RADIOLOGY REV
41406458   XR Tibia Fibula 2V           1283.1    1283.1   014140   01 RADIOLOGY REV
41406456   XR Tibia Fibula 2V            641.6     641.6   014140   01 RADIOLOGY REV
41402321   XR TMJ Bil                   812.25    812.25   014140   01 RADIOLOGY REV
41402322   XR TMJ Uni                    725.8     725.8   014140   01 RADIOLOGY REV
41406544   XR Toe(s) 2V Or More         451.15    451.15   014140   01 RADIOLOGY REV
41406543   XR Toe(s) 2V Or More         451.15    451.15   014140   01 RADIOLOGY REV
41402736   XR Tomogram                 1545.15   1545.15   014140   01 RADIOLOGY REV
4140103    XR Tube Cath Chng            1028.4    1028.4   014140   01 RADIOLOGY REV
41403585   XR UGI W Air Con KUB         1723.7    1723.7   014140   01 RADIOLOGY REV
41402389   XR UGI W Air Con Sm Bowel    2068.9    2068.9   014140   01 RADIOLOGY REV
4140104    XR Urethrocystogram          666.65    666.65   014140   01 RADIOLOGY REV
41403395   XR Urethrocystogram Void      706.6     706.6   014140   01 RADIOLOGY REV
414098     XR Urogram Antegrade         623.95    623.95   014140   01 RADIOLOGY REV
41402629   XR Urogram Retro            1047.35   1047.35   014140   01 RADIOLOGY REV
41401266   XR Venogram Ext Bil          1028.4    1028.4   014140   01 RADIOLOGY REV
41406482   XR Venogram Ext Uni           672.4     672.4   014140   01 RADIOLOGY REV
41406481   XR Venogram Ext Uni           672.4     672.4   014140   01 RADIOLOGY REV
41406516   XR Wrist 2V                  688.55    688.55   014140   01 RADIOLOGY REV
41406515   XR Wrist 2V                  688.55    688.55   014140   01 RADIOLOGY REV
41406533   XR Wrist 2V                 1376.85   1376.85   014140   01 RADIOLOGY REV
41406441   XR Wrist 3V Or More          563.65    563.65   014140   01 RADIOLOGY REV
41406442   XR Wrist 3V Or More          563.65    563.65   014140   01 RADIOLOGY REV
41406443   XR Wrist 3V Or More         1127.15   1127.15   014140   01 RADIOLOGY REV
41405      XRC Inj Arthro Hip           1270.5    1270.5   014140   01 RADIOLOGY REV
41406      XRC Inj Arthro Knee          917.15    917.15   014140   01 RADIOLOGY REV
414057     XRC Inj Chol Via Cath       1071.05   1071.05   014140   01 RADIOLOGY REV
414081     XRC Inj Cysto VCUG            678.1     678.1   014140   01 RADIOLOGY REV
414018     XRC Inj EXT Venogram          831.9     831.9   014140   01 RADIOLOGY REV
414080     XRC Inj Ileal Conduit        860.25    860.25   014140   01 RADIOLOGY REV
40407013   XRC INJ MYELOGRAM           2107.25   2107.25   014140   01 RADIOLOGY REV
414097     XRC Inj Nephrogram           774.75    774.75   014140   01 RADIOLOGY REV
41404      XRC Inj Sinogram              615.4     615.4   014140   01 RADIOLOGY REV
414078     XRC Inj Uretero Pyelogram    740.75    740.75   014140   01 RADIOLOGY REV
414053     XRC Intro G Tube Long         495.7     495.7   014140   01 RADIOLOGY REV
414051     XRC Reposition G Tube        1891.4    1891.4   014140   01 RADIOLOGY REV
3180001    ROOM MED/SURG/GYN              2896      2896   013180   01 RECOVERY RESOURCES C
45110108   CPLX PACU ADD 15M             160.4     160.4   014027   01 RECOVERY REV
45110107   CPLX PACU FIRST 30M           641.5     641.5   014027   01 RECOVERY REV
45110119   GLUCOSE FINGERSTICK              73        73   014027   01 RECOVERY REV
45110112   INJ BLOOD PATCH               799.1     799.1   014027   01 RECOVERY REV
45110113   INJ EPID CERV THOR          1768.35   1768.35   014027   01 RECOVERY REV
45110111   INJ EPIDL L/S               1768.35   1768.35   014027   01 RECOVERY REV
45110115   INJ FACET L/S 1 LVL         1506.85   1506.85   014027   01 RECOVERY REV
45110120   INJ NRV BLK C SPINE         1768.35   1768.35   014027   01 RECOVERY REV
45110114   INJ NRV BLK PERIPH          1506.85   1506.85   014027   01 RECOVERY REV
45110118   INJECTION ANTIBIOTIC IM      113.25    113.25   014027   01 RECOVERY REV
45110116   INJECTION IM/SQ EA            75.85     75.85   014027   01 RECOVERY REV
45110117   INJECTION IV EA              102.95    102.95   014027   01 RECOVERY REV
4050068    OBS BLADDER IRRIG SMPL       232.35    232.35   014027   01 RECOVERY REV
4050073    OBS BLOOD TRANSFSN 2-4 HR   1278.65   1278.65   014027   01 RECOVERY REV
4050074    OBS BLOOD TRANSFSN 4-6 HR   1733.75   1733.75   014027   01 RECOVERY REV
4050075    OBS BLOOD TRANSFSN GT 6HR   2214.85   2214.85   014027   01 RECOVERY REV
4050072    OBS BLOOD TRANSFSN LT 2HR    883.15    883.15   014027   01 RECOVERY REV
4050071    OBS DECLOT VASC DEVICE       945.65    945.65   014027   01 RECOVERY REV
4050066    OBS EKG 12 LEAD TRACING      357.55    357.55   014027   01 RECOVERY REV
4050065    OBS INFUSN W/VASO 0-60 MN     523.3     523.3   014027   01 RECOVERY REV
4050069    OBS INS NON-TUN CV CATH5+   2177.85   2177.85   014027   01 RECOVERY REV
4050070    OBS INSERT CATH TMP SMPL     162.55    162.55   014027   01 RECOVERY REV
4050067    OBS VENIPUNCTURE                 41        41   014027   01 RECOVERY REV
4050064    OBSERVATION PER-HOUR          101.9     101.9   014027   01 RECOVERY REV
45110106   STND PACU LVL 1 ADD 15M      119.05    119.05   014027   01 RECOVERY REV
45110105   STND PACU LVL 1 FIRST 30M       748       748   014027   01 RECOVERY REV
45110110   STND PACU LVL 2 ADD 15M      130.35    130.35   014027   01 RECOVERY REV
45110109   STND PACU LVL 2 FIRST 30M    521.25    521.25   014027   01 RECOVERY REV
41807223   AEROSOL CIRCUIT CHANGE            0         0   014180   01 RESPIRATORY THERAPY REV
41807530   AEROSOL SYSTEM CHECK              0         0   014180   01 RESPIRATORY THERAPY REV
41807090   AEROSOL TX DEMO/EVAL          178.8     178.8   014180   01 RESPIRATORY THERAPY REV
41807548   AEROSOL TX SUBSQ             169.35    169.35   014180   01 RESPIRATORY THERAPY REV
41807140   ARTERIAL PUNCTURE            141.85    141.85   014180   01 RESPIRATORY THERAPY REV
41807513   BD CONTINUOUS INITIAL DAY     410.5     410.5   014180   01 RESPIRATORY THERAPY REV
41807515   BD CONTINUOUS SUBSQ DAY      294.15    294.15   014180   01 RESPIRATORY THERAPY REV
41807519   BIPAP INITIAL DAY            362.25    362.25   014180   01 RESPIRATORY THERAPY REV
41807506   BIPAP SUBSEQUENT DAY         735.75    735.75   014180   01 RESPIRATORY THERAPY REV
41807528   BIPAP SYSTEM CHECK                0         0   014180   01 RESPIRATORY THERAPY REV
41807157   BLD GASES W/02 SAT           602.45    602.45   014180   01 RESPIRATORY THERAPY REV
41807561   BRONCHOSOCOPY ASSIST              0         0   014180   01 RESPIRATORY THERAPY REV
41807158   CARBON MONOXIDE              101.25    101.25   014180   01 RESPIRATORY THERAPY REV
41807535   CARDIOVERT ELECTIVE EXT      529.55    529.55   014180   01 RESPIRATORY THERAPY REV
41807560   CODE BLUE HR SUBSEQ               0         0   014180   01 RESPIRATORY THERAPY REV
41807529   CONTINUOUS NEB ASSESSMENT         0         0   014180   01 RESPIRATORY THERAPY REV
41807531   CPAP INITIAL DAY             362.25    362.25   014180   01 RESPIRATORY THERAPY REV
41807505   CPAP SUBSEQUENT DAY               735.75    735.75   014180   01 RESPIRATORY THERAPY REV
41807527   C-PAP SYSTEM CHECK                     0         0   014180   01 RESPIRATORY THERAPY REV
41805391   CPR                               529.55    529.55   014180   01 RESPIRATORY THERAPY REV
41807534   CPT INITIAL                        171.2     171.2   014180   01 RESPIRATORY THERAPY REV
41805482   CPT SUBSEQUENT                    174.95    174.95   014180   01 RESPIRATORY THERAPY REV
41805032   END TIDAL CO2/HR                       0         0   014180   01 RESPIRATORY THERAPY REV
41807556   ET EXTUBATION ONLY                     0         0   014180   01 RESPIRATORY THERAPY REV
41805031   ETCO2 INIT DAY                    424.65    424.65   014180   01 RESPIRATORY THERAPY REV
41807549   ETCO2 SUBSQ DAY                   407.65    407.65   014180   01 RESPIRATORY THERAPY REV
41805367   HEAD HOOD OXYGEN INITIAL SETUP         0         0   014180   01 RESPIRATORY THERAPY REV
41807562   INDIRECT CAIOREMETRY                   0         0   014180   01 RESPIRATORY THERAPY REV
41807503   INHALATION TX PENTAMIDINE         207.15    207.15   014180   01 RESPIRATORY THERAPY REV
41807280   INTUBATION EMERGENCY               430.3     430.3   014180   01 RESPIRATORY THERAPY REV
41807207   IPPB CIRCUIT CHANGE                    0         0   014180   01 RESPIRATORY THERAPY REV
41807536   IPPB DEMO/EVAL                     253.5     253.5   014180   01 RESPIRATORY THERAPY REV
41807537   IPPB TX SUBSEQUENT                 253.5     253.5   014180   01 RESPIRATORY THERAPY REV
41806167   MDI/NEB DEMO/EVAL                  57.75     57.75   014180   01 RESPIRATORY THERAPY REV
41807539   MDI/NEB SUBSQ                      57.75     57.75   014180   01 RESPIRATORY THERAPY REV
41807524   MEDICAL ALERT                          0         0   014180   01 RESPIRATORY THERAPY REV
41807525   MEDICAL ALERT STANDBY                  0         0   014180   01 RESPIRATORY THERAPY REV
41807159   METHEMOGLOBIN                       60.6      60.6   014180   01 RESPIRATORY THERAPY REV
41805078   MIST TENT OXY INITIAL SETUP            0         0   014180   01 RESPIRATORY THERAPY REV
41807526   MIST TENT SYSTEM CHECK                 0         0   014180   01 RESPIRATORY THERAPY REV
41805540   NASAL CANNULA REPLACE                  0         0   014180   01 RESPIRATORY THERAPY REV
41805030   OXYGEN UPTAKE COMPLEX            1264.35   1264.35   014180   01 RESPIRATORY THERAPY REV
41807500   OXYGEN VALIDATION ROUNDS               0         0   014180   01 RESPIRATORY THERAPY REV
41807521   PASSY MUIR PLACEMENT                   0         0   014180   01 RESPIRATORY THERAPY REV
41807323   PEAK FLOW MEASUREMENT                  0         0   014180   01 RESPIRATORY THERAPY REV
41807165   PULSE OXIMETRY SINGLE              53.95     53.95   014180   01 RESPIRATORY THERAPY REV
41807173   PULSE OX-OVERNIGHT CONT           424.65    424.65   014180   01 RESPIRATORY THERAPY REV
41807540   S HELIOX INIT DAY                 169.35    169.35   014180   01 RESPIRATORY THERAPY REV
41807541   S HELIOX SUBSQ DAY                169.35    169.35   014180   01 RESPIRATORY THERAPY REV
41805034   S O2 DAILY SERVICE               1216.25   1216.25   014180   01 RESPIRATORY THERAPY REV
41805033   S O2 INITIAL SETUP                     0         0   014180   01 RESPIRATORY THERAPY REV
41805102   S O2 MIST TNT DAILY SVC          1216.25   1216.25   014180   01 RESPIRATORY THERAPY REV
41805466   S O2 O2 ED HOURLY                   51        51   014180   01 RESPIRATORY THERAPY REV
41805557   S O2 O2 FACE MASK DISP            69.1      69.1   014180   01 RESPIRATORY THERAPY REV
41805383   S O2 O2 HEADHOOD DLY SVC       1216.25   1216.25   014180   01 RESPIRATORY THERAPY REV
41807215   S STRL ACORN CIRCUIT KIT             0         0   014180   01 RESPIRATORY THERAPY REV
41807502   SLEEP STUDY NEO/PEDS            2369.8    2369.8   014180   01 RESPIRATORY THERAPY REV
41807547   SPUTUM INDCTN VIA AEROSOL        253.5     253.5   014180   01 RESPIRATORY THERAPY REV
41807557   SUCTION AIRWAY CARE                  0         0   014180   01 RESPIRATORY THERAPY REV
41807542   SUCTION NASOTRACHEAL             178.8     178.8   014180   01 RESPIRATORY THERAPY REV
41807550   TCM INITIAL DAY                 407.65    407.65   014180   01 RESPIRATORY THERAPY REV
41807551   TCM SUBSEQUENT DAY              407.65    407.65   014180   01 RESPIRATORY THERAPY REV
41807181   THERAPIST TIME 30 MIN                0         0   014180   01 RESPIRATORY THERAPY REV
41807543   TRACH CHNG NO FIST TRACT         413.3     413.3   014180   01 RESPIRATORY THERAPY REV
41807199   TRANSPORT WITH OXYGEN                0         0   014180   01 RESPIRATORY THERAPY REV
41807522   TRAUMA ALERT                         0         0   014180   01 RESPIRATORY THERAPY REV
41807523   TRAUMA ALERT STANDBY                 0         0   014180   01 RESPIRATORY THERAPY REV
41806068   TRIFLOW INITIAL SETUP                0         0   014180   01 RESPIRATORY THERAPY REV
41806076   TRIFLOW TREATMENT SUBSEQUENT         0         0   014180   01 RESPIRATORY THERAPY REV
41807558   VENT INLINE BD INITIAL               0         0   014180   01 RESPIRATORY THERAPY REV
41807559   VENT INLINE BD SUBSEQ                0         0   014180   01 RESPIRATORY THERAPY REV
41807507   VENT MGMNT INIT NEO/PEDS       4023.65   4023.65   014180   01 RESPIRATORY THERAPY REV
41805292   VENT MGMNT INITIAL ADULT       4023.65   4023.65   014180   01 RESPIRATORY THERAPY REV
41805300   VENT MGMNT SUBSQ ADULT          3251.8    3251.8   014180   01 RESPIRATORY THERAPY REV
41807538   VENT MGMNT SUBSQ NEO/PEDS      4023.65   4023.65   014180   01 RESPIRATORY THERAPY REV
41807501   VENTILATOR CHECK                     0         0   014180   01 RESPIRATORY THERAPY REV
41807231   VENTILATOR CIRCUIT CHANGE            0         0   014180   01 RESPIRATORY THERAPY REV
41807132   VENTILATOR TRANSPORT                 0         0   014180   01 RESPIRATORY THERAPY REV
41807272   WEANING PARAMETERS (VENT)            0         0   014180   01 RESPIRATORY THERAPY REV
40302002   BLOOD TRANSFUSN 2-4 HR         1278.65   1278.65   014030   01 SAME DAY SURGERY REV
40302003   BLOOD TRANSFUSN 4-6 HR         1733.75   1733.75   014030   01 SAME DAY SURGERY REV
40302017   BLOOD TRANSFUSN GT 6HR         2214.85   2214.85   014030   01 SAME DAY SURGERY REV
40302016   BLOOD TRANSFUSN LT 2 HR         883.15    883.15   014030   01 SAME DAY SURGERY REV
40302024   GLUCOSE FINGERSTICK                 73        73   014030   01 SAME DAY SURGERY REV
40302020   INFSN W-W/O MED 0-60 MN         403.65    403.65   014030   01 SAME DAY SURGERY REV
40302021   INFSN W-W/O MED EA ADD HR        182.2     182.2   014030   01 SAME DAY SURGERY REV
40302018   INFUSN CHEMO 0-60 MN             453.2     453.2   014030   01 SAME DAY SURGERY REV
40302019   INFUSN CHEMO EA ADD HR       204.15    204.15   014030   01 SAME DAY SURGERY REV
40302027   INJECTION ANTIBIOTIC IM      113.25    113.25   014030   01 SAME DAY SURGERY REV
40302025   INJECTION IM/SQ EA            75.85     75.85   014030   01 SAME DAY SURGERY REV
40302026   INJECTION IV EA              102.95    102.95   014030   01 SAME DAY SURGERY REV
40302023   STND PACU LVL 2 ADD 15M      130.35    130.35   014030   01 SAME DAY SURGERY REV
40302022   STND PACU LVL 2 FIRST 30M    521.25    521.25   014030   01 SAME DAY SURGERY REV
42201201   SP EVAL 15                   165.05    165.05   014220   01 SPEECH THERAPY REV
42201202   SP EVAL 30                      330       330   014220   01 SPEECH THERAPY REV
42201203   SP EVAL 45                   495.05    495.05   014220   01 SPEECH THERAPY REV
42201204   SP EVAL 60                    660.1     660.1   014220   01 SPEECH THERAPY REV
42201188   SP EVAL FNX SWALL 15         165.05    165.05   014220   01 SPEECH THERAPY REV
42201189   SP EVAL FNX SWALL 30            330       330   014220   01 SPEECH THERAPY REV
42201190   SP EVAL FNX SWALL 45         495.05    495.05   014220   01 SPEECH THERAPY REV
42201141   SP EVAL FNX SWALL 60          660.1     660.1   014220   01 SPEECH THERAPY REV
42201191   SP EVAL FNX SWALL 75         825.05    825.05   014220   01 SPEECH THERAPY REV
42201209   SP EVAL LANG 15               189.7     189.7   014220   01 SPEECH THERAPY REV
42201210   SP EVAL LANG 30              284.25    284.25   014220   01 SPEECH THERAPY REV
42201211   SP EVAL LANG 45               379.7     379.7   014220   01 SPEECH THERAPY REV
42201212   SP EVAL LANG 60              758.65    758.65   014220   01 SPEECH THERAPY REV
42201221   SP EVAL MTN FLUOR SWAL 30    402.45    402.45   014220   01 SPEECH THERAPY REV
42201218   SP EVAL MTN FLUOR SWAL 60     660.1     660.1   014220   01 SPEECH THERAPY REV
42201195   SP EVAL SP/LANG/COM 15        189.7     189.7   014220   01 SPEECH THERAPY REV
42201196   SP EVAL SP/LANG/COM 30       284.25    284.25   014220   01 SPEECH THERAPY REV
42201174   SP EVAL SP/LANG/COM 45        379.7     379.7   014220   01 SPEECH THERAPY REV
42201185   SP EVAL SP/LANG/COM 60       758.65    758.65   014220   01 SPEECH THERAPY REV
42201215   SP SP/LANG THER EA 30         253.1     253.1   014220   01 SPEECH THERAPY REV
42201222   SP THER EX EA 15              154.3     154.3   014220   01 SPEECH THERAPY REV
42201216   SP THER SP/LANG EA 60        505.95    505.95   014220   01 SPEECH THERAPY REV
42201038   SP TX SP/LANG/COM 60         505.95    505.95   014220   01 SPEECH THERAPY REV
42201152   SP TX SP/LANG/COM 75          253.1     253.1   014220   01 SPEECH THERAPY REV
42201137   SP TX SWALL/ORAL FNX 15       128.3     128.3   014220   01 SPEECH THERAPY REV
40245768   CELL SAVER SERVICE          2320.85   2320.85   014020   01 SURGERY REV
40206120   IC GREEN                     320.65    320.65   014020   01 SURGERY REV
40246134   OBS BLADDER IRRIG SMPL       232.35    232.35   014020   01 SURGERY REV
40246139   OBS BLOOD TRANSFSN 2-4 HR   1278.65   1278.65   014020   01 SURGERY REV
40246140   OBS BLOOD TRANSFSN 4-6 HR   1733.75   1733.75   014020   01 SURGERY REV
40246141   OBS BLOOD TRANSFSN GT 6HR   2214.85   2214.85   014020   01 SURGERY REV
40246138   OBS BLOOD TRANSFSN LT 2HR    883.15    883.15   014020   01 SURGERY REV
40246137   OBS DECLOT VASC DEVICE       945.65    945.65   014020   01 SURGERY REV
40246131   OBS EKG 12 LEAD TRACING      357.55    357.55   014020   01 SURGERY REV
40246130   OBS INFUSN W/VASO 0-60 MN     523.3     523.3   014020   01 SURGERY REV
40246135   OBS INS NON-TUN CV CATH5+   2177.85   2177.85   014020   01 SURGERY REV
40246136   OBS INSERT CATH TMP SMPL     162.55    162.55   014020   01 SURGERY REV
40246133   OBS VENIPUNCTURE                 41        41   014020   01 SURGERY REV
40246112   OBSERVATION PER-HOUR          101.9     101.9   014020   01 SURGERY REV
40245962   S BARRIER ADHESION           1148.6    1148.6   014020   01 SURGERY REV
40206152   S BARRIER ADHESION           2608.1    2608.1   014020   01 SURGERY REV
40245882   S BARRIER ADHESION            916.6     916.6   014020   01 SURGERY REV
40242208   S CATH BLN DILATE NOVSC A   1481.55   1481.55   014020   01 SURGERY REV
4020521    S CATH BLN TIS DSCT NOVSC    1718.2    1718.2   014020   01 SURGERY REV
4020700    S CATH DRAINAGE BILIARY      348.45    348.45   014020   01 SURGERY REV
4020731    S CATH HD/PERITNL LNG TRM     408.8     408.8   014020   01 SURGERY REV
40226771   S CATH INFSN NO HD A         651.05    651.05   014020   01 SURGERY REV
40226659   S CATH INFSN NO HD B         3056.2    3056.2   014020   01 SURGERY REV
40246071   S CATH OCCLUSION A            555.1     555.1   014020   01 SURGERY REV
40245998   S CATH OCCLUSION B          1079.25   1079.25   014020   01 SURGERY REV
40246073   S CATH OCCLUSION BALLOON    1379.75   1379.75   014020   01 SURGERY REV
40246021   S CATH SP/CYSTOSCOPIC A      390.55    390.55   014020   01 SURGERY REV
40246143   S CATH SP/CYSTOSCOPIC B       716.6     716.6   014020   01 SURGERY REV
40210981   S CATH THROMB/EMBOLCTMY       151.5     151.5   014020   01 SURGERY REV
40226813   S CATH THROMB/EMBOLCTMY      288.55    288.55   014020   01 SURGERY REV
40206125   S CATH THROMB/EMBOLCTMY     2343.95   2343.95   014020   01 SURGERY REV
40226986   S CATH URETERAL              1372.9    1372.9   014020   01 SURGERY REV
4020737    S CATH URETERAL              1176.6    1176.6   014020   01 SURGERY REV
4020094    S CATH URETERAL A              64.8      64.8   014020   01 SURGERY REV
40212888   S CATH URETERAL B             87.35     87.35   014020   01 SURGERY REV
4020095    S CATH URETERAL C             294.2     294.2   014020   01 SURGERY REV
40246019   S CATH URETERAL F            1075.4    1075.4   014020   01 SURGERY REV
40206158   S DEVICE JNT A               625.85    625.85   014020   01 SURGERY REV
4020747    S DEVICE JNT ACTBLR LNR B   2131.45   2131.45   014020   01 SURGERY REV
4020170    S DEVICE JNT ACTBLR LNR C    3911.55    3911.55   014020   01 SURGERY REV
4020171    S DEVICE JNT ACTBLR LNR D    3512.85    3512.85   014020   01 SURGERY REV
40206102   S DEVICE JNT ACTBLR LNR E     5261.9     5261.9   014020   01 SURGERY REV
40245817   S DEVICE JNT ACTBLR LNR F     6568.1     6568.1   014020   01 SURGERY REV
40245818   S DEVICE JNT ACTBLR LNR G     8084.9     8084.9   014020   01 SURGERY REV
40245819   S DEVICE JNT ACTBLR LNR H     9601.8     9601.8   014020   01 SURGERY REV
40246068   S DEVICE JNT ACTBLR LNR I   13559.25   13559.25   014020   01 SURGERY REV
40246084   S DEVICE JNT ACTBLR LNR J   14182.05   14182.05   014020   01 SURGERY REV
40206144   S DEVICE JNT ACTBLR SHL A       1258       1258   014020   01 SURGERY REV
4020174    S DEVICE JNT ACTBLR SHL B     2253.7     2253.7   014020   01 SURGERY REV
40205144   S DEVICE JNT ACTBLR SHL C    3292.35    3292.35   014020   01 SURGERY REV
4020176    S DEVICE JNT ACTBLR SHL D     5153.2     5153.2   014020   01 SURGERY REV
4020177    S DEVICE JNT ACTBLR SHL E    5381.25    5381.25   014020   01 SURGERY REV
40205119   S DEVICE JNT ACTBLR SHL F     7909.3     7909.3   014020   01 SURGERY REV
40205120   S DEVICE JNT ACTBLR SHL G   10547.35   10547.35   014020   01 SURGERY REV
40242243   S DEVICE JNT ACTBLR SHL H   13362.15   13362.15   014020   01 SURGERY REV
40242249   S DEVICE JNT ACTBLR SHL H   12973.95   12973.95   014020   01 SURGERY REV
40242244   S DEVICE JNT ACTBLR SHL I   16035.65   16035.65   014020   01 SURGERY REV
40245852   S DEVICE JNT ANKLE A          7579.3     7579.3   014020   01 SURGERY REV
40245853   S DEVICE JNT ANKLE B         20219.8    20219.8   014020   01 SURGERY REV
40245854   S DEVICE JNT ANKLE C        30332.25   30332.25   014020   01 SURGERY REV
40206159   S DEVICE JNT B                  1258       1258   014020   01 SURGERY REV
40206160   S DEVICE JNT C               1675.75    1675.75   014020   01 SURGERY REV
4020178    S DEVICE JNT CENTRALZR A       483.3      483.3   014020   01 SURGERY REV
40206147   S DEVICE JNT CENTRALZR B     2236.15    2236.15   014020   01 SURGERY REV
40206148   S DEVICE JNT CENTRALZR C     3155.05    3155.05   014020   01 SURGERY REV
40206149   S DEVICE JNT CENTRALZR D     4208.45    4208.45   014020   01 SURGERY REV
40206150   S DEVICE JNT CENTRALZR E      5261.9     5261.9   014020   01 SURGERY REV
40245823   S DEVICE JNT CENTRALZR G     10107.4    10107.4   014020   01 SURGERY REV
40206161   S DEVICE JNT D               2236.15    2236.15   014020   01 SURGERY REV
40206163   S DEVICE JNT E                625.85     625.85   014020   01 SURGERY REV
40245864   S DEVICE JNT ELBOW A          7579.3     7579.3   014020   01 SURGERY REV
40245865   S DEVICE JNT ELBOW B         20219.8    20219.8   014020   01 SURGERY REV
40245866   S DEVICE JNT ELBOW C        30332.25   30332.25   014020   01 SURGERY REV
40206164   S DEVICE JNT F                  1258       1258   014020   01 SURGERY REV
4020223    S DEVICE JNT FEMORAL CMPT B     2552.9     2552.9   014020   01 SURGERY REV
40206103   S DEVICE JNT FEMORAL CMPT C    2236.15    2236.15   014020   01 SURGERY REV
40206137   S DEVICE JNT FEMORAL CMPT D    3155.05    3155.05   014020   01 SURGERY REV
40206138   S DEVICE JNT FEMORAL CMPT E    4208.45    4208.45   014020   01 SURGERY REV
4020188    S DEVICE JNT FEMORAL CMPT F       7880       7880   014020   01 SURGERY REV
4020189    S DEVICE JNT FEMORAL CMPT G   10744.85   10744.85   014020   01 SURGERY REV
4020190    S DEVICE JNT FEMORAL CMPT H    11428.3    11428.3   014020   01 SURGERY REV
40206036   S DEVICE JNT FEMORAL CMPT I    13185.2    13185.2   014020   01 SURGERY REV
4020755    S DEVICE JNT FEMORAL CMPT J   19374.35   19374.35   014020   01 SURGERY REV
40206140   S DEVICE JNT FEMORAL CMPT K   17691.85   17691.85   014020   01 SURGERY REV
40206141   S DEVICE JNT FEMORAL CMPT L   20220.05   20220.05   014020   01 SURGERY REV
4020192    S DEVICE JNT FEMORAL STEM C    3172.35    3172.35   014020   01 SURGERY REV
4020193    S DEVICE JNT FEMORAL STEM D     3685.2     3685.2   014020   01 SURGERY REV
4020194    S DEVICE JNT FEMORAL STEM E    4916.95    4916.95   014020   01 SURGERY REV
4020195    S DEVICE JNT FEMORAL STEM F     8002.4     8002.4   014020   01 SURGERY REV
4020196    S DEVICE JNT FEMORAL STEM G       9794       9794   014020   01 SURGERY REV
4020197    S DEVICE JNT FEMORAL STEM H   16250.75   16250.75   014020   01 SURGERY REV
4020198    S DEVICE JNT FEMORAL STEM I   17168.65   17168.65   014020   01 SURGERY REV
4020199    S DEVICE JNT FEMORAL STEM J      19369      19369   014020   01 SURGERY REV
40206104   S DEVICE JNT FEMORAL STEM K   20220.05   20220.05   014020   01 SURGERY REV
40206105   S DEVICE JNT FEMORAL STEM L   22748.15   22748.15   014020   01 SURGERY REV
40206142   S DEVICE JNT FEMORAL STEM M    30332.5    30332.5   014020   01 SURGERY REV
40206143   S DEVICE JNT FEMORAL STEM N    35388.7    35388.7   014020   01 SURGERY REV
40245765   S DEVICE JNT FEMORAL WEDGE      2171.3     2171.3   014020   01 SURGERY REV
40246170   S DEVICE JNT FX SLEEVE          695.35     695.35   014020   01 SURGERY REV
40206165   S DEVICE JNT G                 1675.75    1675.75   014020   01 SURGERY REV
40206166   S DEVICE JNT H                 2236.15    2236.15   014020   01 SURGERY REV
4020201    S DEVICE JNT HIP BALL C         2336.5     2336.5   014020   01 SURGERY REV
40206106   S DEVICE JNT HIP BALL D        3155.05    3155.05   014020   01 SURGERY REV
4020203    S DEVICE JNT HIP BALL E        5649.85    5649.85   014020   01 SURGERY REV
40206107   S DEVICE JNT HIP BALL F         4152.5     4152.5   014020   01 SURGERY REV
40206108   S DEVICE JNT HIP BALL G        6062.55    6062.55   014020   01 SURGERY REV
4020631    S DEVICE JNT HOL ELMNTR         480.15     480.15   014020   01 SURGERY REV
40206167   S DEVICE JNT I                 2628.35    2628.35   014020   01 SURGERY REV
40206172   S DEVICE JNT J                 3155.05    3155.05   014020   01 SURGERY REV
40206173   S DEVICE JNT K                3681.75    3681.75   014020   01 SURGERY REV
40245857   S DEVICE JNT KNEE CMPT A      2628.35    2628.35   014020   01 SURGERY REV
40245858   S DEVICE JNT KNEE CMPT B       7579.3     7579.3   014020   01 SURGERY REV
40245859   S DEVICE JNT KNEE CMPT C     12635.55   12635.55   014020   01 SURGERY REV
40245860   S DEVICE JNT KNEE CMPT D      17691.7    17691.7   014020   01 SURGERY REV
40206174   S DEVICE JNT L                 4208.5     4208.5   014020   01 SURGERY REV
4020642    S DEVICE JNT NECK SPACER       1233.5     1233.5   014020   01 SURGERY REV
40206151   S DEVICE JNT PATELLA A           1258       1258   014020   01 SURGERY REV
4020208    S DEVICE JNT PATELLA B        2327.65    2327.65   014020   01 SURGERY REV
4020209    S DEVICE JNT PATELLA C        2660.55    2660.55   014020   01 SURGERY REV
4020210    S DEVICE JNT PATELLA D         4435.6     4435.6   014020   01 SURGERY REV
40245824   S DEVICE JNT PATELLA E         5261.9     5261.9   014020   01 SURGERY REV
40242247   S DEVICE JNT SHOULDER E      16035.65   16035.65   014020   01 SURGERY REV
40242251   S DEVICE JNT SHOULDR A        8015.15    8015.15   014020   01 SURGERY REV
40242252   S DEVICE JNT SHOULDR B       10688.65   10688.65   014020   01 SURGERY REV
40242253   S DEVICE JNT SHOULDR C       13362.15   13362.15   014020   01 SURGERY REV
40242254   S DEVICE JNT SHOULDR D        14698.9    14698.9   014020   01 SURGERY REV
40245855   S DEVICE JNT SHOULDR GLND      7584.4     7584.4   014020   01 SURGERY REV
40206016   S DEVICE JNT SHOULDR HD D     4919.15    4919.15   014020   01 SURGERY REV
40245809   S DEVICE JNT SHOULDR HD E      6062.5     6062.5   014020   01 SURGERY REV
40245810   S DEVICE JNT SHOULDR HD F     7073.75    7073.75   014020   01 SURGERY REV
40245811   S DEVICE JNT SHOULDR HD G     9096.15    9096.15   014020   01 SURGERY REV
4020228    S DEVICE JNT SHOULDR STM G    9233.55    9233.55   014020   01 SURGERY REV
40245812   S DEVICE JNT SHOULDR STM H   12635.55   12635.55   014020   01 SURGERY REV
40245813   S DEVICE JNT SHOULDR STM I    15163.6    15163.6   014020   01 SURGERY REV
40245814   S DEVICE JNT SHOULDR STM J    17691.7    17691.7   014020   01 SURGERY REV
40205105   S DEVICE JNT STABILIZER       2298.75    2298.75   014020   01 SURGERY REV
4020232    S DEVICE JNT TIBIAL INS C      3074.1     3074.1   014020   01 SURGERY REV
4020233    S DEVICE JNT TIBIAL INS D      4761.1     4761.1   014020   01 SURGERY REV
4020234    S DEVICE JNT TIBIAL INS E     5107.15    5107.15   014020   01 SURGERY REV
4020235    S DEVICE JNT TIBIAL INS F      7519.5     7519.5   014020   01 SURGERY REV
4020644    S DEVICE JNT TIBIAL PTF B     2105.55    2105.55   014020   01 SURGERY REV
40206109   S DEVICE JNT TIBIAL PTF C     3155.05    3155.05   014020   01 SURGERY REV
40206110   S DEVICE JNT TIBIAL PTF D     4208.45    4208.45   014020   01 SURGERY REV
4020239    S DEVICE JNT TIBIAL PTF E      5994.3     5994.3   014020   01 SURGERY REV
4020240    S DEVICE JNT TIBIAL PTF F    6954.85    6954.85   014020   01 SURGERY REV
40206083   S DEVICE JNT TIBIAL PTF G   10107.55   10107.55   014020   01 SURGERY REV
40245815   S DEVICE JNT TIBIAL PTF H   12635.55   12635.55   014020   01 SURGERY REV
40245816   S DEVICE JNT TIBIAL PTF I    15163.6    15163.6   014020   01 SURGERY REV
40242198   S DEVICE JNT TIBIAL PTF J    19699.1    19699.1   014020   01 SURGERY REV
40245878   S DEVICE JNT TOE I            5261.9     5261.9   014020   01 SURGERY REV
40245879   S DEVICE JNT TOE J            6062.5     6062.5   014020   01 SURGERY REV
40245880   S DEVICE JNT TOE K           7073.75    7073.75   014020   01 SURGERY REV
4020242    S DEVICE JNT UNI/BI HD A     1334.35    1334.35   014020   01 SURGERY REV
4020243    S DEVICE JNT UNI/BI HD B     1491.45    1491.45   014020   01 SURGERY REV
40246142   S DEVICE JNT UNI/BI HD C     4218.85    4218.85   014020   01 SURGERY REV
4020245    S DEVICE JNT UNI/BI HD D      3841.7     3841.7   014020   01 SURGERY REV
40206139   S DEVICE JNT UNI/BI HD E     6568.15    6568.15   014020   01 SURGERY REV
4020247    S DEVICE JNT UNI/BI HD F      7835.5     7835.5   014020   01 SURGERY REV
40206112   S DEVICE JNT UNI/BI HD G      7577.6     7577.6   014020   01 SURGERY REV
40245808   S DEVICE JNT UNI/BI HD H      7579.3     7579.3   014020   01 SURGERY REV
40245867   S DEVICE JNT WRIST A          7579.3     7579.3   014020   01 SURGERY REV
40245868   S DEVICE JNT WRIST B         20219.8    20219.8   014020   01 SURGERY REV
40245856   S DEVICE JNT WRIST C        30332.25   30332.25   014020   01 SURGERY REV
40245838   S DVC OCULR DTCHD RETNA 2    1220.05    1220.05   014020   01 SURGERY REV
40245839   S DVC OCULR DTCHD RETNA 5     2101.6     2101.6   014020   01 SURGERY REV
40245840   S DVC OCULR DTCHD RETNA 7     2401.9     2401.9   014020   01 SURGERY REV
40245918   S DVC RPR URN INC NOSLG      1012.65    1012.65   014020   01 SURGERY REV
40246179   S DVC RPR URN INC NOSLG B    3226.55    3226.55   014020   01 SURGERY REV
40246117   S DVC RPR URN INCN SLNG A    2087.05    2087.05   014020   01 SURGERY REV
40206128   S DVC RPR URN INCN SLNG B    2798.25    2798.25   014020   01 SURGERY REV
40242209   S DVC RPR URN INCN SLNG C     3620.5     3620.5   014020   01 SURGERY REV
40205139   S DVC RPR URN INCN SLNG D       5139       5139   014020   01 SURGERY REV
40246114   S DVC RPR URN INCN SLNG E     6029.5     6029.5   014020   01 SURGERY REV
40242248   S DVC RPR URN INCN SLNG F    8015.15    8015.15   014020   01 SURGERY REV
40227464   S FILTER VENA CAVA            5598.4     5598.4   014020   01 SURGERY REV
40245886   S GEN NEUROSTIMULATOR A     50557.05   50557.05   014020   01 SURGERY REV
40245887   S GEN NEUROSTIMULATOR B      40747.4    40747.4   014020   01 SURGERY REV
4020258    S GRAFT VASCULAR A             591.7      591.7   014020   01 SURGERY REV
4020116    S GRAFT VASCULAR B            1374.4     1374.4   014020   01 SURGERY REV
4020117    S GRAFT VASCULAR C           2402.75      2402.75    014020   01 SURGERY REV
4020118    S GRAFT VASCULAR D            3424.3       3424.3    014020   01 SURGERY REV
4020119    S GRAFT VASCULAR E            5859.6       5859.6    014020   01 SURGERY REV
40245758   S GRAFT VASCULAR F           6324.95      6324.95    014020   01 SURGERY REV
40245759   S GRAFT VASCULAR G           5825.45      5825.45    014020   01 SURGERY REV
40245760   S GRAFT VASCULAR H            6658.2       6658.2    014020   01 SURGERY REV
40206177   S GRAFT VASCULAR I           9096.25      9096.25    014020   01 SURGERY REV
40206178   S GRAFT VASCULAR J          10107.55     10107.55    014020   01 SURGERY REV
40246105   S ICD DUAL CHAMBER         115750.35    115750.35    014020   01 SURGERY REV
40246184   S ICD SNGL CHAMBER A         70043.7      70043.7    014020   01 SURGERY REV
40246102   S ICD SNGL CHAMBER B         75579.4      75579.4    014020   01 SURGERY REV
40206101   S IMP ACETABULAR LINER A     1771.95      1771.95    014020   01 SURGERY REV
40242205   S IMP ACETABULAR SHELL H    13362.15     13362.15    014020   01 SURGERY REV
4020160    S IMP ALLOGRAFT A               646.7        646.7   014020   01 SURGERY REV
4020161    S IMP ALLOGRAFT B            1201.15      1201.15    014020   01 SURGERY REV
4020162    S IMP ALLOGRAFT C            1624.25      1624.25    014020   01 SURGERY REV
4020163    S IMP ALLOGRAFT D             2028.7       2028.7    014020   01 SURGERY REV
4020164    S IMP ALLOGRAFT E            2473.55      2473.55    014020   01 SURGERY REV
4020165    S IMP ALLOGRAFT F            3703.15      3703.15    014020   01 SURGERY REV
4020166    S IMP ALLOGRAFT G             2418.5       2418.5    014020   01 SURGERY REV
4020167    S IMP ALLOGRAFT H             3899.7       3899.7    014020   01 SURGERY REV
40205121   S IMP ALLOGRAFT I            4941.15      4941.15    014020   01 SURGERY REV
40205122   S IMP ALLOGRAFT J             5490.9       5490.9    014020   01 SURGERY REV
40245805   S IMP ALLOGRAFT K            7073.75      7073.75    014020   01 SURGERY REV
40245806   S IMP ALLOGRAFT L            3356.85      3356.85    014020   01 SURGERY REV
40245807   S IMP ALLOGRAFT M            9096.15      9096.15    014020   01 SURGERY REV
40245832   S IMP ALLOGRAFT N            10107.4      10107.4    014020   01 SURGERY REV
40245849   S IMP ALLOGRAFT O              25276        25276    014020   01 SURGERY REV
40245850   S IMP ALLOGRAFT P           50557.05     50557.05    014020   01 SURGERY REV
40245851   S IMP ALLOGRAFT Q           50935.05     50935.05    014020   01 SURGERY REV
4020157    S IMP ANCHOR SUTURE A         987.55       987.55    014020   01 SURGERY REV
4020158    S IMP ANCHOR SUTURE B         1235.8       1235.8    014020   01 SURGERY REV
40206058   S IMP ANCHOR SUTURE C         1400.8       1400.8    014020   01 SURGERY REV
40245802   S IMP ANCHOR SUTURE D         1955.9       1955.9    014020   01 SURGERY REV
40245803   S IMP ANCHOR SUTURE E            2365         2365   014020   01 SURGERY REV
40245804   S IMP ANCHOR SUTURE F        2891.75    2891.75   014020   01 SURGERY REV
4020769    S IMP ANEURYSM CLIP A         1183.1     1183.1   014020   01 SURGERY REV
4020770    S IMP ANEURYSM CLIP B        1468.45    1468.45   014020   01 SURGERY REV
40206020   S IMP ANNULOPLASTY RING      9760.95    9760.95   014020   01 SURGERY REV
40242212   S IMP BIO K-WIRES             3637.2     3637.2   014020   01 SURGERY REV
40245863   S IMP BIOGLUE                 2607.3     2607.3   014020   01 SURGERY REV
40211153   S IMP BONE CEMENT             474.15     474.15   014020   01 SURGERY REV
40246086   S IMP BONE GFT REPLAMNT B       8016       8016   014020   01 SURGERY REV
40246041   S IMP BONE GRFT SYNTHETIC    3982.45    3982.45   014020   01 SURGERY REV
40246164   S IMP BONE MATRIX           13876.25   13876.25   014020   01 SURGERY REV
40246038   S IMP BONE REPLACEMENT        4175.2     4175.2   014020   01 SURGERY REV
40246118   S IMP BONE SPIKE               361.8      361.8   014020   01 SURGERY REV
40246010   S IMP BONE VOID FILLER       6597.75    6597.75   014020   01 SURGERY REV
40246175   S IMP BONE VOID FILLER B     13760.4    13760.4   014020   01 SURGERY REV
40211450   S IMP BOVINE GRAFT            5265.4     5265.4   014020   01 SURGERY REV
40205109   S IMP CABLE CMPONENT B       1312.85    1312.85   014020   01 SURGERY REV
40205110   S IMP CABLE CMPONENT C        1748.7     1748.7   014020   01 SURGERY REV
40205111   S IMP CABLE CMPONENT D        2333.6     2333.6   014020   01 SURGERY REV
40205112   S IMP CABLE CMPONENT E       3292.35    3292.35   014020   01 SURGERY REV
40205113   S IMP CABLE COMPONENT F       3465.7     3465.7   014020   01 SURGERY REV
40205114   S IMP CABLE COMPONENT G       5490.9     5490.9   014020   01 SURGERY REV
40205115   S IMP CABLE COMPONENT H       5408.9     5408.9   014020   01 SURGERY REV
40246023   S IMP CATH NITINOL FILTER    5941.55    5941.55   014020   01 SURGERY REV
40242250   S IMP CEMENT RESTRICTOR B     935.84     935.84   014020   01 SURGERY REV
4020802    S IMP CNNECTVE NOHUMAN        225.25     225.25   014020   01 SURGERY REV
40226994   S IMP COATD WO DEL SYS       1308.45    1308.45   014020   01 SURGERY REV
40245762   S IMP CONNECTVE HUMAN        4644.35    4644.35   014020   01 SURGERY REV
40206003   S IMP CONNECTVE HUMAN         1842.3     1842.3   014020   01 SURGERY REV
40206084   S IMP CONNECTVE HUMAN         4424.5     4424.5   014020   01 SURGERY REV
40245905   S IMP CORNEA                 10618.1    10618.1   014020   01 SURGERY REV
40245746   S IMP CRYOLIFE VEIN          17191.7    17191.7   014020   01 SURGERY REV
40246065   S IMP CUSTOM IMPLANT X             0          0   014020   01 SURGERY REV
40205046   S IMP DAHL MILES CABL           1227       1227   014020   01 SURGERY REV
40205062   S IMP DAHL MILES SLV          673.35     673.35   014020   01 SURGERY REV
40206162   S IMP DEVICE JNT             2628.35    2628.35   014020   01 SURGERY REV
40213167   S IMP DIALYSIS ACCESS          282.55     282.55   014020   01 SURGERY REV
4020255    S IMP EAR PROSTHESIS A          809.4      809.4   014020   01 SURGERY REV
4020256    S IMP EAR PROSTHESIS B        1260.05    1260.05   014020   01 SURGERY REV
40206113   S IMP EAR PROSTHESIS C        1543.45    1543.45   014020   01 SURGERY REV
40246054   S IMP ENOPTHALMOS WEDGE        2016.1     2016.1   014020   01 SURGERY REV
40246150   S IMP ESSURE BIRTH CTL DVC     5914.8     5914.8   014020   01 SURGERY REV
40245847   S IMP EYE SCLRL BCKLE A        184.45     184.45   014020   01 SURGERY REV
40245848   S IMP EYE SCLRL BCKLE B         474.2      474.2   014020   01 SURGERY REV
4020020    S IMP FASTENER A                 73.8       73.8   014020   01 SURGERY REV
4020021    S IMP FASTENER B                130.1      130.1   014020   01 SURGERY REV
4020022    S IMP FASTENER C                292.3      292.3   014020   01 SURGERY REV
4020023    S IMP FASTENER D               547.65     547.65   014020   01 SURGERY REV
4020024    S IMP FASTENER E               850.05     850.05   014020   01 SURGERY REV
4020025    S IMP FASTENER F               1251.2     1251.2   014020   01 SURGERY REV
4020026    S IMP FASTENER G               1517.3     1517.3   014020   01 SURGERY REV
4020028    S IMP FASTENER H               1688.7     1688.7   014020   01 SURGERY REV
40205123   S IMP FASTENER I               2193.2     2193.2   014020   01 SURGERY REV
40205124   S IMP FASTENER J              2742.85    2742.85   014020   01 SURGERY REV
40205125   S IMP FASTENER K               3117.9     3117.9   014020   01 SURGERY REV
40205126   S IMP FASTENER L               3841.8     3841.8   014020   01 SURGERY REV
4020714    S IMP FELT PATCH A              242.9      242.9   014020   01 SURGERY REV
40212508   S IMP FELT PATCH B              534.4      534.4   014020   01 SURGERY REV
4020634    S IMP FEMORAL END CAP           666.4      666.4   014020   01 SURGERY REV
40246153   S IMP GENERATOR ICD A         75880.7    75880.7   014020   01 SURGERY REV
40245935   S IMP GENERATOR ICD B        86968.05   86968.05   014020   01 SURGERY REV
40245922   S IMP GENERATOR SACRAL NVE    43483.4    43483.4   014020   01 SURGERY REV
40245861   S IMP GLUE, FIBRIN                727        727   014020   01 SURGERY REV
40242246   S IMP GOLD WEIGHT             1236.65    1236.65   014020   01 SURGERY REV
40245837   S IMP GRAFT MATRIX             4424.4     4424.4   014020   01 SURGERY REV
40246419   S IMP HEART VALVE C          17375.75   17375.75   014020   01 SURGERY REV
40245825   S IMP HEART VALVE G           32354.7    32354.7   014020   01 SURGERY REV
40245826   S IMP HEART VALVE H          36905.35   36905.35   014020   01 SURGERY REV
40245831   S IMP HEART VALVE I          41460.95   41460.95   014020   01 SURGERY REV
4020630    S IMP HIP STEM PLUG A           461.9      461.9   014020   01 SURGERY REV
40210197   S IMP KNOWLES PIN               452.5      452.5   014020   01 SURGERY REV
4020066    S IMP K-WIRES A                27.2       27.2   014020   01 SURGERY REV
4020067    S IMP K-WIRES B              115.7      115.7    014020   01 SURGERY REV
40206090   S IMP K-WIRES C              277.5      277.5    014020   01 SURGERY REV
40206091   S IMP K-WIRES D              634.8      634.8    014020   01 SURGERY REV
4020070    S IMP K-WIRES E             1473.9     1473.9    014020   01 SURGERY REV
40246076   S IMP LD EXT NEUROSTIM     3179.55    3179.55    014020   01 SURGERY REV
40246169   S IMP LEAD ADAPTER/EXTN    2087.05    2087.05    014020   01 SURGERY REV
40213193   S IMP LEUQUE WIRES           87.35      87.35    014020   01 SURGERY REV
40206050   S IMP MENISCAL STAPLER     2046.95    2046.95    014020   01 SURGERY REV
40206093   S IMP MENISCUS MENDER       600.65     600.65    014020   01 SURGERY REV
40245874   S IMP NASAL A                790.2      790.2    014020   01 SURGERY REV
40245875   S IMP NASAL B               1260.9     1260.9    014020   01 SURGERY REV
4020738    S IMP NUT                      99.4       99.4   014020   01 SURGERY REV
40246055   S IMP ORBITAL SHEETING A    1674.4     1674.4    014020   01 SURGERY REV
40246056   S IMP ORBITAL SHEETING B    2726.9     2726.9    014020   01 SURGERY REV
40246111   S IMP PCR LEAD ADAPTER     2247.55    2247.55    014020   01 SURGERY REV
4020808    S IMP PERCUFLEX STENT       930.45     930.45    014020   01 SURGERY REV
4020008    S IMP PLATE B               201.25     201.25    014020   01 SURGERY REV
4020009    S IMP PLATE C                248.3      248.3    014020   01 SURGERY REV
4020010    S IMP PLATE D                672.7      672.7    014020   01 SURGERY REV
4020011    S IMP PLATE E               1510.2     1510.2    014020   01 SURGERY REV
4020012    S IMP PLATE F               2391.6     2391.6    014020   01 SURGERY REV
4020013    S IMP PLATE G              2931.65    2931.65    014020   01 SURGERY REV
4020014    S IMP PLATE H                 4834       4834    014020   01 SURGERY REV
4020015    S IMP PLATE I               6951.5     6951.5    014020   01 SURGERY REV
40206097   S IMP PLATE J              5985.45    5985.45    014020   01 SURGERY REV
4020216    S IMP RESTRICTOR            386.15     386.15    014020   01 SURGERY REV
40206011   S IMP ROD C                 351.95     351.95    014020   01 SURGERY REV
4020016    S IMP ROD D                 1427.6     1427.6    014020   01 SURGERY REV
40206096   S IMP ROD E                1543.45    1543.45    014020   01 SURGERY REV
4020017    S IMP ROD F                2445.35    2445.35    014020   01 SURGERY REV
4020018    S IMP ROD G                 3112.7     3112.7    014020   01 SURGERY REV
4020019    S IMP ROD H                4903.45    4903.45    014020   01 SURGERY REV
40206175   S IMP ROD I                 6315.4     6315.4    014020   01 SURGERY REV
40206176   S IMP ROD J                7579.45    7579.45    014020   01 SURGERY REV
40245821   S IMP ROD K                      10107.4     10107.4    014020   01 SURGERY REV
40245822   S IMP ROD L                     12635.55    12635.55    014020   01 SURGERY REV
40246053   S IMP SACRAL COLOPEXY SYS        8570.95     8570.95    014020   01 SURGERY REV
40246167   S IMP SACROSPINOS FIX           12485.75    12485.75    014020   01 SURGERY REV
40246028   S IMP SCLERAL PLUG                183.05      183.05    014020   01 SURGERY REV
40245835   S IMP SEAMGUARD                  1043.05     1043.05    014020   01 SURGERY REV
4020533    S IMP SHEA CUP PISTON              593.9       593.9    014020   01 SURGERY REV
40245966   S IMP SHUNT A                      763.2       763.2    014020   01 SURGERY REV
40245967   S IMP SHUNT B                    1534.05     1534.05    014020   01 SURGERY REV
40245952   S IMP SHUNT C                     2043.4      2043.4    014020   01 SURGERY REV
40246194   S IMP SILASTIC SHEETING           724.35      724.35    014020   01 SURGERY REV
40245919   S IMP SLING KIT MALE             11730.4     11730.4    014020   01 SURGERY REV
4020679    S IMP SPINAL IMP B                 673.1       673.1    014020   01 SURGERY REV
4020250    S IMP SPINAL IMP C               1421.35     1421.35    014020   01 SURGERY REV
4020251    S IMP SPINAL IMP D               1538.15     1538.15    014020   01 SURGERY REV
4020252    S IMP SPINAL IMP E                2163.9      2163.9    014020   01 SURGERY REV
40206013   S IMP SPINAL IMPLANT F            5495.9      5495.9    014020   01 SURGERY REV
40206014   S IMP SPINAL IMPLANT G          10547.05    10547.05    014020   01 SURGERY REV
40206037   S IMP SPINAL IMPLANT H           15823.2     15823.2    014020   01 SURGERY REV
40206038   S IMP SPINAL IMPLANT I          21099.25    21099.25    014020   01 SURGERY REV
4020048    S IMP SPINAL IMPLANTS A            223.4       223.4    014020   01 SURGERY REV
4020079    S IMP STAPLES C                    335.1       335.1    014020   01 SURGERY REV
4020080    S IMP STAPLES D                   480.35      480.35    014020   01 SURGERY REV
4020081    S IMP STAPLES E                    679.8       679.8    014020   01 SURGERY REV
4020075    S IMP STEINMAN PINS A                34.6        34.6   014020   01 SURGERY REV
40245982   S IMP STENT A                      402.9       402.9    014020   01 SURGERY REV
40245983   S IMP STENT B                      763.2       763.2    014020   01 SURGERY REV
40245984   S IMP STENT C                     1148.6      1148.6    014020   01 SURGERY REV
40246185   S IMP STENT D                    1441.45     1441.45    014020   01 SURGERY REV
40246186   S IMP STENT E                       1599        1599    014020   01 SURGERY REV
40245949   S IMP STENT PUPS                  790.95      790.95    014020   01 SURGERY REV
40245834   S IMP STRUT ADKINS                619.45      619.45    014020   01 SURGERY REV
40226960   S IMP TENDON SPACER                622.5       622.5    014020   01 SURGERY REV
40225807   S IMP TRPZ PLT RIBBON LOOPEAR     982.15      982.15    014020   01 SURGERY REV
40246165   S IMP VALVE HAKIM PROGM B       17381.55    17381.55    014020   01 SURGERY REV
40245872   S IMP VALVE, HAKIM PROGM    12893.35   12893.35   014020   01 SURGERY REV
40212110   S IMP VASCULAR               5430.55    5430.55   014020   01 SURGERY REV
4020764    S IMP VP SHUNT A              371.95     371.95   014020   01 SURGERY REV
4020765    S IMP VP SHUNT B              954.65     954.65   014020   01 SURGERY REV
4020766    S IMP VP SHUNT C             1528.35    1528.35   014020   01 SURGERY REV
4020767    S IMP VP SHUNT D             2224.35    2224.35   014020   01 SURGERY REV
4020768    S IMP VP SHUNT E             2590.75    2590.75   014020   01 SURGERY REV
40206044   S IMP VP SHUNT G              3847.2     3847.2   014020   01 SURGERY REV
40246081   S IMP VP SHUNT H             5132.25    5132.25   014020   01 SURGERY REV
40246082   S IMP VP SHUNT I              5774.6     5774.6   014020   01 SURGERY REV
40246083   S IMP VP SHUNT J              6416.9     6416.9   014020   01 SURGERY REV
40246100   S IMP WASHER A                  92.5       92.5   014020   01 SURGERY REV
4020083    S IMP WASHER B                 138.9      138.9   014020   01 SURGERY REV
4020084    S IMP WASHER C                232.45     232.45   014020   01 SURGERY REV
40246173   S IMP WITTMAN PATCH           7908.6     7908.6   014020   01 SURGERY REV
40245829   S IOL INTRAOCCULAR LENS C    1395.45    1395.45   014020   01 SURGERY REV
40245830   S IOL INTRAOCCULAR LENS D     1955.9     1955.9   014020   01 SURGERY REV
4020629    S IOL INTRAOCULR LENS - A     396.05     396.05   014020   01 SURGERY REV
4020637    S IOL INTRAOCULR LENS - B      989.6      989.6   014020   01 SURGERY REV
40245836   S LD ICD ENDOCRD 1 COIL      2501.95    2501.95   014020   01 SURGERY REV
40245938   S LD ICD ENDOCRD 2 COIL A    34530.2    34530.2   014020   01 SURGERY REV
40245936   S LD ICD ENDOCRD 2 COIL B    36996.7    36996.7   014020   01 SURGERY REV
40242236   S LD ICD ENDOCRD 2 COIL C    34755.5    34755.5   014020   01 SURGERY REV
40242234   S LD ICD NOEND 1OR2 CL       4450.45    4450.45   014020   01 SURGERY REV
40245921   S LD NEUROSTIM TEST KIT      13247.3    13247.3   014020   01 SURGERY REV
40245888   S LD NEUROSTIMULATOR        12635.35   12635.35   014020   01 SURGERY REV
40245889   S LD NEUROSTIMULATOR B       15163.6    15163.6   014020   01 SURGERY REV
40246103   S LD PCR DEFIBRILLATOR       43162.8    43162.8   014020   01 SURGERY REV
40245988   S LD PCR G                  18492.15   18492.15   014020   01 SURGERY REV
40245989   S LD PCR H                   24658.3    24658.3   014020   01 SURGERY REV
40245990   S LD PCR I                   30824.4    30824.4   014020   01 SURGERY REV
40245992   S LD PCR K                   43156.6    43156.6   014020   01 SURGERY REV
40245993   S LD PCR L                   49322.7    49322.7   014020   01 SURGERY REV
40206197   S LD PCR NO TV SNGL PAS B    4735.15    4735.15   014020   01 SURGERY REV
40206198   S LD PCR NO TV SNGL PAS C    6062.55    6062.55   014020   01 SURGERY REV
40206196   S LD PCR PACEMAKER LEAD A         3155.05    3155.05   014020   01 SURGERY REV
40206199   S LD PCR PACEMAKER LEAD D         7579.45    7579.45   014020   01 SURGERY REV
40206200   S LD PCR PACEMAKER LEAD E         9096.25    9096.25   014020   01 SURGERY REV
40206201   S LD PCR PACEMAKER LEAD F        10613.15   10613.15   014020   01 SURGERY REV
40245991   S LD VENT CORO VEN SYS LT         36990.5    36990.5   014020   01 SURGERY REV
4020090    S MESH IMPLANT A                    276.3      276.3   014020   01 SURGERY REV
4020091    S MESH IMPLANT B                   436.95     436.95   014020   01 SURGERY REV
4020092    S MESH IMPLANT C                    809.4      809.4   014020   01 SURGERY REV
4020093    S MESH IMPLANT D                   1844.8     1844.8   014020   01 SURGERY REV
40206129   S MESH IMPLANT E                   2116.4     2116.4   014020   01 SURGERY REV
40206130   S MESH IMPLANT F                   3056.9     3056.9   014020   01 SURGERY REV
40206131   S MESH IMPLANT G                  3997.35    3997.35   014020   01 SURGERY REV
40206132   S MESH IMPLANT H                  5309.15    5309.15   014020   01 SURGERY REV
40206133   S MESH IMPLANT I                   6320.4     6320.4   014020   01 SURGERY REV
40206134   S MESH IMPLANT J                  7331.75    7331.75   014020   01 SURGERY REV
40206135   S MESH IMPLANT K                   8342.9     8342.9   014020   01 SURGERY REV
40246157   S MESH IMPLANT L                 10718.65   10718.65   014020   01 SURGERY REV
40246158   S MESH IMPLANT M                  11877.4    11877.4   014020   01 SURGERY REV
40246159   S MESH IMPLANT N                  13036.2    13036.2   014020   01 SURGERY REV
40246156   S MORCELLATOR                      2987.6     2987.6   014020   01 SURGERY REV
40246075   S NEUROSTIM PATIENT PRGRM          6391.2     6391.2   014020   01 SURGERY REV
40242232   S NEUROSTIM RECVR/TRNSMTR        28071.75   28071.75   014020   01 SURGERY REV
40211179   S NSTRL BOVIE DSPRSL PL               174        174   014020   01 SURGERY REV
4020595    S NSTRL HIP SPIC DRS XL             260.2      260.2   014020   01 SURGERY REV
4020594    S NSTRL HIP SPICA DRSG              85.25      85.25   014020   01 SURGERY REV
40225625   S NSTRL LOOPOSTMY BRDGE              37.6       37.6   014020   01 SURGERY REV
40206006   S NSTRL PLR CR SHLD WRP            121.45     121.45   014020   01 SURGERY REV
40206087   S NSTRL PT WARMING BLANKET           91.4       91.4   014020   01 SURGERY REV
40245841   S NSTRL SENSOR, BIS                129.15     129.15   014020   01 SURGERY REV
4020696    S NSTRL THERMAL BLANKET             71.15      71.15   014020   01 SURGERY REV
4020530    S NSTRL TROCAR CANNULA              115.7      115.7   014020   01 SURGERY REV
40204514   S ORTHO FB HP SPC CST 1 1/2 CH     2073.4     2073.4   014020   01 SURGERY REV
40204536   S ORTHO FBGL HP SPIC CST UNI C    1820.65    1820.65   014020   01 SURGERY REV
40204381   S ORTHO FBGLS LONG ARM CAST AD     1011.8     1011.8   014020   01 SURGERY REV
40204392   S ORTHO FBGLS LONG ARM CAST CH      556.6      556.6   014020   01 SURGERY REV
40204347   S ORTHO FBGLS LONG LEG CAST AD    1618.55    1618.55   014020   01 SURGERY REV
40204369   S ORTHO FBGLS SHRT ARM CAST AD     531.45     531.45   014020   01 SURGERY REV
40204370   S ORTHO FBGLS SHRT ARM CAST CH     379.55     379.55   014020   01 SURGERY REV
40204325   S ORTHO FBGLS SHRT LEG CAST AD     1112.8     1112.8   014020   01 SURGERY REV
40204336   S ORTHO FBGLS SHRT LEG CAST CH     758.75     758.75   014020   01 SURGERY REV
40204358   S ORTHO FG LONG LEG CAST CH        1021.9     1021.9   014020   01 SURGERY REV
40203420   S ORTHO LONG ARM SPLINT            379.55     379.55   014020   01 SURGERY REV
40203495   S ORTHO LONG LEG SPLINT            657.75     657.75   014020   01 SURGERY REV
40204270   S ORTHO PLS HP SPC CST 1 1/2 C     1315.2     1315.2   014020   01 SURGERY REV
40204103   S ORTHO PLST LNG LEG CAST ADUL     935.85     935.85   014020   01 SURGERY REV
40204114   S ORTHO PLST LNG LEG CAST CHIL      632.7      632.7   014020   01 SURGERY REV
40204147   S ORTHO PLST LONG ARM CAST AD       481.2      481.2   014020   01 SURGERY REV
40204158   S ORTHO PLST LONG ARM CAST CH      354.35     354.35   014020   01 SURGERY REV
40204136   S ORTHO PLST SHT ARM CAST CH       278.65     278.65   014020   01 SURGERY REV
40204081   S ORTHO PLST SHT LEG CAST           632.7      632.7   014020   01 SURGERY REV
40205084   S ORTHO REHAB KNEE BRACE            653.4      653.4   014020   01 SURGERY REV
40203412   S ORTHO SHORT ARM SPLINT            188.5      188.5   014020   01 SURGERY REV
40203487   S ORTHO SHORT LEG SPLINT            319.2      319.2   014020   01 SURGERY REV
40204125   S ORTHO SHT ARM CST ADLT              329        329   014020   01 SURGERY REV
40206049   S ORTHO ULTRA SLING                338.65     338.65   014020   01 SURGERY REV
40206202   S PCR 1 CHMBR RR A               12635.65   12635.65   014020   01 SURGERY REV
40206203   S PCR 1 CHMBR RR B               15163.75   15163.75   014020   01 SURGERY REV
40206204   S PCR 1 CHMBR RR C               17691.85   17691.85   014020   01 SURGERY REV
40206205   S PCR 1 CHMBR RR D               20220.05   20220.05   014020   01 SURGERY REV
40206212   S PCR 1 CHMBR RR F                37916.8    37916.8   014020   01 SURGERY REV
40242235   S PCR 1 CHMBR RR L               32076.65   32076.65   014020   01 SURGERY REV
40242237   S PCR 2 CHMBR NRR                 40254.5    40254.5   014020   01 SURGERY REV
40206206   S PCR 2 CHMBR RR A               22748.15   22748.15   014020   01 SURGERY REV
40246104   S PCR 2 CHMBR RR A               80756.05   80756.05   014020   01 SURGERY REV
40206207   S PCR 2 CHMBR RR B                25276.3    25276.3   014020   01 SURGERY REV
40206209   S PCR 2 CHMBR RR D                30332.5    30332.5   014020   01 SURGERY REV
40206210   S PCR 2 CHMBR RR E               32860.65   32860.65   014020   01 SURGERY REV
40206211   S PCR 2 CHMBR RR F                35388.7    35388.7   014020   01 SURGERY REV
40206208   S PCR 2 CHMBR RR G               27804.35   27804.35   014020   01 SURGERY REV
40242238   S PCR NOT 1 OR 2 CHMBR           53464.65   53464.65   014020   01 SURGERY REV
40226657   S PORT INDWELLING CV CATH     1253.5     1253.5   014020   01 SURGERY REV
40206052   S PROBE CRYOABLATION         3423.55    3423.55   014020   01 SURGERY REV
40245883   S PROBE CRYOABLATION A        948.25     948.25   014020   01 SURGERY REV
40245885   S PROBE CRYOABLATION B        2370.3     2370.3   014020   01 SURGERY REV
40245884   S PROBE CRYOABLATION C        2633.6     2633.6   014020   01 SURGERY REV
40245870   S PROBE CRYOABLATION D       6825.95    6825.95   014020   01 SURGERY REV
40245767   S PROS EYE SPHERE             277.05     277.05   014020   01 SURGERY REV
4020772    S PROSTH BREAST A            3160.45    3160.45   014020   01 SURGERY REV
4020773    S PROSTH BREAST B             4122.4     4122.4   014020   01 SURGERY REV
4020774    S PROSTH BREAST C             5221.4     5221.4   014020   01 SURGERY REV
40206085   S PROSTH BREAST D            6067.45    6067.45   014020   01 SURGERY REV
40206086   S PROSTH BREAST E            5945.35    5945.35   014020   01 SURGERY REV
40206154   S PROSTH BREAST F            8090.05    8090.05   014020   01 SURGERY REV
40206155   S PROSTH BREAST G             9101.4     9101.4   014020   01 SURGERY REV
40206156   S PROSTH BREAST H            10112.6    10112.6   014020   01 SURGERY REV
40206189   S PROSTH PENILE INFLTBL     15163.75   15163.75   014020   01 SURGERY REV
40206182   S PROSTH PENILE INFLTBL A     625.85     625.85   014020   01 SURGERY REV
40206183   S PROSTH PENILE INFLTBL B    1675.75    1675.75   014020   01 SURGERY REV
40206184   S PROSTH PENILE INFLTBL C    3155.05    3155.05   014020   01 SURGERY REV
40206185   S PROSTH PENILE INFLTBL D     5261.9     5261.9   014020   01 SURGERY REV
40206186   S PROSTH PENILE INFLTBL E    7579.45    7579.45   014020   01 SURGERY REV
40206187   S PROSTH PENILE INFLTBL F   10107.55   10107.55   014020   01 SURGERY REV
40206188   S PROSTH PENILE INFLTBL G   12635.65   12635.65   014020   01 SURGERY REV
40206190   S PROSTH PENILE INFLTBL I   17691.85   17691.85   014020   01 SURGERY REV
40206191   S PROSTH PENILE INFLTBL J   20220.05   20220.05   014020   01 SURGERY REV
40206192   S PROSTH PENILE INFLTBL K   22748.15   22748.15   014020   01 SURGERY REV
40206193   S PROSTH PENILE INFLTBL L    25276.3    25276.3   014020   01 SURGERY REV
40206194   S PROSTH PENILE INFLTBL M   27804.35   27804.35   014020   01 SURGERY REV
40206195   S PROSTH PENILE INFLTBL N    30332.5    30332.5   014020   01 SURGERY REV
40206179   S PROSTH PENILE INFLTBL O    1675.75    1675.75   014020   01 SURGERY REV
40242231   S PROSTH PENILE NOINFLTBL   11496.05   11496.05   014020   01 SURGERY REV
40246078   S PROSTH URINARY SPHINCTR   11869.85   11869.85   014020   01 SURGERY REV
40245934   S PUMP INFSN PROGRAMMABLE   59348.75   59348.75   014020   01 SURGERY REV
40245979   S RETINAL TAMPONADE DEV       2726.9     2726.9   014020   01 SURGERY REV
40205015   S STRL A.S.ENDO BABCOCK       699.55     699.55   014020   01 SURGERY REV
40205013   S STRL A/S CEEA STAPLER          2296.85    2296.85    014020   01 SURGERY REV
40201980   S STRL ABDOMINAL ACES PK          423.75     423.75    014020   01 SURGERY REV
40227483   S STRL ACCESS SYSTEM SIDE PORT   2376.95    2376.95    014020   01 SURGERY REV
4020517    S STRL ACCU TEMP CAUTERY             55.3       55.3   014020   01 SURGERY REV
40245977   S STRL ACCURUS PACK              2186.95    2186.95    014020   01 SURGERY REV
40206169   S STRL ACCUSIRE CATHETER          6269.9     6269.9    014020   01 SURGERY REV
40246129   S STRL ACCUSIZE CATH KIT         8056.35    8056.35    014020   01 SURGERY REV
4020719    S STRL ACL GRAFT HARVEST KIT      587.35     587.35    014020   01 SURGERY REV
40213237   S STRL ACL REPAIR KIT             1286.5     1286.5    014020   01 SURGERY REV
40226243   S STRL AMBU-BAG                   165.85     165.85    014020   01 SURGERY REV
40245980   S STRL ANASTOMOSIS DEVISE         2890.5     2890.5    014020   01 SURGERY REV
40205137   S STRL ANKLE STRAP                 115.7      115.7    014020   01 SURGERY REV
40245881   S STRL AORTIC CONNECTOR           2370.3     2370.3    014020   01 SURGERY REV
40246000   S STRL AORTIC PUNCH B              402.9      402.9    014020   01 SURGERY REV
40246001   S STRL AORTIC PUNCH C             570.65     570.65    014020   01 SURGERY REV
40212003   S STRL ARTERIAL LINE TRAY         494.95     494.95    014020   01 SURGERY REV
40225153   S STRL ARTHRO ACES PACK           610.65     610.65    014020   01 SURGERY REV
40246145   S STRL BARIUM VIAL                612.05     612.05    014020   01 SURGERY REV
40246030   S STRL BICANALICULAR CERC         408.65     408.65    014020   01 SURGERY REV
40205066   S STRL BICOAG FORCEPS             494.95     494.95    014020   01 SURGERY REV
4020502    S STRL BIFURCATED DRAIN            38.45      38.45    014020   01 SURGERY REV
40245937   S STRL BIOPATCH                      47.3       47.3   014020   01 SURGERY REV
4020815    S STRL BIOPSY NEEDLE A               79.4       79.4   014020   01 SURGERY REV
4020657    S STRL BIOPSY NEEDLE B             125.9      125.9    014020   01 SURGERY REV
40245930   S STRL BIOPSY NEEDLE OTS         1366.85    1366.85    014020   01 SURGERY REV
4020694    S STRL BIPOLAR CTRY FRCEP           1316       1316    014020   01 SURGERY REV
4020030    S STRL BLADE A                     41.35      41.35    014020   01 SURGERY REV
4020031    S STRL BLADE B                    147.45     147.45    014020   01 SURGERY REV
4020032    S STRL BLADE C                    290.05     290.05    014020   01 SURGERY REV
4020033    S STRL BLADE D                    438.75     438.75    014020   01 SURGERY REV
4020034    S STRL BLADE E                     792.9      792.9    014020   01 SURGERY REV
40206012   S STRL BLADE F                   1319.05    1319.05    014020   01 SURGERY REV
4020036    S STRL BLADE G                    1169.8     1169.8    014020   01 SURGERY REV
40206070   S STRL BLADE H                    1322.3     1322.3    014020   01 SURGERY REV
40206071   S STRL BLADE I                    1764.6     1764.6    014020   01 SURGERY REV
40206072   S STRL BLADE J                    2628.35    2628.35   014020   01 SURGERY REV
40246144   S STRL BLADE K                    3017.75    3017.75   014020   01 SURGERY REV
40246110   S STRL BONE BX DEVICE              941.65     941.65   014020   01 SURGERY REV
40246049   S STRL BONE FILLER DEVICE          709.25     709.25   014020   01 SURGERY REV
40246160   S STRL BONE STIMULATOR           21726.95   21726.95   014020   01 SURGERY REV
40211161   S STRL BONE WAX                      30.3       30.3   014020   01 SURGERY REV
4020571    S STRL BONE WICK                   225.25     225.25   014020   01 SURGERY REV
40211799   S STRL BOVIE PENCIL                  27.6       27.6   014020   01 SURGERY REV
4020798    S STRL BREAST FILL KIT             363.55     363.55   014020   01 SURGERY REV
40227175   S STRL BRONCHO CATH                514.65     514.65   014020   01 SURGERY REV
4020721    S STRL BROVIAC CATHETER            643.25     643.25   014020   01 SURGERY REV
40226144   S STRL BSS PLUS 500CC              210.35     210.35   014020   01 SURGERY REV
40245994   S STRL BUR E                      1534.05    1534.05   014020   01 SURGERY REV
4020558    S STRL BURR HOLE VALVE            3297.85    3297.85   014020   01 SURGERY REV
4020049    S STRL BURS B                       223.4      223.4   014020   01 SURGERY REV
4020050    S STRL BURS C                      347.65     347.65   014020   01 SURGERY REV
4020051    S STRL BURS D                       653.3      653.3   014020   01 SURGERY REV
4020052    S STRL BURS E                       976.6      976.6   014020   01 SURGERY REV
40206170   S STRL BUTTON GASTROSTOMY KIT      1011.4     1011.4   014020   01 SURGERY REV
40226011   S STRL CANNULA                      125.6      125.6   014020   01 SURGERY REV
40246072   S STRL CANNULA AORTIC               205.3      205.3   014020   01 SURGERY REV
40246037   S STRL CANNULA ART/GUIDE           378.25     378.25   014020   01 SURGERY REV
4020504    S STRL CAPD TRANSFER SET            262.4      262.4   014020   01 SURGERY REV
40212649   S STRL CAROTID SHUNT               351.95     351.95   014020   01 SURGERY REV
40245563   S STRL CARPAL TUNNEL RELEASE K    1023.35    1023.35   014020   01 SURGERY REV
40245954   S STRL CATH EXCHANGE SET           113.75     113.75   014020   01 SURGERY REV
40246022   S STRL CATH GRAHAM                  352.7      352.7   014020   01 SURGERY REV
40206030   S STRL CATH GUIDING               1198.95    1198.95   014020   01 SURGERY REV
40246092   S STRL CATH INTERTHECAL           3629.15    3629.15   014020   01 SURGERY REV
4025545    S STRL CATH MV BAL/DLTR           1270.05    1270.05   014020   01 SURGERY REV
40246182   S STRL CATH VENTRICULAR             688.1      688.1   014020   01 SURGERY REV
40246024   S STRL CAUTERY EYE A                  135        135   014020   01 SURGERY REV
40246095   S STRL CELLECT KIT SNG            1349.05    1349.05   014020   01 SURGERY REV
40246096   S STRL CELLECT KIT TRPL           1366.85    1366.85   014020   01 SURGERY REV
4020572    S STRL CEMENT CARTRIDGE            610.55     610.55   014020   01 SURGERY REV
40226342   S STRL CEMENT MIXING BOWL          384.1     384.1   014020   01 SURGERY REV
4020573    S STRL CEMENT NOZZLE              177.35    177.35   014020   01 SURGERY REV
4020726    S STRL CEMENT PRESSURIZER          151.9     151.9   014020   01 SURGERY REV
40225526   S STRL CEMENT TIP SHORT           116.95    116.95   014020   01 SURGERY REV
40206114   S STRL CEREBRAL CATH              129.25    129.25   014020   01 SURGERY REV
40246027   S STRL CHAMBER MAINTER              83.3      83.3   014020   01 SURGERY REV
4020615    S STRL CHEST TUBE                  45.75     45.75   014020   01 SURGERY REV
4020096    S STRL CHOLANGIO CATH A            65.75     65.75   014020   01 SURGERY REV
4020097    S STRL CHOLANGIO CATH B            345.2     345.2   014020   01 SURGERY REV
40246079   S STRL CHOLANGIO CATH E           1534.1    1534.1   014020   01 SURGERY REV
40242241   S STRL CHONDRAL REP KIT          4650.95   4650.95   014020   01 SURGERY REV
40246061   S STRL COLLAGEN HEMOSTAT           257.8     257.8   014020   01 SURGERY REV
4020727    S STRL COLOSTOMY ROD               18.95     18.95   014020   01 SURGERY REV
40205127   S STRL COMPARTMENT SYNDROME KI    345.45    345.45   014020   01 SURGERY REV
4020621    S STRL COOK CATHETER               560.8     560.8   014020   01 SURGERY REV
40242211   S STRL CORNEA COAT                112.69    112.69   014020   01 SURGERY REV
40246029   S STRL CORNEAL BLOCK              152.95    152.95   014020   01 SURGERY REV
40226292   S STRL CRANIAL ACCESS KIT         1087.5    1087.5   014020   01 SURGERY REV
40245955   S STRL CRYO PROC PACK            33913.6   33913.6   014020   01 SURGERY REV
40246183   S STRL CSF DRAINAGE SET           1006.8    1006.8   014020   01 SURGERY REV
40246011   S STRL CUP REMOVAL BLADE         3211.65   3211.65   014020   01 SURGERY REV
40245978   S STRL CUSA TIP                   1503.6    1503.6   014020   01 SURGERY REV
4020578    S STRL CV PACK                    457.45    457.45   014020   01 SURGERY REV
40225229   S STRL CYSTATOME DISP              191.6     191.6   014020   01 SURGERY REV
40246067   S STRL DBL LUMEN CVP              963.65    963.65   014020   01 SURGERY REV
40246168   S STRL DEACTIVATION PACK          688.15    688.15   014020   01 SURGERY REV
40205094   S STRL DELTA SHUNT VALVE          3515.5    3515.5   014020   01 SURGERY REV
40226466   S STRL DERMA HOOKS                 112.5     112.5   014020   01 SURGERY REV
40245950   S STRL DEVICE RETRIEVAL A          385.5     385.5   014020   01 SURGERY REV
40245951   S STRL DEVICE RETRIEVAL B         1148.6    1148.6   014020   01 SURGERY REV
40245960   S STRL DEVICE RETRIEVAL C        1701.75   1701.75   014020   01 SURGERY REV
40245961   S STRL DEVICE RETRIEVAL D        2385.15   2385.15   014020   01 SURGERY REV
40246025   S STRL DIATHERMY PENCIL           239.25    239.25   014020   01 SURGERY REV
40245956   S STRL DILATOR A                   224.8     224.8   014020   01 SURGERY REV
40245957   S STRL DILATOR B                     411       411   014020   01 SURGERY REV
40245958   S STRL DILATOR C               578.15     578.15   014020   01 SURGERY REV
40205140   S STRL DISP EXT FIXATOR A      5563.7     5563.7   014020   01 SURGERY REV
40245801   S STRL DISP EXT FIXATOR B    12635.55   12635.55   014020   01 SURGERY REV
40242202   S STRL DISP EXT FIXATOR D    18709.15   18709.15   014020   01 SURGERY REV
40242203   S STRL DISP EXT FIXATOR E    21382.65   21382.65   014020   01 SURGERY REV
40242204   S STRL DISP EXT FIXATOR F    24056.15   24056.15   014020   01 SURGERY REV
40246066   S STRL DISP EXT FX C         18492.15   18492.15   014020   01 SURGERY REV
40245800   S STRL DISP EXT. FIXATER A     6568.1     6568.1   014020   01 SURGERY REV
40226434   S STRL DISP PERFORATOR         590.65     590.65   014020   01 SURGERY REV
40206031   S STRL DISTAL TARGET DVC       936.85     936.85   014020   01 SURGERY REV
40205039   S STRL DLU TA 30/STPLR CTG        350        350   014020   01 SURGERY REV
40206022   S STRL DRAIN C                 395.85     395.85   014020   01 SURGERY REV
40206023   S STRL DRAIN D                    554        554   014020   01 SURGERY REV
40206024   S STRL DRAIN E                1319.15    1319.15   014020   01 SURGERY REV
40206025   S STRL DRAIN F                1908.25    1908.25   014020   01 SURGERY REV
40212409   S STRL DRAIN RESEVOIR              53         53   014020   01 SURGERY REV
4020099    S STRL DRAINAGE                 156.4      156.4   014020   01 SURGERY REV
40210957   S STRL DRAINAGE                 55.35      55.35   014020   01 SURGERY REV
4020098    S STRL DRAINAGE                  61.8       61.8   014020   01 SURGERY REV
40211708   S STRL DRAINAGE                108.15     108.15   014020   01 SURGERY REV
40211088   S STRL DRAINAGE                    78         78   014020   01 SURGERY REV
4020040    S STRL DRILL BIT B              182.3      182.3   014020   01 SURGERY REV
4020041    S STRL DRILL BIT C             247.25     247.25   014020   01 SURGERY REV
4020042    S STRL DRILL BIT D             417.95     417.95   014020   01 SURGERY REV
4020043    S STRL DRILL BIT E              812.8      812.8   014020   01 SURGERY REV
4020044    S STRL DRILL BIT F            1143.55    1143.55   014020   01 SURGERY REV
40246187   S STRL DRILL BIT G            1920.05    1920.05   014020   01 SURGERY REV
40246188   S STRL DRILL BIT H             2561.6     2561.6   014020   01 SURGERY REV
40205095   S STRL DUOFLO KIT              288.75     288.75   014020   01 SURGERY REV
40212102   S STRL EAR DRAIN TUBE           94.95      94.95   014020   01 SURGERY REV
4020534    S STRL EAR WICK                 18.75      18.75   014020   01 SURGERY REV
40245843   S STRL ELCTRD LIGASURE        2023.15    2023.15   014020   01 SURGERY REV
40245842   S STRL ELCTRD SOMNOPLASTY     1401.15    1401.15   014020   01 SURGERY REV
40245844   S STRL ELECTRODE A              625.9      625.9   014020   01 SURGERY REV
40245845   S STRL ELECTRODE B             1534.1     1534.1   014020   01 SURGERY REV
40245846   S STRL ELECTRODE C                2043.45     2043.45    014020   01 SURGERY REV
40245940   S STRL ELECTRODE D                 2726.9      2726.9    014020   01 SURGERY REV
40245941   S STRL ELECTRODE E                3205.25     3205.25    014020   01 SURGERY REV
4020803    S STRL ELECTRODE EMG NDL            172.1       172.1    014020   01 SURGERY REV
40245942   S STRL ELECTRODE F                 3847.6      3847.6    014020   01 SURGERY REV
40245943   S STRL ELECTRODE G                   4490        4490    014020   01 SURGERY REV
4020600    S STRL ELECTRODE LOOP              414.95      414.95    014020   01 SURGERY REV
4020515    S STRL ELECTRODE ROLLER BAR        571.85      571.85    014020   01 SURGERY REV
40205020   S STRL END DISSECTOR               699.55      699.55    014020   01 SURGERY REV
4020580    S STRL ENDO AVITENE                494.95      494.95    014020   01 SURGERY REV
4020845    S STRL ENDO CATCH                  427.05      427.05    014020   01 SURGERY REV
4020683    S STRL ENDO CLAMP                  477.85      477.85    014020   01 SURGERY REV
40205058   S STRL ENDO CLINCH                 659.95      659.95    014020   01 SURGERY REV
40205021   S STRL ENDO CLIP                   890.75      890.75    014020   01 SURGERY REV
4020846    S STRL ENDO EEA SIZER              269.65      269.65    014020   01 SURGERY REV
40205017   S STRL ENDO GIA STPL CARDRIDGE      719.2       719.2    014020   01 SURGERY REV
4020682    S STRL ENDO GIA STPLR              1220.7      1220.7    014020   01 SURGERY REV
40205060   S STRL ENDO KITTNER                   90.8        90.8   014020   01 SURGERY REV
40245973   S STRL ENDO LAP CANNULA             346.9       346.9    014020   01 SURGERY REV
40205022   S STRL ENDO O CHRIMIC GUT          117.75      117.75    014020   01 SURGERY REV
40245969   S STRL ENDO RELOAD                 1224.7      1224.7    014020   01 SURGERY REV
4020527    S STRL ENDO RETRACTOR A            264.15      264.15    014020   01 SURGERY REV
40205059   S STRL ENDO RETRACTOR C            822.25      822.25    014020   01 SURGERY REV
40245975   S STRL ENDO SHEARS                3205.25     3205.25    014020   01 SURGERY REV
40242258   S STRL ENDO SLEEVE A                467.9       467.9    014020   01 SURGERY REV
4020850    S STRL ENDO STITCH                  127.4       127.4    014020   01 SURGERY REV
40206048   S STRL ENDO TACKER                 1402.2      1402.2    014020   01 SURGERY REV
4020693    S STRL ENDO TRCR REDUCER            33.65       33.65    014020   01 SURGERY REV
40227491   S STRL ENDO TROCAR                  620.2       620.2    014020   01 SURGERY REV
40242257   S STRL ENDO TROCAR B               835.55      835.55    014020   01 SURGERY REV
40245833   S STRL ENDO VEIN HARVEST KIT      4477.05     4477.05    014020   01 SURGERY REV
40242233   S STRL ENDOBARIATRIC PK A          9389.6      9389.6    014020   01 SURGERY REV
40245968   S STRL ENDOBARIATRIC PK B        14057.05    14057.05    014020   01 SURGERY REV
40245953   S STRL ENDOBRON BLOCKER             871.1       871.1    014020   01 SURGERY REV
40242196   S STRL ENDOBRONCHIAL BLKR         1412.45     1412.45    014020   01 SURGERY REV
40246177   S STRL ENDOMETRIAL ABLATN          5130.2      5130.2    014020   01 SURGERY REV
40246058   S STRL ENDOPATH                    422.25      422.25    014020   01 SURGERY REV
40205049   S STRL ENDOPATH TROCAR             561.85      561.85    014020   01 SURGERY REV
4020524    S STRL ENDOSTITCH                  935.75      935.75    014020   01 SURGERY REV
40227241   S STRL ENDOTRACHEAL TUBES           553.3       553.3    014020   01 SURGERY REV
40226490   S STRL ESMARCK                      102.9       102.9    014020   01 SURGERY REV
4020253    S STRL EXIT CLOSURE DVC            274.55      274.55    014020   01 SURGERY REV
40206042   S STRL EXT FIXATOR H               1754.5      1754.5    014020   01 SURGERY REV
40213050   S STRL EXTD ELECTR BLADE              57.5        57.5   014020   01 SURGERY REV
40246099   S STRL EXTERNAL FIXATOR A           92.55       92.55    014020   01 SURGERY REV
4020001    S STRL EXTERNAL FIXATOR B          168.95      168.95    014020   01 SURGERY REV
4020002    S STRL EXTERNAL FIXATOR C           276.8       276.8    014020   01 SURGERY REV
4020003    S STRL EXTERNAL FIXATOR D          465.45      465.45    014020   01 SURGERY REV
4020004    S STRL EXTERNAL FIXATOR E          851.85      851.85    014020   01 SURGERY REV
4020005    S STRL EXTERNAL FIXATOR F          1088.5      1088.5    014020   01 SURGERY REV
4020006    S STRL EXTERNAL FIXATOR G         1450.65     1450.65    014020   01 SURGERY REV
4020007    S STRL EXTERNAL FIXATOR I          2112.7      2112.7    014020   01 SURGERY REV
40205128   S STRL EXTERNAL FIXATOR J          2468.1      2468.1    014020   01 SURGERY REV
40208129   S STRL EXTERNAL FIXATOR K          3017.5      3017.5    014020   01 SURGERY REV
40205130   S STRL EXTERNAL FIXATOR L         3917.05     3917.05    014020   01 SURGERY REV
40205131   S STRL EXTERNAL FIXATOR M         4116.65     4116.65    014020   01 SURGERY REV
40205132   S STRL EXTERNAL FIXATOR N         4666.35     4666.35    014020   01 SURGERY REV
40205133   S STRL EXTERNAL FIXATOR O          5215.9      5215.9    014020   01 SURGERY REV
40205134   S STRL EXTERNAL FIXATOR P            5535        5535    014020   01 SURGERY REV
40205135   S STRL EXTERNAL FIXATOR Q          6062.6      6062.6    014020   01 SURGERY REV
40205136   S STRL EXTERNAL FIXATOR R         5535.05     5535.05    014020   01 SURGERY REV
40246106   S STRL EXTERNAL FIXATOR S         9243.05     9243.05    014020   01 SURGERY REV
40246107   S STRL EXTERNAL FIXATOR T        12326.05    12326.05    014020   01 SURGERY REV
40205079   S STRL EXTREMITY ACCESSORY PAC         385         385   014020   01 SURGERY REV
4020793    S STRL FALLOPE RING KIT             672.7       672.7    014020   01 SURGERY REV
4020709    S STRL FALLOPE RING KIT             211.3       211.3    014020   01 SURGERY REV
4020574    S STRL FEMORAL IRRIGATOR TIP            79          79   014020   01 SURGERY REV
40205001   S STRL FIBER ENDOSTAT              987.35      987.35    014020   01 SURGERY REV
40206054   S STRL FIBRIN GLUE                1793.45     1793.45    014020   01 SURGERY REV
40245972   S STRL FIBRIN SEALANT 5CC          2633.6      2633.6    014020   01 SURGERY REV
40206040 S STRL FILFORM B                   277.65      277.65    014020   01 SURGERY REV
40206039 S STRL FILIFORM A                  231.05      231.05    014020   01 SURGERY REV
40206041 S STRL FILIFORM C                  461.85      461.85    014020   01 SURGERY REV
40246109 S STRL FIRST FX KIT              20295.85    20295.85    014020   01 SURGERY REV
40226524 S STRL FLUID COLLECTION POUCH       74.25       74.25    014020   01 SURGERY REV
4020620 S STRL FOLEY CATHETER                    62          62   014020   01 SURGERY REV
4020732 S STRL FORG ADHERENT CATH           1220.4      1220.4    014020   01 SURGERY REV
40246026 S STRL FRAGMATOME PACK             427.85      427.85    014020   01 SURGERY REV
40246176 S STRL FX KIT ADDTL LEVEL         13661.9     13661.9    014020   01 SURGERY REV
40227266 S STRL GASTROSTOMY TUBE             320.4       320.4    014020   01 SURGERY REV
40245959 S STRL GEL PORT KIT               3134.55     3134.55    014020   01 SURGERY REV
40205023 S STRL GIA 60 STAPLER              778.75      778.75    014020   01 SURGERY REV
40205024 S STRL GIA 60 STAPLER CARTRIDG      481.9       481.9    014020   01 SURGERY REV
40205025 S STRL GIA 80 STAPLER              1200.7      1200.7    014020   01 SURGERY REV
40246039 S STRL GRAFT APPLICATOR             578.2       578.2    014020   01 SURGERY REV
40246047 S STRL GRAFT DELIVERY SYS          1674.4      1674.4    014020   01 SURGERY REV
40245944 S STRL GRAFT PASS SET              1117.8      1117.8    014020   01 SURGERY REV
40246174 S STRL GRAFT SMOOTHER             1144.45     1144.45    014020   01 SURGERY REV
40246162 S STRL GUIDE PIN E                1079.25     1079.25    014020   01 SURGERY REV
40242199 S STRL GUIDE PIN E                1079.25     1079.25    014020   01 SURGERY REV
40246163 S STRL GUIDE PIN F                1441.45     1441.45    014020   01 SURGERY REV
4020057 S STRL GUIDE PINS A                    51.9        51.9   014020   01 SURGERY REV
4020058 S STRL GUIDE PINS B                 142.15      142.15    014020   01 SURGERY REV
4020059 S STRL GUIDE PINS C                  211.3       211.3    014020   01 SURGERY REV
4020060 S STRL GUIDE PINS D                 395.85      395.85    014020   01 SURGERY REV
402460305 S STRL GUIDE WIRE E               955.95      955.95    014020   01 SURGERY REV
40205077 S STRL GYN/LAP ACCESSORY PACK      191.15      191.15    014020   01 SURGERY REV
40246113 S STRL HANDPIECE LIP0 DISP          380.3       380.3    014020   01 SURGERY REV
40206061 S STRL HEART RET DISP A           3160.05     3160.05    014020   01 SURGERY REV
40206062 S STRL HEART RETRACTOR B          5240.75     5240.75    014020   01 SURGERY REV
40245827 S STRL HEART RETRACTOR C           8843.4      8843.4    014020   01 SURGERY REV
40245828 S STRL HEART RETRACTOR D         12636.45    12636.45    014020   01 SURGERY REV
40206063 S STRL HEART SHUNT                  505.9       505.9    014020   01 SURGERY REV
40245987 S STRL HEART STRING SEAL           2890.5      2890.5    014020   01 SURGERY REV
40245986 S STRL HEARTSTRING                   2597        2597    014020   01 SURGERY REV
4025544    S STRL HELICAL BASKET            2188.15   2188.15   014020   01 SURGERY REV
40211351   S STRL HEMO CLIP                   99.35     99.35   014020   01 SURGERY REV
40246116   S STRL HEMO ROTATE VALVE           200.2     200.2   014020   01 SURGERY REV
40246070   S STRL HEMOSTATIC SEALANT        1233.45   1233.45   014020   01 SURGERY REV
40205028   S STRL HERNIA CLIP               1035.95   1035.95   014020   01 SURGERY REV
40225302   S STRL HICKMAN CATH DUAL          627.05    627.05   014020   01 SURGERY REV
4020720    S STRL HICKMAN CATH SINGLE LUM     481.8     481.8   014020   01 SURGERY REV
4020723    S STRL HICKMN CATH W/PORT         2797.8    2797.8   014020   01 SURGERY REV
40213126   S STRL HIP PACK                  1230.15   1230.15   014020   01 SURGERY REV
40213001   S STRL HUMI UTERINE MANU          273.15    273.15   014020   01 SURGERY REV
40212151   S STRL HYDROGRIP INSERT            100.5     100.5   014020   01 SURGERY REV
40246036   S STRL HYDROTHERMABLTR           4306.85   4306.85   014020   01 SURGERY REV
40246050   S STRL INDRODUCER TOOL KT        5780.95   5780.95   014020   01 SURGERY REV
40246051   S STRL INFLATABLE BONE TP         6172.8    6172.8   014020   01 SURGERY REV
40245946   S STRL INST DISP A                770.85    770.85   014020   01 SURGERY REV
40245947   S STRL INST DISP B               1156.35   1156.35   014020   01 SURGERY REV
40245948   S STRL INST DISP C                1534.1    1534.1   014020   01 SURGERY REV
40246017   S STRL INTRA VASC CLOSURE        4656.95   4656.95   014020   01 SURGERY REV
40245873   S STRL INTRD PUNCTURE             426.75    426.75   014020   01 SURGERY REV
40245964   S STRL INTRODUCER CRYO            2125.5    2125.5   014020   01 SURGERY REV
4020729    S STRL INTRODUCER LEAD             316.8     316.8   014020   01 SURGERY REV
40246052   S STRL INTRODUCER OSTEO             6382      6382   014020   01 SURGERY REV
40246080   S STRL INTRODUCER PERC            233.85    233.85   014020   01 SURGERY REV
40246093   S STRL INTRODUCER PERC B           462.6     462.6   014020   01 SURGERY REV
40246094   S STRL INTRODUCER PERC C           763.2     763.2   014020   01 SURGERY REV
40246077   S STRL INTRODUCER SHUNT            755.5     755.5   014020   01 SURGERY REV
40246031   S STRL INTUBATION LIGHT            635.2     635.2   014020   01 SURGERY REV
4020566    S STRL IRR CYSTATOME               30.25     30.25   014020   01 SURGERY REV
40226615   S STRL IRRIGATION LR 5000         291.85    291.85   014020   01 SURGERY REV
40246074   S STRL J HOOK INTERSTIM           267.25    267.25   014020   01 SURGERY REV
40226219   S STRL JEJUNOSTOMY TUBE           288.55    288.55   014020   01 SURGERY REV
40206068   S STRL KNOT PUSHER                 474.3     474.3   014020   01 SURGERY REV
40206032   S STRL LACRIMAL INTUB SET          337.8     337.8   014020   01 SURGERY REV
40205005   S STRL LAMNECTOMY ACES PK         1279.3    1279.3   014020   01 SURGERY REV
4020695    S STRL LAP CHOLE ACCESSORY PAC    175.95    175.95   014020   01 SURGERY REV
40245620   S STRL LAP CHOLE INST. (DISP)     1783.25     1783.25    014020   01 SURGERY REV
40227502   S STRL LAP CHOLE PERI NEEDLE        176.5       176.5    014020   01 SURGERY REV
40245917   S STRL LAP CLOSURE KIT              600.5       600.5    014020   01 SURGERY REV
40242255   S STRL LAP COAG SHEAR B              2228        2228    014020   01 SURGERY REV
40242256   S STRL LAP COAG SHEAR C            2506.5      2506.5    014020   01 SURGERY REV
40245974   S STRL LAP DISC                   3147.45     3147.45    014020   01 SURGERY REV
4020520    S STRL LAP L-HOOK CAUTERY           260.5       260.5    014020   01 SURGERY REV
4020814    S STRL LAPAROSCOPIC COAG SHEAR     1900.7      1900.7    014020   01 SURGERY REV
40242206   S STRL LASER FIBER A              2779.45     2779.45    014020   01 SURGERY REV
40242207   S STRL LASER FIBER B               4177.5      4177.5    014020   01 SURGERY REV
40245931   S STRL LASER PROBE                 963.65      963.65    014020   01 SURGERY REV
40245999   S STRL LASER PROBE EYE             539.65      539.65    014020   01 SURGERY REV
40245985   S STRL LASER PROBE HRT           21581.45    21581.45    014020   01 SURGERY REV
40205029   S STRL LDS STAPLER                  857.7       857.7    014020   01 SURGERY REV
40246012   S STRL LEAD INTRODUCER A           215.85      215.85    014020   01 SURGERY REV
40225492   S STRL LEAD INTRODUCER B           379.55      379.55    014020   01 SURGERY REV
40246013   S STRL LEAD INTRODUCER C           570.45      570.45    014020   01 SURGERY REV
40246014   S STRL LEAD INTRODUCER D            763.2       763.2    014020   01 SURGERY REV
40246015   S STRL LEAD INTRODUCER E           1148.6      1148.6    014020   01 SURGERY REV
40245923   S STRL LEAD INTRODUCER F           1569.2      1569.2    014020   01 SURGERY REV
40246016   S STRL LEAD INTRODUCER G          1701.75     1701.75    014020   01 SURGERY REV
4020510    S STRL LEEP ELECTRODE              134.85      134.85    014020   01 SURGERY REV
40205085   S STRL LEEP PROCEDURE KIT          907.15      907.15    014020   01 SURGERY REV
40226649   S STRL LIG A BOOT                     31.1        31.1   014020   01 SURGERY REV
40246166   S STRL LIGATING CLIPS                 48.3        48.3   014020   01 SURGERY REV
40245915   S STRL LIGHT PANEL DISP            316.15      316.15    014020   01 SURGERY REV
40246193   S STRL LIGHT PORT, DISP            1086.5      1086.5    014020   01 SURGERY REV
40242245   S STRL LIPOUSUCTION CAN             313.7       313.7    014020   01 SURGERY REV
40246032   S STRL LMA                          113.8       113.8    014020   01 SURGERY REV
40246171   S STRL LOCALIZATION DVC            1573.3      1573.3    014020   01 SURGERY REV
40245970   S STRL LONG ENDO CUTTER            3032.1      3032.1    014020   01 SURGERY REV
40205063   S STRL LT HEART VENT                152.3       152.3    014020   01 SURGERY REV
40245877   S STRL LYMPHAZURIN                  625.9       625.9    014020   01 SURGERY REV
4020702    S STRL MALECOT CATHETER             175.7       175.7    014020   01 SURGERY REV
40211062   S STRL MALECOT CATHETER             86.05       86.05    014020   01 SURGERY REV
4020697    S STRL MAMMARY FILL KIT             83.5      83.5   014020   01 SURGERY REV
40246064   S STRL MENISCAL GUN               709.25    709.25   014020   01 SURGERY REV
4020597    S STRL MESH DRESSING                15.7      15.7   014020   01 SURGERY REV
4020525    S STRL MINI INTRODUCER             239.8     239.8   014020   01 SURGERY REV
40205073   S STRL MINOR VAS ACES PK           498.5     498.5   014020   01 SURGERY REV
40205096   S STRL MISSOURI SWAN NECK         943.45    943.45   014020   01 SURGERY REV
40205080   S STRL MJR VAG ACESRY PCK          340.8     340.8   014020   01 SURGERY REV
40245997   S STRL MONOKA                     408.65    408.65   014020   01 SURGERY REV
40246115   S STRL MONOKA SELF THREAD          666.4     666.4   014020   01 SURGERY REV
4020535    S STRL MONOPLAR PROBE             238.45    238.45   014020   01 SURGERY REV
40205050   S STRL MONOSCOPY TROCAR           369.85    369.85   014020   01 SURGERY REV
40245924   S STRL MULTI INFUSOR CATH          513.1     513.1   014020   01 SURGERY REV
40205030   S STRL MULTIFIRE PREM STAPLER     232.45    232.45   014020   01 SURGERY REV
4020703    S STRL NASAL SPLNT BI VLV         166.45    166.45   014020   01 SURGERY REV
40246192   S STRL NASAL SPLNT C              717.05    717.05   014020   01 SURGERY REV
4020526    S STRL NEEDLE                     119.55    119.55   014020   01 SURGERY REV
40206089   S STRL NEEDLE ANESETHIA           537.35    537.35   014020   01 SURGERY REV
40246046   S STRL NEEDLE ASPIRATION           686.1     686.1   014020   01 SURGERY REV
40245925   S STRL NEEDLE COLORADO             246.7     246.7   014020   01 SURGERY REV
40246087   S STRL NEEDLE SPEC B              260.85    260.85   014020   01 SURGERY REV
40246088   S STRL NEEDLE SPEC C               361.8     361.8   014020   01 SURGERY REV
40246089   S STRL NEEDLE SPEC D              454.85    454.85   014020   01 SURGERY REV
40246018   S STRL NEPHROSTOMY TUBE A          578.2     578.2   014020   01 SURGERY REV
40206157   S STRL NERVE BLOCK KIT             147.6     147.6   014020   01 SURGERY REV
4020730    S STRL NEURO ACES PACK           1300.85   1300.85   014020   01 SURGERY REV
40246180   S STRL NEURO CAUTERY TIP          1907.2    1907.2   014020   01 SURGERY REV
40242197   S STRL NEURO CEMENT MIXER         905.45    905.45   014020   01 SURGERY REV
4020567    S STRL OCCUCOAT                    387.2     387.2   014020   01 SURGERY REV
40246090   S STRL OCULAR TISU MANIP           919.3     919.3   014020   01 SURGERY REV
40206119   S STRL OJEMANN DEPTH ELECTRODE   1291.05   1291.05   014020   01 SURGERY REV
40206117   S STRL OJEMANN STIMLTR PROBE     1326.05   1326.05   014020   01 SURGERY REV
40206118   S STRL OJEMANN STRIP ELECTRODE   1751.35   1751.35   014020   01 SURGERY REV
40205097   S STRL OMAY CSF RESEVOIR          785.15    785.15   014020   01 SURGERY REV
4020149    S STRL OPTHALMIC SUTURE A           80.3      80.3   014020   01 SURGERY REV
4020150    S STRL OPTHALMIC SUTURE B           84.8      84.8   014020   01 SURGERY REV
4020151    S STRL OPTHALMIC SUTURE C            98.9       98.9   014020   01 SURGERY REV
4020153    S STRL OPTHALMIC SUTURE E           131.6      131.6   014020   01 SURGERY REV
4020155    S STRL OPTHALMIC SUTURE G          156.05     156.05   014020   01 SURGERY REV
4020156    S STRL OPTHALMIC SUTURE H           184.7      184.7   014020   01 SURGERY REV
40206121   S STRL PAIN PUMP                    705.6      705.6   014020   01 SURGERY REV
40246161   S STRL PAIN PUMP B                 1637.5     1637.5   014020   01 SURGERY REV
40246042   S STRL PCS 20 KIT                  3821.9     3821.9   014020   01 SURGERY REV
40246043   S STRL PCS 60 KIT                 2631.15    2631.15   014020   01 SURGERY REV
40242259   S STRL PENILE ASSRY KIT A         2103.85    2103.85   014020   01 SURGERY REV
40242260   S STRL PENILE ASSRY KIT B         2757.15    2757.15   014020   01 SURGERY REV
40242240   S STRL PENILE ASSY KIT A           2364.6     2364.6   014020   01 SURGERY REV
40242239   S STRL PENILE ASSY KIT B          2779.43    2779.43   014020   01 SURGERY REV
40206181   S STRL PENILE PROS. ACCESS KIT    2628.35    2628.35   014020   01 SURGERY REV
40206180   S STRL PENILE PROS. ACCESS KIT     2236.8     2236.8   014020   01 SURGERY REV
40226599   S STRL PERITONEAL INTRODUCER        112.5      112.5   014020   01 SURGERY REV
40246091   S STRL PHARNYGEAL AW               112.45     112.45   014020   01 SURGERY REV
40246040   S STRL PLASMA SPRAY KIT             832.6      832.6   014020   01 SURGERY REV
40246098   S STRL PLASMA WAND                1387.65    1387.65   014020   01 SURGERY REV
4020835    S STRL PODIATRY BOOT                99.35      99.35   014020   01 SURGERY REV
4020795    S STRL POLAR CARE UNIT             906.75     906.75   014020   01 SURGERY REV
40225575   S STRL POLYSORB DLU                666.95     666.95   014020   01 SURGERY REV
40205031   S STRL PREMIUM SURGICLIP            401.5      401.5   014020   01 SURGERY REV
40245933   S STRL PRESSURE SHEATH             454.85     454.85   014020   01 SURGERY REV
40225633   S STRL PRLL JAW SPRG CLIP           50.95      50.95   014020   01 SURGERY REV
40246002   S STRL PROBE A                      215.9      215.9   014020   01 SURGERY REV
40246003   S STRL PROBE B                     402.95     402.95   014020   01 SURGERY REV
40246004   S STRL PROBE C                      763.2      763.2   014020   01 SURGERY REV
40245965   S STRL PROBE CALCUSON              1256.6     1256.6   014020   01 SURGERY REV
40246085   S STRL PROBE CARDIO RF           20317.35   20317.35   014020   01 SURGERY REV
40246005   S STRL PROBE D                     1148.6     1148.6   014020   01 SURGERY REV
40246006   S STRL PROBE E                    1534.05    1534.05   014020   01 SURGERY REV
40246007   S STRL PROBE F                    1701.75    1701.75   014020   01 SURGERY REV
40246008   S STRL PROBE G                     2043.4     2043.4   014020   01 SURGERY REV
40246009   S STRL PROBE H                     2385.1     2385.1   014020   01 SURGERY REV
40246189   S STRL PROBE I                    2709.95    2709.95   014020   01 SURGERY REV
40246190   S STRL PROBE J                   3313.5     3313.5    014020   01 SURGERY REV
40246191   S STRL PROBE K                  3917.05    3917.05    014020   01 SURGERY REV
40246020   S STRL PROBE LITHOCLAST         3211.65    3211.65    014020   01 SURGERY REV
40245920   S STRL PROBE MICROWAVE          13904.6    13904.6    014020   01 SURGERY REV
40246097   S STRL PROBE MICROWAVE B        23122.9    23122.9    014020   01 SURGERY REV
4020605    S STRL PROSTATE BIOPSY NEEDLE     219.6      219.6    014020   01 SURGERY REV
40226789   S STRL PRUIT INHARA SHUNT        785.15     785.15    014020   01 SURGERY REV
40246108   S STRL PTOSIS SET                300.15     300.15    014020   01 SURGERY REV
40205032   S STRL PURSESTRING SUTURE        396.05     396.05    014020   01 SURGERY REV
40205100   S STRL RANEY CLIP GUN             331.2      331.2    014020   01 SURGERY REV
40212748   S STRL RANEY SKIN CLIP            50.95      50.95    014020   01 SURGERY REV
4020829    S STRL RAPID BONDING ADHESIVE       76.5       76.5   014020   01 SURGERY REV
40245876   S STRL REAMER TREP DISP          1453.9     1453.9    014020   01 SURGERY REV
40246044   S STRL RETENSION DEVICE          3275.9     3275.9    014020   01 SURGERY REV
40245907   S STRL RETRACTOR ATTACH           73.85      73.85    014020   01 SURGERY REV
40245906   S STRL RETRACTOR DISP A          316.15     316.15    014020   01 SURGERY REV
40245926   S STRL RETRACTOR DISP B         1156.35    1156.35    014020   01 SURGERY REV
40245927   S STRL RETRACTOR DISP C          1708.6     1708.6    014020   01 SURGERY REV
40245928   S STRL RETRACTOR DISP D            2392       2392    014020   01 SURGERY REV
40245929   S STRL RETRACTOR DISP E          2890.5     2890.5    014020   01 SURGERY REV
4020565    S STRL RETROBULBAR CAN              31.8       31.8   014020   01 SURGERY REV
40205036   S STRL ROTICULATOR 30/STAPLER    1216.7     1216.7    014020   01 SURGERY REV
40205037   S STRL ROTICULATOR 55/STAPLER    1304.4     1304.4    014020   01 SURGERY REV
40205035   S STRL ROYAL SKIN STAPLER           77.4       77.4   014020   01 SURGERY REV
40245981   S STRL RP SUTURE DEVICE          1537.7     1537.7    014020   01 SURGERY REV
40245916   S STRL SAPHLITE DISP            1401.15    1401.15    014020   01 SURGERY REV
4020716    S STRL SCALP CLIP DLU               88.2       88.2   014020   01 SURGERY REV
40246154   S STRL SEALANT APPLICATOR         270.4      270.4    014020   01 SURGERY REV
40245908   S STRL SHEATH A                   184.4      184.4    014020   01 SURGERY REV
40245909   S STRL SHEATH B                   632.1      632.1    014020   01 SURGERY REV
40245910   S STRL SHEATH C                  948.15     948.15    014020   01 SURGERY REV
40245911   S STRL SHEATH D                    1258       1258    014020   01 SURGERY REV
40245912   S STRL SHEATH E                 1400.95    1400.95    014020   01 SURGERY REV
40245913   S STRL SHEATH F                 1675.65    1675.65    014020   01 SURGERY REV
40245914   S STRL SHEATH G                 1955.85    1955.85    014020   01 SURGERY REV
4020796    S STRL SHLD ARTHRO PACK       1977.75    1977.75   014020   01 SURGERY REV
40245945   S STRL SHOULDER TX KIT         616.75     616.75   014020   01 SURGERY REV
40246181   S STRL SKIN ADHESIVE           397.05     397.05   014020   01 SURGERY REV
40226854   S STRL SKULL PINS              108.15     108.15   014020   01 SURGERY REV
4020647    S STRL SORBITOL SOL 3K ML       67.15      67.15   014020   01 SURGERY REV
40225278   S STRL SP/CYSTOSCOPIC           343.4      343.4   014020   01 SURGERY REV
4020711    S STRL SPECIAL SUTURE A        186.85     186.85   014020   01 SURGERY REV
4020712    S STRL SPECIAL SUTURE B         258.7      258.7   014020   01 SURGERY REV
4020640    S STRL SPECIAL SUTURE B           145        145   014020   01 SURGERY REV
4020713    S STRL SPECIAL SUTURE C         780.2      780.2   014020   01 SURGERY REV
40206060   S STRL STABILIZER HEART       5240.75    5240.75   014020   01 SURGERY REV
4020589    S STRL STAPLER GIA DLU          722.1      722.1   014020   01 SURGERY REV
40246057   S STRL STAPLER HEMORRHOID      2494.5     2494.5   014020   01 SURGERY REV
40210098   S STRL STEINMAN PIN PLAIN       158.6      158.6   014020   01 SURGERY REV
40227680   S STRL STONE EXTRACTOR          898.9      898.9   014020   01 SURGERY REV
40242195   S STRL STONE EXTRACTOR B      1284.35    1284.35   014020   01 SURGERY REV
40227316   S STRL SUPER SUCKER               147        147   014020   01 SURGERY REV
40246062   S STRL SURG ABLATION PIN A    12301.4    12301.4   014020   01 SURGERY REV
40246063   S STRL SURG ABLATION PIN B   21575.25   21575.25   014020   01 SURGERY REV
40246155   S STRL SURGICAL SEALANT        2806.5     2806.5   014020   01 SURGERY REV
40212219   S STRL SURGILOOPS               48.65      48.65   014020   01 SURGERY REV
40246119   S STRL SUTURE I                152.05     152.05   014020   01 SURGERY REV
40246120   S STRL SUTURE J                168.95     168.95   014020   01 SURGERY REV
40246121   S STRL SUTURE K                185.85     185.85   014020   01 SURGERY REV
40246122   S STRL SUTURE L                202.75     202.75   014020   01 SURGERY REV
40246123   S STRL SUTURE M                219.65     219.65   014020   01 SURGERY REV
40246124   S STRL SUTURE N                236.55     236.55   014020   01 SURGERY REV
40246125   S STRL SUTURE O                 231.7      231.7   014020   01 SURGERY REV
40246126   S STRL SUTURE P                 247.2      247.2   014020   01 SURGERY REV
40246127   S STRL SUTURE Q                 262.6      262.6   014020   01 SURGERY REV
40246128   S STRL SUTURE R                278.05     278.05   014020   01 SURGERY REV
40226870   S STRL SUTURE RETRIEVER        263.45     263.45   014020   01 SURGERY REV
40246151   S STRL SUTURE S                308.95     308.95   014020   01 SURGERY REV
40246152   S STRL SUTURE T                 347.6      347.6   014020   01 SURGERY REV
40246146   S STRL SUTURE U                434.55     434.55   014020   01 SURGERY REV
40246147   S STRL SUTURE V                  543.15    543.15   014020   01 SURGERY REV
40246148   S STRL SUTURE W                   724.3     724.3   014020   01 SURGERY REV
40211872   S STRL SUTURE WIRE                87.35     87.35   014020   01 SURGERY REV
4020123    S STRL SUTURE-REG A               14.65     14.65   014020   01 SURGERY REV
4020124    S STRL SUTURE-REG B               28.15     28.15   014020   01 SURGERY REV
4020125    S STRL SUTURE-REG C                39.8      39.8   014020   01 SURGERY REV
4020126    S STRL SUTURE-REG D                58.3      58.3   014020   01 SURGERY REV
4020127    S STRL SUTURE-REG E                82.5      82.5   014020   01 SURGERY REV
4020128    S STRL SUTURE-REG F                88.5      88.5   014020   01 SURGERY REV
4020129    S STRL SUTURE-REG G               98.15     98.15   014020   01 SURGERY REV
4020130    S STRL SUTURE-REG H              110.35    110.35   014020   01 SURGERY REV
40246048   S STRL SYRINGE INFLATION         878.85    878.85   014020   01 SURGERY REV
40246059   S STRL SYRINGE SPECIAL A          385.5     385.5   014020   01 SURGERY REV
40246060   S STRL SYRINGE SPECIAL B         770.85    770.85   014020   01 SURGERY REV
40246069   S STRL SYRINGE SPECIAL C        1155.55   1155.55   014020   01 SURGERY REV
40205038   S STRL TA 30 (3.5,4.8) STPLR     692.75    692.75   014020   01 SURGERY REV
4020686    S STRL TA 60 DLU                  401.5     401.5   014020   01 SURGERY REV
4020685    S STRL TA 60 DLU                 809.95    809.95   014020   01 SURGERY REV
4020687    S STRL TA 90 DLU                  401.5     401.5   014020   01 SURGERY REV
40205042   S STRL TA90 (3.5,4.8)/STAPLER     752.4     752.4   014020   01 SURGERY REV
40242201   S STRL TACKER LONG 20           1570.45   1570.45   014020   01 SURGERY REV
40242200   S STRL TACKER LONG 50            3509.1    3509.1   014020   01 SURGERY REV
40205057   S STRL THORACOPORT               165.95    165.95   014020   01 SURGERY REV
40206018   S STRL TISSUE COAG PROBE          626.8     626.8   014020   01 SURGERY REV
40205069   S STRL TRAUMA ACCESSORY PACK      514.9     514.9   014020   01 SURGERY REV
40245995   S STRL TREPHINE                  493.35    493.35   014020   01 SURGERY REV
40245971   S STRL TROCAR BLADELESS           674.4     674.4   014020   01 SURGERY REV
40246101   S STRL TUBE LARYNGECTOMY          732.3     732.3   014020   01 SURGERY REV
4020085    S STRL TUBING A                   41.95     41.95   014020   01 SURGERY REV
4020086    S STRL TUBING B                  178.75    178.75   014020   01 SURGERY REV
4020087    S STRL TUBING C                  296.05    296.05   014020   01 SURGERY REV
4020088    S STRL TUBING D                   388.2     388.2   014020   01 SURGERY REV
4020089    S STRL TUBING E                   854.8     854.8   014020   01 SURGERY REV
40206136   S STRL TUBING F                 1267.85   1267.85   014020   01 SURGERY REV
40205138   S STRL TUBING G                  1080.6    1080.6   014020   01 SURGERY REV
40245932   S STRL TUNNEL DEVICE              1349.05    1349.05   014020   01 SURGERY REV
40212078   S STRL UNIPAK                      1622.9     1622.9   014020   01 SURGERY REV
4020588    S STRL UNIVERSAL STAPLER           924.85     924.85   014020   01 SURGERY REV
40245939   S STRL URO COLD KNIFE             1040.65    1040.65   014020   01 SURGERY REV
4020812    S STRL UROVAC BLADDER EVACUATO      100.2      100.2   014020   01 SURGERY REV
40246178   S STRL VAG/CERR ELEVATOR            651.9      651.9   014020   01 SURGERY REV
40206047   S STRL VASCULAR STAPLER            983.35     983.35   014020   01 SURGERY REV
4020145    S STRL VASCULAR SUTURE G            100.2      100.2   014020   01 SURGERY REV
4020146    S STRL VASCULAR SUTURE H           111.75     111.75   014020   01 SURGERY REV
4020613    S STRL VASCULAR TOURNIQET            43.1       43.1   014020   01 SURGERY REV
40206115   S STRL VASCU-SHEATH                249.55     249.55   014020   01 SURGERY REV
40211195   S STRL VEIN STRIPPER               150.05     150.05   014020   01 SURGERY REV
4020735    S STRL VERSAPORT                    469.1      469.1   014020   01 SURGERY REV
4020610    S STRL VESSEL DILATOR                57.4       57.4   014020   01 SURGERY REV
40245623   S STRL VISCERAL RETAINER           168.35     168.35   014020   01 SURGERY REV
40242210   S STRL VISCO SURG DVC              414.84     414.84   014020   01 SURGERY REV
40245996   S STRL VITRECTOMY PACK            2046.95    2046.95   014020   01 SURGERY REV
40246172   S STRL VITRECTOMY PACK A            905.4      905.4   014020   01 SURGERY REV
40226193   S STRL VNTRCLR DRNG BG             108.05     108.05   014020   01 SURGERY REV
4020691    S STRL VP SHUNT ACES KIT            489.7      489.7   014020   01 SURGERY REV
4020689    S STRL VP SHUNT CONNECTOR           77.15      77.15   014020   01 SURGERY REV
4020810    S STRL WEDGE                       867.35     867.35   014020   01 SURGERY REV
40245862   S STRL WRENCH KIT, PCMKR           316.15     316.15   014020   01 SURGERY REV
40210965   S STRL WYSE CHLANGIO CATH          428.05     428.05   014020   01 SURGERY REV
40245976   S SYS DIALYSIS ACCESS             10790.7    10790.7   014020   01 SURGERY REV
40242213   S TISSUE CONNCTV HUMAN A          1475.65    1475.65   014020   01 SURGERY REV
40242214   S TISSUE CONNCTV HUMAN B          2779.45    2779.45   014020   01 SURGERY REV
40242215   S TISSUE CONNCTV HUMAN C          4171.95    4171.95   014020   01 SURGERY REV
40242216   S TISSUE CONNCTV HUMAN D          5564.45    5564.45   014020   01 SURGERY REV
40242217   S TISSUE CONNCTV HUMAN E           6678.4     6678.4   014020   01 SURGERY REV
40242218   S TISSUE CONNCTV HUMAN F          8015.15    8015.15   014020   01 SURGERY REV
40242219   S TISSUE CONNCTV HUMAN G           9351.9     9351.9   014020   01 SURGERY REV
40242220   S TISSUE CONNCTV HUMAN H         10688.65   10688.65   014020   01 SURGERY REV
40242221   S TISSUE CONNCTV HUMAN I          12025.4    12025.4   014020   01 SURGERY REV
40242242   S TISSUE CONNCTV NOHUMAN J       12292.72   12292.72   014020   01 SURGERY REV
40242222   S TISSUE CONNCTV NOHUMANA    1475.65    1475.65   014020   01 SURGERY REV
40242223   S TISSUE CONNCTV NOHUMANB    2779.45    2779.45   014020   01 SURGERY REV
40242224   S TISSUE CONNCTV NOHUMANC    4171.95    4171.95   014020   01 SURGERY REV
40242225   S TISSUE CONNCTV NOHUMAND    5564.45    5564.45   014020   01 SURGERY REV
40242226   S TISSUE CONNCTV NOHUMANE     6678.4     6678.4   014020   01 SURGERY REV
40242227   S TISSUE CONNCTV NOHUMANF    8015.15    8015.15   014020   01 SURGERY REV
40242228   S TISSUE CONNCTV NOHUMANG     9351.9     9351.9   014020   01 SURGERY REV
40242229   S TISSUE CONNCTV NOHUMANH   10688.65   10688.65   014020   01 SURGERY REV
40242230   S TISSUE CONNCTV NOHUMANI    12025.4    12025.4   014020   01 SURGERY REV
4020761    S WIRE GUIDE A                  92.5       92.5   014020   01 SURGERY REV
4020762    S WIRE GUIDE B                 290.3      290.3   014020   01 SURGERY REV
40246033   S WIRE GUIDE C                570.45     570.45   014020   01 SURGERY REV
40246034   S WIRE GUIDE D                 763.2      763.2   014020   01 SURGERY REV
40246035   S WIRE GUIDE E                955.95     955.95   014020   01 SURGERY REV
40245891   SURG LVL 1 ADD 15M             397.7      397.7   014020   01 SURGERY REV
40245890   SURG LVL 1 FIRST 30M         1569.05    1569.05   014020   01 SURGERY REV
40245893   SURG LVL 2 ADD 15M            511.45     511.45   014020   01 SURGERY REV
40245892   SURG LVL 2 FIRST 30M         2042.55    2042.55   014020   01 SURGERY REV
40245895   SURG LVL 3 ADD 15M            670.75     670.75   014020   01 SURGERY REV
40245894   SURG LVL 3 FIRST 30M          2771.8     2771.8   014020   01 SURGERY REV
40245897   SURG LVL 4 ADD 15M            861.45     861.45   014020   01 SURGERY REV
40245896   SURG LVL 4 FIRST 30M          3444.7     3444.7   014020   01 SURGERY REV
40245899   SURG LVL 5 ADD 15M           1119.35    1119.35   014020   01 SURGERY REV
40245898   SURG LVL 5 FIRST 30M          4478.4     4478.4   014020   01 SURGERY REV
3082105    OBS BLADDER IRRIG SMPL        232.32     232.32   013082   01 SURGICAL REV
3082110    OBS BLOOD TRANSFSN 2-4 HR    1278.61    1278.61   013082   01 SURGICAL REV
3082111    OBS BLOOD TRANSFSN 4-6 HR    1733.71    1733.71   013082   01 SURGICAL REV
3082112    OBS BLOOD TRANSFSN GT 6HR    2214.82    2214.82   013082   01 SURGICAL REV
3082109    OBS BLOOD TRANSFSN LT 2HR     883.11     883.11   013082   01 SURGICAL REV
3082108    OBS DECLOT VASC DEVICE        945.63     945.63   013082   01 SURGICAL REV
3082102    OBS EKG 12 LEAD TRACING       357.52     357.52   013082   01 SURGICAL REV
3082101    OBS INFUSN W/VASO 0-60 MN     523.26     523.26   013082   01 SURGICAL REV
3082106    OBS INS NON-TUN CV CATH5+    2177.81    2177.81   013082   01 SURGICAL REV
3082107    OBS INSERT CATH TMP SMPL      162.54     162.54   013082   01 SURGICAL REV
3082104    OBS VENIPUNCTURE               40.96      40.96   013082   01 SURGICAL REV
3082100    OBSERVATION PER HOUR         101.86     101.86    013082   01 SURGICAL REV
3082009    ROOM MED/SURG/GYN              2445       2445    013082   01 SURGICAL REV
3082113    ROOM TRAUMA MED/SURG/GYN       2757       2757    013082   01 SURGICAL REV
3081105    OBS BLADDER IRRIG SMPL       232.32     232.32    013081   01 TELEMETRY
3081110    OBS BLOOD TRANSFSN 2-4 HR   1278.61    1278.61    013081   01 TELEMETRY
3081111    OBS BLOOD TRANSFSN 4-6 HR   1733.71    1733.71    013081   01 TELEMETRY
3081112    OBS BLOOD TRANSFSN GT 6HR   2214.82    2214.82    013081   01 TELEMETRY
3081109    OBS BLOOD TRANSFSN LT 2HR    883.11     883.11    013081   01 TELEMETRY
3081108    OBS DECLOT VASC DEVICE       945.63     945.63    013081   01 TELEMETRY
3081102    OBS EKG 12 LEAD TRACING      357.52     357.52    013081   01 TELEMETRY
3081101    OBS INFUSN W/VASO 0-60 MN    523.26     523.26    013081   01 TELEMETRY
3081106    OBS INS NON-TUN CV CATH5+   2177.81    2177.81    013081   01 TELEMETRY
3081107    OBS INSERT CATH TMP SMPL     162.54     162.54    013081   01 TELEMETRY
3081104    OBS VENIPUNCTURE              40.96      40.96    013081   01 TELEMETRY
3081100    OBSERVATION PER HOUR         101.86     101.86    013081   01 TELEMETRY
3081007    ROOM MED/SURG/GYN              2445       2445    013081   01 TELEMETRY
3030008    ROOM TELEMETRY/SPEC CARE       4689       4689    013081   01 TELEMETRY
3081113    ROOM TRAUMA TELEMETRY          5287       5287    013081   01 TELEMETRY
42350037   BLOOD TRANSFUSN 2-4 HR      1278.65    1278.65    014235   01 TRAUMA BILLING REV
42350036   BLOOD TRANSFUSN LT 2 HR      883.65     883.65    014235   01 TRAUMA BILLING REV
42350038   CO2 MONITORING/ETCO2         496.55     496.55    014235   01 TRAUMA BILLING REV
42350040   ED PROC MAJOR                807.45     807.45    014235   01 TRAUMA BILLING REV
42350039   ED PROC MINOR                484.45     484.45    014235   01 TRAUMA BILLING REV
42350030   INFSN W-W/O MED 0-60 MN      558.15     558.15    014235   01 TRAUMA BILLING REV
42350031   INFSN W-W/O MED EA ADD HR    558.15     558.15    014235   01 TRAUMA BILLING REV
42350032   INFUSN W/VASOACT 0-60 MN      523.3      523.3    014235   01 TRAUMA BILLING REV
42350033   INFUSN W/VASOACT EA AD        523.3      523.3    014235   01 TRAUMA BILLING REV
42350035   INJECTION IM/SQ EA              69.8       69.8   014235   01 TRAUMA BILLING REV
42350034   INJECTION IV EA                 69.8       69.8   014235   01 TRAUMA BILLING REV
42300012   MOD TRAUMA BILL SERVICE            0          0   014235   01 TRAUMA BILLING REV
42350013   OCCULT BLD STL QL             36.85      36.85    014235   01 TRAUMA BILLING REV
42350012   PULSE OXIMETRY - MULTIPLE     454.8      454.8    014235   01 TRAUMA BILLING REV
42350041   TRAUMA ACT FULL LVL 2        8126.8     8126.8    014235   01 TRAUMA BILLING REV
42350042   TRAUMA ACT PARTL LVL 2      7043.25    7043.25    014235   01 TRAUMA BILLING REV
42350022   TRAUMA HIGH FF              7043.25    7043.25    014235   01 TRAUMA BILLING REV
42350020   TRAUMA LOW FF               2167.15   2167.15   014235   01 TRAUMA BILLING REV
42350021   TRAUMA MEDIUM FF            5959.65   5959.65   014235   01 TRAUMA BILLING REV
42350044   TRAUMA TRACKING                   0         0   014235   01 TRAUMA BILLING REV
48700004   CHEM CAUT GRANUL TISSUE       99.45     99.45   014870   01 WOUND OSTOMY CONTINENCE REV
48700006   DEBRIDE NAIL 1 TO 5           119.6     119.6   014870   01 WOUND OSTOMY CONTINENCE REV
48700023   DEBRIDE NAIL 6 OR MORE        145.8     145.8   014870   01 WOUND OSTOMY CONTINENCE REV
48700024   DEBRIDE NON-SELECT 15MN       81.75     81.75   014870   01 WOUND OSTOMY CONTINENCE REV
48700025   DEBRIDE NON-SELECT 30MN      126.45    126.45   014870   01 WOUND OSTOMY CONTINENCE REV
48700026   DEBRIDE NON-SELECT 45MN       163.5     163.5   014870   01 WOUND OSTOMY CONTINENCE REV
48700027   DEBRIDE NON-SELECT 60MN      212.55    212.55   014870   01 WOUND OSTOMY CONTINENCE REV
48700009   DEBRIDE SKIN PART THICK       108.8     108.8   014870   01 WOUND OSTOMY CONTINENCE REV
48700003   EXT ART 1 LVL BIL            152.65    152.65   014870   01 WOUND OSTOMY CONTINENCE REV
48700016   LEVEL 1 EST PATIENT           80.75     80.75   014870   01 WOUND OSTOMY CONTINENCE REV
48700001   LEVEL 1 NEW PATIENT           84.95     84.95   014870   01 WOUND OSTOMY CONTINENCE REV
48700002   LEVEL 2 EST PATIENT            71.7      71.7   014870   01 WOUND OSTOMY CONTINENCE REV
48700012   LEVEL 2 NEW PATIENT          201.85    201.85   014870   01 WOUND OSTOMY CONTINENCE REV
48700017   LEVEL 3 EST PATIENT             173       173   014870   01 WOUND OSTOMY CONTINENCE REV
48700013   LEVEL 3 NEW PATIENT          288.35    288.35   014870   01 WOUND OSTOMY CONTINENCE REV
48700018   LEVEL 4 EST PATIENT          288.35    288.35   014870   01 WOUND OSTOMY CONTINENCE REV
48700014   LEVEL 4 NEW PATIENT           317.2     317.2   014870   01 WOUND OSTOMY CONTINENCE REV
48700019   LEVEL 5 EST PATIENT             346       346   014870   01 WOUND OSTOMY CONTINENCE REV
48700015   LEVEL 5 NEW PATIENT             346       346   014870   01 WOUND OSTOMY CONTINENCE REV
48700028   NEG PRESS WOUND TX <=50CM       265       265   014870   01 WOUND OSTOMY CONTINENCE REV
48700029   NEG PRESS WOUND TX>50CM         325       325   014870   01 WOUND OSTOMY CONTINENCE REV
48700005   STRAP UNNA BOOT               117.4     117.4   014870   01 WOUND OSTOMY CONTINENCE REV
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