Ridgecrest Regional Hospital Charge Master - oshpdcahwnetgov

Document Sample
Ridgecrest Regional Hospital Charge Master - oshpdcahwnetgov Powered By Docstoc
					CPT Code Charge Code 7216 62833 62834 7217 60000 60001 62406 06505 60002 60003 07483 60005 60004 00637 01790 62407 62408 62403 62404 62405 60006 60007 60008 60009 62546 60014 62947 60010 60011 60012 62334 62331 62731 62628 62628 60013 62790 62378 62379 62377 62376 62918 62567 62338 62977 62791 61185 62337 60015 63085 62792 62948 62959 62960 10213 63070 62471 62793 62949 62401

Ridgecrest Regional Hospital Charge Master Charge Code Description #10 SCALPEL BLADE #10 SCALPEL BLADE #15 SCALPEL BLADE #15 SCALPEL BLADE #18 FRENCH FLEXIFLO GASTROSTOMY KIT #3 COLOSTOMY APPLIANCE .8MM K-WIRE (70MM LENGTH) 0.45% NS 1000ML 0.45% SOD CHL LC 1000 ML 0.9% SOD CHL IRRIG 500 ML 0.9% SOD CHL IRRIG 500 ML 0.9% SOD CHL LC 1000 ML 0.9% SOD CHL LC 500 ML 02 SATURATION MONITOR 1 UNIT RHOGAM 1.0MM K-WIRE (150MM LENGTH) 1.25MM K-WIRE (150MM LENGTH) 1.5MM CORTEX CRUCIATE HEAD 14MM SCRW 1.5MM CORTEX CRUCIATE HEAD 16MM SCRW 1.5MM TAP 1.6 FR. EHL PROBE 1/8" X 8" GRAY BONE DRILL 1/8"X 100CM LONG GRAY BONE DRILL BIT 10 GUAGE INTRODUCER NEEDLE 10 HOLE NARROW PLATE 10 X 10MM LOOP ELECTRODE 10" SCULTITUS BINDER, XXL 10% DEXTROSE LC 1000 ML 10% DEXTROSE LC 500ML 10% LMD 5% DEX 500 ML 100MM CARBON FIBER ROD 100MM LAG SCREW 100MM LAG SCREW 105MM LAG SCREWPARAGON 105MM LAG SCREWPARAGON 10MM SURG TROCAR (NON-RETRACTING) 10MM/30FR. ESOPHAGEAL BALLOON DILATOR 11MM CARBON FIBER ROD-125MM 11MM CARBON FIBER ROD-150MM 11MM CARBON FIBER ROD-250MM 11MM CARBON FIBER ROD-350MM 12" ABDOMINAL BINDER-UNIVERSAL 12.5MM TAP 120MM CARBON FIBER ROD 12MM SINGLE USE STERILE BLUNT TIP TROCAR 12MM/36FR. ESOPHAGEAL BALLOON DILATOR 135 DHS PLATE 140MM CARBON FIBER ROD 145 STRAIGHT GUIDE WIRE 15CM CUTTING FORCEP 10MM 15MM/45FR. ESOPHAGEAL BALLOON DILATOR 16.5CM COATED BLADE EXTENDED ELECTRODE 18 FR. LOW PROFILE BALLOON 1.7CM 18 FR. LOW PROFILE BALLOON 2.5CM 18FR 30CC COUDE CATH-INACTIVE 18FR SINGLE FUNCT GASTROSTOMY TUBE 20CC 18G BIOPSY NEEDLE 18MM/54FR. ESOPHAGEAL BALLOON DILATOR 2 X 2 SOF-WICK DRAIN SPONGE 2.0MM CORTEX CRUCIATE HEAD 16MM SCRW

Total Price 81.00 100.00 93.00 81.00 200.00 16.00 23.00 71.00 60.00 11.00 11.00 60.00 60.00 55.00 118.00 23.00 19.00 31.00 31.00 147.00 591.00 177.00 116.00 89.00 355.00 37.00 69.00 50.00 60.00 60.00 76.00 557.00 567.00 540.00 443.00 211.00 289.00 371.00 371.00 401.00 401.00 16.00 631.00 62.00 290.00 289.00 865.00 86.00 25.00 653.00 289.00 17.00 270.00 270.00 26.00 66.00 63.00 289.00 1.00 31.00

62402 62410 62396 60018 60019 60020 60405 60406 60404 60021 60615 BALFD 60022 62386 62385 62387 62388 63017 62383 62384 63083 63084 62645 60023 62629 62629 62732 62330 62730 62409 60024 62395 62397 62347 63016 60025 60026 60033 60032 60031 60029 60034 60028 60030 60027 60037 60038 60039 60035 60042 60041 60036 60044 60043 60045 60046 60047 60048 60049 60050 60051 60052

2.0MM CORTEX CRUCIATE HEAD 20MM SCRW 2.0MM T-PLATE 2.5MM KIRSCHNER WIRE-THREADED 20 FRENCH FLEXIFLO INVERTA 20 X 10MM LOOP ELECTRODE 20 X 15MM LOOP ELECTODE 2078 CAST PADDING, SOFROL 4" X 4YDS 2079 CAST PADDING, SOFROL 6" X 4YDS 2080 CAST PADDING, SOFROL 2 X 4YDS 3 WAY EXTENSION SET 3-WAY STOPCOCK 3.0 Conversion Balance Forward 3.0 FR. EHL PROBE 3.0MM 30 DEGREE SNGL HOOD ARTHR WAND 3.0MM 45 DEGREE BEVEL ARTHRO WAND 3.0MM 50 DEGREE BEVEL ARTHRO WAND 3.0MM 70 DEGREE ARTHRO WAND 3.1MM X 82MM STAINLESS STEEL CUTTING BUR 3.5MM 90 DEGREE TURB VAC ARTHRO WAND 3.6MM 90 DEGREE TIP ARTHRO WAND 33CM CUTTING FORCEP 10MM 33CM SUPRA SPATULA ELECTRODE 3MM BALL ELECTRODE 3MM BALL ELECTRODE 4 HOLE 140 DEGREE LONG BARREL PLATE 4 HOLE 140 DEGREE LONG BARREL PLATE 4 HOLE 150 DEGREE PLATE 4 HOLE PLATE 135 DEGREES 4 HOLE PLATE,SHORT BARREL,135 DEGREE 4 HOLE QUARTER TUBULAR PLATE 4 X 4 SOF-WICK DRAIN SPONGES 4.0 X 2.5MM CLAMP 4.0 X 4.0MM CLAMP 4.0MM DRILL BIT 4.0MM X 82MM STAINLESS STEEL CUTTING BUR 4.0MM X LONG ROUND BURR 4.2MM STERLING CUDA BLADE 4.5 CORTEX SCREWS 214.014 4.5 CORTEX SCREWS 214.016 4.5 CORTEX SCREWS 214.018 4.5 CORTEX SCREWS 214.020 4.5 CORTEX SCREWS 214.022 4.5 CORTEX SCREWS 214.024 4.5 CORTEX SCREWS 214.026 4.5 CORTEX SCREWS 214.028 4.5 CORTEX SCREWS 214.030 4.5 CORTEX SCREWS 214.034 4.5 CORTEX SCREWS 214.038 4.5 CORTEX SCREWS 214.044 4.5 CORTEX SCREWS 214.050 4.5 CORTEX SCREWS 214.052 4.5 CORTEX SCREWS 214.060 4.5 CORTEX SCREWS 214.062 4.5 CORTEX SCREWS 214.064 4.5 CORTEX SCREWS 214.068 4.5 CORTEX SHAFT SCREW 214.228 4.5 CORTEX SHAFT SCREW 214.230 4.5 CORTEX SHAFT SCREW 214.232 4.5 CORTEX SHAFT SCREW 214.234 4.5 CORTEX SHAFT SCREW 214.236 4.5 CORTEX SHAFT SCREW 214.238 4.5 MALLEOLAR SCREW 215.025

31.00 82.00 32.00 295.00 37.00 37.00 6.00 6.00 6.00 25.00 8.00 0.00 548.00 438.00 373.00 502.00 502.00 162.00 412.00 373.00 653.00 579.00 32.00 46.00 641.00 781.00 781.00 584.00 584.00 110.00 4.00 567.00 601.00 307.00 162.00 155.00 126.00 32.00 32.00 32.00 32.00 32.00 32.00 32.00 32.00 32.00 32.00 32.00 32.00 32.00 32.00 32.00 32.00 32.00 32.00 34.00 34.00 34.00 34.00 34.00 34.00 67.00

60053 60054 60055 60056 62925 60057 62563 60058 60059 00610 60060 62449 60062 60063 60065 60064 60066 60067 60061 60068 60069 50067 60070 01788 62618 61401 60071 62565 62458 60079 60080 60081 60082 60083 60084 60085 60072 60073 60074 60075 60076 60077 60078 60086 60087 60088 60089 60090 60091 60092 60093 60094 60095 60096 60097 60098 62548 60099 62336 60100 60101 62653

4.5 MALLEOLAR SCREW 215.030 4.5 MALLEOLAR SCREW 215.035 4.5 MALLEOLAR SCREW 215.040 4.5 MALLEOLAR SCREW 215.045 4.5 MALLEOLAR SCREW 60MM LENGTH 4.5FR. EHL PROBE 4.5MM INCISOR PLUS BLADE 4.5MM O.R. STERLING VORTEX BLADE 4MM LONG BURR (OVAL) 4X8 DRESSING 4X9 ESMARK BANDAGE 5 HOLE PLATE 5% DEX AND LRS LC 1000 5% DEX KCL 10 LC 1000 5% DEX-1/2 SOD LC 1000 5% DEX-1/2 SOD LC 500 5% DEX-1/4 SOD LC 1000 5% DEX-1/4 SOD LC 500 5% DEX. 9% SOD LC 1000 5% DEXTROSE LC 1000 5% DEXTROSE LC 500 5% DISCOUNT 5.5MM CUDA BLADE 500ML BLOOD BAG 5MM CAUTERY BALL 5MM CORKSCREW ANCHOR 5MM MERSILENE (RS20) 6 HOLE 135 DEGREES PLATE 6 HOLE LC-DCP PLATE 6.5 CANCELLOUS SCREW 16MM 6.5 CANCELLOUS SCREW 16MM 6.5 CANCELLOUS SCREW 16MM 6.5 CANCELLOUS SCREW 16MM 6.5 CANCELLOUS SCREW 16MM 6.5 CANCELLOUS SCREW 16MM 6.5 CANCELLOUS SCREW 16MM 6.5 CANCELLOUS SCREW 216.030 6.5 CANCELLOUS SCREW 216.035 6.5 CANCELLOUS SCREW 216.040 6.5 CANCELLOUS SCREW 216.045 6.5 CANCELLOUS SCREW 216.050 6.5 CANCELLOUS SCREW 216.055 6.5 CANCELLOUS SCREW 216.060 6.5 CANCELLOUS SCREW 32MM 6.5 CANCELLOUS SCREW 32MM 6.5 CANCELLOUS SCREW 32MM 6.5 CANCELLOUS SCREW 32MM 6.5 CANCELLOUS SCREW 32MM 6.5 CANCELLOUS SCREW 32MM 6.5 CANCELLOUS SCREW 32MM 6.5 CANCELLOUS SCREW 32MM 6.5 CANCELLOUS SCREW 32MM 6.5 CANCELLOUS SCREW 32MM 6.5 CANCELLOUS SCREW 32MM 6.5 CANCELLOUS SCREW 32MM 6.5 CANCELLOUS SCREW 32MM 6.5 CANCELLOUS SCREW TAP 6.5 CANSELLOUS SCREW 32MM 60MM CARBON FIBER ROD 6X9 ESMARK BANDAGE 7 FR DL & PIC W/VITACUFF 7 HOLE PLATE

67.00 67.00 67.00 67.00 58.00 548.00 256.00 239.00 155.00 8.00 35.00 258.00 60.00 60.00 60.00 60.00 60.00 60.00 60.00 60.00 60.00 0.00 239.00 22.00 44.00 557.00 94.00 865.00 281.00 74.00 74.00 74.00 74.00 74.00 74.00 74.00 67.00 67.00 67.00 67.00 67.00 67.00 67.00 67.00 67.00 71.00 67.00 74.00 74.00 74.00 74.00 74.00 74.00 67.00 67.00 67.00 438.00 67.00 76.00 45.00 514.00 282.00

62253 62341 60103 60102 60104 62697 62335 60105 60106 60107 63086 62547 00508 05774 02793 02797 60112 60111 10004 60113 62840 62968 62858 62888 60109 62887 60115 07507 63071 63072 62903 30061 50100 60116 30165 61435 00076 05801 05100 60117 05506 60118 05971 62835 7221 7222 62836 62837 7223 7224 62838 05354 05365 07501 60119 05725 05950 61399 60120 60121 60122 62270

7" EXTENSION SET 7.0MM WASHER 7CM SHOULDER CANNULA 7FR EHL PROBE 8 FR FEEDING TUBE 8.5 FR. PERCUTANEOUS NEPHROSTOMY CATH 80MM CARBON FIBER ROD 8FR. STYLET W/ 10FR. SHEATH 8MM SURETAC 2DRILL 8MM SURETAC GUIDE WIRE 9 3/4" PK SYSTEM SEAL, CURVED JAW 9 HOLE NARROW PLATE A-WING SURGICAL PREP ABBOKINASE OPN CATH IV ABCESS DRAINAGE KIT ABCESS DRAINAGE KIT ABDOMINAL BINDER 12" ABDOMINAL BINDER 12" ABDOMINAL BINDER 12"-INACTIVE ABDOMINAL BINDER 9" ABDOMINAL BINDER 9" ABDOMINAL BINDER XXL ABDOMINAL BINDER, UNIVERSAL 10" ABDOMINAL BINDER-LARGE ABDOMINAL BINDER-LARGE ABDOMINAL BINDER-SMALL ABDUCTION PILLOW (LARGE) ABDUCTION PILLOW (LG) ABDUCTION PILLOW 14" ABDUCTION PILLOW 18" ABDUCTION PILLOW-UNIVERSAL ABELCET 200MG IVPB ABN NOT OBTAINED ABRAMSON TRIPLE LUMEN SUMP DRAIN ABREVA ABSORBENT COTTON-STERILE 16OZ ACCESS CATHETER ACCOLATE 20MG ACCUCHEK STRIP/LNCT ACCUCLIP ENDO CLIP APPLIER ACCUPRIL ACCUSHARP MICROSURGICAL KNIFE ACCUZYME #30GMS ACE WARP 2" ACE WRAP 2" ACE WRAP 3" ACE WRAP 3" ACE WRAP 4" ACE WRAP 4" ACE WRAP 6" ACE WRAP 6" ACETEST TABLET ACETIC ACID .25% ACETIC ACID .25% ACHIEVER BALLOON DILATOR 60FR. ACIDOPHILUS PCKT #1 ACIPHEX 20MG ACL DISPOSABLE KIT ACMI OLIVE FILIFORM CATH 3FR ACMI OLIVE TIP CATH 5FR ACMI OLIVE TIP CATH 7FR ACMI PHILIPS FOLLOWER 16F

12.00 46.00 60.00 591.00 7.00 381.00 76.00 74.00 253.00 16.00 443.00 281.00 127.00 188.00 426.00 43.00 66.00 72.00 28.00 62.00 12.00 27.00 24.00 32.00 69.00 32.00 124.00 121.00 70.00 79.00 70.00 1,198.00 37.00 30.00 34.00 0.00 35.00 11.00 396.00 15.00 66.00 129.00 3.00 3.00 3.00 3.00 4.00 4.00 6.00 7.00 9.00 84.00 85.00 518.00 9.00 23.00 678.00 80.00 80.00 80.00 26.00

60123 60124 60125 60126 60127 60128 60130 04910 05106 03158 05525 05471 05979 05957 62263 05934 62841 62842 62178 07521 05876 05210 60133 50040 62582 62971 60134 60135 63065 30037 30038 30039 62426 60283 60284 05208 10054 10256 50009 03737 30007 30045 61124 61972 60288 62370 62369 62210 60136 60138 60139 60140 60143 60144 60145 60146 04979 03992 03124 60148 03203 03836

ACMI PHILLIPS FOLLOWER ACMI PHILLIPS FOLLOWER ACMI PHILLIPS FOLLOWER ACMI ROUND TIP CATH 7FR ACMI ROUND TIP CATH 8FR ACMI ROUND TIP CATH 9FR ACROMIOPLASTY ELECTRODE TIP ACTHAR GEL SDV INJ ACTIFED SYRUP 5ML ACTIFED TAB ACTIGALL ACTIVASE 100MG ACTONEL ACTOS 30MG ACUFEX DISP. KNIFE - STRAIGHT 3MM ACULAR 0.5% #3ML ADAPTIC 3X3 ADAPTIC 3X8 ADAPTIC ROLL ADAPTIC ROLL ADENO SCAN 20ML ADENOCARD 3MG/ML SDV INJ ADHERENT/IMPERVIOUS SPLIT SHEET ADMINISTRATIVE ADJ ADULT CIRCUIT W/3L BAG ADULT DIVIDED CANNULA ADULT EAR DRESSING ADULT FACE MASK ADULT FACE MASK ADVAIR 100-50 ADVAIR 250-50 ADVAIR 500-50 ADVANCED CEMENT MIXING BOWL AERO CHAMBER-ADULT AERO CHAMBER-INFANT AEROBID INHALER AEROCHAMBER, INFANT-INACTIVE AEROCHAMBER, PEDIATRIC-INACTIVE AETNA PAYMENT AFRIN NASAL SPRAY AGGRENOX AGRYLIN 0.5MG AIR MATTRESS DAILY AIR MATTRESS SET UP AIRLIFE OXYGEN MASK, PEDIATRIC AIRWAY #5.5 INF AIRWAY #6 AIRWAY #7 AIRWAY 000 AIRWAY, CATH-GUIDE 100MM #10 AIRWAY, CATH-GUIDE 105MM #11 AIRWAY, CATH-GUIDE 115MM #12 AIRWAY, ORAL #10 ALBA STOCKINETTE 4" ALBA STOCKINETTE 6" ALBA STOCKINETTE 8"X6" ALBALON EYE SOL ALBUMIN 25% 50ML ALBUMIN 5% 250ML ALCOHOL SWABSTICK ALDACTAZIDE TAB ALDACTONE TAB

80.00 80.00 80.00 80.00 80.00 80.00 166.00 97.00 9.00 8.00 16.00 9,230.00 16.00 12.00 96.00 105.00 1.00 2.00 16.00 16.00 547.00 108.00 48.00 0.00 12.00 10.00 51.00 7.00 4.00 213.00 253.00 506.00 294.00 33.00 55.00 114.00 55.00 70.00 0.00 12.00 15.00 24.00 23.00 73.00 11.00 2.00 2.00 8.00 8.00 8.00 8.00 8.00 8.00 23.00 23.00 23.00 51.00 586.00 586.00 4.00 15.00 11.00

03125 03126 04678 05169 03058 03015 05959 03781 62822 03016 03065 05807 60237 00735 62687 62688 07516 60149 10202 04879 06871 05542 03017 30132 30133 03059 05112 03070 03069 03071 05873 05138 05500 07156 20235 20236 20234 20232 20231 20233 30104 05696 30119 05388 03129 04716 05130 03128 03127 03076 05193 05028 03144 08341 04523 03130 04881 08018 04528 03088 05578 03132

ALDOMET PB 250MG ALDOMET PB 500MG ALDOMET SDV IV ALDOMET SUSP 5ML ALDOMET TAB ALDORIL TAB ALEVE 220MG ALFENTA 500MCG/ML ALGINATE ROPE 12" ALKA SELTZER TAB ALLBEE WITH C CAP ALLEGRA TAB ALLIANCE 60CC SYRINGE ASSEMBLY ALLIANCE GUN ALLIGATOR CUP DISP. BIOPSY FORCEP ALLIGATOR CUP DISP. BIOPSY FORCEP ALOE VESTA PRETECTIVE OINTMENT ALOE VESTA PROTECTIVE OINTMENT ALOE-VESTA CLEANSER-INACTIVE ALPHA-KERI BATH OIL ALPHAGAN 5ML ALTACE 5MG ALTERNAGEL 360ML ALUM 1% #1000ML ALUM 1% #3000ML ALUPENT 30ML ALUPENT 5ML ALUPENT INHALER ALUPENT RESP-TX ALUPENT TAB AMARYL 2MG AMBENYL SYRUP 5ML AMBIEN AMBULANCE RADIO CONTACT AMBULATORY SURG/BONE MARROW ASP AMBULATORY SURG/THERAPEUTIC PHLEB AMBULATORY SURGERY-CT GUIDE BX AMBULATORY SURGERY/ENEMA AMBULATORY SURGERY/INJECTION AMBULATORY SURGERY/PARACENTESIS AMICAR 500MG AMICAR 5GM IV AMIDATE #20ML AMIKIN PB IV AMINO-M 3.5% 1000ML AMINOCAPROIC ACD 250 IV AMINOPHYLLINE 5ML AMINOPHYLLINE PB 1GM AMINOPHYLLINE PB 500MG AMINOPHYLLINE SDV AMINOPHYLLINE SUPP AMINOSYN 10% 500ML AMMONIA INHALANTS AMOXICILLIN 100ML AMOXICILLIN CAP AMOXICILLIN CHEWABLE AMOXICILLIN DROPS AMOXICILLIN STARTER AMOXICILLIN SUSP AMPHOJEL SUSP 360ML AMPHOTERICIN B 50MG IV AMPHOTERICIN B PB 45MG

111.00 166.00 66.00 11.00 15.00 16.00 3.00 69.00 12.00 7.00 7.00 16.00 103.00 59.00 80.00 80.00 24.00 24.00 7.00 22.00 105.00 30.00 26.00 71.00 100.00 17.00 11.00 72.00 28.00 15.00 12.00 11.00 15.00 35.00 239.00 189.00 252.00 189.00 189.00 239.00 16.00 83.00 85.00 235.00 120.00 80.00 11.00 134.00 119.00 48.00 11.00 240.00 15.00 26.00 9.00 12.00 20.00 16.00 11.00 24.00 132.00 229.00

05374 03134 03135 04069 05432 03136 04072 60150 60151 60152 60153 62255 60154 60155 60156 60157 05288 03089 05400 05389 30046 03091 03138 03139 04631 03092 03095 03099 60159 20222 60160 60161 60162 00960 00975 10007 60163 60164 62595 62654 62639 60166 60167 08433 03141 62357 62432 62923 62221 62222 03107 03869 05224 03140 04950 04951 07498 62339 60169 03143 30387 00305

AMPICILLIN CAP AMPICILLIN PB 1GM IV AMPICILLIN PB 250MG IV AMPICILLIN PB 2GM IV AMPICILLIN PB 4GM AMPICILLIN PB 500MG IV AMPICILLIN SDV ALL IV AMPLATZ RENAL SHEATH SET AMPLATZ SET AMPLATZ SUPER STIFF (.035) AMPLATZ SUPER STIFF (.038) AMPLATZ TYPE RENAL SHEATH AMPLATZ TYPE RENAL SHEATH 28FR. AMPLATZ TYPE RENAL SHEATH 30FR. AMPLATZ TYPE RENAL SHEATH 32FR. AMTRUS EAR PACK AMVISC PLUS 0.5ML AMYL NITRATE INH ANAFRANIL ANAPROX DS ANBESOL GEL ANCEF PB 1GM IV ANCEF PB 2GM IV ANCEF PB 3GM IV ANCEF PB 500MG IV ANCEF SDV 1GM IV ANCEF SDV 500MG IV ANECTINE MDV ANES TRAY, EPIDURAL 17G TUOHY NDL ANESTHESIA BOOKLETS ANESTHESIA BREATHING CIRCUIT ANESTHESIA EXTENSION KIT ANESTHESIA SET TUBING ANESTHESIA-GENERAL ANESTHESIA-LOCAL ANGIO-CATH 14GA-INACTIVE ANGIOCATH 14G X 2IN. ANGIOCATH 14G X 5 1/4 ANGIOCATH NEEDLE ANGLED BEVEL UP 3.00MM ANGLED SQUARE LOOP ELECTRODE ANKLE DISTRACTOR FOOT STRAP ANKLE WRAP ANSAID STARTER ANSAID TAB ANTERIOR CHAMBER CANNULA 25 X 7/8 ANTERIOR VITRECTOMY KIT ANTI-SIPHON STERILE ANES. SET ANTIEMBOLISM STOCKING-KNEE ANTIEMBOLISM STOCKING-THIGH ANTIVENIN POLYVALENT ANTIVERT TAB ANTURANE 200MG ANUSOL HC CREAM 30GM ANUSOL HC SUPP ANUSOL SUPP APE,ADHESIVE PAPER DSPNR 2"X10YRD APEX TRANSFIXING PINS APEX TUBING SET APLISOL SKIN TST (TB) APNEA MONITOR DAILY APNEA MONITOR DAILY

11.00 127.00 120.00 138.00 159.00 124.00 40.00 177.00 398.00 68.00 79.00 74.00 177.00 177.00 177.00 21.00 367.00 28.00 11.00 16.00 11.00 140.00 154.00 165.00 126.00 46.00 40.00 61.00 60.00 0.00 26.00 10.00 12.00 212.00 23.00 55.00 8.00 17.00 17.00 40.00 34.00 105.00 80.00 21.00 16.00 12.00 439.00 9.00 17.00 31.00 1,842.00 11.00 11.00 63.00 11.00 9.00 8.00 246.00 187.00 80.00 57.00 57.00

11120 00306 03118 03121 03787 07566 07563 62472 62473 05350 60170 05254 05218 30143 05949 05726 07578 62772 60172 60173 05856 30047 60174 60177 60176 60175 60178 60179 05168 62492 03145 62478 62267 61494 61930 60624 60181 00845 62727 60182 60184 00841 05693 05401 60185 03148 60186 60187 60188 00865 04705 04885 05315 05985 03014 10051 10052 10053 60189 60190 60191 08469

APNEA MONITOR SET UP APNEA MONITOR SETUP APRESOLINE SDV IV APRESOLINE TAB AQUA MEPHYTON AMP INJ AQUACEL 2X2 W/ HYDROFIBER 10 PER BOX AQUACEL 6X6 W/ HYDROFIBER AQUACEL HYDROFIBER DRESSNG 4X4 AQUACEL HYDROFIBER DRESSNG ROPE AQUAPHOR AQUAPLAST NASAL SPLINT ARALEN ARAMINE SDV IV ARANESP 300MCG/ML /ML ARAVA 20MG AREDIA 90MG DRIP ARGLAES ANTIMICROBIAL 6X10 DRESSING ARGLAES POWDER ARGYLE DELEE MUCUS TRP 6 1/2 FR 20CC ARGYLE DELEE MUCUS TRP 8 FR 20 CC ARICEPT ARIMIDEX 1MG ARM ELEVATOR SLING ARM SLING - LARGE ARM SLING - MEDIUM ARM SLING - X-SMALL ARM SLING SMALL ARM SLING X-LARGE ARMOATIC ELIX 5ML ARMSLING ARTANE TAB ARTERIAL CATH KIT W/PTFE CATH ARTERIAL GRAFT ARTERIAL LINE DAILY ARTERIAL LINE PROCEDURE ARTHRO PACK ARTHRO-KNIFE SHEATHED KNIFE 3MM ARTHROCARE/COBLATOR ARTHROGRAM TRAY ARTHROSCOPIC FOAM KNEE PAD ARTHROSCOPY "Y" TUBING ADAPTER ARTHROSCOPY SET ASACOL 400MG ASCENDIN TAB ASCITES SHUNT KIT ASCRIPTIN TAB ASPEN LABS LAP HOOK ELECTRODE ASPIRATION TOOTHBRUSH ASPIRATION TUBING KIT ASPIRATION/IRRIGATION PUMP ASPIRIN SUPP ASPIRIN TAB ASPIRIN TAB 10GR ATACAND 8MG ATARAX TAB ATHLETIC SUPPORT LARGE-INACTIVE ATHLETIC SUPPORT MED-INACTIVE ATHLETIC SUPPORT SMALL-INACTIVE ATHLETIC SUPPORTER-LARGE ATHLETIC SUPPORTER-MEDIUM ATHLETIC SUPPORTER-SMALL ATIVAN LIQUID 2MG/ML

127.00 127.00 51.00 15.00 47.00 19.00 74.00 12.00 17.00 12.00 15.00 22.00 71.00 3,466.00 23.00 1,618.00 104.00 153.00 8.00 8.00 17.00 24.00 35.00 15.00 15.00 15.00 15.00 15.00 11.00 15.00 15.00 52.00 0.00 94.00 185.00 183.00 159.00 106.00 37.00 46.00 72.00 408.00 15.00 12.00 668.00 8.00 48.00 17.00 59.00 106.00 6.00 3.00 6.00 16.00 16.00 16.00 16.00 16.00 16.00 16.00 16.00 15.00

03153 03155 60192 60193 60194 60195 03163 05327 03162 03164 04886 05613 03166 30125 08004 08020 03167 03168 05784 30172 03169 60196 62194 62462 62690 62463 07515 62691 62424 05935 05882 04383 05336 30055 30072 05874 03174 30171 05223 05310 05124 05076 30110 05324 03177 60197 60198 10248 10246 10245 10247 30480 04292 03181 05585 05243 60201 60199 60200 08039 04911 04912

ATIVAN PFS ATIVAN TAB ATRACLIP (LARGE) ATRACLIP (MED-LARGE) ATRAUCLIP (MED) ATRAUCLIP (SM) ATROPINE AMP IV ATROPINE OPHT OINT ATROPINE PFS IV ATROPISOL EYE SOL ATROVENT MDI INHALER ATROVENT SOL RT AUGMENTIN 5ML AUGMENTIN 600MG/5ML ES AUGMENTIN 75ML AUGMENTIN STARTER AUGMENTIN TAB 250MG AUGMENTIN TAB 500MG AUGMENTIN TAB 875MG AUGMENTIN XR 1000MG AURALGAN 10ML AUSTIN MOORE HIP PROSTHESIS AUTO 18G CORE BX NEEDLES-MICROVASIVE AUTOLOCK DRAINABLE POUCH AUTOLOCK DRAINABLE POUCH 70MM AUTOLOCK FLEXIBLE WAFER FLANGE AUTOLOCK FLEXIBLE WAFER FLANGE AUTOLOCK STOMA WAFER 70MM AUTOLOCK UNIT DOSE 2 1/4" AVANDIA 4MG AVAPRO 75MG AVC VAG CREAM AVEENO OATMEAL AVELOX 400MG IVPB AVELOX 400MG TAB AVITENE 70x35 #1 AVITENE SHEETS AVODART 0.5MG AXID 150MG AZACTAM 1GM PB AZACTAM 2GM PB AZMA-CORT 20GM AZOPT 1% 5ML AZULFIDINE 5ML AZULFIDINE TAB B-D BONANNO SUPRAPUBIC CATH B-FLY-SHRT-25 INF B/P CUFF DERAL HOSE-INACTIVE B/P CUFF-ADULT-INACTIVE B/P CUFF-CHILD-INACTIVE B/P CUFF-LG ADULT-INACTIVE B/STABILIZATION 1/2 HOUR BACITRACIN EYE OINT BACITRACIN OINT 30GM BACITRACIN OINT 454GM BACITRACIN PKT BACK SUPPORT - L BACK SUPPORT-M BACK SUPPORT-S BACTRIM DS STARTER BACTRIM DS TAB BACTRIM S.S. TAB

85.00 16.00 43.00 47.00 47.00 47.00 50.00 34.00 63.00 50.00 66.00 27.00 15.00 24.00 72.00 36.00 15.00 16.00 24.00 16.00 50.00 1,349.00 139.00 6.00 4.00 10.00 10.00 8.00 31.00 17.00 11.00 93.00 17.00 145.00 60.00 547.00 335.00 16.00 15.00 110.00 367.00 118.00 87.00 11.00 15.00 167.00 6.00 108.00 71.00 8.00 84.00 164.00 27.00 12.00 26.00 6.00 79.00 79.00 79.00 16.00 12.00 11.00

04784 08340 04294 05233 50070 50099 07484 10013 60206 60204 60205 10015 10014 60207 60208 60209 60210 05414 90000 62576 60211 60212 05906 60213 60214 60215 60216 60217 60218 60219 60220 60221 60222 60223 60224 60225 60226 60227 60228 60229 07485 60233 60230 60231 60232 60234 62496 00843 62543 60235 61360 60236 60141 62774 60238 60239 62763 05197 62719 62817 60625 00624

BACTRIM SDV BACTRIM SUSP 100ML BACTRIM SUSP 5ML BACTROBAN OINT 15GM BAD DEBT ADJUSTMENT BAD DEBT ADJUSTMENTS/WRITE OFFS BAG URINE DRN ICV BAG, CADAVER W/ZIP-INACTIVE BAG, LEG DISP LG 32OZ BAG, URINE DRN ICV BAG, URINE DRN MTR CLSD SYS BAG, URINE DRN-INACTIVE BAG, URINE-INACTIVE BAG-A-JET BAGLEY HELICAL BASKET (1.9FR) BAIR HUGGER UPPER BODY UNIT BAIR HUGGER, FULL BODY BAKING SODA BALANCE FORWARD FROM NCR BALL COAGULATOR BALLARD TRACH CARE BALLOON-LOW PROFILE 7MM X 15FR BALMEX UNG BAND NET SIZE 10 BAND NET SIZE 2 BAND NET SIZE 3 BAND NET SIZE 4 BAND NET SIZE 5 BAND NET SIZE 6 BAND NET SIZE 7 BAND NET SIZE 9 BANDAGE, ELAS COBAN (4" X 5YRDS) BANDAGE, ELAS COBAN STR (6"X5YRDS) BANDAGE, ELAS ECON 2" BANDAGE, ELAS ECON 3" BANDAGE, ELAS ECON 4" BANDAGE, ELAS ECON 6" BANDAGE, ELAS NEUTRAL (4" X 5YRDS) BANDAGE, GZE KLING STR 4" BANDAGE, KERLIX STR MED BANDAGE, KERLIX STR MED BANDAGE, PLASTER XFAST BANDAGE, PLASTER XFAST 2" X 3YRDS BANDAGE, PLASTER XFAST 3" X 3YRDS BANDAGE, PLASTER XFAST 4" X 5YRDS BANDAGE, PLASTER XFAST 6" X 5YRDS BANDNET BANDNET BANDNET SIZE 8 BARD BUTTON (24FR.X2.4CM) BARD BUTTON 18F X 2.4 BARD BUTTON REPLACEMENT G-TUBE BARD MESH 10"X14" BARDEX LUBRICATH COUNCIL 18FR BARDEX LUBRICATH FOLEY 26FR. BARRIER NEPHROSTOMY SHEET BARRIER OINTMENT 7oz BASAJEL TAB BASIC BIOPSY TRAY BASIC HOTLINE DISP. IV FLUID WARMER BASIC PACK BASIC SURGERY PACK

63.00 26.00 11.00 67.00 0.00 0.00 23.00 31.00 10.00 23.00 32.00 28.00 23.00 31.00 244.00 62.00 76.00 3.00 0.00 539.00 56.00 656.00 12.00 11.00 3.00 4.00 4.00 4.00 7.00 10.00 15.00 7.00 31.00 8.00 10.00 15.00 20.00 31.00 7.00 15.00 15.00 8.00 4.00 6.00 8.00 10.00 21.00 7.00 10.00 502.00 518.00 449.00 292.00 40.00 22.00 198.00 8.00 8.00 50.00 38.00 79.00 72.00

60241 60242 60243 60244 60245 60246 05891 05884 60247 60248 60249 60250 60251 11191 04571 05412 07517 05733 03111 03027 08368 05109 03188 05775 03189 08059 62608 03191 30153 60253 60254 03146 04923 08061 05329 05655 03003 04887 60255 03196 05931 62607 04990 30142 05673 62587 05302 05795 05992 03147 30147 05635 05443 30029 00866 03204 03090 03205 03207 04894 03208 05308

BASKET EXTRACTOR BAXTER EMBOLECTOMY CATHETER 4FR BAXTER EMBOLECTOMY CATHETER 5FR BAXTER EMBOLECTOMY CATHETER 6FR BAXTER EMBOLECTOMY CATHETER 8FR BAXTER PEANUT SPONGES BAYCOL 0.3MG BCNU 100MG BEAVER ARTHO-LOK BLADES BEAVER BLADES MYRINGOTOMY BEAVER EYE BLADES BEAVER MINI BLADE BEAVER MINI BLADE BEBEOUNKAR BECLOVENT INHALER BECONASE MDI 6.8GM BEG,LEG DISP LG 320Z BELLADONA/OPIUM SUPP BELLERGAL S TAB BEN GAY OINT BENADRYL 30ML BENADRYL 5ML BENADRYL CAP BENADRYL CRM 15GMS BENADRYL SDV IV BENADRYL STARTER BENDABLE ARMBOARD-ADULT BENEMID TAB BENICAR 5MG BENTSON TEFLON GUIDEWIRE (.035) BENTSON TEFLON GUIDEWIRE (0.38) BENTYL CAP BENTYL SDV INJ BENYLIN 30ML BENYLIN 5ML BENZOCAINE ORAL SPR BENZOIN TINCTURE SOLN BENZOIN TINCTURE SPRAY BERKELEY DISPOSA-TOP BEROCCA PLUS TAB BETA SEPT 2 OZ BETADINE DOUCHE 6 OZ. BETADINE OINT 30GM BETADINE OPHTH BETADINE SOLN #3202 BETADINE SWABSTICK BETAGAN OPTH SOL BETAPACE 80MG BETAPACE AF 80MG BETOPTIC EYE DROPS BEXTRA 10MG BIAXIN 5ML BIAXIN TAB BIAXIN XL 500MG BICAP MACHINE BICILLIN CR 1.2 MU BICILLIN CR 2.4 PFS BICILLIN CR 600 KU INJ BICILLIN L-A 1.2 BICILLIN L-A 2.4 BICILLIN L-A 600 KU INJ BICITRA 30ML

436.00 175.00 175.00 175.00 175.00 10.00 17.00 366.00 48.00 48.00 48.00 48.00 40.00 17.50 45.00 45.00 10.00 21.00 15.00 30.00 9.00 8.00 7.00 22.00 38.00 15.00 23.00 15.00 18.00 48.00 48.00 15.00 75.00 11.00 8.00 51.00 47.00 36.00 15.00 11.00 28.00 20.00 38.00 28.00 33.00 7.00 70.00 17.00 22.00 72.00 19.00 15.00 21.00 27.00 106.00 61.00 90.00 47.00 72.00 106.00 57.00 12.00

60257 30380 63079 60261 60262 00747 02376 02590 02871 02790 02788 02755 02759 60805 60263 60264 00073 60265 60266 60267 60268 60269 60270 60271 60272 60273 60274 60277 60278 60279 60280 60281 60282 60275 60276 05697 62541 62304 60286 62746 62747 60287 03214 62195 03218 60285 62585 10055 60289 62202 60290 00609 61943 50080 61865 60291 50063 50055 50015 50016 50061 50018

BILE BAG- DAVOL BILI LITE SET UP BIO CORKSCREW 5MM BIOLEX WOUND GEL BIOPSY BRUSH (FOR URF-P2) BIOPSY GUN BIOPSY NEEDLE BIOPSY NEEDLE BIOPSY NEEDLE BIOPSY NEEDLE 18G X 11CM BIOPSY NEEDLE 18G X 11CM BIOPSY NEEDLE 18G X 20CM BIOPSY NEEDLE 20G X 15CM BIOPSY TRAY BIOPSY VALVE (MD-826) DISPOSABLE BIOSEAL MED COBAN 6" BIPOLAR HIP BIPOLAR PROSTHESIS BIPOLAR PROSTHESIS BIPOLAR PROSTHESIS BIPOLAR PROSTHESIS BIPOLAR PROSTHESIS BIPOLAR PROSTHESIS BIPOLAR PROSTHESIS BIPOLAR PROSTHESIS BIPOLAR PROSTHESIS BIPOLAR PROSTHESIS BIPOLAR PROSTHESIS BIPOLAR PROSTHESIS BIPOLAR PROSTHESIS BIPOLAR PROSTHESIS BIPOLAR PROSTHESIS BIPOLAR PROSTHESIS BIPOLAR PROSTHESIS BIPOLAR PROSTHESIS BISMUTH SUBGALLATE BLACK SILICONE DOUBLE PIGTAIL STENT BLADE ASSEMBLY, CLIPPER BLADES & KNIVES FOR MICROSURGERY BLANKET WARMER DAILY CHARGE BLANKET WARMER SET-UP CHARGE BLANKET, HYPOTHERMIA ADLT 25"X63" BLEPHAMIDE EYE SUSP 5ML BLITZ BLOCADREN TAB BLOOD PACK UNIT BLOOD PRESSURE CUFF-CHILD BLOOD PRESSURE CUFF-LARGE BLOOD PRESSURE CUFF-LARGE ADULT BLOOD PRESSURE CUFF-REG ADULT BLOOD PRESSURE CUFF-SMALL ADULT BLOOD PRESSURE MONITOR BLOOD PUMP SET BLOOD REPLACEMENT CREDIT BLOOD SET BLOOD WARM SET BLUE CROSS ADJUSTMENT BLUE CROSS FED ADJ BLUE CROSS FED PYMT BLUE CROSS PAYMENT BLUE SHIELD ADJUSTMENT BLUE SHIELD PAYMENT

17.00 127.00 561.00 46.00 131.00 72.00 35.00 133.00 131.00 141.00 136.00 161.00 152.00 71.00 8.00 31.00 0.00 1,372.00 1,372.00 1,372.00 1,372.00 1,372.00 1,372.00 1,372.00 1,372.00 1,372.00 1,372.00 1,372.00 1,372.00 1,372.00 1,372.00 1,372.00 1,372.00 1,372.00 1,372.00 30.00 358.00 11.00 37.00 23.00 46.00 140.00 66.00 265.00 15.00 34.00 21.00 31.00 31.00 23.00 25.00 55.00 59.00 23.00 72.00 0.00

0.00 0.00 0.00

62622 60292 60202 61404 60294 60295 60296 60297 10056 60299 63064 03219 20257 10261 02541 62193 62941 04895 03221 05051 03223 05077 04722 05544 60301 05745 60300 60302 60303 05174 03178 62310 03149 03239 04632 05255 05851 60304 07486 62870 62602 07496 60305 60306 62586 60307 05986 60310 60308 60309 62603 60311 61193 60626 60312 60313 60314 60315 62766 03246 05684 03150

BLUMENTHAL IRRIG CYSTOTOME 25G BLUNTPORT DISP. 5-12MM VERSAPORT BODY BAG - ADULT BONE (ALLOGRAFT) BONE CEMENT INJECTOR BONE CEMENT INJECTOR 90 TIP BONE CEMENT INJECTOR TIP-LARGE BONE CEMENT INJECTOR TIP-SMALL BONE DRILL 32 X 100-INACTIVE BONE WAX (W31G) BORDERED GAUZE-ISLAND DRESSING 4" X 10" BORIC ACID EYE OINT 5% BOWEL EVACUATION BP CUFF-REG ADULT-INACTIVE BREAST LOCAL NEEDLE BREAST PAD BREAST PUMP, DUAL - HYGIENI BRETHAIRE INHALER BRETHINE AMP INJ BRETHINE RESP-TX BRETHINE TAB BRETYLLIUM 500MG/10ML #10 ML IV BREVIBLOC AMP BROMFED BRONCHOSCOPY WASHING TUBE BRONTEX BROVIAC 6.6 FR SINGLE LUMEN CATHETER BROVIAC 6.6 FR. CATHETER BRUSH WIRES FOR BC-9L BSS 500ML BSS EYE 15ML BUCKS TRACTION BOOT BUMEX 0.5MG/2ML BUMEX TAB BUPRENEX AMP BUSPAR BUTISOL 100MG BUTTERFLY 21G BUTTERFLY 21G BUTTERFLY 21G. - 12" TUBING BUTTERFLY 23 X 3/4 SAFETY LOC BUTTERFLY 23G BUTTERFLY 23G BUTTERFLY 25G BUTTERFLY NEEDLE BUTTERFLY, 23 X 3/4 BUTTOCK PASTE #14 OZ BUTTON REPLACEMENT GASTRO DEVICE BUTTON REPLACEMENT GASTRO DEVICE BUTTON REPLACEMENT GASTRO DEVICE C-ARM COVER C-LINE VARI-STIM 3 C-SECTION CDS LF C-SECTION PACK CABOT BERKELEY CURETTE 10MM CABOT BERKELEY CURETTE 11MM CABOT BERKELEY CURETTE 12MM CABOT BERKELEY CURETTE 9MM CADD ADMINISTRATION SET CAFERGOT SUPP CAFERGOT TAB CALADRYL LOTION 6OZ.

8.00 214.00 31.00 0.00 11.00 4.00 6.00 6.00 105.00 21.00 3.00 33.00 52.00 25.00 45.00 8.00 70.00 63.00 40.00 30.00 15.00 110.00 229.00 21.00 156.00 12.00 398.00 486.00 55.00 106.00 44.00 30.00 33.00 15.00 33.00 12.00 12.00 7.00 7.00 2.00 3.00 7.00 7.00 7.00 3.00 6.00 76.00 449.00 468.00 468.00 7.00 119.00 774.00 217.00 15.00 16.00 16.00 16.00 27.00 20.00 12.00 30.00

03251 03252 04897 03253 03254 05581 05307 60316 05938 06112 62262 60320 60317 60322 60321 60323 60040 60325 60324 60326 60327 60328 60330 60329 60331 60332 60333 60334 60335 60336 60337 60338 60339 60340 60341 60318 60319 60342 60346 60347 60349 60348 60350 60351 60343 60344 60345 30135 30134 05454 60353 60352 60356 60357 60358 60359 60360 60361 60362 60363 60364 60365

CALAN SR TAB CALAN TAB CALCIMAR MDV INJ CALCIUM CHLORIDE INJ CALCIUM GLUCONATE SDV CALCIUM LACTATE CALDESENE POWDER CALIBRATED GUIDE PIN CALMOSEPTINE #120GMS CAM TENT CANOPY CAM WRAP CANC BONE SCREW 14MM 4.0MM 206.014 CANC BONE SCREW 14MM 4.0MM 207.014 CANC BONE SCREW 4. MM 16MM 207.016 CANC BONE SCREW 4.0MM 12MM 207.012 CANC BONE SCREW 4.0MM 18MM 206.018 CANC BONE SCREW 4.0MM 18MM 207.018 CANC BONE SCREW 4.0MM 20MM 206.020 CANC BONE SCREW 4.0MM 20MM 207.020 CANC BONE SCREW 4.0MM 22MM 206.022 CANC BONE SCREW 4.0MM 22MM 207.022 CANC BONE SCREW 4.0MM 24MM 207.024 CANC BONE SCREW 4.0MM 26MM 206.026 CANC BONE SCREW 4.0MM 26MM 207.026 CANC BONE SCREW 4.0MM 28MM 206.028 CANC BONE SCREW 4.0MM 28MM 207.028 CANC BONE SCREW 4.0MM 30MM 207.030 CANC BONE SCREW 4.0MM 32MM 206.032 CANC BONE SCREW 4.0MM 35MM 207.035 CANC BONE SCREW 4.0MM 36MM 206.036 CANC BONE SCREW 4.0MM 40MM 206.040 CANC BONE SCREW 4.0MM 40MM 207.040 CANC BONE SCREW 4.0MM 45MM 206.045 CANC BONE SCREW 4.0MM 50MM 206.050 CANC BONE SCREW 45MM 4.0MM 207.045 CANC BONE SCREW 4MM 16M 206.016 CANC BONE SCREW 4MM 24M 206.024 CANC BONE SCREW 50MM 4.0MM 207.050 CANC BONE SCREW 60MM 6.5 217.060 CANC BONE SCREW 75MM 6.5 217.075 CANC BONE SCREW 75MM 6.5MM 216.075 CANC BONE SCREW 80MM 6.5 217.080 CANC BONE SCREW 80MM 6.5MM 216.080 CANC BONE SCREW 95MM 6.5MM 216.095 CANCELLOUS CUBED CANCELLOUS SCREW TAP 2.7MM 311.26 CANCELLOUS SCREW TAP 4.0MM 311.34 CANCIDAS 50MG CANCIDAS 70MG CANDIDA CANNISTER CRD 3000ML CANNISTER, SCTN OMNI-JUG 15.000CC CANNUL SCREW 100 16MM 7.3MM 208.900 CANNUL SCREW 100 32MM 7.3MM 209.900 CANNUL SCREW 105 16MM 7.3MM 208.905 CANNUL SCREW 105 32MM 7.3MM 209.905 CANNUL SCREW 110 16MM 7.3MM 208.910 CANNUL SCREW 110MM 7.3MM 209.910 CANNUL SCREW 115 16MM 7.3MM 208.915 CANNUL SCREW 120 16MM 7.3MM 208.920 CANNUL SCREW 120MM 7.3MM 209.920 CANNUL SCREW 125 16MM 7.3MM 208.925

16.00 15.00 120.00 51.00 30.00 7.00 11.00 192.00 32.00 45.00 33.00 34.00 34.00 34.00 34.00 40.00 34.00 34.00 34.00 34.00 34.00 34.00 34.00 34.00 34.00 34.00 34.00 34.00 38.00 34.00 34.00 40.00 34.00 34.00 34.00 34.00 34.00 34.00 67.00 67.00 67.00 67.00 67.00 67.00 1,054.00 197.00 241.00 919.00 1,060.00 132.00 11.00 83.00 468.00 491.00 468.00 468.00 468.00 468.00 468.00 468.00 468.00 468.00

60366 60367 60368 60369 60370 60371 60372 60373 60374 60375 60376 60377 60378 60379 60380 60381 60382 60383 60384 60385 60386 60387 60388 60389 60390 60391 60392 60354 60355 62252 62859 60393 60394 60395 03257 03033 60396 05557 03258 06538 60397 60398 60399 03151 05864 05204 02230 05770 05415 05636 03263 05376 05384 60400 60401 05680 60403 05848 30014 62220 60407 60408

CANNUL SCREW 125MM 7.3MM 209.925 CANNUL SCREW 130 16MM 7.3MM 208.930 CANNUL SCREW 130MM 7.3MM 209.930 CANNUL SCREW 30 16MM 7.3MM 208.830 CANNUL SCREW 35 16MM 7.3MM 208.835 CANNUL SCREW 40 16MM 7.3MM 208.840 CANNUL SCREW 45 16MM 7.3MM 208.845 CANNUL SCREW 50 16MM 7.3MM 208.850 CANNUL SCREW 50 32MM 7.3MM 209.850 CANNUL SCREW 55 16MM 7.3MM 208.855 CANNUL SCREW 55 32MM 7.3MM 209.855 CANNUL SCREW 60 16MM 7.3MM 208.860 CANNUL SCREW 60 32MM 7.3MM 209.860 CANNUL SCREW 65 16MM 7.3MM 208.865 CANNUL SCREW 65 32MM 7.3MM 209.865 CANNUL SCREW 70 16MM 7.3MM 208.870 CANNUL SCREW 70 32MM 7.3MM 209.870 CANNUL SCREW 75 16MM 7.3MM 208.875 CANNUL SCREW 75 32MM 7.3MM CANNUL SCREW 80 16MM 7.3MM 208.880 CANNUL SCREW 80 32MM 7.3MM 209.880 CANNUL SCREW 85 16MM 7.3MM 208.885 CANNUL SCREW 85 32MM 7.3MM 209.885 CANNUL SCREW 90 16MM 7.3MM 208.890 CANNUL SCREW 90 32MM 7.3MM 209.890 CANNUL SCREW 95 16MM 7.3MM 208.895 CANNUL SCREW 95 32MM 7.3MM 209.895 CANNULA, OX CURV NON-FLARE TIP,7'TUB CANNULATED DRILL BIT 5MM 310.63 CANNULATED SCREW 7.3 ML CANNULATED TAP CANNULOC THREADED CANNULA CANNULOC THREADED CANNULA 8.4MM CAPD SOLUTION TRANSFER SET CAPOTEN TAB CAPOZIDE TAB CAPTIVATOR POLY SNARE CARAFATE 1GM/10ML CARAFATE TAB CARBENICILLIN 3GM PB CARBON ROD 160MM 4.0MM 395.65 CARBON ROD 180MM 4.0MM 395.66 CARBON ROD 200MM 4.0MM 395.67 CARDENE CAP CARDENE DRIP CARDILATE TAB CARDIOLOGY AFTER HOURS CARDIZEM 250MG IVPB CARDIZEM CD CARDIZEM SR CARDIZEM TAB CARDIZEN 5MG/ML SDV CARDURA CARE-E-VAC 2 CANNISTERS CARE-E-VAC FILTERS (WITH TUBING) CARNITOR 330MG CARSON ZERO TIP (6MMX4CM) BALLOON CASCARA 5ML CASODEX 50MG CAST PADDING, SOF-ROLL 3" CAST SHOE - L CAST SHOE - R

468.00 468.00 468.00 468.00 468.00 468.00 468.00 468.00 468.00 468.00 468.00 468.00 468.00 468.00 468.00 468.00 468.00 468.00 468.00 468.00 485.00 470.00 485.00 468.00 491.00 485.00 491.00 11.00 737.00 489.00 671.00 70.00 70.00 44.00 16.00 16.00 134.00 9.00 16.00 158.00 99.00 99.00 99.00 15.00 142.00 12.00 70.00 465.00 15.00 17.00 15.00 61.00 12.00 11.00 19.00 15.00 758.00 11.00 21.00 6.00 57.00 57.00

60410 60409 62559 60866 60816 60623 60412 62490 60411 60413 03038 05549 04899 04900 05173 60414 60415 10218 10201 60416 60417 07487 60418 61742 60422 60424 60426 60427 60428 60423 62161 60430 60431 60432 60433 60434 62712 63061 60435 60436 60437 60439 60440 60441 60442 60443 10205 07528 60445 60446 07488 07489 60447 60448 60449 60450 60451 60452 62203 60454 60455 60456

CAST SHOE - S CAST SHOE - XS CAST TAPE CAST TAPE 2" CAST TAPE 3" CAST TAPE 4" CASTING SPINT, PLASTERXFAST 3X5 CASTING SPLINT CASTING SPLINT, PLASTER FAST 5X30 CASTING SPLINT, PLASTER XFAST 4X15 CASTOR OIL 60ML CATAFLAM CATAPRES-TTS 1 PATCH CATAPRES-TTS 3 PATCH CATAPRES-TTS2 PATCH CATH PLUG CATH SECURE CATH TRAY FOLEY 16FR-INACTIVE CATH TRAY FOLEY W/METER-INACTIVE CATH TRAY, FOLEY 16FR CATH TRAY, FOLEY W/O BG CATH TRAY, FOLEY W/O BG CATH TRAY, FOLEY W/URINE MTR 16FR CATHETER CONTAMINATION SHIELD CATHETER FOLEY 16FR 3WAY 30CC CATHETER FOLEY 18FR 2 WAY 30CC CATHETER FOLEY 20FR 2 WAY 30CC CATHETER FOLEY 24FR 2 WAY 30CC CATHETER FOLEY 26FR 3WAY 30CC CATHETER FOLEY, 18FR 3 WAY 30CC CATHETER IV STRIPPED 16G CATHETER LT. 10FR.DUAL TESIO CATHETER RT. 10FR DUAL TESIO CATHETER SHEATH INTRODUCER 6FR CATHETER SHEATH INTRODUCER SYSTEM 5F CATHETER SHEATH INTRODUCER SYSTEM 7F CATHETER TUBE FASTENER-SECURE IT,LG CATHETER, 28FR. THORACIC, RT. ANGLE, PVC CATHETER, CHOLANGIOLAPATH 17GX30 CATHETER, COUDE TEF 12 FR 5CC CATHETER, COUDE TEF 14FR 5CC CATHETER, COUDE TEF 18FR 5CC CATHETER, COUDE TEF 20FR 5CC CATHETER, COUDE TEF 22FR 5CC CATHETER, COUNCILL 20FR 5CC CATHETER, FOLEY 12FR 5CC 2 WAY CATHETER, FOLEY 14FR 5CC 2WAY CATHETER, FOLEY 16FR 30CC 2 WAY CATHETER, FOLEY 16FR 30CC 2 WAY CATHETER, FOLEY 16FR 5CC 2 WAY CATHETER, FOLEY 16FR 5CC 2 WAY CATHETER, FOLEY 18FR 5CC 2 WAY CATHETER, FOLEY 18FR 5CC 2 WAY CATHETER, FOLEY 20FR 5CC 2WAY CATHETER, FOLEY 26FR 5CC 2 WAY CATHETER, FOLEY 28FR 5CC 2 WAY CATHETER, FOLEY 30FR 30CC 2 WAY CATHETER, FOLEY 8FR 3CC 2 WAY CATHETER, IV STRIPPED 14G CATHETER, IV STRIPPED 18G X 1 1/4 CATHETER, IV STRIPPED 20G X 1 1/4 CATHETER, IV STRIPPED 22G X 1

12.00 57.00 14.00 11.00 12.00 17.00 7.00 11.00 15.00 10.00 9.00 12.00 34.00 61.00 47.00 4.00 6.00 50.00 67.00 50.00 23.00 23.00 67.00 23.00 33.00 26.00 10.00 26.00 33.00 20.00 12.00 474.00 474.00 58.00 58.00 58.00 2.00 17.00 55.00 31.00 26.00 26.00 31.00 31.00 48.00 11.00 10.00 26.00 7.00 10.00 26.00 26.00 9.00 10.00 22.00 11.00 7.00 15.00 12.00 12.00 12.00 12.00

60457 60458 62358 60459 60460 60461 60462 60463 60464 60465 60467 60468 60438 07508 07527 30141 08003 05256 05178 04629 60469 60470 60472 62776 60474 62315 05875 05727 05728 03154 03156 05700 05481 05503 05912 03272 05905 05439 62013 62679 60475 03101 03276 03277 05148 05822 03279 62646 62516 60477 60478 60479 60480 60476 05872 60108 04690 05737 04901 60481 05494 04902

CATHETER, IV STRIPPED 24G X 3/4 CATHETER, MALECOT 4WING STR 18FR CATHETER, RED ROBINSON 18FR. CATHETER, ROBINSON URETHRAL RED 10FR CATHETER, ROBINSON URETHRAL RED 12FR CATHETER, ROBINSON URETHRAL RED 8FR CATHETER, SUCTION 10FR CATHETER, SUCTION 14FR CATHETER, SUCTION 5-6FR CATHETER, SUCTION 8FR CATHETER, UMBILICAL VESSEL 3.5FR CATHETER, UMBILICAL VESSEL 5FR CATHETER,COUDE TEF 16FR 5CC CATHETER,COUDE TEF 16FR 5CC CATHETER,IV STRIPPED 22G X 1 CATHFLO 2MG CECLOR 75ML CECLOR CAPSULE CECLOR SUSP 5ML CEDILANID-D CEEA 21MM. CEEA 25 PREM. PLUS CEEA 28 PREM. PLUS CEEA 28 PREM. PLUS CEEA 31 CEEA 34MM CEFIZOX CEFOTAN 1GM IVPB CEFOTAN 2GM IVPB CEFTIN 250MG TAB CEFTIN 500MG TAB CEFTIN SUSP 5ML CEFZIL CEFZIL 250/5ML CELEBREX 100MG CELESTONE INJ CELEXA 20MG CELLUVISC CENTRAL LINE DRESSING CENTRAL LINE DRESSING CENTRAL VENOUS PRESSURE MONITOR CENTRAX CAP CEPACOL LOZ CEPASTAT LOZ CEPHULAC SYRUP 5ML CEREBYX 100MG VIAL CERUMENEX EAR DROPS CERVICAL BIOPSY BLADE CERVICAL COLLAR CERVICAL COLLAR 2" CERVICAL COLLAR 3" CERVICAL COLLAR 4" CERVICAL COLLAR 5" CERVICAL COLLAR-PEDIATRIC CERVIDIL CESAREAN ABDOMINAL SHEET CETACAINE SPRAY CETACAINE SPRAY #1 CETAPHIL LOTION CHANNEL CLEANING BRUSH CHAPSTICK CHARCOAL SUSP 50GM

12.00 36.00 15.00 15.00 15.00 15.00 4.00 4.00 4.00 4.00 36.00 35.00 26.00 26.00 12.00 194.00 79.00 15.00 15.00 34.00 701.00 675.00 456.00 174.00 701.00 675.00 118.00 109.00 163.00 21.00 28.00 15.00 24.00 11.00 15.00 87.00 15.00 24.00 28.00 4.00 44.00 15.00 6.00 7.00 11.00 87.00 59.00 51.00 46.00 51.00 57.00 51.00 52.00 46.00 594.00 51.00 93.00 12.00 27.00 140.00 6.00 30.00

05257 03030 05186 40435 40434 61806 03114 03157 04903 03282 05226 05205 60421 05170 03293 62724 62723 10262 05860 05671 63036 08387 05996 05236 05237 05297 05413 05235 30100 05323 03170 30137 60429 60801 62014 05335 03296 05879 03297 03173 03299 05175 05734 03298 62348 62349 60482 30054 05524 30157 05805 30156 08455 62847 62986 63025 63026 63024 62518 62683 03305 03175

CHARCOCAP CHEMO ADD FEE CHEMSTRIP BG CHEST TUBE HEMO CHEST TUBE PNEUMO CHEST TUBE TRAY CHLORAL HYDRATE 500MG CHLORAMPHENICOL 1GM PB IV CHLORAMPHENICOL EYE CHLORASEPTIC SPRAY CHLORTRIMETON 5ML CHLORTRIMETON TAB CHOLANGIO KIT CHOLEDYL 5ML CHOLEDYL TAB CHOU AIRWAY-ADULT SIZE CHOU AIRWAY-LG ADULT SIZE CHROMIC SUTURE 4.0 CHROMIUM PICO 200MCG CILOXAN OPHT SOL CIOGLIA BLUE RHINO PERC TRACH INTRO TRAY CIPRO 250MG STARTER CIPRO HC OTIC #10ML CIPRO PB 200MG CIPRO PB 400MG CIPRO PB 500MG CIPRO PB 750MG CIPRO SDV 200MG CIPRO STARTER CIPRO TAB 250MG CIPRO TAB 500MG CIPRODEX OPHTH CIRCUIT, ANES GAS SAMP CIRCUMCISION SUPPLIES CIRCUMCISION TRAY CITRACAL CITRATE OF MAGNESIA SOLN CITRUCEL 1 TBSP CLAFORAN IVPB 1GM IV CLAFORAN IVPB 250MG IV CLAFORAN IVPB 2GM IV CLAFORAN IVPB 3GM CLAFORAN IVPB 500MG IV CLAFORAN SDV 1GM IV CLAMP 4.0 X 2.5 CLAMP 4.0 X 4.0 CLAMP FOR OUTLET PORT CLARINEX 5MG CLARITIN CLARITIN #120ML CLARITIN 10ML CLARITIN 5ML CLARITIN STARTER CLAVICAL STRAP - LARGE CLAVICAL STRAP - MEDIUM CLAVICAL STRAP - SMALL CLAVICAL STRAP - XLARGE CLAVICAL STRAP - XSMALL CLAVICLE STRAP CLEARCUT SIDEPORT KNIFE CLEOCIN CAP 150MG CLEOCIN IVPB 200MG

7.00 51.00 12.00 211.00 211.00 288.00 12.00 129.00 32.00 30.00 6.00 11.00 177.00 11.00 15.00 24.00 24.00 12.00 6.00 34.00 551.00 27.00 151.00 127.00 213.00 301.00 210.00 82.00 30.00 15.00 17.00 189.00 28.00 127.00 71.00 6.00 9.00 9.00 151.00 134.00 183.00 231.00 140.00 72.00 63.00 63.00 15.00 9.00 15.00 21.00 12.00 7.00 16.00 11.00 10.00 10.00 10.00 10.00 50.00 38.00 16.00 134.00

03176 03179 03304 05791 05953 05838 05352 03313 62701 60491 60493 60492 07502 60494 60495 60496 00748 62571 62913 62606 05767 03315 03317 04909 07110 05517 03041 05547 03321 04888 05665 05096 05165 03325 03333 05570 60497 60498 00829 60499 62316 60500 03334 03335 62866 62865 03337 62614 62613 05852 05356 62493 60501 60502 60503 60504 08246 05140 04207 03344 62609 60505

CLEOCIN IVPB 600MG CLEOCIN IVPB 900MG CLEOCIN SDV 900MG CLEOCIN SUSP 5ML CLEOCIN VAGINAL CLIMARA PATCH CLINITEST TABLET CLINORIL TAB CLOSE SURE TRAY CLOSED WOUND SUCTION KIT CLOSUR, STERI-STRIP 1/4X1 1/2 CLOSURE, STERI-STRIP 1/2X4 CLOSURE,STERI-STRIP 1/2X4 CLOVERLEAF PL-3 HOLES CLOVERLEAF PL-4 HOLES CO-SET CO2 HYSTEROFLATOR COAGULATING ELECTRODE SOMNOPLASTY COATED BLADE HANDPIECE COBAN 6" LATEXFREE COCAINE 4% COCAINE HCL SOLN 10% COCCIDIOIDIN SKIN COD LIVER OIL CAP CODE BLUE ER CODEINE ELIXIR 10MG/5ML CODEINE PO4 PFS CODEINE TAB COGENTIN AMP 1MG IV COGENTIN TAB COGNEX COL BENEMID COLACE 5ML COLACE CAP COLCHICINE TAB COLESTID COLLAGEN IMPLANT COLLAGEN IMPLANT COLONOSCOPY COLONOSCOPY WASHING PIPE COLOSTOMY POST-OP SET COLOSTOMY POST-OP SYSTEM COLY-MYCIN M SDV IV COLY-MYCIN S EAR SOLN COMBINE DRESSING 5 X 9 COMBINE DRESSING 8 X 10 COMBIPRES TAB COMBITUBE 37 FR. COMBITUBE 41 FR. COMBIVENT 1NH. COMBOSTIX COMED SHOE COMED SHOE-MEN'S LARGE COMED SHOE-MEN'S MEDIUM COMED SHOE-MEN'S SMALL COMED SHOE-WOMEN'S MEDIUM COMPAZINE 5MG START COMPAZINE 5ML COMPAZINE AMP IV COMPAZINE SUPP COMPLETE CARE SUCTION ORAL SYSTEM COMPLEX IMPERVIOUS STOCKINETTE

187.00 199.00 90.00 16.00 116.00 22.00 9.00 16.00 301.00 110.00 8.00 8.00 8.00 487.00 498.00 57.00 76.00 386.00 16.00 17.00 62.00 63.00 67.00 8.00 281.00 16.00 44.00 9.00 57.00 15.00 11.00 12.00 11.00 7.00 12.00 12.00 85.00 85.00 1,193.00 124.00 32.00 138.00 120.00 51.00 1.00 1.00 16.00 187.00 187.00 72.00 9.00 31.00 31.00 31.00 31.00 31.00 21.00 11.00 48.00 15.00 10.00 36.00

03075 60506 60507 62025 60508 60509 60510 60512 60513 60514 60519 60520 60515 60517 60518 60511 60521 60522 05102 07552 07556 07555 07561 07557 07553 07554 50031 60524 60525 60526 60528 60531 63045 60534 62342 62953 30113 05904 30112 04880 03348 03349 60562 05833 03357 62871 05234 60402 03359 60577 60578 60563 60579 60564 60580 60565 60581 60582 60583 60584 60585 60586

COMPOUNDING ADD FEE CONE TIP CATHETER 10FR CONE TIP CATHETER 8FR CONNECTOR MALE TO MALE CONNSHIELD III W/POV.IODINE CONTOUR ABDOMINAL BINDER 540L CONTOUR ABDOMINAL BINDER 540S CONTOUR STENT (6X20) CONTOUR STENT (6X22) CONTOUR STENT (6X24) CONTOUR STENT (6X26) CONTOUR STENT (6X28) CONTOUR STENT (6X30) CONTOUR STENT (7X22) CONTOUR STENT (7X24) CONTOUR STENT (7X26) CONTOUR STENT (7X28) CONTOUR STENT (7X30) CONTROL SOLUTION CONVATEC DRAINABLE POUCH CONVATEC DRAINBAG CONVATEC INSERT CONVATEC OSTOMY APPLIANCE BELT CONVATEC STOMAHEIVE STRIP CONVATEC SURFIT WAFER CONVATEC WAFER CONVERSION BALANCE CONVERTER XLG SHEET CONVERTORS BILATERAL LIMB SHEET CONVERTORS CASSETTE COVERS CONVERTORS MAYO STAND COVER CONVERTORS THYROID SHEET COOK DRAINAGE POUCH COOLEY DOUBLE VELOUR 22 X 11 COOLEY VASCULAR GRAFT 18MM CORD CLAMP REMOVER CORDARONE 150MG IV CORDARONE 300MG DRIP CORDARONE 900MG DRIP CORDARONE TAB CORDRAN-N CREAM 15GM CORDRAN-N OINT 15GM CORE BIOPSY SYSTEM (18G.) COREG TAB CORGARD TAB CORRECT MEDICATION LABELING SYS CORRECTOL TAB CORSON DISPOSABLE SUCTION/IRRIGATION CORTENEMA SOLN CORTEX SCREW 12M 2.7MM CORTEX SCREW 14M 2.7MM CORTEX SCREW 14MM 4.5 CORTEX SCREW 16M 2.7MM CORTEX SCREW 16MM 4.5 CORTEX SCREW 18M 2.7MM CORTEX SCREW 18MM 4.5 CORTEX SCREW 20MM 2.7MM CORTEX SCREW 22M 2.7MM CORTEX SCREW 24M 2.7MM CORTEX SCREW 28M 4.5MM CORTEX SCREW 30M 4.5MM CORTEX SCREW 32M 4.5MM

57.00 16.00 45.00 10.00 16.00 62.00 62.00 495.00 349.00 495.00 495.00 361.00 361.00 361.00 495.00 376.00 372.00 495.00 22.00 3.00 4.00 3.00 16.00 2.00 26.00 11.00 0.00 21.00 36.00 12.00 4.00 26.00 31.00 1,020.00 851.00 25.00 357.00 548.00 2,082.00 15.00 44.00 60.00 139.00 16.00 16.00 9.00 6.00 140.00 45.00 34.00 34.00 26.00 34.00 26.00 34.00 26.00 34.00 34.00 34.00 40.00 40.00 45.00

60566 60587 60567 60588 60589 60568 60590 60569 60591 60592 60570 60593 60571 60594 60595 60572 60573 60574 60575 60576 60596 60597 60598 60599 60600 60601 60602 60603 60604 60605 60606 60607 60608 60609 60610 60611 62621 62398 60613 05277 03364 03365 03362 03363 05605 05487 05769 05278 05990 60614 60616 60617 60618 60619 60620 60621 03371 60516 50032 60622 05709 05114

CORTEX SCREW 32MM 4.5 CORTEX SCREW 34M 4.5MM CORTEX SCREW 36MM 4.5 CORTEX SCREW 38M 4.5MM CORTEX SCREW 40M 4.5MM CORTEX SCREW 40MM 4.5 CORTEX SCREW 42M 4.5MM CORTEX SCREW 42MM 4.5 CORTEX SCREW 44M 4.5MM CORTEX SCREW 46M 4.5MM CORTEX SCREW 46MM 4.5 CORTEX SCREW 48M 2.5 CORTEX SCREW 48MM 4.5 CORTEX SCREW 50M 4.5MM CORTEX SCREW 52MM 4.5MM CORTEX SCREW 54MM 4.5 CORTEX SCREW 56MM 4.5 CORTEX SCREW 58MM 4.5 CORTEX SCREW 664. 5MM CORTEX SCREW 70 4.5MM CORTEX SCREW TAP 2.0MM CORTEX SCREW TAP 3.5MM CORTEX SCREW TAP 4.5MM CORTEX SCREW-3.5MM 10MM CORTEX SCREW-3.5MM 12MM CORTEX SCREW-3.5MM 14MM CORTEX SCREW-3.5MM 16MM CORTEX SCREW-3.5MM 18MM CORTEX SCREW-3.5MM 20MM CORTEX SCREW-3.5MM 22MM CORTEX SCREW-3.5MM 24MM CORTEX SCREW-3.5MM 26MM CORTEX SCREW-3.5MM 28MM CORTEX SCREW-3.5MM 32MM CORTEX SCREW-3.5MM 36MM CORTEX SCREW-3.5MM 40MM CORTICAL CLEAVING HYDRODISSECT 27G CORTICAL CLEAVING HYDRODISSECTOR CORTICAL STRUT CORTISONE ACETATE CORTISPORIN EAR SOLN CORTISPORIN EAR SUSP CORTISPORIN EYE OINT CORTISPORIN EYE SUSP CORTISPORIN OINT CORTROSYN CORVERT 1MG IVPB CORZIDE COSOPT 5ML COTTON UMBILICAL TAPE (U-11T) COUDE CATHETER 16FR. 30CC COUDE CATHETER 18FR. 30CC COUDE CATHETER 20 FR. 30CC COUDE CATHETER 22 FR. 30CC COUDE CATHETER 24 FR. 30CC COUDE CATHETER 24 FR. 5CC COUMADIN TAB COUNTOUR STENT (7X20) COURTESY ALLOWANCE COVER, RETRACTOR DISP. COZAAR TAB CRASH CART

32.00 45.00 32.00 45.00 45.00 32.00 45.00 32.00 40.00 45.00 32.00 47.00 32.00 40.00 40.00 32.00 32.00 32.00 32.00 32.00 189.00 238.00 228.00 32.00 30.00 34.00 32.00 32.00 32.00 32.00 32.00 32.00 32.00 32.00 32.00 32.00 15.00 14.00 352.00 9.00 71.00 71.00 71.00 61.00 58.00 58.00 465.00 12.00 120.00 4.00 26.00 26.00 33.00 33.00 33.00 27.00 15.00 361.00 0.00 15.00 15.00 345.00

50002 03043 30146 20296 05919 05907 61599 62863 60629 60630 60631 62526 02792 62413 61280 61281 61282 61102 61103 61101 60632 05259 60633 60634 60635 60636 60637 60638 60639 60640 62577 62578 62015 63087 62989 60644 60641 60642 60643 60645 08303 03354 05683 60646 02381 60647 05430 30117 03180 05582 30028 04779 06508 06514 06539 62601 05408 06501 06513 06503 06512 06502

CREDIT CARD PAYMENT CREON CAP CRESTOR 10MG CRITICAL CARE CRIXIVAN 400MG CROLOM EYE 4% CROUCH CORNEAL PROTECTOR CRUISE CONTROL CRUTCH, ALUM ADJ ADLT MED CRUTCH, ALUM ADJ ADULT TALL CRUTCH, ALUM ADJ YTH CRUTCHES CT SPECIAL PROCEDURE TRAY CUFF, DISP, DUAL HOSE CUFF/COLLAR SLING CUFF/COLLAR SLING CUFF/COLLAR SLING CUFFED TRACH TUBE SIZE 10 CUFFED TRACH TUBE SIZE 4 CUFFED TRACH TUBE SIZE 8 CUFFLESS FEN TRACH TUBE SIZE 8 CUPRIMINE CAP CURETTE 12MM CURVED CURETTE 8MM CURVED CURETTE 9MM CURVED CURETTE CUREVED 6MM CURETTE CURVED 7MM CURETTE FLEXABLE 5MM CURETTE FLEXABLE 6MM CURETTE FLEXABLE 7MM CURVED BLADE 5MM CUSHION, SMALL, PRONE CUT DOWN TRAY CUTTING LOOP 24FR. ELECTRODE CUTTING LOOP 26FR. ELECTRODE CUTTING LOOP ELECTORDE (26FR.) CUTTING LOOP ELECTRODE (24-28FR.) CUTTING LOOP ELECTRODE (24FR.) CUTTING LOOP ELECTRODE (24FR.) CUTTING LOOP ELECTRODE (28FR.) CYANIDE POISON KIT CYCLOGYL CYLERT 37.5MG CYSTO PACK CYSTOGRAFIN CYSTOSCOPY/IRRIG CYTARABINE 500MG SDV IV CYTOMEL 5MCG CYTOTEC TAB CYTOVENE CYTOVENE 500 MG CYTOXAN SDV IV D10 1000ML D10 500ML D20 500ML D5 1/2 1000ML D5W & ALCOHOL 5% D5W 1/2 NS 1000ML D5W 1/2 NS 500ML D5W 1/4 NS 1000ML D5W 1/4 NS 500ML D5W 1000ML

0.00 15.00 17.00 127.00 12.00 102.00 33.00 69.00 45.00 70.00 70.00 70.00 426.00 119.00 28.00 28.00 28.00 105.00 105.00 105.00 154.00 12.00 16.00 8.00 16.00 16.00 16.00 16.00 16.00 16.00 539.00 85.00 71.00 244.00 189.00 275.00 226.00 246.00 209.00 226.00 735.00 45.00 12.00 28.00 43.00 17.00 107.00 10.00 16.00 99.00 174.00 252.00 78.00 72.00 72.00 58.00 280.00 72.00 72.00 72.00 72.00 72.00

06517 06536 06511 62599 06519 06509 06500 03861 03381 05477 03182 60648 60649 60650 60651 60652 60653 60654 60655 62271 62272 62273 03383 05260 03386 03385 04914 04959 08378 03388 03183 03390 03391 05498 62681 62682 62464 60656 60657 60658 60659 60660 60661 04917 05652 03184 03395 04978 05149 04921 03399 03433 04642 60663 60662 03402 03403 05787 10008 03407 00530 00531

D5W 100ML D5W 250ML D5W 500ML D5W 500ML D5W 50ML D5W LACTATED RINGER 1000ML D5W NS 1000ML DACRIOSE 15ML DACROISE 120ML DAIRY EASE DAKINS SOL 1000ML DALL MILES BONE PLATE DALL MILES BONE PLATE DALL MILES BONE PLATE DALL MILES CABLE DALL MILES MEDIUM CABLE SLEEVE DALL MILES MEDIUM GRIP DALL MILES MEDIUM GRIP DALL MILES SLEEVE/CABLE SET DALLMILES 2.0MM SLEEVE/CABLE DALLMILES MED GRIP 2.0MM CABLE SET DALLMILES SMALL GRIP 1.6MM CABLE SET DALMANE CAP DANOCRINE DANTRIUM CAP DANTRIUM SDV DAPSONE TAB DARBID TAB DARVOCET N-100 START DARVOCET-N 100 TAB DARVON 65MG CAP DARVON CMPD CAP 65MG DARVON-N 100 TAB DAYPRO DBL LUMEN BRONCH LEFT-CH 35 DBL LUMEN BRONCH RIGHT-CH 37 DBL LUMEN BRONCH RT-CH35 DCP PLATE 3 HOLES 3.5MM DCP PLATE 4 HOLES 3.5MM DCP PLATE 5 HOLES 3.5MM DCP PLATE 6 HOLES 3.5MM DCP PLATES 12 HOLES 3.5MM DCS COMPRESSION SCREW 36MM DDAVP MDV DDAVP SPRAY 5ML DEBRISAN WOUND BEADS DEBROX EAR DROP DECA-DURABOLIN SDV INJ DECADRON 5ML DECADRON EYE SOLN DECADRON LA 8MG/ML INJ DECADRON SDV IV DECADRON TAB DECANNULATION PLUG 4 DCP DECANNULATION PLUG 6 DCP DECASPRAY AEROSOL DECHOLIN DECLOMYCIN 150MG DELEE MUCUS TRAP 10FR-INACTIVE DELESTROGEN 20MG/ML INJ DELIVERY CHARGE DELIVERY CHRG W/CMP

72.00 72.00 72.00 58.00 72.00 72.00 72.00 35.00 45.00 6.00 90.00 660.00 660.00 660.00 633.00 381.00 875.00 875.00 759.00 543.00 1,572.00 1,572.00 12.00 15.00 16.00 164.00 15.00 15.00 15.00 12.00 12.00 12.00 12.00 12.00 318.00 332.00 346.00 204.00 212.00 231.00 242.00 316.00 73.00 738.00 514.00 35.00 35.00 97.00 11.00 71.00 58.00 55.00 15.00 17.00 17.00 71.00 15.00 16.00 55.00 47.00 1,125.00 1,264.00

60664 60665 60666 60668 60667 05695 05583 05463 05464 05435 03414 04717 30030 60669 60670 60671 30016 03064 05121 05125 05319 04915 03417 03418 03419 04916 62733 62360 63055 63000 62810 60672 60736 61604 05367 05232 03185 03426 05903 60675 60673 60674 60676 60677 60678 05732 05768 05560 03438 03377 05900 62368 62611 62963 62612 60679 61167 62251 03700 04650 30120 03186

DELUXE CLAVICLE STRAP-LARGE DELUXE CLAVICLE STRAP-MEDIUM DELUXE CLAVICLE STRAP-SMALL DELUXE CLAVICLE STRAP-XLARGE DELUXE CLAVICLE STRAP-XSMALL DEMADEX 20MG/2ML DEMADEX TAB DEMEROL 1-1000MG DEMEROL 1001-2000MG DEMEROL 10MG/ML 30ML (PCA) DEMEROL PFS DEMEROL TAB DENAVIR 1% CRM DENVER DOUBLE VALVE P/V SHUNT DENVER FEN PERITONEAL CATH DENVER SINGLE VALVE P/V SHUNT DEPACON 500MG IVPB DEPAKENE DEPAKENE LIQ 5ML DEPAKOTE TAB DEPILATORY CR 30ML DEPO-ESTRADIOL 5MG/ML INJ DEPO-MEDROL SDV 40MG INJ DEPO-MEDROL SDV 80MG INJ DEPO-PROVERA 400MG/ML INJ DEPO-TESTOSTERONE INJ DERMABOND DERMABOND DERMABOND HIG VISCOSITY TOPICAL SKIN ADH DERMABOND PROPEN SKIN ADHESIVE DERMAGEL SHEET 4X4 DERMATOME BLADE DERMICEL TAPE 1" DERMICEL TAPE 2" DERMOPLAST SPRAY DESFERAL 500MG SDV INJ DESITIN OINT 60GM DESYREL TAB DETROL 2MG DEX DOS 30 MEQ KCL DEX SOD 20 MEQ KCL DEX SOD 20 MEQ KCL DEX SOD 40 MEQ KCL DEX SOD KCL LC 10 DEX SOD KCL LC 30 DEXEDRINE DEXTRAN 100ML DEXTROSE 40% 500ML DEXTROSE 50% PFS DHE-45 AMP IV DHEA 25MG DHS CANNULATED DRILL BIT DHS LAG SCREW DHS PLATE 145 DEGREE DHS PLATE 95 DEGREE 6 HOLE DHS/DCS GUIDE PIN 2.5MM DHS/DCS LAG SCREW DHS/DCS LAG SCREW 12.7 DHT DIABINESE TAB DIALYSATE 2.5%-4.5% DIAMOX 250MG INJ

44.00 50.00 50.00 50.00 50.00 45.00 12.00 285.00 367.00 223.00 38.00 15.00 81.00 654.00 37.00 622.00 113.00 16.00 12.00 15.00 12.00 36.00 50.00 63.00 111.00 201.00 63.00 60.00 52.00 77.00 9.00 86.00 6.00 8.00 12.00 59.00 8.00 20.00 15.00 60.00 60.00 60.00 60.00 60.00 60.00 12.00 110.00 72.00 59.00 63.00 7.00 681.00 567.00 565.00 991.00 96.00 557.00 598.00 12.00 15.00 46.00 118.00

05858 03443 60260 60258 05845 60680 04922 30170 05258 05937 03187 05279 05341 05974 05339 05340 03190 05685 05772 62294 08082 05145 03454 03192 03193 05295 04986 04149 05461 05462 03687 03456 08386 05108 03463 05831 05692 30080 05192 05397 05750 03079 62420 62419 62421 62422 60682 00612 60683 62318 62264 62939 60686 62860 60687 62290 62291 62292 62955 60689 62647 08413

DIAMOX 500MG PB DIAMOX CAP DIANEAL 2.5 DIANEAL 4.25 DIANEAL PD 2.5% DIANEAL PD-2 W/ 1.5% DEXTROSE DIAPERENE PERI-ANAL DIASTAT 10MG DIBENZYLINE CAP DIDRONEL 200MG DIDRONEL TAB DIETHYLSTIBESTROL IV DIFLUCAN 100MG PB DIFLUCAN 10MG DIFLUCAN 200MG PB DIFLUCAN 400MG PB DIFLUCAN TAB DIGIBIND 40MG SDV DILACOR XR DILAMEZINSERT INSERTOR DILANTIN 3X100MG CAP DILANTIN 5ML DILANTIN CAP DILANTIN IVPB 100MG DILANTIN IVPB 300MG DILANTIN PB 500MG DILANTIN PFS 100MG DILANTIN SDV IV DILAUDID 1-100MG DRIP DILAUDID 101-200MG DRIP DILAUDID PFS IV DILAUDID TAB DIMETAPP 30ML DIMETAPP ELIXIR 5ML DIMETAPP EXTENTAB DIOVAN DIPENTUM 250 DIPRIVAN 1% #100ML DIPRIVAN 10MG/ML #20ML DIPROLENE CREAM DIPROSONE CREAM DISALCID TAB DISP B/P CUFF DUAL HOSE-ADULT DISP B/P CUFF DUAL HOSE-CHILD DISP B/P CUFF DUAL HOSE-LG. ADULT DISP B/P CUFF DUAL HOSE-THIGH DISP MIX KIT DISP VIT PIECE DISP. 2 PART TROCAR NEEDLE (18GA.) DISP. CANNULA FLAT HYDRO DISP. CANNULA KIT DISP. CYTOLOGY BRUSH 10MM LENGTH,3MM DIA DISP. GASTRO STERI NEEDLE DISP. GRASPING FORCEP DISP. MINI SNARE DISP. NEEDLE FOR INJECTOR DISP. NEEDLE FOR INJECTOR DISP. NEEDLE FOR INJRCTOR DISP. SUCTION IRRIGATION PROBE W/SPIKE DISP. TA LONG 30 V-3 DISP. TROCARS DISPENSING FEE

134.00 15.00 34.00 34.00 63.00 28.00 12.00 372.00 12.00 11.00 17.00 9.00 256.00 76.00 342.00 523.00 34.00 820.00 15.00 90.00 15.00 11.00 12.00 124.00 168.00 173.00 50.00 36.00 367.00 470.00 40.00 15.00 7.00 6.00 8.00 30.00 15.00 423.00 142.00 87.00 67.00 15.00 25.00 25.00 26.00 26.00 8.00 454.00 35.00 15.00 41.00 35.00 139.00 516.00 51.00 145.00 134.00 135.00 222.00 346.00 46.00 11.00

62686 60693 60694 60695 60696 60698 06122 60701 62798 60702 62372 60708 60703 60704 62904 06124 03194 05225 05261 06585 05476 03477 05419 05298 08407 05150 08086 05110 08087 03197 03489 30166 05187 60705 61668 60706 60707 61669 61415 62260 61416 62261 60709 03490 03492 05952 60710 60711 62501 60712 62677 20511 20510 00512 62944 07509 60716 60713 60714 60715 60717 60718

DISPOS-A-PROBE DISPOSABLE COLONSCOPIC NEEDLE DISPOSABLE CONVEX INSERTS 1" DISPOSABLE CYTOLOGY BRUSH DISPOSABLE GRASPING FORCEP DISPOSABLE LARGE CURETTE DISPOSABLE NEBULIZERS DISPOSABLE OVAL SNARE DISPOSABLE RESUSCITATION BAG DISPOSABLE SCULPS KNIFE DISPOSABLE SIGMOIDOSCOPE DISPOSABLE SLEEVE DISPOSABLE SMALL CURETTE DISPOSABLE TEMP MONITORING PROBE DISPOSABLE TOOTH PROTECTOR DISPOSABLE TREATMENT SET-UPS DITROPAN TAB DIUPRES DIURIL TAB DO NOT USE DOBUTREX 250MG VIAL IV DOLOBID DOMEBORO OTIC DOMEBORO PKTS#1 X12 DONNAGEL 30ML DONNAGEL PG 5ML DONNATAL 30ML DONNATAL ELIX 5ML DONNATAL STARTER DONNATAL TAB DOPAMINE 400MG/500ML DOPAMINE 800MG/500ML DOPAMINE SDV IV DOUBLE ARM ME NISCAL REPAIR NEEDLE DOUBLE J STENT 6.0 X 28 CM DOUBLE J STENT 7.0 X 24CM DOUBLE J STENT 7.0 X 26CM DOUBLE J STENT 8.5 X 28 CM DOUBLE LUMEN BRONCHIAL TUBE-LEFT DOUBLE LUMEN BRONCHIAL TUBE-LEFT 37 DOUBLE LUMEN BRONCHIAL TUBE-RIGHT DOUBLE LUMEN BRONCHIAL TUBE-RIGHT 37 DOUCHE TRAY DOXAPRAM 20MG/ML IV DOXIDAN CAP DOXIL 20MG/10ML DOYLE NASAL PACKING DOYLE NASAL PACKING DOYLE NASAL PACKING DOYLE NASAL PACKING DPL KIT DR W. FERGUSON-P.E. DR. JOTHIKUMARE-P.E. DR. SHULL - P.E. DRAIN SPONGE 4X4, AVANT GAUZE, STERILE DRAINABLE POUCH 2/ 2 3/4" CLANGE DRAINABLE POUCH 2/ 2 3/4" CLANGE DRAINABLE POUCH W/ 1 1/2" FLANGE DRAINABLE POUCH W/ 1 1/4" FLANGE DRAINABLE POUCH W/ 1 3/4" FLANGE DRAINABLE POUCH W/ 2" FLANGE DRAINABLE POUCH W/ 4" FLANGE

23.00 187.00 7.00 34.00 519.00 33.00 17.00 54.00 37.00 33.00 7.00 339.00 33.00 52.00 7.00 16.00 15.00 12.00 11.00 0.00 192.00 11.00 66.00 47.00 9.00 12.00 11.00 11.00 11.00 8.00 140.00 234.00 87.00 113.00 629.00 629.00 629.00 629.00 346.00 330.00 346.00 270.00 6.00 35.00 8.00 1,891.00 44.00 45.00 44.00 35.00 86.00 62.00 62.00 62.00 1.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00

60719 60720 03084 03496 60721 60723 60722 60724 60725 62680 60727 60726 60728 60729 60730 07490 60731 60732 60733 60734 60737 60738 60739 60740 60741 60742 62867 60743 60744 60745 60746 60747 60749 60750 60751 60748 60752 60753 61226 60754 05742 63015 05188 50068 05561 60755 62233 62735 62756 62736 62767 62737 62768 63030 03211 03212 30064 60756 62446 60757 62435 60758

DRAINAGE EXTENSION DRAINAGE UNIT, CHEST ADULT/PED DRAMAMINE INJ DRAMIMINE TAB DRAPE, APERTURE LG 1030 DRAPE, INCISE IOBAN II 6648 DRAPE, INCISE IOBAN II 6651 DRAPE, INCISE IOBAN II CESAREAN DRAPE, SURG TWL SM 1000 DRESSING CHANGE TRAY DRESSING, ADAPTIC 3" X 8" DRESSING, ADAPTIC 3"X3" DRESSING, ADHSV SURG 8" X 6" DRESSING, ANTIMICROBIAL BIOPATCH DRESSING, COMBINE STR 8" X 10" DRESSING, COMBINE STR 8"X10" DRESSING, TRANSP BIOCLUSIVE 2" X 3" DRESSING, TRANSP BIOCLUSIVE 4" X 5" DRESSING, TRANSP BIOCLUSIVE 8" X 10" DRESSING, TRANSP VIGILON N/S 4X4" DRESSING, XEROFORM STR 1" X 8" DRILL BIT 1/8" X 5" DRILL BIT 100MM 2.0MM DRILL BIT 100MM 2.7 MM DRILL BIT 3MM DRILL BIT 4.5 DRILL BIT 4.5MM, 195MM LONG (QUICK COOL) DRILL BIT 5/32 X 5" DRILL BIT 5/64 X 5" DRILL BIT 7/64 X 5" DRILL BIT 7/64 X 5" DRILL BIT S2 9/64 X 5" DRILL BIT- 110MM 2.5MM DRILL BIT- 2.5MM 180MM DRILL BIT- 2MM 125MM DRILL BIT- 3.2MM 145MM DRILL BIT- 3.5MM 110MM DRILL BIT-LONG 2.7 MM DRILL BIT/GUIDEWIRE DRILL TIP PASSING PIN (ACL REPAIR) DRIXORAL TAB DROP FOOT BOOT, DISPOSABLE LINER DRUG INTERACTION PROFILE DRUMMOND DISCOUNT DTIC 375MG DUAL HICKMAN PORT WITH INTRODUCER DUAL LUMEN CATHETER 9.5F DUAL MESH PLUS 15CM X 19CM DUAL MESH PLUS 15CM X19CM X1MM DUAL MESH PLUS 18CM X 24CM DUAL MESH PLUS 18CM X 24CM X 1MM DUAL MESH PLUS 26CM X 34CM DUAL MESH PLUS 26CM X 34CM X 1MM DUAL MESH PLUS 7.5CM X 10CM DULCOLAX SUPP DULCOLAX TAB DUO NEB 3ML DUO-DERM 6X6 CGF DUO-DERM GEL DUODERM 4X4 EXTRA THIN DUODERM 4X5 CGF BORDER DRESSING DUODERM CGF BORDER 4X4

10.00 260.00 30.00 9.00 17.00 52.00 52.00 114.00 7.00 21.00 2.00 4.00 7.00 20.00 6.00 6.00 4.00 7.00 16.00 8.00 7.00 45.00 115.00 150.00 119.00 138.00 270.00 45.00 45.00 45.00 45.00 137.00 139.00 192.00 129.00 138.00 114.00 614.00 0.00 238.00 7.00 26.00 90.00 0.00 293.00 771.00 462.00 2,621.00 1,603.00 3,819.00 2,309.00 6,587.00 3,990.00 498.00 9.00 7.00 40.00 17.00 11.00 17.00 15.00 17.00

60759 62434 05837 05492 05280 05661 61129 03500 03501 62412 05453 08464 05207 05104 08021 03506 60800 62710 62709 62708 60690 60760 60761 60425 62507 60765 60762 60763 60764 62506 60769 62508 60768 60767 60766 04884 03517 62985 60771 60772 60773 05566 00740 00864 00611 03521 60527 03086 60774 62514 60776 60775 62826 62786 62825 62824 60777 05086 06227 06226 06587 60778

DUODERM DRESSING "CGF" DUODERM EXTRA THIN 6X6 DURACT CAP DURAGESIC PATCH DURICEF DUROMORPH DVC CATHETER 32FR. RT ANGLE DYAZIDE DYMELOR TAB DYNA-FLEX DYNACIRC CAP DYNAPEN 100ML DYNAPEN 5ML DYNAPEN CAP DYNAPEN START DYRENIUM CAP E-Z PREP E/T GUIDE, INTERMEDIATE, STRAIGHT TIP E/T GUIDE, STANDARD, STRAIGHT TIP E/T INTRODUCER, ADULT, ANGLED TIP EAR PROSTHESIS EASI-LAV 18FR. LAVAGE SYSTEM EASI-LAV LAVAGE SYSTEM (34 FR.) EASY CAP ECLIPSE ANKLE SUPPORT ECLIPSE EXCEL ANKLE SUPPORT (LARGE) ECLIPSE EXCEL ANKLE SUPPORT (MED) ECLIPSE EXCEL ANKLE SUPPORT (SM) ECLIPSE EXCEL ANKLE SUPPORT (XL) ECLIPSE FOREARM SPLINT ECLIPSE GEL ANKLE BRACE (LEFT) ECLIPSE GEL ANKLE BRACE PONY ECLIPSE GEL ANKLE BRACE PONY (RIGHT) ECLIPSE WRIST FOREARM SPLINT (LEFT) ECLIPSE WRIST FOREARM SPLINT (RIGHT) ECOTRIN TAB EDECRIN TAB EDGE COATED BLADE EXTENDED ELECTRODE EEA 25 STAPLER EEA 28 STAPLER EEA 31 STAPLER EFFEXOR EGD DILATOR EHL/LITHOCLAST EKG MONITOR ELASE OINT 30GM ELASTOPLAST 4" ELAVIL TAB ELBOW COLD THERAPY ELBOW SPLINT ELBOW SPLINT- MEDIUM ELBOW SPLINT-LARGE ELBOW SPLINT-LARGE ELBOW SPLINT-MED, POSTERIOR ELBOW SPLINT-MEDIUM ELBOW SPLINT-SMALL ELBOW SPLINT-SMALL ELDEPRYL 5MG TABB ELECTRICAL STIM NON WOUND ELECTRICAL STIM-WOUND ELECTRICAL STIMULATION, UNATTENDED ELECTRICK BREAST PUMP

17.00 12.00 12.00 59.00 21.00 47.00 35.00 15.00 11.00 45.00 21.00 43.00 11.00 23.00 21.00 15.00 7.00 286.00 286.00 286.00 0.00 269.00 269.00 35.00 90.00 82.00 90.00 90.00 82.00 82.00 88.00 111.00 104.00 66.00 72.00 6.00 12.00 17.00 996.00 996.00 996.00 12.00 72.00 140.00 72.00 134.00 40.00 15.00 56.00 85.00 75.00 75.00 49.00 111.00 45.00 35.00 75.00 16.00 62.00 55.00 55.00 17.00

62777 60779 60781 63075 62695 62399 62988 00632 05406 05702 60782 20480 40480 10060 60783 06046 30332 20221 30331 40441 10020 00830 10217 02270 05609 05483 50041 50036 60807 60784 60785 60786 60787 60789 60790 60796 62933 60791 60792 60793 60794 60795 60797 60798 60799 60802 60804 60806 60808 60809 60810 60812 60813 60814 61212 62950 62703 62753 62759 62760 62704 60815

ELECTRO SURG EXT BLADE ELECTRO SURGICAL CAUTERY ELECTRO SURGICAL PENCIL ELECTRO SURGICAL PENCIL - TEFLON COATED ELECTRODE, ICG SENSOR ELECTRODE-KITTYCAT ELECTROSURGICAL COAG SUCTION TUBE 8 ELECTROSURGICAL UNIT ELIMITE 60GM ELOCON CR 45GM EMBOLECTOMY CATHETER 4FR. EMER CARE 1/2 HR-AWING EMER CARE 1/2 HR-CWING EMER CARE 1/2 HR-ICU EMERALD GUIDEWIRE 3MM J EMERGENCY BREATHING DEVICE EMERGENCY CARE 1/2 HOUR EMERGENCY CART A-WING EMERGENCY CART B WING EMERGENCY CART C WING EMERGENCY CART ICU EMERGENCY CASE FEE EMERGENCY PURCH RENT FROM-INACTIVE EMERGENCY SERVCS 1/2 HR EMETROL EMLA EMPLOYEE DEDUCTIBLE DISCOUNT EMS FUNDING ENDO 65 DEGREE DISP. STAPLER ENDO CATCH ENDO CLINCH ENDO CLIP II ENDO CLIP L ENDO CLOSE ENDO GAUGE ENDO GIA 2 ENDO GIA 2 ENDO GIA 2 30-2.5 DLU ENDO GIA 2 30-3.5 DLU ENDO GIA 2 45-3.5 DLU ENDO GRASP ENDO HERNIA DLU 4MM ENDO LUNG ENDO MINI SHEAR ENDO MINI-RETRACT ENDO SCRUB SHEATH 0 ENDO SHARP LONG 5MM INST. ENDO SHEARS MAXI ENDO-AVITENE ENDO-FLO IRRIGATION PROBE ENDOBUTTON 013186 ENDOBUTTON CANNULATED DRILL ENDOFLO IRRIGATION PROBE ENDOFLO IRRIGATOR ENDOHERNIA DLU 4.8 ENDOPATH 10/12MM TROCAR 150MM LONG ENDOPATH BLADELESS TROCAR 10/12MM ENDOPATH BLADELESS TROCAR 5MM ENDOPATH ETS LINEAR CUTTER ENDOPATH ETS LINEAR CUTTER RELOADS ENDOPATH REDUCER CAP ENDOPATH TROCAR

12.00 31.00 31.00 19.00 32.00 15.00 28.00 99.00 76.00 89.00 144.00 164.00 164.00 164.00 38.00 71.00 164.00 1,190.00 1,190.00 1,190.00 252.00 4.00 168.00 43.00 16.00 20.00 0.00 0.00 634.00 378.00 381.00 396.00 326.00 63.00 24.00 381.00 348.00 389.00 389.00 402.00 326.00 190.00 388.00 212.00 254.00 84.00 234.00 228.00 256.00 9.00 371.00 320.00 233.00 189.00 135.00 374.00 182.00 153.00 583.00 286.00 17.00 211.00

62558 62758 00699 60817 60818 60819 60820 60821 62672 62671 60822 60823 60824 60825 10220 60826 62673 60827 60828 10221 60829 60830 62674 60831 60832 62668 62667 10225 60833 60834 10226 60835 60836 62669 60837 62670 62635 62635 03536 60838 60839 05963 05964 60840 04928 05601 05518 00077 60841 61454 60688 05144 05095 03540 05739 62898 05757 00207 63088 00955 62048 62720

ENDOPATH UTERINE MANIPULATOR ENDORETRACT II 10MM ENDOSCOPE USAGE ENDOSCOPIC KITTNER ENDOSTITCH ENDOTRAC BLADE SYSTEM ENDOTRACHEAL TUBE 2.0MM ENDOTRACHEAL TUBE 2.5MM ENDOTRACHEAL TUBE 2.5MM ENDOTRACHEAL TUBE 2MM ENDOTRACHEAL TUBE 3.0MM ENDOTRACHEAL TUBE 3.5MM ENDOTRACHEAL TUBE 4.0MM ENDOTRACHEAL TUBE 4.0MM ENDOTRACHEAL TUBE 4.0MM-INACTIVE ENDOTRACHEAL TUBE 4.5MM ENDOTRACHEAL TUBE 4.5MM ENDOTRACHEAL TUBE 5.0MM ENDOTRACHEAL TUBE 5.0MM ENDOTRACHEAL TUBE 5.0MM-INACTIVE ENDOTRACHEAL TUBE 5.5MM ENDOTRACHEAL TUBE 5.5MM ENDOTRACHEAL TUBE 5MM ENDOTRACHEAL TUBE 6.0MM ENDOTRACHEAL TUBE 6.5MM ENDOTRACHEAL TUBE 6.5MM ENDOTRACHEAL TUBE 6MM ENDOTRACHEAL TUBE 7.0-INACTIVE ENDOTRACHEAL TUBE 7.0MM ENDOTRACHEAL TUBE 7.5MM ENDOTRACHEAL TUBE 8.0-INACTIVE ENDOTRACHEAL TUBE 8.0MM ENDOTRACHEAL TUBE 8.5MM ENDOTRACHEAL TUBE 8.5MM ENDOTRACHEAL TUBE 9.0MM ENDOTRACHEAL TUBE 9MM ENDOTRACHEAL TUBE HOLDER ENDOTRACHEAL TUBE HOLDER ENDURON TAB ENEMA ADMINISTRATION UNIT ENEMA, GENTLE TIP ENFAMIL HMF #100 PCKTS ENFAMIL HMF #1PCKT ENHANCEMENT MIX CHAMBER SYRINGE ENKAID CAP ENLON/EDROPHONIUM IV ENSURE ENT EQUIPMENT ENT PMP W/INTEGRL ENTERAL PUMP DAILY ENTERAL SET ENTEX 5ML ENTEX LA EPHEDRINE AMP IV EPI 1MG/ML EPI FILM OTOLOGIC LAMINA EPI-FOAM EPIDURAL MONITORING EPIDURAL NEEDLE 17G X 4 1/2" EPIDURAL PUMP EPIDURAL PUMP SET EPIDURAL TAPE

129.00 367.00 170.00 56.00 53.00 275.00 24.00 24.00 4.00 4.00 24.00 24.00 24.00 24.00 24.00 24.00 4.00 24.00 20.00 24.00 24.00 24.00 4.00 24.00 24.00 6.00 6.00 24.00 24.00 24.00 24.00 24.00 24.00 6.00 24.00 6.00 8.00 9.00 15.00 11.00 11.00 450.00 6.00 116.00 15.00 57.00 9.00 0.00 59.00 50.00 59.00 11.00 12.00 36.00 11.00 406.00 34.00 189.00 21.00 106.00 46.00 10.00

62876 05533 03543 03541 60842 30089 05293 05211 62453 62454 62455 07130 07102 50103 50104 90990 05262 62297 08005 05989 03510 03553 05321 03549 03548 08023 03507 07150 04295 05587 03823 62329 61217 60845 03554 05802 05281 04931 05466 62891 00635 60846 62364 04932 05829 04929 04933 03562 03564 05263 62620 06529 06527 06528 62757 05881 62205 05997 30005 05289 61546 60847

EPIDURAL TRAY EPINEPHRINE 30ML/MDV EPINEPHRINE AMP IV EPINEPHRINE PFS IV EPISTAT NASAL PACKING KIT EPOGEN 40,000 UNITS EPSOM SALT EQUAGESIC TAB EQUALIZER WALKER EQUALIZER WALKER-MED/LG. EQUALIZER WALKER-XL ER EXTENDED TIME ER INJECTION OP ER LAB DENIED ER LAB DENIED ER OVERFLOW BED ERGOSTAT 2MG TAB ERICH ARCH BAR ERYTHROMYCIN 100ML ERYTHROMYCIN 1500MG PB ERYTHROMYCIN 200MG/5ML ERYTHROMYCIN EYE ERYTHROMYCIN PB 1GM IV ERYTHROMYCIN PB 500MG IV ERYTHROMYCIN SDV 500MG IV ERYTHROMYCIN STARTER ERYTHROMYCIN TAB ESCORT MONITOR RENTAL ESERINE OINTMENT ESGIC ESKALITH TAB ESMARK 4X9 LATEX FREE ESMARK 6 X 9 LF ESOPHAGAEL STEHTOSCOPE ESTINYL TAB ESTRA TEST TAB ESTRACE ESTRADERM PATCH ESTROVIS ET C02 DETECTION DEVICE ET C02 MONITOR ETHIBOND EXTRA (D-7485) ETHIBOND V-5 WHITE ETHIODOL IODINE AMP ETHMOZINE 200MG ETHRANE 250ML ETHYL CHLORIDE SPRAY ETRAFON FORTE TAB EUCERIN CREAM 120GM EULEXIN EVAC 70 WAND EVAC. CONT. 1000ML EVAC. CONT. 150ML EVAC. CONT. 500ML EVEREST BIPOLAR CUTTING FORCEP 5MM EVISTA EXCALIBUR INTRODUCER NEEDLE 2F EXCEDRIN EXELON 1.5MG EXOSURF NEONATAL EXPRESS BREAST PUMP SYSTEM EXTENDED BLADE ELECTRODE

62.00 163.00 40.00 61.00 168.00 1,244.00 7.00 12.00 124.00 124.00 124.00 34.00 202.00

1,030.00 12.00 76.00 26.00 457.00 8.00 32.00 166.00 153.00 66.00 15.00 9.00 51.00 62.00 11.00 12.00 12.00 17.00 46.00 15.00 12.00 12.00 22.00 12.00 38.00 72.00 26.00 17.00 116.00 16.00 643.00 48.00 16.00 30.00 15.00 434.00 22.00 22.00 22.00 688.00 15.00 66.00 3.00 19.00 2,098.00 64.00 11.00

62075 62778 62428 62293 62591 60849 60848 62976 06322 62814 62869 62823 62799 62787 62813 20294 20293 20292 20291 00268 03040 08184 00741 07146 00742 60850 60851 61273 60852 05622 60853 60854 05664 60855 62779 07584 61094 05790 03575 60858 60857 60859 60861 60862 60863 60864 60865 62317 10206 62162 62204 60868 60867 05691 30062 03723 03579 08641 05682 05773 30053 03586

EXTENSION SET EXTENSION SET, 7 INCH EXTENSION SET-7IN. EXTENSION TUBE FOR RESPIRATORY SYSTM EXTENSION TUBING EXTENSION TUBING 33" LONG 2C6225 EXTENSION TUBING 4693-01 EXTRA VIEW BALLOON DISSECTION PRODUCT EXTREMITY TEST, ADDL EXUDERM 8X8 HYDROCOLLOID EXUDERM SACRUM 4 X 3.6 EXUDERM SACRUM 6X6.5 EXUDERM THIN 4X4 EXUDERM THIN 6X6 EXUDERM ULTRA 4X4 EYE LASER FOCAL/LEFT EYE LASER FOCAL/RIGHT EYE LASER PHOTOCOAG/LEFT EYE LASER PHOTOCOAG/RIGHT EYE LENS EYE MEDICATIONS EYE MEDICATIONS E.R. EYE PACK EYE PATCH EYE PREP EYE SHEARS EYE SHIELDS EZ GUARD MOUTH PIECE EZ GUARD MOUTHPIECE W/STRAP FACTOR 8 FADER TIP SUPRAPUBIC CATH FALOPE RING BANDS FAMVIR 500MG FEEDING TUBE 5FR FEEDING TUBE 5FR-X15 FEEDING TUBE 8 FRENCH 42" FEEDING TUBE 8FR X 15" FEEN-A-MINT TAB FELDENE CAP FEM HEAD COMPONENT 6284-0-126 FEM HEAD COMPONENT 6284-0-226 FEM HEAD COMPONENT 6284-0-326 FEMORAL ARTERY CATH SET FEMORAL CANAL RESTRICTOR 5069-51 FEMORAL CANAL RESTRICTOR 5069-71 FEMORAL CANAL RESTRICTOR 5069-81 FEMORAL TIP 57630 FENESTRATED TOWEL FENESTRATED TOWEL-INACTIVE FENESTRATION PLUG #3 FENESTRATION PLUG #4 FENESTRATION PLUG 6942-1-011 FENESTRATION PLUG 6942-1-021 FENTANYL 2MCG/ML DRIP FENTANYL DRIP 50ML FENTANYL/DROPERIDOL 5ML IV FER-IN-SOL DROP 50ML FERIDEX INJECTION FERRIC CHLORIDE #10ML FERRIC SUBSULF 10ML FERRLECIT 62.5MG/5ML FERRO-SEQUEL CAP

12.00 21.00 10.00 4.00 11.00 4.00 10.00 337.00 28.00 32.00 17.00 43.00 7.00 16.00 10.00 1,135.00 1,135.00 1,135.00 1,135.00 0.00 151.00 24.00 724.00 4.00 4.00 11.00 15.00 7.00 8.00 1,974.00 238.00 111.00 26.00 3.00 3.00 6.00 3.00 6.00 20.00 783.00 783.00 783.00 49.00 78.00 78.00 78.00 402.00 3.00 3.00 232.00 232.00 232.00 232.00 118.00 145.00 109.00 34.00 402.00 107.00 11.00 107.00 8.00

05134 03578 05306 00540 05440 62637 06120 62512 63023 60869 63035 63004 60870 60871 03589 05436 62307 62308 62309 62305 62306 03206 03596 08427 03598 03108 08362 03600 60874 60873 60875 62879 30144 05867 05689 04938 03601 30090 05847 05863 05752 05958 05195 05724 60876 10005 62748 00950 05608 30063 04942 05359 05520 03572 60878 60879 60880 60877 60881 60882 62796 62936

FERROUS S04 5ML FERROUS SULFATE 5GR FESTAL II TABLET FETAL MON SET UP FIBERCON FILSHIE CLIP FILTERS/TRAPS/ADAPTERS FINGER SPLINT FINGER SPLINT 1.5" FINGER SPLINT 2" FINGER SPLINT 3" FINGER SPLINT 4" FINGER SPLINT 4" FINGER SPLINT 6" FIORINAL CAP FIORINAL W/CODEINE FIXED WIRE ESOPHAGEAL DILATOR 10-12 FIXED WIRE ESOPHAGEAL DILATOR 12-15 FIXED WIRE ESOPHAGEAL DILATOR 15-18 FIXED WIRE ESOPHAGEAL DILATOR 6-8 FIXED WIRE ESOPHAGEAL DILATOR 8-10 FLAGYL 1GM IVPB FLAGYL 500MG IVPB FLAGYL STARTER FLAGYL TAB FLEET PHOSPA SODA FLEXERIL STARTER FLEXERIL TAB FLEXIFLO 14FR. GASTROSTOMY KIT FLEXIFLO FASTENERS (15CM) FLEXIFLO Y-PORT CONNECTOR FLEXOR URETERAL ACCESS SHEATH FLO SEAL #1 FLOMAX 0.4MG FLONASE SPRAY FLORICAL CAP FLORINEF TAB FLOVENT 44MCG FLOVENT INHALER 110 FLOVENT INHALER 220 FLOXIN 400MG PB FLOXIN OTIC 5ML FLOXIN TAB FLUDARA 50MG FLUID COLLECTION BAG FLUID WARMER FLUID WARMER USE CHARGE FLUID WARMING UNIT FLUMADINE 100MG FLUORESCEIN 5ML FLUORI-METHANE SPRAY FLUORISTRIP FLUZONE INJ FML EYE SUSP 0.1% 5ML FOGARTY ART EMBOLECTOMY CATH 3FR FOGARTY ART EMBOLECTOMY CATH 5FR FOGARTY ART EMBOLECTOMY CATH 6FR FOGARTY ART EMBOLECTOMY CATH. 7FR FOGARTY IRRIGATION CATHETER 10FR FOGARTY VEN THROMBOLECTOMY CATH 6FR FOLEY CATH 10FR. 3CC 2-WAY FOLEY CATH 10FR. 3CC 2-WAY

8.00 7.00 12.00 57.00 6.00 174.00 9.00 70.00 2.00 70.00 2.00 3.00 10.00 5.00 12.00 21.00 630.00 627.00 567.00 630.00 466.00 240.00 142.00 34.00 15.00 9.00 26.00 15.00 200.00 153.00 21.00 352.00 460.00 15.00 96.00 12.00 12.00 100.00 126.00 207.00 213.00 118.00 24.00 566.00 8.00 52.00 62.00 33.00 12.00 48.00 58.00 11.00 43.00 66.00 175.00 175.00 175.00 108.00 72.00 175.00 15.00 16.00

60444 62895 10211 10209 62919 62486 10203 10210 62894 63007 10219 10212 63013 10229 63031 10230 62474 10231 10232 10214 62797 10215 10216 62889 62485 07523 10207 62592 60883 60884 60885 60886 60887 60888 60890 60889 60891 60892 62488 60893 60894 60895 62656 60896 07491 62593 03605 05185 60897 05591 05592 05593 05574 62494 62808 62846 62844 62819 62861 62821 62820 05548

FOLEY CATH 14FR 5CC 2WAY LATEX FREE FOLEY CATH 14FR. 5CC 2-WAY FOLEY CATH 16FR 30CC COUDE-INACTIVE FOLEY CATH 16FR 5CC 2WAY-INACTIVE FOLEY CATH 16FR. 5CC 2-WAY FOLEY CATH 18FR 30CC LATEX FREE FOLEY CATH 18FR 3WAY-INACTIVE FOLEY CATH 18FR 5CC 2WAY-INACTIVE FOLEY CATH 18FR. 5CC 2-WAY FOLEY CATH 20FR 2-WAY 30CC FOLEY CATH 20FR 30CC 2WAY-INACTIVE FOLEY CATH 20FR 5CC 2WAY-INACTIVE FOLEY CATH 20FR, 5CC, COUDE FOLEY CATH 20FR-INACTIVE FOLEY CATH 20FR. 5CC 2-WAY FOLEY CATH 22FR 2WAY-INACTIVE FOLEY CATH 22FR 30CC 3-WAY FOLEY CATH 22FR-2WAY-5CC-INACTIVE FOLEY CATH 24FR-2WAY-5CC-INACTIVE FOLEY CATH 26FR 5CC 2WAY-INACTIVE FOLEY CATH 28FR. 30CC 2-WAY FOLEY CATH 30FR 30CC 2WAY-INACTIVE FOLEY CATH 8FR 3CC 2WAY-INACTIVE FOLEY CATH 8FR. 3CC 2-WAY FOLEY CATH TRAY W/O CATH LATEX FREE FOLEY CATH TRAY W/O CATH LATEX FREE FOLEY CATH, 16FR 30CC 2WAY-INACTIVE FOLEY CATHETER FOLEY CATHETER 10 FR. 2 WAY 5CC FOLEY CATHETER 12 FR. 2 WAY 30CC FOLEY CATHETER 14 FR. 2 WAY 30CC FOLEY CATHETER 20 FR. 3 WAY 30CC FOLEY CATHETER 22 FR. 2 WAY 30CC FOLEY CATHETER 22 FR. 2 WAY 5CC FOLEY CATHETER 22 FR. 2 WAY 5CC FOLEY CATHETER 22 FR. 3 WAY 30CC FOLEY CATHETER 24 FR. 2 WAY 5CC FOLEY CATHETER 24 FR. 30CC 3 WAY FOLEY CATHETER 24FR. 30CC 2-WAY FOLEY CATHETER 26 FR. 2 WAY 30CC FOLEY CATHETER 28 FR. 2 WAY 30CC FOLEY CATHETER 30 FR. 2 WAY 5CC FOLEY CATHETER 6FR 2 WAY FOLEY CATHETER HOLDER FOLEY CATHETER HOLDER FOLEY TRAY FOLIC ACID TAB FOLVITE MDV IV FOOT AND HEEL FOAM PROTECTOR FORANE 15 MINUTES FORANE 30 MINUTES FORANE 45 MINUTES FORANE ANES 1HR FOREARM SPLINT FOREARM SPLINT SMALL-RIGHT FOREARM SPLINT-LG LEFT FOREARM SPLINT-MED, LEFT FOREARM SPLINT-MED. RT. FOREARM SPLINT-SM. LEFT FOREARM SPLINT-XSM LT. FOREARM SPLINT-XSM RT. FORTAZ 1GM SDV

10.00 10.00 26.00 10.00 10.00 11.00 20.00 10.00 10.00 10.00 10.00 10.00 20.00 20.00 9.00 10.00 20.00 11.00 10.00 22.00 7.00 7.00 15.00 16.00 7.00 23.00 7.00 24.00 26.00 15.00 15.00 20.00 10.00 11.00 22.00 33.00 10.00 33.00 10.00 15.00 15.00 11.00 60.00 16.00 17.00 47.00 8.00 76.00 15.00 33.00 63.00 93.00 126.00 70.00 22.00 11.00 11.00 11.00 11.00 11.00 11.00 110.00

05546 03209 05213 03213 05214 05381 05380 05788 30085 30027 60898 10233 60900 60901 60902 60903 60904 60905 62927 20201 63046 63047 60906 04947 60907 60910 60911 60912 60913 60908 60909 60914 08628 08629 08630 08627 08631 08640 08613 03215 03616 03617 00828 05866 60915 62970 62286 62287 60916 62568 60917 62917 62915 61066 03626 03625 08014 50062 50014 61187 05703 04948

FORTAZ IVPB 1.5GM FORTAZ IVPB 1GM FORTAZ IVPB 250MG FORTAZ IVPB 2GM FORTAZ IVPB 500MG FORTIFIED ANCEF EYE FORTIFIED TOBREX EYE FOSAMAX 10MG FOSAMAX 70MG FOSCARNET 250ML FRAZIER SUCTION SIZE 10FR FRAZIER SUCTION SIZE 12-INACTIVE FRAZIER SUCTION SIZE 18 FR FRAZIER SUCTION SIZE 3FR FRAZIER SUCTION SIZE 5FR FRAZIER SUCTION SIZE 7FR FRAZIER SUCTION SIZE 8FR FRED 2 ANTI-FOG FUHRMAN PLEURAL PNEUMOPERICARD DRAIN SET FULL ADMISSION FULL RADIUS RESECTOR 3.7MM FULL RADIUS RESECTOR 4.8MM FULL RADIUS RESECTOR 5.5MM FURACIN SOLU DRESS FUTURO WRIST BRACE - LEFT LARGE FUTURO WRIST BRACE - LEFT XLARGE FUTURO WRIST BRACE - RIGHT LARGE FUTURO WRIST BRACE - RIGHT SMALL FUTURO WRIST BRACE - RIGHT XLARGE FUTURO WRIST BRACE-LEFT MED. FUTURO WRIST BRACE-LEFT SMALL G11 DRILL GADOLINEUM INJ 10ML GADOLINEUM INJ 15ML GADOLINEUM INJ 20ML GADOLINEUM INJ 5ML GADOLINEUM INJ 60ML GADOLINIUM 15 ML GADOLINIUM 20ML GAMMAR IM INJ GANTANOL TAB GANTRISIN TAB GASTRO/BRONCH GASTROCROM 100MG GASTROSCOPE CYTOLOGY BRUSH GASTROSCOPE CYTOLOGY BRUSH GASTROSCOPIC BRUSH/CYTOLOGY GASTROSCOPIC BRUSH/CYTOLOGY GASTROSCOPY WASHING PIPE GASTROSTOMY TUBE 18FR. GATOR MENISCUS CUTTER (4.2MM) GAUZE ROLL, BULKEE 2 GAUZE SPONGE TRAY, STERILE GAVAGE SET GAVISCON CHEW TAB GAVISCON LIQ 360ML GAVISCON LIQUID 30ML GEHA ADJUSTMENT GEHA PAYMENT GEL PADS GELFILM OPHT FILM GELFOAM SPONGE 100

181.00 164.00 90.00 211.00 106.00 51.00 99.00 16.00 57.00 253.00 8.00 20.00 8.00 8.00 8.00 8.00 8.00 26.00 197.00 102.00 158.00 158.00 182.00 45.00 59.00 59.00 59.00 59.00 52.00 59.00 59.00 194.00 131.00 218.00 271.00 67.00 810.00 211.00 281.00 229.00 11.00 11.00 913.00 17.00 46.00 32.00 94.00 94.00 138.00 726.00 182.00 2.00 2.00 12.00 7.00 24.00 4.00 0.00 0.00 17.00 50.00 96.00

04949 60919 60920 05850 61190 03631 03216 05714 05868 03632 03633 03619 03620 03623 03622 05995 05372 60921 05253 30154 60922 60923 60924 03635 05499 05740 04774 05785 30071 03637 60925 05490 30159 05836 60926 03217 61490 61397 05598 60535 60536 60537 60538 60539 60540 60541 60542 60543 60544 60545 60546 60547 60548 60549 60550 60551 60552 60553 60554 60555 60556 60557

GELFOAM SPONGE 50 GEMINI 4 WIRE BASKET FILIFORM GEMINI WIRED BASKET (4 WIRE) GEMZAR 1500MG GENERAL SURGERY CDS LF GENTAMICIN 100MG PB GENTAMICIN 120MG PB GENTAMICIN 150MG PB GENTAMICIN 4-500MG GENTAMICIN 60MG PB GENTAMICIN 80MG PB GENTAMICIN EYE OINT GENTAMICIN EYE SOLN GENTAMICIN SDV 20MG IV GENTAMICIN SDV 80MG IV GENTEAL #15ML GENTIAN VIOLET #30ML GENTLE TOUCH POST OP KIT 2 3/4" GEOCILLIN GEODON 20MG IV GII DRILL 2.4MM GII QUICK ANCHORS GLASSMAN VISERAL RETAINER (MED) GLUCAGON SDV IV GLUCERNA GLUCOPHAGE 500MG GLUCOTROL TAB GLUCOTROL XL GLUCOVANCE GLYCERIN SUPP GLYCINE 3000ML GLYNASE PRESTAB GLYSET TAB GLYTROL GOLD PROBE (10FR.) GOLYTELY GOMCO DAILY GOMCO SET UP GONIOSOL OPHT SOL GRAFT BIFURCATED (24MM X 50CM) GRAFT BIFURCATED 12MM X 7MM GRAFT BIFURCATED 12MM X 7MM GRAFT BIFURCATED 14MM X 7MM GRAFT BIFURCATED 14MM X 7MM GRAFT BIFURCATED 16MM X 8MM GRAFT BIFURCATED 16MM X 8MM GRAFT BIFURCATED 16MM X 9MM GRAFT BIFURCATED 18MM X 9MM GRAFT BIFURCATED 20MM X 10MM GRAFT BIFURCATED 22MM X 11MM GRAFT BIFURCATED 22MM X 60MM GRAFT BIFURCATED 24MM X 12MM GRAFT PATCH 4X4 GRAFT STRAIGHT 10MM GRAFT STRAIGHT 12MM GRAFT STRAIGHT 14MM GRAFT STRAIGHT 16MM GRAFT STRAIGHT 18MM GRAFT STRAIGHT 18MM X 50CM GRAFT STRAIGHT 20MM X 50CM GRAFT STRAIGHT 22MM X 50CM GRAFT STRAIGHT 30MM

76.00 542.00 525.00 1,868.00 367.00 135.00 140.00 165.00 366.00 133.00 134.00 59.00 59.00 38.00 45.00 16.00 33.00 83.00 17.00 121.00 194.00 610.00 59.00 111.00 12.00 17.00 15.00 16.00 11.00 6.00 28.00 11.00 19.00 15.00 530.00 59.00 50.00 80.00 43.00 782.00 815.00 1,146.00 1,146.00 1,146.00 889.00 1,146.00 815.00 1,069.00 1,093.00 1,016.00 831.00 1,069.00 256.00 831.00 831.00 831.00 831.00 799.00 782.00 782.00 782.00 664.00

60558 60559 60560 60561 30087 60927 60928 62619 60930 60929 07500 62184 62596 03222 60931 60932 02873 60933 60934 63039 60935 60936 60937 60938 61243 03642 63056 62643 62644 07549 03645 05328 03648 03653 60939 60940 60941 60942 60943 60944 60945 60946 60949 60950 60951 60948 60947 04943 60952 62511 00751 05063 03644 00627 05449 62579 62634 62634 60953 62540 05353 05394

GRAFT STRAIGHT 4MM GRAFT STRAIGHT 6MM GRAFT STRAIGHT 7MM GRAFT STRAIGHT 8MM GRANULEX SPRAY GRASPING FORCEPS (2.4FR.) GRASPING FORCEPS 3 PRONG (3FR.) GRASPIT STONE RETRIEVAL FORCEPS GRICE LAP SUTURING NEEDLE GRICE LAPAROSCOPE SUMP GRIPPER 20G X3/4 GRIPPER 20G X3/4 GRIPPER NEEDLE GRISACTIN TAB GROUNDING PAD - ADULT GROUNDING PAD - INFANT GUIDE TUBE, BIOPSY GUIDEWIRE (ANGLED TYPE .035) GUIDEWIRE (STRAIGHT TYPE .035) GUIDEWIRE REPLACEMENT (.032 X 26") GUIDEWIRE STIFF (.025) ANGLED GUIDEWIRE STIFF (.025) STRAIGHT GUIDEWIRE STIFF (.038) ANGLED GUIDEWIRE STIFF (.038) STRAIGHT GYN PACK GYNE LOTRIMIN VAG CR GYNEMESH 4" X 7" PROLENE MESH H-SERIES LOOP ELECTRODE H-SERIES LOOP ELECTRODE HA HOSPICE HALCION TAB HALDOL LIQUID 5ML HALDOL SDV INJ HALDOL TAB HALL BUR 4.0 ROUND HALL BUR 5.0 HALL BUR 5MM LONG HALL BUR LONG 4.0MM HALL BUR LONG 5MM HALL MICRO SAW BLADE 5053-261 HALL SAW BLADE-MICRO 5053-233 HALL SAW BLADES 5052-250 HALL SAW BLADES 5052-251 HALL SAW BLADES 5052-252 HALL SAW BLADES 5052-253 HALL SAW BLADES 5053-237 HALL SAW BLADES 5053-239 HALOTHANE 125ML HANGING CAST SLING HANGING CAST SLING HARMONIC SCALPEL HBIG 1ML INJ HBIG 5ML INJ HEAD LIGHT HEALON .85 HEALON 5 HEALON GV .85 HEALON GV .85 HEEL & ELBOW PROTECTOR HEIMLICH CHEST DRAIN VALVE HEMA COMBISTIX HEMABATE 250 MCG

831.00 831.00 831.00 831.00 54.00 386.00 386.00 521.00 147.00 35.00 26.00 26.00 24.00 16.00 11.00 20.00 28.00 156.00 156.00 25.00 145.00 152.00 156.00 156.00 10.00 50.00 572.00 34.00 34.00 81.00 12.00 78.00 50.00 12.00 27.00 115.00 128.00 335.00 335.00 12.00 54.00 15.00 15.00 15.00 15.00 66.00 12.00 163.00 45.00 45.00 128.00 546.00 1,378.00 72.00 669.00 211.00 190.00 182.00 38.00 47.00 9.00 89.00

61486 61487 62285 62284 60954 60955 00965 10079 06031 05116 30176 30177 30174 30175 03664 03665 06000 05886 05830 05515 05514 62862 30043 05857 60956 60957 60959 60958 62499 60960 05602 07534 07530 07481 07478 07482 07479 07543 60961 00596 00597 00598 00595 60962 60963 60964 60965 60966 62073 62652 60967 60968 60972 60971 60969 60970 62946 62945 60973 60974 60975 60976

HEMISPHERE BASKET 3FR 20MM HEMISPHERE BASKET 3FR. 4 WIRE HEMOCLIP-MEDIUM HEMOCLIP-SMALL HEMOCLIPS-LARGE HEMOCOIL FLUID WM. COIL HEMODYNAMIC MONITOR HEMODYNAMIC MONITOR HEMODYNAMIC MONITOR HEP-FLUSH KIT-PEDI HEP-LOCK 100U/ML #10ML HEP-LOCK 100U/ML #1ML HEP-LOCK 10U/ML #10ML HEP-LOCK 10U/ML #1ML HEP-LOCK FLUSH SDV IV HEPARIN 10,000/ML IV HEPARIN 1000 UNITS HEPATIC-AID PCKT HEPATITIS A (HAVRIX) INJ HEPATITIS B VAC ADULT INJ HEPATITIS B VAC PEDI INJ HEPLOCK EXTENSION HERCEPTIN 440MG HESPAN 500ML HESSBERG-BARRON VAC TREPHINE 7.5MM HESSBURG-BARRON VAC TREPHINE 7.0MM HESSBURG-BARRON VAC TREPHINE 8.0MM HESSBURG-BARRON VAC TREPHINE 8.5MM HEWLETTE PACKARD PAD HEWSON SUTURE RETREIVER HEXALEN 50MG HH DURAPORE TAPE 1"/SUP 126 HH DURAPORE TAPE 1"/SUP 126-OBSOLETE HH NITRO EXAM GLOVES/SUP 103 HH PERIBOTTLE/SUP 101 HH Q-TIPS/SUP 100 HH UNSTERILE 4X4/SUP 108 HHA YANKAUER/SUCT TIP HI FLOW INSUFFLATION TUBING HI RISK LBR TO 12HR HI RISK LBR TO 18HR HI RISK LBR TO 24HR HI RISK LBR TO 6 HR HICKMAN 7FR. PEDIATRIC DUAL LUMEN HICKMAN 9.6 FR. CATH REPAIR KIT HICKMAN 9F DUAL LUMEN CATH REP KIT HICKMAN CATHETER 9.0 FR (DUAL LUMEN) HICKMAN CATHETER 9.6FR SINGLE LUMEN HICKMAN DRAW KIT HICKMAN HEMODIALYSIS CATH 13.5FR HICKMAN INJECTION CAP HICKMAN SUBCUTANEOUS PORT-SMALL HINGED KNEE SUPPORT - L HINGED KNEE SUPPORT - M HINGED KNEE SUPPORT - S HINGED KNEE SUPPORT - XL HIP ABDUCTION PILLOW-LARGE HIP ABDUCTION PILLOW-SMALL HIP FRACTURE STEM 1 HIP FRACTURE STEM 2 HIP FRACTURE STEM 3 HIP FRACTURE STEM 3.5

483.00 395.00 33.00 28.00 38.00 72.00 190.00 189.00 189.00 45.00 33.00 15.00 27.00 10.00 12.00 33.00 21.00 59.00 154.00 237.00 150.00 16.00 5,722.00 760.00 140.00 319.00 140.00 160.00 55.00 144.00 15.00 2.00 2.00 8.00 3.00 1.00 23.00 2.00 32.00 927.00 1,389.00 1,854.00 464.00 318.00 238.00 332.00 441.00 378.00 156.00 467.00 8.00 687.00 115.00 118.00 118.00 118.00 72.00 51.00 1,077.00 1,077.00 1,077.00 1,077.00

60977 60978 60979 60980 60981 60982 60983 60984 60985 60986 60988 60989 60990 60991 60992 60993 60994 60996 60997 60999 61000 61001 61002 61003 61004 61005 61006 61007 61008 61009 61010 61011 60995 60803 11151 03224 05653 03667 03734 00532 62438 63069 63068 63067 63066 50550 50551 50552 50553 61012 61013 60171 07330 62423 05994 61014 62539 05330 62257 61015 10252 61016

HIP FRACTURE STEM 4 HIP LENGTH TIB/FIB SPLINT CHILD HIP LENGTH TIB/FIB SPLINT YOUTH HIP LENTH TIB/FIB SPLINT-ADULT HIP PROSTHESIS HIP PROSTHESIS HIP PROSTHESIS HIP PROSTHESIS HIP PROSTHESIS HIP PROSTHESIS HIP PROSTHESIS HIP PROSTHESIS HIP PROSTHESIS HIP PROSTHESIS HIP PROSTHESIS HIP PROSTHESIS HIP PROSTHESIS HIP PROSTHESIS HIP PROSTHESIS HIP PROSTHESIS HIP PROSTHESIS HIP PROSTHESIS HIP PROSTHESIS HIP PROSTHESIS HIP PROSTHESIS HIP PROSTHESIS HIP PROSTHESIS HIP PROSTHESIS HIP PROSTHESIS HIP PROSTHESIS HIP PROSTHESIS HIP PROSTHESIS HIP PROSTHESIS HIP PROSTHESIS HIPPS HISMANAL TAB HISTINEX HC 5ML HISTOPLASMIN SKIN HOMATROPINE EYE SOLN 2% HOME UNDELIVERED HOOD HORIZON CLIPS-LARGE HORIZON CLIPS-MED/LARGE HORIZON CLIPS-MEDIUM HORIZON CLIPS-SMALL HOSPITAL SWING BED HOSPITAL SWING BED HOSPITAL SWING BED HOSPITAL SWING BED HOWMEDICA "Z" SAW BLADE HOWMEDICA BONE-DRI FEMORAL WICK HP PACER PAD HUAM SET UP HUBER NEEDLE REMOVAL DEVICE HUMALOG 75/25 #3ML HUMAN MILK FORTIFIER HUMI UTERINE MANIPULATOR HUMIBID LA 600MG HUMID-VENT WARMER HUMIDIFIER, COOL MIST 2 PRNG 1.2GL HUMIDIFIER, COOL MIST 2PRNG-INACTIVE HY-TAPE ADHESIVE TAPE 1/2"

1,077.00 132.00 179.00 83.00 1,643.00 1,524.00 1,643.00 1,142.00 1,467.00 1,197.00 1,197.00 1,142.00 1,524.00 1,524.00 1,524.00 1,142.00 1,142.00 1,142.00 1,142.00 1,142.00 1,197.00 1,142.00 1,643.00 1,197.00 1,643.00 1,524.00 1,524.00 1,197.00 1,467.00 1,197.00 1,197.00 1,142.00 1,349.00 0.00 0.00 15.00 9.00 71.00 48.00 0.00 72.00 18.00 14.00 9.00 8.00 676.00 676.00 676.00 676.00 210.00 87.00 55.00 140.00 7.00 48.00 5.00 71.00 11.00 10.00 71.00 71.00 8.00

05215 08379 03669 05151 05152 03672 05200 05264 03679 03680 05670 03685 62812 62199 07514 04706 04905 03696 03736 07492 10253 05530 03698 03697 61125 61979 61018 61019 61020 05364 62476 62663 62664 05294 03220 05743 62415 62417 62418 62416 61021 62483 62484 62482 62481 62479 62480 00628 62196 62298 62549 60529 62190 62191 62236 60684 10011 05502 30024 03701 30051 05474

HYCODAN 5ML HYCOMINE 30ML HYCOMINE CMPD TAB HYCOMINE SYRUP 5ML HYCTOUSS EXPT 5ML HYDELTRA TBA SDV INJ HYDERGINE TAB HYDREA CAP HYDROCHLOROTHIAZIDE HYDROCORTISONE CREAM HYDROCORTISONE LOT HYDROCORTISONE TAB HYDROGEL SKINTEGRITY 1OZ. BELLOWS HYDROGEN PEROXIDE HYDROGEN PEROXIDE HYDROXYAMPHEDAMINE HYGROTON TAB HYLOREL TAB HYOSCINE EYE SOLN HYPAFIX TAPE HYPAFIX TAPE-INACTIVE HYPERAB 10ML HYPERSTAT AMP IV HYPERTET 250 UNITS HYPO/HYPERTHERMIA DAILY HYPO/HYPERTHERMIA SET UP HYPOTHERMIA PADS 13 X 18 HYPOTHERMIA PADS 15 X 22 HYPOTHERMIA PADS 18 X 27 HYSKON (DEXTRAN) HYSTERGLATOR TUBING W/FILTER HYSTEROSONOGRAM CATHETER HYSTEROSONOGRAM TRAY HYTAKEROL TAB HYTRIN TAB HYZAAR TAB I ROM ELBOW BRACE-SM. LT. I ROM ELBOW BRACE-SM. LT. I ROM ELBOW BRACE-SM. RT. I ROM ELBOW BRACE-SM. RT. I.M. REAMER GUIDE WIRE W/BALL TIP I.V. CATHETER 14G. I.V. CATHETER 16G. I.V. CATHETER 18G. I.V. CATHETER 20G. I.V. CATHETER 22G. I.V. CATHETER 24G. I.V. PUMP ICE BAG 5" ICE BAG/COLD COMPRESS ICE WRAP 6 X 8 1/2 ICU B/P CUFF EXTENSION ICU BLOOD PRESSURE CUFF-ADULT ICU BLOOD PRESSURE CUFF-PED. ICU NEONATE BP. CUFF ICU-BLOOD PRESSURE CUFF-INFANT ICU-OVERFLOW IFEX 1GM AMP IFEX 2500MG ILOPAN-CHOLINE TAB IMITREX NS 20MG IMITREX SDV

12.00 22.00 12.00 12.00 12.00 85.00 12.00 12.00 11.00 30.00 28.00 12.00 3.00 4.00 4.00 43.00 15.00 15.00 47.00 58.00 19.00 708.00 262.00 79.00 94.00 142.00 47.00 47.00 47.00 1,177.00 56.00 154.00 69.00 12.00 16.00 17.00 297.00 297.00 297.00 297.00 252.00 12.00 12.00 12.00 12.00 12.00 12.00 48.00 7.00 4.00 12.00 20.00 33.00 28.00 23.00 26.00 1,030.00 438.00 2,595.00 15.00 82.00 150.00

30010 05721 05808 05666 05690 05663 05699 05131 03704 08048 05528 62231 62243 03025 61022 04640 61023 03710 03706 03713 05470 04732 08239 03720 03718 03012 00575 61024 61025 62189 10258 05343 62532 07333 07332 61026 61027 61028 61029 61030 62726 05793 61032 10251 06530 06531 06532 50017 04958 61753 62569 62343 03724 50065 50004 05677 05385 03725 05363 61033 61034 62665

IMITREX SPRAY 20MG IMITREX TAB IMMUNE GLOBULIN 10GM IMMUNE GLOBULIN 30GM IMMUNE GLOBULIN 40GM IMMUNE GLOBULIN 6GM IMMUNE GLOBULIN 7GM IMODIUM 5ML IMODIUM CAP IMODIUM STARTER IMOVAX IMPORT DUAL LUMEN BIOGLIDE IMPORT PORT-A-CATH 9.5F IMURAN TAB IN-LINE BURETTE INAPSINE SDV INCISION & DRAINAGE TRAY INDERAL 1MG AMP IV INDERAL LA CAP INDERAL TAB INDIGO CARMINE INDOCIN 1MG SDV INDOCIN 25MG STARTER INDOCIN CAP INDOCIN SR CAP INDOCIN SUPP INDUCTION FEE INFANT BODY BAG INFANT FACE MASK INFANT NASAL CANNULA INFANT NASAL CANNULA-INACTIVE INFLAMASE FORTE INFUSION CATHETER W/RADIOPAQUE TIP INIT INF THER/HUAM INITIATE HUAM ONLY INMED ROUND TIP CATH 5FR INNER CANNULA SIZE 10 INNER CANNULA SIZE 4 INNER CANNULA SIZE 6 INNER CANNULA SIZE 8 INNER CANNULA SIZE 8 FENESTRATED CUFFLES INOCOR 625MG/NS 250 INPERSOL TRAY INPERSOL TRAY-INACTIVE INPERSOL/D5W 1.5% INPERSOL/D5W 2.5% INPERSOL/D5W 4.25% INS PMT B/D INSPIR-EASE KIT INSTRUMENT WIPE INSUFLOW INSUL SCAN PROBE INSULIN (ALL) INJ INSURANCE ADJUSTMENT INSURANCE PAYMENT INTAL CAP INTAL INHALER INTAL RESP-TX INTERCEED INTERCEED (1 1/2"X2") INTERFERENCE SCREW 9 X 20 INTRA NASAL FOLEY CATHETER

60.00 34.00 2,532.00 8,554.00 7,539.00 1,331.00 1,553.00 9.00 11.00 21.00 477.00 684.00 753.00 16.00 12.00 46.00 25.00 47.00 15.00 12.00 67.00 111.00 21.00 15.00 17.00 16.00 170.00 46.00 7.00 6.00 6.00 63.00 161.00 212.00 170.00 92.00 16.00 16.00 16.00 16.00 12.00 1,458.00 185.00 152.00 72.00 71.00 72.00 0.00 55.00 6.00 346.00 84.00 28.00 0.00 0.00 15.00 128.00 28.00 383.00 471.00 335.00 40.00

61035 61036 00863 61037 61038 61039 05855 61040 62926 30140 06040 61041 62127 62128 62129 62132 62130 62077 62131 62078 62133 62079 62080 62081 62126 62082 62083 62084 62135 62085 62086 62087 62088 62137 62089 62090 62139 62091 62140 62092 62093 62095 62094 62142 62097 62096 62143 62098 62099 62144 62101 62100 62145 62103 62102 62146 62105 62104 62147 62107 62106 62148

INTRA OP AUTOTRANSFUSION KIT INTRA OP REPLACEMENT KIT INTRA OP VIDEO INTRAMEDULLARY BRUSH INTRAMEDULLARY PLUG INTRAOSSEOUS INFUSION NEEDLE INTRASITE GEL 15GMS INTRAUTERINE CATH TIP TRANSDUCER INTRO-TIP PNEUMOTHORAX SET INTRON A 50MU INTUBATION TRAY IODOFORM 1" IOL 10.0 U85JM IOL 11.0 U85JM IOL 12.0 U85JM IOL 13.0 812B IOL 13.0 C11UB IOL 13.0 C11UB IOL 13.0 U85JM IOL 13.5 C11UB IOL 13.5 U85JM IOL 14.0 812 B IOL 14.0 C11UB IOL 14.5 C11UB IOL 14.5 U85JM IOL 15.0 812B IOL 15.0 C11UB IOL 15.5 C11UB IOL 15.5 U85JM IOL 16.0 812B IOL 16.0 C11UB IOL 16.5 812B IOL 16.5 C11UB IOL 16.5 U85JM IOL 17.0 812B IOL 17.0 C11UB IOL 17.5 812B IOL 17.5 C11UB IOL 17.5 U85JM IOL 18.0 812B IOL 18.0 C11UB IOL 18.5 812B IOL 18.5 C11UB IOL 18.5 U85JM IOL 19.0 812B IOL 19.0 C11UB IOL 19.0 U85JM IOL 19.5 812B IOL 19.5 C11UB IOL 19.5 U85JM IOL 20.0 812B IOL 20.0 C11UB IOL 20.0 U85JM IOL 20.5 812B IOL 20.5 C11UB IOL 20.5 U85JM IOL 21.0 812B IOL 21.0 C11UB IOL 21.0 U85JM IOL 21.5 812B IOL 21.5 C11UB IOL 21.5 U85JM

15.00 26.00 170.00 59.00 223.00 101.00 50.00 109.00 295.00 1,920.00 222.00 8.00 773.00 773.00 773.00 328.00 532.00 532.00 773.00 532.00 773.00 328.00 532.00 532.00 773.00 399.00 532.00 532.00 773.00 328.00 532.00 328.00 532.00 773.00 328.00 532.00 328.00 532.00 773.00 328.00 532.00 328.00 532.00 773.00 328.00 532.00 773.00 328.00 532.00 773.00 328.00 532.00 773.00 328.00 532.00 773.00 328.00 532.00 773.00 328.00 532.00 773.00

62109 62108 62111 62110 62150 62112 62113 62151 62114 62115 62116 62117 62152 62119 62118 62121 62120 62153 62122 62123 62124 62125 62155 62156 62157 62134 62136 62141 62138 62158 62154 62149 02769 02777 02775 02768 02550 02552 02770 02553 02548 02554 02776 02555 02557 02556 05820 03060 05794 05892 03703 62461 62655 62266 61042 62604 61043 61044 62873 62874 61045 61046

IOL 22.0 812B IOL 22.0 C11UB IOL 22.5 812B IOL 22.5 C11UB IOL 22.5 U85JM IOL 23.0 812B IOL 23.0 C11UB IOL 23.0 U85JM IOL 23.5 812B IOL 23.5 C11UB IOL 24.0 812B IOL 24.0 C11UB IOL 24.0 U85JM IOL 24.5 812B IOL 24.5 C11UB IOL 25.0 812B IOL 25.0 C11UB IOL 25.0 U85JM IOL 25.5 IOL 26.0 812B IOL 30.0 812B IOL 30.0 C11UB IOL 6.0 U85JM IOL 7.0 U85JM IOL 8.0 U85JM IOL LENSES 15.0 U85JM IOL LENSES 16.0 U85JM IOL U85JM IOL U85JM IOL U85JM IOL U85JM IOL U85JM IOPAMIDOL INJECTION 100ML IOPAMIDOL INJECTION 130CC IOPAMIDOL INJECTION 30ML IOPAMIDOL INJECTION 50ML IOPAMIDOL INJECTN 100CC IOPAMIDOL INJECTN 150CC IOPAMIDOL INJECTN 150CC IOPAMIDOL INJECTN 30 IOPAMIDOL INJECTN 50CC IOPAMIDOL INJECTN 75 IOPAMIDOL INJECTN 75 IOPAMIDOL-M 200 INJECTION IOPAMIDOL-M 200 INJECTION IOPAMIDOL-M 300 INJECTION IOPIDINE OPHTH 5ML IPECAC SYRUP 30ML IPTIPRANOLOL OPTH SOL IRON 150MG IRON DEXTRAN AMP IRRIG SUCTION TIP W/SPLSH SHLD IRRIGATING CYSTOTOME 25G X 5/8" IRRIGATING CYSTOTOMY 27G IRRIGATION KIT (HYBEROSCOPY) IRRIGATION OCUTOME PROBE IRRIGATION SLEEVE 1 1/2" IRRIGATION SLEEVE 2 3/4" IRRIGATION SLEEVE 57MM IRRIGATION SLEEVE 70MM IRRIGATION SLEEVE TAIL CLOSURE IRRIGATION SLEEVE W/1 3/4" FALNGE

328.00 532.00 328.00 532.00 773.00 328.00 532.00 773.00 328.00 532.00 328.00 532.00 773.00 328.00 532.00 328.00 532.00 773.00 328.00 328.00 328.00 532.00 773.00 773.00 773.00 773.00 773.00 773.00 773.00 773.00 773.00 773.00 223.00 275.00 62.00 107.00 201.00 301.00 301.00 62.00 110.00 153.00 153.00 76.00 100.00 96.00 126.00 16.00 35.00 12.00 111.00 56.00 8.00 12.00 80.00 436.00 11.00 11.00 9.00 9.00 6.00 11.00

61047 62528 62529 61048 05475 05580 03729 63044 61980 03730 04701 03007 05705 03749 04704 05399 61092 05222 62589 02795 05181 20239 40416 62881 61049 10223 62590 61050 62907 06534 61051 06549 06550 06548 61052 61053 61055 61054 61210 61215 61056 61057 61058 05539 61059 61060 05657 03227 03761 03758 60137 62066 61061 61062 03764 03026 61063 61064 61065 03770 05212 08438

IRRIGATION TRAY, PISTON SYR ISLAND DRESSING 4 X 10 ISLAND DRESSING 6 X 8 ISLAND SURGICAL DRESSING 4"X10" ISMO ISOCAL ISOETHERINE RESP-TX ISOLATION DRAPE W/INCISE FILM & POUCH ISOLATION SUPPLIES ISONIAZID TAB ISOPROTERENOL RT ISOPROTERENOL TAB ISOPTO HYOSINE 0.25% ISORDIL TAB ISUPREL AMP IV ISUPREL INHALER IUPI INFUSION IV ADDITIVE PREPARATION FEE IV CATHETER IV INJ KIT IV PROFILE MAINT./MONIT. FEE IV PUMP IV PUMP IV START KIT IV START PAK, W/TEGADERM IV START PAK, W/TEGADERM-INACTIVE IV TUBING IVAC PRIMARY TUBING IVEX FILTER SET IVEX-2 FILTER SET IVEX-HP FILTER SET IWV-SC CONSULTING, O.5HR IWV-SC EDUCATION PACKET IWV-SC EDUCATION, 1HR J TEFLON GUIDE WIRE (3MM) J TEFLON GUIDEWIRE (.035) JACKSON PRATT FLAT DRAIN JACKSON PRATT RESERVOIR JAMSHIDI NEEDLE 2" JAMSHIDI NEEDLE 4" JC DRILL BIT 2.0MM JC DRILL BIT 2.5MM JEJUNOSTOMY FEEDING TUBE JEVITY K WIRES 2.0 K WIRES 2.5 K-DUR 10 TAB K-DUR 2O TAB K-LOR-20 POWDER K-LYTE-25 TAB K-PAD DAILY K-PAD SET UP KALTOSTAT DRESSING KALTOSTAT ROPE KANTREX CAP KAOLIN-PECTIN 180ML KASLOW STOMACH TUBE 18FR KASLOW STOMACH TUBE, 12FR KASLOW STOMACH TUBE, 16FR KAYEXALATE KEFLEX CAP KEFLEX STARTER

10.00 7.00 9.00 7.00 12.00 8.00 28.00 56.00 94.00 11.00 22.00 11.00 35.00 12.00 81.00 92.00 105.00 26.00 11.00 67.00 85.00 46.00 46.00 4.00 4.00 4.00 28.00 25.00 9.00 15.00 12.00 75.00 4.00 150.00 48.00 40.00 15.00 61.00 55.00 55.00 99.00 115.00 170.00 8.00 25.00 31.00 11.00 15.00 12.00 12.00 23.00 46.00 23.00 26.00 20.00 11.00 8.00 8.00 8.00 36.00 16.00 27.00

08439 05370 05087 62893 03773 10224 61067 61068 61069 10234 03784 62572 05553 05006 05355 02964 30004 30006 62354 62274 60485 60487 60488 61194 61195 61196 61197 05296 60489 62513 61070 7202 62829 62831 7204 7203 62830 62832 7205 60114 61071 61072 61073 62804 62809 62864 61074 62359 05540 30013 03029 00533 00592 00593 00594 00591 00505 10255 05627 60627 62728 05007

KEFLEX SUSP 100ML KEFLEX SUSP 5ML KEFTAB 500MG TAB KEITH NEEDLE 1 1/2" KENALOG/ORABASE KENDALL SCD SLEEVE-INACTIVE KENNEDY SINUS PACK KEOFEED TUBE 6FR KEOFEED TUBE 8 FR KEOFEED TUBE 8FR-INACTIVE KERI LOTION 195ML KERLIX AMD SUPER SPONGE KERLONE KETALAR SDV/IV KETO DIASTIX KINEVAC KINEVAC 5MCG KINEVAC 5MCG VIAL KIRSCHNER WIRE .035(0.9MM) KIRSCHNER WIRE .062 KIRSCHNER WIRE 2.0MM KIT PRESSURE TRNSDCR KLEEN-NEEDLE SYSTEM KLING 1" KLING 2" KLING 3" KLING 6" KLONOPIN TABLET KNEE COLD THERAPY KNEE IMMOBILIZER KNEE IMMOBILIZER 12" KNEE IMMOBILIZER 12" KNEE IMMOBILIZER 12" KNEE IMMOBILIZER 16" KNEE IMMOBILIZER 16" KNEE IMMOBILIZER 20" KNEE IMMOBILIZER 20" KNEE IMMOBILIZER 24" KNEE IMMOBILIZER 24" KNEE IMMOBILIZER 24" KNEE LENGTH TIB/FIB SPLINT (ADULT) KNEE LENGTH TIB/FIB SPLINT (CHILD) KNEE LENGTH TIB/FIB SPLINT (YOUTH) KNEE LENGTH TIB/FIB SPLINT YOUTH KNEE TIB/FIB SPLINT-ADULT KNEE TIB/FIB SPLINT-CHILD KNOT PUSHER 6TH FINGER KOMET OSCIL BLADE KWELL KYTRIL 1MG IVPB L-TRYPTOPHAN TAB LABOR & DELIVERY STABILIZATION LABOR ASMT TO 12HRS LABOR ASMT TO 18HRS LABOR ASMT TO 24HRS LABOR ASMT TO 6HRS LABOR ROOM LABORATORY REPORT, YELLOW-INACTIVE LAC-HYDRIN LACERATION PACK LACERATION TRAY LACRILUBE EYE OINT

35.00 15.00 15.00 9.00 57.00 12.00 47.00 75.00 25.00 25.00 33.00 8.00 11.00 70.00 9.00 57.00 81.00 86.00 24.00 24.00 31.00 115.00 4.00 3.00 7.00 7.00 7.00 12.00 96.00 124.00 61.00 30.00 34.00 37.00 33.00 33.00 37.00 40.00 35.00 124.00 160.00 130.00 160.00 62.00 78.00 62.00 265.00 220.00 27.00 414.00 11.00 191.00 759.00 1,137.00 1,515.00 381.00 936.00 10.00 63.00 26.00 23.00 30.00

06507 61075 62324 30138 30114 61867 62566 62729 62699 62700 30067 62351 05966 05869 05679 05604 03795 03799 04924 03797 03801 05841 05840 30060 60628 61076 10200 61191 61078 00607 61077 60843 62633 62633 62885 00507 60691 03804 03805 03806 05135 03809 61466 62332 62244 62544 62545 62575 61080 61081 62522 10016 61948 61082 05617 05618 05411 03812 30163 05643 05763 05877

LACTATED RINGERS LACTATED RINGERS 1000 ML LACTATED RINGERS 500CC LACTULOSE #480ML LACTULOSE 30ML LAG SCREW LAG SCREW LAG SCREW 65MM LAG SCREW DHS/DCS 12.7MM THREAD LAG SCREW DHS/DCS 12.7MM THREAD-85MM LAMICTAL 100MG TAB LAMINECTOMY ARM CRADLE LAMISIL 250MG LAMISIL CR. LAMPRENE 50MG LANOLIN 480GM LANOXICAP LANOXIN AMP IV LANOXIN AMP PEDI IV LANOXIN PEDIATRIC 60ML IV LANOXIN TAB LANSINOH # 0.25.2 LANSINOH # 202 LANTUS INSULIN LAP CHOLE PACK LAP DRAPE SHEET LAP SPONGES-INACTIVE LAPAROSCOPIC CDS LF LAPAROSCOPY PACK LAPAROSCOPY SET LARGE CIRCLE KUGEL LARGE OVAL KUGEL LARGE PRONE VIEW CUSHION INSERT LARGE PRONE VIEW CUSHION INSERT LARGE TUBULAR BANDAGE LASER EYE PREP A-W LASER/COAGULATOR USAGE LASIX 100MG SDV/IV LASIX 20MG SDV/IV LASIX 40MG SDV/IV LASIX LIQUID 10MG/ML LASIX TAB LATERAL ROTATION MATTRESS LATEX FREE CART LC-DCP PLATES SET LC-DCPT-PLATE LC-DCPT-PLATE LCS PISTOL GRIP COAGULATING SHEARS LDS STAPLER LE VEEN INFLATOR 20CC LEG BAG LEG BAG-INACTIVE LEG PLATE ATTACHMENT LEMON GLYCERIN ORAL SWAB LESCOL 20MG LESCOL 40MG LEUCOVORIN TAB LEUKERAN TAB LEUKINE 250MCG LEUSTATIN 10MG LEVAMISOLE 50MG LEVAQUIN 250MG

78.00 60.00 60.00 92.00 19.00 0.00 598.00 567.00 567.00 567.00 15.00 48.00 26.00 114.00 12.00 27.00 15.00 40.00 40.00 57.00 9.00 9.00 16.00 62.00 144.00 24.00 614.00 404.00 50.00 140.00 734.00 868.00 66.00 80.00 2.00 936.00 0.00 50.00 38.00 43.00 12.00 12.00 335.00 212.00 5,047.00 649.00 506.00 692.00 381.00 71.00 10.00 10.00 3.00 4.00 17.00 17.00 32.00 15.00 780.00 973.00 27.00 27.00

05929 05908 30124 61083 61084 03814 04966 03011 30083 62173 62175 62176 62177 62174 61085 61087 61088 61089 61090 61091 03815 05209 03284 03817 03818 05698 03819 04606 05965 04610 04967 04603 04968 04608 05738 30123 62741 62570 05239 05839 30167 30168 30169 03821 06524 05122 20259 62896 62624 62625 62899 62900 62901 62902 08007 05379 05111 03039 08046 04641 62259 61095

LEVAQUIN 500MG LEVAQUIN 500MG IVPB LEVAQUIN 750MG IVPB LEVEEN INFLATOR 10CC/GUAGE LEVEEN INFLATOR 10CC/GUAGE LEVOPHED AMP IV LEVSIN DROP 15ML LEVSIN TAB LEXAPRO 10MG LF ADULT ANESTHESIA KIT LF FOLEY CATHETER 12F LF FOLEY CATHETER 16F LF FOLEY CATHETER 20F LF URINARY DRAINAGE BAG LFESHD EXT32 YINJ LFSD MICRO PUMP TUBING LFSD PR PGBK OL LFSHD HEMA 100SL LFSHD PUMP/FILTER LFSHLD EXTLUER T LIBRAX CAP LIBRIUM AMP IV LIBRIUM CAP LIDEX CREAM 15GM LIDOCAINE 0.4% 500ML LIDOCAINE 2% JEL PFS LIDOCAINE 2% PFS LIDOCAINE JELLY 2% LIDOCAINE JELLY 5ML LIDOCAINE OINT 5% LIDOCAINE ORAL SPRAY LIDOCAINE SDV/INJ (ALL) LIDOCAINE TOPICAL LIDOCAINE VISC BTL LIDOCAINE VISC. 5ML LIDODERM PATCH #1 LIGHT MAT SURGICAL ILLUMINATOR LINTON TUBE 20FR. LIORESAL TAB LIPITOR 10MG TAB LIPITOR 20MG LIPITOR 40MG LIPITOR 80MG LIPOSYN II 10% 500ML LIPOSYN II 20% 500ML LITHIUM CITRATE 5ML LIVER BIOPSY LMA DISPOSABLE SIZE 5 LMA DISPOSABLE-SIZE 3 LMA DISPOSABLE-SIZE 4 LMA UNIQUE SIZE 1 LMA UNIQUE SIZE 1.5 LMA UNIQUE SIZE 2 LMA UNIQUE SIZE 2.5 LOCAL ANESTH. TRAY LODINE CAP LOMOTIL 5ML LOMOTIL 60ML LOMOTIL STARTER LOMOTIL TAB LONE STAR RETRACTOR LONE STAR STAYS (LG. 5MM)

44.00 159.00 227.00 71.00 71.00 63.00 38.00 15.00 19.00 74.00 11.00 22.00 22.00 28.00 12.00 49.00 31.00 23.00 59.00 16.00 12.00 59.00 16.00 79.00 134.00 56.00 50.00 55.00 32.00 30.00 24.00 46.00 40.00 32.00 8.00 29.00 270.00 587.00 12.00 15.00 17.00 19.00 21.00 234.00 383.00 11.00 239.00 43.00 43.00 43.00 104.00 104.00 104.00 27.00 32.00 15.00 11.00 47.00 23.00 15.00 317.00 16.00

61096 20263 62302 07525 03827 61097 61098 61099 03465 05206 03830 05668 05522 05619 05600 03831 05650 30139 05493 61100 03832 04908 03825 04969 05842 30042 30151 30152 30149 30150 05789 05554 04957 61105 61106 61107 05079 30068 61108 62877 62878 05080 05265 05762 62743 62450 62744 61109 03048 03848 05607 03846 05504 03850 08025 05799 03853 60692 05968 05748 61110 61111

LONE STAR STAYS (XL 12MM) LONG IV INFUSION LONG KNEE BRACE-MED LONG TERM CARE INSUR ASSESSMENT LONITEN LOOP O-GUT LOOP OSTOMY SYSTEM LOPEZ INTERNAL VALVE LOPID LOPRESSOR AMP LOPRESSOR TAB LOPROX LORABID 5ML LORABID TAB LORCET-10 LORELCO TAB LORTAB ELIXIR 5ML LOTEMAX 5ML LOTENSIN LOTION, DURAPREP REMOVAL 4OZ LOTRIMIN CR 15GM LOTRIMIN CR 45GM LOTRISONE CREAM 15GM LOTRISONE CREAM 45GM LOVENOX LOVENOX 100MG LOVENOX 120MG LOVENOX 150MG LOVENOX 60MG LOVENOX 80MG LOVENOX SQ 30MG LOXITANE LOZOL TAB LS LFREE PPR ADPT LSHLD MICRODRIP LSHLD SEC OL SNL LTA KIT LUGOL'S 20GTTS LUKENS TUBES LUMBAR PUNCTURE TRAY-ADULT LUMBAR PUNCTURE TRAY-PEDIATRIC LUPRON INJ 7.5 MG INJ LURIDE LUVOX 50MG LYMPHAZURIN DYE M.R.I. DUAL LUMEN 10FR. M.R.I. DUAL LUMEN 10FR. -NEW M.R.I. PORT-A-CATH 9.6FR MAALOX PLUS 150ML MAALOX SUSP 150ML MAALOX TAB MAALOX TC SUSP 150ML MACROBID MACRODANTIN CAP MACRODANTIN STARTER MAG OXIDE 400MG MAG SULFATE SDV/IV MAGNA DRAPE MAGNACAL #8 0Z MAGNESIUM CL SDV MALABLE TIP SZ4 MALE EXTERNAL CATHETER (PED/GER)

16.00 239.00 348.00 86.00 12.00 35.00 49.00 11.00 15.00 51.00 15.00 32.00 16.00 16.00 12.00 12.00 11.00 81.00 11.00 7.00 47.00 81.00 61.00 109.00 67.00 253.00 297.00 319.00 166.00 211.00 96.00 21.00 12.00 8.00 31.00 10.00 81.00 20.00 12.00 27.00 28.00 3,114.00 12.00 9.00 314.00 1,369.00 646.00 687.00 12.00 11.00 3.00 12.00 15.00 15.00 27.00 15.00 32.00 22.00 11.00 16.00 96.00 8.00

07510 61112 61113 61114 61115 61116 61117 61118 61119 61120 61121 61122 61123 05216 08012 03854 60918 05182 05486 61126 61131 61127 61132 61130 61128 61133 61135 61134 61136 61137 61138 61139 61140 61141 61142 61143 05199 05954 05497 05810 03865 03866 62811 04016 63093 05452 50049 50048 50010 05133 62784 06109 06108 05126 03870 61144 62773 62884 61017 50047 50046 50058

MALE EXTERNAL CATHETER (PED/GER) MALECOT DRAIN 32FR MALECOT-DRAIN 12FR MALECOT-DRAIN 14FR MALECOT-DRAIN 16FR MALECOT-DRAIN 18FR MALECOT-DRAIN 20FR MALECOT-DRAIN 22FR MALECOT-DRAIN 24FR MALECOT-DRAIN 26FR MALECOT-DRAIN 28FR MALECOT-DRAIN 30FR MALLEOLAR SCREW 40MM 4.5MM MALTSUPEX 240ML MALX 30ML/DNTL 10ML MANDELAMINE TAB MANNITOL 20% IV MANNITOL SDV/IV MARAX MARLEX MESH MARLIN THRACIC CATHETER MARLIN THRACIC CATHETER 16FR MARLIN THRACIC CATHETER 20FR MARLIN THRACIC CATHETER 28FR MARLIN THRACIC CATHETER 36FR MASK, AEROSOL - ADULT MASK, OXYGEN-ADULT MASK, OXYGEN-NON-REB MASK, OXYGEN-PED MATTRESS, AIR STATIC VINYL (PAF-350) MAX FORCE BALLOON DILATOR SIZE 10 MAX FORCE BALLOON DILATOR SIZE 12 MAX FORCE BALLOON DILATOR SIZE 15 MAX FORCE BALLOON DILATOR SIZE 18 MAX FORCE BALLOON DILATOR SIZE 6 MAX FORCE SIZE 8 BALLOON DILATOR MAXAIR INHALER MAXALT 5MG MAXAQUIN MAXIPIME 1GM PB MAXITROL EYE OINT MAXITROL EYE SOLN MAXORB CALCIUM ALGINATE 4X4 MAXZIDE TAB MAYO STAND COVER-XL MBX MC MEDI-CAL ADJ I/P MC MEDI-CAL ADJ O/P MC MEDI-CAL PAYMENT MCT OIL 5ML MDI SPACER MDI SPACER/ADULTS MDI SPACER/INFANTS MEBARAL TAB MECLOMEN CAP MECONIUM SEPARATOR MED 1/8" ROUND DRAIN SUCTION KIT MED. TUBULAR BANDAGE MEDFIX TAPE 2" MEDI-CAL ADJUSTMENT MEDI-CAL ADJUSTMENT-IP MEDI-CAL NON COVERED

8.00 36.00 36.00 36.00 36.00 36.00 36.00 36.00 36.00 36.00 36.00 36.00 55.00 67.00 27.00 12.00 60.00 66.00 11.00 84.00 92.00 92.00 92.00 92.00 92.00 11.00 11.00 11.00 11.00 121.00 398.00 536.00 424.00 266.00 536.00 536.00 75.00 36.00 30.00 185.00 69.00 69.00 9.00 15.00 5.00 28.00 0.00 0.00 0.00 9.00 16.00 40.00 47.00 15.00 12.00 15.00 38.00 2.00 19.00 0.00 0.00 0.00

50008 50045 50044 50069 50060 50059 50056 50006 62444 60844 61145 08261 03875 03877 63002 03880 03881 03229 03882 05970 03885 05139 03892 61146 62470 61147 05456 03894 62551 62685 62552 32552 62553 03896 61148 61149 62363 05809 05360 30023 05501 05282 03898 04971 03479 03902 05686 05272 05672 04733 05495 05534 05909 03044 03230 05870 61324 61150 61151 61152 61153 61154

MEDI-CAL PAYMENT MEDICARE ADJUSTMENT MEDICARE ADJUSTMENT-IP MEDICARE BAD DEBT ADJ MEDICARE M/C ADJ-IP MEDICARE M/C ADJ-OP MEDICARE NON-COVERED MEDICARE PAYMENT MEDIFIL PARTICLES MEDIUM OVAL KUGEL MEDIVAC CANNISTER 1500ML MEDROL 4MG STARTER MEDROL DOSEPAK MEDROL TAB MEDTRONIC XOMED SILICONE SHEETING MEFOXIN IVPB 1GM IV MEFOXIN IVPB 2GM IV MEFOXIN IVPB 500MG IV MEFOXIN SDV/IV IGM MEGACE SUSP #15ML MEGACE TAB MELLARIL 5ML MELLARIL TAB MENISCUS CUTTER (4.2MM) MENISCUS MENDER II KIT MENISECTOMY ELECTRODE 45 ANGLE MENTHOLATUM MEPHYTON TAB MEPILEX 4X4 MEPILEX 4X4 BORDER DRESSING MEPITEL 3X4 MEPITEL 3X4 MEPITEL 4X8 MEPROBAMATE TAB MERLIN 4.2 CUDA BLADE MERLIN RADIUS RESECTOR MEROCEL LAMINATED NASAL DRESSING MERREM 500MG PB MERUVAX II INJ MESNA 2500MG MESNEX 1GM AMP MESTINON METAMUCIL POWDER PAK METHADONE SOLN 5ML METHADONE TAB METHERGINE AMP INJ METHICILLIN 1GM PB IV METHICILLIN 4GM PB IV METHOTREXATE 250MG IV METHYLENE BLUE AMP METHYLTESTOSTERONE METIMYD UNG #3.5 GMS METRO GEL 0.75 % MEVACOR TAB MEXITIL CAP MIACALCIN NS 2ML MIC "TJ" FEEDING TUBE MIC GASTROSTOMY TUBE 16FR MIC GASTROSTOMY TUBE 18FR MIC GASTROSTOMY TUBE 20FR MIC GASTROSTOMY TUBE 22FR MIC GASTROSTOMY TUBE 24FR

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 63.00 739.00 24.00 20.00 46.00 11.00 40.00 142.00 173.00 140.00 66.00 59.00 15.00 12.00 16.00 212.00 276.00 174.00 8.00 17.00 15.00 15.00 23.00 22.00 42.00 17.00 181.00 164.00 36.00 205.00 84.00 2,330.00 713.00 12.00 8.00 12.00 12.00 43.00 134.00 183.00 110.00 61.00 12.00 93.00 109.00 20.00 16.00 99.00 540.00 150.00 150.00 150.00 150.00 150.00

61155 05962 61156 61157 61158 62392 62344 03910 62564 60486 62328 03914 62521 62268 00746 03236 05266 05920 05402 63048 63049 05128 03917 30158 03918 61246 61161 61162 61163 61164 03919 05283 03922 05930 05978 30173 61165 07511 01112 9997 06114 04974 30079 61166 05407 61168 62325 05758 30012 62828 03925 61169 03232 04975 03926 03231 01005 03929 03019 61170 61171 61172

MIC GASTROSTOMY TUBE 26FR MICARDIS 40MG MICRO EDGE BLADE (ARMSTRONG DESIGN) MICRO SAGITTAL BLADE 5023-238 MICRO SAGITTAL BLADE 5053-232 MICRO SAGITTAL SAW BLADE 40MM MICRO STAAR INJECTOR MICRO-K EXTENCAP MICROCHAMBER-ADULT MICROFOAM TAPE 3" MICROFOAM TAPE 4" MICRONASE TAB MICROPORE TAPE 2" MICROPRIMARY SET MICROSCOPE USAGE MICROX 0.5MG TAB MIDAMOR 5MG TAB MIDODRINE 2.5MG MIDRIN MIIG X3 (15CCS) HIGH VISC MIIG X3 (7CCS) HIGH VISC MILK OF BISMUTH 5ML MILK OF MAGN 30ML MINERAL OIL # 1602 MINERAL OIL 30ML MINI BORE EXTENSION SET MINI MED PUMP TUBING (NITRO TUBING) MINI REVO SCREW WITH EYELET MINI SET MINI VOL EXT SET MINIPRESS CAP MINOCIN MIOCHOL EYE SOL MIRALAX 1 DOSE MIRAPEX 0.25MG MIRAPEX 1MG MIRASORB SPONGES 4X4 MIRASORB SPONGES 4X4 MISC CENTRAL SUPPLY MISC OPERATING REVENUE MISC SMALL ADAPTERS MITHRACIN SDV MITOMYCIN 25MG MITY VAC EXTRACTOR MIVACRON 2MG/ML MIX KIT II MIX KIT II MMR IV MOBIC 7.5MG MODIFIED GOODE T TUBE MODURETIC TAB MOISTURE BARRIER OINTMENT MONISTAT DERM 15GM MONISTAT DUAL-PAK MONISTAT VAG CREAM MONISTAT-7 VAG TABS MONITOR/EQUIP MONOCID PB 1GM IV MONOCID SDV 1GM MONOCRYL 4-0 PC-1 MONOCRYL 4-0 PC-3 MONOCRYL 4-0 PC-5

150.00 12.00 29.00 54.00 66.00 48.00 103.00 11.00 15.00 15.00 11.00 11.00 8.00 31.00 242.00 15.00 11.00 20.00 12.00 3,737.00 2,886.00 9.00 8.00 7.00 8.00 12.00 14.00 391.00 14.00 17.00 12.00 17.00 89.00 12.00 15.00 24.00 10.00 10.00 0.00 0.00 4.00 269.00 761.00 82.00 127.00 198.00 124.00 118.00 16.00 74.00 11.00 23.00 47.00 72.00 37.00 35.00 3,002.00 199.00 120.00 24.00 16.00 16.00

61173 61174 05410 05941 O5940 61602 05883 61175 61176 62366 62367 61177 05117 05275 05276 03931 04718 63029 08432 08241 08460 03122 03938 62340 61178 08625 05433 05434 30069 04976 62323 62322 04877 04700 08456 61180 61181 61182 61183 62882 61184 63028 61199 61202 61208 61211 62648 63001 61213 61214 62694 61218 61219 61221 61220 61203 61204 61206 61223 61205 61209 61225

MONOCRYL 5-0 PC-1 MONOCRYL 5-0 PC-3 MONOPRIL TABLET MONSEL'S SOLN MONSEL'S SOLN MONTGOMERY STRAP MONUROL 3GMS MOORE HIP POST REG SOLID MOORE HIP POST REG SOLID MOORE HIP PROSTHESIS MOORE HIP PROSTHESIS MORGAN FLOW LENS MORPHINE S04 0-200MG DRIP MORPHINE S04 200-500MG DRIP MORPHINE S04 500-1000MG DRIP MORPHINE S04 PFS MORPHINE TAB MOSS SIMPLIFIED PEG KIT MOTRIN 120ML MOTRIN STARTER MOTRIN SUSP 30ML MOTRIN SUSP 5ML MOTRIN TAB MOUTH CARE KIT MRI DUAL IMPLANTED PROT 3 WAY MRI SUPPLIES MS 1MG/ML 30ML (PCA) MS 5MG/ML 30ML (PCA) MS CONTIN 100MG MS CONTIN TAB MSI-TM INJECTOR MSI-TR INJECTOR MUCOMYST MDV MUCOMYST RESP-TX MUCOSOL 30ML MUCUS SPECIMEN TRAP MUELLER MYRINGOTOMY BLADE MUELLER PFISTER BASKET MUELLER PFISTER BASKET (FILIFORM) MULTI BOOT SEMI RIGID MULTI DISP. SKIN STAPLER 35 W MULTI GIA 80 (4.8) D.L.U MULTI GIA 80 (4.8) D.L.U. MULTI PAD 3 1/2 X 23 MULTI TA 55 4.8 D.L.U. MULTI-LUMEN CV CATH SET MULTIBAND LIGATOR MULTIBITE MULTIPLE SAMPLE BIOPSY FORCEPS MULTIFIRE DISP. SKIN STAPLER 12W MULTIFIRE ENDO HERNIA 0 DEGREE MULTIFIRE GIA 60 3.8 MULTIFIRE GIA 60 3.8 LOADING MULTIFIRE GIA 80 3.8 MULTIFIRE GIA 80 3.8 MULTIFIRE GIA 80 4.8 MULTIFIRE PREM. 12 W D.L.U. MULTIFIRE PREM. 35 W D.L.U. MULTIFIRE TA 30 3.5 MULTIFIRE TA 55 (DLU) 3.5 MULTIFIRE TA 55 3.5 MULTIFIRE TA 55 4.8 MULTIFIRE TA STAPLER 90 - 3.5

24.00 16.00 12.00 75.00 67.00 3.00 97.00 1,002.00 1,030.00 973.00 973.00 56.00 353.00 440.00 523.00 36.00 15.00 658.00 21.00 15.00 9.00 6.00 11.00 8.00 1,151.00 43.00 199.00 240.00 27.00 16.00 103.00 103.00 78.00 36.00 186.00 8.00 17.00 580.00 580.00 179.00 135.00 226.00 255.00 47.00 368.00 192.00 528.00 212.00 90.00 156.00 326.00 212.00 571.00 310.00 591.00 55.00 55.00 345.00 180.00 345.00 345.00 352.00

61227 03844 04458 04457 03939 05448 05723 61222 05564 03093 05183 03948 03949 05620 08058 03034 05031 05166 03954 03950 03994 05760 02543 62965 03958 03006 03959 20266 05621 05736 04997 03962 05088 03963 62890 03966 05890 30035 30034 62922 05567 03238 05292 05658 05571 62265 08137 05153 05154 03970 03973 30178 05707 05960 05961 30098 03978 03980 04685 05562 61229 61230

MULTIFIRE VERSATACK DISP. STAPLER MULTIPLE VITAMIN IV MULTIVITAMIN TAB MULTIVITAMIN-MINERAL MUMPS SKIN TEST MURO-128 OPHT OINT MUSTARGEN 10MG IV MUTIFIRE TA 30 (4.8) D.L.U. MYAMBUTOL 400MG MYAMBUTOL TAB MYCELEX TROCHE MYCO-TRIACET II 15GM MYCO-TRIACET II 30GM MYCOBUTIN 150MG MYCOSTATIN 60ML MYCOSTATIN CREAM 15GM MYCOSTATIN POWDER MYCOSTATIN SUSP 5ML MYCOSTATIN TAB MYCOSTATIN VAG TAB MYDFRIN MYDFRIN/MYDRIACYL MYELOGRAM STERILE TRAY MYELOGRAM TRAY MYLANTA 30ML MYLANTA TAB MYLANTA-II TAB MYLEOGRAM MYLERAN 2MG MYLICON 5ML MYLICON DROPS 30ML MYLICON TAB MYOCHRYSINE 25 MG/ML #1 ML MYOFLEX CR 10% 60GM MYRINGOTOMY KNIFE/SPEAR MYSOLINE TAB MYTAMYCIN Maa/Lid/Ben 5ml Maa/Lid/Don 5ml N/S IRRIG. 1000CC NA CL 3% RT NAFCILLIN 1GM IVPB IV NAFCILLIN 2GM IVPB IV NAFCILLIN 3GM IVPB NAFCILLIN SDV/IV NAIL DRIVING GUIDE 3.2MM NALDECON PEDI 30ML NALDECON PEDI 5ML NALDECON SYRUP 5ML NALDECON TAB NALFON TAB NAMENDA 10MG NAPHCON-A OPHTH 15ML NAPROSYN 250MG NAPROSYN 500MG NAPROSYN STARTER NAPROSYN TAB NARCAN 0.4/ML AMP IV NARCAN MDV 10ML IV NASACORT NASAL SPLINT 20-10650 NASAL SPLINT 20-10660

206.00 51.00 7.00 8.00 71.00 32.00 36.00 174.00 15.00 16.00 11.00 32.00 35.00 27.00 71.00 46.00 67.00 15.00 11.00 11.00 45.00 21.00 46.00 25.00 4.00 6.00 6.00 291.00 15.00 9.00 43.00 7.00 61.00 33.00 30.00 11.00 1,071.00 15.00 15.00 8.00 20.00 132.00 142.00 155.00 38.00 170.00 15.00 11.00 11.00 16.00 16.00 19.00 34.00 6.00 8.00 30.00 16.00 83.00 296.00 84.00 71.00 57.00

61228 06123 62711 03726 05729 03983 61231 61233 61232 05888 61234 61235 61236 61237 61238 30131 05248 20265 61239 62288 62698 62296 30302 03240 04113 05568 61240 05597 05018 03998 04980 05755 05756 04004 04639 62843 61241 05984 04012 04013 04008 05603 05246 30058 30057 05284 61242 61244 61245 02796 30121 05119 05918 04022 30105 30059 05704 30107 30108 30109 03083 30021

NASAL SPLINT 20-10685 NASAL TRACHEAL SUCTION RT NASAL TUBE FASTENER-SECURE IT, LG NASALCROM NASALIDE RT TX NASALIDE SPRAY NASO PHARYNGEAL AIRWAY NASO PHARYNGEAL AIRWAY NASO PHARYNGEAL AIRWAY NASONEX #17GMS NASOPHARYNGEAL TUBE, 20 NASOPHARYNGEAL TUBE, 28 NASOPHARYNGEAL TUBE, 32 NASOPHARYNGEAL TUBE, 34 NASOPHARYNGEAL TUBE, 36 NATRECOR 1.5MG DRIP NAVANE CAP NEEDLE ASPIRATION NEEDLE COUNTERS NEEDLE INJECTOR NEEDLE TIP ELECTRODE 3MM SHAFT NEEDLELESS CONNECTOR NELLCOR ADULT SENSOR NEMBUTAL CAP NEMBUTAL TUBEX IV NEO-CALGLUCON 480ML NEO-SERT TRAY, W/O CATH NEO-SYNEPH 1:100,000 INJ NEO-SYNEPHRINE AMP INJ NEO-SYNEPHRINE NOSE NEODECADRON EYE 5ML NEOMYCIN SOLN 2-5ML NEOMYCIN SOLN 6-10ML NEOMYCIN SOLUTION NEOMYCIN SULFATE TAB NEONATAL SPECI-CATH KIT 5FR. NEONATE FACE MASK NEORAL 100MG NEOSPORIN EYE OINT NEOSPORIN EYE SOLN NEOSPORIN GU IRRIG NEOSPORIN OINT 30GM NEOSPORIN PKT NEPHRAMINE 5.4% 250ML NEPHRAMINE 5.4% 250ML NEPHROCAP NEPHROMAX BALLOON NEPHROSTOMY CATH RE ENTRY (16FR) NEPHROSTOMY CATH RE-ENTRY (20FR) NEPHROSTOMY KIT NEPRO #802 NEPTAZANE TAB NESACAINE 3% 20ML NETROMYCIN SDV NEULASTA 6MG NEUPOGEN 480MCG NEURONTIN NEURONTIN 300MG NEURONTIN 400MG NEURONTIN 800MG NEUTRA PHOS CAP NEXIUM 20MG

48.00 75.00 1.00 87.00 9.00 76.00 7.00 7.00 8.00 134.00 8.00 8.00 8.00 8.00 8.00 833.00 12.00 239.00 26.00 187.00 164.00 8.00 19.00 15.00 45.00 51.00 152.00 34.00 51.00 12.00 70.00 110.00 140.00 79.00 15.00 8.00 7.00 26.00 66.00 66.00 38.00 15.00 7.00 189.00 156.00 11.00 708.00 181.00 181.00 132.00 20.00 15.00 85.00 71.00 4,373.00 807.00 11.00 22.00 28.00 32.00 11.00 24.00

30022 04025 05377 04027 30078 05115 05792 05899 62192 62952 05229 08370 08371 03052 04029 04508 03024 04686 04782 03031 05465 05599 05717 03242 05648 50012 04032 61247 60856 62880 61248 05009 04699 04033 05824 05383 06504 06518 06525 06516 06515 06521 06510 62600 06520 04982 05357 05386 04964 61249 61250 03243 04042 04041 04047 05505 05177 20255 50050 10236 07518 61251

NEXIUM 40 MG NIACIN TAB NICO DERM PATCH NICORETTE GUM NICOTROL INHALER NICU CRASH BOX NIMBEX 1ML NIMOTOP 30MG NIPPLE SHIELD NIPPLE SHIELD NITRO IV EXTENSION SET NITRO SPRAY #1 DOSE NITRO TAB #1 TAB NITRO-BID CAP NITROGLYCERIN OINT NITROGLYCERIN PATCH NITROGLYCERIN SDV NITROLINGUAL SPRAY NITROPRESS SDV/IV NITROSTAT TAB #25 NIX 60ML NIZORAL 2% CREAM NIZORAL SHAMPOO NIZORAL TAB NO DOZE NO TRANSACTION NOLVADEX TAB NON CONDUCTIVE TUBING NON VENTED MALE CAP NON-CORING NEEDLE-RT. ANGLE 22G X 1.50" NON-RETRACTING GRASPING FORCEP (3FR) NORCURON SDV NORFLEX AMP INJ NORFLEX TAB NORGESIC TAB NORLUTATE NORMAL SALINE 1000ML NORMAL SALINE 100ML NORMAL SALINE 1500ML NORMAL SALINE 150ML NORMAL SALINE 250ML NORMAL SALINE 25ML NORMAL SALINE 500ML NORMAL SALINE 500ML NORMAL SALINE 50ML NORMAL SALINE RT NORMAL SALINE SDV NORMODYNE MDV NORMODYNE TAB NORMOSOL-M DEX LC NORMOSOL-R LC NOROXIN TAB NORPACE CAP NORPACE CR CAP NORPRAMIN NORVASC NOVAHISTINE 5ML NRS RX CHG-15MIN INCREMENTS NSF CHECK CHARGE NST/OB CHECK SHEET-INACTIVE NU GAUZE PACKING STRIPS 1" NU GAUZE PACKING STRIPS 1"

24.00 7.00 36.00 15.00 89.00 150.00 56.00 30.00 14.00 7.00 26.00 11.00 8.00 15.00 48.00 22.00 50.00 78.00 75.00 16.00 40.00 45.00 51.00 22.00 7.00 0.00 16.00 8.00 3.00 8.00 453.00 106.00 59.00 16.00 15.00 15.00 72.00 72.00 72.00 72.00 72.00 72.00 72.00 58.00 72.00 17.00 9.00 142.00 15.00 60.00 60.00 20.00 15.00 15.00 16.00 15.00 11.00 31.00 0.00 192.00 16.00 14.00

61253 07503 61254 61255 61256 04053 04056 30385 11180 11141 11141 11143 11142 05947 06215 62616 62615 30300 61259 61260 61261 61262 04065 62510 61605 61608 61609 04946 05687 05849 61263 61265 61264 05545 61266 61406 61267 61268 61268 30032 30033 62414 63005 61269 61270 61271 61272 00867 62921 04993 62321 04913 62807 62770 07569 62910 05331 02867 05484 04983 05797 62972

NU-GAUZE - STERILE 2X2 NU-GAUZE STERILE 2X2 NU-GEL WOUND DRESSING 6X8 NU-GEL WOUND DRESSING, 3 3/4 NU-GUAZE PLAIN PACKING, 1/2 INCH NUBAIN AMP 20MG INJ NUPERCAINAL OINT NURS BILI LITE DAILY NURS BILI LITE SET UP NURSERY NURSERY NURSERY SEMI-PRIVATE NURSERY-OTHER NUTREN #240ml O.T. EQUIPMENT O2 MASK O2 TUBING OB OUTPATIENT ROOM USE OBLONG 3H/3SHAFT 39MM OBLONG 3H/5SHAFT 67MM OCCLUSION BALLOON CATH 26FR. OCCLUSION BALLOON CATH 34FR. OCEAN NASAL SPRAY OCL SPLINT ROLL OCL SPLINT ROLL 3" OCL SPLINT ROLL 4" OCL SPLINT ROLL 5" OCUFEN EYE SOL OCUFLOX 5ML OCUPRESS 1% #5ML OEC BIT 1/4 OEC ORTHO MEEK CLAVICLE STRAP OEC OTRHO MEEK CLAVICLE STRAP OGEN OIL ENEMA OLD HI FLOW INSUFFLATION TUBING OLIVE TIP CATH.-6 OLXMPUS OLYMPUS BALL ELECTRODE (28FR.) OMNICEF 125MG/5 OMNICIF 300MG ONE PIECE DRAINABLE POUCH ONE STEP TWIST DRILL BIT OPEN END PERCUFLEX 6FR. CATH OPEN TIP CATHETER-4 OPEN TIP CATHETER-5 OPEN TIP CATHETER-6 OPERATIVE LAP SET OPSITE TRANSPARENT 11 X 6 OPTHAINE OPTH SOL OPTI-GARD EYE PROTECTOR OPTICROM OPTIFOAM ADHESIVE OPTIFOAM ADHESIVE DRESSING OPTIFOAM DRESSING 6X6 NON ADHESIVE OPTIFOAM NON-ADHESIVE 4X4 DRESSING OPTIMINE TAB OPTISON INJECTION ORABASE ORABASE W/BENZOCAINE ORAJEL ORAL / NASAL CANNULA

4.00 4.00 21.00 11.00 15.00 46.00 20.00 57.00 127.00 1,030.00 842.00 1,030.00 1,030.00 12.00 0.00 11.00 11.00 537.00 343.00 119.00 381.00 381.00 17.00 86.00 71.00 84.00 108.00 66.00 96.00 67.00 106.00 42.00 42.00 11.00 11.00 32.00 51.00 211.00 222.00 20.00 21.00 10.00 96.00 30.00 50.00 50.00 50.00 1,264.00 22.00 76.00 20.00 82.00 16.00 11.00 21.00 9.00 12.00 229.00 15.00 32.00 9.00 27.00

61274 61275 03989 61276 61277 04081 04083 61278 60987 00075 00074 61279 30096 61285 61192 61283 04963 05536 62289 62440 62442 62785 61286 20256 20258 01728 10105 30342 30390 30395 40495 30305 10031 20247 20248 20205 20246 10095 20230 20242 40447 10012 10030 30341 30320 30325 30330 40420 40425 40430 40405 40448 20225 20220 20262 62281 61287 61288 61289 05361 05362 61290

ORAL RAE TRACH TUBE 4MM ORAL RAE TRACH TUBE 5MM ORGANIDIN TAB ORIGIN 10MM GRIPPER ORIGIN 10MM TROCAR ORINASE TAB ORNADE SPANSULE OROPAK ORTHO EQUIPMENT ORTHO EQUIPMENT ORTHO IMPLANT ORTHO PACK, MINOR STR DISP ORTHO-CEPT #28 ORTHOPAEDIC WIRE 40" 36" ORTHOPEDIC CDS LF ORTHOSORB PIN KIT ORUDIS CAP ORUVAIL CR 200MG OSCILLATOR BLADE 19.5X80X0.8MM OSTEOBOND BONE CEMENT OSTEOBOND BONE CEMENT 80/40 KIT OSTILLATOR BLADE OSTOMY APPLIANCE BELT OUTPATIENT PAIN INJECTION OUTPATIENT PERICENTESIS OUTPATIENT PROCEDURE/LAB BWING OUTPATIENT ROOM CHARGE OUTPATIENT ROOM CHARGE OUTPATIENT ROOM CHARGE OUTPATIENT ROOM CHARGE OUTPATIENT ROOM CHARGE OUTPATIENT ROOM CHARGE OUTPATIENT ROOM CHARGE OUTPATIENT ROOM CHARGE OUTPATIENT ROOM CHARGE OUTPATIENT ROOM CHARGE OUTPATIENT ROOM CHARGE OUTPATIENT ROOM CHARGE OUTPATIENT ROOM CHARGE OUTPATIENT ROOM CHARGE OUTPATIENT ROOM CHARGE OUTPATIENT ROOM CHARGE OUTPATIENT ROOM CHARGE OUTPATIENT ROOM CHARGE OUTPATIENT ROOM CHARGE OUTPATIENT ROOM CHARGE OUTPATIENT ROOM CHARGE OUTPATIENT ROOM CHARGE OUTPATIENT ROOM CHARGE OUTPATIENT ROOM CHARGE OUTPATIENT ROOM CHARGE > 2 HRS OUTPATIENT ROOM CHARGE > 2 hrs OUTPATIENT ROOM CHG < 2 HRS OUTPATIENT ROOM CHG > 2 HRS OUTPATIENT TEE OVAL BUR XLONG 4X8MM OVAL BURR (4.0MM) OVAL EYE PADS OWENS SILK GAUZE DRESSING OXACILLIN 1GM PB IV OXACILLIN 2GM PB IV OXICLIQ

24.00 24.00 11.00 90.00 96.00 12.00 15.00 23.00 0.00 0.00 0.00 153.00 54.00 4.00 376.00 970.00 16.00 16.00 190.00 224.00 383.00 190.00 21.00 52.00 198.00 41.00 447.00 0.00 0.00 314.00 314.00 447.00 801.00 801.00 406.00 334.00 841.00 198.00 165.00 0.00 1,030.00 0.00 0.00 1,030.00 411.00 379.00 189.00 411.00 379.00 189.00 544.00 1,030.00 245.00 544.00 239.00 139.00 239.00 4.00 7.00 116.00 124.00 33.00

62519 61291 30056 05828 00945 62636 62636 62188 61292 61298 61293 04085 61294 61295 05467 61971 60016 10081 10222 62857 62856 61296 61297 61258 62802 62795 60142 61299 61252 61300 61301 62803 61302 61303 61304 61305 61306 61307 50052 61309 61308 10237 10238 06126 04667 04093 30091 61257 61310 03290 08401 05387 05141 04101 61311 30031 07526 62630 62630 50000 50001 04096

OXICLIQ OXICLIQ P OXY CONTIN 40MG OXYCONTIN 10MG OXYGEN OXYGEN CANNULA SUPPORT OXYGEN CANNULA SUPPORT OXYGEN INFANT MASK OXYGEN TRANSDUCER - NEONATAL ADULT OXYGEN TRANSDUCER - PAD OXYGEN TUBING CONNECTOR OYSTER SHELL CALCIUM P.E. TUBES 1.00 P.E. TUBES 1.27 P4E1 EYE DROPS PACEMAKER PROCEDURE PACEMAKER/CARDIAC RECORDER PACER PACK/EXTERNAL DAILY PACKING, IODO 1"-INACTIVE PACKING, IODOFORM 1/2" PACKING, IODOFORM 1/4" PACKING, NUGAUZE IODO 1/2" X 5YRDS PACKING, NUGAUZE IODO 1/4" X 5YRDS PACKING, NUGAUZE PLAIN STR 1/4'X5YRD PACKING, PLAIN 1" PACKING, PLAIN 1/2" PAD, CAUTERY TIP CLEANER 5X5CM PAD, DEFIB 4 1/2" ORG (2/PK 10PK/BX) PAD, EGGCRATE 4" PADDED FOREARM SPLINT-LG LEFT PADDED FOREARM SPLINT-LG RIGHT PADDED FOREARM SPLINT-LG RT PADDED FOREARM SPLINT-MED LEFT PADDED FOREARM SPLINT-MED RIGHT PADDED FOREARM SPLINT-SM LEFT PADDED FOREARM SPLINT-SM RIGHT PADDED FOREARM SPLINT-XS LEFT PADDED FOREARM SPLINT-XS RIGHT PAID IN FULL DISCOUNT PALL FILTER PXL 12 PALL FILTER RCXL2 PALL FILTER-INACTIVE PALL FILTER-INACTIVE PALM PERCUSSORS PAMELOR CAP PANCREASE CAP PANCRECARB MS-4 PARACERVICAL PUDENDAL BLOCK TRAY PARACHUTE BASKET (5CM FILFORM TIP) PARAFON FORTE DSC PARAFON FORTE DSC ST PARAPLATIN 500MG SDV PARE GORIC 5ML PARLODEL TAB PASSPORT BALLOON W/WIRE (4MM X 4CM) PATANOL 0.1% PATIENT EDUCATION VISIT PATIENT KIT FOR CPM PATIENT KIT FOR CPM PATIENT PAYMENT PATIENT PAYMENT-CASH PAVABID CAP

33.00 33.00 21.00 17.00 35.00 4.00 6.00 11.00 48.00 48.00 9.00 8.00 58.00 31.00 78.00 702.00 0.00 127.00 16.00 6.00 6.00 19.00 19.00 8.00 12.00 10.00 4.00 12.00 28.00 31.00 31.00 11.00 27.00 27.00 27.00 27.00 27.00 27.00 0.00 126.00 51.00 51.00 126.00 15.00 16.00 12.00 16.00 50.00 542.00 16.00 24.00 2,330.00 11.00 16.00 442.00 174.00 138.00 26.00 32.00 0.00 0.00 15.00

05010 05488 50019 50028 50077 61312 62749 05287 61452 62780 62198 62197 61314 05885 05531 08263 08489 05147 62182 62800 10260 61315 60872 10228 61316 61317 61318 10239 62238 62239 62240 62241 62242 08339 04985 30391 61319 07175 30041 30040 08000 08037 10257 03261 03260 05417 03264 04111 04110 04597 04577 04579 60298 62523 61321 61322 61323 61325 61326 05988 05558 05008

PAVULON AMP IV PAXIL PAYMENT FRM AGENCY PAYROLL DEDUCTION PAYROLL DEDUCTION PCA LONG MBOR INJ PCA SET-UP FEE PCE 500MG PCP PUMP DAILY PEAK FLOW METER PED. AEROSAL MASK PED. NONREBREATHER MASK PEDI EASY CAP PEDIA SURE #802 PEDIACARE 5ML PEDIAPRED 120ML PEDIAPRED 30ML PEDIAPRED 5ML PEDIATRIC AEROCHAMBER PEDIATRIC AEROSOL MASK PEDIATRIC AEROSOL MASK-INACTIVE PEDIATRIC BODY BAG PEDIATRIC CATHETER KIT PEDIATRIC CATHETER-INACTIVE PEDIATRIC EAR DRESSING PEDIATRIC FACE MASK PEDIATRIC NASAL CANNULA PEDIATRIC NASAL CANNULA-INACTIVE PEDIATRIC TRACH. TUBE 00PT PEDIATRIC TRACH. TUBE 0PT PEDIATRIC TRACH. TUBE 1PT PEDIATRIC TRACH. TUBE 2PT PEDIATRIC TRACH. TUBE 3PT PEDIAZOLE SUSP 100ML PEDIAZOLE SUSP 5ML PEDS BILILITE DAILY PEEL-AWAY SHEATH SET PELVIC EXAM PEN G 2.5MU PB PEN G 5MU PB PEN VK 100ML PEN VK STARTER PENCIL 2.5 LEAD-INACTIVE PENICILLIN G 1MU PB PENICILLIN G 3MU PB PENICILLIN G 4MU PB PENICILLIN G 500KU PB PENICILLIN G SDV 20MU IV PENICILLIN G SDV 5MU IV PENICILLIN PROCAINE 600 PENICILLIN VK 5ML PENICILLIN VK TAB PENILE IMPLANT PENROSE DRAIN PENROSE DRAIN 1" PENROSE DRAIN 1/2" PENROSE DRAIN 1/2" PENROSE DRAIN 3/4" PENROSE TUBING 1/4 INCH PENTAMIDINE 300MG PB PENTASA PENTOTHAL PFS IV

75.00 16.00 0.00 0.00 0.00 26.00 23.00 15.00 50.00 66.00 2.00 6.00 30.00 12.00 7.00 48.00 33.00 11.00 70.00 2.00 2.00 46.00 5.00 5.00 37.00 7.00 11.00 11.00 85.00 85.00 85.00 85.00 85.00 34.00 9.00 57.00 72.00 84.00 120.00 140.00 22.00 17.00 260.00 114.00 124.00 127.00 111.00 78.00 45.00 36.00 8.00 8.00 0.00 8.00 10.00 10.00 10.00 10.00 10.00 312.00 9.00 108.00

06132 03266 05326 04935 04936 03117 10240 61327 62909 61328 62908 61329 05804 60998 02872 04552 04115 05771 02791 61331 61332 61333 61334 61335 61336 61337 61338 61339 61340 61341 61342 61343 61344 61345 61346 61347 61348 61159 61160 61349 61350 61351 61355 61354 61352 61353 61330 61356 61357 61829 05291 05303 04118 61358 62186 20202 05142 03267 10015 05759 62583 60490

PEP THERAPY EQUIPMENT PEPCID PB 20MG PEPCID PB 40MG PEPCID SDV PEPCID TAB PEPTO BISMOL 120ML PER Q-CATH TRAY-INACTIVE PER-Q-CATH EXCALIBUR INTRODUCER PER-Q-CATH INTRODUCER 4 FRENCH PER-Q-CATH TRAY 3FR. PER-Q-CATH TRAY 4 FRENCH PER-Q-CATH TRAYS 2FR. PERATIVE PERC NEPHROLITH PERC RENAL CATHETER PERCOCET TAB PERCODAN TAB PERCOGESIC TAB PERCUCUT BIOPSY NEEDLE PERCUFLEX PLUS (4.8 X 10) PERCUFLEX PLUS (4.8 X 12) PERCUFLEX PLUS (4.8 X 14) PERCUFLEX PLUS (4.8 X 16) PERCUFLEX PLUS (4.8X 18) PERCUFLEX PLUS (4.8X20) PERCUFLEX PLUS (4.8X22) PERCUFLEX PLUS (4.8X24) PERCUFLEX PLUS (6X26) PERCUFLEX PLUS STENT W/GUIDE (6X24) PERCUFLEX PLUS STENT W/GUIDE (7X22) PERCUFLEX PLUS STENT W/GUIDE (7X24) PERCUFLEX PLUS STENT W/GUIDE (7X26) PERCUFLEX PLUS STENT W/GUIDE (7X28) PERCUFLEX PLUS URETERAL STENT (6X30) PERCUFLEX PLUS W/STIFF GUIDE (6X22) PERCUFLEX PLUS W/STIFF GUIDE (6X28) PERCUFLEX STENT 6X22 PERCUFLEX URETERAL STENT (6FRX22CM) PERCUFLEX URETERAL STENT (6FRX24CM) PERCUFLEX URINARY DIVERSION (6X80) PERCUFLEX URINARY DIVERSION (7.3X80) PERCUFLEX URINARY DIVERSION (8.3X80) PERCUTANEOUS ACCESS SET PERCUTANEOUS CATH INTRODUCER 6FR. PERCUTANEOUS CATH INTRODUCER 7FR. PERCUTANEOUS CATH INTRODUCER 8FR. PERCUTANEOUS INTRODUCER KIT PERCUTANEOUS PED SUPRAPUBIC (8FR) PERCUTANEOUS SHEATH INTRO TRAY(8.5) PERCUTANEOUS SHEATH INTRODUCER PERDIEM 100GM PERI ANAL CREAM PERI COLACE TAB PERI GYN PACK PERI PADS-DOZEN PERI/GYN PACK PERIACTIN 5ML PERIACTIN TAB PERICARDIOCENTESIS PERIDEX PERINEAL COLD PAD PERINEAL NO-RINSE SPRAY

71.00 134.00 142.00 58.00 15.00 11.00 185.00 59.00 78.00 185.00 142.00 185.00 16.00 0.00 236.00 16.00 11.00 6.00 35.00 461.00 461.00 461.00 461.00 461.00 461.00 354.00 354.00 366.00 354.00 366.00 354.00 366.00 354.00 376.00 354.00 366.00 404.00 407.00 407.00 502.00 412.00 412.00 238.00 24.00 24.00 24.00 156.00 131.00 126.00 61.00 17.00 21.00 8.00 17.00 7.00 20.00 11.00 15.00 1,082.00 28.00 7.00 7.00

62626 62626 04124 05779 03469 62430 62431 00726 62781 03800 04215 30102 04129 08071 05198 04139 04131 04132 08072 04136 05172 04144 04146 62525 62937 62938 61371 61365 61363 61364 61366 61367 61370 62848 62957 62958 61368 61369 04151 05314 04988 03100 30363 06385 06384 04161 61372 61373 63063 63062 61374 61375 61376 61377 04162 04163 04164 61189 03037 05190 04783 61378

PERITONEAL DIALYSATE 2.5%-6L.BAG PERITONEAL DIALYSATE 2.5%-6LBAG PERITRATE PERSANTINE 10MG/2ML PERSANTINE TAB PHACO CASSETTE PHACO CASSETTE PHACO SET PHANTOM 5 BALLOON CATH 5MM PHARMACY MISC PHENERGAN AMP INJ PHENERGAN STARTER PHENERGAN SUPP PHENERGAN SYRUP 30ML PHENERGAN SYRUP 5ML PHENERGAN TAB PHENERGAN VC 5ML PHENERGAN VC/COD 5ML PHENERGAN/COD 30ML PHENERGAN/CODNE 5ML PHENOBARB ELIXIR 5ML PHENOBARBITAL TAB PHENOBARBITAL TUBEX IV PHILADELPHIA COLLAR PHILADELPHIA COLLAR - LG. 3 1/4" PHILADELPHIA COLLAR - LG. 5 1/4" PHILADELPHIA COLLAR MED 5 1/4 PHILADELPHIA COLLAR- LARGE 5 1/4 PHILADELPHIA COLLAR-LARGE 3 1/4 PHILADELPHIA COLLAR-LARGE 4 1/4 PHILADELPHIA COLLAR-MEDIUM 3 1/4 PHILADELPHIA COLLAR-MEDIUM 4 1/4 PHILADELPHIA COLLAR-SM 5 1/4 PHILADELPHIA COLLAR-SM 5 1/4' PHILADELPHIA COLLAR-SM. 3 1/4 PHILADELPHIA COLLAR-SM. 4 1/4 PHILADELPHIA COLLAR-SMALL 3 1/4 PHILADELPHIA COLLAR-SMALL 4 1/4 PHISOHEX 150ML PHOSLO PHOSPHOLINE IODINE PHYSOSTIGMINE AMP PICCLINE INSERTION PILE RING PAD-LG PILE RING PAD-SMALL PILOCARPINE EYE DROPS PIN COVERS-RED PIN COVERS-YELLOW PIN GUARDS - GREEN .062 PIN GUARDS - WHITE .045 PIN GUARDS BLUE 0.035 PIN GUARDS ORANGE 0.188 PIN GUARDS YELLOW 0.028 PINCOVERS BLUE PIPRACIL 2GM IVPB PIPRACIL 3GM IVPB PIPRACIL 4GM IVPB PIRANAHA BX FORCEP 3FR PITOCIN 10 UNIT IV PITOCIN 20 UNITS PITRESSIN AMP 20U INJ PLA MENISCUS ARROW 10MM

49.00 46.00 15.00 124.00 12.00 231.00 231.00 423.00 518.00 0.00 40.00 30.00 17.00 12.00 11.00 12.00 11.00 15.00 16.00 15.00 9.00 12.00 46.00 111.00 48.00 48.00 44.00 107.00 107.00 111.00 111.00 111.00 111.00 48.00 44.00 44.00 107.00 107.00 47.00 9.00 105.00 61.00 127.00 9.00 9.00 57.00 17.00 17.00 8.00 8.00 17.00 17.00 17.00 17.00 151.00 168.00 188.00 569.00 48.00 61.00 61.00 406.00

61379 61380 30161 05550 62815 62489 61381 61382 61383 61384 61385 61866 61079 04171 05887 05642 05991 11193 11192 05521 05081 05473 05404 61387 61386 62276 62275 62278 62279 62277 61388 05631 04174 04179 61389 06382 61390 61391 04180 05606 05242 05701 61392 04444 04182 04445 61393 61394 62555 62502 61395 62617 62185 61396 05844 06224 06493 03068 04183 05312 00744 61398

PLA MENISCUS ARROW 13MM PLA MENISCUS ARROW 16MM PLAN B PLAQUENIL PLASMA SECT. LARGE LOOP DEVICE PLASTER BANDAGE PLATE 10 HOLE 241.10 PLATE-10 HOLES 3.5 DCP 248.10 PLATE-2 HOLES 3.5MM DCP PLATE-7 HOLES 3.5MM DCP PLATE-8 HOLES 3.5MM DCP PLATE-ORTHOPEDIC PLATELET INFUSION SET PLATINOL SDV 50MG IV PLAVIX 75MG PLENDIL 5MG PLETAL 50MG PNEUMO/CHEST TUBE INSERTION KIT PNEUMO/NEEDLE ASPIRATION KIT PNU-IMUNE INJ PODOPHYLLUM 25% #15ML POLI GRIP POLOCAINE 2% POLY CS 57 .140 POLY CS 57 .170 POLY PLUG INTRAMEDULLARY 11MM POLY PLUG INTRAMEDULLARY 13MM POLY PLUG INTRAMEDULLARY 15MM POLY PLUG INTRAMEDULLARY 17MM POLY PLUG INTRAMEDULLARY 9MM POLY URET CATH WHISTL TIP POLY-HISTINE DM 5ML POLY-VI-FLOR (ALL) POLY-VI-SOL (ALL) POLYESTER PAD POLYESTER PILE SLING POLYPROPYLENE BUTTONS 14MM POLYSORB 4.0-PC 13 POLYSPORIN EYE OINT POLYSPORIN OINT 30GM POLYSPORIN PKT POLYTRIM EYE DROP POLYURETHANE URETERAL CATHETERS PONTOCAINE 0.3% AMP INJ PONTOCAINE 0.5% EYE PONTOCAINE EYE OINT POOLE SUCTION POPE EAR WICK POPE EAR WICK POPE NASAL PACKING POPE NASAL PACKING PORT-A-CATH EXTRACTOR PORT-A-CATH NEEDLE 22G X 1 1/2 PORTEX BRONCH SWIVEL ADAPTER POSICOR 50MG POST OFFER SCREENING POST OFFER SCREENING POTASSIUM CL 30ML POTASSIUM CL SDV POTASSIUM PHOSPHATE SDV POWER EQUIPMENT USAGE POWERED LDS 15 W DISP. STAPLER

416.00 406.00 85.00 12.00 623.00 7.00 119.00 286.00 200.00 253.00 266.00 0.00 15.00 499.00 15.00 26.00 16.00 277.00 104.00 48.00 82.00 9.00 50.00 683.00 764.00 295.00 295.00 295.00 295.00 295.00 35.00 11.00 34.00 32.00 37.00 10.00 7.00 12.00 66.00 16.00 6.00 66.00 25.00 48.00 63.00 45.00 11.00 10.00 10.00 38.00 44.00 8.00 26.00 36.00 17.00 107.00 107.00 15.00 47.00 24.00 106.00 170.00

05944 05489 20297 05764 04991 03269 03409 61188 05681 61400 04196 04194 04191 61402 61405 62801 61403 61407 61408 05846 05826 07504 61409 61410 05669 05519 61412 61413 61414 05749 30160 05227 62042 61179 05711 04715 03271 04992 03273 05268 05778 60165 60158 62345 62346 04198 30106 30155 63090 63091 04219 04202 04204 04981 03275 05628 62237 05382 05926 62675 62676 61417

PRANDIN 2MG PRAVACHOL PRE-EMP PHYSICALS PRECOSE 50MG PRED FORTE EYE SOLN PREDNISOLONE TAB PREDNISONE TAB PREFILL HUMIDIFIER 500 ML PREGESTIMIL #1 LB. PREM. MULTIFIRE TA 30 V-3 D.L.U. PREMARIN SDV IV PREMARIN TAB PREMARIN VAG CREAM PREMIUM EXTRACTOR PREMIUM MULTIFIRE TA 90 4.8 PREMIUM MULTIFIRE TA 90-4.8 PREMIUM MULTIFIRE TA-90 3.5 D.L.U. PREMIUM SURGICLIP M-11.5 PREMIUM SURGICLIP S-9.0 PREMPHASE TAB PREMPRO TAB PREP PVP 4OZ PREP TRAY, SURG DURAPREP PREP, PVP 4OZ PREP. H SUPP PREPIDIL PRESSURE MONITORING KIT PRESSURE MONITORING KIT 2X2 PRESSURE MONITORING KIT W/TRANSDUCER PREVACID 15MG PREVACID 30MG IVPB PRILOSEC 20MG PRIMARY PUMP SET PRIMARY SET PRIMATENE MIST PRIMAXIN 500MG SDV PRIMAXIN PB 1GM PRIMAXIN PB 500MG PRIMAXIN PB 750MG PRINIZIDE TAB PRIVINE PRO BLOCK II, 22 G 80MM PRO BLOCK II, 22G 40 MM PRO BLOCK NEEDLE - 40MM PRO BLOCK NEEDLE - 80MM PRO-BANTHINE TAB PROAMATINE 5MG PROBIOTICA TAB PROBLOCK DISP. INSULATED NEEDLE 40MM,22G PROBLOCK DISP. INSULATED NEEDLE 80MM,22G PROCAINAMIDE CAP PROCAINAMIDE MDV IV PROCAN SR PROCARDIA 10MG CAP PROCARDIA XL 30MG PROCARDIA XL 60MG PROFORE BANDAGE PROGESTERONE IN OIL PROGRAF 0.5MG PROLENE HERNIA SYSTEM 3" - MED. PROLENE HERNIA SYSTEM 4" - LG. PROLENE MESH 6X6 (PM-M)

15.00 16.00 107.00 12.00 63.00 15.00 11.00 6.00 127.00 135.00 132.00 12.00 99.00 11.00 436.00 183.00 185.00 156.00 155.00 12.00 16.00 8.00 20.00 2.00 6.00 213.00 70.00 84.00 56.00 16.00 207.00 26.00 59.00 31.00 30.00 109.00 252.00 188.00 218.00 15.00 17.00 28.00 28.00 34.00 32.00 12.00 20.00 7.00 32.00 34.00 15.00 120.00 15.00 15.00 17.00 24.00 61.00 76.00 15.00 736.00 736.00 90.00

05753 05300 04944 04212 05819 04646 05523 05720 04220 05512 05719 05301 05722 03767 05366 05646 05290 04225 62381 05977 30015 08099 04878 03009 05458 08108 05107 04229 04230 62429 62964 03280 05776 07570 62393 61418 05980 05981 05535 30118 30093 05638 62702 61441 01386 61104 63080 63081 05424 61419 61420 05565 08008 04233 03527 50027 05251 05269 62425 62661 62660 04240

PROLIXIN 2.5MG IV PROLIXIN ELIXIR 1ML PROLIXIN TAB PROLOID TAB PROMOD PROPINE EYE SOLN PROPULSID PROPULSID 1MG/ML 10ML PROPYLTHIOURACIL CAP PROSCAR PROSED DS PROSOM TAB PROSTEP PROSTIGMIN IV PROSTIN E2 3MG/5ML PROSTIN E2 SUPP 20MG PROSTIN VR 500MCG/ML PROTAMINE SULFATE 50MG IV PROTECTIVE CAP FOR WIRE PROTONIX 40MG PROTONIX 40MG IVPB PROVENTIL 30ML PROVENTIL RESP 3ML PROVENTIL SA TAB PROVENTIL SOL 3ML PROVENTIL STARTER PROVENTIL SYRUP 5ML PROVENTIL TAB PROVERA TAB PROVISC .85ML PROXIMA FLUID COLLECTION POUCH PROZAC CAP PROZAC LIQUID 5ML PT HOSPICE PTFE COATED GUIDEWIRE .038 PUDDLE VAC FLOOR SUCTION DEVICE PULMICORT INHALER PULMICORT NEBS TX PULMOCARE #8OZ PULMOZYME #30 PULMOZYME NEBS #30 PULMOZYME RT PULSE OXIMETER MITT PUMP DAILY PUMP SET WITH FILTER PUMP TUBING PUNCH PUNCH TAP PURINETHOL TAB PURSE STRINGERS 65 PURSUER 16MM HELICAL BASKET PYRAZINAMIDE 500MG PYRIDIUM STARTER PYRIDIUM TAB PYRIDOXINE (B6) TAB Patient Payment-BD QUESTRAN QUIBRON QUICK FIT KNEE BRACE-POST OP QUICK TRACH-ADULT QUICK TRACH-PEDS QUINAMM 260 MG TAB

107.00 11.00 15.00 12.00 35.00 62.00 15.00 16.00 12.00 16.00 11.00 11.00 17.00 61.00 426.00 1,558.00 526.00 50.00 6.00 26.00 207.00 12.00 21.00 15.00 21.00 12.00 11.00 11.00 12.00 215.00 20.00 17.00 21.00 182.00 36.00 56.00 202.00 55.00 12.00 2,618.00 3,481.00 78.00 3.00 50.00 59.00 41.00 407.00 66.00 17.00 212.00 317.00 12.00 22.00 12.00 7.00 0.00 15.00 12.00 319.00 467.00 467.00 11.00

04241 03046 04242 04244 06025 62503 61421 03283 04930 61422 61423 63003 62640 62641 62642 61424 62771 63009 63011 63010 63012 61425 61426 61427 61428 62234 62943 61429 61430 50102 62998 62997 61431 61432 61433 00821 00798 61434 10204 1204 61436 62928 62872 05427 05426 50053 04247 03287 03288 05660 04252 05176 04253 04254 05889 03018 62313 62312 05189 05441 61437 61438

QUINIDEX TAB QUINIDINE GLUCONATE MDV IV QUINIDINE TAB QUININE CAP R.T ASSIST 15 MINUTES R2 PACE PAD R2 PACE PAD (ADULT) RABIES IMMUNE GLOB INJ RACEMIC/EPI RESP-TX RADIAL ARTERY CATH SET RADIAL JAW BX, SERRATED WITH NEEDLE RADIAL JAW HOT BIOPSY FORCEPS RADIUS LOOP ELECTRODE RADIUS LOOP ELECTRODE RADIUS LOOP ELECTRODE RAP-PAC (FOR ACL REPAIR) RAPID FIRE BAND LIGATOR RAPID RHINO NASAL PAC 4.5CM ANTERIOR RAPID RHINO NASAL PAC 5.5CM ANT AIRWAY RAPID RHINO NASAL PAC 5.5CM ANTERIOR RAPID RHINO NASAL PAC 7.5CM ANT/POST-AIR RAYMOND SHOULDER IMMOBILIZER RAYMOND SHOULDER IMMOBILIZER RAYMOND SHOULDER IMMOBILIZER RAYMOND SHOULDER IMMOBILIZER RAYMOND SHOULDER IMMOBILIZER XS RAYTEX SPONGE RAYTEX SPONGES RCA QUICK ANCHOR REASON NOT CHECKED RECIPROCATING SAW RASP STRGHT CUT-LARGE RECIPROCATING SAW RASP STRGHT CUT-SMALL RECON PLATES 6 HOLES 3.5MM RECON PLATES 7 HOLES 3.5MM RECON PLATES 8 HOLES 3.5MM RECOVERY ROOM BASIC RECOVERY ROOM EXTEND RECTAL TUBE RED RUBBER BULBS-INACTIVE RED RUBBER BULBS-INACTIVE REDDICK-SAGE RETRACTOR KIT REFLEX ULTRA #55 ARTHROCARE WAND REFLEX ULTRA 45 PLASMA WAND REFRESH OPHT DROPS REFRESH OPHT OINT REFUNDS A/R REGITENE SDV INJ REGLAN 20MG IVPB REGLAN 40MG IVPB REGLAN 5MG IVPB REGLAN 5MG/ML SDV REGLAN SYRUP 5ML REGLAN TAB REGONOL AMP IV REGRANEX #15GMS REGROTON TAB REGULAR 3.5 CARTRIDGE REGULAR 3.5 INSTRUMENT RELABELING CHARGE RELAFEN RELIAVAC FLAT DRAIN RELIAVAC FLAT DRAIN 1/4"

12.00 69.00 11.00 7.00 0.00 133.00 133.00 215.00 28.00 49.00 235.00 79.00 34.00 34.00 34.00 520.00 712.00 56.00 69.00 59.00 69.00 96.00 96.00 86.00 96.00 79.00 2.00 11.00 452.00 265.00 265.00 606.00 641.00 669.00 177.00 57.00 8.00 598.00 491.00 166.00 479.00 438.00 24.00 27.00 0.00 201.00 118.00 126.00 108.00 34.00 11.00 11.00 40.00 824.00 16.00 471.00 726.00 11.00 15.00 22.00 21.00

61439 05928 05983 30052 05468 02592 05976 62715 62713 62716 62714 05796 62623 62250 03289 62684 62200 62201 60532 61440 61442 61444 61445 61443 05311 62580 61446 90991 50079 40424 30304 10017 20224 61447 05835 05712 05993 02260 61448 61449 61450 61451 05252 03077 03292 30044 61455 61456 04267 05675 05922 04268 62533 03294 30099 04272 61457 63057 63058 63059 63060 61458

RELIAVAC ROUND DRAIN LG REMERON 15MG REMICADE 100MG REMINYL 4MG RENOGRAFIN 50ML RENOGRAFIN INJ REOPRO DRIP REPAIR KIT FOR 13.5FR. DUAL LUMEN CATH REPAIR KIT FOR 7FR. DUAL HICKMAN REPAIR KIT FOR DUAL LUMEN CATH REPAIR KIT-6.6FR. SINGLE LUMEN BROVIAC RESERPINE 0.1MG RESISTATOR RESERVOIR-LATEXFREE RESPIRATORY PROBE RESTORIL CAP RESTRICTED DEPTH KNIFE RESUSCITATOR CHILD W/MASK RESUSCITATOR, ADULT W/MASK RESUSCITATOR, INFANT W/MASK RETENTION SUTURE BOLSTER RETROMAX ENDOPYELOTOMY (7/14X22) RETROMAX ENDOPYELOTOMY (7/14X26) RETROMAX ENDOPYELOTOMY (7/14X28) RETROMAX ENDOPYLEOTOMY (7/14X24) RETROVIR SYRUP 5ML RETURN ELECTRODE REUSABLE ICE BAG 3" REVERSE ER OVERFLOW BED REVERSE FOR NSF CHECK REVERSE OUTPATIENT ROOM CHARGE REVERSE OUTPATIENT ROOM CHARGE REVERSE OUTPATIENT ROOM CHARGE REVERSE OUTPATIENT ROOM CHARGE REVO CANNCELLOUS SCREW 4MM REZULIN 200MG RHINOCORT INHALER RHINOCORT SPRAY #5ML RHYTHM STRIP RIB BELT 24"-48" RICHARD BIT 3/165' RICHARD DRILL BIT 6" .136" DIA RICHARD DRILL BIT 6" 1/8" DIA RIDURA RIFADIN CAP RIFAMPIN 250MG 60ML RIFAMPIN 600MG IVPB RIGIFLEX OTW BALLOON DIALATOR RIGIFLEX OTW BALLOON DIALATOR RIOPAN SUSP 360ML RISPERDAL 4MG RITALIN 10MG RITALIN TAB ROADRUNNER TF WIRE GUIDE ROBAXIN SDV IV ROBAXIN STARTER ROBAXIN TAB ROBERTAZZI NASAL AIRWAY ROBERTAZZI NASAL AIRWAY 24FR. ROBERTAZZI NASAL AIRWAY 26FR. ROBERTAZZI NASAL AIRWAY 28FR. ROBERTAZZI NASAL AIRWAY 30FR. ROBERTAZZI NASAL AIRWAY 32FR.

21.00 20.00 2,181.00 19.00 108.00 22.00 1,213.00 233.00 272.00 233.00 238.00 9.00 55.00 38.00 15.00 56.00 45.00 45.00 45.00 17.00 657.00 540.00 657.00 540.00 17.00 34.00 8.00 988.00 10.00

421.00 21.00 89.00 118.00 70.00 55.00 50.00 50.00 50.00 15.00 20.00 32.00 280.00 605.00 605.00 21.00 30.00 15.00 12.00 326.00 40.00 30.00 15.00 15.00 18.00 18.00 18.00 18.00 17.00

61460 61461 05012 08165 05155 05167 30162 05163 05113 05706 06537 05026 03295 03300 05556 03301 05024 05023 05391 05285 05156 20244 20245 30343 30303 30344 40440 40446 11144 20240 30340 10010 11140 61462 62650 61463 61464 61465 62280 61467 05093 30086 50042 50043 50023 62561 05446 05129 03022 03302 30345 61468 06544 06551 06545 07495 62433 62319 62320 30009 62179 60180

ROBINSON URETHERAL CATH, 14FR. ROBINSON URETHRAL CATH 16FR. ROBINUL SDV IV ROBITUSSIN AC 30ML ROBITUSSIN AC 5ML ROBITUSSIN DAC 5ML ROBITUSSIN DM 4 OZ ROBITUSSIN DM 5ML ROBITUSSIN SYR 5ML ROCALTROL ROCEPHIN 1-1.5GM PB ROCEPHIN IVPB 1GM IV ROCEPHIN IVPB 250MG IV ROCEPHIN IVPB 2GM IV ROCEPHIN IVPB 3GM ROCEPHIN IVPB 500MG IV ROCEPHIN SDV 1GM IV ROCEPHIN SDV 250MG IV ROMAZICON 0.5MG/5ML RONDEC RONDEC SYRUP 5ML ROOM & BOARD AWING-PVT ROOM & BOARD AWING-SEMI ROOM & BOARD BWING NRSY ROOM & BOARD BWING PVT ROOM & BOARD BWING-ICU ROOM & BOARD CWING-PVT ROOM & BOARD CWING-SEMI ROOM & BOARD NURSERY ROOM & BOARD-A-WING ROOM & BOARD-B-WING ROOM & BOARD-ICU ROOM & BOARD-NURSERY ROTEC. ENDO-MINI SHEARS ROTICULATOR 30-3.5 ROTICULATOR 55 (4.8) ROTICULATOR 55 3.5MM ROTICULATOR 55 POLY .200 ROUND BUR XLONG 4MM ROUND TIP-5 ROXANOL 20 MG/ML ROXICODONE 5MG RRH DISCOUNT RRH INS ADJUSTMENT RRH INSURANCE PMT RSV KIT RU-TUSS DE RYNATAN PEDI 5ML RYNATAN TAB RYTHMOL TAB Room & Board Bwing OB2bed S VHS VIDEOTAPE S.V. MINERALS-FCE 1ST 4HRS S.V. MINERALS-FCE ADD'L HR S.V. MINERALS-POS SAF-CLENS 12 OZ SAF-CLENS 12 OZ. SAFETY BUTTERFLY 19G. SAFETY BUTTERFLY 23G. SALAGEN 5MG SALEM SUMP 10F SALEM SUMP 12FR

15.00 15.00 36.00 16.00 11.00 11.00 16.00 11.00 9.00 12.00 270.00 214.00 151.00 335.00 331.00 171.00 134.00 66.00 131.00 12.00 11.00 1,061.00 1,030.00 1,030.00 1,061.00 723.00 1,061.00 1,030.00 1,030.00 0.00 1,030.00 2,600.00 598.00 214.00 709.00 584.00 712.00 712.00 170.00 242.00 12.00 16.00 0.00 0.00 0.00 20.00 12.00 9.00 11.00 16.00 1,030.00 58.00 595.00 150.00 96.00 26.00 23.00 3.00 3.00 12.00 26.00 26.00

62180 60203 62181 05457 03303 30011 30036 05508 30017 07493 10241 61469 61470 04973 03210 05645 61471 61472 61473 61474 61475 61542 62745 10243 10242 10244 62333 61476 62374 62375 61477 61478 61479 61481 61480 04510 03023 61482 61483 61484 03306 04289 60780 03081 07551 61485 61488 08383 05052 62382 61489 62394 60612 04995 62924 05651 04291 04709 05403 05342 04296 04297

SALEM SUMP 14F SALEM SUMP 16FR SALEM SUMP 18F SALIVA SUBSTITUTE SALUTENSIN SANDIMMUNE 25MG SANDIMMUNI 100mg IVPB SANDOSTATIN 100MCG SANDOSTATIN 500MCG SANI PANTIES X-LARGE SANI PANTIES-INACTIVE SANI PANTIES-XLARGE SANITARY BELTS SANSERT TAB SANTYL OINT 15GM SANTYL OINT 30GM SAPHIRE SUCTION RESERVIOR SARATOGA SUMP DRAIN 34FR SARATOGA SUMP DRAIN 40FR SCANLAN BLUE MAXI SURGI-I-LOOPS SCANLAN RED MAXI SURGI-I-LOOPS SCD DAILY SCD SET-UP CHARGE SCD SLEEVE-LARGE-INACTIVE SCD SLEEVE-REGULAR-INACTIVE SCD SLEEVE-SMALL-INACTIVE SCD STERILE SLEEVE SCHANG SCREW 4MM/3MM SCHANZ SELF-DRILLING SCREW 5.0MM SCHANZ SELF-DRILLING SCREW 5.0MM-200 SCHINDLER EAR PACKING SCHUKNECHT WIRE PISTON 140124 SCHUKNECHT WIRE PISTON 140125 SCHUKNECHT WIRE PISTON 140126 SCHUKNECHT WIRE PISTON 140127 SCOPOLAMINE PATCH SCOPOLAMINE SDV/IV SCRUB SHEATH 30 DEGREE 4MM SCULTITUS BINDER SEAL-UP DISP.55MM CONVERTER SECONAL CAP SECONAL PFS IV SECONDARY SET SECTRAL CAP SECURE IT CATH TUBE FASTENER SEGURA BASKET 3.0 FR.(16MM) SEGURA BASKET 4.5FR.4 WIRE SELDANE STARTER SELDANE TAB SELF DRILLING SCHANZ SCREW 200MM SELF TAPPING CORTEX SCREWS SELF-TAPPING CORTEX SCREW-50MM SELF-TAPPING SCREW-36MM 4.5MM SELSUN SHAMPOO SEMITUBULAR PLATE 5 HOLE SENOKOT SYRUP 5ML SENOKOT TAB SENSORCAINE (ALL) INJ SENSORCAINE 0.75% SEPTRA IVPB SER-AP-ES TAB SERAX CAP

26.00 26.00 26.00 12.00 16.00 12.00 187.00 124.00 239.00 8.00 2.00 2.00 7.00 16.00 116.00 145.00 15.00 36.00 36.00 15.00 15.00 23.00 46.00 163.00 147.00 130.00 246.00 134.00 301.00 301.00 17.00 293.00 293.00 293.00 293.00 32.00 38.00 81.00 142.00 17.00 15.00 46.00 12.00 16.00 1.00 483.00 395.00 17.00 15.00 301.00 40.00 37.00 45.00 56.00 104.00 6.00 9.00 47.00 45.00 234.00 15.00 16.00

05853 05576 61491 61492 30074 05897 05803 62219 60293 61493 63082 62071 61495 61496 61497 61498 62229 61499 61500 61501 61502 61503 61504 61528 61505 20264 62301 62300 62299 61506 62517 61459 61507 61508 61411 61509 50013 40415 61510 00823 07522 62436 07524 62437 50101 61511 04308 05179 04310 04311 63076 63077 04996 62827 61512 61513 61514 62459 04314 03053 03198 61320

SERENTIL TAB SEREVENT SEROMA CATH/BULB SEROMA CATHETERS SEROQUEL 100MG SEROQUEL 25MG SERZONE TAB SET COLLECTION-STERILE DISP SET FOR PALL FILTER SET UP PACK SGARLATTO PAIN PUMP SHAVE PREP TRAY SHEATH SET SHEATH SET SHEATH SET SHEATH SET SHEEHY COLLAR BUTTON SHEEHY PORP SHEEHY TORP SHEET, HIP W/PCKT SHEET, LAP TRANSVERSE SHEET, OPTHALMOLOGY BARRIER SHEET, SPLIT W/ABS REINFRCMNT SHIELD, SIMPULSE SOFT SPLASH W/TIP SHIRLEY WOUND DRAIN SHORT IV INFUSION SHORT KNEE BRACE-LGE SHORT KNEE BRACE-MED SHORT KNEE BRACE-SMALL SHOULDER COLD THERAPY SHOULDER IMMOBILIZER SHOULDER PROSTHESIS SHOULDER SUSPENSION KIT SHOWERHEAD YANKAUER SUCTION SHUR CLENS SHUTTLE-RELAY SIERRA COMCARE PYMT SIGMOIDOSCOPE TRAY SIGMOIDOSCOPIC SUCTION SIGMOIDOSCOPY/ANOSCOPY SIGNADRESS 5X5 HCD DRESSING SIGNADRESS 5X5 HCD DRESSING SIGNADRESS 7X8 HCD DRESSING SIGNADRESS 7X8 HCD DRESSING SIGNATURE NOT RECEIVED SILICONE CLAMP COVERS (STERILE) SILVADENE 1000GM SILVADENE 20GM SILVADENE 400GM SILVADENE 50GM SILVASORB 4 X 4 DRESSING SILVASORB WOUND GEL SILVER NITRATE APPL SIMPLE SPLINT SIMPLEX CEMENT FULL DOSE SIMPLEX ENHANCEMENT MIXER SIMPULSE PLUS IRRIGATOR SIMPULSE VARICARE SUCTION IRRIG. SINEMET TAB SINEQUAN 5ML SINEQUAN CAP SINGLE STEP PELVIC DRAPE

12.00 87.00 41.00 97.00 22.00 12.00 12.00 20.00 6.00 7.00 467.00 9.00 54.00 66.00 66.00 66.00 28.00 428.00 428.00 97.00 35.00 81.00 27.00 46.00 27.00 52.00 319.00 348.00 348.00 96.00 79.00 0.00 204.00 24.00 15.00 110.00 0.00 38.00 16.00 72.00 15.00 12.00 40.00 36.00 11.00 181.00 34.00 106.00 40.00 28.00 46.00 24.00 22.00 248.00 231.00 93.00 197.00 16.00 15.00 15.00 170.00

05893 02383 00842 61515 61516 61517 30048 62361 62740 62445 06029 61519 61520 61518 50030 60419 06383 10235 05630 04326 08110 03307 62427 50038 60530 61657 62160 62883 62721 61521 63027 62389 62391 61523 61522 30026 05878 07499 61525 61524 61526 03062 04331 03106 62597 62598 04999 05507 04780 04987 61527 07519 63014 62996 62932 62491 62689 61529 61530 61531 61532 05101

SINGULAIR 10MG SINOGRAFIN SINUS SET SITE MACROBORE PHACO PACK SITE PHACO + SLEEVE PACK SITZ BATH SKELAXIN 400MG SKIN STAPLER 35W SKIN TEMP SKIN TEMP SLEEP STUDY OVERNIGHT ROOM CHARGE SLEEVE, THIGH LENGTH SCD-LG SLEEVE, THIGH LENGTH SCD-XSM SLEEVE, THIGHLENGHT SCD-REG SLIDING SCALE FEE PROGRAM SLIMLINE DOYLE SLING SLIPPERS CHILDREN MED.-INACTIVE SLO BID CAP SLO-PHYLLIN 15ML SLO-PHYLLIN 30ML SLOW MAG TAB SM. DISK APTEFORM GRAFT MATERIAL SMALL BALANCE W/O SMALL CIRCLE KUGEL SMALL OVAL KUGEL SMALL T-PLATE 4H/4 SHAFT-56MM SMALL TUBULAR BANDAGE SMART SET SMART TIP CURVED SCISSOR TIP SMOKE ASPIRATION TIP SMOOTH K-WIRE 1.6MM SMOOTH K-WIRE 1.6MM (NONSTERILE) SNYDER HEMOVAC 400CC (LG) SNYDER HEMOVAC EVACUATOR SOD ACETATE 20mE2SDV SOD BICARB RT 3ML SOD CHL IRR W/HNG 1000ML SOD CHL IRR W/HNG 1000ML SOD CHL IRR W/HNG 1500ML SOD CHL IRRG FLEX 3000ML SODIUM BICARB 4.2% PEDI SODIUM BICARB PFS SODIUM BICARB TAB SODIUM CHLORIDE 250 ML SODIUM CHLORIDE 250ML SODIUM CHLORIDE CONC SODIUM CHLORIDE TABS SODIUM EDECRIN SDV SODIUM PHOSPHATE SDV SOF BRAND BULKY BANDAGE SOF BRAND BULKY BANDAGE SOF FORM KLING 2" BANDAGE SOF-FORM KLING 3" BANDAGE SOF-FORM KLING 4" BANDAGE SOFROL SOFT FLEX CATHETER 6FR. X 24CM SOFT TISSUE BIOPSY DEVICE SOFT TISSUE DEVICE 3.5 SOFT TISSUE DEVICE 5.0 SOFT TISSUE DEVICE 5.2 SOFT TOUCH DEVICE

12.00 62.00 408.00 160.00 45.00 23.00 12.00 75.00 70.00 56.00 510.00 163.00 130.00 147.00 0.00 27.00 26.00 59.00 9.00 11.00 16.00 12.00 564.00 0.00 680.00 584.00 215.00 2.00 28.00 173.00 30.00 24.00 20.00 183.00 144.00 47.00 16.00 10.00 10.00 9.00 24.00 67.00 87.00 9.00 4.00 4.00 40.00 11.00 96.00 38.00 8.00 8.00 1.00 1.00 1.00 6.00 312.00 82.00 17.00 17.00 17.00 43.00

05304 05445 05444 04337 04348 04340 04343 04350 04351 30101 04353 05948 61533 62750 61534 62069 62068 62067 62070 62853 05042 05589 62696 30301 11160 40445 63078 61535 06590 62230 61536 61537 62987 62353 62352 61538 61539 61540 30145 61541 61543 61544 07512 61545 30073 05777 61548 61547 62638 04286 06547 06546 11135 11125 11145 11150 11130 04366 05485 62371 61549 62794

SOLU-CORTEF 100MG PB SOLU-CORTEF 25MG PB SOLU-CORTEF 50MG PB SOLU-CORTEF SDV IV SOLU-MEDROL 125MG SDV SOLU-MEDROL 1GM SDV SOLU-MEDROL 40MG SDV IV SOLU-MEDROL 500MG SDV SOMA CMPD TAB SOMA STARTER SOMA TAB SONATA 10MG SOOTH & COOL PERINEAL WASH SOOTHE & COOL SKIN CREAM, 2 OZ SORB-MANITOL FLEX SORBA VIEW DRESSING-LRGE SORBA VIEW DRESSING-MED SORBA VIEW DRESSING-SM SORBA VIEW DRESSING-XL SORBAVIEW, BABY DRESSING SORBITOL 70% 30ML SOTRADECOL 3% AMP SPARC URETHRAL SLING SPECIAL CARE B-WING SPECIAL INFANT CARE SPECIAL RX CHG-15MIN INCREMENTS SPECIMEN SOCK SPECIMEN TRAP SPEECH EVAL-NO SHOW CHARGE SPEEDBAND BAND LIGATOR SPHERICAL BURR (5.5MM) SPINAL ANESTHESIA TRAY SPINAL ANESTHESIA TRAY SPINAL NEEDLE 22G X 5 1/2" SPINAL NEEDLE 25G X 5 1/2" SPIRAL ELECTRODES SPIRAL TIP CATHETER 4FR SPIRAL TIP CATHETER 5FR SPIRIVA SPLASH SHIELD W/TIP SPONGE, LAP PW 18"X18" SPONGE, NU GAUZE 4"X4" SPONGE, NU GAUZE 4X4 SPONGE, TONSIL STR MED 7/8" SPORANOX 250MG IV SPORANOX CAP SPROTTE SPINAL NEEDLE (24G.) SPROTTLE NEEDLE (25G) SQUARE LOOP ELECTRODE SSKI 60ML SSUSD-PPS EDUCATION PACKET SSUSD-PPS EDUCATION, 1HR STABILIZATION 6 TO 12 HRS STABILIZATION 0 TO 6 HRS STABILIZATION 12 TO 18 HRS STABILIZATION 18 TO 24 HRS STABILIZATION 18 TO 24 HRS STADOL INJ STADOL NASAL SPRAY STAINLESS STEEL WIRE-24G STANDARD NOZZLE STAPLE REMOVER

120.00 109.00 114.00 61.00 45.00 280.00 33.00 87.00 15.00 30.00 12.00 12.00 15.00 4.00 28.00 11.00 7.00 6.00 15.00 2.00 15.00 57.00 1,517.00 62.00 62.00 37.00 9.00 17.00 24.00 770.00 40.00 80.00 62.00 33.00 48.00 10.00 52.00 52.00 92.00 37.00 15.00 4.00 4.00 12.00 664.00 28.00 52.00 52.00 34.00 34.00 4.00 150.00 849.00 425.00 1,274.00 1,700.00 1,488.00 45.00 142.00 48.00 84.00 3.00

61550 06001 61552 61553 61554 61551 06552 04367 61555 61556 61557 61558 61559 61560 61561 61562 61563 61564 05060 62235 62311 61568 61566 61565 61567 61569 62524 61570 62588 62929 61284 61571 02540 02874 61572 06506 30094 06526 30095 06072 61573 05647 00753 62495 62217 62218 62216 62211 62212 62213 62214 62215 10050 61574 61575 61587 61588 61585 61579 61580 61581 61582

STAR SLEEVE STARLIX 120MG STATAK SOFT TISSUE ANCHOR STATAK SOFT TISSUE ANCHOR 2.5 STATAK SOFT TISSUE ANCHOR 3.5 STATAK SOFT TISSUE ANCHOR 5.0 STATE FUND ERGONOMIC SERVICE STATROL EYE SOLN STEINMAN PINS .035 (K-WIRE) STEINMAN PINS .045 (K-WIRE) STEINMAN PINS .062 (K-WIRE) STEINMAN PINS 1/8 STEINMAN PINS 3/16 STEINMAN PINS 3/32 STEINMAN PINS 5/32 STEINMAN PINS 5/64 STEINMAN PINS 7/64 STEINMAN PINS 9/64 STELAZINE TAB STERI STRIP 1X5 STERI-DRAPE STERI-DRAPE (40x40) 1020 STERI-DRAPE 1017 STERI-DRAPE 1051 STERI-DRAPE 1060 STERI-SLEEVE STERI-STRIP STERI-STRIP CLOSURES 1/8"x3" STERILE 4X4 GAUZE STERILE 4X4 GAUZE SPONGE STERILE PREMIUM ORTHO WRAP STERILE SLEEVES STERILE TRAY STERILE TRAY STERILE VAGINAL SPECULUM STERILE WATER 1000ML STERILE WATER 10ML STERILE WATER 1500ML STERILE WATER 30ML STERILE WATER BAG STERILE WATER LC 1000 STIMATE STOCKINETTE STOCKINETTE STOCKINETTE, BIAS 4" STOCKINETTE, BIAS 6" STOCKINETTE, BIAS 8" STOCKINETTE, TUBULAR 2" STOCKINETTE, TUBULAR 3" STOCKINETTE, TUBULAR 4" STOCKINETTE, TUBULAR 6" STOCKINETTE, TUBULAR 8" STOCKINETTE-INACTIVE STOCKING, ANTI-EMBOLISM KNEE STOCKING, ANTI-EMBOLISM KNEE STOCKING, ANTI-EMBOLISM KNEE STOCKING, ANTI-EMBOLISM KNEE STOCKING, ANTI-EMBOLISM KNEE STOCKING, ANTI-EMBOLISM KNEE STOCKING, ANTI-EMBOLISM KNEE STOCKING, ANTI-EMBOLISM THIGH STOCKING, ANTI-EMBOLISM THIGH

204.00 21.00 294.00 423.00 358.00 358.00 150.00 59.00 31.00 31.00 31.00 31.00 31.00 31.00 31.00 31.00 31.00 31.00 12.00 8.00 8.00 31.00 31.00 31.00 31.00 7.00 8.00 8.00 4.00 1.00 23.00 8.00 35.00 40.00 12.00 72.00 11.00 72.00 19.00 23.00 60.00 822.00 6.00 23.00 20.00 20.00 20.00 20.00 20.00 57.00 20.00 20.00 332.00 17.00 17.00 17.00 18.00 24.00 17.00 21.00 31.00 31.00

61583 61584 61586 61576 61577 61578 05450 61589 61590 07513 61591 61592 61593 61594 61595 61596 61597 61598 61359 61601 62930 05180 00564 04377 04376 62705 62706 62707 61603 61216 62460 62527 61606 61607 62560 61093 61610 61611 10249 61612 61613 62550 61614 61615 61616 05118 04381 05000 05045 04382 05046 05832 05398 63089 07562 07580 07538 07560 07547 07550 07541 07544

STOCKING, ANTI-EMBOLISM THIGH STOCKING, ANTI-EMBOLISM THIGH STOCKING, ANTI-EMBOLISM THIGH STOCKING, ANTI-EMBOLISM THIGH STOCKING, ANTI-EMBOLISM THIGH STOCKING, ANTI-EMBOLISM THIGH STOMA/ZINC #40 OZ STOMAHESIVE 8X8 STOMAHESIVE PASTE STOMAHESIVE PASTE STOMAHESIVE POWDER STOMAHESIVE SKIN BARRIER STOMAHESIVE WAFER 1 1/2" STOMAHESIVE WAFER 2 1/4" STOMAHESIVE WAFER 2 3/4" STOMAHESIVE WAFER 4" STOMAHESIVE WAFER W/ 1 1/4" FLANGE STOMAHESIVE WAFER W/ FLANGE 1 3/4" STONE RETRIEVER WIRE BASKET STRAIGHT MINI GUIDEWIRE STRATASORB 6 X 7 1/2 STREPTOKINASE 1.5MU IV STRESS TEST STUART NATAL 1+1 TAB STUART PRENATAL TAB STYLETTE FOR TUBE SIZES 2.5 - 4.5 STYLETTE FOR TUBE SIZES 5.0 - 7.0 STYLETTE FOR TUBE SIZES 7.5 - 10.0 STYLOCATH W/L CONNECTOR SUBCLAVIAN PROCEDURE TRAY SUCT DIVERTER WOUND TIP W/SPLSH SHLD SUCTION SUCTION CATHETER 18FR SUCTION COAG PENCIL (12FR.) SUCTION ORAL BRUSH SUCTION SET-UP SUCTION TRAY 10 FR. SUCTION TRAY 14 FR. SUCTION TRAY 14FR-INACTIVE SUCTION TUBE ATTACHMENT DEVICE SUCTION TUBING N610 SUCTION VALVE SUCTION, FRAZIER W/ VENT 12 FR SUCTION, YANKAUER OPEN TIP SUCTION, YANKAUER OPEN TIP SUDAFED SYRUP 5ML SUDAFED TAB SUFENTA 50MCG/ML SULAMYD EYE OINT SULAMYD EYE SOL SULAPRED EYE SOLN 5ML SULAR 10MG SULTRIN VAG CR #45GMS SUN GLIDE STYLETTE, GREEN, ADULT SUP 102-THERABAND STRIP SUP 115 - XYLOCAINE JEL SUP 116/DURAPORE TAPE 2" SUP 123-CONVEX DURAHESIVE WAFER SUP 128-NORMAL SALINE 20ML BOTTLE SUP 129/HUBER NEEDLE SUP 130-OSTOMY POUCH 70MM SUP 131-SHAMPOO CAP/READY BATH

31.00 31.00 31.00 31.00 31.00 31.00 71.00 46.00 28.00 27.00 23.00 12.00 15.00 15.00 15.00 15.00 15.00 15.00 323.00 23.00 10.00 1,342.00 150.00 11.00 8.00 15.00 15.00 15.00 44.00 309.00 56.00 28.00 4.00 25.00 7.00 31.00 11.00 11.00 11.00 11.00 8.00 24.00 8.00 8.00 8.00 8.00 8.00 57.00 63.00 75.00 59.00 15.00 109.00 7.00 10.00 44.00 3.00 17.00 9.00 20.00 6.00 4.00

07545 07546 07548 07565 07567 07568 07571 07572 07577 07573 07575 07576 07579 07582 07583 62914 62573 05973 05594 05595 05596 05575 61617 05423 05371 61618 61619 61600 62739 63092 61620 05250 07558 07559 62504 00373 00824 00825 00826 00827 61621 61622 61623 61624 62693 61638 61629 61635 61625 61642 61632 61640 61634 61628 61630 61639 61643 61626 61627 61636 61633 61644

SUP 132/READY BATH/WASH CLOTH ANTIBACT SUP 133 - STERILE SURGEON GLOVES/PER PR SUP 134/TENDER WET SYSTEM 4X4 SUP 145 - KY LUB JELLY SUP 146 - DAKINS SOLUTION SUP 147-VERSIVA DRESSING 5.5 X 5.5 SUP 151 / HY TAPE 1" SUP 152 / AUTO LOCK CLSD POUCH 57MM SUP 153 - ARGLAES ANTIMICROBIAL 4X4 DRES SUP 155 - TEGEDERM 4 X 5 1/2 SUP 156 - TENDER WET 3X3 SUP 157 - TENDER WET 4X4 SUP 160 - STRATASORB COMP DRESSING 6 X 6 SUP 161 - SEMORAL FRACTURE SOCK SUP 164 - IV 3000 OP SITE DRESSING 6 X 6 SUPER FLUFF SPONGE 6 X 6 3/4" SUPER SPONGE-MEDIUM SUPLENA #802 SUPRANE 15 MINUTES SUPRANE 30 MINUTES SUPRANE 45 MINUTES SUPRANE ANES 1HR SUPRAPUBIC CATH 8X16 SUPRAX 400MG TAB SUPRAX SUSP 5ML SUR-FIT UROSTOMY POUCH 1 1/2"FLANGE SUR-FIT UROSTOMY POUCH 1 1/4"FLANGE SURE-TEMP CAUTERY (HIGH TEMP) SURESITE TRANSPARENT 2 X 3 SURESITE TRANSPARENT 4 X 5 SURETAC 2 WITH SPIKES 8MMX16MM SURFAK CAP SURFIT UROSTOMY POUCH DRN BAG SURFIT UROSTOMY STOMA FLEX WAFER SURG CAUTERY(HIGH & LOW) SURGERY CRASH CART SURGERY ROOM $24MIN SURGERY ROOM 1 HR SURGERY ROOM 1HR/3STF SURGERY ROOM 1HR/4STF SURGI SAFE ABSORBANT PAD SURGICAL BLADE S-5700 SURGICAL BLADE S-6400 SURGICAL CAUTERY-DISPOSABLE LOW TEMP SURGICAL CLIPPER BLADE ASSEMBLY SURGICAL NEEDLES 1822-10D SURGICAL NEEDLES 1822-12D SURGICAL NEEDLES 1824-2D SURGICAL NEEDLES 1824-3D SURGICAL NEEDLES 1824-4D SURGICAL NEEDLES 1824-5D SURGICAL NEEDLES 1824-6D SURGICAL NEEDLES 1827-2 1/2 D SURGICAL NEEDLES 1827-4D SURGICAL NEEDLES 1842-12D SURGICAL NEEDLES 1842-14D SURGICAL NEEDLES 1842-16D SURGICAL NEEDLES 1842-2D SURGICAL NEEDLES 1842-2D SURGICAL NEEDLES 1842-6D SURGICAL NEEDLES 1849 D SURGICAL NEEDLES 1860-1D

4.00 1.00 10.00 2.00 90.00 15.00 7.00 4.00 37.00 5.00 6.00 7.00 5.00 36.00 3.00 4.00 17.00 17.00 27.00 48.00 76.00 96.00 178.00 34.00 21.00 10.00 10.00 40.00 1.00 3.00 471.00 8.00 9.00 11.00 40.00 1,190.00 25.00 1,389.00 1,431.00 1,475.00 29.00 4.00 4.00 40.00 11.00 16.00 16.00 16.00 16.00 16.00 16.00 16.00 16.00 16.00 16.00 16.00 16.00 16.00 16.00 16.00 16.00 16.00

61637 61641 61631 61645 61646 61647 61648 61649 61650 61651 61652 61653 05917 62356 62554 62355 62303 05916 61654 62283 61655 07497 60699 61658 62782 61659 61660 61661 10250 62400 61663 61664 61665 61666 62443 61667 62868 61672 61673 61674 04389 30127 04391 05584 61675 61676 61677 61678 61679 61680 61681 61682 61683 61684 61685 61686 61687 05048 62509 61688 61689 61690

SURGICAL NEEDLES 1860-2D SURGICAL NEEDLES 1860-3D SURGICAL NEEDLES 1860-4D SURGICAL NEEDLES 1860-6D SURGICAL NEEDLES 1860-8D SURGICAL PATTIES 1" SURGICAL PATTIES 1/2 X 3" SURGICAL PATTIES 1/2" SURGICAL PATTIES 1/4" SURGICAL PATTIES 3/4" SURGICAL SKIN MARKER SURGICAL STAYS SURGICEL 1/2 X 2 SURGICEL 1/2 X 2 SURGICEL 1/2 X 2" SURGICEL 2 X 3 SURGICEL 4X8 SURGICEL 4X8 SURGIGRIP 15MM SURGIGRIP 5MM SURGINEEDLE 150MM LONG SURGIPAD 5X9 SURGIPAD 5X9 SURGIPORT 10MM TROCAR KIT SURGIPORT 10MM TROCAR-LONG SURGIPORT 12MM SURGIPORT 15MM SURGIPORT 5MM TROCAR SURGIPORT 5MM TROCAR KIT-INACTIVE SURGIPORT 7.5MM CONVERTER SURGIPORT CONVERTER 10.5 MM SURGIPORT CONVERTER 3.5 MM SURGIPORT CONVERTER 5.5 MM SURGIPRO 3"X5" MESH OPEN WEAVE SURGIPRO MESH 1X4 SURGIPRO MONO MESH (9"X14") SURGISIS ES MESH 4 X 7 SURGITIE LIGATING LOOP SURGITIE LIGATING LOOP-0 POLY SURGIWAND 11 (5MM) SURMONTIL CAP SURVANTA 8ML SUS-PHRINE AMP INJ SUSTACAL SUT REM TRAY, LITT W/FCP SUT, DERMALON, BLK 2-0, CE-6, 18" SUT, DERMALON, BLK 4-0, PRE-2, 18" SUT, DERMALON, BLK 4-0, PRE-6, 18" SUT, DERMALON, BLK 5-0, PRE-2, 18" SUT, DERMALON, BLK 6-0, PRE-1, 18" SUT, DERMALON, BLK 6-0, PRE-2, 18" SUT, DERMALON, BLK 6-0, PRE-2, 18" SUT, DERMALON, BLK 6-0, PRE-3, 18" SUT, DEX "S", BGE, 2-0, T-20, 36" SUT, DEX "S", BGE, 4-0, CS-1, 27" SUT, DEX ll, GRN, O, MT-20, 36" SUT, DEX ll, GRN, O, TT-20, 18" SUTILAINS OINT 14.2GM SUTURE SUTURE 0 CHROMIC GUT (894H) SUTURE 0 DEXON TT-20 30" SUTURE 0 FLEXON

16.00 16.00 16.00 16.00 16.00 11.00 11.00 11.00 11.00 11.00 10.00 11.00 48.00 33.00 28.00 67.00 110.00 120.00 21.00 17.00 106.00 6.00 6.00 282.00 686.00 252.00 252.00 134.00 213.00 12.00 16.00 20.00 16.00 84.00 92.00 356.00 643.00 67.00 67.00 173.00 15.00 1,893.00 46.00 7.00 11.00 26.00 10.00 17.00 17.00 17.00 10.00 17.00 10.00 29.00 7.00 10.00 14.00 127.00 15.00 17.00 16.00 19.00

61691 61692 61693 61694 61695 61696 61697 62983 61698 61699 61700 61701 61702 61703 61704 61705 61706 61707 61708 62984 61709 61710 61711 61712 61713 61714 61715 61716 61717 61718 61720 61721 61719 62982 62981 61722 61723 61724 61725 61726 61727 61728 61729 62980 61730 61731 61732 61733 61734 61735 61736 61737 61740 61738 61739 61741 61743 61744 61745 61746 61747 61748

SUTURE 0 MAXON SUTURE 0 MAXON (6269-61) SUTURE 0 POLYSORB GS-21 SUTURE 0 SURGILON (1919-61) SUTURE 0 SURGILON (1936-62) SUTURE 0 SURGILON (1972-62) SUTURE 0 SURGIPRO GS-21 SUTURE 0 VICRYL OS-8 SUTURE 1 POLYSORB GS-21 POPOFF SUTURE 1 SURGIDAC 18" TIES SUTURE 1 SURGIDAC GS-25 SUTURE 1 SURGIDAC GS-25 POPOFF SUTURE 10-0 ETHILON (9000G) SUTURE 10-0 ETHILON CS-160-6 12" SUTURE 10-0 PROLENE CIF-4 8" SUTURE 10-0 PROLENE STC-6 8" SUTURE 2 ETHIBOND (MX-69G) SUTURE 2 SURGIDAC GS-21 POPOFF SUTURE 2 SURGIDAC KV 37 SUTURE 2 VICRYL CP SUTURE 2-0 CHROMIC SUTURE 2-0 CHROMIC GUT (D-7145) SUTURE 2-0 CHROMIC GUT (N878H) SUTURE 2-0 CHROMIC GUT (U245H) SUTURE 2-0 MONO (Z498G) SUTURE 2-0 POLYSORB C-14 SUTURE 2-0 POLYSORB GS-12 SUTURE 2-0 PROLENE (8685H) SUTURE 2-0 SURGIDAC GS-22 POPOFF SUTURE 2-0 SURGIGUT PLAIN GS-21 SUTURE 2-0 SURGILON 1919-51 SUTURE 2-0 SURGILON 1926-52 SUTURE 2-0 SURGILON 1936-52 SUTURE 2-0 VICRYL OS-4 SUTURE 2-0 VICRYL PSL SUTURE 3-0 CHROMIC 600-41 SUTURE 3-0 DERMALON 1679-43 SUTURE 3-0 DERMALON 1811-43 SUTURE 3-0 POLYSORB GS-21 CL842 SUTURE 3-0 POLYSORB V-20 POPOFF SUTURE 3-0 PROLENE (8684H) SUTURE 3-0 SILK 1076-41 SUTURE 3-0 SURGILENE CV-331 36" SUTURE 3-0 TRICON P-22 SUTURE 4-0 CHROMIC GUT (U203H) SUTURE 4-0 DERMALON 1771-33 SUTURE 4-0 DERMALON 1811-33 SUTURE 4-0 PLAIN SC-1 18" (1828H) SUTURE 4-0 SILK (709H) SUTURE 4-0 SURGILON 1951-31 SUTURE 5 TRICON C-20 SUTURE 5-0 CHROMIC GUT (K-895H) SUTURE 5-0 DERMALON 18" 1807-23 SUTURE 5-0 DERMALON 1811-23 SUTURE 5-0 DERMALON 1816-23 SUTURE 6-0 CHROMIC DO-5 SUTURE 6-0 ETHILON (697H) SUTURE 6-0 GUT MILD CHR (384-13) SUTURE 6-0 PLAIN GUT DO-5 12" SUTURE 6-0 PROLENE P-3 18" SUTURE 6-0 VICRYL TG100-8 18" SUTURE 7-0 CHROMIC GUT (1797G)

29.00 11.00 9.00 4.00 46.00 37.00 16.00 15.00 19.00 4.00 6.00 21.00 48.00 77.00 63.00 36.00 46.00 24.00 55.00 10.00 10.00 86.00 17.00 17.00 12.00 6.00 6.00 11.00 21.00 5.00 4.00 34.00 46.00 16.00 26.00 4.00 21.00 18.00 8.00 28.00 6.00 3.00 23.00 15.00 12.00 10.00 17.00 11.00 16.00 11.00 25.00 25.00 11.00 17.00 21.00 58.00 10.00 17.00 53.00 12.00 63.00 48.00

61749 61750 61751 61752 61754 61755 61756 61757 61758 61759 61760 61761 61762 61763 61764 61766 61767 61768 61769 61770 61771 60240 61772 61773 60899 61774 61776 61775 62209 61777 61778 61779 61780 61781 62775 61782 61783 61784 61785 61786 61787 61788 61789 61790 61791 61792 61793 61794 61795 61796 61797 61798 60681 61799 60697 61800 61801 61802 61803 61804 61805 61807

SUTURE 8-0 ETHILON (1714G) SUTURE 8-0 VICRYL (J548G) SUTURE AID BOOTIES SUTURE BIOSYN 2-0, V-20 27" SUTURE BRALON 0 GS-21 SUTURE BRALON 0 GS-21 POPOFF SUTURE BRALON 0 GS-22 POPOFF SUTURE BRALON 0 V-30 SUTURE BRALON 0-18" BN186 SUTURE BRALON 1 GS-21 SUTURE BRALON 2-0 18" BN185 SUTURE BRALON 2-0 C-14 SUTURE BRALON 2-0 GS-21 SUTURE BRALON 2-0 GS-21 POPOFF SUTURE BRALON 2-0 GS-22 POPOFF SUTURE BRALON 2-0 V-20 POPOFF SUTURE BRALON 3-0 18" BN184 SUTURE BRALON 3-0 C-13 30" SUTURE BRALON 3-0 C-14 SUTURE BRALON 3-0 V-20 SUTURE BRALON 3-0 V-20 POPOFF SUTURE BRALON 3-0 V20 SUTURE BRALON 4-0 18" BN183 SUTURE BRALON 4-0 V-20 POPOFF SUTURE BRALON-0 GS21 SUTURE DEXON MESH SUTURE EHTICON O (Z340H) SUTURE ETHICON 2-0 (Z339H) SUTURE MAXON 1 T20 SUTURE MONOSOF 2-0 C-15 30" SUTURE MONOSOF 3-0 C-13 SN-641 SUTURE MONOSOF 3-0 C-16 SUTURE MONOSOF 3-0 SC-2 SUTURE MONOSOF 4-0 C-13 SUTURE MONOSOF 4-0 P-12 18" SUTURE MONOSOF 4-0 SC-2 SUTURE MONOSOF 5-0 C-13 SUTURE MONOSOF 5-0 PC-13 SUTURE MONOSOF 6-0 C-12 SUTURE MONOSOF 6-0 P-10 SUTURE PASSER(LG)ROTATOR CUFF REPAIR SUTURE PASSER(MED)ROTATORCUFF REPAIR SUTURE PASSER(SML)ROTATORCUFF REPAIR SUTURE POLYSORB 0 18" SUTURE POLYSORB 0 27" SUTURE POLYSORB 0 GS-21 POPOFF SUTURE POLYSORB 0 GS-23 SUTURE POLYSORB 1 18" SUTURE POLYSORB 1 GS-21 SUTURE POLYSORB 1 GS-21 18" SUTURE POLYSORB 1 GS-22 SUTURE POLYSORB 1 GS-26 SUTURE POLYSORB 1 PRECUT SUTURE POLYSORB 2, TIES 60" SUTURE POLYSORB 2-0 SUTURE POLYSORB 2-0 18" SUTURE POLYSORB 2-0 60" REEL SUTURE POLYSORB 2-0 GS-21 SUTURE POLYSORB 2-0 GS-21 POPOFF 18" SUTURE POLYSORB 2-0 GS-22 SUTURE POLYSORB 2-0 GS-22 18" VIOLET SUTURE POLYSORB 2-0 V-20

35.00 46.00 7.00 5.00 6.00 17.00 19.00 6.00 6.00 6.00 6.00 6.00 6.00 21.00 21.00 24.00 6.00 6.00 6.00 6.00 21.00 20.00 6.00 24.00 20.00 329.00 11.00 6.00 36.00 17.00 7.00 6.00 6.00 8.00 10.00 6.00 7.00 10.00 6.00 10.00 150.00 159.00 150.00 17.00 8.00 38.00 8.00 11.00 6.00 5.00 8.00 15.00 15.00 5.00 8.00 33.00 7.00 8.00 23.00 6.00 27.00 7.00

61808 61809 61810 61811 61813 61812 61814 61815 61816 61817 61819 61818 60700 61821 61822 61823 61824 61031 61825 61826 61827 61828 61830 62818 62912 61831 61832 61833 61834 61835 61836 61837 61838 61839 61840 61841 61842 61844 61843 61845 61846 61847 61848 61849 61850 61851 61852 61853 61854 61856 61858 61857 61859 61860 61861 61862 61863 61864 62207 61855 61868 61869

SUTURE POLYSORB 3-0 18" SUTURE POLYSORB 3-0 C-13 SUTURE POLYSORB 3-0 ESK 8" EL-50L SUTURE POLYSORB 3-0 ESK 8" EL-51L SUTURE POLYSORB 3-0 EST 8" EL-40L SUTURE POLYSORB 3-0 EST 8" EL-41L SUTURE POLYSORB 3-0 GS-21 (CL922) SUTURE POLYSORB 3-0 GS-22 27" CL-829 SUTURE POLYSORB 3-0 GS-23 CL-892 SUTURE POLYSORB 3-0 GS-27 CL-52 SUTURE POLYSORB 3-0 V-20 18" GL-13M SUTURE POLYSORB 3-0 V-20 GL-322 SUTURE POLYSORB 4-0 SUTURE POLYSORB 4-0 18" L-71 SUTURE POLYSORB 4-0 CV-23 UL-214 SUTURE POLYSORB 4-0 P-12 SL-1627 SUTURE POLYSORB 4-0 P-14 SL1641 SUTURE POLYSORB 4-0 PRECUT SUTURE POLYSORB 4-0 SC-2 27" SL654 SUTURE POLYSORB 4-0 V-20 GL321 SUTURE POLYSORB 4-0, P-12 30" SL1637 SUTURE POLYSORB 5-0, CV23 UL213 SUTURE PREMIUM POLY CS-57 015170 SUTURE REMOVAL TRAY SUTURE REMOVAL TRAY SUTURE RETRIEVER SUTURE SOFSILK 0 30" S306 SUTURE SOFSILK 0 C-16 SS678 SUTURE SOFSILK 0 GS-21 CS424 SUTURE SOFSILK 1.0 V-26 30" VS845 SUTURE SOFSILK 2-0 30" S305 SUTURE SOFSILK 2-0 C-15 SUTURE SOFSILK 2-0, V-20 SUTURE SOFSILK 3-0 30" SUTURE SOFSILK 3-0 C-14 18" SUTURE SOFSILK 4-0 CV-11 SUTURE SOFSILK 5-0, CV-23 SUTURE SUGIGUT CHROMIC 0 SUTURE SUGIGUT CHROMIC 0 18" SUTURE SUGIGUT CHROMIC 0 GS-21 30" SUTURE SUGIGUT CHROMIC 0 GS-25 SUTURE SUGIGUT CHROMIC 1 18" SUTURE SUGIGUT CHROMIC 1 GS-21 SUTURE SUGIGUT CHROMIC 1 GS-25 SUTURE SUGIGUT CHROMIC 2 GS-26 SUTURE SUGIGUT CHROMIC 2-0 GS-21 SUTURE SUGIGUT CHROMIC 2-0 GS-21 36" SUTURE SUGIGUT CHROMIC 2-0 GS-22 SUTURE SUGIGUT CHROMIC 2-0 V-20 SUTURE SUGIGUT CHROMIC 3-0 V-20 SUTURE SUGIGUT CHROMIC 4-0 C-13 SUTURE SUGIGUT CHROMIC 4-0 CV-25 SUTURE SUGIGUT CHROMIC 4-0 V-20 SUTURE SUGIGUT PLAIN 0 60" TIES SUTURE SUGIGUT PLAIN 0 GS-23 SUTURE SUGIGUT PLAIN 3-0 GS-21 SUTURE SUGIGUT PLAIN 4-0 P-12 SUTURE SUGIGUT PLAIN 4-0 P-13 SUTURE SURGIGUT CHROMIC 2-0 SUTURE SURGIGUT CHROMIC 2X18" SUTURE SURGIGUT CHROMIC 3-0, C-13 SUTURE SURGIGUT CHROMIC1, GS-21

24.00 8.00 36.00 24.00 21.00 24.00 6.00 8.00 6.00 9.00 17.00 7.00 6.00 5.00 6.00 11.00 9.00 21.00 6.00 6.00 10.00 6.00 502.00 2.00 4.00 12.00 6.00 12.00 6.00 6.00 6.00 6.00 6.00 9.00 6.00 8.00 6.00 17.00 6.00 6.00 6.00 10.00 6.00 6.00 11.00 6.00 6.00 6.00 6.00 8.00 6.00 6.00 6.00 6.00 6.00 6.00 3.00 11.00 7.00 8.00 10.00 6.00

61870 61871 61872 60420 61873 61874 61875 61876 61877 61878 61879 61880 61881 61882 61883 61884 61885 61886 61887 61888 62755 63052 63053 63054 63040 62475 62994 62995 62974 62783 63034 63020 63073 62225 63037 62327 62226 62227 62228 62223 62224 62649 62999 62967 63008 63021 62966 62738 63041 61200 62875 62170 61186 62535 61198 62816 62692 63042 63006 62651 62662 62451

SUTURE SURGIGUT PLAIN 2-0 SUTURE SURGIGUT PLAIN 2-0, 60" SUTURE SURGIGUT PLAIN 2-0, GS-21 SUTURE SURGIGUT-0 SUTURE SURGIPRO 2 GS-18 SUTURE SURGIPRO 2 SC-2 SUTURE SURGIPRO 3-0 CV-13 SUTURE SURGIPRO 3.0 C-14 SUTURE SURGIPRO 3.0 C-16 SUTURE SURGIPRO 4-0 CV-23 SUTURE SURGIPRO 4-0 SC-2 SUTURE SURGIPRO 5-0 CV-23 SUTURE SURGIPRO GS-21 2-0 SUTURE SURGIPRO MESH SUTURE SURGIPRO MESH 14 X 9 SUTURE SURGIPRO O GS-21 SUTURE VICRYL 4-0 PC-12 SUTURE VICRYL 4-0 PC-5 SUTURE VICRYL 5-0 PC-3 SUTURE VICRYL 6-0 PC-1 SUTURE, 0" SURGILON GS-22 30" SUTURE, 1 VICRYL, CT-1, VIOLET 18" SUTURE, 1 VICRYL, CT-1, VIOLET 27" SUTURE, 2-0 VICRYL, MO-4, VIOLET 27" SUTURE, 3-0 PROLENE (8684G) SUTURE, 4-0 BIOSYN P-13 SUTURE, 4-0 PROLENE PS-2 SUTURE, 4-0 VICRYL P-3 SUTURE, 6-0 PROLENE, P-3, 18" SUTURE, BRALON 2-0, V-20 SUTURE, CHROMIC 3-0, 18" PRE-CUT SUTURE, CHROMIC GUT 4-0, P-13, 18" SUTURE, CTD VICRYL 1, VIL, CR/CTX SUTURE, DERMALON 3-0 SUTURE, DERMALON 3-0, P-14, BLK 18" SUTURE, DERMALON 4-0 SUTURE, DERMALON 4-0 SUTURE, DERMALON 4-0 SUTURE, DERMALON 5-0 SUTURE, DERMALON 5-0 SUTURE, DERMALON 5-0 SUTURE, DERMALON 5-0 18" BLACK SUTURE, DERMALON 5-0 BLUE P-13, 18" SUTURE, DERMALON 6-0, PRE-1, BLUE SUTURE, DERMALON, BLUE 6-0, P-13, 18" SUTURE, DERMALON, BLUE, 4-0, P-12 SUTURE, ETHILON 7-0,BLACK,MONO,P-6,18" SUTURE, GORE CV-0 SUTURE, MAXON 3-0 T-19,GS-22 SUTURE, MAXON 4-0 T5 SUTURE, MERSILENE 5 LR,LR GREEN BR-30 SUTURE, MERSILENE 5MM CTX SUTURE, MONOCRYL 3-0 SUTURE, MONOCRYL 3-0 PS-1 SUTURE, MONOCRYL 4-0 SUTURE, MONOSOF 4-0 P-13 BLACK 18" SUTURE, MONOSOF 5-0 P-10 18" SUTURE, MONOSOF 5-0, 18" P-13,BLACK SUTURE, MONOSOF 6-0, P-10, 18" BLACK SUTURE, O T-19 BLACK SUTURE, O" 30 BLACK C-16 SUTURE, PDS11 2-0 SH

6.00 7.00 6.00 6.00 11.00 7.00 12.00 7.00 7.00 12.00 7.00 15.00 10.00 60.00 292.00 7.00 15.00 12.00 15.00 22.00 5.00 59.00 9.00 11.00 11.00 19.00 22.00 20.00 23.00 6.00 4.00 8.00 57.00 10.00 17.00 14.00 10.00 11.00 11.00 32.00 32.00 10.00 7.00 18.00 7.00 17.00 19.00 46.00 11.00 7.00 9.00 85.00 9.00 15.00 23.00 15.00 17.00 16.00 8.00 23.00 6.00 11.00

62171 62969 63032 62935 62940 62975 62206 62169 63033 62362 62666 61889 7226 63018 62769 62839 62973 61765 62934 62789 62632 62631 62631 62717 62951 61201 62208 62916 62920 62447 62448 62365 63074 62456 62855 07505 61890 60259 60147 61891 60453 61820 60252 61908 60466 62350 05396 30082 30081 04393 05143 05939 04941 05416 04407 61892 61893 06553 61894 61895 61896 61897

SUTURE, POLYSORB 2-0 SUTURE, POLYSORB 2-0, 30 VIO PRECUT 218D SUTURE, POLYSORB 3-0 VIOLET, GS-11, 60" SUTURE, POLYSORB 4-0 P-12 18" SUTURE, POLYSORB 4-0 P-12 30" SUTURE, POLYSORB 4-0, CVF23, VIOLET SUTURE, PROLENE 1 M06 SUTURE, SOFSILK 3-0 V20 SUTURE, SOFSILK 3-0, V-20 DT SUTURE, SOFSILK 4-0 C-13 SUTURE, SOFSILK O" 12X30 SUTURE, SPECIAL D5666 SUTURE, SUGILON 2-0, T-3, BLACK SUTURE, SURGIGUT 4-0, P-13, 18" SUTURE, SURGILON 2-0 T-19 BLACK SUTURE, SURGILON 2-0, T-3. BLACK SUTURE, SURGILON 2-0, T-5, BLACK SUTURE, SURGILON 2-0.V-20 SUTURE, SURGILON 3-0 BLACK C-13, 30" SUTURE, SURGILON 3-0 T-5 BLACK SUTURE, SURGILON BRD 3-OT-5BX SUTURE, SURGILON O T-12 BLK GS-21 SUTURE, SURGILON O T-12 BLK GS-21 SUTURE, SURGILON O" PRECUT SUTURE, SURGIPRO 2 GS-26 BLUE SUTURE, SURGIPRO 2-0 GS22 SUTURE, SURGIPRO 2-0 V20 SUTURE, TICRON 1 BLUE 30" T-20 GS-25 SUTURE, TICRON 1, BLUE 6X18 SUTURE, TICRON 3-0 PR-2 SUTURE, TICRON 4-0 PR-1 SUTURE, TICRON PRE-2 SUTURE, VICRYL 0, CTD, VIL, CR/M0-4 SUTURE, VICRYL P-2 SUTURE,MONOSOF 3-0,P-12,18" BLACK SWAB PVP 3PK SWAB, PVP (3/PK) SWAN GANZ BIPOLAR CATHETER SWAN GANZ BIPOLAR PACING KIT SWAN GANZ CATHETER SWAN GANZ CATHETER 7F SWAN GANZ DAILY SWAN GANZ PACEPORT CATHETER 7.5F SWAN GANZ PROCEDURE SWANGANZ CATHETER 7.5F SWEEN CREAM SWEEN CREAM SWFI SWFI 10ML SYMMETREL CAP SYMMETREL SYRUP 5ML SYNAGIS 100MG SYNALAR CR 15GM SYNTHROID SDV IV SYNTHROID TAB SYRINGE, EAR/ULCER REUSE STR 3 OZ. SYRINGE, IRR BULB STR 60CC SYS ERGO SERVICE, HOUR T-TUBE 10FR. T-TUBE 14FR T-TUBE 16FR T-TUBE 18FR

17.00 8.00 15.00 15.00 15.00 4.00 32.00 17.00 15.00 7.00 4.00 16.00 15.00 8.00 23.00 17.00 16.00 5.00 4.00 4.00 20.00 30.00 14.00 2.00 19.00 7.00 12.00 7.00 2.00 25.00 10.00 20.00 77.00 12.00 8.00 7.00 7.00 295.00 272.00 339.00 129.00 94.00 149.00 629.00 138.00 20.00 38.00 11.00 11.00 16.00 12.00 1,828.00 47.00 71.00 15.00 34.00 36.00 150.00 24.00 24.00 24.00 24.00

61898 61899 61900 61901 61902 61903 61904 60471 63050 63051 62187 63019 62992 62990 62993 62991 08372 08172 04417 04411 03308 05158 04413 04415 61905 03532 05946 61906 61907 62373 04418 04419 04937 30003 05982 05676 62954 62956 61909 61915 61911 61912 61913 61914 62942 62931 62962 61207 61910 05747 61916 61917 62538 05641 30018 05049 04424 61918 10254 61919 05159 04429

T-TUBE 20FR T-TUBE 22FR T-TUBE 24FR T.PI H4 H SHAFT 6H/78M 5M T.PI HEAD 3H SHAFT 5M T.PI HEAD 4H SHAFT 5M TA 30 (4.8) STAPLER TA 30 3.5 DLLL TA 30-3.5 SINGLE USE LOADING UNIT TA 90-3.5 SINGLE USE LOADING UNIT TA PREMIUM 90 4.8 DLU TA30-3.5 STAPLER, RELOADABLE, SINGLE USE TA60 - 3.5 SINGLE USE LOADING UNIT TA60 - 3.5 SINGLE USE RELOADABLE STAPLER TA60 - 4.8 SINGLE USE LOADING UNIT TA60 - 4.8 SINGLE USE RELOADABLE STAPLER TAC TAGAMET 300MG STARTER TAGAMET 300MG/2ML SDV TAGAMET IVPB 300MG TAGAMET IVPB 400MG TAGAMET LIQ 5ML TAGAMET LIQUID 30ML TAGAMET TAB TAIL CLOSURE TALACEN CAPLET TALC 4gms TALON EXTRA STRENGTH GRASPING FORCEP TALON NON-RETRACTING GRASPING FORCEP TALON RETRACTING FORCEP TALWIN NX TAB TALWIN SDV IV TAMBOCOR TAMIFLU 12MG\1ML TAMIFLU 75MG TAPAZOLE 10MG TAPE, 1" ORTHO-POROUS, ZONAS TAPE, 3" ORTHO-POROUS, ZONAS TAPE, ADHESIVE PAPER (1"X10 YDS) TAPE, ADHSV KNITTED 1" X 10YRDS TAPE, ADHSV POROUS 1" X 10YRDS TAPE, ADHSV POROUS 2"X10YRDS TAPE, ADHSV POROUS 3"X10YRDS TAPE, DRSNG RETN 6" X 10YRDS TAPE, MEDFIX, CLOTH 1" TAPE, MEDFIX, CLOTH 2" TAPE, ORTHO-POROUS, SPORTS 2" TAPE,ADHESIVE PAPER DSPNR (2"X10YRD) TAPE,ADHSV KNITTED 2"X10YRDS TAR SHAMPOO TAUT CHOLE CATH BLUE TAUT CHOLE CATH RED TAUT LAP CHOLANGIOGRAM CLAMP CATH TAVIST LIQ 5ML TAXOL 300MG TEARFAIR EYE OINT TEARS NATURALE SOL TECKHOFF PERITONEAL CATHETER TECKHOFF PERITONEAL CATHETER-INACTIVE TECNOL KNEE CRUTCH PAD TEDRAL ELIXIR 5ML TEDRAL TAB

24.00 24.00 24.00 278.00 238.00 177.00 465.00 174.00 104.00 124.00 260.00 253.00 127.00 256.00 127.00 256.00 124.00 22.00 50.00 129.00 154.00 15.00 40.00 15.00 7.00 12.00 202.00 519.00 465.00 439.00 12.00 43.00 15.00 166.00 20.00 12.00 3.00 7.00 6.00 5.00 6.00 8.00 11.00 93.00 3.00 6.00 5.00 8.00 7.00 17.00 47.00 47.00 84.00 9.00 5,190.00 33.00 26.00 161.00 153.00 32.00 11.00 9.00

05120 04433 07520 61920 62468 62469 00613 10084 61921 62979 62978 62762 62765 62764 63038 62761 03096 05050 05823 04438 04439 05998 05451 04442 05409 03466 05054 05299 04385 61922 61923 62605 05573 04447 04452 04456 05162 20261 00177 61924 61925 61926 61927 62906 61928 60017 60017 04461 04459 30050 40433 62172 62487 62805 61929 04904 04465 04467 05089 61931 61932 62734

TEGRETOL 5ML TEGRETOL TAB TELFA DRESSING TELFA DRESSING TEMP/ESOPHAGEAL STETH 12FR TEMP/ESOPHAGEAL STETH 18FR TEMPERATURE MONITOR TEMPORARY PACER-DAILY TEMPORARY PREVENOUS LEAD TENDER WET - 3"X3" SQUARE TENDER WET - 4"X4" SQUARE TENDER WET CAVITY 1.6" ROUND TENDER WET CAVITY 2.2" ROUND TENDER WET REG. 2.2" ROUND TENDER WET REG. 4 X 5 TENDER WET REGULAR 1.6" ROUND TENEX TAB TENORETIC TAB TENORMIN 5MG AMP TENORMIN TAB TENSILON MDV IV TEQUIN 400MG TERAZOL TESSALON PERLE TESTOSTERONE INJ TET TOXOID TUBEX INJ TET-DIP TOXOID PEDI INJ TETRACYCLINE 5ML TETRACYCLINE CAP THE GRIPPER 20G X 1 THE HEELER THE RETRIEVER THEO - 24 400MG THEODUR SPRINKLE CAP THEODUR TAB THERAGRAN HEMATINIC THERAGRAN LIQUID 5ML THERAPEUTIC PHLEBOTOMY THERAPUTTY 2 0Z THERAPUTTY-FIRM/BLUE THERAPUTTY-LIGHT/YELLOW THERAPUTTY-XX SOFT/TAN THERAPUTTY-XX SOFT/TAN THERMACHOICE II UTERINE BALLOON CATH THERMADRAPE SET THERMAL SCALPEL THERMAL SCALPEL THIAMINE (B1) SDV THIAMINE (B1) TAB THICK-IT 1 CAN THORACENTESIS THORACENTESIS TRAY THORACENTESIS TRAY THORACENTESIS/PARACENTESIS TRAY THORACOPORT 11.5MM THORAZINE AMP INJ THORAZINE SR CAP THORAZINE SUPP THORAZINE SYRUP 10MG/5ML #5ML THREAD GUIDE WIRE 2.8MM THREADED CANNULA KIT THREE REPLACEMENT NEEDLE/SLEEVE

11.00 12.00 4.00 4.00 21.00 21.00 55.00 127.00 288.00 15.00 16.00 11.00 12.00 11.00 18.00 15.00 15.00 15.00 36.00 15.00 96.00 50.00 84.00 15.00 70.00 44.00 43.00 8.00 8.00 26.00 72.00 220.00 11.00 15.00 12.00 8.00 9.00 104.00 6.00 6.00 6.00 6.00 6.00 1,298.00 84.00 156.00 179.00 40.00 7.00 83.00 211.00 61.00 42.00 82.00 113.00 66.00 16.00 17.00 16.00 92.00 244.00 334.00

05999 05395 05002 10070 62854 62851 62849 62852 62850 04474 03142 04476 61934 62380 62515 05127 05438 07494 61935 61936 61937 61938 04480 04483 05491 10080 04728 05055 04486 03082 05967 30531 30092 05392 05945 03312 05716 03314 05056 05378 05274 07331 61939 04490 62439 04494 04496 04499 62269 61940 61941 30019 04502 05741 05421 04169 08442 61942 00371 00372 60132 00734

THROMBIN 1,000 UNITS THROMBIN KIT THROMBINAR SDV 5MU THROMBO INTRAVENEOUS THUMB SPICA SPLINT THUMB SPICA SPLINT-LEFT L/XL THUMB SPICA SPLINT-LEFT S/M THUMB SPICA SPLINT-RIGHT L/XL THUMB SPICA SPLINT-RIGHT S/M THYRAR TAB THYROID TAB THYROLAR TAB TI KIRSCHNER WIRE 150MM 2.0MM TI TUBE TO TUBE CLAMP TIB/FIB SPLINT TICAR PB TICLID TIELLE DRESSING 11X11 TIELLE DRESSING 11X11 TIELLE DRESSING 15X20 TIELLE DRESSING 18X18 TIELLE DRESSING SACRUM TIGAN SDV TIGAN SUPP TILADE INHALER TILT TABLE TEST-ICU TIMENTIN 3.1 GM IVPB TIMENTIN 3.1GM SDV TIMOPTIC OPTH SOL TITRALAC 360ML TNKASE 50MG TO OR-CSECT TOBI NEBS #56 TOBRADEX EYE SOL TOBRAMYCIN 1.2GMS TOBRAMYCIN 100MG PB TOBRAMYCIN 140MG PB TOBRAMYCIN 80MG PB TOBRAMYCIN SDV IV TOBREX EYE OINT TOBREX EYE SOL TOCOLY INF PMP THER TODDLER FACE MASK TOFRANIL TAB TOGA SYSTEM TOLECTIN TOLINASE TAB TONOCARD TAB TONSIL SPONGE TOOMEY SYRINGE 70CC TOOTHBRUSH, PLAK-VAC (12/BK) TOPAMAX 25 MG TOPICORT 15GM TOPROL XL TORADOL 10MG TAB TORADOL 15 MG - 60 MG TORADOL STARTER TORQUE VISE TOTAL HIP PROSTHESIS TOTAL KNEE PROSTHESIS TOTAL KNEE PROSTHESIS TOURNIQUET

89.00 274.00 133.00 357.00 43.00 43.00 43.00 43.00 43.00 8.00 15.00 15.00 31.00 719.00 182.00 171.00 15.00 21.00 18.00 41.00 59.00 53.00 45.00 15.00 109.00 252.00 155.00 79.00 50.00 22.00 9,548.00 0.00 7,050.00 85.00 1,303.00 163.00 194.00 135.00 57.00 55.00 75.00 170.00 7.00 16.00 127.00 16.00 15.00 16.00 3.00 12.00 19.00 12.00 61.00 17.00 12.00 59.00 22.00 16.00 0.00 0.00 0.00 84.00

61453 62584 05083 05082 61944 62718 62556 62557 62163 62164 62165 62166 62167 62168 62159 60811 60473 61945 62659 62658 62657 05014 50075 06116 61946 60131 63043 04511 61947 61949 61950 05513 30070 61952 61951 04514 50007 05057 03782 03783 05059 03078 04516 05827 05901 62574 07506 30116 30115 30020 03322 61361 61362 03074 61956 61957 61958 61959 61960 61961 61962 61963

TPN PUMP DAILY TPN TUBING TPN-CUSTOM-CENTRAL TPN-CUSTOM-PERIPHRL TRACH CLEANING TRAY TRACH TUBE SIZE 6 FENESTRATED-CUFFED TRACHEAL TUBE EXCHANGER 4.0-6.0 TRACHEAL TUBE EXCHANGER 6.0-8.5 TRACHEAL TUBE, 3.0 TRACHEAL TUBE, 3.5 TRACHEAL TUBE, 4.5 TRACHEAL TUBE, 5.5 TRACHEAL TUBE, 6.0 TRACHEAL TUBE, 7.0 TRACHEAL TUBE, 8.0 TRACHEOSTOMY TRAYQ TRACHEOSTOMY TUBE - 6MM TRACHEOSTOMY TUBE HOLDER TRACHLIGHT WAND-ADULT TRACHLIGHT WAND-CHILD TRACHLIGHT WAND-INFANT TRACRIUM 1ML TRANSFER ACCT BALANCE TRANSFER CHAMBERS TRANSLUMBAR AORTIC SET TRANSLUMINAL V PACING PROBE TRANSOBTURATOR SLING TRANXENE TRAP, MUCUS W/VAC BREAKER 10FR TRAP,MUCUS W/VAC BREAKER 8FR TRAUMA KIT (8.5 FR.) TRAUMACAL TRAVATAN OPHTH 2.5ML TRAY, LUMBAR PUNCTURE PED TRAY,LUMBAR PUNCTURE ADULT TRENTAL TAB TRI-CARE PAYMENT TRIAMCINOLONE CRM TRIAMCINOLONE SDV 10MG TRIAMCINOLONE SDV 40MG TRIAMINIC CHEW TAB TRIAMINIC DROPS 15ML TRIAVIL TAB TRICHOPHYTON TRICOR 67MG TRICUT BLADE 4.0MM TRIFLOW/SUCT CATH TRACH/SUP112 TRILEPTAL # 250ML TRILEPTAL 150MG TRILEPTAL 300MG TRILISATE TAB TRILOGY BALLOON CATHETER 5MM TRILOGY BALLOON CATHETER 7MM TRINALIN TAB TROCAR CATHETER 10FR TROCAR CATHETER 12FR TROCAR CATHETER 16FR TROCAR CATHETER 20FR TROCAR CATHETER 24FR TROCAR CATHETER 28FR TROCAR CATHETER 32FR TROCAR CATHETER 8 FR.

50.00 34.00 989.00 828.00 24.00 118.00 31.00 31.00 24.00 24.00 24.00 24.00 24.00 24.00 24.00 71.00 105.00 16.00 170.00 170.00 170.00 38.00 0.00 57.00 25.00 283.00 1,482.00 17.00 11.00 11.00 85.00 9.00 124.00 52.00 52.00 15.00 0.00 48.00 50.00 116.00 6.00 40.00 16.00 93.00 11.00 372.00 11.00 190.00 16.00 19.00 15.00 657.00 709.00 16.00 93.00 93.00 93.00 93.00 93.00 93.00 93.00 93.00

05662 05943 62742 61964 05730 30164 62497 00844 61965 61966 61967 61968 10227 61969 61970 04534 61975 61973 61974 62722 62254 62256 62477 61976 61977 61978 04535 03072 61981 62905 61982 04536 03067 05123 04544 62534 62581 61983 61984 61985 61986 61987 61988 62390 61989 62326 60523 04875 03050 03049 03051 04546 04550 05305 08369 05105 08384 00840 61990 61991 05783 05780

TROPICAMIDE OPHT SOL TROVAN 200MG IVPB TRU-CUT BIOPSY NEEDLE 14G X 6" TRU-CUT BIOPSY NEEDLE 14G. TRUSOPT 2% EYE DROPS TRYPAN BLUE TUBE GAUZE TUBE GAUZE TUBE GAUZE #56 TUBE GAUZE SIZE 1 TUBE GAUZE SIZE 2 TUBE GAUZE SIZE 3 TUBE, FEEDING-INACTIVE TUBING W/PRE-ASSEMBLED ADAPTER TUBING,OXYGEN 7FR, VINYL TIP TUBOCURARINE MDV 3MG IV TUBULAR PL 1/3 W/ COLAR 8 HOLES/97MM TUBULAR PL 1/3 W/COLAR 6 HOLES/73MM TUBULAR PL 1/3 W/COLAR 7 HOLES/85MM TUBULAR PL 1/3 W/COLLAR 5 HOLE/61MM TUBULAR PLATE 1/3 12 HOLE 145ML TUBULAR PLATE 1/3 9 HOLE 109ML TUBULAR PLATE,1/3 5 HOLE TUBULAR PLATE-1/3 2 HOLE-25MM TUBULAR PLATE-1/3 3 HOLE-37MM TUBULAR PLATE-1/3 4 HOLE-49MM TUCKS TUMS TAB TUNNELER 5 PACK 13" TUOHEY NEEDLE 17G. TUR Y-SET TUSS ORNADE TUSSEND 5ML TUSSIONEX 5ML TUSSIONEX TAB TVT DEVICE TWIST DRILL 3.2MM X 12.7CM TWIST DRILL 5" 1/16 TWIST DRILL 5" 3/32 TWIST DRILL 5" 7/64 TWIST DRILL 5" 9/64 TWIST DRILL 5/32" X 5" TWIST DRILL 7/64" X 5" TWIST DRILL BIT 2MM TWIST IN CANNULA TWIST IN CANNULA TWO PIECE BULB SYRINGE TYLENOL CHEW TAB TYLENOL DROP 15ML TYLENOL ELIXIR 5 OZ. TYLENOL SUPP TYLENOL TAB TYLENOL W/COD TAB TYLENOL XGR. TABLET TYLENOL/COD 30ML ELI TYLENOL/COD ELIX 5ML TYLENOL/COD STARTER TAB TYMPANOPLASTY SET U-BAR PACK U-STERI DRAPE 1015 ULTANE 1 HR ULTANE 15 MIN

34.00 320.00 47.00 57.00 67.00 125.00 4.00 4.00 4.00 4.00 4.00 4.00 3.00 6.00 11.00 76.00 119.00 123.00 115.00 119.00 130.00 137.00 118.00 93.00 97.00 111.00 21.00 7.00 93.00 21.00 25.00 16.00 15.00 11.00 15.00 1,154.00 75.00 45.00 45.00 45.00 45.00 106.00 106.00 75.00 78.00 63.00 3.00 6.00 16.00 20.00 7.00 3.00 11.00 6.00 21.00 11.00 17.00 246.00 51.00 31.00 152.00 46.00

05781 05782 05806 61992 30049 05678 08015 61993 62467 05972 11190 05332 05333 61994 61995 05933 61996 61997 61998 60860 61999 62000 05614 62001 04558 04892 62002 62003 62004 62536 62537 62627 62531 62005 62183 00608 62006 62007 05313 04560 08443 62008 62009 62542 05766 62010 00750 62011 62012 61670 61671 62594 62016 05062 62017 00862 62018 62019 62441 62022 62498 62023

ULTANE 30 MIN ULTANE 45 MIN ULTIVA 1MG INJ. ULTRA SHEARS ULTRACET TAB ULTRAM 50MG ULTRAM 50MG STARTER ULTRASLING (MEDIUM) ULTRASLING - LARGE ULTRAVATE CR. #50GMS UMB CATH SET-UP UNASYN 1.5GM PB UNASYN 3GM PB UNDERBOTTOM DRAPE W/FL CNTRL POUCH UNI BONE PLUG ASSEMBLY KIT UNIPHYL 400MG UNIVERSAL 3 PANEL KNEE SPLINT 16" UNIVERSAL 3 PANEL KNEE SPLINT 20" UNIVERSAL 9" DOUBLE PULL SACRO BELT UNIVERSAL CATH KIT UNIVERSAL CATHETER ACCESS PORT UNIVERSAL PACK, BASIC UNNA BOOT URBAN MICROSCOPE DRAPE URECHOLINE AMP INJ URECHOLINE TAB URETERAL CATH ADAPATOR URETERAL CATHETER OPEN END 6FR URETERAL DILATOR & PROCEDURAL SET URETERAL STENT 6FR./24CM URETERAL STENT 6FR./26CM URETERAL STENT 6FR./28CM URETEROSCOPE CYTOLOGY BRUSH URETHRA MAX KIT (24FR.) URETHRAL CATHETER URETHRAL SLING IMPLANT URINARY DRAINAGE BAG 4 LITER URINARY EXTERNAL CATHETER (MED.) URISED URISPAS URISPAS STARTER URO MAX 2 PLUS BALLOON (6MMX4CM) URO-MAX 2 PLUS BALLOON (6MMX10CM) URO-MAX ULTRA PLUS BALLOON(6MMX10CM) UROCIT-K UROLOGIC G IRRIG UROLOGICAL / GYN EQUIPMENT UROLOGY BIOPSY BRUSH UROLOK ADAPTER UROPASS EXCHANGE 7.0 X 24 CM UROPASS EXCHANGE 7.0 X 26 CM UTERINE CATHETER UTERINE INJECTOR (DISPOSABLE) VACCINE PNEUMOCCAL VACURETTE 9MM CURVED VACURETTE USAGE VACURETTE, STERILE 11MM CURVED VACURETTE, STERILE 12MM CURVED VACUUM MIXING BOWL VAGINAL PACKING (CAVITY) VAGINAL SPECULUM VAGINAL TAPE

62.00 116.00 90.00 506.00 14.00 12.00 36.00 171.00 180.00 142.00 96.00 129.00 142.00 19.00 341.00 15.00 71.00 85.00 64.00 11.00 32.00 38.00 26.00 74.00 50.00 15.00 4.00 31.00 480.00 336.00 355.00 317.00 132.00 200.00 11.00 0.00 33.00 8.00 11.00 15.00 17.00 655.00 670.00 641.00 12.00 24.00 136.00 36.00 482.00 482.00 9.00 79.00 81.00 24.00 129.00 24.00 24.00 210.00 128.00 12.00 7.00

04889 04890 05761 04566 04569 62024 05880 62026 62027 62028 03324 05843 05537 05552 05103 05746 03327 05078 04572 05496 30097 62314 62029 62030 62031 62033 62032 62754 62034 62035 05245 05751 05735 03008 05219 05241 03326 05034 08002 04581 08040 04583 30122 62036 06119 05217 05555 05644 62678 62037 04934 03249 03250 05577 62961 62530 62232 62038 62039 61662 61656 62725

VALISONE 0.1% CR 15GM VALISONE LOT 20ML VALIUM 5MG/5ML VALIUM SDV IV VALIUM TAB VALLEY LAB INSULATED TIP VALTREX 500MG VAMP DIRECT DRAW BLOOD TRANSFER VAMP NEEDLELESS SHIELDED CANNULA VAMP VENOUS ARTERIAL BLOOD MNGMT SYS VANCANESE AQ SPRAY VANCENASE AQ 84MCG VANCENASE AQ U.D. VANCOCIN CAP VANCOMYCIN PB 1.25GM VANCOMYCIN PB 1GM VANCOMYCIN PB 500MG PB IV VANCOMYCIN PB 750 MG VANCOMYCIN SDV IV VANTIN VARIVAX 0.5ML VASCULAR 2.5 CARTRIDGE VASCULAR GRAFT 24X12 VASCULAR GRAFT 26X60 VASCULAR GRAFT 30X50 VASELINE GAUZE 1/2 X 72 VASELINE GAUZE 1X36 VASELINE GAUZE 3X18 VASELINE GAUZE 3X18 VASELINE GAUZE 6X36 VASELINE PKT VASERETIC VASOCIDIN OPHT. SOL VASODILAN TAB VASOPRESSIN 20U/ML IV VASOTEC 2.5MG SDV VASOTEC IVPB VASOTEC TAB VELOSEF 100ML SUSP VELOSEF CAP VELOSEF STARTER VELOSEF SUSP 5ML VENOFER 100MG IVPB VENOUS THROMBECTOMY CATHETER 8FR. VENTILATOR WEANING PARAMETERS VENTOLIN 200MCG ROTACAP VENTOLIN MDI VENTOLIN MDI 2 PUFFS VENTURI OXYGEN MASK VENTURI STYLE OXYGEN MASK VEPESID 100MG SDV IV VERAPAMIL SDV 10MG/4M VERAPAMIL SDV 5MG/2M VERMOX VERSA STEP VERSADERM VERSAPORT 2-3.5 CONVERTOR VERSAPORT 5-12MM VERSAPORT 5-8MM VERSAPORT 5MM TROCAR KIT VERSAPORT 5MM-10MM VERSAPORT V2 TROCAR 5MM REG.

58.00 79.00 9.00 48.00 16.00 20.00 15.00 4.00 4.00 36.00 114.00 140.00 15.00 30.00 385.00 355.00 177.00 218.00 93.00 24.00 197.00 387.00 1,020.00 746.00 746.00 8.00 8.00 3.00 8.00 8.00 6.00 12.00 46.00 15.00 57.00 114.00 152.00 15.00 66.00 16.00 34.00 15.00 250.00 242.00 75.00 17.00 47.00 9.00 5.00 11.00 440.00 110.00 66.00 22.00 297.00 2.00 25.00 218.00 199.00 222.00 179.00 155.00

05623 05731 05640 05925 05611 05013 07564 62040 62041 30065 30066 62043 03199 05334 03494 03493 08041 30077 04627 05632 08374 62411 30148 62044 62845 04585 05286 05927 05862 05718 03328 62045 62046 62911 62282 63022 00513 62047 10259 04591 05136 03691 30126 03036 05244 03372 05559 05337 04883 05674 04648 05325 04994 05569 50054 05249 06005 04592 62457 05951 62562 60168

VERSED 100MG DRIP VERSED 150MG DRIP VERSED 250MG DRIP VERSED 2MG/ML LIQ VERSED SDV 10MG/2ML VERSED SDV 5MG/ML VERSIVA DRESSING 7 1/2 X 9.4 IN VESICA BONE ANCHOR SET VESICA PERCUTANIOUS BNS KIT VFEND 200MG IVPB VFEND 50MG TAB VI DRAPE VIBRAMYCIN 100MG PB IV VIBRAMYCIN 200MG PB IV VIBRAMYCIN CAP VIBRAMYCIN SDV 100MG IV VIBRAMYCIN STARTER VICKS VAPOR RUB #50GMS VICODIN 5MG VICODIN 7.5MG VICODIN STARTER VIDEO TAPE VIGAMOX OPHTH 3ML VIGILON PRIMARY WOUND DRESSING VIGILON WOUND DRESSING VIOFORM HC CREAM VIOKASE VIOXX 25MG VIRA-A EYE OINTMENT VIRAZOLE/SPAG/PUMP VIROPTIC OPTH SOL VISI-FLOW IRRIGATION STARTER SET VISI-FLOW IRRIGATOR VISI-FLOW IRRIGATOR & STOMA CONE VISIPORT 10.5MM VISIPORT PLUS RPF 5-12MM VISIT VISITEC RETROBULBAR NEEDLE 25GX1 1/2 VISITEC-CORTICOL HYDRODISSECTOR-INACTIVE VISKEN TAB VISTARIL 5ML VISTARIL SDV INJ VISTIDE 5MG/ML VITAMIN A CAP VITAMIN A&D PKT VITAMIN B12 SDV INJ VITAMIN B12 TAB VITAMIN C 500MG/2ML VIAL IV VITAMIN C TAB VITAMIN D TAB VITAMIN E CAP VITRON C VIVACTIL TAB VIVONEX PCKT VOID REFUND CHECK VOLTAREN TAB VOLTRAN AUTOMATIC RESUSCITATOR VOSOL HC EAR SOLN VTS PRO DISP. CARTRIDGE VZIG 125 UNITS WANG TRANS BRONCHIAL NEEDLE 21G. WARMING COVER LOWER BODY

699.00 379.00 1,379.00 32.00 103.00 50.00 31.00 816.00 1,238.00 302.00 23.00 212.00 182.00 234.00 16.00 97.00 32.00 17.00 15.00 12.00 16.00 12.00 132.00 11.00 11.00 67.00 12.00 17.00 108.00 5,236.00 164.00 127.00 66.00 54.00 499.00 183.00 42.00 16.00 8.00 12.00 12.00 38.00 2,001.00 7.00 7.00 40.00 4.00 32.00 6.00 6.00 7.00 7.00 12.00 34.00 0.00 15.00 107.00 103.00 2,567.00 478.00 173.00 28.00

60110 62258 62049 62050 62466 61953 61954 61955 62052 62053 62054 62055 62056 62057 62058 62059 62060 62061 62500 61933 30128 05369 05338 04955 62062 62063 50005 50020 50021 50024 50003 50022 62610 62064 07334 62295 50066 50026 62788 62065 62897 62806 62465 50034 04595 04596 04953 03010 04598 50028 50029 50024 50025 62886 10208 05859 04601 03329 62892 62751 62072 05924

WARMING COVER-UPPER BODY WASHER 13.0 MM WATER 1500ML HANG WATER 2000ML FLEX WATER BUG FLOOR SUCTION WECK TREPHINE BLADE (7.75MM) WECK TREPHINE BLADE (8.0MM) WECK TREPHINE BLADE (8.25MM) WECK TREPHINE BLADE 7.0 WECK TREPHINE BLADE 7.25 WECK TREPHINE BLADE 7.5 WECK TREPHINE BLADE 8.5 WECK TREPHINE BLADE 8.75 WECK TREPHINE BLADE 9.0 WECK-CEL SPONGES WECPREP (PREP BLADES) WEDGE RESECTION ELECTRODE (24FR) WEDGE RESECTION ELECTRODE (26FR) WEIMERT EPISTASTIC PACKING WEIMERT NASAL PACKING WELCHOL 625MG WELLBUTRIN 100MG WELLBUTRIN 75MG WESTCORT WETFIELD HEMOSTATIC ERASER WHITE ADAPTER LEG HICKMAN CATH WINDOW PAYMENT-AMERICAN EXPRESS/DISCOVER WINDOW PAYMENT-CASH WINDOW PAYMENT-CHECK WINDOW PAYMENT-DISC/AMERICAN WINDOW PAYMENT-VISA/MASTERCARD BD WINDOW PAYMENT-VISA/MC WINSHIELD WOUND IRRIG KIT WIRE GUIDE WK T-PMP/BIMON HUAM WORD BARTHOLIN GLAND CATH CHIO WORK COMP ADJUSTMENT WORK COMP PAYMENT WOUND CLEANSER 16oz WOUND DRAINAGE COLLECTOR WRIST BRACE - RT. XL WRIST BRACE-LEFT, SMALL WRIST SUPPORT-RT MED WRITE OFF TO BANKRUPTCY WYCILLIN 1.2 MU PFS INJ WYCILLIN 2.4 MU PFS INJ WYDASE SDV WYGESIC TAB WYTENSIN TAB Window Payment Check-BD Window Payment Check-BD Window Payment-Visa/MC BD Window payment cash-BD X-LARGE TUBULAR BANDAGE X-RAY CASSETTE COVER-INACTIVE XALATIN EYE SOLUTION XANAX TAB XERO GAUZE 5X9 XEROFORM 1" X 8" XEROFORM 5X9 XEROFORM DRESSING 5"X9" XOPENEX 3ML

28.00 46.00 12.00 15.00 57.00 319.00 319.00 319.00 319.00 319.00 319.00 319.00 319.00 319.00 17.00 12.00 426.00 426.00 27.00 28.00 19.00 15.00 11.00 51.00 24.00 238.00 0.00 0.00 0.00 0.00 0.00 0.00 31.00 19.00 113.00 61.00 0.00 0.00 16.00 26.00 9.00 9.00 59.00 0.00 50.00 67.00 57.00 15.00 15.00 0.00 0.00 0.00 0.00 3.00 6.00 108.00 16.00 30.00 2.00 3.00 11.00 75.00

02339 02493 30000 60183 60685 05765 04611 05194 05987 05390 03330 04786 05238 04614 05898 03470 05975 05612 05942 62505 62074 03331 30111 05923 05955 62076 03336 05431 05309 05273 04618 05634 05715 05694 05969 05418 05861 08422 05425 05184 05629 05538 04620 30084 05940 62520 05469 05526 03340 05639 03341 04622 04623 04624 08385 05854 05821 04626 30136 05911 05865 05834

XR CHEST EMPLOYEE HEALTH XR RENOGRAFIN-60 50ML XYLO SYR. 2 % 10 ML Y CONNECTOR NEEDLELESS Y-CONNECTOR YUCON 5.4MG YUTOPAR 10MG/ML AMP YUTOPAR TAB ZANOFLEX 4MG ZANTAC 150MG PB ZANTAC 50MG PB ZANTAC SDV ZANTAC SYRUP 5ML ZANTAC TAB ZARONTIN 250MG ZAROXOLYN TAB ZEBETA 5MG ZEMURON ZEPHIRAN 1.5000 ZEROWET ZEROWET ZESTRIL TAB ZETIA 10MG ZIAC TAB ZIAC TAB ZIMMER GIGLI SAW BLADE ZINACEF 0-750MG IVPB ZINACEF 1.5GM IVPB ZINACEF 1GM IVPB ZINACEF 750MG IM ZINC OXIDE OINTMENT ZINC SULFATE CAP ZITHROMAX 1GM PKT SINGLE DOSE ZITHROMAX 200MG/5ML #30ML ZITHROMAX 200MG/5ML #5ML ZITHROMAX 250MG TAB ZITHROMAX PB ZITHROMAX STARTER ZOCOR TAB ZOFRAN 10MG IVPB ZOFRAN 30MG IVPB ZOLOFT 50MG TAB ZOLYSE EYE SOLN ZOMETA 4MG IV ZOMIG 5MG ZONAS TAPE ZOSTRIX ZOSYN 3.375GM PB ZOVIRAX 1GM PB ZOVIRAX 250MG PB ZOVIRAX 2GM PB ZOVIRAX CAP ZOVIRAX OINT ZOVIRAX SDV 500MG ZOVIRAX STARTER ZYBAN 150MG ZYFLO 600MG ZYLOPRIM TAB ZYMAR OPHTH ZYPREXA ZYPREXA 5MG ZYRTEC

0.00 16.00 30.00 17.00 31.00 11.00 285.00 17.00 11.00 158.00 126.00 48.00 15.00 17.00 11.00 15.00 12.00 66.00 100.00 6.00 6.00 16.00 17.00 17.00 12.00 60.00 134.00 198.00 158.00 97.00 27.00 3.00 35.00 89.00 16.00 43.00 89.00 40.00 16.00 199.00 408.00 11.00 116.00 2,350.00 59.00 6.00 66.00 147.00 401.00 135.00 692.00 16.00 114.00 207.00 28.00 12.00 12.00 15.00 140.00 21.00 17.00 22.00

10060 10061 10080 10081 10120 10121 12001 12002 12004 12005 12006 12007 12011 12013 12014 12015 12016 12017 12018 12031 12032 12034 12035 12036 12037 12041 12042 12044 12045 12046 12047 12051 12052 12053 12054 12055 12056 12057 13100 13101 13102 13120 13121 13122 13131 13132 13133 13150 13151 13152 13153 16000 16020 16025 16030 17999 17999 20520

30075 30076 30088 30103 07141 07142 07138 07139 07188 07171 08105 08106 08107 08150 08109 08149 08111 08112 08113 08114 08115 08116 08117 08118 08119 08120 08121 08122 08123 08124 08125 08126 08127 08128 08129 08130 08131 08132 08133 08134 08135 08136 08148 08138 08139 08140 08141 08142 08143 08144 08145 08146 08147 08152 08151 07132 07133 07134 07136 07137 07147 07169

ZYRTEC 5MG/5ML #30ML ZYRTEC 5MG/ML #5ML ZYVOK 600MG ZYVOX 600MG ABSCESS DRAINAGE SIMPLE R L ABSCESS DRAINAGE COMPLEX PILONIDAL CYST SIMPLE PILONIDAL CYST COMPLEX INCISION & RMVL FOREIGN BODY, SIMPLE INC & REMVL FOREIGN BODY COMPLICATED SIMPLE REPAIR LAC UP TO 2.5 CM SIMPLE REPAIR 2.6 TO 7.5 SIMPLE REPAIR 7.6 TO 12.5 SIMPLE REPAIR OF WND 12.6 TO 20.0CM SIMPLE REPAIR 20.1 TO 30.0 SIMPLE REPAIR SUPERFICIAL WND >30.0 SIMPLE REPAIR 2.5 CM OR LESS SIMPLE REPAIR 2.6 TO 5.0 CM SIMPLE REPAIR 5.1 TO 7.5 CM SIMPLE REPAIR 7.6 TO 12.5CM SIMPLE REPAIR 12.6 TO 20.0CM SIMPLE REPAIR 20.1 TO 30.0 SIMPLE REPAIR OVER 30.0CM LAYER CLOSURE OF WOUND 2.5SM OR LESS LAYER CLOSURE OF WOUND 2.6 TO 7.5CM LAYER CLOSURE OF WOUND 7.6 TO 12.5CM LAYER CLOSURE OF WOUND 12.6 TO 20.0 LAYER CLOSURE OF WOUND 20.1 TO 30.0 LAYER CLOSURE OF WOUND OVER 30.0CM LAYER CLOSURE OF WOUND 2.5CM OR LESS LAYER CLOSURE OF WOUND 2.6 TO 7.5CM LAYER CLOSURE OF WOUND 7.6 TO 12.5CM LAYER CLOSURE OF WOUND 12.6-20.0 CM LAYER CLOSURE OF WOUND 20.1-30.0 CM LAYER CLOSURE OF WOUND OVER 30.0 CM LAYER CLOSURE OF WOUND 2.5CM OR LESS LAYER CLOSURE OF WOUND 2.6-5.0 CM LAYER CLOSURE OF WOUND 5.1-7.5 CM LAYER CLOSURE OF WOUND 7.6-12.5 CM LAYER CLOSURE OF WOUND 12.6-20.0 LAYER CLOSURE OF WOUND 20.1-30.0 CM LAYER CLOSURE OF WOUND OVER 30.0 CM REPAIR,COMPLEX 1.1 TO 2.5CM REPAIR,COMPLEX TRUNK 2.6-7.5CM REPAIR,COMPLEX,TRUNK EACH ADD 5CM REPAIR,COMPLEX 1.1 TO 2.5CM REPAIR,COMPLEX 2.6 TO 7.5 CM REPAIR,COMPLEX,EACH ADD 5CM REPAIR,COMPLEX 1.1 TO 2.5CM REPAIR,COMPLEX 2.6 TO 7.5CM REPAIR,COMPLEX EACH ADD 5CM REPAIR,COMPLEX 1.0CM OR LESS RPAIR,COMPLEX 1.1 TO 2.5CM REPAIR,COMPLEX 2.6 TO 7.5CM REPAIR,COMPLEX EACH ADD 5CM INITIAL TX 1ST DEGREE R L DRSG/DEBRIDE SMALL R L DRSG/DEBRIDE MEDIUM R L DRSG/DEBRIDE LARGE R L WOUND IRRIGATION MAJOR WOUND IRRIGATION MINOR MUSCLE SIMPLE FOREIGN BODY RMVL R L

45.00 21.00 185.00 145.00 152.00 152.00 152.00 277.00 152.00 909.00 140.00 182.00 182.00 182.00 182.00 182.00 182.00 182.00 182.00 182.00 182.00 182.00 182.00 182.00 182.00 182.00 182.00 182.00 905.00 182.00 182.00 182.00 182.00 182.00 905.00 182.00 182.00 182.00 182.00 182.00 182.00 905.00 328.00 281.00 281.00 281.00 281.00 281.00 281.00 281.00 281.00 905.00 281.00 281.00 281.00 134.00 134.00 113.00 134.00 140.00 105.00 304.00

20600 20605 20610 23540 23650 24640 27275 27560 29105 29105 29125 29125 29126 29130 29130 29131 29200 29220 29240 29240 29260 29260 29260 29280 29280 29505 29505 29505 29515 29515 29515 29520 29530 29550 2958050 29580LT 29580RT 29590 29705 29730 30300 30801 30901 30903 30905 31500 31603 31605 32000 32000 32000 32000 32000 32000 32002 32020 32020 32020 36010 36415 36415 36415

07178 07179 07180 07192 07190 07189 07103 07191 06471 07181 06472 07182 06473 06474 07183 06479 06333 06334 06335 06480 06339 06336 06481 06337 06482 06343 06491 07184 06331 06492 07185 06332 06338 06341 06302 06305 06304 06342 07186 07187 07159 07165 07166 07167 07168 07172 07174 07173 02760 30312 10023 07198 20206 02883 07199 08100 10025 30314 07115 01791 07105 01709

ARTHROCENTESIS SMALL JOINT ARTHROCENTESIS INTERMEDIATE JOINT ARTHROCENTESIS MAJOR JOINT ACROMIOCLAVICULAR-CLOSED TX CLOSED TX SHOULDER DISC W/MANIPUL NURSEMAID ELBOW CLOSED REDUCTION HIP JOINT UNDER ANESTH CLOSED TX PATELLAR DISLOCATION APPL-LONG ARM SPLINT SPLINT-LONG ARM APPL-SHORT ARM SPLINT,STATIC SPLINT-SHORT ARM APPL-SHORT ARM SPLINT,DYN APPL-FINGER SPLINT,STATIC SPLINT-FINGER APPL-FINGER SPLINT,DYN STRAPPING, THORAX STRAPPING, LOW BACK STRAPPING, SHOULDER STRAPPING-SHOULDER STRAPPING, ANKLE AND/OR FOOT STRAPPING, ELBOW OR WRIST STRAPPING-ELBOW OR WRIST STRAPPING, HAND OR FINGER STRAPPING-HAND OR FINGER APPL OF LONG LEG SPLINT APPL-LONG LEG SPLINT SPLINT-LONG LEG APPL OF SHORT LEG SPLINT APPL-SHORT LEG SPLINT SPLINT-SHORT LEG STRAPPING, HIP STRAPPING, KNEE STRAPPING, TOES UNNA BOOT-BOTH LEGS UNNA BOOT-LT LEG UNNA BOOT-RT LEG STRAPPING, DENIS-BROWNE CAST REMOVAL CAST WINDOWING FB REM INTRANASAL CAUTERIZATION HEMORRHAGE ANT. SIMPLE HEMORRHAGE ANT COMPLEX HEMORRHAGE POST SIMPLE INTUBATION TRACHEOSTOMY TRANSTRACHEAL TRACHEOSTOMY CRICO CT GUIDED THORACENTESIS THORACENTESIS THORACENTESIS THORACENTESIS THORACENTESIS US GUIDED THORACENTESIS CHEST TUBE PNEUMO CHEST TUBE HEMO CHEST TUBE HEMO CHEST TUBE HEMO SUBCLAVIAN R L 1 VENOUS CAPLY PUNCT BLOOD DRAW OTHER FACILITIES MULTIPLE VENOUS/CAP PUNCTURES

159.00 159.00 159.00 124.00 124.00 162.00 189.00 124.00 105.00 132.00 105.00 132.00 127.00 70.00 119.00 127.00 70.00 70.00 70.00 70.00 70.00 70.00 70.00 70.00 70.00 105.00 105.00 154.00 105.00 105.00 154.00 70.00 70.00 70.00 201.00 102.00 102.00 70.00 82.00 82.00 129.00 389.00 166.00 166.00 166.00 337.00 932.00 932.00 728.00 211.00 211.00 275.00 252.00 800.00 275.00 275.00 211.00 211.00 225.00 17.00 27.00 11.00

36425 36425 36425 36430 36430 36430 36489 36489 36489 36489 36489 36489 36489 36491 36540 36540 36600 36600 38220 43265 43265 43760 44799 46221 46608 49080 49080 49080 49080 51700 51702 51703 54160 59025 59025 59025 59025 59025 59409 62270 62270 62270 63056 63707 64550 64550 65205 65220 65222 65435 69200 69210 70030LT 70030RT 70100 70110 70130 70134 70140 70150 70160 70170

30313 10024 07119 07128 20267 01801 07116 30311 10022 40432 40431 40411 07365 07117 20270 07100 07118 10075 40410 01006 01003 07197 08101 00780 07177 08104 30315 10026 40436 07195 07193 07194 30364 00563 00561 00560 00550 00566 07196 07114 30310 10021 00940 20271 06315 06440 07153 07154 07152 07157 07149 07151 02459 25029 02409 02408 02410 02388 02415 02417 02412 02526

CHEST TUBE PNEUMO CHEST TUBE PNEUMO VENIPUNCTURE CUTDOWN >1YR BLOOD TRANSFUSION BLOOD TRANSFUSION CRYOPPT 1 UNIT CVP PLACE-PERC >2YRS R L CVP PLACEMENT CVP PLACEMENT CVP PLACEMENT LUMBAR PUNCTURE PICCLINE INSERTION PICCLINE INSERTION CVP PLACE - CUTDOWN>1YR R L BLOOD COLLECT/PORT-A-CATH BLOOD DRAW/PORT A CATH ARTERIAL PUNCTURE R L ICU ARTERIAL LINE BONE MARROW ASPIRATION 1 PROC LITHOTRIPSY 2 PROC LITHOTRIPSY G-TUBE REPLACEMENT NG TUBE HEMORRHOID BANDING ANOSCOPY, FB REMOVAL PARACENTSIS-PERITONEAL LAVAGE PERITONEAL LAVAGE PERITONEAL LAVAGE PERITONEAL LAVAGE BLADDER RING W/INDWELLING FOLEY CATH PLACE-SIMPLE FOLEY CATH-COMPLICATED CIRCUMCISION FETAL MON TO 18HRS FETAL MON TO 6HRS FETAL MONITOR-12HRS FETAL MONITOR-24HRS NON-STRESS TEST BABY DELIVERY LUMBAR PUNCTURE LUMBAR PUNCTURE LUMBAR PUNCTURE EPIDURAL INJECTION BLOOD PATCH TENS TENS . FB REM CONJUCTIVA R L FB REM CORNEA W/O SLIT R L FB REM CORNEA W/SLIT R L RUST RING REMOVAL R L REM FB EXT CANAL R L CERUMEN REMOVAL R L XR EYE FOR FOREIGN BODY-LEFT XR EYE FOR FOREIGN BODY-RIGHT XR MANDIBLE LTD XR MANDIBLE COMPLETE MIN 4 V XR MASTOID COMPLETE MIN 3 V XR INTERNAL AUDITORY MEATI XR FACIAL BONES (LTD) 3 VIEWS XR FACIAL BONES COMPLETE XR NASAL BONE MIN 3 V DACRYOCYSTOGRAM

211.00 211.00 406.00 268.00 260.00 233.00 406.00 312.00 312.00 745.00 312.00 728.00 728.00 406.00 119.00 119.00 72.00 66.00 239.00 4,211.00 8,421.00 178.00 560.00 27.00 168.00 275.00 211.00 211.00 241.00 163.00 106.00 163.00 210.00 170.00 85.00 93.00 182.00 85.00 840.00 336.00 173.00 173.00 170.00 142.00 70.00 70.00 199.00 199.00 199.00 468.00 79.00 79.00 213.00 213.00 201.00 268.00 294.00 333.00 268.00 333.00 227.00 258.00

70190 70200 70210 70220 70240 70250 70260 70330 70336 70360 70373 70380 70390 70450 70460 70470 70480 70480 70480 70480 70481 70481 70481 70481 70482 70482 70482 70482 70486 70486 70486 70486 70486 70487 70488 70490 70491 70492 70540 70542 70543 70544 70545 70546 70547 70548 70549 70551 70551 70553 70553 7055322 7055322 71010 71010 71010 71020 71020 71020 71021 71022 71023

02414 02416 02455 02456 02450 02398 02458 02534 08601 02464 02394 02446 02538 02600 02605 02610 02618 02615 02617 02616 02623 02620 02622 02621 02628 02625 02627 02626 02489 02630 02631 02632 02629 02635 02640 02645 02650 02655 08602 08603 08604 08681 08644 08637 08645 08646 08639 08605 08635 08606 08636 08701 08700 02421 02397 02420 02588 02345 02344 02343 02347 02384

XR OPTIC FORAMINA XR ORBITS XR SINUS (LTD) XR SINUS COMPLETE XR SELLA TORCICA XR SKULL (LTD) XR SKULL COMPLETE XR TEMPORO-MANDIBULAR JOINT BILAT MRI TMJ W/O CONTRAST XR SOFT TISSUE NECK LARYNGOGRAPHY XRAYS XR SALIVARY GLAND XR SIALOGRAM CT HEAD W/O CONTRAST CT HEAD WITH CONTRAST CT HEAD W/WO CONTRAST CT INNER EAR W/O CONTRST CT ORBIT W/O CONTRAST CT POSTERIOR FOSSA-WO CONTRAST CT SELLA W/O CONTRAST CT INNER EAR W/CONTRAST CT ORBIT WITH CONTRAST CT POSTERIOR FOSSA W/CONTRAST CT SELLA WITH CONTRAST CT INNER EAR W/WO CONTRST CT ORBIT W/WO CONTRAST CT POSTERIOR W/WO CONTRAST CT SELLA W/WO CONTRAST CT FACIAL W/O CONTRAST CT FACIAL W/O CONTRAST CT MAXILLO FACIAL CT SINUSES W/O CONTRAST SINUS IMAGES CT FACIAL W/CONTRAST CT FACIAL W/WO CONTRAST CT SOFT TISSUE NECK W/O CONTRAST CT SOFT TISSUE NECK W/CONTRAST CT SOFT TISSUE NECK W/WO CONTRAST MRI,ORBIT,FACE,NECK W/O CONTRAST MRI,ORBIT,FACE,NECK W/CONTRAST MRI,ORBIT,FACE,NECK W&W/O CONTRAST MRA,HEAD W/O CONTRAST MRA,HEAD W/ CONTRAST MRA HEAD W/WO CONTRAST MRA,NECK W/O CONTRAST MRA,NECK W/ CONTRAST MRA NECK W/WO CONTRAST MRI BRAIN W/O CONTRAST MRI IAC W/O CONTRAST MR BRAIN W/O CONTRAST MRI IAC, W/WO CONTRAST MRI BRAIN W/O CONTRAST>2 MRI IAC>2 CHEST-1V CHEST-PA PHYSICAL XR CHEST 1 VIEW CHEST XRAY AT BMHC CHEST-2V XR CHEST 2 VIEWS XR CHEST W/APICAL LORDOTIC VIEWS XR CHEST W/OBLIQUE VIEWS XR FLUOROSCOPY-CHEST

239.00 280.00 239.00 294.00 201.00 320.00 400.00 333.00 1,597.00 161.00 359.00 239.00 426.00 1,066.00 1,331.00 1,597.00 1,066.00 999.00 1,066.00 999.00 1,198.00 1,198.00 1,198.00 1,198.00 1,464.00 1,411.00 1,464.00 1,411.00 1,198.00 1,198.00 891.00 1,154.00 400.00 1,464.00 1,597.00 999.00 1,198.00 1,411.00 1,865.00 2,130.00 2,396.00 1,865.00 2,130.00 2,396.00 1,865.00 2,130.00 1,865.00 1,865.00 1,865.00 2,396.00 2,396.00 2,396.00 4,164.00 218.00 59.00 147.00 189.00 270.00 187.00 201.00 213.00 333.00

71030 71035 71035 71040 71060 71090 71100LT 71100RT 71110 71120 71130 71250 71250 71250 71250 71260 71270 71550 71551 71552 71555 72020 72020 72020 72040 72050 72052 72070 72072 72074 72080 72090 72090 72100 72110 72110 72114 72120 72125 72126 72127 72128 72129 72130 72131 72132 72133 72141 72146 72148 72156 72157 72158 72170 72170 72190 72192 72193 72194 72195 72196 72197

02342 02313 02346 02524 02522 02595 02440 02576 02438 02466 02532 02660 02667 02666 02786 02665 02670 08691 08693 08694 08692 02341 02315 02314 02396 02361 02340 02474 02473 02487 02476 02533 02535 02434 02596 02402 02401 02400 02675 02680 02681 02685 02690 02691 02695 02700 02701 08607 08609 08611 08608 08610 08612 02425 02424 02331 02705 02710 02715 08696 08697 08695

XR CHEST MINIMUM 4 VIEWS CHEST-EXPIRATION XR CHEST W/ DECUBITUS VIEWS XR BRONCHOGRAM UNILAT XR BRONCHOGRAM BILAT XR PACEMAKER INSERTION XR RIBS UNILATERAL-LEFT XR RIBS UNILATERAL-RIGHT XR RIBS BILATERAL XR STERNUM XR STERNO-CLAVICULAR JOINT CT CHEST/THORAX W/O CONTRAST CT STERNO CLAVICULAR JOINT W/O CT STERNUM CT THORAX CT CHEST/THORAX W/CONTRAST CT CHEST/THORAX W/WO CONTRAST MRI, CHEST W/O CONTRAST MRI,CHEST W/ CONTRAST MRI,CHEST W&W/O CONTRAST MRA, CHEST W/WO CONTRAST XR C SPINE 1 VIEW XR L SPINE 1 VIEW XR T SPINE 1 VIEW XR CERV SPINE 2 OR 3 VIEWS XR C-SPINE 4 VIEWS XR C-SPINE COMPLETE W/FLEX/EXT XR THORACIC SPINE-2 V XR THORACIC SPINE 3 V XR THORACIC SPINE MIN 4 V XR THORACOLUMBAR SPINE 2 V SCOLIOSIS, FLAT & UPR XR SCOLIOSIS STUDY XR LUMBAR SPINE (LTD) 2-3 V LUMBAR XRAY XR LUMBAR SPINE MIN 4 V XR S SPINE COMP & BNDG XR L SPINE BNDG ONLY CT CERV SPINE W/O CONTRST CT CERV SPINE W/CONTRST CT CERV SPINE W/WO CONT CT THOR SPINE W/O CONTRAST CT THOR SPINE W/CNTRST CT THOR SPINE W/WO CONTRAST CT LUMB SPINE W/O CONTRAST CT LUMB SPINE W/CNTRST CT LUMB SPINE W/WO CONTRAST MRI C SPINE W/O CONTRAST MRI T SPINE W/O CONTRAST MRI LUMBAR SPINE W/O CONTRAST MRI C SPINE, W/WO CONTRAST MRI T SPINE W/WO CONTRAST MRI L SPINE, W/WO CONTRAST PELVIS XRAY FOR IUD XR PELVIS 1-2 V XR PELVIS COMPLETE, MIN 3 V CT PELVIS W/O CONTRAST CT PELVIS W/CONTRAST CT PELVIS W/WO CONTRAST MRI,PELVIS W/O CONTRAST MRI,PELVIS W/CONTRAST MRI,PELVIS W&W/O CONTRAST

213.00 59.00 213.00 373.00 534.00 534.00 239.00 239.00 294.00 239.00 213.00 1,198.00 1,198.00 1,129.00 1,198.00 1,464.00 1,652.00 1,730.00 1,997.00 2,396.00 2,396.00 147.00 201.00 239.00 227.00 373.00 534.00 307.00 320.00 373.00 268.00 259.00 259.00 268.00 335.00 347.00 426.00 294.00 1,198.00 1,464.00 1,678.00 1,198.00 1,464.00 1,730.00 1,331.00 1,597.00 1,730.00 1,865.00 1,865.00 1,997.00 2,130.00 2,130.00 2,396.00 155.00 161.00 213.00 1,265.00 1,411.00 1,597.00 1,865.00 2,130.00 2,396.00

72198 72202 72220 72240 72265 72270 73000LT 73000RT 73010LT 73010RT 73020LT 73020RT 73030LT 73030RT 73040LT 73040RT 73050 73060LT 73060RT 73070LT 73070RT 73080LT 73080RT 73080RT 73085LT 73085RT 73090LT 73090RT 73092LT 73092RT 73100RT 73110LT 73110LT 73110RT 73115LT 73115RT 73120LT 73120RT 73130LT 73130RT 73140 73140F1 73140F2 73140F3 73140F4 73140F5 73140F6 73140F7 73140F8 73140F9 73140FA 73200 73200LT 73200RT 73201LT 73201RT 73202LT 73202RT 73218 73218LT 73219 73220

08690 02442 02444 02491 02490 02492 02348 02564 02448 02577 02363 25040 02452 02578 02521 25041 02312 02382 02565 02351 25026 02352 25028 02563 02316 25027 02370 02562 02594 25042 25044 02485 02484 02580 02033 02034 02373 02570 02374 02569 02366 02319 02320 02321 02322 02323 02324 02325 02326 02327 02311 02668 02750 25022 02751 25021 02752 25020 08698 08653 08699 08670

MRA, PELVIS W/WO CONTRAST XR SACROILIAC JT 3 OR MORE VIEWS XR SACRUM/COCCYX XR MYELOGRAM CERVICAL SPINE XR MYELOGRAM LUMBAR SPINE XR MYELOGRAM ENTIRE SPINE XR CLAVICLE COMPLETE-LEFT XR CLAVICLE COMPLETE-RIGHT XR SCAPULA LEFT XR SCAPULA RIGHT XR SHOULDER (LTD) LEFT 1 V XR SHOULDER (LTD) RIGHT 1 V XR SHOULDER COMPLETE-LEFT XR SHOULDER COMPLETE RIGHT XR SHOULDER ARTHROGRAM-LEFT XR SHOULDER ARTHROGRAM-RIGHT XR A C JOINT XR HUMERUS-LEFT XR HUMERUS-RIGHT XR ELBOW (LTD) LEFT 2 VIEWS XR ELBOW (LTD) RIGHT 2 VIEWS XR ELBOW-LEFT COMPLETE, MIN 3 VIEWS ELBOW XRAYS-RIGHT XR ELBOW-RIGHT COMPLETE, MIN 3 VIEWS XR ELBOW ARTHROGRAM-LEFT XR ELBOW ARTHROGRAM RIGHT XR FOREARM, LEFT XR FOREARM-RIGHT UPPER EXTREMITY INFANT-LEFT UPPER EXTREMITY INFANT-RIGHT XR WRIST LTD, RIGHT XR WRIST COMPLETE, LEFT XR WRIST LTD, LEFT XR WRIST COMPLETE-RIGHT WRIST, ARTHROGRAM, LT. WRIST, ARTHROGRAM, RT. XR HAND, LEFT TWO VIEWS XR HAND, RIGHT TWO VIEWS XR HAND, COMPLETE-LEFT XR HAND, COMPLETE-RIGHT FINGER(S) XR LT 2ND FINGER XR LT 3RD FINGER XR LT 4TH FINGER XR LT 5TH FINGER XR RT THUMB XR RT 2ND FINGER XR RT 3RD FINGER XR RT 4TH FINGER XR RT 5TH FINGER XR LT THUMB CT CLAVICLE CT UPPER EXTREM W/O CONTRAST-LEFT CT UPPER EXTREM W/O CONTRAST-RIGHT CT UPPER EXTREM W/ CONTRAST-LEFT CT UPPER EXTREMITY W/CONTRAST-RIGHT CT UPPER EXTREMITY W/WO-LEFT CT UPPER EXTREM W/WO CONTRAST-RIGHT MRI,UPPER EXTREMITY W/O CONTRAST MRI, HAND LEFT W/O CONTRAST MRI,UPPER EXTREMITY W/CONTRAST MRI,UPPER EXTREMITY W/WO CONTRAST

2,662.00 213.00 239.00 599.00 667.00 880.00 187.00 187.00 213.00 213.00 187.00 187.00 239.00 239.00 640.00 640.00 213.00 201.00 201.00 174.00 174.00 213.00 189.00 213.00 506.00 506.00 187.00 187.00 147.00 147.00 161.00 187.00 161.00 187.00 506.00 506.00 174.00 174.00 213.00 213.00 147.00 140.00 140.00 140.00 140.00 140.00 140.00 140.00 140.00 140.00 140.00 865.00 999.00 999.00 1,198.00 1,198.00 1,464.00 1,464.00 1,597.00 1,597.00 1,865.00 2,130.00

73220LT 73220LT 73220LT 73220RT 73220RT 73220RT 73221 73221LT 73221LT 73221LT 73221RT 73221RT 73221RT 73222 73223 73225LT 73225RT 73500LT 73500LT 73500LT 73500RT 73510LT 73510LT 73510RT 73510RT 73520 73525LT 73525RT 73530LT 73530RT 73540 73550 73550LT 73550RT 73550RT 73560 73560LT 73560RT 73562LT 73562RT 73564LT 73564RT 73565 73565 73580LT 73580RT 73590LT 73590RT 73592LT 73592RT 73600LT 73600RT 73610LT 73610RT 73615LT 73615RT 73620LT 73620RT 73620RT 73630LT 73650LT 73650RT

08614 08615 08643 25010 25012 08642 08600 08617 08633 08616 25007 08618 25016 08671 08672 08654 08650 02428 02426 25032 02427 02429 25034 02572 02568 02380 02317 25033 02377 02571 02367 02365 02364 02560 02561 02378 02393 25035 02395 02574 02392 02573 02371 02593 02520 25036 02478 02579 02584 25037 02329 25023 02328 02566 02318 25024 02369 25030 25031 02368 02418 02567

HUMERUS MRI-LEFT W/WO CONTRAST MRI FOREARM-LEFT W/WO CONTRAST MRI LEFT HAND W/WO CONTRAST MRI FOREARM-RIGHT W/WO CONTRAST MRI HUMERUS RIGHT W/WO CONTRAST MRI RIGHT HAND W/WO CONTRAST MRI UPPER EXTREMITY ANY JOINT W/O MRI ELBOW-LEFT W/O CONTRAST MRI SHOULDER-LEFT W/O CONTRAST MRI WRIST-LEFT W/O CONTRAST MRI ELBOW-RIGHT W/O CONTRAST MRI SHOULDER-RIGHT W/O CONTRAST MRI WRIST-RIGHT W/O CONTRAST MRI,UPPER EXTREMITY ANY JOINT W CONTRAST MRI,UPPER EXTREMITY ANY JOINT W/WO CON MRA, UPPER EXTREM-LEFT W/WO CONTRAST MRA UPPER EXTREM RIGHT W/WO CONTRAST HIP UNILATERAL-LEFT ONE VIEW HIP XRAY-LEFT XR HIP LEFT, 1 VIEW XR HIP RIGHT, 1 VIEW HIP XRAY-LEFT XR HIP COMPLETE MIN 2 V HIP - RIGHT XR HIP COMPLETE, RIGHT XR HIP BILAT, 2 INCLUDING PELVIS XR HIP ARTHROGRAM-LEFT XR HIP ARHTROGRAM-RIGHT XR HIP IN SURGERY-LEFT XR HIP IN SURGERY-RIGHT XR PELVIS & HIPS CHILD PORTABLE FEMUR XR FEMUR LEFT FEMUR PORTABLE-RIGHT XR FEMUR-RIGHT XR KNEE (LTD) LEFT 1-2 V KNEE LEFT LTD XR KNEE (LTD) RIGHT 1-2 V XR KNEE 3 VIEW-LEFT XR KNEE 3 VIEW-RIGHT XR KNEE COMPLETE, LEFT XR KNEE COMPLETE-RIGHT KNEE, AP BILAT STANDING XR KNEE BILAT-STANDING XR KNEE ARTHROGRAM-LEFT XR KNEE ARTHROGRAM-RIGHT XR TIBIA-FIBULA LEFT XR TIBIA-FIBULA RIGHT XR LOWER EXTREMITY INFANT-LEFT XR LOWER EXTREMITY INFANT RIGHT XR ANKLE-LEFT 2 VIEWS XR ANKLE RIGHT 2 VIEWS XR ANKLE XRAY LEFT COMPLETE MIN 3 VIEWS XR ANKLE XRAY-RIGHT COMF MIN 3 VIEWS XR ANKLE ARTHROGRAM LEFT XR ANKLE ARTHROGRAM RIGHT XR FOOT LEFT, TWO VIEWS XR FOOT RIGHT, TWO VIEWS XR FOOT, COMPLETE-RIGHT XR FOOT, COMPLETE-LEFT XR CALCANEUS-LEFT XR CALCANEUS-RIGHT

1,865.00 1,865.00 1,865.00 1,865.00 1,865.00 1,865.00 1,730.00 1,730.00 1,730.00 1,730.00 1,730.00 1,730.00 1,730.00 1,997.00 2,263.00 1,997.00 1,997.00 215.00 188.00 239.00 215.00 262.00 262.00 262.00 262.00 333.00 534.00 534.00 400.00 400.00 201.00 264.00 187.00 206.00 187.00 187.00 187.00 187.00 213.00 213.00 239.00 239.00 182.00 280.00 626.00 626.00 201.00 201.00 147.00 147.00 161.00 161.00 201.00 201.00 506.00 506.00 174.00 174.00 213.00 213.00 154.00 154.00

73660T1 73660T2 73660T3 73660T4 73660T5 73660T6 73660T7 73660T8 73660T9 73660TA 73700LT 73700RT 73701LT 73701RT 73702LT 73702RT 73718 73719 73720LT 73720LT 73720LT 73720RT 73720RT 73720RT 73721 73721LT 73721LT 73721LT 73721RT 73721RT 73721RT 73722 73723 73725LT 73725RT 74000 74000 74020 74022 74022 74150 74160 74170 74181 74181 74182 74183 74185 74210 74220 74230 74240 74240 74245 74246 74247 74247 74249 74249 74249 74250 74250

02465 02467 02468 02469 02471 02472 02475 02477 02479 02463 02720 25018 02725 25019 02730 25017 08673 08674 08619 08621 08620 25008 25009 25014 08676 08622 08624 08623 25006 25011 25013 08677 08675 08638 25015 02391 02390 02302 02304 02306 02735 02740 02745 08652 08678 08679 08680 08651 02308 02354 02353 02482 02483 02461 02481 25047 02480 25048 02460 02585 25045 02462

XR LT 2ND TOE XR LT 3RD TOE XR LT 4TH TOE XR LT 5TH TOE RT GREAT TOE XR RT 2ND TOE XR RT 3RD TOE XR RT 4TH TOE XR RT GREAT TOE XR LT GREAT TOE CT LOWER EXTREMITY W/O-LEFT CT LOWER EXTREMITY W/O-RIGHT CT LOWER EXTREMITY WITH-LEFT CT LOWER EXTREMITY WITH-RIGHT CT LOWER EXTREMITY W/WO-LEFT CT LOWER EXTREMITY W/WO-RIGHT MRI, LOWER EXTREMITY W/O CONTRAST MRI,LOWER EXTREMITY W/CONTRAST MRI FEMUR-LEFT W/WO CONTRAST MRI FOOT-LEFT W/WO CONTRAST MRI LEG-LEFT W/WO CONTRAST MRI FEMUR-RIGHT W/WO CONTRAST MRI FOOT-RIGHT W/WO CONTRAST MRI LEG-RIGHT W/WO CONTRAST MRI,LOWER EXTREMITY ANY JOINT W/O CON MRI ANKLE-LEFT W/O CONTRAST MRI HIP-LEFT W/O CONTRAST MRI KNEE-LEFT W/O CONTRAST MRI ANKLE-RIGHT W/O CONTRAST MRI HIP-RIGHT W/O CONTRAST MRI KNEE-RIGHT W/O CONTRAST MRI,LOWER EXTREMITY ANY JOINT W/CONTRAST MRI,LOWER EXTREMITY ANY JOINT W/WO CON MRA, LOWER EXTREM-LEFT W/WO CONTRAST MRA,LOWER EXTREM RIGHT W/WO CONTRAST ABDOMEN-BEDSIDE XR 1 KUB XR ABDOMEN 2 OR MORE XR ABDOM 2V/CHEST IV XR ABDOMEN ACUTE 4 VIEWS CT ABDOMEN W/O CONTRAST CT ABDOMEN W/CONTRAST CT ABDOMEN W/WO CONTRAST MRI LOWER EXTREMITY W/WO CONTRAST MRI,ABDOMEN W/O CONTRAST MRI,ABDOMEN W CONTRAST MRI,ABDOMEN W&W/O CONTRAST MRA, ABDOMEN W/WO CONTRAST XR PHARYNX XR ESOPHAGUS XR SWALLOWING FUNCTION UPPER GI SERIES UPPER GI SERIES-HYPAQUE UGI HYPAQ W/SMALL BOWEL XR UGI SERIES W/AIR W/O KUB GASTROGRAFFIN UGI UGI SERIES W/AIR W/KUB GASTROGRAFFIN UGI/SB UGI WITH SMALL BOWEL XR UGI W/SMALL BOWEL FT GASTROGRAFFIN SMALL BOWEL SERIES XR SMALL BOWEL COMPLETE

140.00 140.00 140.00 140.00 140.00 140.00 140.00 140.00 140.00 140.00 999.00 999.00 1,198.00 1,198.00 1,464.00 1,464.00 1,597.00 1,865.00 1,865.00 1,865.00 1,865.00 1,865.00 1,865.00 1,865.00 1,730.00 1,730.00 1,730.00 1,730.00 1,730.00 1,730.00 1,730.00 1,997.00 2,263.00 1,997.00 1,997.00 186.00 154.00 239.00 268.00 294.00 1,265.00 1,464.00 1,797.00 2,130.00 1,730.00 1,997.00 2,396.00 2,662.00 307.00 307.00 373.00 506.00 432.00 568.00 534.00 519.00 571.00 580.00 568.00 640.00 387.00 426.00

74270 74270 74280 74283 74290 74291 74300 74301 74305 74320 74400 74400 74400 74420 74425 74430 74455 74470 74475 74475 74710 74740 75552 75820LT 75820RT 75822 75989 75989 76000 76000 76000 76000 76001 76001 76001 76003 76003 76010 76020 76040 76061 76065 76066 76070 76080 76090 76090LT 76090LT 76090RT 76090RT 76091 76091 76092 76096LT 76096RT 76098 76100 76100 76360 76360 76370 76375

02502 02500 25046 02501 02372 02436 02536 02537 02516 02512 02506 02505 02504 02528 02529 02494 02498 02508 02606 02509 02422 02496 08626 02362 25043 02360 02794 02866 02443 02445 02441 02358 02385 02389 02359 02349 02375 02303 02334 02333 02336 02305 02335 02778 02510 02411 02403 02406 25039 25038 02597 02404 02407 02405 25025 02470 02430 02432 02757 02756 02753 02758

XR BARIUM ENEMA XR BARIUM ENEMA - DIAGNOSTIC GASTROGRAFFIN BE XR BA ENEMA-THERAPEUTIC XR CHOLECYSTOGRAPHY, ORAL GALLBLADDER MULTIPLE DAY XR CHOLANGIO INTRAOPERATIVE XR CHOLANGIO INTRAOPERATIVE ADDL SET XR CHOLANGIO T-TUBE XR TRANSHEPATIC CHOLANGIO XR IVP ROUTINE XR IVP WITH TOMOGRAMS XR IVP-HYPERTENSIVE STUDY XR RETROGRADE UROGRAPHY UROGRAM ANTEGRADE XR CYSTOGRAM URETHROCYSTOGRAM XR RENAL CYST STUDY CT NEPHROSTOMY TUBE PLACEMENT XR RENAL PELVIS CATH XR PELVIMETRY XR HYSTEROSALPINGOGRAM MRI MYOCARDIAC W/O CONTRAST VENOGRAM UNILAT-LEFT VENOGRAM UNILAT-RIGHT VENOGREM BILATERAL CT GUIDANCE ABSCESS DRAIN US ABSCESS DRAINAGE GUIDANCE C-ARM 30 - 60 MIN C-ARM > 60 MIN C-ARM FLOURO < 30 MIN XR FLUROSCOPY 1 HOUR XR FLOURO-OVER 1 HOUR XR FLUOR ERCP XR FLUORO BRONCHOSCOPY XR BIOPSY FLUORO GUIDED NEEDLE BIOPS XR FLURO GUIDED NEEDLE ASPIRATION ABDOMEN FOR FOREIGN BODY XR BONE AGE XR BONE LENGTH STUDY XR BONE SURVEY FOR METASTASIS XR BONE SURVEY-CHILD XR JOINT SURVEY CT BONE DENSITY XR FISTULA/SINUS TRACT MAMMO SPECIAL UNILT MAMMOGRAM UNILATERAL-LEFT XR MAMMOGRAM UNILATERAL-LEFT MAMMOGRAM,UNILATERAL-RIGHT XR MAMMOGRAM UNILATERL-RIGHT BILATERAL MAMMOGRAPHY XR MAMMOGRAM BILATERAL SCREENING MAMMO XR BREAST NEEDLE LOCAL-LEFT XR BREAST NEEDLE LOCAL-RIGHT XR BREAST SPECIMEN TOMOGRAPHY TOMOGRAPHY WITH PROCEDURE CT NEEDLE ASPIRATION CT NEEDLE BIOPSY CT GUIDANCE FOR RAD TX CT RECONSTUCTION

347.00 561.00 510.00 333.00 333.00 153.00 534.00 268.00 400.00 640.00 488.00 488.00 488.00 400.00 400.00 400.00 466.00 294.00 1,572.00 1,037.00 320.00 667.00 1,730.00 534.00 534.00 693.00 1,597.00 499.00 333.00 466.00 245.00 333.00 466.00 440.00 440.00 320.00 320.00 128.00 147.00 268.00 347.00 320.00 347.00 400.00 333.00 86.00 90.00 147.00 90.00 147.00 278.00 201.00 161.00 534.00 534.00 133.00 335.00 187.00 1,597.00 1,730.00 800.00 400.00

76375 76380 76499 76506 76536 76536 76604 76645 76645LT 76645LT 76645RT 76645RT 76700 76705 76705 76705 76705 76705 76770 76775 76775 76801 76802 76805 76810 76815 76815 76815 76818 76830 76831 76856 76857 76870 76872 76880LT 76880RT 76930 76942 76942 76942 76942 76946 76986 76999 78001 78007 78010 78018 78070 78075 78185 78201 78202 78205 78215 78216 78223 78264 78267 78270 78271

08649 02754 02488 02897 02877 02822 02812 02821 02827 02823 25000 25001 02805 02810 02830 02845 02850 02875 02840 02815 02865 02825 02833 02860 02826 02829 02870 02828 02831 02807 02808 02855 02856 02886 02806 02824 25004 02884 02900 02887 02888 02885 02890 02889 02880 02995 02990 02985 02986 02962 02915 02953 02954 02943 02921 02955 02950 02935 02983 02902 02912 02911

MRI 3D RECONSTRUCTION CT SCAN LTD/LOCALIZED W FOLLOWUP XRAY MISCELLANEOUS US ECHOENCEPHALOGRAM US SOFT TISSUE US THYROID US CHEST US BREAST(S) BILATERAL ULTRASOUND BREAST-LEFT US BREAST-LEFT ULTRASOUND BREAST-RIGHT US BREAST-RIGHT US ABD COMPLETE US ABDOMINAL LTD US BILIARY TRACT US LIVER US PANCREAS US SPLEEN US KIDNEY US AORTA US BLADDER US OB < 14 WKS US OB < 14 WK MULT GESTATION US OB > 14 WEEKS US OB > 14 WK MULT GESTATION US EMERGENCY ROOM DELIVERY US OB UTERUS (LTD) US OB UTERUS LTD US FETAL BIOPHYSICAL PROFILE US TRANSVAGINAL HYSTEROSONOGRAPHY, W-W/O DOPPLER US PELVIC COMPLETE US PELVIC (LTD) US SCROTUM US TRANSRECTAL US EXTREMITY VEINS, LEFT US EXTREMITY VEINS, RIGHT US GUIDED PARACENTESIS US GUIDANCE FOR NEEDLE PLACEMENT US GUIDED RENAL PELVIS ASPIRATION US NEEDLE BIOPSY US NEEDLE GUIDED ASPIRATION US AMNIOCENTESIS GUIDANCE US GUIDED, INTRAOPERATIVE US UNLISTED NM THYROID UPTAKE MULTIPLE NM THYROID UPTAKE, SINGLE NM THYROID SCAN NM THYROIDE CA WHOLE BODY SCAN NM PARATHYROID SCAN NM ADRENAL SCAN NM SPLEEN SCAN NM LIVER SCAN NM LIVER SCAN W/VASCULAR FLOW NM LIVER SCAN (SPECT) NM LIVER/SPLEEN SCAN NM LIVER/SPLEEN SCAN W/BLOOD FLOW NM HEPATOBILIARY SCAN NM GASTRIC EMPTYING STUDY NM UREA BREATH TEST SCHILLINGS TEST W/O IF SCHILLINGS TEST WITH IF

667.00 268.00 0.00 466.00 466.00 534.00 400.00 414.00 262.00 133.00 262.00 133.00 599.00 400.00 466.00 426.00 426.00 426.00 453.00 466.00 333.00 534.00 133.00 534.00 133.00 599.00 154.00 333.00 333.00 534.00 520.00 534.00 333.00 534.00 534.00 333.00 333.00 534.00 124.00 268.00 667.00 499.00 534.00 693.00 0.00 667.00 599.00 466.00 1,198.00 800.00 1,198.00 453.00 667.00 800.00 1,265.00 667.00 800.00 931.00 931.00 400.00 534.00 534.00

78272 78278 78290 78300 78306 78315 78320 78445 78457 78458 78460 78460 78461 78464 78464 78465 78466 78469 78472 78478 78480 78580 78585 78594 78701 78704 78708 78708 78725 78740 78761 78800 78802 78803 78805 78806 78806 78807 78890 78890 78890 78890 78890 78890 78890 78890 78890 78890 78890 78890 78890 78890 78890 78890 78890 78890 78890 78890 78890 78890 78890 78890

02942 02913 02908 02960 02910 02961 02922 02976 02975 02923 02924 02928 02933 02944 02939 02938 02970 02941 02925 02969 02968 02980 02982 02965 02940 02945 02946 02958 02957 02906 02918 02914 02930 02919 02952 02951 02932 03001 02916 02997 02998 02971 02981 02978 02937 02907 02936 02904 02934 02987 02949 02977 02926 02929 02959 02903 02972 02956 02991 02996 02920 02974

NM SCHILLINGS TEST NM GI BLEEDING SCAN NM MECKEL'S SCAN NM BONE SCAN (LIMITED) NM BONE SCAN WHOLE BODY NM BONE SCAN 3 PHASE NM BONE SCAN (SPECT) NM VAASCULAR FLOW VENOGRAPHY NM VENOGRAM UNILAT NM VENOGRAM BILAT MYOCARDIAL SCAN STRESS NM MYOCARDIAL SCAN SINGLE STUDY NM MYOCARDIAL STRESS, MULTIPLE STUDY MYOCARDIAL SPECT STRESS NM MYOCARDIAL SPECT REST OR STRESS NM MYOCARDIAL SPECT NM MYOCARDIAL SCAN NM MYOCARDIAL SCAN (SPECT) NM CAARDIAC BLOOD POOL WALL MOTION STUDY EJECTION FRACTION NM LUNG SCAN PERFUSION NM LUNG SCAN PER-VENT NM LUNG SCAN VENTILATION NM KIDNEY W/VASCULAR FLOW NM KIDNEY W/FUNCTION STUDY NM KIDNEY W/ LASIX NM KIDNEY W/CAPTOPRIL NM KIDNEY W/O CAPTOPRIL NM URETERAL REFLUX SCAN NM TESTICULAR SCAN NM TUMOR LOCALIZ (LTD) NM TUMOR LOCALIZATION WHOLE BODY NM TUMOR LOCALIZATION NM ABSCESS LOCALIZ (LTD) NM ABSCESS LOCALIZATION WHOLE BODY NM INDIUM SCAN WHOLE BODY WBC NM TUMOR LOCALIZ, SPECT MIBG MISCELLANEOUS ISOTOPE NM GENERATION AUTO DATA < 30 MIN NM RADNUCLID PHOSPATE NM RADNUCLIDE ALBUMIN NM RADNUCLIDE CARDIOLITE NM RADNUCLIDE CERETEC NM RADNUCLIDE COLLOID NM RADNUCLIDE DISFENIN NM RADNUCLIDE DTPA NM RADNUCLIDE INDIUM NM RADNUCLIDE IODINE NM RADNUCLIDE MAG 3 NM RADNUCLIDE RBC'S NM RADNUCLIDE TECNETAT NM RADNUCLIDE THALLIUM NM RADNUCLIDE, MIRALUMA NM RADNUCLIDE-C14 RADNUCLIDE CARDILIT RADNUCLIDE COLLOID RADNUCLIDE IODINE RADNUCLIDE IODINE RADNUCLIDE NEUTROSPEC RADNUCLIDE OCTREOTIDE

440.00 1,066.00 667.00 667.00 972.00 1,066.00 1,265.00 667.00 667.00 880.00 504.00 534.00 1,066.00 1,251.00 864.00 1,464.00 667.00 1,132.00 1,172.00 238.00 238.00 839.00 1,292.00 759.00 667.00 999.00 999.00 999.00 466.00 534.00 800.00 800.00 1,265.00 1,397.00 800.00 1,198.00 1,198.00 1,397.00 2,320.00 0.00 133.00 120.00 120.00 693.00 1,340.00 102.00 135.00 800.00 1,246.00 789.00 432.00 161.00 151.00 442.00 306.00 127.00 347.00 100.00 479.00 270.00 1,352.00 2,496.00

78890 78890 78890 78891 78999 79000 79001 79030 79035 79400 79900 79900 79900 80008 80048 80048 80051 80053 80061 80074 80074 80076 80090 80100 80101 80101 80101 80101 80101 80101 80101 80101 80101 80101 80101 80101 80102 80102 80152 80156 80158 8015890 80162 80164 80170 80178 80182 80184 80184 80184 80185 80190 80192 80194 80196 80198 80200 80200 80202 80299 80299 80299

02909 02927 02967 02999 02905 02992 02993 02984 02994 02988 02979 02973 02989 01724 01977 01970 01671 01972 01643 01883 02021 01698 01931 01615 01739 01743 01841 01763 01846 01751 01747 01759 01756 01775 01757 02008 02074 02078 02088 01928 02006 01959 01669 01779 01680 01697 02087 02092 01714 02093 01670 02067 02068 01921 01732 01767 02070 02071 02061 01828 01957 01838

RADNUCLIDE TECNETAT RADNUCLIDE THALLIUM RUBRATOPE NM GENERATION AUTO DATA COMP >30 MIN NM NUCLEAR MEDICINE UNLSTD NM RAD TX, HYPERTHYROID NM RAD TX, HYPERTHYROID SUBSEQUENT NM THYROID ABLATION NM RAD TX, METASTASES OR THYROID NM RADIOPHARM, THERAPY NM RAD NUCLIDE-I-131 NM RADNUCLIDE SM153 NM RADNUCLIDE-SR89 PEDIATRIC PANEL 7 CL CHEM TESTS BASIC METABOLIC PANEL ELECTROLYTE PANEL CHEM 14 PANEL LIPID PANEL ACUTE HEP PANEL II WHC (6442) HEPATITIS B PANEL HEPATIC FUNCTION PANEL TORCH PANEL DRUG SCREEN AMP/METHAMP BARBITURATES BENEDRYL LEVEL BENZODIAZAPINE BORD PERT CULTURE (30341) CANNABINOIDS COCAINE OPIATES PCP SERUM TAD TCA TCA URINE CONFIRMATION 01 BENZO CONF (8417) THC CONF. AMITRYPTYLINE 02 TEGRETOL CYCLOSPORIN BY HPLC CYCLOSPORINE (4845) DIGOXIN VALPORIC ACID GENTAMYCIN LITHIUM (613) NORTRYPTYLINE (272) MYSOLINE/PHENO PHENOBARBITAL PRIMIDONE/PHENO DILANTIN PROCAINAMIDE W/ METABOLITES PROCAINAMIDE/NAPA QUINIDINE (766) SALICYLATES THEOPHYLLINE TOBRAMYCIN TOBRAMYCIN THROUGH VANCOMYCIN NEURONTIN (GABAPENTIN) PROGRAF TRAZEDONE LEVEL 01

75.00 301.00 605.00 381.00 0.00 693.00 601.00 800.00 800.00 534.00 487.00 4,905.00 3,322.00 82.00 151.00 153.00 78.00 170.00 168.00 57.00 44.00 118.00 73.00 182.00 49.00 49.00 76.00 49.00 50.00 49.00 49.00 49.00 49.00 26.00 49.00 24.00 24.00 27.00 26.00 105.00 36.00 34.00 125.00 99.00 94.00 7.00 19.00 48.00 96.00 47.00 103.00 19.00 19.00 17.00 119.00 170.00 94.00 94.00 49.00 93.00 124.00 120.00

81000 81002 81003 81005 81005 81005 81005 81005 81005 81015 81099 82003 82010 82024 82040 82043 82055 82055 82085 82088 82105 82105 82105 82108 82131 82140 82145 82150 82175 82175 82205 82247 82248 82270 82273 82273 82306 82306 82310 82310 82330 82340 82355 82374 82375 82378 82380 82382 82383 82384 82435 82465 82480 82482 82491 82507 82520 82523 82523 82533 82533 82550

01650 01758 02116 01602 01606 01624 01713 01764 01784 01700 01706 01613 01601 01965 01605 01967 01607 01769 01852 01882 02089 02104 01848 01947 01949 01609 02072 01610 01802 01854 02073 01618 01617 01710 01843 01711 01939 01836 01631 01920 02082 01632 01760 01667 01633 01860 01858 01849 01869 01859 01640 01641 01994 01642 01824 01868 02075 01948 01980 01863 01865 01655

URINALYSIS WITH MICRO SPECIFIC GRAVITY URINALYSIS SCREEN ACETONE URINE ALBUMIN URINE BLOOD URINE PH URINE SUGAR, URINE URINE BILE URINE MICROSCOPIC ONLY MISC URINALYSIS ACETAMINOPHEN LEVEL ACETONE SERUM ACTH (211) ALBUMIN SERUM MICROALBUMIN (4555) ALCOHOL ETHANOL, URINE ALDOLASE (227) ALDOSTERONE (230) AFP 02 AFP TUMOR MARKER AFP-PAL 01 ALUMINUM BLOOD (6021) HOMOCYSTINE (SERUM/PLASMA)(31789) AMMONIA AMPHET CONF (241) AMYLASE ARSENIC (URINE) (270) ARSENIC BLD (269) BARB CONF (8416) BILIRUBIN TOTAL BILIRUBIN DIRECT OCCULT BLOOD FECES GASTROCCULT 01 OCCULT BLOOD ECPT FECES VIT D (25, H) (680) VITAMIN D (1,25 OH)(4729) CALCIUM PTH C TERMINAL 4101 CALCIUM, IONIZED (306) CALCIUM URINE STONE ANALYSIS CARBON DIOXIDE CARBON MONOXIDE CEA (978) CAROTENE (311) CATECHOLAMINES, UA (318) EPINEPHRINE CATECHOLAMINE, PL (314) CHLORIDE CHOLESTEROL PCHE CHOLINESTERASE PERAXETIN (PAXI) CITRIC ACID (URINE) COC CONF. N-TELOPEPTIDE (URINE) N-TELOPEPTIDE SERUM CORTISOL AM (4212) CORTISOL PM (4213) CPK

49.00 21.00 26.00 15.00 47.00 20.00 15.00 21.00 18.00 46.00 0.00 94.00 21.00 49.00 47.00 22.00 139.00 48.00 11.00 49.00 25.00 20.00 27.00 51.00 59.00 134.00 24.00 110.00 31.00 33.00 24.00 56.00 28.00 35.00 16.00 34.00 52.00 60.00 48.00 44.00 20.00 28.00 30.00 28.00 17.00 12.00 16.00 43.00 104.00 44.00 37.00 49.00 15.00 20.00 67.00 178.00 22.00 83.00 165.00 20.00 69.00 55.00

82552 82553 82565 82570 82570 82575 82595 82607 82626 82627 82668 82670 82672 82677 82710 82728 82746 82747 82784 82784 82784 82785 82800 82803 82803 82803 82926 82941 82947 82951 82952 82977 83001 83002 83003 83010 83015 83020 83033 83036 83036 83036 83070 83497 83519 83519 83525 83540 83540 83550 83582 83586 83605 83615 83625 83655 83655 83655 83661 83670 83670 83690

01899 01659 01656 01658 02138 01657 01867 01938 02086 02131 02145 02069 02105 01835 01872 01873 01874 01991 01892 01895 01896 01894 01717 01623 01649 06012 01679 01876 01682 01681 01683 01738 01875 01906 01891 01879 01936 01818 01672 01927 01907 01878 01812 01943 02007 01695 01945 01796 01993 01798 01901 01902 01693 01694 01900 02023 01803 01997 02046 01904 01903 01908

CPK ISOENZYMES (377) CK MB CREATININE CREATININE URINE MICROALBUMIN/GREAT RATIO(6517) 01 CREATININE CLEARANCE CRYOGLOBULIN QL (385) VITAMIN B 12 (927) DHEA UNCONJ (410) DHEA-SULFATE (402) 01 ERYTHROPOIETIN (427) 01 ESTRADIOL (429) ESTROGENS, TOTAL (439) ESTRIOL 01 FECAL FATS QUANT 02 FERRITIN FOLIC ACID RBC FOLATE IGA (539) IGG (543) IGM (545) IGE (542) PLASMA PH BLOOD GASES CORD BLOOD GASES TRANSCUTANEOUS MONITORING GASTRIC ANY SINGLE SPEC GASTRIN 02 GLUCOSE GLUCOSE TOL 1ST 3 SPEC GLUCOSE TOL EA ADD SPEC GGT FSH LUTEINIZING HORMONE (615) GROWTH HORMONE HAPTOGLOBIN (502) UR HEAVY MET (QN) HGB ELECTROPH (517) FETAL HEMOGLOBIN SCREEN GLYCOSOLATED HGB GLYCOSYLATED HGB 01 HGB A1C (496) HEMSIDERIN STAIN, URINE 5 HIAA URINE RANDOM (1648) BRAIN NATARIETIC PEPTIDE 01 LE LATEX TEST INSULIN SERUM (561) IRON IRON PANEL (7573) IRON BINDING CA 17 KETOGENIC STER (582) 17 KETOSTEROIDS (581) LACTIC ACID LDH LDH ISOENZYMES (597) LEAD (599) LEAD (URINE) LEAD LEVEL L/S RATIO LEUCINE AMINO PEP UA LEUCINE AMINO PEPT LIPASE

22.00 102.00 31.00 31.00 25.00 61.00 26.00 10.00 51.00 32.00 106.00 34.00 22.00 123.00 7.00 10.00 11.00 33.00 11.00 11.00 11.00 19.00 99.00 241.00 241.00 218.00 35.00 21.00 45.00 86.00 33.00 43.00 12.00 12.00 21.00 21.00 206.00 19.00 94.00 52.00 15.00 52.23 11.00 19.00 154.00 63.00 12.00 73.00 10.00 83.00 21.00 15.00 20.00 70.00 17.00 10.00 17.00 15.00 151.00 45.00 19.00 17.00

83690 83718 83735 83825 83825 83835 83874 83925 83930 83935 83945 83945 83945 83970 83970 83970 83986 83992 84030 84060 84075 84100 84120 84120 84132 84133 84134 84140 84144 84146 84152 8415490 84155 84155 84155 84165 84165 84165 84165 84207 84210 84233 84244 84270 84295 84300 84305 84402 84403 84403 84425 84436 84436 84439 84443 84446 84450 84460 84466 84478 84479 84480

02107 01685 01699 01806 01804 01909 01946 02076 01911 01912 01822 01962 01961 02102 01844 01813 01722 02077 01995 01603 01608 01715 02127 01914 01719 01720 01604 01978 01915 01917 02050 01992 01770 01772 01771 01850 01814 01918 01919 02014 01821 01870 01924 02009 01754 01755 01969 02005 02139 01929 02129 01766 02081 02057 01930 02143 01740 01742 01933 01774 01776 02017

LIPASE HI DENSITY LIPOPROT MAGNESIUM MERCURY (BLOOD) (636) MERCURY (URINE) (637) METANEPHRINES FRAC (641) MYOGLOBIN OPIATE CONF (6232) OSMOLALITY BLOOD (677) OSMOLALITY URINE (678) 24 HOUR URINE OXALATE (682) OXALATE URINE URINE OXALATE PTH C&N TERMINAL (7969) PTH INTACT (IRMA) (8837) PTH, N TERMINAL (4121) PH (STOOL) PCP CONF. GENETIC SCREEN 05 ACID PHOSPATASE TOTAL (210) ALKALINE PHOSPATASE PHOSPHORUS PORPHYRINS (729) 01 PORPHYRINS PLASMA (8350) POTASSIUM POTASSIUM URINE PREALBUMIN (4847) PREGNENOLONE PROGESTERONE (745) PROLACTIN (746) PROST SPEC AG FREE & TOTAL PSA 01 TOTAL PROTEIN TOTAL PROTEIN CSF TOTAL URINE PROTEIN PROT. ELECTROPHOR. PROTEIN ELECT. (CSF) PROTEIN ELECTR SER PROTEIN ELECTRO UA VIT B6 (926) PYRUVATE (765) ESTROGEN RECPT PROG (36160) RENIN BY RIA ACTIVITY (787) SHBG(SEX HORMNE BND GLOBE (30740) SODIUM SODIUM URINE IGF1 (839) FREE & BOUND TESTOSTERONE 01 TESTOSTERONE FR & TTL(36170) 01 TESTOSTERONE TOTAL (873) VIT B1 (5042) 01 T-4 T4 TOTAL (867) T4 FREE TSH VIT E (931) 01 SGOT SGPT TRANSFERRIN TRIGLYCERIDES T-3 UPTAKE (861) TOTAL T3 01

45.00 62.00 83.00 26.00 17.00 59.00 99.00 24.00 10.00 16.00 19.00 19.00 20.00 84.00 36.00 40.00 15.00 22.00 76.00 10.00 35.00 46.00 32.00 97.00 50.00 50.00 22.00 71.00 16.00 19.00 50.00 32.00 31.00 31.00 31.00 17.00 21.00 15.00 20.00 177.00 22.00 239.00 25.00 21.00 54.00 54.00 49.00 36.00 217.00 33.00 27.00 59.00 6.00 37.00 90.00 20.00 38.00 34.00 17.00 37.00 4.00 16.00

84480 84481 84484 84520 84550 84560 84578 84585 84585 84590 84630 84681 84702 84703 84999 84999 84999 85002 85007 85014 85018 85025 85025 85025 85032 85041 85044 85048 85095 85097 85170 85240 85300 85301 85302 85305 85306 85348 85362 85362 85378 85384 85597 85610 85651 85660 85730 85999 85999 86000 86003 86021 8602290 86038 86039 86063 86140 86147 86147 8614790 8614790 86157

02135 02080 01942 01628 01782 01981 01786 01975 01940 02094 01826 01968 01956 01856 02015 01840 01702 01620 02083 01686 01687 02027 01673 01651 01718 01729 01730 01789 20260 01626 01645 02144 01815 01807 01817 01816 02149 01646 02128 01675 02115 01676 01955 01723 01734 01952 01725 01688 01703 01871 01966 02146 02118 01853 02132 01614 01866 02114 02136 02112 02113 01648

TOTAL T3 (859) 01 T3 FREE TROPONIN I 01 BUN URIC ACID 24 HR URIC ACID URINE UROBILINOGEN VMA 01 VMA CREAT 24HR (23279) VIT A (921) ZINC-PLASMA (945) C-PEPTIDE (372) BETA HCG QUANTATIVE 01 BETA HCG BORON (5301) CLONODINE LEVEL 01 MISC CHEMISTRY BLEEDING TIME DUKE MANUAL DIFF HEMATOCRIT HEMOGLOBIN CBC EOSINOPHILE TOTAL CT HEMOGRM PL DIFF AUTO PLATELET MANUAL COUNT RED CELL COUNT RETICULOCYTE COUNT WHITE CELL COUNT BONE MARROW ASPIRATION BONE MARROW EXAM CLOT RETRACTION FACTOR 8 ACT (347) 01 ANTI-THROMB III ACT (216) ANTI-THROMBIN ANTIGEN (5198) PROTEIN C ACTIVITY (8754) PROTEIN S AGN (5165) PROTEIN 5 ACT (8838) 01 COAGULATION TIME CAP FBG SPLIT PRODUCT QN.(458) 01 FIBRIN DEGRADATION PROD D-DIMER FIBRINOGEN LUPUS ANTICOAGULANT (7079) PROTHROMBIN SEDIMENTATION RATE SICKLE CELL SCREEN PTT LE CELL PREP MISC HEMATOLOGY FEBRILE,AGGLUTININS EACH 1 RAST ALLERGEN ANCA (8431) 01 PLATLET AB ANA (249) ANA TITER & PATTERN(36209) 01 ANTISTREPTOLYSIN SCREEN C REACTIVE PROTEIN CARDIOLIPIN AB IGG (4662) CARDIOLIPIN SCREEN(36189) 01 CARDIOLIPIN AB IGA (4661) CARDIOLIPIN AB IGM (4663) COLD AGGLUTININS

15.00 24.00 101.00 34.00 55.00 15.00 18.00 21.00 38.00 25.00 15.00 30.00 125.00 86.00 61.00 108.00 0.00 98.00 50.00 29.00 29.00 22.00 47.00 88.00 78.00 25.00 73.00 32.00 198.00 206.00 71.00 138.00 22.00 155.00 153.00 155.00 151.00 50.00 15.00 62.00 102.00 113.00 113.00 66.00 55.00 6.00 86.00 16.00 0.00 99.00 9.00 138.00 158.00 9.00 22.00 60.00 52.73 21.00 70.00 21.00 21.00 102.00

86160 86160 86171 86171 86225 86225 86235 86235 86235 86255 86255 86255 86255 86255 86255 86256 86304 86309 86316 86316 86317 86331 86334 86337 86340 86376 86376 86376 86403 86430 86580 86592 86592 86618 86628 86635 86644 86645 86654 86665 86665 86665 86674 86677 86677 86677 86695 86695 86695 86696 86704 86706 86706 86707 86708 86709 86710 86713 86735 86738 86738 86756

01820 01819 01877 01951 01829 01885 01913 01935 01923 01963 02134 01888 01897 01910 02133 02095 02004 01890 02003 02002 01616 01855 01898 01944 01837 02096 01830 01916 01708 01727 07158 01787 01937 02047 01857 01941 02011 01808 01834 02140 02141 01887 02100 01842 02111 02108 01889 01809 02142 01810 02148 02026 02130 01886 01880 02016 01934 01905 01950 01958 02085 01845

C4 (353) COMPLEMENT C3 (351) CHILD RESP EACH 03 CHL. PSITTACI AB ANTI-DNA (DBL STR) (255) DNA AB, NATIVE (255) SCLERODERMA AB (4942) SJORGEN AB (7832) SM & RNP AB (7448) ANTI-SM-MUSCLE (263) MITOCHONDRIAL AB(259) 01 MYOCARDIAL AB (261) PARIETAL CELL AB (262) SKELETAL MUSCLE AB (266) SM. MUSCLE AB(263) 01 ANTI-MITOCHONDRL (259) CA-125 (29256) HETEROPHILE ABSORPTION CA 19-9 (4698) CA-15-3 (5819) IMMUNOASSAY, INFECTIOUS AGENT ASPERGILLUS (20341) IMMUNOFIXATION (SERUM) (549) INSULIN ANTIBODY (2552) INTRINSIC FACTOR AB ANTI-THYROID AB 01 LIV/KID MICROSOM AB THYROID PEROXIDE AB MONO TEST RA TEST TB SKIN TEST RPR SPINAL FLUID RPR LYME DISEASE AB (6646) CANDIDIA PRECIP (939) COCCI TITER CF CMV IGG AB (403) CMV IGM AB (8503) ARBOVIRUS AB PANEL EBV IGG (8474) 01 EBV IGM (8426) 01 EPSTEIN BARR VIRUS (6421) AMOEBA TTR (GIARDIA) H PYLORI ANTIBODIES (29408) H PYLORI IGA RAP DET OF H PYLORI HERP SIMPL CULTURE (2649) HERPES 1 IGG AB H1 HSV1&2 IGG AB(6447) 01 HERPES 2 IGM AB 01 H2 HEP B CORE AB TTL(501) 01 HEP B SURF AB (8475) HEP B SURFACE AB QUAL(499) 01 HEPATITIS B CORE AB IGM (4848) HEPATITIS A ANTIBODY (508) HEP A IGM AB (512) INFLUENZA A AND B (8357) LEGIONELLA (37345) MUMPS IGG (8624) MYCOPLASMA CF MYCOPLASMA EIA (RRH) RSV BY CF

17.00 19.00 194.00 54.00 61.00 61.00 87.00 97.00 97.00 19.00 19.00 104.00 58.00 25.00 22.00 19.00 16.00 9.00 16.00 16.00 364.00 40.00 34.00 30.00 79.00 35.00 93.00 20.00 83.00 59.00 26.00 27.00 27.00 21.00 31.00 24.00 21.00 21.00 76.00 21.00 20.00 28.00 51.00 70.00 103.00 15.00 43.00 19.00 38.00 26.00 11.00 10.00 11.00 20.00 17.00 17.00 94.00 165.00 22.00 20.00 73.00 19.00

86756 86756 86756 86759 86762 86762 86765 86777 86778 86781 86787 86800 86800 8680090 86803 86812 86850 86870 86880 86900 86901 86905 86905 86922 86922 86945 86999 86999 87040 87045 87070 87070 87075 87076 87081 87081 87086 87102 87110 87116 87172 87172 87177 87184 87184 87184 87186 87205 87206 87206 87207 87210 87210 87210 87230 87252 87270 87329 87340 87390 87449 87491

02052 02084 08102 01925 01926 01831 01964 01932 01811 02097 01847 01832 01953 02110 02079 02041 01612 01611 01654 01793 02066 02109 02106 01792 01660 02098 02125 01705 01622 01762 01665 01666 01661 01627 01664 01768 01794 01663 01861 01851 01716 01780 01712 01833 01797 01795 01662 01748 02147 01746 01752 01726 01630 01750 02001 01864 01644 01827 01884 01960 01839 01684

RSV BY DFA RSV BY EIA (RRH LAB) RSV WASHING ROTAVIRUS EIA RUBELLA AB IGM (4422) RUBELLA IGG (RRH LAB) RUBEOLA VIRUS IG G AB TOXOPLASMA TITER TOXOPLASMA IGM AB FTA-ABS 06 VARICELLA AB (VIDAS) IGG ANTI-THYROGLOBULIN (267) THYROGLOBULIN ANTIBODY THYROGLOBULIN AB HEPATITIS C AB (8472) HLA B27 AG (528) ANTIBODY SCREEN ANTIBODY ID COOMBS BLOOD TYPE BLOOD TYPE RH (O) RBC ANTIGEN SCREEN RBC ANTIGN SPC TYPE 1ST UNIT CROSSMATCH CROSS MATCH RBC IRRADATION FEE BLD ADMINISTRATION MISC IMMUNOLOGY BLOOD CULTURE STOOL CULTURE CULTURE NOSE OR THROAT CULTURE, ANY OTHER SOURCE CULTURE ANAEROBIC RAPID STREP SCREEN CULTURE G C STREP SCREEN URINE QUANT CULT CULTURE FUNGUS CHLAMYDIA CULTURE 02 CULTURE ACID FAST (4554) PINWORM PREP TRICHOMONAS OVA & PARASITES (681) KIRBY-BAUER SENSITIVITY KIRBY-BAUER CHLORAMP KIRBY-BAUER GENT MICRO SUSCEPT MIC SMEAR ROUTINE PNEUMOCYSTIS CARNII(34286) 01 SMEAR ACID FAST SMEARS FOR MALARIA INDIA INK PREP KOH PREP SMEAR WET PREP CLOSTR DIFF TOX (8756) CYTOMEGALOVIRUS 02 CHLAMYDIA ANTIGEN GIARDIA ANTIGEN (8625) HEPATITIS B SUR AGN (498) LAB TEST CHLAMYDIA BY EIA 01 GCCHP

17.00 60.00 60.00 45.00 34.00 43.00 23.00 22.00 27.00 12.00 37.00 19.00 20.00 20.00 20.00 28.00 63.00 201.00 68.00 42.00 42.00 42.00 42.00 102.00 99.00 57.00 31.00 0.00 198.00 135.00 90.00 90.00 124.00 58.00 114.00 114.00 100.00 115.00 22.00 16.00 40.00 43.00 19.00 92.00 92.00 92.00 125.00 58.00 93.00 43.00 83.00 64.00 42.00 63.00 15.00 23.00 83.00 48.00 9.00 66.00 30.00 47.00

87491 87522 87999 88104 88164 88164 88180 88180 8823790 88261 88261 88300 88300 88300 88302 88302 88302 88304 88305 88305 88305 8830526 88307 88309 88311 88312 88313 88321 88325 88329 88331 88332 88399 89051 89125 89125 89130 89135 89240 89300 89320 89399 90471 90675 90703 90718 90718 90780 90780 90782 90784 90788 90801 90901 90901 90911 91105 92506 92506 92506 92507 92507

01922 02137 01704 01881 01745 01749 02090 02091 02117 01825 01862 02054 02025 02039 02030 02012 02043 02042 02056 02063 01823 02064 02055 02065 02044 02048 02049 02101 02059 02045 02053 02022 02051 01636 01674 01785 01677 01678 01744 01736 01653 01707 07124 03705 07126 07127 05053 40417 20237 07121 07123 07122 08103 06442 06486 06444 07112 07468 06564 06580 07362 06577

GCCHP 01 HCV RNA BY PCR QT(35645) 01 MISC MICROBILOGY CYTOLOGY (NON-GYN) PAP - 1 SLIDE PAP - 2 SLIDES CD4 02 T-HELPER/SUPR (CD4) WHC7924 BONE MARROW CHROMOSOME BONE MARROW 02 CHROM. ANALYSIS BONE MARROW GROSS ONLY LEVEL I GROSS ONLY LEVEL I GROSS ONLY LEVEL I GROSS/MICRO LEVEL II GROSS/MICRO LEVEL II GROSS/MICRO LEVEL II GROSS/MICRO LEVEL III GROSS/MICRO LEVEL IV MICRO EXAM LEVEL IV PATH REF LAB TEST MICRO EXAM LEVEL IV GROSS/MICRO LEVEL V GROSS/MIRCRO LEVEL VI DECALCIFICATION SPECIAL STAINS GRP I SPECIAL STAINS GRP II CONS. & REP ON SLIDES PREP ELSEWHERE OUTSIDE CONSULTATION FEE PATH CONSULT W/SURG INITIAL FROZEN SECT ADDTL FROZEN SECTION REQUESTED RECUT CELL CT BODY FLUIDS FAT QUALITATIVE STOOL URINE FAT EXAM GASTRIC WASH AND CULT GASTRIC ANALYSIS 01 SHAKE TEST SEMEN PST VASECTOMY SEMEN EXAM MISC UNLISTED IMMUNIZATION ADMINISTRATION VACCINE RABIES SDV TETANUS TOXOID DIP/TETANUS TET-DIP TOXOID ADULT INJ IV LONG INFUSION IV THERAPY INJECTION (IM,SQ) INTRAVENEOUS INJECTION-ANTIBIOTIC PSYCHIATRIC DIAGNOSTIC EXAM BIOFEEDBACK TRAINING BIOFEEDBACK TRAINING BIOFEEDBACK ANO RECTAL GASTRIC LAVAGE HH SPEECH THERAPY EVAL SPEECH EVAL VOICE PROSTHETIC EVAL HH SPEECH THERAPY VISIT SPEECH 15 MIN

57.00 126.00 0.00 102.00 21.00 30.00 104.00 71.00 626.00 244.00 651.00 425.00 18.00 93.00 59.00 35.00 140.00 222.00 353.00 58.00 153.00 99.00 425.00 599.00 45.00 62.00 62.00 226.00 97.00 114.00 133.00 99.00 19.00 78.00 50.00 43.00 102.00 24.00 79.00 29.00 83.00 0.00 74.00 318.00 28.00 16.00 43.00 239.00 156.00 74.00 74.00 74.00 140.00 110.00 110.00 139.00 105.00 182.00 277.00 266.00 190.00 14.00

92507 92507 92508 92510 92510 92526 92577 92587 92597 92598 92605 92606 92607 92607 92608 92609 92610 92611 92950 92950 92953 92953 92960 92960 92977 93005 93005 93005 93012 93012 93012 93012 93017 93017 93017 93041 93231 93232 93307 93312 93320 93325 93724 93731 93732 93734 93735 93741 93799 93880 93882 93886 93888 93925 93926LT 93926RT 93930 93931LT 93931RT 93970 93971LT 93971LT

06566 06586 06572 06574 06137 06567 06576 06136 06568 06573 06588 06589 06581 06582 06591 06583 06565 06579 07106 06028 07145 07109 10082 07108 07107 02250 02251 02255 10083 20285 30360 40404 02210 02290 02280 07140 02245 02246 02820 02819 02818 02851 02211 02213 02216 02214 02215 02217 02240 02896 02895 02803 02804 25002 02893 02894 02892 02891 25003 02898 02881 02899

SPEECH TREATMENT VOICE PROSTHETIC TRAINING SPEECH TREATMENT, GROUP AURAL REHAB,COCHLEAR IMPLANT NEWBORN HEARING SCREENING-RETURN VISIT TREATMENT OF SWALLOWING DYSFUNCTION AUDIOMETRY TEST(STANGER) NEWBORN HEARING SCREENING PROGRAM EVAL/FITTING VOICE PROSTHETIC MODIFY VOICE PROSTHETIC EVAL, NON-SPEECH GEN DEVICE NON-SPEECH GEN. DEVICE TRAINING EVAL SPEECH GEN. DEVICE, 1ST HR RE-EVAL SPEECH DEVICE EVAL SPEECH GEN DEIVE ADDTL 30 MIN SPEECH GEN. DEVICE TRAINING CLINICAL DYSPHAGIA EVAL VIDEO FLURO DYSPHAGIN EVAL CPR CPR PER 30 MIN PACE PAC RENTAL TRANSCUTANEOUS PACING CARDIOVERSION ELECTRICAL CARDIOVERSION THROMBOLYSIS EKG EKG FOR EMPLOYMENT EXAM EKG OFF SITE TELEMETRY TELEMETRY A-WING TELEMETRY B-WING TELEMETRY C-WING CARDIAC STRESS EXERC. TREADMILL TREADMILL W/PERF SCAN CARDIAC MONITOR INTERP HOLTER MONITOR REC HOLTER ANALYS W/REP US ECHOCARDIOGRAM TRANSTHORACIC ECHO TRANSESOPHAGEAL US DOPPLER, ECHO US DOPPLER COLOR FLOW DDD DEFIB ANALYSIS DUAL CHAMBER PACEMAKER DUAL REPROGRAMMING PACEMAKER ANALYSIS SINGLE CHAMBER PACEMAKER SINGLE REPROGRAMMING PACEMAKER DDD DEFIB W/O REPROGRAM CARDIOLOGY MISC US CAROTID ART BILAT COMPLETE US CAROTID ART, LTD TRANSCRANIAL DOPPLER US TRANSCRANIAL DOPPLER (LTD) US ARTERIES, COMPLETE BILATERAL, LE US ARTERIES LOWER EXTREMITIES-LEFT US ARTERIES LOWER EXTREMITIES-RIGHT US ARTERIES UPPER, EXTREM,COMP,BILAT US ARTERIES UPPER EXTREMITIES-LEFT US ARTERIES UPPER EXTREMITIES-RIGHT US EXTREMITY VEINS, BILAT COMPLETE US EXTREMITY VEINS LEFT US VEINS (LTD) LEFT

150.00 150.00 62.00 150.00 45.00 150.00 79.00 54.00 277.00 194.00 252.00 135.00 277.00 206.00 135.00 150.00 277.00 277.00 336.00 168.00 337.00 337.00 389.00 337.00 498.00 170.00 54.00 153.00 757.00 757.00 757.00 757.00 105.00 572.00 572.00 51.00 67.00 359.00 826.00 800.00 268.00 268.00 211.00 27.00 28.00 20.00 24.00 27.00 0.00 959.00 426.00 1,358.00 201.00 865.00 426.00 865.00 865.00 426.00 426.00 959.00 496.00 496.00

93971RT 93971RT 93975 93975 93976 93979 94010 94010 94060 94060 94060 94060 94150 94400 94640 94640 94640 94640 94640 94640 94640 94640 94640 94640 94640 94640 94640 94656 94657 94660 94660 94660 94660 94660 94664 94664 94664 94664 94664 94667 94667 94667 94667 94760 94760 94760 94761 94762 94762 95805 95810 95811 95819 95831 95831 95832 95832 95833 95834 95834 95851 95851

02869 25005 02852 02854 02853 02809 06032 06034 06104 06105 06106 06016 06118 06097 06020 06018 06121 06080 06054 06004 06044 06042 06110 06094 07461 06062 06066 06024 06026 06051 06052 06036 06033 06035 06006 06125 06100 06070 06068 06133 06135 06022 06076 06013 06086 00509 06092 06015 06088 06027 06130 06131 02265 06261 06457 06446 06727 06447 06494 06448 06458 06262

US EXTREMITY, VEINS RIGHT US VEINS, LTD UNI-RIGHT US ABD VASCULAR FLOW US ART/VENOUS SCROTAL/PENILE COMPLET DOPPLER US, LTD STUDY US ARTERIAL FOR PSEUDOANEURISM PULMONARY FUNCTION MODIFIED PULMONARY FUNCTION/EMP PHYSICALS PEAK FLOW PEAK FLOWMETER PEDIATRIC PEAK FLOWMETER PULMONARY FUNCTION COMP VOLDYNE SPIROMETER ETC02 INITIAL CAM TENT INITIAL CAM TENT SUBSEQUENT CONTINUOUS NEBULIZER SUBSEQUENT EMERG SERVC-THERAP/HR EQUIPMENT STANDBY DAILY HANDHELD NEB TREAT IPPB INITIATION IPPB SUBSEQUENT MDI TREATMENT OXYHOOD SET UP RESPIRATORY THER VISIT SPIROMETER FLWUP ULTRASONIC NEBULIZER SUBSEQUENT CONT VENT INITIAL VENT CHARGE SUBSEQUENT BIPAP INITIATION 1ST DAY BIPAP SUBSEQUENT DAYS CPAP STUDY CPAP INITIAL CPAP SUBSEQUENT DAYS CONTINUOUS AEROSOL CONTINUOUS NEBULIZER INITIAL SPUTUM INDUCTION ULTRASONIC NEB 1ST HR ULTRASONIC NEBULIZER INITIAL PEP THERAPY TREATMENT PEP THERAPY W/FLUTTER TREATMENT POSTURAL DRAINAGE COMP POSTURAL DRAINAGE MODIFIED PULSE OXIMETRY PULSE OXIMETRY PULSE OXIMETRY MULT DETERM FOR PULSE OXIMETRY PULSE OXIMETER CONTINUOUS TCM/OXIMETER MULTIPLE SLEEP LAFENEY TEST PSG-SLEEP STUDY-ROUTINE PSGC-SLEEP STUDY WITH CPAP ENCEPHALOGRAM EEG MMT, EACH EXTREMITY/TRUNK MMT, EACH EXTREMITY/TRUNK MMT, HAND ONLY MMT, HAND ONLY MMT, WHOLE BODY(EXCL HANDS) FUNCT CAPACITY EVAL MMT, WHOLE BODY AND HANDS ROM TEST, EA EXTRMITY/TRUNK ROM TEST, EACH EXTREMITY/TRUNK

496.00 496.00 400.00 599.00 108.00 148.00 154.00 75.00 98.00 75.00 85.00 330.00 28.00 82.00 118.00 56.00 85.00 87.00 16.00 60.00 60.00 44.00 60.00 154.00 147.00 37.00 85.00 774.00 632.00 209.00 141.00 2,190.00 209.00 141.00 85.00 107.00 60.00 75.00 85.00 45.00 45.00 75.00 45.00 80.00 44.00 67.00 45.00 218.00 80.00 2,190.00 2,190.00 2,921.00 426.00 78.00 78.00 78.00 78.00 105.00 863.00 139.00 57.00 78.00

95852 95852 95867 96105 96110 96111 96115 96115 97001 97001 97002 97003 97004 97010 97010 97012 97014 97014 97016 97016 97018 97018 97020 97020 97022 97024 97024 97026 97026 97028 97032 97032 97033 97034 97034 97035 97035 97035 97039 97039 97110 97110 97110 97110 97112 97112 97113 97116 97124 97124 97139 97139 97139 97139GO 97139GO 97140 97140 97140 97140 97150 97150 97504

06721 06449 00629 06569 06584 06570 06571 06724 06543 07581 07301 06204 06203 06301 06300 06330 06460 06340 06350 06462 06361 06360 06483 06417 06370 06390 06484 06485 06435 06439 06408 06461 06410 06418 06419 06453 06421 06420 06488 06399 06554 06438 06400 06495 06402 06403 06407 06406 06414 06413 06499 06489 06432 06477 06476 06234 06225 06401 06464 06465 06409 06450

ROM TEST - HAND ROM TEST, HAND EMG CRAN NERV UNILAT APHASIA ASSESSMENT DEVELOPMENTAL TESTING;LIMITED DEVELOPMENTAL TESTING,EXTENDED NEUROBEHAVIORAL EXAM NEUROBEHAVIORAL EXAM P.T. EVALUATION P/T SAFETY EVALUATION P.T. RE-EVALUATION O.T. EVALUATION O.T. RE-EVAL HOT PACKS/COLD PACKS HOT PACKS/COLD PACKS MECH TRACTION-CERVICAL/PELVIC ELECTRIC STIMULATION, UNATTENDED ELECTRICAL STIMULATION,UNATTENDED VASOPNEUMATIC DEVICE VASOPNEUMATIC DEVICES PARAFFIN BATH PARAFFIN BATH MICROWAVE MICROWAVE WHIRLPOOL DIATHERMY DIATHERMY INFRARED INFRARED ULTRAVIOLET MANUAL ELECTRICAL STIMULATION MANUAL ELECTRICAL STIMULATION IONTOPHORESIS CONTRAST TREATMENT CONTRAST TREATMENT IONTOPHORESIS ULTRASOUND/PHONOPHORESIS ULTRASOUND/PHONOPHORESIS UNLIST MODALITY,CONSTANT ATTEND UNLIST MODALITY,CONSTANT ATTEND SSUSD PT SERVICE THERAPEUTIC EXERCISE THERAPEUTIC EXERCISE VNA OT TREATMENT NEUROMUSCULAR RE-ED NEUROMUSCULAR RE-ED AQUATIC THERAPY GAIT TRAINING MASSAGE MASSAGE MISC P.T. UNLIST PROC,DIRECT CONTACT UNLIST PROC; DIRECT CONTACT SPLINT COMPREHENSIVE SPLINT INTERMEDIATE COMPLEX LYMPHEDEMA THERAPY COMPLEX LYMPHEDEMA THERAPY MANUAL THERAPY MANUAL THERAPY THER. PROCEDURE, GROUP THER. PROCEDURE, GROUP ORTHOTIC FITTING/TRAINING

78.00 78.00 135.00 277.00 185.00 277.00 277.00 277.00 277.00 182.00 214.00 277.00 214.00 55.00 55.00 83.00 62.00 62.00 70.00 83.00 57.00 57.00 57.00 57.00 83.00 57.00 57.00 57.00 57.00 57.00 83.00 83.00 83.00 57.00 57.00 83.00 83.00 83.00 83.00 83.00 111.00 72.00 72.00 127.00 83.00 83.00 83.00 83.00 83.00 83.00 0.00 83.00 83.00 208.00 96.00 83.00 83.00 83.00 83.00 57.00 57.00 83.00

97504 97520 97520 97530 97530 97530 97530 97530 97530 97530 97530 97532 97532 97533 97533 97535 97535 97535GO 97537 97537 97537 97537 97542 97542 97545 97545 97546 97546 97597 97598 97601 97602 97605 97703 97703 97750 97750 97750 97750 97750 97750 97750 97750 97750 97750 97799 97799 97802 97802 97802 97802 97802 97802 97802 99001 99001 99001 99001 99002 99022 99050 99050

06470 06469 06223 07467 07466 07359 07540 07480 07542 06404 06405 06575 06232 06578 06231 06219 06555 06463 06456 07360 06205 06205 06411 06466 06467 06433 06434 06468 06352 06353 06347 06348 40406 06344 06487 06321 06327 06328 06326 06134 06459 06542 06324 06325 06320 06490 06451 07529 07529 07626 07650 07675 07431 02212 01996 01805 01690 01998 01691 01692 08632 02771

ORTHOTIC TRAINING PROSTHETIC TRAINING PROSTHETIC TRAINING HH OCCUPATIONAL THERAPY EVAL HH PHYSICAL THERAPY EVAL HH PHYSICAL THERAPY VISIT HH PT PRIVATE DUTY HHA OCCUPATIONAL THERAPY VISIT PT PRIVATE THERAPEUTIC ACTIVITIES THERAPEUTIC ACTIVITIES COGNITIVE SKILLS DEVELOP COGNITIVE SKILLS DEVELOPMENT SENSORY INTEGRAT. TECHNIQUES,15MIN SENSORY INTEGRATION ADL TRAINING ADL TRAINING FUNCTIONAL ACTIVITIES COMMUN/WORK REINTGRTN TRAINING OCCUPATIONAL THERAPY VISIT SSUSD OT SERVICE SSUSD OT SERVICE WHEELCHAIR MANAGE/TRAIN WHEELCHAIR MANAGEMENT WORK HARD/CONDITIONING,INITIAL WORK HARD/CONDITIONING,INITIAL WORK HARD/CONDITIONING,ADDL WORK HARD/CONDITIONING,ADDL WOUND-SELECT. DEBRIDE. < 20SQ CM WOUND-SELECT. DEBRIDE. > 20SQ CM WOUND CARE-SELECTIVE DEBRID. WOUND CARE-NON-SELECT DEBRID. WOUND VAC CHECKOUT PROS/ORTH CHECKOUT PROS/ORTH EXTREMITY TEST,INITIAL FUNCTIONAL CAPACITY EVAL JOB SITE ASSESSMENT MUSCLE TST, TORQUECURVE PEP THERAPY EQUIP W/FLUTTER PHYSICAL PERFORMANCE TEST PHYSICAL PERFORMANCE TEST STNDRD PERFORM TEST,INITIAL STNDRD PERFORM TST,ADDL WORK TOLERANCE TESTING UNLIST PHYS MED/REHAB SERVICE UNLSTD PHYS MED/REHAB SERV HHA DIET CONSULT HHA DIET CONSULT METABOLIC 1X VISIT METABOLIC SERV INTERMED METABOLIC SERV LIMITED NUTRITION COUNSEL VISIT NUTRITIONAL ASSESSMENT FED EX CHARGE GEN SCRN COLL & HAND LAB HANDLING FEE UPS CHARGE LAB HANDLING FEE SPEC LAB STAT CHARGE AFTER HOURS MRI CT SCAN AFTER HOURS

83.00 83.00 83.00 182.00 182.00 182.00 153.00 182.00 182.00 83.00 83.00 83.00 83.00 68.00 83.00 83.00 83.00 118.00 83.00 152.00 111.00 111.00 83.00 83.00 416.00 416.00 214.00 214.00 258.00 300.00 268.00 201.00 104.00 83.00 83.00 62.00 863.00 520.00 139.00 113.00 83.00 78.00 70.00 35.00 693.00 83.00 83.00 87.00 90.00 35.00 57.00 22.00 89.00 70.00 32.00 8.00 26.00 26.00 76.00 35.00 71.00 66.00

99050 99050 99058 99058 99070 99070 99070 99070 99070 99070 99070 99070 99070 99070 99070 99082 99141 99141 99141 99141 99141 99141 99142 99142 99142 99142 99142 99142 99142 99185 99186 99205 99205 99211 99218 99218 99218 99218 99281 99282 9928225 99283 9928325 99284 9928425 99285 99291 99291 99292 99301 99341 99341 99343 99343 99343 99343 99343 99343 99347 99347 99347 99348

02879 02486 01777 01778 06008 06099 06002 02507 06030 06050 06096 06102 06084 61313 06060 02878 02031 10085 20226 07111 40485 30326 02032 30327 40486 20227 10086 07113 02301 07143 07144 20295 30370 20272 40442 40490 10090 20290 07135 07120 07161 07125 07162 07155 07163 07176 07164 07160 07170 07471 07473 07325 07469 07476 07536 07532 07474 07458 07537 07533 07373 07472

US AFTER HOURS XRAY AFTER HOURS EMR BLD PROD DEL-1 EMR BLD PROD DEL-2 CONT AEROSOL INITIAL ETC02 HOURLY HANDHELD NEB SUPPLY IVP BOWEL PREP NRP EQUIPMENT OXYGEN OXYGEN OXYGEN TANK OXYHOOD PEAK FLOW METER SPIROMETER INST US AT BEDSIDE CONSCIOUS SED IV,IM OR INHALATION CONSCIOUS SEDATION CONSCIOUS SEDATION CONSCIOUS SEDATION CONSCIOUS SEDATION CONSCIOUS SEDATION CONSCIOUS SED ORAL,RECT,INTRANASAL CONSCIOUS SEDATION CONSCIOUS SEDATION CONSCIOUS SEDATION CONSCIOUS SEDATION CONSCIOUS SEDATION CONSEOUS SEDATION REGIONAL R L HYPOTHERMIA,TOTAL BODY OUTPATIENT ROOM CHARGE OUTPATIENT ROOM CHARGE PORT-A-CATH FLUSH OUTPATIENT ROOM CHARGE OUTPATIENT ROOM CHARGE OUTPATIENT ROOM CHARGE OUTPATIENT ROOM CHARGE ER LEVEL I ER LEVEL II ER LEVEL II ER LEVEL III ER LEVEL III ER LEVEL IV ER LEVEL IV ER LEVEL V CRITICAL CARE ER CRITICAL CARE CRITICAL CARE 1/2HR HH LONG TERM CARE INSUR ASSESS HH ROUTINE VISIT-NEW PT HH SKILLED NURSING EVAL-NEW PT HH PHN ADMISSION HH PHN AFTER HRS ADMISSION VISIT HH PRIVATE DUTY RN EVAL IN HH PRIVATE DUTY RN EVAL IN-OBSOLETE HH RN AFTER HOURS ADMISSION VISIT HH RN SKILLED NURSING ADMISSION HH HEALTH AID/PER HOUR HH HEALTH AID/PER HOUR-OBSOLETE HH ROUTINE VISIT-EST PT HH PUBLIC HEALTH NURSE EVAL

81.00 72.00 105.00 194.00 107.00 17.00 51.00 7.00 51.00 19.00 62.00 51.00 62.00 72.00 87.00 63.00 102.00 62.00 189.00 72.00 62.00 62.00 102.00 62.00 62.00 62.00 62.00 72.00 62.00 44.00 129.00 208.00 0.00 119.00 0.00 0.00 0.00 0.00 87.00 96.00 87.00 151.00 140.00 281.00 281.00 406.00 573.00 573.00 170.00 114.00 81.00 170.00 170.00 170.00 139.00 114.00 170.00 170.00 25.00 21.00 81.00 170.00

99348 99349 99349 99350 99358 99507 99507 99507 99507 99507 99507 99507 99900 C1879 G0106 G0169 G0169 G0169 J0207 J0285 J0585 J0640 J0735 J1190 J1260 J1327 J1327 J1440 J1563 J1650 J2210 J2352 J2354 J2355 J2405 J2405 J2430 J2545 J2765 J2993 J3010 J8530 J8610 J9000 J9040 J9040 J9045 J9060 J9100 J9130 J9150 J9181 J9190 J9206 J9213 J9250 J9265 J9293 J9310 J9350 J9370 J9390

07464 07535 07465 07470 07131 07531 07477 07452 07475 07388 07539 07574 06140 62752 02499 06346 06345 06423 05811 05910 05667 04965 03265 05902 05913 05894 05895 05455 04956 05956 03904 05509 30129 05921 05541 05532 05754 05516 03286 05825 04379 03376 03905 04926 05579 05551 05659 30002 05429 05610 05428 30001 03604 30008 05936 05511 05649 05480 05932 05798 04078 05896

HH SOCIAL WORKER VISIT HH LVN ROUTINE VISIT HH SKILLED NURSING HI-TECH VISIT HH PHN HI TEC VISIT PROLONGED EVALUATION HH LVN ROUTINE VISIT-OBSOLETE HH PHN AFTER HOURS VISIT HH PUBLIC HEALTH VISIT HH RN AFTER HOURS VISIT HH SKILLED NURSING VISIT-EST PT PRIVATE DUTY RN/FOLLOW-UP RN PT ED TELECOMMUNICATION / 15 MIN QUICK CLIP DISP. CLIP FIXING XR BARIUM ENEMA SCREENING DEBRIDEMENT,SKIN FULL THICKNESS DEBRIDEMENT,SKIN PART THICKNESS WOUND CARE, TISSUE REMOVAL,15MIN ETHYOL 500MG VIAL AMBISOME 50MG BOTOX 100 UNITS LEUCOVORIN CA SDV/IV CATAPRES TAB 1 MG ZINE CARD 500MG SDV ANZAMET IV 12.5MG INTEGRILIN BOLUS INTEGRILIN DRIP NEUPOGEN 300MCG/ML INJ IMMUNE GLOBULIN 5GM LOVENOX 40MG METHERGINE TAB SANDOSTATIN 150MCG SANDOSTATIN 25 MG NEUMEGA 5MG ZOFRAN 32MG IVPB ZOFRAN 4MG/2ML SDV AREDIA 30MG NEBU PENT REGLAN 10MG IVPB RETAVASE 20MG FENTANYL AMP IV CYTOXAN TAB METHOTREXATE TAB ADRIAMYCIN SDV IV BLENOXANE 15 UNITS IV BLENOXANE 60 UNITS PARAPLATIN 150MG SDV PLATINOL 10MG CYTARABINE 100MG SDV IV DTIC 100MG IV DAUNORUBICIN SDV VEPESID 10MG FLUOROURACIL SDV 500MG IV CAMPTOSAR 100MG ROFERON A 3MU METHOTREXATE SDV/IV TAXOL 30MG SDV NOVANTRONE SDV RITUXAN 500MG HYCAMTIN 5MG VIAL ONCOVIN 1MG SDV NAVELBINE 50MG

251.00 153.00 170.00 170.00 33.00 125.00 170.00 170.00 170.00 170.00 139.00 170.00 9.00 150.00 561.00 146.00 92.00 92.00 1,004.00 649.00 749.00 353.00 16.00 833.00 71.00 151.00 457.00 688.00 1,109.00 118.00 12.00 93.00 42.00 801.00 428.00 75.00 588.00 341.00 114.00 9,230.00 46.00 24.00 22.00 837.00 676.00 2,704.00 705.00 107.00 51.00 78.00 406.00 47.00 38.00 1,497.00 109.00 79.00 375.00 1,394.00 5,595.00 2,053.00 152.00 1,070.00

L0610 L1499 L1800 L1825 L1945 L2210 L8000 L8000 L8020 L8030 L8030 L8030 L8030 P9010 P9017 P9019 P9019 P9021 P9022 P9604 P9605 Q0081 Q0081 Q0084 Q0136 Q0136 Q0164 Q0171 Q0173 Q0174 Q0175 Q0177 Q0179 Q3002 Q3004 Q3014

62452 06263 06380 06378 06379 06381 06371 06372 06373 06376 06375 06377 06374 02175 02155 02190 02180 02150 02165 01990 01800 20238 07101 20268 05586 05393 03346 03310 04481 05688 03112 03566 05478 02931 02966 06141

BACK SUPPORT XL POSTURE TRAINING SUPPORT HINGED KNEE BRACE PATELLA STAB. BRACE TOE-OFF AFO PLANTAR FASCITIS SPLINT MASTECTOMY BRA MASTECTOMY BRA BREAST FORM BREAST PROSTHESIS 508 BREAST PROSTHESIS 509 BREAST PROSTHESIS 531 BREAST PROSTHESIS 550 WHOLE BLOOD AUTOLOGOUS FRESH FROZEN PLASMA PLATELETPHERESIS PLATELETS PACKED RED CELLS WASHED RBCS TRAVEL ALLOWANCE VENIPUNCTURE SNF AMBULATORY SURG/SHORT INFUSION ER IV THERAPY CHEMO TRANSFUSION EPOGEN 10,000 UNITS IV EPOGEN 4000UNITS IV COMPAZINE TAB THORAZINE TAB TIGAN CAP TORECAN 10MG TRILAFON TAB VISTARIL CAP ZOFRAN TAB NM RADNUCLIDE GALLIUM NM RADNUCLIDE XENON TELEHEALTH FACILITY FEE

79.00 127.00 128.00 99.00 789.00 159.00 60.00 55.00 57.00 300.00 300.00 208.00 374.00 255.00 110.00 634.00 93.00 244.00 317.00 6.00 4.00 189.00 271.00 239.00 406.00 197.00 12.00 12.00 12.00 11.00 15.00 12.00 67.00 424.00 166.00 23.00


				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:785
posted:11/6/2009
language:English
pages:116