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106331168_CDM_ALL_2007.xls - Off by liwenting

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									Eisenhower Medical Center
Rancho Mirage, California
OSHPD Facility No. 106331168
Chargemaster June 1, 2007

                                                Standard    Inpatient No charge
Sim Code    Description                         Price       Price     explanation
    21225   FOLLOW UP EXAM ROOM W/25 MODIFIER       $233.00
    21325   FOLLOW UP EXAM ROOM W/25 MOD            $268.00
    21425   ESTABLISHED PT HIGH LEVEL 25            $375.00
    21525   ESTABLISHED PT VISIT W/25 HIGH LE       $474.00
    24325   NEW EXAM ROOM 40 MIN W/25 MOD           $177.00
    24425   NEW EXAM ROOM 60 MIN W/25 MOD           $246.00
    76873   US VOLUME STUDY                         $403.00
    99212   FOLLOW UP EXAM ROOM                     $233.00
    99213   FOLLOW UP EXAMINATION ROOM              $268.00
    99214   ESTABLISHED PATIENT HIGH LEVEL          $375.00
    99215   ESTABLISHED PATIENT LEVEL 5             $474.00
    99243   NEW EXAM ROOM 40 MIN                    $177.00
    99244   NEW EXAM ROOM 60 MIN                    $246.00
    99245   CONSULTATION HIGH LEVEL                 $440.00
    65000   ABO                                       $0.00           Utilization
    65005   BLOOD TYPING,ABO                         $77.00
    65020   DIFFERENTIAL ADSORPTION,EACH            $224.00
    65025   ANTIBODY ID,ADSORBED SERUM              $305.00
    65031   ANTIBODY SCREEN PREWARM                 $225.00
    65035   ANTIBODY ID,PREWARM TECHNIQUE           $305.00
    65040   ANTIBODY ELUTION RBC, EACH              $230.00
    65045   ANTIBODY ID,ELUATE                      $305.00
    65050   ANTIBODY ID,PEG TECHNIQUE               $305.00
    65055   ANTIBODY SCREEN PEG                     $225.00
    65060   ANTIBODY SCREEN,MTS GEL                 $225.00
    65065   ANTIBODY SCREEN,LISS TECHNIQUE          $225.00
    65066   ANTIBODY ID LISS TECHNIQUE              $305.00
    65070   ANTIGEN SCREEN PT-EACH ANTIGEN          $130.00
    65080   ANTIGEN SCREEN UNIT-EACH UNIT            $97.00
    65086   AG SCREEN,EACH ANTIGEN TESTED N/C         $0.00           Utilization
    65090   AUTOLOGOUS ADSORPTION,EACH              $224.00
    65095   AUTO PROCESSING FEE-LEUKIOREDUCED        $75.00
    65110   BB SPECIMEN FOR POSSIBLE X-MATCH          $0.00           Ordering
    65111   CORD BLOOD CLOT                           $0.00           Ordering
    65121   CORD BLOOD WORK-UP                        $0.00           Ordering
    65130   CROSSMATCH ADDITIONAL UNITS               $0.00           Ordering
    65140   CROSSMATCH EXTEND                       $210.00
    65150   CROSSMATCH IMMEDIATE SPIN               $210.00
    65155   ANTIBODY ID,PLATELET ANTIBODIES         $312.00
    65160   COOMBS TEST DIRECT POLYSPECIFIC          $96.00
    65161   COOMBS TEST DIRECT IGG                   $96.00
    65162   COOMBS TEST DIRECT C3                    $96.00
    65170   DAT-NEWBORN                              $96.00
    65180   ENZYME PRETREATMENT OF RBCS             $224.00
    65185   ANTIBODY ID ENZYME TECHNIQUE            $305.00
65202   GROUP & TYPE (CORD BLOOD)               $0.00   Ordering
65203   GROUP & TYPE BABY (NON-CORD BLOOD       $0.00   Ordering
65210   ANTIBODY ID,MTS GEL TECHNIQUE         $305.00
65220   RED CELL RH PHENOTYPE                 $255.00
65230   RH                                     $54.00
65235   RH                                      $0.00   Utilization
65241   RH IMMUNE GLOBULIN WORK-UP              $0.00   Ordering
65250   SELECTED CELL PANEL (ABID)            $305.00
65265   ANTIBODY SCREEN,COLD                  $225.00
65270   TITRATION (ANTIBODY)                  $255.00
65291   TRANSFUSION REACTION INV (CLASS I       $0.00   Utilization
65292   TRANSFUSION REACTION INV (CLASS/1       $0.00   Utilization
65295   BB MD INVEST TRANSFUSION REACTION     $131.95
65297   BB MD AUTH DEVIATION/STAND PROC       $131.95
65391   TYPE & CROSS                            $0.00   Ordering
65400   THERAPEUTIC APHERESIS FOR RBCS      $1,880.00
65401   TYPE & SCREEN                           $0.00   Ordering
65405   THERAPEUTIC APHERESIS FOR WBCS      $1,940.00
65410   THERAPEUTIC APHERESIS FOR PLTS      $1,940.00
65510   5% ALBUMIN 50 ML, HUMAN               $638.00
65530   AUTO FRESH FROZEN PLASMA PROCESS       $60.00
65550   AUTOLOGOUS CRYOPRECIPITATE PROCES      $60.00
65560   AUTOLOGOUS PACKED RED BLOOD CELLS     $289.50
65570   AUTOLOGOUS SINGLE DONOR PLASMA PR      $40.00
65580   AUTOLOGOUS WHOLE BLOOD PROCESS        $215.00
65590   CRYOPRECIPITATE PROCESS                $90.00
65600   DIRECTED CRYOPRECIPITATE PROCESS       $60.00
65610   DIRECTED DONOR APHERESIS - PLATEL     $525.00
65620   DIRECTED FRESH FROZEN PLASMA PROC      $60.00
65630   DIRECTED PACKED RED BLOOD CELLS P     $123.00
65660   DIRECTED WHOLE BLOOD PROCESS          $140.00
65670   FRESH FROZEN PLASMA PROCESS            $90.00
65671   PLASMA,CRYOREDUCED,EACH UNIT           $90.00
65672   FRESH FROZEN PLASMA (JUMBO) PROCE     $277.50
65680   PACKED RED BLOOD CELLS PROCESS        $207.00
65681   RBCS,LEUKOPOOR,IRRADIATED,EACH        $337.50
65682   RBCS,LEUKOPOOR,CMVNEG,IRRADIATED      $373.50
65695   PRE-FILTERED AUTO RBCS PROCESS        $327.00
65700   PLATELET CONCENTRATE PROCESS           $50.00
65710   PLATELETS-APHERESIS PROCESS           $496.00
65720   PRE-FILTER PLAT APHERESIS PROCESS     $842.50
65722   PRE-FILTER PLAT APHERSIS -MANUAL        $0.00
65725   PLATELETS,HLA LEUKO RED APHERESIS       $0.00
65726   PLT,PHERESIS,LEUKOPOOR,IRRADIATED     $890.50
65727   PLTS,PHERESIS,LEUKOPOOR,IRR,CMV-      $926.50
65730   PRE-FILTERED RBC'S PROCESS            $289.50
65732   PRE-FILTERED RBC'S PROCESS-MANUAL       $0.00
65740   RH IMMUNE GLOBULIN INJECTION          $197.00
65750   WHOLE BLOOD (HOMOLOGOUS) PROCESS      $232.50
66040   BEDSIDE FILTER-LEUKOCYTE REMOVAL-     $170.00
66050   BEDSIDE FILTER-LEUKOCYTE REMOVA/1     $120.00
66085   PRODUCT THAWING                         $0.00   Utilization
66086   PRODUCT THAWING EACH UNIT WASTED      $130.00
66090   PROSORBA COLUMN                     $3,780.00
66111   RBC LEUKOREDUCED DEGLYCEROL,EACH        $0.00
66125   THERAPEUTIC RED CELL EXCH           $1,880.00
66140   RED CELL WASHING FEE                   $65.00
66165   ANTIGEN TESTING - UNIT S/O            $130.00
66170   THERAPEUTIC PHLEBOTOMY                $510.00
66180   THERAPEUTIC PLASMA EXCHANGE         $1,880.00
66182   THERAPEUTIC PLASMA EXCHANGE-MANUA       $0.00
66185   THERAPEUTIC PLASMAPHERESIS          $1,880.00
66190   TRANSFUSE-PLEASE SEND UNIT              $0.00   Ordering
66790   WKND,HLDY,AFTR HRS,EXT SOP CHARGE       $0.00   Utilization
66791   CALL IN CHARGE/2HR MINIMUM (CBB)      $150.00
66792   PRETREAT RBCS CHEMICAL FDR ABID       $130.00
66793   PLASMA NEUTRALIZATION (CBB)           $100.00
66794   CBB SCREENING FEE                       $0.00
66795   AG SCREEN USING PT SERUM (CBB)        $130.00
66796   STAT FEE FOR CBBC                      $42.00
66797   COMPATIBILITY TEST ELECTRONIC EA      $210.00
66798   PLT AGGREGATION, ADP                  $150.00
66799   PLT AGGREGATION,TRAP                  $150.00
66800   PLT AGGREGATION,ARACHIDONIC ACID      $150.00
30001   CLINICAL TRIALS-CARDIOLOGY              $0.00   Utilization
30050   ECG-STANDARD                          $349.00
30051   ECG - STANDARD AFTER HOURS            $349.00
30052   ED ECG STANDARD                       $349.00
30105   ECG RHYTHM STRIP                      $145.00
30300   ECHO LIMITED                          $836.00
30301   ECHO COMP W/DOPPLER PANEL               $0.00   Panel Master
30302   ECHO W/COLOR FLOW                       $0.00   Panel Master
30305   ECHO DOPPLER                          $822.00
30310   ECHO 2D ONLY                        $1,681.00
30315   ECHO DOPPLER COLOR FLOW MAP           $570.00
30320   3 DIMENSIONAL ECHO DONE W/TEE       $1,115.00
30360   HOLTER MONITOR-24 HOUR              $1,060.00
30361   HOLTER MONITOR 24HR SCAN ANALYSIS     $649.00
30390   ECHO 2D W/M MODE                    $1,681.00
30397   TEE DISCONTINUED AFTER ANESTHESIA   $3,310.00
30398   TEE DISCONTINUED BEFORE ANESTHESI   $3,310.00
30399   ECHO-TRANSESOPHAGEAL                $3,310.00
30400   ECHOCARDIOGRAM ORDER                    $0.00   Ordering
30401   EPICARDIAL ECHOCARDIOGRAM OR            $0.00   Panel Master
30402   EPICARDIAL SECTOR 2-D               $1,681.00
30403   EPICARDIAL M-MODE                   $1,681.00
30404   EPICARDIAL COLOR FLOW                 $570.00
30600   TECH ASSIST                             $0.00   Ordering
30650   ECHO TECH ASSIST .5HR                   $0.00   Utilization
30700   TREADMILL EXERCISE                  $1,180.00
30701   MYOCARDIAL PERFUSION SCAN W/PHARM   $1,180.00
30702   MYOCARD PERF SCAN W/TREADMILL       $1,180.00
30703   DOBUTAMINE STRESS ECHO W CV STRES   $2,109.00
30704   DOBUTAMINE STRESS TEST              $1,180.00
30705   ADENOSINE STRESS TEST               $1,180.00
30805   PATIENT TRNSPRT-IN FACIL EA 15 MN       $0.00   Utilization
31020   PERIPHERAL INJECTION STUDY            $250.00
10810   OBV IV INFUSION UP TO 1HR             $446.00
10815   OBV IV INFUSION EA ADDL HR            $115.00
10820   OBV INJECTION SQ/IM                   $130.00
10825   OBV INJECTION IV                      $152.00
10830   OBV BLOOD ADMINISTRATION              $659.00
20805   GLUCOSE BLOOD, POINT OF CARE            $0.00
20806   ACT(CCU)COAGULATION TIME-P.O.C.T.     $127.00
55009   OBSERVATION ROOM HOURLY               $141.00
55010   R & B MED SURG                      $1,955.00
55013   R & B TELEMETRY                     $2,941.00
55015   R & B CORONARY CARE                 $5,207.00
55020   R&B VASCULAR CARE                   $4,502.00
55030   R&B INTENSIVE ONE TO ONE CARE       $6,108.00
50000   OSTOMY CONSULT REQUEST                  $0.00   Ordering
50001   UR/DISCHARGE PLANNING REQUEST           $0.00   Ordering
50002   INFUSION CENTER CONSULT REQUEST         $0.00   Ordering
50003   DIABETES CONSULT REQUEST                $0.00   Ordering
50004   BETTY FORD CENTER CONSULT               $0.00   Ordering
50005   ED/SP/PACU BED REQUEST                  $0.00   Ordering
50006   PAIN MANAGEMENT CONSULT                 $0.00   Ordering
50007   SOCIAL SERVICES CONSULT                 $0.00   Ordering
50008   EPIDEMOLOGY CONSULT                     $0.00   Ordering
50009   MINISTRIAL VISITATION REQUEST           $0.00   Ordering
50010   HEART FAILURE CLINIC CONSULT            $0.00   Ordering
50011   RADIATION ONCOLOGY CONSULT REQ          $0.00   Ordering
50015   PATIENT RESTRAINT                       $0.00   Ordering
50020   FINANCIAL COUNSELOR REQUEST             $0.00   Ordering
40100   CARDIAC TREATMENT                     $244.00
40300   PATIENT ORIENTATION                   $330.00
40700   SUPERVISED EXERCISE WC                 $26.25
40800   INPATIENT CARDIAC REHAB                 $0.00   Utilization
40850   INITIAL ASSESSMENT 15 MIN               $0.00   Utilization
40855   GROUP EXERCISE 15 MIN                   $0.00   Utilization
40860   GROUP EDUCATION 15 MIN                  $0.00   Utilization
40865   PULMONARY REHAB INPATIENT               $0.00   Utilization
49742   EVAL AND/OR DEMO MDI, NEB             $199.00
49745   PR-GROUP SESSION 1-4                  $273.00
49746   PR-GROUP SESSION 5-8                  $273.00
49750   PR-SMOKING CESSATION(> 10MIN)          $80.00
49755   PR-SMOKING CESSATION (3-10 MIN)        $40.00
49760   PR-6 MWT                              $159.00
49765   PR-EDUC 1-1 15MIN                     $159.00
49770   PR-EXERCISE 1-1 15MIN                 $110.00
49999   FITNESS CENTER                          $0.00   Utilization
10810   OBV IV INFUSION UP TO 1 HR            $446.00
10815   OBV IV INFUSION EA ADDL HR            $115.00
10820   OBV INJECTION SQ/IM                   $130.00
10825   OBV INJECTION IV                      $152.00
10830   OBV BLOOD ADMINISTRATION              $659.00
30805   GLUCOSE(CSU)POINT OF CARE               $0.00   Utilization
30806   ACT(CSU) COAGULATION TIME POCT        $127.00
55009   OBSERVATION ROOM HOURLY               $141.00
55010   R & B MED SURG                      $1,955.00
55013   R & B TELEMETRY                     $2,941.00
55015   R & B CORONARY CARE                 $5,207.00
55020   R&B VASCULAR CARE                   $4,502.00
55030   R&B INTENSIVE ONE TO ONE CARE       $6,108.00
30050   CTA HEAD W/WO CONTRAST              $2,684.00
30055   CTA NECK W/WO CONTRAST              $3,150.00
30060   CTA HEAD & ECK W/WO CONTRAST            $0.00   Panel Master
30100   HEAD SCAN W/O CONTRAST              $2,592.00
30150   HEAD W/O CONTRAST W/ADD AREA        $2,592.00
30200   HEAD SCAN W/CONTRAST                $2,471.00
30250   HEAD W/CONTRAST W/ADD AREA          $2,471.00
30300   HEAD W/O -W/CONTRAST, ADDL SEQUEN   $2,940.00
31000   CT CALL BACK                            $0.00   Utilization
31100   REPEAT HEAD W/CONTRAST              $2,471.00
31200   REPEAT W/O CONTRAST                 $2,592.00
31300   CT RECONSTRUCTION (3D)              $1,115.00
31301   CT RECONSTRUCTION ADDL W/2ND CT     $1,115.00
31305   CT RECON W/O IMAGE POST PROCESS       $544.00
31310   CT STEREOTACTIC GUIDANCE            $1,631.00
31311   CT - 3D SURGERY PLANNING SOFTWARE   $1,340.00
31312   CT-3D SURGERY PLANNING SOFTWARE     $1,340.00
31320   CT VERTEBROPLASTY THORACIC          $4,460.00
31322   CT VERTEBRALPLASTY LUMBAR           $4,460.00
31324   CT VERTEBROPLASTY EACH ADD          $4,460.00
31326   CT GUIDANCE VERTEBRO/KYPHOPLASTY    $1,114.00
31328   CT KYPHOPLASTY THORACIC             $8,174.00
31330   CT KYPHOPLASTY LUMBAR               $8,174.00
31332   CT KYPHOPLASTY EA ADD LEVEL         $8,174.00
31352   CT GUIDED THORACENTESIS               $750.00
31355   CT GUIDED PARACENTESIS                $750.00
31357   CT GUIDANC NEEDLE PLACEMENT         $1,593.00
31401   INJ NEEDLE BIOPSY                     $700.00
31411   INJ PROC PLEURA NEEDLE BIOPSY         $295.00
31418   CT BIOPSY LUNG RT                     $890.00
31419   CT BIOPSY LUNG LT                     $890.00
31426   FNA - DEEP TISSUE                     $350.00
31431   CT PERC LIVER BIOPSY                  $400.00
31435   RADFREQ ABLAT LIVER TMR/S           $6,000.00
31441   IN PROC PANCREAS BIOPSY             $1,140.00
31449   HEPATOTOMY-DRG ABCESS               $1,310.00
31451   INJ NEEDLE BIOPSY-DEEP              $1,230.00
31462   CT BIOPSY RENAL LT                  $1,650.00
31464   CT BIOPSY RENAL RT                  $1,650.00
31470   RADFREQ ABLAT RENAL TMRS UNI        $6,000.00
31473   RADFREQ ABLAT RENAL TMRS BI         $8,100.00
31476   CT GUIDANCE TISSUE ABLATION         $3,594.00
31500   DRNG RTRPRTNL ABSCESS PERC            $670.00
31501   ABD ABS DRAIN-SUBPHRENIC(IP ONLY)     $717.00
31502   ABD ABSCESS DRAIN PERIT IP ONLY       $717.00
31505   CT PERC PERITONEAL ABCESS DR          $670.00
31506   CT PERC SUBPHRENIC ABSC DRAI          $670.00
31520   CT GUIDED CHNG PERC TUBE DRNG CTH     $787.00
31525   CT DRAINAGE CATHETER EXCHANG        $1,641.00
31530   CT GUIDED PERCUTANEOUS NEPHROSTOM   $1,105.00
31535   CT PERC CATH RENAL PELVIS           $3,020.00
31550   ABSCESS DRAINAGE/UNUSUAL SERVICE      $717.00
31575   CT GUIDED CYSTOGRAM                   $245.00
31580   CT INJ PROC FOR CYSTOGRAPHY           $395.00
31600   SELLA TURCICA W/CONTRAST            $2,161.00
31650   SELLA TURCICA W/CONTRAST W/ADD AR   $2,161.00
31700   SELLA TURCICA W/O CONTRAST          $2,186.00
31711   CT-ASPIRATION OF RENAL CYST           $683.00
31716   CT APSIRATION OF RENAL CYST           $683.00
31718   ASPIRATION/INJECT PELVIS PER        $4,416.00
31720   CT ABSCESS ASP SOFT TISSUE            $527.00
31722   CT CYST ASP SOFT TISSUE               $527.00
31724   CT ABSCESS ASP SUBCUTANEOUS           $527.00
31730   CT ASPIRATION HIP (LT)                $450.00
31731   CT ASPIRATION HIP (RT)                $450.00
31732   CT ASPIRATION KNEE(LT)                $450.00
31733   CT ASPIRATION KNEE (RT)               $450.00
31741   CT-BIOPSY OF PELVIS                   $320.00
31750   SELLA TURCICA W/O CONTRAST W/ADD    $2,186.00
31756   CT-BIOPSY OF LYMPH NODE               $205.00
31760   CT PLEURODESIS CHEMICAL               $750.00
31770   CHEST TUBE INSERTION                $2,020.00
31781   CT-BIOPSY OF ABDOMEN                  $335.00
31791   CT-BIOPSY OF ADRENAL GLAND          $2,230.00
31795   CT FNA ADRENAL GLAND LT               $350.00
31798   CT FNA ADRENAL GLAND RT               $350.00
31801   CT-BIOPSY RT BREAST                   $185.00
31806   CT-BIOPSY LT BREAST                   $185.00
31815   CT REMOVE FB MUSCLE/TEN SIMP          $656.00
31817   CT REMOVE FB MUSCLE/TEN DEEP        $3,077.00
31821   CT-BIOPSY OF MEDIASTINUM              $890.00
31826   CT-BIOPSY OF MUSCLE                   $600.00
31828   CT BIOPSY SOFT TISSUE                 $600.00
31831   CT-BIOPSY OF NECK                     $600.00
31836   CT - FNA SUPERFICIAL                  $350.00
31846   CT-BIOPSY OF PROSTATE                 $260.00
31851   CT-BIOPSY OF RETROPERITONEAL          $335.00
31856   CT-BIOPSY OF SALIVARY GLAND           $145.00
31861   CT-ASPIRATION OF ABD CYST           $5,878.00
31872   CT FNA LUNG RT                        $350.00
31874   CT-ASPIRATION OF LT LUNG              $350.00
31878   CT-ASPIRAT LYMPH NODE CYST            $350.00
31890   CT GUIDED LUMBAR PUNCTURE             $620.00
31895   CT CELIAC PLEXIS BLOCK(NEURO64680   $1,270.00
31900   NECK W/O CONTRAST                   $2,300.00
31905   CTA ABDOMEN W/WO CONT               $4,445.00
31910   CTA PELVIS W/WO CONT                $4,078.00
31915   CTA RUNOFF W/WO CONT                $4,818.00
31920   CTA UPPER LT W/WO CONT              $3,470.00
31925   CTA UPPER EXTREM RT W/WO CONT       $3,470.00
31930   CTA UPPER EXTREM BILAT W/WO CONT    $3,470.00
31935   CTA LOWER EXT LT W/WO CONTRAST      $3,484.00
31940   CTA LOWER EXT RT W/WO CONTRAST      $3,484.00
31945   CTA LOWER EXT BILAT W/WO CONTRAST   $4,355.00
31950   NECK W/O CONTRAST W/ADD AREA        $2,300.00
32000   NECK W/CONTRAST                     $2,549.00
32005   CT NECK W/O & W/CONTRAST E/ADD      $2,046.00
32050   NECK W/CONTRAST W/ADD AREA          $2,549.00
32100   CT - CHEST W/O CONTRAST             $2,260.00
32101   CT - HIGH RESOLUTION CHEST SCAN     $2,260.00
32200   CT - CHEST W/CONTRAST               $2,452.00
32205   CT - CHEST W/CNTR DUAL SCAN         $2,452.00
32210   CT - CHEST W/O & W/CONTRAST         $2,870.00
32215   CT ANGIOGRAPHY CHEST W REFORMATIO   $2,994.00
32230   CTA CHEST/ABD/PEL W/WO CONT PANEL       $0.00   Panel Master
32300   CT - ABDOMEN W/O CONTRAST           $2,320.00
32400   CT - ABDOMEN W/CONTRAST             $2,385.00
32425   CT ABDOMEN W/CNTR DUAL SCAN         $2,385.00
32500   CT - ABDOMEN W/O AND W/CONTRAST     $3,430.00
32600   C-SPINE W/O CONTRAST                $2,925.00
32650   C-SPINE W/O CONTRAST W/ADD AREA     $2,400.00
32700   C-SPINE W/CONTRAST                  $2,671.00
32750   C-SPINE W/CONTRAST W/ADD AREA       $2,619.00
32800   T-SPINE W/O CONTRAST                $2,727.00
32850   T-SPINE W/O CONTRAST W/ADD AREA     $2,400.00
32900   T-SPINE W/CONTRAST                  $2,603.00
32950   T-SPINE W/CONTRAST W/ADD AREA       $2,400.00
33000   L-SPINE W/O CONTRAST                $2,902.00
33050   L-SPINE W/O CONTRAST W/ADD AREA     $2,400.00
33100   L-SPINE W/CONTRAST                  $2,832.00
33150   L-SPINE W/CONTRAST W/ADD AREA       $2,539.00
33200   CT - PELVIS W/CONTRAST              $2,686.00
33300   CT - PELVIS W/O CONTRAST            $2,407.00
33302   CT - PELVIS W/WO CONTRAST & SEQ     $2,320.00
33500   HEAD & POST FOSSA W/O CONT          $2,186.00
33600   HEAD & POST FOSSA W/ CONT           $2,161.00
33700   HEAL POST FOSSA W/WO CONT           $2,549.00
33800   ORBITS W/O CONT                     $2,186.00
33900   ORBITS W/CONT                       $2,161.00
34000   ORBITS W/WO CONT                    $2,549.00
34100   CT MAXILLOFACIAL AREA W/O CONTRAS   $1,820.00
34110   CT-MAXILLOFACIAL AREA LTD W/O CON   $1,820.00
34200   CT - MAXILLOFACIAL AREAS W/CONTRA   $2,324.00
34400   LARYNX W/O CONT                     $2,300.00
34500   LARYNX W/ CONT                      $2,549.00
35000   ADRENALS W/O CONT                   $2,320.00
35100   ADRENALS W/CONT                     $2,385.00
35300   RT LOWER EXTREMITY W/O CONTR        $1,822.00
35350   LT LOWER EXTREMITY W/O CONTR        $1,822.00
35375   CT - BILAT LOWER EXT W/O CONTRAST   $2,299.00
35400   RT LOWER EXTREMITY W/CONTR          $2,447.00
35450   LT LOWER EXTREMITY W/CONTR          $2,447.00
35451   CT - BILAT LOWER EXTEMITY W/CONTR   $2,447.00
35461   CT-BIL LWR EXT W/WO CNTR & ADL SE   $2,308.00
35462   CT-LT LWR EXT W/WO CNTR & ADL SEQ   $2,308.00
35463   CT-RT LWR EXT W/WO CNTR & ADL SEQ   $2,308.00
35500   IACS MASTOIDS W/O CONT              $2,186.00
35600   IACS MASTOIDS W/ CONT               $2,161.00
35700   BONE MINERAL ANALYSIS                 $370.00
35840   MAXILLOFACIAL FACIAL BONE           $2,154.00
35850   MAXILLOFACIAL DS MAXILLA            $2,154.00
35860   MAXILLOFACIAL DS MANDIBLE           $2,154.00
35870   MAXILLOFACIAL DS MAX & MAN          $2,154.00
35880   RT UPPER EXTREMITY W/CONTR          $1,629.00
35885   LT UPPER EXTREMITY W/CONTR          $1,629.00
35890   RT UPPER EXTREMITY W/O CONTR        $1,820.00
35895   LT UPPER EXTREMITY W/O CONTR        $1,820.00
37000   CT SCAN                                 $0.00   Ordering
37001   CT HEAD WITH CONTRAST                   $0.00   Ordering
37002   CT HEAD WITHOUT CONTRAST                $0.00   Ordering
37003   ED CT HEAD WITH CONTRAST                $0.00   Ordering
37004   ED CT HEAD WITHOUT CONTRAST             $0.00   Ordering
37005   ED CT ABDOMEN                           $0.00   Ordering
37006   ED CT CHEST                             $0.00   Ordering
37016   CT CHEST PELVIS RECON W/CONT            $0.00   Panel Master
37017   CT CHEST PELVIS RECON W/O CONT          $0.00   Panel Master
37018   CT CHEST PELVIS RECON W&W/O CONT        $0.00   Panel Master
37019   CT CHEST ABD PELVIS W/CONT              $0.00   Panel Master
37020   CT CHEST ABD PELVIS W/O CONT            $0.00   Panel Master
37021   CT CHEST ABD PELVIS W&W/O CONT          $0.00   Panel Master
37022   CT CHEST ABD PELVIS RECON E/CONT        $0.00   Panel Master
37023   CT CHEST ABD PELVIS RECON W/O CON       $0.00   Panel Master
37024   CT CHEST ABD PELVIS RECON W&W/O C       $0.00   Panel Master
37025   CT ABD PELVIS W/CONT                    $0.00   Panel Master
37026   CT ABD PELVIS W/O CONT                  $0.00   Panel Master
37027   CT ABD PELVIS W&W/O CONT                $0.00   Panel Master
37028   CT ABD PELVIS RECON W/CONT              $0.00   Panel Master
37029   CT ABD PELVIS RECON W/O CONT            $0.00   Panel Master
37030   CT ABD PELVIS RECON W&W/O CONT          $0.00   Panel Master
37031   CT IACS MASTOIDS RECON W/CONT           $0.00   Panel Master
37032   CT IACS MASTOIDS RECON W/O CONT         $0.00   Panel Master
37033   CT NECK RECON W/CONT                    $0.00   Panel Master
37034   CT NECK RECON W/O CONT                  $0.00   Panel Master
37035   CT LOWER EXT BILAT RECON W/CONT         $0.00   Panel Master
37036   CT LOWER EXT BILAT RECON W/O CONT       $0.00   Panel Master
37037   CT LOWER EXT RECON W/WO CONT            $0.00   Panel Master
37038   CT LOWER EXT BILAT RECON W&WO/CON       $0.00   Panel Master
37039   CT IACS MASTOIDS RECON W&WO/CONT        $0.00   Panel Master
37040   CT ABDOMEN RECON W/CONT                 $0.00   Panel Master
37041   CT ABDOMEN RECON WO/CONT                $0.00   Panel Master
37042   CT ABDOMEN RECON W/WO CONT              $0.00   Panel Master
37043   CT CHEST RECON W/CONT                   $0.00   Panel Master
37044   CT CHEST RECON WO/CONT                  $0.00   Panel Master
37045   CT CHEST RECON W/WO CONT                $0.00   Panel Master
37046   CT C-SPINE RECON W/WO CONT              $0.00   Panel Master
37047   CT T-SPINE RECON W/WO CONT              $0.00   Panel Master
37048   CT L-SPINE RECON W/WO CONT              $0.00   Panel Master
37049   CT UPPER EXTREM RECON LT W/WO CON       $0.00   Panel Master
37050   CT UPPER EXTREM RECON RT W/WO CON       $0.00   Panel Master
37051   CT LOWER EXTREM RECON LT W/WO CON       $0.00   Panel Master
37052   CT LOWER EXTREM RECON RT W/WO CON       $0.00   Panel Master
37053   CT SELLA TURCICA RECON W/WO CONT        $0.00   Panel Master
37054   CT SELLA TURCICA W/WO CONT          $2,549.00
37055   CT UPPER EXTREM RT W/WO CONT        $2,507.00
37056   CT UPPER EXTREM LT W/WO CONT        $2,507.00
37057   CT T-SPINE W/WO CONT                $2,714.00
37058   CT L-SPINE W/WO CONT                $2,185.00
37059   CT C-SPINE W/WO CONT                $2,360.00
37060   CTA ABD PEL RUNOFF W/WO CONT            $0.00   Panel Master
37061   CT ABDOMEN PELVIS W/WO CONT             $0.00   Panel Master
37062   CTA PELVIS RUNOFF W/WO CONT             $0.00   Panel Master
37063   CTA CHEST BILAT UPPER EXT W/WO CO       $0.00   Panel Master
38000   CT BODY AND LUNG SCREEN             $1,250.00
38026   CT C-SPINE RECON W/O CONT               $0.00   Panel Master
38027   CT C-SPINE RECON W/CONT                 $0.00   Panel Master
38028   CT T-SPINE RECON W/CONT                 $0.00   Panel Master
38029   CT T-SPINE RECON WO/CONT                $0.00   Panel Master
38030   CT L-SPINE RECON W/CONT                 $0.00   Panel Master
38031   L-SPINE RECON W/O CONT                  $0.00   Panel Master
38032   CT ORBITS RECON W/CONTRAST              $0.00   Panel Master
38033   CT ORBITS RECON WO/CONTRAST             $0.00   Panel Master
38034   CT ORBITS RECON W/WO CONTRAST           $0.00   Panel Master
38035   CT PELVIS RECON W/CONT                  $0.00   Panel Master
38036   CT PELVIS RECON WO/CONT                 $0.00   Panel Master
38037   CT SELLA TURCICA RECON W/CONT           $0.00   Panel Master
38038   CT SELLA TURCICA RECON WO/CONT          $0.00   Panel Master
38039   CT UPPER EXTREM RECON LT WO/CONT        $0.00   Panel Master
38040   CT UPPER EXTREM RECON LT W/CONT         $0.00   Panel Master
38041   CT UPPER EXTREM RECON RT WO/CONT        $0.00   Panel Master
38042   CT UPPER EXTREM RECON RT W/CONT         $0.00   Panel Master
38043   CT LOWER EXTREM RECON LT W/CONT         $0.00   Panel Master
38044   CT LOWER EXTREM RECON LT WO/CONT        $0.00   Panel Master
38045   CT LOWER EXTREM RECON RT W/CONT         $0.00   Panel Master
38046   CT LOWER EXTREM RECON RT WO/CONT        $0.00   Panel Master
38047   CT NECK RECON W/WO CONT                 $0.00   Panel Master
38048   CT PELVIS RECON W/WO CONT               $0.00   Panel Master
79470   REMOVAL OF TUBE                       $177.00
80120   EMBOLECTOMY-BY-ARM-INCISION           $800.00
80134   PLACEMENT CENTRAL LINE PERCUTANEO   $1,110.00
80140   ARTERIAL LINE PLACEMENT               $650.00
80150   TRANSCATH RETRIEVAL PERCUTANEOUS    $1,900.00
80160   CPR                                   $980.00
80170   CARDIOVERSION-ELECTIVE              $2,350.00
80180   CARDIO-ASSIST-EXTERNAL                $440.00
80190   ERGONOVINE STUDY                      $175.00
80200   SWAN GANZ PLACEMENT                 $2,556.00
80220   IAB PERCUTANEOUS INSERTION          $1,903.00
80225   IAB-PERCUTANEOUS INSERTION          $1,903.00
80230   TILT TABLE EXAM                     $1,258.00
80250   PERICARDIOCENTESIS W/US               $660.00
80260   ENDOMYOCARDIAL BIOPSY W/US            $345.00
80261   ENDOMYOCARDIAL BIOPSY               $2,516.00
80270   TRANSCATH RETRIEVALPERCUTANEOUS R   $3,056.00
80317   IV INFUSION FIRST HOUR NON CHEMO      $446.00
80318   IV INFUSION EA ADDL HR                $115.00
80350   SEL ARTERIAL/INJECTION (LIMA/RIMA     $757.00
80360   BYPASS GRAFTS/INJECTION               $757.00
80370   PULMONARY ANGIOGRAPHY/INJECTION       $629.00
80380   SEL RT VENTRIC OR ATRIAL ANGIO/IN     $629.00
80390   SEL LEFT VENTRIC OR ATRIAL ANGIO/     $663.00
80400   AORTOGRAPHY/INJECTION                 $462.00
80410   SEL CORONARY ANGIOGRAPHY/INJECTIO   $1,198.00
80420   VENTRI/ATRIAL ANGIO CARDIAC CATH    $1,410.00
80430   PULM ANGIO AORTO CARDIAC CATH S&I   $1,698.00
80450   PERICARDIOCENTESIS -INITIAL         $2,370.00
80460   PERICARDIOCENTESIS-SUBSEQUENT       $2,370.00
80525   TRANSCATH INFUS,NT FOR LYSIS        $1,450.00
80530   TRANSCATH INFUS NT LYSIS 59         $1,450.00
80700   OXYGEN SATURATION NON-PULSE OX         $97.00
80710   ACT CTH                               $127.00
80973   PROC DISCONTINUED BEFORE ANESTH -       $0.00
80974   PROC DISCONTINUED AFTER ANESTH -        $0.00
82010   ABDOMINAL AORTOGRAM                 $3,365.00
82015   AORTOGRAM W/BILAT RENAL ANGIO       $3,700.00
82045   THORACIC AORTOGRAM                  $3,371.00
82050   AORTOGRAM ABDOMINAL AIF             $3,430.00
82090   STENT PLACEMENT EA VESSEL           $3,767.00
82100   STENT PLACEMENT EA ADDL VESSEL      $3,767.00
82110   THROMBOLYSIS                        $4,738.00
82120   SUBCLAVIAN RIGHT                    $2,932.00
82130   SUBCLAVIAN LEFT                     $2,932.00
82150   CAROTID ANGIO RT                    $3,419.00
82160   CAROTID ANGIO LEFT                  $3,419.00
82170   CAROTID, CERVICAL, BILAT ANGIOGRA   $3,682.00
82179   INSERTION VENA CAVA FILTER          $2,669.00
82180   THORACIC AORTIC ARCH                $3,386.00
82199   VENOGRAM EXTREMITY UPPER RIGHT      $1,454.00
82210   VENOGRAM LEFT UPPER EXT             $1,454.00
82229   VENOGRAM VENA CAVA INFERIOR         $3,073.00
82259   VENOGRAM VENA CAVA SUPERIOR         $2,196.00
82315   LOWER EXTREM ANGIO - LEFT           $2,932.00
82325   LOWER EXTREM ANGIO - RIGHT          $2,932.00
82335   BILATERAL RENAL ANGIO               $3,700.00
82355   RENAL-LEFT                          $3,145.00
82365   RENAL-RIGHT                          $3,145.00
82375   AORTOGRAM - ADDL                     $3,365.00
82820   ANGIOGRAPHY EXTREMITY BILATERAL      $3,806.00
82825   SUBCLAVIAN BILATERAL                 $3,806.00
82840   F/U ANGIO THROM EA                   $1,240.00
82845   ILIAC PTA INIT                       $3,426.00
82850   ILIAC PTA ADDITIONAL                 $2,750.00
82855   RENAL PTA INITIAL                    $3,426.00
82870   PERIPHERAL ATHERECTOMY               $2,796.00
82875   PERIPHERAL ATHERECTOMY EA ADDL       $3,426.00
82880   ATHERECTOMY VASCULAR EA ADDL         $3,426.00
82883   RENAL ATHERECTOMY                    $3,426.00
82886   RENAL ATHERECTOMY EA ADDL            $3,426.00
82889   ANGIOJET-CORONARY ONLY                 $822.00
82895   VASCULAR SEAL                           $63.00
82898   DRIVE BY RENAL                          $63.00
82901   NON SEL FEMORAL                         $63.00
82910   EXCHANGE ART CATH (IP ONLY)          $4,640.00
82913   IVUS NON-CORONARY EA ADDL VESSEL       $639.00
82916   IVUS NON-CORONARY INITIAL VESSEL     $1,404.00
82919   FEMORAL/POPLITEAL PTA EA ADDL VES    $2,750.00
82922   FEMORAL/POPLITEAL PTA                $3,426.00
82925   AORTOGRAM ABD W/ANGIO RENAL RIGHT    $3,145.00
82927   AORTOGRAM ABD W/ANGIO RENAL LEFT     $3,145.00
83003   RT HEART CATH                        $3,300.00
83010   LFT HEART CATH RETRO                 $5,249.00
83020   LFT HEART CATH BI-CUTDOWN            $3,000.00
83030   RT HEART CATH & RETRO LEFT           $5,249.00
83040   TEMP PACER TRANSVENOUS -SNGL         $4,450.00
83050   TEMP PACER -TRANSVENOUS DUAL         $4,450.00
83060   STENT PLACEMENT-SINGLE VESSEL       $10,761.00
83070   ATHRECTOMY-SINGLE VESSEL             $5,420.00
83088   PTCA- SINGLE VESSEL                  $7,710.00
83090   STENT PLACEMENT - EACH ADDL VESS     $9,045.00
83100   ATHRECTOMY EACH ADDL VESSEL          $1,848.00
83110   PTCA EACH ADDL VESSEL                $6,489.00
83120   IVUS SINGLE VESSEL CORONARY.         $1,579.00
83130   IVUS CORONARY EA ADD'L VESSEL          $806.00
83140   ANGIOGRAM-PELVIS                     $2,574.00
83170   ANGIOGRAPHY EA ADD'L VESSEL          $2,861.00
83180   VENOGRAPHY BILAT                     $1,182.00
83200   RENAL PTA EA ADD'L                   $1,827.00
83220   ATHRECTOMY VASCULAR EA ADD'L         $1,700.00
83250   CORONARY CATH- NO LEFT HEART         $3,553.00
83260   DES STENE INITIAL                    $8,250.00
83270   DES STENT EA ADD'L                   $6,200.00
83380   MODERATE SEDATION FIRST 30 MIN         $500.00
83385   MODERATE SEDATION EA ADDL 15 MIN       $125.00
83390   TRANSCATH STENT PLACE INIT,         $11,119.00
83395   SEL CATH PLACE 3RD ORDER             $1,680.00
83400   SEL CATH PLACE 2ND ORDER             $1,140.00
83405   SEL CATH PLACEMENT 1ST ORDER         $1,050.00
83410   CATHETER PLACEMENT AORTA              $760.00
83415   PTA FEMORAL/POPLITEAL               $6,283.00
83420   PTA RENAL/VISCERAL,                 $6,283.00
83425   CATH PLACE EXTREMITY ARTERY           $580.00
86865   ATHERECTOMY VASCULAR                $2,796.00
90028   RN/RD - 30 MINS                        $68.00
90029   GROUP ED CLASS - 30 MINS               $40.50
90050   MED NUTRITION THER-INDIVIDUAL-15       $43.00
90051   MED NUTRITION THER,IND,SUBSQ 15 M      $60.00
90052   MED NUTRITION THERAPY,GRP, 30 MIN      $72.00
90060   MED NUTRITION THRPY REASSES 15MIN      $40.00
90130   EMPLOYEE VISITS 30 MINUTES NC           $0.00   Utilization
90228   SPEC FUND-INDIV ED-RN/RD, 30 MIN       $68.00
90229   SPEC FUND-GROUP ED, 30 MINS            $40.50
40300   ACUTE HEMODIALYSIS IP               $1,560.00
40301   DIALYSIS TREATMENT REQUEST              $0.00   Ordering
40304   PERITONEAL DIALYSIS INIT CONSULT       $48.00
40305   PERITONEAL DIALYSIS DAILY VISIT        $24.00
40306   CONTINUOUS RENAL REPLACEMENT THER   $5,760.00
40806   ACT(DIALYSIS) COAG TIME P.O.C.T.      $127.00
80050   BREAKFAST MEAL                          $0.00
80100   LUNCH/DINNER MEAL                       $0.00
81260   REGULAR DIET                            $0.00   Ordering
81261   NPO DIET                                $0.00   Ordering
81262   SOFT DIET                               $0.00   Ordering
81263   CLEAR LIQUID DIET                       $0.00   Ordering
81264   FULL LIQUID DIET                        $0.00   Ordering
81265   SODIUM DIET                             $0.00   Ordering
81266   ADA DIET                                $0.00   Ordering
81267   RCC DIET                                $0.00   Ordering
81268   RENAL DIET                              $0.00   Ordering
81270   CALORIE CONTROLLED DIET                 $0.00   Ordering
81271   NEUTROPENIC DIET                        $0.00   Ordering
81272   LOW CHOLESTEROL DIET                    $0.00   Ordering
81273   GLUTEN FREE DIET                        $0.00   Ordering
81275   PUREED DIET                             $0.00   Ordering
81276   CALORIE COUNT                           $0.00   Ordering
81277   NUTRITIONAL ASSESSMENT                  $0.00   Utilization
81278   NUTRITION CONSULT                       $0.00   Ordering
81279   DIET INSTRUCTIONS                       $0.00   Utilization
81280   TUBE FEEDING                            $0.00   Ordering
81281   PATIENT SPECIAL NEED                    $0.00   Utilization
81282   DISCONTINUE TUBE FEEDING                $0.00   Ordering
81283   NUTRITION CONCERN - RN REQUESTED        $0.00   Ordering
81284   FLUID RESTRICTION ORDER                 $0.00   Ordering
81285   PUREED DIET SECONDARY                   $0.00   Utilization
81286   KOSHER DIET                             $0.00   Ordering
81287   VEGETARIAN DIET (VEGAN DIET)            $0.00   Ordering
81300   LACTOSE FREE DIET                       $0.00
81301   LACTOSE FREE DIET(SECONDARY)            $0.00
81302   LOW RESIDUE DIET                        $0.00
81303   LOW RESIDUE DIET(SECONDARY)             $0.00
81304   DYSPHAGIA DIET I                        $0.00
81305   DYSPHAGIA DIET I(SECONDARY)             $0.00
81306   DYSPHAGIA DIET II                       $0.00
81307   DYSPHAGIA DIET II(SECONDARY)            $0.00
81308   THICKENED LIQUIDS(SECONDARY)            $0.00
81309   ADA DIET(SECONDARY)                     $0.00
81310   ADA INSULIN DEPENDENT(SECONDARY)        $0.00
81311   LOW CHOLESTEROL(SECONDARY)              $0.00
81312   BLAND DIET(SECONDARY)                   $0.00
81313   CALORIE CONTROLLED(SECONDARY)           $0.00
81314   CLEAR LIQUID DIET(SECONDARY)            $0.00
81315   FULL LIQUID DIET(SECONDARY)             $0.00
81316   GLUTEN FREE DIET(SECONDARY)             $0.00
81317   NEUTROPENIC DIET(SECONDARY)             $0.00
81318   RCC DIET(SECONDARY)                     $0.00
81319   SOFT DIET(SECONDARY)                    $0.00
81320   RENAL DIET(SEONDARY)                    $0.00
81321   SODIUM DIET(SECONDARY)                  $0.00
81322   NO CAFFEINE/DECAF - CARDIAC TESTS       $0.00
81325   MED NUTR THRPY DIAGNOSIS CHG/15MI       $0.00
81327   MECHANICAL SOFT DIET                    $0.00   Ordering
81328   HEPATIC DIET                            $0.00   Ordering
82000   BRAT DIET                               $0.00
82005   COOL CLEAR NO REDS                      $0.00
26925   FB REM DEEP THIGH/KNEE              $2,575.00
50898   I&D, SHOULDER, INF BURSA 74         $1,270.00
51100   NON-COVERED PT SUPV HRLY                $0.00   Utilization
51825   AVULSION NAIL PLATE - LT THUMB        $185.00
51826   AVULSION NAIL PLATE - 2ND DIG LT      $185.00
51830   AVULSION NAIL PLATE - RT THUMB        $185.00
51835   AVULSION NAIL PLATE - LT GREAT TO     $185.00
51840   AVULTION NAIL PLATE - RT GREAT TO     $185.00
51900   EVAC SUBUNGUAL HEM-LT THUMB           $155.00
51901   EVAC SUBUNGUAL HEM-2ND DIG LT         $155.00
51907   EVAC SUBUNGUAL HEM 3RD DIGIT RT       $155.00
51908   EVAC SUBUNGUAL HEM-4TH DIG RT         $155.00
51910   EVAC SUBUNGUAL HEM-LT GREAT TOE       $155.00
51919   EVAC SUBUNGUAL HEM-5TH TOE RT         $155.00
51949   REM NAIL BED-PERMANENT T9             $830.00
51961   EXC NAIL/MTRX W/AMP TUFT/PHAL FA    $2,570.00
51964   EXCIS NAL/MATRIX W/AMPUT TUFT/PHA   $2,570.00
51966   EXC.NAIL MATRIX W AMPUT TUFT/PHA    $2,570.00
51967   EXC NAIL MATRIX W/AMP TUFT PHA F6   $2,570.00
51968   EXCIS NAL/MAT W/AMP TUFT/PHA F7     $2,570.00
51971   EXCIS NAL/MATRIX W/AMPUT TUFT/P/1   $2,570.00
51975   EXC NAL/MAT W/AMP TUFT/PHA T4       $2,570.00
52048   RECONSTRUCT NAIL BED W/GRAFT T8       $500.00
52065   WEDGE EXC INGROWN NAIL-RT GRT TOE     $363.00
52093   SIM LAC 2.6-7.5CM BDY-SCLP-HD-F76     $500.00
52100   SIM LAC 7.6-12.5CM BDY-SCLP-HD-FT     $500.00
52140   SIM LAC<2.5 CM FACE-CHIN-EARS 59      $500.00
52145   SIM LAC 2.6-5.0 CM 59                 $500.00
52470   CMPLX LAC<1.1 CM NOSE-EARS-EYES-L   $2,500.00
52475   CMPLX LAC 1.1-2.5CM N-E-E-L 59        $770.00
52490   CMPLX LAC N-E-E-L EA ADDL 5CM OR<     $770.00
52768   INJ/S SNGL TENDON ORIGIN/INSERT       $435.00
52769   INJ/S SNGL/MULT TRIGGER PT/S          $435.00
52795   ARTHROCENT-ASP-INJ INT JOINT LT       $435.00
52796   ARTHROCENT-ASP-INJ INT JOINT RT       $435.00
52805   ARTHROCENT-ASP-INJ MAJOR JT LT        $450.00
52806   ARTHROCENT-ASP-INJ MAJOR JT RT        $450.00
52863   CLSD TX TEMPOROMANDIBULAR DISLO52     $345.00
52864   CLSD TX TEMPOROMANDIBULAR DISLO59     $345.00
52870   CLSD TX RIB FRACTURE-EA-UNCOMPL L     $340.00
52910   CLSD TX CLAVICLE FX W/O MANIP LT      $340.00
52911   CLSD TX CLAVICLE FX W/O MANIP RT      $340.00
52920   CLSD TX CLAVICLE FX W/MANIP LT        $341.00
52951   CLSD TX AC JOINT DISLOC W/O MANIP     $340.00
52960   CLSD TX AC DISLOC W/MAN LT            $340.00
52970   CLSD SCAPULAR FX W/O MAN LT           $340.00
52971   CLOSED SCAPULAR FRACTURE W/O MAN      $340.00
52972   CLSD SCAPULAR FX W/O MAN 50           $340.00
52990   CLSD TX PROX HUMERAL FX W/O MAN L     $445.00
52991   CLSD TX PROX HUMERAL FX W/O MAN R     $445.00
52993   CLSD TX PROX HUMERAL FX WO/MAN 59     $445.00
53001   FX,PROXIMAL HUMERAL, CLSD,W/MAN L     $445.00
53002   FX,PROXIMAL HUM, CLOSED, W/MAN RT     $445.00
53016   CLSD TX PROX HMRL TUBR FX W/MAN R     $445.00
53025   CLOSED TX HUMERAL FX W/MANIP LEFT     $445.00
53035   CLSD TX SHLDR DIS W/MAN WO/ANES L     $340.00
53036   CLSD TX SHLDR DIS W/MAN WO/ANES R     $340.00
53046   CLSD TX SHLDR DIS/FRACT HUM W/MAN     $445.00
53084   ARTHROTOMY ELBOW,REM FB,DRAIN,EXP     $830.00
53090   CLSD TX TREAT HMRL FX WO/MAN L        $445.00
53091   CLSD TX TREAT HMRL FX WO/MAN RT       $445.00
53110   CLSD TX DISTAL HMRL FX WO/MAN LT      $445.00
53111   CLSD TX DISTAL HMRL FX WO/MAN RT      $445.00
53120   TX HUM EPICONDYLAR FX-W/O MANIP L     $445.00
53121   TX HUM EPICONDYLAR FX W/O MANIP R     $445.00
53130   TX HUMERAL CONDYLAR FX W/O MAN LT     $445.00
53131   TX HUMERAL CONDYLAR FX WO/MNIP RT     $445.00
53136   TX HUM CONDYLAR FX W/O MANIP 77       $445.00
53140   TX CLSD ELBOW DISLOC W/O ANEST LT     $445.00
53141   TX CLSD ELBOW DISLOC W/O ANEST RT     $445.00
53160   CLSD TX NURSEMAID ELBOW W/MANIP L     $445.00
53161   CLSD TX NURSEMAID ELBOW W/MANIP R     $445.00
53167   CLSD TX NURSEMAID ELBOW W/MAN 76      $445.00
53170   CLSD TX RADIAL HEAD FX W/O MAN LT     $445.00
53171   CLSD TX RADIAL HEAD FX W/O MAN RT     $445.00
53173   CLSD TX RADIAL HEAD FX W/O MAN 59     $445.00
53180   CLSD TX FX RADIAL HD W/MANIP LT       $445.00
53181   CLSD TX RADIAL HEAD FX W/MAN RT       $445.00
53190   CLSD TX ULNA FX PROX W/O MANI LT      $445.00
53191   CLSD TX ULNA FX PROX W/O MANI RT      $445.00
53193   CLST TX ULNA FX PROX W/O MAN 59     $445.00
53200   FX ULNA PROXIMAL END W/MAN LT       $445.00
53240   CLSD TX RADIAL SHAFT FX W/O MAN L   $445.00
53241   CLSD TX RADIAL SHAFT FX WO/MAN      $445.00
53242   CLSD TX RADIAL SHFT FX W/O MAN-BI   $445.00
53251   CLSD TX RADIAL SHAFT FX W MANI RT   $445.00
53260   CLSD TX ULNAR SHAFT FX W/O MAN LT   $445.00
53261   CLSD TX ULNAR SHAFT FX W/O MAN RT   $445.00
53271   CLSD TX ULNAR SHAFT FX WMANI RT     $445.00
53284   CLSD TX RAD+ULNA FX W/O MANI-LT     $445.00
53285   CLSD TX RED+ULNA FX W/O MAN RT      $445.00
53305   CLSD TX DISTA RADIAL FX W/O MAN L   $445.00
53306   CLSD TX DISTA RADIAL FX W/O MAN R   $445.00
53307   CLSD TX DISTA RADIAL FX W/O MAN-B   $445.00
53309   CLSD TX DISTAL RADIAL FX/WO MAN76   $445.00
53315   CLSD TX DISTAL RADIAL FX W/MAN LT   $445.00
53316   CLSD TX DISTAL RADIAL FX W/MAN RT   $445.00
53325   CLSD TX NAVICULAR FX W/O MANIP LT   $445.00
53326   CLSD TX NAVICULAR FX W/O MANIP RT   $445.00
53328   CLSD TX NAVICULAR FX W/O MANIP 59   $445.00
53345   CLSD TX FX CARPL BONE WO/MAN EA L   $445.00
53346   CLSD TX FX CARPAL BONE W/O MAN RT   $445.00
53375   CLSD TX ULNAR STYLOID FX LT         $445.00
53376   CLSD TX ULNAR STYLOID FX RT         $445.00
53385   CLSD TX RADCARP DISL 1/> W/MAN LT   $445.00
53386   CLSD TX RADIOCRP DISL ONR>W/MAN R   $445.00
53408   CLSD TX DSTL RAD-UL DSLC W/MAN 77   $445.00
53571   CLSD TX METACRPL FX WO/MAN-EA LT    $445.00
53572   CLSD TX METACRPL FX WO/MAN-EA RT    $445.00
53574   CLSD TX METACARP FX W/O MAN-EA 59   $445.00
53577   CLSD TX METACRPL FX W/MAN EA LT     $445.00
53578   CLSD TX METACARPAL FX W/MAN EA-RT   $445.00
53622   CLSD TX CMCP W/MAN WO/ANES F3       $445.00
53623   CLSD TX CMCP W/MAN WO/ANES F4       $445.00
53624   CLSD TX CMCP W/MAN WO/ANES F6       $445.00
53641   CLSD TX MCP DIS W/MANIP             $341.00
53645   CLSD TX MCP DIS W/MAN W/O ANE F7    $341.00
53646   CLSD TX MCP DIS W/MAN WO/ANES F8    $341.00
53655   CLSD TX FINGER FRACT W/O MANI-EA    $340.00
53656   CLSD TX FINGER FRACT W/O MAN EAF1   $340.00
53657   CLSD TX FING FX W/O MAN EA F1       $340.00
53658   CLSD TX FING FRACTURE W/O MANI-EA   $340.00
53659   CLSD TX FING FX WO/MAN EA F4        $340.00
53660   CLSD TX FING FX WO/MAN EA F5        $340.00
53661   CLSD TX FING FX WO/MAN EA F6        $340.00
53662   CLSD TX FING FRACTURE W/O MANI F7   $340.00
53663   CLSD TX FINGER FX W/O MANIP-EA      $340.00
53664   CLSD TX FING FX WO/MAN EA F9        $340.00
53672   CLSD FINGER FX W/MANIP - EA         $340.00
53673   CLSD TX FING FRACTURE W/MANIP F3    $340.00
53679   CLSD TX FING FRAC W/MANIP-EA F9     $340.00
53725   CLSD TX DISTAL TUFT FX W/O MANIP    $340.00
53726   CLSD TX DISTAL TUFT FX W/O MAN F1     $340.00
53727   CLSD TX DISTAL TUFT FX W/O MAN F2     $340.00
53728   CLSD DISTAL TUFT FX W/O MAN F3        $340.00
53729   CLSD TX DIS TUFT FX W/O MANIP F4      $340.00
53730   CLSD TX DISTAL TUFT TX W/O MAN F5     $340.00
53731   CLSD TX DISTAL TUFT FX W/O MAN F6     $340.00
53732   CLSD TX DISTAL TUFT FX W/O MNIP F     $340.00
53733   CLSD TX DISTAL TUFT FX W/O MAN F8     $340.00
53734   CLSD TX DISTAL TUFT FX W/O MANI/1     $340.00
53766   FX,DISTAL PHAL,OPEN EA F6           $4,600.00
53769   FX, DISTAL PHAL, OPEN EA F9         $4,600.00
53779   CLSD TX DIP PIP DISLOC W/MANIP F3     $340.00
53780   CLSD TX DIP-PIP DISLOC W/MANIP F4     $340.00
53784   CLSD TX DIP-PIP DISLOC W/MANIP F8     $340.00
53785   CLSD TX DIP-PIP DISLOC W/MANIP F9     $340.00
53862   FX/S ACETABULUM(HIP SOCKET)CLSD50     $445.00
53900   CLSD TX HIP DISLOC W/O ANESTH LT      $445.00
53901   CLSD TX HIP DISLOC W/O ANESTH RT      $445.00
53910   CLSD TX POST HIP DISLOC LT            $445.00
53911   CLSD TX POST HIP DISLOC RT            $445.00
53913   CLSD TX POST HIP DISLOC (52)          $445.00
53914   CLSD TX POST HIP DISLOC 59            $445.00
53930   CLSD TX FEM SHAFT FX WO MAN LT        $445.00
53931   CLSD TX FEMORAL SHAFT W/O MAN RT      $445.00
53940   CLSD TX FEM FX DSTL END WO/MAN LT     $445.00
53950   CLSD TX PATELLAR FX W/O MAN LT        $445.00
53951   CLSD TX PATELLAR FX W/O MAN RT        $445.00
53960   TX TIBIAL PLAT FX W/O MANIP LT        $445.00
53961   TX TIBIAL PLAT FX W/O MANIP RT        $445.00
53980   CLSD TX KNEE DISLOC LT W/O ANESTH     $445.00
53981   CLSD TX KNEE DISLOC W/O ANESTH RT     $445.00
53990   CLSD TX PATELLAR DISLO WO/ANES LT     $445.00
53991   CLSD TX PATELLAR DISLC WO/ANES RT     $445.00
54040   CLSD TX TIB FX W/O MANIP LT           $445.00
54041   CLSD TX TIB FX W/O MANIP RT           $445.00
54060   CLSD TX FX MED MALLEOUS W/O MAN L     $445.00
54061   CLSD TX FX MED MALLEOUS W/O MAN R     $445.00
54080   CLSD TX PROX FIBULA FX W/O MAN LT     $445.00
54081   CLSD TX PROX FIBULA FX W/O MAN RT     $445.00
54100   CLSD TX DIS FIBULA W/O MANIP LT       $445.00
54101   CLSD TX DIS FIBULA W/O MANIP RT       $445.00
54103   CLSD TX DIS FIBULA W/O MAN 59         $445.00
54110   CLSD TX DIS FIBULA W/MANIP LT         $445.00
54111   CLSD TX DIS FIBULA W/MANIP RT         $445.00
54120   CLSD TX BIMALLEOL ANK FX WO/MAN L     $445.00
54121   CLSD TX BIMALLEOL ANK FX WO/MAN R     $445.00
54130   CLSD TX BIMALLEOLAR ANKL FX W/MAN     $445.00
54131   CLSD TX BIMALL ANKLE FX W/MAN RT      $445.00
54140   FX, TRIMALLEOLAR ANKLE CLOSED - L     $445.00
54141   CLSD TREATMENT ANKLE FX - RT          $445.00
54145   CLSD TX TRIMALL ANKLE FX W/MAN        $445.00
54150   CLSD TX TRIMALLE ANKL FX W/MAN RT     $445.00
54158   FRACTURE, DISTAL TIBIA              $445.00
54159   FX,DISTAL TIBIA,W/O MAN LT          $445.00
54160   FX,DISTAL TIBIA W/O MAN RT          $445.00
54199   CLSD TX ANKLE DISLOC W/O ANEST LT   $445.00
54221   REM OF FB FOOT-SUB RT               $830.00
54260   CLSD TX CALCANEAL FX W/O MAN LT     $445.00
54261   CLSD TX CALCANEAL FX W/O RT         $445.00
54280   CLSD TX TALUS FX W/O MANIP LT       $445.00
54281   CLSD TX TALUS FX W/O MANIP RT       $445.00
54291   FX,TALUS, CLOSED W/MAN 59           $445.00
54300   TX TARSAL BONE FX W/O MAN-EA LT     $445.00
54301   TX TARSAL BONE FX W/O MAN-EA RT     $445.00
54303   TX TARSAL BONE FX W/O MAN-EA 59     $445.00
54320   CLSD TX METATARSAL FX WO/MAN EA L   $445.00
54321   CLSD TX METATARSAL FX WO/MAN RT     $445.00
54325   CLSD TX METATARSAL FX WO/MAN EA77   $445.00
54340   CLSD TX BIG TOE FX W/O MANIP TA     $340.00
54341   CLSD TX BIG TOE FX W/O MANIP T5     $340.00
54345   CLSD TX BIG TOE FX W/O MANIP 77     $340.00
54361   CLSD TX TOE FX W/O MANIP T2         $340.00
54362   CLSD TX TOE FX W/O MAN T3           $340.00
54363   CLSD TX TOE FX W/O MANIP T4         $340.00
54364   CLSD TX TOE FX W/O MANIP T6         $340.00
54365   CLSD TX TOE FX W/O MANIP T7         $340.00
54366   CLSD TX TOE FX W/O MANIP T8         $340.00
54367   CLSD TX TOE FX W/O MANIP T9         $340.00
54378   CLSD TX TOE FX W/MANIP T4           $440.00
54411   CLSD TX T-MT JOINT DISL RT          $445.00
54427   CLSD TX METATARSOPHAL JT DISLO-T2   $340.00
54428   CLSD TX METATARSOPHAL JT DISLO T3   $340.00
54434   CLSD TX METATARSOPHAL JT DISLO T9   $340.00
54445   CLSD TX CLOSED IPJ DISLOC TA        $340.00
54485   APPLY SHORT ARM CAST LT             $360.00
54496   APPLY HD/WRIST CAST-GAUNTLET RT     $360.00
54505   APPLY LONG ARM SPLINT LT            $360.00
54506   APPLY LONG ARM SPLINT - RT          $360.00
54515   APPLY SHORT ARM SPLINT LT           $360.00
54516   APPLY SHORT ARM SPLINT RT           $360.00
54518   APPLY SHORT ARM SPLINT 59           $360.00
54519   APPLY SHORT ARM SPLINT 76           $360.00
54525   APPLY SHORT ARM SPLINT LEFT         $360.00
54526   APPLY SHORT ARM SPLINT RT/1         $360.00
54528   APPLY SHORT ARM SPLINT 59/1         $360.00
54530   APPLY SHORT ARM SPLINT 77           $360.00
54535   APPLICAT OF FINGER SPLINT STATIC    $360.00
54536   APPLIC OF FINGER SPLINT STATIC F1   $360.00
54539   APPLICAT OF FINGER SPLINT STATI/1   $360.00
54540   APPLICAT OF FINGER SPLINT-STATIC    $360.00
54541   APP OF FINGER SPLNT STATIC F6       $360.00
54542   APPLICAT OF FINGER SPLINT STATI/2   $360.00
54543   APPL OF FINGER SPLINT STATIC F8     $360.00
54544   APPLIC OF FINGER SPLIT STATIC F9    $360.00
54550   APPLY FINGER SPLINT                 $360.00
54552   APPLY FINGER SPLINT F2              $360.00
54554   APPLY FINGER SPLINT F4              $360.00
54555   APPLY FINGER SPLINT F5              $360.00
54556   APPLY FINGER SPLINT F6              $360.00
54557   APPLY FINGER SPLINT F7              $360.00
54558   APPLY FINGER SPLINT F8              $360.00
54570   STRAPPING SHLDR-EG-VELPEAU LT       $360.00
54571   STRAPPING SHOULDER EG VELPEAU RT    $360.00
54576   STRAPPING ELBOW,WRIST               $360.00
54577   STRAPING ELBOW-WRIST LT             $360.00
54578   STRAPPING ELBOW-WRIST RT            $360.00
54580   STRAPPING ELBOW-WRIST 59            $360.00
54584   STRAPPING HD-FINGER LT              $360.00
54585   STRAPPING HD-FINGER RT              $360.00
54587   STRAPPING HAND OR FINGER 59         $360.00
54589   STRAPPING HD-FINGER 77              $360.00
54616   APPLY CYLINDER CAST-THIGH/ANKLE R   $360.00
54625   APPL SHORT LEG CST-KNEE TO TOES L   $360.00
54626   APPL SHORT LEG CST-KNEE TO TOES R   $360.00
54650   ADD WALKER CAST TO PREV CAST LT     $360.00
54651   ADD WALKER CAST TO PREV CAST RT     $360.00
54660   APPLY LG SPLNT-THIGH-ANKL-TOES LT   $225.00
54661   APPLY LG SPLNT-THIGH-ANKL-TOES RT   $225.00
54662   APPLY LG SPLNT RT ANKLE TOES 50     $225.00
54663   APPLY LG SPLNT-THIGH-ANKL-TOE 59    $225.00
54670   APPLY SHRT LEG SPLNT-CALF TO FT L   $225.00
54671   APPL SHORT LEG SPLNT-CALF TO FT R   $225.00
54677   APPLY STRAP- HIP (LEFT)             $360.00
54678   APPLY STRAP, HIP (RT)               $360.00
54680   STRAPPING HIP                       $360.00
54683   STRAPPING RT KNEE                   $225.00
54684   STRAPPING - LEFT KNEE               $225.00
54685   STRAPPING KNEE RT                   $225.00
54687   STRAPPING KNEE (59)                 $225.00
54695   STRAPPING - LEFT ANKLE              $225.00
54696   STRAPPING - RIGHT ANKLE             $225.00
54697   STRAPPING ANKLE 50                  $225.00
54700   STRAPPING FOOT LT                   $225.00
54740   REMOVAL/BIVALVING ARM/LEG CAST-LT   $225.00
54741   REM OR BIVAL FULL ARM/LEG CAST-RT   $225.00
54742   REMOVAL REVISION OF CAST BILAT      $225.00
54757   UNLISTED PROC, CASTING OR STRAPPI   $225.00
54761   UNLISTED PROCEDURE CAST/STRAP 59    $225.00
54801   INTRANASAL-REMOVE F B RT            $345.00
54804   INTRANASAL-REMOVE F B 59            $345.00
54835   CNTRL ANT/NASL HEMORR LT            $455.00
54836   CONTRL ANT/NASL HEMORR RT           $455.00
54837   CONTRL ANT/NASL HEMORR 50           $455.00
54865   CONTROL POST/NASL HEMORR LT         $455.00
54910   ENDOTRACH INTUBATION 52             $940.00
54930   LARYNGOSCOPY DIAGNOSTIC 59          $260.00
55001   ED MED SURG HOLDING                 $1,955.00
55002   ED TELEMETRY                        $2,941.00
55003   ED INTENSIVE CARE HOLDING IP        $5,207.00
55004   ED PEDIATRIC HOLDING IP             $1,955.00
55009   ED OBSERVATION HOLDING BED            $141.00
55047   THORACENTESIS 50                      $750.00
55066   THORACENTESIS-PNEUMOTHORAX 59       $2,020.00
55154   VENIPUNCTURE CUTDOWN 1 YR +         $1,110.00
55160   BLOOD TRANSFUSION SERVICE 59          $659.00
55165   PUSH TRANS, BLOOD 2 YRS OR UNDER      $650.00
55218   DRAIN LYMPH NODE ABS/ADENITIS 52    $1,270.00
55447   CHANGE OF GASTROSTOMY TUBE 52         $490.00
55530   SIGMOIDOSCOPY,FLEX DIAGNOSTIC 59      $580.00
55607   ANOSCOPY W/FOREIGN BODY REMOVAL       $460.00
55707   CYSTOSTOMY, CYSTOTOMY W/DRAINAGE      $447.68
55860   COLPOSCOPY                            $250.00
55875   LUMBAR PUNCTURE                       $620.00
55877   LUMBAR PUNCTURE.                      $620.00
55879   INJECTION EPIDURAL-BLOOD PATCH        $620.00
55923   NERVE BLOCK ONLY LT                   $680.00
55924   NERVE BLOCK ONLY RT                   $680.00
55927   NERVE BLOCK ONLY 76                   $680.00
55933   SUTURE DIGITAL NERVE,HND/FT ONE N   $3,690.00
55941   SPRFICL CONJUNT FB REM RT EYE         $540.00
55945   REM FB EXT EYE CONJUNC SPRFICIAL      $540.00
55960   CORNEAL FB REM LT                     $540.00
55961   CORNEAL FB REM RT                     $540.00
55970   CORNEAL FB REM W/SLIT LAMP LT         $545.00
55971   CORNEAL FB REM W/SLIT LAMP RT         $545.00
55974   CORNEAL FB REM W/SLIT LAMP 76         $545.00
56050   NO CHARGE VISIT                         $0.00
56100   ER VISIT LEVEL 1                      $210.00
56105   ER VISIT LEVEL 2                      $454.00
56110   ER VISIT LEVEL III                    $757.00
56115   ER VISIT LEVEL IV                   $1,198.00
56120   ED VISIT LEVEL V                    $1,730.00
56155   CRITICAL CARE 1ST 30-74 MIN         $3,164.00
56156   CRITICAL CARE ADDL 30 MIN INCREME   $1,180.00
56186   ARTERIAL PUNCTURE WITHDRAW FOR DX      $79.00
56187   ARTERIAL CATHETERIZATION, PERCUT      $650.00
56190   PLACE NEEDLE FOR INTRAOSSEOUS INF     $340.00
56200   CATHETERIZATION, URETHRA, SIMPLE        $0.00   Utilization
56205   INTRODUCTION OF IV CATHETER             $0.00   Utilization
56209   VENIPUNCTURE >3 YRS NON ROUTINE     $2,175.00
56210   TRANSFUSION BLOOD OR BLOOD PRODUC     $659.00
56212   VENIPUNCTURE CUTDOWN >1 YR          $1,110.00
56215   APPLICATION OF LONG ARM SPLINT        $360.00
56216   APPLY LONG ARM CAST                   $360.00
56220   APPLICATION OF SHORT ARM SPLINT       $360.00
56221   APPLY SHORT ARM SPLINT DYNAMIC        $360.00
56222   APPLY SHORT ARM CAST                  $360.00
56223   APPLY HAND/LOW FOREARM CAST           $360.00
56225   APPLICATION OF FINGER SPLINT          $360.00
56226   APPLY FINGER SPLINT DYNAMIC           $360.00
56230   APPLICATION OF LONG LEG SPLINT        $225.00
56235   APPLICATION OF SHORT LEG SPLINT       $225.00
56236   APPLY SHORT LEG CAST(B-KNEE-TOES)     $360.00
56238   ADDING WALKER CAST TO PREVIOUS CA     $360.00
56250   APPLY STRAP SHOULDER (VELPEAU)        $360.00
56255   APPLY STRAP ANKLE                     $225.00
56260   APPLY STRAP TOES                      $225.00
56285   WINDOWING OF CAST                     $225.00
56300   LAC SIMP TO 2.5 CM                    $500.00
56305   LAC SIMP 2.6-7.5 CM                   $500.00
56310   LAC SIMP 7.6-12.5 CM                  $500.00
56315   LAC SIMP 12.6-20 CM                   $500.00
56320   LAC SIMP 20.1-30 CM                   $500.00
56325   LAC SIMP OVER 30 CM                   $500.00
56330   LAC SIMP TO 2.5 CM/1                  $500.00
56335   LAC SIMP 2.6-5.0 CM                   $500.00
56340   LAC SIMP 5.1-7.5 CM                   $500.00
56345   LAC SIMP 7.6-12.5 CM/1                $500.00
56350   LAC SIMP 12.6-20 CM/1                 $500.00
56355   LAC SIMPLE 20.1-30 CM                 $500.00
56365   REP WOUND DEHIS, SIMP CLOSURE         $500.00
56372   REPAIR LIP,FULL THK VERMILLION      $2,475.00
56374   REP LIP,FULL THK <HALF VERT HIGHT   $2,475.00
56376   REP LIP,FULL THK> HALF VERT HGHT    $2,563.00
56395   WOUND CLOSURE (TISSUE ADHESIVE)       $500.00
56396   WOUND CLOSURE(TISSUE ADHESIVE)59      $500.00
56398   WOUND CLOSURE(TISSUE ADHESIVE)        $500.00
56400   LAC INTERMEDIATE TO 2.5 CM            $501.00
56405   LAC INTERMED 2.6-7.5 CM               $500.00
56410   LAC INTERMED 7.6-12.5 CM              $500.00
56415   LAC INTERMED 12.6-20 CM               $500.00
56420   LAC INTERMED 20.1-30 CM               $500.00
56430   LAC INTERMED TO 2.5 CM                $500.00
56435   LAC INTERMED 2.6-7.5 CM/1             $500.00
56440   LAC INTERMED 7.6-12.5 CM/1            $500.00
56445   LAC INTERMED 12.6-20 CM/1             $500.00
56460   LAC INTERMED TO 2.5 CM/1              $500.00
56465   LAC INTERMED 2.6-5.0 CM               $500.00
56470   LAC INTERMED 5.1-7-5 CM               $500.00
56475   LAC INTERMED 7.6-12.5 CM/2            $500.00
56480   LAC INTERMED 12.6-20 CM/2             $500.00
56510   WND REPAIR,COMPLEX 1.1CM TO 2.5CM     $770.00
56515   WND REPAIR,COMPLEX 2.6CM TO 7.5CM     $770.00
56520   LAC CMPLX 1.1-2.5CM                   $770.00
56525   LAC COMPLX 2.6-7.5 CM                 $770.00
56530   LAC CMPLX TO 1.0CM                  $2,500.00
56535   CMPLX LAC 1.1-2.5CM N-E-E-L           $770.00
56537   LAC COMPLEX 2.6-7.5 CM                $770.00
56562   CARDIOVERSION/DEFIB                 $2,350.00
56565   BURN SUPERFICIAL                      $365.00
56570   DRSG/DEBRID, SMALL W/O ANES           $365.00
56575   DRSG/DEBRIB, MED W/O ANES             $365.00
56580   DRSG/DEBRID, LARGE W/O ANES           $365.00
56585   DESTR LESION,1ST LESION ANY METHO     $115.00
56610   INTUBATION                            $940.00
56652   SC/IM INJECTION 59                    $130.00
56654   IV INJECTION 59                       $152.00
56655   IV INJECTION                          $152.00
56656   INTRA-ARTERIAL INJECTION              $200.00
56657   INTRA-ARTERIAL INJ, THER,PROPH,DX     $200.00
56660   DRAIN LYMPH NODE ABS/ADENITIS, SM   $1,270.00
56668   LAC TONGUE FLOOR MOUNTH >2.6CM/CM   $2,480.00
56671   PARACEN/LAVAGE, DX/THERAPY INITIA     $750.00
56672   PARACEN/LAVAGE, DX/THERAPY SUBSEQ     $750.00
56675   SC/IM INJECTION                       $130.00
56678   ASP BLADDER W/SUPRAP CATH INSERT    $2,906.00
56680   BLADDER IRRIGATION,SMPL, LAV/INST     $445.00
56683   DIL URETH STRICT SOUND/URETH DIL      $445.00
56686   INC THROMBOSED HEMORRHOID, EXTERN     $485.00
56690   HEMORRHOIDECTOMY, SIMPLE LIGATURE     $485.00
56700   PUNC ASPIRATION ABS/HEMA/BULLA/CY     $415.00
56785   REP EXTENSOR TEND HAND W/O FREE G   $2,330.00
56787   CLSD TRMT DIST EXT TND INS W/O PE   $2,330.00
56795   I&D ABSC SIMP OR SGLE                 $415.00
56800   I&D ABS COMP OR MULT                  $415.00
56805   I&D PILONIDAL CYST, SIMPLE            $415.00
56815   I&D FB,SUBQ,SIMP                      $415.00
56855   I&D PERITONSILLAR ABSCESS             $345.00
56870   I&D ABS, ISCHIO/PERIREC               $485.00
56875   I&D PERIANAL ABSCESS, SUPERFICIAL     $485.00
56880   I&D VULVA OR PERINEAL ABSCESS         $490.00
56885   I&D BARTHOLIN'S GLAND ABSCESS         $490.00
56890   I AND D ABSCESS EYELID                $583.00
56898   DRN ABS/HEMA NASAL,INTERNAL APPRO     $345.00
56900   CARDIO PULMONARY RESUSCITATION        $980.00
56901   CPR 59                                $980.00
56905   REM FB, MUSC/TEND SHEATH, SIMP        $830.00
56907   INJ,TEND SHEATH,LIG,TRIG,PT,GNG C     $435.00
56927   FB REM FOOT SUBQ                      $830.00
56940   FB REM INTRA NASAL                    $345.00
56959   FB REM EYE, CONJ, SUPERFICIAL         $540.00
56965   FB REM EYE,CONJ EMBED/SUBCON/SCLE     $540.00
56974   FB REM EYE - CORNEAL                  $540.00
56975   FB REM EYE, CORNEAL, W/SLIT LAMP      $545.00
56978   FB REM, EYELID                        $583.00
56979   CONTROL NASAL HEMORR ANTERIOR COM     $455.00
56980   CONTROL NASAL HEMORR POSTERIOR IN     $455.00
56981   CONTROL NASAL HEMORR POSTERIOR SU     $455.00
56982   CONTROL NASAL HEMOR ANTERIOR SIMP     $455.00
56983   REM CORN EPITH,W W/O CHEMOCAUT      $1,290.00
56993   FB REM EAR, EXTRN AUDITORY CANAL      $215.00
57003   REMOV IMPACTED CERUMEN(1 OR 2 EA)     $215.00
57055   FX NASAL, CLOSED W/O MAN            $2,480.00
57080   FX ORBIT CLOSED NOT "BLOW" W/O MA   $1,070.00
57085   FX MAND/MAX ALVEOLAR, CLOSED        $2,480.00
57095   DISLOC TEMPOROMANDIBULAR              $345.00
57100   FX RIB CLOSED, EA, UNCOMP             $340.00
57120   FX CLAVICLE                           $340.00
57125   FX CLAVICAL W/MAN                     $341.00
57140   DISLOC ACROMIOCLAVICULAR W/MAN        $340.00
57145   FX SCAPULAR CLOSED                    $340.00
57155   FX PROXIMAL HUMERAL CLOSED            $445.00
57160   FX PROXIMAL HUMERAL CLOSED W/MAN      $445.00
57165   FX GRTR TUBEROSITY CLOSED W/O MAN     $445.00
57175   DISLOC SHOULDER W/MAN                 $340.00
57180   FX HUMERAL SHAFT                      $445.00
57185   DISLOC SHLDR W/FX GR TUB CLSD W/M     $445.00
57190   FX HUMERAL SHAFT W/MAN                $445.00
57200   FX SYPRACON/TRANSCON HUMERAL          $445.00
57205   FX HUMERAL EPICONDYLAR, MED/LAT       $445.00
57210   FX HUMERAL CONDYLAR, MED/LAT          $445.00
57215   DISLOC ELBOW CLOSED                   $445.00
57225   NURSEMAID ELBOW W/MAN                 $445.00
57230   FX RADIAL HEAD/NECK                   $445.00
57240   FX ULNA PROXIMAL END                  $445.00
57260   FX RADIAL SHAFT                       $445.00
57265   FX RADIAL SHAFT W/MAN                 $445.00
57270   FX ULNAR SHAFT                        $445.00
57280   FX RADIAL & ULNAR SHAFT               $445.00
57285   FX RADIAL & ULNAR SHAFT W/MAN         $445.00
57290   FX DISTAL RADIAL (COLLES)             $445.00
57295   FX DISTAL RADIAL (COLLES) W/MAN       $445.00
57300   FX (NAVICULAR) CARPEL SCAPHOID        $445.00
57310   FX CARPEL BONE, EA BONE               $445.00
57320   CLSD TX ULNAR STYLOID FX              $445.00
57540   FX METACARPEL CLOSED SGL EA           $445.00
57545   FX METACARPEL CLOSED SGLE EA W/MA     $445.00
57560   DISLOC CARPOMETACARP NOT THUMB W/     $445.00
57565   DISLOC METACARPOPHAL SGL W/MAN        $341.00
57570   FX PHAL SHFT PROX/MID PHAL FNG/TH     $340.00
57575   FX PHAL SHFT PROB/MID PHAL FNG/TH     $340.00
57590   FX DISTAL PHAL FNG/THMB EA            $340.00
57595   FX DISTAL PHAL FNG/THMB EA W/MAN      $340.00
57600   FX DISTAL PHAL OPEN EA              $4,600.00
57605   DISLOC INTER PHAL JT SGL W/MAN        $340.00
57619   FX COCCYGEAL CLOSED                   $341.00
57625   FX FEMORAL PROX END NECK              $445.00
57640   DISLOC HIP TRAUMATIC CLOSED           $445.00
57645   DISLOC POST HIP ARTHROPLASTY          $445.00
57650   CLSD TX FEM SHAFT FX WO MAN           $445.00
57655   FX FEMORAL DIST END MED/LAT CONDY     $445.00
57660   FX PATELLA CLOSED                     $445.00
57665   FX TIBIAL,PROXIMAL(PLATEAU) CLOSE     $445.00
57670   DISLOC KNEE W/O ANES                  $445.00
57675   DISLOC PATELLA W/O ANES               $445.00
57680   EXC LESION TND SHTH/CAPSULE LEG/A   $3,100.00
57685   FX TIBIAL SHFT (W W/O FIB FX)         $445.00
57690   FX TIBIAL SHFT(W W/O FIB FX)W/MAN     $445.00
57695   FX MEDIAL MALLEOLUS CLOSED            $445.00
57700   FX MEDIAL MALLEOLUS CLOSED W/MAN      $445.00
57705   FX PROXIMAL FIBULA/SHAFT CLOSED       $445.00
57715   FX DISTAL FIBULAR(LATERAL MALLEOL     $445.00
57720   FX DISTAL FIBULAR (LAT MALL) W/MA     $445.00
57725   FX BIMALLEOLAR ANKLE CLOSED           $445.00
57730   FX BIMALLEOLAR ANKLE CLOSED W/MAN     $445.00
57735   FX TRIMALLEOLAR ANKLE CLOSED          $445.00
57740   FX TRIMALLEOLAR ANKLE CLOSED W/MA     $445.00
57755   DISLOC ANKLE CLOSED                   $445.00
57765   FX CALCANEAL CLOSED                   $445.00
57775   FX TALUS CLOSED                       $445.00
57780   FX TARSAL BONE(NOT TAL/CAL) EA        $445.00
57785   FX TARSAL BNE(NOT TAL/CAL)EA W/MA     $445.00
57790   FX METATARSAL CLOSED W/O MAN EA       $445.00
57800   FX GREAT TOE/PHALANX(GES)             $340.00
57810   FX PHALANX(GES) NOT GREAT TOE EA      $340.00
57815   FX PHALANX/GES NOT GREAT TOE W/MA     $440.00
57835   CLSD TX METATARSOPHALAN JT DISLOC     $340.00
57840   DISLOC INTERPHLANGEAL JT              $340.00
57900   ARTHRO/ASP/INJ, SM JT/BURSA           $435.00
57905   ARTHRO/ASP/INJ,INTERMED JT/BURSA      $435.00
57910   ARTHRO/ASP/INJ, MAJOR JT/BURSA        $450.00
57917   LARYNGOSCOPY INDIRECT DIAGNOSTIC      $260.00
57945   LARYNGOSCOPY FLEX FIBEROPTIC DX       $115.00
57957   ESOPHAGOSCOPY, DX                   $1,375.00
57964   TRACHEOSTOPY EM PROC CRICOTHROID    $1,680.00
57969   THORACENTESIS FOR ASPIRATION          $750.00
57995   PERICARDIOCENTESIS INITIAL          $2,370.00
58045   EPISIOTOMY/VAG REPAIR,NOT ATTD DR   $3,345.00
58050   VAGINAL DELIVERY ONLY W/WO EPISIO   $2,310.00
58120   DEBRID SKIN, PART-THICK               $365.00
58130   DEBRID SKIN & SUBQ TISSUE             $730.00
58145   BIOP SKIN,SUBQ TIS &/OR MUC MEM 1     $195.00
58170   AVULS NAIL PLATE, SIMP, SGL           $185.00
58175   EVAC SUBUNGUAL HEMATOMA               $155.00
58180   EXCIS NAIL & MATRIX, PERM REM         $830.00
58190   REPAIR NAIL BED                       $500.00
58200   WEDGE EXC SKIN OF NAIL FOLD/INGRO     $363.00
58350   CHANGE TRACHEOTOMY TUBE               $490.00
58521   SUTURE EYELID MRGN FULL THICK E2    $2,783.00
58550   REM FB EYELID 59                      $583.00
58628   REM FB-EAR LT                         $215.00
58629   REM FB EAR RT                         $215.00
58635   REM FB EAR 52                         $215.00
58636   REM FB-EAR 59                         $215.00
58640   REM FB - EAR 77                       $215.00
58675   SPINAL PUNCTURE, LUMBAR, DX           $620.00
58695   INTERCOSTAL NERVE(S)BLOCK,MULT        $680.00
58700   OTHER PERIPHERAL NERVE/BRANCH BLO     $680.00
58714   REM INPACTED CERUMEN 59               $215.00
58722   UNLISTED PROCEDURE,EXTERNAL EAR59     $335.00
59025   CHANGE GASTROSTOMY TUBE               $490.00
59110   THORACENTESIS W/INS TUBE (PNEUMO)   $2,020.00
59115   TUBE THORACOSTOMY (HEMOTHORAX)        $750.00
59125   ANOSCOPY, DX                          $240.00
59130   ANOSCOPY W/FB REMOVAL                 $460.00
59182   INSERT CENTRAL VENOUS CATH >5YRS    $1,110.00
59225   GASTRIC INTIB & ASP OR LAV FOR TX     $399.00
59227   GASTRIC LAVAGE 59                     $399.00
59512   IMMUNIZATION ADMINISTRATION            $79.00
59520   NASOPHARYNGOSCOPY W/ENDOSCOPE         $260.00
59521   NASOPHARYNGOSCOPY W/ENDOSCOPE 59      $260.00
59541   CARDIOVERSION 59                    $2,350.00
59555   RHYTHM ECG 1-3 LEADS W/O INTERP/R     $145.00
59556   RHYTHM ECG 1-3 LEADS W/O INTERP       $145.00
59805   GLUCOSE BLOOD QUANT-ED P.O.C.T.        $31.00
59830   LEVEL 1 - LWBS/LWBT                     $0.00
59835   ER VISIT LEV 1 (25)                   $210.00
59836   ER LEVEL 1-2ND VISIT SAME DAY(27)     $210.00
59840   ER VISIT LEV 2 (25)                   $454.00
59841   ER VST LEVEL2, 2ND VISIT SAME DAY     $454.00
59845   ER VISIT LEVEL 3 (25)                 $757.00
59846   LEVEL 3,WITH PROC,2ND VISIT SAME      $757.00
59850   ER VISIT LEVEL 4 (25)               $1,198.00
59851   ER VISIT LEVEL 4(2ND VISIT)-27      $1,198.00
59855   ER VISIT LEVEL 5 (25)               $1,730.00
59856   ED VST LEVEL 5,2ND VISIT SAME DAY   $1,730.00
59860   CRITICAL CARE 1ST 30-74 MIN W/PRO   $3,164.00
59861   CRITICAL CARE E&M 1ST 30-74 MIN27   $3,164.00
59896   CLSD TX METACARPAL FX W/O MANIP F     $445.00
59897   CLSD TX METACARPAL FX W/O MANIP/1     $445.00
59898   CLSD TX METACARPAL FX W/O MANIP/2     $445.00
59899   CLSD TX METACARPAL FX W/O MANIP/3     $445.00
59900   CLSD TX METACARPAL FX W/O MANIP/4     $445.00
59901   CLSD TX METACARPAL FX W/O MANIP/5     $445.00
59902   CLSD TX METACARPAL FX W/O MANIP/6     $445.00
59903   CLSD TX METACARPAL FX W/O MANIP/7     $445.00
59904   CLSD TX METACARPAL FX W/O MANIP/8     $445.00
59905   CLSD TX METACARPAL FX W/O MANIP/9     $445.00
59906   ED TRANSFER/BED REQUEST                 $0.00   Ordering
59910   INFLUENZA VIRUS ADMINISTRATION         $72.00
59915   PPV ADMINISTRATION                     $72.00
59920   CATHETERIZATION,URETHRA,COMPLEX       $445.00
59921   INS STR CATH FOR RESIDUAL URINE       $368.00
59922   INSERT FOLEY, SIMPLE                  $419.00
59925   HEPATITIS B ADMINISTRATION             $72.00
60160   INS TEMP TRANSVEN-PACEMAKER         $3,700.00
68000   IV INFUSION 1ST HR NON CHEMO          $446.00
68001   IV INFUSION EA ADD'L HR               $115.00
68005   MODERATE SEDATION <5YRS 1ST 30MIN     $500.00
68007   MODERAT SEDATION 5YRS +> 1ST 30MI     $500.00
68009   MODERATE SEDATION EA ADDL 15 MIN      $125.00
99500   FORENSIC SEXUAL ASSAULT EXAM          $700.00
99510   IV INFUSION HYDRATION INITIAL HR      $446.00
99512   IV INFUSION HYDRATION EA ADDL HR      $115.00
99514   IV PUSH EA ADDL SEQUENT NEW DRUG      $167.00
99516   IV INFUSION ADDL SEQUENT UP TO 1H     $446.00
99517   IV INFUSION 1ST HR NON CHEMO 59       $446.00
99518   IV INFUSION HYDRATION INIT HR 59      $446.00
99519   IV INFUSION HYDRAT EA ADDL HR 59      $115.00
99520   INTRODUCTION OF IV CATH RT              $0.00   Utilization
99521   IV INFUS ADDL SEQUENT UP TO 1H 59     $446.00
99522   IV INFUSION CONCURRENT                $446.00
99524   IV PUSH EA ADDL SEQUENT NEW DRG59     $167.00
99525   INTRODUCTION OF IV CATH LT              $0.00   Utilization
99526   IV INFUSION EA ADDL HR 59             $115.00
99527   CLSD TX FEM FX W/MAN W/WO TRCT        $445.00
99529   CLSD TX FEM FX W/MAN W/WO TRCT LT     $445.00
99530   CLSD TX FEM FX W MAN W/WO TRCT RT     $445.00
99531   INJ,ANESTHETIC,FEMORAL NERVE SNGL     $680.00
99532   INJ,ANESTHETIC,FEM NERVE SNGL RT      $680.00
99533   INJ,ANESTHETIC,FEM NERVE SNGL LT      $680.00
99535   CATHETERIZE FOR SPECIMEN COLLECTI      $89.00
99536   GLUCOSE BLOOD QUANT-ED POCT 91         $31.00
85010   OR SERVICE-MAJOR 0-60 MIN           $3,360.00
85015   OR SERVICE-MAJOR ADD'L 15 MIN         $850.00
85020   OR SERVICE-INTENSIVE 0-60 MIN       $4,820.00
85023   PERM PACER W/TRANSVEN ELEC A            $0.00
85024   PERM PACER W/TRANSVEN ELEC V            $0.00
85025   OR SERVICE-INTENSIVE ADD'L 15 MIN   $1,210.00
85026   PACMK W TRANSVEN ELEC,AT/VEN            $0.00
85030   FLUOROSCOPY < ONE HOUR EP LAB         $629.00
85031   FLUROSCOPY > ONE HOUR EP LAB        $1,162.00
85035   FLUORO WITH PACER                     $572.00
85160   CPR                                   $980.00
85225   SEL RT VENTRIC OR ATRIAL ANGIO/IN     $629.00
85230   TILT TABLE EXAM                     $1,258.00
85250   VENOGRAM UNILATERAL PANEL               $0.00   Panel master
85251   VENOGRAM UNILATERAL                 $1,454.00
85253   INTRODUCTION OF IV CATHETER           $275.00
85255   SEL RT VENTRIC OR ATRIAL ANGIO        $629.00
85256   SEF LT VENTRIC OR ATRIAL ANGIO/IN     $663.00
85260   VENOGRAM BILATERAL PANEL                $0.00   Panel master
85262   VENOGRAM BILATERAL                  $1,182.00
85340   PULSE OXIMETER-BASELINE                 $0.00   Utilization
85440   PULSE OXIMETER-CONTINUOUS               $0.00   Utilization
85445   CO2 MONITOR                           $101.00
85450   PERICARDIOCENTESIS -INITIAL             $0.00
85460   INTERNAL CARDIOVERSION                $830.00
85465   EXTERNAL CARDIOVERSION              $2,350.00
85471   INSERT PULSE GEN SNGL ATR/VE            $0.00
85473   UPGRADE PACEMAKER SYSTEM                $0.00
85474   REPOSITION PACING-DEFIB LEAD            $0.00
85475   INSERT ELTRD PACING DEFIB-SN            $0.00
85476   INSERT LEAD PACE-DEFIB DUAL             $0.00
85477   REPAIR LEAD PACE-DEFIB-SNGL             $0.00
85478   REPAIR LEAD PACE-DEFIB,DUAL             $0.00
85479   REVIS/RELOCAT POCKET,PACEMA             $0.00
85481   REVISE POCKET PACE-DEFIB,SNG            $0.00
85482   INSRT PACE LEAD W CONNECT PA            $0.00
85483   L VENTR PACE LEAD ADD-ON PAC            $0.00
85484   REPOSITION LFT VENTRIC LEAD             $0.00
85487   REMOVAL PACER LEAD,SNGL ATR             $0.00
85488   REMOVE PACER LEAD,DUAL-AT/VE            $0.00
85489   REMOVE EPI PACE/ELTD-SNGL-TH            $0.00
85490   HIS BUNDLE RECORDING                $4,880.00
85491   REMOVE EPI PACE/ELTD-DUAL-TH            $0.00
85492   REMOVAL TRANSVEN ELTRD THORA            $0.00
85494   SUBCUTANEOUS REMVL PACE-DEFI            $0.00
85495   REMOVE SINGLE/DUAL ELTRD THO            $0.00
85496   REMOVE SINGLE/DUAL ELTRD TRA            $0.00
85500   INTRA-ATRIAL RECORDING              $1,020.00
85506   REMOVE PAT ACTIVE HRT RECORD            $0.00
85510   RIGHT VENT RECORDING                $4,880.00
85520   LEFT VENT RECORDING                 $5,390.00
85530   MAPPING-TACHYCARDIA                 $4,880.00
85540   PACING-INTRA-ATRIAL                 $1,340.00
85550   PACING-INTRA-VENTRICAL              $1,620.00
85551   INTRACARDIAC EP 3-D MAPPING         $5,322.00
85560   ARRHYTHMIA INDUCTION                $2,860.00
85570   EPS EVAL                            $2,860.00
85580   EPS EVAL W/ARRHYTHMIA INDUCT        $7,030.00
85590   EPS EVAL W/LEFT ATRIAL RECORD       $5,390.00
85600   EPS EVAL W/LEFT VENT RECORD         $5,390.00
85610   STIMULATION HEART W/MEDICATION      $3,524.00
85620   FOLLOW-UP EPS STUDY                 $8,723.00
85630   HEART PACING-MAPPING                $4,718.00
85640   AICD LEAD CHECK AT IMPLANT          $2,320.00
85650   AICD GENERATOR CHECK AT IMPLANT     $2,320.00
85660   NON INVASIVE EP STUDY (NIPS STUDY   $3,147.00
85670   ABLATE HEART ATRIOVENT FOCUS        $9,917.00
85680   ABLATE HEART ARRYTHGEIC FOCUS       $7,974.00
85690   ABLATE HEART TACHYCARDIA FOCUS      $7,320.00
85700   OXYGEN SATURATION                      $97.00
85710   ACT EP                                $127.00
85720   CONSCIOUS SEDATION EP LAB               $0.00   Utilization
85735   TEE                                 $3,310.00
85736   TEE (ATTEMPTED)                     $3,310.00
85740   RT AND TRANSEPTAL LT HEART CATH     $4,122.00
85745   INTRACARDIAC ECHOCARDIOGRAPHY       $2,170.00
85973   PROC DISCONTINUED BEFORE ANESTH -       $0.00
85974   PROC DISCONTINUED AFTER ANESTH -        $0.00
86300   RT HEART CATH                       $3,300.00
86470   TEMP PACER-TRANSVENOUS SING         $4,450.00
86480   TEMP PACER-TRANSVENOUS DUAL         $4,450.00
86481   INSRT SNGL PACE/DEFIB                   $0.00
86482   INSRT DUAL PACE/DEFIB                   $0.00
86483   INSRT SNGL ICD W/LEADS                  $0.00
86484   INSRT DUAL ICD W/LEADS                  $0.00
86490   TRANSTHORACIC ECHOCARDIOGRAPHY      $2,109.00
86495   PATIENT TRNSPRT-IN FACILITY/15 MN       $0.00   Utilization
  105   COLORECTAL CA SCRN HI RSK           $1,825.00
  121   COLORECTAL CA SCRN LOW RISK         $1,822.00
10215   PACU ENDO LAB                         $560.00
10750   GI LAB PROCEDURES                   $1,070.00
10800   CHANGE OF GASTROSTOMY TUBE            $177.00
10900   ROOM USE MALONEY DILATION               $0.00
10973   PROC DISCONTINUED BEFORE ANESTH -       $0.00
10974   PROC DISCONTINUED AFTER ANESTH -        $0.00
20059   MODERATE SEDATION ENDO                  $0.00   Utilization
20060   FLOUROSCOPY < ONE HOUR                $629.00
20805   GLUCOSE,POINT OF CARE-BLOOD QUANT       $0.00   Ordering
38059   COLONOS W/BIOPSY SNGL/MULT          $2,090.00
38459   COLONOSCOPY LES REMOV OTH SI        $2,680.00
38559   COLONOSC LES REMOV OTH SITE/        $2,890.00
43215   EGD W/REMOVAL OF FOREIGN BDY        $2,865.00
43227   EGD W/CONTROL OF BLEEDING           $1,950.00
43234   UPPER ENDOSCPY SMPL PRIM EXM        $2,973.00
43235   EGD DIAGNOSTIC                      $2,475.00
43236   EGD W/INJ SUBMUCOASL                $2,050.00
43239   EGD W/BIOPSY,SNGL OR MULT           $1,965.00
43243   EGD W/INJ SCLEROSIS ESOPH/GA        $2,805.00
43244   EGD W/BAND LIGAT/GAST VARIC         $3,070.00
43245   EGD W/DILATION GASTRIC OUTLT        $2,260.00
43246   EGD W/DIRECT PLACE GASTRO TU        $2,330.00
43247   EGD OPERATIVE W/FB REMOVAL          $2,765.00
43248   EGD W/INSERT GUIDEWIRE              $3,205.00
43249   EGD W/DILATION ESOPHAG <30MM        $3,140.00
43250   EGD W/REMOV LESION,HOT BIOPS        $1,475.00
43251   EGD W/REMOV TUMOR/POLYS,SNAR        $1,940.00
43255   EGD W/CONTROL BLEED ANY METH        $2,275.00
43256   EGD W/STENT PLACE,EMT               $3,251.00
43260   ERCP                                $3,650.00
43261   ERCP W/BIOPSY/S                     $4,450.00
43262   ERCP W/SPHINCTEROTOMY/PAPILL        $3,650.00
43264   ERCP W/CALCULUS REMOVAL             $3,650.00
43265   ERCP W/LITHOTRIPSY OF CALCUL        $3,650.00
43267   ERCP W/DRAIN TUBE INSERT            $4,360.00
43268   ERCP W/TUBE/STENT INSERT            $4,360.00
43269   ERCP REMOV/FB CHNG TUBE/STNT        $3,650.00
43271   ERCP W/BALLOON DILATION             $3,870.00
43750   PLACE GASTROSTOMY TUBE              $3,110.00
43760   CHANGE GASTROSTOMY TUBE               $490.00
44388   COLONOSCOPY THRU STOMA DIAG           $815.00
44392   COLONOSCPY THRU STOME W/REMV        $2,060.00
44395   ILEOSCOPY THRU STOMA W/BIOP         $2,718.00
45300   PROCTOSIGMOID DIAG W/WO SPEC        $4,052.00
45330   SIGMOIDOSCOPY FLEXIBLE DIAGN        $4,457.00
45331   SIGMOID FLEX W BIOP SGL/MLT         $3,784.00
45378   COLONOSCOPY DIAGNOSTIC              $1,990.00
45379   COLONOSCOPY W/FB REMOVAL            $2,090.00
45380   COLONOSCOPY W/BIOP SNGL/MULT        $2,090.00
45381   COLONOSCOPY W/SUBMUCOSAL INJ        $2,795.00
45382   COLONOSCOPY W/CONTROL BLEEDI        $2,330.00
45383   COLONOSCOPY W/ABLAT TMRS/LES        $1,990.00
45384   COLONOSCOPY W/REMOV HT BIOP/        $2,680.00
45385   COLONOSCOPY LESION REMOV SNR        $2,890.00
 1002   CLINICAL TRIAL INFUSION/CHEMO THR     $345.00
 1003   CLINICAL TRIAL MEDICAL PROC P/DAY     $200.00
 1010   LEVEL 1 EST                           $177.00
 1011   LEVEL 1 EST 2ND VISIT SAME DAY        $177.00
 1012   LEVEL 1 EST W/PROCEDURE               $177.00
 1013   LEVEL 2 EST                           $233.00
 1014   LEVEL 2 EST 2ND VISIT SAME DAY        $233.00
 1015   LEVEL 2 EST W/PROCEDURE               $233.00
 1020   LEVEL 4 EST                           $375.00
 1021   LEVEL 4 EST W/PROCEDURE               $375.00
 1022   LEVEL 4 EST 2ND VISIT SAME DAY        $375.00
 1025   LEVEL 3 EST                           $268.00
 1026   LEVEL 3 EST W/PROCEDURE               $268.00
 1027   LEVEL 3 EST 2ND VISIT SAME DAY        $268.00
 1030   LEVEL 5 EST                           $474.00
 1031   LEVEL 5 EST W/PROCEDURE               $474.00
 1032   LEVEL 5 EST 2ND VISIT SAME DAY        $474.00
 1040   LEVEL 1 NEW                           $215.00
 1041   LEVEL 1 NEW 2ND VISIT SAME DAY        $215.00
 1042   LEVEL 1 NEW W/PROCEDURE               $215.00
 1050   LEVEL 2 NEW                           $256.00
 1051   LEVEL 2 NEW 2ND VISIT SAME DAY        $256.00
 1052   LEVEL 2 NEW W/PROCEDURE               $256.00
 1060   LEVEL 3 NEW                           $309.00
 1061   LEVEL 3 NEW 2ND VISIT SAME DAY        $309.00
 1062   LEVEL 3 NEW W/PROCEDURE               $309.00
 1070   LEVEL 4 NEW                           $413.00
 1071   LEVEL 4 NEW 2ND VISIT SAME DAY        $413.00
 1072   LEVEL 4 NEW W/PROCEDURE               $413.00
 1080   LEVEL 5 NEW                           $521.00
 1081   LEVEL 5 NEW 2ND VISIT SAME DAY        $521.00
 1082   LEVEL 5 NEW W/PROCEDURE               $521.00
 3012   IV INFUSION FIRST HOUR NON CHEMO      $446.00
 3013   IV INFUSION EA ADDL HOUR              $115.00
 3014   IV THERAPY 2ND VISIT FIRST HOUR       $446.00
 3015   INJECTION SC/IM                       $130.00
 3016   INJECTION - ADDT'L SITE SC/IM         $130.00
 3017   INJECTION INTRAVENOUS                 $152.00
 3018   IV THERAPY 2ND VISIT EA ADDL HR       $115.00
 3020   PLETHYSMOGRAPHY                       $203.00
 3025   TRIAGE BNP                            $163.00
 3026   VENIPUNCTURE - ROUTINE BLOOD DRAW      $11.00
 3027   IV PUSH ADDL                          $152.00
 3030   EDUCATION INPTS - DX CHF                $0.00   Utilization
 3031   EDUCATION OUT PTS DX CHF                $0.00   Utilization
 3033   AUDIT INPTS CHART FOR CHF               $0.00   Utilization
10805   GLUCOSE(ICU) P.O.C.T.                   $0.00   Utilization
10806   ACT(ICU)COAGULATION TIME-P.O.C.T.     $127.00
10810   OBV IV INFUSION UP TO ONE HOUR        $446.00
10815   OBV IV INFUSION EA ADDL HR            $115.00
10820   OBV INJECTION SQ/IM                   $130.00
10825   OBV INJECTION IV                      $152.00
10830   OBV BLOOD ADMINISTRATION              $659.00
55009   OBSERVATION ROOM HOURLY               $141.00
55010   R & B MED SURG                      $1,955.00
55012   R & B TELEMETRY                     $2,941.00
55014   R & B INTENSIVE CARE                $5,207.00
55020   R&B VASCULAR CARE                   $4,502.00
55030   R&B INTENSIVE ONE TO ONE CARE       $6,108.00
  101   ADL EVALUATION                         $80.00
  104   EVALUATION/2                          $240.00
  700   KINETIC ACTIVITY - 15 MIN              $71.00
  703   ORTHOTICS FABRICATION                  $76.00
 2450   RE-EVALUATION                          $73.00
 7000   WOUND AND DEBRIDEMENT AND DRESSIN     $200.00
10050   EVALUATION/3                           $73.00
10051   EVALUATION/4                          $160.00
10105   EXTREMITY TESTING - INITIAL WC        $145.00
10200   JOB SITE ANALYSIS                     $430.00
10201   JOB SITE ANALYSIS/1                    $54.00
10510   MASSAGE-15 MINUTES                     $73.00
10520   ULTRASOUND                             $65.00
10521   ULTRASOUND/1                           $65.00
10600   TRACTION - MECHANICAL                  $58.00
10708   ORTHOTICS INITIAL 30 MINUTES WC       $155.00
10709   O.T.TREATMENT INITIAL 30 MIN MCAL     $143.00
10710   OT TREATMENT INITIAL 30 MCAL          $143.00
10711   ADDITIONAL ORTHOTICS IND WC            $78.00
10712   O.T.TREATMENT ADD 15 MIN (MCAL)        $71.00
10715   OT EVAL 30 MIN MCAL                   $160.00
11100   THERAPEUTIC EXERCISES 15 MIN           $69.00
11150   MOBILIZATION-15 MINUTES                $73.00
11151   MOBILIZATION 15 MINUTES                $73.00
11180   ELECTRICAL STIM                        $66.00
11181   ELECTRICAL STIMUL                      $66.00
11185   ELECTRICAL STIMULATION WC              $66.00
11186   ELECTRICAL STIMULATION/1 WC            $66.00
11188   FUNCTIONAL CAPACITY EVAL WC           $280.00
11189   FUNCTIONAL CAPACITY EVAL/1 WC         $280.00
11191   FUNCTIONAL CAPACITY EVAL/2 WC         $470.00
11192   FUNCTIONAL CAPACITY EVAL 2 HR WC      $470.00
11400   WHIRLPOOL                              $95.00
11401   WHIRLPOOL/1                          $95.00
12106   WORK HARDENING INITIAL 2 HOURS WC   $145.00
12107   WORK HARDENING INITIAL 2 HR WC      $145.00
12114   WORK HARDENING ADDITIONAL HOUR WC    $48.00
12115   WORK HARDENING ADDL HR WC            $48.00
12452   RE-EVALUATION/1                     $146.00
12454   RE-EVALUATION/3 WC                  $132.00
13050   IONTOPHORESIS                        $95.00
13051   IONTOPHORESIS/1                      $95.00
13060   PHONOPHORESIS - 15 MIN               $65.00
13061   PHONOPHORESIS                        $65.00
13090   KINETIC ACTIVITY INITIAL 30MIN WC   $143.00
13100   KINETIC ADDITIONAL 15 MINUTES WC     $69.00
14000   PHYSICAL THERAPY EVAL-COMPREH WC    $219.00
14001   PHYSICAL THERAPY RE-EVALUAT/1 WC    $132.00
14010   PT EVAL INITIAL 30 MIN MC           $160.00
14015   PT EVAL ADDL 15 MIN MC               $80.00
14070   THERAPEUTIC EXERCISE-30 MIN WC      $138.00
14071   THERAPEUTIC EX - ADDITIONAL WC       $69.00
14074   MOD/PROC COMBO 30 MIN MCAL          $133.00
14075   MOD/PROC COMBO ADD'L 15 MIN MCAL     $66.00
14076   MODALITY 30 MIN MCAL                $128.00
14077   MODALITY ADD 15 MIN MCAL             $64.00
14078   PROCEDURE - ADD 15 MCAL              $69.00
14079   PROCEDUREE - 30 MIN MCAL            $138.00
14080   FUNCTIONAL ACTIVITIES-INIT 30 WC    $132.00
14090   GAIT TRAINING-INITIAL 30 MIN WC     $138.00
14120   MOBILIZATION-30 MINUTES WC          $115.00
14130   MASSAGE-30 MINUTES WC               $146.00
14140   CONTRAST BATH                        $58.00
14352   WORK HARDENING INITIATION WC        $255.00
14353   WORK HARDENING INITIATION/1 WC      $255.00
14400   SPLINT FABRICATION-15 MIN             $0.00   Utilization
15000   PREPLACEMENT SCREEN-DLPPS             $0.00
15005   PREPLACEMENT SCREEN-PSUSD            $30.00
15010   PREPLACEMENT SCREEN-ORCO BLOCK       $35.00
15015   INFRARED LASER THERAPY               $20.00
20005   BIOPSY BONE MARROW                  $200.00
20045   DECLOT VAD/THROMBOLYTIC AGENT       $391.00
20050   INJECTION IM/SQ NON-CHEMO           $130.00
20057   INJECTION IM/SQ NONCHEMO ADDL/BID   $130.00
20080   THERAPEUTIC PHLEBOTOMY              $124.00
20081   VENIPUNCTURE-BLOOD DRAW              $25.50
20084   BLOOD DRAW-VAD                       $25.50
20140   CHEMO ADM-IM, SQ NON-HORMONAL       $690.00
20141   CHEMO ADM-IM,SQ NON-HORMONAL ADDL   $690.00
20144   CHEMO ADM - IV PUSH                 $690.00
20145   CHEMO ADM-IV PUSH ADDL              $690.00
20147   CHEMO INJ INTRAVENTRIC/RESERVOIR    $690.00
20152   INFUSION THERAPY 1ST HR ADDL/BID    $446.00
20153   CHEMO INF FIRST HOUR                $390.00
20154   CHEMO INF EA ADDL HR                $100.00
20156   INFUSION THERAPY 1ST HR NONCHEMO       $446.00
20157   INFUSION THERAPY EA ADDL HR NON C      $115.00
20158   IVIG ADMIN UP TO 1HR PANEL               $0.00   Panel Master
20159   IVIG INFUSION THERAPY -UP TO 1 HR      $446.00
20161   IVIG INFUSION THERAPY EA ADDL HR       $115.00
20163   IV HYDRATION INITIAL                   $446.00
20164   IV HYDRATION EA ADDL HOUR              $115.00
20170   CHEMO ADMIN IVP EA ADDL DRUG           $690.00
20175   PUMP REFILL PORTABLE                   $259.00
20180   CHEMO PUMP-INITIATION                  $210.00
20181   CHEMO PUMP REFILL/MAINT PORTABLE       $285.00
20183   CHEMO ADMIN-IM/SQ HORMONAL             $690.00
20184   CHEMO ADMIN-IM/SQ HORMONAL ADDL        $690.00
20210   INTRAVENOUS INJECTION                  $152.00
20215   IV PUSH NON-CHEMO EA ADD SEQ NEW       $167.00
20219   EVAL/MANAGEMENT-VAD MAINTENANCE        $177.00
20221   EVAL/MANAGEMENT LEVEL I                $233.00
20223   EVAL/MANAGEMENT LEVELII                $268.00
20227   EVAL/MANAGEMENT LEVEI III              $375.00
20230   PUMP INFUSION - INITIATION             $210.00
20300   BLOOD TRANSFUSION LEVEL 1              $659.00
20305   BLD TRANSFUSION LEVEL II               $659.00
20310   BLD TRANSFUSION LEVEL III              $659.00
20330   EVAL/MANAGEMENT LEVEL III 25 MOD       $375.00
20331   EVAL/MANAGEMENT LEVEL II 25 MOD        $268.00
20332   EVAL/MANAGEMENT LEVEL I 25 MOD         $233.00
20481   VENIPUNCTURE-BLOOD DRAW 59 MOD          $25.50
20484   BLOOD DRAW VAD 59 MOD                   $25.50
20581   CHEMO PUMP REFILL/MAINT PORTABL59      $285.00
20583   ADDL SEQ INFUSION UP TO 1 HR           $446.00
79901   RADIOLOGIST CONSULTATION LEVEL 1         $0.00   Utilization
79902   RADIOLOGIST CONSULTATION LEVEL 2         $0.00   Utilization
79903   RADIOLOGIST CONSULTATION LEVEL 3         $0.00   Utilization
79904   RADIOLOGIST CONSULTATION LEVEL 4         $0.00   Utilization
80003   IRL NURSE GUIDE CONSCIOUS SEDATON        $0.00   Utilization
80010   IRL US GUIDE COMPRES PSEUDOANURSM      $906.00
80040   IRL ACTIVATED COAGULATION TIME         $127.00
80060   TRANCTH STENT PLACE EACH ADD        $11,119.00
80070   TRANSCATH STENT PLACE INITAL        $11,119.00
80080   IRL US GUIDE FOR CV CATH PLACE         $418.00
80085   IRL US GUIDE FOR ABLATION              $259.00
80145   DECLOT AV GRAFT ANY METHOD           $5,387.00
80150   TRANSCATH RETRIEVAL                  $1,900.00
80155   TIPS IP ONLY                         $6,250.00
80157   REPAIR CV DEVICE W/SUB PORT            $794.00
80158   REPAIR CV CATH W/O SUB PORT            $794.00
80160   IRL CPR                                $980.00
80165   TIPS REVISION IP ONLY                $4,086.00
80181   PLACE CENTRAL VENOUS PICC            $2,061.00
80200   IRL PLACE SWAN GANZ FOR MONITORNG    $2,556.00
80270   IRL TRANCATH RETRIEV FOREIGN BODY    $3,056.00
80280   IRL FLUOROSCOPY UP TO ONE HOUR         $629.00
80290   IRL FLUOROSCOPY OVER ONE HOUR        $1,162.00
80300   IRL FLUORO GUIDE NEEDL BX/ASP/INJ      $750.00
80700   IRL OX SATURATION NONPULSE OXMTRY       $97.00
80710   IRL EXCH ART CATH THROMBO F/U IP     $4,640.00
80715   IRL REMOVAL OF FIBRIN SHEATH           $451.00
80730   IRL STENT PLACEMENT EA VESSEL        $3,767.00
80775   EXCHANGE CATH THROMBO F/U            $2,084.00
80780   INTRO VENACAVA FILTER                $5,172.00
80910   IRL VENOGRAM EXTREMITY RT            $1,454.00
80915   IRL VENOGRAM EXTREMITY LT            $1,454.00
80920   IRL VENOGRAM EXTREMITY BILAT         $1,182.00
80930   IRL VENOGRAM RENAL RT                $3,575.00
80935   IRL VENOGRAM RENAL LT                $3,575.00
80940   IRL VENOGRAM ADRENAL RT              $2,170.00
80945   IRL VENOGRAM ADRENAL LT              $2,170.00
80960   IRL VENOGRAPHY HEPATIC W/O PRESS     $3,387.00
80973   IRL PROC DISCONTINUED BEFORE ANES        $0.00
80974   IRL-PROC DISCONTIUED AFTER ANESTH        $0.00
81001   TRANSHEPATIC PROTOGRAPHY             $2,242.00
81110   IRL VENOGRAPHY HEPATIC W/PRESS       $2,242.00
81200   IRL ANGIO EXTREMITY BILAT            $3,806.00
81210   IRL ANGIO PELVIC SELECTIVE           $2,574.00
81211   IRL-ANGIO PELVIC SELECTIVE           $2,574.00
81220   IRL ANGIO RENAL RT                   $3,145.00
81225   IRL ANGIO RENAL LT                   $3,145.00
81230   IRL ANGIO SELECT VESSEL EACH ADD     $2,861.00
82006   CAROTID STENT W/DISTAL PROT         $11,119.00
82011   CAROTID STENT W/O DISTAL PRO        $11,119.00
82451   IRL AORTOGRAM THORACIC               $3,371.00
82452   CATH PLACE AORTA                       $760.00
82701   IRL AORTOGRAM ABDOMINAL              $3,365.00
82970   UTERINE FIBROID EMBOLIZATION         $7,920.00
82979   TRANSCATH EMBOL NON NEURO            $4,310.00
82980   IRL TRANCATH THERAPY EMBOLIZATION    $5,285.00
82981   IRL ANGIO THRU EXISTING CATHETER     $1,240.00
83000   IRL PERC PLACE BILIARY DRAINAGE      $1,632.00
83003   INTRO BILI EXT/INT OR STENT          $2,600.00
83010   IRL PERC PLACE INT/EXT BIL DRAIN     $1,353.00
83102   CATH PLACE EXTREMITY ART               $580.00
83110   IRL ANGIO EXTREMITY RT               $2,932.00
83115   IRL ANGIO EXTREMITY LT               $2,932.00
83201   IRL ANGIO RENAL BILAT                $3,700.00
83251   IRL ANGIO VISCERAL EACH VESSEL       $3,486.00
83352   CATH PLACE 2ND ORD ABD/PEL           $1,140.00
83362   CATH PLACE 3RD ORD ABD/PEL           $1,680.00
83551   IRL VENOGRAM IVC                     $3,073.00
83552   CATH PLACE IVC OR SVC                  $630.00
83575   IRL VENOGRAM EPIDURAL                $2,070.00
83576   CATH PROC EXTREMITY VENOGRA          $1,520.00
83589   CATH PLACE 1ST ORD ABD/PEL           $1,050.00
83591   IRL ANGIO SPINAL SEL EACH VESSEL     $4,306.00
83650   IRL VENOGRAM SVC                     $2,196.00
83751   IRL ANGIO PULMONARY BILAT           $2,060.00
83921   IRL ANGIO CAROTID INTRACRANAL BIL   $3,875.00
83926   CATH PLACE 1ST ORD THOR/CER         $1,350.00
83928   CATH PLACE 2ND ORD THOR/CER         $1,500.00
83945   IRL ANGIO THORACIC ARCH             $3,386.00
83950   IRL ANGIO CAROTID EXTERNAL RT       $3,604.00
83955   IRL ANGIO CAROTID EXTERNAL LT       $3,604.00
83960   IRL ANGIO CAROTID EXTERNAL BILAT    $4,219.00
83965   IRL ANGIO CAROTID INTRACRANIAL RT   $3,116.00
83970   IRL ANGIO CAROTID INTRACRANIAL LT   $3,116.00
83975   CATH PLACE 3RD ORD THOR/CER         $1,650.00
83980   CATH PL ADD 2ND/3RD THOR/CER        $1,500.00
83981   IRL ANGIO CAROTID COMMON BILAT      $3,682.00
83985   IRL ANGIO CAROTID COMMON RT         $3,419.00
83987   CATH PL ADD 2ND.3RD ABD/PEL         $1,680.00
83990   IRL ANGIO CAROTID COMMON LT         $3,419.00
83995   IRL ANGIO VERTEBRAL RT              $3,432.00
83998   IRL ANGIO VERTEBRAL LT              $3,432.00
84005   INJ NEPHROSTOGRAM CATH RT             $690.00
84010   IRL NEPHROSTOGRAM RT                  $845.00
84015   INJ NEPHROSTOGRAM CATH LT             $690.00
84020   IRL NEPHROSTOGRAM LT                  $845.00
84025   CHANGE NEPHROSTOMY TUBE RT          $1,590.00
84030   CHANGE NEPHROSTOMY TUBE LT          $1,590.00
84101   RADFREQ ABLAT LIVER TMR/S           $6,000.00
84105   CHOLECYSTOSTOMY                     $1,641.00
84115   RADFREG ABLAT RENAL TMRS UNI        $6,000.00
84120   RADFREQ ABLAT RENAL TMRS BI         $8,100.00
85720   IRL MODERATE SEDATION 1ST 30 MIN      $500.00
85723   IRL MODERATE SEDAT EA ADDL 15 MIN     $125.00
85900   BILIARY ENDO DIAG BRUSH/WASH        $1,247.00
85903   BIL ENDO DIAG BRUSH W/REMOVE        $5,334.00
85906   BIL ENDO DIAG BRUSH W/DILAT         $1,641.00
85909   BIL ENDO DIAG W/DILAT W/STNT        $1,641.00
85950   IRL REMOVE BIL STONE VIA T-TUBE       $822.00
85951   REMOVE BILIARY STONE                $2,060.00
85970   EXCHANGE ABSCESS CATH               $1,641.00
85975   INJ ABSCESSOGRAM                      $430.00
86001   INTRO CATH BILIARY DRAIN            $2,220.00
86010   IRL CATH/STENT PLACE URETERAL LT    $1,254.00
86013   IRL CATH/STENT PLACE URETERAL RT    $1,254.00
86015   CATH PLACE NEPHROSTOMY RT           $3,020.00
86020   CATH PLACE NEPHROSTOMY LT           $3,020.00
86025   INJ PLACE URET CATH/STENT RT        $3,020.00
86030   INJ PLACE URET CATH STENT LT        $3,020.00
86080   PTA VISCERAL                        $6,283.00
86085   PTA RENAL LT                        $6,283.00
86090   PTA TIBIOPERONEAL RT                $6,283.00
86095   PTA TIBIOPERONEAL LT                $6,283.00
86100   PTA RENAL RT                        $6,283.00
86104   CATH PLACE RT/LT PULM ART             $730.00
86105   CATH PLACE SEG/SUB PULM ART           $880.00
86107   CATH PLACE BLOOD SAMPLING             $520.00
86109   IRL SAMPLING VENOUS                 $2,068.00
86110   DECLOT AGENT DIALYSIS CATH            $391.00
86111   IRL VENOGRAM RENAL BILAT            $2,244.00
86112   CATH PLACE VEIN 1ST ORDER             $660.00
86115   IRL ANGIO PULMONARY RT              $3,575.00
86116   IRL ANGIO PULMONARY LT              $3,575.00
86118   CON INJ RAD EVAL EXIST CV             $420.00
86120   PLACE CV DIALYSIS CATH              $2,061.00
86122   CATH PLACE VEIN 2ND ORDER             $880.00
86125   REPLACE CV DIALYSIS CATH            $2,061.00
86127   INSERT TUNNEL CATH W/O PORT         $1,224.50
86128   REPLACE TUNNEL CATH W/O PORT        $1,041.00
86129   REMOVE TUNNEL CV CATH W/O           $3,167.00
86130   REPLACE CENTRAL VENOUS PICC         $2,061.00
86131   IRL VENOGRAM ADRENAL BILAT          $2,220.00
86135   IRL PTA RENAL VESSEL RT             $3,426.00
86140   IRL PTA RENAL VESSEL LT             $3,426.00
86145   IRL VISCERAL VESSEL                 $3,426.00
86150   IRL PTA RENAL/VISC VESSEL EA ADD    $1,827.00
86155   REMOVE/STRIP FIBRIN SHEATH            $822.00
86195   NEEDLE BIOPSY RENAL PERC            $1,650.00
86200   INJ RENAL CYST RT OR PELVIS           $683.00
86205   INJ RENAL CYST LT OR PELVIS           $683.00
86450   IRL CHOLANGIOGRAM VIA EXIST CATH      $800.00
86690   KYPHOPLASTY THOARACIC               $8,174.00
86695   KYPHOPLASTY LUMBAR                  $8,174.00
86697   KYPHOPLASTY EA ADD LEVEL            $8,174.00
86701   NEEDLE BIOPSY LUNG                    $890.00
86705   VERTEBROPLASTY EA ADD LEVEL         $4,460.00
86710   VERTEBROPLASTY THORACIC             $4,460.00
86711   NEEDLE BIOPSY BONE                    $700.00
86713   NEEDLE BIOPSY OF BONE DEEP          $1,230.00
86715   VERTEBROPLASTY LUMBAR               $4,460.00
86718   PTA VENOUS                          $6,283.00
86721   NEEDLE BIOPSY PANCREAS PERC         $1,140.00
86725   PTA BRACHIOCEPHALIC LT              $6,283.00
86730   PTA BRACHIOCEPHALIC RT              $6,283.00
86735   PTA FEMPOP LT                       $6,283.00
86740   PTA FEMPOP RT                       $6,283.00
86745   PTA ILIAC LT                        $6,283.00
86750   PTA ILIAC RT                        $6,283.00
86755   IRL PTA VENOUS                      $3,846.00
86765   PTA AORTA                           $1,460.00
86768   IRL PTA PERIPHERAL VESSEL           $3,426.00
86779   IRL PTA PERIPHERAL VESSEL EA ADD    $2,750.00
86781   CATH PLACE AV DIALYSIS SHUNT        $1,430.00
86790   IRL TRANSCATH THERAPY THROM INFUS   $4,738.00
86792   TRANCTH INFUSN NONTHROMBOLYS        $1,450.00
86797   CHANGE BILIARY DRAIN CATH             $990.00
86798   IRL CHANGE BIL/NEPH/GASTRO ABSCES     $787.00
86800   INTRO BILIARY DILAT W/OSTENT        $1,641.00
86805   INTRO BILIARY DILAT W/STENT         $1,641.00
87007   TRANCTH INFUSN THROMBOLYSIS         $1,340.00
87010   ATHERECTOMY ILIAC                   $5,987.00
87012   ATHERECTOMY FEM-POP                 $6,416.00
87014   ATHERECTOMY TIBIO-TRUNK             $4,495.00
87016   IRL ATHERECTOMY S & I               $2,796.00
87018   IRL ATHRECTOMY EA ADDITIONAL        $3,426.00
88020   IRL PLACE OCCLUSIVE DEVICE             $63.00
88023   CEREBRAL BOT                        $5,041.00
88042   CHEMO ADMIN INTRA-ARTERIAL PUSH       $690.00
88045   REMOVE OBS CV DEV VIA LUMEN         $2,625.00
88048   IRL REMOVE OBS CV VIA LUMEN         $1,118.00
88050   INJ AIR/CONT PERITONEAL CAV           $952.00
88053   IRL PERITONEOGRAM                     $354.00
89070   IRL CALL BACK                           $0.00             Utilization
89200   INJ PROC ARTHROGRAM WRIST RT          $730.00
89210   INJ PROC ARTHROGRAM WRIST LT          $730.00
89257   CHEST TUBE INSERTION                $2,020.00
89259   IRL INSERTION VENA CAVA FILTER      $2,669.00
89261   IRL PERC PLACE GASTROSTOMY TUBE     $2,560.00
89263   IRL FISTULOGRAM AV DIALYSIS         $1,561.00
89264   GASTROSTOMY TUBE PLACE PERC         $3,110.00
89271   IRL GUIDE ABSCESS/CHOLE DRAIN         $717.00
89275   IRL FLUORO GUIDANCE CATH              $352.00
89279   INJ TRANSHEPTC CHOLANGIOGRAM          $475.00
89280   IRL CHOLANGIOGRAN TRANSHEPATIC        $956.00
89282   INJ CHOLANGIOGRAM EXIST CATH          $430.00
89285   IRL FLUORO GUIDE VERTEBRO/KYPHO     $1,258.00
89290   IRL FLUORO FOR ABSCESSOGRAM           $305.00
89359   INJ PROC DISKOGRM CERV/THOR           $730.00
89362   INJ PROC DISKOGRAM LUMBAR             $740.00
89425   IRL BILIARY DILATION W/WO STENT     $2,601.00
89430   TUBE INSERTION(LONG GASTRO)         $1,024.00
89432   NEEDLE BIOPSY LIVER PERC              $400.00
89440   CHANGE GASTROSTOMY TUBE               $490.00
89525   TRANCATH EMBOLIZ EXRTRACRAN         $6,283.00
89530   TRANCATH EMBOLIZ INTRACRANIP        $4,182.00
89550   IRL NEPHROSTOMY PERC RT             $1,105.00
89551   IRL NEPHROSTOMY PERC LT             $1,105.00
89556   FOLEY CATH INSERTION                  $419.00
89610   IRL US GUIDE NEEDLE BX/ASP/INJ        $747.00
89630   REPOSITON PREV PLACE CV CATHETER      $795.00
89635   FLUROSCOPIC GUIDANCE                  $629.00
89652   VASCULAR                                $0.00             Ordering
89700   IRL INTRACATHETER INSERTION STATS       $0.00             Utilization
89999   IRL PROCEDURE STATS ONLY                $0.00             Utilization
10002   HEPATITIS PANEL                       $133.08   $286.16
10003   GENERAL HEALTH PANEL                  $223.00   $541.00
10005   ALPHA-1-ANTITRYPSIN                    $21.00   $210.00
10030   ANTISMOOTH MUSCLE AB SCREEN 91         $91.00   $205.00
10035   ANTIMITOCHONDRIAL AB SCREEN 91         $91.00   $205.00
10050   ANTINUCLEAR ANTIBODY SCREEN            $75.00   $225.00
10051   ANTINUCLEAR ANTIBODY BODY FLUID     $109.00   $225.00
10052   ANTINUCLEAR AB (RE FLEX) SCREEN      $65.00   $225.00
10055   ANA TITER                            $91.00   $140.00
10056   ANTI-CENTROMERE ANTIBODY             $87.00   $205.00
10057   ANTI-CENTROMERE ANTIBODY TITER      $109.00   $225.00
10061   ANTISTREPTOLYSIN O TITER             $35.00   $210.00
10080   BETA-2-MICROGLOBULIN                 $82.00   $235.00
10090   CRP QUANT                            $73.00   $140.00
10096   CERULOPLASMIN                        $65.00   $160.00
10109   FLOW CYTOMETRY ADD AG                $75.00   $150.00
10115   CRYOGLOBULIN                         $48.00   $235.00
10120   CRYOFIBRINOGEN                       $95.00   $120.00
10135   C3 COMPLEMENT ANTIGEN 91             $67.00   $175.00
10136   C3 COMPLEMENT BODY FLUID             $67.00   $175.00
10140   C4 COMPLEMENT ANTIGEN 91             $67.00   $175.00
10145   HAPTOGLOBIN QUANT                    $74.00   $270.00
10180   URINE LIGHT CHAIN RANDOM            $118.00   $415.00
10182   URINE LIGHT CHAIN PANEL 24 HR URI     $0.00     $0.00   Panel Master
10183   URINE LIGHT CHAIN PANEL             $118.00   $415.00
10185   IMMUNOFIXATION ELECTRO - CRYOPPT    $123.00   $415.00
10186   IMMUNOFIXATION ELECTROPHORESIS      $123.00   $415.00
10191   URINE LIGHT CHAIN PANEL/1            $64.00   $305.00
10192   LIGHT CHAIN PANEL - URINE 24 HR       $0.00     $0.00   Panel Master
10220   RHEUMATOID FACTOR QUANTITATIVE       $59.00   $175.00
10221   RHEUMATOID FACTOR JF                 $59.00   $175.00
10255   PROTEIN ELECTROPHORESIS UR RANDOM    $68.00   $270.00
10256   PROTEIN ELECTROPHORESIS URINE        $68.00   $270.00
10257   PROTEIN ELECTROPHORESIS-URINE 24      $0.00     $0.00   Panel Master
10270   PROTEIN ELECTROPHORESIS SERUM       $103.00   $270.00
10290   TRANSFERRIN                          $76.00   $175.00
10295   CRYPTOCOCCAL ANTIGEN TITER CSF       $49.00   $145.00
10296   CRYPTOCOCCAL ANTIGEN TITER           $49.00   $145.00
10315   ANTI MITOCHONDRIAL AB TITER         $109.00   $225.00
10320   ANTISMOOTH MUSCLE AB TITER          $109.00   $225.00
10330   EXTRACTABLE NUCLEAR ANTIGEN (ENA)     $0.00     $0.00   Panel Master
10335   RNP (RIBONUCLEOPROTEIN) 91           $75.00   $255.00
10340   SM (SMITH) 91                        $75.00   $255.00
10350   LIPOPROTEIN (A)                      $98.00   $150.00
10355   APOLIPOPROTEIN A-1                   $65.00   $150.00
10360   APOLIPOPROTEIN B                     $65.00   $150.00
10400   COLD AGGLUTININS                     $68.00   $150.00
10410   BLASTOMYCES IMMUNODIFFUSION          $84.00   $165.00
10411   BLASTOMYCES ID CSF                   $18.00   $165.00
10425   HISTOPLASMA ID                       $95.00   $165.00
10426   HISTOPLASMA ID CSF                   $95.00   $165.00
10430   CRYPTOCOCCAL ANTIGEN SCREEN CSF     $144.00   $150.00
10431   CRYPTOCOCCAL ANTIGEN SCREEN         $114.00   $150.00
10435   ASPERGILLUS IMMUNODIFFUSION          $29.00   $165.00
10436   ASPERGILLUS ID CSF                   $26.00   $165.00
10455   RPR QUALITATIVE                      $34.00    $69.00
10456   RPR TITER                            $30.00   $110.00
10465   T & B CELL PANEL WITH T4 & T8       $134.00   $730.00
10470   CRYOCRIT                             $48.00   $235.00
10472   CELL PANEL T4/T8                    $134.00   $730.00
11060   COCCI ID CSF                         $53.00   $165.00
11065   COCCI ID SERUM                       $53.00   $165.00
11415   TEICHOIC ACID ANTIBODY              $129.00   $206.00
11805   IGA SERUM 91                         $74.00   $175.00
11810   IGM SERUM 91                         $74.00   $175.00
11820   IGG SERUM 91                         $74.00   $175.00
11830   IGG CSF 91                           $74.00   $175.00
11832   KAPPA SERUM 91                       $74.00   $175.00
11834   LAMBDA SERUM 91                      $74.00   $175.00
11852   CD19/B4 % 91                         $95.00   $195.00
11855   CD3/T3 % 91                          $95.00   $195.00
11860   CD 56                                $95.00   $195.00
11900   CD4 & CD8 ABS COUNT INCLUDING RAT   $175.00   $730.00
11970   FLOW LEUKEMIA/LYMPH-BLOOD BM          $0.00     $0.00   Panel Master
11972   FLLBBM-FLOW CYTOMETRY MARKER         $95.00   $185.00
11974   FLLBBM-FLOW CYTOMETRY EA MARKER      $75.00   $150.00
11980   FLOW LYMPHOMA PANEL-TISSUE            $0.00     $0.00   Panel Master
11982   FLPT-FLOW CYTOMETRY MARKER           $95.00   $185.00
11984   FLPT-FLOW CYTOMETRY, EA MARKER       $75.00   $150.00
20001   HEALTH FAIR - HEMOGRAM                $0.00     $0.00
20004   HEALTH FAIR - COMP METABOLIC/LIPI     $0.00     $0.00
20005   HEALTH FAIR PSA                       $0.00     $0.00
20006   HEALTH FAIR - TSH                     $0.00     $0.00
20007   HEALTH FAIR - CHOLESTEROL             $0.00     $0.00
20008   HEALTH FAIR - GLUCOSE                 $0.00     $0.00
20009   HEALTH FAIR DRAW FEE                  $0.00     $0.00   Panel Master
20012   HEALTH FAIR-LIPID-GLUCOSE             $0.00     $0.00
20014   HEALTH FAIR-COMP METABOLIC            $0.00     $0.00
20016   HEALTH FAIR-LIPID PANEL               $0.00     $0.00
20019   DDAP-LIPID-GLUCOSE                    $0.00     $0.00
20092   PRENATAL PROFILE                    $125.00   $200.00
20100   BFC-DRAW FEE                         $15.00    $15.00
20105   BFC-STAT FEE                         $17.50    $17.50
23999   STAT FEE                              $0.00     $0.00   Panel Master
29925   CBC                                  $10.86   $149.00
29927   NRBC QUANT                           $18.18    $27.27
30005   UA ROUTINE VOID                       $0.00     $0.00   Panel Master
30006   UA ROUTINE CATH                       $0.00     $0.00   Panel Master
30007   UA AUTOMATED W/MICRO                 $41.00    $80.00
30008   UA AUTOMATED W/O MICRO               $23.00    $39.00
30010   UA CHEMICAL QUAL                     $23.00    $39.00
30040   HCG URINE QL COLOR COMP METH         $48.00    $86.00
30045   SELF-REFERRED URINE PREGNANCY TES    $48.00   $104.00
30050   SKIN HISTO                           $77.00   $156.00
30060   SKIN COCCI TEST                      $78.00   $156.00
30070   SKIN T B PPD                         $94.00   $156.00
30090   SKIN MUMPS TEST                      $47.00   $156.00
30110   MYOGLOBIN SCREEN URINE              $151.00   $195.00
30115   SKIN TRICHOPHYTON TEST               $47.00   $156.00
30121   BONE MARROW ACQUISITION               $0.00     $0.00   Panel Master
31800   SKIN CANDIDA TEST                    $78.00   $156.00
32015   URINALYSIS & MICRO                   $41.00   $143.00
32020   UA REFLEXIVE VOID                    $41.00   $143.00
32030   UA REFLEXIVE CATH                    $41.00   $143.00
39022   GIARDIA IMMUNOASSAY STOOL            $70.00   $190.00
39023   CRYPTOSPORIDIA EIA STOOL             $81.00   $190.00
40002   AFB CULTURE WITH CONCENTRATION        $0.00     $0.00   Panel Master
40003   AFB CULTURE                          $91.00   $235.00
40004   CONC (ANY CULT TYPE), INFECT AGTS    $33.00    $64.00
40005   BLEEDING TIME                        $53.00   $123.00
40006   AFB STAIN ONLY                       $45.00    $83.00
40007   AFB STAIN ONLY (STOOL SPECIMEN)      $45.00    $83.00
40008   AFB CULTURE WITH CONCEN              $33.00   $110.00
40009   AEROBIC CULTURE OTHER SOURCE         $95.00   $235.00
40010   ENVIRONMENTAL CULTURE                $32.00    $80.00
40012   NEISSERA GONORRHEA CULT SCREEN       $68.00   $140.00
40013   SCREEN-RESISTANT ORGANISM            $68.00   $140.00
40015   CLOT RETRACTION                      $31.00    $38.00
40016   ANAEROBE ORGANISM ID                 $76.00   $185.00
40020   ROTAVIRUS STOOL                      $54.00   $175.00
40030   PLATELET COUNT                       $38.00   $103.00
40031   BLOOD CULT/AEROBIC & ANAEROBIC      $189.00   $225.00
40032   BLOOD CULT ROUTINE/AEROBIC ONLY     $189.00   $225.00
40033   BODY FLUID IN BACTEC BOTTLES        $189.00   $235.00
40034   OCCULT BLOOD SCREEN                   $0.00     $0.00   Panel Master
40035   EOS COUNT, BLOOD                     $35.00    $47.00
40036   SELF-REFERRED STOOL OCCULT BLOOD     $23.00    $56.00
40037   BLOOD CULTURE RESIN                 $189.00   $270.00
40038   OCCULT BLOOD FECES                   $23.00    $64.00
40039   OCCULT BLOOD SCREEN/1                $15.00    $40.50
40041   OCCULT BLOOD SCREEN-IMMUNO           $66.66   $111.10
40042   OCCULT BLOOD DIAGNOSTIC-IMMUNO       $66.66   $111.10
40044   BLOOD CULTURE AFB, ISOLATION        $151.00   $235.00
40045   FIBRINOGEN QUANT ACTIVITY            $61.00   $130.00
40050   GRAM STAIN                           $59.00   $103.00
40052   GC GENPROBE (RRNA)                   $25.00   $255.00
40053   CHLAMYDIA TRACHOMATIS DNA/RNA PRO   $103.00   $255.00
40055   WET MOUNT                            $35.00   $100.00
40057   VITEK MIC SENS                      $100.00   $170.00
40060   GRAM STAIN ONLY                      $59.00   $103.00
40070   HEMOGLOBIN                           $27.00    $43.00
40072   DISK DIFFUSION SENS                  $79.00   $179.00
40074   SUS STUDY,DISK METHOD/PLATE           $0.00     $0.00   Panel Master
40075   HEMATOCRIT OTHER THAN SPUN           $27.00    $43.00
40082   HEMOGRAM.                            $53.00    $96.00
40086   HEMOGRAM-PRENATAL                    $53.00    $96.00
40095   LEUK ALK PHOS                       $100.00   $130.00
40098   OVA & PARASITES SMEAR/STAIN           $0.00     $0.00   Panel Master
40099   TRICHROME STAIN                      $59.00   $103.00
40100   OVA & PARASITES                      $91.00   $260.00
40101   DUODENAL ASPIRATE FOR O/P            $67.00   $260.00
40105   MALARIA THIN & THICK SMEARS           $0.00     $0.00   Panel Master
40106   MALARIA THIN SMEARS                  $30.00   $100.00
40107   MALARIA THICK SMEARS                 $30.00    $63.00
40115   PINWORM PREPARATION                  $22.00    $63.00
40122   SYNOVIAL FLUID CRYSTAL ID            $91.00   $110.00
40123   PROTIME 91                           $38.00    $98.00
40124   PROTIME-FINGERSTICK (OUTPAT ONLY)    $38.00   $106.00
40125   PROTIME                              $38.00    $98.00
40128   PROTIME (PT) CORRECTED                $0.00     $0.00   Panel Master
40129   PT SUBSTIT-PLASMA FRACTIONS 91       $35.00   $110.00
40144   RETIC COUNT, MANUAL                 $106.00   $140.00
40150   RETIC COUNT AUTOMATED                $38.00   $116.00
40157   SEROTYPING AGGLUTINNIN EACH 91       $44.00    $63.00
40163   ORGANISM ID-NON URINE                $85.00   $105.00
40164   STOOL CULTURE                         $0.00     $0.00   Panel Master
40166   STOOL CULTURE - SALM/SHIG            $68.00   $163.00
40167   PTT CORRECTED                         $0.00     $0.00   Panel Master
40168   PTT SUBSTITUTION-PLASMA FRACT 91     $55.00   $145.00
40169   TISSUE HOMOGENIZATION                $61.00    $84.00
40170   THROAT-STREP SCREEN                  $53.00   $140.00
40171   THROAT CULTURE                       $68.00   $235.00
40172   NASAL CULTURE                        $68.00   $235.00
40175   GENITAL CULTURE-GROUP B STREP SCR    $64.00   $140.00
40177   URINE ORGANISM ID                    $74.00   $172.00
40185   THROMBIN TIME                        $68.00    $75.00
40195   RSV ANTIGEN                         $113.00   $156.00
40205   C DIFFICILE TOXIN A & B STOOL       $144.00   $195.00
40210   FACTOR IX                           $189.00   $225.00
40215   FACTOR X                            $189.00   $225.00
40220   FACTOR XI                           $189.00   $225.00
40225   FACTOR XII                          $189.00   $225.00
40230   CIRCULATING ANTI COAG               $162.00   $260.00
40530   MONO TEST SCREEN                     $45.00   $128.00
40535   BONE MARROW PREP/STAIN               $29.00   $115.00
40545   FLETCHER FACTOR                     $127.00   $275.00
40550   FACTOR V                            $303.00   $402.00
40555   PLATELET NEUTRALIZATION             $151.00   $205.00
44005   CRYPTOSPORIDIUM AFB SMEAR            $45.00    $83.00
44012   BNP                                 $159.00   $210.00
44026   FECAL LEUKOCYTES-LEUKOTEST          $115.00   $150.00
44035   OCCULT BLOOD FECES/1                  $0.00     $0.00   Panel Master
44045   D-DIMER-QUANT                        $83.00   $164.00
44055   FDP                                 $113.00   $140.00
44060   HEINZ BODY PREP                      $60.00    $76.00
44165   PTT                                  $53.00   $125.00
44168   STOOL ADD'L PATHS,CAMPY & VIBRI91    $53.00    $93.00
44200   FACTOR VII                          $184.00   $225.00
44205   FACTOR VIII                         $155.00   $225.00
45090   EAR CULTURE                          $68.00   $235.00
45091   CLOSTRIDIUM ID                       $76.00   $185.00
45092   B MELANENOGENICUS IS                 $76.00   $185.00
45093   B FRAG ID                            $76.00   $185.00
45094   ANAEROBE ID                          $76.00   $185.00
45095   RAPID ID FOR ANAEROBES               $76.00   $185.00
45096   P ANAEROBES ID                       $76.00   $185.00
45097   P ACNES ID                           $76.00   $185.00
45160   INDIA INK EXAMINATION                $76.00   $100.00
45162   KOH PREP                             $76.00    $79.00
45165   URINE CULTURE COLONY COUNT          $103.00   $224.00
45170   ANAEROBIC CULTURE                   $157.00   $225.00
45240   CELL COUNT,NON-BLOOD                 $19.83    $33.05
45244   BROCHOLAVELOAR LAVAGE DIFF           $23.10    $38.50
45245   CSF CELL COUNT W/DIFF               $113.00   $173.00
45246   BODY FLUID CELL COUNT W/DIFF        $113.00   $173.00
45310   ACETONE, QUALITATIVE                 $91.00   $141.00
45415   PATHOLOGY REVIEW-PERIPHERIAL SMEA     $0.00     $0.00   Utilization
45420   FACTOR II/1                         $209.00   $225.00
45430   SED RATE WESTERGREN AUTO             $35.00    $79.00
45435   SED RATE-MANUAL                      $35.00    $70.00
45495   SYNOVIAL FLUID CELL COUNT W/DIFF    $113.00   $173.00
46000   PBP AGGLUTINATION TEST               $44.00    $63.00
46020   GENITAL CULTURE                       $0.00     $0.00   Panel Master
46035   AEROBIC CULTURE OTHER SOURCE/1        $0.00     $0.00   Panel Master
46102   SERO PRRN X2                          $0.00     $0.00   Panel Master
46103   SERO PTTN X3                          $0.00     $0.00   Panel Master
46104   SERO PTTN X4                          $0.00     $0.00   Panel Master
46105   SERO PTTN X5                          $0.00     $0.00   Panel Master
46106   SERO PTTN X6                          $0.00     $0.00   Panel Master
46107   SERO PTTN X7                          $0.00     $0.00   Panel Master
46108   SERO PTTN X8                          $0.00     $0.00   Panel Master
46109   SERO PTTN X9                          $0.00     $0.00   Panel Master
46110   SERO PTTN X10                         $0.00     $0.00   Panel Master
46111   SERO PTTN X11                         $0.00     $0.00   Panel Master
46112   SERO PTTN X12                         $0.00     $0.00   Panel Master
46202   UR ORG ID X2                          $0.00     $0.00   Panel Master
46203   UR ORG ID X3                          $0.00     $0.00   Panel Master
46204   UR ORG ID X4                          $0.00     $0.00   Panel Master
46205   UR ORG ID X5                          $0.00     $0.00   Panel Master
46206   UR ORG ID X6                          $0.00     $0.00   Panel Master
46210   BETA LACTAMASE TEST                  $15.00    $36.00
46215   MIC,ONE ANTIBIOTIC SUS                $0.00     $0.00   Panel Master
46216   SASS-SUSCEPTIBILITY STDIES            $0.00     $0.00   Panel Master
47002   CANCELLED NO CHARGE CULTURE           $0.00     $0.00   Panel Master
47005   CULTURE-RESPIRATORY                 $144.00   $235.00
47010   WOUND CULTURE                         $0.00     $0.00   Panel Master
47015   TISSUE SWAB CULTURE                   $0.00     $0.00   Panel Master
47020   EYE CULTURE                           $0.00     $0.00   Panel Master
47025   CSF CULTURE                           $0.00     $0.00   Panel Master
47028   CULTURE,ANY OTHER SOURCE             $95.00   $235.00
47030   CULTURE FUNGUS SOURCE EXC BLOOD/S    $76.00   $495.00
47031   CULTURE FUNGUS SKIN                 $121.00   $495.00
47035   CULTURE-FUNGUS-BLOOD                  $0.00   $495.00
47040   BODY FLUID CULTURE                    $0.00     $0.00   Panel Master
47042   FINE NEEDLE ASP (FNA) CULTURE         $0.00     $0.00   Panel Master
47045   TISSUE CULTURE                        $0.00     $0.00   Panel Master
47050   FUNGUS IDENTIFICATION                $97.00   $145.00
47051   MOLD IDENTIFICATION                  $34.00   $145.00
50020   CBC W/PARTIAL DIFF                   $41.00   $149.00
50100   DRUG SCREEN 1                         $0.00     $0.00   Panel Master
50110   DRUG SCREEN 1 G/C                     $0.00     $0.00   Panel Master
50120   DRUG SCREEN 1E                        $0.00     $0.00   Panel Master
50122   DRUG SCREEN - DMG                     $0.00     $0.00   Panel Master
50125   DRUG SCREEN STAT URINE 1E             $0.00     $0.00   Panel Master
50126   DRUG SCREEN STAT (RAPID)            $121.00   $232.00
50130   DRUG SCREEN 1E G/C                    $0.00     $0.00   Panel Master
50140   DRUG SCREEN 2                         $0.00     $0.00   Panel Master
50150   DRUG SCREEN 2 G/C                     $0.00     $0.00   Panel Master
50160   DRUG SCREEN 2E                        $0.00     $0.00   Panel Master
50170   DRUG SCREEN 2E G/C                    $0.00     $0.00   Panel Master
50180   DRUG SCREEN 3                         $0.00     $0.00   Panel Master
50190   DRUG SCREEN 3 G/C                     $0.00     $0.00   Panel Master
50200   DRUG SCREEN 3E                        $0.00     $0.00   Panel Master
50210   DRUG SCREEN 3E G/C                    $0.00     $0.00   Panel Master
50220   DRUG SCREEN BFO                       $0.00     $0.00   Panel Master
50256   BFC IP DRUG SCREEN                    $0.00     $0.00   Panel Master
50260   BFC IP DRUG SCREEN REPEAT             $0.00     $0.00   Panel Master
51100   DRUG SCREEN 1 CONFIRMATION TLC        $0.00     $0.00   Panel Master
51101   DRUG SCREEN 1 CONFIRMATION G/C MS     $0.00     $0.00   Panel Master
51200   DRUG SCREEN 1E CONFIRMATION TLC       $0.00     $0.00   Panel Master
51201   DRUG SCREEN 1E CONFIRMATION G/C M     $0.00     $0.00   Panel Master
51300   DRUG SCREEN 2 CONFIRMATION TLC        $0.00     $0.00   Panel Master
51301   DRUG SCREEN 2 CONFIRMATION G/C MS     $0.00     $0.00   Panel Master
51400   DRUG SCREEN 2E CONFIRMATION TLC       $0.00     $0.00   Panel Master
51401   DRUG SCREEN 2E CONFIRMATION G/C M     $0.00     $0.00   Panel Master
51500   DRUG SCREEN 3 CONFIRMATION TLC        $0.00     $0.00   Panel Master
51501   DRUG SCREEN 3 CONFIRMATION G/C MS     $0.00     $0.00   Panel Master
51600   DRUG SCREEN 3E CONFIRMATION TLC       $0.00     $0.00   Panel Master
51601   DRUG SCREEN 3E CONFIRMATION G/C M     $0.00     $0.00   Panel Master
51700   DRUG SCREEN LTD CONFIRMATION TLC      $0.00     $0.00   Panel Master
51800   DRUG SCREEN LTDE CONFIRMATION TLC     $0.00     $0.00   Panel Master
51900   DRUG SCREEN ER CONFIRMATION TLC       $0.00     $0.00   Panel Master
52000   DRUG SCREEN SERUM                    $98.00   $270.00
52001   DRUG SCREEN SERUM CONFIRMATION        $0.00     $0.00
55100   U AMPHETAMINE                        $45.00   $107.00
55101   U AMPHETAMINE G/C                    $42.00    $60.00
55105   U BARBITURATES                       $45.00   $107.00
55106   U BARBITURATES G/C                   $42.00    $60.00
55110   U OPIATES                            $45.00   $107.00
55111   U OPIATES G/C                        $42.00    $60.00
55115   U BENZODIAZAPINES                    $45.00   $107.00
55116   U BENZODIAZAPINES G/C                $42.00    $60.00
55120   U CANNABINOIDS                       $45.00   $107.00
55121   U CANNABINOIDS G/C                   $42.00    $60.00
55125   U COCAINE                            $45.00   $107.00
55126   U COCAINE G/C                        $42.00    $60.00
55130   U PHENCYCLIDINE                      $45.00   $107.00
55131   U PHENCYCLIDINE G/C                  $42.00    $60.00
55135   U ETHANOL                            $45.00   $107.00
55140   U PROPOXYPHENE                       $45.00   $107.00
55141   U PROPOXYPHENE G/C                   $42.00    $60.00
55145   U METHADONE                          $45.00   $107.00
55146   U METHADONE G/C                      $42.00    $60.00
55150   U ANTIHISTAMINE                      $45.00   $107.00
55151   U ANTIHISTAMINE G/C                  $42.00    $60.00
55155   U GLUTETHIMIDE                       $45.00   $107.00
55156   U GLUTETHIMIDE G/C                   $42.00    $60.00
55160   U MEPERIDINE                         $45.00   $107.00
55161   U MEPERIDINE G/C                     $42.00    $60.00
55165   U METHAQUALONE                       $45.00   $107.00
55166   U METHAQUALONE G/C                   $42.00    $60.00
55170   U PENTAZOCINE                        $45.00   $107.00
55171   U PENTAZOCINE G/C                    $42.00    $60.00
55175   U PHENOTHIAZINES                     $45.00   $107.00
55176   U PHENOTHIAZINES G/C                 $42.00    $60.00
55180   U TRICYCLIC ANTIDEPRESSANTS          $45.00   $107.00
55181   U TRICYCLIC ANTIDEPRESSANTS G/C      $42.00    $60.00
70001   TOTAL VOLUME MEASUREMENT             $25.00    $46.00
70002   ED-POC- CKMB, MYOGLOBIN, TROPONIN     $0.00     $0.00   Panel Master
70005   DRAW FEES (VENIPUNCTURE)             $10.00    $10.00
70006   TOXICOLOGY DRUG COLLECTION FEE       $10.00    $11.00
70009   CAPILARY FEE                          $0.00     $0.00   Panel Master
70012   COMPREHENSIVE METABOLIC PANEL        $83.00   $232.00
70015   ALBUMIN SERUM                        $41.00    $47.25
70016   BODY FLUID ALBUMIN                   $41.00    $84.00
70020   ETHANOL SERUM QUANTITATIVE          $113.00   $185.00
70030   AMMONIA                             $113.00   $145.00
70035   AMYLASE SERUM                        $91.00   $125.00
70040   AMYLASE - URINE                      $91.00   $125.00
70046   AMYLASE - URINE 24 HR                 $0.00     $0.00   Panel Master
70050   BILIRUBIN TOTAL ONLY                 $41.00    $67.00
70055   BILIRUBIN DIRECT ONLY                $38.00    $67.00
70070   MAGNESIUM-URINE RANDOM               $59.00   $121.00
70072   MAGNESIUM - 24 HR URINE               $0.00     $0.00   Panel Master
70075   CALCIUM - URINE                      $53.00   $135.00
70077   CALCIUM URINE 24 HR                   $0.00     $0.00   Panel Master
70080   CALCIUM SERUM TOTAL                  $38.00    $76.00
70082   CEA                                  $98.00   $160.00
70100   CHLORIDE SERUM                       $41.00    $84.00
70110   CHLORIDE - URINE                     $53.00    $84.00
70112   CHLORIDE - URINE 24 HR                $0.00     $0.00   Panel Master
70115   CHOLESTEROL BLOOD TOTAL              $41.00    $67.00
70117   SELF-REFERRED CHOLESTROL             $41.00    $53.00
70147   ACTH STIMULATION PANEL                $0.00     $0.00   Panel Master
70148   CORTISOL                             $98.00   $145.00
70149   DST CORTISOL                         $98.00   $145.00
70150   CO2 CONTENT                          $33.00    $43.00
70151   CORTISOL TOTAL PM                    $98.00   $145.00
70152   CORTISOL TOTAL RANDOM                $98.00   $145.00
70153   ADRENAL STIMULATION                 $250.00   $385.00
70154   CORTISOL TOTAL AM                    $98.00   $145.00
70155   CK TOTAL                             $53.00   $129.00
70156   CKMB MONOCLONAL                     $175.00   $175.00
70157   TROPONIN-I QUANT                    $152.00   $175.00
70158   MYOGLOBIN                           $151.00   $175.00
70159   CK RELATIVE INDEX                     $0.00     $0.00   Panel Master
70160   CREATININE - URINE                   $41.00   $118.00
70161   MICRO ALBUMIN URINE RANDOM           $38.00    $50.00
70162   CREATININE - URINE 24 HR              $0.00     $0.00   Panel Master
70165   CREATININE CLEAR-UR 12HR OR 24HR     $68.00   $136.00
70170   CREATININE SERUM                     $41.00    $67.00
70175   CREATININE OTHER SOURCE              $53.00   $118.00
70180   MICROALBUMIN, URINE TIMED            $38.00    $50.00
70190   GGTP                                 $41.00    $88.00
70221   GLUCOSE 50 GRAM SCREEN               $35.00   $275.00
70223   GLUCOSE 50 GRAM/BASELINE + 1 HR       $0.00     $0.00   Panel Master
70225   GLUCOSE 2 HR P P                     $42.00   $275.00
70230   GLUCOSE TOLERANCE TEST 3 SPEC        $95.00   $275.00
70231   GLUCOSE TOLERANCE EA ADDL TEST       $41.00    $40.50
70235   GLUCOSE - URINE                      $41.00   $122.00
70237   GLUCOSE - URINE 24 HR                 $0.00     $0.00   Panel Master
70239   SELF-REFERRED GLUCOSE                $41.00   $130.00
70240   GLUCOSE SERUM QUANT                  $41.00   $130.00
70241   GLUCOSE TOLERANCE-GESTATIONAL        $60.00   $275.00
70242   GLUCOSE TOLERANCE 2 HR                $0.00     $0.00   Panel Master
70243   GLUCOSE, SIMULTANEOUS SERUM          $41.00   $130.00
70245   GLUCOSE TOLERANCE 3 HR                $0.00     $0.00   Panel Master
70246   GLUCOSE TOLERANCE 4 HR                $0.00     $0.00   Panel Master
70247   GLUCOSE TOLERANCE 5 HR                $0.00     $0.00   Panel Master
70250   GLUCOSE TOLERANCE 6 HR                $0.00     $0.00   Panel Master
70252   GLYCO HEMOGLOBIN                     $72.00   $145.00
70262   HDL                                  $48.00    $88.00
70263   LDL-MEASURED                         $77.00    $96.00
70267   FOLATE,SERUM                        $106.00   $225.00
70269   FERRITIN                            $106.00   $140.00
70270   LDH TOTAL                            $53.00    $93.00
70271   SIMULTANEOUS SERUM LDH               $53.00    $93.00
70275   LACTIC ACID                          $64.00   $217.00
70278   ARTERIAL LACTIC ACID                 $64.00   $217.00
70280   LACTOSE TOLERANCE                   $182.00   $275.00
70290   LIPASE SERUM                         $91.00   $120.00
70295   HEPATIC PANEL                        $70.00   $110.00
70298   RENAL FUNCTION PANEL                 $79.00   $223.00
70300   LITHIUM QUANT                        $86.00   $225.00
70304   LIPID EVALUATION                     $91.00   $255.00
70305   MAGNESIUM SERUM                      $77.00   $121.00
70309   LIPID PANEL W/REFLEX LDL             $91.00   $255.00
70315   OSMOLALITY SERUM                     $98.00   $154.00
70318   OSMOLALITY - URINE 24 HR              $0.00     $0.00   Panel Master
70319   OSMOLALITY - URINE 24 HR MEASURED    $98.00   $132.00
70320   OSMOLALITY URINE RANDOM              $98.00   $132.00
70331   GLOBULIN                              $0.00     $0.00   Panel Master
70332   ALBUMIN/GLOBULIN RATIO              $0.00     $0.00   Panel Master
70345   ALKALINE PHOS TOTAL                $35.00    $67.00
70350   PHOSPHORUS SERUM                   $41.00    $69.00
70360   POTASSIUM SERUM                    $41.00    $76.00
70365   POTASSIUM - URINE                  $41.00    $76.00
70367   POTASSIUM - URINE 24 HR             $0.00     $0.00   Panel Master
70370   TOTAL PROTEIN SERUM                $41.00   $118.00
70375   TOTAL PROTEIN - URINE              $27.00    $67.00
70377   TOTAL PROTEIN - URINE 24 HR         $0.00     $0.00   Panel Master
70380   SALICYLATES QUANT                  $64.00   $175.00
70385   SODIUM SERUM                       $41.00    $63.00
70387   BODY FLUID CHLORIDE                $36.00    $47.00
70388   BODY FLUID SODIUM                  $30.00    $63.00
70389   BODY FLUID POTASSIUM               $30.00    $63.00
70390   SODIUM - URINE                     $45.00   $120.00
70392   SODIUM - URINE 24 HR                $0.00     $0.00   Panel Master
70400   SGOT (AST)                         $41.00    $67.00
70405   SGPT (ALT)                         $33.00    $67.00
70410   TRIGLYCERIDE SERUM                 $41.00    $67.00
70415   UREA NITROGEN SERUM QUANT          $41.00    $67.00
70420   URIC ACID SERUM                    $41.00    $67.00
70425   URIC ACID - URINE                  $30.00    $67.00
70427   URIC ACID - URINE 24 HR             $0.00     $0.00   Panel Master
70430   PRE-ALBUMIN                        $79.00   $215.00
70435   PHOSPHORUS - URINE                 $45.00   $103.00
70437   PHOSPHORUS - URINE 24 HR            $0.00     $0.00   Panel Master
70440   UREA NITROGEN - URINE              $45.00   $110.00
70442   UREA NITROGEN - URINE 24 HR         $0.00     $0.00   Panel Master
70455   ELECTROLYTE PANEL                  $61.00   $118.00
70461   BASIC METABOLIC PANEL              $71.00   $206.00
70475   CSF GLUCOSE                        $45.00   $130.00
70476   JOINT FLUID GLUCOSE                $45.00   $130.00
70477   BODY FLUID GLUCOSE                 $45.00   $130.00
70480   ACETAMINOPHEN QUANT               $113.00   $237.00
70485   CHLORIDE NON BLOOD                 $36.00    $47.00
70490   JOINT FLUID URIC ACID              $35.00    $67.00
70500   CSF TOTAL PROTEIN                  $38.00    $61.00
70501   JOINT FLUID TOTAL PROTEIN          $38.00    $61.00
70502   BODY FLUID TOTAL PROTEIN           $38.00    $61.00
70505   BODY FLUID LDH                     $53.00    $93.00
70510   ACETAMINOPHEN URINE QUALITATIVE    $95.00   $155.00
70515   DIGOXIN QUANT                      $79.00   $305.00
70519   HCG SERUM QUALITATIVE              $48.00   $145.00
70522   HCG SERUM QUANTITATIVE             $98.00   $155.00
70530   METHOTREXATE                       $75.00   $220.00
70535   DILANTIN TOTAL QUANT               $83.00   $260.00
70545   PHENOBARBITAL QUANT                $83.00   $225.00
70555   THEOPHYLLINE QUANT                 $91.00   $225.00
70565   TEGRETOL QUANT                     $98.00   $225.00
70569   PROGESTERONE (EMC)                 $98.00   $270.00
70570   T4 TOTAL                           $57.00   $155.00
70571   T3 UPTAKE                          $53.00   $155.00
70572   T3 TOTAL                             $85.00   $175.00
70573   TSH                                  $97.00   $160.00
70574   TRH STIMULATION                     $250.00   $445.00
70575   GENTAMICIN RANDOM                   $113.00   $305.00
70576   GENTAMICIN QUANT TROUGH             $113.00   $305.00
70577   GENTAMICIN QUANT PEAK               $113.00   $305.00
70585   AMIKACIN RANDOM 91                   $70.00   $275.00
70586   AMIKACIN QUANT TROUGH 91             $70.00   $275.00
70587   AMIKACIN QUANT PEAK 91               $70.00   $275.00
70590   VALPROIC ACID QUANT                  $98.00   $202.00
70608   TCA URINE QUAL                       $95.00   $200.00
70611   PRIMIDONE QUANT                      $54.00   $195.00
70620   AMYLASE NON BLOOD                    $68.00   $125.00
70629   VANCOMYCIN QUANT RANDOM             $113.00   $445.00
70630   VANCOMYCIN QUANT TROUGH             $113.00   $445.00
70631   VANCOMYCIN QUANT PEAK               $113.00   $445.00
70632   VITAMIN B12                         $106.00   $165.00
70650   HOMOCYSTINE                          $83.00   $160.00
70690   ESTRADIOL                           $115.00   $260.00
70695   LUTEINIZING HORMONE (LH)             $83.00   $120.00
70700   FSH                                  $83.00   $255.00
70703   TRIIODOTHYRONINE T3 FREE             $83.00   $175.00
70705   T4 FREE                              $68.00   $125.00
70710   TOBRAMYCIN TROUGH                   $113.00   $305.00
70715   TOBRAMYCIN PEAK                     $113.00   $305.00
70720   TOBRAMYCIN RANDOM                   $113.00   $305.00
70800   ED-MYOGLOBIN                        $151.00   $175.00
71010   PTH,INTACT                          $175.00   $231.00
71020   PTH,INTACT W/CALCIUM                  $0.00     $0.00 Panel Master
71025   PTHI-PTH INTACT                     $175.00   $231.00
71030   PTHI-CALCIUM                         $38.00    $76.00
75025   ETHANOL URINE QUAL                  $113.00   $185.00
75470   IRON SERUM                           $42.00    $79.00
75475   IRON BINDING CAPACITY                $48.00   $125.00
77020   HEPATITIS B SURFACE AG               $77.00   $140.00
77030   HEPATITIS B SURFACE AB               $84.00   $155.00
77040   HEPATITIS B CORE AB, TOTAL(IGG/IG    $90.00   $170.00
77050   HEPATITIS A VIRUS AB (IGM)           $82.00   $160.00
77060   HEPATITIS C ANTIBODY                 $86.00   $210.00
77110   HIV ANTIBODY SCREEN                 $109.00   $125.00
78080   PROLACTIN                           $103.00   $270.00
78085   TESTOSTERONE-TOTAL                   $89.00   $385.00
79000   PSA-DIAGNOSTIC TOTAL                 $85.00   $255.00
79008   PSA-SCREENING                        $56.00   $255.00
79020   CANCER ANTIGEN 125 (CA-125)          $75.00   $275.00
79025   RUBELLA IGG AB                       $74.00   $200.00
79030   THYROGLOBULIN AUTOANTIBODIES         $75.00   $200.00
79035   THYROID PEROXIDASE AUTOANTIBODIES    $75.00   $200.00
80000   HSCRP                               $106.00   $150.00
80055   CBC & DIFFERENTIAL                    $0.00     $0.00 Panel Master
80057   CBC AUTO                             $41.00   $149.00
80059   WBC MANUAL                           $38.00    $68.00
99999   MISCELLANEOUS PATHOLOGY-ZERO CHAR     $0.00   $0.00 Panel Master
20120   CHLAMYDIA PNEUMONIAE CULTURE         $20.33
20147   CMV CULTURE BLOOD SO                 $92.00
20406   PROCESSING FEE                       $35.00
23548   METHOTREXATE                        $135.00
23705   PLATELET ANTIBODY DIRECT IGM         $70.00
23706   PLATELET ANTIBODY DIRECT IGG         $70.00
23758   PROTEUS ANTIGEN OX19                 $16.66
23759   PROTEUS ANTIGEN OX2                  $16.67
23760   PROTEUS ANTIGEN OXK                  $16.66
23769   AFB AMPLIFICATION I.D.              $148.00
23772   AFB-CULTURE                          $32.50
23773   AFB SUSCEPTIBILITY,EACH AGENT         $8.09
23774   AFB M-AVIUM COMP SUS                 $23.12
23775   AFB-MIC                              $32.50
23799   FUNGAL IDENTIFICATION                $12.95
23982   PLATELET ANTIBODY DIRECT IGA         $70.00
23987   PLATELET ANTIBODIES DIRECT            $0.00         Panel Master
24210   BETA 2 MICROGLOBULIN,CSF             $11.40
24230   HISTOPLASMOSIS MYCELIAL-CSF          $44.00
24231   HISTOPLASMOSIS YEAST-CSF             $44.00
24232   HISTOPLASMA ABS (CF)CSF               $0.00         Panel Master
24269   NESSERIA GONORRHEA BY LCR            $26.88
24295   MELATONIN SERUM                     $175.00
25045   MANNOSE BINDING PROTEIN              $29.26
28182   STRONGYLOIDES IGG ANTIBODY           $69.00
28600   BONE MARROW CYTOGENETICS              $0.00         Panel Master
28602   BM CYTO-TISSUE CULTURE              $133.00
28605   BM CYTO-20-25 CELLS                 $133.00
28606   BM CYTO-ADDITIONAL KARYO            $133.00
28860   CV2-AUTOANTIBODY TEST               $245.00
29014   PH-BODY FLUID                        $26.56
29500   TISSUE IMMUNOFLUORESENCE              $0.00         Panel Master
29502   TI-IMMUNOFLUORESCENT,EA ANTIBODY     $70.00
29850   HIGH RES BANDING CHROMOSOME ANALY     $0.00         Panel Master
29851   HSBCA-TISSUE CULTURE                 $21.73
29852   HSBCA-5 CELLS,1 KARYO                $21.73
29853   HSBCA-CELLS COUNTED                  $21.73
29854   HSBCA-ADDITIONAL KARYO               $21.73
29855   HSBCA-HIGH RESOLUTION                $25.40
29856   HSBCA-INTERP & REPORT                $25.41
29865   NMR-LIPOPROTEIN-MAYO                 $90.32
29870   CARDIOVASCULAR RISK MARKER PANEL      $0.00         Panel Master
29871   CRMP-LIPID PANEL                     $25.35
29872   CRMP-HOMOCYSTINE,TOTAL               $21.42
29873   CRMP-LIPOPROTEIN A                   $16.66
29874   CRMP-LDL SUBFRACTION                 $27.37
29875   CRMP-FIBRINOGEN-CARDIAC              $10.71
29876   CRMP-C-REACTIVE PROTEIN-CARDIAC      $17.49
29878   M-REFLEX LDL-DIRECT                  $17.20
29882   M-LDL SUBFRACTIONS                   $54.77
29892   KLEIHAUER-BETKE STAIN                $42.80
29894   TRICHINELLA IGG ANTIBODY           $98.00
29896   HUMAN METAPNEUMOVIRUS(HMPV)PCR    $349.00
29898   H. INFLUENZAE,TYPE B AG DETECT     $77.00
29900   BILIRUBIN TOTAL FLUID              $44.50
29976   NOCARDIA - MIC                     $70.00
29979   MTB/MAC DNA PROBE                   $0.00   Panel Master
29981   MTB-DNA PROBE                      $17.50
29982   MAC-DNA PROBE                      $17.50
29984   AFV - HPLC AND CONVENTIONAL         $0.00   Panel Master
29986   CULTURE, MYCOBACTERIUM             $21.25
29987   CULTURE TYPING HPLC                $21.25
29994   ANTI FUNGAL SUSCEPTIBILITY, M/C   $320.00
29996   AFB SUSCEPTIBILITY PANEL            $0.00   Panel Master
29997   AFB M-AVIUM COMP SUS PANEL          $0.00   Panel Master
29998   AFB M-FORT/M-CHE SUS PANEL          $0.00   Panel Master
29999   AFB RAPID MTB                       $0.00
89354   LIPASE, BODY FLUID                 $58.85
89358   PANCREATIC POLYPEPTIDE            $110.34
89360   NITROFURANTOIN                    $162.00
89362   VGKC ANTIBODY TEST                $350.00
89364   TRAMADOL + METBOLITES              $66.00
89366   BORRELIA BURGDORFERI               $52.00
89368   HIV-1 RNA QUANT,PCR,CSF           $319.00
89370   HEMOGLOBIN,FREE                    $16.07
89372   EPSTEIN-BARR NUCLEAR ANTIGEN 1     $70.60
89374   FIBRINOGEN COMP PANEL               $0.00   Panel Master
89375   FCP-FIBRINOGEN-                    $43.75
89376   FCP-FIBRINOGEN                     $43.75
89377   FCP-REPTILASE                      $61.00
89378   FCP-THROMBIN                       $46.21
89379   FCP-THROMBIN TIME 1-1 MX            $6.00
89381   AVIAN INFLUENZA H5                  $0.00   Panel Master
89382   AI-AVIAN INFLUENZA H5/A/B          $72.38
89385   ADREANL AB                          $0.00   Panel Master
89386   AA-ANTIADRENAL AB SCREEN           $16.42
89387   AA-ANTIADRENAL AB TITER            $15.67
89390   COPPER, RANDOM URINE                $0.00   Panel Master
89391   CU-COPPER URINE                     $8.04
89392   CU-CREATININE,URINE                 $3.96
89394   OVARIAN AB W/REFLEX                 $0.00   Panel Master
89395   OA-OVARIAN AB SCREEN               $52.36
89396   OA-OVARIAN AB TITER                $82.00
89400   CHROMOSOME ANALYSIS,BLOOD           $0.00   Panel Master
89401   CAB-TISSUE CULTURE                $159.97
89402   CAB-CHROMOSOME-2                  $159.97
89405   UGTIAI GENE POLYMORPHISM            $0.00   Panel Master
89406   UGP-ISOLATION,HP DNA               $34.45
89407   UGP-AMPLIFICATION                 $153.72
89408   UGP-SEPARATION                     $76.86
89410   TOXOPLASMOSIS PANEL                 $0.00   Panel Master
89411   TP-TOXOPLASMA                      $93.00
89412   TP-TOXOPLASMA-IGM                  $74.00
89413   TP-TOXOPLASMA AC/HS                  $74.00
89415   ARBOVIRUS AB PANEL                    $0.00   Panel Master
89416   AAP-ST LOUIS ENCEPHALITIS IGG/IGM    $12.75
89417   AAP-WESTERN EQUINE IGG/IGM           $12.75
89418   AAP-EASTERN EQUINE IGG/IGM           $12.75
89419   AAP-LACROSSE IGG/IGM                 $12.75
89422   TCR-GENE REARRANGEMENT                $0.00   Panel Master
89423   TGR-ISOLATION                        $25.48
89424   TGR-AMPLIFICATION                    $56.84
89425   TGR-SEPARATE HIGH RES                $56.84
94940   ATAXIA EVALUTATION                    $0.00   Panel Master
94941   AE -ISOLATION                        $36.16
94942   AE-SEPARATION                        $36.16
94943   AE-AMPLIFICATION                     $36.16
94944   AE-MUTATION,EA                       $36.16
94957   FISH-MM-MGUS                          $0.00   Panel Master
94958   F-MM-MORPHOMETRIC ANALYSIS,EA       $139.61
94960   FISH-CLL/MDS                          $0.00   Panel Master
94961   F-CM-MORPHOMETRIC ANALYSIS,EA       $165.00
94963   FISH-BCR/ABL                          $0.00   Panel Master
94964   F-BA-MORPHOMETRIC ANALYSIS,EA       $165.00
94966   FISH-AML                              $0.00   Panel Master
94967   F-A-MORPHOMETRIC ANALYSIS,EA        $148.50
94970   FISH-ALL                              $0.00   Panel Master
94971   F-A-MORPHOMETRIC ANALYSIS EA        $128.33
94975   FISH-NHL                              $0.00   Panel Master
94976   F-N-MORPHOMETRIC ANALYSIS,EA        $132.00
94980   BCR/ABL,PCR                           $0.00   Panel Master
94981   BCR/ABL-ISOLATION/EXTRACTION         $29.00
94982   BCR/ABL -REVERSE TRANSCRIPTION       $29.00
94983   BCR/ABL -AMPLIFICATION               $29.00
94984   BCR/ABL - DNA PROBE                  $29.00
94985   BCR/ABL-INTERP & REPORT              $29.00
94990   BRUCELLA ABORTUS AB,PANEL CSF         $0.00   Panel Master
94991   BAA-BRUCELLA ABORTUS, AB             $32.50
94996   FISH PROCEDURE                      $110.00
94998   DNA PROBE,EA(IMPATH)                 $29.93
95010   LACTO TYPE                            $0.00   Panel Master
95012   LT-ISOLATION/EXTRACTION NUCLEIC A    $29.60
95014   LT-NUCLEIC ACID PROBE, EA            $29.60
95016   LT-AMPLIFICATION OF EA NUCLEIC AC   $118.40
95018   LT-INTERP & REPORT                   $29.60
95040   SULFAMETHOXAZOLE LEVEL               $71.20
95045   HLA-DRB, DQBI TYPING DNA            $275.00
95047   SEROTONIN RELEASE ASSAY % RELEASE   $260.00
95050   SALICYLATES,URINE/GASTRIC Q/L        $16.06
95052   HEROIN QUANTITATION                 $149.25
95054   VARICELLA ZOSTER DNA,QUALITATION    $307.72
95056   INHIBIN-B,ELISA                     $120.28
95058   AMPHETAMINE QT/DL                     $0.00   Panel Master
95059   A-AMPHETAMINE                        $34.34
95060   CELIA PLUS CONFIRMATORY               $0.00   Panel Master
95062   CPC-IMMUNOASSAY                      $35.33
95063   CPC-IMMUNOFLUORESENCE ASSAY         $106.00
95064   CPC-TOTAL IGA                        $20.00
95065   CPC-ISOLATION/EXTRACTION             $16.00
95066   CPC-SEPARATION BY GEL ELECTROPHOR     $6.40
95067   CPC-AMPLIFICATION NUCLEIC ACID PR    $25.60
95068   CPC-INTERP AND REPORT                $16.00
95070   HEROIN, SERUM                        $84.00
95072   ZONISAMIDE.                          $74.83
95074   OXCARBAZEPINE(TRILEPTAL)             $37.00
95076   MANNOSE                             $249.00
95078   PHENOL(BENSENE)URINE                 $84.25
95080   PSA-HYPERSENSITIVE (DIANON)          $75.00
95082   N-TELOPEPTIDE,SERUM                  $56.35
95084   T4, FREE DIRECT DIALYSIS             $10.55
95086   SARS CORONAVIRUS RNA, DUAL          $150.57
95088   DOXEPIN(SINEQUAN)                    $17.46
95090   TRYPTASE                             $47.06
95092   MEXILETINE(MEXITIL)                  $79.25
95094   LDH,CSF                               $6.16
95096   CEA,FLUID                            $19.96
95100   JO-1 ANTIBODY                        $30.70
95102   PROCAINAMIDE                         $12.06
95104   ZAP 70                                $0.00   Panel Master
95105   Z70-CD19                             $77.06
95106   Z70-CD3                              $77.06
95110   T3 FREE DIALYSIS                      $0.00   Panel Master
95111   T3FD-FREE T3                         $26.72
95112   T3FD-T3 RIA                          $26.72
95114   TYPE II COLLAGEN AB                  $78.60
95116   LYMPHOGRANULOMA VENEREUM              $0.00   Panel Master
95117   IV-IGG/IGA                            $6.70
95118   LV-IGM                                $6.72
95120   CITALOPRAM(CELEXA)                  $123.00
95122   HEPATITIS B SURFACE AB,QUANT          $7.07
95124   SPOROTHRIX AB,LA                    $129.90
95126   GANGLIOSIDE GDIA AB(IGG/IGM)          $0.00   Panel Master
95128   GGDIA-ANTIBODY IGG/IGM              $102.00
95130   HEPATITIS G VIRUS,RNA,QUAL PCR      $298.00
95132   HUMAN ANTI-MOUSE AB (HAMA)          $185.00
95134   TROPHERYMA WHIPPEI,DNA QUAL PCR     $298.00
95136   CSF COCCIDIOIDES AB CF               $18.07
95138   HERPES VIRUS 8 IGG AB IFA            $55.50
95140   HERPES VIRUS 8 (HHV8)DNA,PCR        $298.00
95141   HISTOPLASMA AB, CF (FLUID)           $93.00
95142   CELLAC GENETICS (HLA DQ2/DQ8)         $0.00   Panel Master
95143   CG-ISOLATION/EXTRA NUCLEIC PROBE     $16.00
95144   CG-SEPARATION GEL ELP                 $6.40
95145   CG-AMPLIFICATION NUCLEIC PROBE       $25.60
95146   CG-INTERP/REPORT                     $16.00
95152   BETA-2 TRANSFERRIN,BODY FLUID       $193.17
95154   RAST-CAT HAIR + EPITHELIUM           $31.45
95156   LAMOTRIGINE,                         $19.03
95160   SOMATOSTATIN                        $136.35
95162   PHOSPHATIDYLSERINE ANTIBODY          $23.16
95164   TRYPTOPHAN                          $106.05
95166   THYROTROPIN RELEASING HORMONE(TRH   $202.00
95168   CHOLESTEROL,FLUID                     $6.00
95170   TRIGLYCERIDES,FLUID                  $23.00
95174   MYCOPLASMA/UREA PLASMA CULTURE       $18.00
95176   NORTRIPTYLINE,                       $15.25
95178   LEPTOSPIRA CULTURE                  $137.36
95180   VITAMIN K,                          $154.35
95182   GANGLIOSIDE GM-1 (IGG/IGM)            $0.00   Panel Master
95184   GGMI-GMI(IGG/IGM) AB                 $20.35
95186   CYTOMEGALOVIRUS CULTURE (CMV)         $0.00   Panel Master
95187   CMVC-RAPID CULTURE                   $33.98
95188   CMCV-CONVENTIONAL                    $33.99
95190   METANEPHRINES,RANDOM URINE            $0.00   Panel Master
95191   MRU-METANEPHRINES,URINE              $22.88
95192   MRU-CREATININE,URINE                 $22.89
95195   BETA 2 GLYCOPROTEIN 1 AB(IGA/G/M)     $0.00   Panel Master
95196   B2E1AB-BETA 2 GLYCOPROTEIN G/A/M     $59.09
95200   SALMONELLA,TOTAL ANTIBODY             $0.00   Panel Master
95201   STA-SALMONELLA AB,EACH                $7.21
95204   DPD (DIHYDROPYRIMIDINE DEHYDROGEN     $0.00   Panel Master
95205   DPD-ISOLATION                        $49.00
95206   DPD-DNA PROBE,EACH                   $49.00
95207   DPD-AMPLIFICATION                    $49.00
95208   DPD - INTERP+REPORT                  $49.00
95210   PNEUMONIAE AG DETECTION              $56.00
95212   HIV P24 ANTIGEN                     $194.00
95216   ENCEPHALITIS AB,EASTERN EQUINE        $0.00   Panel Master
95217   EAEE-ENCEPHALITIS AB                 $71.00
95220   ENCEPHALITIS AB,ST.LOUIS              $0.00   Panel Master
95221   EASL-ENCEPHALITIS,AB EACH            $78.50
95225   HEPATITIS A (IGM)S/O                 $10.35
95227   LIVER KIDNEY MICROSOME(LKM-1)AB      $38.22
95229   SOLUBLE LIVER AG(SLA)AUTOANTIBODY    $57.02
95232   STREPTOMYCIN-SERUM                   $83.36
95234   GABAPENTIN,PLASMA                    $20.05
95236   TOPIRAMATE.                          $54.04
95240   TRYPANOSOMA CRUZI AB(CHAGASG)        $98.00
95242   LEISHMANIA ANTIBODY                   $0.00   Panel Master
95243   LA-LEISHMANIA AB,EA                  $12.62
95245   SCHISTOSOMA IGG AB                   $52.00
95247   PSA II-DIANON                        $60.00
95250   THALLIUM,URINE RNADOM                $38.28
95252   PLASMINOGEN ACTIVATOR INHIBITOR-1   $111.03
95254   BETA HYDROXYBUTYRATE.                $64.61
95256   EUGLOBULIN CLOT LYSIS TIME           $72.72
95258   HPV HIGH RISK DNA                    $34.50
95260   HYDROXYPROLINE,TOTAL-URINE RANDOM    $64.14
95262   DIHYDROTESTOSTERONE.                 $64.14
95264   HISTOPLASMA ANTIGEN-URINE            $95.00
95266   TISSUE PLASMINOGEN,ACTIVATOR(TPA)    $93.55
95268   LEVETIRACETAM(KEPPRA)LEVEL           $41.99
95270   SICKLE CELL SCREEN                    $7.71
95272   ANDROSTENEDIONE                     $200.00
95274   IGF BINDING PROTEIN-3                $28.89
95276   LP-PLA2 (PLAC)                      $135.20
95278   FACTOR II ACTIVITY,CLOT             $115.14
95280   QUINIDINE.                           $10.10
95285   ALLERGY-WEST REGIONAL PROFILE         $0.00   Panel Master
95286   AWRP-IGE                              $7.47
95287   AWRP-ALLERGEN,IGE                     $7.41
95290   FREE THYROXINE INDEX                  $0.00   Panel Master
95291   FTI-T4                                $4.33
95292   FTI-T3 UPTAKE                         $4.33
95295   WEST NILE VIRUS AB,CSF                $0.00   Panel Master
95296   WVNA-VIRUS WEST NILE IGM             $27.97
95297   WNVA-WEST NILE VIRUS                 $27.97
95300   LIPASE,BODY FLUID                     $3.29
95302   THYROGLOBULIN QUANTITATIVE (RIA)      $0.00   Panel Master
95303   TR-ANTI TG AB                        $50.00
95304   TR-THYROGLOBULIN                     $50.00
95306   FENTANYL                             $58.00
95308   CHLAMYDIA PNEUMONIAE,PCR            $109.45
95310   MYCOPLASMA PNEUMONIAE,DNA           $158.27
95312   LEGIONELLA,DNA QUAL                   $0.00   Panel Master
95313   LDQ-LEGIONELLA SPP                   $71.27
95314   LDQ-LEGIONELLA PNEUMONIAE            $71.27
95316   HLA A,B TYPING DNA                  $340.00
95322   CAMPYLOBACTER JEJUNI AB              $75.00
95324   PSYCHOTHERAPEUTIC SCREEN             $17.81
95326   VIBRIO CHOLERAE CULTURE              $13.54
95328   MATA AUTOANTIBODY TEST              $371.75
95330   LYME(B.BURGDORFERI)PCR,FLUID        $180.79
95334   BETA-2 MICROGLOBULIN,URINE           $14.90
95336   FACTOR 12 ACTIVITY,CLOT              $48.18
95338   THALLIUM, SERUM                      $71.00
95340   LIPASE, URINE                        $14.97
95342   STEROID PANEL,URINE                 $103.73
95344   DOPAMINE,URINE                       $28.42
95346   NEUROKININ A.                       $250.00
95348   17 HYDROXY-PROGRESTERONE URINE      $200.00
95350   T3 REVERSE                            $9.73
95352   SODIUM,FECES                         $26.26
95354   POSTASSIUM,FECES                     $25.25
95356   SULFISOXAZOLE                        $62.81
95358   NOROVIRUS,PCR                       $125.00
95360   FLUNITRAZEPAM & METABOLITES,URINE    $90.00
95362   GAMMA-HYDROXYBUTYRIC ACID,URINE     $100.00
95364   CHOLINESTERASE,SERUM                 $11.76
95366   CSF TOXOPLASMA G/M AB                $53.00
95368   CHLAMYDIA TRACHOMATIS DNA            $25.00
95370   CATECHOLAMINES,FRACTIONATED,URINE     $0.00   Panel Master
95371   CFU-CATECHOLAMINES,URINE              $9.24
95372   CFU-CREATININE,URINE                  $9.24
95374   INFLUENZA A/B CULTURE                 $0.00   Panel Master
95375   IA/BC-INFLUENZA A/B                  $56.23
95378   CYCLOSPORA & ISOSPORA EXAM            $0.00   Panel Master
95379   CIE-CONCENTRATION                    $27.02
95380   CIE-CYCLOSPORA/ISOSPORA              $27.02
95382   SUBSTANCE P.                        $142.00
95384   METRONIDAZOLE LEVEL                  $87.40
95386   IMIPENEM LEVEL.                      $54.50
95388   BORDETELLA PERTUSSIS/PARA CULTURE    $17.82
95390   GALACTOSE URINE,QUANT                $88.41
95392   BK VIRUS,DNA QUANT                  $234.40
95394   VENLAFAXINE & METABOLITE             $67.00
95396   GLYCATED ALBUMIN                     $10.91
95398   HEPTIMAX(TM)HCV,RNA                 $264.60
95400   BUPIVACAINE                          $88.00
95402   ETHYL GLUCURONIDE SCREEN,URINE       $99.00
95404   IMIPRAMINE                           $16.92
95406   WIDAL (SALMONELLA) AGGLUTININS        $0.00   Panel Master
95408   WA-SALMONELLA                         $8.75
95410   ST LOUIS ENCEPH VIRUS AB PANEL        $0.00   Panel Master
95411   SLEVAP-ST LOUIS ENCEPH IGG/IGM       $30.75
95412   ADMARK APOE GENOTYPE ANALYSIS         $0.00   Panel Master
95413   AAGA-ISOLATION                       $50.43
95414   AAGA-ENZYME DIGESTION                 $9.55
95416   AAGA-DNA PROBE                       $12.73
95421   AAGA-AMPLIFICATION,NUC ACID EA       $31.83
95424   FISH,AML M3 PML/RARA                  $0.00   Panel Master
95425   FAMP-DNA PROBE                      $135.00
95426   FAMP-CHROMOSOME 100-300 CELLS       $135.00
95432   AMINO ACID,URINE                    $170.23
95434   URIC ACID,BODY FLUID                 $15.75
95436   E.COLI SHIGA TOXINS, EIA STOOL       $60.60
95438   PROTEIN S,FREE                      $105.39
95440   METOPROLOL QUANT                    $100.00
95442   DILTIAZEM (CARDIZEM)                 $91.00
95444   NEISSERIA GONORRHOEAE,ANTIBODY       $52.50
95446   ACYLCARNITINE,PLASMA                $112.44
95448   ORGANOCHLORINE PESTICIDES SCREEN    $125.00
95450   STREPTOCOCCUS GROUP B ANTIGEN        $14.36
95452   STACHYBOTRYS CHARTARUM SEROLOGY I     $0.00   Panel Master
95453   SCS-ALLERGEN IGE                     $31.84
95454   SCS-ALLERGEN IGG                     $31.85
95456   HEPATITIS BE PANEL                    $0.00   Panel Master
95457   HBEP-HEPATITIS BE AB                  $9.34
95458   HBEP-HEPATITIS BE AG                  $9.34
95460   CHLAMYDIA TRACHOMATIS CULTURE         $0.00   Panel Master
95461   CTC-CHLAMYDIA TRACH CULTURE           $8.27
95462   CTC-CHLAMYDIA AG STAIN                $8.27
95466   OLIGOCLONAL BANDS,IGG                $17.17
95468   ASPERGILLUS ANTIGEN                 $105.00
95470   BORDETELLA PERTUSSIS DNA,PCR          $0.00   Panel Master
95471   BPD-B.PERTUSSIS/PARA PERT DNA       $113.59
95472   ENTEROVIRUS RNA,QUAL-PCR            $155.00
95474   CYSTIC FIBROSIS,CARRIER SCREEN        $0.00   Panel Master
95475   CFCS-ISOLATION                       $14.20
95476   CFCS-DNA PROBE, EACH                  $3.16
95477   CFCS-AMPLIFICATION                   $26.82
95478   CFCS-SEPARATION                      $23.67
95479   CFCS-INTERP & REPORT                 $20.41
95481   IMA-SEPARATION/ID                    $30.98
95482   IGVH MUTATION ANALYSIS                $0.00   Panel Master
95483   IMA-ISOLATION                        $30.98
95484   IMA-SEPARATION BY GEL                $30.98
95485   IMA-REVERSE TRANSCRIPTASE            $30.98
95486   IMA-AMPLIFICATION                    $30.98
95487   IMA-MUTATION                         $30.98
95488   IMA-INTERP & REPORT                  $30.98
95489   IMA-AMPLICICATION,FIRST              $30.98
95490   LYME DISEASE ANTIBODY TOTAL           $0.00   Panel Master
95491   LDAT-LYME DISEASE AB,TOTAL           $15.15
95492   LDAT-LYME DISEASE,CSF RATIO          $15.82
95494   GANGLIOSIDE GQ1B AB(IGG)            $108.07
95496   COPPER,FREE                          $80.00
95498   PARACOCCIDIOIDES                    $110.50
95500   SELENIUM.                            $33.23
95502   WEST NILE VIRUS,RNA,RT PCR          $289.55
95504   GIARDIA LAMBLIA, AB                  $40.25
95506   NIACIN                               $60.00
95508   FACTOR XIII,FUNCTIONAL               $84.54
95510   ACID PHOSPHATASE,TOTAL                $4.86
95512   ANTI-68 KD(HSP-70) AB               $135.50
95514   BIOTIN LEVEL                         $65.00
95516   ALLERGEN IGE,IMMUNO CAP(IBT)         $39.51
95518   HEPATITIS C,RNA QUANT,BDNA          $422.00
95520   DELTA AMINOLEVULINIC ACID,RMUR       $27.50
95522   BIOTINIDASE,SERUM                    $63.57
95524   HTLV I/II AB,CSF                     $59.00
95526   VITAMIN B12 BINDING CAPACITY         $14.60
95528   IGA SUBCLASSES                        $0.00   Panel Master
95529   IGAS-IGA SUBCLASSES                  $41.11
95530   IGAS-IGA TOTAL                       $28.88
95534   RHEUMATOID FACTOR SCREEN W/FEFL,F     $0.00   Panel Master
95535   RFS-RHEUMATOID FACTOR,SERUM          $31.18
95536   RFS-RHEUMATOID FACTOR, TITER         $25.83
95552   BCR-ABL GENE REARRANG QT PCR          $0.00   Panel Master
95553   BCR/ABL - ISOLATION                   $6.67
95554   BCR/ABL AMPLIFICAITON,EA             $16.65
95555   BCR/ABL-AMPLIFICATION                $33.33
95556   BCR/ABL-REVERSE TRANS                $26.60
95557   BCR/ABL-DNA PROBE                     $6.67
95558   BCR-ABL-INTERP & REPORT               $8.88
95559   BCR/ABL-AMPLIFICATION,FIRST          $16.66
95560   FISH,CML/ALL,BCR/ABL TRANSLOCATIO     $0.00   Panel Master
95561   FISH BCR/ABL-DNA PROBE               $88.20
95562   FISH BCR/ABL-CHROMOSOME             $132.30
95566   IMMUNE DEFICIENCY PANEL               $0.00   Panel Master
95567   IDP-TOTAL B LYMPHS                   $87.50
95568   IDP-T CELLS                          $87.50
95569   IDP-CD2 MARKER                       $87.50
95570   IDP-T4/T8 HS RATIO                   $87.50
95571   IDP-WBC,TOTAL LYMPH                  $20.00
95572   KIDNEY STONE FORM,DIAG PANEL          $0.00   Panel Master
95573   KSF-CREATININE URINE                  $9.97
95574   KSF-CALCIUM URINE                     $9.97
95575   KSF-CHLORIDE,URINE                    $9.97
95576   KSF-MAGNESIUM,URINE                  $11.96
95577   KSF-PHOSPHORUS,URINE                  $9.97
95578   KSF-POTASSIUM, URINE                  $7.97
95579   KSF-SODIUM                            $7.97
95580   KSF-URIC ACID                         $7.97
95581   KSF-AMMONIA                          $25.91
95582   KSF-CITRATE,URINE                    $49.84
95583   KSF-OXALATE                          $23.92
95584   KSF-SULFATE                           $9.97
95585   KSF-OSMOLALITY,URINE                  $9.97
95586   KSF-PH,URINE                          $3.98
95590   LEUKEMIA/LYMPHOMA FLOW                $0.00   Panel Master
95591   LLF-CELL MARKER, FLOW                $42.86
95592   LLF-EACH ADDITIONAL MARKER, FLOW     $19.48
95593   LLF-FLOW INTERP 9-15 MARKER          $74.03
95595   VOLTAGE-GATED CA CHANNEL(VGCC)AB    $195.94
95597   IMMUNE CELL FUNCTION                $183.75
95599   BARTONELLA AB,PANEL CSF               $0.00   Panel Master
95600   BAP-BARTONELLA IGG/IGM               $25.18
95602   TSH,ULTRA SENSITIVE W/REFLEX T4FR     $0.00   Panel Master
95603   TU-TSH                                $9.40
95604   TU-T4,FREE                            $6.47
95606   HCV FIBRO SURE                        $0.00   Panel Master
95607   HCVF-A2 MACROGLOBULIN                $49.45
95608   HVCF-HAPTOGLOBIN                     $50.15
95609   HCVF-APOLIPOPROTEIN A1               $58.75
95610   HCVF-BILIRUBIN,TOTAL                 $24.35
95611   HCVF-G-GLUTAMYLTRANSFERASE           $30.80
95612   HCVF-TRANSFERASE,ALT                 $26.50
95616   CD52 (CAMPATH-1H)                   $150.00
95618   CEFTRIAXONE LEVEL                    $87.40
95620   COCCIDIOIDES ID,DNA                 $194.00
95622   CELL SURFACE MARKER                  $60.41
95624   ALLERGY SCREEN                       $14.14
95626   ALLERGY PANEL                         $0.00   Panel Master
95627   A-IGE, EA                             $7.07
95628   ALLERGY-MOLDS                         $0.00   Panel Master
95629   A-IGE,EACH                            $7.07
95630   LYME PCR,URINE                      $222.20
95632   PH,FECES                             $19.75
95636   NUCLEAR MATRIX PROTEINS(NMP)        $103.02
95638   VISCOSITY,FLUID                      $10.65
95640   CHROMATIN ANTIBODIES                 $88.88
95642   AMITRIPTYLINE.                       $15.66
95646   TUMOR NECROSIS FACTOR -ALPHA        $126.25
95648   PROTEIN S,TOTAL AG                   $28.79
95650   HYDROCODONE & METABOLITE            $120.50
95652   OXYCODONE SCREEN & CONF, UR         $111.00
95654   PORPHYRINS,FRAC QUANT,UR             $27.98
95656   LISTERIA AB                         $119.00
95658   VARICELLA/HERPES ZOSTER AG DCT       $21.24
95660   N-TELOPEPTIDE-24HR UR               $115.14
95662   HISTOPLASMA AB                       $22.37
95664   COCCIDIOIDES AB                      $23.60
95666   RHEUMATOID FACTOR IGG                $24.00
95668   RHEUMATOID FACTOR                     $5.30
95670   MERCURY,URINE                         $0.00   Panel Master
95671   MU-MERCURY,URINE                     $14.51
95672   MU - CREATININE,URINE                 $4.83
95674   MANGANESE,URINE                       $0.00   Panel Master
95675   MU-MANGANESE,URINE                   $36.89
95676   MU-CREATININE,URINE                   $7.55
95678   11-BETA HYDROXY TESTOSTERONE        $300.00
95682   CRYPTOCOCCUS ANTIGEN                 $75.00
95684   ARSENIC,URINE                         $0.00   Panel Master
95685   AU-ARSENIC,URINE                     $14.14
95686   AU-CREATININE,URINE                   $3.54
95688   5-HIAA,URINE RANDOM                   $0.00   Panel Master
95689   5HIAA-5-HIAA URINE                    $7.96
95690   5HIAA-CREATININE,URINE                $3.92
95692   HISTAMINE,24HR URINE                  $0.00   Panel Master
95693   HU-HISTAMINE,URINE                   $28.03
95694   HU-CREATININE,URINE                   $4.95
95696   LEAD, URINE RANDOM                    $0.00   Panel Master
95697   LUR-LEAD,URINE                       $10.24
95698   LUR-CREATININE,URINE                  $4.39
95700   MYCOBACTERIUM TUBERCULOSIS PCR      $189.88
95702   NOREPINEPHRINE                        $9.01
95706   ALPHA MELANOCYTE STIM HORMONE       $200.00
95708   BENZODIAZEPINES SCREEN/CONF          $34.34
95710   PEPSINOGEN II                       $250.00
95712   ALLERGEN IGE S/O                     $31.45
95714   CARBON DIOXIDE CONTENT                $3.63
95716   ROTAVIRUS ANTIGEN DETECTJION EIA     $16.18
95718   PSEUDO EPHEDRINE                     $78.00
95720   ADENOVIRUS AG, DETECTION             $39.21
95722   ASPERGILLUS NIGER IGE                $10.69
95724   HUNTINGTON DISEASE MUTATION ANALY     $0.00   Panel Master
95725   HDMA-ISOLATION                       $35.08
95726   HDMA-AMPLIFICATION                  $128.63
95727   HDMA-SEPARATION                      $35.08
95728   HDMA-INTERP & REPORT                 $35.08
95730   SACCHAROMYCES CEREVISIAE AB(ASCA)     $0.00   Panel Master
95731   SCA-ASCA IGA/IGG                     $47.04
95732   HEAVY METAL,24HR URINE                $0.00   Panel Master
95733   HMU-ARSONIC,URINE                    $20.66
95734   HMU-LEAD,URINE                       $10.33
95735   HMU-MERCURY,URINE                    $20.66
95738   ALLERGY PROFILE                       $0.00   Panel Master
95739   AP-IGE,TOTAL                          $5.18
95740   AP-ALLERY SCREEN                     $12.94
95741   AP-ALLERGEN,EA                        $7.89
95744   CELIAC DISEASE COMP PANEL             $0.00   Panel Master
95745   CDCP-TISSUE T G AB, IGA              $20.36
95746   CDCP-GLIADIN ANTIBODY (IGA)          $23.95
95747   CDCP-IGA,SERUM                       $11.08
95748   CDCP-ENDOMYSIAL AB,SCR               $33.33
95749   CDCP-EDNOMYSIAL AB TITER             $26.96
95750   CDCP-T-TG-IGG                        $33.33
95754   THROMBIN TIME-CLOTTING                $6.00
95756   BENADRYL(DIPHENHYDRAMINE)            $70.00
95758   PROTEIN TOTAL,BODY FLUID             $18.00
95760   NICOTINE + METABOLITE,URINE          $78.00
95762   PROTEIN C ANTIGEN                    $20.20
95764   LDH,BODY FLUID                        $6.16
95766   TARTRATE RESISTANT ACID PHOS         $41.41
95768   RSV RNA,QUAL PCR                     $71.28
95770   FIBRO SPECT II.                     $375.00
95772   IBD-INFLAMMATORY BOWEL DISEASE        $0.00   Panel Master
95773   IBD-ASCA IGG/IGA                     $39.87
95774   IBD-ANCA IBD SCREEN                  $41.53
95775   IBD-ANCA IBD TITER                   $21.56
95778   PRO - PREDICT RX METABOLITES          $0.00   Panel Master
95779   PRO-PREDICT RX METABOLITES          $147.50
95782   LDH-ISOENZYMES                        $0.00   Panel Master
95783   LI-LDH TOTAL                          $4.63
95784   LI-LDH ISOENZYMES                     $6.94
95786   INFLUENZA A+B RNA,QUAL PCR            $0.00   Panel Master
95787   IAB-INFLUENZA A + B                  $36.75
95790   PARA INFLUENZA(1,2,3)RNA,QUAL PCR     $0.00   Panel Master
95791   PRQP-PARA INFLUENZA                  $37.56
95794   GLOBULIN,TOTAL                        $0.00   Panel Master
95795   GT-TOTAL PROTEIN                      $7.50
95796   GT-ALBUMIN                            $7.50
95798   HLA-C CLASS I DNA TYPING            $118.00
95800   MUCIN CLOT                           $21.50
95802   CHLAMYDIA PNEUMONIAE,DNA BODY FLU    $47.03
95804   MERCURY 24 HR URINE                  $19.34
95806   ALLERGEN-CAT DANDER                  $36.47
95808   HLA-A2 TYPING                       $171.99
95810   THALLIUM 24 HR URINE                 $38.28
95816   ALLERGEN-IGE                         $23.40
95818   SULFONYLUREA HYPOGLYCEMICS URINE     $70.00
95820   AMYLOIDOSIS EVALUATION                $0.00   Panel Master
95821   AE-ISOLATION                         $35.70
95822   AE-AMPLIFICAITON                    $111.86
95823   AE-DNA SEG                          $111.86
95825   AE-SEPARATE,HIGH RES                $101.89
95826   ALLERGY PANEL-RESPIRATORY             $0.00   Panel Master
95827   APR-ALLERGEN,IGF                     $17.35
95828   APR-IGE,TOTAL                        $34.70
95830   PARANEOPLASTIC (AMPHIPHYSIN)          $0.00   Panel Master
95831   P-IMMUNO ASSAY,OTHER                 $41.13
95832   P-FLUORESCENT AB TITER,EACH          $41.13
95833   P-IMMUNO ASSAY,QUANT RIA             $41.14
95836   YERSINIA ENTEROCOLITICA AB            $0.00   Panel Master
95837   YE-YERSINIA AB                       $11.00
95840   HERPES SIMPLEX VIRUS 1/2 IGM          $0.00   Panel Master
95841   HSV-HSV TYPE 1 IGM                   $25.12
95842   HSV-HSV TYPE 2,IGM                   $25.13
95844   ASPERGILLUS ANTIBODIES                $0.00   Panel Master
95845   AA-ASPERGILLUS AB                   $116.00
95847   CREATININE,BODY FLUID                $45.00
95852   BCL-2/JH QUANT PCR                    $0.00   Panel Master
95853   BQ-ISOLATION                         $17.96
95854   BQ-DNA PROBE                         $17.96
95855   BQ-AMPLIFICATION                     $65.85
95856   BQ-INTERP + REPORT                   $29.93
95858   FACTOR VIII ACTIVITY + INHIBITOR      $0.00   Panel Master
95859   F8A-FACTOR VIII,ACTIVITY CLOT        $64.00
95860   F8A-FACTORA VIII,INHIBITOR           $95.78
95861   F8A-NIJMEGAN ASSAY                   $62.23
95864   PML/RARA QUANT PCR                    $0.00   Panel Master
95865   PRQP-ISOLATION,HP DNA                 $9.80
95866   PRQP-AMPLIFICATION SEQ               $44.10
95867   PRQP-AMPLIFICATION MULTX SEQ         $85.75
95868   PRQP-DNA PROBE                        $9.80
95869   PRQP-REVERSE TRANSCRIPTASE           $36.75
95870   PRQP-INTERP AND REPORT               $12.25
95872   HYPERTENSION,ENDOCRINE              $476.00
95876   UROPORPHYRINOGEN DECARBOXYLASE      $108.97
95878   INFLUENZA A AND B AG DFA              $0.00   Panel Master
95879   IAD-INFLUENZA B VIRUS                $12.35
95880   IAD-INFLUENZA A VIRUS                $12.35
95882   CYSTINE QUANT,URINE RANDOM            $0.00   Panel Master
95883   CQU-CYSTINE,URINE                    $37.31
95884   CQU-CREATININE URINE                 $11.14
95886   TESTOSTERONE,FREE/BIOAVAILABLE/TO     $0.00   Panel Master
95887   TFBT-TESTOSTERONE,TOTAL              $14.80
95888   TFBT-SEX HORMONE BINDING G           $11.84
95889   TFBT-ALBUMIN,SERUM                    $2.95
95890   CKR 5 GENE DNA MUTATION               $0.00   Panel Master
95891   CGDM-ISOLATION                        $5.35
95892   CGDM-AMPLIFICATION                   $22.27
95893   CGDM-ENZYME DIGESTION                 $5.35
95894   CGDM-SEPARATION                      $22.27
95895   CGDM-MUTATION ID                     $22.27
95896   CGDM-INTERP AND REPORT                $6.23
95900   PRO-PREDICT R TPMT                    $0.00   Panel Master
95901   PPR-ISOLATION                        $34.75
95902   PPR-AMPLIFICATION                    $79.00
95903   PPR-DNA PROBE                        $19.75
95904   PPR-INTERP AND REPORT                $29.75
95906   MITOCHONDRIAL DNA PANEL               $0.00   Panel Master
95907   MDP-ISOLATION                        $64.60
95908   MDP-ENZYME DIGESTION                 $64.60
95909   MDP-DOT/SLOT/BLOT PROD               $64.60
95910   MDP-SEPARATION GEL ELP               $64.60
95911   MDP-DNA PROBE                        $64.60
95912   MDP-AMPLIFICATION SGL PRIMER        $188.50
95913   MDP-AMPLIFICATION MULTIPLEX         $188.50
95920   NESSERIA GONORRHOEAE DNA,PCR         $22.75
95922   CA 125,PLEURAL FLUID                 $98.00
95924   HYDROXYPROLINE,TOTAL 24HR URINE      $35.89
95926   GANGLIOSIDE ASIALO GMI AB IGG       $115.00
95928   GANGLIOSIDE ASIALO GMI AB IGM        $68.62
95930   GANGLIOSIDE GDIB AB IGM             $116.15
95932   GANGLIOSIDE GDIB AB IGG              $66.82
95934   PROMETHEUS TPMT ENZYME              $245.00
95936   CA 19-9 PERITONEAL FLUID             $22.27
95938   HYDROXYPROLINE,FREE,PLASMA           $86.00
95940   ALLERGEN-IGG                         $24.06
95942   ALPHA 1 ANTITRYPSIN,FECES,RANDOM     $22.61
95944   ALKALINE PHOSPHATASE,BONE SPECIFI    $22.27
95946   NALTREXONE AND METABOLITE           $152.00
95948   ALDOSTERONE/PLASMA RENIN ACTIVITY     $0.00   Panel Master
95949   APRA-ALDOSTERONE                     $26.60
95950   APRA-RENIN ACTIVITY                  $15.72
95952   TPMT-GENOTYPE                         $0.00   Panel Master
95953   TG-ISOLATION HP DNA                  $26.50
95954   TG-AMPLIFICATION-MULTIP              $58.34
95955   TG-ENZYME DIGESTION                  $13.26
95956   TG-DNA PROBE                         $13.26
95957   TG-INTERP + REPORT                   $23.86
95958   TG-AMPLIFICATION, 2                 $114.02
95960   PRO-PREDICT-INFLIXIMAB/HACA           $0.00   Panel Master
95961   PPIH-ANTI CHIMERIC/CHIMERIC         $125.00
95964   MYCOPLASMA ANTIBODY IGG/IGM,CSF       $0.00   Panel Master
95965   MA-MYCOPLASMA AB                     $84.50
95968   SOLUBLE TRANSFERRIN RECEPTOR         $52.50
95972   METRONIDAZOLE                        $87.40
95974   ALTERNATIVE PATHWAY                  $75.00
95976   CADMIUM                              $17.30
95978   AFP,BODY FLUID                       $13.64
95980   IODINE,URINE                         $69.51
95982   LEVOFLOXACIN LEVEL                   $87.40
95984   ACETOACETATE                        $112.00
95986   EPSTEIN-BARR VIRUS PANEL B            $0.00   Panel Master
95987   EBVPB-EBV IGG/IGM                    $11.31
95988   TG-AMPLIFICATION,2                  $114.02
95990   AMYLASE,ISOENZYMES                    $0.00   Panel Master
95991   AI-AMYLASE,TOTAL                      $6.30
95992   AI-AMYLASE ISOENZYME                 $18.91
95994   OSMOTIC GAP,FECES                     $0.00   Panel Master
95995   OGF-SODIUM,FECES                     $25.76
95996   OGF-POTASSIUM,FECES                  $25.75
96000   SUSCEPTIBILITY,MAI COMPLEX MIC      $100.45
96005   FACTOR V(LEIDEN)MUTATION ANALYSIS     $0.00   Panel Master
96007   FV-MD ISOLATION/EXTRACTION           $15.16
96009   FV-MD NUCLEIC PROBE                  $15.16
96011   FV-MD AMPLIFICATION                  $15.16
96012   FV-MD SIGNAL AMPLIFICATION           $15.19
96013   FV-MD INTERP & REPORT                $15.16
96020   ALDOLASE                              $6.59
96025   C-PEPTIDE                            $15.91
96030   5-HIAA 24 HR URINE                   $10.10
96035   ACETYLCHOLINE RECEPTOR BINDING AB    $27.96
96040   ACETYLCHOLINE RECEPTOR BLCKING AB   $121.20
96045   ACETYLCHOLINE RECEPTR MODULTNG AB    $80.40
96050   ACTH                                 $24.31
96055   ACTIVATED PROTEIN C-RESISTANCE       $78.02
96060   ALDOSTERONE,SERUM                    $26.07
96065   ALKALINE PHOSPHATASE ISOENZYMES       $0.00   Panel Master
96067   API-ALKALINE PHOS                     $7.57
96069   API-ISOENZYME                         $7.57
96075   ALPHA-FETOPROTEIN,SERUM               $9.42
96080   AMIODARONE                           $19.19
96085   ANGIOTENSIN CONVERTING ENZYME        $11.62
96090   ANTI NEURONAL CELL AB                $68.05
96095   ANTIPHOSPHOLIPID AB PANEL             $0.00   Panel Master
96096   AAP-BETA 2 GLYCOPROTEIN 1,AB, EA     $32.89
96097   AAP-ANTI-PHOSPHOLIPID AB,EA          $32.89
96098   AAP-CARDIOLIPIN AB, EA               $32.89
96105   ASPERGILLUS AB PROFILE                $0.00   Panel Master
96107   AAP-ASPERGILLUS AB                    $5.85
96115   BLASTOMYCES ANTIBODY IMMUNODIFFUS    $21.37
96120   BORRELIA BURGDORFERI DNA,PCR,BLOO   $181.80
96125   BRUCELLA ANTIBODY IGG/IGM             $0.00   Panel Master
96127   BA G/M-BRUCELLA ANTIBODY             $24.94
96135   C1 ESTERASE INHIBITOR,PROTEIN QUA    $16.76
96140   C1Q COMPLEMENT COMPONENT             $35.25
96145   C3D CIRCULATING IMMUNE COMPLEXES    $105.80
96150   CA 15-3,SERUM                        $13.60
96155   CA 19-9,SERUM                        $13.70
96160   CA27.29                              $13.09
96165   CALCITONIN.                          $20.20
96170   CALCIUM,IONIZED                      $13.64
96175   CANDIDA ANTIBODIES IGG/A/M            $0.00   Panel Master
96177   CA G/M/A-CANDIDA ANTIBODY            $30.30
96185   CANDIDA-ANTIGEN DETECTION            $72.72
96190   CARBOHYDRATE DEFICIENT TRANSFERRN   $136.22
96195   CAROTENE                             $12.88
96200   CATECHOLAMINES,FRACT 24 HR UNINE     $18.48
96205   CATECHOLAMINES,FRACTIONATED PLASM    $27.02
96210   CHLAMYDIA AB PANEL IGM/IGG/IGA        $0.00   Panel Master
96212   CA M/G/A-CHLAMYDIA AB                 $7.65
96214   CA M/G/A-CHLAMYDIA AB-M               $7.67
96216   CHLAMYDIA TRACHOMATIS,DNA             $7.07
96220   CHLAMYDIA TRACHOMATIS RNA            $25.00
96230   CHROMOGRANIN A                      $108.07
96235   CLOSTRIDIUM DIFF CYTO, AB, NEUT      $73.95
96240   COCCIDIOIDES AB,CF                   $15.51
96250   COLLEGAN CROSS-LINKED N-TELOPEPTI     $0.00   Panel Master
96252   COLLAGEN CROSS-LINKED                $13.84
96253   CREATININE-URINE                     $13.84
96260   COMPLEMENT,TOTAL(CH50)               $10.63
96265   CORTISOL,FREE,24HR URINE             $13.64
96270   COXSACKIE A ANTIBODY PANEL.           $0.00   Panel Master
96272   COXSACKIE A ANTIBODY                  $8.50
96285   COXSACKIE B(1-6)ANTIBODY              $0.00   Panel Master
96287   CBA-COXSACKIE AB                      $5.48
96295   CK ISOENZYMES                         $0.00   Panel Master
96297   CKI-CPK                               $5.10
96299   CKI-ISOENZYME                         $7.65
96305   CULTURE,HERPES SIMPLEX VIRUS         $16.18
96310   CULTURE,VIRUS                        $27.21
96315   CYCLIC CITRULLINATED PEPTIDE(CCP)    $62.03
96320   CYCLOSPORINE,MONOCLONAL,WHOLE BLD    $25.20
96325   CYTOMEGALOVIRUS ANTIBODIES IGG/M      $0.00   Panel Master
96327   CA G/M-CMV                           $10.61
96329   CA G/M CMV, IGM                      $10.60
96335   CULTURE, CMV                          $0.00   Panel Master
96337   CC-VIRUS TISSUE CULTURE              $33.98
96339   CC-VIRUS-SHELL VIAL                  $33.99
96345   CYTOMEGALOVIRUS DNA,QUAL PCR        $122.68
96350   DHEA(DEHYDROEPIANDROSTERONE)SERUM    $20.60
96355   DHEA-SULFATE                         $10.61
96360   DNA(DS)ANTIBODIES                    $10.01
96365   DNA(SS)ANTIBODIES                    $52.52
96370   DRUGS OF ABUSE SCREEN,SERUM           $0.00   Panel Master
96372   DASS-SINGLE ASSAY                     $6.66
96380   EBV DNA QUAL,PCR                    $110.67
96385   ECHOVIRUS ANTIBODY PANEL,CF(CSF)      $0.00   Panel Master
96387   EAP-ECHOVIRUS AB-CSF                 $15.30
96395   ECHOVIRUS ANTIBODY PANEL,CF(SERUM     $0.00   Panel Master
96397   EAP-ECHOVIRUS AB-SERUM               $10.00
96405   ENTAMOEBA HISTOLICA AB IGG           $83.83
96410   EBV (EPSTEIN-BARR VIRUS) AB PANEL     $0.00   Panel Master
96412   EBVP-NUCLEAR ANTIGEN                 $11.11
96414   EBVP-VIRAL CAPSID                    $11.11
96420   ERYTHROPOIETIN(EPO)                  $19.49
96425   ESTROGEN,TOTAL,SERUM                 $25.25
96430   ESTRONE,SERUM                        $26.91
96435   FECAL FAT QUAL                       $16.16
96440   FECAL FAT, QUANT                     $39.39
96450   FOLATE,RBC                           $19.17
96455   FTA-ABS(FLUORESCENT TREPONEMAL AB     $8.62
96460   C1 ESTERASE INHIBITOR,FUNCTIONAL     $21.01
96465   GANGLIOSIDE GM-1 AB IGG/IGM           $0.00   Panel Master
96467   GGMA G/M IMMUNOASSAY,RIA             $20.35
96475   GASTRIN.                             $13.89
96480   GLIADIN ANTIBODY PANEL                $0.00   Panel Master
96482   GAP-IMMUNOASSAY,SINGLE STEP          $14.14
96490   GLOMERULAR BASEMENT MEMBRNE AB IG    $51.01
96495   GROWTH HORMONE.                       $9.33
96500   H.PYLORI AB(IGG,IGA,IGM)              $0.00   Panel Master
96502   HPA G/M/A-HELIOBACTER                $14.09
96515   HEAVY METALS PANEL,RANDOM URINE       $0.00   Panel Master
96517   HM-ARSENIC                           $12.91
96519   HM-CREATININE,OTHER SOURCE           $12.91
96521   HM-LEAD                              $12.91
96523   HM-MERCURY                           $12.91
96530   HEAVY METALS,WHOLE BLOOD              $0.00   Panel Master
96532   HMWB-ARSENIC                         $14.65
96534   HMWB-LEAD                            $14.65
96536   HMWB-MERCURY                         $14.65
96545   H.PYLORI AB (IGM)                    $15.80
96550   H.PYLORI AG DET, STOOL               $43.97
96555   HEMOGLOBIN A1C                        $7.07
96560   HEMOGLOBINOPATHY EVALUATION           $0.00   Panel Master
96562   HE-HGB CHROMATOGRAPHY                 $3.07
96564   HE-HCT                                $3.07
96566   HE-HGB                                $3.07
96568   HE-RBC,AUTO                           $3.07
96580   HEPARIN-INDUCED(HIT ASSAY)AB        $125.24
96585   HEPATITIS A TOTAL ANTIBODY           $10.50
96590   HEPATITIS B CORE ANTIBODY(IGM)       $12.63
96595   HEPATITIS B VIRAL DNA,QUANT PCR     $117.99
96610   HEPATITIS BE ANTIBODY                 $9.34
96615   HEPATITIS BE ANTIGEN.                 $9.34
96620   HEPATITIS C ANTIBODY                 $59.74
96625   HEPATITIS C VIRAL RNA GENOTYPE      $160.84
96630   HEPATITIS C VIRAL RNA,QUANT BDNA    $111.87
96635   HEREDITY HEMOCHROMATOSIS DNA MUTA     $0.00   Panel Master
96637   HHDMA-MD ISOLATION                   $26.21
96639   HHDMA-MD ENZYMATIC DIGESTION         $26.21
96641   HHDMA-MD SEPARATION                  $43.68
96643   HHDMA-MD AMPLIFICATION               $52.42
96645   HHDMA-MD INTERP & REPORT             $26.21
96650   HERPES SIMPLEX AB TYPE 1/2            $0.00   Panel Master
96652   HSABT1/2-TYPE 1 IGG                   $7.95
96653   HSABT1/2-TYPE 2 IGG                   $7.95
96654   HSABT1/2-IGM AB SCREEN                $9.91
96655   HSABT1/2-IGM AB TITER                $75.00
96660   HERPES SIMPLEX VIRUS TYPE 1&2 DNA   $206.80
96665   HERPES VIRUS 6 ANTIBODY PANEL         $0.00   Panel Master
96667   HV6AP-VIRUS ANTIBODY                 $47.47
96675   HISTOPLASMA ANTIBODY,COMPLEMENT F     $0.00   Panel Master
96677   HACF-HISTOPLASMA ANTIBODY             $8.58
96685   HIV RNA QT BDNA                      $91.91
96690   HIV-1 GENOTYPE                        $0.00   Panel Master
96692   HIVG-INF AGENT PHENOTYPE-NUCLEIC    $338.10
96693   HIVG-MUTATION ID                     $38.00
96694   HIVG-MUTATION ID,EA                  $38.00
96695   HIVG-INTERP & REPORT                 $19.00
96700   HIV-1/HIV-2 ANTIBODIES,WESTERN BL     $0.00   Panel Master
96702   HIV-1/2A-HTLV                       $100.00
96710   HLA-B27 ANTIGEN                      $18.82
96720   HUMAN HERPESVIRUS 6(HHV-6)DNA,PCR   $143.97
96725   IGE,TOTAL,SERUM                       $9.85
96730   IGF-I(SOMATOMEDIN-C)                 $19.95
96735   C1Q IMMUNE BINDING COMPLEX DETECT    $77.01
96740   INFLUENZA VIRUS A, IGG/IGM            $0.00   Panel Master
96742   IVA-IGG/IGM                          $44.72
96745   INFLUENZA VIRUS B, IGG/IGM            $0.00   Panel Master
96746   IVB-IGG/IGM                          $44.72
96755   INSULIN                               $8.71
96760   INSULIN GROWTH FACTORII              $95.00
96765   INTERFERON-ALPHA,E/A(20558)          $78.00
96770   INTRINSIC FACTOR BLOCKING ANTIBOD    $60.85
96780   FREE LT CHAINS (KAPPA/LAMBDA)         $0.00   Panel Master
96782   FLC-NEPHELOMETRY                      $9.64
96790   LEAD,WHOLE BLOOD                      $8.59
96795   LEGIONELLA AG DFA-RESPIRATORY        $74.74
96800   LEGIONELLA CULTURE.                  $17.17
96805   LEGIONELLA ANTIBODY - SERUM          $16.83
96810   LEGIONELLA URINARY ANTIGEN,EIA       $16.00
96815   LEPTIN.                              $75.75
96820   LIPID-ASSOCIATED SIALIC ACID(LSA,    $51.01
96825   LUPUS ANTICOAGULANT EVALUATION        $0.00   Panel Master
96826   LAE-PTT                               $6.68
96827   LAE-RUSSELL VIPER VENOM DILUTED       $6.68
96828   LAE-PLATELET NEUTRALIZATION          $45.97
96829   LAE-PLATELET NEUTRAL                 $37.06
96850   MEASLES ANTIBODY(IGG)                 $9.73
96855   MERCURY,BLOOD                        $17.70
96856   MEASLES/MUMPS/RUBELLA AB IGG          $0.00   Panel Master
96857   MMR-MEASLES AB,IGG                   $10.81
96858   MMM-RUBELLA AB, IGG                   $7.03
96859   MMR-MUMPS AB, IGG                     $9.50
96860   METANEPHRINES,FRACT 24HR URINE       $21.45
96865   MICROSPORIDIA SPORE DETECTION         $0.00   Panel Master
96867   MSD-CONCENTRATE                      $17.11
96869   MSD-SMEAR,SPECIAL STAIN              $17.11
96875   MOTOR & SENSORY NEUROPATHY PANEL      $0.00   Panel Master
96877   MSNP-IMMUNOASSAY                     $10.08
96879   MSNP-FLUORESENT AB                   $10.20
96885   MS PANEL 3                            $0.00   Panel Master
96886   MSP3-ALBUMIN                         $10.98
96887   MSP3-ALBUMIN,OTHER                   $11.00
96888   MSP3-GAMMAGLOBULIN                   $11.00
96889   MSP3-MYELIN BASIC PROTEIN, CSF       $10.98
96890   MSP3-OLIGOCLONAL BANDS               $10.98
96891   MSP3-PROTEIN,TOTAL                   $10.98
96892   MSP3-PROTEIN,TOTAL,CSF               $10.98
96905   MUMPS VIRUS ANTIBODY(IGG)            $11.77
96910   MYCOPLASMA PNEUMONIAE ANTIBODIES      $0.00   Panel Master
96912   MPA-MYCOPLASMA                       $10.54
96915   MYOGLOBIN URINE                      $13.35
96920   NEISSERIA GONORRHOEAE DNA PROBE       $7.07
96925   NEURON SPECIFIC ENOLASE(NSE)         $41.53
96930   PARVOVIRUS B19 ANTIBODIES (IGG/M)     $0.00   Panel Master
96932   PB19A-PARVOVIRUS                     $12.49
96935   PARVOVIRUS B19 DNA,PCR              $110.10
96940   PLATELET ANTIBODY,INDIRECT(IGG)      $40.40
96950   PROINSULIN.                         $107.72
96955   PSA-FR & TOTAL                        $0.00   Panel Master
96957   PSAF&T-PSA TOTAL                      $6.32
96958   PSAF&PSA-PSA FREE                     $6.32
96960   PROTEIN C ACTIVITY.                  $36.76
96965   PROTEIN S ACTIVITY.                  $31.64
96970   FACTOR II (PROTHROMBIN MUTATION)      $0.00   Panel Master
96972   PMA-ISOLATION/EXTRACTION             $26.09
96973   PMA-AMPLIFICATION SIGNAL             $26.10
96974   PMA-NUCLEIC ACID PROBE,EACH          $26.09
96975   PMA-AMPLIFICATION                    $26.09
96976   PMA-INTERP & REPORT                  $26.09
96980   PTH,C TERMINAL(MID-MOLECULE)&CALC     $0.00   Panel Master
96982   PTHCTERMINAL-CALCIUM                 $16.49
96983   PTHCTERMINAL-PARATHORMONE            $16.49
96985   PTH,INTACT AND CALCIUM                $0.00   Panel Master
96986   PTHINTACT-CALCIUM                    $10.11
96987   PTHINTACT-PARATHORMONE               $10.11
96990   COCCIDIOIDES ANTIBODY (G/A/M)         $0.00   Panel Master
96992   CA-IGG/IGA/IGM                       $97.50
97000   RENIN,DIRECT                         $16.31
97005   SCLERODERMA ANTIBODY(SCL-70)         $14.10
97010   SEROTONIN, BLOOD                     $37.62
97015   SIROLIMUS(RAPAMYCIN)                 $66.30
97020   SJOGREN'S ANTIBODIES(SS-A,SS-B)       $0.00   Panel Master
97022   SA-EXTRACTABLE NUCLEAR ANTIBODY       $9.08
97025   STONE ANALYSIS W/STONE IMAGE         $39.39
97030   TACROLIMUS TROUGH                    $52.23
97035   TBG(THYROXINE BINDING GLOBULIN)      $16.44
97040   TESTOSTERONE, FREE AND TOTAL          $0.00   Panel Master
97042   TF&T-TESTO9, TOTAL                   $13.46
97043   TF&T-TESTO, FREE                    $13.47
97045   TETANUS ANTITOXOID ANTIBODY(EIA)    $31.01
97049   THYROGLOBULIN PANEL                  $0.00   Panel Master
97050   TP-THYROGLOBULIN ANTIBODY            $9.79
97051   TP-THYROGLOBULIN                     $9.79
97055   TISSUE TRANSGLUTAMINASE AB (IGA)    $33.33
97060   TOXOPLASMA ANTIBODIES(IGG,IGM)       $0.00   Panel Master
97062   TA-TOXOPLASMA                       $11.49
97063   TA-TOXOPLASMA,IGM                   $11.49
97065   TRYPSIN                             $99.99
97070   TSI(THYROID STIMULATING IMMUNOGLO   $70.70
97075   VARICELLA ZOSTER VIRUS ABS (IGG/M    $0.00   Panel Master
97077   VZVA-VARICELLA-ZOSTER ANTIBODY       $9.81
97080   VARICELLA ZOSTER VIRUS AB (IGG)      $8.08
97085   VDRL,CSF                             $5.30
97090   VISCOSITY,SERUM                     $22.26
97092   VITAMIN A.                          $15.71
97095   VITAMIN B1,PLASMA                   $37.67
97100   VITAMIN B 6                         $15.23
97105   VITAMIN D,1,25-DIHYDROXY            $27.20
97110   VITAMIN D, 25-HYDROXY               $29.86
97115   VMA, 24HR URINE                      $0.00   Panel Master
97116   VMA24HU-CREATININE OTHER SOURCE      $6.82
97117   VMA24HU-VMA                          $6.82
97120   WEST NILE VIRUS ANTIBODIES IGG/M     $0.00   Panel Master
97122   WNVAG/M-VIRUS,WEST NILE,IGM         $27.97
97123   WNVA - WEST NILE VIRUS              $27.97
97125   ZINC PROTOPORPHYRIN(FEP FREE ERYT   $68.68
97130   ZINC,PLASMA                         $12.12
97135   ARSENIC,WHOLE BLOOD                 $17.68
97140   CARDIOLIPIN ANTIBODY                 $0.00   Panel Master
97142   CA-CARDIOLIPIN ANTIBODY SCREEN      $20.68
97143   CA-CARDIOLIPIN AB-IGG               $15.24
97144   CA-CARDIOLIPIN AB-IGA               $14.79
97145   CA-CARDIOLIPIN AB-IGM               $14.79
97150   ANTITHROMBIN III ACTIVITY            $0.00   Panel Master
97152   AIIIA-ANTITHROMBIN ACTIVITY         $15.09
97153   AIIIA-ANTITHROMBIN III,ANTIGEN      $25.25
97160   ANCA                                 $0.00   Panel Master
97162   ANCA-SCREEN                         $25.14
97163   ANCA-P/C TITER                      $27.18
97164   ANCA-MYELOPEROXIDASE ANTIBODY       $14.01
97165   ANCA-PROTEINASE 3 ANTIBODY          $14.00
97170   LYME AB (IGG, IGM)                   $0.00   Panel Master
97172   LDA-ANTIBODY,TOTAL                  $15.15
97173   LDA-IGG ANTIBODY                    $10.47
97174   LDA-IGM ANTIBODY                    $10.47
97180   MYELIN ASSOC GLYCOPROTEIN (MAG)      $0.00   Panel Master
97182   MAG-IGM ANTIBODY WESTERN BLOT       $52.22
97183   MAG-SGPG IGM AB EIA                 $56.40
97184   MAG-IGM AB,EIA                      $60.05
97190   RETICULIN ANTIBODY,IGA               $0.00   Panel Master
97192   RAIGA-SCREEN                         $61.61
97193   RAIGA-TITER                          $22.65
97500   RAST INDIVIDUAL ANTIGEN IGE           $7.07
97505   NEUTROPHIL/GRANULOCYTE AUTOABS      $135.34
97510   URINE HYDROXYPROLINE,FREE 24HR       $28.37
97520   PURKINJE CELL(YO) ANTIBODY            $0.00   Panel Master
97521   PCA-YO AB SCREEN                     $53.77
97522   PCA-YO AB TITER                      $31.18
97525   NEURONAL NUCLEAR(HU)ANTIBODY          $0.00   Panel Master
97526   NNA-HU AB SCREEN                     $58.78
97527   NNA-HU WESTERN BLOT                  $39.19
97528   NNA-HU AB TITER                      $14.11
97530   NEURONAL NUCLEAR(ANTI RI)             $0.00   Panel Master
97531   NNA-RI AB SCREEN                     $49.00
97532   NNA-RI AB WESTERN BLOT               $49.00
97533   NNA-RI AB TITER                      $50.00
97535   ADENOVIRUS ANTIBODY,SERUM            $14.36
97540   ALPHA SUBUNIT                        $76.76
97550   ARGININE VASOPRESSIN.                $19.51
97555   BABESIA ANTIBODY(IGG,IGM)             $0.00   Panel Master
97556   AB-B.MICROTI,IGG/IGM                 $36.36
97560   BACTERIAL MENINGITIS AG PANEL         $0.00   Panel Master
97562   BMAP-BACTERIAL MENINGITIS             $7.07
97565   BLADDER CANCER ANTIGEN- FISH          $0.00   Panel Master
97566   BC-DNA PROBE                         $61.04
97567   BC-CHROMO-IN SITU                    $89.45
97570   CA 72-4                              $60.00
97575   C TRACHAMATIS/N GONORRJOEAE RNA       $0.00   Panel Master
97576   CTNG-C. TRACHAMATIS                  $25.00
97577   CTNG-N.GONORRHOEAE                   $25.00
97580   CHOLINESTERASE,RBC & PLASMA           $0.00   Panel Master
97581   C-RBC                                 $8.61
97582   C-PLASMA                              $8.61
97585   C2 COMPLEMENT                        $32.64
97590   COPPER,PLASMA                        $38.38
97600   DIPTHERIA ANTITOXOID ANTIBODY        $30.09
97605   DISOPYRAMIDE (NORPACE)               $20.96
97610   ECHINOCOCCUS GRANULOSIS ANTIBODY(     $0.00   Panel Master
97611   EGA-E.GRANULOSIS AB                  $33.33
97612   EGA-E.GRANULOSUS WB                  $44.44
97615   EHRLICHIA IGG/IGM PANEL               $0.00   Panel Master
97616   ECA-EHRLICHIA CHAFF IGG/IGM          $62.11
97620   ESTRIOL, SERUM                       $28.89
97625   FLECAINIDE                           $19.26
97630   GLUCAGON                             $20.18
97635   GLUCOSE 6-PHOSPHATE DEHYDROGENASE     $8.68
97640   GLUTAMIC ACID DECARBOXYLASE AUTO     $66.82
97650   HEPATITIS DELTA ANTIGEN              $62.48
97655   HEPATITIS DELTA ANTIBODY             $16.19
97660   HEPATITIS E ANTIBODY(IGM)            $46.83
97670   PRIMIDONE.                           $11.29
97675   HIV PHENOSENSE                        $0.00   Panel Master
97676   PS-10 DRUGS                          $73.96
97677   PS- 11 + DRUGS                       $73.88
97680   HTLV-I/II ANTIBODY, EIA              $77.27
97685   HTLV I/II DNA QUALITATIVE             $0.00   Panel Master
97686   HTLV 1/11 DNA PCR                    $82.02
97700   HYPERSENSITIVITY PNEUMONITIS SCRE     $0.00   Panel Master
97701   HPS-GEL DIFFUSION                    $12.47
97702   HPS-ASPERGILLUS                      $14.81
97703   HPS-NOCARDIA                         $13.25
97705   IGD, SERUM                           $20.78
97710   IGG SUBCLASSES                        $0.00   Panel Master
97715   INSULIN ANTIBODY                    $143.42
97720   INTERLEUKIN-1-BETA                  $280.00
97725   INTERLEUKIN-6                       $119.30
97730   LEPTOSPIRA ANTIBODY                  $31.99
97735   LIDOCAINE(XYLOCAINE)                 $14.60
97740   METHYLMALONIC ACID.                  $38.00
97745   LUPUS ANTICOAGULANT HEXAGONAL PHO    $29.16
97748   DRVVT SCREEN                          $0.00   Panel Master
97749   DS-DRVVT PHOSPHOLIPID NEUTRALIZ      $10.69
97750   DS-DRVVT SCREEN                      $14.50
97755   METHYLENETETRAHYDROFOLATE REDUCTA     $0.00   Panel Master
97756   MTHFR-ISOLATION                      $60.25
97757   MTHFR-AMPLIFICATION                  $60.25
97758   MTHFR-DIGESTION                      $60.24
97759   MTHFR-SEPARATION/ID                  $60.24
97760   MTHFR-INTERP/REPORT                  $60.00
97765   MYASTHENIA GRAVIS PANEL 1             $0.00   Panel Master
97766   MGP-ACETYLCHOLINE                    $65.57
97767   MGP-ANTISTRIATED AB SC               $31.65
97768   MGP-ANTISTRIATED TITER               $18.68
97775   OSTEOCALCIN                          $26.73
97780   PARAINFLUENZA ANTIBODIES,SERUM        $0.00   Panel Master
97781   PA-PARAINFLUENZA AB                  $15.93
97785   PTH RELATED PROTEIN(PTH-RP)         $156.55
97790   PYRUVATE KINASE,QUANTITATIVE        $101.05
97795   RISTOCETIN COFACTOR                 $115.14
97800   ROCKY MTN SPOTTED FEVER ABS           $0.00   Panel Master
97801   RMSF-AB SCREEN IGG                   $16.20
97802   RMSF-AB SCREEN IGM                   $19.80
97803   RMSF-AB TITER IGG                    $15.25
97804   RMSF-AB TITER IGM                    $15.41
97810   RSV AB(RESPIRATORY SYNCYTIAL VIR)    $47.50
97815   RUBELLA ANTIBODIES(IGG/IGM)           $0.00   Panel Master
97816   RA-RUBELLA IGG/IGM                    $8.48
97820   VITAMIN B2.                          $43.32
97825   VITAMIN E (TOCOPHEROL)               $15.71
97830   NATURAL KILLER CELLS                  $0.00   Panel Master
97831   NK-PHENOTYPING                       $33.33
97832   NK-WBC,TOTAL LYMPHS                  $33.33
97835   FECAL REDUCING SUBSTANCES            $10.18
97837   INSULIN (FREE & TOTAL)               $54.29
97840   HEPATITIS C VIRAL RNA QUAL PCR      $62.12
97842   ALUMINUM,BLOOD                      $66.00
97844   FRUCTOSAMINE                         $6.42
97846   HIV-2 ANTIBODY                       $0.00   Panel Master
97847   HIV2 AB-HIV2 AB                     $36.36
97848   HIV2 AB-HIV2 WB                     $36.36
97850   HAEMOPHILUS INFLUENZA B AB(IGG)     $36.60
97852   PSITTACOSIS ANTIBODY                 $0.00   Panel Master
97853   PAB-C.PSITTACI(IGG/IGM)             $35.35
97855   PAB-C.PSITTACI(IGM)                 $35.35
97858   URINE PORPHYRINS FRACT QUANT,24HR    $0.00   Panel Master
97859   PFQ-PORPHYRINS                      $24.06
97860   PFQ-PORPHOBILINOGEN                 $24.07
97862   LYMPHOCYTIC CHORIOMENINGITIS         $0.00   Panel Master
97864   LC-IGG/IGM                          $23.25
97866   HEMOGLOBIN A2 QUANT                 $17.69
97870   BARTONELLA HENSELAE AB(IGG/IGM)      $0.00   Panel Master
97871   BHA-B.HENSELAE IGG SC               $11.36
97873   BHA-B.HENSELAE IGM SC               $11.37
97875   BHA-B.HENSELAE IGG TITER            $23.57
97877   BHA-B.HENSELAE IGM TITER            $23.57
97880   ENDOMYSIAL AB SCREEN                 $0.00   Panel Master
97882   EAS-ENDOMYSIAL AB SCR               $33.33
97884   EAS-ENDOMYSIAL AB TITER             $26.96
97888   ISLET CELL ANTIBODY SCREEN           $0.00   Panel Master
97890   ICAS-ISLET CELL AB SCR              $21.57
97891   ICAS-ISLET CELL AB TITER            $31.61
97894   URINE PORPHOBILINOGEN,QUANT         $24.28
97896   ALCOHOL(METHANOL) QUANT             $13.28
97898   TULAREMIA ANTIBODY                  $63.00
97900   GASTRIC PARIETAL CELL ANTIBODY      $24.78
97902   C7 COMPLEMENT                       $78.78
97904   C8 COMPLEMENT                       $89.89
97906   DNASE B ANTIBODY                    $15.51
97908   AMINO ACID ANALYSIS,QUAL            $28.22
97910   PAP (PROSTATIC ACID PHOSPHATASE      $6.94
97912   BORDETELLA PERTUSSIS AB(IGG/A/M)     $0.00   Panel Master
97913   BPA-BORDETELLA PERTUSSIS AB         $30.06
97915   HERPES SIMPLEX HSV 1 & 2 AB IGG      $0.00   Panel Master
97916   HSV 1 IGG                            $7.09
97917   HSV 2 IGG                            $7.10
97920   CRYPTOSPORIDIUM ANTIGEN, DFA         $0.00   Panel Master
97921   CA- CONCENTRATION                   $22.70
97922   CA-CRYPTOSPORIDIUM AG               $34.06
97930   MYCOPEHNOLIC ACID,SERUM             $92.55
97932   URINE HEMOSIDERIN, RANDOM            $6.97
97934   ALUMINUM,24HR URINE                 $62.14
97936   MANGANESE,SERUM                     $44.44
97938   RIFAMPIN LEVEL                      $71.00
97940   17-HYDROXYPROGESTERONE              $21.82
97942   CSF PROTEIN ELECTROPHORESIS         $30.34
97944   OXYCODONE                           $52.92
97946   PREGNENOLONE                         $87.87
97948   SEX HORMONE BINDING GLOBULIN.        $26.16
97950   ORGANIC ACIDS,QUAL, URINE           $131.32
97952   ALPRAZOLAM,SERUM                     $20.18
97954   RIBOSOMAL P ANTIBODY                $100.94
97956   HANTA VIRUS ANTIBODIES IGG/IGM        $0.00   Panel Master
97957   HA-VIRUS,NOT SPECIFIED               $30.00
97960   LIPOPROTEIN ELECTROPHORESIS           $0.00   Panel Master
97961   LE-CHOLESTEROL                        $6.27
97962   LE-TRIGLYCERIDES                      $6.27
97963   LE-LIPOPROTEIN                        $6.27
97965   ALPHA-1-ACID GLYCOPROTEIN            $54.46
97968   HIV-1-RNA,QUAL PCR                   $80.80
97970   CYSTICERCOSIS ANTIBODIES             $49.37
97972   ALDOSTERONE 24 HR URINE              $35.89
97974   VASOACTIVE INTESTINAL POLYPEPTIDE    $35.89
97976   HISTONE ANTIBODIES                   $25.65
97978   ALBUTEROL,SERUM                     $187.00
97980   MYELOPEROXIDASE ANTIBODY             $14.01
97982   PORPHYRINS,FRACTIONATED PLASMA       $91.88
97984   C9 COMPLEMENT                        $80.80
97986   PROPERDIN FACTOR B(C3 PROACTIVATO    $40.72
98010   Q FEVER ANTIBODIES(IGG, IGM)          $0.00   Panel Master
98011   QF-IGG/IGM PHASE 1/2 SCREEN          $23.48
98012   QF-IGG PHASE 1 TITER                 $26.05
98013   QF-IGG PHASE 2 TITER                 $26.05
98014   QF-IGM PHASE 1 TITER                 $30.10
98015   QF-IGM PHASE 2 TITER                 $33.10
98016   VITAMIN C,SERUM                      $10.36
98018   PHENYTOIN,FREE                       $20.20
98020   MUMPS ANTIBODY PANEL(IGG/IGM)         $0.00   Panel Master
98021   MAP - MUMPS AB(IGG/IGM)              $13.23
98022   MEASLES AB(IGG/IGM)                   $0.00   Panel Master
98023   MA-MEASLES AB(IGG/IGM)               $38.65
98026   HYDROCODONE.                         $52.25
98028   HERPES SIMPLEX HSV 2 AB IGG          $11.88
98030   LISTERIA ANTIBODY                    $49.42
98032   CLOMIPRAMINE                         $55.05
98034   SPERM ANTIBODY(IGA/IGG/IGM)           $0.00   Panel Master
98035   SA-SPERM ANTIBODY                    $31.00
98038   BARTONELLA DNA, PCR                   $0.00   Panel Master
98039   BDP-BARTONELLA DNA                  $110.50
98040   CITRIC ACID 24HR URINE W/CREATINI     $0.00   Panel Master
98041   CA-CITRIC ACID,URINE                 $12.17
98042   CA-CREATININE,URINE                   $5.00
98044   ESTROGENS,FRACTIONATED,SERUM          $0.00   Panel Master
98045   EFS-ESTRONE                          $29.76
98046   EFS-ESTRADIOL                        $29.76
98047   EFS-ESTRIOL                          $29.77
98048   HEPATITIS B VIRUS,DNA PCR           $209.07
98050   PLASMINOGEN ACTIVITY                $115.14
98052   URINE MELANIN - RANDOM               $17.82
98054   MYOCARDIAL ANTIBODY SCREEN            $0.00   Panel Master
98055   MAS-ANTIMYOCARDIAL AB SCREEN         $31.01
98056   MAS-ANTIMYODARDIAL AB TITER          $18.59
98058   TYPHUS ANTIBODY (IGG/IGM)             $0.00   Panel Master
98059   TA-TYPHUS FEVER AB SCREEN            $36.36
98060   TA- TYPHUS FEVER AB G&M              $44.44
98061   TA-TYPHUS FEVER AB TITER             $17.12
98062   TA-TYPHUS FEVER AB G & M REFLEX      $15.44
98064   FECAL ELECTROLYTES                    $0.00   Panel Master
98065   EF-SODIUM,FECES                       $8.41
98066   EF-POTASSIUM,FECES                    $8.41
98067   ED-CHLORIDE,FECES                     $8.43
98068   TORCH PANEL (IGG&IGM)                 $0.00   Panel Master
98069   TP-RUBELLA IGG/IGM                   $11.71
98070   TP-CMV-IGG                            $9.65
98071   TP-CMV IGM                            $9.65
98072   TP-HSV TYPE 1 IGG                     $9.65
98073   TP-HSV TYPE 2 IGG                     $9.65
98074   TP-HSV IGM AB SCREEN                 $10.34
98075   TP-TOXOPLASMA IGG                     $9.10
98076   TP-TOXOPLASMA IGM                    $12.82
98077   TP-HSV IGM AB TITER                  $75.00
98080   COPPER,24HR URINE                    $12.00
98082   PEPSINOGEN                          $125.00
98084   CHROMIUM,BLOOD                       $54.00
98086   METHADONE                            $71.10
98088   IODIDE                               $85.00
98090   PYRIDINIUM COLLAGEN CROSS 24HR UR   $153.00
98092   BORDELLA PERTUSSIS /PARA CULTURE     $17.82
98094   BORDETELLA PERTUSSIS /PARA SMEAR      $0.00   Panel Master
98095   BPPS-BORDETELLA PERTUSSIS/ PARA       $9.30
98096   STRIATED MUSCLE ANTIBODY              $0.00   Panel Master
98097   SMA-ANTI STRIATED MUSCLE SCREEN      $16.42
98098   SMA-ANTISTRIATED MUSCLE TITER        $18.68
98100   ETHYLENE GLOCOL,BLOOD                $49.85
98102   PROSTAGLANDINS D2,URINE             $350.00
98104   LEUKOCYTE ALKALINE PHOSPHATASE       $10.91
98106   C5 COMPLEMENT COMPONENT              $48.36
98108   BILE ACIDS,TOTAL                     $56.50
98110   URINE PORPHOBILINOGEN,24HR QUANT     $26.98
98112   TRAZODONE,SERUM                      $35.86
98114   PROPAFENONE                          $55.53
98116   CYANIDE SCREEN,WHOLE BLOOD           $64.00
98118   THYROTROPIN-BINDING INHIB IMMO       $26.92
98120   ENCEPHALITIS (WESTERN EQUINE) AB      $0.00   Panel Master
98121   EWEA-ENCEPHALITIS WEST EQUINE        $86.00
98123   ENCEPHALITIS (CA) AB                  $0.00   Panel Master
98124   ECA-ENCEPHALITIS CA                  $30.12
98126   STREPTOZYME                           $0.00   Panel Master
98127   S-PARTICLE AGGLUTINATION,SCR         $16.66
98128   S-PARTICLE AGGLUTINATION,TITER       $32.34
98130   URINE OXALATE,24HR                    $0.00   Panel Master
98131   O-OXALATE,URINE                       $8.21
98132   0-CREATININE,URINE                    $3.36
98134   CYTOMEGALOVIRUS IGG/M AB              $0.00   Panel Master
98135   CMVA-CMV AB                          $31.14
98136   CMVA-CMV IGM AB                      $31.15
98138   PM-SCL ANTIBODY                      $27.73
98140   POLIOVIRUS NEUTRALIZATION AB          $0.00   Panel Master
98141   PNA-ENTEROVIRUS,POLIO AB             $35.16
98142   5 NUCLEOTIDASE                      $102.50
98144   OPIATE(MORPHINE)SERUM                $63.34
98146   THIOCYANATE,SERUM                    $57.50
98148   MYCOPLASMA PNEUMONIAE CULTURE        $23.23
98152   CYSTINE,24 HR URINE                  $89.09
98154   ALPHA-2-MACROGLOBULIN                $52.84
98156   AMINOLEVULINIC ACID,DELTA-24HR UR    $27.50
98158   DESIPRAMINE (NORPRAMIN)              $17.46
98160   MOLYBDENUM,BLOOD                     $45.48
98162   HLA CLASS 1 A/B/C DNA TYPING        $354.00
98164   SULFONAMIDES,UNDIFFERENTIATED        $84.00
98166   HERPES (HSV) 1, IGG AB               $11.62
98168   HEXOSAMINIDASE                      $130.45
98170   C.TRACHAMATIS AG,DFA                  $9.09
98172   IGG SYNTHESIS RATE/INDEX CSF          $0.00   Panel Master
98173   ISR-ALBUMIN,CSF                       $6.73
98174   ISR-IGG                               $6.73
98175   ISR-ALBUMIN                           $6.73
98178   RABIES ANTIBODY                      $52.56
98180   JAK2 MUTATION                         $0.00   Panel Master
98181   JM-ISOLATION HP DNA                  $14.43
98182   JM-REVERSE TRANSCRIPT                $57.73
98183   JM-AMPLIFICATION                     $68.56
98184   JM-MUTATION                          $68.56
98185   JM-INTERP & REPORT                   $14.42
98190   BCL-1/JH(MANTLE CELL LYMPHOMA)        $0.00   Panel Master
98191   BCL-ISOLATION HP DNA                 $21.95
98192   BCL-DNA PROBE                        $21.95
98193   BCL-AMPLIFICATION                    $93.30
98194   BCL-INTERP & REPORT                  $21.95
98200   THROMBOSIS PANEL                      $0.00   Panel Master
98201   TP-PROTEIN C                         $41.80
98202   TP-PROTEINS                          $50.93
98203   TP-ANTITHROMBIN 111 ACTIVITY         $43.86
98204   TP-PROTEIN C INHIB ACTIVATED         $28.56
98210   ALPHA-THALASSEMIA DNA MUTATION        $0.00   Panel Master
98211   ATDM-ISOLATION HP DNA                 $9.22
98212   ATDM-AMPLIFICATION                   $79.91
98213   ATDM-AMPLIFICATION,EA                $39.96
98214   ATDM-SEPARATION GEL,ELP               $9.22
98215   ATDM-INTERP & REPORT                  $9.21
98220   BETA-GLOBIN COMPLETE                  $0.00   Panel Master
98221   BGC-ISOLATION HP DNA                 $12.13
98222   BGC-ENZYME DIGESTION                 $12.13
98223   BGC-SEPARATE HIGH RESOLUTION         $40.42
98224   BGC-AMPLIFICATION                    $40.42
98225   BGC-MUTATION                         $40.42
98226   BGC-INTERP & REPORT                  $16.16
98230   FACTOR IX ACTIVITY & HUMAN INHIBI     $0.00   Panel Master
98231   FIXA-FACTOR IX ACTIVITY              $48.18
98232   FIXA-FACTOR IX HUMAN INHIBITOR      $115.14
98236   FACTOR XI ACTIVITY & HUMAN INHIBI     $0.00   Panel Master
98237   FXIA-FACTOR XI ACTIVITY              $44.64
98238   FXIA-FACTOR XI HUMAN INHIBITOR      $105.00
98240   PIPERACILLIN LEVEL                  $122.40
98242   NAFCILLIN LEVEL                     $107.00
98244   PROTEINASE-3 ANTIBODY                $14.00
98246   IGG,CSF                              $10.07
98248   SERTRALINE                           $44.53
98250   COENZYME Q 10                       $100.00
98252   MAGNESIUM,RBC                        $18.69
98254   TOXOPLASMA GONDII IGA                $57.00
98256   TOXOPLASMA GONDII,PCR               $158.22
98258   ASPERGILLUS FUMIGATUS,IGG            $49.18
98260   STRONGYLOIDES AB,ELISA               $56.75
98262   FDP(FIBRINAGEN DEGRADATION PRODUC    $19.19
98264   RHEUMATOID FACTOR,BODY FLUID         $79.10
98266   HLA-DQ2+DQ8                         $155.00
98268   PURINE & PYRIMIDINE-URINE            $95.04
98270   17-HYDROXYCORTICOSTEROIDS             $0.00   Panel Master
98271   17H-OH CORTICOSTEROIDS               $18.71
98272   17H-CREATININE, URINE                 $6.24
98275   FREE LIGHT CHAINS (KAP/LAM) SERUM     $0.00   Panel Master
98276   KLLCF-FREE KAPPA/LAMBDA              $72.87
98280   17-KETOSTEROIDS 24 HR URINE           $0.00   Panel Master
98281   17KU-17 KETOSTEROIDS                 $17.42
98282   17KU-CREATININE,URINE                 $7.47
98285   HACA/SERUM INFLIXIMAB                 $0.00   Panel Master
98286   HACA-ANTI CHIMERIC/TNF              $125.00
98290   TREPONEMA PALLIDUM AB                 $8.62
98292   RHEUMATOID FACTOR,CSF                 $6.43
98294   INSULIN,FREE                         $95.95
98296   CMV DNA,QT,PCR                      $188.21
98298   PARAGON,EIA                         $100.00
98300   TRYPANOSOMA CRUZI IGG,AB             $85.60
98302   JC POLYOMA VIRUS,DNA,QUAL,PCR       $158.00
98308   OPIATES UNCONJUGATED                $409.70
98310   HLA TYPING/CELIAC DISEASE           $167.00
98312   HEPATITIS A AB IGG/IGM               $63.09
98316   CAFFEINE.                            $11.88
98318   MUSK ANTIBODY TEST                  $476.25
98320   C6                                   $70.28
98322   PSA-BODY FLUID                      $105.00
98324   ANGIOTENSIN CNVRTNG ENZYME ACE,CS    $69.69
98326   MYELIN,BASIC PROTEIN                 $15.15
98328   SEMEN,POST VASECTOMY CHECK          $153.28
98330   HEMOGLOBULIN FREE,URINE              $27.67
98332   DENGUE FEVER ANTIBODY(IGG/IGM)        $0.00   Panel Master
98333   DF-IGG/IGM ANTIBODY                  $39.39
98335   ANTI-PERIPHERAL NERVE MYELIN          $0.00   Panel Master
98336   APNM-IGG/IGA/IGM                     $53.33
98338   BORDETELLA (PARA/PERT) DFA            $0.00   Panel Master
98339   BD-BORDETELLA PARA/PERT               $9.30
98342   ALLERGIN-ADULT FOOD PANEL             $0.00   Panel Master
98343   AAFP-IGE,TOTAL                        $5.09
98345   AAFP-IGE,EA                          $12.50
98348   HSV IGM ANTIBODY W/REFLEX TITER       $0.00   Panel Master
98349   HIA-IGM AB SCREEN                    $11.62
98350   HIA-IGM AB TITER                     $75.00
98352   P1NP-PROCOLLAGEN TYPE1 INTACT N-T   $205.00
98428   STREPTOCOCCUS PNEUMONIAE IGG AB14     $0.00   Panel Master
98429   SPIA-BACTERIUM NOT SPECIFIED         $11.50
98432   STREPTOCOCCUS PNEUMONIAE IGG AB(6     $0.00   Panel Master
98433   SPIA6-BACTERIUM, NOT SPECIFIED       $11.50
98436   IGF BINDING PROTEIN                  $28.89
98438   METHEMOGLOBIN REDUCTASE             $123.19
98440   CREATININE W/GLOMERULAR FILTRATIO     $3.63
98442   HELICOBACTER PYLORI AB               $14.86
98444   BARIUM                               $86.00
98446   MYELOPEROXIDASE ANTIBODY.            $14.01
98450   ADENOSINE DEAMINASE,PLUERAL FLUID   $115.00
98452   VON WILLEBRAND AG,MULTIMETRIC ANA    $68.88
98454   ALPHA-1-ANTITRYPSIN QUANT             $9.09
98456   SPORPTHRIX ANTIBODY.                $104.90
98458   DEXAMETHASONE.                       $56.96
98460   CRYPTOCOCCUS ANTIBODY                $58.65
98462   FACTOR VII ACTIVITY                  $48.18
98464   PENICILLIN                           $87.40
98466   CARNITINE.                           $53.13
98468   NICOTINE METABOLITE                  $52.00
98470   ACETAMINOPHEN                        $37.50
98474   PROCAL CITONIN                      $170.30
98476   GAMMA HYDROXYBUTYRIC ACID           $117.00
98478   MDMA AND METABOLITE                  $29.12
98480   BENZODIAZEPINE                       $81.10
98482   EBV ANTIBODY-ANTIGEN D               $11.62
98486   FUNGAL ID,MOLD                       $24.53
98488   CHLORIDE-BODY FLUID                  $30.90
98490   IGF BINDING PROTEIN - 3              $28.89
98500   COMPLETE ATAXIA EVAL                  $0.00   Panel Master
98501   CAE-ISOLATION                        $36.44
98502   CAE-SEPARATION                       $36.16
98503   CAE- AMPLIFICATION                   $36.16
98504   CAE-MUTATION                         $36.16
98510   DENTATORUBRAL PALLIDOLYSIAN           $0.00   Panel Master
98511   DP-AMPLIFICATION                     $35.71
98512   DP-ISOLATION                         $35.71
98513   DP-ENZYME DIGESTION                  $35.71
98514   DP-SEPARATION                        $35.71
98515   DP-NUCLEIC ACID PROBE                $17.87
98516   DP-NUCLEIC ACID TRANSFER             $17.87
98522   INTERLEUKIN 5                       $300.00
98524   VASCULAR ENDOTHELIAL GROWTH FACTO   $150.34
98526   ENTRAMOEBA HISTOLYTICA ANTIGEN       $44.00
98528   CYSTATIN C                           $62.54
98530   BETA GLUCOSIDASE,LEUKOCYTES         $170.10
98532   CD20                                 $80.18
98534   LIVER CYTOSOL(LC-1)AUTOANTIBODIES   $133.00
98536   ANTI-FCER AUTOANTIBODY              $150.00
98538   PEROXISOMAL PANEL,SERUM             $138.79
98540   NEURO MYELITIS OPTICA AUTO AB IGG   $240.20
98542   PYRUVATE,BLOOD                       $14.36
98544   ENTAMOEBA HISTOLYTICA AB IGG         $83.83
98546   ESTRADIOL,FREE                        $0.00   Panel Master
98547   EF-ESTRADIOL                         $86.50
98550   HTLV-I/II DNA DETECTOR(CSF)           $0.00   Panel Master
98551   HDD-AMPLIFIED PROBE,EA              $207.50
98558   DEOXYCORTICOSTERONE                  $81.20
98560   THIOPURINE METABOLITES                $0.00   Panel Master
98561   TM-CHEMISTRY UNLISTED               $147.50
98564   VON WILLEBRAND PROTEASE ACTIVITY      $0.00   Panel Master
98565   VPA-FACTOR VIII MULTIMETRIC         $167.27
98566   VPA-FACTOR INHIBITOR TEST           $167.27
98570   CD55 AND CD59                         $0.00   Panel Master
98571   CD-FLOW,FIRST                        $74.17
98572   CD-FLOW,EA                           $74.17
98576   ANTI-SULFATIDE AB                     $0.00   Panel Master
98577   ASA-IMMUNOASSAY                     $169.25
98580   HUMAN GRANULOCYTIC EHRLICHIOSIS(H     $0.00   Panel Master
98581   HGE-EHRLICHIA                        $33.83
98585   ALPHA I ANTITRYPSIN MUTATION          $0.00   Panel Master
98586   AIAM-ISOLATION                       $21.75
98587   AIAM-AMPLIFICATION                   $21.75
98589   AIAM-DIGESTION                       $21.75
98590   AIAM-SEPERATION                      $21.75
98595   C-PEPTIDE RESPONSE TO GLUCOSE         $0.00   Panel Master
98596   CPRTG- C-PEPTIDE                     $95.00
98598   INSULIN RESPONSE TO GLUCOSE           $0.00   Panel Master
98599   IRTG-INSULIN                          $8.71
98600   C. DIFF CULTURE & TOXIN DETECTION     $0.00   Panel Master
98601   CDCTD-CLOSTRIDIUM DIFFICULE          $12.70
98602   CDCTD-CULTURE                        $12.70
98603   CDCTD-CULTURE TYPING                 $12.70
98606   PARANEOPLASTIC AUTOAB,CSF             $0.00   Panel Master
98607   PAC-AB,TITER                         $53.25
98608   PAC-WESTERN BLOT                     $53.25
98609   PAC-ISLET CELL AB                    $53.25
98614   FACTOR XI MUTATION                    $0.00   Panel Master
98615   FXI-ISOLATION                        $25.73
98616   FXI-ENZYMATIC DIGESTION              $25.73
98617   FXI-AMPLIFICATION                      $25.73
98618   FXI-MUTATION                           $25.73
98619   FXI-SEPARATION                         $25.73
98625   BREATH TEST-H.PYLORI                  $160.37
98627   HEPATITIS C AB-SUPPLEMENTAL            $65.65
60001   CLINICAL TRIALS-MAMOGRAPHY              $0.00
60050   TC99M SESTAMIBI PER STUDY DOSE        $530.00
60100   MAMMOGRAM BILATERAL                   $330.00
60101   MAMMOGRAM, BILATERAL FROM SCREEN      $330.00
60200   MAMMOGRAM RT                          $231.00
60201   MAMMOGRAM, UNI. RIGHT FROM SCREEN     $231.00
60210   MAMMOGRAM LT                          $231.00
60211   MAMMOGRAM, UNI. LEFT FROM SCREEN      $231.00
60300   BREAST ULTRSOUND UNILAT OR BILATE     $455.00
60700   NEEDLE LOCALIZATION SINGLE RT         $344.00
60701   PLACEMENT-NDL LOCALIZATION WIRE       $235.00
60702   NEEDLE LOCALIZATION SINGLE LT         $344.00
60710   BSGI LOCALIZATION/TUMOR,LMTD AREA   $1,037.00
60711   BSGI LOCALIZATION/TUMOR,MLTPL ARE   $1,330.00
60800   MAMMOGRAM BILATERAL FOLLOW UP         $330.00
60900   MAMMOGRAM FOLLOW UP RT                $231.00
60910   MAMMOGRAM FOLLOWUP LT                 $231.00
61001   DUCTOGRAM MULTIPLE LT BREAST          $319.00
61002   DUCTOGRAM MULTIPLE RT BREAST.         $319.00
61101   DUCTOGRAM SINGLE RT BREAST            $483.00
61102   INJ PROC MAMMARY DUCTOGRAM            $350.00
61103   DUCTOGRAM SINGLE LT BREAST            $483.00
61160   CAD SCREENING (DIGITAL ANALYSIS)       $54.00
61162   CAD DIAGNOSTIC (DIGITAL ANALYSIS)      $55.00
61200   NEEDLE LOCALIZATION MULTIPLE RT       $344.00
61201   PLACEMENT OF NDL LOCALIZATN WIRE      $235.00
61202   NEEDLE LOCALIZATION MULTIPLE LT       $344.00
61203   NEEDLE LOCALIZATION MULTI LT          $155.00
61204   NEEDLE LOCALIZ EA ADD WIRE            $155.00
61250   BREAST BIOPSY SPECIMEN                $455.00
61301   US GUIDED RT BREAST CYST ASP          $747.00
61302   BREAST CYST ASPIRATION 19000          $385.00
61303   US GUIDED LT BREAST CYST ASP.         $747.00
61310   US GUIDED FNA RT                      $747.00
61315   US GUIDED FNA LT                      $747.00
61400   STEREOTACTIC BX W/BIOPSYS RT        $1,573.00
61401   BREAST BX PERCU LT VACUUM ASSISTE     $395.00
61402   STEREOTACTIC BX W/BIOPSY LT         $1,573.00
61403   STEREOTACTIC LOCAL ONLY RT          $1,573.00
61404   STEREOTACTIC LOCAL ONLY LT          $1,573.00
61405   STEREOTACTIC LOCALIZATION           $1,573.00
61406   BC-NEEDLE CORE BIOPSY/BREAST          $335.00
61407   IMAGE GUIDED CLIP PLACEMENT           $275.00
61450   BREAST BX PERC RT AUTO VAC I19103     $395.00
61501   BC - FNA W/IMAGING GUIDANCE           $350.00
61504   BREAST US GUIDED NEEDLE RT BX         $747.00
61505   US GUIDED BREAST NEEDLE LT BX         $747.00
61506   BC-FNA W/IMAGING GUIDANCE RT          $350.00
61600   BONE MASS MEASUREMENT DENSITY         $417.00
65000   BREAST CENTER                           $0.00
66000   MAMMOGRAPHY SCREEN                    $187.00
66001   SCREENING MAMO UNILATERAL LEFT        $187.00
66002   SCREENING MAMO UNILATERAL RIGHT       $187.00
66010   SCREENING MAMMOGRAM-UNI(MEDICARE)     $187.00
66015   SCREENING MAMMOGRAM UNILAT (ACS)      $187.00
67000   MAMMO-EMP HEALTHQUEST                 $187.00
67001   MAMMO-SCREENING                       $187.00
67002   BREAST CENTER GRANT SCREENING         $187.00
20100   ORBITS/FACE/NECK W/O CONTRAST       $2,684.00
20130   MRI-ORBIT/FACE/NECK W/CONTRAST      $1,305.00
20133   MR ORBT/FACE/NCK W/WO CONTR & SEQ   $4,717.00
20134   MR ANGIOGRAPHY HEAD WITHOUT DYE     $2,684.00
20171   MRI-ANGIO NECK W/O CONTRAST         $3,343.00
20174   MRI ANGIO NECK W/WO CONTR & SEQ     $4,133.00
20176   MRI ANGIO - NECK W/CONTRAST         $3,211.00
20201   MRI BRAIN W/O CONTRAST              $3,371.00
20230   BRAIN W/CONTRAST                    $3,281.00
20262   MRI BRAIN W/WO CONTR W/ADDL SEQUN   $5,128.00
20300   CHEST                               $2,574.00
20330   MR CHEST W/CONTRAST                 $2,679.00
20340   MRA - CHEST W/O CONTRAST            $2,020.00
20341   MRA - CHEST W/CONTRAST              $2,020.00
20342   MRA - CHEST W/O AND W/CONTRAST      $2,020.00
20351   MRI CHEST W/WO CONTR W/ADD SEQUEN   $3,969.00
20500   MRI - RT UPPER EXTREMITY            $2,625.00
20506   MRI RT UPPER EXT W/CONTRAST         $2,600.00
20508   MRI RT UPER EXT W/WO CONTR W/ADD    $3,139.00
20510   MRI LT UPPER EXTREMITY              $2,625.00
20513   MRI-LT UPPR EXT W/CONTR             $2,600.00
20516   MRI LT UPPER EXT W/WO CONTR & SEQ   $3,139.00
20517   MRI - UPPER EXT - BILATERAL         $2,625.00
20521   MRI UPPER EXT W/CONTR - BILATERAL   $2,890.00
20525   MRI-BILAT UPPR EXT W/WO CONTR & S   $3,139.00
20530   MRI-RT UPPER EXTREMITY JT W/CONTR   $2,600.00
20539   MRI-LT UPPER EXTREMITY JT W/CONTR   $2,600.00
20540   MRI ANGIO-RT UPPER EXTREMITY        $2,710.00
20550   MRI ANGIO-LT UPPER EXTREMITY        $2,710.00
20600   MRI-RT LOWER EXT (W/O CNTR)         $2,600.00
20610   MRI-LT LOWER EXT (W/O CNTR)         $2,600.00
20620   MRI-BILATERAL LOWER EXT (W/O CNTR   $2,731.00
20624   MRI-BILAT LOWER EXT W/CONTRAST      $2,780.00
20630   MRI RT LOWER EXT W/CONTR            $2,600.00
20635   MRI- LT LOWER EXTREMITY W/CONTR     $2,600.00
20640   MRA - RT LOWER EXT W/O CONTRAST     $2,020.00
20641   MRA - RT LOWER EXT WITH CONTRAST    $2,020.00
20642   MRA - RT LOWER EXT W/O & W/CONTRA   $2,020.00
20650   MRA - LT LOWER EXT W/O CONTRAST     $2,020.00
20651   MRA - LT LOWER EXT WITH CONTRAST    $2,020.00
20652   MRA - LT LOWER EXT W/O & W/CONTRA   $2,020.00
20655   MRA - BILATERAL LWR EXT W/O CONTR   $4,050.00
20656   MRA - BILATERAL LWR EXT W/CONTRAS   $4,050.00
20657   MRA-BILAT LWR EXT W/O & W/CONTRAS   $4,050.00
20661   MRI-RT LOWER EXT W/WO CONTRAST      $3,179.00
20671   MRI-LT LOWER EXT W/WO CONTRAST      $3,179.00
20681   MRI-BILATERAL LOWER EXT W/WO CONT   $3,272.00
20691   MRI- RT LOWER EXTREM W/O & W/CONT   $3,179.00
20700   ABDOMEN                             $3,071.00
20711   MRI-LT LOWER EXT W/O/& W/CONTRAST   $3,179.00
20730   MRI-ABDOMEN W/CONTRAST              $2,871.00
20736   MRI ABDOMEN W/WO CONTR W/ADDL SEQ   $5,198.00
20740   MRI ANGIO-ABDOMEN                   $2,170.00
20840   MR SPECTROSCOPY                     $2,037.00
20850   RECONSTRUCTION 3-D (MRI)            $1,115.00
20853   MRI RECON W/O IMAGE POST PROCESS      $544.00
20900   MRI-RT LOWER EXTREMITY JOINT        $2,409.00
20910   MRI-LT LOWER EXTREMITY JOINT        $2,409.00
20915   MRI-BILAT LOWER EXT JOINT (W/O CN   $2,890.00
20919   MRI-BIL LWR EXT JOINT W/CNTR        $2,290.00
20930   MRI-RT LWR EXT JOINT W/CNTR         $2,290.00
20940   MRI-LT LWR EXT JOINT W/CONTR        $2,290.00
20951   MRI-RT LWR EXT JNT W/WO CNTR & SE   $5,018.00
20954   MRI-LT LWR EXT JNT W/WO CNTR & SE   $5,018.00
20958   MRI-BIL LWR EXT JNT W/WO CNTR       $5,048.00
21000   RT UPPER EXTREMITY JOINT            $2,409.00
21010   LT UPPER EXTREMITY JOINT            $2,409.00
21015   MRI-BILAT UPPR EXT JT (W/O CONTR)   $2,660.00
21030   MRI-RT UPPR EXT JOINT W/CONTR       $2,600.00
21040   MRI-LT UPPR EXT JOINT W/CONTR       $2,600.00
21046   MRI-BILAT UPPR EXT JOINT W/CONTR    $2,767.00
21051   MRI-RT UPR EXT JOINT W/WO CNTR &S   $2,860.00
21056   MRI-LT UPPR EXT JOINT W/WO CNTR &   $2,860.00
21059   MRI-BILAT UPR EXT JOINT W/WO CONT   $2,934.00
21100   SPINAL CANAL CERVICAL               $2,979.00
21130   CERVICAL SPINE W/CONTRAST           $3,030.00
21161   CERVICAL SPINE W/WO CONTRAST        $4,948.00
21200   SPINAL CANAL THORACIC               $3,414.00
21220   THORACIC SPINE W/CONTRAST           $3,548.00
21240   MRI ANGIO-THORACIC SPINE            $2,717.00
21260   THORACIC SPINE 1 VIEW               $4,904.00
21261   THORACIC SPINE W/WO CONTRAST MRI    $4,904.00
21262   THROACIC SPINE W/WO CONT ADD SEQ    $4,904.00
21300   SPINAL CANAL LUMBAR                 $3,438.00
21330   LUMBAR SPINE W/CONTRAST             $3,268.00
21340   MRI ANGIO-LUMBAR SPINE              $2,717.00
21362   MRI L-SPINE W/WO CONTR W/ADD SEQU   $4,938.00
21400   MRI PELVIS                          $2,340.00
21430   PELVIS W/CONTRAST                   $2,340.00
21440   MRI ANGIO-PELVIS                    $2,838.00
21451   MRI PELVIS W/WO CONTR W/ADD SEQUE   $4,797.00
21600   MRI GUIDANCE NEEDLE PLACEMENT       $2,244.00
21605   MRI GUIDE VISCERAL TISSUE ABLATON   $2,400.00
21610   MRI BONE MARROW BLOOD SUPPLY        $2,400.00
21612   CARDIAC MRI MORPHOLOGY W/O CONTRA   $2,048.00
21614   CARDIAC MRI MORPHOLOGY W/CONTRAST   $3,623.00
21616   CARDIAC MRI FNCTW/ORW/O MORPH COM   $3,158.00
21618   CARDIAC MRI FNCTQ/ORW/O MORPH LMT   $2,695.00
22000   MRI                                     $0.00   Utilization
22001   CALL BACK                               $0.00   Utilization
22002   MRA ABD LOW EXT BILAT WO/CONT           $0.00   Panel Master
22003   MRA ABD PEL LOW EXT BILAT WO/CONT       $0.00   Panel Master
22004   MRA PEL LOW EXT BILAT WO/CONT           $0.00   Panel Master
22005   MRA ABD LOW EXT BILAT W/CONT            $0.00   Panel Master
22006   MRA PEL LOW EXT BILAT W/CONT            $0.00   Panel Master
22007   MRA ABD PEL LOW EXT BILAT W/CONT        $0.00   Panel Master
22008   MRA PEL LOW EXT BILAT W/WO CONT         $0.00   Panel Master
22009   MRA ABD PEL LOW EXT BIL W/WO CONT       $0.00   Panel Master
22010   MRA ABD LOW EXT BILAT W/WO CONT         $0.00   Panel Master
22022   MRI BREAST UNILAT W/O &/OR W/CONT   $2,396.00
22026   MRI BREAST BILAT W/O &/OR W/CONT    $2,396.00
28000   MRI HEAD AND NECK SCREEN              $850.00
10810   OBV IV INFUSION UP TO 1 HR            $446.00
10815   OBV IV INFUSION EA ADDL HR            $115.00
10820   OBV INJECTION SQ/IM                   $130.00
10825   OBV INJECTION IV                      $152.00
10830   OBV BLOOD ADMINISTRATION              $659.00
17805   GLUCOSE BLOOD QUANT POCT                $0.00   Utilization
55009   OBSERVATION ROOM HOURLY               $141.00
55010   R & B MED SURG                      $1,955.00
55011   R & B PEDIATRICS                    $1,955.00
10810   OBV IV INFUSION UP TO 1 HR            $446.00
10815   OBV IV INFUSION EA ADDL HR            $115.00
10820   OBV INJECTION SQ/IM                   $130.00
10825   OBV INJECTION IV                      $152.00
10830   OBV BLOOD ADMINISTRATION              $659.00
15805   GLUCOSE BLOOD QUANT POINT OF CARE       $0.00   Utilization
55009   OBSERVATION ROOM HOURLY               $141.00
55010   R & B MED SURG                      $1,955.00
55099   OBSERVATION DIRECT ADMIT              $160.00
10810   OBV IV INFUSION UP TO 1 HR            $446.00
10815   OBV IV INFUSION EA ADDL HR            $115.00
10820   OBV INJECTION SQ/IM                   $130.00
10825   OBV INJECTION IV                      $152.00
10830   OBV BLOOD ADMINISTRATION              $659.00
12805   GLUCOSE,POINT OF CARE                   $0.00   Utilization
55009   OBSERVATION ROOM HOURLY               $141.00
55010   R & B MED SURG                      $1,955.00
55012   R & B TELEMETRY                     $2,941.00
55020   R & B VASCULAR CARE                 $4,502.00
10810   OBV IV INFUSION UP TO 1 HR            $446.00
10815   OBV IV INFUSION EA ADDL HR            $115.00
10820   OBV INJECTION SQ/IM                   $130.00
10825   OBV INJECTION IV                      $152.00
10830   OBV BLOOD ADMINISTRATION              $659.00
14805   GLUCOSE, POINT OF CARE TEST             $0.00   Utilization
55009   OBSERVATION ROOM HOURLY               $141.00
55010   R & B MED SURG                      $1,955.00
55012   R & B TELEMETRY                     $2,941.00
10810   OBV IV INFUSION UP TO 1 HR            $446.00
10815   OBV IV INFUSION EA ADDL HR            $115.00
10820   OBV INJECTION SQ/IM                   $130.00
10825   OBV INJECTION IV                      $152.00
10830   OBV BLOOD ADMINISTRATION              $659.00
16805   GLUCOSE BLOOD QUANT POINT OF CARE       $0.00
55009   OBSERVATION ROOM HOURLY               $141.00
55010   R & B MED SURG                      $1,955.00
10810   OBV IV INFUSION UP TO 1 HR            $446.00
10815   OBV IV INFUSION EA ADDL HR            $115.00
10820   OBV INJECTION SQ/IM                   $130.00
10825   OBV INJECTION IV                      $152.00
10830   OBV BLOOD ADMINISTRATION              $659.00
13805   GLUCOSE,POINT OF CARE PROCEDURE         $0.00   Utilization
55009   OBSERVATION ROOM HOURLY               $141.00
55010   R & B MED SURG                      $1,955.00
55012   R & B TELEMETRY                     $2,941.00
55020   R & B VASCULAR CARE                 $4,502.00
10810   OBV IV INFUSION UP TO 1 HR            $446.00
10815   OBV IV INFUSION EA ADDL HR            $115.00
10820   OBV INJECTION SQ/IM                   $130.00
10825   OBV INJECTION IV                      $152.00
10830   OBV BLOOD ADMINISTRATION              $659.00
11805   GLUCOSE BLOOD QUANT(3SOUTH)POCT         $0.00   Utilization
11806   ACT (3SOUTH) COAG TIME P.O.C.T.       $127.00
55009   OBSERVATION ROOM HOURLY               $141.00
55010   R & B MED SURG                      $1,955.00
55012   R & B TELEMETRY                     $2,941.00
55014   R & B INTENSIVE CARE                $5,207.00
55020   R&B VASCULAR CARE                   $4,502.00
10810   OBV IV INFUSION UP TO 1 HR            $446.00
10815   OBV IV INFUSION EA ADDL HR            $115.00
10820   OBV INJECTION SQ/IM                   $130.00
10825   OBV INJECTION IV                      $152.00
10830   OBV BLOOD ADMINISTRATION              $659.00
17805   GLUCOSE BLOOD QUANT POINT OF CARE       $0.00   Utilization
55009   OBSERVATION ROOM HOURLY               $141.00
55010   R & B MED SURG                      $1,955.00
55011   R & B PEDIATRICS                    $1,955.00
60000   NEUROLOGY                               $0.00   Utilization
60001   CLINICAL TRIALS-NEUROLOGY               $0.00   Utilization
61005   EEG AWAKE.                            $965.00
61501   EEG-AWAKE/ASLEEP                    $1,019.00
61751   EEG-FOR SURGERY                       $709.00
61760   EEG 41-60 MINUTES                     $442.00
61770   EEG GREATER THAN 60 MINUTES         $1,062.00
61772   EEG COMA OR SLEEP ONLY              $1,033.00
61774   MONITORING FOR SEIZURE FOCUS 24HR   $1,861.00
61776   DIGITAL ANALYSIS OF EEG SPIKE         $373.00
61801   EEG-ECS RECORDING                     $501.00
62001   EMG-1 EXTREMITY                       $285.00
62101   EMG-2 EXTREMITY                       $850.00
62201   EMG-3 EXTREMITY                     $1,062.00
62301   EMG-4 EXTREMITY                       $673.00
62410   EMG-ADD'L THORACIC SPINAL MUSCLES     $305.00
62420   CRANIAL MUSCLES - UNILATERAL          $171.00
62430   CRANIAL MUSCLES - BILATERAL           $155.00
62450   NERVE CONDUCTION-MOTOR W/O F WAVE     $275.00
62455   NERVE CONDUCTION - SENSORY            $275.00
62460   NERVE CONDUCTION - H WAVE             $275.00
62462   H-REFLEX OTHER MUSCLES                $140.00
62465   NERVE CONDUCTION-MOTOR W/F WAVE       $275.00
62470   REPETITIVE STIMULATION                $305.00
62475   BLINK REFLEX                          $155.00
62490   TRANSCRANIAL MTR STIM-UPPER LIMBS     $225.00
62495   TRANSCRANIAL MTR STIM-LOWER LIMBS     $225.00
62520   PEDICLE SCREW STIMULATION             $275.00
62530   INTRACRANIAL ARTERIES COMPLETE        $864.00
62535   INTRACRANIAL ARTERIES LIMITD STDY     $526.00
62540   VASOREACTIVITY STUDY                  $547.00
62545   EMBOLI DETECT WO IV MICROBUBB INJ     $581.00
62550   EMBOLI DETECT W MICROBUBBLE INJ       $610.00
64001   VISUAL EVOKED RESPONSE                $822.00
64011   AER AUDIOMETRY AND/OR CNS             $677.00
64021   SOMATOSENSORY RESPONSE - UPPER LI   $1,198.00
64022   SOMATOSENSORY RESPONSE - LOWER LI     $959.00
64122   MONITOR-SOMATOSENSORY RESPONSE (H     $423.00
67501   ELECTRORETINOGRAM                     $385.00
68061   AMBULATORY EEG                      $1,385.00
69999   NEUROLOGY ORDER                         $0.00   Ordering
  100   GALLIUM LIMITED INJECTION             $750.00
  230   THYROID IMAGING (I-123)                 $0.00   Utilization
  250   VENA CAVA FLOW                        $111.00
  260   THYROID IMAGING ONLY                  $841.00
 2050   VITAMIN B-12 ABSORB W/O I F           $536.00
 2080   SCHILLINGS TEST W/ AND W/O I.F.       $630.00
 2100   VITAMIN B-12 ABSORB WITH I F          $536.00
 2150   PLASMA VOLUME CALCULATED              $120.00
 2200   RBC MASS                            $1,600.00
 2250   RBC SURVIVAL STUDY                  $2,420.00
 4000   ANDRENAL SCN I-131                  $1,750.00
 4010   I-131 MIBG ADRENAL IMAGING          $1,750.00
 4040   ARTHROGRAM IMAGING                  $1,285.00
 4050   BONE TTL SKELETON                   $1,672.00
 4055   BONE SCAN (CANCER INST)             $1,672.00
 4070   BONE MULTIPLE AREAS                   $940.00
 4073   3 PHASE BONE STUDY                    $462.00
 4076   BONE/JOINT IMAGING LINITED AREA     $1,285.00
 4080   BONE FLOW                             $111.00
 4100   BRAIN W/FLOW STDY                   $1,180.00
4110   BRAIN FLOW ONLY                       $590.00
4150   CISTERNOGRAPHY                      $1,867.00
4201   NUC MED CALL BACK                       $0.00   Utilization
4250   GE REFLUX STUDY                       $751.00
4350   LIVER & SPLEEN                      $1,559.00
4370   LIVER BLOOD POOL SPECT IMAGING      $1,729.00
4400   LUNG PRFSN STUDY                    $1,353.00
4410   QUANT LUNG SCAN                     $2,170.00
4450   LUNG VNTLTN STUDY                   $1,194.00
4500   NM BODY SCAN TOTAL I-131            $2,080.00
4520   III IN WBC LCLZATN INJECT WHOLE B   $2,124.00
4523   IN III WBC LMTD-LCLZATION INJECTI     $750.00
4540   HEPATIC SHUNT PATENCY               $1,170.00
4550   SHUNT STUDY                           $810.00
4560   PERTIONEAL SHUNT PATENCY            $1,170.00
4601   PARA-THYROID SCAN                   $1,435.00
4631   REST OR STRESS SCAN                   $666.00
4636   REST & STRESS IMAGING               $1,560.00
4650   THALL MYOCRDAL PERF STRES&REST PL   $1,560.00
4655   THAL MYOCRDL PERF STRES OR REST P     $666.00
4670   TESTICULAR IMAGING WITH FLOW          $980.00
4700   PYRO MYOCARDIAL IMAGING PLANAR      $1,270.00
4750   BONE MARROW TOTAL BODY              $1,520.00
4770   BONE MARROW LIMITED AREA              $828.00
4849   LV/RV GATED                             $0.00
4850   LV/RV GATED CARDIAC BLOOD POOL      $1,750.00
4900   LV EJECT/ERAC 1ST PASS                $777.00
4920   ACUTE GI BLOOD LOSS IMAGING         $2,118.00
6050   THERAPY HYPERTHYROID                $1,166.00
6060   SUBSEQUENT THERAPY GRAVES           $1,166.00
6130   RENAL SCAN WITH FLOW                $1,339.00
6140   RENAL IMAGING W/FLOW AND FUNCTION   $2,002.00
6145   ACE-INHIBITOR RENAL MULTI STUDIES   $1,344.00
6150   THYROID THERAPY ABLATION            $1,166.00
6160   THERAPY FOR THYROID METS            $1,166.00
6171   THERAPY BONE METS SR 89               $930.00
6200   P32 THERAPY                           $930.00
7000   DYNAMIC FLOW NON-CARDIAC              $111.00
7200   SPECT BONE IMAGING                  $1,493.00
7300   SPECT BRAIN IMAGING                 $2,203.00
7400   SPECT CISTERNOGRAM IMAGING          $2,182.00
7500   SPECT LIVER AND SPLEEN IMAGING      $1,729.00
7600   SPECT KIDNEY IMAGING                $1,060.00
7700   SPECT TUMOR IMAGING                 $1,987.00
7800   SPECT THALLIUM IMAG (REST)          $1,408.00
7801   SPECT THALL MYOCARDIAL REST&REDIS   $3,021.00
7900   SPECT THALLIUM (STRESS & RE)        $3,021.00
7930   SPECT SESTAMIBI REST                $1,408.00
7931   EJECTION FRACTION REST OR STRESS      $384.00
7940   SPECT SESTAMIBI (REST & STRESS)/1   $3,021.00
7941   EJECTION FRACTION - REST              $384.00
7942   EJECTION FRACTION - STRESS            $384.00
 8000   SPECT PYRO HEART IMAGING              $528.00
 8100   SPECIAL COMPUTER PROCESSIN            $357.00
 9050   HPTBLRY TREE EXAM                   $2,059.00
 9150   GALLIUM LCLZATN OF TUMOR TOTAL BD   $1,895.00
 9255   ACUTE VENOUS THROMBOSIS (PEPTIDE)   $1,090.00
 9260   VENOUS THROMBOSIS FLOW                $817.00
 9262   LYMPHANGIOSCINTOGRAPHY(LEGS&/ORAR   $1,600.00
 9322   NUC MED - TECH TIME - 15 MIN            $0.00   Utilization
 9324   NUC MED - TECH TIME - 30 MINS.          $0.00   Utilization
 9326   NUC MED - TECH TIME - 1 HOUR            $0.00   Utilization
 9331   LCLZATN TUMOR MULT AREAS(ONCOSCIN   $1,330.00
 9332   LCLZATN OF TUMOR-SPECT(ONCOSCINT)   $1,987.00
 9339   PENTETREOTIDE SPECT TUMOR LCLIZAT   $1,987.00
 9341   PENTETREOTIDE MULTIPLE AREAS        $1,330.00
 9346   PROSTASCINT SPECT (IMMED & DELAY)   $1,987.00
 9347   PROSTASCINT WHOLE BODY              $1,895.00
 9351   CEA SCAN(ARCITUMOMAB)TUMR LCLZATI   $1,987.00
 9355   BREAST TUMOR LOCALIZATION           $1,037.00
 9360   NM TMR LOCAL/DIST WB 1 DAY          $1,895.00
 9365   NM TMR LOCAL/DIST WB 2+ DAYS        $3,021.00
 9370   NM THX RAD LABEL ANTIBDY IV INFUS   $2,235.00
 9626   LYMPH GLAND IMAGING SENTINEL NODE   $1,600.00
 9989   MYOCARDIO PERFUSION                     $0.00   Utilization
 9990   NUCLEAR MEDICINE                        $0.00   Utilization
 9991   GATED HEART SCAN                        $0.00   Utilization
 9992   LUNG SCAN                               $0.00   Utilization
 9993   GALLIUM SCAN                            $0.00   Utilization
 9994   MYOCARD VIABIL REST & REDIS             $0.00   Utilization
 9995   BONE SCAN                               $0.00   Utilization
 9996   ED GATED HEART SCAN                     $0.00   Utilization
 9997   ED LUNG SCAN                            $0.00   Utilization
 9998   ED GALLIUM SCAN                         $0.00   Utilization
10000   PET TUMOR IMAGING LIMITED AREA      $1,900.00
10001   PET TUMOR IMG SKULLBASE/MID THIGH   $1,900.00
10002   PET TUMOR IMAGING WHOLE BODY        $1,900.00
10003   PET TMR IMG W/CT CIR&LOC LMT AREA   $1,900.00
10004   PET TMR IMGW/CT COR/LOC SKLBS/MTH   $1,900.00
10005   PET TMR IMG W/CT COR/LOC WHL BODY   $1,900.00
10006   PET MYOCARDIAL IMG METABOLIC EVAL   $1,900.00
98001   CLINICAL TRIALS-NUCLEAR MEDICINE        $0.00   Utilization
98002   CLN RSRCH LYMPH GLANDIMG SENT NOD       $0.00   Utilization
98003   CLN RESERCH FILTER SULFUR COLLOID       $0.00   Utilization
98011   TC99M PERTECHNATATE-STRT TCH/MCI      $130.00
98022   TC99M SULFER COLLOID/STUDY DOSE     $1,640.00
98024   TC99M FLTRD SULFER COLLOID/STUDY      $220.00
98028   TC APCITIDE (ACUTECH) PER VIAL      $1,520.00
98034   TC99M MMA/STUDY DOSE                  $270.00
98037   TC99M LABLD RBC UNTRATAG/STUDY DO   $7,000.00
98051   GALLIUM PER MCI                        $77.00
98095   CR51 CHROMATE/STUDY DOSE              $550.00
98106   I-131 MIBG,PER 0.5 MCI              $4,040.00
98111   TC99M MDP/PER DOSE(UP TO 30 MCI)      $175.00
98117   TC99M OXIDRONATE HDP/STUDY DOSE      $3,500.00
98130   IN 111 DTPA, PER 0.5 MCI             $1,820.00
98140   IN 111 ZEVALIN PER STUDY DOSE        $6,780.00
98145   YTTRIUM 90 ZEVALIN PER STUDY DOSE   $29,437.00
98151   XENON XE 133,PER 10MCI                  $80.00
98160   IN 111 OXINE, PER 0.5 MCI            $1,880.00
98171   THALLIUM 201,PER MCI                   $130.00
98221   SODIUM PHOSPHATE P-32,PER MCI          $520.00
98230   TC99M CERETEC, PER DOSE              $2,060.00
98248   TC99M BISCATE NEUROLITE/STUDY DO     $2,500.00
98262   TC99M MEBROFENIN CHOLETEC/STUDY D    $1,575.00
98267   TC99M MERTIATIDE MAG-3/STUDY DOSE    $5,300.00
98269   TC99M PENTETATE DTPA/STUDY DOSE      $1,600.00
98299   I-131 THERAPY PER MCI.                  $54.10
98315   STRONTIUM-89 CHLORIDE,PER MCI        $2,020.00
98317   SAMARIUM SM153 LEXIDRONAMM,/50MCI    $6,360.00
98361   TC99M SESTAMIBI, PER DOSE              $530.00
98371   ONOSCINT SATUMOMAB PENDETIDE/DOSE    $2,640.00
98380   IN-111 OCTREOSCAN, PER MCI             $185.00
98390   IN-111 PROSTASCINT, PER DOSE         $4,790.00
40001   NUTRITIONAL COUNSEL INIT @ 15 MIN       $43.00
40002   NUTRITIONAL FOLLOW UP EACH 15 MIN       $60.00
80203   JEVITY CAN                               $0.00   Ordering
80406   ENSURE W/FIBER CAN                       $0.00   Ordering
80526   ENSURE CAN                               $0.00   Ordering
80626   ENSURE PLUS CAN                          $0.00   Ordering
80726   OSMOLITE CAN                             $0.00   Ordering
80853   PULMOCARE CAN                            $0.00   Ordering
80854   PRO MOD CAN                              $0.00   Ordering
80855   PROMOTE LITER (51616)                    $0.00   Ordering
80856   PERATIVE LITER (51948)                   $0.00   Ordering
80857   GLUCERNA LITER (51206)                   $0.00   Ordering
80858   PULMOCARE LITER (50180)                  $0.00   Ordering
80859   OSMOLITE LITER (50350)                   $0.00   Ordering
80860   JEVITY LITER (00682)                     $0.00   Ordering
80861   JEVITY PLUS LITER (53124)                $0.00   Ordering
80862   ARGINADE 1 PK (359850)                   $0.00   Ordering
80863   OXEPA 1 CAN                              $0.00   Ordering
80864   ENLIVE (54775)                           $0.00   Ordering
80865   PROMOTE W/FIBER (51872)                  $0.00   Ordering
80866   THICK IT (225100)                        $0.00   Ordering
80867   JEVITY PLUS(1.2) CAN                     $0.00   Ordering
81100   HEPATIC AID PACKAGE                      $0.00   Ordering
81106   TWO CAL HN CAN                           $0.00   Ordering
81107   VIVONEX PACKAGE                          $0.00   Ordering
81109   ENSURE PUDDING CAN                       $0.00   Ordering
81110   PROMOTE CAN                              $0.00   Ordering
81111   ALITRAQ                                  $0.00   Ordering
81113   NEPRO CAN                                $0.00   Ordering
81114   PERATIVE CAN                             $0.00   Ordering
81115   OPTIMAL CAN                              $0.00   Ordering
81201   SUPLENA CAN                              $0.00   Ordering
81206   GLUCERNA CAN                          $0.00   Ordering
81208   NUTRITIONAL REASSESSMENT              $0.00   Ordering
81215   CONSULTING SERVICES                   $0.00   Utilization
81216   IP CONSULTING SERVICES                $0.00   Utilization
81250   NUTRITIONAL SUPPLEMENT                $0.00   Ordering
82117   NUTRIFOCUS                            $0.00   Ordering
82118   PROSURE                               $0.00   Ordering
82119   BOOST NUTR SUPPLEMENT                 $0.00   Ordering
82120   GLUCERNA SELECT DIABETIC SUPPLEME     $0.00   Ordering
82121   OPTIMENTAL ELEMENTAL NUTRIT SUPP      $0.00   Ordering
82122   TWO CAL HN HIGH CALORIE NUTR SUPP     $0.00   Ordering
82123   MIGHTYSHAKE HIGH PROTEIN NUTRITI      $0.00   Ordering
82124   JEVITY 1.2 HOUSE TUBE FEEDING         $0.00   Ordering
82125   INST BRKFST LIQUID PROTEIN DIET       $0.00   Ordering
82126   PROPASS PROTEIN SUPPLEMENT            $0.00   Ordering
60000   OCCUPATIONAL THERAPY                  $0.00   Utilization
60102   OCCUPATIONAL THERAPY EVAL - 15 IP    $80.00
60112   OT EVALUATION 30 MIN                $160.00
60115   OT EVAL 30 MIN MCAL                 $160.00
60205   O.T. TREATMENT - INIT 30 MCAL       $143.00
60210   O.T. TREATMENT - ADD 15 MCAL         $71.00
60500   IONTOPHORESIS                        $95.00
60690   FUNCTIONAL ACTIVITY 59               $71.00
60700   KINETIC ACTIVITY - 15 MIN            $71.00
60701   SENSIMOTOR TREATMENT                 $73.00
60702   ADL TRAINING - 15 MIN OTD            $73.00
60703   ORTHOTICS FABRICATION                $76.00
60706   ADL TRAINING 59 OTD                  $73.00
62450   RE-EVALUATION - 15 MIN               $73.00
65105   OCCUPATIONAL THERAPY EVAL WC        $145.00
65107   KINETIC ACTIVITY-30 MINUTES         $143.00
65109   ADL ADDITIONAL 15 MINUTES            $73.00
65708   ORTHOTICS INITIAL 30 MINUTES WC     $155.00
65709   ADL TRAINING INITIAL 30 MIN WC      $132.00
66999   KINETIC ADDITIONAL 15 MINUTES WC     $71.00
67000   WOUND CARE - BASIC                  $200.00
67346   PARAFFIN                             $51.00
67374   ELECTRICAL STIMULATION               $73.00
67390   SPLINT FABRICATION - 15 MIN           $0.00   Utilization
69204   SWALLOW TREATMENT                   $160.00
69207   SWALLOW EVALUATION.                 $171.00
69215   WHIRLPOOL                            $95.00
69220   MANUAL THERAPY                       $73.00
70104   OT EVALUATION - 30 MIN              $160.00
70105   OCCUPATIONAL THERAPY EVAL-30MINWC   $145.00
70110   OT EVAL 30 MIN MCAL                 $160.00
70205   O.T. TREATMENT - INIT 30 MCAL       $143.00
70210   O.T. TREATMENT - ADD 15 MIN MCAL     $71.00
70690   FUNCTIONAL ACTIVITY 59               $71.00
70700   KINETIC ACTIVITY - 15 MIN            $71.00
70702   ADL TRAINING - 15 MIN OTL            $73.00
70703   ORTHOTICS FABRICATION                $76.00
70707   KINETIC ACTIVITY INIT 30 MIN WC     $143.00
70708   ORTHOTICS INITIAL 30 MINUTES WC     $155.00
70709   ADL TRAINING-INIT 30 MIN WC         $132.00
70710   ADL TRAINING 59 OTL                  $73.00
70711   ADDITIONAL ORTHOTICS OTL WC          $78.00
72450   OT RE-EVALUATION - 15 MINS.          $73.00
72452   RE-EVALUATION WC                    $146.00
76999   KINETIC ADDITIONAL 15 MINUTES WC     $71.00
77000   WOUND CARE - BASIC                  $200.00
77005   WOUND CARE - INTERMEDIATE           $200.00
77346   PARAFFIN                             $51.00
77347   ELECTRICAL STIMULATION               $73.00
77350   IONTOPHORESIS                        $95.00
77351   PHONOPHORESIS                        $65.00
77360   SPLINT FABRICATION - 15 MIN           $0.00   Utilization
79205   WHIRLPOOL                            $95.00
79206   WHIRLPOOL (59)                       $95.00
79208   FLUIDOTHERAPY                        $95.00
79210   MANUAL THERAPY                       $73.00
80000   PHYSICAL THERAPY EVALUATION           $0.00   Ordering
80050   EVALUATION - 15 MIN IP               $80.00
80051   PT EVAL INITIAL 30 MIN MCAL         $160.00
80052   EVALUATION 45 MINUTES               $240.00
80055   MODALITY 30 MIN MCAL                $128.00
80056   MODALITY ADD 15 MIN MCAL             $64.00
80060   NEUROMUSCULAR REHAB                  $69.00
80061   PT EVAL EA ADDL 15 IN MCAL           $80.00
80100   PROCEDURE - 30 MIN MCAL             $138.00
80105   PROCEDURE - ADD 15 MCAL              $69.00
80110   MOD/PROC COMBO 30 MIN MCAL          $133.00
80115   MOD/PROC COMBO ADD 15 MCAL           $66.00
80120   POOL EXERCISE - INIT 30 MIN MCAL    $138.00
80510   MASSAGE                              $73.00
80520   ULTRASOUND                           $65.00
80600   TRACTION-MECHANICAL                  $58.00
81000   ATTENDED ELECTRICAL STIMULATION      $73.00
81095   THERAPEUTIC EXERCISES                $69.00
81100   THERAPEUTIC EXERCISES/1              $69.00
81150   JOINT MOBILIZATION WC                $66.00
81170   JOINT/SOFT TISSUE MOBILIZATION       $73.00
81175   BIOFDBK EMG TRNG-PERIRECTL/UREAT    $242.00
81180   UNATTEND ELECTRICAL STIMULATION      $66.00
81190   FUNCTIONAL ACTIVITIES-15 MIN IP      $71.00
81192   FUNCTL ACTIVITY W/ASSIST 15MIN IP    $71.00
81200   GAIT TRAINING-15 MINUTES             $69.00
81450   COMPUTER DYNAM POSTURAGRPHY TEST    $309.00
81590   WOUND CARE - BASIC                  $200.00
82040   VASOPNEUMATIC DEVICE                 $95.00
82100   THERAPEUTIC EXERCISE-ADDL 15MINWC    $69.00
83050   IONTOPHORESIS                        $95.00
83060   PHONOPHORESIS                        $65.00
83070   INDIVIDUALIZED POOL PHYSICAL THER    $63.00
83072   POOL CLASS - GROUP THERAPY            $5.55
83073   WORK COMP IND POOL                  $115.00
83075   WORK COMP IND POOL-ADDL 15 MIN WC    $58.00
83110   RE-EVALUATION - 15 MIN IP            $73.00
83113   PT RE-EVALUATION 30 MINUTES         $146.00
84000   P.T. EVALUATION-COMPREHENSIVE WC    $219.00
84001   P.T. RE-EVALUATION WC               $132.00
84070   THERAPEUTIC EXERCISE-30 MIN WC      $138.00
84080   FUNCTIONAL ACT INIT 30 MIN WC       $132.00
84090   GAIT TRAINING-INITIAL 30 MIN WC     $138.00
84120   MOBILIZATION-30 MINUTES WC          $115.00
84130   MASSAGE-30 MINUTES WC               $146.00
84150   ANODYNE INFRARED THERAPY             $20.00
84160   INFRARED LASER THERAPY               $20.00
93050   OVERHEAD FRAME IP                   $145.00
93100   BUCKS EXTENSION IP                  $155.00
93150   PELVIC TRACTION IP                  $115.00
93250   CERVICAL TRACTION IP                $115.00
93270   SKELETAL TRACTION                   $330.00
93280   CPM TRACTION SET UP IP              $430.00
93285   CPM DAILY RENTAL IP                  $66.00
20379   TISSUE IMMUNOFLUORESCENCE BX S/O    $264.00
50000   COMPREHENSIVE FLOW PANEL              $0.00   Panel Master
50001   CFP-FLOW,FIRST MARKER                $25.00
50002   CFP-FLOW EA ADDITIONAL MARKER        $25.00
70005   ASCITIC FLUID CYTOLOGY              $160.00
70016   FNA INTERP & REPORT SUPERFICIAL     $440.00
70020   BRONCHIAL WASH CYTO                 $195.00
70025   BRONCHIAL BRUSH CYTO SMEARS         $195.00
70055   CONJUNCT ORGANISM                   $160.00
70060   SPINAL FLUID CYTO FILTER METHOD     $160.00
70065   CYTOLOGY CONSULT                    $305.00
70070   SEX CHROMATIN EVALUATION            $145.00
70085   CYTOLOGY-MISC SMEAR STAIN            $68.00
70100   GASTRIC BRUSHING                    $160.00
70120   NIPPLE DISCHARGE CYTOLOGY           $160.00
70130   PERICARDIAL FLUID CYTOLOGY          $165.00
70135   PLEURAL FLUID CYTO SMEAR & FILTER   $160.00
70140   SPUTUM CYTOLOGY                     $160.00
70145   SPUTUM EOSINOPHILS                  $160.00
70150   URINE CYTO FILTER METHOD            $160.00
70155   SMEAR FOR VIRAL INCLUSIONS          $160.00
70170   FINE NEEDLE ASPIRATE EVALUATION     $145.00
70175   BONE MARROW ASPIRATION               $63.86
70200   MISC NON-GYN FLUID CYTO SMR & FIL   $170.00
70210   MISCELLANEOUS CYTOLOGY              $160.00
70215   CELL BLOCK CYTOLOGY                 $250.00
70220   FNA INTERP/REPORT                   $425.00
70225   EOSINOPHILS - NASAL SMEAR           $160.00
70230   BLADDER WASH CYTOLOGY               $160.00
70235   ESOPHAGEAL BRUSH CYTO SMEARS        $144.00
70240   CYTO EXM INTRAPRCD NEEDL BIOS ADD    $36.00
70245   CYTO EXAM INTRA PROCD NEEDLE BIOS   $218.35
90000   AP SEND OUT TEST                      $0.00   Utilization
90124   TOTAL IRON QUANTITIVE               $186.00
90125   SLIDE REVIEW AND INTERPRETATION     $171.00
90128   TOUCH PREP INTRAOPERATIVE            $36.00
90129   TOUCH PREP INTRAOP WITH FROZEN      $150.33
90130   TOUCH PREP                          $150.33
90131   FROZEN SLIDE FIRST                  $425.00
90132   DECALCIFICATION                      $86.00
90133   SUBSEQUENT FROZEN SECTIONS          $220.00
90226   LEVEL I SURGICAL PATH                $99.00
90231   LEVEL II SURG PATH GROSS AND MICR   $140.00
90241   LEVEL III SURG PATH GROSS & MICRO   $203.00
90251   LEVEL IV SURG PATH GROSS            $251.00
90261   LEVEL IV SURG PATH GROSS AND MICR   $251.00
90266   LEVEL V SURG PATH GROSS AND MICRO   $445.00
90271   LEVEL VI SURG PATH GROSS AND MICR   $530.00
90275   GROUP I STAINS MICRO ORG             $60.00
90280   GROUP II STAINS OTHER ROUTINE        $59.00
90285   GROUP III STAINS CYTOCHEM           $197.00
90290   GROUP IV STAINS IMMUNOPER           $215.00
91005   CNSLT-AMERICAN REGISTRY NERVE       $175.00
91006   CNSLT AMERI REG HISTOCHEM CYTOCHE   $104.40
91007   GROUP II SPECIAL STAINS              $46.40
91008   CNSLT AMERICAN REGISTRY IMUNOHIST    $49.25
91009   CNSLT AMERICAN REG SPEC STAINS       $60.00
91010   CNSLT-AMERICAN REGISTRY MUSCLE      $261.00
91020   CNSLT-AMERICAN REGISTRY SLIDES      $209.00
91060   CNSLT-ELECTRON MICROSCOPY           $400.00
91070   CNSLT-ELECTRON MICROSCOPY/IMMUN F   $500.00
91072   CONSULT ROBERT YOUNG                $250.00
91073   CONSULT ROBERT YOUNG 88321          $200.00
91100   CNSLT-MAYO MEDICAL LABORATORIES     $191.00
91101   CONSULT SLIDES MAYO                 $228.24
91102   MAYO IMMUNO STAIN                    $86.48
91103   MAYO PARAFFIN ISOLATION              $54.97
91104   MAYO SEPARATION GEL ELECTRO          $54.97
91105   MAYO AMP PT NUCLEIC ACID             $54.97
91106   MAYO REVERSE TRANSCRIPTION           $54.97
91107   MAYO INTERP AND REPORT               $54.97
91139   CONSULT YALE UNIV SLIDES            $229.00
91140   CNSLT-STANFORD                      $150.00
91181   CNSLT-UNIV WASHINGTON PATHOLOGY     $188.00
91215   CNSLT-JOHNS HOPKINS                 $250.00
91216   DRUG RESISTANT ANTIBODY               $0.00   Panel Master
91217   DRA CELL COUNT                        $6.61
91218   DRA DRUGS                            $27.59
91219   CLINICAL PATH CONSULT - KAISER 2    $175.00
91220   CLINICAL PATH CONSULT- UPP-PATH     $250.00
91221   CLINICAL PATH CONSULT - KAISER      $275.00
91222   CONSULT IHC CITY OF HOPE             $44.44
91223   PATHOLOGY CONSULT CITY OF HOPE      $130.00
91240   QDL ER PR PAR - S/O                 $199.00
91250   QDL DNA ANALYSIS PAR - S/O          $119.00
91260   QDL DNA ANALYSIS - S/O               $74.00
91270   QDL BREAST PROFILE-FROZEN - S/O     $540.00
91272   QDL BREAST PROFILE PAR - S/O        $572.00
91274   QDL BLADDER PROFILE - S/O           $439.00
91276   QDL PROSTATE PROFILE - S/O          $369.00
91285   CNSLT - UC SAN FRANCISCO            $135.00
91290   CNSL-VANCOUVER HOSPITAL             $150.00
91300   CNSLT - IMPATH ACADEMIC CONSULTAT   $200.00
91303   INTERP AND REPORT                    $25.00
91305   LIGHT MICROSCOPY CEDARS SINAI        $69.00
91310   IMMUNOFLUOR STAIN CEDARS SINAI 91    $14.00
91315   ELECTRON MICROSCOPY - CEDARS SINA   $182.00
91320   CEDAR-SINAI RENAL PANEL               $0.00   Panel Master
91400   IMMUNOPEROXIDASE                    $150.00
91410   ANALYSIS TUMOR                       $65.00
96008   GIEMSA STAIN                         $60.00
96009   BROWN AND BRENN GRAM STAIN           $34.00
96010   ACID FAST STAIN                      $60.00
96011   GMS STAIN FOR PNEUMOCYSTIS           $60.00
96012   STEINER STAIN                        $60.00
96013   GMS STAIN FOR FUNGI                  $60.00
96014   DIETERLE STAIN                       $34.00
96015   FITE STAIN                           $60.00
96016   URATE CRYSTAL STAIN                  $59.00
96020   PAS WITH DIASTASE GRPII STAIN        $59.00
96021   MELANIN STAIN                        $80.00
96022   ALCIAN BLUE WITH HYALURONIDASE ST    $59.00
96023   RETICULIN STAIN                      $59.00
96024   AMYLOID STAIN GROUP                  $59.00
96025   PAS WITHOUT DIASTASE STAIN           $59.00
96026   COPPER STAIN                         $33.00
96027   ALCIAN BLUE STAIN                    $59.00
96028   MASTCELLS STAIN                      $26.00
96029   MUCICARMINE STAIN                    $59.00
96030   METHYL GREEN PYRONIN STAIN           $33.00
96031   JONES STAIN                          $59.00
96032   AMYLOID STAIN                        $59.00
96033   VERHOEFF ELAST TISSUE STAIN          $33.00
96034   TRICHROME STAIN                      $59.00
96035   CALCIUM STAIN                        $59.00
96036   LUXOL FAST BLUE STAIN                $59.00
96037   ARGYROPHIL STAIN                     $33.00
96038   IRON STAIN                           $59.00
96039   PHOSPHOTUNGSTIC ACID HEMATOXYL ST    $59.00
96041   CHROMAFFIN STAIN                     $33.00
96042   OIL RED O STAIN                      $59.00
96043   NAPHTHYL BUTYRATE ESTERASE STAIN    $197.00
96044   ACETATE ESTERASE W/O FLUORIDE STA   $110.00
96045   ACETATE ESTERASE W/FLUORIDE STAIN   $197.00
96046   SUDAN BLACK STAIN                    $59.00
96047   MYELOPEROXIDASE STAIN               $110.00
96048   NASD CHLOROACETATE ESTERASE STAIN   $197.00
96049   LEUKOCYTE ACID PHOSPHATASE STAIN    $110.00
96056   ALPHA 1 FETOPROTEIN STAIN           $215.00
96057   GASTRIN STAIN                       $140.00
96058   FACTOR VIII STAIN                   $215.00
96059   GLIAL FIBRILARY ACIDIC PROTEIN ST   $215.00
96060   S100 STAIN                          $215.00
96061   HUMAN CHORIONIC GONADOTROPIN STAI   $215.00
96062   CALCITONIN STAIN                    $215.00
96063   INSULIN STAIN                       $150.00
96064   KAPPALIGHTCHAINS STAIN              $215.00
96065   CARCINOEMBRYONIC ANTIGEN STAIN      $215.00
96068   IGA IMMUNOGLOBULINS STAIN           $150.00
96069   PROGESTERONE RECEPTOR STAIN         $215.00
96070   SYNAPTOPHYSIN                       $215.00
96072   THYROGLOBULIN STAIN                 $215.00
96073   IGG IMMUNOGLOBULINS STAIN           $150.00
96074   PROLACTIN STAIN                     $150.00
96075   LAMDA LIGHT CHAINS STAIN            $150.00
96076   EGFR                                $150.00
96077   CYTOKERATIN STAIN                   $215.00
96078   ESTROGEN RECEPTOR STAIN             $215.00
96079   HUMAN GROWTH HORMONE GRPIV STAIN    $150.00
96080   MART IMMUNOPEROXIDASE STAIN         $150.00
96081   PROSTATIC ACID PHOSPHATASE STAIN    $215.00
96082   IGM NEGATIVE CONTROL GRPIV STAIN    $150.00
96083   NEURON SPECIFIC ENOLASE GRPIV       $150.00
96084   HERPES SIMPLEX VIRUS II GRPIV STA   $215.00
96085   EPITHELIAL MEMBRANE ANTIGEN STAIN   $150.00
96086   VIMENTIN STAIN GRPIV STAIN          $215.00
96087   IGM IMMUNOGLOBULINS GRPIV STAIN     $150.00
96088   PROSTATE SPECIFIC ANTIGEN STAIN     $215.00
96089   DESMIN STAIN GRPIV STAIN            $215.00
96090   LEUKOCYTE COMMON ANTIGEN STAIN      $150.00
96091   HERPES SIMPLEX I AND II GRPIV STA   $215.00
96092   CYTOMEGALOVIRUS STAIN GRPIV STAIN   $145.00
96093   MORPHOMETRIC ANALYSIS - DNA         $415.00
96094   MORPHOMETRIC ANALYSIS 91            $100.00
96095   IHC STAINING & IMAGE SCAN 91        $150.00
96096   BREAST PROGNOSTIC-PANEL               $0.00   Panel Master
96100   ALCIAN BLUE/PAS STAIN                $59.00
96105   AMOEBA STAIN                         $60.00
96110   FONTANA MASSON STAIN                 $33.00
96115   GIEMSA STAIN FOR HELICOBACTER        $60.00
96120   GRAM STAIN (TISSUE)                  $60.00
96125   GRIMELIUS STAIN                      $59.00
96130   LUXOL FAST BLUE/PAS STAIN            $33.00
96135   TOLUIDINE BLUE STAIN                 $59.00
96150   ACTIN STAIN                         $215.00
96155   BASAL CELL SPECIFIC KERATIN STAIN   $215.00
96156   C125 IMMUNOPEROXIDASE STAIN         $150.00
96160   CD15 (LEU M1) STAIN                 $215.00
96165   CD20 (B-CELL) STAIN                 $215.00
96170   CD45RO (T-CELL) STAIN               $215.00
96171   CD68 IMMUNOPEROXIDASE STAIN         $150.00
96175   CHROMOGRANIN STAIN                  $215.00
96180   HMB45 STAIN                         $215.00
96185   KI-67 STAIN                         $215.00
96190   P53 STAIN                           $215.00
96195   HER2 STAIN                          $215.00
96200   H & E STAINED SLIDE                   $7.00
96201   SPECIAL STAIN-BASS                    $8.00
96205   THYROID TRANSCRIPTION FACTOR 1      $215.00
96210   CALRETININ                          $215.00
96211   BCL2 IMMUNOPEROXIDASE STAIN         $150.00
96212   CD3 IMMUNOPEROXIDASE STAIN          $150.00
96213   CD5 IMMUNOPEROXIDASE STAIN          $150.00
96214   CD10 IMMUNOPEROXIDASE STAIN         $150.00
96215   CD23 IMMUNOPEROXIDASE STAIN         $150.00
96216   CD30 IMMUNOPEROXIDASE STAIN         $150.00
96217   CD34 IMMUNOPEROXIDASE STAIN         $150.00
96218   CD43 IMMUNOPEROXIDASE STAIN         $150.00
96219   GCDFP15 IMMUNOPEROXIDASE STAIN      $150.00
96220   CD138 IMMUNOPEROXIDASE STAIN        $150.00
96221   BREAST PROGNOSTIC PANEL               $0.00   Panel Master
96222   BCL6 IMMUNOPEROXIDASE STAIN         $150.00
96223   E CADHERIN IMMUNOPEROXIDASE STAIN   $150.00
96224   CYCLIN D1 IMMUNOPEROXIDASE STAIN    $150.00
96225   TDT IMMUNOPEROXIDASE STAIN          $150.00
96226   CD15 IMMUNOPEROXIDASE STAIN         $150.00
96227   P63 IMMUNOPEROXIDASE STAIN          $215.00
96228   HEPPAR-1 IMMUNOPEROXIDASE STAIN     $215.00
96229   CYTOKERATIN 5&6 IMMUNOPEROX STAIN   $215.00
96230   CYTOKERATIN 7                       $215.00
96235   CYTOKERATIN 20                      $215.00
96236   CD31 IMMUNOPEROXIDASE STAIN         $215.00
96237   CD117 IMMUNOPEROXIDASE STAIN        $215.00
96238   THROMBOMODULIN IMMUNO STAIN         $215.00
96239   RCC IMMUNOPEROXIDASE STAIN          $215.00
96240   CDX-2 IMMUNOPEROXIDASE STAIN        $215.00
96241   VILLIN IMMUNOPEROXIDAST STAIN       $215.00
96242   ACTH IMMUNOPEROXIDASE STAIN         $215.00
96243   FSH IMMUNOPEROXIDASE STAIN          $215.00
96244   GH IMMUNOPEROXIDASE STAIN           $215.00
96245   LH IMMUNOPEROXIDASE STAIN           $215.00
96246   PROLACTIN IMMUNOPEROXIDASE STAIN    $215.00
96247   TSH IMMUNOPEROXIDASE STAIN          $215.00
60010   ORTHOTIC POSTING W/INSERT            $30.00
60020   COBRA PAD ORTHOSIS                   $30.00
60030   SEMI RIGID PERM ORTHOTICS-PR PNL      $0.00
60031   SEMI RIGID PERM ORTHOTICS FAB (M)     $0.00
60032   SEMI RIGID PERM ORTHOTICS EQUIP (     $0.00
60051   PT EVALUATION-30 MIN MCAL           $160.00
60052   PT EVALUATION 45 MINUTES            $240.00
60055   MODALITY 30 MIN MCAL                $128.00
60056   MODALITY ADD 15 MCAL                 $64.00
60060   SEMI RIGID PERM ORTHOTIC PAIR PAN     $0.00
60061   SEMI RIGID PERM ORTHOTICS FAB       $115.00
60062   SEMI RIGID PERM ORTHOTICS EQUIP      $77.00
60063   PT EVAL EA ADDL 15 MIN MCAL          $80.00
60070   SEMI RIGID TEMP ORTHOTICS PAIR PA     $0.00
60071   SEMI RIGID TEMP ORTHOTICS FAB        $77.00
60072   SEMI RIGID TEMP ORTHOTICS EQUIP      $38.25
60080   SEMI RIGID TEMP ORTHOTICS-PR PNL      $0.00
60081   SEMI RIGID TEMP ORTHOTICS PAIR (M     $0.00
60082   SEMI RIGID TEMP ORTHOTICS EQUIP (     $0.00
60100   PROCEDURE - 30 MIN MCAL             $138.00
60105   PROCEDURE - ADD 15 MCAL              $69.00
60110   MOD/PROC COMBO 30 MIN MCAL          $133.00
60115   MOD/PROC COMBO ADD 15 MCAL           $66.00
60520   ULTRASOUND                           $65.00
60530   INFRARED LASER THERAPY               $20.00
60600   TRACTION-MECHANICAL                  $58.00
61000   ATTENDED ELECTRICAL STIMULATION      $73.00
61100   THERAPEUTIC EXERCISES 15 MIN         $69.00
61150   JOINT MOBILIZATION-15 MINS           $73.00
61185   UNATTENDED ELECTRICAL STIMULATION    $66.00
61190   FUNCTIONAL ACTIVITIES-15 MINUTES     $71.00
61200   GAIT TRAINING-15 MINUTES             $69.00
61400   WHIRLPOOL                            $95.00
61401   WHIRLPOOL (59)                       $95.00
61590   WOUND CARE - BASIC                  $200.00
62040   VASOPNEUMATIC DEVICE                 $95.00
63050   IONTOPHORESIS                        $95.00
63113   RE-EVALUATION 30 MIN.               $146.00
64000   PHYSICAL THERAPY EVAL-COMPREH WC    $219.00
64001   PHYSICAL THERAPY/RE-EVALUATION WC   $132.00
64004   PHONOPHORESIS/1                      $65.00
64070   THERAPEUTIC EXERCISE-30 MIN WC      $138.00
64071   THERAPEUTIC EXERCISE-ADDL 15MINWC    $69.00
64090   GAIT TRAINING-INITIAL 30 MIN WC     $138.00
64120   JOINT MOBILIZATION-30 MIN WC        $132.00
64130   MASSAGE-30 MINUTES WC               $146.00
64140   CONTRAST BATH                        $58.00
64150   BIOFEEDBK EMG TRNG-PERIRECTL/URET   $242.00
64190   POOL THERAPY                         $63.00
64210   ORTHOTICS FABRICATION                $76.00
84150   ANODYNE INFRARED THERAPY             $20.00
30001   SPIROMETRY PRE & POST                 $0.00   Ordering
30002   PULM FUNCTION/W DLCO (PFT)            $0.00   Ordering
30003   OXIMETRY REST & EXERCISE              $0.00   Ordering
30004   PULMONARY STRESS TEST                 $0.00   Ordering
30005   APNEA MONITORING                      $0.00   Ordering
30006   NUTRITIONAL ASSESSMENT                $0.00   Ordering
30007   ALTITUDE STUDY                        $0.00   Ordering
30008   BRONCHOSCOPY                            $0.00   Ordering
30104   BRONCH DIAGNOSTIC 31622             $1,656.00
30105   BRONCH W/BRUSHING 31623             $1,656.00
30106   BRONCH W/BAL 31624                  $1,656.00
30107   BRONCH W/ENDO-BRACHIAL BX 31625     $1,656.00
30108   BRONCH W/TRANSBRON BX ONE LB31628   $1,656.00
30109   BRONCH W/NEEDLE BX 31629            $1,656.00
30110   BRONCH W/TRANSBRONCH BX >1 31632    $1,656.00
30111   BRONCH TRANSBR NEEDLE BX > 31633    $1,656.00
30113   BRONCH W/APC 31641                  $3,720.00
32120   THORACENTESIS 32000                   $640.00
32305   PPL WALK IN/VISIT                       $0.00   Utilization
33115   UPA TREATMENT                         $185.00
33970   PPL TECHNOLOGIST ASSIST                 $0.00   Utilization
34000   SPIROMETRY                            $286.00
34050   BRONCHOSPASM EVALUATION               $820.00
34100   RESIDUAL VOLUME FRC                   $366.00
34120   SBN2 GAS DISTRIBUTION                 $260.00
34150   VITAL CAPACITY TOTAL (SLOW)           $171.00
34160   MVV                                   $207.00
34250   DLCO SINGLE BREATH                    $320.00
34360   AIRWAY RESISTANCE                     $517.00
34390   CAPNOGRAPHY                           $101.00
34490   TGV                                   $599.00
34609   OXIMETRY OVERNIGHT                    $219.00
34610   OXIMETRY REST/EXERCISE/RECOVERY       $165.00
35000   PULMONARY STRESS TESTING            $2,276.00
35100   INDIRECT CALOHMETRY                   $493.00
35301   BLOOD GAS ANALYSIS                    $629.00
35303   BLOOD GAS DRAW-PERCUTANEOUS            $79.00
35400   CHEST/PHYSIO THER/PERCUSSION          $229.00
35600   CYTOLOGY BRUSH                         $99.00
35601   BIOP FORCEP                           $255.00
35605   NEEDLE BIOPSY                         $530.00
35650   PANEL PUL ABG                           $0.00   Panel Master
36005   DISTRIBUTION OF VENTILATION SNGL      $365.00
36010   PT TRANSPORT-INSIDE FACILITY            $0.00   Utilization
36015   CO OXIMETRY                           $204.00
36020   SPUTUM INDUCTION                       $75.00
36025   PENTAMIDINE THERAPY                   $341.00
36030   MET HEMOGLOBIN                         $46.00
36035   PT ED-SMOKING CESSATION 3-10 MIN       $40.00
36040   HAST W/O OXYGEN ADMINISTRATION        $455.00
36045   HAST W/OXYGEN ADMINISTRATION          $455.00
36050   MDI-OUTPATIENT 76                     $185.00
36055   UPA W/ANTIBIOTIC                      $185.00
36060   PATIENT INSTRUCTION                     $0.00   Utilization
36065   PT ED-SMOKING CESSATION >10 MIN        $80.00
39901   PULSE OXIMETRY SPOT CHECK             $132.00
79999   PULMONARY PHYSIOLOGY LAB ORDER          $0.00   Ordering
70500   MANDIBLE COMPLETE                     $640.00
70510   MANDIBLE (PANOREX)                    $210.00
70600   MASTOID COMPLETE                    $1,108.00
70750   FACIAL BONES COMPLETE                 $660.00
70850   NASAL BONES                           $508.00
70901   RADIOLOGIST CONSULT TEST CAC            $0.00   Utilization
70920   VENOGRAM EXT. BILATERAL             $1,182.00
70950   INTRO OF IV CATHETER                  $275.00
70951   VENOGRAM EXT. UNILATERAL-RT         $1,454.00
70954   VENOGRAM EXT. UNILATERAL-LT         $1,454.00
71000   SKULL LIMITED                         $460.00
71020   SKULL COMPLETE                        $670.00
71039   PARANASAL SINUS SINGLE VIEW WATER     $356.00
71040   PARANASAL SINUS LTD                   $356.00
71050   PARANASAL SINUS COMP                  $550.00
71060   FISTULA OR SINUS INJ                  $305.00
71061   INJ SINUS TRACT                       $315.00
71300   TM JOINT TOMMOGRAMS                   $797.00
71400   TEMPOROMANDIBLULAR JOINTS             $428.00
71500   NECK FOR SOFT TISSUE                  $383.00
71550   TECH TIME 15 MIN                        $0.00   Utilization
71560   TECH TIME 30 MIN                        $0.00   Utilization
71570   TECH TIME 1 HOUR                        $0.00   Utilization
72100   CHEST SINGLE VIEW                     $286.00
72101   CANCER INSTITUTE CHEST PA RAD         $286.00
72150   CHEST TWO VIEWS                       $350.00
72158   CHEST SPECIAL VIEW LAT DECUB RT       $286.00
72159   CHEST SPECIAL VIEW LAT DECUB LT       $286.00
72162   CHEST SPECIAL VIEW DECUB BILAT        $393.00
72170   CHEST THREE VIEWS W/LORDOTIC          $331.00
72180   CHEST THREE VIEW W/OBLIQUE            $383.00
72200   CHEST FOUR VIEWS                      $565.00
72450   RIBS RT-UNILATERAL W/PA CXR           $651.00
72455   RIBS RT                               $392.00
72460   RIBS LT-UNILATERAL W/PA CXR           $651.00
72465   RIBS LT                               $392.00
72466   RIBS-LT                               $392.00
72500   RIBS BILATERAL W/ PA CXR              $780.00
72505   RIBS BILATERAL                        $503.00
72550   STERNUM                               $350.00
73080   CERVICAL SPINE 1 VIEW RAD             $320.00
73081   LUMBAR SPINE 1 VIEW RAD               $320.00
73082   THORACIC SPINE 1 VIEW RAD             $320.00
73100   SPINE CERVICAL A-P&LAT                $470.00
73150   SPINE CERVICAL COMPLETE               $555.00
73200   SPINE CERVICLE W/FLEX & EXT           $650.00
73250   SPINE THORACIC W/ SWIMMER'S           $495.00
73300   THOROCO LUMBAR SPINE JUNCTION         $389.00
73350   SPINE SCOLIOSIS                       $461.00
73400   SPINE LUMBAR LTD                      $455.00
73411   LUMBAR PUNCTURE                       $620.00
73412   SPINAL PUNCTURE FOR CHEMO INJECTI     $664.00
73450   SPINE LUMBOSACRAL CMPT                $670.00
73500   SPINE LUMBAR INC BEND                 $760.00
73550   SPINE LUMBAR BEND ONLY                $385.00
73600   PELVIS LIMITED                        $265.00
73610   PELVIS COMPLETE (THREE VIEW MIN.)     $432.00
73800   SACRO-ILIAC COMPLETE                  $395.00
73850   SACRUM & COCCYX                       $364.00
75050   CLAVICLE RT                           $264.00
75060   CLAVICLE LT                           $264.00
75070   UPPER EXTREMITY INFANT 2V MIN          $75.00
75075   LOWER EXTREMITY INFANT 2V MIN         $154.00
75080   OSSEOUS SURVEY INFANT                 $302.00
75100   SCAPULA RT                            $472.00
75110   SCAPULA LT                            $472.00
75150   SHOULDER RT-LIMITED                   $349.00
75160   SHOULDER LT-LIMITED                   $349.00
75165   SHOULDERS - LIMITED BILATERAL         $355.00
75200   SHOULDER RT-COMPLETE                  $447.00
75210   SHOULDER LT-COMPLETE                  $447.00
75215   SHOULDERS COMPLETE - BILATERAL        $470.00
75250   UPPER EXTREMITY VASCULAR INTRA-OP   $2,932.00
75251   LOWER EXT VASCULAR - INTRA-OP LT    $2,932.00
75300   ACROMIOCLAVICULAR JOINTS RAD          $490.00
75350   HUMERUS +1 JOINT RT                   $365.00
75360   HUMERUS +1 JOINT LT                   $365.00
75365   HUMERUS + 1 JOINT - BILATERAL         $398.00
75400   ELBOW RT-LIMITED                      $301.00
75410   ELOW LT-LIMITED                       $301.00
75415   ELBOWS LIMITED - BILATERAL            $301.00
75450   ELBOW RT-COMPLETE                     $451.00
75460   ELBOW LT-COMPLETE                     $451.00
75465   ELBOWS COMPLETE - BILATERAL           $472.00
75500   FOREARM + 1 JOINT RT                  $366.00
75510   FOREARM +1 JOINT LT                   $366.00
75515   FOREARMS + 1 JOINT - BILATERAL        $398.00
75550   WRIST RT-LIMITED                      $307.00
75560   WRIST LT-LIMITED                      $307.00
75565   WRISTS LIMITED - BILATERAL            $331.00
75600   WRIST RT-COMPLETE                     $369.00
75610   WRIST LT-COMPLETE                     $369.00
75615   WRISTS COMPLETE - BILATERAL           $462.00
75680   HAND RT-LIMITED                       $294.00
75690   HAND LT-LIMITED                       $294.00
75695   HANDS LIMITED - BILATERAL             $294.00
75700   HAND RT-COMPLETE                      $404.00
75710   HAND LT-COMPLETE                      $404.00
75715   HANDS COMPLETE - BILATERAL            $455.00
75750   FINGER LEFT RAD                       $292.00
75751   FINGER RIGHT                          $292.00
76050   HIP RT-ONE VIEW                       $258.00
76060   HIP LT-ONE VIEW                       $258.00
76065   HIPS/PELVIS - BILATERAL               $590.00
76100   HIP RT-COMPLETE                       $516.00
76110   HIP LT-COMPLETE                       $516.00
76198   FLUOROSCOPIC GUIDANCE NEEDLE PLAC     $750.00
76199   ARTHROCENTESIS/ASPIR MAJOR JOINT      $450.00
76210   HIP ASPIRATION/INJECTION LT           $450.00
76213   HIP ASPIRATION/INJECTION RT           $450.00
76350   FEMUR +1JOINT RT                      $449.00
76360   FEMUR +1 JOINT LT                     $449.00
76365   FEMUR + 1 JOINT - BILATERAL           $471.00
76400   KNEE RT-LIMITED                       $259.00
76410   KNEE LT-LIMITED                       $259.00
76415   BILATERAL KNEES - STANDING            $282.00
76420   KNEES-BILATERAL LIMITED               $364.00
76430   ASPIRATION KNEE RT                    $450.00
76432   ASPIRATION KNEE LT                    $450.00
76450   KNEE RT-COMPLETE                      $418.00
76460   KNEE LT-COMPLETE                      $418.00
76465   KNEES - BILAT COMPLETE (>=4 VIEWS     $491.00
76550   TIBIA & FIBULA RT                     $416.00
76560   TIBIA & FIBULA LT                     $416.00
76565   TIBIA AND FIBULA - BILATERAL          $416.00
76600   ANKLE RT-LIMITED RAD                  $295.00
76610   ANKLE LT-LIMITED RAD                  $295.00
76615   ANKLES LIMITED (2 VIEWS)- BILATER     $295.00
76650   ANKLE RT-COMPLETE RAD                 $336.00
76660   ANKLE LT-COMPLETE RAD                 $336.00
76665   ANKLES COMPLETE - BILATERAL RAD       $460.00
76700   FOOT RT-LIMITED                       $336.00
76710   FOOT LT-LIMITED                       $336.00
76715   FOOT LIMITED (2 VIEWS) - BILATERA     $336.00
76750   FOOT RT-COMPLETE                      $336.00
76760   FOOT LT-COMPLETE                      $336.00
76765   FOOT COMPLETE - BILATERAL             $459.00
76850   CALCANEUS HEEL RIGHT RAD              $258.00
76851   CALCANEUS HEEL LEFT                   $258.00
76900   TOE LEFT                              $284.00
76901   TOE RIGHT                             $284.00
77100   ABDOMEN KUB RAD                       $283.00
77120   ABDOMEN 2 VIEWS RAD                   $283.00
77150   ABDOMEN COMPLETE RAD                  $694.00
78100   ESOPHAGUS                             $515.00
78150   ESOPHAGUS CINE                        $811.00
78250   UPPER GI TRACT W/ KUB                 $860.00
78270   UPPER GI TRACT LIMITED                $540.00
78300   UPPER GI & SMALL BOWEL              $1,122.00
78350   SMALL BOWEL                           $905.00
78360   SMALL BOWEL VIA ENTEROCLYSIS TUBE     $682.00
78400   COLON ENEMA                           $803.00
78401   COLON ENEMA WITH AIR CONTRAST       $1,230.00
78405   COLON ENEMA-GASTROGRAFIN              $803.00
78650   ERCP                                $1,280.00
79120   INTRAVENOUS PYELOGRAM (IVP)           $953.00
79210   RETROGRADE UROGRAM                    $671.00
79250   CYSTOGRAM                             $245.00
79251   INJ PROC CYSTO/CYSTOURETHROGRAM       $395.00
79257   CHEST TUBE INSERTION                $2,020.00
79260   VOIDING URETHROGRAM                   $812.00
79270   RETROGRADE-URETHROGRAM                $432.00
79271   INJ PROC URETHROGRAM                  $670.00
79280   NEPHROSTOGRAM/LOOPOGRAM               $845.00
79281   INJ PROC NEPHROSTOGRAM                $690.00
79340   LUMBAR MYELOGRAM                    $1,502.00
79345   CERVICAL MYELOGRAM                  $1,387.00
79350   MYELOGRAM 2 OR MORE REGIONS         $1,270.00
79352   INJECTION PROCEDURE/MYELOGRAM         $580.00
79370   ARTICULATING FACETTES                 $629.00
79390   SIALOGRAPHY                           $384.00
79392   INJ PROC SIALOGRAPHY                  $365.00
79397   INJ PROC ARTHROGRAM-WRIST             $730.00
79400   ARTHROGRAM SHOULDER RT                $633.00
79402   INJ PROC ARTHROGRAM-SHOULDER RT       $430.00
79404   ARTHROGRAM SHOULDER LT                $633.00
79406   INJ PROC ARTHROGRAM SHOULDER LT       $430.00
79410   ARTHROGRAM RT HIP                     $531.00
79412   INJ PROC ARTHROGRAM-HIP               $425.00
79420   ARTHROGRAM LT KNEE                    $717.00
79422   INJ PROC ARTHROGRAM-KNEE 27370        $395.00
79424   INJ PROC ARTHROGRAM-ELBOW             $455.00
79425   ARTHROGRAM RT ELBOW                   $305.00
79427   INJ PROC ARTHROGRAM-ANKLE             $380.00
79428   ARTHROGRAM LT ANKLE                   $575.00
79429   ARTHROGRAM RT WRIST                   $715.00
79430   X-RAY GUIDE FOR TUBE INSERTION      $1,024.00
79431   INTRO ENTERIC OR LONG GI TUBE         $150.00
79432   ARTHROGRAM RT ANKLE                   $575.00
79433   ARTHROGRAM LT ELBOW                   $305.00
79434   ARTHROGRAM LT HIP                     $531.00
79435   ARTHROGRAM RT KNEE                    $717.00
79436   ARTHROGRAM LT WRIST                   $715.00
79440   CHOLANGIOGRAM OPERATIVE               $560.00
79441   CHOLANGIOGRAM OPERATIVE ADD'L SET     $295.00
79445   CHOLANGIOGRAM T-TUBE                  $800.00
79446   INJ CHOLANGIOGRAM EXIST CATH          $430.00
79450   SHUNTOGRAM OF PREV PLACED SHUNT       $405.00
79470   REMOVAL OF TUBE                       $177.00
79500   HYSTEROSALPINGOGRAM                   $649.00
79501   CATH/INTO CONTRAST HYSTEROSALPING     $475.00
79510   HYSTEROSONOGRAPHY                     $395.00
79520   NASO/ORO GASTRIC TUBE PLACEMENT       $408.00
79550   BONE AGE STUDY                        $218.00
79560   BONE LENGTH STUDY                     $360.00
79570   BONE SURVEY - FOR METASTASES        $1,289.00
79580   BONE SURVEY - COMPLETE              $1,089.00
79601   TUBE REMOVAL                            $0.00   Utilization
79610   TOMOGRAM CHEST RAD                    $797.00
79625   TOMOGRAM FEMUR RAD                    $797.00
79626   TOMOGRAM FOOT/ANKLE RAD               $797.00
79627   TOMOGRAM FOREARM/ELBOW RAD            $797.00
79628   TOMOGRAM GENERAL RAD                  $797.00
79629   TOMOGRAM GENITOURINARY RAD            $797.00
79630   TOMOGRAM HAND WRIST RAD               $797.00
79631   TOMOGRAM KNEE/TIB-FIB                 $797.00
79632   TOMOGRAM LUMBAR SPINE RAD             $797.00
79633   TOMOGRAM PELVIS HIP RAD               $797.00
79634   TOMOGRAM SKULL RAD                    $797.00
79635   TOMOGRAM THORACIC SPINE RAD           $797.00
79636   TOMOGRAM SHOLDER ARM RAD              $797.00
79637   TOMOGRAM CERVICAL SPINE               $797.00
79660   PORTABLE INTRAOPERATIVE                 $0.00   Utilization
79700   THORACIC MYELOGRAM                  $1,389.00
79702   XRAY IP                                 $0.00   Ordering
79704   ABDOMINAL SERIES RAD                    $0.00   Ordering
79705   CHEST PA & LATERAL                      $0.00   Ordering
79706   CHEST XRAY PORTABLE                     $0.00   Ordering
79707   KUB                                     $0.00   Ordering
79708   GI SERIES UPPER                         $0.00   Ordering
79709   BARIUM ENEMA                            $0.00   Ordering
79710   IVP                                     $0.00   Ordering
79730   ERCP                                    $0.00   Ordering
79735   CHEST NO CHARGE                         $0.00   Utilization
79800   PLACE CENTRAL VENOUS PICC           $2,061.00
79805   REPLACE CENTRAL VENOUS PICC         $2,061.00
79807   REPOSITON PREV PLACE CV CATH          $795.00
79810   RAD FLUOROSCOPIC GUDANCE CV CATH      $352.00
79815   RAD FLUOROSCOPIC GUIDANCE             $629.00
79820   RAD PLEURODESIS CHEMICAL              $750.00
79840   FLUOROSCOPY - LESS THAN ONE HOUR      $629.00
79850   FLUOROSCOPY - MORE THAN ONE HOUR    $1,162.00
79900   RADIOLOGIST INTERPRET OUTSIDE FIL       $0.00   Utilization
79901   RADIOLOGIST CONSULTATION #1             $0.00   Utilization
79902   RADIOLOGIST CONSULTATION #2             $0.00   Utilization
79903   RADIOLOGIST CONSULTATION #3             $0.00   Utilization
79904   RADIOLOGIST CONSULTATION #4             $0.00   Utilization
83026   MODIFIED BARIUM SWALLOW                 $0.00   Ordering
70500   MANDIBLE COMPLETE                     $640.00
70600   MASTOID COMPLETE                    $1,108.00
70750   FACIAL BONES COMPLETE                 $660.00
70850   NASAL BONES                           $508.00
71000   SKULL LIMITED                         $460.00
71020   SKULL COMPLETE                        $670.00
71039   PARANASAL SINUS SINGLE VIEW WATER     $356.00
71040   PARANASAL SINUE LTD                   $356.00
71050   PARANASAL SINUS COMP                  $550.00
71060   FISTULA OR SINUS INJ                  $305.00
71061   INJ SINUS TRACT DIAGNOSTIC            $315.00
71400   TEMPOROMANDIBLULAR JOINTS             $428.00
71500   NECK FOR SOFT TISSUE                  $383.00
72100   CHEST SINGLE VIEW                     $286.00
72101   CANCER INSTITUTE CHEST PA RDH       $286.00
72150   CHEST TWO VIEWS                     $350.00
72158   CHEST SPECIAL VIEW LAT DECUB RT     $286.00
72159   CHEST SPECIAL VIEW LAT DECUB LT     $286.00
72162   CHEST SPECIAL VIEW DECUB BILAT      $393.00
72170   CHEST THREE VIEWS W/LORDOTIC        $331.00
72180   CHEST THREE VIEWS W/OBLIQUE         $383.00
72200   CHEST FOUR VIEWS                    $565.00
72450   RIBS RT-UNILATERAL W/PA CXR         $651.00
72455   RIBS RT                             $392.00
72460   RIBS LT-UNILATERAL W/PA CXR         $651.00
72466   RIBS-LT                             $392.00
72500   RIBS BILATERAL W/ PA CXR            $780.00
72505   RIBS BILATERAL                      $503.00
72550   STERNUM                             $350.00
73080   CERVICAL SPINE 1 VIEW RDH           $320.00
73081   LUMBAR SPINE 1 VIEW RDH             $320.00
73082   THORACIC SPINE 1 VIEW RDH           $320.00
73100   SPINE CERVICAL A-P&LAT              $470.00
73150   SPINE CERVICAL COMPLETE             $555.00
73200   SPINE CERVICLE W/FLEX & EXT         $650.00
73250   SPINE THORACIC W/ SWIMMER'S         $495.00
73300   THOROCO LUMBAR SPINE JUNCTION       $389.00
73350   SPINE SCOLIOSIS                     $461.00
73400   SPINE LUMBAR LTD                    $455.00
73450   SPINE LUMBOSACRAL CMPT              $670.00
73500   SPINE LUMBAR INC BEND               $760.00
73550   SPINE LUMBAR BEND ONLY              $385.00
73600   PELVIS LIMITED                      $265.00
73610   PELVIS COMPLETE (THREE VIEWS MIN.   $432.00
73800   SACRO-ILIAC COMPLETE                $395.00
73850   SACRUM & COCCYX                     $364.00
75050   CLAVICLE RT                         $264.00
75060   CLAVICLE LT                         $264.00
75070   UPPER EXTREMITY INFANT 2V MIN        $75.00
75075   LOWER EXTREMITY INFANT 2V MIN       $154.00
75080   OSSEOUS SURVEY INFANT               $302.00
75100   SCAPULA RT                          $472.00
75110   SCAPULA LT                          $472.00
75150   SHOULDER RT-LIMITED                 $349.00
75160   SHOULDER LT-LIMITED                 $349.00
75165   SHOULDERS - LIMITED BILATERAL       $355.00
75200   SHOULDER RT-COMPLETE                $447.00
75210   SHOULDER LT-COMPLETE                $447.00
75215   SHOULERS COMPLETE - BILATERAL       $470.00
75300   ACROMIOCLAVICULAR JOINTS RDH        $490.00
75350   HUMERUS + 1 JOINT RT                $365.00
75360   HUMERUS +1 JOINT LT                 $365.00
75365   HUMERUS + 1 JOINT - BILATERAL       $398.00
75400   ELBOW RT-LIMITED                    $301.00
75410   ELBOW LT-LIMITED                    $301.00
75415   ELBOWS LIMITED - BILATERAL          $301.00
75450   ELBOW RT-COMPLETE                   $451.00
75460   ELBOW LT-COMPLETE                   $451.00
75465   ELBOWS COMPLETE - BILATERAL         $472.00
75500   FOREARM + 1 JOINT RT                $366.00
75510   FOREARM +1 JOINT LT                 $366.00
75515   FOREARMS + 1 JOINT - BILATERAL      $398.00
75550   WRIST RT-LIMITED                    $307.00
75560   WRIST LT-LIMITED                    $307.00
75565   WRISTS LIMITED - BILATERAL          $331.00
75600   WRIST RT-COMPLETE                   $369.00
75610   WRIST LT-COMPLETE                   $369.00
75615   WRISTS COMPLETE - BILATERAL         $462.00
75680   HAND RT-LIMITED                     $294.00
75690   HAND LT-LIMITED                     $294.00
75695   HANDS LIMITED - BILATERAL           $294.00
75700   HAND RT-COMPLETE                    $404.00
75710   HAND LT-COMPLETE                    $404.00
75715   HANDS COMPLETE - BILATERAL          $455.00
75750   FINGER LEFT RDH                     $292.00
75751   FINGER RIGHT RDH                    $292.00
76050   HIP RT-ONE VIEW                     $258.00
76060   HIP LT-ONE VIEW                     $258.00
76065   HIPS/PELVIS - BILATERAL             $590.00
76100   HIP RT-COMPLETE                     $516.00
76110   HIP LT-COMPLETE                     $516.00
76350   FEMUR +1 JOINT RT                   $449.00
76360   FEMUR +1 JOINT LT                   $449.00
76365   FEMUR + 1 JOINT - BILATERAL         $471.00
76400   KNEE RT-LIMITED                     $259.00
76410   KNEE LT-LIMITED                     $259.00
76415   BILATERAL KNEES - STANDING          $282.00
76420   KNEES BILATERAL LIMITED             $364.00
76450   KNEE RT-COMPLETE                    $418.00
76460   KNEE LT-COMPLETE                    $418.00
76465   KNEES - BILAT COMPLETE (>=4 VIEWS   $491.00
76550   TIBIA & FIBULA RT                   $416.00
76560   TIBIA & FIBULA LT                   $416.00
76565   TIBIA AND FIBULA - BILATERAL        $416.00
76600   ANKLE RT-LIMITED RDH                $295.00
76610   ANKLE LT-LIMITED RDH                $295.00
76615   ANKLES LIMITED (2 VIEWS) - BILATE   $295.00
76650   ANKLE RT-COMPLETE RDH               $336.00
76660   ANKLE LT-COMPLETE RDH               $336.00
76665   ANKLES COMPLETE - BILATERAL RDH     $460.00
76700   FOOT RT-LIMITED                     $336.00
76710   FOOT LT-LIMITED                     $336.00
76715   FOOT LIMITED (2 VIEWS) - BILATERA   $336.00
76750   FOOT RT-COMPLETE                    $336.00
76760   FOOT LT-COMPLETE                    $336.00
76765   FOOT COMPLETE - BILATERAL           $459.00
76850   CALCANEUS HEEL RIGHT RDH            $258.00
76851   CALCANEUS HEEL LEFT                 $258.00
76900   TOE LEFT                              $284.00
76901   TOE RIGHT                             $284.00
77100   ABDOMEN KUB RDH                       $283.00
77120   ABDOMEN 2 VIEWS RDH                   $283.00
77150   ABDOMEN COMPLETE RDH                  $694.00
78100   ESOPHAGUS                             $515.00
78150   ESOPHAGUS CINE                        $811.00
78250   UPPER GI TRACT W/ KUB                 $860.00
78270   UPPER GI TRACT LIMITED                $540.00
78300   UPPER GI & SMALL BOWEL              $1,122.00
78350   SMALL BOWEL                           $905.00
78400   COLON ENEMA                           $803.00
78401   COLON ENEMA WITH AIR CONTRAST       $1,230.00
78405   COLON ENEMA-GASTROGRAFIN              $803.00
78650   ERCP                                $1,280.00
79120   INTRAVENOUS PYELGORAM (IVP)           $953.00
79210   RETROGRADE UROGRAM                    $671.00
79250   CYSTOGRAM                             $245.00
79251   INJ PROC CYSTO/CYSTOURETHROGRAM       $395.00
79260   VOIDING URETHROGRAM                   $812.00
79270   RETROGRADE-URETHROGRAM                $432.00
79271   INJ PROC URETHROGRAM                  $670.00
79430   TUBE INSERTION(LONG GASTRO)         $1,024.00
79431   INTRO LONG GI TUBE                    $150.00
79440   CHOLANGIOGRAM - OPERATIVE             $560.00
79441   CHOLANGIOGRAM OPERATIVE ADD'L SET     $295.00
79445   CHOLANGIOGRAM T-TUBE                  $800.00
79446   INJ PROC CHOLANGIOGRAM                $430.00
79450   SHUNTOGRAM OF PREV PLACED SHUNT       $405.00
79470   REMOVAL OF TUBE                       $177.00
79550   BONE AGE STUDY                        $218.00
79560   BONE LENGTH STUDY                     $360.00
79570   BONE SURVEY - FOR METASTASES        $1,289.00
79580   BONE SURVEY - COMPLETE              $1,089.00
79610   TOMOGRAM CHEST RDH                    $797.00
79625   TOMOGRAM FEMUR RDH                    $797.00
79626   TOMOGRAM FOOT ANKLE RDH               $797.00
79627   TOMOGRAM FOREARM/ELBOW RDH            $797.00
79628   TOMOGRAM GENERAL RDH                  $797.00
79629   TOMOGRAM GENITOURINARY RDH            $797.00
79630   TOMOGRAM HAND/WRIST RDH               $797.00
79631   TOMOGRAM KNEE/TIB-FIB RDH             $797.00
79632   TOMOGRAM LUMBAR SPINE RDH             $797.00
79633   TOMOGRAM PELVIS/HIP RDH               $797.00
79634   TOMOGRAM SKULL RDH                    $797.00
79635   TOMOGRAM THORACIC SPINE RDH           $797.00
79636   TOMOGRAM SHOLDER/ARM RDH              $797.00
79637   TOMOGRAM CERVICAL SPINE               $797.00
79735   CHEST NO CHARGE                         $0.00   Utilization
79840   FLUROSCOPY - LESS THAN ONE HOUR       $629.00
79850   FLUROSCOPY - MORE THAN ONE HOUR     $1,162.00
79900   RADIOLOGIST INTERP OUTSIDE FIL          $0.00   Utilization
53250   SPINE THORACIC                        $448.00
56700   FOOT RT-LIMITED                       $336.00
70500   MANDIBLE COMPLETE                     $640.00
70600   MASTOID COMPLETE                    $1,108.00
70750   FACIAL BONES COMPLETE                 $660.00
70850   NASAL BONES                           $508.00
71000   SKULL LIMITED                         $460.00
71020   SKULL COMPLETE                        $670.00
71039   PARANASAL SINUS SINGLE VIEW WATER     $356.00
71040   PARANASAL SINUS LTD                   $356.00
71050   PARANASAL SINUS COMP                  $550.00
71400   TEMPOROMANDIBLULAR JOINTS             $428.00
71500   NECK FOR SOFT TISSUE                  $383.00
72100   CHEST SINGLE VIEW                     $286.00
72101   CANCER INSTITUTE CHEST PA RDW         $286.00
72150   CHEST TWO VIEWS                       $350.00
72158   CHEST SPECIAL VIEW LAT DECUB RT       $286.00
72159   CHEST SPECIAL VIEW LAT DECUB LT       $286.00
72162   CHEST SPECIAL VIEW DECUB BILAT        $393.00
72170   CHEST THREE VIEWS W/LORDOTIC          $331.00
72180   CHEST THREE VIEWS W/OBLIQUE           $383.00
72200   CHEST FOUR VIEWS                      $565.00
72450   RIBS RT-UNILATERAL W/PA CXR           $651.00
72455   RIBS RT                               $392.00
72460   RIBS LT-UNILATERAL W/PA CXR           $651.00
72465   RIBS LT                               $392.00
72466   RIBS-LT                               $392.00
72500   RIBS BILATERAL W/ PA CXR              $780.00
72505   RIBS BILATERAL                        $503.00
72550   STERNUM                               $350.00
73080   CERVICAL SPINE 1 VIEW RDW             $320.00
73081   LUMBAR SPINE 1 VIEW RDW               $320.00
73082   THORACIC SPINE 1 VIEW RDW             $320.00
73100   SPINE CERVICAL A-P&LAT                $470.00
73150   SPINE CERVICAL COMPLETE               $555.00
73200   SPINE CERVICLE W/FLEX & EXT           $650.00
73250   SPINE THORACIC W/SWIMMER'S            $495.00
73300   THOROCO LUMBAR SPINE JUNCTION         $389.00
73350   SPINE SCOLIOSIS                       $461.00
73400   SPINE LUMBAR LTD                      $455.00
73450   SPINE LUMBOSACRAL CMPT                $670.00
73500   SPINE LUMBAR INC BEND                 $760.00
73550   SPINE LUMBAR BEND ONLY                $385.00
73600   PELVIS LIMITED                        $265.00
73610   PELVIS COMPLETE (THREE VIEWS MIN)     $432.00
73800   SACRO-ILIAC COMPLETE                  $395.00
73850   SACRUM & COCCYX                       $364.00
75050   CLAVICLE RT                           $264.00
75060   CLAVICLE LT                           $264.00
75100   SCAPULA RT                            $472.00
75110   SCAPULA LT                            $472.00
75150   SHOULDER RT-LIMITED                   $349.00
75160   SHOULDER LT-LIMITED                 $349.00
75165   SHOULDERS - LIMITED BILATERAL       $355.00
75200   SHOULDER RT-COMPLETE                $447.00
75210   SHOULDER LT-COMPLETE                $447.00
75215   SHOULDERS COMPLETE - BILATERAL      $470.00
75300   ACROMIOCLAVICULAR JOINTS RDW        $490.00
75350   HUMERUS + 1 JOINT RT                $365.00
75360   HUMERUS +1 JOINT LT                 $365.00
75365   HUMERUS + 1 JOINT - BILATERAL       $398.00
75400   ELBOW RT-LIMITED                    $301.00
75410   ELBOW LT-LIMITED                    $301.00
75415   ELBOWS LIMITED - BILATERAL          $301.00
75450   ELBOW RT-COMPLETE                   $451.00
75460   ELBOW LT-COMPLETE                   $451.00
75465   ELBOWS COMPLETE - BILATERAL         $472.00
75500   FOREARM + 1 JOINT RT                $366.00
75510   FOREARM +1 JOINT LT                 $366.00
75515   FOREARMS + 1 JOINT - BILATERAL      $398.00
75550   WRIST RT-LIMITED                    $307.00
75560   WRIST LT-LIMITED                    $307.00
75565   WRISTS LIMITED - BILATERAL          $331.00
75600   WRIST RT-COMPLETE                   $369.00
75610   WRIST LT-COMPLETE                   $369.00
75615   WRISTS COMPLETE - BILATERAL         $462.00
75680   HAND RT-LIMITED                     $294.00
75690   HAND LT-LIMITED                     $294.00
75695   HANDS LIMITED - BILATERAL           $294.00
75700   HAND RT-COMPLETE                    $404.00
75710   HAND LT-COMPLETE                    $404.00
75715   HANDS COMPLETE - BILATERAL          $455.00
75750   FINGER LEFT                         $292.00
75751   FINGER RIGHT RDW                    $292.00
76050   HIP RT-ONE VIEW                     $258.00
76060   HIP LT-ONE VIEW                     $258.00
76065   HIPS/PELVIS - BILATERAL             $590.00
76100   HIP RT-COMPLETE                     $516.00
76110   HIP LT-COMPLETE                     $516.00
76350   FEMUR + 1 JOINT RT                  $449.00
76360   FEMUR +1 JOINT LT                   $449.00
76365   FEMUR + 1 JOINT - BILATERAL         $471.00
76400   KNEE RT LIMITED RDW                 $259.00
76410   KNEE LT-LIMITED                     $259.00
76415   BILATERAL KNEES - STANDING          $282.00
76420   KNEES BILATERAL LIMTED RDW          $364.00
76450   KNEE RT COMPLETE RDW                $418.00
76460   KNEE LT-COMPLETE                    $418.00
76465   KNEES - BILAT COMPLETE (>= 4 VIEW   $491.00
76550   TIBIA & FIBULA RT RDW               $416.00
76560   TIBIA & FIBULA LT                   $416.00
76565   TIBIA AND FIBULA - BILATERAL        $416.00
76600   ANKLE RT LIMITED                    $295.00
76610   ANKLE LT-LIMITED RDW                $295.00
76615   ANKLES LIMITED (2 VIEWS) - BILATE     $295.00
76650   ANKLE RT COMPLETE RDW                 $336.00
76660   ANKLE LT-COMPLETE RDW                 $336.00
76665   ANKLES COMPLETE - BILATERAL RDW       $460.00
76710   FOOT LT-LIMITED                       $336.00
76715   FOOT LIMITED (2 VIEWS) - BILATERA     $336.00
76750   FOOT RT COMPLETE                      $336.00
76760   FOOT LT-COMPLETE                      $336.00
76765   FOOT COMPLETE - BILATERAL             $459.00
76850   CALCANEUS HEEL RIGHT RDW              $258.00
76851   CALCANEUS HEEL LEFT                   $259.00
76900   TOE LEFT                              $284.00
76901   TOE RIGHT                             $284.00
77100   ABDOMEN KUB RDW                       $283.00
77120   ABDOMEN 2 VIEWS RDW                   $283.00
77150   ABDOMEN COMPLETE RDW                  $694.00
79550   BONE AGE STUDY                        $218.00
79560   BONE LENGTH STUDY                     $360.00
79570   BONE SURVEY - FOR METASTASES        $1,289.00
79580   BONE SURVEY - COMPLETE              $1,089.00
79637   TOMOGRAM CERVICAL SPINE RDW           $797.00
79735   CHEST NO CHARGE                         $0.00   Utilization
55005   PACU MED SURG HOLDING               $1,955.00
55006   PACU TELEMETRY HOLDING              $2,941.00
55007   PACU INTENSIVE CARE HOLDING         $5,207.00
55008   PACU PEDIATRIC HOLDING              $1,955.00
55009   OBSERVATION ROOM HOURLY               $141.00
82100   PACU                                $2,000.00
82105   SPECIAL PROCEDURES 15 MIN INCREME     $640.00
82425   PACU SP                             $2,000.00
82450   PROTIME (FINGERSTICK)                  $40.00
82455   POST PROCEDURE RECOVERY EA HOUR         $0.00   Utilization
49707   ED KUB                                  $0.00   Ordering
70500   MANDIBLE COMPLETE                     $640.00
70510   MANDIBLE (PANOREX)                    $210.00
70600   MASTOID COMPLETE                    $1,108.00
70750   FACIAL BONES COMPLETE                 $660.00
70850   NASAL BONES                           $508.00
71000   SKULL LIMITED                         $460.00
71020   SKULL COMPLETE                        $670.00
71040   PARANASAL SINUS LTD                   $356.00
71050   PARANASAL SINUS COMP                  $550.00
71400   TEMPOROMANDIBLULAR JOINTS             $428.00
71500   NECK FOR SOFT TISSUE                  $383.00
72100   CHEST SINGLE VIEW                     $286.00
72101   CANCER INSTITUTE CHEST PA RED         $286.00
72150   CHEST TWO VIEWS                       $350.00
72158   CHEST SPECIAL VIEW LAT DECUB RT       $286.00
72159   CHEST SPECIAL VIEW LAT DECUB LT       $286.00
72162   CHEST SPECIAL VIEW DECUB BILAT        $393.00
72170   CHEST THREE VIEWS W/LORDOTIC          $331.00
72180   CHEST THREE VIEWS W/OBLIQUE           $383.00
72200   CHEST FOUR VIEWS                    $565.00
72450   RIBS RT-UNILATERAL W/PA CXR         $651.00
72455   RIBS RT                             $392.00
72460   RIBS LT-UNILATERAL W/PA CXR         $651.00
72465   RIBS LT                             $392.00
72466   RIBS-LT                             $392.00
72500   RIBS BILATERAL W/ PA CXR            $780.00
72505   RIBS BILATERAL                      $503.00
72550   STERNUM                             $350.00
73080   CERVICAL SPINE 1 VIEW RED           $320.00
73081   LUMBAR SPINE 1 VIEW                 $320.00
73082   THORACIC SPINE 1 VIEW RED           $320.00
73100   SPINE CERVICAL A-P&LAT              $470.00
73150   SPINE CERVICAL COMPLETE             $555.00
73200   SPINE CERVICLE W/FLEX & EXT         $650.00
73250   SPINE THORACIC W/ SWIMMER'S         $495.00
73300   THOROCO LUMBAR SPINE JUNCTION       $389.00
73350   SPINE SCOLIOSIS                     $461.00
73400   SPINE LUMBAR LTD                    $455.00
73450   SPINE LUMBOSACRAL CMPT              $670.00
73500   SPINE LUMBAR INC BEND               $760.00
73550   SPINE LUMBAR BEND ONLY              $385.00
73600   PELVIS LIMITED                      $265.00
73610   PELVIS COMPLETE (THREE VIEWS MIN.   $432.00
73800   SACRO-ILIAC COMPLETE                $395.00
73850   SACRUM & COCCYX                     $364.00
75050   CLAVICLE RT                         $264.00
75060   CLAVICLE LT                         $264.00
75070   UPPER EXTREMITY INFANT 2V MIN        $75.00
75075   LOWER EXTREMITY INFANT 2V MIN       $154.00
75080   OSSEOUS SURVEY INFANT               $302.00
75100   SCAPULA RT                          $472.00
75110   SCAPULA LT                          $472.00
75150   SHOULDER RT - LIMITED               $349.00
75160   SHOULDER LT-LIMITED                 $349.00
75165   SHOULDERS - LIMITED BILATERAL       $355.00
75200   SHOULDER RT-COMPLETE                $447.00
75210   SHOULDER LT-COMPLETE                $447.00
75215   SHOULDERS COMPLETE - BILATERAL      $470.00
75300   ACROMIOCLAVICULAR JOINTS            $490.00
75350   HUMERUS + 1 JOINT RT                $365.00
75360   HUMERUS +1 JOINT LT                 $365.00
75365   HUMERUS + 1 JOINT - BILATERAL       $398.00
75400   ELBOW RT-LIMITED                    $301.00
75410   ELBOW LT-LIMITED                    $301.00
75415   ELBOWS LIMITED - BILATERAL          $301.00
75450   ELBOW RT-COMPLETE                   $451.00
75460   ELBOW LT-COMPLETE                   $451.00
75465   ELBOWS COMPLETE - BILATERAL         $472.00
75500   FOREARM + 1 JOINT RT                $366.00
75510   FOREARM +1 JOINT LT                 $366.00
75515   FOREARMS + 1 JOINT - BILATERAL      $398.00
75550   WRIST RT-LIMITED                    $307.00
75560   WRIST LT-LIMITED                    $307.00
75565   WRISTS LIMITED - BILATERAL          $331.00
75600   WRIST RT-COOMPLETE                  $369.00
75610   WRIST LT-COMPLETE                   $369.00
75615   WRISTS COMPLETE - BILATERAL         $462.00
75680   HAND RT-LIMITED                     $294.00
75690   HAND LT-LIMITED                     $294.00
75695   HANDS LIMITED - BILATERAL           $294.00
75700   HAND RT-COMPLETE                    $404.00
75710   HAND LT-COMPLETE                    $404.00
75715   HANDS COMPLETE - BILATERAL          $455.00
75750   FINGER LEFT RED                     $292.00
75751   FINGER RIGHT RED                    $292.00
76050   HIP RT-ONE VIEW                     $258.00
76060   HIP LT-ONE VIEW                     $258.00
76065   HIPS/PELVIS - BILATERAL             $590.00
76100   HIP RT-COMPLETE                     $516.00
76110   HIP LT-COMPLETE                     $516.00
76350   FEMUR + 1 JOINT RT                  $449.00
76360   FEMUR +1 JOINT LT                   $449.00
76365   FEMUR + 1 JOINT - BILATERAL         $471.00
76400   KNEE RT-LIMITED                     $259.00
76410   KNEE LT-LIMITED                     $259.00
76415   BILATERAL KNEES - STANDING          $282.00
76420   KNEES BILATERAL LIMITED             $364.00
76450   KNEE RT-COMPLETE                    $418.00
76460   KNEE LT-COMPLETE                    $418.00
76465   KNEES - BILAT COMPLETE (>=4VIEWS)   $491.00
76550   TIBIA & FIBULA RT                   $416.00
76560   TIBIA & FIBULA LT                   $416.00
76565   TIBIA & FIBULA - BILATERAL          $416.00
76600   ANKLE RT-LIMITED RED                $295.00
76610   ANKLE LT-LIMITED RED                $295.00
76615   ANKLES LIMITED (2 VIEWS) - BILATE   $295.00
76650   ANKLE RT-COMPLETE RED               $336.00
76660   ANKLE LT-COMPLETE RED               $336.00
76665   ANKLES COMPLETE - BILATERAL RED     $460.00
76700   FOOT RT-LIMITED                     $336.00
76710   FOOT LT-LIMITED                     $336.00
76715   FOOT LIMITED (2 VIEWS) - BILATERA   $336.00
76750   FOOT RT-COMPLETE                    $336.00
76760   FOOT LT-COMPLETE                    $336.00
76765   FOOT COMPLETE - BILATERAL           $459.00
76850   CALCANEUS HEEL RIGHT RED            $258.00
76851   CALCANEUS HEEL LEFT                 $258.00
76900   TOE LEFT                            $284.00
76901   TOE RIGHT                           $284.00
77100   ABDOMEN KUB RED                     $283.00
77120   ABDOMEN 2 VIEWS RED                 $283.00
77150   ABDOMEN COMPLETE RED                $694.00
78100   ESOPHAGUS                           $515.00
79120   INTRAVENOUS PYELGORAM (IVP)           $953.00
79550   BONE AGE STUDY                        $218.00
79560   BONE LENGTH STUDY                     $360.00
79703   ED XRAY                                 $0.00   Ordering
79711   ED I V P                                $0.00   Ordering
79712   ED CHEST PA LAT                         $0.00   Ordering
79713   ED CHEST PORTABLE.                      $0.00   Ordering
79714   ED C SPINE PORTABLE                     $0.00   Ordering
79715   ED C SPINE COMPLETE                     $0.00   Ordering
79716   ED T SPINE                              $0.00   Ordering
79717   ED L SPINE                              $0.00   Ordering
79718   ED LS SPINE                             $0.00   Ordering
79719   ED SKULL SERIES.                        $0.00   Ordering
79720   ED ABDOMINAL SERIES                     $0.00   Ordering
79735   CHEST NO CHARGE                         $0.00   Utilization
72001   CLINICAL TRIALS - RADIOLOGY(HW)         $0.00
72100   CHEST SINGLE VIEW                     $286.00
72101   CANCER INSTITUTE CHEST PA RHW         $286.00
72150   CHEST TWO VIEWS                       $350.00
72158   CHEST SPECIAL VIEW LAT DECUB RT       $286.00
72159   CHEST SPECIAL VIEW LAT DECUB LT       $286.00
72162   CHEST SPECIAL VIEW DECUB BILAT        $393.00
72170   CHEST THREE VIEWS W/LORDOTIC          $331.00
72180   CHEST THREE VIEWS W/OBLIQUE           $383.00
36035   PT ED-SMOKING CESSATION 3-10 MIN       $40.00
36065   PT ED SMOKING CESSATION > 10 MIN       $80.00
51100   IPPB TREATMENT - INITIAL              $199.00
51103   IPPB TREATMENT SUBSEQUENT             $185.00
51105   CP AIRWAY MANAGEMENT                    $0.00   Utilization
51120   RCP EXTUBATION                          $0.00   Utilization
51400   MECHANICAL VENT 1ST DAY             $2,276.00
51402   OXYGEN PROTOCOL                         $0.00   Utilization
51403   WEANING PARAMETERS                      $0.00   Utilization
51405   MECHANICAL VENT -SUBSEQUENT DAY     $1,500.00
51415   CRITICAL CARE STANDBY PROCEDURE       $110.00
51420   HBO THERAPY-RNCHO MIRAGE HYPERBAR     $250.00
52135   BRONCHIAL HYGIENE SUCTIONING           $61.00
52140   NASOTRACHEAL SUCTIONING 31720          $61.00
53100   ULTRASONIC NEBULIZER TREATMENT        $185.00
53115   UPA TREATMENT                         $185.00
53125   IPV SUBSEQUENT                        $235.00
53130   IPV INITIAL                           $229.00
54100   BIPAP OR CPAP (PER DAY)             $2,200.00
54108   BIPAP DISPOSABLE CIRCUIT               $25.50
54109   BIPAP MASK KIT                        $345.00
55001   CLINICAL TRIALS-RT EA 15 MIN            $0.00   Utilization
55075   XOPENEX 0.63MG/3ML(LEVELBUTER          $25.00
55076   XOPENEX 1.25MG/3ML(LEVALBUTER          $25.00
55100   CPR                                   $980.00
55201   CO2 DETERMINATION                     $101.00
55305   RCADPS INITIAL EVAL                     $0.00   Utilization
55307   RCADP- FOLLOW UP EVAL                   $0.00   Utilization
55311   CONTINUOUS AEROSOL THERAPY             $185.00
55317   CONT NEBULIZATION-MEDICATION           $185.00
55400   CHEST/PHYSIO THER/PERCUSSION-INIT      $229.00
55401   CHEST/PHYSIO THER/PERCUSSION-SUBS      $235.00
55520   OXYGEN                                 $255.00
55551   ABG PANEL                                $0.00   Utilization
55559   BLOOD GAS DRAW-PERCUTANEOUS             $79.00
55600   BLOOD GAS ANALYSIS                     $629.00
55604   BLOOD GAS ANALYSIS.                    $629.00
55605   INTUBATION PROCEDURE                   $940.00
56005   BRONCH ASSIST-MECH VENT PAITENT          $0.00   Utilization
56010   MDI INSTRUCT                             $0.00   Ordering
56015   SUCTION ART AIRWAY-CATH KIT              $0.00   Utilization
56020   SUCTION ART AIRWAY-INLINE CATH           $0.00   Utilization
56025   LUNG CLEARANCE DEVICE (FLUTTER)          $0.00   Utilization
56030   INTUBATION ASSIST EA 15 MIN              $0.00   Utilization
56035   CUFF PRESSURE MANAGEMENT-ADULT           $0.00   Utilization
56040   PATIENT TRANSPORT-INSIDE FACILITY        $0.00   Utilization
56045   PENTAMIDINE THERAPY                    $341.00
56050   UPA W/ANTIBIOTIC                       $185.00
56055   BEDSIDE SPIROMETRY                     $407.00
56060   CO OXIMETRY                            $204.00
56065   BLOOD GAS DRAW-ARTERIAL LINE            $79.00
56070   SPUTUM INDUCTION                        $75.00
56075   EZ PAP TREATMENT-INITIAL               $185.00
56080   EZ PAP TREATMENT SUBSEQUENT            $185.00
56085   BRONCHOSCOPY-DIAGNOSTIC              $1,656.00
56090   BRONCHOSCOPY W/BAL                   $1,656.00
56095   METHEMOGLOBIN                           $46.00
56100   CARDIOVERSION EA 15 MIN                  $0.00   Utilization
56105   MDI-SUBSEQUENT                         $185.00
56110   MDI-OUTPATIENT                         $185.00
56115   VITAL CAPACITY-TOTAL                   $171.00
56120   UPA-OUTPATIENT 76                      $185.00
56125   DESAT-DOWNLOAD AND REPORT                $0.00   Utilization
56130   CONT NEB MED-EA SUBSEQUENT TREATM        $0.00   Utilization
56135   HELIOX BY MASK (UPA)                   $185.00
57205   TENT MIST                                $0.00   Ordering
59455   PEAK FLOW                                $0.00   Ordering
59505   INCENTIVE SPIROMETRY                     $0.00   Ordering
59901   OXIMETRY SPOT CHECK                    $132.00
59903   PULSE OXIMETRY OVERNIGHT                 $0.00   Utilization
59904   MULTIPLE PULSE OX DETERMINATION        $165.00
59905   CONTINUOUS PULSE OXIMETRY              $165.00
59914   MDI PROCEDURE-INITIAL                  $185.00
59999   RESPIRATORY ORDER                        $0.00   Ordering
  173   NONROBOTIC LINAC BASED STERWO SRS    $8,925.50
  251   NONROBOTIC LINAC BASED STEREO SRT    $8,257.50
  339   IMAGE GUIDED ROBOTIC RADIOSURGERY   $15,750.00
  340   IMAGE GUIDE ROBOTIC DLY DELIV 2-5   $11,250.00
 1459   CT GUID RAD TX FIELDS 59               $885.00
 8950   INFUSION THERAPY-UP TO 1 HOUR          $446.00
 8951   INFUSION THERAPY-EACH ADDL HOUR       $115.00
 8952   INTRAVENOUS INJ-IVP, NON-CHEMO        $152.00
11717   HDR SOURCE-RECOVERY                   $275.00
21125   ESTABLISHED PATIENT 25 MODIFIER       $177.00
21225   FUP EXAM ROOM WTH PROCEDURE 25MOD     $233.00
21325   FUP EXAM ROOM W/PROCEDURE 25 MOD      $268.00
21425   ESTABLISHED PT HIGH LEVEL 25 MOD      $375.00
21525   ESTABLISHED PT VST LEVEL 5 25MOD      $474.00
24125   CONSULT LOW LEVEL 25 MOD              $111.00
24225   NEW EXAM ROOM 30 MINUTES 25 MOD       $146.00
24325   NEW EXAM ROOM 40 MINUTES 25 MOD       $177.00
24425   NEW EXAM ROOM 60 MINUTES 25 MOD       $246.00
24525   CONSULT HIGH LEVEL 25 MOD             $440.00
28059   SIMULATION SIMPLE 59 MOD              $646.00
28559   SIMULATION INTERMEDIATE 59 MOD        $802.00
29059   SIMULATION COMPLEX 59 MOD           $1,384.00
30159   IMRT TX PLAN 59 MOD                 $3,849.00
30559   ISODOSE PLAN SIMPLE 59 MOD            $717.00
31505   LARYNGOSCOPY RIGID SCOPE              $260.00
31559   ISODOSE PLAN COMPLEX 59 MOD           $983.00
31575   LARYNGOSCOPY FLEX FIBEROP DIAGNOS     $115.00
32159   SPECIAL BEAM PLAN ELECTRON 59 MOD   $1,058.00
33159   SPECIAL TLD W/59 MOD                  $720.00
33259   TREATMENT DEVICE SIMPLE 59 MOD        $620.00
33459   TREATMENT DEVICE COMPLEX 59 MOD       $862.00
33659   CONTINUING MEDICAL PHYSICS 59 MOD     $490.00
40159   CHEMO ADM-IM,SQ ADDL NON HORMONAL     $690.00
41376   TREAT COMP 6-10 MEV 76 MOD            $797.00
41476   TREAT COMP 11-19 MEV 76 MOD           $809.00
41859   IMRT DAILY TREATMENT 59 MOD         $1,804.00
42159   STEREOSCOP X-RAY GUID LOCALIZ 59      $300.00
72192   CT PELVIS WITHOUT CONTRAST          $2,407.00
76873   US VOLUME STUDY TRANSRECTAL/          $403.00
76950   US GUIDE FOR IMPLANT                  $403.00
76965   US GUIDE INTERSTIT RADIO APP          $860.00
77014   CT GUIDANCE RAD TX FIELDS             $885.00
77259   INJECTN IM/SQ NON-CHEMO ADDL/BID      $130.00
77280   SIMULATION SIMPLEX/                   $646.00
77285   SIMULATION INTERMEDIATE               $802.00
77290   SIMULATION COMPLEX                  $1,384.00
77295   3D SIMULATION                       $3,932.00
77300   BASIC DOSIMETRY CALCULATION/          $625.00
77301   IMRT TREATMENT PLAN                 $3,849.00
77305   ISODOSE PLAN SIMPLE                   $717.00
77310   ISODOSE PLAN INTERMEDIATE             $778.00
77315   ISODOSE PLAN COMPLEX                  $983.00
77321   SPECIAL, BEAM PLAN ELECTRON         $1,058.00
77326   BRACHYTX ISODOSE PLAN 1 -8 SOURCE   $1,045.00
77327   BRACHYTX ISODOSE PLAN 9 -12 SOURC     $935.00
77328   BRACHYTX ISODOSE PLAN > 12 SOURCE   $1,170.00
77331   SPECIAL TLD DOSIMETRY/                $720.00
77332   TREATMENT DEVICE SIMPLE/              $620.00
77333   TREATMENT DEVICE INTER                $591.00
77334   TREATMENT DEVICE COMPLEX              $862.00
77336   CONTINUING MEDICAL PHYSICS/           $490.00
77370   SPECIAL PHYSICS CONSULTATION        $1,327.00
77399   RADIATION SPECIAL SERVICES          $1,327.00
77401   SUPERFICIAL TREATMENT ELIVERY         $397.00
77403   TREAT SIMP 6- 10 MEV                  $358.00
77404   TREAT SIMP 11 -19 MEV                 $407.00
77408   TREAT INTER 6 10 MEV                  $545.00
77409   TREAT INTER 11 -19 MEV                $649.00
77413   TREAT COMP 6- 10 MEV                  $797.00
77414   TREAT COMP 11 -19 MEV                 $809.00
77417   THERAPY PORT FILM/S                   $297.00
77418   IMRT DAILY TREATMNT                 $1,804.00
77421   STEREOSCOPIC W-RAY GUIDED LOCALIZ     $300.00
77470   SPECIAL TREATMENT PROCED            $1,593.00
77761   INTERCAV RADIOELEM APP SIMPLE         $503.00
77762   INTERCAV RADIOELEM APP INTER        $4,697.00
77763   INTERCAV RADIO ELEM APP COMPLEX     $7,257.00
77778   INTERSTITIAL RADIATION SOURCE>10    $4,228.00
77781   HDR TX 1 -4 SOURCES                 $3,314.00
77782   REMOTE AFTERLOAD HI BRACH 5 -8 SO   $3,905.00
77783   HDR ISODOSE PLAN 9 -12              $6,970.00
77784   HDR ISODOSE PLAN > 12               $5,042.00
77790   RADIO ELEMENT HANDLING                $384.00
78158   HDR RX 1 -4 SOURCES 58 MODIFIER     $3,314.00
78159   HDR TX 1/4 SOURCES 59 MOD           $3,314.00
78258   BRACHY 5/8 SOURCES                  $3,905.00
78259   BRACHY 5-8 SOURCES 59 MOD           $3,905.00
78358   HDR TX 9-12 SOURCES 58 MOD          $6,970.00
78359   HDR TX 9/12 SOURCES 59 MOD          $6,970.00
78458   HDR TX >12 SOURCES 58 MOD           $5,042.00
78459   HCR TX >12 SOURCES 59 MOD           $5,042.00
90760   IV HYDRATION -UP TO 1 HR              $446.00
90761   IV HYDRATION-EA ADDL HR               $115.00
90765   INFUSION THERAPY UP TO 1 HR           $446.00
90766   INFUSION THERAPY-EA ADDL HR           $115.00
90772   INJECTION IM/SQ NON-CHEMO             $130.00
90774   INTRAVENSOU INJ-IVP NON-CHEMO         $152.00
90775   IV PUSH NONCHEMO EA ADDL              $167.00
95259   IV PUSH NON-CHEMO ADDL/BID            $152.00
96401   CHEMO ADM-IM,SQ NON-HORMONAL          $690.00
99211   ESTABLISHED PATIENT                   $177.00
99212   FUP EXAMINATION ROOM                  $233.00
99213   FUP EXAM ROOM                         $268.00
99214   ESTABLISHED PT HIGH LEVEL             $375.00
99215   ESTABLISHED PT VISIT LEVEL 5          $474.00
99241   CONSULT LOW LEVEL                     $111.00
99242   NEW EXAM ROOM 30 MINUTES              $146.00
99243   NEW EXAM ROOM 40 MINUTES              $177.00
99244   NEW EXAM ROOM 60 MINUTES              $246.00
99245   CONSULT HIGH LEVEL                    $440.00
  120   INSTATRAK STEREOTAC COMP AS            $780.00
  501   PACU                                 $2,000.00
  550   GI LAB POST-PROCED.RECOVERY-30MIN      $560.00
  805   GLUCOSE POINT OF CARE TESTING            $0.00   Utilization
  973   PROC DISCONTINUED BEFORE ANESTH -        $0.00
  974   PROC DISCONTINUED AFTER ANESTH -         $0.00
 3010   SDS/OCB SERVICES ADD'L 15 MIN MIN      $960.00
 3013   SDS/OR SERVICES ADD'L 15 MIN MAJO    $1,230.00
 3014   SDS SERVICE INTENSIVE ADD'L 15 MI    $1,740.00
 3017   OR SERVICE CRITICAL ADD'L 15 MIN.    $2,100.00
 3020   SPECIAL PROCEDURES 15 MIN INCREME      $640.00
 3025   PAIN MANAGEMENT CONSULT                  $0.00   Ordering
 4000   ESWL/LITHOTRIPSY WITH CYSTO         $12,090.00
 4001   ESWL/LITHOTRIPSY WITHOUT CYSTO       $9,550.00
 4006   ESWL/LITHOTRIPSY BILATERAL W/O CY   $17,000.00
 4007   ESWL/LITHOTRIPSY BIL WITH CYSTO     $20,540.00
 7403   ANALYZE MORPHINE PUMP W/O RE           $650.00
 7510   ANALYZE MORPHINE PUMP W/REPR           $670.00
 7518   ASPIRATION/INJ, SMALL JOINT            $435.00
 7519   ASPIRATION/INJ, INTERMEDIATE           $435.00
 7520   ASPIRATION/INJ,MAJOR JOINT             $450.00
 7521   CONSCIOUS SEDATION PAIN MGMT             $0.00   Ordering
 7524   EPIDURAL CERV THOR SINGLE              $450.00
 7525   EPIDURAL LUM CAUDL CONT                $370.00
 7526   EPIDURAL LUMB SINGLE                   $405.00
 7527   INJECT LUMBAR STEROID                  $405.00
 7528   INJECT CERV THOR STEROID               $450.00
 7530   GREATER OCC NERVE BLOCK                $210.00
 7536   INTERCOSTAL NERVE SINGLE               $390.00
 7539   SELECTIVE NERVE ROOT SINGLE            $353.43
 7540   SELECTIVE NERVE ROOT MULTIPL           $390.00
 7541   FACET JOINT NERVE SINGLE               $390.00
 7542   FACET JOINT NERVE 2ND INJECT           $390.00
 7544   OTHER PERIPH NERVE BLOCK               $680.00
 7545   STELLATE GANGLION BLOCK                $390.00
 7548   INTERCOSTAL NERVE BLCK MULT            $770.00
 7549   PARAVERT FACET JT(LUM/SAC)IN           $770.00
 7550   PARAVERT FACET JT(LUM/SAC)AD           $770.00
 7553   TRIGGER POINTS                         $435.00
 7554   EPIDURAL INJ BLOOD PATCH               $620.00
 7559   INTRATHECAL INJ MYLOGRAM FLU           $580.00
 7560   PARAVERTEBRAL PERIPH NERVE             $680.00
 7582   FACET JOINT NERVE-3RD/MORE             $390.00
 7590   PARAVERT FACET JT(THOR/CRV)I           $770.00
 7595   PARAVERT FACET JT(THOR/CRV)            $770.00
 7626   INJ PARAVERT FACET-CERV-BIL            $390.00
 7627   ADDL INJ PARAVERTEB FACET-BI           $390.00
 7630   PARAVRET FACET JT(L/S)>2 ADD           $770.00
50000   COCHLEAR IMPLANT DEV W W/O          $46,978.00
50001   USE OF OPERATING MICROSCOPE             $30.00
60100   UPPER BLEPHAROPLASTY-BILAT             $900.00
60101   LOWER BLEPHAROPLASTY-BILAT             $900.00
60102   UPPER & LOWER BLEPHAROPLASTY-BILA   $1,350.00
60103   ADDITIONAL 15 MIN INCREMENT           $135.00
60104   OBSERVATION/DAY ELECTIVE              $650.00
60105   ABDOMINOPLASTY-1 HR CSE             $1,000.00
60106   ABDOMINOPLASTY-2 HR CSE             $1,400.00
60107   ABDOMINOPLASTY-3HR CSE              $1,800.00
60108   ABDOMINOPLASTY-4 HR CSE             $2,200.00
60109   ABDOMINOPLASTY-1 HR CSE-2ND           $500.00
60110   ABDOMINOPLASTY-2 HR CSE-2ND           $700.00
60111   ABDOMINOPLASTY-3HR CSE-2ND            $900.00
60112   ABDOMINOPLASTY-4HR CSE-2ND          $1,100.00
60113   BRACHIOPLASTY-1HR CSE               $1,000.00
60114   BRACHIOPLASTY-2 HR CSE              $1,400.00
60115   BRACHIOPLASTY-3 HR CSE              $1,800.00
60116   BRACHIOPLASTY-4HR CSE               $2,200.00
60117   BRACHIOPLASTY-1HR CSE-2ND             $500.00
60118   BRACHIOPLASTY-2HR CSE 2ND             $700.00
60119   BRACHIOPLASTY-3HR CSE-2ND             $900.00
60120   BRACHIOPLASTY-4HR CSE-2ND           $1,100.00
60121   LIPOSUCTION-HEAD/NECK-1HR CS        $1,000.00
60122   LIPOSUCTION-HEAD/NECK-2HR CS        $1,400.00
60123   LIPOSUCTION-HEAD/NECK-3HR CS        $1,800.00
60124   LIPOSUCTION-HEAD/NECK-4HR CS        $2,200.00
60125   LIPOSUCTION-HEAD/NECK-1HR 2N          $500.00
60126   LIPOSUCTION-HEAD/NECK-2HR 2N          $700.00
60127   LIPOSUCTION-HEAD/NECK-3HR 2N          $900.00
60128   LIPOSUCTION-HEAD/NECK-4HR 2N        $1,100.00
60129   LIPOSUCTION-TRUNK-1HR CSE           $1,000.00
60130   LIPOSUCTION-TRUNK-2HR CSE           $1,400.00
60131   LIPOSUCTION-TRUNK-3HR CSE           $1,800.00
60132   LIPOSUCTION-TRUNK-4HR CSE           $2,200.00
60133   LIPOSUCTION-TRUNK-1HR-2ND             $500.00
60134   LIPOSUCTION-TRUNK-2HR-2ND             $700.00
60135   LIPOSUCTION-TRUNK-3HR-2ND             $900.00
60136   LIPOSUCTION-TRUNK-4HR-2ND           $1,100.00
60137   LIPOSUCTION UPPER EXTREM-1HR        $1,000.00
60138   LIPOSUCTION UPPER EXTREM-2HR        $1,400.00
60139   LIPOSUCTION UPPER EXTREM-3HR        $1,800.00
60140   LIPOSUCTION UPPER EXTREM-4HR        $2,200.00
60141   LIPOSUCTION UP EXT-1HR-2ND            $500.00
60142   LIPOSUCTION UP EXT-2HR-2ND            $700.00
60143   LIPOSUCTION UP EXT-3HR-2ND            $900.00
60144   LIPOSUCTION UP EXT-4HR-2ND          $1,100.00
60145   LIPOSUCTION LOWER EXT-1HR           $1,000.00
60146   LIPOSUCTION LOWER EXT-2HR           $1,400.00
60147   LIPOSUCTION LOWER EXT-3HR           $1,800.00
60148   LIPOSUCTION LOWER EXT-4HR           $2,200.00
60149   LIPOSUCTION LWR EXT-1HR-2ND           $500.00
60150   LIPOSUCTION LWR EXT-2HR-2ND           $700.00
60151   LIPOSUCTION LER EXT-3HR-2ND           $900.00
60152   LIPOSUCTION LWR EXT-4HR-2ND         $1,100.00
60153   CHEM PEEL FACIAL EPIDERM-1HR        $1,000.00
60154   CHEM PEEL FACIAL EPIDERM-2HR   $1,400.00
60155   CHEM PEEL FACIAL EPIDERM-3HR   $1,800.00
60156   CHEM PEEL FACIAL EPIDERM-4HR   $2,200.00
60157   CHEM PEEL FACIAL EPID-1HR-2N     $500.00
60158   CHEM PEEL FACIAL EPID-2HR-2N     $700.00
60159   CHEM PEEL FACIAL EPID-3HR-2N     $900.00
60160   CHEM PEEL FACIAL EPID-4HR-2N   $1,100.00
60161   CHEM PEEL NON FACE EPID-1HR    $1,000.00
60162   CHEM PEEL NON FACE EPID-2HR    $1,400.00
60163   CHEM PEEL NON FACE EPID-3HR    $1,800.00
60164   CHEM PEEL NON FACE EPID-4HR    $2,200.00
60165   CHEM PEEL NONFCE EPID-1HR-2N     $500.00
60166   CHEM PEEL NONFCE EPID-2HR-2N     $700.00
60167   CHEM PEEL NONFCE EPID-3HR-2N     $900.00
60168   CHEM PEEL NONFCE EPID-4HR-2N   $1,100.00
60169   RHYTIDECTOMY-1HR CSE           $1,000.00
60170   RHYTIDECTOMY-2HR CSE           $1,400.00
60171   RHYTIDECTOMY-3HR CSE           $1,800.00
60172   RHYTIDECTOMY-4HR CSE           $2,200.00
60173   RHYTIDECTOMY-1HR CSE-2NDRY       $500.00
60174   RHYTIDECTOMY-2HR CSE-2NDRY       $700.00
60175   RHYTIDECTOMY-3HR CSE-2NDRY       $900.00
60176   RHYTIDECTOMY-4HR CSE-2NDRY     $1,100.00
60177   MASTOPEXY(BILATERAL)-1HR       $1,000.00
60178   MASTOPEXY(BILATERAL)-2HR       $1,400.00
60179   MASTOPEXY(BILATERAL)-3HR       $1,800.00
60180   MASTOPEXY(BILATERAL)-4HR       $2,200.00
60181   MASTOPEXY BILAT-1HR-2ND          $500.00
60182   MASTOPEXY BILAT-2HR-2ND          $700.00
60183   MASTOPEXY BILAT-3HR-2ND          $900.00
60184   MASTOPEXY BILAT-4HR-2ND        $1,100.00
60185   BREAST REDUCTION-1HR CSE       $1,000.00
60186   BREAST REDUCTION-2HR CSE       $1,400.00
60187   BREAST REDUCTION-3HR CSE       $1,800.00
60188   BREAST REDUCTION-4HR CSE       $2,200.00
60189   BREAST REDUCTION-1HR CSE-2ND     $500.00
60190   BREAST REDUCTION-2HR CSE-2ND     $700.00
60191   BREAST REDUCTION-3HR CSE-2ND     $900.00
60192   BREAST REDUCTION-4HR CSE-2ND   $1,100.00
60193   BREAST AUGMENT UNILAT-1HR      $1,000.00
60194   BREAST AUGMENT UNILAT-2HR      $1,400.00
60195   BREAST AUGMENT UNILAT-3HR      $1,800.00
60196   BREAST AUGMENT UNILAT-4HR      $2,200.00
60197   BREAST AUGMENT UNILAT-1HR-2N     $500.00
60198   BREAST AUGMENT UNILAT-2HR-2N     $700.00
60199   BREAST AUGMENT UNILAT-3HR-2N     $900.00
60200   BREAST AUGMENT UNILAT-4HR-2N   $1,100.00
60201   BREAST AUGMENT BILAT-1HR       $1,000.00
60202   BREAST AUGMENT BILAT-2HR       $1,400.00
60203   BREAST AUGMENT BILAT-3HR       $1,800.00
60204   BREAST AUGMENT BILAT-4HR       $2,200.00
60205   BREAST AUG BILAT-1HR-2ND         $500.00
60206   BREAST AUG BILAT-2HR-2ND              $700.00
60207   BREAST AUG BILAT-3HR-2ND              $900.00
60208   BREAST AUG BILAT-4HR-2ND            $1,100.00
60209   REMOVE INTACT IMPLANT-1HR           $1,000.00
60210   REMOVE INTACT IMPLANT-2HR           $1,400.00
60211   REMOVE INTACT IMPLANT-3HR           $1,800.00
60212   REMOVE INTACT IMPLANT-4HR           $2,200.00
60213   REMOVE INTACT IMPLANT-1HR-2N          $500.00
60214   REMOVE IMPACT IMPLANT-2HR-2N          $700.00
60215   REMOVE INTACT IMPLANT-3HR-2N          $900.00
60216   REMOVE INTACT IMPLANT-4HR-2N        $1,100.00
60217   REMOVAL IMPLANT MATERIAL-1HR        $1,000.00
60218   REMOVAL IMPLANT MATERIAL-2HR        $1,400.00
60219   REMOVAL IMPLANT MATERIAL-3HR        $1,800.00
60220   REMOVAL IMPLANT MATERIAL-4HR        $2,200.00
60221   REMOVE IMPLANT MATER-1HR-2N           $500.00
60222   REMOVE IMPLANT MATER-2HR-2ND          $700.00
60223   REMOVE IMPLANT MATER-3HR-2ND          $900.00
60224   REMOVE IMPLANT MATER-4HR-2ND        $1,100.00
60225   OPEN PERIPROS CAPSL BRST-1HR        $1,000.00
60226   OPEN PERIPROS CAP BRST-2HR          $1,400.00
60227   OPEN PERIPROS CAP BRST-3HR          $1,800.00
60228   OPEN PERIPROS CAP BRST-4HR          $2,200.00
60229   OPN PERIPROS CAP BRST-1HR-2N          $500.00
60230   OPN PERIPROS CAP BRST-2HR-2N          $700.00
60231   OPN PERIPROS CAP BRST-3HR-2N          $900.00
60232   OPN PERIPROS CAP BRST-4HR-2N        $1,100.00
60233   PERIPROS CAPSUL BRST-1HR            $1,000.00
60234   PERIPROS CAPSUL BRST-2HR            $1,400.00
60235   PERIPROS CAPSUL BRST-3HR            $1,800.00
60236   PERIPROS CAPSUL BRST-4HR            $2,200.00
60237   PERIPROS CAPSUL BRST-1HR-2ND          $500.00
60238   PERIPROS CAPSUL BRST-2HR-2ND          $700.00
60239   PERIPROS CAPSUL BRST-3HR-2ND          $900.00
60240   PERIPROS CAPSUL BRST-4HR-2ND        $1,100.00
60241   RHINOPLASTY,PRIMARY-1HR CSE         $1,000.00
60242   RHINOPLASTY,PRIMARY-2HR CSE         $1,400.00
60243   RHINOPLASTY,PRIMARY-3HR CSE         $1,800.00
60244   RHINOPLASTY,PRIMARY-4HR CSE         $2,200.00
60245   RHINOPLASTY-PRIMARY-1HR-2ND           $500.00
60246   RHINOPLASTY,PRIMARY-2HR-2ND           $700.00
60247   RHINOPLASTY,PRIMARY-3HR-2ND           $900.00
60248   RHINOPLASTY,PRIMARY-4HR-2ND         $1,100.00
60249   SEPTOPLASTY-1HR CSE                 $1,000.00
60250   SEPTOPLASTY-2HR CSE                 $1,400.00
60251   SEPTOPLASTY-3HR CSE                 $1,800.00
60252   SEPTOPLASTY-4HR CSE                 $2,200.00
60253   SEPTOPLASTY-1HR CSE-2NDRY             $500.00
60254   SEPTOPLASTY-2HR CSE-2NDRY             $700.00
60255   SEPTOPLASTY-3HR CSE-2NDRY             $900.00
60256   SEPTOPLASTY-4HR CSE-2NDRY           $1,100.00
60257   SEPTOPLASTY/RHINOPLASTY-1HR 00000   $1,000.00
60258   SEPTOPLASTY/RHINOPLASTY-2HR    $1,400.00
60259   SEPTOPLASTY/RHINOPLASTY-3HR    $1,800.00
60260   SEPTOPLASTY/RHINOPLASTY-4HR    $2,200.00
60261   SEPTOPLA/RHINOPLASTY-1HR-2ND     $500.00
60262   SEPTOPLA/RHINOPLASTY-2HR-2ND     $700.00
60263   SEPTOPLA/RHINOPLASTY-3HR-2ND     $900.00
60264   SEPTOPLA/RHINOPLASTY-4HR-2ND   $1,100.00
60265   OTOPLASTY-1HR CSE              $1,000.00
60266   OTOPLASTY-2HR CSE              $1,400.00
60267   OTOPLASTY-3HR CSE              $1,800.00
60268   OTOPLASTY-4HR CSE              $2,200.00
60269   OTOPLASTY-1HR CSE-2NDRY          $500.00
60270   OTOPLASTY-2HR CSE-2NDRY          $700.00
60271   OTOPLASTY-3HR-CSE-2NDRY          $900.00
60272   OTOPLASTY-4HR CSE-2NDRY        $1,100.00
60273   FACIAL/FACE ENDO PRCD-1HR      $1,000.00
60274   FACIAL/FACE ENDO PRCD-2HR      $1,400.00
60275   FACIAL/FACE ENDO PRCD-3HR      $1,800.00
60276   FACIAL/FACE ENDO PROC-4HR      $2,200.00
60277   FACIAL/FACE ENDO PRCD-1HR-2N     $500.00
60278   FACIAL/FACE ENDO PRCD-2HR-2N     $700.00
60279   FACIAL FACE ENDO PRCE-3HR-2N     $900.00
60280   FACIAL/FACE ENDO PRCE-4HR-2N   $1,100.00
60281   SCAR REVISION-1HR CSE          $1,000.00
60282   SCAR REVISION-2HR CSE          $1,400.00
60283   SCAR REVISION-3HR CSE          $1,800.00
60284   SCAR REVISION-4HR CSE          $2,200.00
60285   SCAR REVISION-1HR CSE-2ND        $500.00
60286   SCAR REVISION-2HR CSE 2ND        $700.00
60287   SCAR REVISION-3HR CSE-2ND        $900.00
60288   SCAR REVISION-4HR CSE-2ND      $1,100.00
60289   CHIN AUGMENTATION-1HR CSE      $1,000.00
60290   CHIN AUGMENTATION-2HR CSE      $1,400.00
60291   CHIN AUGMENTATION-3HR CSE      $1,800.00
60292   CHIN AUGMENTATION-4HR CSE      $2,200.00
60293   CHIN AUGMENTATION-1HR CSE-2N     $500.00
60294   CHIN AUGMENTATION-2HR CSE-2N     $700.00
60295   CHIN AUGMENTATION-3HR CSE-2N     $900.00
60296   CHIN AUGMENTATION-4HR CSE-2N   $1,100.00
60297   BUTTOCK LIFT-1HR CSE           $1,000.00
60298   BUTTOCK LIFT-2HR CSE           $1,400.00
60299   BUTTOCK LIFT-3HR CSE           $1,800.00
60300   BUTTOCK LIFT-4HR CSE           $2,200.00
60301   BUTTOCK LIFT-1HR CSE-2NDRY       $500.00
60302   BUTTOCK LIFT-2HR CSE-2NDRY       $700.00
60303   BUTTOCK LIFT-3HR CSE-2NDRY       $900.00
60304   BUTTOCK LIFT-4HR CSE-2NDRY     $1,100.00
60305   MINI ABDOMINOPLASTY-1HR CSE    $1,000.00
60306   MINI ABDOMINOPLASTY-2HR CSE    $1,400.00
60307   MINI ABDOMINOPLASTY-3HR CSE    $1,800.00
60308   MINI ABDOMINOPLASTY-4HR CSE    $2,200.00
60309   MINI ABDOMINOPLASTY-1HR-2ND      $500.00
60310   MINI ABDOMINOPLASTY-2HR-2ND           $700.00
60311   MINI ABDOMINOPLASTY-3HR-2ND           $900.00
60312   MINI ABDOMINOPLASTY-4HR-2ND         $1,100.00
60314   IMPLANT FEE                            $50.00
60315   OTHR ELECT PLASTIC PROCED-1H        $1,000.00
60316   OTHR ELECT PLASTIC PROCED-2H        $1,400.00
60317   OTH ELECT PLASTIC PROCED-3H         $1,800.00
60318   OTHR ELEC PLASTIC PROCED-4HR        $2,200.00
60319   OTH ELEC PLASTIC PROCED-1HR           $500.00
60320   OTH ELEC PLSTIC PROCED-2HR            $700.00
60321   OTH ELEC PLASTIC PROCED-3HR           $900.00
60322   OTH ELEC PLASTIC PROCED-4HR         $1,100.00
81010   LASER PHOTOCOAG                     $1,460.00
81040   LASER SURGERY YAG                   $1,460.00
81060   FLOURESCEIN ANGIO PHOTOGRAPHY         $492.00
81080   LASER ARGON                         $1,010.00
81085   TRABECULOPLASTY/LASER SURG          $1,460.00
98504   SEED IMPLANT PANEL                      $0.00   Panel Master
69001   NOCTURNAL POLYSOMNOGRAM             $3,084.00
69010   MSLT                                $1,511.00
69020   NOCTURNAL POLYSOM W/CPAP            $3,606.00
69024   CPAP MGMNT                              $0.00   Utilization
69025   TECH ASST                               $0.00   Utilization
69030   ELECTRODE STIM BRAIN 1ST HR         $1,313.00
69032   ELECTRODE STIM BRAIN EA ADDL HR       $417.00
69034   BIPAP OR CPAP INIT/MGMT             $2,200.00
55009   SP OBSERVATION ROOM HOURLY            $141.00
55020   R & B VASCULAR IP HOLDING           $4,502.00
55875   SPINAL PUNCTURE, DIAGNOSTIC           $620.00
82425   PACU MAIN SPECIAL PROCEDURES        $2,000.00
82450   PROTIME (FINGER STICK) POCT            $40.00
88002   APHERESIS FOR PLASMA PHERESIS           $0.00   Utilization
88100   OBV IV INFUSION FIRST HOUR            $446.00
88105   OBV IV INFUS EA ADDL HR               $115.00
88106   OBV ADDL SEQENTIAL INF UP TO 1 HR     $446.00
88107   OBV CONCURRENT INFUSION               $115.00
88110   OBV IV PUSH INJECTION                 $152.00
88115   OBV IV PUSH EA ADDL NEW DRUG          $167.00
88120   OBV VENIPUNCTURE-BLOOD DRAW 1/DAY      $10.00
88125   OBV INSERT FOLEY,SIMPLE               $419.00
88130   OBV SC/IM INJECTION                   $130.00
88135   OBV SC/IM INJECTION EA ADDL           $130.00
88140   OBV IV INF HYDRATION INIT HR          $446.00
88145   OBV IV HYDRAT EA ADDL HR              $115.00
88230   TILT TABLE EXAM                     $1,258.00
88465   EXTERNAL CARDIOVERSION              $2,350.00
88720   CONSCIOUS SEDATION (STATS ONLY)         $0.00   Utilization
88735   TEE                                     $0.00   Utilization
88736   TEE (ATTEMPTED)                         $0.00   Utilization
88741   R & B MED/SURG IP HOLDING BED       $1,955.00
88742   R & B TELEMETRY IP HOLDING          $2,941.00
88743   R & B INTENSIVE CARE IP HOLDING     $5,207.00
88805   GLUCOSE,QUANT BLOOD-POINT OF CARE       $0.00   Utilization
88806   ACT (SPEC PROCED)COAG TIME POCT       $127.00
88973   PROC DISCONTINUED BEFORE ANESTH -       $0.00   Tracking
88974   PROC DISCONTINUED AFTER ANESTH -        $0.00   Tracking
88975   DOBUTAMINE STRESS TEST                  $0.00   Utilization
88976   SP NON-INVASIVE EP STUDY (NIPS)         $0.00   Utilization
88980   NON INVASIVE EP STUDY (NIPS) SP     $3,147.00
  100   CANNULA DUAL LUMEN 921045             $268.00
  101   CANNULA DUAL LUMEN 921044             $268.00
  102   COLOR PANELS FOR HEARING DEVISE       $183.50
  104   STAPLER HEMORRADIAL CIRC (PPH01)    $2,120.00
  105   CABLE COIL FOR HEARING DEV EXTERN   $1,894.00
  106   MAGNET FOR HEARING DEVISE EXT         $219.50
  107   MICROPHONE PROTECTOR FOR HEAR DEV      $77.00
  108   CLIP QUICK (HX200U-135.B )            $340.00
  109   CATH GROSHONG DUAL LUM 5F (         $1,770.00
  110   CONTROLLER HEARING DEVICE EXTERN    $8,730.00
  111   GUIDEWIRE PERIPHERAL (5662)           $710.00
  112   BATTERY HOLDER FOR HEARING DEVISE     $220.00
  113   CATHETER DOUBLE LUMEN 12FR0600620   $1,632.50
  146   STENT BILIARY FLEXIMA (3931)          $660.00
  149   STWNT BILIARY FLEXIMA (3922)          $660.00
  171   NEEDLE EPIDURAL TOUHY (18325)           $0.00   Utilization
  183   CANNULA 8.4X90MM C7372                $132.00
  184   ELECTRODE DISP 1720-003                 $3.00
  187   ACL KIT 232300                      $1,973.00
  188   CANNULA 8.62X70MM 22-1006             $152.50
  189   SUTURE ORTHOCORD W/NEEDLE 223114      $206.50
  198   CANNULA 5 MM 3910075501               $166.50
  199   INTRODUCER OC-W 410114              $4,627.00
  200   INTRODUCER OC-XW 410115             $4,627.00
  201   CATH RENEGADE 18-253                $2,709.50
  202   BLADE AGGRESSIVE PLUS 5.0 375.554     $358.50
  203   SPHERE REFLECTIVE 41773                $68.50
  204   GUIDEWIRE SPARTACORE 1002703-01       $513.50
  205   DRILL BIT 1.7MM AR-1201.7D            $464.00
  206   BONE TAMP INFLATABLE K13A           $6,396.50
  207   CELLECT GRAFT PREP 2761-25-002      $3,754.00
  208   SPINE ASPIRATOR KIT 2761-23-201     $1,437.00
  209   CATH TEMP HEMO MCDLTSL24              $730.00
  210   CATH DECATH DF23SH28                $1,719.00
  211   BLADE MICRO 5302-25-40                $167.00
  212   DEVICE CLOSURE 84000                $1,339.00
  213   GUIDE WIRE EX GLIDER 36BX             $205.50
  214   FORCEP BIOPSY RADIAL 1337-20          $564.00
  215   HYDRATOME 5304                      $2,628.00
  216   GUIDEWIRE THSCF-35-260-1.5-ROSEN      $132.00
  217   DRILL BIT 50MM 01-7140                $651.00
  218   INTRODUCER RCFW-14.0-38-30-RB         $509.00
  219   GUIDEWIRE CGRLS190H                   $566.00
  225   BLADE SHORT 01-7171                   $551.50
  226   BALLOON ENDO DISSECTION OMS-PDBS2   $1,621.50
227   CANNULA NON THREAD 3910-075-801        $167.00
228   CATH DRAINAGE 244711                   $529.00
229   NEEDLE CATH DISP 228677                $140.50
230   GUIDEWIRE ROSEN 070869                  $81.00
231   NEEDLE LEVEEN 4CM 26-224             $8,730.00
232   BLADE MAC 2 INTUBATION 4002             $27.00
233   NEEDLE LEVEEN 5 CM 26-216            $9,312.00
234   BLADE MILLER 0 INTUBATION 4510          $27.00
235   BLADE MILLER 1 INTUBATION 4511          $27.00
236   BLADE MILLER 2 INTUBATION 4512          $27.00
237   BLADE MILLER 3 INTUBATION 4513          $27.00
238   DRILL BIT 4.0MM FDB40S                 $531.50
239   DRILL BIT 4.0MM LONG FDB40L            $531.50
240   DRILL BIT STEP FDS40                   $531.50
241   BLADE SHAVER 375-951-012               $389.50
242   CATH TORNUS 2.6FR 82381-01           $4,627.00
243   CATH TORNUS 2.1FR 82380-01           $4,627.00
244   CANNISTER SGL SODA LINE (8003138)       $63.50
245   INTRODUCER SHEATH (HLS-1008)           $428.82
246   SIZER 475CC (351-475SZ)                $330.00
247   BREAST IMPLANT (350-2750)            $3,492.00
248   CATH FOGERTY 5.5FR (12TLW405F35)       $560.00
249   DRILL BIT 3.5MM (615.104)            $1,646.00
345   DRESSING SAFEGUARD SMALL 82050         $330.00
346   BALLOON CUTTING POV-3520135-14       $5,093.00
348   TROCAR BLADELESS (B12LPH)              $474.50
349   GARMENT LARGE THIGH DVT40              $341.00
350   CURETTE LATITUDE A11E-05             $1,162.00
351   GARMENT STANDARD THIGH DVT30           $249.00
352   BALLON CUTTING 2039-2020             $5,093.00
353   BALLOON CUTTING 2039-2520            $5,093.00
354   DRILL BIT 2236-80-070                  $823.00
355   SENSOR RADIAL ARTERY TRA-15020SP       $286.00
356   GARMENT LARGE CALF DVT20               $210.00
357   DRILL BIT RASP (60-0720)             $1,069.50
358   BURR 2.5MM (S-25B)                     $476.50
359   BURR 2.5MM (S-25DC)                    $462.00
360   CANNULA LARYNGEAL ABRAHAM (BE590)      $264.50
361   SUT PROLENE BLUE MONO 5-0 (9720H)      $104.00
362   OBLATION PROBE (FLX-VS10-05)        $29,000.00
363   DRILL BIT 5.0MM (00-2255-033-50)       $923.00
364   DRILL BIT 2.0MM (4012-2000)            $930.00
365   GUIDE PIN (00-2258-067-00)           $1,102.50
366   BALLOON CUTTING 3.0 (3020135-14)     $5,092.50
367   ULTRASLING II ANTI-R STRP 11-1530       $43.50
368   BLADE ANG TOMCAT SHAVR (38054510)      $447.00
369   BALLOON CUTTING 2039-3020            $5,092.50
370   DRILL BIT 7BA20D                       $639.50
371   FIBER 600MIC COOLING (L21017-001)    $1,630.00
372   DRILL BIT                              $639.50
373   DRILL BIT 15BA50D                      $748.00
374   DRILL BIT 8MH22D                       $573.50
375   DRILL BIT 9BA30DC                      $750.00
376   DRILL BIT 9BA50DC                      $748.00
377   DRILL BIT 8MH22                        $518.50
378   DRILL BIT 10MH22                       $551.50
379   DRILL BIT 15MH22                       $639.50
380   DRILL BIT 10MH22D                      $617.50
381   DRILL BIT 7BA50F-MN                    $590.00
382   CATH INFUSION 5.2F 24CM 500-52124   $12,484.00
383   CATH INFUSION 5.2F 30CM 500-52130   $12,484.00
384   CATH INFUSION 5.2F 40CM 500-52140   $12,484.00
385   CATH INFUSION 5.2F 50CM 500-52150   $12,484.00
386   DRILL BIT 7BA25                        $590.00
387   DRILL BIT 7BA50                        $590.00
388   DRILL BIT 9BA75                        $661.50
389   DRILL BIT 7BA15D                       $639.50
390   BURR S-2SDC                            $462.00
391   HEALING CAP (90840)                    $220.00
392   EAR RT BAJA DIVINO GREY (90512)     $16,587.00
393   STENT GRAFT (YRBRHXC2615135)        $29,000.00
394   STENT GRAFT (YRIRHXC1585)           $12,950.00
395   STENT GRAFT (YRECHXC1555)           $11,786.00
396   TRAY LUMBAR PUNCTURE (25-649)           $97.00
397   STENT GRAFT (ILXC151585)            $12,950.00
398   BALLOON STERLING (39032-50301)       $2,113.00
399   BALLOON STERLING (39032-40301)       $2,113.00
400   BALLOON STERLING (39032-60301)       $2,113.00
401   DRESSING WOUND AQUACEL 403712          $183.50
402   CREAM ATTRACTAIN 2OZ 1802               $74.00
403   WAND COBLATION EVAC EIC5872-01       $1,306.00
404   CATH DUAL LUMEN 10FR 608BX             $337.50
405   DILATOR 38CM 6-12FR 61238BX          $3,637.50
406   DILATOR 54CM 6-12FR 61254BX          $3,637.50
407   OSTEOTOME 9.5 ULTRA DRIVE 432881     $3,207.00
408   BALLOON CUTTING POV-2010134-4        $5,092.50
409   DILATOR 24CM 6-12FR 61224BX            $619.50
410   TUBING IV EXTENSION SET MX451FL         $13.50
411   ELLIPSOIDAL MAMMOSITE 2046          $16,005.00
413   DRILL BIT 4806-195-35                  $529.50
414   DRILL BIT 4806-195-45                  $505.00
415   SYSTEM LATITUDE HF MEDIUM LHMC       $5,238.00
416   PASITIONING KIT AT092005               $963.00
417   SUTURE MAGNUM PLUS OM9027            $2,677.00
418   DETECTOR 350-4402                      $183.00
419   NET FOREIGN BODY REMOVAL 00711050      $550.00
420   DRESSING MEPITEL 4X8 291090             $85.00
421   SUT TIGERSTICK #2 AR-7209T             $279.00
422   BURR 421.527                         $1,228.00
423   SUT SPIRALOK 6.0MM 222986            $1,752.00
424   DRILL BIT 7.0MM 423871               $2,619.00
425   HELICAL DRIVE 4MM 423921             $2,619.00
426   BRACE HIP POST OP (AT090205)         $1,129.00
427   DRAPE STERI (M1035)                      $0.00   Utilization
428   BLADE ANGLE PLUS 5.0 (280-554-100      $368.00
429   GUIDEWIRE (275-720-500)                $719.00
430   CORD FOLEY TEMP (153623M)              $264.00
431   BLADE SAGITAL 5302-30-73               $167.00
432   TUBING STRYKEFLOW 250-070-520          $753.00
433   PROBE SPATULA TIP 250-070-551          $454.00
434   BLADE GREAT WHITE 4.2 9299A            $352.00
435   KIT ENSITE NAV X EN001-002           $5,529.00
436   CATH CHILLI ABLATION M0049031K20     $8,701.00
437   CABLE CHILLI CATH M004620620           $996.00
438   PROBE L TIP 250-070-550                $454.00
439   PROBE J TIP 250-070-552              $2,165.00
440   ABLATOR 7209637                      $2,986.00
441   CHISEL LIGAMENT 7209663              $2,433.50
442   CANNULA 72200436                       $198.00
443   CLIP FILSHIE AVM-851J                  $508.00
444   BLADE ABRADER BURR 72200080            $559.00
445   BLADE INCISOR PLUS ELITE 72200414      $631.00
446   SYSTEM DRAINAGE EXACTA 46705           $871.00
448   TUBE INFLOW 7211004                    $454.50
449   ADAPTER 7211009                         $24.50
450   MINI LEMPERT STRAIGHT 160-421-1          $0.00
500   ADAPTER SPIKE IRRIGATION (N21150)       $24.00
517   GUIDEWIRE 3.2MM 00-7360-033-32       $2,316.50
518   CANNULA THREADED 3910075500            $167.00
519   SYSTEM LATITUDE HF SM CUFF (LHSC)    $5,238.00
520   STOPCOCK HIGH PRESSURE (70035009)       $27.69
521   NEEDLE TRANSEPTAL BRK1 (407201)      $1,567.20
522   INTRODUCER SLO (407449)              $1,339.00
523   CATHETER OPTIMA (81717)             $11,058.00
524   SUT SPIRALOK 6.5MM (222988)          $1,752.00
525   STENT MINIVISION (1007647-18)        $8,119.00
526   DEVICE BONE FILLER (F04C)              $764.00
527   KNEE ART SURF 15MM (5220-33-04)     $10,026.00
528   KNEE TIBIAL LOCKING (5220-66)        $1,206.00
529   HIP NAIL 14MM (2257-400-04)          $5,956.00
530   ALLODERM EX THICK 8X12CM (982096)   $12,856.00
531   SCREW (AR-4209-14)                   $6,693.00
532   SPINE CAGE 22X28X70 (9052870)       $18,891.00
533   HIP FEM STEM 22X235MM(9982-22-23)   $15,827.00
534   HIP FEM HEAD 32MM (129966)           $4,113.00
535   HIP LINER 56-62MM (71343256)         $2,951.00
536   VALVE LOPEZ (005600)                    $24.00
537   KNEE TIBIAL PLATE (8141-33-005)      $7,472.00
538   BALLOON 30X20X135(POV-3020135-14)    $5,093.00
539   ALLOGRAFT WEDGE 6MM (A00201)         $3,492.00
540   CATH DRAIN(ULT12.0-38-25-P-5S-CLD      $529.00
541   CATH DRAIN(ULT14.0-38-25-P-6S-CLM      $772.00
542   TUBE CONNECT (CTU14.0-30-ST)            $73.00
543   WAND ENT1 RELFEX ULT45(EIC4845-01    $1,208.00
544   GRAFT AAA MAIN BODY BIF(TFB-30-88   $29,600.00
545   GRAFT AAA ILIAC LEG (TFLE-20-54)    $15,714.00
546   GRAFT AAA ILIAC LEG (TFLE-18-54)    $15,714.00
547   COIL INTERLOCK 5X15 (36-155)         $2,153.00
548   COIL INTERLOCK 5X8 (36-154)          $2,153.00
549   COIL INTERLOCK 4X15 (36-153)         $2,153.00
550   COIL INTERLOCK 4X8 (36-152)          $2,153.00
551   COIL INTERLOCK 3X12 (36-151)         $2,153.00
552   COIL INTERLOCK 3X6 (36-150)          $2,153.00
553   SPINE PLATE 32.5MM (976-132)         $7,421.00
554   BONE CEMENT KIT (7670007)            $1,539.00
555   SCREW (2347-21-24)                     $159.00
556   SCREW (2347-22-50)                     $159.00
557   DEV ORBITAL ARTH (OADPD-12-10-135   $14,550.00
558   DEV ORBITAL ARTH (OADPD-17-15-135   $14,550.00
559   DEV ORBITAL ARTH (OADPD-19-20-135   $14,550.00
560   DEV ORBITAL ARTH (OADPD-17-15-95)   $14,550.00
561   DEV ORBITAL ARTH (OADPD-19-20-95)   $14,550.00
562   L-HOOK LAPAROSCOPIC (60-5163-001)      $183.00
563   INFLATION SYRINGE (M00550601)          $227.00
564   GUIDEWIRE (LVTNDR190)                  $566.00
565   GUIDEWIRE (CGRLS190S)                  $566.00
566   GUIDEWIRE (00-2360-033-32)             $292.00
567   PACEMAKER DUAL CHAM VICT XL(5816)   $18,232.00
568   SCREW (406.014)                         $78.00
569   FIXATION PIN (45833R)                  $581.00
570   DRILL BIT 2.7MM (00-2360-205-27)     $1,306.00
571   SCREW 5.0X45 (1797-12-545)           $8,497.00
572   SCREW 7.0X55 (1797-12-055)           $8,497.00
573   SPINE PLATE CERV 4HOLE 26(FJ751T)    $4,889.00
574   SCREW 4.0X14MM (FJ932T)              $1,714.00
575   SCREW 4.5X13MM (FJ941T)              $1,714.00
576   PLATE TIB 14HOLE (00-2357-007-14)    $6,635.00
577   SCREW 3.5X40 (00-2359-040-35)        $1,433.00
578   SCREW 3.5X35 (00-2359-026-35)        $1,433.00
579   SCREW 3.5X36 (00-2359-035-36)        $1,485.00
580   SCREW 4.5X36 (00-2359-045-36)        $1,485.00
581   SCREW 5.5X36 (00-2359-055-36)        $1,485.00
582   SCREW 3.5X30 (00-2359-030-37)        $1,947.00
583   SCREW 3.5X50 (00-2359-050-37)        $1,947.00
584   SCREW 3.5X55 (00-2359-055-37)        $1,947.00
585   SCREW 3.5X60 (00-2359-060-37)        $1,947.00
586   GUIDEWIRE DRILLTIP 00-2360-033-16    $1,900.00
587   TIBIA PROXIMAL R TISSUE (460385)    $27,532.00
588   CONNECTOR CROSS (1740-22-090)        $9,021.00
589   LASER FIBER (LLC)                      $996.00
590   SUT TIGERWIRE #2 (AR-7205T)            $352.00
591   KNEE TIBIAL SZ 2 (1581-20-000)      $16,500.00
592   KNEE ART SURF 12.5MM(1581-21-112)    $9,297.00
593   BALLOON STER7X4/135 (39032-70401)    $2,113.00
594   BALLOON STER4X2/135 (39032-40201)    $2,113.00
595   SCREW (214.026)                        $114.00
596   SCREW (214.030)                        $114.00
597   SCREW 6.5X20 (218.020)                 $205.00
598   CATH HEMODIALYSIS 14FRX28CM          $2,148.00
599   COIL MATRIX 2X6 (498206-SR)          $8,542.00
600   BURR HOLE COVER (421.554)              $950.00
601   WIRE ASAHI MIRACLEBROS (12777-01)      $531.00
602   ELBOW PLATE (PL-ELOL)                $4,877.00
603   SCREW 4.0X14 (CA-4140)                 $528.00
604   SCREW 3.5X32MM (CO-3325)               $528.00
605   SCREW 2.7X25MM (CO-2725)               $528.00
606   GRAFTON BONE 2.5X10CM (A42200)      $11,160.00
607   SCREW 4.0X50MM (CA-4500)               $684.00
608   BURR HOLE COVER (421.526)            $1,313.00
609   SCREW (217.050)                        $222.00
610   FORCEP RADIAL JAW (1599-40)             $95.00
611   PROBE 7FR (6007-5)                     $930.00
612   PLATE CLAW 20MM (4012-0020)          $6,955.00
613   SCREW 2.7X30MM (4012-2730)           $1,295.00
614   VERSANAIL 10X15CM (8007-10-015)     $10,117.00
615   CLIP ANEURYSM 2MM (FE902K)           $1,417.00
616   OSTEOSET BONE FILLER (8400-0311)     $5,733.00
617   CLIP ANEURYSM 3MM (FE903K)           $1,417.00
618   CLIP ANEURSYM 4MM (FE904K)           $1,417.00
619   CLIP ANEURSYM 5MM (FE905K)           $1,417.00
620   BREAST IMP SALINE 350 (354-2712)     $4,802.00
621   STENT SENTINOL (38948-5401)          $5,529.00
622   STENT SENTINOL (38948-5201)          $5,529.00
623   VASCUTAPE (1100-00)                    $205.00
624   SCREW 7.0X55MM (1797-12-755)         $6,118.00
625   BURR 3.0MM (5300-20-509)               $252.00
626   BURR 4.0MM (5300-10-307)               $416.00
627   BURR 5.0MM (5300-30-309)               $416.00
628   ANASTOCLIP (4000-02)                 $1,915.00
629   SHOULDER GLENOID 46MM(500-04-146)    $7,712.00
630   SHOULDER HUM HEAD 46MM(503-46-022    $7,712.00
631   SPINE CAGE 11X14X12 (Q-21411-711)    $7,130.00
632   BATTERY PACK (05.000.007.015)          $147.00
633   BALLOON REPL 22FR (M00562221)          $275.00
634   MAXILLOFACIAL PLATE 2HOL(421.502)      $268.00
635   SCREW 4.0MM (400.844)                  $465.00
636   PENILE RESIVOIR 65ML (72402970)      $7,391.00
637   SCREW 5.0MM (400.855)                  $293.00
638   SPINE ROD 40MM (ES504T)              $2,328.00
639   SCREW 7X45MM (ES173T)                $4,365.00
640   SCREW 7X40MM (ES172T)                $4,365.00
641   SCREW 10.5MM (1045-115)              $1,921.00
642   KNEE ART SURF 10MM (95-1020)        $12,542.00
643   BURR HOLE COVER (421.525)              $950.00
644   LIGHT MAT (495-UA2550)                 $402.00
645   HOOK WIRE 20GA W/NEEDLE(231.030G)      $205.00
646   HOOK WIRE 20GA W/NEEDLE(231.050G)      $205.00
647   HOOKWIRE 20GA W/NEEDLE (231.075G)      $205.00
648   SPINE CAGE 11X14X7 (Q-21411-707)     $7,130.00
649   SPINE CAGE 11X14X8 (Q-21411-708)     $7,130.00
650   SPINE CAGE 11X14X9 (Q-21411-709)     $7,130.00
651   SPINE PEEK LT 16X20 (8941620P)      $16,596.00
652   SCREW 7.5X50MM (124.476)             $4,074.00
653   SCREW 7.5X55MM (124.477)             $4,074.00
654   STENT EXPRESS BIL (37911-61480)      $5,529.00
655   SCREW 8.5X50MM (124.486)             $4,074.00
656   SPINE ROD CURVED 35MM (124.635)        $664.00
657   DRILL BIT (7BA50D-MN)                  $662.00
658   DRILL BIT (7BA50-MN)                   $604.00
659   DRILL BIT (7BA30D-MN)                  $662.00
660   DRILL BIT (7BA20-MN)                   $611.00
661   DRILL BIT (7BA20D-MN)                  $662.00
662   DRILL BIT (7BA15D-MN)                  $662.00
663   DRILL BIT 2.8MM (MSDC28)               $498.00
664   BALLOON CUTTING 7X2X50(PCB702050)    $4,656.00
665   WIRE ASAHI MIRACLEBROS (14936-01)      $531.00
666   INSERT SOFT TRACTION 86MM(G-8600)      $108.00
667   LEAD SELUTE BIPOLAR (4035)           $3,492.00
668   DRILL BIT (7BA60D-MN)                  $662.00
669   DRILL BIT (7BA40D-MN)                  $662.00
670   DRILL BIT (7BA40-MN)                   $611.00
671   DRILL BIT (7BA30-MN)                   $611.00
672   DRILL BIT (7BA15-MN)                   $611.00
673   SYST DEFIB DUAL VITAL(T167SYSTEM)   $92,000.00
674   KNEE STEM 19MM (5988-15-19)          $4,858.00
675   NAIL (2253-360-10)                   $3,826.00
676   CAP (2252-01-10)                       $959.00
677   CATH EXPO 6L4 (08641-220)              $293.00
678   CANNULA (3910075800)                   $167.00
679   CANNULA (3910075801)                   $167.00
680   SHIELD EYE PLASTIC LFT (8-601)          $15.00
681   BONE PUTTY (343105)                  $3,309.00
682   SYRINGE COAPTITE (M0068903000)       $1,371.00
683   NEEDLE COAPTITE 21G (M0068903020)      $183.00
684   PLASMA CISE 5FR (714500)             $1,299.00
685   PLASMA CUT 5FR (714510)              $5,791.00
686   BURR HOLE COVER 421.525                $950.00
687   SCREW (400.835)                        $440.00
688   SPINE T-LINK 50MM (161-3050)         $4,365.00
689   SPINE CAGE 12X27X8 (Q-10227-008)    $16,296.00
690   SPINE CAGE 12X27X14 (Q-10227-012)   $16,296.00
691   KNEE FEM SIZE D LT 00-5764-014-51    $7,106.00
692   SYSTEM PACEMAKER (SESR01SYSTEM)     $17,600.00
693   SYSTEM LATITUDE HF LG CUFF (LHLC)    $5,238.00
694   ADAPTER (LV/IS-10)                   $2,619.00
695   SPINE T-LINK 60MM (161-3060)         $4,365.00
696   HIP FEMORAL 35MM (9943-16-35)       $13,182.00
697   BALLOON STERLING (39032-60208)       $2,113.00
698   BALLOON STERLING (39032-70208)       $2,113.00
699   PLATE 10 HOLE (244.10)               $1,313.00
700   FINGER GRIP NYLON (3460L-5)             $76.00
701   KIT MANIFOLD STERILE (60040306)        $235.00
702   NAIL TROCHANTERIC (925211400)       $10,040.00
703   GRAFT AAA MAIN BODY (TFFB-36-95)    $29,600.00
704   TRAY SPINAL ANEST 25GA (1T2450)        $254.00
705   STENT BILIARY (PRB-06-040-120)       $9,312.00
706   STENT BILIARY (PRB35-06-020-120)     $9,312.00
707   STENT BILIARY (PRB35-06-060-120)    $10,476.00
708   STENT BILIARY (PRB35-06-080-120)    $10,476.00
709   STENT BILIARY (PRB35-07-120-120)    $11,611.00
710   STENT BILIARY (PRB35-06-120-120)    $11,611.00
711   STENT BILIARY (PRB35-06-150-120)    $12,222.00
712   STENT BILIARY (PRB35-07-020-120)     $9,312.00
713   STENT BILIARY (PRB35-07-040-120)     $9,312.00
714   STENT BILIARY (PRB35-07-060-120)     $9,312.00
715   STENT BILIARY (PRB35-07-080-120)    $10,476.00
716   STENT BILIARY (PRB35-07-100-120)    $11,058.00
717   STENT BILIARY PBR35-07-120-120      $11,611.00
718   STENT BILIARY (PRB35-07-150-120)    $12,222.00
719   STENT BILIARY (PRB35-08-020-120)     $9,312.00
720   STENT BILIARY (PRB35-08-040-120)     $9,312.00
721   STENT BILIARY (PRB35-08-060-120)    $10,476.00
722   STENT BILIARY (PRB35-08-080-120)    $10,476.00
723   STENT BILIARY (PRB35-08-100-120)    $11,058.00
724   STENT BILIARY (PRB35-08-120-120)    $11,611.00
725   STENT BILIARY (PRB35-08-150-120)    $12,222.00
726   SHEATH LONG (HLS2507)                  $485.00
727   CATH PERIPHERAL SILVERHAWK (P4030   $15,103.00
728   SCREW (400.806.96)                     $346.50
729   SCREW (400.807.96)                     $346.50
730   DRILL BIT 2.0MM (310.201)              $432.50
731   SCREW (401.832.96)                   $2,165.50
732   SCREW 25.0MM (AT-1250-96)            $2,165.50
733   MAXILLOFACIAL PLATE 4.0H(421.504)      $354.00
734   SCREW (205.242)                      $1,149.00
735   DRILL BIT (4806-100-27)                $338.00
736   CUSTOM TRANSDUCER PK (PXVK0965)        $481.00
737   HIP STEM (120.00.05)                 $5,820.00
738   HIP HEAD 56MM (81602256)             $5,820.00
739   PACEMAKER VICTORY DUAL CHAM(5810)   $18,232.00
740   SCREW (2319-41)                        $356.00
741   SCREW (2319-29)                        $356.00
742   GRAFT JACKET 4X7 (860M-4X07)        $13,000.00
743   SCREW 2.7X18MM (4012-2718)           $1,273.00
744   SCREW 2.7X20MM (4012-2720)           $1,273.00
745   DRILL BIT (1395-1025)                  $664.00
746   MAXILLOFACIAL PLATE 7HL (421.519)    $1,042.00
747   BURR HOLE COVER (421.553)              $950.00
748   MAXILLOFACIAL PLATE 20HL(421.520)    $2,526.00
749   SPINE CAGE 10X22X12 (Q-10022-012)   $11,058.00
750   HIP XL BODY 93X45MM (9923-93-45)    $12,912.00
751   HIP STEM XL 23X185 (9922-23-18)     $13,195.00
752   SHOULDER SHELL (508-00-000)         $12,077.00
753   SHOULDER BASEPLATE (508-32-104)      $9,894.00
754   SHOULDER STEM SZ 10 (506-00-010)    $15,700.00
755   SHOULDER INSERT 32MM (508-00-032)    $6,111.00
756   SHOULDER HEAD W/SCREW(508-32-103)    $7,566.00
757   SCREW 3.5X26MM (506-02-126)            $730.00
758   SCREW 5.0X22MM (506-03-122)            $730.00
759   SCREW 5.0X30MM (506-03-130)            $730.00
760   DRILL BIT 3.2 (801-01-020)             $664.00
761   SHOULDER STEM SZ 8 (506-00-008)     $15,700.00
762   SHOULDER HEAD W/SCREW(508-32-101)    $7,566.00
763   SCREW 5.0X26MM (506-03-126)            $730.00
764   SCREW 3.5X16MM (506-02-116)            $730.00
765   SCREW 5.0X14MM (506-03-114)            $730.00
766   HIP SHELL 78MM (6202-78-20)          $8,049.00
767   HIP LINER 40MM (6305-78-40)          $4,719.00
768   BONE PUTTY INJ 15CC (POSR-0415)     $14,521.00
769   BONE PUTTY INJ 4CC (POSR-0404)       $9,865.00
770   NAIL TROCHANTER 11.5X36(71647336)   $10,495.00
771   CAP (2259-08-20)                       $970.00
772   CATH RENEGADE 150X10 1TIP(18-251)    $2,139.00
773   HIP FEMORAL HEAD (71302808)          $3,026.00
774   GUIDEWIRE BENSTON .035X150 (10)        $220.00
775   NAIL TROCHANTERIC 13X42(71647442)   $12,068.00
776   SPINE PLATE (FJ750T)                 $4,889.00
777   SPINE SCREW 4.0X10MM (5J930T)        $1,711.00
778   SPINE SCREW 4.0X12MM (FJ931T)        $1,714.00
779   ALLOGRAFT BONE PST 5CC(650-00-05)    $5,093.00
780   SPINE CAGE 30X25X14 (Q-12005-014)   $15,680.00
781   THROMBIGEL DRESSING (3700)             $506.00
782   CATH EMBOLECTOMY FOGARTY 12A0804F      $368.00
783   CATH EMBLOECTOMY FOGARTY 12A0805F      $368.00
784   PLATE 6 HOLE TIBIAL (2357-06-06)     $5,796.00
785   SCREW 70X5.5MM (2359-70-55)            $918.00
786   SCREW 75X5.5MM (2359-75-55)            $918.00
787   SCREW 28X4.5MM (2359-28-45)            $681.00
788   PLATE MAXILLOFACIAL 4HL (421.510)    $1,267.00
789   SCREW (214.448)                        $916.00
790   GEL PORT (C8XX2)                     $2,642.00
791   SYSTEM HIP AB TRILOGY CERAMIC       $24,000.00
792   SCREW 6.5X50MM (8696550)             $6,260.00
793   SCREW 7.5X50MM (8697550)             $6,260.00
794   ROD (8690060)                        $1,646.00
795   KIT SYRINGE CT INJ (SDS-CTP-SPK)       $112.00
796   HIP SET ARTHROSCOPIC (7209874)       $1,502.00
797   FORCEP BIOPSY RADIAL (1331-20)         $183.00
798   BALLOON STERL 7X2X135(39032-70201    $2,113.00
799   BLADE SAW 19.5X105X1.27 (5071529)      $542.00
800   KNEE DISTAL AUG COMBO4/12R 960890    $4,169.00
801   KNEE FEM STEM FLUTE 14X125(960701    $8,759.00
802   KNEE OFFSET MOD+TIB TRAY#3(981163   $13,204.00
803   KNEE TIB WEDGE #3/10MM (860180)      $6,700.00
804   KNEE TIB ROD 12X115 (866426)         $6,839.00
805   SPINE SCREW POLYA8.0X50(LGPR0850     $3,492.00
806   PACK MINOR SET UP (SSK4002)            $143.00
807   CARD SMART (CV00030301)              $1,926.00
808   KNEE POST AUG #4/8MM (9608888)       $4,169.00
809   KNEE BOLT FEM STEM (960770)          $1,322.00
810   BONE ALLOGRAFT ORTHOBLEND 5CC        $4,995.00
811   LEVEEN CO-ACCESS SYST 3.0X15         $7,450.00
812   GUIDEWIRE FAS DASHER (235050)        $1,923.00
813   STENT BILIARY 6X59 (38948-6601)      $5,529.00
814   SCREW CORTICAL 3.5X46(2347-20-46)      $161.00
815   COIL FIBERED IDC 2D 5X8 (36-154)     $2,153.00
816   COIL FIBERED IDC 2D 5X15 (36-155)    $2,153.00
817   NEEDLE BIOPSY 16GX7.5CM(OBN16075)      $279.00
818   CEMENT RESTRICTOR #2 (5460-07-02)      $916.00
819   PLATE HUMERAL 6HOLE (2358-002-06)    $6,468.00
820   KNEE TIBIAL HALF BLOCK 4 15MM        $5,114.00
821   KNEE TIBIAL HALF BLOCK SZ4 15MM      $5,114.00
822   SPINE PLATE 37MM (1883-62-037)      $12,355.00
823   SPINE SCREW 4.5X16MM(1883-62-016)    $1,857.00
824   SPINE SCREW 4.0X22MM(1883-18-422)    $5,825.00
825   J HOOK ASSEMBLY (1883-12-003)        $2,556.00
826   ELECTRODE ROLLER BAR (RB)              $663.00
827   ELECTRODE SPIKED VAPORTRODE (VE-S    $4,656.00
828   ELECTRODE FLUTED BAR (VE-F)          $4,656.00
829   SAW BLADE MICRO CHOICE(5302-25-37      $167.00
830   BLADE RECIPRICATOR (5301-35-21)        $236.00
831   SPINE SCREW 4.35X35 (1883-19-535)    $5,846.00
832   DRILL BIT 2.4MM (2883-01-024)        $1,437.00
833   BREAST IMPLANT SALINE (25-68181)     $3,201.00
834   HIP LINER ACE 36MM 1219-36-064      $10,563.00
835   HIP LINER ACE 64MM 1219-36-164      $11,652.00
836   HIP TROCHANTERIC 11X360 456.416S     $8,835.00
837   SCREW LOCKING 3.5X40 2359-40-36        $503.00
838   SCREW LOCKING 3.5X50 2359-50-36        $503.00
839   SCREW CONICAL 3.5X45 2359-45-37        $490.00
840   GRAFT INTRAVASCULAR (HEW3010)        $4,190.00
841   KIT BIOPSY NAVIGUS EXTERNAL          $4,802.00
842   DRILL BIT 4.0 THREE FLUTED           $1,129.00
843   SHIMM STD MAX ACCESS 3200013         $3,818.00
844   LIGHT CABLE MAX ACCESS 3200220       $3,277.00
845   NEUROVISION JJB MODULE II 8010015    $9,719.00
846   NERVE RETRACTOR MAX ACC 2011202      $3,632.00
847   CLIP DYNAMIC NERVE STIM LG MAX AC    $1,950.00
848   PEDICLE PROBE MAX ACCESS 2010002     $1,950.00
849   K WIRE MAX ACCESS 3200011              $462.00
850   KNEE ART SURFACE 10MM 5994-32-10     $9,446.00
851   STENT GRAFT ILIAC SHRT ILXC141485   $15,569.00
852   BLADE HELICAL TI 11X120 456.309      $3,201.00
853   NAIL TROCHANTERIC 11X130X400         $9,510.00
854   SCREW LOCKING 5X38 458.938           $1,089.00
855   BREAST IMPLANT 350-7800BC            $4,947.00
856   NAIL 12MM SHORT TFN 456.322S         $7,217.00
857   SYSTEM KNEE CEMENTED GEND/XLINK     $18,100.00
858   BLADE HELICAL 85MM 456.302S          $3,376.00
859   SCREW 38MM 5.0 458.938S              $1,267.00
860   GUIDEWIRE 2.5 256-56000                $220.00
861   SCREW 7.0 X 60MM X 20 441-76020      $2,881.00
862   SCREW 7.0 X 80MM X 20 441-78020      $2,881.00
863   GUIDEWIRE 2.8 W/TROCAR 900.726         $506.00
864   NAIL TROCHAN 11X130X400 L 456.421    $9,510.00
865   HIP FEM CONE BODY 35MM 9996-20-35   $13,776.00
866   BLOCK OVAL CARVING IMP SILICONE      $8,439.00
867   GUIDEWIRE DRILL TIP 1.6MM            $1,900.00
868   TESTES IMP SILICONE ELASTOMER 3.0    $4,947.00
869   TESTES IMP SILICONE ELASTOMER 4.0    $4,947.00
870   TESTES IMP SILICONE ELASTOMER 4.5    $4,947.00
871   TESTES IMP SILICONE ELASTOMER 5.0    $4,947.00
872   VITOSS MICRO 10CC 2102-0027          $4,685.00
873   VITOSS MICRO 15CC 2102-0028          $6,024.00
874   VITOSS MICRO 30CC 2102-0029          $9,545.00
875   VITOSS STANDARD 30CC 2102-033        $8,206.00
876   SCREW SOLID LOCKING 3.5 X 26MM         $536.00
877   SCREW CANN LOCKING 3.5 X 45MM          $503.00
878   SCREW CANN CONICAL 3.5 X 50MM          $490.00
879   BALLOON PTA 1.5X9MM 20722-0915       $5,791.00
880   PLATE LCDCP 12 HOLE 224.62           $1,169.00
881   BALLOON PTA 2.0 X 9MM 20722-0920     $5,791.00
882   BALLOON PTA 2.25 X 9MM 20722-0922    $5,791.00
883   BALLOON PTA 2.75 X 9MM 20722-0927    $5,791.00
884   BALLOON PTA 3.0 X 9MM 20722-0930     $5,791.00
885   BALLOON PTA 3.0 X 15MM 20722-1530    $5,791.00
886   BALLOON PTA 3.25 X15MM 20722-1532    $5,791.00
887   BALLOON PTA 3.5 X 15MM 20722-1535    $5,791.00
888   BALLOON PTA 3.75 X15MM 20722-1537    $5,791.00
889   BALLOON PTA 4.0 X 15MM 20722-1540    $5,791.00
890   BALLOON PTA 4.0 X 20MM 20722-2040    $5,791.00
891   HUMIDIFIER PREFILL 340 W/ADAPTER        $19.00
892   HUMIDIFIER ADAPTER 003-01 00040         $10.00
893   STENT WINGSPAN 3.0 X 15 WS030015    $23,980.00
894   STENT WINGSPAN 3.5 X 15 WS035015    $23,980.00
895   STENT WINGSPAN 3.0 X 9 WS030009     $23,980.00
896   STENT WINGSPAN 3.5 X 9 WS035009     $23,980.00
897   STENT WINGSPAN 4.5 X 15 WS040015    $23,980.00
898   STENT WINGSPAN 4.5 X 15 WS045015    $23,980.00
899   STENT WINGSPAN 4.2 X 20 WS045020    $23,980.00
900   SUTURE CARTRIDGE OM8078              $1,062.00
901   SUTURE CARTRIDGE OM8088              $1,062.00
902   SR89 STRONTIUM CHLORIDE 4MCI        $16,224.00
903   KIT SPECTRIS SOLARIS INJ SYSTEM        $119.00
904   BLADE SAW OSCILLAT 19.5X105X1.27       $542.00
905   SYST HIP POROUS UNCEMENTED          $19,100.00
906   BALLOON DILATOR CRE 18-20CM 5850     $1,502.00
907   HIP LINER ACETAB XLINK 6305-60-40    $8,219.00
908   PEG PARTIAL THREAD 2.5X26 TP26000      $550.00
909   SCREW 7.0X75MM MUC 4417-7532         $2,881.00
910   SCREW 7.0X65MM MUC 4417-6520         $2,474.00
911   STENT FLUENCY 8MMX60CM FTM08060     $11,902.00
912   SHROUD KIT 300# CAPACITY SIDE ZIP      $279.00
913   DRILL BIT 6.0X435MM CANN 357.403     $2,858.00
914   DRILL BIT 11.0 TAPER CANN 357.404    $2,514.00
915   DRILL BIT GLOBUS 2.9MM 615.105       $1,646.00
916   TAP GLOBUS 3.5MM 615.107             $1,646.00
917   TAP GLOBUS 4.0MM 615.106             $1,646.00
918   SHROUD KIT 600# CAPACITY SIDE ZIP      $764.00
919   SCREW 7.0 X 60MM MUC 4417-6020       $2,474.00
920   SCREW GLOBUS 4.0 X 32MM 115.432      $2,910.00
921   SCREW GLOBUS 3.5 X 12MM 115.412      $2,910.00
922   SCREW GLOBUS 3.5 X 14MM 114.414      $2,910.00
923   SCREW GLOBUS 4.0 X 26MM 115.426      $2,910.00
924   SCREW GLOBUS 4.0 X 30MM 115.430      $2,910.00
925   SCREW GLOBUS 3.5 X 26MM 115.326      $2,910.00
926   CROSS CONNECTOR GLOBUS 32-41MM       $5,279.00
927   CROSS CONNECTOR GLOBUS 21-56MM       $5,279.00
928   HIP LINER ACETAB POLY 6310-66-40     $7,490.00
929   SCREW 406.018                           $90.00
930   SCREW 406.016                           $78.00
931   PLATE 441.36                           $326.00
932   TUBE GI FEEDING 18FR M00562760         $830.00
933   TUBE GI FEEDING 18FR M00562780         $830.00
934   TUBE GI FEEDING 18FR M00562790         $830.00
935   TUBE GI FEEDING 18FR M00562800         $830.00
936   TUBE GI FEEDING 28FR M00562880         $830.00
937   TUBE GI FEEDING 24FR M00562830         $830.00
938   TUBE GI FEEDING 24FR M00562840         $830.00
939   TUBE GI FEEDING 24FR M00562850         $830.00
940   TUBE GI FEEDING 28FR M00562870         $830.00
941   TUBE GI FEEDING 28FR M005562890        $830.00
942   KNIFE ANNULOTOMY 3100055             $1,430.00
943   RING ANNULOPLASTY MC3 26 4900-T26   $15,278.00
944   KNEE TIB ART SURFACE 5110-53-13     $12,775.00
945   PLATE MAXILLOFACIAL 421.518            $531.00
946   SPINE CAGE COROENT 6910850          $19,800.00
947   STENT SILHOUETTE URETERAL 6FRX26C      $930.00
948   KIT GPS SINGLE W/ACDA 800-1001A      $4,074.00
949   TIP MALLEABLE DUAL CANN 20GX4IN        $238.00
950   KIT GPS SPRAY APPLICATOR 800-0200      $257.00
951   KIT ASPIRATE BONE MARROW 800-0700    $2,037.00
952   SPINE CAGE 12X27X20MM Q-10227-010   $16,296.00
953   BRACE HIP POST OP RT SHRT PHILIPP    $1,129.00
954   DRESSING VAC SILVER FOAM LG            $432.00
955   WIRE TROCAR 1.0 4411-2000              $147.00
956   WIRE TROCAR 1.6 4411-2008              $147.00
957   DRILL BIT 2.0 24900008                 $930.00
958   PLATE CLAW 15MM 4012-0015            $6,955.00
959   SCREW 2.7 X 12MM 4012-2712           $1,273.00
960   SCREW 2.7 X 22MM 4012-2722           $1,273.00
961   SCREW 2.7 X 16MM 4012-2716           $1,273.00
 962   SCREW 2.7 X 14MM 4012-2714           $1,273.00
 963   SCREW 2.7 X 26MM 4012-2726           $1,273.00
 964   PLATE FUSION MTP STD 4111-0001       $7,246.00
 965   SCREW 2.7 X 16MM 4111-3011             $564.00
 966   SCREW 2.7 X 12MM 4111-3009             $564.00
 967   SCREW 2.7 X 18MM 4111-3012             $564.00
 968   SCREW 2.7 X 20MM 4111-3013             $564.00
 969   SCREW 2.7 X 22MM 4111-3014             $564.00
 970   SCREW 2.7 X 24MM 4111-3015             $564.00
 971   SCREW MUC 3.0 X 18MM 4411-0005       $1,730.00
 972   PLATE ELBOW OLECRANON 8HL PL-ELOM    $4,877.00
 973   SPINE CAGE 11X14X8MM Q-21411-008     $7,130.00
 974   SCREW SET NON BREAK-OFF 7540120        $837.00
 975   PLATE LP 5MM AR-13200M-05R           $2,765.00
 976   PLATE 8CM LUMBAR 9330080            $12,069.00
 977   BREAST IMPLANT SALINE 450CC 363LF    $4,656.00
 978   VALVE HEART FREESTYLE AORTIC SZ19   $22,200.00
 979   VALVE HEART FREESTYLE AORTIC SZ21   $22,200.00
 980   VALVE HEART FREESTYLE AORTIC SZ23   $22,200.00
 981   VALVE HEART FREESTYLE AORTIC SZ25   $22,200.00
 982   VALVE HEART FREESTYLE AORTIC SZ27   $22,200.00
 983   VALVE HEART FREESTYLE AORTIC SZ29   $22,200.00
 984   SPHERES ORTHOSOFT STERILE DEVICE       $122.00
 985   FIBER DIODE ABLATION SF980           $6,257.00
 986   PIN FIXED CAS FLUTED 3.2 X 150         $147.00
 987   SPINE CAGE 10X22X10MM Q-10022-010   $11,058.00
 988   DEFIB CARDIOVERT DUAL CHAMBER DR6   $70,000.00
 989   QUICK ANCHOR MINILOCK 2-0 212852     $1,907.00
 990   KNEE SPACER 65MM CEMENT MOLD         $5,238.00
 991   KNEE SPACER 60MM CEMENT MOLD        $11,058.00
 992   SPINE CAGE COROENT INTERBODY        $19,800.00
 993   BASKET 0 TIP 4 WIRE 390105           $1,472.00
 994   DRILL 3.2 CALIBRATED 0220            $1,502.00
 995   NAIL HUMERAL 7MMX20 1071-200         $9,283.00
 996   SCREW CANCELLOUS 5.0 8022-030        $1,129.00
 997   SCREW CANCELLOUS 5.0 8022-035        $1,129.00
 998   GUIDE PIN BALL NOSE 2.0 0103-600     $1,208.00
 999   CAP END 2MM 1074-020                 $1,175.00
1000   SCREW POLY 7.75 X 90MM 77590         $4,967.00
1001   ROD 50MM 192491                      $1,316.00
1002   ROD 200MM 192454                     $1,846.00
1003   PLATE 9X20X11MM AVS 48340110        $12,650.00
1004   CONNECTOR OFFSET 7000SOL             $5,160.00
1005   CVC POWERLINE 6FR MICROINTRODUCER    $1,833.00
1006   HOOK PEDICLE SMALL 7541102           $3,422.00
1007   HOOK MEDIUM WIDE BLADE 7541113       $3,422.00
1008   HOOK PEDICLE LARGE 7541104           $4,121.00
1009   HOOK LARGE WIDE BLADE 7541114        $4,121.00
1010   PLATE DVR ANATOMIC NARROW SHRT RT    $4,336.00
1011   ROD 70MM PRE-CUT 8690070             $1,646.00
1012   BURR ABRADER 4.0 72200080              $559.00
1013   ABLATION PROBE FLEXVIEW FLXVS10XE   $29,000.00
1014   CATH QUICKCROSS .015 X 90CM            $863.00
1015   BALLOON CATH STERLING 4.5X40/135     $2,113.00
1016   SYSTEM SPINE 1 LEVEL ANT CERVICAL    $7,566.00
1017   SYSTEM SPINE 2 LEVEL ANT CERVICAL    $9,312.00
1018   SYSTEM SPINE 3 LEVEL ANT CERVICAL   $11,058.00
1019   BRACE HIP POST OP SHRT LFT PHILIP    $1,129.00
1020   SPINE BONE ALLOGRAFT WEDGE 6MM       $3,492.00
1021   PLATE 8HOLE 144MM MED/DISTAL TIB     $3,617.00
1022   FORCEP CUTTING 33CM 5MM 920005PK     $1,857.00
1023   FORCEP CUTTING 33CM 10MM             $1,857.00
1024   FORCEP OPEN SEAL PKS CVD 25CM        $1,299.00
1025   TRISSECTOR PLASMA PKS 33CM 5MM       $2,351.00
1026   SCREW CORTEX 3.5 X 30MM 204.030        $121.00
1027   SOL DIALYSIS ACCUSOL BICARB K2         $105.00
1028   SOL DIALYSIS ACCUSOL BICARB K22.5      $105.00
1029   ANKLE PLATE 10 HOLE 135MM RIGHT      $1,812.00
1030   GUIDEWIRE 2.0 X 20 WS-2020             $440.00
1031   PLATE 226.57                           $717.00
1032   BALLOON CUTTING 3.5X20 2069-3520     $4,802.00
1033   PROBE NIM 23MM BALL TIP DISP           $664.00
1034   DISSECTOR BONE CUTTING 14CY50B         $708.00
1035   PEG SMOOTH 2.0X30MM P30000             $550.00
1036   ENDOSTITCH SURGITAC 2-0 GREEN          $315.00
1037   FIBER MASTER 200UM HOLMIUM             $996.00
1038   BRACE HIP POSTOP LT REG PHILIPPON    $1,129.00
1039   NAIL FEMORAL 14MMX30CM LT            $5,956.00
1040   SUTURE ANCHOR CORKSCREW 6.6MM        $1,833.00
1041   SUTURE ANCHOR BIOSWIVELOCK 6.6X15    $2,794.00
1042   QUADRANT MAST SYSTEM                 $5,820.00
1043   K-WIRE 2.0 X 225MM 5600-2225           $147.00
1044   DRILL BIT 3.2 5600-3200              $2,299.00
1045   DRILL BIT 3.5MM 5600-3500            $2,299.00
1046   SCREW 2.7 X 14MM 4111-3010             $564.00
1047   PLATE FUSION MTP 4111-0005           $7,246.00
1048   SCREW 3.2 X 16MM 4111-3002             $564.00
1049   SCREW 3.2 X 18MM 4111-3003             $564.00
1050   SCREW 3.2 X 22MM 4111-3005             $564.00
1051   SCREW 5.5 X 40MM 5600-5540           $2,881.00
1052   PLATE 3-HOLE 37MM 241.33               $361.00
1053   SCREW CANNULATED 4.5X28MM 214.528    $1,208.00
1054   INTRODUCER 6FR SHUTTLE G13264          $786.00
1055   CATH GLIDE ANGIOGRAPHIC 5FR            $476.00
1056   SYSTEM SPINE AXIALIF 360 DEGREE     $39,980.00
1057   STEM HIP PROSTALAC LT #3            $13,908.00
1058   HIP BIPOLAR HEAD 48MM 1035-48-000    $4,845.00
1059   SCREW PEG 2.5 X 26MM SP26000           $550.00
1060   SCREW ACUTRAK FIXATION 22.5          $2,165.00
1061   SPACER SPINE PLIF 7X20X9MM 4DEGRE   $12,650.00
1062   SCREW ROCKWOOD 1/4 THREAD 1"X25MM    $1,467.00
1063   SCREW ROCKWOOD 1/4THRD 1.25"X32MM    $1,467.00
1064   SCREW ROCKWOOD 1/4THRD 1.5"X38MM     $1,467.00
1065   SCREW ROCKWOOD 1/4THRD 1.75"X44MM    $1,467.00
1066   SCREW ROCKWOOD 1/4THRD 2"X51MM       $1,467.00
1067   SCREW LOCKING 5.0 X 44MM 212.216       $857.00
1068   SCREW LOCKING 5.0 X 48MM 212.218       $857.00
1069   HIP LINER LONGEVITY ACETAB XLINK     $8,219.00
1070   SCREW LOCKING 5.9 X 40MM 458.940     $1,089.00
1071   BOLT LOCKING 3.9 X 40 458.40           $784.00
1072   NEEDLE CYTOLOGY 19G WANG               $378.00
1073   RETRACTOR SIFT TISSUE DISP400-200    $1,952.00
1074   SPACER CAGE PEEK AVL 11X25X9X0DEG   $12,653.00
1075   SPACER CAGE PEEK AVS 11X25X10X0 D   $12,653.00
1076   SPINE CAGE PEEK AVS 11X25X12X0DEG   $12,653.00
1077   CAP LOCKING RADIUS 486610000         $1,489.00
1078   SCREW RADIUS 6.75X50MM 486611650     $5,488.00
1079   SCREW RADIUS 7.75-X40MM 486611740    $5,488.00
1080   SCREW RADIUS 7.75X45MM 486611745     $5,488.00
1081   ROD RADIUS 100MM 486615000           $1,781.00
1082   ROD RADIUS 110MM 486615010           $1,781.00
1083   SYSTEM HIP ASR ANY CEMENTLESS MOM   $27,100.00
1084   NAIL TIBIAL 11MMX36CM 2253-360-11    $3,826.00
1085   NEEDLE CYTOLOGY 22G WANG               $378.00
1086   SPINE CAGE BENGAL STD 6MM            $6,516.00
1087   PLATE SKYLINE 32MM 1868-02-032       $4,163.00
1088   SCREW SELF TAPPING 14MM                $993.00
1089   PIN FIXED CAS FLUTED 3.2X80MM          $147.00
1090   SCREW 3.5 X 38MM SELF TAPPING          $159.00
1091   PENILE PROSTHESIS AMS 700 INFLATE    $7,857.00
1092   PENILE PROSTHESIS MS PUMP 700CX     $25,200.00
1093   CATHETER TWIN PASS                   $1,775.00
1094   DRILL BIT 2.0MM MS-LDC20               $637.00
1095   DRILL BIT 2.8MM MS-LDC28               $637.00
1096   HIP FEMORAL HEAD PROVISIONAL 32MM      $797.00
1097   HIP FEMORAL HEAD PROVISIONAL32+35      $850.00
1098   SCREW CORTICAL 2.7X14MM CO-2714        $528.00
1099   PLATE CLAVICLE PL-CLL7               $4,877.00
1100   SCREW CORTICAL 3.5C12MM CO-3120        $528.00
1101   KNEE PLATE TIBIAL 75MM 141234       $12,897.00
1102   KNEE BUTTON POLY PATELLA 34MM        $4,994.00
1103   KNEE FEMORAL COMPONENT VANGUARD65   $13,992.00
1104   KNEE INSERT TIBIAL POLY 12X71/75M    $7,671.00
1105   SCREW RADIUS POLY 6.75X45MM          $5,488.00
1106   SPINE CAGE PEEK PLIF 8X25X4 AVSPL   $12,650.00
1107   STABILIZER ACROBAT SUV OFFPUMP SY    $9,865.00
1108   TRIAL POLY PATELLA PROVISIONAL 29      $235.00
1109   NECK PROVISIONAL STD OFFSET TAPER    $1,959.00
1110   SCREW CORTICAL 20MM 400.820            $346.00
1111   LEAD MONOPOLAR MED 5.5 DISP 3186A    $1,796.00
1112   SCREW CORTICAL 22MM 400.822            $346.00
1113   SCREW CORTICAL 24MM 400.824            $346.00
1114   NECK PROVISIONA STD OFFSET TAPER     $1,959.00
1115   SCREW 5.0 X 18MM 506-03-118            $691.00
1116   SHOULDER HUMERAL SOCKET SHELL +4M   $11,262.00
1117   SCREW 3.5 X 24MM 506-02-124            $691.00
1118   SCREW 3.5 X 18MM 506-02-118            $691.00
1119   SHOULDER HEAD W/RETAIN SCREW 36MM    $7,071.00
1120   SHOULDER INSERT HUMERAL 36MM         $5,762.00
1121   CATH ACESS PORT KIT (8540)             $185.00
1122   HIP FEMORAL HEAD PROVISION 32MM        $558.00
1123   HIP FEMORAL HEAD PROVISION 32+3.5      $558.00
1124   CATH PERIPHERAL GUIDE MACH I 6FR       $755.00
1125   SCREW BONE 26MM ATM-260              $1,763.00
1126   MASK PEDI CHERRY (1332)                  $0.00   Utilization
1127   GUIDEWIRE ENDOURO ANGLE (630-103)      $225.00
1128   BLADE SAW OSCILLATING 5071-177         $440.00
1129   ELBOW PLATE PL-LE011                 $4,429.00
1130   SCREW CORTICAL 3.5 CO-3220             $528.00
1131   BLADE BEAVER (BC377100)                 $36.00
1132   BLADE BEAVER BC376900                   $52.00
1133   DRESSING MEROCEL OTOWICK 1425008        $25.00
1134   SCREW CORTICAL 2.7 CO-2716             $528.00
1135   TUBE ENDOTRACH UNCUFF 5.5MM (1510       $24.00
1136   BLADE BEAVER (BC375700)                $106.00
1137   SCREW CANCELLOUS 4.0 CO-4160           $528.00
1138   SCREW CANCELLOUS 4.0 CA-4300           $528.00
1139   DRILL BIT 2.0 MC-DC5020                $249.00
1140   GUIDEWIRE .062 WT-1606STT              $249.00
1141   CATH INFUSION DRUG DEL W/US 12CM    $12,484.00
1142   CATH BALLOON OCCLUSION G31236        $2,107.00
1143   GRAFT AAA ILIAC LEG TFLE-22-54      $16,185.00
1144   ALLODERM XTRA THICK 4 X 12CM         $8,590.00
1145   VALVE MITRAL 33MM F7-033            $16,048.00
1146   PACER 5FR (11-KSS5)                    $430.00
1147   GRAFT PATCH 1710015006               $6,518.00
1148   SYSTEM KNEE CEMENTED                $17,169.00
1149   GRAFT HEMASHIELD .3X3 KNITTED DBL      $671.00
1150   KIT ENDO PROSTATE CRYO 206-F        $14,600.00
1151   PACEMAKER IDENTITY ADX 5386         $18,232.00
1152   CORD USA ACTIVE (628133)                 $0.00   Utilization
1153   PLATE MAXILLOFACIAL 6HOLE 521.522    $1,234.00
1154   STAPLER SKIN 12W (054829)               $76.00
1155   INTRODUCER DILATOR 5FR                  $54.00
1156   PROBE LASER FIBER (200-5120)           $990.00
1157   PROBE LASER FIBER (10-2074)          $4,440.00
1158   INTRODUCER DILATOR 6FR                  $54.00
1159   PLATE SKYLINE 54MM 1868-03-054       $4,357.00
1160   SPINE CAGE BENGAL LG 6MMX7*          $6,516.00
1161   SPINE CAGE BENGAL LG 7MMX7*          $6,516.00
1162   PIN FIXATION TEMP 2868-50-200          $664.00
1163   BLADE SAW 5071-145-00                  $498.00
1164   COIL GDC ULTRASOFT 3X8 343308        $5,612.00
1165   COIL GDC ULTRASOFT 4X4 343404        $5,501.00
1166   GLIDEWIRE STR .035X260CM PERIPHER      $330.00
1167   TUBE ENDOTRACHEAL 4.5 CUFFED            $40.00
1168   CATH PERITONEAL DIALYSIS (17278-0      $540.00
1169   TUBE ENDOTRACHEAL 4.5 UNCUFFED 86       $27.00
1170   TUBE ENDOTRACHEAL 5.0 CUFFED            $40.00
1171   TUBE ENDOTRACHEAL 5.0 UNCUFFED          $27.00
1172   CATH MULTIPACK 4F JL4 JR4 PIGTAIL      $462.00
1173   CATH ABLATION BI DIRECTIONAL 4MM     $4,132.00
1174   CATH ABLATION BI DIRECTIONAL 5MM     $4,190.00
1175   BALLOON CATH DILATAT 3.5X40X135CM    $2,113.00
1176   PLATE 243.15                           $244.00
1177   PLATE 4HOLE FIB LAT RT 2347-15-04    $2,012.00
1178   SCREW CORTEX SELF TAP 2.0X8MM          $154.00
1179   SCREW CORTEX SELF TAP 2.0X10MM         $154.00
1180   SCREW CORTEX SELF TAP 2.0X12MM         $154.00
1181   STIMULATOR SPINAL CORD 7425         $31,180.00
1182   PIN ABSORBABLE 84-1052               $1,979.00
1183   SOL IV D20 PARTIAL 500ML 2B0124P        $72.00
1184   GUIDEIWRE 2.5MM THREAD 2565-7000       $147.00
1185   MASK PEDI SCENTED (1232)                 $0.00   Utilization
1186   MASK PEDI SCENTED (1132)                 $0.00   Utilization
1187   SCREW MUC SHORT THREAD 4.3X50        $1,892.00
1188   SCREW LEGACY 7.5 X 40MM 75447540     $5,321.00
1189   SUCTION TUBING W/WAND (IW-106/S)        $52.00
1190   NAIL TIBIAL 11 X 345 02.02361.134    $6,940.00
1191   SCREW LOCKING 4.9MM 02.03149.032     $1,124.00
1192   SCREW LOCKING 4.9MM 02.03149.060     $1,124.00
1193   SCREW CAP 02.03630.041               $1,399.00
1194   GUIDEWIRE THREADED 02.00020.042        $277.00
1195   CLIP ANEURYSM FT752T                 $1,776.00
1196   SYSTEM PACEMAKER PHILOS II DR       $21,600.00
1197   BREAST IMPLANT GEL 350-3754BC        $5,238.00
1198   ELECTRODE LOOP 45DEG (MLES-24-015      $425.00
1199   HIP FEMORAL STEM REV 9982-19-23     $16,539.00
1200   CLIP ANEURYSM 20-1362                $1,804.00
1201   NAIL FEMORAL 12X24 2240-12-24        $5,472.00
1202   SYSTEM PACEMAKER VICTORY DR 5816    $22,896.00
1203   SCREW POLYAXIAL NONWING 8.0X50MM     $3,492.00
1204   THRYOPLASTY MONTGOMERY IMPLANT KT    $3,638.00
1205   GRAFT VASCULAR EXXCEL SOFT 8MMX70    $4,348.00
1206   CATH J WIRE (THSCF-35-480-7.5)         $270.00
1207   MAXCESS GUIDEWIRE KT DISP 3200060   $11,349.00
1208   K WIRE 3230101                         $837.00
1209   SPINE CAGE COROENT 6981255          $19,800.00
1210   SPINE CAGE COROENT 6981455          $19,800.00
1211   EVACUATOR SMOKE ATTACHMENT (E3590        $0.00   Utilization
1212   PROBE ENDOSTAT FIBER LASER (10-52    $1,310.00
1213   KNIFE MYRINGOTOMY (BC377121)            $40.50
1214   BALLOON STERLING MR CATH 4X2X135     $2,113.00
1215   FILTER LASER PLUME (901054-030)        $110.00
1216   BALLOON STERLING MR CATH 5X2X135     $2,113.00
1217   BALLOON STERLING MR CATH 6X2X135     $2,113.00
1218   BALLOON STERLING MR CATH 7X2X135     $2,113.00
1219   SPINE CORNERSTONE 13X14X11MM         $6,111.00
1220   BREAST IMPLANT 350-1625              $3,347.00
1221   LEAD DBS 40CM 3387S-40              $12,560.00
1222   HIP LINER ACETAB 36MM 1220-36-560   $11,960.00
1223   KIT PICC SINGLE LUMEN 4FR 50CM         $830.00
1224   KIT PICC DOUBLE LUMEN 5FR 50CM         $830.00
1225   NAIL CANN FOOT 12MM X 180MM RT       $8,003.00
1226   NAIL FEMORAL RETROGRADE 65MM         $3,149.00
1227   SCREW 6.0 LOCKING W/T25 58MM         $1,280.00
1228   SCREW 5.0 LOCKING W/T25 60MM         $1,280.00
1229   TUBE ENDO TRACH LASER 7.0 (70-604      $687.00
1230   TUBE ENTOTRACH LASER 6.5 (70-6035      $610.00
1231   SCREW 5.0 LOCKING W/T25 40MM         $1,280.00
1232   TUBE ENDOTRACH LASER 7.5 (70-6045      $540.00
1233   CUTTER ARTHROSCOPI (290-530-000)       $520.00
1234   DRESSING TELFA 3X4 (KC1050)             $50.00
1235   CAP END T25 STARDRIVE                $1,029.00
1236   SCREW 5.0 LOCKING W/T25 26MM         $1,280.00
1237   SCREW 5.0 LOCKING W/T25 28MM         $1,280.00
1238   CLIP APPLIER ERCA (ER220)              $667.00
1239   PROBE TEMPERTURE SKIN (701-4000-0       $41.25
1240   KNEE INSERT X-LINK 12.5MM            $9,298.00
1241   MEROCEL 2000 (470405)                   $96.00
1242   HIP PINNACLE CUP 1217-01-060         $9,834.00
1243   SCREW 40X14MM SELF-TAP 48694014      $1,295.00
1244   REUTER BIVALVE FLUORO (15-27010)       $165.00
1245   NAIL IM FEMORAL 14MM X 28CM          $5,472.00
1246   PAD HILGER NERVE STIM (3118)            $36.00
1247   FILTER SMOKE                           $510.00
1248   TUBING STERILE EVACUATOR                 $0.00   Utilization
1249   TUBING NS SMOKE (691519)               $150.00
1250   SCREW 3.0MM LP EMERG SELF TAPPING      $452.00
1251   BREAST EXPANDER 67-133FV12           $7,537.00
1252   TUBE GASTROSTOMY MIC 14                $259.00
1253   HEMOSTAT INSTA 1X2 (1981)               $84.00
1254   BREAST IMPLANT SILICONE 350-5504B    $5,238.00
1255   TUBE GASTROSTOMY MIC 16                $259.00
1256   TUBE GASTROSTOMY MIC 20                $259.00
1257   BREAST IMPLANT SILICONE 350-7150B    $4,947.00
1258   TUBE GASTROSTOMY MIC 22                $259.00
1259   TUBE GASTROSTOMY MIC 24                $259.00
1260   PACEMAKER CYCLOS DR (349799)        $17,600.00
1261   BATTERY SNG. LEAD SOLETRA (7426)    $35,980.00
1262   PROGRAMMER ACCESS REVIEW (7438)      $3,463.00
1263   EXTENSION DBS 40MM (7482A-40)        $4,045.00
1264   SCREW 4.5 CANNULATED (214.746)       $1,208.00
1265   HIP STEM PROSTALAC (1541-01-000)    $13,908.00
1266   DRESSING TEGAPORE 8X10 (M5640)          $84.00
1267   KNEE ARTICULAR (5994-42-10)          $9,446.00
1268   CATH PERIPHERAL SILVERHAWK          $15,103.00
1269   CATH ABLATION 5MM SAFIRE MED CRV     $4,190.00
1270   ALLODERM TISSUE 3X12CM               $2,986.00
1271   NAIL TIBIAL 11MM CANNULATED          $7,845.00
1272   MARKER PEN                               $0.00   Utilization
1273   SCREW LOCKING 5.0MM 04.005.538       $1,102.00
1274   BLADE MYRINGTOMY (BC377121)             $41.00
1275   CAP END 5MM 04.004.001S              $1,463.00
1276   FIBER LASEROPTIC FOR ILC (LF001-1    $2,890.00
1277   SCREW LOCKING 5.0 W/T40 STARDRIVE    $1,280.00
1278   SCREW LOCKING 5.0 W/T25 STARDRIVE    $1,280.00
1279   CAP END W/T40 STARDRIVE              $1,175.00
1280   TUBE ENDOTRACH 4.5 (70-60150)          $660.00
1281   TUBE ENDOTRACH LASER 5.5 (70-6025      $660.00
1282   PACK LEGACY CASSETTE (20130E)            $0.00   Utilization
1283   NAIL FEMORAL ITST STD LONG 12X40     $5,956.00
1284   INTRODUCER CATH (BF406999)               $0.00   Utilization
1285   BALLOON STERLING OTW 39032-40208     $2,113.00
1286   TUBE TRACH ORAL RAE 6.0 (201286)        $41.25
1287   SPLINT NASAL REUTER THIN (15-2700      $155.00
1288   GUIDEWIRE (620-101)                     $96.00
1289   INTUBATION SET CRAWFORD LACRIMAL       $513.00
1290   SCREW 5.0 LOCKING W/T25 50MM         $1,280.00
1291   SCREW RADIUS 5.75X50MM POLY          $5,485.00
1292   ROD RADIUS 70MM 486615070            $1,778.00
1293   DRILL BIT CANNULATED 12.0MM          $2,619.00
1294   BLADE SAW (5301-30-73)               $1,313.00
1295   DRILL BIT 3-FLUTED 4.2MM 145MM NP      $956.00
1296   PLATE 2.0 Y 3HOLE HEAD 8HOLE SHAF    $1,456.00
1297   SPINE CAGE PLIF PECK 10X25X0DEG     $12,650.00
1298   SCREW SNAP 2.7X13MM 4511-0004        $1,698.00
1299   SCALPEL LAPROSCOPY 5MM (LCS-C5)      $2,090.00
1300   FIBERS STRAIGHT ENDOSTAT(EZ1060F)      $800.00
1301   SCREW 5.0 LOCKING W/T25 44MM         $1,280.00
1302   SCREW CORTEX 2.0X20MM SELF TAP         $277.00
1303   CUTTER LINEAR RELOAD (TRT55)           $350.00
1304   CATH AXCESS OPEN END 6FR (400-116       $75.00
1305   ENDO TROCAR 10-12 (512ON)              $650.00
1306   SCREW CORTEX 2.0X24MM SELF TAP         $277.00
1307   WIRE BALLOON DILATOR (5836)          $1,280.00
1308   SCREW CORTEX 2.0X26MM SELF TAP         $277.00
1309   BALLOON CATH VIATRAC 14 PLUS         $1,502.00
1310   BASKET RETRIEVAL ESCAPE 390-201      $1,293.00
1311   SEAL FOR EAWE WORKIG ELEMENT           $109.00
1312   KIT COLPOSCOPE 03-0037-01            $1,633.00
1313   SCREW LOCKING 4.9X34MM SELF TAP      $1,123.00
1314   SCREW LOCKING 4.9X46MM SELF TAP      $1,123.00
1315   PLATE CRANIOFACIAL LP 8HOLE STRUT    $1,306.00
1316   CARDIOVERTER/DEFIB ATLAS II V365    #########
1317   SUTURE VICRYL 5-0 P-2 J503G             $35.00
1318   SYSTEM KNEE MIS FLEX CEMENT W/ART   $20,500.00
1319   PACEMAKER ADAPTA SINGLE CHAMBER     $16,000.00
1320   WIRE BALLOON DILATOR (5833)          $1,280.00
1321   WIRE BALLOON DIALATOR (5834)         $1,280.00
1322   WIRE BALLOON DILATOR (5835)          $1,280.00
1323   ELECTRODE 82-27410                     $484.00
1324   DRESSING COMPRESSION SM S-BBIND        $132.00
1325   DRESSING COMPRESSION MED M-BBIND       $132.00
1326   DRESSING COMPRESSION LG L-BBIND        $132.00
1327   NAIL TROCHANT 11MM 130DEG CANN       $7,217.00
1328   SPINE CAGE COROENT XLG 12X18X50MM   $19,800.00
1329   PLATE LOCKING CLAVICLE 6HOLE         $5,814.00
1330   SCREW LOCKING CORTICAL 3.5X14MM      $1,169.00
1331   SCREW LOCKING CORTICAL 3.5X16MM      $1,169.00
1332   SCREW LOCKING CORTICAL 3.5X18MM      $1,169.00
1333   NEEDLE DISCOGRAM SET (183109)            $0.00   Utilization
1334   SCREW NONLOCKING CORTICAL 3.5X16       $506.00
1335   SPINE CAGE COROENT XLG 10LORDOTIC   $19,800.00
1336   STAPLER CUTTER ENDOSCOPIC EZ45G      $1,654.00
1337   SCREW NONLOCKING CORTICAL 3.5X18       $506.00
1338   SCREW LOCKING CORTICAL 3.5X22MM      $1,169.00
1339   SCREW NONLOCKING CORTICAL 3.5X20       $506.00
1340   DRILL BIT 2.7X10MM 61273-100           $432.00
1341   TIP DUAL SPRAY 800-0201                $238.00
1342   TIP BLENDING 800-0204                  $238.00
1343   APPLICATOR BIOLOGICAL SPRAY            $257.00
1344   SPINE CAGE 16X19X20MM 8941620       $16,030.00
1345   SUTURE ANCHOR BIO-CORKSCREW 5.5MM    $1,861.00
1346   SUTURE LASSO AR-4068-25TL              $930.00
1347   SUTURE LASSO AR-4068-25TRF           $1,162.00
1348   ELBOW COONRAY/MORREY ULNAR SM RT    $13,824.00
1349   ELBOW HUMERAL LONG FLANGE SM 6"     $15,624.00
1350   COUNTERSINK 1.5MM-2.0MM PCS47920     $1,626.00
1351   LAP BURCH KIT 65668-001              $3,056.00
1352   SPLINT THUMB SPICA LEFT MEDIUM         $150.00
1353   SPLINT THUMB SPICA LEFT LARGE          $150.00
1354   SPLINT SOFT THUMB RIGHT SMALL          $150.00
1355   SPLINT SOFT THUMB RIGHT LARGE          $150.00
1356   SPLINT TRIMABLE THUMB                  $156.00
1357   GRAFT GORE MATRIX CM                 $5,675.00
1358   SUTURE ORTHOCORD 223105                $139.00
1359   HIP FEMORAL HEAD 36MM 71303608       $3,729.00
1360   HIP FEMORAL COMPONENT POROUS        $14,527.00
1361   HIP SCREW HEAD REFLECTION SPHER25      $488.00
1362   HIP SHELL 3HOLE REFLECTION 58MM      $5,569.00
1363   HIP FEMORAL HEAD COCR 12/14 36MM     $4,769.00
1364   HIP LINER ACETAB XLPE 36MM           $7,122.00
1365   PENCIL ELECTROSURGICAL BAYONET         $518.00
1366   DRAIN SILICONE 32FR 072332             $255.00
1367   COIL MATRIX SOFT 4X8                 $7,243.00
1368   COIL MATRIX 4X10                     $7,298.00
1369   COIL MATRIX STANDARD 5X15            $7,437.00
1370   COIL MATRIX EXTRA FIRM 18X30         $9,565.00
1371   SYSTEM PACEMAKER PHILOS II          $21,600.00
1372   SUTURE ETHIBOND 2-0 RB-1 30 MX553      $108.00
1373   SUTURE ETHIBOND 3-0 RB-1 30 MX552      $112.00
1374   HIP CABLE READY SYSTEM 2232-50-18    $1,908.00
1375   PIN GUIDE THREADED 3.2MM             $1,096.00
1376   PATCH FELT PTFE 1X1 007973             $154.00
1377   NAIL FEMORAL RT INST 14MM X 36CM     $5,956.00
1378   SYSTEM KNEE MIS GSF FLEX CEMENTED   $20,100.00
1379   HIP FEMORAL CONE BODY REV 35MM      $13,776.00
1380   KNEE ART SURFACE STEB PLUS           $8,184.00
1381   KNEE POSTERIOR AUG 96-0868           $4,169.00
1382   CLIP ANEURSYM PERM STD 17.5MM        $1,776.00
1383   CLIP ANEURSYM PERM STD 9MM           $1,776.00
1384   CLIP ANERUYSM TI PERM STD 12MM       $1,776.00
1385   CLIP ANEURYSM TI PERM STD 7.5MM      $1,776.00
1386   CLIP ANEURSYM TI PERM STD 6MM        $1,776.00
1387   CLIP ANEURYSM TI PERM STD FT654T     $1,776.00
1388   CLIP ANEURYSM TI PERM MINI FT690T    $1,776.00
1389   CLIP ANEURYSM TI PERM MINI FT710T    $1,776.00
1390   CLIP ANEURYSM TI PERM MINI FT682T    $1,776.00
1391   KNEE FEM COMP CRA 5976-15-02        $19,428.00
1392   SYSTEM KNEE MIS GSF CEMENT W/FLEX   $18,500.00
1393   KNEE CUSTOM STEM FEM SLEEVE LCCK    $24,320.00
1394   KNEE CUSTOM STEM EXTENSION LCCK      $1,306.00
1395   DRILL BIT 5.0MM 2255-33-50             $963.00
1396   PLATE 2347-01-06                     $3,146.00
1397   K WIRE THREAD 2.5X230MM 4417-6000      $147.00
1398   SCREW 5.0 LOCKING W/T25 52MM         $1,280.00
1399   PLATE LP LEFT 4MM AR-13000M-04L      $2,765.00
1400   BONE SUBSTITUTE HATRIC 2X3MM         $2,299.00
1401   PLATE ELECTROSURGICAL PATIENT #11       $27.00
1402   SCREW 7.0 32MM X 80MM 4414-8032      $2,474.00
1403   BLADE SINUS TRICUT 4MM STR(18-840      $770.00
1404   BLADE SINUS TRICUT 3.4MM ST(18-83      $770.00
1405   BLADE SINUS RADNOID(18-84008)          $770.00
1406   BLADE SINUS TRICUT 4MM 12D(18-840      $770.00
1407   BLADE SINUS RAD TRICUT 40D(18-840      $770.00
1408   BLADE SINUS RAD TRICUT 60D(18-840      $770.00
1409   BLADE INFERIOR TURBINA 2MM(28-820      $770.00
1410   BLADE LARYNGEAL SKMR 3.5MM (18-83    $1,770.00
1411   BLADE LARYNGEAL SKMR 3.5MM(18-835    $1,770.00
1412   DRAPE VIDEO CAMERA (9900)                $0.00   Utilization
1413   HIP FEM STEM 18X13X160 52-3418      $17,088.00
1414   HIP FEM HEAD 36MM +6 1365-33-000     $7,834.00
1415   HIP NAIL TROCHANTER 10MMX130*        $7,217.00
1416   BLADE TITANIUM 90MM 456.303          $3,201.00
1417   SCREW LOCKING 34MM 358.934           $1,089.00
1418   HIP NAIL CANN LFT 10MM X 180MM       $8,003.00
1419   FEMORAL NAIL SPIRAL 75MM             $3,149.00
1420   SCREW 6.0 LOCKING W/T25 52MM         $1,280.00
1421   SCREW 5.0 LOCKING W/T25 32MM         $1,280.00
1422   DRILL BIT 5.0MM 03.008.008           $1,339.00
1423   GUIDE WIRE 3.2MM 03.010.115            $544.00
1424   ACCESSORY KIT PISCES LEAD 3550-27    $2,037.00
1425   SUTURE MAGNUM WIRE OM0944              $153.00
1426   GRAFT THIN WALL EXXCEL 8 X 80CM        $667.00
1427   PLATE HUMERAL HEAD SM 21131-3       $12,775.00
1428   SCREW LOCKING 4.2 X 36MM 37422-36    $1,430.00
1429   SCREW LOCKING 4.2 X 38MM 37422-38    $1,430.00
1430   SCREW CORTICAL 4.5X28MM 32451-28       $591.00
1431   SCREW CORTICAL 4.5X32MM 32451-32       $591.00
1432   TISSUE TUTOPLAST DERMIS 2X7CM        $2,567.00
1433   DRILL BIT SPIRAL 2.5 X 180MM           $591.00
1434   DRILL BIT SPIRAL 3.5MM X 110MM         $591.00
1435   GUIDE PIN 2.0 X 228MM 35204-228        $591.00
1436   SOLUTION DIALYSATE PREMIX 2.5L         $105.00
1437   SCREW LOCKING CORTICAL 20MM          $1,169.00
1438   FEMUR DISTAL RIGHT 450360           $17,872.00
1439   CATH VENTURE RX 1296-001             $3,783.00
1440   SCREW PERIARTICULAR 2347-21-10         $159.00
1441   KNEE TIB COMP AUG LT/LAT RT/MEDIA    $5,114.00
1442   PLATE 3.5 R ANGLE 3HOLE 441.13         $550.00
1443   PLATE SM R ANGLE 3HOLE 241.13          $710.00
1444   SAW BLADE FINE 6.4MM K132              $147.00
1445   SCREW 345322                           $717.00
1446   CATH HICKMAN 0603692                 $1,410.00
1447   CAP END TROCHANTERIC NAIL 5MM        $1,469.00
1448   CAP END HINDFOOT W/T25 04.008.001    $1,029.00
1449   SCREW 5.0 LOCKING W/T25 76MM         $1,280.00
1450   SCREW 5.0 LOCKING W/T25 58MM         $1,280.00
1451   CLIP ANEURYSM PERM BAYONET 7MM       $1,776.00
1452   BURR 5120-20-47                        $580.00
1453   BURR 5120-20-347                     $1,234.00
1454   TUBE RECTAL 22FR DC637                  $86.00
1455   CATH DRAINAGE 7FR 27-508               $631.00
1456   CR51 SODIUM CHROMATE N37025          $2,706.00
1457   SYSTEM PACEMAKER ADAPTA             $22,980.00
1458   STENT PROTEGEE 6FR 9X30MM            $9,312.00
1459   SUTURE VICRYL RAPIDE 5-0 VR493          $38.00
1460   SYSTEM KNEE CEMENTLESS FIXED TOTA   $15,600.00
1461   KNEE HIGH FLEX UPCHARGE              $4,074.00
1462   SYSTEM HIP UNIPOLAR CEMENTLESS      $14,550.00
1463   SYSTEM KNEE COCR & XLINK TIB INSE   $14,000.00
1464   SYSTEM HIP TOTAL PRIM STEM FX PRO    $8,730.00
1465   HIP TRABECULAR BUTTRESS AUG 58MM    $13,466.00
1466   HIP LONGEV LINER ACETAB XLINK 40M    $8,219.00
1467   HIP FEMORAL STEM SZ 18 7843-18-81   $22,449.00
1468   KNEE FEM AUG BLOCK SZB 5990-32-23    $5,594.00
1469   KNEE ART SURFACE SZB 20 5880-20-2    $9,318.00
1470   KNEE LPS FLEX FEMORAL SZ D          $23,400.00
1471   KNEE TIBIAL BLOCK SZ 2 5988-02-26    $4,963.00
1472   SYSTEM DEFIB LUMAX                  $92,000.00
1473   KNEE LPS FLEX ART SURF SZ CD         $8,163.00
1474   LASER FIBER HOLMIUM 550UM              $996.00
1475   SHOULDER HUMERAL HEAD 50MM           $7,467.00
1476   ALLOGRAFT WEDGE 9MM A00193           $4,633.00
1477   BONE TIBIA PROXIMAL RT 450070       $18,748.00
1478   SCREW 5.0 LOCKING 52MM 04.005.542    $1,280.00
1479   SCREW 5.0 LOCKING 32MM 04.005.522    $1,280.00
1480   KNEE ART SURFACE ROT HINGE SZ E      $9,318.00
1481   SPINE CAGE PEEK 7MM 64713-108        $8,128.00
1482   SPINE CAGE 7MM 64713-107             $8,128.00
1483   SPINE ROD 80MM 81203                 $1,384.00
1484   SPINE ROD 240MM 81213                $1,651.00
1485   SPINE ROD 260MM 81214                $1,651.00
1486   SCREW POLYAXIAL 5.75 X 50MM 57550    $4,909.00
1487   DRILL BIT CANNULATED BIO-COMP          $930.00
1488   GUIDEWIRE W/TROCAR TIP .045             $87.00
1489   DRILL BIT 2.6MM AR-4160-26             $525.00
1490   SPINE CAGE 16X20X26MM 8941626       $16,002.00
1491   HIP TRABECULAR METAL OSTEONECROSI   $13,356.00
1492   SCREW BIO-COMP 2.7X20MM AR-5025B-    $2,619.00
1493   ELBOW TOTAL ULNAR ASSY XSM RT       $14,411.00
1494   NEEDLE LEVEEN 3.0X15 COAXIAL         $6,955.00
1495   NEEDLE LEVEEN 2.0 X 15 SUPER SLIM    $6,373.00
1496   NEEDLE LEVEEN 0.9 X 18 26-250        $5,791.00
1497   FIBERWIRE 2-0 AR-7220                  $143.00
1498   HIP ARTICULAR 9MM H-352-0090-W      $14,600.00
1499   HIP POST TAPER 15.6MM H156-032-W     $3,172.00
1500   CAGE SPINE BENGAL STD 8MM 1873-01    $6,516.00
1501   RESTRICTOR CEMENT TOTAL ELBOW        $1,802.00
1502   ELBOW TOTAL HUMERAL ASSY SM         $15,012.00
1503   CAGE SPINE LG 9MM 1873-01-209        $6,516.00
1504   CAGE SPINE BENGAL LG 8MM 1873-01-    $6,516.00
1505   SCREW SELF-TAP SKYLINE 15MM            $963.00
1506   PLATE SKYLINE 40MM 2LEVEL 1868-02    $4,249.00
1507   PLATE SKYLINE 42MM 2LEVEL 1868-02    $4,249.00
1508   GUIDEWIRE SINGLE TROCAR 2.0 X 9        $139.00
1509   SHUNT CAROTID EXT 3.5 X 5MM          $1,781.00
1510   PLATE ELBOW MEDIAL 7HOLE PL-LEM7     $5,238.00
1511   PLATE ELBOW LAT LT 6HOLE PL-LEL6L    $5,238.00
1512   SCREW CORTICAL 3.5X26MM CO3260         $478.00
1513   SCREW CANCELLOUS 4.0X12MM CA4120       $478.00
1514   SCREW CANCELLOUS 4.0X22MM CA4220       $478.00
1515   CONTRAST VISIPAQUE 320/50ML V560        $12.00
1516   BREAST IMPLANT SILICONE 24-10240     $5,238.00
1517   ALLODERM TISSUE 4 X 7 402025         $3,143.00
1518   DRILL CANNULATED 3.2 5601-3200         $664.00
1519   SCREW MUC 7.0X70MM 4417-7020         $2,474.00
1520   SCREW MUC 7.0X75MM 4417-7520         $2,474.00
1521   SCREW MUC 4.3X50MM 4411-0040         $1,892.00
1522   SCREW 4.5X40MM JONES 5601-4540       $3,492.00
1523   GUIDEWIRE 2.0 5601-0228                $147.00
1524   SLING PERIGEE ANT MESH INTEPRO SY    $9,283.00
1525   SLING APOGEE POST MESH INTEPRO SY    $8,119.00
1526   PLATE SPINE SKYLINE 1 LEVEL 12MM     $4,190.00
1527   SCREW VARIABLE SELF TAP 13MM           $963.00
1528   SCREW POLYAXIAL NONWING 5.0X40       $3,492.00
1529   PLATE WEDGE RT 4.0 AR-13200M-04R     $2,765.00
1530   CONTRAST CONRAY 60 50X30ML               $2.00
1531   GRAFT HEMASHIELD 6X40MM 095306       $3,143.00
1532   STENT GRAPH ILXC1616135             $12,400.00
1533   SCREW LOCKING BOLT 458.936           $1,089.00
1534   FINGER IMPLANT PROXIMAL              $9,527.00
1535   FINGER IMPLANT DISTAL MCP-100-30D    $6,350.00
1536   PLATE 4HOLE PROX DORSAL ULNA LEFT    $3,611.00
1537   PLATE SPINE SKYLINE 1LEVEL 14MM      $4,190.00
1538   CAGE SPINE BENGAL STD 7MM            $6,516.00
1539   SCREW SELF TAP 12MM 1868-52-012        $963.00
1540   CANNULA 70X110 CLEAR TRAC 7220043      $198.00
1541   PLATE 4.5MM PROX TIB 4HOLE 82MM R    $7,386.00
1542   PALTE 4.5MM PROX TIB 4HOLE 82MM L    $7,386.00
1543   PLATE 4.5MM PROX TIB 8HOLE 154 RT    $7,566.00
1544   PLATE 4.5MM PROX TIB 8HOLE 154 LT    $7,566.00
1545   PLATE 4.5MM PROX TIB 10HOLE 190 R    $7,648.00
1546   PLATE 4.5MM PROX TIB 10HOLE 190 L    $7,648.00
1547   PLATE 4.5MM PROX TIB 12HOLE 226 R    $7,735.00
1548   PLATE 4.5MM PROX TIB 12HOLE 226 L    $7,735.00
1549   PLATE 4.5MM PROX TIB 14HOLE 262 R    $7,822.00
1550   PLATE 4.5MM PROX TIB 14HOLE 262 L    $7,822.00
1551   VASOVIEW HEMOPRO KIT VH-3000         $6,111.00
1552   SPINE CORNERSTONE 14X11X6MM         $10,066.00
1553   BALLOON OCCLUSION 17-110             $1,567.00
1554   GUIDEWIRE 2.5MM 324.174                $916.00
1555   GUIDEWIRE 2.5MM 324.175                $916.00
1556   DRILL GUIDE 3.2MM 324.176              $916.00
1557   DRILL BIT 5.0MM CANNULATED 200MM     $1,822.00
1558   STENT PALMAZ XL 10X50CM P5010       $10,185.00
1559   STENT PALMAZ XL 10X40CM P4010        $9,516.00
1560   PLATE 5.5MM LPS LEFT AR-13200M-05    $2,765.00
1561   SPINE CAGE 30X26X11 12CLASR11-15U   $17,500.00
1562   SPINE CAGE 11X14X10MM 21411-710      $7,130.00
1563   SCREW 4.0MM LOCKING 14MM 222.580       $843.00
1564   SCREW 4.0MM LOCKING 18MM 222.582       $843.00
1565   SCREW 4.0MM LOCKING 22MM 222.583       $843.00
1566   SCREW 4.0MM LOCKING 54MM 222.591       $843.00
1567   SCREW 4.0MM LOCKING 58MM 222.592       $843.00
1568   NUT SCREW 5.0MM 222.578                $969.00
1569   STENT GRAFT AORTIC CUFF AEXC28284   $12,950.00
1570   SCREW 5.0MM CANN LOCKING 25MM        $1,162.00
1571   SCREW 5.0MM CANN LOCKING 30MM        $1,162.00
1572   SCREW 5.0MM CANN LOCKING 35MM        $1,162.00
1573   SCREW 5.0MM CANN LOCKING 40MM        $1,162.00
1574   SCREW 5.0MM CANN LOCKING 45MM        $1,162.00
1575   SCREW 5.0MM CANN LOCKING 50MM        $1,162.00
1576   SCREW 5.0MM CANN LOCKING 55MM        $1,162.00
1577   SCREW 5.0MM CANN LOCKING 60MM        $1,162.00
1578   SCREW 5.0MM CANN LOCKING 65MM        $1,162.00
1579   SCREW 5.0MM CANN LOCKING 70MM        $1,162.00
1580   SCREW 5.0MM CANN LOCKING 75MM        $1,162.00
1581   SCREW 5.0MM CANN LOCKING 80MM        $1,162.00
1582   SCREW 5.0MM CANN LOCKING 85MM        $1,162.00
1583   SCREW 5.0MM CANN LOCKING 90MM        $1,162.00
1584   SCREW 5.0MM CANN LOCKING 95MM        $1,162.00
1585   GUIDE CONDYLAR PLATE RT 324.170      $2,619.00
1586   GUIDE CONDYLAR PLATE LT 324.171     $2,619.00
1587   BONE INSERT LG A60050               $4,656.00
1588   BONE INSERT SM P60040               $4,656.00
1589   SCREW 5.0MM CANN CONICAL 40MM       $1,036.00
1590   SCREW 5.0MM CANN CONICAL 45MM       $1,036.00
1591   SCREW 5.0MM CANN CONICAL 50MM       $1,036.00
1592   SCREW 5.0MM CANN CONICAL 55MM       $1,036.00
1593   SCREW 5.0MM CANN CONICAL 60MM       $1,036.00
1594   SCREW 5.0MM CANN CONICAL 65MM       $1,036.00
1595   SCREW 5.0MM CANN CONICAL 70MM       $1,036.00
1596   SCREW 5.0MM CANN CONICAL 75MM       $1,036.00
1597   SCREW 5.0MM CANN CONICAL 80MM       $1,036.00
1598   SCREW 5.0MM CANN CONICAL 85MM       $1,036.00
1599   SCREW 5.0MM CANN CONICAL 90MM       $1,036.00
1600   SCREW 5.0MM CANN CONICAL 95MM       $1,036.00
1601   SCREW 7.3MM CANN LOCKING 50MM       $1,724.00
1602   SCREW 7.3MM CANN LOCKING 55MM       $1,724.00
1603   SCREW 7.3MM CANN LOCKING 60MM       $1,724.00
1604   SCREW 7.3MM CANN LOCKING 65MM       $1,724.00
1605   SCREW 7.3MM CANN LOCKING 70MM       $1,724.00
1606   SCREW 7.3MM CANN LOCKING 75MM       $1,724.00
1607   SCREW 7.3MM CANN LOCKING 80MM       $1,724.00
1608   SCREW 7.3MM CANN LOCKING 85MM       $1,724.00
1609   SCREW 7.3MM CANN LOCKING 90MM       $1,724.00
1610   SCREW 7.3MM CANN LOCKING 95MM       $1,724.00
1611   SCREW 7.3MM CANN CONICAL 50MM       $1,541.00
1612   SCREW 7.3MM CANN CONICAL 55MM       $1,541.00
1613   SCREW 7.3MM CANN CONICAL 60MM       $1,541.00
1614   SCREW 7.3MM CANN CONICAL 65MM       $1,541.00
1615   SCREW 7.3MM CANN CONICAL 70MM       $1,541.00
1616   SCREW 7.3MM CANN CONICAL 75MM       $1,541.00
1617   SCREW 7.3MM CANN CONICAL 80MM       $1,541.00
1618   SCREW 7.3MM CANN CONICAL 85MM       $1,541.00
1619   SCREW 7.3MM CANN CONICAL 90MM       $1,541.00
1620   SCREW 7.3MM CANN CONICAL 95MM       $1,541.00
1621   SCREW 7.3MM CANN CONICAL THRD 50    $1,541.00
1622   SCREW 7.3MM CANN CONICAL THRD 55    $1,541.00
1623   SCREW 7.3MM CANN CONICAL THRD 60    $1,541.00
1624   SCREW 7.3MM CANN CONICAL THRD 65    $1,541.00
1625   SCREW 7.3MM CANN CONICAL THRD 70    $1,541.00
1626   SCREW 7.3MM CANN CONICAL THRD 75    $1,541.00
1627   SCREW 7.3MM CANN CONICAL THRD 80    $1,541.00
1628   SCREW 7.3MM CANN CONICAL THRD 85    $1,541.00
1629   SCREW 7.3MM CANN CONICAL THRD 90    $1,541.00
1630   SCREW 7.3MM CANN CONICAL THRD 95    $1,541.00
1631   PLATE 4.5 CONDYLAR 6HOLE 170MM L    $7,991.00
1632   PLATE 4.5 CONDYLAR 10HOLE 242MM L   $8,465.00
1633   PLATE 4.5 CONDYLAR 14HOLE 314MM R   $8,815.00
1634   HIP LINER LONGEVITY 40MM 6305-58-   $8,219.00
1635   PLATE 4.5 CONDYLAR 14HOLE 314MM L   $8,815.00
1636   PLATE 4.5 CONDYLAR 16HOLE 350MM R   $8,990.00
1637   PLATE 4.5 CONDYLAR 16HOLE 350MM L   $8,990.00
1638   PLATE 4.5 CONDYLAR 18HOLE 386MM R    $9,171.00
1639   PLATE 4.5 CONDYLAR 18HOLE 386MM L    $9,171.00
1640   SYSTEM KNEE MIS STEM EXTENSION      $23,029.00
1641   SPINE CAGE 11X14X7 21411-007         $7,142.00
1642   COVER SWIFT LINK CONNECTOR              $61.00
1643   SCREW 7.3MM CANNULATED 80MM          $1,541.00
1644   HIP BLADE HELICAL 11X105MM           $3,201.00
1645   SCREW 5.0 LOCKING 50MM 458.950       $1,089.00
1646   PLATE 3.5 MED DIST TIBIA 4HOLE R     $7,834.00
1647   PLATE 3.5 MED DIST TIBIA 4HOLE L     $7,834.00
1648   PLATE 3.5 MED DIST TIBIA 6HOLE R     $7,921.00
1649   PLATE 3.5 MED DIST TIBIA 6HOLE L     $7,921.00
1650   PLATE 3.5 MED DIST TIBIA 8HOLE R     $8,003.00
1651   PLATE 3.5 MED DIST TIBIA 8HOLE L     $8,003.00
1652   PLATE 3.5 MED DIST TIBIA 10HOLE R    $8,084.00
1653   PLATE 3.5 MED DIST TIBIA 10HOLE L    $8,084.00
1654   PLATE 3.5 MED DIST TIBIA 12HOLE R    $8,171.00
1655   PLATE 3.5 MED DIST TIBIA 12HOLE L    $8,171.00
1656   SHOULDER HUMERAL STEM SZ 10         $12,600.00
1657   PLATE 3.5 MED DIST TIBIA 14HOLE R    $8,276.00
1658   PLATE 3.5 MED DIST TIBIA 14HOLE L    $8,276.00
1659   SHOULDER HUM HEAD 50MM 503-50-017    $7,467.00
1660   DRILL BIT CANNULATED 17MM 357.394    $3,870.00
1661   CATH BALLOON Z-MED II 611660         $3,464.00
1662   REAMING ROD 2.8X800MM 351.715          $923.00
1663   SHOULDER GLENOID KEELED 38MM         $6,943.00
1664   FEMORAL HEAD 40MM+10 06-4010        $11,058.00
1665   SMOKE EVACUATOR KIT 03-0034            $176.00
1666   TUBE SM LVT STERILE 102ST              $198.00
1667   DRILL BIT 3.8MM 214143000            $1,717.00
1668   DRILL BIT CANN 4.5MM 214144000       $1,690.00
1669   GUIDE PIN THREADED 165101000           $520.00
1670   PIN BAY 141799                         $129.00
1671   SCREW CANNULATED 6.5MM 1420065         $893.00
1672   SCREW CANNULATED 5.5MM 1420055         $893.00
1673   SCREW CANN CANCELLOUS 5X60MM         $1,007.00
1674   PLATE 3.5 ANTLAT DIST TIB 5HOLE R    $7,869.00
1675   SUTURE ANCHOR BIOZIP 5.0MM           $1,469.00
1676   PLATE ANKLE 14HOLE 177MM RIGHT       $1,469.00
1677   GUIDEWIRE NITREX .035 N352604          $501.00
1678   PACEMAKER ADAPTA DR                 $18,300.00
1679   PLATE 3.5 ANTLAT DIST TIB 5HOLE L    $7,869.00
1680   PLATE 3.5 ANTLAT DIST TIB 7HOLE R    $7,956.00
1681   PLATE 3.5 ANTLAT DIST TIB 7HOLE L    $7,956.00
1682   PLATE 3.5 ANTLAT DIST TIB 9HOLE R    $8,037.00
1683   PLATE 3.5 ANTLAT DIST TIB 9HOLE L    $8,037.00
1684   PLATE 3.5 A/L DIST TIB 11HOLE R      $8,119.00
1685   PLATE 3.5 A/L DIST TIB 11HOLE L      $8,119.00
1686   PLATE 3.5 A/L DIST TIB 13HOLE R      $8,206.00
1687   PLATE 3.5 A/L DIST TIB 13HOLE L      $8,206.00
1688   PLATE 3.5 A/L DIST TIB 15HOLE R      $8,311.00
1689   PLATE 3.5 A/L DIST TIB 15HOLE L      $8,311.00
1690   PLATE 3.5 A/L DIST TIB 17HOLE R      $8,387.00
1691   PLATE 3.5 A/L DIST TIB 17HOLE L      $8,387.00
1692   PLATE 3.5 A/L DIST TIB 19HOLE R      $8,462.00
1693   PLATE 3.5 A/L DIST TIB 19HOLE L      $8,462.00
1694   PLATE 3.5 A/L DIST TIB 21HOLE R      $8,538.00
1695   PLATE 3.5 A/L DIST TIB 21HOLE L      $8,538.00
1696   CATH INFUSION 5X90X40 12401809       $1,149.00
1697   DRILL BIT 4.5MM QC 145MM 310.44        $462.00
1698   SPINE SPACER AVS TL 12X30MM         $12,285.00
1699   DRILL BIT 4.3MM QC 180MM 310.431       $711.00
1700   PLATE 4.5MM NARROW 4HOLE 80MM        $1,752.00
1701   PLATE 4.5MM NARROW 5HOLE 98MM        $1,880.00
1702   PLATE 4.5MM NARROW 6HOLE 116MM       $1,996.00
1703   PLATE 4.5MM NARROW 7HOLE 134MM       $2,316.00
1704   PLATE 4.5MM NARROW 8HOLE 152MM       $2,433.00
1705   PLATE 4.5MM NARROW 9HOLE 170MM       $2,567.00
1706   HIP FEMORAL COMP SZ 11 7843-11-26   $19,077.00
1707   KNEE ART SURFACE XLINK SZ 2.5        $9,295.00
1708   DRILL BIT 2.0 2490-0009                $930.00
1709   PLATE FUSION MTP 4111-0002           $7,246.00
1710   SCREW 2.7X10MM 4111-3008               $564.00
1711   SCREW 3.2X12MM 4111-3018               $564.00
1712   SCREW MULTIUSE COMP 3.0X22MM         $1,731.00
1713   GRAFT VASCULAR 25X75                   $862.00
1714   PLATE 4.5MM NARROW 10 HOLE 188MM     $2,782.00
1715   PLATE 4.5MM NARROW 11 HOLE 206MM     $2,997.00
1716   PLATE 4.5MM NARROW 12HOLE 224MM      $3,219.00
1717   PLATE 4.5MM NARROW 14HOLE 260MM      $3,649.00
1718   PLATE 4.5MM NARROW 16HOLE 296MM      $4,243.00
1719   PLATE 4.5MM BROAD 6HOLE 116MM        $2,153.00
1720   PLATE 4.5MM BROAD 7HOLE 134MM        $2,281.00
1721   PLATE 4.5MM BROAD 8HOLE 152MM        $2,799.00
1722   PLATE 4.5MM BROAD 9HOLE 170MM        $3,038.00
1723   PLATE 4.5MM BROAD 10HOLE 188MM       $3,253.00
1724   PLATE 4.5MM BROAD 11HOLE 206MM       $3,469.00
1725   PLATE 4.5MM BROAD 12HOLE 224MM       $3,684.00
1726   PLATE 4.5MM BROAD 14HOLE 260MM       $4,109.00
1727   PLATE 4.5MM BROAD 16HOLE 296MM       $5,005.00
1728   PLATE "T" 4.5MM 4HOLE 83MM           $3,125.00
1729   PLATE "T" 4.5MM 6HOLE 115MM          $3,591.00
1730   PLATE "T" 4.5MM 8HOLE 147MM          $4,144.00
1731   SPINE CAGE 11X14X12MM 21411-712      $7,130.00
1732   SCREW 5.0 LCK SELFTAP W/T25 26MM       $857.00
1733   SCREW 5.0 LCK SELFTAP W/T25 32MM       $857.00
1734   SCREW 5.0 LCK SELFTAP W/T25 34MM       $857.00
1735   CATH GUIDE CORONARY SCR 6FR            $367.00
1736   HIP COMP PROX FEMUR BASIC           $13,036.00
1737   SCREW 6.5 CANCELLOUS 16 THRD 30MM      $205.00
1738   SCREW 6.5 CANCELLOUS 16 THRD 90MM      $222.00
1739   SCREW 6.5 CANCELLOUS 16 THRD 95MM      $222.00
1740   SCREW 6.5 CANCELLOUS 16 THRD 105M      $222.00
1741   SCREW 6.5 CANCELLOUS 16 THRD 110M      $222.00
1742   SCREW 6.5 CANCELLOUS 32 THRD 105M      $222.00
1743   SCREW 6.5 CANCELLOUS FULL THRD 30      $205.00
1744   SCREW 6.5 CANCELLOUS FULL THRD 45      $205.00
1745   PIN TEMP FIXATION 69105              $1,763.00
1746   DRILL BIT 12MM 69140-012             $1,926.00
1747   SPINE CAGE PEEK 7MM MED 64715-107    $8,128.00
1748   SYSTEM PACEMAKER PHILOS II SR       $17,600.00
1749   BALLOON CATH DIAMOND UT 5F 16-449    $1,339.00
1750   BALLOON STERLING 3.8F 39032-60601    $1,967.00
1751   BALLOON STERLING 4.8F 39032-60101    $1,967.00
1752   ANESTH BRACH PLEXUS SET 332015          $30.00
1753   SCREW 5.0 LCK SELFTAP W/T25 14MM       $857.00
1754   SCREW 5.0 LCK SELFTAP W/T25 16MM       $857.00
1755   SCREW 5.0 LCK SELFTAP W/T25 18MM       $857.00
1756   SCREW 5.0 LCK SELFTAP W/T25 20MM       $857.00
1757   SCREW 5.0 LCK SELFTAP W/T25 22MM       $857.00
1758   SCREW 5.0 LCK SELFTAP W/T25 24MM       $857.00
1759   SCREW 5.0 LCK SELFTAP W/T25 28MM       $857.00
1760   SCREW 5.0 LCK SELFTAP W/T25 30MM       $857.00
1761   SCREW 5.0 LCK SELFTAP W/T25 36MM       $857.00
1762   SCREW 5.0 LCK SELFTAP W/T25 38MM       $857.00
1763   SCREW 5.0 LCK SELFTAP W/T25 40MM       $857.00
1764   SCREW 5.0 LCK SELFTAP W/T25 42MM       $857.00
1765   SCREW 5.0 LCK SELFTAP W/T25 46MM       $857.00
1766   SCREW 5.0 LCK SELFTAP W/T25 50MM       $857.00
1767   SCREW 5.0 LCK SELFTAP W/T25 55MM       $857.00
1768   SCREW 5.0 LCK SELFTAP W/T25 60MM       $857.00
1769   SCREW 5.0 LCK SELFTAP W/T25 65MM       $857.00
1770   SCREW 5.0 LCK SELFTAP W/T25 70MM       $857.00
1771   SCREW 5.0 LCK SELFTAP W/T25 75MM       $857.00
1772   SCREW 5.0 LCK SELFTAP W/T25 80MM       $857.00
1773   SCREW 5.0 LCK SELFTAP W/T25 85MM       $857.00
1774   SCREW 5.0 LCK SELFTAP W/T25 90MM       $857.00
1775   GUIDEWIRE NONTHREADED 2.0X230MM        $242.00
1776   KNEE COMP CR LFEX SZE 5750-015-01   $23,544.00
1777   HIP STEM 1554-02-150                $14,334.00
1778   SCREW 4.0 LCK SELFTAP W/T25 14MM       $843.00
1779   SCREW 4.0 LCK SELFTAP W/T25 16MM       $843.00
1780   SCREW 4.0 LCK SELFTAP W/T25 18MM       $843.00
1781   SCREW 4.0 LCK SELFTAP W/T25 20MM       $843.00
1782   SCREW 4.0 LCK SELFTAP W/T25 22MM       $843.00
1783   SCREW 4.0 LCK SELFTAP W/T25 24MM       $843.00
1784   SCREW 4.0 LCK SELFTAP W/T25 26MM       $843.00
1785   SCREW 4.0 LCK SELFTAP W/T25 28MM       $843.00
1786   SCREW 4.0 LCK SELFTAP W/T25 30MM       $843.00
1787   SCREW 4.0 LCK SELFTAP W/T25 32MM       $843.00
1788   SCREW 4.0 LCK SELFTAP W/T25 34MM       $843.00
1789   SCREW 4.0 LCK SELFTAP W/T25 36MM       $843.00
1790   SCREW 4.0 LCK SELFTAP W/T25 38MM       $843.00
1791   SCREW 4.0 LCK SELFTAP W/T25 40MM       $843.00
1792   SCREW 4.0 LCK SELFTAP W/T25 42MM       $843.00
1793   SCREW 4.0 LCK SELFTAP W/T25 44MM       $843.00
1794   SCREW 4.0 LCK SELFTAP W/T25 46MM       $843.00
1795   SCREW 4.0 LCK SELFTAP W/T25 48MM       $843.00
1796   SCREW 4.0 LCK SELFTAP W/T25 50MM       $843.00
1797   SCREW 4.0 LCK SELFTAP W/T25 52MM       $843.00
1798   SCREW 4.0 LCK SELFTAP W/T25 54MM       $843.00
1799   SCREW 4.0 LCK SELFTAP W/T25 56MM       $843.00
1800   SCREW 4.0 LCK SELFTAP W/T25 58MM       $843.00
1801   SCREW 4.0 LCK SELFTAP W/T25 60MM       $843.00
1802   SCREW 4.0 LCK SELFTAP W/T25 62MM       $843.00
1803   SILVERHAWK SHEATH 7FR P9102            $525.00
1804   SILVERHAWK SHEATH 8FR P9104            $525.00
1805   KNEE TRAB METAL TIB AUG BLOCK SZ6   $12,571.00
1806   PLATE LCP DIST RAD VOLAR L SHORT     $4,313.00
1807   PLATE LCP DIST RAD VOLAR L LONG      $4,575.00
1808   PLATE LCP DIST RAD VOLAR R SHORT     $4,313.00
1809   PLATE LCP DIST RAD VOLAR R LONG      $4,575.00
1810   PLATE T 2.4 LCP DIST RAD 242.477     $2,450.00
1811   PLATE 2.4 LCP DIST RAD 242.478       $2,561.00
1812   PLATE 2.4 LCP DIST RAD ST SHORT      $2,322.00
1813   PLATE 2.4 LCP DIST RAD ST LONG       $2,450.00
1814   PLATE L 2.4 LCP DIST RAD 242.500     $2,375.00
1815   PLATE L 2.4 LCP DIST RAD 242.501     $2,497.00
1816   PLATE L 2.4 LCP DIST RAD 242.502     $2,375.00
1817   PLATE L 2.4 LCP DIST RAD 242.503     $2,497.00
1818   PLATE L 2.4 LCP DIST RAD 242.504     $2,375.00
1819   PLATE L 2.4 LCP DIST RAD 242.505     $2,497.00
1820   PLATE L 2.4 LCP DIST RAD 242.506     $2,375.00
1821   PLATE L 2.4 LCP DIST RAD 242.507     $2,497.00
1822   PLATE L 2.4 LCP DIST RAD 242.508     $2,375.00
1823   PLATE L 2.4 LCP DIST RAD 242.509     $2,497.00
1824   PLATE L 2.4 LCP DIST RAD 242.511     $2,375.00
1825   PLATE L 2.4 LCP DIST RAD 242.512     $2,497.00
1826   SCREW 2.4 LCK SELFTAP W/STAR 6MM       $691.00
1827   SCRE W2.4 LCK SELFTAP W/STAR 8MM       $691.00
1828   SCREW 2.4 LCK SELFTAP W/STAR 10MM      $691.00
1829   SCRWE 2.4 LCK SELFTAP W/STAR 12MM      $691.00
1830   SCREW 2.4 LCK SELFTAP W/STAR 14MM      $691.00
1831   SCREW 2.4 LCK SELFTAP W/STAR 16MM      $691.00
1832   SCREW 2.4 LCK SELFTAP W/STAR 18MM      $691.00
1833   SCREW 2.4 LCK SELFTAP W/STAR 20MM      $691.00
1834   SCREW 2.4 LCK SELFTAP W/STAR 22MM      $691.00
1835   SYST KNEE POROUS W/TM TIB/PATELLA   $18,784.00
1836   SCREW 2.4 LCK SELFTAP W/STAR 24MM      $691.00
1837   SCREW 2.4 LCK SELFTAP W/STAR 26MM      $691.00
1838   SCREW 2.5 LCK SELFTAP W/STAR 28MM      $691.00
1839   SCREW 2.4 LCK SELFTAP W/STAR 30MM      $691.00
1840   CATH PULM ANGIOGRAPHY 7FR 191F7        $515.00
1841   SPINE CORNERSTONE 14X11X25          $10,066.00
1842   CHLORAPREP 26ML ORANGE 260815           $61.00
1843   SCREW 2.4 CORTEX SELFTAP W/T8 6MM      $356.00
1844   SCREW 2.4 CORTEX SELFTAP W/T8 8MM      $356.00
1845   SCREW 2.4 CORTEX SELFTAP W/T8 10M      $356.00
1846   SCREW 2.4 CORTEX SELFTAP W/T8 12M      $356.00
1847   SCREW 2.4 CORTEX SELFTAP W/T8 14M      $356.00
1848   SCREW 2.4 CORTEX SELFTAP W/T8 16M      $356.00
1849   SCREW 2.4 CORTEX SELFTAP W/T8 18M      $356.00
1850   SCREW 2.4 CORTEX SELFTAP W/T8 20M      $356.00
1851   SCREW 2.4 CORTEX SELFTAP W/T7 22M      $356.00
1852   SCREW 2.4 CORTEX SELFTAP W/T8 24M      $356.00
1853   SCREW 2.4 CORTEX SELFTAP W/T8 26M      $356.00
1854   SCREW 2.4 CORTEX SELFTAP W/T8 28M      $356.00
1855   SCREW 2.4 CORTEX SELFTAP W/T8 30M      $356.00
1856   FORCEP DISP BIOPSY 5.5FR 104CM       $1,633.00
1857   FORCEP BIPAL BIOPSY 7FR 50CM         $1,861.00
1858   SYSTEM PACEMAKER IDENTITY ADX       $22,896.00
1859   SCREW 2.7 CORTEX SELFTAP W/T8 10M      $238.00
1860   SCREW 2.7 CORTEX SELFTAP W/T8 12M      $238.00
1861   SCREW 2.7 CORTEX SELFTAP W/T8 14M      $238.00
1862   SCREW 2.7 CORTEX SELFTAP W/T8 16M      $238.00
1863   SCREW 2.7 CORTEX SELFTAP W/T8 18M      $238.00
1864   SCREW 2.7 CORTEX SELFTAP W/T8 20M      $238.00
1865   SCREW 2.7 CORTEX SELFTAP W/T8 22M      $238.00
1866   SCREW 2.7 CORTEX SELFTAP W/T8 24M      $238.00
1867   SCREW 2.7 CORTEX SELFTAP W/T8 26M      $238.00
1868   SCREW 2.7 CORTEX SELFTAP W/T8 28M      $238.00
1869   SCREW 2.7 CORTEX SELFTAP W/T8 30M      $238.00
1870   DRIL BIT 1.8MM W/DEPTH 310.509         $923.00
1871   PLATE VOLAR DIST RAD ART RIGHT       $4,313.00
1872   PLATE VOLAR DIST RAD ART RT LONG     $4,575.00
1873   PLATE VOLAR DIST RAD ART LEFT        $4,313.00
1874   PLATE VOLAR DIST RAD ART LT LONG     $4,575.00
1875   PLATE VOLAR DIST RAD ART 4HOLE RT    $4,313.00
1876   STENT DOUBLE J 6X22 5226022            $511.00
1877   PLATE VOLAR DIST RAD ART 4H RT LG    $4,575.00
1878   PLATE VOLAR DIST RAD ART 4HOLE LT    $4,313.00
1879   STENT DOUBLE J 6X24 5226024            $511.00
1880   PALTE VOLAR DIST RAD ART 4H LT LG    $4,575.00
1881   STENT DOUBLE J 6X26 5226026            $511.00
1882   STENT LITHOSTENT 7X24 5637024          $757.00
1883   STENT LITHOSTENT 7X26 5637025          $757.00
1884   STENT LUBRIFLEX 4.5X28 5554528         $418.00
1885   SCREW CANCELLOUS FULL THREAD 26MM      $265.00
1886   HIP BIPOLAR HEAD 48MM 81602248       $7,857.00
1887   SPINE CAGE MC+ 12X14X7MM MC743P     $11,524.00
1888   SPINE ANCHOR CLIP MC600T             $2,037.00
1889   CATH ABLATION BIDIRECT SAFIRE 4MM    $4,132.00
1890   DRILL TWIST 2.2X70MM 50-022-02         $697.00
1891   DRILL TWIST 2.2X105MM 50-022-04        $697.00
1892   GRAFT AAA MAIN BODY TFFB-32-111     $30,488.00
1893   GRAFT AAA ILIAC LEG TFLE-18-71      $16,185.00
1894   PLATE RECON 3.0MM LEFT 50-793-26     $7,275.00
1895   SCREW LOCKING CROSSDRIVE 2.7X9MM       $637.00
1896   SCREW LOCKING CROSSDRIVE 2.7X7MM       $637.00
1897   SCREW LOCKING CROSSDRIVE 2.7X11MM      $637.00
1898   BONE CRUSHED CANCELLOUS 1-4MM        $3,393.00
1899   BALLOON STERLING 39032-40601         $1,968.00
1900   BALLOON STERLING 39032-40101         $1,968.00
1901   BALLOON STERLING 39032-50608         $1,968.00
1902   BALLOON STERLING 39032-50108         $1,968.00
1903   SCREW CORTICAL 3.5X22 506-02-122       $691.00
1904   SYST SPINE ANT CERV 3 LEVEL         $11,058.00
1905   SPINE CAGE BENGAL 7MM 1873-01-107    $6,516.00
1906   SPINE ROD 3.5X200 1883-63-100        $2,151.00
1907   SCREW MOUNTAINEER 4.0 X 18MM         $6,453.00
1908   SCREW MOUNTAINEER 3.5 X 18MM         $6,229.00
1909   SCREW MOUNTAINEER 4 X 30MM           $6,453.00
1910   SCREW MOUNTAINEER 3.5 X 14MM         $6,229.00
1911   SCREW MOUNTAINEER 4 X 32MM           $6,453.00
1912   PLATE 241.02                           $154.00
1913   SAW BLADE 70X8X1.27 5627-89-501        $916.00
1914   BONE FILLER PLEXUR 10CC 6000-010     $3,725.00
1915   SYST KNEE MIS CEMENTED W/ART/STEM   $17,800.00
1916   HIP XL BODY 12/14 45 X 103MM        $13,494.00
1917   HIP STEM XL TAPER 24 X 235MM        $17,325.00
1918   HIP XL BODY 12/14 40 X 103MM        $13,494.00
1919   SPINE SPACER PEEK 25X9MM 9192509    $20,400.00
1920   KNEE NAVITRACKER STERILE             $1,959.00
1921   HIP NAVITRACKER STERILE              $1,455.00
1922   SPINE CAGE COROENT XL 14X18X55MM    $19,800.00
1923   SYST HIP CEMENTLESS HIGH DEMAND     $20,000.00
1924   HIP STEM CEMENTLESS STD 7           $17,460.00
1925   HIP BIPOLAR HEAD 52MM LONG           $7,857.00
1926   DRILL BIT CANNULATED 13X300MM        $2,823.00
1927   SCREW PERIATRICULAR 4X10 THREADED      $159.00
1928   SCREW PERIARTICULAR 4X12MM 20THRD      $159.00
1929   SCREW LCK SELFTAP 4.5X26MM             $771.00
1930   SCREW LCK SELFTAP 4.5X28MM             $771.00
1931   SCREW LCK SELFTAP 4.5X60MM             $771.00
1932   SCREW LCK SELFTAP 4.5X74MM             $771.00
1933   PLATE LCK 8HOLE PROX LAT TIBIAL      $6,872.00
1934   CATHERTER CLOSURE FAST 7FR 60CM      $4,045.00
1935   SHEATH INTRODUCER W/GUIDEWIRE 7FR      $126.00
1936   KIT TUMESCENT INFILTRATION             $106.00
1937   SPINE CAGE COEOENT 10X18X55MM       $19,800.00
1938   SYSTEM SPINE 1 LEVEL POST CERVICA   $16,296.00
1939   EAR PROSTHTESIS GOLDENBERG 5.5MM     $2,059.00
1940   EAR PROSTHESIS PISTON MCGEE.5X4.5      $796.00
1941   SYST PED SCREW LUMB CONSTRT 2 LVL   $21,800.00
1942   SPINE LOCKING CAP 115-504              $664.00
1943   GUIDEWIRE COPE MANDRIL 40CM            $438.00
1944   KNEE ARTICULAR SURF 12MM 5994-22-    $9,446.00
1945   SYSTEM HIP BIPOLAR 71701030SYSTEM    $9,894.00
1946   SYSTEM KNEE NONPOROUS 3D ENCORE     $14,400.00
1947   SPLINT WRIST COMPFORT RT SMALL         $110.00
1948   SPLINT WRIST COMFORT RT SM PLUS        $110.00
1949   SPLINT WRIST COMFORT LT SM PLUS        $110.00
1950   SPLINT WRIST ABDUCTION LT SMALL        $146.00
1951   SPLINT WRIST UNIVERSAL SHORT            $75.00
1952   SYST HIP UNCEMENT H DEMD 70701013   $16,000.00
1953   DEVICE EMBOLIC PROTECT PROXIS SYS    $8,701.00
1954   SCREW HIP REFLECTION 35MM              $396.00
1955   BALLOON CATH STERLING 39031-40208    $2,113.00
1956   BALLOON CATH STERLING 39031-40408    $2,113.00
1957   BALLOON CATH STERLING 39031-40401    $2,113.00
1958   BALLOON CATH STERLING 39031-50208    $2,113.00
1959   BALLOON CATH STERLING 39031-50408    $2,113.00
1960   BALLOON CATH STERLING 39031-50401    $2,113.00
1961   BALLOON CATH STERLING 39031-60208    $2,113.00
1962   BALLOON CATH STERLING 39031-60408    $2,113.00
1963   BALLOON CATH STERLING 39031-60401    $2,113.00
1964   BALLOON CATH STERLING 39031-70208    $2,113.00
1965   BALLOON CATH STERLING 39031-70408    $2,113.00
1966   BALLOON CATH STERLING 39031-70401    $2,113.00
1967   BALLOON CATH STERLING 39031-80201    $2,113.00
1968   BALLOON CATH STERLING 39031-80401    $2,113.00
1969   HIP FEMORAL HEAD 36MM +0 1365-31-    $5,875.00
1970   HIP FEMORAL STEM LEFT LONG          $18,918.00
1971   SPINE CAGE 18X22X26MM 8941826       $16,002.00
1972   SCREW SELFTAP 4.75X50MM 47550P       $4,967.00
1973   SPINE ROD 90MM 81204                 $1,384.00
1974   CATH EXPO 6FR 08641-215                 $61.00
1975   HIP NAIL TROCHANTERIC L 11X36X130    $9,225.00
1976   LEAD NEURO STIMULATOR 3487A-56       $8,090.00
1977   LEAD NEURO STIMULATOR 3776-60       $13,010.00
1978   EXTENSION NEURO STIMULAT 37082-20    $9,254.00
1979   GUIDEWIRE ROADRUNNER .018X270CM        $737.00
1980   KIT DISPOSABLES SYMPHONY II          $4,103.00
1981   GRAFT DELIVERY SYSTEM SYMPHONY II    $1,894.00
1982   SYSTEM HIP POROUS HI DEMAND COCR    $16,000.00
1983   SCREW MUC 4.3X20MM 4411-0017         $1,892.00
1984   SYSTEM KNEE MIS GSF CEMENTED W/ST   $20,100.00
1985   SCREW 5.5X50MM 8695550               $6,260.00
1986   KNEE COMP MIS DROP DOWN STEM PLUG    $3,750.00
1987   PLATE BOW 5MM DC2832-005             $6,402.00
1988   SCREW LOCKING 18MM DC2825-018          $664.00
1989   SCREW LOCKING 14MM DC2825-014          $664.00
1990   SCREW NON LOCKING DC2825-116           $564.00
1991   K WIRE 1.1MM 228-012                   $147.00
1992   PLATE SPACER 0MM DIA DC2802-000      $6,402.00
1993   SCRE LOCKING 16MM DC2820-016           $664.00
1994   SCREW LOCKING 24MM DC2820-024          $664.00
1995   SCREW LOCKING 28MM DC2820-028          $664.00
1996   SCREW NON LOCKING 16MM DC2820-116      $564.00
1997   SCREW NON LOCKING 24MM DC2820-124      $564.00
1998   SCREW NON LOCKING 28MM DC2820-128      $564.00
1999   SCREW MUC 7.0X75MM 4417-7516         $2,619.00
2000   KIT LEAD REPAIR 6946                   $664.00
2001   DEVICE VASCULAR CLOSURE MX6700       $1,404.00
2002   KNEE COMPONENT 5962-32-20            $8,163.00
2003   HIP TROCHANTERIC NAIL 456.418S       $9,510.00
2004   SPINE SPACER 48370094               $17,875.00
2005   SPINE ROD 1924905                    $1,316.00
2006   PROBE LASER ENOSTAT (10-5231)        $1,340.00
2007   SPINE SPACER 48375114               $12,285.00
2008   SPINE IMPLANT 64115-110             $13,424.00
2009   SPINE IMPLANT 64115-112             $13,424.00
2010   KNEE CUTTER 71237200                 $2,724.00
2011   SAWBLADE PROFIX 7152905                $311.00
2012   PLASMAX CONCENTRATOR 800-0515        $7,566.00
2013   TUBING QUICK CONNECT 5996-12           $230.00
2014   SCREW CORTICAL 3.5MMX12MM CS12000      $550.00
2015   ALLODERM TISSUE MATRIX 2X4 102010    $1,275.00
2016   ALLODERM TISSUE MATRIX 2X4 102012    $2,619.00
2017   SCREW LEGACY 8.5X55MM 75448555       $5,321.00
2018   SCREW 812-853T                         $396.00
2019   SYSTEM SPINE 2LEVEL POST LUMBAR     $20,000.00
2020   WRIST EXTERNAL FIXATOR 03.304.220    $5,733.00
2021   REVERSE TORQUE SCREW KIT 320-20-0    $3,026.00
2022   SPLINT NASAL LARGE (15-29020)           $79.00
2023   PENILE PROSTHESIS 600M 72400452     $13,600.00
2024   ACCESS KIT BOOT/ANCHOR 3550-24       $1,894.00
2025   ACCESS KIT STERILE REV 3550-23       $1,894.00
2026   BONE VOID FILLER 20CC GRANULES       $5,587.00
2027   SYST HIP TRILOGY CERAMIC 98-001-0   $24,000.00
2028   SPINE SPACER PEEK 25X14 9192514     $20,400.00
2029   SCREW COMP/LOCKING 4.5X34MM            $996.00
2030   SCREW COMP/LOCKING 4.5X38MM            $996.00
2031   SHOLDER PLATE GLENOID 320-15-01     $11,582.00
2032   SHOULDER HUMERAL STEM 9MM 300-01-   $14,084.00
2033   SHOULDER HUMERAL LINER 38+2.5        $6,111.00
2034   SHOULDER HUMERAL ADAPT +0 320-10-   $13,968.00
2035   SCREW COMP/LOCKING 4.5X22MM            $996.00
2036   SHOULDER GLENSPHERE 38MM            $10,767.00
2037   SCREW LOCKING SHOULDER GLENOSPHER      $996.00
2038   SUTURE MAGNUM WHITE OM9041             $153.00
2039   SUTURE MAGNUM CO BRAID BLUE/WHITE      $153.00
2040   THYROPLASTY MTM12                    $1,892.00
2041   PLATE CORONOID RT PL-ELCOR           $5,238.00
2042   SCREW CORTICAL 2.7X27.5MM CO27275      $528.00
2043   SCREW CORTICAL 2.7X35MM CO-2735        $528.00
2044   BLADE CARDIOBLATE CK9014R           $16,267.00
2045   K-WIRE 44182523                        $147.00
2046   DRILL BIT 44180010                     $550.00
2047   SCREW 7MMX75MM 44177016              $2,881.00
2048   SCREW 7X80MM 44148016                $2,881.00
2049   SCREW NONLOCK 26X3.5 DC2820-126        $564.00
2050   PLATE RPS MED/LAT RECON DC2803-00    $6,402.00
2051   SCREW LOCKING 14X3.5 DC2820-014        $664.00
2052   SCREW NONLOCK 14X3.5MM DC2820-114      $564.00
2053   SCREW NONLOCK 3.5X30MM DC2820-130      $564.00
2054   SCREW LOCKING 3.5X24MM DC2820-024      $664.00
2055   K WIRE 140X1.1MM NO2228-012            $147.00
2056   DRILL BIT CANNULATED 2.5MM DC5136      $550.00
2057   SYSTEM KNEE LPS 98-5968-300-01      $22,100.00
2058   SHOULDER HUMERAL STEM 1137-12-050   $12,112.00
2059   STENT URETERAL LITHOSTENT 7FX22CM      $896.00
2060   GRAFT HEMASHIELD 2X6" 019627         $1,776.00
2061   DRILL BIT CANNULATED 2.0 4411-200      $930.00
2062   PLATE .6MM LP ST 16HOLE 50-368-16      $679.00
2063   LEAD LVA EASYTRAK 2 4542            $11,640.00
2064   SYSTEM HIP TRABECULAR METAL STEM    $23,100.00
2065   SCREW MUC 4.3X46MM LONG 4411-0038    $1,892.00
2066   PLATE 1MM LPS DC2801-001             $6,402.00
2067   SCREW 3.5 LOCKING 20MM DC2820-020      $664.00
2068   SCREW 3.5 LOCKING 26MM DC2820-026      $664.00
2069   SCREW 3.5 NONLOCK 18MM DC2820-118      $564.00
2070   SCREW 3.5 NONLOCK 22MM DC2820-122      $564.00
2071   MAMMOSITE APPLICATOR 5-6CM 2056     $14,841.00
2072   NAIL IM FEMORAL 10X34 2257-340-00    $5,956.00
2073   SCREW LAG 11X70 2259-01-27           $1,233.00
2074   BURR HOLE COVER TITANIUM 24MM          $950.00
2115   DRAPE MICROSCOPE (21-69200H)             $0.00   Utilization
2120   EYE GARTER                               $0.00   Utilization
2138   BLADE ANGLED CRESENT (990002)           $88.00
2142   DRESSING ABD PAD 5X9 (KC9190)            $0.00   Utilization
2151   PACK AMBRUS 400354                       $0.00   Utilization
2161   STRAP RESTRAINT TUBE (H9399)            $15.50
2171   ASPIRATOR 90DEG ENT (1000543)          $455.00
2175   SHIELD EYE METAL (C16005)                $0.00   Utilization
2176   TIP NEEDLE (N103A)                     $295.00
2177   CATH WIRE BALLOON DILATOR (5838)     $1,280.00
2178   BLADE FULL RADIUS 2.0MM (3410)         $320.00
2181   CUTTER ARTHRO AGGRESS (290-648-00      $819.00
2182   WIRE JAG ANGLED .035 (5659)            $880.00
2183   LOOP CUTTING (MLE28-010)               $510.00
2186   PAD GROUNDING (E7506)                    $0.00   Utilization
2187   NERVE STIMULATOR (85-62010)            $210.00
2188   DRESSING KERLIX 4.5" UNSTER (KC33        $0.00   Utilization
2192   BREAST IMPLANT FLUID MUTI (MAC-10       $57.00
2197   TUBE TRACH NASAL RAE 5.0 (43162-5       $30.00
2198   TUBE TRACH ORAL RAE 6.0 (43160-06       $30.00
2199   TUBE TRACH ORAL RAE 5.5 (43162-05       $30.00
2203   NEBULIZER W/AIR (002002)                $15.50
2204   GLOVES ULTRAFREE SZ 7 (2D71F4I)          $0.00   Utilization
2206   BLADE ENDOSCOPIC CRVD (7205320)        $530.00
2208   BANDAGE COBAN 1" (M1581)                 $0.00   Utilization
2210   BURR EGG SHAPED (1607-002-003)         $445.00
2216   STRAP STRICKLAND TABLE                  $36.00
2217   LIGATOR MULTIBAND (4225-02)          $1,880.00
2218   LIGATOR MULTIBAND (4228-02)          $1,870.00
2219   GLOVE ULTRAFREE 6.5 (2D71F2I)            $0.00   Utilization
2220   TUBE ENDOTRACH 4.5 UNCUFF (86226)       $11.00
2221   FILTER INLINE SUCTION                 $260.00
2222   CATH INFUSION 6.6FR (060004)          $630.00
2224   GLOVES ULTRAFREE SZ 7 (2D71F3I)         $0.00   Utilization
2225   CONNECTOR RUBBER RACINE               $260.00
2226   NEEDLE FREE SEED (318201)              $69.00
2227   NEEDLE FREE SEED (318205)              $69.00
2235   TEMPERATURE MONITOR (F92102M)           $0.00   Utilization
2236   TROCAR ENDO 12X100MM (512SD)          $400.00
2237   SNARE POLYPECTOMY ROTATABLE (6182     $285.00
2250   TUBE ENDOTRACH LASER 06MM (70-603     $530.00
2255   TUBE ENDOTRACH 05MM (151050)           $31.50
2260   TUBE ENDOTRACH LASER 05MM (70-602     $530.00
2265   TUBE TRACH ORAL RAE (43162-470)        $72.00
2275   TUBE ENDOTRACHEAL 3.5 UNCUFFED         $24.00
2281   EXT FIXATOR HINGE JOINT (101638)    $5,250.00
2285   TUBE TRACH ORAL RAE (43162-465)        $68.00
2295   TUBE TRACH ORAL RAE (43162-480)        $72.00
2300   TUBE ENDOTRACHEAL 4.5 UNCUFFED         $24.00
2301   BLADDER EVACUATOR DISPOS (000451)      $57.00
2302   SYRINGE PREFILLED 5CC (GIS-44)        $140.00
2303   SCALPEL HARMONIC ULTRACISION (DH1     $700.00
2304   DEVICE TONSIL (2420-1328-05)        $1,890.00
2305   TUBE TRACH ORAL RAE (43162-475)        $72.00
2310   TUBE MYRING DONALDSON 13000            $78.00
2320   TUBE MYRING COLLAR MUTTON SHEEY        $30.00
2325   TUBE MYRING XOMED                      $62.00
2330   TUBE MYRING VENT SHEA PARASOL          $98.00
2335   TUBE MYRING GOODE T                    $88.00
2341   ELECTRODE ENT/IMA (E1553)               $0.00   Utilization
2344   TUBING IVAC LIPOSUCTION (B5558)        $65.00
2345   LINER DISPOSABLE LIPOSUCTION (CNL      $57.00
2346   FILTER PIECES B5558-F                  $21.00
2347   FILTER ACCELERATOR B1000              $110.00
2348   TUBING ARTHROSCOPIC (25200)           $350.00
2358   CATH CRUZ (40-3001)                 $1,010.00
2359   BALLOON DILATOR CRE (5848)          $1,530.00
2360   CATH SUCTION 08FR (4890T)               $0.00   Utilization
2369   BLADE SAW (2296-33-144)               $285.00
2370   BLADE SAW (2296-33-111)               $285.00
2385   SPONGE TONSIL W STRING MED (25244       $0.00   Utilization
2387   SPLINT NASAL BOOMERANG (600500)       $198.00
2390   SUCTION CANNISTER W/CRITICAL MEAS       $0.00   Utilization
2395   CAUTERY SUCTION COAGULATOR (E2610       $0.00   Utilization
2400   SUCTION COAGULATORS 10FR                $0.00   Utilization
2410   TAPE DERMAFOAM ROLL 2" (JJ5182)        $17.00
2411   MARKER RECTAL DISP 10CM(MT-ZM-171      $86.00
2416   TUBING SMOKE EVACUATION VL             $92.00
2417   PRE FILTER SMOKE EVAC SYSTEM           $63.00
2422   BLADE SHORT MICRO (2296-33-105)       $285.00
2423   BURR SIDE CUTTING (5120-101-23)       $385.00
2424   PEAR SMALL 4.0 (5120-16-40)           $540.00
2425   BURR ROUND 2.5 (5120-10-25)           $506.00
2426   BURR ROUND 3.5 (5120-10-35)           $510.00
2427   BURR ROUND 4.5 (5120-10-45)           $506.00
2443   INTRODUCER (HLS-1009)                 $480.00
2453   KIT GASTROSTOMY 20FR (6820)           $530.00
2454   TUBE GASTROSTOMY 26FR (0100-26)       $285.00
2459   CATH HEMOSTASIS OPTIFLO 23GA (117     $270.00
2461   CATH HEMOSTASIS OPTIFLO 25GA (117     $270.00
2462   STENT KIT (3379)                      $540.00
2465   CUTTER ARTHRO AGGRESS MENIS 4.0(2     $510.00
2467   STRIPS PHIX (PHD-02007)                $15.00
2468   NEEDLE EPIDURAL TUOHY (405018)          $0.00   Utilization
2469   NEEDLE EPIDURAL TUOHY (405028)          $0.00   Utilization
2471   NEEDLE EPIDURAL WEISS (405188)          $0.00   Utilization
2472   NEEDLE EPIDURAL WEISS (405186)          $0.00   Utilization
2473   PAD GROUNDING PEDI EXCAL (425-250       $0.00   Utilization
2478   DRAPE LITHOTOMY (29455)                 $0.00   Utilization
2479   SIZER BREAST (MSR)                    $205.00
2484   THYROPLASTY SNGL PROC MALE          $2,270.00
2487   BALLOON DILATOR CRE (5849)          $1,540.00
2489   CATH INTRADISCAL (902002)           $4,630.00
2492   INTRODUCER NEEDLE 17GX6 (902004)      $290.00
2493   PAPILLOTOME, HUIBREGTSE KATON(HCP     $560.00
2498   SET DECOMPRES BRODMERK COLN (CDSB     $590.00
2499   SET DECOMPRES BRODMK COLON (CDSB-     $590.00
2501   NEEDLE ROSEN 3.0MM BLUNT (N1690-1       $0.00   Utilization
2503   BURR (5820-10-260)                    $896.50
2506   ELECTRODE LEEP (R2008)                $125.00
2507   ELECTRODE LEEP (R1010)                $125.00
2508   ELECTRODE LEEP (B0512)                $125.00
2509   ELECTRODE BALL BP (B0512)             $130.00
2511   TUBE ARMSTRONG BEVELED (70145061)      $88.00
2516   PACK OCB BASIC CUSTOM                   $0.00   Utilization
2517   PACK HAND CUSTOM (SOP52HNEMI)           $0.00   Utilization
2518   PACK ARTHROSCOPY CUSTOM (SOP52ARE       $0.00   Utilization
2519   PACK FOOT CUSTOM (SOP52FTEMF)           $0.00   Utilization
2521   PACK SINUS TOFFEL (400423)              $0.00   Utilization
2522   PACK CYSTO CUSTOM (SBA52CYEOB)          $0.00   Utilization
2523   OSTOMY LOOP BRIDGE (7767)             $295.00
2524   FIBER COAXIAL KTP LASER L21213008   $1,800.00
2528   PAD GROUNDING (720-1001)                $0.00   Utilization
2531   INTRODUCER KIT (0607770)              $360.00
2532   HANDPIECE BASE OF TONGUE (2220221   $1,960.00
2533   PACKING NASAL W/SINUS STNT(7089-0     $475.00
2534   DILATOR EAGLE 325100                  $330.00
2535   KIT-FALOPE BAND 000718-250            $280.00
2553   DRAPE HEAD BAR                          $0.00   Utilization
2554   DRAPE PED INCISION                      $0.00   Utilization
2560   INJECTOR UTERINE MANIPULATOR (600     $175.00
2565   PACK SINUS KENNEDY (400422)             $0.00   Utilization
2566   PORBE ELECTROHYDAULIC (D2137.155E     $840.00
2567   FORCEPS GRASPING HOOK DISP (350-1   $1,010.00
2568   FORCEPS GRASPING HOOK DISP (350/1   $1,010.00
2575   PAD CAUTERY PED BOVIE (E7510-25)        $0.00   Utilization
2586   TIP LASER VERSA 30' (0622-651-30)   $1,062.00
2587   TIP LASER VERSA 70' (0622-651-70)     $664.00
2593   BLADE SAW TPS (2296-33-125)           $260.00
2594   BURR 4.0MM 5820-012-040               $896.50
2597   TIP CAUTERY INSULATED (VLE1553)         $0.00   Utilization
2600   COVER PIN BALL (10-1-003)               $6.00
2601   WAND PLASMA REFLEX ENT E4145-01       $870.00
2602   FIBER LASER 60MIC KTP (905CONN)       $800.00
4777   BLADE INFERIOR TURBINATE (18-8294     $770.00
4778   TUBING ENDO SCRUB (19-12030)          $180.00
4779   SHEATH (19-12018)                     $280.00
4780   SHEATH (19-12015)                     $280.00
4781   SHEATH (19-12008)                     $280.00
4782   DRAPE STEPPER/STABILIZER (USD200)       $0.00   Utilization
4783   FIBER HANDPIECE W/TIP (T29710-008   $1,500.00
4784   TIP 30O FOR HANDPIECE TRIMEDYN (T   $1,000.00
4785   SPINCTEROTOME PTG-20-6-BII-NG         $980.00
4786   SPLINT NASAL SINGLE MED 15-29010       $79.00
4787   DRAPE LAPAROSCOPY (19402)               $0.00   Utilization
4788   DRAPE OD OP MI (326018)                 $0.00   Utilization
4789   FIBER 600 MICRON TIP L21213008      $1,630.00
4790   PROBE LASER (L21310-008)            $1,160.00
4791   BURR 5.0MM 5820-012-050               $896.50
4793   DRAPE OPMI ZEISS (326006)               $0.00
4794   SURGICEL 2X3 (1953)                   $145.00
7223   BALLOON UST/4-2/5/40 (14-210)       $1,210.00
9006   PACK ICE BILAT FACIAL (11431-010)       $0.00   Utilization
9007   PROBE VULCAN SUCTION (910011)       $1,030.00
9008   RETRIEVER ROTH POLYP (00711058)       $345.00
9010   EXTRACTOR BALLOON RETRIVL 8.5MM 5     $740.00
9011   EXTRACTOR BALLOON RETRIVL 12MM 51     $680.00
9012   EXTRACTOR BALLOON RETRIEVAL 5147      $740.00
9017   STENT SOLOPASS PERC (3412)            $840.00
9018   TUBE TRACH REINFORCED 6.5(46154-0      $85.00
9022   CATH BILIARY DILATION 8-10FR 5022     $380.00
9027   SNARE POLYPECTOMY CATIVATOR (6131     $170.00
9028   SPHINCTEROTOME ULTRATOME 20MM 359     $990.00
9041   KNIFE (RAK-28)                        $630.00
9045   STENT BILIARY CLBS 10-9               $670.00
9050   STENT BILIARY CLBS 10-7               $670.00
9085   STENT BILIARY (CLBS-11.5-12)          $580.00
9105   STENT COTTON LEUNG BILIARY CLBS-7     $560.00
9118   TAPE ELASTICON 4 INCH (5177)           $37.50
9130   STENT BILIARY CLBS 7-5                $670.00
9150   WIRE ULTRATOME 3082                   $920.00
9166   GUIDEWIRE ENDOURO (630-101)           $225.00
9182   GUIDEWIRE ROADRUNNER RR-18-480        $800.00
9190   BITEBLOCK (ST-94)                      $24.00
9195   BRUSH CYTOLOGY 2.3MM 240CM COX         $80.00
9196   SNARE POLYPECTOMY (6257)              $170.00
9197   LIGATOR MULTIBAND (MBL-6-OV)        $1,170.00
 9198   BURR 5820-012-010                     $896.50
 9199   BURR (5820-012-060)                   $896.50
 9201   BURR 5620-010-010                     $892.00
 9202   BURR 5620-010-020                     $896.50
 9203   BURR (5620-010-040 )                  $896.50
 9204   BURR (5620-010-050)                   $896.50
 9218   FOLEY LTX FREE 16FR 75576              $32.25
 9219   CATH FOLEY LTXFREE 18FR 87-605189      $31.50
 9221   CATH ELECTRO PROBE GOLD 7FR 6015    $1,940.00
 9222   CATH ELECTRO PROBE GOLD 10FR 6016   $1,940.00
 9223   TUBE ENDOTRACH 4.0 UNCUFF (86225)      $11.00
 9224   TUBE ENDOTRACH 6.0 UNCUFF (86229)      $11.00
 9225   TUBE ENDOTRACH 5.5 UNCUFF (86228)      $11.00
 9226   FOLEY LTX FREE 20FR 328765             $31.50
 9227   SIZING KIT (TEW7000)                $1,095.75
 9228   PROBE (82-25101)                      $557.00
 9229   BURR (5620-010-060)                   $896.50
 9230   CATH ELECTRO PROBE GOLD 7FR 6007-   $1,090.00
 9236   DEVICE TONGUE (1200-2110-01)        $1,630.00
 9237   DEVICE PALATE (1010-2110-01)        $1,630.00
 9238   DEVICE TURBINATE (1120-4110-01)       $690.00
 9246   SNARE POLYPECTOMY MINI 6243           $170.00
 9251   STONETOME SHORT NOSE TIP 05MM 351   $1,230.00
 9255   FORCEPS HOT BIOPSY 1276               $480.00
 9260   FORCEPS RADIAL JAW DISP 1537          $240.00
 9265   FORCEPS-MULTIBITE 240CM               $510.00
 9284   TRAY-GASTROSTOMY PONSKY 000630          $0.00   Utilization
 9286   NEEDLE BIOPSY MONOPTY 18X20 (1218       $0.00   Utilization
 9287   PROBE STIMULATOR (8225101)            $519.25
 9293   BLADE (5100-37-115)                     $0.00
 9307   SET ENDOSCOPOIC NASAL BILIARY 7FR     $670.00
 9310   SET CATH NASAL BILIARY DRAIN ENBD     $320.00
 9312   DRAIN NASAL BILIARY 8.5 FR ENBD       $630.00
 9315   BRUSH COMBO CATH 1635                 $540.00
 9318   PROBE 9FR. E.H.L. (2135.0905)         $890.00
 9340   SNARE POLYPECTOMY JUMBO OVAL          $225.00
 9342   STOCKINET 3" STERILE                    $0.00   Utilization
 9346   CANNULA ERCP CONTOUR TAPERED 3086     $330.00
 9347   CANNULA ERCP CONTOUR TIP 5-4-3 20     $350.00
 9348   NEEDLE TOUHY 20X3 1/2 (18312)           $0.00   Utilization
 9360   CANNULA ERCP CONTOUR STANDARD 308     $330.00
 9366   CANNULA ERCP TANDEM XL TAPERED        $400.00
 9370   CANNULA ERCP CONTOUR ULTRA 3087       $330.00
 9378   CATHETER ERCP-1 CRAMER                $270.00
 9380   CATHETER BULLET TIP ERCP-1-BT         $260.00
 9382   DRAPE FOR BRACHYTHERAPY SYS (9932       $0.00   Utilization
 9383   CONNECTOR Y LUER LOCK (UBP-Y)           $0.00   Utilization
 9392   BASKET MEMORY II 8FR (MSB-35-2X4)     $800.00
 9393   BASKET STONE RETRIEVAL 2.5MM 1090   $1,550.00
 9401   DRAIN SURGICAL TLS SYSTEM (6640)      $150.00
10025   BANDAGE ELASTIC ADHESIVE (23631-3      $21.75
10026   DRESSING VASELINE 1 X 8 OVERWRAP        $0.00   Utilization
10027   EXTRACTOR SOFT CUP MY-T-VAC (1002     $140.00
10028   SET URINARY DRAINAGE 5FR (895065)      $77.00
10029   SYSTEM COMPONENT CATH ATTAIN (621       $0.00
10030   BANDAGE ADHESIVE XLG 2X4 1/2 (JJ5       $0.00   Utilization
10031   GUIDEWIRE (22-1020)                     $8.00
10032   COMPRESSION SLEEVE SEQUENTIAL 532     $100.00
10033   OCTOPUS TISSUE STABALIZER (TS2000   $6,111.00
10034   PACK INSTANT COLD SMALL (11440-51      $10.50
10035   BLADE 5.0 AGGRESSIVE PLUS (375-55     $358.50
10110   BREAST PUMP KIT MANUAL                 $95.00
10180   ASPIRATOR MECONIUM                     $33.00
10189   CATHETER SUCTION KIT 6FR                $0.00   Utilization
10190   CATH SUCTION 10FR (33000)               $0.00   Utilization
10195   CATH SUCTION 12FR (135477)              $0.00   Utilization
10196   CATHETER SUCTION DE LEE 8FR            $11.00
10197   CATHETER SUCTION DE LEE 10FR           $11.00
10200   CATHETER UMBILICAL 3.5 SOFTY           $99.00
10201   GUIDE WIRE 3.2 X 400MM (357.399)      $515.00
10202   REAMING ROD W/BALL TIP 950MM (351     $661.00
10205   CATHETER UMBILICAL 5.0 SOFTY           $99.00
10286   STRAP CIRCUMCISION (25600-010)         $42.75
10290   CLAMP UMBILICAL CORD                    $0.00   Utilization
10295   CONNECTOR "T"                           $0.00   Utilization
10365   DRAPE C SECTION W POUCH (M7965)         $0.00   Utilization
10445   DRESSING OPSITE 2X3 (1404)              $0.00   Utilization
10525   ELECTRODES TENDER TRACE                $27.75
10526   ELECTRODES TRULINK NEONATAL            $39.00
10610   OPTIRAY 350 50MIL                     $140.00
10710   GOWN EXTRA-EXTRA LARGE                  $0.00   Utilization
10790   HEEL STICK EA                           $0.00   Utilization
10791   HEEL WARMER INFANT                      $0.00   Utilization
10871   QUIK CATH IV 24GA X 5/8                $21.00
10876   CATHETER L-CATH 24GA                  $210.00
10955   MASK BILI                               $0.00   Utilization
10960   TUBING IV EXT MICROBORE (VL30822)      $31.50
10964   STOPCOCK 4-WAY LDRP                     $0.00   Utilization
11046   PAK COLORADO ALGO (040112)          $2,050.00
11053   TRANSDUCER NEONATE (PX-12N)            $70.00
11056   LEADS TEMP 1 INCU                      $54.00
11070   CUFF BP NEONATE 1 (30504-110)           $0.00   Utilization
11080   CUFF BLOOD PRESSURE NEONATE #2          $0.00   Utilization
11090   CUFF BP NEONATE 3 (30504-112)           $0.00   Utilization
11100   CUFF BP NEONATE 4 (30504-113)           $0.00   Utilization
11101   CUFF BP NEONATE 5 (30504-114)           $0.00   Utilization
11102   SENSOR TIP INTRAUTERINE (IUP650)      $260.00
11111   BRONCHOSCOPY SUPPLIES                   $0.00   Utilization
11130   PACK DAD LARGE                          $0.00   Utilization
11135   PACK DELIVERY C-SECTION                 $0.00   Utilization
11140   PACK DELIVERY VAGINAL                   $0.00   Utilization
11141   OB ADMIT MODULE                        $33.75
11142   OB IV MODULE                          $475.00
11143   OB LABOR MODULE                       $160.00
11146   OB NEWNORN MODULE                   $130.00
11150   TRAY DISPOSABLE VAG DELIV (NI09-0     $0.00   Utilization
11151   NEEDLE WHITACRE 25GA 4 1/2" (4094     $0.00   Utilization
11300   PAD BORNING L/D                       $0.00   Utilization
11301   SHEEPSKIN PAD                        $62.00
11302   STARTER SNS (0097003S)               $62.00
11304   SUPPLEMENTAL NURSING SYSTEM (0090   $160.00
11305   SHIELD NIPPLE (67203S)               $24.75
11380   PERFORATOR AMNIOTIC MEMBRANE         $10.50
11463   BREASTSHIELD PERSONAL FIT (67245)    $73.00
11465   FILTER CLASSIC BARRIER (800764)      $27.00
11540   SHAMPOO BABY 2 OZ. (90074)            $0.00   Utilization
11545   SOAP BABY (90102)                     $0.00   Utilization
11546   PNEUMOTHOROX KIT (AK-01500)         $510.00
11547   CATH UMBILICAL 4.0 DBL (S2UVC 4.0   $205.00
11625   SYRINGE W/LUBRICATING JELLY           $0.00   Utilization
11650   TRAY CIRCUMCISION                     $0.00   Utilization
11700   LUMBER PUNCTURE NEONATAL (54464)     $74.00
11705   TRAY PARACERVICAL/PUDENDAL BLOCK      $0.00   Utilization
11710   TRAY SHAVE PREP OB                    $0.00   Utilization
11715   TRAY SKIN PREP (4467)                 $0.00   Utilization
11720   CATHETER UMBILICAL 2.5 ARGYLE       $140.00
11722   BLOOD/WARMING SET OB (59841)         $97.00
11725   TRAY AMNIOCENTESIS (P4545A)           $0.00   Utilization
11726   SENSORS JELLY BUTTON (040255)        $25.50
11734   TRAY EXCHANGE TRANSFUSION             $0.00   Utilization
11735   PLEUR EVAC CHEST DRAINAGE INFANT    $530.00
11800   TUBING EXTRACTOR CUP MITYVAC        $130.00
11880   WIPES BABY                            $0.00   Utilization
20001   BANDAGE COBAN 3" (5063)               $0.00   Utilization
20002   BANDAGE COBAN 4" (5064)               $0.00   Utilization
20003   BANDAGE ACE 2" (5059)                 $0.00   Utilization
20004   BANDAGE ACE 3" (5060)                 $0.00   Utilization
20005   BANDAGE ACE 4" (5061)                 $0.00   Utilization
20006   BANDAGE ACE 6" (5062)                 $0.00   Utilization
20007   DRAPE C ARM X RAY (9951)              $0.00   Utilization
20008   SHEET THREE QUARTERS (9349)          $19.50
20009   DRAPE STERI ANGIO (M1090)             $0.00   Utilization
20010   BAG COLLECTION (82-1722)            $120.00
20011   DRAPE STERI (M1010)                   $0.00   Utilization
20012   DRAPE STERI (M1020)                   $0.00   Utilization
20013   DRESSING ADAPTIC 3X3 (4955)           $0.00   Utilization
20014   DRESSING ADAPTIC 3X8 (4956)           $0.00   Utilization
20015   DRESSING BANDAID ADHESIVE 4X6 (PC     $0.00   Utilization
20016   DRESSING BIOCLUSIVE 4X5 (5183)        $0.00   Utilization
20017   DRESSING BIOCLUSIVE 8X10 (5184)       $0.00   Utilization
20018   CATH TRAY POL Q 4FR 60CM 3154100    $604.25
20019   DRESSING TEGADERM 8X12 (M1629)       $25.50
20020   DRESSING TEGADERM 4X10 (M1627)       $17.50
20021   DRESSING TEGADERM 6X8 (M1628)        $19.50
20022   INTRODUCER MICRO 4.5F 0678945       $242.00
20023   DRESSING TELFA 4X3 (4988)             $0.00   Utilization
20024   DRESSING TELFA 8X3 (4994)               $0.00   Utilization
20025   DRESSING SOFTWICK (5104)                $0.00   Utilization
20026   DRESSING ABD PAD (4958)                 $0.00   Utilization
20027   INTRODUCER MICRO 5.0F 0678950         $242.00
20028   DRESSING GAUZE FLUFF (5102)             $0.00   Utilization
20029   DRESSING KERLIX 4.5" (5098)             $0.00   Utilization
20030   GAUZE SPONGE 4X4 2PK (5054)             $0.00   Utilization
20031   GLOVE BIOGEL 5.5 (30455)                $0.00   Utilization
20032   GAUZE SPONGE 4X4 10PK (5057)            $0.00   Utilization
20035   TUBE TRACH SZ.4 CUFFLESS (337150)     $250.00
20036   GAUZE VASELINE 1/2X72 (5056)            $0.00   Utilization
20037   GAUZE VASELINE 3X18 (5055)              $0.00   Utilization
20038   MONTGOMERY STRAP (54414)               $57.00
20039   NUGAUZE IODOFORM 1/4" (5118)           $27.00
20040   NUGAUZE IODOFORM 1/2" (5119)           $29.25
20041   NUGAUZE IODOFORM 1" (5120)             $33.00
20042   NUGAUZE IODOFORM 2" (5121)             $47.25
20043   NUGAUZE PLAIN 1/4" (4967)              $31.50
20044   NUGAUZE PLAIN 1/2" (4968)              $31.50
20045   NUGAUZE PLAIN 1" (4969)                $29.25
20046   NUGAUZE PLAIN 2" (4970)                $38.25
20047   BAG URINE COLL W/HIP BELT (B1000)     $153.75
20048   STERI-STRIP 1/2X4" (5085)               $0.00   Utilization
20049   SURGICEL 2X14 (1752)                  $195.00
20050   TAPE ELASTICON 3" (5145)                $0.00   Utilization
20051   BANDAGE COBAN 2INCH (M1582)             $0.00   Utilization
20052   GUIDEWIRE COPE PMG 18 (352893)        $284.25
20053   DRESSING GAUZE SPONGE 4X4 (KC2913       $0.00   Utilization
20054   STERI-STRIP 1/4X4" (5084)               $0.00   Utilization
20055   GUIDEWIRE TORQ FLEX 60CM (352897)     $247.50
20056   KIT MICROINTRODUCER PTFE 352885       $264.00
20057   COVER UZ PROBE W/GEL (352886)           $0.00   Utilization
20058   KIT NEEDLE GUIDE 20GA 352887          $102.75
20059   BANDAGE KLING 2" (4963)                 $0.00   Utilization
20060   BANDAGE KLING 3" (4964)                 $0.00   Utilization
20061   BANDAGE KLING 4" (4965)                 $0.00   Utilization
20062   BANDAGE KLING 6" (4966)                 $0.00   Utilization
20065   STATLOCK PLUS (350644) VPPCSP          $34.50
20066   PADDING SOFT ROLL 4X4 (1095)           $15.00
20067   PADDING SOFT ROLL 6X4 (1096)           $21.75
20068   CATH SUCTION W/O CONNECT 14FR(334       $0.00   Utilization
20069   CATH GROSHONG 5FR 62CM 7727517 KF     $940.00
20070   TOWEL NON FENESTRATED (1504)            $0.00   Utilization
20071   TOWEL FENESTRATED (2000)                $0.00   Utilization
20073   TUBE TRACHEOSTOMY FEN CUFFLESS(6C     $260.00
20074   PACK FENWAL 450ML (4R3620NP)            $0.00   Utilization
20075   ALCOHOL SWABS PKG/3 (57391)             $0.00   Utilization
20076   CATH JELCO 14GA 1 1/4" (JJ4048)         $0.00   Utilization
20077   FIBER 600 MICRON (HBLF-605F)        $1,632.50
20078   SPECULUM VAGINAL DISP (58003)           $0.00   Utilization
20080   KIT ORAL BRUSH (020080)                 $0.00   Utilization
20081   TUBE TRACH SHILEY 8.0 8DCFN           $260.00
20082   HY TAPE PINK 2" (344155)                $0.00   Utilization
20083   TUBE TRACH SZ.8 CUFFLESS (345585)     $250.00
20084   CATH GROSHONG 5F 55CM 7927507 KF      $960.00
20085   CATH GROSHONG 4F 60CM 7771407 KF      $960.00
20086   MICROINTRODUCER 5FR 668950 KF         $185.00
20087   MICROINTRODUCER 4.5FR 0668945 KF      $185.00
20088   CATH PER Q 4F 20CM 4134202 KF         $360.00
20089   MICROINTRODUCER 3.5 (0668935) KF      $185.00
20090   CATH GROSHONG 5F 45CM 7827508 KF    $1,100.00
20091   CATH PER Q DUAL LUMEN 4F 4244202      $360.00
20092   AMBU BAG MED.ADULT (357667)             $0.00   Utilization
20093   CREAM BARRIER 1OZ.CAVLON (351779)      $17.50
20094   SWAB BARRIER N/STNG CAVILON M3345      $19.50
20095   SPRAY BARRIER CLNSE CAVILON M3380      $38.25
20096   PEEP VALVE FOR AMBU BAG (357668)       $23.50
20097   CANNISTER VAC W/O ISO KIT (KCI)       $202.00
20098   AMMONIA INHALENTS N/C (56036)           $0.00   Utilization
20099   APPLICATOR Q TIP N/C (1233)             $0.00   Utilization
20100   SPRAY DERMAPLAST (71924)                $0.00   Utilization
20101   SYRINGE BLOOD GAS 1CC (365423)          $0.00   Utilization
20102   GLOVE 5.5 ESTEEM (352219)               $0.00   Utilization
20103   BAG BIOHAZARD EA N/C (3272)             $0.00   Utilization
20104   BAG PATIENT BELONG EA N/C (1557)        $0.00   Utilization
20105   SPRAY NEW SKIN (71949)                  $0.00   Utilization
20106   BAGGIES 5X8 ZIPLOCK N/C (17309)         $0.00   Utilization
20107   DRESSING XEROFORM 1X8 (39700)           $0.00   Utilization
20108   DRESSING XERFORM 5X9 (39701)            $0.00   Utilization
20109   DRESSING WOUND MATRIX 2 X 2 (PG00      $73.00
20110   BANDNET/HYGINET #3 BX N/C (11264)       $0.00   Utilization
20111   KIT CANNISTER W/GEL (KCI) 344483      $438.75
20113   CANNISTER VAC W/ISO KCI (344488)      $397.50
20114   KIT MED/BLK VAC (KCI)                 $234.00
20115   BANDAID 1" BX N/C (1070)                $0.00   Utilization
20116   BAG BELLY COLLECTION (353599)         $105.75
20117   BASIN EMESIS N/C (1274)                 $0.00   Utilization
20118   BASIN WASH N/C (1277)                   $0.00   Utilization
20120   COMPRESS SLEEVE SM. (353906)          $305.75
20121   BATTERY AA EA N/C (1749)                $0.00   Utilization
20122   CATH SECURE DEVICE LL (A1513)         $146.75
20123   FLUSHING PORT (A1509)                  $86.75
20124   CLEANSER SKIN CETAPHIL (56029)          $0.00   Utilization
20125   CATH FOLEY 14FR 5CC COUDE 354192       $96.50
20126   CATH FOLEY 12FR 5CC 2WAY (354193)      $71.50
20127   SM VAC DRESSING (KCI) (354366)        $168.25
20128   CANNISTER W/ISO (KCI) M6275008        $219.50
20129   BATTERY D EA N/C (1477)                 $0.00   Utilization
20130   BEDPAN N/C (1262)                       $0.00   Utilization
20131   CONNECTOR CLC (354802)                 $25.00
20132   BENZOIN SEPPS BX/200 N/C (39703)        $0.00   Utilization
20134   BLADE TONGUE BX N/C (1237)              $0.00   Utilization
20135   CUFF BP ADLT/LG N/C (344038)            $0.00   Utilization
20136   CUFF BP ADLT/LG/LONG N/C (344040)       $0.00   Utilization
20137   CUFF BP ADULT/STD N/C (344036)      $0.00   Utilization
20138   CUFF BP SM/ADULT N/C (344039)       $0.00   Utilization
20139   BOTTLE PERI N/C (1410)              $0.00   Utilization
20140   CAP NEEDLESS SMART SITE N/C 39821   $0.00   Utilization
20141   WATER PITCHER N/C (1211)            $0.00   Utilization
20142   CHEST TUBE CLAMP N/C (52808)        $0.00   Utilization
20143   COMB N/C (1562)                     $0.00   Utilization
20144   COMMODE BUCKET N/C (54901)          $0.00   Utilization
20145   PHARMASAFETY CONT 12GAL (356898)    $0.00   Utilization
20147   DENTURE CUP N/C (1208)              $0.00   Utilization
20148   DEODORIZER EA N/C (3264)            $0.00   Utilization
20149   GAUZE 2X2 BX N/C (1060)             $0.00   Utilization
20150   TV EARPHONE N/C (346739)            $0.00   Utilization
20151   EKG PADS BG/50 N/C (1203)           $0.00   Utilization
20152   URINE FILTER N/C (1420)             $0.00   Utilization
20153   FLASHLIGHT N/C (1475)               $0.00   Utilization
20154   CUP FOAM 10 OZ PK/40 N/C (4940)     $0.00   Utilization
20155   CUP FOAM 8 OZ PK/40 N/C (1035)      $0.00   Utilization
20157   WIPES GERMICIDAL TUB N/C (339734)   $0.00   Utilization
20158   GLOVE EXAM LG BX N/C (55815)        $0.00   Utilization
20159   GLOVE EXAM MED BX N/C (54238)       $0.00   Utilization
20160   GLOVE EXAM SMALL BX N/C (55689)     $0.00   Utilization
20161   GOWN ISOLATION 10/PK N/C (2053)     $0.00   Utilization
20162   GRADUATES 32OZ PK/10 N/C (1212)     $0.00   Utilization
20163   HYDROGEN PEROXIDE 16OZ. N/C 39705   $0.00   Utilization
20165   MASK SURGICAL BX N/C (1538)         $0.00   Utilization
20166   MONITOR PAPER PAD SPACE LAB 90025   $0.00   Utilization
20167   NEEDLE HYPO 18X1 BX N/C (1336)      $0.00   Utilization
20168   NEEDLE HYPO 18X1.5 BX N/C (1337)    $0.00   Utilization
20169   NEEDLE HYPO 20X1.5 BX N/C (1340)    $0.00   Utilization
20170   NEEDLE HYPO 21X1 BX N/C (1341)      $0.00   Utilization
20171   NEEDLE HYPO 21X1.5 BX N/C (1342)    $0.00   Utilization
20172   NEEDLE HYPO 22X1 BX N/C (1350)      $0.00   Utilization
20173   NEEDLE HYPO 22X1.5 BX N/C (1344)    $0.00   Utilization
20174   NEEDLE HYPO 23X1 BX N/C (1345)      $0.00   Utilization
20175   NEEDLE HYPO 25X1.5 BX N/C (1589)    $0.00   Utilization
20176   NEEDLE HYPO 25X5/8 BX N/C (1346)    $0.00   Utilization
20177   NEEDLE HYPO 30X1/2 BX N/C (5437)    $0.00   Utilization
20178   OINTMENT NEOSPORIN BX N/C (56145)   $0.00   Utilization
20179   OINTMENT A&D BX N/C (56037)         $0.00   Utilization
20180   OINTMENT BACITRACIN BX N/C 71920    $0.00   Utilization
20181   SUCTION CANNISTER N/C (12747)       $0.00   Utilization
20182   OINTMENT BETADINE BX N/C (56030)    $0.00   Utilization
20183   FRACTURE PAN N/C (1263)             $0.00   Utilization
20184   PAPER DEFIB CHART N/C (301522)      $0.00   Utilization
20185   PAPER DINAMAP THERMAL N/C 353911    $0.00   Utilization
20186   PAPER SPACELABS N/C (39242)         $0.00   Utilization
20187   OINTMENT VASELINE BX N/C (39702)    $0.00   Utilization
20188   RAZOR TWIN BLADE 10/PK N/C 39311    $0.00   Utilization
20189   HAND RINSE 4 OZ.N/C (347983)        $0.00   Utilization
20190   BEDSIDE BAG EA N/C (1204)           $0.00   Utilization
20191   SHAMPOO NO RINSE N/C (14890)        $0.00   Utilization
20192   SHARP CONTAINER 1QT N/C (3464)          $0.00   Utilization
20193   SHARP CONTAINER 3GL N/C (3462)          $0.00   Utilization
20194   SLIPPERS ADULT (5087)                   $0.00   Utilization
20195   SCRUB TECHNI CARE SOAP N/C 314319       $0.00   Utilization
20196   STRAWS BX N/C (1606)                    $0.00   Utilization
20197   SYRINGE CANNULA N/C (73961)             $0.00   Utilization
20198   SYRINGE INSULIN 1CC BX N/C (2023)       $0.00   Utilization
20199   SYRINGE INSULIN 0.5CC N/C (39829)       $0.00   Utilization
20200   SYRINGE 10CC LL BX N/C (39825)          $0.00   Utilization
20201   SYRINGE 20CC LL BX N/C (1660)           $0.00   Utilization
20202   SYRINGE 30CC LL BX N/C (1309)           $0.00   Utilization
20203   SYRINGE 5CC LL BX N/C (39827)           $0.00   Utilization
20204   SYRINGE 20CC PT BX N/C (1101)           $0.00   Utilization
20205   SYRINGE TB 1CC 25X5/8 N/C (39830)       $0.00   Utilization
20206   SYRINGE TB 1CC 27X1/2 N/C (1296)        $0.00   Utilization
20207   TAPE SILK 1" N/C (1073)                 $0.00   Utilization
20208   TAPE SILK 2" N/C (1074)                 $0.00   Utilization
20209   TAPE TRANSPORE 1" N/C (1436)            $0.00   Utilization
20210   TEST STRIPS GLUCOSE BTL N/C 10886       $0.00   Utilization
20211   KLEENEX N/C (1201)                      $0.00   Utilization
20212   TOOTHBRUSH N/C (1219)                   $0.00   Utilization
20213   TOOTHPASTE N/C (1218)                   $0.00   Utilization
20214   TUMBLER CUP 25/PK N/C (1607)            $0.00   Utilization
20215   TV REMOTE N/C (329271)                  $0.00   Utilization
20216   TYMPANIC PROBE COVER BX N/C 39065       $0.00   Utilization
20217   URINAL N/C (1264)                       $0.00   Utilization
20219   DRESSING MEPITEL 3X4 (359266)          $45.00
20220   BATTERY 9V EA N/C (3451)                $0.00   Utilization
20221   BATTERY AAA EA N/C (39398)              $0.00   Utilization
20222   BATTERY C EA N/C (1476)                 $0.00   Utilization
20223   APPLICATOR COTTON 6" BX N/C 1235        $0.00   Utilization
20224   CARAFE FOAM LINER EA N/C (39728)        $0.00   Utilization
20225   CUFF BP CHILD 13-19CM (359390)          $0.00   Utilization
20226   TAPE TRANSPORE 2" N/C (1437)            $0.00   Utilization
20227   NEEDLE BRACHYTHERAPY 18GA (2400)      $381.25
20228   DRAPE BRACHY (610-870)                  $0.00   Utilization
20229   DRESSING MEROGEL INJECT 15-18000      $549.75
20231   DRESSING VAC FOAM KCI (M6275034)       $87.50
20232   EYE PAD N/C EA (1604)                   $0.00   Utilization
20233   STENT BILIARY FLEX 7X5 (3361)         $366.50
20234   NEEDLE 18GA BONE WAX (818201)           $0.00   Utilization
20235   CATHETER BOWEL (ZAS-300-02-0006)    $2,095.25
20236   BAG COLLECTION (ZAS-301-02020003)     $124.75
20238   PHISOHEX 5OZ. N/C (56032)               $0.00   Utilization
20239   FIBER ACCUSTAT 100UM (AMS-STAT)     $2,619.00
20240   BOWEL MANAGE SYSTEM (#360797)         $360.00
20241   MASK DUCK BILL REG. N/C (52780)         $0.00   Utilization
20242   MASK DUCK BILL SMALL N/C (58411)        $0.00   Utilization
20243   UNNA BOOT DRESSING ROLL (361345)       $47.00
20244   WOUNDSTICK TUNNELER N/C (360886)        $0.00   Utilization
20245   NEEDLE GRIPPER 20GA 3/4 (361592)       $42.75
20246   NEEDLE GRIPPER 20GA 1" (361594)        $42.75
20247   NEEDLE GRIPPER 20GA 1 1/4 361595       $42.75
20248   BAG DRAIN PERICARDIO (MDD100)          $53.50
20250   ABD BINDER 9" EXTRA LONG (362306)     $205.00
20251   ABD BINDER 12" EXTRA LNG (362305)     $161.50
20252   SHOE POST OP MEN SML (309965)          $44.75
20253   FORCEP BIOPSY (1599)                  $205.00
20254   KIT JSST W/O FOAM (JT-1004)           $169.00
20255   LAP CHOLE PBDS SDS (PG82GBEMJ)      $1,128.00
20256   NEEDLE FREE FILTER SET (363398)        $23.00
20257   KIT ORAL CARE/SUCTION Q4 (362536)     $147.00
20258   BREAST SIZER (351-0715S)              $330.00
20259   DIAL-A-FLOW EXTENSION SET 43000E       $28.00
20260   CATH INFUSION PICC PK-01451-WSSP      $513.00
20261   CATH INFUSION PICC PK-01552-WSSP      $550.00
20262   CATH HEMOSTASIS (1836)                $286.00
20263   BREAST SIZER (SZ468450)               $330.00
20264   BREAST SIZER (SZ1-5001)             $1,926.00
20265   BREAST SIZER (SZ1-6001)             $1,926.00
20269   ARGLAES SILVER FILM 3X14 (350255)     $215.00
20270   ARGLAES SILVER FILM 2X3 (350256)      $170.00
20271   ARGLAES SILVER ISLAND (350257)        $205.00
20272   ALGINATE ROPE (350259)                 $37.50
20371   BAG URINE LEG MED (5043)               $19.50
20372   BAG URINE LEG LG (5044)                $19.50
20373   CATH ANGIO 16GA 2" (381157)             $0.00   Utilization
20374   CATH ANGIO 18GA 2" (381147)             $0.00   Utilization
20375   CATH ANGIO 20GA 2" (381137)             $0.00   Utilization
20376   CATH RADIAL ARTERY SET 20GA (RA-0      $63.00
20377   CATH ANGIO 24GA 3/4" (381112)           $0.00   Utilization
20378   FOLEY COUDE 16F 5CC 2WAY (12647)       $77.00
20379   FOLEY COUDE 18F 5CC 2WAY (12746)       $77.00
20380   FOLEY COUDE 20F 5CC 2WAY (9287)        $77.00
20381   BREAST EXPANDER (350-4301M)         $3,201.00
20382   CANNISTER VAC (KCI)                   $180.00
20383   CATH FOLEY 10F 3CC 2WAY (5036)         $58.00
20384   WOUND KIT MED/BLK (KCI)               $215.00
20385   CATH FOLEY 6F 1.5CC 2WAY (51235)      $150.00
20386   CATH FOLEY 8F 3CC 2WAY (5035)          $62.00
20387   CATH FOLEY 14F 5CC 2WAY (300542)       $72.00
20388   CATH FOLEY 16F 5CC 2WAY (300541)       $66.00
20389   CATH FOLEY 18F 5CC 2WAY (300543)       $77.00
20390   CATH FOLEY 18F 30CC 2WAY (5029)        $50.00
20391   CATH FOLEY 18F 30CC 3WAY (4977)        $75.00
20392   CATH FOLEY 20F 5CC 2WAY (5025)         $32.25
20393   CATH FOLEY 20F 30CC 2WAY (5030)        $36.00
20394   CATH FOLEY 20F 30CC 3WAY (4978)        $75.00
20395   CATH FOLEY 22F 5CC 2WAY (5026)         $32.25
20396   CATH FOLEY 22F 30CC 2WAY (5031)        $35.25
20397   CATH FOLEY 22F 30CC 3WAY (5039)        $76.00
20398   CATH FOLEY 24F 5CC 2WAY (5027)         $32.25
20399   CATH FOLEY 24F 30CC 2WAY (5032)        $36.00
20400   CATH FOLEY 24F 30CC 3WAY (5040)        $76.00
20401   CATH FOLEY 26F 5CC 2WAY (5028)         $44.25
20402   CATH FOLEY 26F 30CC 2WAY (5033)        $52.00
20403   CATH FOLEY 26F 30CC 3WAY (5038)        $75.00
20404   CATH FOLEY 28F 5CC 2WAY (5037)         $44.25
20405   CATH FOLEY 28F 30CC 2WAY (5034)        $52.00
20406   INTRODUCER CATH 5FR (005038)          $155.00
20409   CATHETER INTRODUCER HEMAQUET 8 FR     $125.00
20410   INSYTE 14GA 2" (5131)                   $0.00   Utilization
20411   INSYTE 16GA 2" (5132)                   $0.00   Utilization
20412   INSYTE 18GA 2" (5133)                   $0.00   Utilization
20413   INSYTE 20GA 1" (5134)                   $0.00   Utilization
20414   INSYTE 22GA 1" (5128)                   $0.00   Utilization
20415   INSYTE 24GA 3/4" (12674)                $0.00   Utilization
20416   CATHETER PLUG (5042)                    $0.00   Utilization
20417   CATH ROBINSON 8FR (5123)                $0.00   Utilization
20418   CATH ROBINSON 10FR (5150)               $0.00   Utilization
20419   CATH ROBINSON 12FR (5019)               $0.00   Utilization
20420   CATH ROBINSON 14FR (5107)               $0.00   Utilization
20421   CATH ROBINSON 16FR (5020)               $0.00   Utilization
20422   CATH ROBINSON 18FR (5124)               $0.00   Utilization
20423   CATH IV INSYTE 16GAX1 1/4 (1401)        $0.00   Utilization
20424   CATH IV INSYTE 18GAX1 1/4 (1400)        $0.00   Utilization
20425   CATH ANGIO 22GA 1" (381123)             $0.00   Utilization
20426   SUCTION CATH KIT 8FR (5141)             $0.00   Utilization
20427   SUCTION CATH KIT 10FR (5142)            $0.00   Utilization
20428   SUCTION CATH KIT 14FR (5143)            $0.00   Utilization
20429   SUCTION CATH KIT 18FR (5144)            $0.00   Utilization
20430   CATH SUCTION W CONNECTOR 14FR (KC       $0.00   Utilization
20431   CONNECTOR DBL FEMALE LL (357102)       $11.50
20432   CATHETER TRANSVENOUS ELECTRODE 4      $480.00
20433   CATHETER TRANSVENOUS ELECTRODE 7F     $640.00
20434   ELECTRODE CATH 05FR (008154)          $540.00
20435   ELECTRODE CATH 06FR (007153)          $740.00
20436   CATH SECURE (53382)                    $14.00
20438   CATH GROSHONG 4FR SNGL (7717412)      $504.75
20439   CATH GROSHONG 4FR SNGL (7917408)    $1,002.75
20440   COMPRESS SLEEVE LG. (12222)           $386.00
20441   TUBE ET LASER 5.5 (AMS-1013)        $1,162.00
20442   SKIN CLOSURE STERI STRIPS MR1548       $11.75
20443   CATH PICC 5FR SGL LUMEN (359208)      $504.75
20444   SIZER IMPLANT (SZ468300)              $330.00
20445   WRAP IMPLANT STABILIZER (ISB-05)       $80.75
20446   ADHESIVE REMOVER N/C (1440)             $0.00   Utilization
20447   ADHESIVE SPRAY HOLL N/C (12786)         $0.00   Utilization
20449   ALCOHOL PREP BX N/C (1439)              $0.00   Utilization
20450   CATH JELCO 22GA X 1" (39964)            $0.00   Utilization
20451   CATH JELCO 14GA X 2" (39965)            $0.00   Utilization
20452   CATH JELCO 16GA X 2" (39966)            $0.00   Utilization
20453   CATH JELCO 18GA X 2" (39967)            $0.00   Utilization
20454   CATH JELCO 20GA X 1 1/4" (39968)        $0.00   Utilization
20455   CATH JELCO 18GA X 1 1/4" (39969)        $0.00   Utilization
20456   CATH JELCO 16GA 1 1/4 (JJ4042)          $0.00   Utilization
20457   CATHETER SLEEVE SEPTISHIELD            $55.00
20458   SOL PROV IOD (BETADINE)4OZ 310966       $0.00   Utilization
20459   BELT POSEY ROLL (362471)                $0.00   Utilization
20460   RESTRAINT MITTEN PEEK BO (351791)     $135.00
20462   CANNULA CUTTING WIRE LUMEN (4517)   $1,626.00
20463   GUIDEWIRE ENDOSCOPY .035 (5605)     $1,303.00
20464   GUIDEWIRE ENDOSCOPY .035 (5601)     $1,303.00
20465   CANNULA TANDEM XL (4582)              $418.00
20466   CANNULA TAPER TIP (4577)              $418.00
20467   BRUSH CYTOLOGY (4500)                 $717.00
20468   CAP BIOPSY AND LOCKING (4526)          $78.00
20469   STENT TEMP BILIARY 7X5CM (4555)       $717.00
20470   STENT BILIARY W/DEL SYSTEM (4556)     $717.00
20471   STENT BILIARY W/DEL SYSTEM (4562)     $717.00
21127   CATH TRAY PER Q 4FR 60C (3154100)     $604.25
21131   TRIPLE LUMEN DIA 12F/16CM(54762)      $445.00
21132   TRIPLE LUMEN DIA 12F/20CM(54763)      $455.00
21144   GUIDEWIRE ENDO PTFE (620-105)          $89.00
21158   PROBE LASER (04-5250-01)            $1,180.00
21480   TUBE FEEDING 8FR 15" PEDI (5016)       $15.50
21481   TUBING FEEDING PUMP SET (5194)         $23.25
21482   TUBE FEEDING 5F 15"INFANT (12757)      $18.50
21483   TUBE FEEDING 8FR ENTERAL (5197)       $125.00
21484   TUBE FEEDING 10FR ENTERAL (5198)      $140.00
21485   BAG FEEDING 1000ML (339281)            $20.25
21487   TUBING PUMP SET W/PIN BLUE DYE(52      $30.00
21488   DRESSING MED VAC (KCI) (341617)       $256.00
21489   DRESSING VAC LG (KCI)(341618)         $256.00
21851   FOOT BOARD                              $0.00   Utilization
21853   HYPO/HYPERTHERMIA MACHINE               $0.00   Utilization
21855   K PAD MACHINE                           $0.00   Utilization
21859   PUMP FEEDING                            $0.00   Utilization
21861   PUMP INFUSION SINGLE                    $0.00   Utilization
21866   PUMP PCA                                $0.00   Utilization
21871   WHIRLPOOL PORTABLE                      $0.00   Utilization
21872   LARYNGASCOPE FLEX CART ADULT            $0.00   Utilization
21876   ANTIEMBOLISM PUMP                       $0.00   Utilization
21878   SHAMPOO BOARD                           $0.00   Utilization
21879   WHITE CALL BOX                          $0.00   Utilization
21880   SOFT TOUCH                              $0.00   Utilization
21881   FOOT CRADLE                             $0.00   Utilization
21882   INTUBATION BOX                          $0.00   Utilization
21885   PUMP INFUSION DOUBLE                    $0.00   Utilization
21888   KCI KIN AIR IV LOW AIR LOSS BED         $0.00   Utilization
21889   KCI RIK GEL MATTRESS                    $0.00   Utilization
21890   KCI TRIADYNE II ROTATION BED            $0.00   Utilization
21891   BED PARADYNE                            $0.00   Utilization
21892   WOUND VAC KCI                           $0.00   Utilization
21893   WAFER DURAHESIVE 1 1/8 (342473)        $37.50
21894   OINTMENT BIAFINE (343710)             $125.00
21895   SCISSORS DISPOSABLE (344110)            $0.00   Utilization
21896   NEEDLE HOLDER DISPOSABLE (344111)       $0.00   Utilization
21897   BED SIZEWISE 48X80                     $0.00   Utilization
21898   LATEX FREE CART                        $0.00   Utilization
21899   URETHRAL STRICTURE CART                $0.00   Utilization
21900   BED FLUID AIR ELITE                    $0.00   Utilization
21901   MATTRESS TURN-Q-PLUS                   $0.00   Utilization
21902   MATTRESS TX CARE                       $0.00   Utilization
21903   BED BARIKARE                           $0.00   Utilization
21904   KCI BED SPECIALTY                      $0.00   Utilization
21906   DRAPE OPMI (306070)                    $0.00   Utilization
21909   BASKET TRAPEZOID 2.5CM (1088)      $1,822.00
21910   BASKET TRAPEZOID 3.0CM (1089)      $1,822.00
21911   EXTRACTOR RAPID EXCHANGE (4690)      $996.00
21912   EXTRACTOR RAPID EXCHANGE (4691)      $996.00
21913   EXTRACTOR RAPID EXCHANGE (4692)      $996.00
21914   BREAST SIZER (351-3230S)             $330.00
21915   BREAST SIZER (351-0712S)             $330.00
21916   WAFFLE FOOT PROTECTOR SM (303FW)     $221.00
21917   PROTECTOR FOOT MEDIUM (304FW)        $221.00
22108   CLIP QUICK (HX200U-135.B)            $340.00
22178   BLADE FULL RADIUS (3410)             $320.00
22212   BURR DIAMOND (1608-006-087)          $590.00
22218   GLOVE EUDERMIC 6.5 (2D7262)            $0.00   Utilization
22219   GLOVE EUDERMIC 6 (2D7161)              $0.00   Utilization
22220   GLOVE EUDERMIC 7 (2D7263)              $0.00   Utilization
22221   GLOVE EUDERMIC 7.5 (2D7164)            $0.00   Utilization
22222   GLOVES EUDERMIC SIZE 8                 $0.00   Utilization
22223   GLOVE SURGICAL 6 (5106)                $0.00   Utilization
22224   GLOVE SURGICAL SZ 6 1/2 (5046)         $0.00   Utilization
22225   GLOVE SURGICAL SZ.7 (5047)             $0.00   Utilization
22226   GLOVE SURGICAL SZ. 7.5 (5048)          $0.00   Utilization
22227   GLOVE SURGICAL SZ.8 (5049)             $0.00   Utilization
22228   GLOVE SURGICAL SZ.8.5 (5050)           $0.00   Utilization
22229   FOOT PROTECTOR LARGE (305FW)         $221.00
22230   STYLET SS 10FR (85864)                $27.00
22231   KIT PESSARY RING SZ 5 (MXKPRS05)     $385.00
22232   BURR EGG 4.0MM (1608-002-035)        $407.00
22233   NEEDLE SPINAL APROTTE (333731)        $66.00
22234   CATH ABLATION (NS2000)             $5,529.00
22235   GLOVE STERILE EXAM MEDIUM              $0.00   Utilization
22236   DRAPE SURGICAL NEO FEN (365444)        $0.00   Utilization
22237   TUBE J 8.5FR BENT TIP (6640)         $598.00
22238   TUBE J 12FR BENT TIP (6642)          $598.00
22239   ARM BAND ORANGE DNR (340388)           $0.00   Utilization
22240   GLOVE STERILE EXAM LARGE               $0.00   Utilization
22241   GLOVE ORTHOPEDIC 9 (2D7287)            $0.00   Utilization
22242   COLLAR UNIVERSAL (AM983125)           $75.00
22245   GOWN VIRO XLG (9045)                   $0.00   Utilization
22286   CANNULA UNIVERSAL KIT (012403)        $91.00
22434   BURR ROUND 4.0 (277-140-240)       $1,010.00
22589   SPRAY ORAL MOISTENING (51114)          $0.00   Utilization
22590   HYDROGEN PEROXIDE MINT (51115)         $0.00   Utilization
22591   DEODORANT (1628)                       $0.00   Utilization
22592   LOTION HAND/BODY (4954)               $0.00   Utilization
22593   MOUTHWASH 4OZ. (1579)                 $0.00   Utilization
22594   POWDER BODY 4OZ. (1064)               $0.00   Utilization
22595   SHAVING CREAM (1699)                  $0.00   Utilization
22596   SOAP SO SOFT (4993)                   $0.00   Utilization
22597   LEMON GLYCERINE SWABS (1438)          $0.00   Utilization
22598   TOOTHETTES 20/PK (5203)               $0.00   Utilization
22600   MOUTH CARE KIT (50849)                $0.00   Utilization
22601   CONNECTOR-FLEX Y PORT 14FR (835)      $0.00   Utilization
22602   CONNECTOR FLEX Y PORT 18FR (836)      $0.00   Utilization
22604   POWDER BABY CORNSTARCH (71923)        $0.00   Utilization
22605   PHISOHEX HEXACHLOROPHENE 5 OZ         $0.00   Utilization
22606   PADS TUCKS (56035)                    $0.00   Utilization
22961   NEEDLE BUTTERFLY 19GA (5012)          $0.00   Utilization
22962   NEEDLE BUTTERFLY 21GA (5013)          $0.00   Utilization
22963   NEEDLE BUTTERFLY 23GA (5014)          $0.00   Utilization
22964   NEEDLE BUTTERFLY 25GA (30576)         $0.00   Utilization
22966   NEEDLE BUTERFLY INT 21GA              $0.00   Utilization
22969   CATH MULTI MED 7F/16CM (13068)      $205.00
22970   CATH MULTI MED 7F/20CM (5101)       $185.00
22971   CATH SWAN GANZ VIP 7.5FR (5099)     $330.00
22972   CATH THERMODILUTION 7FR (4998)      $370.00
22973   TUBING INJECTOR SITE (V5600)         $11.50
22974   PLUG M/F (MX491)                      $1.36
22975   FILTER BLOOD PALL (5065)             $65.00
22977   PLUG INFUSION HICKMAN 2N1199          $0.00   Utilization
22978   BAG DRAINAGE ICP (51303)            $130.00
22979   TUBING PRESSURE MONITOR LINE ICP     $29.25
22980   KIT HICKMAN REPAIR (30580)          $335.00
22982   KIT MONITOR/TRANSDUCER (4997)        $77.00
22984   PLUG IV CATHETER (N2046-100)          $0.00   Utilization
22985   TUBING PRESSURE MONITOR BLUE (840    $29.25
22986   PRESSURE LINE RED (84112)            $25.50
22987   STOPCOCK 3 WAY (5007)                 $0.00   Utilization
22988   WIRE GUIDE 21/145 CURVED             $96.00
22990   GUIDEWIRE PERIPHERAL (49-175)        $85.00
22991   GUIDEWIRE (TSCF-25-145-3)            $75.00
22992   CATH GROSHONG REPAIR KIT (7712800    $75.00
22993   TRANSDUCER SINGLE LINE (PXVMP172)   $130.00
22994   TRANSDUCER TRIPLE LINE (PXVMP3X31   $335.00
22995   CANNULA VAMP NDLS VMP400 (30540)      $0.00   Utilization
22996   CANNULA VAMP DRAW VMP700 (30541)      $0.00   Utilization
22997   GARMENT LARGE FOOT (364110)         $213.00
22998   NDLESS INJ SHIELDED NEEDLE-9018      $17.00
22999   GARMENT REGULAR FOOT (365822)       $213.00
23000   NDLESS INJ NEEDLE KIT-7118            $0.00   Utilization
23001   NDLESS INJ MINIBORE TUBING            $0.00   Utilization
23002   EXTENSION SET ANESTHESIA (51099)     $47.25
23003   TUBING IVAC PRIMARY (VL72003)        $39.00
23004   GEL SILVASORB (365877)              $119.00
23005   WOUND SILVER POLYMEN (365878)        $69.00
23006   HOLDER NASO GASTRIC TUBE (365879)    $16.00
23010   CATH VENOUS TRIPLE LUMEN AK-25703     $370.00
23011   CATH TRI LUM W PORT 12GA (AK12123     $445.00
23012   TUBING BLOODWARMER L-70 (52669)        $92.00
23013   SET IV NORMOTHERMIC (D-50)            $175.00
23014   ARMBOARD ARTLINE (Y95-984)             $25.50
23015   SET ANESTHESIA (2C9216)                $20.25
23016   TUBE GI FEEDING DEVICE 16FR(6216)     $275.00
23017   TUBE GI FEEDING DEVICE 18FR(6218)     $275.00
23018   TUBE GI FEEDING DEVICE 20FR(6220)     $275.00
23019   TUBE GI FEEDING DEVICE 22FR(6222)     $275.00
23020   TUBE GI FEEDING DEVICE 24FR(6224)     $275.00
23021   PACK SDS LUMP & BUMPOS SBA52LBEMA       $0.00   Utilization
23022   SENSOR EXTEND (186-0160)              $183.00
23023   K PAD DISPOSABLE (2029)                 $0.00   Utilization
23024   RESTRAINT CUFF WRIST (357875)         $135.00
23025   RESTRAINT CUFF ANKLE (2791)           $135.00
23026   DRESSING TEGADERM IV (366909)           $0.00   Utilization
23027   TIP CAUTERY 4" ULTRA (139112)           $0.00   Utilization
23028   TUBE SALEM 8FR (88-268086)             $46.00
23029   BAG OSTOMY 38MM (411264)               $15.00
23030   SUPPORT CLAVICLE PEDI (101307)        $140.00
23200   CONNECTOR IV NDLSS (39758)             $15.00
23201   EXTENSION IV W/Y NDLSS (39759)         $52.00
23202   EXTENSION IV NDLSS (39760)             $44.25
23204   SPIKE ACCESS MC-50 (39762)             $30.75
23206   PLUG IV CATH/LOCKING (39764)            $0.00   Utilization
23208   SET IV 3 WAY TUBING (59969)            $44.25
23331   SET BLOOD PUMP (5088)                  $31.50
23332   SET BLOOD Y TUBING (4974)              $95.00
23334   SET IV EXT. TUBING K50 (5015)           $0.00   Utilization
23335   SET EXT. TUBING K52 (5006)             $12.00
23336   SET IV PEDI 60/DROP(AL42133E)          $31.50
23337   PBDS SDS LAP CHOLE (PG82SDEMA)          $0.00   Utilization
23338   SET IV METRISET (4975)                 $80.00
23339   SET IV NITRO (5158)                    $91.00
23340   IRRIGATION TUBING OVERHEAD (4976)      $29.25
23341   SET PCA EXTENSION (13050)              $32.25
23342   SET PCA Y (13049)                      $35.25
23343   SET IV PRIMARY Y SITE (5182)           $59.00
23344   HANDPIECE ACCU-STAT (AMS-1034)      $2,619.00
23345   SET IV SECONDARY (4973)                $15.50
23346   FOOT PUMP SCD FLOWTRON MACHINE          $0.00   Utilization
23347   SCD FOOT PUMP FLOWTRON MACHINE          $0.00   Utilization
23348   NEEDLE 18GA (CPPS-1820X)               $69.00
23349   SPLINT NASAL SILICONE (1524050)       $864.00
23350   IV SET FILTER W/Y SITE (54989)         $47.25
23701   IV D5 .45 NS 1000ML (3111)             $72.00
23702   IV D5 .45 500ML (3225)                 $72.00
23703   IV NS 50ML (303389)                    $72.00
23704   IV SOL D10 NS 500ML S-9631             $72.00
23705   IV D10 1/2 NS 1000ML (5572)            $72.00
23706   IV MANNITOL 20% 500ML (3229)           $72.00
23707   SOL IV NS MINI BAG 100ML (368099)       $72.00
23709   BOTTLE EMPTY EVAC IV 500ML (1A850       $72.00
23711   IV D5 ISOLYTE M 1000ML (3143)           $72.00
23713   IV SOL D5 ISOLYTE P 500ML               $72.00
23714   IV D5 ISOLYTE P 500ML (12639)           $72.00
23715   IV LR 1000ML (3209)                     $72.00
23716   IV LR 500ML (3226)                      $72.00
23717   IV D5 LR 1000ML (3101)                  $72.00
23718   IV D5 LR 500ML (3224)                   $72.00
23719   PROCESSOR ESPRT COCHLEAR Z260488    $24,000.00
23720   IV NS 500ML (3220)                      $72.00
23721   IV NS 250ML (3188)                      $72.00
23722   SOL IV MANNITOL 20% 250ML (3223)        $72.00
23723   IV D5W 500ML (3211)                     $72.00
23724   IV NS .45 1000ML (3216)                 $72.00
23725   SOL IV SOD CHL 500ML (5526)             $72.00
23726   BLADE MYRINGOTOMY (BC377121)            $81.00
23727   BANDAGE ESMARK 3 INCH (DYNJ05914)       $11.00
23728   SOL IRRIG H20 2000ML BAG (3120)         $72.00
23729   SOL IRRIG H20 1000ML (3213)              $0.00   Utilization
23730   SOL IV H20 INJECT 250ML (L8502)         $72.00
23731   SOL IRRIG NS 2000ML BAG (3162)          $72.00
23732   SOL IRRIG NS 1000ML (3152)               $0.00   Utilization
23733   BLOOD PRESSURE CUFF (30505-313S)         $0.00   Utilization
23734   SOL IV NS PART FILL 50ML (2B1308)       $72.00
23736   IV D5 .02 NS 500ML (5408)               $72.00
23737   IV SOL D5/NS 250ML (L6102)              $72.00
23738   SOL IV D5 .09 NS 500ML (5392)           $72.00
23739   IV SOL 10% DEX 40/D5W (5489)            $72.00
23740   IV D10 250ML (12638)                    $72.00
23741   SOL IV D10 500CC (L5201)                $72.00
23742   IV D10 1000ML (5564)                    $72.00
23743   IV D5W 250ML (3212)                     $72.00
23744   IV D5W 1000ML (3129)                    $72.00
23745   IV D5 .02 NS 1000ML (3198)              $72.00
23746   IV D5 .45 NS 250ML (3227)               $72.00
23747   IV D5 .09 NS 1000ML (3207)              $72.00
23748   EMPTY EVAC 1000ML (3221)                $72.00
23749   SOL IRRIG SORBITOL 3000ML (55391)       $72.00
23750   IV NS 100ML (303390)                    $72.00
23751   SOL IV D5W PART FILL 50ML 2B0086        $72.00
23752   SOL IV D5W PART FILL 100ML 2B0087       $72.00
23753   IV NS 250ML (308943)                    $72.00
23754   BLOOD PRESSURE CUFF (30505314LS)         $0.00   Utilization
23756   BLOOD SET ALARIS (400231)               $48.00
23760   SOL IRRIG NS 250ML (51100)               $0.00   Utilization
23761   SOL IRRIG H20 250ML (51101)              $0.00   Utilization
23762   IV NS 1000ML (1640)                     $72.00
23765   IV D5 .45NS 20KCL 1000ML (3178)         $72.00
23766   IV D5 .45NS 30KCL 1000ML (3215)         $72.00
23767   IV D5 .45NS 40KCL 1000ML (3214)         $72.00
23770   IV D5W 250ML GLASS (303034)             $72.00
23771   SOL IRRIG H20 3000ML BAG (53385)     $72.00
23772   SOL IRRIG H20 1000ML (303086)        $72.00
23773   SOL IRRIG NS 1000ML (303088)         $72.00
23774   SOL IRRIG NS 1500ML (303161)         $72.00
23775   SOL IRRIG H20 1500ML (303162)         $0.00   Utilization
23779   SOL IV D5 W HEP 500ML (2B0808)       $72.00
23780   SOL IV H2O INJECT 1000ML (2B0304)    $72.00
23782   SOL IV H20 INJ 500 (1A0303)          $72.00
23788   SOL IV D5 MINIBAG 50ML (2B0040)      $72.00
23789   SOL IV D5 MINI BAG 100ML (2B0041)    $72.00
24069   ELECTRODE HYPOALLERGIC (16741)        $0.00   Utilization
24071   BAG DRAINAGE BILE (DC1585)           $69.00
24073   ICE BAG (4992)                        $0.00   Utilization
24074   SANITARY BELT (5053)                  $0.00   Utilization
24075   BINDER ABDOMINAL 9" (13075)         $245.00
24076   BINDER ABDOMINAL 12" (13076)        $270.00
24077   BODY BAG (1045)                      $85.00
24078   ROLL FOAM (50676-377)                $75.00
24079   CATH ADAPTER VASCULAR (21627-010)     $0.00   Utilization
24080   UNDERGARMENT MESH (53587)             $0.00   Utilization
24081   CRASH CART SUPPLIES                 $365.00
24082   CULTURETTE ANAEROBIC (1034)           $0.00   Utilization
24083   CULTURETTE AEROBIC (1723)             $0.00   Utilization
24084   MATTRESS EGGCRATE FOAM (5126)         $0.00   Utilization
24085   BARI BED STD MATTRESS (400243)        $0.00   Utilization
24086   BARI BED LOW AIR LOSS (400241)        $0.00   Utilization
24087   ELECTRODE INFANT PK/3 (12752)         $0.00   Utilization
24088   HEEL/ELBOW PROTECTOR (5092)           $0.00   Utilization
24089   ISOLATION CART RE-STOCK             $335.00
24090   ISOLATION CART                        $0.00   Utilization
24091   MATERNITY PAD EA. (1434)              $0.00   Utilization
24092   UNDERPAD SPECIALITY BED (50953)       $0.00   Utilization
24093   PILLOW ABDUCTION UNIVERSAL (PN311   $125.00
24094   RAZOR (5074)                          $0.00   Utilization
24095   SCALPEL 10 (1520)                     $0.00   Utilization
24096   SCALPEL 11 (1521)                     $0.00   Utilization
24097   SCALPEL 15 (1522)                     $0.00   Utilization
24098   SCALPEL 20 (BC371620)                 $6.75
24099   SITZ BATH PORTABLE (5100)            $29.25
24100   BARI SUITE STANDARD (400239)          $0.00   Utilization
24101   BARI SUITE ROTATION (400238)          $0.00   Utilization
24102   BARI BED W/ROTATION (400240)          $0.00   Utilization
24103   MIDSTREAM SPECIMEN (4995)             $0.00   Utilization
24104   COMMODE PAN (1261)                    $0.00   Utilization
24105   SPECIMEN CONT 4 OZ STERILE (4996)     $0.00   Utilization
24106   SPECIMEN CONT UNSTER 4 OZ.(1269)      $0.00   Utilization
24107   SPECIMEN STOOL (4989)                 $0.00   Utilization
24108   SUPPORT ATHLETIC MED (5179)          $47.25
24109   SUPPORT ATHLETIC LG (5178)           $48.00
24110   SUPPORT ATHLETIC XLG (5177)          $48.00
24111   CONTAINER SPECIMEN 172 OZ (C8842-     $0.00   Utilization
24112   UNDERPAD CHUXS PKG/5 (5089)           $0.00   Utilization
24113   STETHOSCOPE ISOLATION (1009)          $0.00   Utilization
24114   BP CUFF ISOLATION (1065)              $0.00   Utilization
24115   CAUTERY BATTERY OPERATED (65410-1     $0.00   Utilization
24116   POVIDONE IODINE SWAB (1675)           $0.00   Utilization
24117   CONNECTOR 5/1 (5008)                  $0.00   Utilization
24118   ADLT DEFIB PAD MEDTRONIC (400424)     $0.00   Utilization
24120   PEDI DEFIB PAD MEDTRONIC (400425)     $0.00   Utilization
24121   URINE COLLECTOR PEDI (5188)           $0.00   Utilization
24122   STYLET ENDOTRACH ADULT (12680)       $32.25
24123   PROBE TEMPERATURE (90050)            $59.00
24124   BLADE CLIPPER SHAVE PREP (5073)       $0.00   Utilization
24125   CONTAINER SPECIMEN 24HR (1422)        $0.00   Utilization
24126   OXISENSOR PULSE ADULT (12740)         $0.00   Utilization
24127   OXISENSOR PULSE PEDI (13125)          $0.00   Utilization
24128   STYLET ENDOTRACH PEDI (5031-06)      $26.25
24129   OXISENSOR INFANT (51048) (N25)        $0.00   Utilization
24130   BIOPSY PUNCH 2MM                     $13.00
24131   BIOPSY PUNCH 3MM                     $13.00
24132   BIOPSY PUNCH 4MM                     $13.00
24133   BIOPSY PUNCH 5MM                     $13.00
24134   BIOPSY PUNCH 6MM                     $13.00
24135   BIOPSY PUNCH 8MM                     $13.00
24136   NUTRADERM LOTION 16 OZ. (53374)      $33.75
24137   OIL MINERAL 8OZ                      $58.00
24138   FEMORAL COMPRESS DEVICE (60481)     $480.00
24139   DEFIB PAPER MEDTRONIC (400833)        $0.00   Utilization
24140   TAPE CASTING SCOTCH 4" (M82004)      $32.25
24141   TAPE CASTING SCOTCH 5" (M82005)      $39.00
24142   OBTURATOR 8FR (AO-09000)             $19.50
24143   CATH FOLEY 24FR 30C 3W (73024L)      $87.00
24144   CRASH CART SUPPLIES PEDI            $185.00
24145   ELECTRODE PATCH FAST (3006292-002   $120.00
24146   DRESSING POLYMEN 4X4 (348945)        $27.75
24147   DRESSING POLYMEN 6.5X7.5 (348946)    $85.00
24148   DRESSING POLYMEN 4X12.5 (348947)     $93.00
24150   DISC COMPRESSOR                      $16.50
24155   ADAPTER W CUSTOM CROWS FOOT (MX72     $0.00   Utilization
24160   PILLOW HEART (57134)                  $0.00   Utilization
24170   ELECTRODE ZOLL (58266)              $260.00
24177   MATERNITY PADS PKG/12 (300532)        $0.00   Utilization
24181   ELECTRODE ZOLL PEDI (58363)         $240.00
24202   BARI SUITE ROTATION 400238            $0.00   Utilization
24228   CO-SET INJECTION (51116)            $120.00
24235   BLANKET WARM UPPERBODY (407543)       $0.00   Utilization
24236   BLANKET WARMING LOWERBODY (407542     $0.00   Utilization
24237   BLANKET WARMING FULLBODY 243          $0.00   Utilization
24245   SANDBAG 5 (QC-1000)                   $0.00   Utilization
24300   ENEMA FLEETS CHILDREN (305853)        $0.00   Utilization
24301   ENEMA FLEETS OIL (305852)             $0.00   Utilization
24302   ENEMA FLEETS SALINE (305851)          $0.00   Utilization
24306   CUFF BLOOD PRESSURE INFANT            $0.00   Utilization
24441   CLAMP COLOSTOMY (4882)               $12.50
24443   BAG OSTOMY DRAIN CUT/FIT (4883)      $20.25
24444   BAG UROSTOMY CUT/FIT (12751)         $39.00
24447   POWDER STOMAHESIVE (4886)            $38.25
24448   DRAIN TUBE ADAPTER (4872)            $20.25
24450   IRRIGATION KIT HOLLISTER CONE/TUB   $120.00
24451   STOMAHESIVE PASTE (9283)             $54.00
24454   WAFER STOMAHSIVE 2 1/4" (125265      $21.75
24455   STOMA WAFER 1 3/4" (125264)          $13.00
24456   BAG SUR FIT DRAINABLE 2 1/4 53395    $12.50
24457   BAG SUR FIT DRAINABLE 1 3/4 53396    $12.50
24458   SLEEVE IRRIGATION SUR-FIT 2 1/4      $33.00
24459   SLEEVE IRRIGATION SUR-FIT 1 3/4      $33.00
24460   BAG SUR FIT UROSTOMY 2 1/2 53398     $18.50
24461   BAG SUR FIT UROSTOMY 1 3/4 53399     $18.50
24462   TAPE HY PINK ROLL 1" (23295-210)     $33.75
24463   COLOSTOMY BELT (13954)               $40.50
24464   WAFER DUROHESIVE 1 3/4 (13945)       $29.25
24465   WAFER DUROHESIVE 2 1/4 (13947)       $29.25
24466   SET IRRIGATION OSTOMY (53400)       $115.00
24467   TAPE HY PINK 1/2 (54966)             $13.00
24470   KIT COLOSTOMY/ILEOSTOMY 0209-32      $17.00
24471   NEEDLE JAMSHIDI 11GAX4 (39260)        $0.00   Utilization
24475   WAFER 4" STOMA (54888)               $40.50
24476   BAG 4" SUR FIT DRAINABLE (54887)     $19.50
24477   BATH COMFORT DISP (312871)            $0.00   Utilization
24478   TUBE TRACH SZ.6 CUFFLESS (339379)   $250.00
24479   TRAY SKIN SCRUB PREP (4468)           $0.00   Utilization
24480   DRESSING ALLEVYN 3X3 (66000043)      $27.00
24483   TAPE MEDIPORE 2"X2YD (58474)         $27.75
24485   DRESSING HYDROFIBER (69864)          $53.00
24486   TRIPLE CARE CREAM (58646)            $52.00
24487   POWDER ANTI FUNGAL (58647)           $33.75
24488   GEL WOUND SOLOSITE 3OZ,(58648)       $78.00
24489   WOUND MANAGER 3X7 (58651)           $105.00
24811   DRESSING VENIGARD (12755)             $0.00   Utilization
24824   STRAP COROMETRICS (PN30987807)       $14.50
25000   CONTAINER SPUTUM COLLECTION 5127      $0.00   Utilization
25001   TRAP SPECIMEN (5135)                 $24.75
25003   SUCTION TRACH 24HR (5041)            $84.00
25005   TUBE TRACH FOAM CUFF (850160)       $510.00
25006   TRACH FOAM CUFF SZ. 7 (850170)      $510.00
25007   TUBE TRACH FOAM CUFF (850180)       $400.00
25008   TRACH FOAM CUFF SZ. 9 (850190)      $460.00
25010   CANNULA INNER TRACH SZ.4 (12651)    $210.00
25011   CANNULA INNER TRACH SZ.6 (12650)     $30.75
25012   CANNULA INNER TRACH SZ.8 (12649)     $30.75
25013   TRACH INNER CANNULA 10DIC            $30.75
25014   KIT TEST INFLUENZA A&B (227-5611)    $80.00
25020   TUBE TRACH SZ 4 REG.(12654)         $275.00
25021   TUBE TRACH SZ 6 REG (12655)         $270.00
25022   TUBE TRCH SZ 8 REG.(12656)          $260.00
25023   TUBE TRACH SZ 10 (12652)            $315.00
25024   TUBE TRACH SZ.4 FENESTRAT (12657)   $275.00
25025   TUBE TRACH SZ.6 FENESTRAT (12658)   $275.00
25026   TUBE TRACH SZ.8 FENESTRAT (30585)   $275.00
25027   TUBE TRACH SZ 10 FENESTRAT 30584    $250.00
25028   MASK OXYGEN MED (1206)                $0.00   Utilization
25029   CANNULA NASAL OXYGEN (1223)           $0.00   Utilization
25030   TUBE TRACH HOLDER (12420)            $26.25
25034   TUBE ENDOTRACH 2 MURPHY (43158-02    $11.50
25035   TUBE ENDOTRACH 2.5 MURPHY (43158-    $11.50
25036   TUBE ENDOTRACH 3 MURPHY (43158-03    $11.50
25037   TUBE ENDOTRACH 3.5 MURPHY (43158-    $14.00
25038   TUBE ENDOTRACH 4 MURPHY (43158-04    $14.00
25039   MASK AEROSOL PEDI (76448)             $0.00   Utilization
25040   BAG HYPERINFLATION (75006)           $47.25
25041   SET EXTENSION W/LL (MX450-FL)         $0.00   Utilization
25043   CANNULA NASAL NEONATE (61153)        $24.00
25044   MASK OXYGEN INFANT (61154)            $0.00   Utilization
25045   WAFER CONVEX 2 1/4 (341882)          $37.50
25046   MASK HIGH CONCENTRATION PED 61899    $30.00
25047   CANNULA NASAL PEDI (61898)           $17.50
25048   IODOSORB GEL (333137)               $270.00
25049   MASK NEONATE (24850)                  $0.00   Utilization
25050   MASK INFANT GREEN (24849)             $0.00   Utilization
25181   RESTRAINT VEST SM (5068)              $0.00   Utilization
25182   RESTRAINT VEST MED (5067)             $0.00   Utilization
25183   RESTRAINT VEST LG (5125)              $0.00   Utilization
25184   RESTRAINT WRIST/ANKLE (5069)          $0.00   Utilization
25186   RESTRAINT VEST XLG (24454-040)      $153.00
25187   BAG PRESSURE INFUSOR (IN-8000)      $125.00
25551   INCONTINENT CLEANSER (5137)          $22.50
25552   SKIN BARRIER CREAM M3392 (5777)      $26.25
25553   INVALID CUSHION (DONUT) (5066)       $77.00
25555   WOUND PROTECTIVE WAFER (0217-12)     $20.75
25558   FECAL COLLECTOR (5174)               $47.25
25559   DRESSING HYDROCOLLOID 4X4 (4879)     $31.50
25560   DRESSING HYDROCOLLOID 8X8 (4881)     $91.00
25561   DRESSING HYDROCOLLOID 6X6(4832-00    $66.00
25565   BRIEF ADULT MED (54135)              $22.50
25566   BRIEF ADULT LG (300264)               $0.00   Utilization
25567   COMFORT SHIELD (7905)                $18.50
25568   KIT ORAL SUCTION (340698)             $0.00   Utilization
25569   KIT ORAL SUCTIN SWAB (340700)         $0.00   Utilization
25570   KIT ORAL SUCTION STARTER (340701)     $0.00   Utilization
25571   SEAL COHESIVE EAKIN (341883)         $29.25
25921   STOCKING EMBOLISM LG/REG (5140)      $57.00
25922   STOCKING EMBOLISM LG/SHT (5139)      $57.00
25923   STOCKING EMBOLISM MED/LNG (5109)     $69.00
25924   STOCKING EMBOLISM MED/REG (5110)     $57.00
25925   STOCKING EMBOLISM MED/SHT (5112)     $69.00
25926   STOCKING EMBOLISM SM/LNG (5113)      $69.00
25927   STOCKING EMBOLISM SM/SHT (5108)      $69.00
25928   STOCKING EMBOLISM XLG/LNG (5111)     $79.00
25929   STOCKING EMBOLISM XLG/REG (5114)     $78.00
25931   STOCKING EMBOLISM LG/LNG (58477)    $195.00
25932   STOCKING EMBOLISM SM/REG (58476)    $185.00
25933   HIBICLNS EXDIN SCRUB 4OZ.(56023)      $0.00   Utilization
26290   TUBE NON-CONDUCTIVE (88-301507)       $0.00   Utilization
26291   CONNECTING TUBE 6FT. (5009)           $0.00   Utilization
26292   CANNISTER SUCT.LINER 1500CC 5018      $0.00   Utilization
26293   SUCTION YANKAUER (5115)               $0.00   Utilization
26294   TUBING SUCTION CONNECTING 10FR (N     $0.00   Utilization
26295   NEEDLE JAMSHIDI 6" (DBMNJ1106T)       $0.00   Utilization
26296   DRSNG HAND VAC (KCI) M6275042-5.S   $567.72
26297   KIT CANNISTER W/GEL KCI (355555)    $219.50
27029   NEEDLE HUBER 20X1.5 (39014)           $0.00   Utilization
27031   NEEDLE HUBER 20X1/2 (53800)           $0.00   Utilization
27032   NEEDLE HUBER 20X1 ANGL WING 55608    $47.25
27033   NEEDLE HUBER 20X2 (5199)              $0.00   Utilization
27034   NEEDLE HUBER 20X3/4 (5181)            $0.00   Utilization
27035   NEEDLE HUBER 22X.5 (5200)             $0.00   Utilization
27036   SET EXTENSION 8" (30564)             $31.50
27038   NEEDLE SELDINGER PINK (5185)          $0.00   Utilization
27039   NEEDLE SPINAL 18X3.5 (5003)           $0.00   Utilization
27040   NEEDLE SPINAL 20X3.5 (5004)           $0.00   Utilization
27041   NEEDLE SPINAL 22X1.5 (12754)          $0.00   Utilization
27042   NEEDLE SPINAL 22X3.5 (5005)           $0.00   Utilization
27043   NEEDLE SPINAL 25X3.5 (5000)           $0.00   Utilization
27044   SYRINGE CATH TIP 60CC (5105)          $0.00   Utilization
27045   SYRINGE LL 60CC (4999)                $0.00   Utilization
27046   SYRINGE REG TIP 60CC (5093)           $0.00   Utilization
27047   SYRINGE BULB EAR 2 OZ. (1330)         $0.00   Utilization
27048   DRESSING COLLAGEN (347495)           $73.50
27049   TRAY STIENMAN PIN                     $0.00   Utilization
27050   NEEDLE SPINAL WHITA 25GA (BF40501     $0.00   Utilization
27051   NEEDLE WHITTACARE SPINAL 22GAX3 1     $0.00   Utilization
27052   TRAY TONSIL                           $0.00   Utilization
27053   TRAY URETHRAL STRICT REUSABLE         $0.00   Utilization
27054   TRAY TRACH REUSABLE                   $0.00   Utilization
27330   NEEDLE PERCUTANEOUS 7.0 (16050)       $0.00   Utilization
27771   KIT TRACHEOTOMY CLEANING (5052)      $13.00
28142   TRAY CATH DUAL LUMEN (600742)         $0.00   Utilization
28515   TRAY TRACHEOTOMY (CS)                 $0.00   Utilization
28516   CAUTERY PENCIL HAND 130309 (2027)     $0.00   Utilization
28517   CLAMP KELLY STRAIGHT (5190)          $29.25
28518   CLAMP KELLY CURVED (12681)           $18.50
28519   CATH PICC DUAL LUMEN 5FR 3245100    $617.75
28520   PICC SINGLE LUMEN 5FR (3155100)     $535.25
28521   SKIN STAPLE REMOVER (5122)            $0.00   Utilization
28522   BANDAGE COMPRESS SYSTEM (332981)     $99.00
28523   SIGMOIDOSCOPE FLEX CART (CS)        $115.00
28524   TRAY STERNOTOMY                       $0.00   Utilization
28527   TRAY E N T (CS)                       $0.00   Utilization
28528   TRAY CATH FOLEY 16FR (300536)         $0.00   Utilization
28529   TRAY CATH FOLEY 18FR (300537)         $0.00   Utilization
28530   TRAY IRRRIGATION (5001)               $0.00   Utilization
28531   TRAY LUMBAR PUNCTURE ADULT (5076)     $0.00   Utilization
28532   TRAY LUMBAR PUNCTURE PEDI(12753)      $0.00   Utilization
28534   TRAY LACERATION (5152)                $0.00   Utilization
28537   TRAY SIGMOIDOSCOPE (CS)               $0.00   Utilization
28539   TRAY THORACENTESIS W/NDL (5078)       $0.00   Utilization
28541   TRAY CATH URETERAL (5021)             $0.00   Utilization
28542   TRAY BONE MARROW (5136)               $0.00   Utilization
28543   INTRODUCER PERC PAC 5 (NR-09903-S   $185.00
28544   TRAY SPINAL 25GA (1T2456)             $0.00   Utilization
28545   TRAY CHEST TUBE INSERTION (CS)        $0.00   Utilization
28546   TRAY CUTDOWN (CS)                     $0.00   Utilization
28547   TRAY DEBREDMENT (CS)                  $0.00   Utilization
28548   TRAY EPIDURAL                         $0.00   Utilization
28552   TRAY PAC 5 8FR (55613)                $0.00   Utilization
28554   TRAY NASAL PACKING (CS)               $0.00   Utilization
28555   TRAY PERITONEAL LAVAGE (CS)           $0.00   Utilization
28556   TRAY RECTAL                           $0.00   Utilization
28557   TRAY TROCAR CATH 20FR (5196)          $0.00   Utilization
28558   TRAY TROCAR CATH 28FR (5117)          $0.00   Utilization
28559   BAG DRAIN URINE METER (300540)       $77.00
28560   TRAY FOLEY/URINEMETER 16FR 300539     $0.00   Utilization
28561   TRAY URETHRAL STRICTURE (CS)          $0.00   Utilization
28562   PNEUMOTHORAX SET (4959)             $510.00
28563   TIP SUCTION SIGMOID (DC3305)         $32.25
28564   SUTURE REMOVAL SET (5081)             $0.00   Utilization
28566   ARTERIAL LINE KIT 6" (5192)         $110.00
28567   ARTERIAL LINE KIT 3" (5204)         $110.00
28568   ENEMA SET (5017)                      $0.00   Utilization
28569   SOL DEXTROSE 70% (2B0114)            $72.00
28570   PAP SMEAR KIT (5011)                  $0.00   Utilization
28571   TRAY THORACENTESIS/SYRINGE 30573      $0.00   Utilization
28572   SANITIZER HAND PURELL 2OZ 402787      $0.00   Utilization
28573   GASTRIC LAVAGE KIT (51022)          $385.00
28574   TUBING IV AIR ELIMINATING 2L3523     $81.00
28575   MASK SAFETY SHIELD EA (AT74635)       $0.00   Utilization
28576   DRESSING 4X4 UNSTRL EA (KC2634)       $0.00   Utilization
28577   BARRIER BP CUFF ADULT (402959)        $0.00   Utilization
28578   BARRIER BP CUFF MED/YOUTH 402960      $0.00   Utilization
28580   TRAY CATH FOLEY URIMETER 350ML(90     $0.00   Utilization
28581   BINDER ABD 12IN 62-84 4P (404015)    $90.00
28582   SHOE COVERS ANTI-SKID N/C (55600)     $0.00   Utilization
28583   IV SOL D60 2B0104 (404135)           $72.00
28584   MASK TRACHEOTOMY PED 1076 (61896)    $15.00
28585   MANOMETER ADMIN PCV 701-01 27838    $216.00
28586   CIRCUIT PARAPAC VENT (162-12202)    $134.00
28587   FILTER IN LINE BACTERIAL (2898)      $10.00
28589   DRESSING SM VAC M6275051 (404842)   $183.00
28590   DRESSING MED VAC M6275052 404843    $230.00
28591   DRESSING LG VAC M6275053 (404844)   $278.00
28592   CANNISTER W/O GEL M6275071 404845   $214.00
28593   CONNECTOR Y TRAC M6275066 404846      $0.00   Utilization
28594   DRESSING VAC FOAM (M6275096)          $321.00
28595   MASK LARYNGEAL AIRWAY 2.5 (10125)   $1,606.00
28883   KIT AUTOTRANSFUSION 84-713184         $240.00
28884   CATH TROCAR 20FR (88-561043)          $110.00
28885   CATH TROCAR 28FR (13081)              $110.00
28887   CHEST DRAIN WATER SEAL (4953)         $270.00
28888   CATH JELCO 24X3/4 (JJ4063)              $0.00   Utilization
28891   TUBE BLAKEMORE                        $700.00
28892   TUBE RECTAL 16FR (330947)              $31.50
28893   TUBE RECTAL 18FR (330948)              $31.50
28894   TUBE RECTAL 20FR (330949)              $31.50
28895   TUBE RECTAL 24FR (331916)              $31.50
28896   TUBE RECTAL 26FR (331917)              $31.50
28897   TUBE RECTAL 28FR (14171)               $31.50
28898   TUBE RECTAL 30FR (53172)               $45.75
28899   TUBE RECTAL 32FR (53173)               $45.75
28901   TUBE SALEM SUMP 14FR (5129)            $14.00
28902   TUBE SALEM SUMP 16FR (5130)            $14.00
28903   CATH TROCAR 8FR (560805)              $121.00
28906   TUBE ENDOTRACH MURPHY 5 (43157-05      $17.00
28907   TUBE ENDOTRACH MURPHY 5.5 (43157-      $17.00
28908   TUBE ENDOTRACH MURPHY 6 (43157-06      $17.00
28909   TUBE ENDOTRACH MURPHY 6.5 (43157-      $17.00
28910   TUBE ENDOTRACH MURPHY 7 (43157-07      $17.00
28911   TUBE ENDOTRACH MURPHY 7.5 (43157-      $20.25
28912   TUBE ENDOTRACH MURPHY 8 (43157-08      $17.00
28913   TUBE ENDOTRACH MURPHY 8.5 (43157-      $17.00
28914   TUBE ENDOTRACH MURPHY 9 (43157-09      $17.00
28915   TUBE SALEM SUMP 18FR (12735)           $14.00
28916   TUBE GASTROSTOMY 14F (12983)          $285.00
28917   TUBE GASTROSTOMY 18F (12985)          $285.00
28918   TUBE GASTROSTOMY 20F (51904)          $285.00
28919   TUBE GASTROSTOMY 16F (12984)          $285.00
28920   TUBE GASTROSTOMY 22FR                 $270.00
28921   TUBE GASTROSTOMY 24F (50866)          $285.00
28923   TUBE SALEM SUMP 10FR (54450)           $14.00
28924   TUBE SALEM SUMP 12FR (54449)           $13.50
28925   IV START KIT (341803)                   $0.00   Utilization
28926   VALVE ANTI-REFLX SALEM SUMP 56319      $48.00
28927   CHLORAPREP SWAB (350179)                $0.00   Utilization
29118   TAPE ELASTICON 4" (14589)              $37.50
29203   BURR (5620-010-040)                   $896.50
29251   BAG URINE DRAINAGE (300538)            $38.25
29252   CATH CONDOM YOUTH (12961)              $13.00
29253   CATH CONDOM STANDARD (12960)            $0.00   Utilization
29254   SET CYSTO MANOMETER IRRIG (6538-0      $83.00
30001   PIN 6910-01-008                       $220.00
30002   BLADE SAW 112536                      $366.50
30003   CATH SWAN GANZ 7FR K9FC146F7        $2,415.50
30004   CARDIOBLATE ABLATION PEN 60818      $7,537.00
30006   FIXED DRILL VANTAGE 9339021         $4,050.75
30007   HANDLE SCREWDRIVER 25-406-99        $1,579.00
30008   GUIDEWIRE SEXTANT CD 8670001          $425.25
30009   DRILL BUD 11.0MM DRB-1115           $1,384.50
30010   BAYONET KNIFE STERILE 9560552       $1,417.25
30011   RADIANCE X ILLUMINATION 9560757     $2,910.00
30012   GUIDEWIRE METRX 955-519               $352.00
30013   FIBERWIRE #5 AR-7211                  $198.00
30014   DRILL 1133107                       $2,374.50
30015   TOURNIQUET DOUBLE 60-7085-002         $204.00
30016   STIMULATER BONE EXTERNAL 820-000   $21,000.00
30017   FIBER LASER 365 MICRON (AMS-365)      $664.00
30018   CANNULA SOFT-FLO 21FR (4948)          $264.00
30019   TRAY GLIASITE RTS 4CM (1040)            $0.00   Utilization
30020   FIBER LASER 1000MM AMS-1000           $664.00
30021   CANNULA EMBOL-X CF00101XSD          $2,182.50
30022   CANNULA EMBOL-X CF00101SSD          $2,182.50
30023   PACK CUSTOM SPINE (SNE52SPEMD)          $0.00   Utilization
30024   FIBER LASERSCOPE 0010-2074          $3,463.00
30025   STERI STRIP 1 IN. MR1548                $0.00   Utilization
30026   FIBER LASER 200 MICRON AMS-200        $664.00
30027   PADS MOUNTING 23-27-41                 $41.25
30028   SYSTEM GYNECARE TVT 810081          $5,791.00
30029   CANNULA EXCHANGE KIT (LHCEK0000)      $996.00
30030   VASCULAR ACCESS KIT (LHVAK03809)      $440.00
30031   DRAPE ENDOSCOPY (9458)                  $0.00   Utilization
30032   SPYDER DEVICE (10960)               $2,120.00
30033   KIT METRX (9560030)                 $4,551.25
30034   NEEDLE CAUTERY SAFETY SLV E1465B        $0.00   Utilization
30035   APPLICATOR TRANSVAG (SURTV2501)     $4,045.00
30036   SHUNT (FT12225)                       $322.75
30037   TIP CAUTERY HEAVY FLAT (138100)         $0.00   Utilization
30038   NEEDLE INJECT (890-216)                 $0.00
30039   CATH 5FR ANGIOGRAPHIC (532-598B)      $750.50
30040   SHEATH 18FR (PG183000)                $797.00
30041   SPATULA 5X32 (60-5158-032)            $256.75
30042   STENT SOFTCURL (5604522)              $513.25
30043   BURR (5820-012-040)                   $797.00
30044   BURR 5820-012-030                     $797.00
30045   BURR 5820-012-020                     $797.00
30046   BURR (5820-010-250)                   $797.00
30047   BURR 5820-010-240                     $797.00
30048   STENT SOFTCURL (5604524)              $513.25
30049   STENT SOFTCURL (5604526)              $513.25
30052   SAWBLADE (11-2536)                    $366.50
30057   CATH LG CURVE 7FR 4MM (5031TMK2)    $4,158.00
30058   CATH CURVE 7FR 4MM 5031TL           $4,568.75
30060   CATH ABLATION M0044500THO           $7,537.00
30061   CATH ABLATION M0044500THK20         $7,537.00
30062   CATH ABLATION M0044790THK20         $8,119.00
30063   CATH ABLATION M0044790THO           $8,119.00
30064   BLADE NECK SZ 85 (032142)           $3,055.50
30065   MANIFOLD SYNPHONY (2760-50-100)     $1,062.50
30066   BLADE NECK 132140                   $3,055.50
30067   TUBE-T PERITONEAL (44520)            $2,735.50
30068   RENAL KIT (ENDOCARE #357521)        $24,000.00
30069   BURR 5.0 (5820-12-50)                  $896.50
30070   BURR 3.0 (5620-10-30)                $3,541.65
30071   PUMPHEAD REVOLUTION (050-300-000)      $717.00
30072   BONE CUTTING TOOL (10BA50)             $670.75
30073   BONE CUTTING TOOL (10BA40D)            $717.25
30074   STENT SOFTCURL (5604528)               $513.25
30075   K-Y JELLY STERILE 4OZ (1927334)          $0.00   Utilization
30076   SURGILUBE (0205-37)                      $0.00   Utilization
30077   OSTEOTOME 6.5MM STR. KNEE 423883     $1,639.25
30078   DRILL DISK 9.5MM (423872)            $1,639.25
30079   DRILL DISK 11.0MM (423873)           $1,639.25
30080   DRILL DISK 13.0MM (423874)           $1,639.25
30081   DILATOR AMPLATZ RENAL 260-250        $1,178.00
30082   KIT CRYO 206                        $20,000.00
30083   CURETTE REVERSE 5MM (423859)         $1,639.25
30084   STAPLER REFLEX ROTATE HEAD (8935)      $130.00
30088   STERIDRAPE (M1018)                       $0.00   Utilization
30089   KIT CATH REPAIR (RPK-01)               $531.25
30090   TRAY SUPRAPUBIC 12FR 565012              $0.00   Utilization
30091   TRAY SUPRAPUBIC 16FR                     $0.00   Utilization
30092   WIRE SUTURE (AR-1255-18)               $476.50
30093   SHUNT CAROTID 3MMX4MM (NL850-5076    $1,502.00
30094   TROCAR OPTICAL 12X100MM(C0124)         $331.25
30095   CANNULA 12X100 (C0632)                 $146.75
30096   CANNULA 5X100 (C0509)                   $74.25
30097   KIT ORTHOPAT WOUND DRAIN(1150H-00    $2,083.00
30098   BAG REPLC KIT ORTHOPAT (01200-00)       $58.00
30099   BAG REPLAC KIT ORTHOPAT (01300-00       $84.00
30100   FILTER EPIDURAL 415011                 $354.75
30101   TUBE ENDOTRACK VAGUS 9450061         $2,037.00
30102   APPLICATOR TIP 10CM BGAT-10-SY         $286.00
30103   SYRINGE BIO GLUE BG3510-5-US         $3,864.50
30104   GUIDE WIRE 3.2 9030-03-004             $783.75
30223   BURR ROUND CARBIDE (5091-130)          $130.00
30224   TISSUE STABILIZATION SYSTEM(BHB7)    $7,420.00
30225   CATH ACCESS KIT (8590-CAK)             $830.00
30226   PBDS ABD HYST (PB73TBEMA)                $0.00   Utilization
30227   PBDS AV FISTUAL (PV73ACEMA)              $0.00   Utilization
30228   PBDS TOTAL KNEE BIL (PO730TEMA)          $0.00   Utilization
30229   PBDS BREAST BIOPSY (PG73BBEMA)           $0.00   Utilization
30230   PBDS CAROTID ENDARTER (PV73CAEMA)        $0.00   Utilization
30231   PBDS CYSTO PV82CCEMB                     $0.00   Utilization
30232   PBDS D%C (PB73DCEMA)                     $0.00   Utilization
30233   PBDS FEMORAL ARTERY (PC73FPEMA)          $0.00   Utilization
30234   PBDS GEN LAP (PG73LSEMA)                 $0.00   Utilization
30235   PBDS HERNIA REPAIR (PG73HREMA)           $0.00   Utilization
30236   PBDS KNEE ARTHROSCOPY (PO73AREMA)        $0.00   Utilization
30237   PBDS LAP CHOLE (PG73GBEMA)               $0.00   Utilization
30238   PBDS LOWER EXTREMITY (PO73LEEMA)         $0.00   Utilization
30239   PBDS MAJOR HEAD/NECK (PG763HNEMA)        $0.00   Utilization
30240   PBDS NASAL SURGERY (PE73NSEMA)           $0.00   Utilization
30241   PBDS SHOULDER ARTHRO (PO73SAEMA)         $0.00   Utilization
30242   PBDS SPINE (PN73SPEMA)                   $0.00   Utilization
30243   PBDS OPEN SHOULDER (PO73SHEMA)           $0.00   Utilization
30244   PBDS LFT COLECTOMY PG820TEMD             $0.00   Utilization
30245   PBDS MINOR (PG73MNEMA)                   $0.00   Utilization
30246   PBDS OPEN HEART ADLT (PC73OHEMMA)        $0.00   Utilization
30247   PBDS MAJOR PROCEDURE PG82MAEME           $0.00   Utilization
30248   PBDS CRANIOTOMY (PN73CYEMA)              $0.00   Utilization
30249   PBDS MAJOR VAG (PB73MJEMA)               $0.00   Utilization
30250   PBDS T&A (PE73TAEMA)                     $0.00   Utilization
30251   PBDS TOTAL HIP (PO73THEMA)               $0.00   Utilization
30252   PBDS TOTAL KNEE (PO73TKEMA)              $0.00   Utilization
30253   PBDS TURP/TURB (PG73TUEMA)               $0.00   Utilization
30254   PBDS UPPER EXTREMITY (PO73UEEMA)         $0.00   Utilization
30255   PBDS VASCULAR ACCESS (PV73VAEMA)         $0.00   Utilization
30256   VALVUTOME DISPOS 1.8-6.0MM (1000-    $3,050.00
30257   GLOVE BIOGEL (346179)                    $0.00   Utilization
30258   RETRIEVER STONE CONE DEVICE (390-    $1,340.00
30259   CONNECTOR M (OM8007)                   $830.00
30260   ABLATOR VULCAN EFLEX (7209666)       $2,724.00
30261   SHAVER 4.5FR LONG (7205341)            $504.75
30262   BURR ROUND DIAMOND (5091-164)          $215.00
30263   NEEDLE (7205395)                         $0.00   Utilization
30264   WIRE GUIDE (7209350)                   $388.50
30265   SET SINGLE BASIN 13753-630              $30.00
30266   DRILL BIT (4806-145-32)                $322.75
30267   DRILL BIT (4806-145-45)                $322.75
30268   PROBE GENERAL PURPOSE 9FR 400 (10       $25.50
30269   GLOVE SURGICAL SIZE 9 (2D7257)           $0.00   Utilization
30270   CATHETER GLIASITE 2.0CM (1020)      $13,386.00
30271   CATHETER GLIASITE 3.0CM (1030)      $13,386.00
30272   STENT SOFT FLEX MULTI (039500)         $670.00
30273   PERFORATOR CRANIAL MINI (200-243(      $960.00
30274   LIGHT COVER PK/2 (10-007-1603)          $20.50
30275   DRILL BIT 879-6910                   $1,300.00
30276   ANESTHESIA START KIT                    $75.00
30277   DRILL BIT 879-6909                   $1,300.00
30278   PILLOW INCISION TOTAL HIP 357389       $757.00
30279   PENCIL ELECTROSURGICAL (E2516H)          $0.00   Utilization
30280   CANNULA VENOUS 32FR 67532              $145.00
30281   STRAP BANDEAU SZ 36 (2-8015)           $161.50
30282   DRILL (1214-5160S)                     $800.00
30283   BLADE SAW (2296-003-051)               $258.25
30284   CANNULA NASAL LTX FREE 1600HF-25        $30.00
30285   SUCTION IRRIGATION (60-6010-002)       $366.50
30286   DRILL (0133116)                        $660.00
30287   HALTER HEAD/CHIN (00-0912-000)          $15.00
30288   ELECTRODE SPATULA (60-5274-032)        $198.00
30289   BIOPSY META KIT W/NEEDLE (5-BK)      $5,380.00
30290   COVER MAYO STAND HD 20X25 (8339)         $0.00   Utilization
30291   DRILL (1133106)                        $660.00
30292   DRILL STOP (1133114)                   $660.00
30293   WIRE (1133105)                         $550.00
30294   PROBE LASER FIBER 600M L21310-005    $1,000.00
30295   ELECTRODE NEEDLE (60-5274-932)         $198.00
30296   STAPLER ENDO LINEAR SCW45            $1,400.00
30297   ELECTRODE L HOOK (60-5274-132)         $198.00
30298   DEVICE AORTIC CUTTING (10953)          $365.00
30299   DEVICE AORTIC CUTTING (10951)          $365.00
30300   INSERTER INFAST ULTRA 72403612       $1,370.00
30301   NEEDLE SUBDERMAL (S0013315)             $26.75
30302   RETRACTOR AND TUBING AXIUS           $6,690.00
30303   DISSECT BONE TOOL 8TA11                $550.00
30304   DISSECT BONE TOOL 14AC60               $680.00
30305   DISSECT BONE TOOL 14MH30               $680.00
30307   DISSECT BONE TOOL 10MH30MN             $580.00
30308   DISSECT BONE TOOL 14BA60               $740.00
30309   DISSECT BONE TOOL 10BA60               $650.00
30310   DISSECT BONE TOOL F/28TA23             $550.00
30311   DISSECT BONE CUT TOOL F3/9TA30         $640.00
30312   DISSECT BONE CUT TOOL 9HS108         $1,000.00
30313   DISSECT BONE CUT TOOL 9HM126           $883.00
30314   DISSECT BONE CUT TOOL 9HS135         $1,003.00
30315   DISSECT BONE CUT TOOL 9HM95            $874.00
30316   DISSECT BONE CUT TOOL 9MC30          $1,010.00
30317   DISSECT BONE CUT TOOL 26AC75           $740.00
30318   DISSECT BONE CUT TOOL F1/8TA15         $550.00
30319   DISSECT BONE CUT TOOL 8TD134           $550.00
30320   DISSECT BONE CUT TOOL 9MC254           $820.00
30321   CANNULA 5.5X7.5 CLEAR THD (214661      $146.50
30322   FIBER 600 MICRON ADVANTAGE MED       $2,037.00
30323   APPLIER CLIP ENDO(ER320)               $703.75
30324   FIBER STERILE GREENLIGHT             $5,238.00
30325   PAD GROUNDING (410-2000)                 $0.00   Utilization
30326   DEVICE INTRODUCER KYPEX (A10A)       $2,328.00
30327   DRILL BIT (2129-57-010)                $395.75
30328   DRILL BIT (2129-57-012)                $395.75
30329   ELECTRODE VAPR LP LDS (225361)       $1,208.00
30330   STRAP BANDEAU SZ 34 (2-801534)         $161.25
30331   HOOK RIGHT 8MM (LP252)                 $863.00
30332   NEEDLE EXPRESSION SUTURE N2001-SP      $697.00
30333   DRILL CALIBRATED 4.0MM (0200)        $1,371.00
30334   CARDIOBLATE ABLATION PEN (60825)    $13,180.00
30335   CANNULA 6X75 (C7334)                    $95.00
30336   SUTURE SAVER KIT (C6180)               $235.00
30337   CANNULA 6.5X73 SMOOTH (C7313)          $191.00
30338   CANNULA 6.5X73 THREADED (C7312)        $191.00
30339   PAINBUSTER ON-Q (PM012)                $996.00
30341   SUTURE SUPER REVO (C6140H)           $1,469.00
30342   BREAST SIZER (SZ1-2001)              $1,926.00
30343   BREAST SIZER (SZ1-1501)              $1,926.00
30344   BREAST SIZER (SZ1-1001)              $1,926.00
30345   PINS FIXATION (69105)                $1,023.00
30347   BALLOON SYMMETRY 2X2 (11-502)        $2,166.00
30348   CATH DIALYSIS PALINDRO 8888145009    $2,299.00
30349   CATH DIALYSIS PALINDRO 8888145010    $2,299.00
30350   DRILL 3.7MM (2255-33-37)               $803.00
30351   COVER SPLASH (K1016945)                  $0.00   Utilization
30352   TIP RUMI DISP 6.7X10CM (UMG670ZB)      $275.00
30353   TIP RUMI DISP 5.1X6CM (UML516ZB)       $275.00
30354   PROBE CRYO 5MM (03-0281)            $14,550.00
30355   PROBE LAPROSCOPIC (M03060)          $14,550.00
30356   PROBE 5FR EH LITHOTRIPTER (E4-5F)    $1,656.00
30357   INTRODUCER 18 FR (250279)              $780.00
30358   KIT SHOULDER SUSPENSION (3583)         $332.00
30359   TAP 2.0 SLOTTED SCREW (25-510-12)      $631.00
30360   SCREWDRIVER BLADE (25-428-98)          $403.00
30361   TWIST DRILL (25-455-05)                $631.00
30362   TWIST DRILL (25-455-07)                $631.00
30363   TWIST DRILL (25-457-05)                $631.00
30368   RELOAD ENDOCUTTER ATW45 (TR45G)        $602.00
30369   SCREWDRIVER BLADE (01-432-97)        $1,162.00
30370   DRILL BIT TWIST (25-451-00)            $631.00
30371   DRILL BIT TWIST (25-451-05)            $631.00
30372   DRILL BIT 3.5X110 (4806-110-35)        $363.00
30373   DEVICE FIBREX CATH PATENCY (3930)    $2,037.00
30374   DRILL BIT 2.5 (4807-110-25)            $596.00
30375   CARTRIDGE HEMOTEC (304-03POR)           $92.00
30376   CARTRIDGE HEMOTEC (304-05POR)           $92.00
30377   CARTRIDGE HEMOTEC (304-06POR)           $92.00
30378   CONNECTOR TEMP PACEMAKER (ADAP-1)      $293.00
30379   VEST CAROMED MALE LG (2-8003 LG)       $308.00
30380   DRILL BIT (8290-30-070)              $1,199.00
30381   BURR 1MM FLUTED BALL (S-1B)            $476.00
30382   BURR 7MM FLUTED BALL (S-7B)            $476.00
30383   BURR 1MM FLUTED BALL (M-1B)            $476.00
30384   BURR 2MM FLUTED BALL (M-2B)            $476.00
30385   BURR 3MM FLUTED BALL (M-3B)            $476.00
30386   BURR 4MM FLUTED BALL (M-4B)            $476.00
30387   BURR 5MM FLUTED BALL (M-5B)            $476.00
30388   BURR 6MM FLUTED BALL (M-6B)            $476.00
30389   BURR 7MM FLUTED BALL (M-7B)            $476.00
30390   BURR 0.5MM DIAMOND BALL (S-05D)        $476.00
30391   BURR 4MM DIAMOND BALL (S-4D)           $476.00
30392   BURR 5MM DIAMOND BALL (S-5D)           $476.00
30393   BURR 6MM DIAMOND BALL (S-6D)           $476.00
30394   BURR DIAMOND BALL (M-1D)               $462.00
30395   BURR 2MM DIAMOND BALL (M-2D)           $462.00
30396   BURR 3MM DIAMOND BALL (M-3D)           $462.00
30397   BURR 4MM DIAMOND BALL (M-4D)           $462.00
30398   BURR 5MM DIAMOND BALL (M-5D)           $476.00
30399   BURR 6MM DIAMOND BALL (M-6D)           $476.00
30400   DRILL HAND BUCKINHAM (13-0471)         $582.00
30401   DRILL HAND BUCKINGHAM (13-0472)        $582.00
30402   BASKET TRAPEZOID 1.5 (1086)          $1,822.00
30403   BASKET TRAPEZOID 2.0 (1087)         $1,822.00
30404   SCISSOR SWITCH BLADE (89-5200)      $1,933.00
30405   BURR CUTTING 2MM DIAMOND (S-2D)       $462.00
30406   BURR CUTTING 1.5MM DIAMOND S-15D      $462.00
30407   Q SITE (3150)                          $10.00
30408   CANNULA ARTERIAL (71422)              $115.00
30409   CANNULA ATRIAL (93464C)               $195.00
30410   DRAIN LUMBAR STRAIGHT (44410)       $2,595.00
30411   CANNULA VENOUS 30 (TF-030-L)          $150.00
30412   BURR 6 FLUTED BALL (S-6B)             $476.00
30413   BURR 4 FLUTED BALL (S-4B)             $476.00
30414   PACING WIRE CABLE (FL-601-97-12B)      $87.00
30415   STENT URETERAL SOFTCURL (5627022)     $513.00
30416   STENT URETERAL SOFTCURL (5627024)     $513.00
30417   STENT DBL PIGTAIL (5604520)           $513.00
30418   GUIDE WIRE PTFE (25BX)                 $87.00
30419   CANNULA ARTERIAL (71420)              $115.00
30420   TRANSDUCER SINGLE                      $74.00
30421   CANNULA VENOUS 34/48 (92448C)         $160.00
30422   CANNULA RCSP GUNDRY GUIDEWIRE (94     $495.00
30423   CANNULA ARTERIAL (81122)              $110.00
30424   CANNULA IMA TIP (31001)                $83.00
30425   CANNULA VESSEL BLUNT TIP (30001)       $36.00
30427   CANNULA CORONARY BASKET TIP 1OFR       $98.00
30428   CAP (394.992)                          $24.00
30429   CANNULA AORTIC HIGH FLOW W/LL         $165.00
30430   TISSUE STABILIZER SYSTEM (4U1)      $7,566.00
30431   DRAINAGE SYSTEM EXACTA (46700)        $774.00
30432   CANNULA CORONARY PERF (CPC-012)       $275.00
30433   CATH URETERAL 16FR (0094160)            $3.00
30434   CATH CTO FRONTRUNNER (FBS-3990)     $5,529.00
30435   SUBDURAL EVAC KIT (11-0401-CAL)     $6,984.00
30436   CATH ATRIAL VENT 18 (4334)            $155.00
30437   NEEDLE 18GA 2 3/4 DOPPLER 75010       $565.00
30438   STYLET (6048-52)                      $265.00
30439   NEEDLE 19G ULTRA THIN AN-19G           $26.50
30440   TUBING (3608)                          $84.00
30441   METZ TIPS (89-5100)                   $362.00
30442   SET INSERT FOGARTY HYDRAJAW (HYDR     $195.00
30443   HOSE 40CM CONNECTING (20714)          $132.00
30444   DRILL BIT (FJ840R)                  $1,390.00
30445   FIBERTAPE 5MM (AR-7237)               $531.00
30446   PEG DRIVER ASSEMBLY (PD)              $520.00
30447   PEG DRIVER INSERT (PDI)               $198.00
30448   TRAY EPIDURAL CONTINOUS (332078)        $0.00   Utilization
30449   DEVICE LAP DISC XLNG SLEEV(LD-112   $3,056.00
30450   CANNULA VENOUS 26/38 (008275)         $185.00
30451   CANNULA ARTERIAL (007328)             $130.00
30452   TOOL FIXATION (6616)                  $255.00
30453   RING PROXIMAL MARKER (FM-PM3)         $125.00
30454   RING PROXIMAL MARKER (FM-PM2)          $86.00
30455   KIT PRESSURE MONITOR HEART (PXVKO     $520.00
30456   PACK VEIN HARVEST CUSTOM (SCV52CG        $0.00   Utilization
30457   PACK CARDIAC CUSTOM (SCV52OHEME)         $0.00   Utilization
30458   PACK PERFUSION CVSTAT (078-409-00        $0.00   Utilization
30459   STAPLER SKIN MULTIFIRE (PMW35)          $64.75
30460   BLADE SAW (5052-179)                   $244.00
30461   FIBER SIDE FIRE DELIVERY             $2,037.00
30462   DRIVER SCREW 1.0 (51-525-95)           $549.75
30463   CATHETER GUIDE (7507)                  $700.00
30464   DRIVER SCREW 1.5 (51-505-90)         $1,926.50
30465   SHEATH 12FR PG123000                   $549.75
30466   TOOL REMOVAL/U-CLIP (10900)            $365.00
30467   FIBER SIDEFIRING AMS-1030            $2,037.00
30468   PROBE ELECTRO THERMO TAC 901001      $1,836.00
30469   PROBE ULTRASOUND COVER PC6X96           $87.00
30470   CATHETER ATTAIN STRAIGHT 6218A-50    $1,175.50
30471   CORKSCREW 5.0 (AR1920SF)             $1,175.50
30472   CORKSCREW 6.5 (AR-1925SF)            $1,175.50
30473   STRAP BANDEAU SIZE 36 2-8015-36        $161.50
30474   SET TUBING IRRIGATION (80-1163)        $185.00
30475   DRILL BIT (251065)                     $366.50
30476   SET BLOOD Y W/PUMP (305438)             $31.50
30478   BLADE (5071-551)                        $78.00
30479   BLADE 6" COATED CAUTERY (139107)         $0.00   Utilization
30480   TIP SUCTION CARDIAC (DC3447)             $0.00   Utilization
30481   CARDIOBLATE PEN XLNG (60814)        $11,611.00
30482   FIXATOR EXTERNAL WRIST FX-4001-S     $7,944.50
30483   STIMULATOR BONE HEALING (2001)      $18,780.00
30484   ELECTRODE LAP L HOOK 60-5158-132       $256.75
30485   PACK PERFUSION HEART/LUNG (10062)        $0.00   Utilization
30486   DRILL (50-022-03)                      $590.00
30487   SHEATH SOFT TIP 8.5FR (5662ST)       $1,930.00
30488   SUMP PERICARDIAL (12010)                $86.00
30489   APPLICATOR TRANSVAGINAL SURTV2501    $4,045.00
30490   NEEDLE (7209350)                         $0.00   Utilization
30491   GUIDEWIRE (7205395)                    $690.75
30492   ABLATOR E-FLEX (7209666)             $3,201.00
30493   LONG FULL RADIUS (7205341)             $542.50
30494   BURR 6MM FLUTED BALL (S-6B)            $476.50
30495   BURR 5MM FLUTED BALL (S-5B)            $476.50
30496   BURR 4MM FLUTED BALL (S-4B)            $476.50
30497   BURR 3MM FLUTED BALL (S-3B)            $476.50
30498   BURR 2MM FLUTED BALL (S-2B)            $462.00
30499   CLIP TITANIUM SM (LT102)                $77.00
30500   BURR 3MM DIAMOND BALL (S-3D)           $462.00
30501   TIP CAUTERY HOT (HT1000)                 $0.00   Utilization
30502   SHUNT FLO THRU 1.25M (FT12125)         $325.00
30503   BURR 2MM DIAMOND BALL (S-2D)           $462.00
30504   BLADE SAW (71512903)                   $455.00
30505   APRON CYSTOSCOPY BARRIER (0420)          $0.00   Utilization
30506   APRON TUR (NS1742)                       $0.00   Utilization
30507   GUIDEWIRE (310.243)                    $325.00
30508   BIT DRILL (6860443)                  $1,390.00
30509   LAPAROSCOPIC HAND INST DISP LD111    $2,560.00
30510   BURR 1MM DIAMOND BALL (S1D)            $462.00
30511   TISSUE STAB SYS OCTUPUS 4 (29400)    $5,380.00
30512   TUBING PEDI SPIROMETRY KT 8002718       $74.00
30513   BLADE 7053-56-10                     $2,910.00
30514   NEEDLE DIAMOND PT 25G 230539             $0.00   Utilization
30515   BAG INTESTINAL (371055*CL)              $75.00
30516   SCREW WRENCH NEUROSTIM 3550-02         $330.00
30517   SHEATH DUALPASS LUMEN 13488            $630.00
30518   BURR 0.5MM DIAMOND BALL (S-0.5D)       $462.00
30519   SET SOL 15M NO INJ PORT 72543           $76.25
30520   COVER MAYO STAND (8337)                  $0.00   Utilization
30522   DRILL BIT 338-10                     $2,220.00
30523   KIT ANES SUB ASSEMBLY ANE82B023A       $180.00
30524   BLADE ACROMIOBLASTER 5.5 (7205669      $335.00
30525   COVER TABLE (8380)                       $0.00   Utilization
30526   KIT CRYO RENAL (CRYO-46)            $14,000.00
30527   BLADE (5979-95-32)                     $737.25
30528   DRAPE U ADHERENT (244263)                $0.00   Utilization
30529   PROBE LASER C12223-003               $2,910.00
30530   DRAPE SKIN ADHESIVE (30160-015)          $0.00   Utilization
30531   CUTTER LINEAR SHORT BLUE 6CB45       $1,780.00
30532   RELOADS LINEAR CUTTER 6R45B            $750.00
30533   FIXATOR EXT WRIST 99-36501           $5,670.00
30534   TAMP INFLATABLE BONE K01A            $5,590.00
30535   DRAPE ARTHROBOT BIFOLD (991003)          $0.00   Utilization
30536   DEVICE AORTIC CUTTING 10950            $365.00
30537   DEVICE AORTIC CUTTING 10952            $365.00
30538   STETHESCOPE STERILE SO4300ST             $0.00   Utilization
30539   CATH IVUS 9F/110CM 37-409            $4,220.00
30540   DRAPE CASSETTE X RAY (9954-50)           $0.00   Utilization
30541   BIT DRILL (DB 2.5)                     $530.00
30542   BIT DRILL (DB-2.0)                     $530.00
30543   BLADE EXPLANT 7053-66-20             $1,940.00
30544   BLADE EXPLANT 7053-66-10             $1,940.00
30545   DRAPE EAR (8920)                         $0.00   Utilization
30546   DRILL 0133115                          $660.00
30547   CURETTE LATITUDE (A11B)              $1,273.50
30548   DRAIN BLAKE SILICONE 19FR JJ2232       $210.00
30549   DRAPE HIP (KM89345)                      $0.00   Utilization
30550   BLADE 2296-033-414                     $260.00
30551   BLADE 2296-033-111                     $260.00
30552   DRAPE IOBAN (M6617)                      $0.00   Utilization
30553   BURR 5820-015-40                       $495.00
30554   STERI DRAPE M6650 (50891)                $0.00   Utilization
30555   DRAPE IOBAN (M6651)                      $0.00   Utilization
30556   DRAPE IOBAN (6658)                       $0.00   Utilization
30557   APPLICATOR TIP (BGAT-10)                $54.00
30558   COVER LEGGINGS (8420)                    $0.00   Utilization
30559   DISSECTOR SPACEMAKER (OMSPDB1000)    $1,180.00
30560   METRX 18X14 DISPOSABLE 9561814       $1,776.50
30561   CORNEAL PROTECTORS (SSA-01)            $136.75
30562   STENT URETERAL 6FRX26 5626026         $513.25
30563   STENT URETERAL 6FRX28CM 5626028       $524.75
30564   CLIPS RANEY (20-1037)                  $44.25
30565   DRAPE KNEE (KM89278)                    $0.00   Utilization
30568   SPHERES TRACKING (5-TA-5)             $730.00
30569   NEEDLE SPINAL STROTTE (141151-30A       $0.00   Utilization
30570   CANNULA 8.5MM CLEAR (214680)          $135.00
30571   KIT PT PAD/COHESIVE BANDAGE 294-P     $242.00
30572   TAMP INFLATABLE BONE SZ10 (K17A)    $6,716.50
30573   TOOL OSTEO INTRODUCER A101A         $2,040.00
30574   FIBER LASER 600MM (AMS-600)         $2,037.00
30575   DRAPE MICROSCOPE W ASSISTANT (326       $0.00   Utilization
30576   EXTRACT TISSUE MORCELLATOR DV0015   $2,881.00
30577   DRILL TIBIAL 5789-49                  $597.75
30578   GLOVE SURG ESTEEM SZ9 (2D73TE90)        $0.00   Utilization
30579   INSERTER INFAST ULTRA (72403885)    $4,365.00
30580   CATHETER ASH SPLIT (ASPC28-2VSOS)   $2,147.75
30581   EVAC PLUME AWAY LAP 620030600         $140.00
30582   SET EPIDURAL SPIKE (2L3522)            $68.25
30583   DEVICE INFLATION (9101000)            $996.00
30584   DRILL BIT 2.7 DISC-O-TECH             $631.00
30585   BLADE RECIP (277-96-325)              $325.00
30586   DRILL BIT 015-13-06                   $580.00
30587   GUIDE THREADED DRILL 312-648          $550.00
30588   PENCIL ELECTROSURGICAL (9560575)        $0.00   Utilization
30589   APPLLICATOR TIP BGAT-US               $145.00
30590   CIRCUIT ANES EXPANDABLE ASU329XX       $38.75
30591   BASKET DIMENSION 042310             $1,160.00
30592   ADAPTER 14MM VACURETTE 003696          $52.00
30593   COVER PIN BALL .062 (W062GN)            $0.00   Utilization
30594   MIXER KYPHON (A07A)                   $830.00
30595   DRAPE NEUROLOGICAL W POUCH (9448)       $0.00   Utilization
30596   DRAPE SURGICAL SANI SERV (ORS-130       $0.00   Utilization
30597   DRAPE U (8475)                          $0.00   Utilization
30598   KIT CONVERSION 4FR PI-01451-LS        $103.00
30599   COVER PIN BALL .028 (WO28RD)            $0.00   Utilization
30600   DRAPE STERI (M1015)                     $0.00   Utilization
30601   CANNULA DUAL VENOUS (TF293702)        $240.00
30603   DRAPE STERI (M1050)                     $0.00   Utilization
30604   GPS SINGLE UNIT 800-0603            $1,960.00
30605   DRAPE STERI (M1064)                     $0.00   Utilization
30606   CANNULA DUAL VENOUS TF293702          $240.00
30607   DRAPE STERI (M1067)                     $0.00   Utilization
30608   ZEIZZ COLOPSOCOPE (L03715)          $1,000.00
30609   NEEDLE BIOPSY 5-BN                      $0.00   Utilization
30610   DRAPE STERI (M1071)                     $0.00   Utilization
30611   SPHERES TRACKING 5-TS-4               $141.75
30612   STOCKINETTE BIAS 6" (9800-66)           $0.00   Utilization
30613   DRAPE STERI (M1073)                     $0.00   Utilization
30614   TAP 311.602                         $1,669.25
30615   DRAPE STERI M1074                       $0.00   Utilization
30617   CATH FOLEY HEMA COUDE 2WY 2556H20     $184.50
30618   CATH COUDE 30CC 22FR (2556H22)        $167.25
30619   CONNECTOR Y GLASS (903573D)             $0.00   Utilization
30620   DRAPE STERI (M1075)                     $0.00   Utilization
30621   CONNECTOR (50-508)                     $26.25
30622   CONNECTOR (50-529)                     $32.25
30623   CATH COUDE 30CC 24FR (2556H24)        $167.25
30624   CATH ANGIO 14GA 2" (3828121)            $0.00   Utilization
30625   CATH BARDEX 30CC 20FR (2551H20)       $115.75
30626   BLADE GRAFT HARVEST (5071-110)        $800.00
30627   CATH BARDEX 30CC 22FR (2551H22)       $115.75
30628   TIP CAUTERY BOVIE MMP0012M              $0.00   Utilization
30629   TIP FAN SPRAY W SPLASH GUARD (515      $89.00
30630   CATH BARDEX 30CC 24FR (2551H24)       $115.75
30631   CATH LUBE COUDE 30CC 20F 2557H20      $179.75
30632   BOVIE CAUTERY TIP MMP0012M              $0.00   Utilization
30634   GUARD NEEDLE/BLADE (31142154)           $0.00   Utilization
30635   CATH LUBE COUDE 30CC 22F 2557H22      $179.75
30636   CATH LUBE COUDE 30CC 24F 2557H24      $179.75
30637   DRAPE STERI (M1060)                     $0.00   Utilization
30638   DILATORS RENAL (260-101)              $315.25
30639   CATH HEMATURIA 30CC 20FR 2550H20      $152.75
30640   DRILL BIT TWIST (256-01-21)           $155.00
30641   CATH HEMATURIA 30CC 22FR 2550H22      $152.75
30642   CATH HEMATURIA 30CC 24FR 2550H24      $152.75
30643   GUIDE WIRE STANDARD (006678)          $542.50
30644   DRILL BIT TWIST (256-01-27)           $155.00
30645   TIP EXTENSION 60MM (423836)         $2,124.50
30646   DRILL BIT TWIST (256-01-29)           $155.00
30647   TIP EXTENSION 180MM (423842)        $2,124.50
30648   TUBE T 12FR (DC9981)                   $95.00
30649   COMPRESS SLEEVE MED. (12502)          $385.00
30650   DRAPE UNDER BUTTOCK (8483)              $0.00   Utilization
30651   TUBE T 10FR (DC9980)                   $75.00
30652   STOCKINETTE 8" (16956)                  $0.00   Utilization
30653   BANDAGE COBAN 4" (M1584S)               $0.00   Utilization
30654   CLIP LEAFLET REPAIR (20020V)          $330.00
30655   DRAPE VIDEO CAMERA (29-59009)           $0.00   Utilization
30656   STOCKINETTE 6" (11-672)                 $0.00   Utilization
30657   DIFFUSER W/OIL PA100A                 $130.00
30658   PACK SURG ORTHO/NEURO (29182)           $0.00   Utilization
30659   SPONGE TONSIL W STRING LG (30-042       $0.00   Utilization
30660   SPLINT NASAL PETITE (1500 PETITE)     $255.00
30661   SPLINT NASAL LG (1500 LARGE)          $255.00
30662   SPLINT NASAL MINI (1500 MINI)         $301.00
30663   SPLINT NASAL SM/MED (1500 SMALL)      $255.00
30664   TUBING 87K (87100)                    $440.00
30665   KIT JSST W/ARM CRADLE (JT-1003)       $209.00
30666   BUTTON ENDO (013186)                  $840.00
30667   BUTTON DRILL ENDO (013184)            $560.00
30668   APPLICATOR CHLORAPREP 260299            $0.00   Utilization
30669   POUCH (90515)                         $105.00
30670   MASK DISP LARYNGEAL #3 12030           $92.00
30671   MASK DISP LARYNGEAL #4 12040           $92.00
30672   MASK DISP LARYNGEAL #5 12050           $92.00
30673   ARM CRADLE UNCOMPRESSED (ALP-303)      $60.75
30674   PILLOW FOAM HEAD (CF1007)             $104.50
30675   GLOVE SURGICAL 6.5 (5046)               $0.00   Utilization
30676   GLOVE BIOGEL 7.5 (30475)                $0.00   Utilization
30677   GLOVE BIOGEL 7 (30470)                  $0.00   Utilization
30678   GLOVE BIOGEL 6 (30460)                  $0.00   Utilization
30679   GLOVE BIOGEL 8 (30480)                  $0.00   Utilization
30681   BLADE SAW (2000-02-113)               $295.00
30682   DRILL HAND (11-9901-07)               $476.50
30683   SHUNT (FT2100)                        $325.00
30684   GLOVE ORTHOPEDIC 7.5 (2D7284)           $0.00   Utilization
30685   GLOVE ORTHOPEDIC 8 (2D7285)             $0.00   Utilization
30686   GLOVE ORTHOPEDIC 8.5 (2D7286)           $0.00   Utilization
30687   CATH TRACKER XL (142709)            $2,737.00
30689   GUIDEWIRE (8092-22-028)               $630.00
30690   CATH VENTRICULAR (901-302)            $480.00
30691   CATH VENTRICULAR (82-1705)            $295.00
30692   STYLET LEAD (6065)                    $366.50
30693   CATH DRAINAGE (951-102)               $510.00
30694   FORCEP CUTTING (3005PK)             $1,822.00
30695   NEEDLE DELIVERY 12GA DLS-7122-015     $271.25
30696   RING PROXIMAL MARKER PM-PM1            $56.00
30697   TIP EXTENDER ULTRA DRIVE 423838     $2,322.25
30698   SET STAMEY PERC SUPRA PUBIC (0810     $740.00
30699   INFUSOR PRESSURE (30504-3000)         $365.00
30700   GLOVE SURGICAL 5.5 (16116)              $0.00   Utilization
30701   CANNULA VENOUS 28 (66128)             $130.00
30702   GLOVE EXAM 7.5 02-9575                  $0.00   Utilization
30703   CANNULA VENOUS 30 (66130)             $130.00
30704   CANNULA VENOUS 32 (66132)             $130.00
30706   CATH EDM LUMBAR (46419)             $1,106.00
30707   SCHEDULED TO DELETE                   $530.00
30708   GLOVE LTX FREE SYN 7.5 (JJ6175)         $0.00   Utilization
30709   GLOVE LTX FREE SYN 8.5 (JJ6185)         $0.00   Utilization
30710   GOWN DOUBLE LARGE (9521)                $0.00   Utilization
30712   WEDGE LOOP TITANIUM 24FR (880-311     $960.00
30713   GOWN SINGLE LARGE (1048)                $0.00   Utilization
30714   GOWN SINGLE X LARGE (9541)              $0.00   Utilization
30715   GOWN SURGICAL SPECIALTY A LINE (2       $0.00   Utilization
30716   WEDGE LOOP TITANIUM 26FR (880-312     $960.00
30717   GOWN ULTRA PROTECTION LG (0544)         $0.00   Utilization
30718   GOWN ULTRA PROTECTION X LRG (JJ05       $0.00   Utilization
30719   GOWN ULTRA PROTECTION XXLG (JJ054       $0.00   Utilization
30720   GOWN SURGICAL SM (9505)                 $0.00   Utilization
30721   DRAIN EDM LUMBAR (27302)            $1,600.00
30723   BASKET HELICAL PURSUER 4.8FR (340     $800.00
30725   HANDLE EZ LIGHT (PN31140133)            $0.00   Utilization
30726   HANDLE TORQUE VISE (730-130)           $48.00
30727   BANDAGE COBAN 2" (M1582)                $0.00   Utilization
30728   ARTHROWAND (A1330-01)               $1,170.00
30729   ANKLE FOOT STRAP (014407)             $295.00
30730   HOOD CLEAR VIEW (SA-500/US)           $125.00
30731   PORBE BONE DENSITY (8010002)        $7,390.00
30734   BLADE ENDOTRAC SYSTEM (3056)          $989.00
30735   ARTHROWAND (A1335-01)               $1,170.00
30736   ARTHROWAND (A2430-01)                 $840.00
30737   KWIRE 2.0MM KW2.0-SS                  $125.00
30738   BLADE ENDOSCOPIC (7205305)            $335.00
30739   BLADE ENDOSCOPIC (7205314)            $335.00
30740   BREAST SIZER (SZ468620)               $330.00
30741   SAW BLADE (506053)                    $564.50
30742   STYLET (6046)                         $366.50
30743   PACEMAKER STABILIZER KIT (6503)       $256.75
30744   BLADE SAW (5023-169)                   $83.00
30748   PACK COLECTOMY CUSTOM (SBA52APEMG       $0.00   Utilization
30751   BLADE SAW (5023-137)                   $86.00
30753   BLADE SAW (5023-140)                   $69.00
30754   BLADE SAW (6828-7-751)                $430.00
30755   PACK BASIC SURGICAL (9112)              $0.00   Utilization
30756   BLADE TOME ASSEMBLY (200060)          $800.00
30758   PACK CARDIAC SURGERY (SCV52CVEMJ)       $0.00   Utilization
30759   BOOT SURGEON KNEEHI LG (10503-L)        $0.00   Utilization
30760   PACK CYSTO (29380)                      $0.00   Utilization
30766   SOL IV ANTICOAG CIT PHOSP (4R3633     $115.00
30768   BLADE ENDOSCOPIC (7205316)            $323.00
30770   PAD LEG HOLDER (20311)                $125.00
30771   CUTTER ARTHRO JAGUAR (290-540-000     $657.00
30772   PACK LAP CHOLE CUSTOM (SBA52LCJ)        $0.00   Utilization
30775   PACK HEAD/NECK (9194)                   $0.00   Utilization
30776   BREAST SIZER (SZ68300)                $330.00
30778   CARTRIDGE HEMOTEC (304-04)             $84.00
30779   BREAST SIZER (SZ68450)                $330.00
30780   PACK LAMINECTOMY CUSTOM (SNE52LME       $0.00   Utilization
30781   GEL PLATELET CONCENT 2760-40-101    $2,153.50
30782   CONTAINER SPECIMEN 32 OZ (1518276       $0.00   Utilization
30783   TAP (388.268)                       $1,890.00
30784   DRAPE TKR BILATERAL 76095ACM5557        $0.00   Utilization
30785   PACK LAPAROSCOPY (29142)                $0.00   Utilization
30787   COVER PIN BALL (10-1-001)               $0.00   Utilization
30788   COVER PIN BALL .045 (W045)              $0.00   Utilization
30789   COVER PIN BALL .45 (WO45YL)             $0.00   Utilization
30790   PACK LAPAROTOMY                         $0.00   Utilization
30791   PACK MINOR SETUP CUSTOM (SBA52ORE       $0.00   Utilization
30792   PACK MAJOR SETUP CUSTOM (SBA52MJE       $0.00   Utilization
30793   TIP SUCTION VACURETTE (21852)          $33.75
30794   DRILL 71362925                        $407.75
30795   TUBING SMOKE EVACUATOR (EVAC1302)     $664.00
30796   COVER PIN BALL .062 (W062)              $0.00   Utilization
30797   SPLINT THUMB SPICA (PRC/A00042)        $78.00
30798   SAWBLADE (11-2620)                    $366.50
30800   PACK PERI GYN (29170)                   $0.00   Utilization
30801   PENILE IMPLANT PREP PACK (9480S)    $1,800.00
30802   NEURAGEN NERVE HOLDER (PNG-320)     $5,529.00
30803   CARTRIDGE HEMOTEC (304-01)             $84.00
30804   NEURAGEN NERVE HOLDER (PNG-220)     $5,529.00
30805   PACK SURGICAL TOTAL HIP (S0P52HPE       $0.00   Utilization
30806   BREAST SIZER (SZ468495)               $330.00
30807   KIT JACKSON TABLE (JT-1000)           $229.50
30808   BALLOON DILATOR CRE (5846)          $1,502.00
30809   BALLOON DILATOR CRE (5847)          $1,502.00
30810   PACK SURGICAL TOTAL KNEE(SOP52KNE       $0.00   Utilization
30811   PACEMAKER STABILIZER KIT LG 6502      $257.00
30812   CANNULA CRYSTAL 5.5 (AR-6560)         $176.00
30813   PACK TUR CUSTOM (SBA52TREME)            $0.00   Utilization
30814   PLUG INFUSION INTERMITTEN (8888-1       $0.00   Utilization
30815   SHEET LIMB BILATERAL (KM89291)         $76.00
30817   BURR ROUND CARBIDE (5092-132)         $105.00
30819   BURR ROUND DIAMOND (5091-168)         $205.00
30820   SHEET CARDIOVASCULAR INCISE (8946     $330.00
30822   BURR ROUND DIAMOND (5092-164)         $217.00
30824   BURR ROUND CARBIDE (5091-132)          $89.00
30825   BURR ROUND CARBIDE (5092-124)          $96.00
30826   BURR ROUND CARBIDE (5092-126)         $105.00
30827   BURR ROUND CARBIDE (5092-130)         $145.00
30828   BURR CARBIDE (5091-124)                $84.00
30829   BURR CARBIDE (5092-128)               $145.00
30835   SHEET LAPAROTOMY (29410)               $61.00
30837   BURR NOTCH BLASTER (7205328)          $335.00
30838   BURR NOTCH BLASTER (7205329)          $335.00
30839   GUIDE WIRE PIN 3.2 (14012-9)          $170.00
30840   SHEET EXTREMITY (29415)                $52.00
30841   BURR ROUND (5093-124)                 $185.00
30842   BURR ROUND (5093-128)                 $140.00
30844   BURR ROUND CARBIDE (5091-126)         $130.00
30845   STOCKINETTE IMPERVIOUS MED (1585)       $0.00   Utilization
30846   BURR ROUND CARBIDE (5091-128)         $130.00
30858   SPLINT ONE STEP (M76530)              $130.00
30859   SPLINT PLASTER 3" (JJ7390)             $92.00
30860   SPLINT PLASTER 4" (JJ7391)             $20.25
30861   SPLINT SCOTCHCAST (M86335)             $32.25
30862   DRILL (MS-DC5020)                     $205.25
30863   BLADE 5627-87                         $790.25
30865   SHEET SPLIT (29436)                    $49.50
30871   SHEET THYROID (29522)                  $54.00
30872   TIP SS CONE KCS-30                  $1,095.75
30873   OCCLUDER COLPO-PNEUMO CPO-6           $354.50
30874   TIP BLUE DISPOSABLE 8CM UMB678        $274.25
30875   TIP WHITE DISPOSABLE 6CM UMW676       $275.00
30876   FORCEPS CUTTING 33CM (3000PK)       $1,822.00
30879   PROBE 9FR (E4-9F)                   $1,656.00
30880   SHEET LAPAROTOMY TRANSVERSE (2942      $55.00
30881   HELISTAT 3.5MM 1"X2" (1690-ZW)         $80.00
30882   HELISTAT 7MM 3"X4" (1691-ZX)          $165.00
30883   HELITENE 1.0GM (1692-ZK)              $380.00
30884   PROBE 2FR (E4-2F)                   $1,656.00
30885   PACK BURR AND BLADE (MCP-DIS-HAL)   $1,469.00
30886   PACK BURR AND BLADE (MCP-DIS-STR)   $1,469.00
30887   FORCEP RADIAL EDGE BX (1559)          $352.00
30888   PIN GUIDE 3.2X353 (115163)            $376.00
30889   TITAN ASSEMBLY KIT (9480SC)         $2,270.00
30890   SLEEVE (599)                            $0.00   Utilization
30891   DRILL BIT POLY 2.4MM (2746-02-210   $1,437.00
30892   PACK CUSTOM STAT (1M05R3)               $0.00   Utilization
30893   TUBE ENDOBRONCH 35FR (M126035)        $517.00
30894   BONE MILL (BM-200)                  $1,273.00
30895   DRILL CALIBRATED (0209)             $1,730.00
30896   MANIFOLD W/Q2 CUSTOM (9542)            $82.00
30897   CATHETER LAWRENCE 16FR (CAT060)       $136.00
30898   CATHETER LAWRENCE 12FR (CAT050)       $136.00
30899   SCREWDRIVER BLADE (25-540-97)         $531.00
30900   DRILL BIT TWIST (25-450-16)           $531.00
30901   DRILL BIT TWIST (25-468-11)           $564.00
30902   DRILL BIT TWIST (25-464-19)           $531.00
30903   DRILL BIT TWIST (25-466-19)           $644.00
30904   DRILL BIT TWIST (25-460-19)           $531.00
30905   DRILL BIT TWIST (25-462-19)           $644.00
30906   DRILL BIT TWIST (50-519-15)           $644.00
30907   CATH DIALYSIS PALINDROME (145009)   $2,299.00
30911   EXTRACTOR BLOCK (110902)            $1,959.00
30912   CLIP QUICK ROTATE (HX201UR-135.B)     $379.00
30913   DRILL BIT 2.5MM (4807-180-25)         $595.00
30914   CATH DIALYSIS HEMOSPLIT (5743690)   $2,153.00
30915   CATH DIALYSIS HEMOSPLIT (5743730)   $2,153.00
30916   CATH DIALYSIS HEMOSPLIT (5743270)   $2,153.00
30917   CATH DIALYSIS HEMOSPLIT (5743310)   $2,153.00
30918   CATH DIALYSIS HEMOSPLIT (5743350)   $2,153.00
30919   CATH DIALYSIS HEMOSPLIT (5744420)   $2,153.00
30920   CATH DIALYSIS HEMOSPLIT (5714150)   $2,153.00
30921   CATH DIALYSIS HEMOSPLIT (5714190)   $2,153.00
30922   CATH DIALYSIS HEMOSPLIT (5714230)   $2,153.00
30923   CATH DIALYSIS HEMOSPLIT (5714270)   $2,153.00
30924   FORCEP OPEN (3103PK)                $1,208.00
30925   SLEEVE STAR (AR-1606)                 $513.00
30926   DRILL BIT 2.7MM (310.28)              $440.00
30927   PUTTY TCP BONE VOID FILLER 400-05   $2,270.00
30963   TUBING 12FT (3112)                     $86.00
31000   TUBE INTRAOP ORTHOPAT 1400T-00        $139.00
31001   BLADE (507-180)                       $200.00
31002   TUBE DRAINAGE ORTHOPAT 01500-00        $81.00
31003   BOWL MIXING (5049-01-10)              $330.00
31004   SHUNT FLO THRU (FT12175)              $325.00
31005   PACK PERFUSION CUSTOM (1M05R4)          $0.00   Utilization
31006   DRILL BIT (2746-44-100)               $800.00
31007   PAD GROUNDING ADULT REM (E7507)         $0.00   Utilization
31008   NEEDLE 18GA 15" (101059-002)            $0.00   Utilization
31009   TUBE TRACH NASAL RAE 8.0 (431-62-      $84.00
31010   BLADE OSCILLATING (5071-508)          $170.00
31013   DRILL TARGET (3815-2-143)             $630.00
31014   GUIDEWIRE 0133105                     $549.75
31016   CATH GROSHONG (7711800)             $1,600.00
31017   TROCAR FLEXIPATH 20MM (FP020)         $280.00
31019   CUTTER ARTHRO AGGRESS (290-628-00     $724.00
31020   DRESSING WOUND VIGILON (740041)       $255.00
31021   DRILL BIT (879-6913 )               $1,240.00
31022   GEL PLATELET CONCENTRATE(2760-40-   $3,200.00
31023   APPLICATOR KIT (2760-40-200)          $660.00
31024   BLADE SHORT (7053-52-10)            $1,940.00
31025   BLADE LONG (7053-52-20)             $1,940.00
31026   ELECTRODE LAPAROSCOP NEEDLE(615-0     $370.00
31027   BURR (5820-15-40)                     $510.00
31029   BURR (5820-10-150)                    $510.00
31030   BURR (5820-10-160)                    $511.00
31034   EXT FIXATOR ROD (393.82)              $790.00
31035   EXT FIXATOR ROD (393.87)              $950.00
31036   TUBING VAC FOR BUFFALO TIP (VTWT6      $86.00
31037   ARTHROWAND (A3625-01)                 $970.00
31041   BURR (277-010-062)                    $185.00
31043   BLADE (296-31-032)                    $420.00
31044   BURR (277-010-255)                    $145.00
31046   BURR (277-010-212)                     $26.25
31047   BURR (277-010-221)                     $26.25
31048   BLADE (5627-59-000)                   $395.00
31049   MIX EVAC II KIT (206-10)              $310.00
31050   CANNISTER W/0 ISO (KCI)               $180.00
31051   PROBE LASER BARE 1000 (04-5830-01   $1,000.00
31052   IRRIGATOR LAPAROSCOPIC W/TIP(0026     $435.00
31053   SHEATH 12FR (B7036)                   $590.00
31054   NOZZLE SHRT TIP INJ MILLER (5069-      $83.00
31056   REAMER PATELLA BLADE (5120-95-32)     $440.00
31057   STAPLER LINEAR (TX30V)                $730.00
31058   REAMER PATELLA BLADE (5120-95-35)     $440.00
31060   RELOAD LINEAR STAPLER (XR30V)         $345.00
31061   ADAPTER (SSSA-W)                      $440.00
31062   STABILIZER ACROBAT (X03-9100-S)     $1,822.00
31063   PASSER SUTURE (C6004)                 $195.00
31064   STYLET (6505)                         $370.00
31065   STYLET (6506)                         $370.00
31066   PACK PERFUSION CUSTOM (1M05R7)          $0.00   Utilization
31067   TIP EXTENDER ULTRA DRIVE (423840)   $2,322.00
31068   CATH URETERAL 5FR (139005)             $84.00
31069   CATH BALLOON UROFLOW (888610)       $1,100.00
31070   DRIVE 9.5 ULTRA TOOL (423924)       $2,322.00
31071   ASSEMBLY ULTRA DRIVE (423833)       $1,169.00
31072   PROBE CRYO 10MM (AMS-1210)          $8,730.00
31073   DRAPE ENDOSCOPY (9458CE)                $0.00   Utilization
31074   WIRE K D TROCAR (400-108)              $28.00
31075   DRILL BIT ROCEZ 3.5MM (251316)        $963.00
31076   PIN PLUG (6725RECALL)                   $0.00   Utilization
31077   CABLE DISP TEST (5833SLRECALL)           $0.00   Utilization
31078   DRILL 4.0MM SHORT (0210)               $730.00
31079   GUIDEWIRE 3.2 (14012-14)               $172.00
31080   DRILL BIT (AT-7032)                  $1,228.00
31081   SERVICE KIT (5873CRECALL)                $0.00   Utilization
31082   BLADE CASPER 10MM (5100-134-011)       $797.00
31083   BLADE CASPER 12MM (5100-134-012)       $797.00
31084   BLADE CASPER 13MM (5100-134-013)       $797.00
31085   BLADE CASPER 14MM (5100-134-014)       $797.00
31086   COMPONENT DRIL BIT (FJ840RSYSTEM)        $0.00   Utilization
31087   COMPONENT PIN (FJ833RSSYSTEM)            $0.00   Utilization
31088   STOPCOCK (59-1WSC)                       $0.00   Utilization
31089   DRILL BIT (4806-195-32)                $498.00
31090   CATH DIALYSIS PALINDROME (145010)      $395.00
31091   CATH BILIARY (228700)                  $666.00
31092   ULTRASLING LARGE (11-0138-4-13130      $376.00
31093   MIX EVAC III KIT (206-15)              $308.00
31094   FIBERWIRE 18" #3 (AR-7225)             $136.00
31095   LUMEN EXT 5CM (8886828206)             $846.00
31096   SCALPEL HARMONIC SHEARS (ACE36P)     $2,322.00
31097   DRILL BIT CANNULATED (99-11013)        $847.00
31098   COMPRESSION UNIT (99-91015)          $1,650.00
31099   ANKLE PIN GUIDE (99-11947)           $1,574.00
31100   BURR FLUTED 5MM (S-5B)                 $476.00
31101   NEEDLE SCORPION (AR-13990N)            $930.00
31102   CARDIOBLATE BP II (6083101)         $13,939.00
31103   ABDUCTION UNIV SHOULDER SYS (1044       $92.00
31105   WAND SABRE (A4300-01)                $1,129.00
31106   CUTTER MOLLRING 5MM (MRC4405)        $5,791.00
31107   CUTTER MOLLRING 6MM (MRC4406)        $5,791.00
31108   CUTTER MOLLRING 7MM (MRC4407)        $5,791.00
31109   VALVE PRESSURE RELIEF (4003103)        $110.00
31110   CATH HEMODIALYSIS ASH SPL ASPC40     $2,320.00
31111   PACK TUBING CUSTOM (2D37R)               $0.00   Utilization
31112   PACK PERFUSION SMART (067378001)         $0.00   Utilization
31113   GUIDEWIRE (640-104)                    $180.00
31114   GUIDEWIRE (640-106)                    $180.00
31115   DRILL BIT AND PIN PACKET (86-4192      $720.00
31116   CUTTER MOLLRING 8MM (MRC4408)        $5,791.00
31117   CUTTER MOLLRING 9MM (MRC4409)        $5,791.00
31118   CUTTER MOLLRING 10MM (MRC4410)       $5,791.00
31119   MARTIN DISSECTOR (30390)             $5,791.00
31120   AIRWAY BREAKAWAY STERILE 8CM (240       $10.50
31121   AIRWAY BREAKAWAY STERILE 9CM (240       $10.50
31122   AIRWAY BREAKAWAY STERILE 10CM (24       $10.50
31123   SHUNT CAROTID 14F-8F (007755)          $520.00
31124   NEEDLE SPINAL QUINCKE22X1/2(BF405        $0.00   Utilization
31125   SHEATH ACCESS 35CM (B7046)             $590.00
31126   SHEATH ACCESS 55CM (B7056)             $590.00
31127   TUBE ALIGNMENT (469389)                $220.00
31128   SCHUBART PERISCOPE (30175)           $5,791.00
31129   DRILL (471839)                         $740.00
31130   DRESSING RETAINER #3 (GL703)            $75.00
31131   DEVICE TARGETING (471830)            $1,200.00
31132   PUSHER CUTTER KNOT (7209084)           $650.00
31133   FIBER QRTZ ANGLD (05-1150-01)        $2,300.00
31134   GUIDEWIRE EX SUPPORT (GO8777)          $744.00
31135   SUCTION COAGULATOR CAUTERY (E2612        $0.00   Utilization
31136   GUIDEWIRE EX SUPPORT (G08801)          $744.00
31137   CATH FOLEY CONSIL 16FR (0196L16)        $89.00
31138   BRUSH URETERAL 115CM (040310)          $285.00
31139   DRILL TWIST (S4DG2-13)                 $530.00
31140   ENDOHELIX (EN100-1)                  $9,283.00
31141   CURETTE APFELBAUM 12X5 (RN-1171)     $1,804.00
31142   KNIFE MYRINGOTOMY (13-0915)             $67.00
31143   CATH STANDARD VENTRICULAR (41101)      $730.00
31144   CURETTE APFELBAUM 12X6 (RN-1172)     $1,804.00
31145   CURETTE APFELBAUM 12X7 (RN-1173)     $1,804.00
31147   PANEL SAPH LITE MID-LENGTH (89-27    $1,530.00
31148   DRILL BIT 2.4 VERTEX (6956007)       $2,060.00
31149   HAND ACCESS DEVICE LAP (C8106)       $2,642.00
31150   CATH DIALYSIS DECATHLN (DE23SH28)    $1,719.00
31151   CATH DIALYSIS DECATHLN (DE27SH32)    $1,719.00
31152   CATH DIALYSIS ALTA LR (AL23NH28)     $1,611.00
31153   CATH DIALYSIS ALTA LR (AL27NA32)     $1,611.00
31155   DRILL BIT (13555-70)                 $1,175.00
31156   DRILL BIT (13550-120)                  $519.00
31157   APPLICATOR KIT (2760-40-204)           $500.00
31158   PILLOW ELEVATION TROOP (1091000)       $264.00
31159   BALLOON SPACEMAKER (PBD-1000)        $1,397.00
31160   CANNULA VENOUS 2 STAGE (9124C)         $170.00
31161   BLADE (2296-033-206)                   $296.00
31162   CARDIOBLATE SURG ABLATION (60824)   $16,267.00
31163   SUT CARTRIDGE (OM8071)                 $963.00
31164   BAG UNIFLEX DRAIN (K1016833)           $131.00
31165   FIBER 365 MICRON (PHYSIOLOGIC)       $1,162.00
31166   FIBER 600 MICRON (ADVANTAGE MED)       $996.00
31167   KIT XL CARDIOBLATE BP (60836)       $13,980.00
31168   BLADE CASPER 11MM (5100-134-11)        $797.00
31169   BIOPSY GUIDE (5BG)                   $2,183.00
31170   BIOPSY NEEDLE TRACKING (5BNT)        $2,881.00
31171   CONNECTOR COBE (50-528-000)             $32.25
31172   CATH DIALYSIS ALTA (AL27NH32)        $1,611.00
31173   DEVICE SUPERSECT WIDE (744200)       $2,031.00
31174   DEVICE PREPPING LIMB HLDR (O-LPS)    $1,561.00
31175   CATH ATRIAL (5859)                     $130.00
31176   GUIDEWIRE (1806-0080S)                 $730.00
31177   GUIDEWIRE FATHOM (50-910)            $1,675.00
31178   CLAMP LARGE DISP (390.005)           $3,282.50
31179   INTRODUCER DILATOR W VESSEL (7740      $284.00
31180   SURGIBOOT TRANSDUCER (610-797)          $95.00
31181   GEN PURPOSE TRANSDUCER (610-001)        $52.00
31182   DEVICE PRECISION (0118100)             $564.00
31183   RELOAD RANEY CLIP GUN (CM8902)          $86.00
31184   DRILL BIT 24MM (6956010)             $2,060.00
31185   SCOPE 30K CHANNEL DISP (2233-005)    $7,944.00
31186   SYSTEM SALINE FILLED TURP 744200     $2,031.00
31187   TIP CAUTERY EXT 6" (ES04)                $0.00   Utilization
31188   RUBBERBANDS STERILE #32 (811430-0        $0.00   Utilization
31189   GUIDEWIRE (AW-04235C)                   $70.00
31190   SHEATH INTRODUCER (3805-014)           $432.00
31191   PROTECTIVE CAPS 1MM DISP (394-97)       $91.75
31192   CATH BALLOON RELIANT (REL46)         $2,590.00
31193   DRILL BIT 2.9 (8290-31-070)            $502.00
31194   FIBERWIRE #2 (AR-7200)                 $105.00
31195   DRILL BIT 2.0MM (DB-2.0)               $531.00
31196   GUIDEWIRE (AR-1254)                    $150.00
31197   GUIDEWIRE (AR-1250LT)                  $220.00
31198   CARDIOBLATE ABLATION PEN (60816)    $11,620.00
31199   CANNULA DISPOS (251130)                $110.00
31200   GUIDE 2.0 (PA009)                      $227.00
31201   GUIDE .08 (PA016)                      $154.00
31202   NEEDLE ANGLED SPINAL 1.5 (890-204        $0.00   Utilization
31203   BREAST SIZER (351-225S)                $330.00
31204   TUBING ASPIRATION (PAL-900)             $87.00
31205   DRILL BIT 2.0 (DB-2.0)                 $531.00
31206   BLADE CURVED (7205335)                 $512.00
31207   GUIDEWIRE 3.2X28 (8092-32-228)         $675.00
31208   BASKET SURE CATCH (5711222)            $963.00
31210   RELOAD VASCULAR (TR45W)                $590.00
31211   CUTTER LINEAR 45M W/RELOAD (ATW45    $1,820.00
31213   BLOOD PUMP SET BVS (0505-0036H)     $49,670.00
31214   BASKET FLAT WIRE STONE (5710002)       $878.00
31215   DRILL BIT 5.0MM (2255-33-50)           $870.00
31216   FIBER 200 MICRON (AMS-1022)            $664.00
31217   BLADE RECIP (5301-2073)                 $90.00
31218   DRILL BIT (FDB2.0)                     $531.00
31219   CATH BALLOON DIL 3.8FR TANDEM (21    $1,530.00
31220   CATH CHOLANGIOGRAM (ORC-B)             $175.00
31221   CATH CHOLANGIOGRAM (ORC TYPE B)        $150.00
31222   CATH XL 11 (410-0003)                  $175.00
31223   BASKET FORCEP 3.0FR (5720004)          $863.00
31224   BASKET 4 WIRE 3.0FR (5710004)          $823.00
31225   BASKET 4 WIRE 4.5FR (5700011)          $598.00
31226   WANT (1335-01)                         $896.00
31227   TUBING ASPIRATION (24-5103)             $61.00
31228   CATH DILATATION BALLOON (218-130)    $1,870.00
31229   NEEDLE BONE MARROW (2110-0028)         $664.00
31230   CANNULA VENOUS FEM (XD96370-025)     $1,241.00
31231   BREAST EXPANDER KIT (30-00033)          $87.00
31232   NEEDLE BREAST 21GA INF (30-00012)       $11.00
31233   BURR ROUND 6.5MM (5300-20-516)         $115.00
31234   PROBE FOGARTY BILIARY BALLOON (41      $395.00
31235   PROBE FOGARTY BILIARY BALLOON (/1      $385.00
31236   CATH FOGARTY EMBOLECTOMY (120602F      $510.00
31237   CATH FOGARTY EMBOLECTOMY (120403F      $330.00
31238   CATH FOGARTY EMBOLECTOMY (120803F     $330.00
31239   BURR ROUND 5.5MM (5300-30-513)        $115.00
31240   CATH FOGARTY EMBOLECTOMY (120804F     $320.00
31241   CATH FOGARTY EMBOLECTOMY (120805F     $330.00
31242   AIRWAY NASO 28FR (1231-28LF)           $32.00
31243   CATH FOGARTY IRRIGATION (220806F)     $140.00
31244   CATH FOGARTY EMBOLECTOMY (120404F     $330.00
31245   CATH FOGARTY VENOUS THROMBECT (32     $430.00
31246   CATH FOGARTY VENOUS THROMBECT (/1     $510.00
31247   CATH FOLEY W TEMP MONITOR (90051)      $78.00
31248   CATH FOLEY 18FR 5CC 2D2621             $74.00
31249   TUBE ENDOBRONCH 37FR (126037)          $60.00
31250   DRILL BIT 4.4 (2810-12-144)           $963.00
31251   DILATOR OS CERVICAL FINDER (1176)      $32.00
31252   CATH URETERAL 04FR (036304)           $350.00
31253   CATH URETERAL 06FR (036306)           $270.00
31254   CATH URETERAL 05FR (137505)            $75.00
31255   ADAPTER PITON Y (AC4001M)             $161.00
31256   CATH URETERAL 05FR OPEN TIP (1350      $59.00
31257   CATH URETERAL 06FR OPEN TIP (1350      $75.00
31258   CATH URETERAL 08FR CONE TIP (1380      $75.00
31259   CATH URETERAL (138010)                 $75.00
31260   CATH URETERAL (138012)                 $75.00
31261   CATH URETERAL 10FR (405-100)          $370.00
31262   CATH URETERAL KIT (400-116)            $80.00
31263   CATH BALLOON DIL 5FR TRILOGY (221   $1,740.00
31264   CATH BALLOON DIL 6FR UROMAX (219-   $1,460.00
31266   CATH MUSHROOM PEZZAR 34FR (064034      $79.00
31267   CATH MUSHROOM PEZZAR 36FR (064036      $78.00
31268   CATH MALECOT 20FR (410-102)           $425.00
31269   KIT PLEURAL CATHETER (50-7000)      $2,322.00
31270   ANKLE EXTERNAL INST KIT 99-25100    $1,175.50
31271   KIT DRAINAGE (50-7500)                $381.00
31272   CATH FOGARTY ADHERENT CLOT (14080   $1,280.00
31273   CATH PASSER (88406)                   $650.00
31274   NEEDLE BIOPSY DEVICE SZ3 FO5A           $0.00   Utilization
31275   CATH URETERAL 04FR (136504)            $72.00
31276   CATH HEMATURIC 2 WAY 16FR 30CC (5     $110.00
31277   CATH HEMATURIC 24FR 2 WAY (5707-2     $115.00
31278   CATH HEMATURIC 22FR 3 WAY (5706-2     $120.00
31279   CATH HEMATURIC 24FR 3 WAY (5706-2     $120.00
31280   CATH NOTTINGHAM (230-101)             $550.00
31281   CATH NOTTINGHAM 12-18FR (230-115)     $590.00
31282   DRILL BIT 2.9MM (6956011)           $2,060.00
31283   BREAST SIZER 351-475S PHY SUPPLY        $1.00
31284   BLADE RECIPRICATING 5301-020-059       $90.00
31285   DRILL 2.5MM (71170071)                $481.00
31286   TOOL ROTATION KIT (6054-65)           $264.00
31287   DRAIN BLAKE 19FR SUB (A253800010)     $396.00
31288   DRAPE UTILITY W/TAPE (KM89731)          $0.00   Utilization
31290   SPONGE 1/2X3 TELFA (80-09)             $11.00
31291   SURGICAL MUSLIN 4X5YD (0104)           $32.00
31292   DEVICE SUPER LOOP 24FR (714941)     $2,031.00
31293   TROCAR BLADED 5MM THREAD (C0522)      $179.00
31294   TROCAR BLADED 10/11MM THRD C0658      $233.00
31295   CATH URETERAL 05FR ROUND TIP (036     $270.00
31296   CANNULA VENOUS RT ANGLE 30FR (675     $150.00
31297   BLADE SAW (203-97-04)                 $340.00
31298   CATH URETERAL 05FR (GU1808-105)        $62.00
31299   BLADE SAW (203-97-06)                 $340.00
31300   CATH SUCTION NASAL 18FR (KC33800)       $0.00   Utilization
31301   GLIDEWIRE MEIER (SCH30600)            $425.00
31302   CATH BONANNO SUPRA BLAD DR (BF408     $345.00
31303   CATH SWAN GANZ 8 (746-8F)           $1,240.00
31304   CATH THORACIC 20FR STRT (8888-570      $42.75
31305   TROCAR BLADED 12MM SMOOTH (C0639)     $233.00
31306   CATH THORACIC 28FR STRT (88-57054      $47.25
31307   CATH THORACIC 32FR STRT (88-57055      $47.25
31308   CATH THORACIC 36FR STRT (570564)       $58.00
31309   GUIDEWIRE (1806-0085S)                $730.00
31310   TUBE CHEST 20FR (571026)               $66.00
31311   PAD CAUTERY ESSP                        $0.00   Utilization
31312   HOLSTER CAUTERY (ESPH)                  $0.00   Utilization
31313   CATH FOGARTY THRU LUMEN (12TLW803     $530.00
31314   TROCAR OPTICAL 12MM (C0126)           $280.00
31315   CATH FOGARTY AORTIC OCCLUSION(620     $530.00
31316   TROCAR 12MM BLUNT TIP (C0718)         $220.00
31317   TIP CAUTERY ELEC NDL 3" (ES02)          $0.00   Utilization
31318   TOOL DISSECTING 2.9MM TIP (TU-8)      $690.00
31319   SHEATH BIPOLAR (EC7145-01)          $1,620.00
31320   TROCAR BLADED 12MM THREAD (C0659)     $233.00
31321   TROCAR SEPARTOR OP 11MM (C0116)       $280.00
31322   CATH VENT MALLEABLE TIP (12110)       $105.00
31323   TROCAR SEPARATOR OP 5MM (C0101-S)     $216.00
31324   WAND PLASMA REFLEX 55 EIC4855-01    $1,339.00
31325   CATH URETERAL 04FR (136404)            $57.00
31326   CATH URETERAL 05FR WHISTLE TIP (1      $66.00
31327   CATH URETERAL 06FR (136406)            $62.00
31328   SUCTION AND TUBBING SET (E10100-0     $690.00
31329   RETRACTOR DISPOSABLE (EK4415-01)    $2,530.00
31330   VASOVIEW DISP (VH-2000)             $4,947.00
31331   ARTHROWAND (A2630-01)                 $890.00
31332   BLADE (ES0524-01)                   $1,270.00
31333   WAND PLASMA REFLEX (E4155-01)       $1,339.00
31334   DRILL (71631117)                      $420.00
31335   PUMP BLOOD CENTRIFUGAL 050300000      $777.00
31336   TUBING LAMIS (LAM-TUBING)              $41.00
31337   DISSECT BONE CUTTING (10MH30DC)       $697.00
31338   PACK PERFUSION CUSTOM (TL2K82R1)    $3,841.00
31339   DRAIN PENROSE 12X1/4"(20414-025)        $0.00   Utilization
31340   DRAIN PENROSE 12X1/2"(20414-050)        $0.00   Utilization
31341   STAPLER SKIN (PRW-35)                 $193.00
31342   DRAIN PENROSE 18X1"(20416-100)          $0.00   Utilization
31343   BIT DRILL (6905721)                 $1,280.00
31344   DRAIN SUMP (DC8045)                   $320.00
31345   PROBE SKIN TEMP (503-0112)             $39.00
31346   TUBING HYDROFLEX W/DRAPE (0025360     $870.00
31347   GUIDEWIRE ORTHO (903003004)         $1,160.00
31348   NEEDLE JAMSHIDI 8GA (820008400SL)     $190.58
31349   BURR ROUND (5300-20-513)              $115.45
31350   TROCAR 5MM (C0957)                    $213.00
31351   TROCAR 11MM (C0667)                   $279.50
31352   DRAPE WARMER (ORS-301)                  $0.00   Utilization
31353   DISSECTOR BONE (10MH30D-MN)           $697.00
31354   EXT. FIXATOR SCREW (494.771)          $720.00
31355   EXT. FIXATOR ROD (395.786)            $680.00
31356   EXT. FIXATOR ROD (395.597)            $680.00
31357   GUIDE RESECTION (5977-84)             $462.00
31358   INFLATOR LEVEEN (710-111)             $397.00
31359   INTRODUCER PEELAWAY 16FR (42-5016     $350.00
31360   KIT LINGEMAN PCNL (450-110)         $3,760.00
31361   INTRODUCER LEAD PERC (410-0008)       $130.00
31362   INTRODUCER PERC KIT (0601460)         $335.00
31363   SURGICEL FIBRILLAR (JJ1963)           $808.00
31364   SEPARATOR ACCESS TROCAR (C0682)       $272.00
31365   SIZER ULTRA MOSAIC (7305UXID)       $1,162.00
31366   DRILL BIT (8290-32-070)               $505.00
31367   INTRODUCER DILATOR 05FR (405546)       $54.00
31368   RETRACTOR MEDITRACT (4005000)         $598.00
31369   RETRACTOR MEDITRACT (4006000)         $664.00
31370   CATH BROVIAC 6.6FR (0600544)          $920.00
31371   RETRACTOR MEDITRACT (40070000)        $730.00
31375   CATH CYSTIC DUCT REDDICK RCD-50S      $440.00
31376   GUIDEWIRE (903004004)               $1,160.00
31377   GLOVES ORTHOPEDIC 6.5 (2D7282)          $0.00   Utilization
31378   PROBE LASER FIBER BARE (04-5205-0     $660.00
31380   BIT DRILL 6905710                   $1,360.00
31382   ADAPTOR PERFUSION (10022)              $30.00
31385   CATH INTRODUCER PERC KIT (0601430     $335.00
31386   WAND PLASMA REFLEX (E5070-01)       $1,070.00
31387   KIT INFUSION PUMP REFILL MS (8551     $205.00
31391   INTRODUCER OSTEO SYSTEM (T05D)      $5,240.00
31393   BLADE (5627-16-500)                   $720.00
31394   DRILL (1204008)                       $660.00
31395   BLADE (124083)                      $2,650.00
31396   WIRE CENTERING (1204007)              $500.00
31399   PORT BIOPSY URETEROSCOPE (CS-W7S)      $49.50
31400   CATH PASSER SHORT (82-1515)           $335.00
31401   CATH PASSER LONG (CO 821516)          $285.00
31402   GLOVE LTX FREE SYN 9 (345173)           $0.00   Utilization
31405   BLADE (5071-145)                      $215.00
31409   PROBE LASER FIBER SLMLNE 365        $1,160.00
31415   SENSOR OXYGEN MINIOX GALVA(MAX-13     $520.00
31418   DUCT FLUID (9915)                     $135.00
31421   CANNULA ARTERIAL 20FR (007327         $249.00
31422   CATH PIGTAIL (10708503)                $99.00
31424   INTRODUCER SAFE SHEATH 6709            $550.00
31425   DRILL STOP (0133114)                   $664.00
31426   CUTTER ARTHRO AGGRESS MENIS 5(275      $513.00
31430   DRILL BIT 316.236                      $220.00
31436   DRAIN SUMP 18" (111178AT)              $155.00
31438   DRILL BIT TOTAL KNEE (5800-4-125)      $240.00
31439   DRILL BIT TWIST (25-452-00)            $560.00
31440   TUBE INTESTINAL 16FR (655600)          $630.00
31441   DRILL BIT TWIST (25-452-05)            $560.00
31444   DRILL WIRE PASS (18-S1703)             $170.00
31445   CATHETER THROM DVX (105420-001)      $7,362.50
31446   WIRE CENTERING (01133105)              $550.00
31451   TRAY TUBE GASTROS RUSSELL (CGASTY        $0.00   Utilization
31460   TUBE JEJUNOSTOMY (300-14)              $990.00
31467   EXT FIXATOR CLAMP (395.57)           $1,020.00
31474   EXT FIXATOR CONNECT BARS (395.76)      $110.00
31479   EXT FIXATOR END CAP 458.10             $385.00
31480   TUBE T 14FR (DC9982)                    $83.00
31481   TUBE T 16FR (DC9983)                    $78.00
31482   TUBE T 18FR (DAV 9984)                  $63.00
31492   TUBING INSUFFLATION W FILTER (88-       $52.00
31494   SET IRRIGATION CYSTO 55379 2C4040       $21.75
31495   TUBING TUR Y IRRIG (55380)              $30.75
31496   TUBING PRESSURE MALE/FEMALE (9111       $20.25
31498   CATHETER GUIDE (7300)                  $700.00
31499   CATH BALLOON (6714)                    $365.00
31500   MARK BLADE POSITION (01133106)         $664.00
31502   BANDAGE ELASTIC 2" (23602-520)          $21.75
31503   BANDAGE ACE ST 3" (CQ-3430)              $0.00   Utilization
31504   BANDAGE ACE ST 4" (CQ-3440)              $0.00   Utilization
31505   BANDAGE ACE ST 6" (CQ-3460)              $0.00   Utilization
31506   CARDIO SURG ABILATION 60823         $16,267.00
31515   PADDING SOFT ROLL CAST 2X4 (JJ905        $0.00   Utilization
31516   SOFT ROLL PADDING 3X4 (1094)            $11.00
31517   BANDAGE SOFT ROLL 4" (23626-540)        $32.25
31518   BANDAGE SOFT ROLL 6" (23626-560)        $27.00
31552   GUIDEWIRE (46-852)                     $598.00
31575   SPONGE BICOL COLLAGEN (80-1460)        $235.00
31590   SPONGE COTTONOID 1/4"X1/4" (CO 80        $0.00   Utilization
31591   SPONGE COTTONOID 1/2" (CO 801400)        $0.00   Utilization
31592   SPONGE COTTONOID 1/2"X3" (VL80-14        $0.00   Utilization
31593   SPONGE COTTONOID 3/4" (CO 801401)        $0.00   Utilization
31595   SPONGE COTTONOID 1"X3" (CO 801408        $0.00   Utilization
31600   SPONGE LAP (JJ2572)                      $0.00   Utilization
31601   SPONGE PEANUT KUSTER LAP (KPS-30)        $0.00   Utilization
31602   SPONGE LAPAROTOMY (KC4031)               $0.00   Utilization
31603   SPONGE LAP (MDS2541504)                  $0.00   Utilization
31605   SPONGE PEANUT (23275-470)                $0.00   Utilization
31610   SPONGE RAYTEC (KC7317)                   $0.00   Utilization
31620   SPONGE SPEAR WECK CEL (8680)             $0.00   Utilization
31622   PAK PFT CUSA W/TIP (C3500)           $2,880.00
31623   PAK PFT CUSA W/MICRO TIP (C3502)     $2,020.00
31624   BANDAGE ACE 6"X10YD (015526) TETR       $0.00   Utilization
31625   SYRINGE LL CONTROL 20CC (81-52017      $13.00
31626   PROBE LASER FIBER (04-5820-01)      $1,280.00
31628   POSITIONER HEAD ADULT (PN31143129      $24.00
31629   DRILL BIT (870-706)                   $810.00
31630   ELECTRODE PNS (654-010)                $17.00
31637   CATH BALLOON 8X2 ( 16-497)          $1,380.00
31638   CATH BALLOON 7X2 ( 16-477)          $1,420.00
31639   CATH BALLOON 6X4 (16-463)           $1,380.00
31640   CATH BALLOON 6X2 (16-457)           $1,380.00
31641   CATH BALLOON 5X4 (16-443)           $1,380.00
31642   CATH BALLOON 5X2 (16-437)           $1,380.00
31643   NEEDLE ENTRY (44-160)                   $0.00   Utilization
31644   BLADE SAW OSCILLATING ( 5053-73 )     $255.00
31646   ENDO TROCAR 10 - 12MM (512HN)         $430.00
31647   FIBERS ANGLED DELIVERY DEVICE       $2,299.00
31648   FOAM TOPI (7510-03)                    $78.00
31649   BLADE (2296-33-206)                   $315.00
31651   STOCKINETTE IMPERVIOUS LG (1587)        $0.00   Utilization
31653   CABLE SYSTEM (826-213)              $1,300.00
31654   ACL TRANSTIBIAL KIT (AR-1897S)      $1,371.00
31655   SHEATH INTRODUCER 07FR (15-713)       $140.00
31656   TUBE T 12 FR X 18 FR STEM (DC1032     $110.00
31657   ENCORE 26 INF DEVICE (15-106)         $495.00
31658   BERENSTEIN (10722105)                 $100.00
31659   CATH UDT 7 4 5 75 (16-483)          $1,380.00
31662   BURR CUTTING MICRO MILL (5052-202     $590.00
31664   CATH BERESTEIN 5FR (451-513HO)        $130.00
31666   SUCTION FRAZIER 8FR (0033080)          $21.75
31667   SUCTION FRAZIER 12FR (0033120)         $21.75
31671   SURGICEL NU KNIT 1943                 $380.00
31672   SURGICEL FIBRILLAR (JJ1961)           $220.00
31674   BURR DIAMOND 5MM (5093-266)           $275.00
31675   ASTRIN GYN MONSELS (6065ZW)            $81.00
31678   GATEWAY Y (15-322)                    $185.00
31679   CATH 8X4 UDT/8-4/5.8T/75 (16-505)   $1,380.00
31680   SHEATH INTRODUCER 6FR (RSS601)         $76.00
31681   SHEATH INTRODUCER 5FR (RSS501)        $140.00
31682   DRILL TWIST (472366)                  $275.00
31683   BURR DIAMOND 4MM (5093-264)           $255.00
31684   CATH PASSER (859138)                  $650.00
31685   TAMPON NASAL MEROCEL (400410)          $78.00
31687   TAPE UMBILICAL (U15G)                  $18.50
31688   TAPE UMBILICAL (U11T)                  $10.50
31689   TAPE RESTON SELF ADHERING FOAM (M      $88.00
31690   SUCTION TIP VACURETTE (21655)          $33.75
31691   TAPE MICROFOAM 2" (M1528-3)            $30.75
31692   TAPE UMBILICAL (U10T)                   $0.00   Utilization
31693   TAPE ENDO BUTTON (014868)             $440.00
31695   BANDAGE COBAN 6" (N1586)                $0.00   Utilization
31699   DERMACARRIER 3.0 TO 1 (2195-13)       $115.00
31701   BLADE (5023-140)                      $240.00
31702   BLADE (5023-162)                      $240.00
31704   DRAIN BLAKE 15FR (2228)               $145.00
31705   PROSTATE STABILIZATION (500118200     $395.00
31706   NEEDLES PROSTATE SEEDING (5006182       $0.00   Utilization
31707   SPACING MATERIAL PL GUT (50070305      $34.00
31708   KIT ENDOCAVITY STAND OFF (EA4015)     $145.00
31711   KIT ENTOS (2950115301)                 $80.00
31712   COLLAR LARGE (0937-3-020)             $305.00
31713   TRAY URINEMETER/TEMP SENSE 314860       $0.00   Utilization
31714   CLIP TITANIUM (LT100)                  $30.75
31717   LOOP RESECTION CUTTING (72402476)     $790.00
31720   CLIP RANEY (658505)                    $74.00
31723   GLOVE BIOGEL 6 1/2 (30465)              $0.00   Utilization
31724   NEBULIZER FILTERED (36-1755EA)         $80.75
31729   TROCAR SURGIPORT 5MM (171016)         $385.00
31733   CATH BALLOON (17-814)               $1,415.00
31734   BREAST IMPLANT FILL KIT (30-00001      $88.00
31737   GRASP 5MM ENDO (173030)               $533.00
31739   CATH SYMMETRY 2.5-4/135 (10-534)    $2,151.00
31740   CATH SYMMETRY 2.5-2/135 (10-533)    $2,170.00
31741   CATH SYMMETRY 2-2/135 (10-530)      $1,981.00
31742   DRILL BIT 14MM (48510614)           $1,502.00
31743   CATH DIAMOND 3-2/120 16-402         $1,454.00
31747   CATH SYMMETRY SS 2.0-4/135 10-531   $1,981.00
31748   REAMER PATELLA 29MM (5120-95-29)      $440.00
31781   NEEDLE HUSTED 20GA 3.5" (EHN2003)       $0.00   Utilization
31782   NEEDLE SPINAL 22GA 3.5" (8888-816       $0.00   Utilization
31783   PAD GROUNDING (DGP-B)                   $0.00   Utilization
31795   OSTEOTOME LONG 6MM CURVE (423892)   $1,330.00
31799   BLADES STERNOTOMY (5059-279)          $155.00
31800   ASSEMBLY CHECK FLOW (153915)           $81.00
31801   LINE PRESSURE MONITORING (0401080      $31.50
31803   SHEATH BRITE TIP 9X35 (401-935M)      $150.00
31804   SHEATH BRITE TIP 7X35 (401-735M)      $150.00
31805   GUIDEWIRE (292.69)                    $395.00
31806   OSTEOTOME LONG STRT 6MM 423890      $1,940.00
31808   TOOL ULTRADRIVE 6MM (423868)        $1,940.00
31812   NEEDLE PERC (SDN-18-9.0)                $0.00   Utilization
31813   PACING WIRE CARDIAC (025-100)          $85.00
31819   BALLOON MARSHALL 4/2 (17-807)       $1,420.00
31820   BALLOON MARSHALL 5/2 (17-825)       $1,420.00
31826   CABLE DISP (5833S)                    $170.00
31827   SHEATH (401-811M)                     $260.00
31829   GLOVE LATEX FREE 6 1/2 (MDS123865       $0.00   Utilization
31830   GLOVE LATEX FREE SZ 7 (MDS123870)       $0.00   Utilization
31831   HOOD STERILE (400-500)                  $0.00   Utilization
31832   SYRINGE W/FILL TUBE (150FT-Q)         $170.00
31834   GLOVE ORTHOPEDIC 7 (2D7283)             $0.00   Utilization
31837   BLADE SAW OSCILLATING (5052-259)       $68.00
31839   COTTONBALLS PK/5 (603430D030)           $0.00   Utilization
31840   TIP CAUTERY LOOP 5"EXT (NP-11080)       $0.00   Utilization
31841   DRILL BIT (876-443)                 $1,110.00
31843   BLADE SAW OSCILLATING (5053-221)       $58.00
31844   NEEDLE INSULATED 20GX6" (333680)        $0.00   Utilization
31847   SUCTION YANKAUER HRT RM (DC3487)       $10.50
31849   CATH INFLATION DEVICE (IN2125)        $440.00
31852   BALLOON UTD (16-407)                $1,500.00
31859   ELECTRODE ROLLER BALL 24FR GRE24    $3,300.00
31865   DEVICE TORQUE (46-550)                 $50.00
31866   BLADE ENDOSCOPE (7205687)             $480.00
31869   KIT COLOSTOMY/ILEOSTOMY (0209-37)     $175.00
31873   TRAY FEMORAL CUSTOM SAN52ANEMF          $0.00   Utilization
31874   SHEATH (401-611M)                     $184.00
31876   PENCILETTE (OLSEN 950)                  $0.00   Utilization
31883   BAG DRAINAGE WOUND (9772)              $46.00
31886   DRILL BIT (310.25)                    $255.00
31887   DRAPE VESICA (820-106)                  $0.00   Utilization
31889   DRILL BIT (1214-5-055)                $590.00
31905   GUIDEWIRE (469055)                    $385.00
31906   PROBE LASER FIBER KTP 04-5310-01    $4,440.00
31912   DRIVEWIRE (467212)                    $350.00
31913   TUBE ALIGNMENT (469395)               $175.00
31915   CATH INFINITY (450-558)               $132.00
31916   LOOP VESSEL LT GRN PLUS (1001-81P      $84.00
31919   INSERT SUTURE HOLDING(28707)          $370.00
31920   CATH 5FR HNR5.0-38-70-PW-10S-PIG      $112.00
31922   WIRE J 32" (TSCF32-145-3-BH)           $85.00
31923   NEEDLE PERC (SDN-18-5.0)                $0.00   Utilization
31928   HICKMAN REPAIR KIT (0601630)          $510.00
31930   CATH BERENSTEIN 5FR (10722101)         $99.00
31933   CANNISTER OMNIJUG (800557)            $185.00
31934   PAD GROUNDING EXCALIBER (402-2204       $0.00   Utilization
31935   GUIDEWIRE CONTROL (46-858)            $660.00
31936   KIT INFUSION PAINBUSTER 100ML       $1,630.00
31938   SLEEVE TROCAR (TT012)                 $140.00
31940   DEVICE TORQUE (502-270)                $57.00
31943   CATH FLUSH (451-504V5)                $130.00
31944   CATH COBRA II (451-543V0)             $130.00
31947   NEURO STIMULATOR PT PROGRAMMER      $4,132.00
31948   INTRODUCER (HLS-1007)                 $430.00
31949   INTRODUCER (HLS-1010.5)               $430.00
31950   BURR ROUND (5120-10-240)              $526.00
31953   BURR ROUND (5120-10-250)              $540.00
31958   RASP SMALL (5100-37-113)              $840.00
31959   BLADE SHORT OFFSET (5100-37-103)      $570.00
31962   BURR ROUND FLUTTER (5120-10-50)       $510.00
31963   BURR AGGBUR MED(5120-15-40)           $400.00
31964   BURR CROSS CUT (5120-66-12)           $370.00
31968   RASP LARGE (5100-37-114)              $830.00
31970   BURR ROUND DIMOND (5120-12-35)        $610.00
31973   BALLOON CATH (10-224)               $2,710.00
31974   BALLOON CATH XXL (14-557)           $1,880.00
31975   BALLOON CATH XXL (14-555)           $1,880.00
31976   BALLOON CATH XXL (14-552)           $1,880.00
31978   ULTRASLING II SMALL                    $425.00
31979   ULTRASLING II LARGE                    $425.00
31981   GUIDE (338.21)                         $640.00
31983   TUBING HP INJECTOR (HP9481E)            $27.75
31984   FORCEP BIPOLAR CUTTING(3000)         $1,300.00
31985   CATH 20 GA (RA-04220)                   $59.00
31987   SHEATH (401-723M)                      $170.00
31988   BURR SHORT (5100-37-233)               $570.00
31989   BURR LONG 95100-337-121)               $570.00
32014   PAD PACEMAKER (803377-501)             $295.00
32015   SPHINCTERTOME ULTRTAPERED (3282)       $980.00
32016   TROCAR VISIPORT OPTICAL (176672)        $44.25
32019   ADHESIVE NEUROSIM ACCESSORY (0801      $220.00
32020   WIRE JAC .025 (5656)                   $365.00
32022   CONTAINER TRAVAMULSION (2B8132)          $0.00   Utilization
32025   DRILL BIT 2.0X100/75 (310.19)          $225.00
32026   DRILL BIT (310.31)                     $235.00
32027   DISTRACTOR EXTERNAL RED (51-580-0   $18,500.00
32029   BAR CROSS HORIZONTAL (51-580-45)     $5,820.00
32030   STAPLER PREM PLUS (CDH21)            $1,910.00
32035   EXT FIXATOR SCREW (294.778)            $250.00
32037   FIXATOR EXT SCREW (294.785)            $250.00
32038   EXT FIXATOR SCREW (294.786)            $250.00
32042   BURR (513.25)                          $220.00
32055   CATH OMNI FLUSH 5X65 (10732203)         $99.00
32057   SOLUTION SURGICAL DURA PREP (8630       $41.25
32058   SHEET INCISE CARDIOVASCULAR (9156      $205.00
32059   SHEATH 10X11 (401-011M)                $260.00
32060   BAG BLOOD IN LINE ATS (2550)           $210.00
32061   SUT ANCHOR SURGIGRIP (ET101)            $55.00
32062   CABLE (6652)                           $180.00
32063   TUBING IRRIG CONT 6544-01               $43.75
32065   CATH PIGTAIL W MARKERS (250684)        $790.00
32066   PUNCH AORTIC 3.0 (AP430)               $195.00
32067   GUIDE SUTURE (GFS-10)                  $130.00
32068   CLIP TITANIUM MED/LG (121507)           $56.00
32069   BURR ROUND (1608-9-141)                $550.00
32070   REPAIR CATH KIT (8590-9)               $630.00
32072   CONTAINER SPECIMEN 6OZ. (C4320-6)        $0.00   Utilization
32073   GLOVE EUDERMIC 8.5 (2D7266)              $0.00   Utilization
32077   CANNULA VENTRI SCOTT 8 (16-1052)       $510.00
32078   CANNULA VENTRI SCOTT 8FR (16-1051      $510.00
32079   CANNULA VENTRI SCOTT 8FR (16-1050      $510.00
32082   TUBE TRACH NASAL 7.0 (43162-770)        $72.00
32083   TUBE TRACH NASAL 6.5 (43162-765)        $41.25
32084   DISSECTOR BONE CUTTING TOOL (M52)      $920.00
32097   AIRWAY NASO 32FR (1231-32)              $33.75
32099   PIN DISTRACTOR (U44-640-14)            $480.00
32105   SLEEVE SURGIGRIP GRN 15MM 174409        $45.75
32109   STABILIZER OCTOPUS STARFISH (2880    $7,280.00
32111   RETROGRADE ANTEGRADE (13001)           $125.00
32112   CATH PIGTAIL (10708501)                 $23.25
32113   TUBE GASTROSTOMY 24FR (0100-24)       $285.00
32116   BLADE EXCURSION TAPER 22.5 296-37     $375.00
32119   ADAPTER UROLOK II BALL FITTING (7     $100.00
32120   INTERCEED BARRIER (JJ4350)            $720.00
32124   SAW BLADE 1675-133                    $539.00
32125   PAD CONDUCTOR (7-382)                   $0.00   Utilization
32126   PENCIL CAUTERY FOOT CONTROL (1303       $0.00   Utilization
32127   PENCIL CAUTERY TRIPLE OPTION (130       $0.00   Utilization
32128   BLADE MANDIBULAR INTRA (2296-31-0     $740.00
32129   PROBE LAPAROSCOPIC 10MM (160651)      $520.00
32132   BLADE MANDIBULAR 12.0M (2296-31-0     $890.00
32135   ROD FIXATOR EXT CARBON (394.83)       $660.00
32140   KIT AUTOTRANSFUSION 1 SOURCE (TK2     $930.00
32141   KIT WASH (TK1)                        $630.00
32142   KIT WASH (TK2)                        $530.00
32143   SUCTION ASSEMBLY ANTICOAG (999734     $130.00
32144   RESERVOIR CARDIOTOMY (EL2120)         $440.00
32145   PACK SEQUESTERING (BT7275P)             $0.00   Utilization
32146   PACK TRANSFER SPIKE (BT945)             $0.00   Utilization
32147   BOWL ALONE (BT125E)                   $520.00
32148   BOWL ALONE (BT225E)                   $520.00
32150   BAG DECANTER/ BAG A JET                 $0.00   Utilization
32168   ELECTRODE BALL (E1550)                 $12.50
32176   OCCUDERS COLPO (CPO-6ZL)              $220.00
32178   CANNULA VENOUS (66124)                $126.00
32179   CANNULA VENOUS (66136)                $130.00
32180   CANNULA VENOUS (66122)                $130.00
32181   CANNULA ANGLED TIP (67522)            $150.00
32182   CANNULA ANGLED TIP (67524)            $142.00
32184   CANNULA ANGELED TIP (67528)           $150.00
32190   KIT AIRWAY (2411)                      $29.25
32191   CANNULA AORTIC (4949)                 $220.00
32194   TUBING 8' 3/8X3/32 (3508)              $77.00
32196   KIT VEIN HARVESTING (USB 10243)     $3,500.00
32201   CUTTER ARTHRO AGGRESS MENIS (275-   $1,800.00
32203   BLADE SAW (2296-33-114)               $286.00
32204   BURR ABRADER (7205325)                $335.00
32205   BLADE ENDOSCOPIC (7205345)            $335.00
32206   BURR STONE CUTTER (7205331)           $335.00
32207   BLADE BEAVER (BC376400)                $20.25
32209   BLADE BEAVER (BC376600)               $115.00
32210   BLADE ENDOSCOPIC (7205310)            $990.00
32211   BLADE BEAVER (BC375920)               $100.00
32213   BLADE CLIPPER SPECIALITY (4412)        $79.00
32215   BLADE CRANIOTOME (26-1246)            $195.00
32223   BLADE DERMATOME PADGET OLD STYL(1      $80.00
32224   BLADE SAW (5023-141)                   $58.00
32225   BLADE DERMATOME BROWN (699)           $130.00
32226   BLADE DERMATOME (8800-00-10)          $145.00
32229   BLADE SAW (5023-139)                   $58.00
32230   BLADE GIGLI (2808-02)                 $115.00
32232   BURR ROUND DIAMOND (5092-166)         $220.00
32233   BLADE SAW (5071-201)                  $330.00
32234   BLADE SAW (5071-553)                   $78.00
32237   BLADE ENDOSCOPIC (7205330)            $400.00
32238   SAW BLADE FINE 6.4MM K131             $147.00
32239   KNIFE MICRO WECK 15' (00-01520)        $55.00
32240   KNIFE MICRO WECK 30' (00-01522)        $41.25
32241   BLADE CUTTER AGGRESSIVE ARTHRO        $657.00
32242   LINER MULTI POLAR DISP 5003-40-22     $943.00
32250   PAD HYPO/HYPERTHERMIA (5154)          $455.00
32251   DRAPE NEXGEN MILLING (5977-34-07)       $0.00   Utilization
32252   CLEANER CAUTERY (300-2)                 $0.00   Utilization
32256   BURR ROUND FAST (1608-9-137)          $660.00
32257   TIP CAUTERY EXTENDER 6" (970-6)         $0.00   Utilization
32260   DEBRIDER WOUND VAR-A-PULSE (5150-     $320.00
32262   CASSETTE IRRIG HUMMER 290-075-000     $231.00
32263   HOLSTER CAUTERY (OLSEN 770)             $0.00   Utilization
32264   TIP CAUTERY ELECTRODE NEEDLE (971       $0.00   Utilization
32265   PAD GROUNDING BOVIE (E7507)             $0.00   Utilization
32266   TIP CAUTERY TEFLON (0012)               $0.00   Utilization
32270   FILTER BLOOD PALL (RC400)             $240.00
32271   TRACHEOSTOMY TUBE CUFF PED             $59.50
32272   BRUSH IM REG 14MM (6198-1-514)        $110.00
32273   SUCTION ASSEMBLY BRAT 2 (007-005-     $110.00
32274   BAG COLLECTION CENTRIFUGE (007-01      $47.25
32275   PENCIL CAUTERY W SUCTION (26110)        $0.00   Utilization
32276   BRA SURGIBRA LG (46518-030)           $275.00
32277   CANNISTER SUCTION LINER 30CC (656      $16.50
32278   CANNISTER TOUCH TISSUE TRAP (0039      $85.00
32279   BRA SURGIBRA XL (46518-040)           $275.00
32280   TRACHEOSTOMY TUBE CUFFED PED           $59.50
32281   CANNULA ARTERIAL PERF 24FR (00732     $140.00
32282   BRA SURGIBRA XXXLG (46518-060)        $305.00
32283   BRA SURGIBRA XXLG (46518-050)         $305.00
32286   CANNULA VENOUS 2 STAGE (91236C)       $170.00
32287   TUBE TRACH REINFORCED (43154-090)     $195.00
32288   TUBE TRACH NASAL 7.5 (43162-775)      $115.00
32292   RESERVOIR BLOOD BRAT (007-400-000     $330.00
32295   CANNULA VEIN IRRIGATION W BEV TIP      $48.00
32296   TUBE FEEDING 05FR (19896-515)          $10.50
32299   CANNULA VENOUS 38 (GA286938)          $255.00
32300   CANNULA VENOUS 42 (008034)            $205.00
32301   BALLOON CATH XXL (14-551)           $1,750.00
32302   CARTRIDGE HEPARIN TEST ACT (402-0      $20.25
32304   COVER CAMERA (10-007-1601)              $0.00   Utilization
32306   SHEATH 6FR (158004)                   $165.00
32310   CARTRIDGE HEPARIN DOSE PINK (302-      $85.00
32312   TAPE CASTING SCOTCH 2" (M82002)        $22.50
32313   TAPE CASTING SCOTCH 3" (M82003)        $27.75
32316   GUIDEWIRE (WS-0706ST)                 $110.00
32321   CEMENT SCULPS (206-716)               $185.00
32327   CONNECTOR 5 IN 1 (C-532S)              $21.00
32328   PIN PREFIXATION (6860405)             $664.00
32329   CONNECTOR SWIVEL CARDEN (CARSWL)      $150.00
32331   CONNECTOR LL (C-135S)                  $35.25
32333   CONNECTOR (SU130-1315)                 $75.00
32334   CONNECTOR REDUCER 1/2-3/8 (050-51      $36.00
32336   CONNECTOR REDUCER 1/4-3/16 (050-5      $38.25
32340   CONNECTOR Y COBE (50-524-000)           $0.00   Utilization
32342   CONNECTOR Y DUAL SPIKE (5150-042)       $0.00   Utilization
32345   CONTAINER SPECIMEN 6OZ (C4320-6)        $0.00   Utilization
32346   CONTAINER SPECIMEN 16 OZ (1518275       $0.00   Utilization
32347   PULSAVAC HAND CONTROL (5150-025)      $175.00
32349   CATH FOGARTY ADHERENT CLOT (140/1   $1,280.00
32350   CORD BIPOLAR (VL30-1538)                $0.00   Utilization
32352   CUFF TOURNIQUET 24" SB SH (60-707     $170.00
32353   CUFF TOURNIQUET 34" SB SH (60-707     $205.00
32354   CUFF TOURNIQUET 42" SB SH (60-707     $220.00
32356   CUFF TOURNIQUET 08" SB SH (60-707     $120.00
32357   CUFF TOURNIQUET 12" SB SH (60-707     $140.00
32358   CUFF TOURNIQUET 24" DB SH (60-708     $210.00
32359   DECANTER VIAL (2006)                    $0.00   Utilization
32361   DERMACARRIER 1.5 TO 1 (2195-12)        $99.00
32362   BAG DECANTER (2C4014)                  $21.00
32364   FILTER 20/CU (F-10)                   $100.00
32368   BALLOON MARSHALL (17-861)           $1,420.00
32370   HEMOCONCENTRATOR DIAFILTER (18312     $690.00
32371   ELECTRODE MENISECTOMY (9735B)         $370.00
32374   FILTER ASSEMBLY (54298)                $48.00
32375   SLING ARM (1790-01)                    $49.50
32380   HEMOCONCENTRATOR (HPH400TS)           $560.00
32381   DRAIN HEMOVAC (2510-00-10)            $140.00
32382   DRAIN HEMOVAC (8225)                  $120.00
32383   DRAIN FLAT SNYDER PERF(2569-00-10      $72.00
32384   DRAINAGE SYSTEM 2 EXT (82-1720)       $950.00
32387   HOOK DISSECTING (HDH05)             $1,090.00
32388   INSERT FOGARTY CLAMP 33MM (FOG335     $110.00
32390   INSERT FOGARTY CLAMP 61MM (FOG610     $100.00
32393   IRRIGATOR ARTHRO FLO DEVICE (DC37     $295.00
32394   BONE FEMORAL WICK (206-715)           $220.00
32395   BURR 5.5 5120-10-55                   $514.00
32396   CATH BALLOON DILATION (210-118)     $1,420.00
32397   DILATOR (260-120)                     $205.00
32398   CATH HEMODIALYSIS ASH SPL ASPC28    $2,310.00
32400   DRAIN JACKSON PRATT 10MM (1937)        $40.50
32401   DRAIN JACKSON PRATT BULB (1938)        $40.50
32404   PIN SAFETY (811430-092)                 $0.00   Utilization
32405   DRAIN JACKSON PRATT 7MM (1938)         $40.50
32406   GUIDEWIRE (640-107)                   $210.00
32410   KIT CEMENT CARTRIDGE INJEC (5069-   $1,420.00
32417   AIRWAY NASOPHARYNGEAL 24FR (12332      $27.75
32418   AIRWAY NASOPHARYNGEAL 28FR (12332      $27.75
32420   AIRWAY NASOPHARYNGEAL 32FR (12333      $27.75
32423   ARTHROWAND SUCTION (AS1335-01)      $1,020.00
32424   PULSAVAC SPRAY KIT (5150-575)         $240.00
32425   KIT ANTI FOG SOLUTION (220-50)         $45.75
32426   BALLOON INTRA AORTIC (IAB-0423OU)   $4,250.00
32430   KIT PT CARE JACKSON TABLE (5844)      $235.00
32431   KIT PT CARE SPINAL FRAME (5819)       $275.00
32435   KIT MIX I SYSTEM (6201-3-410)         $105.00
32436   DRAPE LATEX FREE (3652)                 $0.00   Utilization
32439   INTRODUCER NEEDLE SPINAL 20GA (BF       $0.00   Utilization
32440   CATH EPIDURAL 20GA (333530)            $58.00
32441   KIT VENTRICULOSTOMY NEURO (80-118   $1,500.00
32442   DRAIN BLAKE (2238)                    $260.00
32443   BURR (5100-37-121)                    $540.00
32446   KIT WRENCH PACING ACCESSORY (5873     $330.00
32454   TUBE TRACH REINFORCED 7.5(86551)      $145.00
32455   WIRE JAG .035 ANGLED (5661)           $896.00
32456   ELECTRODE ROLLER BALL 24FR (RE24)     $580.00
32457   ELECTRODE ROLLER BALL 26FR (RE26)     $580.00
32458   ELECTRODE ROLLER BALL 28FR (RE28)     $560.00
32461   ELECTRODE TURP VAPORTRODE (VE-B)      $920.00
32464   ELECTRODE KNIFE 28FR (KE-28)          $580.00
32465   ELECTRODE KNIFE 24FR (KE-24)          $590.00
32467   BURR (5120-10-40)                     $560.00
32468   LOOP CUTTING (MLE24-012)              $495.00
32471   LOOP CUTTING (MLE28-012)              $495.00
32472   LOOP VESSEL YELLOW (01-1-013)           $0.00   Utilization
32473   LOOP VESSEL BLUE (01-1-002)            $19.50
32475   MATTRESS EGGCRATE FOAM OR (PN3116       $0.00   Utilization
32477   DRILL BIT (9366-00-042)               $660.00
32480   MAT MAGNETIC INSTRUMENT (200-20)       $68.00
32481   MAT MAGNETIC NEEDLE (100-10)           $11.50
32483   GLOVE ULTRAFREE SZ 9 (2D72F7I)          $0.00   Utilization
32484   DISSECTOR BONE CUTTING (AM-3)         $630.00
32485   INTRODUCER TOOL KIT (K0703)         $4,990.00
32486   DISSECTOR BONE CUTTINING (AM-33)      $697.00
32487   PROBE FIBER LASER (04-5800-01)        $960.00
32488   BURR 5MM (5093-130)                   $140.00
32489   INTRODUCER PACEMAKER (6593)           $370.00
32494   SUT MERSELENE 5MM (08014)              $78.00
32499   BALLOON INTRA AORTIC (IAB04840-U)   $4,170.00
32500   BALLOON INTRA AORTIC (IAB-S730C)    $4,170.00
32501   BALLOON DIAMOND 8X6 (16-972)        $1,500.00
32503   CATH BERENSTEIN 5FR (10722104)         $99.00
32504   NEEDLE INSULATED 22X2 (STIMA2250)       $0.00   Utilization
32507   INTRODUCER NEEDLE (RCD/N)             $110.00
32512   NEEDLE BLUNT MONOJECT (81-202322)       $0.00   Utilization
32513   NEEDLE BLUNT MONOJECT 18GA (81-20       $0.00   Utilization
32516   SUPPORT FOAM MED RESTON 20X30 (M1      $21.75
32517   SHEATH DESILLET HOFMN (216197)        $940.00
32519   TOWEL NON ABSORB ADHESIVE (A7553)       $0.00   Utilization
32521   NEEDLE KIDNEY 1/2 CIRCLE (1839D)        $0.00   Utilization
32523   SHEET HALF (9358)                      $12.50
32524   NEEDLE TONSIL DAVIS (SN95)              $0.00   Utilization
32525   NEEDLE BIOPSY TRU CUT (2N2702X)         $0.00   Utilization
32526   NEEDLE SPINAL SPINOCAN 22GA (S223       $0.00   Utilization
32529   NOZZLE CEMENT INJECTOR (5069-54)      $155.00
32530   TAP SINGLE USE (311-603)            $1,810.00
32531   CANNULA TAPERED DUALFLEX (4682)       $591.00
32532   FORCEP RADIAL JAW 3 HOT (1550)        $403.00
32534   SUT GORTEX (6M24)                     $120.00
32541   CONNECTOR Y 3/8X3/8 (50-506)            $0.00   Utilization
32543   TUNNEL CANNULATE BONE PLUG (01447     $122.00
32551   SHEATH PINNACLE 9FR RSS903             $76.00
32552   TIP U/S 30* KELMAN 316-1836-504       $454.00
32553   CONNECTOR TUBING (3608-6)              $80.00
32554   BREAST IMPLANT FLUID (MAC-1001)        $55.00
32555   CATH FOGARTY THRU LUMEN (12TLW804     $510.00
32556   CATH FOGARTY THRU LUMEN (12TLW805     $510.00
32557   CATH FOGARTY THRU LUMEN (12TLW807     $510.00
32559   ULTRASLING II AB LG (11-0450-4-02     $490.00
32560   TUBING CELL SAVER SET (CSP3043)     $1,020.00
32562   RETRACTOR RING (3302G)                $315.00
32571   BALLOON DIAMOND 6X10 (16-469)       $1,420.00
32572   BALLOON DIAMOND 6X6 (16-563)        $1,420.00
32575   PACK CUSA (260-360-000)                 $0.00   Utilization
32576   BALLOON DIAMOND 5X6 (16-559)        $1,420.00
32578   BALLOON DIAMOND 12X2 (14-508)       $1,910.00
32579   BALLOON DIAMOND 14X2 (14-512)       $1,778.00
32581   PACK ICE ENT STAY DRY (11436-010)       $0.00   Utilization
32582   BALLOON SYMMETRY 1.5X2 (10-503)     $2,040.00
32583   BALLOON SYMMETRY 1.5X4 (10-504)     $2,040.00
32584   BALLOON SYMMETRY 2X4 (10-507)       $2,040.00
32586   BALLOON SYMMETRY 2.5X2 (10-509)     $2,040.00
32587   BALLOON SYMMETRY 3X4 (10-513)       $2,040.00
32589   STRAP CATH LEG 43950-010               $55.00
32590   DRIVER (7261)                         $540.00
32591   CATH URETERAL 6FR (136506)             $72.00
32593   SNARE GOOSENECK (GN1500)            $1,600.00
32594   OCCLUDER 3.0 12MM CORANARY (50300     $320.00
32595   PACK TRANSFER FENWAL 1000CC (4R20       $0.00   Utilization
32596   PACK TRANSFER FENWAL 600CC (4R202       $0.00   Utilization
32600   PAD CYSTO GROUND ELECTRODE (13552       $0.00   Utilization
32602   ENDO HANDLE PROBE PLUS (EPH01)        $540.00
32606   CATH OWENS STANDARD 25/3/100 (210   $2,990.00
32607   CATH OWENS LOW PROFILE (2617)       $3,780.00
32608   GLOVE ULTRAFREE SZ 8 (2D72F5I)          $0.00   Utilization
32611   CABLE PACING SYSTEM (366-40)          $140.00
32617   BONE COLLAGRAFT MARTIX KIT 1103-0   $5,791.00
32619   CATH RAPID INFUSION (RC09700)          $89.00
32620   PAWS VESSEL RED (06-1-011)             $25.50
32621   PAWS VESSEL WHITE (06-1-012)           $25.50
32622   PAWS VESSEL BLUE (06-1-013)            $24.75
32623   NEEDLE SPINAL 25GA (INS-2590)           $0.00   Utilization
32624   LOOP ELECTRODE (MLE-24-015-90DG)      $440.00
32625   DRILL BIT (310.141)                   $260.00
32627   INTRODUCER (116656)                   $315.00
32630   MARKER SKIN SURGICAL (PN31145785)       $0.00   Utilization
32633   DRILL BIT TWIST (25-469-11)           $540.00
32635   PERFORATOR HUDSON END (200-241-DG     $660.00
32638   BALLOON DIAMOND (16-525)            $1,310.00
32640   COVER PIN BALL (10-1-002)               $0.00   Utilization
32642   PLEDGET TEFLON (L-705/DE)              $42.75
32643   PLEDGET (K-705?DE)                     $29.25
32644   GLIDEWIRE LUNDERQUIST (256898)         $81.00
32649   CEMENT REMOVAL KIT (5046-102)       $7,270.00
32650   PUMP BLOOD SYSTEM (164275)          $1,200.00
32652   PERCUTANEOUS KIT (96550-2)            $270.00
32654   BLADE ENDOSCOPIC 7205318              $295.00
32656   CATH SYMMETRY SS/4.0-4/4T/135       $1,990.00
32657   DRILL (112049)                        $530.00
32658   CANNULA CORONARY BASKET TIP (3001      $98.00
32664   PUNCH AORTIC 4.8 (AP544)              $195.00
32665   PUNCH AORTIC 4 (AP540)                $195.00
32666   SUT ANCHOR QUICK (210393)             $840.00
32667   SUT ANCHOR QUICK (212415)           $1,270.00
32668   SUT ANCHOR QUICK (212393)           $1,210.00
32670   RAZOR DISPOSABLE                        $0.00   Utilization
32671   DRESSING ADHESIVE LARGE (M3571)         $0.00   Utilization
32672   DRESSING ADHESIVE MEDIUM (M3569)        $0.00   Utilization
32674   CATH VENT LEFT ADULT (12002)          $115.00
32675   INTRODUCER 12FR (42-5012)             $469.00
32676   CANNULA CORONARY PERFUSION (30014      $88.00
32677   CANNULA IMA (31002)                    $48.00
32680   PERFUSION SET MULTIPLE (14000)         $97.00
32683   VENT P-A (12004)                       $78.00
32684   ADAPTER Y (10004)                      $61.00
32686   CONNECTOR (10007)                      $48.75
32687   PACK PROCEDURE MITRAL VALVE (V141       $0.00   Utilization
32689   DRILL BIT (8290-31-70)                $531.00
32690   RETRACTOR CORRAL 6X6 (4206)           $155.00
32691   RETRACTOR CORRAL 6X8 (4207)           $160.00
32692   RETRACTOR SOFT TISSUE WAND (00652     $440.00
32693   INTRODUCER (244457)                   $730.00
32697   CABLE (6651)                          $180.00
32699   GLIDEWIRE .25X260 (46-254)            $470.00
32701   CANNULA AORTIC 24FR (6391)            $170.00
32703   CATH DUAL STAGE VENOUS (4865)         $195.00
32704   CATH DUAL STAGE VENOUS (4867)         $195.00
32708   IMPLANT BRIEF RADIATION MED (M100     $220.00
32709   IMPLANT BRIEF RAD LG (M100-L)         $293.00
32711   SET COLLECTION (23116)                 $39.00
32713   TUBING CONNECTOR SUR GRIP (N52A)        $0.00   Utilization
32714   IMPLANT BRIEF RADIATION XL (M100-     $220.00
32719   IMPLANT BRIEF RAD 2XL (M100-2XL)      $165.00
32720   SET CYSTO V4500                        $30.75
32721   SYRINGE ADAPTOR SET (651025)           $21.00
32727   PULSAVAC PUMP DUAL SPIKE SET (515     $125.00
32730   SET IRRIGATION SYSTEM (700031)        $295.00
32731   TUBING Y IRRIG (2C4030)                $33.75
32732   BONE SMOOTHER TUNNEL 7.9 (014723)     $738.00
32733   CANNULA TIBIAL DISP (AR1802D)         $130.00
32734   ARTHROWAND (A1630-01)               $1,310.00
32737   IMPLANT BRIEF RADITAION SM (M100-     $220.00
32743   DRESSING GAUZE 4X8 (KC2259)             $0.00   Utilization
32749   GUIDE CATH RIGID TVT (10061)          $598.00
32752   STAPLER (52-8235)                      $61.00
32753   BRUSH CYTOLOGY (52155)                 $78.00
32754   TOURNIQUET KIT (79010)                 $58.00
32755   GUIDEWIRE (14425)                      $40.00
32768   GLOVE ULTRAFREE SZ 6 (2D72N1I)          $0.00   Utilization
32779   BAG BREATHING 3 LITER (5063NL)         $30.75
32781   CANNULA VENOUS 2 STAGE (91329)        $240.00
32782   BLADE (5100-134-7)                    $950.00
32783   BLADE STERNAL (5059-031)              $130.00
32784   BLADE STERNAL (5059-032)               $91.00
32787   SYRINGE INFLATION (A04A)              $730.00
32791   ELECTRODE BALL COAG (U2513065)      $1,090.00
32800   STYLET CRUZ CATHETER (40-333)         $315.00
32801   MONARCH SLING (72403830)            $5,791.00
32804   DEVICE BONE FILLER (F01A)             $580.00
32805   TAMP INFLATABLE BONE (K1002-S)      $5,320.00
32806   TAMP INFLATABLE BONE (K1003S)       $5,238.00
32807   DRILL BIT (2410-32)                   $130.00
32832   BANDAGE PLASTER ROLL 6" (JJ7368)       $30.75
32835   ENDO LOOP LIGATING SURGITIE (SGL-     $130.00
32836   SHUNT CAROTID 14FR (000683)           $367.00
32838   CONVERTER ARTHROSCOPY SPEC (65652      $21.00
32848   BANDAGE PLASTER ROLL 4" (JJ7367)       $26.25
32850   BANDAGE PLASTER ROLL 2"(68466)OR(      $15.50
32851   CLAMP FIXATOR EXT (393.75)          $3,486.00
32852   STAPLER ENDO RELOAD                   $630.00
32853   CANNULA AORTIC HIGH FLOW (16433)      $170.00
32857   GUIDEWIRE (IAA-03230)                 $100.00
32859   SUCTION CORONARY (14991)               $99.00
32871   WRENCH PACEMAKER LEAD (442-2)         $260.00
32873   DISSECTING TOOL DISP (G8-365)         $680.00
32874   DISSECTING TOOL DISP (G8-560)         $680.00
32875   PROBE LASER FIBER MICRON 550          $660.00
32878   INTRODUCER TRACHEAL TUBE (103014)     $495.00
32879   INTRODUCER DILATOR 9FR (405116)       $330.00
32880   PROBE LASER FIBER MICRON 365          $660.00
32882   SYRINGE VERTEBRAL PLASTY SNGL       $1,930.00
32883   TROCAR BLADELESS DISP 12MM B12LT      $474.00
32884   DISSECTING TOOL DISPOSABLE(G8-130     $670.00
32885   TROCAR DISPOSABLE (2043-830)        $1,380.00
32886   TROCAR SLEEVE DISP 12MM (CB12LT)      $284.00
32887   CONNECTOR (050-608-000)                $39.75
32888   CANNULA CONCORDE (SPA-415-COP)        $100.00
32889   CANNULA CONCORDE (SPA-615-COP)        $100.00
32890   TROCAR BLADELESS DISP 12MM (H12LP     $535.25
32891   TROCAR SLEEVE 5MM DISP (CB5LT)        $218.50
32892   TROCAR BLADELESS DISP 5MM(B5LT)       $366.00
32893   DRILL BIT CANULATED 4.3MM 310.634   $1,756.75
32894   ELECTRODE SUDERM 1.5 RLSND 1101.5      $24.00
32895   TOOLS CUTTING DISPOS (S4-212)         $520.00
32896   TOOLS CUTTING DISPOS (S4-218)         $520.00
32897   TOOLS CUTTING DISPOS (G6-223)         $560.00
32898   BREAST SIZER (351-275S-PHY-SUP)         $0.01
32902   DRAPE MICROGARD (21-12550)              $0.00   Utilization
32903   TUBE T 12FR T X 22FR STEM (DC1032      $88.00
32904   TUBE T 12FR T X 20FR STEM (DC1032      $88.00
32905   TUBE T 12FR X 14FR STEM (DC10323)      $88.00
32907   TRAY URETHEDRAL (123400)                $0.00   Utilization
32908   DEVICE SUTURE OPEN ACCESS (831-12   $1,000.00
32909   BRA SURGIBRA SM (46518-01LF)          $220.00
32911   BLADE CUSTOM MINI (1675-121-000S4     $540.00
32912   BALLOON OCCLUSION (17-202)            $970.00
32913   TAMP INFLATABLE (K09A)              $5,240.00
32914   SUCTION FRAZIER 10FR (0033100)         $22.50
32915   BLANKET WARMING CARDIAC (630)         $230.00
32916   CRADLE LAMINECTOMY ARM (PN3114349      $55.00
32917   FORCEPS GRASPING (320-401)          $1,140.00
32922   CATH PIGTAIL (FAH00001-02)            $730.00
32923   NEEDLE BONE MARROW (820008600SL)      $190.00
32924   TABLET BARIUM SULFATE 10 (250406)       $8.50
32925   SKIN MARKER XFINE (PN31145827)         $23.25
32926   CUFF BP DISP ADULT (5082-968HP)         $0.00   Utilization
32927   CUFF BP DISP SMALL (5082-958HP)         $0.00   Utilization
32932   SIZER EEA 28/31MM (020297)            $150.00
32935   RESERVOIR DRAIN WOUND (DC3463)        $240.00
32938   DRILL BIT (315.31)                    $315.00
32939   CATH IVUS 9MHZ 110CM (9900)         $3,730.00
32941   ISOLYZER LIQUID (PG3000)               $27.75
32943   INFUSOR PRESSURE BAG (JVIN90004B)     $120.00
32944   ELECTRODE SPATULA TIP (205136)        $220.00
32947   TUBE TRACH NASAL 6.0 (43162-760)       $72.00
32948   CATH FOGARTY GRAFT THROMBECT (160   $1,880.00
32953   RASP CROSSCUT LG TEAR (KM802)         $520.00
32958   RETRACTOR SCOTT URO (3304)            $425.00
32959   ELECTRODE VAPORTOME (V-E-L G)         $840.00
32961   CRADLE ARM (30424)                     $55.00
32962   DILATOR RECTAL (22-200)               $980.00
32964   NEEDLE BONE MARROW (1103-07)            $0.00   Utilization
32965   SHEATH (15-944)                       $210.00
32966   GUIDEWIRE NITINOL (N352604)           $440.00
32967   BONE HARVESTOR POWER (5120-0010-0   $1,600.00
32968   WRENCH DISP (C5602)                   $110.00
32969   NOSECONE CEM 36HZ (C6601)             $800.00
32970   TIP CURVED EXT PRECIR (C4608S)      $1,890.00
32975   DRILL BIT (310.35)                    $205.00
32976   DRILL BIT (310.29)                    $315.00
32978   TUBING 36HZ MANIFOLD (C3601)          $880.00
32979   MICROTIP STRAIGHT EXTEND (C4610S)    $1,690.00
32980   MICROTIP CURV EXTEND (C4611S)        $1,690.00
32981   KNIFE STR COLD USA SERIES (K-SB)       $770.00
32996   EXT FIXATOR CLAMP RECEIVE (2613-3    $2,390.00
33000   SHIELD SIMPULSE (DC3763)                $67.00
33001   DRILL COLE (110245)                    $610.00
33002   EXT FIXATOR RING 200MM (2613-21-2    $2,280.00
33003   CANNULA SMALL (EX24SSD)              $2,474.00
33005   SUCTION IRRIG SIMPULSE (DC3759)        $240.00
33006   CANNULA MEDIUM (EX24MMD)             $2,474.00
33007   CANNULA LARGE (EX24LLD)              $2,474.00
33008   CANNULA X-LARGE (EX24XLD)            $2,474.00
33009   CANNULA X-SMALL (EX24XSD)            $2,474.00
33010   TIP SUCTION SIMPULSE (DC3760)           $78.00
33011   ROD CARBON FIBER 350MM (394.86)      $1,319.25
33012   ROD CARBON FIBER 11MM (394.85)       $1,319.25
33013   SUT ANCHOR QUICK GII (212034)        $1,280.00
33014   BAG PRESSURE INFUSOR 1000ML (4010      $105.00
33025   SPLINT NASAL (15-27005)                $155.00
33026   SPLINT NASAL (15-27015)                $170.00
33027   BLANKET THERMAL MAXI ADULT (276)       $660.00
33028   PROTECTIVE CAPS 5MM DISP (394.993      $210.75
33029   CLAMP ADJ WIRE PIN DISP (393.464)    $3,626.00
33036   KYPHOPACK FRACTURE KIT (KPT1505)    $14,092.00
33037   GUIDEWIRE (469020)                     $370.00
33038   CLIP LIGATING (LS200)                   $27.00
33039   BRUSH BIOPSY URETERAL KIT (040710      $295.00
33043   DRILL BIT (310.65)                   $1,170.00
33044   DRILL BIT (310.66)                     $990.00
33045   PIN SPADE PASSING 013110             $2,305.00
33046   DRILL TWIST (2043-820)               $1,660.00
33047   SHEARS ULTRACISION SONIC (CS150)     $2,060.00
33048   CONNECTOR LL MALE (40-184-000)          $11.50
33051   STOPCOCK (MX406-1L)                      $0.00   Utilization
33052   STOPCOCK 4 WAY (041210-002A)             $0.00   Utilization
33054   STOPCOCK DBL (041-220-001A)              $0.00   Utilization
33056   CONNECTOR LL (550-606-000)             $550.00
33063   SUCTION BERKLEY DISPOSATOP (54913       $31.50
33064   TOWEL STERILE 2/PK (332877)              $0.00   Utilization
33065   TOWEL STERILE 4/PK (332878)              $0.00   Utilization
33067   CATH LF VENTRICULAR 14FR (88-5902      $160.00
33069   SUCTION CLOSED WOUND 1/8" SET (DC      $155.00
33070   SUCTION CLOSED WOUND 1/4" (1331)       $185.00
33072   KIT LUMBAR DRAINAGE (82-1708)        $1,190.00
33075   TIP SUCTION FRAZIER CONTROL VENT(       $27.75
33077   TIP SUCTION POOLE (DC3504)              $21.00
33078   TIP SUCTION YANKAUER (8282-06)         $540.00
33079   TIP SUCTION YANKAUER (DC3497)            $0.00   Utilization
33080   CLIP SAFEJAW 6MM (CSAFE6)               $91.00
33081   SUT PROLENE 5-0 C-1 (8725H)             $42.75
33082   TUBE GASTROSTOMY RUSSELL(C-GAST-1      $800.00
33083   SUPPORT FACE JACKSON SPINAL (1927       $65.00
33084   SHOULDER SUPPORT (667120)             $520.00
33085   SUPPORTER ATHLETIC LG (202636)         $45.75
33086   SUPPORTER ATHLETIC MED (202549)        $45.75
33087   SUPPORTER ATHLETIC SM (202460)         $45.75
33088   SUT PDS II (Z991G)                     $42.00
33090   SYRINGE IRRIG ASEPTO (DC3528)           $0.00   Utilization
33093   BLOWER MISTER (22120)                 $290.00
33096   ELECTRODE LEEP (V1004)                $580.00
33100   SYRINGE TOOMEY (DC3846)                $11.50
33103   EVACUATOR BLADDER (730125)            $110.00
33109   DISSECTOR BONE CUTTING TOOL (BC-1     $535.00
33111   PULSAVAC TIP BRUSH FEMORAL (5150-     $130.00
33113   DISSECTOR BONE CUTTING TOOL (O-10     $896.00
33114   DISSECTOR BONE CUTTING TOOL (M-10     $650.00
33119   KIT BALLOON INTRA AORTIC (IAK-042     $630.00
33128   DISSECTOR BONE CUTTING TOOL (R2)      $650.00
33129   NASAL PACKING MEROGEL (15-17002)      $400.00
33133   DISSECTOR BONE CUTTING TU-10          $737.00
33135   DISSECTOR BONE CUTTING TOOL (WH-1     $724.00
33136   DISSECTOR BONE CUTTING TOOL (WH-2     $860.00
33146   TRAY SKIN SCRUB PREP (1484)             $0.00   Utilization
33148   BLADE 8MM DISP (5100-134-8)           $950.00
33153   TUBE VENT DONALDSON (10-26020)         $70.00
33154   DONALDSON TUBE 24-0015                 $71.00
33155   TUBE ENDOTRACH MTL 4 (86385)           $58.00
33156   TUBE ENDOTRACH MTL 5 (86387)           $58.00
33157   TUBE ENDOTRACH MTL 6 (86389)          $490.00
33158   TUBE ENDOTRACH LASER 04MM (70-601     $530.00
33160   TUBE SUCTION KAMVAC MINI (5300-20     $130.00
33162   TIP SUCTION VACURETTE (21744)          $30.75
33163   TIP SUCTION VACURETTE (21745)          $30.75
33164   TUBING PRIME LINE QUICK (6310)         $52.00
33169   TUBING IV AMBER LTX (17624-125)        $13.00
33172   TIP SUCTION VACURETTE (21415)          $33.75
33173   TIP SUCTION VACURETTE (21413)          $33.00
33174   TIP SUCTION VACURETTE (21414)          $33.75
33175   VACUSTATTS KIDI ANG (1001-533)         $40.50
33176   TIP SUCTION VACURETTE (21416)          $33.75
33177   TIP SUCTION VACURETTE (21464)          $33.75
33178   TIP SUCTION VACURETTE (20317)          $33.75
33179   TIP SUCTION VACURETTE (21552)          $35.25
33180   STRIPPER VEIN (63-4031)                $92.00
33181   TIP SUCTION VACURETTE (21853)          $33.75
33183   TIP SUCTION VACURETTE (21553)          $33.75
33184   TIP SUCTION VACURETTE (21554)          $33.75
33185   DRESSING WECK MEROCEL (400141)         $81.00
33186   TIP SUCTION VACURETTE (21555)          $33.75
33187   TIP SUCTION VACURETTE (21665)          $38.25
33188   STABILIZER ARM CLEAR (89-9365)      $4,950.00
33189   TRANSFUSION ORTHOPAT (2555-115-06   $3,500.00
33190   WIPE MICRO INSTRUMENT                   $0.00   Utilization
33191   VALVULOTOME (051481-D2.6)           $2,040.00
33195   WIRE TONSIL SNARE (70704)               $0.00   Utilization
33196   STRAP ANKLE (5977-02)                 $110.00
33197   WRISTJACK AGEE (CFD-47)             $6,990.00
33199   BAG RED CELL ORTHOPAT (334609)         $45.75
33200   BAG DRAINAGE URINE CATH (001531)       $87.50
33201   BAG WASTE ORTHOPAT (334610)            $65.00
33203   BASKET SEGURA STONE 2.4FR (310-10   $1,050.00
33204   BASKET SEGURA STONE 3.0FR (380-10   $1,130.00
33207   BASKET GEMINI STONE (330-104)       $1,180.00
33211   MANIPULATOR UTERINE ENDO (UM201)      $275.00
33212   SUCTION SET ORTHOPAT (2555-150-20      $63.00
33213   KIT COLLAGEN DELIVERY MALE (65220     $165.00
33214   PLASMAWAND (E3045-01)                 $970.00
33216   GUIDEWIRE COATED (620-120)             $88.00
33218   GUIDEWIRE FIXED CORE (635403)          $45.75
33219   GUIDEWIRE (638423)                     $62.00
33226   DRAIN 1/8" TROCAR (1500-022-10)        $78.00
33228   DRAIN 16" TROCAR (1500-024-10)         $78.00
33229   BURR ROUND CARBIDE (5090-220)          $74.00
33232   DRILL BIT (HRD105)                    $410.00
33233   PAD ULNAR NERVE (50695-901)            $55.00
33234   CATH BALLOON THERMA CHOICE (05687   $3,780.00
33235   PEG DRIVER 2.0MM (FPD2.0)             $198.00
33236   CATHETER EXTRACTION PRONTO (5003)   $2,881.00
33237   CRAINIAL CATH IMPLANT (823073)      $1,907.00
33238   BLADE SAW (K2000-01T)                 $310.00
33239   CRAINIAL CATH BACTISEAL (821745)        $0.00   Utilization
33240   CORD USA ACTIVE (DAC)                   $0.00   Utilization
33241   CORD CONNECTION BOVIE ENDO (51427       $0.00   Utilization
33242   KIT CRANIAL ACCESS (5H-ND)          $1,120.00
33243   KIT VENTRICULAR TUNNEL (NL960-V)    $2,390.00
33244   KIT PARENCHYMAL PRESSURE (NL950-P   $2,300.00
33245   KIT SUBDURAL TUNNEL (NL950-SD)      $2,150.00
33246   CLAMP COMBO DISP 393.647            $1,595.00
33247   CLAMP PIN TO ROD DISP 393.45        $1,984.75
33248   LIGATING DEVISE SGLUSE HX-400U-30     $573.75
33250   HEAD HALTER (D6104-00)                 $24.00
33255   BASKET HELICAL BAGLEY 1.9FR (340-   $1,170.00
33260   GUIDEWIRE ENDOURO (630-102)           $225.00
33264   HELITINE .05GM (1692-ZL)              $113.75
33265   GUIDEWIRE ENDOURO (630-090)           $330.00
33267   GUIDEWIRE ENDOURO (630-100)           $195.00
33268   GUIDEWIRE THREADED (338.00)           $150.00
33269   NAIL MARKER MIDLINE 2891-40-001     $1,979.00
33270   KIT DUO FLOW DELIVERY (DDK-120)       $363.00
33271   BURR 4MM (5300-20-511)                $115.00
33272   BRUSH BIOPSY GILL KIT 5FR (040001     $305.00
33273   BLADE SAW (5071-578)                  $295.00
33274   DRAIN 1/4" (1500-025-10)               $78.00
33275   ADAPTER FEEDING (301-60)               $69.00
33276   NEEDLE TOUHY 18X3 1/2 (18307)           $0.00   Utilization
33277   INSTAT MICRO COLLAGEN .5GM (1984)     $416.00
33278   LOOP CUTTING (SL24L)                  $275.00
33279   DRILL BIT 1.1MM NEURO (15-1723)       $611.00
33280   KIT RANEY CLIP GUN (CG8901)           $365.00
33281   CANNULA AORTIC FERF 21FR (88-5910      $89.00
33282   NEUROSUCTION RHOTON 8CM 10 SS9115     $429.00
33283   NEUROSUCTION RHOTON 8CM 12 SS9116     $429.00
33284   NEUROSUCTION RHOTON 10CM 3 SS9118     $429.00
33285   LOOP CUTTING 26FR (MLE26-012)         $495.00
33286   NEUROSUCTION RHOTON 10CM 7 SS9119     $429.00
33287   PIN SKULL MAYFIELD (19-1033)          $130.00
33288   NEUROSUCTION RHOTON 10CM 1O SS911     $429.00
33289   NEUROSUCTION RHOTON 10CM 5 SS9121     $429.00
33290   NEUROSUCTION RHOTON 8CM 3 SS9112      $429.00
33291   NEUROSUCTION RHOTON 8CM 5 SS9113      $429.00
33292   DISECTOR BLUNT (K0011)              $1,410.00
33293   FILTER MICRON BLOOD CARMEDA (CB13     $800.00
33294   NEUROSUCTION RHOTON 8CM 7 SS9114      $429.00
33295   NEUROSUCTION RHOTON 3FR (SS9117)      $429.00
33296   ELECTRODE LOOP 1/4" (663-1/4)         $210.00
33299   PROBE ELECTRO LITHOTRIPSY             $830.00
33302   PROBE ELECTROHYDRAULIC LITHOTRIPS   $1,360.00
33303   PROBE ELECTROHYDRAULIC LITHOTRI/1   $1,300.00
33304   FEMORAL LINE 6"KIT (498104)           $110.00
33306   TISSUE OCTUPUS 3 STAB SYSTEM (284   $5,390.00
33307   BANDAGE PLASTER 4" (JJ7367)            $13.00
33308   NEEDLE SPROTTE NEURO (52490)           $86.00
33309   NEEDLE PD ACCESS NEURO (78060)      $2,619.00
33310   RETAINER VISCERA (HS3204)             $155.00
33315   SHUNT EXTERNAL DRAINAGE SET(910-1     $480.00
33316   SHEATH (107517)                       $315.00
33317   SHEATH (115306)                       $315.00
33318   BULB IRRIGATION (PA-707)              $270.00
33320   TIP SUCTION VACURETTE (21593)          $33.75
33321   DRILL BIT (310.63)                  $1,230.00
33323   INTRODUCER 22FR (261338)            $1,520.00
33324   SHEATH (5671)                       $1,030.00
33325   SHEATH (5730)                       $1,030.00
33329   INST DISP TAMP BONE (K01A)          $6,396.00
33330   PROBE COVER (610-657)                 $115.00
33331   VERSASCOPE (GMS805)                   $530.00
33332   ELECTRODE VERSAPOINT (01950)        $1,540.00
33335   SHUNT CAROTID 10FR (000679)           $155.00
33336   SHUNT CAROTID 12FR (000681)           $367.00
33337   NEEDLE BLUNT FILL 18GA 411186           $0.00
33338   SHUNT JAVID (007714)                  $270.00
33339   SHUNT PRUITT INAHARA (100-10)         $660.00
33340   SHUNT PRUITT INAHARA (400-40)         $890.00
33341   ELECTRODE VAPORTRODE (GVE-B)          $940.00
33342   SHUNT FLO THRU (FT12150)              $325.00
33343   DRILL BIT (60-0709)                   $180.00
33344   CLEARVIEW (22150)                     $370.00
33346   SHEARS HARMONIC 5MM (CS32C)         $1,990.00
33348   CANNULA (AR-6540)                     $175.00
33349   BASKET ZERO TIP (390-101)           $1,070.00
33351   BLADE 10MM (5100-134-010)             $950.00
33356   METRA PS KITS (MT-009)              $4,630.00
33357   WIRE GUIDE SMOOTH 3.0 (47-2237-37     $445.00
33358   WIRE GUIDE BALL TIP (47-2237-38)      $517.00
33359   WIRE GUIDE SMOOTH 2.4 (47-2237-33     $445.00
33360   DRAIN 1/8"ROUND SUCTION (SU130-13      $38.25
33361   SYRINGE MEDALLION 30ML LL (MSS131      $32.25
33366   SHUNT DISP INTRACORONARY (31200)      $350.00
33369   CANNULA VENOUS 34 (66134)             $130.00
33370   SHUNT DISP INTRACORONARY (31150)      $350.00
33371   SHEATH (246077)                       $510.00
33372   SHUNT FLO THRU (FT12200 )             $325.00
33373   SHUNT FLO THRU (FT12250 )             $325.00
33377   NEEDLE BIOPSY (500-130)                 $0.00   Utilization
33381   DAM DISPOSABLE (IWD0001)               $87.00
33386   HEMOCONCENTRATOR (UC10TS)             $480.00
33390   SENSOR FINGER SAT (SAS-AF)            $115.00
33395   GUIDEWIRE (WS-1106-ST)                $139.00
33400   GUIDEWIRE (735403-SC)                  $96.00
33402   BLADE SAW (1675-121)                  $510.00
33403   TUBE DAVOL T 24FR (DC9987)             $68.00
33407   GUIDEWIRE BALL TIP (7023365)        $1,050.00
33409   WRIST EXTERNAL FIXATOR (04250)      $4,900.00
33410   SYRINGE MEDALLION 20CC LL (MSS121      $26.25
33411   STAY 5MM ELASTIC (3311-8G)             $45.75
33412   STAY 16MM 2 FINGER ELASTIC (3332-      $74.00
33413   RETRACTOR DISPOSABLE (3307G)          $310.00
33414   CANNULA ARTERIAL (4950)               $220.00
33417   GUIDEWIRE COATED (620-110)             $96.00
33418   DRAIN SURGICAL TLS SYSTEM (6660)      $195.00
33419   NEEDLE BIOPSY TRACKING (5-BNT)      $2,881.00
33420   DRAPE REFERENCE FRAME (5-DFRD)          $0.00   Utilization
33421   BURR 4.00MM (5300-010-511)             $84.50
33424   ELECTRODE VERSAPOINT (01985)        $1,530.00
33425   ELECTRODE VERSAPOINT (00468)        $1,530.00
33426   KIT LOOP OSTOMY STARTER (3710)        $115.00
33427   MASTISOL VIAL 2/3CC (558699)           $15.50
33431   ELECTRODE VERSAPOINT (00467)        $1,868.00
33433   SPIROMETER TUBING (889560)             $74.00
33434   DRILL TWIST (25-460-18) DISP          $520.00
33436   ADHESIVE MEDICAL 6517                 $150.00
33450   KIT INTELIJET FLUID MTG SYS (7204     $370.00
33455   DEVICE TARGETING (3815-2-100)         $950.00
33456   DRILL TARGET (3815-2-155)             $590.00
33457   PROBE LASER FIBER MICRON 1000         $970.00
33458   TIP CURVED EXTENDED STND (C4614S)   $1,440.00
33460   BLADE ENDOSCOPIC (7205313)            $325.00
33461   BLADE SAW (5052-173)                  $115.00
33462   BLADE SYNOVATOR 4.5 (6900731)         $322.75
33463   SHUNT DISP INTRACORONARY (31125)      $350.00
33464   TUBING VERISTAT (TU0735)              $530.00
33465   LINER STATLINER VERISTAT (FS0950)     $230.00
33466   TUBING STATVAC VERISTAT (FS0920)      $180.00
33467   PIN GUIDE (1193-15 )                  $195.00
33468   GUIDEWIRE (670-308)                   $290.00
33469   DRILL BIT (879-6912)                $1,240.00
33470   KIT LINGEMAN PCNL (450-112)         $3,230.00
33471   GLOVE BIOGEL 8.5 (30485)                $0.00   Utilization
33472   ELECTRODE TWIST PAIR 22M 8 CH       $1,861.00
33473   TUBE ENDOTRACHAEL 7MM               $1,926.00
33474   CABLE EXTENSION TEMP LINK           $1,926.00
33475   LUMBAR DRAINAGE KIT 46442           $1,293.00
33476   MASK LARYNGEAL AIRWAY #2 10120      $1,606.50
33477   CHAMBER GRADUATED 120ML DRAINAGE      $896.50
33500   GUIDEWIRE THREADED (292.62)            $55.00
33502   GUIDEWIRE THREADED (292.72)           $115.00
33505   GUIDEWIRE THREADED (292.65)           $130.00
33511   CUFF BP ADULT MED (016-0316-00)         $0.00   Utilization
33512   GLOVE LTX FREE SYN 8 (JJ6180)           $0.00   Utilization
33513   GLOVE LTX FREE SYN 7 (JJ6170)           $0.00   Utilization
33514   GLOVE LTX FREE SYN 6.5 (JJ6165)         $0.00   Utilization
33515   GLOVE LTX FREE SYN 6 (JJ6160)           $0.00   Utilization
33516   BANDAGE ELAS LTX FREE 6" (MDS0500      $18.50
33517   STOCKINETTE DEMAGRIP G NC42607        $476.25
33518   BANDAGE ELAS LTX FREE 4" (MDS0560      $11.50
33520   KIT IV START LTX FREE (DYNJ04001)       $0.00   Utilization
33522   CUFF ADULT LTX FREE SM (BP452510)       $0.00   Utilization
33523   CUFF BP ADLT LTXFREE MED(BP502510       $0.00   Utilization
33524   CUFF BP ADULT LTX FREE LG (BP6025       $0.00   Utilization
33528   GLOVE LTX FREE 7.5 (MDS123875)          $0.00   Utilization
33529   GLOVE LTX FREE 8 (MDS123880)            $0.00   Utilization
33530   MASK LARYNGEAL 3 LTX FREE (5370-0     $260.00
33531   MASK LARYNGEAL 4 LTX FREE (5380-0     $260.00
33557   DRILL BIT (25-454-07)                 $540.00
33559   DRILL BIT (25-449-16)                 $480.00
33598   CONNECTOR (CB4634)                     $83.00
33603   SET BOTTLE SAFE TOUCH (003987-901      $57.00
33608   GOWN LARGE (0551)                       $0.00   Utilization
33609   BLADE 1.55MM (BC377511)                $27.00
33610   SPHYNCTER PKG 72400095                $631.00
33622   COVER PIN BALL BABY (BB028)             $0.00   Utilization
33623   COVER PIN BALL .035 (BB035)             $0.00   Utilization
33624   COVER PIN BALL .045 (BB045)             $0.00   Utilization
33639   GUIDEWIRE (71631190)                  $340.00
33641   DRILL PILOT (71631110)                $570.00
33652   TUBING 72" (3506)                      $76.00
33656   TUBING CYSTO (IR-700)                 $400.00
33708   MORCELATOR LAP TISSUE (MX0100)      $3,428.00
33709   DRILL BIT (310.530)                   $578.00
33723   NEEDLE OPEN WALL (4461-11-2718)         $0.00   Utilization
33724   PULSAVAC TIP REVISION (5150-084)      $120.00
33727   BRACE KNEE POST OP (11-0175-2-130   $2,760.00
33733   ELECTRODE ROLLER BALL (RE24L)         $740.00
33734   ELECTRODE ROLLER BALL (RE28L)         $740.00
33797   BURR (1608-6-93)                      $590.00
33926   BURR TAPERED 1651-21                  $130.00
33928   BURR CARBIDE (2296-101-212)            $32.00
33929   PROBE LASER FIBER (04-5810-01)        $960.00
33931   TUBE ENDOTRACH LASER 08MM (70-605     $631.00
33933   NEEDLE SPINAL 25GAX3.5" (341833)        $0.00   Utilization
33934   DRILL BIT WITH STOP (324.14)        $1,109.00
33939   TRACTION SLEEVE (AR-1606)             $425.00
33941   BANDAGE PLASTER ROLL 3" (JJ7363)       $16.00
33945   BLADE SAW 1675-12                     $539.00
33952   DRAPE FABLE SINGLE (F550-A)             $0.00   Utilization
33955   DRAIN LVSR 10FR CP W TROCAR (SU13     $120.00
33957   BLADE ENDOSCOPIC (7205312)            $335.00
33966   BLADE SAW (2296-3-101)                $315.00
33983   TUBE GASTROSTOMY 20FR 100-20LV        $285.00
33984   PROTECTOR ORTHO HEEL & ELBOW (SP-      $30.00
33986   GOWN IMPERVIOUS XL (KM95321)            $0.00   Utilization
33996   DAM ARTHROSCOPIC (214538)             $155.00
33997   DAM ARTHROSCOPIC (214558)             $130.00
33998   PAD CON MED (400-2100)                  $0.00   Utilization
34003   SUT ANCHOR MINI HAND (210366)         $990.00
34009   DRILL BIT (310.67)                  $1,200.00
34010   DRILL BIT (310.68)                    $990.00
34011   DRILL BIT (310.69)                  $1,210.00
34020   GUIDEWIRE CANNU FLEX (013475)         $757.00
34021   CATH FOLEY CONSIL 20FR (0196L-20)     $110.00
34022   CATH FOLEY CONSIL 22FR (0196L-22)     $110.00
34023   CATH OLIVE TIP 05FR (136505)           $72.00
34025   GUIDEWIRE (013978)                    $255.00
34029   ROLL FOAM SELF AD (M1561H)             $30.75
34030   ROLL FOAM SELF AD (M2851H)             $41.25
34032   CANNULA THREADED KIT (014718)         $950.00
34034   DRILL BIT DISP 2.5X83MM (DB2.5)       $531.25
34035   GUIDEWIRE (625413)                     $75.00
34036   DRILL BIT (310.23)                    $601.00
34037   PIN GUIDE (05-0017)                   $183.25
34039   DRILL BIT GOLD 2.5 MM (310.25)        $255.00
34040   BREATHING BAG 2 LTR 506ZNL             $30.00
34041   STOPCOCK 4 WAY MALE 041210-002          $0.00   Utilization
34042   GUIDE LATERAL (HRD-2009)            $1,345.25
34043   TAPE GLOW N TELL(1100-XX)             $105.00
34044   STAPLER LINEAR (TL90)                 $720.00
34045   COUNTERSINK FOR 2.0-2.4 SCREWS        $823.50
34046   CATH DILATATION MEASURING (724014     $630.00
34049   CANNULA CUTTING KIT (26712010)        $890.00
34050   CANNULA UNIVERSAL KIT (012405)         $91.00
34051   CANNULA UNIVERSAL KIT (012421)         $98.00
34053   CATH HEMODIALYSIS ASH SPL ASPC32    $2,310.00
34054   DRILL BIT (1133116)                 $2,095.25
34056   CATH FOLEY CONSIL 18FR (0196L-18)     $110.00
34057   NEEDLE THINWALL 18GA (AN18T71W)         $0.00   Utilization
34058   NEEDLE SPINAL SPROTTE 22GA (33372       $0.00   Utilization
34059   NEEDLE SPINAL SPROTTE 24GA 3.5" (       $0.00   Utilization
34068   PIN GUIDE W SUTURE EYE (AR1297L)      $440.00
34073   CIRCUIT UNIVERSAL 60" (F360-6127)      $68.00
34077   OMNI FLUSH (10732204)                  $80.00
34078   KIT VESICA PRESS IN REGULAR (820-   $2,860.00
34089   DRILL BIT WITH STOP (324.12)          $936.25
34093   SUT ANCHOR STATAK (2344-75)           $345.00
34096   MEROCEL 2000 W/DRAWSTRING 470404       $57.00
34097   ADAPTER URETERAL CATHETER (140000       $0.00   Utilization
34099   GUIDEWIRE .035 J CURVE 49-120          $95.00
34103   PAD SURGISAFE 36X40 WHITE (83630)      $72.00
34105   DRAPE ORTHOPEDIC ISO (5858)             $0.00   Utilization
34106   BIOPSY MONOPTY 18GA (000401)          $260.00
34107   DILATOR BALLOON (5837)              $1,280.00
34108   ENDO CLINCH 5MM (174305)              $590.00
34112   DRILL BIT (2141-14-038)               $730.50
34113   GUIDEWIRE 3.2MMX38 (8092-32-238)      $664.25
34118   GLOVE SURGICAL PERRY SZ 7 (572131       $0.00   Utilization
34119   PACK MAJOR SET UP (26300-100)           $0.00   Utilization
34121   CANNULA ARTERIAL (81118)              $110.00
34122   MARKER VEIN (SMPM3)                    $86.00
34123   DRAPE MICROSCOPE (21-61429)             $0.00   Utilization
34124   DRAPE MICROSCOPE CONTRAVES (32607       $0.00   Utilization
34125   DRAPE MICROSCOPE WILD (5986)            $0.00   Utilization
34126   HELISTAT (1690-ZX)                    $165.00
34130   CATH CHOLANGIOGRAM (20018-010)         $96.00
34131   CATH DILATATION BALLOON (220-108)     $840.00
34132   CATH URETERAL 05FR (037505)           $400.00
34134   CATH URETERAL 04FR (137504)            $75.00
34136   TUBING INSUFFLATION (950-1101)         $67.00
34137   BLADE PRECISION AGGRES (2296-33-2     $285.00
34138   BLADE SAW (5023-164)                   $61.00
34139   BLADE SAW (5071-551)                   $83.00
34145   BRA SURGIBRA MED (46518-020)          $305.00
34148   CARTRIDGE HEPARIN TEST ACT (304-3     $315.00
34149   CARTRIDGE GEM PREMIER (5328)        $4,130.00
34150   CARTRIDGE HEMOTEC (304-06)             $84.00
34151   CARTRIDGE HEMOTEC (304-20)            $105.00
34152   CONNECTOR Y (50-504-000)                $0.00   Utilization
34154   CUFF TOURNIQUET 18" (60-1950-001)     $860.00
34155   CUFF TOURNIQUET 18" SB SH 60-7075     $155.00
34156   CUFF TOURNIQUET 24" DB (60-7080-0     $203.00
34157   CATH DILATATION BALLOON (6738)        $140.00
34158   ELECTRODE KNIFE (KE-26)               $630.00
34165   DISSECTOR BONE CUTTING TOOL (AM35     $660.00
34167   BONE FEMORAL WICK (6209-1-205)        $260.00
34168   ELECTRODE LAPAROSCOPIC HOOK 615-0     $395.00
34174   EPIDURAL TRAY SPINAL (333194)         $249.00
34175   STAPLER LINEAR (TL60)                 $660.00
34176   CARTRIDGE MIXING OSTEOBOND (5049-     $720.00
34177   ROD FIXATOR CARBON (394.80)           $660.00
34178   ROD FIXATOR CARBON (394.84)           $740.00
34181   TRAY EPIDURAL (AK05000)                 $0.00   Utilization
34188   CONNECTOR TUBING Y LARGE (88-2720       $0.00   Utilization
34189   BANDAGE SOFT ROLL 2" (23626-520)       $17.00
34190   BANDAGE SOFT ROLL 3" (23625-530)       $17.00
34191   COVER PROBE INTRAOP (2950-0877-01       $0.00   Utilization
34192   PORT TITANIUM OPEN END 6.6FR 0602   $1,630.00
34193   SET CDIS HIGH FLOW IRRIG (5190-02     $455.00
34194   CANNULA CDIS DISP (5190-050)           $68.00
34197   CATHETER SILICONE 1PC (8709)        $2,880.00
34199   DRAIN BLAKE (2263)                    $235.00
34200   DRAIN BLAKE (2265)                    $235.00
34203   TUBING BURETTE (72163E)               $120.00
34209   DRILL BIT (310.32)                    $205.00
34210   BANDAGE ESMARK 3" (DYNJ05114)          $35.25
34311   BANDAGE ESMARK 4" (DYNJ05116)          $40.50
34312   FILTER HEPA (351U5410)                 $45.75
34327   CONVERTOR DBL MALE L (040184-008)      $11.50
34330   PEANUT ENDO (BCD10)                   $145.00
34331   DISSECTOR BONE CUTTING TOOL (AM-8     $630.00
34339   ENDO DISSECTOR 5MM (BTD05)            $130.00
34344   POUCH SPECIMEN ENDO CATCH (173050     $770.00
34346   CAP REDUCER ENDO (MS512)               $42.75
34347   ENDO CATCH 15MM 173049                $530.00
34348   APPLIER CLIP (MCS20)                  $590.00
34349   APPLIER CLIP MED (MCM20)              $430.00
34351   APPLIER CLIP LG (MCL20)               $415.00
34352   ENDOCLOSE (173022)                    $386.00
34361   ENDO CAP REDUCER (1SEAL)               $41.25
34373   RECTRATOR ENDO 10MM 176613            $530.00
34379   STAPLER ENDOSTITCH (173016)           $740.00
34380   CANNULA SUCTION IRRIG (EPS10)         $345.00
34381   ELECTRODE RIGHT ANGLE SHAFT (EPSO     $275.00
34382   ENDO ELECTRODE NEEDLE (EPS09)         $275.00
34383   TIP SPATULA (EPS02)                   $275.00
34384   RETRIEVER STONE CANNULA (EPS12)       $430.00
34407   SPRING GRIP ANCHORING DEVICE(1741      $66.00
34410   CLIP TITANIUM MED/LG (LT300)           $38.25
34412   NEEDLE BIOPSY CUT 14GAX10CM 44141     $199.00
34413   CLIP HEMO SM (12-1501)                 $66.00
34414   GUIDEWIRE LSPHLJ180                   $542.50
34415   NEEDLE PD ACCESS DISP 78050           $564.50
34416   CLIP HEMO MED (12-1503)                $84.00
34419   CLIP HEMO (12-1507)                    $47.25
34422   CLIP HEMO LG (12-1505)                 $76.00
34432   ELECTRODE LAPAROS CURVED 30" (615     $395.00
34440   CATH INTRODUCER PERC (PCI)            $460.00
34441   INTRODUCER LEAD PERC (6210-TRKL)      $495.00
34459   CATH CHOLANGIOGRAM LAP (410-0004)     $295.00
34490   NEEDLE LAPAROSCOPIC GRICE (GSN-3)       $0.00   Utilization
34491   PIN OCCLUDER (CR1007)               $1,460.00
34505   STAPLER PURSE STRING (020242)          $510.00
34517   RELOAD CUTTER ENDO (EZ45B)             $740.00
34519   STAPLER LOADING UNIT 30V (030805)      $750.00
34520   INTRODUCER PEEL 14FR (G06496)          $313.00
34521   INTRODUCER PEEL 15FR (G06497)          $313.00
34522   INTRODUCER PEEL 16FR (G02997)          $313.00
34523   INTRODUCER PEEL 18FR (G06444)          $313.00
34524   INTRODUCER PEEL 12FR (G06492)          $313.00
34525   INTRODUCER PEEL 11FR (G06491)          $313.00
34570   STAPLER LOADING UNIT (030735)        $1,110.00
34578   STAPLER LOADING UNIT (174007)          $305.00
34579   STAPLER ENDOSTITCH RELOAD (170052      $141.00
34608   MANIPULATOR UTERINE (UMB678ZL)         $260.00
34609   MANIPULATOR UTERINE BLUE (UMB676Z      $260.00
34610   MANIPULATOR UTERINE WHITE (UMW670      $260.00
34619   SMOOTHER TUNNEL (CLSMO)              $1,116.00
34620   GLOVE DURAPRENE 6 LTXFR (2D72PN60        $0.00   Utilization
34623   RELOAD STAPLER LINEAR (TRH30)          $335.00
34624   STAPLER FASCIA (070614)                $275.00
34625   STAPLER RELOAD FASCIA                  $385.00
34626   RELOAD STAPLER LINEAR (XA30G)          $350.00
34627   LINER MULTIPOLAR DISP 5003-40-22       $943.00
34628   BLADE RESECTOR SHAVER0375-532-000      $409.25
34661   STAPLER ROTICULATOR (031601)         $1,550.00
34663   STAPLER TITANIUM LDS POWERED (092    $1,584.00
34665   STAPLER ROTICULATOR (017615)         $1,780.00
34667   STAPLER ROTICULATOR (017617)         $1,460.00
34668   NEEDLE URETHERAL (653300)              $205.00
34669   LIMB O CIRCUIT (AFN320XX)               $56.00
34677   STAPLER SKIN (PRW35)                   $195.00
34678   STAPLER SKIN (2008)                     $80.00
34679   STAPLER SKIN PREM MULTIFIRE (0590      $270.00
34702   ENDO HANDLE SUCTION CONTROL IRRI       $540.00
34727   SURGINEEDLE PNEUMOPERTONEUM (PN15      $285.00
34728   GI BULK BUNDLE CHARGES                   $0.00   Utilization
34729   RETRACTOR MEDITRACT SM (40040000)      $531.00
34730   CANNULA VENOUS W/CONN 28 (96428)     $2,765.00
34731   ELECTRODE PAIRED (8227410)             $520.00
34732   DRAIN FLUTE 19FR 3/4 (072231)          $125.00
34733   WIRE K (KW-062)                        $103.00
34734   LAP DISC MEDIUM (LD-1115)            $2,952.00
34735   KIT STRATA VALVEII TOOLS (45805)    $13,968.00
34736   SHEATH RENAL SET (6830)              $1,319.00
34737   SPATULA PLASMA (3200PK)              $1,730.00
34738   BASKET WIRE (MSB-1.5X3.5)            $1,799.00
34739   DRILL BIT 16MM (48510616)            $1,502.00
34740   ARTHOWAND (ASC-4250-01)              $1,430.00
34741   CLOSURE SKIN ANTIMICROBIAL A1847        $16.00
34742   STAPLER SKIN WIDE 35CT (528235)         $61.00
34743   TROCAR SEPERATOR 12X150 (C0683)        $272.00
34744   WRENCH KIT (6501)                      $293.00
34745   BLADE 4.5FR (7205341)                $1,224.00
34746   DRILL BIT FEMORAL LG (2255-35-50)    $1,299.00
34747   DRILL BIT FEM RETRO (2255-31-37)       $903.00
34748   CATHETER EXTRACTION PRONTO (5001)    $2,881.00
34749   GI BUNDLE                                $0.00   Utilization
34750   GLOVE EXAM PWDR FREE LG EA (8838)        $0.00   Utilization
34751   GOWN ISOLATION EA (2053)                 $0.00   Utilization
34752   DRILL BIT 2.9 (829031070)              $532.00
34754   SCALPEL HARMONIC SHEAR (ACE14S)      $2,134.00
34756   INTRODUCER PASSIVE CATHETER 5-PCI    $2,037.00
34757   SPRAY INTRAPLEURAL (1680)              $830.00
34758   DRILL BIT 10MM (48510610)            $1,502.00
34759   ARTHROWAND TURBOVAC (ASC1335-01)     $1,260.00
34760   CAP REDUCER ENDO (MS312)                $45.75
34761   DRILL TRANFIX II 3MM (AR-19785)      $1,009.00
34762   BLADE OSCILLATOR (5302-25-41)          $194.00
34763   CATHETER EXTRACT PRONTO (301500)     $2,881.00
34764   CATH FOGARTY (IRR-080-6F)              $155.00
34765   DRILL BIT 14MM (92-0184)             $1,135.00
34766   HOOK STAY DUAL LEAD 12M (3550-1G)       $45.00
34767   MOUTHGAG PROTECTOR RUBBER (RP121)       $26.00
34768   TUBE FEEDING BOLSTER 18FR KT 6720      $664.00
34769   TAPE OB ARIS SUB SUPPORT 93-4400     $5,820.00
34770   DRILL BIT 110MM (4806-110-25)          $323.00
34771   CATH EXTRACTION PRONTO (301568)      $2,881.00
34772   INTRODUCER KIT (T05J)                $6,606.00
34773   TORCAR ENDO (355L)                     $350.00
34774   TROCAR ENDO (512S)                     $430.00
34775   DRILL BIT 12MM (48510612)              $993.00
34776   CATH PERIPH SILVERHAWK P4018MS-F    $17,431.00
34779   WAND BLADE SIDEWINDER (AC2340-01)    $2,881.00
34780   DRILL BIT 12MM (48500612)            $1,511.00
34781   CAUTERY PENCIL BIPOLAR (3901-002)    $3,754.00
34782   TUBE ENDOBRONCHIAL (G13282)            $923.00
34783   TUBE ENDOBRONCHIAL (G26907)            $923.00
34784   TROCAR VERSAPORT RADIOLUCENT (179      $760.00
34785   BURR 5.0MM (5300-10-513)                $84.00
34786   BURR 6.5MM (5300-10-516)                $84.00
34787   BURR 4.0MM (5300-10-511)                $84.00
34788   CRANIAL PRESSURE KIT (110-48)        $3,021.00
34789   SURGITAG (SGT-108)                      $16.50
34790   CRANIAL ACCESS KIT (INS-HITH)        $1,757.00
34791   BLADE PROFIX (71512911)                $537.00
34792   DRILL BIT 1.5X12 (317.72)              $730.00
34793   ENDO LOOP LIGATING SURGITIE (EL21      $223.00
34794   TROCAR THORACIC KIT (FPK03)          $1,090.00
34795   CATHETER LUMBAR (INS-8330)             $797.00
34796   CUTTER STAPLER CONTOUR (CS40G)       $2,177.00
34797   STAPLE CARTRIDGE CONTOUR (SCR40B)    $1,262.00
34798   STAPLE CARTRIDGE CONTOUR (SCR40G)    $1,262.00
34800   CUTTER STAPLER CONTOUR (SCS40B)      $2,177.00
34801   TUBE ENDOTRACHEAL 8.0MM (13380)        $491.00
34802   ADAPTER SUCTION TUBE (P-R-2B-1.B)      $408.00
34803   DRAIN SILICONE 28FR (072290)          $169.00
34804   TUBE GASTRIC FEEDING (2-20125)        $830.00
34805   CATHETER NASAL EPISTAT (15-27030)     $440.00
34807   TAP 5.25 (904141)                   $1,659.00
34808   TAP 4.25 (904140)                   $1,854.00
34809   TAP 6.25 (904143)                   $1,388.00
34810   BURR 4.0MM (5300-30-511)              $115.00
34811   CLAMP BABCOCK ENDO (BB10)             $540.00
34812   DISSECTOR CURVED 5MM ENDO (DCD32)     $510.00
34813   ENDO GRASPER (5DSG)                   $540.00
34814   PNEUMONEEDLE ENDO (PN120)             $140.00
34815   SCISSORS CURVED ENDO (DCS12)          $540.00
34816   APPLIER CLIP ENDO (AL326)             $920.00
34817   CLIP CARTRIDGE (1-1081)               $508.50
34818   APPLIER CLIP ENDO (ER420)             $720.00
34819   SIZER CHF 90CC (CHF-090-K1)         $1,161.00
34820   ARCH BAR STRIPS (201-001-1)            $42.00
34821   ARCH BAR COIL (2001-001)              $205.00
34822   THREAD STABILITY ADJUST ENDO (T35      $50.00
34823   THREAD STABILITY ADJUST ENDO ((T5      $54.00
34824   THREAD STABILITY ENDO (T512)           $50.00
34825   CUTTER LINEAR (TLC55)                 $740.00
34826   RELOAD CUTTER LINEAR (TCR55)          $415.00
34827   RELOAD CUTTER LINEAR (TCR75)          $580.00
34828   CUTTER LINEAR RELOAD (TRT75)          $550.00
34829   GUIDE DRILL (389.802)               $1,521.00
34830   SPINE PIN TEMPORARY (389.873)         $823.00
34832   STAPLER ENDO HERNIA (EMS)             $980.00
34833   STAPLER ROTICULATOR (AX55B)         $1,450.00
34834   STAPLER ROTICULATOR (AX55G)         $1,450.00
34835   STAPLER CURVED CIRCULAR (CDH25)     $1,910.00
34836   STAPLER CURVED CIRCULAR (CDH29)     $1,950.00
34837   STAPLER CURVED CIRCULAR (CDH33)     $1,910.00
34838   STAPLER LINEAR (TX30B)                $690.00
34839   STAPLER LINEAR (TX60B)                $720.00
34840   STAPLER LINEAR RELOAD (XR60B)         $380.00
34842   STAPLER LOADING UNIT (TRV-30)         $490.00
34843   TROCAR ENDO (511S)                    $430.00
34844   SHEARS COAGULATOR (LCS15)           $1,880.00
34845   TROCAR ENDO (512B)                    $510.00
34846   TROCAR ENDO (512X)                    $475.00
34847   TROCAR ENDO OPTIVIEW (512H)           $440.00
34848   STAPLER LINEAR RELOAD (XR30B)         $350.00
34849   STAPLER LINEAR (TLH30)                $670.00
34850   CUTTER LINEAR (TLC75)               $1,090.00
34851   STAPLER LINEAR (TLH90)                $730.00
34852   RELOAD STAPLER LINEAR (TRH90)         $385.00
34853   CUTTER LINEAR (TCT75)               $1,140.00
34854   STAPLER LINEAR (TLV30)                $740.00
34855   STAPLER ENDO (TSW35)                $1,360.00
34856   STAPLER ENDO RELOAD (TR35W)           $630.00
34857   RELOAD THICK (XR60G)                  $350.00
34858   CUTTER ENDO (EZ45B)                 $1,720.00
34859   STABILIZER OCTUPUS (28001)          $1,210.00
35053   TUBE LARYNGECTOMY 5 (717-1034315)     $310.00
35104   SAW BLADE OSCILLATING (5023-169)       $61.00
35106   WIREGUIDE LUNDERQUIST TSMG-35-260     $455.50
35107   TUBE ENDOTRACHEAL 6MM 9450060       $1,926.50
35108   TUBE ENDOTRACHEAL 8MM 9450062       $1,926.50
35109   INSTRUMENT SET THYROPLSTY MT200P    $1,339.00
35116   TUBE VENT BEVELED (14-6040)            $80.00
35117   WIRE SPRING DUOFLEX (AW-04032)         $71.00
35118   GUIDE SPRING WIRE (AW-04025)           $71.00
35119   CATHETER IV W/WINGS 20GA (381337)       $0.00   Utilization
35221   SYSTEM PERIPHERAL RINSPIRATOR P7    $6,984.00
35266   DRILL BIT 3.3 (DB-33)                 $531.25
35267   TIGHTROPE STAINLESS (AR-8921DS)     $2,037.00
35268   NEEDLE PREWAX SQ 18GA 971070           $78.00
35461   KIT SMAPLER ALVEO 25 (QT00828-P)       $63.00
35464   KIT COMP PULSAVAC (5150-625)          $445.00
35465   KIT PULSAVAC (5150-675)               $510.00
35466   KIT DEBRIDEMENT (5150-775)            $335.00
35467   BURR ROUND CARBIDE (5092-128)         $106.00
35468   HEART STRING II PROX (HSK-2043)     $2,619.00
35511   BURR (5093-126)                       $120.00
35516   PRESSURIZER SM (5069-71)              $160.00
35519   PRESSURIZER LG (5069-81)              $160.00
35570   BLADE REAMER PATELLA (5120-95-41)     $440.00
35662   BLADE SHAVER 3.5MM 375-532-000        $409.25
35663   DRILL BIT 12MM DISP (92-0182)       $1,273.50
35664   PIN FIXATION LARGE DISP (92-0118)     $631.00
35715   EXT FIXATOR CLAMP ADJUSTABLE (393     $960.00
35726   GOWN JUMPSUIT NON SKID (SD-150)         $0.00   Utilization
35780   CLAMP EXTERNAL FIXATOR (395.56)       $930.00
35785   EXT FIXATOR CLAMP (393.36)          $1,950.00
35790   WIRE K TROCAR POINT (292.10)          $432.00
36005   AIRWAY NASOPHARYNGEAL 6.0MM (3400      $49.50
36006   AIRWAY NASOPHARYNGEAL 7.0MM (3400      $49.50
36007   AIRWAY NASOPHARYNGEAL 8.0MM (3400      $49.50
36008   AIRWAY NASOPHARYNGEAL 9.0MM (3400      $48.00
36010   BANDAGE ESMARK LTX FREE (12-303)       $74.00
36021   CIRCUIT PEDI (8911)                    $57.00
36022   KIT ANES CUST CIRC BREATH (ANE822      $78.00
36025   COVER HEADREST SOFT FACE (7-2500)       $0.00   Utilization
36026   EXPOSURE DEVICE (XP-3000)           $4,627.00
36027   BURR ROUND CARBIDE 3MM (5091-126)      $94.00
36032   EXCHANGER HEAT & MOISTURE (1T0235      $20.25
36033   FILTER MONOMER FUME VAC 5049-81       $155.00
36036   SPACER INHALER ACE (DHD11-1010)        $52.00
36037   DRILL BIT TENODESIS 4.5 AR-12045D   $1,339.00
36038   CATH BALLOON SYMMETRY (10-546)      $1,981.00
36039   CATH BALLOON SYMMETRY (10-540)      $1,981.00
36040   CATH BALLOON SYMMETRY (10-543)      $1,981.00
36100   SET INTUBATION RETRO (CRETRO11.07     $285.00
36101   BRACE ELBOW XXLG (3448-07)              $60.00
36102   BURR ROUND CARBDE 2M 5300-10-505        $84.00
36103   DRILL BIT 1.0X8MM (316.448)            $730.00
36104   DRILL BIT 1.5X125MM (317.836)          $730.00
36105   CLIP ANEURYSM 7M INST DISP FT240T    $1,776.00
36107   CLIP ANEURSM 11M DISP INST FT260T    $1,776.00
36108   CLIP ANURSM 10.2M DSP INST FT262T    $1,776.00
36109   CLIP ANURYSM 20M DISP INST FT290T    $1,776.00
36110   HIP FEMORAL STEM (7711-12-20)       $10,891.00
36111   SPINE BLADE (33660112)                 $695.00
36112   GUIDE WIRE PTFE .038X150CM (28BX)       $10.00
36125   KIT AIRWAY EXCHANGE (C-CAE-19.0-8      $210.00
36128   TRAY EPIDURAL (CE18TKPS)                 $0.00   Utilization
36129   CATH CENTRAL VEIN KIT 16GA (AK-04      $150.00
36131   KIT CRICOTHYROTOMY (C-TCCS-600)        $480.00
36150   MASK VITAL SIGNS (5250)                 $30.75
36151   MASK FACE PEDI (5230)                    $0.00   Utilization
36157   OXISENSOR NASAL PROBE ADULT (R15)        $0.00   Utilization
36175   SET FLUID WARMER TUBING(S67N25000       $70.00
36184   CATH RADIAL ARTERY SET 22GA (RA-0       $63.00
36190   STETHOSCOPE ESOPHAGEAL (30704-418        $0.00   Utilization
36197   STYLET (6052-58)                       $260.00
36198   NEEDLE JAMSHIDI 6 IN (820011600SL      $191.00
36199   ASSEMBLY KIT TITAN (90-9480SC)       $2,270.00
36206   BIT DRILL 5.0 (0209)                 $1,632.50
36207   WIRE GUIDE 0101-900                    $996.00
36208   PINS GUIDE 3.2 (0100)                  $597.75
36209   DRILL BIT 4.0 (0200)                 $1,306.00
36210   PROBE XLIE 12CM (700103027)         $15,685.00
36212   CLIP ANEURYSM DISP INST 07-940-84    $1,502.00
36213   CLIP ANEURYSM DISP INST 07-940-08    $1,502.00
36214   TRAY SPINAL 22GA (S22PTK)                $0.00   Utilization
36215   TRAY SPINAL 25GA (P25BK)                 $0.00   Utilization
36217   CATH THORACIC 36FR ANGLE 571067         $52.00
36218   PIN GUIDE CALIBRATED (182-00-69)        $98.00
36220   TUBE BRONCH CARDEN (CARB80)            $365.00
36221   TUBE BRONCH CARDEN 08.5 (CARB85)       $365.00
36222   TUBE BRONCH CARDEN 09.0 (CARB90)       $365.00
36223   TUBE ENDOBRONCHIAL 35FR (43161-13      $540.00
36224   TUBE ENDOBRONCHIAL 37FR (43161-13      $540.00
36225   TUBE ENDOBRONCHIAL 35FR (43161-03      $380.00
36226   TUBE ENDOBRONCHIAL 37FR (43161-03      $550.00
36227   TUBE ENDOBRONCHIAL 39FR (43161-03      $380.00
36228   TUBE ENDOBRONCHIAL 41FR (43161-04      $380.00
36229   TUBE ENDOBRONCHIAL 39FR (43161-13      $540.00
36230   BASKET S-L HLCL 1.9 (5700002)          $863.00
36231   BASKET SUR CATCH 3.0FR (5711230)     $1,162.00
36232   INTRODUCER 7FR (7115)                  $550.00
36233   PREP GEL 4 SPONGE HRT RM (274483)       $25.00
36235   TUBING IRRIGATION CODMAN 80-1165       $311.00
36236   DRILL BIT (8207-55-004)                $657.00
36237   PACK TL CUSTOM STAT (2K82R1)         $3,841.00
36238   DRILL BIT 2.8MM (310.288)              $661.00
36239   CONNECTOR 3/16X3/16 (050503000)         $26.00
36240   SMOKE EVACUATOR PLUME 620-030-600      $138.00
36242   CATH THORACIC 24FR STR (10302)          $35.00
36243   TUBE TRACH 06 (43154-060)              $205.00
36244   TUBE TRACH 08 (43154-080)              $185.00
36245   PORT BIOPSY SEAL (AUR-BP)               $93.00
36246   CUTTING LOOP RT ANGLE MLE-24-012       $446.00
36247   CANNULA 4MM X 32CM (MER432-COP)      $1,096.00
36248   CANNULA 3MM X 26CM (MER326-COP)      $1,096.00
36249   FORCEP BIOPSY FRECISOR (100502)        $315.00
36250   ADAPTER Y DISP INST (10004D)            $69.00
36251   ANKLE SUPPORT STIRRUP 8" 79-81323      $116.00
36252   KNIFE MYRINGTOMY DISP (13-0916)         $83.00
36253   WIRE DBL TROCAR .045X6 (WS-1106)       $139.00
36254   DRAINAGE SYSTEM EXACTA DSP 404292      $823.00
36255   DRILL BIT 3.5MM (71173402)             $598.00
36256   TUBING ANAMED HUMIDIFIER (A1848HP      $110.00
36257   CUTTER 25.4MM WHEEL (MC254)            $910.00
36258   RETRACTR SCROTL DSP INST 72403867      $797.00
36259   CATHETER VEIN 6FRX60CM (CL6-60)      $4,220.00
36260   CATHETER VEIN 8FRX100CM (CL8-60)     $4,220.00
36261   VEIN CLOSURE DISP INST (CPP-6F)        $604.00
36262   VEIN CLOSURE DISP INST (CPP-8F)        $604.00
36263   VEIN GUIDEWIRE (GW-025-150-DE1.5)       $77.00
36264   FOOT/ANKLE STIRRUPS (30187-020)         $74.00
36265   STOPCOCK LL FEMALE TO MALE G00219       $38.00
36266   CLIPPING DEVICE HEMOSTATIC (2260)    $1,029.00
36269   DRILL BIT 3.5MM (48560313)           $1,144.00
36270   DRILL BIT (610.712)                  $1,175.00
36271   SHEATH SHUNT PASSER 31CM (990012)      $232.00
36272   DRILL BIT 1.1X8MM (317.18)             $730.00
36273   PROBE ULTRASOUND GEL PROBE COVER       $146.00
36274   BASKET SURE CATCH STONE (5711222)      $963.00
36275   DRILL BIT 1.0 6MM (316.447)            $730.00
36276   ASPIRATOR DISP INST 2761-23-001      $1,371.00
36277   TROCAR PIN GNS (71210003)              $244.00
36278   DRILL BIT 1.1 LOW PROFILE 15-1725      $611.00
36279   BREATHING CIRCUIT LIMBO AFP12XXX        $49.00
36300   CARDIOBLADE LOW PROFILE (60841)     $12,380.00
36301   BURR ROUND 5.5MM (375-950-000)         $389.00
36302   CUTTER 2.5 (275-627-000)               $340.00
36303   CYTOLOGY BRUSH BC-15C (52155)           $80.00
36304   BURR SMALL ABRASION (275-647-00)     $1,822.00
36305   BLADE SHAVER (375-951-000)             $389.00
36306   BLADE SHAVER (375-544-000)             $368.00
36307   BLADE SHAVER (375-545-000)             $368.00
36308   ARMBOARD PAD (31143467)                 $18.00
36309   BLADE LONG (385-544-000)               $441.00
36310   BLADE LONG ANGLED (385-544-100)        $441.00
36311   DRILL BIT 3.7MM (2360-225-37)          $930.00
36312   BLADE SHAVER (380-543-150)             $410.00
36313   CANNULA VENOUS DUAL (TF292902)        $249.00
36314   FEMUR NAIL LONG (1059-390)          $8,148.00
36315   DRILL BIT SHORT 4.0 (0210)          $1,469.00
36316   DRILL BIT LAG 10.5 (0206)           $1,892.00
36317   BLADE SHAVER (375-941-012)            $389.00
36318   CONNECTOR CARDIOTHORACIC 072510        $44.00
36319   BLADE SHAVER (375-543-000)            $368.00
36321   SCREW DRIVER DISP (8241-57-070)       $830.00
36322   CATHETER SUPPORT .018X135 518-034     $863.00
36323   CATHETER SUPPORT .035X90 518-036      $863.00
36324   CATHETER SUPPORT .035X135 518-037     $863.00
36325   BLADE SHAVER (375-542-000)            $368.00
36330   VEIN HARVESTING PACK                    $0.00   Utilization
36334   CRANIOTOMY KIT                          $0.00   Utilization
36335   TOTAL HIP KIT                           $0.00   Utilization
36336   TOTAL KNEE KIT                          $0.00   Utilization
36338   OPEN HEART/ADULT                        $0.00   Utilization
36339   DRILL TWIST 3/32 (2318-2506)          $224.00
36340   TUBE MINOP DISP INSTRUMENT FH602      $221.00
36341   GUIDE WIRE ORTHO (42-2237-38)         $744.00
36342   CABLE CARDIAC 5833SL                    $0.00
36344   RETRACTOR TLC 6 (820-175)             $598.00
36345   DRILL BIT 4.0 (0219-100)            $1,469.00
36346   APPLICATOR FOR BIOGLUE BGAT-S-Y        $70.00
36347   CANNULA 5X75 ENDOSCOPY 3910075500     $167.00
36348   CANNULA 6.5X75 ENDO 3910-075-650)     $167.00
36349   CANNULA 8X75 ENDOSCOPY 3910075800     $167.00
36350   SUCTION TOP PERFUSION (OY35R)         $198.00
36351   GUIDE DRILL BIT EAR (90415)         $1,129.00
36352   DRILL COUNTERSINK 3M EAR (90416)    $1,129.00
36353   DRILL COUNTERSINK 4M EAR (90417)    $1,129.00
36354   PUNCH EAR (90055)                     $176.00
36355   CAP HEALING EAR (HCB673)              $183.00
36356   BLADE DERMATOME EAR (90329)           $293.00
36357   BURR 1.0MM (530-000AB01-10)            $39.00
36358   BLADE SHAVER (375-950-012)            $389.00
36359   CATHETER EXTRACTION VAS (302069)    $2,881.00
36360   TOOL T12 TUBE 2.5MM NEURO T12MH25     $724.00
36361   THROID MEASURING MALE KIT MT-400      $631.00
36362   DRILL BIT (317.861)                 $1,850.00
36363   AORTIC CUTTER 3.8 (HSK-2038)        $2,619.00
36364   BURR ROUND MED 3MM (5300-10-509)       $84.00
36426   NEEDLE TOUHY 18 GA 31/2 (18323)         $0.00   Utilization
36427   ADAPTER ELECTRODE (6836)            $1,630.00
36429   STYLET (6048-58)                      $260.00
36502   NEEDLE SPROTTE 22GA X 3 1/2 (AD22       $0.00   Utilization
36503   BANDAGE ESMARK 6" (24593-064)          $41.25
36522   DRILL BIT RC SUPER (211113)           $710.50
36526   BLADE FULL RADIUS 2.99MM (3419)       $320.00
36599   CABLE SURGICAL W ALLIGATOR CLIPS      $155.00
36601   BREAST EXPANDER FILL KIT (30-0000      $79.00
36602   CANNULA THREADED 5X100 (C0529)         $76.00
36603   CANNULA THREADED 12X100 (C0652)         $75.00
36604   STENT PANCREATIC (SPSOF-5-2)           $419.00
36605   STENT PANCREATIC (SPSOF-5-3)           $419.00
36616   KIT PACEMAKER END PIN CAP (5867-3      $185.00
36620   KIT PACEMAKER SERVICE INST (5873C      $330.00
36628   STYLET (6054-58)                       $295.00
36632   STYLET (6057-58)                       $295.00
36681   ELECTRODE TRANSMITTER (9531W)          $920.00
36687   PUNCH AORTIC 4.8MM (AP548)             $195.00
36838   INDICATOR TEMPERATURE (8501-II)          $6.00
36870   INTR DILATOR 8FR (4009-DB8)            $330.00
36871   INTRODUCER DILATOR 09FR (405116)       $400.00
36872   INTRODUCER DILATOR 10.5FR (405122      $305.00
36880   PADDLES INTERNAL DEFIB (80215411)      $275.00
37201   TUBING SUCTIN FEATHERTOUCH (18-95      $415.00
37203   TUBING IRRIGATOR XPS (18-95522)         $92.00
37204   TIP SUCTION RASP FINE FEATH(19-92    $1,802.00
37206   TIP SUCTION RASP CR FEATH (19-922    $2,970.00
37235   SPLINT SCOTCHCAST (M7631)               $70.00
37240   SPLINT SCOTCHCAST (M7643)               $92.00
37245   SPLINT SCOTCHCAST (M86545)             $185.00
37246   SPLINT PLASTER 5" (JJ7392)               $0.00   Utilization
37247   SPLINT PLASTER 6" (JJ7368)               $0.00   Utilization
37556   HELITENE .5GM (1692-ZL)                $633.00
38116   CARDIO BP DEVICE 60821              $15,103.00
38117   GRASPER ENDO DFS024115UDH            $1,153.00
38130   SOL IRRIG NS 3000ML BAG (13651)         $49.50
39007   BANDAGE KLING 1" (JJ6901)                $0.00   Utilization
39009   BLADE ENDOSCOPIC (7205306)             $335.00
39010   BLADE SAW (5071-550)                    $86.00
39011   BLADE SAW (5071-552)                    $78.00
39012   BLADE SAW (5071-577)                   $195.00
39015   BLADE SAW (K134)                       $260.00
39018   BLADE ULTRACISION (HS002)            $1,940.00
39028   BURR BARRELL (1608-2-1)                $443.00
39029   BURR CUTTING MICRO MILL (5052-204      $590.00
39030   BURR EGG SHAPED (1607-2-35)          $1,016.00
39031   BURR FISSURE (2296-101-216)             $32.25
39036   BURR ROUND (5093-130)                  $120.00
39042   CANNULA AORTIC PERF 12GA (20012)       $130.00
39047   CATH FOGARTY ADHERENT CLOT (140/2    $1,280.00
39050   CONNECTOR Y COBE (50-526-000)            $0.00   Utilization
39052   CUFF TOURNIQUET 18" SB DH (60-707      $125.00
39053   CUFF TOURNIQUET 24" (60-7070-004)      $140.00
39054   CUFF TOURNIQUET 34" SB DH (60-707      $160.00
39055   CUFF TOURNIQUET 42" SB DH (60-707      $170.00
39056   DILATOR W SHEATH (11276BS)             $350.00
39062   ELECTRODE 90'HOOK (225305)             $840.00
39064   ELECTRODE TRANSMITTER (2126)         $1,180.00
39075   GUIDEWIRE (1075-38)                    $430.00
39081   GUIDEWIRE GAMMA (3371-1-015)           $680.00
39083   GUIDEWIRE THREADED (292.68)            $145.00
39084   HEADREST FOAM ANESTHESIA (15-0180      $79.00
39096   LOOP CUTTING (MLE24-015)            $3,720.00
39097   MATTRESS STATIC AIR (6400)              $0.00   Utilization
39100   OXYGENATOR HOLLOW FIBER (1300)      $2,120.00
39102   PIN GUIDE 2.5MM (2338-0000)           $140.00
39105   PROBE BALL TIP (2025-49)            $1,450.00
39106   PROBE LASER FIBER (200-5123)          $990.00
39107   PROBE LASER FIBER (SLIMLINE 200)    $3,490.00
39108   PROBE LASER FIBER (SLIMLINE 550)    $2,630.00
39110   RUBBERBANDS #64 (811430-084)            $0.00   Utilization
39116   SHEET CV SPLIT W POUCH (A9155)        $165.00
39117   SPIKE MINI (DP1000)                     $0.00   Utilization
39118   SPLINT ONE STEP (76430)               $115.00
39120   SYRING BULB EAR 30Z. 90059              $0.00   Utilization
39121   TACKER ORIGIN (OMS-TTSD30)          $1,710.00
39125   TIP SUCTION YANKAUER CPT (88-5010      $16.00
39127   TRAP DIGIT (9906)                      $88.00
39128   TRAP TISSUE SAFE TOUCH (003853902      $48.00
39131   TUBE CHEST 28FR (571042)               $63.00
39132   TUBE CHEST 32FR (571059)               $63.00
39135   WIRE GRAFT (AR-1255)                  $220.00
39138   WRENCH BI DIRECTIONAL (6942)          $370.00
39139   CATH DECAPOLAR 6FR 402-800          $3,928.50
39140   BLADE RECIP 5052-291                  $621.00
40002   EASY CAP CO2 DETECTOR (EASYCAP)        $81.50
40018   LMA PEDI SZ 1 (12110)                 $127.50
40033   ADHESIVE DERMABOND (DB12)             $165.00
40034   COLLAR FIRST RESP PEDI (43528-010     $165.00
40035   COLLAR FIRST RESP EX SHORT (020)      $155.00
40036   COLLAR FIRST RESP SHORT (43528-03     $155.00
40042   SPLINT POSTERIOR                      $115.00
40043   SPLINT ANKLE AIR                      $195.00
40046   SPLINT HITOP ADULT (KM00232)          $315.00
40047   SPLINT HITOP YOUTH (43865-020)        $315.00
40048   NOZ STOPS (89-0912)                   $195.00
40049   NASAL PAC ANT/POS 4.5CM (358608)      $152.50
40050   PACK ICE EYE (11900-100)                $0.00   Utilization
40051   PAC NASAL ANT NO/AIRWAY 5.5CM (55     $145.00
40052   QUICKTRACH 2MM R120900020             $828.75
40053   CATH WORD BARTHOLIN GLAND 1005         $66.00
40054   QUICKTRACH 4MM R120900040             $828.75
40055   RHINO ROCKET MED (11S-S0500-08AS)      $84.00
40056   SKIN STAPLER 5 SHOT                    $38.25
40061   COLLAR FIRST RESP REG (43528-040)     $165.00
40062   CATH URINARY STRAIGHT                  $35.25
40064   COLAR FIRST RESP TALL (43528-050)      $77.00
40068   FEMALE CATH KIT (9313)                 $19.50
40070   CANE ALUMINUM BLACK (5356)             $88.00
40071   CATH FOLEY COUDE 18FR 5CC (9117)        $0.00   Utilization
40072   CONTACT LENSES CASE (018002)           $26.25
40074   BRACE AIRCAST ANKLE MED RT (02-A)     $175.00
40080   TUBE ENDOTRACHEAL PORTEX 2.5           $21.75
40081   PAC NASAL ANT W/AIRWAY 5.5CM (551       $95.00
40082   PAC NASAL ANT/POS NO/AIRWAY (750)      $145.00
40092   VAG EXAM TRAY STERITE                    $0.00   Utilization
40125   MORGAN LENS                             $95.00
40137   PACK COLD INSTANT (1694)                 $0.00   Utilization
40305   PAD ELECTRODE QUIKPAGE(803377-101        $0.00   Utilization
40306   CONTACT LENS REMOVER (HIL18-627)        $24.00
40311   SPLINT CARDBOARD 18INCH                 $11.50
40316   ELECTRODE FAST PATCH 804545             $99.00
40320   SPLINT CARDBOARD 12 INCH (SI728 1       $13.00
40326   SPLINT FINGER 1 1/2 INC                 $20.25
40327   SPLINT FINGER 3 INC                     $21.75
40328   SPLINT FINGER 5 1/2 INC                 $21.75
40329   SPLINT FINGER 7 INCH                    $21.75
40331   KIT IV START ER 20GA IVA820023A          $0.00   Utilization
40332   KIT IV START ER 18GA IVB820023A          $0.00   Utilization
40334   SPLINT FINGER SM 4 PRONG                $27.75
40335   SPLINT FINGER MED 4 PRONG               $27.75
40336   SPLINT FINGER LARGE 4 PROG              $27.75
40354   ELECTRODES ADULT EXTERNAL PACING       $315.00
40361   HCG QUICK VUE TEST (B1042-9)            $30.75
40366   PACKING NASAL POPE POSTERIOR (440       $80.00
40380   CULTURETTE MINI                          $0.00   Utilization
40426   RHINO ROCKET LARGE                     $115.00
40428   PEDI CATH KIT 328890                    $65.00
40429   CATH STAMEY SUPRAPUBIC (081012)        $210.00
40430   ZEROWET SPLASH GUARD                    $11.00
40431   DERMABOND PRECISION TIP (HVN6)ER       $176.50
40433   DERMABOND HIGH VISCOSITY DHV12         $160.00
40435   PRES-PATCH EYE PATCH                    $36.00
40440   SET BLOOD COLLECTION 21GA 3/4 X 1        $0.00   Utilization
40441   SET BLOOD COLLECTION 23GA 3/4 X 1        $0.00   Utilization
40455   SPECULUM VAG W/SHEATH                    $0.00   Utilization
40460   PACKING NASAL SLIM LINE                 $50.00
50001   ARM IMMOBILIZER SM 2056                $130.00
50002   ARM IMMOBILIZER MED (2055)              $33.00
50003   ARM IMMOBILIZER LG 2054                 $41.25
50004   SPLINT OVAL #3 (C9272-85-03)            $36.50
50005   SPLINT OVAL #4 (C9272-85-04)            $36.50
50006   SPLINT OVAL #5 (C9272-85-05)            $36.50
50007   SPLINT OVAL #6 (C9272-85-06)            $36.50
50008   SPLINT OVAL #7 (C9272-85-07)            $36.50
50009   SPLINT OVAL #8 (C9272-85-08)            $36.50
50010   CUSTOM LUMBOSACRAL SUPPORT MEDIUM      $275.00
50011   SPLINT OVAL #9 (C9272-85-09)            $36.50
50012   CUSTOM LUMBOSACRAL SUPPORT LG-MED      $275.00
50013   CUSTOM LUMBOSACRAL SUPPORT EX-LG       $275.00
50014   SPLINT OVAL #11 (C9272-85-11)           $36.50
50020   SCREW PART THRED 4.0X26 6955826PT    $5,976.00
50021   STENT GRAFT AORTIC (BFXC2815135)    $31,200.00
50022   GRAFT CARTRIDGE 2761-26-005            $963.00
50030   BRACE CLAVICLE/SHOULDER PADDED SM       $44.25
50031   BRACE CLAVICLE/SHOULDER PADDED ME    $44.25
50032   BRACE CLAVICLE/SHOULDER PADDED LA    $44.25
50034   KNEE BRACE - ON TRACK                $95.00
50037   BRACE KNEE SMALL 19" 2066            $84.00
50038   BRACE KNEE SMALL 22" (2070)          $88.00
50039   BRACE KNEE SMALL 26" (2074)         $100.00
50040   BRACE KNEE MED. 19" (2065)           $84.00
50041   KNEE BRACE MED. 22" (2069)           $91.00
50042   BRACE KNEE MED. 24" (2073)          $110.00
50043   BRACE KNEE LARGE 19" (2064)          $84.00
50044   BRACE KNEE LARGE 22" (2068)          $91.00
50045   BRACE KNEE LARGE 26" (2072)         $105.00
50046   BRACE KNEE XL 19" (2063)             $89.00
50047   BRACE KNEE XL 22" (2067)             $95.00
50048   BRACE KNEE XL 26" (2071)            $115.00
50049   BRACE KNEE XXL 19" (2111)            $92.00
50050   BRACE KNEE XXL 22" (2121)           $100.00
50051   BRACE KNEE XXL 26" (2075)           $115.00
50063   SPLINT D RING LFT LRG BGE A611LL     $20.00
50064   CANE WALNUT 36 INCH                   $0.00   Utilization
50065   SLING ARM PEDIATRIC (8601-377-50)     $0.00   Utilization
50069   COLLAR PHILI SM 2060                 $78.00
50070   COLLAR PHILI MED 2061                $78.00
50071   COLLAR PHILI LG 2062                 $78.00
50079   COLLAR FOAM SMALL (2103)             $35.25
50081   COLLAR FOAM SMALL X-LONG NARROW      $35.50
50082   COLLAR FOAM MED (2093)               $23.25
50083   COLLAR FOAM MED/LNG (2082)           $24.75
50084   COLLAR FOAM LG 2076                  $53.00
50089   CRUTCHES-ALUM YOUTH                   $0.00   Utilization
50090   CRUTCHES ALUM ADULT                   $0.00   Utilization
50091   CRUTCH ADULT (74260-010)              $0.00   Utilization
50101   THUMB THING/WRIST SUPPORT           $110.00
50116   SPLINT THUMB LEFT MED/LRG (NC1466    $76.00
50118   SPLINT THUMB RT MED/LRG (NC14663)    $76.00
50119   ELBOW TENNIS SUPPORT (NC15432)       $79.00
50120   WRIST BRACE LT SM (NC14570)          $50.00
50121   SHOE CAST LARGE (1995-014)           $55.25
50122   CAST SHOE SMALL 2439                 $40.50
50123   CAST SHOE MED 2428                   $40.50
50124   WRIST BRACE RT SM (NC14571)          $50.00
50125   SHOE POST/OP MEN SM 309965           $57.00
50126   SHOE POST/OP MEN MED 309964          $57.00
50127   SHOE POST/OP WOMEN LG 2154           $57.00
50128   SHOE POST/OP WOMEN SM 318579         $57.00
50129   SHOE POST/OP WOMEN MED 2165          $57.00
50130   SHOE POST OP LG MENS (1611-023)      $57.00
50131   WRIST BRACE LT MED (NC14572)         $50.00
50132   WRIST BRACE RT MED (NC14573)         $50.00
50133   WRIST BRACE LT LG (NC14574)          $50.00
50134   WRIST BRACE RT LG (NC14575)          $50.00
50136   SLING ARM SM 2406                     $0.00   Utilization
50137   SLING ARM MED 2395                    $0.00   Utilization
50138   SLING ARM LG (2385)                   $0.00   Utilization
50144   BUCKS TRACTION SM 2744              $110.00
50145   BUCKS TRACTION MEDIUM 2749           $99.00
50146   BUCKS TRACTION LG 2759               $99.00
50147   BUCKS TRACTION X/LG 2770             $99.00
50153   SPLINT POSTERIOR LEAF-LEFT LARGE    $195.00
50160   SPLINT WRIST SM LF (1759.1)          $69.00
50161   SPLINT WRIST SM RT (1759-02)         $72.00
50162   SPLINT WRIST MED LF (1759-003)       $69.00
50163   SPLINT WRIST MED RT (1759-04)        $69.00
50164   SPLINT WRIST LG LF (1759-05)         $69.00
50165   SPLINT WRIST LG RT (1759-006)        $72.00
50178   KIT TRACTRION HOME DELUXE (719-01   $155.00
50182   WALKER COMPACT ADULT                  $0.00   Utilization
50183   MOON BOOT WALKER MED. (7859)        $345.00
50184   MOON BOOT WALKER LG/XL 7860         $345.00
50186   MOON BOOT WALKER SM 7858            $290.00
55001   BANDAGE COBAN 1 INCH                  $0.00   Utilization
55002   BANDAGE COBAN 2 INCH                  $0.00   Utilization
55003   BANDAGE KLING 1 INCH OTLV             $0.00   Utilization
55004   BANDAGE KLING 2 INCH OTLV             $0.00   Utilization
55005   IMMOBILIZER AR X-LG (3516-16)       $130.00
55006   IMMOBILIZER ARM LG. (311446)        $130.00
55008   BRACE WRIST LEFT SMALL               $57.00
55009   BRACE WRIST SMALL RT                 $57.00
55010   BRACE WRIST LEFT MEDIUM              $57.00
55011   BRACE WRIST RIGHT MEDIUM             $57.00
55012   BRACE WRIST LEFT LARGE               $57.00
55013   BRACE WRIST RIGHT LARGE              $57.00
55028   DRESSING STICK                       $27.75
55029   C-LUMBO SACRAL SUPPORT -L0515       $195.00
55033   EXCISER HAND 3 INCH FOAM BALL         $0.00   Utilization
55045   GLOVES LONG LEFT WOMENS               $0.00   Utilization
55046   GLOVES MEDIUM LEFT MENS               $0.00   Utilization
55047   GLOVES MEDIUM RIGHT MENS              $0.00   Utilization
55052   GRIP TRIANGULAR                       $0.00   Utilization
55067   OTOFORM K                            $16.50
55083   REACHER EZ 30 INCHES                 $63.00
55084   REACHER FEATHERLITE II               $63.00
55089   SPLINT COCKUP LARGE                  $80.00
55091   SPLINT COCKUP SMALL                  $80.00
55106   KNEE CUFF ON TRACK W/PATCHES SMAL   $315.00
55107   KNEE CUFF ON TRACK W/PATCHES MEDI   $315.00
55108   KNEE CUFF ON TRACK W/PATCHES LARG   $315.00
55119   SPLINT HAND LEFT SMALL              $130.00
55120   SPLINT HAND RIGHT SMALL             $159.75
55121   SPLINT HAND LEFT MEDIUM             $130.00
55122   SPLINT HAND RIGHT MEDIUM            $159.75
55123   SPLINT HAND LEFT LARGE              $130.00
55124   SPLINT HAND RIGHT LARGE             $159.75
55130   SPLINT SPRING EXTENSION SZ A         $52.00
55131   SPLINT SPRING EXTENSION SZ B           $52.00
55132   SPLINT SPRING EXTENSION SZ C           $52.00
55133   SPLINT SPRING EXTENSION SZ D           $86.00
55138   SPLINT WRIST AND THUMB SPICA SMAL      $69.00
55143   SPONGE ROUND                            $0.00   Utilization
55144   SHOE POST OP MEN/MED (321161)          $49.50
55145   SHOE POST OP WOMEN/SML (334748)        $49.50
55154   STOCKINETTE JOBST (NC15708)             $0.00   Utilization
55155   STOCKINETTE JOBST 4 INCH                $0.00   Utilization
55160   STRAPS BUDDY 5/8 INCH                   $0.00   Utilization
55161   STRAPS BUDDY 2 INCH                     $0.00   Utilization
55162   BALL FOAM NURF                          $0.00   Utilization
55176   SPLINT DORSAL BLOCK                    $78.00
55177   SPLINT RESTING PAN                     $78.00
55178   SPLINT RHEUMATOID ARTHRITIS            $76.00
55179   SPLINT STATIC ELBOW                   $125.00
55180   SPLINT WRIST IMM W/DYNAMIC FLEX        $72.00
55181   SPLINT SHORT OPPONENS                  $31.50
55182   SPLINT LONG ARM                       $195.00
55183   SPLINT FINGER                          $11.00
55184   DOWEL ROD                               $0.00   Utilization
55185   BEACH BALL                              $0.00   Utilization
55187   SPLINT SAFETY PIN MEDIUM               $65.00
55190   STOCKINETTE PLAIN                       $0.00   Utilization
55191   MINI MASSAGER                          $45.75
55192   HAND HELPER                            $49.50
55193   PUTTY GREEN                             $0.00   Utilization
55194   PUTTY BLUE                              $0.00   Utilization
55195   DRESSING LIGHT                         $30.00
55196   DRESSING LIGHT COMP                    $27.75
55197   TENNIS ELBOW BAND                      $63.00
55198   GLOVES RT WOMENS                        $0.00   Utilization
55199   ELBOW PAD                              $39.00
55205   THERABAND                               $0.00   Utilization
55210   PULLEY SYSTEM REHAB                    $33.00
55474   GENERATOR INSYNC II SYSTEM 7289         $0.00
55475   ELECTRODE PACEMAKER 1642T           $4,365.00
57020   AFO CUSTOM(MOLD TO PT)DPOC            $496.37
57021   AFO CUSTOM(MOLD TO PT)CVPO            $375.01
57025   SOFT CERVICAL FLEXIBLE COLLAR HAN      $36.75
57026   SOFT CERVICAL FLEXIBLE COLLAR DPO      $20.13
57027   SOFT CERVICAL FLEX COLLAR CVPO         $16.38
57029   SPARE LINER KIT-MIAMI COLLAR DPOC       $0.00
57033   CERV COLLAR-SEMI RIGID-MIAMI CVPO     $105.00
57035   AFO PLASTIC DPOC                      $179.38
57037   PAD CPM                               $154.00
57045   SOFT INTERFACE-ABOVE KNEE-HANGER       $94.00
57046   SOFT INTERFACE-ABOVE KNEE-CVOP         $64.00
57048   KNEE ORTHO-ADJ KNEE JT-HANGER         $540.00
57050   CERV COLLAR SUPP ADJ BAR-HANGER       $520.00
57055   CTLSO A-P-L CONTROL W/INT -HANGER   $2,090.00
57056   HALO CERV INTO JACKET VA-HANGER     $2,580.00
57058   REPLACEMENT CTO LINER KIT-HANGER      $130.00
57059   HO,ABD CONTROL-HIPS,FLEX-CVOP          $76.90
57061   KO,ELASTIC W/CONDLR PADS-CVOP          $73.23
57063   KNEE DBL UPR,N-MOLD THGH/CUFF-CVP     $450.00
57064   AFO POST,SOLID ANKL MOLD TO PT-CV     $520.10
57065   DROP LOCK KNEE-HANGER                  $80.00
57066   HEAVY DUTY HI-DPO                     $225.00
57071   RPLACEMENT CTO LINER - HANGER         $130.00
57072   FOREARM/ARM CUFFS,FREE MOTION-HAN     $640.00
57073   SHRINKER-BELOW KNEE-HANGER             $44.25
57074   REPLCMNT LINER-ASPEN LS-ALLIANCE       $32.50
57075   THIGH WT BEAR LACER/NON MOLD-HANG     $213.26
57077   DIABETIC EXTRA DEPTH SHOE              $64.26
57079   DIAB.EXTRA DEPTH SHOE ROCKER BTM-      $32.19
57080   UPPER EXTREM FX ORTHOSIS HUMERAL      $186.73
57081   UPPER EXTR FX ORTHO,SOCK FX O EQU      $17.26
57082   SO VEST TYPE ABD RESTRAIN,CANV WE      $77.18
57083   THORACIC RIB BELT CUSTOM FAB-CVO       $56.69
57084   ADD TO LOWER EXTREM,PATTEN BOTTOM     $206.12
57086   REPLACEMENT OF HALO PIN-HANGER        $330.00
57090   ACROMIO/CLAVICAL (CANVAS&WEBBING)      $70.00
57095   MIAMI J COLLAR - ALLIANCE              $92.50
57103   BELOW KNEE SOCKET W/O LOCK BRACE-     $913.49
57107   LSO CORSET FRONT-HANGER               $105.00
57108   DORSI &PLANTAR FLEX ASS/RES-HANGE     $148.67
57112   REPLACEMENT PADS,MIAMI J COLLAR-A      $36.00
57114   ADDITION TO LE-DORSI FLEX-CVO          $50.55
57115   PNEUMATIC WALKING SPLINT(CVO)         $149.55
57117   FOREARM/ARM CUFFS-FREE MOTION-HAN     $580.93
57118   ADDL LIMITED MOTION KNEE BRACE-DP      $74.60
57120   PLASTIC MOD LOW EXT-HANGER            $115.00
57121   SOCKET INSERT BELOW KNEE-HANGER       $280.00
57122   PROSTHETIC SOCK MULTI-PLY-HANGER       $20.19
57124   APPLIC OF RIGID DRESSING-CVO          $782.62
57125   LE PROST COMBO ANKLE/FOOT-CVO         $224.46
57126   PROSTHETIC SOCK,WOOL B/K-CVO           $12.79
57127   PROSTHETIC SHEATH B/K CVO              $16.83
57128   SOFT CERVICAL COLLAR-ALLIANCE          $18.64
57179   DIABETIC SHOE-CVO                     $197.00
57181   FOOT INSERT-METATARSAL-CVO             $72.38
57182   FOOT INSERT-BERKLEY SHELL-CVO         $119.18
57185   KAFO-RIGID CUSTOM-DPO                 $864.74
57186   PROST SHRINKER AK-CVO                 $115.16
57187   TIG LENGTH SOCK-CVO                    $52.62
57188   AFO TIB FX-CVO                        $793.41
57190   TLSO- CVO                           $1,354.09
57191   SHRINKER BK - DPO                      $89.44
57192   TLSO -CVO                           $1,354.09
57193   ELBOW ORTHOSIS-HANGER                 $323.41
57194   KO DOUBLE UPRIGHT-CVO                 $839.74
57195   CTLSO BRACE-ALLIANCE                $1,451.31
57197   KAFO -DPO                             $625.79
57199   LSO CORSET FRONT - DPO                $103.29
57201   KO DBL UPRIGHT - DPO                  $615.27
57203   CUSTOM MOLDED LEATHER LACER HANGE     $356.39
57204   CTLSO - CVO                         $1,289.26
57205   TLSO CVO                              $934.38
57206   KO IMMOBILIZER CVO                     $70.24
57207   ADD DROP LOCK CVO                      $50.90
57208   ADD TO LE CVO                         $217.34
57209   ADD TO KNEE JOINT CVO                 $109.60
57210   KAFO- CVO                           $1,335.87
57211   ADD TO SOCK-CVO                        $90.14
57216   KO DOUBLE UPRIGHT THIGH/CUFF -CVO     $378.39
57217   ABDUCT HIP FLEX PAVLIK -HANGER        $113.08
57218   WHFO SHORT OPPONENS -DPO              $148.38
57220   CERV ORTH W/T-SPINE EX -DPO           $391.58
57221   KO DOUBLE UPRIGHT BRACE -CVO          $378.39
57222   SOFT(FOAM) CERVICAL COLLAR-ALLIAN      $15.64
57223   PROTECTIVE BODY SOCK -HANGER           $46.54
57225   NON CORROSIVE FINISH -DPO              $64.15
57227   AFO SOLID PLASTIC -HANGER             $477.58
57228   ANT THORACIC EXTENSION -ALLIANCE      $222.35
57232   LINER KIT- HANGER                      $51.00
57233   STATIC AFO - DPO                      $129.66
57235   AFO PLASTIC MOLD-CVO                  $357.76
57240   PRE-TIBIAL SHELL-DPO                  $448.58
57241   FRACTURE ORTHOSIS HUMERUS,DP&O        $303.63
57242   ADD UE ORTH SOCK,FRACTURE-DP&O         $56.12
57244   THORACIC BRACE-ALLIANCE               $284.06
57245   FOOT PLATE-MOLDED-CVO                 $285.32
57246   ADD TO LE FX ORTH - CVO                $90.66
57247   ADD TO LE ORTH - CVO                   $94.02
57248   KAFO - CVO                          $1,295.87
57250   AFO, SPIRAL PREFAB-HANGER             $990.00
57252   CARBON GRAPHITE CONSTRUCTION-HANG     $155.00
57253   PNEUMATIC ANKLE SPLINT-CVO             $71.77
57254   KAFO -CVO                           $2,174.76
57257   MOLDED INNER BOOT-CVO                 $363.58
57258   PRE TIBIAL SHELL-CVO                  $358.86
57259   ADD TO LE PATTEN BOTTOM-CVO           $206.12
57266   AFO RX ORTHOSIS-CVO                   $571.61
57267   AFO-MULTILIGAMENTOUS-CVO               $50.20
57268   KO DEROTATION-DPO                   $1,394.44
57270   BK,TI CARB-FIB - DPO                  $323.01
57271   BF ALIGNABLE SYS-DPO                  $219.44
57273   CERV SEMI RIGID-CVO                   $106.44
57277   ORTHO MAN'S SHOE - DPO                 $60.00
57278   BK ALIGNABLE SYS-DPO                  $219.44
57279   RECUMBENT POSITI DEVICE-HANGER         $53.98
57280   WRIST FX ORTHOSIS HANGER              $490.58
57281   SURGICAL BOOT-CVO                      $61.23
57282   TLSO-2 SHELL-HANGER                   $709.87
57283   TLSO-FLEX-RIGID-HANGER              $1,172.00
57284   ADD ORTHOSIS PAD-CVO                  $125.42
57285   ADD ORTHOSIS-CVO                       $85.64
57286   ADD STAINLESS STEEL BAR-CVO           $198.30
57287   ADD THIGH WT BEARING-CVO              $510.00
57288   ADD KNEE RATCHET-CVO                  $180.22
57289   ADD OFFSET KNEE-CVO                   $230.28
57290   ADD SCOTT CRAIG TYPE-CVO              $160.96
57291   AFO MOLDED - CVO                      $743.28
57298   L5400-POST SURG RIGID-DPO             $961.42
57299   L4350-PNEUMATIC ANKLE SPLINT-HNGR      $81.13
57301   TLSO - HANGER                         $365.24
57302   CERV SEMI RIGID WIRE-CVO              $106.45
57303   CERVI SEMI RIGID-ADJ-CVO               $86.77
57304   KNEE ORTHOSIS-HANGER                  $556.39
57305   ELASTIC KNEE CAP ORTH-HANGER           $37.25
57306   AFO TIB FC-DPO                        $440.14
57310   WRIST GAUNTLET W/THUMB SPICA-CVO      $399.12
57311   WRIST GAUNTLET-CVO                    $310.47
57312   TAPERED HEEL ELEVATION-HANGER          $57.97
57313   CUSTOM MOLDED INSERT-HANGER           $126.90
57314   MENS SHOES-DEPTH INLAY-DPO            $250.00
57316   LSO-FLEXIBLE-ALLIANCE                 $127.26
57317   LSO/SHELL PREFAB-CVO                  $760.52
57319   CERVICAL SEMIRIGID COLLAR-ALLIANC     $220.58
57320   AFO-RIGID PREFAB-HANGER               $631.06
57321   HALO ADDITION-HANGER                  $825.33
57322   LUMBAR ORTHOSIS-ALLIANCE              $322.98
57323   KO WITHOUT JOINT-CVO                  $589.14
57324   LUMBAR ORTHOSIS - ALLIANCE            $322.98
57325   RIGID ELBOW ORTHOSIS-CVO               $61.52
57326   ADDITION TO LE ORTHOSIS-CVO            $69.73
57327   HALO REPL LINER-HANGER                $152.42
57328   ADD TO LE STRAP-CVO                    $43.12
57330   LSO -HANGER                           $932.71
57331   LSO -DPO                              $950.64
57333   KNEE SHRINKER-HANGER                   $64.14
57334   KO-KNEE BRACE-CVO                     $437.18
57335   TEST SOCKET-CVO                       $187.65
57336   BELOW KNEE SUSP-CVO                   $850.99
57337   REPL SOCKET BK-CVO                  $2,342.64
57338   CUSTOM COVER-CVO                      $391.24
57339   BELOW KNEE SOCKET-CVO                 $203.90
57340   BELOW KNEE TOTAL CONTACT-CVO          $246.15
57341   SOCKET INSERT-W/O LOCK                $418.94
57342   INITIAL CUSTOM SOCKET-CVO             $828.47
57343   ADD-ON ENDO SYSTEM-CVO                $502.82
57344   PLASTAZOTE INSERT-HANGER              $126.90
57345   CUSTOM FIT PLASTAZOTE SHOE-HANGER     $121.10
57348   BK WAIST BELT WEBBING                  $65.31
57349   BK FORK STRAP-DPO                      $51.46
57350   ENERGY STORING FEET-DPO               $598.83
57352   ANKLE FOOT ORTHOSIS-ALLIANCE          $189.97
57353   CTLSO-APL-ALLIANCE                  $1,467.33
57355   ADD TO HALO-DPO                       $917.03
57356   CERVICAL HALO-DPO                   $2,588.89
57357   THORACIC RIB BELT-ALLIANCE             $30.25
57358   CERV HALO-DPO                       $2,588.89
57359   RIB BELT-ALLIANCE                      $30.25
57362   RIGID LSO-DPO                       $1,036.35
57363   KO SINGLE UPRIGHT SPLINT-DPO        $1,595.91
57364   CERVICAL COLLAR-HANGER                $466.47
57367   AMB SURG BOOT - HANGER                $133.70
57370   LSO - DPO                             $950.64
57374   ABDUCTION CONTROL-HIP JOINTS-CVO      $978.32
57375   VARUS VALGUS STRAP-PLASTIC-CVO         $94.18
57376   AFO POST SOLID ANKLE MOLD-CVO         $445.06
57380   WHFO LONG OPPONENS-DPO                $307.29
57382   KAFO - DPO                          $1,619.84
57383   SOCK-AK-WOOL-DPO                       $22.32
57385   FOOT ARCH SUPPORT-CVO                  $57.97
57386   EO DBLE UPRIGHT FLX-DPO               $885.36
57387   SPARE LINER KIT-MIAMI COLLAR-HANG      $51.00
57388   HALO-DPO                              $350.00
57389   WALKING SPLINT -HANGER                $218.85
57391   30-40MMHG-BELOW KNEE-DPO               $85.00
57393   MISC ADD TO SPINAL ORTHOSIS-HANGE      $51.00
57394   ADD TO LE-PATTEN BOTTOM-DPO           $257.65
57395   LONGITUDINAL/METATARSAL-DPO           $155.91
57396   PTB SOCKET FOR AFO-DPO                $894.32
57397   AFO RIGID ANT TIBIAL-DPO              $929.10
57400   LSO--ALLIANCE                         $801.63
57401   AFO-CUSTOM FITTED-PLASTIC-CVO         $237.44
57402   LSO--DPO                            $1,422.21
57403   EO DBLE UPRT-DPO                    $1,049.67
57404   PHILADELPHIA COLLAR-HANGER            $112.47
57405   TLSO HANGER                         $1,096.37
57406   TLSO --HANGER                       $1,588.85
57407   L S O-HANGER                           $61.88
57408   HIP ABDUCTIO W/HIP JTS-HANGER       $1,100.61
57409   CUSTOM FIT PLASTIC AFO-HANGER         $222.88
57410   BI-PLANAR CONTROL HIP JT-HANGER       $299.12
57412   WALKING SPLINT-NON PNEUMATIC HANG     $112.12
57413   COMPRESSION STOCKINGS -DPO            $150.00
57414   CERV COLLAR-ALLIANCE                   $48.19
57415   HUMERAL FX ORTHOSIS - HANGER          $285.01
57416   ORTHOSIS INTERFACE SOCK- HANGER        $26.34
57418   AMBULATORY SURG BOOT-DPO              $150.00
57419   HO ABD CONTROL-CUSTOM-DPO             $954.92
57420   TLSO -DPO                           $1,630.06
57421   LO FLEXIBLE -HANGER                    $40.62
57422   CERV COLLAR-TWO PIECE-DPO             $287.57
57423   MIAMI J COLLAR PADS-DPO               $100.00
57424   AFO-PLASTIC-DPO                       $384.14
57425   KO-KNEE BRACE-DPO                     $569.97
57426   AMBULATORY BOOT-DPO                   $150.00
57427   RIGID DRESSING-CVO                  $1,018.04
57428   BELOW KNEE PTB-CVO                  $1,477.54
57429   BELOW KNEE ALIGN-CVO                  $232.36
57430   PROSTH SHRINKER-CVO                    $36.00
57431   PARTIAL FOOT SHOE-CVO                 $385.56
57432   EXTRA DEPTH SHOE-CVO                   $47.00
57433   DIABETIC SHOE-HANGER                   $61.91
57434   METATARSAL BAR-HANGER                  $27.54
57435   TORSCONT-DPO                          $128.88
57436   BELOW KNEE MATERIAL-CVO               $342.03
57437   FLEX KEEL FOOT-CVO                    $301.48
57438   MULTI-AXIAL ROTATION UNIT-CVO         $542.07
57439   HO RANCHO HIP-DPO                   $1,275.49
57440   TIBIAL SECTION INTERFACE -HANGER       $81.82
57441   TLSO DPO                              $405.83
57443   LSO HANGER                            $757.20
57444   LO FLEXIBLE-WM FORM-HANGER            $303.18
57445   ABDUCTION HIP BRACE-CVO             $1,020.40
57446   AFO-CUSTOM FAB -DPO                   $606.73
57447   KAFO DPO                            $1,741.64
57448   ADDL PLASTIC SHOE INSERT-DPO          $122.59
57449   ADD TO LE-DPO                         $118.20
57450   LIMITED ANKLE MAOTION-DPO              $49.77
57451   DOUBLE ACTION ANKLE-DPO                $86.23
57452   VARUS/VALGUS PLASTIC -DPO             $122.79
57453   INTERFACE BK SECTION - DPO             $90.91
57454   INTERFACE AK SECTION-DPO               $98.35
57455   TIBIAL SOCK -DPO                       $34.30
57456   FEMORAL LENGTH SOCK -DPO               $58.76
57457   PNEUMATIC WALKING SPLINT-CPO          $253.63
57458   SOCK BK-WOOL-DPO                       $21.69
57459   AFO-CUSTOM MOLD-DPO                   $517.71
57460   AFO-SOLID ANKLE-DPO                   $580.25
57461   ADD TO LE-PC-DPO                      $346.65
57462   TIBIAL LENGTH SOCK -DPO                $34.30
57463   PNEUMATIC WALKING SPLINT-DPO          $253.63
57464   ADDITION TO LE BK/AK-DPO              $655.43
57465   LSO-WARM N FORM DPO                   $225.31
57466   ORTHO FOOTWARE CVO                    $236.53
57468   TLSO/DPO                            $1,765.39
57469   KO DOUBLE UPRIGHT -DPO                $740.95
57470   RIGID FEM FX CAST-HANGER            $1,114.19
57471   PLASTIC SHOE INSERT-HANGER            $110.33
57472   DROP LOCK KNEE JOINT-HANGER            $75.50
57473   EXTRA DEPTH SHOE-DPO A5500             $62.41
57474   FEMORAL LENGTH SOCK-HANGER             $79.32
57475   CERV SEMIRIGID COLLAR-ALLIANCE        $110.29
60001   VALVE MITRAL 27MM (31002701        $22,200.00
60002   NEBULIZER CAP 1000ML (2818)            $26.25
60003   AEROSOL TUBING 6FT (1709)               $0.00   Utilization
60004   VENTI COMP BAG (2017)                  $16.50
60005   BAG TRACH AERO (2022)                   $15.50
60006   STENT ACCULINK 6.0X30 1011338-30    $11,931.00
60007   STENT ACCULINK 6.0X20 1011338-20    $11,931.00
60008   CIRCUIT IPPB (1424)                     $18.50
60009   SPIROMETER (2940)                       $30.00
60011   STENT ACCULINK 7.0X20 1011339-20    $11,931.00
60012   STENT ACCULINK 7.0X30 1011339-30    $11,931.00
60013   MASK AEROSOL STD (72092)                 $0.00   Utilization
60014   STENT ACCULINK 8.0X20 1011340-20    $11,931.00
60015   STENT ACCULINK 8.0X30 1011340-30    $11,931.00
60016   SYSTEM COMP INTRODUCER 410114SYS         $1.00
60017   STENT ACCULINK 7.0X10 1011344-30    $13,095.00
60018   KNEE STEM NEXGEN (5988-16-24)        $3,954.75
60019   PLATE PERIARTICULAR 2347-01-14       $3,583.00
60020   SYSTEM HIP POROUS 98-0001-000-01     $1,162.00
60021   SYSTEM HIP POROUS 98-0001-000-03    $17,500.00
60022   SYSTEM HIP POROUS 98-0001-000-11    $17,100.00
60023   SYSTEM HIP POROUS 98-0001-065-00    $17,900.00
60024   BOLT LOCKING 459.30                    $560.00
60025   BOLT LOCKING (459.34)                  $560.00
60026   BOLT LOCKING (459.38)                  $560.00
60027   BOLT LOCKING (459.40)                  $560.00
60028   SYSTEM HIP POROUS 98-0001-200-01    $18,700.00
60029   BOLT LOCKING (459.44)                  $560.00
60030   BOLT LOCKING (459.50)                  $480.00
60031   SYSTEM HIP EPOCH 98-4075-000-02     $22,700.00
60032   SYSTEM HIP EPOCH 98-4075-000-03     $22,300.00
60033   SYSTEM HIP EPOCH 98-4075-065-01     $23,500.00
60034   SOL WATER/RESP 1000ML (2829)            $20.25
60035   BOLT T (828-193)                     $2,090.00
60036   ALLOGRAFT STATURE SM 10M (011810)   $14,346.00
60037   SPINE PLATE TSLP 40MM (489.440)     $16,430.00
60038   SCREW 5.5X28MM (489.150)             $2,611.00
60039   SCREW 5.5X33MM (489.156)             $2,611.00
60040   SCREW 5.5X48MM (489.170)             $2,602.00
60041   KNEE TIBIAL COMPONENT 5988-001-27    $5,114.00
60042   KNEE TIBIAL COMPONENT 5988-001-28    $5,114.00
60044   KNEE TIBIAL COMPONENT 5988-001-29    $5,114.00
60045   BONE ALLOGRAFT (100080) OR (50008    $2,760.00
60046   KNEE TIBIAL COMPONENT 5988-001-39    $5,114.00
60047   PLUG ANAL FISTUAL 0.6X9.5 G36226     $4,947.00
60048   SCREW 4X40MM (2347-21-40)              $152.00
60049   BONE ALLOGRAFT (320764)              $2,410.00
60050   BONE ALLOGRAFT 910220                $2,530.00
60051   HIP FEMORAL STEM CPT (8114-02-30)    $4,831.00
60052   BONE ALLOGRAFT (920420)              $5,070.00
60053   SPINE PLATE 31MM (1883-62-031)      $16,950.00
60054   SCREW BONE 4.5X14MM (1883-62-014)      $837.00
60055   SCREW BONE 4.5X12MM (1883-62-012)      $837.00
60056   SAFETY DRAIN W/TUBING KIT 352578        $26.75
60057   BONE CANCELLOUS CRUSHED 3101         $2,070.00
60058   HIP ACETABULAR COMP (1541-42-320)    $2,095.00
60059   HIP FEMORAL COMP (1541-18-000)      $10,616.00
60060   PLATE ATLANTIS 65MM (976-165)        $8,628.00
60061   GENERATOR AICD PRIZM VR (1852)      $74,000.00
60062   BONE CORTICAL STRUT 200MM 920764     $2,410.00
60063   KNEE TIBIAL COMPONENT 5988-003-28    $5,114.00
60064   SPINE ROD PREBENT (1883-63-200)      $1,951.00
60065   BONE FIBULA SHAFT 60MM (310810)      $1,870.00
60066   SCREW SET OC (1883-62-025)             $502.00
60067   KNEE TIBIAL COMPONENT 5988-002-28    $5,114.00
60068   KNEE TIBIAL COMPONENT 5988-002-29    $5,114.00
60069   BREAST EXPANDER 350-0350             $5,820.00
60070   KNEE TIBIAL COMPONENT 5988-002-38    $5,114.00
60071   BREAST EXPANDER (354-2020)          $10,470.00
60072   TRACH MASK                               $0.00   Utilization
60073   KNEE TIBIAL COMPONENT 5988-002-39    $5,114.00
60074   BREAST EXPANDER (354-3500)           $3,490.00
60075   BREAST EXPANDER (354-4000)          $10,470.00
60077   BREAST EXPANDER (354-5000)           $4,360.00
60087   BREAST EXPANDER TWO STAGE (3611ES    $4,360.00
60089   IMPLANT OPUS FIX DEVICE (OM1500)     $3,492.00
60091   MOUTH SEAL (39680)                      $20.25
60092   ADAPTER WEANING (7725)                   $0.00   Utilization
60093   MASK CHILD SM (5240)                     $0.00   Utilization
60096   BAG AMBU CHILD (10-55104)              $185.00
60097   BREAST IMPLANT (27-168271)           $3,490.00
60098   BREAST IMPLANT 27-168301             $3,490.00
60099   SYSTEM COMPONENT HIP LINER 36X56         $1.00
60100   SYSTEM COMP HIP HEAD BIPOLAR             $1.00
60101   QUICK CLIP 2 HX-201UR-135              $443.00
60102   AERO VENT (6517)                        $38.25
60103   AMBU BAG ADULT (14281)                   $0.00   Utilization
60104   SYSTEM COMP LEAD BI V 1056K/86SYS        $1.00
60105   BREAST IMPLANT (27-363231)           $4,360.00
60106   BREAST IMPLANT (27-363391)           $4,360.00
60107   AIRWAY SZ 2 (80-122)                     $0.00   Utilization
60108   AIRWAY SZ 3 (1558)                       $0.00   Utilization
60109   AIRWAY SZ 4 (1553)                       $0.00   Utilization
60110   AIRWAY SZ 5 (1552)                       $0.00   Utilization
60111   PACEMAKER INSIGNIA NO CHARGE             $1.00
60112   MASK O2 NON-REBREATHER (71624)           $0.00   Utilization
60113   TENT AEROSOL FACE (001220)               $0.00   Utilization
60114   HUMIDIFIER PREFILL 500ML (1676)          $0.00   Utilization
60115   MASK VENT (72260)                       $15.50
60116   BLOOD GAS KIT (28639)                   $31.50
60117   BLOOD GAS SYRINGE (25489)                $0.00   Utilization
60118   SCREW CANN PART THREAD 214.456       $1,117.00
60119   FLOWMETER PEAK TRUZONE (327090)        $100.00
60120   MISTY NEB (2887)                         $0.00   Utilization
60121   SCREW 7.5X55MM 75447555              $5,321.00
60122   AEROCHAMBER W/MASK (306840)            $130.00
60123   AEROCHAMBER (58177)                     $63.00
60125   KNEE FEMORAL COMP 5994-40-28         $8,586.00
60126   BREAST IMPLANT (354-2660)            $3,490.00
60127   BREAST IMPLANT (354-2670)            $3,490.00
60128   SYSTEM PACEMAKER KDR900SYSTEM       $23,980.00
60129   BONE ALLOGRAFT 60CC LCILM            $4,074.00
60130   BREAST IMPLANT 350-3310              $3,346.50
60131   BREAST IMPLANT 350-1515             $11,640.00
60132   HIP ACETABULAR SHL 65-6200-60-20     $6,838.50
60133   LEAD EPICARDIAL 4047                 $3,783.00
60134   KNEE COMP RT FEMUR TC3 (96-0087)    $13,650.00
60135   KNEE COMP FEMORAL STEM 96-0720       $5,129.00
60136   KNEE COMP POST AUGMENT 96-0828       $3,383.00
60137   KNEE COMP DISTAL AUGMENT 96-0821     $3,383.00
60138   KNEE COMP OFFSET TIBIA 98-1162      $11,021.75
60139   KNEE TIBIAL WEDGE 86-0176            $6,111.00
60140   KNEE TIBIAL STEM 86-6402             $3,492.00
60141   KNEE ARTICULATING SURFACE 96-0512    $6,875.00
60142   SCREW 4.5X40MM 14022-40                $124.75
60143   SCREW 4.5X44MM 14022-44                $124.75
60144   SCREW 5.5X30MM 1515-30                 $803.50
60145   CANNULA ARTERIAL STRAIGHT (71424)    $1,880.00
60146   HIP COMP FEM STEM M/L 7711-005-00   $10,890.50
60147   HIP COMP FEM STEM M/L 7711-005-20   $10,890.50
60148   HIP COMP FEM STEM M/L 7711-006-00   $10,890.50
60149   CATH GROSHONG DUAL LUMEN (7726952    $1,770.00
60150   HIP COMP FEM STEM M/L 7711-006-20   $10,890.50
60151   HIP COMP FEM STEM M/L 7711-007-00   $10,890.50
60152   HIP COMP FEM STEM M/L 7711-007-20   $10,890.50
60153   HIP COMP FEM STEM M/L 7711-009-00   $10,890.50
60154   HIP COMP FEM STEM M/L 7711-009-20   $10,890.50
60155   CLIP ANEURYSM (20-1262)              $1,140.00
60156   HIP COMP FEM STEM M/L 7711-010-00   $10,890.50
60157   CLIP ANEURYSM (20-1271)              $1,130.00
60158   HIP COMP FEM STEM M/L 7711-010-20   $10,890.50
60159   HIP COMP FEM STEM M/L 7711-011-00   $10,890.50
60160   HIP COMP FEM STEM M/L 7711-012-20   $10,890.50
60161   HIP COMP FEM STEM M/L 7711-013-00   $10,890.50
60162   HIP COMP FEM STEM M/L 7711-013-20   $10,890.50
60163   HIP COMP FEM STEM M/L 7711-015-00   $10,890.50
60164   HIP COMP FEM STEM M/L 7711-015-20   $10,890.50
60165   SCREW 71642225                         $886.25
60166   PLATE 281.55S                        $2,025.50
60167   COIL GDC10 2 X 3 (343203)            $4,947.00
60168   SYSTEM GENERATOR 7289SYSTEM         #########
60169   HIP COMP PAR 5 SHELL 109260         $14,308.00
60170   HIP COMP SHORT FLANGE 109201         $4,487.25
60171   HIP COMP OBTURATOR HOOK 109220       $5,587.25
60172   HIP COMP LINER 32MMX10 11-105873     $6,303.25
60173   COVER BURR HOLE (50-310-22)            $800.00
60174   STENT BILIARY (1008016-18)           $8,700.00
60175   SCREW SEXTANT CD HORIZON 8676535     $8,090.00
60176   SCREW SEXTANT CD HORIZON 8676540     $8,090.00
60177   ROD PREBENT SEXTANT CD 8672045       $2,601.75
60178   ROD PREBENT SEXTANT CD 8672040       $2,601.75
60179   SET SCREW SEXTANT CD 8670855         $1,149.50
60180   SCREW SEXTANT CD HORIZON 8676550     $8,090.00
60181   ROD PREBENT SEXTANT CD 8672030       $2,601.75
60182   SCREW THORACIC 5.5X30MM 9335530      $2,991.50
60183   SCREW THORACIC 5.5X35MM 9335535      $2,991.50
60184   SCREW THORACIC 5.5X40MM 9335540      $2,991.50
60185   PLATE THORACIC 75CM 9331075         $14,201.00
60186   STAPLE THORACIC ROSTRAL 9330001      $5,983.00
60187   STAPLE THORACIC CAUDAL 9330002       $5,983.00
60188   HIP REVISION STEM 11806-B           $13,363.25
60189   BREAST IMPLANT 25-68275LP            $3,201.00
60190   SCREW (AR-1400B)                       $896.50
60191   VEIN SAPHENOUS (V010 62CM)          $18,720.00
60192   PIN DISTAL LOCK 132203                 $697.25
60193   ELECTRODE PACEMAKER (4058M-110)      $5,080.00
60194   ELECTRODE PACEMAKER (4068-52)        $4,740.00
60197   BREAST EXPANDER 354-6113             $7,537.00
60198   KNEE TIBIAL STEM 6307-01-210        $10,129.00
60199   KNEE TIBIAL INSERT 6276-01-709       $8,060.75
60200   KNEE FEMORAL COMP 6307-00-021       $15,103.00
60201   SYSTEM CEMENTLESS TOT HIP MMMCCC    $22,800.00
60202   SCREW 77535P                         $3,906.75
60203   KNEE FEMORAL COMP 5994-15-92        $14,756.00
60204   HIP FEMORAL COMP 7841-13-20         $13,362.75
60205   SCREW 9336540                        $3,166.25
60206   ELECTRODE PACEMAKER (6492)             $130.00
60207   HIP STEM ML TAPER 10 STD 7711-10    $10,890.50
60208   BONE ALLOGRAFT 60CC LCCXM            $4,074.00
60209   SYSTEM SPINE IMP LVL 2 POLYAXIAL    $22,168.00
60210   CONNECTORS TSRH MED 8379121          $5,022.50
60211   CONNECTORS TSRH SMALL 8379120        $4,481.50
60212   ROD TSRH 8CMX5.5MM 8370080           $1,939.50
60213   NAIL IM 71634436                     $7,396.00
60214   COIL GDC 3-D 3MMX6CM 345306-4        $5,500.00
60215   NAIL IM 71633230                     $7,396.00
60216   DEFIBRILLATOR CARDIOVERTER 7278     $83,200.00
60217   SHOULDER STEM DWB092                $12,120.00
60218   PEG THREADED TP-16                     $513.00
60219   HIP FEMORAL COMPONENT 7841-14-30    $10,796.00
60220   CONNECTOR MEDIUM 8379121C            $4,272.00
60221   BREAST EXPANDER 354-6214             $7,537.00
60222   FILTER VENA CAVA FEMORAL (2120F)     $5,530.00
60223   BONE ALLOGRAFT 44115                 $8,002.50
60224   FILTER VENA CAVA JUGULAR (50-400)    $6,550.00
60225   SPINE CROSSLINK X-10 (8115534)       $5,925.00
60226   IMPLANT ANT. THORACIC (SD495.325)   $18,058.25
60227   SYSTEM SPINE VUELOK (SPINE LEV.2)    $9,254.00
60229   MESH 26X25SPECIAL (XIB0301-010      $11,267.75
60230   FLEX FEMORAL 5950-15-06             $12,821.50
60231   BONE ALLOGRAFT 44105                 $4,731.75
60232   KNEE CR ARTICULAT. 90-5970-40-10     $2,910.00
60233   SYSTEM HYBRID TOTAL HIP             $12,800.00
60234   NAIL GAMMA CM640113S                 $7,537.00
60235   ELECTRODE AICD 0158                 $26,030.00
60236   SCREW LEGACY 7.5X35MM 754-6535       $5,319.50
60237   PLATE LG RT CLAVICLE (PL-CLR8)       $4,062.50
60238   SCREW 4.0X16.0MM CA-4160               $403.25
60239   SCREW 4.0X25.0MM CA-4250               $403.25
60240   SCREW 4.0X27.5MM CA-4275               $403.25
60241   SPINE IMPLANT 20X7X7 PLB001-0707     $9,603.00
60242   HIP FEMORAL COMP0ONENT 8019-36-01    $2,095.00
60243   SPINE IMPLANT 20X9X11 PLB001-0911    $9,603.00
60244   LEAD DEFIBRILLATOR ENDO DUAL 0157   $26,030.00
60245   SPINE IMPLANT 25X8X9 PLB002-0809     $9,603.00
60246   SPINE IMPLANT 25X9X11 PLB002-0911    $9,603.00
60247   SPINE IMPLANT25X10X13 PLB002-1013    $9,603.00
60248   NAIL (0132046)                       $3,180.00
60249   SPINE IMPLANT 20X8X9 PLB003-0809     $9,603.00
60250   SPINE IMPLANT 20X9X11 PLB003-0911    $9,603.00
60251   SPINE IMPLANT20X10X13 PLB003-1013    $9,603.00
60252   SPINE IMPLANT 25X8X9 PLB004-0809     $9,603.00
60253   SPINE IMPLANT 25X9X11 PLB004-0911    $9,603.00
60254   PUTTY DYNAGRAFTII 5CC 02-2010-050    $2,730.00
60255   PUTTY DYNAGRAFT 02-2010-100          $4,950.00
60256   SPINE IMPLANT25X10X13 PLB004-1013    $9,603.00
60257   SPINE IMPLANT25X11X15 PLB004-1115    $9,603.00
60258   HIP STEM STD. 7841-14               $10,796.25
60259   KNEE CR FLEX FEM STEM 5950-16-02    $12,821.50
60260   GENERATOR PACEMAKER 1297            $27,210.00
60261   SCREW 4.5X13MM 6860053               $2,008.00
60262   CORNERSTONE BONE BLOCK 6MM 200641    $4,830.75
60263   FEMORAL HEAD (1018-36-508)           $6,198.50
60264   ACETAB CUP LINER (1220-36-562)       $7,158.75
60265   CERAMIC HEAD (1365-36-330)           $8,271.75
60266   K-WIRE (1210-6450S)                    $550.00
60267   HIP FEMORAL COMP (0132144)           $2,650.00
60268   PIN DISTAL LOCKING (0132205)           $600.00
60269   HIP STEM EPOCH 4075-16-02           $20,540.00
60270   GRAFT BONE SZ 6-7 (245741)           $5,209.00
60271   STENT EXPRESS 2 MONORAIL (35050-2    $6,690.00
60272   GENERATOR PACEMAKER (292-03)        $22,790.00
60273   GRAFT BONE SZ 8 (245841)             $5,209.00
60274   FUSION DEVICE (8941423)             $12,936.00
60275   TOTAL HIP SYSTEM HYBRID             $16,296.00
60276   SCREW (207.026)                         $85.75
60277   VALVE MITRAL 29MM 31002901          $24,820.00
60278   BREAST SIZER (SZ68210)                 $330.00
60279   BREAST SIZER (SZ68240)                 $330.00
60280   STENT MONORAIL EXP II (35050-1222    $6,690.00
60281   STENT MONORAIL EXP II (35050-1225    $6,690.00
60282   STENT MONORAIL EXP II (35050-1227    $6,690.00
60283   STENT MONORAIL EXP II (35050-1230    $6,690.00
60284   STENT MONORAIL EXP II (35050-1235    $6,690.00
60285   STENT MONORAIL EXP II (35050-1240    $6,690.00
60286   STENT MONORAIL EXP II (35050-1245    $6,690.00
60287   STENT MONORAIL EXP II (35050-1250    $6,690.00
60288   STENT MONORAIL EXP II (35050-2022    $6,690.00
60289   STENT MONORAIL EXP II (35050-2025    $6,690.00
60290   STENT MONORAIL EXP II (35050-2027    $6,690.00
60291   STENT MONORAIL EXP II (35050-2030    $6,690.00
60292   STENT MONORAIL EXP II (35050-2035    $6,690.00
60293   STENT MONORAIL EXP II (35050-2045    $6,690.00
60294   STENT MONORAIL EXP II (35050-2050    $6,690.00
60295   STENT MONORAIL EXP II (35050-2827    $6,690.00
60296   BREAST SIZER (SZ68270)                 $330.00
60297   STENT MONORAIL EXP II (35050-2830    $6,690.00
60298   STENT MONORAIL EXP II (35050-2835    $6,690.00
60299   STENT MONORAIL EXP II (35050-2840    $6,690.00
60300   STENT MONORAIL EXP II (35050-2845    $6,690.00
60301   BREAST SIZER (SZ68330)                 $330.00
60303   BREAST SIZER (SZ68390)                 $330.00
60304   BREAST SIZER (SZ68420)                 $330.00
60305   APC FILTER (20132-059)                  $69.50
60306   APC PROBE (20132-155)                $1,302.75
60307   SCREW 7.5X45 (754-7545)              $5,319.50
60308   FEMORAL COMPONENT (9993-14-45)      $16,408.25
60309   FEMORAL COMPONENT (9982-19-18)      $12,309.50
60310   SCREW 214.548                        $1,135.50
60311   HIP SHELL 50MM (6202-60-22)         $13,246.50
60312   CAGE MOSS IMPLANT (1864-48-011)     $16,000.00
60313   PLATE (83238)                        $4,266.25
60314   BIOARC SLING SYSTEM (72403995)       $6,373.00
60315   COIL MATRIX (397202-SR)              $6,140.25
60316   SYSTEM CEMENTLESS TOTAL KNEE        $14,400.00
60317   BREAST IMPLANT 25-65150LP            $3,201.00
60318   SYSTEM DEFIB GEMIII DR 7275SYSTEM   $84,000.00
60319   CAP SLIDING 10MM 2259-07-10            $943.00
60320   SCREW LG 115MM 2259-01-50            $1,208.00
60321   NAIL FEMORAL 11MM 2257-180-11        $3,364.00
60322   PIN GUIDE THREADED 2258-67           $1,022.50
60323   KNEE CR FLEX FEMORAL 5950-17-02     $12,821.50
60324   KNEE ARTICU SURF 90-5970-50-12       $2,910.00
60325   KNEE FEMORAL CR FLX 5950-14-06      $12,821.50
60326   KNEE CR ART SURF (90-5970-30-10)     $2,910.00
60327   SHOULDER COMP 4300-10-13             $8,910.00
60328   HIP LINER 6310-68-32                 $5,284.75
60329   HIP STEM POROUS 9981-210-33         $15,919.00
60330   HIP COMPONENT 68MM 65-6200-68-20     $6,838.50
60331   SYSTEM CEMENTLESS UNIPOLAR HIP       $9,894.00
60332   HIP TRILOGY 66MM 65-6200-66-20       $6,838.50
60333   GRAFT IMPRA (435022)                 $2,380.00
60334   MESH ATRIUM PROLITE 1000606-00         $221.75
60335   MESH ATRIUM PROLITE 1001212-00         $538.00
60336   HIP VERSYS FM TAPER 7862-15-50      $10,796.25
60337   SYSTEM PACEMAKER IDENT 5180SYSTEM   $18,800.00
60338   HIP COMP ACETABULAR 5015-2846        $3,783.00
60339   HIP COMP FEMORAL HEAD 2601-2803      $2,456.25
60340   HIP STEM ML TAPER 7711-11           $10,890.50
60341   HIP STEM ML TAPER 7711-12           $10,890.50
60342   SYSTEM SPINE 4 LEVEL ANTERIOR CRV   $12,544.00
60343   GENERATOR ICD MAXIMO VR 7232CX      $71,200.00
60344   SHOULDER STEM DWB174                $14,593.75
60345   SCREW 6900414                        $4,953.00
60346   SYSTEM HIP CEMENTLESS TOTAL HIP     $16,000.00
60347   SCREW 407.010                          $100.00
60348   CLAMP 398.41                         $1,984.75
60349   GRAFT IMPRA (F8008C)                 $6,330.00
60350   BREAST EXPANDER 67-133MV13           $6,838.50
60351   KNEE FEMORAL COMP SZ E 5950-15-02   $12,821.50
60352   BONE GRAFT OSTEOINDUCTIVE 100-25    $20,000.00
60353   VITROSS MICRO 1-2MM 2102-0019        $8,206.25
60354   STIMULATOR BONE GROWTH 10-1340M     $20,300.00
60355   SCREW IF AR-1390T                    $1,371.50
60356   GRAFT IMPRA 6MMX80CM CARBON (F800    $6,330.00
60357   SCREW IF AR-1381E                    $1,371.50
60358   SCREW LEGACY 5.5X50MM 754-5550       $5,319.50
60359   SCREW LEGACY (754-5540)              $5,319.50
60360   ROD LEGACY (869-0100)                $1,939.50
60361   SCREW LEGACY (754-0100)                $836.75
60362   GRAFT VASCULAR (019514)                $760.00
60363   PACEMAKER (1294SYSTEM)              $22,800.00
60364   SCREW (8372645)                      $1,833.50
60365   GRAFT MEADOX (085147)                $3,780.00
60366   GRAFT MEADOX (085168)                $3,690.00
60367   GRAFT MEADOX (095218)                $2,440.00
60368   GRAFT MEADOX (095220)                $2,440.00
60369   GRAFT MEADOX (095222)                $2,600.00
60370   GRAFT MEADOX (095316)                $2,600.00
60371   ROD PRE-CUT (8370035)                $1,645.75
60372   HIP ACETABULAR SHELL (430-01-052)    $6,402.00
60373   GRAFT MEADOX (185126)                $3,690.00
60374   HIP LINER 28MM (432-28-107)          $3,492.00
60375   PLATE 70MM (6860170)                 $8,776.50
60376   BONE CORNERSTONE 10X14X11 (245041    $5,209.00
60377   GRAFT MEADOX (381046)                $2,480.00
60378   SHOULDER COMPONENT (DWB712)         $15,423.00
60379   LEAD EPICARDIAL R/S (4058)           $3,783.00
60380   SCREW (8372650)                      $1,833.25
60381   PLATE DISTAL VOLAR NRW LFT DVRN-L    $4,045.00
60382   HIP SYSTEM HOWMEDICA HYBRID TOTAL   $17,460.00
60383   HIP LINER (6305-66-32)               $5,284.50
60384   PEG SMOOTH (P-24)                      $513.00
60385   KNEE ARTICULATING 5960-30-17         $5,069.25
60386   KNEE ARTICULATING 5960-50-17         $5,069.25
60387   COMPONENT 7711-13-20                $10,890.50
60388   KNEE STEM SHARP FLUTED 5988-15-14    $3,954.75
60389   FEMORAL DISTAL LATERAL 2347-02-12    $3,393.25
60390   HIP FEMORAL BODY 9993-23-55         $16,408.25
60391   PLATE 50MM 3 LEVEL (83350)           $4,319.25
60392   TACK FIXATION (63080)                  $482.25
60393   KNEE FEMORAL CR FLEX (5950-16-01)   $12,821.50
60394   KNEE CR ART. SURF. (90-5970-40-12    $2,910.00
60395   BREAST IMPLANT (354-2620)            $3,783.00
60396   BREAST IMPLANT (354-2630)            $3,783.00
60397   HIP LINER MP10 SZ 32 431-32-210      $3,492.00
60398   HIP ACETABULAR COMPONENT (11-1652    $4,140.00
60399   HIP ACETABULAR SZ 60 430-01-060      $6,072.00
60400   OSTEOFIL 10CC 004510                 $6,896.75
60401   SYSTEM MADIT II ICD MADIT II 7275   $72,000.00
60402   KNEE PATELLA COMP. 5220-17           $1,914.25
60403   SCREW PROXIMAL LOCKING (132242)        $697.25
60404   STENT NEUROFORM 4X15 (S240015)      $15,200.00
60405   STENT NEUROFORM 4X20 (S240020)      $15,200.00
60406   KNEE ARTICULAT SURF (5782-32-08)     $4,583.25
60407   METAL BALL HEAD (16062-B)            $3,201.00
60408   NAIL GAMMA (3370-7-035)              $7,537.00
60409   TISSUE REPLIFORM 4X7 (820-243)       $3,463.00
60410   HIP REVISION STEM (11808-B)         $14,850.00
60411   HIP ACETABULAR COMPONENT (6200-44    $3,970.00
60412   KNEE FEMORAL COMP (5950-15-01)      $12,821.50
60413   HIP ACETABULAR COMPONENT (6200-52    $3,920.00
60414   HIP ACETABULAR COMPONENT (6200-/1    $3,970.00
60415   HIP ACETABULAR COMPONENT (6200-58    $3,920.00
60416   HIP ACETABULAR COMPONENT (6200-60    $3,920.00
60417   HIP ACETABULAR COMPONENT (6200-/2    $4,250.00
60418   HIP ACETABULAR COMPONENT (6200-62    $4,250.00
60419   HIP ACETABULAR COMPONENT (6200-68    $3,920.00
60420   COIL MATRIX SOFT HELICAL (371206)    $5,936.50
60421   HIP SYSTEM PARTIAL (356233)          $8,730.00
60422   PLATE 56MM 3 LEVEL (83356)           $4,319.25
60423   HIP ACETABULAR COMPONENT (6532-73    $4,640.00
60424   HIP ACETABULAR COMPONENT (6610-42    $3,810.00
60425   HIP STEM VERSYS (7843-11-06)        $10,796.25
60426   NAIL TIBIAL (181211300)              $5,936.50
60427   PLATE X-LG (814113003)               $2,188.50
60428   SCREW CORTICAL (815036040)             $220.00
60429   HIP BALL (1014-67)                   $1,910.00
60430   HIP BALL (1014-68-000)               $2,120.00
60431   HIP BALL (1014-70)                   $2,510.00
60432   HIP BALL (1014-72)                   $2,510.00
60433   SCREW CANCELLOUS (815341044)           $190.75
60434   HIP BALL (1018-11-000)               $2,670.00
60435   HIP BALL (1018-12-000)               $2,670.00
60436   HIP BALL (1018-13-000)               $2,670.00
60437   HIP BALL (1018-71-000)               $2,510.00
60438   HIP BALL (1018-75-000)               $2,670.00
60439   HIP BALL (7210-26-035)               $2,310.00
60440   HIP BALL ARTICUL EZE (1365-14-000    $2,510.00
60441   STENT BILIARY 1008021-12             $8,290.00
60442   CONNECTOR TSRH (8379122)             $5,115.00
60443   SCREW TSRH (8372545)                 $2,153.50
60444   TUBE VENT DONALDSON (10-13020)          $62.00
60445   ELECTRODE PACEMAKER (4037)           $3,640.00
60446   DEFIBRILLATOR GEM III (7231SYS)     $72,000.00
60447   GRAFT MEADOX (493066)                $5,070.00
60448   ELECTRODE PACEMAKER (4036)           $3,640.00
60449   GRAFT DURAL DURA GEN (ID-2205)       $1,440.00
60450   HIP FEMORAL COMPONENT 9993-23-45    $16,408.25
60451   HIP FEMORAL COMPONENT 9981-165-32   $13,924.50
60452   EXCLUDER ENDOPROSTHESIS PCT261416   $27,920.00
60453   EXCLUDER ENDOPROSTHESIS PCC201200   $12,892.00
60454   MESH PROLITE (1000306-00)              $194.00
60455   HIP CUP 50MM (43001050)              $6,402.00
60456   PLATE (1198-90-08)                   $1,970.00
60457   HIP ACETAB LINER (43328006)          $6,838.50
60458   HIP SHELL TRILOGY (65-6200-64-20)    $6,838.50
60459   HIP SHELL (65-6200-56-20)            $6,838.50
60460   CAGE MOSS MIAMI LEOPARD 186448109    $1,645.75
60461   ROD 3.0X5.5 TSRH (8370030)           $1,645.50
60462   SHOULDER COMPONENT (112848110)       $8,410.00
60463   MEMBRANE GORTEX SURGICAL (1612012    $2,920.00
60464   BONE SCREW CORTICAL (14022-50)         $161.50
60465   SCREW (1193-10-20)                   $1,020.00
60466   HIP LINER (6341-64-32)               $5,284.75
60467   SCREW (1193-15-35)                   $1,020.00
60468   SCREW (1193-15-37)                   $1,020.00
60469   DEFIBRILLATOR CARDIOVERTER VIRTUO   $78,000.00
60470   DEFIBRILLATOR CARDIOVERTER VR       $73,600.00
60471   SYSTEM DEFIBRILLATOR CARDIOVERTER   $92,000.00
60472   FEMORAL HEAD (13-60086-16)           $4,947.00
60473   SCREW (1193-10-55)                     $950.00
60474   PUTTY ACCELL (02-3000-100)           $6,373.00
60475   KNEE FEMORAL (5994-17-91)           $13,833.00
60476   PLATE CONDYLAR 4.5 (222.663)         $6,058.75
60477   BONE DOWEL POS/LUMBAR (TW7-S)        $9,870.00
60478   HIP SPACER ZCA NEUTRAL (8005-546-    $2,600.00
60479   SCREW 7.3MM (222.574)                $1,358.25
60480   SCREW 5.0MM (222.536)                  $929.75
60481   SCREW CANNULATED (222.537)             $929.75
60482   SCREW CANNULATED (222.538)             $929.75
60483   KNEE BLOCK (5988-04-26)              $2,600.00
60484   KNEE BLOCK (5988-04-27)              $3,811.00
60485   SCREW CANNULATED (222.539)             $929.75
60486   SCREW CANNULATED (222.548)             $929.75
60487   DURALOC LINER 58/32 (122032158)      $5,543.75
60488   FEMORAL HEAD LG TAPER (101471000)    $4,037.75
60489   COIL MATRIX (397406-SR)              $6,349.75
60490   COIL MATRIX (397306SR)               $6,349.75
60491   COIL MATRIX (371410SR)               $6,541.75
60492   HIP SPACER ZCA NEUTRAL (8005-552-    $2,480.00
60493   BONE ALLOGENIC MATRIX 1CC (121120      $800.00
60494   COIL MATRIX (397304SR)               $6,198.50
60495   COIL MATRIX (397204SR)               $6,198.50
60496   HIP FEMORAL COMPONENT (7845-14)     $15,200.00
60497   STENT COATED CORONARY 38970-0825    $15,132.00
60498   SCREW (25-085-11-1)                    $250.00
60499   PLATE (51-115-04)                    $1,130.00
60500   STENT COATED CORONARY 38970-1225    $15,132.00
60501   STENT TAXUS (H7493897016250)        $15,132.00
60502   SCREW (280.80S)                      $1,090.00
60503   SCREW (280.95S)                      $1,090.00
60504   SCREW (280.75S)                      $1,090.00
60505   STENT COATED CORONARY 38970-2025    $15,132.00
60506   STENT CORONARY COATED 38970-2425    $15,132.00
60507   STENT TAXUS (H7493897008270)        $15,132.00
60508   STENT COATED CORONARY 38970-1227    $15,132.00
60509   STENT TAXUS (H7493897016270)        $15,132.00
60510   RECORDER INSERTABLE LOOP (9526)     $14,000.00
60511   STENT COATED CORONARY 38970-2027    $15,132.00
60512   STENT TAXUS (7493897024270)         $15,132.00
60513   STENT TAXUS (H7493897028270)        $15,132.00
60514   STENT TAXUS (H7493897032270)        $15,132.00
60515   STENT TAXUS (H7493897008300)        $15,132.00
60516   SCREW (5110-75-55)                     $285.00
60517   STENT COATED CORONARY 38970-1230    $15,132.00
60518   GENERATOR AICD (7231)               $68,090.00
60519   HIP LINER LONGEVITY (6320-64-32)     $4,610.00
60520   STENT TAXUS (H7493897016300)        $15,132.00
60521   HIP LINER POLY (6341-62-32)          $4,820.00
60522   BONE CANCELLOUS BLOCK (500280)       $3,270.00
60523   STENT COATED CORONARY 38970-2030    $15,132.00
60524   STENT COATED CORONARY 38970-2430    $15,132.00
60525   PLUG MARLEX MESH (0112960)           $1,010.00
60526   KNEE FEMORAL COMP (5964-13-02)       $6,780.00
60527   STENT TAXUS (H7493897028300)        $15,132.00
60528   HIP LINER LONGEVITY (6310-60-32)     $4,610.00
60529   SCREW (3370-2-080)                   $1,520.00
60530   GENERATOR PACEMAKER (1280)          $27,620.00
60531   STENT TAXUS (H7493897032300)        $15,132.00
60532   STENT TAXUS (7493897008350)         $15,132.00
60533   HIP CABLE READY SYSTEM (2232-04-1    $1,560.00
60534   HIP CABLE READY SYSTEM (2232-02-0    $5,750.00
60535   STENT TAXUS (H7493897012350)        $15,132.00
60536   STENT COATED CORONARY 38970-1635    $15,132.00
60537   STENT TAXUS (H7493897020350)        $15,132.00
60538   STENT TAXUS (H7493897024350)        $15,132.00
60539   STENT TAXUS (H7493897028350)        $15,132.00
60540   STENT TAXUS (H7493897032350)        $15,132.00
60541   HIP CENTRALIZER (6259-8-130)           $365.00
60542   COIL MATRIX (385615)                 $8,759.25
60543   COIL MATRIX (371306)                 $5,936.50
60544   FEMORAL NG CR FLEX (5950-14-01)     $12,821.50
60545   HIP LINER LONGEVITY (6310-64-32)     $4,610.00
60546   MESH PELVISOFT (481068)              $4,859.75
60547   MOUTHPIECE EZ PAP (357284)             $165.75
60548   HIP ACETAB SHELL (7000-64-20)       $11,454.00
60549   HIP FEMORAL STEM (9981-150-32)      $13,924.50
60550   HIP FEMORAL BODY NECK 9996-17-45    $16,408.25
60551   HIP CEMENTLESS W/DUOFIX (358139)    $25,600.00
60552   BOLT LOCKING (459.76)                  $843.50
60553   HIP CENTRALIZER (7859-12)              $260.00
60554   BLOCK AUGMENT TIBIAL (588000210)     $6,690.25
60556   NEXGEN RHK FEMORAL (5880001302)     $26,125.00
60557   HIP CENTRALIZER (7859-14)              $260.00
60558   ELECTRODE PACEMAKER (1388TC-58)      $3,500.00
60559   PLATE RHK TIBIA (588000200)         $12,160.00
60560   NEXGEN RHK ART SURF (588003020)      $7,740.75
60561   BONE TENDON QUAD (430036)           $15,400.00
60562   STENT NEUROFORM (M003S2350150)      $15,200.00
60563   KNEE BEARING TIBIAL (960421)         $3,055.50
60564   HIP LINER ELEVATED RIM (6732-94)     $2,040.00
60565   STENT S7 RX 4.0 X 24 (S74024R)       $7,280.00
60566   GENERATOR AICD (1860)               $81,710.00
60567   COIL MATRIX STANDARD (375408)        $8,439.00
60568   HIP FEMORAL COMPONENT (8018-28-02    $1,820.00
60569   PACEMAKER RENEWAL TR (H125)         $39,980.00
60570   HIP FEMORAL COMPONENT (7845-16-30   $15,200.00
60571   BONE ALLOGRAFT 15CC (P44115)         $8,002.50
60572   HIP FEMORAL COMPONENT (7845-14-30   $15,200.00
60573   KNEE ARTICULATE SURF90-5970-50-10    $2,910.00
60574   HIP CUP BIPOLAR (5000-41-22)         $2,710.00
60575   CORKSCREW 6.5 (AR-1925B)             $1,469.25
60576   HIP CUP BIPOLAR (5000-42-22)         $2,820.00
60577   HIP CUP BIPOLAR (5000-43-22)         $2,700.00
60578   HIP CUP BIPOLAR (5000-52-28)         $3,100.00
60579   HIP CUP BIPOLAR (5000-44-28)         $2,820.00
60580   HIP CUP BIPOLAR (5000-45-28)         $2,790.00
60581   HIP CUP BIPOLAR (5000-46-28)         $2,790.00
60582   HIP CUP BIPOLAR (5000-47-28)         $2,670.00
60583   HIP CUP BIPOLAR (5000-48-28)         $2,980.00
60584   HIP CUP BIPOLAR (5000-49-28)         $2,710.00
60585   HIP CUP BIPOLAR (5000-50-28)         $2,820.00
60586   HIP CUP BIPOLAR (5000-51-28)         $3,110.00
60587   HIP CUP BIPOLAR (5000-53-28)         $3,100.00
60588   HIP CUP BIPOLAR (5000-54-28)         $2,890.00
60589   GENERATOR PACEMAKER (5142)          $19,620.00
60590   SPINE MONOAXIAL LEVEL 1 (358232)    $16,185.50
60591   HIP CUP BIPOLAR (5000-55-28)         $3,250.00
60592   HIP CUP BIPOLAR (5000-57-28)         $3,230.00
60593   KNEE STEM EXTENSION 5988-15-22       $3,954.75
60594   KNEE ARTICULATING SURF (5996-40-1    $3,670.00
60595   KNEE STEM EXTENSION 5988-15-17       $3,954.75
60596   SCREW CAP (640301)                     $520.00
60597   SYSTEM DEFIBRILLATOR CARDIOVERT     $82,800.00
60598   KNEE ARTICULATING SURF (5996-51-1    $3,670.00
60599   KNEE ARTICULATING SURF (5996-40/1    $3,670.00
60600   VALVE MAGNA AORTIC (3000 25MM)      $28,000.00
60601   KNEE ARTICULATING SURF (5996-30-1    $3,670.00
60602   KNEE FEMORAL COMPONENT (5996-14-0    $8,040.00
60603   BONE ALLOGRAFT (X80016)              $5,529.00
60604   KNEE FEMORAL COMPONENT (5996-15-0    $8,040.00
60605   PLATE ONE LEVEL 18MM (83118)         $3,979.75
60606   KNEE ARTICULATING SURF (5996-40/2    $3,670.00
60607   GRAFT SKIN 4X10 (IAS-8101)          $13,200.00
60608   KNEE FEMORAL COMPONENT (5996-16-0    $7,070.00
60610   HIP FEMORAL HEAD (06-2605)           $3,670.00
60611   KNEE FEMORAL COMPONENT (5996-15/1    $8,040.00
60613   ELECTRODE PACEMAKER (4039)           $3,640.00
60615   SCREW HEADED (5791-41-00)              $549.75
60616   SCREW HEADLESS (5791-42-00)            $549.75
60617   SCREW HEADED (5791-43-00)              $549.75
60618   SCREW TSRH 6.5X55MM (8372655)        $2,153.50
60619   SCREW TSRH 5.5X50MM (8372550)        $2,153.50
60620   ROD 10CM PRE-CUT (8370100)           $1,939.50
60621   CROSSLINK 30-34MM X-10 (8115528)     $5,924.75
60622   SCREW 67550P                         $3,900.00
60623   CAP LOCKING 50000LT                  $1,120.00
60624   BONE ALLOGRAFT (680018)              $5,529.00
60625   STENT URETERAL (5340800)             $1,160.00
60626   STENT URETERAL (5342600)             $1,160.00
60627   SYSTEM PACEMAKER (KDR701SYSTEM)     $22,760.00
60628   STENT URETERAL (5342400)             $1,160.00
60629   VEIN SAPHENOUS (V010 82CM)          $20,000.00
60630   CROSSLINK (8115539)                  $5,925.00
60631   DEFIBRILLATOR VITALITY EL (T127)    $84,000.00
60632   WIRE K STYLE 6 (186-01-69)              $40.50
60634   GENERATOR AICD (7231CX)             $68,090.00
60636   WIRE K STYLE 6 (186-02-69)              $41.25
60637   DEVICE VASCULAR CLOSURE 8FR (6100    $1,410.00
60638   DEVICE VASCULAR CLOSURE 6FR (6100    $1,410.00
60640   BONE DOWEL ANTERIOR (VG1B-10A)      $12,780.00
60646   SHOULDER HUMERAL STEM 1137-14-000    $8,910.00
60647   SCREW (2347-26-75)                     $150.00
60648   HIP FEMORAL COMP 32-6728-06-01       $7,790.00
60649   POLYSCREW MONARCH (177436245)        $4,155.50
60650   ROD PRE-BENT MONARCH (177410075)     $1,310.00
60651   ROD PRE-BENT MONARCH (177410055)     $1,310.00
60652   STENT BILIARY 6.0 18X80 (1008020-    $8,120.00
60653   WEDGE FIBULAR 8MM (910850)           $1,280.00
60654   WEDGE IMPATED CORTICAL 171426FD      $8,450.00
60655   HIP LINER LONGEVITY (6310-56-32)     $4,610.00
60656   HIP FEMORAL COMPONENT (7831-18)      $7,950.00
60657   WIRE K STYLE 6 (186-03-69)              $41.25
60658   KNEE FLEX FEMORAL (5950-17-01)      $12,821.50
60659   BONE GEL 10CC (AGEL 10)              $5,773.50
60660   HIP FEMORAL HEAD (87-5954)           $3,470.00
60661   SCREW (1755-11)                      $3,780.00
60662   TRANSVAG PRECISION TWIST (820-155    $3,460.00
60663   TRANSVAG PRECISION SPEED (820-145    $2,020.00
60664   POLYSCREW MONARCH (177437040)        $4,155.50
60665   HIP STEM CPT 8114-03-10              $8,920.00
60666   KNEE FLEX FEMORAL (5950-16-05)      $12,821.50
60667   CAGE LEOPART IMPLANT (186448108)    $13,440.00
60668   HIP LINER (4338-28-049)              $3,730.00
60669   HIP FEMORAL HEAD (01-100-28002)      $1,900.00
60670   BREAST EXPANDER (3610ES56)           $3,640.00
60671   PENILE PROSTHESIS (9818I)           $14,360.00
60672   PENILE PROSTHESIS (9820I)           $14,380.00
60673   KNEE LCCK FEMORAL (5994-13-91)      $13,833.00
60674   KNEE TIBIAL COMP 21058-B             $5,820.00
60675   KNEE PATELLAR COMP 21195-D           $1,630.00
60676   HIP SHELL (65-6200-54-20)            $6,838.50
60679   KNEE TIBIAL COMP (21054-8)           $5,820.00
60680   KNEE PATELLAR COMP 21183-D           $1,630.00
60681   CLIP ANEURYSM (20-1604)              $1,140.00
60683   HIP LINER LONGEVITY (6310-50-36)     $6,170.00
60686   KNEE FEMORAL COMP (5996-17-92)       $7,070.00
60688   DEFIBRILLATOR (6947-75)             $25,630.00
60690   ROD (869-0090)                       $1,939.50
60691   HIP STEM FEMORAL SZ.9 (7711-09)     $10,890.50
60692   SENSOR MAXFAST                         $146.75
60693   SENSOR MASR                             $85.50
60694   SCREW CORTICAL 4.5 14022-54            $154.00
60695   STENT RX ZETA 2.75X8 (1009832-08)    $6,840.00
60696   STENT RX ZETA 2.75X13 (1009832-13    $6,840.00
60697   STENT RX ZETA 2.75X15 (1009832-15    $6,840.00
60698   STENT RX ZETA 2.75X18 (1009832-18    $6,840.00
60699   STENT RX ZETA 2.75X23 (1009832-23    $6,840.00
60700   STENT RX ZETA 2.75X28 (1009832-28    $6,840.00
60701   STENT RX ZETA 3X8 (1009833-08)       $6,840.00
60702   STENT RX ZET 3X13 (1009833-13)       $6,840.00
60703   STENT RX ZETA 3X15 (1009933-15)      $6,840.00
60704   STENT RX ZETA 3X18 (1009833-18)      $6,840.00
60705   STENT RX ZETA 3X23 (1009833-23)      $6,840.00
60706   STENT RX ZETA 3X28 (1009833-28)      $6,840.00
60707   STENT RX ZETA 3.5X8 (1009834-08)     $6,840.00
60708   STENT RX ZETA 3.5X13 (1009834-13)    $6,840.00
60709   STENT RX ZETA 3.5X15 (1009834-15)    $6,840.00
60710   STENT RX ZETA 3.5X18 (1009834-18)    $6,840.00
60711   STENT RX ZETA 3.5X23 (1009834-23)    $6,840.00
60712   STENT RX ZETA 3.5X28 (1009834-28)    $6,840.00
60713   STENT RX ZETA 4X8 (1009835-08)       $6,840.00
60714   STENT RX ZETA 4X13 (1009835-13)      $6,840.00
60715   STENT RX ZETA 4X15 (1009835-15)      $6,840.00
60716   STENT RX ZETA 4X18 (1009835-18)      $6,840.00
60717   STENT RX ZETA 4X23 (1009835-23)      $6,840.00
60718   COIL GDC 2X8 ULTRA SFT 8FR 343204    $4,710.00
60719   COIL (344304-SR4)                    $4,250.00
60720   COIL (344308-SR4)                    $4,280.00
60721   NAIL TROCHANTERIC 9262-11-380        $8,730.00
60722   END CAP FOR TROCHANTERIC NAIL        $1,175.50
60723   DEFIBRILLATOR ENTRUST SINGLE CHAM   $73,600.00
60724   HIP FEMORAL STEM 7843-15-81         $17,700.00
60726   KNEE FEMORAL COMP (5994-14-92)      $13,430.00
60728   SCREW (08150-36-16)                    $169.00
60730   SCREW (008150-36-20)                   $169.00
60731   ALLOGRAFT VEIN CRYOLIFE (NO MANU.   $17,520.00
60732   HIP LINER LONGEVITY (6320-62-32)     $4,610.00
60733   SCREW (1755-20)                      $5,450.00
60734   HOOK (1755-53)                       $3,410.00
60735   ROD (1746-37-000)                    $1,760.00
60736   SCREW (1746-36-000)                    $440.00
60737   CABLE SINGLE CRIMP (7925-027)        $1,630.00
60738   KNEE TIBIAL COMP (05-117-04121)     $10,120.00
60739   PIN (802-01-03)                        $325.00
60740   SCREW (7207001)                        $730.00
60741   APLIGRAF (GRAFTSKIN) (NP199)         $9,490.00
60742   PLATE 68MM FOUR LEVEL (83468)        $7,838.50
60743   HIP SYSTEM UNCEMENTED               $12,804.00
60744   ACETABULAR LINER 32MM 433-32-209     $3,492.00
60745   BREAST EXPANDER (133LV14)            $6,838.50
60746   SCREW (2030-6525-1)                    $660.00
60747   HIP LINER (2041-2854)                $3,640.00
60748   PLUG ACETABULAR (2060-0000-1)          $660.00
60749   HIP ACETABULAR COMP (2051-2056)      $7,430.00
60750   CEMENT BONE (1067-0012)                $660.00
60751   HIP FEMORAL COMP (6098-0735)        $15,750.00
60752   HIP FEMORAL HEAD (06-2800)           $3,670.00
60753   PLATE (879-9045)                     $4,960.00
60754   SCREW (879-2113)                     $1,010.00
60755   SCREW (879-2613)                     $1,200.00
60756   SCREW (879-2115)                     $1,010.00
60757   BREAST EXPANDER (133LV15)            $6,838.50
60758   BREAST IMPLANT (25-45401)            $4,810.00
60759   PLATE (2347-02-08)                   $3,362.00
60760   SCREW (1746-07-620)                  $4,050.00
60761   K-WIRE (4901-12-15)                     $43.50
60762   STENT MULTI LINK (1007848-08)        $8,119.00
60763   BREAST IMPLANT (27-168211)           $3,490.00
60764   BREAST IMPLANT (27-363311)           $4,360.00
60765   STENT MULTI LINK (1007849-08)        $8,119.00
60766   STENT MULTI LINK (1007850-08)        $8,119.00
60767   STENT MULTI LINK (1007-848-12)       $8,119.00
60768   VALVE MITRAL 31MM (31003101)        $24,840.00
60769   HIP LINER LONGEVITY (6320-60-32)     $4,610.00
60770   STENT MULTI LINK (1007849-12)        $8,119.00
60771   STENT MULTI LINK (1007850-12)        $8,119.00
60772   STENT MULTI LINK (1007848-15)        $8,119.00
60773   STENT HERC PLUS 14X18 (1008014-18    $6,560.00
60774   STENT HERC PLUS 16X12 (1008016-12    $6,560.00
60775   STENT MULTI LINK (1007849-15)        $8,119.00
60776   STENT HERC PLUS 18X18 (1008018-18    $6,560.00
60777   STENT HER PLUS (1008022-12)          $6,560.00
60778   STENT HERC PLUS 1008022-18           $4,870.00
60779   VALVE AORTIC 27MM (30502701)        $24,840.00
60780   STENT MULTI LINK (1007850-15)        $8,119.00
60781   HIP FEMORAL COMP (6098-0530)        $17,060.00
60782   CEMENT DISTAL SPACER (1067-0010)       $690.00
60783   SCREW (8153-41-38)                      $86.00
60784   STENT MULTI LINK (1007849-18)        $8,119.00
60785   SCREW (8153-41-24)                      $86.00
60786   COVER BURR HOLE (50-310-27)            $860.00
60787   SHOULDER COMP (DWB248)               $5,800.00
60788   SHOULDER COMP (DWB732)              $13,050.00
60789   HIP LINER LONGEVITY (6341-60-28)     $4,820.00
60790   STENT S7 OTW 4.0X9(S74009R)          $5,530.00
60791   STENT S7 OTW 4.0X12(S74012R)         $5,530.00
60792   STENT S7 OTW 4.0X15(S74015R)         $5,530.00
60793   STENT S7 OTW 4.0X18(S74018R)         $5,530.00
60794   EXT FIXATOR SCREW (294.55)             $290.00
60795   HIP FEMORAL HEAD (4377-28-065)       $5,130.00
60796   PENILE PROSTHESIS (72403321)        $12,780.00
60797   PLATE (2347-01-10)                   $3,340.00
60798   SCREW (59-12103)                       $335.00
60799   SCREW (59-12104)                       $335.00
60800   PLATE (54-06282)                       $215.00
60801   PLATE (54-06208)                       $750.00
60802   SCREW (1746-07-520)                  $4,050.00
60803   STENT OMNILINK037 9-28-80(1008183    $8,120.00
60804   STENT OMNILINK035 9-38-80(1008183    $9,280.00
60805   STENT MULTI LINK (1007848-23)        $8,119.00
60807   STENT MULTI LINK (1007850-23)        $8,119.00
60808   STENT MULTI LINK (1007848-28)        $8,119.00
60809   STENT MULTI LINK (1007849-28)        $8,119.00
60810   STENT MULTI LINK (1007850-28)        $8,119.00
60811   KNEE FEMORAL STEM (5950-14-02)      $12,821.50
60812   SCREW 4.0X32 (6900432)               $4,213.75
60813   LINER DUROLOC 36/56 (1220-36-556)   $11,960.00
60814   HIP FEMORAL HEAD (1018-36-511)       $6,198.50
60815   CEMENT BONE (5450-31-500)            $1,949.75
60816   TRANSOBTURATER OB TAPE (93-4300)     $5,820.00
60817   KNEE COMPONENT (96-0886)             $3,383.00
60818   KNEE COMPONENT (86-0124)            $10,912.50
60819   KNEE TIBIAL STEM (86-6043)           $3,492.00
60820   KNEE ARTICULATING SURF (96-0453)     $4,583.25
60821   TISSUE PELVISOFT (480047)            $3,084.75
60822   STENT DYNALINK035 6-28-80(1008280    $9,280.00
60823   NAIL TIBIAL (2253-300-09)            $3,921.25
60824   BONE TENDON (030638-008)             $8,148.00
60825   KIT PROSTATE (FPRPC0001)            $22,000.00
60826   KNEE COMPONENT (96-0883)             $3,383.00
60827   PLATE 40MM 2 LEVEL (83240)           $4,266.25
60828   PACER ENPULSE (E1DR21SYSTEM)        $23,980.00
60829   STENT DYNALINK035 8-38-80(1008282    $9,280.00
60830   STENT DYNALINK035 8-56-80(1008282    $9,280.00
60831   STENT DYNALINK035 9-28-80(1008283    $9,280.00
60832   STENT MULTI LINK (1007848-18)        $8,119.00
60833   STENT MULTI LINK (1007850-18)        $8,119.00
60834   DURASPHERE (030959)                  $1,315.00
60835   SCREW (496.69)                       $1,090.00
60836   ROD 200MM (498.108)                  $1,160.00
60837   CLAMP W/POSTERIOR NUT (498.830)      $3,440.00
60838   PYRAMESH 14X10X24 (950-1423)         $8,980.00
60839   PLATE (450.472)                      $4,080.00
60840   TISSUE PELVICOL 6X8 (482068)         $4,370.00
60841   HIP SHELL ACETABULAR (6302-5-074)    $4,370.00
60842   NAIL (2253-320-11)                   $2,920.00
60843   SCREW (2253-32-42)                     $550.00
60844   BREAST EXPANDER (67-133LV16)         $6,840.00
60845   STENT OMNILINK035 6-18-80(1008178    $7,550.00
60846   HIP STEM VERSYS (7862-16-50)        $10,796.25
60847   GRAFT BONE SZ.9 (245941)             $5,209.00
60848   BREAST SIZER (SZ468380)                $330.00
60849   STENT OMNILINK035 7-28-80(1008180    $8,120.00
60850   BREAST SIZER (SZ468350)                $330.00
60851   KNEE DISTAL AUG 8MM (96-0862)        $3,383.00
60852   KNEE FEMORAL STEM (96-0732)          $5,129.00
60853   SHOULDER COMPONENT (6601-0-000)      $2,310.00
60854   SHOULDER COMPONENT (6946-0-001)      $6,350.00
60855   SHOULDER COMPONENT (6946-0-002)      $6,350.00
60856   SHOULDER COMPONENT (6946-0-004)      $6,350.00
60857   KNEE TIBIAL COMP (21056-B)           $5,820.00
60858   KNEE PATELLAR COMP (21184-D)         $1,630.00
60859   FEMORAL HEAD (128-756)               $3,241.75
60860   KNEE MG ART. SURF (90-5970-30-14)    $2,910.00
60861   TUBE ATTACHMENT ETAD (9789)             $67.50
60862   BREATHING TREAT DISP (26-21-1015)      $264.00
60863   NAIL FEMORAL 13MM (2257-180-13)      $3,569.25
60864   CAP SLIDING (2259-01-42)             $1,270.25
60865   SCREW LAG 11MM (2259-07)               $929.00
60866   NAIL FEMORAL 14MM (2257-180-14)      $3,569.25
60867   SCREW LAG 11X110MM (2259-01-47)      $1,270.25
60868   CAP SLIDING NAIL 5MM (2259-07-05)      $962.25
60869   SCREW LAG 11X85MM (2259-01-35)       $1,270.25
60870   CAP NAIL 0MM (2259-09)                 $929.00
60871   BONE ALLOGRAFT (380017)              $5,529.00
60872   PLATE 4 LEVEL 64MM (83464)           $7,838.50
60873   SCREW 5X12 SELF DRILLING (63051)     $1,073.75
60874   KNEE NG FEMORAL FLEX (5950-17-05)   $12,821.50
60875   COIL MATRIX STANDARD (370103-SR)     $8,031.75
60876   HIP FEMORAL STEM (8114-03)           $8,920.00
60877   COIL MATRIX STANDARD (370930-SR)     $7,630.25
60878   HIP FEMORAL TEM CPT 8114-01-10       $8,920.00
60879   COIL MATRIX STANDARD (370830-SR)     $7,630.25
60880   COIL MATRIX STANDARD (370820-SR)     $7,630.25
60881   GENERATOR AICD PRIZM VR 1857        $74,000.00
60882   COIL MATRIX STANDARD (370720-SR)     $7,566.00
60883   COIL MATRIX STANDARD (370620-SR)     $7,566.00
60884   COIL MATRIX STANDARD (370615-SR)     $7,368.25
60885   COIL MATRIX STANDARD (370515-SR)     $7,042.25
60886   COIL MATRIX STANDARD (370510-SR)     $6,972.50
60887   COIL MATRIX STANDARD (370410-SR)     $6,972.50
60888   COIL MATRIX STANDARD (370408-SR)     $6,646.50
60889   PLATE 2 LEVEL 34MM (83234)           $4,266.25
60890   PEG SMOOTH (P-14)                      $513.25
60891   PEG SMOOTH (P-28)                      $513.25
60892   PORT GROSHONG W/CATH (0607650)       $5,407.00
60893   CONNECTOR FELIXIBLE (301-9000)          $28.25
60894   HIP FEMORAL COMP (71306814)          $6,562.25
60895   VALVE MITRAL (HM342R09H)            $14,800.00
60896   STENT OMNILINK035 8-18-80(1008182    $8,120.00
60897   HIP FEMORAL HEAD (126646)            $1,418.75
60898   STENT OMNILINK035 8-38-80(1008182    $8,120.00
60899   STENT OMNILINK035 9-18-80(1008183    $8,120.00
60900   PLATE (237.064)                      $2,790.00
60901   BREAST IMPLANT (27-363158LF)         $4,660.00
60902   HIP EXT. SLEEVE (71326600)             $443.50
60903   BREAST IMPLANT (67-133LV15)          $6,840.00
60904   SCREW (213.020)                        $480.00
60905   SCREW (213.030)                        $480.00
60906   SCREW (213.034)                        $480.00
60907   SCREW (213.036)                        $480.00
60908   SCREW (213.040)                        $480.00
60909   SCREW (459.68)                         $690.00
60910   STIMULATOR BONE GROWTH (10-1340D)   $17,990.00
60911   WASHER (4900-65-51)                    $108.75
60912   NAIL (640632S)                       $5,410.00
60913   SCREW (1896-5050S)                     $560.00
60914   SCREW (1896-5030S)                     $560.00
60915   GRAFT BARD (008972)                    $260.00
60916   SCREW (1891-5065S)                     $560.00
60917   VEIN ALLOGRAFT (V010 59CM)          $19,150.00
60918   RING TRICUSPID 30MM (4500 T30)      $11,650.00
60919   PASTE OSTEOFIL 10CC (002410)         $5,530.00
60920   NAIL (2252-460-13)                   $2,770.00
60921   SCREW (2252-100-55)                    $860.00
60922   SCREW (2252-85-55)                     $860.00
60923   PLATE (879-9170)                     $5,420.00
60924   SCREW (879-2713)                     $1,200.00
60925   SCREW (879-2715)                     $1,200.00
60926   ELECTRODE PACEMAKER (2187-75)        $9,900.00
60927   ELECTRODE PACEMAKER (4471)           $4,950.00
60929   STENT PIXEL 2.5 X 23 (1005732-23)    $6,840.00
60930   STENT PIXEL 2.5 X 13 (1005732-13)    $6,840.00
60931   STENT PIXEL 2.5 X 8 (1005732-08)     $6,840.00
60932   STENT PIXEL 2.5 X 18 (1005732-18)    $6,840.00
60933   STENT PIXEL 2.5 X 28 (1005732-28)    $6,840.00
60934   STENT PIXEL 2.25 X 8 (1005731-08)    $6,840.00
60935   SCREW (2347-25-70)                     $167.50
60936   KNEE ART SURFACE 90-5970-40-17       $2,910.00
60937   OSTEOFIL 5CC (004505)                $4,568.75
60938   ROD MONARCH 5.5X35 (177410035)       $1,618.25
60939   VALVE AORTIC (25025)                $16,800.00
60940   KNEE FEMORAL COMP (5996-17-91)       $7,070.00
60941   ROD MONARCH 5.5X45 (177410045)       $1,618.25
60942   HIP LINER ELEVATED (32-6728-86-01    $9,254.00
60943   HIP FEMORAL STEM (8114-02-18)       $20,400.00
60944   STENT MULTILINK (1007849-08)         $8,119.00
60945   STENT GRAPH ANEURX (YRECX26375)     $11,785.50
60946   SYSTEM TRACK DISTRACTOR 51-520-15    $4,045.00
60947   SCREW 9MM 2.0 (25091-09-1)             $238.75
60948   SCREW 11MM 2.0 (25091-11-1)            $238.75
60949   SCREW 7MM (25-077-07-1)                $286.50
60950   PASTE 1CC GRAFTON (P45001)           $1,062.50
60951   FILTER VENA CAVA (31335)             $6,111.00
60952   BREAST IMPLANT (354-5001)            $5,238.00
60953   BREAST IMPLANT (354-5501)            $5,238.00
60954   BREAST IMPLANT (354-4550)            $5,383.50
60955   BREAST IMPLANT (354-4600)            $5,383.50
60956   BREAST SIZER (SZ68480)                 $330.00
60957   BREAST SIZER (SZ68510)                 $330.00
60958   BREAST SIZER (SZHP68550)               $330.00
60959   BREAST SIZER (SZHP68650)               $330.00
60960   NAIL FEMORAL 16MM (2257-180-15)      $3,364.00
60961   STENT PIXEL 2.25 X 13 (1005731-13    $6,840.00
60962   STENT PIXEL 2.25 X 18 (1005731-18    $6,840.00
60963   STENT PIXEL 2.25 X 23 (1005731-23    $6,840.00
60964   STENT PIXEL 2.25 X 28 (1005731-28    $6,840.00
60965   MESH SPECIAL 30X29 (XIB0301-024)    $11,983.50
60966   SCREW (212.113)                        $574.50
60967   PATELLA AMK POLY (1488-29-025)       $3,698.75
60968   PIN AMK LOCKING (1888-78-000)        $1,469.25
60969   CLIP TIBIAL (1188-30-000)            $1,714.25
60970   TIBIAL INSERT AMK (1688-61-025)      $4,801.50
60971   MESH PROLITE 1X4 (1000104-00)          $155.25
60972   SCREW LAG (2259-01-37)               $1,270.25
60973   VALVE AORTIC (2800-25)              $19,000.00
60974   HIP FEMORAL STEM (9982-16-18)       $12,309.50
60975   HIP FEMORAL NECK (9996-18-35)       $16,408.25
60976   PLATE VOLAR LFT NARROW (DVRAN-L)     $4,045.00
60977   LEAD PACEMAKER TENDRIL 1688TC/52     $4,365.00
60978   STENT ENDOPROSTH (PCT231216)        $27,920.00
60979   WASHER SPIKED (219.94S)                $513.00
60980   PLATE 69MM (241.361)                   $797.00
60981   PLATE 93MM (241.381)                   $856.75
60982   KNEE TIBIAL COMP 21052-B             $4,739.00
60983   WASHER SPIKED (219.95S)                $185.00
60984   LUMBAR SPINE POSTERIOR SYSTEM L1    $15,800.00
60985   BONE ALLOGRAFT (80016)               $5,529.00
60986   WIRE K STYLE 5 (186-82)                 $40.50
60987   WIRE K STYLE 7 (186-54)                 $40.50
60988   WIRE K STYLE 7 (186-70)                 $41.25
60989   WIRE K STYLE 7 (186-86)                 $41.25
60990   BONE ALLOGRAFT (45001)               $1,062.50
60991   KNEE CR FLEX FEMORAL (5950-15-05)   $12,821.50
60992   PLATE 5 HOLE 57MM (241.351)            $797.00
60993   NAIL FEMORAL 12X36 (2257-360-12)     $6,101.50
60994   ELECTRODE PACEMAKER (4457)           $4,950.00
60995   HIP FEMORAL STEM (7711-06)          $10,890.50
60997   CRT INSYNC III (8042SYSTEM)         $55,200.00
60998   VEIN SAPHENOUS (V010 76CM)          $19,600.00
60999   KNEE FEMORAL COMP (6632-0-425)      $12,520.00
61001   HIP COMPONENT NECK (7841-13)        $10,796.25
61002   WIRE K TROCAR POINT (292.12)            $31.50
61003   WIRE K TROCAR POINT (292.16)            $31.50
61004   WIRE K TROCAR POINT (292.20)            $95.00
61005   LEAD PISCES QUAD LOW (3890-45)       $9,545.00
61006   STENT HERCULINK PLUS 7.0X18 80CM     $8,120.00
61007   KNEE ART SURFACE 90-5970-30-12       $2,910.00
61008   SCREW 1.5X6.0 (15060)                $1,190.50
61009   MESH FLEX 11.5X7.5 (8001521-6)       $5,703.75
61010   ACETABULAR ZCA CAGE (8005-03)       $17,338.00
61011   STENT DYNALINK .035-7/28/120         $8,700.00
61012   HIP ZMR CONE BODY (9993-17-35)      $16,408.25
61013   KNEE TIBIAL COMPONENT (5220-24)      $4,378.25
61014   PLATE (245.18)                       $1,050.00
61015   STENT DYNALINK .035-6/28/120         $8,700.00
61016   KNEE TIBIAL COMPONENT 5224-34-04     $3,995.00
61017   HIP STEM (1571-79-000)              $18,525.00
61018   PLATE (25-003-10)                    $3,170.00
61019   PLATE (25-015-04)                      $840.00
61020   BONE ALLOGRAFT 5CC (P44105)          $4,731.75
61021   NAIL (2257-360-11)                   $6,101.50
61022   PACEMAKER INSIGNIA (1290SYSTEM)     $23,600.00
61023   GENERATOR IDENTITY (5180)           $16,000.00
61024   PLATE 70MM ATLANTIS (876-170)        $8,136.00
61025   PLATE THREE LEVEL 52MM 83352         $4,319.25
61026   SCREW 18MM 2348-18-35                  $174.75
61027   SCREW 20MM 2348-20-35                  $174.75
61028   STENT DYNALINK .035-7/38/120         $8,700.00
61029   PLATE (446.233)                        $690.00
61030   PLATE 12 HOLE 153MM 2348-05-12       $3,815.25
61031   SCREW 18MM 2480-18-41                  $246.50
61032   SCREW 20MM 2480-20-41                  $246.50
61033   STENT BILIARY H74937911515900        $6,481.75
61034   STENT BILIARY H74937911614900        $6,481.75
61035   STENT BILIARY H74937912618900        $6,481.75
61036   BREAST SIZER SZ468270                  $330.00
61037   BREAST SIZER SZ468195                  $330.00
61038   BREAST SIZER SZ468230                  $330.00
61039   SCREW CANCELLOUS (2480-12-41)          $246.50
61040   KNEE FEMORAL (5950-16-06)           $12,821.50
61041   PIN BONE (251075)                      $183.25
61042   BONE ALLOGRAFT (A45001)              $1,062.50
61043   GRAFT VASCULAR (10002-5050-001)      $6,402.00
61044   SCREW LEGACY 5.5X45 (754-5545)       $5,319.50
61045   PEG THREADED 14MM (TP-14)              $513.25
61046   PLATE 449.912                        $8,600.00
61047   DEFIBRILLATOR LEAD DUAL (0185)      $23,000.00
61048   COIL MATRIX (397203SR)               $6,140.25
61049   COIL MATRIX (397206SR)               $6,349.75
61050   COIL MATRIX (371208SR)               $6,233.25
61051   COIL MATRIX (371303SR)               $6,146.00
61052   COIL MATRIX (371308SR)               $6,233.25
61053   COIL MATRIX (397308SR)               $6,349.75
61054   COIL MATRIX (371310SR)               $6,233.25
61055   HIP FEMORAL STEM CPT 81114-02        $8,920.00
61056   COIL MATRIX (397404SR)               $6,291.50
61057   COIL MATRIX (385508)                 $8,759.25
61058   COIL MATRIX (385510)                 $8,759.25
61059   HIP FEMORAL STEM CPT 8114-01         $8,920.00
61060   COIL MATRIX (371510SR)               $6,943.50
61061   ROD 1924900                          $1,180.00
61062   ROD 1924901                          $1,316.00
61063   HIP FEMORAL COMP 0132143             $2,650.00
61064   SCREW CORTICAL (SP-20)                 $513.00
61065   SCREW CORTICAL (SP-16)                 $513.00
61066   SYSTEM IT NAIL FORMULARY            $10,231.50
61067   ANCHOR SPIRALOK 5.0MM (222960)       $1,697.75
61068   HIP SHELL 48MM (430-01-048)          $4,656.00
61069   HIP LINER MPS 28MM (431-28-105)      $2,910.00
61070   STENT PIXEL 2.0 X 8 (1005730-08)     $6,840.00
61071   STENT PIXEL 2.0 X 13 (1005730-13)    $6,840.00
61072   STENT PIXEL 2.0 X 18 (1005730-18)    $6,840.00
61073   STENT PIXEL 2.0 X 23 (1005730-23)    $6,840.00
61074   STENT PIXEL 2.0 X 28 (1005730-28)    $6,840.00
61075   ANCHOR BIOKNOTLESS (212728)          $1,789.25
61076   SCREW (1746-11-408)                    $800.00
61077   SCREW (1746-11-412)                    $800.00
61078   PLATE (1746-60-045)                 $16,300.00
61079   ROD (1746-62-000)                    $1,960.00
61080   HIP LINER LONGEVITY (6320-56-32)     $4,610.00
61081   SCREW (1747-01-530)                  $3,930.00
61082   ROD (1747-04-430)                    $1,530.00
61083   PARALOK RC PLUS (212730)             $1,743.50
61084   BREAST EXPANDER (67-133-MV16)        $6,840.00
61085   WASHER (1741-35)                     $1,000.00
61086   PLATE (879-9137)                     $4,960.00
61087   PLATE 3.5MM TIBIAL (239.913)         $6,669.75
61088   PLATE 4.5MM TIBIAL (224.509)         $2,601.50
61089   SCREW 6.75X50 (10-6750)              $3,637.50
61090   CAP 5.5/6.75 (10-0026)                 $830.00
61091   HIP FEMORAL COMPONENT (2844)        $12,840.00
61092   HIP FEMORAL COMPONENT (2846)        $12,840.00
61093   HIP FEMORAL COMPONENT (4404-26-04    $5,240.00
61094   SCREW 5.5/6.75 SETSCREW (10-0016)      $366.50
61095   ROD 5.5MMX4CM (10-1004)                $664.00
61096   HIP FEMORAL COMPONENT (7210-26-00    $3,180.00
61097   BREAST EXPANDER (67-133MV15)         $6,840.00
61098   KNEE ART. SURFACE (90-5970-50-17)    $2,910.00
61099   BREAST IMPLANT 27-363118LF           $4,660.00
61100   NUT PIN (1755-28)                    $1,180.00
61101   SYSTEM SPINE L-2LVL WITH CROSSLNK   $23,800.00
61102   SCREW (201.018)                         $55.00
61103   SCREW (201.020)                         $65.00
61104   SCREW (876-357)                      $1,280.00
61105   PLATE (876-150)                      $5,150.00
61106   HIP LINER LONGEVITY (6341-56-28)     $4,820.00
61107   KNEE TIBIAL COMPONENT (5972-30-20    $2,160.00
61108   GENERATOR PACEMAKER (KDR651)        $21,210.00
61109   ROD 5.5MMX30MM TI (1774-70-030)      $1,481.00
61110   ROD 5.5MMX45MM TI LRD(1774-10-045    $1,618.25
61111   ROD 5.5MMX35MM TI (1774-70-035)      $1,481.00
61112   URINARY SPHINCTER PUMP 72400098     $14,270.00
61113   ROD 5.5MMX45MM TI (1774-70-045)      $1,481.00
61114   ROD 5.5MMX55MM TI (1774-70-055)      $1,481.00
61115   URINARY SPHINCTER CUFF 72400160      $5,960.00
61116   URINARY PROSTH CUFF OCCLUSIVE (72    $4,880.00
61117   SCREW (202.016)                         $53.00
61118   SCREW (202.018)                         $53.00
61119   ROD 5.5MMX75MM TI (1774-70-075)      $1,481.00
61120   ROD 5.5MMX85MM TI (1774-70-085)      $1,481.00
61121   ROD 5.5MMX95MM TI (1774-70-095)      $1,481.00
61122   ROD 5.5MMX30MM TI LRD(1774-10-030    $1,618.25
61123   ROD 5.5MMX35MM TI LRD(1774-10-035    $1,618.25
61124   URINARY SPHINCTER ACC KIT (724016    $1,210.00
61125   ROD 5.5MMX40MM TI LRD(1774-10-040    $1,618.25
61126   ROD 5.5MMX55MM TI LRD(1774-10-055    $1,618.25
61127   ROD 5.5MMX65MM TI LRD(1774-10-065    $1,618.25
61128   ROD 5.5MMX75MM TI LRD(1774-10-075    $1,618.25
61129   URINARY SPHINCTER BALLOON72400024    $5,710.00
61130   BREAST IMPLANT (27-363122LF)         $4,660.00
61131   BREAST IMPLANT (27-363130LF)         $4,660.00
61132   BREAST IMPLANT (350-3330)            $3,340.00
61133   PENILE PROSTHESIS RESERVOIR (7240    $3,750.00
61134   BREAST IMPLANT (350-3380)            $3,340.00
61135   ROD 5.5MMX95MM TI LRD(1774-10-095    $1,618.25
61136   SCREW (204.012)                         $52.00
61137   SCREW (204.014)                         $49.50
61138   SCREW (204.016)                         $49.50
61139   ROD 5.5MMX85MM TI LRD(1774-10-085    $1,618.25
61140   HIP FEMORAL HEAD (6260-5-328)        $3,320.00
61141   ROD 5.5MMX65MM TI (1774-70-065)      $1,481.00
61142   HIP FEMORAL COMPONENT (6260-3-119   $13,100.00
61143   SCREW (204.024)                         $57.00
61144   HIP FEMORAL COMPONENT (6260-3-001   $15,430.00
61145   STENT BILIARY 5 X 14 (60-914)        $7,550.00
61146   STENT BILIARY 5 X 19 (60-934)        $7,550.00
61147   ROD 5.5MMX40MM TI (1774-70-040)      $1,481.00
61148   STENT BILIARY 6 X 14 (60-918)        $7,550.00
61149   SYSTEM DEFIB ATLAS+DR (V243SYSTEM   $96,800.00
61150   STENT BILIARY 6 X 19 (60-938)        $7,550.00
61151   ELECTRODE PACEMAKER (5076-65)        $4,810.00
61152   HIP LINER LONGEVITY (6310-58-32)     $4,610.00
61153   HIP FEMORAL COMPONENT (32-6728-07    $7,280.00
61154   SCREW (204.032)                         $52.00
61155   HIP FEMORAL HEAD (6260-5-228)        $3,320.00
61156   LEAD G/SG ENDOTAK RELIANCE (0184)   $23,000.00
61157   SCREW (204.036)                         $49.50
61158   BREAST IMPLANT (350-3230)            $3,340.00
61159   HIP STEM PROSTALAC (154133000)      $17,169.00
61160   GENERATOR PACEMAKER (8040)          $44,070.00
61161   HIP POLY LINER (6320-58-32)          $4,610.00
61162   NAIL (2254-225-09)                   $4,170.00
61163   SCREW (204.040)                         $49.50
61164   HIP LINER 66/36 (1220-36-566)        $7,158.00
61165   SCREW (2253-25-42)                     $550.00
61166   HIP LINER LONGEVITY (6305-60-32)     $4,410.00
61167   BREAST IMPLANT (354-2514)            $6,120.00
61168   BREAST IMPLANT (354-2515)            $6,120.00
61169   KNEE TIBIAL COMP (1180-34-000)       $8,310.00
61170   KNEE FEMORAL COMP (1294-01-060)      $9,980.00
61171   KNEE ARTICULATING SURF (1178-57-0    $3,650.00
61172   BREAST IMPLANT (27-363140LF)         $4,660.00
61173   BREAST IMPLANT (27-363136LF)         $4,660.00
61174   HIP STEM (1662-38-000)              $16,180.00
61176   SCREW (204.045)                         $52.00
61177   SYSTEM PEDICLE SCREW 2LVL W/O XLK   $20,000.00
61178   PLATE (879-9155)                     $8,460.00
61179   SLING MESH SPARC SYSTEM (72403480    $4,050.00
61180   HIP ACETABULAR SHELL (7000-52-20)   $11,453.75
61181   HIP ACETABULAR SHELL (7000-58-20)   $11,453.75
61182   SCREW (212.123)                        $574.25
61183   CEMENT BONE W/MIXER (C01B)           $1,162.00
61184   PIN 879-6003                           $510.00
61185   PACEMAKER KAPPA DR (KDR903)         $22,400.00
61186   BREAST EXPANDER (3610-40-I)          $3,640.00
61187   SCREW (206.016)                         $47.25
61188   SCREW (206.018)                         $47.25
61189   SCREW (206.020)                         $58.00
61190   HIP ACET COMP W LINER (12-104345)    $4,840.00
61191   HIP SHELL 50 (430-01-050)            $4,656.00
61192   HIP LINER MP6 NEUT 28 (431-28-006    $2,910.00
61193   CLAVICLE PIN ASSEM (1129-10-020)     $5,238.00
61194   SEED PD-103 (B-2335-ILS15)             $400.00
61195   SHOULDER COMP (1128-12-000)          $7,510.00
61196   SCREW (206.022)                         $58.00
61197   SCREW (206.024)                         $58.00
61198   SCREW (206.026)                         $58.00
61199   SCREW (206.028)                         $58.00
61200   KNEE FEMORAL COMP (1782-32)          $9,210.00
61201   KNEE FEMORAL COMP (1180-35-000       $3,380.00
61202   SCREW (206.032)                         $58.00
61203   SCREW (206.036)                         $58.00
61204   KNEE FEMORAL COMP (1178-62-025)      $7,670.00
61205   SCREW (206.040)                         $58.00
61206   SCREW (206.045)                         $58.00
61207   KNEE FEMORAL COMP (1782-28)          $9,210.00
61208   KNEE FEMORAL COMP (1180-33)          $7,670.00
61209   KNEE FEMORAL COMP (1178-55-025)      $3,380.00
61210   SCREW (206.050)                         $50.00
61211   VEIN ALLOGRAFT (V010 37CM)          $17,940.00
61212   HIP STEM (1125501)                   $7,170.00
61213   STENT GRAFT ANEURX (YRECX24375)     $10,712.25
61214   HIP FEMORAL HEAD (06-2805)           $2,920.00
61215   GRAFTJACKET REPAIR MATRIX(8600-4X   $12,687.50
61216   SYSTEM DEFIBRILLATOR (7278SYSTEM)   $99,600.00
61217   VITOSS STD 10CC CANISTER(21020031    $5,412.50
61218   HIP HEAD (1002801)                   $1,790.00
61219   LEAD EASYTRAK (4538)                $14,550.00
61220   PLATE (239.908)                      $6,600.00
61221   STENT (PCT281416)                   $27,920.00
61222   HIP CENTRALIZER (PC-11)                $360.00
61223   STENT (PCC141400)                   $12,892.00
61224   ELECTRODE PACEMAKER (1346T-52)       $4,360.00
61225   ELECTRODE PACEMAKER (1342T-46)       $4,360.00
61226   AORTIC EXTENDER EXCLUDR(PCA280300   $13,147.50
61227   CATH HICKMAN DUAL LUMEN (0600692)    $1,270.00
61228   HIP STEM EPOCH 4075-14-02           $20,540.00
61229   PLATE (1746-60-031)                 $14,837.50
61230   SCREW (1746-18-720)                  $4,497.75
61231   SCREW (1746-18-716)                  $4,497.75
61232   VALVE AORTIC 19MM S50019MM          $15,600.00
61233   STENT CORONARY (P2907)               $5,910.00
61234   FILTER VENA CAVA (264000)            $6,373.00
61235   SCREW (212.132)                        $574.25
61236   SCREW (401.511.96)                     $574.25
61237   SCREW 401.512.96                       $305.00
61238   PLATE (449.926)                      $1,939.00
61239   SCREW (212.140)                        $574.25
61240   SCREW (204.8110)                       $110.00
61241   SCREW (404.814)                        $100.00
61242   SCREW (404.816)                        $100.00
61243   SCREW (404.818)                        $100.00
61244   SCREW (404.820)                        $100.00
61245   PLATE (83230)                        $4,266.25
61246   PLATE (423.57)                         $570.00
61247   PLATE (423.56)                         $540.00
61248   SPINE CAGE 10MMX5DRG (186448010)    $13,440.00
61249   KNEE PATELLA (5220-19)               $1,940.00
61250   HIP BIPOLAR HEAD (BP-2844)           $2,600.00
61251   HIP HEAD (1002805)                   $1,790.00
61252   HIP BIPOLAR HEAD (BP-2845)           $2,600.00
61253   SCREW (212.128)                        $574.25
61254   HIP STEM (1120101)                   $7,170.00
61256   HIP CENTRALIZER (1376-38)              $470.00
61257   HIP STEM (1521-11)                  $10,040.00
61258   CONNECTOR (1755-65)                  $3,470.00
61259   SYSTEM SPINE L-SPINE X 1 LVL        $15,800.00
61260   HIP LINER (6341-60-32)               $4,820.00
61261   KNEE FEMORAL COMPONENT(5950-13-02   $12,821.50
61264   CATHETER ELECTRODE (401771)            $650.00
61265   BREAST IMPLANT (354-2911)            $3,780.00
61266   NAIL (2252-360-16)                   $2,770.00
61267   ELECTRODE DEFIBRILLATOR (6947-65)   $26,640.00
61268   HIP POLY LINER (6341-64-28)          $4,820.00
61269   PORT LOW PROFILE CATH (0603880)      $2,000.00
61270   KIT FALOPE DUAL (005280-901)         $5,790.00
61271   GRAFT VASCULAR (40S06C)              $2,490.00
61273   HIP LINER LONGEVITY (6305-64-32)     $4,410.00
61274   KNEE FEMORAL COMP (1180-08-000)      $9,210.00
61275   WIRE K STYLE (186-04-14)                $41.25
61276   KNEE FEMORAL COMP (1178-56-025)      $3,370.00
61277   HIP STEM (9611-70-000)              $10,920.00
61278   HIP FEMORAL HEAD (9625-72-000)       $1,600.00
61279   EAR IMPLANT NUCLEAUS 24 (C124R(CS   $98,000.00
61280   DEFIBRILLATOR ATLAS +HF (V340)      $96,000.00
61281   LEAD QUICKSITE LV (1056K/86)        $16,000.00
61282   BREAST IMPLANT (350-1610)            $3,200.00
61283   SCREW (754-5050)                     $5,321.00
61284   PLATE (976-145)                      $7,421.00
61285   SPINE CAPSTONE VBS 10X26 (2961026   $10,062.75
61286   HIP CENTRALIZER (9612-46-000)          $435.00
61287   PLATE (976-160)                      $8,627.75
61288   KNEE FEMORAL COMP (1180-06)          $9,210.00
61289   KNEE FEMORAL COMP (1178-53-025)      $3,370.00
61290   ANCHOR CORKSCREW (AR-19155)          $1,100.00
61291   SCREW (207.018)                         $57.00
61292   RING ANNULOPLASTY 36MM (4900-T36)   $15,277.50
61293   CONNECTOR ROD TO ROD 16MM (7016RR    $5,160.00
61294   SCREW (207.020)                         $57.00
61295   SCREW (1020-55)                        $590.00
61296   CONNECTOR OFFSET SR90D (7000SOS)     $2,403.75
61297   SCREW (207.024)                         $57.00
61298   SCREW (14022-36)                       $110.00
61299   HIP FEMORAL HEAD (7895-032-05)         $518.00
61300   BREAST IMPLANT (25-40401)            $4,801.50
61301   SCREW 207.028                           $57.00
61302   NAIL IM (71633332)                   $7,396.00
61303   ELECTRODE DEFIBRILATOR (6949-58)    $26,000.00
61304   HIP UNIPOLAR HEAD (126644)           $1,481.00
61305   HIP FEMORAL COMPONENT (7130681)      $6,851.00
61306   IMPLANT TELAMON VBS 10X26(4332610   $10,066.00
61307   HIP LINER (32-6732-06-01)            $9,254.00
61309   SCREW (207.035)                         $52.00
61311   SCREW (207.040)                         $52.00
61312   SCREW (207.045)                         $57.00
61317   SCREW (207.050)                         $52.00
61318   SHUNT CATH VENT PORTNOY (NL850-12      $700.00
61319   SHUNT CATH VENT PUDENZ (NL850-122      $980.00
61320   BREAST IMPLANT (27-263150LF)         $4,660.00
61328   CATH TESIO (MBL-6)                   $1,833.00
61329   CATH TESIO (MBR-6)                   $1,850.00
61332   SCREW (400.808.96)                     $195.00
61334   SCREW 400.809.96                       $195.00
61343   SCREW (400.812)                        $195.00
61347   TENDON ACHILLES FF (450201)          $7,510.00
61350   SCREW (AR-5035TB-10)                 $1,000.00
61354   FILTER VENA CAVA FEMORAL (50-501)    $6,550.00
61355   VALVE MITRAL HANCOCK II (T510 27M   $17,230.00
61369   SCREW (9698555)                      $4,220.00
61370   SCREW (9698550)                      $4,220.00
61371   SCREW BREAK OFF (9690855)              $590.00
61372   SCREW (401.502.96)                     $295.00
61373   CATH HICKMAN (0600564)                 $950.00
61375   VALVE AORTIC 21MM (30502101)        $24,840.00
61376   CATH HICKMAN (0600574)               $1,080.00
61377   SCREW (401.516.96)                     $295.00
61378   SCREW (401.518.96)                     $295.00
61380   CATH GROSHONG (7726502)              $1,758.00
61381   KNEE PATELLA COMPONENT (5972-65-3    $1,650.00
61382   CATH GROSHONG (7726954)              $1,850.00
61383   SCREW (311.32)                         $335.00
61384   KNEE FEMORAL COMP (1278-52-025)      $3,370.00
61387   HIP STEM (1662-33)                  $14,550.00
61388   HIP STEM (1550-33-000)               $4,080.00
61389   HIP FEMORAL STEM SZ 13 7843-13-08   $20,943.00
61390   KNEE ART SURF (5972-21-10)           $3,990.00
61391   PORT TITANIUM (0602220)              $2,160.00
61392   PORT TITANIUM (0602210)              $2,220.00
61393   SCREW (401.811.96)                     $205.00
61394   SCREW (401.812.96)                     $205.00
61396   SCREW (401.813.96)                     $205.00
61397   PORT TITANIUM (0602810)              $2,760.00
61398   HIP FEMORAL COMP 7843-16-06         $15,550.00
61399   VALVE MITRAL HANCOCK II(T51031MM)   $17,230.00
61400   COIL MATRIX (371608SR)               $7,170.25
61401   COIL MATRIX (385610)                 $8,934.00
61402   SCREW (401.814.96)                     $205.00
61403   SCREW (401.816.96)                     $205.00
61404   SCREW (401.818.96)                     $291.00
61405   COIL MATRIX (371620SR)               $7,566.00
61406   COIL MATRIX (371710SR)               $7,362.50
61407   COIL MATRIX (385715)                 $9,195.75
61408   COIL MATRIX (342930-4)               $3,503.75
61409   COIL MATRIX (355183-4)               $6,600.00
61410   GRAFT HEMASHEILD MICROVEL (095210    $2,610.00
61411   KNEE ARTICULATING SURF (5110-40-1    $2,570.00
61412   PLATE (441.37)                         $305.00
61413   SCREW (404.812)                        $100.00
61414   COIL MATRIX (355203-4)               $6,600.00
61415   COIL MATRIX (397408SR)               $6,413.75
61416   COIL MATRIX (344404-SR4)             $4,871.50
61417   COIL MATRIX (343408)                 $5,488.50
61418   HIP FEMORAL STEM CPT 8114-02-10      $8,920.00
61419   COIL MATRIX (344504-SR4)             $4,871.50
61420   COIL MATRIX (344606-SR4)             $5,092.50
61421   COIL MATRIX (344608-SR4)             $5,092.50
61422   HIP BIPOLAR HEAD (1035-54)           $3,120.00
61423   COIL MATRIX (344710-SR4)             $5,092.50
61424   NEBULIZER THERA MIST 708-P30000H        $25.50
61425   SCREW LEGACY 8.5X45 (754-854)        $5,319.50
61426   SCREW LEGACY 8.5X50 (754-8550)       $5,319.50
61427   ROD LEGACY 5.5 (869-013)             $1,848.00
61428   HIP FEMORAL COMPONENT (7833-14)      $3,210.00
61429   KNEE ARTICULAT SURF (96-2732)        $6,656.75
61430   SCREW (AT-1390TB)                      $900.00
61431   KNEE OFFSET TIBIA (96-0135)         $11,021.75
61432   KNEE FLUTED ROD (86-6442)            $4,365.00
61433   COIL MATRIX (371515SR)               $7,071.50
61434   STENT ESOPHAGEAL ULTRA (1424)        $8,863.50
61435   STENT URETERAL PERCUFLEX (175-204      $920.00
61436   KNEE ARTICULAT SURF 90-5970-40-14    $2,910.00
61437   KNEE ARTICULATING SURF (5994-30-2    $5,500.00
61438   GEL IMPLANT MCGHAN (27-120341)       $4,640.00
61439   HIP FEMORAL COMPONENT 8114-04-26    $14,296.00
61440   KNEE STEM EXTENSION 5988-15-16       $3,954.75
61441   HIP STEM SOL SYS (1571-26-000)      $15,870.00
61442   KNEE BLOCK (5880-02-10)              $6,690.25
61443   HIP M/L TAPER (7711-13)             $10,890.50
61444   SCREW 32MM (14022-32)                  $124.75
61445   SCREW 34MM (14022-34)                  $124.75
61446   SCREW 5.5X40 (1515-40)                 $723.25
61447   SCREW 5.5X60 (1515-60)                 $723.25
61448   VERSANAIL 10X20 (8007-10-020)        $8,590.50
61449   GUIDEWIRE (8092-30-028)                $675.50
61450   PLATE CSLP SM (487.228)              $3,280.00
61451   KNEE PATELLA MG II (5110-65-38) 3    $1,770.00
61452   CEMENT MIXER 6211-0-000                $896.50
61453   SCREW (407.040)                         $86.00
61454   SCREW 4.5X44 (14022-44)                $139.50
61455   SCREW 4.5X48 (14022-48)                $139.50
61456   SCREW 5.5X30 (1515-30)                 $723.25
61457   PLATE THREADLOCK (50-195-21)         $4,450.00
61458   BREAST IMPLANT (24-20350)            $5,090.00
61459   STENT BILIARY WALL (43070)           $8,730.00
61460   HIP BALL AML XLNG NECK (1018-14-0    $2,880.00
61461   BREAST IMPLANT (24-20400)            $5,090.00
61462   ELECTRODE PACEMAKER (4568-45)        $4,540.00
61463   BREAST IMPLANT (24-20450)            $5,090.00
61464   BREAST IMPLANT (24-20500)            $5,090.00
61465   HIP BIPOLAR HEAD (16764-A)           $2,910.00
61466   SCREW 5.5X25 (1515-25)                 $723.25
61467   GUIDEWIRE (8092-30-038)                $675.50
61468   NAIL END CAP (8007-00-001)             $759.00
61469   KNEE PATELLA MII (5110-65-35)        $1,950.00
61470   PLATE 16MM ONE LEVEL (83316)         $3,979.75
61471   STENT BILIARY WALL (43080)           $8,730.00
61472   STENT BILIARY H7493791251990         $6,481.75
61473   KNEE FEMORAL COMP (5110-53-15)       $3,720.00
61474   NAIL (71633420)                      $7,510.00
61475   SCREW (71632225)                       $860.00
61476   SCREW (71632270)                       $860.00
61477   KNEE TIBIAL COMP (5112-57-01)        $4,180.00
61478   VALVE MITRAL (M7700EZ)              $20,830.00
61479   ADAPTER LEAD (2872)                  $5,090.00
61480   SCREW (404.832)                        $110.00
61481   KNEE FEMORAL COMP (1782-27)          $9,210.00
61482   KNEE FEMORAL COMP (1178-47-025)      $3,370.00
61483   KNEE TIBIAL COMP (1180-32)           $7,670.00
61484   KNEE FEMORAL COMP (1180-03)          $9,210.00
61485   NAIL (71635336)                      $7,510.00
61486   SCREW (71632390)                     $1,410.00
61487   PACEMAKER SINGLE CHAMBER 1190SYS    $19,600.00
61488   HIP LINER (6310-66-32)               $5,284.75
61489   KNEE FEMORAL COMP (6630-0-415)      $13,880.00
61490   NAIL (71635338)                      $7,510.00
61491   SCREW (71632300)                     $1,410.00
61492   SCREW (1746-07-526)                  $4,370.00
61493   KNEE TIBIAL COMPONENT (6632-3-420    $9,090.00
61494   NAIL 12X25 (8007-12-025)             $8,590.50
61495   NUCLEAUS EAR (Z43997)               $98,000.00
61496   KNEE FEMORAL COMP (1782-06)          $9,210.00
61497   KNEE FEMORAL COMP (1178-50-025)      $3,380.00
61498   KNEE FEMORAL COMP (RD146783)         $3,320.00
61499   NAIL (2252-380-14)                   $2,770.00
61500   SCREW (2252-110-55)                    $860.00
61501   SCREW (2252-90-55)                     $860.00
61502   SCREW (204.022)                         $81.00
61503   HIP ACETABULAR LINER (32-8560-211   $13,070.00
61504   COIL 2MMX2CM ULTRASOFT (343202)      $4,720.00
61505   COIL 2 X 4 (341204-4)                $2,920.00
61506   HIP BIPOLAR HEAD (1035-51)           $3,120.00
61507   SCREW (AR-5035TB-11)                 $1,210.00
61508   SCREW (AR-1400TB)                      $900.00
61509   SCREW (AR-1380E)                       $770.00
61510   SCREW (AR-1391T)                       $630.00
61511   ALLOGRAFT BONE CAN CHIPS 4-10 (TE    $2,040.00
61512   HIP BIPOLAR HEAD (16769-A)           $2,910.00
61513   KNEE PATELLA (1497-73-025)           $2,740.00
61514   KNEE FEMORAL COMP (1180-04-000)      $9,210.00
61515   KNEE FEMORAL COMPONENT (96-0013)    $12,100.00
61516   GRAFT HEMI PATELLAR (13803)          $6,990.00
61517   PIN-PLUG KIT (6725)                    $660.00
61518   VEIN ALLOGRAFT 44CM (V010 44CM)     $18,740.00
61519   HIP BIPOLAR HEAD (1035-46-000)       $3,120.00
61520   HIP STEM (1521-22)                  $12,770.00
61521   HIP CENTRALIZER (1376-21)              $430.00
61522   KNEE ARTICULATING SURF (5952-050-    $7,510.00
61523   KNEE ARTICULATING SURF (5852-050-    $7,510.00
61524   NUCLEUS EAR (Z43007B)               $62,000.00
61525   BREAST IMPLANT (350-1615)            $3,200.00
61526   HIP LINER (32-6728-87-01)            $7,790.00
61527   GENERATOR AICD (V-194)              $66,090.00
61528   KNEE TIBIAL COMPONENT (1294-33-13   $11,500.00
61529   KNEE FEMORAL COMP (1178-61-025)      $3,380.00
61530   HIP FEMORAL HEAD (8018-28-14)        $1,698.00
61531   KNEE FEMORAL COMP (1178-48-025)      $3,380.00
61532   GENERATOR AICD (V-199)              $68,090.00
61533   TENDON ACHILLES W/CALCANEUS(45010    $4,600.00
61534   RING ANNULOPLASTY 33M (610R03347)   $11,070.00
61535   HIP LINER ACETABULAR (6728-04)           $0.02
61536   BAND FUTURE 30MM (638B3047)         $11,650.00
61537   KNEE TIBIAL INSERT (96-2032)         $5,890.00
61538   KNEE PATELLA (96-0102)               $3,240.00
61539   GRAFT MEADOX PATCH (019508)            $627.00
61540   SHOULDER TAK BIO-ROC (251202)        $1,630.00
61541   GRAFT MEADOX (085189)                $3,690.00
61542   GRAFT MEADOX (085201)                $3,690.00
61543   GRAFT MEADOX (095214)                $2,600.00
61544   KNEE FEMORAL COMP (1294-01-040)      $9,210.00
61545   HIP CUP BIPOLAR (5000-40-22)         $2,590.00
61546   HIP STEM (1662-30)                  $14,550.00
61547   HIP HEAD CERAMIC (128760)            $8,631.25
61548   PLATE 14MM ONE LEVEL (83114)         $3,979.75
61549   SCREW (1796-06-012)                  $1,370.00
61550   TOTAL HIP CEMENTLES/POLY (SYSTEM)   $19,400.00
61551   TOTAL HIP CEMENTLESS METAL SYSTEM   $21,200.00
61552   KNEE ARTICULATING SURF (5960-32-1    $2,700.00
61553   HIP STEM (1662-32)                  $14,550.00
61554   HIP BIPOLAR HEAD (1035-48)           $3,120.00
61556   HIP CENTRALIZER (1376-22)              $435.00
61557   KNEE FEMORAL COMP (1294-02-040)      $9,210.00
61558   HIP STEM (1550-52)                   $4,080.00
61559   KNEE FEMORAL COMP (1180-07-000)      $9,210.00
61560   MESH SILICONE (72403284)             $1,890.00
61561   SHOULDER CUFFTACK ANCHOR (251120)    $1,580.00
61562   ALLOGRAFT DERMAL UROGEN (64350011    $4,740.00
61563   SLING MALE KIT (72403265)           $11,620.00
61564   SCREW (345324)                         $720.00
61565   NAIL (340824)                        $6,070.00
61566   KNEE TIBIAL COMP (6642-1-311)        $5,300.00
61567   KNEE FEMORAL COMP (1294-02-050)      $9,210.00
61568   KNEE PATELLA (1497-74-025)           $2,740.00
61569   KNEE FEMORAL COMP (1178-51-025)      $3,370.00
61570   HIP FEMORAL HEAD (9627-47-000)       $1,600.00
61571   SCREW (55-6073)                        $510.00
61572   HIP FEMORAL COMP (55-7052)           $5,230.00
61573   HIP LINER (87-3425)                  $2,970.00
61574   HIP STEM (9611-72-000)              $10,920.00
61575   COIL GDC ULTRA SOFT 3MMX4CM (3433    $4,810.00
61576   NAIL (71633425)                      $7,510.00
61577   SCREW (71632275)                       $860.00
61578   KNEE FEMORAL COMP (1178-49-025)      $3,370.00
61579   KNEE FEMORAL COMP (1294-01-070)      $9,210.00
61580   GENERATOR PACEMAKER (KDR901)        $25,210.00
61581   STENT OMNILINK 7.0X28 (1008165-28    $7,830.00
61582   STENT DYNALINK 018 7.0 (1006518-1   $10,160.00
61583   STENT DYNALINK 018 7.0 (1006518-8    $9,870.00
61584   HIP FEMORAL COMP (55-7156)           $5,230.00
61585   SCREW (55-6076)                        $510.00
61586   HIP LINER (87-3540)                  $2,970.00
61587   SHOULDER FAST FIX STR (7207876)      $1,560.00
61588   SHOULDER FAST FIX CRV (7207877)      $1,560.00
61589   STENT OMNILINK 5X18 (1008176-18)     $7,550.00
61590   HIP LINER LONGEVITY (6305-48-32)     $6,290.00
61591   GENERATOR PACEMAKER (5376)          $25,210.00
61592   ELECTRODE PACEMAKER (4087)           $5,530.00
61593   LEAD PACEMAKER SINGLE (4086)         $5,530.00
61594   STENT TAXUS 3X12 H7493896812300     $15,132.00
61595   SKIN INTEGRA 4X5 (IA4051)            $7,280.00
61596   GENERATOR PACEMAKER (5370)          $25,210.00
61597   TENDON ACHILLES (450200)             $7,510.00
61598   CAGE ZCA (8005-06)                  $11,510.00
61599   SCREW (AR-1380TB)                      $900.00
61600   SCREW (AR-1370TB)                      $900.00
61601   PLATE (450.237)                      $3,760.00
61602   SHUNT VALVE (NL850-0105)             $2,410.00
61603   VALVE AORTIC HANCOCK II (T505 21M   $17,230.00
61604   VALVE AORTIC HANCOCK II (T505 23M   $17,230.00
61605   VALVE AORTIC HANCOCK II (T505 25M   $17,230.00
61606   STENT TAXUS3.5X12 H7493896812350    $15,132.00
61607   STENT TAXUS 2.5X16 H7493896816250   $15,132.00
61608   VALVE MITRAL HANCOCK II (T510 25M   $17,230.00
61609   SCREW (122380)                         $810.00
61610   SCREW (71161005)                       $810.00
61611   ADAPTER Y-CONNECTOR (2XBIS/BIS-17      $660.00
61612   GENERATOR AICD (V-240)              $90,930.00
61613   COVER BURR HOLE (015-262-18)           $770.00
61614   COVER BURR HOLE (015-262-14)           $770.00
61615   PLATE (015-257)                        $680.00
61616   PLATE (015-255)                        $680.00
61617   SCREW (8001640)                        $215.00
61618   STENT TAXUS2.75X16 H7493896816270   $15,132.00
61619   STENT TAXUS 3X16 H7493896816300     $15,132.00
61620   STENT TAXUS 3X20 H7493896820300     $15,132.00
61621   SCREW 8001635                          $215.00
61622   SCREW (8001830)                        $215.00
61623   SCREW (8001850)                        $215.00
61624   STENT TAXUS2.75X24 H7493896824270   $15,132.00
61625   STENT TAXUS 3.5X24 H7493896824350   $15,132.00
61626   KNEE TIBIAL TRAY (200-04-22)         $6,200.00
61627   KNEE PATELLA (200-02-29)             $2,060.00
61628   KNEE FEMORAL COMP (204-01-02)        $8,660.00
61629   KNEE TIBIAL INSERT (204-22-11)       $3,080.00
61630   PLATE (AR-131000-10.0)               $5,800.00
61631   KNEE FEMORAL COMP (204-01-04)        $8,660.00
61632   KNEE TIBIAL TRAY (200-04-44)         $6,200.00
61633   KNEE PATELLA (200-02-35)             $2,060.00
61634   KNEE INSERT (204-24-18)              $3,080.00
61635   HIP ACETABULAR CUP (122-01-56)       $5,270.00
61636   HIP LINER (132-28-07)                $2,700.00
61637   HIP STEM (112-55-03)                $11,990.00
61638   OPTEFORM ALLOGRAFT (002575)         $10,220.00
61639   HIP ACETABULAR COMPONENT (6200-/3    $4,190.00
61640   HIP LINER (6341-50-32)               $5,150.00
61641   GENERATOR PACEMAKER (5172)          $21,630.00
61642   HIP FEMORAL COMP (9993-18-45)       $16,090.00
61643   HIP FEMORAL COMPONENT (9981-165-3   $15,610.00
61644   NAIL (CM645059S)                     $6,420.00
61645   SHOULDER HUMERAL HEAD (DWB246)       $5,800.00
61646   SHOULDER ANCHOR (AR-1324S)             $900.00
61647   GENERATOR PACEMAKER (KDR906)        $25,210.00
61648   HIP FEMORAL HEAD (7210-28-000)       $3,380.00
61649   HIP LINER LONGEVITY (6310-58-40)     $1,780.00
61650   HIP LINER LONGEVITY (6310-62-36)     $6,170.00
61651   HIP FEMORAL COMPONENT (9026-36-14    $4,050.00
61652   HIP FEMORAL STEM (105619)           $12,210.00
61653   HIP CENTRALIZER (162982)             $2,980.00
61655   NAIL CONTOUR (533520A)               $1,613.00
61656   PORT W GROSHONG (0603770 )           $4,040.00
61657   NAIL IM (2257-340-11)                $6,101.50
61658   NAIL CAP (2259-08-05)                  $962.25
61659   PORT TITANIUM 9.5FR (0602230 )       $2,730.00
61660   PORT GROSHONG (0605900)              $4,390.00
61661   GRAFT ULTRAMAX (23162)               $2,153.50
61662   STENT WALLSTENT (71-137)             $7,600.00
61663   STENT ULTRA (1003381-13)             $7,280.00
61664   STENT ULTRA 1003382-13               $7,280.00
61665   STENT ULTRA 1003381-18               $7,280.00
61666   STENT ULTRA 1003382-18               $7,280.00
61667   STENT ULTRA 1003381-28               $7,280.00
61668   NAIL IM (2257-340-01)                $6,101.50
61669   ELECTRODE AICD (0154 )              $34,000.00
61670   STENT TAXUS 3X28 H7493896828300     $15,132.00
61671   SCREW (1796-06-013)                  $1,370.00
61672   KNEE FEMORAL COMPONENT (21522-C)     $9,890.00
61673   STENT TAXUS 3.5X28 H7493896828350   $15,132.00
61674   STENT TAXUS 2.5X8 H7493896808250    $15,132.00
61675   STENT TAXUS 3X8 H7493896808300      $15,132.00
61676   KNEE TIBIAL INSERT (21611-E)         $2,910.00
61677   KNEE TIBIAL INSERT (21633-E)         $2,910.00
61678   KNEE FEMORAL COMPONENT (5994-15-9   $13,430.00
61679   SCREW (879-2111)                     $1,250.00
61680   SCREW (879-2711)                     $1,480.00
61681   PASTE OSTEOFIL (004410DR)            $5,530.00
61682   GENERATOR PACEMAKER (KSR401 )       $19,210.00
61683   STENT TAXUS 3.5X8 H7493896808350    $15,132.00
61684   SCREW (25-677-10-01)                   $475.00
61685   STENT TAXUS 2.75X8 H7493896808270   $15,132.00
61686   STENT TAXUS 2.5X12 H7493896812250   $15,132.00
61687   STENT TAXUS2.75X12 H7493896812270   $15,132.00
61688   VEIN ALLOGRAFT (V010 56CM)          $19,140.00
61689   KNEE FEMORAL COMP (5994-14-91)      $13,430.00
61690   IMPLANT OVAL CARVING (3232 KIT B)    $6,400.00
61691   PYRAMESH (XIB0301-011)              $10,120.00
61692   PIN (112004)                           $510.00
61693   NAIL (71129004)                      $4,900.00
61694   PLATE (FJ772T)                       $4,070.00
61695   SCREW (FJ816T)                       $1,850.00
61696   SCREW (FJ852T)                       $1,850.00
61697   PIN (FJ833R)                           $390.00
61698   COSEAL SEALANT 4ML (994071)          $2,706.50
61700   STENT TAXUS 3.5X20 H7493896820350   $15,132.00
61701   STENT EXPRESS (38046-62075)          $7,540.00
61702   STENT EXPRESS (38046-72075)          $7,540.00
61703   STENT EXPRESS (38046-82075)          $7,540.00
61704   STENT EXPRESS (38047-62013)          $7,540.00
61705   EXTENSION MEDTRONIC (7495 )          $2,880.00
61706   HIP LINER (6310-76-36)               $2,374.75
61707   STIMULATOR SPINAL CORD (7498-25)     $5,791.00
61708   STENT EXPRESS (38047-64013)          $8,120.00
61709   STENT TAXUS 2.5X20 H7493896820250   $15,132.00
61710   STENT TAXUS2.75X20 H7493896820270   $15,132.00
61711   STENT TAXUS 2.5X24 H7493896824250   $15,132.00
61712   STENT TAXUS 3X24 H7493896824300     $15,132.00
61713   STENT TAXUS2.75X28 H7493896828270   $15,132.00
61714   STENT EXPRESS (38047-82013)          $7,540.00
61715   STENT TAXUS2.75X32 H7493896832270   $15,132.00
61716   GENERATOR PRIZM (1861)              $78,510.00
61717   STENT TAXUS H7493896832350          $15,132.00
61718   ELECTRODE AICD (0148 )              $24,040.00
61719   STENT EXPRESS (38047-84013)          $8,120.00
61720   PACEMAKER INSIGNIA ENTRA (1195)     $14,800.00
61721   SCREW TSRH 6.5X60 (8372660)          $1,833.50
61722   STENT EXPRESS (38047-12013)          $7,540.00
61723   SCREW TSRH 7.5X40 (8372740)          $1,833.50
61724   GRAFT BONE OP-1 (10025)             $20,000.00
61725   STENT EXPRESS (38047-14013)          $8,120.00
61726   KNEE STEM COMPONENT (5988-10-11)     $3,670.00
61727   HIP FEMORAL HEAD (8018-32-14)        $1,698.00
61728   EYELID IMPLANT THIN (LL4008)         $1,440.00
61729   EYELID IMPLANT THIN (LL4010)         $1,440.00
61730   ELECTRODE PACEMAKER (4015 )          $4,510.00
61731   SPINE 1 LEVEL POSTERIOR LUMBAR      $13,600.00
61732   SPINE 2 LEVEL POSTERIOR LUMBAR      $20,800.00
61733   ELECTRODE PACEMAKER (4480 )          $4,950.00
61734   ELECTRODE PACEMAKER (4456 )          $4,950.00
61735   EYELID IMPLANT THIN (LL4012)         $1,440.00
61736   GRAFT VECTRA (1002-5050-001)         $6,400.00
61737   GRAFT DURA GEN DURAL (ID-1305)       $1,540.00
61738   ELECTRODE PACEMAKER 4469             $4,950.00
61739   SPINE 3 LEVEL POSTERIOR LUMBAR      $27,200.00
61740   SPINE SYSTEM CROSSLINK               $4,365.00
61741   SPINE 1 LEVEL ANTERIOR CERVICAL      $7,566.00
61742   SPINE 2 LEVEL ANTERIOR CERVICAL      $9,312.00
61743   SPINE 3 LEVEL ANTERIOR CERVICAL     $11,058.00
61744   STENT WALL 8X29 (71-825)             $8,509.00
61745   PACEMAKER INSIGNIA ULTRA DR(1290)   $20,000.00
61746   NAIL (8007-12-015)                   $8,290.00
61748   SCREW TSRH 7.5X55MM 8372755          $1,833.50
61749   HIP METAL FEM. HEAD 1365-51-000      $3,346.50
61750   ALLOGRAFT FEMORAL HEMI 32247002     $35,800.00
61751   HIP ACETAB SHELL (65-6200-62-20)     $6,838.50
61752   HIP SHELL 56MM (109256)             $14,308.00
61753   HIP SHORT FLANGE (109200)            $4,487.25
61754   NAIL IM FEMORAL (2257-340-12)        $6,101.50
61755   SCREW (2259-01-40)                   $1,270.25
61756   HIP STEM M/L TAPER (7711-11-20)     $10,890.50
61757   PLATE (2347-17-06)                   $2,095.25
61758   KNEE CR FLEX FEMORAL (5950-14-05)   $12,821.50
61759   KNEE ARTICULAT SURF 90-5970-40-20    $2,910.00
61760   STENT OMNILINK 8X18 (1008167-18)     $7,537.00
61761   STENT OMILINK 8X28 (1008167-28)      $7,828.00
61762   STENT OMNILINK 9X18 (1008168-18)     $7,537.00
61763   STENT OMNILINK 9X28 (1008168-28)     $7,828.00
61764   HIP ACETAB SHELL (65-6200-52-20)     $6,838.50
61766   HIP UNIPOLAR HEAD (126645)           $1,418.75
61767   SURGIWRAP 100X130X0.02 (26202-01)    $1,306.00
61768   NAIL IM (2257-180-12)                $3,569.25
61769   BIOKNOTLESS RC W/ETHIBOND 212738     $1,815.50
61770   PLATE RT STANDARD (DVRA-R)           $3,463.00
61771   SCREW CORTICAL (SP-24)                 $513.25
61772   INSERT TIBIAL TMI (99-03767-00)      $8,148.00
61773   TELAMON IMPLANT 8X22 (4332208)      $10,063.00
61774   STENT WALLGRAFT (70-585 )           $11,350.00
61775   STENT WALLGRAFT (70-595 )           $11,350.00
61776   HIP LINER (1218-87-354)              $8,926.50
61777   SCREW LEGACY (754-4545)              $5,319.50
61778   SCREW LEGACY (754-5040)              $5,319.50
61779   COLLAGEN INJECTABLE (651005 )        $1,840.00
61780   SCREW (1515-50)                        $730.00
61781   SCREW (1515-35)                        $730.00
61782   SCREW (1518-55)                        $730.00
61783   CAP END (8007-00-000)                  $730.00
61784   PLATE (2347-05-08)                   $3,340.00
61785   SCREW (2347-23-26)                     $140.00
61786   GENERATOR PACEMAKER (KDR921)        $25,210.00
61787   HIP FEMORAL HEAD (163544)            $8,460.00
61788   SCREW LEGACY 8.5X40 (754-8540)       $5,319.50
61789   CROSSLINK 58-80 (8115558)            $5,925.00
61790   MESH PROLOOP SMALL (30900)             $996.00
61791   LINER TRILOGY 22MM (6320-46-22)      $5,284.75
61792   HIP SHELL CERAMIC (498-00-054)       $4,947.00
61793   HIP FEMORAL STEM (105623)           $12,200.00
61794   HIP CENTRALIZER (162984)             $1,320.00
61795   HIP ACETABULAR COMP (UH1-58-26)      $5,820.00
61796   PLATE DOG BONE 8MM (015-042)           $180.00
61797   FILTER VENA CAVA GREENFIELD (50-3    $5,800.00
61798   KNEE TIBIAL TRAY (200-04-34)         $6,200.00
61799   KNEE INSERT (204-23-11)              $3,080.00
61800   KNEE FEMORAL COMP (204-01-03)        $8,660.00
61801   KNEE TIBIAL TRAY (200-04-32)         $6,200.00
61802   KNEE INSERT (204-23-18)              $3,080.00
61803   VEIN ALLOGRAFT 27CM (V061)          $16,300.00
61804   HIP LINER CERAMIC (498-32-052)      $10,476.00
61805   PLATE Y DOUBLE 015-237                 $680.00
61806   HIP HEAD CERAMIC (400-01-297)        $5,238.00
61807   NAIL IM (2257-380-12)                $6,101.50
61808   ROD 5.5X6 (10-1006)                    $664.00
61809   NAIL KNEE (71633325)                 $7,396.00
61810   SHOULDER ACL KIT (AR-1898S)            $870.00
61811   SCREW 3.5 CORTICAL (2348-10-35)        $174.75
61812   SCREW TENODESIS 4.75X15 (AR-1547B    $1,469.00
61813   HIP FEMORAL STEM (103801)           $13,610.00
61814   HIP CUP ACETABULAR (106050)          $7,010.00
61815   HIP LINER (12-105883)                $4,430.00
61816   SCREW (103535)                         $660.00
61817   HIP FEMORAL HEAD (103204)           $13,610.00
61818   HIP LINER (12-105953)                $4,790.00
61819   HIP CUP (55-7050)                    $6,090.00
61820   NAIL (2253-340-11)                   $3,420.00
61821   SCREW 3.5 CORTICAL (2348-14-35)        $174.75
61822   COIL GDC-10 SOFT 2D SR 344610-SR4    $4,600.00
61823   COIL GDC-10 2D SR 7X15 (344715-SR    $4,630.00
61824   SCREW (206.055)                         $66.00
61825   WEDGE FIBULAR 9-10 (910849)          $2,390.00
61826   PLATE (12-1126)                      $1,770.00
61827   CLIP SCREW (12-1115)                   $385.00
61828   PYRAMESH (909-902)                  $18,470.00
61829   PYRAMESH (XIB0201-018)               $9,570.00
61830   PLATE (876-187)                      $6,260.00
61831   HIP FEMORAL HEAD (52-2034)           $4,220.00
61832   HIP FEMORAL STEM (103808)           $13,610.00
61833   HIP CUP ACETABULAT (106054)          $7,010.00
61834   HIP LINER (12-105884)                $4,430.00
61835   KNEE PATELLA (200-02-32)             $2,060.00
61836   SPINE PCR IMPLANT (4200137)         $11,650.00
61837   KNEE PATELLA (200-02-38)             $2,060.00
61838   KNEE TIBIAL TRAY (200-04-33)         $6,200.00
61839   LEAD PACEMAKER SINGLE (4088)         $5,530.00
61840   STENT URETERAL 6X28 (5322800)          $800.00
61841   SCREW (837-745)                      $1,570.00
61842   CONNECTOR SMALL (837-9130C)          $3,760.00
61843   CONNECTOR MEDIUM (837-9131C)         $3,760.00
61844   SCREW LOCK (828-1246)                  $200.00
61845   ROD 837-0060                         $1,190.00
61846   STENT TAXUS 3.5X16 H7493896816350   $15,132.00
61847   GENERATOR PACEMAKER (KSR901)        $20,410.00
61848   VALVE AORTIC MECH EZ 21M (A7700EZ   $16,030.00
61849   SCREW (1755-80-040)                  $5,590.00
61850   SLING PUBOURETHRAL (485013)          $3,470.00
61851   TISSUE PELVICOL 4X7 (482047)         $2,850.00
61852   KNEE TIBIAL INSERT (204-22-13)       $3,080.00
61853   KNEE FEMORAL COMP (204-01-01)        $8,660.00
61854   KNEE TIBIAL INSERT (204-21-11)       $3,080.00
61855   FILTER VENA CAVA JUGULAR GUNT(264    $5,820.00
61856   PLATE (1796-02-047)                  $6,120.00
61857   SCREW (1796-07-014)                  $1,630.00
61858   KNEE TIBIAL TRAY (200-04-21)         $6,200.00
61859   ROD HEX 140MM (81208)                $1,481.50
61860   ROD HEX 160MM (81210)                $1,481.50
61861   STENT ABSOLUTE 6FRX40(1010560-40)    $5,820.00
61862   STENT ABSOLUTE 6FRX60(1010560-60)    $5,820.00
61863   ELBOW HUMBERAL COMP (5005-012R)     $22,760.00
61864   STENT ULTRAFLEX ESOPHAGEAL (1465)    $7,550.00
61866   SCREW POLYAXIAL 3.5X12MM(48552312    $4,400.00
61867   ELBOW ULNA COMPONENT (5005-202R)    $16,459.00
61868   SCREW POLYAXIAL 4.0X22MM(48552422    $4,502.00
61869   BLOCKERS (48551000)                    $558.00
61870   ROD 80MM OASYS (48552080)              $899.75
61871   BLOCK ILIUM TRICORTICAL (310390)     $5,820.00
61872   CONNECTOR TRANSVERSE (48551080)      $4,563.00
61873   LEAD AICD (1580-65)                 $15,030.00
61874   SCREW W/SHEATH (7205643)               $730.00
61875   FILLER BONE (F04A)                     $620.00
61876   BREAST IMPLANT (350-1660)            $3,200.00
61877   PLATE (879-9025)                     $5,500.00
61878   HIP FEMORAL STEM (105621)           $12,200.00
61879   HIP CENTRALIZER (162983)             $1,320.00
61881   HIP STEM (6020-0637)                $14,640.00
61882   CAP NAIL (71633010)                    $660.00
61883   SCREW (71632395)                     $1,410.00
61884   GENERATOR AICD MARQUIS (7274)       $78,110.00
61885   SCREW (6900420)                      $3,640.00
61886   SCREW (6900316)                      $3,640.00
61887   ROD (6900240)                        $1,310.00
61888   SCREW (6900300)                        $500.00
61889   VEIN ALLOGRAFT (V010 74CM)          $19,620.00
61890   RING ANNULOPLASTY (H601H27)          $7,280.00
61891   BREAST IMPLANT (354-4300)            $5,390.00
61892   BIT DRILL 2.5MM (48560323)           $1,926.50
61893   TAP 3.5MM (48560314)                 $1,926.50
61894   TAP 4.0MM(48560414)                  $1,926.50
61895   BIT DRILL 3.0MM (48560423)           $1,926.50
61896   SCREW POLYAXIAL 3.5X14MM 48552314    $4,400.00
61897   RING DURAN (610R29)                  $8,730.00
61898   RING DURAN (610R31)                  $8,730.00
61899   STENT TAXUS 3X32 H7493896832300     $15,132.00
61900   LEAD PACEMAKER MYOCARDIAL (4046)     $4,220.00
61901   ADAPTER Y (2XBIS/BIS17)              $2,920.00
61902   HIP ACETABULAR SHELL (122-01-52)     $5,270.00
61903   HIP ACETABULAR LINER (130-28-06)     $2,680.00
61904   SCREW (120-65-40)                      $500.00
61905   HIP FEMORAL STEM (112-01-02)        $10,200.00
61906   HIP CENTRALIZER (PC-14)                $395.00
61907   SCREW (120-65-30)                      $500.00
61908   NAIL IM (71633234)                   $7,510.00
61909   GENERATOR AICD (7227E)              $66,090.00
61910   MESH RECONSTRUCTIVE ORTHO (1743-3   $14,550.00
61911   PLATE (7316-2036)                    $8,040.00
61912   SCREW (7331-4314)                    $1,000.00
61913   HIP FEMORAL STEM (112-01-03)         $5,480.00
61914   HIP BIPOLAR HEAD (BP-2843)           $3,560.00
61915   HIP CENTRALIZER (PC13)                 $395.00
61916   PLATE (2347-08-10)                   $3,330.00
61917   SCREW (2347-20-30)                     $130.00
61918   SCREW (2347-22-26)                     $130.00
61920   SCREW (2347-22-40)                     $130.00
61921   NAIL (CM640060S)                     $6,420.00
61922   HIP CENTRALIZER (PC-15)                $395.00
61923   HIP ACETABULAR LINER (130-28-08)     $2,490.00
61924   HIP ACETABULAR SHELL (122-01-60)     $5,270.00
61925   PYRAMESH 13 X 30 (905-133)          $11,190.00
61926   KNEE TIBIAL TRAY (200-04-54)         $6,200.00
61927   KNEE FEMORAL COMP (204-01-05)        $8,660.00
61928   KNEE INSERT (204-25-09)              $3,080.00
61929   SEALANT FLOSEAL 5ML (F05-6)          $1,062.00
61930   SCREW 75MM (8021-075)                $1,062.50
61931   SCREW 12MM (2348-12-35)                $174.75
61932   SCREW 16MM (2348-16-35)                $174.75
61933   SCREW (869-2645)                     $5,070.00
61934   SHOULDER HUMERAL HEAD (1128-44-11    $5,980.00
61935   SHOULDER HUMERAL STEM (1137-10-00   $11,720.00
61936   PYRAMESH 13X70 (905-137)            $12,340.00
61937   HIP LINER (87-3559)                  $5,530.00
61938   SCREW (52-1552)                        $730.00
61939   SCREW (52-1553)                        $730.00
61940   KNEE INSERT (204-23-09)              $3,080.00
61941   SCREW (112-6045)                     $2,920.00
61942   SCREW (112-6050)                     $2,920.00
61943   PLATE WAVE (174-2745)                $7,370.00
61944   NUT (174-2010)                         $420.00
61945   NAIL (71635342)                      $7,510.00
61946   SCREW (71632380)                     $1,410.00
61947   HIP BIPOLAR HEAD (BP-2852)           $3,560.00
61948   HIP STEM (110-01-04)                 $5,480.00
61949   SCREW (6900422)                      $3,640.00
61950   SCREW (6900426)                      $3,640.00
61951   SCREW (6900428)                      $3,640.00
61952   SCREW (6900424)                      $3,640.00
61953   SCREW 34MM (2348-34-35)                $174.75
61954   SCREW (6900318)                      $3,640.00
61955   CONNECTOR (6902130)                  $1,630.00
61956   NAIL FEMORAL (71634236)              $7,510.00
61957   SCREW (71632260)                       $860.00
61958   HIP BIPOLAR HEAD (BP-2850)           $3,560.00
61959   HIP STEM (110-01-05)                 $5,480.00
61960   SCREW 34M (2348-34-35)                 $174.75
61961   HIP CENTRALIZER (PC-16)                $395.00
61962   HIP ACETABULAR LINER (130-28-07)     $2,490.00
61963   SCREW (120-65-20)                      $500.00
61964   SCREW (120-65-25)                      $500.00
61965   KNEE LINER PATELLA (79-3910)         $4,219.50
61966   KNEE INSERT TIBIAL (3051-0712)       $5,762.00
61967   NAIL FEMORAL (71635438)              $7,510.00
61968   SCREW (71632375)                     $1,410.00
61969   KNEE INSERT (204-23-13)              $3,080.00
61970   SCREW (AR-5035TP-12)                 $1,210.00
61971   HIP FEMORAL COMP (114-01-02)        $15,510.00
61972   ROD HUMERAL (HR0826-S)               $7,570.00
61973   SCREW (HC03300-S)                      $790.00
61974   SCREW (HCA5500-S)                      $790.00
61975   SCREW (HCA5350-S)                      $790.00
61976   PLATE (1796-02-041)                  $6,120.00
61977   PLATE (1746-60-331)                 $16,340.00
61978   ROD (1746-62-100)                    $1,960.00
61979   SCREW (1746-11-409)                    $800.00
61980   NAIL (CM645107S)                     $6,420.00
61981   HIP 43MM UNIPOLAR COMP (126643)      $1,418.75
61982   VALVE AORTIC (ONXA-19)              $18,820.00
61983   HIP FEMORAL COMPONENT (71306813)     $6,562.25
61984   FEMUR DISTAL W/SHAFT (E320340)      $13,188.25
61985   HIP BIPOLAR HEAD (1035-47-000)       $4,692.50
61986   STENT BILIARY LEUNG (CLBS-7-9)         $690.00
61987   NAIL (71635436)                      $7,510.00
61988   ELECTRODE PACEMAKER (4193-88)       $10,800.00
61989   SHOULDER STEM (DWB175)              $14,800.00
61990   BOLT LOCKING (459.58)                  $730.00
61991   SCREW (6900320)                      $3,640.00
61992   ROD (498.104)                        $1,190.00
61993   SCREW (496.780)                      $1,160.00
61994   CLAMP (498.810)                      $1,180.00
61995   COLLAR (498.811)                       $610.00
61996   GENERATOR DEFIBRILLATOR (1823)      $97,930.00
61997   LEAD LV OVER THE WIRE (4513)        $17,460.00
61998   SCREW (206.060)                         $63.00
61999   NAIL (903011235)                     $4,810.00
62001   HIP STEM (9982-15-13)               $10,777.25
62002   HIP BODY CONE (9942-16-35)          $16,408.25
62003   ACETABULAR ZCA CAGE (8005-05)       $17,338.00
62004   PACEMAKER INSIGNIA (1291SYSTEM)     $23,600.00
62005   HIP STEM 11405-C                    $14,841.00
62006   HIP BIPOLAR HEAD 16763-A             $2,920.00
62007   HIP BALL HEAD (16051-B)              $2,040.00
62008   ROD 5.5MMX7CM (10-1007)                $664.00
62009   BREAST EXPANDER (SRS1207)            $2,881.00
62010   MASK 02 PEDI (61897)                     $0.00   Utilization
62011   BREAST EXPANDER (SRS1006)            $2,881.00
62012   ROD (869-0030)                       $1,410.00
62015   KNEE ARTICULAT SURF (5952-050-12)    $5,640.00
62017   BLOW BY TUBING O2 7" (75204)             $0.00   Utilization
62019   SCREW (2347-23-30)                     $140.00
62020   SCREW (6900314)                      $3,640.00
62021   ROD 869-0070                         $1,410.00
62022   ROD (869-0080)                       $1,410.00
62023   KNEE INSERT (204-23-15)              $3,080.00
62024   HIP HEAD (100-28-10)                 $2,150.00
62025   HIP LINER (132-28-08)                $2,700.00
62026   HIP FEMORAL STEM (114-01-05)        $15,510.00
62027   PORT TITANIUM (0602200)              $2,660.00
62030   SCREW (224530C)                      $1,280.00
62032   SCREW (2347-25-55)                     $150.00
62033   ALLODERM SKIN REPLACEMENT 8X12      $17,274.00
62034   STENT GRAFT LONG YRBRH2615165       $30,200.00
62035   STENT GRAFT SHORT YRIRHXC1585       $12,949.50
62036   STENT GRAFT ILIAC ILXC1616135       $12,400.00
62037   DEFIBRILLATOR CARDIOVER C164AWKAH   $95,600.00
62038   DEFIBRILLATOR CARDIOVERT C154DWK    $95,600.00
62039   SYSTEM DEFIBRILLATOR CONCERTK1SYS   #########
62040   SYSTEM HIP EPOCH 98-4075-200-01     $24,700.00
62041   SYSTEM HIP HYBRID 98-0001-005-01    $12,400.00
62042   SYSTEM HIP HYBRID 98-0001-005-03    $13,200.00
62043   SYSTEM HIP HYBRID 98-0001-005-11    $13,600.00
62044   MESH 8X10 ACELLUAR PORC 1175105     $21,880.00
62045   SYSTEM HIP HYBRID 98-0001-005-04    $13,600.00
62046   MESH 7X9 ACELLULAR PORC 1175104     $20,820.00
62047   SYSTEM HIP HYBRID 98-0001-205-01    $14,400.00
62048   SYSTEM HIP HYBRID 98-0001-205-11    $14,800.00
62049   SYSTEM HIP EPOCH 98-4075-003-00     $29,100.00
62050   MESH 6X8 ACELLULAR 98-4075-003-00   $21,880.00
62051   SYSTEM HIP POR BI 98-0001-006-00    $14,000.00
62052   SYTEM HIP CEM BI 98-0001-0007-00    $17,460.00
62053   SYSTEM HIP LOW DEM 98-0001-010-00   $11,349.00
62054   SYSTEM HIP LOW UNI 98-0001-012-00    $8,730.00
62055   MESH 4X6 ACELLUAR PORC 1175102      $12,862.50
62056   SPINE ROD 60MM 1924902               $1,316.00
62057   SYSTEM KNEE 98-0002-320-06          $19,800.00
62058   SPINE CAGE 11X27X10MM 34-5010       $14,540.00
62061   STYLET (6092-52)                       $265.00
62062   SYSTEM HIP POU 98-0001-006-00       $14,000.00
62064   STENT PENTA 2.75X08(1008051-08)      $6,840.00
62065   STENT PENTA 2.75X13(1008051-13)      $6,840.00
62066   STENT PENTA 2.75X15(1008051-15)      $6,840.00
62067   STENT PENTA 2.75X18(1008051-18       $6,840.00
62068   STENT PENTA 3.0X08(1008052-08)       $6,840.00
62069   STENT PENTA 3.0X13(1008052-13)       $6,840.00
62070   STENT PENTA 3.0X15(1008052-15)       $6,840.00
62071   STENT PENTA 3.0X18(1008052-18)       $6,840.00
62072   STENT PENTA 3.0X23(1008052-23)       $6,840.00
62073   STENT PENTA 3.0X28(1008052-28)       $6,840.00
62074   STENT PENTA 3.5X08(1008053-08)       $6,840.00
62075   STENT PENTA 3.5X13(1008053-13)       $6,840.00
62076   STENT PENTA 3.5X15(1008053-15)       $6,840.00
62077   STENT PENTA 3.5X18(1008053-18)       $6,840.00
62078   STENT PENTA 3.5X23(1008053-23)       $6,840.00
62079   STENT PENTA 3.5X28(1008053-28)       $6,840.00
62080   STENT PENTA 4.0X08(1008054-08)       $6,840.00
62081   STENT PENTA 4.0X13(1008054-13)       $6,840.00
62082   STENT PENTA 4.0X15(1008054-15)       $6,840.00
62083   STENT PENTA 4.0X18(1008054-18)       $6,840.00
62084   STENT PENTA 4.0X23(1008054-23)       $6,840.00
62085   STENT PENTA 4.0X28(1008054-28)       $6,840.00
62086   DEFIBRILLATOR VITALITY T127SYSTEM   $93,980.00
62087   SCREW 6.75X45 (10-6745)              $3,637.50
62088   KNEE TIBIAL COMP (5972-45-01)       $10,074.50
62089   BONE TENDON (930210)                 $4,889.00
62090   SCREW LAG (1045-095)                 $1,730.50
62091   SCREW 5.0X90 (8021-090)              $1,062.50
62092   SCREW CORTICAL (8000-038)              $366.50
62093   NAIL (71124001)                      $1,910.00
62094   KNEE TIBIAL INSERT (204-21-18)       $3,080.00
62095   HIP ACETABULAR SHELL (122-01-58)     $5,270.00
62096   END CAP 5MM (1047-050)               $1,095.75
62097   KNEE TIBIAL INSERT (71507232)        $2,961.00
62098   SCREW 204.855                          $115.50
62099   HIP CUP ACETABULAR (106062)          $8,060.00
62100   HIP LINER (11-165122)                $7,380.00
62101   ELECTRODE PACEMAKER (2187-85)        $9,900.00
62102   HIP STEM (1662-31)                  $14,550.00
62103   SHOULDER COMP (DWB743)              $13,050.00
62104   SHOULDER COMPONENT (DWB250)          $5,800.00
62105   HIP CERAMIC BALL HEAD 16161-A        $5,238.00
62106   BONE CORTICAL BLOCK 201241           $4,830.75
62107   HIP ACETABULAR LINER 432-32-2-09     $2,619.00
62108   VALVE AORTIC (HA25019)              $16,820.00
62109   PLATE (879-9140)                     $4,960.00
62110   PLATE (1749-02-039)                  $6,880.00
62111   SCREW (1749-11-012)                  $1,350.00
62112   WEDGE FIBULAR SLOPED (849 7-8MM)     $1,730.00
62113   WEDGE FIBULAR SLOPED (849 9-10MM)    $1,730.00
62114   ELECTRODE DEFIBRILLATOR (6947-58)   $25,630.00
62115   HIP CUP BIPOLAR (11-165202)          $6,410.00
62116   HIP FEMORAL HEAD (01-2805)           $3,960.00
62117   KNEE NG TIBIAL PLATE 5988-05         $8,202.00
62118   SCREW 204.860                          $115.50
62119   SCREW 2347-20-20                       $160.75
62120   SCREW 2347-20-22                       $160.75
62121   SCREW 2347-20-24                       $160.75
62122   SCREW 2347-20-26                       $160.75
62123   SCREW 2347-20-28                       $160.75
62124   PLATE (811-422)                      $5,420.00
62125   SCREW 2347-20-42                       $160.75
62126   SCREW 2347-20-60                       $160.75
62127   DOWEL BONE TREAD CORTICAL (401118   $11,060.00
62128   SCREW 2347-20-65                       $160.75
62129   PLATE 2348-06-08                     $3,583.50
62130   PLATE CSLP SM (487.215)              $3,430.00
62131   GENERATOR AICD (V-235)              $93,890.00
62132   KNEE ARTICULATING SURF 5960-40-20    $2,910.00
62133   SCREW 2480-12-40                       $246.50
62134   SCREW 2480-14-40                       $246.50
62135   HIP HEAD 36MM 0239002                $5,244.00
62136   BREAST IMPLANT (354-2513             $6,111.00
62137   KNEE TIBIAL INSERT (72-2-0710)       $5,750.25
62138   PINS CENTERING (901-451)             $1,436.75
62139   COIL 6MMX20CM 2D (342620)            $2,850.00
62140   COIL 5MMX15CM 2D (342515)            $2,710.00
62141   COIL 4MMX10CM 2D (342410)            $2,710.00
62142   CAGE LT. 14X17X20 (8941420)         $15,999.25
62143   PLATE CALCANEAL (8141-13-002)        $1,967.25
62144   SCREW 3.5 CORTICAL (8150-36-032)       $198.00
62145   SCREW 3.5 CORTICAL (8150-36-034)       $198.00
62146   SCREW 4.0 CANCELLOUS 8153-41-036       $409.25
62147   BONE BLOCK CORNERSTONE (200941)      $4,830.75
62148   CEMENT BONE (C01A)                     $664.00
62149   GENERATOR VERITY (5157MS)           $13,200.00
62150   COIL 5MMX10CM (340510)               $2,630.00
62151   FEMORAL HEAD COMP MORSE (01-3210)    $5,092.50
62152   COIL 3MMX12CM (340312)               $2,480.00
62157   COIL 4MMX8CM SOFT GDC 10 341408      $2,630.00
62160   COIL 3MMX10CM SOFT GDC 10 (341310    $2,480.00
62161   COIL 3MMX8CM SOFT GDC 10 (341308)    $2,480.00
62162   PIN CLAVICLE 4.5 1129-16-022           $896.50
62163   PIN ASSEMBLY 4.5 1129-16-020         $5,238.00
62164   COIL 3MMX3CM SOFT GDC 10 (341303)    $2,480.00
62165   SCREW CORTICAL 8150-36-030             $198.00
62166   COIL (341206)                        $2,480.00
62167   COIL 2MMX4CM SOFT GDC 10 (341204)    $2,480.00
62168   SCREW CANCELLOUS 8153-41-026           $171.75
62169   COIL 2MMX2CM SOFT GDC 10 341202      $2,480.00
62170   SCREW CANCELLOUS 8153-41-038           $204.50
62171   SCREW CANCELLOUS 8153-41-042           $204.50
62172   HIP ACETAB SHELL (498-00-052)        $4,947.00
62173   HIP CERAMIC HEAD (400-01-296)        $5,238.00
62174   SEED IODINE 125 LOOSE (PS-1251PA)      $264.00
62175   SOURCELINK SEED I-125 LINKED           $264.00
62176   SOURCELINK CONNECTORS (200LINK)        $432.50
62177   SEED IODINE 125                        $242.00
62180   KNEE FEMORAL COMP (21532-D)          $9,890.00
62181   KNEE TIBIAL INSERT (21693-E)         $2,910.00
62182   KNEE TIBIAL COMPONENT (21060-B)      $5,820.00
62183   KNEE FEMORAL COMPONENT (21546-D)     $9,890.00
62184   HIP STEM (11535-A)                  $11,350.00
62185   SYSTEM KNEEFLEX 98-0002-000-01      $14,500.00
62186   SYSTEM KNEE FLEX 98-0002-000-06     $16,500.00
62187   SYSTEM KNEE CEM 98-0002-000-21      $14,400.00
62188   SYSTEM KNEE MIS 98-0002-320-01      $17,800.00
62189   SYSTEM KNEE MIS 98-0002-331-01      $17,800.00
62190   SYSTEM KNEE MIX 98-0002-331-06      $19,800.00
62191   BREAST IMPLANT 350-2550              $3,492.00
62192   BREAST IMPLANT 350-2600              $3,492.00
62194   HIP FEMORAL HEAD COMP 7818-43        $2,095.50
62195   HIP FEMORAL STEM 7841-12            $10,796.50
62196   SPINE CLIP OFFSET 1924810            $3,443.00
62198   PIN MEDULLAR RUSH 8030113              $436.50
62199   STENT EXCLUDER TRUNK PXT281216      $28,480.00
62200   SCREW (870-212)                        $860.00
62201   SCREW (870-214)                        $860.00
62202   SCREW (870-216)                        $860.00
62203   STENT EXCLUDER EXTENDER PXC121000   $13,148.00
62204   SHOULDER HUMERAL HEAD 112848120      $7,240.50
62205   SHOULDER HUMERAL STEM 113714000     $14,178.00
62206   SHOULDER ANCHOR PEG 113642025        $6,495.50
62207   KNEE ARTICULATIN SURF 5964-42-14     $2,910.00
62208   SYSTEM COMP LEAD 5071-53SYS              $1.00
62209   BALLOON STERLING 39032-60201         $2,113.50
62218   HIP STEM (11421-B)                  $11,530.00
62219   HIP BIPOLAR HEAD (16761-A)           $2,920.00
62220   SYSTEM COMPONENT DEFIB CONCERETK1        $1.00
62228   SCREW (091602)                         $365.00
62230   GRAFT IMPRA (80S08C)                 $4,530.00
62231   GRAFT IMPRA (80S06C)                 $4,530.00
62232   SCREW SELF TAP 4.0X14 (48674014)     $1,167.25
62233   SCREW SELF TAP 4.5X14 (48674514)     $1,485.75
62234   SCREW SELF TAP 4.0X14 (48684014)     $1,167.25
62235   SCREW (091604)                         $365.00
62236   SCREW CANNULA (AR-1390T)               $770.00
62237   COIL MATRIX 3D 3MM X 6CM 375306      $8,206.25
62238   PIN RUSH 0802-01-09                    $496.00
62239   KNEE ARTICULATING SURF 5789-50-12      $564.50
62240   PLATE 2347-02-06                     $3,362.00
62241   HIP FEMORAL HEAD 01-3205             $5,092.50
62242   ALLOGRAFT INTEDERM 2X7CM 64350010    $3,143.00
62243   SYSTEM SPINE 1 LEVEL POST. LUMBAR   $13,600.00
62244   PYRAMESH 32X31X10X14 XIB0301-013    $11,855.50
62245   HIP STEM FEMORAL CPT (32-8333-00-   $13,950.00
62246   HIP STEM FEMORAL CPT (32-8333-0/1   $13,950.00
62247   STENT DYNALINK 8X56 (1008288-56)     $9,280.00
62248   KNEE PATELLA COMPONENT (5972-61-2    $1,770.00
62249   KNEE ARTICULATING (5972-20-10)       $2,570.00
62250   KNEE TIBIAL COMPONENT (5980-27-01    $5,570.00
62251   PLATE (2347-02-10)                   $3,564.00
62252   STENT DYNALINK (1008289-56)          $9,283.00
62253   SEED READI-STRAND I-125 (MED3631)      $124.75
62254   FINGER JOINT (PIP-200-20P-WW)        $5,965.50
62255   FINGER JOINT 10 (PIP-200-10D-WW)     $6,565.00
62256   PLATE (281.18S)                      $2,040.00
62257   KNEE TOTAL CEMENTED (SYSTEM)        $16,296.00
62258   KNEE FEMORAL STEM (8114-03-18)      $14,298.00
62259   DEFIBRILLATOR ATLAS (V193SYSTEM)    $82,800.00
62260   STENT DYNALINK 8X38 (1008288-38)     $8,990.00
62261   HIP ACETAB SHELL (65-6200-50-20)     $6,838.50
62262   PLATE 32MM (83232)                   $4,266.25
62263   BONE ALLOGRAFT (P680016)             $5,529.00
62264   SPINE TI-ROD (62004-09)                $531.25
62265   SCREW POLYAXIAL SPINE (62075-40)     $4,248.75
62266   SCREW POLYAXIAL SPINE (62065-45)     $4,248.75
62267   SCREW SET SPINE (62005)                $531.25
62268   STEM HUMERAL AEQUALIS DWB061        $14,259.00
62269   STENT DYNALINK 8X28 (1008288-28)     $8,700.00
62270   HEAD HUMERAL AEQUALIS DWB237         $6,926.00
62271   HIP LINER (6310-78-32)               $4,932.50
62272   HIP COMPONENT (9993-18-55)          $16,408.25
62273   SCREW (208.810)                        $920.00
62274   SCREW (214.640)                        $640.25
62275   HIP LINER 6310-78-32                 $4,932.50
62276   COIL MATRIX 3D 12X30 (385123)        $9,021.00
62277   CAGE LEOPARD 10MM (1864-48-110)     $13,440.00
62278   BONE DOWEL THREADED (401220)        $12,200.00
62279   SCREW (2319-30)                         $68.00
62280   KNEE FEMORAL COMPONENT (5996-18-9    $7,070.00
62281   STENT HERCULINK 5.0 X 12 (1008017    $7,710.00
62282   CABLE (451101)                         $293.00
62283   STENT MULTILINK HP 3.0 (1001099-U   $13,340.00
62284   SCREW LEGACY 5.5X35 (754-5535)       $5,321.00
62285   SCREW 1/4" BREAK OFF (812-854)         $264.00
62287   HIP BIPOLAR PARTIAL (SYSTEM)         $8,730.00
62288   ROD 5.5X7 (62004-07)                   $531.25
62289   SCREW POLYAXIAL 6.5X50 (62065-50)    $4,248.75
62290   COIL MATRIX FIR 2D 8X30 (380830)     $6,579.75
62291   HIP FEMORAL COMPONENT 9982-18-23    $13,536.00
62292   TELAMON IMPLANT 12X22MM (4332212)   $10,065.75
62293   SCREW PEDICLE LEV 1 (SYSTEM)        $13,600.00
62294   STENT HERCULINK 6.0 X18 (1008021-    $8,120.00
62295   SCREW PEDICLE LEVEL 2 (SYSTEM)      $20,000.00
62296   GENERATOR AICD (H177)               $95,000.00
62297   HIP CUP (0090706)                    $6,400.00
62298   SCREW PEDICLE 3 LEVEL (SYSTEM)      $26,400.00
62299   SCREW PEDICLE CROSSLINK (SYSTEM)     $4,365.00
62300   STENT RADIUS (17490-40)              $7,650.00
62301   NAIL (0132072)                       $3,180.00
62302   PLATE CERVICAL 1 LEVEL (SYSTEM)      $7,566.00
62303   HIP STEM (11407-C)                  $11,350.00
62304   SYSTEM ANT CERVICAL PLATE 2 LEVEL    $9,312.00
62305   PLATE CERVICAL 3 LEVEL (SYSTEM)     $11,058.00
62306   STENT VASCULAR 10X40X75 (60-142)     $6,243.00
62307   NAIL TIBIAL 10MM (476.27S)           $4,912.25
62308   KNEE FEMORAL LOCK (5994-13-92)      $13,833.00
62309   TRACH VALVE SPEAK W/VENT (25938)       $425.25
62310   TRACH VALVE SPEAK W/O VENT 304414      $425.25
62311   DEFIBRILLATOR VITALITY T135SYSTEM   $91,380.00
62312   SCREW SUMMIT 4.0X22 (1746-17-822)    $4,375.50
62313   BONE ALLOGRAFT (P80018)              $5,529.00
62314   SCREW CORTICAL (345330)                $510.00
62315   PLATE NARROW DISTAL RT (DVRN-R)      $4,045.00
62316   CEMENT BONE DOUGH TYPE (1101-16)       $305.00
62317   PACEMAKER ENPULSE DUAL E2DR01SYS    $25,180.00
62318   CEMENT BONE DOUGH TYPE (1101-18)       $640.00
62319   KNEE TIBIAL COMP (5886-47-10)       $14,500.00
62320   HIP BALL HEAD (16053-B)              $2,040.00
62321   GENERATOR AICD (7227D)              $66,090.00
62322   STENT WALL 8X60X135 (41062)          $6,950.00
62323   HIP LINER (11-165142)                $7,380.00
62324   PLATE STANDARD LEFT (DVR-L)          $3,463.00
62325   PEG SMOOTH 18MM (P-18)                 $513.25
62326   HIP FEMORAL STEM (114-01-04)        $15,510.00
62327   LEAD LV OVER THE WIRE (4512)        $17,460.00
62329   STENT WALL 6X45X135 (41021)          $6,950.00
62337   SHUNT CONNECTOR HYDRO (NL850-1911       $98.00
62338   STENT WALL 14X40X75 (B14409110)      $6,260.00
62339   SHUNT CONNECTOR HYDRO (NL850-1913       $98.00
62341   SHUNT CATH PUDENZ (NL850-1902)          $98.00
62343   HIP LINER (132-28-06)                $2,700.00
62344   KNEE TIBIAL COMPONENT (7988-03)      $8,202.00
62345   KNEE STEM EXTENSION (5988-15-15)     $3,954.75
62346   HIP FEMORAL STEM (114-01-03)        $15,510.00
62347   BREAST IMPLANT (350-2800)            $3,492.00
62348   BREAST IMPLANT (350-2650)            $3,492.00
62349   BREAST IMPLANT (350-2500)            $3,492.00
62350   BAND FUTURE 28MM (638B2847)         $11,650.00
62351   BAND FUTURE 26MM (638B2647)          $6,600.00
62353   STENT MULTILINK 3.75 1001173-U       $8,870.00
62354   PLATE CONDYLAR 242MM RT 222.660      $7,275.00
62355   KNEE ARTICULATIN SURF 4964-22-17     $2,910.00
62356   STRATAVARIUS ADJ KIT 45806          $13,968.00
62357   VALVE STRATA (42866)                $14,957.50
62358   DVR A NARROW SHORT R TI (DVRANS-R    $4,045.00
62359   PEG SMOOTH 2.0X18MM (P18)              $513.25
62360   ANTI SYPHON DEVICE (NL850-0200)      $1,310.00
62361   KNEE TIBIAL TRAY (86-6023)           $8,650.00
62362   PEG THREADED 2.5X18MM (TP18)           $513.25
62363   PEG THREADED 2.5X20MM (TP20)           $513.25
62364   SCRW CORTICAL 3.5X10MM(CS10)           $513.25
62365   SCREW CORTICAL 3.5X12MM (CS12)         $513.25
62366   PEG THREADED 2.5X20MM (FP20)           $513.10
62367   SCREW (214.756)                        $700.00
62368   SCREW 2347-25-65                       $167.50
62369   SYSTEM ANY CEMENTED TOT. KNEE       $16,296.00
62370   KNEE PATELLA 36MMX10MM 6642-2-640    $4,662.00
62371   PLATE (223.57)                         $530.00
62372   NAIL 13X38 71638438                  $8,583.25
62373   KNEE TIBIAL COMP (5990-33-10)        $2,610.00
62374   KNEE TIBIAL COMP (5990-33-01)        $2,610.00
62375   NAIL 13X30 71638430                  $8,979.00
62376   KNEE TIBIAL ART (5996-50-17)         $3,670.00
62377   SCREW CORTICAL 42MM 8150-36-042        $198.00
62378   SCREW CORTICAL 40MM 8150-36-040        $198.00
62379   SCREW THREADED 24MM 8153-41-024        $171.75
62380   SCREW THREADED 36MM 8153-41-030        $171.75
62381   SCREW THREADED 8153-41-050             $204.50
62382   DEFIBRILLATOR ATLAS (V340)          $96,000.00
62383   LEAD QUICKSITE LV (1056/86)         $16,000.00
62384   LUMBAR POSTERIOR SYSTEM 2 LEVEL     $20,000.00
62385   LUMBAR POSTERIOR SYSTEM 3 LEVEL     $26,400.00
62386   WIRE K STYLE (186-78)                   $42.75
62387   SPINE CROSSLINK IMPLANT FORMULARY    $4,365.00
62388   PLATE (DVRX-R) HAND INNOVATIONS      $4,045.00
62389   HIP BALL ART EZE (1365-11-000)       $2,670.00
62390   BONE ALLOGRAFT (985211)              $9,486.75
62391   HIP FEMORAL TAPER NECK 7862-12-50   $10,796.25
62392   SCREW (407.045)                         $86.00
62393   KNEE FEMORAL HEAD (9026-33-35)       $1,698.00
62394   COIL BERENSTEIN LIQ (313201)           $440.00
62395   COIL BERENSTEIN LIQ (313202)           $440.00
62396   COIL BERENSTEIN LIQ (313205)           $440.00
62397   KNEE PATELLA (96-0103)               $3,080.00
62398   PLATE (2232-03-03)                   $4,916.00
62399   SCREW (25-079-09-1)                    $252.25
62400   KNEE FEMORAL COMPONENT (96-0352)     $4,030.00
62401   KNEE FEMORAL STEM (96-0014)         $11,530.00
62402   HIP SHELL (138-28-07)                $2,700.00
62403   HIP FEMORAL STEM (112-01-06)        $10,200.00
62404   NAIL IM 16X36 RT (71638236)          $8,583.25
62405   NAIL IM (2240-10-24)                 $5,611.00
62406   HIP ACET COMP (6302-2-054)           $6,160.00
62407   NUT (2240-50)                          $531.25
62408   NAIL HUMERAL 8.5X240 (2113524)       $9,166.50
62409   CAP NAIL (9210900)                     $549.75
62410   SCREW 3.5X40 (9913540)                 $830.00
62411   SCREW 3.5X28 (9913528)                 $830.00
62412   NAIL HUMERAL 6.7X220 (2110022)       $9,166.50
62413   CRANIOPLASTY KIT (CO 431050)         $2,854.00
62414   SCREW 3.5X44 (9913544)                 $830.00
62416   HIP CENTRALIZER (PC-17)                $395.00
62417   NAIL GLIDING (024132/124071)         $3,180.00
62418   PIN DISTAL LOCKING (124041)            $610.00
62419   ELECTRODE (4068-58)                  $4,950.00
62420   SCREW 3.5X30 (9913530)                 $830.00
62421   HIP BALL (101-68-000)                $4,307.00
62422   LEAD DEFIB RV (6943-65)             $20,000.00
62423   HIP BALL (1014-70-000)               $4,307.00
62424   LEAD RV (6945-65)                   $24,390.00
62425   KNEE FEMORAL COMPONENT (210-01-02   $12,930.00
62426   KNEE PATELLA COMP (5878-65-38)       $5,480.00
62427   KNEE CR ART SURF (90-5970-30-17)     $2,910.00
62428   SCREW POLYAXIAL 6.5X55 (62065-55)    $4,248.75
62429   PACEMAKER DUAL CHAMBER E2DR21SYS    $25,180.00
62430   TELAMON IMPLANT 3X22X10 (4332210)   $10,065.75
62431   SPINE CAGE LEOPARD (1864-48-109)    $13,440.00
62432   KNEE FEMORAL COMPONENT (5972-18-0    $9,680.00
62433   LEAD VENTRICULAR (4034-52)           $4,950.00
62434   PEG SMOOTH 16MM (P-16)                 $513.25
62435   STENT PALMAZ (P2006)                 $5,400.00
62436   PLATE (25-310-70)                      $630.00
62437   KNEE ART SURF (5952-30-14)           $5,630.00
62438   GENERATOR PACEMAKER (KSR906)        $20,400.00
62439   NAIL RETRO 12X26 (2240-12-26)        $5,611.00
62440   SCREW 80X5.5 (2253-80-55)              $764.00
62441   ROD FEMORAL 16-400MM 2252-400-16     $3,800.25
62442   BREAST IMPLANT SALINE (350-1645)     $3,200.00
62443   GRAFT UMBILICAL VEIN (407506)       $10,447.00
62444   SCREW 4.0X62 (222.593)                 $664.00
62445   DURAFILM (82-6000)                     $530.00
62446   PLATE (25-308-00)                      $520.00
62447   SCREW (2306-38)                        $315.00
62448   SCREW (2306-40)                        $295.00
62449   SCREW (2306-42)                        $295.00
62450   SCREW 5.0X80 (222.546)                 $929.75
62451   LEAD DEFIBRILLATOR DUAL (1580/60)   $18,000.00
62452   DURA GEN SUBSTITUE (1MVP400)         $1,502.00
62453   DURA GEN SUBSTITUE (1MVP401)         $1,920.75
62454   DURA GEN SUBSTITUE (1MVP402)         $3,725.00
62455   NAIL HUMERAL 8X22.5 (2254-225-08)    $5,587.25
62456   KNEE TIBIAL TRAY (204-04-21)         $8,400.00
62457   KNEE FEMORAL STEM (204-34-04)        $2,920.00
62458   KNEE TIBIAL INSERT (208-22-11)       $5,290.00
62459   CAP HUMERAL LOCKING (2252-03)          $862.00
62460   KNEE SPACER ANTIBIOTIC (SPK002)     $11,640.00
62461   PLATE (223.56)                         $510.00
62462   SCREW (280.60S)                      $1,090.00
62463   BOMMERANGE II 25X10 (9192110)       $16,297.00
62464   NAIL IM (2257-420-02)                $6,101.50
62465   NAIL IM CAP LOCKING (2259-08)          $929.00
62466   BREAST SIZER (351-425S)                $330.00
62467   KNEE FEMORAL COMP (5972-12-02)       $8,800.00
62468   BREAST SIZER (351-325S)                $330.00
62469   COIL MATRIX FIRM 2D (380930)         $6,693.00
62470   PENILE IMPLANT PREP PACK (9480S/1    $1,800.00
62471   KNEE FEMORAL COMPONENT (208-01-01   $12,930.00
62472   COIL MATRIX FIRM 2D (380103)         $7,042.25
62473   COIL MATRIX FIRM 2D (380123)         $7,042.25
62474   KNEE FEMORAL COMPONENT (204-32-01    $2,920.00
62475   KNEE STEM (208-09-05)                $1,800.00
62476   KNEE FEMORAL COMPONENT (208-05-01    $3,260.00
62477   KNEE ARTICULATING SURF (5994-30-1    $4,390.00
62478   KNEE TIBIAL INSERT (208-21-09)       $8,090.00
62479   GENERATOR PACEMAKER (1194)          $15,170.00
62480   COIL MATRIX FIRM 2D (380143)         $7,042.25
62481   COIL MATRIX EXTRA FIRM 2D 380163     $7,449.75
62482   COIL MATRIX EXTRA FIRM 2D 380183     $7,449.75
62483   MESH DEXON (7979-00)                 $1,140.00
62484   MESH MARLEX 1X4 (0112640)              $285.00
62485   MESH MARLEX 3X6 (0112680)              $530.00
62486   TIBIA LEFT PROXIMAL W/SHAFT (4503   $16,930.00
62487   MESH MARLEX (011266)                 $1,090.00
62488   COIL MATRIX EXTRA 2D (380203)        $7,449.75
62489   COIL MATRIX STND 3D (375304)         $8,119.00
62490   KNEE ART SURF 5952-30-12             $5,630.00
62491   COIL MATRIX STND 3D (375406)         $8,439.00
62492   COIL MATRIX STND 3D (375508)         $8,642.75
62493   COIL MATRIX STND 3D (375510)         $8,642.75
62494   COIL MATRIX STND 3D (375610)         $8,642.75
62495   MESH MERSILENE NON ABSORBABLE (RM      $540.00
62496   COIL MATRIX STND 3D (375615)         $8,730.00
62497   COIL MATRIX STND 3D (375715)         $8,730.00
62498   MESH PROLENE (PMXS)                    $225.00
62499   COIL MATRIX STND 3D (375820)         $8,730.00
62500   MESH PROLENE NON ABSORBABLE (PML)      $650.00
62501   COIL MATRIX STND 3D (375103)         $8,992.00
62502   COIL MATRIX FIRM 3D (385825)         $8,759.25
62503   MESH TITANIUM (43-1022)              $1,530.00
62504   COIL MATRIX FIRM 3D (385103)         $9,021.00
62505   HIP FEMORAL COMPONENT (7818-45)      $1,270.00
62506   NAIL FEMORAL IM (2257-360-02)        $6,101.50
62507   STEM SHARP FLUTED (5988-15-18)       $3,952.00
62508   COIL MATRIX FIRM 3D (365143)         $9,021.00
62509   COIL MATRIX EX FIRM 3D (385163)      $9,166.50
62510   COIL MATRIX EX FIRM 3D (385183)      $9,166.50
62511   COIL MATRIX EX FIRM 3D (385203)      $9,166.50
62512   COIL MATRIX SOFT HELICAL (371202)    $5,849.25
62513   COIL MATRIX SOFT HELICAL (371203)    $5,849.25
62514   COIL MATRIX SOFT HELICAL (371204)    $5,849.25
62515   COIL MATRIX SOFT 2D (371303)         $5,849.25
62516   HIP STEM 11406-C                    $11,350.00
62517   COIL MATRIX SOFT 2D (371304)         $5,849.25
62518   HIP BALL HEAD (16052-B)              $2,040.00
62519   BREAST IMPLANT SALINE (354-2625)     $3,490.00
62520   COIL MATRIX SOFT 2D (371406)         $5,936.50
62521   GENERATOR AICD (7227CX)             $68,380.00
62522   COIL MATRIX SOFT 2D (371408)         $5,994.75
62523   COIL MATRIX SOFT 2D (371506)         $5,994.75
62524   COIL MATRIX SOFT 2D (371508)         $5,994.75
62525   COIL MATRIX STANDARD 2D (370308)     $5,936.50
62526   PLATE 879-9157                       $5,870.00
62527   COIL MATRIX STANDARD 2D (370410)     $6,227.50
62528   BREAST EXPANDER (354-3030)          $10,470.00
62529   COIL MATRIX STANDARD 2D (370510)     $6,227.50
62530   COIL MATRIX STANDARD 2D (570515)     $6,285.75
62531   BREAST IMPLANT (354-2757)            $4,360.00
62532   COIL MATRIX STANDARD 2D (370615)     $6,576.75
62533   COIL MATRIX STANDARD 2D (370620)     $6,576.75
62534   COIL MATRIX STANDARD 2D (370720)     $6,576.75
62535   COIL MTRIX STANDARD 2D (370730)      $6,576.75
62536   COIL MATRIX STANDARD 2D (370820)     $6,635.00
62537   WEDGE FIBULAR 310849                 $1,730.00
62538   HIP CUP BIPOLAR (5001-40)            $1,910.00
62539   HIP CUP BIPOLAR (5001-41)            $1,910.00
62540   HIP CUP BIPOLAR (5001-42 )           $1,910.00
62541   HIP CUP BIPOLAR (5001-43)            $1,910.00
62542   HIP CUP BIPOLAR (5001-44)            $1,910.00
62543   STAPLE 13MM (816-013)                $1,406.00
62544   COIL MATRIX STANDARD 2D (370930)     $6,635.00
62545   HIP CUP BIPOLAR (5001-45)            $1,910.00
62546   HIP CUP BIPOLAR (5001-46)            $1,910.00
62547   HIP CUP BIPOLAR (5001-47)            $1,910.00
62548   HIP CUP BIPOLAR (5001-48)            $1,910.00
62549   HIP CUP BIPOLAR (5001-49)            $1,910.00
62550   HIP CUP BIPOLAR (5001-50)            $1,910.00
62551   IOL UV302-07 15.5                    $1,310.00
62552   COIL MATRIX STANDARD 2D (370103)     $6,984.00
62553   HIP CUP BIPOLAR (5001-51)            $1,910.00
62554   HIP CUP BIPOLAR (5001-52)            $1,910.00
62555   HIP CUP BIPOLAR (5001-53)            $1,910.00
62556   HIP CUP BIPOLAR (5001-54)            $1,910.00
62557   HIP CUP BIPOLAR (5001-55)            $1,910.00
62558   HIP CUP BIPOLAR (5001-57)            $1,910.00
62559   HIP CUP BIPOLAR (5001-58)            $1,910.00
62560   HIP CUP BIPOLAR (5001-60)            $1,910.00
62561   HIP CUP BIPOLAR (5001-62)            $1,910.00
62562   HIP CUP BIPOLAR (5001-64)            $1,910.00
62563   HIP CUP BIPOLAR (5001-66)            $1,910.00
62564   PEG THREADED 2.5X22MM(FP22)            $513.25
62565   HIP CUP BIPOLAR (5001-68)            $1,910.00
62566   HIP CUP BIPOLAR (5001-70)            $1,910.00
62567   HIP CUP BIPOLAR (5001-72)            $1,910.00
62568   HIP LINER BIPOLAR (5001-40-22)       $1,180.00
62569   HIP LINER BIPOLAR (5001-42-22)       $1,180.00
62570   HIP LINER BIPOLAR (5001-44-28)       $1,180.00
62571   HIP LINER BIPOLAR (5001-47-28)       $1,180.00
62572   HIP LINER BIPOLAR (5001-50-28)       $1,180.00
62573   TESTICULAR PROSTHESIS 96-450-1329    $6,693.00
62574   HIP LINER BIPOLAR (5001-53-28)       $1,180.00
62575   HIP LINER BIPOLAR (5001-57-28)       $1,180.00
62576   HIP LINER BIPOLAR (5001-60-28)       $1,180.00
62578   HIP LINER BIPOLAR (5001-64-28)       $1,180.00
62579   HIP LINER BIPOLAR (5001-68-28)       $1,180.00
62580   HIP LINER BIPOLAR (5001-72-28)       $1,180.00
62581   HIP STEM 11408-B                    $11,350.00
62582   NAIL TROC LAG 95X10.5MM 903311095    $1,557.50
62583   HIP BIPOLAR HEAD 16765-A             $2,910.00
62584   SCREW                                $4,520.00
62585   SPACER PEEK 5X11X14MM (6277541)      $4,723.00
62586   SCREW 6900312                        $3,570.00
62587   SPACER PEEK 6X11X14MM (6277641)      $4,723.00
62588   SCREW RETLINE 4.5X13MM(876-643)      $2,008.00
62589   KNEE TIBIAL ARTSURF 90-5970-21-14    $2,910.00
62590   KNEE TIBIAL TRAY 86-6025             $8,640.00
62593   SCREW (1746-08-714)                  $5,090.00
62594   SCREW (1746-08-716)                  $5,090.00
62595   SCREW (1746-08-712)                  $5,090.00
62596   SCREW (1746-07-714)                  $4,740.00
62597   NAIL (2240-12-20)                    $4,890.00
62598   SCREW (2253-85-55)                     $660.00
62599   WASHER (2252-02)                       $360.00
62600   SCREW (2253-60-55)                     $660.00
62601   SCREW (1770-35-545)                  $6,110.00
62602   ROD (1770-70-045)                    $1,760.00
62603   CAP (1770-91-060)                    $1,670.00
62608   KNEE FEMORAL COMP 5952-40-12         $5,630.00
62610   KNEE FEMORAL COMP (5952-40-10)       $5,630.00
62611   STIMULATOR BONE GROWTH (10-1340S)   $18,420.00
62612   VALVE PERICARDIAL 23MM 3000TFX      $24,760.00
62617   STENT WALL 10MM X 39MM 135CM (71-    $6,050.00
62618   STENT WALL N6FR 135 CM(71-237)       $6,050.00
62619   STENT WALL 6FR 135CM 10X49MM (71-    $9,240.00
62620   STENT WALL 9FR 16X40MMX7CM (40331    $5,630.00
62622   SCREW (1796-07-012)                  $1,344.50
62627   KNEE ART SURF (5952-30-10)           $5,630.00
62634   SEED I-125 RAPID (7000-00.326)         $264.00
62636   OXYMIZER PENDANT (204-P224)            $159.75
62637   PIN ENDORING (897405)                  $730.50
62638   CORTICAL BLOCK 7X14X11 (200741)      $4,830.75
62639   NAIL FEMORAL ANTEGRADE (71636132)    $7,717.50
62640   HIP LINER (6341-58-32)               $5,284.75
62641   DEFIBRILLATOR (T175SYSTEM)          $93,380.00
62642   GENERATOR PULSE (5357M/S)           $16,000.00
62643   HIP CUP (6202-58-22)                 $8,049.25
62644   KNEE IM NAIL (71633338)              $7,396.00
62645   HIP SHELL CERAMIC (498-00-056)       $4,947.00
62646   HIP LINER CERAMIC (498-32-056)      $10,476.00
62647   TIBIA PLUG (5020-00-100)               $996.00
62648   STEM ADAPTER REVISION 5000-50-100    $7,275.00
62649   HINGE KIT (5020-01-001)             $13,860.00
62650   HIP ACETABULAR COMP (6200-58-22)     $3,600.00
62651   STEM REVISION 190MM (6215-19-095)    $5,791.00
62652   INSERT SZ1 12MM (5020-01-012)        $7,100.50
62653   TIBIA BASEPLATE #1 (5020-00-001)    $14,783.00
62654   KNEE REVISION (5000-00-011)         $21,420.00
62655   COIL MATRIX SOFT 2D (371404)         $5,936.50
62656   COIL MATRIX STANDARD 2D (370408)     $5,936.50
62657   DEFIBRILLATOR (T177SYSTEM)          $93,380.00
62658   HIP FEMORAL COMPONENT (7130681       $6,851.00
62659   HIP UNI SLEEVE (71326612)              $463.00
62660   SCREW FIXATION RED II (51-575-10)    $3,780.00
62661   SCREW FIXATION RED II (51-575-12)    $3,780.00
62662   SPINE MESH 36X35 (XIB0301-015)      $11,855.50
62663   KNEE TIBIA #2 (86-6022)              $9,275.50
62664   HIP CUP 54MM (6202-54-22)            $8,049.25
62665   STENT TAIL W/SENSOR (145-727-09)     $1,365.00
62666   STENT TAIL W/SENSOR (145-728-09)     $1,365.00
62667   HIP VERSYS SHELL 52MM 6202-52-22     $8,049.25
62668   SCREW CANCELLOUS 38MM 2480-38-40       $246.50
62669   SCREW CANCELLOUS 16MM 2480-16-41       $246.50
62670   SCREW 6900430                        $3,570.00
62671   SCREW CORTICAL 12MM 4827-12-01          $94.50
62672   SCREW CORTICAL 16MM (4827-16-01)        $94.50
62673   PLATE FIBULAR (2347-18-06)           $2,096.25
62674   SCREW FULL THREAD (2347-26-90)         $167.50
62675   SCREW FULL THREAD (2347-26-95)         $167.50
62676   DEFIBRILLATOR (7303SYSTEM)          #########
62677   SHUNT RESERVOIR OMMAYA (NL850-121    $1,200.00
62678   HIP BALL HEAD 16054-B                $2,040.00
62679   HIP CUP (6202-50-22)                 $8,049.25
62680   RESERVOIR RICKHAM (82-1623)            $840.00
62681   PLATE ATLANTIS 62.5MM (976-162)      $8,627.75
62682   HIP STEM 11536-A                    $11,350.00
62683   HIP RESTRICT CEMENT FEM (5460-10-      $510.00
62684   HIP RESTRICT CEMENT FEM (5460-12-      $530.00
62685   HIP RESTRICT CEMENT FEM (5460-14-      $530.00
62686   HIP RESTRICT CEMENT FEM (5460-16-      $530.00
62687   HIP RESTRICT CEMENT FEM (5460-18-      $530.00
62688   HIP TAPER SLEEVE (71326608)            $463.00
62689   HIP RESTRICT CEMENT FEM (5460-20-      $540.00
62690   BREAST IMPLANT (27-363511)           $3,630.00
62691   BREAST IMPLANT (27-153541)           $6,990.00
62692   BREAST IMPLANT (354-2007)            $4,360.00
62693   HIP HEAD UNIPOLAR (126640)           $1,908.75
62694   KNEE FEMORAL COMP (5880-13-01)      $26,125.00
62695   KNEE ARTICULATE SURF (5880-30-14)    $7,740.75
62696   KNEE TIBIAL COMPONENT 5880-03-02    $12,160.00
62697   BREAST IMPLANT (354-2713)            $4,360.00
62698   KNEE FEMORAL DISTAL (5990-33-24)     $5,114.50
62699   PATCH VACUGUARD VASCULAR (VGO209)    $1,029.25
62700   KNEE DISTAL AUG SZC (5990-33-23)     $5,114.50
62701   BREAST IMPLANT (354-1515)           $10,470.00
62702   KNEE TIBIAL COMPONENT (5880-02)     $12,160.00
62703   KNEE STEM FLUTED SHARP 5988-16-10    $3,954.75
62704   KNEE ARTICULAT SURF (5880-30-23)     $7,740.75
62705   ANCHOR W/O ETHIBOND (212850)         $1,665.25
62706   ANCHOR W/2-0 ETHIBOND (212851)       $1,665.25
62707   BONE SEMI T TENDON (930170)          $3,841.25
62708   SCREW (AR-1555B)                     $1,632.50
62709   NAIL ANTEGRADE 13X34 (71638434)      $8,979.00
62710   DURAGEN PLUS 3X3 (DP-1033)           $3,794.75
62711   DURAGEN PLUS 2X2 (DP-1022)           $2,089.50
62712   DURAGEN PLUS 1X3 (DP-1013)           $1,880.00
62713   PLATE (25-330-06)                      $540.00
62714   PLATE (00-104-21)                      $910.00
62715   BONE ALLOGRAFT 929420                $5,430.00
62716   HIP FEMORAL COMPONENT (1571-84-00   $18,380.00
62717   DEFIBRILLATOR (7303)                #########
62718   SCREW HERBERT BONE (1154-24)           $960.00
62719   SPACER NEUTRAL 53X28 (8005-550-28    $1,550.00
62720   SCREW POLYAXIAL (62065-40)           $4,248.75
62721   SCREW POLYAXIAL (62065-30)           $4,248.75
62722   ROD TI PRE CONTOURED (62004-60)        $531.25
62723   ROD TI PRECONTOURED (62004-70)       $1,062.50
62724   SCREW POLYAXIAL (62065-35)           $4,248.75
62725   BREAST IMPLANT (354-2912)            $4,074.00
62726   BREAST IMPLANT (354-2915)            $4,074.00
62727   BREAST SIZER (351-125S)                $330.00
62728   BREAST SIZER (351-175S)                $330.00
62729   BREAST SIZER (351-0711S)               $330.00
62730   BREAST SIZER (351-0713S)               $330.00
62731   BREAST SIZER (SZ468560)                $330.00
62732   CLIP ANEURYSM (FE712K)               $1,560.00
62734   PACEMAKER INSIGNIA (1198SYSTEM)     $17,600.00
62735   HIP CERAMIC SHELL (498-00-060)       $5,529.00
62736   HIP CERAMIC LINER (498-32-060)      $10,476.00
62737   HIP CERAMIC HEAD (400-01-295)        $5,238.00
62738   SCREW LEGACY 7.5X35 (754-7535)       $5,321.00
62739   KIT REPAIR PILOT TUBE (BE409)            $0.01   Utilization
62740   STENT SOLOPASS 10X7 (3411)             $690.75
62741   BONE IMPACTED CORTICAL (170826)     $11,611.00
62742   DEFIBRILLATOR VITALITY (T165)       $82,000.00
62743   VESICA SLING KIT (820-114)           $3,110.00
62744   KNEE ARTICULATING SURF (5996-50-2    $3,670.00
62745   MESH W/ TUNNELLER DEVICE IVS-02      $3,783.00
62746   WEDGE FIBULAR SLOPED 910849 8-9MM    $1,730.50
62747   PUMP SYNCHROMED II 863-7-20         $42,800.00
62748   PLATE ATLANTIS 67.5MM 976-167        $8,627.75
62749   BREAST IMPLANT (27-468381)           $3,150.00
62750   STENT URETERAL 8.5 X 22 G09708         $984.50
62751   STENT URETERAL 8.5 X 24 G09709         $984.50
62752   STENT URETERAL 8.5 X 26 G09710         $984.50
62753   STENT URETERAL 8.5 X 28 G09711         $984.50
62754   LEAD EASYTRACK 3LVA DUAL (4525)     $16,005.00
62755   PACE MAKER CONTAK RENEWAL TR H120   $39,980.00
62756   KNEE FEMORAL COMPONENT 96-0092      $13,650.00
62757   KNEE TIBIAL WEDGE SZ2X13 86-0172     $5,565.50
62758   KNEE TIBIAL WEDGE SZ2X8 86-0171      $5,565.50
62759   KNEE MOD PLUSE SZ2 TIBIA 86-0122    $10,912.50
62760   KNEE ARTICULATING SURFACE 96-0422    $4,583.25
62761   STENT PERCUFLEX URETERAL (180-221      $800.00
62762   LEAD EASTRAK 2LVA DUAL ELEC 4518    $16,005.00
62763   NAIL IM FEMORAL 12MM 2257-340-02     $6,101.50
62764   SHOULDER HUMERAL STEM 503-00-008    $12,800.00
62765   SHOULDER HUMERAL HEAD 503-38-017     $7,857.00
62766   RING ANNULOPLASTY (4900-T28)        $15,277.50
62767   NAIL TROCHANTERIC (71638440)         $8,583.25
62768   SCREW POLYAXIAL 5.5X40 (62055-40)    $4,248.75
62769   ROD PRECONTOURED (62004-90)          $1,062.50
62770   BRIDGE ASSEMBLY 70MM (66625-70)      $4,365.00
62771   NAIL FIXION PF 12X220 (4390122)      $5,180.00
62772   PLATE 879-9160                       $5,870.00
62773   PEG FIXION PF 8X80 (4418080)         $2,473.50
62774   WEDGE FIBULAR SLOPED 910849 6-7MM    $1,730.00
62775   K-WIRE GUIDE PIN 3.2 (9206320)         $549.75
62776   CERVICAL PLATE 1 LEVEL (SYSTEM)      $7,566.00
62777   SPINE PLATE LEVEL 2 (SYSTEM)         $9,312.00
62778   NAIL 0132071                         $3,180.00
62779   SPINE PLATE LEVEL 3 (SYSTEM)        $11,058.00
62780   SPINE SCREW LEVEL 1 (SYSTEM)        $13,600.00
62781   HIP BIPOLAR HEAD 16770-A             $2,910.00
62782   SPINE SCREW LEVEL 2 (SYSTEM)        $20,000.00
62783   ROD (869-0040)                       $1,410.00
62784   SPINE SCREW LEVEL 3 (SYSTEM)        $38,412.00
62785   SPINE SCREW CROSSLINK (SYSTEM)       $4,365.00
62786   PLATE ABC 52MM (FJ769T)              $2,910.00
62787   SCREW UNICORTICAL 12MM (FJ812T)      $1,162.00
62788   ALLOGRAFT BONE CESPACE (MC646)       $4,772.50
62789   ELECTRODE PACEMAKER (4574-45)        $4,360.00
62790   SCREW (LB526T)                       $8,730.00
62791   SCREW (LB521T)                       $8,730.00
62792   HIP LINER LONGEVITY (32-6732-88-0    $8,570.00
62793   GENERATOR AICD (7230CX)             $69,270.00
62794   SCREW (2347-26-25)                     $150.00
62795   HIP LINER LONGEVITY (32-6728-08-0    $8,570.00
62796   HIP STEM EPOCH (4075-13-02)         $20,540.00
62797   SHOULDER COMP (1128-10-010)         $10,150.00
62798   SCREW (1770-35-540)                  $6,110.00
62799   ALLOGRAFT BONE CESPACE (MC647)       $4,772.50
62800   SCREW (1770-36-245)                  $6,110.00
62801   ROD (1770-70-450)                    $2,180.00
62802   CONNECTOR CROSS (1740-22-080         $6,900.00
62803   KNEE FEMORAL COMP (71502240)         $9,510.00
62804   KNEE TIBIAL COMP (71504240)          $6,210.00
62805   KNEE TIBIAL STEM (71501010)          $1,810.00
62806   KNEE ARTICULATING SURF (71507243)    $2,850.00
62807   SCREW (71504325)                       $280.00
62809   SCREW (71504320)                       $280.00
62810   NAIL (3370-7-030)                    $6,130.00
62811   CORTICAL BONE CANCELLOUS 30CC(910    $1,890.00
62812   KNEE FEMORAL COMPONENT (21026-D)     $9,890.00
62813   KNEE TIBIAL INSERT (25430-D)         $2,910.00
62814   PLUG MESH HERNIA LG (0112770)          $858.00
62815   KNEE FEMORAL COMPONENT (21036-D)     $9,890.00
62816   KNEE TIBIAL INSERT (25438-D)         $2,910.00
62817   PLATE (222.662)                      $5,600.00
62818   SCREW (222.571)                      $1,270.00
62819   SCREW (222.542)                        $860.00
62820   SCREW (222.544)                        $860.00
62821   SCREW (222.586)                        $620.00
62822   PLATE ATLANTIS 42.5 (976-142)        $7,421.00
62823   SCREW (222.587)                        $620.00
62824   BREAST IMPLANT (25-68175LP)          $3,200.00
62825   BREAST IMPLANT (25-68200LP)          $3,200.00
62826   SCREW (222.588)                        $620.00
62827   CAGE LEOPARD 7MM (1864-48-107)      $13,440.00
62828   SHOULDER HUMERAL HEAD (1128-40-00    $5,610.00
62829   KNEE FEMORAL COMPONENT (5994-16-9   $13,430.00
62830   PLATE (6860140)                      $5,930.00
62831   CAGE LEOPARD 8MM (1864-48-108)      $13,440.00
62832   STENT URETERAL SOFTCURL (5627028)      $513.25
62833   STENT URETERAL SOFTCURL (5627026)      $513.25
62834   ANCHOR BIOKNOTLESS (212729)          $1,769.75
62835   SCREW LEGACY 6.5X45 (754-3645)       $5,321.00
62836   *ITEM HOLD 4                        $12,800.00
62837   DEFIBRILLATOR (V239SYSTEM)          $84,000.00
62838   IMPLANT PENILE TITAN (90-9916SC)    $14,955.00
62839   *ITEM HOLD 7                        $17,460.00
62840   PLATE (1796-01-022)                  $5,133.25
62841   PLATE 20MM (FJ748T)                  $2,910.00
62842   BONE ALLOGRAFT CESPACE (MC648)       $4,772.50
62843   SCREW LEGACY 5.5X25MM (754-2525)     $5,321.00
62844   SPINE CAPSTONE VBS10X22 (2961022)   $18,961.75
62845   PIN CONSTRUCT SECURING(7390-1175)      $564.50
62846   VERSANAIL 12MMX20CM (8007-12-020)    $8,590.25
62847   SHOULDER HUMERAL STEM (DWB721)      $15,423.00
62848   HIP CERAMIC SHELL (498-01-056)       $5,529.00
62849   SCREW (6860013)                      $1,390.00
62850   HIP CERAMIC SHELL 58 (498-01-058)    $5,529.00
62851   TISSUE TUTOPLAST 2X4CM (TUTOPLAST    $1,940.00
62852   BONE ALLOGRAFT CORNERS (300841)      $4,947.00
62853   FINGER JOINT (PIP-200-30P-WW)        $5,965.50
62854   FINGER JOINT (PIP-200-40P-WW)        $5,965.50
62855   STENT URETERAL (5202400)               $920.00
62856   FINGER JOINT (PIP-200-30D-WW)        $5,965.50
62857   BREAST IMPLANT (27-120301)           $4,640.00
62858   FINGER JOINT (PIP-200-20D-WW)        $5,965.50
62859   HIP FEMORAL COMPONENT (71340115)    $17,205.25
62860   SCREW (103534)                         $510.00
62861   SCREW CORTEX 3.5MM (71149514)          $104.25
62862   SCREW CORTEX 3.5MM (71149516)          $104.25
62863   SCREW (103533)                         $510.00
62864   SCREW CORTEX 3.5 (71149518)            $104.25
62865   *ITEM HOLD 27                          $104.25
62866   *ITEM HOLD 28                           $84.00
62867   ALLOGRAFT FEMORAL HEAD (320420)      $5,070.00
62868   VESICA SLING (820-110)               $3,110.00
62869   SCREW CANCELLOUS 4.0 (71223216)         $84.00
62870   SCREW CANCELLOUS 4.0 (71223240)         $84.00
62871   PLATE (71130305)                       $260.25
62872   BREAST IMPLANT (27-120401)           $2,830.00
62873   SCREW CORTEX 3.5MM (71149528)          $104.25
62874   ALLOGRAFT VEIN (V010 4-5X40CM)      $18,110.00
62875   *ITEM HOLD 33                        $4,212.25
62876   SCREW VERTEX SET (6950305)             $652.50
62877   SPINE CAPSTONE VBS (2960822)        $13,032.00
62878   HIP LINER ACETABULAR 1220-32-052     $5,543.75
62879   HIP ULTRAMET LINER (1218-87-360)    $10,411.00
62880   SCREW CANCELLOUS SZ.40 (CA-4400)       $403.25
62881   SCREW CANCELLOUS SZ.45 (CA-4450)       $403.25
62882   BREAST IMPLANT (27-120501)           $4,640.00
62883   PLUG MARLEX MED MESH (0112760)         $990.00
62884   PLATE (00-104-22)                      $910.00
62885   SUTURE PERCLOSE 6FR (12673-01)       $1,534.75
62886   HIP CAGE PROTRUSIO (11-109455)      $13,796.00
62887   HIP FEMORAL COMPONENT (1571-03-00   $16,780.00
62888   PLATE (25-326-55)                      $680.00
62889   STENT WALL 5X40X160 (41001)          $7,300.00
62890   HIP ACETABULAR POLY (163491)         $2,636.50
62891   CAGE LEOPARD (1864-48-008)          $13,440.00
62892   CAGE LEOPARD (1864-48-010)          $13,440.00
62893   HIP FEMORAL HEAD (9026-32-35)        $1,698.00
62894   STENT NEUROFORM (S230015)           $14,440.00
62895   COIL GDC 2X1 (343201)                $4,954.00
62896   BOLT LOCKING (459.48)                  $630.00
62897   HIP LINER ELEVATED 6732-90           $2,052.00
62900   HIP CUP BIPOLAR (11-165234)          $4,960.00
62901   STENT BILIARY LEUNG (CLBS-10-12)       $670.00
62902   PLATE ATLANTIS 19MM (976-119)        $7,421.00
62903   COIL MATRIX 3X6 (371306-SR)          $5,922.00
62904   TESTICULAR IMPLANT MED (450-1327)    $5,529.00
62905   SCREW (6860014)                      $1,390.00
62906   KNEE FEMORAL COMPONENT (5790-29)     $4,880.00
62907   KNEE TIBIAL COMPOMNENT (5790-85-1    $3,050.00
62908   KNEE ARTICULATING SURF (5788-80-1    $1,530.00
62909   KNEE ARTICULATING SURF (5788-80/1    $1,530.00
62910   HIP FEMORAL COMPONENT (9993-17-55   $16,080.00
62911   HIP FEMORAL COMPONENT (9982-14-18   $10,560.00
62912   ELECTRODE PACEMAKER (4074-52)        $4,360.00
62913   SCREW (67545P)                       $3,900.00
62914   TESTICULAR IMPLANT LG (450-1329)     $5,529.00
62916   SCREW CORTICAL 5.5 (1515-45)           $723.10
62917   SCREW CANCELLOUS SZ.50 (CA-4550)       $403.25
62918   BREAST EXPANDER SRV1006              $2,230.00
62919   SCREW (57540P)                       $3,900.00
62920   SCREW CORTICAL SZ 27.5 (CO-3275)       $403.25
62921   PLATE DISTAL HUMEROUS (PL-ELLMR)     $4,278.00
62922   SCREW CORTICAL SZ 22.5 (CO-3225)       $528.00
62923   HIP FEMORAL COMPONENT (1571-75-00   $18,380.00
62924   PLATE DISTAL HUMEROUS (PL-ELMX)      $4,062.50
62925   HIP ECHELON POROUS (71340118)       $17,204.00
62926   SPINE CAPSTONE 12X26 (2961226)      $19,016.00
62927   HIP STEM STANDARD (11401-C)         $14,841.00
62928   HIP LINER SZ MP7/32 (432-32-207)     $2,619.00
62929   LEAD CORONARY VENOUS (4543)         $16,005.00
62930   KNEE NAIL IM (71633434)              $7,396.00
62931   CATH HICKMAN 13.5FR (0600452)        $1,020.00
62932   SCREW (208.865)                        $920.00
62933   ARTHROLOOP (160300)                  $1,650.00
62934   BREAST IMPLANT (25-45461)            $4,810.00
62935   STEM (1571-25-000)                  $17,200.00
62936   HEAD (1365-15-000)                   $2,670.00
62937   ROD (1924903)                        $1,190.00
62938   PACEMAKER ENPULSE SR (E2SR01)       $22,800.00
62939   TRANSOBTURATOR URETEX (48505)        $4,359.25
62940   BREAST IMPLANTT (25-45461)           $4,801.50
62941   ITEM HOLD 57                             $0.00
62942   SCREW (2347-22-28)                     $130.00
62943   ITEM HOLD 59                             $1.00
62944   HIP TAPER HEAD (1014-72-000)         $4,307.00
62945   SHOULDER HUMERAL HEAD 1128-40-010    $6,449.00
62946   PORT TITANIUM (0602240)              $1,630.00
62947   HIP TAPER STEM (9982-15-18)         $12,309.50
62948   SHOULDER PEG GLENOID 1136-43-025     $6,076.25
62949   CONNECTOR (5000M)                    $4,360.00
62950   MESH MARLEX PLUG (0112970)             $910.00
62951   MEMBRANE BIORESORABLE (430102)         $840.00
62952   ITEM HOLD 60                             $1.00
62953   ITEM HOLD 61                             $1.00
62954   ITEM HOLD 71                             $1.00
62955   PORT TITANIUM (0602190)              $2,860.00
62956   ITEM HOLD 72                             $1.00
62957   ITEM HOLD 73                             $1.00
62959   HIP LINER LONGEVITY 6310-64-36       $6,170.00
62960   NAIL 0132014                         $3,180.00
62961   SCREW AR-1403TB                        $900.00
62962   GENERATOR PACEMAKER KDR900          $25,210.00
62963   SCREW 71642270                         $940.00
62964   SCREW 71642260                         $940.00
62965   SCREW 71642235                         $940.00
62966   RESTRICTOR CEMENT (5460-22-000)        $730.50
62967   PLATE 51MM (487.351)                 $4,126.50
62968   SCREW SELF TAP 4X12MM (450.134)      $1,404.00
62969   VALVE MITRAL (700 31MM)             $15,570.00
62970   SCREW SELF TAP 4X14MM (450.135)      $1,404.00
62971   SCREW SELF TAP 4.5X14MM(450.142)     $1,221.25
62972   STENT HYNALINK 6.0X56 1008286-56     $9,280.00
62973   HIP BIPOLAR HEAD 16772-A             $2,910.00
62974   PIN FIXATION (387.595)                 $631.00
62975   SCREW TAP CANCELLOUS 3.5MM 311.34    $1,835.00
62976   TRANSCONNECTOR 60MM (498.916)        $4,586.25
62977   FEMORAL HEAD (136533000)             $7,391.50
62978   TIBIAL INSERT 12MM LT 2141-0-1212    $2,910.00
62979   PATELLAR COMP 7.5MM (2764-0-7501)    $2,910.00
62980   FEMORAL COMP SZ 3LF (2151-0-0003     $5,820.00
62981   BASEPLATE STEM TIB 2581-0-0002       $4,656.00
62982   ACF SPACER 7MM (017107)              $5,412.75
62983   HIP BIPOLAR HEAD 1035-55-000         $4,770.00
62984   HIP STEM 1521-04-000                $14,550.00
62985   SCREW AXON 3.5X12MM (405.512)        $1,404.00
62986   LEAD CV LV (4194-88)                $12,804.00
62987   DEFIBRILLATOR LEAD DUAL (6949-65)   $26,000.00
62988   VITOSS STD (2102-0030)               $2,270.00
62989   HIP STEM 11408-C                    $11,350.00
62990   SCREW FIXATOR 294.30                   $260.00
62991   HIP FEMORAL COMPONENT 1354-08       $13,210.00
62992   HIP FEMORAL HEAD 06-2805             $4,570.00
62993   HIP LINER 2099-2858                 $16,790.00
62994   PYYRAMESH 13X8 905-308               $5,430.00
62995   PYRAMESH 10X30 905-103              $10,990.00
62996   PYRAMESH 10X4X8 905-408              $9,690.00
62997   HIP BALL HEAD 16072                  $2,040.00
62998   HIP BIPOLAR HEAD 16723-A             $2,910.00
62999   MESH PELVITEX 10X15 (486015)         $2,299.00
63000   SCREW 77540P                         $3,900.00
63001   BONE ALLOGRAFT 30CC 100045/800045    $2,030.00
63002   GENERATOR DEFIBRILLATOR H119        $97,900.00
63003   WASHER 14461                           $220.00
63004   SCREW 44MM (2348-44-35)                $174.75
63005   PLATE 4 HOLE TIBIAL (2347-08-04)     $3,487.00
63006   SCREW 54MM (2348-54-35)                $174.75
63007   BONE ALLOGRAFT CORNERSTONE 300741    $4,947.00
63008   DEFIBRILLATOR SYSTEM (845DSYSTEM)   $94,980.00
63009   SCREW FIXED ANG 4.5X40 (754-3440)    $3,767.00
63010   SCREW FIXED ANG 4.5X35 (754-3435)    $3,767.00
63011   HIP SHELL ACETABULAR (6200-78-20)    $3,600.00
63012   SCREW FIXED ANG 5.0X35 (754-2535)    $3,767.00
63013   SCREW LEGACY 5.0X45 (754-5045)       $5,321.00
63014   SCREW LEGACY 5.0X35 (754-5035)       $5,321.00
63015   SCREW 8X20 (AR1380E)                   $763.75
63016   HIP STEM LATERAL (11531-A)          $14,841.00
63017   STRIPS PERI DRY (PSD7506-E)            $890.00
63018   SPINE CAPSTONE VBS (2960826)        $19,016.00
63019   KNEE FEM COMPONENT (5994-16-91)     $13,833.00
63020   HIP HEAD UNIPOLAR (126648)           $1,481.25
63021   HIP LINER (6310-48-32)               $4,932.50
63022   HIP FEMORAL BODY REV (9941-16-35)   $16,408.25
63023   FINGER IMPLANT (1234-10-000)         $1,870.00
63024   FINGER IMPLANT (1234-20-000)         $1,870.00
63025   FINGER IMPLANT (1234-30-000)         $1,870.00
63026   FINGER IMPLANT (1234-40-000)         $1,870.00
63027   HIP ACETABULAR CUP (6202-48-22)      $8,049.25
63028   KNEE ART SURFACE (90-5970-50-14)     $2,910.00
63029   SCREW (214.534)                        $916.50
63030   DEFIBRILLATOR VITALITY (T175)       $80,000.00
63031   SCREW 401.510.96                       $315.00
63032   SCREW (401.514.96)                     $315.00
63033   SCREW (2348-08-35)                     $174.75
63034   SCREW 8150-36-12                       $170.00
63035   BREAST EXPANDER (354-6115)           $7,711.50
63036   BREAST EXPANDER (354-6116)           $7,711.50
63037   CLAMP BAR TO PIN (71062001)          $3,544.50
63038   BREAST IMPLANT (27-110301)           $4,640.00
63039   BAR 400MM (71062400)                 $1,495.50
63040   PIN 5MMX50MM (71065503)              $1,567.25
63041   SLEEVE PACEMAKER LEAD (5866-46)        $185.00
63042   HIP SHELL ACETAB (430-28-048)        $5,529.00
63043   NAIL (2252-420-14)                   $2,200.00
63044   NAIL IM (2257-380-00)                $6,101.50
63045   SCREW (2259-01-45)                   $1,270.25
63046   SCREW (2253-70-55)                     $520.00
63047   SCREW (2253-50-45)                     $758.25
63048   BONE ALLOGRAFT (300941)              $4,947.00
63049   STRIPS PERI DRY (PSD7502-E)          $1,940.00
63050   BONE ALLOGRAFT (300641)              $4,947.00
63051   PLATE (487.237)                      $3,430.00
63052   BONE ALLOGRAFT (300541)              $4,947.00
63053   GRAFT DIALYSIS VECTRA (T5050-001)    $6,635.00
63054   GRAFT VENAFLO (V1007C)               $2,595.75
63055   GRAFT DIALYSIS VECTRA (76050-001)    $6,635.00
63056   SCREW (2253-45-42)                     $570.00
63057   GRAFT VENAFLO (V1008-C)              $2,497.00
63058   SCREW (2253-40-42)                     $570.00
63059   CAP END (2252-01)                      $860.00
63060   PLATE PREMIER 47.5 (6860147)         $7,554.50
63061   KNEE FEMORAL COMPONENT (5790-23)     $4,880.00
63062   PLATE (2347-17-08)                   $2,306.50
63063   PLATE (2347-08-06)                   $3,487.00
63064   SCREW (2347-22-16)                     $160.75
63065   SCREW (2347-22-18)                     $160.75
63066   GRAFT IMPRA PATCH (10P9004)            $590.00
63067   SCREW (2347-22-36)                     $160.75
63068   HIP BIPOLAR PARTIAL SYSTEM          $16,296.00
63069   BREAST IMPLANT (27-110151)           $4,640.00
63070   NAIL IM (71633330)                   $7,396.00
63071   ANCHOR EZ BIOROCK W/SUTURE 251202    $1,832.50
63072   SCREW AXON 3.5X30MM (404.530)          $123.00
63073   KNEE ARTICULATING SURF (5790-25)     $4,880.00
63074   BONE ALLOGRAFT (941050)              $4,760.00
63075   SEED THERASEED PD-103 (200PA)          $374.00
63076   CEMENT BONE PALACOS (12-0001)          $540.00
63077   SCREW LOCKING (406.104)                 $77.75
63078   ROD 3.5X240MM (498.957)                $644.25
63079   SCREW 8150-36-18                       $170.00
63080   SCREW 14376-40                         $820.00
63081   PLATE 8141-23-11                       $860.00
63082   GENERATOR DEFIBRILLATOR H135        $97,800.00
63083   KNEE ARTICULATING SURF 5110-33-15    $4,400.00
63084   KNEE PATELLA COMPONENT 5110-65-32    $1,950.00
63085   HIP 41MM UNIPOLAR (126641)           $1,908.75
63086   STENT SYMPHONY 12-40/7-75 (60-352    $6,250.00
63087   SCREW 2-3MM TITANIUM (869-6530)      $6,260.50
63088   ROD 5.5X40MM (1797-72-040)           $1,613.00
63089   COIL (323205)                          $440.00
63090   COIL (323210)                          $530.00
63091   ROD 5.5X35MM (1797-72-035)           $1,617.00
63092   PLATE TIBIAL (598803)                $8,202.00
63093   GENERATOR PACEMAKER (1270)          $29,980.00
63094   PLATE ATLANTIS VISION 40 976140      $7,420.50
63095   BREAST IMPLANT (25-45701)            $4,802.00
63096   CAGE LEOPARD 11MM (1864-48-111)     $13,440.00
63097   NAIL TRACH 12X29 (1041-200)          $5,122.00
63098   NAIL TRACH 12X20 135 (1043-200)      $5,122.00
63099   SCREW CORTICAL 40MM (1045-100)       $1,730.00
63100   SCREW CORTICAL 40MM (8000-040)         $367.00
63101   CAP END 1MM (1015-010)                 $717.00
63102   HIP BALL NOSE 3X90 (0101-001)          $996.00
63103   PIN GUIDE 3.2X33 (0100)                $598.00
63104   NAIL IM TIBIAL (2253-320-12)         $3,921.00
63105   SCREW 80MM INTERLOCK (2253-80-42)      $758.00
63106   SCREW 70MM INTRLOCK (2253-70-42)       $758.00
63107   SCREW 55MM IM INTRLOCK 2253-55-42      $758.00
63108   SCREW 400.609                          $330.00
63109   BREAST EXPANDER (354-6000)          $11,640.00
63110   HIP FEMORAL STEM (7711-12-2)             $0.00
63111   BREAST IMPLANT (350-1251BC)          $5,093.00
63112   BREAST IMPLANT (350-2001BC)          $5,093.00
63113   BREAST IMPLANT (350-2501BC)          $5,093.00
63114   NEBULIZER MINI HEART (963-100612)       $55.00
63115   HIP SHELL REVISION (1217-07-064)    $11,131.00
63116   HIP LINER 58MM (1219-36-058)         $7,399.00
63117   HIP FEMORAL HEAD (1018-36-503)       $6,635.00
63118   SCREW POLYAXIAL 6.0X50 (SW777T)      $3,783.00
63119   SCREW POLYAXIAL 7.0X40 (SW784T)      $3,783.00
63120   PLATE (443.61.96)                    $1,050.00
63121   PLATE (443.62.96)                    $1,050.00
63122   SCREW SET S4 (SW680T)                  $996.00
63123   GEL GRAFTON (941020)                   $860.00
63124   ROD PRE-BENT 5.5X35 (SH4035T)          $664.00
63125   SCREW POLYAXIAL 7.0X45 (SW786T)      $3,783.00
63126   SPINE LUMBAR CONSTRUCT FORMULARY    $16,600.00
63127   STENT URETERAL (175-253-05)            $880.00
63128   SCREW 67540P                         $3,900.00
63129   ENDOPROSTHESIS (PXT261418)          $27,920.00
63130   ENDOPROSTHESIS (PXC121400)          $12,892.00
63131   PACEMAKER INSIGNIA I ULTRA (1190)   $17,200.00
63132   PLATE (441.15)                         $691.00
63133   COIL 6MMX20MM (345615-3)             $5,080.00
63134   PLATE ATLANTIS 37MM (976-137)        $7,421.00
63135   SCREW (3370-2-105)                   $1,380.00
63136   HIP ACETAB LINER (1219-36-156)      $10,339.00
63137   BONE ALLOGRAFT 15CC (100075/50007    $1,780.00
63138   NAIL (465.32S)                       $2,700.00
63139   ROD 81204                            $1,300.00
63140   BONE ALLOGRAFT FEMORAL+SEC 400432    $2,820.00
63141   BONE ALLOGRAFT FEMORAL+SEC 800430    $2,820.00
63142   STENT URETERAL (175-254-05)            $880.00
63143   NAIL HUMERAL SOLID (462.723S)        $8,259.00
63144   PLATE 42MM 2 LEVEL (83242)           $4,266.00
63145   KNEE ARTICULATING SURF (5788-50-1    $1,530.00
63146   STENT DYNALINK (1008165-58)          $8,701.00
63147   BONE ALLOGRAFT FEMORAL+SEC 800434    $2,820.00
63148   NAIL (2240-11-32)                    $3,490.00
63149   SCREW (2253-45-55)                     $520.00
63150   NAIL GLIDING LONG (124077)           $4,673.00
63151   GLUE BRAIN 631-500                  $11,610.00
63152   HIP ACETAB SHELL (65-6200-48-20)     $6,839.00
63153   HIP STEM REVISION (11809-B)         $14,848.00
63154   STENT DYNALINK 14X80MM 1010105-80    $8,700.00
63155   HIP HEAD 32MM (7210-32-800)          $4,656.00
63156   BONE DEMINERALIZED (940230)          $2,320.00
63157   HIP FEMORAL COMPONENT (1571-05-00   $16,780.00
63158   HIP INSERT APR (4338-                $5,273.00
63159   HIP FEMORAL STEM CPT 8114-05         $8,920.00
63160   HIP FEMORAL COMPONENT (1571-76-00   $18,380.00
63161   SCREW LOCKING 7.3X80 (222.573)       $1,358.00
63162   PLATE 4.5 LOCK CONDYLAR (222.658)    $5,843.00
63163   SCREW (869-5025)                     $5,425.00
63164   SCREW (869-5030)                     $5,425.00
63165   PLATE (487.227)                      $3,430.00
63166   SCREW (869-5530)                     $5,425.00
63167   VEIN ALLOGRAFT V010 4-23MM          $13,660.00
63168   SCREW (869-8535)                     $5,425.00
63169   HIP FEMORAL COMPONENT (0580-0-371    $2,850.00
63170   HIP FEMORAL COMPONENT (0586-0-028      $590.00
63175   KNEE FEMORAL COMPONENT (5790-32)     $4,880.00
63176   HIP CUP 0090781                      $6,400.00
63177   SYSTEM PERM. BIRTH CONTROL ESS205    $5,703.75
63178   PENILE PROTHESIS 72401453           $19,060.00
63179   PLATE ATLANTIS VISION 976-175        $8,627.75
63180   KNEE TIBIAL COMPONENT (5790-65-11    $3,050.00
63181   FINGER JOINT THUMB PHS-440-40-WW     $7,158.75
63182   PACEMAKER ENPULSE DR E2DR03         $23,600.00
63183   HIP INSERT 0230804                   $2,910.00
63184   STAPES PROSTHESIS CLASSIC 14108        $792.50
63185   KNEE STEM EXTENSION 5988-15-12       $3,954.75
63186   KNEE STEM EXTENSION 5988-15-20       $3,954.75
63187   KNEE TIBIAL COMPONENT 5988-07        $8,202.00
63188   PLATE ATLANTIS 57.5MM 976-157        $8,627.75
63189   SCREW MONO 8.75X40MM 87540S          $4,053.75
63190   CAP SR90 50000LTS                    $1,275.50
63191   SYSTEM PEDICLE SCREW (SR90SYSTEM)   $13,600.00
63192   VITOSS BONE GRAFT 2102-1100          $8,031.75
63193   VITOSS BONE GRAFT 2102-1105          $5,092.50
63194   SCREW LOCKING 4.0X16MM 222.581         $664.00
63195   BONE FILLER 10CC SRS-010-RMS        $13,473.00
63196   BONE ALLOGRAFT 13X12 ME433          $14,899.25
63197   SCREW CANNULATED 7.3X65MM 222.570    $1,358.25
63198   PLATE 6 HOLE LOCKING 222.656         $5,732.75
63199   SCREW VERTEX 3.5X12MM 69004312       $4,212.25
63200   SCREW VERTEX 3.5X24MM 69004324       $4,212.25
63201   SCREW VERTEX 4.0X24MM 69004424       $4,212.25
63202   STENT WALL 10X31 71-850              $8,509.00
63203   SYSTEM PACEMAKER EN02DRSYSTEM       $22,780.00
63204   SYSTEM PACEMAKER IDENT 5376SYSTEM   $22,800.00
63205   PLATE BOWTI BUTTRESS 1728-02-024     $4,375.50
63206   PACEMAKER DUAL CHAMBER (E2DR01)     $23,600.00
63207   SCREW CANCELLOUS 2480-22-41            $246.50
63208   SCREW CORTICAL 2.7 (4827-18-01)         $94.50
63209   SPACER KNEE ANTI BIO SPK0121        $11,640.00
63210   PLATE 2347-07-04                     $3,487.00
63211   HIP HEAD METAL BALL 16073-B          $2,037.00
63212   DEFIBRILLATOR SNG CHAMBER 7232SYS   $87,600.00
63213   HIP CUP 6202-56-22                   $8,049.25
63215   HIP CONE A BODY ZMR 9996-17-35      $16,408.25
63216   SYSTEM TOTAL HIP CEMENTLESS METAL   $16,000.00
63217   HIP ACETABULAR INSERT 1115-27-025    $6,001.75
63218   SCREW 3.5X12 CORTICAL 71149512         $108.00
63219   PLATE COMP 5 HOLE 71840205             $648.50
63220   SHUNT VALVE SYSTEM (903-335)         $3,270.00
63221   SHUNT VALVE SYSTEM (903-340)         $3,270.00
63222   ANEUROPLASTIC KIT (43-1060)          $1,880.00
63223   SHUNT PERITONEAL (NL850-7210)        $2,120.00
63224   SHUNT RESERVOIR (NL850-7440)         $1,130.00
63225   SHUNT CONNECTOR (NL850-1908)         $1,020.00
63227   SHUNT RESERVOIR (NL850-7460)         $1,130.00
63228   KNEE FEMORAL COMPONENT 21028-D       $9,890.00
63229   KNEE TIBIAL INSERT 25436-E           $2,910.00
63230   SHUNT CATH PUDENZ (NL850-1380)         $480.00
63231   SCREW (014205)                         $687.25
63232   SHUNT VALVE MISHLER (NL850-0303)     $2,440.00
63233   SHUNT CATH PUDENZ (NL850-1221)       $1,130.00
63234   SHUNT CATH PUDENZ (NL850-1214)       $1,340.00
63235   SHUNT VALVE MISHLER (NL850-0301)     $2,440.00
63236   SHUNT VALVE MP HIGH (NL850-0112)     $4,600.00
63237   HIP STEM CPT SIZE 4 (8114-04-23)    $14,298.00
63238   PLATE FIBULAR (2347-18-08)           $2,306.00
63239   SCREW VERTEX 3.5X14MM (69004314)     $4,212.00
63240   SCREW VERTEX 3.5X16MM (69004316)     $4,212.00
63241   SCREW (25-077-05-1)                    $275.00
63242   SCREW VERTEX 3.5X20MM (69004320)     $4,212.00
63243   KNEE FEMORAL COMPONENT 21034-D       $9,890.00
63244   SCREW VERTEX 4.0X26MM (69004426)     $4,212.00
63245   SCREW VERTEX 4.0X28MM (69004428)     $4,212.00
63246   RECORDER REVEL HEART LOOP (9525)    $17,169.00
63247   HIP CONE ZMR (9996-19-35)           $16,408.00
63248   HIP STEM TAPER (9982-20-23)         $13,536.00
63249   BONE ALLLOGRAFT (100610)             $1,300.00
63250   HIP STEM TAPER (9982-18-13)         $10,777.00
63251   HIP SHELL ACETABULAR (6200-70-20)    $3,920.00
63252   HIP SHELL CEAMIC (498-01-052)        $5,529.00
63253   SCREW VERTEX 4.0X34MM (69004434)     $4,212.00
63254   SCREW 6.2X50MM(498.564)                $783.75
63255   SCREW MULTI AXIAL 6.5X50 S6-3650     $4,039.00
63256   ELECTRODE PACEMAKER (4592-45)        $4,070.00
63257   ELECTRODE PACEMAKER (4092-52)        $4,440.00
63258   SCREW LOCKING SET (S6-2001)            $578.00
63259   KNEE TIBIAL INSERT 25418-E           $2,910.00
63260   BREAST IMPLANT (27-153451)           $6,990.00
63261   ROD 40MM (S5-2040)                     $916.00
63262   GRAFT IMPRA (V5006C)                 $2,570.00
63263   EXTENDER SHOCKING LEAD 60CM 6952     $5,820.00
63264   EXTENDER LEAD LV 40CM (6987)         $2,328.00
63265   SCREW SACRAL 6.5X35 (62365-35)       $4,249.00
63266   KNEE ARTICULATING SURF (5788-70-1    $1,530.00
63267   FINGER IMPLANT (PIP-20)              $2,120.00
63268   SCREW SACRAL 7.5X40 (62375-40)       $4,249.00
63269   SCREW (205.232)                        $910.00
63270   CROSSBAR MEDIUM (11-2053)            $4,365.00
63271   CROSSBAR LARGE (11-2075)             $4,365.00
63272   VITOSS BONE GRAFT (2102-0032)        $5,151.00
63273   PLATE CERVICAL REFLEX (48650116)     $4,993.75
63274   KNEE CR FLEX FEMORAL (5950-17-06)   $12,821.00
63275   SCREW (2480-38-41)                     $246.00
63276   FILTER PULMOGUARD I 772-29-7950BX       $12.00
63277   KNEE TRABECULAR (5448-02-10)        $16,936.00
63278   KNEE TRABECULAR METAL 5448-02-37     $9,312.00
63279   KNEE TRABECULAR METAL 5448-02-39    $10,476.00
63280   KNEE TRABECULAR METAL 5448-02-29    $10,476.00
63281   NAIL UNIFLEX 10MMX65CM (CP254502)   $12,380.00
63282   CAP FEMORAL END (345211)             $1,162.00
63283   SCREW TITANIUM 6.0X45 (33-345526)    $1,162.00
63284   SCREW TITANIUM 5.0X30 (33-345422)    $1,162.00
63285   PACEMAKER SINGLE CHAMBR E2SR01SYS   $23,180.00
63286   HIP ACETABULAR LINER 1220-36-554     $7,835.00
63287   CLIP ANEURYSM (07-940-61)            $1,380.00
63288   THUMB RT IMPLANT (PHS-440-20-WW)     $7,159.00
63289   HIP TRABECULAR ACET 6202-70-20      $10,114.75
63290   HIP TRILOGY LINER 6310-70-36         $2,374.75
63291   HIP FEMORAL COMPONENT (163667)       $4,185.00
63292   HIP CUP MODULAR (6202-58-20)        $16,651.00
63293   HIP TAPER STEM (9982-17-13)         $10,777.00
63294   PEDICLE SCREW 1 LEVEL SYSTEM        $13,600.00
63295   CAP NAIL 10MM (2259-08-10)           $1,040.00
63296   SPACER NEXUS 11X11X28 (1000-3013)   $15,099.00
63297   K WIRES 2.0X150 (4901-20-15)            $48.00
63298   NAIL IM 14MMX21CM (HN3514)           $4,727.00
63299   SCREW (HN1202)                         $777.00
63300   SLEEVE SET (HN1200)                  $1,190.00
63301   SCREW LAG 100MM (121109)             $1,345.00
63302   GENERATOR PACEMAKER (1274)          $27,980.00
63303   LEAD (4511)                         $14,550.00
63304   BREAST IMPLANT (350-4254BC)          $5,238.00
63305   BREAST IMPLANT (350-5004BC)          $5,238.00
63306   HIP ACETAB SHELL (6202-56-20)        $8,049.00
63307   SCREW SELF TAP (48684012)            $4,161.50
63308   KNEE NAIL (71633426)                 $8,862.00
63309   SCREW (71642290)                     $1,057.00
63310   HIP STEM EPOCH (4075-18-02)         $21,546.00
63311   KNEE ZUK ARTICULAT (5842-23-10)      $2,993.00
63312   KNEE ZUK INSERTER TIP 5843-52-01       $631.00
63313   KNEE ZUK TIBIA SZ 3 (5842-03-02)     $6,719.00
63314   KNEE ZUK FEMUR SZ D (5842-14-02)    $11,305.00
63315   KNEE ZUK TIBIA SZ 4 (5842-04-01)     $6,719.00
63316   KNEE ZUK ARTICULATE (5842-24-09)     $2,993.00
63317   RING ANNULOPLASTY (4600-M28MM)      $11,630.00
63318   KNEE ZUK FEMUR SZ E (5842-15-01)    $11,305.00
63319   KNEE ZUK FEMUR SZ D (5842-14-01)    $11,305.00
63320   KNEE ZUK ARTICULAT (5842-23-09)      $2,993.00
63321   HIP STEM (11534-A)                  $11,350.00
63322   STENT URETERAL 6X24 CONTOUR (180-      $880.00
63323   STENT URETERAL 6X26 CONTOUR (180-      $880.00
63324   STENT URETERAL 6X28 CONTOUR (180-      $960.00
63325   STENT URETERAL 7X24 CONTOUR (180-      $740.00
63326   STENT URETERAL 7X26 CONTOUR (180-      $740.00
63327   STENT URETERAL 7X28 CONTOUR (180-      $960.00
63328   PACEMAKER ENPULSE (E2DR21)          $23,600.00
63329   KNEE PATELLA (1484-95-025)           $4,365.00
63330   VALVE AORTIC 19MM (30501901)        $24,820.00
63331   KNEE NAIL (71633438)                 $8,487.00
63332   KNEE STANDARD INSERT 1488-41-025     $4,911.00
63333   KNEE STEM (5988-16-16)               $3,955.00
63334   ROD (869-0060)                       $1,410.00
63335   KNEE STEM (5988-16-22)               $3,955.00
63336   PLATE 5 HOLE (143555)                  $396.00
63337   PLATE 7 HOLE (143557)                  $442.00
63338   PLATE 3 HOLE (8141-18-003)           $1,422.00
63339   SCREW (8150-36-022)                    $152.00
63340   CEMENT VERSBOND BOND 7127-1140         $640.00
63341   SHUNT LEVEEN (8542)                  $2,310.00
63342   SHUNT VENTRICULAR FINNED (901-142    $3,050.00
63343   SCREW (869-5550)                     $4,520.00
63344   SCREW (8150-36-012)                    $152.00
63345   STENT URETERAL 6X24 DBLJ (5202800    $1,060.00
63346   STENT URETERAL 6X26 DBLJ (5202100    $1,060.00
63347   STENT URETERAL 7X24 UROPASS (5332    $1,170.00
63348   STENT URETERAL 7X24 DBLJ (5204800    $1,060.00
63349   STENT URETERAL 7X26 DBLJ (5204100    $1,060.00
63350   STENT URETERAL 7X28 DBLJ (5204200    $1,060.00
63351   STENT URETERAL 6X24 UROPASS (5322    $1,170.00
63352   STENT URETERAL 6X26 UROPASS (5322    $1,170.00
63353   SCREW (8150-36-016)                    $152.00
63354   SCREW (2306-48)                         $50.00
63355   SCREW (8150-36-024)                    $303.00
63356   STAPES PROSTHESIS LIPPY (142119)     $1,120.00
63357   HIP BALL HEAD (16152-A)              $3,780.00
63358   HIP STEM (11537-A)                  $11,350.00
63359   STENT URETERAL (5340600)             $1,170.00
63360   SCREW (8150-36-014)                    $152.00
63361   SCREW (8150-36-028)                    $152.00
63362   KNEE TIBIAL BLOCK (5988-04-39)       $5,114.00
63363   KNEE INSERT 71420830                 $4,650.00
63364   KNEE PATELLA 71420578                $3,000.00
63365   STENT URETERAL SGL J 7X90 (523060    $1,800.00
63366   CEMENT BONE COUGH 1102-22              $485.00
63367   HIP SHELL 542-11-58G                 $7,890.00
63370   HIP STEM 6265-5102                  $14,890.00
63371   SCREW 2030-6530-1                      $630.00
63372   HIP FEMORAL HEAD 06-3205             $4,570.00
63373   HIP LINER 6305-56-32                 $4,720.00
63374   KNEE ART SURF 5952-50-12             $5,630.00
63375   STENT URETERAL 7X26 UROPASS (5332    $1,170.00
63376   STENT URETERAL 7X28 UROPASS (5332    $1,170.00
63377   HIP CUP 0090773                      $6,400.00
63378   KNEE FEMORAL BLOCK (5990-34-24)      $5,114.00
63379   SHUNT VALVE STD LOW PRESSURE (901    $3,050.00
63380   KNEE AUGMENT PATELLA (5876-10-19)   $13,735.00
63381   SCREW ATTACHMENT (8241-56-070)       $1,381.00
63382   KNEE ARTICULATING (5972-21-12)       $2,570.00
63383   HIP FEMORAL HEAD (10-520-3230)       $2,794.00
63384   HIP FEMORAL COMPONENT (7833-11)      $3,210.00
63385   DEFIBRILLATOR INTRINSIC (7288)      $85,600.00
63386   SPINE 1 LEVEL PSOTERIOR SYSTEM      $13,600.00
63387   SPINE ROD 50MM (55-2050)               $916.00
63388   WASHER (419.98)                         $99.00
63389   SCREW MULTI AXIAL 6.5X50 56-3650     $4,039.00
63390   SHUNT VALVE DUAL CHAMBER (NL850-0    $1,630.00
63391   SCREW 4.5 X 60MM (8150-45-560)         $697.25
63392   SHUNT VALVE MULTI PURPOSE (NL850-    $2,410.00
63393   PIN GUIDE (2141-13-032)                $697.25
63394   PLATE POLYMAR FEM RT(8141-30-109)    $7,420.50
63395   SPINE SPACER ACF 7MM (017207)        $5,413.00
63396   SCREW VERTEX 4.3X24MM (6955824)      $5,570.00
63397   SCREW VERTEX 4.0X36MM (6955836)      $5,570.00
63398   SCREW (2347-21-45)                     $151.75
63399   SCREW (2347-21-55)                     $151.75
63400   KWIRE 1.6X150MM (1901-16-15)            $42.50
63401   SCREW CORTICAL SELF TAP (2319-52)       $84.00
63402   WALLSGRAFT ENDOPROSTHESIS (70-525   $11,349.00
63403   CAGE PEEK INTERBODY 9X25 48355090   $14,317.25
63404   STENT GRAFT ILIAC CUFF YRECSC2837   $11,785.50
63405   STENT GRAFT ILIAC CURR YRIRHXC128   $12,949.50
63406   STENT GRAFT ILIAC CURR YRECHXC135   $11,785.50
63407   STENT GRAFT ILIAC LEG YRIRHXC1385   $28,812.75
63408   STENT GRAFT ILIAC LEG YRIRHXC1411   $14,113.50
63409   HIP INSERT 0230823                   $2,910.00
63410   STENT GRAFT BIFURCATED YRBRHXC2     $29,000.00
63411   GRAFT OASIS 7X10 8213-1000-10          $625.00
63412   SCREW 1770-36-240                    $6,110.00
63413   SCREW 876-812                        $1,880.00
63414   NAIL 0132050                         $4,360.00
63415   CAGE PEEK PL 12X25 (48355124)       $14,317.25
63416   PIN DISTAL LOCKING 0132210             $600.00
63417   SCREW 124091                           $740.00
63418   STENT EXPRESS 5X17 (38046-52075)     $6,111.00
63419   RING ANNULOPLASTY (620RG2547)        $8,730.00
63420   RING ANNULOPLASTY (620RG2747)        $8,730.00
63421   RING ANNULOPLASTY (620RG2947)        $8,730.00
63422   RING ANNULOPLASTY (620RG3147)        $8,730.00
63423   RING ANNUMLOPLASTY (620ORG3347)      $8,730.00
63424   RING ANNULOPLASTY (620R3547)         $8,730.00
63425   BONE ALLOGRAFT 5MM (X80015)          $5,791.00
63426   SCREW 5.5X100 (1515-00)                $790.25
63427   SCREW 5.5X85 (1515-85)                 $790.25
63428   SCREW 4.5X60 (14002-60)                $145.25
63429   PLUG GRAFTON DBM MATRIX (42210)      $8,724.25
63430   BONE ALLOGRAFT 9MM (X80019)          $5,791.00
63431   BONE ALLOGRAFT 10MM (X80020)         $5,791.00
63432   BONE ALLOGRAFT 11MM(X80021)          $5,791.00
63433   BONE ALLOGRAFT 11MM (X80022)         $5,791.00
63434   BONE ALLOGRAFT 13MM (X80023)         $5,791.00
63435   BONE ALLOGRAFT 7MM (X80017)          $5,791.00
63436   BONE ALLOGRAFT 8MM (X80018)          $5,791.00
63437   HIP CABLE READY SYSTEM (2232-001-    $1,870.00
63438   PIN 803-01-13                          $434.00
63439   KNEE FEMORAL COMPONENT (5972-12-0    $9,680.00
63440   STENT BILIARY LUMINEXX 8MMX40X80     $6,402.00
63441   CABLE SYSTEM DANEK (826-211)         $1,650.00
63442   HIP CABLE COBO ASSEM (2232-02-18)    $1,550.00
63443   STENT BILIARY LUNIMEXX 8MMX60X80     $6,402.00
63444   STENT BILIARY LUMINEXX 10MMX40X80    $6,402.00
63445   STENT BILIARY LUMINEXX 10MMX60X80    $6,402.00
63446   HIP CABLE PLATE STAINL (2232-03-1    $1,080.00
63447   STENT BI