22442 | KIDNEY STONE ANALYSIS | 50 |
40205 | SURGITUBE TUBE GAUZE (SMALL BOXES) | 15 |
54380 | COLONOSCOPY, FLEXIBLE, WITH BIOPSY(S) | 1260 |
57967 | STRYKER FLOATION MATT PUMP | 80 |
57968 | STRKER FLOATION MATTRESS | 163 |
57970 | GAYMAR AQUA K PAD PUMP | 80 |
90237 | PULMONARY REHAB STRENGTH ENDURANCE 15 MI | 54 |
90238 | PULM REHAB OTHER 15 MIN | 54 |
90239 | PULMONARY REHAB GROUP | 98 |
90424 | PULMONARY REHAB 1 HOUR | 273 |
90472 | ADDITIONAL IMMUNIZATION ADMIN | 62 |
99005 | NURSING HOME ROOM DISCOUNT | 3 |
99034 | CTY-CNTY EMP PHY. PLAN A | 110 |
99037 | CTY-CNTY EMO PHY. PLAN B | 61 |
99100 | LEAVE OF ABSENCE DAY NH | 98 |
120012 | PREGNANCY TEST | 56 |
121192 | SUCTION PROBE | 273 |
122246 | BAIR HUGGER(WARMING UNIT) | 189 |
122247 | UPPER BODY BLANKET | 109 |
122248 | LOWER BODY BLANKET-BAIR HUGGER | 104 |
122249 | FULL BODY BLANKET | 117 |
122344 | BITE BLOCK (SURGERY) | 16 |
122475 | ETHYL CHLORIDE | 9 |
122511 | MEDOVAT DILATOR ESOPHAGEAL | 145 |
123023 | ELEC CAUTERY | 161 |
123060 | FLEXIBLE TAUT CATHETER 4.5 FRENCH | 219 |
123062 | CATH, TAUT | 233 |
123109 | OUT PATIENT PREPERATION TIME | 723 |
123111 | TUBE INSUFFLATION | 61 |
123160 | COLONOSCOPE | 1330 |
123162 | ECSL LITHOTRIPSY | 2205 |
123170 | CYSTOSCOPE | 1083 |
123175 | LAC RING3000ML IRRIG | 25 |
123223 | 3S HEMI BROACH 5/M | 414 |
123310 | CANNULATED DRILL | 852 |
123311 | SCREW – CANNULATED LAG 2.4MM X 18MM | 499 |
123312 | SCREW – CANNULATED LAG 2.0MM X 16MM | 318 |
123313 | SCREW – CANNULATED LAG 2.4MM X 16MM | 499 |
123314 | GUIDE WIRE (.035 X 4) | 86 |
123315 | SCREW – CANNULATED LAG 2.0MM X 18MM | 572 |
123316 | DRILL BIT | 542 |
123317 | SCREW CORTEX 2.4 X 12,14,22,24 | 239 |
123318 | 2.7x20mm BONE SCREW | 350 |
123319 | 2.0 DRILL BIT | 475 |
123320 | 10X10X1.5 SCREW | 1516 |
123321 | 2.6 DRILL BIT | 558 |
123322 | 2.7X16mm BONE SCREW | 350 |
123323 | 2.7 DRILL BIT | 525 |
123326 | TROCAR BLUNT TIP | 345 |
123330 | 10X10 MM KIT | 1952 |
123331 | 2.0 MM ACCESORY KIT | 713 |
123332 | SIZER KIT | 433 |
123333 | MITEK ANCHOR 3.5MM | 739 |
123334 | GUIDE PIN 1.2MMX100MM | 144 |
123335 | 15X10MM SHAPE MEMORY FIX | 2504 |
123336 | HOFFMAN II COMPACT PIN TO ROD | 762 |
123337 | 1.5 MM ACCESSORY KIT | 770 |
123350 | SPONGE,PEANUT | 13 |
123355 | CYSTO/BLADDER IRRIG. SET | 44 |
123390 | 3.0MM INSTRUMENT KIT (STERILE) | 1154 |
123391 | 2.0 MM INSTRUMENT KIT( STERILE) | 1154 |
123392 | SCREW-CANNULATED 2.0MM 16/7 | 497 |
123393 | SCREW – CANNULATED 3.0MM 16/4MM | 497 |
123400 | DRILL BIT 2.6MMX135MM SCALED(STRYKER) | 723 |
123401 | LOCKING SCREW 3.5MMX18MM FULL THREAD(STR | 544 |
123402 | CP LAG SCREW 4.1MMX24MM (STRYKER) | 592 |
123403 | LOCKING SCREW 3.5MMX22MM FULL THREAD(STR | 526 |
123404 | ANCHORAGE REAMER(CP) (STRYKER) | 1349 |
123405 | ANCHORAGE FIXATION PIN(STRYKER) | 592 |
123406 | POLYAXIAL LOCKING PLATE MID(STRYKER) | 4006 |
123407 | LOCKING SCREW 3.5MMX26MM FULL THREAD(STR | 526 |
123408 | LOCKING PLATE LATERAL 8mm | 2455 |
123409 | VITASS BB TRAUMA FOAM PACK 2.5CC | 1637 |
123410 | FOAM PACK VITOSS BA2X 5CC | 3514 |
123411 | STEINMANN PIN 2.5MM X 100MM | 224 |
123412 | POLYAXIAL LOCK PLATE NAVICULAR CUNEIF | 2833 |
123413 | POLYAXIAL LOCKING PLATE LATERAL COL 10MM | 2977 |
123414 | LOCKING SCREW 3.5MMX24MM FULL THREAD(STR | 544 |
123415 | LOCKING SCREW 3.5MMX28MM FULL THREAD(STR | 544 |
123416 | LOCKING SCREW 3.5MMX16MM FULL THREAD(STR | 544 |
123417 | 3S HEMI AWL | 221 |
123418 | CANNULATED DRILL BIT 2.7MM AO FITTING | 644 |
123419 | HENDL COMP SCREW 4.0MMX46MM (STRYKER) | 701 |
123420 | LOCKING SCREW 3.5MMX34MM FULL THREAD(STR | 526 |
123421 | UNTHREADED GUIDE WIRE 1.4MMX150MM | 351 |
123422 | 23MM ANCHORW/SUTUREAND NEEDLES 1CONIX ST | 595 |
123423 | DRILL BIT 2.0MMX135MM AO DIA SCALED | 718 |
123424 | 20MMX1.7MM CANNULATED DRIL | 614 |
123425 | SCREW-CANNULATED 2.0MM 14/6MM | 497 |
123426 | 15MM SMART TOE ANGLED IMPLANT | 1988 |
123427 | 16MM SMART TOE ANGLED IMPLANT | 1988 |
123428 | 2.0MMK-WIRE 0.8MMX100MM ASNIS MICRO | 135 |
123444 | 3S HEMI TOE IMPLANT | 2619 |
123502 | CP LAG SCREW 4.1MMX22MM (T10) | 590 |
123506 | LOCKING PLATE MIDFOOT CROSS-PLT LNG (T10 | 4010 |
123511 | K-WIRE 1.4MMX100MM SMOOTH | 134 |
124000 | SMOKE EVACUATOR/LAP | 151 |
124198 | DRAIN, PENROSE | 17 |
124368 | ESU EXTENDER 6 COATED ELECTRODE BLADECS | 151 |
124410 | BREVI-KATH MINI-KIT | 252 |
124700 | 1010 DRAPE 3M1010 | 81 |
124718 | J P DRAIN | 147 |
124719 | BLAKE DRAINS | 142 |
124776 | UNDER BUTTOCKS DRAPE | 13 |
124777 | DRAPE, LG. (HALF SHEET) | 33 |
124778 | MAYO STAND COVER | 8 |
124902 | CAMERA | 634 |
124903 | HEADLIGHT | 368 |
124912 | ENDOGATOR (STERILE WATER BOTTLE SYSTEM) | 78 |
125000 | J HOOK | 247 |
125007 | E E A 31 (DISP) | 1297 |
125110 | ESOPH DILATOR | 520 |
125111 | X-PRESS SINUS BALLOON | 2499 |
125207 | TUR BLADDER EVAC | 233 |
125209 | TRU-CUT NDL | 15 |
125342 | ENDO POUCH 173050G | 378 |
125345 | LAP CHOLE INST. | 603 |
125347 | ENDOCUFF LARGE GREEN | 122 |
125350 | CLIP II ML ER320 | 1045 |
125351 | ENT KNIFE | 101 |
125353 | SURGICLIP II #134053 | 589 |
125354 | RESOL CLIP | 731 |
125356 | TROCAR, 12MM BLUNT TIP XCEL H12LP | 421 |
125357 | APPLIER, MULTIPLE CLIP LARGE ER420 | 296 |
125358 | ENDOLOOP, PDS 2 LIGATURE EZ10G | 156 |
125359 | NEEDLE, MICROLITE SUCTION 20 GA ENT | 44 |
125848 | ESOPHAGEAL COLONIC DIALATOR 240 CM | 1004 |
126683 | FORCEP-BIOPSY THERMAL | 207 |
126684 | BIOPSY FORCEPS LARGE RADIAL JAW 4 | 217 |
126685 | CRE WIREGUIDED CATHETER 8/9/10 | 595 |
126686 | CRE WIREGUIDED CATHETER 12/13.5/15 | 595 |
126687 | BIOPSY FORCEP RADIAL JAW 4 JUMBO | 281 |
126877 | IV INFUSION REGEN-COV ADMINISTRATION | 651 |
126879 | TUOHY SPINAL NEEDLES | 46 |
126901 | ANTI-FOG MEDICHOICE | 29 |
126903 | BIPOLAR CORD | 96 |
126905 | BIPOLAR PENCIL (EYE) | 44 |
127280 | TROCAR & SYRINGES (BLUNT TIP) 10MM | 525 |
127281 | ELECTROSURG PROBE +II PENCIL HRD CONTROL | 359 |
127282 | O ETHIBOND EXCEL (SUTURE) 8 NEEDLE W/PKG | 359 |
127283 | COATED BLADE ELECTRADE | 35 |
127285 | INSULATED BLADE #ES27521 | 37 |
127293 | P E G TUBE | 340 |
127294 | PUSH PEG | 532 |
127391 | HYSTERSCOPE | 798 |
127393 | GELFOAM | 130 |
127493 | LAPAROSCOPIC GASTROSTOMY TUBE | 690 |
127495 | MYRINGOTOMY TUBE | 377 |
127700 | BLADE PODIATRY | 33 |
127728 | 3MMX 110MM APEX PINS | 302 |
127773 | RFA GROUNDING PAD | 72 |
127775 | COUNTERSINK USAGE | 822 |
127776 | DRILL BIT | 499 |
127777 | OVAL CARBIDE BURR 4.0 | 166 |
127778 | PARTIALLY THREADED GUIDE WIRE 0.35 X 4 | 130 |
127779 | SCREW CANNULATED 2.4mm X 16mm | 499 |
127780 | SHORT MEDIUM BLADE 18.5 X 9.0 | 189 |
127781 | BARREL BUR (STRYKER) | 205 |
127782 | EGG BUR 5.0(STRYKER) | 302 |
127783 | EGG BUR 6.0(STRYKER) | 302 |
127784 | CROSS CUT BUR (STRYKER) | 72 |
127785 | K-WIRE 4 (STRYKER) | 50 |
127786 | K-WIRE 6 (STRYKER) | 130 |
127787 | K-WIRE 1.25 | 385 |
127788 | GOWNS, ULTRA SURGICAL W/ TOWEL XXLARGE | 96 |
127789 | GOWNS, SURGICALXLG | 25 |
127790 | 4.0 MM BURRS | 268 |
127791 | GROSHONG CATH.L | 1276 |
127792 | PAD, GROUNDING PEDIATRIC | 87 |
127794 | E S U CLEANING PAD | 15 |
127796 | GOWN, SPECIALTY MEDLINE #DYNJP2004S | 96 |
127797 | PAD, GROUNDING ADULT | 58 |
127798 | K-WIRE 6 | 46 |
127799 | DUAL CUT BLADES (STRICKER) | 248 |
127800 | PAD, GROUNDING ADULT | 58 |
127803 | INSUFFLATOR/CO2 | 465 |
127852 | HEMOVAC | 231 |
127858 | J/P RESERVOIR | 96 |
128865 | SURGICAL PATTIES #80-1400 | 50 |
128866 | STRIPS SURGICAL | 75 |
129107 | INDIGO CARMINE SOL. | 30 |
129108 | INSTRUMENT TRAY | 85 |
129109 | SAWS AND DRILL TRAY | 548 |
129110 | LARYNGOSCOPY/BIOPSY TRAY | 1042 |
129111 | HOFFMAN MICRO LENGTHENER ASSEMBLY | 5549 |
129118 | EZ I/O DRILL | 161 |
129367 | 1000CC STERIL H2 0 | 39 |
181093 | HEAD BLOCKS | 33 |
182222 | AUTOVENT CIRCUIT TUBING | 53 |
201002 | ANETHETIST/UNITS | 15 |
201004 | ANSTH SPEC PR 1/2 HR | 338 |
201005 | ANETHETIST C/B 1/2 HR | 110 |
201017 | SUCCINYLCHOLINE FLO PAC | 70 |
201100 | SUCCINYLCHOLINE INJ | 57 |
202025 | PARA-CERV CONT | 97 |
202026 | TRANS BLOC | 46 |
202027 | PARA BLOC | 57 |
202028 | SADDLE BLOC | 46 |
202029 | PUDENAL BLOC | 46 |
202035 | THIAMYLAL INJ | 70 |
206013 | FLUOTHANE | 53 |
207001 | VOLATILE LIQ ANESTHESIA | 147 |
207950 | ULTANE | 405 |
207954 | FORANE | 205 |
209006 | INNOVAR | 63 |
209220 | DROPERIDOL INJ | 66 |
209222 | DYCLONINE SOLN.(190 DYCLONE) | 247 |
209774 | KETAMINE INJ. | 37 |
220378 | TPMT ACTIVITY | 613 |
221006 | LIVER PROFILE | 223 |
221010 | RMSF ANTIBODY IGG | 75 |
221102 | RMSF ANTIBODY IGM | 75 |
221111 | VENIPUNCTURE | 27 |
221115 | H&H SPECIMEN COLLECTION | 35 |
221116 | ALBUMIN | 88 |
221147 | AMYLASE | 139 |
221148 | AMYLASE BODY FLUID | 28 |
221165 | ACID PHOS | 87 |
221166 | BB ANTIBODY SCREEN EA | 108 |
221167 | ASO ANTIBODY | 93 |
221168 | ACETONE SCREEN SERUM OR PLASMA | 44 |
221231 | AMYLASE 2 HR URINE | 86 |
221233 | ANA SCREEN, REFLEX TO COMP PROF | 41 |
221234 | CHROMATIN ANTIBODY | 163 |
221239 | AFP MATERNAL | 39 |
221242 | BB ANTIBODY ID | 203 |
221375 | CREATININE ISTAT | 87 |
221410 | ALCOHOL BLOOD | 209 |
221411 | ALCOHOL URINE | 209 |
221412 | ALDOLASE | 87 |
221552 | CMP COMPREHENSIVE MET PROFILE | 295 |
221904 | R. TYPHI ANTIBODY IGG | 107 |
221905 | AMMONIA | 101 |
221950 | ANDROSTENEDIONE | 132 |
221951 | R. TYPHI ANTIBODY IGM | 107 |
221952 | ANGIOTENSION CONVERTING ENZYME | 68 |
222116 | BILIRUBIN NEONATE | 87 |
222117 | BILIRUBIN TOTAL | 87 |
222119 | BILIRUBIN DIRECT | 87 |
222145 | BLOOD TYPE ABO | 95 |
222147 | BB BLOOD (LEUKOCYTE POOR) | 671 |
222149 | AMIODARONE | 85 |
222150 | PLATELETS, PHERESIS EA UNIT | 1176 |
222151 | BRUCELLA IGG | 150 |
222172 | APOLIPOPROTEIN B | 34 |
222217 | PERIPHERAL SMEAR | 62 |
222491 | PORPHYRINS, TOTAL PLASMA | 162 |
222492 | PORPHYRINS, FRAC PLASMA | 326 |
222493 | PORPHOBILINOGEN DEAMINASE (PBGD) | 311 |
223100 | .CBC CHG ONLY (NO AUTO DIFF) | 116 |
223104 | LEUKEMIA/LYMPHOMA EVAL, ADD1. MARKER | 27 |
223105 | LEUKEMIA/LYMPHOMAEVAL,NUCLEAR MARKER | 305 |
223106 | .CBC AUTO DIFF CHG ONLY | 128 |
223115 | CHOLESTEROL | 87 |
223124 | CHLORIDE | 87 |
223131 | CPK | 118 |
223169 | LIPID PROF | 180 |
223170 | CALCIUM | 87 |
223172 | BB DAT | 121 |
223173 | CARBON DIOXIDE | 98 |
223174 | CREATININE | 87 |
223175 | COPPER | 50 |
223176 | CREATININE CLEARANCE | 116 |
223177 | PORPHOBILINOGEN URINE 24 HOUR | 118 |
223178 | COLD AGGLUTININ | 120 |
223181 | COCCIDIOIDES AB | 88 |
223200 | LIPID PROF REFLEX DLDL | 180 |
223247 | CALCIUM RANDOM URINE | 95 |
223248 | CATECHOLAMINES PLASMA | 183 |
223249 | CATECHOLAMINES, 24HR URINE | 35 |
223251 | CATECHOLAMINE FRACTIONATED | 27 |
223255 | CRYOGLOBULIN QUALI | 41 |
223285 | CORTISOL TOTAL | 27 |
223286 | CORTISOL FREE SERUM | 249 |
223287 | CORTISOL FREE 24HR URINE | 109 |
223288 | CORTISOL #1 BASE | 22 |
223289 | CORTISOL #2 | 22 |
223290 | CORTISOL #3 | 22 |
223300 | CKMB | 193 |
223302 | PROCALCITONIN | 312 |
223400 | CHOLINESTERASE | 82 |
223502 | CEA | 130 |
223519 | ALPHA SUBUNIT | 303 |
223520 | SULFATIDE Ab,IgG | 385 |
223527 | CH50 | 128 |
223883 | FREE KAPPA/LAMBDA RATIO SERUM | 166 |
223897 | CHLAMYDIA AB | 153 |
223900 | COMPLEMENT C3 | 131 |
223901 | COMPLEMENT C4 | 95 |
223903 | CA 19-9 | 141 |
223904 | CA 27.29 | 121 |
223906 | CYCLOSPORINE | 163 |
223907 | CA 125 | 148 |
223908 | CADMIUM | 128 |
223909 | CA 15-3 | 121 |
223910 | CADMIUM URINE | 143 |
223952 | CITRIC ACID, URINE | 100 |
223953 | OXALTE, QUANT 24HR URINE | 48 |
223961 | CMV IGG | 107 |
224178 | VALPROIC ACID | 130 |
224179 | DEXTROSTIX | 48 |
224252 | DEXAMETHASONE | 239 |
224254 | METFORMIN | 356 |
224255 | DIGOXIN-LABCORP | 116 |
224256 | DRUG SCREEN CHAIN OF CUSTODY N-DOT | 60 |
224258 | DRUG SCREEN CAP AMERICA | 33 |
224260 | TRYPTASE | 240 |
224265 | DOPAMINE | 36 |
224300 | PHENYTOIN-LABCORP | 120 |
224302 | DESIPRAMINE | 117 |
225125 | ELECTROLYTE PROFILE | 137 |
225182 | PROTEIN ELECTROPHORISIS SERUM | 96 |
225183 | EPSTEIN BARR DNA | 338 |
225259 | ESTROGEN TOTAL | 191 |
225415 | TISSUE PLASMINOGEN ACTIVATOR | 357 |
226063 | FFP | 278 |
226142 | FACTOR VIII ACTIVITY | 180 |
226143 | FACTOR VII ACTIVITY | 91 |
226218 | FSH | 118 |
226227 | VITAMIN B12 | 181 |
226289 | FECAL FAT QUANT | 107 |
226290 | FECAL FAT QUAL | 39 |
226291 | CHYMOTRYPSIN | 147 |
226300 | FDP (FIBRIN SPLIT PRODUCTS) | 123 |
226400 | FERRITIN | 181 |
226500 | FIBRINOGEN ACTIVITY | 78 |
226666 | SPECIMEN COLLECTION | 37 |
226860 | BB ARC-ELUTION,PER UNIT | 232 |
226885 | BB ARC-ANTIBODY ID,EA | 205 |
226906 | BB ARC-RH PHENOTYPE,EA | 233 |
226970 | BB ARC-RED CELL PREP,GEL,EA | 39 |
227111 | GLUCOSE | 92 |
227112 | GLU LOADING DOSE CHARGE | 17 |
227229 | GLUCOSE TOL 2 HR | 183 |
227232 | GLUCOSE TOL ADDITIONAL SPEC | 51 |
227262 | GROWTH HORMONE HGH | 376 |
227263 | GROWTH HORM RELEASING HORMONE | 452 |
227270 | GASTRIN | 113 |
227280 | GGT | 61 |
227300 | GENTAMICIN RANDOM | 92 |
227301 | GENTAMICIN TROUGH | 92 |
227302 | GENTAMICIN PEAK | 92 |
227385 | HISTOPLASMA ANTIGEN URINE | 367 |
227799 | BK VIRUS URINE | 536 |
228000 | EHRLICHIA AB PANE | 208 |
228100 | CBC PLT NO DIFFERENTIAL | 120 |
228101 | HEMATOCRIT | 51 |
228102 | HEMOGLOBIN | 51 |
228105 | HEMOGLOBIN FRAC PROFILE | 76 |
228133 | SMITH ANTIBODIES | 95 |
228134 | H PYLORI QUALITATIVE | 193 |
228136 | H PYLORI, IGA | 51 |
228137 | H PYLORI, IGG | 51 |
228138 | H PYLORI, IGM | 51 |
228263 | HAPTOGLOBIN | 92 |
228265 | HEMOGLOBIN A2 | 127 |
228302 | HEPATITIS A TOTAL | 137 |
228306 | HEP B SURF AB | 51 |
228307 | 17-HYDROXYPROGESTERONE | 127 |
228352 | SULFATIDE Ab,IgM | 385 |
228459 | VITAMIN B7 | 379 |
228519 | TRYPSIN | 344 |
228591 | VITAMIN B5 | 382 |
228599 | HCV AB (LC140659) | 32 |
228600 | BABESIA MICROTI IGG | 132 |
228601 | HEPATITIS DIAGNOSTIC (ACUTE) | 226 |
228602 | HEPATITIS B CORE TOTAL | 34 |
228603 | HEPATITIS B CORE IGM | 34 |
228605 | HEP B SURF AG | 137 |
228631 | CHROMOGRANIN A | 206 |
228663 | EPSTEIN BARR EARLY DET | 55 |
228664 | EPSTEIN BARR NUCL AG | 43 |
228665 | EPSTEIN BARR VCA | 129 |
228666 | EPSTEIN BARR PCR QUANT | 265 |
228800 | SURG PATH COMP 88305 | 135 |
228801 | SURG TECH COMP 88312 | 147 |
228802 | SURG TECH COMP 88313 | 211 |
228888 | HDL | 118 |
228900 | HLA-B27 DISEASE ASSOCIATION | 131 |
228950 | HIV SCREEN | 137 |
228970 | BB ARC-RBC CELL PREP | 234 |
228999 | HSV II | 46 |
229003 | HSV I | 46 |
229270 | IGG | 48 |
229272 | IGA | 53 |
229274 | IGM | 53 |
229300 | IGE (IMMUNOGLOBULIN E) | 96 |
229301 | IGD (IMMUNOGLOBULIN D) | 132 |
229303 | SURG PATH IHC STAIN | 275 |
229400 | INSULIN | 93 |
229500 | IMIPRAMINE | 127 |
229600 | CALCIUM IONIZED | 118 |
260279 | STERILE WATER INJECTION | 44 |
260354 | INAPSINE 2.5MG/ML INJ DROPERIDOL | 66 |
260358 | D5W 20MEQ K++1000ML | 66 |
260392 | Droperidol inj 5mg/2ml Inapsine 2ml amp | 66 |
260494 | METHIMAZOLE (TAPAZOLE)10MG TAB | 24 |
260515 | ACETAMIN (MAPAP) 80MG CHEWABLE TAB | 7 |
260642 | *AMOXICILLIN SUSP 200MG (AMOXIL) | 12 |
260643 | RAMIPRIL (ALTACE) 5MG CAP | 10 |
260644 | *ENTACAPONE 200MG TAB | 7 |
260645 | SILVER SULFAD (SILVADENE) 1% CRM 25GM | 41 |
260647 | DAPTOMYCIN (CUBICIN) 575MG IVPB | 1566 |
260649 | SILV SULFAD (SILVADENE) 1% CRM 20G | 39 |
260651 | COLESEVELAM (WELCHOL) 625MG TAB | 9 |
260654 | RAMIPRIL (ALTACE) 10MG CAP | 11 |
260658 | BACITRACIN ZINC 500UN/GM OINT 15GM | 21 |
280005 | NUTR.PUMP CHG. (DAILY) | 153 |
280015 | KANGAROO SET, 1000ML PUMP SET (BAG) | 40 |
280020 | NUT. Y EXT | 34 |
280025 | PISTON FEEDING SYRINGE | 13 |
280222 | STATLOCK PICC DEVICE | 21 |
281019 | ABBOTT ADPTR SCR CAP | 48 |
281020 | IV PUMP SET | 29 |
281023 | IVAC PIGGYBACK SET | 17 |
281024 | ABBOTT IVEX FILTER | 48 |
281025 | BLOOD SEC PUMP SET | 53 |
281030 | C-PAP MACHINE (2 WEEK CHARGE) | 280 |
281037 | ARTERIOGRAM TRAY | 153 |
281040 | BI-PAP MACHINE (INITIAL 2 WEEK CHARGE) | 565 |
281045 | POLYMEM MAX SILVER 4X4 DRESSING | 25 |
281050 | BI-PAP C-PAP MACHINE (daily) | 368 |
281058 | 45MM, 15GA, I/O NEEDLE SET | 344 |
281215 | ASPIRATOR, NASAL INF | 35 |
281234 | ANGIOCATH 14 GA. | 37 |
281271 | ANESTHESIA CIRCUIT | 51 |
281272 | PED.ANESTHESIA CIRCUIT | 63 |
281273 | AIRWAY NO 5.5–CATH GUIDE | 72 |
281274 | AIRWAY NO 6–CATH GUIDE | 72 |
281275 | AIRWAY NO 7–CATH GUIDE | 72 |
281276 | AIRWAY NO 8–CATH GUIDE | 72 |
281277 | AIRWAY NO 9–CATH GUIDE | 72 |
281278 | AIRWAY NO 10–CATH GUIDE | 72 |
281279 | AIRWAY NO 12–CATH GUIDE | 72 |
281280 | AIRWAY NASAL 22FR | 68 |
281281 | AIRWAY NASAL 24FR | 68 |
281282 | AIRWAY NASAL 26FR | 68 |
281283 | AIRWAY NASAL 28FR TELEFLEX#123328 | 68 |
281284 | AIRWAY NASAL 30FR | 68 |
281285 | AIRWAY NASAL 32FR | 68 |
281421 | 25MM 15GA, I/O NEEDLE SET | 373 |
281425 | 15MM-15GA, I/O NEEDLE SET | 373 |
281534 | ABD COMBINE DRESS | 12 |
281540 | ADM FEEDING PUMP | 63 |
281543 | ADM, BLOOD PUMP | 35 |
281798 | ABD SUPPORT | 128 |
281800 | ATTENDS/UNDERPADS-LOW USE | 71 |
281805 | ATTENDS/UNDERPADS-MED USE | 230 |
281825 | ATTENDS/UNDERPADS-HIGH USE | 327 |
281835 | ADAPTIC 3 X 3 | 16 |
281836 | ADAPTIC 3 X 16 NON-ADHERING DRESSING | 21 |
281840 | ATTENDS, FITBASIC REGULAR | 12 |
281842 | ATTENDS, FITRESTORE LARGE | 15 |
281845 | ATTENDS/UNDERPADS – VERY HIGH USE | 487 |
281850 | ATTENDS, FITBASIC EXTRA SMALL | 6 |
282010 | ARMBOARD PED. | 16 |
282015 | ARMBOARD | 17 |
282016 | ARM, CAST, SHORT | 81 |
282018 | BABY WIPES | 29 |
282019 | BEDPAN | 48 |
282020 | BEDPAN FRACTURE #H10210 | 32 |
282021 | BAG, FECAL COLLECTION | 50 |
282036 | FETAL MONITOR | 186 |
282144 | BETADINE SOLUTION | 15 |
282145 | BETADINE SOL-GAL. | 97 |
282146 | BETADINE SWABSTICK | 12 |
282147 | BENZOINE TINTURE SWABSTICK | 11 |
282156 | BELT OSTOMY | 35 |
282174 | RIB BELT–UNIVERSAL/FEMALE | 165 |
282175 | RIB BELT–UNIVERSAL/MALE | 165 |
282195 | BASIN STERILE | 46 |
282221 | DISP. BOVIE TIP CHO5 | 32 |
282222 | AUTO VENT VENTILATION CIRCUIT | 53 |
282247 | BELT, PELV-TRACT | 172 |
282253 | BRACE, CLAVICLE | 92 |
282312 | BANDAGE, ELASTIC 2 IN. | 17 |
282313 | BANDAGE, ELASTIC 3 IN CONCO | 17 |
282314 | BANDAGE, ELASTIC 4 | 33 |
282315 | BANDAGE, ELASTIC 6 IN | 33 |
282325 | BITE | 12 |
282337 | BANDAID X-LARGE | 11 |
282342 | BARRELL-STD. | 818 |
282517 | BLOOD TUBING | 70 |
282518 | BLOOD FILTER | 75 |
282727 | BILEBAG | 141 |
282822 | BOTTLE BABY | 12 |
282833 | BONE MARROW TRAY | 100 |
282835 | BONE MARROW NEEDLE (INFUSION) | 39 |
282856 | BURN PACK | 29 |
283000 | TUBE HOLDER, TRACHEOSTOMY | 18 |
283001 | TUBE, SHILEY TRACHEOSTOMY | 197 |
283002 | CANNULA SHILEY | 48 |
283003 | CAST BOOT EX-SMALL | 114 |
283004 | CABLE-HOLDER-COBE | 68 |
283005 | CAST BOOT SMALL | 114 |
283007 | CARRINGTON SPRAY | 81 |
283008 | CAST BOOT MEDIUM | 114 |
283009 | CARRINGTON GEL | 81 |
283010 | CAST BOOT LARGE | 114 |
283011 | CAST REINFORCEMENT | 72 |
283012 | CAST REMOVAL | 33 |
283013 | UNNA BOOT ELASTIC 650940 | 16 |
283014 | COFLEX-TLC, COMPRESSION DRESSING | 46 |
283015 | CAST, LONG ARM | 463 |
283016 | CAST, LONG LEG | 783 |
283017 | CAST, SHORT LEG | 584 |
283018 | CAST, SHORT FIBERGLASS | 392 |
283020 | FIBERGLASS CAST 2 | 46 |
283021 | FIBERGLASS CAST 4 | 63 |
283022 | FIBERGLASS CAST 3 | 51 |
283023 | CAUTERY, DISP. HI-TEMP | 211 |
283024 | CATH BARDEX VALUE 5CC | 145 |
283029 | CENTRAL DRESSING KIT | 110 |
283051 | CA MALLEABLE TIPFILI | 135 |
283055 | SYRINGE 60CC W/CATHETER TIP | 16 |
283062 | CATH, CHOLANGIOGRAM | 239 |
283064 | CATH, CHOLANGIOGRAM-INTRODUCER | 75 |
283072 | CATH. TUBE HOLDER | 17 |
283100 | CATH, ROBINSON 8FR #0094080 | 13 |
283101 | CATH, ROBINSON 10FR #094100 | 35 |
283102 | CATH, ROBINSON 12FR #09412 | 35 |
283105 | CATH, ROBINSON 14FR #094140 | 35 |
283106 | CATH, ROBINSON 16FR #094160 | 35 |
283107 | CATH, ROBINSON 18FR #09418 | 35 |
283109 | CATH, FOLEY 8FR–3CC | 28 |
283110 | CATH, FOLEY 10FR-3CC | 28 |
283112 | CATH, FOLEY 12FR–5CC | 16 |
283113 | CATH, FOLEY–PEDIATRIC 6FR–3CC | 18 |
283114 | CATH, FOLEY 16FR–5CC | 16 |
283115 | CATH, FOLEY 18FR–5CC | 16 |
283116 | CATH IRR VALUE 30CC | 135 |
283117 | CATH, FOLEY 22FR–5CC | 16 |
283118 | CATH, FOLEY 14FR–30CC LATEX | 9 |
283119 | CATH, FOLEY 16FR–30CC LATEX | 24 |
283120 | CATH, FOLEY 18FR–30CC SILICONE | 24 |
283121 | CATH, FOLEY 20FR–30CC SILICONE 2-WAY | 24 |
283124 | CATH, FOLEY 20FR–5CC BARD (LATEX) | 11 |
283126 | CATH, FOLEY 24FR–5CC BARD (LATEX) | 24 |
283151 | CATH TIEMANN(COUDE) 12FR | 38 |
283152 | CATH TIEMANN(COUDE) 14FR | 38 |
283153 | CATH TIEMANN(COUDE) 16FR | 38 |
283154 | CATH,TEXAN,URIDOM | 17 |
283155 | CATH, CHEST TROCAR | 68 |
283157 | CATH URETERAL FLEXTI | 63 |
283158 | CATH TIEMANN(COUDE) 18FR | 38 |
283159 | CATH TIEMANN(COUDE) 20FR | 38 |
283160 | COLOSCOPE | 282 |
283175 | CENTRASIL | 135 |
283209 | CATH CUTDOWN | 29 |
283212 | CATH,CLAMP | 17 |
283241 | H – CLAVICLE H | 65 |
283242 | C-COLLAR RIGID&FLEX | 153 |
283243 | CERVICAL COLLAR FIRM SMALL | 118 |
283244 | CERVICAL COLLAR FIRM LARGE | 118 |
283245 | CERVICAL COLLAR FIRM MEDIUM | 118 |
283246 | CERVICAL COLLAR FIRM EX-LARGE | 118 |
283247 | C G F BORDER | 87 |
283249 | C G F WAFER X-TRA THIN | 37 |
283251 | CLAVICLE SPLINT INFANT | 51 |
283252 | CLAVICLE SPLINT SMALL (CHILD) | 51 |
283253 | CLAVICLE SPLINT YOUTH #3004-03 (MED) | 51 |
283254 | CLAVICLE SPLINT LARGE | 51 |
283255 | CLAVICLE SPLINT EX-LARGE | 51 |
283299 | COMPLEAT FORMULA | 35 |
283301 | CONNECTOR, TUBING 5-IN-1 | 17 |
283302 | EZ-I/O STABILIZER | 24 |
283303 | COMPRESSION SCREW | 110 |
283324 | CONVERTER | 48 |
283326 | CORTICAL SCREW | 68 |
283340 | COTTON BALLS | 12 |
283347 | CUPS C+A TEST PKG-8 | 12 |
283350 | SPONGE,CURITY 4X4 GAUZE (2 PER PK) | 12 |
283351 | CATH BARTHOLIN CYST | 109 |
283352 | CATH TRAY FOLEY 16FR | 107 |
283354 | CATH TRAY S FOLEY | 29 |
283355 | CYSTO TUBING | 37 |
283358 | CYSTO FLEX | 623 |
283360 | CATH PHILLIPS FOLLOWE | 172 |
283361 | CATH FOLEY 16FR 10CC | 28 |
283380 | CATH KIT SUPRA PUBIC | 117 |
283381 | CATH SUPRAPUBIC STAM | 211 |
283383 | CATH LEG STRAP MEDICHOICE #CLS1400 | 41 |
283394 | CATH TRAY C CCATH (STRAIGHT) | 78 |
283408 | COLOST BG | 53 |
283700 | CLAMP DRAIN BAG | 21 |
283707 | CLEAN CATCH KIT | 17 |
283716 | BASIN (WASH) MED ACTION #362-10 | 12 |
283720 | CONNECTOR LUERLOCK | 21 |
283770 | STERILE COBAN | 13 |
283775 | CHIX CLEAN | 21 |
283779 | CLIP REMOVER | 12 |
283780 | COBAN ELASTIC 4 #1584 | 41 |
283784 | COBAN, 2 ELASTIC 3M1582 | 7 |
283785 | COBAN, 3IN 3M1583 | 5 |
283806 | CUTDOWN TRAY | 81 |
283810 | CUTTING LOOP | 329 |
283841 | CATH QUICK,18GAX1 1 | 30 |
283846 | CYSTOSCOPE | 555 |
283850 | SHOE COVERS | 193 |
283851 | SURGERY CAPS | 11 |
283853 | SURGI GRIP | 57 |
283972 | D L U 3.5 | 555 |
283974 | D L U 30V | 555 |
283983 | ENDOSCOPIC ARTICULATING LINEAR CUTTER | 1040 |
283985 | ENDOPATH VASCULAR RELOAD | 465 |
284003 | SKIN AFFIX | 114 |
284006 | DIS POZ-A-BAG | 33 |
284014 | DRESSING TRAY-SUPP | 30 |
284016 | DRESSING, NON ADHERANT OPTIFOAM | 21 |
284018 | ER INST SET (DISPOSABLE) | 51 |
284019 | EYE TOOL (ALGERBRUSH) | 347 |
284130 | DRAIN MALECOT | 159 |
284132 | DRAIN,PEZZOR, 3-3 1- | 37 |
284198 | DRAIN, PENROSE | 16 |
284364 | DRAIN SYST URINARY | 37 |
284424 | DERMA CARE PAD 30 40 | 92 |
284575 | OPSIT I.V. DRESSING | 17 |
284718 | DRAIN FLAT | 92 |
284722 | DRAIN WOUND SHIRLEY | 63 |
284724 | DRAIN SUMP | 68 |
284750 | DIAPERS-NEWBORN/BX | 30 |
284773 | DIAPERS, BOX | 34 |
284775 | DIAPER, EACH | 5 |
284777 | DRAPE, LARGE | 33 |
284778 | DILATOR PHILIPS FOLL | 194 |
284780 | DISP PILLOW CASE EA. | 11 |
284782 | DISP FLAT SHEETS EA. | 17 |
284837 | DRESSING, OWENS | 21 |
284838 | POLYMEM, NON-ADHESIVE, DRESSING 4X4 | 19 |
284839 | DUO DERM XTRA THIN DRESS | 147 |
284840 | DRESSING TRAU-MEDIC | 30 |
284841 | DRES WOUND SWEEN CREAM | 26 |
284842 | DRESSING, ADHESIVE SURG. | 11 |
284844 | DRESSING, EXUDERM 4 X 4 | 11 |
284845 | DRESSING, OPTIFOAM 4 X 4 | 18 |
284900 | DUO DERM DRESSING | 37 |
284901 | DURODERM HYDROACTIVE DRESSING | 29 |
284903 | DUO DERM GRANULES | 50 |
284904 | DUO DERM GEL | 34 |
285001 | EYE TRAY | 46 |
285003 | EYE SHIELD | 12 |
285005 | EAR TRAY | 57 |
285007 | E E A | 233 |
285008 | E E A STAPLES | 461 |
285009 | ELASTOGEL | 18 |
285202 | EAR SYRINGE 3 OZ | 17 |
285203 | ELASTOPLAST 1 INCH | 16 |
285204 | ELASTOPLAST 2 INCH | 35 |
285205 | ELASTOPLAST 3 INCCH | 46 |
285206 | ELASTOPLAST 4 INCH | 70 |
285207 | BLADDER EVAC | 233 |
285208 | ELECTRODES, EKG PEDIATRIC | 16 |
285209 | ELECTRODES-NEONATAL | 16 |
285210 | ESOPHAGEAL STETHOSC | 123 |
285220 | EXTERNAL CATHETER | 29 |
285225 | EYE PADS | 12 |
285230 | EPIFIX, 2CM X 3CM | 461 |
285250 | ADULT CO2 DETECTOR | 70 |
285251 | PEDIATRIC CO2 DETECTOR | 70 |
285270 | CON EPIDURAL ANES TR | 253 |
285338 | EMESIS BASIN | 16 |
285339 | CONVENIENCE BAGS | 12 |
285340 | ENDOCLIP | 754 |
285344 | ENDOSCOPIC INST SET | 1906 |
285365 | EYE DRAPE #8441 | 21 |
285366 | ENEMA | 77 |
285367 | ENEMA BAG | 77 |
285440 | EPIFIX, 4CM X 4CM | 461 |
285560 | EPIFIX,5CM X 6CM | 461 |
285811 | 2.5MM ENDO TUBE–UNCUFFED | 137 |
285812 | 3.0MM ENDO TUBE–UNCUFFED | 137 |
285813 | 3.5MM ENDO TUBE–UNCUFFED | 137 |
285814 | 4.0MM ENDO TUBE–UNCUFFED | 137 |
285815 | 4.5MM ENDO TUBE–UNCUFFED | 137 |
285816 | 5.0MM ENDO TUBE–UNCUFFED | 137 |
285817 | 5.5MM ENDO TUBE–UNCUFFED | 137 |
285818 | 6.0MM ENDOTRACHEAL TUBE–CUFFED | 137 |
285819 | 6.5MM ENDOTRACHEAL TUBE–CUFFED | 137 |
285820 | 7.0MM ENDOTRACHEAL TUBE–CUFFED | 137 |
285821 | 7.5MM ENDOTRACHEAL TUBE–CUFFED | 137 |
285822 | 8.0MM ENDOTRACHEAL TUBE–CUFFED | 137 |
285823 | 8.5MM ENDOTRACHEAL TUBE–CUFFED | 137 |
285824 | 9.0MM ENDOTRACHEAL TUBE–CUFFED | 137 |
285825 | BOUGIE ENDO TUBE INTRODUCER | 34 |
285836 | NUT. PUMP SET | 81 |
285838 | BAG,PRESSURE INFUSER 1000ML | 38 |
286215 | FIBRACOL PLUS 4 X 4 DRESSING | 57 |
286220 | FILTER, KIDNEY STONE | 12 |
286679 | FILTER. I.V. | 21 |
286681 | FILEFORMS & FOLLOWERS | 350 |
286804 | FEEDING TUBE INFANT | 21 |
286806 | FEMALE SELF CATH | 17 |
286810 | FEEDING TUBE ENERGETIC | 93 |
286816 | FILTER FLO EXTEN SET | 29 |
286820 | FILTER STRAW | 16 |
287054 | VENI GUARD IV DRESSING | 8 |
287182 | GAUZE,VASELINE | 29 |
287261 | GAUZE, CARRA | 16 |
287263 | GAUZE IODOFORM 1/4 7831 | 44 |
287264 | GAUZE,IODOFORM 1/2 | 46 |
287265 | GAUZE,IODOFORM 1IN | 48 |
287266 | GAUZE, 2 IODOFORM PACKING #7834 | 50 |
287268 | G I A | 755 |
287269 | G I A STAPLES | 257 |
287270 | BIOGEL GLOVE SIZE 7 | 17 |
287271 | STERILE GLOVE SZ 7-1/2 | 7 |
287273 | BIOGEL GLOVES SIZE 7-1/2 | 17 |
287274 | BIOGEL GLOVES SIZE 6 | 17 |
287275 | BIOGEL GLOVES SIZE 6-1/2 | 17 |
287276 | SENSICARE GLOVE SIZE 6 | 9 |
287277 | SENSICARE GLOVE SIZE 7 | 9 |
287278 | SENSICARE GLOVE SIZE 8 | 9 |
287381 | GLOVES PF LATEX MEDIUM | 18 |
287382 | GLOVES PF LATEX LARGE | 18 |
287383 | GLOVES PF LATEX SMALL | 18 |
287384 | BIOGEL GLOVE SIZE 8, #30480 | 17 |
287385 | SENSICARE GLOVE SZ 7-1/2 | 9 |
287386 | BIOGEL GLOVE SIZE 8 1/2 | 17 |
287390 | GASTROSCOPE | 555 |
287391 | PERCUTANEOUS SHEATH INTRODUCER KIT | 121 |
287392 | PERCUTANEOUS ENDO GASTRO TUBE | 393 |
287393 | GASTRIC LAVAGE KIT (VACUUM) | 228 |
287394 | STOMA PASTE | 21 |
287629 | GAUZE, 1 PLAIN PACKING | 9 |
287630 | GAUZE, 1/2 PLAIN PACKING | 9 |
287631 | GAUZE, 1/4 PLAIN PACKING | 9 |
287700 | GOWNS, ISOLATION XLG | 17 |
287787 | GOWNS, ISOLATION | 17 |
287789 | GOWNS, SURGICAL #90012 | 33 |
287801 | GOMCO | 93 |
287850 | HEAVY DRAINAGE PACK | 29 |
287858 | SUCTION,HEYER SCHULTEE | 100 |
287860 | TECHNI-CARE | 16 |
287905 | RING, SKIN BARRIER SOFTFLEX | 13 |
288000 | DERMA GEL WOUND DRESSING | 35 |
288032 | STAPLER, 3M SKIN DS-5 | 33 |
288033 | STAT-PADZ (DEFIBRILLATOR) | 130 |
288273 | HYDROACTIVE GEL | 35 |
288392 | POUCH,OSTOMY | 35 |
288671 | IV EXTENSION FILTER SET/HIGH VOLUME | 16 |
288713 | HEEL, WALK, CHILD | 39 |
288715 | HEEL,WALK,DUALADULT | 46 |
288800 | FECAL COLLECTION BAG | 63 |
288825 | HYSTERECTOMY DRAIN | 153 |
289007 | ER INSTRUMENT SET | 86 |
289010 | ICE PACK CONSTANT | 32 |
289107 | INT PACEMAKER INSERT | 1031 |
289163 | INF., BUTTERFLY | 21 |
289174 | LEUR ADAPTER | 16 |
289176 | INSERTS-DOU RECTANG(DISP) | 11 |
289256 | CURAFIL HYDROGEL GAUZE 4X4 | 21 |
289360 | IRRIG ACETIC SOL 250ML | 16 |
289361 | IRRIG SALINE SOL 250ML | 16 |
289362 | IRRIG ACETIC SOL 1000ML | 37 |
289363 | IRRIG SALINE 1000 ML | 44 |
289364 | IRRIGO.9%SOD CHL1000 | 44 |
289365 | IRRIG SALINE 500CC | 29 |
289367 | 1000CC STERIL H2 0 | 33 |
289369 | 250CC STERILH2 O | 16 |
289700 | IRRIGATION TRAY W/ BULB SYRINGE | 50 |
289729 | IRRIGATION TRAY W/ PISTON SYRINGE | 37 |
289802 | IV START KIT | 29 |
289803 | IV SET, VENTED | 29 |
289804 | IV SET 10 DROP | 29 |
289901 | CURAGEL HYDROGEL DRESSING 4X4 | 17 |
289905 | MEPILEX BORDER 4X4 | 37 |
301007 | CULTURE AEROBIC | 171 |
301010 | CULTURE ANAEROBIC | 97 |
302000 | CULTURE BLOOD | 168 |
302001 | CULTURE BLOOD POS WKUP | 34 |
302002 | CULTURE BLOOD LABCORP 1ST SET | 168 |
302003 | CULTURE BLOOD LABCORP 2ND SET | 168 |
303005 | CULTURE CHLAMYDIA | 137 |
303007 | CHLAMYDIA DNA PROBE | 123 |
304000 | CULTURE EAR | 171 |
305000 | CULTURE EYE | 132 |
305990 | FECAL WBC | 66 |
307000 | CULTURE YEAST | 137 |
308011 | NEISSERIA GONORRHOEAE NAA | 123 |
308012 | GRAM STAIN | 46 |
308014 | GIARDIA ANTIGEN | 47 |
308015 | FUNGAL STAIN | 62 |
308016 | CDIFF LABCORP | 51 |
308040 | KOH PREP | 57 |
309000 | CULTURE NASAL | 171 |
309021 | PINWORM IDENTIFICATION | 107 |
321136 | ANKLE XRAY LT | 377 |
321137 | ANKLE XRAY RT | 377 |
321138 | X-RAY COPIES | 7 |
321144 | KUB | 342 |
321145 | KUB FLAT AND UPRIGHT | 389 |
321146 | ABD TOMOGRAPHY | 544 |
322179 | SKULL 2 VIEW | 361 |
322193 | SM BOWEL SERIES | 647 |
322421 | AC JOINTS | 431 |
323117 | CLAVICLE RT | 361 |
323118 | CLAVICLE LT | 361 |
323119 | C SPINE XRAY | 431 |
323120 | C SPINE OBL XRAY | 558 |
323121 | MA CO HEALTH CHEST | 51 |
323138 | CHEST XRAY | 361 |
323139 | PA CHEST X-RAY | 279 |
323140 | BUCKY CHEST | 279 |
323141 | FLUORO W/BOIPSY GUIDE | 563 |
323142 | INTERNAL PACEMAKER | 268 |
323150 | CHEST TOMO | 567 |
323156 | CYSTOGRAM XRAY | 427 |
323159 | CRYSTALS | 21 |
323190 | OR CHOLANGIOGRAM | 476 |
323191 | PORTABLE CHEST | 302 |
323208 | CHEST I E | 182 |
325127 | ELBOW XRAY RT | 361 |
325128 | ELBOW XRAY LT | 361 |
325146 | AIR CONTRAST ENEMA | 649 |
325150 | BARIUM ENEMA | 603 |
325151 | ESOPHAGUS XRAY | 413 |
326102 | FACIAL BONES | 491 |
326128 | FOREARM XRAY RT | 321 |
326129 | FOREARM XRAY LT | 321 |
326131 | FINGERS XRAY RT | 349 |
326132 | FINGERS XRAY LT | 349 |
326133 | FEMUR XRAY RT | 410 |
326134 | FEMUR XRAY LT | 410 |
326137 | FOOT XRAY RT | 373 |
326138 | FOOT XRAY LT | 373 |
326153 | FLOURO, NO FILMS | 63 |
326155 | FISTULA – SINUS TRACK | 368 |
326160 | FLOURO W/SPOT FILMS | 218 |
328113 | HIP XRAY, RT | 356 |
328114 | HIP XRAY LT | 356 |
328126 | HUMERUS XRAY RT | 361 |
328127 | HUMERUS XRAY LT | 361 |
328130 | HAND XRAY RT | 361 |
328131 | HAND XRAY LT | 361 |
328166 | HIP NAILING PROSTH RT | 824 |
328167 | HIP NAILING PROSTH LT | 824 |
329127 | COCCYX | 361 |
350490 | ECHOENCEPHALOGRAPHY | 659 |
352998 | NEEDLE, BIO W/ULTRASOUND | 417 |
356352 | KIDNEY U/S | 755 |
357089 | PELVIC,TRANS VAGINAL | 621 |
374275 | MAMMOGRAM SCREENING | 267 |
374276 | NEEDLE LOCALIZATION W/PACK | 348 |
390540 | CL- FISCHER PENICILLIN INJECTION | 100 |
403021 | FIBERGLASS CAST 4 PINK #82004X | 53 |
403022 | FIBERGLASS CAST 3 #82003B BLUE | 48 |
403023 | DISPOSABLE VAGINAL SPECULUM | 15 |
407392 | GAUGE, SNAP DEVICE (DACOMED) | 88 |
409412 | CATH. BARD12 (ALL PURPOSE) | 13 |
409414 | CATH. BARD14 (ALL PURPOSE) | 13 |
409416 | CATH. BARD16 (ALL PURPOSE) | 13 |
409418 | CATH. BARD18 (ALL PURPOSE) | 13 |
409420 | CATH. BARD20 (ALL PURPOSE) | 15 |
409422 | CATH. BARD22 (ALL PURPOSE) | 15 |
410008 | ADMIN FLU SHOT | 8 |
410101 | CERVICAL EXAMINATION | 66 |
431518 | TUBE Y-EXTENSION | 16 |
433114 | CATHETERS | 57 |
433116 | CATHETER INSERTION KIT W/BAG | 107 |
433118 | CATHETER INSERTION KIT W/O BAG | 72 |
433354 | CATH TRAY/WO-CATHETER | 24 |
434006 | URINARY LEG BAG | 33 |
434035 | FEEDING PUMP KIT | 35 |
434253 | GLUCOSE TEST STRIPS (1 UNIT=50 STRIPS) | 148 |
434259 | LANCETS (1 UNIT=100 LANCETS) | 101 |
434364 | URINARY DRAIN BAG | 37 |
434825 | DERMAGRAN 4X4 WOUND DRESSING | 33 |
439700 | IRRIGATION TRAY | 34 |
440025 | HCY SCREENING | 81 |
440696 | ROCEPHIN PER 250 MG | 16 |
441080 | TESTTOSTERONE 200 MG/ML 1CC | 7 |
450000 | OXYGEN SET | 132 |
450408 | PULMOCORT / BUDESONIDE 0.5MG | 49 |
450409 | PULMOCORT 0.25MG / BUDESONIDE | 42 |
451805 | INTUBATION | 723 |
460283 | PT ELECTRICAL STIMULATION HMO | 82 |
461000 | PT FUNCTIONAL CAPACITY EVALUATION | 805 |
461900 | PT KNEE BRACE BLEDSOE TYPE HINGED | 544 |
462000 | PT POST OFFER FIT FOR DUTY | 180 |
464625 | PT BUCKS TRACTION BOOT | 80 |
468020 | PTWORK HARDENING CONDITIONING EVALUATION | 606 |
468978 | PT MOBILITY ONSET FUNCTIONAL LIMITATION | 2 |
468979 | PT MOBILITY GOAL FUNCTIONAL LIMITATION | 2 |
468980 | PT MOBILITY DISCHARGE FUNCTIONAL LIMIT | 2 |
468981 | PT BODY POSITION FUNC LIMIT STATUS | 2 |
468982 | PT BODY POSITION GOAL FUNC LIMIT | 2 |
468983 | PT BODY POSITION DISCHARGE FUNC LIMIT | 2 |
468984 | PT CARRYING FINCTIONAL LIMITATION STATUS | 2 |
468985 | PT CARRYING FUNCTIONAL GOAL LIMITATIONS | 2 |
468986 | PT CARRYING DISCHARGE FUNCTIONAL LIMIT | 2 |
468987 | PT SELF CARE ONSET FUNCTIONAL LIMITS | 2 |
468988 | PT SELF CARE GOAL FUNCTIONAL LIMITATION | 2 |
468989 | PT SELF CARE DISCHARGE FUNCTIONAL LIMIT | 2 |
468990 | PT OTHER PRIM ONSET FUNCTIONA LIMITATION | 2 |
468991 | PT OTHER PRIM GOAL FUNCTIONAL LIMIT | 2 |
468992 | PT OTHER PRIM DISCHARGE FUNCTIONAL LIMIT | 2 |
468993 | PT SUBUSEQUENT ONSET FUNC LIMIT | 2 |
468994 | PT SUBUSEQUENT GOAL FUNC LIMITATION | 2 |
468995 | PT SUBSEQ DISCHARGE FUNCT LIMITATION | 2 |
478996 | ST ONSET SPEECH THERAPY SWALLOWING | 2 |
478997 | ST GOAL SWALLOWING FUNCTIONAL LIM | 2 |
478998 | ST DISCHARGE SWALLOWING FUNCTION | 2 |
478999 | ST INITIAL MOTOR SPEECH FUNCTIONAL LIM | 2 |
479158 | ST DISCHARGE MOTOR SPEECH FUNTIONAL | 2 |
479159 | ST INITIAL SPOKEN LANGUAGE COMP | 2 |
479160 | ST GOAL SPOKEN LANGUAGE FUNCTIONAL LIM | 2 |
479161 | ST DISCHARGE SPOKEN LANGUAGE FUNCTIONAL | 2 |
479162 | ST INITIAL SPOKEN LANGUAGE EXP | 2 |
479163 | ST GOAL SPOKEN LANGUAGE EXPRESSION | 2 |
479164 | ST DISCHARGE SPOKEN LANGUAGE EXPRESSION | 2 |
479165 | ST INITIAL ATTENTION FUNCTIONAL LIM | 2 |
479166 | ST GOAL ATTENTION FUNCTIONAL | 2 |
479167 | ST DISCHARGE ATTENTION FUNCTIONAL | 2 |
479168 | ST INITIAL MEMORY FUNCTIONAL LIM | 2 |
479169 | ST GOAL MEMORY FUNCTIONAL | 2 |
479170 | ST DISCHARGE MEMORY FUNCTIONAL | 2 |
479171 | ST INITAIL VOICE FUNCTIONAL LIMIT | 2 |
479172 | ST GOAL VOICE FUNCTIONAL LIMITATION | 2 |
479173 | ST DISCHARGE VOICE FUNCTIONAL | 2 |
479174 | ST INITIAL OTHER SPEECH LANGUAGE PATH | 2 |
479175 | ST GOAL OTHER SPEECH LANGUAGE PATH | 2 |
479176 | ST DISCHARGE OTHER SPEECH LANGUAGE | 2 |
479186 | ST GOAL MOTOR SPEECH FUNCTIONAL LIM | 2 |
500099 | MEFIX TAPE | 1 |
501020 | SET, IVAC – PUMP | 16 |
501534 | ABD WOUND PADS | 9 |
501543 | BLOOD DRAW | 13 |
501835 | ADAPTIC 3X3 | 9 |
502144 | SOLUTION, BETADINE | 15 |
502146 | SWABSTICK, BETADINE | 9 |
502314 | ELASTIC BANDAGE | 9 |
502316 | Ace wrap 6 | 11 |
502727 | OPTILOCK,DRESSING 6 1/2 X 10 | 48 |
502964 | MEDIPORE TAPE 4 #2964 | 27 |
503006 | MEDIHONEY GEL 1.5OZ. | 38 |
503007 | CARRINGTON SPRAY L | 29 |
503009 | CARRINGTON WOUND GEL | 26 |
503010 | ****USE 283013*** | 16 |
503055 | SYRINGE CATH TIP | 9 |
503320 | CONTROLLER, SETGYBACK | 15 |
503322 | CONTROLLER, PIGGYBACK | 12 |
503350 | SPONGE,CURITY GAUZE 2/BX | 9 |
503570 | DERMA GRAN HY-WOUND DRESSING | 21 |
503571 | MEDIPORE + PAD 3.5X10 WOUND DRESS. #3571 | 13 |
504575 | OP-SITE I.V. DRESSING | 12 |
504835 | ALLEVYN 5 X 5 DRESSING | 17 |
504839 | DURO DERM XTRA. 6X7 | 16 |
505001 | HHA PATIENT’S HOME SETTING | 0.01 |
505002 | HHA IN ASSISTED LIVING FACILITY SETTING | 0.01 |
505044 | POLYMEM MEMBRANE DRESSING | 12 |
506209 | HYDRASORB FOAM DRESSING 4 X 4 | 26 |
507010 | HOME HEALTH EVALUATION | 214 |
507011 | SKILLED NURSING VISIT | 214 |
507012 | PHYSICAL THERAPY VISIT | 214 |
507013 | SPEECH THERAPY VISIT | 227 |
507014 | OCCUPATIONAL THERAPY VISIT | 214 |
507015 | MEDICAL SOCIAL SERVICES | 321 |
507016 | HOME HEALTH AIDE | 165 |
507017 | SKILLED VISIT/DISCHARGE | 214 |
507019 | PHYSICAL THERAPY ASSISTANT VISIT | 214 |
507110 | RN SKILLED NURSING VISIT | 214 |
507111 | LPN SKILLED NURSING VISIT | 214 |
507261 | GAUZE, CARRA | 13 |
507264 | GAUZE, IODOFORM 1-2IN. | 16 |
507266 | GAUZE,PLAIN 1/4 7631 | 21 |
507886 | INFLUENZA VACCINE | 15 |
507887 | ADMIN. OF VACCINE | 17 |
507895 | INTRASITE GEL | 18 |
508303 | TENDERWET DRESSING 3X3 | 15 |
509174 | CAP, INJECTION | 9 |
509344 | SILVA SORB DRESSING | 21 |
509369 | H2o sterile 250cc | 9 |
509802 | KIT, START I.V. | 9 |
515120 | CHORE | 16 |
517020 | HOMEMAKER PERSONAL CARE | 16 |
517021 | HOMEMAKER | 16 |
517022 | AUTH NURSE VISIT | 214 |
519301 | ADVANCED PERSONAL CARE | 18 |
519431 | HOMEMAKER HRLY RESPITE R-2 | 16 |
519436 | ADVANCED HOURLY RESPITE R-3 | 17 |
519438 | ADVANCED BLOCK RESPITE R-4 | 194 |
520025 | HEALTH CHILD SCREENG | 70 |
536430 | BB TRANSFUSION (LAB USE ONLY) | 706 |
536589 | REMOVAL OF PICC LINE | 1066 |
536591 | COLLECTION OF BLOOD FROM IMPLANTED DEVIC | 117 |
536592 | COLLECTION OF BLOOD FROM CENTRAL OR PERI | 127 |
536593 | DECLOT/ THROMBOLITIC AGENT/IMPLNTED DEV | 247 |
538220 | BONE MARROW ASPIRATION | 762 |
538250 | BILATERAL BONE MARROW ASPIRATION | 762 |
538978 | OT MOBILITY OCCP THERAPY FUNCTION | 2 |
538979 | OT GOAL MOBILITY OCCP THERAPY FUN | 2 |
538980 | OT DISCHARGE MOBILITY OCCP THERAPY | 2 |
538981 | OT ONSET OCCP THERAPY BODY POSITION | 2 |
538982 | OT GOAL OCCP THERAPY BODY POS | 2 |
538983 | OT DISCHARGE OCCP THERAPY BODY POSITION | 2 |
538984 | OT ONSET OCCP THERAPY CARRYING,MOVING | 2 |
538985 | OT GOAL OCCP THERAPY CARRYING MOVING | 2 |
538986 | OT DISCHARGE OCCP THERAPY CARRYING MOV | 2 |
538987 | OT ONSET SELF CARE OCCP THERAPY FUN | 2 |
538988 | OT GOAL OCCP THERAPY SELF CARE FUN | 2 |
538989 | OT DISCHARGE OCCP THERAPY SELF CARE | 2 |
538990 | OT OCCUP PRIMARY FUNCT LIMITATION | 2 |
538991 | OT GOAL OCCP THERAPY FUNCTION | 2 |
538992 | OT DISCHARGE OCCP THERAPY FUN | 2 |
538993 | OT OTHER OCCP THERAPY SUBSQT FUN | 2 |
538994 | OT OTHER OCCP THERAPY SUBSQT FUNC | 2 |
538995 | OT DISCHARGE OCCP THERAPY SUBSQT FUN | 2 |
549082 | PARACENTESIS – INITIAL | 718 |
551700 | BLADDER IRRIGATION,SIMPLE/LAVAGE&/ORINST | 458 |
551701 | CATHETER, INSERTION OF NON-INDWELLING | 348 |
551702 | FOLEY CATHETER | 473 |
560040 | DRY RUN – AMBULANCE | 56 |
560360 | AMB BLS NON-EMERG. | 331 |
560362 | AMB BLS EMERG | 331 |
560364 | AMB ALS NON-EMERG.(NON SPECIAL ALS) | 497 |
560368 | AMB ALS EMERG | 497 |
560394 | AMB ALS IV DRUG THERAPY (SPECIALIZED) | 37 |
560396 | AMB ALS INTUBATION | 37 |
560422 | AMB ALS-BLS OXYGEN (SPECIALIZED) | 37 |
560433 | AMB ALS2 | 486 |
560434 | AMB SPECIALTY CARE TRANSPORT | 573 |
561010 | INFANT MECONIUM ASPIRATOR | 15 |
561026 | MASK VALVE (ONE WAY) | 14 |
561030 | ALS PER/HR | 53 |
561033 | RN/PARAMEDIC PER HR. | 75 |
561040 | NASAL GASTRIC TUBES | 3 |
561050 | STYLETS | 15 |
561060 | CONVENIENCE BAGS | 4 |
561064 | AMBU BAG | 58 |
561066 | OXYGEN/HR | 18 |
561068 | OXYGEN SET-UP | 41 |
561070 | NASAL CANNULA | 7 |
561072 | NON-REBREATHER MASK | 37 |
561077 | NASAL AIRWAY | 24 |
561080 | ACE BANDAGE | 14 |
561082 | BITE STICK | 4 |
561084 | BURN KIT | 13 |
561086 | C-COLLAR (RIGID & FLEX) | 75 |
561090 | DISP PILLOW CASE | 3 |
561092 | DISP SHEETS | 4 |
561094 | MULTI-TRAUMA DRESSING | 14 |
561096 | DISP STRAPS | 34 |
561098 | STERILE WATER 250CC | 6 |
561301 | DISPOSABLE PEDIATRIC PULSE OX | 56 |
565250 | ET CO2 DETECTOR | 46 |
568012 | IV TUBING | 6 |
568500 | ADENOSINE | 105 |
568505 | CALCIUMCHLORIDE 1GM | 41 |
568507 | MAGNESIUM SULFATE | 34 |
568509 | ASPIRIN 81MG CHEWABLE TAB | 6 |
568510 | ATROPINE | 9 |
568515 | BRETYLIUM | 185 |
568525 | D-50 | 96 |
568530 | EPINEPHRINE 1:1000 | 26 |
568535 | EPINEPHRINE 1:10,000 | 26 |
568540 | ET TUBE | 29 |
568542 | EXT. TUBING | 18 |
568545 | IPECAC SYRUP | 13 |
568550 | ISUPREL | 76 |
568570 | EPI MEGA DOSE 30ML | 27 |
568575 | LASIX 40MG | 34 |
568580 | LIDICAINE PREMIX | 68 |
568585 | LIDOCAINE 100MG | 64 |
568590 | MORPHINE 2MG/ML INJ | 26 |
568591 | MORPHINE 10 MG/ML INJ | 30 |
568595 | NITROSTAT/SPRAY | 13 |
568600 | PROCAINAMIDE | 98 |
568605 | SODIUM BICARBONATE | 90 |
568610 | VALIUM | 41 |
568620 | INTRAOSSEOUS CATH. 06/96 | 63 |
568625 | PROCARDIA | 7 |
568630 | VERAPAMIL | 61 |
568635 | BENEDRYL | 23 |
568638 | VERSED 2MG/2ML INJ | 72 |
568645 | DOPAMINE 400MG | 111 |
568650 | PROCAN SR 500 | 7 |
568655 | ACTIVATED CHARCOAL | 7 |
568658 | NEBULIZER SET-UP | 23 |
568659 | NEEDLE DECOMPRESSION KIT | 38 |
569001 | ACE BANDAGE | 14 |
569003 | ALUMINUM FOIL | 5 |
569004 | AMBU BAG | 58 |
569006 | OBSERVATION 1 HOUR | 65 |
569009 | ARM SLING | 23 |
569010 | BED PAN | 9 |
569011 | OBSERVATION ICU 1 HOUR | 66 |
569014 | BITE STICK | 4 |
569015 | C-COLLAR (RIGID & FLEX) | 75 |
569016 | BURN KIT | 13 |
569017 | COLD PACK | 13 |
569019 | DISP PILLOW CASE | 3 |
569021 | DISP SHEETS | 4 |
569023 | EMESIS BASIN | 6 |
569025 | E O A | 114 |
569027 | EYE PAD | 4 |
569029 | FLEXIBLE SUCTION | 9 |
569031 | HOT PAK | 26 |
569033 | 4 KERLEX | 19 |
569035 | KLING | 13 |
569037 | MULTI-TRAUMA DRESSING | 14 |
569039 | NASAL AIRWAY | 24 |
569041 | NASAL CANNULA | 7 |
569043 | NON-REBREATHER MASK | 37 |
569045 | O B KIT | 87 |
569047 | MASK VALVE (ONE WAY) | 14 |
569049 | ORAL AIRWAY | 13 |
569051 | OXYGEN/HR | 18 |
569053 | OXYGEN SET-UP | 41 |
569055 | RAZOR ( DISP ) | 3 |
569057 | RIGID SUCTION | 9 |
569059 | STERILE WATER 250CC | 6 |
569061 | STERILE WATER 1000CC | 19 |
569063 | SUCTION TUBING | 19 |
569065 | TELFA PAD | 4 |
569067 | URINAL | 6 |
569068 | TRANDATE 5MG/ML INJ | 21 |
569069 | VASELINE GAUZE | 6 |
569071 | 4X4 SPONGE | 13 |
590471 | IMMUNIZATION ADMIN | 62 |
596360 | HYDRATION – 31 MIN TO 1 HOUR | 261 |
596361 | HYDRATION – EACH ADDITIONAL HOUR | 127 |
596365 | INFUSION THERAPY – UP TO 1 HOUR | 348 |
596366 | INFUSION THERAPY – EACH ADDITIONAL HOUR | 168 |
596367 | NON CHEMO MEDICATED IV INFUSION 1ST HR | 203 |
596368 | NONCHEMO DRG R CONCURRENTLY W/CHEMO/NON | 135 |
596372 | ONLY NON CHEMO SQ OR IM INJECTION | 96 |
596374 | INITIAL NON CHEMO IVP1ST DRUG 15MIN OR L | 259 |
596375 | NON CHEMO IVP/DRIP <15MIN | 123 |
596376 | EA ADDL PUSH OF SAME NON CHEMO MED | 95 |
690005 | KANGROO PUMP (DAILY) | 26 |
690010 | TUBE FEEDING-INTERNAL SYS 8 OZ. | 13 |
690015 | TOPCONTAINER PUMP SET | 26 |
690020 | EXTERNAL Y EXTENSION SET | 34 |
690025 | PISTON FEEDING SYRINGE | 13 |
690027 | SPIKE SET/PUMP | 16 |
690030 | GASTROSTOMY TUBE | 131 |
691020 | IVAC PUMP SET | 39 |
692146 | BETADINE SWABSTICK | 11 |
695338 | EMESIS BASIN | 16 |
697184 | GAUZE 2X2 | 12 |
980540 | CL- PENICILLIN INJECTION DAVIS | 100 |
993797 | UNMONITORED CR | 65 |
1200001 | TRAPEZOID | 778 |
1200100 | EMERGENCY SURGERY | 1410 |
1200101 | EMERGENCY SURG ADD 1/2 HR. | 833 |
1201112 | AIR TRAQ OPTICAL LARYNGOSCOPE | 392 |
1210202 | VENTRALEX ST HERNIA PATCH SMALL | 1079 |
1210205 | VENTRALEX ST HERNIA PATCH MEDIUM | 1243 |
1210303 | VENTRALEX HERNIA PATCH LARGE | 1197 |
1211305 | MASK, LMA #4 | 117 |
1211306 | MASK, LMA #5 | 88 |
1211347 | C-ARM DRAPE | 33 |
1211813 | ARTHROSCOPE(EQUIPMENT CHARGE) | 1103 |
1211814 | CYSTOSCOPE(EQUIP CHARGE) | 1103 |
1211815 | LAPROSCOPE | 1119 |
1211817 | MAVIGRAPH | 21 |
1211901 | JEGUNO T-FASTENER | 396 |
1211921 | SUCTION PROBE | 228 |
1212123 | CONSCIOUS SEDATION<5YRO | 396 |
1212124 | CONSCIOUS SEDATION>5YRO | 433 |
1212125 | CONSCIOUS SEDATION ADD ON 15 MIN | 131 |
1213030 | LIFEPACK | 186 |
1213035 | CARDIAC/BP/O2 SAT MONITOR | 292 |
1213039 | INTERJECT NEEDLE | 253 |
1213050 | LMA MASK #3 | 117 |
1216025 | SAFETY PINS | 9 |
1216030 | T&A PACK MEDLINE#DYNJS0701 | 148 |
1216036 | TRIAL CABLE AND EXTENTION | 978 |
1216037 | TRIAL KIT | 322 |
1216038 | PACK, LAP #4 MID 88241 | 189 |
1216039 | TRIAL LEAD KIT (50CM 8) | 2646 |
1216041 | IMPLANTABLE NEUROSTIMULATOR ELECTRODE, | 1115 |
1216042 | PACK, #1 (LITH) | 145 |
1216043 | 5CM RF ELECTRODE PROBE | 234 |
1216044 | TCD-10 ELECTRODE 10CM | 234 |
1216045 | 20CM RF ELECTRODE PROBE | 234 |
1216046 | TCD-15-P 15CM 28GA ELECTRODE | 234 |
1216047 | PACK, #2 TRANS | 145 |
1216838 | K-PAD | 41 |
1217062 | CHLORAPREP 3ML APP ORANGE TINT | 7 |
1217063 | CLORA PREP 3ML 260400 | 9 |
1217064 | PREP SET (SKIN) | 51 |
1217066 | CHLORA PREP (26ML) LARGE | 35 |
1217067 | CHLORA PREP (10.5ML) SMALL 260715 | 21 |
1217068 | BETADINE SURGICAL SCRUB-MEDICHOICE | 7 |
1218001 | RECOVERY 1ST HOUR | 1093 |
1218003 | RECOVERY ADDITIONAL PER 1/2 HR | 383 |
1219007 | SEQUENTIAL STOCKING PUMP/DAY | 131 |
1219014 | CLOTEST | 96 |
1219016 | C D CATH SET | 189 |
1219017 | SEQUENTIAL COMP. DEVICE | 219 |
1219018 | C D DRNG CATH | 181 |
1219101 | INPATIENT SURGERY 1ST HOUR | 2891 |
1219102 | SURGERY-OUTPATIENT | 1835 |
1219103 | INPATIENT SURGERY ADDITIONAL 1/2 HR | 1301 |
1219104 | TROCAR-5MM | 248 |
1219106 | TROCAR-SURGISPIKE 5MM | 248 |
1219109 | ROTICULATOR 170 | 1238 |
1219110 | ROTICULATOR 200 | 1320 |
1219111 | SURGIWAND | 228 |
1219112 | ENDOSHEARS | 610 |
1219114 | TROCAR XLONG 150MM (EACH) | 383 |
1219122 | V-PATCH LARGE | 1067 |
1219123 | V-PATCH MEDIUM | 901 |
1219124 | V-PATCH SMALL | 718 |
1219125 | TAC SHEILD MESH | 1078 |
1219199 | SURGERY MINOR (1ST 1/2 HOUR) | 1376 |
1219200 | SURGERY MINOR (ADDITIONAL 1/2 HR) | 1005 |
1219291 | SKIN STAPLER PMW35 | 33 |
1219441 | RADIO ABLATION CATHETER | 81 |
1219483 | LAP SPONGE | 21 |
1219485 | LIGATOR (6-SHOOTER) | 652 |
1219486 | SMALL POLYPECTOMY SNARE | 233 |
1219487 | RADIO ABLATION DISP ELECTRODE | 350 |
1219809 | SURGICEL | 348 |
1220146 | T TUBE | 210 |
1220710 | CROSS INFLOW CAS TUBIN | 95 |
1220720 | DONALDSON | 86 |
1220721 | ARMSTRONG | 137 |
1220722 | MYRING TUBES | 223 |
1220723 | SUCTION TUBING | 44 |
1220725 | MICROAIRE SAW BLADE#SP111 | 101 |
1220726 | ARM WITH TAB | 123 |
1220727 | ARMSTRONG- FLUERO PACIFIC | 141 |
1220728 | ARMSTRONG – ULTRASIL | 130 |
1220729 | DONALDSON- ULTRASIL | 97 |
1220730 | MODIFIED T TUBES – ULTRASIL | 190 |
1220847 | TOM CAT SHAVER BLADE F-SERIES 4.0 | 110 |
1220848 | KNEE INSTRUMENTATION SYSTEM | 630 |
1220856 | TROCAR 12MM | 378 |
1221036 | URETHRETOME | 51 |
1224440 | X-RAY SPONGE | 32 |
1224442 | TONSIL SPONGE | 16 |
1224484 | PNUEMATIC TOURNIQUET | 141 |
1231202 | CYTOLOGY BRUSH | 338 |
1239090 | NEVYUS DRAPE | 50 |
1251110 | SUCTION COAGULATOR 10FR | 44 |
1251111 | ESMARK | 78 |
1251113 | GOLDVAC | 183 |
1251114 | EVAC HANDPIECE | 172 |
1251120 | BOVIE PENCIL CONMED #131307A | 109 |
1256950 | SURGICAL NERVE LOCATOR | 130 |
1256990 | ENDO RETRACT II | 414 |
1262311 | INJECTION/EPIDURAL/LUMBAR | 1414 |
1269014 | O/P POST OPER/HRLY | 329 |
1269035 | MARKING PEN | 16 |
1269036 | MEDICATION LABEL | 18 |
1269037 | MARKER W/ LABELS SANDEL #3310-P | 15 |
1269040 | MICROSCOPE | 887 |
1269045 | PERIBULBAR | 37 |
1269046 | MESH 3X6, BARD #0112680 | 131 |
1269047 | PERCUTANIOUS PRECUT T TUBE | 165 |
1269048 | DILATOR SYRINGE | 161 |
1269065 | WECK CELLS | 16 |
1269075 | PAPER TAPE | 13 |
1269090 | NEVYUS | 18 |
1269095 | STERI DRAPE | 120 |
1269100 | EYE PAD | 11 |
1269109 | MIOCHOL | 121 |
1269110 | GLOVES | 15 |
1269111 | INJECT G-PROBE | 755 |
1269112 | GOLD PROBE | 548 |
1269113 | EXTREMITY SHEET/ UPPER #89271 | 96 |
1269114 | SCROTAL SUPPORT | 33 |
1269115 | SILK | 21 |
1269120 | PROLENE | 58 |
1269123 | VASCULAR ACCESS PORT | 1614 |
1269125 | VICRYL | 85 |
1269126 | VERSAPORT/12MM TROCAR B12LP | 361 |
1269128 | VERSAPORT 5MM B5LT | 318 |
1269129 | XL TROCAR | 504 |
1269146 | T-EASY PLUG 4 SURGIMESH | 822 |
1269152 | AMVISC PLUS | 142 |
1281814 | BULKAMID SCOPE/STERILIZATION TRAY | 2520 |
1289004 | BULKAMID KIT DISPOSABLE | 1260 |
1299000 | TIGER TAIL URETERAL CATHETER | 41 |
1299001 | SOLO PLUS GUIDEWIRE | 132 |
1299004 | URETERAL STENT 6FRX26CM | 331 |
1299102 | GUIDEWIRE/JAG | 522 |
1299103 | GLIDEWIRE | 859 |
1299109 | BASKETS | 759 |
1299110 | ROTH RETRIVAL NET | 273 |
1299113 | CANNULA NASAL ADULT | 211 |
1299114 | CO2 MONITORING CANNULA | 79 |
1299123 | ERCP CYTOLOGY BRUSH | 239 |
1299148 | CUROS STRIP | 8 |
1636430 | BLOOD ADMINISTRATION | 215 |
1636569 | INSERT OF PICCLINE PORT OR PUMP >5YRS OL | 969 |
1686580 | TB SKIN TEST | 53 |
1696372 | ONLY NON-CHEMO SQ OR IM INJECTION | 96 |
1696375 | NON CHEMO IVP/DRIP <15MIN | 123 |
1696401 | NON-HORMONE(ANTI-NEO SQ/IM) | 301 |
1696402 | HORMONE ANTI-NEO SQ/IM (1/VS) | 192 |
1696409 | INITIAL CHEMO – IVP(1ST DRUG) | 610 |
1696411 | CHEMO IVP/DRIP(15MIN OR LESS) ADDL DRUG | 365 |
1696413 | CHEMO ADMIN UP TO 1 HR | 826 |
1696415 | CHEMO ADMIN EACH ADDIITIONAL HR | 202 |
1696417 | INFUSION OF DIFF CHEMO DRUG 1ST HR | 392 |
1696542 | CHEMO INJ/OMMAYA RESERVOIR | 870 |
1800341 | ENDTIDAL CO2 SETUP | 44 |
1800342 | ENDTIDAL CO2 INTUBATION SETUP | 63 |
1800344 | ETCO2 CANNULA (SURGERY) | 43 |
1810060 | I & D SIMPLE | 348 |
1810061 | I&D COMPLICATED | 630 |
1810070 | INCISION AND DRAINAGE HEMOTOMA | 348 |
1810120 | FRGN BODY RMVL-SQ TISSUE,SIMPL | 348 |
1810121 | FRGN BODY RMVL-SQ TISSUE,COMPL | 868 |
1810122 | FRGN BODY DRAINAGE, SQ TISSUES | 348 |
1810160 | PUNCTURE DRAINAGE OF LESION | 335 |
1811042 | CLEANSING & DEBRIDEMENT OF TISSUE | 496 |
1811247 | I & D OF HEMATOMA | 372 |
1811423 | REMOVAL OF SKIN LESION | 782 |
1811700 | DEBRIDEMENT OF NAILS | 98 |
1811730 | AVULSION OF NAIL COMPLETE SINGLE | 298 |
1811740 | NAIL-BLOOD DRAINAGE | 161 |
1811750 | REMOVAL OF NAIL(S) | 738 |
1811765 | EXCIS. OF NAIL FOLD | 342 |
1812001 | REPAIR-WOUNDS SIMPLE 0 TO 2.5C | 438 |
1812002 | REPAIR WOUNDS-SIMPLE,2.6-7.5CM | 481 |
1812004 | REPAIR WOUNDS-SIMPLE 7.6-12.5C | 576 |
1812005 | REPAIR SUPERFICIAL WOUNDS | 824 |
1812011 | REPAIR WOUNDS-2.5CM,FACE,EARS | 489 |
1812013 | REPAIR WOUNDS-2.6CM TO 5.0CM | 584 |
1812014 | REPAIR WOUNDS-5.1CM TO 7.5CM | 714 |
1812015 | SIMPLE REPAIR 7.6CM TO 12.5CM | 868 |
1812031 | LAYER CLOSURE UP TO 2.5CM | 565 |
1812032 | LAYER CLOSURE FR 2.6CM TO 7.5C | 731 |
1812034 | 7.6CM-12.5CM REPAIR INTERMEDIA | 938 |
1812035 | CLOSURE LAYER, 12.6-20.0CM | 1172 |
1812041 | CLOSE-NECK,HAND FEET TO 2.5CM | 659 |
1812042 | CLOSE-NECK,HAND 2.6 TO 7.5CM | 774 |
1812044 | 7.6CM-12.5CM REPAIR HAND, FOOT, NECK, EX | 1048 |
1812045 | LAYER CLOSURE-12.6CM TO 20.0CM | 1233 |
1812051 | LAYER CLOSURE-FACE 0 TO 2.5CM | 714 |
1812052 | CLOSE FACE,EARS 2.66 TO 5.0CM | 902 |
1812053 | LAYER CLOSURE OF 5.1CM TO 7.5CM | 1042 |
1812054 | CLOSE FACE,EARS-ETC.7.6-12.5CM | 1048 |
1813120 | REPAIR COMPLEX-SCALP,ARM,LEG 1.1CM-2.5CM | 954 |
1813121 | WOUND REPAIR | 1387 |
1813131 | COMPLEX REPAIR,FACE,NECK,GENITALIA,HANDS | 1122 |
1813300 | REPAIR UNUSUAL COMPLICATED/OVER 7.5CM | 1046 |
1816000 | INITIAL LOCAL TREATMENT-BURN | 247 |
1816020 | DRESS-DEBRID W/O ANESTH,SMALL | 301 |
1816022 | DEBRIDEMENT SKIN & SUBCUTANEOUS TISSUE | 289 |
1816025 | TREATMENT W/O ANEST-FACE | 522 |
1816030 | DRESS-DEBRID W/O ANESTH,LARGE | 854 |
1817743 | PELVIC STRAPPING DEVICE | 233 |
1819002 | ER EXTENSIVE | 412 |
1819003 | ER EXTENDED OVER 2 HRS | 248 |
1819004 | ER EXTENDED OVER 4 HRS | 323 |
1819005 | ER EXTENDED OVER 5 HRS | 392 |
1819006 | ER CODE BLUE | 728 |
1819007 | OP BASIC | 166 |
1819008 | OP INTERMEDIATE | 238 |
1819009 | OP EXTENSIVE | 324 |
1819010 | ER INTERMEDIATE | 302 |
1819011 | ER TREATMENT | 207 |
1819012 | NASAL HEMORRHAGE CONTROL | 473 |
1819013 | OP BASIC (ALLERGY) | 41 |
1819014 | EXCIS.OF NAIL % MATRIX | 767 |
1820520 | REMOVAL OF OBJECT IN MUSCLE | 738 |
1820552 | INJ TO TRIGGER POINT, MUSCLES | 335 |
1820605 | ARTHROCENTESIS ASPERATION/INJ. | 287 |
1820610 | ARTHROCENTESIS LG ASPIR/INJ | 378 |
1820723 | SUCTION TUBING | 44 |
1821310 | TX OF NASAL FX W/O MANIPULATIO | 576 |
1821480 | RESET DISLOCATED JAW | 694 |
1821800 | TREAT RIB FX CLOSED UNCOMP-EA. | 541 |
1823500 | TREAT CLAVIC FX W/O MANIPULATI | 1076 |
1823650 | CLOSE SHLDR,W/MANUP-WO/ANESTH | 1328 |
1823655 | DISLOCATION/MANIPULATIO/ANESTHESIA | 2035 |
1823931 | I AND D UPPER ARM/ELBOW/BURSA | 1560 |
1824483 | DOPPLER-FHT,BP,PULSE CHECK | 87 |
1824484 | BLADDER SCANNER | 76 |
1824600 | CLOSED ELBOW DISLOCATION REDUCTION | 1905 |
1824640 | CLOSED REDUCTIONOF ELBOW DISLOCATION | 204 |
1824655 | REDUCTION OF FRACTURE W/ MANIPULATION | 806 |
1825248 | REMOVE FRGN BODY-FOREARM | 2336 |
1825260 | TENDON AND MUSCLE REPAIR | 3804 |
1825600 | TREAT DISTAL RD FX EPIO W/O MA | 1401 |
1825605 | DISLOCATION REPAIR | 2766 |
1826010 | INCISION AND DRAINAGE ABCESS/FINGER | 515 |
1826350 | REPAIR/RECONSTRUCTION TENDON (FLEXOR) | 4149 |
1826410 | REPAIR TENDON | 3113 |
1826418 | REPAIR TENDON, FINGER | 3113 |
1826700 | JOINT DISLOCATION S/P REDUCT OF FINGER | 1042 |
1826720 | TREAT PIALANQEAL FX W/O MAN-EA | 833 |
1826725 | TREAT PIALANQEAL FX WITH MANIP | 1515 |
1826770 | FINGER DISLOCATION REDUCTION | 1130 |
1827096 | SACROILIAC JOINT INJ. | 1042 |
1827310 | FOREIGN BODY REMOVAL KNEE | 4669 |
1827550 | CLOSED TREATMENT OF KNEE DISLOCATION | 1733 |
1827560 | KNEE DISLOCATION | 1299 |
1827562 | REDUCTION PATELLA | 954 |
1827825 | CLOSED TREAT OF ANKLE FX W/MANI | 468 |
1828190 | REMOVE FRGN BODY-FOOT SUBSEQUENT | 909 |
1828192 | REMOVE FRGN BODY-FOOT DEEP | 1733 |
1828515 | TREATMENT OF TOE FRACTURE | 738 |
1828630 | TOE REDUCTION | 738 |
1828660 | FOOT DISLOCATION REDUCTION | 521 |
1829075 | CAST SHRT ARM ELBOW TO FINGER | 445 |
1829125 | SPLINT SHRT FOREARM TO HAND | 253 |
1829130 | SPLINT FINGER ONLY | 193 |
1829240 | SHOULDER STRAPPING | 219 |
1829260 | ELBOW OR WRIST STRAPPING | 193 |
1829405 | SHRT LEG CAST TOES TO KNEE | 515 |
1829515 | SHRT SPLINT – CALF TO FOOT | 348 |
1829530 | KNEE STRAPPING | 211 |
1829540 | ANKLE STRAPPING | 149 |
1830300 | REMOVAL FB NOSE | 652 |
1830901 | NASAL PACKING/CAUTERY | 473 |
1830903 | CONTROL OF NOSE BLEED | 671 |
1831500 | ENDOTRA INTUB EMERG PROCEDURE | 833 |
1832000 | THORACENTESIS | 989 |
1832001 | PERICARDIALCENTESIS | 942 |
1832002 | TREATMENT OF COLLAPSED LUNG | 485 |
1832003 | THORNANCENTESIS W/TUBE INSERT | 458 |
1832020 | CHEST TUBE C THORA | 989 |
1832551 | CHEST TUBE INSERTION | 1474 |
1835226 | REPAIR BLOOD VESSEL | 2600 |
1835860 | BLOOD VESSEL – SUTURE | 2943 |
1836000 | INTRO OF NEEDLE OR CATH, VAIN | 193 |
1836415 | ROUTINE VENIPUNCTURE, SPECIMEN | 48 |
1836489 | CENTRAL VENOUS CATH-PERCUTANEOUS >2YRS | 1172 |
1836556 | INSERTION CENTRAL VENOUS CATHETER | 1023 |
1836589 | REMOVAL OF PICC LINE | 1066 |
1836600 | ARTERIAL PUNCTURE FOR DIAGNOSI | 168 |
1836680 | INSERTION OF OSSEOUS NEEDLE | 584 |
1841250 | TONGUE LACERATION/REPAIR | 782 |
1843760 | GASTROSTOMY TUBE CHANGE | 738 |
1845300 | PROCTOSIGMOIDOSCOPY | 348 |
1846050 | INCISION OF ANAL ABSCESS | 738 |
1846083 | INCISION OF THROMBOSED HEMORRHOID,EXTERN | 671 |
1846600 | ANOSCOPY/DIAGNOSTIC | 305 |
1851010 | INSERTION OF SUPRAPUBIC CATHETER | 473 |
1851701 | CATHETER, INSERTION OF NON-INDWELLING | 348 |
1851702 | FOLEY CATHETER | 473 |
1853670 | URETHERAL CATHETER, SIMPLE | 473 |
1854220 | PRIAPISM (PENILE ENGORGEMENT) | 1099 |
1854450 | MANIPULATION OF FORESKIN (PHINOSIS) | 428 |
1856405 | INCISION & DRAINAGE ABCESS VULVA/PERINEA | 652 |
1856420 | INCISION OF BARTHOLINS GLAND | 714 |
1859409 | DELIVERY, VAGINAL | 4004 |
1862270 | SPINAL FLUID TAP | 652 |
1862272 | SPINAL PUNCTURE, LUMBAR | 904 |
1865205 | REMOVE FRGN BODY-EYE,CONJ SUPE | 342 |
1865206 | FLORESCEIN ANGIOGRAPHY | 540 |
1865220 | FOREIGN BODY REMOVAL OF CORNEA | 402 |
1869009 | FETAL CK&RM SVS EXT | 345 |
1869011 | FOREIGN BODY RMVL-SUBCUTANEOUS | 909 |
1869200 | FOREIGN BODY REMOVAL- EXTERNAL | 419 |
1869210 | CERUMEN | 204 |
1882270 | OCCULT BLOOD | 57 |
1882948 | GLUCOSE (GLUCOMETER) TEST | 50 |
1886665 | SPINE (BACK) BOARD | 50 |
1887060 | CULTURE BACT,THROAT – NOSE | 171 |
1891105 | GASTRIC INTUB & ASPIR-POISIONS | 348 |
1892950 | CPR – PHYSICIAN ADMINISTERED | 1335 |
1892960 | CARDIOVERSION, ELECTIVE ARRHY | 1000 |
1892977 | THROMBOLYSIS BY IV INFUSION | 1766 |
1896372 | STEROID INJECTION NOT IN JOINT | 62 |
1899203 | ER EXTENDED OVER 3 HRS | 285 |
1899281 | ER PHYSICIAN/LEVEL 1 | 193 |
1899282 | ER PHYSICIAN/LEVEL 2 | 289 |
1899283 | ER PHYSICIAN/LEVEL 3 | 461 |
1899284 | ER PHYSICIAN/LEVEL 4 | 671 |
1899285 | ER PHYSICIAN/LEVEL 5 | 1042 |
1899291 | CRITICAL CARE, INIT.1ST HR. | 1067 |
1899292 | CRITICAL CARE, EA. AD1/2 HR. | 565 |
2012725 | PANCURINIOM INJ | 110 |
2014004 | N2-202 | 100 |
2016003 | PENTOTHAL INJ | 97 |
2016075 | FENTANYL INJ 0.05MG/ML | 33 |
2017172 | TUBOCURARINE INJ | 53 |
2018002 | PYRIDOSTIGMINE INJ | 86 |
2020001 | ATRACURIUM INJ | 57 |
2024460 | ANESTHESIA 1ST 15 MIN | 127 |
2024461 | ANESTHESIA (PER ADDITIONAL 15 MIN) | 127 |
2024466 | ANAESTHESIA VENTILATOR | 68 |
2024470 | EKG (OR) | 121 |
2024472 | O2 ANALIZER | 37 |
2024474 | SA02 OXIMETER | 49 |
2024476 | ETCO 2 | 96 |
2024478 | TEMP MONITOR | 16 |
2024479 | ANZEMET 12.5 MG DOLASETRON | 163 |
2024480 | ESOPHAGES PROBS | 37 |
2024481 | TEMPERATURE PROBE | 109 |
2024483 | NON-INVASIVE BP CUFF | 49 |
2024485 | PNS | 21 |
2024486 | WARMING BLANKET | 44 |
2024489 | H M E FILTER | 34 |
2058000 | AMINOPHYLLINE 250MG | 50 |
2058002 | ATROPINE INJE .03MG | 44 |
2058003 | PROPOFOL 200MG 20ML VIAL | 132 |
2058004 | PHYTONADIONE INJ | 50 |
2058005 | RAPLON 20MG/ML VIAL | 121 |
2058006 | METARIMINOL INJ | 72 |
2058008 | DIPHENHYDRAMINE INJ | 44 |
2058010 | CALCIUM CHLORIDE INJ | 61 |
2058012 | CALCIUM GLOCONATE INJ | 50 |
2058014 | DEXAMETHASONE INJ | 50 |
2058015 | MORPHINE INJ | 81 |
2058016 | MEPERDINE INJ | 50 |
2058018 | DOXAPRAM INJ | 253 |
2058020 | DIGOXIN INJ | 50 |
2058022 | EPHEDRINE INJ | 57 |
2058024 | PROPRANOLOL INJ | 44 |
2058026 | ARTIFICIAL TEARS OINT | 30 |
2058028 | FUROSEMIDE INJ | 57 |
2058030 | LIDOCAINE CARDIAC 2% INJ | 114 |
2058032 | MANNITOL INJ | 50 |
2058034 | Narcan 0.4mg/ml inj, naloxone | 87 |
2058036 | PHENYLEPHRINE INJ | 70 |
2058038 | NOTROPRUSSIDE INJ | 114 |
2058040 | NALBUPHINE INJ | 50 |
2058042 | OXYTOCIN INJ | 50 |
2058044 | PHYSOSTIGMINE INJ | 58 |
2058046 | NEOSTIGMINE 5MG VIAL 10ML | 296 |
2058048 | GLYCOPYROLATE 0.4MG 2ML VIAL | 121 |
2058050 | PHENTOLAMINE INJ | 348 |
2058052 | SOD. BICARBONATE INJ | 96 |
2058055 | ENLON-PLUS 1ML | 37 |
2058056 | HYDROMORPHONE INJ | 50 |
2058058 | HYPROCOTISONE INJ | 50 |
2058060 | METHYLPREDNISOLONE INJ | 44 |
2058061 | OTIPRIO 60MG OTIC SUSP 1ML VIAL | 1388 |
2058062 | SUFENTA INJ | 181 |
2058063 | MIBACURIUM INJ. | 93 |
2058064 | EDROPHONIUM INJ | 50 |
2058066 | TRIMETHABENXAMIDE INJ | 50 |
2058070 | MIDAZOLAM INJ | 68 |
2058071 | MIVACRON INJ 2MG/ML | 37 |
2058072 | METHOXAMINE INJ | 113 |
2058073 | LIDOCAINE/ GLUCOSE | 87 |
2058074 | LIDOCAINE JELLY | 85 |
2058076 | LIDOCAINE-MPF 0.5% 5mg/ml 50ml sdv | 97 |
2058078 | ALFENTA INJ | 128 |
2058079 | BICITRA | 15 |
2058080 | BUPIVICAINE INJ PF | 85 |
2058082 | CHLOROPROCAINE INJ PF | 128 |
2058084 | VERCURONIUM 10mg inj 10ml | 191 |
2058085 | VERSED 1GM INJ | 127 |
2058086 | CEPHAZOLIN IVBP | 118 |
2058088 | CLINDAMYCIN IVPB | 181 |
2058090 | CEFOPERAZONE IVPB 1MG | 204 |
2058092 | CEFTIZDXIME IVPB | 461 |
2058094 | IV FLUIDS & OP-SITE | 81 |
2058100 | Fospropofol disodium 1050mg/30ml Lusedra | 181 |
2059104 | EPINEPHRINE 1ML | 44 |
2059106 | LIDOCAINE 2% 10ML mdv | 44 |
2059107 | EPIDURAL | 1181 |
2059108 | LABETOCOL 1 ML | 57 |
2059110 | BUPRENORPHINE INJ 0.1MG | 50 |
2200103 | PSA SCREEN | 231 |
2200200 | BLOOD GAS ANALYSIS | 348 |
2200299 | ALPRAZOLAM | 98 |
2202491 | COENZYME Q10 | 192 |
2203516 | NEUROMYELITIS AUTOANTIBODY IGG | 716 |
2203520 | ANTIMULLERIAN | 296 |
2203735 | MAGNESIUM URINE 24 HOUR | 34 |
2203883 | ALPHA 2 MACROGLOBOLIN | 186 |
2203898 | ACCUTYPE IL28 | 331 |
2206250 | PARANEDPLASTIC AB,FLOUR(X9) | 78 |
2206251 | PARANEOPLASTIC ANTIBODY PANEL | 1500 |
2206255 | ENDOMYSIAL ANTIBODY IGA | 259 |
2212008 | CDIFF | 168 |
2212022 | LACTIC ACID | 62 |
2212132 | LDH (LABCORP) | 34 |
2212133 | LDH | 92 |
2212188 | LIPASE | 150 |
2212274 | LEAD, PEDIATRIC | 86 |
2212275 | LEAD LEVEL | 92 |
2212276 | NICKEL LEVEL | 185 |
2212277 | MO COBALT EXPOSURE PNL (LABCORP 251075) | 250 |
2212300 | LAMICTAL | 82 |
2212403 | LEPTOSPIRA ANTIBODY | 172 |
2212405 | BULLOUS PEMPHIGOID 180 & 230 | 226 |
2212503 | LDH ISOENZYMES | 128 |
2212505 | LITHIUM (LABCORP) | 70 |
2212506 | LITHIUM | 70 |
2212601 | LUTENIZING HORMONE | 130 |
2212902 | LEGIONELLA PNEUMOPHILA ANTIBODY | 81 |
2213149 | MONO SCREEN | 77 |
2213285 | METANEPHRINE FRAC PLASMA | 137 |
2213301 | MAGNESIUM | 98 |
2213902 | MYOGLOBIN URINE | 127 |
2214150 | DRUG SCREEN, CHAIN OF CUSTODY, DOT | 60 |
2214202 | NOREPINEPHRINE PLASMA | 70 |
2214203 | NORTRIPTYLINE | 143 |
2215038 | LIVER KIDNEY MICROSOMAL ANTIBODY | 144 |
2215120 | KAPPA/LAMBDA LT CHAIN URINE | 170 |
2215121 | KAPPA/LAMBDA LT CHAIN SERUM | 124 |
2215122 | LAMBDA LIGHT CHAIN | 273 |
2215922 | ARIPIPRAZOLE | 302 |
2216110 | PHOSPHORUS | 87 |
2216115 | PROTEIN TOTAL | 87 |
2216117 | PROTEIN S ANTIGEN | 190 |
2216118 | ALKALINE PHOSPHATASE | 98 |
2216123 | POTASSIUM | 87 |
2216126 | PROTIME / INR | 98 |
2216127 | COUMADIN | 203 |
2216128 | PROCAINAMIDE | 85 |
2216141 | PSEUDOCHOLINESTERASE | 114 |
2216190 | PLATELET CITRATE TUBE | 53 |
2216191 | PLATELET COUNT | 53 |
2216192 | PREGNANCY TEST URINE | 72 |
2216193 | APTT | 97 |
2216301 | PROGESTERONE | 121 |
2216500 | PTH INTACT LABCORP | 172 |
2216501 | PTH | 195 |
2216600 | PROLACTIN | 143 |
2216700 | PHENOBARBITAL | 50 |
2216802 | PSA DIAGNOSTIC | 231 |
2217100 | QUINIDINE LEVEL | 85 |
2218100 | RUBELLA IGM | 49 |
2218150 | RHEUMATOID FACTOR (LABCORP) | 61 |
2218151 | RHEUMATOID FACTOR | 61 |
2218194 | RED BLOOD CELL COUNT | 37 |
2218196 | RSV | 145 |
2218198 | RUBELLA IGG | 49 |
2218600 | ALLERGEN (SINGLE ALLGERGEN) LAB USE ONLY | 14 |
2218605 | ALLERGEN BLACK PEPPER | 17 |
2218606 | ALLERGEN LEMON | 17 |
2218607 | ALLERGEN GARLIC | 17 |
2218608 | ALLERGEN ONION | 17 |
2218609 | ALLERGEN PAPRIKA | 25 |
2218613 | ALLERGEN COFFEE | 17 |
2218615 | ALLERGEN CARMINE RED DYE | 17 |
2219000 | DRUG SCREEN, COLLECTION ONLY | 27 |
2219024 | BB ARC-ANTIBODY PANEL,EA | 205 |
2219107 | RPR | 57 |
2219122 | SODIUM | 85 |
2219127 | ALT / SGPT | 95 |
2219150 | .OCCULT BLOOD DIAGNOSTIC | 38 |
2219151 | SED RATE (ESR) | 77 |
2219152 | .OCCULT BLOOD SCREENING | 57 |
2219153 | OCCULT BLOOD #1 STOOL | 57 |
2219155 | OCCULT BLOOD #3 STOOL | 57 |
2219156 | OCCULT BLOOD #2 STOOL | 57 |
2219157 | OCCULT BLOOD GASTRIC CONTENTS | 57 |
2219160 | VITAMIN K | 567 |
2219161 | IRON | 87 |
2219164 | TIBC TOTAL IRON BINDING CAPACITY | 144 |
2219165 | VITAMIN A | 121 |
2219198 | RENIN ACTIVITY | 107 |
2219200 | RMSF IGG | 88 |
2219201 | RMSF IGM | 88 |
2219203 | .RMSF IGG, IFA CONFIRMATORY TEST | 83 |
2219214 | SALICYLATE | 110 |
2219220 | SCLERODERMA ANTIBODY (Scl-70) | 68 |
2219282 | STONE ANALYSIS | 119 |
2219921 | PM SCL ANTIBODY | 171 |
2220100 | ADH-ANTIDIURETIC HORMONE | 95 |
2220101 | TSH | 205 |
2220103 | TSH REFLEX TT4 | 205 |
2220111 | VASOPRESSIN ADH | 148 |
2220119 | AST / SGOT | 95 |
2220120 | T3 UPTAKE | 137 |
2220154 | TRIGLYCERIDES | 80 |
2220162 | T4 TOTAL | 101 |
2220165 | THEOPHYLLINE | 120 |
2220299 | LACOSAMIDE | 318 |
2220301 | TEGRETOL | 101 |
2220302 | TESTOSTERONE FREE&TOTAL MALE | 197 |
2220303 | TESTOSTERONE TOTAL | 321 |
2220304 | TRANSFERRIN | 97 |
2220305 | TESTOSTERONE LCMS | 86 |
2220401 | TOBRAMYCIN, NEBCIN | 114 |
2221112 | BUN | 91 |
2221113 | URIC ACID | 95 |
2221201 | CREATININE 24HR URINE | 87 |
2221202 | CALCIUM 24HR URINE W/CREA | 28 |
2221203 | CALCIUM 24HR URINE W/O CREA | 28 |
2221207 | CREATININE RANDOM URINE | 87 |
2221210 | POTASSIUM URINE RANDOM | 24 |
2221215 | PROTEIN, TOTAL 24 HOUR | 85 |
2221216 | TP RANDOM URINE | 87 |
2221218 | PORPHYRINS URINE RANDOM | 145 |
2221301 | OXALATE, 24 HR URINE | 113 |
2221302 | OXALATE, PLASMA | 279 |
2221400 | URIC ACID 24 HR URINE | 81 |
2221401 | URIC ACID FLUID | 28 |
2221600 | CYSTINE URINE | 118 |
2222104 | URINE MICROSCOPIC EXAM | 98 |
2222105 | .URINALYSIS | 78 |
2222106 | .UA COMP CHG ONLY | 77 |
2222107 | .UA DIP CHG ONLY | 62 |
2222108 | AMINO ACID PROFILE, PLASMA | 333 |
2222109 | AMINO ACID PROFILE, URINE | 333 |
2222110 | EOSINOPHIL COUNT URINE | 68 |
2222206 | VMA RANDOM URINE | 118 |
2222290 | VANCOMYCIN RANDOM | 95 |
2222291 | VANCOMYCIN TROUGH | 95 |
2222292 | VANCOMYCIN PEAK | 95 |
2222492 | CLOZAPINE | 42 |
2223103 | WHITE BLOOD CELL COUNT (WBC) | 32 |
2223106 | CD57 | 78 |
2223735 | MAGNESIUM URINE | 34 |
2223883 | FREE KAPPA LAMBDA | 319 |
2224145 | BB CROSSMATCH /UNIT (LAB USE ONLY) | 205 |
2224146 | ZINC WHOLE BLOOD | 95 |
2224147 | ZINC SERUM OR PLASMA | 95 |
2224600 | METHANOL URINE | 234 |
2226403 | STREPTOZYME SCREEN | 85 |
2226999 | ACETAMINOPHEN | 130 |
2227015 | .THYROGLOBULIN AB *DO NOT USE | 117 |
2227026 | CELL COUNT FLUID | 96 |
2227031 | CREATINE URINE | 87 |
2227034 | DHEA DEHYDROEPIANDROS | 88 |
2227035 | CARBON MONOXIDE | 87 |
2227039 | DIGITOXIN | 50 |
2227044 | ESTRIOL SERUM | 143 |
2227051 | T4 FREE (FT4) | 210 |
2227053 | FTA-ABS (TREPONEMAL) | 87 |
2227057 | HCG TOTAL QUANTITATIVE | 148 |
2227058 | HGB A1C (LABCORP) | 76 |
2227059 | HGB A1C | 112 |
2227060 | ISLET CELL AB | 82 |
2227083 | OSMOLALITY, SERUM | 51 |
2227084 | OSMOLALITY, FECAL | 48 |
2227103 | SPERM CHECK SLIDE ONLY | 100 |
2227115 | VITAMIN B6 | 95 |
2227777 | BMP BASIC METABOLIC PROFILE | 233 |
2229841 | .AB PANEL COMPONENT | 27 |
2233520 | HYALURONIC ACID | 323 |
2233891 | HLA-B51 | 383 |
2236600 | ARTERIAL PUNCTURE | 46 |
2242570 | COC ALCOHOL COBALT MINES | 12 |
2251490 | BP180 | 281 |
2254150 | PLASMINOGEN ACTIVATOR INHIBITOR | 290 |
2259100 | A PHAGOCYTOPHILUM PCR | 300 |
2259112 | LYME DISEASE AB | 65 |
2259113 | ADENOVIRUS AB | 86 |
2259115 | LYME WESTERN BLOT | 72 |
2259116 | LYME WESTERN BLOT IGG | 75 |
2259119 | .COLORADO TICK FEVER IGG | 148 |
2259120 | .COLORADO TICK FEVER IGM | 148 |
2280029 | FLECANIDE | 127 |
2280061 | LIPOPROTEIN A | 121 |
2280069 | RENAL PANEL | 237 |
2280100 | DRUG SCREEN, RAPID | 273 |
2280111 | DRUG SCREEN 7 W/ALC | 35 |
2280145 | .ADALIMUMAB DRUG LEVEL | 250 |
2280150 | AMIKACIN, PEAK | 78 |
2280151 | AMIKACIN, TROUGH | 78 |
2280152 | AMITRIPTYLINE | 110 |
2280154 | CLONAZEPAM | 107 |
2280155 | BENZODIAZEPINES CONFIRMATION | 172 |
2280166 | DOXEPIN | 123 |
2280173 | HALOPERIDOL (HALDOL) | 113 |
2280186 | PHENYTOIN FREE | 101 |
2280188 | PRIMIDONE | 41 |
2280197 | TACROLIMUS | 261 |
2280200 | NORPACE | 61 |
2280201 | TOPIRAMATE | 194 |
2280230 | VORICONAZOLE | 744 |
2280290 | RAPAMUNE (SIROLIMUS) | 317 |
2280291 | GABAPENTIN | 128 |
2280294 | LEVETIRACETAM | 194 |
2280296 | OXYCARBAZEPINE (TRILEPTOL) | 197 |
2280297 | ZONISAMIDE | 210 |
2280298 | RISPERIDONE | 328 |
2280299 | RITALIN | 100 |
2280300 | CITALOPRAM | 407 |
2280301 | ESCITALOPRAM | 407 |
2280302 | TRICYCLIC ANTIDEPRESSANT UR | 205 |
2280303 | DRUG SCREEN 7 W/ALC BLOOD | 344 |
2280304 | DRUG SCREEN 11 (BLOOD) W/ALC | 440 |
2280305 | DRUG SCREEN 7 LAB CORP 725788 | 39 |
2280307 | DRUG SCREEN SERUM (LABCORP 700841) | 224 |
2280308 | OPIATES CONFIRMATION | 138 |
2280310 | AMPHETAMINES SERUM | 246 |
2280323 | NICOTINE SERUM | 193 |
2280342 | THORAZINE | 64 |
2280348 | BUPRENORPHINE SCREEN | 189 |
2280375 | THIOPURINE METABOLITES | 673 |
2280377 | SULFONYLUREA SCR | 335 |
2280400 | ACETYLMORPHINE CONFIRMATION | 110 |
2280422 | PLATELET FUNCTION ASSAY | 260 |
2280885 | CULTURE H PYLORI | 48 |
2281003 | SPECIFIC GRAVITY FLUID | 77 |
2281123 | IDH1, 2 | 567 |
2281206 | .BCR-ABL1 P210 | 402 |
2281207 | .BCR-ABL1 P190 | 402 |
2281220 | CYSTIC FIBROSIS DNA | 258 |
2281240 | FACTOR II, DNA ANALYSIS | 341 |
2281241 | PROTHROMBIN FRAGMENT 1+2 | 303 |
2281243 | FRAGILE X WITH CHROM HIGH RES | 567 |
2281256 | HEREDITARY HEMOCHROMOTOSIS DNA | 333 |
2281270 | JAK2 MUTATION | 657 |
2281291 | MTHFR DNA MUTATION ANALYSIS | 453 |
2281327 | EPI PROCOLON | 326 |
2281331 | ANGELMAN PRADER SYNDROME DNA | 450 |
2281333 | RNP ANTIBODY | 95 |
2281334 | RNA POLYMERASE III | 167 |
2281374 | HLA-B27 DNA TYPING | 305 |
2281377 | CELIAC HLA DQ ASSOC | 564 |
2281381 | HLA-A29 | 450 |
2281382 | HLA B 57.01 | 217 |
2281403 | JAK2 EXON 12 MUTATION | 670 |
2281404 | TPMT GENOTYPE | 546 |
2281408 | MARFAN SYNDROME GENE SEQ | 3093 |
2281479 | IL28B | 348 |
2282010 | BETA HYDROXYBUTYRATE | 103 |
2282017 | ACYLCARNITINE | 191 |
2282024 | ACTH | 153 |
2282030 | CYCLIC AMP | 303 |
2282042 | ALBUMIN PERITONEAL FLUID | 63 |
2282043 | .MICROALBUMIN URINE RANDOM | 117 |
2282088 | ALDOSTERONE | 96 |
2282103 | ALPHA 1 ANTITRYPSIN | 100 |
2282104 | ALPHA 1 ANTIPRYP PHENOTYPE | 25 |
2282105 | AFP, TUMOR MARKER | 58 |
2282107 | AFP/AFP-L3 | 202 |
2282108 | ALUMINUM | 104 |
2282110 | CYSTIC FIBROSIS PROFILE | 299 |
2282130 | HOMOCYSTINE NON CARDIAC | 163 |
2282131 | METHYLMALONIC ACID | 190 |
2282132 | PHENYLALANINE | 245 |
2282133 | HOMOCYSTINE CARDIAC | 163 |
2282135 | ALA DELTA RANDOM URINE | 156 |
2282145 | AMPHETAMINES CONFIRMATION | 175 |
2282175 | ARSENIC | 117 |
2282180 | VITAMIN C | 121 |
2282190 | FECAL K | 137 |
2282205 | BARBITUATES CONFIRMATION | 207 |
2282206 | PROPOXYPHENE | 183 |
2282207 | THC CONFIRMATION URINE | 183 |
2282232 | BETA 2 MICROGLOBULIN | 78 |
2282239 | BILE ACIDS, FRACTIONATED | 381 |
2282306 | VIT D | 194 |
2282308 | CALCITONIN | 44 |
2282374 | BICARBONATE | 268 |
2282379 | CARNITINE FREE AND TOTAL | 104 |
2282390 | CERULOPLASMIN | 68 |
2282397 | .ADALIMUMAB ANTIBODY | 250 |
2282400 | ITRACONAZOLE | 296 |
2282436 | CHLORIDE STOOL | 77 |
2282438 | CHLORIDE URINE RANDOM | 39 |
2282490 | FLUOXETINE | 97 |
2282491 | TRAZODONE | 193 |
2282492 | EPINEPHRINE | 75 |
2282495 | CHROMIUM | 305 |
2282521 | N-TELOPEPTIDE SERUM | 313 |
2282522 | COCAINE | 144 |
2282524 | PROPEPTIDE TYPE 1 COLLAGEN | 441 |
2282525 | COPPER URINE | 50 |
2282530 | CORTISOL FREE UR | 121 |
2282531 | CORTISOL SALIVA | 108 |
2282533 | CORTISOL SALIVARY | 95 |
2282536 | CORTISOL AM | 27 |
2282542 | PURINES AND PYRIMIDINE PANEL | 366 |
2282552 | CK ISOENZYMES | 82 |
2282565 | CREATININE eGFR | 23 |
2282615 | HOMOCYSTINE URINE | 405 |
2282627 | DHEA SULFATE | 137 |
2282646 | HYDROCODONE | 307 |
2282651 | DIHYDROTESTOSTERONE | 141 |
2282652 | VITAMIN D-1,25OH | 147 |
2282656 | PANCREATIC ELASTASE | 783 |
2282657 | ALPHA-Galactosidase A Deficiency | 588 |
2282668 | ERYTHROPOIETIN | 141 |
2282670 | ESTRADIOL | 114 |
2282671 | ESTRADIOL SENSITIVE | 91 |
2282679 | ESTRONE | 141 |
2282693 | ETHYLENE GLYCOL URINE | 245 |
2282726 | FATTY ACID PROFILE | 449 |
2282746 | FOLIC ACID | 251 |
2282747 | RBC FOLATE | 123 |
2282748 | FOLIC ACID (LAB CORP) | 251 |
2282757 | FRUCTOSE, SEMEN | 87 |
2282787 | .IGG SUBCLASS 4 | 57 |
2282788 | .IGG SUBCLASS 3 | 57 |
2282789 | .IGG SUBCLASS 2 | 57 |
2282790 | .IGG SUBCLASS 1 | 57 |
2282943 | GLUCAGON | 120 |
2282945 | GLUCOSE BODY FLUID | 18 |
2282955 | G6PD QUANT | 63 |
2282956 | ALPHA GAL IGE (LABCORP 807003) | 229 |
2282985 | FRUCTOSAMINE | 48 |
2283001 | THROMBIN-ANTITHROMBIN COMPLEX | 337 |
2283002 | FACTOR II ACTIVITY | 180 |
2283013 | H PYLORI BREATH TEST | 300 |
2283014 | H PYLORI BREATH PEDIATRIC | 300 |
2283015 | TUNGSTEN | 284 |
2283018 | SILVER SERUM | 290 |
2283051 | HEMOGLOBIN PLASMA | 278 |
2283069 | HEMOGLOBIN FREE URINE | 124 |
2283070 | HEMOSIDERIN STAIN URINE | 39 |
2283150 | HOMOVANILLIC ACID RANDOM URINE | 70 |
2283180 | COBALT | 279 |
2283181 | THALLIUM URINE | 160 |
2283400 | 21-HYDROXYLASE AUTOANTIBODIES | 168 |
2283491 | 17-HYDROXYCORTICO/STEROIDS | 110 |
2283497 | 5-HIAA PLASMA | 66 |
2283498 | 5-HIAA 24HR UR | 66 |
2283500 | CCP ANTI | 87 |
2283501 | ZNT8 ANTIBODIES | 378 |
2283502 | GM1 IgG Autoantibodies | 246 |
2283503 | GM1 IgM Autoantibodies | 246 |
2283505 | HYDROXYPROLINE | 191 |
2283509 | PTH-RELATED PEPTDE | 120 |
2283510 | GLIADIN IgG | 88 |
2283511 | TISSUE TRANSGLUTAMINASE IGG | 183 |
2283512 | TISSUE TRANSGLUTAMINASE IGA | 183 |
2283515 | GLIADIN IGA | 88 |
2283516 | PROTEINASE-3 ANTIBODY | 120 |
2283517 | MYELOPEROXIDASE AB | 175 |
2283519 | GLUTAMIC ACID DECARBOXYLASE-65 AB | 249 |
2283520 | INHIBIN A | 284 |
2283522 | BNP(LABCORP ONLY) | 126 |
2283523 | INTERLEUKIN 6 | 478 |
2283524 | RIBOSOMAL P ANTIBODY | 461 |
2283525 | GLOMERULAR BASEMENT MEMBRANE IGA | 260 |
2283527 | INSULIN FREE | 33.64 |
2283528 | FIBOBLAST GROWTH FACTOR 23 | 404 |
2283530 | PRO BNP (LABCORP TEST) | 346 |
2283531 | NT PROBNP | 282 |
2283535 | ACH RECEPTOR BINDING ANTIBODY | 436 |
2283536 | ACHR BLOCKING ANTIBODY | 97 |
2283537 | ACHR MODULATING ANTIBODY | 345 |
2283540 | IRON L4H, URINE | 211 |
2283550 | IGF-2 | 138 |
2283586 | 17-KETOSTEROIDS | 91 |
2283599 | INHIBIN B | 284 |
2283600 | ACETECHOLINE RECEPTOR BINDING AB | 436 |
2283630 | LACTOFERRIN STOOL | 321 |
2283655 | LEAD, OTHER SOURCE | 100 |
2283721 | LDL DIRECT | 98 |
2283727 | GONADOTROPIN RELEASING HORMONE | 532 |
2283735 | RBC MAGNESIUM | 91 |
2283785 | MANGANESE BLOOD | 238 |
2283788 | CORTISONE | 392 |
2283789 | IODINE | 154 |
2283800 | FACTOR V LEIDEN | 322 |
2283825 | MERCURY BLOOD | 125 |
2283826 | MERCURY URINE | 127 |
2283835 | METANEPHRINE FRAC URINE | 101 |
2283840 | METHADONE BLOOD | 323 |
2283873 | MYELIN BASIC PROTEIN | 95 |
2283874 | MYOGLOBIN SERUM | 131 |
2283880 | NICOTINE URINE | 76 |
2283883 | COMPLEMENT C1 | 190 |
2283895 | HCV VIRAL LOAD RFX TO GEN (LC550090) | 265 |
2283915 | 5′ NUCLEOTIDASE | 278 |
2283918 | ORGANIC ACIDS URINE | 65 |
2283925 | DEMERAL (MEPERIDINE) | 181 |
2283926 | OPIATES SERUM | 234 |
2283935 | OSMOLALITY, URINE | 48 |
2283937 | OSTEOCALCIN N-MID | 149 |
2283950 | HCV RNA PCR RFX HCV GEN NS3/4 (LC550072) | 511 |
2283986 | PH FLUIDS | 30 |
2283987 | PH URINE | 30 |
2283993 | CALPROTECTIN STOOL | 410 |
2283995 | PDGFRA MUTATION ANALYSIS | 629 |
2284000 | . MYOMARKER PANEL COMPONENT | 124 |
2284001 | . MYOMARKER PANEL COMPONENT | 122 |
2284002 | . MYOMARKER PANEL COMPONENT | 124 |
2284005 | ANTI-HMGCR AB | 277 |
2284080 | ALP ISOENZYMES | 100 |
2284081 | ALP BONE SPECIFIC | 100 |
2284105 | PHOSPHORUS 24 HR URINE | 63 |
2284106 | PHOSPHORUS RANDOM URINE | 63 |
2284120 | PORPHYRINS URINE 24 HOUR FRACTIONATED | 143 |
2284126 | PORPHYRINS, FECAL | 299 |
2284134 | PREALBUMIN | 95 |
2284140 | PREGNENOLONE | 405 |
2284143 | 17-HYDROXYPREGNENOLONE | 114 |
2284154 | .PSA FREE | 127 |
2284155 | PROTEIN TOTAL CSF | 123 |
2284157 | PROTEIN FLUID | 18 |
2284165 | PROTEIN ELE RANDOM URINE | 109 |
2284166 | PROTEIN ELE 24 HOUR URINE | 58 |
2284181 | HSP-70 | 426 |
2284202 | ZINC PROTOPORPHYRIN | 61 |
2284206 | PROINSULIN | 258 |
2284210 | PYRUVIC ACID | 113 |
2284220 | PYRUVATE KINASE | 275 |
2284230 | THYROTROPIN RECEPTOR AB | 81 |
2284235 | THYROTROPIN RELEASING HORMONE | 453 |
2284238 | SOLUABLE TRANSFERRIN RECEPTOR | 379 |
2284252 | VITAMIN B2 | 210 |
2284255 | SELENIUM | 97 |
2284260 | SEROTONIN | 216 |
2284270 | SEX HORMONE BINDING GLOBULIN | 143 |
2284300 | SODIUM URINE RANDOM | 24 |
2284301 | SODIUM 24 HR URINE | 85 |
2284302 | SODIUM STOOL | 98 |
2284307 | SOMATOSTATIN | 539 |
2284308 | MELANOCYTE STIM HORMONE | 343 |
2284311 | POTASSIUM STOOL | 85 |
2284312 | POTASSIUM 24HR URINE | 12 |
2284376 | REDUCING SUBSTANCES STOOL | 44 |
2284392 | SULFATE | 113 |
2284399 | IGF-I | 121 |
2284400 | INSULIN LIKE GROWTHE FAC PROTEIN 3 | 77 |
2284425 | THIAMINE (VITAMIN B1) | 140 |
2284432 | THYROGLOBULIN | 64 |
2284439 | T4 FREE BY DIRECT DIALYSIS | 447 |
2284445 | TSI (THYROID STIMULATING IMMUNOGLOBULIN) | 189 |
2284446 | VITAMIN E | 72 |
2284480 | T3 TOTAL | 88 |
2284481 | T3 FREE | 194 |
2284482 | T3 REVERSE | 82 |
2284483 | T3 FREE (LABCORP) | 185 |
2284484 | TROPONIN | 214 |
2284485 | T3 TOTAL (LABCORP) | 88 |
2284540 | UREA 24 HR URINE | 87 |
2284585 | VMA 24HR URINE | 75 |
2284586 | VIP | 318 |
2284591 | NIACIN (VITAMIN B3) | 272 |
2284680 | QUANTIFERON GOLD | 206 |
2284681 | CPEPTIDE | 121 |
2284682 | N-TELOPEPTIDE URINE | 51 |
2284683 | C TELOPEPTIDE | 300 |
2284702 | HCG TUMOR MARKER | 37 |
2284703 | PREGNANCY TEST SERUM | 72 |
2284731 | HEPATITIS Be ANTIBODY 006635 | 36 |
2284733 | HEPATITIS Be ANTIGEN (LABCORP 006619) | 137 |
2284900 | FECAL Na | 166 |
2284990 | AMYLASE ISOENZYMES | 143 |
2284999 | ZINC PROTOPORPHYRIN | 74 |
2285000 | ANTI-MOG | 735 |
2285004 | EOSINOPHIL COUNT ABSOLUTE | 34 |
2285007 | .MANUAL DIFF CHG | 49 |
2285018 | SICKLE CELL SCREEN | 49 |
2285025 | EOSINOPHIL COUNT NASAL | 48 |
2285045 | RETICULOCYTE COUNT AUTOMATED | 53 |
2285210 | FACTOR V ACTIVITY | 327 |
2285240 | VON WILLEBRAND FACTOR ACTIVITY | 196 |
2285245 | RISTOCETIN COFACTOR | 211 |
2285246 | VON WILLEBRAND ANTIGEN | 305 |
2285247 | VON WILLEBRAND MULTIMERIC ANALYSIS | 209 |
2285250 | FACTOR IX ACTIVITY | 235 |
2285260 | FACTOR X ACTIVITY | 124 |
2285270 | FACTOR XI ACTIVITY | 281 |
2285280 | FACTOR XII ACTIVITY | 390 |
2285300 | ANTITHROM III ACTIVITY | 151 |
2285301 | ANTITHROM III ANTIGEN | 163 |
2285302 | PROTEIN C ANTIGEN | 190 |
2285303 | PROTEIN C ACTIVITY | 190 |
2285306 | PROTEIN S FUNCTIONAL | 190 |
2285308 | ACTIVATED PROTEIN C RESISTANCE | 104 |
2285319 | PROTEIN S FREE | 86 |
2285362 | FIBRIN MONOMER | 186 |
2285379 | DDIMER | 139 |
2285597 | LUPUS ANTICOAG SCREEN | 123 |
2286001 | ANCA-C | 76 |
2286002 | ANCA-P | 76 |
2286005 | ISOCYANATE MDI (K76) IGE | 50 |
2286008 | PENICILLIN V, IGE | 41 |
2286009 | PENICILLIN G, IGE | 41 |
2286022 | HEPARIN INDUCED PLATELET ANTIBODY | 621 |
2286038 | ANA SCREEN, IFA PATTERN IF POS | 41 |
2286039 | .ANA TITER | 110 |
2286040 | RICKETTSIA DNA-PCR (LABCORP) | 491 |
2286042 | BABESIA MICROTI IGM | 126 |
2286043 | H INFLUENZA B IGG | 265 |
2286111 | FRANCISELLA TULARENSIS SCREEN | 150 |
2286140 | CRP HIGH SENSITIVITY | 172 |
2286141 | CRP (LABCORP) | 144 |
2286142 | PHOSPHATIDYLETHANOLAMINE IGG | 135 |
2286143 | PHOSPHATIDYLETHANOLAMIN IGA | 135 |
2286144 | PHOSPHATIDYLETHANOLAMINE IGM | 135 |
2286145 | THIOPURINE METHYLTRANSFERASE | 435 |
2286146 | CARDIOLIPIN IgG | 88 |
2286147 | CARDIOLIPIN IgA | 88 |
2286148 | CARDIOLIPIN IgM | 88 |
2286150 | BETA 2 GLYCOPROTEIN,IgA | 14 |
2286151 | BETA 2 GLYCOPROTEIN,IgM | 14 |
2286152 | BETA 2 GLYCOPROTEIN IgG | 14 |
2286160 | C1 ESTERASE INHIBITOR | 87 |
2286170 | CRP | 95 |
2286200 | PARIETAL AB | 161 |
2286205 | MYOCARDIAL AB | 159 |
2286210 | ANTI DNSA GROUP B STREP AB | 69 |
2286220 | DNA (ds) CRITHIDIA | 258 |
2286225 | DNA (ds) ANTIBODY | 81 |
2286234 | JO-1 ANTIBODY | 144 |
2286236 | SSA ANTIBODY | 88 |
2286237 | SSB ANTIBODY | 88 |
2286253 | ANTIPARIENTAL CELL ANTIBODY | 145 |
2286255 | SMOOTH MUSCLE ANTIBODY | 143 |
2286257 | STRIATIONAL ANTIBODIES | 55 |
2286259 | ANTIADRENAL ANTIBODIES | 151 |
2286299 | ANTICHROMATIN ANTIBODIES | 26 |
2286305 | HE4 | 408 |
2286311 | RABIES TITER | 272 |
2286313 | LEGIONELLA ANTIGEN | 302 |
2286332 | C3D CIRCULATING ANTIBODIES | 299 |
2286335 | IMMUNOFIXATION RANDOM URINE | 151 |
2286336 | IMMUNOFIXATION 24 HR URINE | 70 |
2286337 | INSULIN ANTIBODIES | 130 |
2286340 | INTRINSIC FACTOR AB | 309 |
2286341 | IA2 AUTOANTIBODY | 303 |
2286343 | HISTAMINE | 253 |
2286344 | IMMUNOFIXATION SERUM | 93 |
2286352 | CHRONIC UTICARIA PROFILE | 280 |
2286355 | LYMPH SUBSET-BCELL | 123 |
2286356 | LYMPH SUBSET-ABS.CD4,CD8 | 181 |
2286357 | LYMPH SUBSET-NKCELLS | 181 |
2286358 | LYMPH SUBSET-TCELL,TOTAL | 164 |
2286360 | CD4/CD8 RATIO PROFILE | 137 |
2286362 | CD4 COUNT | 164 |
2286376 | TPO THYROID PEROXIDASE | 127 |
2286406 | GROUP B STREP ANTIGEN | 110 |
2286597 | THERMOACTINOMYCES VULGARIS AB | 85 |
2286598 | THERMOACTINOMYCES SACCHARII AB | 85 |
2286599 | PIGEON SERUM AB | 85 |
2286603 | .ASPERGILLUS FLAVUS AB | 27 |
2286604 | ASPERGILLUS GLAUCUS AB | 116 |
2286605 | ASPERGILLUS NIDULANS AB | 28 |
2286606 | AUREOBASDIIUM PULLULANS AB | 85 |
2286607 | ASPERGILLUS FUMIGATUS AB IGE | 85 |
2286611 | B QUINTANA IGG | 59 |
2286612 | B QUINTANA, IGM | 54 |
2286613 | B HENSELEA IGM | 54 |
2286614 | B HENSELEA IGG | 59 |
2286620 | STREP PNEUMONIA 23 SEROTYPES | 336 |
2286628 | CANDIDA ANTIBODY | 168 |
2286638 | Q FEVER | 124 |
2286640 | .ASPERGILLUS FUMIGATUS AB IGG | 27 |
2286645 | CMV IGM | 107 |
2286648 | DIPTHERIA ANTITOXOID AB | 135 |
2286656 | HISTONE AB | 175 |
2286664 | EPSTEIN BARR IGM | 62 |
2286665 | EPSTEIN BARR IGG | 62 |
2286668 | .F TULEREMIA AB, IGG | 148 |
2286669 | .F TULEREMIA AB, IGM | 148 |
2286671 | SACCHAROMYCES IGG | 170 |
2286672 | SACCHAROMYCES IGA | 170 |
2286684 | H INFLUENZA AB | 134 |
2286690 | BLASTOMYCES ANTIGEN | 349 |
2286691 | BLASTOMYCES ANTIBODY | 85 |
2286698 | HISTOPLASMA AB | 143 |
2286700 | TETANUS ANTIOXID | 110 |
2286709 | HEPATITIS A IGM | 137 |
2286712 | INFLUENZA A ANTIBODY | 35 |
2286713 | INFLUENZA B ANTIBODY | 35 |
2286735 | MUMPS AB IGM | 85 |
2286738 | MYCOPLASMA ANTIBODY IGG | 68 |
2286739 | MYCOPLASMA ANTIBODY IGM | 68 |
2286746 | PARVOVIRUS IGM | 163 |
2286747 | PARVOVIRUS IGG | 163 |
2286749 | PARVOVIRUS 19, PCR | 410 |
2286762 | RUBEOLA IGM | 66 |
2286763 | RUBEOLA IGG | 70 |
2286765 | RUBEOLA IGG | 49 |
2286766 | RUBEOLA IGM | 49 |
2286769 | SARS-COV-2 AB IGM (LABCORP) | 145 |
2286770 | SARS-COV-2 AB IGG (LABCORP) | 145 |
2286771 | SARS-COV-2 AB IGA (LABCORP) | 145 |
2286772 | SARS-COV-2 TOTAL ANTIBODES | 158 |
2286773 | SARS-COV-2 AB TOTAL (LABCORP 164090) | 122 |
2286777 | TOXOPLASMA ANTIBODY IGG | 100 |
2286778 | TOXOPLASMA ANTIBODY IGM | 148 |
2286780 | WEST NILE IGG IGM | 281 |
2286787 | VARICELLA ZOSTER IGG | 86 |
2286788 | VARICELLA ZOSTER IGM | 96 |
2286790 | .HANTAVIRUS IGM | 245 |
2286791 | .HANTAVIRUS IGG | 128 |
2286800 | THYRO AB AND THYROGLOBULIN IMA | 47 |
2286803 | HCV AB rfx POS to Quant PCR (LC144050) | 137 |
2286885 | COOMBS, INDIRECT | 100 |
2286901 | BLOOD TYPE RH | 113 |
2286905 | BB ARC-RBC ANTIGEN,EA | 275 |
2286920 | BB COMPATABILITY SC, IS | 205 |
2286927 | FFP THAWING | 101 |
2286970 | RED CELL PREP, EACH | 35 |
2286978 | BB ARC-DIFF/AUTO ADS | 236 |
2287000 | BACTERIAL VAGINOSIS, NAA (LABCORP 180060 | 370 |
2287081 | FRANCISELLA TULARENSIS ANTIBODY | 135 |
2287090 | MRSA SCREENING CULTURE | 46 |
2287109 | UREAPLASMA/MYCOPLASMA CULTURE | 117 |
2287179 | HEPATITIS B VIRAL LOAD | 499 |
2287209 | .H METAPNEUMOVIRUS (LC CHARGE) | 50 |
2287210 | TRICHOMONAS BY NAA | 264 |
2287220 | SCABIES EXAM | 217 |
2287252 | CMV, CULTURE | 165 |
2287260 | .ADENOVIRUS DFA (LC CHARGE) | 50 |
2287265 | B PERTUSSIS IGA | 82 |
2287266 | B PERTUSSIS IGM | 82 |
2287275 | .INFLUENZA A DFA (LC CHARGE) | 50 |
2287276 | .INFLUENZA B DFA (LC CHARGE) | 53 |
2287279 | .PARAINFLUENZA (LC CHARGE) | 50 |
2287338 | H PYLORI STOOL | 228 |
2287385 | .HISTOPLASMA ANTIGEN | 284 |
2287389 | HIV 4TH GENERATION ANTIGEN/ANTIBODY | 133 |
2287401 | .INFLUENZA B | 65 |
2287402 | .INFLUENZA A | 65 |
2287476 | LYMES DNA | 665 |
2287497 | CMV BY PCR – QUANTITATIVE | 327 |
2287502 | INFLUENZA A&B PCR | 132 |
2287503 | COVID-19 PCR ABBOTT (INHOUSE) | 95 |
2287504 | COVID-19 ANTIGEN (INHOUSE) | 35 |
2287505 | COVID-19 PCR ACCULA (INHOUSE) | 200 |
2287507 | GI PANEL STOOL | 453 |
2287517 | HEPATITIS B DNA QUANT RFX GENOTYPE | 620 |
2287520 | HCV FIBROSURE (LC550123) | 305 |
2287521 | HCV NAA QUAL(LC550713) | 230 |
2287522 | HCV QUANT PCR (LC550080) | 265 |
2287525 | HCV NAA QUAL rfx QUANT(LC550840) | 184 |
2287536 | HIV PCR / RF GENOSURE | 384 |
2287550 | HCV NS5a (LC550325) | 597 |
2287631 | PARAINFLUENZA VIRUS | 150 |
2287632 | RESP VIRAL PANEL (LC 139650) BIOFIRE | 551 |
2287633 | RESPIRATORY VIRAL PANEL | 414 |
2287634 | RSV PCR | 137 |
2287635 | COVID 19 PCR (LABCORP) | 200 |
2287637 | COVID 19 PCR (AEL) | 175 |
2287639 | HF SARS-COV-2 TOTAL ANTIBODES | 20 |
2287651 | STREP A RAPID PCR | 83 |
2287700 | VARICELLA ZOSTER REAL TIME PCR | 432 |
2287701 | BORDETELLA PERTUSSIS PCR | 221 |
2287790 | MRSA, NUCLEIC ACID AMP | 259 |
2287799 | BK VIRUS PLASMA/SERUM | 593 |
2287900 | HCV GENOTYPE (LC550475) | 488 |
2287901 | HIV GENOTYPE | 519 |
2287902 | HCV RT-PCR QUANT (LC550080) | 265 |
2287903 | HCV GENOSURE NS34AG (LC550540) | 826 |
2287904 | .HIV INF AGENT PHENOTYPE, CHG ONLY X11 | 184 |
2287905 | .HIV INF AGENT PHENO, CHG ONLY | 184 |
2287906 | HIV GENOSURE INTEGRASE | 350 |
2287907 | .HIV INF AGENT PHENO, CHG ONLY | 184 |
2287912 | .HBV QUANT PCR RFX CHARGE ONLY | 350 |
2288104 | CYTOLOGY | 263 |
2288105 | NON GYN PREP | 51 |
2288107 | CYTOLOGY URINE | 124 |
2288108 | CYTOLOGY SPUTUM | 263 |
2288160 | NON GYN SMEAR | 49 |
2288189 | LEUKEMIA/LYMPHOMA EVAL ADD1 MARKER OV16 | 27 |
2288262 | CHROM ANALYSIS | 845 |
2288300 | LEVEL 1 SURG. PATH. GROSS EXAM. | 153 |
2288301 | KI-67 | 312 |
2288302 | LEVEL 2 SURG. PATH. GROSS & MICRO. | 278 |
2288303 | HER 2 | 641 |
2288304 | LEVEL 3 SURG. PATH GROSS & MICRO. | 180 |
2288305 | LEVEL 4 SURG. PATH GROSS & MICRO. | 471 |
2288307 | LEVEL 5 SURG. PATH GROSS & MICRO | 439 |
2288309 | LEVEL 6 SURG. PATH GROSS & MICRO | 549 |
2288311 | BONE DECALCIFICATION | 53 |
2288312 | SPECIAL STAINS GPS. I & II | 372 |
2288313 | SPECIAL STAINS GP. III | 98 |
2289051 | CELL COUNT FLD W/CRYSTALS | 93 |
2289060 | CRYSTAL FLUID | 53 |
2299195 | PHLEBOTOMY THERAPUTIC | 290 |
2480058 | OUTREACH-HEPATIC PROFILE | 48 |
2480162 | OUTREACH-DIGOXINE | 44 |
2480178 | OUTREACH-LITHIUM | 17 |
2480184 | OUTREACH-PHENOBARBITAL | 44 |
2480185 | OUTREACH-DILANTIN | 50 |
2480196 | OUTREACH-SALICYLATES | 32 |
2480198 | OUTREACH-THEOPHYLLINE | 44 |
2481000 | OUTREACH-URINALYSIS | 12 |
2481025 | OUTREACH-PREG. TEST UA | 17 |
2482310 | OUTREACH-CALCIUM | 16 |
2482435 | OUTREACH-CHLORIDE | 16 |
2482465 | OUTREACH-CHOLESTEROL | 16 |
2482550 | OUTREACH-CPK TOTAL | 17 |
2482565 | OUTREACH-CREATININE | 16 |
2482575 | OUTREACH-CREAT CLEARANCE | 85 |
2482947 | OUTREACH-GLUCOSE FAST. OR 2HR | 12 |
2482977 | OUTREACH-GGTP | 16 |
2483540 | OUTREACH-IRON | 34 |
2483550 | OUTREACH-IRON-TIBC | 34 |
2483615 | OUTREACH-LDH | 16 |
2483718 | OUTREACH-LIPOPROTEIN CHOL, FIAC | 101 |
2483735 | OUTREACH-MAGNESIUM | 30 |
2484100 | OUTREACH-PHOSPHORUS | 16 |
2484132 | OUTREACH-POTASSIUM | 15 |
2484155 | OUTREACH-PROTEIN TOTAL | 16 |
2484295 | OUTREACH-SODIUM | 15 |
2484436 | OUTREACH-T4 | 17 |
2484443 | OUTREACH-TSH | 50 |
2484450 | OUTREACH-SGOT (AST) | 16 |
2484460 | OUTREACH-SGPT (ALT) | 16 |
2484478 | OUTREACH-TRIGLYCERIDES | 16 |
2484479 | OUTREACH-T3 UPTAKE | 17 |
2484520 | OUTREACH-BUN | 16 |
2484550 | OUTREACH-URIC ACID | 15 |
2484702 | OUTREACH-BETA HCG QUANT | 35 |
2485027 | OUTREACH-CBC WO DIFF | 12 |
2485044 | OUTREACH-RETIC COUNT | 16 |
2485610 | OUTREACH-PROTHROMBIN TIME | 16 |
2485651 | OUTREACH-SED RATE WINTROBE | 12 |
2485730 | OUTREACH-PARTIAL THROMBOPLASTI | 29 |
2485732 | OUTREACH-RAPID STREP SCREEN | 46 |
2486157 | OUTREACH-COLD AGGLUTININS | 34 |
2486308 | OUTREACH-MONO SPOT | 18 |
2486900 | OUTREACH-BLOOD TYPING | 17 |
2486901 | OUTREACH-RH (D) | 50 |
2601517 | IBUPROFEN (MOTRIN) 100MG/5ML SUSP | 15 |
2603954 | CIPROFLOXIN 400MG PREMIX 200ML | 82 |
2603960 | RABAVERT INJECTION FOR RABIES | 1811 |
2604181 | RISEDRONATE (ACTONEL) 35MG TAB | 197 |
2604182 | ZINC OXIDE (DESITIN) 40% OINTMENT | 37 |
2609362 | BACTERIOSTATIC SOD CHL FLUSH 10ML VIAL | 41 |
2618199 | FOSPHENYTOIN(CEREBYX)100MGPE/2MLINJ | 153 |
2618200 | CETACAINE TOPICAL ANESTHETIC SPRAY | 51 |
2618201 | CEFTRIAXONE (ROCEPHIN) 500MG VIAL | 211 |
2618968 | PRAVASTATIN 10MG TAB EMP | 17 |
2618971 | ZOSTER VACCINE LIVE 0.65ML INJ W/DILUENT | 349 |
2618976 | METOPROLOL TART 50MG TAB EMP | 97 |
2618977 | ATROPINE 1% OP DROPS 2ML | 72 |
2618988 | LEVOTHYROXINE 75MCG TAB EMP | 15 |
2618989 | HYDROMORPHONE 2MG ORAL SOL 2ML C2 | 26 |
2618996 | CARVEDILOL 12.5MG TAB EMP | 18 |
2619061 | PAROXETINE 20MG TAB EMP | 33 |
2619086 | DULOXETINE 30MG CAP EMP | 41 |
2619096 | AMITRIPTYLINE 50MG TAB EMP | 13 |
2619125 | METHOCARBAMOL 500MG TAB EMP | 15 |
2619126 | METHOTREXATE 2.5MG TAB EMP | 32 |
2619150 | TOPIRAMATE 100MG TAB EMP | 30 |
2619151 | LAMOTRIGINE 200MG TAB EMP | 30 |
2619173 | AMITRIPTYLINE 10MG TAB EMP | 15 |
2619174 | BUDES/FORMOT (SYMBICORT)80/4.5 INH | 499 |
2619194 | DAPTOMYCIN (CUBICIN) 375MG INJ FOR IVPB | 1512 |
2619204 | JUVEN 23GM PKT | 16 |
2619217 | VERAPAMIL 80MG TAB EMP | 16 |
2619228 | ALBUTEROL 2.5MG/3ML INH/NEB 0.083% EMP | 16 |
2619229 | CEFDINIR (OMNICEF) 250MG/5ML SUS 100ML | 427 |
2619230 | ROPINIROLE (REQUIP) 2MG TAB EMP | 13 |
2619231 | ALPRAZOLAM 0.5MG TAB EMP C4 | 16 |
2619232 | IRBESARTAN 300MG TAB EMP | 29 |
2619247 | SORBITOL 70% 30ML SOL | 15 |
2619248 | LEUPROLIDE ACE (ELIGARD) 45MG 6MTH INJ | 15881 |
2619249 | ENALAPRIL 10MG TAB EMP | 16 |
2619255 | BECLOMETH DIP (QVAR) 40MCG INHALER 8.7GM | 387 |
2619276 | PAROXETINE 40MG TAB EMP | 16 |
2619291 | DEXAMETHASONE 4MG INJ 30ML MDV | 57 |
2619292 | ESCITALOPRAM 10MG TAB EMP | 21 |
2619293 | ENALAPRIL 20MG TAB EMP | 16 |
2619304 | TRIAD HYDROPHILIC WOUND DRSG 6OZ | 70 |
2619330 | MICAFUNGIN 100MG IVPB | 860 |
2619343 | SIMVASTATIN 20MG TAB EMP | 30 |
2619345 | MICAFUNGIN 50MG IVPB | 438 |
2619347 | IPRATROPIUM 0.03% NAS SPRAY 30ML EMP | 114 |
2619352 | LEVOTHYROXINE 100MCG TAB EMP | 15 |
2619353 | GABAPENTIN ORAL SOL 250MG 5ML | 13 |
2619354 | OXYCODONE ORAL SOL 5MG 5ML C2 | 16 |
2619366 | HYDROXYZINE HCL 25MG TAB EMP | 17 |
2619379 | METFORMIN 850MG TAB EMP | 16 |
2619390 | LISINOPRIL/HCTZ 10/12.5MG TAB EMP | 17 |
2619392 | LOPERAMIDE 2MG/15ML OR SUSP 120ML | 24 |
2619393 | NITROGLYC SL SPRY 0.4MG/SPRY 3 SPRAYS | 46 |
2619394 | DULOXETINE DR 20MG CAP EMP | 12 |
2619399 | LISINOPRIL/HCTZ 20/25MG TAB EMP | 17 |
2619400 | GABAPENTIN 100MG CAP EMP | 15 |
2619419 | CYPROHEPTADINE 4MG TAB | 9 |
2619421 | CITALOPRAM 40MG TAB EMP | 11 |
2619422 | FERRIC SULFATE SOL BASIC PURIFIED 480ML | 181 |
2619430 | LEVOTHYROXINE 88MCG TAB EMP | 15 |
2619440 | LEVOCETIRIZINE 5MG TAB EMP | 9 |
2619442 | PANTOPRAZOLE 20MG TAB EMP | 29 |
2619443 | INFLIXIMAB (REMICADE) 100MG INJ | 4848 |
2619444 | BUPIVACAINE 0.25% INJ 2.5MG 1ML | 18 |
2619445 | DULOXETINE DR 60MG CAP EMP | 12 |
2619449 | PARICALCITOL (ZEMPLAR) 2MCG/ML INJ | 44 |
2619466 | CHLORDIAZEPOXIDE 10MG (LIBRIUM) CAP C4 | 17 |
2619473 | NEXIUM 20MG 24HR-OTC CAP 42 | 8 |
2619490 | SYNTHROID 112MCG TAB EMP | 35 |
2619505 | RIFAMPIN 300MG CAP | 16 |
2619506 | ETHAMBUTOL 400MG TAB (MYAMBUTOL) | 16 |
2619516 | PIROXICAM 20MG CAP EMP | 15 |
2619530 | ISONIAZID 300MG TAB | 16 |
2619554 | BENZYL ALCOHOL 5% LOTION (ULESFIA) 8OZ | 475 |
2619566 | PIROXICAM 10MG CAP EMP | 15 |
2619575 | BUSPIRONE 5MG TAB EMP | 18 |
2619576 | CILOSTAZOL 100MG TAB EMP | 15 |
2619596 | LISINOPRIL/HCTZ 20/12.5MG TAB EMP | 9 |
2619622 | PRAVASTATIN 40MG TAB EMP | 21 |
2619624 | VERAPAMIL 120MG TAB EMP | 9 |
2619685 | TRAZODONE 50MG TAB EMP | 9 |
2619686 | LAMOTRIGINE 100MG TAB EMP | 24 |
2619687 | HYDROXYZINE PAM 25MG CAP EMP | 9 |
2619688 | BUPROPION 150MG SR TAB EMP | 12 |
2619689 | ASPIRIN 81MG (ER USE) CHEW (4X81MG TABS) | 16 |
2619722 | DILTIAZEM DRIP 125MG/100ML NS IVPB | 496 |
2619723 | BENZOCAINE/MENTHOL LOZ (1 BOX) 16 LOZ | 16 |
2619730 | HEPARIN DRIP 25000U/250ML NS | 421 |
2619748 | LIDOCAINE 0.5% 50ML MDV (5MG/ML) | 44 |
2619749 | METHIMAZOLE 5MG TAB EMP | 11 |
2619772 | CIPROFLOXIN 400MG VIAL 40ML | 82 |
2619803 | VASOPRESSIN 20UNITS INJ 1ML | 644 |
2619804 | DESMOPRESSIN 0.2MG TAB | 12 |
2619820 | CARBAMAZEPINE 100MG TAB | 9 |
2619842 | ROPINIROLE 3MG TAB EMP | 9 |
2619845 | MAGNESIUM SULF 5GM IV/IM 10ML VIAL | 49 |
2619848 | METFORMIN 1000MG TAB EMP | 17 |
2619849 | METHOCARBAMOL 750MG TAB EMP | 15 |
2619881 | PROMETHAZINE DM COUGH SYRUP EMP | 16 |
2619906 | CYCLOBENZAPRINE 10MG TAB EMP | 17 |
2619921 | HYDROCHLOROTHIAZIDE 50MG TAB EMP | 9 |
2619922 | NEOSTIGMINE 5MG/10ML VIAL | 329 |
2619967 | CARVEDILOL 3.125MG TAB EMP | 16 |
2619979 | DOXYCYCLINE 50MG CAP EMP | 12 |
2619993 | HYDROCO/APAP 10/325MG TAB EMP C2 | 30 |
2619994 | CEFTAZIDIME (FORTAZ) 500MG IVPB | 49 |
2619995 | OTIPRIO 60MG OTIC SUSP 1ML VIAL | 1388 |
2620030 | LEVOTHYROXINE 150MCG TAB EMP | 35 |
2620043 | CEFTAROLINE FOSAMIL (TEFLARO) 600MG IVPB | 732 |
2620049 | MORPHINE 20MG/ML CONC.OR SOL 30ML NH C2 | 264 |
2620050 | NYSTATIN SUSP 60ML EMP | 56 |
2620051 | NYSTATIN SUSP EMP (480) | 9 |
2620053 | METHADONE ORAL CONC. 10MG/ML NH | 129 |
2620055 | FLUOXETINE 10MG CAP EMP | 34 |
2620097 | OXYCODONE/APAP 10/325MG TAB EMP C2 | 15 |
2620108 | ESTRADIOL 1MG TAB EMP | 9 |
2620231 | LINEZOLID (ZYVOX) 600MG IVPB 300ML | 423 |
2620232 | LINEZOLID (ZYVOX) 600MG TAB | 41 |
2620259 | WARFARIN (COUMADIN) 5MG TAB EMP | 16 |
2620261 | IBUPROFEN 800MG TAB EMP | 15 |
2620262 | PAROXETINE 30MG TAB EMP | 15 |
2620273 | ZOLPIDEM 5MG TAB EMP C4 | 33 |
2620304 | DICLOFENAC SOD 50MG TAB EMP | 9 |
2620307 | METHYLPRED (DEPO-MED) 40MG IM MDV 5ML | 63 |
2620312 | IVERMECTIN 3MG TAB | 29 |
2620315 | DARBEPOETIN ALFA 60MCG INJ 0.3ML | 3073 |
2620339 | ESCITALOPRAM 20MG TAB EMP | 21 |
2620354 | SERTRALINE 100MG TAB EMP | 11 |
2620395 | RANITIDINE SYRUP 15MG/ML EMP (75MG/5ML) | 15 |
2620396 | PEG 3350 (MIRALAX) 510GM NH USE 17.9OZ | 61 |
2620405 | VECURONIUM (NORCURON) 20MG INJ | 191 |
2620411 | 1-CLIC CLEAR-VU VIAL 40DR | 9 |
2620412 | 1-CLIC CAP RV 10-13DR 100 | 9 |
2620435 | DOBUTAMINE 250MG VIAL 20ML | 51 |
2620443 | PHENAPTHAZINE (NITRATEST) PAPER 1 ROLL | 160 |
2620468 | WARFARIN 2MG TAB EMP | 16 |
2620469 | LIDOCAINE-MPF 1% 10ML INJ STERILE (SURG) | 61 |
2620497 | LANSOPRAZOLE 30MG CAP EMP | 11 |
2620513 | INSULIN PEN NEEDLES #100 | 9 |
2620514 | TETRACAINE 0.5% OP SOL DROPPERETTE 4ML | 58 |
2620518 | ALPRAZOLAM 0.25MG TAB EMP C4 | 16 |
2620525 | HEMORRHOIDAL CREAM 28GM TUBE | 30 |
2620526 | WITCH HAZEL PREMOISTENED PADS #40 | 21 |
2620537 | HYDROXYZINE (ATARAX) HCL 10MG TAB EMP | 15 |
2620547 | LIDOCAINE VISCOUS 2% SUSP 100ML BOTTLE | 49 |
2620594 | GLIMEPIRIDE (AMARYL) 2MG TAB | 15 |
2620601 | CEFPROZIL(CEFZIL)250MG/5MLSUSP 100ML | 193 |
2620611 | BACITRACIN 50MU INJ | 68 |
2620614 | BIOTIN-KERATIN ORAL TAB/CAP | 12 |
2620680 | PREDLO/MOXI/BROM 1%/0.5%/0.09% OP SOL | 44 |
2620695 | AZTREONAM (AZACTAM) 1GM IVPB | 383 |
2620696 | FLUCONAZOLE 400MG INJ PREMIX 200ML | 121 |
2620697 | PROCHLORPERAZINE 5MG TAB | 24 |
2620698 | EPOETIN ALFA 3,000U/ML (PROCRIT) INJ | 541 |
2620701 | SOLOSITE WOUND GEL 3OZ/85GM | 54 |
2620706 | TRANEXAMIC ACID 1000MG INJ SDV 10ML | 281 |
2620732 | NEO/POLY/BAC (TRPL ABX) OINT UD PKT 0.9G | 15 |
2620733 | DICLOFENAC SOD 75MG DR TAB EMP | 9 |
2620734 | LIDOCAINE 2% 20MG/ML 30ML INJ | 63 |
2620735 | DANTROLENE 20MG INJ | 317 |
2620746 | DONEPEZIL 5MG TAB EMP | 35 |
2620747 | BUPIVACAINE / EPI 0.5% 50ML INJ | 128 |
2620769 | GABAPENTIN 400MG CAP EMP | 16 |
2620864 | LEVOTHYROXINE 100MCG INJ | 414 |
2620868 | ATROPINE 0.4MG INJ 1ML DOSE (20ML MDV) | 49 |
2620869 | PROPOFOL 10MG/ML 20ML (SURGERY) | 33 |
2620884 | SPIRONOLACTONE 25MG TAB EMP | 13 |
2620885 | PHENTERMINE 37.5MG TAB EMP C4 | 14 |
2620902 | TRIAMTER/HCTZ (DYAZIDE) 37.5/25 CAP EMP | 16 |
2620903 | CARVEDILOL 25MG TAB EMP | 18 |
2620904 | METHOTREXATE 50MG/2ML INJ SDV EMP | 132 |
2620940 | IOHEXOL (OMNIPAQUE) 240MGI/ML INJ 20ML | 355 |
2621088 | DIVALPROEX 125MG TAB EMP | 16 |
2621091 | TRAZODONE (DESYREL) 100MG TAB UD | 15 |
2621092 | NS 50ML IV FLUID | 100 |
2621141 | CLOPIDOGREL 75MG TAB EMP | 30 |
2621142 | ATORVASTATIN 80MG TAB EMP | 29 |
2621200 | ATROPINE 1% OP DROPS 5ML | 153 |
2621223 | ZIPRASIDONE (GEODON) 20MG CAP EMP | 17 |
2621232 | AMMONIUM LACTATE 12% LOTION 225GM (8OZ) | 34 |
2621260 | POTASSIUM 10MEQ BOLUS 50ML BAG | 97 |
2621265 | ALPRAZOLAM 1MG TAB EMP C4 | 16 |
2621299 | FERRIC CARBOXYMALTOSE INJ 750MG 15ML | 4083 |
2621330 | MINOCYCLINE 50MG CAP EMP | 16 |
2621331 | FILTER NEEDLE 5 MICRON | 17 |
2621334 | ZOSTER VACC RECOM, ADJ (SHINGRIX) IM | 665 |
2621356 | ROPINIROLE 4MG TAB EMP | 9 |
2621384 | GABAPENTIN 800MG TAB EMP | 16 |
2621410 | LISINOPRIL 40MG TAB EMP | 11 |
2621428 | FENTANYL 100MCG PATCH C2 | 312 |
2621429 | FENTANYL 75MCG PATCH C2 | 207 |
2621430 | PREDNISONE 10MG TAB EMP | 13 |
2621438 | ROSUVASTATIN 10MG TAB EMP | 36 |
2621453 | SODIUM CHL PF 0.9% 2ML INJ VIAL | 41 |
2621454 | STERILE WATER FOR INJECTION 50ML (SWFI) | 83 |
2621500 | MINOCYCLINE 50MG CAP | 16 |
2621501 | MELATONIN 3MG TAB | 19 |
2621503 | REPAGLINIDE (PRANDIN) 1MG TAB | 16 |
2621509 | BUPROPION 100MG SR TAB EMP | 24 |
2621553 | FILGRASTIM 480MCG INJ (NEUPOGEN) 0.8ML | 3225 |
2621554 | DILTIAZEM CD 120MG CAP EMP | 16 |
2621597 | ORTHOVISC 30MG INJ 2ML | 1845 |
2621615 | MONTELUKAST 5MG CHEW TAB EMP | 32 |
2621635 | GENTAMICIN SULF 0.1% OINT. 15GM EMP | 92 |
2621650 | LIDOCAINE 2% TOP JELLY 5ML TUBE | 46 |
2621692 | ACETAMINOPHEN 500MG TAB | 7 |
2621698 | MONOVISC 88MG INJ 4ML | 6215 |
2621702 | POTASSIUM CHLOR 10MEQ ER CAP EMP | 13 |
2621711 | PREDNISONE 1MG TAB UD | 13 |
2621715 | DESVENLAFAXINE ER 100MG TAB EMP | 51 |
2621732 | BUPIVACAINE MPF 0.25% INJ 10ML | 42 |
2621733 | AMLODIPINE 2.5MG TAB EMP | 12 |
2621734 | CARVEDILOL 3.125MG TAB EMP | 7 |
2621756 | MELOXICAM (MOBIC) 7.5MG TAB EMP | 17 |
2621784 | RABIES IMM GLOB 150IU/ML 10ML | 12588 |
2621796 | HYDROXYZINE PAM 50MG CAP EMP | 9 |
2621815 | ARIPIPRAZOLE 10MG TAB EMP | 77 |
2621826 | BACLOFEN 10MG TAB EMP | 15 |
2621849 | HYOSCYAMINE SULF ER 0.375MG TAB EMP | 8 |
2621850 | ESCITALOPRAM 5MG TAB EMP | 21 |
2621878 | ARIPIPRAZOLE (ABILIFY) 5MG TAB EMP | 77 |
2621879 | ROPINIROLE (REQUIP) 1MG TAB EMP | 14 |
2621889 | DILTIAZEM 50MG VIAL 10ML SDV | 81 |
2621890 | REGULAR INSULIN 10ML VL | 190 |
2621891 | ALBUTEROL (PROAIR HFA) 8.5GM INH EMP | 142 |
2621892 | CALCIUM CHLORIDE 10%(1GM) 10ML SDV | 57 |
2621893 | AMOX/CLAV 875/125MG TAB EMP | 35 |
2621905 | FUROSEMIDE 40MG TAB EMP | 15 |
2621906 | AZATHIOPRINE 50MG TAB EMP | 13 |
2621909 | CEPHALEXIN 500MG CAP EMP | 21 |
2621910 | FLUCONAZOLE 150MG TAB EMP | 72 |
2621911 | FLUTICASONE (FLONASE) NAS SPRAY 16GM EMP | 219 |
2621912 | PREDNISONE 5MG TAB EMP | 13 |
2621913 | CLINDAMYCIN 150MG CAP EMP | 21 |
2621914 | METHYLPRED 4MG DOSEPAK 21 TABS EMP | 114 |
2621934 | CLOBETASOL 0.05% OINT 60GM EMP | 981 |
2621935 | INS REGULAR 10ML VIAL EMP | 190 |
2621939 | ROSUVASTATIN 20MG TAB EMP | 36 |
2621958 | CLONAZEPAM 0.5MG TAB EMP C4 | 15 |
2621959 | NEBIVOLOL (BYSTOLIC) 5MG TAB EMP | 18 |
2621960 | ALBUTEROL (VENTOLIN)HFA 200-DOSE INH EMP | 87 |
2621961 | GLIPIZIDE XL 5MG TAB EMP | 15 |
2621993 | SUCRALFATE 1GM TAB EMP | 16 |
2621995 | RIFAXIMIN 200MG TAB | 76 |
2621997 | LORAZEPAM 0.5MG TAB EMP C4 | 15 |
2622018 | AMOX/CLAV 500/125MG TAB EMP | 35 |
2622026 | TOCILIZUMAB (ACTEMRA) 400MG 20ML VIAL | 11397 |
2622027 | NOVOLIN-N INSULIN NPH 10ML VIAL EMP | 190 |
2622032 | VENLAFAXINE XR 37.5MG CAP EMP | 21 |
2622037 | AMOXICILLIN 500MG CAP EMP | 16 |
2622052 | LOSARTAN/HCTZ (HYZAAR)50/12.5MG TAB EMP | 24 |
2622053 | ALBUTEROL (VENTOLIN)HFA 60-DOSE INH EMP | 87 |
2622084 | EZETIMIBE (ZETIA) 10MG TAB EMP | 33 |
2622086 | CLOBETASOL PROP 0.05% LOTION 59ML BOTTLE | 265 |
2622093 | TERBINAFINE 250MG TAB EMP | 11 |
2622096 | LOSARTAN 100MG TAB EMP | 16 |
2622098 | BUPROPION 150MG XL TAB EMP | 12 |
2622101 | GLYBURIDE 2.5MG TAB EMP | 16 |
2622102 | TRESIBA FLXTCH 200U/ML 3X3ML PFS | 846 |
2622106 | FLUOXETINE 10MG CAP | 34 |
2622107 | LEVOTHYROXINE 25MCG TAB EMP | 15 |
2622116 | DOPAMINE 800MG PREMIX 250ML BAG | 104 |
2622117 | AMITRIPTYLINE 25MG TAB EMP | 11 |
2622118 | MECLIZINE (ANTIVERT) 25MG TAB EMP | 15 |
2622121 | ERGOCALCIFEROL (VIT D2) 50,000IU CAP EMP | 16 |
2622122 | NITROFURANTOIN (MACROBID) 100MG CAP EMP | 17 |
2622125 | ESOMEPRAZOLE 40MG CAP EMP | 7 |
2622126 | SOTALOL 120MG TAB EMP | 41 |
2622131 | HYDROXYCHLOROQUINE 200MG TAB EMP | 37 |
2622132 | DIGOXIN (LANOXIN) 0.25MG TAB EMP | 12 |
2622143 | PROBENECID 500MG TAB EMP | 15 |
2622144 | CEFDINIR (OMNICEF) 300MG CAP EMP | 34 |
2622145 | NIZORAL A-D SHAMPOO 1% 125ML BOTTLE EMP | 36 |
2622160 | CHANTIX 1MG TAB EMP | 18 |
2622166 | DEXLANSOPRAZOLE (DEXILANT) 60MG CAP EMP | 21 |
2622167 | EMPAGLIFLOZIN (JARDIANCE) 25MG TAB EMP | 59 |
2622168 | CIPRODEX OTIC SUSP EMP | 475 |
2622170 | TEMAZEPAM 15MG CAP EMP C4 | 13 |
2622171 | FENOFIBRATE (TRICOR) 160MG TAB EMP | 965 |
2622204 | DICLOFENAC (VOLTAREN) 1% 100GM GEL EMP | 130 |
2622205 | MENTHOL COUGH DROPS BOX OF 20 LOZENGES | 15 |
2622210 | EZETIMIBE/SIMVAST 10/20 TAB EMP | 33 |
2622211 | LOVASTATIN 10MG TAB EMP | 30 |
2622217 | ROPINIROLE (REQUIP) 0.5MG TAB EMP | 14 |
2622230 | LIOTHYRONINE (CYTOMEL) 5MCG TAB EMP | 7 |
2622231 | NALTREXONE 50MG TAB EMP | 16 |
2622238 | NICOTINE 21MG/24H PATCH EMP | 56 |
2622240 | JANUMET XR 50/1000 TAB EMP | 29 |
2622241 | METOPROLOL SUCC XL 50MG TAB EMP | 16 |
2622246 | NABUMETONE 500MG TAB EMP | 13 |
2622247 | LEFLUNOMIDE (ARAVA) 20MG TAB EMP | 53 |
2622249 | KETOROLAC 0.5% OP SOL 10ML EMP | 387 |
2622250 | LISINOPRIL 30MG TAB EMP | 11 |
2622256 | FLUOCINONIDE 0.05% TOP SOL 60ML EMP | 184 |
2622257 | AZELASTINE NASAL SPRAY 30ML EMP | 197 |
2622258 | TRIAMCINOLONE 0.1% TOP OINT 80GM EMP | 25 |
2622267 | HALOPERIDOL (HALDOL) 5MG TAB | 13 |
2622277 | BENZONATATE (TESSALON) 100MG CAP EMP | 16 |
2622287 | AZITHROMYCIN OP SOL 1% 2.5ML EMP | 340 |
2622288 | MELATONIN 5MG TAB | 19 |
2622291 | FOLIC ACID 1MG TAB EMP | 15 |
2622292 | VANCOMYCIN (VANCOCIN) 500MG IVPB | 209 |
2622293 | PHENAZOPYRID 100MG TAB EMP | 21 |
2622294 | VALPROIC ACID (DEPAKENE) 250MG/5ML SYRUP | 16 |
2622295 | MILNACIPRAN (SAVELLA) 100MG TAB EMP | 25 |
2622326 | VALACYCLOVIR (VALTREX) 1GM TAB EMP | 35 |
2622333 | OFLOXACIN (OCUFLOX) 0.3% OP SOL 5ML EMP | 121 |
2622334 | WARFARIN (COUMADIN) 1MG TAB EMP | 15 |
2622336 | ADVAIR 250/50 INH 60-DOSE EMP | 321 |
2622337 | CEFAZOLIN (ANCEF) 350MG IVPB | 57 |
2622365 | LABETALOL 100MG TAB EMP | 16 |
2622366 | PREDNISOLONE 1% OP SOL 10ML EMP | 113 |
2622367 | LOSARTAN (COZAAR) 25MG TAB EMP | 16 |
2622368 | EMPAGLIFLOZIN (JARDIANCE) 10MG TAB EMP | 59 |
2622370 | EMPAGLIFLOZIN (JARDIANCE) 25MG TAB | 62 |
2622371 | ARMOUR THYROID 30MG TAB EMP | 8 |
2622372 | VALSARTAN/HCTZ 160/12.5MG TAB EMP | 26 |
2622373 | LINZESS (LINACLOTIDE) 145MCG CAP EMP | 46 |
2622375 | ROPINIROLE (REQUIP) 0.25MG TAB EMP | 14 |
2622381 | METRONIDAZOLE 0.75% CRM 45GM EMP | 24 |
2622392 | OXYCODONE 15MG IR TAB C2 | 29 |
2622393 | ACYCLOVIR 200MG CAP EMP | 6 |
2622395 | PAMIDRONATE DISODIUM 60MG INJ 10ML VIAL | 250 |
2622410 | PREDNISONE 2.5MG TAB EMP | 13 |
2622411 | DOXYCYCLINE 100MG CAP EMP | 12 |
2622412 | METOPROLOL SUC XL 25MG TAB EMP | 15 |
2622413 | DILTIAZEM (CARTIA XT) 180MG ER CAP | 8 |
2622414 | TERAZOSIN (HYTRIN) 10MG CAP EMP | 18 |
2622415 | APIXABAN (ELIQUIS) 5 MG TAB EMP | 21 |
2622439 | AZITHROMYCIN 250MG TAB EMP | 88 |
2622440 | GENTAMICIN 40MG/ML INJ 20ML MDV | 41 |
2622452 | MONONESSA 0.25/0.035MG 6X28 TAB PAK EMP | 88 |
2622463 | MONTELUKAST 4MG CHEW TAB EMP | 32 |
2622473 | TRIAMCINOLONE 0.1% CRM 15GM EMP | 35 |
2622477 | NEBIVOLOL (BYSTOLIC) 20MG TAB EMP | 24 |
2622479 | SPIRONOLACTONE 50MG TAB EMP | 6 |
2622481 | NICOTINE 14MG/DAY PATCH EMP | 54 |
2622482 | TOCILIZUMAB (ACTEMRA) 80MG 4ML VIAL | 1667 |
2622496 | TRIAMTERENE/HCTZ 75/50 TAB EMP | 16 |
2622498 | NASCOBAL NASAL SPRAY 500MCG EMP | 219 |
2622504 | PRAMIPEXOLE (MIRAPEX) 0.25MG TAB EMP | 19 |
2622505 | SITAGLIPTIN (JANUVIA) 100MG TAB EMP | 41 |
2622506 | OMEGA 3 ACID (LOVAZA) 1GM CAP EMP | 15 |
2622507 | LIRAGLUTIDE (VICTOZA) 3 PENS 9ML EMP | 834 |
2622512 | MULTIVITAMIN+MINERALS LIQUID 236ML | 42 |
2622513 | LINZESS (LINACLOTIDE) 290MCG CAP EMP | 46 |
2622514 | LIOTHYRONINE (CYTOMEL) 25MCG TAB EMP | 13 |
2622515 | PRAMIPEXOLE (MIRAPEX) 0.125MG TAB EMP | 19 |
2622516 | METOPROLOL ORAL SOL 10MG/ML 90ML BOTTLE | 108 |
2622517 | LEVETIRACETAM (KEPPRA) OR SOL 500MG 5ML | 15 |
2622518 | METOCLOPRAMIDE ORAL SOL 10MG 10ML | 11 |
2622519 | MICONAZOLE TOP POWDER 71GM | 26 |
2622531 | CELECOXIB (CELEBREX) 200MG CAP EMP | 17 |
2622532 | LEVETIRACETAM 500MG INJ 5ML SDV | 43 |
2622534 | MUSCLE RUB CREAM 113GM | 26 |
2622536 | SILVER SULFA (SILVADENE) 1% CRM 50GM EMP | 62 |
2622537 | CLINDAGEL 1% TOPICAL GEL 75ML EMP | 6 |
2622558 | FLUTICASONE (FLOVENT)HFA 110MCG INH EMP | 516 |
2622563 | LEVOTHYROXINE (SYNTHROID) 112MCG TAB EMP | 13 |
2622564 | CONTRAVE 8/90MG ER TAB EMP | 12 |
2622565 | LANTUS SOLOSTAR INSULIN PEN EMP 5 PENS | 46 |
2622566 | HUMALOG INJ 10ML VIAL EMP | 504 |
2622567 | EMERGEN-C PROBIOTICS PLUS PACKET | 7 |
2622569 | TIMOLOL 0.5% OP SOL 15ML EMP | 44 |
2622570 | DORZOLAMIDE 2% OP SOL 10ML EMP | 44 |
2622574 | DESVENLAFAXINE ER 50MG TAB EMP | 21 |
2622585 | DEXLANSOPRAZOLE (DEXILANT) 30MG CAP EMP | 21 |
2622590 | OXYBUTYNIN (DITROPAN) XL 10MG TAB EMP | 16 |
2622592 | SITAGLIPTIN (JANUVIA) 50MG TAB EMP | 41 |
2622594 | GLIMEPIRIDE (AMARYL) 2MG TAB EMP | 15 |
2622602 | PROGESTERONE (PROMETRIUM) 100MG CAP EMP | 41 |
2622606 | IV EXTENSION FILTER SET/HIGH VOLUME | 16 |
2622607 | IV SET, VENTED | 29 |
2622608 | TRIAMCINOLONE 0.1% CRM 80GM EMP | 49 |
2622617 | OLMESARTAN (BENICAR) 20MG TAB EMP | 16 |
2622618 | BUDES/FORMOT (SYMBICORT) 80/4.5 INH EMP | 652 |
2622619 | HYDROCORTISONE 2.5% CRM 30GM EMP | 57 |
2622636 | OMEPRAZOLE ORAL SUSP 2MG/ML 150ML | 201 |
2622677 | VANCOMYCIN ORAL SOL 25MG/ML 150ML BOTTLE | 364 |
2622680 | DICYCLOMINE (BENTYL) 10MG CAP EMP | 15 |
2622691 | KETOROLAC 0.5% OP SOL 5ML EMP | 387 |
2622694 | SOLIFENACIN (VESICARE) 5MG TAB EMP | 38 |
2622695 | ROSUVASTATIN 5MG TAB EMP | 36 |
2622704 | DILTIAZEM (CARTIA XT) 240MG CAP EMP | 8 |
2622712 | BETAMETH VAL 0.1% LOTION 60ML EMP | 140 |
2622713 | INDOMETHACIN 25MG CAPS EMP | 6 |
2622722 | SPIRONOLACTONE 100MG TAB EMP | 6 |
2622723 | TRI-LO-MARZIA TAB EMP 3X28TABS | 88 |
2622724 | AMOX/CLAV 250MG/5ML 100ML SUSP | 425 |
2622729 | TIZANIDINE 4MG TAB EMP | 7 |
2622730 | BRINZOLAMIDE(AZOPT) 1% OP SUSP 15ML EMP | 340 |
2622731 | DEPO PROVERA 104MG SUB-Q INJ EMP SYRINGE | 372 |
2622741 | VIRT-GARD TAB EMP | 7 |
2622743 | PENICILLIN VK 500MG TAB EMP | 13 |
2622744 | RIVAROXABAN (XARELTO) 10MG TAB EMP | 53 |
2622745 | HALOPERIDOL (HALDOL) 5MG TAB EMP | 13 |
2622746 | PHENYTOIN (DILANTIN) 100MG ER CAP EMP | 13 |
2622747 | BUDESONIDE 0.5MG INH SUSP 2ML EMP | 46 |
2622748 | FLUOROURACIL 5% CRM 40GM EMP | 191 |
2622750 | MUPIROCIN (BACTROBAN) 2% OINT 22GM EMP | 128 |
2622751 | LIDOCAINE 2% URO-JET 20ML | 47 |
2622763 | FLECAINIDE 150MG TAB EMP | 19 |
2622764 | NYSTATIN 100 M-U/GM OINT 30GM EMP | 54 |
2622768 | CYANOCOBALAMIN (VIT B-12) 1MG VL 1ML EMP | 50 |
2622785 | NITROGLYCERIN 2% OINT 30GM EMP | 87 |
2622795 | METOPROLOL TARTRATE 100MG TAB EMP | 17 |
2622797 | METRONIDAZOLE 0.75% GEL 45GM EMP | 24 |
2622803 | LEVOTHYROXINE 125MCG TAB EMP | 35 |
2622807 | AMOX 400MG/5ML SUSP 50ML EMP | 41 |
2622808 | NORETH/ETH ESTRAD 3X28 TABS EMP | 88 |
2622811 | VALSARTAN (DIOVAN) 160MG TAB EMP | 26 |
2622812 | ONDANSETRON (ZOFRAN) 4MG TAB EMP | 96 |
2622821 | HYDROXYZINE HCL 50MG TAB EMP | 9 |
2622824 | EPIPEN 0.3MG AUTOINJECTOR 2-PAK EMP | 351 |
2622825 | NYSTATIN 100 M-U/GM CRM 30GM EMP | 54 |
2622827 | CETACAINE TOP ANESTH SPR SINGLE DOSE 5GM | 124 |
2622828 | CETIRIZINE 5MG/5ML ORAL SOL 473ML EMP | 33 |
2622842 | ONDANSETRON (ZOFRAN) 8MG TAB EMP | 96 |
2622845 | TEGRETOL-XR 400MG TAB EMP | 18 |
2622847 | ENOXAPARIN (LOVENOX) 30MG/0.3ML INJ EMP | 118 |
2622848 | CAPTOPRIL 25MG TAB EMP | 7 |
2622868 | FLUOXETINE (PROZAC) 40MG CAP EMP | 15 |
2622869 | ATOMOXETINE (STRATTERA) 80MG CAP EMP | 13 |
2622872 | LEVONOR/ETH 0.1/0.02MG TAB 3X28 PAK EMP | 13 |
2622873 | IPRATR/ALBUT (DUO NEB) SOL 60V EMP | 55 |
2622874 | ALBUTEROL 2.5MG/3ML NEB 0.083% 60V EMP | 16 |
2622892 | TOPIRAMATE 25MG TAB EMP | 18 |
2622902 | SUDOGEST 30MG TAB EMP | 7 |
2622903 | SILDENAFIL 50MG TAB EMP | 13 |
2622904 | FEMYNOR 0.25/0.035MG 28 TAB PAK EMP | 88 |
2622912 | NOVOLOG MIX 70/30 FLEXPEN EMP 5X3ML | 198 |
2622913 | BUSPIRONE 15MG TAB EMP | 11 |
2622915 | LIDOCAINE VISCOUS 2% SUSP 100ML EMP | 49 |
2622919 | NEBIVOLOL (BYSTOLIC) 10MG TAB EMP | 24 |
2622920 | DYMISTA NASAL SPRAY 23GM EMP | 219 |
2622927 | INDOMETHACIN 50MG CAP EMP | 6 |
2622947 | PREDNISONE 1MG EMP | 13 |
2622960 | TERAZOSIN 1MG CAP EMP | 18 |
2622967 | INFLU VACC FLUBLOK 18-64Y PFS 0.5ML | 260 |
2622974 | WARFARIN (COUMADIN) 6MG TAB EMP | 15 |
2622975 | DALBAVANCIN (DALVANCE) 500MG IVPB | 6392 |
2622983 | IPRATROPIUM (ATROVENT) NAS SPY 15ML EMP | 114 |
2622984 | LEVALBUT (XOPENEX) HFA INHALER EMP | 166 |
2622985 | CLINDAMYCIN 2% VAG CRM 40GM EMP | 66 |
2622996 | NYSTATIN 100 M-U/GM CRM 15GM EMP | 54 |
2623001 | CEVIMELINE (EVOXAC) 30 MG CAPS EMP | 7 |
2623024 | LEVOFLOXACIN (LEVAQUIN) 750MG TAB EMP | 57 |
2623025 | PREMARIN VAG CREAM 30GM EMP | 754 |
2623039 | LEVALBUTEROL 0.63MG INH SOL 5X3ML PAK | 46 |
2623040 | CALCITRIOL (ROCALTROL) 0.25MCG CAP EMP | 15 |
2623041 | SITAGLIPTIN (JANUVIA) 25MG TAB EMP | 51 |
2623042 | ACYCLOVIR (ZOVIRAX) 400MG TAB EMP | 29 |
2623051 | NIFEDIPINE (NIFEDICAL) XL 60MG TAB EMP | 17 |
2623060 | EPIDUO FORTE 0.3-2.5% TOP GEL PUMP EMP | 746 |
2623061 | NORETHINDRONE 5MG TAB EMP | 9 |
2623062 | CLOBETASOL 0.05% CRM 45GM EMP | 981 |
2623063 | LAMOTRIGINE XR 25MG TAB EMP | 24 |
2623075 | DILTIAZEM 180 MG CAP EMP | 8 |
2623078 | TRIAMCINOLONE 0.1% CRM 454GM EMP | 49 |
2623079 | CLOBETASOL PROP 0.05% SOL 50ML EMP | 265 |
2623082 | AMOX 250MG/5ML SUSP 150ML EMP | 41 |
2623084 | SILVER NITRATE SWAB STICK 10 SWABS | 140 |
2623088 | FAMOTIDINE (PEPCID) 10MG TAB | 12 |
2623089 | METRONIDAZOLE 1% 60 GM GEL EMP | 130 |
2623093 | IPRATROP/ALBUT 0.5MG/2.5ML NEB 3ML EMP | 29 |
2623111 | OVIDREL 250MCG INJ 0.5ML EMP | 602 |
2623119 | MIDODRINE 5MG TAB EMP | 18 |
2623123 | TOLTERODINE (DETROL LA) 4MG CAP EMP | 37 |
2623157 | PSEUDOEPHEDRINE 30MG TAB EMP | 5 |
2623182 | HYDROCORTISONE 2.5% OINT 1OZ EMP | 57 |
2623183 | ALCLOMET DIP. (ACLOVATE) 0.05% OINT EMP | 57 |
2623189 | AZOR 10/40MG TAB EMP | 29 |
2623198 | TRI-LINYAH TAB 6X28 TAB EMP | 88 |
2623201 | CHANTIX 0.5MG TAB EMP | 18 |
2623203 | PROPRANOLOL ER 60MG CAP EMP | 13 |
2623209 | TAMSULOSIN (FLOMAX) 0.4MG CAP EMP | 34 |
2623215 | CLOMIPHENE CIT 50MG TAB EMP | 17 |
2623216 | HUMALOG KWIK PEN 5X3ML EMP | 504 |
2623217 | PREGABALIN 75MG CAP C5 EMP | 30 |
2623221 | CLOTR/BETA DIP CREAM 15GM EMP | 211 |
2623224 | OSELTAMIVIR (TAMIFLU) 75MG CAP EMP | 49 |
2623230 | ACYCLOVIR 5% CRM 5GM EMP | 328 |
2623233 | CHANTIX STARTING MONTH PAK EMP | 1467 |
2623234 | CELECOXIB (CELEBREX) 100MG CAP | 17 |
2623235 | CELECOXIB (CELEBREX) 100MG CAP EMP | 17 |
2623236 | CLOTRIM/BETAMETH DIP CREAM 45GM EMP | 211 |
2623237 | FLECAINIDE 100MG TAB EMP | 19 |
2623252 | MINERAL OIL HEAVY 16OZ BOTTLE | 18 |
2623263 | FALMINA 0.02/0.1MG 6X28 TAB PAKS EMP | 88 |
2623264 | FETZIMA ER 20MG CAP EMP | 15 |
2623265 | LEVOCETIRIZINE 2.5MG/5ML ORSOL 148ML EMP | 257 |
2623272 | IRBESARTAN/HCTZ 300MG/12.5MG TAB EMP | 29 |
2623285 | FLUCONAZOLE (DIFLUCAN) 200MG TAB EMP | 50 |
2623286 | OXCARBAZEPINE 300MG TAB EMP | 15 |
2623299 | DIPHENOXYL/ATROPINE (LOMOTIL) TAB C5 EMP | 15 |
2623300 | TIROSINT 125MCG CAP EMP | 35 |
2623301 | TIROSINT 100 MCG CAP EMP | 35 |
2623302 | LAMOITRIGINE 50MG XR TAB EMP | 24 |
2623305 | LOTEMAX OPTH OINT 3.5GM EMP | 46 |
2623310 | ONDANSETRON (ZOFRAN) 8MG TAB EMP | 96 |
2623311 | ORPHENADRINE 100MG XR EMP | 15 |
2623312 | COLESTIPOL 1GM TAB EMP | 17 |
2623318 | PROPRANOLOL 60MG TAB EMP | 13 |
2623319 | CHANTIX 1MG MAINTENANCE PAK EMP | 1467 |
2623322 | BREO ELLIPTA 100/25MCG INH 30 DOSE EMP | 284 |
2623323 | CLONIDINE 0.3MG TAB EMP | 11 |
2623324 | CLONIDINE 0.3MG TAB EMP | 11 |
2623325 | CITALOPRAM (CELEXA) 10MG TAB EMP | 11 |
2623360 | AZITHROMYCIN 500MG TAB EMP | 88 |
2623373 | CIMZIA 200MG VIAL KIT 2 X 200MG SDV | 18404 |
2623376 | TOUJEO SOLOSTAR INSULIN PEN EMP 3-PEN BX | 1033 |
2623378 | PRAMIPEXOLE (MIRAPEX) 0.5MG TAB EMP | 21 |
2623380 | ALBUTEROL 90MCG 8.5GM INH 200 DOSE | 142 |
2623384 | ANORO ELLIPTA 62.5/25MCG INH 30 DOSE EMP | 284 |
2623387 | HEMORRHOIDAL OINT 57GM TUBE | 30 |
2623390 | CYCLOSPORINE (RESTASIS) OP SOL 60VL EMP | 35 |
2623391 | ALBUTEROL (PROVENTIL) 6.7GM INH EMP | 142 |
2623393 | LICOCAINE (LIDODERM) 5% PATCH EMP | 44 |
2623408 | TOBRAMYCIN 0.3% OP SOL 5ML EMP | 100 |
2623415 | CORTISPORIN TC OTIC SUSP 10ML EMP | 228 |
2623416 | MIRTAZAPINE (REMERON) 15MG TAB EMP | 26 |
2623418 | LEVALBUT (XOPENEX) 0.63MG NEB SOL 3ML UD | 48 |
2623425 | NYSTATIN TOP POWDER 15GM EMP | 103 |
2623441 | HYDROCHLOROTHIAZIDE 12.5MG CAP/TAB EMP | 12 |
2623442 | SUPREP BOWEL PREP KIT | 340 |
2623443 | BUPROPION 300MG XL TAB EMP | 12 |
2623451 | FENOFIBRATE (TRICOR) 48MG TAB EMP | 77 |
2623452 | TIROSINT 112 MCG CAP EMP | 35 |
2623453 | ATOMOXETINE (STRATTERA) 40MG CAP EMP | 13 |
2623454 | MAG-AL-SIMETH MAX ORAL SUSP 10ML | 17 |
2623461 | JANUMET 50/500 TAB EMP | 29 |
2623501 | SUPREP BOWEL PREP KIT EMP | 340 |
2623502 | QUETIAPINE (SEROQUEL) 50MG TAB EMP | 17 |
2623503 | MEGESTROL 40MG/ML SUSP 240ML | 521 |
2623504 | TRINTELLIX 20MG TAB EMP | 11 |
2623505 | ADVAIR 150/50 INH 60-DOSE EMP | 321 |
2623506 | PROPRANOLOL 20MG TAB EMP | 13 |
2623508 | PREDNISONE 20MG TAB EMP | 13 |
2623509 | OLOPATADINE 0.2% OP SOLN 2.5ML EMP | 484 |
2623512 | LATANOPROST (XALATAN) OP SOL 2.5ML EMP | 230 |
2623518 | PREGABALIN (LYRICA) 75MG CAP EMP C5 | 30 |
2623519 | ATOMOXETINE (STRATTERA) 25MG CAP EMP | 13 |
2623520 | DESVENLAFAXINE ER 25MG TAB EMP | 21 |
2623521 | CLOBETASOL 0.05% OINT 15GM EMP | 981 |
2623522 | BETAMETH VAL 0.1% CREAM 15 GM EMP | 140 |
2623537 | METRONIDAZOLE VAG 0.75% GEL 70GM EMP | 24 |
2623538 | DENAVIR 1% CRM 5GM EMP | 328 |
2623540 | SCOPOLAM (TRANSDERM SCOP) 1.5MG PAT EMP | 63 |
2623541 | OXCARBAZEPINE 150MG TAB EMP | 15 |
2623542 | LOPERAMIDE (IMODIUM) 2MG TAB EMP | 17 |
2623543 | LOPERAMIDE (IMODIUM) 2MG TAB EMP | 17 |
2623544 | HYDROCORTISONE 25MG SUPP EMP | 59 |
2623545 | ESTRADIOL 10MCG TAB SUPP EMP | 59 |
2623546 | METOPROLOL SUCC XL 100MG TAB EMP | 16 |
2623558 | ARMOUR THYROID 15MG TAB EMP | 8 |
2623559 | PREGABALIN (LYRICA) 50MG CAP EMP C5 | 30 |
2623560 | ACYCLOVIR 5% OINT. 30GM TUBE EMP | 902 |
2623569 | FETZIMA ER 40MG CAP EMP | 15 |
2623570 | ONDANSETRON (ZOFRAN) 4MG ODT EMP | 98 |
2623571 | TADALAFIL (CIALIS) 2.5MG TAB EMP | 30 |
2623572 | APIXABAN (ELIQUIS) 2.5 MG TAB EMP | 21 |
2623573 | LEVOFLOXACIN (LEVAQUIN) 500MG TAB EMP | 57 |
2623575 | ACETYLCYSTINE 20% 30ML INJ IV ONLY | 770 |
2623576 | XOPENEX HFA MPI 200 DOSE INH EMP | 142 |
2623582 | IPRATROP BR 0.5MG/2.5ML INH / NEB EMP | 29 |
2623594 | NYS/MINTO/VLIDO/DIPH ORAL SUSP 240ML | 189 |
2623595 | ZYRTEC D ER 5MG/120 MG TAB EMP #24 | 33 |
2623601 | FAMOTIDINE (PEPCID) 20MG TAB | 12 |
2623602 | CIPROFLOXACIN (CIPRO) 3% OP SOL 2.5ML | 98 |
2623646 | DOXEPIN 3MG TAB EMP | 35 |
2623659 | LOSARTAN (COZAAR) 50MG TAB EMP | 16 |
2623660 | MIRVASO 0.33% TOPICAL GEL PUMP 30GM EMP | 6 |
2623686 | REMDESIVIR 100MG IVPB | 1930 |
2623717 | TIOTROPIUM (SPIRIVA) RESPIMAT 1.25MCG | 916 |
2623725 | DEPO PROVERA 150MG IM SUSP EMP SYRINGE | 372 |
2623726 | RIZATRIPTAN BENZ 10MG ODT EMP | 98 |
2623737 | POTASSIUM CHLORIDE 10MEQ ER TAB EMP | 13 |
2623752 | DILTIAZEM 90MG TAB EMP | 8 |
2623772 | LAMOTRIGINE (LAMICTAL) 25MG TAB EMP | 26 |
2623773 | PREDNISOLONE 1% OP SUSP 5ML EMP | 113 |
2623774 | RIZATRIPTAN BENZ 5 MG TAB EMP | 98 |
2623775 | ESTRADIOL 0.01% VAG CRM 42.5GM EMP | 210 |
2623777 | TOPIRAMATE 100MG TAB | 30 |
2623787 | ARIPIPRAZOLE (ABILIFY) 2MG TAB EMP | 77 |
2623794 | ATENOLOL (TENORMIN) 50MG TAB EMP | 15 |
2623795 | HUMALOG 75/25 KWIK PEN 5X3ML EMP | 504 |
2623797 | FENOFIBRATE (TRICOR) 54MG TAB EMP | 77 |
2623798 | NIFEDIPINE (NIFEDICAL) XL 90MG TAB EMP | 17 |
2623815 | ATOMOXETINE (STRATTERA) 60MG CAP EMP | 13 |
2623817 | BENZONATATE (TESSALON) 200MG CAP EMP | 16 |
2623818 | ENSKYCE 0.15/0.03MG 3X28 TAB PAK EMP | 313 |
2623844 | CHOLESTYRAMINE 4GM PWDR PKT EMP | 92 |
2623853 | BAMLANIVIMAB 700MG 20ML IVPB | 28841 |
2623858 | DIFFERIN 0.1% CREAM 45GM EMP | 211 |
2623876 | VLIDO/MINTO/DIPH/SCRLFT ORAL SUSP 160ML | 189 |
2623895 | ACETAMINOPHEN 650MG SUPPOSITORY | 15 |
2623898 | TOBRADEX OP SUSP 5ML EMP | 100 |
2623899 | EPIPEN JR 0.15MG AUTOINJECTOR 2-PAK EMP | 351 |
2623900 | SOLIFENACIN (VESICARE) 10MG TAB EMP | 38 |
2623908 | METHOTREX 50MG/2ML INJ 5 SDVIALS EMP | 132 |
2623909 | OFLOXACIN (FLOXIN)0.3% OTIC SOL 10ML EMP | 182 |
2623910 | AMITIZA 24MCG CAP EMP | 46 |
2623915 | HYDRALAZINE 100MG TAB EMP | 15 |
2623916 | NP THYROID 30MG TAB EMP | 8 |
2623940 | TIZANIDINE 2MG TAB EMP | 7 |
2623959 | DOXEPIN 10MG CAP EMP | 35 |
2623968 | ZIAC 10/6.25MG TAB EMP | 26 |
2623973 | FAMOTIDINE (PEPCID) 40MG TAB EMP | 12 |
2623996 | PROPOFOL 10MG/ML 10ML (SURGERY) | 33 |
2624004 | MOXIFLOXACIN 0.5% OP SOL 3ML EMP | 340 |
2624013 | FAMOTIDINE (PEPCID) 20MG TAB EMP | 12 |
2624018 | PREGABALIN (LYRICA) 25MG CAP EMP C5 | 30 |
2624034 | LIDO / EPI 2% INJ 30ML VIAL (SURGERY) | 61 |
2624051 | IPRATROP BR 0.06% 15ML NASAL SOL EMP | 29 |
2624052 | TADALAFIL (CIALIS) 5MG TAB EMP | 30 |
2624056 | MONOLINYAH 35MCG-0.25MG 6X28 TAB PAK EMP | 88 |
2624059 | RIZATRIPTAN BENZ 10MG TAB EMP | 98 |
2624060 | TRI-SPRINTEC TAB 6X28 TAB EMP | 88 |
2624064 | TRAZODONE (DESYREL) 150MG TAB EMP | 15 |
2624087 | FENOFIBRATE (TRICOR) 145MG TAB EMP | 34 |
2624093 | LUPRON DEPOT 45MG 6MTH INJ | 36089 |
2624101 | ITRACONAZOLE 100MG CAP EMP | 50 |
2624116 | FLUTICASONE 0.05% TOP CRM 30 GM EMP | 51 |
2624119 | METRONIDAZOLE 500MG TAB EMP | 15 |
2624127 | CEFTAROLINE FOSAMIL (TEFLARO) 400MG IVPB | 732 |
2624130 | TOPIRAMATE 50MG TAB EMP | 18 |
2624150 | PREGABALIN (LYRICA) 100MG CAP C5 EMP | 26 |
2624157 | TIMOLOL 0.5% (TIMOPTIC XE)OP GEL 5ML EMP | 765 |
2624158 | DEPO TESTOSTERONE CYP 200MG/ML 1ML EMP | 83 |
2624180 | VENLAFAXINE (EFFEXOR) 75MG TAB EMP | 16 |
2624190 | SULFA / TRIMETH 200/40 ORAL SUSP EMP | 34 |
2624203 | TERAZOSIN 2MG CAP EMP | 18 |
2624215 | DICLOFENAC POT (ZIPSOR) 25MG CAP EMP | 9 |
2624220 | DUROLANE (HYALURONIC ACID) INJ | 3327 |
2624222 | GLIMEPIRIDE (AMARYL) 4MG TAB EMP | 15 |
2624229 | AMIODARONE (PACERONE) 200MG TAB EMP | 18 |
2624236 | FETZIMA ER 80MG CAP EMP | 15 |
2624237 | LORAZEPAM 2MG TAB EMP C4 | 16 |
2624244 | ESZOPICLONE (LUNESTA) 2MG TAB EMP | 13 |
2624245 | SODIUM CHLORIDE 0.9% 1000ML BAG EMP | 100 |
2624246 | SODIUM BICARB 8.4% INJ ADLT 50ML SDV EMP | 131 |
2624247 | EPINEPHRINE (ADRENALIN) 30ML VIAL EMP | 268 |
2624248 | LIDOCAINE 2% 1000MG INJ 50ML MDV EMP | 63 |
2624258 | KETOCONAZOLE SHAMPOO 2% 4OZ EMP | 36 |
2624266 | FLUTICASONE (FLOVENT)HFA 110MCG INH | 516 |
2624267 | FLUTICASONE (FLOVENT)HFA 110MCG INH | 516 |
2624268 | FLUTICASONE (FLOVENT)HFA 44MCG INH EMP | 516 |
2624269 | PHENTERMINE 15MG CAP EMP C4 | 14 |
2624282 | HYOSCYAMINE SULF 0.125MG ODT TAB EMP | 8 |
2624288 | FETZIMA ER 120MG CAP EMP | 15 |
2624289 | LEVOTHYROXINE 200MCG TAB EMP | 35 |
2624290 | TADALAFIL (CIALIS) 20MG TAB EMP | 30 |
2624298 | PREDNISOLONE 1% OP SUSP 10ML EMP | 113 |
2624303 | KETAMINE 500MG INJ 10ML VIAL | 149 |
2624304 | MIDAZOLAM (VERSED) 50MG INJ 10ML C4 | 143 |
2624309 | CIPROFLOXACIN (CIPRO) 3% OP SOL 5ML EMP | 98 |
2624312 | BISMUTH SUB (PEPTO BISMOL) 525MG 8OZ BOT | 21 |
2624320 | LOTEPREDNOL OPTH GEL 0.5% 5GM EMP | 46 |
2624321 | CLOBETASOL 0.05% CRM 30GM EMP | 981 |
2624329 | AMMONIUM LACTATE 12% CRM 385GM EMP | 34 |
2624330 | FENTANYL 2500MCG INJ 50ML DRIP | 74 |
2624332 | BARICITINIB (OLUMIANT) 2MG TAB | 252 |
2624381 | ATENOLOL (TENORMIN) 25MG TAB EMP | 15 |
2624391 | HYDROCORTISONE 100MG/2ML INJ EMP | 95 |
2624393 | BUSPIRONE 30MG TAB EMP | 11 |
2624419 | BIMATOPROST (LUMIGAN) OP SOL 7.5ML EMP | 743 |
2624431 | LANSOPRAZOLE 15MG CAP EMP | 11 |
2624432 | GRALISE ER 300MG TAB EMP | 16 |
2624434 | POLYMYX B /TRIMETH OP SOL 10ML EMP | 41 |
2624441 | APREPITANT (EMEND) 40MG CAP EMP | 96 |
2624449 | LEFLUNOMIDE (ARAVA) 10MG TAB EMP | 53 |
2624450 | SUMATRIPTAN 50MG TAB EMP | 113 |
2624451 | ESOMEPRAZOLE 20MG CAP EMP | 7 |
2624456 | SIMVASTATIN (ZOCOR) 10MG TAB EMP | 32 |
2624461 | OXYBUTYNIN (DITROPAN) 5MG TAB EMP | 16 |
2624462 | TIROSINT 137MCG CAP EMP | 35 |
2624466 | FENOFIBRATE (TRICOR) 43MG CAP EMP | 77 |
2624467 | ZALEPLON 5MG CAP EMP C4 | 33 |
2624470 | STIOLTO RESPIMAT INH 60 DOSE EMP | 284 |
2624474 | VALACYCLOVIR (VALTREX) 500MG TAB EMP | 35 |
2624479 | PROLENSA 0.7% OP SOL 3ML EMP | 387 |
2624488 | QUETIAPINE (SEROQUEL) 100MG TAB EMP | 17 |
2624489 | HYDROCORTISONE 5MG TAB EMP | 11 |
2624491 | GLUCAGON HYPOKIT 1MG INJ EMP | 351 |
2624495 | ZORVOLEX 35MG CAP EMP | 9 |
2626260 | LOSARTAN (COZAAR) 25MG TAB | 16 |
2626261 | CETIRIZINE (ZYRTEC) TAB 10MG UD | 17 |
2626262 | FLUCONAZOLE (DIFLUCAN) 100MG TAB | 50 |
2626263 | NITROFURANTOIN (MACROBID) 100MG CAP | 17 |
2626264 | FLUTICASONE (FLOVENT)HFA 110MCG INH | 516 |
2626265 | FINASTERIDE (PROSCAR) 5MG TAB | 21 |
2626266 | METFORMIN (GLUCOPHAGE) 850MG TAB | 16 |
2626267 | AZITHROMYCIN (ZITHROMAX) 500MG VIAL | 242 |
2626268 | AMOX/CLAV 875/125MG TAB | 35 |
2626269 | GLIMEPIRIDE (AMARYL) 4MG TAB | 15 |
2626270 | DILTIAZEM (CARDIZEM) 300MG CD CAP | 29 |
2626271 | ATORVASTATIN (LIPITOR) 10MG TAB UD | 18 |
2626272 | CARBAMAZ (TEGRETOL) 100MG/5ML SUSP | 15 |
2626273 | TOLTERODINE (DETROL) LA 2MG CAP | 35 |
2626274 | TERAZOSIN (HYTRIN) 5MG CAP | 18 |
2626275 | VITAMIN E 400IU CAP | 15 |
2626276 | CHOLESTYRAMINE (QUESTRAN) 4GM PWDR PKT | 92 |
2626277 | LATANOPROST (XALATAN) 2.5ML OPTH SOL | 230 |
2626278 | DONEPEZIL (ARICEPT) 5MG TAB UD | 35 |
2626279 | CELECOXIB (CELEBREX) 100MG CAP | 17 |
2626280 | GABAPENTIN (NEURONTIN) 100MG CAP | 15 |
2626281 | BENAZEPRIL (LOTENSIN) 20MG TAB | 13 |
2626282 | OXYCODONE (OXYCONTIN) CR 10MG TAB C2 | 37 |
2626283 | OXYCODONE (OXYCONTIN) CR 20MG TAB C2 | 33 |
2626284 | CLARITHROMYCIN (BIAXIN) 500MG TAB | 33 |
2626285 | ONDANSETRON (ZOFRAN) 4MG TAB | 96 |
2626286 | ISOSORBIDE MONO (IMDUR) 30MG ER TAB | 16 |
2626287 | PROMETHAZINE(PHENERGAN)12.5MG SUPP | 55 |
2626288 | TETANUS & DIPTH TOX 7Y+ INJ 0.5ML | 147 |
2626289 | SULFACETAMIDE 10% OP SOL 15ML | 151 |
2626290 | CETIRIZINE (ZYRTEC) 1MG/ML 5ML SYR | 15 |
2626291 | GLIPIZIDE (GLUCOTROL) XL 5MG TAB | 15 |
2626292 | FAT EMULSION (INTRALIPID)20% 500ML | 383 |
2626294 | VENLAFAXINE (EFFEXOR) ER 75MG CAP | 21 |
2626295 | ATENOLOL (TENORMIN) 25MG TAB | 15 |
2626296 | METFORMIN (GLUCOPHAGE) 1000MG TAB | 17 |
2626297 | ENOXAPARIN (LOVENOX) 30MG/0.3ML INJ | 118 |
2626298 | OLANZAPINE (ZYPREXA) 10MG TAB | 57 |
2626299 | CITALOPRAM (CELEXA) 20MG TAB | 21 |
2626300 | CLONAZEPAM (KLONOPIN) 0.5MG TAB C4 | 15 |
2626301 | METHYLPRED 4MG DOSEPAK 21 TABS | 114 |
2626302 | MONTELUKAST (SINGULAIR) 10MG TAB | 32 |
2626303 | RISPERIDONE (RISPERDAL) 0.5MG TAB | 26 |
2626304 | GABAPENTIN (NEURONTIN) 300MG CAP | 16 |
2626305 | TENECTEPLASE (TNKASE) 50MG INJ | 22267 |
2626306 | EPOETIN ALFA (PROCRIT) 10,000U/ML 10ML I | 650 |
2626307 | LEVOFLOXACIN 500MG/20ML VIAL | 214 |
2626308 | COLLAGENASE (SANTYL) 30GM OINT | 532 |
2626309 | ENOXAPARIN (LOVENOX) 40MG/0.4ML INJ | 143 |
2626310 | ENOXAPARIN (LOVENOX) 60MG/0.6ML INJ | 202 |
2626311 | HYDROCO/APAP 5/325MG TAB EMP C2 | 15 |
2626312 | PANTOPRAZOLE (PROTONIX) 40MG TAB U/D | 29 |
2626313 | MIRTAZAPINE (REMERON) 15MG TAB | 26 |
2626314 | BUPIVAC/EPI (MARC/EPI) PF 0.5% INJ 10ML | 70 |
2626315 | ADMINISTRATION FEE PNEUMONIA VACC | 35 |
2626316 | GENTAMICIN SULF 0.1% CRM 15GM | 92 |
2626317 | PRAVASTATIN (PRAVACHOL) 20MG TAB UD | 21 |
2626318 | ENOXAPARIN (LOVENOX) 100MG INJ 1ML | 356 |
2626319 | ZOLPIDEM (AMBIEN) 10MG TAB EMP C4 | 34 |
2626320 | LIDOCAINE 2% TOP JELLY 30ML | 46 |
2626321 | FENTANYL (DURAGESIC) 25MCG PATCH C4 | 128 |
2626322 | METOPROLOL SUCC (TOPROL XL)50MG TAB | 16 |
2626323 | FENTANYL (DURAGESIC) 50MCG PATCH C2 | 213 |
2626324 | METOPROLOL SUCC (TOPROL XL)25MG TAB | 15 |
2626325 | FLUTICASONE (FLONASE) NAS SPRAY 16GM | 219 |
2626326 | HYDROCODONE/APAP (VICODIN)5/500 TAB | 9 |
2626327 | RAMIPRIL (ALTACE) 5MG CAP | 18 |
2626328 | PROMETHAZINE (PHENERGAN) 25MG TAB | 15 |
2626329 | FLUOXETINE (PROZAC) 10MG TAB | 34 |
2626330 | PIPERAC/TAZOBACT(ZOSYN) 3.375GM IVPB | 118 |
2626331 | PIPERACIL/TAZOBACT(ZOSYN) 4.5GM | 145 |
2626332 | KETOROLAC 30MG/ML 1ML INJ (IV OR IM) | 98 |
2626333 | KETOROLAC (TORADOL) 15MG/ML 1 ML INJ SDV | 82 |
2626334 | SUCCINYLCHOLINE 200MG/10ML INJ MDV | 102 |
2626335 | VECURONIUM (NORCURON) 10MG INJ | 191 |
2626336 | OSELTAMIVIR (TAMIFLU) 75MG CAP | 49 |
2626337 | SOD POLYSTYR (KAYEXALATE)15G/60MLSUS | 39 |
2626338 | ESCITALOPRAM (LEXAPRO) 10MG TAB | 21 |
2626339 | AMLODIPINE (NORVASC) 10MG TAB | 29 |
2626340 | VALSARTAN (DIOVAN) 40MG TAB | 18 |
2626341 | VALSARTAN (DIOVAN) 160MG TAB | 26 |
2626342 | ERTAPENEM (INVANZ) 1GM VIAL | 557 |
2626343 | QUETIAPINE (SEROQUEL) 25MG TAB | 17 |
2626344 | QUETIAPINE (SEROQUEL) 100MG TAB UD | 29 |
2626345 | FENOFIBRATE (TRICOR) 160MG TAB | 30 |
2626346 | GUAIFENESIN (MUCINEX) XR 600MG TAB | 13 |
2626347 | OLMESARTAN (BENICAR) 20MG TAB | 16 |
2626348 | INSULIN GLARG INJ (LANTUS) 1 UNIT | 14 |
2626349 | THIAMINE (VITAMIN B 1) 100MG TAB | 13 |
2626350 | MOMETASONE (NASONEX) NASAL SPRAY EMP | 542 |
2626352 | BALSAM/CAST/TRYPSIN (VENELEX) OINT 60GM | 191 |
2626354 | ONDANSETRON (ZOFRAN) 4MG ORAL SOL 5ML | 127 |
2626355 | OFLOXACIN (FLOXIN)0.3% OTIC SOL 5ML | 182 |
2626356 | BUPIVAC/EPI 0.25% INJ 10ML | 41 |
2626357 | SOLIFENACIN (VESICARE) 5MG TAB | 38 |
2626358 | METHOCARB(ROBAXIN)100MG/ML INJ 10ML | 113 |
2626360 | AMIODARONE 150MG INJ 3ML VIAL | 86 |
2626361 | TIOTROPIUM (SPIRIVA) INH 5 DOSE KIT | 219 |
2626362 | ORPHENADRINE 60MG INJ (IV OR IM) 2ML VL | 142 |
2626363 | STERILE WATER FOR INJECTION 10ML (SWFI) | 44 |
2626364 | DRONABINOL (MARINOL) 2.5MG CAP | 34 |
2626365 | CARVEDILOL (COREG) 3.125MG TAB | 16 |
2626366 | CARVEDILOL (COREG) 6.25MG TAB | 17 |
2626367 | CARVEDILOL (COREG) 12.5MG TAB | 18 |
2626368 | SCOPOLAM (TRANSDERM SCOP) 1.5MG PAT | 63 |
2626369 | SODIUM CHLORIDE (SALT) 1GM TAB | 15 |
2626370 | PEG 3350 (MIRALAX) 17GM PKT MIX | 24 |
2626371 | PEG 3350 (MIRALAX) 238GM POWDER | 118 |
2626372 | NYSTATIN TOP POWDER 15GM | 103 |
2626373 | DOLASETRON (ANZEMET) 12.5MG INJ | 159 |
2626374 | FLUTICASONE/SALMET(ADVAIR)250/50INH | 321 |
2626375 | MEGESTROL 40MG/ML SUSP 5ML (200MG) | 15 |
2626376 | LEVOFLOX (LEVAQUIN) 750MG PREMIX 150ML | 252 |
2626377 | COLESTIPOL (COLESTID) 1GM TAB | 17 |
2626378 | FLUTICASONE (FLOVENT) 44MCG IHNALER | 419 |
2626379 | BIMATOPROST (LUMIGAN) OP SOL 5ML EMP | 743 |
2626380 | LEVOFLOX (LEVAQUIN) 250MG/50ML PREMIX | 212 |
2626381 | NIFEDIPINE (PROCARDIA) XL 60MG TAB | 18 |
2626382 | BACLOFEN (LIORRESAL) 10MG TAB UD | 15 |
2626383 | FEXOFENADINE (ALLEGRA) 180MG TAB | 26 |
2626384 | LEVOFLOXACIN (LEVAQUIN) 750MG TAB | 62 |
2626385 | LACTOBACILLUS (LACTINEX) CHEW TAB | 15 |
2626386 | POLY-IRON (FERREX) 150MG CAP | 26 |
2626388 | LICOCAINE (LIDODERM) 5% PATCH | 44 |
2626389 | PENICIL G BEN LA 600 KU INJ PEDIATRIC | 447 |
2626390 | LIDOCAI/PRILOCAI(EMLA) 30GM DOSE CRM | 78 |
2626391 | PANTOPRAZOLE (PROTONIX) 40MG IVPB | 162 |
2626392 | CIPROFLOXACIN (CIPRO) 250MG TAB | 34 |
2626393 | CIPROFLOXACIN (CIPRO) 3% OP SOL 5ML | 98 |
2626394 | CLINDAMYCIN (CLEOCIN) 300MG CAP | 19 |
2626396 | AMMONIA INHALANT | 15 |
2626397 | HEPARIN PORT FLSH 100U 5ML IN 10ML PFS | 53 |
2626398 | CEFDINIR (OMNICEF) 125MG/5ML SUS 60ML | 252 |
2626399 | FENOFIBRATE (TRICOR) 145MG TAB | 34 |
2626401 | CROTALID POLYVA IMMUN FAB(CROFAB) | 21771 |
2626402 | INSULIN 70/30 10ML VIAL (HUMULIN) | 637 |
2626403 | INSULIN 70/30 1UNIT INJ (HUMULIN 70/30) | 15 |
2626404 | INSULIN NPH 1UN INJ (NOVOLIN) | 14 |
2626405 | DO NOT USE THIS ITEM #, NOT STOCKED | 245 |
2626406 | INSULIN REG 1UN INJ (HUMULIN-R) | 14 |
2626407 | INSULIN GLARGINE 1 UN INJ LANTUS | 14 |
2626408 | INSULIN ASPART 10ML VIAL (NOVOLOG) EMP | 798 |
2626409 | INSULIN ASPART 1UNIT INJ (NOVOLOG) | 14 |
2626410 | MOXIFLOXACIN (AVELOX) 400MG TAB | 70 |
2626411 | DIBUCAINE (NUPERCAINAL) 30GM OINT | 41 |
2626412 | LIDOCAINE (XYLOCAINE) 1% 10ML INJ MDV | 61 |
2626413 | 20MEQ K++ IN NS 1000ML IV | 97 |
2626414 | 20MEQ K++ IN D5W 1000ML IV | 97 |
2626415 | POTASSIUM 10MEQ BOLUS 100ML IVPB | 97 |
2626416 | PREDNISOLONE (ORAPRED) 15MG SYR 5ML | 17 |
2626417 | ARIPIPRAZOLE (ABILIFY) 5MG TAB | 77 |
2626418 | MICONAZOLE (MONISTAT) 2% VAG CRM | 51 |
2626419 | IRON SUCROSE (VENOFER) 100MG INJ 5ML | 361 |
2626420 | HEPARIN VIAL FLUSH 5ML VIAL | 41 |
2626421 | NS (MINIBAG PLUS) 100ML IV | 100 |
2626422 | SODIUM CHLORIDE 3% 500ML IV | 97 |
2626423 | PEGFILGRASTIM (NEULASTA) 6MG SC INJ | 25407 |
2626424 | DUTASTERIDE (AVODART) 0.5MG CAP | 29 |
2626425 | CHOLECALCIFEROL (VIT D3) 1000IU TAB | 15 |
2626426 | ALFUZOSIN (UROXATRAL) 10MG TAB | 29 |
2626427 | MAGNESIUM OX (MAG-OX) 400MG TAB | 15 |
2626428 | 20MEQ K++ D51/2NS 1000ML IV | 97 |
2626429 | PEG 3350(MIRALAX)238GM BOWELPREPSUS | 61 |
2626430 | DULOXETINE (CYMBALTA) 30MG CAP | 41 |
2626431 | PREGABALIN (LYRICA) 75MG CAP C5 | 30 |
2626432 | NALOXONE (NARCAN)2MG INJ 2ML PFS | 137 |
2626433 | CYCLOSPORINE (RESTASIS) OP SOL 0.4ML | 35 |
2626434 | NITROGLYCERIN 50MG/D5W 250ML | 113 |
2626435 | ERGOCALCIFEROL (VIT D2) 50,000IU CAP | 16 |
2626436 | CIPROFLOXACIN (CIPRO) 200MG PREMIX | 66 |
2626437 | RABIES VACCINE (RABAVERT) INJ | 1225 |
2626438 | RABIES IMM GLOB 300IU 2ML VIAL | 2886 |
2626439 | CEFDINIR (OMNICEF) 250MG/5ML SUS 60ML | 427 |
2626440 | CEFDINIR (OMNICEF) 300MG CAP | 34 |
2626441 | REGADENOSON (LEXISCAN) 0.4MG INJ 5ML | 1155 |
2626442 | IPRATROP(ATROVENT)0.5MG/2.5ML INH / NEB | 29 |
2626443 | LEVALBUTEROL 0.63MG INH SOL 4X3ML PAK | 46 |
2626444 | LEVALBUTEROL / SOD CHL 1.25MG / 3ML | 63 |
2626445 | SODIUM CHLOR INH SOL 0.9% 3ML NEB TX | 24 |
2626446 | RACEMIC EPI 2.25% INH SOL 0.5ML | 32 |
2626447 | MASTISOL ADH SURG LIQ DROP0.67MLSOL | 35 |
2626448 | BUDESONIDE 0.5MG INH SUSP 2ML | 46 |
2626449 | DAPTOMYCIN/NS (CUBICIN) 500MG IVPB | 2028 |
2626451 | CIPROFLOX/DEXAM (CIPRODEX)OTIC SUSP 7.5M | 475 |
2626452 | DILTIAZEM 125MG VIAL 25ML | 92 |
2626453 | OXYCODONE (OXY IR) 5MG IR TAB C2 | 29 |
2626454 | ALTEPLASE(CATHFLO ACTIVASE) 2MG INJ | 592 |
2626455 | FENTANYL 50MCG/ML INJ 2ML | 57 |
2626456 | FENTANYL(SUBLIMAZE)50MCG/ML 5ML INJ C2 | 132 |
2626457 | METOPROLOL (LOPRESSOR) 25MG TAB UD | 16 |
2626458 | HYDROMORPHONE (DILAUDID) 2MG/ML INJ C2 | 75 |
2626459 | SOD HYPOCHLOR (DAKINS SOL) 0.5% TOP SOL | 42 |
2626460 | TIGECYCLINE (TYGACIL) 50MG IVPB | 368 |
2626461 | PHENYTOIN (DILANTIN) 100MG/2ML INJ | 49 |
2626462 | ASCORBIC ACID(VIT C)500MG/ML50MLINJ | 108 |
2626463 | ROSUVASTATIN (CRESTOR) 10MG TAB UD | 36 |
2626464 | INSULIN DRIP 100U REG INS/100ML IVPB | 1385 |
2626465 | NYSTATIN 100MU/ML 5ML SUSP | 15 |
2626466 | SODI, POTA, PHOS (PHOS NAK) 1.5GM PKT | 13 |
2626467 | LIDOCAINE (XYLOCAINE) 5% 35.44GM OINT | 150 |
2626468 | FLUTIC/SALMET (ADVAIR) 500/50 INH | 393 |
2626469 | FLUTIC/SALMET (ADVAIR) 100/50 INH 14-DS | 284 |
2626470 | MAGNESIUM SULFATE 500MG/ML 20ML IV/IM | 159 |
2626471 | NICOTINE (NICODERM) 14MG/DAY PATCH | 54 |
2626472 | SIMVASTATIN (ZOCOR) 20MG TAB UD | 30 |
2626473 | SIMVASTATIN (ZOCOR) 40MG TAB | 32 |
2626474 | SITAGLIPTIN (JANUVIA) 25MG TAB | 51 |
2626475 | HEPARIN IV FLUSH 5ML PFS IV | 41 |
2626476 | NS IV FLUSH PF 10ML PFS | 41 |
2626477 | AZTREONAM (AZACTAM) 2GM IVPB | 383 |
2626478 | MEROPENEM (MERREM) 1GM IVPB | 217 |
2626479 | PRAMIPEXOLE (MIRAPEX) 0.25MG TAB | 19 |
2626480 | BRIMONID/TIMOL(COMBIGAN)5ML OP SOL | 236 |
2626481 | GUAIFEN (MUCINEX MAX)XR 1200MG TAB | 13 |
2626482 | GUAIF/DM(MUCINEX DM)XR 600/30MGTAB | 13 |
2626483 | GUAIF/DM(MUCINEXDMMAX)XR1200/60MGTB | 13 |
2626484 | CALCITRIOL (ROCALTROL) 0.25MCG CAP | 15 |
2626485 | DICLOFENAC (VOLTAREN) 1% 100GM GEL | 130 |
2626486 | PPN AA/ELEC/GLY (PROCALAMI) 1000ML | 165 |
2626487 | EZETIMIBE (ZETIA) 10MG TAB | 33 |
2626488 | MORPHINE 4MG INJ 1ML C2 | 65 |
2626489 | NEBIVOLOL (BYSTOLIC) 5MG TAB | 18 |
2626490 | OMEGA 3 ACID (LOVAZA) 1GM CAP | 15 |
2626491 | CEFEPIME (MAXIPIME) 1GM IVPB | 110 |
2626492 | BUPROPION (WELLBUTRIN)150MG SR TAB | 16 |
2626493 | NYSTAT/TRIAMCIN (MYCOLOG) 15GM CRM | 263 |
2626494 | BUPIVACAI (MARCAINE) 0.5% 50ML INJ | 128 |
2626495 | NIACIN 500MG PLAIN TAB | 13 |
2626496 | LACTOBACILLUS (ACIDOPHILUS) CAP | 15 |
2626497 | ALBUTEROL (PROAIR HFA) 8.5GM INH | 142 |
2626498 | LAMOTRIGINE (LAMICTAL) 25MG TAB | 26 |
2626499 | LEVETIRACETAM (KEPPRA) 500MG TAB UD | 24 |
2626500 | PRAMIPEXOLE (MIRAPEX) 1MG TAB EMP | 21 |
2626501 | INFLUENZA HIGH-DOSE VACC 65+ PFS | 260 |
2626502 | TOPIRAMATE (TOPAMAX) 25MG TAB | 18 |
2626503 | ROPINIROLE (REQUIP) 1MG TAB | 14 |
2626504 | SULFASALAZINE 500MG TAB EMP | 12 |
2626505 | CEFPODOXIME PROX(VANTIN) 200MG TAB | 35 |
2626506 | RENAL CAPS (VIRT-CAPS) CAP | 12 |
2626507 | CALCIUM ACETATE (PHOS LO) 667MG CAP | 16 |
2626508 | PIPERAC/TAZOBACT (ZOSYN)2.25GM IVPB | 86 |
2626509 | MORPHINE 20MG/ML CONC.ORAL SOL 30MLC2 | 131 |
2626511 | DIPHENHYDRAMINE (BENADRYL) 2% CRM 28GM | 29 |
2626512 | FENTANYL (DURAGESIC) 12MCG PATCH C2 | 126 |
2626513 | VANCOMYCIN / SWFI 125MG/2.5ML ORAL SOL | 82 |
2626514 | PANTOPRAZOLE (PROTONIX) 40MG SUSP | 49 |
2626515 | ACYCLOVIR (ZOVIRAX) 400MG TAB | 29 |
2626516 | CALC CARB (TUMS) 500MG ANTACID TAB | 13 |
2626517 | HYDROCLORTHIAZIDE 12.5MG CAP | 12 |
2626518 | MOXIFLOXAC(AVELOX) 400MG/250ML IVPB | 139 |
2626519 | POTASSIUM CHLORIDE 10MEQ/5ML INJ | 44 |
2626520 | OMEGA 3 (FISH OIL) 1000MG CAP | 12 |
2626521 | GALANTAMINE (RAZADYNE) ER 16MG TAB | 33 |
2626522 | SEVELAMER CARB (RENVELA) 800MG TAB | 19 |
2626523 | SODIUM BICARBONATE 650MG TAB (10GR) | 12 |
2626524 | PRIMIDONE (MYSOLINE) 50MG TAB UD | 13 |
2626525 | PYRIDOSTIGMINE (MESTINON) 60MG TAB | 13 |
2626526 | MEMANTINE (NAMENDA) 5MG TAB UD | 24 |
2626527 | MAGNESIUM SULF 50% (1GM) 2ML VIAL IV/IM | 29 |
2626528 | ASPIRIN/DIPYR(AGGRENOX)25/200MGTAB | 26 |
2626529 | DENOSUMAB (PROLIA) 60MG/ML SC INJ | 4649 |
2626530 | CILOSTAZOL (PLETAL) 100MG TAB | 15 |
2626531 | ATORVASTATIN (LIPITOR) 40MG TAB UD | 30 |
2626532 | METHYLPRED (DEPOMED) 80MG IM INJ 1ML | 117 |
2626533 | DIAZEPAM (DIASTAT) 10MG RECTAL GEL C4 | 471 |
2626534 | ATROPINE 1% OP DROPS 15ML | 153 |
2626536 | FLUTICASONE HFA 220MCG INH 120 DOSES | 789 |
2626537 | OLANZAPINE (ZYPREXA) 10MG IM INJ | 226 |
2626538 | DEXAMETHASONE 10MG/ML INJ 10ML MDV | 72 |
2626539 | LIDOCAINE(XYLOCAINE MPF)MPF 1%5ML J | 62 |
2626540 | SODIUM CHL PF 0.9% 10ML INJ VIAL | 37 |
2626541 | NEBIVOLOL (BYSTOLIC) 20MG TAB | 24 |
2626542 | PHENYLEPHRINE 1% 10MG INJ 1ML | 72 |
2626543 | LEVALBUT (XOPENEX) 1.25MG NEB SOL 3ML | 48 |
2626544 | LIDOCAINE (XYLOC)2% 40MG INJ 2ML SDV | 50 |
2626545 | EPTIFIBAT (INTEGRILIN)75MG/100ML J | 1922 |
2626546 | EPTIFIBATIDE(INTEGRILIN)20MG/10ML J | 653 |
2626547 | CEFPROZIL(CEFZIL)250MG/5MLSUSP 75ML | 193 |
2626548 | FORMOT (PERFOROMIST)20MCG2MLINHSOL | 50 |
2626550 | DOXYCYCLINE HYCLATE 20MG TAB | 16 |
2626551 | FERUMOXYTOL (FERAHEME) 30MG/ML 17M | 3912 |
2626552 | OSELTAMIVIR (TAMIFLU) 45MG CAP | 49 |
2626553 | OSELTAMIVIR(TAMIFLU) 6MG/ML60ML SUS | 555 |
2626554 | GABAPENTIN (NEURONTIN) 600MG TAB | 16 |
2626555 | FAMOTIDINE (PEPCID) 20MG INJ 2ML | 194 |
2626558 | PALONOSETRON (ALOXI) 0.25MG/5ML IV | 3493 |
2626559 | ROFLUMILAST (DALIRESP) 500MCG TAB | 35 |
2626560 | RIVAROXABAN (XARELTO) 10MG TAB | 53 |
2626561 | PERMETHRIN (ELIMITE) 5% 60GM CRM | 290 |
2626562 | RITUXIMAB (RITUXAN) 100MG 10ML IVPB | 5802 |
2626563 | RITUXIMAB (RITUXAN) 500MG 50ML IVPB | 28841 |
2626564 | D5W AVIVA BAG 6E0063 500ML IV SOL | 100 |
2626565 | NS AVIVA BAG 6E1323 500ML IV SOL | 100 |
2626566 | NS AVIVA BAG 6E1322 250ML IV SOL | 100 |
2626568 | PHASEAL INJECTOR FOR CHEMO (N35) | 96 |
2626569 | PHASEAL CONNECTOR FOR CHEMO (N35) | 63 |
2626570 | VALACYCLOVIR (VALTREX) 500MG TAB | 35 |
2626571 | LORATADINE (CLARITIN) 5MG/5ML SYR | 12 |
2626572 | CHLORHEX (PERIDEX) ORAL RINSE 0.12%15ML | 12 |
2626573 | HYDROMORPHONE (DILAUDID) 4MG/ML INJ C2 | 78 |
2626574 | PARICALCITOL (ZEMPLAR) 1MCG CAP | 54 |
2626575 | CETUXIMAB (ERBITUX) 200MG/100ML IVP | 9322 |
2626576 | LOSARTAN (COZAAR) 100MG TAB | 18 |
2626577 | FUROSEMIDE (LASIX) 100MG/10ML INJ | 50 |
2626578 | INSULIN DETEMIR 1UN INJ (LEVEMIR) | 14 |
2626579 | TRAZODONE (DESYREL) 150MG TAB | 15 |
2626580 | MORPHINE PCA 1MG/ML 30ML PFS C2 | 95 |
2626581 | GRANISETRON (KYTRIL) 1MG/ML 1ML INJ | 633 |
2626582 | CARBOPLAT(PARAPLAT) 600MG/60ML IVPB | 521 |
2626583 | ETOPOSIDE (VEPESID)20MG/ML 5ML IVP | 132 |
2626584 | CARBOPLAT (PARAPLAT) 450MG/45ML IVP | 633 |
2626585 | CARBOPLAT (PARAPLAT) 150MG/15ML IVP | 192 |
2626586 | ETOPOSIDE (VEPESID) 20MG/ML25ML IVP | 338 |
2626587 | MORPHINE SULF IR 15MG TAB C2 | 26 |
2626588 | TOLVAPTAN (SAMSCA) 15MG TAB | 1315 |
2626589 | POTAS AC PHOSPHATE (K-PHOS) TAB | 15 |
2626590 | DIVALPROEX (DEPAKOTE) 125MG DR TAB | 16 |
2626591 | BUDES/FORMOT (SYMBICORT)160/4.5 INH 6GM | 513 |
2626592 | CEFTAZIDIME (FORTAZ) 2GM IVPB | 72 |
2626593 | METHYLPRED (SOLU-MEDROL) 500MG IVP 4ML | 163 |
2626594 | HYDROXYZINE PAM (VISTARIL)25MG CAP | 19 |
2626595 | BINFANTIS (ALIGN) PROBIOTIC 4MG CAP | 13 |
2626596 | LITHIUM (LITHOBID) 150MG CAP | 15 |
2626597 | TOLTERODINE (DETROL LA) 4MG CAP | 37 |
2626598 | AMIODARONE (PACERONE) 200MG TAB UD | 18 |
2626599 | MELOXICAM (MOBIC) 7.5MG TAB | 17 |
2626600 | PREGABALIN (LYRICA) 100MG CAP C5 | 26 |
2626601 | THEOPHYLLINE (THEODUR) ER 100MG TAB | 16 |
2626602 | VENLAFAXINE (EFFEXOR) 75MG TAB UD | 16 |
2626603 | LAMOTRIGINE (LAMICTAL) 100MG TAB | 30 |
2626604 | CHLORDIAZEPOXIDE (LIBRIUM)25MG CAP C4 | 17 |
2626605 | LEVOTHYROXINE (SYNTHROID)75MCG TAB | 15 |
2626606 | DEXAMETHASONE (DECADRON) 2MG TAB UD | 16 |
2626607 | EYE-VITE (OCUVITE) TAB | 9 |
2626608 | CHOLECALCIFEROL (VIT D3) 2000IU TAB | 15 |
2626609 | METFORMIN (GLUCOPHAGE)ER 750MG TAB | 16 |
2626610 | ACYCLOVIR (ZOVIRAX) 1000MG IVPB | 150 |
2626611 | CRASH CART FEE | 452 |
2626612 | ZINC SULFATE (ZINC) 220MG CAP | 15 |
2626613 | LEVOTHYROXINE (SYNTHROID)50MCG TAB | 15 |
2626614 | LACTULOSE (DUPHALAC) 10G/15ML SOL UD | 15 |
2626615 | ISOSORBIDE MONO (IMDUR) 60MG ER TAB | 16 |
2626616 | FELODIPINE (PLENDIL) ER 5MG TAB | 15 |
2626617 | SUCRALFATE (CARAFATE) 1GM/10ML SUSP | 38 |
2651645 | NEO/POLY/DEX (MAXITROL)5ML OP SUSP | 51 |
2651647 | NEO/POLY/DEX (MAXITROL)3.5GM OP OIN | 51 |
2654004 | ACETAMINOPHEN (TYLENOL) 120MG SUPP | 15 |
2654006 | ACETAMINOPHEN (TYLENOL) 650MG SUPP | 14 |
2654010 | ACETAMIN(TYLENOL)160MG/5MLSOL/SUSP | 15 |
2654011 | ACETAMIN/COD(TYL#3)120/12.5/5ML SOL C5 | 15 |
2654015 | ACETAMINOPHEN (TYLENOL) 325MG TAB UD | 15 |
2654025 | ACETAMIN/COD (TYL#3) 300/30 TAB C3 | 29 |
2654036 | ACETYLCYSTINE(MUCOMYST)10% 10ML SOL | 57 |
2654038 | ACETYLCYSTINE 20% 30ML SOL ORAL/INH | 770 |
2654040 | ALBUMIN 25% 50ML IVPB | 635 |
2654050 | ALBUTEROL (VENTOLIN)HFA 60-DOSE INH | 87 |
2654051 | IPRATROP/ALBUT(COMBIVENT)14.7GM INH | 659 |
2654060 | ALLOPURINOL (ZYLOPRIM) 100MG TAB | 15 |
2654061 | ADMINISTRATION FEE FLU VACCINE | 33 |
2654063 | EPINEPHRINE (ADRENALIN) 30ML VIAL | 268 |
2654070 | ALPRAZOLAM (XANAX) 0.25MG TAB C4 | 16 |
2654075 | ALPRAZOLAM (XANAX) 0.5MG TAB C4 | 16 |
2654105 | AMINOPHYLLIN 250MG INJ 10ML | 81 |
2654117 | OLANZAPINE (ZYPREXA) 2.5MG TAB | 37 |
2654155 | AMITRIPTYLINE (ELAVIL) 25MG TAB | 15 |
2654161 | AMLODIPINE (NORVASC) 5MG TAB | 18 |
2654170 | AMOX 125MG/5ML SUSP 80ML | 16 |
2654175 | AMOXICILLIN (AMOXIL) 250MG/5ML SUSP | 10 |
2654185 | AMOXICILLIN 500MG CAP | 16 |
2654205 | AMPICILLIN 500MG CAP EMP | 16 |
2654221 | AMPICILLIN (OMNIPEN) 2GM VIAL IVPB | 110 |
2654224 | CALCIUM CARB (TUMS) EX 750MG 4 TABS | 15 |
2654226 | LIDOCAINE VISCOUS 2% SUSP 10ML | 24 |
2654235 | LUBRICANT EYE DROPS 15ML | 44 |
2654236 | LUBRICANT (LACRI-LUBE) OP OINT | 46 |
2654245 | ASPIRIN CHEWABLE 81MG TAB | 15 |
2654249 | ASPIRIN 325MG EC TAB | 15 |
2654252 | LORAZEPAM (ATIVAN) 2MG INJ 1ML C4 | 172 |
2654253 | LOVASTATIN (MEVACOR) 20MG TAB | 33 |
2654254 | HYDROCODONE/APAP (LORCET PLUS) 7.5/650 T | 13 |
2654255 | ATROPINE 0.4MG INJ 1ML | 49 |
2654260 | ATROPINE 1MG/10ML PFS INJ | 131 |
2654262 | IPRATROPIUM HFA (ATROVENT HFA) 13GM INH | 828 |
2654263 | TRIAMCINOLONE (KENALOG) 40MG/ML INJ 5ML | 227 |
2654264 | AMOX/CLAV 500/125MG TAB | 35 |
2654266 | MUPIROCIN (BACTROBAN) 2% OINT 22GM | 128 |
2654276 | BETHANECHOL (URECHOLINE) 10MG TAB | 17 |
2654285 | PENICIL G BENZ LA 1.2MU INJ | 679 |
2654305 | BISACODYL (DULCOLAX) 5MG TAB | 15 |
2654310 | BISACODYL (BISCOLAX) 10MG SUPP | 15 |
2654329 | BRIMONID(ALPHAGAN P)0.1% 10ML OP SOL | 629 |
2654352 | BUSPIRONE (BUSPAR) 5MG TAB | 18 |
2654353 | BUSPIRONE (BUSPAR) 10MG TAB EMP | 18 |
2654355 | BUT/ACET/CAF(FIORICET) 50/325/40 TAB EMP | 15 |
2654375 | CALCIUM CHLORIDE 10%(1GM) PFS INJ 10ML | 57 |
2654376 | CALCIUM GLUCONATE 10% 1000MG SDV 10ML | 49 |
2654378 | CAPTOPRIL (CAPOTEN) 12.5MG TAB | 17 |
2654385 | CAPTOPRIL (CAPOTEN) 50MG TAB | 18 |
2654405 | CARBID/LEVOD (SINEMET) 25-100MG TAB | 16 |
2654418 | CEFTAZIDIME (FORTAZ) 500MG INJ | 49 |
2654437 | CEFUROXIME (CEFTIN) 250MG TAB | 39 |
2654450 | CEPHALEX (KEFLEX) 250MG/5ML SUSP 100ML | 77 |
2654455 | CEPHALEXIN (KEFLEX) 250MG CAP | 16 |
2654460 | CEPHALEXIN (KEFLEX) 500MG CAP | 21 |
2654470 | CEFAZOLIN (ANCEF) 1GM INJ | 57 |
2654473 | ACTIVATED CHARCOAL 25GM | 77 |
2654477 | CLOPIDOGREL (PLAVIX) 75MG TAB UD | 30 |
2654540 | CHLORPROMAZINE (THORAZINE) 25MG TAB | 40 |
2654561 | CHLORASEPTIC SORE THROAT 177ML SPR | 57 |
2654600 | MAG CITRATE (CITROMA) 296ML OR SOL | 18 |
2654604 | LORATADINE (CLARITIN) 10MG TAB | 21 |
2654605 | CLINDAMYCIN (CLEOCIN) 150MG CAP | 21 |
2654610 | CLINDAMYCIN (CLEOCIN) 300MG INJ 2ML | 151 |
2654617 | IBUTILIDE FUM (CORVERT) 1MG/ML 10ML | 821 |
2654620 | CLONIDINE (CATAPRES) 0.1MG TAB | 15 |
2654647 | COLCHICINE (COLCRYS) 0.6MG TAB | 32 |
2654676 | DILTIAZEM CD (CARDIZEM) 180MG CAP | 21 |
2654678 | DILTIAZEM CD (CARDIZEM) 120MG CAP | 16 |
2654684 | CYANOCOBALAMIN (VIT B-12) 1MG VL 1ML | 50 |
2654690 | CYCLOBENZAPRINE (FLEXERIL) 10MG TAB UD | 17 |
2654720 | DEXAMETHASONE 4MG INJ 1ML | 57 |
2654755 | DEXTROSE 50% (25GM) PFS INJ 50ML | 131 |
2654775 | DIAZEPAM (VALIUM) 5MG TAB C4 | 15 |
2654794 | DICYCLOMINE (BENTYL) 20MG/2ML AMP INJ | 191 |
2654795 | DICYCLOMINE (BENTYL) 10MG CAP | 15 |
2654810 | DIGOXIN (LANOXIN) 125MCG TAB | 16 |
2654815 | DIGOXIN (LANOXIN) 0.25MG TAB | 9 |
2654820 | DIGOXIN (LANOXIN) 500MCG/2ML AMP INJ | 50 |
2654832 | DILTIAZEM (CARDIZEM) 60MG TAB UD | 16 |
2654840 | DIPHENHYDRAMINE (BENADRYL) 25MG CAP | 15 |
2654855 | DIPHENHYDRAMINE (BENADRYL) 50MG/ML INJ | 49 |
2654860 | DIPHENOXYL/ATROPINE (LOMOTIL) TAB C5 | 15 |
2654886 | DOCUSATE (COLACE) 100MG ORAL SOL 10ML | 12 |
2654890 | DOME PASTE BANDAGE 3 INCH BANDAGE | 84 |
2654900 | DOME PASTE BANDAGE 4INCH BANDAGE | 84 |
2654906 | DOPAMINE 400/5ML INJ | 38 |
2654925 | DOXYCYCLINE HYCLATE 100MG TAB | 16 |
2654930 | DOXYCYCLINE (VIBRAMYCIN) 100MG/20ML INJ | 227 |
2654937 | ENALAPRIL (VASOTEC) 10MG TAB U/D | 16 |
2654938 | EPHEDRINE 50MG INJ 1ML | 129 |
2654939 | EPINEPHRINE 1MG/ML AMP/VIAL 1ML | 75 |
2654940 | EPINEPHRINE 1MG/10ML PFS | 39 |
2654941 | EPOETIN ALFA 4,000U/ML (PROCRIT) | 540 |
2654996 | ERYTHROMYCIN LACTOBINATE 500MG VIAL | 151 |
2655000 | ERYTHROMYCIN 3.5GM OP OINT | 46 |
2655020 | FERROUS SULFATE (FEOSOL) 324MG TAB | 15 |
2655023 | FLUCONAZOLE (DIFLUCAN) 150MG TAB | 72 |
2655037 | FLUOXETINE (PROZAC) 20MG CAP | 37 |
2655040 | FOLIC ACID (FOLVITE) 1MG TAB UD | 15 |
2655050 | FUROSEMIDE (LASIX) 20MG TAB UD | 15 |
2655055 | FUROSEMIDE (LASIX) 40 MG TAB | 15 |
2655060 | FUROSEMIDE (LASIX) 20MG INJ 2ML VL | 46 |
2655070 | FUROSEMIDE (LASIX) 40MG INJ 4ML VL | 74 |
2655085 | GENTAMICIN (GARAMYCIN) 80MG INJ 2ML | 81 |
2655090 | GENTAMIC (GARAMYCIN) 0.3% 5ML OPSOL | 68 |
2655092 | GLIPIZIDE (GLUCOTROL) 5MG TAB | 16 |
2655094 | METFORMIN (GLUCOPHAGE) 500MG TAB | 15 |
2655095 | GLUCAGON (GLUCAGEN) 1MG INJ | 814 |
2655105 | GLYCERIN PEDIATRIC SUPP | 15 |
2655110 | GLYCOPYRROLATE 0.4MG INJ (ROBINUL) 2ML | 132 |
2655114 | CARBAMIDE PEROX (DEBROX) 15ML EAR DRP | 68 |
2655117 | GOLYTELY PEG 3350 & ELECTROLYTE SOL | 165 |
2655119 | GUAIFENESIN/DM SYR 5ML | 15 |
2655120 | GUAIFEN 200MG SYR SF AF 10ML | 15 |
2655121 | GUAIFEN/CODIENE ORAL SOL 5ML C5 | 15 |
2655125 | HALOPERIDOL (HALDOL) 0.5MG TAB | 9 |
2655140 | HALOPERIDOL (HALDOL) 5MG INJ 1ML | 61 |
2655150 | HEMORRHOIDAL HC (ANUSOL) 25MG SUPP | 59 |
2655170 | HEPARIN 10000U INJ 1ML | 50 |
2655172 | HEPARIN FLUSH 100U VIAL 1ML | 37 |
2655173 | HEPARIN 5000U INJ | 38 |
2655174 | HETASTARCH 6% IN NS 500ML | 242 |
2655185 | HYDRALAZINE (APRESOLINE) 10MG TAB | 15 |
2655186 | HYDRALAZINE 25MG TAB UD | 15 |
2655195 | HYDRALAZINE (APRESOLINE) 20MG/ML J | 72 |
2655205 | HYDROCHLOROTHIAZIDE (ORETIC) 25MG TAB UD | 72 |
2655215 | HYDROCORTIS (SOLU-CORTEF) 100MG/2ML INJ | 95 |
2655225 | HYDROGEN PEROXIDE 3% SOLN | 16 |
2655234 | HYDROXYZINE (ATARAX) HCL 10MG TAB | 15 |
2655235 | HYDROXYZINE (ATARAX) HCL 25MG TAB UD | 17 |
2655244 | HYDROXYZINE 10MG ORAL SYRUP 5ML | 15 |
2655245 | HYDROXYZINE (VISTARIL) 50MG/ML INJ | 49 |
2655295 | INFLUEN VACC PED 6M-35M PFS 0.25ML | 149 |
2655300 | IBUPROFEN (MOTRIN) 400MG TAB | 15 |
2655305 | IBUPROFEN (MOTRIN) 600MG TAB | 15 |
2655359 | ISOSORBIDE DIN (ISORDIL) 10MG TAB | 15 |
2655375 | LEVOFLOXACIN (LEVAQUIN) 500MG/100ML PREM | 239 |
2655377 | LEVOFLOXACIN (LEVAQUIN) 500MG TAB | 57 |
2655378 | LABETOLOL (TRANDATE) 5MG/ML INJ 20ML MDV | 48 |
2655379 | LEVOFLOXACIN (LEVAQUIN) 250MG TAB | 51 |
2655382 | LEVOTHYROXINE (SYNTHROID) 25MCG TAB UD | 15 |
2655387 | DOCUSATE (COLACE) 100MG CAPSULE | 15 |
2655390 | LEVOTHYROXINE (SYNTHROID) 100MCG TAB | 15 |
2655400 | LIDOCAINE/EPI 1% 20ML VIAL | 63 |
2655405 | LIDOCAINE PFS 2% 20MG/ML 5ML | 120 |
2655409 | LIDO/DEXTROSE 2GM/500ML PREMIX | 95 |
2655426 | XYLOCAINE4TOP 5-18-99 | 30 |
2655431 | LISINOPRIL (PRINIVIL) 10MG TAB UD | 17 |
2655435 | LOPERAMIDE (IMMODIUM) 2MG TAB | 17 |
2655437 | LOPERAMIDE (IMMODIUM AD) 1MG/5ML LIQ | 9 |
2655442 | OMEPRAZOLE (PRILOSEC) 20MG CAP | 48 |
2655443 | HYDROCOD/APAP (LORCET) 10/650MG TAB | 18 |
2655445 | LORAZEPAM (ATIVAN) 0.5MG TAB C4 | 15 |
2655447 | CLOTRIMAZOLE (LOTRIMIN) 1% CRM 28.35GM | 141 |
2655460 | MANNITOL 12.5GM/50ML (25%) INJECTION | 72 |
2655465 | MECLIZINE (ANTIVERT) 12.5MG TAB | 15 |
2655470 | MEPERIDINE (DEMEROL) 25MG/ML INJ C2 | 68 |
2655471 | MEPERIDINE (DEMEROL) 50MG/ML INJ C2 | 72 |
2655472 | METHYLENE BLUE 1% 10MG INJ 1ML | 128 |
2655473 | MEPERIDINE (DEMEROL) 75MG INJ 1ML C2 | 68 |
2655495 | METHOCARBAMOL (ROBAXIN) 500MG TAB | 16 |
2655530 | METHYLPRED (SOLU-MEDRO) 40MG/ML INJ | 50 |
2655535 | METHYLPRED (SOLU-MED) 125MG/2ML INJ | 69 |
2655545 | METHYLPRED (SOLU-MED) 1GM INJ | 285 |
2655550 | METHYLPRED (DEPO-MED) 40MG IM INJ 1ML | 68 |
2655556 | METOCLOPRAMIDE (REGLAN) 10MG TAB | 16 |
2655558 | METOCLOPRAMIDE (REGLAN) 10MG INJ 2ML VL | 57 |
2655561 | METOPROLOL (LOPRESSOR) 100MG TAB | 17 |
2655566 | METOLAZONE (ZAROXOLYN) 5MG TAB | 24 |
2655570 | METRONIDAZOLE (FLAGYL) 250MG TAB | 15 |
2655571 | METRONIDAZOLE 500MG TAB | 15 |
2655573 | METOPROLOL (LOPRES) 5MG/5ML INJ 5ML | 97 |
2655574 | DILTIAZEM 25MG VIAL 5ML SDV | 81 |
2655575 | METRONIDAZOLE 500MG PREMIX 100ML BAG | 113 |
2655583 | GLYBURIDE (DIABETA) 5MG TAB | 16 |
2655585 | MILK OF MAGNESIA 30ML | 15 |
2655590 | MINERAL OIL 10ML | 15 |
2655600 | MORPHINE 10 MG/ML INJ 1ML C2 | 66 |
2655604 | MORPHINE ER 15MG TAB C2 | 26 |
2655608 | MORPHINE 2MG INJ 1ML C2 | 63 |
2655620 | NALOXONE (NARCAN) 0.4MG/ML INJ | 85 |
2655632 | NAPROXEN (NAPROSYN) 500MG TABLET | 11 |
2655643 | NICOTINE (NICODERM) 21MG/24H PATCH | 56 |
2655705 | NITROGLYC (NITROSTAT) 0.4MG 3 TABS | 46 |
2655720 | NITROGLYCERIN (NITRO-BID) 2% OINT 1GM PK | 13 |
2655721 | NITROGLYCERIN 50MG/10ML INJ | 223 |
2655722 | IVAC UNINVERSAL SET c LOW SORBING TUBING | 108 |
2655727 | KETOCONAZOLE 2% CRM 15GM EMP | 171 |
2655732 | NORTRIPTYLINE (PAMELOR) 10MG CAP | 15 |
2655745 | NYSTATIN SUSP 60ML BOTTLE | 56 |
2655747 | OFLOXACIN (OCUFLOX) 0.3% OP SOL 5ML | 121 |
2655750 | NYSTATIN 100 M-U/GM CRM 15GM | 54 |
2655751 | NEO/POLY/HC (CORTISPOR) EAR SUSP 10ML | 228 |
2655752 | NEO/POLY/HC (CORTISPOR) EAR SOL 10ML | 228 |
2655775 | NAFCILLIN 2GM VIAL | 193 |
2655790 | OXYCOD/ACET (PERCOCET) 5/325MG TAB C2 | 26 |
2655800 | OXYTOCIN (PITOCIN) 10UNITS/ML INJ 1ML | 44 |
2655806 | PAROXETINE (PAXIL) 20MG TAB UD | 33 |
2655830 | PENICILLIN VK (VEETIDS) 500MG TAB | 13 |
2655850 | PHENAZOPYRID (PYRIDIUM) 100MG TAB | 21 |
2655855 | PHENAZOPYRID (PYRIDIUM) 200MG TAB | 8 |
2655860 | PHENOBARBITAL 20MG/5ML ELIXIR C4 | 13 |
2655865 | PHENOBARBITAL 130MG/ML INJ C4 | 39 |
2655870 | PHENOBARBITAL 30MG TAB C4 | 13 |
2655880 | PHENYTOIN (DILANTIN) 100MG ER CAP | 13 |
2655881 | PHENYTOIN 125MG/5ML SUSP 237ML | 142 |
2655882 | PHENYTOIN (DILANTIN) 50MG TAB | 13 |
2655887 | VITAMIN K (MEPHYTON) 5MG TAB | 253 |
2655888 | VITAMIN K-1 (PHYTONADIONE) 10MG INJ 1ML | 198 |
2655925 | PNEUMONIA VACCINE 23 POLYVALENT | 384 |
2655930 | NEO/POL/HC (CORTISPOR) OP SUS 7.5ML | 321 |
2655934 | NEO/POLY/BAC (NEOSPOR) OP OINT 3.5GM | 137 |
2655944 | NEO/POL/BAC/HC(CORTISP) OP OI 3.5GM | 184 |
2655945 | NEO/POLY/GRAM (NEOSPOR) OP SOL 10ML | 149 |
2655946 | POLYSPORIN POWDER 10GM | 95 |
2655948 | POLYMIX/BAC (POLYSPORIN) OP OINT 3.5GM | 95 |
2655960 | POTASSIUM CHLORIDE 20MEQ/10ML INJ | 42 |
2655961 | POTASSIUM CHLORIDE 40MEQ/20ML INJ | 42 |
2655965 | POTASSIUM CHLORIDE (KDUR) 10MEQ ER TAB | 13 |
2655970 | POTASSIUM CL 10% 20MEQ/15ML ORAL SOLN | 50 |
2655980 | POTASSIUM PHOS 45MM/66MEQ 15ML INJ | 42 |
2655994 | PREDNISOLONE (PEDIAPRED) 1MG/ML LIQ | 16 |
2655996 | PREDNISONE (DELTASONE) 5MG TABLET | 13 |
2655997 | PREDNISONE (DELTASONE) 10MG TAB UD | 13 |
2655998 | PREDNISONE (DELTASONE) 20MG TABLET | 13 |
2656000 | PRE-PEN TEST | 44 |
2656001 | LISINOPRIL (PRINIVIL) 20MG TAB UD | 16 |
2656002 | AMPICIL/SULBACT (UNASYN) 1.5GM VIAL IVPB | 121 |
2656003 | AMPICIL/SULBACT (UNASYN) 3GM VIAL IVPB | 172 |
2656006 | LISINOPRIL (PRINIVIL) 5MG TAB UD | 15 |
2656010 | PROCAINAMIDE (PROCAN) 500MG SR TAB | 9 |
2656019 | IMIPEN-CILAST(PRIMAXIN) 500MG 10ML VL | 204 |
2656029 | ONDANSETRON (ZOFRAN) 4MG/2ML VL INJ | 171 |
2656057 | NIFEDIPINE (NIFEDICAL) XL 30MG TAB EMP | 17 |
2656060 | PROMETHAZINE (PHENERGAN) 50MG INJ 1ML | 46 |
2656061 | PROMETHAZINE (PHENERGAN)25MG INJ 1ML | 35 |
2656071 | PROMETH/COD 6.25/10MG SYP 10ML C5 | 16 |
2656101 | PROPRANOLOL (INDERAL) 20MG TABLET | 13 |
2656146 | RANITIDINE 25MG/ML MDV 6ML (150MG/6ML) | 33 |
2656147 | RANITIDINE (ZANTAC) 150MG TAB | 26 |
2656149 | RANITIDINE (ZANTAC) 300MG TAB EMP | 38 |
2656150 | RISPERIDONE (RISPERDAL) 1MG TAB | 19 |
2656157 | CEFTRIAXONE (ROCEPHIN) 1GM VIAL | 405 |
2656159 | CEFTRIAXONE (ROCEPHIN) 2GM VIAL | 775 |
2656165 | SENNA (SENOKOT) 8.6MG TAB | 13 |
2656167 | SENNA/DOCUSATE (SENOKOT-S) TAB | 13 |
2656177 | SILVER NITRATE APPLICATOR STICK/SWAB 1 | 13 |
2656180 | SIMETHICONE (MYLICON) 125MG TAB | 13 |
2656181 | SERTRALINE (ZOLOFT) 50MG TAB | 33 |
2656184 | SIMVASTATIN (ZOCOR) 10MG TAB | 26 |
2656185 | SIMETHICONE DROPS 30ML (20MG/0.3ML) SUSP | 70 |
2656190 | SODIUM BICARB 8.4% INJ ADULT 50ML | 131 |
2656193 | SODIUM BICARB 8.4% PEDIATRIC INJ 10ML | 98 |
2656195 | SODIUM CHLORIDE 50MEQ INJ | 36 |
2656199 | SOD CITRATE/CITRIC ACID(BICITRA)SOL | 13 |
2656200 | SODIUM CHLORIDE (OCEAN) 0.65% NASAL SPRA | 51 |
2656210 | SPIRONOLACTONE (ALDACTONE) 25MG TAB UD | 13 |
2656217 | STOMATITIS COCKTAIL ALA/DON/LIDO 30ML | 161 |
2656230 | SUCRALFATE (CARAFATE) 1GM TAB | 16 |
2656236 | SUMATRIPTAN (IMITREX) 6MG/0.5ML INJ | 385 |
2656259 | TAMSULOSIN (FLOMAX) 0.4MG CAP UD | 19 |
2656261 | TEMAZEPAM (RESTORIL) 15MG CAP C4 | 13 |
2656263 | TERBUTALINE(BRETHINE)1MG/ML INJ 1ML | 46 |
2656295 | TETANUS TOXOID INJ 0.5ML | 44 |
2656297 | TETRACAINE 0.5% OP SOL DROPPERETTE 2ML | 30 |
2656338 | THIAMINE (VIT B1) 200MG INJ 2ML VIAL | 61 |
2656370 | PHENOL 29MG 18 LOZENGE BOX | 51 |
2656393 | TOBRAMYC/DEXAMETH (TOBRADEX) OP OINT | 509 |
2656422 | KETOROLAC 60MG/2ML INJ (IM) | 124 |
2656423 | ACTIVASE (ALTEPLASE) 100MG INJ | 37425 |
2656430 | TRAZODONE (DESYREL) 50MG TAB UD | 15 |
2656432 | PENTOXIFYLLINE(TRENTAL)400MG ER TAB | 16 |
2656435 | TRIAMCINOLONE(KENALOG)0.1% CRM 15GM | 35 |
2656440 | NYSTATIN/TRIAMCINOLONE CRM 60GM | 521 |
2656452 | TRIAMTERENE/HCTZ (MAXIDE) 37.5/25 TAB | 16 |
2656485 | SULFA / TRIMETH DS 800/160 U/D TAB | 21 |
2656486 | SULFA / TRIMETH 200/40 ORAL SUSP 5ML | 34 |
2656510 | TUBERCULIN (APLISOL) TB PPD TEST | 66 |
2656515 | VERAPAMIL (CALAN) 80MG TAB | 25 |
2656516 | AMPICIL/SULBAC (UNASYN) 1.5GM IM INJ | 70 |
2656517 | AMPICIL/SULBAC (UNASYN) 3GM IM INJ | 109 |
2656519 | VANCOMYCIN (VANCOCIN) 1GM INJ | 548 |
2656521 | VERAPAMIL (CALAN SR) 180MG SR TAB | 18 |
2656522 | VERAPAMIL (VERELAN) 240MG SR CAP EMP | 18 |
2656523 | TRAMADOL (ULTRAM) 50MG TAB UD C4 | 16 |
2656525 | VERAPAMIL (CALAN) 5MG INJ 2ML VIAL | 143 |
2656530 | MULTIVITAMIN+MINERALS TABLET | 15 |
2656540 | MULTIVITAMIN (MVI 12) 10ML INJ | 109 |
2656554 | WARFARIN (COUMADIN) 2.5MG TAB | 10 |
2656555 | WARFARIN (COUMADIN) 5MG TAB | 16 |
2656556 | WARFARIN (COUMADIN) 2MG TAB | 16 |
2656557 | ROCURONIUM (ZEMURON) 50MG INJ 5ML VIAL | 128 |
2656559 | ZOLPIDEM (AMBIEN) 5MG TAB UD C4 | 33 |
2656565 | IVAC CONTROLLER | 70 |
2656570 | BAXTER PUMP | 152 |
2656571 | RFA RADIO FREQUENCY ABLATION | 525 |
2657102 | ACYCLOVIR (ZOVIRAX) 200MG/5ML SUSP | 18 |
2657103 | ADENOSINE (ADENOCARD) 3MG/ML 2ML INJ | 282 |
2657112 | ENALAPRIL (VASOTEC) 5MG TAB EMP | 17 |
2657117 | BENZONATATE (TESSALON) 100MG CAP | 16 |
2657120 | LABETALOL (NORMODYNE) 100MG TAB | 16 |
2657121 | BETAMETHASONE (CELESTONE) 6MG INJ 1ML | 57 |
2657124 | OXYBUTYNIN (DITROPAN) 5MG TAB | 16 |
2657129 | CARBAMAZEPINE (TEGRETOL) 200MG TAB | 16 |
2657130 | IBUPROFEN (MOTRIN) 800MG TAB UD | 15 |
2657132 | GEMFIBROZIL (LOPID) 600MG TABLET | 21 |
2657138 | CIPROFLOXACIN (CIPRO) 500MG TAB UD | 41 |
2657140 | DIVALPROEX (DEPAKOTE) DR 250MG TAB | 16 |
2657150 | BUPIVACAINE (MARCAINE) 0.25%PF INJ 10ML | 50 |
2657155 | DOBUTAMINE (DOBUTREX) 250MG PREMIX 250ML | 893 |
2657156 | BUMETANIDE (BUMEX) 1MG TAB | 16 |
2657158 | BUMETANIDE (BUMEX) 1MG/4ML INJ | 53 |
2657165 | HYDROCORTISONE (CORTAID) 1% CREAM | 46 |
2657169 | MIDAZOLAM (VERSED) 2MG INJ 2ML C4 | 143 |
2657172 | MIVACURIUM INJ 2MG/ML(MIVACRON)VIAL | 41 |
2658097 | PHENYLEPHRINE 0.25% (MILD)15ML NASPRY | 70 |
2659102 | PREDNISOLONE 1% OP SOL 5ML | 113 |
2659103 | OXYMETAZOLINE 0.5% 12HR NAS SPRY | 53 |
2659104 | NS 100ML IV FLUID | 100 |
2659105 | D5LR 1000ML IV 404881 | 100 |
2659107 | D5 1/2NS 1000ML IV 019531 | 100 |
2659108 | D5W 1000ML IV | 100 |
2659109 | LR 1000ML IV FLUID | 100 |
2659110 | NS 1000ML IV FLUID | 100 |
2659111 | NS 0.45% 1000ML IV | 100 |
2659112 | NS 250ML IV | 100 |
2659113 | NS 500ML IV | 100 |
2659114 | NS 0.45% 500ML IV 2B1313Q | 100 |
2659115 | D5W 500ML IV | 100 |
2659120 | D5NS 1000ML IV | 100 |
2659121 | TOBRAMYCIN (TOBREX) 0.3% OP SOL 5ML | 100 |
2659149 | AZITHROMYCIN (ZITHROMAX) 250MG TAB | 88 |
2659150 | TERAZOSIN (HYTRIN) 1MG CAP | 18 |
2659191 | AZITHROMYCIN 100MG/5ML SUSP 15ML | 153 |
2659193 | AZITHROMYC(ZITHRO)200MG/5MLSUSP15ML | 161 |
2676081 | IPRATR/ALBUT 0.5/2.5MG (DUO NEB) SOL 3ML | 55 |
2684637 | GENTAMICIN (GARAMYCIN) OP OINT 3.5GM | 72 |
2684638 | WARFARIN (COUMADIN) 1MG TAB | 15 |
2684641 | POTASSIUM CHLORIDE (KDUR) 20MEQ TAB | 15 |
2684664 | LITHIUM CARBONATE (LITHOBID) 300MG CAP | 14 |
2684667 | FLUMAZENIL (ROMAZICON) 0.1MG/ML 5ML VL | 53 |
2684668 | EYE STREAM OP IRRIGATION SOL 30ML | 63 |
2684670 | ACYCLOVIR (ZOVIRAX) 500MG VL | 141 |
2684672 | OLOPATADINE 0.1% OP SOLN 5ML EMP | 484 |
2686436 | PANCRELIPASE DR L=5K,P=17K,A=27K CP | 13 |
2686454 | HYDROCORTISONE (HYTONE) 2.5% CRM 30GM | 57 |
2696413 | CHEMOTHERAPY ADMIN UP TO 1 HR | 801 |
2696415 | CHEMOTHERAPY ADMIN EA ADDITION HR | 193 |
2696416 | PRESSURE PAD | 32 |
2696417 | IVAC CONTROLLER | 81 |
2696418 | IVAC PUMP | 93 |
2696419 | ALCOHOL ISOPROPYL 70% 480ML | 41 |
2696420 | NEO/POLY/BAC (TRPL ABX) OINT UD PKT | 15 |
2696421 | PROCHLORPER (COMPAZINE) 10MG 2ML INJ | 72 |
2696422 | THIAMINE (VITAMIN B1) 100MG/ML INJ | 40 |
2696423 | LIDOCAINE (XYLOCAINE) 2% 20MG/ML 5ML INJ | 63 |
2696424 | MATTRESS, AIR FLUIDIZED | 82 |
2696425 | FLOMAX (TAMSULOSIN) 0.4MG CAP | 11 |
2696427 | ASCORBIC ACID (VITAMIN C) 500MG TAB | 13 |
2696428 | NEO/POLY/BAC (TRIP ANTIB) 28GM OINT | 72 |
2697037 | FINGER STICK | 48 |
2697038 | SULFA / TRIMETH DS 800/160 TAB EMP | 21 |
2697039 | GUAIFENESIN/DM SYR EMP | 15 |
2697040 | INSULIN 70/30 INJ 1 UNIT | 14 |
2697041 | INSULIN LISPRO INJ (HUMALOG) 1 UNIT | 14 |
2697042 | LORAZEPAM 2MG/ML ORAL SOL 30ML C4 | 150 |
2697043 | MIDAZOLAM (VERSED) 2MG/ML SYRUP C4 | 15 |
2697044 | BENTYL 20MG/2ML INJ | 128 |
2697045 | PHENYTOIN 250MG INJ 5ML SDV | 48 |
2697046 | CYANOCOBAL (VIT B-12) 1MG/ML INJ 10ML | 39 |
2697047 | LEVOTHYROXINE (SYNTHROID) 500MCG INJ | 823 |
2697048 | CEFTRIAXONE (ROCEPHIN) 250MG VIAL | 217 |
2697049 | BETAMETHASONE W PHOSPHATE/ACETATE 6MG/ML | 50 |
2697050 | AMINOPHYLLINE 500MG INJ 20ML SDV | 46 |
2697051 | CEFEPIME (MAXIPIME) 2GM IVPB | 183 |
2697052 | LEVOFLOXACIN 750MG (DIABETIC) VIAL 30ML | 252 |
2697053 | ENALAPRILAT 2.5MG/2ML(VASOTEC) | 95 |
2697054 | LIDOCAINE (XYLOCAINE) 1% PF 5ML SDV | 37 |
2697055 | HEPARIN FLUSH 100U/ML 5ML VIAL | 41 |
2697056 | LIDOCAINE (XYLOCAINE) 1% MPF 30ML | 77 |
2697057 | ESTRADIOL CYP (DEPO-ESTRAD) 25MG VIAL | 372 |
2697058 | SOD NITROPRUS (NITROPRESS) 50MG/2ML INJ | 1996 |
2697059 | BUPIVAC/EPI (MARCAINE/EPI)PF 0.5% 30ML | 70 |
2697060 | IOHEXOL (OMNIPAQUE) 240MGI/ML INJ 10ML | 355 |
2697061 | PHENOBARBITAL 32.4MG TAB C4 | 13 |
2697062 | LISINOPRIL (PRINIVIL) 40MG TAB | 16 |
2697063 | NADOLOL (CORGARD) 20MG TAB EMP | 41 |
2697064 | PIOGLITAZONE (ACTOS) 15MG TAB | 35 |
2697065 | DOXAZOSIN (CARDURA) 4MG TAB | 18 |
2697066 | BUSPIRONE (BUSPAR) 15MG TAB | 18 |
2697067 | FERROUS SULFATE ORAL SOL 220MG 5ML | 15 |
2697070 | CLOTRIMAZOLE (MYCELEX) 10MG LOZENGE | 51 |
2697071 | ENTACAPONE (COMTAN) 200MG TAB | 18 |
2697072 | TORSEMIDE (DEMADEX) 20MG TAB | 15 |
2697073 | IRBESARTAN (AVAPRO) 75MG TAB | 17 |
2697075 | CHOLECALCIFEROL (VIT D3) 400IU TAB | 15 |
2697076 | CYANOCOBAL (VIT B-12) 1000 MCG TAB | 11 |
2697077 | CYANOCOBALAMIN 100MCG (VIT B-12)TAB | 13 |
2697078 | NICOTINE (NICODERM) 7MG/DAY PATCH | 54 |
2697079 | DICYCLOMINE (BENTYL) 10MG/5ML SOL | 15 |
2697080 | AMOX/CLAV 250MG/5ML 75ML SUSP | 425 |
2697081 | BRINZOLAMIDE(AZOPT) 1% OP SUSP 10ML | 340 |
2697082 | POLYMYX B /TRIMETH OP SOL 10ML | 41 |
2697083 | NYSTAT/TRIAM(MYCOLOG) 30GM CRM | 372 |
2697084 | TIMOLOL MAL (TIMOPTIC)0.5% OP SOL 5ML | 61 |
2697085 | PHENYLEPHRINE 0.5% (REG) 15ML NA SPRY | 70 |
2697086 | GLUCOSE GEL ORAL 31GM | 15 |
2697087 | MICONAZOLE NIT 2% CRM 28G | 24 |
2697088 | TRIAMCINOLONE(KENALOG)0.1% CRM 80GM | 49 |
2697090 | SODIUM CHLORIDE 0.9% 1000ML HSP IVF | 100 |
2697092 | CALCIUM/VIT D 500/200 (OS-CAL)TAB | 13 |
2697093 | OXYCOD/ACET 5/325MG TAB EMP C2 | 26 |
2697097 | HYDROCO/APAP (NORCO) 7.5/325MG TAB C2 | 21 |
2697098 | HYDROCO/APAP (NORCO) 10/325MG TAB C2 | 30 |
2697099 | ALBUTEROL 2.5MG/3ML INH/NEB 0.083% U/D | 16 |
2697104 | ASPIRIN ENTERIC COATED 81MG TAB UD | 15 |
2697107 | MENTHOL/ZINC OX (CALMOSEPTINE) OINT 4OZ | 41 |
2697108 | MULTIVITAMIN (THERA) TAB | 15 |
2697115 | HYDROMORPHONE 0.2MG/ML PCA 30ML C2 | 100 |
2697121 | PHENOBARB/BELLADON ALKA ELIXIR 10ML | 123 |
2697122 | DICYCLOMINE (BENTYL) 20MG TAB UD | 15 |
2697123 | MAG-AL PLUS XS 30ML | 17 |
2697125 | DIAZEPAM 10MG/2ML PFS INJ 2ML C4 | 121 |
2697137 | LEVONORGESTREL (PLAN-B ONE STEP) TAB | 149 |
2697140 | AMPHOTERICIN-B 50MG VIAL | 120 |
2697141 | GLYCERIN ADULT SUPPOSITORY 1 SUPP | 18 |
2697142 | ACETAMINOPHEN 80MG SUPP (FEVER ALL) | 18 |
2697143 | ASPIRIN 300MG (5 GRAINS) SUPP | 19 |
2697144 | SINCALIDE (KINEVAC) 5MCG VIAL | 441 |
2697145 | AMPICILLIN / NS IVPB : 2GM / 100ML | 76 |
2697150 | FENOFIBRATE (TRICOR) 48MG TAB | 77 |
2697157 | HEPATITIS-A VACCINE 1ML INJ (HAVRIX) | 320 |
2697158 | ALENDRONATE SOD (FOSAMAX) 70MG TAB | 85 |
2697172 | CEFADROXIL (DURICEF) 500MG CAP | 24 |
2697173 | INFLUEN VACC 6M – 64Y QUAD 0.5ML PFS | 160 |
2697174 | VANCOMYCIN / SWFI 250MG/5ML ORAL SOL | 82 |
2697175 | VANCOMYCIN / SWFI 500MG/10ML ORAL SOL | 82 |
2697179 | D5 1/2NS 500ML IV | 100 |
2697183 | DIPHENHYDRAMINE 12.5MG ORAL SOL 5ML | 12 |
2697198 | NF-TRAMADOL HCL TAB 50MG | 11 |
2697199 | ONDANSETRON (ZOFRAN) 4MG ODT | 98 |
2697205 | AMLODIPINE 10MG TAB EMP | 13 |
2697206 | ALLOPURINOL 300MG TAB EMP | 11 |
2697210 | HYDROCHLOROTHIAZIDE 25MG TAB EMP | 11 |
2697211 | OMEPRAZOLE (PRILOSEC) 20MG CAP EMP | 15 |
2697212 | FLUOXETINE (PROZAC) 20MG CAP EMP | 15 |
2697213 | GABAPENTIN (NEURONTIN) 300MG CAP EMP | 16 |
2697214 | DAPTOMYCIN/NS (CUBICIN) 370MG IVPB | 926 |
2697225 | CARVEDILOL (COREG) 6.25MG TAB EMP | 11 |
2697226 | CLONIDINE 0.1MG TAB EMP | 11 |
2697227 | BARIATRIC CHEWABLE ONE-A-DAY VIT TAB | 33 |
2697228 | ATORVASTATIN 40MG TAB EMP | 29 |
2697229 | DENOSUMAB (XGEVA) 120MG INJ | 8849 |
2697230 | CLONIDINE 0.2MG TAB EMP | 11 |
2697231 | IPRATROP/ALBUT(COMBIVENT RESPIMAT) 4G IH | 858 |
2697232 | AMLODIPINE (NORVASC) 5MG TAB EMP | 12 |
2697233 | DORZOLAMIDE/TIMOLOL OP SOL 10ML EMP | 44 |
2697234 | WARFARIN (COUMADIN) 3MG TAB | 16 |
2697245 | LOPERAMIDE (IMMODIUM) 2MG/15ML OR SUSP | 24 |
2697251 | LEVOTHYROXINE (SYNTHROID) 137MCG TAB EMP | 35 |
2697252 | MELOXICAM (MOBIC) 15MG TAB EMP | 9 |
2697253 | ALLOPURINOL 100MG TAB EMP | 13 |
2697254 | AMITRIPTYLINE 75MG TAB EMP | 11 |
2697255 | ATORVASTATIN 20MG TAB EMP | 29 |
2697256 | CITALOPRAM (CELEXA) 20MG TAB EMP | 11 |
2697257 | CHLORTHALIDONE 25MG TAB EMP | 75 |
2697258 | DOXEPIN 25MG CAP EMP | 35 |
2697259 | ENALAPRIL 10MG TAB EMP | 17 |
2697260 | ACETYLCYSTINE(MUCOMYST)10% SOL 30ML | 137 |
2697261 | SUMATRIPTAN (IMITREX) 25MG TABS | 113 |
2697262 | NORTRIPTYLINE 25MG CAP EMP | 12 |
2697271 | SILV SULFA 1% CRM 20G | 58 |
2697272 | SILVER SULFAD (SILVADENE) 1% CRM 25GM | 62 |
2697273 | DOPAMINE (INOTROPIN) 800MG PREMIX 500ML | 104 |
2697275 | LIDOCAINE (XYLOCAINE) 1% 20ML INJ | 61 |
2697276 | LISINOPRIL 20MG TAB EMP | 11 |
2697281 | SODIUM CHLORIDE PF INJ 10ML VIAL | 41 |
2697282 | AZITHROMYCIN (Z-PAK) 250MG TAB EMP | 32 |
2697298 | SOTALOL (BETAPACE) 80MG TAB EMP | 41 |
2697299 | SERTRALINE (ZOLOFT) 50MG TAB EMP | 11 |
2697302 | SOTALOL (BETAPACE) 80MG TAB | 16 |
2697303 | LEVOTHYROXINE 50MCG TAB EMP | 12 |
2697304 | LOSARTAN/HCTZ (HYZAAR)100/25MG TAB EMP | 24 |
2697305 | ETHYL CHLORIDE FINE SPRAY 5ML DOSE | 24 |
2697306 | SEVOFLURANE (ULTANE) INH SOL 250ML ANEST | 2544 |
2697307 | DEXAMETHASONE 10MG PF INJ 1ML SDV | 39 |
2697308 | LIDO / EPI 2% INJ 20ML VIAL (SURGERY) | 61 |
2697320 | NIACIN 500MG FLUSH FREE CAPS #60 | 13 |
2697321 | CETIRIZINE 10MG TAB EMP (ZYRTEC) | 33 |
2697322 | LOVASTATIN 40MG TAB EMP | 30 |
2697323 | LISINOPRIL 2.5MG TAB EMP | 9 |
2697325 | OMEPRAZOLE 40MG CAP EMP | 41 |
2697334 | HALOPERIDOL 1MG TAB (HALDOL) | 11 |
2697337 | BENZTROPINE 0.5MG TAB (COGENTIN) | 11 |
2697338 | QUINAPRIL 40MG TAB EMP | 35 |
2697339 | RIVAROXABAN (XARELTO) 20MG TAB EMP | 386 |
2697342 | INSULIN SYRINGE 1/2CC 31G SHORT | 15 |
2697343 | INSULIN PEN NEEDLES 4MM 32G 50CT | 15 |
2697344 | INSULIN LISPRO PEN 5X3ML EMP | 94 |
2697345 | INSULIN 70/30 PEN 5X3ML 15ML EMP | 198 |
2697346 | FREESTYLE LITE TEST STRIPS 100CT | 197 |
2697347 | FREESTYLE LANCETS 100CT | 13 |
2697348 | ISOSORBIDE MONO 30MG ER TAB EMP | 37 |
2697372 | LR 500ML | 100 |
2697373 | LR 500ML AVIVA BAG | 100 |
2697378 | LOSARTAN 50MG TAB EMP | 16 |
2697379 | METFORMIN ER 500MG EMP | 11 |
2697381 | MIDODRINE 2.5MG TAB | 18 |
2697392 | IRBESARTAN 150MG TAB EMP | 29 |
2697393 | ACYCLOVIR 5% OINT 5GM | 328 |
2697394 | ACYCLOVIR 5% OINT. 15GM TUBE | 902 |
2697395 | CLOTRIM/BETAMETH DIP CREAM 45GM | 211 |
2697419 | GLIPIZIDE 10MG TAB EMP | 11 |
2697423 | INSULIN LISPRO 1 UN INJ (HUMALOG) | 17 |
2697429 | CIPROFLOXACIN 500MG TAB EMP | 11 |
2697438 | TORSEMIDE (DEMADEX) 20MG TAB EMP | 15 |
2697465 | DICYCLOMINE (BENTYL) 20MG TAB EMP | 15 |
2697466 | FLUORESCEIN SOD OPTH STRIPS (BIO GLO)100 | 50 |
2697474 | IBUPROFEN (MOTRIN) 600MG TAB EMP | 15 |
2697481 | DOXAZOSIN (CARDURA) 4MG TAB EMP | 18 |
2697491 | POTASSIUM CHLORIDE (KDUR) 20MEQ TAB EMP | 15 |
2697505 | BUPIVACAINE 0.5% MPF INJ 10ML | 50 |
2697515 | LIDOCAINE – PF 1% AMP 5ML (SURG) | 33 |
2697516 | RANITIDINE (ZANTAC) 150MG TAB EMP | 26 |
2697518 | GLIPIZIDE XL 10MG TAB EMP | 53 |
2697553 | SIMVASTATIN (ZOCOR) 40MG TAB EMP | 32 |
2697554 | NAPROXEN (NAPROSYN) 500MG TAB EMP | 11 |
2697571 | HYDROCO/APAP (NORCO) 5/325MG TAB UD C2 | 15 |
2697572 | EMP RX-DUO NEB INH SOL (IPRAT/ALB) | 55 |
2697577 | INFLUENZA VAC (FLUZONE) I-D PFS 3YRS+ | 118 |
2697579 | LEVOTHYROXINE 175MCG TAB EMP | 35 |
2697583 | AMOX 200MG/5ML SUSP 50ML | 18 |
2697584 | AMOX 400MG/5ML SUSP 100ML EMP | 41 |
2697602 | ADVAIR HFA 115/21 12GM INH | 730 |
2697604 | BACITRACIN ZINC 500UN/GM OINT 14GM | 33 |
2697605 | COLESEVELAM (WELCHOL) 625MG TAB | 15 |
2697606 | DAPTOMYCIN (CUBICIN) 575MG IVPB | 2247 |
2697607 | FIBERLAX 625MG TAB | 9 |
2697608 | FLORASTOR 250MG CAP #20 | 69 |
2697609 | METHIMAZOLE (TAPAZOLE)10MG TAB | 35 |
2697611 | PACLITAXEL (TAXOL) 300MG/50ML IVPB | 452 |
2697612 | SYNVISC-ONE (HYLAN GF 20) PFS 6ML INJ | 6225 |
2697613 | VALPROATE (VALPROIC ACID) 500MG INJ 5ML | 63 |
2697623 | ZOLEDRONIC ACID 4MG/100ML IVPB | 4331 |
2697631 | INSULIN DETEMIR INJ (LEVEMIR) 1 UNIT | 14 |
2697632 | INS REG INJ 1 UNIT | 14 |
2697633 | INSULIN NPH INJ (NOVOLIN-N) 1 UNIT | 14 |
2697634 | HYDROGEL WND DRES (CARRASYN) 85GM | 124 |
2697637 | CHLORHEXIDINE GLUCONATE 4% 118ML BOTTLE | 32 |
2697644 | AMOXICILLIN 875MG TAB EMP | 11 |
2697690 | GUAIFEN/COD (CHERATUSS AC) SYP 240ML C5 | 35 |
2697718 | FINASTERIDE (PROSCAR) 5MG TAB EMP | 21 |
2697737 | ACETYLCYS (10% 10ML) 150MG/200ML IVPB | 150 |
2697738 | ACETYLCYS (10% 10ML) 50MG/500ML IVPB | 150 |
2697739 | ACETYLCYS (10% 10ML) 100MG/1000ML IVPB | 150 |
2697740 | ACETYLCYSTINE(MUCOMYST)10% 30ML SOL | 230 |
2697741 | ACETYLCYS (10% 30ML) 50MG/500ML IVPB | 230 |
2697742 | ACETYLCYS (10% 30ML) 1000MG/1000ML IVPB | 230 |
2697743 | LEUPROLIDE ACETATE 22.5MG DEPOT IM INJ | 26345 |
2697746 | TAMOXIFEN CIT 20MG TAB EMP | 13 |
2697747 | AMIKACIN SULF 500MG/2ML INJ | 61 |
2697755 | SERTRALINE (ZOLOFT) 25MG TAB EMP | 11 |
2697756 | CLONIDINE 0.3MG TAB EMP | 11 |
2697767 | FLUDROCORTISONE 0.1MG TAB | 12 |
2697791 | LISINOPRIL 10MG TAB EMP | 17 |
2697797 | METFORMIN 500MG TAB EMP | 15 |
2697799 | MEGESTROL 40MG/ML SUSP 240ML | 521 |
2697810 | CHLORHEX ORAL RINSE 0.12% 473ML EMP | 46 |
2697818 | ALUM SULF TET/CALC ACE MON PWDR PKT | 18 |
2697861 | METOPROLOL TART 50MG TAB (LOPRESSOR) UD | 14 |
2697874 | LEVALBUTEROL TART HFA INH 200 DOSES | 166 |
2697902 | CHLORPROMAZINE (THORAZINE) 100MG TAB | 45 |
2697903 | CLOZAPINE 100MG TAB | 25 |
2697906 | BENAZEPRIL (LOTENSIN) 5MG TAB | 11 |
2697948 | HEPATITIS B VAC ADULT 1ML PFS PF | 300 |
2697969 | LORAZEPAM 1MG TAB EMP C4 | 16 |
2697970 | TRAMADOL/ACET 37.5/325MG TAB EMP C4 | 12 |
2697978 | QUETIAPINE (SEROQUEL) 25MG TAB EMP | 17 |
2698014 | GLIPIZIDE (GLUCOTROL) 5MG TAB EMP | 16 |
2698015 | HEPARIN PED FLSH 10U/ML 5ML IN 12ML PFS | 46 |
2698042 | HYDROCO/APAP 5/216MG OR SOL 10ML C2 | 37 |
2698049 | HYDROCO/APAP 7.5/325MG TAB EMP C2 | 21 |
2698054 | FILTER NEEDLE (CHEMO) 0.22 MICRON | 17 |
2698055 | AMOX 400MG/5ML SUSP 50ML | 41 |
2698082 | PAROXETINE 10MG TAB EMP | 33 |
2698083 | HYDROMORPHONE 1MG/ML ORAL SOL 1ML C2 | 13 |
2698098 | HYDROCORTISONE 10MG TAB | 11 |
2698101 | LINACLOTIDE 145MCG CAP (LINZESS) | 46 |
2698102 | TBO-FILGRASTIM 300MCG/0.5ML INJ | 2154 |
2698103 | HYDROMORPHONE 4MG TAB C2 | 15 |
2698104 | FILGRASTIM 300MCG INJ (NEUPOGEN) | 2783 |
2698105 | ONABOTULINUMTOXINA 200U VIAL INJECTION | 9619 |
2698106 | GUAIFEN/COD (CHERATUSS AC) SYP 180ML C5 | 35 |
2698111 | PHENOL 29MG LOZENGE 1 LOZ | 9 |
2698146 | CLONAZEPAM 1MG TAB EMP C4 | 15 |
2698157 | LIDOCAINE (XYLOCAINE) MPF 1% 2ML VIAL | 32 |
2698186 | TRAZODONE (DESYREL) 100MG TAB EMP | 15 |
2698195 | DILTIAZEM 30MG TAB EMP | 8 |
2698196 | SELENIUM SULFIDE SHAMPOO 1% 7OZ | 38 |
2698205 | NOREPINEPHRINE 4MG INJ 4ML AMP | 173 |
2698209 | LISINOPRIL 5MG TAB EMP | 15 |
2698210 | HYDROXYZINE 25MG/ML INJ 1ML | 49 |
2698216 | INDIA INK (SURGERY) 1ML | 76 |
2698223 | PANTOPRAZOLE 40MG TAB EMP | 29 |
2698224 | MONTELUKAST 10MG TAB EMP | 32 |
2698225 | ATORVASTATIN 10MG TAB EMP | 18 |
2698226 | FUROSEMIDE 20MG TAB EMP | 15 |
2698230 | GABAPENTIN 600MG TAB EMP | 16 |
2698231 | METOPROLOL TAR 25MG TAB EMP | 16 |
2698253 | SUMATRIPTAN 100MG TAB EMP | 113 |
2698296 | CILOSTAZOL 50MG TAB EMP | 15 |
2698312 | PNEUMONIA VACCINE 13 CONJUGATE PFS INJ | 755 |
2698320 | NS ADVANTAGE 100ML | 100 |
2698323 | PROPRANOLOL 40MG TAB EMP | 13 |
2698325 | TETANUS, DIPTHERIA, PERTUSSIS VACCINE | 175 |
2698345 | GLUCOSE GEL 24GM TUBE | 24 |
2698371 | METHYLPRED (DEPOMED) 80MG IM (MDV 5ML) | 117 |
2698380 | DARBEPOETIN ALFA 300MCG/0.6ML INJ | 18305 |
2698383 | METHACHOLINE 100MG 20ML VIAL | 145 |
2698384 | SYRINGE 3CC W/ 22G 1-1/2 NEEDLE | 15 |
2698385 | SYRINGE 10CC | 15 |
2698386 | STERILE GLOVE SZ 7-1/2 | 17 |
2698387 | LOVASTATIN 20MG TAB EMP | 30 |
2698389 | STERILE VIAL 10ML | 26 |
2698392 | TRAMADOL 50MG TAB EMP C4 | 16 |
2698411 | IRON DEXTRAN (INFED) 100MG INJ 2ML VIAL | 361 |
2698417 | UNITHROID 125MCG TAB EMP | 35 |
2698418 | NITROSTAT 0.4MG TAB 4X25 EMP | 61 |
2698427 | MENTHOL COUGH LOZENGE | 24 |
2698428 | APIXABAN (ELIQUIS) 2.5MG TAB | 34 |
2698466 | VENLAFAXINE XR 75MG CAP EMP | 21 |
2698467 | GEMFIBROZIL 600MG TAB EMP | 21 |
2698498 | CHLORTHALIDONE 25MG TAB | 75 |
2698514 | PRAVASTATIN 20MG TAB EMP | 21 |
2698516 | VENLAFAXINE XR 150MG EMP | 24 |
2800118 | CHULANGIOGRAM DRIP | 326 |
2800121 | IVP ADMIN PAK | 121 |
2800122 | SALPINGIOGRAM CONTRA | 101 |
2800123 | UGI BA CUP | 37 |
2800128 | VENOGRAM KIT | 117 |
2800131 | A/C BE-BAG | 50 |
2800301 | DESITIN OINTMENT/CREAMY 4OZ | 13 |
2800347 | ADULT ET TUBE HOLDER | 87 |
2800348 | PEDIATRIC ET TUBE HOLDER | 87 |
2800487 | PULSE OX | 66 |
2802517 | BLOOD/SOLUTION SET Y-TYPE(2C6750H)TUBING | 41 |
2810039 | AIRWAY COMBI | 245 |
2810040 | AIRWAY, SUPRAGLOTTIC PEDI #2 | 101 |
2810041 | AIRWAY, SUPRAGLOTTIC MEDIUM ADULT #4 | 101 |
2810042 | AIRWAY, SUPRAGLOTTIC LARGE ADULT #5 | 101 |
2810854 | JELLY, PETROLEUM | 16 |
2810858 | JELCO 20GA | 35 |
2810860 | JELCO 22GA | 35 |
2810861 | JELCO 24GA | 35 |
2810862 | JELCO 16GA | 35 |
2810863 | JELCO 18GA | 35 |
2810864 | JELCO 14GA | 35 |
2811289 | CUP INFUSOR 17 GA | 65 |
2811295 | KETO DIASTIX | 68 |
2811307 | KLING, 2 IN | 29 |
2811308 | KLING, 3 IN | 32 |
2811309 | KLING, 4 IN | 39 |
2811398 | CALCIUM ALGINATE DRESSING | 44 |
2811399 | KALTOSTAT (LARGE) #168117 | 77 |
2811680 | KLEENEX LARGE #21400 | 12 |
2811681 | KERLIX 4 1/2 IN | 39 |
2811683 | KERLIX 2 1/4 | 16 |
2811813 | KNEE SUPPORT ELASTIC | 120 |
2811814 | PT PATELLA STABLIZER BRACE | 151 |
2811815 | LAPROSCOPE | 555 |
2812003 | LAVACUATOR TUBE 22 | 101 |
2812008 | LENS, CONTINUOUS CORNEA LEVAGE | 97 |
2812010 | L A T KIT | 85 |
2812016 | LENS, CORNEA IRRIG FLOW | 124 |
2812018 | LAVAGE, TRAY | 109 |
2812039 | LIVER BIOPSY TRAY | 68 |
2812045 | LOOP OSTOMY SET | 68 |
2812050 | LOTION INTENSIVE CAR | 13 |
2812539 | LUMBAR PUNCTURE SET | 118 |
2812870 | CENTRAL LINE DRESSING KIT | 29 |
2813035 | MONITOR O.R. | 168 |
2813052 | MARLEX MESH 2X12 | 532 |
2813100 | MATTRESS EGG CREATE | 78 |
2813102 | MEDIFIL PARTICLES | 88 |
2813103 | PRESSURE, PAD | 33 |
2813523 | MOUTH CLEAN KIT | 11 |
2813680 | MASK, ANESTHESIA | 46 |
2813683 | MASK | 81 |
2813685 | MASK (ISOLATION) | 39 |
2813745 | MITTEN CONTROL | 68 |
2813839 | MOUTH WASH | 12 |
2813849 | MULTI FLO ADAPTER | 39 |
2813850 | MESH, MERSILENE | 609 |
2813852 | MICRO-MONTH SHIELD | 44 |
2814003 | NASAL TRAY | 48 |
2814005 | EPISTAXIS/NASAL PACK | 153 |
2814013 | NASAL SPLINT | 35 |
2814015 | RHINO ROCKET | 39 |
2814250 | NEDDLE, BIOPSY DISP | 172 |
2814251 | NEEDLE HUBER 20GA X 3/4 | 81 |
2814253 | NEEDLE HUBER 20GA X 1 | 81 |
2814282 | NEEDLE, SPINAL | 93 |
2814286 | NERVE ELECTRODE | 29 |
2814353 | POST-OP SHOE | 27 |
2815335 | OPSITE & PAD | 29 |
2815336 | OP-SITE 10CM X 14CM | 29 |
2815338 | OP-SITE 45CM X 55CM | 68 |
2815359 | OUTPUT COMMODE | 29 |
2815360 | PELVIS EXAM | 49 |
2815362 | SURGIGRIP 12MM | 53 |
2816009 | PREP TRAY E.R. | 29 |
2816027 | PILLOW | 26 |
2816031 | PINS, STEINMAN | 57 |
2816040 | PACK, BASIK #5 | 161 |
2816042 | PACK, LAP | 161 |
2816045 | PACK, OB INSTRUMENT | 127 |
2816047 | PACK, TRANSVERSE | 168 |
2816100 | PERI AIRE | 35 |
2816140 | PERSONAL CARE KIT | 12 |
2816171 | PAD HEEL-ELBOW | 44 |
2816268 | PACK, COLD | 32 |
2816278 | PAD, PREP #51301 | 30 |
2816322 | PLASTER, 2 IN | 32 |
2816323 | PLASTER, 3 IN | 32 |
2816324 | PLASTER, 4 IN | 37 |
2816330 | PLASTER, 5 IN | 37 |
2816331 | PLASTER, 6 PER INCH | 12 |
2816332 | 5 OCL SPLINTING | 12 |
2816333 | PLEURX DRAINAGE KIT | 193 |
2816390 | PEDIALYTE ORAL SOL | 15 |
2816400 | PAD, GEL | 30 |
2816427 | PED URINE COLLECTOR | 17 |
2816443 | PCA MINIBORE EXTENSION SET | 30 |
2816445 | PCA PUMP USAGE | 92 |
2816525 | CATH PLUG | 12 |
2816530 | PHISOHEX WASH | 48 |
2816671 | PICC NEEDLES | 321 |
2816677 | LINE PIC | 363 |
2816678 | LINE PIC INSERTION | 653 |
2816679 | PADS, PER REG. | 17 |
2816680 | PADS, PER O.B. | 16 |
2816743 | PLEUR-EVAC (CAVITY DRAIN SYS) | 441 |
2816745 | PLEURX DRAINAGE KIT 1000ML | 245 |
2816750 | PERVENOUS LEAD TEMP | 359 |
2816838 | PADS, K | 41 |
2816848 | PRECIP BASIN | 101 |
2816906 | PROTECTIVE BARRIER FILM | 53 |
2817064 | PREP SET OR | 48 |
2818014 | CRUTCHES | 100 |
2818600 | CLIPPERS & BLADES | 142 |
2818611 | RAZOR, SINGLE | 13 |
2818613 | RECTAL TUBE | 87 |
2818640 | RESTRAINT, WRIST | 39 |
2818785 | RUBBER RING | 17 |
2819001 | SLING ARM CHILD | 51 |
2819002 | SLING ARM SMALL | 51 |
2819003 | SLING ARM LARGE | 51 |
2819004 | SLING ARM XLARGE | 51 |
2819008 | CATH TRAY FOLEY 18FR | 107 |
2819009 | SYRINGE 3CC W/ 22G 1-1/2 NEEDLE | 15 |
2819011 | SCALPEL DISPOSABLE #10 | 16 |
2819017 | SERV CHG COLLAR RIG | 48 |
2819019 | SHEATH O’CONNOR | 299 |
2819020 | SLING ARM MED | 51 |
2819022 | SUTURE ETHILON 5.0, P3–698G | 33 |
2819023 | SUTURE, TEVDEK | 37 |
2819024 | SCALPEL DISPOSABLE #15 | 16 |
2819025 | ATTENDS, FITRESTORE XLARGE | 15 |
2819026 | ATTENDS, FITRESTORE MEDIUM | 15 |
2819028 | STERILE GLOVE 6.5 | 7 |
2819029 | CATH, FOLEY 14FR–5CC SILICONE | 16 |
2819030 | STERILE GLOVE SZ 6 | 7 |
2819031 | STERILE GLOVE SZ 7 | 7 |
2819032 | STERILE GLOVE SZ 8 | 7 |
2819034 | STERILE GLOVE SZ 9 | 7 |
2819035 | SUTURE ETHILON 4.0, P3–699G | 33 |
2819036 | SUTURE ETHILON 4.0, FS2–662G | 33 |
2819037 | SUTURE PROLENE 4.0, P3–8699G | 33 |
2819038 | SUTURE ETHILON 3.0, PS-1: 1663G | 15 |
2819039 | SUTURE ETHILON 5.0, PS-2: 1666G | 15 |
2819040 | SUTURE ETHILON 5.0, FS-2: 661G | 9 |
2819041 | SUTURE VICRYL 3.0, PS-2: J497G | 16 |
2819042 | SUTURE VICRYL 4.0, PS-2: J496G | 16 |
2819043 | SUTURE VICRYL 4.0, RB-1: J214H | 8 |
2819044 | SUTURE VICRYL 5.0, P-1: J490G | 16 |
2819045 | SUTURE,5.0 CHROMIC GUT P3 #687G | 26 |
2819046 | SUTURE, 6.0 CHROMIC GUT PS-4 #1641G | 26 |
2819047 | SUTURE, VICRYL 0 UR-6 #J603H | 9 |
2819048 | SUTURE, VICRYL 2-0 CT-2, #J269H | 9 |
2819049 | SUTURE, VICRYL 2-0 CT-3, #J328H | 9 |
2819050 | SUTURE, VICRYL 2-0 SH, #J417H | 9 |
2819051 | SUTURE, CHROMIC GUT 0, #L114G | 15 |
2819052 | SUTURE, VICRYL 2-0, #J105T | 32 |
2819053 | SUTURE, PDS II, 0 TP-1, #Z991G | 24 |
2819054 | SUTURE, PDS II, 1 CT-1, #Z347H | 12 |
2819055 | SUTURE, PROLENE 2-0 CT-2, #8411H | 11 |
2819056 | SUTURE, PROLENE 2-0 SH, #8833H | 12 |
2819057 | SUTURE, PROLENE 4-0 RB-1, #8871H | 12 |
2819058 | SUTURE, O SILK FSL #678G | 18 |
2819059 | SUTURE, CHROMIC GUT P-3, #1654G | 26 |
2819060 | STURE, SILK 2-0 BLK BR FSL 30 INCH | 9 |
2819061 | SUCTION WOUND | 194 |
2819062 | 16FR SALEM SUMP | 32 |
2819063 | 14FR SALEM SUMP | 32 |
2819064 | 18FR SALEM SUMP | 32 |
2819065 | STERILE GLOVE SZ 8-1/2 | 7 |
2819066 | SUTURE, 4-0 VICRYL P-3 18 J494G | 16 |
2819067 | SUTURE, PROLENE 4-0 PS2 8682G | 18 |
2819068 | SUTURE, SILK 4-0, P-3 | 18 |
2819069 | SUTURE, ETHILON 6-0, PS-4 | 16 |
2819071 | SUTURE, 0 NUROLON CT-2–C527D | 41 |
2819072 | SUTURE, 0 PROLENE CT-2–8412H | 11 |
2819073 | SUTURE, VICRYL 2-0 CT-1, #J339H | 9 |
2819074 | SUTURE, 3-0 PERMA HAND SILK #A184H | 17 |
2819075 | SUTURE, 2-0 SILK SA65H | 17 |
2819076 | SUTURE, 4-0 VICRYL 27 PS-2 J426H | 17 |
2819077 | SUTURE PROLENE 5.0, P3–8698G | 33 |
2819078 | SUTURE, SILK 4-0 BLK FS2 18 | 15 |
2819079 | SUTURE, SILK 3-0 BLK FS-1 18 | 15 |
2819080 | SUTURE VICRYL 3.0, SH #J416H | 9 |
2819081 | SUTURE, ETHILON 3-0 BLK MONO PS-2 18 | 17 |
2819082 | SUTURE, MONOCRYL 4-0 #Y462H | 32 |
2819083 | ALCOHOL 4OZ #IA7004 | 6 |
2819084 | SUTURE, ETHILON 4-0 BLK MONO PS-2 | 8 |
2819085 | SUTURE VICRYL 2.0, PS-2: J428H | 8 |
2819180 | SUPENSORY | 75 |
2819220 | SHAMPOO NO RINSE | 29 |
2819232 | SHOULDER IMMOB SMALL | 379 |
2819233 | SHOULDER IMMOB MEDIUM | 379 |
2819234 | SHOULDER IMMOB LARGE | 379 |
2819235 | SHOULDER IMMOB EX-LARGE | 379 |
2819237 | SHUR-CLENS | 44 |
2819247 | SOF-TAPE (STRAPPING) | 16 |
2819272 | THERMOMETER, RECTAL | 29 |
2819273 | THERMOMETER, ORAL | 35 |
2819274 | TISSUE TACKER, STAT TACK | 541 |
2819283 | SCAPEL BLADES | 12 |
2819284 | SCALPEL DISPOSABLE #11 | 16 |
2819286 | SCREW-COMP. | 121 |
2819287 | SCREW-CORTE | 81 |
2819288 | SCREW-LAG | 506 |
2819289 | SKIN STAPLE REMOVER | 86 |
2819293 | STERI STRIP 1/2 X 4 | 41 |
2819294 | STERI STRIP 1/4 X 4 | 17 |
2819295 | STERI DRAPE 18X20 | 41 |
2819297 | STERI DRAPE 24X30 | 104 |
2819300 | STERILE INST EA | 12 |
2819354 | SLIPPER FOAM XXL | 17 |
2819355 | SLIPPER FOAM XLG | 17 |
2819356 | SLIPPER FOAM CHILD | 7 |
2819357 | SLIPPER, FOAM, MEDIUM | 17 |
2819358 | SLIPPER, FOAM, LARGE | 17 |
2819360 | SUCTION CURETTE | 44 |
2819386 | SUCTION CATH 6FR. | 17 |
2819388 | SUCTION CATHAETER | 34 |
2819390 | EZ SPECIMAN TRAP | 53 |
2819392 | SUCTION KIT 14FR | 34 |
2819393 | SUCTION CATH 18 FR | 21 |
2819394 | SUCTION YAN KAUER SET #8888505016 | 29 |
2819396 | SUCTION CANNISTER | 49 |
2819397 | SPECIMAN TRAP/40CC(SUCTION) | 51 |
2819406 | POUCH, DRAINABLE STOMA | 7 |
2819410 | WAFER, STOMA–REF#14604 | 8 |
2819411 | SPECIMAN JAR | 11 |
2819412 | SPECULUM | 12 |
2819418 | SPLINT/PLASTER 4 PER INCH SR415 | 11 |
2819419 | SPLINT/PLASTER 3 PER INCH SR315 | 9 |
2819420 | SPLINT/PLASTIC 2 FT | 44 |
2819421 | SPLINT/PLASTIC 6, FT | 78 |
2819423 | OCL SPLINT 2 SR215 | 8 |
2819433 | SPLINT. PLASTER | 16 |
2819434 | SPLINT SCOTCHCAST 3 X12 | 18 |
2819437 | SPONGE GAUZE 2INX2IN STERILE | 12 |
2819438 | SPONGE 4X4 NON-STERILE | 29 |
2819440 | SPONGE CURITY 4X4 (10 PAK) | 32 |
2819441 | DRESSING PAK | 57 |
2819442 | SPINAL TRAY | 100 |
2819443 | SYRINGE ASCEPTO 3 OZ | 32 |
2819445 | SITZ BATH KIT | 127 |
2819446 | STOCKINET SURG 2 | 12 |
2819447 | STOCKINET TUBING 3 | 16 |
2819448 | STOCKINET ORTHO 4 | 9 |
2819449 | STOCKINET SURG 5 IMPERVIOUS 12 X 48 | 17 |
2819450 | STOCKINET 6 | 16 |
2819451 | SWAB GLYCERINE | 11 |
2819452 | STOCKINET 6X72–(SURG) | 57 |
2819454 | STOCKINET 4X60–(SURG) | 17 |
2819455 | STERILE COTTON TIP APPLICATOR | 18 |
2819456 | SPINAL BLOCK TRAY | 50 |
2819457 | STOCKINGS SM, THIGH HIGH | 46 |
2819458 | STOCKINGS MED, THIGH HIGH | 46 |
2819459 | STOCKINGS LG, THIGH HIGH | 46 |
2819460 | STOCKINGS EX-LG, THIGH HIGH | 46 |
2819461 | STOCKINGS SM, KNEE HIGH | 46 |
2819462 | STOCKINGS MED, KNEE HIGH | 46 |
2819463 | STOCKINGS LG, KNEE HIGH | 46 |
2819464 | STOCKINGS EX-LG, KNEE HIGH | 46 |
2819470 | 12FR STOMACH TUBE/LEVIN TYPE | 21 |
2819471 | 14FR STOMACH TUBE/LEVIN TYPE | 21 |
2819472 | 16FR STOMACH TUBE/LEVIN TYPE | 21 |
2819478 | STONE BASKET | 578 |
2819479 | STOPCOCK 4-WAY | 30 |
2819480 | GATORADE | 9 |
2819481 | PEDIALYTE/ELECTROLYTE | 9 |
2819483 | SPONGE, LAP | 29 |
2819485 | SPRITE SODA (ALL) EA. CAN | 9 |
2819486 | SNARE ASSEMBLY, OVAL | 142 |
2819540 | SIGMOID, PROCTO | 63 |
2819742 | SUCT CATH MUCUS TRAP | 17 |
2819793 | SHEETS 1/4 1/2 | 12 |
2819802 | SUCTION MACHINE PER DAY | 161 |
2819806 | SUBCLAVIAN JUGULAR | 65 |
2819807 | SUTURE REMOVAL SET | 44 |
2819809 | SURGICEL 2 X 14 | 348 |
2819810 | SLING, SWATH | 135 |
2819811 | SLNG,HANG CAST,CHILD | 77 |
2819812 | SLNG,HANG CAST,ADULT | 77 |
2819813 | AIR SPLINT | 166 |
2819817 | SOFTWICK | 12 |
2819828 | SPLINT,FROG,SMALL | 50 |
2819829 | SPLINT,FROG,MEDIUM | 29 |
2819830 | SPLINT,FROG,LARGE | 35 |
2819846 | SPLINT FINGER 1-1/2 | 18 |
2819847 | SPLINT FINGER 3 | 70 |
2819848 | SPLINT FINGER 5-1/2 | 70 |
2819850 | SPLINT, FINGER STRIP | 70 |
2819851 | SPLINT FOUR PRONG FINGER 2 | 18 |
2819852 | SPLINT FOUR PRONG FINGER 3 | 18 |
2819853 | SPLINT FOUR PRONG FINGER 3-1/2 | 18 |
2819854 | SPLINT FINGER TOAD–SM | 18 |
2819855 | SPLINT FINGER TOAD–MED | 18 |
2819856 | SPLINT FINGER TOAD–LG | 18 |
2819897 | SPLINT KNEE SMALL | 239 |
2819898 | SPLINT KNEE LARGE | 239 |
2819899 | SPLINT KNEE EX-LARGE | 239 |
2819900 | SPLINT KNEE MEDIUM | 239 |
2819901 | NUT. 1000CC RTH. | 33 |
2819902 | NUT. SPIKE SET | 77 |
2819903 | SPLINT WRIST COCKUP MED RIGHT | 186 |
2819904 | SPLINT WRIST ECONOMY | 109 |
2819905 | SPLINT WRIST ELASTIC | 81 |
2819906 | SURGI CLIP | 356 |
2819907 | NUT 4 OZ. | 12 |
2819908 | NUT. 8 OZ. CAN | 13 |
2819909 | E.O.A. TUBE | 234 |
2819910 | E.O.A. REPLACEMENT TUBE | 110 |
2819911 | SYRINGES-ALL SIZE EA | 12 |
2819912 | SYRINGE TOOMEY 70CC | 21 |
2819913 | SPLINT WRIST COCKUP PED LEFT | 186 |
2819914 | SPLINT WRIST COCKUP PED RIGHT | 186 |
2819915 | SPLINT WRIST COCKUP SM LEFT | 186 |
2819916 | SPLINT WRIST COCKUP SM RIGHT | 186 |
2819917 | SPLINT WRIST COCKUP MED LEFT | 186 |
2819918 | SPLINT WRIST COCKUP LG LEFT | 186 |
2819919 | SPLINT WRIST COCKUP LG RIGHT | 186 |
2819920 | SPLINT WRIST COCKUP XLG LEFT | 186 |
2819921 | SPLINT WRIST COCKUP XLG RIGHT | 186 |
2820002 | T A-90 | 836 |
2820003 | T A | 123 |
2820004 | T A STAPLES | 599 |
2820006 | TRAY, TRACHEOTOMY | 315 |
2820007 | TRI-LUMEN VENOUS CATH #AK-15703-A | 234 |
2820009 | TRILENE | 53 |
2820010 | TEMP STRIP | 35 |
2820011 | TRACH PLUG | 48 |
2820012 | TRACH SPONGE | 16 |
2820013 | SGL-LUMEN VENOUS CATH | 240 |
2820015 | TRACH, TUBE, DISP. | 255 |
2820100 | TUBE CANTOR | 81 |
2820146 | T TUBE | 210 |
2820460 | TEGADERM DRESSING 4X4 | 18 |
2820461 | MEDIPORE TAPE 2 #2962 | 32 |
2820462 | TEGADERM DRESSING 8X12 | 21 |
2820465 | TAPE MICROPORE 1 | 16 |
2820466 | TAPE MICRO 2 | 21 |
2820468 | ROLL TAPE | 16 |
2820510 | TUBE GAUZE PER IN. | 7 |
2820522 | TRACH CLEANING TRAY | 29 |
2820532 | THORACENTESS TRAY | 189 |
2820676 | TOWELS | 17 |
2820723 | TUBE CONNECT CONDUCT 8888301622 | 44 |
2820725 | TUBE, KANGAROO GASTROSTOMY 26FR 88847202 | 207 |
2820726 | TUBE,KANGAROO GASTROSTOMY 20FR 888472026 | 207 |
2820737 | 1/4 SHEET | 17 |
2820738 | U-DRAPE 54X76 | 11 |
2820739 | 3X8 TELFA PAD | 12 |
2820740 | TELFA 3 X 4 | 12 |
2820745 | TELEMETRY & ELECTRODES | 484 |
2820851 | TRAY, CHEST TUBE | 81 |
2820856 | TROCAR 12MM | 428 |
2820890 | TUR APRON | 65 |
2821038 | URETHRAL DILATORS | 120 |
2821524 | URI-METER | 68 |
2821706 | UNDERPAD LARGE, SINGLE | 15 |
2821708 | UNDERPAD/PKG | 29 |
2821795 | URINAL H140D01 | 17 |
2821877 | VACCUUM BOTTLE / BBRAUN#S9901-10 | 39 |
2822040 | VENOGRAPHY TRAY | 121 |
2822247 | TOURNIQUET 18 | 96 |
2822248 | TOURNIQUET 12 CUFF | 96 |
2822249 | TOURNIQUET 24 ZIMMER#60707010400 | 96 |
2822474 | TUOHY EPI NEEDLE | 16 |
2822526 | VENOUS PRESS SOL | 48 |
2822527 | VENT TUBE | 85 |
2822732 | VASELENE GAZE 1/2 72 | 32 |
2822800 | VEST SAFETY | 85 |
2822802 | VOMIT & URINE DISP BAG | 21 |
2823010 | WASHCLOTHS DISP. | 11 |
2823330 | CAST PADDING(UNSTERILE) 4 X40 | 12 |
2823331 | UNDERCAST PADDING 4 X40 | 16 |
2823333 | WEBRIL 2 IN | 12 |
2823334 | WEBRIL 3 IN | 16 |
2823335 | WEBRIL 4 IN | 16 |
2823336 | WEBRIL 6 IN | 21 |
2823399 | INTERLINK INSECTION SITE | 12 |
2824220 | XEROFORM DRESSING | 29 |
2824411 | BREVI-XL CATHETER | 247 |
2824440 | SPONGE X-RAY 4IN 4IN #7317 | 29 |
2824441 | SLIMPLEX 360 NEEDLE | 40 |
2824444 | SYRINGE 10CC | 15 |
2824456 | BUTTERFLY | 33 |
2824457 | 18GX5 WEISS NEEDLE #405190 | 41 |
2824458 | SLIMPLEX A NEEDLE | 51 |
2824459 | 25GX4.69 SPINAL NEEDLE | 18 |
2824460 | 20GX3.5 SPINAL NEEDLE | 11 |
2824461 | 18GX3.5 SPINAL NEEDLE | 11 |
2824462 | ANESTHESIA GAS MACHINE | 324 |
2824463 | 18G 15CMX10MM CANNULA NEEDLE | 62 |
2824464 | 18G10CMX10MM CANNULA NEEDLE | 41 |
2824465 | 25GX3.5 SPINAL NEEDLE | 12 |
2824466 | 20G 15CMX10MM CANNULA NEEDLE | 41 |
2824467 | 22GX3.5 SPINAL NEEDLE | 30 |
2824468 | SPINAL NEEDLE | 93 |
2824469 | SPINAL NEEDLE 25GX5IN | 34 |
2824470 | 22GX5 SPINAL NEEDLE #405148 | 21 |
2824471 | 22GX2.5 SPINAL NEEDLE | 12 |
2824472 | 27GX3.5 SPINAL NEEDLE | 30 |
2824473 | 22GX1.5 SPINAL NEEDLE | 12 |
2824474 | 18GX6.0 TUOHY EPI NEEDLE | 37 |
2824475 | 17GX5 EPIDURAL NEEDLE | 49 |
2824476 | RX EPI N (TW) | 57 |
2824477 | 22GX7 SPINAL NEEDLE | 21 |
2824478 | NERVE BLOCK NEEDLE | 62 |
2824479 | R.K. EPI. NEEDLE | 75 |
2824480 | 20G 10.3 CMX10MM CANNULA NEEDLE | 41 |
2824481 | CANNULA RFK,10CM 20GA | 62 |
2824482 | 20G 10CMX5MM CANNULA NEEDLE | 41 |
2824483 | 22G 10CMX5MM CANNULA NEEDLE | 41 |
2824484 | PNEUMATIC TURNIQST | 48 |
2824485 | 22G 5CMX5MM CANNULA NEEDLE | 41 |
2824486 | 22G 10CMX10MM CANNULA NEEDLE | 41 |
2824487 | CANNULA, NASAL CO2 SAMPLING | 25 |
2824491 | EPI NEEDLE TUOHY 20GX3.5 | 24 |
2824557 | 18GX3.5 TUOHY NEEDLE # | 41 |
2828374 | CATHETER EXTENSION SET | 18 |
2828375 | CATHETER EXTENSION SET/DELUXE | 27 |
2828399 | MALE LUER LOCK ADAPTER | 13 |
2833550 | MATTRESS LOW AIR LOSS | 96 |
2835630 | INFANT CATH KIT | 16 |
2846876 | CALMOSEPTINE OINTMENT | 17 |
2850600 | QUANTUM SPIKE SET | 15 |
2851204 | PULMOCARE 1000ML RTH | 29 |
2858110 | Y BLOOD TUBING | 44 |
2858114 | 3 WAY STOP COCK TUBING | 66 |
2882962 | GLUCOSE MONITORING | 16 |
2890018 | CHEMSTRIPS | 12 |
2890801 | TEGADERM ABSORB | 30 |
2894120 | MAXORB XTRA AG ROPE DRESSING | 39 |
2897605 | WOUND VAC PUMP <50CM | 249 |
2897606 | WOUND VAC PUMP >50CM | 249 |
2897607 | WOUND VAC DRESSING AND CANNISTERS | 356 |
3000002 | .AFB ACID-FAST BACILLI (AFB) | 74 |
3000004 | .AFB ACID-FAST BACILLI (AFB)SMEAR | 58 |
3007186 | LAB CHG SENSITIVITY BLOOD | 153 |
3011000 | CULTURE SPUTUM W/GRAM STAIN | 171 |
3011100 | CULTURE MISC LOWER RESP | 47 |
3012000 | .CULTURE STOOL ADDT PATHOGENS | 76 |
3012004 | YERSINIA STOOL | 117 |
3012005 | .OVA AND PARASITES STOOL STAIN | 25 |
3012006 | .OVA AND PARASITES STOOL SMEAR | 25 |
3012007 | CDIFF | 168 |
3012008 | PARASITE ID, WORM | 34 |
3013000 | CULTURE THROAT | 171 |
3013100 | CULTURE MISC UPPER RESP | 47 |
3013500 | STREP A RAPID | 130 |
3014000 | URETHRA CULT/GRAMS | 88 |
3015000 | CULTURE URINE | 46 |
3017010 | CULTURE VRE | 168 |
3017019 | CULTURE GENITAL | 57 |
3059116 | LYMES IMMUNOBLOT IGM | 65 |
3086318 | CRYPTOSPORIDIUM ANTIGEN | 47 |
3086759 | ROTAVIRUS ANTIGEN | 145 |
3086789 | VARICELLA ZOSTER VIRAL CULTURE | 145 |
3087015 | CYCLOSPORA | 150 |
3087070 | CULTURE BODY FLUID | 171 |
3087071 | CULTURE B PERTUSSIS, NASAL SWAB | 62 |
3087076 | LAB CHG ORGANISM ID AEROBIC | 80 |
3087077 | LAB CHG ORGANISM ID ANAEROBIC | 80 |
3087080 | CULTURE GROUP B STREP | 57 |
3087081 | CULTURE NEISSERIA GONORRHOEAE | 132 |
3087102 | CULTURE YEAST STOOL | 50 |
3087103 | CULTURE FUNGAL BLOOD | 63 |
3087106 | YEAST, IDENTIFICATION, LAB CHARGE ONLY | 194 |
3087107 | FUNGAL CULTURE | 300 |
3087186 | LAB CHG SENSITIVITY CULT | 153 |
3087206 | WET PREP | 61 |
3087251 | CULTURE VIRAL | 236 |
3087255 | HSV CULTURE | 90 |
3087899 | .CULTURE STOOL (SALMONELLA/SHIGELLA) | 41 |
3176075 | BONE DENSITY, DEXA, AXIAL SKELETON | 428 |
3200119 | CYSTOGRAM CONT. MEDIA | 164 |
3200120 | GB LIPOMUL ADMIN | 49 |
3200121 | IVP ADMIN PAK | 118 |
3200123 | UGI BA CUP | 37 |
3200125 | UGI GASTRO KIT | 118 |
3200128 | VENOGRAM KIT | 97 |
3200130 | AC B.E. KIT | 153 |
3200131 | AC BE-BAG | 49 |
3200132 | CHIBA BIOPSY NEEDLE | 30 |
3211134 | KNEE XRAY RT | 349 |
3211135 | KNEE XRAY LT | 349 |
3212122 | L SPINE X-RAY | 492 |
3212123 | L SPINE OBLS XRAY | 485 |
3212135 | LOWER LEG X-RAY RIGHT | 359 |
3212136 | LOWER LEG X-RAY LEFT | 359 |
3213103 | MASTOIDS X-RAY | 393 |
3213106 | MANDIBLE X-RAY | 452 |
3213199 | METASTATIC SERIES | 962 |
3213912 | MYELOGRAM | 944 |
3213914 | MYELOGRAM TRAY | 298 |
3213999 | WATER VIEW SINUSES | 234 |
3214005 | 4 VIEWS KNEE RT | 233 |
3214006 | 4 VIEWS KNEE LT | 233 |
3214010 | 4 VIEWS SHOULDER RT | 286 |
3214011 | 4 VIEWS SHOULDER LT | 286 |
3214015 | CCK | 500 |
3214020 | 4 VIEW ELBOW RT | 421 |
3214021 | 4 VIEW ELBOW LT | 421 |
3214105 | NASAL BONES X-RAY | 390 |
3215161 | OB FILMS PA & LAT | 157 |
3215163 | OBSTRUCTION SERIES | 538 |
3215165 | ORBIT X-RAY | 410 |
3215166 | OSCALSIS RT | 343 |
3215167 | OSCALSIS LT | 343 |
3216111 | PAROTID GLAND X-RAY | 62 |
3216114 | PELVIS X-RAY | 361 |
3216159 | IVP X-RAY | 785 |
3216195 | EXTERNAL PACEMAKER | 197 |
3218111 | RIBS XRAY RT | 445 |
3218112 | RIBS XRAY LT | 445 |
3219100 | SELLA TURSICA TOMO | 270 |
3219103 | SKULL X-RAY | 492 |
3219104 | SINUSES | 485 |
3219106 | SI JOINT | 309 |
3219111 | SOFT TISSUE NECK | 410 |
3219115 | SHOULDER XRAY LT | 361 |
3219116 | SHOULDER XRAY RT | 361 |
3219117 | SCAPULA RT | 361 |
3219118 | SCAPULA LT | 361 |
3219124 | STERNUM X-RAY | 279 |
3219125 | SACRUM | 448 |
3220107 | TM JOINT | 383 |
3220121 | THORACIC SPINE XRAY | 445 |
3220132 | TOES XRAY RT | 349 |
3220133 | TOES XRAY LT | 349 |
3221148 | UGI | 595 |
3222200 | VENOGRAPHY UNILATEXT | 620 |
3222202 | VOIDING CYSTOURETHRO | 562 |
3223129 | WRIST XRAY RT | 350 |
3223130 | WRIST XRAY LT | 350 |
3226108 | ZYGOMAS | 184 |
3236005 | VENOGRAPHY-CONTRAST INJECTION PROCEDURE | 194 |
3253137 | ARTHROGRAM SHOULDER LT | 589 |
3253139 | ARTHROGRAM KNEE RT | 612 |
3253140 | ARTHROGRAM KNEE LT | 612 |
3271021 | CHEST (W/ LORDOTIC) | 309 |
3271030 | CHEST COMPLETE 4 (V) | 342 |
3272020 | SPINE SINGLE VIEW | 299 |
3272082 | SCOLIOSIS SURVEY | 458 |
3272190 | PELVIS – COMPLETE | 193 |
3273020 | SHOULDER-1 VIEW RT | 242 |
3273021 | SHOULDER-1 VIEW LT | 242 |
3273092 | UPPER EXTREMITY INFANT 2(V) | 328 |
3273120 | 2 VIEW HAND RT | 349 |
3273121 | 2 VIEW HAND LT | 349 |
3273500 | HIP XRAY ONE VIEW RT | 342 |
3273522 | HIP XRAY, BILAT | 629 |
3273525 | ARTHROGRAM HIP RT | 513 |
3273526 | ARTHROGRAM HIP LT | 513 |
3273562 | KNEE RT 3 VIEW | 425 |
3273563 | KNEE LT 3 VIEW | 425 |
3273592 | LOWER EXTREMITY INFANT RT | 214 |
3273593 | LOWER EXTREMITY INFANT LT | 214 |
3273600 | 2 VIEW ANKLE RT | 324 |
3273601 | 2 VIEW ANKLE LT | 324 |
3273620 | 2 VIEW FOOT RT | 323 |
3273621 | 2 VIEW FOOT LT | 323 |
3274210 | MODIFIED BA SWALLOW | 390 |
3274330 | ENDOSCOPIC RETRO | 958 |
3274415 | IVP-NEPHROTOMOGRAM | 893 |
3275827 | VENOGRAPHY, SVC | 626 |
3276065 | OSSEOUS SURVEY COMPLETE INFANT | 236 |
3277002 | C ARM FLUORO LESS THAN 1 HR | 335 |
3277003 | C ARM SPINE FLUORO LESS THAN 1 HR | 335 |
3277022 | BONE AGE STUDY | 251 |
3277075 | SKELETAL SURVEY | 2292 |
3309579 | CONTRAST OMNISCAN PER 15 ML | 238 |
3370336 | MR TMJ | 2161 |
3370540 | MR ORBIT, FACE AND NECK | 2818 |
3370541 | MRA NECK | 3021 |
3370543 | MRI ORBIT FACE NECK | 2773 |
3370544 | MRA BRAIN WO | 2876 |
3370551 | MR BRAIN WO CONTRAST | 2686 |
3370552 | MR BRAIN W CONTRAST | 2818 |
3370553 | MR BRAIN W WO CONTRAST | 3401 |
3371550 | MR CHEST | 2333 |
3371552 | MR CHEST WWO | 3165 |
3371555 | MRA CHEST | 3068 |
3372141 | MR CERVICAL WO | 2880 |
3372142 | MR CERVICAL W CONTRAST | 3025 |
3372146 | MR THORACIC WO | 2601 |
3372147 | MR THORACIC W CONTRAST | 2491 |
3372148 | MR LUMBAR WO | 2829 |
3372149 | MR LUMBAR W CONTRAST | 2884 |
3372156 | MR CERVICAL WWO CONTRAST | 3462 |
3372157 | MR THORACIC WWO CONTRAST | 2711 |
3372158 | MR LUMBAR WWO CONTRAST | 3362 |
3372159 | MRA SPINAL CANAL | 2711 |
3372195 | MR PELVIS WO CONTRAST | 2384 |
3372196 | MR PELVIS W CONTRAST | 2384 |
3372197 | MR PELVIS W W/O CONTRAST | 2700 |
3372198 | MRA PELVIS | 2970 |
3373218 | MR RT UPPER EXT W/O | 1937 |
3373219 | MR LT UPPER EXT W/O | 1937 |
3373220 | MR RT UPPER EXT W/WO | 2403 |
3373221 | MR RT UPPER JOINT W/O | 3534 |
3373222 | MR LT UPPER JOINT WO CONTRAST | 3534 |
3373223 | MRI RT UPPER JOINT W/WO CONTRAST | 4040 |
3373224 | MR LT UPPER JOINT W/WO | 4040 |
3373225 | MR LT UPPER EXT W/WO | 2403 |
3373226 | MRA UPPER EXTREMITY LT | 2491 |
3373717 | MR LT LOWER WO | 2731 |
3373718 | MR RT LOWER EXT WO | 2793 |
3373719 | MR LT LOWER EXT W/WO | 3255 |
3373720 | MR RT LOWER EXT W/WO | 3317 |
3373721 | MR RT LOWER JOINTW/O | 3534 |
3373722 | MR LT LOWER JOINT WO | 3534 |
3373723 | MR RT LOWER JOINT W/WO | 4017 |
3373724 | MR LT LOWER JOINT W/WO | 3954 |
3373725 | MRA LOW EXTREMITY RT | 2384 |
3373726 | MRA LOW EXTREMITY LT | 2384 |
3373727 | MR RT LOWER EXTREMITY JOINT W CONTRAST | 3824 |
3373728 | MR LT LOWER EXTREMITY JOINT W CONTRAST | 3762 |
3374181 | MR ABDOMEN WO CONTRAST | 2780 |
3374182 | MR ABDOMEN W CONTRAST | 3211 |
3374183 | MR ABDOMEN W WO CONTRAST | 3256 |
3374185 | MRA ABDOMEN | 3165 |
3375554 | MR CARDIAC FUNCTION | 2932 |
3376093 | BREAST UNI W OR WO CONT | 2210 |
3376094 | MR BREAST BILATERAL W OR WO CONTRAST | 3068 |
3400019 | NM STRESS THALLIUM (ISO KIT) | 363 |
3400020 | NM CARDIOLITE ISO | 321 |
3400022 | NM ULTRA TAG RED BLOOD CELL KIT | 228 |
3400201 | NM BONE SCAN ISOTOPE KIT | 189 |
3400204 | NM BRAIN SCAN ISOTOPE KIT | 242 |
3400207 | NM CARD SCAN ISOTOPE KIT | 295 |
3400210 | NM HEP-HIDA SCAN ISOTOPE KIT | 301 |
3400213 | NM SULFUR COLLOID | 181 |
3400216 | NM LUNG SCAN ISOTOPE KIT | 389 |
3400219 | NM RENAL SCAN ISOTOPE KIT | 242 |
3400222 | NM THYROID SCAN ISOTOPE KIT | 142 |
3478010 | NM THYROID SCAN | 1139 |
3478012 | NM THYROID UPTAKE SINGLE OR MULTIPLE | 1198 |
3478070 | NM PARATHYROID IMAGING | 1139 |
3478206 | NM LIVER IMAGING 3D W/ FLOW | 1304 |
3478215 | NM LIVER SPLEEN SCAN | 1255 |
3478226 | NM HIDA SCAN WO CCK | 1442 |
3478227 | NM HIDA SCAN W CCK | 1525 |
3478264 | NM GASTRIC EMPTYING STUDY | 1528 |
3478278 | NM ACUTE GI BLOOD LOSS IMAGING | 1255 |
3478300 | NM LIMITED BONE SCAN | 659 |
3478306 | NM BONE SCAN FULL BODY | 903 |
3478315 | NM BONE SCAN 3 PHASE | 1350 |
3478320 | NM BONE SPECT | 1295 |
3478452 | NM MYOCARDIAL PERFUSION | 2596 |
3478464 | NM SINGLE-MYOCARDIAL PERFUSION SPECT | 813 |
3478466 | NM MYOCARDIAC PYP SCAN | 813 |
3478472 | NM MUGA | 813 |
3478580 | NM LUNG SCAN PERFUSION | 2018 |
3478582 | NM LUNG VENTILATION W PERFUSION | 2712 |
3478600 | NM BRAIN SCAN WO FLOW | 1255 |
3478601 | NM BRAIN SCAN WFLOW | 1290 |
3478700 | NM RENAL SCAN – STATIC ONLY | 996 |
3478701 | NM RENAL WITH FLOW | 1076 |
3478708 | NM RENAL (PHARMA COLOGICAL) | 1253 |
3478805 | NM RADIOPHARMACEUTICAL LOCALIZATION | 2106 |
3478990 | NM I-123 SODIUM IODIDE CAP 200 UCI | 276 |
3500205 | US LIMITED M-MODE ECHO | 278 |
3500235 | US M-MODE ECHOCARDIOGRAM | 898 |
3500244 | US FEMORAL DOPPLER | 755 |
3500267 | US BIOPSY GUN | 127 |
3500300 | US STERILE CENTESIS KIT | 189 |
3500489 | US CAROTID DOPPLER STUDY | 1027 |
3575989 | US GUIDED PERCUTANIOUS DRAINAGE | 410 |
3576506 | US ECHOENCEPHALOGRAPHY | 659 |
3576536 | US THYROID | 628 |
3576550 | US ECHO-COAT NEEDLES | 114 |
3576604 | US ECHOGRAPHY CHEST | 670 |
3576641 | US BREAST UNILATERAL | 453 |
3576700 | US ABDOMEN COMPLETE | 930 |
3576705 | US GB,CBD,CHD,/RUQ | 873 |
3576770 | US RENAL | 646 |
3576775 | US RENAL UNILATERAL | 609 |
3576801 | US OB < 14 WEEKS | 792 |
3576805 | US OB > 14 WEEKS | 792 |
3576815 | US LIMITED OB (AFI & ECT.) | 578 |
3576818 | US FETAL BIOPHYSICAL PROFILE | 887 |
3576830 | US PELVIC TRANS VAGINAL | 531 |
3576856 | US PELVIC (NON-0B) | 754 |
3576870 | US TESTICULAR | 485 |
3576872 | US PROSTATE TRANSRECTAL | 621 |
3576882 | US MASS SOFT TISSUE | 578 |
3576934 | US GUIDANCE FOR THOROCENTISIS | 427 |
3576942 | US NEEDLE GUIDANCE | 223 |
3576946 | US AMNIOCENTESIS | 377 |
3593306 | US ECHO M-MODE & COLOR DOPPLER | 2878 |
3593307 | US M-MODE ECHOCARDIOGRAM | 1032 |
3593320 | US CARDIAC DOPPLER WITH | 833 |
3593325 | US ECHO – COLOR FLOW DOPPLER | 875 |
3593880 | US CAROTID DOPPLER | 874 |
3593922 | US ANKLE BRACHIAL INDICES (ABI) | 356 |
3593923 | US ARTERIAL DOPP LOWER EXT W SEG PRESS | 1435 |
3593925 | US ARTERIAL DOPPLER LOWER EXT | 646 |
3593926 | US ARTERIAL UNILAT./LIMITED | 548 |
3593930 | US ARTERIAL DOPPLER UPPER EXT | 868 |
3593965 | US VENOUS UPPER EXTREMITY DOPPLER | 868 |
3593970 | US VENOUS BILATERAL LOWER EXT | 1577 |
3593971 | US VENOUS UNILATERAL RIGHT | 569 |
3593972 | US VENOUS UNILATERAL LT | 569 |
3593975 | US DUPLEX OF ABD PELVIS | 887 |
3593978 | US DUPLEX SCAN OF AORTA | 522 |
3600017 | CT EXTRA VIEWS | 97 |
3600024 | CT EXTRA SLICES | 53 |
3600030 | PNEUMOTHORAX SET | 248 |
3600042 | CT CALL BACK | 228 |
3600080 | CT NEEDLE BIO GUIDANCE | 1483 |
3600132 | CT CONTRAST KIT | 207 |
3600142 | OPTIRAY CONTRAST | 491 |
3658823 | CT DRAINAGE OF PELVIC ABCESS | 1252 |
3670450 | CT HEAD WO CONTRAST | 1957 |
3670460 | CT HEAD W CONTRAST | 2141 |
3670470 | CT HEAD WWO CONTRAST | 2376 |
3670480 | CT ORBIT SELLA EAR MASTOID WO | 1877 |
3670481 | CT ORBIT SELLA EAR MASTOID WITH | 2167 |
3670482 | CT ORBIT SELLA EAR MASTOID WO WITH | 2376 |
3670486 | CT MAXILLA FACIAL SINUSES WO | 1766 |
3670487 | CT MAXILLOFACIAL AREA WO CONTRAST | 1903 |
3670488 | CT MAXILLOFACIAL AREA WWO CONTRAST | 2025 |
3670490 | CT NECK WO SOFT TISSUE | 1882 |
3670491 | CT NECK WITH | 1998 |
3670492 | CT SOFT TISSUE NECK WWO CONTRAST | 2376 |
3670496 | CTA HEAD | 3442 |
3670498 | CTA NECK | 3442 |
3671250 | CT CHEST WO CONTRAST | 1877 |
3671260 | CT CHEST W CONT | 2091 |
3671270 | CT CHEST WO WITH CONT | 2469 |
3671275 | CTA CHEST | 3442 |
3672125 | CT C SPINE WO CONTRAST | 1877 |
3672126 | CT C SPINE WITH CONTRAST | 2137 |
3672127 | CT C SPINE WO W CONT | 1329 |
3672128 | CT THORACIC SPINE WO CONTRAST | 1877 |
3672129 | CT THORACIC WITH CONTRAST | 2246 |
3672130 | CT THORACIC WO & WITH CONTRAST | 2406 |
3672131 | CT LUMBAR SPINE WO CONTRAST | 2070 |
3672132 | CT LUMBAR SPINE WITH CONTRAST | 2246 |
3672133 | CT SPINE LUMBAR WWO CONTRAST | 2376 |
3672191 | CTA PELVIS | 3259 |
3672192 | CT PELVIS WO CONTRAST | 1933 |
3672193 | CT PELVIS WITH CONTRAST | 2337 |
3672194 | CT PELVIS WO AND W CONTRAST | 2469 |
3673200 | CT EXTREMITY UPPER WO RT | 1527 |
3673201 | CT EXTREMITY UPPER WO LT | 1527 |
3673202 | CT EXTREMITY UPPER W WO LT | 1527 |
3673203 | CT EXTREMITY UPPER W WO RT | 1527 |
3673206 | CTA UPPER EXTREMITY RT | 3081 |
3673207 | CTA UPPER EXTREMITY LT | 3081 |
3673699 | CT EXTREMITY LOWER WO LT | 1527 |
3673700 | CT EXTREMITY LOWER WO RT | 1527 |
3673701 | CT LOWER EXTREMITY W CONTRAST | 1724 |
3673702 | CT EXTREMITY LOWER WWO LT | 1424 |
3673703 | CT EXTREMITY LOWER WWO RT | 1424 |
3673706 | CTA LOWER EXT RT | 3442 |
3673707 | CTA LOWER EXT LT | 3442 |
3674150 | CT ABD WO CONT | 2054 |
3674160 | CT ABD W CONT | 2267 |
3674170 | CT ABD WWO | 2490 |
3674175 | CTA ABDOMEN | 3259 |
3674176 | CT ABD PELVIS WO CONTRAST | 3929 |
3674177 | CT ABD PEL W CONT | 4601 |
3674178 | CT ABD PELVIS WWO CONT | 4956 |
3675635 | CTA ABA AORTA W BIL FEMORAL EXT RUNOFF | 3804 |
3675989 | CT GUIDE FOR DRAINAGE ABCESS | 1481 |
3676380 | CT SINUSES LIMITED | 1116 |
3677012 | CT NEEDLE BIO GUIDANCE | 1259 |
3677078 | CT BMD STUDY AXIAL SKEL 1 OR MORE SITES | 428 |
3776086 | GALACTOGRAM SINGLE DIRECT | 303 |
3776090 | MAMMOGRAM UNILATERAL | 181 |
3776098 | SURGICAL SPECIMEN | 101 |
3777054 | MAMMOGRAM UNILATERAL LEFT | 253 |
3777055 | MAMMOGRAM UNILATERAL RIGHT | 253 |
3777056 | MAMMOGRAM BILATERAL | 405 |
3895805 | MULT SLEEP LATENCY/WAKEFULNESS TESTING, | 1720 |
3895808 | STRAIGHT SLEEP STUDY | 2649 |
3895810 | POLYSOMNOGRAPHY; SLEEP STAGING W/TECHNOL | 4405 |
3895811 | POLYSOMNOGRAPHY; SLEEP STUDY W/CPAP TECH | 5207 |
3900001 | FLU MIST NASAL VACCINE | 63 |
3900008 | ADMIN FLU VAC | 8 |
3900009 | ADMIN PNEUMO VAC | 8 |
3900025 | HCY SCREENING | 81 |
3900073 | CL – TD 7 YEARS AND OLDER | 70 |
3900091 | PAP SMEAR | 32 |
3900101 | MC CERVICAL/VAGINAL EXAMINATION | 66 |
3900243 | IV INFUSION REGENCOV ADMINISTRATION | 309.6 |
3900540 | CL- FISCHER PENICILLIN INJECTION | 150 |
3900696 | CL- FISCHER ROCEPHIN 500 MG | 175 |
3901000 | CL- FISCHER DEPO ESTRADIOL 5 MG | 130 |
3901030 | CL- FISCHER DEPO MEDROL 40 MG | 53 |
3901040 | CL- FISCHER DEPO MEDROL 80 MG | 95 |
3901200 | CL- FISCHER DIPHENHYDRAMINE 50 MG | 41 |
3901885 | CL- FISCHER TORADOL-KETORALAC 30 MG | 85 |
3902405 | CL- FISCHER ZOFRAN INJ 4 MG | 16 |
3902550 | CL- FISCHER PHENERGAN 50 MG | 38 |
3902902 | CL- FISCHER SOLU MEDROL 40 MG | 40 |
3902920 | SOLU MEDROL UP TO 40MG | 47 |
3903301 | CL- FISCHER TRIAMCINOLONE ACETON 40 MG | 95 |
3903410 | CL- FISCHER VISTARIL 50MG | 40 |
3903420 | CL- FISCHER VITAMIN B-12 | 35 |
3903490 | CL- FISCHER LIPO B INJECTION | 15 |
3910060 | I & D SIMPLE ABCESS | 104 |
3911055 | PARING OR CUTTING OF CORNS | 70 |
3911981 | NEXPLANNON PLACEMENT | 480 |
3917000 | CRYOFREEZE FIRST LESION | 135 |
3917003 | CRYOFREEZE LESION 2-14 | 50 |
3917110 | DESTRUCTION BENIGN LESIONS | 115 |
3920600 | INJECTION SMALL JOINT | 180 |
3920605 | INJECTION INTERMEDIATE JOINT | 195 |
3920610 | INJECTION MAJOR JOINT | 255 |
3956217 | GI COCKTAIL | 6 |
3969210 | EARWAX REMOVAL | 130 |
3981000 | URINE DIP | 30 |
3981002 | FISCHER URINE DIP | 27 |
3981025 | FISCHER URINE PREGNANCY TEST | 40 |
3982270 | FISCHER OCCULT BLOOD | 25 |
3982962 | FISCHER GLUCOSE BY MONITOR | 25 |
3983036 | HB | 95 |
3986580 | CL- FISCHER TB PPD INTRADERMAL | 45 |
3987210 | FISCHER KOH WET MOUNT | 35 |
3987502 | FISCHER INFLUENZA A&B TEST | 123 |
3987634 | FISCHER RSV TEST | 123 |
3987651 | FISCHER STREP | 123 |
3987804 | FISCHER INFLUENZA A & B CLIA WAVED | 71 |
3987880 | FISCHER RAPID STREP | 65 |
3988150 | PAP SMEAR | 60 |
3990376 | CL- IMOGAM 300 IU 2 ML | 600 |
3990460 | CL-INFLUENZA PEDIATRIC | 70 |
3990471 | VACCINE ADMINISTRATION ONE | 35 |
3990632 | CL- FISCHER HEP A ADULT VACCINE | 25 |
3990649 | CL- FISCHER HPV GARDISAL VACCINE | 150 |
3990657 | CL- FISCHER INFLUENZA VAC 6-36 MONTHS | 35 |
3990658 | CL- FISCHER INFLUENZA VACCINE 3 YRS &OLD | 60 |
3990662 | CL- HIGHDOSE FLU 65+ | 90 |
3990672 | CL – INFLUENZA VACCINE NASAL FLUMIST | 65 |
3990674 | CL-FLUCELVAX 2 YRS + | 90 |
3990675 | CL- FISCHER RABAVERT VACCINE FOR IM USE | 350 |
3990682 | CL-FLUBLOK 18+ | 90 |
3990686 | CL-FLUZONE 6 MONTHS + | 90 |
3990694 | CL-FLUAD 65 + | 90 |
3990696 | CL- FISCHER DTAP IPV 4-6 YRS OLD VACCINE | 55 |
3990707 | CL- FISCHER MMR VACCINE | 55 |
3990716 | CL- FISCHER VARICELLA VARIVAX VACCINE | 95 |
3990724 | CL- FISCHER INFLUENZA VACCINE | 35 |
3990732 | CL- FISCHER PNEUMO 23 VACCINE | 250 |
3990734 | CL- FISCHER MENACTRA VACCINE | 130 |
3990782 | THERAPEUTIC/DIAGNOSTIC INJECTION | 50 |
3993000 | EKG WITH REPORT AND INTERPRETATION | 223 |
3993225 | HOLTER MONITOR HOOK UP AND DISCONNECT | 263 |
3993270 | EVENT MONITOR HOOK UP AND DISCONNECT | 263 |
3994664 | NEBULIZER FIRST TREATMENT | 65 |
3994760 | PULSE OXIMETRY | 45 |
3996372 | THERAPEUTIC/DIAGNOSTIC INJECTION | 50 |
3998312 | CL- FISCHER PREVNAR 13 | 541 |
3999201 | OFFICE VISIT – NEW PT – BRIEF | 120 |
3999202 | OFFICE VISIT – NEW PT – LIMITED | 170 |
3999203 | OFFICE VISIT – NEW PT – INTERMEDIATE | 225 |
3999204 | OFFICE VISIT – NEW PT – EXTENDED | 320 |
3999205 | OFFICE VISIT – NEW PT – COMPREHENSIVE | 430 |
3999211 | OFFICE VISIT – EST. PT – MINIMAL | 70 |
3999212 | OFFICE VISIT – EST. PT – BRIEF | 110 |
3999213 | OFFICE VISIT – EST. PT – INTERMEDIATE | 150 |
3999214 | OFFICE VISIT – EST. PT – EXTENDED | 220 |
3999215 | OFFICE VISIT – EST. PT – COMPREHENSIVE | 300 |
3999218 | OBSERVATION VISIT INITIAL BRIEF | 127.5 |
3999222 | INITIAL HOSP CARE INTERMEDIATE | 193.5 |
3999232 | SUBSEQ INPT INTERMEDIATED HOSP VISIT | 105 |
3999238 | HOSPITAL DISCHARGE INPATIENT <30 MIN | 108.5 |
3999241 | CONSULTATIONS – INITIAL – BRIEF | 145 |
3999242 | CONSULTATIONS – INITIAL – INTERMEDIATE | 210 |
3999243 | CONSULTATIONS – INITIAL – EXTENDED | 275 |
3999244 | CONSULTATIONS – INITIAL – COMPREHENSIVE | 375 |
3999245 | CONSULTATIONS – INITIAL – COMPLEX | 475 |
3999315 | NH DISCHARGE – LESS 30 MIN. | 88.5 |
3999316 | NH DISCHARGE – MORE 30 MIN. | 110.5 |
3999381 | HCY SCREENING NEW PT NEWBORN TO 1 YEAR | 225 |
3999382 | HCY SCREENING NEW PT AGE 1 – 4 | 235 |
3999383 | HCY SCREENING NEW PT AGE 5 – 11 | 240 |
3999384 | HCY SCREENING NEW PT AGE 12 – 17 | 270 |
3999385 | HCY SCREENING NEW PT AGE 18 – 39 | 300 |
3999386 | HCY SCREENING NEW PT AGE 40 – 64 | 345 |
3999387 | HCY SCREENING NEW PT AGE 65 & OVER | 365 |
3999391 | HCY SCREENING EST PT NEWBORN TO 1 YEAR | 195 |
3999392 | HCY SCREENING EST PT 1 – 4 | 210 |
3999393 | HCY SCREENING EST PT 5 – 11 | 205 |
3999394 | HCY SCREENING EST PT 12 – 17 | 220 |
3999395 | HCY SCREENING EST PT 18 – 39 | 250 |
3999396 | HCY SCREENING EST PT 40 – 64 | 280 |
3999397 | HCY SCREENING EST PT 65 & OLDER | 300 |
4000245 | CATH. SELF (MENTOR 245) | 12 |
4000612 | CATH. BARD12 (TIEMAN) | 34 |
4000614 | CATH. BARD14 (TIEMAN) | 34 |
4000616 | CATH. BARD16 (TIEMAN) | 34 |
4000618 | CARH. BARD18 (TIEMAN) | 34 |
4000620 | CATH. BARD20 (TIEMAN) | 34 |
4000622 | CATH. BARD22 (TIEMAN) | 34 |
4002231 | BANDAGE, CONFROM31 (KENDALL) | 11 |
4002232 | BANDAGE, CONFROM32 (KENDALL) | 11 |
4002236 | BANDAGE, CONFROM36 (KENDALL) | 11 |
4002237 | FOOT STRAPPING TAPE | 15 |
4002238 | CAM WALKER BOOT SMALL | 317 |
4002239 | CAM WALKER BOOT MEDIUM | 317 |
4002240 | CAM WALKER BOOT LARGE | 317 |
4003014 | TELEHEALTH ORIGINATING SITE FEE | 42 |
4015275 | EPIFIX FACILITY APPLICATION | 1967 |
4016812 | CATH. BARD12 (CARSON COUDE TIP) | 63 |
4016814 | CATH. BARD14 (CARSON COUDE TIP) | 63 |
4016816 | CATH. BARD16 (CARSON COUDE TIP) | 101 |
4016818 | CATH. BARD18 (CARSON COUDE TIP) | 63 |
4016820 | CATH. BARD20 (CARSON COUDE TIP) | 63 |
4016822 | CATH. BARD22 (CARSON COUDE TIP) | 63 |
4016824 | CATH. BARD24 (CARSON COUDE TIP) | 63 |
4059106 | LIDOCAINE 2% 10ML | 86 |
4070001 | FACILITY-CLINIC | 42 |
4070003 | AIR CAST – ALL SIZES | 93 |
4070005 | PLASTIC HEEL CAPS | 12 |
4070006 | EAR WICKS (DISPOSABLE) | 15 |
4070007 | FELT, ORTHOPEDIC-1/4 ROLL | 81 |
4070009 | SPLINT, WRIST-ALL SIZES | 50 |
4070011 | SPLINT, WRIST STAT DEROYAL | 39 |
4070013 | KNEE IMMOBILIZER STAT DEROYAL | 63 |
4070015 | STRAPPING UNIV. ELBOW-STAT DEROYAL | 26 |
4070016 | SURGITUBE TUBE GAUZE | 11 |
4070017 | ANKLETS, SUMMIT MEDICA | 42 |
4070019 | SPLINTS,J&J SPECIALIST 3 | 11 |
4070020 | WOOL, LAMBS | 11 |
4070021 | SPLINTS,J&J SPECIALIST 4 | 11 |
4070023 | SPLINTS,J&J SPECIALIST 5 | 11 |
4070800 | DISPOSABLE BIOPSY PUNCH (ALL SIZES) | 15 |
4093225 | HOLTOR MONITORING, HOOKUP,RECORD&DISCONN | 482 |
4100008 | ADMIN FLU VAC | 8 |
4100009 | ADMIN PNEUMO VAC | 8 |
4100025 | HCY MEDICAID SCREENING | 81 |
4100091 | MEDICARE SCREENING PAP SMEAR | 32 |
4100101 | MEDICARE CERVICAL/VAGINAL EXAMINATION | 66 |
4100696 | ROCEPHIN PER 250MG | 175 |
4101000 | DEPOESTROGEN 1CC | 130 |
4101030 | DEPO MEDROL 40MG | 53 |
4101040 | DEPO MEDROL 80MG | 95 |
4101100 | DECADRON | 26 |
4101200 | DIPEHNHYDRAMINE HCI | 41 |
4101885 | TORADOL KETORALAC 30MG | 85 |
4102010 | LINCOCIN | 21 |
4102902 | SOLUMEDROL 40MG | 40 |
4103301 | TRIAMACILONE ACETONID 20 MG | 95 |
4103420 | ASCORBIC ACID INJ 500 MG/ML 50 ML VIAL | 35 |
4103430 | VITAMIN K | 11 |
4106060 | PHENERGAN 50 MG | 26 |
4107325 | SYNVISC 1 MG | 818 |
4108120 | OXYGEN 1 CUBIC FOOT | 38 |
4110060 | INCISION/DRAIN-ABSCESS SINGLE/SIMPLE | 104 |
4110061 | ABD. ABCESS I&D | 228 |
4110080 | I&D | 141 |
4110120 | FORIGN BODY REMOVAL-LOCAL ANEST. | 128 |
4110121 | INCISION & REMOV OF F/B COMPLICATED | 373 |
4110140 | DRAINAGE OF SEROMA | 110 |
4110160 | PUNCTURE ASPIRATION OF ABSCESS, HEMATOMA | 103 |
4110180 | I&D POST/OP WOUND | 423 |
4111000 | DEBRIDEMENT OF EXT ECZEM/INFEC SKIN 10% | 100 |
4111042 | DEBREDMENT OF WOUND | 300 |
4111043 | DEBRID OF SKIN SUBCUT TISS AND MUSCLE | 165 |
4111044 | DEBRIDEMENT SKIN, TISS, MUSC & BONE | 882 |
4111100 | BIOPSY LESION | 121 |
4111101 | BIOPSY EACH ADDITIONAL LES | 105 |
4111200 | REMOVAL OF SKIN TAG | 115 |
4111201 | 10+ LESIONS, REMOVAL | 61 |
4111300 | SHAV OF EPIDERMAL LESION .5 CM OR LESS | 110 |
4111400 | EXCISION,BENIGN LES SXCEPT LEM TRK-0.5 | 131 |
4111401 | EXCISION-BENIGN LESION 0.6 TO 1.0CM | 164 |
4111402 | EXCISION-BENIGN LESION 1.1 TO 2.0CM | 213 |
4111403 | EXCISION LESION | 281 |
4111404 | EXCUSION LIPOMA | 370 |
4111406 | REMOVAL OF SKIN LESION | 529 |
4111420 | EXCISION LESION-BENIGN/EXCEP,SK-NK-SCLP | 135 |
4111421 | EXCISION BENIGN | 184 |
4111422 | EXCISION LESION 1.1 TO 2.0 CM | 242 |
4111423 | REMOVAL OF SKIN LIESON | 329 |
4111426 | EXCISION,BENIGN OVER 5 CM | 718 |
4111440 | EXCISION LESION-BENIGN/NOSE,EYES,EARS | 176 |
4111441 | EXCISION LESION | 228 |
4111442 | EXCISION LESION 1.1 TO 2.0 CM FACE | 242 |
4111443 | EXCISION LESION-MALIGN/NOSE,2.1 TO 3.0 | 416 |
4111444 | EXCISION CYST | 495 |
4111600 | EXCISION LESION-MALIGN/TRUNK LIMB -0.5 | 228 |
4111601 | EXCISION LESION-MALIGN/LIMB 0.6-1.0CM | 285 |
4111602 | EXC OF LESION 1 TO 2 CENTEMETERS | 371 |
4111603 | EXCISION LESION | 435 |
4111622 | EXCISION LESION | 479 |
4111623 | EXCISION LESION-MALIGN/SC/NK/ND 2.1-3.0 | 276 |
4111640 | REMOVAL OF LESION | 362 |
4111641 | EXCISION LESION-MALIGN/FACE .6 TO 1.0 CM | 434 |
4111642 | EXCISION LESION-MALIGN/FACE1.1 TO 2.0 CM | 606 |
4111643 | EXCISION LESION | 697 |
4111646 | EXCISION LESION-MALIGN/FACE,EARS 4.0 CM | 1080 |
4111720 | WEDGE EXCISION OF TOENAIL | 66 |
4111740 | DRAINAGE/EVACUATION OF SUBUNGUAL HEMATOM | 83 |
4111750 | EXC OF NAIL & NAIL MATRIX, PART/COMPLETE | 440 |
4111752 | EXC TOENAIL W/AMPUTATION DISTAL PHALANX | 695 |
4111765 | EXCISION OF NAIL | 152 |
4111770 | EXCISION OF PILONIDAL SINUS | 478 |
4111900 | INJECTION,INTRALESIONAL; UP TO 7 LESIONS | 158 |
4112001 | REPAIR WOUND | 151 |
4112002 | REPAIR WOUND,SIMPLE | 194 |
4112004 | REPAIR SIMPLE WOUND 7.6 CM – 12.5 CM | 232 |
4112011 | REPAIR WOUND,LIP | 183 |
4112031 | REPAIR INTERMEDIATE LAYER CLOSURE 2.5CM | 213 |
4112032 | REPAIR INTERMEDIATE LAYER CLOS 2.6-7.5CM | 313 |
4112034 | REPAIR WOUND | 403 |
4112035 | REPAIR WOUND,SCALP | 461 |
4112042 | LAYER CLOSURE OF WOUND 2.6 TO 7.5 CM | 405 |
4112044 | REPAIR WOUND | 400 |
4112051 | REPAIR WOUND | 285 |
4112052 | REPAIR INTERMED WOUND FACE 2.6-5.0CM | 390 |
4112053 | WOUND REPAIR | 457 |
4113121 | REPAIR COMPLES WOUND | 617 |
4113131 | REPAIR | 518 |
4113132 | REPAIR WOUND 2.6CM (HAND) | 883 |
4114020 | TISSUE TRANS/REARRANGEMENT-ADJACENT | 1138 |
4114060 | TISSUE TRANS/REARRANGEMENT-ADJACENT | 1891 |
4115260 | FULL THICKNESS GRAFT 20 SQ CM FACE | 2095 |
4115261 | FULL THICKNESS GRAFT EA ADD’L 20 SQ CM | 910 |
4115999 | EXCISION PRESSURE ULCER, UNLISTED | 1654 |
4117000 | DESTRUCTION LESION | 135 |
4117003 | CRYOFREEZE | 50 |
4117100 | REPAIR WOUND,SIMPLE | 77 |
4117250 | CAUTERIZATION CHEM GRANULATION TISSUE | 100 |
4119000 | PUNCTURE ASPIRATION OF BREAST CYST | 142 |
4119020 | MASTOTOMY W/DRAINAGE OF ABSCESS | 500 |
4119100 | BREAST BIOPSY | 224 |
4119101 | BIOPSY, BREAST | 605 |
4119112 | EXC OF LACTI DUCT FISTULA | 868 |
4119120 | EXCISION OF CYST BREAST | 899 |
4119125 | EXCISION/BREAST-SINGLE LEASION W/MARKER | 1032 |
4119126 | NEEDLE LOC. AND EXC. | 521 |
4120102 | EXPLORATION OF PENETRATING WOUND ABD/BAC | 290 |
4120103 | EXPLORATION OF PENETRATING WOUND EXTREMI | 764 |
4120520 | REMOVAL OF F/B SIMPLE | 276 |
4120525 | REMOVAL OF F/B DEEP OR COMPLICATED | 745 |
4120551 | INJECTION SINGLE TENDON | 190 |
4120552 | TRIGGER POINT INJECTION 1 OR 2 MUSCLES | 210 |
4120553 | INJECTION TENDON SHEATH SINGLE/MULT 3 OR | 270 |
4120600 | ARTHROCENTESIS, ASPIR/INJ SMALL JOINT | 180 |
4120605 | ARTHROCENTESIS, ASPIR/INJ INTERMED JOINT | 195 |
4120610 | INJECTION MAJOR JOINT | 255 |
4120680 | REMOVAL OF IMPLANT | 731 |
4121550 | EXCISION BIOPSY | 310 |
4123075 | EXC SOFT TISSUE SHOULDER AREA, SUBCUTAN | 432 |
4125111 | EXCISION OF GANGLION | 975 |
4125600 | FX COLLES TYPE; CLOSED NO MANIPULATION | 750 |
4126010 | I AND D ABSCESS | 151 |
4126160 | EXC OF GANG OF THE TENDEN SHEATH | 405 |
4127096 | CT GUIDED SI INJECTION W/ANESTH & STEROI | 760 |
4127324 | EXCISION OF DEEP CYST | 632 |
4127590 | AMPUTATION LEG | 2431 |
4128190 | REMOVAL OF FOREIGN BODY | 212 |
4128200 | REPAIR TENDON FLEXOR FOOT PRIM EA TENDON | 1123 |
4128810 | AMPUTATION, METATARSAL, WITH TOE, SINGLE | 1389 |
4129540 | STRAPPING ANKLE | 64 |
4129580 | STRAPPING UNNA BOOT | 82 |
4130300 | REMOVAL FORIGN BODY/NOSE | 159 |
4131605 | TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMB | 1193 |
4132421 | THORACENTESIS, PUCT OF PLEURAL CAVITY AS | 400 |
4133207 | INSERTION PACEMAKER | 2368 |
4133212 | INSERT/REPLACE P’MAKER SINGLE CHAMBER | 1284 |
4133216 | REVISION OF PACEMAKER | 1439 |
4133233 | REMOVAL OF PACEMAKER | 584 |
4136010 | INTRODUCTION CATHETER | 547 |
4136140 | INTRACATHETER | 500 |
4137607 | LIGATION OF ANGIOACCESS AV FISTULA | 1376 |
4137609 | BIOPSY OF TEMPORAL ARTERY | 616 |
4137618 | LIGATION MAJOR ARTERY EXTREMITY | 1764 |
4138115 | REPAIR OF RUPTURED SPLEEN | 2928 |
4138505 | NEEDLE BIOPSY . | 308 |
4138510 | EXCISION OF LYMPH NODES OF NECK, DEEP | 1158 |
4140530 | RESECTION OF LIP, MORE THAN 1/4 W/O RECO | 1323 |
4140800 | DRAINAGE OF ABSCESS VESTIBULE OF MOUTH | 169 |
4140812 | EXCISION OF LESION/MOUTH | 347 |
4140830 | CLOSURE OF LACERTAION,VEST MOUTH UND 2.5 | 244 |
4142400 | BIOPSY OF SALIVARY GLAND . | 198 |
4142440 | SUBMANDIBULAR GLAND | 2030 |
4143215 | ENDOSCOPY W/REMOVAL OF FOREIGN OBJECT. | 842 |
4143235 | UPPER ENDOSCOPY | 685 |
4143239 | EGD UPPER GASTRO ENDOSCOPY W/BIOPSY | 875 |
4143280 | LAPAROSCOPIC NISSEN FUNDOPLICATION | 2205 |
4143605 | EXCISION-BIO OF STOMACH-LAPAROTOMY | 2129 |
4143620 | GASTRECTOMY,TOTAL W/ESOPAGOENTEROSTOMY | 4879 |
4143631 | GASTRECTOMY,PART W/ESOPAGOENTEROSTOMY | 3337 |
4143632 | GASTRECTOMY,PART W/GASTROIEJEJUNOSTOMY | 3683 |
4143633 | GASTRECTOMY,PART W/ROUX-EN-Y RECONSTRUCT | 4287 |
4143635 | VAGOTOMY W/PARTIAL DISTAL GASRECTOMY | 1620 |
4143640 | VAGOTOMY-PYLOR,GASTRO-TRUNCAL/SELECT | 2885 |
4143760 | GASTROSTOMY TUBE CHANGE | 215 |
4143830 | GASTRECTOMY,TEMPORARY | 1786 |
4143832 | GASTROSTOMY,PERM,W/CONST OF GASTRIC TUBE | 2135 |
4143840 | GASTRORHAPHY,SUTURE OF PERF DUOD G/ULCER | 2308 |
4143860 | REV OF GASTRO ANASTOMOSIS-ROUX-EN-Y | 3418 |
4144005 | ENTEROLYSIS-INCISION-INTESTINES | 2326 |
4144020 | ENTEROTOMY FOR EXPL BIOPSY OR F/B REMOV | 2528 |
4144120 | ENTERECTOMY,RESECTION SM INTES-SING/ANAS | 2871 |
4144139 | MOBILIZATION OF SPLENIC FLEXURE | 402 |
4144140 | COLECTOMY, PART W/ANASTOMOSIS | 3245 |
4144141 | COLECTOMY,PART W/SKIN LEVEL CECOS OR COL | 3366 |
4144143 | COLECTOMY,PART W/END CLOSURE OF DIST SEG | 3401 |
4144145 | COLECTOMY,PART W/COLCPROCTOSTOMY | 3807 |
4144146 | COLECTOMY,PART W/COLCPROCTOSTOMY W/COLOS | 4474 |
4144147 | ABDOMINAL AND TRANSANAL APPROACH | 4349 |
4144160 | HEMICOLECTOMY | 3433 |
4144202 | LAPAROSCOPY, INTESTINAL RESEC W/ANASTOMO | 2205 |
4144602 | ENTERORRHAP | 2158 |
4144603 | SUTURE OF SMALL INTESTINE FOR PERFORATIO | 2923 |
4144800 | EXC OF MECKELS DIVERTICULUM | 2171 |
4144820 | EXC OF LESION OF MESENTERY | 2067 |
4144900 | I&D OF ABSCESS | 1662 |
4144950 | APPENDECTOMY, EXCISION | 1532 |
4144955 | APPENDECTOMY, EXCISION FOR INDICATED PUR | 772 |
4144960 | APPENDECTOMY, RUPTURED APPENDIX | 1886 |
4144970 | LAP APPENDECTOMY | 1544 |
4145111 | PARTIEL REMOVAL OF RECTUM | 3250 |
4145300 | PROCTOSIGMOIDOSCOPY,RIGID DIAG. COLL-SPE | 123 |
4145305 | PROCTOSIGMOIDOSCOPY,W/BIO SING OR MULTIE | 246 |
4145315 | PROCTOSIG W/REM OF TUMORS/POLYPS SNARE.. | 408 |
4145330 | SIGM’COPY FLEX,W/WO SPECIMAN BY BRUSH | 240 |
4145331 | SIGM’COPY FLEX,W/BIOPSY | 341 |
4145380 | COLONOSCOPY W/BIOPSY | 1058 |
4145905 | DILATION OF ANAL SPHINCTA | 274 |
4146040 | INCISION/DRAIN OF ISCHIO/PERIRCTAL ABSC | 570 |
4146050 | INCISION/DRAIN PERIANAL ABSCESS SUPERFIC | 195 |
4146080 | SPHINCTEROTOMY, ANAL DIV OF SPINCTER | 549 |
4146083 | INCISION OF THROMBOSED HEMORRHOID, EXT | 165 |
4146200 | FISSURECTOMY, W/WO SPHINCTEROTOMY-EXCISI | 866 |
4146220 | EXC ANAL POLYP | 866 |
4146221 | RUBBERBAND LIGATION HEMORRHOIDS | 290 |
4146230 | PARTIAL HEMORRHOIDECTOMY | 266 |
4146255 | HOMORRHOIDECTOMY | 1231 |
4146260 | HEMORRHOIDECTOMY | 1615 |
4146261 | HEMORRHOIDECTOMY W/FISSURECTOMY . | 1691 |
4146270 | FISTULECTOMY | 824 |
4146320 | ENUCLEATION OF HEMORRHOID | 217 |
4146600 | ANOSCOPY | 78 |
4146604 | ANOSCOPY WITH DILATION, ANY METHOD | 152 |
4146610 | ENDOSCOPY WITH REMOVAL OF SINGLE POLYP | 248 |
4146922 | EXC OF LESION(S) IN ANUS | 463 |
4146924 | DEST. OF LESION,ANUS,EXTENS, ANY MTHD. | 784 |
4146946 | LIGATION OF INTERNAL HEMORRHOIDS-MULTIPL | 408 |
4147001 | BIOPSY (NEEDLE), LIVER | 370 |
4147300 | MARSUPIALIZATION CYST ABCESS OF LIVER | 2492 |
4147350 | REPAIR LIVER WOUND | 2641 |
4147420 | CHOLEDOCHOTOMY W/REMOVAL OF CALCIUM | 2987 |
4147425 | CHOLEDOCHOTOMY W/TRANSDUO PLASTY/ROTOMYI | 3710 |
4147480 | CHOLEDOCHOTOMY W/XPLOR DRAIN/REMOVE CALC | 2149 |
4147550 | ENDOSCOPY-BILE DUCT | 865 |
4147600 | CHOLSCTYSTECTOMY | 2340 |
4147605 | CHOLSCTYSTECTOMY OPEN & IOC | 2543 |
4147610 | CHOLSCTYSTECTOMY W/XPLOR OF COMMON DUCT | 3017 |
4147720 | CHOLECYSTOENTEROSTOMY; DIRECT | 2617 |
4147760 | ANASTOMOSIS | 3581 |
4149000 | EXPLORATION OF ABDOMEN | 2096 |
4149020 | DRAIN ABDOMINAL ABSESS | 1628 |
4149021 | DRAINAGE OF PERITONEAL ABSCESS PERCUTANE | 1329 |
4149080 | PARACENTESIS, ABD | 283 |
4149255 | OMENTECTOMY | 1709 |
4149500 | REPAIR INGUINAL HERNIA | 1504 |
4149505 | REPAIR INIT ING HERNIA 5 YRS+ REDUCIBLE | 1586 |
4149507 | REPAIR INIT ING HERNIA 5 YRS+ INCARC/STR | 1586 |
4149520 | INGUINAL HERNIA REPAIR | 1927 |
4149521 | REPAIR RECUR INGUINAL HERNIA INCARC/STRA | 2006 |
4149550 | REPAIR INIT FEMORAL HER ALL AGE REDUCIBL | 1629 |
4149553 | REPAIR INITIAL FEMORAL HERNIA INCARC | 1694 |
4149560 | REPAIR INIT INCISION HERNIA, REDUCIBLEBL | 2034 |
4149561 | REPAIR INCISIONAL HERNIA | 2454 |
4149565 | REPAIR HERNIA | 2151 |
4149566 | REPAIR OF HERNIA | 2671 |
4149568 | IMPLANTATION OF PROST FOR INCIS HERNIA R | 710 |
4149570 | REPAIR EPIGASTRIC HERNIA. | 1194 |
4149572 | HERNIA REPAIR | 1487 |
4149580 | UMBILICAL HERNIA | 620 |
4149585 | REPAIR UMBILICAL HERNIA 5 YRS+ REDUCIBLE | 1444 |
4149587 | REPAIR OF UMBILICAL HERNIA L | 1800 |
4149650 | REPAIR LAPAROSCOPY INITIAL INGUINAL HERN | 1654 |
4149900 | SUTURE-ABDOM WALL, EVISCER OR DEHISCENCE | 1209 |
4151702 | INSERTION FOLEY CATHETER | 330 |
4151840 | URETHROPEXY | 2066 |
4152000 | CYSTOCOPY | 340 |
4152005 | CYSTOURETHROSCOPY | 695 |
4154150 | CIRCUMCISUM | 185 |
4154161 | CIRCUMCISION | 665 |
4154360 | OPERATION TO CORR ANGULATION-PENIS | 1674 |
4154450 | PREPUTIAL STRETCHING | 194 |
4154520 | ORCHIECTOMY, SIMPLE W/WO TEST PROSTHESIS | 1108 |
4154700 | I & D OF ABSCESS | 352 |
4155040 | REMOVAL OF HYDROCELE | 1216 |
4155250 | VASECTOMY | 653 |
4155500 | EXCISION OF HYDRO OF SPERM CORD. | 1024 |
4155520 | EXCISION LESION OF SPERMATIC CORD | 984 |
4156300 | LAPAROSCOPY, DIAGNOSTIC | 1649 |
4156303 | OVERIAN CYSTOSTOMY | 1624 |
4156304 | LAPAROSCOPY W/LYSIS OF ADHES | 1744 |
4156306 | LAP. OVARIA CYSTOTOMY | 1459 |
4156311 | LAPAROSCOPY, LYMPHNODE BIOPSY | 2025 |
4156315 | LAPAROSCOPY, APPENDECTOMY | 1563 |
4156340 | CHOLECYSTECOMY | 2969 |
4156341 | LAPAROSCOPY, CHOLECYSTECTOMY W/CHOLANGIO | 3166 |
4156342 | LAPAROSCOPY, CHOLECYSTECTOMY W/XPLOR-DUC | 4143 |
4156346 | LAP GASTROSTOMY W/G-TUBE | 3473 |
4158150 | HYSTERECTOMY | 2663 |
4158152 | ABD. HYSTERECTOMY | 3704 |
4158262 | VAGINAL HYSTERECTOMY W/TUBES/OVARIES | 3071 |
4158611 | TUBAL W/C-SECTION | 811 |
4158660 | EXTENSIVE LYSIS ADHESIONS ABDOMINAL APPR | 1744 |
4158662 | LAP W/LYSIS ADHES W FULG OR EXC LES OVAR | 1654 |
4158800 | DRAINAGE OF OVARIAN CYST, UNIL OR BIL VA | 1544 |
4158805 | DRAINAGE OF OVARIAN CYST ABD APPROACH | 1924 |
4158925 | OVARIAN CYSTECTOMY | 2315 |
4159410 | POST PARTUM CARE | 608 |
4159510 | C-SECTION | 3357 |
4160210 | LOBECTOMY,PARTIAL THYROID,UNILATER W/IST | 2311 |
4160212 | LOBECTOMY,PARTIAL THYROID,UNILATER W/CON | 3026 |
4160220 | TOTAL THYROID LOBECTOMY UNI W OR W/O IST | 2536 |
4160240 | THYRIODECTOMY | 3311 |
4160280 | EXCISION OF THYROGLOSSAL DUCT CYST | 1854 |
4162310 | CESI WITH CT FLUORO GUIDANCE | 1200 |
4162311 | LESI WITH CT FLURO GUIDANCE | 1200 |
4162320 | CESI WITHOUT CT FLURO GUIDE | 1000 |
4162321 | CESI WITH CT FLURO GUIDE | 1200 |
4162322 | LESI WITHOUT CT FLUORO GUIDANCE | 1000 |
4162323 | LESI WITH CT FLUORO GUIDANCE | 1200 |
4163650 | PERCUTANEOUS IMPLANTATION OF NEUROSTIMUL | 4400 |
4164400 | NERVE BLOCK TRIGEMINAL NERVE ANY BRANCH | 480 |
4164405 | NERVE BLOCK OCCIPITAL | 500 |
4164445 | SCIATIC NERVE INJ | 640 |
4164447 | INJECTION FEMORAL NERVE | 700 |
4164450 | INJ ANES AGENT OTHER PERIPHERAL NERVE/BR | 400 |
4164483 | INJECTION LUMBAR OR SACRAL, SECOND LEVEL | 1300 |
4164484 | INJ SECOND LEVEL, LUMBAR OR SACRAL | 1200 |
4164490 | FACET BLOCK C/T SINGLE LEVEL | 900 |
4164491 | FACET BLOCK C/T SECOND LEVEL | 470 |
4164492 | FACET BLOCK C/T THIRD LEVEL | 480 |
4164493 | FACET BLOCK LUMBAR SACRAL SINGLE LEVEL | 850 |
4164494 | FACET BLOCK LUMBAR SACRAL SECOND LEVEL | 450 |
4164495 | FACET BLOCK LUMBAR SACRAL THIRD LEVEL | 460 |
4164520 | INJECTION LUMBAR/THORACIC PARAVERT SYMP | 1000 |
4164624 | DEST BY NEUROLYTIC AGENT, OTHER PERI NER | 1000 |
4164633 | DEST BY NEUROLYTIC AGENT, PARAVERTEBRAL | 1900 |
4164634 | DEST BY NEUROLYTIC AGENT, EA ADDL FACET | 880 |
4164635 | DEST BY NEURO AGENT FACET JT NERVE LUMBA | 1900 |
4164636 | DEST BY NEURO AGENT FACET JT NERVE EA A | 800 |
4164640 | DEST BY NEUROLYTIC AGENT, OTHER PERI NER | 700 |
4169110 | EXCISION EXTERNAL EAR;PARTIAL SIMP REPAR | 811 |
4169200 | F/B REMOVAL FROM EAR CANAL SIMPLE NO ANE | 72 |
4169210 | EARWAX REMOVAL | 130 |
4172275 | EPIDUROGRAPHY PROF COMPONENT | 660 |
4177002 | FLUORO GUIDANCE FOR NEEDLE PLACEMENT PC | 200 |
4177003 | FLUORO GUID & LOC NEEDLE/CATH FOR SPINE | 200 |
4181000 | URINE DIP | 30 |
4181002 | URINE DIP | 27 |
4181025 | URINE PREGNANCY TEST | 40 |
4182270 | OCCULT BLOOD | 25 |
4182962 | GLUCOSE BY MONITOR OUTPT PHY | 25 |
4186580 | TB PPD INTRADERMAL | 45 |
4187210 | KOH WET MOUNT | 35 |
4187804 | INFLUENZA A & B CLIA WAVED | 71 |
4187880 | RAPID STREP | 65 |
4188150 | PAP SMEAR | 60 |
4188302 | SPECIAL HANDLING-PHY. | 29 |
4190658 | INFLUENZA VACCINE | 60 |
4190732 | PNEUOMOCOCCAL VAC | 250 |
4193000 | EKG WITH INTERPRETATION & REPORT | 223 |
4193225 | HOLTER MONITOR HOOK UP & DISCONNECT | 263 |
4193227 | HOLTER MONITORING PHY REV & INTERPRET | 315 |
4193270 | EVENT MONITOR HOOK UP & DISCONNECT | 263 |
4193272 | EVENT MONITOR PHY REVIEW & INTERPRET | 315 |
4194664 | NEBULIZER TREATMENT FIRST | 65 |
4194665 | NEBULIZER TREATMENT SUBSEQUENT | 53 |
4194760 | PULSE OX | 45 |
4195972 | ELECTRONIC ANALYSIS NEUROSTIM COMPLEX SP | 350 |
4197026 | K LASER | 40 |
4198925 | MANIPULATION 1 -2 | 91 |
4198926 | MANIPULATION 3 – 4 | 122 |
4198927 | MANIPULATION 5 -6 | 156 |
4199201 | OFFICE O/P (NEW) 10 MIN | 120 |
4199202 | OFFICE O/P (NEW) EXPANDED | 170 |
4199203 | OFFICE O/P (NEW) DETAIL HIST. | 225 |
4199204 | OFFICE O/P (NEW) COMPRE. HIST 45 MIN. | 320 |
4199205 | OFFICE O/P (NEW) COMPRE. HIST 60 MIN. | 430 |
4199211 | OFFICE VISIT EST. PT.- MINIMAL . | 70 |
4199212 | OFFICE VISIT EST. PT.- BRIEF | 110 |
4199213 | OFFICE VISIT EST. PT.- INTER. | 150 |
4199214 | OFFICE VISIT EST. PT.- EXTEND | 220 |
4199215 | OFFICE VISIT EST. PT.- COMPRE. | 300 |
4199217 | DISCHARGE OBSERV. CARE . | 204 |
4199218 | OBSERVATION CARE | 235 |
4199219 | INITIAL OBSERV. CARE . | 333 |
4199220 | HOSP INITIAL OBSERVATION CARE HIGH COMPL | 450 |
4199221 | HOSPITAL INP SERVICE . | 260 |
4199222 | INITIAL HOSPITAL CARE | 345 |
4199223 | INITIAL HOSPITAL CARE (HIGH COMPLEX) | 471 |
4199231 | FOLLOW-UP LOW/COMPLEX 15.MIN | 128 |
4199232 | SUBESQUENT HOSPITAL CARE | 195 |
4199233 | FOLLOW-UP DETAIL HIGH COMPLEX | 282 |
4199234 | ADMIT/DISCHARGE SAME DAY | 353 |
4199235 | ADMIT/DISCHARGE INTERMEDIATE | 465 |
4199236 | OBSER.ADMIT/DISCHARGE | 604 |
4199238 | DISCHARGE (HOSPITAL EVAL.) | 202 |
4199239 | DISCHARE HOSP INPT OVER 30 MIN | 285 |
4199241 | OFFICE CONS.(NEW) 15 MIN. | 155 |
4199242 | OFFICE CONS.(NEW) 30 MIN. | 230 |
4199243 | OFFICE CONS.(NEW) 40 MIN. | 300 |
4199244 | OFFICE CONS.(NEW) 60 MIN. | 410 |
4199245 | OFFICE CONS.(NEW) 80 MIN. | 515 |
4199251 | INIT. I/P CONSUL. 20 MIN. | 155 |
4199252 | INIT. I/P CONSUL. 40 MIN. | 215 |
4199253 | INIT. I/P CONSUL. 55 MIN. | 270 |
4199254 | INIT. I/P CONSUL. 80 MIN. | 350 |
4199255 | INIT. I/P CONSUL. 110 MIN. | 440 |
4199281 | E/R VISIT-EXAM & HISTORY | 68 |
4199282 | E/R VISIT-EXAM & HIST. LOW COMPLEX | 93 |
4199283 | E/R VISIT-EXPANDED PROB. W/MOD.COMPLX | 141 |
4199284 | E/R VISIT-DETAIL HIST. MOD COMPLEX | 212 |
4199285 | E/R VISIT-COMPRE HIST. HIGH COMPLEX | 307 |
4199291 | CRITICAL CARE 1ST HR.) | 348 |
4199292 | CRITICAL CARE +30 MIN | 164 |
4199304 | NH INITIAL VISIT LEVEL 1 | 176 |
4199305 | NH INITIAL VISIT LEVEL 2 | 235 |
4199306 | NH INITIAL VISIT LEVEL 3 | 285 |
4199307 | NH SUBSEQUENT VISIT LEVEL 1 | 95 |
4199308 | NH SUBSEQUENT VISIT LEVEL 2 | 140 |
4199309 | NH SUBSEQUENT VISIT LEVEL 3 | 185 |
4199310 | NH SUBSEQUENT VISIT LEVEL 4 | 245 |
4199315 | NH DISCHARGE -30 MIN | 165 |
4199316 | NH DISCHARGE +30 MIN | 220 |
4199318 | NH ANNUAL ASSESSMENT | 190 |
4199344 | HOME VISIT +60MIN | 285 |
4199354 | MINI MENTAL – PROLONGED OFFICE VISIT | 230 |
4199381 | NP HCY NEWBORN | 225 |
4199382 | NP HCY AGE 1-4 | 235 |
4199383 | NP HCY AGE 5-11 | 240 |
4199384 | NP HCY AGE 12-17 | 270 |
4199385 | NP PHYSICAL AGE 18 – 39 | 300 |
4199386 | NP PHYSICAL AGE 40-64 | 345 |
4199387 | NP PHYSICAL AGE 65 & OVER | 365 |
4199391 | EST PT HCY NEWBORN | 195 |
4199392 | EST PT HCY AGE 1-4 | 210 |
4199393 | EST PT HCY AGE 5-11 | 205 |
4199394 | HCY SCREENING EST PT AGE 12 – 17 | 220 |
4199395 | EP PHYSICAL AGE 18 – 39 | 250 |
4199396 | EP PHYSICAL AGE 40-64 | 280 |
4199397 | EP PHYSICAL AGE 65 & OVER | 300 |
4200008 | DIAG INJ FOR FLU VACCINE | 8 |
4200009 | THERAP PNEUMO INJ | 8 |
4200025 | HCY SCREENING | 77.5 |
4200372 | MOBILITY (POWER) EVALUATION | 50 |
4200540 | CL- MCGRAW PENICILLIN | 150 |
4200696 | CL- MCGRAW ROCEPHIN PER 250 MG | 175 |
4201000 | ESTRADIOL | 130 |
4201030 | CL- MCGRAW DEPO MEDROL 40 MG | 53 |
4201040 | CL- MCGRAW DEPO MEDROL 80MG INJ | 95 |
4201200 | DIPHENHYDRAMINE HCI | 41 |
4201885 | CL- MCGRAW TORADOL PER 15 MG | 85 |
4202180 | CL- MCGRAW DEMEROL 50 MG INJECTION | 41 |
4202360 | CL- MCGRAW NORFLEX 60 MG | 94 |
4202550 | CL- MCGRAW PHENERGAN 50 MG | 38 |
4202902 | SOLU MEDROL 40 MG | 40 |
4202920 | SOLU-MEDROL UP TO 40 MG | 47 |
4202930 | SOLU-MEDROL UP TO 125MG | 88 |
4203301 | CL- MCGRAW TRIAMACILONE ACETONID 20 MG | 95 |
4203410 | CL- MCGRAW VISTARIL UP TO 25 MG | 40 |
4203420 | CL- MCGRAW B-12 INJECTION | 35 |
4210060 | I & D SIMPLE CYST | 185 |
4210120 | INC AND REM OF FB SUB TIS SIMPLE | 375 |
4211042 | DEBRIDEMENT SUB TISSUE FIRST 20 SQ CM | 300 |
4211100 | BIOPSY OF SKIN SINGLE LESION | 170 |
4211200 | EXCISION SKIN LESION | 87 |
4211305 | SHAVING OF EPIDERMAL/DERMAL LES SINGLE | 140 |
4211307 | SHAV OF EPIDERML/DERML LES .6 TO 1.CM | 190 |
4211400 | EXC BEN LES TRUNK ARMS LEGS .5CM OR LESS | 125 |
4211401 | EXC BEN LES TRUNK ARMS LEGS .6 TO 1.0 CM | 270 |
4211402 | EXC BEN LES 1.1 TO 2.0 CM TRUNK,ARM/LEG | 340 |
4211420 | EXC BEN LES SCALP NECK .5 CM OR LESS | 230 |
4211421 | EXC .6 – 1.0 CM BEN EXC NECK | 105 |
4211440 | EXC BEN LES >.5CM OR LESS TRUNK,ARM,LEGS | 220 |
4211441 | EXC BEN LES FACE, .6 TO 1.0 CM | 365 |
4211600 | EXC MAL LES .5 CM OR< TRUNK,ARMS,LEGS | 400 |
4211601 | EXC MAL LES .6 TO 1 CM TRUNK,ARMS,LEGS | 450 |
4211603 | EXC MAL LES 2.1 TO 3.0 CM TRUNK,ARM/LEG | 600 |
4211719 | TRIMMING OF NONDYSTROPHIC NAILS | 45 |
4211730 | AVULSION OF NAIL | 160 |
4211975 | NORPLANT INSERTION (11975) | 267 |
4211976 | NORPLANT REMOVAL | 365 |
4211977 | NORPLANT REMOVAL/REINSERTION | 463 |
4212001 | SIMPLE REPAIR SCALP 2.5 CM OR LESS | 160 |
4212002 | REPAIR SIMPLE 2.6 CM TO 7.5 CM | 184 |
4212004 | REPAIR SIMPLE WOUND 7.6 TO 12.5 CM SCALP | 400 |
4212011 | SIMPLE REP SUPERF WOUND FACE 2.5 CM OR > | 375 |
4212031 | REPAIR INTERMED TRUNK EXTREM <2.5 CM | 360 |
4213121 | REPAIR COMPLEX 2.6 TO 7.5CM SCALP ARMS | 850 |
4213122 | REPAIR COMPLEX EA ADD’L 5 CM OR LESS | 300 |
4217000 | CRYOFREEZE FIRST LESION | 135 |
4217003 | CRYOFREEZE 2ND THRU 14 LESIONS | 50 |
4217110 | CRYOFREEZE BENIGN UP TO 14 LESIONS | 110 |
4217261 | DESTRUCTION MALIG LES 6-1.0CM TRUNK, ARM | 280 |
4217270 | DESTRUCTION OF MALIGNANT LESION 0.5 CM | 275 |
4217271 | DESTRUCTION MAL LES .6 TO 1CM SCALP,NECK | 340 |
4217281 | DESTRUCTION MALIG LES .6 TO 1.0 CM | 375 |
4220550 | TRIGGER POINT INJECTION | 235 |
4220552 | INJ SINGLE/MULT TRIGGER POINTS 1 OR 2 MU | 190 |
4220600 | INJECTION SMALL JOINT | 180 |
4220605 | INJECTION INTERMEDIATE JOINT | 195 |
4220610 | INJECTION MAJOR JOINT | 255 |
4225560 | FX CLOSED RADIAL/ULNAR W/O MANIPULATION | 750 |
4225600 | FX CARE CLOSED DISTAL RADIAL FX W/O MANI | 800 |
4225622 | FX TRTMT OF CARPAL SCAPHOID CLOSED W/O M | 840 |
4226600 | FX CLOSED TX METACRAPAL FX W/O MANIPULAT | 750 |
4229580 | UNNA BOOT | 155 |
4230300 | REMOVAL FOREIGN BODY INTRANASAL | 420 |
4236415 | VENIPUNCTURE/FINGERSTICK | 8 |
4241105 | BIOPSY OF TONGUE POSTERIOR ONE-THIRD | 425 |
4246600 | ANOSCOPY | 78 |
4254056 | DESTRUCTION OF LES PENIS CRYOSURGERY | 380 |
4254150 | CIRCUMCISIAM/NEWBORN | 146 |
4256300 | DIAGNOSTIC LAPROSCOPY | 1111 |
4256301 | LAPROSCOPY W/TUBAL FULGERATION | 1212 |
4256302 | LAPROSCOPY W/MECH. TUBAL OCCLUSION | 1212 |
4256303 | LAPROSCOPY W/ EXCISION/FULG OF LESION | 1810 |
4256304 | LAPROSCOPY W/LYSES OF ADHESIONS | 1810 |
4256305 | LAPROSCOPY W/BIOPSY | 1242 |
4256306 | LAPROSCOPY W/ASPIRATION | 1242 |
4256307 | LAPROSCOPY W/RESECTION OF ADNEXAL STRUCT | 1810 |
4256405 | I&D VULVAR/PERNINAL ABCESS | 129 |
4256420 | I&D BARTHOLIN CYST | 182 |
4256501 | DESTRUCTION LESION-VULVA SIMPLE | 204 |
4256515 | DESTRUCTION LESION-VULVA EXTENSIVE | 644 |
4256605 | BIOPSY- PERCPEUM/VULVA | 129 |
4256606 | BIOPSY- ADDITIONAL | 65 |
4257020 | CULDOCENTESIS | 123 |
4257100 | BIOPSY- VAGINAL | 104 |
4257160 | PESSARY FITTING | 34 |
4257170 | DIAPHRAM FITTING | 95 |
4257452 | COLPOSCOPY W/OUT BIOPSY | 268 |
4257454 | COLPOSCOPY W/BIOPSY | 533 |
4257460 | LEEP | 566 |
4257500 | BIOPSY- CERVIX/POLYP | 260 |
4257505 | ENDOMETRIAL CURETTAGE | 136 |
4257511 | CRYOCOUTERY CREVIX | 268 |
4257800 | CERVICAL DILATION EXAM W/ANESTHESIA | 100 |
4258100 | ENDOMETRIAL SAMPLING | 171 |
4258120 | NON OBSTETRIC D&C | 665 |
4258300 | IUD INSERTION | 314 |
4258301 | IUD REMOVAL | 93 |
4258340 | INJECTION FOR HSG | 198 |
4258600 | LIGATION OF FALLOPIAN TUBES | 1234 |
4258605 | POSTPARTUM TUBAL LIGATION | 1067 |
4258611 | TUBAL LIGATION AT CESAREAN | 534 |
4258940 | EXP. LAPRO W/R SALPINGCOPHORECTOMY | 1662 |
4259000 | AMMIOCENTISIS N | 135 |
4259020 | CONTRACTION STRESS TEST | 143 |
4259025 | NONSTRESS TEST | 119 |
4259120 | LAPROSCOPY (ECTOPIC) W/SALPINGECTOMY | 1779 |
4259121 | LAPROSCOPY (ECTOPIC) W/O SALPINGECTOMY | 1731 |
4259160 | POSTPARTUM CURETTAGE | 616 |
4259400 | COMPREHENSIVE OB W/VAG DEL | 2207 |
4259409 | VAGINAL DEL. ONLY | 1153 |
4259410 | VAG. DEL. W/POST PARTUMCARE | 1275 |
4259425 | ANTEPARTUM CARE 4-6 VISITS | 313 |
4259426 | ANTEPARTUM CARE 7+ VISITS | 932 |
4259510 | COMPREHENSIVE OB WITH C/S | 2592 |
4259515 | CESAREAN SECTION | 1668 |
4259610 | COMPREHENSIVE OB WITH VBAC | 2381 |
4259618 | COMPREHENSIVE OB WITH FAILED VBAC | 2862 |
4259812 | INCOMPLETE ABORTION D&C | 676 |
4264435 | PARACERVICAL BLOCK | 149 |
4269100 | BIOPSY EXTERNAL EAR | 200 |
4269210 | EARWAX REMOVAL | 130 |
4276805 | ULTRASOUND/COMPLETE OB | 358 |
4276815 | ULTRASOUND/LIMITED OB | 170 |
4276818 | BIOPHYSICAL PROFILE | 234 |
4276830 | GYN TRANS VAG. U S | 251 |
4276856 | GYN PELVIC ULTRA S. | 262 |
4276946 | ULTRASOUND/AMMINO | 282 |
4280050 | COMP HEALTH PROFILE | 64 |
4280055 | PRENATAL PANEL | 58 |
4280058 | LIVER FUNCTION PANEL | 47 |
4280061 | LIPID PANEL | 49 |
4280093 | HYPOTHYROID PANEL (84443) | 61 |
4280100 | URINE DRUG SCREEN | 58 |
4281000 | URINALYSIS (MICRO + DIP) | 30 |
4281002 | URINALYSIS (DIP ONLY) | 27 |
4281025 | URINE PREGNANCY TEST | 40 |
4282105 | MSAFP | 61 |
4282270 | STOOL OCCULT BLOOD | 14 |
4282626 | DHEAS | 81 |
4282670 | ESTRADIOL | 86 |
4282677 | TRIPPLE SCREEN (82677) | 87 |
4282947 | BLOOD SUGER | 17 |
4282950 | 1′ GLOCOSE CHALLANGE TEST | 19 |
4282951 | GLOCOSE TOLERANCE TEST (82951) | 47 |
4282952 | GLUCOSE TOLERANCE TEST (82952) | 19 |
4282962 | MCGRAW GLUCOSE – FINGER STICK | 25 |
4283001 | FSH | 58 |
4283002 | LH | 58 |
4283020 | HEMOGLOBIN ELECTROPHORESIS | 48 |
4283036 | GLYCOHEMOGLOBIN | 95 |
4283550 | SERUM Fe/TIBC | 41 |
4284144 | PROGESTERONE | 84 |
4284146 | PROLACTIN | 84 |
4284403 | TOTAL TESTOSTERONE | 93 |
4284443 | TSH | 61 |
4284450 | PRECCLAMPSIA PANEL | 20 |
4284550 | PRECCLAMPSIA PANEL | 19 |
4284702 | TRIPPLE SCREEN (84702) | 54 |
4284703 | QUANTITATIVE SERUM HCG (84703) | 30 |
4285018 | HEMOGLOBIN | 14 |
4285025 | PRECCLAMPSIA PANEL | 22 |
4285610 | PT/PTT | 20 |
4285651 | ESR | 20 |
4285660 | SICKLE CELL PREP | 22 |
4285730 | PRECCLAMPSIA PANEL | 22 |
4286038 | ANA | 46 |
4286280 | RUBELLA ANTIBODY TITER | 37 |
4286308 | MONOSPOT | 24 |
4286316 | CA125 | 79 |
4286317 | CHLAMYDIA | 43 |
4286580 | CL- MCGRAW TB PPD INTRADERMAL | 45 |
4286592 | R P R | 16 |
4286687 | HIV | 50 |
4286850 | ANTIBODY SCREENING | 25 |
4286900 | BLOOD TYPE | 15 |
4286901 | BLOOD RH | 15 |
4287070 | CULTURE (ROUTINE) | 32 |
4287081 | CULTURE – GC | 21 |
4287088 | CULTURE-URINE | 32 |
4287110 | CULTURE – CHLAMYDIA | 53 |
4287207 | CULTURE-VIRAL | 33 |
4287210 | KOH WET MOUNT | 35 |
4287502 | MCGRAW INFLUENZA A&B TEST | 123 |
4287634 | MCGRAW RSV | 123 |
4287651 | MCGRAW STREP | 123 |
4287804 | INFLUENZA A & B CLIA WAVED | 71 |
4287807 | RSV | 109 |
4287880 | RAPID STREP | 65 |
4288104 | CYTOLOGY | 62 |
4288150 | PAPSMEAR | 60 |
4288305 | TISSUE EXAM SINGLE/MULTIPLE | 130 |
4289300 | POST COITAL TEST/INSERTION | 48 |
4290460 | CL- INFLUENZA PEDIATRIC | 70 |
4290471 | VACCINE ADMINISTRATION | 35 |
4290472 | EA ADD’L VACCINE ADMINISTRATION | 35 |
4290649 | CL – HPV GARDISIL VACCINE | 150 |
4290657 | CL- MCGRAW FLUZONE AGE 6 MONTHS TO 36 MO | 35 |
4290658 | CL- MCGRAW FLUZONE VACCINE AGES 3+ | 60 |
4290662 | CL- HIGHDOSE 65+ | 90 |
4290670 | CL- MCGRAW PREVNAR 13 | 536 |
4290674 | CL- FLUCELVAX 2 YR + | 90 |
4290682 | CL- FLUBLOK 18+ | 90 |
4290686 | CL- FLUZONE 6 MO + | 90 |
4290694 | CL- FLUAD 65+ | 90 |
4290703 | CL- MCGRAW TETNUS TOXOID | 33 |
4290706 | CL – MMRV VACCINE | 110 |
4290707 | CL – MMR VACCINE | 55 |
4290715 | CL- MCGRAW TDAP ADACEL >7 YRS OF AGE | 40 |
4290716 | CL- MCGRAW VARICELLA VARIVAX VACCINE | 95 |
4290732 | CL- MCGRAW PNEUMOVAX 23 VACCINE DAVIS | 250 |
4290734 | CL – MENINGOCOCCAL MENACTRA VACCINE | 125 |
4290736 | CL- MCGRAW ZOSTAVAX | 200 |
4290743 | RH GAMMA GLOBULIN IM (J2790) | 41 |
4290782 | THERAPEUTIC OR DIAGNOSTIC INJECTION | 50 |
4290789 | CEFTRIAXONE 250MG IM (J0696) | 21 |
4293000 | EKG OFFICE | 90 |
4293225 | HOLTER MONITOR HOOK UP & DISCONNECT | 160 |
4293227 | HOLTER MONITOR PHY REVIEW & INTERPRET | 180 |
4293228 | EXTERNAL MOBILE CARDIO TELEMETRY W/ECG R | 170 |
4293270 | EVENT MONITOR HOOK UP & DISCONNECT | 160 |
4294664 | NEBULIZER TREATMENT | 65 |
4294760 | PULSE OXIMETRY | 45 |
4297597 | DEBRIDEMENT OPEN WOUND | 125 |
4299000 | SPEC. HANDLING/LAB | 11 |
4299060 | SERVICES PROVIDED ON AN ER BASIS OUT OF | 110 |
4299073 | SURGICAL TRAY | 47 |
4299201 | OFFICE VISIT NEW LEVEL 1 | 120 |
4299202 | OFFICE VISIT NEW LEVEL 2 | 170 |
4299203 | OFFICE VISIT NEW LEVEL 3 | 225 |
4299204 | OFFICE VISIT NEW LEVEL 4 | 320 |
4299205 | OFFICE VISIT NEW LEVEL 5 | 430 |
4299211 | OFFICE VISIT EST LEVEL 1 | 70 |
4299212 | OFFICE VISIT EST LEVEL 2 | 110 |
4299213 | OFFICE VISIT EST LEVEL 3 | 150 |
4299214 | OFFICE VISIT EST LEVEL 4 | 220 |
4299215 | OFFICE VISIT EST LEVEL 5 | 300 |
4299217 | OBSERVATION CARE DISCHARGE | 204 |
4299218 | OPO INITIAL CARE BRIEF | 235 |
4299219 | OPO INITIAL CARE INTERMEDIATED | 333 |
4299220 | OPO INITIAL CARE EXTENDED | 450 |
4299221 | IP INITIAL HOSP CARE BRIEF | 260 |
4299222 | IP INITIAL HOSP CARE INTERMEDIATED | 345 |
4299223 | IP INITIAL HOSP CARE EXTENDED | 471 |
4299231 | IP SUBSEQ HOSP CARE BRIEF | 125 |
4299232 | IP SUBSEQ HOSP CARE INTERMEDIATE | 195 |
4299233 | IP SUBSEQ HOSP CARE EXTENDED | 282 |
4299234 | SAME DAY HOSP ADMIT/DISC BRIEF | 353 |
4299235 | SAME DAY HOSP ADMIT/DISC INTERMEDIATE | 465 |
4299236 | SAME DAY HOSP ADMIT/DISC EXTENDED | 604 |
4299238 | IP DISCHARGE UNDER 30 MIN | 202 |
4299239 | IP DISCHARGE OVER 30 MIN | 285 |
4299241 | OFFICE CONSULT LEVEL 1 | 155 |
4299242 | OFFICE CONSULT LEVEL 2 | 225 |
4299243 | OFFICE CONSULT LEVEL 3 | 300 |
4299244 | OFFICE CONSULT LEVEL 4 | 400 |
4299245 | OFFICE CONSULT LEVEL 5 | 500 |
4299251 | IP CONSULT BRIEF | 170 |
4299252 | IP CONSULT INTERMEDIATE | 240 |
4299253 | EXTENDED CONSULT INPAT | 300 |
4299254 | INITIAL INPT COMPREHENSIVE | 390 |
4299255 | INITIAL INPT COMPLEX | 480 |
4299281 | EMERGENCY DEPT VISIT MIN VISIT | 107 |
4299291 | CRITICAL CARE IP 30 – 74 MINUTES | 610 |
4299292 | CRITICAL CARE IP EA ADD’L 30 MIN | 270 |
4299301 | NURSING HOME NEW BRIEF | 91 |
4299302 | NURSING HOME NEW UNDER 30 MIN | 121.5 |
4299303 | NURSING HOME NEW 30 + MIN | 169.5 |
4299304 | NH ADMISSION LOW SEVERITY | 176 |
4299305 | NH ADMISSION MODERATE SEVERITY | 235 |
4299306 | NH ADMISSION HIGH SEVERITY | 285 |
4299307 | NH SUBSEQ STRAIGHTFORWARD VISIT | 95 |
4299308 | NH SUBSEQ LOW SEVERITY VISIT | 140 |
4299309 | NH SUBSEQ MODERATE SEVERITY VISIT | 185 |
4299310 | NURSING HOME EST COMPREHENSIVE | 245 |
4299311 | NURSING HOME EST BRIEF | 57 |
4299312 | NURSING HOME EST INTERMEDIATE | 88.5 |
4299313 | NURSING HOME EST EXTENDED | 114 |
4299315 | NURSING HOME DISC UNDER 30 MIN | 165 |
4299316 | NURSING HOME DISC OVER 30 MIN | 220 |
4299318 | ANNUAL NH ASSESSMENT MODERATE COMPLEX | 190 |
4299324 | OZARK NEW BRIEF VISIT | 120 |
4299325 | OZARK NEW 30 MIN | 175 |
4299326 | OZARK NEW ADMIT 45 MIN | 245 |
4299327 | OZARK NEW ADMIT 60 MIN | 330 |
4299328 | OZARK NEW ADMIT 75 MIN | 415 |
4299334 | OZARK BRIEF VISIT 15 MIN | 105 |
4299335 | OZARK EST MODERATE VISIT 25 MIN | 145 |
4299336 | OZARK EST HIGH 40 MIN | 215 |
4299337 | OZARK EST UNSTABLE | 310 |
4299339 | OZARK CPO <30 MIN | 165 |
4299340 | OZARK CPO >30 MIN | 246 |
4299347 | HOME VISIT EST PT LEVEL 1 | 110 |
4299348 | HOME VISIT EST PT LEVEL 2 | 155 |
4299349 | HOME VISIT EST PT LEVEL 3 | 230 |
4299350 | HOME VISIT EST PT LEVEL 4 | 325 |
4299374 | CPO HH PT <30 MIN | 173 |
4299375 | CPO HH PT >30 MIN | 251 |
4299377 | CPO HOSPICE PT <30 MIN | 172 |
4299378 | CPO HOSPICE PT >30 MIN | 265 |
4299379 | CPO NH PT NOT PRESENT <30 MIN | 172 |
4299380 | CPO NH PT NOT PRESENT >30 MIN | 254 |
4299381 | HCY NP NEWBORN | 225 |
4299382 | HCY NP 1 – 4 | 235 |
4299383 | HCY SCREENING NEW PT AGE 5 – 11 | 240 |
4299384 | HCY SCREENING NEW PT AGE 12 – 17 | 270 |
4299385 | HCY SCREENING NEW PT AGE 18 – 39 | 300 |
4299386 | HCY SCREENING NEW PT AGE 40 – 64 | 345 |
4299387 | HCY SCREENING NEW PT AGE 65 & OVER | 365 |
4299391 | HCY EST PT NEWBORN | 195 |
4299392 | HCY EST PT AGE 1 – 4 | 210 |
4299393 | HCY EST PT AGE 5 – 11 | 205 |
4299394 | HCY SCREENING EST PT AGE 12 – 17 | 220 |
4299395 | HCY SCREENING EST PT AGE 18 – 39 | 250 |
4299396 | HCY SCREENING EST PT AGE 40 – 64 | 280 |
4299397 | HCY SCREENING EST PT AGE 65 & OVER | 300 |
4299407 | SMOKING/TOBACCO CESSATION >10MIN | 80 |
4300489 | TOPTAINER W/GRAV FDG | 17 |
4311400 | STOMA BAG W/WAFER | 15 |
4319394 | SUCTION YAN KAUER | 21 |
4319411 | ***USE 287394*** | 21 |
4319438 | SPONGE 4X4 (10PKG) | 29 |
4319471 | NG TUBE W/O STYLET | 109 |
4320465 | TAPE MICRO 1 | 16 |
4321797 | UROSTOMY BAG | 26 |
4350080 | LOW PROFILE GAS. TUBES (ALL SIZES) | 299 |
4350124 | FLEXFLO ENT FEED TUBE 12FR 36 CLEAR | 26 |
4350138 | FLEXFLO ENT FEED TUBE 16FR 36 CLEAR | 26 |
4350152 | FLEXIFLO GAS TUBES (ALL SIZES) CLEAR | 82 |
4350164 | SUPLENA 8 OZ. | 12 |
4350240 | GLUCERMA 8 OZ | 12 |
4350340 | ENSURE PLUS 1000ML | 11 |
4350460 | ENSURE VANILLA 8 OZ. | 11 |
4350464 | ENSURE PLUS 8 OZ | 11 |
4350465 | ENLIVE 8 OZ | 13 |
4350471 | FLEXFLO ENT FEED TUBE 8FR 36 W/STYLET | 33 |
4350472 | FLEXFLO ENT FEED TUBE 8FR 45 | 30 |
4350473 | FLEXFLO ENT FEED TUBE 8FR 45 W/STYLET | 30 |
4350474 | FLEXFLO ENT FEED TUBE 12FR 36 | 26 |
4350475 | FLEXFLO ENT FEED TUBE 12FR 45 W/STYLET | 30 |
4350476 | FLEXFLO ENT FEED TUBE 10FR 45 W/STYLET | 33 |
4350477 | FLEXFLO ENT FEED TUBE 14FR 36 | 32 |
4350600 | QUANTUM SPIKE SET | 15 |
4350602 | QUANTUM SCREW SET | 15 |
4350604 | QUANTUM SPIKE SET W/FLUSH | 17 |
4350606 | TOPFILL W/QUANT SET W/FLUSH | 18 |
4350608 | TOPFILL W/QUANTUM SET | 16 |
4350610 | TOPTAINER W/QUANTUM SET | 34 |
4350614 | TOPTAINER W/QUNATUM SET W/FLU BAG | 18 |
4350628 | PERATIVE 8 OZ. | 12 |
4350651 | ENSURE W/FIBER 8 OZ | 11 |
4350724 | PEG KITS | 245 |
4350729 | TWO CAL HN 8 OZ. | 11 |
4350766 | VITAL HN 3 OZ. PWDR. | 13 |
4350772 | PROMOD 100 CAL. | 12 |
4350774 | PROMOTE 8 OZ. | 11 |
4351143 | JEVITY 8 OZ | 11 |
4351204 | PULMOCARE 1000ML RTH | 12 |
4351206 | GLUCERMA 1000 RTH | 12 |
4351616 | PROMOTE RTH 1000ML | 11 |
4351681 | ENSURE PLUS HN 1000ML RTH | 11 |
4351682 | JEVITY 1000 RTH | 11 |
4351699 | PULMOCARE 8 OZ. VANILLA | 12 |
4351721 | ENSURE PLUS HN 8 OZ | 11 |
4351872 | PROMOTE W/FIBER 8 OZ. | 11 |
4351874 | PROMOTE W/FIBER 1000ML | 11 |
4352064 | ENSURE HIGH PRO. 8 OZ | 11 |
4353124 | JEVITY PLUS 1000ML RTH | 9 |
4356565 | IVAC CONTROLLER | 85 |
4356570 | IVAC PUMP | 96 |
4400008 | ADMIN OF INFLUENZA | 6 |
4400009 | ADMIN OF PNEUM. Vac | 6 |
4400010 | INJECTION DIPENHYDRAMINE HCI | 3 |
4400025 | HCY Screening | 81 |
4400179 | CARE PLAN OVERSIGHT RECERTIFICATION | 110 |
4400180 | CARE PLAN OVERSIGHT INITIAL CERTIFICATIO | 132 |
4400558 | CL- BICILLIN LA 600000 UNITS | 82 |
4400610 | ALLEN GLUCAGON | 33.5 |
4400690 | ACEF 500 MG | 11 |
4400696 | CL- ALLEN ROCEPHIN 500 MG | 175 |
4401000 | CL- ALLEN DEPO ESTRADIOL 5 MG | 130 |
4401030 | CL- ALLEN DEPO MEDROL 40 MG | 53 |
4401040 | CL- ALLEN DEPO MEDROL 80 MG | 95 |
4401080 | CL- ALLEN TESTOSTERONE CYPIONATE 200MG | 17 |
4401200 | CL- ALLEN DIPHENHYDRAMINE 50 MG | 41 |
4401610 | INJECTION GLUCAGON HYDROCHLORIDE 1 MG. | 41 |
4401880 | CL- ALLEN KENALOG 40 mg | 47 |
4401885 | CL- ALLEN TORADOL- KETORALAC TROMETHAMIN | 85 |
4402550 | CL- ALLEN PHENERGAN 50MG | 38 |
4402902 | CL- ALLEN SOLU MEDROL 40MG | 40 |
4402920 | SOLU-MEDROL 40 MG | 24 |
4402930 | CL- ALLEN SOLU-MEDROL 125 MG | 47 |
4403301 | CL- ALLEN TRIAMCINOLONE ACETONID 40 MG | 95 |
4403410 | CL- ALLEN VISTARIL 50MG | 40 |
4403420 | CL- ALLEN VIT B-12 CYANOOCOBALAMI 1000MC | 35 |
4410060 | I&D OF ABSCESS | 104 |
4410120 | INC & REM OF F/B SIMPLE | 149 |
4410160 | ASPIRATION, PUNCTURE-ABSCESS,HEMA,CYST | 104 |
4411010 | DEBRIDEMENT W/REM OF F/B SKIN | 158 |
4411100 | PUNCH BIOPSY OF SKIN LESIONS | 121 |
4411101 | PUNCH BIOPSY OF SKIN LESIONS EACH ADD’L | 70 |
4411200 | REMOVAL OF SKIN TAG | 115 |
4411312 | SHAVING OF EPID LESION 1.1 TO 2.0 FACE | 236 |
4411400 | EXC OF BEN LESION .5 CM OR LESS | 131 |
4411402 | EXC OF BEN LESION 1.1 TO 2.0 CM | 210 |
4411404 | EXC OF LESION 3.1 TO 4.0 CENTIMETERS | 695 |
4411406 | EXC OF BEN LESION >4.0 CM TRUNK,ARMS,LEG | 368 |
4411420 | EXC OF BEN LES GENITALIA LESS THAN .5CM | 132 |
4411421 | EXC BEN LES SCALP, GENITALIA .6 TO 1.0CM | 263 |
4411422 | EXC OF BEN LES 1 – 2 CM | 242 |
4411426 | EXC OF BEN LESION >4.0 CM NECK | 368 |
4411440 | EXC OF BEN LESION .5 CM OR LESS FACE | 131 |
4411441 | EXC BEN LES FACE .6 TO 1.0 | 263 |
4411442 | EXC OF BEN LESION 1.1-2.0CM – FACE | 264 |
4411443 | EXC OF BEN LESION 2.1 TO 3.0 CM FACE,EAR | 441 |
4411444 | EXC OF BEN LESION 3.1 TO 4.0 CM FACE,EAR | 401 |
4411602 | EXC MALIG LES TRUNK,ARMS LEGS 1.1 TO 2.0 | 368 |
4411606 | EXC OF MALIG LESION OVER 4.0 CM TRNK ARM | 695 |
4411620 | EXC OF MAL LES SCALP .5CM OR LESS | 131 |
4411621 | EXC OF MAL LES FACE .5CM TO 1.0 | 221 |
4411623 | EXC OF MAL LES SCALP,NECK HANDS 2.1 TO 3 | 350 |
4411626 | EXC OF MAL LES SCALP OVER 4.0 CM | 893 |
4411641 | EXC OF MAL LES FACE .6 TO 1.0CM | 221 |
4411642 | EXC MAL LESION FACE 1.1 TO 2.0 CM | 498 |
4411643 | EXC MALIG LESION/FACE 2.1 TO 3.0 CM | 684 |
4411750 | EXC OF NAIL AND MATRIX PART OR COMPLETE | 368 |
4411770 | EXC PILONIDAL CYST | 368 |
4412001 | REPAIR OF WOUND | 151 |
4412002 | REPAIR OF WOUND | 194 |
4412013 | REPAIR WOUND FACE 2.0 – 3.0 | 105 |
4412031 | REPAIR WOUND LAYER INTERMED TRUNK <2.5CM | 150 |
4412052 | REPAIR LAYER CLOSURE FACE 2.6-5.0 CM | 400 |
4413131 | REPAIR OF COMPLEX WOUND HEAD, HANDS,FEET | 368 |
4417000 | CRYOFREEZE | 135 |
4417003 | CRYOFREEZE SECOND THROUGH 14 LESIONS | 50 |
4419000 | ASPIRATION/NEEDLE BIOPSY BREAST | 263 |
4420520 | REMOVAL OF F/B IN MUSCLE OR TENDON SIMPL | 341 |
4420550 | TRIGGER POINT INJECTION | 235 |
4420600 | SMALL JOINT INJ | 180 |
4420605 | INTERMEDIATE JOINT INJ | 195 |
4420610 | MAJOR JOINT INJECTION | 255 |
4423650 | CLOSED TREATMENT-SHOULDER DISLOCATION | 485 |
4423931 | DRAINAGE OF ABCESS | 537 |
4424200 | REM FOREIGN BODY UPPER ARM | 137 |
4424650 | CLOSED FX TX RADIAL HEAD W/O MANIPULATIO | 368 |
4424670 | FX ULNAR, PROX END OLECRANON PROCESS | 500 |
4425500 | FX RADIAL SHAFT W/O MANIPULATION CLOSED | 600 |
4425600 | CLOSED FX TREATMENT DISTAL RADIAL FX COL | 557 |
4425622 | CLOSED FX TREATMENT CARPAL SCAPHOID W/O | 557 |
4426600 | FX METACARPAL CLOSED SIMPLE | 368 |
4426720 | FX CLOSED TX PHALANGEAL SHAFT FX CAST | 300 |
4427780 | FX FIBULA OR SHAFT W/O MANIPULATION | 500 |
4427786 | FX CARE LATERAL MALLEOLUS (ANKLE) | 368 |
4428190 | EXCISION OF F/B FOOT, SUBCUTANEOUS | 232 |
4428400 | CLOSED TX OF CALCANEAL FX | 368 |
4428510 | FX CARE/CAST NONDISPLACED FX OF TOE | 263 |
4429405 | APPLICATION OF SHORT LEG CAST | 250 |
4430801 | CAUTERY/ABLATION MUCOSA | 158 |
4431500 | INTUBATION, ENDOTRACHEAL, EMERGENCY | 303 |
4436415 | VENIPUNCTURE, FOR SPECIMEN | 18 |
4443760 | G-TUBE PLACEMENT | 215 |
4445300 | PROCTOSIGMOIDSCOPY, RIGID W/OR W/O COLLE | 137 |
4445330 | SIGMOIDOSCOPY, FLEXIBLE, W OR W/O COLLEC | 263 |
4446221 | HEMORRHOIDECTOMY, BY SIMPLE LIG RUBBER B | 263 |
4446230 | HEMORRHOIDECTOMY, EXC OF EXTERNAL TAGS | 347 |
4446600 | ANOSCOPY | 78 |
4456440 | MARSUPIALIZATION OF BARTHOLIN’S GLAND | 900 |
4458100 | ENDOMETRIAL BIOPSY | 210 |
4464405 | OCCIPITAL NERVE BLOCK | 276 |
4465205 | REMOVAL OF F/B SUPERFICIAL EYE | 105 |
4467700 | DRAINAGE OF ABCESS – EYELID | 140 |
4467840 | EXC OF LESION-EYELID | 267 |
4469200 | REMOVAL FOREIGN BODY EXT AUDITORY CANAL | 137 |
4469210 | EAR WAX REMOVAL | 130 |
4480150 | PELVIC EXAM | 32 |
4481000 | URINE DIP | 30 |
4481002 | ALLEN URINE DIP | 27 |
4481025 | ALLEN URINE PREGNANCY TEST | 40 |
4482270 | ALLEN OCCULT BLOOD | 25 |
4482948 | GLUCOSE TESTING, FINGER STICK | 12 |
4482962 | ALLEN GLUCOSE BY MONITOR | 25 |
4483036 | HB | 95 |
4486580 | ALLEN TB PPD INTRADERMAL | 45 |
4487210 | ALLEN KOH WET MOUNT | 35 |
4487502 | ALLEN INFLUENZA A&B TEST | 123 |
4487634 | ALLEN RSV | 123 |
4487651 | ALLEN STREP | 123 |
4487804 | ALLEN INFLUENZA A & B CLIA WAVED | 71 |
4487807 | CL- ALLEN RSV | 85 |
4487880 | ALLEN RAPID STREP | 65 |
4488150 | PAP SMEAR | 60 |
4488403 | RAPID STREP | 18 |
4490376 | CL- ALLEN IMOGAM 300 IU 2 ML | 600 |
4490460 | CL- INFLUENZA PEDIATRIC | 70 |
4490471 | VACCINE ADMINISTRATION | 35 |
4490632 | CL- ALLEN HEPATITIS A | 25 |
4490657 | CL- ALLEN INFLUENZA VACCINATION | 35 |
4490658 | CL- ALLEN INFLUENZA VACCINATION | 60 |
4490662 | CL- HIGHDOSE 65+ | 90 |
4490674 | CL- FLUCELVAX 2 YR + | 90 |
4490675 | CL- ALLEN RABAVERT VACCINE FOR IM USE | 350 |
4490682 | CL- FLUBLOK 18+ | 90 |
4490686 | CL- FLUZONE 6 MO + | 90 |
4490694 | CL- FLUAD 65+ | 90 |
4490702 | CL- ALLEN DT < 7 YRS OLD | 14 |
4490703 | CL- ALLEN TD AGES 7 AND > | 50 |
4490715 | CL – TDAP > 7 YEARS OF AGE | 70 |
4490732 | CL- ALLEN PNEUMO 23 VACCINE | 250 |
4490736 | ZOSTAVAX | 200 |
4490750 | CL – SHINGRIX | 225 |
4490782 | THERAPEUTIC OR DIAGNOSTIC INJ. | 50 |
4492960 | CARDIOVERSION | 436 |
4493000 | ELECTROCARDIOGRAM W/INTERPRETATION &REPO | 223 |
4493010 | EKG INTERP AND REPORT | 49 |
4493015 | CARDIOVASCULAR STRESS TESTING | 359 |
4493224 | HOLTOR MONITORING GLOBAL W/SUPERIMPOSITI | 637 |
4493225 | HOLTOR MONITORING HOOKUP,RECORD,& DISCON | 263 |
4493227 | HOLTOR MONITORING PHYSICIAN REV & INTERP | 315 |
4493268 | EVENT MONITORING GLOBAL PRE/POST SYM MON | 556 |
4493270 | EVENT MONITORING HOOK-UP, DISCON SYM MON | 263 |
4493272 | EVENT MONITORING PHY REV&INTERPR SYM MON | 315 |
4494664 | NEBULIZER-1ST. TIME | 65 |
4494665 | NEBULIZER-SUBSEQUENT | 50 |
4494760 | PULSE OXIMETRY | 45 |
4494762 | PULSE OX 24 HR OVERNIGHT | 47.5 |
4498312 | CL- ALLEN PREVNAR 13 VACCINATION | 536 |
4499195 | PHLEBOTOMY, THERAPEUTIC | 18 |
4499201 | OFFICE VISIT/NEW OP (BRIEF) | 120 |
4499202 | OFFICE VISIT/NEW OP (LIMITED) | 170 |
4499203 | OFFICE VISIT/NEW OP (INTER) | 225 |
4499204 | OFFICE VISIT/NEW OP (EXTENDED) | 320 |
4499205 | OFFICE VISIT/NEW OP (COMPRE) | 430 |
4499211 | ESTAB. O/P VISIT MINIMAL | 70 |
4499212 | ESTAB. O/P VISIT (BRIEF) | 110 |
4499213 | ESTAB. O/P VISIT (INTER) | 150 |
4499214 | ESTAB. O/P VISIT (EXTENDED) | 220 |
4499215 | ESTAB. O/P VISIT (COMPRE) | 300 |
4499217 | OBSERVATION CARE DISCHARGE | 204 |
4499218 | OBSERVATION CARE INIT (BRIEF) | 235 |
4499219 | OBSERVATION CARE INIT.(LIMITED) | 333 |
4499220 | OBSERVATION CARE INIT.(INTER) | 450 |
4499221 | ACUTE CARE INIT. (BRIEF) | 260 |
4499222 | ACUTE CARE INIT. (LIMITED) | 345 |
4499223 | ACUTE CARE INIT. (INTER) | 471 |
4499231 | SUBSEQ. ACUTE CARE (BRIEF) | 128 |
4499232 | SUBSEQ. ACUTE CARE (LIMITED) | 195 |
4499233 | SUBSEQ. ACUTE CARE (INTER) | 282 |
4499234 | OBSERV. ACUTE CARE (BRIEF) | 353 |
4499235 | OBSERV. ACUTE CARE (LIMITED) | 465 |
4499236 | OBSERV. ACUTE CARE (INTER) | 604 |
4499238 | HOSP. DISCH. < 30 MINUTES | 202 |
4499239 | HOSP. DISCH. > 30 MINUTES | 285 |
4499241 | OFFICE CONSUL. (BRIEF) | 155 |
4499242 | OFFICE CONSUL. (LIMITED) | 225 |
4499243 | OFFICE CONSUL. (INTER) | 240 |
4499244 | OFFICE CONSUL. (EXTENDED) | 400 |
4499245 | OFFICE CONSUL. (COMPRE) | 500 |
4499251 | INIT INP. CONSULT.(BRIEF) | 150 |
4499252 | INIT INP. CONSULT.(LIMITED) | 210 |
4499253 | INIT INP. CONSULT.(INTER) | 300 |
4499254 | INIT INP. CONSULT.(EXTENDED) | 390 |
4499255 | INIT INP. CONSULT.(COMPRE) | 480 |
4499281 | EMERG. ROOM VISIT (BRIEF) | 68 |
4499282 | EMERG. ROOM VISIT (LIMITED) | 93 |
4499283 | EMERG. ROOM VISIT (INTER) | 141 |
4499284 | EMERG. ROOM VISIT (EXTENDED) | 214 |
4499285 | EMERG. ROOM VISIT (COMPRE) | 307 |
4499288 | PHYSICIAN DIRECTION | 172 |
4499291 | CRITICAL CARE 1ST HR. | 331 |
4499292 | CRITICAL CARE ADDL 30 MIN. | 156 |
4499301 | EVAL. & MGMT. (BRIEF) | 91 |
4499302 | EVAL. & MGMT. (LIMITED) | 121.5 |
4499303 | EVAL. & MGMT. (INTER) | 169.5 |
4499304 | NURSING HOME NEW BRIEF | 176 |
4499305 | NH ADMISSION MODERATE SEV | 235 |
4499306 | NH ADMISSION HIGH SEVERITY | 285 |
4499307 | SUB. NURSING FAC. CARE (BRIEF) | 95 |
4499308 | SUB. NURSING FAC. CARE (BRIEF) | 140 |
4499309 | SUB NH VISIT MODERATE | 185 |
4499310 | SUB. NURSING FAC. CARE COMPREHENSIVE | 245 |
4499311 | SUB. NURSING FAC. CARE (BRIEF) | 57 |
4499312 | SUB. NURSING FAC. CARE (LIMITED) | 88.5 |
4499313 | SUB. NURSING FAC. CARE (INTER) | 114 |
4499315 | NURSING FAC. DISH. < 30 MIN. | 165 |
4499316 | NURSING FAC. DISH. > 30 MIN. | 220 |
4499318 | ANNUAL NH ASSESSMENT | 190 |
4499324 | OZARK INITIAL LOW 20 MIN | 120 |
4499325 | OZARK INITIAL MODERATE 30 MIN | 175 |
4499326 | REST HOME NEW PT LEVEL 3 | 245 |
4499327 | REST HOME NEW PT LEVEL 4 | 330 |
4499328 | REST HOME NEW PT LEVEL 5 | 415 |
4499334 | REST HOME EST PT LEVEL 1 | 105 |
4499335 | REST HOME EST PT LEVEL 2 | 145 |
4499336 | REST HOME EST PT LEVEL 3 | 215 |
4499337 | REST HOME EST PT LEVEL 4 | 310 |
4499339 | OZARK CPO <30 MIN | 165 |
4499340 | OZARK CPO >30 MIN | 246 |
4499341 | HOME VISIT | 130 |
4499348 | HOME VISIT EST PT LEVEL II | 155 |
4499350 | HOME VISIT EST PT COMP OVER 60 MIN | 325 |
4499354 | PROLONGED OV BEYOND THE USUAL (MINI MENT | 265 |
4499374 | CPO HH PATIENT <30 MIN | 173 |
4499375 | CPO HH PATIENT >30 MIN | 251 |
4499377 | CPO HOSPICE PT <30 MIN | 172 |
4499378 | CPO HOSPICE PT >30 MIN | 265 |
4499379 | CPO HH PT NOT PRESENT <30 MIN | 172 |
4499380 | CPO HH PT NOT PRESENT >30 MIN | 254 |
4499381 | HCY SCREENING NEW PT NEWBORN | 225 |
4499382 | HCY SCREENING NEW PT AGE 1 – 4 | 235 |
4499383 | HCY SCREENING NEW PT AGE 5 – 11 | 240 |
4499384 | OFFICE VISIT NEW PT – 12-17 YRS OLD | 270 |
4499385 | OFFICE VISIT NEW PT – 18-39 YRS OLD | 300 |
4499386 | OFFICE VISIT NEW PT – 40-64 YRS OLD | 345 |
4499387 | OFFICE VISIT NEW PT – 65 & OVER | 365 |
4499391 | HCY Screening EST PT NEWBORN | 195 |
4499392 | HCY SCREENING EST PT AGE 1 – 4 | 210 |
4499393 | HCY Screening EST PT AGE 5 – 11 | 205 |
4499394 | HCY Screening EST PT 12 – 17 YRS | 220 |
4499395 | HCY Screening EST PT 18 – 39 YEARS | 250 |
4499396 | HCY Screening EST PT 40 – 64 YEARS | 280 |
4499397 | HCY Screening EST PT 65 & OVER | 300 |
4499499 | PHYSICAL | 35 |
4500076 | HAG HOURS | 34 |
4500150 | EEG | 1006 |
4500211 | CPAP SETUP | 205 |
4500220 | CPAP SUBSEQUENT PER HOUR | 41 |
4500224 | BI LEVEL CIRCUIT W/TUBING AND FILTER | 61 |
4500225 | VENT-TUBING | 95 |
4500226 | ADULT AMBU-BAG #5372 | 104 |
4500227 | INFANT AMBU BAG | 48 |
4500228 | PEDIATRIC AMBU BAG | 39 |
4500232 | CONCENTRATOR-OXYGEN/NH MONTHLY | 186 |
4500240 | ELECTROCARDIOGRAM | 386 |
4500242 | EKG PADS | 37 |
4500260 | HEATED AEROSOL SETUP – INITIAL | 117 |
4500270 | HYD-CROUPETTE SETUP | 141 |
4500280 | HYD-CROUPETTE/DAY | 113 |
4500290 | INFLATION BAG W/ MANOMETER–INFANT | 74 |
4500325 | ISO EQUIP CHG | 48 |
4500330 | TRI FLO | 107 |
4500340 | PFT MULITI | 776 |
4500341 | NEB U SET-UP | 127 |
4500342 | NEB-U-MIST | 127 |
4500343 | DUO NEB-U-MIST | 198 |
4500345 | LIMITED PFT | 349 |
4500347 | E.T HOLDER | 87 |
4500360 | SPUTUM INDUCTION | 130 |
4500365 | SUCTION | 117 |
4500370 | ROOM HUMIDIFIER S/U | 117 |
4500380 | TREADMILL EKG, TRACING ONLY | 1435 |
4500385 | HOLTER MONITOR, HOOK-UP | 305 |
4500390 | OXYGEN | 32 |
4500395 | OXYGEN PORTABLE | 70 |
4500400 | OXYGEN UNIT SET-UP | 70 |
4500419 | PEDIATRIC NASAL CANNULA | 9 |
4500420 | OXYGEN CANNULA | 16 |
4500421 | NASAL CANNULA | 16 |
4500422 | OXYMIZER PENDANT | 127 |
4500435 | OZY-EARS | 13 |
4500439 | PEDIATRIC OXYGEN MASK | 9 |
4500440 | MASK (OXYGEN) #1041 | 16 |
4500441 | FULL MASK W/ HEAD GEAR C/BI PAP SMALL | 137 |
4500442 | MASK (AEROSOL) HUDSON#1083 | 16 |
4500443 | PEDIATRIC MASK (AEROSOL) | 9 |
4500444 | INFANT MASK (OXYGEN) | 16 |
4500445 | DISP PED PULSE OX PROBE | 91 |
4500446 | FULL MASK W/HEAD GEAR C/BI PAP MEDIUM | 137 |
4500447 | FULL MASK W/HEAD GEAR C/BI PAP LARGE | 137 |
4500450 | OXYGEN CONN. TUBE | 13 |
4500451 | 14FT LENGTH OXYGEN SUPPLY TUBING | 16 |
4500460 | 02 REBR. MASK SETUP #1059 | 53 |
4500461 | PEDIATRIC NON REBREATHER MASK | 9 |
4500470 | 02 VENTI-MASK SETUP | 53 |
4500480 | 02 BUBBLE JET HUMIDIFICATION | 32 |
4500482 | PEAK FLOW METER SET-UP | 120 |
4500484 | PEAK FLOW TEST | 86 |
4500485 | POSTURAL DRAINAGE INITIAL | 82 |
4500487 | PULSE OX | 66 |
4500490 | PULSE OX-MULTI READINGS-EXERCISE | 97 |
4500512 | DEMONSTRATION EDUCATION | 116 |
4500513 | DAILY RT EDUCATION | 116 |
4501205 | NEBULIZER CONTINUOUS-1 HR | 121 |
4512005 | CARDIAC/BP/O2 SAT MONITOR | 292 |
4524400 | VENTILATOR INITIAL DAY | 565 |
4524401 | VENTILATOR DAILY AFTER INITIAL | 392 |
4524488 | VENTILATOR CIRCUIT | 35 |
4593010 | EKG, INTERPRETATION AND REPORT ONLY | 92 |
4593016 | TREADMILL EKG PHYSICIAN SUPERVISION | 223 |
4593018 | TREADMILL EKG, PHY INTERPRETATION&REPORT | 276 |
4593040 | RHYTHM ECG, 1-3 LEADS W/ INTER & REPORT | 223 |
4593270 | EVENT MONITOR, HOOK-UP, 30 DAY | 458 |
4594010 | SPIROMETRY | 298 |
4594011 | INIT SPIROMETRY CHG ONCE | 303 |
4594012 | SUBSEQUENT SPIROMETRY 2XDAY MAX | 166 |
4594060 | BRONCHODILATION RESPONSIVENESS | 489 |
4594640 | MDI INITIAL | 127 |
4594641 | MDI SUBSEQUENT | 127 |
4594668 | POSTURAL DRAINAGE SUBSEQUENT | 117 |
4594761 | HOME OXYGEN QUALIFIER | 217 |
4594762 | PULSE OX – OVERNIGHT MONITORING | 297 |
4595070 | METHACHOLINE CHALLENGE | 649 |
4600512 | DEMONSTRATION EDUCATION | 116 |
4618003 | PT COLD PACKS HOME USE | 51 |
4618005 | PT HOME CERVICAL TRACTION UNIT | 58 |
4618006 | PT SHOULDER PULLEY HOME UNIT | 66 |
4618008 | PT TENS UNIT ELECTRODES | 66 |
4618012 | PT AIR MEDIC PILLOW | 95 |
4618014 | PT CRUTCHES | 100 |
4619001 | GRIPPER HINGED KNEE BRACE | 63 |
4620600 | PT NEO WRIST THUMB SUPPORT | 86 |
4620617 | PT ANKLE BRACE WITH STRAPS | 191 |
4634008 | PT STIM ELECTRODES PADS | 51 |
4634010 | PT LUMBAR CERVICAL ROLL | 61 |
4638028 | PT THERA BAND | 13 |
4638030 | PT THERA PUTTY | 21 |
4638035 | PT TUBIGRIP STOCKINET | 12 |
4638040 | PT BOOK BACK NECK CARE | 21 |
4648002 | PT BACK SUPPORT | 78 |
4690901 | PT BIOFEEDBACK TRAINING BY ANY MODALITY | 82 |
4690911 | PTBIOFEEDBACK PERIURO | 82 |
4697002 | PT RE EVALUATION | 128 |
4697010 | PT HOT COLD PACKS | 41 |
4697012 | PT CERVICAL PELVIC TRACTION | 87 |
4697014 | PT ELECTRICAL STIMULATION | 82 |
4697016 | PT VASOPNEUMATIC DEVICES | 82 |
4697018 | PT PARAFFIN BATH | 82 |
4697022 | PT WHIRLPOOL | 141 |
4697024 | PT DIATHERMY | 68 |
4697026 | PT INFRARED | 68 |
4697033 | PT IONTOPHORESIS | 114 |
4697034 | PT CONTRAST BATH | 37 |
4697035 | PT ULTRASOUND | 82 |
4697039 | PT UNLISTED MODALITIES | 78 |
4697110 | PT EXERCISE 15 MIN ROM STRENGTH ENDUR | 113 |
4697112 | PT EXERCISE 15 MIN.BALANCE COORD REEDUC | 109 |
4697116 | PT GAIT TRAINING | 93 |
4697124 | PT MASSAGE | 53 |
4697139 | PT UNLISTED THERAPUETIC PROCEDURE | 70 |
4697161 | PT EVALUATION LOW | 181 |
4697162 | PT EVALUATION MOD COMPLEXITY | 181 |
4697163 | PT HIGH EVALUATION | 181 |
4697164 | PT RE EVALUATION | 128 |
4697250 | PT MANUAL THERAPY MYOFACIAL MOBIL MANIP | 113 |
4697500 | PT ORTHOTICS TRAINING FITTING | 68 |
4697530 | PT THERAPUTIC ACT15 MIN | 96 |
4697535 | PT SELF CARE 15 MIN | 58 |
4697542 | PT WHEELCHAIR MGR | 58 |
4697545 | PT WORK HARDENINGCONDITION INITIAL 2 HRS | 278 |
4697546 | PT WORK HARDENINGCONDITION EACH ADD HR | 127 |
4697750 | PT PHY PERFORMANCE TEST | 68 |
4697770 | PT DEVEL COGNITIVE SKILLS | 68 |
4700023 | ST SP THER SESS 30 | 95 |
4792507 | ST SP THER SESS 1 HR | 147 |
4792521 | ST EVAL FLUENCY | 209 |
4792522 | ST EVAL ARTICULATION | 209 |
4792523 | ST EVAL COMPREHENSION | 209 |
4792524 | ST EVAL VOICE | 209 |
4792526 | ST SPEECH THER SWAL TREATMNT 1HR | 147 |
4792610 | ST SWAL FUNC SP EVAL BEDSIDE | 209 |
4792611 | ST SWAL FUNC SP EVAL | 209 |
5010854 | JELLY PETROL | 9 |
5010858 | JELCO | 9 |
5011307 | KLING 2 IN. | 9 |
5011309 | KLING 4 IN. | 9 |
5011398 | DERMACEA ALGINATE | 50 |
5011681 | KERLIX 4.5 IN. | 9 |
5013102 | MEDIFIL | 30 |
5014252 | NEEDLE, INFUSE AID | 15 |
5015336 | OP-SITE 10CM X 14CM | 12 |
5015338 | OP-SITE 45CM X 55CM | 12 |
5016171 | PAD HEEL-ELBO | 8 |
5016257 | SHAMPOO, BETADINE | 9 |
5016906 | BARRIER FILM | 15 |
5019289 | SKIN STAPLE REMOVER | 11 |
5019293 | STERI-STRIP .5 X 4.0 IN. | 11 |
5019294 | SUCTION YON K | 11 |
5019394 | SUCTION YAN K | 11 |
5019410 | STOMAHESIVE | 26 |
5019437 | SPONGE,GAUZE 2X2 (STERILE) | 9 |
5019438 | SPONGE,GAUZE 2X2 (NON-STER) | 11 |
5019439 | SPONGE,NONSTERILE 4X4 | 18 |
5019440 | SPONGE,CURITY 4X4 10PK(STERILE) | 11 |
5019451 | SWAB GLYCERIN | 9 |
5019807 | SUTURE REMOVEL KIT | 11 |
5020460 | TEGADERM DRESSING 4X4 | 11 |
5020462 | TEGADERM DRESSING 8 X 12 | 13 |
5020465 | TAPE, MICRO 1 | 9 |
5020510 | TUBE GAUZE | 11 |
5020522 | TRACH CLEANING TRAY | 11 |
5020534 | TUBE, EXT. I.V. | 9 |
5020700 | SMALL DRY WOUND KIT | 21 |
5020701 | LARGE DRY WOUND KIT | 37 |
5020702 | SMALL MOIST WOUND KIT | 18 |
5020703 | LARGE MOIST WOUND KIT | 33 |
5020704 | SMALL WET WOUND KIT | 32 |
5020705 | LARGE WET WOUND KIT | 39 |
5020740 | Talfa Pad 3×4 | 9 |
5020750 | COVERLET DRESSING | 9 |
5024444 | SYRINGE – ALL SIZES | 9 |
5031815 | MEDIHONEY GEL 1.5OZ | 54 |
5031915 | SOLOSITE WOUND GEL, 3OZ TUBE | 19 |
5039001 | OCCUPATIONAL THERAPY ASSISTANT | 194 |
5050152 | FLEXIFLO GAS TUBES (ALL SIZES) CLEAR | 80 |
5073810 | LATEX GLOVES (BOX) | 15 |
5085610 | PRO-TIME | 46 |
5090018 | CHEMSTRIPS | 9 |
5200008 | ADM FLU VAC | 8 |
5200009 | ADM PNEUMO VAC | 8 |
5200025 | HCY SCREENING | 81 |
5200243 | IV INFUSION REGENCOV ADMINISTRATION | 309.6 |
5200540 | CL- PENC G PROCAIN 1,200,000 BICILLIN | 150 |
5200696 | CL- ROCEPHIN 500 MG | 175 |
5201000 | CL- DEPO ESTRADIOL CYPIONATE UP TO 5 MG | 130 |
5201020 | CL- DEPO MEDROL 20 MG | 21 |
5201030 | CL- DEPO MEDROL 40 MG | 53 |
5201040 | CL- DEPO MEDROL 80 MG | 95 |
5201100 | CL- DEXAMETHASONE SOD PHOS 10 MG | 26 |
5201200 | DIPEHNHYDRAMINE HCI | 41 |
5201885 | CL- TORADOL 30 MG | 85 |
5202010 | CL- LINCOCIN HCI UP TO 300 MG | 21 |
5202550 | CL- PHENERGAN 50 MG | 38 |
5202902 | SOLU MEDROL 40MG | 40 |
5202920 | CL- SOLUMEDROL 40MG | 47 |
5203301 | CL- TRIAMCINOLONE ACETONID 40 MG | 95 |
5203410 | CL- VISTARIL 50MG | 40 |
5203420 | CL- VITAMIN B12 | 30 |
5204386 | SIDEKICK LOW PROFILE WALKER | 225 |
5206060 | PHENERGAN 50 MG | 22 |
5210040 | PUSTULAR | 58 |
5210060 | I & D OF ABSCESS SIMPLE | 180 |
5210080 | INC & DRAINAGE SIMPLE | 101 |
5210120 | INCISION & REM OF F/B SIMPLE | 158 |
5211010 | DEBRIDEMENT INC REM F/B SKIN | 101 |
5211100 | BIOPSY SKIN SIMPLE | 53 |
5211200 | SKIN TAG EXCISION | 105 |
5211400 | EXC BEN LES TRUNK ARMS .5 CM OR LESS | 126 |
5211401 | EXC BEN LES TRUNK ARMS .06 CM – 1CM | 210 |
5211421 | EXC BEN LES SCALP NECK HANDS .6 TO 1.0CM | 184 |
5211602 | EXC MAL LES ARM 1.1 TO 2.0 CM | 189 |
5211606 | EXC MAL LES ARM 4.0 CM OR LARGER | 315 |
5211641 | EXC MAL LES FACE .5 TO 1.0 CM | 368 |
5211642 | EXC MAL LES FACE 1.1 TO 2.0CM | 420 |
5211750 | EXC OF INGROWN NAIL AND MATRIX | 368 |
5211976 | REMOVAL, IMPLANTABLE CONTRACEPT CAPSULES | 232 |
5212001 | SIMPLE REPAIR 2.5CM | 139 |
5212011 | REPAIR SIMPLE WOUND FACE <2.5 CM | 200 |
5212013 | SIMPLE REPAIR WOUND 2.6CM TO 5.0CM | 210 |
5217000 | CRYOFREEZE FIRST LEX | 135 |
5217003 | CRYOFREEZE 2 – 14 LESIONS | 50 |
5217110 | DESTRUCTION SKIN TAGS | 87 |
5220600 | INJECTION SMALL JOINT | 180 |
5220605 | INJ/ASPIRATION INTERMEDIATE JOINT | 195 |
5220610 | INJECTION MAJOR JOINT | 255 |
5225600 | FX DISTAL RADIAL W/O MANIPULATION | 368 |
5226160 | EXC CYST HAND OR FINGER | 158 |
5227610 | ARTHROTOMY, ANKLE, INC EXPL D&R W/REM FB | 315 |
5244140 | SIGMOID COLECTOMY W/BAKERS ANASTAMOSIS | 974 |
5244145 | COLECTOMY-PARTIAL | 1331 |
5247550 | ASSIST-ENDOSCOPY BILE DUCT | 307 |
5247610 | ASSIST-CHOLESCTESTECTOMY W/EXPLORATION | 1056 |
5251702 | INSERTION FOLEY CATHETER | 330 |
5251725 | CYSTOMETROGRAM (SIMPLE) | 203 |
5251840 | URETHROPEXY | 2084 |
5252000 | CYSTOURETHROSCOPY | 261 |
5252005 | CYSTOURETHROSCOPY, WITH URETERAL CATH | 695 |
5254150 | CIRCUMCISION NEWBORN | 174 |
5256300 | LAPAROSCOPY | 1621 |
5256301 | LAPAROSCOPY W/TUBAL | 1621 |
5256303 | LAPHROSCOPY W/FULGURATION OF OVARY | 2431 |
5256304 | LAPAROSCOPY WITH LYSIS OF ADHESIONS | 523 |
5256350 | HYSTEROSCOPY DIAGNOSTIC | 1100 |
5256440 | MARSAP. OF BARTHOLINS GLAND CYST | 695 |
5256605 | BIOPSY OF VULVA ONE LESION | 232 |
5257100 | BIOPSY-VAGINA | 104 |
5257250 | POSTERIOR COLPORRHAPHY | 1389 |
5257454 | COLPOSCOPY W/BIOPSY | 405 |
5257500 | BIOPSY-CERVIX/POLYP | 255 |
5257505 | ENDOCERVICAL CURRETTAGE | 171 |
5257511 | CAUTERIAZTION OF CERVIX CRYCAUTERY | 255 |
5258100 | ENDOMETRIAL SAMPLING | 171 |
5258120 | D&C THERAPUTIC | 813 |
5258150 | ABD. HYSTERECTOMY (TOT.) | 2663 |
5258152 | ABD.HYSERECTOMY/COLPOURETHROCYSTOPEXY | 3704 |
5258262 | VAGINAL HYSTERECTOMY W/REM TUBES OVARIES | 3241 |
5258301 | IUD REMOVAL | 104 |
5258611 | TUBAL LIGATION W/C-SECTION | 811 |
5258720 | SALPINGO-OOPHORECTOMY COMPLETE | 2315 |
5259120 | ECTOPIC PREG. TUBE REMOVED | 2547 |
5259400 | VAGINAL DEL (POST CARE) | 2315 |
5259409 | DELIVERY (VAGINAL) | 1153 |
5259410 | VAG/DEL PP CARE | 1389 |
5259425 | ANETEPARTUM CARE | 608 |
5259426 | ANTEPARTUM CARE ONLY 7+VISITS | 608 |
5259510 | ANTE-POST C-SECTION | 3357 |
5259515 | DELIVERY, C-SECTION (POST P) | 1852 |
5260210 | PARTIAL THYROIS LOBECTOMY | 811 |
5260212 | LOBECTOMY, PARTIAL THYROIDECTOMY | 1216 |
5269200 | F/B REMOVAL FROM EAR | 300 |
5269210 | EARWAX REMOVAL | 130 |
5281000 | URIN DIP TESTING | 30 |
5281002 | URINE DIP | 27 |
5281025 | URINE PREGNANCY TEST | 40 |
5282270 | HEMOCCULT EACH SLIDE | 12 |
5282962 | GLUCOSE FINGER STICK | 25 |
5283036 | HB | 95 |
5286317 | CHLAMYDIA | 32 |
5286580 | TB PPD | 45 |
5287070 | ROUTINE CULTURE | 32 |
5287081 | GC CULTURE | 21 |
5287088 | CULTURE URINE | 32 |
5287110 | CHLAMYDIA CULTURE | 35 |
5287207 | HERPES CULTURE SMEAR | 35 |
5287210 | MICRO EXAM (WETMOUNT) | 35 |
5287502 | CHEANEY INFLUENZA A&B TEST | 123 |
5287634 | CHEANEY RSV | 123 |
5287651 | CHEANEY STREP | 123 |
5287804 | INFLUENZA A & B CLIA WAVED | 71 |
5287880 | RAPID STREP | 65 |
5288150 | PAPSMEAR | 60 |
5290460 | CL- INFLUENZA PEDIATRIC | 70 |
5290471 | VACCINE ADMINISTRATION | 35 |
5290632 | CL – HEP A ADULT VACCINE | 25 |
5290647 | CL – HIB 3 DOSE | 25 |
5290657 | CL- FLUZONE VACCINE 6MO – 35 MO | 35 |
5290658 | CL- FLUZONE VACCINE AGES 3+ | 60 |
5290662 | CL- HIGHDOSE FLU 65+ | 90 |
5290670 | CL -PREVNAR 13 | 135 |
5290674 | CL- FLUCELVAX 2+ | 90 |
5290675 | CL- RABAVERT VACCINE FOR IM USE | 350 |
5290680 | CL – ROTAVIRUS | 75 |
5290682 | CL- FLUBLOK 18+ | 90 |
5290686 | CL- FLUZONE 6 MONTHS + | 90 |
5290694 | CL- FLUAD 65+ | 90 |
5290698 | CL – PEDIARIX | 80 |
5290703 | CL- TDAP > 7 YEARS OF AGE | 87 |
5290715 | CL – TDAP 7 YRS OLD AND OVER | 50 |
5290724 | CL- INFLUENZA VAC | 35 |
5290732 | CL- PNEUMOCOCCAL VAC | 250 |
5290734 | CL – MENACTRA VACCINE | 130 |
5290782 | THERAPEUTIC DIAG INJECT | 50 |
5293000 | EKG IN OFFICE W/REPORT & INTERPRETATION | 223 |
5293225 | HOLTOR MONITORING HOOKUP,RECORD,& DISCON | 263 |
5293227 | HOLTER MONITOR, PROF. COMP. | 105 |
5294664 | NEBULIZER TREATMENT FIRST | 65 |
5294665 | NEBULIZER TREATMENT SUBSEQUENT | 50 |
5294760 | PULSE OXIMETRY | 45 |
5296372 | THERAPEUTIC/DIAG INJECTION | 50 |
5299000 | SPEC. HANDLING/LAB | 11 |
5299201 | OFFICE VISIT FOCUSED (NEW) | 120 |
5299202 | OFFICE VISIT EXPAND (NEW) | 170 |
5299203 | OFFICE VISIT DETAIL (NEW) | 225 |
5299204 | OFFICE VISIT COMPRE. (NEW) | 320 |
5299205 | OFFICE VISIT COMPRE. (COMPLEX) | 430 |
5299211 | OFFICE VISIT MIN. (EST) | 70 |
5299212 | OFFICE VISIT FOCUSED (EST) | 110 |
5299213 | OFFICE VISIT EXPAND (EST) | 150 |
5299214 | OFFICE VISIT DETAIL (EST) | 220 |
5299215 | OFFICE VISIT COMPRE. (EST) | 300 |
5299217 | OBs Care Discharge | 204 |
5299218 | ADMISSION TO OPO | 235 |
5299219 | INIT. OBSERV/CARE MOD COMPLEX | 333 |
5299220 | INIT. OBSERV/CARE MOD EXT | 450 |
5299221 | VISIT, INIT HOSP | 260 |
5299222 | VISIT, INIT HOSP INTER | 345 |
5299223 | INITIAL HOSP CARE-HIGH COMPLEX | 471 |
5299231 | SUBSQ.HOSP CARECUSED (EST) | 128 |
5299232 | SUBSQ.HOSP CARECUSED INTER | 195 |
5299233 | SUBSQ.HOSP CARECUSED EXT | 282 |
5299234 | ADMIT, INPAT (HOSP) | 353 |
5299235 | ADMIT, INPAT INTER | 465 |
5299236 | ADMIT SAME DAY EXT | 604 |
5299238 | HOSP. DISCH. < 30 MIN. | 202 |
5299239 | HOSP. DISCH. > 30 MIN. | 285 |
5299241 | CONSULT | 145 |
5299242 | CONSULT INTERMEDIATED | 210 |
5299243 | CONSULT EXTENDED | 275 |
5299244 | CONSULT COMP | 275 |
5299245 | CONSULT COMPLEX | 355 |
5299251 | INITIAL INPT CONSULT | 135 |
5299252 | INITIAL INPT CONSULT INTERM | 190 |
5299253 | INITIAL INPT CONSULT EXTENDED | 235 |
5299254 | INITIAL INPT CONSULT COMP | 290 |
5299255 | INITIAL INPT CONSULT COMPLEX | 365 |
5299281 | EMERG VISIT(STREIGHTFORWARD) | 70 |
5299283 | EMERG VISIT(MOD-COMPLEX) | 110 |
5299291 | CRITICAL CARE 1 HOUR | 331 |
5299292 | CRITICAL CARE + 30 MIN | 156 |
5299301 | INITIAL NH ADMIT | 91 |
5299302 | INITIAL NH ADMIT >30 MIN | 121.5 |
5299303 | INITIAL NH ADMIT <30 MIN | 169.5 |
5299304 | INITIAL NH ADMIT | 176 |
5299305 | INITIAL NH ADMIT >30 MIN | 235 |
5299306 | INITIAL NH ADMIT <30 MIN | 285 |
5299307 | SUBSEQ NH BRIEF | 95 |
5299308 | SUBSEQ NH INTERMED | 140 |
5299309 | SUBSEQ NH EXTENDED | 185 |
5299310 | SUBSEQ NH COMPREHENSIVE | 245 |
5299311 | SUBSEQ NH BRIEF | 57 |
5299312 | SUBSEQ NH INTERMED | 88.5 |
5299313 | SUBSEQ NH EXTENDED | 114 |
5299315 | NH DISCHARGE | 165 |
5299316 | NH DISCHARGE >30 MIN | 220 |
5299318 | ANNUAL NH ASSESSMENT | 190 |
5299324 | INITIAL RH ADMIT | 100 |
5299325 | INITIAL RH ADMIT <30 MIN | 135 |
5299326 | INITIAL RH ADMIT >30 MIN | 165 |
5299327 | INITIAL RH ADMIT 45 MIN | 185 |
5299328 | INITIAL RH ADMIT 75 MIN | 205 |
5299334 | SUBSEQ RH BRIEF | 90 |
5299335 | SUBSEQ RH INTERMED | 135 |
5299336 | SUBSEQ RH EXTENDED | 195 |
5299337 | SUBSEQ RH UNSTABLE | 285 |
5299339 | OZARK CPO <30 MIN | 165 |
5299340 | OZARK CPO >30 MIN | 246 |
5299354 | PROLONGED OV BEYOND USUAL CARE (MINI MEN | 158 |
5299374 | CPO HH PT <30 MIN | 173 |
5299375 | CPO HH PT >30 MIN | 251 |
5299377 | CPO HOSPICE PT <30 MIN | 172 |
5299378 | CPO HOSPICE PT >30 MIN | 265 |
5299379 | CPO NH PT NOT PRESENT >30 MIN | 172 |
5299380 | CPO NH PT NOT PRESENT >30 MIN | 254 |
5299381 | HCY SCREENING NEW PATIENT NEWBORN | 225 |
5299382 | HCY SCREENING NEW PATIENT AGE 1 – 4 | 235 |
5299383 | HCY SCREENING NEW PATIENT AGE 5 – 11 | 240 |
5299384 | HCY SCREENING NEW PATIENT AGE 12 – 17 | 270 |
5299385 | HCY SCREENING NEW PATIENT AGE 18 – 39 | 300 |
5299386 | HCY SCREENING NEW PATIENT AGE 40 – 64 | 345 |
5299387 | HCY SCREENING NEW PATIENT AGE 65 & OVER | 365 |
5299391 | HCY SCREENING EST PT NEWBORN | 195 |
5299392 | HCY SCREENING EST PT 1 – 4 | 210 |
5299393 | HCY SCREENING EST PT 5 – 11 | 205 |
5299394 | HCY SCREENING EST PT 12 – 17 | 220 |
5299395 | HCY SCREENING EST PT 18 – 39 | 250 |
5299396 | HCY SCREENING EST PT 40 – 64 | 280 |
5299397 | HCY SCREENING EST PT 65 & OVER | 300 |
5339001 | OT OCCU. THERAPY EVAL. UNIT | 114 |
5339003 | OT OCCU. THERAPY UNIT 15 MIN. | 114 |
5349001 | OT EZ SPONGE | 18 |
5349002 | OT LONG HANDLED SPONGE | 42 |
5349003 | OT SHOE HORN RIGID | 34 |
5349004 | OT SOCK AID W CORD | 15 |
5349005 | OT SLING SHED | 127 |
5349006 | OT LEG LIFTER | 77 |
5349007 | OT SPLINT HAND RESTING | 120 |
5349009 | OT SPLINT SOFT PADDED | 233 |
5349010 | BUTTON HOOK | 15 |
5349011 | OT REACHER 26 | 26 |
5349012 | DRESSING STICK | 15 |
5349013 | OT SOCK AID | 65 |
5349014 | DIABETIC FOOTCARE HANDLE | 68 |
5349015 | OT SHOE HORN FLEXIBLE | 15 |
5349016 | TOILET AID 19 INCH | 29 |
5349017 | OT BUTTONHOOK | 26 |
5349018 | TOILET AID 12 INCH | 21 |
5349019 | OT ELASTIC SHOE LACES | 17 |
5349023 | OT HAND EXERCISER | 29 |
5349025 | OT THERAPUTTY 2 OZ. | 26 |
5349026 | OT THERAPUTTY 3OZ | 30 |
5349027 | OT THERAPUTTY 4 OZ. | 33 |
5349029 | OT THERABAND 1 YD | 17 |
5349031 | OT FOAM HAND EXER | 21 |
5349033 | OT FINGER CONTRACTURE CU | 46 |
5349035 | OT HAND CANE | 39 |
5349037 | OT GEL SHEET 1X1 INCH | 35 |
5349039 | OT RESTING HAND SPLINT | 144 |
5349041 | OT FUNCTIONAL SOFT SPLINT | 233 |
5349043 | OT COBAN 1 ROLL | 13 |
5349045 | OT PALM PROTECTOR | 46 |
5350004 | DRESSING STICK | 42 |
5397003 | OT EVALUATION | 205 |
5397004 | OT RE EVALUATION | 186 |
5397010 | OT HOT COLD PACK | 41 |
5397014 | OT ELECTRICAL STIMULATION | 86 |
5397018 | OT PARAFFIN BATH | 86 |
5397035 | OT ULTRASOUND | 86 |
5397110 | OT THERAPEUTIC EXERCISE 15 MIN | 93 |
5397112 | OT NEUROMUSCULAR RE-EDUC. | 109 |
5397140 | OT MANUAL THERAPY MYOFACIAL MOBIL MANIP | 113 |
5397165 | OT LOW EVALUATION | 205 |
5397166 | OT MOD EVALUATION | 205 |
5397167 | OT HIGH EVALUATION | 205 |
5397168 | OT RE EVALUATION | 186 |
5397504 | OT ORTHODICS FITTING & TRAINING 15 MIN | 77 |
5397530 | OT THERAPEUTIC ACTIVITIES | 66 |
5397535 | OT ADL RE-TRAINING 15 MIN | 82 |
5397542 | OT WHEELCHAIR MGT-15MIN | 66 |
5397770 | OT COGNITIVE TRAINING 15 MIN | 77 |
5400696 | CL- ROCEPHIN 250 MG OLIVERO | 175 |
5401030 | CL- DEPO MEDROL 40MG OLIVERO | 53 |
5401040 | DEPO MEDROL 80 MG OLIVERO | 95 |
5401885 | CL- TORADOL KETORALAC 30 MG OLIVERO | 85 |
5402902 | CL- SOLU MEDROL 40MG OLIVERO | 40 |
5403420 | CL- B-12 OLIVERO | 35 |
5407325 | CL- SYNVISC OLIVERO | 818 |
5410060 | I & D OF SINMPLE ABCESS | 200 |
5410061 | I & D OF ABSCESS, COMPLICATED OR MULTIPL | 394 |
5410081 | I & D OF PILONIDAL CYST COMPLICATED | 420 |
5410120 | INC & REMOVAL F/B SUBCUT TISSUE SIMPLE | 260 |
5411000 | DEBRIDEMENT OF ECZEMATOUS OR INFEC SKIN | 120 |
5411042 | DEBRID; SKIN, PART TKNS SKIN & SUBQ TISS | 289 |
5411100 | BIOPSY OF SKIN SINGLE LESION | 175 |
5411101 | BIOPSY OF SKIN ADD’L LESION | 100 |
5411104 | PUNCH BX SINGLE LESION | 240 |
5411200 | SHAVING OF EPIDERMAL LES TRUNK .5 OR LES | 142 |
5411300 | SHAVING OF EPIDERMAL LES TRUNK .5 OR LES | 131 |
5411301 | SHAVING OF EPIDERMAL LES TRUNK .6 TO 1.0 | 173 |
5411302 | SHAVING OF LES TRUNK,ARMS LEGS 1.1TO 2.0 | 215 |
5411303 | SHAVING LESION OVER 2.0 CM | 257 |
5411305 | SHAVING OF EPIDERMAL LES NECK .5 OR LESS | 137 |
5411307 | SHAVE BIOPSY LESION 1.1 TO 2.0 CM | 184 |
5411308 | SHAVING OF EPIDERMAL LES SCALP >2.0 CM | 268 |
5411310 | SHAVING OF EPIDERMAL LES FACE .5 OR LESS | 173 |
5411311 | SHAVING OF EPIDERMAL LES .5 TO 1.0CM | 242 |
5411312 | SHAVING OF EPIDERMAL LES 1.1 TO 2.0CM | 257 |
5411400 | EXC BEN LES <1.0 TRUNK,ARMS,LEGS | 210 |
5411401 | EXC BEN LES .6 TO 1.0 TRUNK,ARMS,LEGS | 273 |
5411402 | EXC BEN TRUNK,ARMS, LEGS 1.1 TO 2.0 CM | 341 |
5411403 | EXC BEN LES 2.1 TO 3.0 TRUNK,ARMS,LEGS | 410 |
5411404 | EXC BEN TRUNK,ARMS, LEGS 3.1 TO 4.0CM | 515 |
5411406 | EXC BEN LES OVER 4.0 CM TRUNK,ARMS,LEGS | 735 |
5411420 | EXC BEN LES SCALP,NECK,HANDS <0.6 | 215 |
5411421 | EXC BEN LES SCALP,NECK,HANDS 0.6 TO 1.0 | 289 |
5411422 | EXC BEN LES SCALP,NECK,HANDS 1.1 TO 2.0 | 336 |
5411423 | EXC BEN LES SCALP,NECK,HANDS 2.1 TO 3.0 | 452 |
5411440 | EXC BEN LES <.5 FACE,EARS,NOSE,EYE | 252 |
5411441 | EXC BEN LES .6 TO 1.0 FACE,EARS,NOSE,EYE | 347 |
5411442 | EXC BEN LES FAC 1.1 TO 2.0 CM | 410 |
5411443 | EXC BEN LES FAC 2.1 TO 3.0 CM | 504 |
5411601 | EXC MAL TRUNK,ARMS, LEGS .6 TO 1.0 | 378 |
5411602 | EXC MAL TRUNK,ARMS, LEGS 1.1 CM | 446 |
5411603 | EXC MAL TRUNK,ARMS, LEGS 2.1 TO 3.0 CM | 541 |
5411622 | EXC MALIG LES NECK 1 TO 1.5 CM | 536 |
5411623 | EXC MAL LES 2.1 TO 3.0 SCALP,NECK,HANDS, | 641 |
5411642 | EXC MALIG LES 1.1 TO 2.0 FACE EARS EYELI | 646 |
5411730 | AVULSION OF NAIL PLATE PARTIAL OR COMPLE | 250 |
5411771 | EXC OF PILONIDAL CYST EXTENSIVE | 1260 |
5412005 | SIMPLE REPAIR 10 CM TO 20 CM | 550 |
5412031 | REPAIR INTERMED LAYER CLOSURE 2.5 OR LES | 336 |
5412032 | REPAIR INTERMED LAYER CLOSURE 2.6 TO 7.5 | 550 |
5412034 | REPAIR INTERMED LAYER CLOSURE >7.5 | 525 |
5412041 | REPAIR INTERMED 2.5 OR LESS NECK,HANDS, | 368 |
5412042 | LAYER CLOSURE 2.6 TO 7.5 NECK,HANDS,FEET | 420 |
5412051 | REPAIR INTERMED CLOS >2.5 FACE,EYES,NOSE | 420 |
5412052 | REPAIR INTERMED CLOS 2.6TO5.0 FACE,EARS, | 525 |
5412053 | REPAIR INTERMED CLOS >5.1 CM | 630 |
5413101 | REPAIR, COMPLEX, TRUNK 2.6 CM TO 7.5 CM | 630 |
5413121 | REPAIR, COMPLEX, SCALP, ARMS, LEG 2.6-7. | 814 |
5413122 | REPAIR COMP SCALP,ARM,LEG EA ADDL 5CM | 289 |
5413131 | REPAIR, COMPLEX, FACE,HEAD 1.1 TO 2.5CM | 630 |
5417000 | CRYOFREEZE FIRST LESION | 135 |
5417003 | CRYOFREEZE 2ND THRU 14 LESIONS | 50 |
5417110 | DESTRUCTION OF LESION BY ANY METHOD | 142 |
5417250 | CHEMICAL CAUTERIZATION TISSUE | 137 |
5419020 | MASTOTOMY W/EXPL OR DRAIN OF ABSCES DEEP | 866 |
5419100 | BIOPSY OF BREAST,PERCUTANEOUS NEEDLE COR | 341 |
5419101 | BIOPSY OF BREAST; NEEDLE OPEN INCISIONAL | 945 |
5419120 | EXC OF CYST,FIBRO OR BEN/MAL BREAST LESI | 1365 |
5419125 | EXC OF BREAST LES BY RADIOL MARK OPEN | 1470 |
5419126 | ADD’L LESION SEP ID BY RAD MARKER | 735 |
5419162 | MASTECTOMY,PARTIAL W/LYMPHADENECTOMY | 3465 |
5420103 | EXPLORATION OF PENETRATING WOUND EXTREME | 1680 |
5420550 | TRIGGER POINT INJECTION | 235 |
5420552 | TRIGGER POINT INJECTION 1 OR 2 MUSCLES | 250 |
5420553 | TRIGGER POINT INJECTION 3 OR MOREMUSCLES | 350 |
5420600 | SMALL JOINT INJECTION | 175 |
5420605 | INJECTION INTERMEDIATE JOINT | 195 |
5420610 | MAJOR JOINT INJECTION | 255 |
5421555 | EXC TUMOR SOFT TISSUE NECK SUBCUTANEOUS | 998 |
5421556 | EXC, TUMOR, NECK/THORAX DEEP,SUBFAS,INTR | 1470 |
5421920 | BIOPSY, SOFT TISSUE OF BACK SUPERFICIAL | 378 |
5421930 | EXC, TUMOR, SOFT TISSUE OF BACK/FLANK | 1575 |
5422900 | RESECTION OF FATTY TUMOR | 1575 |
5423075 | EXCISION, SOFT TISSUE TUMOR,SHOULDER SUB | 840 |
5423650 | CLOSED TX SHOULDER DISLOCATION W/O ANEST | 800 |
5423930 | I&D OF DEEP ABSCESS | 945 |
5424076 | EXC TUMOR SOFT TISSUE FOREARM/WRIST SUBC | 1470 |
5425075 | EXC TUMOR SOFT TISSUE FOREARM/WRIST SUBC | 1050 |
5425111 | EXC OF GANGLION, WRIST; PRIMARY | 1286 |
5425248 | EXPLORATION OF F/B DEEP ARM | 1470 |
5425600 | CLOSED TX OF COLLES FX | 925 |
5425622 | CLOSED TX OF SCAPHOID FX | 925 |
5426605 | CLOSED TX METACARPAL FX WITH MANIPULATIO | 985 |
5427047 | EXCISION TUMOR SUBQ PELVIS & HIP REGION | 1575 |
5427550 | CLOSED TX KNEE DISLOCATION | 1100 |
5436589 | REMOVAL OF TUNNELED CENTRAL VEN CATHETER | 735 |
5438500 | BIOPSY OR EXC OF LYMPH NODE;OPEN SUPERFI | 866 |
5438770 | LYMPHADENECTOMY INC EXT ILIAC,NODE ETC | 4725 |
5438999 | UNLISTED LYMPH NODE PROCEDURE | 1260 |
5440810 | EXC OF LES MUCOSA/SUBMUCOSA VEST OF MOUT | 420 |
5440812 | EXC OF LESION MUCOSA W SIMPLE REPAIR | 578 |
5441108 | BIOPSY OF FLOOR OF MOUTH | 389 |
5441112 | EXC OF LESION OF TONGUE W/CLOSURE ANT2/3 | 840 |
5442104 | EXC LESION OF PALATE, UVULA W/SIMP CLOSU | 578 |
5442106 | EXC LESION OF PALATE, UVULA W/SIMP CLOSU | 709 |
5443220 | ESOPHAGOSCOPY W/BALLOON DILATION | 945 |
5443239 | EGD W/BIOPSY, SINGLE OR MULTIPLE | 1050 |
5443247 | REMOVAL OF F/B (PEG TUBE) | 1155 |
5443251 | EGD W REM OF TUM,POLYP LESION BY SNARE | 1365 |
5443258 | EGD W/ABLATION OF TUMOR, POLYP, LESION E | 1470 |
5444005 | ENTEROLYSIS | 3360 |
5444110 | EXC OF ONE OR MORE LES OF INTESTINES NOT | 2730 |
5444180 | LAPAROSCOPIC EXTENSIVE LYSIS OF ADHESION | 2940 |
5444200 | LAPAROSCOPIC EXTENSIVE LYSIS OF ADHESION | 2520 |
5444388 | COLONOSCOPY THRU STOMA, DIAGNOSTIC | 1155 |
5444950 | APPENDECTOMY | 2100 |
5445170 | EXCISION OF RECTAL TUMOR, TRANSANAL APPR | 2205 |
5445339 | FLEXIBLE FIBEROPTIC RECTOSIGMOIDOSCOPY | 998 |
5445378 | COLONOSCOPY, FLEXIBLE | 1260 |
5445379 | COLONOSCOPY W/REM OF FOREIGN BODY | 1470 |
5445380 | COLONOSCOPY, FLEXIBLE, WITH BIOPSY(S) | 1365 |
5445381 | COLONOSCOPY, FLEXIBLE, W/SUBMUC INJECTIO | 1418 |
5445383 | COLONOSCOPY W/ABLATION OF POLYPS BY SNAR | 1628 |
5445385 | COLONOSCOPY W/REM POLYPS BY HOT SNARE | 1733 |
5445905 | DILATION OF ANAL SPHINCTER (SEP PROC)ANE | 446 |
5445990 | ANORECTAL EXAM,SURG,UNDER ANESTH | 420 |
5446040 | I & D PERIRECTAL ABSCESS | 1050 |
5446050 | INCISION AND DRAINAGE, PERIANAL ABSCESS, | 550 |
5446083 | INCISION OF THROMBOSED HEMORRHOID EXTERN | 420 |
5446200 | FISSURECTOMY,W OR W/O SPHINCTEROTOMY | 1260 |
5446220 | PAPILLECTOMY/EXC OF SINGLE TAG, ANUS | 420 |
5446260 | HEMORRHOIDECTOMY,INT & EXT COMPLEX OR EX | 1995 |
5446922 | DEST OF LES, ANUS,PAPILLOMA, MULLUSCUM,C | 735 |
5447001 | BIOPSY LIVER ADD ON (SECONDARY) CODE | 446 |
5447379 | LAPAROSCOPY CORE NEEDLE LIVER BIOPSY | 1050 |
5447562 | LAPAROSCOPY CHOLECYSTECTOMY | 3570 |
5447563 | LAPAROSCOPY CHOLECYSTECTOMY W/CHOLANGIOG | 3675 |
5447579 | UNLISTED LAPAROSCOPY PROC,BILIARY TRACT | 1680 |
5449000 | EXP LAP, EXP CELIOTOMY W OR W/O BX | 2625 |
5449255 | OMENTECTOMY, EPIPLEOCTOMY, RESEC OF OMEN | 2100 |
5449320 | DIAGNOSTIC LAPAROSCOPY | 1890 |
5449505 | REPAIR INIT ING HERNIA >5 AGE REDUCIBLE | 1995 |
5449520 | REPAIR RECURRENT ING HERNIA ANY AGE | 2310 |
5449560 | REPAIR INIT INC OR VENT HERNIA;REDUCIBLE | 2520 |
5449561 | REPAIR INITIAL INC OR VENT HERNIA INCARC | 2835 |
5449565 | REPAIR RECURRENT INC/VENT HERNIA REDUCIB | 2625 |
5449566 | REPAIR INCARCERATED REC VENTAL HERNIA | 3045 |
5449568 | IMPLANTATION OF MESH | 945 |
5449570 | REPAIR EPIGASTRIC HERNIA | 1470 |
5449572 | REPAIR INCARC EPIGASTRIC VENTRAL HERNIA | 1785 |
5449585 | REPAIR UMB HERNIA >5 YRS REDUCIBLE | 1680 |
5449587 | REPAIR UMBILICAL HERNIA >5 INCARCERATED | 1995 |
5453020 | MEATOTOMY, EXCEPT INFANT | 446 |
5454161 | CIRCUMCISION EXCEPT NEWBORN OTHER THAN C | 945 |
5454163 | CIRCUMCISION REPAIR | 683 |
5455040 | EXCISION OF HYDROCELE; UNILATERAL | 1575 |
5455250 | VASECTOMY, UNILATERAL OR BILATERAL | 998 |
5455520 | EXC OF LESION OF SPERMATIC CORD | 1470 |
5458925 | OVARIAN CYSTECTOMY, UNILATERAL OR BILAT | 2940 |
5460200 | EXC OF CYST/ADENOMA THYROID;RESEC ISTHMU | 2205 |
5460220 | TOTAL THYROID LOBECTOMY;UNILAT | 3045 |
5469200 | REMOVAL FB EXTERNAL AUDITORY CANAL | 300 |
5469210 | EARWAX REMOVAL | 130 |
5481002 | OLIVERO URINE DIP | 27 |
5481025 | OLIVERO URINE PREGNANCY TEST | 40 |
5482270 | OLIVERO OCCULT BLOOD | 25 |
5482962 | OLIVERO GLUCOSE BY MONITOR | 25 |
5486580 | TB PPD INTRADERMAL | 45 |
5487210 | OLIVERO KOH WET MOUNT | 35 |
5487502 | OLIVERO INFLUENZA A&B TEST | 123 |
5487634 | OLIVERO RSV TEST | 123 |
5487651 | OLIVERO STREP | 123 |
5487804 | OLIVERO INFLUENZA A & B CLIA WAVED | 71 |
5487880 | OLIVERO RAPID STREP | 65 |
5490460 | CL- INFLUENZA PEDIATRIC | 70 |
5490471 | VACCINE ADMINISTRATION | 35 |
5490649 | CL- GARDISIL OLIVERO | 150 |
5490657 | CL- INFLUENZA VACCINE 6 MO -3 YEARS OLIV | 35 |
5490658 | CL- INFLUENZA VACCINE OLIVERO | 60 |
5490662 | CL- INFLUENZA VACCINE HI DOSE OLIVERO | 90 |
5490670 | CL-PREVNAR 13 OLIVERO | 541 |
5490682 | CL- INFLUENZA FLUBLOK | 90 |
5490686 | CL- INFLUENZA QUAD | 70 |
5490715 | CL- TDAP 7 AND > OLIVERO | 50 |
5490732 | CL- PNEUMO 23 VACCINE OLIVERO | 250 |
5490736 | CL-ZOSTAVAX OLIVERO | 200 |
5490750 | CL- ZOOSTER SHINGLES VACCINE OLIVERO | 600 |
5490782 | THERAPEUTIC DIAG INJECTION | 50 |
5497602 | DEBRIDEMANT OF WOUND | 100 |
5499201 | NEW PT MINIMAL 10 MIN VISIT | 120 |
5499202 | NEW PT BRIEF 20 MIN VISIT | 170 |
5499203 | NEW PATIENT OFFICE VISIT INTERMEDIATE | 225 |
5499204 | OFFICE VISIT NEW PAT EXT 45 MIN | 320 |
5499205 | COMPREHENSIVE 60 MINUTES | 430 |
5499211 | EST PATIENT OFFICE VISIT MINIMAL | 70 |
5499212 | EST PATIENT OFFICE VISIT BRIEF | 110 |
5499213 | EST PATIENT OFFICE VISIT INTERMEDIATE | 150 |
5499214 | EST PATIENT OFFICE VISIT EXTENDED | 220 |
5499215 | EST PATIENT OFFICE VISIT COMPREHENSIVE | 300 |
5499217 | HOSPITAL DISCHARGE OBS | 204 |
5499218 | HOSPITAL ADMISSIONS OPO | 235 |
5499219 | OBSERVATION CARE INTERMEDIATE | 333 |
5499220 | OBSERVATION CARE EXTENDED | 450 |
5499223 | IP ADMISSIONS LEVEL 3 | 471 |
5499231 | SUSEQ HOSP CARE I/P | 128 |
5499232 | SUBSEQ HOSP CARE INPT INTERMEDIATE | 195 |
5499233 | SUBSEQ HOSP CARE INPT EXTENDED | 282 |
5499234 | ADMIT/DISCHARGE OPO SAME DAY | 353 |
5499238 | INPT HOSP DISCHARGE UNDER 30 MIN | 202 |
5499241 | CONSULTATION INITIAL BRIEF | 142 |
5499242 | CONSULTATION INTERMEDIATE 30 MINUTES | 200 |
5499243 | CONSULTATION COMPREHENSIVE 40 MINUTES | 263 |
5499244 | INITIAL CONSULTATION | 368 |
5499245 | CONSULTATION COMPREHENSIVE 80 MINUTES | 473 |
5499251 | INIT INPAT CONS BRIEF 15MIN | 163 |
5499252 | INIT INPAT CONS INTERMEDIATE 30 MIN | 226 |
5499253 | INIT INPAT CONS EXTENDED 40 MIN | 284 |
5499254 | INITIAL INPAT CONS COMP 60 MIN | 368 |
5499255 | INIT INPAT CONS COMPLEX 80 MIN | 462 |
5499305 | NH ADMISSION MODERATE SEV | 235 |
5499306 | NH ADMISSION HIGH SEVERITY | 285 |
5499308 | SUB. NURSING FAC. CARE (BRIEF) | 140 |
5499309 | SUB NH VISIT MODERATE | 185 |
5499310 | SUBSEQ NH COMPREHENSIVE | 245 |
5499386 | NP PHYSICAL 40-65 | 345 |
5499392 | EST PT HCY AGE 1 – 4 | 190 |
5499393 | EST PT HCY AGE 5-11 | 205 |
5499394 | EST PT HCY AGE 12-17 | 220 |
5499395 | EST PT HCY AGE 18-39 | 250 |
5499396 | EST PT HCY AGE 40-64 | 280 |
5499397 | EST PT HCY AGE 65 AND UP | 300 |
5600999 | ELECTRODES | 6 |
5610001 | STERILE WATER 1000CC | 19 |
5610007 | JELCO | 13 |
5610009 | 2 KLING | 9 |
5610010 | KLING | 13 |
5610014 | 4 KERLEX | 19 |
5610016 | 2 KERLEX | 4 |
5610022 | O B KIT | 87 |
5610024 | COLD PACK | 13 |
5610026 | ARM SLING | 23 |
5610032 | 4X4 SPONGE | 13 |
5610034 | AIR SPLINT | 57 |
5610044 | SUCTION TUBING | 19 |
5610046 | TELFA PAD | 4 |
5610048 | URINAL | 6 |
5610050 | EMESIS BASIN | 6 |
5610052 | O’2 MASK | 7 |
5656030 | PROCHLORPER 5MG/ML 2ML INJ(COMPAZINE) | 45 |
5656040 | PROMETHAZINE 25MG/ML INJ | 18 |
5656338 | THIAMINE (VIT B1) 100MG/ML INJ 2ML VIAL | 40 |
5656570 | PUMP | 59 |
5680022 | AMB MILEAGE | 15 |
5680025 | AMB. WAITING TIME (1/2 HR.) | 38 |
5680035 | AMB. STANDBY (HR. RATE) | 112 |
5680102 | LIDOCAINE 2% 20MG/ML 5ML INJ | 63 |
5680125 | ALUMINUM FOIL | 5 |
5680130 | INTRAOSSEOUS PROCEDURE | 120 |
5680160 | BED PAN | 9 |
5680170 | AMONIA INHALANT | 5 |
5680175 | CID IMMOBILIZOR | 20 |
5680185 | EYE PAD | 4 |
5680190 | HOT PAK | 26 |
5680195 | RAZOR ( DISP ) | 3 |
5680200 | RIGID SUCTION | 9 |
5680205 | FLEXIBLE SUCTION | 9 |
5680210 | VASELINE GAUZE | 6 |
6120019 | TELEPHONE OR FAX | 3 |
6911309 | KLING, 4IN. | 29 |
6913101 | MATTRESS, AIR FLUIDIZED | 86 |
6919906 | ENTERAL-NUT SYS EA 32 OZ. CAN | 35 |
6919907 | ENTERAL-NUT SYS 4 OZ. | 12 |
6921707 | UNDERPAD (single) | 16 |
6921797 | UROSTOMY BAG | 26 |
6921800 | TRIPLE CARE EPC CREAM | 85 |
6990018 | CHIMSTRIP | 12 |
7592585 | A.E.R. AUDITORY | 129 |
7595819 | EEG SLEEP STUDY | 205 |
7595824 | EDS | 228 |
7595860 | EMG 1 EXTREMITY | 182 |
7595861 | EMG 2 EXTREMITY | 307 |
7595863 | EMG.3 EXTREMITY | 378 |
7595864 | EMG 4 EXTREMITY | 489 |
7595900 | MOTOR NERVE CONDUCTION TEST | 86 |
7595903 | F WAVE STUDY TECH COMP | 68 |
7595904 | SENSE NERVE COND. TEST | 75 |
7595920 | INTRA-OPER. NERVE TESTING | 373 |
7595925 | SOMATOSENSORY TEST UPPER LIMBS | 280 |
7595926 | SOMATOSENSORY TEST LOWER LIMBS | 321 |
7595934 | H REFLEX STUDY TECH COMP | 68 |
7595950 | EEG AMBULATORY | 320 |
8500049 | LUNG VENT ISO KIT | 320 |
8754415 | *FLOMAX 0.4MG CAP TAMSULOSIN | 17 |
8800107 | TELEVISION/MONTHLY RT | 19 |
8800113 | TELEPHONE | 2 |
8800129 | PERS LAUNDRY-MONTHLY RT | 26 |
9100020 | LIDOCAINE | 31 |
9100702 | CELESTONE 3 MG | 51 |
9101030 | DEPO MEDROL 40 MG | 53 |
9101040 | DEPO MEDROL 80 MG | 95 |
9101200 | DIPEHNHYDRAMINE HCI | 41 |
9101885 | TORADOL KETORALAC 30 MG | 85 |
9102902 | SOLU MEDROL 40 MG | 40 |
9103301 | TRIAMACILONE ACETONID 20 MG | 95 |
9107315 | HYALGAN ORTHOVISC | 250 |
9107324 | ORTHOVISC 30MG INJ 2ML | 435 |
9110140 | INCISION AND DRAINAGE OF HEMATOMA SEROMA | 260 |
9120550 | INJ SINGLE TENDON SHEATH,LIGAMENT | 180 |
9120600 | INJECTION SMALL JOINT FINGERS TOES | 180 |
9120605 | INJECTION WRIST ELBOW ANKLE | 195 |
9120610 | INJECTION MAJOR JOINT | 255 |
9120611 | INJECTION MAJOR JOINT US GUIDED | 371 |
9120612 | ASPIRATION AND OR INJECTION | 250 |
9125111 | EXC OF GANGLION, WRIST PRIMARY | 1400 |
9125600 | CLOSED TX DISTAL RADIAL FX | 1015 |
9125622 | CLOSED TX OF SCAPHOID FX W/O MANIP | 988 |
9126605 | CLOSED TX METACARPAL FX WITH MANIP EA BO | 990 |
9126720 | CLOSED TX OF PHALANGEAL SHAFT FX | 590 |
9128470 | CLOSED TX METATARSAL FX W/O MANIP EACH | 722 |
9129065 | APPLICATION OF LONG ARM CAST | 330 |
9129075 | APPLICATION OF SHORT ARM CAST | 320 |
9129405 | APPLICATION OF SHORT LEG CAST | 320 |
9164721 | NEUROPLASTY AND OR TRANSPOSITION CTS MED | 2450 |
9181025 | URINE PREGNANCY TEST | 40 |
9182270 | BYRNE OCCULT BLOOD | 25 |
9182962 | GLUCOSE BY MONITOR BAILEY | 25 |
9186580 | TB PPD INTRADERMAL | 45 |
9187210 | BYRNE KOH WET MOUNT | 35 |
9187804 | INFLUENZA A/B CLIA WAVED | 71 |
9187880 | RAPID STREP | 65 |
9190782 | THERAPEUTIC/DIAGNOSTIC INJECTION | 50 |
9199201 | OFFICE VISIT NEW PT MINIMAL | 120 |
9199202 | OFFICE VISIT NEW PT LIMITED | 170 |
9199203 | OFFICE VISIT NEW PT INTERMEDIATE | 225 |
9199204 | NEW PATIENT LEVEL 4 VISIT | 320 |
9199205 | OFFICE VISIT NEW PT COMPREHENSIVE | 430 |
9199211 | OFFICE VISIT EST MINIMAL | 70 |
9199212 | OFFICE VISIT EST BRIEF | 110 |
9199213 | OFFICE VISIT EST INTERMEDIATE | 150 |
9199214 | OFFICE VISIT EST EXTENDED | 220 |
9199215 | OFFICE VISIT EST COMPREHENSIVE | 300 |
9199252 | INPATIENT INTERMEDIATE CONSULTATION | 255 |
9200540 | CL- BUFORD PENICILLIN | 150 |
9200696 | CL- BUFORD ROCEPHIN 500 MG | 175 |
9200735 | CL- BUFORD CLONIDINE .1 MG | 10 |
9201000 | CL- BUFORD DEPO ESTRADIOL 5 MG | 130 |
9201030 | CL- BUFORD DEPO MEDROL 40 MG | 53 |
9201040 | CL- BUFORD DEPO MEDROL 80 MG | 95 |
9201200 | CL- BUFORD DIPHENHYDRAMINE 50 MG | 41 |
9201885 | CL- BUFORD TORADOL KETORALAC 30MG | 85 |
9202550 | CL- BUFORD PHENERGAN 50MG | 38 |
9202902 | CL- BUFORD SOLU MEDROL 40 MG | 40 |
9202930 | CL- BUFORD SOLU MEDROL 125 MG | 38 |
9203301 | CL- BUFORD TRIAMCINOLONE ACETONID 40 MG | 95 |
9203410 | CL- BUFORD VISTARIL 50MG | 40 |
9203420 | CL- BUFORD VITAMIN B-12 | 35 |
9207300 | PARAGARD PRODUCT | 550 |
9207302 | MIRENA PRODUCT | 850 |
9207307 | NEXPLANNON PRODUCT | 550 |
9210060 | I & D SIMPLE | 104 |
9211981 | NEXPLANNON INSERTION | 480 |
9217000 | CRYOFREEZE FIRST LESION | 135 |
9217003 | CRYOFREEZE 2 – 14 LESIONS | 50 |
9217110 | DESTRUCTION BEN LES UP TO 14 LESIONS | 180 |
9220600 | INJECTION SMALL JOINT | 180 |
9220605 | INJECTION INTERMEDIATE JOINT | 195 |
9220610 | INJECTION MAJOR JOINT | 255 |
9229580 | UNA BOOT | 150 |
9255471 | CL- BUFORD DEMEROL 50 MG | 50 |
9257454 | COLPOSCOPY W/BIOPSY & ENDO CURRETTAGE | 530 |
9257500 | BIOPSY OF CERVIX SINGLE OR MULT W OR W/O | 400 |
9258300 | INSERTION OF IUD | 360 |
9258301 | REMOVAL OF IUD | 330 |
9269210 | EARWAX REMOVAL | 130 |
9281000 | URINE DIP | 30 |
9281002 | BUFORD URINE DIP | 27 |
9281025 | BUFORD URINE PREGNANCY TEST | 40 |
9282270 | BUFORD OCCULT BLOOD | 25 |
9282962 | BUFORD GLUCOSE BY MONITOR | 25 |
9283986 | PH BODY FLUID | 27 |
9286580 | CL- BUFORD TB PPD INTRADERMAL | 45 |
9287210 | BUFORD KOH WET MOUNT | 35 |
9287502 | BUFORD INFLUENZA A&B TEST | 123 |
9287634 | BUFORD RSV | 123 |
9287651 | BUFORD STREP | 123 |
9287804 | BUFORD INFLUENZA A & B CLIA WAVED | 71 |
9287880 | BUFORD RAPID STREP | 65 |
9288150 | PAP SMEAR | 60 |
9290460 | CL- INFLUENZA PEDIATRIC | 70 |
9290471 | VACCINE ADMINISTRATION | 35 |
9290632 | CL – HEP A ADULT VACCINE | 25 |
9290636 | CL – TWINRIX ADULT HEP A B VACCINE | 150 |
9290647 | HIB | 25 |
9290649 | CL- BUFORD GARDISAL HPV VACCINE | 150 |
9290657 | CL- BUFORD INFLUENZA VACCINE 6 – 35 MO | 35 |
9290658 | CL- BUFORD INFLUENZA VACCINE 3 YEARS + | 60 |
9290662 | CL – HIGHDOSE 65+ | 90 |
9290674 | CL – FLUCELVAX 2 YR+ | 90 |
9290682 | CL- FLUBLOK 18+ | 90 |
9290686 | CL- FLUZONE 6 MO+ | 90 |
9290694 | CL – FLUAD 65+ | 90 |
9290698 | CL – DTAP/IPV/HIB | 80 |
9290700 | CL – DTAP <7 YEARS OF AGE | 25 |
9290703 | CL- BUFORD TD 7 & > IMMUNIZATION | 33 |
9290707 | CL- BUFORD MMR VACCINE | 55 |
9290715 | CL – TDAP > 7 YEARS OF AGE | 40 |
9290716 | CL – VARICELLA VACCINE | 100 |
9290723 | CL – DTAP/HEPB/IPV | 80 |
9290724 | CL -INFLUENZA VACCINE 3+ | 35 |
9290732 | CL- BUFORD PNEUMO 23 VACCINE | 250 |
9290734 | CL – MENACTRA VACCINE | 130 |
9290736 | ZOSTERVAX | 200 |
9290750 | CL – SHINGRIX | 225 |
9290782 | THERAPEUTIC/DIAGNOSTIC INJECTION | 50 |
9293225 | HOLTER HOOK UP AND DISCONNECT | 263 |
9294664 | NEBULIZER FIRST TX | 65 |
9294760 | PULSE OXIMETRY | 45 |
9299201 | NP OFFICE VISIT LEVEL 1 | 120 |
9299202 | NP OFFICE VISIT LEVEL 2 | 170 |
9299203 | NP OFFICE VISIT LEVEL 3 | 225 |
9299204 | NP OFFICE VISIT LEVEL 4 | 320 |
9299205 | NP OFFICE VISIT LEVEL 5 | 430 |
9299211 | EST PT OFFICE VISIT LEVEL1 | 70 |
9299212 | EST PT OFFICE VISIT LEVEL 2 | 110 |
9299213 | EST PT OFFICE VISIT LEVEL 3 | 150 |
9299214 | EST PT OFFICE VISIT LEVEL 4 | 220 |
9299215 | EST PT OFFICE VISIT LEVEL 5 | 300 |
9299304 | NP NH VISIT LEVEL 1 | 140 |
9299305 | NH VISIT LEVEL 2 | 165 |
9299306 | NP NH VISIT LEVEL 3 | 205 |
9299307 | EST PT NH VISIT LEVEL 1 | 75 |
9299308 | EST PT NH VISIT LEVEL 2 | 115 |
9299309 | EST PT NH VISIT LEVEL 3 | 150 |
9299310 | EST PT NH VISIT LEVEL 4 | 190 |
9299315 | EST PT NH VISIT DISCHARGE <30 MIN | 125 |
9299316 | EST PT NH VISIT DISCHARGE >30 MIN | 155 |
9299324 | NP OZARK VISIT LEVEL 1 | 100 |
9299325 | NP OZARK VISIT LEVEL 2 | 135 |
9299326 | NP OZARK VISIT LEVEL 3 | 165 |
9299327 | NP OZARK VISIT LEVEL 4 | 185 |
9299328 | NP OZARK VISIT LEVEL 5 | 205 |
9299334 | EST PT OZARK VISIT LEVEL 1 | 85 |
9299335 | EST PT OZARK VISIT LEVEL 2 | 130 |
9299336 | EST PT OZARK VISIT LEVEL 3 | 190 |
9299337 | EST PT OZARK VISIT LEVEL 4 | 280 |
9299381 | NP HCY NEWBORN | 225 |
9299382 | NP HCY AGES 1 – 4 | 235 |
9299383 | NP HCY AGES 5 – 11 | 240 |
9299384 | NP HCY AGES 12 – 17 | 270 |
9299385 | NP PHYSICAL AGE 18 – 39 | 300 |
9299386 | NP PHYSICAL AGE 40 – 64 | 345 |
9299387 | NP PHYSICAL AGE 65 AND OLDER | 365 |
9299391 | EST PT HCY NEWBORN | 195 |
9299392 | EST PT HCY AGE 1 – 4 | 210 |
9299393 | EST PT HCY AGE 5 – 11 | 205 |
9299394 | EST PT HCY AGE 12 – 17 | 220 |
9299395 | EST PT PHYSICAL AGE 18 – 39 | 250 |
9299396 | EST PT PHYSICAL AGE 40 – 64 | 280 |
9299397 | EST PT PHYSICAL AGE 65 AND OLDER | 300 |
9300702 | CELESTONE 3 MG | 51 |
9301030 | CL- DEPO MEDROL 40MG HOFFMAN | 53 |
9303301 | TRIAMCINOLONE ACETONID 20 MG | 95 |
9311423 | EXC BEN LES SCALP,NECK,HANDS,FT,2.1-3.0 | 500 |
9317110 | DESTRUCTION OF BEN LESION UP TO 14 LESIO | 160 |
9320550 | TRIGGER POINT INJECTION | 235 |
9320552 | INJ SINGLE OR MULTI TRIGGER POINTS | 210 |
9320553 | PLACEMENT OF NEEDLES INTO MUSCLE/SOFT TI | 270 |
9320600 | INJECTION SMALL JOINT | 180 |
9320605 | ARTHROCENTESIS ASPIRATION INJ WRIST ELB | 350 |
9320610 | ARTHROCENTESIS,ASP, AND/OR INJ MAJOR JOI | 255 |
9320611 | INJ MAJOR JOINT U/S GUIDED | 371 |
9330117 | EXC OR DESTR INTRANASAL LESION INTERNAL | 1160 |
9330140 | SUBMUCOUS RESEC INFERIOR TURBANATE | 1445 |
9330300 | REMOVAL OF FOREIGN BODY NOSE OFFICE | 450 |
9331231 | NASAL ENDOSCOPY DIAGNOSTIC UNI AND BI | 490 |
9331254 | NASAL/SINUS ENDO W/ETHMOIDECTOMY PARTIAL | 2210 |
9331295 | NASAL/SINUS ENDO SURG; DILATION OF MAX S | 780 |
9331296 | NASAL/SINUS ENDO W/DILATION OF FRONTAL S | 890 |
9331575 | LARYNGOSCOPY, FLEXIBLE FIBEROPTIC; DIAGN | 460 |
9341520 | FRENOPLASTY | 920 |
9342820 | TONSILLECTOMY & ADENOID < 12 YRS OLD | 1400 |
9342821 | TONSILLECTOMY & ADENOID > 12 YRS OLD | 1400 |
9342825 | TONSILLECTOMY & ADENOID < 12 YRS OLD | 1200 |
9342826 | TONSILLECTOMY > 12 YRS OLD | 1200 |
9342830 | ADENOIDECTOMY < 12 YRS AGE | 950 |
9342860 | EXCISION OF TONSIL TAGS | 770 |
9343235 | EGD DIAG WITH BRUSHING AND WASHING | 1080 |
9343239 | EGD WITH BIOPSY ADD ON CODE | 1260 |
9343248 | EGD DIAG WITH INS WIRE/DIALATION | 1500 |
9343249 | EGD WITH BALLOON DIL | 1300 |
9343255 | EGD DIAG WITH CONTROL OF BLEEDING ANY ME | 1475 |
9343450 | DILATION OF ESOPHAGUS, SINGLE OR MULTIPL | 550 |
9345331 | SIGMOIDOSCOPY WITH BIOPSY, SINGLE/MULTIP | 470 |
9345378 | COLONOSCOPY DIAG BRUSHING & WASHING | 1450 |
9345380 | COLONOSCOPY W BIOPSY ADD ON CODE | 1680 |
9345381 | COLONOSCOPY W/DIRECTED SUBMUCOSAL INJ | 1680 |
9345384 | COLONOSCOPY WITH REM POLYP | 1800 |
9345385 | COLONOSCOPY WITH REM POLYP BY SNARE | 2040 |
9350590 | LITHOTRIPSY, EXTRACORPOREAL SHOCK WAVE | 4300 |
9351715 | ENDOSCOPIC INJ URETHRA/BLADDER | 1400 |
9351798 | BLADDER U/S NON IMAGING | 100 |
9352000 | CYSTOURETHROSCOPY | 935 |
9355700 | BIOPSY, PROSTATE | 780 |
9369200 | F/B REMOVAL EXTERNAL AUDITORY CANAL W/O | 300 |
9369205 | REM F/B EAR W/GENERAL ANESTH | 660 |
9369210 | CERUMEN REMOVAL | 130 |
9369436 | TYMPANOSTOMY REQ INS TUBE W/ANESTH | 900 |
9369540 | EXCISION AURAL POLYP | 560 |
9369610 | TYMPANIC MEMBRANE REPAIR | 1000 |
9369620 | MYRINGOPLASTY | 2700 |
9369990 | MICROSURGICAL TECHNIQUES REQ USE OF OF M | 1200 |
9392511 | NSASOPHARYNGOSCOPY W/ENDOSCOPE | 330 |
9399201 | OFFICE VISIT NP LEVEL 1 | 120 |
9399202 | OFFICE VISIT NP LEVEL 2 | 170 |
9399203 | OFFICE VISIT NP LEVEL 3 | 225 |
9399204 | OFFICE VISIT NP LEVEL 4 | 320 |
9399205 | OFFICE VISIT NP LEVEL 5 | 430 |
9399211 | OFFICE VISIT EST PT LEVEL 1 | 70 |
9399212 | OFFICE VISIT EST PT LEVEL 2 | 110 |
9399213 | OFFICE VISIT EST PT LEVEL 3 | 150 |
9399214 | OFFICE VISIT EST PT LEVEL 4 | 220 |
9399215 | OFFICE VISIT EST PT LEVEL 5 | 300 |
9399241 | CONSULT LEVEL 1 | 155 |
9399242 | CONSULT LEVEL 2 | 225 |
9399243 | CONSULT LEVEL 3 | 300 |
9399244 | CONSULT LEVEL 4 | 400 |
9399245 | CONSULT LEVEL 5 | 500 |
9400540 | CL- DEFRAN PENICILLIN | 150 |
9400696 | CL- DEFRAN ROCEPHIN 500 MG | 175 |
9401000 | CL- DEFRAN DEPO ESTRADIOL 5 MG | 130 |
9401030 | CL- DEFRAN DEPO MEDROL 40 MG | 53 |
9401040 | CL- DEFRAN DEPO MEDROL 80 MG | 95 |
9401200 | CL- DEFRAN DIPHENHYDRAMINE 50 MG | 41 |
9401885 | CL- DEFRAN TORADOL KETORALAC 30MG | 85 |
9401940 | CL- DEFRAN FUROSEMIDE 10 MG | 34 |
9402550 | CL- DEFRAN PHENERGAN 50MG | 38 |
9402902 | CL- DEFRAN SOLU MEDROL 40 MG | 40 |
9402930 | CL- DEFRAN SOLU MEDROL 125 MG | 38 |
9403301 | CL- DEFRAN TRIAMCINOLONE ACETONID 40 MG | 95 |
9403410 | CL- DEFRAN VISTARIL 50MG | 40 |
9403420 | CL- DEFRAN VITAMIN B-12 | 35 |
9410060 | I & D SIMPLE | 104 |
9417000 | CRYOFREEZE FIRST LESION | 135 |
9417003 | CRYOFREEZE 2 – 14 LESIONS | 50 |
9417110 | DESTRUCTION OF BEN LES UP TO 14 LESIONS | 180 |
9420600 | INJECTION SMALL JOINT | 180 |
9420605 | INJECTION INTERMEDIATE JOINT | 195 |
9420610 | INJECTION MAJOR JOINT | 255 |
9429580 | UNA BOOT | 150 |
9442820 | TONSILLECTOMY & ADENOID > 12 YRS OLD | 1300 |
9469210 | EARWAX REMOVAL | 130 |
9481000 | URINE DIP | 30 |
9481002 | DEFRAN URINE DIP | 27 |
9481025 | DEFRAN URINE PREGNANCY TEST | 40 |
9482270 | DEFRAN OCCULT BLOOD | 25 |
9482962 | DEFRAN GLUCOSE BY MONITOR | 25 |
9486580 | CL- DEFRAN TB PPD INTRADERMAL | 45 |
9487210 | DEFRAN KOH WET MOUNT | 35 |
9487502 | DEFRAN INFLUENZA A&B TEST | 123 |
9487634 | DEFRAN RSV | 123 |
9487651 | DEFRAN STREP | 123 |
9487804 | DEFRAN INFLUENZA A & B CLIA WAVED | 71 |
9487880 | DEFRAN RAPID STREP | 65 |
9488150 | PAP SMEAR | 60 |
9490460 | CL- INFLUENZA PEDIATRIC | 70 |
9490471 | VACCINE ADMINISTRATION | 35 |
9490632 | CL- DEFRAN HEPATITIS A VACCINE | 25 |
9490647 | CL- DEFRAN HIB | 25 |
9490649 | CL- DEFRAN GARDISAL HPV | 150 |
9490657 | CL- DEFRAN INFLUENZA VACCINE 6 – 35 MON | 35 |
9490658 | CL- DEFRAN INFLUENZA VACCINE 3 YEARS A | 60 |
9490662 | CL- HIGHDOSE 65+ | 90 |
9490674 | CL- FLUCELVAX 2 YR+ | 90 |
9490682 | CL- FLUBLOK 18+ | 90 |
9490686 | CL- FLUZONE 6 MO + | 90 |
9490694 | CL- FLUAD 65+ | 90 |
9490696 | CL- DEFRAN KINRIX | 100 |
9490700 | CL- DEFRAN DTAP < 7 YRS OF AGE | 25 |
9490703 | CL- DEFRAN TD IMMUNIZATION | 33 |
9490707 | CL- DEFRAN MMR LIVE SUBCUTANEOUS USE | 55 |
9490710 | CL- DEFRAN PROQUAD | 250 |
9490713 | CL- DEFRAN POLIO VACCINE | 35 |
9490715 | CL- DEFRAN TDAP >7 YEARS OF AGE | 50 |
9490716 | CL- DEFRAN VARICELLA VACCINE | 100 |
9490723 | CL- DEFRAN DTAP/HEPB/IPV | 25 |
9490724 | CL -INFLUENZA VACCINE 6 MONTHS AND OLDER | 35 |
9490732 | CL- DEFRAN PNEUMO 23 VACCINE | 250 |
9490734 | CL- DEFRAN MENECTRA | 130 |
9490736 | CL – ZOSTAVAX | 200 |
9490782 | THERAPEUTIC/DIAGNOSTIC INJECTION | 50 |
9493225 | HOLTER HOOK UP AND DISCONNECT | 263 |
9494664 | NEBULIZER FIRST TX | 65 |
9494760 | PULSE OXIMETRY | 45 |
9499201 | NP OFFICE VISIT LEVEL 1 | 120 |
9499202 | NP OFFICE VISIT LEVEL 2 | 170 |
9499203 | NP OFFICE VISIT LEVEL 3 | 225 |
9499204 | NP OFFICE VISIT LEVEL 4 | 320 |
9499205 | NP OFFICE VISIT LEVEL 5 | 430 |
9499211 | EST PT OFFICE VISIT LEVEL 1 | 70 |
9499212 | EST PT OFFICE VISIT LEVEL 2 | 110 |
9499213 | EST PT OFFICE VISIT LEVEL 3 | 150 |
9499214 | EST PT OFFICE VISIT LEVEL 4 | 220 |
9499215 | EST PT OFFICE VISIT LEVEL 5 | 300 |
9499217 | OBSERVATION CARE DISCHARGE | 204 |
9499219 | OBSERVATION CARE INIT.(LIMITED) | 333 |
9499221 | INITIAL HOSP CARE LOW 30 MIN | 260 |
9499222 | INITIAL HOSP CARE MOD 50 MIN | 345 |
9499232 | SUBSEQ HOSP CARE MODERATE 25 MIN | 195 |
9499235 | ADMIT/DISCHARGE SAME DAY MODERATE SEVERI | 465 |
9499239 | HOSP. DISCH. > 30 MINUTES | 285 |
9499304 | NP NH VISIT LEVEL 1 | 176 |
9499305 | NP NH VISIT LEVEL 2 | 235 |
9499306 | NP NH VISIT LEVEL 3 | 285 |
9499307 | EST PT NH VISIT LEVEL 1 | 95 |
9499308 | EST PT NH VISIT LEVEL 2 | 140 |
9499309 | EST PT NH VISIT LEVEL 3 | 185 |
9499310 | EST PT NH VISIT LEVEL 4 | 245 |
9499315 | EST PT NH VISIT DISCHARGE <30 MIN | 165 |
9499316 | EST PT NH VISIT DISCHARGE >30 MIN | 220 |
9499318 | NH ANNUAL ASSESSMENT | 190 |
9499324 | NP OZARK VISIT LEVEL 1 | 100 |
9499325 | NP OZARK VISIT LEVEL 2 | 135 |
9499326 | NP OZARK VISIT LEVEL 3 | 165 |
9499327 | NP OZARK VISIT LEVEL 4 | 185 |
9499328 | NP OZARK VISIT LEVEL 5 | 205 |
9499334 | EST PT OZARK VISIT LEVEL 1 | 85 |
9499335 | EST PT OZARK VISIT LEVEL 2 | 130 |
9499336 | EST PT OZARK VISIT LEVEL 3 | 190 |
9499337 | EST PT OZARK VISIT LEVEL 4 | 280 |
9499374 | NH CARE PLAN OVERSIGHT HOME HEALTH | 173 |
9499375 | NH CARE PLAN OVERSIGHT HOME HEALTH L 2 | 251 |
9499377 | NH CARE PLAN OVERSIGHT HOSPICE LVL 1 | 172 |
9499378 | NH CARE PLAN OVERSIGHT HOSPICE LVL 2 | 265 |
9499379 | NH CARE PLAN OVERSIGHT NH PT NOT PRESENT | 172 |
9499380 | NH CARE PLAN OVERSIGHT PT NOT PRST LVL 2 | 254 |
9499381 | NP HCY NEWBORN | 225 |
9499382 | NP HCY AGES 1 – 4 | 235 |
9499383 | NP HCY AGES 5 – 11 | 240 |
9499384 | NP HCY AGES 12 – 17 | 270 |
9499385 | NP PHYSICAL AGE 18 – 39 | 300 |
9499386 | NP PHYSICAL AGE 40 – 64 | 345 |
9499387 | NP PHYSICAL AGE 65 AND OLDER | 365 |
9499391 | EST PT HCY NEWBORN | 195 |
9499392 | EST PT HCY AGE 1 – 4 | 210 |
9499393 | EST PT HCY AGE 5 – 11 | 205 |
9499394 | EST PT HCY AGE 12 – 17 | 220 |
9499395 | EST PT PHYSICAL AGE 18 – 39 | 250 |
9499396 | EST PT PHYSICAL AGE 40 – 64 | 280 |
9499397 | EST PT PHYSICAL AGE 65 AND OLDER | 300 |
9500540 | CL- BENZ PENICILLIN – BICILLIN 1,200,000 | 150 |
9500696 | CL- BENZ ROCEPHIN 500 MG | 175 |
9501000 | CL- BENZ DEPO ESTRADIOL 5 MG | 130 |
9501030 | CL- BENZ DEPO MEDROL 40 MG | 53 |
9501040 | CL- BENZ DEPO MEDROL 80 MG | 95 |
9501200 | CL- BENZ DIPHENHYDRAMINE 50 MG | 41 |
9501885 | CL- BENZ TORADOL-KETORALAC 30 MG | 85 |
9501940 | CL- BENZ FUROSEMIDE 10 MG | 34 |
9502550 | CL- BENZ PHENERGAN 50 MG | 38 |
9502765 | CL- BENZ REGLAN 5 MG | 20.5 |
9502902 | CL- BENZ SOLU MEDROL 40MG | 40 |
9503301 | CL- BENZ TRIAMCINOLONE ACETONID 40 MG | 95 |
9503410 | CL- BENZ VISTARIL 50MG | 40 |
9503420 | CL- BENZ VITAMIN B-12 | 35 |
9503490 | CL- BENZ CLINDAMICIIN 600 MG INJECTION | 110 |
9517000 | CRYOFREEZE FIRST LESION | 135 |
9517003 | CRYOFREEZE 2 – 14 LESIONS | 50 |
9520550 | INJECTION TENDON SHEATH | 235 |
9520600 | INJECTION SMALL JOINT | 180 |
9520605 | INJECTION INTERMEDIATE JOINT | 195 |
9520610 | INJECTION MAJOR JOINT | 255 |
9556217 | CL- BENZ GI COCKTAIL | 6 |
9569210 | EARWAX REMOVAL | 130 |
9581000 | URINE DIP | 30 |
9581025 | BENZ URINE PREGNANCY TEST | 40 |
9582962 | BENZ GLUCOSE BY MONITOR | 25 |
9583036 | HB | 95 |
9586580 | BENZ TB PPD INTRADERMAL | 45 |
9587210 | BENZ KOH WET MOUNT | 35 |
9587880 | BENZ RAPID STREP | 65 |
9590460 | CL- NFLUENZA PEDIATRIC | 70 |
9590657 | CL- BENZ INFLUENZA VACCINE 6 – 35 MONTH | 35 |
9590658 | CL- BENZ INFLUENZA VACCINE 3 YEARS AND O | 60 |
9590662 | CL- HIGH DOSE VACCINE 65+ | 90 |
9590682 | CL- NFLUENZA FLUBLOK | 90 |
9590686 | CL- NFLUENZA QUAD | 70 |
9590703 | CL- BENZ TD AGE 7 & > IMMUNIZATION | 33 |
9590732 | CL- BENZ PNEUMO 23 VACCINE | 250 |
9590782 | THERAPEUTIC/DIAGNOSTIC INJECTION | 50 |
9594664 | NEBULIZER TREATMENT FIRST | 65 |
9594760 | PULSE OXIMETRY | 45 |
9598312 | CL- BENZ PREVNAR 13 | 541 |
9599201 | OFFICE VISIT – NP – BRIEF | 120 |
9599202 | OFFICE VISIT – NP – LIMITED | 170 |
9599203 | OFFICE VISIT – NP – INTERMEDIATE | 225 |
9599204 | OFFICE VISIT – NP – EXTENDED | 320 |
9599205 | OFFICE VISIT – NP – COMPREHENSIVE | 430 |
9599211 | OFFICE VISIT – EST PT – MINIMAL | 70 |
9599212 | OFFICE VISIT – EST PT – BRIEF | 110 |
9599213 | OFFICE VISIT – EST PT – INTERMEDIATE | 150 |
9599214 | OFFICE VISIT – EST PT – EXTENDED | 220 |
9599215 | OFFICE VISIT – EST PT – COMPREHENSIVE | 300 |
9599222 | ACUTE CARE INIT. (LIMITED) | 203 |
9599339 | CPO DOMICILIARY, REST HOME, ASSIST LIV F | 165 |
9599381 | HCY SCREENING NEW PT NEWBORN | 225 |
9599382 | HCY SCREENING NEW PT AGE 1 -4 | 235 |
9599383 | HCY SCREENING NEW PT AGE 5 – 11 | 240 |
9599384 | HCY SCREENING NEW PT AGE 12 – 17 | 270 |
9599385 | HCY SCREENING NEW PT AGE 18 – 39 | 300 |
9599386 | HCY SCREENING NEW PT AGE 40 – 64 | 345 |
9599387 | HCY SCREENING NEW PT AGE 65 AND OVER | 365 |
9599391 | HCY SCREENING EST PT NEWBORN | 195 |
9599392 | HCY SCREENING EST PT AGE 1 – 4 | 210 |
9599393 | HCY SCREENING EST PT AGE 5 – 11 | 205 |
9599394 | HCY SCREENING EST PT AGE 12 – 17 | 220 |
9599395 | HCY SCREENING EST PT AGE 18 – 39 | 250 |
9599396 | HCY SCREENING EST PT AGE 40 – 64 | 280 |
9599397 | HCY SCREENING EST PT AGE 65 AND OVER | 300 |
9600025 | HCY SCREENING | 81 |
9600696 | ROCEPHIN PER 250 MG | 175 |
9601000 | DEPOESTROGEN 1CC | 130 |
9601030 | DEPO MEDROL 40 MG | 53 |
9601040 | DEPO MEDROL 80MG | 95 |
9601200 | DIPEHNYDRAMINE HCI | 41 |
9601885 | TORADOL 30 MG | 85 |
9602550 | PHENERGAN 50MG | 38 |
9602902 | SOLU MEDROL 40 MG | 40 |
9603301 | KENALOG | 95 |
9603420 | VITAMIN B-12 | 35 |
9606060 | PHENERGAN 50 MG | 28 |
9610060 | I & D SIMPLE ABSCESS | 104 |
9611200 | REMOVAL OF SKIN TAGS UP TO 15 | 115 |
9612013 | REP WOUND FACE 2.0 – 5.0 | 252 |
9617000 | CRYOFREEZE FIRST LESION | 135 |
9617003 | CRYOFREEZE LESION 2 – 14 | 50 |
9617110 | CRYOFREEZE BEN UP TO 14 LESIONS | 110 |
9620610 | INJECTION MAJOR JOINT | 255 |
9643235 | EGD NO BIOPSY | 998 |
9645378 | COLONOSCOPY, FLEXIBLE | 1155 |
9645380 | COLONOSCOPY W/BIOPSY SINGLE OR MULTIPLE | 1260 |
9656217 | GI COCKTAIL | 6 |
9669200 | F/B REMOVAL FROM EAR SUPERFICIAL | 75 |
9669210 | EARWAX REMOVAL | 130 |
9681000 | URINE DIP | 30 |
9681002 | URINE DIP | 27 |
9681025 | URINE PREGNANCY TEST | 40 |
9682270 | OCCULT BLOOD | 25 |
9682962 | GLUCOSE BY MONITOR | 25 |
9683036 | HB | 95 |
9686580 | TB PPD INTRADERMAL | 45 |
9687210 | KOH WET MOUNT | 35 |
9687502 | LODGE INFLUENZA A&B TEST | 123 |
9687634 | LODGE RSV | 123 |
9687651 | LODGE STREP | 123 |
9687804 | INFLUENZA A & B CLIA WAVED | 71 |
9687807 | RSV | 109 |
9687880 | RAPID STREP | 65 |
9688150 | PAP SMEAR | 60 |
9690460 | CL – INFLUENZA PEDIATRIC | 70 |
9690471 | VACCINE ADMINISTRATION | 40 |
9690620 | CL – MENINGOCOCCAL GRP B | 225 |
9690632 | CL – HEPATITIS A | 25 |
9690633 | CL – HEPATITIS A | 25 |
9690647 | CL – HIB | 25 |
9690649 | CL – GARDISAL | 150 |
9690657 | CL- INFLUENZA VACCINE 6 – 35 MO OF AGE | 35 |
9690658 | CL – INFLUENZA VACCINE 3 YEARS AND UP | 60 |
9690662 | CL – HIGHDOSE 65+ | 90 |
9690670 | CL – PREVNAR 13 | 541 |
9690674 | CL – FLUCELVAX 2 YR + | 90 |
9690680 | CL – ROTAVIRUS | 75 |
9690682 | CL – FLUBLOK 18+ | 90 |
9690686 | CL – FLUZONE 6 MO + | 90 |
9690694 | CL – FLUAD 65+ | 90 |
9690696 | CL – KINRIX | 100 |
9690700 | CL – DTAP <7 YEARS OF AGE | 35 |
9690707 | CL – MMR | 60 |
9690710 | CL – PROQUAD | 250 |
9690715 | CL – TDAP AGE 7 AND > | 50 |
9690716 | CL – VARICELLA VAC | 100 |
9690723 | CL – PEDIARIX | 150 |
9690732 | CL – PNEUMO 23 VACCINE | 250 |
9690734 | CL – MENACTRA | 130 |
9690782 | THERAPEUTIC/DIAGNOSTIC INJECTION | 50 |
9693000 | EKG W/REPORT AND INTERPRETATION | 223 |
9693225 | HOLTER MONITOR HOOK UP & DISCONNECT | 263 |
9693270 | EVENT MONITOR HOOK UP & DISCONNECT | 263 |
9693306 | 2D ECHO READING ONLY | 400 |
9694664 | NEBULIZER TREATMENT FIRST | 65 |
9694665 | NEBULIZER TREATMENT SUBSEQ | 50 |
9694760 | PULSE OXIMETRY | 45 |
9699201 | NEW PATIENT OFFICE VISIT | 120 |
9699202 | OFFICE VISIT – NP LIMITED | 170 |
9699203 | OFFICE VISIT – NP INTERMEDIATE | 225 |
9699204 | OFFICE VISIT – NP EXTENDED | 320 |
9699205 | OFFICE VISIT – COMPREHENSIVE | 430 |
9699211 | OFFICE VISIT – EST PAT MINIMAL | 70 |
9699212 | OFFICE VISIT – EST PT BRIEF | 110 |
9699213 | OFFICE VISIT – EST PT INTERMEDIATE | 150 |
9699214 | OFFICE VISIT – EST PT EXTENDED | 220 |
9699215 | OFFICE VISIT – EST PT COMPREHENSIVE | 300 |
9699217 | OPO DISCHARGE | 150 |
9699218 | OPO, INITIAL, LOW SEVERITY | 210 |
9699219 | OPO MODERATE SEVERITY ADMIT | 240 |
9699220 | OPO INITIAL, HIGH SEVERITY | 410 |
9699221 | HOSPITAL ADMIT (30 MIN) | 230 |
9699222 | INITIAL IP HOSP ADMIT 50 MIN | 260 |
9699223 | HOSPITAL ADMIT (70 MIN) | 415 |
9699231 | HOSPITAL FOLLOW UP (15 MIN) | 115 |
9699232 | SUBSEQUENT HOSP CARE INPATIENT MOD 25 MI | 170 |
9699233 | HOSPITAL FOLLOW UP (35 MIN) | 245 |
9699234 | LOW SEVERITY ADM AND DISCHARGE SAME DAY | 150 |
9699235 | ADMIT/DISCHARE SAME DAY MODERATE | 410 |
9699236 | HIGH SEVERITY ADM AND DISCHARGE SAME DAY | 550 |
9699238 | HOSPITAL DISCHARGE MANAGEMENT | 180 |
9699239 | DISCHARGE IP HOSP ADMIT >30 MIN | 250 |
9699241 | CONSULTATION BRIEF | 135 |
9699242 | CONSULTATION INTERMEDIATE | 190 |
9699243 | CONSULTATION EXTENDED | 250 |
9699244 | CONSULTATION COMPREHENSIVE | 350 |
9699245 | CONSULTATION COMPLEX | 450 |
9699253 | INITIAL INPATIENT CONSULTATION | 270 |
9699307 | EFC-STRAIGHT FORWARD | 85 |
9699308 | ECF-LOW SEVERITY | 125 |
9699309 | ECF-MODERATE SEVERITY | 165 |
9699310 | ECF-HIGH SEVERITY | 215 |
9699315 | NH DISCHARGE <30 MIN | 135 |
9699316 | NH DISCHARGE >30 MIN | 175 |
9699381 | HCY SCREENING NEW PATIENT NEWBORN | 225 |
9699382 | HCY SCREENING NEW PATIENT 1 – 4 | 235 |
9699383 | HCY SCREENING NEW PATIENT 5 – 11 | 240 |
9699384 | HCY SCREENING NEW PT AGE 12 – 17 | 270 |
9699385 | HCY SCREENING NEW PT AGE 18 – 39 | 300 |
9699386 | HCY SCREENING NEW PATIENT AGE 40 – 64 | 345 |
9699387 | HCY SCREENING NEW PATIENT AGE 65 AND OVE | 365 |
9699391 | HCY SCREENING EST PT NEWBORN | 195 |
9699392 | HCY SCREENING EST PT AGE 1 – 4 | 210 |
9699393 | HCY SCREENING EST PT AGE 5 – 11 | 200 |
9699394 | HCY SCREENING EST PT 12 – 17 | 220 |
9699395 | HCY SCREENING EST PT 18 – 39 | 250 |
9699396 | HCY SCREENING EST PT 40 – 64 | 280 |
9699397 | HCY SCREENING EST PT 65 & OVER | 300 |
9700372 | MOBILITY EVALUATION | 50 |
9700540 | CL- MENZ PENICILLIN | 150 |
9700696 | CL- MENZ ROCEPHIN 500 MG | 175 |
9701030 | CL- MENZ DEPO MEDROL 40 MG | 53 |
9701040 | CL- MENZ DEPO MEDROL 80 MG | 95 |
9701200 | CL- MENZ DIPHENHYDRAMINE 50 MG | 41 |
9701885 | CL- MENZ TORADOL- KETORALAC TROMETHAMIN | 85 |
9702550 | CL- PHENERGAN MENZ 50MG | 38 |
9702902 | SOLU MEDROL 40MG | 40 |
9703410 | CL- VISTARIL MENZ 25MG | 40 |
9703420 | CL- MENZ VIT B12 CYANOOCOBALAMI 1000MCG | 35 |
9710060 | I & D SIMPLE ABSCESS | 104 |
9711100 | BIOPSY OF SKIN, SINGLE LESION | 165 |
9711101 | BIOPSY OF SKIN, EA ADDL LESION | 150 |
9711200 | SKIN TAG REMOVAL | 105 |
9711311 | SHAVE FACE .6 TO 1.0 | 225 |
9711402 | EXC BEN LES TRUNK, ARMS 1.1 TO 2.0 CM | 280 |
9711422 | EXC BEN LES 1.1 TO 2.0 CM SCALP,NECK,HAN | 350 |
9711441 | EXC FACE, EARS, EYELIDS .6 TO 1.0 CM | 280 |
9711622 | EXC MAL LES 1.1-2.0 CM SCALP, NECK,HANDS | 520 |
9711750 | EXC NAIL AND MATRIX | 368 |
9717000 | EXC NAIL AND MATRIX | 135 |
9728190 | REMOVAL OF FOREIGN BODY, FOOT; SUBQ | 570 |
9729580 | UNNA BOOT | 150 |
9769200 | REMOVAL OF F/B EAR | 185 |
9769210 | EARWAX REMOVAL | 130 |
9781000 | URINE DIP | 30 |
9781002 | MENZ URINE DIP | 27 |
9781025 | MENZ URINE PREGNANCY TEST | 40 |
9782270 | STOOK OCCULT BLOOD | 25 |
9782962 | MENZ GLUCOSE BY MONITOR | 25 |
9786580 | CL- STOOK TB PPD INTRADERMAL | 45 |
9787210 | MENZ KOH WET MOUNT | 35 |
9787502 | MENZ INFLUENZA A&B TEST | 123 |
9787634 | MENZ RSV | 123 |
9787651 | MENZ STREP | 123 |
9787804 | STOOK INFLUENZA A & B CLIA WAVED | 71 |
9787880 | MENZ RAPID STREP | 65 |
9788150 | PAP SMEAR | 60 |
9790460 | CL- INFLUENZA PEDIATRIC | 70 |
9790471 | VACCINE ADMINISTRATION | 35 |
9790632 | CL – HEP A ADULT VAX | 25 |
9790657 | CL- MENZ INFLUENZA VACCINE 6 – 35 MO | 30 |
9790658 | CL- MENZ INFLUENZA VACCINE 3 YRS + | 60 |
9790662 | CL- HIGHDOSE 65+ | 90 |
9790674 | CL- FLUCELVAX 2 YR + | 90 |
9790682 | CL- FLUBLOK 18+ | 90 |
9790686 | CL- FLUZONE 6 MO+ | 90 |
9790694 | CL- FLUAD 65+ | 90 |
9790700 | DTAP <7 YEARS OF AGE | 25 |
9790703 | CL- MENZ TD 7 AND > IMMUNIZATION | 33 |
9790724 | CL- MENZ INFLUENZA VACCINE 3 YEARS + | 35 |
9790732 | CL- MENZ PNEUMO 23 VACCINE | 250 |
9790782 | THERAPEUTIC OF DIAGNOSTIC INJECTION | 50 |
9793225 | HOLTER MONITOR HOOK UP AND DISCONNECT | 263 |
9794664 | NEBULIZER FIRST TREATMENT | 65 |
9794760 | PULSE OX | 45 |
9799201 | OFFICE VISIT NP BRIEF | 120 |
9799202 | OFFICE VISIT NP LIMITED | 170 |
9799203 | OFFICE VISIT NP INTERMEDIATE | 225 |
9799204 | OFFICE VISIT NP EXTENDED | 320 |
9799205 | OFFICE VISIT NP COMPREHENSIVE | 430 |
9799211 | OFFICE VISIT EST MINIMAL | 70 |
9799212 | OFFICE VISIT EST BRIEF | 110 |
9799213 | OFFICE VISIT EST INTERMEDIATE | 150 |
9799214 | OFFICE VISIT EST EXTENDED | 220 |
9799215 | OFFICE VISIT EST COMPREHENSIVE | 300 |
9799217 | OBSERVATION DISCHARGE | 204 |
9799218 | OBSERVATION ADMIT BRIEF | 235 |
9799219 | OBSERVATION ADMIT INTERMEDIATE | 333 |
9799220 | OBSERVATION ADMIT EXTENDED | 450 |
9799221 | INITIAL IP HOSP VISIT BRIEF | 260 |
9799222 | INITIAL IP HOSP VISIT INTERMEDIATE | 345 |
9799223 | INITIAL IP HOSP VISIT BRIEF | 471 |
9799231 | SUBSEQ IP VISIT BRIEF | 128 |
9799232 | SUBSEQ IP VISIT INTERMEDIATE | 195 |
9799233 | SUBSEQ IP VISIT EXTENDED | 282 |
9799234 | SAME DAY ADMIT/DISCHARGE BRIEF | 353 |
9799235 | SAME DAY ADMIT/DISCHARGE INTERMEDIATE | 465 |
9799236 | ADMIT/DISCHARGE SAME DAY EXTENDED | 604 |
9799238 | IP DISCHARGE <30 MIN | 202 |
9799239 | IP DISCHARGE >30 MIN | 285 |
9799241 | CONSULTATION INITIAL BRIEF | 155 |
9799242 | CONSULTATION INITIAL INTERMEDIATE | 225 |
9799243 | CONSULTATION INITIAL EXTENDED | 300 |
9799244 | CONSULTATION INITIAL COMPREHENSIVE | 400 |
9799245 | CONSULTATION INITIAL COMPLEX | 500 |
9799304 | NH ADMISSION MODERATE | 176 |
9799305 | NH ADMISSION MODERATE | 235 |
9799306 | NH ADMISSION HIGH SEVERITY | 285 |
9799307 | SUBSEQ NH VISIT BRIEF | 95 |
9799308 | NH SUB VISIT LEVEL II | 140 |
9799309 | NH SUB VISIT LEVEL III | 185 |
9799310 | SUB NH VISIT | 245 |
9799311 | SUBSEQ NH VISIT BRIEF | 60 |
9799315 | NH DISCHARGE <30 MIN | 165 |
9799316 | NH DISCHARGE >30 MIN | 220 |
9799318 | ANNUAL NURSING HOME ASSESSMENT | 190 |
9799324 | OZARK MANOR ADMIT LOW 20 MIN | 120 |
9799325 | OZARK MANOR ADMIT MOD 30 MIN | 170 |
9799326 | OZARK MANOR ADMIT HIGH 45 MIN | 245 |
9799327 | OZARK MANOR ADMIT COMPLEX 60 MIN | 330 |
9799328 | OZARK MANOR ADMIT UNSTABLE 75 MIN | 415 |
9799334 | OZARK MANOR SUBSEQ LOW 15 MIN | 105 |
9799335 | OZARK MANOR SUBSEQ MOD 25 MIN | 150 |
9799336 | OZARK MANOR SUBSEQ HIGH 40 MIN | 220 |
9799337 | OZARK MANOR SUBSEQ UNSTABLE 60 MIN | 310 |
9799339 | OZARK MANOR DISCHARGE <30 MIN | 165 |
9799340 | OZARK MANOR DISCHARGE >30 MIN | 246 |
9799349 | HOME VISIT EST PT DETAILED VISIT | 230 |
9799350 | HOME VISIT LEVEL 4 | 300 |
9799364 | COUMADIN MANAGEMENT SUBSEQ 90 DAYS | 90 |
9799377 | CPO HOSPICE PT NOT PRESENT <30 MIN | 172 |
9799379 | CPO NH PT NOT PRESENT <30 MIN | 172 |
9799380 | CPO NH PT NOT PRESENT >30 MIN | 254 |
9799381 | HCY NEWBORN NEW PATIENT | 225 |
9799382 | HCY NEW PT PT AGE 1 – 4 | 235 |
9799383 | HYC NEW PT AGES 5 – 11 | 240 |
9799384 | HYC NEW PT AGES 12 – 17 | 270 |
9799385 | OFFICE VISIT NEW PT – 18-39 YRS OLD | 300 |
9799386 | NP PHYSICAL AGE 40 – 64 | 345 |
9799387 | NP PHYSICAL AGE 65 & OLDER | 365 |
9799391 | HCY NEWBORN EST VISIT | 195 |
9799392 | HCY EST PT AGE 1 – 4 | 210 |
9799393 | HCY EST VISIT AGE 5 – 11 | 205 |
9799394 | HCY EST VISIT AGE 12 – 17 | 220 |
9799395 | HCY EST 18 – 39 | 250 |
9799396 | PHYSICAL AGE 40 – 64 | 280 |
9799397 | PHYSICAL AGE 65 AND OLDER | 300 |
9800073 | CL – DTAP <7 YRS OF AGE | 70 |
9800270 | CL- ZOFRAN INJ 4 MG DAVIS | 64 |
9800372 | MOBILITY (POWER) EVALUATION | 50 |
9800540 | CL- PENICILLIN INJECTION DAVIS | 150 |
9800696 | CL- ROCEPHIN 500 MG DAVIS | 175 |
9801000 | CL- DEPO ESTRADIOL 5 MG DAVIS | 130 |
9801030 | CL- DEPO MEDROL 40MG DAVIS | 53 |
9801040 | CL- DEPO MEDROL 80MG DAVIS | 95 |
9801200 | CL- DAVIS DIPHENHYDRAMINE 50 MG | 41 |
9801885 | CL- DAVIS TORADOL-KETORALAC 30 MG | 85 |
9801940 | CL- FUROSEMIDE 10 MG DAVIS | 34 |
9802180 | CL- DEMEROL 50 MG DAVIS | 46 |
9802550 | CL- PHENERGAN 50 MG DAVIS | 38 |
9802902 | CL- SOLU MEDROL 40MG DAVIS | 40 |
9803301 | CL- DAVIS TRIAMCINOLONE ACETONID 40 MG | 95 |
9803332 | HEEL LIFT, INSIDE SHOE TAPERED TO 1/2 | 5 |
9803410 | CL- VISTARIL 50MG DAVIS | 40 |
9803420 | CL- DAVIS VITAMIN B12 | 35 |
9803430 | CL- VITAMIN K DAVIS | 45 |
9803490 | CL- LIPO B INJECTION DAVIS | 15 |
9804049 | FINGER SPLINT | 15 |
9807325 | CL- ALLEN SYNVISC 1 MG | 818 |
9810040 | ACNE SURGERY EXAMPLE MARSUPIALIZATION OP | 185 |
9810060 | I&D SIMPLE ABSCESS | 185 |
9810061 | I & D OF ABSCESS COMPLICATED OR MULTIPLE | 425 |
9810120 | INC & REM OF FOR BODY SUBCUT TIS SIMPLE | 240 |
9810140 | I & D OF HEMATOMA SEROMA OR FLUID COLLEC | 250 |
9810160 | PUNCTURE ASP OF ABS, HEMATOMA, BULLA CYS | 210 |
9811000 | DEBRIDEMENT OF EXT ECZ/INF SKIN <10% OF | 120 |
9811040 | DEBRIDEMENT; 20 SQ CM OR LESS | 125 |
9811042 | DEBRIDEMENT; PARTIAL THICKNESS SKIN&SUBC | 289 |
9811055 | PARING OR CUTTING BEN HYPERKER LESION | 70 |
9811056 | PARING OR CUTTING 2-5 | 100 |
9811200 | SKIN TAG EXCISION | 105 |
9811201 | SKIN TAG EXCISION ADDL 10 | 50 |
9811300 | SHAVING OF EPIDER/DERM LES <.5 EACH LESI | 140 |
9811301 | SHAVING LES TRUNK .5 TO 1.0 CM | 170 |
9811302 | SHAVING LES .6 TO 1 CM TRUNK,ARMS,LEGS | 185 |
9811303 | DEBRIDEMENT | 140 |
9811305 | SHAVING LES SCALP,NECK,HANDS,FEET,GENITA | 140 |
9811306 | SHAVING LESION .6 TO 1.0 CM | 185 |
9811307 | SHAVING EPI OR DERM LES 1.1 TO 2.0 CM SC | 230 |
9811310 | SHAVING LES FACE,EARS <.5 CM | 140 |
9811311 | SHAVING EPIDERMAL/DERMAL LES .6 TO 1 CM | 220 |
9811400 | EXC BEN LES .5CM LESS TRUNK ARMS | 225 |
9811402 | EXC BEN TRK,ARMS,LEGS 1.1 TO 2.0 CM | 250 |
9811403 | EXC BEN TRK,ARMS,LEGS 2.1 TO 3.0 CM | 300 |
9811404 | EXC BEN LES 3.1 TO 4.0 CM TRUNK, ARMS OR | 550 |
9811406 | EXC BEN LES >4.0 CM TRUNK, ARMS, LEGS | 700 |
9811420 | EXC BEN LES >.5 CM SCALP NECK HANDS FEET | 230 |
9811421 | EXC BEN LES .6 TO 1.0 CM SCALP, NECK HAN | 300 |
9811422 | EXC BEN 1.1 TO 2.0 CM SCALP NECK HANDS F | 350 |
9811423 | EXC BEN LESION 2.1 TO 3.0 CM SCALP,NECK, | 530 |
9811424 | EXC BEN 3.1 – 4.0 CM SCALP NECK HANDS F | 650 |
9811440 | EXC BEN LES FACE LESS THAN .5 | 125 |
9811441 | EXC BEN LES .6 TO 1.0 FACE, EARS, EYELI | 200 |
9811442 | EXC BEN LES 1.1 TO 2.0 FACE, EARS, EYELI | 250 |
9811443 | EXC BEN LES 2.1 TO 30 | 550 |
9811602 | EXC MALIG LES 1.1 TO 2.0 CM TRUNK,ARMS,L | 500 |
9811603 | EXC MAL LES TRUNK, ARMS, LEGS 2.1 TO 3.0 | 590 |
9811604 | EXC MAL LES 3.1-4.0CM TRUNK,ARMS,LEGS | 500 |
9811622 | EXC MAL LES 1.1 TO 2.0 CM SCALP NECK HAN | 520 |
9811642 | EXC MAL LES 1.1 TO 2.0 CM FACE EARS EYEL | 650 |
9811643 | EXC MAL LES 2.1 TO 3.0 CM FACE EARS EYEL | 825 |
9811644 | EXC MAL NEO FACE 3.1 TO 4.0 CM | 1000 |
9811730 | PARTIAL TOENAIL DESTRUCTION | 65 |
9811750 | EXC OF NAIL PART OR COMPLETE | 400 |
9811982 | NEXPLANNON REMOVAL | 500 |
9812001 | SIMPLE REPAIR SCALP, NECK FACE <2.5CM | 200 |
9812002 | SIMPLE REPAIR WOUND 2.6 TO 7.5CM SCALP N | 370 |
9812011 | REPAIR WOUNDS FACE 2.5 CM OR LESS | 200 |
9812013 | REPAIR SIMPLE WOUNDS FACE,EAR 2.6 TO5.0C | 250 |
9812020 | TX OF SUPERFICIAL WOUND DEHIS; SIMPLE CL | 580 |
9812032 | REP INTERMED 2.6-7.5 CM SCALP, AXILLAE, | 460 |
9812034 | REPAIR INTERMED 7.6 TO 12.5 CM SCALP,AXI | 580 |
9812041 | REP INTERMED 2.5 CMOR> NECK HANDS FEET | 415 |
9813101 | COMPLEX REPAIR TRUNK 2.6 CM TO 7.5 CM | 600 |
9815786 | ABRASION SINGLE LESION | 95 |
9816020 | DRESSING/DEBRIDEMENT BURN | 200 |
9817000 | CRYOFREEZE FIRST LESION | 135 |
9817003 | CRYOFREEZE 2-14 LESION | 50 |
9817106 | DEST OF CUTAN VASC LES < 10 SQ CM | 750 |
9817110 | CRYOFREEZE BENIGN UP TO 14 LESIONS | 125 |
9817111 | DESTRUCTION OF 15 OR MORE BEN LESIONS | 110 |
9817250 | CHEMICAL CAUTERIZATION OF GRANULATION TI | 165 |
9817260 | DESTRUCTION MALIG LESION CRYO, SURGICAL | 255 |
9817280 | DEST MALIG LES .5 CM OR LESS | 350 |
9817281 | DEST MAL LES .6 TO 1 CM FACE EARS EYELID | 400 |
9817282 | EXC MAL LES 1.1 TO 2.0 CM FACE | 390 |
9817286 | EXC MAL LES 4.0 AND > CM FACE | 540 |
9820520 | FOREIGN BODY SIMPLE | 341 |
9820525 | FOREIGN BODY DEEP OR COMPLICATED | 800 |
9820526 | INJECTION CARPAL TUNNEL | 255 |
9820550 | TRIGGER POINT INJECTION | 235 |
9820551 | INJECTION SINGLE TENDON ORIGIN/INSERTION | 160 |
9820552 | INJ SING/MULT TRIGGER POINTS 3 OR MORE M | 190 |
9820600 | INJECTION SMALL JOINT | 180 |
9820605 | INJECTION INTERMEDIATE JOINT | 195 |
9820610 | INJECTION MAJOR JOINT | 255 |
9820612 | ASPIRATION/INJ GANGLION CYST | 181 |
9824530 | FX CLOSED HUMERAL W/O MANI | 955 |
9824560 | FX CLOSED EPICONDYLAR LATERAL | 955 |
9825600 | FX CLOSED TREATEMENT RADIUS W/O MANIPULA | 800 |
9826600 | FX CLOSED TX METACARPAL | 720 |
9826641 | CLOSED TX CARPOMETACARPAL DISL THUMB W M | 950 |
9826720 | FX CLOSED FINGER | 350 |
9826725 | FX CLOSED FINGER WITH MANIPULATION | 350 |
9827530 | FX CLOSED TIBIA | 1200 |
9827786 | FX CLOSED TX DIST FIB FX W/O MANIPULATIO | 1000 |
9828470 | FX CLOSED TRTMT METATARSAL W/O MANIPULAT | 600 |
9828510 | FX CLOSED TX TOE | 263 |
9829405 | APPLICATION OF SHORT LEG CAST BELOW KNEE | 300 |
9829580 | UNNA BOOT EACH | 150 |
9830901 | CONTROL NASAL HEMORRHAGE; CAUT/PACKING | 100 |
9836410 | VENIPUNCTURE IV | 5 |
9836415 | VENIPUNCTURE | 5 |
9836589 | REMOVAL OF PIC LINE | 620 |
9840810 | EXC OF LES MUCOSA VEST OF MOUTH W/O REPA | 450 |
9840819 | EXC OF FRENUM, LABIAL OR BUCCAL | 800 |
9840820 | DESTRUCTION OF LESION MOUTH BY CRYO, CHE | 590 |
9846083 | INCISION OF THROMBOSED HEMORRHOID, EXTER | 440 |
9851701 | CATHETERIZATION STRAIGHT BLADDER | 225 |
9854056 | CRYOFREEZE LESION ON PENIS | 425 |
9854065 | DEST OF LES PENIS EXTENSIVE | 1160 |
9854162 | LYSIS OF PENILE ADHESIONS | 760 |
9856217 | CL- STOMATITIS GI COCKTAIL DAVIS | 6 |
9857454 | COLPOSCOPY OF CERVIX WITH BIOPSY | 400 |
9865205 | REM OF FOREIGN BODY EXT EYE CONJ OR SUPE | 200 |
9865210 | REMOVAL OF FOREIGN BODY CONJUNCTIVAL EMB | 240 |
9867700 | BLEPHARATOMY DRAINAGE OF ABSCESS, EYELID | 590 |
9869100 | BIOPSY EXTERNAL EAR | 230 |
9869200 | REM F/B FROM EAR W/O ANESTH | 185 |
9869210 | EARWAX REMOVAL | 130 |
9873130 | XRAY FINGER PROF COMPONENT 3 VIEWS | 45 |
9881000 | URINE DIP | 30 |
9881002 | DAVIS URINE DIP | 30 |
9881025 | DAVIS URINE PREGNANCY TEST | 40 |
9882270 | DAVIS OCCULT BLOOD | 25 |
9882962 | DAVIS GLUCOSE BY MONITOR | 25 |
9883036 | HGB BY MONITOR | 95 |
9883986 | PH BODY FLUID NOT OTHERWISE SPECFIED | 25 |
9886580 | CL- TB PPD INTRADERMAL DAVIS | 45 |
9887210 | DAVIS KOH WET MOUNT | 35 |
9887502 | DAVIS INFLUENZA A&B TEST | 123 |
9887634 | DAVIS RSV TEST | 123 |
9887651 | DAVIS STREP | 123 |
9887804 | DAVIS INFLUENZA A & B CLIA WAVED | 71 |
9887880 | DAVIS RAPID STREP | 65 |
9888150 | PAP SMEAR | 60 |
9889300 | DAVIS SEMEN ANALYSIS | 85 |
9890460 | CL- INFLUENZA PEDIATRIC | 70 |
9890471 | VACCINE ADMINISTRATION | 35 |
9890649 | CL- GARDISAL HPV DAVIS | 150 |
9890657 | CL- INFLUENZA VACCINE 6 – 35 MO DAVIS | 35 |
9890658 | CL- INFLUENZA VACCINE AGES 3 + DAVIS | 60 |
9890662 | CL- HIGHDOSE 65+ | 90 |
9890674 | CL- FLUCELVAX 2 + | 90 |
9890682 | CL- FLUBLOK 18+ | 70 |
9890686 | CL- FLUZONE 6 MO + | 90 |
9890694 | CL- FLUAD 65+ | 90 |
9890703 | CL- TETNUS INJECTION DAVIS | 33 |
9890713 | CL- POLIO DAVIS | 200 |
9890715 | CL- TDAP DAVIS | 50 |
9890716 | CL- VARIVAX DAVIS | 100 |
9890724 | CL- INFLUENZA VACCINE AGES 3 + | 35 |
9890732 | CL- PNEUMOVAX 23 VACCINE DAVIS | 250 |
9890734 | CL- MENACTRA DAVIS | 130 |
9890750 | CL- SHINGRIX | 225 |
9890782 | THERAPEUTIC/DIAG INJECTION | 50 |
9892213 | EST INTERMEDIATE OFFICE VISIT | 150 |
9893000 | EKG 12 LEAD W/INTERPRETATION AND REPORT | 90 |
9893225 | HOLTER MONITOR HOOK UP AND DISCONNECT | 263 |
9894664 | NEBULIZER TREATMENT FIRST | 65 |
9894665 | NEBULIZER TREATMENT SUBSEQ | 50 |
9894760 | PULSE OXIMETRY | 45 |
9896372 | THERAPEUTIC/DIAG INJECTION | 50 |
9897033 | IONTOPHORESIS EACH 15 MIN | 64 |
9897597 | DEBRIDEMENT; OPEN WOUND FIRST 20 SQ CM | 150 |
9897598 | DEBRIDEMENT; OPEN WOUND EA ADDL 20 SQ CM | 160 |
9897602 | REM OF DEV TISSUE FROM WOUND | 90 |
9898312 | CL- PREVNAR 13 DAVIS | 541 |
9898925 | SPINAL MANIPULATION 1 – 2 | 91 |
9898926 | SPINAL MANIPULATION 3 – 4 | 122 |
9898927 | SPINAL MANIPULATION 5 – 6 | 156 |
9898928 | SPINAL MANIPULATION 7-8 | 190 |
9898929 | SPINAL MANIPULATION 9-10 | 221 |
9899050 | SERVICES PROV IN OFFICE AFTER HOURS | 80 |
9899056 | EMERG SERVICES REQ PT OUTSIDE OF OFFICE | 100 |
9899058 | EMERGENCY SERVICES IN OFFICE IN ADD OV | 125 |
9899201 | NP OFFICE VISIT BRIEF | 120 |
9899202 | NP OFFICE VISIT LIMITED | 170 |
9899203 | NP OFFICE VISIT INTERMEDIATE | 225 |
9899204 | NP OFFICE VISIT EXTENDED | 320 |
9899205 | NP OFFICE VISIT COMPREHENSIVE | 430 |
9899211 | EST PT OFFICE VISIT BRIEF | 70 |
9899212 | EST PT OFFICE VISIT INTERMEDIATE | 110 |
9899213 | EST PT OFFICE VISIT EXTENDED | 150 |
9899214 | EST PT OFFICE VISIT EXTENDED | 220 |
9899215 | EST PT OFFICE VISIT COMPREHENSIVE | 300 |
9899217 | OPO DISCHARGE | 204 |
9899218 | OPO ADMIT BRIEF | 235 |
9899219 | OPO ADMIT INTERMEDIATE | 333 |
9899220 | OPO ADMIT EXTENDED | 450 |
9899221 | IP INITIAL ADMIT BRIEF | 260 |
9899222 | IP INITIAL ADMIT INTERMEDIATE | 345 |
9899223 | IP INITIAL ADMIT EXTENDED | 471 |
9899231 | IP SUSEQ VISIT BRIEF | 128 |
9899232 | IP SUBSEQ VISIT INTERMEDIATE | 195 |
9899233 | IP SUBSEQ VISIT EXTENDED | 282 |
9899234 | ADMIT/DISCHARGE SAME DAY BRIEF | 353 |
9899235 | ADMIT/DISCHARGE SAME DAY INTERMEDIATE | 465 |
9899236 | ADMIT/DISCHARGE SAME DAY EXTENDED | 604 |
9899238 | IP DISCHARGE < 30 MIN | 202 |
9899239 | IP DISCHARGE > 30 MIN | 285 |
9899241 | CONSULT OFFICE BRIEF | 155 |
9899242 | CONSULT OFFICE INTERMEDIATE | 225 |
9899243 | CONSULT OFFICE EXTENDED | 300 |
9899244 | CONSULT OFFICE COMPREHENSIVE | 400 |
9899245 | CONSULT OFFICE COMPLEX | 500 |
9899251 | IP INITIAL CONSULT BRIEF | 170 |
9899252 | IP INITIAL CONSULT INTERMEDIATE | 240 |
9899253 | IP INITIAL CONSULT EXTENDED | 300 |
9899254 | IP INITIAL CONSULT COMPREHENSIVE | 390 |
9899255 | IP INITIAL CONSULT COMPLEX | 480 |
9899291 | IP CRITICAL CARE FIRST HOUR | 700 |
9899292 | IP CRITICAL CARE SECOND HOUR | 355 |
9899301 | NP NH BRIEF ADMISSION | 91 |
9899302 | NP NH ADMIT <30 MIN ADMISSION | 121.5 |
9899303 | NP NH ADMIT >30 MIN ADMISSION | 169.5 |
9899304 | NP NH BRIEF ADMISSION | 176 |
9899305 | NP NH ADMIT <30 MIN ADMISSION | 235 |
9899306 | NP NH ADMIT >30 MIN ADMISSION | 285 |
9899307 | SUBSEQ NH BRIEF VISIT | 95 |
9899308 | SUBSEQ NH INTERMEDIATE VISIT | 140 |
9899309 | SUBSEQ NH EXTENDED VISIT | 185 |
9899310 | SUBSEQ NH COMPREHENSIVE | 245 |
9899311 | SUBSEQ NH BRIEF VISIT | 57 |
9899312 | SUBSEQ NH INTERMEDIATE VISIT | 85.5 |
9899313 | SUBSEQ NH EXTENDED VISIT | 114 |
9899315 | DISCHARGE NH <30 MIN | 165 |
9899316 | DISCHARGE NH >30 MIN | 220 |
9899318 | ANNUAL NH ASSESSMENT | 190 |
9899324 | NP RH BRIEF ADMISSION | 120 |
9899325 | NP RH ADMIT <30 MIN ADMISSION | 175 |
9899326 | NP RH ADMIT >30 MIN ADMISSION | 245 |
9899327 | NP RH ADMIT >30 MIN ADMISSION | 330 |
9899328 | NP RH ADMIT >30 MIN ADMISSION | 415 |
9899334 | SUBSEQ RH BRIEF VISIT | 105 |
9899335 | SUBSEQ RH INTERMEDIATE VISIT | 145 |
9899336 | SUBSEQ RH EXTENDED VISIT | 215 |
9899337 | SUBSEQ RH EXTENDED VISIT | 310 |
9899339 | OZARK CPO <30 MIN | 165 |
9899340 | OZARK CPO >30 MIN | 246 |
9899354 | PROLONGED SERV IN OFFICE OR OTHER SETTIN | 265 |
9899356 | PROLONGED PHY SERV INPT ONE HOUR | 290 |
9899357 | PROLONGED PHY SERV INPT EA ADDL 30 MIN | 215 |
9899358 | PROLONGED EVAL AFTER FACE TO FACE 1HOUR | 250 |
9899359 | PROLONGED EVAL AFTER FACE TO FACE 30 MIN | 150 |
9899363 | COUMADIN MANAGEMENT INITIAL 90 DAYS | 240 |
9899364 | COUMADIN MANAGMENT SUBSEQ 90 DAYS | 90 |
9899374 | CPO HH PT <30 MIN | 173 |
9899375 | CPO HH PT >30 MIN | 251 |
9899377 | CPO HOSPICE PT <30 MIN | 172 |
9899378 | CPO HOSPICE PT >30 MIN | 265 |
9899379 | CPO NH PT NOT PRESENT <30 MIN | 172 |
9899380 | CPO NH PT NOT PRESENT >30 MIN | 254 |
9899381 | NP HCY NEWBORN | 225 |
9899382 | NP HCY AGE 1 – 4 | 235 |
9899383 | NP HCY AGE 5 – 11 | 240 |
9899384 | NP HCY AGE 12 – 17 | 270 |
9899385 | NP PREVENTATIVE EXAM 18 – 39 | 300 |
9899386 | NP PREVENTATIVE EXAM 40 – 64 | 345 |
9899387 | NP PREVENTATIVE EXAM 65 AND OVER | 365 |
9899391 | EST PT HCY NEWBORN | 195 |
9899392 | EST PT HCY AGE 1 – 4 | 210 |
9899393 | EST PT HCY AGE 5 – 11 | 205 |
9899394 | EST PT HCY AGE 12 – 17 | 220 |
9899395 | EST PT PREVENTATIVE EXAM 18 – 39 | 250 |
9899396 | EST PT PREVENTATIVE EXAM 40 – 64 | 280 |
9899397 | EST PT PREVENTATIVE EXAM 65 AND OVER | 300 |
9899401 | PREVENTATIVE MEDICINE COUNSELING 15 MIN | 100 |
9899406 | SMOKING CESSATION COUNSELING 3 – 9 MIN | 35 |
9899407 | SMOKING CESSATION COUNSELING >10 MIN | 60 |
9899499 | UNLISTED EVALUATION & MANAGEMENT | 167 |
12101001 | PIN GUARD | 11 |
12150000 | CO2 LASER | 3443 |
22086001 | .GLUTEN IGG | 163 |
22086003 | .GLUTEN IGE | 156 |
22111121 | HF LIPID PANEL | 15 |
22111122 | HF CHOLESTEROL | 2.5 |
22111123 | HF VIT D | 10 |
22111124 | HF PSA | 10 |
22111125 | HF GLUCOSE | 5 |
22550070 | .HCV QUANT PCR RFX CHARGE ONLY | 338 |
22802991 | WARFARIN | 68 |
22816750 | .SALIVARY PROTIEN 1 IGA | 41 |
22816751 | .SALIVARY PROTIEN 1 IGG | 41 |
22816832 | .SALIVARY PROTEIN 1 IGA | 30 |
22816856 | .SALIVARY PROTIEN 1 IGM | 41 |
22816857 | .CARBONIC ANHYDRASE V1 IGG | 41 |
22816858 | .CARBONIC ANHYDRASE V1 IGA | 41 |
22816859 | .CARBONIC ANHYDRASE V1 IGM | 41 |
22816860 | .PAROTID SPEC PROT IGG | 41 |
22816861 | .PAROTID SPEC PROT IGA | 41 |
22816862 | .PAROTID SPEC PROT IGM | 41 |
22849990 | OVA1 | 1060 |
22860221 | PLATELET ANTIBODY | 252 |
22860222 | PLATELET ANTIBODY DIRECT | 196 |
22861610 | C1 ESTERASE INHIBITOR FUNCT | 107 |
22862551 | MITOCHONDRIAL AB | 82 |
22862561 | CENTROMERE B AB | 96 |
22866151 | B PERTUSSIS IGG | 91 |
22867351 | MUMPS AB IGG | 85 |
22887906 | .HIV INF AGENT PHENO, CHG ONLY | 184 |
28021401 | ADULT RES ELECTRODE | 287 |
28021402 | SILVASORB WOUND GEL 1.5 OZ | 71 |
28021501 | PEDI RES ELECTRODE | 223 |
28251795 | FILTER, ISO GUARD HEPA | 9 |
28266197 | SALEM SUMP ANTI-REFLEX VALVE | 37 |
28285580 | MESALT DRESSING 2 X 2 #285580-11 | 8 |
28324908 | ALOE VESTA PROTECTIVE OINTMENT 8OZ | 26 |
28403764 | AQUACEL AG EXTRA 4 X 5 #420677 | 38 |
28403765 | AQUACEL EXTRA #420674 | 62 |
28403766 | PRISMA AG | 16 |
28412009 | AQUACEL AG SURGICAL 3 1/2 X 4 | 107 |
28412011 | AQUACEL AG SURGICAL 3.5X10 | 140 |
28605200 | EAR WICK | 15 |
30180968 | LAB CHG FUNGAL SENS AMB/KETO | 654 |
30182220 | LAB CHG FUNGAL SENS FLUCONAZOLE | 408 |
30183509 | LAB CHG FUNGAL SENS MICAFUNGIN | 515 |
30183517 | LAB CHG FUNGAL SENST POSA | 515 |
41992536 | ADMIT/DISCHARGE SAME DAY EXTENDED | 267 |
42847020 | QUANTITATIVE SERUM HCG(84702) | 19 |
42907820 | PROGESTRONE____MG IM | 137 |
50177902 | AQUACEL HYDROFIBER DRESSING 4X4 | 29 |
50291010 | MEPITEL 4 X 7.2 | 26 |
56580258 | ORAL GLUCOSE GEL TUBE | 16 |
75958601 | EMG 1 EXT. TECHNICAL COMP. | 37 |
75958611 | EMG 2 EXT.TECHNICAL COMP. | 65 |
75958631 | EMG.3 EXT. TECHNICAL COMP. | 110 |
75958641 | EMG 4 EXT. TECHNICAL COMP. | 197 |
75959000 | MOTOR NERVE COND. TECH COMP. | 66 |
75959044 | SENSE NERVE COND. TECH. COMP. | 72 |
75959200 | INTRA-OPER. NERVE TECH COMP. | 186 |
75959255 | SOMATOSENSORY TECH COMP. UPPER LIMBS | 110 |
75959266 | SOMATOSENSORY TECH COMP LOWER LIMBS | 131 |
80000031 | BAIR HUGGER BLANKETS UPPER BODY | 36 |
80000336 | TB SYRINGE | 15 |
80000337 | 1CC SYRINGE W/25GA 5/8 NEEDLE | 15 |
80000338 | SYRINGE 5CC | 15 |
80000339 | SYRINGE 20CC | 15 |
80000340 | SYRINGE 60CC | 15 |
80000341 | SYRINGE 3CC | 15 |
80000344 | TAPE DURAPORE 1 | 16 |
80000345 | TAPE DURAPORE 2 | 16 |
80000346 | BANDAID 1 X3 | 11 |
80000349 | MEPILEX BORDER SACRUM | 34 |
80000355 | POUCH, ONE PIECE DRAINABLE 1 1/2 #022770 | 8 |
90000051 | ATTEND, FITRESTOREXXL | 6 |
90000077 | BUTTON HOOKS | 15 |
90000142 | ALLEVYN, DRESSING 3 X 3 ADHESIVE | 11 |
90000175 | SCD KNEE LENGTH SLEEVE MEDIUM #9529 | 80 |
90000176 | SCD KNEE LENGTH SLEEVE LARGE #9789 | 132 |
91007324 | ORTHOVISC | 350 |
91007325 | MONOVISC | 1500 |
98113000 | SHAVING OF LESION .5 CM OR LESS | 130 |
98171000 | CRYOFREEZE UP TO 14 LESIONS BENIGN | 110 |
98171100 | WART DESTRUCTION ANY METHOD | 115 |
98911305 | SHAVING LES SCALP,NECK,HANDS,FEET,GENITA | 140 |