Pricing

NEW! COVID-19 Transparency Pricing

Beginning January 1, 2019, the Centers for Medicare & Medicaid Services requires hospitals to publicly post hospital charges on the internet. This price transparency is the ability for you, the healthcare consumer, to access provider-specific information on the price of healthcare services – including out-of-pocket costs − regardless of the setting in which they are delivered.

Listed below this copy you will find three tables. The tables are also downloadable by clicking on the file (files are in a CSV format).

Hospital Charges for Services
Inpatient Hospitalization Charges (2019 estimated/average charge per stay)
Pharmacy-Medication-Charges (based on 2018 average charge per unit)

We strongly encourage patients to learn about Memorial’s estimated charges. You may contact a Financial Counselor at (989) 729-4160 for specific and individualized information regarding charges associated with an anticipated hospitalization or outpatient procedure.

Hospital Charges For Services

Description	Fee
ASSAY DIPROPYLACETIC ACD TOT	92.75
ASSAY OF BREATH ETHANOL	62.5
ASSAY OF DIGOXIN TOTAL	142.5
ASSAY OF FECES PORPHYRINS	185.5
ASSAY OF VOLATILES	123.5
BLD TYPING SEROLOGIC RH PHNT	119.5
BLOOD TYPING RBC ANTIGENS	247
BLOOD TYPING SEROLOGIC ABO	119.5
BLOOD TYPING SEROLOGIC RH(D)	119.5
BREAST TOMOSYNTHESIS BI	59
CONTRAST X-RAY GALLBLADDER	570
DRAIN/INJ MAJOR JOINT/BURSA W/O US	648.75
DRAIN/INJ MAJOR JOINT/BURSA W/O US	973.25
DRUG SCREEN QUANT GABAPENTIN	58.25
DXA BONE DENSITY STUDY	622.5
FETAL CHRMOML ANEUPLOIDY	1,082.25
FLT3 GENE	235
FLT3 GENE ANALYSIS	117.75
FRACTURE ASSESSMENT VIA DXA	132
HPV HIGH-RISK TYPES	357
HPV TYPES 16 & 18 ONLY	85.5
IADNA-DNA/RNA PROBE TQ 12-25	706.75
IMMUNOHISTO ANTIBODY ADDL SLIDE	88.25
IMMUNOHISTO ANTIBODY SLIDE	287.25
INSITU HYBRIDIZATION (FISH)	317
INSITU HYBRIDIZATION AUTO	263.25
INSITU HYBRIDIZATION MANUAL	301
MYELOGRAPHY LUMBAR INJECTION	4,808.75
NEG PRESS WOUND TX <=50 CM	168
NEG PRESS WOUND TX <=50 CM	205.5
NEG PRESS WOUND TX >50 CM	320
NEG PRESS WOUND TX >50 CM	392.5
QUANTITATIVE ASSAY DRUG	91.25
TUMOR IMMUNOHISTOCHEM/COMPUT	287.25
TUMOR IMMUNOHISTOCHEM/MANUAL	247
ULTRASOUND BREAST COMPLETE	947
ULTRASOUND BREAST COMPLETE	1,894.75
ULTRASOUND BREAST LIMITED	985
ULTRASOUND BREAST LIMITED	1,970.75
UNLISTED PX SMALL INTESTINE	3,347.00
014104 LASER FIBERGUIDE 270	1,723.25
1′ REPR/SUTR LEG FLEXOR TENDON	3,270.00
12 LEAD EKG; TRACING ONLY	219.25
17-HYDROXYPREGNENOLONE	95
2 PC DRAINABLE OST POUCH	8
2 PC DRAINABLE OST POUCH	18.5
2 PC DRAINABLE OST POUCH	22
3 HR GLUCOSE TOLERANCE GEST-E	275
3 HR GLUCOSE TOLERANCE-E	370.25
3D RENDER W/INTRP POSTPROCES	58.25
3D RENDER W/INTRP POSTPROCES	1,189.50
4 HR GLUCOSE TOLERANCE-E	465.5
5 HIAA, RANDOM URINE-E	69.25
5 HR GLUCOSE TOLERANCE-E	560.75
5% DEXTROSE/NORMAL SALINE 500 ML=1 UNIT	65.75
5% DEXTROSE/WATER (500 ML = 1 UNIT)	65.75
5-HIAA	48.75
AB ID RBC EA PANEL EA TECHN	285.75
AB ID; LEUKOCYTE AB	87
AB ID; PLATELET AB	66
AB ID; PLATELET IG ASSAY	28.75
AB: HBCAB – IGM AB	61.5
AB: HBSAB	142
AB: THYROGLOBULIN	82.25
AB; ACTINOMYCES	72.25
AB; ADENOVIRUS	52.25
AB; ASPERGILLUS	71.5
AB; BACTERIUM NES	348.25
AB; BARTONELLA	52.75
AB; BLASTOMYCES	55
AB; BORDETELLA	67.25
AB; BRUCELLA	107.75
AB; CANDIDA	238.5
AB; CHLAMYDIA	50.75
AB; CHLAMYDIA IGM	52.75
AB; CMV	50.75
AB; CMV IGM	49.25
AB; COCCIDIOIDES	50
AB; COXIELLA BRUNETII	61.5
AB; COXIELLA BRUNETII	273
AB; CRYPTOCOCCUS	55.75
AB; EB EARLY AG VIRUS	102.75
AB; EB VCA	65.75
AB; EBNA	65.75
AB; ENCEPHALITIS CALIF	53
AB; ENCEPHALITIS E EQUINE	53
AB; ENCEPHALITIS ST. LOUIS	53
AB; ENCEPHALITIS W EQUINE	53
AB; ENTEROVIRUS	179
AB; ENTEROVIRUS	476.75
AB; ERLICHIA	85.75
AB; ERLICHIA	172.75
AB; FRANCISELLA TULARENSIS	42.5
AB; FRANCISELLA TULARENSIS	84.5
AB; FUNGUS NES	52.5
AB; HBCAB – TOTAL	125.5
AB; HBEAB	80
AB; HELICOBACTER PYLORI	70.75
AB; HELMINTH NES	59.25
AB; HEMOPHILUS INFLUENZA	72
AB; HISTOPLASMA	82
AB; HIV-1	30.5
AB; HIV-2	57
AB; HSV 1	69.25
AB; HSV NON-SPECIFIC	61.75
AB; HSV TYPE 2	154.5
AB; INFLUENZA VIRUS	57
AB; LEGIONELLA	238.5
AB; LEPTOSPIRA	99
AB; LISTERIA MONOCYTOGENES	117.5
AB; LYME’S (WB) CONFIRM	161.5
AB; LYME’S DISEASE	82
AB; MUMPS	67.25
AB; MYCOPLASMA	57
AB; PARVOVIRUS	117.75
AB; PROTOZOA NES	42.5
AB; RICKETTSIA	48
AB; RUBELLA	184
AB; RUBEOLA	101.75
AB; TETANUS	65
AB; TOXOPLASMA	134.5
AB; TOXOPLASMA IGM	196.5
AB; TRICHINELLA	67.75
AB; VARICELLA-ZOSTER	196.25
AB; VIRUS NES	55
AB; YERSINIA	49
ABD PARACENTESIS	694.75
ABD PARACENTESIS W/IMAGING	694.75
ABL1 GENE	426.25
ABO/RH-E	238.75
ABSC LOCALIZ; WB	2,114.25
ABSCESS FISTULA/SINUS TRACT STUDY	1,210.25
ABSCLOCALIZ; SPECT	2,114.25
ABSORBATACK 5MM FIXATION	3,126.75
ABSORBATACK SHORT DEVICE	1,976.75
ACETONE ASSAY	70
ACJ BILATERAL W/WO WEIGHTS	699
ACTH	163.75
ACTH	1,307.50
ACTIVATED PROTEIN C RESISTANCE	154.5
ACUTE GI BLEED STUDY	1,069.50
ACUTE HEPATITIS PANEL	766
ACYLCARNITINES; QUAN	201.25
ADALIMUMAB AB-E	128.25
ADAPTER <Y CONNECTER LG 1/4X1	36
ADAPTER PORTEX BRONCHIAL	33.25
ADMIN FLU VIRUS VACCINE	133.5
ADMIN PNEUMONIA VACCINE	133.5
ADRENAL ANDROGEN PROFILE-E	485
AEROB BACTERIA CULTURE STOOL	162.5
AEROB BACTERIAL BLOOD CULTURE	159
AEROBIC STOOL CULTR ADDTL PATHOG EA PLATE	87.75
AEROCHAMBER INHALER	49.25
AEROSOL MASK	184
AEROSOL PENTAMIDEN FOR P. CARINII	484.75
AEROSOL SPUTUM COLLECT	164
AFP TETRA SEND OUT-E	381.25
AG DETECT NOS IA MULT	51.5
AGENT NOS ASSAY W/OPTIC	99.25
AIRWAY INHALATION TREATMENT	245.75
ALDOLASE	204.25
ALDOSTERONE	364.5
ALDOSTERONE/RENIN-E	479
ALEXIS RETRACTOR (ORTHO) C8303	352.5
ALEXIS WOUND RETRACTOR MEDIUM	99.75
ALEXIS WOUND RETRACTOR SMALL	99.75
ALKALINE PHOS ISOE SEND OUT-E	140.5
ALKALINE PHOSPHATASE	91.25
ALKALINE PHOSPHATASE ISOENZYM	49.25
ALLERG SP IGG QUAN OR SEMIQUAN	21
ALLG SPEC IGE RECOMB EA	41.5
ALPHA-1-ANTITRYPS PHENO SEND-E	308
ALPHA-1-ANTITRYPSIN; PHENOTYPE	137.25
ALPHA-1-ANTITRYPSIN; TOTAL	170.75
ALPHA-FETOPROTEIN L3	149.5
ALPHA-FETOPROTEIN SERUM	147.25
ALYS NPGT W/O PRGRMG	281
ALYS SMPL SP/PN NPGT W/PRGRM	307
AMIKACIN	152.75
AMINO ACIDS 6/> QUAN EA	264
AMINO ACIDS; SGL QUAN EA	71.75
AMMONIA	148.75
AMNIOFILL ALLOGRAFT AF1000	5,055.75
AMNIOFIX MEMBRANE ALLOGRAFT	4,750.50
AMNIOFIX MEMBRANE GRAFT	3,134.75
AMPLIF NA PROBE NOS AGENT	91.25
AMPLIF NA PROBE NOS AGENT	182
AMYLASE	96.25
AMYLASE	191.75
ANAEROB BACT CULTURE W ID	194.25
ANALYZE SP INF PUMP W/REPROG	709.5
ANCHOR SWIVELOCK SP AR2324BSLM	2,500.25
ANCHOR/SCREW BN/BN TIS/BN	50
ANCHOR/SCREW BN/BN TIS/BN	53
ANCHOR/SCREW BN/BN TIS/BN	53.5
ANCHOR/SCREW BN/BN TIS/BN	56
ANCHOR/SCREW BN/BN TIS/BN	58.25
ANCHOR/SCREW BN/BN TIS/BN	64.75
ANCHOR/SCREW BN/BN TIS/BN	68.75
ANCHOR/SCREW BN/BN TIS/BN	82.25
ANCHOR/SCREW BN/BN TIS/BN	89.75
ANCHOR/SCREW BN/BN TIS/BN	101.5
ANCHOR/SCREW BN/BN TIS/BN	110.75
ANCHOR/SCREW BN/BN TIS/BN	113.75
ANCHOR/SCREW BN/BN TIS/BN	115.25
ANCHOR/SCREW BN/BN TIS/BN	147.75
ANCHOR/SCREW BN/BN TIS/BN	156.25
ANCHOR/SCREW BN/BN TIS/BN	185.75
ANCHOR/SCREW BN/BN TIS/BN	197.75
ANCHOR/SCREW BN/BN TIS/BN	199.75
ANCHOR/SCREW BN/BN TIS/BN	206.75
ANCHOR/SCREW BN/BN TIS/BN	285.5
ANCHOR/SCREW BN/BN TIS/BN	285.75
ANCHOR/SCREW BN/BN TIS/BN	311.5
ANCHOR/SCREW BN/BN TIS/BN	315.75
ANCHOR/SCREW BN/BN TIS/BN	318
ANCHOR/SCREW BN/BN TIS/BN	365
ANCHOR/SCREW BN/BN TIS/BN	369.5
ANCHOR/SCREW BN/BN TIS/BN	375
ANCHOR/SCREW BN/BN TIS/BN	393
ANCHOR/SCREW BN/BN TIS/BN	442.25
ANCHOR/SCREW BN/BN TIS/BN	462
ANCHOR/SCREW BN/BN TIS/BN	472
ANCHOR/SCREW BN/BN TIS/BN	497.75
ANCHOR/SCREW BN/BN TIS/BN	587.25
ANCHOR/SCREW BN/BN TIS/BN	587.5
ANCHOR/SCREW BN/BN TIS/BN	595.25
ANCHOR/SCREW BN/BN TIS/BN	614.5
ANCHOR/SCREW BN/BN TIS/BN	628.75
ANCHOR/SCREW BN/BN TIS/BN	654.25
ANCHOR/SCREW BN/BN TIS/BN	674.5
ANCHOR/SCREW BN/BN TIS/BN	683.75
ANCHOR/SCREW BN/BN TIS/BN	704.5
ANCHOR/SCREW BN/BN TIS/BN	721.25
ANCHOR/SCREW BN/BN TIS/BN	725.5
ANCHOR/SCREW BN/BN TIS/BN	735.25
ANCHOR/SCREW BN/BN TIS/BN	742.75
ANCHOR/SCREW BN/BN TIS/BN	743
ANCHOR/SCREW BN/BN TIS/BN	815.5
ANCHOR/SCREW BN/BN TIS/BN	1,328.25
ANCHOR/SCREW BN/BN TIS/BN	1,368.75
ANCHOR/SCREW BN/BN TIS/BN	1,394.75
ANCHOR/SCREW BN/BN TIS/BN	1,416.75
ANCHOR/SCREW BN/BN TIS/BN	1,674.25
ANCHOR/SCREW BN/BN TIS/BN	1,900.25
ANCHOR/SCREW BN/BN TIS/BN	2,008.75
ANCHOR/SCREW BN/BN TIS/BN	2,061.75
ANCHOR/SCREW BN/BN TIS/BN	2,239.75
ANCHOR/SCREW BN/BN TIS/BN	3,796.25
ANCHOR/SCREW BN/BN TIS/BN	5,180.50
ANCHOR/SCREW BN/BN TIS/BN	5,977.50
ANDROSTENEDIONE	95
ANES SUPPLIES ADD’L 15 MINS	113
ANES SUPPLIES-0-30 MINS	333.5
ANES.GEN SUPP-MAJOR 0-30MIN	259
ANES.GEN SUPP-MAJOR 31-60MIN	227.75
ANES.GEN SUPP-MAJOR 61-90 MIN	247
ANES.GEN SUPP-MAJOR 91-120 MI	259
ANES.GEN SUPP-MAJOR ADD’1/2HR	66.5
ANESTH CAT OR MRI SCAN	236
ANGIOTENSIN I – CONVERTING ENZYME	198.5
ANKLE ARTHROGRAM	935
ANKLE ARTHROGRAPHY INJ	593.75
ANKLE CONTROL ORTHO PRE OTS	139.25
ANL SP INF PMP W/MDREPRG&FIL	709.5
ANTI ENA ANTIBODIES SEND OUT-E	119.5
ANTI-CARDIOLIPIN IGG/M SENDO-E	141.25
ANTINEUTRO CYTO PANEL SEND-E	154.5
ANTINEUTROPHIL CYTOPL AB PAN-E	266.25
ANTINUCLEAR AB (ANA);	162.75
ANTINUCLEAR AB (ANA); TITER	147.25
ANTI-PHOSPHATIDYLSERINE AB	204.75
ANTIPHOSPHOLIPID SYNDROME-E	632
ANTITHROMBIN III ACTIVITY ASSAY	100.25
ANTITHROMBIN III ANTIGEN ASSAY	271.75
ANTITRYPSIN PROFILE-E	311.25
APC GENE FULL SEQUENCE	876.5
APHASIA ASSESMENT PER HR	511
APOLIPOPROTEIN EACH	100.25
APOLIPOPROTEIN EACH	200.25
APPLY FINGER SPLINT; STATIC	339.75
APPLY INTERSTIT RADIAT COMPL	8,812.00
APPLY LONG ARM SPLINT	595.5
APPLY LONG LEG CAST	446.75
APPLY LONG LEG SPLINT	693
APPLY MULTLAY COMPRS LWR LEG	149
APPLY MULTLAY COMPRS LWR LEG	298
APPLY SH LEG CAST	333.75
APPLY SHORT ARM SPLINT; STATIC	558.75
APPLY SHORT LEG SPLINT	577.5
AQUATIC THERAPY/EXERCISES EA 15 MINS	195.75
ARISTA FLEXTIP	54.25
ARISTA HEMOSTAT	419.5
ARSENIC	98.5
ARSENIC EXPOSURE-E	119
ARTERIAL CATH – SAMPLE/MONITOR/TRANSFUSE	194.75
ARTERIAL LINE INSERT-ICU	251.25
ARTERIAL LINE INSERTION	282.5
ARTERIAL PUNCTURE BLOOD FOR DX	194.75
ARTHRITIS PANEL-E	477.25
ARTHROGRAM -LEFT SHOULDER-E	2,400.25
ARTHROGRAM-RIGHT SHOULDER-E	2,400.25
ARTHROSCOPE,SHOULDER ABDUCT SY	63.75
ASCORBIC ACID BLOOD	109.25
ASO ; TITER	79.25
ASO; SCREEN	50.75
ASPERGILLUS AB PANEL SEND OU-E	214.5
ASPERGILLUS AG IA	51.5
ASPIR/INJ THYROID CYST	634.75
ASPIRATE PLEURA W/ IMAGING	1,082.50
ASPIRATE/INJ GANGLION CYST	648.75
ASSAY CARBOXYHB QUANT	87
ASSAY FOR CALPROTECTIN FECAL	48.75
ASSAY IGA/IGD/IGG/IGM EACH	40
ASSAY LIPOPROTEIN PLA2	90.75
ASSAY NONENDOCRINE RECEPTOR	229
ASSAY OF BLOOD LIPOPROTEIN LDL	67.25
ASSAY OF BLOOD LIPOPROTEIN VLDL	33
ASSAY OF HOMOCYSTINE	215
ASSAY OF IGE	223.75
ASSAY OF LIPOPROTEIN(A)	117.75
ASSAY OF PROTEIN SERUM	58.25
ASSAY OF RIBOFLAVIN (VITAMIN B-2)	348.25
ASSAY OF SERUM ALBUMIN	54.5
ASSAY OF SERUM POTASSIUM	49.25
ASSAY OF SERUM SODIUM	58.25
ASSAY OF SIROLIMUS	256.5
ASSAY OF THIAMINE (VITAMIN B-1)	138.75
ASSAY PH BODY FLUID NOS	54.5
AST OR SGOT	74.5
ATC STRENGTH & CONDIT COACHING	11,056.25
ATHLETIC TRAINER COVERAGE 1 HR	40.25
ATHLETIC TRAINING BASIC	12,668.50
ATHLETIC TRAINING TOURN COVE-M	291.5
ATL SCRN CYTOPATH W RVW BY TECH	149
AUTOIMMUNE RHEUMATOID ARTHR	796.5
AUTOM URINALYSIS WO MICRO	38
AUTOM URINE DIP W MICRO	72.5
AUTOMATED RBC COUNT	21.25
AUTOPSY GROSS & MICRO W BR	1,093.25
B PERTUSSIS IGG/M/A AB SENDO-E	201.5
BABESIA MICROTI ABS-E	84.75
BACT CULTURE – URINE; QUAN COUNT	120.25
BACTERIA FILTER	37.25
BACTERIAL ANTIGEN PANEL SEND-E	397
BACTERIAL CULTURE – OTHR SOURCE	94
BAG LEG DISP LG	58.25
BAG LEG DISP MED	31.5
BAG OSTOMY 2 1/4 (UROSTOMY)	18.5
BAG URI METER DRAINAGE	63.75
BAG URINARY DRAINAGE	31.5
BAG URINE COLLECTOR PED STER	22
BALLOON DILATOR 10-11-12	1,118.75
BALLOON KIT 5 X 10,15F 887510	1,296.50
BALLOON KIT 6 X 10,18F 887610	1,296.50
BANDAGE ACE 6IN DL	70.75
BANDAGE ACE N/S 2 IN	9.5
BANDAGE ACE N/S 3 IN	22
BANDAGE ACE N/S 4 IN	22
BANDAGE ACE N/S 4 IN-WC	19
BANDAGE ACE N/S 6 IN	29.5
BANDAGE ACE N/S 6 IN-WC	25
BANDAGE ACE STERILE 4 IN	48.5
BANDAGE ACE STERILE 6 IN	54.5
BANDAGE COBAN 1 IN	10.5
BANDAGE COBAN 2 IN	16.5
BANDAGE COBAN 3 IN	18.5
BANDAGE COBAN 4 IN	22
BANDAGE COBAN 6 IN	28
BANDAGE COBAN ELASTIC 4 IN-WC	19
BARTONELLA AB PANEL SEND OUT-E	211
BC – AEROBIC – ADDTL ID	99.25
BC – ANAEROBE – ADDTL ID	109.75
B-CELL CD20-E	349.75
BCR ABL CML/ALL-E	683.5
BCR/ABL1 GENE MAJOR BP	362.75
BCR/ABL1 GENE MINOR BP	320.75
BE COLON W AIR & BARIUM	1,603.50
BED HOLD-ER 2N	2,416.75
BED HOLD-ER 2S STRESS	1,800.50
BED HOLD-ER 3S	2,416.75
BED HOLD-ER INTENSIVE CARE	4,945.25
BED HOLD-ER PROGRESSIVE CARE	3,759.00
BEHAV CHNG SMOKING 3-10 MIN	36.5
BEHAVRAL QUALIT ANALYS VOICE	7.25
BEHAVRAL QUALIT ANALYS VOICE	421.25
BETA 2 GLYCOPROTEIN I AB EA	88.75
BETA-2 MICROGLOBULIN	190
BETA-2-GLYCOPROTEIN I SEND O-E	265.75
BF PERINEAL MUSCLES OR SPINCTER	169.25
BILAT SELCTV RENAL VENOGRAM	3,973.50
BILE ACIDS; TOTAL	117
BILIRUBIN PROFILE-E	135.25
BINDER,BREAST LARGE	101.25
BINDER,BREAST MEDIUM	101.25
BINDER,BREAST SMALL	101.25
BINDER,BREAST X-LRG	101.25
BINDER,BREAST XX-LARGE	101.25
BIOFEEDBACK ANY MODALITY	83.75
BIOPATCH 4152	26.75
BIOPSY THYROID PERC CORE NEEDLE	1,872.25
BIO-PUSHLOCK 3.5MM ANCHOR	3,067.25
BIOTINIDASE EA SPECIMEN	70.25
BIOVAC SUCTION DEVICE	396.75
BIPOLAR PENCIL DISP 23G	159.25
BIRTHING CLASS	26.75
BIRTHING CLASS	36.25
BITBLOCKS 1.63 DISPOSABLE BB-2	15
BITE BLOCK HP M1828A	16.5
BL SMEAR W/DIFF WBC COUNT	49.5
BLADE (3M) L124 29X85	127.75
BLADE (Z) LG 32.0 63.5	372.75
BLADE (Z) SAG MICRO 09.5 25.5	56
BLADE 11.5 X 5.5 2296-3-410	169.5
BLADE 18.5 X 9.0 2296-3-105	169.5
BLADE 25.0 X 5.5 2296-3-414	169.75
BLADE 25.0 X 9.0 2296-3-111	169.5
BLADE 4.5 FULL RADIUS	188.75
BLADE 5.5 RAZORCUT	129.5
BLADE ALCON 15 DEG	41.5
BLADE ALCON SLIT KNIFE	76.75
BLADE ARTHROTOME ACROM 4.0	336
BLADE ARTHROTOME ACROM 5.5	278
BLADE ARTHROTOME INCISOR 4.5	192
BLADE ARTHROTOME INCISOR 4.5CR	472
BLADE ARTHROTOME RAZORCUT 4.5	342
BLADE ARTHROTOME SYNOVATOR 4.5	336
BLADE BEAVE 67	9
BLADE DERMATOME	156.25
BLADE EYE SHARP ALL AROUND ST	46.5
BLADE KNIFE MICRO ENT SPEAR ED	135
BLADE OSC CURVED MICRO 13.5X2	311.5
BLADE OSC LG BRAZ/RIB 19.5X.09	187.25
BLADE OSCILLATING	142.75
BLADE RECIP 9.4 54.5 5052-259	139
BLADE RECIP MAXI 12.5 X 73.5	26
BLADE RECIPROCATING 277-96-277	349.5
BLADE SAG MICRO 9.5 X 25.5	148
BLADE SAGITTEL SAW 4118-127-90	278
BLADE SAW GIGLE	35
BLADE SINUS 40 CRVD 18-84006	637
BLADE SINUS TRICUT 18-84004	786.5
BLADE SLIT KNIFE 4.5	86
BLADE TRICUT 2.9MM	621.5
BLAST/COCI/CRY/HISTO AB SEND-E	242.25
BLEEDING TIME	44
BLEPHAROTOMY DRAIN ABSC EYELID	565.25
BLOOD CLOT FACTOR VIII TEST	145.25
BLOOD GAS MIXED WO O2 SAT	49.5
BLOOD GAS PH ONLY	144
BLOOD GASES W/02 SATURATION	232.75
BLOOD OSMOLALITY	109.25
BM IMAGING; LIMITED	525.25
BM SMR INTERP	609.5
BONE BX TR/NDL; SUPERF	1,520.50
BONE IMAGING 3 PHASE	2,853.75
BONE SCAN MULTI AND BONE SPE-E	6,132.75
BONE SCAN SINGL AND BONE SPE-E	6,227.25
BONE SCAN TOTAL AND BONE SPE-E	5,275.25
BONE/JOINT; LIMITED	2,948.25
BONE/JOINT; MULTI AREAS	2,853.75
BONE/JOINT; SPECT (3D)	3,279.25
BONE/JOINT; WB	1,996.25
BOWL CEMENT MIXER	323.25
BRAF GENE	291.25
BRAIN IMAGE W/FLOW 4 + VIEWS	1,903.00
BRAIN IMAGING (3D)	1,636.75
BRAIN PET; METABOLIC EVAL	6,826.75
BRAIN VASCULAR FLOW ONLY	1,105.00
BRCA1&2 GEN FULL SEQ DUP/DEL	3,375.25
BRCA2 GENE KNOWN FAMIL VRNT	211
BRIDGE LOOP OSTOMY	10.5
BRONCHOSCOPY	2,081.00
BRONCHOSCOPY AT BEDSIDE-ICU	2,140.50
BRONCHOSCOPY W FLOUROSCOPY	2,739.75
BRONCHOSCOPY W/ BIOPSY	2,081.00
BRONCHOSCOPY W/ BIOPSY-MAB	2,081.00
BRONCHOSPASM – PRE & POST BD	536.75
BRUSH CYSTOLOGY/BRONCH	60
BRUSH URO BX 3FR 115CM	228
BRUSHINGS-BRONCH	1,522.00
BUR 4.0MM OVAL	287.25
BUR CRVD SEPTO 3.2 18833121HS	961.5
BX BREAST 1ST LESION MR IMAG	1,368.25
BX BREAST 1ST LESION STRTCTC	1,567.25
BX BREAST 1ST LESION US IMAG	1,568.25
BX BREAST ADD LESION MR IMAG	116.25
BX BREAST ADD LESION STRTCTC	108.25
BX BREAST ADD LESION US IMAG	109
BX PANCREAS PERC NEEDLE	2,314.50
C DIFF AMPLIFIED PROBE	91.25
C REP S/A/L; EA ADD 5 CM/<	1,195.50
C TRACH/N GONOR CONFIRM-E	297.5
C TX PATELLAR DISLOCATION; WO ANESTH	232.5
C0 DIFFUSE CAPACITY	501
CABLE CERCLAGE 1.8MM X 25IN	1,590.25
CAD BREAST MRI	274
CADMIUM	50.75
CAH PROFILE-E	858
CALCITONIN	328
CALCIUM; IONIZED	134.5
CALCIUM; TOTAL	70.75
CALCIUM; URINE QUAN TIMED	83.25
CALR GENE COM VARIANTS	373
CANALITH REPOSITIONING PROC	213.25
CANCELLED PROC MED/IV GIV-AC	110.75
CANCELLED PROC MED/IV GIV-MAB	110.75
CANDIDA ANTIGEN AB PANEL-E	576
CANDIDA NA AMPLIFIED PROBE	108
CANDIDA NA DIRECT PROBE	62.5
CANNULA 7MM X 7CM WORKING	225.5
CANNULA 8.25MM X 7CM TWIST IN	212.5
CAPNOGRAPHY EQUIP-MAB	170.5
CAPNOGRAPHY EQUIP-PC	170.5
CAPNOGRAPHY EQUIP-SDC	170.5
CAPSULE POLISHER TERRY SQUEEGE	15
CARB DEFICIENT TRANSRERRIN	56
CARBAMAZEPINE; FREE	231.5
CARBAMAZEPINE; TOTAL	286
CARBON DIOXIDE (CO2)	50.75
CARD PET PERFUS; MULTIPLE	4,364.75
CARD PET PERFUS; SINGLE	4,364.75
CARDIAC ENZYMES-E	153.5
CARDIAC PET METABOL EVAL	5,595.25
CARDIAC REHAB	160
CARDIAC REHAB PHASE I	181.25
CARDIAC REHAB/MONITOR	273
CARDIOLIPIN AB EA IG CLASS	70.75
CARDIOVERSION ELECTRIC EXT	3,437.25
CARNITINE QUAN EA	320.25
CAROTENE	134.25
CAROTID DUPLEX SCAN; BILAT	1,101.75
CAROTID DUPLEX SCAN; UNIL/LIMIT	689
CARPAL TUNNEL TX INJ	648.75
CARTER THOMASON DEVICE #CTXL	835
CAST PLASTER – LONG ARM	398.25
CAST PLASTER – SHORT ARM	201.5
CAST PLASTER – SHORT LEG	219.5
CAST PLASTER APPLICATION	115.75
CAST SCOTCHCAST – 2 IN ROLL	60.25
CAST SCOTCHCAST – 3 IN ROLL	67.5
CAST SCOTCHCAST – 4 IN ROLL	127.75
CAST SCOTCHCAST – 5 IN ROLL	68
CAST SCOTCHCAST APPLICATION	412.25
CATECHOLAMINES FRACTIONATED	78.25
CATECHOLOMINES FREE,RANDOM-E	98.5
CATH ASH SPLIT 11.5F X 8	443.25
CATH BI-POLAR PACE FR 5.0	676.75
CATH CAUDE SIZE 14 FR	56
CATH CAUDE SIZE 16 FR	80
CATH CAUDE SIZE 18 FR	71
CATH CAUDE SIZE 20 FR	71
CATH DELEE SUCTION	39.25
CATH DIALYSIS CATH 14 FRX24CM	625
CATH DRAIN PLUG	8
CATH FEMALE CATH KIT	54.5
CATH FOLEY WIPE,SURE TEMP	4.5
CATH FOR SPECIMEN COLLECT SGL PT	37.25
CATH FORTE ACCESS SHEATH B7016	456
CATH HEMODIALYSIS LONG-TERM	1,548.00
CATH HEMODIALYSIS LONG-TERM	1,952.25
CATH HEMODIALYSIS LONG-TERM	2,002.75
CATH INDW FOLEY 2 WAY SILICONE	12.75
CATH INDW FOLEY 2 WAY SILICONE	14
CATH INDW FOLEY 2 WAY SILICONE	15.25
CATH INDW FOLEY 2 WAY SILICONE	69.75
CATH INDW FOLEY 2 WAY SILICONE	94
CATH INDW FOLEY 2 WAY SILICONE	109
CATH INDW FOLEY 2 WAY SILICONE	110.5
CATH INDW FOLEY 2 WAY SILICONE	116.25
CATH INDW FOLEY 2 WAY SILICONE	131.75
CATH INDW FOLEY 2 WAY SILICONE	140.5
CATH INDW FOLEY 2 WAY SILICONE	164.75
CATH INDW FOLEY 3 WAY	48.5
CATH INDW FOLEY 3 WAY	63.75
CATH INDW FOLEY 3 WAY	67.5
CATH INDW FOLEY 3 WAY	74.25
CATH INDW FOLEY 3 WAY	75.75
CATH INDW FOLEY 3 WAY	90.5
CATH INDW FOLEY 3 WAY	98.75
CATH INDW FOLEY 3 WAY	103.5
CATH INDW FOLEY 3 WAY	113.5
CATH INFANT KIT SFR	15
CATH INTER UTERINE PRES (IUPC)	223.25
CATH MELKER ER CRIC TUBE	614.5
CATH PHILLIPS FOLLOWER 8 FR	274
CATH PHILLIPS FOLLOWER 18 FR	231.75
CATH PHILLIPS FOLLOWER 20 FR	231.75
CATH PHILLIPS FOLLOWER 22 FR	231.75
CATH PHILLPS FOLLOWER 16 FR	231.75
CATH SILICONE 30 CC 20 FR	157.5
CATH SINUS IRRIGATION LC7065	696
CATH THORACIC #28	32.75
CATH THORACIC #32	60
CATH THORACIC #40	67
CATH URET FIL SPIRAL TIP 3 FR	144.75
CATH URET FIL SPIRAL TIP 4 FR	126
CATH URET FIL SPIRAL TIP 5 FR	126
CATH URET FILIFORM STRA TIP 4	144.75
CATH URET FILIFORM STRA TIP 5	144.75
CATHETER URETERAL	10.5
CATHETER URETERAL	16.5
CATHETER URETERAL	18.5
CATHETER URETERAL	33.5
CATHETER URETERAL	120
CATHETER URETERAL	177
CAUTERY BOVIE	86.25
CAUTERY BOVIE CLEANER	10
CAUTERY BOVIE TIP BALL 6 IN	28.25
CAUTERY BOVIE TIP-BALL	14.75
CAUTERY BOVIE TIP-EXT. BLADE	62.5
CAUTERY BOVIE TIP-NEEDLE	22
CAUTERY CORD TUR	14.25
CAUTERY CORD TUR	14.5
CAUTERY CUTTING LOOP 26 OR/3	287.75
CAUTERY DAC CIRON	95
CAUTERY ELECTROVAC	58.25
CAUTERY OF CERVIX; ELECTRO/THERMAL	2,748.00
CBC W AUTO DIFF & W MAN DIFF-E	109.25
CBC WITH MANUAL DIFF-E	109.25
CCP ANTIBODY	184
CD4/CD8 SEND OUT-E	359
CEA	222.25
CEBPA GENE FULL SEQUENCE	426.25
CELIAC DISEASE AB SEND OUT-E	268.75
CELIAC DISEASE COMPREHENSIVE-E	375.25
CELIAC HLA PANEL-E	758.25
CELL ENUMERATION & ID	922.5
CELL FUNCTION ASSAY W/STIM	288.5
CELL FUNCTION ASSAY W/STIM	416.25
CEMENT BONE PALACOS	478.5
CENTRAL LINE TRIPLE W/POW PORT	538
CEREBR SEIZURE 8-CH; EA 24 HRS	1,440.50
CERULOPLASMIN	142
CERV COL SR FOAM 2PC PRE OTS	202.25
CERV SR 2PC THOR EXT PRE OTS	396.75
CERVICAL DILATION BALLOON	170.25
CFTR GENE COM VARIANTS	679.5
CHANGE OF CYSTOSTOMY TUBE; SIMPLE	392
CHANGE TUBE/CATH NEPHRO PR-E	3,145.75
CHEM CAUT OF GRANLTJ TISSUE	170
CHEM CAUT OF GRANLTJ TISSUE	243.25
CHEMILUMINESCENT ASSAY	37
CHEMILUMINESCENT ASSAY	110
CHEMO ANTI-NEOPL SQ/IM	387
CHEMO CNS (INTRATHECAL) W LP	740.75
CHEMO HORMON ANTINEOPL SQ/IM	362.5
CHEMO INTRALESIONAL UP TO 7	343.5
CHEMO IV INFUS EACH ADDL SEQ =<1 HR	417.75
CHEMO IV INFUSION 1 HR	702.75
CHEMO IV INFUSION ADDL HR	569.25
CHEMO IV PUSH ADDL DRUG	470.75
CHEMO IV PUSH SNGL DRUG	472.75
CHEMO PROLONG 8+ HRS INFUSE W/PUMP	1,150.00
CHEMODENERV MUSC MIGRAINE	600
CHEST PT; INIT OR EVAL	245.75
CHEST PT; SUBSEQUENT	159
CHILDBIRTH CLASS-NO SHOW	36.25
CHLAMYDIA AB PANEL SEND OUT-E	310
CHLAMYDIA ANTIBODY PANEL-E	461.5
CHLAMYDIA CULTURE	482.75
CHLAMYDIA PNEU IGG/A/M SENDO-E	154
CHLAMYDIA T AMPLIF NA PROBE	148.75
CHLAMYDIA/GC SEND OUT-E	297.5
CHLORAPREP HI LITE ORANGE	41.25
CHLORAPREP ONE STEP	20.5
CHLORIDE; BLOOD	45
CHLORIDE; OTHER	34.75
CHLORIDE; URINE	69.25
CHOLANGIOGRAM ADDTL INTRAOP	614.5
CHOLANGIOGRAM INTRAOP	1,113.50
CHOLESTEROL COUNSELING 30 MIN	25.75
CHOLINESTERASE; RBC	25.25
CHOLINESTERASE; SERUM	25.25
CHROM ANALY; 15-20 CELLS	278.25
CHROM ANALY; 20-25 CELLS	299.5
CHROM ANALY; 5 CELLS	419.75
CHROM ANALY; ADDTL KARYOT EA STUDY	62
CHROM ANALY; AF/CV 15 CELLS	551.25
CHROMIUM	189.75
CHROMIUM & COBALT-E	412.5
CHROMOSOME ANALYSIS SEND OUT-E	538
CHROMOSOME,LEUKEMIA/LYMPH-E	705
CHRONIC LEUKEMIA PANEL SENDO-E	661.5
CINE OR VIDEO SPEECH EVAL	268
CIRCULAR HEM STAPLER	1,862.75
CIRCUMCISION	518.5
CIRCUMCISON PROC AND SET-E	609
CITRATE	117.75
CK TOTAL ISOENZYMES SEND OUT-E	146.5
CL TX “NURSEMAID ELBOW” W MANIP	888.25
CL TX ANKLE DISLOCATION; WO ANESTH	883.75
CL TX ARTFX MCP/IP JNT; W MANIP	2,634.75
CL TX C HUMERUS FX W MANIP	1,633.00
CL TX CMC DISL W M EA	1,797.50
CL TX CMC DISLOC THUMB W MANIP	527
CL TX CMC FX DISLOC THUMB W MANIP	1,633.00
CL TX DISTL FIB FX W MANIP	2,415.00
CL TX EC HUMERUS FX W MANIP	3,120.00
CL TX FX GT PHALANX(S); W MANIP	813
CL TX FX PHALANX/PHALANG; W MANIP	822.5
CL TX HUMERUS FX W MANIP	1,633.00
CL TX IP JNT D W MANIP ; WO ANESTH	1,889.50
CL TX IP JOINT DISL; WO ANESTH	1,010.75
CL TX IP JT D W MANIP; W ANESTH	2,298.25
CL TX KNEE DISL; W ANESTHESIA	2,937.50
CL TX KNEE DISL; WO ANESTH	318.75
CL TX MC FX SGL; W MANIP	1,756.75
CL TX MCP DISLOC SGL W MANIP	1,933.50
CL TX MTP JNT DISLOC; WO ANESTH	1,010.75
CL TX PATELLAR DISLOCATION; W ANESTH	1,800.25
CL TX PHALANG SHFT FX; W MANIP	1,914.00
CL TX POST HIP DISLOC WO ANESTH	318.75
CL TX POSTOP HIP DISLOC W ANESTH	1,800.25
CL TX PROX FIB/SHAFT FX W MANIP	2,462.25
CL TX PROX TIB-FIB JNT DISL; WO ANESTH	2,559.25
CL TX PROX TIBIAL FX W SK TRACTION	3,270.00
CL TX RADIAL HD/NECK FX; W MANIP	2,082.00
CL TX RADIAL SHFT FX W MANIP	2,790.75
CL TX SC/TC FEMUR FX W MANIP	1,657.00
CL TX SCAPULAR FX; W MANIP	3,309.25
CL TX SHDR DISLOC W NK FX W MANIP	3,065.50
CL TX SHLDR DISL W MANI; WO ANESTH	629.25
CL TX SHLDR DISL W MANIP; W ANESTH	2,868.00
CL TX SHLDR DISLOC & FX GT; W MAN	1,981.00
CL TX TARSAL BONE DISLO; WO ANESTH	225.25
CL TX TIB SHFT FX W MANIP	3,338.00
CL TX TMJ DISLOCATION; INITIAL	1,712.00
CL TX TMT JNT DISL; WO ANESTHESIA	1,254.00
CL TX TRIMALL ANKLE FX; W MANIP	3,548.50
CL TX WB DSTL TIB FX W MANIP	3,866.00
CLAVICLE COMPLETE	654.5
CLIP FIXING DEVICE DISP HX-200	225.25
CLIP LIGATION	154.75
CLIP RESOLUTION 360 235CM	763.5
CLL PROFILE,FISH SEND OUT-E	524.5
CLOTH CHLORHEXADINE GLUC	13.5
CLOTTING INHIBITOR PROTEIN S FREE	154.5
CLOTTING INHIBITOR; PROTEIN C ACTIVITY	123.25
CLOTTING INHIBITOR; PROTEIN C AG	116.25
CLOTTING INHIBITOR; PROTEIN S TOTAL	195.75
CLOTTING: FACTOR VIII VW FACTOR AG	122
CLOTTING; FACTOR II PROTHROMBIN SPECIF	122
CLOTTING; FACTOR IX	215
CLOTTING; FACTOR V	121.25
CLOTTING; FACTOR VII	105.5
CLOTTING; FACTOR VIII RISTOCETIN COFACT	154.5
CLOTTING; FACTOR X	109.75
CLOTTING; FACTOR XI	134.5
CLOTTING; FACTOR XII	61.75
CLOTTING; FACTOR XIII SCREEN SOLUBLE	253.5
CLTX BIMALLEOLAR ANKLE FRACT W MNP	3,411.25
CLTX BIMALLEOLAR ANKLE FRACT WO MNP	761
CLTX DSTL RDL FX/EPIPHYSL SEP W MNP	1,859.00
CLTX MED ANKLE FX W/MNPJ	2,803.00
CML PROFILE,FISH REFL SEND O-E	278.25
CML PROFILE,FISH SEND OUT-E	640.25
CMV IGG&IBM,CSF-E	100
CNTRL POST EPISTAX INIT	1,586.50
CO EXPIRED GAS BY IR	376.25
COAGULATION PROFILE-E	235.5
COGNITIVE SKILLS DEVELOPMENT	10.75
COGNITIVE SKILLS DEVELOPMENT	159.25
COL CHROMOTOGRAPHY QUAL/QUAN	67.5
COLD AGGLUTININ; SCREEN	44
COLD AGGLUTININ; TITER	192.5
COLLAGEN BASED WOUND FILLER	21
COLLAGEN BINDING ASSAY-E	178
COLLAGEN CROSS LINKS	79.5
COLLAGEN DRESSING <=16 SQ IN	21
COLLECTION FEE DOT	41.75
COLLECTION FEE SENDOUT	41.75
COLLECTION FEE, HAIR	41.75
COLLECTION FEE,AMBRY-MAB	15
COLLECTION FEE,MYRIAD	15
COLLECTION FEE,MYRIAD-MAB	15
COLON W POLYPECTOMY	4,640.00
COLON W POLYPECTOMY-MAB	4,640.00
COLONIC DISP BALLOON 15MM CRE	1,189.25
COLONIC DISP BALLOON 5847	866.5
COLONIC DISP BALLOON 8MM 5846	1,189.25
COLONOS W ABLATION SPLENIC	1,857.25
COLONOS W ABLATION SPLENIC-MAB	1,857.25
COLONOS W BL CONT	1,857.25
COLONOS W BL CONT SPLENIC	1,857.25
COLONOS W BL CONT SPLENIC-MAB	1,857.25
COLONOS W BL CONT-MAB	1,857.25
COLONOSCOPY DIL W BALLOON	1,857.25
COLONOSCOPY DIL W BALLOON-MAB	1,857.25
COLONOSCOPY REMOVAL FB	1,857.25
COLONOSCOPY REMOVAL FB-MAB	1,857.25
COLONOSCOPY SCREEN/DIAG	3,577.50
COLONOSCOPY SCREEN/DIAG-MAB	3,577.50
COLONOSCOPY SUBMUCOUS INJ-AMB	1,203.50
COLONOSCOPY SUBMUCOUS INJ-MAB	1,203.50
COLONOSCOPY W BIOPSY	4,640.00
COLONOSCOPY W BIOPSY-MAB	4,640.00
COLPOPERINEORRHAPHY	3,890.75
COLPORRHAPHY	3,890.75
COLPOTOMY; W DR OF PELVIC ABSCESS	2,796.75
COMMUNITY/WORK REINTEGRATION	10.75
COMMUNITY/WORK REINTEGRATION	159.25
COMPATIBILITY TEST ANTIGLOB	312.75
COMPATIBILITY TEST SPIN	312.75
COMPL ACUTE ABDOMEN	620.75
COMPL AUTOM CBC W PLT	59.75
COMPL CBC W PLT W AUTOM DIFF	97.75
COMPL RPLCMT PICC RS&I	1,593.25
COMPLEMENT; AG EA	158.75
COMPLEMENT; FCN ACTIVITY EA	123.5
COMPLEMENT; TOT HEMOLYTIC (CH50)	282.25
COMPREHEN METABOLIC PANEL	268
CONCENTRATION FOR INFECT AGNT	63.25
CONN TISS HUMAN (INC FASCIA)	1,502.25
CONN TISS HUMAN (INC FASCIA)	4,732.50
CONT POSTIVE AIRWAY PRESSURE	35.75
CONTINUOUS AEROSOL SET UP	184
CONTINUOUS PULSE OX	540.25
CONTRAST BATH THERAPY EA 15 MINS	7
CONTRAST BATH THERAPY EA 15 MINS	102.5
CONTRAST X-RAY BLADDER 3+ VIEWS	896.5
CONTRAST X-RAY EXAM OF COLON	1,004.50
CONTRAST X-RAY SPINE 2+ REGIONS	5,463.75
CONTROL NASAL HEMORRH ANT COMPLEX	193.75
CONTROL NASAL HEMORRH ANT SIMPLE	790.5
CONTROL OROPHARYNGEAL HEMORRH; SIMPLE	1,114.50
CONTRST X-RAY UPPR GI TRACT	1,205.00
CONTRST X-RAY URINARY TRACT	720.5
COOMBS TEST INDIRECT QUAL	164
COOMBS TEST INDIRECT TITER	164
COOMBS; DIRECT	195.75
COPPER	53
COPPER,URINE PANEL SEND OUT-E	73.5
CORD BLOOD GAS PANEL-E	99
CORNEAL LIGHT SHIELD	5.25
CORTISOL FREE, 2 TEST PANEL-E	114.25
CORTISOL; FREE	198.5
CORTISOL; TOTAL	69.75
CORTISOL; TOTAL	208.75
COVID-19 DIAGNOSTIC TEST PCR METHODOLOGY; TOTAL	119.25
COVID-19 SPECIMEN COLLECTION, SKILLED NURSING FACILITY	28.25
CP CERV/VAG; ATL; MANUAL SCRN	140.5
CP SMR OTHR; SCRN & INT	91
C-PEPTIDE	345.75
CPK: ISOENZYMES	65.75
CPK: MB FRACTION ONLY	162.75
CPK; TOTAL	81
CPR	739
CRASH CART ADULT	439.5
CRASH CART INFANT	361
CRE 12-15MM ESOPH BLAS	1,309.75
CRE BALLOON 12-13.5-15 5848	1,110.25
CRE ESOPH BLAS 15-18MM	1,300.25
CRE ESOPH BLAS 18-20MM	1,110.25
C-REACTIVE PROTEIN	13
C-REACTIVE PROTEIN HS	396.25
CREATINE	51.5
CREATININE; BLOOD	54.5
CREATININE; CLEARANCE	131.5
CREATININE; NOT BLOOD	20.5
CREP E/N/E/L; 1.1-2.5CM	1,541.75
CREP E/N/E/L; 2.6-7.5CM	1,618.50
CREP E/N/E/L; EA ADDTL 5 CM/<	1,280.00
CREP F/G/H/F; 1-2.5CM	941.25
CREP F/G/H/F; 2.6-7.5CM	1,468.25
CREP H/A/G/EXTR; EA ADD 5 CM/<	1,244.25
CREP S/A/L; 2.6-7.5CM	2,451.50
CREUTZSELDT-JAKOB, CSF-E	112.75
CRITICAL CARE 1ST HOUR	3,410.75
CRITICAL CARE ADDL 30 MIN	1,610.75
CRYOGLOBULIN – QUAL/SEMI QUAN	63.25
CRYOPRECIPITATE EA UNIT	1,298.75
CRYPTOSPOR AG BY IFA	132.5
CRYPTOSPORIDIUM AG IA	71
CRYPTOSPORIDIUM/ISO SMEAR-E	84
CSF FLOW; CISTEROGRAM	2,829.00
CSF IGG INDEX PANEL SEND OUT-E	199.75
CSF PROTEIN ELECTROPHORESIS-E	130.75
CT – HEAD/BRAIN W & WO CONTRAST	3,087.00
CT – HEAD/BRAIN W CONTRAST	2,595.50
CT – HEAD/BRAIN WO CONTRAST	2,375.00
CT – LIMITED OR FOLLOW-UP STUDY	1,660.75
CT – MF W CONTR	2,380.25
CT – MF W&WO CONTR	2,499.50
CT – MF WO CONTR	2,267.00
CT – ORBIT SELLA MID/INNER EAR W & WO	2,499.50
CT – ORBIT SELLA MID/INNER EAR W CONTR	2,380.25
CT – ORBIT SELLA MID/INNER EAR WO CONT	2,267.00
CT – ST NECK W CONTR	2,649.50
CT – ST NECK W&WO CONTR	2,499.50
CT – ST NECK WO CONTR	2,267.00
CT ABD & PELV 1/> REGNS	6,497.00
CT ABD & PELV W/CONTRAST	5,217.25
CT ABD & PELVIS	4,555.50
CT ABD W AND WO CONTRAST	3,382.50
CT ABD W CONTRAST	2,745.50
CT ABD WO CONTRAST	2,400.50
CT ANGIO ABD&PELV W/O&W/DYE	5,457.25
CT ANGIO ABDOM W/O & W/DYE	3,949.25
CT ANGIO ABDOMINAL ARTERIES	4,931.25
CT ANGIO CHEST/ABD/PELV-E	9,433.75
CT ANGIO LWR EXTR W/O&W/DYE	3,017.50
CT ANGIO UPR EXTRM W/O&W/DYE	2,834.75
CT ANGIOGRAPH PELV W/O&W/DYE	3,564.75
CT ANGIOGRAPHY CHEST	3,976.50
CT ANGIOGRAPHY HEAD	3,923.50
CT ANGIOGRAPHY NECK	2,955.25
CT BRAIN PERFUSION STUDY-E	3,087.00
CT CERV SPINE W & WO CONTR	2,902.00
CT CERV SPINE W CONTR	2,763.75
CT CERV SPINE WO CONTR	2,631.75
CT CHEST & ABD W/WO CONTR-E	6,073.00
CT CHEST W CONTR/ ABD W/WO-E	5,861.75
CT CHEST/ABD W CONTRACT-E	5,225.00
CT CHEST/ABD W/O CONTRAST-E	4,594.25
CT CHEST/ABD/PELVIS W CONT-E	7,696.75
CT CHEST/ABD/PELVIS W/O CONT-E	6,749.25
CT C-SPINE & T-SPINE W/O CON-E	5,263.50
CT C-SPINE &T-SPINE W CONT-E	5,527.50
CT GUIDED NDL BC RENAL RT PR-E	3,982.75
CT GUIDED NDL BX ABD PROFILE-E	3,984.50
CT GUIDED NDL BX BONE PROFIL-E	3,970.50
CT GUIDED NDL BX LIVER PROFI-E	3,924.50
CT GUIDED NDL BX LUNG LT PRO-E	3,982.75
CT GUIDED NDL BX LUNG RT PRO-E	3,982.75
CT GUIDED NDL BX PANCREAS PR-E	4,764.75
CT GUIDED NDL BX PELVIS PROF-E	3,970.50
CT GUIDED NDL BX RENAL LT PR-E	3,982.75
CT GUIDED NDL BX S TIS NECK-E	4,330.75
CT HEAD/FAC BONES W/O C AX O-E	4,641.75
CT L EXTR W AND WO CONTRAST	2,547.75
CT L EXTR W CONTRAST	2,426.25
CT L EXTR WO CONTRAST	2,311.00
CT LS W & WO CONTRAST	2,902.00
CT LS W CONTRAST	2,763.75
CT LS WO CONTRAST	2,631.75
CT PELVIS; W & WO CONTR	2,436.25
CT PELVIS; W CONTR	2,733.50
CT PELVIS; WO CONTR	2,383.50
CT SCAN FOR NEEDLE BIOPSY	2,450.25
CT SCAN FOR THERAPY GUIDE	2,914.25
CT THORACIC SPINE W & WO CONTR	2,902.00
CT THORACIC SPINE W CONTR	2,763.75
CT THORACIC SPINE WO CONTR	2,631.75
CT THORAX; W & WO CONTRAST	2,690.75
CT THORAX; W CONTRAST	2,479.50
CT THORAX; WO CONTRAST	2,193.75
CT T-SPINE, L-SPINE W CONT-E	5,527.50
CT T-SPINE,L-SPINE W/O CONT-E	5,263.50
CT: U EXTR W AND WO CONTRAST	2,499.50
CT; U EXTR W CONTRAST	2,380.25
CT; U EXTR WO CONTRAST	2,267.00
CTRL POST EPISTAX SQ	345
CULT FUNGUS W P ID; SKIN HR NL	29.5
CULTURE P PATHOG – SCREEN	28.25
CULTURE TYPE IMMUNOLOGIC	78.5
CULTURE,STOOL PROFILE 4 TEST-E	460.25
CUSHION CHAIR SOFTCARE CC476CE	84.5
CVSLR STRESS TEST; TRACING	1,217.75
CYANIDE	37
CYCLOSPORINE	61.75
CYSTATIN C	29.25
CYSTO PACK CS/5	119.5
CYSTOGRAM PROFILE-E	2,018.75
CYTOGEN M ARRAY COPY NO&SNP	1,489.50
CYTOMEGALOV AMPLIF NA PROBE	75
CYTOMEGALOVIRUS IGG&IGM SEND-E	100
CYTOMEGALOVIRUS NA QUAN	446.75
CYTOPATH C/V AUTO FLUID REDO	106
CYTOPATH CELL ENHANCE TECH	217.75
CYTP DX EVAL FNA 1ST EA SITE	235.25
CYTP URINE 3-5 PROBES CMPTR	580
DAVINCI CANNULA SEAL 8MM	50.5
DAVINCI OBTURATOR 8MM	83.25
DAVINCI VESSEL SEALER	2,075.50
D-DIMER- QUAL/SEMIQUAN	76.25
DEB SUBQ TISSUE 20 SQ CM/<	762.25
DEBRIDE NAIL 1-5	61
DECALCIFICATION	142.5
DECANTER BAG POUR SPOUT	30.5
DECLOT VASCULAR DEVICE	658.25
DECOMPRESS; UNSPECIFIED NERVE(S)	4,389.75
DEEP BONE BX TRCR/NDL	1,575.00
DEEP I&D THIGH/KNEE	2,420.75
DELTA ALA	91.5
DEOXYCORTISOL 11	99.25
DEOXYPYRIDINOLINE-E	100
DESOXYCORTICOSTERONE 11	99.25
DESTR W NEUROLYTIC; INTERCOSTAL NRV	1,794.00
DESTR W NEUROLYT TRIGEM NRV; INF ALV BR	1,794.00
DESTR W NEUROLYTIC; CELIAC PLEXUS	1,794.00
DESTR W NEUROLYTIC; OTHER PERIPH NRV	1,794.00
DESTR W NEUROLYTIC; PUDENDA NRV	1,794.00
DESTROY C/TH FACET JNT ADDL	961.25
DESTROY C/TH FACET JNT ADDL	1,442.00
DESTROY CERV/THOR FACET JNT	4,389.75
DESTROY CERV/THOR FACET JNT	6,584.75
DESTROY L/S FACET JNT ADDL	961.25
DESTROY L/S FACET JNT ADDL	1,442.00
DESTROY LUMB/SAC FACET JNT	4,389.75
DESTROY LUMB/SAC FACET JNT	6,584.75
DHEA	107.75
DHEA-S	280.5
DIALYSIS CATH INSERT-2N	251.25
DIALYSIS CATH INSERT-3S	251.25
DIALYSIS CATH INSERT-ICU	251.25
DIALYSIS CATH INSERT-PCU	251.25
DIALYSIS ONE EVALUATION	969.5
DIFF CELL COUNT NOT BLOOD	101.75
DIGITAL ANALYSIS OF EEG	991.25
DIL URETHR STRICT FILIF/FOLLOW; MALE 1ST	2,525.50
DILATE FOR STRICTURE/OBSTR	334
DIRECT BILIRUBIN	99
DIRECT IMMUNOFLUO PANEL-E	448
DIRECT REFER HOSPITAL OBSERV	1,590.75
DM OP SMT GRP PER 30 MIN	64.25
DM OP SMT INDIV PER 30 MIN	117.25
DNA AB	65.75
DNA AB; NATIVE OR DS	104.75
DNA AB; SS	246.25
DNA/RNA; MULTI ORG – AMP PR	251.25
DONOR PUNCH 8.0MM	472.25
DONOR PUNCH SET 8.5MM	472.25
DOPPLER COLOR FLOW	666.75
DOPPLER ECHO; COMPLETE	726.5
DR ABSC CYST HEMAT-MOUTH; SIMPLE	723.25
DR ABSC CYST HEMATOM – DENTOALVEOLAR	347
DR EXT EAR ABSCESS/HEMATOMA; SIMPLE	723.25
DRAIN CEREBRO SPINAL FLUID	1,424.25
DRAIN ENT SILASTIC 2X3	142.75
DRAIN EXTERNAL AUDITORY CANAL ABSCESS	723.25
DRAIN FINGER ABSC; COMPLICATED	1,707.00
DRAIN FINGER ABSC; SIMPLE	673.5
DRAIN HEYER SCHULTE 10FR FLAT	71
DRAIN HEYER SCHULTE RES 400	221.25
DRAIN J-VAC RESEVOIR SM 150CC	145.25
DRAIN J-VAC TUBING #10 FLAT	104
DRAIN J-VAC TUBING #15	80
DRAIN J-VAC TUBING #19	129.75
DRAIN ORTHOSILASTIC 2X3	143
DRAIN/INJ INTER JOINT/BURSA W/O US	648.75
DRAIN/INJ INTER JOINT/BURSA W/O US	973.25
DRAIN/INJ MAJOR JOINT/BURSA W/US	648.75
DRAIN/INJ SMALL JOINT/BURSA W/O US	648.75
DRAIN/INJ SMALL JOINT/BURSA W/O US	973.25
DRAINAGE OF ABSCESS OF PALATE UVULA	442
DRAINAGE OF SCROTAL WALL ABSCESS	2,245.50
DRAPE ARTHROSCOPE KNEE	73.75
DRAPE STERI 1060 EYE/INCISE	14.75
DRAW BLOOD OFF VENOUS DEVICE	170.5
DRAWING FEE PATERNITY TESTING	88.75
DRESS/DEBRID P-THICK BURN M	168
DRESS/DEBRID P-THICK BURN M	597.25
DRESS/DEBRID P-THICK BURN S	170
DRESS/DEBRID P-THICK BURN S	568
DRILL (DVR) 2.0MM FDB20	474.5
DRILL (HIP) 30MM	305.25
DRILL (S/H) 1.5MM STRYKER J	248.75
DRILL (S/H) 2.0MM STRYKER J	194.5
DRILL BIT 2.5MM X 100MM 09023	266.25
DRILL BIT 2.5MM X 110MM	326.75
DRILL BIT 2.7MM X 100MM	221.25
DRILL BIT 3.5MM X 110MM	206.75
DRILL(S/H) 1.5MM MINI QUICK	280.5
DRSG 2 X 2 SPLIT EA	8.75
DRSG 4 X 4 SPLIT EA	9.5
DRSG 4 X 4 STERILE EA	9.75
DRSG 4 X 4 STER-WOUND CENTER	9
DRSG 4 X 4 X 12 PLY STER	3.5
DRSG 4 X 4 X 12 PLY STER-WC	2
DRSG 4X12 PICO WOUND SYSTEM	759
DRSG 4X4 AQUACELL AG HYDRAFIB	44
DRSG 4X4 AQUACELL AG HYDRAFIBE	54.5
DRSG 4X8X12 RAYTEC	15
DRSG 6X6 PICO WOUND SYSTEM	759
DRSG 6X8 PICO WOUND SYSTEM	759
DRSG ABD 8 X 7 1/2 STER EA	9.5
DRSG ABD STER 8 X 7 1/2-WOUND	9
DRSG ACTACOAT 7	89
DRSG ADAPTIC 3 X 16 EA	24
DRSG ADAPTIC 3 X 3 EA	9.5
DRSG ADAPTIC 3 X 3 STER	9
DRSG ADAPTIC 3 X 8 EA	29.5
DRSG ADAPTIC 3 X 8 STER	25
DRSG AQUACEL	28.75
DRSG AQUACEL 9CM X 15CM	8.25
DRSG AQUACEL AG 9X30CM	122.25
DRSG AQUACEL FOAM 10X10-WOUND	19.75
DRSG AQUACEL FOAM 15X20-WOUND	35.25
DRSG AQUACEL FOAM 8X8-WOUND	12
DRSG COBAN	20.25
DRSG COBAN 4IN 2084S	10.5
DRSG COBAN 6IN STERILE 1586S	20.5
DRSG COMPRESSION-PROFORE	64
DRSG CURAGEL HYDOGEL 2X3	16.5
DRSG DERMABOND TOPICAL SKIN GL	142
DRSG DERMABOND TOPICAL SKIN GL	170.5
DRSG DUODERM 2 X 4 EX THIN	37.25
DRSG DUODERM 4 X 4	22
DRSG DUODERM 4 X 4 EXTRA THI	22
DRSG DUODERM 5 X 5 SIGNADRESS	28.75
DRSG DUODERM CGF 4X4 187660 WC	13
DRSG DUODERM SIGNAL 4 X 4	18.5
DRSG DUODERM THIN 4X4	9
DRSG DUODERM THIN 4X4	10.75
DRSG EXTRA SUTURES	80
DRSG GAUZE PLAIN 1 IN	55
DRSG GAUZE PLAIN 1 IN	67.5
DRSG GAUZE PLAIN 1/2 IN	80
DRSG GAUZE PLAIN 1/2 IN-WOUND	67
DRSG GRANUFOAM MD BLACK	207.5
DRSG HEAVY DRAINAGE EA	28
DRSG IODAFORM GAUZE 1 IN	90.5
DRSG IODAFORM GAUZE 1/2 IN	58.25
DRSG IODAFORM GAUZE 2 IN	48.5
DRSG IODOFORM 5% 1/4 IN-WC	5
DRSG IODOFORM GAUZE 5% 1 IN	89
DRSG IODOFORM GAUZE 5% 1/2 IN	48
DRSG KERLIX FLUFFS	31.5
DRSG KERLIX ROLL	28
DRSG KERLIX ROLL-WC	28
DRSG LYOFOAM 4 X 4 WOUND CENTE	9
DRSG MEPILEX AG 4X4 28710	33
DRSG MEPILEX BORDER 10X10CM	14
DRSG MEPILEX BORDER 10X10CM	15.75
DRSG MEPILEX BORDER 3X3 295200	11
DRSG MEPILEX BORDER 3X3 295200	11.25
DRSG MEPITEL SILICONE	59
DRSG NASAL RAPID RHINO	245.75
DRSG OWENS 3X8	62.5
DRSG PRISMA MATRIX 4.34 SQ	49
DRSG RHINO NASAL PAC 5.5CM	104.5
DRSG RHINO NASAL PAC 7.5CM	110.25
DRSG ROPE AQUACELL HYDRAFIBER	64
DRSG SILVERCEL 4 X 4 WC	40
DRSG SPANDAGE 10 X 24	58.25
DRSG SPANDAGE 9 X 24	28
DRSG TEGADERM TRANSPARENT XLG	15
DRSG TELFA EA 3 X 4	9.5
DRSG TELFA EA 3 X 8	9.5
DRSG TRANSP TEGADERM 4 X 5 1/2	5
DRSG TRANSPARENT 2 X 3	9.5
DRSG UNA BOOT	48.75
DRSG VAG PACKING	95.5
DRSG VASELINE GAUZE 1/2 X 72	22
DRSG VASELINE GAUZE 3 X 9	18.5
DRSG XERO FORM 1 X 8	13.5
DRSG XERO FORM 5 X 9	18.5
DRUG SCR 10 PANEL-MHC	59.25
DRUG SCR COURT 10	171.25
DRUG SCR DOT SEND OUT	59.25
DRUG SCR NON DOT SEND OUT	59.25
DRUG SCR,URINE 7 PANEL CORP	59.25
DRUG SCREEN QUAN LAMOTRIGINE	47
DRUG SCREEN QUANT CLOZAPINE	49
DRUG SCREEN QUANT EVEROLIMUS	82.5
DRUG SCREEN QUANT ZONISAMIDE	47.25
DRUG SCRN QUAN LEVETIRACETAM	47
DRUG SCRN QUAN MYCOPHENOLATE	47
DRUG SCRN QUANT OXCARBAZEPIN	63.75
DRUG TEST DEF 1-7 CLASSES	147.75
DRUG TEST DEF 8-14 CLASSES	147.75
DRUG TEST PRSMV CHEM ANLYZR	147.75
DRUG TEST PRSMV CHEM ANLYZR	413.25
DRUG TEST PRSMV CHEM ANLYZR	472
DRUG TEST PRSMV CHEM ANLYZR	531
DRUG TEST PRSMV CHEM ANLYZR	619.75
DRUG TEST PRSMV CHEM ANLYZR	678.5
DRUG TEST PRSMV DIR OPT OBS	53.5
DT VACCINE UNDER 7 YRS IM	143.75
DUCTOGRAM MAM SINGLE DUCT PR-E	1,391.75
DUCTOGRAM MAMM MULTIDUCT PRO-E	2,160.25
DUPLEX A IVC IL/BPG; COMPL	726.75
DUPLEX EXT VEINS; BILAT	956
DUPLEX EXT VEINS; UNIL/LIMIT	753.75
DUPLEX LE ART/BPG; BILAT	1,050.50
DUPLEX LE ART/BPG; UNIL/LIMIT	619
DUPLEX UE ART/BPG; BILAT	807.5
DUPLEX UE ART/BPG; UNIL/LIMIT	502.25
DX BONE MARROW ASPIRATIONS	1,658.50
DX BONE MARROW BIOPSIES	1,658.50
DX MAMMO INCL CAD BI	519.75
DX MAMMO INCL CAD BI	638.75
DX MAMMO INCL CAD UNI	519.75
DX PAP SMR; AUTOM SCRN	43
DXA BONE DENSITY AXIAL 1+ SITES	622.5
DXA BONE DENSITY/PERIPHERAL 1+ SITES	132
EBUS-BRONCH W/ ENDOBRONCH US	6,414.75
EBVCA IGG IGM EVALUATR SEND-E	196.75
ECG UP TO 48 HRS RECORDING	859.25
ECG UP TO 48 HRS SCANNING ANALYSIS REPORT	842.25
ECHELON STAPLER / CUTTER EC60A	1,120.00
ECHO EXAM OF ABDOMEN	1,256.25
ECHO EXAM OF HEAD	1,358.00
ECHO TRANSESOPHAGEAL COMPLETE	977.25
EEG 41-60 MINUTES	1,371.75
EEG AWAKE & ASLEEP	1,678.00
EEG AWAKE & DROWSY	1,434.75
EEG COMA OR SLEEP ONLY	1,486.00
EEG OVER 1 HOUR	1,555.25
EGD DIAGNOSTIC BRUSH WASH	2,304.25
EGD DILATATION W BALLON	2,453.75
EGD DILATATION W BALLON-MAB	2,453.75
EGD GAST	1,785.50
EGD GAST-MAB	1,785.50
EGD PLUS DIL ACH	2,300.25
EGD PLUS DIL ESO STRICTURE	2,531.00
EGD REMOVAL FB	2,453.75
EGD REMOVAL FB-MAB	2,453.75
EGD W BANDING	2,453.75
EGD W BANDING-MAB	2,453.75
EGD W BIOPSY	3,027.00
EGD W BIOPSY-MAB	3,027.00
EGD W BLEED CONTROL	2,453.75
EGD W BLEED CONTROL-MAB	2,453.75
EGD W DILATORS	2,453.75
EGD W DILATORS-MAB	2,453.75
EGD W FEEDING TUBE	1,481.25
EGD W FEEDING TUBE-MAB	1,481.25
EGD W POLYPECTOMY	3,027.00
EGD W POLYPECTOMY-MAB	3,027.00
EGD W STENT PLACEMENT	5,284.25
EGFR GENE COM VARIANTS	511
ELBOW ARTHROGRAM	935
ELBOW ARTHROGRAM INJ	580
ELECTRIC CURRENT THERAPY EA 15 MINS	12.75
ELECTRIC CURRENT THERAPY EA 15 MINS	187
ELECTRICAL STIMULATION EA 15 MINS	14
ELECTRICAL STIMULATION EA 15 MINS	205
ELECTRODE ADULT SPLIT ARTHREX	74.5
ELECTRODE CLEARVAC 60-6829-005	89.75
ELECTRODE RESECTOSCOPE ROLLER	614
ELECTROLYTE PANEL	149
ELECTROLYTES STOOL(NA,K,CL)-E	123.75
ELECTROPHORESIS NES	106
EMERG DIALYSIS ESRD PT	1,084.50
EMERGENCY DEPT VISIT	312.25
EMERGENCY DEPT VISIT	557
EMERGENCY DEPT VISIT	1,013.50
EMERGENCY DEPT VISIT	1,614.50
EMERGENCY DEPT VISIT	2,433.75
EMPLOYEE PUNCTURE PROFILE-E	466.25
EMPLOYEE PUNCTURE-E	1,040.00
ENA ANY METHOD	59.75
ENA ANY METHOD	415.25
ENDO CATH – BIL & PANCR D	1,613.50
ENDO CLIP APPLIER 5MM EL5ML	855.5
ENDO CUTTER 60MM LONG	2,005.25
ENDO DR FOG PREVENTION KIT	17
ENDO LINEAR CUTTER 45 MM ATS45	1,255.25
ENDO LOOP O-VICRYL	66.25
ENDO RELOAD 45MM	386.75
ENDO RELOAD 45MM BLUE	386.75
ENDO RELOAD 45MM BLUE TR45B	1,210.75
ENDO RELOAD 45MM WHITE TR45W	1,210.00
ENDO RETRIEVAL POUCH 5MM	199.25
ENDO TRUMPET TUBING	135.5
ENDO W ABLATION DUODENUM	2,453.75
ENDO W ABLATION DUODENUM-MAB	2,453.75
ENDO W BLEED CONT DUODENUM	2,453.75
ENDO W BLEED CONT DUODENUM-MAB	2,453.75
ENDO W BLEED CONT ILEUM	2,453.75
ENDO W BLEED CONT ILEUM-MAB	2,453.75
ENDO W BLEED CONT UPPER GI	2,453.75
ENDO W BLEED CONT UPPER GI-MAB	2,453.75
ENDO W THERMAL TX UPPER GI	3,186.50
ENDO W THERMAL TX UPPER GI-MAB	3,186.50
ENDO-CATCH SPECIMEN POUCH	1,366.25
ENDOSCOPY-EXT. OBSERVATION.	238.75
ENDOSCRUB2 SHEATH 30D.19-1201	248
ENDOSCRUB2 SHEATH O D.19-12000	279.5
ENDO-STAPLE CLIP	321.75
ENDOSTITCH 2-0 POLYSORB 170053	277.5
ENTEROSCOPY	2,147.00
ENTEROSCOPY-MAB	2,147.00
ENTEROVIRUS PROBE&REVRS TRNS	96.25
ENZYME ACTIVITY BC; NOT RA	67.5
ENZYME ACTIVITY BC; NOT RA	206.75
ENZYME HISTOCHEMISTRY	609.5
EP INTRACARD FIX-CURVE GUIDNG INTROD/SHEATH	109.5
EPIDISC TM PERF PATCH KIT	560
EPIFIX 1 SQ CM	559
EPIFIX 1 SQ CM	1,117.00
EPIFIX 1 SQ CM	1,675.00
EPIFIX 1 SQ CM	2,233.00
EPIFIX 1 SQ CM	3,419.00
EPIFIX 1 SQ CM	4,465.00
EPIFIX 1 SQ CM	5,023.00
EQUIP GAYMER THERMIA UNIT-ER	264.25
EQUIP K-PAD WITH MOTOR SETUP	234.5
EQUIP SCD SLEEVE SET UP	272.5
EQUIP-BLOOD WARMER-ER	223.25
EQUIP-HARMONIC SCALPEL	392.25
EQUIP-I/A CAVITRON	254.25
ER PARACENTESIS	694.75
ERYTHROPOIETIN	195.5
ESOPHAGOGAS-JEJUNOSC W DIL-MAB	2,147.00
ESOPHAGOGASTRO-JEJUNOSCO W DIL	2,147.00
ESOPHAGOGASTRO-JEJUNOSCOPY	2,147.00
ESOPHAGOGASTRO-JEJUNOSCOPY-MAB	2,147.00
ESOPHAGOSCOPY W ABLATION	2,147.00
ESOPHAGOSCOPY W ABLATION-MAB	2,147.00
ESOPHAGOSCOPY W BLEED CONT	2,147.00
ESOPHAGOSCOPY W BLEED CONT-MAB	2,147.00
ESOPHAGUS-PH	1,174.00
ESOPHAGUS-PH PROLONGED	1,629.00
ESOPHOGRAM	581.75
ESOPHOSCOPY DIAG	1,562.25
ESOPHOSCOPY DIAG-MAB	1,562.25
ESTRADIOL	136.5
ESTRADIOL,FREE-E	195.25
ESTRIOL UNCONJUGATED	123.75
ESTROGENS FRACTION, SEND OUT-E	289.25
ESTROGENS; TOTAL	87.5
ESTRONE	152.75
ETHOSUXIMIDE	59.5
ETHYLENE GLYCOL	58
EVAC SU HEMATOMA	270.75
EVAL AMNIOTIC FLUID PROTEIN	133.5
EVAL OF FNA; INT & REP	249.75
EVALUATE SPEECH PRODUCTION	7.25
EVALUATE SPEECH PRODUCTION	421.25
EVALUATE SWALLOWING FUNCTION	9.5
EVALUATE SWALLOWING FUNCTION	421.25
EVALUATION OF SPEECH FLUENCY	7.25
EVALUATION OF SPEECH FLUENCY	421.25
EVALUATION OF WHEEZING	750.25
EVICEL APPLICATOR 45CM 3909	153.25
EXAM SYNOVIAL FLUID CRYSTALS	105.5
EXC FACE-MM B9+MARG 1.1-2 CM	1,329.75
EXCHANGE NEPHROSTOMY CATH	2,009.75
EXHALED NITRIC OXIDE MEAS	78.25
EXPL KNEE W DRAIN/REM FB	3,355.00
EXPL P WND; EXTREM	3,033.25
EXPL/REM FB IPH JOINT EA	1,770.50
EXTENSOR TENDON REPAIR EACH	3,237.25
EXTERNAL PACEMAKER-ICU	148.5
EXTERNAL PACEMAKER-PCU	148.5
F18 FDG =< 45 MCI	194.5
F2 GENE	185.25
F5 GENE	172
FACTOR 8 VWF MULTIMRIC	124.25
FACTOR INHIBITOR TEST	52
FANCC GENE	47.25
FAT/LIPIDS FECES; QUAL	60.5
FAT/LIPIDS FECES; QUAN	98.5
FATTY ACIDS NONESTERIFIED	128.75
FBP W NON-STRESS TEST	2,196.00
FBP WO NON-STRESS	1,664.50
FECAL LEUKO CNT QUAL/SEMIQUAN	52.25
FEM 60/ROD 3.2	416.5
FEM GD/ROD 2.4 SMOOTH	187.25
FEMORAL N BLOCK SGL	1,424.25
FEMORAL N BLOCK SGL	2,136.50
FERRITIN	175.5
FETAL CONTRACTION STRESS TEST	964.75
FETAL FIBRONECTIN CV SEMIQUAN	415
FETAL HGB SCREENING TEST	24
FETAL NON-STRESS TEST	772.25
FFP THAWING EA UNIT	247
FIBERSTICK #2 AR-7209	267.5
FIBERWIRE #2 1BLUE/1WHITE	118.25
FIBERWIRE #2 W/BLUE TAPERED	118.25
FIBRIN SEALANT EVICEL #3907	1,519.00
FIBRINOGEN EVAL PROFILE-E	333.75
FIBRINOGEN PANEL-E	90.5
FIBRINOGEN; ACTIVITY	36.5
FIBRINOGEN; ANTIGEN	54.25
FILSHIE CLIP	338.5
FIRST RESPONDER EXPOSURE-E	201.25
FISH CHARCKOT-E	481.25
FISH MICRODELETION-E	216.75
FISH NO CULTURE-E	896.25
FISTULAGRAM PROFILE-E	1,722.00
FLEXI-SEAL FECAL MANAGEMENT KI	2,458.25
FLOSEAL HEMOSTATIC SEALANT	738.25
FLOW CYTOMETRY EA ADDTL MARKER	62.5
FLOW CYTOMETRY EA ADDTL MARKER	374
FLOW CYTOMETRY EA ADDTL MARKER	498.75
FLOW CYTOMETRY PNH PANEL-E	1,216.00
FLOW CYTOMETRY TC 1ST MARKER	287.5
FLT3 PANEL-E	352.75
FLUORESCENT AB; SCRN EA AB	67.25
FLUORESCENT AB; SCRN EA AB	201.25
FLUORESCENT AB; TITER EA AB	51.75
FLUORESCENT AB; TITER EA AB	154.5
FLUOROGUIDE FOR SPINE INJECT	186.25
FLUOROGUIDE FOR VEIN DEVICE	1,075.50
FLUOROSCOPE EXAM EXTENSIVE	859.25
FLUOROSCOPY <1 HR PHYS/QHP	486.25
FMR1 GENE DETECTION	273.5
FNA BX W/O IMG GDN 1ST LES	423
FNA W/IMAGE	1,872.25
FOLATE, RBC SEND OUT-E	81
FOLEY TRAY SURE TEMP	95.25
FOLIC ACID; RBC	59.75
FOLIC ACID; SERUM	212
FOOT COVER LG AV IMPULSE 5075	417
FOOT COVER MD AV IMPULSE 5065	417
FORCE TRIVERSE DEVICE	167.5
FORCEPS COLD 000569	58.25
FORCEPS RADIAL JAW 1524	167.5
FORESKIN MANIPULATION	318.75
FREE INSULIN	100.25
FREE K+L LT CHAINS SEND OUT-E	492.25
FREE L/HIP GUIDE PIN THREADED	43.75
FREE THYROXINE	149.75
FREE THYROXINE INDEX-E	57.25
FRESH FROZEN PLASMA THAW-PAN-E	488
FUNGAL AB BY CF-E	339.75
FUNGUS CULTURE BLOOD	29.5
FUNGUS CULTURE DEF I.D YEAST	80.75
FUNGUS CULTURE DEF ID MOLD	98.75
FUNGUS CULTURE NOT BLOOD	29.5
FUNNEL KELLER KS-001	486.5
G-6-PD AND RBC PANEL SEND OU-E	180.75
G6PD; QUAN	159.5
GAD-BASE MR CONTRAST NOS PER 1 ML	24.25
GAIT TRAINING THERAPY EA 15 MINS	140
GALACTOSE	102.75
GARDNERELLA DIR NA PROBE	62.5
GASTRIC EMPTYING IMAG STUDY	1,437.75
GASTRIC REFLUX SCAN	1,607.00
GASTRIN	213.25
GAUZE <=16 IN NO W/SAL W/O B	30
GELPORT ACCESS DEVICE C8XX2	1,892.75
GENET VIRUS ISOLATE HSV	75.5
GENOTYPE DNA HEPATITIS B	476.5
GENTAMICIN	142
G-ESOPH REFLUX W MUCOSAL PH	1,856.50
GI TRACT CAPSULE ENDOSCOPY	3,912.25
GIARDIA & CONCENTRATION-E	132.5
GIARDIA AG BY IF	69.5
GLIADIN ANTIBODIES SEND OUT-E	134.5
GLIDE SHEET FOR IOL	5
GLOBULIN PROFILE-E	112.5
GLUCAGON	55.25
GLUCOSE BODY FLUID NOT BLOOD	61.75
GLUCOSE TOLERANCE 2 HR-E	275
GLUCOSE TOLERANCE TEST (GTT) 3 SPECM	180
GLUCOSE; BLD BY MONITOR DEVICE	54.5
GLUCOSE; POST GLUCOSE DOSE	164
GLUCOSE; QUAN BLOOD	44.75
GLUTAMYLTRANSFERASE GAMMA	70.75
GLUTATHIONE	73.25
GLYCATED PROTEIN	83.25
GLYCOSYLATED HEMOGLOBIN TEST	114
GOLF EVALUATION (1)-M52	151.75
GONADOTROPIN; FSH	289.75
GONADOTROPIN; LUTEINIZING HORMONE	344.75
GOWN XX-LG MICROCOOL 92056	47.5
GRAFT ALLOMATRIX C PUTTY	2,882.75
GRAFT ALLOMATRIX INJ PUTTY	3,417.00
GROWTH HORMONE HUMAN	232.75
GRP NUTRITION THERAPY; EA 30M	22.5
GTT-ADDED SAMPLES	95.25
GUIDE CATHET FLUID DRAINAGE	1,219.25
GUIDE WIRE	106.25
GUIDE WIRE	108.25
GUIDE WIRE	131
GUIDE WIRE	162.5
GUIDE WIRE	165.5
GUIDE WIRE	165.75
GUIDE WIRE	303.25
GUIDE WIRE	315.5
GUIDE WIRE	440
GYN/SCOPE PACK CS/5	117.75
H PYLORI (C-13) BREATH TEST	164.75
H PYLORI DRUG ADMIN	24.5
H PYLORI IGG IGM IGA SEND OU-E	212
HAMS; AUTO SCRN EA	93.25
HANDLING FEE-QUEST	8.75
HANDPIECE,ECHELON FLEX	1,035.25
HAPTOGLOBIN; QUAN	127.5
HARMONIC SHEARS & 7 DEVICE	2,349.25
HARMONIC SHEARS ACE36E	2,573.00
HBA1/HBA2 GENE	321.75
HBG; METHEMOGLOBIN QUAN	158.5
HBV CORE AB IGG/IGM-E	186.75
HCG; QUAL	128.5
HCG; QUAN	29.75
HCV FIBROSURE-E	654.75
HCV GENOSURE-E	1,033.50
HCV NSSA RESISTANCE-E	1,033.50
HEAVY METAL PANEL 5 TESTS-E	304.75
HEAVY METAL PROFILE SENDOUT-E	284.5
HEAVY METAL PROFILE UA-E	254.25
HEAVY METAL QUANT EACH NES	223
HEEL BOOT MED HCB204ML	187.75
HELICOBACTER PYLORI CULTURE-E	80.25
HEMATOCRIT	21.25
HEMODIALYSIS ONE EVALUATION	968
HEMOLYSINS/AGGLUTININS	93.25
HEMORROIDECTOMY	2,512.50
HEMORROIDECTOMY-MAB	2,512.50
HEPARIN ASSAY	135.5
HEPATIC FUNCTION PANEL	162.75
HEPATITIS A ANTIBODY	175
HEPATITIS A IGM ANTIBODY	105.5
HEPATITIS B SCREEN-MH-E	411.5
HEPATITIS B SURFACE AG IA	144.25
HEPATITIS BE AG IA	46.5
HEPATITIS BE ANTIGEN/AB-E	126.5
HEPATITIS C – DNA OR RNA	697.75
HEPATITIS C AB	123.5
HEPATITIS C CONFIRMATION	66
HEPATITIS C PROBE&RVRS TRNSC	78.25
HEPATITIS C REVRS TRNSCRPJ	308
HEPATOBIL SYST IMAGE W/DRUG	2,384.00
HEPATOBILIARY SYSTEM IMAGING	2,384.00
HEP-B AMPLIF NA PROBE	83.25
HEP-B NA QUAN	284.75
HERPES S AMPLIF NA PROBE	91
HERPES S AMPLIF NA PROBE	181.75
HERPES SIMPLEX VIRUS I,II-E	285
HEXA GENE	167.75
HEXAGNAL PHOSPH PLTLT NEUTRL	23.5
HFE GENE	502.25
HGB CHROMATOGRAPHY	98.75
HGB FRAC PROFILE SEND OUT-E	171.25
HGB; PLASMA	45
HGH AB	63.5
HIP (D) FEM HEAD 28MM 01.5 GR	2,772.25
HIP (D) FEM HEAD 28MM 05.0 BR	2,771.00
HIP (D) FEM HEAD 28MM 08.5 BL	2,771.00
HIP (D) SUMMIT STEM STD SIZE 5	16,728.75
HIP (Z) KIENCTIV NECK K	3,334.00
HIP (Z) KINECTIV FEM STEM 13.5	11,421.50
HIP (Z) KINECTIV NECK B	3,334.00
HIP (Z) KINECTIV NECK G2	3,334.00
HIP (Z) KINECTIV STEM SIZE 5	11,764.00
HIP (Z) VERSYS FEM HEAD +0 32	2,258.25
HIP (Z/MOD M) BIPOL SHELL 42MM	2,428.00
HIP (Z/MOD M) BIPOL SHELL 43M	2,357.50
HIP (Z/MOD M) BIPOL SHELL 44	2,241.75
HIP (Z/MOD M) LINER 42/43	1,495.75
HIP (Z/MOD M) LINER 44/45/46	1,495.00
HIP (Z/MOD M) LINER 47/48/49	1,495.00
HIP (Z/MOD M) LINER 50/51/52	1,495.00
HIP (Z/MOD M) LINER 53/54/55	1,451.00
HIP ARTHROGRAM	1,287.00
HIP ARTHROGRAPHY INJ WO ANESTH	672.5
HIP LONGEVITY LINER STND 32 56	3,993.00
HIP SHELL TRAB POR CLUSTER 50	4,135.75
HIP SHELL TRAB POR CLUSTER 52	4,259.75
HIP SHELL TRAB POR CLUSTER 56	7,780.25
HIP SHELL TRAB POR CLUSTER 58	4,259.75
HIP SHELL TRABECUALR METAL 60	4,135.75
HIP SHELL TRABECULAR METAL 54	4,259.75
HIP TRIL LINER 10 DEG 32MM	2,841.50
HIP TRILOGY 32MM STND 50/52/5	3,196.50
HISTAMINE	91
HISTOCHEMICAL STAINS ADD-ON	77.5
HISTOPLASMA AB 3 TEST PANEL-E	245.75
HISTOPLASMA CAPSUL AG IA	142.5
HIV CONFIRMATION 1 & 2-E	87.5
HIV-1 AG W/HIV-1 & HIV-2 AB	117.75
HIV-1 QUANT&REVRSE TRNSCRPJ	999.75
HIV-1/HIV-2 SINGLE RESULT	57
HLA I TYPING 1 ANTIGEN LR	209.25
HLA II TYPE 1 AG EQUIV LR	387
HLA II TYPING 1 ALLELE HR	400
HLA II TYPING 1 LOC HR	436.25
HLA II TYPING AG EQUIV LR	473.25
HOCM <=149 MG/ML IODINE. 1ML	9.25
HOME SLEEP TEST/TYPE 3 PORTA	743.5
HOMOGENIZ TISS FOR CULTURE	71
HOSPITAL OBSERVATION PER HR	169.25
HOSPITAL OUTPT CLINIC VISIT	115
HOT OR COLD PACKS THERAPY 1+ AREAS	109.25
HPYLORI STOOL IA	182.5
HSV 1 & 2 AB IGG-E	223.5
HSV 1/2 PCR SEND OUT-E	182
HSV AND VZV PCR PANEL-E	273
HT MUSCLE IMAGE SPECT MULT	6,095.75
HT MUSCLE IMAGE SPECT SING	2,526.75
HTA UTERINE ABLATION SYSTEM	3,692.00
HUMAN EPIDIDYMIS PROTEIN 4	88.5
HYDRATE IV INFUSION ADD-ON	293.5
HYDRATION IV INFUSION INIT 31-60 MINS	513.5
HYDROGEL DRSG GEL FILLER	107.75
HYDROXYPROGESTERONE 17-D	95
HYPERSENSITIVITY PNEUMO-E	307.5
HYPOXIA RESPONSE CURVE	316
HYSTEROGR/SIS CONTR/SALINE INJ	511.75
HYSTEROSALPINGOGRAM	1,505.25
HYSTEROSALPINGOGRAM PROFILE-E	2,017.00
I & D EPIDIDYMIS TESTIS/SCROTAL SP	2,911.75
I & D OF BARTHOLIN’S GLAND ABSCESS	1,072.75
I & D OF VULVA OR PERINEAL ABSCESS	537.5
I&D ABSC; COMPL OR MULTI	1,046.50
I&D ABSC; SMPL OR SGL	187
I&D ABSC; SMPL OR SGL	996.5
I&D ABSCESS; PERITONSILLAR	1,235.75
I&D CPLX POSTOP WND INF	2,882.00
I&D HEMATOMA/FLUID	1,353.00
I&D HEMATOMA/FLUID	2,933.75
I&D OF SUBMUCOSAL ABSCESS; RECTUM	2,164.75
I&D PILONID CYS; SMPL	1,552.75
I&D; PERIANAL ABSCESS	1,433.75
I&D; PERIRECTAL OR ISCHIAL ABSCESS	2,965.75
I131 IODIDE CAP RX PER 1 MCI	56
IA INFECTIOUS AGENT AB QUAN	65
IA INFECTIOUS AGENT AB QUAN	908.5
IA INFECTIOUS AGENT AB QUAN	1,492.50
IA INFECTIOUS AGENT SGL STEP	122
IA QUANT; CA 125	88.5
IA QUANT; CA 15-3 (27.29)	88.5
IA QUANT; CA 19-9	88.5
IA; OTHER TUMOR AG QUAN EA	136.5
ID; GEL QUAL; EA AB/AG	111.5
IGG 1 2 3 OR 4 EACH	72.5
IGG SUBCLASSES 1-4 SEND OUT-E	330
IGH GENE REARRANGE AMP METH	366.5
IGK REARRANGEABN CLONAL POP	275.5
ILESOSCOPY	1,087.25
ILESOSCOPY-MAB	1,087.25
IMAGE CATH FLUID COLXN VISC	1,566.75
IMAGE CATH FLUID PERI/RETRO	1,566.75
IMMOB ARM SHOULDER UNIV	72.5
IMMUNE COMPLEX ASSAY;	47.5
IMMUNE COMPLEX ASSAY;	94.5
IMMUNFIX E-PHORSIS/URINE/CSF	123.5
IMMUNIZATION ADM; EA ADDTL VACCINE	54.5
IMMUNIZATION ADMIN 1 VACCINE	133
IMMUNIZATION ADMIN 1 VACCINE	133.5
IMMUNOASSAY NONANTIBODY	67.25
IMMUNOASSAY NONANTIBODY	134.25
IMMUNOASSAY NONANTIBODY	268.25
IMMUNOASSAY QUANT NOS NONAB	56
IMMUNOASSAY QUANT NOS NONAB	167.75
IMMUNOASSAY QUANT NOS NONAB	279
IMMUNOASSAY QUANT NOS NONAB	446.25
IMMUNOFLUOR ANTB 1ST STAIN	287.5
IMMUNOFLUOR ANTB ADDL STAIN	40.25
IMMUNOFLUOR ANTB ADDL STAIN	160.5
IMMUNOGLOBULINS (G,A,M)-E	119.75
IMMUNOHISTO ANTB 1ST STAIN	456.5
IMPACT TOOTH REMOV SOFT TISS	2,177.25
IMPL INDWELLING PORT	847.25
IMPL INDWELLING PORT	2,426.50
IMPL INDWELLING PORT	3,270.50
IMPL INDWELLING PORT	3,346.75
IMPL NEUROSTIM LEAD TEST KIT	2,229.75
IMPLANTABLE TISSUE MARKER	2,948.00
IN111 CAPROMAB =< 10 MCI	4,622.50
INC & REM FB SQ; SMPL	358.75
INC/REPL SPINE NSTIM PG/RCVR	75,936.75
INCISE THROMBOSED HEMORRHOID EXT	433.25
INDWELLING CATHETER FOLEY TYPE	33.25
INDWELLING CATHETER FOLEY TYPE	41
INDWELLING CATHETER FOLEY TYPE	45.5
INDWELLING CATHETER FOLEY TYPE	52.25
INDWELLING CATHETER FOLEY TYPE	61.75
INDWELLING CATHETER FOLEY TYPE	101.75
INF BURSA I&D – UA/ELBOW	2,136.50
INFLAM BOWEL DIS PANEL SEND-E	155
INFLIXIMAB/ANTIINFLIXIMAB AB-E	128.25
INFLU A/H1N1 SEND OUT-E	359
INFLUENZA A/B AB-E	114
INFLUENZA DNA AMP PROBE	304.75
INFLUENZA IA W DO	214.5
INFLUENZA VIRUS A AN B PCR-E	609.5
INFRARED THERAPY 1+ AREAS	29.75
INHIBIN A	81
INIT NUTRITION THERAPY; EACH 15M	68.5
INIT TX 1ST DEGR BURN	205.5
INJ ANESTH ; GREATER OCCIPITAL NERVE	648.75
INJ ANESTH ; GREATER OCCIPITAL NERVE	1,297.25
INJ ANESTH; FACIAL NERVE	740.25
INJ ANESTH ; TRIGEMINAL NERVE	648.75
INJ ANESTH ; VAGUS NERVE	648.75
INJ ANESTH; AXILLARY NERVE	1,794.00
INJ ANESTH; AXILLARY NERVE	2,690.75
INJ ANESTH; CELIAC PLEXUS	1,794.00
INJ ANESTH; CERVICAL PLEXUS	1,424.25
INJ ANESTH; INTERCOST NRV MULTI/REGION	1,794.00
INJ ANESTH; INTERCOSTAL NERVE SGL	1,424.25
INJ ANESTH; LUMB/THOR (SYMPATHETIC)	1,794.00
INJ ANESTH; OTHR PERIPHERAL NRV/BRANCH	1,424.25
INJ ANESTH; PHRENIC NERVE	1,794.00
INJ ANESTH; PUDENDAL NERVE	1,794.00
INJ ANESTH; SPHENOPALATINE GANGLION	648.75
INJ ANESTH; STELLATE GANGLION	1,794.00
INJ ANESTH; STELLATE GANGLION	2,371.50
INJ ANESTH; SUPRASCAPULAR NERVE	1,424.25
INJ ANESTH; SUPRASCAPULAR NERVE	2,136.50
INJ EPIDURAL BLOOD OR CLOT PATCH	1,424.25
INJ FOR CYSTOGRAM	1,122.25
INJ FOR SIALOGRAPHY	494
INJ FORAMEN EPIDURAL ADD-ON	844
INJ FORAMEN EPIDURAL ADD-ON	844.25
INJ FORAMEN EPIDURAL ADD-ON	1,266.50
INJ FORAMEN EPIDURAL C/T	1,794.00
INJ FORAMEN EPIDURAL C/T	2,371.50
INJ FORAMEN EPIDURAL L/S	1,794.00
INJ FORAMEN EPIDURAL L/S	2,690.75
INJ NEUROLYTIC; EPIDURAL CERV/THORACIC	1,794.25
INJ NEUROLYTIC; EPIDURAL LUMB/CAUDAL	1,794.25
INJ NEUROLYTIC; SUBARACHNOID	1,794.25
INJ PARAVERT F JNT C/T 1 LEV	1,794.00
INJ PARAVERT F JNT C/T 1 LEV	2,371.50
INJ PARAVERT F JNT C/T 2 LEV	915.25
INJ PARAVERT F JNT C/T 2 LEV	1,829.50
INJ PARAVERT F JNT C/T 3 LEV	915.25
INJ PARAVERT F JNT C/T 3 LEV	1,829.50
INJ PARAVERT F JNT L/S 1 LEV	1,794.00
INJ PARAVERT F JNT L/S 1 LEV	2,690.75
INJ PARAVERT F JNT L/S 2 LEV	915.25
INJ PARAVERT F JNT L/S 2 LEV	1,829.50
INJ PARAVERT F JNT L/S 3 LEV	915.25
INJ PARAVERT F JNT L/S 3 LEV	1,829.50
INJ SGL TENDON SHTH OR LIGAMENT	648.75
INJ TENDON ORIGIN/INSERT	648.75
INJ TRIGGER POINT 1/2 MUSCL	648.75
INJECT TRIGGER POINTS 3/>	648.75
INJECTION FOR CHOLANGIOGRAM	3,839.00
INJECTION FOR KNEE X-RAY	561
INJECTION INTO SKIN LESIONS =<7	427.75
INS NON-TUNNEL CV CATH 5 YRS/>	2,512.00
INS PACK FOR NON-OB VAG HEMORRHAGE	264.25
INS TEMP BLADDER CATH	473.25
INSERT CERVICAL DILATOR	605
INSERT BLADDER CATHETER	212.25
INSERT CATH PLEURA W/ IMAGE	918
INSERT CATH PLEURA W/O IMAGE	1,790.25
INSERT ELECTRD/PM CATH SNGL	9,739.00
INSERT O2 THERMO CATH-ICU	1,215.00
INSERTER-DILAMEZINSERT	141.75
INSERTION OF CHEST TUBE	1,953.75
INSITU HYBRIDIZATION (FISH)	142.25
INSJ PICC <5 YR W/O IMAGING	1,311.25
INSJ PICC 5 YR+ W/O IMAGING	2,441.75
INSTRUMENT-SINGLE	54.5
INSULIN AB	86.5
INSULIN,FREE AND TOTAL-E	158.25
INSULIN; TOTAL	58.25
INSULIN; TOTAL	173.75
INTEGRATED INFUSION SYSTEM 506	186.25
INTEGRATED SCREEN 2 SEND OUT-E	381.25
INTEGUSEAL MICROBIAL SEALANT	185.5
INTERCEED GAUZE 3X4	888.5
INTERROG EVL PM/LDLS PM IP	84.5
INTMD WND REPAIR FACE/MM =< 2.5 CM	417
INTMD WND REPAIR FACE/MM 2.6-5.0 CM	418.25
INTMD WND REPAIR FACE/MM 7.6-12.5 CM	2,664.50
INTMD WND REPAIR N-HF/GENIT	608.25
INTMD WND REPAIR N-HF/GENIT	1,737.50
INTMD WND REPAIR N-HF/GENIT =< 2.5 CM	1,433.75
INTMD WND REPAIR S/A/T/EXT	376
INTMD WND REPAIR S/A/T/EXT	774.25
INTMD WND REPAIR S/A/T/EXT	853.25
INTMD WND REPAIR S/TR/EXT 7.6-12.5 CM	813
INTRINSIC FACTOR AB	92.75
INTRO NDL ICATH UPR/LXTR ART	2,638.75
INTRO/SHEATH NON-LASER	117.5
INTRO/SHEATH NON-LASER	357.5
INTROD LONG GI TUBE	852
INTRODUCER SUPRAPUBIC CATH16FR	80
INTUBATION ET EMERGENT	1,270.25
IO MAP OF SENT LYMPH NODE	468.75
IODINE I-123 SOD IODIDE PER 100 UCI TO 999 UCI	338.25
IOL ALCON	441.25
IRIS FLEXIBLE RET. GRIESHABER	489.75
IRON	55.75
IRON BINDING CAPACITY	86
IRON/TIBC-E	141.75
IRRIG DRUG DELIVERY DEVICE	418
IRRIGATE CORPORA CAVERNOSA FOR PRIAPISM	1,808.00
ISLET CELL AB	114.25
IV 1.5 DIALYSIS 2500 CC	65.75
IV 1.5 DIALYSIS 3 LITER	57.75
IV 2.5 DIALYSIS 2500 CC	35.5
IV 2.5 DIALYSIS 3 LITERS	65.75
IV 2B7116 ST H20 2000 ML	47
IV 4.25 DIALYSIS 2500 CC	40
IV LOW CALCIUM 1.5 DIANEAL	145
IV LOW CALCIUM 2.5 DIANEAL	149.75
IV SOLUTION-OR (ANES)	21.5
IVP W/WO TOMO/KUB	1,397.50
JAK2 GENE	311.25
JOHN CUNNINGHAM ANTIBODY	47
JOINT DEVICE (IMPLANTABLE)	1,215.75
JOINT DEVICE (IMPLANTABLE)	1,460.75
JOINT DEVICE (IMPLANTABLE)	1,910.00
JOINT DEVICE (IMPLANTABLE)	1,992.50
JOINT DEVICE (IMPLANTABLE)	2,092.00
JOINT DEVICE (IMPLANTABLE)	2,176.00
JOINT DEVICE (IMPLANTABLE)	2,176.25
JOINT DEVICE (IMPLANTABLE)	2,192.50
JOINT DEVICE (IMPLANTABLE)	2,215.50
JOINT DEVICE (IMPLANTABLE)	2,241.50
JOINT DEVICE (IMPLANTABLE)	2,241.75
JOINT DEVICE (IMPLANTABLE)	2,284.75
JOINT DEVICE (IMPLANTABLE)	2,357.50
JOINT DEVICE (IMPLANTABLE)	2,362.50
JOINT DEVICE (IMPLANTABLE)	2,433.50
JOINT DEVICE (IMPLANTABLE)	2,637.75
JOINT DEVICE (IMPLANTABLE)	2,696.50
JOINT DEVICE (IMPLANTABLE)	2,757.25
JOINT DEVICE (IMPLANTABLE)	2,840.25
JOINT DEVICE (IMPLANTABLE)	2,856.00
JOINT DEVICE (IMPLANTABLE)	2,921.25
JOINT DEVICE (IMPLANTABLE)	2,941.50
JOINT DEVICE (IMPLANTABLE)	3,196.50
JOINT DEVICE (IMPLANTABLE)	3,306.00
JOINT DEVICE (IMPLANTABLE)	3,334.00
JOINT DEVICE (IMPLANTABLE)	3,408.00
JOINT DEVICE (IMPLANTABLE)	3,807.75
JOINT DEVICE (IMPLANTABLE)	4,230.25
JOINT DEVICE (IMPLANTABLE)	4,235.25
JOINT DEVICE (IMPLANTABLE)	4,259.75
JOINT DEVICE (IMPLANTABLE)	4,270.75
JOINT DEVICE (IMPLANTABLE)	4,323.25
JOINT DEVICE (IMPLANTABLE)	4,639.00
JOINT DEVICE (IMPLANTABLE)	4,663.50
JOINT DEVICE (IMPLANTABLE)	4,663.75
JOINT DEVICE (IMPLANTABLE)	4,668.75
JOINT DEVICE (IMPLANTABLE)	4,706.00
JOINT DEVICE (IMPLANTABLE)	4,721.00
JOINT DEVICE (IMPLANTABLE)	4,935.50
JOINT DEVICE (IMPLANTABLE)	5,106.00
JOINT DEVICE (IMPLANTABLE)	5,252.25
JOINT DEVICE (IMPLANTABLE)	5,613.25
JOINT DEVICE (IMPLANTABLE)	5,617.50
JOINT DEVICE (IMPLANTABLE)	5,735.25
JOINT DEVICE (IMPLANTABLE)	6,059.00
JOINT DEVICE (IMPLANTABLE)	6,458.75
JOINT DEVICE (IMPLANTABLE)	6,617.00
JOINT DEVICE (IMPLANTABLE)	6,815.25
JOINT DEVICE (IMPLANTABLE)	7,008.00
JOINT DEVICE (IMPLANTABLE)	7,081.75
JOINT DEVICE (IMPLANTABLE)	7,089.50
JOINT DEVICE (IMPLANTABLE)	7,099.50
JOINT DEVICE (IMPLANTABLE)	8,270.75
JOINT DEVICE (IMPLANTABLE)	8,519.25
JOINT DEVICE (IMPLANTABLE)	9,137.50
JOINT DEVICE (IMPLANTABLE)	9,543.00
JOINT DEVICE (IMPLANTABLE)	9,925.25
JOINT DEVICE (IMPLANTABLE)	14,101.50
JOINT DEVICE (IMPLANTABLE)	14,103.75
JOINT DEVICE (IMPLANTABLE)	16,728.75
K FLOW/FUNCT IMAGE MULTIPLE	1,102.50
K FLOW/FUNCT IMAGE W/DRUG	1,917.00
K FLOW/FUNCT IMAGE W/O DRUG	1,917.00
K-B STAIN FOR FETAL HGB	75
KETOSTEROIDS 17; TOTAL	54.75
KIDNEY IMAGING (3D)	1,521.00
KIDNEY IMAGING MORPHOL	1,385.25
KIDNEY IMAGING WITH FLOW	926.25
KIDNEY STONE SATURATION 24HR-E	398.25
KIT GENE TARGETED SEQ ANALYS	426.25
KNEE (NEX) CR ART YLW 14MM	2,856.00
KNEE (Z/NEX) CR ART GRN 10MM	2,941.50
KNEE (Z/NEX) CR ART GRN 12MM	4,804.00
KNEE (Z/NEX) CR ART YLW 10MM	2,941.50
KNEE (Z/NEX) PATELLA 32MM	2,433.50
KNEE (Z/NEX) PATELLA 35MM	1,765.25
KNEE AC ART SURFACE 10 YEL 3/	4,235.75
KNEE AC ART SURFACE 12 GRN 5/6	2,941.50
KNEE AC ART SURFACE 12 YEL 3/4	2,941.50
KNEE AC ART SURFACE 14 GRN 5/	2,856.00
KNEE ARTHROGRAM	1,045.00
KNEE PROLONG ART BLUE 10MM C/	5,106.00
KNEE; BOTH KNEES STANDING AP	329.25
KO IMMOB CANVAS LONG PRE OTS	119.75
KOH FOR FUNGI/PARASITES/MITES	103.5
KRAS GENE VARIANTS EXON 2	358.5
K-WIRE (S) CANN 1.25 150	32
K-WIRE 1.6MM X 150MM	181.75
KWIRES (DVR) 0.062 STAINLESS	86
LABOR & DELIVERY CHARGE	6,724.25
LACTATE	215
LACTATE DEHYDROGENASE	72.5
LACTOFERRIN FECAL (QUAL)	61.75
LACTOFERRIN FECAL (QUANT)	64.25
LACTOSE TOLERANCE PROFILE-E	134.25
LAP CHOLE PACK CS/5	406
LAPROSCOPIC PROCEDURE	1,304.00
LARYNGOSCOPY TELESCOPIC	486.5
LASER FIBERGUIDE 400 DUR400DBX	1,723.25
LASER FIBERGUIDE 600 DUR600DB	1,673.50
LASER FIBERS	1,194.75
LASER FIBERS	1,520.50
LASER FIBERS	1,629.25
LDCT FOR LUNG CA SCREEN	359.25
LDH ISOENZYMES PANEL SENDOUT-E	145
LDH; ISOENZYMES	72.5
LEAD	63.25
LENS ALCON 15.0 SN60WF	182.25
LENS ALCON 22.0 SN60WF	182.25
LENS ALCON 22.5 SN60WF	182.25
LENS ALCON 23.5 SN60WF	182.25
LENS ALCON MA60AC 30.0	687.75
LENS ALCON SN60AT 12.5	751
LENS ALCON SN60AT 20.0	751
LENS ALCON SN60AT 21.0	751
LENS ALCON SN60AT 24.0	197.5
LENS ALCON SN60AT 24.5	751
LENS ALLERGAN AR40E 10.0	626.25
LENS ALLERGAN AR40E 10.5	626.25
LENS ALLERGAN AR40E 11.5	626.25
LENS ALLERGAN AR40E 14.0	626.25
LENS ALLERGAN AR40E 17.5	626.25
LENS ALLERGAN AR40E 18.0	626.5
LENS ALLERGAN AR40E 18.5	626.5
LENS INTRAOCULAR 10.0 ZCBOO	203.5
LENS INTRAOCULAR 10.5 ZCBOO	203.5
LENS INTRAOCULAR 23.0 ZCBOO	203.5
LENS-IOL MODEL AUOOTO	434.5
LEUKEMIA PHEN TRIAGE SEND-E	661.5
LEUKOCYTE ALK PHOS W COUNT	204.25
LEUKOCYTE POOR BLOOD EA UNIT	1,179.75
LHR TEST	73.75
LIGASURE MARYLAND SEALER	2,137.00
LIGASURE SMALL JAW	1,852.25
LIMITED TUMOR LOCALIZ/RP DISTRIB	966.5
LINEAR STAPLER RELOAD XR60B	538.25
LIPASE	142.5
LIPID PANEL	175.5
LIPID PROFILE PANEL-E	242.75
LIPOPROTEIN BLD HR FRACTION	238.5
LIPOPROTEIN BLD QUAN PART	87.5
LIPOPROTEIN; HDL	109.25
LITHIUM	125.5
LITHOVUE URETEROSCOPE	3,370.50
LIVER – SPECT (3D)	1,973.75
LIVER & SPLEEN; STATIC ONLY	1,374.25
LOCALIZ INFLAMM; LIMITED AREA	1,423.50
LOCM 200-299MG/ML IODINE 1ML	10
LOCM 300-399MG/ML IODINE 1ML	9.75
LOCM 300-399MG/ML IODINE 1ML	10
LOW COST SKIN SUBSTITUTE APP	179
LOW COST SKIN SUBSTITUTE APP	179
LOW COST SKIN SUBSTITUTE APP	536
LUNG PERFUSION IMAGING	1,206.50
LUNG VENTILAT&PERFUS IMAGING	3,388.00
LUPUS ANTICOAGULANT COMP PAN-E	196.25
LUPUS PROFILE-E	644.25
LUTEINIZING RELEASING FACTOR	69.5
LYME WESTERN BLOT CSF SENDO-E	322.75
LYME WESTERN BLOT SEND OUT-E	322.75
LYMES AMPLIFIED NA PROBE	108
LYMPH OR LN NM SCAN	1,705.25
LYSIS OF ADH MULTI 1 DAY	2,425.00
M PNEUM AB IGG&IGM SEND OUT-E	114
M/PHMTRC ALYS ISHQUANT/SEMIQ	164
M/PHMTRC ALYS ISHQUANT/SEMIQ	399.5
MACROSCOPIC EXAM ARTHROPOD	45.75
MACROSCOPIC EXAM PARASITE	48.25
MAG DUAL ANTIBODY SEND OUT-E	112
MAGNESIUM	83.25
MAGNETIC IMAGE BONE MARROW	3,069.25
MAJOR SUR & REC 0-30 MIN(OB)-E	4,800.50
MAJOR SUR & REC 31-60MIN(OB)-E	7,653.25
MAJOR SUR & REC 61-90MIN(OB)-E	10,556.25
MAJOR SUR & REC91-120MIN(OB)-E	13,453.00
MAJOR SURG 61- 90 MIN (OB)	9,098.00
MAJOR SURG ADDITIONAL PROC	4,114.25
MAJOR SURG EA ADD’L 1/2 HR (OB	2,886.25
MAJOR SURG&REC ADD 1/2HR(OB)-E	2,952.50
MAJOR SURG(OB) EACH ADD’L 15 M	1,444.25
MAJOR SURGER 31- 60 MIN (OB)	6,214.50
MAJOR SURGERY 91-120 MIN (OB)	11,982.75
MAJOR SURGERY 0- 30 MIN (OB)	3,330.25
MAMM BIL DIAG 3D-MDC-E	578.75
MAMM BIL DIAG 3D-MH-E	578.75
MAMM BIL SCR W BIL DIAG-MDC-E	1,113.00
MAMM BIL SCR W BIL DIAG-MH-E	1,113.00
MAMM BIL SCR W LT DIAG-MDC-E	1,113.00
MAMM BIL SCR W LT DIAG-MH-E	1,113.00
MAMM BIL SCR W RT DIAG-MDC-E	1,113.00
MAMM BIL SCR W RT DIAG-MH-E	1,113.00
MAMM BIL SCR/BIL DIAG 3D-MDC-E	1,230.50
MAMM BIL SCR/BIL DIAG 3D-MH-E	1,230.50
MAMM BIL SCR/LT DIAG 3D-MDC-E	1,230.50
MAMM BIL SCR/LT DIAG 3D-MH-E	1,230.50
MAMM BIL SCR/RT DIAG 3D-MDC-E	1,230.50
MAMM BIL SCR/RT DIAG 3D-MH-E	1,230.50
MAMM BIL SCREEN 3D-MH-E	652
MAMM BIL SCREEN3D-MDC-E	652
MAMM UNI DIAG LT 3D-MDC-E	578.75
MAMM UNI DIAG LT 3D-MH-E	578.75
MAMM UNI DIAG RT 3D-MDC-E	578.75
MAMM UNI DIAG RT 3D-MH-E	578.75
MAMM UNI SCREEN LT 3D-MDC-E	652
MAMM UNI SCREEN LT 3D-MH-E	652
MAMM UNI SCREEN RT 3D-MDC-E	652
MAMM UNI SCREEN RT 3D-MH-E	652
MAMMARY DUCT INJ	622.25
MANGANESE	99
MANGANESE,URINE-E	119.5
MANIPULATOR UTERINE VCARE LG	363
MANIPULATOR UTERINE VCARE STND	363.5
MANUAL RETICULOCYTE COUNT	77.75
MANUAL THERAPY EA 15 MINS	12
MANUAL THERAPY EA 15 MINS	173
MASS SPECTROMETRY QUAL/QUAN	86.75
MASSAGE THERAPY EA 15 MINS	11
MASSAGE THERAPY EA 15 MINS	162.25
MASTISOL LIQUID ADHESIVE VIAL	9.5
MASTOTOMY W EXPL DEEP	2,393.25
MATERNAL SCREEN 1ST TRI SEND-E	126.75
MCG; DNA PROBE EA	61.75
MCG; DNA PROBE EA	123.25
MCG; DNA PROBE EA	246.25
MCG; DNA PROBE EA	369.25
MCG; DNA PROBE EA	430.75
MCG; DNA PROBE EA	615.25
MCG; IP SITU 100-300 CELLS	155.25
MCG; IP SITU 100-300 CELLS	465.5
MCG; IP SITU 100-300 CELLS	775.75
MCG; IP SITU 25-99 CELLS	80
MCG; SITU HYBRID 10-30 CELLS	80
MDC-PLAIN FILM POSTURAL STUD-E	998.75
MDS PROFILE,FISH SEND OUT-E	401.25
MEASLES/MUMPS/RUBELLA IMMUNE-E	352.75
MECHANICAL CHEST WALL OSCILL	457
MECHANICAL TRACTION THERAPY 1+ AREAS	187
MECKELS DIVERT EXAM	1,230.50
MECONIUM DRUG SCREEN WARDE-E	138.5
MEPITEL SILICONE DRESSING-SPD	69.75
MERCURY QUAN	72.25
MERCURY,RANDOM UA-E	92.75
MESH (IMPLANTABLE)	342.5
MESH (IMPLANTABLE)	479.25
MESH (IMPLANTABLE)	621.25
MESH (IMPLANTABLE)	1,314.00
MESH (IMPLANTABLE)	1,464.75
MESH (IMPLANTABLE)	1,618.75
MESH (IMPLANTABLE)	1,893.25
MESH (IMPLANTABLE)	1,911.25
MESH (IMPLANTABLE)	2,035.00
MESH (IMPLANTABLE)	2,140.75
MESH (IMPLANTABLE)	2,266.00
MESH (IMPLANTABLE)	2,316.50
MESH (IMPLANTABLE)	2,320.25
MESH (IMPLANTABLE)	2,435.00
MESH (IMPLANTABLE)	2,766.25
MESH (IMPLANTABLE)	3,074.75
MESH (IMPLANTABLE)	4,411.00
MESH COMPOSIX LRG 13.8 X 17.8	5,795.75
MESH COMPOSIX SMALL 8CM X 12C	2,571.25
MESH PERFIX PLUG LG	805.25
MESH PERFIX PLUG MED	805.25
MESH PERFIX PLUG SMALL	805.25
MESH PERFIX PLUG X-L	803
METABOLIC PANEL TOTAL CA	208.5
METABOLIC SYNDROME PROFILE-E	252.25
METANEPHRINES	72.25
MIC CYSTOLOGY BRUSHES 60317	48.5
MIC GASTROSTOMY FOG TUBE 0100-	464
MIC PEG KIT 20FR 0160-20	464
MICRO EZ 4.5 FR	197.75
MICROBE SUSCEPTIBLE MIC	148.75
MICROEZ 6FR 7CM	197.75
MICROLINE METZENBAUM TIPS 3142	234.5
MICROSOMAL AB EACH	75.75
MIDLINE INFUSION CATH	372
MINERVA ABLATION SYSTEM	2,606.75
MINOR NURSING PROCEDURE-AC	398.75
MINOR NURSING PROCEDURE-MAB	398.75
MINOR PROC LEVEL I-AC	2,613.00
MINOR PROC LEVEL II-AC	2,961.25
MINOR SURG PROC LEVEL II-RAD	2,961.25
MINOR SURG PROC LEVEL I-RAD	2,613.00
MLH1 GENE DUP/DELETE VARIANT	259
MLH1 GENE FULL SEQ	867.25
MM PROFILE,FISH SEND OUT-E	1,206.50
MNT EA 15 M AFTER 2ND REFRL	39
MOD SED SAME PHYS/QHP <5 YRS	207
MOD SED SAME PHYS/QHP 5/>YRS	207
MOPATH PROCEDURE LEVEL 1	299.5
MOPATH PROCEDURE LEVEL 2	419
MOPATH PROCEDURE LEVEL 3	310
MOPATH PROCEDURE LEVEL 4	238
MOPATH PROCEDURE LEVEL 5	588
MOPATH PROCEDURE LEVEL 6	716.25
MOPATH PROCEDURE LEVEL 6	2,148.50
MOPATH PROCEDURE LEVEL 7	1,551.50
MOPATH PROCEDURE LEVEL 8	1,087.00
MOPATH PROCEDURE LEVEL 9	3,794.50
MOPATH PROCEDURE LEVEL 9	7,589.00
MOTION FLUORO SWALLOW FCN	9.5
MOTION FLUORO SWALLOW FCN	421.25
MRA ABD W CONTRAST	4,090.50
MRA ABD W/WO CONTRAST	4,383.00
MRA ABD WO CONTRAST	3,224.50
MRA CHEST W/WO CONTR	2,318.00
MRA W/DYE UPPER EXTREMITY	4,090.50
MRA W/O DYE UPPER EXTR	3,224.50
MRA W/O&W/DYE UPPER EXTR	4,383.00
MRA; HEAD W & WO CONTRAST	4,383.00
MRA; HEAD W CONTRAST	3,541.25
MRA; HEAD; WO CONTRAST	3,224.50
MRA; NECK W & WO CONTRAST	4,383.00
MRA; NECK W CONTRAST	4,090.50
MRA; NECK WO CONTRAST	3,546.75
MRI – LE JNT WO CONTR	3,372.00
MRI – LE JNT WO CONTR	4,836.50
MRI – LEXTREM W CONTR	4,090.50
MRI – LEXTREM WO CONTR	3,224.50
MRI ABD & PELVIS W/WO CONT-E	8,766.00
MRI ABDOMEN W & WO CONTRAST	4,383.00
MRI ABDOMEN W CONTRAST	3,718.50
MRI ABDOMEN WO CONTRAST	3,224.50
MRI BRAIN & CERVIAL W/WO CON-E	8,869.75
MRI BRAIN & OBRITS W/WO CONT-E	9,307.75
MRI BRAIN W & WO CONTRAST	4,486.75
MRI BRAIN W CONTRAST	4,090.50
MRI BRAIN W/WO & SPINAL SURV-E	17,731.75
MRI BRAIN WO CONTRAST	3,546.75
MRI BREAST BIL W CONT W CAD-E	3,285.50
MRI BREAST BIL W/WO CONTR W-E	3,594.75
MRI BREAST BILAT W CONTR	3,011.50
MRI BREAST BILAT W/WO CONTR	3,320.75
MRI BREAST C- BILATERAL	3,162.25
MRI BREAST C- UNILATERAL	2,817.50
MRI BREAST LT W CONT W CA-E	2,957.25
MRI BREAST LT W/WO CONT W CA-E	3,232.50
MRI BREAST RT W CONT W CA-E	2,957.25
MRI BREAST RT W/WO CONT W CA-E	3,232.50
MRI BREAST UNIL W CONTRAST	2,683.25
MRI BREAST UNIL W/WO CONTR	2,958.50
MRI CERV SPINE W & WO CONTR	4,383.00
MRI CERV/THOR/LUMB W/O C-E	9,673.25
MRI CERVIAL & LUMBAR W/WO CO-E	8,862.25
MRI CERVICAL & THORACIC W/WO-E	8,766.00
MRI CERVICAL/THORA/LUMB W/WO-E	13,245.25
MRI CHEST W & WO CONTRAST	4,383.00
MRI CHEST W CONTRAST	4,090.50
MRI CHEST WO CONTRAST	3,224.50
MRI GUIDANCE NDL PLMT RS&I	1,144.00
MRI LE JNT W CONTR	3,386.00
MRI LE JNT W CONTR	5,078.50
MRI LE JNT W&WO CONTR	3,555.25
MRI LE JNT W&WO CONTR	5,332.75
MRI LEXTREM W&WO CONTR	4,383.00
MRI LUMB SPINE W & WO CONTR	4,479.25
MRI OF TMJ(S)	2,790.00
MRI ORBIT/FACE/NECK W/O DYE	3,546.75
MRI ORBT/FAC/NCK W/O & W/DYE	4,821.00
MRI PELVIS W & WO CONTRAST	4,383.00
MRI PELVIS W CONTRAST	4,090.50
MRI PELVIS WO CONTRAST	3,224.50
MRI SPINE CERV; WO CONTR	3,224.50
MRI SPINE CERVICAL W CONTR	3,718.50
MRI SPINE LUMBAR W CONTR	3,718.50
MRI SPINE LUMBAR WO CONTR	3,224.50
MRI SPINE THORACIC W CONTR	3,718.50
MRI SPINE THORACIC WO CONTR	3,224.50
MRI THORAC SPINE W & WO CONTR	4,383.00
MRI THORACIC & LUMB W/WO CO-E	8,862.25
MRI U EXT NOT JOINT W CONTRAST	4,090.50
MRI U EXT NOT JOINT WO CONTRAST	3,224.50
MRI U EXTR; ANY JOINT W CONTRAST	4,089.50
MRI U EXTR; ANY JOINT WO CONTRAST	3,224.50
MRI U EXTR; NOT JOINT W&WO CONTR	4,383.00
MRI UE ANY JOINT W & WO CONTRAST	4,383.00
MR-STAPH DNA AMP PROBE	65.5
MSH2 GENE DUP/DELETE VARIANT	274
MSH2 GENE FULL SEQ	490.5
MSH6 GENE DUP/DELETE VARIANT	305.75
MSH6 GENE FULL SEQ	824.25
MSLT/MWT; GLOBAL	5,959.75
MTHFR GENE	374.25
MUCIN SYNORVIAL FLUID	46.5
MUGA; SGL W WM & EF	2,213.75
MUMPS VIRUS ANITBODIES-SENDO-E	134.5
MURAMIDASE	175
MUSCLE BX; PERC NDL	1,567.25
MUSCLE TEST; EXTREM OR TRUNK	71
MYASTHENIA GRAVIS 2 TEST PAN-E	125
MYCOPLASMA AMPLIF NA PROBE	543.5
MYELIN BASIC PROTEIN CSF	237.25
MYELOGRAM CERVICAL	4,749.25
MYELOGRAM LUMBAR PROFILE-E	9,029.25
MYELOGRAM LUMBOSACRAL	4,220.75
MYELOGRAM THORACIC	3,488.50
MYELOGRAPHY LUMBAR INJECTION	4,808.75
MYELOGRAPHY LUMBAR INJECTION	4,808.75
MYOCARDIAL STRAIN IMAGING	741
MYOGLOBIN	123.5
N BLOCK INJ COMMON DIGIT	649
N BLOCK SGL SCIATIC NRV	1,424.25
N BLOCK SGL SCIATIC NRV	2,136.50
N EOSINOPHIL SMEAR	39.5
NA QUAN NOS AGENT	282.75
NASAL CANNULA	35.75
NASOPHARYNGOSCOPY W ENDOSCOPE	385.25
NATRIURETIC PEPTIDE	318.25
N-AUTOM URINALYS WO MICRO	38
NB INJ HYPOGAS PLXS	1,794.00
NEEDLE ANTERIOR CHAMBER-EYE	66.25
NEEDLE ASPIRATION NA-411D-132	256.75
NEEDLE BIOPSY CHEST LINING	1,532.75
NEEDLE BX LIVER; PERCUTANEOUS	1,474.25
NEEDLE BX TRU-CUT DISP	126.5
NEEDLE BX TRU-CUT LONG	61
NEEDLE COAPTITE 14.6IN 21G	177.75
NEEDLE GRIPPER SAFETY 20G 1 (H	22.25
NEEDLE GRIPPER SAFETY 20G 3/4	22.25
NEEDLE GRIPPER SAFETY 22G 5/8	20
NEEDLE INSUFFLATION 120 C2201	172.5
NEEDLE INSUFFLATION 150 02202	166
NEEDLE JAFFEE-EYE	42
NEEDLE JAMSHIDI 8 GA X 4	170.5
NEEDLE LOCALIZATION BY XRAY	186.25
NEEDLE RETROBULBULAR 23GA 1.5	38
NEEDLE SAFETY PAC 20 G 3/4 (P	35.75
NEEDLE SCORPION AR-13990N	1,027.75
NEISSERIA AMPLIF NA PROBE	148.75
NEPHELOMETRY EA ANALYTE NES	246.25
NERVE BLOCK ILIOING/ILIOHYPOGASTRIC	1,424.25
NERVE BLOCK SET 18GX2 CNB200T	137.5
NEUROMUSCULAR REEDUCATION EA 15 MINS	15
NEUROMUSCULAR REEDUCATION EA 15 MINS	224
NEUROPATHY PROFILE II SENDO-E	537.25
NICKEL	38.75
NJX CHEMONUCLEOLYSIS LMBR	4,389.75
NJX INTERLAMINAR CRV/THRC	1,424.25
NJX INTERLAMINAR CRV/THRC	1,424.25
NJX INTERLAMINAR LMBR/SAC	1,424.25
NJX INTERLAMINAR LMBR/SAC	1,424.25
NJX PX NFROSGRM &/URTRGRM	740.5
NJX PX NFROSGRM &/URTRGRM	740.5
NK CELLS TOTAL COUNT	128.75
NMR LIPO PROFILE SEND OUT-E	263
NON WND ELECT STIM	5.75
NON WND ELECT STIM	166.75
NONAUTO ERYTHROCYTE SED RATE	64.25
NON-ELECTRONIC SPIROMETER	223.75
NON-OB TRANSVAG US	1,131.75
NONSELECT CATH – CAROTID/VERTEBRAL ART	1,707.25
NON-VASC BALLOON DILATN CATH	2,360.50
NORMAL SALINE SOLUTION INFUS 250 CC	65.75
NOSE TO RECTUM FOR FB CHILD	335.25
NPM1 GENE	319.25
NRAS GENE VARIANTS EXON 2&3	382.75
NRML SALINE INFUSION 1000 CC	65.75
NTX TELEOPETIDE-E	100
NUCLEUS HYDRODISECTOR	38
O2 UPTAKE DIRECT SIMPLE	622.75
OB LIMITED AND TRANS VAG-MDC-E	2,357.25
OB US < 14 WKS ADDL FETUS	201.5
OB US < 14 WKS SINGLE FETUS	1,507.75
OB US >= 14 WKS ADDL FETUS	298.5
OB US >= 14 WKS SNGL FETUS	1,658.25
OB US LIMITED 1+ FETUS(S)	1,279.50
OB US NUCHAL MEAS 1 GEST	595.5
OB US NUCHAL MEAS ADD-ON	595.5
OBSTETRIC PANEL	857.75
OBSTETRIC PANEL MCR-E	857.75
OCCULT BLD FECES 1-3 TESTS	77.75
OCCULT BLD IA SCRN	77.75
OCCULT BLOOD FECES	77.75
OCCULT BLOOD OTHER SOURCES	49.25
OCTREOSCAN-E	3,760.75
OFFICE/OUTPATIENT VISIT EST	227.25
OFFICE/OUTPATIENT VISIT EST	239.5
OFFICE/OUTPATIENT VISIT EST	249.75
OFFICE/OUTPATIENT VISIT EST	260.5
OFFICE/OUTPATIENT VISIT EST	289.75
OFFICE/OUTPATIENT VISIT EST	800.25
OFFICE/OUTPATIENT VISIT EST	874.75
OFFICE/OUTPATIENT VISIT EST	955
OFFICE/OUTPATIENT VISIT EST	1,043.25
OFFICE/OUTPATIENT VISIT EST	1,149.25
OFFICE/OUTPATIENT VISIT NEW	115
OFFICE/OUTPATIENT VISIT NEW	184
OFFICE/OUTPATIENT VISIT NEW	227.25
OFFICE/OUTPATIENT VISIT NEW	239.5
OFFICE/OUTPATIENT VISIT NEW	249.75
OFFICE/OUTPATIENT VISIT NEW	260.5
OFFICE/OUTPATIENT VISIT NEW	289.75
OFFICE/OUTPATIENT VISIT NEW	800.25
OFFICE/OUTPATIENT VISIT NEW	874.75
OFFICE/OUTPATIENT VISIT NEW	955
OFFICE/OUTPATIENT VISIT NEW	1,043.25
OFFICE/OUTPATIENT VISIT NEW	1,149.25
OLIGOCLONAL BANDS	94.25
ONCO (OVAR) FIVE PROTEINS	906.75
ONCO (OVAR) TWO PROTEINS	461.5
ONCOLOGY BREAST MRNA	4,558.75
ONCOLOGY TUM UNKNOWN ORIGIN	3,937.50
ONE-WAY ALLOW PRORATED TRIP	22
OPEN TX RADIAL & ULNAR SHAFT FX FIXJ RADIUS/ULNA	7,685.50
OR USAGE CHARGE	240.5
ORAL RADIOPHARM RX	2,136.75
ORGAN/TISSUE PROCURE OPER ROOM	602.75
ORGANIC ACID SINGLE QUANT	342.75
ORTHOTIC MGMT&TRAINJ 1ST ENC	10.25
ORTHOTIC MGMT&TRAINJ 1ST ENC	151.75
OSMOLALITY; URINE	77.75
OSTEOCALCIN	66.75
OSTEOPATHIC MANIPULATION 1-2 BODY REGIONS	55
OSTEOPATHIC MANIPULATION 3-4 BODY REGIONS	86.75
OT EVAL HIGH COMPLEX 60 MIN	8.25
OT EVAL HIGH COMPLEX 60 MIN	471.5
OT EVAL LOW COMPLEX 30 MIN	8.25
OT EVAL LOW COMPLEX 30 MIN	471.5
OT EVAL MOD COMPLEX 45 MIN	8.25
OT EVAL MOD COMPLEX 45 MIN	471.5
OT RE-EVAL EST PLAN CARE	3.75
OT RE-EVAL EST PLAN CARE	224
OTHER SOURCE ALBUMIN QUAN EA	65.75
OVA & PARASITES DIR SMR W ID	269.25
OXALATE	184.5
OXYGEN CHARGE DAILY	154.25
OXYGEN SETUP-ER	184
OXYGEN UPTAKE REST INDIRECT	226.75
OXYGEN-NASAL AND MASK SET UP	154.25
OXYGEN-PORTABLE	41.25
PACK BASIC GEN	193.5
PACK CAT CUSTOM R/L	1,290.25
PACK C-SECTION	456.75
PACK CUSTOM TOTAL KNEE	410
PACK SHOULDER ARTHOSCOPY/KIM	369
PACK UNIVERSAL DRAPES / GOWN	63
PACU ADD’L 15 MIN	338.5
PACU CHARGE 01-30 MINS	924.5
PAD DISPERSIVE CAUTERY ADULT S	35.75
PAD MAGNETIC INSTR-MAG OR	81.5
PAIN CLINIC PACK	24
PANCREATIC ELASTASE FECAL	284
PANORAMIC X-RAY OF JAWS	424.75
PAP IG LABCORP-E	373
PAP W/ CHLAMYDIA&GONOCOCCUS-E	438
PAP W/ HIGH RISK HPV-E	794.75
PAP,HIGH RISK HPV REFLUX-E	505.75
PAPPA SERUM	97
PARACENTESIS-2N	694.75
PARACENTESIS-AC	694.75
PARACENTESIS-ICU	694.75
PARACENTESIS-LTC	694.75
PARAFFIN BATH THERAPY 1+ AREAS	8.75
PARAFFIN BATH THERAPY 1+ AREAS	166.5
PARANEOPLASTIC AB EVAL SENDO-E	809.5
PARANEOPLASTIC AUTOANTIBODY-E	155
PARATHORMONE	301
PARATHYRD PLANAR W/SPECT&CT	1,044.75
PARATHYRD PLANAR W/WO SUBTRJ	1,044.75
PARATHYROID PLANAR IMAGING	903
PARVOVIRUS B19 IGG,IGM SENDO-E	235.5
PASSPORT BUTTON CANULA 8MM 3C	106.75
PASSPORT BUTTON CANULA 8MM 4C	145
PATH CONSULT DURING SURGERY	215.25
PATH CONSULT INTRAOP ADDL	133.75
PDGFRA GENE	426.25
PEG TUBE CHANGE	1,018.75
PEG TUBE CHANGE-MAB	1,018.75
PEG TUBE INSERT	1,975.00
PEG TUBE INSERT-MAB	1,975.00
PEG TUBE REM BY INCIS (IP ONLY	5,412.00
PEG TUBE REMOVAL BY GASTROSCOP	1,561.50
PEG TUBE REMOVAL-GASTROSCO-MAB	1,561.50
PEG TUBE REPLACEMENT BY ENDOSC	1,976.00
PEG TUBE REPLACEMENT-MAB	1,976.00
PELVIMETRY W/WO PLACENTAL LOCALIZATION	599.5
PERC ASP OR INJ OF RENAL CYST/PELVIS	1,532.75
PERC ASP OR INJ OF RENAL CYST/PELVIS	1,592.25
PERC BX OR EXC LN; SUPERFICIAL	1,566.75
PERC IMPL NS ELECTRODE ARRAY; EPIDURAL	12,904.25
PERC N BX ABD OR RETROPERITONEAL MASS	1,534.25
PERCUT BX LUNG/MEDIASTINUM	1,532.75
PERCUT/NEEDLE INSERT PROS	1,862.75
PERCUTANEOUS CHOLECYSTOSTOMY	3,839.00
PERCUTANEOUS DISKECTOMY	11,657.00
PERICARDIOCENTESIS; INITIAL	903.75
PERITON-VENOUS SHUNT PATENCY	1,236.75
PERQ DEV BREAST 1ST MR GUIDE	663
PERQ DEV BREAST 1ST US IMAG	723.25
PERQ DEV BREAST ADD MR GUIDE	68.25
PERQ DEV BREAST ADD US IMAG	78.5
PERQ DEVICE BREAST 1ST IMAG	723.25
PERQ DEVICE BREAST EA IMAG	78.5
PERQ LAMOT/LAM LUMBAR	7,110.75
PET IMAGE W/CT FULL BODY	7,184.25
PET IMAGE W/CT SKULL-THIGH	6,937.00
PHENOBARBITAL	60
PHENOTYPE INFECT AGENT DRUG	335.75
PHENYLALANINE BLOOD	374.5
PHENYTOIN FREE & TOTAL SENDO-E	758.25
PHENYTOIN; FREE	579.75
PHENYTOIN; TOTAL	178.5
PHILADELPHIA PROFILE-E	683.5
PHLEBOTOMY THERAPEUTIC	468.5
PHOSPHATE	40
PHYSICAL PERFORM EA 15M	62
PIN (Z) 1.6 X 6 SMOOTH GUIDE	81.5
PIN (Z) 1.6 X 6IN P/THD GUIDE	68.75
PIN GUARD WHITE 0.45	15.25
PIN GUARDS BLUE	18.25
PIN GUARDS GREEN	22.5
PIN KIRSCH/UNTHR .062 X 9 IN	57
PIN K-WIRE 4IN .035	87.25
PIN K-WIRE 4IN .045	87.25
PIN K-WIRE 4IN .054	71
PIN K-WIRE 4IN .062	87.25
PINWORM EXAM	41.5
PLACE NEEDLE INTRAOSSEOUS INFUSION	3,043.75
PLACE DEVICE/MARKER NON PRO	1,477.25
PLAIN FILM POSTURAL STUDY-E	998.75
PLASMA 1 DONOR FRZ W/IN 8 HR	241.25
PLASMINOGEN ACTIVATOR	88.5
PLASMINOGEN ANTIGEN LEVEL	15.75
PLATELET AB 3TEST PANEL SEND-E	197.5
PLATELETS PHERESIS LR EA UNIT	1,557.75
PLATELETS PHERESIS LR IRRAD EA UNIT	1,419.25
PLMT NEPHROSTOMY CATHETER	2,083.75
PLMT NEPHROSTOMY CATHETER	2,164.75
PML/RARALPHA COM BREAKPOINTS	365.5
POLAR PAD MULTIUSE C04740	188
POLAR PAD SHOULDER X-LG C04905	233.75
POLYSOM 6/> YRS 4/> PARAM	6,095.75
POLYSOM 6/>YRS CPAP 4/> PARM	6,709.50
PORPHOBILINOGEN URINE; QUAN	36.5
PORPHYRINS QUANT UA SEND OUT-E	89.25
POS AIRWAY PRESSURE CPAP	797
POSITIVE EXP PRESSURE DEVICE	88.75
POST OP SDC > 2HRS 2N	2,280.25
POST OP SDC > 2HRS 3N	2,280.25
POST OP SDC > 2HRS 3S	2,280.25
POST OP SDC > 2HRS PED	2,280.25
POST OP SDC > 2HRS-ICU	2,280.25
POST OP/PACU2 0-2 HRS-AC	1,336.25
POST OP/PACU2 OVER 2HRS-AC	881
POUCHOSCOPY	1,562.25
POUCHOSCOPY W BX	2,648.75
POUCHOSCOPY W BX-MAB	2,648.75
POUCHOSCOPY-MAB	1,562.25
PRE DIABETES COUNSELING 30 MIN	25.75
PRE EMPLOYMENT LIFT TEST	118
PRE EMPLOYMENT SCREEN – OT	77.75
PRE EMPLOYMENT SCREEN DETAILED	237.75
PRE EMPLOYMENT SCREEN G L RR	110.5
PRE OP ASSESSMENT-AC	110.75
PRE OP PREP & ASSESSMENT-AC	574.5
PREALBUMIN	138.75
PREGNENOLONE	200.5
PRETREAT RBC; CHEM OR DRUGS	84.5
PRETREAT RBC; DGS	164
PRETREAT RBC; ENZYMES	247
PRIMIDONE	76
PRIMIDONE/MYSOLIN PANEL SEND-E	136
PROBE ABLATION NS2000 NOASURE	3,375.50
PROBE COVER W/NEEDLE GUIDE	95
PROBE GOLD 7FR 6007	824.75
PROBE STIMULATOR 82-25103	463.25
PROBE-APC CIRCULAR	804
PROBE-APC STRAIGHT	804
PROCALCITONIN (PCT)	171.75
PROCTOSCOPY	1,221.50
PROCTOSIGMOIDOSC W ABLATIO-MAB	2,613.00
PROCTOSIGMOIDOSC W ABLATION	2,613.00
PROCTOSIGMOIDOSC W BL CONT-MAB	1,446.25
PROCTOSIGMOIDOSC W BX-MAB	1,446.25
PROCTOSIGMOIDOSCOPY-MAB	1,221.50
PROFILE, FISH SEND OUT-E	770.5
PROGESTERONE ASSAY	87.75
PROINSULIN	368.75
PROLACTIN ASSAY	304.5
PROMETHEUS CELIAC SEROLOGY-E	383.25
PROMETHEUS CHROHN PANEL-E	1,025.50
PROMETHEUS IBCAUSE-E	920
PROMETHEUS IBD DIAG PANEL-E	1,518.00
PROMETHEUS THIOPURINE-E	274
PROMETHEUS TPMT-E	274
PROMETHIUS CELIAC PLUS-E	931
PROSTAGLANDIN EACH	104
PROSTATE BIOPSY, ANY MTHD	732.5
PROSTH IMPL NOS	5,169.25
PROSTHETIC TRAINJ 1ST ENC	10.25
PROSTHETIC TRAINJ 1ST ENC	151.5
PROTEIN ELECTROPHO,U PANEL-E	252
PROTEIN ELECTROPHORESIS-E	125.25
PROTEIN E-PHORESIS/URINE/CSF	70.75
PROTEIN S PROFILE SEND OUT-E	350
PROTEIN WB; IM ID FOR BANDS	47.75
PROTEIN WESTERN BLOT	162.75
PROTEIN; EP FRACT & QUAN	67.25
PROTHROMBIN TIME;	64
PROTOPORPHYRIN RBC; QUAN	32.5
PSA FREE PANEL-SEND OUT-E	182
PSA SCREENING	160.5
PSA; FREE	104
PSA; TOTAL	78.25
PT EVAL HIGH COMPLEX 45 MIN	471.5
PT EVAL LOW COMPLEX 20 MIN	471.5
PT EVAL MOD COMPLEX 30 MIN	471.5
PT MIXING STUDY-E	160
PT RE-EVAL EST PLAN CARE	224
PT; SUBSTITUTION PLASMA FRACTIONS EA	96.25
PTEN GENE DUP/DELET VARIANT	385.25
PTEN GENE FULL SEQUENCE	775.75
PTT; PLASMA OR WHOLE BLOOD	91.25
PTT; SUBSTITUTION PLASMA FRACTIONS EA	30.5
PULM FUNCT TEST OSCILLOMETRY	320.25
PULM FUNCT TST PLETHYSMOGRAP	661.5
PULM FUNCTION TEST BY GAS	733.25
PULMONARY REHAB W EXER	114.5
PULMONARY STRESS TESTING	197.5
PULSAVAC IRRIGATOR 00515047500	274
PULSE OX SGL	196.5
PUNCT ASP – ABSC HEMAT CYST	392.5
PUNCT ASP BRST CYST – INITIAL	634.75
PUNCTURE SHUNT OR RSVR FOR ASP OR INJ	1,424.25
PYRUVATE	181
QUAL HETEROPHILE AB	190.75
QUAL ORGANIC ACIDS EA SPECIM	99
QUAN RHEUM FACTOR	190.75
QUAN URINE PORPHYRINS	52.75
RA TRACER ID OF SENTINL NODE	643
RABIES IG INJECTION IM/SQ	323
RADIOPH RX BY IV ADMIN	1,050.00
RAPID FIRE MULTI BAND LIGATOR	1,410.75
RBC AB ELUTION EA	164
RBC AB SCRN EA TECHIQ	174.75
RBC LR IRRADIATED EACH UNIT	1,297.75
RE-ASSESS NUTRITION THER; EA 15M	39
REBREATHER MASKS	154.25
RECOVERY ROOM OB 0- 30 MIN	601
RECOVERY ROOM OB 31- 60 MIN	1,211.25
RECOVERY ROOM OB 61- 90 MIN	1,397.50
RECOVERY ROOM OB 91-120 MIN	1,444.50
REF CONSULT PREP ELSEWHERE	140
REF CONSULT W SLIDE PREP	287.25
REFILL/MAINT PORTABLE PUMP	639.25
RELIEVA INFLATION DEVICE BID30	314.5
RELOAD 60MM GREEN ECHELON SUTU	748.75
RELOADS CONTOUR BLUE	1,183.00
REM DEEP FB OF FOOT	2,105.50
REM DEEP FB THIGH OR KNEE	2,524.25
REM FB CONEAL W SLIT LAMP	526.25
REM FB CONJUNCTIVA; EMBEDDED	353.75
REM FB CONJUNCTIVA; SUPERFICIAL	131.25
REM FB EXT AUDITORY CANAL; WO ANESTH	902.25
REM FB EXT EYE; CORNEAL WO SLIT LAMP	394
REM FB FOOT; SQ	1,564.50
REM FB IN; BY LAT RHINECTOMY	1,393.00
REM FB INTRANASAL; OFFICE	197.5
REM FB MUSCLE; SMPL	1,394.50
REM GAUNTLET BOOT OR BODY CAST	430.25
REM I-NASAL LES INT APPR	2,915.00
REM IO FB ANTCHAMB/LENS	3,678.50
REM SKIN TAGS; <=15 LESIONS	168
REM SKIN TAGS; <=15 LESIONS	205.5
REM TUNNELED CVAD W PORT/PUMP	2,119.50
REMOTE PT 30 DAY ECG REV/REPORT	769.25
REMOVAL DUCT GLBLDR CALCULI	2,904.25
REMOVAL OF NAIL BED	837.25
REMOVAL OF SUPPORT IMPLANT	1,710.00
REMOVE DRUG IMPLANT	353.75
REMOVE EMBEDDED FB EYELID	425
REMOVE FECAL IMPACTION OR FB	2,007.25
REMOVE FOREIGN BODY IN SCROTUM	2,911.75
REMOVE FOREIGN BODY PHARYNX	321
REMOVE FULL ARM OR LEG CAST	333.75
REMOVE IMPACTED EAR WAX UNI	79.5
REMOVE IMPACTED EAR WAX UNI	214
REMOVE IUD	337.75
REMOVE RENAL TUBE W/FLUORO	1,084.75
REMOVE SPINE ELTRD PERQ ARAY	4,389.75
RENAL BIOPSY PERQ	1,532.75
RENAL FUNCTION PANEL	240.25
RENIN	114.5
RENIN VEIN SAMPLING	5,262.50
REP DEV URINARY W/SLING	2,212.50
REP DEV URINARY W/SLING	2,615.75
REP DEV URINARY W/SLING	4,612.25
REP DEV URINARY W/SLING	5,706.25
REP ET HAND; WO FG EA TENDON	3,249.50
REP FLXR TENDON NOT ZONE 2 WO GRFT EA	5,351.00
REP LAC; CORNEA NONPERFOR W/WO REM FB	3,721.25
REP LACERAT 2.5 CM/<; FLR-MOUTH/ANT 2/3	1,358.75
REP LACERAT-TONGUE FLR-MOUTH > 2.6/CPLX	1,098.00
REPAIR BLOOD VESSEL DIRECT; UPR EXTREM	4,390.25
REPAIR LIP FT; VERMILION ONLY	1,073.50
REPAIR NAIL BED	1,123.50
REPLACE G/C TUBE PERC	938.75
REPTILASE TEST	149.75
RESP FCN/STRENGH 2/> INDIV	128
RESP MS THERAPY/15 MIN	118
RETROBULBAR INJECTION; MEDICATION	754.25
RETROGRADE PYELOGRAM	1,462.00
REV OR REM IMPL SPINAL NS PG OR RECEIVER	7,554.00
REVISE SPINE ELTRD PERQ ARAY	16,130.00
RHO D IMMUNE GLOBULIN INJ 300 MICROGRAMS (1500 IU)	583.5
RIA NONANTIBODY	58
RINGERS LACTATE INFUSION TO 1000 CC	65.75
ROOM,BORDER BABY-NURSERY	2,416.75
ROOM,ISOLATION-2N	2,416.75
ROOM,MED NEC PRIVATE-3S	2,416.75
ROOM,PRIVATE-2N	2,416.75
ROOM,PRIVATE-3S	2,416.75
ROOM,PRIVATE-LTC4	635.25
ROOM,PRIVATE-LTC5	635.25
ROOM,PRIVATE-PEDS	2,416.75
ROOM,PRIVATE-SKILLED	2,601.25
ROOM,PT REQUEST PRIVATE-3S	2,558.50
ROOM,SEMI PRIV-2N	2,416.75
ROOM,SEMI PRIV-2S STRESS	1,800.50
ROOM,SEMI PRIV-3N OB	2,416.75
ROOM,SEMI PRIV-3S	2,416.75
ROOM,SEMI PRIV-LTC4	635.25
ROOM,SEMI PRIV-LTC5	635.25
ROOM,SEMI PRIV-OB OVERFLOW	2,416.75
ROOM,SEMI PRIV-PEDS	2,416.75
ROOM,SEMI PRIV-SKILLED	2,601.25
ROOM,SPECIAL-ICU	2,416.75
ROOM-INTENSIVE CARE	4,945.25
ROOM-NURSERY	2,416.75
ROOM-PROGRESSIVE CARE UNIT	3,759.00
ROTAVIRUS AG IA	310
ROTH RETRIEVAL NET 00711050	414
ROTH RETRIEVAL NET 00715050	485
ROTH RETRIEVAL NET PED	472
ROUTINE VENIPUNCTURE	22.25
RSV IA W DIR OBSERV	279
RUBEOLA AB IGG, IGM SEND OUT-E	203.5
RUMI OCCLUDER BALLOON # CP0-6	225.5
RUMI UTERINE BLUE TIP UMB678	231.5
RUMI UTERINE GREEN TIP UMG670	231.5
RUMI UTERINE PURPLE TIP UML516	277.5
RUMI UTERINE WHITE TIP UMW676	184
RUSSELL VIPER VENOM TIME; DILUTED	41.5
RX CL ELBOW DISLOC WO ANESTH	327.5
SALIVARY GLAND FUNCTION	458.5
SC THER INFUSION RESET PUMP	306.25
SCALPEL #10	22
SCALPEL #11	22
SCALPEL #15	22
SCALPEL #20	18.5
SCAPULA COMPLETE	656
SCISSOR 5MM DIRECT DRIV CB030	281.25
SCOPE WARMER CLEARIFY	136.5
SCR MAMMO BI INCL CAD	504
SCR MAMMO BI INCL CAD	593.25
SCS,LEAD CABLE,BOSTON SC-PC	513.5
SCS,MULT LEAD CABLE,ST JUDE-PC	790.5
SCS,MULTI LEAD CABLE,MED TR-PC	684.5
SCS,PATIENT KIT,BOSTON SC-PC	394
SEECLEAR MAX SMOKE EVACUATION	100.5
SELENIUM	149.75
SELF CARE MNGMENT TRAINING	12.25
SELF CARE MNGMENT TRAINING	179.25
SEMEN ANAL SPERM DETECTION	245
SENSITIVITY – AGAR DILUTION/AGENT	40.25
SENSITIVITY – DISK PER PLATE	138.75
SENSOR A-2000 BIS ASPECT MED	159
SENSORY INTEGRATION	38
SENSTITIVITY – ENZYME DETECT	77
SEROTONIN	379.25
SERPINA1 GENE	140.5
SERUM IMMUNOFIXATION ELECTROPHORES	117.75
SERUM PRETX; DILUTION	44
SERUM PRETX; DRUG INCUBATE	164
SERUM PRETX; INHIBITOR INCUBATE	164
SERUM PRETX; RC ABSORPT	77.25
SERUM/WB TOT CHOLEST	82
SEX HORMONE BINDING GLOBULIN	220.5
SFT TISS BX – NECK/THORAX	1,880.75
SGL NBI BRACHIAL PLEXUS	1,794.00
SGL NBI BRACHIAL PLEXUS	2,690.75
SGL QUAN EXPIRED GAS	561.5
SGL VW SPINE XR	498.75
SHIA REG EDUC SPEECH 1/2 HR	42.75
SHIA REG EDUC SPEECH PER HOUR	83.5
SHIGA-LIKE TOXIN AG IA	51.5
SHOULDER ARTHROGRAM	1,733.00
SHOULDER ARTHROGRAM INJ	667.25
SHUNT SERIES-E	1,719.50
SIALAGRAM PROFILE LT-E	1,340.50
SIALAGRAM PROFILE RT-E	1,340.50
SIALOGRAM	846.75
SICKLING OF RBC REDUCTION	72.5
SIGMOID FLEX	1,242.50
SIGMOID FLEX W BIOPSY	1,881.00
SIGMOID FLEX W BIOPSY-MAB	1,881.00
SIGMOID FLEX W BLEED CONT	1,221.50
SIGMOID FLEX W BLEED CONT-MAB	1,221.50
SIGMOID FLEX W DILATATION	1,373.50
SIGMOID FLEX W DILATION-MAB	1,373.50
SIGMOID FLEX W FB REMOVAL	1,373.50
SIGMOID FLEX W FB REMOVAL-MAB	1,373.50
SIGMOID FLEX W POLYPECTOMY	1,881.00
SIGMOID FLEX W POLYPECTOMY-MAB	1,881.00
SIGMOID FLEX-MAB	1,242.50
SIGMOIDOSCOPY W ABLATION	1,221.50
SIGMOIDOSCOPY W ABLATION-MAB	1,221.50
SIGMOIDOSCOPY W BLEED CONT	1,221.50
SIGMOIDOSCOPY W BLEED CONT-MAB	1,221.50
SIJ ANESTH/STEROID INJ	1,577.00
SIJ ANESTH/STEROID INJ	2,371.50
SILASTIC NAIL	436
SILVADENE -WOUND CENTER	34
SIMPLE BLADDER IRRIGATE LAVAGE/INSTILL	410
SINUS TRACT INJ; DX	511.75
SJOGREN ANIT SEND OUT-E	119.5
SKIN BARRIER WITH FLANGE	22
SKIN BARRIER WITH FLANGE	28
SKIN BARRIER WITH FLANGE	37.25
SKIN GRAFT CARRIER	93.5
SKIN SUB GRAFT F/N/HF/G ADDL	31
SKIN SUB GRAFT FACE/NK/HF/G	1,622.00
SKIN SUB GRAFT T/A/L ADD-ON	21
SKIN SUB GRAFT TRNK/ARM/LEG	1,622.00
SKIN TEST; TB ID	91.25
SLCTV WND DEBRIDEM ADDL 20 CM/<	3.25
SLCTV WND DEBRIDEM ADDL 20 CM/<	14
SLCTV WND DEBRIDEM ADDL 20 CM/<	183.75
SLCTV WND DEBRIDEM 20 CM OR <	5.25
SLCTV WND DEBRIDEM 20 CM OR <	248
SLCTV WND DEBRIDEM 20 CM OR <	293
SLEEVE EXPRESS KNEE LG 9789	210.5
SLEEVE EXPRESS KNEE MD 9529	156.25
SLEEVE FOOT REGULAR 5897	61.75
SLEEVE SCD FOOT LARGE 5898	137
SLEEVE SCD FOOT REGULAR 5897	130.5
SLIT PREPUCE DORSAL OR LAT; NOT NEWBORN	2,938.50
SMEAR – GRAM OR GIEMSA	52.25
SMEAR – INFECTIOUS WET MOUNT	61
SMEAR SPECIAL STAIN	98
SMEAR; FLUORESCENT OR AFB STAIN	21
SNARE POLYPECTOMY DSII 60415	82.75
SNARE POLYPECTOMY ROTATOR	144
SODIUM OTHER SOURCE	40
SODIUM; URINE	40
SOLUTION-2B7126 SOD CHL 2000IR	39.25
SOLUTION-2B7357 SORBITAL 3%	47
SOLUTION-IV SOL STER H20 1500	38
SOLUTION-STER SALINE	28
SOMATOMEDIN	412
SP CONSULT; 1ST TB W FS SGL SP	258.5
SP-BILITRAC RETRIEVAL BOOLON	674.25
SPECIAL STAINS GROUP 1	164
SPECIAL STAINS GROUP 2	198.5
SPECTROPHOTOMETRY ANALYTE NES	16.25
SPEECH SOUND LANG COMPREHEN	7.25
SPEECH SOUND LANG COMPREHEN	421.25
SPEECH THERAPY 1/4 HR-OVID HEA	37.25
SPEECH THERAPY CONSULT SERV-30	67
SPEECH/HEARING THERAPY GROUP	113.25
SPEECH/HEARING THERAPY INDIV	10.25
SPEECH/HEARING THERAPY INDIV	446.5
SP-ELECTRODE TEN/EMS-M52	139.5
SPIN/BRAIN PUMP REFIL & MAIN	509.75
SPINAL INJ OCCLUDED AV MALFORM	1,794.25
SPINAL PUNCTURE LUMBAR DIAGNOSTIC	1,465.00
SPINAL/EPIDURAL ANES	199.5
SPIROMETRY	463.25
SPL AVULSE NP; SGL	228
SPLINT DENVER LG	267.5
SPLINT DENVER SM	267.5
SPLINT INTRANASAL AIRWAY DOYLE	199.5
SPLINT-PLASTER ARM	323.5
SPLINT-PLASTER LEG	323.5
SPONGE INST WIPE	10.75
SPONGE NEURO 0.5 X 3	23.25
SPONGE WECK CELLS	17
SPONGE-TONSIL STERILE	9.5
SP-THERABAND O.T.	45
SREP F/E/N/L/MM; 12.6-20.0CM	702
SREP F/E/N/L/MM; 2.5CM/<	577.5
SREP F/E/N/L/MM; 2.6-5.0CM	606.5
SREP F/E/N/L/MM; 20.1-30.0CM	736.5
SREP F/E/N/L/MM; 5.1-7.5CM	637
SREP F/E/N/L/MM; 7.6-12.5CM	668.5
SREP S/N/A/G/TR/E; 12.6-20.0CM	668.5
SREP S/N/A/G/TR/E; 2.5CM/<	577.5
SREP S/N/A/G/TR/E; 20.1-30.0CM	702
SREP S/N/A/G/TR/E; 7.6-12.5CM	637
SREPS/N/A/G/TR/E; 2.6-7.5CM	624
ST BX BACK/FLANK; SUPERF	1,520.50
ST BX; HIP/PELVIS; SUPERFICIAL	1,520.50
STAPLE CEEA CURVED 28	1,063.00
STAPLE CEEA CURVED PREM 25	1,224.75
STAPLE ENDOCLIP LG	1,718.75
STAPLE GIA MF 60 X 3.8	421
STAPLE GIA MF 80 X 3.8	553.75
STAPLE GIA MF RE 60X3.8	228
STAPLE GIA MF RE 80X3.8	421.75
STAPLE PURSTRING 65	709.5
STAPLE RELOAD 60MM BLUE ECHEL	748.75
STAPLE RELOAD 60MM WHITE ECHE	424.5
STAPLE SURGICLIP LG	227.5
STAPLE SURGICLIP MED	513
STAPLE SURGICLIP SM	220.5
STAPLE TA DISP LONG 90 X 4.8	459.5
STAPLE TA MF RELOAD UNIT55X3.	451.75
STAPLER CONTOUR BLUE	2,286.25
STAPLER SKIN ROYAL 35 SPD	31.5
STELLANT SYRINGE KIT-DUAL	42.25
STENT 4.7 X 24 778424	826
STENT 4.7 X 26 778426	826
STENT COATED/COV W/DEL SYS	5,853.00
STENT NON-COR TEM W/O DEL	328.25
STENT UR 6FR X 24CM 778624	344.5
STENT UR 6FR X 26 CM 77826	745.75
STENT UR 6FR X 28CM 778628	1,677.50
STERILE EYE PAD	9.5
STERILE SALINE SOLN 500 ML=1 UNIT	65.75
STOCKING-TEDS 3071	107.75
STOCKING-TEDS 3130	107.75
STOCKING-TEDS 3222	26.75
STOCKING-TEDS 3310	98.75
STOCKING-TEDS 3416	239.75
STOCKING-TEDS 3549	164.75
STOCKING-TEDS 3634	135
STOCKING-TEDS 3728	139
STOCKING-TEDS 3856	174.75
STOCKING-TEDS 3922	313.75
STOCKING-TEDS 7071	45.5
STOCKING-TEDS 7115	45.5
STOCKING-TEDS 7203	67.5
STOCKING-TEDS 7480	73
STOCKING-TEDS 7594	61.75
STOCKING-TEDS 7604	45.5
STOCKING-TEDS 7802	78.75
STONE BASKET	584
STONE EXTR FLAT WIRE 039815	1,466.75
STONE EXTR HELICAL 040490	598
STONE EXTRACTOR	744.75
STONE EXTRACTOR	753.25
STONE/EXTR FORCEPS 3.5FR 65CM	754
STONE/EXTR HELICAL 3WIRE 115CM	1,302.25
STONE/EXTR HELICAL 4WIRE 65CM	1,089.00
STONE; QUAN CHEMICAL	324.25
STRAP ANKLE OR FOOT	149
STRAP ANKLE OR FOOT	298
STRAPPING; ELBOW OR WRIST	214
STRAPPING; HAND OR FINGER	214
STRAPPING; SHOULDER	453.25
STREP A AMPLIF NA PROBE	125.75
STREP A ASSAY W/OPTIC	127.75
STREP B DNA AMP PROBE	91.25
STREP B IA W DO	99.25
STRESS TTE COMPLETE	917
SUCTION CANNISTER 1200 (OR)	46.5
SUCTION SYSTEM 24HR 6904	98.25
SUCTION TIP POOL	37.25
SUGARS; SINGLE QUAL EA SPECIMEN	21.5
SUPERV HNDL LOAD – RAD SOURCE	2,734.25
SURG MINUTES-EA ADD’L 15	1,714.75
SURG PATH LEVEL-I GROSS ONLY	83.75
SURG PATH LVL 2	345.75
SURGERY MINUTES-0-30 MINS	3,955.00
SURGICEL FIBRILLAR 4 X 4	491.75
SURGICEL SNOW ABSORBABLE HEMO	381
SURGICEL-WC	94.5
SURGIFISH RETRACTOR	70.75
SUTURE 2-0 VICRYL J317H	10.25
SUTURE 3-0 SILK C017T	64.75
SUTURE 9-0 VICRYL V402G	118.25
SUTURE CAPIO PROLENE	148.25
SUTURE CHROMIC 0 812H	15.25
SUTURE CHROMIC 2-0 CG883	18.25
SUTURE CHROMIC 2-0 G123H	18.75
SUTURE CHROMIC 2-0 L113G	17
SUTURE CHROMIC 3-0 G122H	18.25
SUTURE CHROMIC 3-0 L112G	18.25
SUTURE ENDO AUTO STITCH	206.75
SUTURE ETHIBOND 0 CX21D	80.25
SUTURE ETHILON 10-0 7756G	84.5
SUTURE ETHILON 2-0 664H	13.75
SUTURE ETHILON 3-0 1669H	11
SUTURE ETHILON 3-0 663H	13.75
SUTURE ETHILON 5-0 1668H	30
SUTURE FIBERLINK 2 AR-7235	330
SUTURE FIBERTAPE 2MM AR-7237-7	304.25
SUTURE MONOCRYL 3-0 Y497G	24
SUTURE MONOCRYL 4-0 Y4966	24
SUTURE PDS 0 LOOP Z990G	31.25
SUTURE PLAIN 3-0 G322H	15.25
SUTURE PLAIN 3-0 L102G	17
SUTURE PROLENE 0 8690H	15.25
SUTURE PROLENE 4-0	13
SUTURE QUILL 2 PDO # RA 1058Q	118.25
SUTURE QUILL 3-0 #YA1016Q	94.5
SUTURE QUILL O PDO #RA 1030Q	213.75
SUTURE RAPIDE 5-O VICRYL VR844	29.25
SUTURE S/O 1 PDS Z880G	31.75
SUTURE S/O 2-0 PROLENE C-822G	89.75
SUTURE S/O PDS (Z-341 H)	35.25
SUTURE S/O PDS (Z-497 G)	52
SUTURE S/O TEVDEK 7-588W	42.5
SUTURE S/O VICRYL J-489 G	28.5
SUTURE S/O/E MILD CH (363-23)	78.25
SUTURE S/O/EY PLAIN (770)	80.25
SUTURE S/O/EY SILK (1732 G)	57
SUTURE S/O/EY SILK 780 G	5.25
SUTURE S/O/EY VICRYL (J-566G)	42
SUTURE SILK 3-0 CR C013D	59.25
SUTURE SURGIGUT 4-0 1643G	27.75
SUTURE SURGIGUT 4-0 GG121	10.75
SUTURE SURGIPRO VP-522	32
SUTURE SURGIPRO VP-581	36.25
SUTURE SURGIPROV VP-977	36.25
SUTURE TIGERTAPE 2 AR-7237-7T	304.25
SUTURE TIGERTAPE LOOP	116.5
SUTURE VICRYL 0	13.75
SUTURE VICRYL 0 J334H	17
SUTURE VICRYL 2-0 J333H	13.75
SUTURE VICRYL 2-0 J339H	13.75
SUTURE VICRYL 3-0 J332H	17
SUTURE VICRYL 3-0 J344H	17
SUTURE VICRYL 3-0 REEL J205G	18.75
SUTURE VICRYL 4-0 J304H	15.25
SUTURE VICRYL 4-0 J682H	32
SUTURE VICRYL 6-0 J578G	86
SUTURE VICRYL CT-1 1 J347H	17
SUTURE VICRYL UNDYED 2-0 J269H	13.75
SUTURE VICRYL UNDYED 2-O J259H	13.75
SUTURE VLOC	68.75
SUTURE V-LOC	120.75
SUTURE VLOC 90 2-0	68.75
SWALLOWING FCN W CINE/VIDEO	953
SWAN GANZ (PA CATH) INSERT-ICU	1,105.75
SYNTHETIC IMPLNT URINARY 1ML	1,403.50
SYPHILIS TEST NON-TREP QUAL	18.75
T & B LYMPHOCYTE/NAT KILLER-E	487.75
T CELLS; ABSOL CD4 AND CD8	199.25
T CELLS; ABSOL CD4 COUNT	82.25
T CELLS; TOTAL COUNT	160
T3 OR T4 OR THBR	28
T3; FREE	133
T3; REVERSE	136.5
T3; TOTAL	128.5
TACROLIMUS	64.5
TARGETED GENOMIC SEQ ANALYS	3,749.25
TB TEST CELL IMMUN MEASURE	262.5
TC99M EXAMETAZIME =< 25 MCI	2,393.00
TC99M LABELED RBC =< 30 MCI	3,286.50
TC99M MAA =< 10 MCI	426.5
TC99M MEBROFENIN =< 15 MCI	914.5
TC99M MEDRONATE =< 30 MCI	354.5
TC99M MERTIATIDE =< 15 MCI	6,574.00
TC99M PERTECHNETATE PER 1 MCI	10
TC99M SESTAMIBI	619
TC99M SULFUR COLLOID =< 20 MCI	4,289.00
TECHNETIUM TC99M AEROSOL =< 75 MCI	2,656.50
TEE CONGENITAL; GLOBAL	2,223.75
TEETH; PARTIAL EXAM < FULL MOUTH	603.25
TEMP TRANS PACER INSERT-ICU	1,428.25
TEMP TRANS PACER INSERT-PCU	1,428.25
TEMP TRANS PACER INSERT-TWO NO	1,428.25
TEMP TRANSCUTAN PACING	701.5
TENOTOMY SQ TOE; SINGLE	2,008.00
TESTICULAR IMAGING W/FLOW	3,335.00
TESTOSTERONE BIO PANEL SENDO-E	218.25
TESTOSTERONE,FREE/TOTAL SEND-E	217.75
TESTOSTERONE; FREE	108.5
TESTOSTERONE; TOTAL	109.75
THEOPHYLLINE	109.25
THER/DIAG CONCURRENT INF	225.25
THER/PROPH/DIAG INJ IV PUSH	362.5
THER/PROPH/DIAG INJ SC/IM	139.5
THER/PROPH/DIAG IV INF ADDON	286.25
THER/PROPH/DIAG IV INF INIT =<1 HR	569.75
THERAPEUTIC ACTIVITIES	11.5
THERAPEUTIC ACTIVITIES	171.25
THERAPEUTIC CONSULT	–
THERAPEUTIC EXERCISES EA 15 MINS	12.25
THERAPEUTIC EXERCISES EA 15 MINS	180.75
THERAPEUTIC REHAB GROUP	126.75
THERMIA BAIR HUGGER-FL BDY CO	27.25
THIN PREP PAP HPV-LABCORP-E	521.75
THORA SEAL	458.25
THORACENTESIS KIT	204.75
THROMBIN TIME; PLASMA	93.75
THROMBOPLASTIN INHIBITION TISSUE	30.5
THROMBOTIC PANEL-E	731.5
THYROGLOBULIN	63.25
THYROGLOBULIN QN PANEL SENDO-E	145.25
THYROID IMAGING W/BLOOD FLOW	795
THYROID IMAGING W/BLOOD FLOW	1,349.00
THYROID METS; LIMITED	795
THYROID METS; WHOLE BODY	795.75
THYROID STIMULATING HORMONE	204
THYROID STIMULATING IMMUNOGLOBULINS	552.5
THYROID UPTAKE MEASUREMENT	668.25
THYROXINE BINDING GLOBULIN	190.5
THYROXINE; TOTAL	29.5
TISSUE CULTURE; BM BLD CELLS	282
TISSUE CULTURE; LYMPHOCYTE	259.75
TISSUE EXAM BY PATHOLOGIST LVL 3	362.5
TISSUE EXAM BY PATHOLOGIST LVL 4	364.5
TISSUE EXAM BY PATHOLOGIST LVL 5	397.75
TISSUE EXAM BY PATHOLOGIST LVL 6	609.5
TL PAP W AUTO SCRN & MANUAL RSCR	224.25
TL201 THALLIUM PER 1 MCI	462.25
TMJ JOINT – BILATERAL	635.5
TOBRAMYCIN	117.75
TOCOPHEROL ALPHA (VIT E)	72.5
TOMOGRAM	800.75
TOMOSYNTHESIS, MAMMO	59
TOPIRAMATE	100.25
TOTAL BILIRUBIN	36.25
TOTAL PROTEIN OTHER SPECIMEN	60
TOTAL VITAL CAPACITY	240.5
TPMT GENE COM VARIANTS	434.25
TRANSCORTIN	44.75
TRANSDUCER-PATIENT MOUNT	312
TRANSDUCER-POLE MOUNT	257
TRANSFERASE; ALANINE AMINO	74.5
TRANSFERRIN	140
TRANSFUSION BLOOD OR BLOOD COMPONENTS	1,788.00
TRANSGLUTAMINASE IGA/G SENDO-E	134.5
TRANSRECTAL US	1,436.25
TRANSVAGINAL OB US	1,078.00
TRAY CHOL/KARLAN BALLOON CTH 4	356
TRAY COOK RADIAL	85.75
TRAY LAP CHOLE ROBART/SCHULZ	982
TRAY LAP/CHOL AZMEH/VACH	595.75
TRAY LOWER GYN	300.25
TRAY MEDIZIV (EDUIDURAL)	232.75
TRAY PICC DUAL LUMEN 5 FR	1,009.75
TRAY PICC POWER 5FR	954.75
TRAY PICC TRIPLE LUMEN POWE 6F	1,173.50
TRAY TROCAR OB/GYN	428.75
TRAY WITHOUT CATH	37.25
TRAY-ARROW ART LINE KIT	193.25
TRAY-ARROW MULTI LUMEN	469.5
TRAY-ARROW PERCUTANEOUS 8.5	270.25
TRAY-ARROW RADIAL ARTERY	80
TRAY-CHEST TUBE ASSERTION	294.75
TRAY-CLOSED SYSTEM 16 FR	131.75
TRAY-ENT TRAY	191
TRAY-EPIDURAL W/GLASS LOR	121.75
TRAY-INSTRUMENT CIRC SET	90.5
TRAY-INSTRUMENT EPISIOTOMY S	117.5
TRAY-INTRODUCER SET 12 FR	224.25
TRAY-IRRIGATION W/PISTON	18.5
TRAY-LUMBAR (SPINAL) ADULT	236.75
TRAY-LUMBAR (SPINAL) INFANT	164.75
TRAY-NOSE	31.5
TRAY-SPINAL ANESTHESIA	206.75
TRAY-SUTURE SET (AMB CARE)	148.5
TRAY-SUTURE SET (ER)	180.75
TRAY-SUTURE SET FINE FACIAL LA	196.75
TRAY-SUTURE SET-HAND	191
TRAY-THORACENTESIS W CATH	156
TRAY-TRACHEOSTOMY TRAY	264
TRAY-URETHRAL CATH 14 FR	37.25
TRAY-UROLOGY	29.5
TRAY-VAGINAL EXAM	191
TRB@ GENE REARRANGE AMPLIFY	403.5
TREAT CLAVICLE FRACTURE	7,110.75
TREAT SWALLOWING DYSFUNCTION	10.25
TREAT SWALLOWING DYSFUNCTION	446.5
TREATMENT OF BLADDER LESION	393.25
TREPHINE X-HAIR 8MM	432.75
TREPONEMA PALLIDUM	41.25
TRG GENE REARRANGEMENT ANAL	427.75
TRICHOMONAS VAGIN DIR PROBE	62.5
TRICHOMONAS VAGINALIS AMPLIF	86.5
TRIGLYCERIDES	98.5
TRIPOD RETRIEVAL FORCEP FG-45U	2,235.50
TROCAR 11 X 100 OPTICAL CFR33	172.75
TROCAR 11MM CANNULA SEAL CFS12	79
TROCAR 11MM FIRST ENTRY CFF33	191
TROCAR 11MM X-CEL	267.5
TROCAR 12 X 100 OPTICAL CFR73	79
TROCAR 12MM EXCEL B12LT	410.25
TROCAR 12MM FIRST ENTRY CFF73	191
TROCAR 12X150MM	566
TROCAR 5 100 FIRST ENTRY	110.75
TROCAR 5 X 100MM OPTICAL CFR03	133.5
TROCAR 5MM CANNULA SEAL CFS02	34.25
TROCAR 5MM FIRST ENTRY CFF03	191
TROCAR 5MM SLEEVE BSLT	202.5
TROCAR 5MM X 100MM CB5LT-R	64.75
TROCAR BALLOON SPACEMAKER KIT	2,279.50
TROCAR BLADED 12 X 100 CTB73	113
TROCAR BLADED 5 X 100 CTB03	87.5
TROCAR BLADED 8MM X 100 C0676	455.75
TROCAR EXCEL 12MM X 150 B12X1	443.25
TROCAR EXCEL 5MM X 150MM B5XT	334.75
TROCAR X-CEL BLUNT TIP H12LP	421.75
TROPONIN QUAN	159.25
TTE F-UP OR LMTD	582.75
TTE W/DOPPLER COMPLETE	2,515.00
TTE W/O DOPPLER COMPLETE	1,125.00
TUBE BAKER INTESTIONAL 16 FR	367.25
TUBE BOUGEE 15FR 70CM CAUDE	35
TUBE CANNULA DISP 10	31.5
TUBE CANNULA DISP 4	24
TUBE CANNULA DISP 8	31.5
TUBE FEEDING 5FR X 16IN	9.5
TUBE FEEDING 8FR X 16 IN	9.5
TUBE GASTROSTOMY	291.5
TUBE GASTROSTOMY 12 FR	121.75
TUBE GASTROSTOMY 14 FR	111.5
TUBE GASTROSTOMY 16 FR	175
TUBE GASTROSTOMY 18 FR	169.75
TUBE GASTROTUBE	212.25
TUBE JEJUNOSTOMY-VIVINEX	111.75
TUBE LUKI	48.5
TUBE ORAL RAE 4.5 CUFFED MURPH	33.25
TUBE PHEUMOTHORIAX SET	644
TUBE SALEM SUMP 10FR	29.5
TUBE SALEM SUMP 12FR	28
TUBE SALEM SUMP 14 FR W/VAVE	28
TUBE SALEM SUMP W/REFLEX 16F	61.75
TUBE SALEM SUMP W/REFLEX 18F	80
TUBE SUCTION ATTACHMENT DEVI	48.5
TUBE TRACH 5.0 LO PRO MURPHY	9.5
TUBE TRACH CUFF XLT 6.0	196.75
TUBE TRACH CUFF XLT 8.0	274.75
TUBE TRACH CUFF/LO/MAGI 6.5	26.5
TUBE TRACH CUFF/LO/MAGI 7.5	29.25
TUBE TRACH CUFF/LO/MURPHY 8.0	29.25
TUBE TRACH CUFF/LO/MURPHY 8.5	26.5
TUBE TRACH CUFF/REA 6.0	76.75
TUBE TRACH RAE CUFFED 4.0	29.5
TUBE TRACH UNCUFF/MAGIL 2.5	15
TUBE TRACH UNCUFF/RAE 7.0	22.25
TUBE TRACHEAL 2.0	20.25
TUBE TRACHEAL 3.5 UNCUFF/RAE	20.25
TUBE TRACHEAL 5.0 CUFF/RAE	41.25
TUBE TRACHEAL 5.0 UNCUFF/RAE	41.25
TUBE TRACHEAL 5.5 CUFF/RAE	41.25
TUBE TRACHEAL 5.5 UNCUFF/RAE	41.25
TUBE TRACHEAL 6.0 CUFF/LO MAGI	41.25
TUBE TRACHEAL 6.5 CUFF/RAE	41.25
TUBE TRACHEAL 6.5 UNCUFF/RAE	40
TUBE TRACHEAL 7.0 CUFF/LO.MAGI	46.5
TUBE TRACHEAL 7.0 CUFF/RAE	41.25
TUBE TRACHEAL 7.0 CUFF/RAE/NAS	41.25
TUBE TRACHEAL 7.5 CUFF/RAE	41.25
TUBE TRACHEAL 7.5 CUFF/RAE/NAS	31.5
TUBE TRACHEAL 8.0 CUFF/RAE	41.25
TUBE TRACHEAL 8.0 CUFF/RAE/NA	28.25
TUBE TRACHEAL UNCUT 5.5	26.5
TUBE TRACHEAL UNCUT 7.0	46.75
TUBE TRACHEAL UNCUT 8.5	161.25
TUBE TROCAR 10 FR	66.25
TUBE TROCAR 20 FR	69.75
TUBE TROCAR 24 FR	285.75
TUBE TROCAR 28	71.75
TUBE-TRACH ADULT CUFFED 10	136
TUBE-TRACH ADULT CUFFED 6	360.75
TUBE-TRACH ADULT CUFFED 8	296.75
TUBE-TRACH ADULT CUFFLESS 6	206.25
TUBE-TRACH ADULT CUFFLESS 8	126.75
TUBE-TRACHEAL 3.0	76.75
TUBING ADAPTER Y	96
TUBING PATIENT REDEUCE	143.25
TUBING REDUECE PUMP	212
TUMOR IMAGING WHOLE BODY 2+ DAYS	1,880.50
TUMOR LOCALIZ; MULTI AREAS	1,081.00
TUMOR LOCALIZ; SPECT (3D)	1,880.50
TX CL ELBOW DISLOC W ANESTH	3,060.50
TX GASTRO INTUB W/ASP	766.5
TX S WND DEHIS; W PACK	1,092.75
TX S WND DEHISC; SMPL	658.75
TX/PRO/DX INJ NEW DRUG ADDON	292
TX/PRO/DX INJ SAME DRUG ADDON	235
TX/PROPH/DG ADDL SEQ IV INF	353.25
TYPE & SCREEN, PRENATAL-E	413.5
TYPE AND SCREEN-E	413.5
UGI W AIR & BARIUM W SB	2,307.25
ULTRACISION HDH05 DISS HOOK	728
ULTRASOUND ABD/PELIVS-E	2,952.50
ULTRASOUND ABD/PELVIS/TRAS V-E	4,084.00
ULTRASOUND ABDOMEN/RENAL-E	2,640.50
ULTRASOUND EARLY OB W TR-MDC-E	2,585.50
ULTRASOUND EARLY OB W TV-H-E	2,585.50
ULTRASOUND EARLY OB WITH TV-E	2,585.50
ULTRASOUND PELVIS/TRANS VAG-E	2,698.50
ULTRASOUND THERAPY EA 15 MINS	12
ULTRASOUND THERAPY EA 15 MINS	176.5
UNIL SELCTV RENAL VENOGRAM	3,973.50
UNLISTED ABDOMEN MUSCULOSKEL OP	553
UNLISTED CHEMISTRY TEST	58.75
UNLISTED CHEMOTHERAPY PROCEDURE	96.75
UNLISTED DX GASTROENTEROLOGY PROC	565
UNLISTED FLUORO	164.25
UNLISTED MOLECULAR PATHOLOGY	148
UNLISTED MOLECULAR PATHOLOGY	621.5
UNLISTED MOLECULAR PATHOLOGY	932
UNLISTED PROC SKIN MM & SQ TISS	3,347.00
UNLISTED PROCEDURE ANUS	895.75
UNLISTED PROCEDURE CASTING OR STRAPPING	144
UNLISTED PROCEDURE CASTING OR STRAPPING	207.5
UNLISTED PROCEDURE ENDOCRINE SYSTEM	5,466.25
UNLISTED PROCEDURE EXTERNAL EAR	2,832.50
UNLISTED PROCEDURE HANDS OR FINGERS	1,419.50
UNLISTED PROCEDURE HUMERUS OR ELBOW	252
UNLISTED PROCEDURE LEG OR ANKLE	524.75
UNLISTED PROCEDURE MATERNITY CARE & DEL	385.75
UNLISTED PROCEDURE NERVOUS SYSTEM	648.75
UNLISTED PROCEDURE PALATE UVULA	238
UNLISTED PROCEDURE PHARYNX ADENOIDS	238
UNLISTED PROCEDURE RECTUM	1,808.25
UNLISTED PROCEDURE STOMACH	1,052.50
UNLISTED PROCEDURE URINARY SYSTEM	2,884.00
UNLISTED PULMONARY SERVICE	422.5
UNLISTED VASC PROCEDURE	1,925.50
UNNA BOOT STRAPPING	149
UNNA BOOT STRAPPING	298
UNNA-FLEX PLUS WOUND CENTER	41
UPPR GI ENDOSCOPY W/STENT-MAB	3,483.50
UPR/L XTREMITY ART 2 LEVELS	484
UPR/LXTR ART STDY 3+ LVLS	557.75
UR ALBUMIN QUANTITATIVE	83.25
UREA NITROGEN URINE	49.5
UREA NITROGEN; QUAN	49.5
URETER REFLUX STUDY	787.75
URETHROGRAM RETROGRADE	1,218.50
URIC ACID; BLOOD	59.75
URIC ACID; NOT BLOOD	20.5
URINE BACTERIA CULTURE	138.75
URINE PHOSPHATE	109.25
URINE POTASSIUM	85.75
URINE PREGNANCY VISUAL COLOR	121
URINE SULFATE	13.5
URINE TOTAL PROTEIN	58.25
URINE+PROTEIN ELECTR SEND OU-E	252
UROLOGY DRAINAGE BA (OEC)U2068	75.25
US ABD/PELIVS-MDC-E	2,952.50
US ABD/PELVIS/TRAS VAG-MDC-E	4,084.00
US ABDL AORTA SCREEN AAA	1,255.00
US ABDOMEN& RENAL-MDC-E	2,640.50
US COMPL JOINT R-T W/IMG	1,127.75
US EARLY OB TWINS HD-E	1,709.25
US EARLY OB TWINS W TV-E	2,787.00
US EARLY OB TWINS W TV-MDC-E	2,787.00
US EARLY OB TWINS-E	1,709.25
US EARLY OB TWINS-MDC-E	1,709.25
US EARLY OB W TRANS VAG-MDC-E	2,639.25
US EXAM ABDO BACK WALL COMP	1,255.00
US EXAM ABDO BACK WALL LIM	1,255.00
US EXAM ABDOM COMPLETE	1,385.75
US EXAM CHEST	1,254.00
US EXAM INFANT HIPS STATIC	485
US EXAM OF HEAD AND NECK	1,572.00
US EXAM PELVIC COMPLETE	1,566.75
US EXAM PELVIC LIMITED	1,296.50
US FOLLOW-UP STUDY	314.25
US GUIDE INTRAOP	428.75
US GUIDE VASCULAR ACCESS	1,100.25
US GUIDED AMNIOCENTESIS	647.75
US GUIDED NEEDLE PLACEMENT	1,371.50
US INTERSTITIAL RE APPLIC	1,795.50
US LATE OB TWINS >14 WKS-MDC-E	1,956.50
US LATE OB TWINS AND BIOPHYS-E	5,285.50
US LATE OB TWINS HD-E	1,956.50
US LATE OB TWINS-E	1,956.50
US LMTD JT/NONVASC XTR STRUX	1,116.75
US OB LIMITED & BIOPHYS MAB-E	2,944.00
US OB LIMITED AND ABD-E	2,665.25
US OB LIMITED AND BIOPHYSICA-E	2,944.00
US OB LIMITED AND RENAL-E	2,534.50
US OB LIMITED AND TV-E	2,357.25
US PELVIS/TRANS VAG-MDC-E	2,698.50
US PROSTATE VOLUME FOR BT	440.75
US SCROTUM AND CONTENTS	1,918.75
US SPINE	1,101.00
UTERINE MANIPULATOR KRONNER	141.75
V.A.C KCI FOAM BLACK	277
V.A.C. KCI CANNISTER W/GEL	548.75
VAGINITIS/VAGINOSIS DNA-E	187
VALPROIC ACID,FREE/TOT SEND-E	185.25
VANCOMYCIN	154.5
VARICELLA ZOSTER CULTURE-E	106
VASOPRESSIN	190.25
VENIPUNCTURE CUTDOWN; AGE 1 OR OVER	353.75
VENT MGMT INPAT INIT DAY	988.25
VENT MGMT INPAT SUBQ DAY	1,342.00
VENT REUTER-BOBBINS 10-56162	59.25
VENT TUBE TOUMA	104
VENTILATOR – NOSE	15
VERY LONG FATTY ACID CHAINS	49.5
VESSEL LOOPS MAXI/RED	84.5
VIDEOFLUORSCOPY DYSPHAGIA-OT	116.25
VIP – VASOACTIVE INTESTINAL PEPTIDE	142.75
VIRAL NEUTRALIZATION	39
VIRUS ISOL SHELL VIAL TECHN	44.25
VIRUS ISOLATE; TISSUE CULT INOC	62
VISCOSITY	104
VIT B-12; UNSATURATED BC	229
VIT D 1 25-DIHYDROXY	445.25
VITAMIN A	131.5
VITAMIN B-12 LEVEL	181
VITAMIN B6	269.5
VITAMIN D 25 HYDROXY	73.25
VITAMIN K	58.5
VITAMIN NOS	123.75
VMA ACID RANDON UA-E	57
VMA URINE	36.75
VOIDING CYSTO PROFILE-E	2,208.25
VOIDING URETHROCYSTOGRAM	1,086.25
VON WILLEBRAND PROFILE SEND-E	421.75
WAND ENT EVAC 70 EIC5870-01	1,004.75
WAND ENT REFLEX ULTRA 45	1,284.50
WAND OPES ASPIRATING ABLATOR	1,284.50
WASHERS (Z) 3.5/4.0 CANN. SET	224
WASHERS (Z) 6.5 CANNULATED	161.75
WAX BONE	22.5
WB SGL DAY TUMOR IMAGING	1,730.25
WEDGE EXC NAIL FOLD	392.5
WEST NILE VIRUS AB CSF-E	123.75
WEST NILE VIRUS AB IGM	62
WEST NILE VIRUS ANTIBODY	62
WEST NILE VIRUS,SERUM SENDO-E	123.75
WHEELCHAIR MNGMENT TRAINING EA 15 MINS	9.5
WHEELCHAIR MNGMENT TRAINING EA 15 MINS	140
WHIRLPOOL THERAPY 1+ AREAS	178
WHO COCK-UP NONMOLDE PRE OTS	96.25
WIRE STEEL 18GA	39.75
WIRE STEEL 25GA	40.5
WORK HARDENING EA ADDTL HR	64.25
WORK HARDENING INIT 2 HRS	188.5
WOUND(S) CARE NON-SELECTIVE	3.5
WOUND(S) CARE NON-SELECTIVE	170
WOUND(S) CARE NON-SELECTIVE	205.5
WRIST ARTHROGRAM	1,167.25
WRIST ARTHROGRAPHY INJ	586.25
XPRESS MULTI SINUS TOOL	3,763.00
XR FB IN EYE	457.25
XR NECK SOFT TISSUE	431.75
XR OPTIC FORAMINA	173.5
X-RAY C/T SPINE DISK	4,389.75
XRAY CONTROL CATHETER CHANGE	1,136.00
X-RAY EXAM ABDOMEN 1 VIEW	328
X-RAY EXAM ABDOMEN 2 VIEWS	504.75
X-RAY EXAM ABDOMEN 3+ VIEWS	504.75
X-RAY EXAM CHEST 1 VIEW	339.5
X-RAY EXAM CHEST 2 VIEWS	410
X-RAY EXAM CHEST 3 VIEWS	567.5
X-RAY EXAM CHEST 4+ VIEWS	594.75
X-RAY EXAM ENTIRE SPI 2/3 VW	890.25
X-RAY EXAM ENTIRE SPI 4/5 VW	1,410.75
X-RAY EXAM HIP UNI 1 VIEW	434.25
X-RAY EXAM HIPS BI 2 VIEWS	614.75
X-RAY EXAM KNEE 4 OR MORE	687.5
X-RAY EXAM NECK SPINE 2-3 VW	590.75
X-RAY EXAM NECK SPINE 4/5VWS	716.75
X-RAY EXAM NECK SPINE 6/>VWS	837.75
X-RAY EXAM OF ANKLE 2 VIEWS	394.75
X-RAY EXAM OF ANKLE 3+ VIEWS	511.25
X-RAY EXAM OF ARM INFANT 2+ VIEWS	290.25
X-RAY EXAM OF BREASTBONE 2+ VIEWS	417.25
X-RAY EXAM OF BREASTBONE 3+ VIEWS	205.5
X-RAY EXAM OF ELBOW 2 VIEWS	352
X-RAY EXAM OF ELBOW 3+ VIEWS	446.25
X-RAY EXAM OF EYE SOCKETS 4+ VIEWS	641.5
X-RAY EXAM OF FACIAL BONES <3 VIEWS	321.5
X-RAY EXAM OF FACIAL BONES 3+ VIEWS	699
X-RAY EXAM OF FEMUR 2/>	614.75
X-RAY EXAM OF FINGER(S) 2+ VIEWS	447
X-RAY EXAM OF FOOT; 2 VIEWS	394.75
X-RAY EXAM OF FOOT; 3+ VIEWS	456.25
X-RAY EXAM OF FOREARM 2 VIEWS	500
X-RAY EXAM OF HAND 2 VIEWS	373
X-RAY EXAM OF HAND 3+ VIEWS	515.5
X-RAY EXAM OF HEEL 2+ VIEWS	610.75
X-RAY EXAM OF HUMERUS 2+ VIEWS	500
X-RAY EXAM OF JAW <4 VIEWS	286.25
X-RAY EXAM OF JAW 4+ VIEWS	649
X-RAY EXAM OF KNEE 1 OR 2	417.25
X-RAY EXAM OF LEG INFANT 2 VIEWS	290.25
X-RAY EXAM OF LOWER LEG 2 VIEWS	511.25
X-RAY EXAM OF LOWER SPINE	974
X-RAY EXAM OF LOWER SPINE	1,168.50
X-RAY EXAM OF LOWER SPINE 2-3 VIEWS	504.25
X-RAY EXAM OF LOWER SPINE 4+ VIEWS	722
X-RAY EXAM OF MASTOIDS 3+ VIEWS	658.75
X-RAY EXAM OF NASAL BONES 3+ VIEWS	436.5
X-RAY EXAM OF PELVIS 1-2 VIEWS	500
X-RAY EXAM OF RIBS 2 VIEWS UNILAT	406.5
X-RAY EXAM OF RIBS 3 VIEWS BILAT	617.75
X-RAY EXAM OF RIBS/CHEST 3+ VIEWS UNILAT	683.25
X-RAY EXAM OF RIBS/CHEST 4+ VIEWS BILAT	1,194.00
X-RAY EXAM OF SHOULDER 1 VIEW	261.25
X-RAY EXAM OF SHOULDER 2+ VIEWS	547
X-RAY EXAM OF SINUSES <3 VIEWS	424.75
X-RAY EXAM OF SINUSES 3+ VIEWS	692.75
X-RAY EXAM OF SKULL <4 VIEWS	550
X-RAY EXAM OF SKULL 4+ VIEWS	768.5
X-RAY EXAM OF SMALL BOWEL	651.5
X-RAY EXAM OF SMALL BOWEL	1,842.50
X-RAY EXAM OF TAILBONE 2+ VIEWS	569.25
X-RAY EXAM OF THORACIC SPINE 2 VIEWS	635.75
X-RAY EXAM OF THORACIC SPINE 3 VIEWS	827
X-RAY EXAM OF TOE(S) 2+ VIEWS	394.75
X-RAY EXAM OF WRIST 2 VIEWS	394.75
X-RAY EXAM OF WRIST 3+ VIEWS	500
X-RAY EXAM SACROILIAC JOINTS 3+ VIEWS	485
X-RAY EXAM SURGICAL SPECIMEN	751
X-RAY OF LOWER SPINE DISK	4,389.75
X-RAY OF MAMMARY DUCT	769.5
X-RAY OF MAMMARY DUCTS	1,538.00
X-RAY UPPER GI DELAY W/KUB	1,082.75
X-RAY UPPER GI&SMALL INTEST	2,128.00
X-RAYS BONE LENGTH STUDIES	648
X-RAYS BONE SURVEY COMPLETE	1,825.00
X-RAYS BONE SURVEY INFANT	1,179.25
X-RAYS FOR BONE AGE	648
YAG LASER AFTER CATERACT-AC	1,384.50
ZIKA VIRUS DNA/RNA AMP PROBE	157.5
ZINC	124.25

Inpatient Hospitalization Charges

DRG	Description	Average fee
100	SEIZURES W MCC	35,400.76
101	SEIZURES W/O MCC	29,526.26
102	HEADACHES W MCC	68,355.57
103	HEADACHES W/O MCC	18,618.49
125	OTHER DISORDERS OF T	40,153.10
146	EAR, NOSE, MOUTH & T	25,679.76
149	DYSEQUILIBRIUM	25,985.86
158	DENTAL & ORAL DISEAS	15,424.76
159	DENTAL & ORAL DISEAS	16,365.36
175	PULMONARY EMBOLISM W	40,553.48
176	PULMONARY EMBOLISM W	26,461.88
177	RESPIRATORY INFECTIO	72,507.08
178	RESPIRATORY INFECTIO	44,173.06
179	RESPIRATORY INFECTIO	12,032.27
180	RESPIRATORY NEOPLASM	45,535.10
181	RESPIRATORY NEOPLASM	36,615.50
182	RESPIRATORY NEOPLASM	1,655.60
183	MAJOR CHEST TRAUMA W	44,027.87
184	MAJOR CHEST TRAUMA W	32,748.44
185	MAJOR CHEST TRAUMA W	19,560.79
186	PLEURAL EFFUSION W M	61,259.02
187	PLEURAL EFFUSION W C	74,531.49
189	PULMONARY EDEMA & RE	46,218.93
190	CHRONIC OBSTRUCTIVE	46,495.48
191	CHRONIC OBSTRUCTIVE	36,781.30
192	CHRONIC OBSTRUCTIVE	24,789.06
193	SIMPLE PNEUMONIA & P	45,534.02
194	SIMPLE PNEUMONIA & P	29,372.91
195	SIMPLE PNEUMONIA & P	21,581.75
196	INTERSTITIAL LUNG DI	56,261.94
198	INTERSTITIAL LUNG DI	144,243.42
199	PNEUMOTHORAX W MCC	26,803.34
200	PNEUMOTHORAX W CC	34,099.14
201	PNEUMOTHORAX W/O CC/	16,562.35
202	BRONCHITIS & ASTHMA	31,183.28
203	BRONCHITIS & ASTHMA	18,073.39
204	RESPIRATORY SIGNS &	22,417.11
205	OTHER RESPIRATORY SY	31,368.16
206	OTHER RESPIRATORY SY	28,480.96
207	RESPIRATORY SYSTEM D	158,862.05
208	RESPIRATORY SYSTEM D	78,135.87
252	OTHER VASCULAR PROCE	58,097.34
264	OTHER CIRCULATORY SY	49,315.43
270	OTHER MAJOR CARDIOVA	47,266.77
280	ACUTE MYOCARDIAL INF	46,614.29
281	ACUTE MYOCARDIAL INF	19,804.07
282	ACUTE MYOCARDIAL INF	19,035.31
283	ACUTE MYOCARDIAL INF	13,120.93
288	ACUTE & SUBACUTE END	98,274.06
291	HEART FAILURE & SHOC	44,911.86
292	HEART FAILURE & SHOC	37,842.48
293	HEART FAILURE & SHOC	25,643.85
299	PERIPHERAL VASCULAR	33,008.20
3	ECMO OR TRACH W MV >96	338,907.60
300	PERIPHERAL VASCULAR	21,564.09
301	PERIPHERAL VASCULAR	15,580.37
302	ATHEROSCLEROSIS W MC	40,044.33
304	HYPERTENSION W MCC	25,867.65
305	HYPERTENSION W/O MCC	19,505.34
308	CARDIAC ARRHYTHMIA &	42,294.89
309	CARDIAC ARRHYTHMIA &	27,440.71
310	CARDIAC ARRHYTHMIA &	18,663.68
312	SYNCOPE & COLLAPSE	25,687.07
313	CHEST PAIN	39,455.66
314	OTHER CIRCULATORY SY	34,856.69
315	OTHER CIRCULATORY SY	29,617.20
327	STOMACH, ESOPHAGEAL	62,005.83
329	MAJOR SMALL & LARGE	70,106.57
330	MAJOR SMALL & LARGE	76,133.95
331	MAJOR SMALL & LARGE	48,823.15
335	PERITONEAL ADHESIOLY	111,890.81
336	PERITONEAL ADHESIOLY	53,384.60
337	PERITONEAL ADHESIOLY	51,449.63
340	APPENDECTOMY W COMPL	48,340.76
343	APPENDECTOMY W/O COM	34,001.56
345	MINOR SMALL & LARGE	70,759.37
348	ANAL & STOMAL PROCED	59,889.98
349	ANAL & STOMAL PROCED	41,732.88
351	INGUINAL & FEMORAL H	36,290.15
352	INGUINAL & FEMORAL H	49,541.34
371	MAJOR GASTROINTESTIN	41,739.05
372	MAJOR GASTROINTESTIN	26,669.40
373	MAJOR GASTROINTESTIN	13,440.26
374	DIGESTIVE MALIGNANCY	37,242.72
375	DIGESTIVE MALIGNANCY	22,179.84
376	DIGESTIVE MALIGNANCY	12,628.00
377	G.I. HEMORRHAGE W MC	50,514.73
378	G.I. HEMORRHAGE W CC	29,253.62
379	G.I. HEMORRHAGE W/O	24,805.47
381	COMPLICATED PEPTIC U	31,927.38
383	UNCOMPLICATED PEPTIC	34,032.53
386	INFLAMMATORY BOWEL D	27,568.61
388	G.I. OBSTRUCTION W M	29,860.56
389	G.I. OBSTRUCTION W C	27,183.58
390	G.I. OBSTRUCTION W/O	21,158.05
391	ESOPHAGITIS, GASTROE	40,308.87
392	ESOPHAGITIS, GASTROE	23,411.41
393	OTHER DIGESTIVE SYST	49,550.49
394	OTHER DIGESTIVE SYST	26,124.30
395	OTHER DIGESTIVE SYST	9,735.03
4	TRACH W MV >96 HRS OR	126,469.51
41	PERIPH/CRANIAL NERVE	31,700.02
412	CHOLECYSTECTOMY W C.	70,025.34
414	CHOLECYSTECTOMY EXCE	48,400.72
415	CHOLECYSTECTOMY EXCE	59,763.95
416	CHOLECYSTECTOMY EXCE	66,414.06
417	LAPAROSCOPIC CHOLECY	112,401.09
418	LAPAROSCOPIC CHOLECY	56,200.81
419	LAPAROSCOPIC CHOLECY	47,956.73
432	CIRRHOSIS & ALCOHOLI	43,805.34
433	CIRRHOSIS & ALCOHOLI	22,114.52
435	MALIGNANCY OF HEPATO	47,415.88
436	MALIGNANCY OF HEPATO	82,779.84
438	DISORDERS OF PANCREA	50,177.55
439	DISORDERS OF PANCREA	32,917.21
440	DISORDERS OF PANCREA	22,540.25
442	DISORDERS OF LIVER E	20,720.38
443	DISORDERS OF LIVER E	26,487.43
444	DISORDERS OF THE BIL	32,595.33
445	DISORDERS OF THE BIL	47,471.17
462	BILATERAL OR MULTIPL	86,780.75
465	WND DEBRID & SKN GRF	41,115.70
467	REVISION OF HIP OR K	83,864.23
468	REVISION OF HIP OR K	68,238.22
469	MAJOR HIP AND KNEE J	88,923.48
470	MAJOR HIP AND KNEE J	56,184.42
477	BIOPSIES OF MUSCULOS	61,867.26
480	HIP & FEMUR PROCEDUR	72,959.26
481	HIP & FEMUR PROCEDUR	52,530.88
482	HIP & FEMUR PROCEDUR	48,432.06
483	MAJOR JOINT/LIMB REA	55,148.23
486	KNEE PROCEDURES W PD	99,206.61
487	KNEE PROCEDURES W PD	32,411.34
488	KNEE PROCEDURES W/O	31,045.42
489	KNEE PROCEDURES W/O	34,464.13
493	LOWER EXTREM & HUMER	63,949.05
494	LOWER EXTREM & HUMER	58,004.38
499	LOCAL EXCISION & REM	35,014.56
501	SOFT TISSUE PROCEDUR	29,440.42
502	SOFT TISSUE PROCEDUR	32,925.73
511	SHOULDER,ELBOW OR FO	41,017.07
517	OTHER MUSCULOSKELET	41,487.29
533	FRACTURES OF FEMUR W	25,563.98
534	FRACTURES OF FEMUR W	14,210.75
535	FRACTURES OF HIP & P	39,936.94
536	FRACTURES OF HIP & P	23,296.30
54	NERVOUS SYSTEM NEOPLA	33,606.83
540	OSTEOMYELITIS W CC	29,273.40
543	PATHOLOGICAL FRACTUR	60,626.27
545	CONNECTIVE TISSUE DI	26,480.31
546	CONNECTIVE TISSUE DI	43,874.88
55	NERVOUS SYSTEM NEOPLA	73,000.06
551	MEDICAL BACK PROBLEM	45,763.49
552	MEDICAL BACK PROBLEM	26,775.04
553	BONE DISEASES & ARTH	42,936.22
554	BONE DISEASES & ARTH	22,201.99
556	SIGNS & SYMPTOMS OF	44,391.29
557	TENDONITIS, MYOSITIS	52,750.65
558	TENDONITIS, MYOSITIS	13,820.61
559	AFTERCARE, MUSCULOSK	61,635.13
56	DEGENERATIVE NERVOUS	73,476.03
560	AFTERCARE, MUSCULOSK	63,422.74
561	AFTERCARE, MUSCULOSK	57,176.27
562	FX, SPRN, STRN & DIS	43,760.02
563	FX, SPRN, STRN & DIS	28,306.35
564	OTHER MUSCULOSKELETA	33,173.09
565	OTHER MUSCULOSKELETA	30,279.71
566	OTHER MUSCULOSKELETA	21,663.75
57	DEGENERATIVE NERVOUS	71,324.35
571	SKIN DEBRIDEMENT W C	59,104.12
572	SKIN DEBRIDEMENT W/O	35,478.49
580	OTHER SKIN, SUBCUT T	57,129.03
581	OTHER SKIN, SUBCUT T	43,820.67
59	MULTIPLE SCLEROSIS &	23,941.36
592	SKIN ULCERS W MCC	14,771.67
593	SKIN ULCERS W CC	31,170.23
596	MAJOR SKIN DISORDERS	27,571.46
597	MALIGNANT BREAST DIS	18,560.66
600	NON-MALIGNANT BREAST	23,082.43
601	NON-MALIGNANT BREAST	27,932.35
602	CELLULITIS W MCC	86,303.05
603	CELLULITIS W/O MCC	21,266.06
604	TRAUMA TO THE SKIN,	31,050.19
605	TRAUMA TO THE SKIN,	28,151.61
607	MINOR SKIN DISORDERS	8,575.41
617	AMPUTAT OF LOWER LIM	35,185.72
624	SKIN GRAFTS & WOUND	19,780.74
637	DIABETES W MCC	28,006.68
638	DIABETES W CC	22,011.59
639	DIABETES W/O CC/MCC	18,537.75
64	INTRACRANIAL HEMORRHA	53,545.82
640	MISC DISORDERS OF NU	32,632.26
641	MISC DISORDERS OF NU	22,986.21
642	INBORN AND OTHER DIS	27,475.33
643	ENDOCRINE DISORDERS	29,528.52
644	ENDOCRINE DISORDERS	22,079.93
645	ENDOCRINE DISORDERS	31,350.70
65	INTRACRANIAL HEMORRHA	31,969.98
653	MAJOR BLADDER PROCED	152,024.29
659	KIDNEY & URETER PROC	24,312.29
66	INTRACRANIAL HEMORRHA	28,706.99
660	KIDNEY & URETER PROC	34,612.00
661	KIDNEY & URETER PROC	24,863.59
663	MINOR BLADDER PROCED	191,856.50
666	PROSTATECTOMY W CC	79,586.71
669	TRANSURETHRAL PROCED	35,760.10
670	TRANSURETHRAL PROCED	31,280.84
673	OTHER KIDNEY & URINA	100,868.42
674	OTHER KIDNEY & URINA	47,999.25
675	OTHER KIDNEY & URINA	31,033.04
682	RENAL FAILURE W MCC	45,409.74
683	RENAL FAILURE W CC	28,239.30
684	RENAL FAILURE W/O CC	26,287.69
686	KIDNEY & URINARY TRA	153,644.52
689	KIDNEY & URINARY TRA	37,384.88
69	TRANSIENT ISCHEMIA W/	27,370.47
690	KIDNEY & URINARY TRA	25,540.69
693	URINARY STONES W/O E	40,075.32
694	URINARY STONES W/O E	25,262.32
695	KIDNEY & URINARY TRA	10,542.38
696	KIDNEY & URINARY TRA	22,879.40
698	OTHER KIDNEY & URINA	21,951.26
699	OTHER KIDNEY & URINA	69,607.27
71	NONSPECIFIC CEREBROVA	22,875.01
714	TRANSURETHRAL PROSTA	32,642.64
717	OTHER MALE REPRODUCT	79,332.36
72	NONSPECIFIC CEREBROVA	13,229.60
722	MALIGNANCY, MALE REP	86,771.40
726	BENIGN PROSTATIC HYP	31,188.99
742	UTERINE & ADNEXA PRO	26,931.91
743	UTERINE & ADNEXA PRO	40,619.28
744	D&C, CONIZATION, LAP	32,937.15
747	VAGINA, CERVIX & VUL	61,113.92
755	MALIGNANCY, FEMALE R	25,784.43
76	VIRAL MENINGITIS W/O	15,631.79
765	CESAREAN SECTION W C	21,309.35
766	CESAREAN SECTION W/O	21,113.92
767	VAGINAL DELIVERY W S	25,240.49
768	VAGINAL DELIVERY W O	36,393.59
769	POSTPARTUM & POST AB	29,430.54
774	VAGINAL DELIVERY W C	17,423.64
775	VAGINAL DELIVERY W/O	15,298.36
776	POSTPARTUM & POST AB	31,095.52
779	ABORTION W/O D&C	16,929.44
781	OTHER ANTEPARTUM DIA	14,906.58
784	CESAREAN SECTION W S	20,097.89
785	CESAREAN SECTION W S	19,883.23
786	CESAREAN SECTION W/O	23,841.24
787	CESAREAN SECTION W/O	19,717.07
788	CESAREAN SECTION W/O	20,273.24
789	NEONATES, DIED OR TR	4,895.48
792	PREMATURITY W/O MAJO	7,017.52
793	FULL TERM NEONATE W	11,081.26
794	NEONATE W OTHER SIGN	7,112.32
795	NORMAL NEWBORN	6,510.92
798	VAGINAL DELIVERY W S	24,899.28
80	NONTRAUMATIC STUPOR &	77,146.06
805	VAGINAL DELIVERY W/O	15,357.18
806	VAGINAL DELIVERY W/O	15,727.94
807	VAGINAL DELIVERY W/O	14,656.75
808	MAJOR HEMATOL/IMMUN	46,330.94
809	MAJOR HEMATOL/IMMUN	48,684.40
810	MAJOR HEMATOL/IMMUN	18,282.07
811	RED BLOOD CELL DISOR	41,869.93
812	RED BLOOD CELL DISOR	29,858.89
813	COAGULATION DISORDER	25,873.42
816	RETICULOENDOTHELIAL	26,908.00
821	LYMPHOMA & LEUKEMIA	146,030.42
822	LYMPHOMA & LEUKEMIA	64,299.85
825	LYMPHOMA & NON-ACUTE	32,971.61
832	OTHER ANTEPARTUM DIA	8,256.66
840	LYMPHOMA & NON-ACUTE	36,262.57
841	LYMPHOMA & NON-ACUTE	31,302.03
842	LYMPHOMA & NON-ACUTE	45,347.70
853	INFECTIOUS & PARASIT	81,495.40
854	INFECTIOUS & PARASIT	40,349.56
856	POSTOPERATIVE OR POS	41,389.89
857	POSTOPERATIVE OR POS	72,983.14
858	POSTOPERATIVE OR POS	61,165.99
862	POSTOPERATIVE & POST	42,576.71
863	POSTOPERATIVE & POST	16,484.22
864	FEVER AND INFLAMMATO	38,607.63
865	VIRAL ILLNESS W MCC	58,977.49
866	VIRAL ILLNESS W/O MC	14,929.27
867	OTHER INFECTIOUS & P	183,102.98
87	TRAUMATIC STUPOR & CO	14,634.95
870	SEPTICEMIA OR SEVERE	158,906.97
871	SEPTICEMIA OR SEVERE	50,390.36
872	SEPTICEMIA OR SEVERE	31,755.30
876	O.R. PROCEDURE W PRI	13,993.68
880	ACUTE ADJUSTMENT REA	9,513.21
881	DEPRESSIVE NEUROSES	12,144.12
882	NEUROSES EXCEPT DEPR	9,784.41
884	ORGANIC DISTURBANCES	64,781.68
885	PSYCHOSES	15,217.61
894	ALCOHOL/DRUG ABUSE O	23,283.58
896	ALCOHOL/DRUG ABUSE O	49,831.17
897	ALCOHOL/DRUG ABUSE O	25,653.02
90	CONCUSSION W/O CC/MCC	22,949.69
908	OTHER O.R. PROCEDURE	25,941.07
91	OTHER DISORDERS OF NE	40,637.25
915	ALLERGIC REACTIONS W	48,429.54
916	ALLERGIC REACTIONS W	13,212.92
917	POISONING & TOXIC EF	35,544.22
918	POISONING & TOXIC EF	20,058.80
92	OTHER DISORDERS OF NE	28,463.73
920	COMPLICATIONS OF TRE	11,555.03
921	COMPLICATIONS OF TRE	35,646.06
922	OTHER INJURY, POISON	38,420.92
93	OTHER DISORDERS OF NE	26,506.46
939	O.R. PROC W DIAGNOSE	69,542.57
947	SIGNS & SYMPTOMS W M	56,032.63
948	SIGNS & SYMPTOMS W/O	50,364.55
949	AFTERCARE W CC/MCC	103,339.97
956	LIMB REATTACHMENT, H	50,926.07
96	BACTERIAL & TUBERCULO	115,691.05
964	OTHER MULTIPLE SIGNI	29,943.73
981	EXTENSIVE O.R. PROCE	67,051.63
983	EXTENSIVE O.R. PROCE	35,186.23
988	NON-EXTENSIVE O.R. P	35,137.62

Pharmacy (Medication) Charges

Pharmacy Description	Average fee per unit
ABATACEPT 10MG INJECTION	276.95
ABSORBASE OINTMENT	18.91
ACETA/OXYCODONE HYD 10MG/325 T	4.21
ACETAMI/OXYCOD HYD 7.5/325MG T	4.97
ACETAMINOPHEN 120 MG SUPP	3.1
ACETAMINOPHEN 320 MG/10.15 ML	5.92
ACETAMINOPHEN 325 MG SUPP	3.09
ACETAMINOPHEN 325 MG TAB	2.94
ACETAMINOPHEN 500MG TAB	2.96
ACETAMINOPHEN 600 MG SUPP	3
ACETAMINOPHEN/CODEINE #3 TAB	2.42
ACETAMINOPHEN/CODEINE 120MG	5.54
ACETAZOLAMIDE 250 MG TAB	32.5
ACETAZOLAMIDE 500 MG CAP	18.47
ACETAZOLAMIDE 500 MG/5 ML VIAL	99.46
ACETYLCHOLINE CHLORIDE 2 ML VI	262.21
ACETYLCYSTEIN 20% 200MG/30ML	31.51
ACETYLCYSTEINE 100MG INJ	364.25
ACETYLCYSTEINE NON-COMP UNIT/G	30.11
ACTIVATED CHARCOAL 50GM BOTTLE	114.05
ACTIVATED CHARCOAL W SORBITOL	130.29
ACYCLOVIR 200 MG CAP	2.96
ACYCLOVIR 5MG INJECTION	0.17
ADENOSINE 1MG INJECTION	14.17
ADO-TRASTUZUMAB EMT 1MG INJ	212.35
ADO-TRASTUZUMAB EMT 1MG-WASTE	210.79
ADRENALIN EPINEPHRINE .1MG INJ	2.4
ADRENALIN EPINEPHRINE .1MG INJ	35.08
ADRENALINE EPINEPHRINE 0.1MG	63.61
ALBUMIN(HUMAN)25%50ML INFUSION	391.12
ALBUT UpTo2.5MG IPRATR UpTo.5M	2.92
ALBUTEROL INHALER	85.9
ALBUTEROL NON-COMP UNIT 1MG	3.24
ALENDRONATE 70MG	3.74
ALLOPURINOL 100 MG TAB	3.02
ALLOPURINOL 300 MG TAB	3
ALOE VERA/GLYCERIN 1 BOT BOT	17.26
ALPRAZOLAM 0.25 MG TAB	2.89
ALPRAZOLAM 0.5 MG TAB	2.95
ALTEPLASE 1MG INJ	648.42
ALUM. MAGNES. HYDROX SIMET TAB	2.97
ALVIMOPAN 12 MG CAP	765.87
AMANTADINE HCL 100 MG CAP	6.85
AMIKACIN SULFATE 100MG INJ	30.19
AMINOCAPROIC ACID 250 MG/ML	10.38
AMINOPHYLLINE 250 MG/10ML VIAL	61.86
AMIODARONE (NEXTERONE) 360MG	286.75
AMIODARONE 150MG VIAL (CORDARO	5.7
AMITIZA 8MCG CAP(LUBIPROSTONE)	32.96
AMITRIPTYLINE 10 MG TAB	2.63
AMITRIPTYLINE 25 MG TAB	3.08
AMLODIPINE 2.5 MG TAB	2.99
AMLODIPINE 5 MG TAB	2.95
AMMONIUM LACTATE 12 OZ BOTTLE	18.11
AMOX/POT. CLAVUL 250MG/5ML SUS	214.79
AMOXICILLIN 125 MG/5 ML SUSPEN	18.74
AMOXICILLIN 250 MG CAP	3
AMOXICILLIN 250 MG/5 ML SUSPEN	12.32
AMOXICILLIN 500 MG CAP	2.93
AMOXICILLIN CHEW 250 MG TAB	4.25
AMOXICILLIN/CLAV.POTAS.250MG T	27.5
AMOXICILLIN/CLAV.POTAS.500MG T	6.46
AMOXICILLIN/POT.CLAV 875MG UD	5.14
AMPHET ASP/AMPHET 5 MG TAB	4.86
AMPICILLIN 1000 MG/5 ML VIAL	6.91
AMPICILLIN 250 MG VIAL	9.26
AMPICILLIN 500 MG CAP	3
AMPICILLIN 500 MG VIAL PAR	9.33
AMPICILLIN SODIUM 500MG INJ	11.72
AMPICILLIN SULBACTAM 1.5 GM VI	17.79
AMPICILLIN SULBACTAM 3 GM BOT	16.59
ANALGESIC BALM-BEN GAY	5.02
APRACLONIDINE HCL 0.5 ML DP	238.13
AQUA MEPHYTON MDV 10 MG/ML	257.73
ARIPIPRAZOLE 10MG	7.5
ARIPIPRAZOLE 15 MG TAB	24.85
ARIPIPRAZOLE 2 MG TAB	6.75
ARIPIPRAZOLE 5MG TAB	7.58
ARIPIPRAZOLE EXT 1MG INJ	3,250.92
ARTIFICIAL TEARS 15 ML BOTTLE	7.67
ARTIFICIAL TEARS 3.5 GM TUBE	15.67
ASACOL HD 800MG DR TAB	21.56
ASPIRIN 300 MG SUPP	6.75
ASPIRIN 325 MG TAB	2.97
ASPIRIN 81 MG TAB	2.94
ASPIRIN EC 325 MG TAB	3
ASPIRIN ENTERIC COATED 81MG	2.89
ASTRINGYN FERRIC SUBSULFATE	74.91
ATENOLOL 25 MG TAB	2.92
ATENOLOL 50 MG TAB	2.83
ATORVASTATIN (LIPITOR)10MG TAB	2.97
ATROPINE SULFATE .01MG INJ	43.93
ATROPINE SULFATE 0.4 MG/ML VIA	27.02
ATROPINE SULFATE EYE DROPS	312.34
ATROVASTATIN CALCIUM 40 MG TA	3.04
ATROVENT 0.06 NASAL SPRAY	129.86
AVAPRO 150MG CAPSULES	3.16
AVITENE NON-WOVEN 70X35	121.76
AZATHIOPRINE 50 MG TAB	3
AZELASTINE	130.68
AZITHROMYCIN 1 GM POWDER	138.53
AZITHROMYCIN INJ 500 ML	16.93
AZTREONAM 1 GM	126.41
AZTREONAM 2GM INJ	212.98
B O SUPPOSITORY 16.2/30MG	119.97
BACITRACIN TUBE OINT	8.2
BACLOFEN 10 MG TAB	2.95
BACLOFEN 10MG INJ	1,164.36
BACTRIM UDC	11.44
BALANCED SALT SOLUTION 500 ML	39.25
BASIC OINTMENT 454 GM JAR	16.29
BENAZEPRIL 10 MG	3
BENDAMUSTINE 1MG INJ	191
BENDAMUSTINE 1MG INJ WASTE	138.13
BENDAMUSTINE 1MG INJECTION	201.72
BENLYSTA (BELIMUMAB) WASTE	306.9
BENLYSTA (BELIMUMAB)400MG VIAL	209.94
BENZOCAINE 2 OZ CAN SPRAY	25.99
BENZOCAINE SPRAY 20%	55.66
BENZOCAINE/MENTHOL 1 SPR SPRA	0.1
BENZONATATE 100 MG CAP	2.69
BENZTROPINE 1 MG TAB	2.96
BENZTROPINE MESYLATE /1MG INJ	481.96
BETAMET. 15 GM CR (DIPROSONE)	169.03
BETAMETHASONE ACET & SOD PHOSP	36.15
BETHANECHOL 25 MG TAB	3
BEVACIZUMAB 10 MG/0.4 ML WASTE	396.02
BEVACIZUMAB 10MG INJ	389.26
BEVACIZUMAB 10MG INJ WASTE	356.65
BEVACIZUMAB 10MG INJECTION	366.27
BICITRA 30CC	6.84
BIMATOPROST(LUMIGAN).01% 2.5ML	762.96
BIOTENE ORAL BALANCE GEL	31.66
BISACODYL 10 MG SUPP	2.98
BISACODYL 5 MG TAB	2.99
BISOPROLOL/HCTZ 5/625MG TAB	3
BLEOMYCIN SULFATE 15UNIT INJ	138.99
BORTEZOMIB(VELCADE).1MG WASTE	327.39
BORTEZOMIB(VELCASE).1MG	330.38
BREO ELLIPTA INHALATION POWDER	336.83
BREXPIPRAZOLE 1MG	210.85
BRIMONIDINE TARTRATE 5ML DROP	12.99
BRINZOLAMIDE 5ML	1,329.96
BSS PLUS	236.63
BUDESONIDE 0.5MG/2ML	31.01
BUMETANIDE	7.74
BUMETANIDE 1 MG TAB	3.28
BUMETANIDE INJ	11.38
BUPIVACAINE 0.25% 10ML HCL	9.6
BUPIVACAINE 0.5% M VIAL	11.35
BUPIVACAINE 0.75% 2ML	18.56
BUPIVACAINE 30 ML VIAL 1%	9.96
BUPIVACAINE HCL 0.5% PER 1ML	11.24
BUPIVACAINE/EPI 0.5% VIAL	12.72
BUPRENORPHINE/NALOXO 8MG/2MG	18.62
BUPRENORPHINE/NALOXONE <=3MG	18.13
BUPROPION HCL 100 MG TAB	7.13
BUPROPION HCL 100 MG TABLET	3.53
BUPROPION HCL 150 MG TABLET	3.62
BUPROPION HCL 75MG TAB	5.27
BUSPIRONE 5 MG TAB	2.97
BUSPIRONE HCL 15 MG TAB	2.97
BUTORPHANOL TART 2 MG/ML VIAL	26.32
BUTORPHANOL TARTRATE 1MG INJ	22.38
C1 ESTERASE INHIBITOR,HUMAN 50	19,802.74
CAFFEINE 200MG CAPLET	3
CALAMINE LOTION	7.29
CALC. CHLORIDE 13.6 MEQ/10 ML	43.85
CALCITON SALMON 400 UNIT/2 ML	12,410.06
CALCITONIN 2 ML NASAL SPRAY	269.14
CALCITRIOL 0.25 MCG TAB	2.98
CALCIUM 667 TAB	4.08
CALCIUM CARB. 500 MG TAB-TUMS	2.92
CALCIUM CARBONATE/VIT D2 1 TAB	3.05
CALCIUM CHLORIDE 100 MG/ML SYR	44.82
CALCIUM GLUCONATE 10 ML VIAL	34.13
CAPTOPRIL 25 MG TAB	9.45
CARBACHOL 1.5 ML BOTTLE	73.67
CARBAMAZEPINE 200 MG TAB	3
CARBAMIDE PEROX. 30 ML BOTTLE	3.59
CARBIDOPA/LEVODOPA 10/100 TAB	3
CARBIDOPA/LEVODOPA SR 50/200	3
CARBOPLATIN 50MG INJ	21.9
CARBOPR. TROMETHAM. 250 MCG/ML	1,786.39
CARFILZOMIB INJ 1MG	78.35
CARFILZOMIB INJ 1MG WASTE	189.36
CARVEDILOL 12.5 MG TAB	3
CARVEDILOL 25 MG TAB	2.97
CARVEDILOL 3.125 MG TAB	2.94
CARVEDILOL 6.25 MG TAB	3
CEFAZOLIN 1000 MG/3 ML VIAL	5.45
CEFAZOLIN SODIUM 500MG INJ	40.41
CEFAZOLIN SODIUM 500MG INJ	43.06
CEFDINIR 125 MG/5 ML ML	39.05
CEFDINIR 300 MG CAP	8.56
CEFEPIME 500MG INJ	15.37
CEFEPIME 500MG INJECTION	30.28
CEFOTAXIME 1 GM	35
CEFOXITIN 1 GM	2.84
CEFTAZIDIME PER 500MG INJ	12.83
CEFTAZIDIME PER 500MG INJ	41.47
CEFTAZIDIME PER 500MG INJ	53.77
CEFTAZIDIME PER 500MG INJ	75.38
CEFTRIAXONE PER 250MG INJ	48.35
CEFTRIAXONE PER 250MG INJ	87.17
CEFTRIAXONE SOD PER 20MG INJ	6.14
CEFTRIAXONE SOD PER 250MG INJ	7.36
CEFTRIAXONE SODIUM 250 MG VIAL	8.79
CELECOXIB 100MG CAPS	6.08
CELECOXIB 200MG CAPS	9.15
CELEXA (CITALOPRAM) 20 MG TAB	2.95
CEPACOL SUGAR FREE(BENZOCAINE)	6.41
CEPHALEXIN 250 MG CAP	2.79
CEPHALEXIN 250 MG/5 ML BOTTLE	29.58
CEPHALEXIN 500 MG CAP	2.71
CETAPHIL CREAM 16 oz	35.57
CETIRIZINE HYDROCHLOR 10 MG TA	2.78
CETUXIMAB 10MG INJ	214.72
CETUXIMAB 10MG INJ WASTE	256.05
CETUXIMAB 10MG INJECTION	80.04
CETUXIMAB 10MG/5ML VIAL WASTE	138.62
CHLORDIAZEPOXIDE 10 MG CAP	3.06
CHLORDIAZEPOXIDE 25 MG CAP	2.75
CHLORDIAZEPOXIDE 5 MG CAP	2.66
CHLORHEXIDINE GLUCONATE 0.12%	3.51
CHLORHEXIDINE GLUCONATE 0.12%	27.57
CHLORPROMAZINE HCL 25 MG TAB	6
CHLORPROMAZINE HCL 50 MG AMPUL	131.71
CHOLECALCIFEROL VIT D3 1000MG	3.04
CHOLESTYRAMINE 4 GM PACKET PWD	10.37
CHONDROITIN SULFATE/HYALURON 1	285.04
CILOSTAZOL 100MG	3.64
CILOSTAZOL 50MG TAB	3
CIMETIDINE 300 MG TAB	3
CINACALCET 30MG TAB	157.38
CIPRODEX OTIC 0.3%	948.33
CIPROFLOXACIN 0.3% OPH SOL	15.79
CIPROFLOXACIN 250MG TAB	2.98
CIPROFLOXACIN 500 MG TAB	2.96
CIPROFLOXACIN HCL 10 ML DROP	1,268.29
CIPROFLOXACIN IV 200MG	42.15
CISATRACURIUM 20MG/10ML	116.78
CISPLATIN 10MG INJECTION	11.85
CITALOPRAM HYDROBROMI 10MG TAB	2.96
CLINDAMYCIN 150 MG CAP	2.95
CLINDAMYCIN 300MG INJ	16.83
CLINDAMYCIN 600MH/50ML D5W PRE	43.53
CLINDAMYCIN 75MG/5ML	2
CLINDAMYCIN 900MG/50ML D5W PRE	50.27
CLINIMIX 4.25/25	165.97
CLINIMIX 4.25/5	325.48
CLINIMIX E 4.25/5	308.15
CLOBETASOL PROPIONATE 15GM CR	163.16
CLONAZEPAM 0.5 MG ODT	3.27
CLONAZEPAM 0.5 TAB	2.99
CLONAZEPAM 1 MG TAB	3.01
CLONIDINE HCL 0.1 MG TAB	3.03
CLONIDINE-TTS 0.1 MG PATCH	97.55
CLONIDINE-TTS 0.2 MG PATCH	232.55
CLONIDINE-TTS 0.3 MG PATCH	229.41
CLOTRIMAZOLE 10 MG TAB	3.39
CLOTRIMAZOLE 15 GM TUBE CR	5
CLOZAPINE 100 MG TAB	4.38
CODEINE/APAP/CAFFEIN/BUTALB 30	5.59
COLCHICINE 0.6 MG TAB	36.39
COLESTIPOL 1GM	6.92
COLLAGEN HEMOSTAT 1 POW	167.2
COLLAGENASE	751.55
CORDARONE 200 MG TAB	3.01
CORTISPORIN OPTH OINTMENT	281.54
CORTISPORIN OTIC SUSPENSION	250.61
COSYNTROPIN 0.25 MG VIAL	164.06
CO-TRIMOXAZOLE 1 TAB (SULFAM)	2.85
CO-TRIMOXAZOLE 10 ML VIAL	55.41
CULTURELLE CAPSULE	4.03
CYANOCOBALAMIN 500 MCG TAB	3.02
CYCLOBENZAPRINE 10 MG TAB	2.76
CYCLOPENTOLATE 1% EYE DROPS	12.32
CYCLOPENTOLATE HCL 2%	73.59
CYCLOPHOSPHAMIDE 100MG	268.38
CYCLOPHOSPHAMIDE 100MG	277.18
CYCLOPHOSPHAMIDE 100MG WASTE	284.1
CYCLOPHOSPHAMIDE 100MG WASTE	293.48
DABIGATRAN 150MG CAP(PRADAXA)	32.51
DABIGATRAN 75MG CAP(PRADAXA)	31.91
DACRIOSE 150 U BOTTLE	16.85
DANTROLENE 25 MG CAP	7.04
DAPTOMYCIN 1MG INJ	1,366.65
DARATUMUMAB 10MG INJ	244.64
DARATUMUMAB 10MG INJ	250.57
DARATUMUMAB 10MG INJ-WASTE	238.83
DARBEPOETIN ALFA 100MCG ESRD	2,142.18
DARBEPOETIN ALFA 100MCG NONESR	2,056.91
DARBEPOETIN ALFA 200MCG NONESR	3,874.80
DARBEPOETIN ALFA 300MCG NONESR	9,114.04
DARBEPOETIN ALFA 40MCG ESRD	829.24
DARBEPOETIN ALFA 40MCG NONESRD	829.24
DARBEPOETIN ALFA 500MCG NONESR	12,662.88
DARBEPOETIN ALFA 60MCG ESRD	1,326.76
DARBEPOETIN ALFA 60MCG NONESRD	1,211.93
DEFEROXAMINE 500MG INJECTION	88
DENOSUMAB 1MG INJ	134.99
DEPO MEDROL 80 MG/ML VIAL	92.26
DESMOPRESSIN ACETATE /1MCG INJ	241.34
DEXAMETH SOD TO 1MG INJ	0.5
DEXAMETHASONE 0.5 MG TAB	4.59
DEXAMETHASONE 1MG/1 ML	4.92
DEXAMETHASONE 4 MG TAB	5.39
DEXAMETHASONE SOD PHOS 10MG/1M	10.04
DEXAMETHASONE SOD PHOS 1MG,INJ	10.12
DEXMEDETOMIDE 200MCG/2ML VIAL	93.08
DEXMEDETOMIDINE HCL	60.76
DEXTROSE 10% IN WATER 1000 ML	43.12
DEXTROSE 10% IN WATER 500 ML	38.39
DEXTROSE 5 % IN WATER 1000 ML	41.39
DEXTROSE 5% 100 ML	39.83
DEXTROSE 5% 50 ML	41.42
DEXTROSE 5% 500ML EXCEL BAG	21.56
DEXTROSE 5% IN LACTATED RINGE	43.12
DEXTROSE 5% IN WATER 250 ML	37.78
DEXTROSE 5% IN WATER 500ML	38.81
DEXTROSE 5% SALINE 0.2% 1000ML	43.12
DEXTROSE 5% SALINE 0.2% 500ML	43.12
DEXTROSE 5% SALINE 0.33% 500ML	43.12
DEXTROSE 5% SALINE 0.45% 1000	40.91
DEXTROSE 5% SALINE 0.45% 500ML	37.92
DEXTROSE 5% SALINE 0.9% 1000ML	43.12
DEXTROSE 50 ML SYRINGE	51.34
DEXTROSE 50% IN WATER	57.28
DIAZEPAM 10 MG TAB	2.96
DIAZEPAM 10 MG/2 ML SYRINGE	148.81
DIAZEPAM 2 MG TAB	3
DIAZEPAM 5 MG TAB	2.72
DIAZEPAM TO 5MG INJ	183.28
DIBUCAINE 1 OZ TUBE OINT	34.46
DICLOFENAC SODIUM 1 APPLIC GEL	210.84
DICYCLOMINE 10 MG TAB	2.81
DICYCLOMINE 20MG TAB	3
DICYCLOMINE HCI UP TO 20MG INJ	371.16
DICYCLOMINE HYDROCHLORIDE 10MG	1.35
DIFLUCAN 400MG IV	43.12
DIGOXIN 0.125 MG TAB	6.05
DIGOXIN 0.5 MG/2 ML AMPULE	23.81
DILIAZEM 120 MG	2.94
DILTIAZEM 100MG INJ	34.33
DILTIAZEM 125MG PREMIX	86.15
DILTIAZEM 180 CAP	2.9
DILTIAZEM 240 MG CAP	3.48
DILTIAZEM 25MG 5ML	12.64
DILTIAZEM 30 MG TAB	2.91
DILTIAZEM 300 MG CAP	6.47
DILTIAZEM 60 MG TAB	2.99
DILTIAZEM HYDROCHLORIDE	14.56
DIPHENHYDRAMINE 12.5MG/5ML BOT	5.87
DIPHENHYDRAMINE 50 MG CAP	2.86
DIPHENHYDRAMINE 50 MG/ML VIAL	9.81
DIPHENHYDRAMINE HCL 15 GM CR	7.1
DIPHENHYDRAMINE HYDROCHLO 25MG	2.87
DIPHENOXYLATE/ATROPINE 1 TAB	2.96
DIVALPROEX SODIUM 125 MG	3.55
DIVALPROEX SODIUM 125 MG CAP	4.2
DIVALPROEX SODIUM 250 MG TAB	3
DIVALPROEX SODIUM 250MG TAB	7.46
DIVALPROEX SODIUM 500 MG TAB	7.61
DIVALPROEX SODIUM 500MG	2.99
DOBUTAMINE 250 MG VIAL	34.44
DOBUTAMINE 250 MG/250ML	26.48
DOCETAXEL (TAXOTER) 160MG/16ML	10.89
DOCUSATE SODIUM 100 MG CAP	2.71
DONEPEZIL 5MG UD (ARICEPT)	3.03
DOPAMINE 400MG IN DEXTROSE 250	44.64
DORZOLAMIDE HYDROCHLORIDE 1 DR	48.68
DOXAZOSIN 1 MG CAP	3.96
DOXAZOSIN 4 MG TAB	6.58
DOXEPIN 25 MG CAP	3.13
DOXEPIN 50 MG CAP	4.23
DOXORUBICIN HCL 10MG INJ	21.83
DOXORUBICIN HCL LIPOS 10MG	1,971.80
DOXYCYCLINE 100 MG CAP	2.87
DOXYCYCLINE 100 MG VIAL	84.72
DRONEDARONE 400 MG TABLET	54.68
DULOXETINE HYDROCHLORIDE 20MG	6.87
DULOXETINE HYDROCHLORIDE 30MG	6.31
DULOXETINE HYDROCHLORIDE 60MG	4.94
DUOVISC -CHON1KIT	263.69
DURVALUMAB 10MG ING	53.63
DURVALUMAB 10MG INJ	53.71
DURVALUMAB 10MG INJ WASTE	53.7
EDARAVONE 1MG INJ	2,658.79
ELECTROLYTE CONE VIAL	28.67
ELIQUIS (APIXABAN) 2.5MG TAB	11.29
ELIQUIS (APIXABAN) 5MG TAB	10.19
EMLA 5 GM	38.87
ENALAPRIL 10 MG TAB	2.96
ENALAPRIL 5 MG TAB	3
ENALAPRILAT 1.25MG/1 ML VIAL	10
ENOXAPARIN 30MG/0.3 ML	21.24
ENOXAPARIN 80 MG INJ	55.94
ENOXAPARIN SODIUM 100MG	63.66
ENOXAPARIN SODIUM 10MG INJ	104.06
ENOXAPARIN SODIUM 120 MG	78.84
ENOXAPARIN SODIUM 60MG/0.6 ML	37.52
EPHEDRINE 50MG/5ML SYR	53.7
EPHEDRINE SULFATE 50 MG/ML AMP	177.35
EPINEPHRINE HCL 30 ML BOTTLE	707.01
EPINEPHRINE HCL 30 ML VIAL	9.45
EPINEPHRINE LIDOCAINE HCL INJ	16.74
EPINEPHRINE PEN	671.87
ERGOCALCIFEROL 50000 IU SGL	3.68
ERTAPENEM SODIUM 1 GM VIAL	563.7
ERYTHROMYCIN 5 MG/GM OINT	10.34
ERYTHROMYCIN BASE 250 MG TAB	27.53
ESCITALOPRAM OXALATE 10MG TAB	2.95
ESMOLOL 100 MG/10 ML VIAL	16.35
ESMOLOL 2500MG/250ML BAG	1,192.49
ESTRADIOL 1 MG TAB	2.96
ESTROGEN. SUBS CONJUGAT 5ML	1,398.94
ESTROGENS CONJUGATED 42.5 TUBE	1,668.14
ETHYL ALC(DEHYDR ALC)5ML AMP	486.66
ETOMIDATE 2 MG/ML ML	9.9
ETOPOSIDE 10MG INJECTION	9.69
EXPAREL 1.3% 20ML 266MG	1,584.00
EZETIMIBE 10 MG TAB	37.41
FACTOR VIII FUSION RECOMB INJ	9.64
FAMOTIDINE 20 MG TAB	2.88
FAMOTIDINE 20MG/2ML	9.69
FAMOTIDINE 20MG/50ML BAG	36.48
FAMOTIDINE 40 MG TAB	2.92
FELODIPINE 5 MG TAB	5
FENOFIBRATE 160MG	12.28
FENOFIBRATE 54MG TAB	3.87
FENTANYL 100 MCG	54.21
FENTANYL 25 MCG	28.77
FENTANYL 50 MG	60.46
FENTANYL 75 MG	38.93
FENTANYL CITRATE 0.1MG INJ	10.03
FENTANYL CITRATE 0.1MG INJ	13.27
FENTANYL CITRATE,SODIUM CHL	131.36
FENTANYL CITRATE0 0.1MG INJ	4.63
FENTANYL PATCH 12MCG	41.38
FENTANYL/BUPIV EPI 2MCG .125%	102.11
FERRIC CARBOXYMALTOSE 1MG INJ	3,717.21
FERRLECIT 12.5MG INJECTION	33.08
FERROUS SULFATE 325 MG TAB	3.13
FERROUS SULFATE 325 MG/5ML LIQ	3
FERUMOXYTOL 1MG/0.03MI ESRD	3.73
FERUMOZYTOL 1MG/0.03ML NONESRD	3.74
FIBER TAB	2.67
FILGRASTIM 300 MCG INJ p1mcg	1,358.34
FILGRASTIN 1.6ML 480 MCGp1mcg	2,324.63
FINASTERIDE 5MG TAB	3.63
FIORICET TAB	8.25
FLECAINIDE 50MG TAB	4.65
FLOMAX	2.99
FLONASE NASAL SPRAY	30.74
FLUCONAZOLE 100 MG TAB	6.27
FLUCONAZOLE 150 MG TAB	10.92
FLUCONAZOLE 200 MG/100 ML BOT	42.89
FLUDROCORTISONE 0.1 MG TAB	3
FLUMAZENIL (ROMAZICON).5MG/5ML	46.84
FLUORESCEIN SODIUM STRIP 9 MG	3
FLUOROURACIL 500MG INJ	8.37
FLUOROURACIL 500MG INJ	10.3
FLUOROURACIL 5FU 500MG	12.25
FLUOXETINE 10MG (PROZAC)	2.86
FLUOXETINE 20 MG CAP	2.97
FLUOXETINE LIQUID	1.92
FLUPHENAZINE HCL 5 MG TAB	27.56
FLUTICASONE (FLOVENT 110MCG)	1,069.98
FLUTICASONE (FLOVENT 220MCG)	1,662.07
FLUVOXAMINE 50 MG TAB	3.13
FOLIC ACID 1 MG TAB	2.83
FOLIC ACID 5 MG/ML	10.58
FONDAPARINAX 2.5MG/0.5ML	67.97
FONDAPARINUX SODIUM 10 MG/0.8	221.51
FONDAPARINUX SODIUM7.5MG/0.6ML	170.56
FORMULATION R OINT	10.49
FOSAPREPITANT 1MG INJ	9.26
FOSFOMYCIN 3GM ORAL PKT	374.16
FOSINOPRIL 10MG TAB	3
FOSPHENYTOIN 50MG INJ PHENYTOI	23.21
FULVESTRANT 25MG INJ	645.96
FUROSEMIDE 10 MG/ML SOLUTION	1.5
FUROSEMIDE 20 MG TAB	2.95
FUROSEMIDE 20 MG/ML VIAL – 2ML	10.1
FUROSEMIDE 40 MG TAB	2.99
FUROSEMIDE 80 MG TAB	3
GABAPENTIN 100 MG CAPS	2.95
GABAPENTIN 250 MG/5 ML SOL	3
GABAPENTIN 400MG CAP	2.93
GABAPENTIN 800MG	3.01
GAUIFENESIN AC 10ML	3.26
GELFOAM LG 100	107.84
GELFOAM SM 12X7	21.94
GEMCITABINE 200MG INJECTION	47.41
GEMCITABINE HCL 200MG INJ	40.01
GEMFIBROZIL 600 MG TAB	3
GENTAMICIN 15 GM TUBE CREAM	193.87
GENTAMICIN 5 ML BOTTLE DROPS	8.47
GENTAMICIN 80 MG/2 ML VIAL	9.32
GENTAMICIN UP TO 80MG INJ	7.45
GENTAMICIN/NS 80 MG BAG	41.45
GLIMEPIRIDE 2GM (AMARYL)	3.03
GLIPIZIDE (GLUCOTROL)XL 2.5MG	4.03
GLIPIZIDE 5 MG TAB	2.98
GLIPIZIDE XL 5 MG TAB	3.02
GLUCAGON 1 MG VIAL	496.49
GLUCOSE GEL	25.03
GLUCOSE TABLETS	3
GLYBURIDE 2.5 MG TAB	3
GLYBURIDE 5 MG TAB	3
GLYCERIN 1 SUPPOSITORY	3.76
GLYCERIN 1 SUPPOSITORY INFANT	3
GLYCOPYRROLATE .4MG/2ML INJ	80.57
GLYCOPYRROLATE 1 MG TAB	4.8
GLYCOPYRROLATE 1MG/5ML SYR INJ	56.93
GNRC DACARBAZINE 100MG INJ	16.25
GOLYTELY POWDER FOR SOLUTION	33.15
GUAIFENESIN 10 ML CONTAINER	3.06
GUAIFENESIN DM 10ML	3.62
GUAIFENESIN TAB	3.79
GUAIFENESIN/DEXTROMETHROPHAN T	3.09
HALOBETASOL PROPIONATE	172.67
HALOPERIDAL DECANOATE 100 ML	212.18
HALOPERIDOL 1 MG TAB	3.29
HALOPERIDOL 2 MG/ML BOTTLE	1.82
HALOPERIDOL 5 MG TAB	3
HALOPERIDOL 5 MG TAB	4
HALOPERIDOL 5 MG/ML AMPULE	9.97
HALOPERIDOL DECAN. 50 MG/1 ML	129.32
HEMORRHOIDAL HC 1 SUPP	34.77
HEMORRHOIDAL OINTMENT TUBE	11.41
HEMORRHOIDAL/HC 30 GM TUBE	116.33
HEP LOCK FLUSH INJ PER 10 UNIT	9.59
HEPARIN PER 1000 UNIT INJ	12.73
HEPARIN SOD /1000 UNITS INJ	2.1
HEPARIN SODIUM,PORCINE 5000 UN	9.82
HEPARIN SODIUM/1000 UNITS INJ	2.44
HEPARIN SODIUM/1000U INJ	84.96
HEPATITIS A VACCINE ADULT IM	278.25
HEPATITIS B VACC (RECOMBINANT)	10.53
HETASTAR. 6% /NACL 0.9% 500 ML	92.21
HEXAMINOLEVULINATE 100MG INJ	5,166.51
HUMAN TETANUS IG INJ TO 250UNI	2,027.94
HYALURANATE SODIUM	4,284.43
HYDRALAZINE 10 MG TAB	3
HYDRALAZINE 20 MG/ML AMPULE	15.38
HYDRALAZINE 25 MG TAB	3.06
HYDROCHLOROTHIAZIDE 25 MG	2.96
HYDROCODONE 7.5-325 SOL 15ML	8.74
HYDROCODONE BIT/ACETAMIN TAB	2.86
HYDROCODONE/BITARTRA/APAP5/325	2.5
HYDROCODONE/BITARTRATE/APAP 7.	2.81
HYDROCORT 30 GM TUBE HYTONE1%	8.91
HYDROCORT 30 GM TUBE OINT 1%	6.25
HYDROCORT SOD SUCC 100MG	75
HYDROCORT SOD.SUCC. 250MG/2ML	141.13
HYDROCORT/POLYMYXIN/NEOMY 10ML	401.61
HYDROCORTISONE 10MG TAB	3.92
HYDROCORTISONE CM 2.5%	11.44
HYDROMORPHONE 2 MG TAB	2.73
HYDROMORPHONE HCL 10 MG/ML	10
HYDROMORPHONE UP TO 4MG INJ	18.44
HYDROMORPHONE UPto 4MG	185.56
HYDROXYCHLOROQUINE 200 MG TAB	7.86
HYDROXYUREA 500 MG CAP	3.85
HYDROXYZINE 100MG/2ML INJ	12.52
HYDROXYZINE HCL 10 MG TAB	3
HYDROXYZINE HCL 25 MG TAB	2.94
HYDROXYZINE PAMOATE 25 MG CAP	2.97
HYOSCYAMINE 0.125 MG	2.76
IBANDRONATE SODIUM INJ 1MG	396.86
IBUPROFEN 100MG/5ML SUSP	3.41
IBUPROFEN 200 MG TAB	2.82
IBUPROFEN 400 MG TAB	2.86
IBUPROFEN 600 MG TAB	2.73
IMIPRAMINE HCL 25 MG TAB	3
IMITREX 6 MG SYR	64.31
IMMUNE GLOBUL NONLYO 500mg INJ	158.59
IMMUNE GLOBUL NONLYOP 500mgINJ	186.38
IMMUNE GLOBUL NONLYOP 500mgINJ	187.4
IMMUNE GLOBULIN NONLYO 500 INJ	208.87
IMMUNE GLOBULIN NON-LYPH INJ	197.82
IMMUNE GLOBULIN NONLYPHOLIZED	220.24
IMMUNE GLOBULIN NONLYPHOLYZED	231.8
INCRUSE ELLIPTA INHALER	214.12
INDAPAMIDE 2.5 MG TAB	3
INDOCYANINE GREEN 25MG KIT	341.79
INDOMETHACIN 25 MG CAP	3
INDOMETHACIN 50 MG CAP	3
INFLIXIMAB (INFLECTRA)10MG INJ	213.64
INFLIXIMAB (REMICAD)10MG WASTE	505.4
INFLIXIMAB (REMICADE) 10MG INJ	480.71
INFLUENZA VIRUS VAC IIV4,0.5ML	96.24
INSULIN PER 5 UNITS INJ	27.34
INSULIN PER 5 UNITS INJ	88.31
INSULIN PER 5 UNITS INJ	131.74
INSULIN PER 5 UNITS INJ	168.49
INSULIN PER 5 UNITS INJ	1,343.08
INTRALIPID 20% 250 ML	79.71
IODINE 480 ML	1.09
IPILIMUMAB (YERVOY) 1MG	697.55
IPILIMUMAB (YERVOY) 1MG INJ	698.86
IPILIMUMAB(YERVOY)1MG INJ WAST	691.59
IPRATROPIUM 0.03% NASAL SPRAY	114.51
IPRATROPIUM BROMIDE 14 GM INH	1,659.83
IPRATROPIUMM (ATROVENT) 2.5ML	2.97
IRINOTECAN 20MG INJ	55.1
IRINOTECAN 20MG INJ WASTE	53.99
IRINOTECAN 20MG INJECTION	19.03
IRON DEXTRAN 50 MG/ML AMPULE	94.46
IRON SUCROSE 1MG	1.47
ISOSORBIDE 5 MG TAB	5.55
ISOSORBIDE MONONITRATE 20MG TA	3
ISOSORBIDE MONONITRATE 30MG TA	2.95
ISOSORBIDE MONONITRATE 60MG TA	3
ISOSULFAN BLUE(LYMPHAZUIN)1%	3,937.25
IVIG PRIVIGEN 500MG INJ	184.75
IVIG PRIVIGEN 500MG INJ	192.45
KCENTRA PER 1IU	8.8
KCENTRA PER 1IU-WASTE	8.39
KCENTRA PER IU	9.76
KCENTRA PER IU-WASTE	8.49
KENALOG 0.1% 15 GM CREAM	26.69
KETAMINE HCI 50 MG/ML VIAL	18.79
KETAMINE HYDROCHLORIDE INJ	32.3
KETOCONAZOLE 2%	49.96
KETOCONAZOLE 30 GM TUBE	118.54
KETOROLAC 10 MG TAB	5.09
KETOROLAC TROMETHAMINE 30 MG	9.77
KETOROLAC TROMETHAMINE 60 MG	11.62
KETOROLAC TROMETHAMPINE EYE DR	134.88
LABETALOL 100 MG TAB	2.82
LABETALOL 100 MG/20 ML VIAL	20.97
LACOSAMIDE 200MG TAB	86.69
LACOSAMIDE 50MG TAB	49.61
LACTATED RINGERS 1000 ML BAG	36.22
LACTOBACILLUS ACIDOPHILUS 1 BO	8.2
LACTULOSE 20 GM/30 ML UDC LIQ	3
LAMOTRIGINE 100MG TAB	2.92
LAMOTRIGINE 25 MG TAB	2.83
LANREOTIDE 1MG INJ	36,922.78
LANSINOH LANOLIN CREAM 7GM	7.66
LANSOPRAZOLE 15MG	81.36
LATANOPROST 2.5 ML BOTTLE	51.09
LEMTRADA(ALEMTUZUMAB) 1MG INJ	84,639.54
LET GEL	37.92
LETROZOLE (FEMARA) 2.5 MG TAB	3.53
LEUCOVORIN CALCIUM /50MG INJ	22.91
LEUCOVORIN CALCIUM PER 50MG	18.7
LEUPROLIDE 7.5 MG INJ	620.85
LEUPROLIDE ACETATE 22.5MG	2,228.35
LEUPROLIDE ACETATE 7.5MG	3,791.78
LEUPROLIDE ACETATE 7.5MG(45MG)	4,471.89
LEVALBUTEROL HAFA INHALER	247.8
LEVALBUTEROL NON-COMP 0.5MG	8.98
LEVAQUIN 250 MG TAB	2.75
LEVARTERENOL BITARTRATE 4 ML	21.78
LEVETIRACETAM 10 MG INJ	4.47
LEVETIRACETAM ORAL SOLUTION	9.49
LEVETRACETAM 500 MG TAB	2.84
LEVOFLOXACIN 250MG INJ	40.13
LEVOFLOXACIN 500 MG IVPB	42.42
LEVOFLOXACIN 500MG PO UD	2.93
LEVOFLOXACIN 750MG TAB	3.04
LEVOFLOXACIN/D5%W 5MG/1ML BAG	43.12
LEVONORGESTREL 1.5 MG TAB	85.59
LEVOTHYOXINE INJ 100MCG VIAL	470.16
LEVOTHYROXINE 112MCG TAB	3.07
LEVOTHYROXINE SOD 100MCG TAB	2.91
LEVOTHYROXINE SOD 125MCG TAB	2.91
LEVOTHYROXINE SOD 150MCG TAB	3.25
LEVOTHYROXINE SOD 25MCG TAB	2.98
LEVOTHYROXINE SOD 75MCG TAB	2.98
LEVOTHYROXINE SOD 88MCG TAB	2.97
LEVOTHYROXINE SODIUM 50MCG TAB	3.02
LIDOCAINE 0.5% 50 ML VIAL	13.57
LIDOCAINE 1% 10 MG/ML	10.84
LIDOCAINE 1% 30ML	15.63
LIDOCAINE 1% 5ML AMP	10.13
LIDOCAINE 1% W/EPI 20 ML VIAL	15.66
LIDOCAINE 2% 10 ML AMPULE	16.34
LIDOCAINE 2% 20 ML VIAL	9.97
LIDOCAINE 2% 20 ML VIAL	13.35
LIDOCAINE 2% 5ML PF SYR	35.07
LIDOCAINE 2% GEL 5ML TUBE	12.43
LIDOCAINE 2% STERILE JELLY 10M	36.67
LIDOCAINE 30 GM TUBE GEL	43.17
LIDOCAINE 5% PATCH	24.88
LIDOCAINE 50 ML BOTTLE	204.32
LIDOCAINE HCL 5ML AMP	59.66
LIDOCAINE HCL INJ	9.99
LIDOCAINE HYDROCHLORIDE 4 ML	106.22
LIDOCAINE UDL	4.37
LIDOCAINEfor10MG IV(100MG/5ML)	14.88
LINEZOLID 600MG/300 ML BAG	207.19
LIOTHYRONINE 5MCG TAB	3.49
LISINOPRIL 2.5MG TAB	3.01
LISINOPRIL 10MG TAB	2.93
LISINOPRIL 40MG	2.96
LITHIUM 450 MG	3
LITHIUM CARBONATE 150 MG CAP	3
LITHIUM CARBONATE 300 MG CAP	1.77
LOPERAMIDE 2 MG CAP	3.13
LORATADINE 10MG TAB	2.95
LORATADINE 5MG/ 5 ML SY	0.77
LORATADINE/PSEUDEOPHEDRINE TAB	3.8
LORATADINE/PSEUDOEPHEDRINE D24	3.74
LORAZEPAM 0.5 MG TAB	2.74
LORAZEPAM 1 MG TAB	2.87
LORAZEPAM 2 MG SYRINGE	9.27
LORAZEPAM ORAL SOLUTION	7.36
LORTREL 5/20	2.77
LOSARTAN POTASSIUM 25 MG TAB	3
LOTRISONE 15 GM TUBE CREAM	88.53
LOVASTATIN 50MG UD (COZAAR)	3.02
LOVENOX (ENOXAPARIN) 300MG/3ML	50.98
LOVENOX 10MG INJ	26.76
LUBIPOSTONE 24MCG	34.18
LURASIDONE (LATUDA) 20MG TAB	149.42
LURASIDONE (LATUDA) 40MG TAB	218.49
LURASIDONE (LATUDA) 80MG TAB	218.85
MAGNESIUM CITRATE 10 OZ BOTTLE	53.99
MAGNESIUM OXIDE 400 MG TAB	2.9
MAGNESIUM SULFATE /500MG INJ	11.15
MAGNESIUM SULFATE 40 MEQ/10 ML	5.61
MAGNESIUM SULFATE 40GM/ML BAG	37.16
MAGNESIUM SULFATE 50% 1GM/2ML	3.4
MAGNESIUM SULFATE 500MG INJ	37.72
MAGNESIUM SULFATE PER 500MG	78
MANNITOL 12.5 GM/50 ML VIAL	12.63
MARINOL CAPSULES	15.37
MAXITROL 3.5% OPHTH OINT	96.61
MAXITROL SUSP 5 ML BOTTLE	92.48
MEASLES MUMPS RUBELLA VACCINE	273.2
MECLIZINE 12.5MG TAB	2.87
MECLIZINE 25 MG TAB	2.78
MEDROXYPROGESTERONE 150MG/ML	313.29
MEDROXYPROGESTERONE 25 MG TAB	3
MEGESTROL ACETATE 40 MG TAB	3
MELOXICAM 7.5 MG TAB	3.01
MEMANTINE HYDROCHLORIDE 10MG	2.99
MENTHOL/ZINC OXIDE 113 GM TUBE	17.18
MEPERIDINE HYDROCHLORIDE 25MG	26.76
MEROPENEM 100MG INJECTION	4.23
METAMUCIL UD PACKET	3
METFORMIN	3
METFORMIN 850MG (GLUCOPHAGE)	2.96
METFORMIN HCL 500 MG TAB	3
METHACHOLINE 1MG	2.72
METHADONE 10 MG TB	3.17
METHADONE HCL 5 MG TAB	2.14
METHERGINE 0.2 MG TAB	236.99
METHERGINE 0.2 MG/ML AMPULE	80.39
METHIMAZOLE 10 MG	1.75
METHOL/ZINC OXIDE 3.5 GM PACK	2.98
METHOTRAXATE 2.5 MG TAB	12.33
METHOTREXATE 50 MG/2 ML VIAL	63
METHOTREXATE SODIUM 50MG	110.44
METHYLDOPA 250 MG TAB	3.09
METHYLNALTREXONE BROMIDE 12MG	444.45
METHYLPHENIDATE 10 MG TAB	6.65
METHYLPHENIDATE 5 MG TAB	3.02
METHYLPREDNISOLONE 4 MG TAB	2.14
METHYLPREDNISOLONE 40MG INJ	44.98
METHYLPREDNISOLONE INJto125MG	94.49
METHYLPREDNOSOLONE 125MG INJ	111.22
METOCLOPRAMIDE 10 MG TAB	2.83
METOLAZONE 2.5 MG TAB	12.53
METOLAZONE 5 MG TAB	7.09
METOPROLOL 100 MG TAB	6.39
METOPROLOL 5 MG/5 ML AMPULE	9.67
METOPROLOL 50 MG TAB	2.99
METOPROLOL 50MG TAB	4.09
METOPROLOL SUCCINATE 25 MG TAB	4.26
METOPROLOL TARTRATE 25 MG TAB	2.97
METRONIDAZOLE 250 MG TAB	2.97
METRONIDAZOLE 500 MG/100 ML	39.93
MICAFUNGIN (MYCAMINE) 100MG VI	341.47
MICONAZOKE 2% POWDER	31.78
MICONAZOLE TUBE VAGINAL CREAM	13.89
MIDAZOLAM 2MG/2ML VL PF	9.99
MIDAZOLAM 5 MG/5 ML VIAL	15.03
MIDAZOLAM HCL 1MG INJ	121.34
MIDAZOLAM PER 1MG INJ	9.23
MIDODRINE 10MG TAB	6.46
MIDODRINE 2.5MG TAB	2.92
MILK OF MAGNESIA 30 ML	6.82
MINERAL OIL 30 ML CONTAINER	3.84
MIRTAZAPINE 15 MG TAB	6.84
MISC PHARM NON FORMULARY INJ	156.2
MISC PHARM ORAL DRUGS	7.32
MISC PHARMACY NON FORMULARY	1.07
MISOPROSTOL 100 MCG TAB	4.1
MISOPROSTOL 200 MCG TAB	4.57
MISOPROSTOL 25MCG CUT TAB	3.06
MITOMYCIN PER 5MG(40MG VIAL)	573.12
MITOMYCIN TOPICAL EYE IRR	680.35
MODAFINIL 200 MG TAB	54.76
MOMETASONE FUROATE 1 APPLIC CR	32.64
MONTELUKAST SODIUM 10 MG TAB	2.98
MORPHINE 100 MG TABS	17.94
MORPHINE 10MG PRESERV FREE INJ	11.89
MORPHINE 15 TAB	3.42
MORPHINE 20MG ER CAPSULE	19.32
MORPHINE SULFATE 10MG/5ML SOLN	6.57
MORPHINE SULFATE 15 MG TAB	3.4
MORPHINE SULFATE 30 MG TAB	6.6
MORPHINE SULFATE 30MG 30MLVIAL	46.48
MORPHINE SULFATE INJ 4MG/ML	10.32
MORPHINE SULFATE ORAL SOLUTION	10.62
MORPHINE SULFATE TO 10MG INJ	9.56
MOXIFLOXACIN HCL 0.5 ML DP	177.24
MULTIVITAMIN (MVI-12) 10 ML	52.68
MULTIVITAMIN AND IRON15 1 TAB	2.36
MUPIROCIN 15 GM TUBE OINT	33.85
MYCOPHENOLATE CELLC 250MG CAP	3
MYCOPHENOLATE MOFETIL 500 MG T	4.54
MYLANTA LIQUID 30 ML	7.27
NA POLYSTYRENE SULFONATE 1GM	49.1
NABUMETONE 500 MG TAB	3.13
NAFCILLIN 2 GM VIAL	136.53
NALBUPHINE HCL PER 10MG INJ	39.12
NALOXONE 0.4 MG/ML VIAL	53.8
NALOXONE 2 MG/2 ML AMPULE	187.43
NALTREXONE 50 MG TAB	9
NAMENDA 5MG	10.28
NAPROXEN 500 MG TAB	2.96
NATALIZUMAB 1MG INJECTION	127.95
NEOMYCIN 500 MG TAB	5.36
NEOSPORIN	7.32
NEOSTIGMINE METHYL UP TO 0.5MG	216.08
NEOSYNEPHRINE OPHTH 10% GTTS	205.75
NEOSYNEPHRINE SPRAY	4.98
NEO-SYNEPHRINE TO 1ML INJ	21.72
NEPHROCAPS 1 TAB CAP	3.7
NEURONTIN 300MG CAPS (GABAPENT	2.84
NEUTRAPHOS 1.25 GM CAP	3.07
NIACIN 500 MG TAB	20.5
NICARDIPINE HCL 25MG/10ML INJ	60.83
NICOTINE POLACRILEX 2 MG GUM	2.92
NICOTINE TRANSDERMAL 14MGPATCH	6.95
NICOTINE TRANSDERMAL 21MGPATCH	7.11
NICOTINE TRANSDERMAL 7MG PATCH	6.93
NIFEDIPINE 10 MG CAP	2.74
NIFEDIPINE 30 MG TAB	3.56
NIFEDIPINE 60 MG TAB	5.32
NITRO DRIP PREMIX 250ML 25MG	49.3
NITROFURANTOIN 50 MG CAP	11.42
NITROFURANTOIN MONO/MACROCRYST	15.19
NITROGLYCERIN 0.1 MG PATCH	3.19
NITROGLYCERIN 0.2 MG PATCH	3
NITROGLYCERIN 0.4 MG PATCH	3
NITROGLYCERIN 0.4 MG/TAB 25	108.86
NITROGLYCERIN 1 GM TUBE	9.4
NOREPINEPHRINE DRIP 503B COMP	260.21
NORMAL SALINE INFUSION 250CC	41.46
NORMAL SALINE SOL INFUS 250CC	43.12
NORTRIPTYLINE 25 MG CAP	2.83
NORTRIPTYLINE 75 MG CAP	3
NUSINERSEN(SPINRAZA)0.1MG INJ	426,622.01
NYSTATIN 15 GM TUBE CREAM	22.69
NYSTATIN 500000 UNITS/5ML ML	4.61
NYSTATIN POWDER 15 GM	21.68
OCREVUS (OCRELIZUMAB) 1MG INJ	228.22
OCTREOTIDE ACETATE 30MG	27,928.91
OCTREOTIDE NOT DEPOT 25MCG INJ	14.04
OCTREOTIDE NOT DEPOT 25MCG INJ	25.37
ODANSETRON (ZOFRAN) 1MG	11.12
OFIRMEV IV ACETAMINOPHEN 1000	2.54
OFLOXACIN OTIC 0.3% DROPS	606.83
OLANZAPINE 10 GM TAB	2.88
OLANZAPINE 10 MG VIAL-5MG DOSE	163.32
OLANZAPINE 5 MG TAB	6.38
OLANZAPINE ZYDIS 10 MG TAB	12.82
OLANZIPINE 5 MG TAB	3
OLARATUMAB 10MG INJ	237.6
OLARATUMAB 10MG INJ-WASTE	347.33
OLPATADINE HCL 0.1% 5ML PATANO	231.46
OMALIZUMAB 5MG INJECTION	75.48
OMEGA-3-ACID ETHYL ESTERS	18.63
OMEPRAZOLE 20 MG PO	2.93
ONABOTULINUMTOXINA 1UNIT INJ	30.29
ONABOTULINUMTOXINA 1UNIT-WASTE	30.29
ONDANSETRON 4 MG ORAL	2.95
ONDANSETRON 4MG TAB-NON CHEMO	2.02
ONDANSETRON 8 MG TAB-NON CHEMO	3
ONDANSETRON PER 1MG INJ	9.8
OPDIVO (NIVOLUMAB) 1MG INJ	158.64
OPDIVO (NIVOLUMAB) 1MG INJ	164.26
OPDIVO (NIVOLUMAB) 1MG WASTE	184.02
OPDIVO (NIVOLUMAB)1MG INJ	175.66
OPDIVO (NIVOLUMAB)1MG INJ-WAST	186.35
OPHTH DILATING SOLN 0.5ML	66.44
ORAJEL (BENZOCAINE 10%) 7GM TU	19.95
ORAL DRUG,CHEMOTHERAPY NOS	14.44
ORPHENADRINE CITR UP TO 60MG	84.6
OSELTAMIVIR 30MG CAP	59.71
OSELTAMIVIR ORAL SUSPENSION	77.47
OSELTAMIVIR PHOSPHATE 75MG CAP	50.46
OSMITROL 10% 500 ML BAG	112.31
OXALIPLATIN .5MG INJ WASTE	7.35
OXALIPLATIN 0.5MG INJ	7.45
OXALIPLATIN 0.5MG WASTE	0.09
OXALIPLATIN 0.5MG/0.1ML	7.22
OXCARBAZEPINE 150MG(TRILEPTAL)	3.17
OXCARBAZEPINE 300MG	3
OXYBUTYNIN 5 MG TAB	2.99
OXYBUTYNIN XL 5MG TAB	8.45
OXYCINTIN 20MG (OXYCODONE)	28.63
OXYCODONE 10 MG TABLETS	18.14
OXYCODONE 40MG	38.52
OXYCODONE IR 5MG TAB	2.11
OXYCODONE/APAP 5/325MG 1 TAB	2.83
OXYMETAZOLINE HCL NASAL SPRAY	3.72
OXYTOCIN 10 UNIT/ML AMPULE	9.89
OXYTOCIN TO 10 UNITS INJ	54.69
PACLITAXEL 1MG INJECTION	8.31
PACLITAXEL PROTEIN-BOUND 1MG	86.62
PACLITAXEL PROTEIN-BOUND WASTE	87.16
PALIPERIDONE 3 MG TAB	127.28
PALIPERIDONE 6MG TAB	113.57
PALONOSETRON HCI 25MCG INJ	1,217.46
PANCRELIPASE TAB	6.27
PANTOPRAZOLE SODIUM 40 MG/VIAL	19.36
PARICALCITOL 1 MG CAP	30.27
PARICALCITOL 2 MCG/ML VIAL	27.21
PAROXETINE 20 MG TAB	2.93
PAROXETINE HYDROCHLOR 10MG TAB	3.07
PCV13 (PNEUM) VACCINE	801.58
PEGFILGRASTIM 6 MG/0.6 ML DISP	22,857.13
PEGFILGRASTIM 6MG DEL KIT INJ	18,740.17
PEMBROLIZUMAB 1MG INJ	259.46
PEMBROLIZUMAB 1MG INJ-WASTE	167.31
PEMETREXED 10MG INJ	236.7
PEMETREXED 10MG INJ	284.75
PEMETREXED 10MG INJ WASTE	126.7
PEMETREXED 500 MG/20 ML WASTE	308.89
PEN.VK SUSP-BIOCRAFT 25OMG/5ML	3.55
PENICILLIN G BENZ 100000UN INJ	600.1
PENICILLIN G POT UP TO 600000U	3.03
PENTASA 250 MG CAP	17.35
PENTOXIFYLLINE 400 MG TAB	3
PERMETHRIN LOTION 1% 60ML BTL	30.5
PERPHENAZINE 4 MG TAB	5.71
PERTUZUMAB 1MG INJ	81.45
PETROLATUM OINTMENT	5.55
PETROLATUM,WHITE 5GM FOILPAC	2.94
PHENAPHTHAZINE 100 MG TAB	4.84
PHENOBARBITAL 130 MG/ML VIAL	279.31
PHENOBARBITAL 32.4MG TAB	3.04
PHENYLEPHRINE 10 MG/ML VIAL	24.78
PHENYLEPHRINE HCL INJ UPto 1ML	40.2
PHENYLEPHRINE HCL OPH 10%0.5ML	20.82
PHENYTOIN 100 MG CAP	2.73
PHENYTOIN 100 MG/ML UDC	5.85
PHENYTOIN 30MG (DILANTIN)	5.87
PHYSOSTIGMINE 2 MG/2 ML AMPULE	262.1
PHYTONADIONE (VIT K)/1MG INJ	102.32
PHYTONADIONE 5 MG	290.96
PILOCARPINE 2 15 ML	353.14
PIOGLITAZONE 15MG	4.11
PIPERACILL/TAZOBACTAM 4/0.5GM	21.8
PIPERACILLIN/TAZOBACTAM	23.93
PIPERACILLIN/TAZOBACTAM 2.25	15.61
PLAVIX 75mg ORAL TABLET	3.03
PNU-IMMUNE SYRINGE 0.5 ML	398.12
POLYETHYLENE GLYCOL 14OZ	67.94
POLYETHYLENE GLYCOL 3350 1 EAC	6.56
POLYMIXIN B/TM EYE GTTS 10ML	48.37
POTASSIUM ACETATE 2 MEQ/MLVIAL	14.17
POTASSIUM CHLORIDE /2MEQ	2.31
POTASSIUM CHLORIDE /2MEQ	40.14
POTASSIUM CHLORIDE /2MEQ	42.81
POTASSIUM CHLORIDE /2MEQ INJ	11.37
POTASSIUM CHLORIDE /2MEQ INJ	28.75
POTASSIUM CHLORIDE /2MEQ INJ	30.2
POTASSIUM CHLORIDE 10 MEQ TAB	3.08
POTASSIUM CHLORIDE 2 MEQ INJ	11.35
POTASSIUM CHLORIDE 20 MEQ TAB	2.93
POTASSIUM CHLORIDE 20MEG/100ML	39.07
POTASSIUM CHLORIDE 20MEQ/15 ML	58.23
POTASSIUM PHOSPHATE 3MM/ML 5ML	27.69
POTASSIUM-CITRATE/BICAR 25 MEQ	2.92
PRAMIPEXOLE DI-HCL 0.25 MG TAB	2.86
PRAMIPEXOLE DI-HCL 1 MG TAB	3.74
PRAMOXINE & HYDROCORTISONE	447.56
PREDNISOLONE 15 MG/5 ML UDC	10.03
PREDNISONE 1 MG TAB	3
PREDNISONE 1 MG/1 ML	3.44
PREDNISONE 10 MG TAB	3.07
PREDNISONE 20 MG UD TAB	2.91
PREDNISONE 5 MG TAB UD	3.01
PREGABALIN	46.57
PREGABALIN 150 MG CAP	45.16
PREGABALIN 75MG CAP	48.63
PREMETHRIN CREAM 5% 60GM TUBE	303.38
PRIMIDONE 250 MG TAB	3.66
PRIMIDONE 50 MG TAB	3.09
PROBENECID 500 MG TAB	3
PROCHLORPERAZINE 10 MG TAB	3
PROCHLORPERAZINE 25 MG SUPP	31.08
PROCHLORPERAZINE 5 MG TAB	3
PROMETHAZINE 12.5 MG SUPP	43.11
PROMETHAZINE 25 MG TAB	2.93
PROMETHAZINE 50 MG/ML AMPULE	9.09
PROMETHAZINE 6.25 MG/5 ML	2.81
PROMETHAZINE HCL 25MG/SUP RECT	35.98
PROPAFENONE 150 MG TAB	3
PROPANOLOL 20 MG TAB	2.98
PROPARACAINE 15 ML BOTTLE	124.76
PROPOFOL 10MG INJ	42.33
PROPOFOL 10MG INJ	42.86
PROPOFOL 10MG INJ	75.33
PROPRANOLOL 1 MG/ML AMPULE	13.48
PROPRANOLOL 10 MG TAB	2.96
PROPRANOLOL 120 MG CAP	8.76
PROPRANOLOL 40 MG TAB	3.91
PROPRANOLOL 60 MG CAP	11.18
PROPRANOLOL 80 MG CAP	11.29
PROPRANOLOL 80MG TAB	3
PROSTIGMIN TO 0.5MG INJ	89.35
PSEUDOEPHEDRINE 30 MG TAB	3
PYRIDOXINE 50 MG TAB	3.03
PYRIDOXINE HCL 100MG INJ	55.48
QUETAPINE FURMATE 50 MG TAB	3.49
QUETIAPINE 200MG TAB (SERQUEL)	4.44
QUETIAPINE 50MG TAB (SEROQUEL)	2.98
QUETIAPINE FUMARATE 100MG	2.92
QUETIAPINE FUMARATE 200 MG TAB	38.83
QUETIAPINE FUMARATE 25 MG TAB	2.99
QUETIAPINE FUMRATE 150 MG TAB	10.28
QUINAPRIL 10 MG TAB	3
RABIES IG INJ IM/SQ 150U/ML	3,922.11
RABIES VACCINE IM 1ML	1,262.25
RALOXIFENE HCL 60MG TAB	26.69
RAMIPRIL 2.5MG UD	3
RAMIPRIL 5MG UD (ALTACE)	3
RANOLAZINE ER 500MG TAB	32.66
RASBURICASE .5MG INJ	3,719.49
RASBURICASE .5MG INJ WASTE	3,765.25
RASBURICASE 0.5 MG	1,244.88
RASBURICASE 0.5MG 7.5MG WASTE	1,288.93
RECOMBIVAX HB PED-ADOLESCENT	6.77
REGADENOSAN(LEXISCAN)/.10mg	1,039.56
REGLAN 5 MG/ML VIAL	14.6
RENVELA (SEVELAMER) 800MG TAB	34.32
REQUIP 0.5MG	3.03
RESLIZUMAB 1MG INJ	62.69
RESLIZUMAB 1MG INJ-WASTE	62.69
RIFAMPIN 300 MG	3.6
RINGERS LACTATE INFUS,TO 1000C	38.39
RISPERDONE CONSTA 50MG	4,154.36
RISPERIDONE 0.25 MG TAB	3
RISPERIDONE 0.5 MG TAB	3.97
RISPERIDONE 1 MG	2.74
RISPERIDONE 1 MG TAB	3.76
RISPERIDONE 2 MG TAB	3.02
RISPERIDONE 2 MG TAB	7.58
RISPERIDONE MICROPHER 25MG/2ML	2,132.94
RITUXAN HYALURONIDASE 10MG INJ	33,497.81
RITUXIMAB 100MG INJ	4,348.45
RITUXIMAB 100MG/10 ML	4,097.10
RIVAROXABAN (XARELTO) 10MG TAB	50.32
RIVASTIGMINE 4.6MG PATCH	45.22
RIVASTIGMINE TARTRATE 1.5MG C	3.33
RIVASTIGMINE TARTRATE 3 MG CAP	3.8
RIVASTIGMINE(EXELON) 9.5MG PAT	47.54
ROCEPHIN 500MG INJ	7.2
ROCURONIUM SYR 50MG/5ML	60.69
ROFLUMILAST 500MCG TAB	52.14
ROMIPLOSTIN INJ 10MCG	264.49
ROMIPLOSTIN INJ 10MCG WASTE	311.54
ROPINIROLE HCL	3
ROPINIROLE HCL 2MG	2.45
ROPIVACAINE 10MG/ML	15.77
ROPIVACAINE HCL 1MG INJ	21
ROPIVACAINE HCL 1MG INJ	30.67
SALINE NOSE SPRAY 45 ML	3.25
SENNA CONCENTRATE 1 TAB UD	3.38
SENNA CONCENTRATE/DOCUS TAB	2.9
SENNA SYRUP UDC	8.67
SENSORCAINE MPF W EPI	14.88
SERTRALINE 50 MG TAB	2.88
SILVER NITRATE STICKS	3
SILVER SULFADIAZINE 50 JAR	43.92
SIMETHICONE 40 MG/0.6 ML BOT	14.29
SINCALIDE INJ 5 MCG	457.82
SINEMET 25-100 UD TAB	3.16
SINEMET 25-250 UD TAB	3
SITAGLIPTIN PHOSPHATE 50MG	79.8
SODIUM BICAR TAB 650MG	6.05
SODIUM BICARBONATE 10 MEQ/10	57.47
SODIUM BICARBONATE 50 MEQ SYR	41.8
SODIUM BICARBONATE 50 MEQ/50ML	39.26
SODIUM CHL 0.9% 2000ML IRR BAG	45.67
SODIUM CHLORIDE 0.45% 1000 ML	10.32
SODIUM CHLORIDE 0.9% 100ML BAG	39.93
SODIUM CHLORIDE 0.9% 50 ML BAG	40.42
SODIUM CHLORIDE 0.9%50ML BAG	33.36
SODIUM CHLORIDE 10 ML SOL	8.37
SODIUM CHLORIDE 10 ML SYR	9.54
SODIUM CHLORIDE 10 ML VIAL	9.98
SODIUM CHLORIDE 1000 ML BAG	37.82
SODIUM CHLORIDE 100ML	29.91
SODIUM CHLORIDE 15 ML BOTTLE	16.47
SODIUM CHLORIDE 2% MURO 128	86.32
SODIUM CHLORIDE 25ML BAG	21.72
SODIUM CHLORIDE 3% 500ML	9.58
SODIUM CHLORIDE 30 ML VIAL	10
SODIUM CHLORIDE 3L IRRIGATION	45.66
SODIUM CHLORIDE 50 MEQ/20 ML	10.27
SODIUM CHLORIDE 500 ML BAG	22.12
SODIUM PHOSPHATE 3 MM/ML MM	62
SODIUM SULFACETAMIDE 15 ML BOT	170.7
SODIUM THIOS 12.5GM/50ML INJ	439.17
SOLU-MEDROL 125 MG/2ML VIAL	48.02
SOLU-MEDROL 40 MG/1ML VIAL	31.32
SOTALOL 80 MG CAP	4.81
SPIRONOLACTONE 25 MG TAB	2.99
STERILE H20 FOR INJ 10OOML	13.62
STERILE H2O FOR INJECTION 10ML	10
SUCCINYLCHOLINE 200 MG/10 ML	108.1
SUCCINYLCHOLINE CHL 200MG INJ	101.77
SUCRALFATE 1 GM LIQU	44.19
SUCRALFATE 1 GM TAB	2.9
SUGGAMADEX 500MG INJ	542.06
SULF HEXA LIPID MICROSPH INJ	669.77
SULFAMETHOXAZOLE 1 MG TAB	3
SULFASALAZINE E.C. 500 MG TAB	3.03
SUMATRIPTAN 100MG	3.36
SUMATRIPTAN 25MG	3.48
SUPARTZ/VISCO-3 INTRA-ART INJ	332.13
SYNVISC 1MG INJ	1,002.05
TACROLIMUS (PROGRAF) 0.5MG CAP	6.57
TAMOXIFEN CITRATE 10 MG TAB	3
TD VACCINE NO PRSRV >=7YRS IM	170.46
TDAP VACCINE >=7 YRS 0.5ML IM	204.51
TEMAZEPAM 15 MG CAP	2.92
TEMAZEPAM 30 MG CAP	2.96
TEMAZEPAM 7.5 CAP	16.86
TENECTEPLASE 50MG (TNKase)	27,144.40
TERAZOSIN 1 MG TAB	3
TERAZOSIN 2 MG TAB	2.94
TERAZOSIN 5MG CAP	2.89
TERBINAFINE HYDROCHLORIDE 1 AP	28.98
TERBUTALINE 1 MG/ML AMPULE	8.4
TESTOSTERONE CYPIONATE 1MG INJ	108.98
THEOPHYLINE 100MG CAP ER 24HR	10.88
THEOPHYLLINE 300 MG CAP	13.64
THEOPHYLLINE 400 MG TAB	5.48
THIAMINE (VIT B1) 200MG/2ML	15.55
THIAMINE 100MG TAB	2.69
THROMBINAR 10000 UNIT POWDER	316.12
THYROID 30 MG TAB	3
THYROID 60 MG TAB	2.52
TICE BCG 50MG VACCINE	694
TIMOLOL 0.25% 5 ML BOTTLE	18
TIMOLOL 0.5% BOTTLE	33.34
TIMOLOL MALEATE/DORZOLAM HCL 5	675.32
TIZANIDINE HCL 2 MG TAB	3.37
TIZANIDINE HCL 4 MG TAB	3.03
TOBRAMYCIN 3.5 GM TUBE OINT	973.38
TOBRAMYCIN 5 ML BOTTLE	19.23
TOBRAMYCIN UP TO 80MG INJ	3.33
TOBRAMYCIN/DEXAMETHASONE 2.5ML	224.99
TOCILIZUMAB 1MG INJ	32.12
TOCILIZUMAB 1MG INJ	34.35
TOCILIZUMAB 1MG INJ WASTE	24.59
TOPIRAMATE 100MG TAB	3
TOPIRAMATE 25 MG TAB	3.03
TOPOTECAN .1MG INJ	10
TOPOTECAN .1MG INJ WASTE	10
TORSEMIDE 10 MG (TAB )	3.28
TORSEMIDE 20 MG (TAB)	3.03
TPA (ALTEPLASE) 1MG INJ	431.11
TPA 1MG INJ WASTE	429.01
TRACE ELEMENT 10 ML	58.35
TRAMADOL – 50 MG TAB	2.78
TRANEXMIC ACID 1000MG/10ML	46.19
TRANSDERM SCOP 1 PATCH	99.41
TRASTUZUMAB 10MG INJ	450.48
TRASTUZUMAB 10MG INJ WASTE	461.55
TRAVOPROST 0.004%	779.68
TRAZODONE 100 MG TAB	3.01
TRAZODONE 50 MG TAB	2.85
TRIAMCINALONE OINT 15 GM	16.04
TRIAMCINOLONE 40 MG/ML VIAL	62.52
TRIAMCINOLONE CREAM 0.025%	13.48
TRIAMCINOLONE CREAM 0.5%	31.6
TRIAMCINOLONE LOTION 0.1%	97.22
TRIAMTERENE + HCTZ 1 CAP	3
TRIAMTERENE/HCTZ 1 TAB	3.1
TRIHEXYPHENIDYL 2 MG TAB	3.04
TRIMETHOBENZAMIDE 100 MG/ML	164.44
TRIPLE ANTIBIOTIC OINTMENT	2.9
TROPICAMIDE EYE DROPS	23.74
TRYPAN BLUE	276.72
TUBERCULIN (PPD) 1 ML 0.1ML	30.05
URSODIOL 300MG CAP	21.97
USTEKINUMAB 1MG INJ	7,980.00
VALACYCLOVIR HC1 500MG	13.26
VALPROATE SODIUM 100 MG/ML VIA	10.82
VALSARTAN 160 MG CAP	4.26
VALSARTAN 80MG tab	9.19
VANCOMYCIN 125 MG CAP	31.41
VANCOMYCIN HCL 500MG INJ	15.69
VARENICLINE 1 MG TAB	35.85
VARICELLA VACCINE 0.5ML	475.64
VECURONIUM BR 10 MG VIAL	30.65
VEDOLIZUMAB 1MG INJ	132.2
VEETIDS 250 MG UD TAB	3.04
VENLAFAXINE 37.5 TAB	3.06
VENLAFAXINE 50 TAB	4.82
VENLAFAXINE HYDROCHL 150MG CA	2.99
VENLAFAXINE HYDROCHLORIDE 75MG	2.97
VERAPAMIL 120 MG TAB	3
VERAPAMIL 240 MG TAB	3.07
VERAPAMIL 80 MG TAB	3
VERAPAMIL SR 180 MG TAB	6.66
VERSED LIQUID 10MG/5ML UDC	29.42
VIIBRYD 10MG TAB (VILAZODONE)	38.92
VIIBRYD 20MG TAB (VILAZODONE)	23.94
VIIBRYD 40MG TAB (VILAZODONE)	43.3
VINBLASTINE SULFATE 1MG INJ	17.97
VINCRISTINE SULF 1MG	33.95
VISUALIZATION ADJUNCT 1MG INJ	761.77
VITAMIN A AND D 2 OZ TUBE OINT	10.8
VITAMIN B COMPLEX WITH C 1 CAP	2.98
VITAMIN B12 1000 MG 1 ML VIAL	20.6
VITAMIN C 500 MG TAB	2.99
VITAMINS MULTI THERAPUTIC 1TAB	2.99
VITAMINS MULTI W/MINERALS CAP	2.96
VITAMINS PRENATAL 1 TAB	2.49
VORTIOXETINE 10MG TAB	66.91
WARFARIN SODIUM 1 MG TAB	3.01
WARFARIN SODIUM 2 MG TAB	3.01
WARFARIN SODIUM 2.5 MG TAB	2.97
WARFARIN SODIUM 3MG TAB	3.02
WARFARIN SODIUM 5MG TAB	2.89
WITCH HAZEL 1 PAD CONTAINER	10.94
XARELTO (RIVAROXABAN) 15MG TAB	60.66
XARELTO (RIVAROXABAN) 20MG TAB	55.29
XGEVA(DENOSUMAB) 120MG/1.7ML V	10,340.90
ZEMURON (ROCURONIUM BROMIDE)	21.91
ZINC OXIDE 2 OZ TUBE OINT	6.22
ZIPRASIDONE HCI 40 MG	3.04
ZIPRASIDONE HYDROCHLO 80 MG CA	3.26
ZIPRASIDONE MESYLATE 20MG/ML I	118.66
ZITHROMAX 100MG/5ML	70.05
ZITHROMAX 200MG/5ML	70.02
ZITHROMAX 250 CAPS (AZITHROYCI	9.49
ZOFRAN INJ PER 4MG/2ML VIAL	2.5
ZOLEDRONIC ACID 1MG INJ	214.8
ZOLPIDEM 5 MG TAB	3
ZOPRASIDONE HC1 20MG CAPS	3
ZYPREXA 2 .5MG (OLANZAPINE)	3
ZYVOX 600MG	23.38

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