Pricing

Home / Patient Information / Financial Services / Pricing

Financial CounselorBeginning 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).

  1. Hospital Charges for Services
  2. Inpatient Hospitalization Charges  (2019 estimated/average charge per stay)
  3. 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

DescriptionFee
ASSAY DIPROPYLACETIC ACD TOT92.75
ASSAY OF BREATH ETHANOL62.5
ASSAY OF DIGOXIN TOTAL142.5
ASSAY OF FECES PORPHYRINS185.5
ASSAY OF VOLATILES123.5
BLD TYPING SEROLOGIC RH PHNT119.5
BLOOD TYPING RBC ANTIGENS247
BLOOD TYPING SEROLOGIC ABO119.5
BLOOD TYPING SEROLOGIC RH(D)119.5
BREAST TOMOSYNTHESIS BI59
CONTRAST X-RAY GALLBLADDER570
DRAIN/INJ MAJOR JOINT/BURSA W/O US648.75
DRAIN/INJ MAJOR JOINT/BURSA W/O US973.25
DRUG SCREEN QUANT GABAPENTIN58.25
DXA BONE DENSITY STUDY622.5
FETAL CHRMOML ANEUPLOIDY1,082.25
FLT3 GENE235
FLT3 GENE ANALYSIS117.75
FRACTURE ASSESSMENT VIA DXA132
HPV HIGH-RISK TYPES357
HPV TYPES 16 & 18 ONLY85.5
IADNA-DNA/RNA PROBE TQ 12-25706.75
IMMUNOHISTO ANTIBODY ADDL SLIDE88.25
IMMUNOHISTO ANTIBODY SLIDE287.25
INSITU HYBRIDIZATION (FISH)317
INSITU HYBRIDIZATION AUTO263.25
INSITU HYBRIDIZATION MANUAL301
MYELOGRAPHY LUMBAR INJECTION4,808.75
NEG PRESS WOUND TX <=50 CM168
NEG PRESS WOUND TX <=50 CM205.5
NEG PRESS WOUND TX >50 CM320
NEG PRESS WOUND TX >50 CM392.5
QUANTITATIVE ASSAY DRUG91.25
TUMOR IMMUNOHISTOCHEM/COMPUT287.25
TUMOR IMMUNOHISTOCHEM/MANUAL247
ULTRASOUND BREAST COMPLETE947
ULTRASOUND BREAST COMPLETE1,894.75
ULTRASOUND BREAST LIMITED985
ULTRASOUND BREAST LIMITED1,970.75
UNLISTED PX SMALL INTESTINE3,347.00
014104 LASER FIBERGUIDE 2701,723.25
1′ REPR/SUTR LEG FLEXOR TENDON3,270.00
12 LEAD EKG; TRACING ONLY219.25
17-HYDROXYPREGNENOLONE95
2 PC DRAINABLE OST POUCH8
2 PC DRAINABLE OST POUCH18.5
2 PC DRAINABLE OST POUCH22
3 HR GLUCOSE TOLERANCE GEST-E275
3 HR GLUCOSE TOLERANCE-E370.25
3D RENDER W/INTRP POSTPROCES58.25
3D RENDER W/INTRP POSTPROCES1,189.50
4 HR GLUCOSE TOLERANCE-E465.5
5 HIAA, RANDOM URINE-E69.25
5 HR GLUCOSE TOLERANCE-E560.75
5% DEXTROSE/NORMAL SALINE 500 ML=1 UNIT65.75
5% DEXTROSE/WATER (500 ML = 1 UNIT)65.75
5-HIAA48.75
AB ID RBC EA PANEL EA TECHN285.75
AB ID; LEUKOCYTE AB87
AB ID; PLATELET AB66
AB ID; PLATELET IG ASSAY28.75
AB: HBCAB – IGM AB61.5
AB: HBSAB142
AB: THYROGLOBULIN82.25
AB; ACTINOMYCES72.25
AB; ADENOVIRUS52.25
AB; ASPERGILLUS71.5
AB; BACTERIUM NES348.25
AB; BARTONELLA52.75
AB; BLASTOMYCES55
AB; BORDETELLA67.25
AB; BRUCELLA107.75
AB; CANDIDA238.5
AB; CHLAMYDIA50.75
AB; CHLAMYDIA IGM52.75
AB; CMV50.75
AB; CMV IGM49.25
AB; COCCIDIOIDES50
AB; COXIELLA BRUNETII61.5
AB; COXIELLA BRUNETII273
AB; CRYPTOCOCCUS55.75
AB; EB EARLY AG VIRUS102.75
AB; EB VCA65.75
AB; EBNA65.75
AB; ENCEPHALITIS CALIF53
AB; ENCEPHALITIS E EQUINE53
AB; ENCEPHALITIS ST. LOUIS53
AB; ENCEPHALITIS W EQUINE53
AB; ENTEROVIRUS179
AB; ENTEROVIRUS476.75
AB; ERLICHIA85.75
AB; ERLICHIA172.75
AB; FRANCISELLA TULARENSIS42.5
AB; FRANCISELLA TULARENSIS84.5
AB; FUNGUS NES52.5
AB; HBCAB – TOTAL125.5
AB; HBEAB80
AB; HELICOBACTER PYLORI70.75
AB; HELMINTH NES59.25
AB; HEMOPHILUS INFLUENZA72
AB; HISTOPLASMA82
AB; HIV-130.5
AB; HIV-257
AB; HSV 169.25
AB; HSV NON-SPECIFIC61.75
AB; HSV TYPE 2154.5
AB; INFLUENZA VIRUS57
AB; LEGIONELLA238.5
AB; LEPTOSPIRA99
AB; LISTERIA MONOCYTOGENES117.5
AB; LYME’S (WB) CONFIRM161.5
AB; LYME’S DISEASE82
AB; MUMPS67.25
AB; MYCOPLASMA57
AB; PARVOVIRUS117.75
AB; PROTOZOA NES42.5
AB; RICKETTSIA48
AB; RUBELLA184
AB; RUBEOLA101.75
AB; TETANUS65
AB; TOXOPLASMA134.5
AB; TOXOPLASMA IGM196.5
AB; TRICHINELLA67.75
AB; VARICELLA-ZOSTER196.25
AB; VIRUS NES55
AB; YERSINIA49
ABD PARACENTESIS694.75
ABD PARACENTESIS W/IMAGING694.75
ABL1 GENE426.25
ABO/RH-E238.75
ABSC LOCALIZ; WB2,114.25
ABSCESS FISTULA/SINUS TRACT STUDY1,210.25
ABSCLOCALIZ; SPECT2,114.25
ABSORBATACK 5MM FIXATION3,126.75
ABSORBATACK SHORT DEVICE1,976.75
ACETONE ASSAY70
ACJ BILATERAL W/WO WEIGHTS699
ACTH163.75
ACTH1,307.50
ACTIVATED PROTEIN C RESISTANCE154.5
ACUTE GI BLEED STUDY1,069.50
ACUTE HEPATITIS PANEL766
ACYLCARNITINES; QUAN201.25
ADALIMUMAB AB-E128.25
ADAPTER <Y CONNECTER LG 1/4X136
ADAPTER PORTEX BRONCHIAL33.25
ADMIN FLU VIRUS VACCINE133.5
ADMIN PNEUMONIA VACCINE133.5
ADRENAL ANDROGEN PROFILE-E485
AEROB BACTERIA CULTURE STOOL162.5
AEROB BACTERIAL BLOOD CULTURE159
AEROBIC STOOL CULTR ADDTL PATHOG EA PLATE87.75
AEROCHAMBER INHALER49.25
AEROSOL MASK184
AEROSOL PENTAMIDEN FOR P. CARINII484.75
AEROSOL SPUTUM COLLECT164
AFP TETRA SEND OUT-E381.25
AG DETECT NOS IA MULT51.5
AGENT NOS ASSAY W/OPTIC99.25
AIRWAY INHALATION TREATMENT245.75
ALDOLASE204.25
ALDOSTERONE364.5
ALDOSTERONE/RENIN-E479
ALEXIS RETRACTOR (ORTHO) C8303352.5
ALEXIS WOUND RETRACTOR MEDIUM99.75
ALEXIS WOUND RETRACTOR SMALL99.75
ALKALINE PHOS ISOE SEND OUT-E140.5
ALKALINE PHOSPHATASE91.25
ALKALINE PHOSPHATASE ISOENZYM49.25
ALLERG SP IGG QUAN OR SEMIQUAN21
ALLG SPEC IGE RECOMB EA41.5
ALPHA-1-ANTITRYPS PHENO SEND-E308
ALPHA-1-ANTITRYPSIN; PHENOTYPE137.25
ALPHA-1-ANTITRYPSIN; TOTAL170.75
ALPHA-FETOPROTEIN L3149.5
ALPHA-FETOPROTEIN SERUM147.25
ALYS NPGT W/O PRGRMG281
ALYS SMPL SP/PN NPGT W/PRGRM307
AMIKACIN152.75
AMINO ACIDS 6/> QUAN EA264
AMINO ACIDS; SGL QUAN EA71.75
AMMONIA148.75
AMNIOFILL ALLOGRAFT AF10005,055.75
AMNIOFIX MEMBRANE ALLOGRAFT4,750.50
AMNIOFIX MEMBRANE GRAFT3,134.75
AMPLIF NA PROBE NOS AGENT91.25
AMPLIF NA PROBE NOS AGENT182
AMYLASE96.25
AMYLASE191.75
ANAEROB BACT CULTURE W ID194.25
ANALYZE SP INF PUMP W/REPROG709.5
ANCHOR SWIVELOCK SP AR2324BSLM2,500.25
ANCHOR/SCREW BN/BN TIS/BN50
ANCHOR/SCREW BN/BN TIS/BN53
ANCHOR/SCREW BN/BN TIS/BN53.5
ANCHOR/SCREW BN/BN TIS/BN56
ANCHOR/SCREW BN/BN TIS/BN58.25
ANCHOR/SCREW BN/BN TIS/BN64.75
ANCHOR/SCREW BN/BN TIS/BN68.75
ANCHOR/SCREW BN/BN TIS/BN82.25
ANCHOR/SCREW BN/BN TIS/BN89.75
ANCHOR/SCREW BN/BN TIS/BN101.5
ANCHOR/SCREW BN/BN TIS/BN110.75
ANCHOR/SCREW BN/BN TIS/BN113.75
ANCHOR/SCREW BN/BN TIS/BN115.25
ANCHOR/SCREW BN/BN TIS/BN147.75
ANCHOR/SCREW BN/BN TIS/BN156.25
ANCHOR/SCREW BN/BN TIS/BN185.75
ANCHOR/SCREW BN/BN TIS/BN197.75
ANCHOR/SCREW BN/BN TIS/BN199.75
ANCHOR/SCREW BN/BN TIS/BN206.75
ANCHOR/SCREW BN/BN TIS/BN285.5
ANCHOR/SCREW BN/BN TIS/BN285.75
ANCHOR/SCREW BN/BN TIS/BN311.5
ANCHOR/SCREW BN/BN TIS/BN315.75
ANCHOR/SCREW BN/BN TIS/BN318
ANCHOR/SCREW BN/BN TIS/BN365
ANCHOR/SCREW BN/BN TIS/BN369.5
ANCHOR/SCREW BN/BN TIS/BN375
ANCHOR/SCREW BN/BN TIS/BN393
ANCHOR/SCREW BN/BN TIS/BN442.25
ANCHOR/SCREW BN/BN TIS/BN462
ANCHOR/SCREW BN/BN TIS/BN472
ANCHOR/SCREW BN/BN TIS/BN497.75
ANCHOR/SCREW BN/BN TIS/BN587.25
ANCHOR/SCREW BN/BN TIS/BN587.5
ANCHOR/SCREW BN/BN TIS/BN595.25
ANCHOR/SCREW BN/BN TIS/BN614.5
ANCHOR/SCREW BN/BN TIS/BN628.75
ANCHOR/SCREW BN/BN TIS/BN654.25
ANCHOR/SCREW BN/BN TIS/BN674.5
ANCHOR/SCREW BN/BN TIS/BN683.75
ANCHOR/SCREW BN/BN TIS/BN704.5
ANCHOR/SCREW BN/BN TIS/BN721.25
ANCHOR/SCREW BN/BN TIS/BN725.5
ANCHOR/SCREW BN/BN TIS/BN735.25
ANCHOR/SCREW BN/BN TIS/BN742.75
ANCHOR/SCREW BN/BN TIS/BN743
ANCHOR/SCREW BN/BN TIS/BN815.5
ANCHOR/SCREW BN/BN TIS/BN1,328.25
ANCHOR/SCREW BN/BN TIS/BN1,368.75
ANCHOR/SCREW BN/BN TIS/BN1,394.75
ANCHOR/SCREW BN/BN TIS/BN1,416.75
ANCHOR/SCREW BN/BN TIS/BN1,674.25
ANCHOR/SCREW BN/BN TIS/BN1,900.25
ANCHOR/SCREW BN/BN TIS/BN2,008.75
ANCHOR/SCREW BN/BN TIS/BN2,061.75
ANCHOR/SCREW BN/BN TIS/BN2,239.75
ANCHOR/SCREW BN/BN TIS/BN3,796.25
ANCHOR/SCREW BN/BN TIS/BN5,180.50
ANCHOR/SCREW BN/BN TIS/BN5,977.50
ANDROSTENEDIONE95
ANES SUPPLIES ADD’L 15 MINS113
ANES SUPPLIES-0-30 MINS333.5
ANES.GEN SUPP-MAJOR 0-30MIN259
ANES.GEN SUPP-MAJOR 31-60MIN227.75
ANES.GEN SUPP-MAJOR 61-90 MIN247
ANES.GEN SUPP-MAJOR 91-120 MI259
ANES.GEN SUPP-MAJOR ADD’1/2HR66.5
ANESTH CAT OR MRI SCAN236
ANGIOTENSIN I – CONVERTING ENZYME198.5
ANKLE ARTHROGRAM935
ANKLE ARTHROGRAPHY INJ593.75
ANKLE CONTROL ORTHO PRE OTS139.25
ANL SP INF PMP W/MDREPRG&FIL709.5
ANTI ENA ANTIBODIES SEND OUT-E119.5
ANTI-CARDIOLIPIN IGG/M SENDO-E141.25
ANTINEUTRO CYTO PANEL SEND-E154.5
ANTINEUTROPHIL CYTOPL AB PAN-E266.25
ANTINUCLEAR AB (ANA);162.75
ANTINUCLEAR AB (ANA); TITER147.25
ANTI-PHOSPHATIDYLSERINE AB204.75
ANTIPHOSPHOLIPID SYNDROME-E632
ANTITHROMBIN III ACTIVITY ASSAY100.25
ANTITHROMBIN III ANTIGEN ASSAY271.75
ANTITRYPSIN PROFILE-E311.25
APC GENE FULL SEQUENCE876.5
APHASIA ASSESMENT PER HR511
APOLIPOPROTEIN EACH100.25
APOLIPOPROTEIN EACH200.25
APPLY FINGER SPLINT; STATIC339.75
APPLY INTERSTIT RADIAT COMPL8,812.00
APPLY LONG ARM SPLINT595.5
APPLY LONG LEG CAST446.75
APPLY LONG LEG SPLINT693
APPLY MULTLAY COMPRS LWR LEG149
APPLY MULTLAY COMPRS LWR LEG298
APPLY SH LEG CAST333.75
APPLY SHORT ARM SPLINT; STATIC558.75
APPLY SHORT LEG SPLINT577.5
AQUATIC THERAPY/EXERCISES EA 15 MINS195.75
ARISTA FLEXTIP54.25
ARISTA HEMOSTAT419.5
ARSENIC98.5
ARSENIC EXPOSURE-E119
ARTERIAL CATH – SAMPLE/MONITOR/TRANSFUSE194.75
ARTERIAL LINE INSERT-ICU251.25
ARTERIAL LINE INSERTION282.5
ARTERIAL PUNCTURE BLOOD FOR DX194.75
ARTHRITIS PANEL-E477.25
ARTHROGRAM -LEFT SHOULDER-E2,400.25
ARTHROGRAM-RIGHT SHOULDER-E2,400.25
ARTHROSCOPE,SHOULDER ABDUCT SY63.75
ASCORBIC ACID BLOOD109.25
ASO ; TITER79.25
ASO; SCREEN50.75
ASPERGILLUS AB PANEL SEND OU-E214.5
ASPERGILLUS AG IA51.5
ASPIR/INJ THYROID CYST634.75
ASPIRATE PLEURA W/ IMAGING1,082.50
ASPIRATE/INJ GANGLION CYST648.75
ASSAY CARBOXYHB QUANT87
ASSAY FOR CALPROTECTIN FECAL48.75
ASSAY IGA/IGD/IGG/IGM EACH40
ASSAY LIPOPROTEIN PLA290.75
ASSAY NONENDOCRINE RECEPTOR229
ASSAY OF BLOOD LIPOPROTEIN LDL67.25
ASSAY OF BLOOD LIPOPROTEIN VLDL33
ASSAY OF HOMOCYSTINE215
ASSAY OF IGE223.75
ASSAY OF LIPOPROTEIN(A)117.75
ASSAY OF PROTEIN SERUM58.25
ASSAY OF RIBOFLAVIN (VITAMIN B-2)348.25
ASSAY OF SERUM ALBUMIN54.5
ASSAY OF SERUM POTASSIUM49.25
ASSAY OF SERUM SODIUM58.25
ASSAY OF SIROLIMUS256.5
ASSAY OF THIAMINE (VITAMIN B-1)138.75
ASSAY PH BODY FLUID NOS54.5
AST OR SGOT74.5
ATC STRENGTH & CONDIT COACHING11,056.25
ATHLETIC TRAINER COVERAGE 1 HR40.25
ATHLETIC TRAINING BASIC12,668.50
ATHLETIC TRAINING TOURN COVE-M291.5
ATL SCRN CYTOPATH W RVW BY TECH149
AUTOIMMUNE RHEUMATOID ARTHR796.5
AUTOM URINALYSIS WO MICRO38
AUTOM URINE DIP W MICRO72.5
AUTOMATED RBC COUNT21.25
AUTOPSY GROSS & MICRO W BR1,093.25
B PERTUSSIS IGG/M/A AB SENDO-E201.5
BABESIA MICROTI ABS-E84.75
BACT CULTURE – URINE; QUAN COUNT120.25
BACTERIA FILTER37.25
BACTERIAL ANTIGEN PANEL SEND-E397
BACTERIAL CULTURE – OTHR SOURCE94
BAG LEG DISP LG58.25
BAG LEG DISP MED31.5
BAG OSTOMY 2 1/4 (UROSTOMY)18.5
BAG URI METER DRAINAGE63.75
BAG URINARY DRAINAGE31.5
BAG URINE COLLECTOR PED STER22
BALLOON DILATOR 10-11-121,118.75
BALLOON KIT 5 X 10,15F 8875101,296.50
BALLOON KIT 6 X 10,18F 8876101,296.50
BANDAGE ACE 6IN DL70.75
BANDAGE ACE N/S 2 IN9.5
BANDAGE ACE N/S 3 IN22
BANDAGE ACE N/S 4 IN22
BANDAGE ACE N/S 4 IN-WC19
BANDAGE ACE N/S 6 IN29.5
BANDAGE ACE N/S 6 IN-WC25
BANDAGE ACE STERILE 4 IN48.5
BANDAGE ACE STERILE 6 IN54.5
BANDAGE COBAN 1 IN10.5
BANDAGE COBAN 2 IN16.5
BANDAGE COBAN 3 IN18.5
BANDAGE COBAN 4 IN22
BANDAGE COBAN 6 IN28
BANDAGE COBAN ELASTIC 4 IN-WC19
BARTONELLA AB PANEL SEND OUT-E211
BC – AEROBIC – ADDTL ID99.25
BC – ANAEROBE – ADDTL ID109.75
B-CELL CD20-E349.75
BCR ABL CML/ALL-E683.5
BCR/ABL1 GENE MAJOR BP362.75
BCR/ABL1 GENE MINOR BP320.75
BE COLON W AIR & BARIUM1,603.50
BED HOLD-ER 2N2,416.75
BED HOLD-ER 2S STRESS1,800.50
BED HOLD-ER 3S2,416.75
BED HOLD-ER INTENSIVE CARE4,945.25
BED HOLD-ER PROGRESSIVE CARE3,759.00
BEHAV CHNG SMOKING 3-10 MIN36.5
BEHAVRAL QUALIT ANALYS VOICE7.25
BEHAVRAL QUALIT ANALYS VOICE421.25
BETA 2 GLYCOPROTEIN I AB EA88.75
BETA-2 MICROGLOBULIN190
BETA-2-GLYCOPROTEIN I SEND O-E265.75
BF PERINEAL MUSCLES OR SPINCTER169.25
BILAT SELCTV RENAL VENOGRAM3,973.50
BILE ACIDS; TOTAL117
BILIRUBIN PROFILE-E135.25
BINDER,BREAST LARGE101.25
BINDER,BREAST MEDIUM101.25
BINDER,BREAST SMALL101.25
BINDER,BREAST X-LRG101.25
BINDER,BREAST XX-LARGE101.25
BIOFEEDBACK ANY MODALITY83.75
BIOPATCH 415226.75
BIOPSY THYROID PERC CORE NEEDLE1,872.25
BIO-PUSHLOCK 3.5MM ANCHOR3,067.25
BIOTINIDASE EA SPECIMEN70.25
BIOVAC SUCTION DEVICE396.75
BIPOLAR PENCIL DISP 23G159.25
BIRTHING CLASS26.75
BIRTHING CLASS36.25
BITBLOCKS 1.63 DISPOSABLE BB-215
BITE BLOCK HP M1828A16.5
BL SMEAR W/DIFF WBC COUNT49.5
BLADE (3M) L124 29X85127.75
BLADE (Z) LG 32.0 63.5372.75
BLADE (Z) SAG MICRO 09.5 25.556
BLADE 11.5 X 5.5 2296-3-410169.5
BLADE 18.5 X 9.0 2296-3-105169.5
BLADE 25.0 X 5.5 2296-3-414169.75
BLADE 25.0 X 9.0 2296-3-111169.5
BLADE 4.5 FULL RADIUS188.75
BLADE 5.5 RAZORCUT129.5
BLADE ALCON 15 DEG41.5
BLADE ALCON SLIT KNIFE76.75
BLADE ARTHROTOME ACROM 4.0336
BLADE ARTHROTOME ACROM 5.5278
BLADE ARTHROTOME INCISOR 4.5192
BLADE ARTHROTOME INCISOR 4.5CR472
BLADE ARTHROTOME RAZORCUT 4.5342
BLADE ARTHROTOME SYNOVATOR 4.5336
BLADE BEAVE 679
BLADE DERMATOME156.25
BLADE EYE SHARP ALL AROUND ST46.5
BLADE KNIFE MICRO ENT SPEAR ED135
BLADE OSC CURVED MICRO 13.5X2311.5
BLADE OSC LG BRAZ/RIB 19.5X.09187.25
BLADE OSCILLATING142.75
BLADE RECIP 9.4 54.5 5052-259139
BLADE RECIP MAXI 12.5 X 73.526
BLADE RECIPROCATING 277-96-277349.5
BLADE SAG MICRO 9.5 X 25.5148
BLADE SAGITTEL SAW 4118-127-90278
BLADE SAW GIGLE35
BLADE SINUS 40 CRVD 18-84006637
BLADE SINUS TRICUT 18-84004786.5
BLADE SLIT KNIFE 4.586
BLADE TRICUT 2.9MM621.5
BLAST/COCI/CRY/HISTO AB SEND-E242.25
BLEEDING TIME44
BLEPHAROTOMY DRAIN ABSC EYELID565.25
BLOOD CLOT FACTOR VIII TEST145.25
BLOOD GAS MIXED WO O2 SAT49.5
BLOOD GAS PH ONLY144
BLOOD GASES W/02 SATURATION232.75
BLOOD OSMOLALITY109.25
BM IMAGING; LIMITED525.25
BM SMR INTERP609.5
BONE BX TR/NDL; SUPERF1,520.50
BONE IMAGING 3 PHASE2,853.75
BONE SCAN MULTI AND BONE SPE-E6,132.75
BONE SCAN SINGL AND BONE SPE-E6,227.25
BONE SCAN TOTAL AND BONE SPE-E5,275.25
BONE/JOINT; LIMITED2,948.25
BONE/JOINT; MULTI AREAS2,853.75
BONE/JOINT; SPECT (3D)3,279.25
BONE/JOINT; WB1,996.25
BOWL CEMENT MIXER323.25
BRAF GENE291.25
BRAIN IMAGE W/FLOW 4 + VIEWS1,903.00
BRAIN IMAGING (3D)1,636.75
BRAIN PET; METABOLIC EVAL6,826.75
BRAIN VASCULAR FLOW ONLY1,105.00
BRCA1&2 GEN FULL SEQ DUP/DEL3,375.25
BRCA2 GENE KNOWN FAMIL VRNT211
BRIDGE LOOP OSTOMY10.5
BRONCHOSCOPY2,081.00
BRONCHOSCOPY AT BEDSIDE-ICU2,140.50
BRONCHOSCOPY W FLOUROSCOPY2,739.75
BRONCHOSCOPY W/ BIOPSY2,081.00
BRONCHOSCOPY W/ BIOPSY-MAB2,081.00
BRONCHOSPASM – PRE & POST BD536.75
BRUSH CYSTOLOGY/BRONCH60
BRUSH URO BX 3FR 115CM228
BRUSHINGS-BRONCH1,522.00
BUR 4.0MM OVAL287.25
BUR CRVD SEPTO 3.2 18833121HS961.5
BX BREAST 1ST LESION MR IMAG1,368.25
BX BREAST 1ST LESION STRTCTC1,567.25
BX BREAST 1ST LESION US IMAG1,568.25
BX BREAST ADD LESION MR IMAG116.25
BX BREAST ADD LESION STRTCTC108.25
BX BREAST ADD LESION US IMAG109
BX PANCREAS PERC NEEDLE2,314.50
C DIFF AMPLIFIED PROBE91.25
C REP S/A/L; EA ADD 5 CM/<1,195.50
C TRACH/N GONOR CONFIRM-E297.5
C TX PATELLAR DISLOCATION; WO ANESTH232.5
C0 DIFFUSE CAPACITY501
CABLE CERCLAGE 1.8MM X 25IN1,590.25
CAD BREAST MRI274
CADMIUM50.75
CAH PROFILE-E858
CALCITONIN328
CALCIUM; IONIZED134.5
CALCIUM; TOTAL70.75
CALCIUM; URINE QUAN TIMED83.25
CALR GENE COM VARIANTS373
CANALITH REPOSITIONING PROC213.25
CANCELLED PROC MED/IV GIV-AC110.75
CANCELLED PROC MED/IV GIV-MAB110.75
CANDIDA ANTIGEN AB PANEL-E576
CANDIDA NA AMPLIFIED PROBE108
CANDIDA NA DIRECT PROBE62.5
CANNULA 7MM X 7CM WORKING225.5
CANNULA 8.25MM X 7CM TWIST IN212.5
CAPNOGRAPHY EQUIP-MAB170.5
CAPNOGRAPHY EQUIP-PC170.5
CAPNOGRAPHY EQUIP-SDC170.5
CAPSULE POLISHER TERRY SQUEEGE15
CARB DEFICIENT TRANSRERRIN56
CARBAMAZEPINE; FREE231.5
CARBAMAZEPINE; TOTAL286
CARBON DIOXIDE (CO2)50.75
CARD PET PERFUS; MULTIPLE4,364.75
CARD PET PERFUS; SINGLE4,364.75
CARDIAC ENZYMES-E153.5
CARDIAC PET METABOL EVAL5,595.25
CARDIAC REHAB160
CARDIAC REHAB PHASE I181.25
CARDIAC REHAB/MONITOR273
CARDIOLIPIN AB EA IG CLASS70.75
CARDIOVERSION ELECTRIC EXT3,437.25
CARNITINE QUAN EA320.25
CAROTENE134.25
CAROTID DUPLEX SCAN; BILAT1,101.75
CAROTID DUPLEX SCAN; UNIL/LIMIT689
CARPAL TUNNEL TX INJ648.75
CARTER THOMASON DEVICE #CTXL835
CAST PLASTER – LONG ARM398.25
CAST PLASTER – SHORT ARM201.5
CAST PLASTER – SHORT LEG219.5
CAST PLASTER APPLICATION115.75
CAST SCOTCHCAST – 2 IN ROLL60.25
CAST SCOTCHCAST – 3 IN ROLL67.5
CAST SCOTCHCAST – 4 IN ROLL127.75
CAST SCOTCHCAST – 5 IN ROLL68
CAST SCOTCHCAST APPLICATION412.25
CATECHOLAMINES FRACTIONATED78.25
CATECHOLOMINES FREE,RANDOM-E98.5
CATH ASH SPLIT 11.5F X 8443.25
CATH BI-POLAR PACE FR 5.0676.75
CATH CAUDE SIZE 14 FR56
CATH CAUDE SIZE 16 FR80
CATH CAUDE SIZE 18 FR71
CATH CAUDE SIZE 20 FR71
CATH DELEE SUCTION39.25
CATH DIALYSIS CATH 14 FRX24CM625
CATH DRAIN PLUG8
CATH FEMALE CATH KIT54.5
CATH FOLEY WIPE,SURE TEMP4.5
CATH FOR SPECIMEN COLLECT SGL PT37.25
CATH FORTE ACCESS SHEATH B7016456
CATH HEMODIALYSIS LONG-TERM1,548.00
CATH HEMODIALYSIS LONG-TERM1,952.25
CATH HEMODIALYSIS LONG-TERM2,002.75
CATH INDW FOLEY 2 WAY SILICONE12.75
CATH INDW FOLEY 2 WAY SILICONE14
CATH INDW FOLEY 2 WAY SILICONE15.25
CATH INDW FOLEY 2 WAY SILICONE69.75
CATH INDW FOLEY 2 WAY SILICONE94
CATH INDW FOLEY 2 WAY SILICONE109
CATH INDW FOLEY 2 WAY SILICONE110.5
CATH INDW FOLEY 2 WAY SILICONE116.25
CATH INDW FOLEY 2 WAY SILICONE131.75
CATH INDW FOLEY 2 WAY SILICONE140.5
CATH INDW FOLEY 2 WAY SILICONE164.75
CATH INDW FOLEY 3 WAY48.5
CATH INDW FOLEY 3 WAY63.75
CATH INDW FOLEY 3 WAY67.5
CATH INDW FOLEY 3 WAY74.25
CATH INDW FOLEY 3 WAY75.75
CATH INDW FOLEY 3 WAY90.5
CATH INDW FOLEY 3 WAY98.75
CATH INDW FOLEY 3 WAY103.5
CATH INDW FOLEY 3 WAY113.5
CATH INFANT KIT SFR15
CATH INTER UTERINE PRES (IUPC)223.25
CATH MELKER ER CRIC TUBE614.5
CATH PHILLIPS FOLLOWER 8 FR274
CATH PHILLIPS FOLLOWER 18 FR231.75
CATH PHILLIPS FOLLOWER 20 FR231.75
CATH PHILLIPS FOLLOWER 22 FR231.75
CATH PHILLPS FOLLOWER 16 FR231.75
CATH SILICONE 30 CC 20 FR157.5
CATH SINUS IRRIGATION LC7065696
CATH THORACIC #2832.75
CATH THORACIC #3260
CATH THORACIC #4067
CATH URET FIL SPIRAL TIP 3 FR144.75
CATH URET FIL SPIRAL TIP 4 FR126
CATH URET FIL SPIRAL TIP 5 FR126
CATH URET FILIFORM STRA TIP 4144.75
CATH URET FILIFORM STRA TIP 5144.75
CATHETER URETERAL10.5
CATHETER URETERAL16.5
CATHETER URETERAL18.5
CATHETER URETERAL33.5
CATHETER URETERAL120
CATHETER URETERAL177
CAUTERY BOVIE86.25
CAUTERY BOVIE CLEANER10
CAUTERY BOVIE TIP BALL 6 IN28.25
CAUTERY BOVIE TIP-BALL14.75
CAUTERY BOVIE TIP-EXT. BLADE62.5
CAUTERY BOVIE TIP-NEEDLE22
CAUTERY CORD TUR14.25
CAUTERY CORD TUR14.5
CAUTERY CUTTING LOOP 26 OR/3287.75
CAUTERY DAC CIRON95
CAUTERY ELECTROVAC58.25
CAUTERY OF CERVIX; ELECTRO/THERMAL2,748.00
CBC W AUTO DIFF & W MAN DIFF-E109.25
CBC WITH MANUAL DIFF-E109.25
CCP ANTIBODY184
CD4/CD8 SEND OUT-E359
CEA222.25
CEBPA GENE FULL SEQUENCE426.25
CELIAC DISEASE AB SEND OUT-E268.75
CELIAC DISEASE COMPREHENSIVE-E375.25
CELIAC HLA PANEL-E758.25
CELL ENUMERATION & ID922.5
CELL FUNCTION ASSAY W/STIM288.5
CELL FUNCTION ASSAY W/STIM416.25
CEMENT BONE PALACOS478.5
CENTRAL LINE TRIPLE W/POW PORT538
CEREBR SEIZURE 8-CH; EA 24 HRS1,440.50
CERULOPLASMIN142
CERV COL SR FOAM 2PC PRE OTS202.25
CERV SR 2PC THOR EXT PRE OTS396.75
CERVICAL DILATION BALLOON170.25
CFTR GENE COM VARIANTS679.5
CHANGE OF CYSTOSTOMY TUBE; SIMPLE392
CHANGE TUBE/CATH NEPHRO PR-E3,145.75
CHEM CAUT OF GRANLTJ TISSUE170
CHEM CAUT OF GRANLTJ TISSUE243.25
CHEMILUMINESCENT ASSAY37
CHEMILUMINESCENT ASSAY110
CHEMO ANTI-NEOPL SQ/IM387
CHEMO CNS (INTRATHECAL) W LP740.75
CHEMO HORMON ANTINEOPL SQ/IM362.5
CHEMO INTRALESIONAL UP TO 7343.5
CHEMO IV INFUS EACH ADDL SEQ =<1 HR417.75
CHEMO IV INFUSION 1 HR702.75
CHEMO IV INFUSION ADDL HR569.25
CHEMO IV PUSH ADDL DRUG470.75
CHEMO IV PUSH SNGL DRUG472.75
CHEMO PROLONG 8+ HRS INFUSE W/PUMP1,150.00
CHEMODENERV MUSC MIGRAINE600
CHEST PT; INIT OR EVAL245.75
CHEST PT; SUBSEQUENT159
CHILDBIRTH CLASS-NO SHOW36.25
CHLAMYDIA AB PANEL SEND OUT-E310
CHLAMYDIA ANTIBODY PANEL-E461.5
CHLAMYDIA CULTURE482.75
CHLAMYDIA PNEU IGG/A/M SENDO-E154
CHLAMYDIA T AMPLIF NA PROBE148.75
CHLAMYDIA/GC SEND OUT-E297.5
CHLORAPREP HI LITE ORANGE41.25
CHLORAPREP ONE STEP20.5
CHLORIDE; BLOOD45
CHLORIDE; OTHER34.75
CHLORIDE; URINE69.25
CHOLANGIOGRAM ADDTL INTRAOP614.5
CHOLANGIOGRAM INTRAOP1,113.50
CHOLESTEROL COUNSELING 30 MIN25.75
CHOLINESTERASE; RBC25.25
CHOLINESTERASE; SERUM25.25
CHROM ANALY; 15-20 CELLS278.25
CHROM ANALY; 20-25 CELLS299.5
CHROM ANALY; 5 CELLS419.75
CHROM ANALY; ADDTL KARYOT EA STUDY62
CHROM ANALY; AF/CV 15 CELLS551.25
CHROMIUM189.75
CHROMIUM & COBALT-E412.5
CHROMOSOME ANALYSIS SEND OUT-E538
CHROMOSOME,LEUKEMIA/LYMPH-E705
CHRONIC LEUKEMIA PANEL SENDO-E661.5
CINE OR VIDEO SPEECH EVAL268
CIRCULAR HEM STAPLER1,862.75
CIRCUMCISION518.5
CIRCUMCISON PROC AND SET-E609
CITRATE117.75
CK TOTAL ISOENZYMES SEND OUT-E146.5
CL TX “NURSEMAID ELBOW” W MANIP888.25
CL TX ANKLE DISLOCATION; WO ANESTH883.75
CL TX ARTFX MCP/IP JNT; W MANIP2,634.75
CL TX C HUMERUS FX W MANIP1,633.00
CL TX CMC DISL W M EA1,797.50
CL TX CMC DISLOC THUMB W MANIP527
CL TX CMC FX DISLOC THUMB W MANIP1,633.00
CL TX DISTL FIB FX W MANIP2,415.00
CL TX EC HUMERUS FX W MANIP3,120.00
CL TX FX GT PHALANX(S); W MANIP813
CL TX FX PHALANX/PHALANG; W MANIP822.5
CL TX HUMERUS FX W MANIP1,633.00
CL TX IP JNT D W MANIP ; WO ANESTH1,889.50
CL TX IP JOINT DISL; WO ANESTH1,010.75
CL TX IP JT D W MANIP; W ANESTH2,298.25
CL TX KNEE DISL; W ANESTHESIA2,937.50
CL TX KNEE DISL; WO ANESTH318.75
CL TX MC FX SGL; W MANIP1,756.75
CL TX MCP DISLOC SGL W MANIP1,933.50
CL TX MTP JNT DISLOC; WO ANESTH1,010.75
CL TX PATELLAR DISLOCATION; W ANESTH1,800.25
CL TX PHALANG SHFT FX; W MANIP1,914.00
CL TX POST HIP DISLOC WO ANESTH318.75
CL TX POSTOP HIP DISLOC W ANESTH1,800.25
CL TX PROX FIB/SHAFT FX W MANIP2,462.25
CL TX PROX TIB-FIB JNT DISL; WO ANESTH2,559.25
CL TX PROX TIBIAL FX W SK TRACTION3,270.00
CL TX RADIAL HD/NECK FX; W MANIP2,082.00
CL TX RADIAL SHFT FX W MANIP2,790.75
CL TX SC/TC FEMUR FX W MANIP1,657.00
CL TX SCAPULAR FX; W MANIP3,309.25
CL TX SHDR DISLOC W NK FX W MANIP3,065.50
CL TX SHLDR DISL W MANI; WO ANESTH629.25
CL TX SHLDR DISL W MANIP; W ANESTH2,868.00
CL TX SHLDR DISLOC & FX GT; W MAN1,981.00
CL TX TARSAL BONE DISLO; WO ANESTH225.25
CL TX TIB SHFT FX W MANIP3,338.00
CL TX TMJ DISLOCATION; INITIAL1,712.00
CL TX TMT JNT DISL; WO ANESTHESIA1,254.00
CL TX TRIMALL ANKLE FX; W MANIP3,548.50
CL TX WB DSTL TIB FX W MANIP3,866.00
CLAVICLE COMPLETE654.5
CLIP FIXING DEVICE DISP HX-200225.25
CLIP LIGATION154.75
CLIP RESOLUTION 360 235CM763.5
CLL PROFILE,FISH SEND OUT-E524.5
CLOTH CHLORHEXADINE GLUC13.5
CLOTTING INHIBITOR PROTEIN S FREE154.5
CLOTTING INHIBITOR; PROTEIN C ACTIVITY123.25
CLOTTING INHIBITOR; PROTEIN C AG116.25
CLOTTING INHIBITOR; PROTEIN S TOTAL195.75
CLOTTING: FACTOR VIII VW FACTOR AG122
CLOTTING; FACTOR II PROTHROMBIN SPECIF122
CLOTTING; FACTOR IX215
CLOTTING; FACTOR V121.25
CLOTTING; FACTOR VII105.5
CLOTTING; FACTOR VIII RISTOCETIN COFACT154.5
CLOTTING; FACTOR X109.75
CLOTTING; FACTOR XI134.5
CLOTTING; FACTOR XII61.75
CLOTTING; FACTOR XIII SCREEN SOLUBLE253.5
CLTX BIMALLEOLAR ANKLE FRACT W MNP3,411.25
CLTX BIMALLEOLAR ANKLE FRACT WO MNP761
CLTX DSTL RDL FX/EPIPHYSL SEP W MNP1,859.00
CLTX MED ANKLE FX W/MNPJ2,803.00
CML PROFILE,FISH REFL SEND O-E278.25
CML PROFILE,FISH SEND OUT-E640.25
CMV IGG&IBM,CSF-E100
CNTRL POST EPISTAX INIT1,586.50
CO EXPIRED GAS BY IR376.25
COAGULATION PROFILE-E235.5
COGNITIVE SKILLS DEVELOPMENT10.75
COGNITIVE SKILLS DEVELOPMENT159.25
COL CHROMOTOGRAPHY QUAL/QUAN67.5
COLD AGGLUTININ; SCREEN44
COLD AGGLUTININ; TITER192.5
COLLAGEN BASED WOUND FILLER21
COLLAGEN BINDING ASSAY-E178
COLLAGEN CROSS LINKS79.5
COLLAGEN DRESSING <=16 SQ IN21
COLLECTION FEE DOT41.75
COLLECTION FEE SENDOUT41.75
COLLECTION FEE, HAIR41.75
COLLECTION FEE,AMBRY-MAB15
COLLECTION FEE,MYRIAD15
COLLECTION FEE,MYRIAD-MAB15
COLON W POLYPECTOMY4,640.00
COLON W POLYPECTOMY-MAB4,640.00
COLONIC DISP BALLOON 15MM CRE1,189.25
COLONIC DISP BALLOON 5847866.5
COLONIC DISP BALLOON 8MM 58461,189.25
COLONOS W ABLATION SPLENIC1,857.25
COLONOS W ABLATION SPLENIC-MAB1,857.25
COLONOS W BL CONT1,857.25
COLONOS W BL CONT SPLENIC1,857.25
COLONOS W BL CONT SPLENIC-MAB1,857.25
COLONOS W BL CONT-MAB1,857.25
COLONOSCOPY DIL W BALLOON1,857.25
COLONOSCOPY DIL W BALLOON-MAB1,857.25
COLONOSCOPY REMOVAL FB1,857.25
COLONOSCOPY REMOVAL FB-MAB1,857.25
COLONOSCOPY SCREEN/DIAG3,577.50
COLONOSCOPY SCREEN/DIAG-MAB3,577.50
COLONOSCOPY SUBMUCOUS INJ-AMB1,203.50
COLONOSCOPY SUBMUCOUS INJ-MAB1,203.50
COLONOSCOPY W BIOPSY4,640.00
COLONOSCOPY W BIOPSY-MAB4,640.00
COLPOPERINEORRHAPHY3,890.75
COLPORRHAPHY3,890.75
COLPOTOMY; W DR OF PELVIC ABSCESS2,796.75
COMMUNITY/WORK REINTEGRATION10.75
COMMUNITY/WORK REINTEGRATION159.25
COMPATIBILITY TEST ANTIGLOB312.75
COMPATIBILITY TEST SPIN312.75
COMPL ACUTE ABDOMEN620.75
COMPL AUTOM CBC W PLT59.75
COMPL CBC W PLT W AUTOM DIFF97.75
COMPL RPLCMT PICC RS&I1,593.25
COMPLEMENT; AG EA158.75
COMPLEMENT; FCN ACTIVITY EA123.5
COMPLEMENT; TOT HEMOLYTIC (CH50)282.25
COMPREHEN METABOLIC PANEL268
CONCENTRATION FOR INFECT AGNT63.25
CONN TISS HUMAN (INC FASCIA)1,502.25
CONN TISS HUMAN (INC FASCIA)4,732.50
CONT POSTIVE AIRWAY PRESSURE35.75
CONTINUOUS AEROSOL SET UP184
CONTINUOUS PULSE OX540.25
CONTRAST BATH THERAPY EA 15 MINS7
CONTRAST BATH THERAPY EA 15 MINS102.5
CONTRAST X-RAY BLADDER 3+ VIEWS896.5
CONTRAST X-RAY EXAM OF COLON1,004.50
CONTRAST X-RAY SPINE 2+ REGIONS5,463.75
CONTROL NASAL HEMORRH ANT COMPLEX193.75
CONTROL NASAL HEMORRH ANT SIMPLE790.5
CONTROL OROPHARYNGEAL HEMORRH; SIMPLE1,114.50
CONTRST X-RAY UPPR GI TRACT1,205.00
CONTRST X-RAY URINARY TRACT720.5
COOMBS TEST INDIRECT QUAL164
COOMBS TEST INDIRECT TITER164
COOMBS; DIRECT195.75
COPPER53
COPPER,URINE PANEL SEND OUT-E73.5
CORD BLOOD GAS PANEL-E99
CORNEAL LIGHT SHIELD5.25
CORTISOL FREE, 2 TEST PANEL-E114.25
CORTISOL; FREE198.5
CORTISOL; TOTAL69.75
CORTISOL; TOTAL208.75
CP CERV/VAG; ATL; MANUAL SCRN140.5
CP SMR OTHR; SCRN & INT91
C-PEPTIDE345.75
CPK: ISOENZYMES65.75
CPK: MB FRACTION ONLY162.75
CPK; TOTAL81
CPR739
CRASH CART ADULT439.5
CRASH CART INFANT361
CRE 12-15MM ESOPH BLAS1,309.75
CRE BALLOON 12-13.5-15 58481,110.25
CRE ESOPH BLAS 15-18MM1,300.25
CRE ESOPH BLAS 18-20MM1,110.25
C-REACTIVE PROTEIN13
C-REACTIVE PROTEIN HS396.25
CREATINE51.5
CREATININE; BLOOD54.5
CREATININE; CLEARANCE131.5
CREATININE; NOT BLOOD20.5
CREP E/N/E/L; 1.1-2.5CM1,541.75
CREP E/N/E/L; 2.6-7.5CM1,618.50
CREP E/N/E/L; EA ADDTL 5 CM/<1,280.00
CREP F/G/H/F; 1-2.5CM941.25
CREP F/G/H/F; 2.6-7.5CM1,468.25
CREP H/A/G/EXTR; EA ADD 5 CM/<1,244.25
CREP S/A/L; 2.6-7.5CM2,451.50
CREUTZSELDT-JAKOB, CSF-E112.75
CRITICAL CARE 1ST HOUR3,410.75
CRITICAL CARE ADDL 30 MIN1,610.75
CRYOGLOBULIN – QUAL/SEMI QUAN63.25
CRYOPRECIPITATE EA UNIT1,298.75
CRYPTOSPOR AG BY IFA132.5
CRYPTOSPORIDIUM AG IA71
CRYPTOSPORIDIUM/ISO SMEAR-E84
CSF FLOW; CISTEROGRAM2,829.00
CSF IGG INDEX PANEL SEND OUT-E199.75
CSF PROTEIN ELECTROPHORESIS-E130.75
CT – HEAD/BRAIN W & WO CONTRAST3,087.00
CT – HEAD/BRAIN W CONTRAST2,595.50
CT – HEAD/BRAIN WO CONTRAST2,375.00
CT – LIMITED OR FOLLOW-UP STUDY1,660.75
CT – MF W CONTR2,380.25
CT – MF W&WO CONTR2,499.50
CT – MF WO CONTR2,267.00
CT – ORBIT SELLA MID/INNER EAR W & WO2,499.50
CT – ORBIT SELLA MID/INNER EAR W CONTR2,380.25
CT – ORBIT SELLA MID/INNER EAR WO CONT2,267.00
CT – ST NECK W CONTR2,649.50
CT – ST NECK W&WO CONTR2,499.50
CT – ST NECK WO CONTR2,267.00
CT ABD & PELV 1/> REGNS6,497.00
CT ABD & PELV W/CONTRAST5,217.25
CT ABD & PELVIS4,555.50
CT ABD W AND WO CONTRAST3,382.50
CT ABD W CONTRAST2,745.50
CT ABD WO CONTRAST2,400.50
CT ANGIO ABD&PELV W/O&W/DYE5,457.25
CT ANGIO ABDOM W/O & W/DYE3,949.25
CT ANGIO ABDOMINAL ARTERIES4,931.25
CT ANGIO CHEST/ABD/PELV-E9,433.75
CT ANGIO LWR EXTR W/O&W/DYE3,017.50
CT ANGIO UPR EXTRM W/O&W/DYE2,834.75
CT ANGIOGRAPH PELV W/O&W/DYE3,564.75
CT ANGIOGRAPHY CHEST3,976.50
CT ANGIOGRAPHY HEAD3,923.50
CT ANGIOGRAPHY NECK2,955.25
CT BRAIN PERFUSION STUDY-E3,087.00
CT CERV SPINE W & WO CONTR2,902.00
CT CERV SPINE W CONTR2,763.75
CT CERV SPINE WO CONTR2,631.75
CT CHEST & ABD W/WO CONTR-E6,073.00
CT CHEST W CONTR/ ABD W/WO-E5,861.75
CT CHEST/ABD W CONTRACT-E5,225.00
CT CHEST/ABD W/O CONTRAST-E4,594.25
CT CHEST/ABD/PELVIS W CONT-E7,696.75
CT CHEST/ABD/PELVIS W/O CONT-E6,749.25
CT C-SPINE & T-SPINE W/O CON-E5,263.50
CT C-SPINE &T-SPINE W CONT-E5,527.50
CT GUIDED NDL BC RENAL RT PR-E3,982.75
CT GUIDED NDL BX ABD PROFILE-E3,984.50
CT GUIDED NDL BX BONE PROFIL-E3,970.50
CT GUIDED NDL BX LIVER PROFI-E3,924.50
CT GUIDED NDL BX LUNG LT PRO-E3,982.75
CT GUIDED NDL BX LUNG RT PRO-E3,982.75
CT GUIDED NDL BX PANCREAS PR-E4,764.75
CT GUIDED NDL BX PELVIS PROF-E3,970.50
CT GUIDED NDL BX RENAL LT PR-E3,982.75
CT GUIDED NDL BX S TIS NECK-E4,330.75
CT HEAD/FAC BONES W/O C AX O-E4,641.75
CT L EXTR W AND WO CONTRAST2,547.75
CT L EXTR W CONTRAST2,426.25
CT L EXTR WO CONTRAST2,311.00
CT LS W & WO CONTRAST2,902.00
CT LS W CONTRAST2,763.75
CT LS WO CONTRAST2,631.75
CT PELVIS; W & WO CONTR2,436.25
CT PELVIS; W CONTR2,733.50
CT PELVIS; WO CONTR2,383.50
CT SCAN FOR NEEDLE BIOPSY2,450.25
CT SCAN FOR THERAPY GUIDE2,914.25
CT THORACIC SPINE W & WO CONTR2,902.00
CT THORACIC SPINE W CONTR2,763.75
CT THORACIC SPINE WO CONTR2,631.75
CT THORAX; W & WO CONTRAST2,690.75
CT THORAX; W CONTRAST2,479.50
CT THORAX; WO CONTRAST2,193.75
CT T-SPINE, L-SPINE W CONT-E5,527.50
CT T-SPINE,L-SPINE W/O CONT-E5,263.50
CT: U EXTR W AND WO CONTRAST2,499.50
CT; U EXTR W CONTRAST2,380.25
CT; U EXTR WO CONTRAST2,267.00
CTRL POST EPISTAX SQ345
CULT FUNGUS W P ID; SKIN HR NL29.5
CULTURE P PATHOG – SCREEN28.25
CULTURE TYPE IMMUNOLOGIC78.5
CULTURE,STOOL PROFILE 4 TEST-E460.25
CUSHION CHAIR SOFTCARE CC476CE84.5
CVSLR STRESS TEST; TRACING1,217.75
CYANIDE37
CYCLOSPORINE61.75
CYSTATIN C29.25
CYSTO PACK CS/5119.5
CYSTOGRAM PROFILE-E2,018.75
CYTOGEN M ARRAY COPY NO&SNP1,489.50
CYTOMEGALOV AMPLIF NA PROBE75
CYTOMEGALOVIRUS IGG&IGM SEND-E100
CYTOMEGALOVIRUS NA QUAN446.75
CYTOPATH C/V AUTO FLUID REDO106
CYTOPATH CELL ENHANCE TECH217.75
CYTP DX EVAL FNA 1ST EA SITE235.25
CYTP URINE 3-5 PROBES CMPTR580
DAVINCI CANNULA SEAL 8MM50.5
DAVINCI OBTURATOR 8MM83.25
DAVINCI VESSEL SEALER2,075.50
D-DIMER- QUAL/SEMIQUAN76.25
DEB SUBQ TISSUE 20 SQ CM/<762.25
DEBRIDE NAIL 1-561
DECALCIFICATION142.5
DECANTER BAG POUR SPOUT30.5
DECLOT VASCULAR DEVICE658.25
DECOMPRESS; UNSPECIFIED NERVE(S)4,389.75
DEEP BONE BX TRCR/NDL1,575.00
DEEP I&D THIGH/KNEE2,420.75
DELTA ALA91.5
DEOXYCORTISOL 1199.25
DEOXYPYRIDINOLINE-E100
DESOXYCORTICOSTERONE 1199.25
DESTR W NEUROLYTIC; INTERCOSTAL NRV1,794.00
DESTR W NEUROLYT TRIGEM NRV; INF ALV BR1,794.00
DESTR W NEUROLYTIC; CELIAC PLEXUS1,794.00
DESTR W NEUROLYTIC; OTHER PERIPH NRV1,794.00
DESTR W NEUROLYTIC; PUDENDA NRV1,794.00
DESTROY C/TH FACET JNT ADDL961.25
DESTROY C/TH FACET JNT ADDL1,442.00
DESTROY CERV/THOR FACET JNT4,389.75
DESTROY CERV/THOR FACET JNT6,584.75
DESTROY L/S FACET JNT ADDL961.25
DESTROY L/S FACET JNT ADDL1,442.00
DESTROY LUMB/SAC FACET JNT4,389.75
DESTROY LUMB/SAC FACET JNT6,584.75
DHEA107.75
DHEA-S280.5
DIALYSIS CATH INSERT-2N251.25
DIALYSIS CATH INSERT-3S251.25
DIALYSIS CATH INSERT-ICU251.25
DIALYSIS CATH INSERT-PCU251.25
DIALYSIS ONE EVALUATION969.5
DIFF CELL COUNT NOT BLOOD101.75
DIGITAL ANALYSIS OF EEG991.25
DIL URETHR STRICT FILIF/FOLLOW; MALE 1ST2,525.50
DILATE FOR STRICTURE/OBSTR334
DIRECT BILIRUBIN99
DIRECT IMMUNOFLUO PANEL-E448
DIRECT REFER HOSPITAL OBSERV1,590.75
DM OP SMT GRP PER 30 MIN64.25
DM OP SMT INDIV PER 30 MIN117.25
DNA AB65.75
DNA AB; NATIVE OR DS104.75
DNA AB; SS246.25
DNA/RNA; MULTI ORG – AMP PR251.25
DONOR PUNCH 8.0MM472.25
DONOR PUNCH SET 8.5MM472.25
DOPPLER COLOR FLOW666.75
DOPPLER ECHO; COMPLETE726.5
DR ABSC CYST HEMAT-MOUTH; SIMPLE723.25
DR ABSC CYST HEMATOM – DENTOALVEOLAR347
DR EXT EAR ABSCESS/HEMATOMA; SIMPLE723.25
DRAIN CEREBRO SPINAL FLUID1,424.25
DRAIN ENT SILASTIC 2X3142.75
DRAIN EXTERNAL AUDITORY CANAL ABSCESS723.25
DRAIN FINGER ABSC; COMPLICATED1,707.00
DRAIN FINGER ABSC; SIMPLE673.5
DRAIN HEYER SCHULTE 10FR FLAT71
DRAIN HEYER SCHULTE RES 400221.25
DRAIN J-VAC RESEVOIR SM 150CC145.25
DRAIN J-VAC TUBING #10 FLAT104
DRAIN J-VAC TUBING #1580
DRAIN J-VAC TUBING #19129.75
DRAIN ORTHOSILASTIC 2X3143
DRAIN/INJ INTER JOINT/BURSA W/O US648.75
DRAIN/INJ INTER JOINT/BURSA W/O US973.25
DRAIN/INJ MAJOR JOINT/BURSA W/US648.75
DRAIN/INJ SMALL JOINT/BURSA W/O US648.75
DRAIN/INJ SMALL JOINT/BURSA W/O US973.25
DRAINAGE OF ABSCESS OF PALATE UVULA442
DRAINAGE OF SCROTAL WALL ABSCESS2,245.50
DRAPE ARTHROSCOPE KNEE73.75
DRAPE STERI 1060 EYE/INCISE14.75
DRAW BLOOD OFF VENOUS DEVICE170.5
DRAWING FEE PATERNITY TESTING88.75
DRESS/DEBRID P-THICK BURN M168
DRESS/DEBRID P-THICK BURN M597.25
DRESS/DEBRID P-THICK BURN S170
DRESS/DEBRID P-THICK BURN S568
DRILL (DVR) 2.0MM FDB20474.5
DRILL (HIP) 30MM305.25
DRILL (S/H) 1.5MM STRYKER J248.75
DRILL (S/H) 2.0MM STRYKER J194.5
DRILL BIT 2.5MM X 100MM 09023266.25
DRILL BIT 2.5MM X 110MM326.75
DRILL BIT 2.7MM X 100MM221.25
DRILL BIT 3.5MM X 110MM206.75
DRILL(S/H) 1.5MM MINI QUICK280.5
DRSG 2 X 2 SPLIT EA8.75
DRSG 4 X 4 SPLIT EA9.5
DRSG 4 X 4 STERILE EA9.75
DRSG 4 X 4 STER-WOUND CENTER9
DRSG 4 X 4 X 12 PLY STER3.5
DRSG 4 X 4 X 12 PLY STER-WC2
DRSG 4X12 PICO WOUND SYSTEM759
DRSG 4X4 AQUACELL AG HYDRAFIB44
DRSG 4X4 AQUACELL AG HYDRAFIBE54.5
DRSG 4X8X12 RAYTEC15
DRSG 6X6 PICO WOUND SYSTEM759
DRSG 6X8 PICO WOUND SYSTEM759
DRSG ABD 8 X 7 1/2 STER EA9.5
DRSG ABD STER 8 X 7 1/2-WOUND9
DRSG ACTACOAT 789
DRSG ADAPTIC 3 X 16 EA24
DRSG ADAPTIC 3 X 3 EA9.5
DRSG ADAPTIC 3 X 3 STER9
DRSG ADAPTIC 3 X 8 EA29.5
DRSG ADAPTIC 3 X 8 STER25
DRSG AQUACEL28.75
DRSG AQUACEL 9CM X 15CM8.25
DRSG AQUACEL AG 9X30CM122.25
DRSG AQUACEL FOAM 10X10-WOUND19.75
DRSG AQUACEL FOAM 15X20-WOUND35.25
DRSG AQUACEL FOAM 8X8-WOUND12
DRSG COBAN20.25
DRSG COBAN 4IN 2084S10.5
DRSG COBAN 6IN STERILE 1586S20.5
DRSG COMPRESSION-PROFORE64
DRSG CURAGEL HYDOGEL 2X316.5
DRSG DERMABOND TOPICAL SKIN GL142
DRSG DERMABOND TOPICAL SKIN GL170.5
DRSG DUODERM 2 X 4 EX THIN37.25
DRSG DUODERM 4 X 422
DRSG DUODERM 4 X 4 EXTRA THI22
DRSG DUODERM 5 X 5 SIGNADRESS28.75
DRSG DUODERM CGF 4X4 187660 WC13
DRSG DUODERM SIGNAL 4 X 418.5
DRSG DUODERM THIN 4X49
DRSG DUODERM THIN 4X410.75
DRSG EXTRA SUTURES80
DRSG GAUZE PLAIN 1 IN55
DRSG GAUZE PLAIN 1 IN67.5
DRSG GAUZE PLAIN 1/2 IN80
DRSG GAUZE PLAIN 1/2 IN-WOUND67
DRSG GRANUFOAM MD BLACK207.5
DRSG HEAVY DRAINAGE EA28
DRSG IODAFORM GAUZE 1 IN90.5
DRSG IODAFORM GAUZE 1/2 IN58.25
DRSG IODAFORM GAUZE 2 IN48.5
DRSG IODOFORM 5% 1/4 IN-WC5
DRSG IODOFORM GAUZE 5% 1 IN89
DRSG IODOFORM GAUZE 5% 1/2 IN48
DRSG KERLIX FLUFFS31.5
DRSG KERLIX ROLL28
DRSG KERLIX ROLL-WC28
DRSG LYOFOAM 4 X 4 WOUND CENTE9
DRSG MEPILEX AG 4X4 2871033
DRSG MEPILEX BORDER 10X10CM14
DRSG MEPILEX BORDER 10X10CM15.75
DRSG MEPILEX BORDER 3X3 29520011
DRSG MEPILEX BORDER 3X3 29520011.25
DRSG MEPITEL SILICONE59
DRSG NASAL RAPID RHINO245.75
DRSG OWENS 3X862.5
DRSG PRISMA MATRIX 4.34 SQ49
DRSG RHINO NASAL PAC 5.5CM104.5
DRSG RHINO NASAL PAC 7.5CM110.25
DRSG ROPE AQUACELL HYDRAFIBER64
DRSG SILVERCEL 4 X 4 WC40
DRSG SPANDAGE 10 X 2458.25
DRSG SPANDAGE 9 X 2428
DRSG TEGADERM TRANSPARENT XLG15
DRSG TELFA EA 3 X 49.5
DRSG TELFA EA 3 X 89.5
DRSG TRANSP TEGADERM 4 X 5 1/25
DRSG TRANSPARENT 2 X 39.5
DRSG UNA BOOT48.75
DRSG VAG PACKING95.5
DRSG VASELINE GAUZE 1/2 X 7222
DRSG VASELINE GAUZE 3 X 918.5
DRSG XERO FORM 1 X 813.5
DRSG XERO FORM 5 X 918.5
DRUG SCR 10 PANEL-MHC59.25
DRUG SCR COURT 10171.25
DRUG SCR DOT SEND OUT59.25
DRUG SCR NON DOT SEND OUT59.25
DRUG SCR,URINE 7 PANEL CORP59.25
DRUG SCREEN QUAN LAMOTRIGINE47
DRUG SCREEN QUANT CLOZAPINE49
DRUG SCREEN QUANT EVEROLIMUS82.5
DRUG SCREEN QUANT ZONISAMIDE47.25
DRUG SCRN QUAN LEVETIRACETAM47
DRUG SCRN QUAN MYCOPHENOLATE47
DRUG SCRN QUANT OXCARBAZEPIN63.75
DRUG TEST DEF 1-7 CLASSES147.75
DRUG TEST DEF 8-14 CLASSES147.75
DRUG TEST PRSMV CHEM ANLYZR147.75
DRUG TEST PRSMV CHEM ANLYZR413.25
DRUG TEST PRSMV CHEM ANLYZR472
DRUG TEST PRSMV CHEM ANLYZR531
DRUG TEST PRSMV CHEM ANLYZR619.75
DRUG TEST PRSMV CHEM ANLYZR678.5
DRUG TEST PRSMV DIR OPT OBS53.5
DT VACCINE UNDER 7 YRS IM143.75
DUCTOGRAM MAM SINGLE DUCT PR-E1,391.75
DUCTOGRAM MAMM MULTIDUCT PRO-E2,160.25
DUPLEX A IVC IL/BPG; COMPL726.75
DUPLEX EXT VEINS; BILAT956
DUPLEX EXT VEINS; UNIL/LIMIT753.75
DUPLEX LE ART/BPG; BILAT1,050.50
DUPLEX LE ART/BPG; UNIL/LIMIT619
DUPLEX UE ART/BPG; BILAT807.5
DUPLEX UE ART/BPG; UNIL/LIMIT502.25
DX BONE MARROW ASPIRATIONS1,658.50
DX BONE MARROW BIOPSIES1,658.50
DX MAMMO INCL CAD BI519.75
DX MAMMO INCL CAD BI638.75
DX MAMMO INCL CAD UNI519.75
DX PAP SMR; AUTOM SCRN43
DXA BONE DENSITY AXIAL 1+ SITES622.5
DXA BONE DENSITY/PERIPHERAL 1+ SITES132
EBUS-BRONCH W/ ENDOBRONCH US6,414.75
EBVCA IGG IGM EVALUATR SEND-E196.75
ECG UP TO 48 HRS RECORDING859.25
ECG UP TO 48 HRS SCANNING ANALYSIS REPORT842.25
ECHELON STAPLER / CUTTER EC60A1,120.00
ECHO EXAM OF ABDOMEN1,256.25
ECHO EXAM OF HEAD1,358.00
ECHO TRANSESOPHAGEAL COMPLETE977.25
EEG 41-60 MINUTES1,371.75
EEG AWAKE & ASLEEP1,678.00
EEG AWAKE & DROWSY1,434.75
EEG COMA OR SLEEP ONLY1,486.00
EEG OVER 1 HOUR1,555.25
EGD DIAGNOSTIC BRUSH WASH2,304.25
EGD DILATATION W BALLON2,453.75
EGD DILATATION W BALLON-MAB2,453.75
EGD GAST1,785.50
EGD GAST-MAB1,785.50
EGD PLUS DIL ACH2,300.25
EGD PLUS DIL ESO STRICTURE2,531.00
EGD REMOVAL FB2,453.75
EGD REMOVAL FB-MAB2,453.75
EGD W BANDING2,453.75
EGD W BANDING-MAB2,453.75
EGD W BIOPSY3,027.00
EGD W BIOPSY-MAB3,027.00
EGD W BLEED CONTROL2,453.75
EGD W BLEED CONTROL-MAB2,453.75
EGD W DILATORS2,453.75
EGD W DILATORS-MAB2,453.75
EGD W FEEDING TUBE1,481.25
EGD W FEEDING TUBE-MAB1,481.25
EGD W POLYPECTOMY3,027.00
EGD W POLYPECTOMY-MAB3,027.00
EGD W STENT PLACEMENT5,284.25
EGFR GENE COM VARIANTS511
ELBOW ARTHROGRAM935
ELBOW ARTHROGRAM INJ580
ELECTRIC CURRENT THERAPY EA 15 MINS12.75
ELECTRIC CURRENT THERAPY EA 15 MINS187
ELECTRICAL STIMULATION EA 15 MINS14
ELECTRICAL STIMULATION EA 15 MINS205
ELECTRODE ADULT SPLIT ARTHREX74.5
ELECTRODE CLEARVAC 60-6829-00589.75
ELECTRODE RESECTOSCOPE ROLLER614
ELECTROLYTE PANEL149
ELECTROLYTES STOOL(NA,K,CL)-E123.75
ELECTROPHORESIS NES106
EMERG DIALYSIS ESRD PT1,084.50
EMERGENCY DEPT VISIT312.25
EMERGENCY DEPT VISIT557
EMERGENCY DEPT VISIT1,013.50
EMERGENCY DEPT VISIT1,614.50
EMERGENCY DEPT VISIT2,433.75
EMPLOYEE PUNCTURE PROFILE-E466.25
EMPLOYEE PUNCTURE-E1,040.00
ENA ANY METHOD59.75
ENA ANY METHOD415.25
ENDO CATH – BIL & PANCR D1,613.50
ENDO CLIP APPLIER 5MM EL5ML855.5
ENDO CUTTER 60MM LONG2,005.25
ENDO DR FOG PREVENTION KIT17
ENDO LINEAR CUTTER 45 MM ATS451,255.25
ENDO LOOP O-VICRYL66.25
ENDO RELOAD 45MM386.75
ENDO RELOAD 45MM BLUE386.75
ENDO RELOAD 45MM BLUE TR45B1,210.75
ENDO RELOAD 45MM WHITE TR45W1,210.00
ENDO RETRIEVAL POUCH 5MM199.25
ENDO TRUMPET TUBING135.5
ENDO W ABLATION DUODENUM2,453.75
ENDO W ABLATION DUODENUM-MAB2,453.75
ENDO W BLEED CONT DUODENUM2,453.75
ENDO W BLEED CONT DUODENUM-MAB2,453.75
ENDO W BLEED CONT ILEUM2,453.75
ENDO W BLEED CONT ILEUM-MAB2,453.75
ENDO W BLEED CONT UPPER GI2,453.75
ENDO W BLEED CONT UPPER GI-MAB2,453.75
ENDO W THERMAL TX UPPER GI3,186.50
ENDO W THERMAL TX UPPER GI-MAB3,186.50
ENDO-CATCH SPECIMEN POUCH1,366.25
ENDOSCOPY-EXT. OBSERVATION.238.75
ENDOSCRUB2 SHEATH 30D.19-1201248
ENDOSCRUB2 SHEATH O D.19-12000279.5
ENDO-STAPLE CLIP321.75
ENDOSTITCH 2-0 POLYSORB 170053277.5
ENTEROSCOPY2,147.00
ENTEROSCOPY-MAB2,147.00
ENTEROVIRUS PROBE&REVRS TRNS96.25
ENZYME ACTIVITY BC; NOT RA67.5
ENZYME ACTIVITY BC; NOT RA206.75
ENZYME HISTOCHEMISTRY609.5
EP INTRACARD FIX-CURVE GUIDNG INTROD/SHEATH109.5
EPIDISC TM PERF PATCH KIT560
EPIFIX 1 SQ CM559
EPIFIX 1 SQ CM1,117.00
EPIFIX 1 SQ CM1,675.00
EPIFIX 1 SQ CM2,233.00
EPIFIX 1 SQ CM3,419.00
EPIFIX 1 SQ CM4,465.00
EPIFIX 1 SQ CM5,023.00
EQUIP GAYMER THERMIA UNIT-ER264.25
EQUIP K-PAD WITH MOTOR SETUP234.5
EQUIP SCD SLEEVE SET UP272.5
EQUIP-BLOOD WARMER-ER223.25
EQUIP-HARMONIC SCALPEL392.25
EQUIP-I/A CAVITRON254.25
ER PARACENTESIS694.75
ERYTHROPOIETIN195.5
ESOPHAGOGAS-JEJUNOSC W DIL-MAB2,147.00
ESOPHAGOGASTRO-JEJUNOSCO W DIL2,147.00
ESOPHAGOGASTRO-JEJUNOSCOPY2,147.00
ESOPHAGOGASTRO-JEJUNOSCOPY-MAB2,147.00
ESOPHAGOSCOPY W ABLATION2,147.00
ESOPHAGOSCOPY W ABLATION-MAB2,147.00
ESOPHAGOSCOPY W BLEED CONT2,147.00
ESOPHAGOSCOPY W BLEED CONT-MAB2,147.00
ESOPHAGUS-PH1,174.00
ESOPHAGUS-PH PROLONGED1,629.00
ESOPHOGRAM581.75
ESOPHOSCOPY DIAG1,562.25
ESOPHOSCOPY DIAG-MAB1,562.25
ESTRADIOL136.5
ESTRADIOL,FREE-E195.25
ESTRIOL UNCONJUGATED123.75
ESTROGENS FRACTION, SEND OUT-E289.25
ESTROGENS; TOTAL87.5
ESTRONE152.75
ETHOSUXIMIDE59.5
ETHYLENE GLYCOL58
EVAC SU HEMATOMA270.75
EVAL AMNIOTIC FLUID PROTEIN133.5
EVAL OF FNA; INT & REP249.75
EVALUATE SPEECH PRODUCTION7.25
EVALUATE SPEECH PRODUCTION421.25
EVALUATE SWALLOWING FUNCTION9.5
EVALUATE SWALLOWING FUNCTION421.25
EVALUATION OF SPEECH FLUENCY7.25
EVALUATION OF SPEECH FLUENCY421.25
EVALUATION OF WHEEZING750.25
EVICEL APPLICATOR 45CM 3909153.25
EXAM SYNOVIAL FLUID CRYSTALS105.5
EXC FACE-MM B9+MARG 1.1-2 CM1,329.75
EXCHANGE NEPHROSTOMY CATH2,009.75
EXHALED NITRIC OXIDE MEAS78.25
EXPL KNEE W DRAIN/REM FB3,355.00
EXPL P WND; EXTREM3,033.25
EXPL/REM FB IPH JOINT EA1,770.50
EXTENSOR TENDON REPAIR EACH3,237.25
EXTERNAL PACEMAKER-ICU148.5
EXTERNAL PACEMAKER-PCU148.5
F18 FDG =< 45 MCI194.5
F2 GENE185.25
F5 GENE172
FACTOR 8 VWF MULTIMRIC124.25
FACTOR INHIBITOR TEST52
FANCC GENE47.25
FAT/LIPIDS FECES; QUAL60.5
FAT/LIPIDS FECES; QUAN98.5
FATTY ACIDS NONESTERIFIED128.75
FBP W NON-STRESS TEST2,196.00
FBP WO NON-STRESS1,664.50
FECAL LEUKO CNT QUAL/SEMIQUAN52.25
FEM 60/ROD 3.2416.5
FEM GD/ROD 2.4 SMOOTH187.25
FEMORAL N BLOCK SGL1,424.25
FEMORAL N BLOCK SGL2,136.50
FERRITIN175.5
FETAL CONTRACTION STRESS TEST964.75
FETAL FIBRONECTIN CV SEMIQUAN415
FETAL HGB SCREENING TEST24
FETAL NON-STRESS TEST772.25
FFP THAWING EA UNIT247
FIBERSTICK #2 AR-7209267.5
FIBERWIRE #2 1BLUE/1WHITE118.25
FIBERWIRE #2 W/BLUE TAPERED118.25
FIBRIN SEALANT EVICEL #39071,519.00
FIBRINOGEN EVAL PROFILE-E333.75
FIBRINOGEN PANEL-E90.5
FIBRINOGEN; ACTIVITY36.5
FIBRINOGEN; ANTIGEN54.25
FILSHIE CLIP338.5
FIRST RESPONDER EXPOSURE-E201.25
FISH CHARCKOT-E481.25
FISH MICRODELETION-E216.75
FISH NO CULTURE-E896.25
FISTULAGRAM PROFILE-E1,722.00
FLEXI-SEAL FECAL MANAGEMENT KI2,458.25
FLOSEAL HEMOSTATIC SEALANT738.25
FLOW CYTOMETRY EA ADDTL MARKER62.5
FLOW CYTOMETRY EA ADDTL MARKER374
FLOW CYTOMETRY EA ADDTL MARKER498.75
FLOW CYTOMETRY PNH PANEL-E1,216.00
FLOW CYTOMETRY TC 1ST MARKER287.5
FLT3 PANEL-E352.75
FLUORESCENT AB; SCRN EA AB67.25
FLUORESCENT AB; SCRN EA AB201.25
FLUORESCENT AB; TITER EA AB51.75
FLUORESCENT AB; TITER EA AB154.5
FLUOROGUIDE FOR SPINE INJECT186.25
FLUOROGUIDE FOR VEIN DEVICE1,075.50
FLUOROSCOPE EXAM EXTENSIVE859.25
FLUOROSCOPY <1 HR PHYS/QHP486.25
FMR1 GENE DETECTION273.5
FNA BX W/O IMG GDN 1ST LES423
FNA W/IMAGE1,872.25
FOLATE, RBC SEND OUT-E81
FOLEY TRAY SURE TEMP95.25
FOLIC ACID; RBC59.75
FOLIC ACID; SERUM212
FOOT COVER LG AV IMPULSE 5075417
FOOT COVER MD AV IMPULSE 5065417
FORCE TRIVERSE DEVICE167.5
FORCEPS COLD 00056958.25
FORCEPS RADIAL JAW 1524167.5
FORESKIN MANIPULATION318.75
FREE INSULIN100.25
FREE K+L LT CHAINS SEND OUT-E492.25
FREE L/HIP GUIDE PIN THREADED43.75
FREE THYROXINE149.75
FREE THYROXINE INDEX-E57.25
FRESH FROZEN PLASMA THAW-PAN-E488
FUNGAL AB BY CF-E339.75
FUNGUS CULTURE BLOOD29.5
FUNGUS CULTURE DEF I.D YEAST80.75
FUNGUS CULTURE DEF ID MOLD98.75
FUNGUS CULTURE NOT BLOOD29.5
FUNNEL KELLER KS-001486.5
G-6-PD AND RBC PANEL SEND OU-E180.75
G6PD; QUAN159.5
GAD-BASE MR CONTRAST NOS PER 1 ML24.25
GAIT TRAINING THERAPY EA 15 MINS140
GALACTOSE102.75
GARDNERELLA DIR NA PROBE62.5
GASTRIC EMPTYING IMAG STUDY1,437.75
GASTRIC REFLUX SCAN1,607.00
GASTRIN213.25
GAUZE <=16 IN NO W/SAL W/O B30
GELPORT ACCESS DEVICE C8XX21,892.75
GENET VIRUS ISOLATE HSV75.5
GENOTYPE DNA HEPATITIS B476.5
GENTAMICIN142
G-ESOPH REFLUX W MUCOSAL PH1,856.50
GI TRACT CAPSULE ENDOSCOPY3,912.25
GIARDIA & CONCENTRATION-E132.5
GIARDIA AG BY IF69.5
GLIADIN ANTIBODIES SEND OUT-E134.5
GLIDE SHEET FOR IOL5
GLOBULIN PROFILE-E112.5
GLUCAGON55.25
GLUCOSE BODY FLUID NOT BLOOD61.75
GLUCOSE TOLERANCE 2 HR-E275
GLUCOSE TOLERANCE TEST (GTT) 3 SPECM180
GLUCOSE; BLD BY MONITOR DEVICE54.5
GLUCOSE; POST GLUCOSE DOSE164
GLUCOSE; QUAN BLOOD44.75
GLUTAMYLTRANSFERASE GAMMA70.75
GLUTATHIONE73.25
GLYCATED PROTEIN83.25
GLYCOSYLATED HEMOGLOBIN TEST114
GOLF EVALUATION (1)-M52151.75
GONADOTROPIN; FSH289.75
GONADOTROPIN; LUTEINIZING HORMONE344.75
GOWN XX-LG MICROCOOL 9205647.5
GRAFT ALLOMATRIX C PUTTY2,882.75
GRAFT ALLOMATRIX INJ PUTTY3,417.00
GROWTH HORMONE HUMAN232.75
GRP NUTRITION THERAPY; EA 30M22.5
GTT-ADDED SAMPLES95.25
GUIDE CATHET FLUID DRAINAGE1,219.25
GUIDE WIRE106.25
GUIDE WIRE108.25
GUIDE WIRE131
GUIDE WIRE162.5
GUIDE WIRE165.5
GUIDE WIRE165.75
GUIDE WIRE303.25
GUIDE WIRE315.5
GUIDE WIRE440
GYN/SCOPE PACK CS/5117.75
H PYLORI (C-13) BREATH TEST164.75
H PYLORI DRUG ADMIN24.5
H PYLORI IGG IGM IGA SEND OU-E212
HAMS; AUTO SCRN EA93.25
HANDLING FEE-QUEST8.75
HANDPIECE,ECHELON FLEX1,035.25
HAPTOGLOBIN; QUAN127.5
HARMONIC SHEARS & 7 DEVICE2,349.25
HARMONIC SHEARS ACE36E2,573.00
HBA1/HBA2 GENE321.75
HBG; METHEMOGLOBIN QUAN158.5
HBV CORE AB IGG/IGM-E186.75
HCG; QUAL128.5
HCG; QUAN29.75
HCV FIBROSURE-E654.75
HCV GENOSURE-E1,033.50
HCV NSSA RESISTANCE-E1,033.50
HEAVY METAL PANEL 5 TESTS-E304.75
HEAVY METAL PROFILE SENDOUT-E284.5
HEAVY METAL PROFILE UA-E254.25
HEAVY METAL QUANT EACH NES223
HEEL BOOT MED HCB204ML187.75
HELICOBACTER PYLORI CULTURE-E80.25
HEMATOCRIT21.25
HEMODIALYSIS ONE EVALUATION968
HEMOLYSINS/AGGLUTININS93.25
HEMORROIDECTOMY2,512.50
HEMORROIDECTOMY-MAB2,512.50
HEPARIN ASSAY135.5
HEPATIC FUNCTION PANEL162.75
HEPATITIS A ANTIBODY175
HEPATITIS A IGM ANTIBODY105.5
HEPATITIS B SCREEN-MH-E411.5
HEPATITIS B SURFACE AG IA144.25
HEPATITIS BE AG IA46.5
HEPATITIS BE ANTIGEN/AB-E126.5
HEPATITIS C – DNA OR RNA697.75
HEPATITIS C AB123.5
HEPATITIS C CONFIRMATION66
HEPATITIS C PROBE&RVRS TRNSC78.25
HEPATITIS C REVRS TRNSCRPJ308
HEPATOBIL SYST IMAGE W/DRUG2,384.00
HEPATOBILIARY SYSTEM IMAGING2,384.00
HEP-B AMPLIF NA PROBE83.25
HEP-B NA QUAN284.75
HERPES S AMPLIF NA PROBE91
HERPES S AMPLIF NA PROBE181.75
HERPES SIMPLEX VIRUS I,II-E285
HEXA GENE167.75
HEXAGNAL PHOSPH PLTLT NEUTRL23.5
HFE GENE502.25
HGB CHROMATOGRAPHY98.75
HGB FRAC PROFILE SEND OUT-E171.25
HGB; PLASMA45
HGH AB63.5
HIP (D) FEM HEAD 28MM 01.5 GR2,772.25
HIP (D) FEM HEAD 28MM 05.0 BR2,771.00
HIP (D) FEM HEAD 28MM 08.5 BL2,771.00
HIP (D) SUMMIT STEM STD SIZE 516,728.75
HIP (Z) KIENCTIV NECK K3,334.00
HIP (Z) KINECTIV FEM STEM 13.511,421.50
HIP (Z) KINECTIV NECK B3,334.00
HIP (Z) KINECTIV NECK G23,334.00
HIP (Z) KINECTIV STEM SIZE 511,764.00
HIP (Z) VERSYS FEM HEAD +0 322,258.25
HIP (Z/MOD M) BIPOL SHELL 42MM2,428.00
HIP (Z/MOD M) BIPOL SHELL 43M2,357.50
HIP (Z/MOD M) BIPOL SHELL 442,241.75
HIP (Z/MOD M) LINER 42/431,495.75
HIP (Z/MOD M) LINER 44/45/461,495.00
HIP (Z/MOD M) LINER 47/48/491,495.00
HIP (Z/MOD M) LINER 50/51/521,495.00
HIP (Z/MOD M) LINER 53/54/551,451.00
HIP ARTHROGRAM1,287.00
HIP ARTHROGRAPHY INJ WO ANESTH672.5
HIP LONGEVITY LINER STND 32 563,993.00
HIP SHELL TRAB POR CLUSTER 504,135.75
HIP SHELL TRAB POR CLUSTER 524,259.75
HIP SHELL TRAB POR CLUSTER 567,780.25
HIP SHELL TRAB POR CLUSTER 584,259.75
HIP SHELL TRABECUALR METAL 604,135.75
HIP SHELL TRABECULAR METAL 544,259.75
HIP TRIL LINER 10 DEG 32MM2,841.50
HIP TRILOGY 32MM STND 50/52/53,196.50
HISTAMINE91
HISTOCHEMICAL STAINS ADD-ON77.5
HISTOPLASMA AB 3 TEST PANEL-E245.75
HISTOPLASMA CAPSUL AG IA142.5
HIV CONFIRMATION 1 & 2-E87.5
HIV-1 AG W/HIV-1 & HIV-2 AB117.75
HIV-1 QUANT&REVRSE TRNSCRPJ999.75
HIV-1/HIV-2 SINGLE RESULT57
HLA I TYPING 1 ANTIGEN LR209.25
HLA II TYPE 1 AG EQUIV LR387
HLA II TYPING 1 ALLELE HR400
HLA II TYPING 1 LOC HR436.25
HLA II TYPING AG EQUIV LR473.25
HOCM <=149 MG/ML IODINE. 1ML9.25
HOME SLEEP TEST/TYPE 3 PORTA743.5
HOMOGENIZ TISS FOR CULTURE71
HOSPITAL OBSERVATION PER HR169.25
HOSPITAL OUTPT CLINIC VISIT115
HOT OR COLD PACKS THERAPY 1+ AREAS109.25
HPYLORI STOOL IA182.5
HSV 1 & 2 AB IGG-E223.5
HSV 1/2 PCR SEND OUT-E182
HSV AND VZV PCR PANEL-E273
HT MUSCLE IMAGE SPECT MULT6,095.75
HT MUSCLE IMAGE SPECT SING2,526.75
HTA UTERINE ABLATION SYSTEM3,692.00
HUMAN EPIDIDYMIS PROTEIN 488.5
HYDRATE IV INFUSION ADD-ON293.5
HYDRATION IV INFUSION INIT 31-60 MINS513.5
HYDROGEL DRSG GEL FILLER107.75
HYDROXYPROGESTERONE 17-D95
HYPERSENSITIVITY PNEUMO-E307.5
HYPOXIA RESPONSE CURVE316
HYSTEROGR/SIS CONTR/SALINE INJ511.75
HYSTEROSALPINGOGRAM1,505.25
HYSTEROSALPINGOGRAM PROFILE-E2,017.00
I & D EPIDIDYMIS TESTIS/SCROTAL SP2,911.75
I & D OF BARTHOLIN’S GLAND ABSCESS1,072.75
I & D OF VULVA OR PERINEAL ABSCESS537.5
I&D ABSC; COMPL OR MULTI1,046.50
I&D ABSC; SMPL OR SGL187
I&D ABSC; SMPL OR SGL996.5
I&D ABSCESS; PERITONSILLAR1,235.75
I&D CPLX POSTOP WND INF2,882.00
I&D HEMATOMA/FLUID1,353.00
I&D HEMATOMA/FLUID2,933.75
I&D OF SUBMUCOSAL ABSCESS; RECTUM2,164.75
I&D PILONID CYS; SMPL1,552.75
I&D; PERIANAL ABSCESS1,433.75
I&D; PERIRECTAL OR ISCHIAL ABSCESS2,965.75
I131 IODIDE CAP RX PER 1 MCI56
IA INFECTIOUS AGENT AB QUAN65
IA INFECTIOUS AGENT AB QUAN908.5
IA INFECTIOUS AGENT AB QUAN1,492.50
IA INFECTIOUS AGENT SGL STEP122
IA QUANT; CA 12588.5
IA QUANT; CA 15-3 (27.29)88.5
IA QUANT; CA 19-988.5
IA; OTHER TUMOR AG QUAN EA136.5
ID; GEL QUAL; EA AB/AG111.5
IGG 1 2 3 OR 4 EACH72.5
IGG SUBCLASSES 1-4 SEND OUT-E330
IGH GENE REARRANGE AMP METH366.5
IGK REARRANGEABN CLONAL POP275.5
ILESOSCOPY1,087.25
ILESOSCOPY-MAB1,087.25
IMAGE CATH FLUID COLXN VISC1,566.75
IMAGE CATH FLUID PERI/RETRO1,566.75
IMMOB ARM SHOULDER UNIV72.5
IMMUNE COMPLEX ASSAY;47.5
IMMUNE COMPLEX ASSAY;94.5
IMMUNFIX E-PHORSIS/URINE/CSF123.5
IMMUNIZATION ADM; EA ADDTL VACCINE54.5
IMMUNIZATION ADMIN 1 VACCINE133
IMMUNIZATION ADMIN 1 VACCINE133.5
IMMUNOASSAY NONANTIBODY67.25
IMMUNOASSAY NONANTIBODY134.25
IMMUNOASSAY NONANTIBODY268.25
IMMUNOASSAY QUANT NOS NONAB56
IMMUNOASSAY QUANT NOS NONAB167.75
IMMUNOASSAY QUANT NOS NONAB279
IMMUNOASSAY QUANT NOS NONAB446.25
IMMUNOFLUOR ANTB 1ST STAIN287.5
IMMUNOFLUOR ANTB ADDL STAIN40.25
IMMUNOFLUOR ANTB ADDL STAIN160.5
IMMUNOGLOBULINS (G,A,M)-E119.75
IMMUNOHISTO ANTB 1ST STAIN456.5
IMPACT TOOTH REMOV SOFT TISS2,177.25
IMPL INDWELLING PORT847.25
IMPL INDWELLING PORT2,426.50
IMPL INDWELLING PORT3,270.50
IMPL INDWELLING PORT3,346.75
IMPL NEUROSTIM LEAD TEST KIT2,229.75
IMPLANTABLE TISSUE MARKER2,948.00
IN111 CAPROMAB =< 10 MCI4,622.50
INC & REM FB SQ; SMPL358.75
INC/REPL SPINE NSTIM PG/RCVR75,936.75
INCISE THROMBOSED HEMORRHOID EXT433.25
INDWELLING CATHETER FOLEY TYPE33.25
INDWELLING CATHETER FOLEY TYPE41
INDWELLING CATHETER FOLEY TYPE45.5
INDWELLING CATHETER FOLEY TYPE52.25
INDWELLING CATHETER FOLEY TYPE61.75
INDWELLING CATHETER FOLEY TYPE101.75
INF BURSA I&D – UA/ELBOW2,136.50
INFLAM BOWEL DIS PANEL SEND-E155
INFLIXIMAB/ANTIINFLIXIMAB AB-E128.25
INFLU A/H1N1 SEND OUT-E359
INFLUENZA A/B AB-E114
INFLUENZA DNA AMP PROBE304.75
INFLUENZA IA W DO214.5
INFLUENZA VIRUS A AN B PCR-E609.5
INFRARED THERAPY 1+ AREAS29.75
INHIBIN A81
INIT NUTRITION THERAPY; EACH 15M68.5
INIT TX 1ST DEGR BURN205.5
INJ ANESTH ; GREATER OCCIPITAL NERVE648.75
INJ ANESTH ; GREATER OCCIPITAL NERVE1,297.25
INJ ANESTH; FACIAL NERVE740.25
INJ ANESTH ; TRIGEMINAL NERVE648.75
INJ ANESTH ; VAGUS NERVE648.75
INJ ANESTH; AXILLARY NERVE1,794.00
INJ ANESTH; AXILLARY NERVE2,690.75
INJ ANESTH; CELIAC PLEXUS1,794.00
INJ ANESTH; CERVICAL PLEXUS1,424.25
INJ ANESTH; INTERCOST NRV MULTI/REGION1,794.00
INJ ANESTH; INTERCOSTAL NERVE SGL1,424.25
INJ ANESTH; LUMB/THOR (SYMPATHETIC)1,794.00
INJ ANESTH; OTHR PERIPHERAL NRV/BRANCH1,424.25
INJ ANESTH; PHRENIC NERVE1,794.00
INJ ANESTH; PUDENDAL NERVE1,794.00
INJ ANESTH; SPHENOPALATINE GANGLION648.75
INJ ANESTH; STELLATE GANGLION1,794.00
INJ ANESTH; STELLATE GANGLION2,371.50
INJ ANESTH; SUPRASCAPULAR NERVE1,424.25
INJ ANESTH; SUPRASCAPULAR NERVE2,136.50
INJ EPIDURAL BLOOD OR CLOT PATCH1,424.25
INJ FOR CYSTOGRAM1,122.25
INJ FOR SIALOGRAPHY494
INJ FORAMEN EPIDURAL ADD-ON844
INJ FORAMEN EPIDURAL ADD-ON844.25
INJ FORAMEN EPIDURAL ADD-ON1,266.50
INJ FORAMEN EPIDURAL C/T1,794.00
INJ FORAMEN EPIDURAL C/T2,371.50
INJ FORAMEN EPIDURAL L/S1,794.00
INJ FORAMEN EPIDURAL L/S2,690.75
INJ NEUROLYTIC; EPIDURAL CERV/THORACIC1,794.25
INJ NEUROLYTIC; EPIDURAL LUMB/CAUDAL1,794.25
INJ NEUROLYTIC; SUBARACHNOID1,794.25
INJ PARAVERT F JNT C/T 1 LEV1,794.00
INJ PARAVERT F JNT C/T 1 LEV2,371.50
INJ PARAVERT F JNT C/T 2 LEV915.25
INJ PARAVERT F JNT C/T 2 LEV1,829.50
INJ PARAVERT F JNT C/T 3 LEV915.25
INJ PARAVERT F JNT C/T 3 LEV1,829.50
INJ PARAVERT F JNT L/S 1 LEV1,794.00
INJ PARAVERT F JNT L/S 1 LEV2,690.75
INJ PARAVERT F JNT L/S 2 LEV915.25
INJ PARAVERT F JNT L/S 2 LEV1,829.50
INJ PARAVERT F JNT L/S 3 LEV915.25
INJ PARAVERT F JNT L/S 3 LEV1,829.50
INJ SGL TENDON SHTH OR LIGAMENT648.75
INJ TENDON ORIGIN/INSERT648.75
INJ TRIGGER POINT 1/2 MUSCL648.75
INJECT TRIGGER POINTS 3/>648.75
INJECTION FOR CHOLANGIOGRAM3,839.00
INJECTION FOR KNEE X-RAY561
INJECTION INTO SKIN LESIONS =<7427.75
INS NON-TUNNEL CV CATH 5 YRS/>2,512.00
INS PACK FOR NON-OB VAG HEMORRHAGE264.25
INS TEMP BLADDER CATH473.25
INSERT CERVICAL DILATOR605
INSERT BLADDER CATHETER212.25
INSERT CATH PLEURA W/ IMAGE918
INSERT CATH PLEURA W/O IMAGE1,790.25
INSERT ELECTRD/PM CATH SNGL9,739.00
INSERT O2 THERMO CATH-ICU1,215.00
INSERTER-DILAMEZINSERT141.75
INSERTION OF CHEST TUBE1,953.75
INSITU HYBRIDIZATION (FISH)142.25
INSJ PICC <5 YR W/O IMAGING1,311.25
INSJ PICC 5 YR+ W/O IMAGING2,441.75
INSTRUMENT-SINGLE54.5
INSULIN AB86.5
INSULIN,FREE AND TOTAL-E158.25
INSULIN; TOTAL58.25
INSULIN; TOTAL173.75
INTEGRATED INFUSION SYSTEM 506186.25
INTEGRATED SCREEN 2 SEND OUT-E381.25
INTEGUSEAL MICROBIAL SEALANT185.5
INTERCEED GAUZE 3X4888.5
INTERROG EVL PM/LDLS PM IP84.5
INTMD WND REPAIR FACE/MM =< 2.5 CM417
INTMD WND REPAIR FACE/MM 2.6-5.0 CM418.25
INTMD WND REPAIR FACE/MM 7.6-12.5 CM2,664.50
INTMD WND REPAIR N-HF/GENIT608.25
INTMD WND REPAIR N-HF/GENIT1,737.50
INTMD WND REPAIR N-HF/GENIT =< 2.5 CM1,433.75
INTMD WND REPAIR S/A/T/EXT376
INTMD WND REPAIR S/A/T/EXT774.25
INTMD WND REPAIR S/A/T/EXT853.25
INTMD WND REPAIR S/TR/EXT 7.6-12.5 CM813
INTRINSIC FACTOR AB92.75
INTRO NDL ICATH UPR/LXTR ART2,638.75
INTRO/SHEATH NON-LASER117.5
INTRO/SHEATH NON-LASER357.5
INTROD LONG GI TUBE852
INTRODUCER SUPRAPUBIC CATH16FR80
INTUBATION ET EMERGENT1,270.25
IO MAP OF SENT LYMPH NODE468.75
IODINE I-123 SOD IODIDE PER 100 UCI TO 999 UCI338.25
IOL ALCON441.25
IRIS FLEXIBLE RET. GRIESHABER489.75
IRON55.75
IRON BINDING CAPACITY86
IRON/TIBC-E141.75
IRRIG DRUG DELIVERY DEVICE418
IRRIGATE CORPORA CAVERNOSA FOR PRIAPISM1,808.00
ISLET CELL AB114.25
IV 1.5 DIALYSIS 2500 CC65.75
IV 1.5 DIALYSIS 3 LITER57.75
IV 2.5 DIALYSIS 2500 CC35.5
IV 2.5 DIALYSIS 3 LITERS65.75
IV 2B7116 ST H20 2000 ML47
IV 4.25 DIALYSIS 2500 CC40
IV LOW CALCIUM 1.5 DIANEAL145
IV LOW CALCIUM 2.5 DIANEAL149.75
IV SOLUTION-OR (ANES)21.5
IVP W/WO TOMO/KUB1,397.50
JAK2 GENE311.25
JOHN CUNNINGHAM ANTIBODY47
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 MULTIPLE1,102.50
K FLOW/FUNCT IMAGE W/DRUG1,917.00
K FLOW/FUNCT IMAGE W/O DRUG1,917.00
K-B STAIN FOR FETAL HGB75
KETOSTEROIDS 17; TOTAL54.75
KIDNEY IMAGING (3D)1,521.00
KIDNEY IMAGING MORPHOL1,385.25
KIDNEY IMAGING WITH FLOW926.25
KIDNEY STONE SATURATION 24HR-E398.25
KIT GENE TARGETED SEQ ANALYS426.25
KNEE (NEX) CR ART YLW 14MM2,856.00
KNEE (Z/NEX) CR ART GRN 10MM2,941.50
KNEE (Z/NEX) CR ART GRN 12MM4,804.00
KNEE (Z/NEX) CR ART YLW 10MM2,941.50
KNEE (Z/NEX) PATELLA 32MM2,433.50
KNEE (Z/NEX) PATELLA 35MM1,765.25
KNEE AC ART SURFACE 10 YEL 3/4,235.75
KNEE AC ART SURFACE 12 GRN 5/62,941.50
KNEE AC ART SURFACE 12 YEL 3/42,941.50
KNEE AC ART SURFACE 14 GRN 5/2,856.00
KNEE ARTHROGRAM1,045.00
KNEE PROLONG ART BLUE 10MM C/5,106.00
KNEE; BOTH KNEES STANDING AP329.25
KO IMMOB CANVAS LONG PRE OTS119.75
KOH FOR FUNGI/PARASITES/MITES103.5
KRAS GENE VARIANTS EXON 2358.5
K-WIRE (S) CANN 1.25 15032
K-WIRE 1.6MM X 150MM181.75
KWIRES (DVR) 0.062 STAINLESS86
LABOR & DELIVERY CHARGE6,724.25
LACTATE215
LACTATE DEHYDROGENASE72.5
LACTOFERRIN FECAL (QUAL)61.75
LACTOFERRIN FECAL (QUANT)64.25
LACTOSE TOLERANCE PROFILE-E134.25
LAP CHOLE PACK CS/5406
LAPROSCOPIC PROCEDURE1,304.00
LARYNGOSCOPY TELESCOPIC486.5
LASER FIBERGUIDE 400 DUR400DBX1,723.25
LASER FIBERGUIDE 600 DUR600DB1,673.50
LASER FIBERS1,194.75
LASER FIBERS1,520.50
LASER FIBERS1,629.25
LDCT FOR LUNG CA SCREEN359.25
LDH ISOENZYMES PANEL SENDOUT-E145
LDH; ISOENZYMES72.5
LEAD63.25
LENS ALCON 15.0 SN60WF182.25
LENS ALCON 22.0 SN60WF182.25
LENS ALCON 22.5 SN60WF182.25
LENS ALCON 23.5 SN60WF182.25
LENS ALCON MA60AC 30.0687.75
LENS ALCON SN60AT 12.5751
LENS ALCON SN60AT 20.0751
LENS ALCON SN60AT 21.0751
LENS ALCON SN60AT 24.0197.5
LENS ALCON SN60AT 24.5751
LENS ALLERGAN AR40E 10.0626.25
LENS ALLERGAN AR40E 10.5626.25
LENS ALLERGAN AR40E 11.5626.25
LENS ALLERGAN AR40E 14.0626.25
LENS ALLERGAN AR40E 17.5626.25
LENS ALLERGAN AR40E 18.0626.5
LENS ALLERGAN AR40E 18.5626.5
LENS INTRAOCULAR 10.0 ZCBOO203.5
LENS INTRAOCULAR 10.5 ZCBOO203.5
LENS INTRAOCULAR 23.0 ZCBOO203.5
LENS-IOL MODEL AUOOTO434.5
LEUKEMIA PHEN TRIAGE SEND-E661.5
LEUKOCYTE ALK PHOS W COUNT204.25
LEUKOCYTE POOR BLOOD EA UNIT1,179.75
LHR TEST73.75
LIGASURE MARYLAND SEALER2,137.00
LIGASURE SMALL JAW1,852.25
LIMITED TUMOR LOCALIZ/RP DISTRIB966.5
LINEAR STAPLER RELOAD XR60B538.25
LIPASE142.5
LIPID PANEL175.5
LIPID PROFILE PANEL-E242.75
LIPOPROTEIN BLD HR FRACTION238.5
LIPOPROTEIN BLD QUAN PART87.5
LIPOPROTEIN; HDL109.25
LITHIUM125.5
LITHOVUE URETEROSCOPE3,370.50
LIVER – SPECT (3D)1,973.75
LIVER & SPLEEN; STATIC ONLY1,374.25
LOCALIZ INFLAMM; LIMITED AREA1,423.50
LOCM 200-299MG/ML IODINE 1ML10
LOCM 300-399MG/ML IODINE 1ML9.75
LOCM 300-399MG/ML IODINE 1ML10
LOW COST SKIN SUBSTITUTE APP179
LOW COST SKIN SUBSTITUTE APP179
LOW COST SKIN SUBSTITUTE APP536
LUNG PERFUSION IMAGING1,206.50
LUNG VENTILAT&PERFUS IMAGING3,388.00
LUPUS ANTICOAGULANT COMP PAN-E196.25
LUPUS PROFILE-E644.25
LUTEINIZING RELEASING FACTOR69.5
LYME WESTERN BLOT CSF SENDO-E322.75
LYME WESTERN BLOT SEND OUT-E322.75
LYMES AMPLIFIED NA PROBE108
LYMPH OR LN NM SCAN1,705.25
LYSIS OF ADH MULTI 1 DAY2,425.00
M PNEUM AB IGG&IGM SEND OUT-E114
M/PHMTRC ALYS ISHQUANT/SEMIQ164
M/PHMTRC ALYS ISHQUANT/SEMIQ399.5
MACROSCOPIC EXAM ARTHROPOD45.75
MACROSCOPIC EXAM PARASITE48.25
MAG DUAL ANTIBODY SEND OUT-E112
MAGNESIUM83.25
MAGNETIC IMAGE BONE MARROW3,069.25
MAJOR SUR & REC 0-30 MIN(OB)-E4,800.50
MAJOR SUR & REC 31-60MIN(OB)-E7,653.25
MAJOR SUR & REC 61-90MIN(OB)-E10,556.25
MAJOR SUR & REC91-120MIN(OB)-E13,453.00
MAJOR SURG 61- 90 MIN (OB)9,098.00
MAJOR SURG ADDITIONAL PROC4,114.25
MAJOR SURG EA ADD’L 1/2 HR (OB2,886.25
MAJOR SURG&REC ADD 1/2HR(OB)-E2,952.50
MAJOR SURG(OB) EACH ADD’L 15 M1,444.25
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-E578.75
MAMM BIL DIAG 3D-MH-E578.75
MAMM BIL SCR W BIL DIAG-MDC-E1,113.00
MAMM BIL SCR W BIL DIAG-MH-E1,113.00
MAMM BIL SCR W LT DIAG-MDC-E1,113.00
MAMM BIL SCR W LT DIAG-MH-E1,113.00
MAMM BIL SCR W RT DIAG-MDC-E1,113.00
MAMM BIL SCR W RT DIAG-MH-E1,113.00
MAMM BIL SCR/BIL DIAG 3D-MDC-E1,230.50
MAMM BIL SCR/BIL DIAG 3D-MH-E1,230.50
MAMM BIL SCR/LT DIAG 3D-MDC-E1,230.50
MAMM BIL SCR/LT DIAG 3D-MH-E1,230.50
MAMM BIL SCR/RT DIAG 3D-MDC-E1,230.50
MAMM BIL SCR/RT DIAG 3D-MH-E1,230.50
MAMM BIL SCREEN 3D-MH-E652
MAMM BIL SCREEN3D-MDC-E652
MAMM UNI DIAG LT 3D-MDC-E578.75
MAMM UNI DIAG LT 3D-MH-E578.75
MAMM UNI DIAG RT 3D-MDC-E578.75
MAMM UNI DIAG RT 3D-MH-E578.75
MAMM UNI SCREEN LT 3D-MDC-E652
MAMM UNI SCREEN LT 3D-MH-E652
MAMM UNI SCREEN RT 3D-MDC-E652
MAMM UNI SCREEN RT 3D-MH-E652
MAMMARY DUCT INJ622.25
MANGANESE99
MANGANESE,URINE-E119.5
MANIPULATOR UTERINE VCARE LG363
MANIPULATOR UTERINE VCARE STND363.5
MANUAL RETICULOCYTE COUNT77.75
MANUAL THERAPY EA 15 MINS12
MANUAL THERAPY EA 15 MINS173
MASS SPECTROMETRY QUAL/QUAN86.75
MASSAGE THERAPY EA 15 MINS11
MASSAGE THERAPY EA 15 MINS162.25
MASTISOL LIQUID ADHESIVE VIAL9.5
MASTOTOMY W EXPL DEEP2,393.25
MATERNAL SCREEN 1ST TRI SEND-E126.75
MCG; DNA PROBE EA61.75
MCG; DNA PROBE EA123.25
MCG; DNA PROBE EA246.25
MCG; DNA PROBE EA369.25
MCG; DNA PROBE EA430.75
MCG; DNA PROBE EA615.25
MCG; IP SITU 100-300 CELLS155.25
MCG; IP SITU 100-300 CELLS465.5
MCG; IP SITU 100-300 CELLS775.75
MCG; IP SITU 25-99 CELLS80
MCG; SITU HYBRID 10-30 CELLS80
MDC-PLAIN FILM POSTURAL STUD-E998.75
MDS PROFILE,FISH SEND OUT-E401.25
MEASLES/MUMPS/RUBELLA IMMUNE-E352.75
MECHANICAL CHEST WALL OSCILL457
MECHANICAL TRACTION THERAPY 1+ AREAS187
MECKELS DIVERT EXAM1,230.50
MECONIUM DRUG SCREEN WARDE-E138.5
MEPITEL SILICONE DRESSING-SPD69.75
MERCURY QUAN72.25
MERCURY,RANDOM UA-E92.75
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 17.85,795.75
MESH COMPOSIX SMALL 8CM X 12C2,571.25
MESH PERFIX PLUG LG805.25
MESH PERFIX PLUG MED805.25
MESH PERFIX PLUG SMALL805.25
MESH PERFIX PLUG X-L803
METABOLIC PANEL TOTAL CA208.5
METABOLIC SYNDROME PROFILE-E252.25
METANEPHRINES72.25
MIC CYSTOLOGY BRUSHES 6031748.5
MIC GASTROSTOMY FOG TUBE 0100-464
MIC PEG KIT 20FR 0160-20464
MICRO EZ 4.5 FR197.75
MICROBE SUSCEPTIBLE MIC148.75
MICROEZ 6FR 7CM197.75
MICROLINE METZENBAUM TIPS 3142234.5
MICROSOMAL AB EACH75.75
MIDLINE INFUSION CATH372
MINERVA ABLATION SYSTEM2,606.75
MINOR NURSING PROCEDURE-AC398.75
MINOR NURSING PROCEDURE-MAB398.75
MINOR PROC LEVEL I-AC2,613.00
MINOR PROC LEVEL II-AC2,961.25
MINOR SURG PROC LEVEL II-RAD2,961.25
MINOR SURG PROC LEVEL I-RAD2,613.00
MLH1 GENE DUP/DELETE VARIANT259
MLH1 GENE FULL SEQ867.25
MM PROFILE,FISH SEND OUT-E1,206.50
MNT EA 15 M AFTER 2ND REFRL39
MOD SED SAME PHYS/QHP <5 YRS207
MOD SED SAME PHYS/QHP 5/>YRS207
MOPATH PROCEDURE LEVEL 1299.5
MOPATH PROCEDURE LEVEL 2419
MOPATH PROCEDURE LEVEL 3310
MOPATH PROCEDURE LEVEL 4238
MOPATH PROCEDURE LEVEL 5588
MOPATH PROCEDURE LEVEL 6716.25
MOPATH PROCEDURE LEVEL 62,148.50
MOPATH PROCEDURE LEVEL 71,551.50
MOPATH PROCEDURE LEVEL 81,087.00
MOPATH PROCEDURE LEVEL 93,794.50
MOPATH PROCEDURE LEVEL 97,589.00
MOTION FLUORO SWALLOW FCN9.5
MOTION FLUORO SWALLOW FCN421.25
MRA ABD W CONTRAST4,090.50
MRA ABD W/WO CONTRAST4,383.00
MRA ABD WO CONTRAST3,224.50
MRA CHEST W/WO CONTR2,318.00
MRA W/DYE UPPER EXTREMITY4,090.50
MRA W/O DYE UPPER EXTR3,224.50
MRA W/O&W/DYE UPPER EXTR4,383.00
MRA; HEAD W & WO CONTRAST4,383.00
MRA; HEAD W CONTRAST3,541.25
MRA; HEAD; WO CONTRAST3,224.50
MRA; NECK W & WO CONTRAST4,383.00
MRA; NECK W CONTRAST4,090.50
MRA; NECK WO CONTRAST3,546.75
MRI – LE JNT WO CONTR3,372.00
MRI – LE JNT WO CONTR4,836.50
MRI – LEXTREM W CONTR4,090.50
MRI – LEXTREM WO CONTR3,224.50
MRI ABD & PELVIS W/WO CONT-E8,766.00
MRI ABDOMEN W & WO CONTRAST4,383.00
MRI ABDOMEN W CONTRAST3,718.50
MRI ABDOMEN WO CONTRAST3,224.50
MRI BRAIN & CERVIAL W/WO CON-E8,869.75
MRI BRAIN & OBRITS W/WO CONT-E9,307.75
MRI BRAIN W & WO CONTRAST4,486.75
MRI BRAIN W CONTRAST4,090.50
MRI BRAIN W/WO & SPINAL SURV-E17,731.75
MRI BRAIN WO CONTRAST3,546.75
MRI BREAST BIL W CONT W CAD-E3,285.50
MRI BREAST BIL W/WO CONTR W-E3,594.75
MRI BREAST BILAT W CONTR3,011.50
MRI BREAST BILAT W/WO CONTR3,320.75
MRI BREAST C- BILATERAL3,162.25
MRI BREAST C- UNILATERAL2,817.50
MRI BREAST LT W CONT W CA-E2,957.25
MRI BREAST LT W/WO CONT W CA-E3,232.50
MRI BREAST RT W CONT W CA-E2,957.25
MRI BREAST RT W/WO CONT W CA-E3,232.50
MRI BREAST UNIL W CONTRAST2,683.25
MRI BREAST UNIL W/WO CONTR2,958.50
MRI CERV SPINE W & WO CONTR4,383.00
MRI CERV/THOR/LUMB W/O C-E9,673.25
MRI CERVIAL & LUMBAR W/WO CO-E8,862.25
MRI CERVICAL & THORACIC W/WO-E8,766.00
MRI CERVICAL/THORA/LUMB W/WO-E13,245.25
MRI CHEST W & WO CONTRAST4,383.00
MRI CHEST W CONTRAST4,090.50
MRI CHEST WO CONTRAST3,224.50
MRI GUIDANCE NDL PLMT RS&I1,144.00
MRI LE JNT W CONTR3,386.00
MRI LE JNT W CONTR5,078.50
MRI LE JNT W&WO CONTR3,555.25
MRI LE JNT W&WO CONTR5,332.75
MRI LEXTREM W&WO CONTR4,383.00
MRI LUMB SPINE W & WO CONTR4,479.25
MRI OF TMJ(S)2,790.00
MRI ORBIT/FACE/NECK W/O DYE3,546.75
MRI ORBT/FAC/NCK W/O & W/DYE4,821.00
MRI PELVIS W & WO CONTRAST4,383.00
MRI PELVIS W CONTRAST4,090.50
MRI PELVIS WO CONTRAST3,224.50
MRI SPINE CERV; WO CONTR3,224.50
MRI SPINE CERVICAL W CONTR3,718.50
MRI SPINE LUMBAR W CONTR3,718.50
MRI SPINE LUMBAR WO CONTR3,224.50
MRI SPINE THORACIC W CONTR3,718.50
MRI SPINE THORACIC WO CONTR3,224.50
MRI THORAC SPINE W & WO CONTR4,383.00
MRI THORACIC & LUMB W/WO CO-E8,862.25
MRI U EXT NOT JOINT W CONTRAST4,090.50
MRI U EXT NOT JOINT WO CONTRAST3,224.50
MRI U EXTR; ANY JOINT W CONTRAST4,089.50
MRI U EXTR; ANY JOINT WO CONTRAST3,224.50
MRI U EXTR; NOT JOINT W&WO CONTR4,383.00
MRI UE ANY JOINT W & WO CONTRAST4,383.00
MR-STAPH DNA AMP PROBE65.5
MSH2 GENE DUP/DELETE VARIANT274
MSH2 GENE FULL SEQ490.5
MSH6 GENE DUP/DELETE VARIANT305.75
MSH6 GENE FULL SEQ824.25
MSLT/MWT; GLOBAL5,959.75
MTHFR GENE374.25
MUCIN SYNORVIAL FLUID46.5
MUGA; SGL W WM & EF2,213.75
MUMPS VIRUS ANITBODIES-SENDO-E134.5
MURAMIDASE175
MUSCLE BX; PERC NDL1,567.25
MUSCLE TEST; EXTREM OR TRUNK71
MYASTHENIA GRAVIS 2 TEST PAN-E125
MYCOPLASMA AMPLIF NA PROBE543.5
MYELIN BASIC PROTEIN CSF237.25
MYELOGRAM CERVICAL4,749.25
MYELOGRAM LUMBAR PROFILE-E9,029.25
MYELOGRAM LUMBOSACRAL4,220.75
MYELOGRAM THORACIC3,488.50
MYELOGRAPHY LUMBAR INJECTION4,808.75
MYELOGRAPHY LUMBAR INJECTION4,808.75
MYOCARDIAL STRAIN IMAGING741
MYOGLOBIN123.5
N BLOCK INJ COMMON DIGIT649
N BLOCK SGL SCIATIC NRV1,424.25
N BLOCK SGL SCIATIC NRV2,136.50
N EOSINOPHIL SMEAR39.5
NA QUAN NOS AGENT282.75
NASAL CANNULA35.75
NASOPHARYNGOSCOPY W ENDOSCOPE385.25
NATRIURETIC PEPTIDE318.25
N-AUTOM URINALYS WO MICRO38
NB INJ HYPOGAS PLXS1,794.00
NEEDLE ANTERIOR CHAMBER-EYE66.25
NEEDLE ASPIRATION NA-411D-132256.75
NEEDLE BIOPSY CHEST LINING1,532.75
NEEDLE BX LIVER; PERCUTANEOUS1,474.25
NEEDLE BX TRU-CUT DISP126.5
NEEDLE BX TRU-CUT LONG61
NEEDLE COAPTITE 14.6IN 21G177.75
NEEDLE GRIPPER SAFETY 20G 1 (H22.25
NEEDLE GRIPPER SAFETY 20G 3/422.25
NEEDLE GRIPPER SAFETY 22G 5/820
NEEDLE INSUFFLATION 120 C2201172.5
NEEDLE INSUFFLATION 150 02202166
NEEDLE JAFFEE-EYE42
NEEDLE JAMSHIDI 8 GA X 4170.5
NEEDLE LOCALIZATION BY XRAY186.25
NEEDLE RETROBULBULAR 23GA 1.538
NEEDLE SAFETY PAC 20 G 3/4 (P35.75
NEEDLE SCORPION AR-13990N1,027.75
NEISSERIA AMPLIF NA PROBE148.75
NEPHELOMETRY EA ANALYTE NES246.25
NERVE BLOCK ILIOING/ILIOHYPOGASTRIC1,424.25
NERVE BLOCK SET 18GX2 CNB200T137.5
NEUROMUSCULAR REEDUCATION EA 15 MINS15
NEUROMUSCULAR REEDUCATION EA 15 MINS224
NEUROPATHY PROFILE II SENDO-E537.25
NICKEL38.75
NJX CHEMONUCLEOLYSIS LMBR4,389.75
NJX INTERLAMINAR CRV/THRC1,424.25
NJX INTERLAMINAR CRV/THRC1,424.25
NJX INTERLAMINAR LMBR/SAC1,424.25
NJX INTERLAMINAR LMBR/SAC1,424.25
NJX PX NFROSGRM &/URTRGRM740.5
NJX PX NFROSGRM &/URTRGRM740.5
NK CELLS TOTAL COUNT128.75
NMR LIPO PROFILE SEND OUT-E263
NON WND ELECT STIM5.75
NON WND ELECT STIM166.75
NONAUTO ERYTHROCYTE SED RATE64.25
NON-ELECTRONIC SPIROMETER223.75
NON-OB TRANSVAG US1,131.75
NONSELECT CATH – CAROTID/VERTEBRAL ART1,707.25
NON-VASC BALLOON DILATN CATH2,360.50
NORMAL SALINE SOLUTION INFUS 250 CC65.75
NOSE TO RECTUM FOR FB CHILD335.25
NPM1 GENE319.25
NRAS GENE VARIANTS EXON 2&3382.75
NRML SALINE INFUSION 1000 CC65.75
NTX TELEOPETIDE-E100
NUCLEUS HYDRODISECTOR38
O2 UPTAKE DIRECT SIMPLE622.75
OB LIMITED AND TRANS VAG-MDC-E2,357.25
OB US < 14 WKS ADDL FETUS201.5
OB US < 14 WKS SINGLE FETUS1,507.75
OB US >= 14 WKS ADDL FETUS298.5
OB US >= 14 WKS SNGL FETUS1,658.25
OB US LIMITED 1+ FETUS(S)1,279.50
OB US NUCHAL MEAS 1 GEST595.5
OB US NUCHAL MEAS ADD-ON595.5
OBSTETRIC PANEL857.75
OBSTETRIC PANEL MCR-E857.75
OCCULT BLD FECES 1-3 TESTS77.75
OCCULT BLD IA SCRN77.75
OCCULT BLOOD FECES77.75
OCCULT BLOOD OTHER SOURCES49.25
OCTREOSCAN-E3,760.75
OFFICE/OUTPATIENT VISIT EST227.25
OFFICE/OUTPATIENT VISIT EST239.5
OFFICE/OUTPATIENT VISIT EST249.75
OFFICE/OUTPATIENT VISIT EST260.5
OFFICE/OUTPATIENT VISIT EST289.75
OFFICE/OUTPATIENT VISIT EST800.25
OFFICE/OUTPATIENT VISIT EST874.75
OFFICE/OUTPATIENT VISIT EST955
OFFICE/OUTPATIENT VISIT EST1,043.25
OFFICE/OUTPATIENT VISIT EST1,149.25
OFFICE/OUTPATIENT VISIT NEW115
OFFICE/OUTPATIENT VISIT NEW184
OFFICE/OUTPATIENT VISIT NEW227.25
OFFICE/OUTPATIENT VISIT NEW239.5
OFFICE/OUTPATIENT VISIT NEW249.75
OFFICE/OUTPATIENT VISIT NEW260.5
OFFICE/OUTPATIENT VISIT NEW289.75
OFFICE/OUTPATIENT VISIT NEW800.25
OFFICE/OUTPATIENT VISIT NEW874.75
OFFICE/OUTPATIENT VISIT NEW955
OFFICE/OUTPATIENT VISIT NEW1,043.25
OFFICE/OUTPATIENT VISIT NEW1,149.25
OLIGOCLONAL BANDS94.25
ONCO (OVAR) FIVE PROTEINS906.75
ONCO (OVAR) TWO PROTEINS461.5
ONCOLOGY BREAST MRNA4,558.75
ONCOLOGY TUM UNKNOWN ORIGIN3,937.50
ONE-WAY ALLOW PRORATED TRIP22
OPEN TX RADIAL & ULNAR SHAFT FX FIXJ RADIUS/ULNA7,685.50
OR USAGE CHARGE240.5
ORAL RADIOPHARM RX2,136.75
ORGAN/TISSUE PROCURE OPER ROOM602.75
ORGANIC ACID SINGLE QUANT342.75
ORTHOTIC MGMT&TRAINJ 1ST ENC10.25
ORTHOTIC MGMT&TRAINJ 1ST ENC151.75
OSMOLALITY; URINE77.75
OSTEOCALCIN66.75
OSTEOPATHIC MANIPULATION 1-2 BODY REGIONS55
OSTEOPATHIC MANIPULATION 3-4 BODY REGIONS86.75
OT EVAL HIGH COMPLEX 60 MIN8.25
OT EVAL HIGH COMPLEX 60 MIN471.5
OT EVAL LOW COMPLEX 30 MIN8.25
OT EVAL LOW COMPLEX 30 MIN471.5
OT EVAL MOD COMPLEX 45 MIN8.25
OT EVAL MOD COMPLEX 45 MIN471.5
OT RE-EVAL EST PLAN CARE3.75
OT RE-EVAL EST PLAN CARE224
OTHER SOURCE ALBUMIN QUAN EA65.75
OVA & PARASITES DIR SMR W ID269.25
OXALATE184.5
OXYGEN CHARGE DAILY154.25
OXYGEN SETUP-ER184
OXYGEN UPTAKE REST INDIRECT226.75
OXYGEN-NASAL AND MASK SET UP154.25
OXYGEN-PORTABLE41.25
PACK BASIC GEN193.5
PACK CAT CUSTOM R/L1,290.25
PACK C-SECTION456.75
PACK CUSTOM TOTAL KNEE410
PACK SHOULDER ARTHOSCOPY/KIM369
PACK UNIVERSAL DRAPES / GOWN63
PACU ADD’L 15 MIN338.5
PACU CHARGE 01-30 MINS924.5
PAD DISPERSIVE CAUTERY ADULT S35.75
PAD MAGNETIC INSTR-MAG OR81.5
PAIN CLINIC PACK24
PANCREATIC ELASTASE FECAL284
PANORAMIC X-RAY OF JAWS424.75
PAP IG LABCORP-E373
PAP W/ CHLAMYDIA&GONOCOCCUS-E438
PAP W/ HIGH RISK HPV-E794.75
PAP,HIGH RISK HPV REFLUX-E505.75
PAPPA SERUM97
PARACENTESIS-2N694.75
PARACENTESIS-AC694.75
PARACENTESIS-ICU694.75
PARACENTESIS-LTC694.75
PARAFFIN BATH THERAPY 1+ AREAS8.75
PARAFFIN BATH THERAPY 1+ AREAS166.5
PARANEOPLASTIC AB EVAL SENDO-E809.5
PARANEOPLASTIC AUTOANTIBODY-E155
PARATHORMONE301
PARATHYRD PLANAR W/SPECT&CT1,044.75
PARATHYRD PLANAR W/WO SUBTRJ1,044.75
PARATHYROID PLANAR IMAGING903
PARVOVIRUS B19 IGG,IGM SENDO-E235.5
PASSPORT BUTTON CANULA 8MM 3C106.75
PASSPORT BUTTON CANULA 8MM 4C145
PATH CONSULT DURING SURGERY215.25
PATH CONSULT INTRAOP ADDL133.75
PDGFRA GENE426.25
PEG TUBE CHANGE1,018.75
PEG TUBE CHANGE-MAB1,018.75
PEG TUBE INSERT1,975.00
PEG TUBE INSERT-MAB1,975.00
PEG TUBE REM BY INCIS (IP ONLY5,412.00
PEG TUBE REMOVAL BY GASTROSCOP1,561.50
PEG TUBE REMOVAL-GASTROSCO-MAB1,561.50
PEG TUBE REPLACEMENT BY ENDOSC1,976.00
PEG TUBE REPLACEMENT-MAB1,976.00
PELVIMETRY W/WO PLACENTAL LOCALIZATION599.5
PERC ASP OR INJ OF RENAL CYST/PELVIS1,532.75
PERC ASP OR INJ OF RENAL CYST/PELVIS1,592.25
PERC BX OR EXC LN; SUPERFICIAL1,566.75
PERC IMPL NS ELECTRODE ARRAY; EPIDURAL12,904.25
PERC N BX ABD OR RETROPERITONEAL MASS1,534.25
PERCUT BX LUNG/MEDIASTINUM1,532.75
PERCUT/NEEDLE INSERT PROS1,862.75
PERCUTANEOUS CHOLECYSTOSTOMY3,839.00
PERCUTANEOUS DISKECTOMY11,657.00
PERICARDIOCENTESIS; INITIAL903.75
PERITON-VENOUS SHUNT PATENCY1,236.75
PERQ DEV BREAST 1ST MR GUIDE663
PERQ DEV BREAST 1ST US IMAG723.25
PERQ DEV BREAST ADD MR GUIDE68.25
PERQ DEV BREAST ADD US IMAG78.5
PERQ DEVICE BREAST 1ST IMAG723.25
PERQ DEVICE BREAST EA IMAG78.5
PERQ LAMOT/LAM LUMBAR7,110.75
PET IMAGE W/CT FULL BODY7,184.25
PET IMAGE W/CT SKULL-THIGH6,937.00
PHENOBARBITAL60
PHENOTYPE INFECT AGENT DRUG335.75
PHENYLALANINE BLOOD374.5
PHENYTOIN FREE & TOTAL SENDO-E758.25
PHENYTOIN; FREE579.75
PHENYTOIN; TOTAL178.5
PHILADELPHIA PROFILE-E683.5
PHLEBOTOMY THERAPEUTIC468.5
PHOSPHATE40
PHYSICAL PERFORM EA 15M62
PIN (Z) 1.6 X 6 SMOOTH GUIDE81.5
PIN (Z) 1.6 X 6IN P/THD GUIDE68.75
PIN GUARD WHITE 0.4515.25
PIN GUARDS BLUE18.25
PIN GUARDS GREEN22.5
PIN KIRSCH/UNTHR .062 X 9 IN57
PIN K-WIRE 4IN .03587.25
PIN K-WIRE 4IN .04587.25
PIN K-WIRE 4IN .05471
PIN K-WIRE 4IN .06287.25
PINWORM EXAM41.5
PLACE NEEDLE INTRAOSSEOUS INFUSION3,043.75
PLACE DEVICE/MARKER NON PRO1,477.25
PLAIN FILM POSTURAL STUDY-E998.75
PLASMA 1 DONOR FRZ W/IN 8 HR241.25
PLASMINOGEN ACTIVATOR88.5
PLASMINOGEN ANTIGEN LEVEL15.75
PLATELET AB 3TEST PANEL SEND-E197.5
PLATELETS PHERESIS LR EA UNIT1,557.75
PLATELETS PHERESIS LR IRRAD EA UNIT1,419.25
PLMT NEPHROSTOMY CATHETER2,083.75
PLMT NEPHROSTOMY CATHETER2,164.75
PML/RARALPHA COM BREAKPOINTS365.5
POLAR PAD MULTIUSE C04740188
POLAR PAD SHOULDER X-LG C04905233.75
POLYSOM 6/> YRS 4/> PARAM6,095.75
POLYSOM 6/>YRS CPAP 4/> PARM6,709.50
PORPHOBILINOGEN URINE; QUAN36.5
PORPHYRINS QUANT UA SEND OUT-E89.25
POS AIRWAY PRESSURE CPAP797
POSITIVE EXP PRESSURE DEVICE88.75
POST OP SDC > 2HRS 2N2,280.25
POST OP SDC > 2HRS 3N2,280.25
POST OP SDC > 2HRS 3S2,280.25
POST OP SDC > 2HRS PED2,280.25
POST OP SDC > 2HRS-ICU2,280.25
POST OP/PACU2 0-2 HRS-AC1,336.25
POST OP/PACU2 OVER 2HRS-AC881
POUCHOSCOPY1,562.25
POUCHOSCOPY W BX2,648.75
POUCHOSCOPY W BX-MAB2,648.75
POUCHOSCOPY-MAB1,562.25
PRE DIABETES COUNSELING 30 MIN25.75
PRE EMPLOYMENT LIFT TEST118
PRE EMPLOYMENT SCREEN – OT77.75
PRE EMPLOYMENT SCREEN DETAILED237.75
PRE EMPLOYMENT SCREEN G L RR110.5
PRE OP ASSESSMENT-AC110.75
PRE OP PREP & ASSESSMENT-AC574.5
PREALBUMIN138.75
PREGNENOLONE200.5
PRETREAT RBC; CHEM OR DRUGS84.5
PRETREAT RBC; DGS164
PRETREAT RBC; ENZYMES247
PRIMIDONE76
PRIMIDONE/MYSOLIN PANEL SEND-E136
PROBE ABLATION NS2000 NOASURE3,375.50
PROBE COVER W/NEEDLE GUIDE95
PROBE GOLD 7FR 6007824.75
PROBE STIMULATOR 82-25103463.25
PROBE-APC CIRCULAR804
PROBE-APC STRAIGHT804
PROCALCITONIN (PCT)171.75
PROCTOSCOPY1,221.50
PROCTOSIGMOIDOSC W ABLATIO-MAB2,613.00
PROCTOSIGMOIDOSC W ABLATION2,613.00
PROCTOSIGMOIDOSC W BL CONT-MAB1,446.25
PROCTOSIGMOIDOSC W BX-MAB1,446.25
PROCTOSIGMOIDOSCOPY-MAB1,221.50
PROFILE, FISH SEND OUT-E770.5
PROGESTERONE ASSAY87.75
PROINSULIN368.75
PROLACTIN ASSAY304.5
PROMETHEUS CELIAC SEROLOGY-E383.25
PROMETHEUS CHROHN PANEL-E1,025.50
PROMETHEUS IBCAUSE-E920
PROMETHEUS IBD DIAG PANEL-E1,518.00
PROMETHEUS THIOPURINE-E274
PROMETHEUS TPMT-E274
PROMETHIUS CELIAC PLUS-E931
PROSTAGLANDIN EACH104
PROSTATE BIOPSY, ANY MTHD732.5
PROSTH IMPL NOS5,169.25
PROSTHETIC TRAINJ 1ST ENC10.25
PROSTHETIC TRAINJ 1ST ENC151.5
PROTEIN ELECTROPHO,U PANEL-E252
PROTEIN ELECTROPHORESIS-E125.25
PROTEIN E-PHORESIS/URINE/CSF70.75
PROTEIN S PROFILE SEND OUT-E350
PROTEIN WB; IM ID FOR BANDS47.75
PROTEIN WESTERN BLOT162.75
PROTEIN; EP FRACT & QUAN67.25
PROTHROMBIN TIME;64
PROTOPORPHYRIN RBC; QUAN32.5
PSA FREE PANEL-SEND OUT-E182
PSA SCREENING160.5
PSA; FREE104
PSA; TOTAL78.25
PT EVAL HIGH COMPLEX 45 MIN471.5
PT EVAL LOW COMPLEX 20 MIN471.5
PT EVAL MOD COMPLEX 30 MIN471.5
PT MIXING STUDY-E160
PT RE-EVAL EST PLAN CARE224
PT; SUBSTITUTION PLASMA FRACTIONS EA96.25
PTEN GENE DUP/DELET VARIANT385.25
PTEN GENE FULL SEQUENCE775.75
PTT; PLASMA OR WHOLE BLOOD91.25
PTT; SUBSTITUTION PLASMA FRACTIONS EA30.5
PULM FUNCT TEST OSCILLOMETRY320.25
PULM FUNCT TST PLETHYSMOGRAP661.5
PULM FUNCTION TEST BY GAS733.25
PULMONARY REHAB W EXER114.5
PULMONARY STRESS TESTING197.5
PULSAVAC IRRIGATOR 00515047500274
PULSE OX SGL196.5
PUNCT ASP – ABSC HEMAT CYST392.5
PUNCT ASP BRST CYST – INITIAL634.75
PUNCTURE SHUNT OR RSVR FOR ASP OR INJ1,424.25
PYRUVATE181
QUAL HETEROPHILE AB190.75
QUAL ORGANIC ACIDS EA SPECIM99
QUAN RHEUM FACTOR190.75
QUAN URINE PORPHYRINS52.75
RA TRACER ID OF SENTINL NODE643
RABIES IG INJECTION IM/SQ323
RADIOPH RX BY IV ADMIN1,050.00
RAPID FIRE MULTI BAND LIGATOR1,410.75
RBC AB ELUTION EA164
RBC AB SCRN EA TECHIQ174.75
RBC LR IRRADIATED EACH UNIT1,297.75
RE-ASSESS NUTRITION THER; EA 15M39
REBREATHER MASKS154.25
RECOVERY ROOM OB 0- 30 MIN601
RECOVERY ROOM OB 31- 60 MIN1,211.25
RECOVERY ROOM OB 61- 90 MIN1,397.50
RECOVERY ROOM OB 91-120 MIN1,444.50
REF CONSULT PREP ELSEWHERE140
REF CONSULT W SLIDE PREP287.25
REFILL/MAINT PORTABLE PUMP639.25
RELIEVA INFLATION DEVICE BID30314.5
RELOAD 60MM GREEN ECHELON SUTU748.75
RELOADS CONTOUR BLUE1,183.00
REM DEEP FB OF FOOT2,105.50
REM DEEP FB THIGH OR KNEE2,524.25
REM FB CONEAL W SLIT LAMP526.25
REM FB CONJUNCTIVA; EMBEDDED353.75
REM FB CONJUNCTIVA; SUPERFICIAL131.25
REM FB EXT AUDITORY CANAL; WO ANESTH902.25
REM FB EXT EYE; CORNEAL WO SLIT LAMP394
REM FB FOOT; SQ1,564.50
REM FB IN; BY LAT RHINECTOMY1,393.00
REM FB INTRANASAL; OFFICE197.5
REM FB MUSCLE; SMPL1,394.50
REM GAUNTLET BOOT OR BODY CAST430.25
REM I-NASAL LES INT APPR2,915.00
REM IO FB ANTCHAMB/LENS3,678.50
REM SKIN TAGS; <=15 LESIONS168
REM SKIN TAGS; <=15 LESIONS205.5
REM TUNNELED CVAD W PORT/PUMP2,119.50
REMOTE PT 30 DAY ECG REV/REPORT769.25
REMOVAL DUCT GLBLDR CALCULI2,904.25
REMOVAL OF NAIL BED837.25
REMOVAL OF SUPPORT IMPLANT1,710.00
REMOVE DRUG IMPLANT353.75
REMOVE EMBEDDED FB EYELID425
REMOVE FECAL IMPACTION OR FB2,007.25
REMOVE FOREIGN BODY IN SCROTUM2,911.75
REMOVE FOREIGN BODY PHARYNX321
REMOVE FULL ARM OR LEG CAST333.75
REMOVE IMPACTED EAR WAX UNI79.5
REMOVE IMPACTED EAR WAX UNI214
REMOVE IUD337.75
REMOVE RENAL TUBE W/FLUORO1,084.75
REMOVE SPINE ELTRD PERQ ARAY4,389.75
RENAL BIOPSY PERQ1,532.75
RENAL FUNCTION PANEL240.25
RENIN114.5
RENIN VEIN SAMPLING5,262.50
REP DEV URINARY W/SLING2,212.50
REP DEV URINARY W/SLING2,615.75
REP DEV URINARY W/SLING4,612.25
REP DEV URINARY W/SLING5,706.25
REP ET HAND; WO FG EA TENDON3,249.50
REP FLXR TENDON NOT ZONE 2 WO GRFT EA5,351.00
REP LAC; CORNEA NONPERFOR W/WO REM FB3,721.25
REP LACERAT 2.5 CM/<; FLR-MOUTH/ANT 2/31,358.75
REP LACERAT-TONGUE FLR-MOUTH > 2.6/CPLX1,098.00
REPAIR BLOOD VESSEL DIRECT; UPR EXTREM4,390.25
REPAIR LIP FT; VERMILION ONLY1,073.50
REPAIR NAIL BED1,123.50
REPLACE G/C TUBE PERC938.75
REPTILASE TEST149.75
RESP FCN/STRENGH 2/> INDIV128
RESP MS THERAPY/15 MIN118
RETROBULBAR INJECTION; MEDICATION754.25
RETROGRADE PYELOGRAM1,462.00
REV OR REM IMPL SPINAL NS PG OR RECEIVER7,554.00
REVISE SPINE ELTRD PERQ ARAY16,130.00
RHO D IMMUNE GLOBULIN INJ 300 MICROGRAMS (1500 IU)583.5
RIA NONANTIBODY58
RINGERS LACTATE INFUSION TO 1000 CC65.75
ROOM,BORDER BABY-NURSERY2,416.75
ROOM,ISOLATION-2N2,416.75
ROOM,MED NEC PRIVATE-3S2,416.75
ROOM,PRIVATE-2N2,416.75
ROOM,PRIVATE-3S2,416.75
ROOM,PRIVATE-LTC4635.25
ROOM,PRIVATE-LTC5635.25
ROOM,PRIVATE-PEDS2,416.75
ROOM,PRIVATE-SKILLED2,601.25
ROOM,PT REQUEST PRIVATE-3S2,558.50
ROOM,SEMI PRIV-2N2,416.75
ROOM,SEMI PRIV-2S STRESS1,800.50
ROOM,SEMI PRIV-3N OB2,416.75
ROOM,SEMI PRIV-3S2,416.75
ROOM,SEMI PRIV-LTC4635.25
ROOM,SEMI PRIV-LTC5635.25
ROOM,SEMI PRIV-OB OVERFLOW2,416.75
ROOM,SEMI PRIV-PEDS2,416.75
ROOM,SEMI PRIV-SKILLED2,601.25
ROOM,SPECIAL-ICU2,416.75
ROOM-INTENSIVE CARE4,945.25
ROOM-NURSERY2,416.75
ROOM-PROGRESSIVE CARE UNIT3,759.00
ROTAVIRUS AG IA310
ROTH RETRIEVAL NET 00711050414
ROTH RETRIEVAL NET 00715050485
ROTH RETRIEVAL NET PED472
ROUTINE VENIPUNCTURE22.25
RSV IA W DIR OBSERV279
RUBEOLA AB IGG, IGM SEND OUT-E203.5
RUMI OCCLUDER BALLOON # CP0-6225.5
RUMI UTERINE BLUE TIP UMB678231.5
RUMI UTERINE GREEN TIP UMG670231.5
RUMI UTERINE PURPLE TIP UML516277.5
RUMI UTERINE WHITE TIP UMW676184
RUSSELL VIPER VENOM TIME; DILUTED41.5
RX CL ELBOW DISLOC WO ANESTH327.5
SALIVARY GLAND FUNCTION458.5
SC THER INFUSION RESET PUMP306.25
SCALPEL #1022
SCALPEL #1122
SCALPEL #1522
SCALPEL #2018.5
SCAPULA COMPLETE656
SCISSOR 5MM DIRECT DRIV CB030281.25
SCOPE WARMER CLEARIFY136.5
SCR MAMMO BI INCL CAD504
SCR MAMMO BI INCL CAD593.25
SCS,LEAD CABLE,BOSTON SC-PC513.5
SCS,MULT LEAD CABLE,ST JUDE-PC790.5
SCS,MULTI LEAD CABLE,MED TR-PC684.5
SCS,PATIENT KIT,BOSTON SC-PC394
SEECLEAR MAX SMOKE EVACUATION100.5
SELENIUM149.75
SELF CARE MNGMENT TRAINING12.25
SELF CARE MNGMENT TRAINING179.25
SEMEN ANAL SPERM DETECTION245
SENSITIVITY – AGAR DILUTION/AGENT40.25
SENSITIVITY – DISK PER PLATE138.75
SENSOR A-2000 BIS ASPECT MED159
SENSORY INTEGRATION38
SENSTITIVITY – ENZYME DETECT77
SEROTONIN379.25
SERPINA1 GENE140.5
SERUM IMMUNOFIXATION ELECTROPHORES117.75
SERUM PRETX; DILUTION44
SERUM PRETX; DRUG INCUBATE164
SERUM PRETX; INHIBITOR INCUBATE164
SERUM PRETX; RC ABSORPT77.25
SERUM/WB TOT CHOLEST82
SEX HORMONE BINDING GLOBULIN220.5
SFT TISS BX – NECK/THORAX1,880.75
SGL NBI BRACHIAL PLEXUS1,794.00
SGL NBI BRACHIAL PLEXUS2,690.75
SGL QUAN EXPIRED GAS561.5
SGL VW SPINE XR498.75
SHIA REG EDUC SPEECH 1/2 HR42.75
SHIA REG EDUC SPEECH PER HOUR83.5
SHIGA-LIKE TOXIN AG IA51.5
SHOULDER ARTHROGRAM1,733.00
SHOULDER ARTHROGRAM INJ667.25
SHUNT SERIES-E1,719.50
SIALAGRAM PROFILE LT-E1,340.50
SIALAGRAM PROFILE RT-E1,340.50
SIALOGRAM846.75
SICKLING OF RBC REDUCTION72.5
SIGMOID FLEX1,242.50
SIGMOID FLEX W BIOPSY1,881.00
SIGMOID FLEX W BIOPSY-MAB1,881.00
SIGMOID FLEX W BLEED CONT1,221.50
SIGMOID FLEX W BLEED CONT-MAB1,221.50
SIGMOID FLEX W DILATATION1,373.50
SIGMOID FLEX W DILATION-MAB1,373.50
SIGMOID FLEX W FB REMOVAL1,373.50
SIGMOID FLEX W FB REMOVAL-MAB1,373.50
SIGMOID FLEX W POLYPECTOMY1,881.00
SIGMOID FLEX W POLYPECTOMY-MAB1,881.00
SIGMOID FLEX-MAB1,242.50
SIGMOIDOSCOPY W ABLATION1,221.50
SIGMOIDOSCOPY W ABLATION-MAB1,221.50
SIGMOIDOSCOPY W BLEED CONT1,221.50
SIGMOIDOSCOPY W BLEED CONT-MAB1,221.50
SIJ ANESTH/STEROID INJ1,577.00
SIJ ANESTH/STEROID INJ2,371.50
SILASTIC NAIL436
SILVADENE -WOUND CENTER34
SIMPLE BLADDER IRRIGATE LAVAGE/INSTILL410
SINUS TRACT INJ; DX511.75
SJOGREN ANIT SEND OUT-E119.5
SKIN BARRIER WITH FLANGE22
SKIN BARRIER WITH FLANGE28
SKIN BARRIER WITH FLANGE37.25
SKIN GRAFT CARRIER93.5
SKIN SUB GRAFT F/N/HF/G ADDL31
SKIN SUB GRAFT FACE/NK/HF/G1,622.00
SKIN SUB GRAFT T/A/L ADD-ON21
SKIN SUB GRAFT TRNK/ARM/LEG1,622.00
SKIN TEST; TB ID91.25
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 9789210.5
SLEEVE EXPRESS KNEE MD 9529156.25
SLEEVE FOOT REGULAR 589761.75
SLEEVE SCD FOOT LARGE 5898137
SLEEVE SCD FOOT REGULAR 5897130.5
SLIT PREPUCE DORSAL OR LAT; NOT NEWBORN2,938.50
SMEAR – GRAM OR GIEMSA52.25
SMEAR – INFECTIOUS WET MOUNT61
SMEAR SPECIAL STAIN98
SMEAR; FLUORESCENT OR AFB STAIN21
SNARE POLYPECTOMY DSII 6041582.75
SNARE POLYPECTOMY ROTATOR144
SODIUM OTHER SOURCE40
SODIUM; URINE40
SOLUTION-2B7126 SOD CHL 2000IR39.25
SOLUTION-2B7357 SORBITAL 3%47
SOLUTION-IV SOL STER H20 150038
SOLUTION-STER SALINE28
SOMATOMEDIN412
SP CONSULT; 1ST TB W FS SGL SP258.5
SP-BILITRAC RETRIEVAL BOOLON674.25
SPECIAL STAINS GROUP 1164
SPECIAL STAINS GROUP 2198.5
SPECTROPHOTOMETRY ANALYTE NES16.25
SPEECH SOUND LANG COMPREHEN7.25
SPEECH SOUND LANG COMPREHEN421.25
SPEECH THERAPY 1/4 HR-OVID HEA37.25
SPEECH THERAPY CONSULT SERV-3067
SPEECH/HEARING THERAPY GROUP113.25
SPEECH/HEARING THERAPY INDIV10.25
SPEECH/HEARING THERAPY INDIV446.5
SP-ELECTRODE TEN/EMS-M52139.5
SPIN/BRAIN PUMP REFIL & MAIN509.75
SPINAL INJ OCCLUDED AV MALFORM1,794.25
SPINAL PUNCTURE LUMBAR DIAGNOSTIC1,465.00
SPINAL/EPIDURAL ANES199.5
SPIROMETRY463.25
SPL AVULSE NP; SGL228
SPLINT DENVER LG267.5
SPLINT DENVER SM267.5
SPLINT INTRANASAL AIRWAY DOYLE199.5
SPLINT-PLASTER ARM323.5
SPLINT-PLASTER LEG323.5
SPONGE INST WIPE10.75
SPONGE NEURO 0.5 X 323.25
SPONGE WECK CELLS17
SPONGE-TONSIL STERILE9.5
SP-THERABAND O.T.45
SREP F/E/N/L/MM; 12.6-20.0CM702
SREP F/E/N/L/MM; 2.5CM/<577.5
SREP F/E/N/L/MM; 2.6-5.0CM606.5
SREP F/E/N/L/MM; 20.1-30.0CM736.5
SREP F/E/N/L/MM; 5.1-7.5CM637
SREP F/E/N/L/MM; 7.6-12.5CM668.5
SREP S/N/A/G/TR/E; 12.6-20.0CM668.5
SREP S/N/A/G/TR/E; 2.5CM/<577.5
SREP S/N/A/G/TR/E; 20.1-30.0CM702
SREP S/N/A/G/TR/E; 7.6-12.5CM637
SREPS/N/A/G/TR/E; 2.6-7.5CM624
ST BX BACK/FLANK; SUPERF1,520.50
ST BX; HIP/PELVIS; SUPERFICIAL1,520.50
STAPLE CEEA CURVED 281,063.00
STAPLE CEEA CURVED PREM 251,224.75
STAPLE ENDOCLIP LG1,718.75
STAPLE GIA MF 60 X 3.8421
STAPLE GIA MF 80 X 3.8553.75
STAPLE GIA MF RE 60X3.8228
STAPLE GIA MF RE 80X3.8421.75
STAPLE PURSTRING 65709.5
STAPLE RELOAD 60MM BLUE ECHEL748.75
STAPLE RELOAD 60MM WHITE ECHE424.5
STAPLE SURGICLIP LG227.5
STAPLE SURGICLIP MED513
STAPLE SURGICLIP SM220.5
STAPLE TA DISP LONG 90 X 4.8459.5
STAPLE TA MF RELOAD UNIT55X3.451.75
STAPLER CONTOUR BLUE2,286.25
STAPLER SKIN ROYAL 35 SPD31.5
STELLANT SYRINGE KIT-DUAL42.25
STENT 4.7 X 24 778424826
STENT 4.7 X 26 778426826
STENT COATED/COV W/DEL SYS5,853.00
STENT NON-COR TEM W/O DEL328.25
STENT UR 6FR X 24CM 778624344.5
STENT UR 6FR X 26 CM 77826745.75
STENT UR 6FR X 28CM 7786281,677.50
STERILE EYE PAD9.5
STERILE SALINE SOLN 500 ML=1 UNIT65.75
STOCKING-TEDS 3071107.75
STOCKING-TEDS 3130107.75
STOCKING-TEDS 322226.75
STOCKING-TEDS 331098.75
STOCKING-TEDS 3416239.75
STOCKING-TEDS 3549164.75
STOCKING-TEDS 3634135
STOCKING-TEDS 3728139
STOCKING-TEDS 3856174.75
STOCKING-TEDS 3922313.75
STOCKING-TEDS 707145.5
STOCKING-TEDS 711545.5
STOCKING-TEDS 720367.5
STOCKING-TEDS 748073
STOCKING-TEDS 759461.75
STOCKING-TEDS 760445.5
STOCKING-TEDS 780278.75
STONE BASKET584
STONE EXTR FLAT WIRE 0398151,466.75
STONE EXTR HELICAL 040490598
STONE EXTRACTOR744.75
STONE EXTRACTOR753.25
STONE/EXTR FORCEPS 3.5FR 65CM754
STONE/EXTR HELICAL 3WIRE 115CM1,302.25
STONE/EXTR HELICAL 4WIRE 65CM1,089.00
STONE; QUAN CHEMICAL324.25
STRAP ANKLE OR FOOT149
STRAP ANKLE OR FOOT298
STRAPPING; ELBOW OR WRIST214
STRAPPING; HAND OR FINGER214
STRAPPING; SHOULDER453.25
STREP A AMPLIF NA PROBE125.75
STREP A ASSAY W/OPTIC127.75
STREP B DNA AMP PROBE91.25
STREP B IA W DO99.25
STRESS TTE COMPLETE917
SUCTION CANNISTER 1200 (OR)46.5
SUCTION SYSTEM 24HR 690498.25
SUCTION TIP POOL37.25
SUGARS; SINGLE QUAL EA SPECIMEN21.5
SUPERV HNDL LOAD – RAD SOURCE2,734.25
SURG MINUTES-EA ADD’L 151,714.75
SURG PATH LEVEL-I GROSS ONLY83.75
SURG PATH LVL 2345.75
SURGERY MINUTES-0-30 MINS3,955.00
SURGICEL FIBRILLAR 4 X 4491.75
SURGICEL SNOW ABSORBABLE HEMO381
SURGICEL-WC94.5
SURGIFISH RETRACTOR70.75
SUTURE 2-0 VICRYL J317H10.25
SUTURE 3-0 SILK C017T64.75
SUTURE 9-0 VICRYL V402G118.25
SUTURE CAPIO PROLENE148.25
SUTURE CHROMIC 0 812H15.25
SUTURE CHROMIC 2-0 CG88318.25
SUTURE CHROMIC 2-0 G123H18.75
SUTURE CHROMIC 2-0 L113G17
SUTURE CHROMIC 3-0 G122H18.25
SUTURE CHROMIC 3-0 L112G18.25
SUTURE ENDO AUTO STITCH206.75
SUTURE ETHIBOND 0 CX21D80.25
SUTURE ETHILON 10-0 7756G84.5
SUTURE ETHILON 2-0 664H13.75
SUTURE ETHILON 3-0 1669H11
SUTURE ETHILON 3-0 663H13.75
SUTURE ETHILON 5-0 1668H30
SUTURE FIBERLINK 2 AR-7235330
SUTURE FIBERTAPE 2MM AR-7237-7304.25
SUTURE MONOCRYL 3-0 Y497G24
SUTURE MONOCRYL 4-0 Y496624
SUTURE PDS 0 LOOP Z990G31.25
SUTURE PLAIN 3-0 G322H15.25
SUTURE PLAIN 3-0 L102G17
SUTURE PROLENE 0 8690H15.25
SUTURE PROLENE 4-013
SUTURE QUILL 2 PDO # RA 1058Q118.25
SUTURE QUILL 3-0 #YA1016Q94.5
SUTURE QUILL O PDO #RA 1030Q213.75
SUTURE RAPIDE 5-O VICRYL VR84429.25
SUTURE S/O 1 PDS Z880G31.75
SUTURE S/O 2-0 PROLENE C-822G89.75
SUTURE S/O PDS (Z-341 H)35.25
SUTURE S/O PDS (Z-497 G)52
SUTURE S/O TEVDEK 7-588W42.5
SUTURE S/O VICRYL J-489 G28.5
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 G5.25
SUTURE S/O/EY VICRYL (J-566G)42
SUTURE SILK 3-0 CR C013D59.25
SUTURE SURGIGUT 4-0 1643G27.75
SUTURE SURGIGUT 4-0 GG12110.75
SUTURE SURGIPRO VP-52232
SUTURE SURGIPRO VP-58136.25
SUTURE SURGIPROV VP-97736.25
SUTURE TIGERTAPE 2 AR-7237-7T304.25
SUTURE TIGERTAPE LOOP116.5
SUTURE VICRYL 013.75
SUTURE VICRYL 0 J334H17
SUTURE VICRYL 2-0 J333H13.75
SUTURE VICRYL 2-0 J339H13.75
SUTURE VICRYL 3-0 J332H17
SUTURE VICRYL 3-0 J344H17
SUTURE VICRYL 3-0 REEL J205G18.75
SUTURE VICRYL 4-0 J304H15.25
SUTURE VICRYL 4-0 J682H32
SUTURE VICRYL 6-0 J578G86
SUTURE VICRYL CT-1 1 J347H17
SUTURE VICRYL UNDYED 2-0 J269H13.75
SUTURE VICRYL UNDYED 2-O J259H13.75
SUTURE VLOC68.75
SUTURE V-LOC120.75
SUTURE VLOC 90 2-068.75
SWALLOWING FCN W CINE/VIDEO953
SWAN GANZ (PA CATH) INSERT-ICU1,105.75
SYNTHETIC IMPLNT URINARY 1ML1,403.50
SYPHILIS TEST NON-TREP QUAL18.75
T & B LYMPHOCYTE/NAT KILLER-E487.75
T CELLS; ABSOL CD4 AND CD8199.25
T CELLS; ABSOL CD4 COUNT82.25
T CELLS; TOTAL COUNT160
T3 OR T4 OR THBR28
T3; FREE133
T3; REVERSE136.5
T3; TOTAL128.5
TACROLIMUS64.5
TARGETED GENOMIC SEQ ANALYS3,749.25
TB TEST CELL IMMUN MEASURE262.5
TC99M EXAMETAZIME =< 25 MCI2,393.00
TC99M LABELED RBC =< 30 MCI3,286.50
TC99M MAA =< 10 MCI426.5
TC99M MEBROFENIN =< 15 MCI914.5
TC99M MEDRONATE =< 30 MCI354.5
TC99M MERTIATIDE =< 15 MCI6,574.00
TC99M PERTECHNETATE PER 1 MCI10
TC99M SESTAMIBI619
TC99M SULFUR COLLOID =< 20 MCI4,289.00
TECHNETIUM TC99M AEROSOL =< 75 MCI2,656.50
TEE CONGENITAL; GLOBAL2,223.75
TEETH; PARTIAL EXAM < FULL MOUTH603.25
TEMP TRANS PACER INSERT-ICU1,428.25
TEMP TRANS PACER INSERT-PCU1,428.25
TEMP TRANS PACER INSERT-TWO NO1,428.25
TEMP TRANSCUTAN PACING701.5
TENOTOMY SQ TOE; SINGLE2,008.00
TESTICULAR IMAGING W/FLOW3,335.00
TESTOSTERONE BIO PANEL SENDO-E218.25
TESTOSTERONE,FREE/TOTAL SEND-E217.75
TESTOSTERONE; FREE108.5
TESTOSTERONE; TOTAL109.75
THEOPHYLLINE109.25
THER/DIAG CONCURRENT INF225.25
THER/PROPH/DIAG INJ IV PUSH362.5
THER/PROPH/DIAG INJ SC/IM139.5
THER/PROPH/DIAG IV INF ADDON286.25
THER/PROPH/DIAG IV INF INIT =<1 HR569.75
THERAPEUTIC ACTIVITIES11.5
THERAPEUTIC ACTIVITIES171.25
THERAPEUTIC CONSULT–
THERAPEUTIC EXERCISES EA 15 MINS12.25
THERAPEUTIC EXERCISES EA 15 MINS180.75
THERAPEUTIC REHAB GROUP126.75
THERMIA BAIR HUGGER-FL BDY CO27.25
THIN PREP PAP HPV-LABCORP-E521.75
THORA SEAL458.25
THORACENTESIS KIT204.75
THROMBIN TIME; PLASMA93.75
THROMBOPLASTIN INHIBITION TISSUE30.5
THROMBOTIC PANEL-E731.5
THYROGLOBULIN63.25
THYROGLOBULIN QN PANEL SENDO-E145.25
THYROID IMAGING W/BLOOD FLOW795
THYROID IMAGING W/BLOOD FLOW1,349.00
THYROID METS; LIMITED795
THYROID METS; WHOLE BODY795.75
THYROID STIMULATING HORMONE204
THYROID STIMULATING IMMUNOGLOBULINS552.5
THYROID UPTAKE MEASUREMENT668.25
THYROXINE BINDING GLOBULIN190.5
THYROXINE; TOTAL29.5
TISSUE CULTURE; BM BLD CELLS282
TISSUE CULTURE; LYMPHOCYTE259.75
TISSUE EXAM BY PATHOLOGIST LVL 3362.5
TISSUE EXAM BY PATHOLOGIST LVL 4364.5
TISSUE EXAM BY PATHOLOGIST LVL 5397.75
TISSUE EXAM BY PATHOLOGIST LVL 6609.5
TL PAP W AUTO SCRN & MANUAL RSCR224.25
TL201 THALLIUM PER 1 MCI462.25
TMJ JOINT – BILATERAL635.5
TOBRAMYCIN117.75
TOCOPHEROL ALPHA (VIT E)72.5
TOMOGRAM800.75
TOMOSYNTHESIS, MAMMO59
TOPIRAMATE100.25
TOTAL BILIRUBIN36.25
TOTAL PROTEIN OTHER SPECIMEN60
TOTAL VITAL CAPACITY240.5
TPMT GENE COM VARIANTS434.25
TRANSCORTIN44.75
TRANSDUCER-PATIENT MOUNT312
TRANSDUCER-POLE MOUNT257
TRANSFERASE; ALANINE AMINO74.5
TRANSFERRIN140
TRANSFUSION BLOOD OR BLOOD COMPONENTS1,788.00
TRANSGLUTAMINASE IGA/G SENDO-E134.5
TRANSRECTAL US1,436.25
TRANSVAGINAL OB US1,078.00
TRAY CHOL/KARLAN BALLOON CTH 4356
TRAY COOK RADIAL85.75
TRAY LAP CHOLE ROBART/SCHULZ982
TRAY LAP/CHOL AZMEH/VACH595.75
TRAY LOWER GYN300.25
TRAY MEDIZIV (EDUIDURAL)232.75
TRAY PICC DUAL LUMEN 5 FR1,009.75
TRAY PICC POWER 5FR954.75
TRAY PICC TRIPLE LUMEN POWE 6F1,173.50
TRAY TROCAR OB/GYN428.75
TRAY WITHOUT CATH37.25
TRAY-ARROW ART LINE KIT193.25
TRAY-ARROW MULTI LUMEN469.5
TRAY-ARROW PERCUTANEOUS 8.5270.25
TRAY-ARROW RADIAL ARTERY80
TRAY-CHEST TUBE ASSERTION294.75
TRAY-CLOSED SYSTEM 16 FR131.75
TRAY-ENT TRAY191
TRAY-EPIDURAL W/GLASS LOR121.75
TRAY-INSTRUMENT CIRC SET90.5
TRAY-INSTRUMENT EPISIOTOMY S117.5
TRAY-INTRODUCER SET 12 FR224.25
TRAY-IRRIGATION W/PISTON18.5
TRAY-LUMBAR (SPINAL) ADULT236.75
TRAY-LUMBAR (SPINAL) INFANT164.75
TRAY-NOSE31.5
TRAY-SPINAL ANESTHESIA206.75
TRAY-SUTURE SET (AMB CARE)148.5
TRAY-SUTURE SET (ER)180.75
TRAY-SUTURE SET FINE FACIAL LA196.75
TRAY-SUTURE SET-HAND191
TRAY-THORACENTESIS W CATH156
TRAY-TRACHEOSTOMY TRAY264
TRAY-URETHRAL CATH 14 FR37.25
TRAY-UROLOGY29.5
TRAY-VAGINAL EXAM191
TRB@ GENE REARRANGE AMPLIFY403.5
TREAT CLAVICLE FRACTURE7,110.75
TREAT SWALLOWING DYSFUNCTION10.25
TREAT SWALLOWING DYSFUNCTION446.5
TREATMENT OF BLADDER LESION393.25
TREPHINE X-HAIR 8MM432.75
TREPONEMA PALLIDUM41.25
TRG GENE REARRANGEMENT ANAL427.75
TRICHOMONAS VAGIN DIR PROBE62.5
TRICHOMONAS VAGINALIS AMPLIF86.5
TRIGLYCERIDES98.5
TRIPOD RETRIEVAL FORCEP FG-45U2,235.50
TROCAR 11 X 100 OPTICAL CFR33172.75
TROCAR 11MM CANNULA SEAL CFS1279
TROCAR 11MM FIRST ENTRY CFF33191
TROCAR 11MM X-CEL267.5
TROCAR 12 X 100 OPTICAL CFR7379
TROCAR 12MM EXCEL B12LT410.25
TROCAR 12MM FIRST ENTRY CFF73191
TROCAR 12X150MM566
TROCAR 5 100 FIRST ENTRY110.75
TROCAR 5 X 100MM OPTICAL CFR03133.5
TROCAR 5MM CANNULA SEAL CFS0234.25
TROCAR 5MM FIRST ENTRY CFF03191
TROCAR 5MM SLEEVE BSLT202.5
TROCAR 5MM X 100MM CB5LT-R64.75
TROCAR BALLOON SPACEMAKER KIT2,279.50
TROCAR BLADED 12 X 100 CTB73113
TROCAR BLADED 5 X 100 CTB0387.5
TROCAR BLADED 8MM X 100 C0676455.75
TROCAR EXCEL 12MM X 150 B12X1443.25
TROCAR EXCEL 5MM X 150MM B5XT334.75
TROCAR X-CEL BLUNT TIP H12LP421.75
TROPONIN QUAN159.25
TTE F-UP OR LMTD582.75
TTE W/DOPPLER COMPLETE2,515.00
TTE W/O DOPPLER COMPLETE1,125.00
TUBE BAKER INTESTIONAL 16 FR367.25
TUBE BOUGEE 15FR 70CM CAUDE35
TUBE CANNULA DISP 1031.5
TUBE CANNULA DISP 424
TUBE CANNULA DISP 831.5
TUBE FEEDING 5FR X 16IN9.5
TUBE FEEDING 8FR X 16 IN9.5
TUBE GASTROSTOMY291.5
TUBE GASTROSTOMY 12 FR121.75
TUBE GASTROSTOMY 14 FR111.5
TUBE GASTROSTOMY 16 FR175
TUBE GASTROSTOMY 18 FR169.75
TUBE GASTROTUBE212.25
TUBE JEJUNOSTOMY-VIVINEX111.75
TUBE LUKI48.5
TUBE ORAL RAE 4.5 CUFFED MURPH33.25
TUBE PHEUMOTHORIAX SET644
TUBE SALEM SUMP 10FR29.5
TUBE SALEM SUMP 12FR28
TUBE SALEM SUMP 14 FR W/VAVE28
TUBE SALEM SUMP W/REFLEX 16F61.75
TUBE SALEM SUMP W/REFLEX 18F80
TUBE SUCTION ATTACHMENT DEVI48.5
TUBE TRACH 5.0 LO PRO MURPHY9.5
TUBE TRACH CUFF XLT 6.0196.75
TUBE TRACH CUFF XLT 8.0274.75
TUBE TRACH CUFF/LO/MAGI 6.526.5
TUBE TRACH CUFF/LO/MAGI 7.529.25
TUBE TRACH CUFF/LO/MURPHY 8.029.25
TUBE TRACH CUFF/LO/MURPHY 8.526.5
TUBE TRACH CUFF/REA 6.076.75
TUBE TRACH RAE CUFFED 4.029.5
TUBE TRACH UNCUFF/MAGIL 2.515
TUBE TRACH UNCUFF/RAE 7.022.25
TUBE TRACHEAL 2.020.25
TUBE TRACHEAL 3.5 UNCUFF/RAE20.25
TUBE TRACHEAL 5.0 CUFF/RAE41.25
TUBE TRACHEAL 5.0 UNCUFF/RAE41.25
TUBE TRACHEAL 5.5 CUFF/RAE41.25
TUBE TRACHEAL 5.5 UNCUFF/RAE41.25
TUBE TRACHEAL 6.0 CUFF/LO MAGI41.25
TUBE TRACHEAL 6.5 CUFF/RAE41.25
TUBE TRACHEAL 6.5 UNCUFF/RAE40
TUBE TRACHEAL 7.0 CUFF/LO.MAGI46.5
TUBE TRACHEAL 7.0 CUFF/RAE41.25
TUBE TRACHEAL 7.0 CUFF/RAE/NAS41.25
TUBE TRACHEAL 7.5 CUFF/RAE41.25
TUBE TRACHEAL 7.5 CUFF/RAE/NAS31.5
TUBE TRACHEAL 8.0 CUFF/RAE41.25
TUBE TRACHEAL 8.0 CUFF/RAE/NA28.25
TUBE TRACHEAL UNCUT 5.526.5
TUBE TRACHEAL UNCUT 7.046.75
TUBE TRACHEAL UNCUT 8.5161.25
TUBE TROCAR 10 FR66.25
TUBE TROCAR 20 FR69.75
TUBE TROCAR 24 FR285.75
TUBE TROCAR 2871.75
TUBE-TRACH ADULT CUFFED 10136
TUBE-TRACH ADULT CUFFED 6360.75
TUBE-TRACH ADULT CUFFED 8296.75
TUBE-TRACH ADULT CUFFLESS 6206.25
TUBE-TRACH ADULT CUFFLESS 8126.75
TUBE-TRACHEAL 3.076.75
TUBING ADAPTER Y96
TUBING PATIENT REDEUCE143.25
TUBING REDUECE PUMP212
TUMOR IMAGING WHOLE BODY 2+ DAYS1,880.50
TUMOR LOCALIZ; MULTI AREAS1,081.00
TUMOR LOCALIZ; SPECT (3D)1,880.50
TX CL ELBOW DISLOC W ANESTH3,060.50
TX GASTRO INTUB W/ASP766.5
TX S WND DEHIS; W PACK1,092.75
TX S WND DEHISC; SMPL658.75
TX/PRO/DX INJ NEW DRUG ADDON292
TX/PRO/DX INJ SAME DRUG ADDON235
TX/PROPH/DG ADDL SEQ IV INF353.25
TYPE & SCREEN, PRENATAL-E413.5
TYPE AND SCREEN-E413.5
UGI W AIR & BARIUM W SB2,307.25
ULTRACISION HDH05 DISS HOOK728
ULTRASOUND ABD/PELIVS-E2,952.50
ULTRASOUND ABD/PELVIS/TRAS V-E4,084.00
ULTRASOUND ABDOMEN/RENAL-E2,640.50
ULTRASOUND EARLY OB W TR-MDC-E2,585.50
ULTRASOUND EARLY OB W TV-H-E2,585.50
ULTRASOUND EARLY OB WITH TV-E2,585.50
ULTRASOUND PELVIS/TRANS VAG-E2,698.50
ULTRASOUND THERAPY EA 15 MINS12
ULTRASOUND THERAPY EA 15 MINS176.5
UNIL SELCTV RENAL VENOGRAM3,973.50
UNLISTED ABDOMEN MUSCULOSKEL OP553
UNLISTED CHEMISTRY TEST58.75
UNLISTED CHEMOTHERAPY PROCEDURE96.75
UNLISTED DX GASTROENTEROLOGY PROC565
UNLISTED FLUORO164.25
UNLISTED MOLECULAR PATHOLOGY148
UNLISTED MOLECULAR PATHOLOGY621.5
UNLISTED MOLECULAR PATHOLOGY932
UNLISTED PROC SKIN MM & SQ TISS3,347.00
UNLISTED PROCEDURE ANUS895.75
UNLISTED PROCEDURE CASTING OR STRAPPING144
UNLISTED PROCEDURE CASTING OR STRAPPING207.5
UNLISTED PROCEDURE ENDOCRINE SYSTEM5,466.25
UNLISTED PROCEDURE EXTERNAL EAR2,832.50
UNLISTED PROCEDURE HANDS OR FINGERS1,419.50
UNLISTED PROCEDURE HUMERUS OR ELBOW252
UNLISTED PROCEDURE LEG OR ANKLE524.75
UNLISTED PROCEDURE MATERNITY CARE & DEL385.75
UNLISTED PROCEDURE NERVOUS SYSTEM648.75
UNLISTED PROCEDURE PALATE UVULA238
UNLISTED PROCEDURE PHARYNX ADENOIDS238
UNLISTED PROCEDURE RECTUM1,808.25
UNLISTED PROCEDURE STOMACH1,052.50
UNLISTED PROCEDURE URINARY SYSTEM2,884.00
UNLISTED PULMONARY SERVICE422.5
UNLISTED VASC PROCEDURE1,925.50
UNNA BOOT STRAPPING149
UNNA BOOT STRAPPING298
UNNA-FLEX PLUS WOUND CENTER41
UPPR GI ENDOSCOPY W/STENT-MAB3,483.50
UPR/L XTREMITY ART 2 LEVELS484
UPR/LXTR ART STDY 3+ LVLS557.75
UR ALBUMIN QUANTITATIVE83.25
UREA NITROGEN URINE49.5
UREA NITROGEN; QUAN49.5
URETER REFLUX STUDY787.75
URETHROGRAM RETROGRADE1,218.50
URIC ACID; BLOOD59.75
URIC ACID; NOT BLOOD20.5
URINE BACTERIA CULTURE138.75
URINE PHOSPHATE109.25
URINE POTASSIUM85.75
URINE PREGNANCY VISUAL COLOR121
URINE SULFATE13.5
URINE TOTAL PROTEIN58.25
URINE+PROTEIN ELECTR SEND OU-E252
UROLOGY DRAINAGE BA (OEC)U206875.25
US ABD/PELIVS-MDC-E2,952.50
US ABD/PELVIS/TRAS VAG-MDC-E4,084.00
US ABDL AORTA SCREEN AAA1,255.00
US ABDOMEN& RENAL-MDC-E2,640.50
US COMPL JOINT R-T W/IMG1,127.75
US EARLY OB TWINS HD-E1,709.25
US EARLY OB TWINS W TV-E2,787.00
US EARLY OB TWINS W TV-MDC-E2,787.00
US EARLY OB TWINS-E1,709.25
US EARLY OB TWINS-MDC-E1,709.25
US EARLY OB W TRANS VAG-MDC-E2,639.25
US EXAM ABDO BACK WALL COMP1,255.00
US EXAM ABDO BACK WALL LIM1,255.00
US EXAM ABDOM COMPLETE1,385.75
US EXAM CHEST1,254.00
US EXAM INFANT HIPS STATIC485
US EXAM OF HEAD AND NECK1,572.00
US EXAM PELVIC COMPLETE1,566.75
US EXAM PELVIC LIMITED1,296.50
US FOLLOW-UP STUDY314.25
US GUIDE INTRAOP428.75
US GUIDE VASCULAR ACCESS1,100.25
US GUIDED AMNIOCENTESIS647.75
US GUIDED NEEDLE PLACEMENT1,371.50
US INTERSTITIAL RE APPLIC1,795.50
US LATE OB TWINS >14 WKS-MDC-E1,956.50
US LATE OB TWINS AND BIOPHYS-E5,285.50
US LATE OB TWINS HD-E1,956.50
US LATE OB TWINS-E1,956.50
US LMTD JT/NONVASC XTR STRUX1,116.75
US OB LIMITED & BIOPHYS MAB-E2,944.00
US OB LIMITED AND ABD-E2,665.25
US OB LIMITED AND BIOPHYSICA-E2,944.00
US OB LIMITED AND RENAL-E2,534.50
US OB LIMITED AND TV-E2,357.25
US PELVIS/TRANS VAG-MDC-E2,698.50
US PROSTATE VOLUME FOR BT440.75
US SCROTUM AND CONTENTS1,918.75
US SPINE1,101.00
UTERINE MANIPULATOR KRONNER141.75
V.A.C KCI FOAM BLACK277
V.A.C. KCI CANNISTER W/GEL548.75
VAGINITIS/VAGINOSIS DNA-E187
VALPROIC ACID,FREE/TOT SEND-E185.25
VANCOMYCIN154.5
VARICELLA ZOSTER CULTURE-E106
VASOPRESSIN190.25
VENIPUNCTURE CUTDOWN; AGE 1 OR OVER353.75
VENT MGMT INPAT INIT DAY988.25
VENT MGMT INPAT SUBQ DAY1,342.00
VENT REUTER-BOBBINS 10-5616259.25
VENT TUBE TOUMA104
VENTILATOR – NOSE15
VERY LONG FATTY ACID CHAINS49.5
VESSEL LOOPS MAXI/RED84.5
VIDEOFLUORSCOPY DYSPHAGIA-OT116.25
VIP – VASOACTIVE INTESTINAL PEPTIDE142.75
VIRAL NEUTRALIZATION39
VIRUS ISOL SHELL VIAL TECHN44.25
VIRUS ISOLATE; TISSUE CULT INOC62
VISCOSITY104
VIT B-12; UNSATURATED BC229
VIT D 1 25-DIHYDROXY445.25
VITAMIN A131.5
VITAMIN B-12 LEVEL181
VITAMIN B6269.5
VITAMIN D 25 HYDROXY73.25
VITAMIN K58.5
VITAMIN NOS123.75
VMA ACID RANDON UA-E57
VMA URINE36.75
VOIDING CYSTO PROFILE-E2,208.25
VOIDING URETHROCYSTOGRAM1,086.25
VON WILLEBRAND PROFILE SEND-E421.75
WAND ENT EVAC 70 EIC5870-011,004.75
WAND ENT REFLEX ULTRA 451,284.50
WAND OPES ASPIRATING ABLATOR1,284.50
WASHERS (Z) 3.5/4.0 CANN. SET224
WASHERS (Z) 6.5 CANNULATED161.75
WAX BONE22.5
WB SGL DAY TUMOR IMAGING1,730.25
WEDGE EXC NAIL FOLD392.5
WEST NILE VIRUS AB CSF-E123.75
WEST NILE VIRUS AB IGM62
WEST NILE VIRUS ANTIBODY62
WEST NILE VIRUS,SERUM SENDO-E123.75
WHEELCHAIR MNGMENT TRAINING EA 15 MINS9.5
WHEELCHAIR MNGMENT TRAINING EA 15 MINS140
WHIRLPOOL THERAPY 1+ AREAS178
WHO COCK-UP NONMOLDE PRE OTS96.25
WIRE STEEL 18GA39.75
WIRE STEEL 25GA40.5
WORK HARDENING EA ADDTL HR64.25
WORK HARDENING INIT 2 HRS188.5
WOUND(S) CARE NON-SELECTIVE3.5
WOUND(S) CARE NON-SELECTIVE170
WOUND(S) CARE NON-SELECTIVE205.5
WRIST ARTHROGRAM1,167.25
WRIST ARTHROGRAPHY INJ586.25
XPRESS MULTI SINUS TOOL3,763.00
XR FB IN EYE457.25
XR NECK SOFT TISSUE431.75
XR OPTIC FORAMINA173.5
X-RAY C/T SPINE DISK4,389.75
XRAY CONTROL CATHETER CHANGE1,136.00
X-RAY EXAM ABDOMEN 1 VIEW328
X-RAY EXAM ABDOMEN 2 VIEWS504.75
X-RAY EXAM ABDOMEN 3+ VIEWS504.75
X-RAY EXAM CHEST 1 VIEW339.5
X-RAY EXAM CHEST 2 VIEWS410
X-RAY EXAM CHEST 3 VIEWS567.5
X-RAY EXAM CHEST 4+ VIEWS594.75
X-RAY EXAM ENTIRE SPI 2/3 VW890.25
X-RAY EXAM ENTIRE SPI 4/5 VW1,410.75
X-RAY EXAM HIP UNI 1 VIEW434.25
X-RAY EXAM HIPS BI 2 VIEWS614.75
X-RAY EXAM KNEE 4 OR MORE687.5
X-RAY EXAM NECK SPINE 2-3 VW590.75
X-RAY EXAM NECK SPINE 4/5VWS716.75
X-RAY EXAM NECK SPINE 6/>VWS837.75
X-RAY EXAM OF ANKLE 2 VIEWS394.75
X-RAY EXAM OF ANKLE 3+ VIEWS511.25
X-RAY EXAM OF ARM INFANT 2+ VIEWS290.25
X-RAY EXAM OF BREASTBONE 2+ VIEWS417.25
X-RAY EXAM OF BREASTBONE 3+ VIEWS205.5
X-RAY EXAM OF ELBOW 2 VIEWS352
X-RAY EXAM OF ELBOW 3+ VIEWS446.25
X-RAY EXAM OF EYE SOCKETS 4+ VIEWS641.5
X-RAY EXAM OF FACIAL BONES <3 VIEWS321.5
X-RAY EXAM OF FACIAL BONES 3+ VIEWS699
X-RAY EXAM OF FEMUR 2/>614.75
X-RAY EXAM OF FINGER(S) 2+ VIEWS447
X-RAY EXAM OF FOOT; 2 VIEWS394.75
X-RAY EXAM OF FOOT; 3+ VIEWS456.25
X-RAY EXAM OF FOREARM 2 VIEWS500
X-RAY EXAM OF HAND 2 VIEWS373
X-RAY EXAM OF HAND 3+ VIEWS515.5
X-RAY EXAM OF HEEL 2+ VIEWS610.75
X-RAY EXAM OF HUMERUS 2+ VIEWS500
X-RAY EXAM OF JAW <4 VIEWS286.25
X-RAY EXAM OF JAW 4+ VIEWS649
X-RAY EXAM OF KNEE 1 OR 2417.25
X-RAY EXAM OF LEG INFANT 2 VIEWS290.25
X-RAY EXAM OF LOWER LEG 2 VIEWS511.25
X-RAY EXAM OF LOWER SPINE974
X-RAY EXAM OF LOWER SPINE1,168.50
X-RAY EXAM OF LOWER SPINE 2-3 VIEWS504.25
X-RAY EXAM OF LOWER SPINE 4+ VIEWS722
X-RAY EXAM OF MASTOIDS 3+ VIEWS658.75
X-RAY EXAM OF NASAL BONES 3+ VIEWS436.5
X-RAY EXAM OF PELVIS 1-2 VIEWS500
X-RAY EXAM OF RIBS 2 VIEWS UNILAT406.5
X-RAY EXAM OF RIBS 3 VIEWS BILAT617.75
X-RAY EXAM OF RIBS/CHEST 3+ VIEWS UNILAT683.25
X-RAY EXAM OF RIBS/CHEST 4+ VIEWS BILAT1,194.00
X-RAY EXAM OF SHOULDER 1 VIEW261.25
X-RAY EXAM OF SHOULDER 2+ VIEWS547
X-RAY EXAM OF SINUSES <3 VIEWS424.75
X-RAY EXAM OF SINUSES 3+ VIEWS692.75
X-RAY EXAM OF SKULL <4 VIEWS550
X-RAY EXAM OF SKULL 4+ VIEWS768.5
X-RAY EXAM OF SMALL BOWEL651.5
X-RAY EXAM OF SMALL BOWEL1,842.50
X-RAY EXAM OF TAILBONE 2+ VIEWS569.25
X-RAY EXAM OF THORACIC SPINE 2 VIEWS635.75
X-RAY EXAM OF THORACIC SPINE 3 VIEWS827
X-RAY EXAM OF TOE(S) 2+ VIEWS394.75
X-RAY EXAM OF WRIST 2 VIEWS394.75
X-RAY EXAM OF WRIST 3+ VIEWS500
X-RAY EXAM SACROILIAC JOINTS 3+ VIEWS485
X-RAY EXAM SURGICAL SPECIMEN751
X-RAY OF LOWER SPINE DISK4,389.75
X-RAY OF MAMMARY DUCT769.5
X-RAY OF MAMMARY DUCTS1,538.00
X-RAY UPPER GI DELAY W/KUB1,082.75
X-RAY UPPER GI&SMALL INTEST2,128.00
X-RAYS BONE LENGTH STUDIES648
X-RAYS BONE SURVEY COMPLETE1,825.00
X-RAYS BONE SURVEY INFANT1,179.25
X-RAYS FOR BONE AGE648
YAG LASER AFTER CATERACT-AC1,384.50
ZIKA VIRUS DNA/RNA AMP PROBE157.5
ZINC124.25

Inpatient Hospitalization Charges

DRGDescriptionAverage fee
100SEIZURES W MCC35,400.76
101SEIZURES W/O MCC29,526.26
102HEADACHES W MCC68,355.57
103HEADACHES W/O MCC18,618.49
125OTHER DISORDERS OF T40,153.10
146EAR, NOSE, MOUTH & T25,679.76
149DYSEQUILIBRIUM25,985.86
158DENTAL & ORAL DISEAS15,424.76
159DENTAL & ORAL DISEAS16,365.36
175PULMONARY EMBOLISM W40,553.48
176PULMONARY EMBOLISM W26,461.88
177RESPIRATORY INFECTIO72,507.08
178RESPIRATORY INFECTIO44,173.06
179RESPIRATORY INFECTIO12,032.27
180RESPIRATORY NEOPLASM45,535.10
181RESPIRATORY NEOPLASM36,615.50
182RESPIRATORY NEOPLASM1,655.60
183MAJOR CHEST TRAUMA W44,027.87
184MAJOR CHEST TRAUMA W32,748.44
185MAJOR CHEST TRAUMA W19,560.79
186PLEURAL EFFUSION W M61,259.02
187PLEURAL EFFUSION W C74,531.49
189PULMONARY EDEMA & RE46,218.93
190CHRONIC OBSTRUCTIVE46,495.48
191CHRONIC OBSTRUCTIVE36,781.30
192CHRONIC OBSTRUCTIVE24,789.06
193SIMPLE PNEUMONIA & P45,534.02
194SIMPLE PNEUMONIA & P29,372.91
195SIMPLE PNEUMONIA & P21,581.75
196INTERSTITIAL LUNG DI56,261.94
198INTERSTITIAL LUNG DI144,243.42
199PNEUMOTHORAX W MCC26,803.34
200PNEUMOTHORAX W CC34,099.14
201PNEUMOTHORAX W/O CC/16,562.35
202BRONCHITIS & ASTHMA31,183.28
203BRONCHITIS & ASTHMA18,073.39
204RESPIRATORY SIGNS &22,417.11
205OTHER RESPIRATORY SY31,368.16
206OTHER RESPIRATORY SY28,480.96
207RESPIRATORY SYSTEM D158,862.05
208RESPIRATORY SYSTEM D78,135.87
252OTHER VASCULAR PROCE58,097.34
264OTHER CIRCULATORY SY49,315.43
270OTHER MAJOR CARDIOVA47,266.77
280ACUTE MYOCARDIAL INF46,614.29
281ACUTE MYOCARDIAL INF19,804.07
282ACUTE MYOCARDIAL INF19,035.31
283ACUTE MYOCARDIAL INF13,120.93
288ACUTE & SUBACUTE END98,274.06
291HEART FAILURE & SHOC44,911.86
292HEART FAILURE & SHOC37,842.48
293HEART FAILURE & SHOC25,643.85
299PERIPHERAL VASCULAR33,008.20
3ECMO OR TRACH W MV >96338,907.60
300PERIPHERAL VASCULAR21,564.09
301PERIPHERAL VASCULAR15,580.37
302ATHEROSCLEROSIS W MC40,044.33
304HYPERTENSION W MCC25,867.65
305HYPERTENSION W/O MCC19,505.34
308CARDIAC ARRHYTHMIA &42,294.89
309CARDIAC ARRHYTHMIA &27,440.71
310CARDIAC ARRHYTHMIA &18,663.68
312SYNCOPE & COLLAPSE25,687.07
313CHEST PAIN39,455.66
314OTHER CIRCULATORY SY34,856.69
315OTHER CIRCULATORY SY29,617.20
327STOMACH, ESOPHAGEAL62,005.83
329MAJOR SMALL & LARGE70,106.57
330MAJOR SMALL & LARGE76,133.95
331MAJOR SMALL & LARGE48,823.15
335PERITONEAL ADHESIOLY111,890.81
336PERITONEAL ADHESIOLY53,384.60
337PERITONEAL ADHESIOLY51,449.63
340APPENDECTOMY W COMPL48,340.76
343APPENDECTOMY W/O COM34,001.56
345MINOR SMALL & LARGE70,759.37
348ANAL & STOMAL PROCED59,889.98
349ANAL & STOMAL PROCED41,732.88
351INGUINAL & FEMORAL H36,290.15
352INGUINAL & FEMORAL H49,541.34
371MAJOR GASTROINTESTIN41,739.05
372MAJOR GASTROINTESTIN26,669.40
373MAJOR GASTROINTESTIN13,440.26
374DIGESTIVE MALIGNANCY37,242.72
375DIGESTIVE MALIGNANCY22,179.84
376DIGESTIVE MALIGNANCY12,628.00
377G.I. HEMORRHAGE W MC50,514.73
378G.I. HEMORRHAGE W CC29,253.62
379G.I. HEMORRHAGE W/O24,805.47
381COMPLICATED PEPTIC U31,927.38
383UNCOMPLICATED PEPTIC34,032.53
386INFLAMMATORY BOWEL D27,568.61
388G.I. OBSTRUCTION W M29,860.56
389G.I. OBSTRUCTION W C27,183.58
390G.I. OBSTRUCTION W/O21,158.05
391ESOPHAGITIS, GASTROE40,308.87
392ESOPHAGITIS, GASTROE23,411.41
393OTHER DIGESTIVE SYST49,550.49
394OTHER DIGESTIVE SYST26,124.30
395OTHER DIGESTIVE SYST9,735.03
4TRACH W MV >96 HRS OR126,469.51
41PERIPH/CRANIAL NERVE31,700.02
412CHOLECYSTECTOMY W C.70,025.34
414CHOLECYSTECTOMY EXCE48,400.72
415CHOLECYSTECTOMY EXCE59,763.95
416CHOLECYSTECTOMY EXCE66,414.06
417LAPAROSCOPIC CHOLECY112,401.09
418LAPAROSCOPIC CHOLECY56,200.81
419LAPAROSCOPIC CHOLECY47,956.73
432CIRRHOSIS & ALCOHOLI43,805.34
433CIRRHOSIS & ALCOHOLI22,114.52
435MALIGNANCY OF HEPATO47,415.88
436MALIGNANCY OF HEPATO82,779.84
438DISORDERS OF PANCREA50,177.55
439DISORDERS OF PANCREA32,917.21
440DISORDERS OF PANCREA22,540.25
442DISORDERS OF LIVER E20,720.38
443DISORDERS OF LIVER E26,487.43
444DISORDERS OF THE BIL32,595.33
445DISORDERS OF THE BIL47,471.17
462BILATERAL OR MULTIPL86,780.75
465WND DEBRID & SKN GRF41,115.70
467REVISION OF HIP OR K83,864.23
468REVISION OF HIP OR K68,238.22
469MAJOR HIP AND KNEE J88,923.48
470MAJOR HIP AND KNEE J56,184.42
477BIOPSIES OF MUSCULOS61,867.26
480HIP & FEMUR PROCEDUR72,959.26
481HIP & FEMUR PROCEDUR52,530.88
482HIP & FEMUR PROCEDUR48,432.06
483MAJOR JOINT/LIMB REA55,148.23
486KNEE PROCEDURES W PD99,206.61
487KNEE PROCEDURES W PD32,411.34
488KNEE PROCEDURES W/O31,045.42
489KNEE PROCEDURES W/O34,464.13
493LOWER EXTREM & HUMER63,949.05
494LOWER EXTREM & HUMER58,004.38
499LOCAL EXCISION & REM35,014.56
501SOFT TISSUE PROCEDUR29,440.42
502SOFT TISSUE PROCEDUR32,925.73
511SHOULDER,ELBOW OR FO41,017.07
517OTHER MUSCULOSKELET41,487.29
533FRACTURES OF FEMUR W25,563.98
534FRACTURES OF FEMUR W14,210.75
535FRACTURES OF HIP & P39,936.94
536FRACTURES OF HIP & P23,296.30
54NERVOUS SYSTEM NEOPLA33,606.83
540OSTEOMYELITIS W CC29,273.40
543PATHOLOGICAL FRACTUR60,626.27
545CONNECTIVE TISSUE DI26,480.31
546CONNECTIVE TISSUE DI43,874.88
55NERVOUS SYSTEM NEOPLA73,000.06
551MEDICAL BACK PROBLEM45,763.49
552MEDICAL BACK PROBLEM26,775.04
553BONE DISEASES & ARTH42,936.22
554BONE DISEASES & ARTH22,201.99
556SIGNS & SYMPTOMS OF44,391.29
557TENDONITIS, MYOSITIS52,750.65
558TENDONITIS, MYOSITIS13,820.61
559AFTERCARE, MUSCULOSK61,635.13
56DEGENERATIVE NERVOUS73,476.03
560AFTERCARE, MUSCULOSK63,422.74
561AFTERCARE, MUSCULOSK57,176.27
562FX, SPRN, STRN & DIS43,760.02
563FX, SPRN, STRN & DIS28,306.35
564OTHER MUSCULOSKELETA33,173.09
565OTHER MUSCULOSKELETA30,279.71
566OTHER MUSCULOSKELETA21,663.75
57DEGENERATIVE NERVOUS71,324.35
571SKIN DEBRIDEMENT W C59,104.12
572SKIN DEBRIDEMENT W/O35,478.49
580OTHER SKIN, SUBCUT T57,129.03
581OTHER SKIN, SUBCUT T43,820.67
59MULTIPLE SCLEROSIS &23,941.36
592SKIN ULCERS W MCC14,771.67
593SKIN ULCERS W CC31,170.23
596MAJOR SKIN DISORDERS27,571.46
597MALIGNANT BREAST DIS18,560.66
600NON-MALIGNANT BREAST23,082.43
601NON-MALIGNANT BREAST27,932.35
602CELLULITIS W MCC86,303.05
603CELLULITIS W/O MCC21,266.06
604TRAUMA TO THE SKIN,31,050.19
605TRAUMA TO THE SKIN,28,151.61
607MINOR SKIN DISORDERS8,575.41
617AMPUTAT OF LOWER LIM35,185.72
624SKIN GRAFTS & WOUND19,780.74
637DIABETES W MCC28,006.68
638DIABETES W CC22,011.59
639DIABETES W/O CC/MCC18,537.75
64INTRACRANIAL HEMORRHA53,545.82
640MISC DISORDERS OF NU32,632.26
641MISC DISORDERS OF NU22,986.21
642INBORN AND OTHER DIS27,475.33
643ENDOCRINE DISORDERS29,528.52
644ENDOCRINE DISORDERS22,079.93
645ENDOCRINE DISORDERS31,350.70
65INTRACRANIAL HEMORRHA31,969.98
653MAJOR BLADDER PROCED152,024.29
659KIDNEY & URETER PROC24,312.29
66INTRACRANIAL HEMORRHA28,706.99
660KIDNEY & URETER PROC34,612.00
661KIDNEY & URETER PROC24,863.59
663MINOR BLADDER PROCED191,856.50
666PROSTATECTOMY W CC79,586.71
669TRANSURETHRAL PROCED35,760.10
670TRANSURETHRAL PROCED31,280.84
673OTHER KIDNEY & URINA100,868.42
674OTHER KIDNEY & URINA47,999.25
675OTHER KIDNEY & URINA31,033.04
682RENAL FAILURE W MCC45,409.74
683RENAL FAILURE W CC28,239.30
684RENAL FAILURE W/O CC26,287.69
686KIDNEY & URINARY TRA153,644.52
689KIDNEY & URINARY TRA37,384.88
69TRANSIENT ISCHEMIA W/27,370.47
690KIDNEY & URINARY TRA25,540.69
693URINARY STONES W/O E40,075.32
694URINARY STONES W/O E25,262.32
695KIDNEY & URINARY TRA10,542.38
696KIDNEY & URINARY TRA22,879.40
698OTHER KIDNEY & URINA21,951.26
699OTHER KIDNEY & URINA69,607.27
71NONSPECIFIC CEREBROVA22,875.01
714TRANSURETHRAL PROSTA32,642.64
717OTHER MALE REPRODUCT79,332.36
72NONSPECIFIC CEREBROVA13,229.60
722MALIGNANCY, MALE REP86,771.40
726BENIGN PROSTATIC HYP31,188.99
742UTERINE & ADNEXA PRO26,931.91
743UTERINE & ADNEXA PRO40,619.28
744D&C, CONIZATION, LAP32,937.15
747VAGINA, CERVIX & VUL61,113.92
755MALIGNANCY, FEMALE R25,784.43
76VIRAL MENINGITIS W/O15,631.79
765CESAREAN SECTION W C21,309.35
766CESAREAN SECTION W/O21,113.92
767VAGINAL DELIVERY W S25,240.49
768VAGINAL DELIVERY W O36,393.59
769POSTPARTUM & POST AB29,430.54
774VAGINAL DELIVERY W C17,423.64
775VAGINAL DELIVERY W/O15,298.36
776POSTPARTUM & POST AB31,095.52
779ABORTION W/O D&C16,929.44
781OTHER ANTEPARTUM DIA14,906.58
784CESAREAN SECTION W S20,097.89
785CESAREAN SECTION W S19,883.23
786CESAREAN SECTION W/O23,841.24
787CESAREAN SECTION W/O19,717.07
788CESAREAN SECTION W/O20,273.24
789NEONATES, DIED OR TR4,895.48
792PREMATURITY W/O MAJO7,017.52
793FULL TERM NEONATE W11,081.26
794NEONATE W OTHER SIGN7,112.32
795NORMAL NEWBORN6,510.92
798VAGINAL DELIVERY W S24,899.28
80NONTRAUMATIC STUPOR &77,146.06
805VAGINAL DELIVERY W/O15,357.18
806VAGINAL DELIVERY W/O15,727.94
807VAGINAL DELIVERY W/O14,656.75
808MAJOR HEMATOL/IMMUN46,330.94
809MAJOR HEMATOL/IMMUN48,684.40
810MAJOR HEMATOL/IMMUN18,282.07
811RED BLOOD CELL DISOR41,869.93
812RED BLOOD CELL DISOR29,858.89
813COAGULATION DISORDER25,873.42
816RETICULOENDOTHELIAL26,908.00
821LYMPHOMA & LEUKEMIA146,030.42
822LYMPHOMA & LEUKEMIA64,299.85
825LYMPHOMA & NON-ACUTE32,971.61
832OTHER ANTEPARTUM DIA8,256.66
840LYMPHOMA & NON-ACUTE36,262.57
841LYMPHOMA & NON-ACUTE31,302.03
842LYMPHOMA & NON-ACUTE45,347.70
853INFECTIOUS & PARASIT81,495.40
854INFECTIOUS & PARASIT40,349.56
856POSTOPERATIVE OR POS41,389.89
857POSTOPERATIVE OR POS72,983.14
858POSTOPERATIVE OR POS61,165.99
862POSTOPERATIVE & POST42,576.71
863POSTOPERATIVE & POST16,484.22
864FEVER AND INFLAMMATO38,607.63
865VIRAL ILLNESS W MCC58,977.49
866VIRAL ILLNESS W/O MC14,929.27
867OTHER INFECTIOUS & P183,102.98
87TRAUMATIC STUPOR & CO14,634.95
870SEPTICEMIA OR SEVERE158,906.97
871SEPTICEMIA OR SEVERE50,390.36
872SEPTICEMIA OR SEVERE31,755.30
876O.R. PROCEDURE W PRI13,993.68
880ACUTE ADJUSTMENT REA9,513.21
881DEPRESSIVE NEUROSES12,144.12
882NEUROSES EXCEPT DEPR9,784.41
884ORGANIC DISTURBANCES64,781.68
885PSYCHOSES15,217.61
894ALCOHOL/DRUG ABUSE O23,283.58
896ALCOHOL/DRUG ABUSE O49,831.17
897ALCOHOL/DRUG ABUSE O25,653.02
90CONCUSSION W/O CC/MCC22,949.69
908OTHER O.R. PROCEDURE25,941.07
91OTHER DISORDERS OF NE40,637.25
915ALLERGIC REACTIONS W48,429.54
916ALLERGIC REACTIONS W13,212.92
917POISONING & TOXIC EF35,544.22
918POISONING & TOXIC EF20,058.80
92OTHER DISORDERS OF NE28,463.73
920COMPLICATIONS OF TRE11,555.03
921COMPLICATIONS OF TRE35,646.06
922OTHER INJURY, POISON38,420.92
93OTHER DISORDERS OF NE26,506.46
939O.R. PROC W DIAGNOSE69,542.57
947SIGNS & SYMPTOMS W M56,032.63
948SIGNS & SYMPTOMS W/O50,364.55
949AFTERCARE W CC/MCC103,339.97
956LIMB REATTACHMENT, H50,926.07
96BACTERIAL & TUBERCULO115,691.05
964OTHER MULTIPLE SIGNI29,943.73
981EXTENSIVE O.R. PROCE67,051.63
983EXTENSIVE O.R. PROCE35,186.23
988NON-EXTENSIVE O.R. P35,137.62

Pharmacy (Medication) Charges

Pharmacy DescriptionAverage fee per unit
ABATACEPT 10MG INJECTION276.95
ABSORBASE OINTMENT18.91
ACETA/OXYCODONE HYD 10MG/325 T4.21
ACETAMI/OXYCOD HYD 7.5/325MG T4.97
ACETAMINOPHEN 120 MG SUPP3.1
ACETAMINOPHEN 320 MG/10.15 ML5.92
ACETAMINOPHEN 325 MG SUPP3.09
ACETAMINOPHEN 325 MG TAB2.94
ACETAMINOPHEN 500MG TAB2.96
ACETAMINOPHEN 600 MG SUPP3
ACETAMINOPHEN/CODEINE #3 TAB2.42
ACETAMINOPHEN/CODEINE 120MG5.54
ACETAZOLAMIDE 250 MG TAB32.5
ACETAZOLAMIDE 500 MG CAP18.47
ACETAZOLAMIDE 500 MG/5 ML VIAL99.46
ACETYLCHOLINE CHLORIDE 2 ML VI262.21
ACETYLCYSTEIN 20% 200MG/30ML31.51
ACETYLCYSTEINE 100MG INJ364.25
ACETYLCYSTEINE NON-COMP UNIT/G30.11
ACTIVATED CHARCOAL 50GM BOTTLE114.05
ACTIVATED CHARCOAL W SORBITOL130.29
ACYCLOVIR 200 MG CAP2.96
ACYCLOVIR 5MG INJECTION0.17
ADENOSINE 1MG INJECTION14.17
ADO-TRASTUZUMAB EMT 1MG INJ212.35
ADO-TRASTUZUMAB EMT 1MG-WASTE210.79
ADRENALIN EPINEPHRINE .1MG INJ2.4
ADRENALIN EPINEPHRINE .1MG INJ35.08
ADRENALINE EPINEPHRINE 0.1MG63.61
ALBUMIN(HUMAN)25%50ML INFUSION391.12
ALBUT UpTo2.5MG IPRATR UpTo.5M2.92
ALBUTEROL INHALER85.9
ALBUTEROL NON-COMP UNIT 1MG3.24
ALENDRONATE 70MG3.74
ALLOPURINOL 100 MG TAB3.02
ALLOPURINOL 300 MG TAB3
ALOE VERA/GLYCERIN 1 BOT BOT17.26
ALPRAZOLAM 0.25 MG TAB2.89
ALPRAZOLAM 0.5 MG TAB2.95
ALTEPLASE 1MG INJ648.42
ALUM. MAGNES. HYDROX SIMET TAB2.97
ALVIMOPAN 12 MG CAP765.87
AMANTADINE HCL 100 MG CAP6.85
AMIKACIN SULFATE 100MG INJ30.19
AMINOCAPROIC ACID 250 MG/ML10.38
AMINOPHYLLINE 250 MG/10ML VIAL61.86
AMIODARONE (NEXTERONE) 360MG286.75
AMIODARONE 150MG VIAL (CORDARO5.7
AMITIZA 8MCG CAP(LUBIPROSTONE)32.96
AMITRIPTYLINE 10 MG TAB2.63
AMITRIPTYLINE 25 MG TAB3.08
AMLODIPINE 2.5 MG TAB2.99
AMLODIPINE 5 MG TAB2.95
AMMONIUM LACTATE 12 OZ BOTTLE18.11
AMOX/POT. CLAVUL 250MG/5ML SUS214.79
AMOXICILLIN 125 MG/5 ML SUSPEN18.74
AMOXICILLIN 250 MG CAP3
AMOXICILLIN 250 MG/5 ML SUSPEN12.32
AMOXICILLIN 500 MG CAP2.93
AMOXICILLIN CHEW 250 MG TAB4.25
AMOXICILLIN/CLAV.POTAS.250MG T27.5
AMOXICILLIN/CLAV.POTAS.500MG T6.46
AMOXICILLIN/POT.CLAV 875MG UD5.14
AMPHET ASP/AMPHET 5 MG TAB4.86
AMPICILLIN 1000 MG/5 ML VIAL6.91
AMPICILLIN 250 MG VIAL9.26
AMPICILLIN 500 MG CAP3
AMPICILLIN 500 MG VIAL PAR9.33
AMPICILLIN SODIUM 500MG INJ11.72
AMPICILLIN SULBACTAM 1.5 GM VI17.79
AMPICILLIN SULBACTAM 3 GM BOT16.59
ANALGESIC BALM-BEN GAY5.02
APRACLONIDINE HCL 0.5 ML DP238.13
AQUA MEPHYTON MDV 10 MG/ML257.73
ARIPIPRAZOLE 10MG7.5
ARIPIPRAZOLE 15 MG TAB24.85
ARIPIPRAZOLE 2 MG TAB6.75
ARIPIPRAZOLE 5MG TAB7.58
ARIPIPRAZOLE EXT 1MG INJ3,250.92
ARTIFICIAL TEARS 15 ML BOTTLE7.67
ARTIFICIAL TEARS 3.5 GM TUBE15.67
ASACOL HD 800MG DR TAB21.56
ASPIRIN 300 MG SUPP6.75
ASPIRIN 325 MG TAB2.97
ASPIRIN 81 MG TAB2.94
ASPIRIN EC 325 MG TAB3
ASPIRIN ENTERIC COATED 81MG2.89
ASTRINGYN FERRIC SUBSULFATE74.91
ATENOLOL 25 MG TAB2.92
ATENOLOL 50 MG TAB2.83
ATORVASTATIN (LIPITOR)10MG TAB2.97
ATROPINE SULFATE .01MG INJ43.93
ATROPINE SULFATE 0.4 MG/ML VIA27.02
ATROPINE SULFATE EYE DROPS312.34
ATROVASTATIN CALCIUM 40 MG TA3.04
ATROVENT 0.06 NASAL SPRAY129.86
AVAPRO 150MG CAPSULES3.16
AVITENE NON-WOVEN 70X35121.76
AZATHIOPRINE 50 MG TAB3
AZELASTINE130.68
AZITHROMYCIN 1 GM POWDER138.53
AZITHROMYCIN INJ 500 ML16.93
AZTREONAM 1 GM126.41
AZTREONAM 2GM INJ212.98
B O SUPPOSITORY 16.2/30MG119.97
BACITRACIN TUBE OINT8.2
BACLOFEN 10 MG TAB2.95
BACLOFEN 10MG INJ1,164.36
BACTRIM UDC11.44
BALANCED SALT SOLUTION 500 ML39.25
BASIC OINTMENT 454 GM JAR16.29
BENAZEPRIL 10 MG3
BENDAMUSTINE 1MG INJ191
BENDAMUSTINE 1MG INJ WASTE138.13
BENDAMUSTINE 1MG INJECTION201.72
BENLYSTA (BELIMUMAB) WASTE306.9
BENLYSTA (BELIMUMAB)400MG VIAL209.94
BENZOCAINE 2 OZ CAN SPRAY25.99
BENZOCAINE SPRAY 20%55.66
BENZOCAINE/MENTHOL 1 SPR SPRA0.1
BENZONATATE 100 MG CAP2.69
BENZTROPINE 1 MG TAB2.96
BENZTROPINE MESYLATE /1MG INJ481.96
BETAMET. 15 GM CR (DIPROSONE)169.03
BETAMETHASONE ACET & SOD PHOSP36.15
BETHANECHOL 25 MG TAB3
BEVACIZUMAB 10 MG/0.4 ML WASTE396.02
BEVACIZUMAB 10MG INJ389.26
BEVACIZUMAB 10MG INJ WASTE356.65
BEVACIZUMAB 10MG INJECTION366.27
BICITRA 30CC6.84
BIMATOPROST(LUMIGAN).01% 2.5ML762.96
BIOTENE ORAL BALANCE GEL31.66
BISACODYL 10 MG SUPP2.98
BISACODYL 5 MG TAB2.99
BISOPROLOL/HCTZ 5/625MG TAB3
BLEOMYCIN SULFATE 15UNIT INJ138.99
BORTEZOMIB(VELCADE).1MG WASTE327.39
BORTEZOMIB(VELCASE).1MG330.38
BREO ELLIPTA INHALATION POWDER336.83
BREXPIPRAZOLE 1MG210.85
BRIMONIDINE TARTRATE 5ML DROP12.99
BRINZOLAMIDE 5ML1,329.96
BSS PLUS236.63
BUDESONIDE 0.5MG/2ML31.01
BUMETANIDE7.74
BUMETANIDE 1 MG TAB3.28
BUMETANIDE INJ11.38
BUPIVACAINE 0.25% 10ML HCL9.6
BUPIVACAINE 0.5% M VIAL11.35
BUPIVACAINE 0.75% 2ML18.56
BUPIVACAINE 30 ML VIAL 1%9.96
BUPIVACAINE HCL 0.5% PER 1ML11.24
BUPIVACAINE/EPI 0.5% VIAL12.72
BUPRENORPHINE/NALOXO 8MG/2MG18.62
BUPRENORPHINE/NALOXONE <=3MG18.13
BUPROPION HCL 100 MG TAB7.13
BUPROPION HCL 100 MG TABLET3.53
BUPROPION HCL 150 MG TABLET3.62
BUPROPION HCL 75MG TAB5.27
BUSPIRONE 5 MG TAB2.97
BUSPIRONE HCL 15 MG TAB2.97
BUTORPHANOL TART 2 MG/ML VIAL26.32
BUTORPHANOL TARTRATE 1MG INJ22.38
C1 ESTERASE INHIBITOR,HUMAN 5019,802.74
CAFFEINE 200MG CAPLET3
CALAMINE LOTION7.29
CALC. CHLORIDE 13.6 MEQ/10 ML43.85
CALCITON SALMON 400 UNIT/2 ML12,410.06
CALCITONIN 2 ML NASAL SPRAY269.14
CALCITRIOL 0.25 MCG TAB2.98
CALCIUM 667 TAB4.08
CALCIUM CARB. 500 MG TAB-TUMS2.92
CALCIUM CARBONATE/VIT D2 1 TAB3.05
CALCIUM CHLORIDE 100 MG/ML SYR44.82
CALCIUM GLUCONATE 10 ML VIAL34.13
CAPTOPRIL 25 MG TAB9.45
CARBACHOL 1.5 ML BOTTLE73.67
CARBAMAZEPINE 200 MG TAB3
CARBAMIDE PEROX. 30 ML BOTTLE3.59
CARBIDOPA/LEVODOPA 10/100 TAB3
CARBIDOPA/LEVODOPA SR 50/2003
CARBOPLATIN 50MG INJ21.9
CARBOPR. TROMETHAM. 250 MCG/ML1,786.39
CARFILZOMIB INJ 1MG78.35
CARFILZOMIB INJ 1MG WASTE189.36
CARVEDILOL 12.5 MG TAB3
CARVEDILOL 25 MG TAB2.97
CARVEDILOL 3.125 MG TAB2.94
CARVEDILOL 6.25 MG TAB3
CEFAZOLIN 1000 MG/3 ML VIAL5.45
CEFAZOLIN SODIUM 500MG INJ40.41
CEFAZOLIN SODIUM 500MG INJ43.06
CEFDINIR 125 MG/5 ML ML39.05
CEFDINIR 300 MG CAP8.56
CEFEPIME 500MG INJ15.37
CEFEPIME 500MG INJECTION30.28
CEFOTAXIME 1 GM35
CEFOXITIN 1 GM2.84
CEFTAZIDIME PER 500MG INJ12.83
CEFTAZIDIME PER 500MG INJ41.47
CEFTAZIDIME PER 500MG INJ53.77
CEFTAZIDIME PER 500MG INJ75.38
CEFTRIAXONE PER 250MG INJ48.35
CEFTRIAXONE PER 250MG INJ87.17
CEFTRIAXONE SOD PER 20MG INJ6.14
CEFTRIAXONE SOD PER 250MG INJ7.36
CEFTRIAXONE SODIUM 250 MG VIAL8.79
CELECOXIB 100MG CAPS6.08
CELECOXIB 200MG CAPS9.15
CELEXA (CITALOPRAM) 20 MG TAB2.95
CEPACOL SUGAR FREE(BENZOCAINE)6.41
CEPHALEXIN 250 MG CAP2.79
CEPHALEXIN 250 MG/5 ML BOTTLE29.58
CEPHALEXIN 500 MG CAP2.71
CETAPHIL CREAM 16 oz35.57
CETIRIZINE HYDROCHLOR 10 MG TA2.78
CETUXIMAB 10MG INJ214.72
CETUXIMAB 10MG INJ WASTE256.05
CETUXIMAB 10MG INJECTION80.04
CETUXIMAB 10MG/5ML VIAL WASTE138.62
CHLORDIAZEPOXIDE 10 MG CAP3.06
CHLORDIAZEPOXIDE 25 MG CAP2.75
CHLORDIAZEPOXIDE 5 MG CAP2.66
CHLORHEXIDINE GLUCONATE 0.12%3.51
CHLORHEXIDINE GLUCONATE 0.12%27.57
CHLORPROMAZINE HCL 25 MG TAB6
CHLORPROMAZINE HCL 50 MG AMPUL131.71
CHOLECALCIFEROL VIT D3 1000MG3.04
CHOLESTYRAMINE 4 GM PACKET PWD10.37
CHONDROITIN SULFATE/HYALURON 1285.04
CILOSTAZOL 100MG3.64
CILOSTAZOL 50MG TAB3
CIMETIDINE 300 MG TAB3
CINACALCET 30MG TAB157.38
CIPRODEX OTIC 0.3%948.33
CIPROFLOXACIN 0.3% OPH SOL15.79
CIPROFLOXACIN 250MG TAB2.98
CIPROFLOXACIN 500 MG TAB2.96
CIPROFLOXACIN HCL 10 ML DROP1,268.29
CIPROFLOXACIN IV 200MG42.15
CISATRACURIUM 20MG/10ML116.78
CISPLATIN 10MG INJECTION11.85
CITALOPRAM HYDROBROMI 10MG TAB2.96
CLINDAMYCIN 150 MG CAP2.95
CLINDAMYCIN 300MG INJ16.83
CLINDAMYCIN 600MH/50ML D5W PRE43.53
CLINDAMYCIN 75MG/5ML2
CLINDAMYCIN 900MG/50ML D5W PRE50.27
CLINIMIX 4.25/25165.97
CLINIMIX 4.25/5325.48
CLINIMIX E 4.25/5308.15
CLOBETASOL PROPIONATE 15GM CR163.16
CLONAZEPAM 0.5 MG ODT3.27
CLONAZEPAM 0.5 TAB2.99
CLONAZEPAM 1 MG TAB3.01
CLONIDINE HCL 0.1 MG TAB3.03
CLONIDINE-TTS 0.1 MG PATCH97.55
CLONIDINE-TTS 0.2 MG PATCH232.55
CLONIDINE-TTS 0.3 MG PATCH229.41
CLOTRIMAZOLE 10 MG TAB3.39
CLOTRIMAZOLE 15 GM TUBE CR5
CLOZAPINE 100 MG TAB4.38
CODEINE/APAP/CAFFEIN/BUTALB 305.59
COLCHICINE 0.6 MG TAB36.39
COLESTIPOL 1GM6.92
COLLAGEN HEMOSTAT 1 POW167.2
COLLAGENASE751.55
CORDARONE 200 MG TAB3.01
CORTISPORIN OPTH OINTMENT281.54
CORTISPORIN OTIC SUSPENSION250.61
COSYNTROPIN 0.25 MG VIAL164.06
CO-TRIMOXAZOLE 1 TAB (SULFAM)2.85
CO-TRIMOXAZOLE 10 ML VIAL55.41
CULTURELLE CAPSULE4.03
CYANOCOBALAMIN 500 MCG TAB3.02
CYCLOBENZAPRINE 10 MG TAB2.76
CYCLOPENTOLATE 1% EYE DROPS12.32
CYCLOPENTOLATE HCL 2%73.59
CYCLOPHOSPHAMIDE 100MG268.38
CYCLOPHOSPHAMIDE 100MG277.18
CYCLOPHOSPHAMIDE 100MG WASTE284.1
CYCLOPHOSPHAMIDE 100MG WASTE293.48
DABIGATRAN 150MG CAP(PRADAXA)32.51
DABIGATRAN 75MG CAP(PRADAXA)31.91
DACRIOSE 150 U BOTTLE16.85
DANTROLENE 25 MG CAP7.04
DAPTOMYCIN 1MG INJ1,366.65
DARATUMUMAB 10MG INJ244.64
DARATUMUMAB 10MG INJ250.57
DARATUMUMAB 10MG INJ-WASTE238.83
DARBEPOETIN ALFA 100MCG ESRD2,142.18
DARBEPOETIN ALFA 100MCG NONESR2,056.91
DARBEPOETIN ALFA 200MCG NONESR3,874.80
DARBEPOETIN ALFA 300MCG NONESR9,114.04
DARBEPOETIN ALFA 40MCG ESRD829.24
DARBEPOETIN ALFA 40MCG NONESRD829.24
DARBEPOETIN ALFA 500MCG NONESR12,662.88
DARBEPOETIN ALFA 60MCG ESRD1,326.76
DARBEPOETIN ALFA 60MCG NONESRD1,211.93
DEFEROXAMINE 500MG INJECTION88
DENOSUMAB 1MG INJ134.99
DEPO MEDROL 80 MG/ML VIAL92.26
DESMOPRESSIN ACETATE /1MCG INJ241.34
DEXAMETH SOD TO 1MG INJ0.5
DEXAMETHASONE 0.5 MG TAB4.59
DEXAMETHASONE 1MG/1 ML4.92
DEXAMETHASONE 4 MG TAB5.39
DEXAMETHASONE SOD PHOS 10MG/1M10.04
DEXAMETHASONE SOD PHOS 1MG,INJ10.12
DEXMEDETOMIDE 200MCG/2ML VIAL93.08
DEXMEDETOMIDINE HCL60.76
DEXTROSE 10% IN WATER 1000 ML43.12
DEXTROSE 10% IN WATER 500 ML38.39
DEXTROSE 5 % IN WATER 1000 ML41.39
DEXTROSE 5% 100 ML39.83
DEXTROSE 5% 50 ML41.42
DEXTROSE 5% 500ML EXCEL BAG21.56
DEXTROSE 5% IN LACTATED RINGE43.12
DEXTROSE 5% IN WATER 250 ML37.78
DEXTROSE 5% IN WATER 500ML38.81
DEXTROSE 5% SALINE 0.2% 1000ML43.12
DEXTROSE 5% SALINE 0.2% 500ML43.12
DEXTROSE 5% SALINE 0.33% 500ML43.12
DEXTROSE 5% SALINE 0.45% 100040.91
DEXTROSE 5% SALINE 0.45% 500ML37.92
DEXTROSE 5% SALINE 0.9% 1000ML43.12
DEXTROSE 50 ML SYRINGE51.34
DEXTROSE 50% IN WATER57.28
DIAZEPAM 10 MG TAB2.96
DIAZEPAM 10 MG/2 ML SYRINGE148.81
DIAZEPAM 2 MG TAB3
DIAZEPAM 5 MG TAB2.72
DIAZEPAM TO 5MG INJ183.28
DIBUCAINE 1 OZ TUBE OINT34.46
DICLOFENAC SODIUM 1 APPLIC GEL210.84
DICYCLOMINE 10 MG TAB2.81
DICYCLOMINE 20MG TAB3
DICYCLOMINE HCI UP TO 20MG INJ371.16
DICYCLOMINE HYDROCHLORIDE 10MG1.35
DIFLUCAN 400MG IV43.12
DIGOXIN 0.125 MG TAB6.05
DIGOXIN 0.5 MG/2 ML AMPULE23.81
DILIAZEM 120 MG2.94
DILTIAZEM 100MG INJ34.33
DILTIAZEM 125MG PREMIX86.15
DILTIAZEM 180 CAP2.9
DILTIAZEM 240 MG CAP3.48
DILTIAZEM 25MG 5ML12.64
DILTIAZEM 30 MG TAB2.91
DILTIAZEM 300 MG CAP6.47
DILTIAZEM 60 MG TAB2.99
DILTIAZEM HYDROCHLORIDE14.56
DIPHENHYDRAMINE 12.5MG/5ML BOT5.87
DIPHENHYDRAMINE 50 MG CAP2.86
DIPHENHYDRAMINE 50 MG/ML VIAL9.81
DIPHENHYDRAMINE HCL 15 GM CR7.1
DIPHENHYDRAMINE HYDROCHLO 25MG2.87
DIPHENOXYLATE/ATROPINE 1 TAB2.96
DIVALPROEX SODIUM 125 MG3.55
DIVALPROEX SODIUM 125 MG CAP4.2
DIVALPROEX SODIUM 250 MG TAB3
DIVALPROEX SODIUM 250MG TAB7.46
DIVALPROEX SODIUM 500 MG TAB7.61
DIVALPROEX SODIUM 500MG2.99
DOBUTAMINE 250 MG VIAL34.44
DOBUTAMINE 250 MG/250ML26.48
DOCETAXEL (TAXOTER) 160MG/16ML10.89
DOCUSATE SODIUM 100 MG CAP2.71
DONEPEZIL 5MG UD (ARICEPT)3.03
DOPAMINE 400MG IN DEXTROSE 25044.64
DORZOLAMIDE HYDROCHLORIDE 1 DR48.68
DOXAZOSIN 1 MG CAP3.96
DOXAZOSIN 4 MG TAB6.58
DOXEPIN 25 MG CAP3.13
DOXEPIN 50 MG CAP4.23
DOXORUBICIN HCL 10MG INJ21.83
DOXORUBICIN HCL LIPOS 10MG1,971.80
DOXYCYCLINE 100 MG CAP2.87
DOXYCYCLINE 100 MG VIAL84.72
DRONEDARONE 400 MG TABLET54.68
DULOXETINE HYDROCHLORIDE 20MG6.87
DULOXETINE HYDROCHLORIDE 30MG6.31
DULOXETINE HYDROCHLORIDE 60MG4.94
DUOVISC -CHON1KIT263.69
DURVALUMAB 10MG ING53.63
DURVALUMAB 10MG INJ53.71
DURVALUMAB 10MG INJ WASTE53.7
EDARAVONE 1MG INJ2,658.79
ELECTROLYTE CONE VIAL28.67
ELIQUIS (APIXABAN) 2.5MG TAB11.29
ELIQUIS (APIXABAN) 5MG TAB10.19
EMLA 5 GM38.87
ENALAPRIL 10 MG TAB2.96
ENALAPRIL 5 MG TAB3
ENALAPRILAT 1.25MG/1 ML VIAL10
ENOXAPARIN 30MG/0.3 ML21.24
ENOXAPARIN 80 MG INJ55.94
ENOXAPARIN SODIUM 100MG63.66
ENOXAPARIN SODIUM 10MG INJ104.06
ENOXAPARIN SODIUM 120 MG78.84
ENOXAPARIN SODIUM 60MG/0.6 ML37.52
EPHEDRINE 50MG/5ML SYR53.7
EPHEDRINE SULFATE 50 MG/ML AMP177.35
EPINEPHRINE HCL 30 ML BOTTLE707.01
EPINEPHRINE HCL 30 ML VIAL9.45
EPINEPHRINE LIDOCAINE HCL INJ16.74
EPINEPHRINE PEN671.87
ERGOCALCIFEROL 50000 IU SGL3.68
ERTAPENEM SODIUM 1 GM VIAL563.7
ERYTHROMYCIN 5 MG/GM OINT10.34
ERYTHROMYCIN BASE 250 MG TAB27.53
ESCITALOPRAM OXALATE 10MG TAB2.95
ESMOLOL 100 MG/10 ML VIAL16.35
ESMOLOL 2500MG/250ML BAG1,192.49
ESTRADIOL 1 MG TAB2.96
ESTROGEN. SUBS CONJUGAT 5ML1,398.94
ESTROGENS CONJUGATED 42.5 TUBE1,668.14
ETHYL ALC(DEHYDR ALC)5ML AMP486.66
ETOMIDATE 2 MG/ML ML9.9
ETOPOSIDE 10MG INJECTION9.69
EXPAREL 1.3% 20ML 266MG1,584.00
EZETIMIBE 10 MG TAB37.41
FACTOR VIII FUSION RECOMB INJ9.64
FAMOTIDINE 20 MG TAB2.88
FAMOTIDINE 20MG/2ML9.69
FAMOTIDINE 20MG/50ML BAG36.48
FAMOTIDINE 40 MG TAB2.92
FELODIPINE 5 MG TAB5
FENOFIBRATE 160MG12.28
FENOFIBRATE 54MG TAB3.87
FENTANYL 100 MCG54.21
FENTANYL 25 MCG28.77
FENTANYL 50 MG60.46
FENTANYL 75 MG38.93
FENTANYL CITRATE 0.1MG INJ10.03
FENTANYL CITRATE 0.1MG INJ13.27
FENTANYL CITRATE,SODIUM CHL131.36
FENTANYL CITRATE0 0.1MG INJ4.63
FENTANYL PATCH 12MCG41.38
FENTANYL/BUPIV EPI 2MCG .125%102.11
FERRIC CARBOXYMALTOSE 1MG INJ3,717.21
FERRLECIT 12.5MG INJECTION33.08
FERROUS SULFATE 325 MG TAB3.13
FERROUS SULFATE 325 MG/5ML LIQ3
FERUMOXYTOL 1MG/0.03MI ESRD3.73
FERUMOZYTOL 1MG/0.03ML NONESRD3.74
FIBER TAB2.67
FILGRASTIM 300 MCG INJ p1mcg1,358.34
FILGRASTIN 1.6ML 480 MCGp1mcg2,324.63
FINASTERIDE 5MG TAB3.63
FIORICET TAB8.25
FLECAINIDE 50MG TAB4.65
FLOMAX2.99
FLONASE NASAL SPRAY30.74
FLUCONAZOLE 100 MG TAB6.27
FLUCONAZOLE 150 MG TAB10.92
FLUCONAZOLE 200 MG/100 ML BOT42.89
FLUDROCORTISONE 0.1 MG TAB3
FLUMAZENIL (ROMAZICON).5MG/5ML46.84
FLUORESCEIN SODIUM STRIP 9 MG3
FLUOROURACIL 500MG INJ8.37
FLUOROURACIL 500MG INJ10.3
FLUOROURACIL 5FU 500MG12.25
FLUOXETINE 10MG (PROZAC)2.86
FLUOXETINE 20 MG CAP2.97
FLUOXETINE LIQUID1.92
FLUPHENAZINE HCL 5 MG TAB27.56
FLUTICASONE (FLOVENT 110MCG)1,069.98
FLUTICASONE (FLOVENT 220MCG)1,662.07
FLUVOXAMINE 50 MG TAB3.13
FOLIC ACID 1 MG TAB2.83
FOLIC ACID 5 MG/ML10.58
FONDAPARINAX 2.5MG/0.5ML67.97
FONDAPARINUX SODIUM 10 MG/0.8221.51
FONDAPARINUX SODIUM7.5MG/0.6ML170.56
FORMULATION R OINT10.49
FOSAPREPITANT 1MG INJ9.26
FOSFOMYCIN 3GM ORAL PKT374.16
FOSINOPRIL 10MG TAB3
FOSPHENYTOIN 50MG INJ PHENYTOI23.21
FULVESTRANT 25MG INJ645.96
FUROSEMIDE 10 MG/ML SOLUTION1.5
FUROSEMIDE 20 MG TAB2.95
FUROSEMIDE 20 MG/ML VIAL – 2ML10.1
FUROSEMIDE 40 MG TAB2.99
FUROSEMIDE 80 MG TAB3
GABAPENTIN 100 MG CAPS2.95
GABAPENTIN 250 MG/5 ML SOL3
GABAPENTIN 400MG CAP2.93
GABAPENTIN 800MG3.01
GAUIFENESIN AC 10ML3.26
GELFOAM LG 100107.84
GELFOAM SM 12X721.94
GEMCITABINE 200MG INJECTION47.41
GEMCITABINE HCL 200MG INJ40.01
GEMFIBROZIL 600 MG TAB3
GENTAMICIN 15 GM TUBE CREAM193.87
GENTAMICIN 5 ML BOTTLE DROPS8.47
GENTAMICIN 80 MG/2 ML VIAL9.32
GENTAMICIN UP TO 80MG INJ7.45
GENTAMICIN/NS 80 MG BAG41.45
GLIMEPIRIDE 2GM (AMARYL)3.03
GLIPIZIDE (GLUCOTROL)XL 2.5MG4.03
GLIPIZIDE 5 MG TAB2.98
GLIPIZIDE XL 5 MG TAB3.02
GLUCAGON 1 MG VIAL496.49
GLUCOSE GEL25.03
GLUCOSE TABLETS3
GLYBURIDE 2.5 MG TAB3
GLYBURIDE 5 MG TAB3
GLYCERIN 1 SUPPOSITORY3.76
GLYCERIN 1 SUPPOSITORY INFANT3
GLYCOPYRROLATE .4MG/2ML INJ80.57
GLYCOPYRROLATE 1 MG TAB4.8
GLYCOPYRROLATE 1MG/5ML SYR INJ56.93
GNRC DACARBAZINE 100MG INJ16.25
GOLYTELY POWDER FOR SOLUTION33.15
GUAIFENESIN 10 ML CONTAINER3.06
GUAIFENESIN DM 10ML3.62
GUAIFENESIN TAB3.79
GUAIFENESIN/DEXTROMETHROPHAN T3.09
HALOBETASOL PROPIONATE172.67
HALOPERIDAL DECANOATE 100 ML212.18
HALOPERIDOL 1 MG TAB3.29
HALOPERIDOL 2 MG/ML BOTTLE1.82
HALOPERIDOL 5 MG TAB3
HALOPERIDOL 5 MG TAB4
HALOPERIDOL 5 MG/ML AMPULE9.97
HALOPERIDOL DECAN. 50 MG/1 ML129.32
HEMORRHOIDAL HC 1 SUPP34.77
HEMORRHOIDAL OINTMENT TUBE11.41
HEMORRHOIDAL/HC 30 GM TUBE116.33
HEP LOCK FLUSH INJ PER 10 UNIT9.59
HEPARIN PER 1000 UNIT INJ12.73
HEPARIN SOD /1000 UNITS INJ2.1
HEPARIN SODIUM,PORCINE 5000 UN9.82
HEPARIN SODIUM/1000 UNITS INJ2.44
HEPARIN SODIUM/1000U INJ84.96
HEPATITIS A VACCINE ADULT IM278.25
HEPATITIS B VACC (RECOMBINANT)10.53
HETASTAR. 6% /NACL 0.9% 500 ML92.21
HEXAMINOLEVULINATE 100MG INJ5,166.51
HUMAN TETANUS IG INJ TO 250UNI2,027.94
HYALURANATE SODIUM4,284.43
HYDRALAZINE 10 MG TAB3
HYDRALAZINE 20 MG/ML AMPULE15.38
HYDRALAZINE 25 MG TAB3.06
HYDROCHLOROTHIAZIDE 25 MG2.96
HYDROCODONE 7.5-325 SOL 15ML8.74
HYDROCODONE BIT/ACETAMIN TAB2.86
HYDROCODONE/BITARTRA/APAP5/3252.5
HYDROCODONE/BITARTRATE/APAP 7.2.81
HYDROCORT 30 GM TUBE HYTONE1%8.91
HYDROCORT 30 GM TUBE OINT 1%6.25
HYDROCORT SOD SUCC 100MG75
HYDROCORT SOD.SUCC. 250MG/2ML141.13
HYDROCORT/POLYMYXIN/NEOMY 10ML401.61
HYDROCORTISONE 10MG TAB3.92
HYDROCORTISONE CM 2.5%11.44
HYDROMORPHONE 2 MG TAB2.73
HYDROMORPHONE HCL 10 MG/ML10
HYDROMORPHONE UP TO 4MG INJ18.44
HYDROMORPHONE UPto 4MG185.56
HYDROXYCHLOROQUINE 200 MG TAB7.86
HYDROXYUREA 500 MG CAP3.85
HYDROXYZINE 100MG/2ML INJ12.52
HYDROXYZINE HCL 10 MG TAB3
HYDROXYZINE HCL 25 MG TAB2.94
HYDROXYZINE PAMOATE 25 MG CAP2.97
HYOSCYAMINE 0.125 MG2.76
IBANDRONATE SODIUM INJ 1MG396.86
IBUPROFEN 100MG/5ML SUSP3.41
IBUPROFEN 200 MG TAB2.82
IBUPROFEN 400 MG TAB2.86
IBUPROFEN 600 MG TAB2.73
IMIPRAMINE HCL 25 MG TAB3
IMITREX 6 MG SYR64.31
IMMUNE GLOBUL NONLYO 500mg INJ158.59
IMMUNE GLOBUL NONLYOP 500mgINJ186.38
IMMUNE GLOBUL NONLYOP 500mgINJ187.4
IMMUNE GLOBULIN NONLYO 500 INJ208.87
IMMUNE GLOBULIN NON-LYPH INJ197.82
IMMUNE GLOBULIN NONLYPHOLIZED220.24
IMMUNE GLOBULIN NONLYPHOLYZED231.8
INCRUSE ELLIPTA INHALER214.12
INDAPAMIDE 2.5 MG TAB3
INDOCYANINE GREEN 25MG KIT341.79
INDOMETHACIN 25 MG CAP3
INDOMETHACIN 50 MG CAP3
INFLIXIMAB (INFLECTRA)10MG INJ213.64
INFLIXIMAB (REMICAD)10MG WASTE505.4
INFLIXIMAB (REMICADE) 10MG INJ480.71
INFLUENZA VIRUS VAC IIV4,0.5ML96.24
INSULIN PER 5 UNITS INJ27.34
INSULIN PER 5 UNITS INJ88.31
INSULIN PER 5 UNITS INJ131.74
INSULIN PER 5 UNITS INJ168.49
INSULIN PER 5 UNITS INJ1,343.08
INTRALIPID 20% 250 ML79.71
IODINE 480 ML1.09
IPILIMUMAB (YERVOY) 1MG697.55
IPILIMUMAB (YERVOY) 1MG INJ698.86
IPILIMUMAB(YERVOY)1MG INJ WAST691.59
IPRATROPIUM 0.03% NASAL SPRAY114.51
IPRATROPIUM BROMIDE 14 GM INH1,659.83
IPRATROPIUMM (ATROVENT) 2.5ML2.97
IRINOTECAN 20MG INJ55.1
IRINOTECAN 20MG INJ WASTE53.99
IRINOTECAN 20MG INJECTION19.03
IRON DEXTRAN 50 MG/ML AMPULE94.46
IRON SUCROSE 1MG1.47
ISOSORBIDE 5 MG TAB5.55
ISOSORBIDE MONONITRATE 20MG TA3
ISOSORBIDE MONONITRATE 30MG TA2.95
ISOSORBIDE MONONITRATE 60MG TA3
ISOSULFAN BLUE(LYMPHAZUIN)1%3,937.25
IVIG PRIVIGEN 500MG INJ184.75
IVIG PRIVIGEN 500MG INJ192.45
KCENTRA PER 1IU8.8
KCENTRA PER 1IU-WASTE8.39
KCENTRA PER IU9.76
KCENTRA PER IU-WASTE8.49
KENALOG 0.1% 15 GM CREAM26.69
KETAMINE HCI 50 MG/ML VIAL18.79
KETAMINE HYDROCHLORIDE INJ32.3
KETOCONAZOLE 2%49.96
KETOCONAZOLE 30 GM TUBE118.54
KETOROLAC 10 MG TAB5.09
KETOROLAC TROMETHAMINE 30 MG9.77
KETOROLAC TROMETHAMINE 60 MG11.62
KETOROLAC TROMETHAMPINE EYE DR134.88
LABETALOL 100 MG TAB2.82
LABETALOL 100 MG/20 ML VIAL20.97
LACOSAMIDE 200MG TAB86.69
LACOSAMIDE 50MG TAB49.61
LACTATED RINGERS 1000 ML BAG36.22
LACTOBACILLUS ACIDOPHILUS 1 BO8.2
LACTULOSE 20 GM/30 ML UDC LIQ3
LAMOTRIGINE 100MG TAB2.92
LAMOTRIGINE 25 MG TAB2.83
LANREOTIDE 1MG INJ36,922.78
LANSINOH LANOLIN CREAM 7GM7.66
LANSOPRAZOLE 15MG81.36
LATANOPROST 2.5 ML BOTTLE51.09
LEMTRADA(ALEMTUZUMAB) 1MG INJ84,639.54
LET GEL37.92
LETROZOLE (FEMARA) 2.5 MG TAB3.53
LEUCOVORIN CALCIUM /50MG INJ22.91
LEUCOVORIN CALCIUM PER 50MG18.7
LEUPROLIDE 7.5 MG INJ620.85
LEUPROLIDE ACETATE 22.5MG2,228.35
LEUPROLIDE ACETATE 7.5MG3,791.78
LEUPROLIDE ACETATE 7.5MG(45MG)4,471.89
LEVALBUTEROL HAFA INHALER247.8
LEVALBUTEROL NON-COMP 0.5MG8.98
LEVAQUIN 250 MG TAB2.75
LEVARTERENOL BITARTRATE 4 ML21.78
LEVETIRACETAM 10 MG INJ4.47
LEVETIRACETAM ORAL SOLUTION9.49
LEVETRACETAM 500 MG TAB2.84
LEVOFLOXACIN 250MG INJ40.13
LEVOFLOXACIN 500 MG IVPB42.42
LEVOFLOXACIN 500MG PO UD2.93
LEVOFLOXACIN 750MG TAB3.04
LEVOFLOXACIN/D5%W 5MG/1ML BAG43.12
LEVONORGESTREL 1.5 MG TAB85.59
LEVOTHYOXINE INJ 100MCG VIAL470.16
LEVOTHYROXINE 112MCG TAB3.07
LEVOTHYROXINE SOD 100MCG TAB2.91
LEVOTHYROXINE SOD 125MCG TAB2.91
LEVOTHYROXINE SOD 150MCG TAB3.25
LEVOTHYROXINE SOD 25MCG TAB2.98
LEVOTHYROXINE SOD 75MCG TAB2.98
LEVOTHYROXINE SOD 88MCG TAB2.97
LEVOTHYROXINE SODIUM 50MCG TAB3.02
LIDOCAINE 0.5% 50 ML VIAL13.57
LIDOCAINE 1% 10 MG/ML10.84
LIDOCAINE 1% 30ML15.63
LIDOCAINE 1% 5ML AMP10.13
LIDOCAINE 1% W/EPI 20 ML VIAL15.66
LIDOCAINE 2% 10 ML AMPULE16.34
LIDOCAINE 2% 20 ML VIAL9.97
LIDOCAINE 2% 20 ML VIAL13.35
LIDOCAINE 2% 5ML PF SYR35.07
LIDOCAINE 2% GEL 5ML TUBE12.43
LIDOCAINE 2% STERILE JELLY 10M36.67
LIDOCAINE 30 GM TUBE GEL43.17
LIDOCAINE 5% PATCH24.88
LIDOCAINE 50 ML BOTTLE204.32
LIDOCAINE HCL 5ML AMP59.66
LIDOCAINE HCL INJ9.99
LIDOCAINE HYDROCHLORIDE 4 ML106.22
LIDOCAINE UDL4.37
LIDOCAINEfor10MG IV(100MG/5ML)14.88
LINEZOLID 600MG/300 ML BAG207.19
LIOTHYRONINE 5MCG TAB3.49
LISINOPRIL 2.5MG TAB3.01
LISINOPRIL 10MG TAB2.93
LISINOPRIL 40MG2.96
LITHIUM 450 MG3
LITHIUM CARBONATE 150 MG CAP3
LITHIUM CARBONATE 300 MG CAP1.77
LOPERAMIDE 2 MG CAP3.13
LORATADINE 10MG TAB2.95
LORATADINE 5MG/ 5 ML SY0.77
LORATADINE/PSEUDEOPHEDRINE TAB3.8
LORATADINE/PSEUDOEPHEDRINE D243.74
LORAZEPAM 0.5 MG TAB2.74
LORAZEPAM 1 MG TAB2.87
LORAZEPAM 2 MG SYRINGE9.27
LORAZEPAM ORAL SOLUTION7.36
LORTREL 5/202.77
LOSARTAN POTASSIUM 25 MG TAB3
LOTRISONE 15 GM TUBE CREAM88.53
LOVASTATIN 50MG UD (COZAAR)3.02
LOVENOX (ENOXAPARIN) 300MG/3ML50.98
LOVENOX 10MG INJ26.76
LUBIPOSTONE 24MCG34.18
LURASIDONE (LATUDA) 20MG TAB149.42
LURASIDONE (LATUDA) 40MG TAB218.49
LURASIDONE (LATUDA) 80MG TAB218.85
MAGNESIUM CITRATE 10 OZ BOTTLE53.99
MAGNESIUM OXIDE 400 MG TAB2.9
MAGNESIUM SULFATE /500MG INJ11.15
MAGNESIUM SULFATE 40 MEQ/10 ML5.61
MAGNESIUM SULFATE 40GM/ML BAG37.16
MAGNESIUM SULFATE 50% 1GM/2ML3.4
MAGNESIUM SULFATE 500MG INJ37.72
MAGNESIUM SULFATE PER 500MG78
MANNITOL 12.5 GM/50 ML VIAL12.63
MARINOL CAPSULES15.37
MAXITROL 3.5% OPHTH OINT96.61
MAXITROL SUSP 5 ML BOTTLE92.48
MEASLES MUMPS RUBELLA VACCINE273.2
MECLIZINE 12.5MG TAB2.87
MECLIZINE 25 MG TAB2.78
MEDROXYPROGESTERONE 150MG/ML313.29
MEDROXYPROGESTERONE 25 MG TAB3
MEGESTROL ACETATE 40 MG TAB3
MELOXICAM 7.5 MG TAB3.01
MEMANTINE HYDROCHLORIDE 10MG2.99
MENTHOL/ZINC OXIDE 113 GM TUBE17.18
MEPERIDINE HYDROCHLORIDE 25MG26.76
MEROPENEM 100MG INJECTION4.23
METAMUCIL UD PACKET3
METFORMIN3
METFORMIN 850MG (GLUCOPHAGE)2.96
METFORMIN HCL 500 MG TAB3
METHACHOLINE 1MG2.72
METHADONE 10 MG TB3.17
METHADONE HCL 5 MG TAB2.14
METHERGINE 0.2 MG TAB236.99
METHERGINE 0.2 MG/ML AMPULE80.39
METHIMAZOLE 10 MG1.75
METHOL/ZINC OXIDE 3.5 GM PACK2.98
METHOTRAXATE 2.5 MG TAB12.33
METHOTREXATE 50 MG/2 ML VIAL63
METHOTREXATE SODIUM 50MG110.44
METHYLDOPA 250 MG TAB3.09
METHYLNALTREXONE BROMIDE 12MG444.45
METHYLPHENIDATE 10 MG TAB6.65
METHYLPHENIDATE 5 MG TAB3.02
METHYLPREDNISOLONE 4 MG TAB2.14
METHYLPREDNISOLONE 40MG INJ44.98
METHYLPREDNISOLONE INJto125MG94.49
METHYLPREDNOSOLONE 125MG INJ111.22
METOCLOPRAMIDE 10 MG TAB2.83
METOLAZONE 2.5 MG TAB12.53
METOLAZONE 5 MG TAB7.09
METOPROLOL 100 MG TAB6.39
METOPROLOL 5 MG/5 ML AMPULE9.67
METOPROLOL 50 MG TAB2.99
METOPROLOL 50MG TAB4.09
METOPROLOL SUCCINATE 25 MG TAB4.26
METOPROLOL TARTRATE 25 MG TAB2.97
METRONIDAZOLE 250 MG TAB2.97
METRONIDAZOLE 500 MG/100 ML39.93
MICAFUNGIN (MYCAMINE) 100MG VI341.47
MICONAZOKE 2% POWDER31.78
MICONAZOLE TUBE VAGINAL CREAM13.89
MIDAZOLAM 2MG/2ML VL PF9.99
MIDAZOLAM 5 MG/5 ML VIAL15.03
MIDAZOLAM HCL 1MG INJ121.34
MIDAZOLAM PER 1MG INJ9.23
MIDODRINE 10MG TAB6.46
MIDODRINE 2.5MG TAB2.92
MILK OF MAGNESIA 30 ML6.82
MINERAL OIL 30 ML CONTAINER3.84
MIRTAZAPINE 15 MG TAB6.84
MISC PHARM NON FORMULARY INJ156.2
MISC PHARM ORAL DRUGS7.32
MISC PHARMACY NON FORMULARY1.07
MISOPROSTOL 100 MCG TAB4.1
MISOPROSTOL 200 MCG TAB4.57
MISOPROSTOL 25MCG CUT TAB3.06
MITOMYCIN PER 5MG(40MG VIAL)573.12
MITOMYCIN TOPICAL EYE IRR680.35
MODAFINIL 200 MG TAB54.76
MOMETASONE FUROATE 1 APPLIC CR32.64
MONTELUKAST SODIUM 10 MG TAB2.98
MORPHINE 100 MG TABS17.94
MORPHINE 10MG PRESERV FREE INJ11.89
MORPHINE 15 TAB3.42
MORPHINE 20MG ER CAPSULE19.32
MORPHINE SULFATE 10MG/5ML SOLN6.57
MORPHINE SULFATE 15 MG TAB3.4
MORPHINE SULFATE 30 MG TAB6.6
MORPHINE SULFATE 30MG 30MLVIAL46.48
MORPHINE SULFATE INJ 4MG/ML10.32
MORPHINE SULFATE ORAL SOLUTION10.62
MORPHINE SULFATE TO 10MG INJ9.56
MOXIFLOXACIN HCL 0.5 ML DP177.24
MULTIVITAMIN (MVI-12) 10 ML52.68
MULTIVITAMIN AND IRON15 1 TAB2.36
MUPIROCIN 15 GM TUBE OINT33.85
MYCOPHENOLATE CELLC 250MG CAP3
MYCOPHENOLATE MOFETIL 500 MG T4.54
MYLANTA LIQUID 30 ML7.27
NA POLYSTYRENE SULFONATE 1GM49.1
NABUMETONE 500 MG TAB3.13
NAFCILLIN 2 GM VIAL136.53
NALBUPHINE HCL PER 10MG INJ39.12
NALOXONE 0.4 MG/ML VIAL53.8
NALOXONE 2 MG/2 ML AMPULE187.43
NALTREXONE 50 MG TAB9
NAMENDA 5MG10.28
NAPROXEN 500 MG TAB2.96
NATALIZUMAB 1MG INJECTION127.95
NEOMYCIN 500 MG TAB5.36
NEOSPORIN7.32
NEOSTIGMINE METHYL UP TO 0.5MG216.08
NEOSYNEPHRINE OPHTH 10% GTTS205.75
NEOSYNEPHRINE SPRAY4.98
NEO-SYNEPHRINE TO 1ML INJ21.72
NEPHROCAPS 1 TAB CAP3.7
NEURONTIN 300MG CAPS (GABAPENT2.84
NEUTRAPHOS 1.25 GM CAP3.07
NIACIN 500 MG TAB20.5
NICARDIPINE HCL 25MG/10ML INJ60.83
NICOTINE POLACRILEX 2 MG GUM2.92
NICOTINE TRANSDERMAL 14MGPATCH6.95
NICOTINE TRANSDERMAL 21MGPATCH7.11
NICOTINE TRANSDERMAL 7MG PATCH6.93
NIFEDIPINE 10 MG CAP2.74
NIFEDIPINE 30 MG TAB3.56
NIFEDIPINE 60 MG TAB5.32
NITRO DRIP PREMIX 250ML 25MG49.3
NITROFURANTOIN 50 MG CAP11.42
NITROFURANTOIN MONO/MACROCRYST15.19
NITROGLYCERIN 0.1 MG PATCH3.19
NITROGLYCERIN 0.2 MG PATCH3
NITROGLYCERIN 0.4 MG PATCH3
NITROGLYCERIN 0.4 MG/TAB 25108.86
NITROGLYCERIN 1 GM TUBE9.4
NOREPINEPHRINE DRIP 503B COMP260.21
NORMAL SALINE INFUSION 250CC41.46
NORMAL SALINE SOL INFUS 250CC43.12
NORTRIPTYLINE 25 MG CAP2.83
NORTRIPTYLINE 75 MG CAP3
NUSINERSEN(SPINRAZA)0.1MG INJ426,622.01
NYSTATIN 15 GM TUBE CREAM22.69
NYSTATIN 500000 UNITS/5ML ML4.61
NYSTATIN POWDER 15 GM21.68
OCREVUS (OCRELIZUMAB) 1MG INJ228.22
OCTREOTIDE ACETATE 30MG27,928.91
OCTREOTIDE NOT DEPOT 25MCG INJ14.04
OCTREOTIDE NOT DEPOT 25MCG INJ25.37
ODANSETRON (ZOFRAN) 1MG11.12
OFIRMEV IV ACETAMINOPHEN 10002.54
OFLOXACIN OTIC 0.3% DROPS606.83
OLANZAPINE 10 GM TAB2.88
OLANZAPINE 10 MG VIAL-5MG DOSE163.32
OLANZAPINE 5 MG TAB6.38
OLANZAPINE ZYDIS 10 MG TAB12.82
OLANZIPINE 5 MG TAB3
OLARATUMAB 10MG INJ237.6
OLARATUMAB 10MG INJ-WASTE347.33
OLPATADINE HCL 0.1% 5ML PATANO231.46
OMALIZUMAB 5MG INJECTION75.48
OMEGA-3-ACID ETHYL ESTERS18.63
OMEPRAZOLE 20 MG PO2.93
ONABOTULINUMTOXINA 1UNIT INJ30.29
ONABOTULINUMTOXINA 1UNIT-WASTE30.29
ONDANSETRON 4 MG ORAL2.95
ONDANSETRON 4MG TAB-NON CHEMO2.02
ONDANSETRON 8 MG TAB-NON CHEMO3
ONDANSETRON PER 1MG INJ9.8
OPDIVO (NIVOLUMAB) 1MG INJ158.64
OPDIVO (NIVOLUMAB) 1MG INJ164.26
OPDIVO (NIVOLUMAB) 1MG WASTE184.02
OPDIVO (NIVOLUMAB)1MG INJ175.66
OPDIVO (NIVOLUMAB)1MG INJ-WAST186.35
OPHTH DILATING SOLN 0.5ML66.44
ORAJEL (BENZOCAINE 10%) 7GM TU19.95
ORAL DRUG,CHEMOTHERAPY NOS14.44
ORPHENADRINE CITR UP TO 60MG84.6
OSELTAMIVIR 30MG CAP59.71
OSELTAMIVIR ORAL SUSPENSION77.47
OSELTAMIVIR PHOSPHATE 75MG CAP50.46
OSMITROL 10% 500 ML BAG112.31
OXALIPLATIN .5MG INJ WASTE7.35
OXALIPLATIN 0.5MG INJ7.45
OXALIPLATIN 0.5MG WASTE0.09
OXALIPLATIN 0.5MG/0.1ML7.22
OXCARBAZEPINE 150MG(TRILEPTAL)3.17
OXCARBAZEPINE 300MG3
OXYBUTYNIN 5 MG TAB2.99
OXYBUTYNIN XL 5MG TAB8.45
OXYCINTIN 20MG (OXYCODONE)28.63
OXYCODONE 10 MG TABLETS18.14
OXYCODONE 40MG38.52
OXYCODONE IR 5MG TAB2.11
OXYCODONE/APAP 5/325MG 1 TAB2.83
OXYMETAZOLINE HCL NASAL SPRAY3.72
OXYTOCIN 10 UNIT/ML AMPULE9.89
OXYTOCIN TO 10 UNITS INJ54.69
PACLITAXEL 1MG INJECTION8.31
PACLITAXEL PROTEIN-BOUND 1MG86.62
PACLITAXEL PROTEIN-BOUND WASTE87.16
PALIPERIDONE 3 MG TAB127.28
PALIPERIDONE 6MG TAB113.57
PALONOSETRON HCI 25MCG INJ1,217.46
PANCRELIPASE TAB6.27
PANTOPRAZOLE SODIUM 40 MG/VIAL19.36
PARICALCITOL 1 MG CAP30.27
PARICALCITOL 2 MCG/ML VIAL27.21
PAROXETINE 20 MG TAB2.93
PAROXETINE HYDROCHLOR 10MG TAB3.07
PCV13 (PNEUM) VACCINE801.58
PEGFILGRASTIM 6 MG/0.6 ML DISP22,857.13
PEGFILGRASTIM 6MG DEL KIT INJ18,740.17
PEMBROLIZUMAB 1MG INJ259.46
PEMBROLIZUMAB 1MG INJ-WASTE167.31
PEMETREXED 10MG INJ236.7
PEMETREXED 10MG INJ284.75
PEMETREXED 10MG INJ WASTE126.7
PEMETREXED 500 MG/20 ML WASTE308.89
PEN.VK SUSP-BIOCRAFT 25OMG/5ML3.55
PENICILLIN G BENZ 100000UN INJ600.1
PENICILLIN G POT UP TO 600000U3.03
PENTASA 250 MG CAP17.35
PENTOXIFYLLINE 400 MG TAB3
PERMETHRIN LOTION 1% 60ML BTL30.5
PERPHENAZINE 4 MG TAB5.71
PERTUZUMAB 1MG INJ81.45
PETROLATUM OINTMENT5.55
PETROLATUM,WHITE 5GM FOILPAC2.94
PHENAPHTHAZINE 100 MG TAB4.84
PHENOBARBITAL 130 MG/ML VIAL279.31
PHENOBARBITAL 32.4MG TAB3.04
PHENYLEPHRINE 10 MG/ML VIAL24.78
PHENYLEPHRINE HCL INJ UPto 1ML40.2
PHENYLEPHRINE HCL OPH 10%0.5ML20.82
PHENYTOIN 100 MG CAP2.73
PHENYTOIN 100 MG/ML UDC5.85
PHENYTOIN 30MG (DILANTIN)5.87
PHYSOSTIGMINE 2 MG/2 ML AMPULE262.1
PHYTONADIONE (VIT K)/1MG INJ102.32
PHYTONADIONE 5 MG290.96
PILOCARPINE 2 15 ML353.14
PIOGLITAZONE 15MG4.11
PIPERACILL/TAZOBACTAM 4/0.5GM21.8
PIPERACILLIN/TAZOBACTAM23.93
PIPERACILLIN/TAZOBACTAM 2.2515.61
PLAVIX 75mg ORAL TABLET3.03
PNU-IMMUNE SYRINGE 0.5 ML398.12
POLYETHYLENE GLYCOL 14OZ67.94
POLYETHYLENE GLYCOL 3350 1 EAC6.56
POLYMIXIN B/TM EYE GTTS 10ML48.37
POTASSIUM ACETATE 2 MEQ/MLVIAL14.17
POTASSIUM CHLORIDE /2MEQ2.31
POTASSIUM CHLORIDE /2MEQ40.14
POTASSIUM CHLORIDE /2MEQ42.81
POTASSIUM CHLORIDE /2MEQ INJ11.37
POTASSIUM CHLORIDE /2MEQ INJ28.75
POTASSIUM CHLORIDE /2MEQ INJ30.2
POTASSIUM CHLORIDE 10 MEQ TAB3.08
POTASSIUM CHLORIDE 2 MEQ INJ11.35
POTASSIUM CHLORIDE 20 MEQ TAB2.93
POTASSIUM CHLORIDE 20MEG/100ML39.07
POTASSIUM CHLORIDE 20MEQ/15 ML58.23
POTASSIUM PHOSPHATE 3MM/ML 5ML27.69
POTASSIUM-CITRATE/BICAR 25 MEQ2.92
PRAMIPEXOLE DI-HCL 0.25 MG TAB2.86
PRAMIPEXOLE DI-HCL 1 MG TAB3.74
PRAMOXINE & HYDROCORTISONE447.56
PREDNISOLONE 15 MG/5 ML UDC10.03
PREDNISONE 1 MG TAB3
PREDNISONE 1 MG/1 ML3.44
PREDNISONE 10 MG TAB3.07
PREDNISONE 20 MG UD TAB2.91
PREDNISONE 5 MG TAB UD3.01
PREGABALIN46.57
PREGABALIN 150 MG CAP45.16
PREGABALIN 75MG CAP48.63
PREMETHRIN CREAM 5% 60GM TUBE303.38
PRIMIDONE 250 MG TAB3.66
PRIMIDONE 50 MG TAB3.09
PROBENECID 500 MG TAB3
PROCHLORPERAZINE 10 MG TAB3
PROCHLORPERAZINE 25 MG SUPP31.08
PROCHLORPERAZINE 5 MG TAB3
PROMETHAZINE 12.5 MG SUPP43.11
PROMETHAZINE 25 MG TAB2.93
PROMETHAZINE 50 MG/ML AMPULE9.09
PROMETHAZINE 6.25 MG/5 ML2.81
PROMETHAZINE HCL 25MG/SUP RECT35.98
PROPAFENONE 150 MG TAB3
PROPANOLOL 20 MG TAB2.98
PROPARACAINE 15 ML BOTTLE124.76
PROPOFOL 10MG INJ42.33
PROPOFOL 10MG INJ42.86
PROPOFOL 10MG INJ75.33
PROPRANOLOL 1 MG/ML AMPULE13.48
PROPRANOLOL 10 MG TAB2.96
PROPRANOLOL 120 MG CAP8.76
PROPRANOLOL 40 MG TAB3.91
PROPRANOLOL 60 MG CAP11.18
PROPRANOLOL 80 MG CAP11.29
PROPRANOLOL 80MG TAB3
PROSTIGMIN TO 0.5MG INJ89.35
PSEUDOEPHEDRINE 30 MG TAB3
PYRIDOXINE 50 MG TAB3.03
PYRIDOXINE HCL 100MG INJ55.48
QUETAPINE FURMATE 50 MG TAB3.49
QUETIAPINE 200MG TAB (SERQUEL)4.44
QUETIAPINE 50MG TAB (SEROQUEL)2.98
QUETIAPINE FUMARATE 100MG2.92
QUETIAPINE FUMARATE 200 MG TAB38.83
QUETIAPINE FUMARATE 25 MG TAB2.99
QUETIAPINE FUMRATE 150 MG TAB10.28
QUINAPRIL 10 MG TAB3
RABIES IG INJ IM/SQ 150U/ML3,922.11
RABIES VACCINE IM 1ML1,262.25
RALOXIFENE HCL 60MG TAB26.69
RAMIPRIL 2.5MG UD3
RAMIPRIL 5MG UD (ALTACE)3
RANOLAZINE ER 500MG TAB32.66
RASBURICASE .5MG INJ3,719.49
RASBURICASE .5MG INJ WASTE3,765.25
RASBURICASE 0.5 MG1,244.88
RASBURICASE 0.5MG 7.5MG WASTE1,288.93
RECOMBIVAX HB PED-ADOLESCENT6.77
REGADENOSAN(LEXISCAN)/.10mg1,039.56
REGLAN 5 MG/ML VIAL14.6
RENVELA (SEVELAMER) 800MG TAB34.32
REQUIP 0.5MG3.03
RESLIZUMAB 1MG INJ62.69
RESLIZUMAB 1MG INJ-WASTE62.69
RIFAMPIN 300 MG3.6
RINGERS LACTATE INFUS,TO 1000C38.39
RISPERDONE CONSTA 50MG4,154.36
RISPERIDONE 0.25 MG TAB3
RISPERIDONE 0.5 MG TAB3.97
RISPERIDONE 1 MG2.74
RISPERIDONE 1 MG TAB3.76
RISPERIDONE 2 MG TAB3.02
RISPERIDONE 2 MG TAB7.58
RISPERIDONE MICROPHER 25MG/2ML2,132.94
RITUXAN HYALURONIDASE 10MG INJ33,497.81
RITUXIMAB 100MG INJ4,348.45
RITUXIMAB 100MG/10 ML4,097.10
RIVAROXABAN (XARELTO) 10MG TAB50.32
RIVASTIGMINE 4.6MG PATCH45.22
RIVASTIGMINE TARTRATE 1.5MG C3.33
RIVASTIGMINE TARTRATE 3 MG CAP3.8
RIVASTIGMINE(EXELON) 9.5MG PAT47.54
ROCEPHIN 500MG INJ7.2
ROCURONIUM SYR 50MG/5ML60.69
ROFLUMILAST 500MCG TAB52.14
ROMIPLOSTIN INJ 10MCG264.49
ROMIPLOSTIN INJ 10MCG WASTE311.54
ROPINIROLE HCL3
ROPINIROLE HCL 2MG2.45
ROPIVACAINE 10MG/ML15.77
ROPIVACAINE HCL 1MG INJ21
ROPIVACAINE HCL 1MG INJ30.67
SALINE NOSE SPRAY 45 ML3.25
SENNA CONCENTRATE 1 TAB UD3.38
SENNA CONCENTRATE/DOCUS TAB2.9
SENNA SYRUP UDC8.67
SENSORCAINE MPF W EPI14.88
SERTRALINE 50 MG TAB2.88
SILVER NITRATE STICKS3
SILVER SULFADIAZINE 50 JAR43.92
SIMETHICONE 40 MG/0.6 ML BOT14.29
SINCALIDE INJ 5 MCG457.82
SINEMET 25-100 UD TAB3.16
SINEMET 25-250 UD TAB3
SITAGLIPTIN PHOSPHATE 50MG79.8
SODIUM BICAR TAB 650MG6.05
SODIUM BICARBONATE 10 MEQ/1057.47
SODIUM BICARBONATE 50 MEQ SYR41.8
SODIUM BICARBONATE 50 MEQ/50ML39.26
SODIUM CHL 0.9% 2000ML IRR BAG45.67
SODIUM CHLORIDE 0.45% 1000 ML10.32
SODIUM CHLORIDE 0.9% 100ML BAG39.93
SODIUM CHLORIDE 0.9% 50 ML BAG40.42
SODIUM CHLORIDE 0.9%50ML BAG33.36
SODIUM CHLORIDE 10 ML SOL8.37
SODIUM CHLORIDE 10 ML SYR9.54
SODIUM CHLORIDE 10 ML VIAL9.98
SODIUM CHLORIDE 1000 ML BAG37.82
SODIUM CHLORIDE 100ML29.91
SODIUM CHLORIDE 15 ML BOTTLE16.47
SODIUM CHLORIDE 2% MURO 12886.32
SODIUM CHLORIDE 25ML BAG21.72
SODIUM CHLORIDE 3% 500ML9.58
SODIUM CHLORIDE 30 ML VIAL10
SODIUM CHLORIDE 3L IRRIGATION45.66
SODIUM CHLORIDE 50 MEQ/20 ML10.27
SODIUM CHLORIDE 500 ML BAG22.12
SODIUM PHOSPHATE 3 MM/ML MM62
SODIUM SULFACETAMIDE 15 ML BOT170.7
SODIUM THIOS 12.5GM/50ML INJ439.17
SOLU-MEDROL 125 MG/2ML VIAL48.02
SOLU-MEDROL 40 MG/1ML VIAL31.32
SOTALOL 80 MG CAP4.81
SPIRONOLACTONE 25 MG TAB2.99
STERILE H20 FOR INJ 10OOML13.62
STERILE H2O FOR INJECTION 10ML10
SUCCINYLCHOLINE 200 MG/10 ML108.1
SUCCINYLCHOLINE CHL 200MG INJ101.77
SUCRALFATE 1 GM LIQU44.19
SUCRALFATE 1 GM TAB2.9
SUGGAMADEX 500MG INJ542.06
SULF HEXA LIPID MICROSPH INJ669.77
SULFAMETHOXAZOLE 1 MG TAB3
SULFASALAZINE E.C. 500 MG TAB3.03
SUMATRIPTAN 100MG3.36
SUMATRIPTAN 25MG3.48
SUPARTZ/VISCO-3 INTRA-ART INJ332.13
SYNVISC 1MG INJ1,002.05
TACROLIMUS (PROGRAF) 0.5MG CAP6.57
TAMOXIFEN CITRATE 10 MG TAB3
TD VACCINE NO PRSRV >=7YRS IM170.46
TDAP VACCINE >=7 YRS 0.5ML IM204.51
TEMAZEPAM 15 MG CAP2.92
TEMAZEPAM 30 MG CAP2.96
TEMAZEPAM 7.5 CAP16.86
TENECTEPLASE 50MG (TNKase)27,144.40
TERAZOSIN 1 MG TAB3
TERAZOSIN 2 MG TAB2.94
TERAZOSIN 5MG CAP2.89
TERBINAFINE HYDROCHLORIDE 1 AP28.98
TERBUTALINE 1 MG/ML AMPULE8.4
TESTOSTERONE CYPIONATE 1MG INJ108.98
THEOPHYLINE 100MG CAP ER 24HR10.88
THEOPHYLLINE 300 MG CAP13.64
THEOPHYLLINE 400 MG TAB5.48
THIAMINE (VIT B1) 200MG/2ML15.55
THIAMINE 100MG TAB2.69
THROMBINAR 10000 UNIT POWDER316.12
THYROID 30 MG TAB3
THYROID 60 MG TAB2.52
TICE BCG 50MG VACCINE694
TIMOLOL 0.25% 5 ML BOTTLE18
TIMOLOL 0.5% BOTTLE33.34
TIMOLOL MALEATE/DORZOLAM HCL 5675.32
TIZANIDINE HCL 2 MG TAB3.37
TIZANIDINE HCL 4 MG TAB3.03
TOBRAMYCIN 3.5 GM TUBE OINT973.38
TOBRAMYCIN 5 ML BOTTLE19.23
TOBRAMYCIN UP TO 80MG INJ3.33
TOBRAMYCIN/DEXAMETHASONE 2.5ML224.99
TOCILIZUMAB 1MG INJ32.12
TOCILIZUMAB 1MG INJ34.35
TOCILIZUMAB 1MG INJ WASTE24.59
TOPIRAMATE 100MG TAB3
TOPIRAMATE 25 MG TAB3.03
TOPOTECAN .1MG INJ10
TOPOTECAN .1MG INJ WASTE10
TORSEMIDE 10 MG (TAB )3.28
TORSEMIDE 20 MG (TAB)3.03
TPA (ALTEPLASE) 1MG INJ431.11
TPA 1MG INJ WASTE429.01
TRACE ELEMENT 10 ML58.35
TRAMADOL – 50 MG TAB2.78
TRANEXMIC ACID 1000MG/10ML46.19
TRANSDERM SCOP 1 PATCH99.41
TRASTUZUMAB 10MG INJ450.48
TRASTUZUMAB 10MG INJ WASTE461.55
TRAVOPROST 0.004%779.68
TRAZODONE 100 MG TAB3.01
TRAZODONE 50 MG TAB2.85
TRIAMCINALONE OINT 15 GM16.04
TRIAMCINOLONE 40 MG/ML VIAL62.52
TRIAMCINOLONE CREAM 0.025%13.48
TRIAMCINOLONE CREAM 0.5%31.6
TRIAMCINOLONE LOTION 0.1%97.22
TRIAMTERENE + HCTZ 1 CAP3
TRIAMTERENE/HCTZ 1 TAB3.1
TRIHEXYPHENIDYL 2 MG TAB3.04
TRIMETHOBENZAMIDE 100 MG/ML164.44
TRIPLE ANTIBIOTIC OINTMENT2.9
TROPICAMIDE EYE DROPS23.74
TRYPAN BLUE276.72
TUBERCULIN (PPD) 1 ML 0.1ML30.05
URSODIOL 300MG CAP21.97
USTEKINUMAB 1MG INJ7,980.00
VALACYCLOVIR HC1 500MG13.26
VALPROATE SODIUM 100 MG/ML VIA10.82
VALSARTAN 160 MG CAP4.26
VALSARTAN 80MG tab9.19
VANCOMYCIN 125 MG CAP31.41
VANCOMYCIN HCL 500MG INJ15.69
VARENICLINE 1 MG TAB35.85
VARICELLA VACCINE 0.5ML475.64
VECURONIUM BR 10 MG VIAL30.65
VEDOLIZUMAB 1MG INJ132.2
VEETIDS 250 MG UD TAB3.04
VENLAFAXINE 37.5 TAB3.06
VENLAFAXINE 50 TAB4.82
VENLAFAXINE HYDROCHL 150MG CA2.99
VENLAFAXINE HYDROCHLORIDE 75MG2.97
VERAPAMIL 120 MG TAB3
VERAPAMIL 240 MG TAB3.07
VERAPAMIL 80 MG TAB3
VERAPAMIL SR 180 MG TAB6.66
VERSED LIQUID 10MG/5ML UDC29.42
VIIBRYD 10MG TAB (VILAZODONE)38.92
VIIBRYD 20MG TAB (VILAZODONE)23.94
VIIBRYD 40MG TAB (VILAZODONE)43.3
VINBLASTINE SULFATE 1MG INJ17.97
VINCRISTINE SULF 1MG33.95
VISUALIZATION ADJUNCT 1MG INJ761.77
VITAMIN A AND D 2 OZ TUBE OINT10.8
VITAMIN B COMPLEX WITH C 1 CAP2.98
VITAMIN B12 1000 MG 1 ML VIAL20.6
VITAMIN C 500 MG TAB2.99
VITAMINS MULTI THERAPUTIC 1TAB2.99
VITAMINS MULTI W/MINERALS CAP2.96
VITAMINS PRENATAL 1 TAB2.49
VORTIOXETINE 10MG TAB66.91
WARFARIN SODIUM 1 MG TAB3.01
WARFARIN SODIUM 2 MG TAB3.01
WARFARIN SODIUM 2.5 MG TAB2.97
WARFARIN SODIUM 3MG TAB3.02
WARFARIN SODIUM 5MG TAB2.89
WITCH HAZEL 1 PAD CONTAINER10.94
XARELTO (RIVAROXABAN) 15MG TAB60.66
XARELTO (RIVAROXABAN) 20MG TAB55.29
XGEVA(DENOSUMAB) 120MG/1.7ML V10,340.90
ZEMURON (ROCURONIUM BROMIDE)21.91
ZINC OXIDE 2 OZ TUBE OINT6.22
ZIPRASIDONE HCI 40 MG3.04
ZIPRASIDONE HYDROCHLO 80 MG CA3.26
ZIPRASIDONE MESYLATE 20MG/ML I118.66
ZITHROMAX 100MG/5ML70.05
ZITHROMAX 200MG/5ML70.02
ZITHROMAX 250 CAPS (AZITHROYCI9.49
ZOFRAN INJ PER 4MG/2ML VIAL2.5
ZOLEDRONIC ACID 1MG INJ214.8
ZOLPIDEM 5 MG TAB3
ZOPRASIDONE HC1 20MG CAPS3
ZYPREXA 2 .5MG (OLANZAPINE)3
ZYVOX 600MG23.38

Additional Patient Information

Visitor Information

Online Services

Financial Services

Service Excellence Advocate

Patient Safety

06/13/2019 |

Dr. Ramy Kurdi Featured on ABC12 HealthSource

04/04/2019 |

Visitor Restrictions In Effect Until Further Notice

02/12/2019 |

February ABC12 HealthSource Features Dr. Testa and Robotic Surgery

01/22/2019 |

Kimberlee A. Murphy Named January 2019 Employee of the Month

01/16/2019 |

Memorial Healthcare Lab Receives CAP Accreditation

01/16/2019 |

Memorial Healthcare Excels in Immunization Delivery to Michigan Communities

01/16/2019 |

Pre-Diabetes Class

  • EMAIL NEWSLETTER
    Enter your email address below to sign up to receive our latest updates
  • By submitting your email, you agree to the Privacy Policy