SEO Price Covid

Fee Schd ID Fee Sched Name Proc Code Mod Description Unit Chg Amt Cost Center Rev
g Amt Cost Center Rev Code CPT Code Dflt Mod Medicare Alt Code Billing Category
528 SEO DEFAULT FEE SCHEDU12000001 HC DAILY SERVICE GENERA 1,546.00 13006021 0120 Bed Charge
528 SEO DEFAULT FEE SCHEDU12000004 HC DAILY ORGAN DONOR 0.00 13006030 0120 12000004 Bed Charge
528 SEO DEFAULT FEE SCHEDU12000006 HC DAILY SERVICE W/TELE 2,490.00 13006021 0120 12000006 Bed Charge
528 SEO DEFAULT FEE SCHEDU12100001 HC DAILY SERVICE 1,546.00 13006251 0121 12100001 Bed Charge
528 SEO DEFAULT FEE SCHEDU12100001 HC DAILY SERVICE 1,546.00 13007011 0121 12100001 Bed Charge
528 SEO DEFAULT FEE SCHEDU12200001 HC DAILY SERVICE OBSTET 1,546.00 13006251 0122 12200001 Bed Charge
528 SEO DEFAULT FEE SCHEDU12500001 HC DAILY HOSPICE ACUTE 1,613.00 13006021 0125 12500001 Bed Charge
528 SEO DEFAULT FEE SCHEDU12800001 HC DAILY REHAB SERVICE 1,563.00 13006612 0128 12800001 Bed Charge
528 SEO DEFAULT FEE SCHEDU17100001 HC DAILY INFANT SERVICE 1,085.00 13006511 0171 17100001 Bed Charge
528 SEO DEFAULT FEE SCHEDU18000001 HC LEAVE DAY 0.00 13006612 0180 18000001 Bed Charge
528 SEO DEFAULT FEE SCHEDU20000001 HC DAILY SERVICE ICU 3,411.00 13006030 0200 Bed Charge
528 SEO DEFAULT FEE SCHEDU20300001 HC DAILY PEDIATRIC IMC 1,913.00 13006511 0203 20300001 Bed Charge
528 SEO DEFAULT FEE SCHEDU21000002 HC DAILY CARDIAC CARE 4,465.00 13006312 0210 21000002 Bed Charge
528 SEO DEFAULT FEE SCHEDU26000000 HC HYDRATION THERAPY 1 325.00 13006021 0260 96360 Infusions
528 SEO DEFAULT FEE SCHEDU26000001 HC HYDRATION THERAPY E 388.00 13006021 0260 96361 Infusions
528 SEO DEFAULT FEE SCHEDU26000002 HC INFUSION THERAPY 1ST 840.00 13006021 0260 96365 Infusions
528 SEO DEFAULT FEE SCHEDU26000003 HC INFUSION THERAPY EA 397.00 13006021 0260 96366 Infusions
528 SEO DEFAULT FEE SCHEDU26000004 HC IV INF ADDL SEQ INIT HR 397.00 13006021 0260 96367 Infusions
528 SEO DEFAULT FEE SCHEDU26000005 HC INFUS CONCURRENT 420.00 13006021 0260 96368 Infusions
528 SEO DEFAULT FEE SCHEDU26000006 HC HYDRATION THERAPY 1 325.00 13006711 0260 96360 XU Infusions
528 SEO DEFAULT FEE SCHEDU26000007 HC INFUSION THERAPY 1ST 840.00 13006711 0260 96365 XU Infusions
528 SEO DEFAULT FEE SCHEDU26000008 HC INJ IV PUSH ADDL NEW 313.00 13006711 0260 96375 XU Infusions
528 SEO DEFAULT FEE SCHEDU26000009 HC INJ IV PUSH SAME DRUG 348.00 13006711 0260 96376 XU Infusions
528 SEO DEFAULT FEE SCHEDU27000017 HC SYSTEM DRAINAGE 125.00 13007341 0270 27000017 Central Supply
528 SEO DEFAULT FEE SCHEDU27000021 HC TRAY ARTHROGRAM 75.00 13007311 0270 27000021 Central Supply
528 SEO DEFAULT FEE SCHEDU27000022 HC TRAY BIOPSY 41.00 13007311 0270 27000022 Central Supply
528 SEO DEFAULT FEE SCHEDU27000024 HC TRAY SPINAL ANESTHES 41.00 13007311 0272 27000024 Central Supply
528 SEO DEFAULT FEE SCHEDU27000027 HC TRAY AMNIOCENTESIS 125.00 13007011 0270 27000027 Supply
528 SEO DEFAULT FEE SCHEDU27000037 HC DEVICE RADIAL COMPR 125.00 13007311 0270 27000037 Supply
528 SEO DEFAULT FEE SCHEDU27000042 HC BINDER ABDOMINAL LA 125.00 13006021 0270 27000042 Central Supply
528 SEO DEFAULT FEE SCHEDU27000043 HC BINDER ABDOMINAL 2-5 187.50 13006021 0270 27000043 Central Supply
528 SEO DEFAULT FEE SCHEDU27000044 HC TAPE BROSELOW PEDIA 62.50 13006711 0270 27000044 Central Supply
528 SEO DEFAULT FEE SCHEDU27000047 HC PAD CARDIAC MONITOR 116.25 13006511 0270 27000047 Supply
528 SEO DEFAULT FEE SCHEDU27000048 HC CARTRIDGE CRRT INITIA 701.00 13007711 0270 27000048 Supply
528 SEO DEFAULT FEE SCHEDU27000049 HC CARTRIDGE CRRT ADDL 1,070.00 13007711 0270 27000049 Supply
528 SEO DEFAULT FEE SCHEDU27000050 HC DEVICE THERAPEP 117.00 13006311 0270 27000050 Supply
528 SEO DEFAULT FEE SCHEDU27000050 HC DEVICE THERAPEP 117.00 13007421 0270 27000050 Supply
528 SEO DEFAULT FEE SCHEDU27000054 HC KIT BLOOD GLUCOSE 58.53 13007181 0270 27000054 Supply
528 SEO DEFAULT FEE SCHEDU27000058 HC DEXTROSE STICKS 12.28 13006511 0270 27000058 Supply
528 SEO DEFAULT FEE SCHEDU27100021 HC CAST ARM SYNTHETIC 110.00 13006711 0271 27100021 Supply
528 SEO DEFAULT FEE SCHEDU27100021 HC CAST ARM SYNTHETIC 110.00 13007181 0271 27100021 Supply
528 SEO DEFAULT FEE SCHEDU27100024 HC CAST LEG SYNTHETIC 165.00 13007181 0271 27100024 Supply
528 SEO DEFAULT FEE SCHEDU27100038 HC CPAP MASK 62.50 13007421 0271 27100038 Supply
528 SEO DEFAULT FEE SCHEDU27100054 HC FOAM BLOCK 4.57 13007531 0271 27100054 Supply
528 SEO DEFAULT FEE SCHEDU27100080 HC LARYNGEAL MASK AIRW 62.00 13007081 0272 27100080 Supplies
528 SEO DEFAULT FEE SCHEDU27100096 HC NASAL PHANYNGEAL AI 9.20 13007081 0271 27100096 Supply
528 SEO DEFAULT FEE SCHEDU27100106 HC OXYGEN DAILY 54.16 13007181 0271 27100106 Oxygen
528 SEO DEFAULT FEE SCHEDU27100106 HC OXYGEN DAILY 54.16 13007421 0271 27100106 Oxygen
528 SEO DEFAULT FEE SCHEDU27100107 HC OXYGEN HOURLY 16.00 13007421 0271 27100107 Oxygen
528 SEO DEFAULT FEE SCHEDU27100107 HC OXYGEN HOURLY 16.00 13007462 0271 27100107 Oxygen
528 SEO DEFAULT FEE SCHEDU27100108 HC OXYGEN HOOD DAILY 238.50 13007421 0271 27100108 Oxygen
528 SEO DEFAULT FEE SCHEDU27100141 HC SPLINT ORTHGLSS 4IN/I 125.00 13006711 0271 27100141 Surgical Supply
528 SEO DEFAULT FEE SCHEDU27100183 HC WALKING BRACE LOW T 117.03 13007181 0271 27100183 Surgical Supply
528 SEO DEFAULT FEE SCHEDU27100183 HC WALKING BRACE LOW T 117.03 13007511 0271 27100183 Surgical Supply
528 SEO DEFAULT FEE SCHEDU27100185 HC CANNULA NASAL OXIMI 125.00 13007421 0271 27100185 Supply
528 SEO DEFAULT FEE SCHEDU27100187 HC BAG DRAINAGE 142.00 13007311 0271 Central Supply
528 SEO DEFAULT FEE SCHEDU27100191 HC COLD THERAPY SYSTEM 598.18 13007511 0271 E0218 Central Supply
528 SEO DEFAULT FEE SCHEDU27100205 HC COLLAR CERVICAL ASP 187.50 13006311 0271 27100205 Central Supply
528 SEO DEFAULT FEE SCHEDU27100210 HC KIT CANISTER SUCTION 125.00 13006021 0271 27100210 Central Supply
528 SEO DEFAULT FEE SCHEDU27100211 HC PAD DEFIBRILLATOR 125.00 13006311 0271 27100211 Central Supply
528 SEO DEFAULT FEE SCHEDU27100242 HC CANNULA NASAL W/HEA 125.00 13007421 0271 27100242 Central Supply
528 SEO DEFAULT FEE SCHEDU27100243 HC CANISTER/GEL WOUND 125.00 13006314 0271 27100243 Central Supply
528 SEO DEFAULT FEE SCHEDU27100244 HC SPLINT ORTHGLSS 2IN/I 125.00 13006711 0271 27100244 Central Supply
528 SEO DEFAULT FEE SCHEDU27100247 HC SLING SHOULDER 187.50 13006612 0271 27100247 Central Supply
528 SEO DEFAULT FEE SCHEDU27100248 HC SLING SHOULDER W/PI 187.50 13006612 0271 27100248 Central Supply
528 SEO DEFAULT FEE SCHEDU27100249 HC VEST AIRWAY 187.50 13006311 0271 27100249 Central Supply
528 SEO DEFAULT FEE SCHEDU27100249 HC VEST AIRWAY 187.50 13006711 0271 27100249 Central Supply
528 SEO DEFAULT FEE SCHEDU27100251 HC BAG URINARY DRAIN 42.00 13007323 0271 27100251 Supply
528 SEO DEFAULT FEE SCHEDU27100251 HC BAG URINARY DRAIN 42.00 13007341 0271 27100251 Supply
528 SEO DEFAULT FEE SCHEDU27100255 HC ELECTRODE DEFIB FAS 33.00 13007181 0271 27100255 Supply
528 SEO DEFAULT FEE SCHEDU27100265 HC ORTHOSIS HAND RESTI 137.19 13007531 0271 27100265 Supply
528 SEO DEFAULT FEE SCHEDU27100268 HC SLING HEMI ARM 114.29 13006021 0271 27100268 Supply
528 SEO DEFAULT FEE SCHEDU27100270 HC OXYGEN WATER TRAP W 62.00 13007081 0271 27100270 Supply
528 SEO DEFAULT FEE SCHEDU27100272 HC OXYGEN WATER TRAP 125.00 13007331 0272 27100272 Supply
528 SEO DEFAULT FEE SCHEDU27100276 HC TAPE PAPER/PLASTIC 5.73 13007511 0271 27100276 Supply
528 SEO DEFAULT FEE SCHEDU27200002 HC PLEURAL DRAINAGE SY 66.06 13006711 0272 A7041 Central Supply
528 SEO DEFAULT FEE SCHEDU27200009 HC ROTABLATOR BURR 2,250.00 13007311 0272 C1724 Supply
528 SEO DEFAULT FEE SCHEDU27200011 HC ROTALINK PLUS 2,750.00 13007311 0272 C1724 Supply
528 SEO DEFAULT FEE SCHEDU27200029 HC DILATOR BALLOON 1,057.00 13007321 0272 C1726 Supply
528 SEO DEFAULT FEE SCHEDU27200034 HC CATHETER DRAINAGE 197.66 13007321 0272 C1729 Supplies
528 SEO DEFAULT FEE SCHEDU27200034 HC CATHETER DRAINAGE 197.66 13007341 0272 C1729 Supplies
528 SEO DEFAULT FEE SCHEDU27200035 HC CATHETER DRAINAGE P 198.19 13006311 0272 C1729 Supply
528 SEO DEFAULT FEE SCHEDU27200035 HC CATHETER DRAINAGE P 198.19 13007323 0272 C1729 Supply
528 SEO DEFAULT FEE SCHEDU27200052 HC QUADRIPOLAR CATHET 3,750.00 13007311 0272 C1730 Supply
528 SEO DEFAULT FEE SCHEDU27200055 HC CATH MULTILUMEN CVP 114.00 13006251 0272 C1751 Surgical Supply
528 SEO DEFAULT FEE SCHEDU27200059 HC ANGIOJET ZELANTE CA 8,868.00 13007323 0272 C1757 Supply
528 SEO DEFAULT FEE SCHEDU27200070 HC CATH THROMBECTOMY 1,125.00 13007311 0272 C1757 Surgical Supply
528 SEO DEFAULT FEE SCHEDU27200077 HC REVEAL LOOP RECORD 14,616.00 13007311 0272 C1764 Supply
528 SEO DEFAULT FEE SCHEDU27200083 HC CRICOTHYROTOMY CAT 396.38 13006711 0272 C1769 Supply
528 SEO DEFAULT FEE SCHEDU27200107 HC GUIDEWIRE BENTSON 71.88 13007323 0272 C1769 Surgical Supply
528 SEO DEFAULT FEE SCHEDU27200138 HC SNARE RETRIEVAL DEVI 687.00 13007311 0272 C1773 Supply
528 SEO DEFAULT FEE SCHEDU27200138 HC SNARE RETRIEVAL DEVI 687.00 13007323 0272 C1773 Supply
528 SEO DEFAULT FEE SCHEDU27200152 HC EMBOLIZATION PROTEC 3,250.00 13007311 0272 C1884 Supply
528 SEO DEFAULT FEE SCHEDU27200175 HC SHEATH SAFE 7FR 8FR 125.00 13007311 0272 C1894 Surgical Supply
528 SEO DEFAULT FEE SCHEDU27200176 HC CRYO ABLATION SYSTE 4,200.00 13007323 0272 C2618 Surgical Supply
528 SEO DEFAULT FEE SCHEDU27200176 HC CRYO ABLATION SYSTE 4,200.00 13007341 0272 C2618 Surgical Supply
528 SEO DEFAULT FEE SCHEDU27200178 HC CATH SUPRAPUBIC 97.24 13006311 0272 C2627 Surgical Supply
528 SEO DEFAULT FEE SCHEDU27200200 HC ABDOMINAL BINDERS 23.58 13007323 0272 27200200 Surgical Supply
528 SEO DEFAULT FEE SCHEDU27200226 HC ADHESIVE DERMABOND 70.40 13006311 0272 27200226 Surgical Supply
528 SEO DEFAULT FEE SCHEDU27200297 HC BAG RESUSCITATION DI 64.93 13007061 0272 27200297 Supply
528 SEO DEFAULT FEE SCHEDU27200297 HC BAG RESUSCITATION DI 64.93 13007181 0272 27200297 Supply
528 SEO DEFAULT FEE SCHEDU27200338 HC BIOPSY DEVICE NEEDL 187.00 13007311 0272 27200338 Surgical Supply
528 SEO DEFAULT FEE SCHEDU27200357 HC BIS MONITOR STRIP 62.00 13007081 0272 27200357 Supply
528 SEO DEFAULT FEE SCHEDU27200546 HC BLOOD WARMER UNIT A 125.00 13007081 0272 27200546 Anesthesia
528 SEO DEFAULT FEE SCHEDU27200547 HC BONE BIOPSY DEVICE F 269.00 13007323 0272 27200547 Supply
528 SEO DEFAULT FEE SCHEDU27200568 HC BRA SURGICAL 125.00 13006021 0272 27200568 Surgical Supply
528 SEO DEFAULT FEE SCHEDU27200571 HC BREAST PUMP KIT 125.00 13006021 0272 27200571 Supply
528 SEO DEFAULT FEE SCHEDU27200576 HC BREAST SHIELDS 125.00 13007011 0272 27200576 Supply
528 SEO DEFAULT FEE SCHEDU27200658 HC C SECTION PACK 125.00 13007011 0272 27200658 Central Supply
528 SEO DEFAULT FEE SCHEDU27200703 HC CANNULA HIGHFLOW 125.00 13007421 0272 27200703 Supply
528 SEO DEFAULT FEE SCHEDU27200764 HC CATH COBRA 2 DIAGNOS 42.00 13007323 0272 27200764 Surgical Supply
528 SEO DEFAULT FEE SCHEDU27200781 HC CATH DECAPOLAR 1,125.00 13007311 0272 C1730 Supply
528 SEO DEFAULT FEE SCHEDU27200798 HC CATH INTRODUCER 612.66 13007323 0272 27200798 Surgical Supply
528 SEO DEFAULT FEE SCHEDU27200798 HC CATH INTRODUCER 612.66 13007324 0272 27200798 Surgical Supply
528 SEO DEFAULT FEE SCHEDU27200849 HC CATHETER - FOLEY 29.00 13006021 0272 27200849 Supply
528 SEO DEFAULT FEE SCHEDU27200861 HC CATH HEMODIALYSIS P 528.50 13006021 0272 C1750 Surgical Supply
528 SEO DEFAULT FEE SCHEDU27201009 HC CRICOTHYROTOMY CAT 403.00 13007081 0272 27201009 Anesthesia
528 SEO DEFAULT FEE SCHEDU27201012 HC BONOPTY BX SET 375.00 13007323 0272 27201012 Supply
528 SEO DEFAULT FEE SCHEDU27201012 HC BONOPTY BX SET 375.00 13007341 0272 27201012 Supply
528 SEO DEFAULT FEE SCHEDU27201013 HC BONOPTY ED DRILL 270.00 13007323 0272 27201013 Supply
528 SEO DEFAULT FEE SCHEDU27201013 HC BONOPTY ED DRILL 270.00 13007341 0272 27201013 Supply
528 SEO DEFAULT FEE SCHEDU27201014 HC BONOPTY PENETRATION 402.00 13007323 0272 27201014 Supply
528 SEO DEFAULT FEE SCHEDU27201014 HC BONOPTY PENETRATION 402.00 13007341 0272 27201014 Supply
528 SEO DEFAULT FEE SCHEDU27201083 HC DISP. OXIMETER SENSO 312.00 13007081 0272 27201083 Anesthesia
528 SEO DEFAULT FEE SCHEDU27201087 HC TRACH KIT BEDSIDE 250.00 13006311 0272 Supply
528 SEO DEFAULT FEE SCHEDU27201165 HC MORGAN LENS 62.50 13006711 0272 27201165 Supply
528 SEO DEFAULT FEE SCHEDU27201165 HC MORGAN LENS 62.50 13007181 0272 27201165 Supply
528 SEO DEFAULT FEE SCHEDU27201236 HC ENDOBRONCHIAL BLOC 500.00 13007081 0272 27201236 Supply
528 SEO DEFAULT FEE SCHEDU27201248 HC ENDOTRACHEAL TUBE ( 187.00 13007081 0272 27201248 Supply
528 SEO DEFAULT FEE SCHEDU27201252 HC EPIDURAL TRAY 62.50 13006251 0272 27201252 Supply
528 SEO DEFAULT FEE SCHEDU27201279 HC FECAL MANAGEMENT KI 276.00 13006021 0272 27201279 Central Supply
528 SEO DEFAULT FEE SCHEDU27201280 HC FECAL MGT COLLECTIO 270.00 13006021 0272 27201280 Central Supply
528 SEO DEFAULT FEE SCHEDU27201282 HC FEEDING TUBE 552.00 13007311 0272 27201282 Central Supply
528 SEO DEFAULT FEE SCHEDU27201282 HC FEEDING TUBE 552.00 13007323 0272 27201282 Central Supply
528 SEO DEFAULT FEE SCHEDU27201311 HC FLOW SWITCH 20.00 13007323 0272 27201311 Surgical Supply
528 SEO DEFAULT FEE SCHEDU27201391 HC HEEL PROTECTOR EA 187.50 13006021 0272 27201391 Central Supply
528 SEO DEFAULT FEE SCHEDU27201423 HC HYSTEROSALPINGEOGR 187.00 13007321 0272 27201423 Supply
528 SEO DEFAULT FEE SCHEDU27201424 HC IABP BALLOON 2,750.00 13007311 0272 27201424 Supply
528 SEO DEFAULT FEE SCHEDU27201486 HC CHEST TUBE DRAINAGE 125.00 13006711 0272 27201486 Supply
528 SEO DEFAULT FEE SCHEDU27201512 HC KIT GASTROSTOMY MIC 57.42 13007323 0272 27201512 Central Supply
528 SEO DEFAULT FEE SCHEDU27201521 HC KIT INTRODUCER 201.00 13007323 0272 27201521 Surgical Supply
528 SEO DEFAULT FEE SCHEDU27201596 HC LASER-FLEX ENDOTRAC 125.00 13007081 0272 27201596 Anesthesia
528 SEO DEFAULT FEE SCHEDU27201721 HC NEEDLE VERTERBRO INT 132.00 13007323 0272 27201721 Surgical Supply
528 SEO DEFAULT FEE SCHEDU27201814 HC PARACENTESIS TRAY 187.50 13006311 0272 27201814 Supply
528 SEO DEFAULT FEE SCHEDU27201814 HC PARACENTESIS TRAY 187.50 13006711 0272 27201814 Supply
528 SEO DEFAULT FEE SCHEDU27201877 HC PNEUMOTHORAX KIT 400.00 13006311 0272 27201877 Supply
528 SEO DEFAULT FEE SCHEDU27201938 HC PULSE OXIMETER PROB 21.18 13007323 0272 27201938 Supply
528 SEO DEFAULT FEE SCHEDU27202018 HC SENSOR ADULT ADHESI 62.00 13007081 0272 27202018 Surgical Supply
528 SEO DEFAULT FEE SCHEDU27202120 HC STAPLER SKIN 57.00 13006711 0272 27202120 Surgical Supply
528 SEO DEFAULT FEE SCHEDU27202120 HC STAPLER SKIN 57.00 13007181 0272 27202120 Surgical Supply
528 SEO DEFAULT FEE SCHEDU27202600 HC SUTURE 6.78 13007011 0272 27202600 Surgical Supply
528 SEO DEFAULT FEE SCHEDU27202731 HC TRAY 16FOLEY W/URIM- 75.00 13006021 0272 27202731 Surgical Supply
528 SEO DEFAULT FEE SCHEDU27202807 HC TRAY SPINAL 62.00 13007081 0272 27202807 Supply
528 SEO DEFAULT FEE SCHEDU27203111 HC FINE CROSS CATHETER 1,100.00 13007311 0272 C1887 Supply
528 SEO DEFAULT FEE SCHEDU27203111 HC FINE CROSS CATHETER 1,100.00 13007323 0272 C1887 Supply
528 SEO DEFAULT FEE SCHEDU27203113 HC EP STEERABLE NON PE 2,250.00 13007311 0272 C1766 Supply
528 SEO DEFAULT FEE SCHEDU27203115 HC HALO/LASSO CATHETER 2,750.00 13007311 0272 C1731 Supply
528 SEO DEFAULT FEE SCHEDU27203119 HC SHEATH RAABE/ANSEL/ 187.50 13007311 0272 C1894 Supply
528 SEO DEFAULT FEE SCHEDU27203119 HC SHEATH RAABE/ANSEL/ 187.50 13007323 0272 C1894 Supply
528 SEO DEFAULT FEE SCHEDU27203121 HC MICROPUNCTURE KITS 52.85 13007323 0272 C1769 Supply
528 SEO DEFAULT FEE SCHEDU27203121 HC MICROPUNCTURE KITS 52.85 13007341 0272 C1769 Supply
528 SEO DEFAULT FEE SCHEDU27203238 HC EDEMA GLOVE 25.89 13007531 0272 27203238 Supply
528 SEO DEFAULT FEE SCHEDU27203239 HC PUTTY 16.86 13007531 0272 Supply
528 SEO DEFAULT FEE SCHEDU27203246 HC ERGONOMIC HAND EXE 40.27 13007531 0272 27203246 Supply
528 SEO DEFAULT FEE SCHEDU27203255 HC CPM PADS 172.33 13007511 0272 27203255 Supply
528 SEO DEFAULT FEE SCHEDU27203292 HC THERMACOOL ABLATION 6,250.00 13007311 0272 C1732 Supply
528 SEO DEFAULT FEE SCHEDU27203294 HC EP NON PEEL AWAY SHE 375.00 13007311 0272 C1893 Supply
528 SEO DEFAULT FEE SCHEDU27203307 HC ARCTIC SUN PADS 1,750.00 13006311 0272 27203307 Supply
528 SEO DEFAULT FEE SCHEDU27203312 HC FLOTRAC SENSOR 625.00 13007081 0272 27203312 Supply
528 SEO DEFAULT FEE SCHEDU27203503 HC CANNULA NASAL HEATE 25.00 13007421 0272 27203503 Supply
528 SEO DEFAULT FEE SCHEDU27203504 HC TRAY CATHETER 126.00 13006021 0272 Central Supply
528 SEO DEFAULT FEE SCHEDU27203511 HC BAG LEG URINARY 14.00 13006021 0272 Central Supply
528 SEO DEFAULT FEE SCHEDU27203530 HC NEEDLE CATH CENTESI 42.28 13007311 0272 C1729 Supply
528 SEO DEFAULT FEE SCHEDU27203531 HC CATHETER CV TRIPLE- 598.55 13006021 0272 C1751 Supply
528 SEO DEFAULT FEE SCHEDU27203532 HC CATHETER CV DUAL-LU 350.00 13006021 0272 C1751 Central Supply
528 SEO DEFAULT FEE SCHEDU27203533 HC CATHETER CV SINGLE- 493.06 13006931 0272 C1751 Central Supply
528 SEO DEFAULT FEE SCHEDU27203537 HC CATHETER RADIAL ART 62.50 13006311 0272 27203537 Supply
528 SEO DEFAULT FEE SCHEDU27203538 HC KIT ARTERIAL LINE 250.00 13006311 0272 27203538 Supply
528 SEO DEFAULT FEE SCHEDU27203538 HC KIT ARTERIAL LINE 250.00 13006314 0272 27203538 Supply
528 SEO DEFAULT FEE SCHEDU27203539 HC TRANSDUCER 134.32 13006511 0272 27203539 Supply
528 SEO DEFAULT FEE SCHEDU27203540 HC CATHETER FEMOSTOP 312.50 13007311 0272 27203540 Supply
528 SEO DEFAULT FEE SCHEDU27203545 HC TRAY HEMODIALYSIS C 183.00 13006311 0272 27203545 Central Supply
528 SEO DEFAULT FEE SCHEDU27203546 HC KIT CATHETER COOL LI 2,750.00 13006311 0272 27203546 Supply
528 SEO DEFAULT FEE SCHEDU27203554 HC KIT ICP PRESSURE MON 250.00 13006711 0272 27203554 Supply
528 SEO DEFAULT FEE SCHEDU27203554 HC KIT ICP PRESSURE MON 250.00 13007081 0272 27203554 Supply
528 SEO DEFAULT FEE SCHEDU27203557 HC CATHETER INTRAUTERI 500.00 13007011 0272 27203557 Supply
528 SEO DEFAULT FEE SCHEDU27203562 HC CATHETER SUCTION 4.31 13006021 0272 27203562 Central Supply
528 SEO DEFAULT FEE SCHEDU27203564 HC CATHETER UMBILICAL 76.57 13006511 0272 27203564 Central Supply
528 SEO DEFAULT FEE SCHEDU27203568 HC DRAIN CHEST 40.03 13006021 0272 27203568 Central Supply
528 SEO DEFAULT FEE SCHEDU27203590 HC SYRINGE PUMP SYRING 31.00 13007341 0272 27203590 Central Supply
528 SEO DEFAULT FEE SCHEDU27203593 HC TRAY PERICARDIOCENTE 312.50 13007311 0272 27203593 Central Supply
528 SEO DEFAULT FEE SCHEDU27203594 HC TRAY TRACHEOSTOMY 1,431.00 13006311 0272 27203594 Central Supply
528 SEO DEFAULT FEE SCHEDU27203595 HC TUBE TRACH CUFFED 125.00 13006311 0272 27203595 Central Supply
528 SEO DEFAULT FEE SCHEDU27203595 HC TUBE TRACH CUFFED 125.00 13007081 0272 27203595 Central Supply
528 SEO DEFAULT FEE SCHEDU27203599 HC TUBE TRACH PEDIATRIC 62.50 13006311 0272 27203599 Central Supply
528 SEO DEFAULT FEE SCHEDU27203614 HC NEEDLE LOCALIZATION 62.50 13007324 0272 27203614 Central Supply
528 SEO DEFAULT FEE SCHEDU27203626 HC TUBE ENDOTRACH 200.00 13006311 0272 27203626 Central Supply
528 SEO DEFAULT FEE SCHEDU27203626 HC TUBE ENDOTRACH 200.00 13007081 0272 27203626 Central Supply
528 SEO DEFAULT FEE SCHEDU27203636 HC TRAY MYELOGRAM 44.00 13007323 0272 27203636 Supply
528 SEO DEFAULT FEE SCHEDU27203636 HC TRAY MYELOGRAM 44.00 13007341 0272 27203636 Supply
528 SEO DEFAULT FEE SCHEDU27203641 HC NEEDLE BIOPSY 125.00 13007323 0272 27203641 Supply
528 SEO DEFAULT FEE SCHEDU27203641 HC NEEDLE BIOPSY 125.00 13007341 0272 27203641 Supply
528 SEO DEFAULT FEE SCHEDU27203646 HC GUIDEWIRE FRACTIONAL 1,750.00 13007311 0272 C1769 Supply
528 SEO DEFAULT FEE SCHEDU27203649 HC BALLOON CATHETER 312.50 13007311 0272 C1725 Supply
528 SEO DEFAULT FEE SCHEDU27203649 HC BALLOON CATHETER 312.50 13007323 0272 C1725 Supply
528 SEO DEFAULT FEE SCHEDU27203654 HC CATHETER SWAN GANZ 500.00 13007311 0272 27203654 Supply
528 SEO DEFAULT FEE SCHEDU27203655 HC CATHETER SWAN GANZ 1,170.00 13007311 0272 27203655 Supply
528 SEO DEFAULT FEE SCHEDU27203657 HC GUIDEWIRE 174.00 13006311 0272 C1769 Supply
528 SEO DEFAULT FEE SCHEDU27203658 HC GUIDEWIRE GLIDEWIRE 187.50 13007311 0272 C1769 Supply
528 SEO DEFAULT FEE SCHEDU27203666 HC CATHETER IVUS 2,250.00 13007311 0272 C1753 Supply
528 SEO DEFAULT FEE SCHEDU27203667 HC CATHETER BALLOON C 225.00 13007311 0272 C1725 Supply
528 SEO DEFAULT FEE SCHEDU27203668 HC CATHETER BALLOON PE 3,150.00 13007311 0272 C1725 Supply
528 SEO DEFAULT FEE SCHEDU27203673 HC CATHETER GUIDELINER 1,000.00 13007311 0272 C1887 Supply
528 SEO DEFAULT FEE SCHEDU27203678 HC TRAY BONE BIOPSY 187.50 13007311 0272 27203678 Supply
528 SEO DEFAULT FEE SCHEDU27203678 HC TRAY BONE BIOPSY 187.50 13007323 0272 27203678 Supply
528 SEO DEFAULT FEE SCHEDU27203679 HC CATHETER INFUSION 250.00 13007311 0272 C1751 Supply
528 SEO DEFAULT FEE SCHEDU27203679 HC CATHETER INFUSION 250.00 13007323 0272 C1751 Supply
528 SEO DEFAULT FEE SCHEDU27203680 HC SET NEEDLE ACCESS 330.00 13007311 0272 Supply
528 SEO DEFAULT FEE SCHEDU27203693 HC MICROCATHETER HI FL 2,034.00 13007323 0272 C1887 Supply
528 SEO DEFAULT FEE SCHEDU27203695 HC MICROCATHETER PROG 1,100.00 13007311 0272 C1887 Supply
528 SEO DEFAULT FEE SCHEDU27203695 HC MICROCATHETER PROG 1,100.00 13007323 0272 C1887 Supply
528 SEO DEFAULT FEE SCHEDU27203701 HC CATHETER NEPHROSTO 264.25 13007323 0272 C1729 Supply
528 SEO DEFAULT FEE SCHEDU27203701 HC CATHETER NEPHROSTO 264.25 13007341 0272 C1729 Supply
528 SEO DEFAULT FEE SCHEDU27203749 HC CATHETER BALLOON P 500.00 13007311 0272 C1725 Supply
528 SEO DEFAULT FEE SCHEDU27203769 HC EMBOLIZATION PARTICL 465.00 13007323 0272 27203769 Supply
528 SEO DEFAULT FEE SCHEDU27203773 HC GUIDEWIRE ANGIOPLAS 312.50 13007311 0272 C1769 Supply
528 SEO DEFAULT FEE SCHEDU27203785 HC ABLATION CATH EP 4,750.00 13007311 0272 C1733 Supply
528 SEO DEFAULT FEE SCHEDU27203786 HC ABLATION CATH EP COO 3,750.00 13007311 0272 C2630 Supply
528 SEO DEFAULT FEE SCHEDU27203787 HC ABLATION CATH MAPPI 3,750.00 13007311 0272 C1732 Supply
528 SEO DEFAULT FEE SCHEDU27203788 HC ABLATION CATH SMART 8,250.00 13007311 0272 C1732 Supply
528 SEO DEFAULT FEE SCHEDU27203789 HC ABLATION CATH THERM 7,250.00 13007311 0272 C1732 Supply
528 SEO DEFAULT FEE SCHEDU27203790 HC BLADE CAUTERY PEAK 750.25 13007311 0272 27203790 Supply
528 SEO DEFAULT FEE SCHEDU27203791 HC CATHETER ANGIOJET DI 5,250.00 13007311 0272 C1757 Supply
528 SEO DEFAULT FEE SCHEDU27203791 HC CATHETER ANGIOJET DI 5,250.00 13007323 0272 C1757 Supply
528 SEO DEFAULT FEE SCHEDU27203792 HC CATHETER ANGIOJET O 5,250.00 13007311 0272 C1757 Supply
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528 SEO DEFAULT FEE SCHEDU36000029 HC I&D HEMATOMA/SEROMA 686.00 13004039 0360 10140 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000030 HC ASP ABSC/HEMA/CYST/B 837.00 13006711 0360 10160 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000035 HC GUIDE CATHET FLUID D 852.00 13004039 0360 10030 Radiology
528 SEO DEFAULT FEE SCHEDU36000078 HC ASP CYST BREAST 1,460.00 13004039 0360 19000 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000079 HC ASP CYST BREAST EA A 606.00 13004039 0360 19001 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000080 HC BREAST ABSCESS DRAI 7,299.00 13006711 0360 19020 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000080 HC BREAST ABSCESS DRAI 7,299.00 13007181 0360 19020 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000081 HC INJECTION GALACTOGR 367.00 13004039 0360 19030 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000081 50 HC INJECTION GALACTOGR 520.00 13004039 0360 19030 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000082 HC BREAST BIOPSY W/IMAG 3,707.00 13004039 0360 19083 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000082 50 HC BREAST BIOPSY W/IMAG 5,260.00 13004039 0360 19083 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000085 HC PLCMNT NEEDLE LOC W 4,286.00 13004039 0360 19285 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000088 HC BX MUSCLE NEEDLE PE 2,123.00 13007322 0360 20206 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000089 HC BX BONE NEEDLE SUPER 3,572.00 13006714 0360 20220 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000090 HC BX BONE NEEDLE DEEP 5,031.00 13007311 0360 20225 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000101 HC CAST APPL; HAND AND 889.00 13006711 0360 29085 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000101 HC CAST APPL; HAND AND 889.00 13007181 0360 29085 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000108 HC BREAST LOC BX PERC 1,688.00 13004039 0360 19082 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000109 HC BREAST LOC BX ULTRA 1,853.00 13004039 0360 19084 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000110 HC BX BREAST 1ST LESION 4,977.00 13007331 0360 19085 Radiology
528 SEO DEFAULT FEE SCHEDU36000111 HC BX BREAST ADDN LESIO 2,488.00 13007331 0360 19086 Radiology
528 SEO DEFAULT FEE SCHEDU36000112 HC PERCUTAN DEV BREAST 4,366.00 13007331 0360 19287 Radiology
528 SEO DEFAULT FEE SCHEDU36000114 HC BREAST NDL LOC BX AD 2,183.00 13004039 0360 19282 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000116 HC BREAST NDL LOC BX UL 2,143.00 13004039 0360 19286 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000119 HC INJ SCLEROSING SOLUT 1,153.00 13007323 0360 36471 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000122 HC INS CATH CV NON-TUNL 2,697.00 13007323 0360 36555 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000125 HC INSERT TUNNELED CVC 5,473.00 13007311 0360 36558 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000125 HC INSERT TUNNELED CVC 5,473.00 13007323 0360 36558 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000127 HC INSERT TUNEL CV CATH 9,297.00 13007323 0360 36561 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000131 HC INS CATH PERIPH CV W/ 3,537.00 13006021 0360 36568 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000132 HC INS PER CV CATH W/O P 3,983.00 13006021 0360 36569 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000134 HC REPLACE CATH CV W/P 9,297.00 13007323 0360 36578 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000135 HC REPL CATH CV NON-TNL 3,670.00 13007311 0360 36580 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000135 HC REPL CATH CV NON-TNL 3,670.00 13007323 0360 36580 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000136 HC REPL CATH CV TNL W/O 9,297.00 13007323 0360 36581 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000137 HC REPL DEVICE CV TNL W 9,297.00 13007323 0360 36582 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000139 HC REPL PICC W/O PORT/P 1,790.00 13007323 0360 36584 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000140 HC REPL PICC W/PORT 9,297.00 13007323 0360 36585 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000141 HC REMOVE TUNNELED CA 2,692.00 13006021 0360 36589 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU36000144 HC REM PERICATHETER MA 1,083.00 13007311 0360 36595 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000144 HC REM PERICATHETER MA 1,083.00 13007323 0360 36595 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000145 HC REM INTRALUM MAT CV 3,599.00 13007323 0360 36596 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000146 HC REPOSITION CENTRAL 259.00 13007323 0360 36597 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000148 HC CATH/CANN ARTERY PER 969.00 13006711 0360 36620 Labs - Rev to Pat Dept
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528 SEO DEFAULT FEE SCHEDU36000158 HC BX BONE MARROW ONL 1,973.00 13007341 0360 38221 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000159 HC LYMPH NODE BIOPSY SU 1,906.00 13004039 0360 38505 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000159 50 HC LYMPH NODE BIOPSY SU 2,703.00 13004039 0360 38505 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000161 HC INJ LYMPH NODE NO IM 993.00 13007381 0360 38792 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000162 HC HEMIC OR LYMPHATIC 696.00 13007322 0360 38999 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000162 HC HEMIC OR LYMPHATIC 696.00 13007323 0360 38999 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000171 HC CHOLECYSTOSTOMY PE 8,527.00 13007323 0360 47490 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000171 HC CHOLECYSTOSTOMY PE 8,527.00 13007341 0360 47490 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU36000178 HC REM CATH INTRAPERIT 9,297.00 13007323 0360 49422 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000183 HC CHG TUBE CYSTOSTOMY 2,164.00 13007323 0360 51710 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000188 HC BX PROSTATE NEEDLE/ 3,215.00 13007322 0360 55700 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000190 HC OCC/EMB TRANSCATH C 7,016.00 13007323 0360 61624 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000191 HC OCC/EMB TRANSCATH E 29,046.00 13007323 0360 61626 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000194 HC LUMBAR PUNCTURE 1,417.00 13004039 0360 62270 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000216 HC ABLATION RENAL PERC 27,452.00 13007341 0360 50593 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000250 HC INSERT TUN IP CATH W 15,454.00 13007323 0360 49419 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000251 HC ABLATION RENAL PERC 16,540.00 13007341 0360 50592 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000310 HC INJ ANES INTERCOSTAL 3,252.00 13007091 0360 64421 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000310 HC INJ ANES INTERCOSTAL 3,252.00 13007323 0360 64421 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000311 HC INJ INTERCOSTAL NERV 1,956.00 13007091 0360 64420 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000311 HC INJ INTERCOSTAL NERV 1,956.00 13007323 0360 64420 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000313 HC INJ FACET LUMBO SACR 2,011.00 13007323 0360 64493 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000314 HC INJ FACET LUMBO/SACR 1,723.00 13007323 0360 64494 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000314 50 HC INJ FACET LUMBO/SACR 2,585.00 13007323 0360 64494 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000316 HC INJ FACET CER/THORAC 3,619.00 13007323 0360 64490 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000317 HC INJ FACET CER/THORAC 1,785.00 13007323 0360 64491 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000319 HC INJECTION;CARPAL TUN 988.00 13007091 0360 20526 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000322 HC INJ TRANSF CERV/THOR 3,023.00 13007323 0360 64479 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000322 50 HC INJ TRANSF CERV/THOR 4,535.00 13007323 0360 64479 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000324 HC INJ TRANSF LUMBAR SA 2,859.00 13007323 0360 64483 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000324 50 HC INJ TRANSF LUMBAR SA 5,492.00 13007323 0360 64483 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000327 HC NERVE BLOCK;SCIATIC 2,126.00 13007081 0360 64445 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000331 HC NERVE BLOCK;L/S PAR 2,228.00 13007091 0360 64520 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000334 HC IMPLANT NEUROELECT 13,525.00 13007091 0360 63650 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000352 HC IVC FILTER REPOSITION 10,517.00 13007311 0360 37192 Cath Lab
528 SEO DEFAULT FEE SCHEDU36000352 HC IVC FILTER REPOSITION 10,517.00 13007323 0360 37192 Cath Lab
528 SEO DEFAULT FEE SCHEDU36000355 HC THROMBECTOMY OPEN A 1,246.00 13007311 0360 36831 Cath Lab
528 SEO DEFAULT FEE SCHEDU36000359 HC ENDOVASC REPAIR TAA 9,428.00 13007323 0360 33880 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000360 HC ENDOVASC REPAIR TAA 9,428.00 13007323 0360 33881 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000361 HC PLACE ENDOVASC PROST 16,193.00 13007323 0360 33883 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000386 HC CERCLAGE CERVIX VAG 10,226.00 13007011 0360 59320 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000393 HC PERC ART THROMBECTO 17,937.00 13007323 0360 61645 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU36000440 HC BRONCHOSCOPY DIAG 3,487.00 13007954 0360 31622 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000444 HC EXCISION LESION TON 2,426.00 13006711 0360 41110 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000444 HC EXCISION LESION TON 2,426.00 13007181 0360 41110 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000480 HC D&C POST DELIVERY 4,412.00 13007011 0360 59160 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000569 HC TAP BLOCK W/INJ UNILT 1,111.00 13007081 0360 64486 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000581 HC ABLATION SOFT TISSUE 2,667.00 13006711 0360 30801 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000582 HC PELVIC EXAM W/ANES 7,354.00 13006711 0360 57410 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000583 HC INSERT PACEMAKER PU 49,356.00 13007311 0360 33221 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000584 HC INSERT VAD ARTERIAL 4,962.00 13007311 0360 33990 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000585 HC REPAIR PACEMAKER DU 8,094.00 13007311 0360 33220 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000586 HC REPAIR PACEMAKER SI 8,094.00 13007311 0360 33218 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000587 HC EPISIOTOMY/VAGINAL R 5,852.00 13007011 0360 59300 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000588 HC INTUBATION RESUSCITA 684.00 13006511 0360 36000588 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000589 HC MASTOTOMY W/EXPL/DR 7,299.00 13006711 0360 19020 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000590 HC MASTOTOMY W/EXPL/DR 7,299.00 13006711 0360 19020 RT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000591 HC MYRINGOTOMY ASPIR W 696.00 13006711 0360 69420 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000592 HC PERFUSION 16,922.00 13007041 0360 36000592 Surgery
528 SEO DEFAULT FEE SCHEDU36000650 HC ABLATION THPY EXTREM 9,126.00 13007311 0360 36475 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000667 HC STAB PHLEBECTOMRY VE 8,182.00 13007311 0360 37765 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000668 HC STAB PHLEBECTOMRY VE 9,600.00 13007311 0360 37766 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000671 HC TX ABORTION INCOMPL 4,761.00 13006711 0360 59812 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000680 HC LITHOTRIPSY EXTRCOR 18,157.00 13007041 0360 36000680 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000681 HC LITHOTRIPSY EXTRCOR 13,753.00 13007041 0360 36000681 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000688 HC REM IMPL WIRE DEEP 8,205.00 13006314 0360 20680 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000719 HC INCISION LINGUAL FRE 4,245.00 13006511 0360 41010 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36000741 HC LARYNGOSCOPY FLEX D 448.80 13007361 0360 31575 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36010067 HC EPIDURAL LUMBAR 293.00 13007081 0360 62319 Surgery
528 SEO DEFAULT FEE SCHEDU36060014 HC OR LEVEL 1 ADDL 15MIN 1,041.00 13007041 0360 36060014 Surgery
528 SEO DEFAULT FEE SCHEDU36060025 HC OR LEVEL 1 INITIAL 30M 2,914.00 13007041 0360 36060025 Surgery
528 SEO DEFAULT FEE SCHEDU36060031 HC CARDIAC OR LEVEL 1 INI 11,598.00 13007041 0360 36060031 Surgery
528 SEO DEFAULT FEE SCHEDU36060032 HC CARDIAC OR LEVEL 1 AD 1,783.00 13007041 0360 36060032 Surgery
528 SEO DEFAULT FEE SCHEDU36060033 HC CARDIAC OR LEVEL 2 INI 13,918.00 13007041 0360 36060033 Surgery
528 SEO DEFAULT FEE SCHEDU36060034 HC CARDIAC OR LEVEL 2 AD 2,139.00 13007041 0360 36060034 Surgery
528 SEO DEFAULT FEE SCHEDU36060040 HC OR LEVEL LITHOTRIPSY I 17,292.00 13007041 0360 Surgery
528 SEO DEFAULT FEE SCHEDU36060041 HC OR LEVEL LITHOTRIPSY 1,177.00 13007041 0360 Supply
528 SEO DEFAULT FEE SCHEDU36080006 HC NERVE BLOCK TRIGEMI 913.00 13006711 0360 64400 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36080006 HC NERVE BLOCK TRIGEMI 913.00 13007091 0360 64400 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36080008 HC NERVE BLOCK AXILLAR 2,516.00 13007081 0360 64417 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100001 HC REM BIL CATH W G SI 2,083.00 13007323 0361 47537 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100002 HC PLC BILE SNT W G SI 12,506.00 13007323 0361 47538 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100003 HC PLC BILE SNT W GD SI 12,506.00 13007323 0361 47540 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU36100005 HC PL NEPH CAT W GD S&I 4,899.00 13007323 0361 50433 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100006 HC CONVERT NEPH CTH NE 1,636.00 13007323 0361 50434 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100007 HC ENDO BX URETER/RENAL 1,353.00 13007323 0361 50606 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100008 HC PL URT STNT W G SI N 7,572.00 13007323 0361 50694 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100009 HC PL URT STNT W G SI N 7,572.00 13007323 0361 50695 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100010 HC URETERAL EMBOL OR O 1,353.00 13007323 0361 50705 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100011 HC SCLEROTHERAPY FLUID 1,789.00 13007322 0361 49185 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100011 HC SCLEROTHERAPY FLUID 1,789.00 13007323 0361 49185 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100015 HC DEBRID/REMOVE FOREIG 3,467.00 13006711 0361 11010 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100016 HC DEBRID/REMOVE FOREIG 900.00 13006711 0361 11011 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100017 HC DEBRID/REMOVE FOREI 5,579.00 13006711 0361 11012 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100026 HC UMBILICAL CATHETER 2,072.00 13006511 0361 36510 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU36100046 HC APPL SKIN SUB TAL <100 1,114.00 13006714 0361 15271 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100047 HC APPL SKIN SUB TAL <100 1,114.00 13006714 0361 15271 RT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100048 HC APPL SKIN SUB TAL <10 399.00 13006714 0361 15272 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100049 HC APPL SKIN SUB TAL <10 399.00 13006714 0361 15272 RT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100050 HC APPL SKIN SUB TAL >100 1,647.00 13006714 0361 15273 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100051 HC APPL SKIN SUB TAL >100 1,647.00 13006714 0361 15273 RT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100052 HC APPL SKIN SUB TAL >10 1,081.00 13006714 0361 15274 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100053 HC APPL SKIN SUB TAL >10 1,081.00 13006714 0361 15274 RT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100054 HC APPL SKIN SUB OTH <100 1,114.00 13006714 0361 15275 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100055 HC APPL SKIN SUB OTH <100 1,114.00 13006714 0361 15275 RT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100056 HC APPL SKIN SUB OTH <10 399.00 13006714 0361 15276 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100057 HC APPL SKIN SUB OTH <10 399.00 13006714 0361 15276 RT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100058 HC APPL SKIN SUB OTH >100 1,647.00 13006714 0361 15277 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100059 HC APPL SKIN SUB OTH >100 1,647.00 13006714 0361 15277 RT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100060 HC APPL SKIN SUB OTH >10 1,081.00 13006714 0361 15278 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100061 HC APPL SKIN SUB OTH >10 1,081.00 13006714 0361 15278 RT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100063 HC ARTHROCNT/ASP/INJ JNT 1,668.00 13006711 0361 20600 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100063 HC ARTHROCNT/ASP/INJ JNT 1,668.00 13007091 0361 20600 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100064 HC ARTHROCNT/ASP/INJ JN 1,668.00 13006711 0361 20600 RT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100064 HC ARTHROCNT/ASP/INJ JN 1,668.00 13007091 0361 20600 RT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100065 HC ARTHROCNT/ASP/INJ JNT 962.00 13006314 0361 20605 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100066 HC ARTHROCNT/ASP/INJ JNT 962.00 13006711 0361 20605 RT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100067 HC ARTHROCNT/ASP/INJ JN 993.00 13006711 0361 20610 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100068 HC ARTHROCNT/ASP/INJ JN 993.00 13006711 0361 20610 RT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100069 HC APPL SHRT ARM SPLNT 618.00 13007181 0361 29125 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100070 HC APPL SHRT ARM SPLNT 618.00 13007181 0361 29125 RT Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU36100072 HC THROMBECTOMY VENOU 4,189.00 13007323 0361 37187 RT Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU36100077 HC APPL SKIN SUB TAL LOW 2,378.00 13006714 0361 C5271 RT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100078 HC APPL SKIN SUB TAL LOW 791.00 13006714 0361 C5272 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100079 HC APPL SKIN SUB TAL LO 791.00 13006714 0361 C5272 RT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100080 HC APPL SKIN SUB TAL LOW 7,734.00 13006714 0361 C5273 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100081 HC APPL SKIN SUB TAL LOW 7,734.00 13006714 0361 C5273 RT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100082 HC APPL SKIN SUB TAL LOW 797.00 13006714 0361 C5274 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100083 HC APPL SKIN SUB TAL LO 797.00 13006714 0361 C5274 RT Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU36100085 HC APPL SKIN SUB OTH LOW 2,309.00 13006714 0361 C5275 RT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100086 HC APPL SKIN SUB OTH LO 791.00 13006714 0361 C5276 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100087 HC APPL SKIN SUB OTH LO 791.00 13006714 0361 C5276 RT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100088 HC APPL SKIN SUB OTH LOW 2,309.00 13006714 0361 C5277 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100089 HC APPL SKIN SUB OTH LOW 2,309.00 13006714 0361 C5277 RT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100090 HC APPL SKIN SUB OTH LO 797.00 13006714 0361 C5278 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100091 HC APPL SKIN SUB OTH LO 797.00 13006714 0361 C5278 RT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100092 HC BEDSIDE SURG PROC LE 633.00 13006030 0361 36100092 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100093 HC CENTRAL LINE INSERTI 2,131.00 13006021 0361 36100093 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100100 HC INJ INTRLAMNR CERV/T 2,904.00 13007091 0361 62320 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100102 HC INJ INTRLAMNR LUM/SA 2,904.00 13007091 0361 62322 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100108 HC APPL CAST LEG RIGID C 2,131.00 13006714 0361 29445 50 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100109 HC APPL CAST LEG RIGID C 1,218.00 13006714 0361 29445 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100110 HC APPL CAST LEG RIGID C 1,218.00 13006714 0361 29445 RT Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU36100115 HC BX BONE MARROW ONLY 1,973.00 13007954 0361 38221 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100116 HC BX BONE MARROW ONLY 1,973.00 13007954 0361 38221 RT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100117 HC CONT RENAL REPLACME 1,053.00 13006030 0361 90945 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU36100121 HC DESTROY NERVE CERVI 1,868.00 13007091 0361 64634 RT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100122 HC DESTROY NERVE CERVIC 3,282.00 13007091 0361 64633 50 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100123 HC DESTROY NERVE CERVI 2,188.00 13007091 0361 64633 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100124 HC DESTROY NERVE CERVI 2,188.00 13007091 0361 64633 RT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100125 HC DESTROY NERVE LUMBA 3,439.00 13007091 0361 64636 50 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100126 HC DESTROY NERVE LUMBA 2,293.00 13007091 0361 64636 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100127 HC DESTROY NERVE LUMBA 2,293.00 13007091 0361 64636 RT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100128 HC DESTROY NERVE LUMBA 5,788.00 13007091 0361 64635 50 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100129 HC DESTROY NERVE LUMBA 3,859.00 13007091 0361 64635 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU36100130 HC DESTROY NERVE LUMBA 3,859.00 13007091 0361 64635 RT Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU45000379 HC CLSD METACARPAL W/O 896.00 13007181 0450 26600 LT Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU45000513 HC APPLY UNNA BOOT-LT 537.00 13006714 0450 29580 LT Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU45000519 HC TX FX FEMUR W/MAN W/ 3,937.00 13006711 0450 27502 LT Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU45000521 HC TX FX CALCANEAL W/MAN 2,830.00 13006711 0450 28405 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU45000522 HC TX FX CALCANEAL W/MA 2,830.00 13006711 0450 28405 RT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU45000523 HC TX FX FINGER W/FIXATI 8,566.00 13006711 0450 26746 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU45000524 HC TX FX FINGER W/O MAN 896.00 13006711 0450 26740 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU45000527 HC TX FX HUMERUS SHAFT 987.00 13007181 0450 24500 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU45000528 HC TX FX HUMERUS SHAFT 987.00 13006711 0450 24500 RT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU45000528 HC TX FX HUMERUS SHAFT 987.00 13007181 0450 24500 RT Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU45000534 HC TX FX TIBIA DISTAL W/ 4,527.00 13006711 0450 27825 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU45000534 HC TX FX TIBIA DISTAL W/ 4,527.00 13007181 0450 27825 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU45000535 HC TX FX TIBIA DISTAL W/ 4,527.00 13006711 0450 27825 RT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU45000535 HC TX FX TIBIA DISTAL W/ 4,527.00 13007181 0450 27825 RT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU45000536 HC TX FX TIBIA DISTAL WG 780.00 13006711 0450 27824 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU45000536 HC TX FX TIBIA DISTAL WG 780.00 13007181 0450 27824 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU45000537 HC TX FX TIBIA DISTAL WG 780.00 13006711 0450 27824 RT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU45000537 HC TX FX TIBIA DISTAL WG 780.00 13007181 0450 27824 RT Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU45000541 HC APPL CAST ARM SHORT- 868.00 13006711 0450 29075 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU45000542 HC APPL CAST ARM SHORT 868.00 13006711 0450 29075 RT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU45000543 HC APPL CAST HAND/FOREA 889.00 13006711 0450 29085 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU45000544 HC APPL CAST HAND/FOREA 889.00 13006711 0450 29085 RT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU45000545 HC APPL LONG LEG CAST W 868.00 13006711 0450 29355 LT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU45000546 HC APPL LONG LEG CAST W 868.00 13006711 0450 29355 RT Surgical Procedure
528 SEO DEFAULT FEE SCHEDU45000547 HC APPL SHRT ARM SPLNT 1,022.00 13006711 0450 29125 50 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU45000550 HC BLEPHAROT EYELID DRA 1,057.00 13007181 0450 67700 E1 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU45000554 HC APPLY MULTI COMP LOW 549.00 13006714 0450 29581 LT Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU45000558 HC REMOVE FB FOOT COMP 6,920.00 13006711 0450 28193 50 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU45001272 HC TX FX DISLOC SHOULD 4,496.00 13007181 0450 23665 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU45001273 HC TX FX DISLOC SHOULDE 3,886.00 13006711 0450 23675 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU45001274 HC TX FX HUMERUS SHAFT 987.00 13007181 0450 24500 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU45001279 HC REPAIR TEND/MUSC/FL 6,430.00 13007181 0450 25260 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU45001280 HC REPAIR TEND/MUSC/EX 6,430.00 13006711 0450 25270 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU45001280 HC REPAIR TEND/MUSC/EX 6,430.00 13007181 0450 25270 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU45001281 HC TX FX RADIUS SHAFT W 3,270.00 13007181 0450 25520 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU45001291 HC TX FX FEMUR W/MAN W/ 3,937.00 13006711 0450 27502 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU45001291 HC TX FX FEMUR W/MAN W/ 3,937.00 13007181 0450 27502 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU45001299 HC TX FX TIBIA DISTAL WG 780.00 13006711 0450 27824 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU45001300 HC TX FX TIBIA DISTAL W/ 4,527.00 13007181 0450 27825 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU45001302 HC REMOVE FB FOOT COMP 4,613.00 13006711 0450 28193 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU45001302 HC REMOVE FB FOOT COMP 4,613.00 13007181 0450 28193 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU45001302 50 HC REMOVE FB FOOT COMP 6,920.00 13006711 0450 28193 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU45001302 50 HC REMOVE FB FOOT COMP 6,920.00 13007181 0450 28193 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU45001308 HC APPL LONG LEG CAST 868.00 13006711 0450 29355 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU45001308 HC APPL LONG LEG CAST 868.00 13007181 0450 29355 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU45001336 HC REPAIR HAND MUSCLE I 7,848.00 13006711 0450 26591 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU45001343 HC REPAIR/SUTURE MINOR 1,860.00 13006711 0450 37799 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU45080002 HC I&D PALATE OR UVULA 1,314.00 13007181 0450 42000 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU45080003 HC DELIVERY VAGINAL 5,854.00 13006711 0450 59409 ER Services
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528 SEO DEFAULT FEE SCHEDU45600006 HC URGENT CARE NEW LEV 289.00 13007181 0456 G0380 Emergency Dept
528 SEO DEFAULT FEE SCHEDU45600011 HC URGENT CARE LEVEL 1 289.00 13007181 0456 G0380 Emergency Dept
528 SEO DEFAULT FEE SCHEDU45600016 HC URGENT CARE NEW LEVE 289.00 13007181 0456 G0380 25 Emergency Dept
528 SEO DEFAULT FEE SCHEDU45600021 HC URGENT CARE ESTAB LE 289.00 13007181 0456 G0380 25 Emergency Dept
528 SEO DEFAULT FEE SCHEDU46000002 HC SPIROMETRY/PFT PKG 463.00 13007421 0460 94010 Respiratory Therapy
528 SEO DEFAULT FEE SCHEDU46000004 HC SPIROMETRY/PFT PRE & 653.00 13007421 0460 94060 Respiratory Therapy
528 SEO DEFAULT FEE SCHEDU46000006 HC SPIROMETRY/PFT CPLX 1,258.00 13007421 0460 94070 Respiratory Therapy
528 SEO DEFAULT FEE SCHEDU46000007 HC VITAL CAPACITY TOTAL 105.00 13007421 0460 94150 Respiratory Therapy
528 SEO DEFAULT FEE SCHEDU46000013 HC PLETHYSMOGRAPHY 901.00 13007421 0460 94726 Respiratory Therapy
528 SEO DEFAULT FEE SCHEDU46000014 HC WALK TEST 6 MIN 633.00 13007421 0460 94618 Respiratory Therapy
528 SEO DEFAULT FEE SCHEDU46000016 HC PULMONARY STRESS TE 1,640.00 13007421 0460 94621 Respiratory Therapy
528 SEO DEFAULT FEE SCHEDU46000017 HC CARBON MONOXIDE DIFF 535.00 13007421 0460 94729 Respiratory Therapy
528 SEO DEFAULT FEE SCHEDU46000018 HC OXIMETRY OVERNIGHT 652.00 13006511 0460 94762 Respiratory Therapy
528 SEO DEFAULT FEE SCHEDU46000019 HC END TIDAL CO2 EXPIRE 434.00 13007421 0460 94770 Respiratory Therapy
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528 SEO DEFAULT FEE SCHEDU46000022 HC MAXIMAL VOL VENTILAT 195.00 13007421 0942 94200 Respiratory Therapy
528 SEO DEFAULT FEE SCHEDU46000023 HC PULSE OX MULTI DETER 239.00 13006511 0360 94761 Respiratory Therapy
528 SEO DEFAULT FEE SCHEDU46000026 HC ETCO2 INITIAL DAY 434.00 13007421 0460 94770 Respiratory Therapy
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528 SEO DEFAULT FEE SCHEDU46000028 HC O2 UPTAKE EXPIRED GA 462.00 13007421 0460 94690 Respiratory Therapy
528 SEO DEFAULT FEE SCHEDU47000000 HC AUDITORY EVOKED PO 1,972.00 13007581 0470 92585 Therapy
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528 SEO DEFAULT FEE SCHEDU47000003 HC NEWBORN HEARING SC 447.00 13006511 0470 92586 Nursing
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528 SEO DEFAULT FEE SCHEDU47100030 HC EARLY INTER AUD SPE 212.00 13007581 0471 92555 Audiology
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528 SEO DEFAULT FEE SCHEDU47100032 HC EARLY INTER AUD COM 609.00 13007581 0471 92557 Audiology
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528 SEO DEFAULT FEE SCHEDU48000005 HC CARDIOVERSION EXTER 1,912.00 13006030 0480 92960 Cardiology
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528 SEO DEFAULT FEE SCHEDU48000008 HC PLACE OCCLUSIVE DEVI 501.00 13007323 0480 G0269 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48000015 HC ARRHYTHMIA INDUCTIO 1,841.00 13006711 0480 93618 Cardiology
528 SEO DEFAULT FEE SCHEDU48000016 HC COUNTERPULSATION E 382.00 13007291 0480 G0166 Cardiology
528 SEO DEFAULT FEE SCHEDU48000016 HC COUNTERPULSATION E 382.00 13007311 0480 G0166 Cardiology
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528 SEO DEFAULT FEE SCHEDU48000018 HC EP FOLLOW UP 14,997.00 13007311 0480 93624 Cardiology
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528 SEO DEFAULT FEE SCHEDU48000024 HC PAD REHAB PER SESSI 158.00 13007911 0480 93668 Cardiac Rehab
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528 SEO DEFAULT FEE SCHEDU48100004 HC INS/REPL PACEMKR PER 27,510.00 13007311 0481 33208 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU48100007 HC INS PULSE GEN DUAL C 27,510.00 13007311 0481 33213 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU48100017 HC REMOVE PPM 33233 20,802.00 13007311 0481 33233 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU48100023 HC REMOVE C-D ELECTROD 8,094.00 13007311 0481 33244 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU48100030 HC IABP INSERTION 33967 3,036.00 13007311 0481 33967 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48100031 HC VESSEL MAPPING FOR 793.00 13007301 0323 G0365 Vascular Lab
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528 SEO DEFAULT FEE SCHEDU48100041 HC CATH PLCMT VENOUS, 1,394.00 13007323 0481 36012 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48100041 50 HC CATH PLCMT VENOUS, 1,977.00 13007323 0481 36012 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48100042 HC INTRO CATH ARTERY H 2,400.00 13007311 0481 36013 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48100042 HC INTRO CATH ARTERY H 2,400.00 13007323 0481 36013 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48100047 HC INTRO NDL/CATH ARTER 3,216.00 13007311 0481 36140 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48100047 HC INTRO NDL/CATH ARTER 3,216.00 13007323 0481 36140 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48100051 HC INTRO CATH AORTA 362 4,322.00 13007311 0481 36200 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48100051 HC INTRO CATH AORTA 362 4,322.00 13007323 0481 36200 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48100052 HC PLACE CATH THOR/BRAC 3,487.00 13007311 0481 36215 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48100052 HC PLACE CATH THOR/BRAC 3,487.00 13007323 0481 36215 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48100053 HC PL CATH THOR/BRAC 2N 3,210.00 13007311 0481 36216 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48100053 HC PL CATH THOR/BRAC 2N 3,210.00 13007323 0481 36216 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48100054 HC PL CATH THOR/BRAC 3R 2,096.00 13007311 0481 36217 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48100054 HC PL CATH THOR/BRAC 3R 2,096.00 13007323 0481 36217 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48100056 HC ABD 1ST ORDER 36245 3,819.00 13007323 0481 36245 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48100056 50 HC ABD 1ST ORDER 36245 5,728.00 13007323 0481 36245 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU48100057 HC ABD INITIAL 2ND ORDER 3,659.00 13007323 0481 36246 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48100057 50 HC ABD INITIAL 2ND ORDER 5,488.00 13007311 0481 36246 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU48100080 HC RVC EN PRC ICA W/TRN 26,766.00 13007323 0481 37223 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU48100081 HC RVC EN PRC R/P W/ANG 32,606.00 13007323 0481 37224 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU48100082 HC RVC EN PRC F/P W/ANT I 50,446.00 13007323 0481 37225 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU48100083 HC RVC EN PRC F/P W/TRN S 31,985.00 13007323 0481 37226 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU48100084 HC RVC EN PRC F/P W/AN/TR 60,576.00 13007323 0481 37227 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU48100086 HC RVC EN PRC T/P W/ANT I 51,613.00 13007323 0481 37229 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU48100087 HC RVC EN PRC T/P W/TRN S 43,113.00 13007323 0481 37230 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48100088 HC RVC EN PRC T/P W/AN/TR 61,652.00 13007311 0481 37231 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU48100090 HC RVC EN PRC T/P W/ANT 24,077.00 13007323 0481 37233 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48100091 HC RVC EN PRC T/P W/TRN 25,723.00 13007311 0481 37234 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48100091 HC RVC EN PRC T/P W/TRN 25,723.00 13007323 0481 37234 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU48100114 HC CORONARY ANGIO WITH 7,938.00 13007311 0481 93458 Cath Lab
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528 SEO DEFAULT FEE SCHEDU48100135 HC EP EVAL CARDIO/DEFIB 3,295.00 13007311 0481 93642 Cath Lab
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528 SEO DEFAULT FEE SCHEDU48100154 HC REM/REPL DEFIB PUL GE 62,394.00 13007311 0481 33262 Cath Lab
528 SEO DEFAULT FEE SCHEDU48100155 HC REM/REPL DEFIB PUL GE 62,394.00 13007311 0481 33263 Cath Lab
528 SEO DEFAULT FEE SCHEDU48100156 HC REM/REPL DEFIB PUL G 87,375.00 13007311 0481 33264 Cath Lab
528 SEO DEFAULT FEE SCHEDU48100160 HC INS/REP SUBQ DEFIBRIL 45,848.00 13007311 0481 33270 Cath Lab
528 SEO DEFAULT FEE SCHEDU48100165 HC LHC TRANSEPTAL PUNC 9,260.00 13007311 0481 93462 Cath Lab
528 SEO DEFAULT FEE SCHEDU48100171 HC PLC CATH RENAL ANGIO 3,257.00 13007311 0481 36253 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU48100173 HC FILTER REMOVAL 10,833.00 13007323 0481 37193 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU48100175 HC INS DEFIB PULSE GEN 87,375.00 13007311 0481 33231 Radiology
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528 SEO DEFAULT FEE SCHEDU48100181 HC VENOUS THROMBOLYSIS; 4,926.00 13007323 0481 37212 Cath Lab
528 SEO DEFAULT FEE SCHEDU48100182 HC THROMBO CESS/CLOS; S 7,147.00 13007311 0481 37214 Cath Lab
528 SEO DEFAULT FEE SCHEDU48100182 HC THROMBO CESS/CLOS; S 7,147.00 13007323 0481 37214 Cath Lab
528 SEO DEFAULT FEE SCHEDU48100183 HC CATH PLCMT SEL SUBCL 6,022.00 13007311 0481 36225 Cath Lab
528 SEO DEFAULT FEE SCHEDU48100183 HC CATH PLCMT SEL SUBCL 6,022.00 13007323 0481 36225 Cath Lab
528 SEO DEFAULT FEE SCHEDU48100184 HC CATH PLCMT SEL EA IN 4,819.00 13007323 0481 36228 Cath Lab
528 SEO DEFAULT FEE SCHEDU48100185 HC ARTRL THROMBOLYSIS; I 4,926.00 13007311 0481 37211 Cath Lab
528 SEO DEFAULT FEE SCHEDU48100185 HC ARTRL THROMBOLYSIS; I 4,926.00 13007323 0481 37211 Cath Lab
528 SEO DEFAULT FEE SCHEDU48100186 HC ARTRL/VENOUS THROMB 2,806.00 13007311 0481 37213 Cath Lab
528 SEO DEFAULT FEE SCHEDU48100186 HC ARTRL/VENOUS THROMB 2,806.00 13007323 0481 37213 Cath Lab
528 SEO DEFAULT FEE SCHEDU48100187 HC TRANSCATH RETRVAL F 7,035.00 13007311 0481 37197 Cath Lab
528 SEO DEFAULT FEE SCHEDU48100187 HC TRANSCATH RETRVAL F 7,035.00 13007323 0481 37197 Cath Lab
528 SEO DEFAULT FEE SCHEDU48100188 HC CATH PLCMT NON SEL T 5,847.00 13007311 0481 36221 Cath Lab
528 SEO DEFAULT FEE SCHEDU48100188 HC CATH PLCMT NON SEL T 5,847.00 13007323 0481 36221 Cath Lab
528 SEO DEFAULT FEE SCHEDU48100189 HC CATH PLCMT SEL COM C 6,022.00 13007311 0481 36222 Cath Lab
528 SEO DEFAULT FEE SCHEDU48100191 HC CATH PLCMT SEL INTERN 12,426.00 13007311 0481 36224 Cath Lab
528 SEO DEFAULT FEE SCHEDU48100191 HC CATH PLCMT SEL INTERN 12,426.00 13007323 0481 36224 Cath Lab
528 SEO DEFAULT FEE SCHEDU48100192 HC CATH PLCMT SEL VERTE 12,426.00 13007311 0481 36226 Cath Lab
528 SEO DEFAULT FEE SCHEDU48100192 HC CATH PLCMT SEL VERTE 12,426.00 13007323 0481 36226 Cath Lab
528 SEO DEFAULT FEE SCHEDU48100193 HC CATH PLCMT SEL EXTER 10,034.00 13007323 0481 36227 Cath Lab
528 SEO DEFAULT FEE SCHEDU48100213 HC EP STUDY PLUS SVT ABL 52,251.00 13007311 0481 93653 Cath Lab
528 SEO DEFAULT FEE SCHEDU48100214 HC EP STUDY PLUS VT ABLA 20,071.00 13007311 0481 93654 Cath Lab
528 SEO DEFAULT FEE SCHEDU48100215 HC ADD ON ABLAT POST AB 7,362.00 13007311 0481 93655 Cath Lab
528 SEO DEFAULT FEE SCHEDU48100216 HC EP STUDY PLUS AFIB AB 52,251.00 13007311 0481 93656 Cath Lab
528 SEO DEFAULT FEE SCHEDU48100217 HC ADD ON AFIB ABLAT POS 11,569.00 13007311 0481 93657 Cath Lab
528 SEO DEFAULT FEE SCHEDU48100227 HC PRE OR POST PACEMAKE 140.00 13007311 0481 93286 Cath Lab
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528 SEO DEFAULT FEE SCHEDU48100230 HC VENOUS EMBO FOR VEI 11,514.00 13007323 0481 37241 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48100231 HC ARTERIAL EMBO FOR AV 11,514.00 13007311 0481 37242 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48100231 HC ARTERIAL EMBO FOR AV 11,514.00 13007323 0481 37242 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48100232 HC EMBOLIZATION OF TUMO 11,514.00 13007311 0481 37243 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48100232 HC EMBOLIZATION OF TUMO 11,514.00 13007323 0481 37243 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48100233 HC EMBOLIZATION FOR HE 11,514.00 13007311 0481 37244 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48100233 HC EMBOLIZATION FOR HE 11,514.00 13007323 0481 37244 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48100234 HC STENT INIT ARTERY UPP 9,549.00 13007311 0481 37236 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48100234 HC STENT INIT ARTERY UPP 9,549.00 13007323 0481 37236 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48100235 HC STENT ADDN ARTERY UP 8,205.00 13007323 0481 37237 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48100236 HC STENT INIT VENOUS UPP 29,661.00 13007311 0481 37238 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48100236 HC STENT INIT VENOUS UPP 29,661.00 13007323 0481 37238 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU48100237 HC STENT ADDN VENOUS UP 9,047.00 13007323 0481 37239 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU48100268 HC ANGIOPLASTY TRANLUM B 12,041.00 13007323 0481 37248 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU48100270 HC PLACE STENT CENTRAL 9,895.00 13007323 0481 36908 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48100271 HC DIAL CIRCUIT VASC EMB 14,461.00 13007311 0481 36909 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU48100271 HC DIAL CIRCUIT VASC EMB 14,461.00 13007323 0481 36909 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU48100272 HC INTRO CATH DIALYSIS C 2,947.00 13007323 0481 36901 Surgical Procedure
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528 SEO DEFAULT FEE SCHEDU48100277 HC INTERROG DEVICE EVA 140.00 13007311 0481 93288 Cath Lab
528 SEO DEFAULT FEE SCHEDU48100278 HC INTRVASC DOPP COLOR 7,883.00 13007311 0480 93571 LC Cath Lab
528 SEO DEFAULT FEE SCHEDU48100279 HC INTRVASC DOPP COLOR 7,883.00 13007311 0480 93571 LD Cath Lab
528 SEO DEFAULT FEE SCHEDU48100280 HC INTRVASC DOPP COLOR 7,883.00 13007311 0480 93571 LM Cath Lab
528 SEO DEFAULT FEE SCHEDU48100281 HC INTRVASC DOPP COLOR 7,883.00 13007311 0480 93571 RC Cath Lab
528 SEO DEFAULT FEE SCHEDU48100282 HC INTRVASC DOPP COLOR 7,883.00 13007311 0480 93571 RI Cath Lab
528 SEO DEFAULT FEE SCHEDU48100283 HC INTRVASC DOPP COLOR 1,188.00 13007311 0481 93572 LC Cath Lab
528 SEO DEFAULT FEE SCHEDU48100284 HC INTRVASC DOPP COLOR 1,188.00 13007311 0481 93572 LD Cath Lab
528 SEO DEFAULT FEE SCHEDU48100285 HC INTRVASC DOPP COLOR 1,188.00 13007311 0481 93572 LM Cath Lab
528 SEO DEFAULT FEE SCHEDU48100286 HC INTRVASC DOPP COLOR 1,188.00 13007311 0481 93572 RC Cath Lab
528 SEO DEFAULT FEE SCHEDU48100287 HC INTRVASC DOPP COLOR 1,188.00 13007311 0481 93572 RI Cath Lab
528 SEO DEFAULT FEE SCHEDU48100288 HC PLACE PERC COR STENT 29,661.00 13007311 0481 C9600 LC Cath Lab
528 SEO DEFAULT FEE SCHEDU48100289 HC PLACE PERC COR STENT 29,661.00 13007311 0481 C9600 LD Cath Lab
528 SEO DEFAULT FEE SCHEDU48100290 HC PLACE PERC COR STENT 29,661.00 13007311 0481 C9600 LM Cath Lab
528 SEO DEFAULT FEE SCHEDU48100291 HC PLACE PERC COR STENT 29,661.00 13007311 0481 C9600 RC Cath Lab
528 SEO DEFAULT FEE SCHEDU48100292 HC PLACE PERC COR STENT 29,661.00 13007311 0481 C9600 RI Cath Lab
528 SEO DEFAULT FEE SCHEDU48100293 HC PLACE PERC COR STENT 8,928.00 13007311 0481 C9601 LC Cath Lab
528 SEO DEFAULT FEE SCHEDU48100294 HC PLACE PERC COR STENT 8,928.00 13007311 0481 C9601 LD Cath Lab
528 SEO DEFAULT FEE SCHEDU48100295 HC PLACE PERC COR STENT 8,928.00 13007311 0481 C9601 LM Cath Lab
528 SEO DEFAULT FEE SCHEDU48100296 HC PLACE PERC COR STENT 8,928.00 13007311 0481 C9601 RC Cath Lab
528 SEO DEFAULT FEE SCHEDU48100297 HC PLACE PERC COR STENT 8,928.00 13007311 0481 C9601 RI Cath Lab
528 SEO DEFAULT FEE SCHEDU48100298 HC PERC TRANSL REVASC O 29,661.00 13007311 0481 92943 LC Cath Lab
528 SEO DEFAULT FEE SCHEDU48100299 HC PERC TRANSL REVASC O 29,661.00 13007311 0481 92943 LD Cath Lab
528 SEO DEFAULT FEE SCHEDU48100300 HC PERC TRANSL REVASC 29,661.00 13007311 0481 92943 LM Cath Lab
528 SEO DEFAULT FEE SCHEDU48100301 HC PERC TRANSL REVASC 29,661.00 13007311 0481 92943 RC Cath Lab
528 SEO DEFAULT FEE SCHEDU48100302 HC PERC TRANSL REVASC O 29,661.00 13007311 0481 92943 RI Cath Lab
528 SEO DEFAULT FEE SCHEDU48100308 HC PERC TRANSL REVASC G 29,661.00 13007311 0481 92937 LC Cath Lab
528 SEO DEFAULT FEE SCHEDU48100309 HC PERC TRANSL REVASC G 29,661.00 13007311 0481 92937 LD Cath Lab
528 SEO DEFAULT FEE SCHEDU48100312 HC PERC TRANSL REVASC G 29,661.00 13007311 0481 92937 RI Cath Lab
528 SEO DEFAULT FEE SCHEDU48100313 HC PERC TRANSL REVASC G 8,929.00 13007311 0481 92938 LC Cath Lab
528 SEO DEFAULT FEE SCHEDU48100314 HC PERC TRANSL REVASC G 8,929.00 13007311 0481 92938 LD Cath Lab
528 SEO DEFAULT FEE SCHEDU48100317 HC PERC TRANSL REVASC G 8,929.00 13007311 0481 92938 RI Cath Lab
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528 SEO DEFAULT FEE SCHEDU48100321 HC PERC TRANSL REVASC O 14,724.00 13007311 0481 92941 RC Cath Lab
528 SEO DEFAULT FEE SCHEDU48100323 HC PLACE CATH ABD/PEL 1 5,728.00 13007311 0360 36245 50 Cath Lab
528 SEO DEFAULT FEE SCHEDU48100324 HC PLACE CATH ABD/PEL 1 3,819.00 13007311 0360 36245 LT Cath Lab
528 SEO DEFAULT FEE SCHEDU48100325 HC PLACE CATH ABD/PEL 1 3,819.00 13007311 0360 36245 RT Cath Lab
528 SEO DEFAULT FEE SCHEDU48100326 HC PLACE PERC INTRACOR 29,661.00 13007311 0481 92928 LC Cath Lab
528 SEO DEFAULT FEE SCHEDU48100327 HC PLACE PERC INTRACOR 29,661.00 13007311 0481 92928 LD Cath Lab
528 SEO DEFAULT FEE SCHEDU48100328 HC PLACE PERC INTRACOR 29,661.00 13007311 0481 92928 LM Cath Lab
528 SEO DEFAULT FEE SCHEDU48100329 HC PLACE PERC INTRACOR 29,661.00 13007311 0481 92928 RC Cath Lab
528 SEO DEFAULT FEE SCHEDU48100330 HC PLACE PERC INTRACOR 29,661.00 13007311 0481 92928 RI Cath Lab
528 SEO DEFAULT FEE SCHEDU48100331 HC PLACE PERC INTRACOR 8,669.00 13007311 0481 92929 LC Cath Lab
528 SEO DEFAULT FEE SCHEDU48100332 HC PLACE PERC INTRACOR 8,669.00 13007311 0481 92929 LD Cath Lab
528 SEO DEFAULT FEE SCHEDU48100333 HC PLACE PERC INTRACOR 8,669.00 13007311 0481 92929 LM Cath Lab
528 SEO DEFAULT FEE SCHEDU48100334 HC PLACE PERC INTRACOR 8,669.00 13007311 0481 92929 RC Cath Lab
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528 SEO DEFAULT FEE SCHEDU48100338 HC PERC TRN ATHR DRUG E 45,210.00 13007311 0481 C9602 LM Cath Lab
528 SEO DEFAULT FEE SCHEDU48100339 HC PERC TRN ATHR DRUG E 45,210.00 13007311 0481 C9602 RC Cath Lab
528 SEO DEFAULT FEE SCHEDU48100340 HC PERC TRN ATHR DRUG E 45,210.00 13007311 0481 C9602 RI Cath Lab
528 SEO DEFAULT FEE SCHEDU48100341 HC PERC TRN ATHR DRUG E 8,256.00 13007311 0481 C9603 LC Cath Lab
528 SEO DEFAULT FEE SCHEDU48100342 HC PERC TRN ATHR DRUG E 8,256.00 13007311 0481 C9603 LD Cath Lab
528 SEO DEFAULT FEE SCHEDU48100343 HC PERC TRN ATHR DRUG E 8,256.00 13007311 0481 C9603 LM Cath Lab
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528 SEO DEFAULT FEE SCHEDU48100351 HC PERC RVSC CABG COR G 15,472.00 13007311 0481 C9605 LC Cath Lab
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528 SEO DEFAULT FEE SCHEDU78000013 PC OT EVAL LOW COMPLEXIT 265.66 13004041 0780 97165 95 Professional Fees
528 SEO DEFAULT FEE SCHEDU78000014 PC AMBULATION GAIT TRAIN 184.72 13004041 0780 97116 95 Professional Fees
528 SEO DEFAULT FEE SCHEDU78000015 PC OT EVAL HIGH COMPLEXIT 530.82 13004041 0780 97167 95 Professional Fees
528 SEO DEFAULT FEE SCHEDU78000016 PC OT RE-EVAL 30 MIN - 95 207.97 13004041 0780 97168 95 Professional Fees
528 SEO DEFAULT FEE SCHEDU78000017 PC SPEECH THERAPY TREAT 156.64 13004041 0780 92507 95 Professional Fees
528 SEO DEFAULT FEE SCHEDU78000018 PC EVALUATION OF SPEECH 263.48 13004041 0780 92521 95 Professional Fees
528 SEO DEFAULT FEE SCHEDU78000019 PC DYSPHAGIA TREATMENT 1 148.96 13004041 0780 92526 95 Professional Fees
528 SEO DEFAULT FEE SCHEDU78000210 PC OT EVAL MOD COMPLEXIT 307.89 13004041 0780 97166 95 Professional Fees
528 SEO DEFAULT FEE SCHEDU78000216 PC SPEECH SOUND LANGUAG 508.11 13004041 0780 92523 95 Professional Fees
528 SEO DEFAULT FEE SCHEDU80100010 HC DIALYSIS PROC OTHER 1,053.00 13007711 0801 90945 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU80100011 HC HEMODIALYSIS INPATIE 2,894.00 13007711 0801 G0257 Dialysis
528 SEO DEFAULT FEE SCHEDU82900001 HC HEMODIALYSIS OUTPAT 2,894.00 13007711 0829 G0257 Dialysis
528 SEO DEFAULT FEE SCHEDU90100001 HC ELECTROCONVULSIVE 1,582.00 13006968 0901 90870 Therapy
528 SEO DEFAULT FEE SCHEDU92000001 HC TEST STRESS FETAL 990.00 13007011 0920 59020 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU92000002 HC TEST NON STRESS FETA 1,205.00 13007011 0920 59025 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU92100002 HC DUPLEX CAROTID BILAT 2,799.00 13007301 0921 93880 Medical Imaging
528 SEO DEFAULT FEE SCHEDU92100003 HC DUPLEX CAROTID UNI 1,784.00 13007301 0921 93882 Medical Imaging
528 SEO DEFAULT FEE SCHEDU92100005 HC ABI/PPG SINGLE LEVEL 1,065.00 13006714 0921 93922 Vascular Lab
528 SEO DEFAULT FEE SCHEDU92100005 HC ABI/PPG SINGLE LEVEL 1,065.00 13007301 0921 93922 Vascular Lab
528 SEO DEFAULT FEE SCHEDU92100011 HC TCPO2 UNLIATERAL 1-2 L 1,065.00 13006714 0921 93922 52 Vascular Lab
528 SEO DEFAULT FEE SCHEDU92100023 HC TCPO2/ABI/PPG MULT L 397.00 13007301 0921 93923 Vascular Lab
528 SEO DEFAULT FEE SCHEDU92100030 HC RESTING ARTERIAL LOW 1,533.00 13006714 0921 93923 Vascular Lab
528 SEO DEFAULT FEE SCHEDU92100030 HC RESTING ARTERIAL LOW 1,533.00 13007301 0921 93923 Vascular Lab
528 SEO DEFAULT FEE SCHEDU92100031 HC RESTING ARTERIAL UPP 1,533.00 13007301 0921 93923 Vascular Lab
528 SEO DEFAULT FEE SCHEDU92100034 HC DUPLEX ARTERIAL LWR 1,726.00 13007301 0921 93925 Vascular Lab
528 SEO DEFAULT FEE SCHEDU92100035 HC DUPLEX ARTRL LWR EXT 1,179.00 13007301 0921 93926 Vascular Lab
528 SEO DEFAULT FEE SCHEDU92100037 HC DUPLEX ARTERIAL UPR 1,693.00 13007301 0921 93930 Vascular Lab
528 SEO DEFAULT FEE SCHEDU92100038 HC DUPLEX ARTRL UPR EXT 1,143.00 13007301 0921 93931 Vascular Lab
528 SEO DEFAULT FEE SCHEDU92100039 HC DUPLEX ARTRL UPR EX 1,143.40 13007301 0921 93931 Vascular Lab
528 SEO DEFAULT FEE SCHEDU92100041 HC DUPLEX VENOUS EXT BI 1,818.00 13007301 0921 93970 Vascular Lab
528 SEO DEFAULT FEE SCHEDU92100043 HC DUPLEX VENOUS EXT UN 1,273.00 13007301 0921 93971 Vascular Lab
528 SEO DEFAULT FEE SCHEDU92100046 HC DUPLEX HEMODIALYSIS 936.00 13007301 0921 93990 Vascular Lab
528 SEO DEFAULT FEE SCHEDU92100049 HC RESTING ARTERIAL EXT 1,533.00 13007301 0921 93923 52 Vascular Lab
528 SEO DEFAULT FEE SCHEDU92100054 HC DUPLEX SCAN ARTERIA 321.00 13007301 0921 93986 Vascular Lab
528 SEO DEFAULT FEE SCHEDU92200000 HC EMG ONE EXTREMITY 1,368.00 13004041 0922 95860 Neurology
528 SEO DEFAULT FEE SCHEDU92200001 HC EMG TWO EXTREMITIES 1,208.00 13004041 0922 95861 Neurology
528 SEO DEFAULT FEE SCHEDU92200002 HC EMG THREE EXTREMITI 2,836.00 13004041 0922 95863 Neurology
528 SEO DEFAULT FEE SCHEDU92200008 HC SSEP UPPER LIMBS 1,501.00 13007041 0922 95925 Neurology
528 SEO DEFAULT FEE SCHEDU92200009 HC SSEP LOWER LIMBS 1,520.00 13007041 0922 95926 Neurology
528 SEO DEFAULT FEE SCHEDU92200011 HC EMG ADD ON >5 MUSCL 1,245.00 13004041 0922 95886 Neurology
528 SEO DEFAULT FEE SCHEDU92200012 HC EMG 4 EXTREMITIES 3,644.00 13004041 0922 95864 Neurology
528 SEO DEFAULT FEE SCHEDU92200015 HC SSEP UPPER AND LOWE 1,741.00 13007041 0922 95938 Neurology
528 SEO DEFAULT FEE SCHEDU92200016 HC EMG ADD ON <5 MUSCL 1,051.00 13004041 0922 95885 Neurology
528 SEO DEFAULT FEE SCHEDU92200017 HC EMG ADD ON CRANIAL 1,051.00 13004041 0922 95887 Neurology
528 SEO DEFAULT FEE SCHEDU92200021 HC NVR CNDJ TST 1-2 STUD 752.00 13004041 0922 95907 Neurology
528 SEO DEFAULT FEE SCHEDU92200022 HC NVR CNDJ TST 3-4 STUD 1,504.00 13004041 0922 95908 Neurology
528 SEO DEFAULT FEE SCHEDU92200025 HC NVR CNDJ TST 9-10 STU 3,760.00 13004041 0922 95911 Neurology
528 SEO DEFAULT FEE SCHEDU92200026 HC NVR CNDJ TST 11-12 ST 4,512.00 13004041 0922 95912 Neurology
528 SEO DEFAULT FEE SCHEDU92200027 HC NVR CNDJ TST 13 AND > 5,264.00 13004041 0922 95913 Neurology
528 SEO DEFAULT FEE SCHEDU94000101 HC PHLEBOTOMY THERAPE 341.00 13006711 0940 99195 Lab - Hematology
528 SEO DEFAULT FEE SCHEDU94000103 HC PHOTO THERAPY INITIA 173.00 13006511 0940 E0202 Nursing
528 SEO DEFAULT FEE SCHEDU94000104 HC INJECTION IM/SUBQ - XU 172.00 13006021 0940 96372 XU Injections
528 SEO DEFAULT FEE SCHEDU94000105 HC INJ IV PUSH SINGL/INITI 392.00 13006711 0940 96374 XU Injections
528 SEO DEFAULT FEE SCHEDU94000110 HC THERAPEUTIC PHLEBO 341.00 13007222 0940 99195 Lab - Phlebotomy
528 SEO DEFAULT FEE SCHEDU94000114 HC NEEDLE INSERTION W/O 0.01 13004041 0940 20560 Therapy
528 SEO DEFAULT FEE SCHEDU94300008 HC PULMONARY REHAB PE 334.00 13007911 0948 G0424 Cardiac Rehab
528 SEO DEFAULT FEE SCHEDU94300009 HC CARDIAC REHAB W/EKG 335.00 13007911 0943 93798 Cardiac Rehab
528 SEO DEFAULT FEE SCHEDU94300014 HC CARD REHAB W/EKG SES 335.00 13007911 0943 93798 KX Cardiac Rehab
528 SEO DEFAULT FEE SCHEDU94300019 HC CARDIAC REHAB PHASE 310.00 13007911 0943 94300019 Cardiac Rehab
528 SEO DEFAULT FEE SCHEDU94300022 HC CARDIAC REHAB 4 EXE 33.00 13007911 0943 94300022 Cardiac Rehab
528 SEO DEFAULT FEE SCHEDU94300023 HC CARDIAC REHAB 4 EXE 22.00 13007911 0943 94300023 Cardiac Rehab
528 SEO DEFAULT FEE SCHEDU96000044 PC NON PHYSICIAN EST PT 37.47 13004041 0960 G2061 Professional Fees
528 SEO DEFAULT FEE SCHEDU98180003 PC DRAIN SKIN ABSCESS C 573.00 13006714 0981 10061 Professional Fees
528 SEO DEFAULT FEE SCHEDU98180029 PC REMOVAL OF NAIL BED 316.00 13006714 0981 11750 Professional Fees
528 SEO DEFAULT FEE SCHEDU98180480 PC PARING LESION BENIGN 52.00 13006714 0981 11055 Professional Fees
528 SEO DEFAULT FEE SCHEDU98180487 PC EXCISION LESION BENIG 358.00 13006714 0981 11402 Professional Fees
528 SEO DEFAULT FEE SCHEDU98180488 PC EXCISION LESION BENIG 466.00 13006714 0981 11403 Professional Fees
528 SEO DEFAULT FEE SCHEDU98180490 PC EXCISION LESION BENI 254.00 13006714 0981 11420 Professional Fees
528 SEO DEFAULT FEE SCHEDU98180497 PC AVULSION NAIL PLATE E 56.00 13006714 0981 11732 Professional Fees
528 SEO DEFAULT FEE SCHEDU98180603 PC REMOVE CERUMEN IMP 109.00 13006714 0981 69210 Professional Fees
528 SEO DEFAULT FEE SCHEDU98180960 PC BIOPSY SKIN PUNCH AD 84.00 13006714 0981 11105 Professional Fees
528 SEO DEFAULT FEE SCHEDU98180963 PC BIOPSY SKIN PUNCH INI 155.00 13006714 0981 11104 Professional Fees
528 SEO DEFAULT FEE SCHEDU98200001 PC CLINIC VISIT BRIEF NEW 84.00 13006714 0982 99201 Professional Fees
528 SEO DEFAULT FEE SCHEDU98200002 PC CLINIC VISIT LIMITED N 159.00 13006714 0982 99202 Professional Fees
528 SEO DEFAULT FEE SCHEDU98200003 PC CLINIC VISIT INTERM N 238.00 13006714 0982 99203 Professional Fees
528 SEO DEFAULT FEE SCHEDU98200004 PC CLINIC VISIT COMPLEX 407.00 13006714 0982 99204 Professional Fees
528 SEO DEFAULT FEE SCHEDU98200005 PC CLINIC VISIT COMPREH 531.00 13006714 0982 99205 Professional Fees
528 SEO DEFAULT FEE SCHEDU98200006 PC CLINIC VISIT BRIEF EST 28.00 13006714 0982 99211 Professional Fees
528 SEO DEFAULT FEE SCHEDU98200007 PC CLINIC VISIT LIMIT EST 82.00 13006714 0982 99212 Professional Fees
528 SEO DEFAULT FEE SCHEDU98200008 PC CLINIC VISIT INTERM ES 161.00 13006714 0982 99213 Professional Fees
528 SEO DEFAULT FEE SCHEDU98200009 PC CLINIC VISIT COMPLX E 246.00 13006714 0982 99214 Professional Fees
528 SEO DEFAULT FEE SCHEDU98200010 PC CLINIC VISIT COMPRH E 347.00 13006714 0982 99215 Professional Fees
528 SEO DEFAULT FEE SCHEDU98200012 PC DOPPLER ARTERIAL EXT 71.00 13006714 0982 93923 Professional Fees
528 SEO DEFAULT FEE SCHEDU98200013 PC DOPPLER ARTERIAL EXTR 41.00 13006714 0982 93922 Professional Fees
528 SEO DEFAULT FEE SCHEDU98200072 HC INITIAL HOSPITAL CARE 321.60 13007361 0982 99221 Nursing
528 SEO DEFAULT FEE SCHEDU98200075 HC SUBSEQUENT HOPITAL C 122.97 13007361 0982 99231 Nursing
528 SEO DEFAULT FEE SCHEDU98200078 HC HOSPITAL DISCHARGE 30 225.51 13007361 0982 99238 Nursing
528 SEO DEFAULT FEE SCHEDU98300001 PC I&D ABSC SMP PRO 311.00 13006714 0983 10060 Professional Fees
528 SEO DEFAULT FEE SCHEDU98300004 PC DEBR SKIN/SUBQ TISS I 195.00 13006714 0983 11042 Professional Fees
528 SEO DEFAULT FEE SCHEDU98300006 PC DEBR SKIN/SUBQ TISSU 508.00 13006714 0983 11043 Professional Fees
528 SEO DEFAULT FEE SCHEDU98300008 PC DEBR SKIN/SUB TIS/MUS 748.00 13006714 0983 11044 Professional Fees
528 SEO DEFAULT FEE SCHEDU98300010 PC DEBR SKIN/SUBQ TIS EA 89.00 13006714 0983 11045 Professional Fees
528 SEO DEFAULT FEE SCHEDU98300011 PC DEBR SKIN/SUBQ MUS/F 188.00 13006714 0983 11046 Professional Fees
528 SEO DEFAULT FEE SCHEDU98300012 PC DEBR SKIN/SUB TIS/MUS 332.00 13006714 0983 11047 Professional Fees
528 SEO DEFAULT FEE SCHEDU98300015 PC BX LESN SKIN/SUBQ/MU 198.00 13006714 0983 11100 Professional Fees
528 SEO DEFAULT FEE SCHEDU98300017 PC PUNCH BIOPSY EA ADD 78.00 13006714 0983 11101 Professional Fees
528 SEO DEFAULT FEE SCHEDU98300018 PC TRIM NAILS NONDYSTR 24.00 13006714 0983 11719 Professional Fees
528 SEO DEFAULT FEE SCHEDU98300028 PC BURN DRESS &/OR DEBR 173.00 13006714 0983 16020 Professional Fees
528 SEO DEFAULT FEE SCHEDU98300031 PC CHEM CAUTERY PRO 120.00 13006714 0983 17250 Professional Fees
528 SEO DEFAULT FEE SCHEDU98300033 PC BX BONE NEEDLE SUPE 279.00 13006714 0983 20220 Professional Fees
528 SEO DEFAULT FEE SCHEDU98300036 PC UNNA BOOT APPLICATI 91.00 13006714 0983 29580 Professional Fees
528 SEO DEFAULT FEE SCHEDU98300038 PC APPL MULTI COMP LOW 87.00 13006714 0983 29581 Professional Fees
528 SEO DEFAULT FEE SCHEDU98300043 PC DEBR SKIN INTL 20CM P 117.00 13006714 0983 97597 Professional Fees
528 SEO DEFAULT FEE SCHEDU98300049 PC DEBR SKIN PART THICK 84.00 13006714 0983 97598 Professional Fees
528 SEO DEFAULT FEE SCHEDU98300050 PC NWPT <50 SQ CM PRO 81.00 13006714 0983 97605 Professional Fees
528 SEO DEFAULT FEE SCHEDU98300051 PC NWPT >50 SQ CM PRO 87.00 13006714 0983 97606 Professional Fees
528 SEO DEFAULT FEE SCHEDU98300075 PC HYPERBARIC 02 NP PRO 358.00 13006714 0983 99183 Professional Fees
528 SEO DEFAULT FEE SCHEDU98300080 PC APL SKIN SUB TAL<100 279.00 13006714 0983 15271 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU98300082 PC APL SKIN SUB TAL<100 59.00 13006714 0983 15272 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU98300083 PC APL SKIN SUB TAL>100 668.00 13006714 0983 15273 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU98300085 PC APL SKIN SUB TAL>100 153.00 13006714 0983 15274 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU98300086 PC APL SKIN SUB OTH<100 308.00 13006714 0983 15275 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU98300088 PC APL SKIN SUB OTH<100 87.00 13006714 0983 15276 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU98300089 PC APL SKIN SUB OTH>100 759.00 13006714 0983 15277 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU98300091 PC APL SKIN SUB OTH>100 194.00 13006714 0983 15278 Surgical Procedure
528 SEO DEFAULT FEE SCHEDU98300092 PC I&D HEMATOMA/SEROMA 376.00 13006714 0983 10140 Professional Fees
528 SEO DEFAULT FEE SCHEDU98300105 PC INJECTION IM/SUBQ PR 43.00 13006714 0983 96372 Professional Fees
528 SEO DEFAULT FEE SCHEDU98300124 PC AVULSION NAIL PLATE 174.00 13006714 0983 11730 Professional Fees
528 SEO DEFAULT FEE SCHEDU98300143 PC DEBR NAIL(S) 6 OR MOR 81.00 13006714 0983 11721 Professional Fees
528 SEO DEFAULT FEE SCHEDU98300144 PC DEBR NAIL(S) UP TO 5 47.00 13006714 0983 11720 Professional Fees
528 SEO DEFAULT FEE SCHEDU98300147 PC BIOPSY SKIN INCISIONAL 186.00 13006714 0983 11106 Professional Fees
528 SEO DEFAULT FEE SCHEDU98300150 PC BIOPSY SKIN INCISIONA 100.00 13006714 0983 11107 Professional Fees
528 SEO DEFAULT FEE SCHEDU98300154 PC DOC MEDS VERIFIED W/ 1.00 13006714 0983 G8427 Professional Fees
528 SEO DEFAULT FEE SCHEDU98300155 PC SCREENED TOBACCO US 1.00 13006714 0983 4004F Professional Fees
528 SEO DEFAULT FEE SCHEDU98300156 PC DEBRIDEMENT NONSELE 118.00 13006714 0983 97602 Professional Fees
528 SEO DEFAULT FEE SCHEDU98300157 PC BIOPSY EXTERNAL EAR 153.00 13006714 0983 69100 Professional Fees
528 SEO DEFAULT FEE SCHEDU98300158 PC BX BN EXCISIONAL 472.00 13006714 0983 20240 Professional Fees
528 SEO DEFAULT FEE SCHEDU98500000 PC EKG INTER AND REPOR 66.59 13007291 0985 93010 EKG PRO FEE
528 SEO DEFAULT FEE SCHEDU98800024 HC INPATIENT CONSULT NE 156.69 13007361 0988 99251 Nursing
528 SEO DEFAULT FEE SCHEDU99000002 HC BOOKS AND PAMPHLETS 13.00 13004041 0990 99000002 Supply
528 SEO DEFAULT FEE SCHEDU99980035 HC ER NO CHARGE 0.00 13006711 9998 99980035 Emergency Dept
528 SEO DEFAULT FEE SCHEDU99980044 HC CLINIC NO CHARGE 0.00 13007181 9998 Nursing
Description nit Chg Amt
HC ASP FINE NDL W/US GUIDE INIT LESN $1,046.00
HC ASP FINE NDL W/US GUIDE EA ADDL LESN $1,046.00
HC ASP FINE NDL W/FLUORO GUIDE INIT LESN $1,046.00
HC ASP FINE NDL W/FLUORO GUIDE EA ADDL LESN $1,203.00
HC ASP FINE NDL W/CT GUIDE EA ADDL LESN $1,203.00
HC ASP FINE NDL W/O IMAGING GUIDE $1,187.00
HC GUIDE CATHET FLUID DRAINAGE $852.00
HC I&D ABSC SMP FAC $673.00
PC I&D ABSC SMP PRO $311.00
HC I&D ABSC CMPLX $761.00
PC DRAIN SKIN ABSCESS COMPLIC $573.00
HC I&D CYST PILONIDAL SMP $679.00
HC I&D CYST PILONIDAL CPLX $2,123.00
HC INCISION/REM FB SUBQ SMP $443.00
HC RM FB SUBQ W/INC COMPL $5,930.00
HC I&D HEMATOMA/SEROMA/FLUID $686.00
PC I&D HEMATOMA/SEROMA/FLUID PRO $376.00
HC ASP ABSC/HEMA/CYST/BULLA FAC $837.00
HC DEBRID/REMOVE FOREIGN BODY SKIN/SUBQ TISSUE $3,467.00
HC DEBRID/REMOVE FOREIGN BODY SKIN/SUBQ TISS/MUSCLE $900.00
HC DEBRID/REMOVE FOREIGN BODY SKIN/SUBQ TISS/MUSCLE/BONE $5,579.00
HC DEBR SKIN/SUBQ TISS INIT 20CM FAC $1,700.00
PC DEBR SKIN/SUBQ TISS INIT 20CM PRO $195.00
HC DEBR SKIN/SUBQ TISSUE/MUSCLE FAC $1,700.00
PC DEBR SKIN/SUBQ TISSUE/MUSCLE PRO $508.00
HC DEBR SKIN/SUB TIS/MUS/BONE INT 20 FAC $6,108.00
PC DEBR SKIN/SUB TIS/MUS/BONE INT 20 PRO $748.00
HC DEBR SKIN/SUBQ TIS EA ADL 20CM FAC $1,790.00
PC DEBR SKIN/SUBQ TIS EA ADL 20CM PRO $89.00
HC DEBR SKIN/SUBQ MUS/FAS ADL 20C FAC $1,564.00
PC DEBR SKIN/SUBQ MUS/FAS ADL 20C PRO $188.00
HC DEBR SKIN/SUB TIS/MUS/BN ADL 20C FAC $4,205.00
PC DEBR SKIN/SUB TIS/MUS/BN ADL 20C PRO $332.00
HC PARING LESN BENIGN 1 FAC $521.00
PC PARING LESION BENIGN SINGLE $52.00
HC PARING LESN BENIGN 2-4 FAC $615.00
PC PARING LESION BENIGN 2-4 LESIONS $76.00
HC PARING LESN BENIGN >4 FAC $709.00
PC PARING LESION BENIGN 4+ LESIONS $95.00
PC BX LESN SKIN/SUBQ/MUCOUS SGL PRO $198.00
HC PUNCH BIOPSY EA ADD FACILITY $428.00
PC PUNCH BIOPSY EA ADD PRO $78.00
HC BIOPSY SKIN PUNCH INIT LESN $372.00
PC BIOPSY SKIN PUNCH INIT LESN $155.00
HC BIOPSY SKIN PUNCH ADDL LESN $372.00
PC BIOPSY SKIN PUNCH ADDL LESN $84.00
HC BIOPSY SKIN INCISIONAL INIT LESN $919.00
PC BIOPSY SKIN INCISIONAL INIT LESN $186.00
PC BIOPSY SKIN INCISIONAL ADDL LESN $100.00
HC REMOVAL SKIN TAG LESIONS <=15 FAC $575.00
HC SHAVING SKIN LESION $412.00
HC EXC LESION 0.5< $1,588.00
HC EXCISION LESION BENIGN TRUNK/ARM/LEG 0.6-1.0CM $1,896.00
HC EXCISION LESION BENIGN TRUNK/ARM/LEG 1.1-2.0CM $1,464.00
PC EXCISION LESION BENIGN TRUNK/ARM/LEG 1.1-2.0CM $358.00
PC EXCISION LESION BENIGN TRUNK/ARM/LEG 2.1-3.0CM $466.00
PC EXCISION LESION BENIGN SCALP/NECK/HAND/FEET <0.5CM $254.00
HC EXCISION LESION BENIGN SCALP/NECK/HAND/FEET 1.1-2.0CM $3,467.00
HC TRIM NAILS NONDYSTROPHIC FAC $184.00
PC TRIM NAILS NONDYSTROPHIC PRO $24.00
HC DEBR NAIL(S) UP TO 5 $361.00
PC DEBR NAIL(S) UP TO 5 $47.00
HC DEBR NAIL(S) 6 OR MORE $499.00
PC DEBR NAIL(S) 6 OR MORE $81.00
HC AVULSION NAIL PLATE SINGLE FAC $686.00
PC AVULSION NAIL PLATE SINGLE PRO $174.00
HC AVULSION NAIL PL PT/CO EA ADDL FAC $416.00
PC AVULSION NAIL PLATE EA ADDL $56.00
HC EVAC HEMATOMA SUBUNGAL $246.00
HC REMOVE NAIL BED FACIL $1,588.00
PC REMOVAL OF NAIL BED $316.00
HC REPAIR NAIL BED $923.00
HC EXC WEDGE SKIN NAIL FOLD $612.00
HC EXCISION PILONIDAL CYST/SINUS SIMPLE $5,579.00
HC SIMP S/N/AX/GN/TRK/EXT 2.5CM < $462.00
HC SIMP S/N/AX/GN/TRK/EXT 2.6-7.5 $509.00
HC SIMP S/N/AX/GN/TRK/EXT7.6-12.5 $597.00
HC SIMP S/N/AX/GN/TRK/EXT 12.6-20 $686.00
HC SIMP S/N/AX/GN/TRK/EXT 20.1-30 $774.00
HC SIMP F/E/E/N/L/MM 2.5CM OR < $462.00
HC SIMP F/E/E/N/L/MM 2.6CM TO 5CM $509.00
HC SIMP F/E/E/N/L/MM 5.1-7.5CM $509.00
HC SIMP F/E/E/N/L/MM 7.6 -12.5CM $612.00
HC SIMP F/E/E/N/L/MM OVER 30CM $612.00
HC SIMP SUPERFICIAL DEHISCENCE $1,919.00
HC SIMP SUPERFICIAL DEHISCENC/PAK $876.00
HC INTRM S/A/T/EXT 2.5CM OR < $1,033.00
HC INTRM S/A/T/EXT 2.6-7.5CM $1,033.00
HC INTRM S/A/T/EXT OVER 30CM $1,803.00
HC INTRM N/H/F/GEN 2.5CM OR < $923.00
HC INTRM N/H/F/GEN 2.6-7.5CM $1,033.00
HC INTRM N/H/F/GEN 7.6-12.5CM $923.00
HC INTRM N/H/F/GEN 12.6-20.0CM $923.00
HC INTRM N/H/F/GEN 20.1-30CM $923.00
HC INTRM N/H/F/GEN OVER 30CM $1,803.00
HC INTRM F/E/E/N/L/MM 2.5CM OR < $1,137.00
HC INTRM F/E/E/N/L/MM 2.6-5.0CM $1,033.00
HC INTRM F/E/E/N/L/MM 12.6-20.0CM $923.00
HC INTRM F/E/E/N/L/MM 20.1-30.0CM $923.00
HC INTRM F/E/E/N/L/MM OVER 30.0CM $923.00
HC CMPLX TRUNK 1.1-2.5 CM $1,803.00
HC CMPLX TRUNK 2.6-7.5 CM $1,803.00
HC CMPLX S/A/L 1.1-2.5 CM $923.00
HC CMPLX S/A/L 2.6-7.5 CM $1,690.00
HC CMPLX S/A/L EA ADDL 5 CM OR LESS $844.00
HC CMPLX F/C/C/M/N/A/G/H/F 1.1-2.5 CM $1,690.00
HC CMPLX F/C/C/M/N/A/G/H/F 2.6-7.5 CM $1,756.00
HC CMPLX F/C/C/M/N/A/G/H/F EA ADDL 5 CM OR LESS $1,163.00
HC CMPLX E/N/E/L 1.1-2.5 CM $1,803.00
HC CMPLX E/N/E/L 2.6-7.5 CM $1,803.00
HC CMPLX E/N/E/L EA ADDL 5 CM OR LESS $1,803.00
HC APL SKIN SUB TAL<100 INT 25CM $1,114.00
PC APL SKIN SUB TAL<100 INT 25CM PRO $279.00
HC APL SKIN SUB TAL<100 ADL 25CM $399.00
PC APL SKIN SUB TAL<100 ADL 25CM PRO $59.00
HC APPL SKIN SUB TAL >100 INIT 100CM $1,647.00
PC APL SKIN SUB TAL>100 INT 100CM PRO $668.00
HC APL SKIN SUB TAL>100 ADL 100CM $1,081.00
PC APL SKIN SUB TAL>100 ADL 100CM PRO $153.00
HC APL SKIN SUB OTH<100 INT 25CM $1,114.00
PC APL SKIN SUB OTH<100 INT 25CM PRO $308.00
HC APL SKIN SUB OTH<100 ADL 25CM $399.00
PC APL SKIN SUB OTH<100 ADL 25CM PRO $87.00
HC APPL SKIN SUB OTH >100 INIT 100CM $1,647.00
PC APL SKIN SUB OTH>100 INT 100CM PRO $759.00
HC APL SKIN SUB OTH>100 ADL 100CM $1,081.00
PC APL SKIN SUB OTH>100 ADL 100CM PRO $194.00
HC TX BURN 1ST DEGREE INIT $412.00
HC DRESS/DEB BURN <5% TOTAL SM $756.00
PC BURN DRESS &/OR DEBRIDE PRO <5% $173.00
HC DRESS/DEB BURN 5-10% TOTAL MED $826.00
PC BURN DRESS &/OR DEBRIDE PRO 5-10% $359.00
HC DRESS/DEBR BURN >10% TOTAL LRG $872.00
PC BURN DRESS &/OR DEBRIDE PRO >10% $436.00
HC CAUT CHEM TISSUE GRANULATION $1,348.00
PC CHEM CAUTERY PRO $120.00
HC ASP CYST BREAST $1,460.00
HC ASP CYST BREAST EA ADDL $606.00
HC BREAST ABSCESS DRAINAGE $7,299.00
HC INJECTION GALACTOGRAM $367.00
HC MAMM STER GUIDE BRST MAMMT STEREO CORE $4,977.00
HC BREAST LOC BX PERC STEREO ADDN LESION $1,688.00
HC BREAST BIOPSY W/IMAG GUIDE ULTRA $3,707.00
HC BREAST LOC BX ULTRA ADDN LESION $1,853.00
HC BX BREAST 1ST LESION MR IMAG $4,977.00
HC BX BREAST ADDN LESION MR IMAG $2,488.00
HC MAMM GUIDE NDL PLACEMENT $4,366.00
HC BREAST NDL LOC BX ADDN LESION $2,183.00
HC PLCMNT NEEDLE LOC WIRE BRST ULTRA $4,286.00
HC BREAST NDL LOC BX ULTRA ADDN LESION $2,143.00
HC PERCUTAN DEV BREAST 1ST MR GUIDE $4,366.00
HC PERCUTAN DEV BREAST ADDN MR GUIDE $2,065.00
HC PLACE RADIOTHERAPY CATH BREAST $21,149.00
HC EXPLORE WOUND NECK $2,709.00
HC EXPLORE WOUND CHEST $5,607.00
HC EXPLORE WOUND ABDOMEN/FLANK/BACK $5,607.00
HC EXPL PENTR WOUND EXTREMITY $3,632.00
HC BX MUSCLE NEEDLE PERC $2,123.00
HC BX BONE NEEDLE SUPERFIC FAC $3,572.00
PC BX BONE NEEDLE SUPERFIC PRO $279.00
HC BX BONE NEEDLE DEEP $5,031.00
HC BX BN OPEN-SUPERFICIAL $5,288.00
PC BX BN EXCISIONAL $472.00
HC INJ TRACT SINOGRAM DIAG $219.00
HC MUSCLE FB REM W/ INC $3,632.00
HC REMOVAL FOREIGN BODY MUSCLE DEEP/COMPLICATED $7,268.00
HC INJECTION;CARPAL TUNNEL $988.00
HC INJ SINGLE TENDON/LIGAMENT $834.00
HC INJ TENDON ORIGIN $750.45
HC INJ TRIGGER PT 1-2 MUSCLE(S) $1,048.00
HC INJ TRIGGER PT 3+ MUSC GROUP $1,227.00
HC ARTHROCENT ASP/INJ JT SMALL $1,668.00
HC ARTHROCNT ASP/INJ JT SMALL W/ULTRA $923.00
HC ARTHROCNT ASP/INJ JT INTRM $962.00
HC ARTHROCNT ASP/INJ JT INTRM W/ULTRA $923.00
HC ASPIR/INJECT MAJOR JOINT OR BURSA $993.00
HC ARTHROCNT ASP/INJ JT MAJOR W/ ULTRA $871.00
HC INJ GANGLION CYST $281.00
HC ASP/INJ CYST BONE $2,142.00
HC REM IMPL WIRE DEEP $8,205.00
HC ABLATION BONE TUMOR RADIOFREQUENCY $20,566.00
HC CLOSED TX FRACTURE NASAL BONE W/O STABILIZATION $4,174.00
HC TX DISL JAW CLS-UNI $609.00
HC I&D ABSC NECK/THORAX $8,463.00
HC BX TISSUE NECK/THORAX $2,097.00
HC TX FX/DISLOC VERT CAST/BRACE W/MANIP OR TRACTION $4,161.00
HC VERTEBROPLASTY INJ PERC THOR $8,086.00
HC VERTEBROPLASTY INJ PERC LUMBAR $8,547.00
HC VERTEBROPLASTY INJ PERC ADDL $5,613.00
HC VERTEBROPLASTY INJ PERC THOR KYPHOPLASTY $15,822.00
HC VERTEBROPLASTY INJ PERC LUMBAR KYPHOPLASTY $15,879.00
HC VERTEBROPLASTY INJ PERC EA ADDNT THOR OR LUMB KYPHO $9,382.00
HC REMOVE FOREIGN BODY SHOULDER SUBQ $3,467.00
HC ARTHROGRAM INJ SHOULDER $233.00
HC CLOSED TREATMENT CLAVICLE FX $357.00
HC CLOSED CLAVICLE FX W/MANIP $2,991.00
HC CLOSED TX STERN-CLAV DISLOC W/MANIP $1,004.00
HC TX FX SCAPULA CLOSED W/MANIP W/W/O TRACTION $896.00
HC TX FX HUMERUS PROXIMAL W/O MANIP CLOSED $896.00
HC CLOSED RX PROX HUMERUS FX MANIP $6,964.00
HC TX DISL SHLDR W/MAN CLS $1,004.00
HC TX DISL SHLDR W/MAN/ANES CLS $4,496.00
HC TX FX DISLOC SHOULDER HUMERW/MANIP $4,496.00
HC TX FX DISLOC SHOULDER W/PROX HUM W/MANIP $3,886.00
HC I AND D BURSA ELBOW/ARM $3,158.00
HC REMOVE FOREIGN BODY UPPER ARM/ELBOW SUBQ $3,293.00
HC ARTHROGRAM INJ ELBOW $273.00
HC TX FX HUMERUS SHAFT W/O MANIP CLOSED $987.00
HC TX FX HUMERUS CONDYLAR W/O MANIP CLOSED $896.00
HC TX DISL ELBOW W/O ANES CLS $1,004.00
HC TX DISLOC ELBOW W/ANES CLOSED $4,753.00
HC CLOSED TX ELBOW FRACTURE W/MANIP $9,422.00
HC DISLOCATION NURSEMAID ELBOW $1,004.00
HC RADIAL HEAD W/O RED;ADULT $1,106.00
HC CLOSED TX FX ULNAR PROX END W/MANIP $874.00
HC ARTHROGRAM INJ WRIST $293.00
HC REPAIR TEND/MUSC/FLEXOR FOREARM/WRIST PRIMARY $6,430.00
HC REPAIR TEND/MUSC/EXTENSOR FOREARM/WRIST PRIMARY $6,430.00
HC RADIUS FX W MANIP $4,844.00
HC TX FX RADIUS SHAFT W/DISLOC CLOSED $3,270.00
HC TX FX RADIUS/ULNA W/O MAN CLOSED $761.00
HC CL TX RADIAL/ULNAR SHAFT FX W MANIP $5,149.00
HC CLSD DIS.RADIUS W/O MANIP $1,004.00
HC CL TX DIS RADIAL FX/EPIP SEP $3,350.00
HC TX FX ULNAR STYLOID CLOSED $788.00
HC DRAIN ABSC FINGER SIMPLE $761.00
HC DRAIN ABSC FINGER COMPLCD $3,632.00
HC REPAIR TENDON HAND W/O GRAFT EA TENDON $6,430.00
HC REPAIR LIGAMENT META/INTER PHAL JOINT $5,151.00
HC REPAIR HAND MUSCLE INTRINSIC $7,848.00
HC CLSD METACARPAL W/O MANIP $896.00
HC CLSD METACARPAL FX W/MANIP $1,004.00
HC CLSD DISCL THUMB W/MANIP $896.00
HC HAND DISL W/MANIP W/O ANES $709.00
HC TX DISL (M-P) W/O ANES CLS $943.00
HC TX DISLOC (M-P) W/ANES CLOSED $4,753.00
HC FINGER FX W/O MANIP $709.00
HC TX FX PHALANX PROX W/MAN CLS $896.00
HC TX FX FINGER W/O MANIP CLOSED $896.00
HC TX FX (M-P)(I-P) JT W/MAN $896.00
HC TX FX FINGER W/FIXATION OPEN $8,566.00
HC CLSD DIST PHALANGEAL W/O MANIP $709.00
HC TX FX PHALANX DIST W/MAN CLS $1,106.00
HC TX FX OPEN FINGER/THUMB W/INT FIX EACH $8,566.00
HC TX DISL (I-P) HAND W/O ANES $709.00
HC TX DISLOC I-P JOINT W/ANES/MAN $937.00
HC AMPUT FINGER/THUMB SGL CLSR $7,848.00
HC REMOVE FB PELVIS/HIP SUBQ TISSUE $3,467.00
HC INJ ARTHROGRAM HIP W/O $314.00
HC TX FX COCCYGEAL CLOSED $709.00
HC TX DISCL HIP CLOSED W/O ANES $896.00
HC CL TX POST HIP ARTHROPLASTY DISLOCAT $678.00
HC ARTHROGRAM INJ KNEE $262.00
HC TX FX FEMUR W/MAN W/W/O TRACTION $3,937.00
HC CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ $3,886.00
HC TX FX TIBIAL W/O MANIP CLOSED $896.00
HC CLSD TX KNEE DISLOC W/O ANESTH $1,004.00
HC TX DSL PTLR W/O ANS CL $709.00
HC ARTHROGRAM INJ ANKLE $214.00
HC TX FX TIBIAL SHAFT W/MANIP CLOSED $3,594.00
HC CLSD TX POSTERIOR WITH MANIP $470.00
HC DIST FIB FX W/O MANIP $896.00
HC CLOSED TX FX DISTAL FIBULAR W/MANIP $678.00
HC TX FX BIM ANKLE W/MAN CLS $2,262.00
HC TRIMALLEOLAR ANKLE FX W/MANIP $2,262.00
HC TX FX TIBIA DISTAL WGT BEAR W/MAN W/W/O ANES CLS $780.00
HC TX FX TIBIA DISTAL W/MANIP W/W/O ANES $4,527.00
HC TX DISL ANKE W/O ANES CLS $1,004.00
HC CLOSED TX ANKLE DISLOC W/ANESTH W/W/O FIXATION $4,825.00
HC REMOVE FB FOOT SUBCUT $3,467.00
HC REMOVE FOREIGN BODY FOOT DEEP $6,935.00
HC REMOVE FB FOOT COMPLICATED $4,613.00
HC REPAIR TENDON EXTENSOR FOOT $6,918.00
HC TX FX CALCANEAL W/MANIP $2,830.00
HC TX FX TALUS W/O MAN CLOSED $709.00
HC CLSD METATARSAL W/O MANIP $896.00
HC CLSD METATARSAL W/MANIP $618.00
HC TOE FX W/MANIP $896.00
HC TX FX METATARSAL W/O ANES $709.00
HC FOOT DISCL W/O ANES $896.00
HC CLOSED TX I-P JOINT DISLOCATION W/O ANES $709.00
HC APPL CAST ARM LONG $889.00
HC CAST APPL; ELBOW TO FINGERS $868.00
HC CAST APPL; HAND AND FOREARM $889.00
HC APPL SPLNT ARM LONG $868.00
HC APPL SPLINT ARM SHORT STATIC $618.00
HC APPL SHRT ARM SPLNT DYNAM $402.00
HC APPL SPLNT FINGER STATIC $246.00
HC APPL FINGER SPLINT DYNAMIC $246.00
HC STRAPPING THORAX $537.00
HC STRAPPING SHLDR $271.00
HC STRAPPING ELBOW/WRIST $271.00
HC LONG LEG CAST $868.00
HC APPL LONG LEG CAST WALKING $868.00
HC APPL CAST CYCLINDER THIGH TO ANKLE $938.00
HC APPL CAST SHORT LEG $992.00
HC APPLY SHORT LEG CAST WALKING $868.00
HC APPL CAST LEG RIGID CONTACT $1,218.00
HC APPL LONG LEG SPLNT $992.00
HC APPL SHRT LEG SPLNT FAC $526.00
HC STRAPPING KNEE $246.00
HC STRAPPING; ANKLE $590.00
HC STRAPPING TOES $219.00
HC APPLY UNNA BOOT $537.00
PC UNNA BOOT APPLICATION PRO $91.00
HC APPLY MULTI COMP LOWER LEG $549.00
PC APPL MULTI COMP LOWER LEG PRO $87.00
HC REM FB INTRANASAL $681.00
HC ABLATION SOFT TISSUE INF TURBINATES UNI/BIL $2,667.00
HC CNTRL NOSEBLEED ANT SMP $348.00
HC CNTRL NOSEBLEED POST INIT $609.00
HC INTUBATION ENDOTRACHEAL $389.00
HC CHG TUBE TRACHEOTOMY $609.00
HC LARYNGSCPY WW/O TRACH DX NEWB $1,078.00
HC LARYNGOSCOPE DIRECT DX $3,994.00
HC LARYNGOSCOPY FLEX FIBEROPTC $478.00
HC LARYNG VIDEOSTROB INITIAL $1,225.00
HC BRONCHOSCOPY DIAG W/W/O WASHING $3,487.00
HC BRONCHOSCOPY W/BRUSHING $3,082.00
HC BRONCHOSCOPY W/LAVAGE ALVEOLAR $3,155.00
HC BRONCHOSCOPY BX SGL/MULT SITES $3,327.00
HC BRONCHOSCOPY W/BX TRANSHC BRONCH SGL $3,307.00
HC BRONCHOSCOPY W/ASP TREE SUBS $3,215.00
HC BX PLEURA NEEDLE PERC $2,648.00
HC BX LUNG/MEDIASTINUM PERC NDL $2,155.00
HC INSERT CATH PLEURAL INDWELL W/ $11,277.00
HC TUBE THORACOSTOMY $2,052.00
HC REMOVAL TUNNELED PLEURAL CATH $2,697.00
HC THORACENTESIS W/O IMAGING $1,784.00
HC THORACENTESIS W IMAGING $2,052.00
HC PLEURAL DRAINAGE W/IMAGING $2,697.00
HC INSTILL FIBRO CHEST TUBE SUBSQ DAY $2,039.00
HC THORACIC STEREO RAD THRPY W/TX $1,848.00
HC LUNG ABLATION $12,503.00
HC PERICARDIOCENTESIS INIT $2,775.00
HC INS/REPL PCMKR PERM ATRIAL $27,510.00
HC INS/REPL PACEMKR PERM VENTRIC $27,510.00
HC INS/REPL PACEMKR PERM A/V $27,510.00
HC INS/REPL TPM SGL ELEC/CATH $20,802.00
HC INS PULSE GEN SGL CHAMBER $20,802.00
HC INS PULSE GEN DUAL CHAMBER $27,510.00
HC UPGRADE PACEMAKER SYSTEM $27,510.00
HC REPOSITION PACE/DEFIB LEAD $7,035.00
HC INS ELECTRODE SGL CHAMBER $20,802.00
HC INS ELECTRODE DUAL CHAMBER 33217 $20,802.00
HC REPAIR PACEMAKER SINGLE LEAD $8,094.00
HC REPAIR PACEMAKER DUAL LEAD $8,094.00
HC INSERT PACEMAKER PULSE GENERATOR MULT LEADS $49,356.00
HC REVISE PACEMAKER POCKET $4,425.00
HC REVISE C-D POCKET $4,425.00
HC INSERT LV PACING ELECTRODE $27,510.00
HC INS LV PACING ELCT W/C-D/PACE $4,028.00
HC REPOSITION LV ELECTRODE $7,035.00
HC REM/REPL PCMKR PUL GEN SGL $20,802.00
HC REM/REPL PCMKR PUL GEN DUAL $27,510.00
HC REM/REPL PCMKR PUL GEN MULT $49,356.00
HC INS DEFIB PULSE GEN W/EST DUAL $62,394.00
HC INS DEFIB PULSE GEN W/EST MULT $87,375.00
HC REMOVE PPM $20,802.00
HC REMOVE ELECTRODE SGL $8,094.00
HC REMOVE ELECTRODE DUAL $8,094.00
HC INSERT SGL/DUAL CHAMBER C-D $62,394.00
HC REMOVE C-D PULSE GENERATOR $8,094.00
HC REMOVE C-D ELECTRODES $8,094.00
HC INS/REPOS DEFIB LEAD/GEN $87,375.00
HC REM/REPL DEFIB PUL GEN SGL $62,394.00
HC REM/REPL DEFIB PUL GEN DUAL $62,394.00
HC REM/REPL DEFIB PUL GEN MULT $87,375.00
HC INS/REP SUBQ DEFIBRILLATOR $45,848.00
HC TRANSCATH INS/REPLC VENTRIC PACEMAKER LEADLESS W/GUIDE $45,210.00
HC TRANSCATH REMOVE VENTRIC PACEMAKER LEADLESS $8,090.00
HC IMPLANT CARDIAC EVENT RECORDER $20,802.00
HC REMOVE CARDIAC EVENT RECORDER $1,078.00
HC CATHERIZATION RIGHT HEART W/SENSOR PULM ARTERY $92,076.00
HC LAA PERC CLOSURE W/ENDOCARDIAL IMPLANT S&I $22,000.00
HC REPL TAVR W/PRO PERC FEM ART $21,400.00
HC ENDOVASC REPAIR TAA W/LT SUBCLVN ARTERY $9,428.00
HC ENDOVASC REPAIR TAA W/O LT SUBCLVN ARTERY $9,428.00
HC PLACE ENDOVASC PROSTHESIS PROXM EXT TAA INIT $16,193.00
HC IABP INSERTION $3,036.00
HC INSERT VAD ARTERIAL ACCESS $4,962.00
HC REMOVE VAD SEPARATE SESSION $4,975.00
HC IV START > 3YR OLD $428.00
HC INJ PSEUDOANEURYSM (THROMBIN) $995.00
HC VENOGRAM INJECTION $1,009.00
HC INTRO CATH VENA CAVA SUP/IN $3,500.00
HC CATH PLCMT VENOUS, 1ST ORDER $1,110.00
HC CATH PLCMT VENOUS, 2ND ORDER $1,394.00
HC INTRO CATH ARTERY HEART/PULM $2,400.00
HC INTRO NDL/CATH ARTERY EXTREM $3,216.00
HC INTRO CATH AORTA $4,322.00
HC PLACE CATH THOR/BRAC 1ST ORDER $3,487.00
HC PL CATH THOR/BRAC 2ND ORDER $3,210.00
HC PL CATH THOR/BRAC 3RD ORDER $2,096.00
HC CATH PLCMT NON SEL THORAC AORTA $5,847.00
HC CATH PLCMT SEL COM CAR/INOM EXTRACRN UNI $6,022.00
HC CATH PLCMT SEL COM CAR/INOM INTRACRN UNI $12,426.00
HC CATH PLCMT SEL INTERNAL CAR UNI $12,426.00
HC CATH PLCMT SEL SUBCL/INOM VERTEB UNI $6,022.00
HC CATH PLCMT SEL VERTEBRAL UNI $12,426.00
HC CATH PLCMT SEL EXTERNAL CAR UNI $10,034.00
HC CATH PLCMT SEL EA INTRACRN BRANCH UNI $4,819.00
HC ABD 1ST ORDER $3,819.00
HC ABD INITIAL 2ND ORDER $3,659.00
HC ABD INT 3RD/PLUS ORDER $4,092.00
HC ABD ADDL 2ND/PLUS ORDER $1,943.00
HC ANGIO SEL RENAL UNILA $3,257.00
HC ANGIO SEL RENAL BILAT $7,035.00
HC PLC CATH RENAL ANGIO 1< UNI $3,257.00
HC PLC CATH RENAL ANGIO 1< BIL $8,990.00
HC VENIPUNCTURE > AGE 3 REQUIR MD $190.00
HC VENIPUNCTURE $33.00
HC CAPILLARY COLLECTION $104.00
HC BLOOD PROD ADMIN $1,299.00
HC INJ SCLEROSING SOLUTN MULT VEIN $1,153.00
HC ABLATION THPY EXTREM PERC RADFQ INIT VEIN $9,126.00
HC ABLATION THPY EXTREM PERC RADFQ ADDL VEIN $3,919.00
HC ABLATION THPY EXTREM PERC LASER INIT VEIN $6,022.00
HC ABLATION THPY EXTREM PERC LASER ADDL VEIN $3,432.00
HC UMBILICAL CATHETER INSERTION NEWBORN $2,072.00
HC PLASMA PHERESIS THERAPY $3,567.00
HC INS CATH CV NON-TUNL <5 YRS $2,697.00
HC INS CATH CV NON-TUNL >5 YR $3,670.00
HC INSERT TUNNELED CVC > 5 YEARS OLD $5,473.00
HC INSERT TUNEL CV CATH>5YR W/PORT $9,297.00
HC INS CATH PERIPH CV W/O PORT <5 $3,537.00
HC INS PER CV CATH W/O PORT 5> $3,983.00
HC INS CATH PERIPH CV W/PORT >5 $9,297.00
HC INS CATH PERIPH CV W/O PORT W/GUIDANCE <5 $2,029.00
HC INS PER CV CATH W/O PORT W/GUIDANCE 5> $5,420.00
HC REPLACE CATH CV W/PORT/PUMP $9,297.00
HC REPL CATH CV NON-TNL W/O PORT $3,670.00
HC REPL CATH CV TNL W/O PORT $9,297.00
HC REPL DEVICE CV TNL W/PORT $9,297.00
HC REPL PICC W/O PORT/PUMP $1,790.00
HC REPL PICC W/PORT $9,297.00
HC REMOVE TUNNELED CATH-NO PORT $2,692.00
HC REM TNL CV ACC W/PORT/PUMP $2,692.00
HC COLLECT BLOOD PORT/ACCESS DVC $211.00
HC COLLECT BLD CENTRL/PERPH CATH $168.00
HC DECLOTTING/ACCESS DEVICE/CATH $1,132.00
HC REM PERICATHETER MAT CV DEV $1,083.00
HC REM INTRALUM MAT CV LUMEN $3,599.00
HC REPOSITION CENTRAL VENOUS CATH $259.00
HC CONTRAST INJ CV CATH W/FLUORO $540.00
HC ARTERIAL PUNCTURE $312.57
HC CATH/CANN ARTERY PERC $969.00
HC PLACE NDL INFS INTRAOSSEOUS $552.00
HC THROMBECTOMY OPEN AV FISTULA W/O REVISION $1,246.00
HC INTRO CATH DIALYSIS CIRCUIT $2,947.00
HC INTRO CATH/CIRCUIT W/ANGIO $13,590.00
HC INTRO CATH/CIRCUIT W/STENT $20,158.00
HC THROMBECTOMY/INFUS DIALYSIS CIRCUIT $10,791.00
HC THROMBECTOMY/INFUS CIRCUIT W/ANGIO $21,880.00
HC THROMBECTOMY/INFUS CIRCUIT W/STENT $21,794.00
HC ANGIOPLASTY CTR DIALYSIS SEGMENT $2,947.00
HC PLACE STENT CENTRAL DIAL SEGMENT $9,895.00
HC DIAL CIRCUIT VASC EMBOL/OCCUL $14,461.00
HC PERIPH THROMBECK ONLY W/TPA $10,308.00
HC PRIM PERC THROMB EA ADDL $5,922.00
HC SEC PERC THROMB EA VESSEL ADDL $6,227.00
HC THROMBECTOMY VENOUS MECH $4,189.00
HC SUBSEQUENT VENOUS THROMBECTOMY $7,030.00
HC IVC FILTER PLACEMENT $11,547.00
HC IVC FILTER REPOSITIONING $10,517.00
HC FILTER REMOVAL $10,833.00
HC THROMBOLYSIS;CEREB IV $507.00
HC TRANSCATH RETRVAL FOREIGN BODY $7,035.00
HC BIOPSY TRANSCATHETER $11,688.00
HC ARTRL THROMBOLYSIS; INIT DAY $4,926.00
HC VENOUS THROMBOLYSIS; INIT DAY $4,926.00
HC ARTRL/VENOUS THROMBOLYSIS; SUBSQ DAY $2,806.00
HC THROMBO CESS/CLOS; SUBSQ DAY $7,147.00
HC PL STENT TRNSCATH CAROT ART W/ $18,157.00
HC PL STENT TRNSCATH CAROT ART W/O $10,311.00
HC STENT CAROTID INTRATHORACIC $9,365.00
HC RVC EN PRC ICA W/ANG INT VSL $12,633.00
HC RVC EN PRC ICA W/TRN SNT INT V $18,228.00
HC RVC EN PRC ICA W/ANG EA AD VS $15,220.00
HC RVC EN PRC ICA W/TRN ST AD VS $26,766.00
HC RVC EN PRC R/P W/ANG INT VSL $32,606.00
HC RVC EN PRC F/P W/ANT INT VSL $50,446.00
HC RVC EN PRC F/P W/TRN SNT IN VS $31,985.00
HC RVC EN PRC F/P W/AN/TR ST INT $60,576.00
HC RVC EN PRC T/P W/ANG INT VSL $33,073.00
HC RVC EN PRC T/P W/ANT INT VSL $51,613.00
HC RVC EN PRC T/P W/TRN SNT IN VS $43,113.00
HC RVC EN PRC T/P W/AN/TR ST IN V $61,652.00
HC RVC EN PRC T/P W/ANG EA AD VS $29,760.00
HC RVC EN PRC T/P W/ANT EA AD VS $24,077.00
HC RVC EN PRC T/P W/TRN SNT EA VS $25,723.00
HC RVC EN PRC T/P W/AN/TR ST AD V $39,508.00
HC PL STENT INTRAVAS PERC INIT $29,661.00
HC PLACE STENT PERC ADDL $7,763.00
HC STENT INIT VENOUS UPPER EXT VISERAL $29,661.00
HC STENT ADDN VENOUS UPPER EXT VISERAL $9,047.00
HC OCCL/EMBOL TRANSCATH PERC $11,514.00
HC ARTERIAL EMBO FOR AVM ANER PRE/PST AAA $11,514.00
HC EMBOLIZATION OF TUMOR UFE CHEMO $11,514.00
HC EMBOLIZATION FOR HEMORRAGE ART/VEN $11,514.00
HC ANGIOPLASTY TRANLUM BALN INIT ARTERY $13,590.00
HC ANGIOPLASTY TRANLUM BALN ADDL ARTERY $12,041.00
HC ANGIOPLASTY TRANLUM BALN INIT VEIN $12,041.00
HC ANGIOPLASTY TRANLUM BALN ADDL VEIN $10,791.00
HC US VASCULAR NON-CORONARY INIT $99.00
HC US VASCULAR NON-CORON ADDL EA $79.00
HC STAB PHLEBECTOMRY VEINS EXTREM 10-20 INCISIONS $8,182.00
HC STAB PHLEBECTOMRY VEINS EXTREM >20 INCISIONS $9,600.00
HC REPAIR/SUTURE MINOR VESSEL $1,860.00
HC ASP BONE MARROW ONLY $1,815.00
HC BX BONE MARROW ONLY $1,973.00
HC BM ASPIRATION (BX/ASP SAME SITE) $752.00
HC LYMPH NODE BIOPSY SUPERFICIAL $1,906.00
HC INJ LYMPH NODE NO IMAGING $993.00
HC HEMIC OR LYMPHATIC SYSTEM UNLISTED $696.00
HC INCISION LINGUAL FRENUM $4,245.00
HC EXCISION LESION TONGUE W/O CLOSURE $2,426.00
HC RPR LAC MOUTH/TONGUE <2.5CM $544.00
HC RPR LAC MOUTH/TONGUE POSTERIOR 1/3 $673.00
HC RPR LAC MOUTH/TONGUE >2.6CM OR COMPLEX $2,051.00
HC DRAIN ABSC/CYST DENTOALVLR $761.00
HC I&D PALATE OR UVULA $1,314.00
HC BX GLAND SALIVARY NEEDLE $1,803.00
HC SIALOGRAM INJECTION $229.00
HC I&D ABSC PERITONSILLAR $5,930.00
HC REMOVE PHARYNX FOREIGN BODY $552.00
HC PLACE TUBE NASOGASTRIC $1,230.00
HC GASTRIC LAVAGE $803.00
HC REPOSITION G-TUBE $1,598.00
HC REPLACE GASTRO TUBE PERC $736.00
HC I&D ABSC PERIANAL SUPFIC $1,856.00
HC INC HEMORRHOID EXTERNAL $913.00
HC ANOSCOPY $418.00
HC BX LIVER NEEDLE PERC $3,754.00
HC ABLATION TUMR LIVER RADIO PERC $12,506.00
HC CHOLECYSTOSTOMY PERC $8,527.00
HC XRAY CHOLANGIOGRAM THRU CATH $1,050.00
HC PERCUTAN CHOLANGIOGRAM $6,230.00
HC TRANSHEPATIC DRAINAGE $8,527.00
HC PLACE BILIARY DRAINAGE CATH $8,527.00
HC REVISE/REINSERT TUBE TRNSHEPAT $8,527.00
HC CHG PERC BIL DRAIN CATH $8,527.00
HC REM BIL CATH W G SI CHOLANG $2,083.00
HC PLC BILE SNT W G SI EX/REMOVAL CHOLANG $12,506.00
HC PLC BILE SNT W GD SI NEW ACCESS $12,506.00
HC BX PANCREAS NEEDLE PERC $3,682.00
HC CRYO ABLATION PANCREAS UNLISTED $1,605.00
HC PARACENTESIS W/O IMAGING $1,552.00
HC PARACENTESIS W/IMAGING $2,307.00
HC ABDOM/RETRO/MASS BIOP $2,362.00
HC SCLEROTHERAPY FLUID COLLECTION PERC INJECT IG SI $1,789.00
HC DRN ABSC PERIRENAL PERC $3,682.00
HC DRN ABSC RETROPERITONEAL PERC $3,682.00
HC DRAIN ABSC PELVIC TRNSVAG PERC $3,682.00
HC PLCMT INSTST DEV ABD/PELV/RETR $3,174.00
HC INSERT INTRAPERITONEAL CATH $11,277.00
HC INSERT TUN IP CATH W/PORT $15,454.00
HC REM CATH INTRAPERITONEAL $9,297.00
HC EXCHG CATH ABSC/CYST DRAIN $3,976.00
HC INJ CONTRAST ABSC/CYST $654.00
HC INJ PREV PLACED SHUNT $654.00
HC INSERT GASTRO TUBE FLUORO $5,259.00
HC INSERT DUODEN/JEJUN TBE FLUORO $5,259.00
HC INSERT CECOS/OTHR TBE FLUORO $3,456.00
HC CHG G-TB TO GJ-TB PERC FLUORO $5,259.00
HC RPLC G/CEC/OTH TB UNDER FLUORO $2,755.00
HC RPLC DUODEN/JEJUN TB FLUORO $2,755.00
HC RPLC GASTRO-JEJUN TB FLUORO $6,712.00
HC MECHAN REMOVAL OF OBSTRUCT MATERIAL FROM G/J/D TUBE FLUOR $1,547.00
HC INJ CNTR W/FLUOR EVAL G/D/J TB $889.00
HC ABD/PERITONEUM/OMNTM UNLSTD $7,249.00
HC PERC BIOPSY/KIDNEY, NEEDLE $2,335.00
HC CHANGE URETERAL STENT PERCU $6,304.00
HC REM URETERAL STENT PERCU $6,304.00
HC URETERAL STENT CHNG USING SNARE $4,899.00
HC URETERAL STENT REMOVAL USNG SNARE $4,899.00
HC CHANGE EXT/INT URET STENT $6,479.00
HC REM NEPHRO TUBE FLUORO $945.00
HC RENAL CYST/PELVIS ASP/INJ $1,891.00
HC INJ NEPH URET W G SI NEW ACCESS $1,636.00
HC ANGIO NEPHROSTGRAM $1,636.00
HC PERCUTANEOUS NEPHRO CATH PLCMT $4,899.00
HC PL NEPH CAT W GD S&I NEW ACCESS $4,899.00
HC CONVERT NEPH CTH NEPHUR CTH WG S&I EXST TRACT $1,636.00
HC CHANGE NEPHROSTOMY TUBE $2,164.00
HC ABLATION RENAL PERC RADIOFREQ $16,540.00
HC ABLATION RENAL PERC CRYO $27,452.00
HC ENDO BX URETER/RENAL PELVIS W/G SI $1,353.00
HC INJ URETEROGRAPHY $5,075.00
HC CHG TUBE URETEROSTOMY $6,479.00
HC INJ ILEAL CONDUIT $990.00
HC INTRO GUIDE RENAL PELVIS URET DIL $7,572.00
HC PL URT STNT W G SI NEW ACCESS WO NEPH CATH $7,572.00
HC PL URT STNT W G SI NEW ACCESS WITH NEPH CATH $7,572.00
HC URETERAL EMBOL OR OCCLUSION W/G SI $1,353.00
HC ASPIRATE BLADDER BY NEEDLE $2,164.00
HC ASPIRATION OF BLADDER AND INSERT SUPRAPUBIC CATH $6,479.00
HC INJ CYSTOGRAM $5,075.00
HC INJ URETHROCYSTOGRAM RETRO $594.00
HC IRRIG/LAVG/INSTL BLADDER $913.00
HC CATH BLADDER NON-INDWELLING $618.00
HC CATH BLADDER SMP $462.00
HC CATH BLADDER CPLX $532.00
HC CHG TUBE CYSTOSTOMY SMP $896.00
HC CHG TUBE CYSTOSTOMY CPLX $2,164.00
HC INSTILL ANTICARCINOG BLADDER $1,533.00
HC US BLADDER SCAN $377.00
HC DILAT URETHRAL STRICTURE FILFORM INIT $2,302.00
HC CIRCUMCISION $438.00
HC IRRIG CORPORA CAVNOSA $906.00
HC INJ PENILE W/RX AGENT $529.00
HC I&D EPIDIDYMIS TESTIS OR SCROTAL SPACE $5,078.67
HC DRAIN ABSC SCROTAL WALL $4,068.00
HC BX PROSTATE NEEDLE/PUNCH $3,215.00
HC I&D ABSC VULVA/PERINEAL $1,169.00
HC I&D ABSC GLAND BARTHOLIN'S $632.00
HC REPAIR SUTURE VAGINA COLPORRHAPHY $5,854.00
HC PELVIC EXAM W/ANES $7,354.00
HC REM DVC INTRAUTERINE $948.00
HC CATH/INTRO SALINE/CONTRAST SIS $5,075.00
HC AMNIOCENTESIS DIAGNOSTIC $1,695.00
HC TEST STRESS FETAL $990.00
HC TEST NON STRESS FETAL $1,205.00
HC D&C POST DELIVERY $4,412.00
HC INSERT DILATOR CERVICAL $553.00
HC EPISIOTOMY/VAGINAL REPAIR $5,852.00
HC CERCLAGE CERVIX VAGINAL W/PREG $10,226.00
HC DELIVERY VAGINAL $5,854.00
HC EXTERNAL CEPHALIC VERSION $3,084.00
HC DELIVERY OF PLACENTA $7,741.00
HC TX ABORTION INCOMPLETE SURGICALLY ANY TRIMESTER $4,761.00
HC ASP/INJ CYST THYROID $2,122.00
HC UNLISTED PROCEDURE ENDOCRINE SYSTEM $12,506.00
HC PUNCT ASP/INJ SHUNT TUBE $1,996.00
HC OCC/EMB TRANSCATH CNS PERC $7,016.00
HC OCC/EMB TRANSCATH EXT CRAN VSS $29,046.00
HC PERC ART THROMBECTOMY/INFUS W/GUID $17,937.00
HC BIOPSY PERC SPINAL CORD $1,345.00
HC LUMBAR PUNCTURE $1,417.00
HC LUMBAR PUNCTURE DRAIN $1,509.00
HC INJ EPIDURAL BLD/CLOT PATCH $1,655.00
HC INJ MYELOGRAM $1,136.00
HC INJ DISKOGRAM LUMBAR EA LEVEL $3,568.00
HC INJ DISKOGRAM CERVICAL EA LVL $2,944.00
HC XR MYELOGRAM C-SPINE $3,779.00
HC XR MYELOGRAM T-SPINE $4,013.00
HC XR MYELOGRAM L-SPINE $4,057.00
HC XR MYELOGRAM >2 REGIONS $4,346.00
HC EPIDURAL LUMBAR $293.00
HC INJ INTRLAMNR CERV/THOR W/O GUIDE $2,904.00
HC INJ INTRLAMNR CERV/THOR W/GUIDE $2,241.00
HC INJ INTRLAMNR LUM/SAC W/O GUIDE $2,904.00
HC INJ INTRLAMNR LUM/SAC W/GUIDE $2,241.00
HC LUMBAR PUNCTURE DIAGNOSTIC W/FLUORO OR CT GUID $2,061.00
HC IMPLANT NEUROELECTRODES $13,525.00
HC NERVE BLOCK TRIGEMINAL $913.00
HC INJ ANES NERVE GREAT OCCIPITAL $1,753.00
HC INTRASCALENE BLOCK SINGLE $2,516.00
HC INTRASCALENE BLOCK CONTINUOUS $2,684.00
HC NERVE BLOCK AXILLARY NERVE $2,516.00
HC INJ INTERCOSTAL NERVE;SINGLE $1,956.00
HC INJ ANES INTERCOSTAL NERVE EA ADDNT LEVEL $3,252.00
HC INJ ANES NERVE ILIOINGUINAL $2,154.00
HC INJ ANEST AGENT PUDENDAL NERVE $2,516.00
HC NERVE BLOCK;SCIATIC SINGLE $2,126.00
HC FEMORAL NERVE BLOCK SINGLE $1,982.00
HC FEMORAL NERVE BLOCK CONTINUOUS $2,676.00
HC INJ ANES NERVE PERIPHERAL $1,939.00
HC INJ ANESTHETIC/STEROID GENICULAR NERVES W/FLUORO OR CT GUID $792.00
HC INJ TRANSF CERV/THORACIC SINGLE $3,023.00
HC INJ TRANSF LUMBAR SACRAL SINGLE $2,859.00
HC INJ TRANSF LUMBAR SACRAL ADDL $2,104.00
HC TAP BLOCK W/INJ UNILT $1,111.00
HC INJ TAP BLOCK W/GUIDE- BIL $1,538.00
HC INJ FACET CER/THORACIC;SINGLE $3,619.00
HC INJ FACET CER/THORACIC 2ND LEVEL $1,785.00
HC INJ PARAVERT F JNT C/T 3 LV $1,216.00
HC INJ FACET LUMBO SACRAL;SINGLE $2,011.00
HC INJ FACET LUMBO/SACRAL;2ND LEVEL $1,723.00
HC INJ PARAVRT F JNT L/S 3+ LV $1,672.00
HC INJ ANES NERVE CERVICAL PLEXUS $618.00
HC INJ SPENOPALANTINE GANGLION $910.00
HC INJECT STELLATE GANGLION $2,228.00
HC NERVE BLOCK;L/S PARAVERTEBAL SYMP $2,228.00
HC INJ CELIAC PLEXUS BLOCK $2,496.00
HC CHEMODENERVATION FACE/NECK/SPINE MUSCLES BIL $969.00
HC DESTRUST NEUROLYTIC AGENT GENICULAR NERVE W/IMG GUID $5,668.00
HC DESTROY NERVE CERVICAL/THORACIC SGL $2,188.00
HC DESTROY NERVE CERVICAL/THORACIC EA ADDL $1,868.00
HC DESTROY NERVE LUMBAR/SACRAL SGL $3,859.00
HC DESTROY NERVE LUMBAR/SACRAL EA ADDL $2,293.00
HC DESTROY NERVE PERIPHERAL $4,341.00
HC CHEMODENERVATION EXTREMITY 1-4 MUSCLES $1,996.00
HC INJECTION PEDICLE SCREW $742.00
HC INJECTION FACIAL NERVE $742.00
HC GANGLION IMPAR BLOCK $742.00
HC REM EYE FB CONJUCT SUPER $474.00
HC REM FB CORNL W/O SLIT LA $474.00
HC REM FB CORNL W/ SLIT LA $424.00
HC BLEPHAROT EYELID DRAIN ABSC $1,057.00
HC REPAIR EYELID WOUND FULL THICKNESS $5,548.00
HC REMOVE EMBEDDED FB EYELID $1,251.00
HC EXPRESS CONJUNCTIVAL FOLLICLES $1,251.00
HC DRAIN ABSC/HEMA EAR EXT SMP $837.00
HC DRAIN EXT AUDITORY CANAL $1,898.00
PC BIOPSY EXTERNAL EAR $153.00
HC FB REMOVAL EAR $681.00
HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI $246.00
HC REMOVE CERUMEN IMPACTED BY INSTRUMENTATION $246.00
PC REMOVE CERUMEN IMPACTED W/INSTRUMENT $109.00
HC MYRINGOTOMY ASPIR W/EUSTACHIAN INFLATION $696.00
HC XRAY EYE (FOREIGN BODY) $307.00
HC XR MANDIBLE 1-3 VIEW $356.00
HC MANDIBLE MIN 4 VIEWS $591.00
HC MASTOIDS MN 3VW PER SIDE $641.00
HC FACIAL BONES < 3 VIEWS $459.00
HC FACIAL BONES MIN 3 VIEWS $769.00
HC NASAL BONES MIN 3 VIEWS $374.00
HC XRAY ORBITS (EYE) (MIN 4 V) $591.00
HC XRAY SINUS WATERS VIEW $429.00
HC SINUSES MIN 3 VIEWS $580.00
HC SKULL LESS THAN 4 VIEWS $440.00
HC SKULL MIN 4 VIEWS $591.00
HC TEMPOROMANDIBULAR JOINTS BILAT $591.00
HC MRI TMJ $4,045.00
HC XRAY NECK SOFT TISSUE $428.00
HC XRAY SIALOGRAPHY $764.00
HC CT HEAD/BRAIN W/O CONTRAST $2,177.00
HC CT HEAD/BRAIN W/CONTRAST $2,497.00
HC CT HEAD/BRAIN W&W/O CONTRAST $3,068.00
HC CT ORBIT/IAC/EAR W/O CONTRAST $2,006.00
HC CT ORBIT/IAC/EAR W/CONTRAST $2,212.00
HC CT ORBIT/IAC/EAR W&W/O CONTRAST $2,409.00
HC CT MAX/FACIAL W/O CONTRAST $2,201.00
HC CT MAX/FACIAL W/CONTRAST $2,429.00
HC CT MAX/FACIAL W&W/O CONTRAST $2,546.00
HC CT NECK SFT TISS W/O CONTRAST $1,738.00
HC CT NECK SFT TISS W/CONTRAST $2,463.00
HC CT NECK SFT TISS W&WO CONTRAST $2,567.00
HC CT ANGIO HEAD W/WO $3,068.00
HC CT ANGIO NECK W/WO CONTRAST $3,068.00
HC MRI ORBIT/FACE/NECK W/O CON $2,561.00
HC MRI ORBIT/FACE/NECK W/CONTRAST $2,628.00
HC MRI ORBIT/FACE/NECK W&W/O CON $3,973.00
HC MRA HEAD W/O CONTRAST $2,329.00
HC MRA HEAD W/CONTRAST $2,445.00
HC MRA HEAD W&W/O CONTRAST $2,562.00
HC MRA NECK W/O CONTRAST $2,324.00
HC MRA NECK W/CONTRAST $2,557.00
HC MRA NECK W&W/O CONTRAST $2,936.00
HC MRI BRAIN W/O CONTRAST $3,866.00
HC MRI BRAIN W/CON $5,276.00
HC MRI BRAIN W&W/O CONTRAST $5,398.00
HC XR CHEST 1V $322.00
HC XR CHEST 2V $542.39
HC XR CHEST 2V W/LORDOTIC $511.00
HC XR CHEST PA/LAT W/OBLIQUES $503.00
HC XR RIBS 2V UNI $547.00
HC XR RIBS W/CXR 3+V UNI $336.00
HC XR RIBS 3 V BIL $710.00
HC XR RIBS W/CXR 4+V BI $887.00
HC XR STERNUM 2+V $549.00
HC XR STERNOCLAVIC JT 3+V $530.00
HC CT CHEST W/O CONTRAST $2,898.00
HC CT CHEST W/CONTRAST $2,715.00
HC CT CHEST W&W/O CONTRAST $3,600.00
HC CTA CHEST W&W/O CONTRAST $3,482.00
HC MRI CHEST W/O CON $2,449.00
HC MRI CHEST W/CONTRAST $2,674.00
HC MRI CHEST W&W/O CONTRAST $3,030.00
HC XR SPINE 1V ANY LEVEL $479.00
HC XR C-SPINE 2-3V $614.00
HC XR C-SPINE 4-5 VIEW $1,052.00
HC XR C-SPINE 6+ VIEWS $898.00
HC XR T-SPINE 2V $544.00
HC XR T-SPINE 3V $629.00
HC XR T-SPINE 4 + VIEWS $790.00
HC XR SPINE/CERV SCOLIOSIS 1 VW $182.00
HC XR SPINE/CERV SCOLIOSIS 2-3VW $300.00
HC XR L-SPINE 2-3V $883.00
HC XR L-SPINE 4+V $1,094.00
HC XR L-SPINE CMPL W/BEND MIN 6 VIEW $1,110.00
HC XR L-SPINE BENDING ONLY MIN 4V $178.00
HC CT C-SPINE W/O CONTRAST $2,992.00
HC CT C-SPINE W/CONTRAST $3,199.00
HC CT C-SPINE W&W/O CONTRAST $3,399.00
HC CT T-SPINE W/O CONTRAST $2,898.00
HC CT T-SPINE W/CONTRAST $2,886.00
HC CT T-SPINE W&W/O CONTRAST $3,338.00
HC CT L-SPINE W/O CONTRAST $2,898.00
HC CT L-SPINE W/CONTRAST $3,142.00
HC CT L-SPINE W&W/O CONTRAST $3,338.00
HC MRI C-SPINE W/O CONTRAST $2,197.00
HC MRI C-SPINE W/CON $4,434.00
HC MRI T-SPINE W/O CONTRAST $2,496.00
HC MRI T-SPINE W/CON $5,224.00
HC MRI L-SPINE W/O CONTRAST $2,496.00
HC MRI L-SPINE W/CON $5,224.00
HC MRI C-SPINE W&W/O CON $4,548.00
HC MRI T-SPINE W&W/O CON $5,353.00
HC MRI L-SPINE W&W/O CON $6,351.00
HC XR PELVIS 1-2V $379.00
HC XR PELVIS CMPL 3+V $388.00
HC CTA PELVIS W&W/O CONTRAST $3,275.00
HC CT PELVIS W/O CONTRAST $2,350.00
HC CT PELVIS W/CONTRAST $2,586.00
HC CT PELVIS W&W/O CONTRAST $3,275.00
HC MRI PELVIS W/O CON $4,331.00
HC MRI PELVIS W/CON $4,466.00
HC MRI PELVIS W&W/O CON $4,805.00
HC XR SACROILI JT 3+V $514.00
HC XR SACRUM/COCCYX 2+V $474.00
HC XR EPIDUROGRAPHY $839.00
HC XR DISKOGRAM L-SPINE $4,545.00
HC XRAY CLAVICLE $440.00
HC XRAY SCAPULA $440.00
HC XRAY SHOULDER (1 V) $391.00
HC XRAY SHOULDER (MIN 2 V) $410.00
HC XRAY SHOULDER ARTHRO $1,539.00
HC XR AC JOINTS BI W/W/O WTS $505.00
HC XRAY HUMERUS (2 V) $440.00
HC XRAY ELBOW (2 V) $359.00
HC XRAY ELBOW (MIN 3 V) $440.00
HC XRAY ELBOW ARTHRO $1,214.00
HC XRAY FOREARM (2 V) $386.00
HC XRAY INFANT UP EXTRM MIN 2V $440.00
HC XRAY WRIST 2 VIEWS $424.00
HC XRAY WRIST COMP MIN 3 V $359.00
HC XRAY WRIST ARTHRO $1,236.00
HC XRAY HAND 2 VIEW $298.00
HC XRAY HAND MIN 3 VIEW $389.00
HC XRAY FINGER MIN 2 VIEWS $367.00
HC CT UPPER EXTRM WO CONT $1,706.00
HC CT UPPER EXTRM W CONT $2,161.00
HC CT UPPER EXTR W/WO CONTR $2,388.00
HC CT ANGIO UPPER EXTREM W/WO CONT $3,388.00
HC MRI UPPR EXT NONJOINT W/O CONTRAST $2,978.00
HC MRI UPPR EXT NONJOINT W/CONTRAST $3,384.00
HC MRI UPPR EXT NONJOINT W&W/O CONTRAST $3,790.00
HC MRI UPPR EXT JOINT W/O CONTRAST $3,837.00
HC MRI UPPR EXT JOINT W/CONTRAST $4,466.00
HC MRI UPPR EXT JOINT W&W/O CONTRAST $4,737.00
HC XR HIP W/PELVIS UNI 1VIEW $182.00
HC XR HIP W/PELVIS UNI 2-3VWS $182.00
HC XR HIP W/PELVIS UNI 4+VWS $321.00
HC XR HIP W/PELVIS BIL 2 VIEWS $317.00
HC XR HIP W/PELVIS BIL 3-4VIEWS $336.00
HC XR HIP W/PELVIS BIL 5+VIEWS $672.00
HC XRAY HIP ARTHRGRPHY $1,572.00
HC XR FEMUR 1VIEW $182.00
HC XR FEMUR 2+VIEWS $182.00
HC XRAY KNEE (1 OR 2 V) $432.00
HC XRAY KNEE (3 V) $553.00
HC XRAY KNEE (MIN 4 V) $546.00
HC XR KNEE STAND $629.00
HC XRAY KNEE ARTHRO $1,304.00
HC XRAY TIBIA/FIBULA 2 VIEW $463.00
HC XRAY INFANT LO EXTRM MIN 2V $230.00
HC XRAY ANKLE (2 V) $376.00
HC XRAY ANKLE (MIN 3 V) $432.00
HC XRAY ARTHRO ANKLE $1,289.00
HC XRAY FOOT (2 V) $399.00
HC XRAY FOOT (MIN 3 V) $432.00
HC XRAY OS CALCIS HEEL $440.00
HC XRAY TOE MIN 2 VIEW $367.00
HC CT LOWER EXTRM WO CONT $1,622.00
HC CT LOWER EXTREMITY W/CON $1,820.00
HC CT LOWER EXTR W/WO CONTR $2,274.00
HC CT ANGIO LOWER EXTREM W/WO CONTR $2,536.00
HC MRI LE NONJOINT WO CONTRAST $3,289.00
HC MRI LE NONJOINT W/ CONTRAST $3,451.00
HC MRI LE NONJOINT W/WO CONTRAST $3,560.00
HC MRI LWR EXT JOINT W/O CONTRAST $3,953.00
HC MRI LWR EXT JOINT W/CONTRAST $4,663.00
HC MRI LWR EXT JOINT W&W/O CONTRAST $4,805.00
HC XRAY ABDOMEN 1V $428.00
HC XRAY ABDOMEN AP & LAT (2 V OR 3 V) $745.00
HC XRAY ABDOMEN AP/DECUB/ERECT/CXR $876.00
HC CT ABD W/O CONTRAST $2,350.00
HC CT ABDOMEN W/CONTRAST $2,318.00
HC CT ABDOMEN W&W/O CONTRAST $3,275.00
HC CT ANGIO ABD/PELV W & WO CONTRAST $5,955.00
HC CTA ABDOMEN W&W/O CONTRAST $3,374.00
HC CT ABDOMEN/PELVIS W/O CONTRAST $4,591.00
HC CT ABDOMEN/PELVIS W/CONTRAST $4,753.00
HC CT ABDOMEN/PELVIS W&W/O CONTR $6,551.00
HC MRI ABDOMEN W/O CON $3,808.00
HC MRI ABDOMEN W/CON $4,017.00
HC MRI ABDOMEN W&W/O CON $4,387.00
HC S&I PERITONEOGRAM $1,338.00
HC XRAY ESOPHAGUS $922.00
HC VIDEO FLUORO SWALLOWING $1,085.00
HC XRAY UPPER GI TRACT $1,298.00
HC SINGLE CONTRAST UPPER GI W/KUB $1,341.00
HC UPPER GI\SMALL BOWEL SGL $1,667.00
HC UPPER GI TRACT - NO KUB $1,277.00
HC XRAY SMALL INTESTINE FOLLOW THRU STUDY $1,667.00
HC XRAY SMALL BOWEL $1,058.00
HC XRAY COLON BARIUM $1,155.00
HC XRAY COLON BARIUM AIR CONTRAST $1,380.00
HC THERAPEUTIC COLON $780.00
HC CHOLANGIOGRAPHY OPERATIVE $1,249.00
HC CHOLANGIOGRAPHY OPERATIVE ADDL $576.00
HC XRAY ERCP BILIARY ONLY $1,620.00
HC ERCP PANCREATIC $1,619.00
HC XRAY ERCP CATH BILIARY&PANCREAS $1,955.00
HC INTRODUCTION LONG GI TUBE $1,237.00
HC XRAY IVP W OR W/O TOMO $1,514.00
HC XRAY UROGRAM RETROGRADE $1,133.00
HC XRAY UROGRAM ANTEGRADE $1,201.00
HC CYSTOGRAM 3+ VIEWS $1,391.00
HC CYSTOURETHROGRAM RETROGRADE $984.00
HC XRAY VOID CYSTOURETHGRAM $1,010.00
HC RENAL CYST STUDY S&I $672.00
HC DILITATN NEPHRO,URETER,URETHRA $4,785.00
HC XRAY HYSTEROSALPINGOGRAP $831.00
HC CT HRT W/O DYE W/CA TEST $99.00
HC CT HEART WO/W CONT FUNCT EVAL $715.00
HC CTA HEART CORONARY W/CONTRAST 3D POST $1,756.00
HC THORACIC AORTA $11,688.00
HC ABDOMINAL AORTAGRAM $5,324.00
HC AORTA WITH RUNOFF $5,790.00
HC CTA ABDOMEN AORTA ILIOFEM RUNOFF $1,744.00
HC ANGIO SPINAL $11,688.00
HC ANGIO EXTREMITY UNI $5,182.00
HC ANGIO EXTREMITY BILAT $5,810.00
HC ANGIO VISERAL, SEL, OR SUPRASEL $5,342.00
HC ANGIO ADRENAL UNILATERAL $2,039.00
HC ANGIO ADRENAL BILATERAL $7,030.00
HC ANGIO PELVIC SELECT $12,036.00
HC ANGIO PULMONARY NONSELECT $3,073.00
HC ANGIO INTERNAL MAMMARY $7,030.00
HC ANGIO EA VESSEL ADDL $3,073.00
HC SHUNTOGRAM NONVASCULAR $791.00
HC VENOGRAM EXTREMITY UNI $2,006.00
HC VENOGRAM EXTREMITY BILAT $2,775.00
HC VENOGRAPHY CAVAL INFERIOR $4,643.00
HC VENOGRAPHY CAVAL SUPERIOR $1,731.00
HC VENOGRAM RENAL UNILAT $7,030.00
HC VENOGRAM RENAL BILAT $7,030.00
HC VENOGRAM ADRENAL UNILAT $7,030.00
HC VENOGRAM ADRENAL BILAT $11,688.00
HC VENOGRAPHY SINUS/ JUGULAR $7,434.00
HC TRANSHEPATIC PORTOGRAPHY W/ HEMO $7,030.00
HC TRANSHEPATIC PORTOGRAPHY WO HEMO $2,039.00
HC VENOGRAM HEPATIC W/HEMO $7,030.00
HC VENOGRAM HEPATIC W/O HEMO $7,030.00
HC VENOGRAM SAMPLING CATH $11,688.00
HC TRANSCATH EMBOLIZATION $6,945.00
HC TRANSCATH ANGIO EXIST $2,775.00
HC REMOVE PERICATH OBST CV CATH $281.00
HC REMOVE INTRALUMN OBST CV CATH $783.00
HC ENDOVASC REPR THOR AORTA W/SUBCL S&I $2,622.00
HC ENDOVASC REPR THOR AORTA W/O SUBCL S&I $2,622.00
HC PLACE PROX EXT PROSTH ENDOVASC THOR AORTA S&I $1,713.00
HC TRANSCATH BX $2,681.00
HC CHANGE PERC DRAINAGE TUBE OR CATH $5,907.00
HC GUID FOR PERC DRAIN ABSCESS $2,507.00
HC FLUOROSCOPY >1HR $818.00
HC BABYGRAM $415.00
HC ABSCESS FISTULA OR SINUS TRACT $1,188.00
HC RADIOLOGICAL EXAM SURG SPEC $368.00
HC RADIOLOGICAL EXAM TOMOGRAPHY SINGL $2,887.00
HC CINERADIOGRAPHY 76120 $319.00
HC CINERADIOGRAPHY/VIDEORADIOGRAPHY EXAM $532.00
HC 3D RENDER CT NOT REQUIRE INDEP $912.00
HC 3D RENDER CT REQUIRES INDEPENDENT $836.00
HC CT LMTD OR LOCALIZ FU STUDY $2,023.00
HC MRI SPECTROSCOPY $3,866.00
HC US ENCEPHALOGRAM $1,037.00
HC US SOFT TISSUE HEAD/NECK $1,163.00
HC US CHEST $1,007.00
HC US BREAST COMPLETE $924.00
HC US BREAST LIMITED $462.00
HC US ABDOMEN CMPL $1,002.00
HC US ABDOMEN LTD $1,475.00
HC US AORTA (SCREENING) $336.00
HC US RETROPERITIONEAL $1,603.00
HC US RETROPERITONEAL LTD $955.00
HC US KIDNEY TRANSPLANT W/DOPPLER $931.00
HC US PREGNANCY <14 WEEKS SGL $1,005.00
HC US PREGNANCY <14 WEEKS ADDL $385.00
HC US PREGNANCY >14 WEEKS SGL $1,204.00
HC US PREGNANCY >14 WEEKS ADDL $817.00
HC US PREGNANCY DETAILED SGL $1,082.00
HC US FETAL NUCHAL TRANSLUCENCY SNG $949.00
HC US FETAL NUCHAL TRANSLUCENCY ADDL $264.00
HC US FETAL HEART BEAT $802.00
HC US OB GROWTH FOLLOWUP $808.00
HC US PREGNANCY TRANSVAGINAL $985.00
HC US FETAL BIO PROFILE W/O NST $764.00
HC US FETAL DOPLR VELO UMB $515.00
HC US TRANSVAGINAL $985.00
HC US HYSTEROSONOGRAM $779.00
HC US PELVIS NON OB $1,504.00
HC US PELVIS NON-OB LTD $610.00
HC US SCROTUM $1,066.00
HC ULTRA BX PROS $1,280.00
HC US TRANSRECTAL PROSTATE VOLUME $319.00
HC US EXTREMITY NON VASCULAR COMP $705.00
HC US EXTREMITY NON VASCULAR LMTD $528.00
HC US GUIDED PERICARDIOCENTESIS $1,058.00
HC US GUIDED COMPRESSION RPR $1,035.00
HC US GUIDED VASCULAR ACCESS 76937 $757.00
HC US GUIDED NEEDLE PLCMT $1,009.00
HC US GUIDED AMNIOCENTESIS $1,373.00
HC US GUIDED INTERSTITIAL THRPY $1,365.00
HC US INTRAOPERATIVE $1,018.00
HC FLUORO CV ACCESS PLACEMENT $946.00
HC FLUORO NEEDLE PLACEMENT $1,025.00
HC FLUORO NEEDLE LOCALIZATION $442.00
HC CT GUIDED LOCALIZATION STEREO $1,986.00
HC CT GUIDED NEEDLE PLACEMENT $1,646.00
HC CT GUIDED FOR ABLATION $1,821.00
HC CT GUIDED THRPY PLACEMENT UNENHAN $1,342.00
HC MRI BREAST UNI W/O CON $2,305.00
HC MRI BREAST BI W/O CON $4,221.00
HC GALACTOGRAM SINGLE DUCT $351.00
HC GALACTOGRAM MULTI DUCT $485.00
HC SCREEN DIGITAL BREAST TOMOSYTH BIL $61.00
HC MAMMOGRAM DIAG UNIL W/CAD $582.00
HC MAMMOGRAM DIAG BILAT W/CAD $720.00
HC MAMMOGRAM SCREEN DIGI W/CAD $652.63
HC XR JOINT STRESS BY PHYS $260.00
HC BONE AGE STUDIES $815.00
HC BONE LENGTH STUDIES $591.00
HC BONE SURVEY LIMITED $641.00
HC BONE SURVEY COMPLETE $1,412.00
HC OSSEOUS SURVEY INFANT $726.00
HC BONE DENSITY DXA $530.00
HC BONE DENSITY PERIPHERAL $388.00
HC RADIOLOGY TREATMENT PLANNING; SIMPLE $292.72
HC RADIOLOGY TREATMENT PLANNING; INTERMEDIATE $790.03
HC RADIOLOGY TREATMENT PLANNING; COMPLEX $1,287.33
HC SIMULATION SMP $351.00
HC SIMULATION INTERMED $914.00
HC SIMULATION COMPLEX $914.00
HC RESPIRATORY MOTION MGMT SIM $1,624.00
HC SIMULATION 3-D $3,385.00
HC DOSIMETRY CALCULATION BASIC $351.00
HC IMRT TX PLAN $3,385.00
HC ISODOSE PLAN SIMPLE $914.00
HC ISODOSE PLAN COMPLEX $914.00
HC BRACHY ISODOSE PLAN COMPLEX $914.00
HC PORT PLAN SPECIAL $914.00
HC DOSIMETRY CALCULATION SPECIAL $351.00
HC TREATMENT DEVICE SIMPLE $351.00
HC TREATMENT DEVICE INTERM $351.00
HC TREATMENT DEVICE COMPLEX $914.00
HC MEDICAL PHYSICS CONTINUING $351.00
HC MLC DEVICE FOR IMRT $914.00
HC SPECIAL MED PHYSICS CONSULT $351.00
HC SRS, MULTISOURCE $21,704.00
HC SRS TREATMENT $21,704.00
HC SRT TREATMENT $4,800.00
HC IMRT TREATMENT SIMPLE $1,476.00
HC IMRT TREATMENT COMPLEX $1,476.00
HC US GUIDED RAD THRPY FIELDS $769.00
HC IMAGE FUSION DOSIMETRY $351.00
HC RAD THRPY SIMPLE >1MEV $332.00
HC RAD THRPY INTERMEDIATE $637.00
HC RAD THRPY COMPLEX $637.00
HC PORT FILMS $399.00
HC RADIATION MNGT 5 TREATMENTS $684.70
HC RADIATION MGMT 1/2 FRACTIONS ONLY $684.70
HC STEREOTACTIC RADIATION TRMT CRANIAL LESION $684.70
HC SBRT MANAGEMENT $2,635.00
HC SPECIAL TREATMENT PROCEDURE $1,476.00
HC INTERSTITIAL APPL-COMPLE $2,001.00
HC THYROID UPTAKE SGL/MULT $315.00
HC NM THYROID IMAGING SGL OR MULT UPTAKE $1,357.00
HC NM THYROID CA METS WHOLE BODY $2,930.00
HC PARATHRYOID IMAGING $1,186.00
HC PARATHYROID IMG W/SPECT $1,043.00
HC LYMPH NODE IMAGING $1,579.00
HC LIVER IMAGING SPECT $1,670.00
HC LIVER IMAGING SPECT FLOW $336.00
HC LIVER SPLEEN STATIC $1,013.00
HC HEPATOBILIARY SCAN $2,121.00
HC NM HEPATOBILIARY DUCTS W/PHARM $2,288.00
HC GASTRIC EMPTYING STUDY $1,582.00
HC GI BLEED SCAN $1,447.00
HC SM BOWEL MECKEL'S SCAN $1,066.00
HC BONE SCAN LIMITED $427.00
HC BONE SCAN WHOLE BODY $2,297.00
HC BONE SCAN/3 PHASE $1,822.00
HC BONE SPECT $2,126.00
HC HT MUSCLE IMAGE SPECT SINGLE $2,152.00
HC HT MUSCLE IMAGE SPECT MULTI $5,826.00
HC CARDIAC SCAN $941.00
HC MUGA RESTING SGL $1,988.00
HC LUNG PERFUS $1,444.00
HC LUNG SCAN-VENT/PERF $2,859.00
HC PULM PERF DIFF W/IMG $3,020.00
HC NM PULM VENT&PERF DIFF W/IMG $3,359.00
HC BRAIN W/FLOW < 4 VIEWS STAT $993.00
HC BRAIN SCAN SPECT $3,393.00
HC CISTERNOGRAPHY $888.00
HC CSF SHUNT EVALUATION $1,293.00
HC KIDNEY SCAN W/FLOW&FUNCTION $1,659.00
HC KIDNEY W/PHARMACLGCL INTER $1,883.00
HC KIDNEY W&W/O PHARM INTERVEN $3,382.00
HC URETERAL REFLUX STUDY $993.00
HC TESTICULAR IMAG W/FLOW $1,127.00
HC TUMOR IMAGE-WHOLE BODY-1 DAY $2,049.00
HC TUMOR IMAGING (SPECT) $1,535.00
HC WBC WHOLE BODY $1,996.00
HC NM RADIOPAHARM THRPY ORAL $2,482.00
HC BASIC METABOLIC PANEL IONIZED CALCIUM $48.00
HC BASIC METABOLIC PANEL $341.00
HC GENERAL HEALTH PANEL $322.00
HC ELECTROLYTE PANEL $163.00
HC COMPREHENSIVE METABOLIC PANEL $320.00
HC LIPID PANEL $121.00
HC RENAL PANEL $184.00
HC HEPATITIS PANEL ACUTE $336.00
HC LIVER (HEPATIC) PANEL $207.00
HC CARBAMAZEPINE TOTAL $173.00
HC DIGOXIN LEVELS $103.00
HC VALPROIC ACID $194.00
HC GENTAMICIN $181.00
HC LITHIUM $63.00
HC PHENOBARBITAL $181.00
HC PHENYTOIN TOTAL $190.00
HC THEOPHYLLINE $181.00
HC TOBRAMYCIN $156.00
HC VANCOMYCIN $187.00
HC DRUG SCREEN PRESUMPTIVE INSTRMNT ASSIST DIR OPTICAL T2 $239.00
HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T4 $346.00
HC URINALYSIS AUTO W/MICRO $197.00
HC URANALYSIS NON AUTO W/O MICRO $24.00
HC URINALYSIS AUTO W/O MICRO $82.00
HC URINALYSIS MICRO ONLY $51.00
HC URINE PREGNANCY TEST $54.00
HC VOLUME MEASUREMENT URINE $48.00
HC ACETONE KETONES SERUM QN $72.00
HC ALBUMIN SERUM $88.00
HC ALBUMIN BODY FLUID $88.00
HC MICROALBUMIN URINE QN $114.00
HC GL AFP $150.00
HC AMMONIA $129.00
HC AMYLASE $101.00
HC BETA 2 MICROGLOBULIN $135.00
HC BILIRUBIN TOTAL $44.00
HC BILIRUBIN DIRECT $115.00
HC OCCULT BLOOD FECAL SCRN $44.00
HC OCCULT BLOOD GASTRIC $32.00
HC OCCULT BLOOD FECAL DIAG $50.00
HC OCCULT BLOOD FECAL HGB $70.00
HC VITAMIN D 25 OH $221.00
HC CALCIUM $120.00
HC CALCIUM IONIZED STAT $50.00
HC CALCIUM URINE QN TIMED $109.00
HC BICARBONATE $84.00
HC CARBINOEMBRYONIC AG (CEA) $421.00
HC CHLORIDE $93.00
HC CHLORIDE URINE $93.00
HC CHOLESTEROL $112.00
HC CORTISOL TOTAL $254.00
HC CREATINE KINASE (CPK) TOTAL $160.00
HC CREATINE KINASE MB FRAC $184.00
HC CREATININE $67.00
HC CREATININE OTH SOURCE $86.00
HC CREATININE CLEARANCE $216.00
HC VITAMIN B12 $92.00
HC ESTRADIOL $82.00
HC FERRITIN $152.00
HC FETAL FIBRONECTIN $433.00
HC FOLIC ACID SERUM $110.00
HC GAMMAGLOBULIN $66.00
HC BLOOD GAS PH $108.00
HC BLOOD GAS PH PO2 &/OR PCO2 $230.00
HC BLOOD GASES W/O2 SAT $615.00
HC GLUCOSE BODY FLUID $92.00
HC GLUCOSE $71.00
HC GLUCOSE SCREEN $107.00
HC GLUCOSE TOLERANCE $214.00
HC GLUCOSE TOLERANCE ADDL SPEC $52.00
HC GLUCOSE BY DEVICE $56.00
HC GGT/GGTP $171.00
HC FSH $233.00
HC LUTEINIZING HORMONE (LH) $75.00
HC HAPTOGLOBIN $109.00
HC HEMOGLOBIN FETAL $80.00
HC GLYCOSYLATED HGB $87.00
HC IRON TOTAL $148.00
HC IRON BINDING CAPACITY $53.00
HC LACTATE/LACTIC ACID $105.00
HC LACTATE DEHYDRO (LDH) $120.00
HC FETAL LUNG MATURITY $489.00
HC LAMELLAR BODY CT $73.00
HC LIPASE $147.00
HC CHOLESTEROL HDL $108.00
HC CHOLESTEROL LDL $89.00
HC MAGNESIUM $127.00
HC MYOGLOBIN $107.00
HC BNP NATRIURETIC PEPTIDE $186.00
HC OSMOLALITY BLOOD $101.00
HC OSMOLALITY URINE $150.00
HC PARATHYROID HORMONE (PTH) $209.00
HC PH BODY FLUID $58.00
HC ALKALINE PHOSPHATASE $115.00
HC PHOSPHORUS $108.00
HC PHOSPHORUS URINE $64.00
HC PLACENTAL ALPHA MICROGLOBULIN $157.00
HC POTASSIUM $36.00
HC POTASSIUM URINE $84.00
HC PREALBUMIN $147.00
HC PROGESTERONE $121.00
HC PROLACTIN $209.00
HC PSA TOTAL $254.00
HC PSA FREE $211.00
HC PROTEIN TOTAL $88.00
HC PROTEIN TOTAL URINE $95.00
HC PROTEIN TOTAL OTH SRC $90.00
HC SODIUM $93.00
HC SODIUM URINE $84.00
HC SODIUM OTHER FLUID $44.00
HC TESTOSTERONE $196.00
HC THYROXINE (T-4) TOTAL $63.00
HC T4 FREE $153.00
HC THYROID STIMULATING HORM $168.00
HC AST $125.00
HC ALT $120.00
HC TRANSFERRIN $130.00
HC TRIGLYCERIDES $182.00
HC T3 TOTAL $61.00
HC T3 FREE $144.00
HC TROPONIN QN $201.00
HC BUN $63.00
HC UREA URINE $103.00
HC URIC ACID $43.00
HC URIC ACID OTH SRC $108.00
HC HCG QN $201.00
HC HCG QL $89.00
HC WBC W/AUTO DIFFERENTIAL $85.00
HC BLOOD COUNT MAN DIFF WBC $50.00
HC HEMATOCRIT $42.00
HC HGB $42.00
HC CBC AUTO W/AUTO DIFF $147.00
HC CBC W/O DIFF $139.00
HC BLOOD COUNT RBS AUTO $35.00
HC RETIC COUNT AUTO $71.00
HC BLOOD COUNT RETICULOCYTES AUTO $60.00
HC BLOOD COUNT LEUKO AUTO $60.00
HC PLATELET COUNT AUTO $75.00
HC BONE MARROW SMEAR INTERP $56.00
HC ACTIVATED CLOTTING TIME $52.00
HC FDP (D-DIMER) QL/SEMI-QN $137.00
HC D DIMER QN $157.00
HC FIBRINOGEN $110.00
HC FETAL HGB KLEIHAUER BETKE $125.00
HC HEPARIN ASSAY $155.00
HC LEUKOCYTE ALK PHOS $124.00
HC PLATELET AGGREGATION EA $105.00
HC PROTHROMBIN TIME (PT) $78.00
HC SED RATE AUTO $63.00
HC SICKLE CELL RBC $121.00
HC PTT $94.00
HC PLATELET AB ID (HIT) $325.00
HC C-REACTIVE PROTEIN $91.00
HC C-REACTIVE PROTEIN (HS) $232.00
HC HETEROPHILE SCR MONO $177.00
HC IMMUNO INFECTIOUS AB QL SQ $45.00
HC MICROSOMAL AB $178.00
HC RHEUMATOID FACTOR QN $238.00
HC SYPHILIS VDRL RPR QL $124.00
HC HIV 1 HIV 2 AB SGL ASSAY $177.00
HC HEP CORE AB $202.00
HC HEP B CORE IGM $181.00
HC HEP B SURFACE AB $146.00
HC HEP A AB IGM $157.00
HC RUBELLA AB $138.00
HC RUBEOLA AB $105.00
HC TREPONEMA P AB CONFIRM $124.00
HC VARICELLA ZOSTER ATB $150.00
HC HEP C AB $176.00
HC AB SCREEN $190.00
HC ELUTION $132.00
HC RBC AB ID PANEL $264.00
HC COOMBS DIRECT $85.00
HC BLOOD TYPING ABO $127.00
HC BLOOD TYPING RH $91.00
HC RBC AG SCR RGT SERUM $240.00
HC RBC ANTIGEN OTHER THAN ABO OR RH(D) EACH $182.00
HC CROSSMATCH IMMEDIATE SPIN $149.00
HC CROSSMATCH AHG $136.00
HC CROSSMATCH ELECTRONIC $60.00
HC FFP THAWING EACH UNIT $114.00
HC CONCENTRATION INFECTIOUS AGENT $134.00
HC BLOOD CULTURE $210.00
HC STOOL CULTURE $230.00
HC STOOL CULTURE ADD ISO $45.00
HC BODY FLUID CULTURE $202.00
HC CULTURE AEROBIC OTHER SOURCE QN $124.00
HC CULTURE ANAEROBIC $396.00
HC CULTURE ANAEROBIC ID $108.00
HC CULTURE AEROBIC ID ADDL T1 $100.00
HC CULTURE SCR PRESUMP PATHOGENS T1 $165.00
HC CULTURE URINE W/COLONY CT $154.00
HC CULTURE URINE ID EA ISOL $126.00
HC CULTURE FUNGUS OTHER $215.00
HC CULTURE FUNGUS ID $124.00
HC CULTURE TYPE SEROLOGIC $74.00
HC CULTURE TYPING ID NUCLEIC ACID $58.00
HC PINWORM EXAM $64.00
HC HOMOGENIZATION TISSUE $59.00
HC SENSITIVITY STUDY AGAR $26.00
HC SENSITIVITY DISK KB $106.00
HC BETA LACTAMASE $77.00
HC SENSITIVITY MIC $233.00
HC SMEAR GRAM/GIEMSA $70.00
HC SMEAR ACID FAST/FLUOR $89.00
HC SMEAR WET MOUNT $52.00
HC TISSUE KOH PREP $55.00
HC EIA QL CRYPTOSPORIDIUM AG $161.00
HC EIA QL GIARDIA AG $161.00
HC EIA QL HEPATITIS ABC B AG $135.00
HC EIA QL HEPATITIS B AG NEUT $97.00
HC HIV-1 AG W/HIV-1 & HIV-2 AB $159.00
HC EIA QL ROTAVIRUS AG $82.00
HC SHIGELLA LIKE TOXIN AG $130.00
HC RAPID STREP $95.00
HC CHLAMYDIA PNEUM AMP PROBE $105.00
HC CHLAMYDIA TRACH AMP $306.00
HC CLOSTRIDUM DIFFICILE $98.00
HC HSV QUANT TYPE 1 & 2 DNA QN RT PCR $423.00
HC IF AG PROBE MYCOPLASMA PNEUMONIAE $185.00
HC NEISSERIA AMP $309.00
HC IF AG RESP VIRUS MAP 12-25 TARGETS $1,250.00
HC INFECT AMP (GRP A STREP) $291.00
HC INFECT AMP T1 $105.00
HC QL INFLUENZA A/B $224.00
HC QL RSV $153.00
HC TRICHOMONAS VAGINITIS OPTICAL $140.00
HC INFECT AGENT DETECT OPTICAL $151.00
HC CYTOPATH FLD SMEAR $88.00
HC CYTOPATH CELL ENHANCE $188.00
HC THINPREP PAP $99.00
HC CYTOPATH SMEAR OTHER SOURCE W/PREP $183.00
HC FINE NEEDLE INTERP $246.00
HC GROSS ONLY LEVEL I $81.00
HC GROSS & MICRO LEVEL II $188.00
HC GROSS & MICRO LEVEL III $214.00
HC GROSS & MICRO LEVEL IV $379.00
HC GROSS & MICRO LEVEL V $647.00
HC GROSS & MICRO LEVEL VI $712.00
HC DECALCIFICATION $104.00
HC SPECIAL STAIN I $221.00
HC SPECIAL STAIN II $207.00
HC CONSULT REFERRED SLIDES $376.00
HC CONSULT/SLIDE PREP $498.00
HC CONSULT PATH SURG W/FROZEN $182.00
HC CONSULT PATH SURG ADDL FROZEN $92.00
HC IMMUNOHISOCHEMIS EA AD SGL STN $240.00
HC IMMUNOHISTOCHEM AB-INITIAL $300.00
HC IMMUNOHISTOCHEM EA AB STAIN $240.00
HC MORPHO ANLYS TUMOR MAN $470.00
HC MORPHO ANLYS COMP ASSIST $515.00
HC EPSTEIN BARR ISH $210.00
HC BILICHECK TEST $32.00
HC BODY FLUID CELL COUNT $111.00
HC LEUKO ASSESS STOOL QN/SEMI $67.00
HC CRYSTAL ID LIGHT MICRO $34.00
HC SMEAR NASAL EOSINOPHILS $58.00
HC SEMEN ANALYSIS COMPLETE $369.00
HC SEMEN PRESENCE/MOTILITY $97.00
HC IMMUN ADMIN ONE VACC $140.00
HC IMMUN ADMIN EA ADD VACC $74.00
HC ELECTROCONVULSIVE THERAPY $1,582.00
HC CONT RENAL REPLACMENT THERAPY INIT DAY $1,053.00
HC CONT RENAL REPLACMENT THERAPY SUBSQ DAY $1,053.00
HC IMAGE GI TRACT ESPOH THRU ILIEM W/REPORT- 91110 $2,087.00
HC SPEECH THERAPY TREATMENT 15MIN $360.00
PC SPEECH THERAPY TREATMENT 15 MIN $360.00
HC SPEECH THERAPY TREATMENT GROUP 15MIN $104.00
HC EVALUATION OF SPEECH FLUENCY 15 MIN $303.00
HC EVALUATION OF SPEECH FLUENCY 30MIN $303.00
PC EVALUATION OF SPEECH FLUENCY 15 MIN $303.00
HC EVALUATE SPEECH PRODUCTION 15MIN $246.00
HC SPEECH SOUND LANGUAGE COMPRHEN 15MIN $512.00
PC SPEECH SOUND LANGUAGE COMPRHEN 30 MIN $512.00
HC BEHAVIORAL QUALITY ANALYSIS VOICE 15MIN $261.00
HC DYSPHAGIA TREATMENT 15MIN $343.00
PC DYSPHAGIA TREATMENT 15 MIN $343.00
HC AUD TYMPAN/REFLEX THRESHOLD MEASURE $405.00
HC AUD PURE TONE AIR ONLY $319.00
HC AUD PURE TONE AIR & BONE $371.00
HC AUD SPEECH THRESHOLD $212.00
HC AUD SPEECH THRESHOLD W/SPEECH RECOGNITION $254.00
HC AUD COMPREHENSIVE AUDIO $609.00
HC AUD EVOKED OTOACOUS EMISSIONS SCREENING $448.00
HC TONE DECAY TEST $182.00
HC TYMPANOMETRY IMPED TEST $212.00
HC AUD ACOUSTIC REFLEX TESTING $182.00
HC AUD ACOUSTIC REFLEX DECAY $607.00
HC AUD VISUAL REINFORCEMENT AUDIOMETRY $228.00
HC AUD CONDITION PLAY AUDIOMETRY $592.00
HC AUD SELECT PICTURE AUDIOMETRY $182.00
HC AUDITORY EVOKED POTENT COMPR $1,972.00
HC NEWBORN HEARING SCREENING $447.00
HC DISTORTION EVOKED POTENT LTD $514.00
HC AUD EVOKED OTOACOUS EMISSIONS COMP EVAL $558.00
HC VOICE PROST EVAL/FITTING 15MIN $732.00
HC EVAL NON SP GEN DEVICE $550.00
HC THERAP SVC NON-SPEECH DVC -15 MIN $88.00
HC EVAL AAC; SP GEN 1ST HR $550.00
HC EVAL AAC ADD 1/2 HR $274.00
HC DYSPHAGIA EVALUATION 15MIN $281.00
HC DYSPHAGIA EVAL-VIDEO $705.00
HC PERC TRANSLUM COR ANGIO SGL $14,349.00
HC PERC TRANSLUM COR ANGIO EA AD $14,349.00
HC PERC TRN ARTHR W/COR ANGIO SGL $29,661.00
HC PERC TRN ARTHR W/COR ANGIO EA ADL $11,007.00
HC PLACE PERC INTRACOR STENT SGL $29,661.00
HC PLACE PERC INTRACOR STENT EA AD $8,669.00
HC PERC TRN ARTHR W/INTRA STENT ANGIO SGL $45,210.00
HC PERC TRN ARTHR W/INTRA STENT ANGIO EA ADL $11,007.00
HC PERC TRANSL REVASC GRAFT SGL VSL $29,661.00
HC PERC TRANSL REVASC GRAFT EA AD $8,929.00
HC PERC TRANSL REVASC OCCL/INFARC SGL VSL $14,724.00
HC PERC TRANSL REVASC OCCL SGL VSL $29,661.00
HC PERC TRANSL REVASC OCCL EA ADL $8,669.00
HC CPR $944.00
HC TEMPORARY EXTERNAL PACING $2,034.00
HC CARDIOVERSION EXTERNAL $1,912.00
HC CARDIOVERSION INTERNAL $1,538.00
HC PERC TRANSLUM THROMBECTOMY $835.00
HC US IVUS/OCT S&I INIT VESSEL $5,546.00
HC US IVUS/OCT S&I VESSEL EA ADL $6,709.00
HC VALVULOPLASTY AORTIC VALVE $14,349.00
HC VALVULOPLASTY MITRAL VALVE $29,661.00
HC EKG $428.00
PC EKG INTER AND REPORT PRO $66.59
HC STRESS TEST TRACING ONLY $1,474.00
HC PRE OR POST PACEMAKER EVAL $140.00
HC ECHO PEDS CONGENITAL $3,450.00
HC ECHO PEDS CONGENITAL LMTD $1,786.00
HC ECHO/CARDIAC DOP/COLOR FLOW $5,040.00
HC ECHOCARDIOGRAM 2D W/O DOP $3,668.00
HC ECHO 2D W/W/O M-MODE LTD $1,672.00
HC ECHO TEE CMPL W/PF $5,212.00
HC ECHO DOPPLER $1,250.00
HC ECHO DOPPLER LMTD $1,118.00
HC ECHO COLOR FLOW MAPPING $1,164.00
HC ECHO 2D STRESS CONT MONITORING $4,440.00
HC CATH RIGHT HEART $7,938.00
HC LHC ONLY NO COROS $8,440.00
HC RHC/LHC ONLY/NO CORS $7,940.00
HC CORONARY ANGIO ONLY/NO LV $7,938.00
HC CORO ANGIO & GRAFTS ONLY NO LV $7,938.00
HC RHC CORONARY ANGIO/NO LV $7,938.00
HC RHC CORO ANGIO & GRAFTS/NO LV $7,938.00
HC CORONARY ANGIO WITH LV $7,938.00
HC CORONARY ANGIO W GRAFTS AND LV $7,938.00
HC RHC/LHC/CORONAY ANGIO AND LV $7,938.00
HC RHC/LHC/CORON ANGIO GRAFTS &LV $7,938.00
HC LHC TRANSEPTAL PUNCTURE $9,260.00
HC NITRIC OXIDE STUDY $14,997.00
HC PLACEMENT SWANZ GAN CATH MONIT $2,775.00
HC BIOPSY ENDOMYOCARDIAL $7,035.00
HC AORTAGRAM $1,212.00
HC INTRVASC DOPP COLOR FLOW INIT VSL $7,883.00
HC INTRVASC DOPP COLOR FLOW ADDL VSL $1,188.00
HC PTC W/IMPLNT ATRIAL $22,000.00
HC TRANSCATH PERQ SEPTAL REDUCTION $17,000.00
HC TRANSCATH PERQ AORTIC INIT $45,210.00
HC TRANSCATH PERQ AORTIC ADDL $10,672.00
HC TACHYCARDIA SITE MAPPING $5,609.00
HC EP INTRA-ATRIAL PACING $14,997.00
HC EP INTRACARDIAC 3-D MAPPING $8,624.00
HC ARRHYTHMIA INDUCTION ELECTRIC $1,841.00
HC EP COMPREHENSIVE W/ ARRHYTHMIA $14,997.00
HC EP COMPREHENSIVE W/LT ATRIUM $8,990.00
HC EP COMPREHENSIVE W/LT VENTRIC $1,327.00
HC EP IV DRUG INFUSION PACING $6,479.00
HC EP FOLLOW UP $14,997.00
HC EP EVAL CARDIO/DEFIB LEADS $2,107.00
HC EP EVAL CARDIO/DEFIB GENERATOR $2,178.00
HC EP EVAL CARDIO/DEFIB SGL/DUAL $3,295.00
HC ABLATION ATRIOVENTRICULAR FNCT $14,997.00
HC EP STUDY PLUS SVT ABLATION $52,251.00
HC EP STUDY PLUS VT ABLATION $20,071.00
HC ADD ON ABLAT POST ABLAT ORIG RHYTHM $7,362.00
HC EP STUDY PLUS AFIB ABLATION $52,251.00
HC ADD ON AFIB ABLAT POST COMPL PVI $11,569.00
HC TILT TABLE EVALUATION $1,254.00
HC EP INTRACARDIAC ECHO INTERVENT $6,659.00
HC PAD REHAB PER SESSION $158.00
HC CARDIAC REHAB W/EKG SESSION (ASSESSMENT) $335.00
HC DUPLEX CAROTID BILAT $2,799.00
HC DUPLEX CAROTID UNI $1,784.00
HC ABI/PPG SINGLE LEVEL $1,065.00
PC DOPPLER ARTERIAL EXTREMITY LIMITED $41.00
HC RESTING ARTERIAL LOWER BILATERAL $1,533.00
HC RESTING ARTERIAL UPPER BILATERAL $1,533.00
PC DOPPLER ARTERIAL EXTREMITY COMPLETE $71.00
HC DUPLEX ARTERIAL LWR EXT BI $1,726.00
HC DUPLEX ARTRL LWR EXT UNI/LMT $1,179.00
HC DUPLEX ARTERIAL UPR EXT BI $1,693.00
HC DUPLEX ARTRL UPR EXT UNI/LMT $1,143.00
HC DUPLEX VENOUS EXT BI $1,818.00
HC DUPLEX VENOUS EXT UNI/LMTD $1,273.00
HC DUPLEX ABD/PEL/RETRO CMPL $1,732.00
HC DUPLEX ABD/PEL/RETRO SCAN LTD AORTA $1,307.00
HC DUPLEX AORTA/IVC/GRAFT CMPL $1,410.00
HC DUPLEX AORTA/IVC/GRAFT LTD $1,001.00
HC DUPLEX SCAN ARTERIAL/VENOUS HEMO ACCESS COMPL UNILATERAL $321.00
HC DUPLEX HEMODIALYSIS ACCESS $936.00
HC VENT MANGMNT INPT/OBS INIT DAY $1,392.00
HC VENT WEANING FIRST DAY $1,392.00
HC VENT NEONATAL INTL DAY $1,392.00
HC VENT MANGMNT INPT/OBS SUBS DAY $1,077.00
HC VENT WEANING SUBQ DAY $1,077.00
HC VENT NEONATL SUBQ DAY $1,077.00
HC SPIROMETRY/PFT PKG $463.00
HC SPIROMETRY/PFT PRE & POST $653.00
HC SPIROMETRY/PFT CPLX $1,258.00
HC VITAL CAPACITY TOTAL $105.00
HC MAXIMAL VOL VENTILATION $195.00
HC WALK TEST 6 MIN $633.00
HC PULMONARY STRESS TEST CPLX $1,640.00
HC IPPB $208.00
HC NEBULIZER TREATMENT EACH $208.00
HC AEROSOL GENTR SHORT-TERM $208.00
HC EZ PAP TREATMENT $208.00
HC MDI/DPI TX INITIAL $208.00
HC PERI NEB WITH INSTRUCTION $208.00
HC UPDRAFT W/INSTRUCT AND EVAL $208.00
HC HIGH EFF NEB AERO EACH $208.00
HC HIGH EFF NEB AERO W/INSTR/TEACH DEVICE $208.00
HC IPPB SUBSQ $208.00
HC IPV INIT $208.00
HC NEBULIZER SUBSQ $208.00
HC IPV SUBSQ $208.00
HC MDI/DPI INHAL TX SUBSQ $208.00
HC AEROSOL INHALATION INIT $208.00
HC AEROSOL INHALATION SUBSQ $208.00
HC HELIOX INIT $208.00
HC HELIOX SUBSQ $208.00
HC AEROSOL INHALATION PENTAMIDINE $637.00
HC AEROSOL CONTINUOUS 1ST HR $507.00
HC AEROSOL CONTINUOUS ADDL HR $178.00
HC VENT NONINVAS ADULT INTL DAY $325.00
HC VENT NONINVAS NEO INTL DAY $325.00
HC VENT NONINVAS PEDS INTL DAY $325.00
HC VENT NONINVAS ADLT SUBQ DAY $325.00
HC VENT NONINVAS PEDS SUBQ DAY $325.00
HC CPAP $325.00
HC CPAP DAILY EST PT $325.00
HC VENT NONINVAS NEON SUBQ DAY $325.00
HC CPAP/BIPAP SUBSQ $325.00
HC DEMO/EVAL/MDI/NEB DAILY $173.00
HC CHEST PHYSIOTHRPY INIT $124.00
HC CHEST PHYSIOTHRPY SUBSQ $102.00
HC MECHANICAL CHEST WALL OSCILLATION INITIAL $637.00
HC MECHANICAL CHEST WALL OSCILLATION SUBSQ $637.00
HC O2 UPTAKE EXPIRED GAS REST $462.00
HC PLETHYSMOGRAPHY $901.00
HC CARBON MONOXIDE DIFF (DLCO) $535.00
HC PULSE OX SINGLE $67.00
HC PULSE OX MULTI DETERMIN $239.00
HC PULSE OX PER DAY $652.00
HC OXIMETRY OVERNIGHT $652.00
HC END TIDAL CO2 EXPIRED GAS DETERMINATION $434.00
HC ETCO2 INITIAL DAY $434.00
HC ETCO2 SUBS DAY $434.00
HC PEP THERAPY FLUTTER $499.00
HC MULTIPLE SLEEP LATENCY $3,818.00
HC SLEEP STUDY $5,389.00
HC SLEEP STUDY W/CPAP $7,801.00
HC EEG AWAKE/DROWSY $1,309.00
HC EEG AWAKE/ASLEEP $941.00
HC EMG ONE EXTREMITY $1,368.00
HC EMG TWO EXTREMITIES $1,208.00
HC EMG THREE EXTREMITIES $2,836.00
HC EMG 4 EXTREMITIES $3,644.00
HC EMG ADD ON <5 MUSCLES $1,051.00
HC EMG ADD ON >5 MUSCLES $1,245.00
HC EMG ADD ON CRANIAL $1,051.00
HC NVR CNDJ TST 1-2 STUDIES $752.00
HC NVR CNDJ TST 3-4 STUDIES $1,504.00
HC NVR CNDJ TST 13 AND > STUDIES $5,264.00
HC SSEP UPPER LIMBS $1,501.00
HC SSEP LOWER LIMBS $1,520.00
HC TCMEP UPPER LIMBS $1,162.00
HC TCMEP LWR LIMBS $1,162.00
HC NEUROMUSCULAR JUNCTION TEST $581.00
HC SSEP UPPER AND LOWER $1,741.00
HC TCMEP UPPER AND LOWER $2,249.00
HC ASSESS. APHASIA PER HOUR $379.00
HC DEV SCREEN W/SCORE & INTERP - 15 MIN $301.00
HC DEV SCREEN W/SCORE & INTERP-30 MIN $301.00
HC COGNITIVE PERF TESTING PER HOUR $375.00
HC HYDRATION THERAPY 1ST HOUR $325.00
HC HYDRATION THERAPY EA ADDL HR $388.00
HC INFUSION THERAPY 1ST HOUR $840.00
HC INFUSION THERAPY EA ADDL HR $397.00
HC IV INF ADDL SEQ INIT HR $397.00
HC INFUS CONCURRENT $420.00
HC INJECTION IM/SUBQ $172.00
PC INJECTION IM/SUBQ PRO $43.00
HC INJ IV PUSH SINGL/INITIAL $392.00
HC INJ IV PUSH ADDL NEW DRUG $313.00
HC INJ IV PUSH SAME DRUG >30MIN $348.00
HC CHEMO SQ/IM NON ANTI-NEOPLAST $197.00
HC CHEMOTHERAPY INJECTION-HORMONAL ANTI-NEO $197.00
HC CHEMO IV PUSH SINGLE/INIT $197.00
HC CHEMO IV PUSH ADDL DRUG $190.00
HC CHEMO IV INFUSION SGL/INIT<1H $446.00
HC CHEMO IV INFUSION ADDL HR $198.00
HC CHEMO IV INFUSION EA ADDL <1H $297.00
HC CHEMO ADMIN PLEURAL CAVITY W/THORACENTESIS $335.00
HC CHEMO CNS $929.00
HC IRRIGAT IMPLANT VEN ACCESS DEV $321.00
HC HOT/COLD PACK 15MIN $86.00
HC HOT/COLD PACK 30MIN $86.00
HC TRACTION MECHANICAL APPL 15 MIN $121.00
HC TRACTION MECHANICAL APPL 30 MIN $121.00
HC APPLY VASOPNEUMATIC DEVICE 15MIN $89.00
HC PARAFFIN BATH THERAPY 15MIN $99.00
HC PARAFFIN BATH THERAPY 30MIN $99.00
HC WHIRLPOOL 15 MINUTES $192.00
HC DIATHERMY $174.00
HC ELECTRIC STIM EACH 15 MIN $192.00
HC IONTOPHORESIS; EA 15 MIN $223.00
HC ULTRASOUND EA 15MIN $200.00
HC THERA EXER; EA 15 MIN $154.00
PC THERA EXER; EA 15 MIN $154.00
HC NEUROMUSCULAR RE ED EA 15 MIN $195.00
PC NEUROMUSCULAR RE ED EA 15 MIN $195.00
HC THERAPEUTIC ACT W/AQUA $177.00
HC AMBULATION GAIT TRAIN EA 15 MIN $195.00
PC AMBULATION GAIT TRAIN EA 15 MIN $195.00
HC THERAPEUTIC MASSAGE EA 15 MIN $168.00
HC COGNITIVE FUNCTION THERAPEUTIC INTERVENTION INITIAL 15 MIN $78.00
PC COGNITIVE FUNCTION THERAPEUTIC INTERVENTION INITIAL 15 MIN $78.00
HC COGNITIVE FUNCTION THERAPEUTIC INTERVENTION ADDL 15 MIN $78.00
PC COGNITIVE FUNCTION THERAPEUTIC INTERVENTION ADDL 15 MIN $78.00
HC MANUAL THERAPY EA 15 MIN $167.00
HC GROUP TREATMENT 15MIN $136.00
HC PT EVAL LOW COMPLEXITY 15MIN $336.00
PC PT EVAL LOW COMPLEXITY 15 MIN $336.00
HC PT EVAL MOD COMPLEXITY 15MIN $448.00
PC PT EVAL MOD COMPLEXITY 30 MIN $448.00
HC PT EVAL HIGH COMPLEXITY 15MIN $560.00
PC PT EVAL HIGH COMPLEXITY 45 MIN $560.00
HC PT RE-EVAL 15MIN $220.00
PC PT RE-EVAL 15 MIN $220.00
HC OT EVAL LOW COMPLEXITY 15MIN $336.00
PC OT EVAL LOW COMPLEXITY 30 MIN $265.66
HC OT EVAL MOD COMPLEXITY 15MIN $448.00
PC OT EVAL MOD COMPLEXITY 15 MIN $448.00
HC OT EVAL HIGH COMPLEXITY 15MIN $560.00
PC OT EVAL HIGH COMPLEXITY 60 MIN $560.00
HC OT RE-EVAL 15MIN $220.00
PC OT RE-EVAL 30 MIN $220.00
HC THERAPEUTIC ACTIVITIES EA 15 MIN $159.00
PC THERAPEUTIC ACTIVITIES EA 15 MIN $159.00
HC PERCEPTUAL ACTIVITY EA 15 MIN $131.00
HC SELF CARE ADL TRAINING EA 15MIN $131.00
PC SELF CARE ADL TRAINING EA 15 MIN $131.00
HC WORK TASK ANALYSIS EA 15 MIN $127.00
HC SEATING CLINIC EA 15 MIN $123.00
HC WORK HARDENING/CONDITIONING FIRST 2 HRS $324.00
HC WORK HARDENING/CONDITIONINS ADD 1 HOUR $110.00
HC DEBR SKIN PART THICKNESS <20CM FAC $675.00
PC DEBR SKIN INTL 20CM PRO $117.00
HC DEBR SKIN PART THICKNESS EA ADDN>20CM FACIL $779.00
PC DEBR SKIN PART THICKNESS EA ADDN>20CM PRO $84.00
HC DEBRIDEMENT NONSELECTIVE $488.00
PC DEBRIDEMENT NONSELECTIVE $118.00
HC NWPT <50 SQ CM FAC $571.00
PC NWPT <50 SQ CM PRO $81.00
HC NWPT >50 SQ CM FAC $811.00
PC NWPT >50 SQ CM PRO $87.00
HC NEG PRESS WOUND THERAPY WO DME<50CM $946.00
HC NEG PRESS WOUND THERAPY WO DME>50CM $734.00
HC PHYSICAL PERFORMANCE TST EA 15 MIN $149.00
HC ORTHOTICS FABRICATION EA 15 MIN $134.00
HC PROSTHETIC TRAINING EA 15 MIN $196.00
HC ORTHTC/PRSTHTC CHECK EA 15MIN $107.00
HC EDUCATION SELF MGNT NON PHY HLTCARE PROF $92.00
HC MODERATE SEDATION SAME PHY <5YR 1ST 15MIN $879.00
HC MODERATE SEDATION SAME PHY >5YR 1ST 15MIN $879.00
HC MODERATE SEDATION SAME PHY EA ADDL 15MIN $233.00
HC MODERATE SEDATION DIFF PHY <5YR 1ST 15MIN $959.00
HC MODERATE SEDATION DIFF PHY >5YR 1ST 15MIN $959.00
HC MODERATE SEDATION DIFF PHY EA ADDL 15MIN $217.00
HC HYPERBARIC O2 PER SESSION $1,492.00
PC HYPERBARIC 02 NP PRO FEE $358.00
HC THERAPEUTIC PHLEBOTOMY $341.00
HC CLINIC VISIT BRIEF NEW $229.00
PC CLINIC VISIT BRIEF NEW PRO $84.00
HC CLINIC VISIT LIMITED NEW $306.00
PC CLINIC VISIT LIMITED NEW PRO $159.00
HC CLINIC VISIT INTERM NEW $370.00
PC CLINIC VISIT INTERM NEW PRO $238.00
HC CLINIC VISIT COMPLEX NEW $523.00
PC CLINIC VISIT COMPLEX NEW PRO $407.00
HC CLINIC VISIT COMPREH NEW $590.00
PC CLINIC VISIT COMPREH NEW PRO $531.00
HC CLINIC VISIT BRIEF EST $218.00
PC CLINIC VISIT BRIEF EST PRO $28.00
HC CLINIC VISIT LIMIT EST $264.00
PC CLINIC VISIT LIMIT EST PRO $82.00
HC CLINIC VISIT INTERM EST $318.00
PC CLINIC VISIT INTERM EST PRO $161.00
HC CLINIC VISIT COMPLX EST $459.00
PC CLINIC VISIT COMPLX EST PRO $246.00
HC CLINIC VISIT COMPRH EST $563.00
PC CLINIC VISIT COMPRH EST PRO $347.00
HC INITIAL HOSPITAL CARE 30 MIN $321.60
HC SUBSEQUENT HOPITAL CARE 15 MIN $122.97
HC HOSPITAL DISCHARGE 30 MIN/< $225.51
HC OFFICE CONSULT NEW/ESTAB PT 15 MIN $103.02
HC INPATIENT CONSULT NEW/ESTAB PT 20 MIN $156.69
HC ER LEVEL 1 $405.00
HC ER LEVEL 2 $741.00
HC ER LEVEL 3 $1,114.00
HC ER LEVEL 4 $1,664.00
HC ER LEVEL 5 $2,539.00
HC CRITICAL CARE 30-74 MIN $5,554.00
HC CRITICAL CARE EA ADDN'T 30 MIN $1,670.00
HC DAILY SERVICE W/TELEMETRY $2,490.00
HC DAILY SERVICE $1,546.00
HC DAILY SERVICE OBSTETRICS $1,546.00
HC DAILY HOSPICE ACUTE CARE $1,613.00
HC DAILY REHAB SERVICE $1,563.00
HC DAILY INFANT SERVICE LEV 1 $1,085.00
HC DAILY PEDIATRIC IMC $1,913.00
HC DAILY CARDIAC CARE $4,465.00
HC SYSTEM DRAINAGE $125.00
HC TRAY ARTHROGRAM $75.00
HC TRAY BIOPSY $41.00
HC TRAY SPINAL ANESTHESIA $41.00
HC TRAY AMNIOCENTESIS $125.00
HC DEVICE RADIAL COMPRESSION $125.00
HC BINDER ABDOMINAL LARGE $125.00
HC BINDER ABDOMINAL 2-5 XLARGE $187.50
HC TAPE BROSELOW PEDIATRIC $62.50
HC PAD CARDIAC MONITOR $116.25
HC CARTRIDGE CRRT INITIAL $701.00
HC CARTRIDGE CRRT ADDL $1,070.00
HC DEVICE THERAPEP $117.00
HC KIT BLOOD GLUCOSE $58.53
HC DEXTROSE STICKS $12.28
HC CAST ARM SYNTHETIC $110.00
HC CAST LEG SYNTHETIC $165.00
HC CPAP MASK $62.50
HC FOAM BLOCK $4.57
HC LARYNGEAL MASK AIRWAY $62.00
HC NASAL PHANYNGEAL AIRWAY $9.20
HC OXYGEN DAILY $54.16
HC OXYGEN HOURLY $16.00
HC OXYGEN HOOD DAILY $238.50
HC SPLINT ORTHGLSS 4IN/INCH $125.00
HC WALKING BRACE LOW TIDE $117.03
HC CANNULA NASAL OXIMIZER $125.00
HC COLLAR CERVICAL ASPEN $187.50
HC KIT CANISTER SUCTION $125.00
HC PAD DEFIBRILLATOR $125.00
HC CANNULA NASAL W/HEAD STRAP $125.00
HC CANISTER/GEL WOUND INFOVAC 500ML $125.00
HC SLING SHOULDER $187.50
HC SLING SHOULDER W/PILLOW $187.50
HC VEST AIRWAY $187.50
HC BAG URINARY DRAIN $42.00
HC ELECTRODE DEFIB FAST PATCH $33.00
HC ORTHOSIS HAND RESTING MOLDED $137.19
HC SLING HEMI ARM $114.29
HC OXYGEN WATER TRAP W/ANESTHESIA $62.00
HC OXYGEN WATER TRAP W/RAD PROCS $125.00
HC TAPE PAPER/PLASTIC $5.73
HC ABDOMINAL BINDERS $23.58
HC ADHESIVE DERMABOND $70.40
HC BAG RESUSCITATION DISP $64.93
HC BIOPSY DEVICE NEEDLE CORE $187.00
HC BIS MONITOR STRIP $62.00
HC BLOOD WARMER UNIT AND TUBING $125.00
HC BONE BIOPSY DEVICE F07 $269.00
HC BRA SURGICAL $125.00
HC BREAST PUMP KIT $125.00
HC BREAST SHIELDS $125.00
HC C SECTION PACK $125.00
HC CANNULA HIGHFLOW $125.00
HC CATH COBRA 2 DIAGNOSTIC $42.00
HC CATH INTRODUCER $612.66
HC CATHETER - FOLEY $29.00
HC CRICOTHYROTOMY CATH SET $403.00
HC BONOPTY BX SET $375.00
HC BONOPTY ED DRILL $270.00
HC BONOPTY PENETRATION SET $402.00
HC DISP. OXIMETER SENSOR $312.00
HC MORGAN LENS $62.50
HC ENDOBRONCHIAL BLOCKER SET $500.00
HC ENDOTRACHEAL TUBE (DUAL LUMEN) $187.00
HC EPIDURAL TRAY $62.50
HC FECAL MANAGEMENT KIT $276.00
HC FECAL MGT COLLECTION BAGS $270.00
HC FEEDING TUBE $552.00
HC FLOW SWITCH $20.00
HC HEEL PROTECTOR EA $187.50
HC HYSTEROSALPINGEOGRAM CATH $187.00
HC IABP BALLOON $2,750.00
HC CHEST TUBE DRAINAGE SYSTEM $125.00
HC KIT GASTROSTOMY MICKEY $57.42
HC KIT INTRODUCER $201.00
HC LASER-FLEX ENDOTRACH TUB $125.00
HC NEEDLE VERTERBRO INTRO 11/13GA $132.00
HC PARACENTESIS TRAY $187.50
HC PNEUMOTHORAX KIT $400.00
HC PULSE OXIMETER PROBE DISP $21.18
HC SENSOR ADULT ADHESIVE $62.00
HC STAPLER SKIN $57.00
HC SUTURE $6.78
HC TRAY 16FOLEY W/URIM-DISP $75.00
HC TRAY SPINAL $62.00
HC EDEMA GLOVE $25.89
HC ERGONOMIC HAND EXERCISER $40.27
HC CPM PADS $172.33
HC ARCTIC SUN PADS $1,750.00
HC FLOTRAC SENSOR $625.00
HC CANNULA NASAL HEATED HI FLOW $25.00
HC CATHETER RADIAL ARTERY $62.50
HC KIT ARTERIAL LINE $250.00
HC TRANSDUCER $134.32
HC CATHETER FEMOSTOP $312.50
HC TRAY HEMODIALYSIS CATHETER $183.00
HC KIT CATHETER COOL LINE $2,750.00
HC KIT ICP PRESSURE MONITOR $250.00
HC CATHETER INTRAUTERINE $500.00
HC CATHETER SUCTION $4.31
HC CATHETER UMBILICAL ARTERY $76.57
HC DRAIN CHEST $40.03
HC SYRINGE PUMP SYRINGE $31.00
HC TRAY PERICARDIOCENTESIS DISP $312.50
HC TRAY TRACHEOSTOMY $1,431.00
HC TUBE TRACH CUFFED $125.00
HC TUBE TRACH PEDIATRIC $62.50
HC NEEDLE LOCALIZATION $62.50
HC TUBE ENDOTRACH $200.00
HC TRAY MYELOGRAM $44.00
HC NEEDLE BIOPSY $125.00
HC CATHETER SWAN GANZ $500.00
HC CATHETER SWAN GANZ THERMODIULTION $1,170.00
HC TRAY BONE BIOPSY $187.50
HC EMBOLIZATION PARTICLES $465.00
HC BLADE CAUTERY PEAK PLASMA $750.25
HC CURETTE BONE $1,250.00
HC DEVICE INDEFLATOR $125.00
HC DRILL HAND VERTEBRAL BONE $125.00
HC KIT KYPHOPLASTY BALLOON $1,800.00
HC NEEDLE ARTERIAL SMART $312.50
HC NEEDLE CURVED $1,000.00
HC NEEDLE TRANSEPTAL $375.00
HC NEEDLE TRANSEPTAL W/GUIDEWIRE $2,750.00
HC PATCH REFERENCE QWIKPATCH $750.25
HC TUBING COOL FLOW $250.00
HC CANNULA CEMENT VERTEPORT $125.00
HC ARCTIC SUN PADS LARGE $2,175.00
HC ARCTIC SUN PADS MEDIUM $2,750.00
HC BALLOON DILATOR CERVICAL $125.00
HC BRA SURGICAL VELCRO $187.50
HC VEST SURGICAL W/CUPS $187.50
HC TRAY CHEST TUBE $375.00
HC SYSTEM VACUUM ASSIST PUMP $62.50
HC SYSTEM VACUUM ASSIST MUSHROOM CAP $125.00
HC PACK GYNE $125.00
HC DRESSING WOUND PICO $500.00
HC DRESSING WOUND SILVER ANTIMICROBIAL $125.00
HC KIT DRESSING WOUND VAC WHITEFOAM $125.00
HC KIT DRESSING WOUND VAC GRANUFOAM SILVER $125.00
HC KIT DRESSING WOUND VAC SPIRAL GRANUFOAM MED $125.00
HC HEEL ELEVATOR CUSTOM $125.00
HC CATHETER DRAIN BARTHOLIN $62.50
HC CATHETER DUAL LUMEN DIALYSIS $437.50
HC CATHETER DUAL LUMEN DIALYSIS MAHURKAR $187.50
HC CATHETER COOL LINE $437.50
HC TUBE TRACH CUFFED FIXED NECK $250.00
HC NASAL RHINO ROCKET $125.00
HC TUBIING RAPID INFUSER $125.00
HC KIT DRESSING WOUND VAC GRANUFOAM LARGE $125.00
HC SYSTEM DRESSING WOUND VAC THERAPY $1,750.00
HC SURGICAL STERILE SUPPLY T5 $99.00
HC SURGICAL STERILE SUPPLY T12 $150.00
HC CANNULA RADIOFREQUENCY $452.32
HC CONNECTOR ANESTHESIA SWIVEL $125.00
HC DIALYZER $78.00
HC LARYNGOSCOPE GLIDESCOPE $62.00
HC PROBE $97.02
HC TRAY LACERATION $36.00
HC TRAY UMBILICAL CATH $176.21
HC TUBE TRACH COMBITUBE $25.00
HC TUBE LARYNGOSCOPE DOUBLE LUMEN AIRTRAQ $250.00
HC HANDPIECE BREAST BIOPSY $437.00
HC HANDPIECE BREAST BIOPSY - MRI $625.00
HC NEEDLE LUNG BX FRANSEEN $62.00
HC MARKER FIDUCIAL BLOCK $312.00
HC MARKER BIOPSY SITE $187.00
HC NEEDLE GUIDE $62.00
HC DEVICE BIOPSY COAXIAL ADJUSTABLE $175.00
HC TRAY BREAST BIOPSY $62.00
HC TUBE ENDOTRACH W/PNEUMONIA RESIST AGENT $250.00
HC KIT W/NEEDLE BIOPSY $62.00
HC DEVICE BIOPSY COAXIAL ADJUSTABLE 22 GAUGE $187.00
HC NEEDLE EMG NATUS $26.97
HC DEVICE BREAST BIOPSY ATEC $461.00
HC DEVICE BREAST BIOPSY $490.00
HC CLIP BREAST BIOPSY $151.00
HC BLADE LARYNGOSCOPE $118.00
HC CAUTERY PEN HIGH TEMP $219.00
HC NASAL BRIDLE $300.00
HC CHEST TUBE THAL-QUICK $525.00
HC NEEDLE RADIOFREQUENCY $1,285.00
HC HEMOSTAT SURGICAL $525.00
HC HEMOSTAT MATRIX $1,195.00
HC KIT CATHETER PLEURX DRAINAGE $300.00
HC KIT EVACUATOR $69.00
HC KIT IAP MONITOR $192.00
HC KIT PNEUMOTHORAX ARROW $375.00
HC LIFT SLING MEDIUM $82.00
HC LIFT SLING LARGE/X-LARGE $105.00
HC LIFT SLING CEILING REPOSITION $120.00
HC NEEDLE EPIDURAL $38.70
HC NEEDLE BIOPSY BREAST $52.00
HC PROBE TEMP SENSOR $340.00
HC TRAY PICC LINE $665.00
HC TRAY TUBING THORACENTESIS $225.00
HC TRAY CHEST PNEUMOTHORAX WAYNE $594.00
HC BAG DRAINAGE GRAVITY $19.00
HC CANISTER WOUND VAC $84.00
HC DILATOR VESSEL $24.00
HC CUSHION WAFFLE $58.20
HC LIFT SLING SMALL $68.00
HC LIFT SLING LEG $56.00
HC KIT ARTERIAL LINE W/RADIOPAQUE CATH $150.00
HC KIT CATHETER HEAT EXCHANGE QUATTRO $3,300.00
HC KIT CATHETER HEAT EXCHANGE SOLEX $600.00
HC SYSTEM BIOPSY NEEDLE/INTRODUCER $151.00
HC DEVICE FASTENER CATHETER $20.00
HC BRONCHOSCOPE $900.00
HC CATHETER ANGIOGRAPHIC TIP $41.00
HC CATH FOLEY 6 FR W/STYLET $62.50
HC ORTHOSIS ANKLE/FOOT $69.27
HC IMPLANT SURGICAL T20 $3,300.00
HC DEVICE CLOSURE LAA $42,000.00
HC DEVICE VENTRICULAR ASSIST LEFT $51,500.00
HC SYSTEM HEART VALVE TRANSCATH SAPIEN 3 $75,000.00
HC CRUTCHES PER PAIR $99.27
HC INTUBATION RESUSCITATION $684.00
HC PERFUSION $16,922.00
HC LITHOTRIPSY EXTRCORPOREAL SHOCK WAVE UNI $18,157.00
HC LITHOTRIPSY EXTRCORPOREAL SHOCK WAVE BIL $13,753.00
HC OR LEVEL 1 ADDL 15MIN $1,041.00
HC OR LEVEL 1 INITIAL 30MIN $2,914.00
HC CARDIAC OR LEVEL 1 INITIAL 30MIN $11,598.00
HC CARDIAC OR LEVEL 1 ADDL 15MIN $1,783.00
HC CARDIAC OR LEVEL 2 INITIAL 30MIN $13,918.00
HC CARDIAC OR LEVEL 2 ADDL 15MIN $2,139.00
HC BEDSIDE SURG PROC LEVEL 1 $633.00
HC CENTRAL LINE INSERTION $2,131.00
HC DEBRIDEMENT OF WOUND $368.00
HC BEDSIDE SURG PROC LEVEL 2 $1,269.00
HC GENERAL ANESTHESIA PER 15 MINS $521.00
HC MONITORED ANESTHESIA PER 15 MINS $387.00
HC ANESTHESIA REGIONAL PER CASE $1,466.00
HC ANESTHESIA LOCAL $293.00
HC EPIDURAL/SPINAL FOR LABOR $306.00
HC ANES ELECTROCONVULSIVE THERAPY $339.00
HC HEARING SCREEN - NEWBORN $447.00
HC PHASE II RECOVERY 15 MIN $733.00
HC RECOVERY <75 MIN $919.00
HC RECOVERY >75 MIN $180.00
HC PHASE I RECOVERY 30 MIN $830.00
HC PHASE I RECOVERY 15 MIN $299.00
HC DELIVERY COMPLICATED $2,997.00
HC DELIVERY OUTSIDE $1,543.00
HC C-SECTION LEVEL 1 $3,556.00
HC C-SECTION LEVEL 2 $3,831.00
HC LABOR LEVEL 1 $555.00
HC LABOR LEVEL 2 $832.00
HC LABOR LEVEL 3 $1,221.00
HC LABOR LEVEL 4 $1,498.00
HC DELIVERY $1,980.00
HC BRONCHOSCOPY DX W/WASHING $4,064.00
HC BRONCHOSCOPY W/BRUSHING $3,592.00
HC BRONCHOSCOPY W/ALVEOLAR LAVAGE $3,678.00
HC BRONCHOSCOPY W/BIOPSY $3,877.00
HC BRONCHOSCOPY W/LUNG BIOPSY SGL $3,250.00
HC BRONCHOSCOPY W/NEEDLE ASPIRATION BIOPSY $3,353.00
HC ESOPHAGOSCOPY RIGID W/BRUSH/WASH $3,361.00
HC ESOPHAGOSCOPY RIGID W/BIOPSY $3,361.00
HC ESOPHAGOSCOPY RIGID W/ FB REMOVAL $3,361.00
HC ESOPHAGOSCOPY RIGID W/BALLOON DILATION $3,361.00
HC ESOPHAGOSCOPY FLEXIBLE DX W/BRUSH/WASH $3,361.00
HC ESOPHAGOSCOPY FLEXIBLE W/FB REMOVAL $3,361.00
HC ESOPHAGOSCOPY FLEXIBLE W/BALLOON DILATION $3,361.00
HC ESOPHAGOSCOPY FLEXIBLE W/ENDO US EXAM $3,361.00
HC EGD W/BALLOON DILAT >30MM $3,361.00
HC EGD W/BRUSH/WASH $3,361.00
HC EGD W/SUBMUCOSAL INJ $3,361.00
HC EGD W/ENDO US EXAM LIMITED $3,361.00
HC EGD W/US FINE NEEDLE ASPIRATION LIMITED $3,361.00
HC EGD W/BIOPSY SGL/MULT $3,361.00
HC EGD W/US FINE NEEDLE ASPIRATION $4,930.00
HC EGD W/SCLEROTHERAPY $4,695.00
HC EGD W/BAND LIGATION $3,361.00
HC EGD W/DILAT STRICTURE $3,361.00
HC EGD W/PLACEMENT G-TUBE $3,361.00
HC EGD W/FB REMOVAL $3,361.00
HC EGD W/INSERT GUIDEWIRE $3,361.00
HC EGD W/BALLOON DILAT <30MM $3,361.00
HC EGD W/REMOVAL TUMOR/POLYP/LESN SNARE TECH $3,361.00
HC EGD W/CONTROL BLEEDING $3,361.00
HC EGD W/US DUODENUM/JEJUNUM $3,361.00
HC EGD W/STENT PLACEMENT $9,855.00
HC EGD W/TUMOR ABLATION $3,361.00
HC ERCP W/BRUSH/WASH $4,930.00
HC ERCP W/BIOPSY SGL/MULT $4,930.00
HC ERCP W/SPHINCTEROTOMY $4,930.00
HC ERCP W/SPHINCTER PRESSURE MEASUREMENT $4,930.00
HC ERCP W/STONE REMOVAL DUCT $4,930.00
HC ERCP W/STENT PLACEMENT DUCT $4,930.00
HC ERCP W/FB OR STENT REMOVAL DUCT $4,930.00
HC ERCP W/REM/EXCHG STENT W/DILAT & WIRE EA $4,930.00
HC ERCP W/BALL DILAT DUCT/AMPULLA EA $4,930.00
HC ENDOSCOPIC PAPILLA CANNULATION BILE/PANCREAS $3,850.00
HC GASTROSTOMY TUBE PLACE OPEN $3,361.00
HC ENTEROSCOPY UPPER SMALL BOWEL $3,361.00
HC ENTEROSCOPY UPR SM BOWEL W/BIOPSY $4,662.00
HC ENTEROSCOPY W/CONTROL BLEEDING $3,361.00
HC ENTEROSCOPY W/ABLATION $4,465.00
HC ENTEROSCOPY W/J-TUBE PLACEMENT $4,675.00
HC ENDOSCOPY POUCH DX W/BRUSH/WASH $3,360.00
HC COLONOSCOPY STOMA DX W/BRUSH/WASH $3,361.00
HC COLONOSCOPY STOMA W/BX SGL/MULT $3,361.00
HC COLONOSCOPY STOMA W/REM TUMOR HOT BX $2,879.00
HC COLONOSCOPY STOMA W/REM TUMOR SNARE TECH $3,361.00
HC SIGMOIDOSCOPY DX W/BRUSH/WASH $2,113.00
HC SIGMOIDOSCOPY W/BIOPSY SGL/MULT $2,113.00
HC SIGMOIDOSCOPY W/CONTROL BLEEDING $3,045.00
HC SIGMOIDOSCOPY W/SUBMUCOSAL INJ $2,113.00
HC SIGMOIDOSCOPY W/DECOMPRESSION $3,906.00
HC SIGMOIDOSCOPY W/REM TUMOR/POLYP/LESN SNARE TECH $2,879.00
HC SIGMOIDOSCOPY W/ENDO US $2,113.00
HC SIGMOIDOSCOPY W/BAND LIGATION $3,087.00
HC COLONOSCOPY DX W/SPECIMEN BRUSH/WASH $2,586.00
HC COLONOSCOPY W/BIOPSY SGL/MULT $3,361.00
HC COLONOSCOPY W/SUBMUCOSAL INJ $3,361.00
HC COLONOSCOPY W/CONTROL BLEEDING $3,361.00
HC COLONOSCOPY W/REM TUMOR/POLYP/LESN HOT BIOPSY $3,361.00
HC COLONOSCOPY W/REM TUMOR/POLYP/LESN SNARE TECH $3,361.00
HC COLONOSCOPY W/BALLOON DILATION $3,088.00
HC COLONOSCOPY W/ABLATION TUMOR $3,361.00
HC COLONOSCOPY W/MUCOSAL RESECTION $3,361.00
HC COLONOSCOPY W/DECOMPRESSION $3,087.00
HC COLONOSCOPY W/BAND LIGATION $3,077.00
HC ANOSCOPY DX W/SPECIMEN $1,670.16
HC BRONCHOSCOPY NAVAGATIONAL $3,613.00
HC BRONCHOSCOPY W/EXCISION TUMOR $6,236.00
HC BRONCHOSCOPY W/ASP TREE INITIAL $3,546.00
HC BRONCHOSCOPY W/ASP TREE SUBSQ $3,747.00
HC BRONCHOSCOPY US W/GUID SAMPLING 1-2 NODES $7,300.00
HC BRONCHOSCOPY US W/GUID SAMPLING 3+ NODES $7,300.00
HC BRONCHOSCOPY US W/INTERV PERPH LESION $3,650.00
HC BRONCHOSCOPY W/TUMOR DESTRUCTION $8,419.53
HC BRONCHOSCOPY W/LAVAGE ALVEOLAR $3,155.34
HC CARDIAC REHAB PHASE 3 FULL MONTH $310.00
HC CARDIAC REHAB 4 EXERCISE MONTHLY $33.00
HC CARDIAC REHAB 4 EXERCISE SPOUSE MONTHLY $22.00
HC BOOKS AND PAMPHLETS ALL TYPES $13.00
HC DAILY SERVICE GENERAL $1,546.00
HC DAILY SERVICE ICU $3,411.00
HC BAG DRAINAGE $142.00
HC TRACH KIT BEDSIDE $250.00
HC PUTTY $16.86
HC TRAY CATHETER $126.00
HC BAG LEG URINARY $14.00
HC SET NEEDLE ACCESS $330.00
HC KIT ENDOVENOUS VEIN PROCEDURE $780.00
HC SYSTEM DIRECT VISUALIZATION SPYSCOPE $38.00
HC SENSOR HEMODYNAMIC MONITOR NONINVASIVE $408.00
HC NEEDLE CURVED TROFLEX $949.00
HC KIT CATHETER/GUIDEWIRE NITINOL PICC SINGLE LUMEN $405.00
HC KIT CATHETER/GUIDEWIRE NITINOL PICC DOUBLE LUMEN $441.00
HC STYLET BEVEL $108.00
HC KIT CATHETER HEAT EXCHANGE ICY $546.00
HC NEEDLE TROCAR BIOPSY $46.00
HC KIT BALLOON SYSTEM AVAFLEX $7,132.00
HC TRAY GENERAL PROCEDURE $108.00
HC PUSHER CEMENT $181.00
HC EXTRACTOR CATHETER OUTAKE STAND ALONE HEMODIALYSIS $42.00
HC DRAINAGE BAG CONNECTOR $22.00
HC KIT CV CATH 7FR MULTILUM PRESSURE $312.50
HC MEMBRANE SEPRAFILM $581.84
HC OR LEVEL LITHOTRIPSY INITIAL 45 MIN $17,292.00
HC OR LEVEL LITHOTRIPSY ADDL 15 MIN $1,177.00
HC ESOPHAGUS DILATION UNGUIDED SGL/MULT PASS - 43450 $3,361.00
HC HEMORRHOIDECTOMY INTERNAL W/LIGATION-46221 $2,189.88
HC CT CEREBRAL PERFUSION W/BLOOD FLOW $1,755.00
HC STENT VERTEBRAL EXTRACRANIAL 0075T $14,920.00
PC SCREENED TOBACCO USE & REC'D TOBACCO CESSATION INTERV $1.00
HC TISSUE MARKER IMPLANTABLE $431.13
HC DRESSING WOUND AQUACEL AG 10 X 3.5IN $132.13
HC DRESSING FOAM W/O BORDER >48 SQ IN $146.00
HC DRESSING HYDROGEL >16=<48 SQ IN $55.00
HC BANDAGE PADDING >3 = <5 IN PER YD T1 $13.14
HC PLEURAL DRAINAGE SYSTEM $66.06
HC SESTAMIBI PER STUDY DOSE $535.00
HC TETROFOSMIN/MYOVUE $494.00
HC DIAGNUCLIDE MDP UP TO 30MCI $130.00
HC DIAGNUCLIDE THALL 201 PER MCI $94.00
HC TECHNETIUM TC99 PERTECH PER MCI $98.00
HC DIAGNUCLIDE I123 CAPS 100 MICR $554.00
HC DIAGNUCLIDE I131 CAPS PER MCI $108.00
HC DIAGNUCLIDE TC-99 TILMANOCEPT DIAG UP TO 0.5 MCI $1,269.00
HC DIAGNUCLIDE I131 NECK/CHST $114.00
HC THERAPEUTIC ISOTOPE SOLUTION PER MCI $23.00
HC DIAGNUCLIDE CHOLETEC HEPAT PER DOSE $172.00
HC NM PYROPHOSPHATE 99M VIAL $11.00
HC DIAGNUCLIDE DTPA KIDNEY PER DOSE
HC DIAGNUCLIDE MAA LUNG SCAN PER DOSE<10MCI $93.00
HC DIAGNUCLIDE SULFUR COLLOID UP TO 20MCI $116.00
HC DIAGNUCLIDE IN OXINE .5 MCI $2,237.00
HC DIAGNUCLIDE IN-111 DTPA $896.00
HC DIAGNUCLIDE 18FDG $448.00
HC DIAGNUCLIDE XE133 10 MCI $160.00
HC TC99M GI BLD MUGA UP TO 30MCI $127.00
HC DIAG NUCLDE MAG 3 PER DOSE $187.00
HC TC99M CEA DOSE UP TO 45 MCI $2,237.00
HC TC99M EXAMETAZIME CERETEC DX PER DOSE $4,116.00
HC DIAGNUCLIDE OCTREOTIDE PER DOSE UP TO 6MCI $2,304.00
HC GADOBENATE MULTIHANCE 10ML VIAL PER ML $65.53
HC GADOBENATE MULTIHANCE 20ML VIAL PER ML $132.13
HC GADOBENATE MULTIHANCE MULTIPAK PER ML $329.78
HC KIT BONE CEMENT $2,250.00
HC CEMENT BONE VERTAPLEX $181.00
HC KIT SPINEJACK SYTEM $11,245.00
HC CATHETER DIAMOND BACK $3,750.00
HC CATHETER JETSTREAM $8,250.00
HC CATHETER OUTBACK $5,250.00
HC CROSSER C1714 $4,250.00
HC NEEDLE BRACHYTHERAPY $176.00
HC ICD DEFIB DUAL CHAMBER T7 $29,750.00
HC ICD DEFIB DUAL CHAMBER T10 $33,500.00
HC ICD DEFIB SINGLE CHAMBER T2 $27,250.00
HC ROTABLATOR BURR $2,250.00
HC ROTALINK PLUS $2,750.00
HC BALLOON CATHETER $312.50
HC CATHETER BALLOON CORONARY $225.00
HC CATHETER BALLOON PERIPHERAL $3,150.00
HC CATHETER BALLOON PERIPHERAL CONQUEST $500.00
HC CATHETER BALLOON PERIPHERAL ATLAS $750.00
HC CATHETER BALLOON PERIPHERAL NANOCROSS $625.00
HC CATHETER BALLOON PERIPHERAL NANOCROSS LG DIA $750.00
HC CATHETER BALLOON PERIPHERAL ULTRAVERSE $250.00
HC CATHETER BALLOON CUTTING $2,062.00
HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T16 $1,350.00
HC CATHETER BALOON PERIPHERAL FLASH OSTIAL $3,150.00
HC DILATOR BALLOON $1,057.00
HC CATHETER DRAINAGE $197.66
HC CATHETER DRAINAGE PLEUREX $198.19
HC NEEDLE CATH CENTESIS YUEH $42.28
HC CATHETER NEPHROSTOMY $264.25
HC CATHETER DRAINAGE 8FR $330.31
HC TRAY DRAINAGE W/ GUIDING CATHETER $396.38
HC CATHETER DRAINAGE SAFE T $198.19
HC CATHETER DRAINAGE T6 $225.00
HC CATHETER DRAIN DAWSON MUELLER $181.80
HC CATHETER DRAIN BILIARY $195.55
HC CATHETER DRAIN MULTI PURPOSE $195.55
HC CATHETER DRAINAGE PIGTAIL LOCKING $158.55
HC CATHETER DRAINAGE J-TIP $158.55
HC SYSTEM PLUERIX DRAIN W/CATHETER $1,291.65
HC KIT CATHETER DRAINAGE ASPIRA $1,255.72
HC CATHETER MULTIPURPOSE $43.34
HC CATHETER TEFLON $168.06
HC QUADRIPOLAR CATHETER $3,750.00
HC CATH DECAPOLAR $1,125.00
HC HALO/LASSO CATHETER $2,750.00
HC CATHETER EP STEERABLE INQUIRY $2,750.00
HC THERMACOOL ABLATION CATH $6,250.00
HC ABLATION CATH MAPPING NAV $3,750.00
HC ABLATION CATH SMART TOUCH NAV $8,250.00
HC ABLATION CATH THERMACOOL SMART TOUCH $7,250.00
HC ABLATION CATH EP $4,750.00
HC CATH HEMODIALYSIS PERITONEAL $528.50
HC CATHETER HEMODIALYSIS TUNNEL PERMA CATH $491.51
HC CATH MULTILUMEN CVP $114.00
HC CATHETER CV TRIPLE-LUMEN $598.55
HC CATHETER CV DUAL-LUMEN $350.00
HC CATHETER CV SINGLE-LUMEN $493.06
HC CATHETER INFUSION $250.00
HC CATHETER INFUSION PICC/CV/MIDLINE T23 $8,100.00
HC KIT POWER PICC $771.61
HC TRAY W/CATHETER DUAL-LUMEN $208.00
HC CATHETER SWAN GANZ THERMODILUTION VIP $573.00
HC CATHETER SWAN GANZ THERMODILUTION C-TIP $1,185.00
HC CATHETER INFUSION PERIPH CENTRAL OR MIDLINE (OTHER THAN HEM $405.00
HC MULTI CATH 3 LUMEN 7FR $66.06
HC KIT ARROW CVP 16G SINGLE $79.00
HC SHORT TERM DIALYSIS CATH $396.38
HC CATHETER IVUS $2,250.00
HC IVUS CATHETER PLATINUM $1,750.00
HC ANGIOJET ZELANTE CATHETER $8,868.00
HC CATH THROMBECTOMY $1,125.00
HC CATHETER ANGIOJET DISTA $5,250.00
HC CATHETER ANGIOJET OMNI $5,250.00
HC CATHETER ANGIOJET PROXI $4,250.00
HC CATHETER THROMBECTOMY/EMBOLECTOMY T17 $1,500.00
HC CATHETER THROMBECTOMY/EMBOLECTOMY T30 $9,300.00
HC CATHETER THROMBECTOMY/EMBOLECTOMY $225.00
HC CATHETER INFUSION/ASPIRATION $1,218.72
HC CATHETER INTRACARD EP ACCUNAV $5,250.00
HC CATHETER INTRACARD EP ACCUNAV CERT PERF $1,750.00
HC CATHETER INTRACARD EP SOUND STAR $5,250.00
HC CATHETER INTRACARD EP SOUND STAR CERT PERF $2,750.00
HC PERCLOSE $500.00
HC REVEAL LOOP RECORDER $14,616.00
HC RECORDER CARDIAC EVENT IMPLANT T11 $5,100.00
HC EP STEERABLE NON PEEL AWAY SHEATH C1766 $2,250.00
HC CRICOTHYROTOMY CATH/GUIDEWIRE $396.38
HC GUIDEWIRE BENTSON $71.88
HC MICROPUNCTURE KITS $52.85
HC GUIDEWIRE FRACTIONAL FLOW RESERVE (FFR) $1,750.00
HC GUIDEWIRE $174.00
HC GUIDEWIRE GLIDEWIRE $187.50
HC GUIDEWIRE ANGIOPLASTY $312.50
HC GUIDEWIRE ASAHI $250.00
HC GUIDEWIRE CHOICE $250.00
HC GUIDEWIRE HI-TORQUE $250.00
HC GUIDEWIRE PERIPHERAL $250.00
HC GUIDEWIRE PLATINUM PLUS $187.50
HC GUIDEWIRE ROTAWIRE $312.50
HC GUIDEWIRE RUNTHROUGH NS $312.50
HC GUIDEWIRE SPARTACORE $187.50
HC GUIDEWIRE STIFF AMPLATZ $125.00
HC GUIDEWIRE VIPER WIRE $250.00
HC GUIDEWIRE WHISPER WIRE $187.50
HC GUIDEWIRE GLIDEWIRE T6 $150.00
HC GUIDEWIRE T6 $225.00
HC GUIDEWIRE T12 $750.00
HC GUIDEWIRE PERC NEPHROSTOMY SET $329.78
HC GUIDEWIRE PERC NEPHROSTOMY SET 22 GAUGE $264.25
HC GUIDEWIRE ROSEN 180 $33.82
HC GUIDEWIRE GLIDEWIRE PERIPHERAL DOUBLE ANGLE $819.18
HC GUIDEWIRE STRAIGHT SHAPEABLE V-18 $240.00
HC GUIDEWIRE AMPLATZ SUPER STIFF 145 CM $167.00
HC SNARE RETRIEVAL DEVICE $687.00
HC DEVICE RETRIEVAL INSERTABLE T19 $2,700.00
HC PACEMAKER DUAL CHAMBER RATE-RESP T9 $9,900.00
HC PACEMAKER SINGLE CHAMBER RATE-RESP T7 $7,500.00
HC PORT BARD 8FR $774.00
HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T29 $23,500.00
HC DRUG ELUTING STENT $2,750.00
HC GRAFTMASTER JO STENT $6,250.00
HC VIABAHN 10-15 CM COVERED STENTS $10,500.00
HC FLAIR STENT COVERED $6,250.00
HC FLUENCY STENT COVERED $5,250.00
HC ICAST STENT COVERED $6,750.00
HC STENT COATED/COVERED W/DEL SYSTEM T5 $2,100.00
HC STENT BARE METAL $1,750.00
HC URETERAL STENT $245.00
HC STENT PV NON-COVRD PARAMOUNT MINI $2,250.00
HC STENT PV NON-COVRD PROTÉGÉ $2,750.00
HC STENT PV NON-COVRD SELF EXPANDING LG DIA $2,750.00
HC STENT PV NON-COVRD SELF EXPANDING MED DIA $2,250.00
HC STENT PV NON-COVRD SELF EXPANDING XLG DIA $3,250.00
HC STENT PV NON-COVRD SUPERA $4,250.00
HC STENT PV NON-COVRD VISI-PRO $2,750.00
HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T2 $900.00
HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T25 $6,900.00
HC TRYTON SIDE BRANCH STENT $2,600.00
HC IVC FILTER $2,250.00
HC IVC FILTER FEMORAL $3,250.00
HC IVC FILTER JUGULAR $6,250.00
HC FILTER VENA CAVA T7 $3,300.00
HC ICD DEFIB OTHR SINGLE/DUAL CHAMBER T11 $41,000.00
HC EMBOLIZATION PROTECTION SYSTEM $3,250.00
HC EMBOLIZATION PROTECTIVE SYSTEM CEREBRAL $10,200.00
HC CATHETER TISSUE ABLATION $13,278.00
HC FINE CROSS CATHETER $1,100.00
HC CATHETER GUIDELINER $1,000.00
HC MICROCATHETER HI FLO $2,034.00
HC MICROCATHETER PROGREAT $1,100.00
HC CATHETER DUAL-LUMEN LANGSTON $310.00
HC CATHETER EXTENSION GUIDEZILLA $1,000.00
HC CATHETER GUIDING IKARI $250.00
HC CATHETER GUIDING LAUNCHER $125.00
HC CATHETER MICRO GUIDE XP $625.00
HC CATHETER SUPPORT CXI $437.50
HC CATHETER TRANSIT INFUSION $1,125.00
HC CATHETER GUIDING T15 $1,200.00
HC CATHETER GUIDING T18 $2,100.00
HC CATHETER GUIDING BERENSTEIN $44.39
HC CATHETER TORCON KMP TIP $44.39
HC CATHETER MIKAELSSON $39.11
HC CATHETER GUIDING SOS OMNI $121.56
HC SET CATHETER BIOPSY $1,203.92
HC CATHETER ANGIO VISCERAL KMP SLIP $80.00
HC CATHETER TORCON KMP BEACON TIP $42.00
HC CATHETER RADIAL TIGER $105.00
HC CATHETER GUIDING TAPER TIP $144.00
HC CATHETER DIAGNOSTIC $31.00
HC CATHETER WEDGE PRESSURE $189.00
HC COIL EMBOLIZATION LOOP $152.21
HC COIL EMBOLIZATION AMPLATZER PLUG $2,250.00
HC COIL EMBOLIZATION AZUR $1,250.00
HC COIL EMBOLIZATION NESTER $187.50
HC COIL EMBOLIZATION TORNADO $250.00
HC SHEATH EP PEEL AWAY WORLEY $700.00
HC INTRODUCER/SHEATH FIXED PEEL-AWAY T7 $300.00
HC EP NON PEEL AWAY SHEATH $375.00
HC SHEATH SAFE 7FR 8FR 9FR $125.00
HC SHEATH RAABE/ANSEL/SHUTTLE/DESTINATION $187.50
HC INTRODUCER/SHEATH/CATH $187.50
HC ROTOBLATOR ADVANCER $437.50
HC INTRODUCER/SHEATH 9-10FR $198.19
HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T7 $300.00
HC INTRODUCER/SHEATH W/CATH NEEDLE RADIAL ARTERY $31.71
HC SHEATH SAFE 4FR 5FR 6FR $65.53
HC SHEATH INTRODUCER 6FR W/MINI GUIDEWIRE $29.00
HC SHEATH INTRODUCER 6FR $60.00
HC SHEATH INTRODUCER 8FR $65.00
HC INTRODUCER MICROPUNCTURE SET $125.00
HC LEAD ICD ENDOCARDIAL DUAL COIL T7 $9,300.00
HC LEAD ICD NON ENDOCARDIAL T20 $12,300.00
HC LEAD PACEMAKER NON TRANSVENOUS SINGLE PASS T4 $1,200.00
HC LEAD VENTRICULAR CORONARY VENOUS T3 $14,700.00
HC SEALANT PULMONARY LIQUID $2,550.00
HC CRYO ABLATION SYSTEM $4,200.00
HC PACEMAKER OTHER THAN SINGLE/DUAL T14 $16,050.00
HC PACEMAKER OTHER THAN SINGLE/DUAL T17 $17,400.00
HC CATH TRANSLUMINAL DRUG COATED ADMIRAL $3,750.00
HC CATH TRANSLUMINAL DRUG COATED ADMIRAL LARGE $4,250.00
HC CATH TRANSLUMINAL DRUG COATED LUTONIX $3,750.00
HC SENSOR PULM ARTERY W/CATHETER $43,000.00
HC CATH SUPRAPUBIC $97.24
HC CATH SUPRAPUBIC-SYSTOSCOPIC $267.42
HC ABLATION CATH EP COOL TIP $3,750.00
HC IODINE 125 PER SOURCE STRANDED $109.00
HC IODINE 125 PER SOURCE NON STRANDED $105.00
HC APPL SKIN SUB TAL LOW <100 INIT 25CM $2,378.00
HC APPL SKIN SUB TAL LOW<100 ADDL 25CM $791.00
HC APPL SKIN SUB TAL LOW>100 INIT 100CM $7,734.00
HC APPL SKIN SUB TAL LOW>100 ADDL 100CM $797.00
HC APPL SKIN SUB OTH LOW<100 INIT 25CM $2,309.00
HC APPL SKIN SUB OTH LOW<100 ADDL 25CM $791.00
HC APPL SKIN SUB OTH LOW>100 INIT 100CM $2,309.00
HC APPL SKIN SUB OTH LOW>100 ADDL 100CM $797.00
HC MRA ABDOMEN W/CONTRAST $2,308.00
HC MRA ABDOMEN W/O CONTRAST $1,848.00
HC MRA ABDOMEN W&W/O CON $3,981.00
HC MRI BREAST UNI W/CONTRAST $2,384.00
HC MRI BREAST UNI W&W/O CONTRAST $2,844.00
HC MRI BREAST BIL W/CONTRAST $3,578.00
HC MRI BREAST BI W&W/O CON $4,478.00
HC MRA CHEST W/CONTRAST $2,183.00
HC MRA CHEST W/O CONTRAST $1,748.00
HC MRA CHEST W&W/O CONTRAST $3,083.00
HC MRA LWR EXT W/CON $3,099.00
HC MRA LWR EXT W/O CON $2,953.00
HC MRA LWR EXT W&W/O CONTRAST $4,221.00
HC MRA PELVIS W/CON $3,232.00
HC MRA PELVIS W/O CON $2,694.00
HC MRA PELVIS W&W/O CONTRAST $3,945.00
HC ECHO TTE CONGENTIAL W/W/O CONT & W/CONT COMPL $3,899.00
HC ECHO TTE CONGENTIAL W/W/O CONT & W/CONT LIMIT $2,772.00
HC ECHO TTE W/W/O CONT & W/CONT COMPL $3,625.00
HC ECHO TTE W/W/O CONT & W/CONT LIMIT $2,588.00
HC ECHO TTE 2D STRESS W/W/O CONT & W/CONT W/PF $4,171.00
HC ECHO TTE 2D W/DOPPLER W/W/O CONT & W/CONT $4,751.00
HC ECHO TTE 2D REST/STRESS W/W/O CONT & W/CONT W/PF $4,440.00
HC MRA UPPR EXT W/CONTRAST $908.00
HC MRI BREAST CAD $147.00
HC PLACE PERC COR STENT DRUG ELUT SINGLE $29,661.00
HC PLACE PERC COR STENT DRUG ELUT EA ADDL $8,928.00
HC PERC TRN ATHR DRUG ELUT STENT SGL $45,210.00
HC PERC TRN ATHR DRUG ELUT STENT EA AD $8,256.00
HC PERC TRN ATHR DRUG ELUT STENT EA AD-LD $8,256.00
HC PERC TRN ATHR DRUG ELUT STENT EA AD-LM $8,256.00
HC PERC TRN ATHR DRUG ELUT STENT EA AD-RC $8,256.00
HC PERC TRN ATHR DRUG ELUT STENT EA AD-RI $7,862.00
HC PERC RVSC CABG COR GRFT STENT DRG ELUT SGL $29,661.00
HC PERC RVSC CABG COR GRFT STENT DRG ELUT EA ADL $15,472.00
HC PERC REVASC COR STENT DRG ELUT W/AMI $45,210.00
HC PERC REVASC COR OCCL STENT DRG ELUT SGL $45,210.00
HC PERC REVASC COR OCCL STENT DRG ELUT EA ADL $8,256.00
HC PHOTO THERAPY INITIATE $173.00
HC COLD THERAPY SYSTEM $598.18
HC ADMIN INFLUENZA VACCINE $70.00
HC ADMIN PNEUMOCOCCAL VACCINE $70.00
HC INJECTION-HEPATITIS B VACCINE $70.00
HC PSA ANNUAL SCREENING $179.00
HC COLONOSCOPY SCREEN W/FLEX SIGMOID $2,190.00
HC COUNTERPULSATION EXTERNAL $382.00
HC THERAPEUTIC RT EXERCISE GROUP $96.00
HC HEMODIALYSIS INPATIENT $2,894.00
HC HEMODIALYSIS OUTPATIENT $2,894.00
HC INJ ARTHROGRAM SI W/ANES $2,794.00
HC INJ ARTHROGRAM SACROILIAC $2,794.00
HC PLACE OCCLUSIVE DEVICE A/VV $501.00
HC HYPERBARIC O2 PER 30 MIN $1,062.00
HC DIAGNOSTIC DIGITAL BREAST TOMOSYTH UNI/BIL $64.00
HC ELECT STIM (UNATTEND) OTHER 15MIN $231.00
HC CT LUNG SCREENING $192.00
HC OCCULT BLOOD FECAL SCRN - AMB $70.00
HC VESSEL MAPPING FOR HEMO ACCESS $793.00
HC OBSERVATION HOURLY $127.00
HC OBSERVATION DIRECT ADMIT $127.00
HC URGENT CARE LEVEL 1 $289.00
HC SLEEP STUDY HOME ADULT $1,040.00
HC PROSTATE NEEDLE BX SAMPLING 1-20 SPEC $699.00
HC PULMONARY REHAB PER HOUR $334.00
PC NON PHYSICIAN EST PT 5-10 MIN $37.47
PC NON PHYSICIAN EST PT 11-20 MIN $66.27
PC NON PHYSICIAN EST PT > 21 MIN $103.74
HC STEREOSCOPIC X-RAY GUIDANCE FOR LOCALIZATION G6002 $534.03
HC INTRAFRACTION TRACK MOTION $534.03
PC DOC MEDS VERIFIED W/PT OR RE $1.00
HC DIAGNUCLIDE CCK $297.54
HC HEART HUGGER SUPPORT HARNESS $279.00
HC KNEE BRACE - HINGED $155.84
HC PADS COLLAR CERVICAL $187.50
HC DROP FOOT BRACE (AFO) $177.55
HC PASSEY MUIR VALVE $187.50
HC BLOOD SPLIT UNIT SPECIFY AMT $411.00
HC CRYOPRECIPITATE EA UNIT T1 $111.00
HC RED CELLS L/R EA T1 $630.00
HC FRESH FROZEN PLASMA EA $199.00
HC PLATELETS PHER L/R EA T1 $1,886.00
HC PLATELETS PHER L/R IRR EA T2 $2,173.00
HC RED CELLS L/R IRR EA T1 $405.00
HC RBC LEUKORED CMV NEG IRRAD $439.00
HC PLASMA FROZEN 8-24 HRS EA UNIT $180.00
HC CATH FOR SPECIMEN COLLECTION $161.00
HC APLIGRAF PER 1 SQ CM $118.40
HC OASIS PER SQ CENTIMETER $19.89
HC DERMAGRAFT PER SQ CM $133.68
HC PRIMATRIX, PER SQ CM USED $104.00
HC PRIMATRIX, PER SQ CM WASTED $104.00
HC OASIS TRI LAYER ULTRA $18.11
HC NUSHIELD PER SQ CM $366.00
HC EPIFIX PER SQ CM $530.00
HC PURAPLY ANTIMICROBIAL PER SQ CENTIMETER USED $336.00
HC PURAPLY ANTIMICROBIAL PER SQ CENTIMETER WASTED $336.00
HC CONTRAST 350-399 W/IODINE PER ML $6.28
HC CONTRAST ISOVUE 300-399 PER ML $6.28
0.45 % NACL WITH KCL 20 MEQ 20-0.45 MEQ/L-% SOLN Per 2 mEq $4.50
0.9 % NACL WITH KCL 20 MEQ 20-0.9 MEQ/L-% SOLN 1,000 ML FLEX CONT Pe $4.50
ABATACEPT 250 MG SOLR 1 EACH VIAL Per 10 mg $212.93
ABSORBASE OINT 114 G JAR $13.95
ACAMPROSATE EC 333 MG TBEC $6.00
ACARBOSE 50 MG TABS $6.00
ACETAMINOPHEN 120 MG SUPP $6.00
ACETAMINOPHEN 160 MG/5ML SOLN $6.00
ACETAMINOPHEN 325 MG TABS $6.00
ACETAMINOPHEN 500 MG TABS $6.00
ACETAMINOPHEN 500 MG TABS 1,000 EACH BOTTLE $6.00
ACETAMINOPHEN 500 MG TABS 100 EACH BOTTLE $6.00
ACETAMINOPHEN 500 MG TABS 100 EACH BOX $6.00
ACETAMINOPHEN 80 MG TBDP $6.00
ACETAMINOPHEN-CODEINE 120-12 MG/5ML SOLN $6.00
ACETAMINOPHEN-CODEINE 300-30 MG TABS $6.00
ACETAZOLAMIDE 250 MG TABS $6.60
ACETAZOLAMIDE 500 MG SOLR Per 500 mg $78.80
ACETIC ACID 0.25 % SOLN 1,000 ML PLAS CONT $12.00
ACETIC ACID 3 % SOLN $134.00
ACETYLCYSTEINE 20 % SOLN $27.95
ACETYLCYSTEINE 200 MG/ML SOLN 30 ML VIAL Per 100 mg $14.58
ACIDOPHILUS CAPS $6.00
ACYCLOVIR 400 MG TABS $6.00
ACYCLOVIR 5 % OINT 15 G TUBE $204.00
ACYCLOVIR 50 MG/ML SOLN 10 ML VIAL Per 5 mg $0.90
ADENOSINE 3 MG/ML SOLN Per 1 mg $6.93
ADENOSINE 6 MG/2ML SOLN Per 1 mg $8.76
ALBUMIN HUMAN 25 % SOLN Per 50 mL $450.00
ALBUMIN HUMAN 5 % SOLN Per 250 mL $432.00
ALBUTEROL (2.5 MG/3ML) 0.083% NEBU $6.00
ALBUTEROL (5 MG/ML) 0.5% NEBU 0.5 ML PLAS CONT $6.00
ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT AERS $6.00
ALCOHOL 98 % SOLN $621.60
ALFUZOSIN 10 MG TB24 $10.35
ALGLUCOSIDASE ALFA 50 MG SOLR 1 EACH VIAL Per 10 mg $775.68
ALISKIREN 150 MG TABS $25.88
ALLOPURINOL 100 MG TABS $6.00
ALLOPURINOL 100 MG TABS 1 EACH BLISTER $6.00
ALLOPURINOL 300 MG TABS $6.00
ALLOPURINOL 300 MG TABS 1 EACH BLISTER $6.00
ALPRAZOLAM 0.25 MG TABS $6.50
ALPRAZOLAM 0.5 MG TABS $6.00
ALPRAZOLAM 1 MG TABS $6.00
ALTEPLASE 100 MG SOLR 1 EACH VIAL Per 1 mg $416.94
ALUMINUM HYDROXIDE-MAGNESIUM CARBONATE 95-358 MG/15ML SUSP $6.50
ALVIMOPAN 12 MG CAPS $396.25
AMANTADINE 100 MG CAPS $10.30
AMIKACIN 500 MG/2ML SOLN 2 ML VIAL Per 100 mg $6.07
AMILORIDE 5 MG TABS $6.00
AMINOCAPROIC ACID 250 MG/ML SOLN 20 ML VIAL Per 1 mL $31.45
AMINOLEVULINIC ACID 1.5 G SOLR Per 1.5 g $4,071.50
AMINOPHYLLINE 25 MG/ML SOLN 10 ML VIAL Per 250 mg $18.00
AMIODARONE 100 MG TABS $33.45
AMIODARONE 150 MG/3ML SOLN 3 ML VIAL Per 30 mg $3.60
AMIODARONE 150 MG/3ML SOLN 9 ML VIAL Per 30 mg $1.40
AMIODARONE 150 MG/3ML SOLN Per 30 mg $3.60
AMIODARONE 200 MG TABS $6.80
AMIODARONE 360-4.14 MG/200ML-% SOLN Per 30 mg $18.47
AMITRIPTYLINE 10 MG TABS $6.00
AMLODIPINE 10 MG TABS $6.00
AMLODIPINE 10 MG TABS 1 EACH BLISTER $9.05
AMLODIPINE 10 MG TABS 100 EACH BOX $6.00
AMLODIPINE 10 MG TABS 90 EACH BOTTLE $6.00
AMLODIPINE 2.5 MG TABS $6.50
AMLODIPINE 5 MG TABS $6.00
AMLODIPINE 5 MG TABS 1 EACH BLISTER $6.00
AMMONIA INHA $6.00
AMMONIUM LACTATE 12 % LOTN 226 G BOTTLE $76.40
AMOXICILLIN 250 MG CAPS $6.00
AMOXICILLIN 250 MG/5ML SUSR $6.00
AMOXICILLIN 500 MG CAPS $6.00
AMOXICILLIN-CLAVULANATE 250-62.5 MG/5ML SUSR $6.00
AMOXICILLIN-CLAVULANATE 500-125 MG TABS $7.60
AMOXICILLIN-CLAVULANATE 875-125 MG TABS $10.15
AMPHOTERICIN B LIPOSOME 50 MG SUSR 1 EACH VIAL Per 10 mg $230.28
AMPICILLIN 1 G SOLR 1 EACH VIAL Per 500 mg $16.43
AMPICILLIN 2 G SOLR 1 EACH VIAL Per 500 mg $15.93
AMPICILLIN 250 MG SOLR 1 EACH VIAL Per 500 mg $21.05
AMPICILLIN 500 MG CAPS $6.00
AMPICILLIN 500 MG SOLR 1 EACH VIAL Per 500 mg $18.00
AMPICILLIN-SULBACTAM 1.5 (1-0.5) G SOLR 1 EACH VIAL Per 1.5 g $24.65
AMPICILLIN-SULBACTAM 3 (2-1) G SOLR 1 EACH VIAL Per 1.5 g $34.48
AMPICILLIN-SULBACTAM SODIUM 1.5 (1-0.5) G SOLR 1 EACH VIAL Per 1.5 g $20.55
ANALGESIC 10-15 % CREA 57 G TUBE $7.90
ANALGESIC OINT 28 G TUBE $6.50
ANASTROZOLE 1 MG TABS $27.00
APIXABAN 2.5 MG TABS $17.80
APIXABAN 5 MG TABS $17.80
ARGATROBAN 250 MG/2.5ML SOLN 2.5 ML VIAL Per 1 mg $9.79
ARIPIPRAZOLE 10 MG TABS $64.25
ARTIFICAL TEARS 2-15-83 % OINT 3.5 G TUBE $7.80
ARTIFICIAL TEARS 83-15 % OINT 3.5 G TUBE $24.30
ASCORBIC ACID 500 MG/ML SOLN 50 ML VIAL Per 1 mL $26.10
ASPIRIN 300 MG SUPP $6.00
ASPIRIN 325 MG TABS $6.50
ASPIRIN 600 MG SUPP $6.00
ASPIRIN 81 MG CHEW $6.50
ASPIRIN EC 325 MG TBEC $6.00
ASPIRIN EC 81 MG TBEC $6.00
ASPIRIN EFFERVESCENT 325 MG TBEF $6.00
ASPIRIN-CAFFEINE-BUTALBITAL 50-325-40 MG CAPS $6.00
ATAZANAVIR 150 MG CAPS $55.63
ATAZANAVIR 50 MG PACK $18.08
ATENOLOL 100 MG TABS $6.00
ATORVASTATIN 10 MG TABS $8.55
ATROPINE 0.4 MG/ML SOLN Per 0.01 mg $0.90
ATROPINE 1 % SOLN 5 ML BOTTLE $116.80
ATROPINE 1 MG/10ML SOSY Per 0.01 mg $0.45
AZATHIOPRINE 50 MG TABS Per 50 mg $6.00
AZITHROMYCIN 200 MG/5ML SUSR $6.00
AZITHROMYCIN 250 MG TABS $24.23
AZITHROMYCIN 500 MG SOLR 1 EACH VIAL Per 500 mg $44.00
AZTREONAM 1 G SOLR 1 EACH VIAL Per 1 each $158.20
AZTREONAM 2 G SOLR 1 EACH VIAL Per 1 each $321.40
B COMPLEX-C-FOLIC ACID 0.8 MG TABS $6.00
BACIT-POLY-NEO HC 1 % OINT 15 G TUBE $381.45
BACITRACIN 500 UNIT/GM OINT 14 G TUBE $7.20
BACITRACIN 500 UNIT/GM OINT 3.5 G TUBE $236.90
BACITRACIN 50000 UNITS SOLR 1 EACH VIAL $43.20
BACITRACIN-POLYMYXIN B (OPHTH) OINT 3.5 G TUBE $79.95
BACITRACIN-POLYMYXIN B 500-10000 UNIT/GM OINT 28.3 G TUBE $15.30
BACITRACIN-POLYMYXIN B 500-10000 UNIT/GM OINT 28.35 G TUBE $21.65
BACLOFEN 10 MG TABS $7.70
BALANCED SALTS SOLN 120 ML BOTTLE $67.20
BALANCED SALTS SOLN 15 ML BOTTLE $18.90
BARIUM SULFATE 0.1 % SUSP $26.60
BARIUM SULFATE 105 % SUSP $68.45
BARIUM SULFATE 24 % SUSP $126.90
BARIUM SULFATE 60 % CREA $158.15
BARIUM SULFATE 700 MG TABS $45.00
BARIUM SULFATE 96 % SUSR $45.00
BARIUM SULFATE 98 % SUSR Per 1 each $45.00
BCG LIVE VACCINE 50 MG SUSR 1 EACH VIAL Per 1 mg $753.95
BELIMUMAB 400 MG SOLR 1 EACH VIAL Per 10 mg $109.34
BELLADONNA-OPIUM 16.2-30 MG SUPP $77.10
BENADRYL,MAALOX,LIDOCAINE,SIMETHICONE SUSP $7.80
BENRALIZUMAB 30 MG/ML SOSY Per 1 mg $783.32
BENZOCAINE 10 % GEL 9 G TUBE $9.60
BENZOCAINE 20 % 20 % AERO $94.00
BENZOCAINE 20 % 20 % SOLN $39.80
BENZOCAINE-MENTHOL 20-0.5 % AERO 56 G CAN $10.90
BENZOCAINE-MENTHOL 20-0.5 % AERO 78 G CAN $11.55
BENZONATATE 100 MG CAPS $6.00
BENZOYL PEROXIDE 10 % GEL 42.5 G TUBE $21.55
BENZTROPINE 0.5 MG TABS $6.00
BENZTROPINE 1 MG TABS $6.00
BENZTROPINE 2 MG TABS $6.00
BENZTROPINE MESYLATE 1 MG/ML SOLN Per 1 mg $150.00
BETAMETHASONE ACETATE-BETAMETHASONE SODIUM PHOSPHATE 6 MG/ML $49.45
BETAMETHASONE DIPROPIONATE CREA 45 G TUBE $211.35
BETAMETHASONE VALERATE CREAM 0.1 % CREA 45 G TUBE $114.25
BETHANECHOL 10 MG TABS $6.00
BETHANECHOL 25 MG TABS $6.50
BEVACIZUMAB 100 MG/4ML SOLN 4 ML VIAL Per 10 mg $382.53
BEVACIZUMAB 400 MG/16ML SOLN 16 ML VIAL Per 10 mg $382.53
BICALUTAMIDE 50 MG TABS $36.75
BISACODYL 10 MG SUPP $6.00
BISACODYL EC 5 MG TBEC $6.00
BISMUTH SUBSALICYLATE 262 MG/15ML SUSP $6.00
BIVALIRUDIN 250 MG SOLR 1 EACH VIAL Per 1 mg $9.07
BLEOMYCIN 15 UNITS SOLR 1 EACH VIAL Per 15 Units $171.80
BLEOMYCIN 30 UNITS SOLR 1 EACH VIAL Per 15 Units $184.48
BORTEZOMIB 3.5 MG SOLR Per 0.1 mg $219.84
BRENTUXIMAB VEDOTIN 50 MG SOLR 1 EACH VIAL Per 1 mg $764.16
BRIMONIDINE 0.2 % SOLN 5 ML BOTTLE $65.30
BRINZOLAMIDE 1 % SUSP 10 ML BOTTLE $740.15
BRINZOLAMIDE-BRIMONIDINE 1-0.2 % SUSP 8 ML BOTTLE $390.60
BROMOCRIPTINE 2.5 MG TABS $8.28
BUDESONIDE 0.25 MG/2ML SUSP $20.95
BUDESONIDE 0.5 MG/2ML SUSP $38.30
BUDESONIDE 180 MCG/ACT 180 MCG/ACT AEPB 1 EACH INHALER $567.35
BUDESONIDE 3 MG CPEP $39.58
BUDESONIDE EC 3 MG CPEP $6.00
BUDESONIDE-FORMOTEROL 160-4.5 MCG/ACT AERO 10.2 G INHALER $962.00
BUMETANIDE 0.25 MG/ML SOLN Per 1 mg $18.00
BUMETANIDE 1 MG TABS $6.00
BUPIVACAINE (PF) 0.5 % SOLN 30 ML VIAL Per 1 each $18.00
BUPIVACAINE (PF) 0.75 % SOLN Per 1 each $18.00
BUPIVACAINE (PF) SOLN 10 ML VIAL Per 1 each $18.00
BUPIVACAINE (PF) SOLN Per 1 each $18.00
BUPIVACAINE 0.25 % SOLN 10 ML VIAL Per 1 each $18.00
BUPIVACAINE 0.25 % SOLN 30 ML VIAL Per 1 each $18.00
BUPIVACAINE 0.25 % SOLN Per 1 each $31.45
BUPIVACAINE 0.5 % 0.5 % SOLN Per 1 each $18.00
BUPIVACAINE 0.75% IN DEXTROSE 8.25% (INTRATHECAL) 0.75-8.25 % SOLN P $18.00
BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 SOLN $33.60
BUPIVACAINE-EPINEPHRINE 0.25% -1:200000 SOLN 50 ML VIAL Per 1 mL $18.00
BUPIVACAINE-EPINEPHRINE 0.5% -1:200000 SOLN $18.00
BUPIVACAINE-EPINEPHRINE PF 0.5% -1:200000 SOLN $43.45
BUPRENORPHINE 2 MG SUBL $9.00
BUPROPION 100 MG TABS $6.50
BUPROPION 75 MG TABS $6.00
BUPROPION SR 100 MG TB12 $6.50
BUPROPION SR 150 MG TB12 $6.00
BUSPIRONE 10 MG TABS $6.00
BUSPIRONE 5 MG TABS $6.00
BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50-300-40 MG CAPS $9.15
BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50-325-40 MG TABS $6.00
BUTORPHANOL 1 MG/ML SOLN Per 1 mg $19.20
BUTORPHANOL 2 MG/ML SOLN Per 1 mg $11.73
CABAZITAXEL 10 MG/ML SOLN 6 ML VIAL Per 1 mg $417.19
CAFFEINE 200 MG TABS $6.00
CAFFEINE-SODIUM BENZOATE 125-125 MG/ML SOLN 2 ML VIAL $91.95
CALAMINE WITH ZINC 8-8 % LOTN 177 ML BOTTLE $6.00
CALCITONIN 200 UNIT/ACT SOLN 3.7 ML BOTTLE $237.10
CALCITONIN 200 UNIT/ML SOLN Per 400 Units $6,487.40
CALCITRIOL 0.25 MCG CAPS $6.00
CALCIUM ACETATE (PHOS BINDER) 667 MG CAPS $6.00
CALCIUM CARBONATE 500 MG CHEW $6.00
CALCIUM CHLORIDE 10 % SOLN $21.60
CALCIUM CHLORIDE 10 % SOLN 10 ML SYRINGE $41.00
CALCIUM GLUCONATE 10 % SOLN 10 ML VIAL Per 10 mL $996.15
CALCIUM-VITAMIN D 500-200 MG-UNIT TABS $6.00
CAMPHOR-EUCALYPTUS-MENTHOL 4.73-1.2-2.6 % OINT 50 G JAR $9.10
CANAGLIFLOZIN 300 MG TABS $39.05
CAPSAICIN 0.025 % CREA 60 G TUBE $19.95
CAPTOPRIL 12.5 MG TABS $6.00
CAPTOPRIL 25 MG TABS $6.00
CAPTOPRIL 50 MG TABS $9.03
CARBAMAZEPINE 100 MG CHEW $6.00
CARBAMAZEPINE 100 MG/5ML SUSP $9.10
CARBAMAZEPINE 12 HR 100 MG TB12 $6.00
CARBAMAZEPINE 200 MG TABS $6.00
CARBAMAZEPINE XR 200 MG TB12 $8.09
CARBAMIDE PEROXIDE 6.5 % SOLN 15 ML BOTTLE $10.25
CARBIDOPA 25 MG TABS $22.05
CARBIDOPA-LEVODOPA 10-100 MG TABS $6.00
CARBIDOPA-LEVODOPA CR 25-100 MG TBCR $6.00
CARBIDOPA-LEVODOPA CR 50-200 MG TBCR $6.00
CARBIDOPA-LEVODOPA ER 25-100 MG TBCR $6.00
CARBOPLATIN 450 MG/45ML SOLN 45 ML VIAL Per 50 mg $34.66
CARBOPROST 250 MCG/ML SOLN $1,701.30
CARDIOPLEGIA 4:1 HIGH K (60 MEQ) SOLN $650.75
CARDIOPLEGIA 4:1 LOW K (20 MEQ) SOLN $651.25
CARDIOPLEGIA 4:1 LOW K (7.5 MEQ) SOLN $599.75
CARFILZOMIB 60 MG SOLR 1 EACH VIAL Per 1 mg $185.73
CARISOPRODOL 350 MG TABS $6.00
CARVEDILOL 12.5 MG TABS $6.00
CARVEDILOL 3.125 MG TABS $6.00
CEFAZOLIN 1 G SOLR 1 EACH VIAL Per 500 mg $4.50
CEFAZOLIN 1 G SOLR Per 500 mg $9.00
CEFAZOLIN 1 GM/10ML SOSY Per 500 mg $45.50
CEFAZOLIN 2 GM/20 ML SOSY Per 500 mg $22.75
CEFDINIR 300 MG CAPS $10.25
CEFEPIME 1 G SOLR 1 EACH VIAL Per 500 mg $14.40
CEFOXITIN 1 G SOLR 1 EACH VIAL Per 1 g $47.77
CEFOXITIN 2 G SOLR 1 EACH VIAL Per 1 g $47.90
CEFTAROLINE 600 MG SOLR 1 EACH VIAL Per 10 mg $11.95
CEFTAZIDIME 1 G SOLR 1 EACH VIAL Per 500 mg $10.10
CEFTAZIDIME 1 G SOLR Per 500 mg $12.88
CEFTAZIDIME 2 G SOLR 1 EACH VIAL Per 500 mg $12.00
CEFTAZIDIME-AVIBACTAM 2.5 (2-0.5) G SOLR 1 EACH VIAL Per 0.5 g $344.46
CEFTRIAXONE 1 G SOLR 1 EACH VIAL Per 250 mg $44.50
CEFTRIAXONE 250 MG SOLR 1 EACH VIAL Per 250 mg $18.00
CEFUROXIME 1.5 G SOLR 1 EACH VIAL Per 750 mg $20.90
CEFUROXIME 250 MG TABS $11.40
CELECOXIB 100 MG CAPS $9.75
CELECOXIB 200 MG CAPS $15.18
CEPHALEXIN 250 MG CAPS $6.00
CEPHALEXIN 250 MG/5ML SUSR $6.00
CEPHALEXIN 500 MG CAPS $6.50
CETIRIZINE 10 MG TABS $6.00
CETIRIZINE-PSEUDOEPHEDRINE ER 5MG-120MG TB12 $6.00
CHARCOAL ACTIVATED LIQD 240 ML BOTTLE $81.15
CHARCOAL ACTIVATED LIQD 240 ML TUBE $47.53
CHLORDIAZEPOXIDE 10 MG CAPS $6.00
CHLORHEXIDINE 0.12 % SOLN $6.55
CHLORHEXIDINE 0.12 % SOLN 15 ML CUP $6.00
CHLORHEXIDINE 4 % SOLN $6.00
CHLOROPROCAINE (PF) 2 % SOLN Per 30 mL $102.35
CHLOROPROCAINE (PF) 3 % SOLN Per 30 mL $96.70
CHLOROTHIAZIDE 500 MG SOLR 1 EACH VIAL Per 500 mg $400.00
CHLORPHENIRAMINE 4 MG TABS $6.00
CHLORPROMAZINE 25 MG TABS $15.30
CHLORPROMAZINE 25 MG/ML SOLN 1 ML AMPULE Per 50 mg $252.40
CHLORPROMAZINE 50 MG/2ML SOLN 2 ML AMPULE Per 50 mg $72.30
CHLORTHALIDONE 25 MG TABS $6.00
CHLORZOXAZONE 500 MG TABS $6.00
CHOLESTYRAMINE 4 G PACK $6.75
CICLOPIROX 0.77 % CREA 15 G TUBE $98.30
CILOSTAZOL 100 MG TABS $6.00
CILOSTAZOL 50 MG TABS $6.00
CINACALCET 30 MG TABS $67.80
CINACALCET 30 MG TABS Per $2.05
CIPROFLOXACIN 0.3 % SOLN 2.5 ML BOTTLE $50.10
CIPROFLOXACIN 0.3 % SOLN 5 ML BOTTLE $290.20
CIPROFLOXACIN 250 MG TABS $10.95
CIPROFLOXACIN 500 MG TABS $10.20
CIPROFLOXACIN-HYDROCORTISONE 0.2-1 % SUSP 10 ML BOTTLE $758.10
CISATRACURIUM 20 MG/10ML SOLN 10 ML VIAL $110.40
CISPLATIN 50 MG/50ML SOLN 50 ML VIAL Per 10 mg $12.12
CITALOPRAM 10 MG TABS $6.00
CITRIC ACID-SODIUM CITRATE 500-334 MG/5ML SOLN $7.15
CLARITHROMYCIN 500 MG TABS $14.00
CLIDINIUM-CHLORDIAZEPOXIDE 5-2.5 MG CAPS $10.30
CLINDAMYCIN 150 MG CAPS $6.00
CLINDAMYCIN 600 MG/4ML SOLN $18.00
CLINDAMYCIN 600 MG/4ML SOLN 4 ML VIAL $18.00
CLINDAMYCIN 600-0.9 MG/50ML-% SOLN $91.00
CLINDAMYCIN 900 MG/6ML SOLN $20.20
CLINDAMYCIN 900 MG/6ML SOLN 6 ML VIAL $18.15
CLINDAMYCIN 900-0.9 MG/50ML-% SOLN $91.00
CLINDAMYCIN PHOSPHATE 300 MG/2ML SOLN 2 ML VIAL $11.78
CLOBETASOL 0.05 % CREA 30 G TUBE $512.95
CLOBETASOL 0.05 % OINT 30 G TUBE $519.50
CLOMIPRAMINE 25 MG CAPS $22.49
CLONAZEPAM 0.5 MG TABS $6.00
CLONAZEPAM 1 MG TABS $6.00
CLONIDINE 0.1 MG TABS $6.00
CLONIDINE 0.1 MG/24HR PTWK $103.15
CLONIDINE 0.2 MG TABS $6.00
CLOPIDOGREL 75 MG TABS $13.95
CLORAZEPATE 3.75 MG TABS $6.00
CLOTRIMAZOLE 1 % CREA 30 G TUBE $69.75
CLOTRIMAZOLE 1 % CREA 45 G TUBE $16.05
CLOTRIMAZOLE 10 MG LOZG $6.90
CLOTRIMAZOLE CREA 28.35 G TUBE $16.60
CLOTRIMAZOLE CREA 30 G TUBE $17.20
CLOTRIMAZOLE-BETAMETHASONE 1-0.05 % CREA 15 G TUBE $40.50
CLOZAPINE 100 MG TABS $10.68
CLOZAPINE 25 MG TABS $6.00
COCAINE 4 % SOLN 4 ML BOTTLE Per 1 mg $892.50
CODEINE 30 MG TABS $6.00
COLCHICINE 0.6 MG TABS $16.78
COLCHICINE-PROBENECID 0.5-500 MG TABS $6.00
COLESEVELAM 625 MG TABS $8.00
COLISTIN BASE 150 MG SOLR 1 EACH VIAL Per 150 mg $58.25
COLLAGENASE 250 UNIT/GM OINT 30 G TUBE $568.80
COLLAGENASE 250 UNIT/GM OINT 90 G TUBE $1,621.45
CONJUGATED ESTROGENS 0.625 MG/GM CREA 30 G TUBE $896.55
COSYNTROPIN 0.25 MG SOLR 1 EACH VIAL Per 0.25 mg $511.60
CYANOCOBALAMIN 1000 MCG/ML SOLN Per 1000 mcg $35.00
CYCLOBENZAPRINE 10 MG TABS $6.00
CYCLOBENZAPRINE 5 MG TABS $6.00
CYCLOPENTOLATE 1 % SOLN 2 ML BOTTLE $29.55
CYCLOPHOSPHAMIDE 1 G SOLR 1 EACH VIAL Per 100 mg $329.63
CYCLOPHOSPHAMIDE 50 MG CAPS Per 25 mg $17.18
CYCLOSPORINE 0.05 % EMUL 1 EACH PLAS CONT $22.35
CYCLOSPORINE MODIFIED 25 MG CAPS Per 25 mg $2.75
CYPROHEPTADINE 4 MG TABS $6.00
DABIGATRAN 150 MG CAPS $17.35
DABIGATRAN 75 MG CAPS $17.35
DANAZOL 200 MG CAPS $19.05
DANTROLENE 20 MG SOLR 1 EACH VIAL $410.85
DANTROLENE 25 MG CAPS $6.00
DAPSONE 100 MG TABS $6.75
DAPTOMYCIN 500 MG SOLR 1 EACH VIAL Per 1 mg $4.28
DARATUMUMAB 400 MG/20ML SOLN 20 ML VIAL Per 10 mg $254.27
DARBEPOETIN ALFA 60 MCG/0.3ML SOSY Per 1 mcg $33.44
DARUNAVIR 600 MG TABS $80.00
DARUNAVIR 800 MG TABS $135.20
DARUNAVIR-COBICISTAT 800 MG-150 MG TABS $154.55
DECITABINE 50 MG SOLR 1 EACH VIAL Per 1 mg $48.11
DEFEROXAMINE 2 G SOLR 1 EACH VIAL Per 500 mg $38.45
DEMECLOCYCLINE 150 MG TABS $21.30
DENOSUMAB 60 MG/ML SOSY Per 1 mg $97.53
DESIPRAMINE 25 MG TABS $8.08
DESMOPRESSIN 0.1 MG TABS $10.58
DESMOPRESSIN 4 MCG/ML SOLN 1 ML AMPULE Per 1 mcg $97.40
DESOXIMETASONE 0.25 % CREA 60 G TUBE $619.70
DEXAMETHASONE 0.5 MG TABS Per 0.25 mg $1.50
DEXAMETHASONE 0.75 MG TABS Per 0.25 mg $0.50
DEXAMETHASONE 1 MG/ML CONC Per 0.25 mg $0.54
DEXAMETHASONE 20 MG/5ML SOLN Per 1 mg $0.90
DEXAMETHASONE 4 MG TABS Per 0.25 mg $0.38
DEXAMETHASONE 4 MG/ML SOLN 1 ML VIAL Per 1 mg $2.88
DEXAMETHASONE 4 MG/ML SOLN Per 1 mg $4.50
DEXAMETHASONE PF 10 MG/ML SOLN Per 1 mg $2.75
DEXMEDETOMIDINE 200 MCG/2ML SOLN 2 ML VIAL Per 2 mL $448.00
DEXTROMETHORPHAN POLISTIREX ER 30 MG/5ML SUER $6.00
DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5ML LIQD $6.50
DEXTROMETHORPHAN-GUAIFENESIN ER 30-600 MG TB12 $6.00
DEXTROSE 10 % BOLUS $45.00
DEXTROSE 10 % SOLN $45.00
DEXTROSE 10 % SOLN 1,000 ML FLEX CONT $45.00
DEXTROSE 10 % SOLN 250 ML FLEX CONT $45.00
DEXTROSE 20 % SOLN 500 ML FLEX CONT $50.40
DEXTROSE 25 % 250 MG/ML SOLN $26.00
DEXTROSE 40 % GEL 37.5 G TUBE $7.90
DEXTROSE 5 % AND 0.45 % NACL WITH KCL 20 MEQ 20-5-0.45 MEQ/L-%-% S $45.00
DEXTROSE 5 % AND 0.45 % NACL WITH KCL 40 MEQ 40-5-0.45 MEQ/L-%-% S $45.00
DEXTROSE 5 % AND 0.9 % NACL WITH KCL 20 MEQ 20-5-0.9 MEQ/L-%-% SOL $45.00
DEXTROSE 5 % BOLUS $45.00
DEXTROSE 5 % LACTATED RINGERS BOLUS $45.00
DEXTROSE 5 % SOLN 1,000 ML FLEX CONT Per 500 mL $22.50
DEXTROSE 5 % SOLN 100 ML FLEX CONT Per 500 mL $45.00
DEXTROSE 5 %-SODIUM CHLORIDE 0.2 % 5-0.2 % SOLN Per 500 mL $45.00
DEXTROSE 5 %-SODIUM CHLORIDE 0.2 % 5-0.225 % SOLN 1,000 ML FLEX CO $22.50
DEXTROSE 5 %-SODIUM CHLORIDE 0.45 % 5-0.45 % SOLN 1,000 ML FLEX CO $22.50
DEXTROSE 5 %-SODIUM CHLORIDE 0.45 % 5-0.45 % SOLN 500 ML FLEX CONT $45.00
DEXTROSE 5 %-SODIUM CHLORIDE 0.9 % 5-0.9 % SOLN 1,000 ML FLEX CONT $22.50
DEXTROSE 5% LACTATED RINGERS 5 % SOLN 1,000 ML FLEX CONT Per 100 $45.00
DEXTROSE 5% LACTATED RINGERS 5 % SOLN Per 1000 mL $45.00
DEXTROSE 50 % SOLN $35.50
DEXTROSE SOLN $63.60
DIATRIZOATE MEGLUMINE & SODIUM 66-10 % SOLN Per 1 mL $2.71
DIAZEPAM 10 MG TABS $6.00
DIAZEPAM 5 MG/ML SOLN Per 5 mg $65.65
DIBUCAINE 1 % OINT 56.7 G TUBE $14.45
DICLOFENAC SODIUM 1 % GEL $6.50
DICLOFENAC SODIUM 1 % GEL 100 G TUBE $105.20
DICLOFENAC SODIUM 50 MG TBEC $6.00
DICLOFENAC SODIUM 75 MG TBEC $6.00
DICLOXACILLIN 250 MG CAPS $6.00
DICYCLOMINE 10 MG CAPS $6.00
DICYCLOMINE 10 MG/ML SOLN Per 20 mg $403.20
DICYCLOMINE 20 MG TABS $6.00
DIGOXIN 0.125 MG TABS $8.00
DIGOXIN 0.25 MG TABS $8.00
DIGOXIN 0.25 MG/ML SOLN Per 0.5 mg $18.00
DIGOXIN IMMUNE FAB 40 MG SOLR 1 EACH VIAL Per 1 vial $17,467.20
DIHYDROERGOTAMINE 1 MG/ML SOLN Per 1 mg $717.60
DILTIAZEM 24 HR 300 MG CP24 $8.35
DILTIAZEM 25 MG/5ML SOLN $18.00
DILTIAZEM 25 MG/5ML SOLN 25 ML VIAL $42.50
DILTIAZEM 25 MG/5ML SOLN 5 ML VIAL $18.00
DILTIAZEM 30 MG TABS $6.00
DILTIAZEM 60 MG TABS $6.00
DILTIAZEM CD 120 MG CP24 $6.50
DILTIAZEM SR 120 MG CP12 $13.05
DIMENHYDRINATE 50 MG/ML SOLN Per 50 mg $37.45
DINOPROSTONE 10 MG INST $985.45
DIPHENHYDRAMINE 12.5 MG/5ML 20 ML, MAGNESIUM-ALUMINUM-SIMETHICON $7.20
DIPHENHYDRAMINE 12.5 MG/5ML ELIX 5 ML CUP $6.53
DIPHENHYDRAMINE 25 MG CAPS $6.00
DIPHENHYDRAMINE 25 MG CAPS 100 EACH BOTTLE $6.00
DIPHENHYDRAMINE 25 MG CAPS 100 EACH BOX $6.00
DIPHENHYDRAMINE 50 MG/ML SOLN 1 ML VIAL Per 50 mg $18.00
DIPHENHYDRAMINE 50 MG/ML SOLN Per 50 mg $18.00
DIPHENHYDRAMINE-ZINC 2-0.1 % CREA 28 G TUBE $8.05
DIPHENOXYLATE-ATROPINE 2.5-0.025 MG TABS $6.00
DIPHENOXYLATE-ATROPINE 2.5-0.025 MG/5ML LIQD $14.00
DIPHTHERIA-TETANUS TOXOIDS DT 25-5 LFU/0.5ML SUSP Per 1 each $260.90
DIPTHERIA-ACELLULAR PERTUSSIS-TETANUS 15-23-5 LF-MCG/0.5 SUSP Per $146.25
DIPYRIDAMOLE 25 MG TABS $6.00
DIPYRIDAMOLE-ASPIRIN 25-200 MG CP12 $23.70
DIVALPROEX 500 MG TB24 $12.70
DIVALPROEX DR SPRINKLE 125 MG CSDR $6.00
DIVALPROEX EC 125 MG TBEC $6.00
DIVALPROEX EC 250 MG TBEC $6.00
DIVALPROEX ER 250 MG TB24 $6.00
DIVALPROEX ER 500 MG TB24 $7.70
DOBUTAMINE 250 MG/20ML SOLN 20 ML VIAL Per 250 mg $91.00
DOBUTAMINE IN D5W 2 MG/ML SOLN Per 250 mg $83.50
DOCUSATE SODIUM 100 MG CAPS $6.00
DOCUSATE SODIUM 283 MG ENEM $6.00
DOFETILIDE 125 MCG CAPS $24.95
DOFETILIDE 500 MCG CAPS $24.95
DOLUTEGRAVIR 50 MG TABS $159.75
DONEPEZIL 10 MG TABS $13.40
DONEPEZIL 5 MG TABS $6.00
DOPAMINE 1.6-5 MG/ML-% SOLN Per 40 mg $9.10
DOPAMINE 40 MG/ML SOLN 5 ML VIAL Per 40 mg $2.56
DORZOLAMIDE 2 % SOLN 10 ML BOTTLE $133.60
DORZOLAMIDE-TIMOLOL 22.3-6.8 MG/ML SOLN 10 ML BOTTLE $245.20
DOXAZOSIN 1 MG TABS $7.55
DOXAZOSIN 2 MG TABS $6.00
DOXEPIN 10 MG CAPS $6.00
DOXORUBICIN 2 MG/ML SOLN 25 ML VIAL Per 10 mg $20.92
DOXORUBICIN 2 MG/ML SOLN 5 ML VIAL Per 10 mg $43.20
DOXYCYCLINE HYCLATE 100 MG CAPS $19.25
DOXYCYCLINE HYCLATE 100 MG SOLR 1 EACH VIAL $126.40
DRONABINOL 2.5 MG CAPS $10.65
DRONEDARONE 400 MG TABS $26.35
DULOXETINE 20 MG CPEP $14.00
DURVALUMAB 500 MG/10ML SOLN 10 ML VIAL Per 10 mg $346.64
EFAVIRENZ 200 MG CAPS $26.15
ELECTROLYTE COMBINED SOLN Per 1000 mL $91.00
EMOLLIENT OINT 100 G JAR $17.15
EMTRICITABINE-TENOFOVIR 200-300 MG TABS $140.65
ENALAPRILAT 1.25 MG/ML INJ Per 1 mL $19.20
ENOXAPARIN 100 MG/ML SOLN Per 10 mg $9.55
ENOXAPARIN 120 MG/0.8ML SOLN 0.8 ML SYRINGE Per 10 mg $9.54
ENOXAPARIN 120 MG/0.8ML SOLN Per 10 mg $8.59
ENOXAPARIN 150 MG/ML SOLN Per 10 mg $9.54
ENTACAPONE 200 MG TABS $7.95
EPHEDRINE 50 MG/ML SOLN Per 1 each $20.75
EPHEDRINE 50 MG/ML SOLN Per 50 mg $139.40
EPINEPHRINE 30 MG/30ML SOLN 30 ML VIAL Per 0.1 mg $0.95
EPINEPHRINE PF 0.1 MG/ML SOSY Per 0.1 mg $18.00
EPINEPHRINE PF 1 MG/ML SOLN 1 ML AMPULE Per 0.1 mg $7.00
EPOETIN ALFA 10000 UNIT/ML SOLN 1 ML VIAL Per 1000 Units $12.83
EPOETIN ALFA 10000 UNIT/ML SOLN Per 1000 Units $128.28
EPTIFIBATIDE 20 MG/10ML SOLN Per 5 mg $225.00
EPTIFIBATIDE 75 MG/100ML SOLN Per 5 mg $188.00
ERAVACYCLINE 50 MG SOLR 1 EACH VIAL Per 1 mg $4.70
ERGOCALCIFEROL 8000 UNIT/ML SOLN $6.50
ERTAPENEM 1 G SOLR 1 EACH VIAL Per 500 mg $308.80
ERYTHROMYCIN 5 MG/GM OINT 1 G TUBE $24.85
ERYTHROMYCIN 5 MG/GM OINT 3.5 G TUBE $37.35
ERYTHROMYCIN 500 MG SOLR 1 EACH VIAL Per 500 mg $357.15
ERYTHROMYCIN EC 250 MG TBEC $17.70
ESCITALOPRAM 10 MG TABS $8.83
ESMOLOL 100 MG/10ML SOLN Per 10 mL $91.00
ESMOLOL 2500 MG/250ML SOLN Per 250 mL $845.00
ESTRADIOL 0.05 MG/24HR PTWK $46.45
ESTRADIOL 1 MG TABS $6.00
ESTROGENS (CONJUGATED) 0.3 MG TABS $13.50
ETHACRYNATE SODIUM 50 MG SOLR 1 EACH VIAL Per 1 each $18,240.00
ETHACRYNIC ACID 25 MG TABS $47.90
ETHAMBUTOL 400 MG TABS $6.00
ETOMIDATE 2 MG/ML SOLN $52.35
ETOPOSIDE 100 MG/5ML SOLN 5 ML VIAL Per 10 mg $4.55
EZETIMIBE 10 MG TABS $20.70
FAMOTIDINE 10 MG TABS $6.00
FAMOTIDINE 20 MG/2ML SOLN $18.00
FAMOTIDINE 40 MG/4ML SOLN $18.00
FAT EMULSION 20 % EMUL $166.00
FAT EMULSION 20 % EMUL 250 ML FLEX CONT $198.00
FENOFIBRATE 145 MG TABS $11.50
FENOFIBRATE 48 MG TABS $6.00
FENTANYL 100 MCG/2ML SOLN 5 ML VIAL Per 0.1 mg $9.00
FENTANYL 100 MCG/2ML SOLN Per 0.1 mg $18.00
FENTANYL 100 MCG/HR PT72 $157.45
FENTANYL 250 MCG/5ML SOLN Per 0.1 mg $18.00
FERRIC CARBOXYMALTOSE 750 MG/15ML SOLN 15 ML VIAL Per 1 mg $7.16
FERRIC GLUCONATE 12.5 MG/ML SOLN 5 ML VIAL Per 12.5 mg $30.53
FERRIC SUBSULFATE 259 MG/GM SOLN 8 ML BOTTLE $18.20
FERRIC SUBSULFATE SOLN $29.18
FERROUS FUMARATE-VITAMIN C CR 65-25 MG TBCR $6.00
FERROUS SULFATE 300 (60 FE) MG/5ML SYRP $6.30
FERROUS SULFATE EC 324 (65 FE) MG TBEC $6.00
FERUMOXYTOL 510 MG/17ML SOLN 17 ML VIAL Per 1 mg $9.41
FIBRIN SEALANT 5 ML KIT $3,094.40
FIDAXOMICIN 200 MG TABS $463.90
FINASTERIDE 5 MG TABS $6.30
FISH OIL 1000 MG CAPS $6.50
FLECAINIDE 100 MG TABS $11.95
FLECAINIDE 50 MG TABS $8.12
FLUCONAZOLE 100 MG TABS $48.00
FLUCONAZOLE 200-0.9 MG/100ML-% SOLN Per 200 mg $91.00
FLUCONAZOLE 400-0.9 MG/200ML-% SOLN Per 200 mg $91.00
FLUDROCORTISONE 0.1 MG TABS $6.00
FLUMAZENIL 0.5 MG/5ML SOLN $26.05
FLUOCINONIDE 0.05 % CREA 15 G TUBE $141.70
FLUORESCEIN 1 MG STRP $6.50
FLUORESCEIN 10 % SOLN Per 5 mL $18.00
FLUORESCEIN-PROPARACAINE 0.25-0.5 % SOLN 5 ML BOTTLE $88.40
FLUOROMETHOLONE 0.1 % SUSP 5 ML BOTTLE $170.55
FLUOROURACIL 500 MG/10ML SOLN Per 500 mg $51.03
FLUOXETINE 10 MG CAPS $6.00
FLUOXETINE 20 MG CAPS $6.00
FLUOXETINE 20 MG/5ML SOLN $13.70
FLUPHENAZINE 1 MG TABS $6.00
FLUPHENAZINE 2.5 MG TABS $13.60
FLUPHENAZINE 2.5 MG/ML SOLN Per 1 mL $658.50
FLUPHENAZINE DECANOATE 25 MG/ML SOLN Per 25 mg $111.60
FLUTICASONE 110 MCG/ACT AERO $6.00
FLUTICASONE FUROATE-VILANTEROL 100-25 MCG/INH AEPB 60 EACH DISP $14.05
FLUTICASONE PROPIONATE 220 MCG/ACT AERO $7.80
FLUTICASONE PROPIONATE 44 MCG/ACT AERO $7.50
FLUTICASONE PROPIONATE 50 MCG/ACT SUSP 16 G BOTTLE $170.55
FLUTICASONE-SALMETEROL 115-21 MCG/ACT AERO $17.00
FLUVOXAMINE 50 MG TABS $6.00
FOLIC ACID 1 MG TABS $6.00
FOLIC ACID 5 MG/ML SOLN 10 ML VIAL $18.00
FOMEPIZOLE 1.5 GM/1.5ML SOLN 1.5 ML VIAL Per 15 mg $23.80
FONDAPARINUX 2.5 MG/0.5ML SOLN Per 0.5 mg $39.35
FONDAPARINUX 7.5 MG/0.6ML SOLN Per 0.5 mg $26.67
FORMOTEROL 20 MCG/2ML NEBU $40.85
FOSAPREPITANT 150 MG SOLR 1 EACH VIAL Per 1 mg $10.71
FOSPHENYTOIN 100 MG PE/2ML SOLN 10 ML VIAL Per 50 mg PE $23.04
FOSPHENYTOIN 100 MG PE/2ML SOLN 2 ML VIAL Per 50 mg PE $35.58
FUROSEMIDE 10 MG/ML SOLN $6.00
FUROSEMIDE 10 MG/ML SOLN 10 ML VIAL Per 20 mg $3.60
FUROSEMIDE 10 MG/ML SOLN Per 20 mg $23.20
FUROSEMIDE 20 MG TABS $6.00
FUROSEMIDE 40 MG TABS $6.00
GABAPENTIN 100 MG CAPS $6.00
GABAPENTIN 100 MG CAPS 100 EACH BOX $6.00
GABAPENTIN 300 MG CAPS 100 EACH BOTTLE $6.00
GABAPENTIN 300 MG CAPS 500 EACH BOTTLE $6.00
GADOBENATE DIMEGLUMINE 529 MG/ML SOLN Per 1 mL $45.00
GADOTERATE MEGLUMINE 10 MMOL/20ML SOLN Per 0.1 mL $1.88
GADOTERATE MEGLUMINE 5 MMOL/10ML SOLN Per 0.1 mL $1.88
GADOTERATE MEGLUMINE 7.5 MMOL/15ML SOLN Per 0.1 mL $1.88
GANCICLOVIR 500 MG SOLR 1 EACH VIAL Per 500 mg $312.85
GELATIN ADSORBABLE 100 CM MISC $99.80
GELATIN ADSORBABLE 100 MISC $100.00
GELATIN ADSORBABLE 12-7 MM MISC $20.65
GELATIN ADSORBABLE 50 MISC $16.75
GEMFIBROZIL 600 MG TABS $13.80
GENTAMICIN (PF) 10 MG/ML SOLN 2 ML VIAL Per 80 mg $18.00
GENTAMICIN 0.1 % CREA 15 G TUBE $98.80
GENTAMICIN 0.3 % SOLN 5 ML BOTTLE $38.40
GENTAMICIN 40 MG/ML SOLN 2 ML VIAL Per 80 mg $18.00
GENTAMICIN 40 MG/ML SOLN 20 ML VIAL Per 80 mg $11.15
GLIMEPIRIDE 1 MG TABS $6.00
GLIPIZIDE 10 MG TABS $6.00
GLIPIZIDE 5 MG TABS $6.00
GLIPIZIDE EXTENDED RELEASE 5 MG TB24 $6.00
GLIPIZIDE XL 2.5 MG TB24 $6.00
GLIPIZIDE XL 5 MG TB24 $6.00
GLUCAGON 1 MG SOLR 1 EACH VIAL Per 1 mg $823.70
GLUCAGON 1 MG SOLR Per 1 mg $823.70
GLYBURIDE 1.25 MG TABS $6.50
GLYBURIDE 2.5 MG TABS $6.00
GLYBURIDE 5 MG TABS $6.00
GLYCERIN (ADULT) 2 G SUPP $6.00
GLYCERIN (PEDS/INFANT) 1.2 G SUPP $6.00
GLYCINE 1.5 % SOLN $60.00
GLYCOPYRROLATE 0.2 MG/ML SOLN Per 0.2 mg $65.00
GLYCOPYRROLATE 1 MG TABS $6.00
GUAIFENESIN 100 MG/5ML SOLN $6.00
GUAIFENESIN ER 600 MG TB12 $6.00
GUAIFENESIN-CODEINE 100-10 MG/5ML SOLN $6.00
GUAIFENESIN-DEXTROMETHORPHAN 100-10 MG/5ML SYRP $6.00
GUANFACINE 1 MG TABS $6.00
HALOPERIDOL 0.5 MG TABS $6.00
HALOPERIDOL 1 MG TABS $6.00
HALOPERIDOL 2 MG/ML CONC $7.65
HALOPERIDOL LACTATE 5 MG/ML SOLN Per 5 mg $29.48
HEPARIN (PORCINE) 1000 UNIT/ML SOLN 1 ML VIAL Per 1000 Units $16.05
HEPARIN (PORCINE) 1000 UNIT/ML SOLN Per 1000 Units $6.00
HEPARIN (PORCINE) 100-0.45 UNIT/ML-% SOLN Per 1000 Units $3.64
HEPARIN (PORCINE) 2-0.9 UNIT/ML-% SOLN Per 1000 Units $91.00
HEPARIN (PORCINE) 25000-0.45 UT/250ML-% SOLN Per 1000 Units $3.64
HEPARIN (PORCINE) 5000 UNIT/ML SOLN Per 1000 Units $4.50
HEPARIN FLUSH 100 UNIT/ML SOLN 5 ML SYRINGE Per 10 Units $0.12
HEPARIN FLUSH 100 UNIT/ML SOLN Per 10 Units $0.15
HEPATITIS A VACCINE 1440 EL U/ML SUSP Per 1 mL $333.30
HEPATITIS B IMMUNE GLOBULIN 200 UNITS/ML SOLN Per 1 mL $483.68
HEPATITIS B VACCINE 10 MCG/0.5ML SUSP Per 1 each $113.30
HEPATITIS B VACCINE 20 MCG/ML SUSP Per 1 each $282.40
HYDRALAZINE 10 MG TABS $6.50
HYDRALAZINE 20 MG/ML SOLN Per 20 mg $62.80
HYDRALAZINE 25 MG TABS 100 EACH BOTTLE $6.00
HYDROCHLOROTHIAZIDE 12.5 MG CAPS 100 EACH BOTTLE $6.50
HYDROCHLOROTHIAZIDE 12.5 MG TABS 100 EACH BOTTLE $6.00
HYDROCHLOROTHIAZIDE 25 MG TABS 1 EACH BLISTER $6.00
HYDROCHLOROTHIAZIDE 25 MG TABS 100 EACH BOTTLE $6.00
HYDROCHLOROTHIAZIDE 25 MG TABS 100 EACH BOX $6.00
HYDROCHLOROTHIAZIDE 50 MG TABS $6.00
HYDROCODONE-ACETAMINOPHEN 10-325 MG TABS $6.00
HYDROCODONE-ACETAMINOPHEN 5-325 MG TABS $6.00
HYDROCODONE-ACETAMINOPHEN 7.5-325 MG TABS $6.00
HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15ML SOLN $10.28
HYDROCODONE-CHLORPHENIRAMINE ER 10-8 MG/5ML SUER $6.00
HYDROCODONE-IBUPROFEN 7.5-200 MG TABS $6.00
HYDROCORTISONE 0.5 % CREA 28.35 G TUBE $6.50
HYDROCORTISONE 1 % CREA 28 G TUBE $8.05
HYDROCORTISONE 1 % OINT 28 G TUBE $8.05
HYDROCORTISONE 10 MG TABS $6.00
HYDROCORTISONE 100 MG/60ML ENEM $25.35
HYDROCORTISONE 2.5 % CREA 30 G TUBE $22.05
HYDROCORTISONE 25 MG SUPP $28.85
HYDROCORTISONE BUTYRATE 0.1 % CREA 15 G TUBE $125.45
HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLR Per 100 mg $64.50
HYDROCORTISONE WITH ALOE 0.5 % CREA 28.4 G TUBE $11.05
HYDROGEN PEROXIDE 3 % SOLN 473 ML BOTTLE $6.00
HYDROGEN PEROXIDE 3 % SOLN 480 ML BOTTLE $6.00
HYDROMORPHONE 1 MG/ML SOLN Per 4 mg $18.00
HYDROMORPHONE 2 MG TABS $6.00
HYDROMORPHONE 2 MG/ML SOLN Per 4 mg $18.00
HYDROXYCHLOROQUINE 200 MG TABS $8.80
HYDROXYUREA 500 MG CAPS $6.00
HYDROXYZINE 10 MG TABS $6.00
HYDROXYZINE 10 MG/5ML SYRP $6.00
HYDROXYZINE 25 MG CAPS $6.00
HYDROXYZINE 25 MG/ML SOLN Per 25 mg $96.80
HYDROXYZINE 50 MG CAPS $6.00
HYDROXYZINE 50 MG/ML SOLN Per 25 mg $53.40
HYLAN 48 MG/6ML SOSY Per 1 mg $129.95
HYOSCYAMINE 0.125 MG SUBL $6.00
HYOSCYAMINE 0.125 MG TABS $6.00
HYOSCYAMINE 0.5 MG/ML SOLN Per 0.25 mg $137.00
HYOSCYAMINE ER 0.375 MG TB12 $6.00
IBUPROFEN 100 MG CHEW $6.00
IBUPROFEN 100 MG/5ML SUSP $6.00
IBUPROFEN 200 MG TABS $6.00
IBUTILIDE 1 MG/10ML SOLN Per 1 mg $2,170.90
IDARUCIZUMAB 2.5 GM/50ML SOLN Per 1 mL $8,904.00
IFOSFAMIDE 1 GM SOLR 1 EACH VIAL Per 1 g $222.98
IMIPRAMINE 25 MG TABS $6.00
IMIPRAMINE 50 MG TABS $6.00
IMMUNE GLOBULIN (HUMAN) 10 GM/200ML SOLN Per 500 mg $226.16
IMMUNE GLOBULIN 5 GM/100ML SOLN Per 500 mg $226.12
INDAPAMIDE 1.25 MG TABS $6.50
INDAPAMIDE 2.5 MG TABS $6.00
INDIGOTINDISULFONATE 8 MG/ML SOLN $825.00
INDOCYANINE GREEN 25 MG SOLR $237.50
INDOMETHACIN 25 MG CAPS $6.50
INDOMETHACIN 50 MG CAPS $6.50
INDOMETHACIN 50 MG SUPP $408.00
INDOMETHACIN 75 MG CPCR $6.10
INFLIXIMAB 100 MG SOLR 1 EACH VIAL Per 10 mg $560.55
INFLIXIMAB-ABDA 100 MG SOLR 1 EACH VIAL Per 10 mg $358.80
INFLIXIMAB-DYYB 100 MG SOLR 1 EACH VIAL Per 10 mg $454.22
INFLUENZA VIRUS VACCINE (QUAD) 0.5 ML SUSY Per 0.5 mL $87.35
INSULIN ASPART PROTAMINE-INSULIN ASPART (70-30) 100 UNIT/ML SUSP Per $7.20
INSULIN GLARGINE 100 UNIT/ML SOLN Per 5 Units $6.00
INSULIN LISPRO 100 UNIT/ML SOLN Per 5 Units $6.00
INSULIN NPH 100 UNIT/ML SUSP Per 5 Units $18.00
INSULIN NPH-INSULIN REGULAR (70-30) 100 UNIT/ML SUSP Per 5 Units $6.00
INSULIN REGULAR 100 UNIT/ML SOLN 3 ML VIAL Per 5 Units $9.00
INTERFERON ALFA-2B 10000000 UNITS SOLR Per 1 Million Units $147.51
IOPAMIDOL 41 % SOLN Per 1 mL $16.53
IOPAMIDOL 61 % SOLN 15 ML VIAL Per 1 mL $21.37
IOPAMIDOL 61 % SOLN 500 ML GLASS CONT Per 1 mL $1.46
IOPAMIDOL 61 % SOLN Per 1 mL $3.64
IOPAMIDOL 76 % SOLN 500 ML GLASS CONT Per 1 mL $1.52
IPRATROPIUM 0.02 % SOLN $6.00
IPRATROPIUM 0.03 % SOLN 30 ML BOTTLE $223.35
IPRATROPIUM 0.06 % SOLN 15 ML BOTTLE $191.45
IPRATROPIUM-ALBUTEROL 0.5-2.5 (3) MG/3ML SOLN $6.00
IRON DEXTRAN COMPLEX 50 MG/ML SOLN 2 ML VIAL Per 50 mg $65.11
IRON SUCROSE 20 MG/ML SOLN 5 ML VIAL Per 1 mg $2.40
ISONIAZID 300 MG TABS $6.50
ISOPROTERENOL 0.2 MG/ML SOLN 1 ML AMPULE Per 1 mL $3,728.30
ISOPROTERENOL 0.2 MG/ML SOLN 5 ML AMPULE Per 1 mL $5,193.60
ISOSORBIDE DINITRATE 10 MG TABS $6.00
ISOSORBIDE DINITRATE 20 MG TABS 100 EACH BOTTLE $6.00
ISOSORBIDE MONONITRATE 20 MG TABS $6.00
ISOSORBIDE MONONITRATE ER 30 MG TB24 $6.00
ISOSORBIDE MONONITRATE ER 60 MG TB24 $6.00
ISOSULFAN BLUE 1 % SOLN Per 1 mg $98.00
ITRACONAZOLE 100 MG CAPS $18.63
IVABRADINE 5 MG TABS $17.70
IVERMECTIN 3 MG TABS $11.20
KETAMINE 10 MG/ML SOLN $48.25
KETAMINE 100 MG/ML SOLN 5 ML VIAL $18.00
KETAMINE 50 MG/ML SOLN $18.00
KETAMINE SOLN $18.00
KETOCONAZOLE 2 % CREA 30 G TUBE $104.25
KETOROLAC 0.5 % SOLN 3 ML BOTTLE $151.55
KETOROLAC 0.5 % SOLN 5 ML BOTTLE $213.75
KETOROLAC 10 MG TABS $6.00
KETOROLAC 30 MG/ML SOLN Per 15 mg $9.35
KETOROLAC 60 MG/2ML SOLN Per 15 mg $18.00
LABETALOL 100 MG TABS $6.00
LABETALOL 100 MG TABS 1 EACH BLISTER $6.00
LABETALOL 200 MG TABS $7.00
LABETALOL 200 MG TABS 1 EACH BLISTER $6.00
LABETALOL 5 MG/ML SOLN $18.00
LABETALOL 5 MG/ML SOLN 20 ML VIAL $18.00
LACOSAMIDE 100 MG TABS $38.05
LACTASE 3000 UNITS TABS $6.00
LACTATED RINGERS SOLN 1,000 ML FLEX CONT Per 1000 mL $45.00
LACTATED RINGERS SOLN 500 ML FLEX CONT Per 1000 mL $45.00
LACTATED RINGERS SOLN Per 1000 mL $45.00
LACTULOSE 10 GM/15ML SOLN $9.25
LACTULOSE 10 GM/15ML SOLN 30 ML CUP $6.00
LAMIVUDINE 150 MG TABS $16.35
LAMOTRIGINE 100 MG TABS $10.00
LAMOTRIGINE 25 MG TABS $8.33
LANTHANUM 500 MG CHEW $28.85
LATANOPROST 0.005 % SOLN 2.5 ML BOTTLE $295.45
LEFLUNOMIDE 10 MG TABS $32.83
LETROZOLE 2.5 MG TABS $36.30
LEUCOVORIN 100 MG SOLR 1 EACH VIAL Per 50 mg $48.00
LEUCOVORIN 350 MG SOLR 1 EACH VIAL Per 50 mg $43.20
LEUPROLIDE ACETATE (3 MONTH) 22.5 MG KIT Per 7.5 mg $7,438.07
LEVALBUTEROL 0.63 MG/3ML NEBU $23.75
LEVALBUTEROL 1.25 MG/3ML NEBU $13.45
LEVETIRACETAM 100 MG/ML SOLN $18.70
LEVETIRACETAM 250 MG TABS $6.00
LEVETIRACETAM 500 MG TABS $10.95
LEVETIRACETAM 500 MG/5ML SOLN 5 ML VIAL Per 10 mg $1.20
LEVOBUNOLOL 0.5 % SOLN 5 ML BOTTLE $75.20
LEVOFLOXACIN 250 MG TABS $33.65
LEVOFLOXACIN 250 MG/50ML SOLN Per 250 mg $91.00
LEVONORGESTREL 1.5 MG TABS $73.15
LEVOTHYROXINE 100 MCG SOLR Per 1 mL $465.40
LEVOTHYROXINE 100 MCG TABS $6.00
LEVOTHYROXINE 100 MCG TABS 1 EACH BLISTER $6.00
LEVOTHYROXINE 100 MCG TABS 100 EACH BOTTLE $6.00
LIDOCAINE (CARDIAC) 10 MG/ML SOLN Per 10 mg $4.75
LIDOCAINE (CARDIAC) 20 MG/ML INJ Per 10 mg $3.60
LIDOCAINE (CARDIAC) 20 MG/ML SOLN Per 10 mg $1.80
LIDOCAINE (PF) 1 % SOLN $14.67
LIDOCAINE (PF) 1 % SOLN 2 ML AMPULE $18.00
LIDOCAINE (PF) 1 % SOLN 2 ML VIAL $9.00
LIDOCAINE (PF) 1 % SOLN 5 ML VIAL $18.00
LIDOCAINE (PF) 2 % SOLN $18.00
LIDOCAINE 0.5 % SOLN $48.35
LIDOCAINE 1 % SOLN $23.80
LIDOCAINE 1 % SOLN 10 ML AMPULE $18.00
LIDOCAINE 1 % SOLN 20 ML VIAL $18.00
LIDOCAINE 2 % GEL 5 ML TUBE $16.80
LIDOCAINE 2 % PRSY 10 ML SYRINGE $15.40
LIDOCAINE 2 % SOLN $29.80
LIDOCAINE 2 % SOLN 20 ML VIAL $18.00
LIDOCAINE 4 % PTCH $8.40
LIDOCAINE 4 % SOLN 50 ML BOTTLE $129.30
LIDOCAINE 4%-EPINEPHRINE 0.05%-TETRACAINE 0.5% GEL $8.30
LIDOCAINE 4-5 MG/ML-% SOLN Per 10 mg $0.46
LIDOCAINE 5 % PTCH $32.00
LIDOCAINE HCL 4 % SOLN 4 ML BOTTLE $60.00
LIDOCAINE SOLN 50 ML BOTTLE $96.00
LIDOCAINE VISCOUS 2 % 20 ML, NYSTATIN 100000 UNIT/ML 500,000 UNITS $7.20
LIDOCAINE VISCOUS 2 % SOLN $6.00
LIDOCAINE VISCOUS 2 % SOLN 15 ML CUP $6.00
LIDOCAINE-EPINEPHRINE 0.5 %-1:200000 SOLN $18.00
LIDOCAINE-EPINEPHRINE 1 %-1:100000 SOLN $18.00
LIDOCAINE-EPINEPHRINE 1 %-1:100000 SOLN 50 ML VIAL $6.00
LIDOCAINE-EPINEPHRINE 1.5 %-1:200000 SOLN $18.00
LIDOCAINE-PRILOCAINE 2.5-2.5 % CREA 5 G TUBE $19.85
LIDOCAINE-PRILOCAINE 2.5-2.5 % KIT 1 EACH BOX $99.20
LINEZOLID 600 MG TABS $640.80
LINEZOLID 600 MG/300ML SOLN Per 200 mg $93.60
LIOTHYRONINE 25 MCG TABS $6.00
LIOTHYRONINE 5 MCG TABS $6.00
LIRAGLUTIDE 18 MG/3ML SOPN 3 ML PEN $1,146.70
LISINOPRIL 10 MG TABS $6.50
LISINOPRIL 10 MG TABS 1 EACH BLISTER $6.00
LISINOPRIL 2.5 MG TABS $6.50
LISINOPRIL 20 MG TABS 1 EACH BLISTER $6.00
LISINOPRIL 20 MG TABS 100 EACH BOX $6.00
LISINOPRIL 40 MG TABS 100 EACH BOTTLE $6.00
LITHIUM 150 MG CAPS $6.00
LITHIUM 300 MG CAPS $6.00
LITHIUM CITRATE 8 MEQ/5ML SOLN $6.00
LITHIUM CR 300 MG TBCR $6.00
LITHIUM CR 450 MG TBCR $6.00
LITHIUM SLOW RELEASE 300 MG TBCR $6.00
LOPERAMIDE 1 MG/5ML LIQD $6.00
LOPERAMIDE 2 MG CAPS $6.00
LORAZEPAM 0.5 MG TABS $6.50
LORAZEPAM 1 MG TABS $6.50
LORAZEPAM 2 MG TABS $6.50
LORAZEPAM 2 MG/ML SOLN 1 ML VIAL Per 2 mg $9.00
LORAZEPAM 2 MG/ML SOLN Per 2 mg $18.00
LOSARTAN 100 MG TABS $6.20
LOSARTAN 100 MG TABS 1 EACH BLISTER $6.20
LOSARTAN 100 MG TABS 90 EACH BOTTLE $6.20
LOSARTAN 50 MG TABS 1 EACH BLISTER $6.00
LOSARTAN 50 MG TABS 100 EACH BOX $6.00
LOXAPINE 10 MG CAPS $6.00
LURASIDONE 40 MG TABS $97.90
MAGNESIUM CHLORIDE 64 MG 64 MG TBEC $6.50
MAGNESIUM CITRATE 1.745 GM/30ML SOLN $6.00
MAGNESIUM HYDROXIDE 400 MG/5ML SUSP $6.00
MAGNESIUM OXIDE 400 (241.3 MG) MG TABS $6.00
MAGNESIUM OXIDE 400 MG TABS $6.00
MAGNESIUM SULFATE 1-5 GM/100ML-% SOLN Per 500 mg $45.50
MAGNESIUM SULFATE 2 GM/50ML SOLN Per 500 mg $22.75
MAGNESIUM SULFATE 50 % SOLN 2 ML VIAL Per 500 mg $996.15
MAGNESIUM SULFATE 50 % SOLN Per 500 mg $4.50
MAGNESIUM-ALUMINUM-SIMETHICONE 400-400-40 MG/5ML 20 ML SUSPENS $7.20
MAGNESIUM-ALUMINUM-SIMETHICONE 400-400-40 MG/5ML SUSP 30 ML CUP $6.90
MANNITOL 20 % SOLN $92.00
MANNITOL 20 % SOLN 500 ML FLEX CONT $91.00
MANNITOL 25 % SOLN Per 50 mL $91.00
MEASLES, MUMPS AND RUBELLA VACCINE SOLR Per 0.5 mL $375.90
MECLIZINE 12.5 MG TABS $6.00
MECLIZINE 25 MG TABS $6.50
MEDROXYPROGESTERONE 10 MG TABS $6.00
MEDROXYPROGESTERONE 2.5 MG TABS $6.00
MEGESTROL 20 MG TABS $6.00
MEGESTROL 40 MG TABS $6.00
MEGESTROL 400 MG/10ML SUSP $9.10
MELATONIN 3 MG TABS $6.00
MELOXICAM 7.5 MG TABS $6.20
MEMANTINE 10 MG TABS $12.25
MEMANTINE 5 MG TABS $12.25
MENTHOL 5 MG LOZG $6.50
MEPERIDINE 25 MG/ML SOLN Per 100 mg $28.60
MEPERIDINE 50 MG/ML SOLN Per 100 mg $18.00
MEPIVACAINE 1 % SOLN Per 10 mL $18.00
MERCAPTOPURINE 50 MG TABS $16.38
MEROPENEM 1 G SOLR 1 EACH VIAL Per 100 mg $20.80
MEROPENEM 500 MG SOLR 1 EACH VIAL Per 100 mg $5.57
MESALAMINE 250 MG CPCR $7.30
MESALAMINE 4 G ENEM $48.60
MESALAMINE ER 0.375 G CP24 $10.23
MESNA 100 MG/ML SOLN 10 ML VIAL Per 200 mg $14.40
METAXALONE 800 MG TABS $11.80
METFORMIN 500 MG TABS $6.50
METFORMIN 500 MG TABS 1 EACH BLISTER $6.00
METFORMIN 850 MG TABS $6.50
METFORMIN ER 500 MG TB24 $6.50
METHADONE 10 MG TABS $6.00
METHADONE 5 MG TABS $6.00
METHENAMINE 1 G TABS $6.00
METHIMAZOLE 5 MG TABS $6.00
METHOCARBAMOL 1000 MG/10ML SOLN Per 10 mL $99.00
METHOCARBAMOL 500 MG TABS $6.00
METHOCARBAMOL 750 MG TABS $6.50
METHOTREXATE (PF) 50 MG/2ML SOLN Per 5 mg $39.75
METHOTREXATE 2.5 MG TABS Per 2.5 mg $12.48
METHYLDOPA 250 MG TABS $6.00
METHYLDOPA 500 MG TABS $6.50
METHYLENE BLUE 1 % SOLN 1 ML VIAL Per 1 mg $7.25
METHYLENE BLUE 1 % SOLN 10 ML VIAL Per 1 mg $7.25
METHYLERGONOVINE 0.2 MG TABS $149.35
METHYLERGONOVINE 0.2 MG/ML SOLN Per 0.2 mg $123.50
METHYLPHENIDATE 5 MG TABS $6.00
METHYLPREDNISOLONE 16 MG TABS Per 4 mg $1.78
METHYLPREDNISOLONE 4 MG TABS Per 4 mg $6.00
METHYLPREDNISOLONE ACETATE 80 MG/ML SUSP Per 80 mg $88.05
METHYLPREDNISOLONE SODIUM SUCCINATE 1000 MG SOLR 1 EACH VIAL Pe $25.14
METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLR 1 EACH VIAL Per $23.35
METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLR Per 125 mg $22.35
METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG SOLR Per 40 mg $18.00
METOCLOPRAMIDE 1 MG/ML 10 MG/10ML SOLN $13.50
METOCLOPRAMIDE 10 MG TABS $6.00
METOCLOPRAMIDE 5 MG TABS $6.00
METOCLOPRAMIDE 5 MG/ML SOLN Per 10 mg $18.00
METOLAZONE 2.5 MG TABS $6.60
METOLAZONE 5 MG TABS $7.48
METOPROLOL SUCCINATE 200 MG TB24 $7.85
METOPROLOL SUCCINATE ER 100 MG TB24 $6.00
METOPROLOL TARTRATE 100 MG TABS $6.00
METOPROLOL TARTRATE 5 MG/5ML SOLN $18.00
METRONIDAZOLE 0.75 % GEL 70 G TUBE $326.10
METRONIDAZOLE 5-0.79 MG/ML-% SOLN Per 1 mL $91.00
METRONIDAZOLE 500 MG TABS $6.00
MEXILETINE 150 MG CAPS $6.00
MICAFUNGIN 100 MG SOLR 1 EACH VIAL Per 1 mg $8.98
MICAFUNGIN 50 MG SOLR 1 EACH VIAL Per 1 mg $8.98
MICONAZOLE 2 % CREA 28 G TUBE $6.65
MICONAZOLE 2 % OINT 141 G TUBE $21.45
MICONAZOLE 2 % POWD 43 G BOTTLE Per 1 each $7.95
MIDAZOLAM 2 MG/2ML SOLN Per 1 mg $18.00
MIDAZOLAM 2 MG/ML SYRP $14.70
MIDAZOLAM 5 MG/ML SOLN 1 ML VIAL Per 1 mg $0.99
MIDAZOLAM 50 MG/10ML SOLN 10 ML VIAL Per 1 mg $0.66
MIDODRINE 2.5 MG TABS $6.50
MIDODRINE 5 MG TABS $8.35
MILRINONE 10 MG/10ML SOLN 10 ML VIAL Per 5 mg $74.65
MILRINONE 20 MG/20ML SOLN 20 ML VIAL Per 5 mg $9.00
MILRINONE 20-5 MG/100ML-% SOLN Per 5 mg $91.00
MINERAL OIL ENEM $6.00
MINERAL OIL OIL $6.00
MINERAL OIL OIL 10 ML VIAL $33.40
MINOCYCLINE 100 MG CAPS $6.50
MINOXIDIL 2.5 MG TABS $6.00
MIRABEGRON ER 25 MG TB24 $30.75
MIRABEGRON ER 50 MG TB24 $30.75
MIRTAZAPINE 15 MG TABS $8.45
MIRTAZAPINE 15 MG TBDP $8.10
MIRTAZAPINE 30 MG TBDP $8.35
MIRTAZAPINE 7.5 MG TABS $6.00
MISOPROSTOL 100 MCG TABS $6.00
MISOPROSTOL 200 MCG TABS $6.00
MISOPROSTOL 25 MCG $6.00
MITOMYCIN 20 MG SOLR 1 EACH VIAL Per 5 mg $707.83
MODAFINIL 100 MG TABS $52.78
MOISTURIZING SOLN 59 ML BOTTLE $10.15
MOMETASONE FUROATE 0.1 % CREA 15 G TUBE $58.35
MOMETASONE-FORMOTEROL 200-5 MCG/ACT AERO 8.8 G INHALER $505.85
MONTELUKAST 10 MG TABS $17.15
MONTELUKAST 5 MG CHEW $17.60
MORPHINE (PF) 1 MG/ML SOLN Per 10 mg $26.20
MORPHINE 1 MG/ML NS SOLN Per 10 mg $9.10
MORPHINE 1 MG/ML SOLN Per 10 mg $30.33
MORPHINE 10 MG/ML SOLN 1 ML SYRINGE Per 10 mg $9.82
MORPHINE 15 MG TABS $6.00
MORPHINE 50 MG/ML SOLN 20 ML VIAL Per 10 mg $18.00
MORPHINE CR 100 MG TBCR $15.30
MORPHINE CR 60 MG TBCR $12.45
MORPHINE ER 15 MG TBCR $6.50
MORPHINE SOLN 1 ML SYRINGE Per 10 mg $18.00
MORPHINE SOLN 1 ML VIAL Per 10 mg $18.00
MORPHINE SOLN Per 10 mg $18.00
MORPHINE SULFATE 100 MG/5ML SOLN $6.00
MOXIFLOXACIN 0.5 % SOLN 3 ML BOTTLE $348.70
MULTI VITAMIN/MINERALS TABS $6.00
MULTIVITAMIN (ADULT MVI) INJ 10 ML VIAL Per 1 mL $43.75
MULTIVITAMIN (ADULT MVI) INJ 10 ML VIAL Per 10 mL $48.60
MULTIVITAMIN WITH MINERALS LIQD $6.50
MUPIROCIN 2 % OINT 1 G PACKAGE $28.15
MUPIROCIN 2 % OINT 22 G TUBE $85.50
MUPIROCIN CALCIUM 2 % OINT 1 G TUBE $41.00
MYCOPHENOLATE 250 MG CAPS Per 250 mg $7.94
MYCOPHENOLATE EC 360 MG TBEC Per 180 mg $9.15
NABUMETONE 500 MG TABS $6.50
NALBUPHINE 10 MG/ML SOLN Per 10 mg $18.00
NALOXONE 0.4 MG/ML SOLN 1 ML VIAL Per 1 mg $94.90
NALOXONE 0.4 MG/ML SOLN Per 1 mg $94.90
NALOXONE 2 MG/2ML SOSY Per 1 mg $79.20
NALTREXONE 380 MG SUSR Per 1 mg $14.88
NALTREXONE 50 MG TABS $10.75
NAPHAZOLINE-PHENIRAMINE 0.025-0.3 % SOLN 15 ML BOTTLE $18.05
NAPROXEN 250 MG TABS $6.00
NAPROXEN 375 MG TABS $6.50
NEBIVOLOL 10 MG TABS $11.50
NEBIVOLOL 5 MG TABS $11.70
NEOMYCIN 500 MG TABS $6.00
NEOMYCIN-BACITRACIN-POLYMYXIN 3.5-400-5000 OINT 28 G TUBE $15.25
NEOMYCIN-BACITRACIN-POLYMYXIN 3.5-400-5000 OINT 28.4 G TUBE $7.05
NEOMYCIN-BACITRACIN-POLYMYXIN 400-5-5000 OINT 1 EACH BOX $6.00
NEOMYCIN-BACITRACIN-POLYMYXIN 400-5-5000 OINT 1 EACH PACKET $6.00
NEOMYCIN-BACITRACIN-POLYMYXIN 400-5-5000 OINT 28.4 G TUBE $7.05
NEOMYCIN-BACITRACIN-POLYMYXIN 5-400-10000 OINT 3.5 G TUBE $105.10
NEOMYCIN-BACITRACIN-POLYMYXIN-PRAMOXINE 1 % OINT 28.4 G TUBE $8.65
NEOMYCIN-POLYMYXIN-DEXAMETHASONE 3.5-10000-0.1 OINT 3.5 G TUBE $40.00
NEOMYCIN-POLYMYXIN-DEXAMETHASONE 3.5-10000-0.1 SUSP 5 ML BOTTL $88.00
NEOMYCIN-POLYMYXIN-GRAMICIDIN 1.75-10000-.025 SOLN 10 ML BOTTLE $190.55
NEOMYCIN-POLYMYXIN-HYDROCORTISONE 3.5-10000-1 SOLN 10 ML BOTTL $209.80
NEOMYCIN-POLYMYXIN-HYDROCORTISONE 3.5-10000-1 SUSP 10 ML BOTTL $209.80
NEOMYCIN-POLYMYXIN-HYDROCORTISONE 3.5-10000-1 SUSP 7.5 ML BOTTL $340.50
NEOSTIGMINE 10 MG/10ML SOLN Per 0.5 mg $9.96
NIACIN 250 MG CPCR $6.00
NIACIN CR 500 MG TBCR $11.50
NICARDIPINE 2.5 MG/ML SOLN 10 ML VIAL $111.50
NICARDIPINE 40-0.83 MG/200ML-% SOLN $976.00
NICARDIPINE 40-5 MG/200ML-% SOLN $976.00
NICOTINE 14 MG/24HR PT24 $6.00
NICOTINE POLACRILEX 2 MG GUM 50 EACH BOX $6.00
NIFEDIPINE 10 MG CAPS $6.00
NIFEDIPINE ER 30 MG TB24 $6.00
NIFEDIPINE XL 60 MG TB24 $6.00
NIMODIPINE 30 MG CAPS $37.43
NITROFURANTOIN (MACROCRYSTAL-MONOHYDRATE) 100 MG CAPS $10.20
NITROFURANTOIN 50 MG CAPS $8.85
NITROGLYCERIN 0.1 MG/HR PT24 $6.00
NITROGLYCERIN 0.4 MG SUBL $6.00
NITROGLYCERIN 0.4 MG/SPRAY SOLN 4.9 G BOTTLE $448.95
NITROGLYCERIN 2 % OINT $6.00
NITROGLYCERIN 200-5 MCG/ML-% SOLN 250 ML GLASS CONT $93.00
NITROGLYCERIN 5 MG/ML SOLN $65.00
NITROPRUSSIDE 25 MG/ML SOLN 2 ML VIAL $1,440.00
NIVOLUMAB 100 MG/10ML SOLN 10 ML VIAL Per 1 mg $88.10
NIVOLUMAB 240 MG/24ML SOLN 24 ML VIAL Per 1 mg $89.42
NOREPINEPHRINE 1 MG/ML SOLN $18.00
NOREPINEPHRINE 1 MG/ML SOLN 4 ML AMPULE $37.80
NOREPINEPHRINE 1 MG/ML SOLN 4 ML VIAL $86.50
NORTRIPTYLINE 10 MG CAPS $6.00
NORTRIPTYLINE 25 MG CAPS $6.00
NYSTATIN 100000 UNIT/GM CREA 15 G TUBE $35.05
NYSTATIN 100000 UNIT/GM OINT 15 G TUBE $33.60
NYSTATIN 100000 UNIT/GM POWD 15 G BOTTLE $85.45
NYSTATIN 100000 UNIT/ML SUSP $6.50
NYSTATIN-TRIAMCINOLONE 100000-0.1 UNIT/GM-% CREA 60 G TUBE $454.60
NYSTATIN-TRIAMCINOLONE 100000-0.1 UNIT/GM-% OINT 60 G TUBE $706.85
OCRELIZUMAB 300 MG/10ML SOLN 10 ML VIAL Per 1 mg $260.00
OCTREOTIDE 100 MCG/ML SOLN 1 ML VIAL Per 25 mcg $11.94
OCTREOTIDE 100 MCG/ML SOLN Per 25 mcg $7.38
OCTREOTIDE 50 MCG/ML SOLN Per 25 mcg $12.15
OCTREOTIDE 500 MCG/ML SOLN 1 ML VIAL Per 25 mcg $11.93
OCTREOTIDE ACETATE 30 MG KIT Per 1 mg $515.78
OFLOXACIN 0.3 % SOLN 5 ML BOTTLE $479.85
OLANZAPINE 10 MG SOLR Per 1 each $107.30
OLANZAPINE 10 MG TABS $40.65
OLANZAPINE 15 MG TBDP $61.20
OLANZAPINE 2.5 MG TABS $22.40
OLANZAPINE 5 MG TABS $33.90
OLANZAPINE 5 MG TBDP $28.55
ONABOTULINUMTOXINA 100 UNITS SOLR Per 1 Units $28.85
ONDANSETRON 4 MG TBDP $71.90
ONDANSETRON 4 MG/2ML SOLN 2 ML VIAL Per 1 mg $4.50
ONDANSETRON 4 MG/2ML SOLN Per 1 mg $4.50
ONDANSETRON 40 MG/20ML SOLN 20 ML VIAL Per 1 mg $1.20
ONDANSETRON 8 MG TBDP $74.30
OPHTHALMIC IRRIGATION SOLN 118 ML BOTTLE $6.00
OPIUM-BELLADONNA 16.2-60 MG SUPP $66.95
ORPHENADRINE ER 100 MG TB12 $6.00
OSELTAMIVIR 30 MG CAPS $33.45
OSELTAMIVIR 75 MG CAPS $36.50
OXACILLIN 1 G SOLR 1 EACH VIAL Per 250 mg $11.28
OXALIPLATIN 100 MG/20ML SOLN 20 ML VIAL Per 0.5 mg $4.80
OXALIPLATIN 50 MG SOLR 1 EACH VIAL Per 0.5 mg $4.32
OXALIPLATIN 50 MG/10ML SOLN 10 ML VIAL Per 0.5 mg $4.80
OXAPROZIN 600 MG TABS $9.00
OXCARBAZEPINE 150 MG TABS $6.00
OXCARBAZEPINE 300 MG TABS $6.00
OXIDIZED CELLULOSE 3X4 PADS $219.70
OXIDIZED CELLULOSE 4X8 PADS $186.60
OXYBUTYNIN 5 MG TABS $6.00
OXYBUTYNIN XL 5 MG TB24 $7.00
OXYCODONE ER 10 MG T12A $9.95
OXYCODONE ER 20 MG T12A $18.49
OXYCODONE IMMEDIATE RELEASE 5 MG TABS $6.00
OXYCODONE-ACETAMINOPHEN 10-325 MG TABS $7.15
OXYCODONE-ACETAMINOPHEN 5-325 MG TABS $6.00
OXYCODONE-ACETAMINOPHEN 7.5-325 MG TABS $8.60
OXYMETAZOLINE 0.05 % SOLN 15 ML BOTTLE $10.55
OXYMETAZOLINE 0.05 % SOLN 30 ML BOTTLE $12.00
OXYTOCIN 10 UNIT/ML SOLN 1 ML VIAL Per 10 Units $18.00
OXYTOCIN 20-0.9 UNT/L-% SOLN Per 10 Units $45.50
OXYTOCIN 30-0.9 UT/500ML-% SOLN Per 10 Units $30.33
OYSTER SHELL CALCIUM 500 MG (ELEMENTAL) 500 MG TABS $6.00
OYSTER SHELL CALCIUM-VITAMIN D 500-200 MG-UNIT TABS $6.50
PACLITAXEL 100 MG/16.7ML CONC 16.7 ML VIAL Per 1 mg $1.44
PACLITAXEL 300 MG/50ML CONC 25 ML VIAL Per 1 mg $1.90
PALIPERIDONE 156 MG/ML SUSP Per 1 mg $27.07
PALIPERIDONE 410 MG/1.315ML SUSP Per 1 mL $10,156.85
PALIPERIDONE 410 MG/1.315ML SUSY Per 1 mg $46.96
PALIPERIDONE ER 3 MG TB24 $64.15
PALIPERIDONE ER 6 MG TB24 $61.10
PALONOSETRON 0.25 MG/5ML SOLN Per 25 mcg $143.62
PAMIDRONATE 90 MG/10ML SOLN 10 ML VIAL Per 30 mg $149.70
PANCRELIPASE (LIP-PROT-AMYL) 10500 UNITS CPEP $7.25
PANCRELIPASE (LIP-PROT-AMYL) 10500 UNITS CPEP 100 EACH BOTTLE $7.25
PANTOPRAZOLE 40 MG PACK $36.15
PANTOPRAZOLE 40 MG SOLR 1 EACH VIAL Per 1 vial $34.00
PANTOPRAZOLE EC 20 MG TBEC $32.55
PANTOPRAZOLE EC 40 MG TBEC $32.55
PAPAVERINE 30 MG/ML SOLN 2 ML VIAL Per 60 mg $171.75
PARICALCITOL 1 MCG CAPS $31.08
PARICALCITOL 2 MCG/ML SOLN Per 1 mcg $14.55
PAROXETINE 10 MG TABS $6.00
PAROXETINE 20 MG TABS $6.00
PATIROMER 8.4 G PACK $65.70
PEDIATRIC MULTIVITAMIN SOLN $6.50
PEMBROLIZUMAB 100 MG/4ML SOLN 4 ML VIAL Per 1 mg $229.93
PEMETREXED 500 MG SOLR 1 EACH VIAL Per 10 mg $171.30
PENICILLIN G BENZATHINE 1200000 UNIT/2ML SUSP Per 100000 Units $62.95
PENICILLIN G BENZATHINE 2400000 UNIT/4ML SUSP Per 100000 Units $64.49
PENICILLIN G BENZATHINE 600000 UNIT/ML SUSP Per 100000 Units $65.43
PENICILLIN G POTASSIUM 5000000 UNITS SOLR 1 EACH VIAL Per 600000 Unit $18.20
PENICILLIN VK 250 MG TABS $6.00
PENICILLIN VK 500 MG TABS $6.50
PENTOXIFYLLINE 400 MG TBCR $6.50
PENTOXIFYLLINE CR 400 MG TBCR $6.00
PERFLUTREN LIPID MICROSPHERE 6.52 MG/ML SUSP Per 1 mL $425.03
PERMETHRIN 1 % LIQD 59 ML BOTTLE $20.20
PERMETHRIN 5 % CREA 60 G TUBE $385.00
PERPHENAZINE 4 MG TABS $6.00
PHENAZOPYRIDINE 95 MG TABS $6.00
PHENOBARBITAL 130 MG/ML SOLN 1 ML VIAL Per 120 mg $135.93
PHENOBARBITAL 30 MG TABS $6.00
PHENOBARBITAL 32.4 MG TABS $6.00
PHENOBARBITAL 65 MG/ML SOLN Per 120 mg $125.27
PHENOL 1.4 % LIQD 177 ML BOTTLE $6.00
PHENOL 89 % SWAB $10.95
PHENTOLAMINE 5 MG SOLR Per 5 mg $1,925.95
PHENYLEPHRINE 0.25 % SOLN 15 ML BOTTLE $7.60
PHENYLEPHRINE 10 MG/ML SOLN 1 ML VIAL Per 1 mL $28.80
PHENYLEPHRINE SOSY 10 ML SYRINGE Per 1 mL $18.00
PHENYLEPHRINE-COCOA BUTTER 0.25-88.44 % SUPP $6.00
PHENYLEPHRINE-MINERAL OIL-PETROLATUM 0.25-14-74.9 % OINT 57 G TUB $16.00
PHENYTOIN 125 MG/5ML SUSP $17.30
PHENYTOIN 50 MG CHEW $6.00
PHENYTOIN 50 MG/ML SOLN 5 ML VIAL Per 50 mg $1.74
PHENYTOIN 50 MG/ML SOLN Per 50 mg $9.00
PHENYTOIN ER 100 MG CAPS $6.00
PHENYTOIN ER 30 MG CAPS $6.00
PHOSPHORUS 155-852-130 MG TABS $6.00
PHOXILLUM BK4/2.5 32-4-2.5-1 MEQ-MMOL/L SOLN Per 1 each $300.00
PHYTONADIONE (ADULT) 10 MG/ML SOLN Per 1 mg $14.78
PHYTONADIONE (PEDS) 1 MG/0.5ML SOLN 0.5 ML AMPULE Per 1 mg $20.40
PHYTONADIONE (PEDS) 1 MG/0.5ML SOLN Per 1 mg $20.40
PHYTONADIONE 10 MG/ML SOLN 1 ML AMPULE Per 1 mg $23.16
PHYTONADIONE 10 MG/ML SOLN Per 1 mg $23.18
PHYTONADIONE 5 MG TABS $141.05
PIOGLITAZONE 15 MG TABS $14.05
PIOGLITAZONE 45 MG TABS $23.25
PIPERACILLIN-TAZOBACTAM 2.25 (2-0.25) G SOLR 1 EACH VIAL Per 1.125 g $29.00
PIPERACILLIN-TAZOBACTAM 3.375 (3-0.375) G SOLR 1 EACH VIAL Per 1.125 g $16.00
PIPERACILLIN-TAZOBACTAM 3.375 (3-0.375) G SOLR Per 1.125 g $29.02
PIPERACILLIN-TAZOBACTAM 4.5 (4-0.5) G SOLR Per 1.125 g $21.43
PIROXICAM 20 MG CAPS $9.90
PNEUMOCOCCAL VACCINE 25 MCG/0.5ML INJ Per 0.5 mL $504.95
POLYCARBOPHIL 625 MG TABS $6.50
POLYETHYLENE GLYCOL 236 G SOLR 4,000 ML BOTTLE $48.00
POLYETHYLENE GLYCOL PACK $6.00
POLYETHYLENE GLYCOL POWD $40.95
POLYVINYL ALCOHOL 1.4 % SOLN 15 ML BOTTLE $11.15
POLYVINYL ALCOHOL-POVIDONE 5-6 MG/ML SOLN 15 ML BOTTLE $7.20
POTASSIUM & SODIUM PHOSPHATES 280-160-250 MG PACK $6.00
POTASSIUM ACETATE 2 MEQ/ML SOLN 20 ML VIAL $18.00
POTASSIUM BICARBONATE-POTASSIUM CHLORIDE 25 MEQ TBEF $6.00
POTASSIUM CHLORIDE 10 MEQ TBCR $6.50
POTASSIUM CHLORIDE 10 MEQ/100ML SOLN Per 2 mEq $18.20
POTASSIUM CHLORIDE 2 MEQ/ML SOLN 10 ML VIAL Per 2 mEq $1.80
POTASSIUM CHLORIDE 2 MEQ/ML SOLN 20 ML VIAL Per 2 mEq $996.15
POTASSIUM CHLORIDE 20 MEQ/100ML SOLN Per 2 mEq $9.10
POTASSIUM CHLORIDE 20 MEQ/15ML (10%) SOLN $37.20
POTASSIUM CHLORIDE CR 10 MEQ TBCR $6.00
POTASSIUM PHOSPHATE 45 MMOLE/15ML SOLN 15 ML VIAL $96.90
POTASSIUM PHOSPHATE MONOBASIC 500 MG TABS $6.00
POVIDONE-IODINE 10 % OINT 1 G PACKET $6.50
POVIDONE-IODINE 10 % SOLN 118 ML BOTTLE $6.00
PRAMIPEXOLE 0.125 MG TABS $6.50
PRAMIPEXOLE 0.25 MG TABS $6.00
PRAMIPEXOLE 1 MG TABS $6.70
PRAMOXINE 1 % FOAM 15 G CAN $104.85
PRAMOXINE-HYDROCORTISONE 1-1 % FOAM 10 G CAN $194.20
PRASUGREL 10 MG TABS $36.73
PRAVASTATIN 10 MG TABS $10.00
PRAZOSIN 1 MG CAPS $6.00
PREDNISOLONE 15 MG/5ML SOLN Per 5 mg $8.08
PREDNISOLONE ACETATE 1 % SUSP 5 ML BOTTLE $349.20
PREDNISONE 1 MG TABS Per 1 mg $2.00
PREDNISONE 2.5 MG TABS Per 1 mg $0.60
PREGABALIN 100 MG CAPS $20.60
PRENATAL VITAMIN (LOW IRON) 27-0.8 MG TABS $6.00
PRIMIDONE 250 MG TABS $6.00
PRIMIDONE 50 MG TABS $6.50
PRISMASOL BGK2/3.5 32-2-3.5 MEQ/L SOLN $260.00
PROCAINAMIDE 500 MG/ML SOLN 2 ML VIAL Per 1 g $449.30
PROCHLORPERAZINE 10 MG TABS $6.50
PROCHLORPERAZINE 10 MG/2ML SOLN Per 10 mg $86.40
PROCHLORPERAZINE 25 MG SUPP $24.55
PROCHLORPERAZINE 5 MG TABS $6.00
PROCHLORPERAZINE 5 MG/ML SOLN Per 10 mg $88.80
PROGESTERONE 100 MG CAPS $6.00
PROMETHAZINE 12.5 MG SUPP $35.45
PROMETHAZINE 12.5 MG TABS $6.00
PROMETHAZINE 25 MG SUPP $35.45
PROMETHAZINE 25 MG TABS $6.00
PROMETHAZINE 6.25 MG/5ML SYRP $6.00
PROMETHAZINE-CODEINE 6.25-10 MG/5ML SOLN $6.00
PROPAFENONE 150 MG TABS $6.00
PROPOFOL 1000 MG/100ML EMUL Per 10 mg $1.49
PROPOFOL 200 MG/20ML EMUL Per 10 mg $4.55
PROPRANOLOL 1 MG/ML SOLN Per 1 mg $38.40
PROPRANOLOL 10 MG TABS $6.00
PROPYLTHIOURACIL 50 MG TABS $6.00
PROTAMINE 10 MG/ML SOLN 5 ML VIAL Per 10 mg $11.80
PROTAMINE 10 MG/ML SOLN Per 10 mg $7.08
PROTHROMBIN COMPLEX CONCENTRATE (HUMAN) 1000 UNITS KIT Per 1 Int'l $11.60
PSEUDOEPHEDRINE 30 MG TABS $6.00
PSEUDOEPHEDRINE 60 MG TABS $6.00
PSEUDOEPHEDRINE ER 120 MG TB12 $6.00
PSYLLIUM 58.12 % PACK $6.00
PYRAZINAMIDE 500 MG TABS $15.48
PYRIDOSTIGMINE 60 MG TABS $6.00
PYRIDOXINE 100 MG TABS $6.50
PYRIDOXINE 100 MG/ML SOLN 1 ML VIAL Per 100 mg $36.50
QUETIAPINE 100 MG TABS $13.75
QUETIAPINE XR 400 MG TB24 $63.05
QUETIAPINE XR 50 MG TB24 $17.75
RABIES IMMUNE GLOBULIN 300 UNIT/2ML SOLN Per 1 mL $1,670.18
RABIES IMMUNE GLOBULIN 300 UNIT/ML SOLN Per 150 Units $1,533.86
RABIES VACCINE SUSR Per 1 mL $1,617.60
RACEPINEPHRINE 2.25 % 2.25 % NEBU $6.00
RALOXIFENE 60 MG TABS $14.30
RALTEGRAVIR 400 MG TABS $63.00
RANOLAZINE ER 500 MG TB12 $15.00
RASBURICASE 1.5 MG SOLR 1 EACH VIAL Per 0.5 mg $1,387.41
REGADENOSON 0.4 MG/5ML SOLN Per 0.1 mg $291.55
REMIFENTANIL 2 MG SOLR $617.38
REMIFENTANIL 2 MG SOLR 1 EACH VIAL $441.30
REMIFENTANIL 5 MG SOLR 1 EACH VIAL $751.00
REPAGLINIDE 1 MG TABS $7.33
RHO D IMMUNE GLOBULIN 1500 UNIT/2ML SOSY Per 100 Units $51.32
RIFABUTIN 150 MG CAPS $35.00
RIFAMPIN 150 MG CAPS $6.00
RIFAMPIN 300 MG CAPS $6.00
RIFAXIMIN 200 MG TABS $49.75
RIFAXIMIN 550 MG TABS $94.75
RINGERS SOLN $45.00
RISPERIDONE 0.25 MG TABS $12.15
RISPERIDONE 0.5 MG TABS $8.55
RISPERIDONE 1 MG TABS $9.15
RISPERIDONE 1 MG/ML SOLN $6.00
RISPERIDONE 3 MG TABS $17.88
RITONAVIR 100 MG PACK $20.60
RITONAVIR 100 MG TABS $18.55
RITUXIMAB 100 MG/10ML SOLN 10 ML VIAL Per 10 mg $450.97
RITUXIMAB 500 MG/50ML SOLN 50 ML VIAL Per 10 mg $450.97
RIVAROXABAN 10 MG TABS $35.85
RIVAROXABAN 2.5 MG TABS $17.95
ROCURONIUM 100 MG/10ML SOLN 10 ML VIAL Per 100 mg $18.00
ROCURONIUM 100 MG/10ML SOLN Per 100 mg $19.50
ROPINIROLE 0.25 MG TABS $7.80
ROPINIROLE 0.5 MG TABS $6.00
ROPINIROLE 1 MG TABS $7.80
ROPIVACAINE 0.2 % 2 MG/ML SOLN Per 1 mg $1.16
ROPIVACAINE 1 % 10 MG/ML SOLN 10 ML VIAL Per 1 mg $0.55
ROPIVACAINE 1 % 10 MG/ML SOLN Per 1 mg $0.54
ROPIVACAINE 5 MG/ML SOLN Per 1 mg $0.90
ROPIVACAINE SOLN Per 1 mg $1.01
ROSUVASTATIN 40 MG TABS $17.90
SACUBITRIL-VALSARTAN 24-26 MG TABS $28.80
SALINE (FLEET) ADULT 7-19 GM/118ML ENEM $6.00
SALINE NASAL GEL 14.1 G TUBE $6.15
SALSALATE 750 MG TABS $6.00
SCOPOLAMINE 1 MG/3DAYS PT72 $51.15
SENNA 8.6 MG TABS $6.00
SENNA-DOCUSATE 8.6-50 MG TABS $6.50
SERTRALINE 100 MG TABS $6.00
SEVELAMER CARBONATE 800 MG TABS $19.85
SILDENAFIL 25 MG TABS $132.95
SILVER SULFADIAZINE CREA 25 G TUBE $18.15
SILVER SULFADIAZINE CREA 400 G JAR $141.60
SILVER-POTASSIUM NITRATE 75-25 % MISC $6.00
SIMETHICONE 40 MG/0.6ML SUSP $6.00
SIMETHICONE 80 MG CHEW $6.00
SITAGLIPTIN 100 MG TABS $36.10
SITAGLIPTIN 25 MG TABS $36.10
SITAGLIPTIN 50 MG TABS 1 EACH BLISTER $36.10
SODIUM BICARBONATE 4.2 % SOLN Per 100 mL $518.80
SODIUM BICARBONATE 650 MG TABS $6.00
SODIUM BICARBONATE 650 MG TABS 100 EACH BOTTLE $6.00
SODIUM BICARBONATE 8.4 % SOLN 50 ML SYRINGE Per 50 mL $64.80
SODIUM BICARBONATE 8.4 % SOLN 50 ML VIAL Per 50 mL $286.80
SODIUM CHLORIDE 0.45 % $45.00
SODIUM CHLORIDE 0.45 % SOLN 1,000 ML FLEX CONT Per 1 mL $45.00
SODIUM CHLORIDE 0.45 % SOLN 500 ML FLEX CONT Per 1 mL $45.00
SODIUM CHLORIDE 0.45 % SOLN Per 1 mL $45.00
SODIUM CHLORIDE 0.65 % SOLN 44 ML BOTTLE $6.00
SODIUM CHLORIDE 0.65 % SOLN 45 ML SPRAY BOTTLE $8.05
SODIUM CHLORIDE 0.9 % NEBU $6.00
SODIUM CHLORIDE 0.9 % SOLN $45.00
SODIUM CHLORIDE 0.9 % SOLN 1,000 ML PLAS CONT $8.00
SODIUM CHLORIDE 0.9 % SOLN 100 ML FLEX CONT $45.00
SODIUM CHLORIDE 0.9 % SOLN 250 ML PLAS CONT $8.00
SODIUM CHLORIDE 0.9 % SOLN 3,000 ML FLEX CONT $36.00
SODIUM CHLORIDE 0.9 % SOLN 50 ML FLEX CONT $45.00
SODIUM CHLORIDE 0.9 % SOLN 50 ML VIAL Per 1000 mL $45.00
SODIUM CHLORIDE 0.9 % SOLN Per 1000 mL $45.00
SODIUM CHLORIDE 0.9% SOLN Per 1000 mL $77.75
SODIUM CHLORIDE 1 GM TABS $6.00
SODIUM CHLORIDE 10 % NEBU $6.00
SODIUM CHLORIDE 2 % SOLN 15 ML BOTTLE $36.45
SODIUM CHLORIDE 3 % SOLN Per 1 mL $0.38
SODIUM CHLORIDE 3% Per 1 mL $0.45
SODIUM CHLORIDE 4 MEQ/ML SOLN 30 ML VIAL Per 1 mL $1.80
SODIUM HYPOCHLORITE 0.125 % 0.125 % SOLN 473 ML BOTTLE $25.55
SODIUM PHOSPHATE 45 MMOLE/15ML SOLN 15 ML VIAL $158.50
SODIUM POLYSTYRENE 15 GM/60ML SUSP $22.60
SODIUM POLYSTYRENE POWD $27.05
SODIUM THIOSULFATE 25 % SOLN 50 ML VIAL $428.00
SORBITOL 3 % SOLN $97.20
SOTALOL 120 MG TABS $6.85
SOTALOL 80 MG TABS $6.00
SPIRONOLACTONE 25 MG TABS $6.50
STERILE TALC 4 G POWD $336.00
STERILE TALC 4 GM AERP $33.60
STERILE WATER (BOTTLE) SOLN 1,000 ML BOTTLE $6.00
STERILE WATER (BOTTLE) SOLN 1,000 ML PLAS CONT $12.00
STERILE WATER (BOTTLE) SOLN 250 ML BOTTLE $6.00
STERILE WATER (BOTTLE) SOLN 250 ML PLAS CONT $12.50
STERILE WATER (BOTTLE) SOLN 3,000 ML FLEX CONT $36.00
STERILE WATER SOLN $21.85
STERILE WATER SOLN 1,000 ML FLEX CONT $18.00
STERILE WATER SOLN 10 ML VIAL $18.00
STERILE WATER SOLN 20 ML VIAL $18.00
STRONG IODINE 5 % SOLN 14 ML BOTTLE $69.00
SUCCINYLCHOLINE 20 MG/ML SOLN Per 20 mg $9.60
SUCRALFATE 1 G TABS $9.35
SUCRALFATE 1 GM/10ML SUSP $28.05
SUCROSE 24 % SUSP $6.00
SUFENTANIL 100 MCG/2ML SOLN $18.00
SUGAMMADEX 200 MG/2ML SOLN Per 1 mL $478.80
SUGAMMADEX 500 MG/5ML SOLN Per 1 vial $526.20
SULFACETAMIDE 10 % SOLN 15 ML BOTTLE $111.30
SULFAMETHOXAZOLE-TRIMETHOPRIM 200-40 MG/5ML SUSP $18.20
SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG TABS $6.00
SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG/5ML SOLN 10 ML VIAL $49.08
SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG/5ML SOLN 30 ML VIAL $98.15
SULFAMETHOXAZOLE-TRIMETHOPRIM 800-160 MG TABS $6.00
SULFASALAZINE 500 MG TABS $6.00
SULINDAC 150 MG TABS $6.50
SULINDAC 200 MG TABS $6.00
SUMATRIPTAN 25 MG TABS $54.15
SUMATRIPTAN 50 MG TABS $50.30
SUMATRIPTAN SUCCINATE 6 MG/0.5ML SOLN Per 6 mg $306.00
TACROLIMUS 1 MG CAPS Per 1 mg $8.93
TAMOXIFEN 10 MG TABS $6.00
TAMSULOSIN 0.4 MG CAPS $8.45
TBO-FILGRASTIM 480 MCG/0.8ML SOSY Per 1 mcg $4.00
TDAP 5-2.5-18.5 LF-MCG/0.5 SUSP Per 0.5 mL $190.45
TEMAZEPAM 15 MG CAPS $6.00
TEMAZEPAM 30 MG CAPS $6.50
TEMAZEPAM 7.5 MG CAPS $14.75
TENOFOVIR 300 MG TABS $95.70
TERAZOSIN 1 MG CAPS $6.00
TERAZOSIN 5 MG CAPS $6.00
TERBINAFINE 250 MG TABS $26.15
TERBUTALINE 1 MG/ML SOLN Per 1 mg $18.00
TERBUTALINE 2.5 MG TABS $11.45
TERBUTALINE 5 MG TABS $13.30
TESTOSTERONE CYPIONATE 200 MG/ML SOLN Per 1 mg $0.43
TETANUS IMMUNE GLOBULIN 250 UNIT/ML INJ Per 250 Units $2,543.55
TETANUS-DIPHTHERIA TOXOIDS TD 2-2 LF/0.5ML SUSP Per 0.5 mL $120.60
TETRACAINE 0.5 % SOLN 4 ML PLAS CONT $24.60
TETRACAINE 1 % SOLN $136.70
TETRACYCLINE 250 MG CAPS $15.75
TETRAHYDROZOLINE 0.05 % SOLN 15 ML BOTTLE $6.00
THEOPHYLLINE ER 100 MG CP24 $6.00
THEOPHYLLINE ER 300 MG TB12 $8.60
THEOPHYLLINE ER 400 MG TB24 $6.00
THIAMINE 100 MG/ML SOLN 2 ML VIAL Per 100 mg $24.88
THIOTHIXENE 1 MG CAPS $6.00
THROMBIN (RECOMBINANT) 5000 UNIT SOLR Per 1 each $412.80
THROMBIN 20000 UNIT KIT 1 EACH BOX $1,283.95
THYROID 30 MG TABS $6.00
THYROID 60 MG TABS $6.00
TICAGRELOR 60 MG TABS $15.00
TICAGRELOR 90 MG TABS $15.00
TIGECYCLINE 50 MG SOLR 1 EACH VIAL Per 1 mg $15.02
TIMOLOL 0.25 % SOLN 5 ML BOTTLE $30.00
TIMOLOL 0.5 % SOLG 5 ML BOTTLE $434.55
TIMOLOL 0.5 % SOLN 5 ML BOTTLE $12.10
TIOTROPIUM 18 MCG CAPS $40.85
TIOTROPIUM BROMIDE-OLODATEROL 2.5-2.5 MCG/ACT AERS 4 G INHALER $954.40
TIZANIDINE 2 MG TABS $6.50
TIZANIDINE 4 MG TABS $6.00
TOBRAMYCIN 0.3 % OINT 3.5 G TUBE $514.50
TOBRAMYCIN 0.3 % SOLN 5 ML BOTTLE $45.30
TOBRAMYCIN 80 MG/2ML SOLN 2 ML VIAL Per 80 mg $16.28
TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OINT 3.5 G TUBE $547.75
TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % SUSP 2.5 ML BOTTLE $121.40
TOCILIZUMAB 400 MG/20ML SOLN 20 ML VIAL Per 1 mg $26.86
TOLNAFTATE 1 % CREA 14.18 G TUBE $6.00
TOLVAPTAN 15 MG TABS $1,081.95
TOLVAPTAN 30 MG TABS $1,122.40
TOPIRAMATE 100 MG TABS $12.40
TORSEMIDE 10 MG TABS $6.00
TORSEMIDE 20 MG TABS $6.00
TPN-CLINIMIX 5/15 $996.15
TPN-CLINIMIX 5/15 (CUSTOM ELECTROLYTES) $996.15
TPN-CLINIMIX 5/15 (CUSTOM ELECTROLYTES) - WITH MVI AND TRACE ELE $996.15
TPN-CLINIMIX 5/15 (ELECTROLYTES CAN BE CUSTOMIZED) - WITH MVI AN $996.15
TPN-CLINIMIX 5/15 (STANDARD ELECTROLYTES) $996.15
TPN-CLINIMIX E 5/15 WITH STANDARD ELECTROLYTES - WITH MVI AND TR $996.15
TRAMADOL 50 MG TABS $6.00
TRANEXAMIC ACID 1000 MG/10ML SOLN 10 ML VIAL Per 1 each $144.00
TRASTUZUMAB 150 MG SOLR 1 EACH VIAL Per 10 mg $498.00
TRAZODONE 100 MG TABS $6.00
TRAZODONE 50 MG TABS $6.00
TRETINOIN 10 MG CAPS $62.76
TRIAMCINOLONE 0.025 % CREA 15 G TUBE $8.95
TRIAMCINOLONE 0.1 % OINT 453.6 G JAR $59.90
TRIAMCINOLONE 0.1 % OINT 80 G TUBE $27.85
TRIAMCINOLONE 0.1 % PSTE 5 G TUBE $161.20
TRIAMCINOLONE ACETONIDE 40 MG/ML SUSP Per 10 mg $11.23
TRIAMTERENE-HYDROCHLOROTHIAZIDE 37.5-25 MG TABS $6.00
TRIAMTERENE-HYDROCHLOROTHIAZIDE 75-50 MG TABS $6.50
TRIHEXYPHENIDYL 2 MG TABS $6.50
TRIMETHOBENZAMIDE 100 MG/ML SOLN Per 200 mg $185.05
TRIMETHOBENZAMIDE HCL 300 MG CAPS $6.00
TRIMETHOPRIM 100 MG TABS $6.50
TRIMETHOPRIM-POLYMYXIN B 10000-0.1 UNIT/ML-% SOLN 10 ML BOTTLE $264.45
TROLAMINE SALICYLATE 10 % CREA 85 G TUBE $7.65
TROPICAMIDE 1 % SOLN 3 ML BOTTLE $43.55
TUBERCULIN 5 UNIT/0.1ML SOLN $27.30
URSODIOL 300 MG CAPS $15.45
USTEKINUMAB 130 MG/26ML SOLN 26 ML VIAL Per 1 mg $53.17
VALACYCLOVIR 500 MG TABS $14.45
VALPROATE 100 MG/ML SOLN 5 ML VIAL $118.40
VALPROATE SODIUM 250 MG/5ML SOLN $6.50
VALPROIC ACID 250 MG CAPS $6.00
VALPROIC ACID 250 MG/5ML SOLN $6.00
VANCOMYCIN 1 G SOLR 1 EACH VIAL Per 500 mg $28.63
VANCOMYCIN 500 MG SOLR 1 EACH VIAL Per 500 mg $18.00
VANCOMYCIN SOLN $6.00
VARENICLINE 1 MG TABS $18.10
VASOPRESSIN 20 UNIT/ML SOLN 1 ML VIAL Per 1 mL $863.00
VECURONIUM 10 MG SOLR $34.75
VEDOLIZUMAB 300 MG SOLR 1 EACH VIAL Per 1 mg $103.50
VENLAFAXINE 25 MG TABS $6.00
VENLAFAXINE XR 37.5 MG CP24 $7.50
VENLAFAXINE XR 75 MG CP24 $35.48
VERAPAMIL 120 MG TABS $6.00
VERAPAMIL 2.5 MG/ML SOLN $138.95
VERAPAMIL 2.5 MG/ML SOLN 2 ML VIAL $138.95
VERAPAMIL ER 120 MG CP24 $6.05
VERAPAMIL ER 180 MG CP24 $6.00
VERAPAMIL SR 120 MG TBCR $6.00
VINBLASTINE 1 MG/ML SOLN 10 ML VIAL Per 1 mg $16.08
VINCRISTINE 1 MG/ML SOLN 1 ML VIAL Per 1 mg $45.00
VINCRISTINE 1 MG/ML SOLN 2 ML VIAL Per 1 mg $23.10
VINORELBINE 50 MG/5ML SOLN 5 ML VIAL Per 10 mg $63.82
VITAMIN A & D OINT 113 G TUBE $7.95
VITAMIN A & D OINT 56 G TUBE $6.00
VITAMIN A 10000 UNIT CAPS $6.00
VITAMIN B-1 100 MG TABS $6.50
VITAMIN B-12 1000 MCG TABS $6.00
VITAMIN B-12 500 MCG TABS $6.00
VITAMIN C 500 MG TABS $6.00
VITAMIN D2 (ERGOCALCIFEROL) 50000 UNITS CAPS $6.00
VITAMIN D3 (CHOLECALCIFEROL) 1000 UNIT TABS $6.00
VITAMIN D3 (CHOLECALCIFEROL) 25 MCG TABS $6.00
VITAMIN E 200 UNITS CAPS $6.00
VITAMIN E 400 UNIT CAPS $6.00
VORICONAZOLE 200 MG SOLR 1 EACH VIAL Per 10 mg $35.81
VORICONAZOLE 50 MG TABS $36.60
WARFARIN 1 MG TABS $6.00
WARFARIN 2.5 MG TABS $6.00
WARFARIN 7.5 MG TABS $7.40
ZINC OXIDE 20 % OINT 28.35 G TUBE $6.20
ZINC OXIDE 20 % OINT 28.4 G TUBE $13.15
ZINC SULFATE 220 MG CAPS $6.00
ZIPRASIDONE 20 MG CAPS $16.93
ZIPRASIDONE 80 MG CAPS $7.80
ZOLEDRONIC ACID 4 MG/5ML CONC 5 ML VIAL Per 1 mg $1,074.74
ZOLEDRONIC ACID 5 MG/100ML SOLN Per 1 mg $803.52
ZOLPIDEM 5 MG TABS $9.25
ZONISAMIDE 100 MG CAPS $6.00

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