Charge Code Charge Desc Charge Amt 3140100 3 WEST ... · Charge Code Charge Desc Charge Amt 3140100...

Charge Code Charge Desc Charge Amt

3140100 3 WEST TELEMETRY 2200

3149000 OBSERVATION ROOM (PER HOUR) 70

3150100 4 WEST PRIVATE 1700

3150103 4 W NURSERY WELL BABY BASSINET 980

3152022 CHG EXTENDED RECOVERY HR 63

3180100 6 WEST PRIVATE - Paragon 1700

3182021 CHG DIRECT OBS FROM OFFICE 1846

3190100 4 EAST PRIVATE - Paragon 1700


3210130 4 NORTH PRIVATE LDR-PARAGON 1700

3210135 4 NORTH PRIVATE GYN-PARAGON 1700

3212023 RHOGRAM INJECTION 225


3250125 3 EAST PROGRESSIVE CARE 2200

3260100 5 WEST PRIVATE - Paragon 1700

3300100 6 NORTH PRIVATE 1700

3400100 3 NORTH PRIVATE - Paragon 1700

3510200 CC INTENSIVE CARE 3400

3511190 CHG STERNOTOMY CCC 1415

3511193 CHG CARDIOVERSION CCC 1970

3513050 INSERTION ARTERIAL LINE 1415

3513055 IMMUNIZATION ADMINISTRATION (CCU) 220

3520028 CHG INSERTION PACEMAKER 1415

3520040 SICU OBSERVATION 9

3520052 CHG EXTERNAL PACER/DEFIB 255

3520053 CHG HEMODYNAMIC MONITOR DAIL SCC 120

3520100 CHG INSERTION AORTIC BALLOON 1415

3520130 SURGICAL INTENSIVE CARE 3400

3520200 SC INTENSIVE CARE 3400

3521190 CHG STERNOTOMY SCC 1415

3521193 CHG CARDIOVERSION SCC 1970

3521194 CHG FORCED AIR WARMING SCC 63

3530040 CV INTENSIVE CARE HOURLY 99

3530200 CVI INTENSIVE CARE 3400

3530625 CHG ACT-ACTIVATED CLOT TIME CVICU 58

3531185 CHG CPR CVI 921

3531190 CHG STERNOTOMY CVICU 1285

3531193 CHG CARDIOVERSION CVICU 1970

3533055 IMMUNIZATION ADMINISTRATION (CVICU) 220

3700100 4N NURSERY WELL BABY BASSINET 980

3700101 INTERMEDIATE CARE NURSERY 1280

3700102 SPECIAL CARE NURSERY 1405

3700130 CHG INSERTION PICC/MIDLINE<5YRS 3150

3701740 CHG CIRCUMCISION NEWBORN 265

3705390 CHG PHOTO THERAPY PER DAY 50

3705600 CHG PEDIATRIC PNEUMOGRAM 825

3705610 CHG STERILE PROCEDURE 440

3705611 CAR SEAT/BED TEST 60 MIN 125

3705612 CAR SEAT/BED TEST + 30 MIN 60

3705615 CHG NEONATAL RESUSCITATION 500

3705625 CHG NEWBORN SCREENING-PKU 175

3705630 IMMUNIZATION ADMINISTRATION (NUR) 220

4004260 PERFUSION-KWAN 3396

4004265 PERFUSION SUPPLIES 1269

4004270 PERFUSION STANDBY 1196

4004280 AUTOTRANSFUSION < 6 HOURS 1238

4004281 AUTOTRANSFUSION >6HRS PER HOUR 89

4004285 AUTOTRANSFUSION STANDBY/CANCEL 505

4004290 COLLECTION RESERVOIR EXTRA 125

4004291 ASPIRATION/ANTICOAG ASSEMBLY 63

4004292 CIRCUIT SET EXTRA 323

4011173 BLOOD PATCH-OR 2770

4014025 ABDOMINAL AORTOGRAM W/INTERVENT 12381

4014135 EXTREMITY UNILSTERAL W/INTERVENT 12381

4014140 EXTREMITY BILATERAL W/O INTERVENT 9016

4014230 SURGICAL TIME PER MINUTE 61

4014290 EXTREMITY UNILATERAL W/O INTERVEN 2997

4014505 ULTRASOUND CATHETER GUIDANCE-VASCULAR 379

4014510 EMG-ANAL/URETH SPHINC W/NEEDLE ELECTRODE 850

4014511 EEG 41-60 MINUTES 731

4014513 EMG THORACIC 206

4014514 EMG LIMITED 1 LIMB <5 MUSCLES OR ABDOMEN 217

4014515 EMG W/NCV < 5 MUSCLES PER LIMB 217

4014516 EMG W/NCV > 5 MUSCLES PER LIMB 217

4014517 SSEP UPPER LIMBS 872

4014518 SSEP LOWER LIMBS 514

4014519 SSEP UPPER AND LOWER LIMBS 872

4014520 tcMEP UPPER EXTREMITIES 872

4014521 tcMEP LOWER EXTREMITIES 3465

4014522 tcMEP UPPER AND LOWER EXTREMITIES 872

4014523 EEG DURING NONCRANIAL SURGERY 731

4014524 EMG W/NCV NON-LIMB 217

4014525 NEUROMUSCULAR JUNCTION TESTING 206

4014526 NERVE AND/OR SENSORY CONDUCTION 206

4014527 EMG-2 EXT-MORE THAN 5 MUSCLES STUDIED 217

4014530 ULTRASOUND GUIDANCE FOR NEEDLE PLACEMENT 379

4014535 ULTRASOUND GUIDANCE, INTRAOPERATIVE 379

4014540 ULTRASOUND, TRANSRECTAL 395

4021452 DISKOGRAPHY, LUMBAR, RADIOLOGICAL 15438

4021466 CHOLANGIOGRAM INTRAOP S & I 645

4021480 ATTEMPT CHOLANG INTRAOP S & I 645

4021551 FLUOROSCOPIC GUIDE,VAD PLACE/REMO 437

4021617 CYSTOGRAM S & I 879

4021621 UROGRAM RETROGRADE S & I 879

4021635 UROGRAM ANTEGRADE S & I 1020

4022000 LITHOTRIPSY EX SHOCK WAVE 12480

4031800 PEG TUBE REPLACEMENT 412

4032000 DILATOR-BALLOON 823

4032001 BILIARY RETRIEVAL BALLOON 806

4032002 CATH BALLOON DILATATION CRE 806

4032003 CAUTERY GOLD PROBE 823

4032005 CYTOLOGY BRUSH 233

4032013 FEEDING TUBE-ENDO TUBE 477

4032015 GUIDE WIRE 493

4032017 HOT BX FORCEP 482

4032018 J TUBE 531

4032020 PANCREATIC/BILIARY STENTS 866

4032021 PAPPILLOTOMIES/SPHINCTERO 1104

4032022 PEG KITS 602

4032025 POLYPECTOMY SNARE 363

4032026 REGULAR BIOPSY FORCEP 460

4032027 SCLERATHERAPY NEEDLE 477

4032028 TRACER WIRE 866

4032029 WIRE BASKET STONE EXT 1061

4032031 COLON DECOMPRESSION TUBE 331

4032032 ULTRA TOME/STONE TOME 580

4032035 BRONCHOSCOPY/FB/BX 1964

4032037 TRANS-ESOPHAGEAL ECHO 1937

4032039 FORCEPS BX JUMBO 82

4032040 FORCEPS BIOPSY PULMONARY 255

4032060 BILIARY STENT-METAL Z WALL 4203

4032550 VARICIES BANDING 996

4033004 EN BRONCHOSCOPY 2959

4033005 EN B/WASHINGS 2959

4033007 EN B/BIOPSY, SINGLE/MULTIPLE 2959

4033009 EN B/BRUSHINGS 2959

4033011 EN B/REMOVAL FB 2959

4033012 EN E/BAND LIGATION OF VARICES 2542

4033016 EN ER/INSERTION STENT 8464

4033018 EN BONE MARROW BIOPSY/ASPIRATION 6105

4033020 EN E/BX,SINGLE/MULTIPLE 2542

4033029 EN C/DILATION BALLOON 2689

4033030 EN COLONSCOPY 2689

4033031 EN C/REMOVAL FB 2689

4033033 EN C/BX SINGLE/MULTIPLE 2689

4033034 EN C/CONTROL BLEEDING 2689

4033035 EN C/REMOVAL-HOT BX FORC 2689

4033036 EN C/REMOVAL BY SNARE 2689

4033037 EN C/COLON DECOMPRESSION 2689

4033038 EN C/INJECTION ANY SUBST 2689

4033040 EN EGD 2542

4033041 EN E/STENT PLACEMENT 2542

4033042 EN E/BALLOON DILATATION 2542

4033043 EN E/RIGID DILATION 2542

4033045 EN E/REMOVAL HOT BX FORCEPS 2542

4033046 EN PLACEMENT ENDO TUBE 2542

4033047 EN E/REMOVAL BY SNARE 2542

4033048 EN ERCP 5863

4033049 EN ER/BX SINGLE/MULTIPLE 5863

4033052 EN ER/BALLOON DILATION OF DUCTS 5863

4033054 EN F/SIGMOIDOSCOPY W/BX 1488

4033055 EN FLEXIBLE SIGMOIDOSCOPY 1488

4033056 EN F/REMOVAL FB 1488

4033057 EN F/REMOVAL HOT BX FORCEP 2418

4033059 EN F/REMOVAL BY SNARE 2418

4033080 EN ER/SPHINCTEROTOMY/PAPILLOTOM 5863

4033082 EN E/PEG PLACEMENT 2542

4033083 EN PEG REMOVAL W/O EGD 250

4033086 EN PEG REPLACEMENT 2542

4033088 EN PEG 2542

4033092 EN E/REMOVAL FB 2542

4033096 EN ER/STONE REMOVAL 5863

4033099 EN E/SCLEROSIS OF VARICES 2542

4034018 PEG TUBE INITIAL 1467

4034019 SPHINCTER/PAPILLO W/ERCP 2380

4034021 STONE REMOVAL, CBD W/ERCP 2548

4034022 EN ER/INSERT,DRAINAGE TUBE 2473

4034026 PEG TUBE REMOVAL 493

4034028 DOPPLER ECHO 277

4034029 DOPPLER ECHO PROFESSIONAL 217

4034036 ESOPHAGEAL REFLUX TEST W/CAP PLACEMENT 1830

4034037 EGD W OR WO BX FOR BRAVO CAP PLACEMENT 3370

4034038 GI TRACT CAPSULE ENDOSCOPY 2920

4040400 OBSERVATION PER HOUR 55

4041173 BLOOD PATCH 2770

4041175 MYASTHENIA GRAVIS ENLON TEST 639

4041193 CARDIOVERSION 1970

4041194 ICD THRESHOLD EVALUATION 2954

4041198 PACU SPECIAL PROCEDURE 1261

4045910 RECOVERY POST-OP 1 HOUR 1126

4045920 RECOVERY POST-OP ADD 15M 288

4045950 PACU PROGRESSIVE CARE 2200

4046000 PACU PRIVATE 1700

4050075 CHG BLOOD ADMINISTRATION-OPT 1144

4050096 CHG INSERT BLADDER CATH SIMPLE 629

4050097 CHG RECLAST ADMINISTRATION 671

4050098 CHG PROLIA ADMINISTRATION 225

4050140 CHG BLADDER INSTILL-ANTICARC-OP 1019

4050150 CHG PHLEBOTOMY, THERAPEUTIC 376

4050160 CHG REMVL CENT VEN CATH 1851

4051100 CHG IRRIGATION OF VAD 376

4051150 CHG REMOVAL OF PICC LINE 239

4051151 CHG BLADDER SCAN 250

4051152 CHG BLD COLLECT VENIPUNCTURE 17

4051153 CHG BLD COLLECT VAD 376

4051154 CHG BLD COLLECT CVC/PICC 376

4051500 CHG CHEMOTHERAPY INFUS 1ST HR 985

4051503 CHG CHEMOTHERAPY INFUS-ADD HR 985

4051509 CHG METHOTHREXATE IM 363

4051510 CHG CHEMO, HORM, SQ/IM 363

4051515 CHEMO IV PUSH SNGL DRUG 735

4052525 CHG CATH INSERT FOR SPEC COLLECT 17

4052526 DECLOT PICC/VAD 715

4052600 ANEMIA CLINIC BLD VENIPUNCTURE 17

4052601 ANEMA CLINIC IV INFUSION THERAPY 671

4052602 ANEMIA CLINIC IM/SQ INJECT 225

4052603 ANEMIA CLINIC INITIAL VISIT 250

4052605 ANEMIA CLINIC IVF ADD'L HR 125

4052606 CHG SOLUMEDROL IVF, 1ST HR 671

4052607 CHG SOLUMEDROL IVF, ADD'L HR 125

4057400 CHG REMICADE IVF, 1ST HOUR 899

4057401 CHG REMICADE IVF, EACH ADD'L HOUR 163

4057402 CHG PAIN PUMP ANALYSIS ONLY 1179

4057403 CHG PAIN PUMP REPROGRAM 1179

4057404 CHG PAIN PUMP REFILL 1179

4057405 CHG PAIN PUMP MD REFILL 1179

4057406 IMMUNIZATION ADMINISTRATION (OPT) 220

4057408 2E OPT PROGRESSIVE CARE 2200

4057409 CHG PROVENGE IVF, 1ST HOUR 985

4057410 CHG PROVENGE IVF, EACH ADD'L HOUR 185

4057412 ESOPHAGEAL MANOMETRY TEST 1830

4057414 UNSUCCESSFUL ESOPHAGEAL MANOMETRY TEST 915

4082021 EXCHANGE TRANSFUSION BLOOD; NEWBORN 1440

4082022 UMBIL CATH NB FOR DX OR TX 300

4082023 I & D VAGINAL HEMATOMA PP 5175

4082025 INSERT CERVICAL DILATOR 1030

4082026 IMMUNIZATION ADMINISTRATION (4N) 220

4082030 FETAL CONTRACTION STRESS TEST 520

4082035 FETAL NON STRESS TEST 624

4082036 FETAL NST EA ADD'L FETUS 624

4082040 EFM LABOR CHECK 315

4082041 EFM LABOR CHECK EA ADD'L FETUS 315

4082170 VAGINAL DELIVERY 1440

4082175 HIGH RISK DELIVERY 1910

4084780 LACTATION KIT 201

4120001 TETRACAINE HCL 0.5% DROP 15ML $60.40

4120003 CEFAZOLIN IN DEXTROSE 1GM/50ML PGBK $174.65

4120004 MISOPROSTOL TAB 50MCG $36.50


4120006 ROTIGOTINE PATCH 3MG/2HR PT24 $54.25

4120007 TRACE METALS INJ 5ML $174.20

4120008 ACETAMINOPHEN TAB 650MG $5.20

4120009 ACETAMINOPHEN SUPP 325MG $5.20


4120011 BOTULISM TOXIN A, 100 UNIT $2,602.05

4120013 PROVIGIL TABLET 200MG $48.10

4120014 TACROLIMUS SOLN 5MG/ML 1 ML $863.30

4120015 HOMATROPINE 2% OPH DROPS 5ML $97.30

4120016 MYCOPHENOLATE MOFETIL HCL SOLR 500MG $8,211.35

4120017 INSULIN ASPART INJ 100UNIT/ML-3ML $89.95

4120018 VANCOMYCIN BULK SOLN 1GM $174.75

4120019 ABILIFY TAB 10 MG $41.30

4120020 BROMPHENIRAMINE-PSEUDO-DM SYRP 5ML $36.95

4120021 D5RL 1L W/OXYTOCIN 20 UNITS $182.60

4120024 METFORMIN SR TAB 750MG $36.05

4120025 ACTIFED (GENERIC) TAB $35.90

4120026 ACTIFED SYRUP 5ML $36.85

4120027 ETODOLAC CAP 300MG $40.00

4120028 PHENYLEPHRINE 2.5% DROP 1ML $75.80

4120029 CYCLOPENTOLATE 1% DROP 1ML $62.45

4120030 LR 500 ML W/OXYTOCIN 30 UNITS $188.80

4120031 AMMONIUM LACTATE 5% LIQD $71.10

4120033 TROPICAMIDE 1% DROP 1ML $60.00

4120034 KETOROLAC 0.4% DROP 5ML $78.00

4120035 GATIFLOXACIN 0.5% DROP 2.5ML $488.60

4120036 MAGNESIUM SULFATE 6GM/100D5W $177.05

4120038 DOXORUBICIN INJ 50MG $191.10

4120040 VECURONIUM BROMIDE SOLR 20MG/1ML $171.45

4120041 DILTIAZEM TAB 60MG UD $36.00

4120042 VECURONIUM BROMIDE SOLR 20MG/10ML $182.15

4120043 AFRIN 0.05% NOSE SPRAY 15ML $60.85

4120044 OXYMETAZOLINE 0.5% SPRAY 30ML $60.05

4120045 ASPIRIN SUPPOSITORY 300MG $5.20

4120046 ASPIRIN SUPPOSITORY 600MG $5.20

4120047 VITAMIN A PALMITATE SOLN 50,000 U/ML 2ML $5,009.15

4120048 VANCOMYCIN 100MG/ML BULK 10GM $174.50

4120049 EURAX 10% LOTION 60ML $73.20

4120050 DILTIAZEM CD 360MG CAP CP24 $36.35

4120051 CIPRODEX OTIC SUSP SOLN 7.5ML $854.40

4120052 ALDACTAZIDE TAB $39.15

4120053 SPIRONOLACTONE TAB 25MG $35.95

4120054 SPIRONOLACTONE LIQ 5MG/ML $36.80

4120055 MAG SO4 2GM - 1/2 NS 50ML $172.60

4120056 METHYLDOPA TAB 250MG $36.05

4120057 METHYLDOPA TAB 500MG $36.10

4120059 ALDORIL-15 TAB UD *NF* $39.45

4120060 ALDORIL-25 TAB UD *NF* $39.50

4120061 LEVONORGESTREL 1.5MG TAB $67.15

4120062 ETOMIDATE INJ 20MG/10ML $174.10

4120063 CLOTRIMAZOLE TROCHE 10MG $36.85

4120064 BUPRENORPHINE/NALOXONE 2 - 0.5MG SUBL $39.60

4120065 MELPHALAN TAB 2MG $55.35

4120066 BUPRENORPHINE 2MG SUBL $37.25

4120067 TYLENOL W COD LIQ 12.5ML $178.70

4120068 TELMISARTAN TAB 20MG $40.45

4120069 TYLENOL 2 COD LIQ 5ML $40.35

4120070 VALSARTAN TAB 40MG $41.70

4120071 ALUPENT TAB 10MG $39.40

4120072 ALUPENT TAB 20MG $39.55

4120073 LABESARTAN TAB 300MG $41.00

4120074 HYDROCODONE-APAP SOLN 2.5-108MG/5ML $45.45

4120075 REGADENOSON SYRG 0.4MG/5ML (LEXISCAN) $215.20

4120076 TRACE ELEMENTS NEONATAL 2ML SOLN $176.15

4120078 LACOSAMIDE 150MG IN 100ML NS SOLR $226.40

4120081 AMICAR TAB 500MG $41.20

4120082 AMINOCAPROIC ACID INJ 5G $175.70

4120083 CLINDAMYCIN 900MG/D5W 100ML $174.60

4120084 AMIKIN INJ 500MG/2ML *NF* $81.15

4120085 CLINDAMYCIN 600MG/100ML $174.90

4120090 LACOSAMIDE 50MG IN 10ML NS SOLR $170.35

4120094 AMMONIA INHALER 0.3ML EA. $36.25

4120095 AMOXICILLIN CAP 250MG $35.95

4120096 AMOXICILLIN CAP 500MG $35.95

4120097 DOXYLAMINE-PYRIDOXIME ER TAB 10MG/10MG $42.30

4120098 AMBISOME INJ 50MG $945.50

4120099 AMPHOTERICIN B INJ 50MG $204.05

4120100 AMPICILLIN CAP 250MG $36.00

4120101 AMPICILLIN CAP 500MG $36.05

4120104 AMPICILLIN PED. INJ 25MG/ML $170.60

4120108 TOBRADEX OPH OINT 3.5GM $851.55

4120109 SODIUM BICARBONATE INJ 7.5% $178.50

4120110 LEVETIRACETAM 500MG/D5W 100ML $170.90

4120112 SODIUM BICARB 4.2% INJ 5ML $172.45

4120114 CEFEPIME 1GM IN NS 50ML $176.10

4120115 CEFEPIME 2GM IN NS 100ML $178.10

4120118 ERYTHROMYCIN ESS SUSP 400MG/5ML $49.55

4120119 UROKINASE INJ 250,000 UN $1,762.55

4120120 AUGMENTIN TAB 250MG $40.10



4120123 LENALIDOMIDE CAP 5MG $1,585.05

4120126 ZEGERID PWD 20 MG $41.80

4120127 ANTIVENIN BLACK WIDOW INJ $200.15

4120128 MECLIZINE TAB 12.5MG UD $36.30

4120129 MECLIZINE TAB 25MG UD $36.10

4120130 PRAMOXINE 1% OINT 30GM $63.30

4120131 ANUSOL HC SUPP $44.45

4120133 ANUSOL HC 2.5% CREAM 30G $107.65

4120134 APRESOZIDE 25 CAP $39.00

4120135 APRESOZIDE 50 CAP $39.05

4120136 HYDRALAZINE TAB 10MG UD $36.00



4120140 AMIODARONE (PMX) $188.55

4120142 HUMAN PROTHROMBIN COMPLEX 500 UNITS KIT $3,530.25

4120143 HUMAN PROTHROMBIN COMPLEX 1000 UNITS KIT $6,890.25

4120145 VITAMIN A CAP 10,000 UNITS $36.20

4120147 EPOETIN 10,000 UNITS/ML NON-ESRD $1,393.85

4120150 ARSENIC TRIOXIDE SOLN 10MG/10ML INJ $2,783.40

4120151 PROMETHAZINE 25MG IN NS 50ML SOLN $171.00

4120152 ULTRACET TAB $36.10

4120153 TRICOR TAB 160MG $41.85

4120154 TRIAMCINOLO OINT 0.1% 15G $62.85

4120155 NEOSTIGMINE METHYLSULFATE 5MG/5ML $175.65

4120156 PERAMPANEL TAB 8MG $60.70

4120158 MIRALAX AKA POWDER 238 GM $59.85

4120159 TRIAMCINOLO 0.1% CR 15GM $61.95

4120160 SUCCINYLCHOLINE CHLORIDE 5ML SYRG $176.70

4120161 MINOCYCLINE CAP 50MG $36.45

4120162 MULTIVITAMIN EYE TAB $36.35

4120163 CALCIUM GLUGONATE 1000MG IN NS 100ML $80.35

4120164 TRIHEXYPHENIDYL LIQ 2MG $36.90

4120165 CEFAZOLIN 2GM IN NS $170.30

4120166 IDARUCIZUMAB SOLN 2.5GM/5ML $7,887.75

4120167 ASCORBIC ACID LIQ 500MG $36.95

4120168 ASCORBIC ACID TAB 500MG $35.85

4120169 ASCORBIC ACID INJ 500MG $174.55

4120170 ASCORBIC ACID TAB 250MG $36.20

4120172 DROXIDOPA CAP 100MG $56.30

4120174 HYDROXYZINE TAB 10MG UD $36.00

4120175 ATARAX TAB 25MG $36.05

4120176 ATARAX TAB 50MG $39.25

4120177 ASPIRIN TAB 325MG $5.20

4120178 HYDROXYZINE SYR 10MG/5ML $37.05

4120179 PREVIN 3 STEP KIT $49.30

4120180 LORAZEPAM TAB 1MG UD $45.05

4120181 LORAZEPAM TAB 2MG UD $45.05

4120182 PHYTONADIONE ORAL LIQUID 5MG/0.5ML $68.60

4120183 DIMETHYL SULFOXIDE 50% SOLN 50ML $2,558.20

4120186 ATROPINE 1% OPHTH OINT 3.5G $69.80

4120187 ALLERGEN OTIC SOL 15ML $65.45

4120188 AMINOCAPROIC ACID SOLN 5GM IN D5W 250ML $7,039.66

4120189 MOMETASONE-FORMOTEROL INH 200-5MGC HFAA $814.30

4120190 MOMETASONE-FORMOTEROL INH 100-5MGC HFAA $814.30

4120191 CEFEPIME (PED) SOLR 100MG/ML 1ML SYRINGE $174.55

4120196 PERINDOPRIL TAB 2MG $40.15

4120198 TRANDOLAPRIL TAB 1MG $39.95

4120199 TRANDOLAPRIL TAB 4MG $39.95

4120200 LEVOFLOXACIN DROP 5ML $47.05

4120201 MOXIFLOXACIN DROP 3ML $111.45

4120202 NOREPINEPHRINE 8MG IN D5W 250ML INJS $234.10

4120203 SULFASALAZINE TAB 500MG $36.60

4120204 SWEET-EASE NATURAL 15ML CUP $36.25

4120205 B&O SUPPOSITORY 30MG $68.85

4120206 B&O SUPPOSITORY 60MG $69.70

4120208 CALCIUM ACETATE ORAL SOLN 667mg/5ml $37.30

4120209 BACITRACTIN INJ 50,000 UNITS $175.30

4120210 BACITRACIN OINT 15G $61.10

4120211 CEFOXITIN PED INJ 100MG/ML 1ML SYR $174.55

4120212 COTRIMOXAZOLE TAB $35.95

4120213 COTRIMOXAZOLE DS TAB $36.00

4120214 COTRIMOXAZOLE SUSP 20ML $38.00

4120215 SACUBITRIL/VALSARTAN TAB 24MG/26MG $42.65



4120218 CIPROFLOXACIN XR TAB 500MG $46.20

4120219 LOVASTATIN TAB 10MG $38.90

4120220 FLUVASTATIN CAP 40MG $39.40

4120221 FLUVASTATIN TAB 80MG $39.45

4120222 AZOPT 1% OPH SUSP 5ML $1,085.40

4120223 DOLUTEGRAVIR (TIVICAY) 50MG TABLET $88.45

4120224 BELLERGAL S TAB $39.05

4120225 CEFEPIME HCI 500MG SOLR $170.30

4120226 HYPSCYAMINE ELIXIR 5ML $36.40

4120229 DIPHENHDRAMINE ELX 12.5M/5 $36.80

4120231 PROBENECID TAB 500MG $36.70

4120232 PREGABALIN CAP 100MG $50.90

4120233 METFORMIN XR TABLET 500MG $36.35

4120234 NEXIUM SR CAPSULE 20MG $42.95

4120235 NEXIUM SR CAP 40MG $47.60

4120236 DICYCLOMINE CAP 10MG $36.75

4120237 DICYCLOMINE TAB 20MG $36.75

4120239 LINACLOTIDE (LINZESS) CAP 145MCG $47.00

4120240 DARUNAVIR/COBICISTAT 800/150MG TAB $89.90

4120241 FAT EMULSION 20% 500ml EMUL $170.45

4120242 GLUCOSE CHEW TABLET 4GM $36.30

4120243 ICOSAPENT ETYL CAP 1 GRAM $40.95

4120244 POVIDONE IOD OINT 1GM $35.90

4120245 POVIDONE IOD OINT 30GM $61.25

4120246 COAGULATION FACTOR VIIA RECOMB SOLR 1MG $7,604.25

4120247 SODIUM CHLORIDE 3% NEBU 4ML $37.40

4120248 ARFORMOTEROL INH 15MCG/2ML NEBU $41.25

4120251 PENCILLIN G PROC/BENZ900/300 $197.30

4120252 BICILLIN CR INJ 600,000 UNITS $183.50

4120253 BICILLIN CR INJ 1,200,000 UNIT $201.75

4120254 BICILLIN CR INJ 2,400,000 UNIT $232.10

4120260 AMIODARONE INJ 450MG SOLN $220.50

4120261 ALTEPLASE INJ 10MG SOLN $3,614.25

4120262 ALTEPLASE INJ 20MG SOLN $7,058.25

4120263 METHYLPREDNISOLONE SOD SUCC SOLN 125MG $170.95

4120264 BISACODYL SUPPOSITORY 10MG $35.90

4120266 BLEOMYCIN INJ 15 UNITS $195.75

4120267 BLEPHAMIDE OPTH SUSP 5ML $162.55

4120268 BLEPHAMIDE OP OINT 3.5GM $527.40

4120269 HYDROXYUREA CAP 200MG $37.00

4120270 OXYMORPHONE TAB 5MG $45.30

4120271 OXYMORPHONE SR TAB 10MG $48.10

4120272 BLISTEX OINT 10G TUBE $36.05

4120273 OXYMORPHONE SR TAB 20MG $50.60

4120274 DEXTROAMPHETAMINE-AMPHETAMINE TAB 10MG $45.65

4120275 TERBUTALINE TAB 2.5MG UD $36.25

4120276 TERBUTALINE TAB 5MG UD $36.35

4120277 MEMANTINE XR CAP 7 MG $48.05

4120278 MEMANTINE XR CAP 14 MG $48.05

4120279 BRIMONIDINE 0.2% OPHTH DROP 5ML $62.35

4120280 DALTEPARIN 12,500 UNITS/0.5ML SYRG $193.40

4120282 TICAGRELOR TAB 60MG $41.20

4120283 DOPAMINE IN D5W 800MG/250ML SOLN $667.90

4120284 TOBRAMYCIN FORTIFIED EYE DROP 14MG/ML $92.25

4120285 PIMOZIDE TAB 1MG $40.50

4120286 TACROLIMUS CAP 5MG $43.10

4120287 OMEPRAZOLE SUDR 10MG PACK $42.90

4120289 SODIUM TETRADECYL SOLN 3% 60MG/2ML $264.75

4120290 FERRIC CITRATE (AURYXIA) 210 MG TAB $41.45

4120291 FLUTICASONE-VILANTEROL 200-25MCG DSDV $502.75

4120292 UMECLIDIUM-VILANTER 62.5-25MCG DSDV $79.00

4120293 COLCHICINE-PROBENECID TAB 0.5-500MG $36.75

4120294 HEPARIN 5000 UNITS IN NS 500M SOLN $189.95

4120295 ASPIRIN BUFFERED TAB 325MG $5.20

4120296 POTASSIUM CHLORIDE PACKET 20MEQ $43.15

4120297 ALTEPLASE SOLN 1MG/ML $253.95

4120298 VASHE WOUND CLEANSER SOLN 1000ml $59.90

4120299 IMATINIB MESYLATE TAB 400MG $891.55

4120300 METHOTREXATE INJ SOLN 1GM $10,054.45

4120301 BUTABARBITAL TAB 30MG $46.35

4120302 BUDESONIDE INH SUSP 1MG/2ML NBSP $56.55

4120303 BUTABARBITAL TAB 50MG $46.95

4120304 CLONIDINE TAB 0.1MG UD $35.90

4120305 EPINEPHRINE 4MG IN D5W 250ML SOLN $179.55

4120306 CALCIUM GLUCONATE TAB 500MG $39.00

4120307 CALCIUM CL 10% INJ13.6MEQ/10ML $171.70

4120308 CALCIUM CL 10% INJ 1ML $170.40

4120309 CAFFEINE NA BENZOATE INJ 500MG $184.85

4120310 CALCIUM CL INJ 1G SYRINGE $178.20

4120314 CALCIUM GLUC ORAL LIQ 100MG $39.95

4120315 PATIROMER CALCIUM SORBITEX PWPK 8.4GM $68.00

4120316 MULTIVITAMIN, MINERALS+IRON LIQD 15ML $36.40

4120318 CAFFEINE CITRATE INJ 60MG/3ML $178.25

4120319 CITRATED CAFFEINE SOLN 20MG $48.85

4120320 OMALIZUMAB 150MG/1.2ML SOLR $5,125.35

4120321 MEPIVICAINE 1% INJ 30ML $174.65

4120333 CLONIDINE TAB 0.2MG UD $35.90

4120342 BETAMETHASONE SOLUS INJ 12MG $182.80

4120357 CHARCOAL ACTIV LIQ 25GM $49.05

4120364 MORPHINE INJ 4MG/1ML UD $91.50

4120366 ANESTHESTIC THROAT SPRAY 180ML $61.35

4120369 MORPHINE INJ 2MG/1ML UD $91.50

4120380 CHLORPHENTR SR TAB 8MG $36.25

4120381 CHLORPHENIR SR TAB 12MG $36.60

4120382 CHLORPHENIR TAB 4MG UD $36.20

4120392 CLINDAMYCIN CAP 300MG $36.40

4120396 MAGNESIUM CITR SOLN 300ML $37.10

4120398 CLINDAMYCIN CAP 150MG UD $36.45

4120399 CLINDAMYCIN LIQ 75MG/5ML $38.15

4120402 SULINDAC TAB 150MG $36.10

4120403 SULINDAC TAB 200MG $36.05

4120411 CLONAZEPAM TAB 0.5MG UD $44.95

4120412 CLONAZEPAM TAB 1MG UD $44.95

4120414 CODEINE SO4 TAB 30MG UD $45.45

4120424 DOCUSATE NA CAP 100MG UD $35.90

4120425 DOCUSATE NA LIQ 100MG $36.20

4120427 COLCHICINE TAB 0.6MG $43.05

4120446 PROCHLORPERAZINE TAB 5MG $35.95

4120447 PROCHLORPERAZINE TAB 10MG $35.95

4120450 PROCHLORPERAZINE SUPP 25MG $45.00

4120456 DANTROLENE CAP 100 MG $37.55

4120478 HYDROCORTISONE TAB 5MG $36.35



4120493 CORTISPORIN CREAM 7.5GM $147.35

4120494 CORTISPORIN OPHTH OINT 3.5G $77.60

4120495 CORTISPORIN OPHTH SUSP 7.5ML $156.05

4120498 CORTISPORIN OTIC SOL 10ML $151.50

4120506 WARFARIN TAB 3MG $36.20


4120509 WARFARIN TAB 2.5MG $36.20


4120511 WARFARIN TAB 7.5MG $36.20



4120518 CYANOCOBALAMIN TAB 100MCG $36.35

4120521 CYANOCOBALAMIN TAB 500MCG $36.20

4120522 CYCLOPENT 1% OPT DPS 2ML $65.10

4120525 CYCLOPENT 2% OPT DPS 2ML $77.55

4120529 CYCLOMYDRIL 2% 2ML $85.85

4120535 CYTOMEL TAB 25MCG $39.75

4120540 CYCLOPHOSPHAMIDE INJ 500MG $1,665.45

4120540 CYCLOPHOSPHAMIDE INJ 500MG $193.00

4120542 FLURAZEPAM CAP 15MG UD $45.35

4120543 FLURAZEPAM CAP 30MG UD $45.00

4120544 DANTROLENE NA CAP 25MG UP $36.90

4120545 DANTROLENE INJ 20MG $240.45

4120560 DEBROX OTIC SOLN 15ML *NF* $61.15

4120562 DESAMETHASONE TAB 0.5MG $35.95

4120563 DEXAMETHASONE TAB 0.75MG $35.95

4120564 DEXAMETHASONE TAB 1MG UD $36.20

4120567 DEXAMETH 0.1% OPT SUS 5ML $115.30



4120579 DEMECLOCYCLINE CAP 150MG $40.75

4120586 DELESTROGEN INJ 40MG/1ML $177.10

4120587 DELESTROGEN INJ 20MG $197.15

4120591 MEPERIDINE TAB 50MG UD $45.80

4120592 MEDROXYPROG INJ 150/ML $266.75

4120613 DEXTROSE 50% INJ 50ML UD $176.45

4120619 ACETAZOLAMIDE SR CAP 500MG $40.15

4120620 ACETAZOLAMIDE TAB 250MG $38.75

4120621 ACETAZOLAMIDE INJ 500MG $912.80

4120629 PHENYTOIN CAP 100MG UD $36.25

4120631 HYDROMORPHONE TAB 2MG UD $45.05

4120632 HYDROMORPHONE TAB 4MG UD $45.10

4120633 HYDROMORPHONE SUPP 3MG UD $53.85

4120648 PHENYTOIN SUSP 100MG $37.10

4120652 PHENYTOIN TAB 50MG UD $36.40

4120674 DIMETAPP LIQ 5ML $36.80

4120675 BETAM DIG AUG 0.5% OI 45 $663.57

4120676 BETAMETH DIP AUG 0.05% CR 15G $63.55

4120681 POLIO VIRUS INJ - KILLED $202.90

4120685 DIURIL TAB 250MG $36.35

4120686 CHLOROTHIZIDE SUSP 250MG $36.95

4120691 METHADONE TAB 5MG UD $45.10

4120692 METHADONE TAB 10MG UD $45.10

4120695 ALUMINUM ACETATE POWDER 4G $36.75

4120701 DONNATAL TAB UD $36.30

4120704 DONNATAL ELIXIR 5ML UD $45.70

4120711 DOXAPRAM INJ 400MG/20ML $178.05

4120716 DIMENHYDRINATE TAB 50MG $36.20

4120723 BISACODYL TAB 5MG $35.85

4120724 MORPHINE IVF 100MG/100ML SOLN $102.65

4120725 HYDROMORPHONE IVF 20MG/100ML SOLN $102.65

4120726 FENTANYL IVF 2500MCG/250ML SOLN $124.85

4120727 LORAZEPAM IVF 100MG/100ML SOLN $132.95

4120728 MIDAZOLAM 100MG/100ML NS DRIP SOLN $103.55

4120729 DYAZIDE CAP UD $36.05

4120730 NIHIODOTE INJ 60ML $800.25

4120733 FULVESTRANT INJ 125MG $1,805.30

4120734 IPRATROPIUM-ALBUTEROL 20-100MCG AERO $120.25

4120735 BUPIVACAINE 0.25% INJ 50ML SOLN $172.10

4120736 SILODOSIN CAP 4MG $45.90

4120738 ASPIRIN EC TAB 325MG $5.20

4120747 ERYTHROMYCIN ES SUS 2OO MG $55.85

4120748 ERYTHROMYCIN ES TAB 400MG $42.40

4120749 ERYTHROMYCIN ES SUS 400MG $75.50

4120750 ERYTHROMYCIN TAB 250MG UD $45.95

4120751 ERYTHROMYCIN TAB 500MG $51.45

4120754 HYOSCYAMINE TAB 0.15MG $36.40

4120758 AMITRIPTYLINE TAB 10MG $36.30






4120793 EPHEDRINE INJ 50MG/1ML $215.50

4120806 MEPROBAMATE TAB 400MG UP $46.40

4120837 ETHYL CHLORIDE SPRAY 100G $89.55

4120857 FERROUS SO4 LIQ 300MG $36.25

4120866 FERROUS SUL DROPS 0.6ML $59.90

4120871 FERR SULF TAB 325 MG UD $35.90

4120880 METRONIDAZOLE TAB 250MG $36.25

4120881 SODIUM PHOS ENEMA ADULT $36.80

4120882 SODIUM PHOS ENEMA PED $37.15

4120883 MINERAL OIL ENEMA UD $37.65

4120884 CYCLOBENZAPRINE 10MG TAB $35.90

4120890 FLUOROURACIL INJ 500MG $180.80

4120891 FML 0.1% OPTH SUSP 5 ML $149.50

4120893 FOLIC ACID TAB 400MCG $36.20

4120894 FOLIC ACID TAB 1MG UD $35.90

4120895 FOLIC ACID INJ 5MG/1ML $172.45

4120896 FOLIC ACID INJ 1MG $170.70

4120912 NITROFURANTOIN SUSP 50MG $53.00

4120917 GABAPENTIN SOLN 250MG/5ML $37.35

4120918 GABAPENTIN CAP 300MG $35.90


4120920 SULFISOXAZOLE TAB 500MG $39.10


4120928 GENTAMICIN INJ 80MG $171.00

4120929 GENTAMICIN 0.1% OINT 15GM $98.10

4120930 GENTAMICIN 0.1% CRM 15GM $98.10

4120931 GENTAMICIN .3% OP OT 3.5G $71.55

4120933 GENTAMICIN 0.3% OPH SOLN 5ML $67.80

4120936 SURGIFOAM SPONGE SIZE 50 $49.75

4120941 GELFOAM POWDER 1GM $116.75

4120957 CARBAMIDE PEROXIDE 10% 15ML $64.30

4120963 MICONAZOLE VAG SUPP 7'S $60.15

4120967 HALOPERIDOL TAB 5MG $36.65



4120970 HALOPERIDOL TAB 0.5MG $36.10

4120971 HALOPERIDOL TAB 10MG UD $36.95

4120982 HEPARIN FLUSH INJ 1,000U $171.80

4120997 HIVID TAB 0.75MG $38.15

4120998 HOMATROPINE 5% OP SOL 5ML $79.10

4121001 DORZOLAMIDE-TIMOLOL OPH 0.2ML $37.35

4121002 IVABRADINE TAB 5MG $45.40

4121025 HYDROCORTISONE 2.5% OINT 30GM $62.75

4121026 HYDROCORTISONE CREAM 1% 30GM $61.15

4121027 HYDROCORT 1% OINT 30GM $61.35

4121028 HYDROCORTISONE 1% LOTION 118ML $74.80

4121029 HYDROCORT 0.5% CR 30GM $61.90

4121030 HYDROCORTISONE 0.5% OINT 30MG $63.95

4121040 HYDROCHLOROTHIAZIDE CP 12.5 MG $36.00

4121041 HYDROCHLOROTHIAZ TAB 25MG $35.95

4121042 HYDROCHLOROTHIAZ TAB 50MG $35.90

4121045 HYDROMORPHONE INJ 1 MG $91.15

4121052 CHLORTHALIDONE TAB 25MG $36.95

4121053 CHLORTHALIDONE TAB 50MG $37.15

4121054 PSEUDOEPHEDRINE LIQ 30MG/5ML $36.80

4121055 PSEUDOEPHEDRINE LIQ 15MG/5ML $36.80

4121056 PSEUDOEPHEDRINE TAB 30MG $35.85

4121057 DIAZOXIDE INJ 300MG/5ML $613.70

4121074 IRON DEXTRAN INJ 100MG $195.35

4121077 LOPERAMIDE LIQ 2MG/10ML $37.45

4121078 LOPERAMIDE CAP 2MG UD $36.65

4121084 PROPRANOLOL TAB 10MG $36.05




4121089 INDOMETHACIN CAP 25MG UP $36.10

4121090 INDOMETHACIN CAP 50MG UP $36.05

4121091 FLU VACCINE 5ML $60.35

4121092 INFLUENZA QUADRIVALENT VACCINE 0.5ML SUS $187.85

4121092 INFLUENZA QUADRIVALENT VACCINE 0.5ML SUS $187.25

4121094 BENZOYL PEROXIDE 10% GEL 42.5 GM $43.29

4121095 BUPIVACAINE PF INJ 0.75% 10ML $170.60

4121096 CROMOLYN NEB. 20MG $36.00

4121097 CROMOLYN INHALER 8.1 GM $123.85

4121110 ISONIAZID TAB 100MG UD $35.90

4121111 ISONIAZID TAB 300MG UD $36.40

4121117 ATROPINE 1% OP DP 5ML $126.25

4121118 ATROPINE 1% OPH 15ML $834.75

4121123 MELATONIN TAB 3MG $39.00

4121124 DUTASTERIDE CAP 0.5MG $39.35

4121126 NITAZOXANIDE 500MG TAB $115.50

4121128 AMOXICILLIN LIQ 400/MG/5ML $37.00

4121133 SSKI LIQ 30ML $71.10

4121139 ISORDIL SL TAB 2.5MG $36.25

4121140 ISORDIL SUBLINGUAL 5MG $36.20

4121141 ISOSORBIDE TAB 5MG $36.40



4121144 ISOSORBIDE LA TAB 40MG UD $36.70

4121161 CEPHALEXIN CAP 250MG $36.25

4121162 CEPHALEXIN CAP 500MG $35.95

4121166 CEPHALEXIN SUSP 250MG $37.55

4121170 CEFTAROLINE 600MG/NS 250ML $631.80

4121172 POTASSIUM CL 20MEQ/50ML 1/2 NS $173.15

4121180 KENALOG 10 INJ 50MG/5ML $182.15

4121181 TRIAMCIN ACET INJ 40MG $179.20

4121186 ARISTOCORT 0.025% CREAM 15G $62.70

4121194 TRIAMCINOLONE ORABASE 5GM $103.75

4121198 KETAMINE INJ 50MG/ML $170.50

4121199 KETAMINE INJ 500MG/10ML $172.95

4121221 ARTIFICIAL TEARS OPH OIN 3.5G $61.95

4121222 LACTINEX GRANULES UD $37.50

4121223 LACTINEX TAB UD $36.40

4121225 AUGMENTIN XR TAB 1000MG $41.45

4121227 DIGOXIN TAB 0.125MG UD $37.15

4121228 DIGOXIN TAB 0.25 MG UD $37.15

4121230 FLUDROCORTISONE TAB 0.1MG $37.00

4121232 DIGOXIN ELIX 0.25MG $38.90

4121234 LACTULOSE SYRUP 30ML $36.55

4121235 DIGOXIN ELXI 0.125 MG $36.90

4121245 FUROSEMIDE TAB 20MG UD $35.90


4121254 BEER 360ML $36.95

4121256 CHLORAMBUCIL TAB 2MG $55.85

4121258 ZETIA TABLET 10MG $45.75

4121259 NOREPINEPHRINE INJ 4MG $173.50

4121267 CLINDINIUM/CHLORDIAZ CAP $38.40

4121271 CHLORDIAZEPOXIDE CAP 5MG $45.55



4121278 PYRETHRIN-PIPERONYL SHAM.120ML $65.45

4121279 LIDOCAINE 2% INJ 100MG/5M $172.90

4121294 LITHIUM CARB CAP 300MG UD $35.90

4121298 DIPHENOXYLATE/ATR TAB $45.20

4121299 METOPROLOL TAB 50MG UD $35.90

4121301 AVASTIN INJ 100MG $2,139.65

4121304 MICONAZOLE 2% CREAM $62.70

4121305 CLOTRIMAZOLE 1% CR 15GM $62.65

4121308 LOXAPINE CAP 10MG UD $36.50



4121334 NITROFURANTOIN CAP 50MG $37.05

4121335 NITROFURANTOIN CAP 100MG $37.35

4121340 MAGNESIUM SYRINGE 45GM/10ML $170.45

4121341 MAGNESIUM S04 INJ 8MEQ $171.10

4121342 COLCHICINE CAP 0.6 MG $40.80

4121363 MAXITROL OPTH OINT 3.5GM $65.15

4121365 MAXITROL OPTH SUSP 5ML $74.45

4121378 METHYLPRED TAB 4MG UD $38.05

4121379 METHYLPRED TAB 16MG UD $39.10

4121382 MEGESTROL TAB 20MG $45.20

4121383 MEGESTROL TAB 40MG UD $36.10

4121384 THIORIDAZINE TAB 10MG $35.95



4121402 MEPERIDINE INJ 100MG $90.80

4121403 PHYTONADIONE TABLET 5MG $97.60

4121410 PRIMIDONE TAB 50MG $36.75

4121424 METHYLERGONOVIN TAB 0.2MG $94.75

4121426 METHOTREXATE TAB 2.5MG UD $47.75

4121428 METHOTREXATE INJ 50MG/2ML $179.95

4121431 MIDRIN CAP $40.00

4121434 MAGNESIUM HYDROXIDE TAB $36.25

4121436 MILK OF MAGNESIA 30ML $37.35

4121450 MINERAL OIL 30ML UD $36.00

4121451 PRAZOSIN CAP 1MG $39.20



4121455 MINOCIN CAP 100MG $39.85

4121471 MORPHINE INJ 10MG/ML UD $90.70

4121474 IBUPROFEN TAB 400MG UD $35.90

4121476 MUTAMYCIN INJ 5MG/10ML $8,413.90

4121477 MITOMYCIN INJ 20MG $2,317.30

4121480 ETHAMBUTOL TAB 100MG UP $36.60

4121481 ETHAMBUTOL TAB 400MG UD $36.80

4121482 ADENOSINE DIAG SOLN 30ML $233.75

4121489 NYSTATIN/TRIAMCIN OT 15GM $124.80

4121490 NYSTATIN/TRIAMCIN CR 15GM $126.00

4121495 NYSTATIN SUSP 500,000U $36.60

4121496 NYSTATIN OINT 15GM $68.45

4121497 NYSTATIN CREAM 15GM $66.50

4121498 NYSTATIN TOPICAL POWDER $67.10

4121500 TROPICAMIDE 1% OPH SOLN 3ML $62.35

4121501 MYLANTA TAB UD $36.20

4121502 MYLANTA SUSP 30ML UD $37.70

4121504 MYLANTA DS SUSP 30ML $36.05

4121505 MYLERAN TAB 2MG UD $44.90

4121507 SIMETHICONE TAB 80MG $35.90

4121508 SIMETHICONE DROPS 40MG $36.80

4121532 THIOTHIXENE CAPSULE 1MG $36.60




4121566 NEOSYNEPH 2.5% OP DP 1.5ML $91.75

4121570 NEOMYCIN TAB 500MG UD $36.40

4121573 NEOSPORIN OINT 0.9GM $36.00

4121574 MITOMYCIN OPHTH INJ 0.2MG $1,678.05

4121575 NEOSPORIN OPT OINT 3.5GM $87.45

4121576 NEOSPORIN OPT SOLN 10ML $99.70

4121580 NEOSPORIN GU IRRIGANT 1ML $176.60

4121583 NIACIN TAB 50MG UD $35.90

4121584 NIACIN TAB 100MG UD $35.85

4121590 NITROGLY SR CAP 2.5MG UD $36.20

4121592 NITROGLY TAB 0.4MG 25'S $60.45

4121600 NORGESIC FORTE TAB $37.20

4121604 DISOPYRAMIDE CAP 100MG UD $37.65

4121605 DISOPYRAMIDE CAP 150MG UD $37.65

4121606 DESPRAMINE TAB 25 MG $37.65

4121620 DIBUCAINE 1% OINT 30MG $66.10

4121626 VINCRISTINE INJ 1MG/1ML $183.40

4121633 GUAIFENESIN TAB 200MG $38.95

4121634 OSCAL 500 + D TB $36.25

4121635 OSCAL TAB 250MG UD *NF* $35.85

4121646 NORTRIPTYLINE CAP 25MG UD $36.25

4121656 PAREGORIC TINCT 5ML $45.55

4121657 PAREGORIC LIQ 480ML $106.80

4121658 PAREGORIC ELIXIR 1ML $45.00

4121660 PAPAVERINE SR CAP 150MG $39.00

4121662 PANCURONIUM INJ 2MG/1ML $172.50

4121676 BISMUTH SUBSALICYLATE LIQ 30ML $36.95

4121677 PERCOCET TAB UD $45.00

4121678 PERCODAN TAB UD $45.80

4121679 BISMUTH SUBSALICYLATE TAB $36.25

4121680 PERCOCET TAB 7.5MG $45.90

4121681 CYPROHEPTADINE TAB 4MG UD $36.40

4121682 CYPROHEPTADINE LIQ 2MG $37.35

4121688 DIPYRIDAMOLE TAB 25MG UD $36.20


4121693 BICITRA LIQ 30ML $37.80

4121699 PROMETHAZINE TAB 25MG $36.30

4121700 PHENERGAN TAB 50MG UD $36.25

4121701 PROMETHAZINE SUPP 25MG $42.20

4121702 PROMETHAZINE SUPP 50MG $59.30

4121704 PROMETHAZINE INJ 50MG $171.95

4121705 PROMETHAZINE SYR 6.25MG $36.85

4121711 HEXACHLOROPHENE LIQ 150ML $87.55

4121723 HYDROXYCHLOROQ TAB 200MG $37.80

4121724 DEPO-TESTOSTERONE INJ 10ML $164.29

4121728 POTASSIUM PHOS INJ 4.4MEQ $171.55

4121729 POTASSIUM PHOS INJ 15MM $176.70

4121730 MULTIVITAMIN DROP 30ML $40.25

4121731 MULTI-VITAMIN PED DROP 1ML $36.85

4121737 AMPICILLIN SUSP 250MG $37.00

4121739 AMPICILLIN SUSP 250MG 100ML $36.80

4121752 AMOXICILLIN SUSP 125MG $36.80


4121755 AMOXICILLIN SUSP 250MG 100ML $39.45

4121757 POLYMYXIN B INJ 500,000U $180.50

4121758 POLYSPORIN OINT 15GM $63.95

4121759 POLYSPORIN OP OINT 3.5GM $69.25

4121760 POLYSPORIN POWDER 10GM $68.10

4121770 POTASSIUM CL PB 10MEQ/50ML $173.00

4121774 FML FORTE 0.25% OPH SOL 2ML $78.40

4121775 PREDNISOLONE ACE 1% OS 5 ML $94.45

4121776 PREDNISONE TAB 5MG UD $36.00




4121780 ESTROGEN CONJ TAB 0.3MG $41.15



4121784 ESTROGEN CONJ INJ 25MG $1,276.10

4121785 ESTROGEN CONJ VG CR 42.5G $1,876.35

4121786 ESTROGENS, CONJ TAB 0.9MG $40.75

4121789 FORMULATION R CREAM $64.45

4121797 PROPANTHELINE TAB 15MG $36.40

4121799 PROCAINAMIDE LIQ 500MG $37.35

4121802 FLUPHENAZINE TAB 1MG $35.95

4121803 FLUPHENAZINE TAB 2.5MG $36.45

4121804 FLUPHENAZINE TAB 5MG $36.55

4121805 FLUPHENAZINE INJ 2.5MG/ML $83.40

4121806 MOMETASONE ORAL INH 220MCG $137.05

4121811 PROCAINAMIDE CAP 500MG $37.35

4121814 PROPYLTHIOURACIL TAB 50MG $37.00

4121820 PROTAMINE INJ 250MG/25ML $193.60

4121821 PROTAMINE SULFATE INJ 50MG $177.75

4121822 PRALIDOXIME INJ 1000MG $275.60

4121823 MEDROXYPROG TAB 10MG $36.35

4121824 MEDROXYPROG TAB 2.5MG $36.30

4121834 PHENAZOPYRIDINE TAB 100MG $37.00

4121835 PHENAZOPYRIDINE TAB 200MG $38.05

4121836 PYRIDOXINE TAB 50MG $36.20

4121842 CHOLESTYRAMINE PWD 4GM UD $37.60

4121846 QUINIDINE GLUC TAB 324MG $36.85

4121847 QUININE TAB 260MG $36.10

4121850 QUINIDINE S04 TAB 200MG $35.95

4121852 QUININE CAP 325MG $43.05

4121867 RIFAMPIN CAP 150MG $37.70

4121868 RIFAMPIN CAP 300MG $37.00

4121872 METHYLPHENIDATE TAB 5MG $45.35

4121873 METHYLPHENIDATE TAB 10MG $45.50

4121874 CONCERTA SR TAB 36MG $45.70

4121875 METHOCARBAMOL TAB 500MG $39.00

4121876 METHOCARBAMOL TAB 750MG $39.00

4121879 GLYCOPYRROLATE TAB 1MG UD $37.25

4121880 GLYCOPYRROLATE INJ 0.2MG $177.15

4121882 GUAIFENESIN SYR 100MG/5ML $36.40

4121883 GUAIFENESIN SYR 200MG/10M $36.45

4121886 GUAIFENESIN DM SYRUP $36.40

4121887 GUAIFENESIN DM SYRUP 10ML $36.50

4121889 RONDEC DM SYRUP 5ML $36.90

4121906 SENOKOT TAB $35.90

4121907 SENNA LIQUID 5ML $36.95

4121909 COTRIMOXAZOLE SUSP 5ML $36.85

4121910 OXANDRIN TAB 2.5MG $43.45

4121911 OXAZEPAM CAP 10MG UD $45.25

4121912 OXAZEPAM CAP 15MG UD $45.45

4121919 RESERPINE TAB 0.25MG $40.40

4121920 RESERPINE TAB 0.1MG $36.55

4121922 SILVER SULFADIAZENE CREAM 25GM $65.80

4121923 SILVER SULFADIAZENE CREAM 400G $95.45

4121925 SINEMET TAB 25-250 $36.10

4121926 DOXEPIN CAP 75MG UD $36.85





4121932 METOCLOPRAMIDE ORAL LIZ 1MG/ML $35.95

4121933 SOD CHLORIDE ORAL SOL 4MEQ/ML $170.50

4121934 SODIUM BICARB ORAL SOL 1MEQ/ML $36.75

4121936 SODIUM ACETATE INJ 2MEQ $170.40

4121937 SODIUM BICARBON TAB 650MG $36.20

4121938 SODIUM BIG 8.4% INJ 10MEQ $181.80

4121939 SODIUM BIC 8.4% INJ 50MEQ SYN $178.90

4121940 SODIUM BIC 8.4% INJ 50MEQ $178.20

4121954 METHYLPRED NA SU IN 125MG $183.40

4121955 METHYLPRED NA SUC INJ 2GM $240.90

4121956 METHYLPRED NA SU IN 500MG $172.70

4121957 METHYLPRED NA SU INJ 1GM $196.20

4121958 SOMA TAB 350MG $45.00

4121962 AMINOPHYLLINE LIQ 1ML $37.85

4121967 BUTORPHANOL INJ 1MG $93.35

4121971 STELAZINE TAB 2MG $39.95

4121972 TRIFLUOPERAZINE TAB 5MG $36.90

4121986 MULTIVITAMIN PRENATAL TAB $36.20

4121993 MACROBID CAP 100MG *NF* $38.85

4122004 AMANTADINE CAP 100MG $38.75

4122005 NEVIRAPINE SUSP 200MG.20ML $45.75

4122013 CIMETIDINE INJ 300 MG/2ML $172.85

4122014 TALWIN NX TAB 50MG $46.90

4122020 METHIMAZOLE TAB 10MG UD $36.30

4122028 CARBAMAZEPINE TAB 200MG $36.65

4122037 EDROPHONIUM INJ 10MG/1ML $174.50

4122049 TESSALON PERLES 100MG UD $36.50

4122050 BENZONATATE CAP 200MG $39.35

4122053 TETANUS DIP TOX INJ 0.5ML $1,294.95

4122055 TETRACAINE 0.5% OP DP 2ML $122.90

4122056 TETRACYCLINE CAP 250MG UD $40.85

4122057 TETRACYCLINE CAP 500MG $35.95

4122066 THEOPHYLLINE LA TAB 300MG $38.40

4122069 THEOPHYLLINE SYRUP 1ML $36.25

4122070 THEOPHYLLINE SOLN 26.65MG $37.95

4122071 THEOPHYLLINE SOLN 85MG $42.05

4122072 MULTIVITAMIN TAB UD $35.90

4122073 MULTIVITAMIN LIQ 5ML UP $36.80

4122074 MULTIVITAMIN W MIN TAB $35.90

4122075 BIMATOPROST 0.01% OPH DROP 2.5ML $681.20

4122076 MULTIVITAMIN WITH IRON $36.20

4122080 RESTASIS 0.05% OPH SOLN 0.4 ML $46.30

4122085 CHLORPROMAZINE TAB 10MG $38.00




4122096 THROMBIN POWDER 5,000 UNITS $228.75

4122102 TRIMETHOBENZAM SUPP 100MG $36.05

4122103 TRIMETHOBENZAM SUPP 200MG $36.05

4122110 CALCIUM CARBONATE TAB 648MG $36.20

4122113 SUMATRIPTAN TABLET 25MG $36.90

4122114 IMIPRAMINE TAB 25MG UD $36.40


4122131 TRANXENE TAB 3.75MG $44.95

4122133 TRAVATAN 0.004% OPH SOLN 2.5ML $680.70

4122149 PERPHENAZ-AMITR TAB 2-10 $37.05




4122159 TRILAFON(GENERIC)TAB 4MG $39.85

4122174 TUCKS PAD 40 $61.70

4122179 TUSSIONEX SR SUSP 5ML $47.00

4122180 CTM HYFROCODONE LIQ 1ML $45.30

4122184 ACETAMINOPHEN ELIXIR 325MG $5.20


4122186 TYLENOL #2 TAB $45.00

4122187 TYLENOL #4 TABLET $45.75


4122189 ACETAMINOPHEN TAB 1000MG/2TAB $5.20


4122191 ACETAMINOPHEN DROPS 15ML $5.20

4122192 ACETAMINOPHEN DROPS 40MG $5.20

4122193 TYLENOL #3 TABLET $45.05

4122194 QUINAPRIL TAB 20MG $35.85





4122200 NAFCILLIN INJ 2GM $175.55

4122208 BETHANECHOL TAB 5MG $35.90


4122210 BUPIVACAINE LIPOSOMAL INJ 20ML $1,493.20

4122213 URISED TAB $36.65

4122214 URISPAS TAB 100MG $36.85

4122215 NATAMYCIN OPH SOLN 5% 15ML $1,255.35

4122219 UROQUID ACID TAB #2 $39.20

4122221 DIAZEPAM TAB BULK $59.85

4122222 PENICILLIN VK TAB 250MG $36.10

4122223 PENICILLIN VK TAB 500MG $36.35

4122226 PENICILLIN VK SOL 250MG $36.90

4122233 DIAZEPAM TAB 2MG UD $44.95



4122238 DIAZEPAM INJ 10ML $200.55

4122240 DIAZEPAM REC GEL 2.5MG $574.50

4122250 PETROLATUM OINT 30GM $62.05

4122251 PETROLATUM OINT 5GM UD $35.95

4122281 DOXYCYCLINE CAP 100MG UD $38.40

4122282 DOXYCYCLINE INJ 100MG $263.55

4122301 HYDROXYZINE CAP 25MG UD $35.95

4122302 HYDROXYZINE CAP 50MG UD $36.00

4122304 HYDROXYZINE INJ 50MG/ML $174.40

4122306 HYDROXYZINE SUSP 25MG/5ML $38.65

4122308 A&D OINT 5GM $36.00

4122333 TIGACIL INJ 50MG $652.95

4122340 LIDOCAINE 1% PF INJ 30ML $176.80

4122341 LIDO 1% W EPI 1-1HT 50ML $173.20

4122342 LIDO 1% EPI 1-1HT 20ML $172.00

4122348 LIDOCAINE/EPI DENTAL CART $170.85

4122357 LIDOCAINE 5% OINT 30GM $147.60

4122359 LIDOCAINE 2% VIS SOL 100M $62.55

4122361 ZEMURON INJ 10MG/1ML $175.55

4122362 ZEMURON INJ 50MG/5ML $196.65

4122367 METOLAZONE TAB 2.5MG UD $38.90

4122368 METOLAZONE TAB 5MG UD $39.45

4122369 ZINC OXIDE OINT 30GM 20% $62.75

4122373 ALLOPURINOL TAB 100MG $36.15

4122374 ALLOPURINOL TAB 300MG $36.20

4122376 GLYCERIN SUPP (ADULT) UD $35.90

4122377 ASPIRIN TAB 81MG $5.20

4122378 ASPIRIN TABS 324MG/4TABS $5.20

4122385 CAPITAL W CODEINE SUSP 5ML $50.95

4122387 TRIMETHOBENZAM CAP 250MG $42.70

4122389 TRIMETHOBENAZAMIDE CAP 300 MG $37.55

4122392 DESMOPRESSIN NASAL SPY 0.01% 5ML $102.90

4122393 CEFACLOR SUSP 250MG $37.55

4122395 HEPARIN PF INJ 100U/1ML $171.90

4122411 CAFFEINE TAB 200MG $39.00

4122414 DIPHENHYDRAMINE CAP 25MG $36.25

4122415 DIPHENHYDRAMINE CAP 50MG $35.90

4122416 NADOLOL TAB 40MG $42.25

4122418 TAMOXIFEN TAB 10MG $36.40

4122422 MONSELS SOLN 8ML $48.70

4122425 DEMECLOCYCLINE TAB 300MG $46.00

4122430 MEPIVICAINE 2% INJ 20ML $173.35

4122432 BUPIVICAINE 0.75% INJ 30ML $173.40


4122436 INDIGOTINDISULF INJ 5ML $197.25

4122441 BALANCED SALT OPHTH SOLN 15ML $62.45

4122450 NITROPRUSSIDE INJ 50MG $1,222.00

4122463 GOLD BOND PWD 120 GM *NF* $80.80

4122464 NA POLYSTYRENE SULF POWDER 1GM $59.95

4122465 SODIUM POLYSTY SUSP 60ML $42.25

4122466 SODIUM POLYSTY ENEM 120ML $43.35

4122467 MVD COCKTAIL 30ML $39.20

4122469 TRIHEXIPHENIDYL TAB 2MG $35.90

4122470 PHENOBARBITAL TAB 100MG $45.05


4122490 MURO 128 OPH OINT 3.5GM $66.65

4122491 MURO 128 OPH DROP 15ML $76.50

4122494 DIATRIZOATE 50% 30ML $180.75

4122499 SODIUM BIC 4.2% INJ 5MEQ $179.55

4122504 BENZTROPINE TAB 0.5MG $36.20

4122505 BENZTROPINE TAB 2MG $36.00

4122506 BENZTROPINE TAB 1MG $36.00

4122508 NAPROXEN TAB 375MG UD $35.90

4122511 PHYSOSTIGMINE INJ 2MG/2ML $205.35


4122539 THYROID TAB 30MG $36.05

4122541 LEVOTHYROXINE TAB 0.125MG $36.05

4122550 CLINDAMYCIN INJ 300 MG $172.25

4122551 CLINDAMYCIN INJ 600MG/4ML $173.70

4122553 HYDROGEN PEROXIDE 473ML $60.60


4122556 COCAINE 4% TOP SOLN 4ML $700.70

4122560 VINBLASTINE INJ 10MG $210.10

4122562 THIOTEPA INJ 15MG $2,676.70

4122572 VARICELLA VAC INJ 0.5ML $2,319.10

4122574 ERGOLOID MESY ORL TAB 1MG $39.25

4122591 D51/4NS 1L W/OXYTOCIN 20 UNITS $182.55

4122592 HYDROCORT ENEMA 100MG $71.55

4122595 LR 1000 ML W/OXYTOCIN 20 UNITS $192.05

4122596 D51/2NS 1 L W/OXYTOCIN 20 UNIT $3,504.05

4122597 EPINEPHRINE TOP SOL 30ML $161.45

4122609 ZANTAC TAB 150MG UD $38.90

4122620 SINCALIDE INJ 5MCG/5ML $269.60

4122622 NITRAZINE PAPER PER ROLL $91.75

4122624 CETACAINE SPRAY 1 APPLICATION $38.05

4122628 METOPROLOL TAB 100MG UD $35.95


4122632 LORAZEPAM TAB 0.5MG UD $44.95

4122636 SENOKOT S TAB $35.90

4122639 LIDO 1.5% W EPI 5ML $172.85

4122640 LIDOCAINE 0.5% INJ 50ML $173.95

4122641 LIDO 0.5% W EPI 1-2HT 50 $173.05

4122645 LIDO 2% W EPI 50ML $173.05

4122652 VITAMIN E CAP 100U $36.20

4122653 VITAMIN E CAP 400U $36.25

4122654 VITAMIN E CAP 1000 UNITS $36.30

4122656 PNEUMOCOCCAL VACCINE INJ $250.20


4122665 OXYBUTYNIN TABLET 5MG $36.25

4122666 OXYBUTYNIN SR TABLET 5MG $36.70

4122668 OXYBUTYNIN SR TAB 10MG $38.20

4122677 SULFACETA 10% OP DP 15ML $112.50

4122680 ASPIRIN CAFFEINE BUTALBI CAP 40MG $45.90

4122701 LORTAB 5 TAB $44.95

4122708 PENICILLIN GK INJ 3MU $181.75

4122714 THIAMINE INJ 100MG/1ML $176.30

4122719 SORBITOL 70% SOLN 60ML $36.15

4122720 SORBITOL 70% LIQUID 473ML $38.15

4122725 BENZOYL PEROXIDE 5% GEL $73.45


4122746 MUSTARGEN INJ 10MG $211.15


4122750 SILVER NITRATE APPLICATOR $36.10


4122776 EPIFOAM 10GM $120.10

4122783 DOME PASTE BANDAGE 3" $47.30

4122800 DIPHENOXYLATE/ATR LQ 5ML $45.70

4122801 CANDIDA SKIN TEST 0.1ML $749.85

4122807 VANCOMYCIN INJ 500MG $172.70

4122811 POVIDONE IOD SWABST 1PKG $36.00

4122812 PHENOBARBITAL SYR 20MG $45.65

4122813 PHENOBARBITAL SYR 30MG $45.25

4122814 PHENOBARBITAL NSYELIXIR 4MG/ML $45.05

4122821 ISOPROPYL ALCOHOL 70% 473ML $61.90

4122828 ERYTHROMYCIN OPH OIN 3.5G $62.90

4122837 POVIDONE IODINE SWAB STICK 3'S $35.95

4122845 PILOCARPINE 2% OP DP 2ML $62.45

4122847 PILOCARPINE 4% OD DP 2ML $39.40

4122848 PILOCARPINE 4% OPH SOLN 15ML $150.20

4122864 ACETYLCYSTEINE 10% SOL 4ML $43.20

4122865 PROCAINAMIDE SR TAB 500MG $36.55


4122867 PROCAINAMIDE SR TAB 500MG/1 $36.85


4122869 THIAMINE TAB 100MG $36.00

4122877 ZINC INJ 10MG/10ML $172.05

4122878 ZINC SULFATE CAP 220MG UD $36.20

4122879 ZITHROMAX CAP 250MG* $37.05

4122881 AZITHROMYCIN SUS 200MG $41.40

4122882 ENTEX LA TAB UD $36.40

4122883 AZITHROMYCIN TAB 600MG $36.50


4122888 PROCARBAZINE CAP 50MG $88.55

4122889 PROCAINAMIDE LIQ 5ML $37.05


4122905 CALCITRIOL CAP 0.5MCG $38.00

4122906 CALCITRIOL CAP 0.25MCG $36.55

4122911 TOLMETIN CAP 600MG $38.70

4122913 AMPICILLIN SUSP 500MG $37.30

4122914 VASOPRESSIN INJ 20U 1ML $208.90

4122917 NAPHAZOLINE 0.012% OP SOL 15ML $63.25

4122919 NAPHCON A OPTH DROPS 15ML $65.00

4122920 TRIMPEX TAB 100MG $39.15

4122922 CLONIDINE TAB 0.3 MG UD $35.95

4122936 CLOTRIMAZOLE VG CR 45MG $63.30

4122947 MINOXIDIL TAB 2.5MG UD $36.35

4122949 MINOXIDIL TAB 10MG UD $36.45

4122968 MULTIVITAMIN-12 INJ 10ML $179.25

4122969 MVI PEDIATRIC INJ 5ML $232.95

4122984 AMOXAPINE TAB 50MG $36.50

4122985 ANESTHETIC THROAT LOZENGE EA $35.95

4122988 BUPIVIC 0.25% W EPI INJ 30ML $172.90

4122991 CHLOROTHIAZIDE INJ 500MG $232.35

4122992 SODIUM CL 0.5% NEB 5ML $36.25

4122993 CISPLATIN INJ PER 50MG $187.55

4122997 HYDROXYUREA CAP 500MG $36.40

4122999 CYCLOPHOSPHAMIDE LIQ 100MG $47.00

4123001 PAROXETINE TAB 10MG $36.70

4123002 NEOSPORIN OINT 15GM $61.35

4123003 PAROXETINE TAB 20MG UD $36.10

4123004 AMYL NITRITE VAPOROLE $36.50

4123005 DEXAMETHASONE TAB 1.5MG $36.00


4123007 POVIDONE IODINE SOLN 120ML $60.70

4123010 ALTACE CAP 5MG $35.90

4123011 ALTACE CAP 10MG $36.25

4123012 ALTACE CAP 2.5MG $35.95

4123013 PAROXETINE TAB 30MG UD $37.00

4123015 CEFPROZIL LIQ 250MG/5ML $38.25

4123022 LANSOPRAZOLE SOLUTAB 30 MG $48.95

4123023 LANSOPRAZOLE SOLUTAB 15 MG $48.95

4123025 CEFTOLOZANE TAZOBACTAM 1.5 GM SOLR $230.00

4123026 AMANTADINE SYR 100MG $37.15

4123030 ALUPENT SYR 10MG $36.85

4123034 CEENU CAP 10MG $47.50

4123035 CEENU CAP 40MG $52.85

4123036 CARMUSTINE INJ 100MG $192.15

4123037 EMCYT CAP 140MG $46.65

4123050 CRESTOR TAB 5 MG $47.55

4123051 CRESTOR TAB 10 MG $44.10

4123052 CRESTOR TAB 20 MG $47.55

4123053 CRESTOR TAB 40 MG $47.55

4123054 ATORVASTATIN TAB 80MG $39.35

4123062 DESONIDE 0.05% CR 15GM $103.00

4123063 DESONIDE OINT 0.05% 15GM $111.00

4123068 PENICILLAMINE CAP 250MG $1,100.15

4123069 DINOPROSTONE SUPP 20MG UD $3,211.90

4123072 DINOPROSTONE VAG INS 10MG $1,249.00



4123077 PROMETHAZINE SUPP 12.5MG $43.90


4123080 DEXAMETHASONE SOL 0.5MG $36.90

4123083 FOSRENOL TAB 500 MG $46.75

4123085 BACLOFEN TAB 20MG $36.20

4123086 BACLOFEN TAB 10MG $36.30

4123088 BROMOCRIPTINE TAB 2.5MG $39.05

4123090 SANTYL OINT 30 GM $879.40

4123103 PSEUDOEPHEDRINE TAB 60MG $35.90

4123105 AUGMENTIN SUSP 500MG $44.30

4123107 ELOXATIN INJ 0.5MG $5,571.60

4123108 ELOXATIN INJ 0.5 MG $10,965.60

4123112 CECLOR CAP 500MG $39.25

4123114 MULTIVIT W IRON DPS 1ML $36.95

4123119 SODIUM CL 0.9% INJ 10ML $36.80

4123124 SODIUM CL 0.9% INJ 20ML $36.80

4123126 DOPAMINE INJ 400MG/10ML $171.80

4123129 LIDO 2% W EPI 1-2HT 20ML $176.05

4123139 LOPERAMIDE LIQ 1MG/ML $36.00

4123154 METHADONE LIQ 10MG/5ML $45.45

4123157 METHADONE LIQ 5MG/2.5ML $45.15

4123158 METHOCARBAMOL INJ 1000MG $208.50

4123164 METOCLOPRAMIDE SYR 5MG $36.35

4123165 METOCLOPRAMIDE SYR 10MG $36.30

4123193 RONDEC DM DROPS 1ML $36.90

4123207 AUGMENTIN SUSP 250MG $40.55

4123218 BETAMET DIP AUG 0.05% LOT 30ML $99.75

4123219 BETAMETHASONE SOLUS INJ 30MG $201.60

4123220 BETAPACE TAB 80MG $36.25

4123242 CARBAMAZEPINE TAB 100MG $36.30





4123279 DILTIAZEM CAP SR 90MG UD $37.25


4123292 DISOPYRAMIDE CAP SR 150MG $39.65

4123306 EDROPHONIUM INJ 15ML $234.05

4123309 ETOPOSIDE INJ 10MG $183.60

4123310 ETOPOSIDE CAP 50MG $92.45

4123324 ATRACURIUM INJ 10MG $171.35

4123325 METOCLOPRAMIDE INJ 50MG $172.35

4123326 TRIPLE DYE PPA $36.20

4123330 GLIPIZIDE TAB 5MG UD $36.20

4123331 GLIPIZIDE TAB 10MG UD $35.90

4123334 HEPARIN INJ 10,000 UNIT/ML $172.85

4123335 PENTOXIFYLLINE TAB 400MG $36.15

4123338 HEPARIN FLUSH 100 U/ML 30ML $170.60

4123339 HEPARIN INJ 100 UNITS/ML 10ML $171.25


4123345 CEENU CAP 100MG $59.55


4123350 GLYBURIDE TAB 2.5 MG UD $35.85

4123351 GLYBURIDE TAB 5MG UD $36.15

4123352 LORTAB LIQ 5ML $47.80

4123353 TUBERCULIN SKIN TEST $175.35

4123355 DIVALPROEX NA TAB 250MG $36.00


4123357 FAMOTIDINE TAB 10MG $35.95

4123358 PROPINE 0.1% OPT DPS 5ML $119.95

4123359 PROPRANOLOL LA CAP 120MG $36.40


4123361 METRONIDAZOLE TAB 500MG $36.35

4123362 METRONIDAZOLE SUSP 500MG $37.15

4123369 BUMETANIDE INJ 0.5MG $171.15

4123370 ACETYCYSTEINE INJ 6000 MG/30ML $272.65

4123371 LOXAPINE CAP 5MG $36.50

4123372 LOZOL TAB 2.5MG UD *NF* $36.15

4123374 CEFACLOR SUSP 250MG/5ML 75ML $48.95



4123378 LYMPHAZURIN 1% INJ 5 ML $235.05

4123383 DAPTOMYCIN INJ 500MG $1,607.25

4123386 AMPHOTERICIN B INJ TEST DOSE $170.90

4123388 AMPHOTERICIN B INJ 10MG $177.00

4123390 VORICONAZOLE INJ 200MG $224.60

4123391 VORICONAZOLE TAB 50MG $43.05

4123392 VORICONAZOLE TAB 200MG $58.80

4123395 ESMOLOL INJ 100MG/10ML $172.85

4123418 ABRAXANE INJ 100MG $4,701.05

4123420 AZACTAM INJ 1G $105.10

4123422 AZACTAM INJ 2G $132.35


4123456 FASLODEX INJ PER 250MG $3,432.85


4123460 PILOCARPINE 0.5% OP DP 15 $62.25

4123462 PILOCARPINE 1% OF DP 2ML $39.40

4123463 PILOCARPINE 1% OPH SOLN 15 ML $145.00

4123464 POT CL 20% SOLN 40MEQ $41.90

4123479 CEFUROXIME PED INJ 100MG/1ML $171.30

4123482 THYROID TAB 60MG $36.00

4123485 THYROID TAB 15MG $36.70

4123492 INSULIN HUMAN NPH 10ML $256.70

4123498 INSULIN HUM REG 10ML $197.40

4123507 INSULIN HUM 70/30 10ML $197.40

4123527 METOCLOPRAMIDE TAB 5MG $35.95

4123529 METRONIDAZOLE INJ 250MG $590.25

4123546 CISPLATIN INJ PER 100MG $196.15

4123578 VINCRISTINE INJ 2MG/2ML $188.30

4123586 COTRIMOXAZOLE INJ 10ML $182.60

4123603 ALTEPLASE INJ 2MG $723.05

4123604 ALTEPLASE INJ 1MG $52,103.07

4123606 POTASSIUM PHOS INJ 20MM $189.55

4123614 MORPHINE SR TAB 60MG UD $45.40


4123624 SIMETHICONE DROPS 30ML $36.80

4123628 NAFCILLIN INJ 2GM $178.15

4123654 POT CL 10% SOLN 20MEQ $37.25

4123656 POT CL 10% SOLN 40MEQ $41.15

4123660 TOBRAMYCIN SULFATE $241.30

4123661 GLYCOPYRROLATE INJ 1MG/5ML $199.85

4123662 PENTOBARBITAL INJ 50MG $779.55

4123665 HEPARIN INJ 1000 UNIT/ML-30ML $176.75

4123666 BUMETANIDE TAB 2MG $37.40

4123668 MYLOTARG INJ 5MG $10,022.50

4123671 LEVOTHYROXINE INJ 500MCG $21,436.95

4123672 RIFAMPIN SUSP 600MG/60ML $40.00

4123673 ROSIGLITAZONE TABLET 2MG $40.20

4123674 ROSIGLITAZONE TABLET 4MG $39.05

4123678 AMLODIPINE/BENAZOPRIL TAB 10/20MG $39.00

4123692 THEOPHYLLINE SR CAP 300MG $38.90

4123693 THEOPHYLLINE SR 24HR CAP 300MG $36.25

4123694 PHENYLEPH 1% N SP 15ML $63.55


4123709 CAPOZIDE TAB 50/25 $39.20



4123716 NYSTATIN SUSP 100,000U $36.95

4123721 AMINO ACID INFUSION 6.9% $95.25

4123730 CARBOPLATIN INJ 50MG $186.25



4123739 IFOSFAMIDE INJ 3 GRAM $602.80

4123740 IDARUBICIN INJ 10MG $250.75

4123741 IDARUBICIN INJ 5MG $217.30

4123742 MESNA INJ 200MG/2ML $183.15

4123751 ACTIGALL CAP 300MG $40.80

4123752 ALBUTEROL 0.5% SOLN 10MG/2ML $38.00

4123754 NIMODIPINE CAP 30MG UD $43.45

4123757 FLUTAMIDE CAP 125MG $36.70

4123759 MISOPROSTOL CAP 100MCG $36.30



4123767 AMIODARONE (PMX) 150MG $188.55

4123769 CARBAMAZEPINE SUSP 100MG $37.45

4123770 CARBAMAZEPINE SUSP 200MG $38.10

4123783 LORTAB 7.5 TAB $45.00

4123785 ZELNORM TAB 6MG $39.35

4123786 HYDROCORT 1% CR 1.5GM $36.05

4123787 ZELNORM TAB 2MG $39.35

4123804 POTASSIUM CL SR TAB 10MEQ $36.35

4123814 METAMUCIL PWD UD $36.10

4123826 MORPHINE TAB 15MG UD $45.30

4123833 EMEND CAP 80MG $465.90

4123834 EMEND CAP 125MG $1,093.65

4123838 MONOPRIL TAB 10MG *NF* $39.00

4123839 MONOPRIL TAB 20MG *NF* $38.95

4123846 PREDNISOLONE LIQ 15MG/5ML $36.90

4123856 GUAIFENESIN DM TAB $36.60

4123858 ERYTHROMYCIN OPH OIN 1G $41.95

4123859 FERRLECIT INJ 62.5MG $104.05

4123860 NITROGLYCERIN 2% OIN 1GM $38.00

4123861 NITROGLYCERIN OINT 30GM $93.30

4123864 LIDOCAINE 0.5% PF INJ 50M $172.35

4123865 HEPARIN PF INJ 30UNIT/3ML $170.70




4123878 IBUPROFEN SUSP 100MG $37.55

4123879 DESONIDE 0.05 LOTION 120ML $612.75

4123891 OFLOXACIN 0.3% OTIC SOLN 5 ML $61.50

4123892 OFLOXACIN OTIC DROP 0.25 ML $39.70

4123988 FORTEO PEN 10 MCG $9,492.90

4123990 EVOXAC CAP 30 MG $41.65

4123999 RAMIPRIL CAP 1.25MG $37.65

4124020 MORPHINE LIQUID 20MG/1ML $45.15

4124021 MORPHINE LIQ 20MG/ML 20ML $51.80

4124022 DIAZAPAM SOLN 5MG/5ML UD $45.35

4124030 GUAIFENESIN W COD SY 10ML $45.40

4124039 RIVAROXABAN TAB 15MG $40.50


4124044 DIAZEPAM LIQ 5MG/5ML $37.15

4124045 ISOSORBIDE MONO SR TAB 20MG $36.25

4124046 MESALAMINE SR CAP 400MG $39.15

4124121 CEDAX CAPSULE 400 MG $47.55

4124209 PHENOXYBENZAMINE CAP 10MG $1,044.10

4124214 SEBUTONE SHAMPOO 120ML $66.90


4124221 GELFILM OPTH 23 X 50MM $837.55

4124231 PRIMIDONE TAB 250MG $36.85

4124235 LUGOLS SOLN 30ML $40.60

4124299 AMIODARONE INJ 150MG/D5W 100ML $175.55

4124300 AMIODARONE TAB 200MG $36.10

4124301 ALBUTEROL SYR 2MG $36.80

4124302 CLONIDINE-1 PATCH UD $51.75

4124306 PILOCARPINE HS 4% GEL 5MG $154.60

4124311 MEPIVICAINE 1.5% INJ 30ML $174.85

4124315 ANUSOL SUPPOSITORY $35.95

4124318 PYRAZINAMIDE TAB 500MG $38.20

4124346 ENOXAPARIN INJ. 40MG $174.25

4124351 CIPROFLOXACIN TAB 250MG $36.10

4124352 CIPROFLOXACIN TAB 750MG $36.40

4124353 CIPROFLOXACIN TAB 500 MG $36.00


4124356 ENOXAPARIN INJ. 30MG $173.25

4124357 NEOMYCIN POWDER 500MG $41.85

4124359 DALTEPARIN INJ 5000 UNITS $179.50

4124360 DALTEPARIN INJ $175.95

4124361 DALTEPARIN INJ 7500 UNITS $182.20

4124364 TERAZOSIN TAB 5MG UD $36.00

4124367 ANTIHEMOPHILLIC FACTOR 8 250U $3,733.25

4124370 CYTARABINE INJ 500MG $612.50

4124372 PRINIVIL TAB 2.5MG $36.35

4124374 LISINOPRIL TAB 5MG UD $38.95



4124380 FLUOXETINE CAP 10MG $35.95

4124381 FLUOXETINE CAP 20MG UD $35.95

4124382 CEFUROXIME TAB 250MG $37.85

4124384 CEFUROXIME TAB 500MG $38.70

4124386 BCG VACCINE INSTILLATION $787.15

4124387 FLUOXETINE LIQ 20MG/5ML $36.90

4124388 OXYCODONE LIQ 500ML $467.40

4124393 MUPIROCIN 2% OINT 22GM $68.10

4124394 DAPSONE 100MG TAB UP $39.10

4124395 OXYCODONE LIQ 5MG $45.10

4124396 BUMETANIDE INJ 2.5MG $172.15

4124397 CHLORHEXIDIN 0.12%MTHSH 480ML $62.20

4124404 DIGOXIN IMM FAB INJ 40MG $12,057.60

4124405 ALCOHOL DEHYDRATED INJ 1ML $179.85

4124416 MITOXANTRONE INJ 20MG $839.20

4124424 MARINOL CAP 2.5MG UD $47.60

4124432 KETOCONAZOLE 2% SHAMPOO 120ML $73.85

4124433 KETOCONAZOLE 2% CREAM 15G $143.85

4124434 CHLORZOXAZONE TABLET $36.05

4124436 AXID CAP 150MG $38.95

4124437 VOLTAREN 0.1% OPH SOL 2.5ML $78.50

4124438 VOLTAREN TAB 75 MG $39.05

4124443 INSPRA TABLET 25 MG $37.80

4124444 TRETINOIN 0.1 % CREAM 20GM $71.65

4124445 XENADERM OINTMENT 60GM $85.70

4124446 CYTARABINE INJ 2G $199.35

4124447 DEPOCYT INJ 50MG $12,265.30

4124560 CLEMASTIN TAB 2.68 MG $36.30

4125003 BUMETANIDE TAB 1MG $36.35

4125011 VECURONIUM INJ 10MG/10ML $175.05

4125012 THEOPHYLLINE SR TAB 400MG $40.25

4125013 VECURONIUM INJ 1MG/1ML $170.70

4125015 LABETALOL TAB 200MG UD $36.45

4125023 PEG LAVAGE SOLN 3000ML $43.80

4125026 PENTAMIDINE INJ 300MG $6,187.45

4125032 ACYCLOVIR CAP 200MG $36.00

4125034 ACYCLOVIR TAB 800MG $36.30

4125035 ACYCLOVIR LIQUID 200MG $39.15

4125036 SCOPOLAMINE PATCH 1.5MG $53.85

4125037 CERUBIDINE INJ 20MG $274.35

4125039 MAXZIDE TAB 75-50MG $36.60

4125041 ZANTAC INJ 50MG/2ML $80.25

4125042 METOPROLOL INJ 5MG $170.75

4125045 LOTRISONE CREAM 15GM *NF* $86.15

4125047 CIMETIDINE TAB 400MG UD $38.95

4125051 MOXIFLOXACIN TAB 400MG $60.55

4125052 SECTRAL CAP 400MG UD *NF* $39.15


4125055 CHROMAGEN CAP $39.65

4125057 IRBESARTAN TAB 75MG $40.35

4125058 IRBESARTAN TAB 150MG $40.45


4125064 MORPHINE PF INJ 10MG $100.85

4125068 OSCAL TAB 500MG UD *NF* $35.90

4125070 ALBUTEROL TAB 4MG $42.15

4125072 ALBUTEROL SR TAB 4MG $37.05

4125073 ISOSORBIDE TAB 40MG UD $54.60


4125079 THEOPHYLLINE SR TAB 200MG $38.00

4125080 WYTENSIN TAB 4MG $39.70

4125081 METOLAZONE TAB 10MG UD $37.65

4125084 FLUCINOLONE $107.25

4125086 ENALAPRILATE INJ 2.5 MG $172.45

4125087 ENALAPRIL TAB 5MG UD $36.25

4125091 capecitabine tab 150mg $44.85

4125092 XELODA TAB 500MG $89.80

4125093 ROSIGLITAZONE TAB 4MG $40.30

4125098 MORPHINE PF INJ 1 MG/1 ML $90.80





4125104 MORPHINE PF INJ 25MG/ML $96.50

4125105 MORPHINE PF INJ 50MG/ML $89.85

4125112 FLUOROURACIL INJ 1000MG $183.90

4125117 SODIUM CL 0.65% NAS SPRAY $60.75

4125125 MIDAZOLAM SYR 5MG/2.5ML $45.85

4125130 MIDAZOLAM SYR 188ML $45.30

4125131 ACETAMINOPHEN ELIXIR 120ML $5.20

4125132 ASENDIN TAB 25MG $39.05

4125134 BUMETANIDE TAB 0.5MG $36.35

4125136 CAPTOPRIL TAB 50MG $36.80


4125140 BETAMETH DIP AUG 0.05% OIN 15G $62.85


4125144 GLYCERIN SUPP (INFANT) $36.50

4125147 ISOPROTERENOL INJ 1MG/5ML $7,442.85

4125149 MINERAL OIL 2ML $44.35

4125150 MORPHINE LIQUID 10MG/5ML $83.95

4125151 PHENYLEPH 1% N DP 15ML $62.25

4125153 NEOSYNEPH 0.5% N DP 15ML $78.10

4125155 PHENYLEPHRINE 0.25% SPRAY 15ML $64.00

4125160 PHENERGAN DM SYRUP 5ML $36.80

4125165 SINEMET TAB 25-100 $36.00

4125167 THIAMINE TAB 50MG $35.85

4125169 TOBRAMY 0.3% OP OIN 3.5GR $768.25

4125175 NITROGLYCERIN PATCH .4MG $36.25




4125179 NITROGLYCERIN PAATCH 0.3MG $40.60


4125181 LEVOTHROXINE TAB 0.2MG $36.45




4125185 LEVOTHYROXINE LIQ 25 MCG $36.90

4125190 HEPARIN INJ 10,000U/10ML $171.95

4125191 TAMBOCOR TAB 100MG $37.10

4125193 VANCOLED LIQ 25MG $38.70



4125196 BENZOCAINE 20% TOP SPRAY 60G $66.45

4125197 LABETALOL INJ 100MG/20ML $172.90

4125204 THROMBIN TOPICAL 20,000U $1,112.05

4125206 MYLANTA DS SUSP 150ML $36.70


4125209 NICOTINE GUM 2MG $36.05


4125216 BETOPTIC 0.5% OPHTH DPS 5ML $77.65

4125227 FLUPHENAZINE TAB 10MG UD $36.20

4125228 BENAZEPRIL TAB 40MG $40.25

4125230 NEUTRA-PHOS POW UD $36.30

4125232 NIFEDIPINE CAP 20MG UD $37.35

4125233 ZANTAC TAB 300MG UD $39.00

4125235 FLUCYTOSINE CAP 250MG UP $101.25

4125236 LITHIUM CITRATE LIQ 300MG $36.95

4125237 POTASSIUM CL SR TAB 20MEQ $36.25

4125240 BUMETANIDE INJ 1MG $172.00

4125241 RASALIGINE TAB 1MG $59.00

4125244 NORFLOXACIN TA 400MG UD $40.20

4125245 FAMOTIDINE TAB 20MG UD $35.90

4125246 FAMOTIDINE TAB 40MG UD $0.05

4125247 BUSPIRONE TAB 10MG $35.90

4125248 BUSPIRONE TAB 5MG $35.90

4125250 ESTRADIOL PATCH 0.1MG $53.55

4125251 ESTRADIOL PATCH 0.075MG $43.55

4125252 TRAZODONE TAB 150MG $36.70

4125253 ATENOLOL TAB 100MG $36.00

4125255 AVITENE WEB 70X35X1 $609.45

4125256 ATENOLOL INJ 5MG $179.75

4125258 PLASMA PROT FRACT 5% 50M $200.05



4125358 AMLODIPINE TAB 2.5MG $35.95

4125359 AMLODIPINE TAB 5MG $35.95

4125360 AMLODIPINE TAB 10MG $35.90

4125370 ALBUTEROL INH SOL 2.5MG $36.05


4125373 TRIAMCINOLO ORAL INH 20GM $519.25

4125375 ESTRACE TAB 2MG UD *NF* $39.05

4125377 SPIRIVA INH CAP 18 MCG - 6'S $70.30

4125378 IPRATROPIUIM 0.06% NASSPY 15ML $75.50

4125379 IPRATROPIUM 0.07% INH 2.5 $36.05

4125380 IPRATROPIUM INH 14GM $1,220.20

4125381 IPRATROPIUM 0.03% NAS SPY 30ML $81.30

4125382 ESMOLOL INJ 2.5GM/10ML $274.55


4125386 SULFACETA 10% OP OT 3.5GM $118.95

4125387 TENEX TAB 1MG UD *NF* $38.95

4125388 URIMAR-T TAB UP $40.80

4125391 DEFEROXAMINE INJ 500MG $188.90

4125392 POVIDONE IODINE LIQ 15ML $37.10

4125395 VERAPAMIL SR TAB 240MG UD $36.05

4125398 RESINOL OINT 37.5GM $59.90

4125406 PREDNISONE LIQ 5MG/5ML $37.05

4125412 VERMOX CHEW TAB 100MG $38.85

4125414 TRIHEXYPHENIDOL TAB 5MG $35.95

4125418 NAPROXEN SUSP 250MG/10ML $38.35

4125421 CAPTOPRIL TAB 12.5MG $36.80

4125422 TRIAZOLAM TAB 0.125MG $46.05

4125424 LEVOBUNOL 0.25% OPH SOLN 10 ML $67.10

4125425 FAMOTIDINE INJ MOV 20MG $170.75

4125426 BETAGAN 0.25% OPHTH DROPS 5ML $61.40

4125427 FAMOTIDINE INJ 20MG/2ML $171.20

4125429 LEVOBUNOLOL 0.5% OPH SOL 5 ML $63.55

4125431 ZIDOVUDINE CAP 100MG UD $36.85

4125432 DACARBAZINE INJ 200MG $2,431.85

4125433 UNASYN INJ 3 GM $171.10

4125435 UNASYN INJ 1.5 GM $171.45

4125438 OIL OF WINTERGREEN 60ML $60.10



4125447 NITROGLYCERIN CAP 6.5MG $36.45

4125453 METHOTREXATE INJ 100MG $179.90


4125456 CARDENE CAP 20MG $40.35

4125505 HEPATITIS B VACC 5MCG $183.35

4125516 VENLAFAXINE TAB 25MG $36.45

4125517 VENLAFAXINE TAB 75MG $36.40

4125518 LORCET 10 TAB UD $45.10

4125520 SALMETEROL DISKUS $825.85

4125521 LIDOCAINE 2% JELLY 5ML UD $62.40

4125522 PHRNYLEPHRINE .125% SOLN 30ML $60.00

4125524 LUBIPROSTONE CAP 24MCG $44.60

4125525 LORATADINE LIQ 5MG/5ML $37.00

4125526 PARICALCITOL TAB 1 MCG $43.35

4125527 RANOLAZINE TAB 500MG $44.70

4125528 SELEGILINE TAB 1.25MG $109.45

4125531 EFFERVESCENT K TAB 25MEQ $36.15

4125532 GEMCITABINE INJ 1 GM $999.00

4125533 BETAXOLOL 0.25% 10ML $1,162.00

4125535 DORIPENEM INJ 500MG $210.40

4125536 CLOPIDOGREL TAB 300MG $51.00

4125538 SOLAAREZE GEL 3% 50GM $782.85

4125539 MUPIROCIN 2% CREAM 15 GM $597.95

4125540 PYRIDOSTIGMINE INJ 10MG $201.70

4125541 SAQUINAVIR TAB 500MG $40.60

4125544 MVI ADULT NO VIT K 10ML $186.10

4125545 SYMBICORT INH 80-4.5 $612.10

4125546 AYR SALINE GEL 15GM $62.45

4125548 CLOTRIMAZOLE-BETAMETH LOTION 30ML $141.15

4125549 TRIAMCINOLONE LOTION 60ML $73.50

4125550 TRIAMCINOLONE 0.5% CREAM 15GM $66.95

4125552 PIMECROLIMUS 1% CR 60GM $618.55

4125553 CITALOPRAM TAB 10MG $35.90



4125557 TARCEVA TAB 100MG $78.70

4125558 SYMBICORT INH 6GM $612.05

4125560 NEBIVOLOL TAB 10MG $39.60

4125565 HYDROMORPHONE TAB 8MG $45.30

4125566 COENZYME Q 150MG CAP $39.30

4125567 FERRALET TAB $39.65

4125568 ZIAGEN TAB 300MG $39.95

4125569 NYSTATIN VAGINAL TAB $64.75

4125571 MORPHINE PED LIQ 0.5MG/1ML $37.25

4125572 ALTEPLASE INJ 50MG $23,958.94

4125578 ENTEREG CAP 12MG $542.55

4125581 NABUMETONE TAB 750MG $39.05

4125582 BENZOCAINE 20% GEL 7GM $61.90

4125583 VANCOMYCON FORT OPHT DROPS $76.05

4125584 NISOLDIPINE SR TAB 8.5MG $51.25

4125585 NISOLDIPINE SR TAB 17MG $41.20

4125589 LIDOCAINE 4% FOR RT 5ML $172.30

4125590 BOSENTAN(TRACLEER) TABLET 125MG $138.75

4125591 PEDIATRIC TPN $867.45

4125592 CUROSURF SUSP 3ML $3,229.15

4125593 CEFTAZIDIME PED INJ 10MG/ML $170.85

4125594 MEXILITINE CAP 200MG $37.00

4125595 FENOFIBRATE TAB 48MG $36.80

4125600 ASPIRIN EC TABLET 81MG $5.20

4125609 CARNITOR TABLET 330MG $39.35

4125610 CARNITOR LIQ 1000MG/10ML $38.95

4125612 CHLORTHALIDONE TABLET 15MG $37.75

4125615 CELLCEPT CAPSULE 250MG $36.65

4125621 COMTAN TABLET 200MG $37.80

4125630 DANAZOL CAPSULE 100MG $40.20

4125633 DARAPRIM TABLET 25MG $50.35

4125642 DICLOXACILLIN CAPSULE 500MG $39.50

4125661 TIAGABINE TAB 4MG $41.35

4125662 GABITRIL TAB 2MG $41.70

4125663 ESTRATEST HS TABLET $41.20

4125664 MORPHINE INJ 15MG $90.70

4125665 LIOTHYRONINE TAB 5MCG $39.45

4125669 FARESTON TABLET 60MG $39.85

4125671 ARIXTRA INJ 2.5MG $88.10

4125672 FEMARA TABLET 2.5MG $45.25

4125672 FEMARA TABLET 2.5MG $45.00

4125675 CHILDREN'S MULTIVITAMIN TABLET $36.20

4125678 FOLTX TABLET $36.80

4125687 GLYSET TABLET 25MG $40.90

4125693 GLYBURIDE MIC TABLET 3MG $38.95

4125703 GRANISETRON INJ 0.1MG/2ML $177.25

4125705 KYTRIL TABLET 1MG $59.20

4125706 GRANISETRON INJ 0.1MG $180.35

4125714 LAMICTAL TABLET 100MG $36.30

4125717 LAMICTAL TABLET 150MG $36.40


4125729 TELMISARTAN CAP 80MG $43.45

4125732 MIRAPEX TABLET 0.125MG $36.25

4125735 MIRAPEX TABLET 1MG $36.25

4125736 MIRAPEX TAB 1.5MG $36.25

4125741 NEORAL CAPSULE 25MG $36.35

4125744 NEORAL CAPSULE 100MG $37.55

4125746 NIACIN SUST REL CAP 250MG $36.20

4125750 ORPHENADRINE SR TABLET 100MG $39.25

4125759 PANCREASE MT-4 CAPSULE $36.70

4125762 PANCREASE MT-10 CAPSULE $37.45

4125765 PRIMAQUINE TABLET 26.3 $40.70

4125768 PROAMATINE TABLET 2.5MG $39.55

4125771 PLETAL TABLET 100MG $36.00

4125772 PLETAL TAB 50MG $36.30

4125774 PROFEN II DM TABLET $39.45

4125780 PROGRAF CAPSULE 1MG $37.50

4125783 ROPINIROLE TABLET 0.25MG $36.25

4125784 ROPINROLE TAB 0.5MG $36.25

4125786 SALSALATE TABLET 500MG $40.00

4125789 ACEBUTOLOL CAPSULE 200MG $39.05

4125794 ITRACONAZOLE SOLN 100MG $57.35

4125795 SPORANOX CAPSULE 100MG $43.20

4125796 SPORANOX INJ 250MG $990.75

4125797 INTRACONAZOLE SOLN 200MG $77.95

4125798 SUSTIVA CAPSULE 200MG $46.95

4125801 TASMAR TABLET 100MG $41.30

4125805 FENOFIBRATE CAP 134MG $37.60

4125806 TRICOR TAB 145 MG $42.25

4125807 TRICOR CAPSULE 67MG $36.95

4125808 TRICOR CAP 200MG $38.05

4125816 ZEBETA TABLET 5MG $36.65

4125820 ETHANOL 98% 5ML SOLN $273.70

4125828 ASPIRIN SR TABLET 800MG $47.45

4125840 MAGIC MOUTHWASH LIQ 10ML $36.85

4125841 MAGIC MOUTHWASH 120ML $38.00

4125842 MEPRON LIQ 750MG/5ML $58.05

4125845 NICARDIPINE INJ 25MG/10ML $186.35

4125847 CEFIPIME INJ 1GM $173.05

4125848 CEFEPIME INJ 2GM $175.55

4125849 OXACILLIN INJ 1GM $86.65

4125852 ASTELIN NASAL SPRAY 34ML $93.10

4125860 IOPIDINE 0.5% OPH SOL 5ML $131.30

4125863 POLYTRIM OPH SOLN 10ML $64.45

4125866 OCUPRESS 1% OPH SOLN 5ML $78.70

4125869 OPTIPRANOLOL 0.3% OPH SOL 10ML $79.05

4125872 LIDODERM 5% PATCH $41.15

4125875 ESTRACE 0.01% VAG CREAM 42.5GM $1,146.55

4125878 TOBRADEX OPH SOLN 2.5ML $140.25

4125895 MEPTAZANE TAB 50MG $45.40

4125898 NOVOLOG INJ 10ML $253.70

4125899 INSULIN NOVOLOG 70/30 10ML $253.70

4125900 KALETRA LIQ 5ML $53.95

4125901 ABACAVIR LIQ 20MG/ML $39.50

4125902 CULTURELLE KIDS PACK $39.45

4125903 HYDROCORTISONE 2.5% TOP CREAM $64.15

4125904 ATAZANAVIR CAP 150MG $46.40


4125907 NEBIVOLOL TAB 5MG $39.95

4125908 NEBIVOLOL TAB 2.5MG $37.10

4125909 K-PHOS NEUTRAL TAB 250MG $36.70


4125911 MORPHINE INJ 8MG/ML 1ML $90.80

4125912 CREON CAP 6000 UNIT $37.55

4125913 CREON CAP 12000 UNIT $38.90

4125914 CREON CAP 24000 UNIT $41.60

4125915 DEXMEDETOMIDINE INJ 200MCG/2ML $93.65

4125916 SEVELEMER CARB PWD 2.4GM $44.25

4125917 SEVELEMER CARB TAB 800MG $42.10

4125919 RENAL MULTIVITAMIN TAB $36.40

4125920 MORPHINE INJ 5MG/ML $90.25

4125927 HEPARIN LF 100 UNIT/10ML $176.65

4125930 PIPERACILLIN TAZO FRZN 2.25GM $177.35

4125932 BUPIVICAINE-EPI-PF 0.25% $171.10

4125933 SAXAGLIPTIN TAB 5MG $50.25

4125934 CARBIDOPA TAB 25MG $41.95

4125937 OXICONAZOLE 1% CRM 60MG $591.05

4125938 CLINDAMYCIN INJ 600MG/50ML $177.20

4125939 DABIGATRAN CAP 150MG $43.65

4125940 LEVEMIR FLEX PEN $83.05

4125941 NOVOLOG 70/30 FLEXPEN $89.95

4125942 SOTALOL TAB 120MG $36.35

4125943 RIFAXIMIN TAB 200MG $55.60

4125944 DABIGATRAN CAP 75MG $43.65

4125945 DICYCLOMINE SYR 10MG/5ML $37.45

4125946 NICARDIPINE IN NACL 40MG/200ML $864.85

4125947 SAVELLA TAB 50MG $43.50

4125948 ETRAVINE TAB 100MG $48.35

4125949 AZITHROMYCIN 500MG IN NS 250ML $175.20

4125950 NOREPINEPHRINE 4MG IN D5W 250ML $197.40

4125951 THEOPHYLLINE 24H CAP 100MG $37.80

4125952 WARFARIN INJ 5MG $210.65

4125957 HYDROCODONE+APAP 7.5/325MG TAB $45.25

4125958 HYDROCODONE+APAP 5/325MG TAB $45.20

4126002 CAPOZIDE TAB 25/25 $39.10

4126004 VINORELBINE INJ 10MG $178.80

4126006 VINORELBINE INJ 50MG $658.55

4126009 LEVOFLOXACIN PM INJ 250MG $172.25

4126011 LEVOFLOXACIN PM INJ 500 MG $172.55

4126012 COREG TAB 3.1 25MG $36.30

4126013 COREG TAB 25MG $36.25

4126017 METROGEL VAG 0.75% 70GM $167.60

4126018 METROGEL 0.75% GEL 30GM $148.45

4126019 VENLAFAXINE TAB 37.5MG $36.25


4126022 RISPERIDONE TAB 2MG $36.00


4126028 VENLAFAXINETAB 50MG $35.85

4126037 AMOXICILLIN SUSP 250MG/5,L $36.30

4126040 FACTOR IX 1 UNIT $171.25

4126041 SYNAGIS 50MG $5,826.85

4126042 MICONAZOLE 2% CREAM 42.5GM $62.45

4126043 ARIPIPRAZOLE TAB 15MG $41.00

4126044 NECON TAB 1/50 28'S $60.55

4126045 RELENZA INHALER $62.90

4126046 TEMSIROLIMUS INJ 25MG $6,813.40

4126047 RETAPAMULIN OINT 10GM $66.20

4126048 BUTALBITAL-ACETAMINOPHEN-CAFF CAP $45.35

4126049 MIRTAZAPINE SOLUTAB 15MG $36.55

4126051 CHLORAMPENICOL INJ 1GM $196.35

4126052 IPRATROPIUM/ALBUTEROL NEB $36.10

4126053 ALBUTEROL NEB 1.25MG/3ML $36.60

4126054 DORIPENEM INJ 250MG $192.35

4126055 GELFOAM SIZE 100 $55.75

4126056 NITROGLYCERIN TAB 0.3MG $60.30

4126057 ISENTRESS TAB 400MG $61.30

4126059 SOLIFENACIN TAB 10MG $48.10

4126060 RISPERDAL CONSTA 50MG/2ML $5,841.05

4126061 MIDODRINE TAB 5MG $39.55

4126062 NALTREXONE ER INJ 380MG $5,395.85

4126063 METHIMAZOLE TAB 5MG $36.25

4126064 SODIUM CHLORIDE 2% OPTH SOLN 15ML $75.70

4126065 ZOLEDRONIC ACID INJ 5MG/100ML $937.40

4126066 CLINDAMYCIN 2% VAG CR 40GM $123.00

4126067 ACETIC ACID 2% SOLN 5ML $38.00

4126068 PALONOSETRON INJ 0.075MG/1.5ML $119.60

4126069 RASBURICASE INJ 1.5MG $3,151.05

4126070 TIROFIBAN INJ 12.5MG/250ML $1,895.25

4126074 DEXTROSE 25% 10ML SYRINGE $177.50

4126075 TIROFIBAN INJ 5MG/100ML $994.05

4126078 PREDNISOLONE NA PHOS LIQ 15MG/5ML $36.20

4126079 ANDROGEL 1% 5GM $52.90

4126080 HYDROCORTISONE 10% AER 15GM $135.10

4126088 SULFADIAZINE TAB 500MG $39.85

4126098 ALEMTUZUMAB INJ 10MG $7,610.60

4126100 VIRACEPT TAB 250MG $39.60

4126102 RESCRIPTOR TAB 100MG $40.15

4126104 RETROVIR TAB 300MG $36.35

4126106 OXYCODONE TAB 5MG $45.10

4126108 OXYCODONE SR TAB 20MG $51.00

4126109 HYDROCODONE+APAP 10/325MG TAB $45.30

4126111 RIFIMIXIN TAB 550MG $70.80

4126114 DASATINIB (SPRYCEL) TAB 70MG $882.80

4126115 CALCIUM GLUBIONATE LIQ 5ML $36.35

4126119 VALACYCLOVIR TAB 1 GM $36.70

4126120 DONEPEZIL TAB 23MG $45.30

4126122 ENTECAVIR TAB 1MG $81.85

4126123 CEFTAROLINE INJ 400MG $666.20

4126124 POSACONAZOLE LIQ 200MG/5ML $99.50

4126125 ALBENDAZOLE TAB 200MG $41.45

4126127 COLESEVELAM PWPK 3.7 GM $53.90

4126128 LEVALBUTEROL INH 15GM $79.55

4126129 AVITENE 35 X 35 $95.05

4126130 BUTORPHANOL 2MG/ML 1ML INJ $94.15

4126132 CYCLOBENZAPRINE TAB 5MG $36.25

4126133 ARGININE 50 MG TABLET $38.95

4126134 BUPRENORPHINE PATCH 10MCG $115.95

4126135 SODIUM HYPOCHLORITE 0.5% SOLN $67.65

4126136 TAPENTADOL (NUCYNTA) 75 MG TABLET $44.25

4126137 MAGNESIUM CL INJ 4MG/2.03ML $170.35

4126138 TPN LYTES (NUTRILYTE) 20ML $171.80

4126140 LEVOFLOXACIN LIQ 750MG/30ML $69.05

4126141 TOBRAMYCIN INJ 20MG/2ML $172.30

4126142 DILTIAZEM 100MG IN D5W 100ML AAV $181.70

4126144 CEFTRIAXONE 2GM IN NS 100ML $172.15

4126147 FEBUXOSTAT TAB 40MG $48.70

4126149 CALCITRIOL OINT 100GM $3,433.60

4126150 CARBACHOL INJ 1.5ML $47.40

4126151 BSS 500ML $155.00

4126152 SALIVA SUBSTITION 30ML $42.60

4126153 SILVER GEL 44.4GM $81.85

4126154 DULOXETINE CAP 60MG $37.20

4126155 CICLOPIROX 0.77% CR 15GM $79.15

4126156 DISCOVISC INJ 1ML $268.30

4126157 PROVISC INJ 0.4ML $827.50

4126158 DUOVISC INJ $908.50

4126159 VISIONI BLUE INJ 0.5ML $227.90


4126161 PROPARACAINE 0.5% DROP 15ML $61.95

4126162 KETOROLAC 0.45% DROP 0.4ML $44.30

4126163 GATIFLOXACIN 0.5% DROP 2.5ML $103.95

4126164 OPTHALMOLOGY TOP GEL SOLN $98.25

4126165 UROGESIC BLUE TAB $38.60

4126166 LINAGLIPTIN TAB 5MG $48.60

4126167 GABAPENTIN TAB 600MG $36.00

4126168 IVERMECTIN TAB 3MG $42.80

4126169 LURASIDONE TAB 80MG $70.35

4126170 TETRACAINE 0.5% VISC 0.6ML $41.30

4126173 ACETYLCYSTEINE 10% 10ML $48.60

4126174 ACETYLCYSTEINE 20% 10ML $48.55

4126175 INTERFERON ALPHA 2B INJ 50MU $4,509.50

4126176 WARFARIN 3.75MG TABLET $36.25

4126177 VISCOAT 0.5ML INJ $533.45

4126180 TICAGRELOR TAB 90MG $44.25

4126181 MIOCHOL-E INJ $92.60

4126182 ROFLUMILAST TAB 500MCG $46.05

4126183 DENOSUMAB INJ 120MG $7,995.85

4126185 ROPIVACAINE 0.2% 10ML $175.25

4126187 LURASIDONE TAB 40MG $70.35

4126188 NASOGEL 28.4ML $62.50

4126193 ACETIC ACID 3% 20ML $50.70

4126194 LIDOCAINE 3.5% OPH GEL 5ML $79.25

4126195 CLOBETASOL 0.05% OINT 15GM $115.70

4126197 BUPIV-EPI MDV 1-2000,000 50ML $174.65

4126198 TRANEXAMIC ACID TAB 650MG $39.60

4126200 ZIDOVUDINE PED INJ 4MG/ML $173.15

4126203 LEVOTHYROXINE SODIUM 100MCG/5ML $275.90

4126204 ROPINIROLE XL TAB 2MG $37.60

4126205 WHITE PETROLATUM 49GM $60.90


4126207 STALEVO TAB 150 $38.45

4126208 CYTARABINE (PF)INJ 100MG/5ML $183.25

4126210 CHLORPHENIRAMINE SYR 4 MG $36.70

4126213 RENACIDIN 500ML $94.95

4126221 LOPINAVIR-RITONAVIR TAB 100-25MG $40.20

4126222 AYGESTIN TAB 5MG $39.15

4126322 DIDANOSINE SR CAP 250MG $41.40

4126323 TRIAMCINOLONE 0.05% OINT 15GM $60.10

4126400 DECITABINE $2,882.40

4126401 HEPARIN FLUSH 500 UNIT/5ML SYRING $170.65

4126403 CROTAMITON 10% CREAM 60GM $1,962.95

4126404 CARVEDILOL CR TAB 40MG $47.60

4126405 CYTRA-3 SOLN 30ML $36.85

4126406 MICAFUNGIN INJ 100MG $236.30

4126407 RIVASTIGMINE PATCH 9.5MG $47.70

4126408 MITOMYCIN INJ 40MG $342,514.65

4126409 ARIPIPRAZOLE TAB 2MG $41.30

4126411 LUBIPROSTONE CAP 8MCG $44.60

4126412 DESVENLAFAXINE TAB 50MG $48.85

4126413 LOVAZA CAP $39.50

4126415 DARBEPOETIN ALPHA INJ 500MCG NON-ESRD $14,602.00

4126418 HEPARIN 25000UNIT PMX 250ML $821.00

4126419 GRISEOFULVIN LIQ 125MG/5ML $39.40

4126420 DIDANOSINE CAP 125MG $38.60

4126421 ACETYLCYSTEINE 20% ORAL SOLN $37.20

4126422 ACETYLCYSTEINE 20% FOR OD $130.75



4126425 METOPROLOL TARTRATE 12.5MG TABLET $36.25

4126426 ONDANSETRON ODT TAB 4MG $36.05

4126427 GRANISETRON PATCH 3.1MG $1,805.15

4126428 DICLOFENAC TAB 50MG $39.35

4126429 FLUCINOLONE 0.01% SOLN 60ML $625.15

4126430 DRONEDARONE TAB 400MG $48.55

4126432 OXYCODONE-APAP 10-325MG TABLET $45.95

4126433 METHACHOLINE SOLN 100MG/20ML $126.95

4126435 LACOSAMIDE TAB 150MG $48.85


4126437 TAPENTADOL (NUCYNTA) 50MG TABLET $43.45

4126439 LOTEPREDNOL 0.5% DROP 5ML $826.65

4126441 TOLVAPTAN TAB 30MG $1,597.85

4126442 ANTI-INHIB COAG COMPLEX 50ML VIAL $249.10

4126443 HUMATE P INJ $171.15

4126444 PREZISTA TAB 600MG $62.50

4126445 CLINDAMYCIN PED INJ 10MG/1ML $171.35

4126446 GALANTAMINE TAB 8MG $36.55

4126447 PEMETREXED INJ 500MG $12,771.95

4126448 FOSAPREPITANT INJ 115MG $986.40

4126449 DARUNAVIR TAB 800MG $86.15

4126451 HEPARIN INJ 5000 UNIT/1ML $171.30


4126453 AMIODARONE INJ 450MG - D5W 250ML $174.00

4126454 PRASUGREL TAB 5MG $48.95

4126455 PRASUGREL TAB 10MG $52.20

4126456 TELAVANCIN INJ 250MG $236.05

4126457 TELAVANCIN INJ 750MG $1,671.45

4126458 BENDAMUSTINE 45MG/0.5ML SOLN $8,680.45

4126459 MIRACLE MOUTHWASH 120ML $70.65

4126460 BUPROPION XL TAB 300MG $37.75

4126461 CARBIDOPA/LEVOPODA ODT 25-100 $37.05

4126462 NILUTAMIDE TAB 150MG $625.75

4126464 COMBIGAN OPHTH DROP 5ML $602.75

4126465 AMPICILLIN 2GM/NS 100ML $173.70

4126466 RECOMINATE INJ 1100 UNIT $4,651.65

4126469 MICAFUNGIN INJ 50MG $208.80

4126471 POTASSIUM CHLORIDE SR TAB 8MEQ $36.60

4126472 IMIQUIMOD 5% CREAM 0.25GM $52.85

4126473 METHOHEXITAL INJ 500MG $227.30

4126474 VITAMIN D TAB 1000 UNITS $36.25

4126475 VALRUBICIN INJ 200MG $4,711.00

4126476 QUETIAPINE SR TAB 300MG $37.15

4126477 CLONIDINE INJ 1000 MCG $181.75

4126478 ANAGRELIDE CAP 0.5MG $36.70

4126479 LACTASE TABLET $35.95

4126480 ENALAPRILAT INJ 1.25MG/ML $171.40

4126482 FONDAPARINUX INJ 5MG $1,404.90

4126485 LEVOTHYROXINE TAB 137MCG $36.30

4126486 BARRINGTON'S KNEE INJ 80ML $752.55

4126488 MODAFINIL TAB 100MG $64.45

4126489 TREAGAN OTIC SOLN 14ML $65.50

4126490 ERLOTINIB TAB 25MG $122.60

4126491 PANTOPRAZOLE SUSP 40MG $38.80

4126492 AZTREONAM PM 1GM $113.00

4126493 AZTREONAM PM 2GM $148.35

4126494 METHYLPRED NA SU PF INJ 40MG $174.40

4126495 PRAMOSONE E CREAM 2.5% 28.4GM $160.25

4126496 GUANFACINE SR TAB 1MG $49.05

4126497 TOLVAPTAN TAB 15MG $1,307.15

4126500 CEFOXITIN 1GM IN NS 50ML $174.55

4126501 ALCOHOL ISPROPYL 70% 3780ML $75.55

4126509 HYDROCORTISONE/ULTRASOUND GEL $61.75

4126541 ESCITALOPRAM TAB 5MG $36.35

4126544 TRIPLE ANTIBIOT OINT UD 144'S $56.30

4126551 COMBIVENT ORAL INH NF $789.25

4126552 EFFEXOR XR CAP 37.5 MG $36.00

4126553 EFFEXOR XR CAP 75 MG $36.70

4126554 EFFEXOR XR CAP 150 MG $36.20

4126555 ZANAFLEX TAB 4MG $36.30

4126556 AZITHROMYCIN INJ 500 MG $173.30

4126559 XALITAN 0.005% SOLN 2.5ML $64.90

4126560 FLOMAX CAP 0.4 MG $36.55

4126561 TEGRETOL XR 200 MG $37.55

4126562 SIROLIMUS TAB 1MG $43.85

4126563 QUETIAPINE CAP 100MG $36.30

4126567 ZITHROMAX SDP 1GM $58.45

4126568 CARBAMAZEPINE XR TAB 200 $37.25


4126603 TRANEXAMIC ACID INJ 1000MG $191.50

4126604 NITROGLYCERIN 2% OINT 60GM $102.80

4126606 FLINTSTONES W FE TAB $36.20

4126607 GLIMEPIRIDE TAB 1MG $36.30

4126609 GLIPIZIDE SR TAB 2.5MG $36.40

4126610 APIXABAN TAB 2.5MG $40.55

4126611 APIXABAN TAB 5 MG $40.55

4126612 INDOCYANIN GREEN INJ 25MG $271.20

4126615 CYANOCOBALAMIN TAB 1MG $36.35

4126628 CALCIUM CARBONAT LIQ 5ML $36.85

4126630 THALIDOMIDE CAP 50MG - 28EA $19,655.29

4126631 CLOBETASOL 0.05% CREAM 15GM $604.55

4126631 CLOBETASOL 0.05% CREAM 15GM $64.50

4126660 BOSETAN TAB 62.5MG $526.20

4126668 ARAVA TABLET 20MG $41.00

4126669 TRIAMCINOLONE 0.025% OINT 15GM $64.45

4126670 TAMIFLU CAPSULE 75MG $46.15

4126671 OSELTAMIVIR SUSP 12 MG $39.25

4126672 ACTOS TABLET 15MG $36.65



4126676 BACLOFEN INJ 40MG/20ML $2,864.90

4126677 LEVALBUTEROL INH SOLN 0.31MG $46.00

4126678 XOPENEX INH SOLN 0.63MG $40.45

4126679 LEVALBUTEROL INH SOLN 1.25MG $39.80

4126680 SONATA CAP 5MG $47.55

4126681 SONATA CAP 10MG $41.90

4126685 MIRALAX POWDER 17GM $37.10

4126686 NARDIL TAB 15MG $39.45

4126687 PARNATE TAB 10MG $39.60

4126688 MARPLAN TAB 10MG $39.55

4126689 CORVERT INJ 1MG/10ML $2,006.65

4126690 SYNERCID INJ 500MG $1,676.15

4126692 ACIPHEX TAB 20MG $54.50

4126693 ACEON TAB 4MG $40.45

4126695 ALDESLEUKIN INJ 22,000,000 UNIT $3,268.40

4126697 OCTREOTIDE SR INJ PER 30MG $19,141.25

4126704 AGGRENOX SR CAPSULE $39.20

4126708 GEMCITABINE INJ 200MG $186.25

4126710 ZONEGRAN CAP 100MG $36.60

4126712 SULAR SR TAB 10MG $40.80

4126716 LINEZOLID LIQ 100MG/5ML $66.55

4126717 LINEZOLID TAB 600MG $42.45

4126721 NEFAZODONE TAB 150MG $36.05

4126741 POTASSIUM PHOSPHATE 15MM/5ML $170.35



4126752 CEFTRIAXONE PED INJ 100MG/ML $171.30

4126755 NS 0.225%/HEPARIN 50UNITS/100ML $37.90

4126763 LISINOPRIL TAB 40MG $35.90

4126764 FENTANYL PATCH 12MCG $55.75

4126769 ZONISAMIDE CAP 25MG $36.30

4126771 UROXATRAL TAB 10MG $39.00

4126772 EPOETIN ALPHA 10,000 U/1ML ESRD ON DIALY $683.60

4126778 ERLOTINIB TAB 150MG(TARCEVA) $1,026.05

4126787 CONIVAPTAN $1,849.10

4126789 BACLOFEN LIQ 5MG/ML $37.85

4126790 BECAPLERMIN 0.01% GEL 15GM $1,280.10

4126791 FLUOXETINE WEEKLY CAP 90MG $48.10

4126794 TRUVADA TAB 200/300 $89.95

4126795 IRON SUCROSE INJ 100MG/5ML $211.00

4126799 SANDOSTATIN LAR INJ 20MG $12,621.50

4126803 PERGOLIDE TAB 1MG $40.95

4126804 PRAMOXINE-HC-CHLOROXYLENOL OTIC $67.80

4126805 ZIPRASIDONE CAP 40MG $36.70

4126806 REOPRO INJ 10MG $5,057.05

4126807 LYRICA TAB 50MG $50.90

4126808 DOXYCYCLINE CAP 50MG $37.05

4126810 VALGANCICLOVIR 450MG TAB $94.55

4126811 ZYMAR 0.3%OPH DROP 5ML $90.00

4126812 ISRADAPINE TAB 5MG $37.70

4126813 SORIATANE CAP 25MG $63.25

4126818 FLUPHENAZINE DEC INJ 25MG $182.65

4126820 ADACEL INJ 0.5ML $206.10

4126822 ATRISTA POWDER 3GM $560.85

4126823 GANCICLOVIR CAP 250MG $42.90

4126824 MEXILETINE CAP 150MG $37.25

4126825 MEXILETINE CAP 250MG $36.45

4126826 ONDANSETRON INJ 40MG/20ML $185.30

4126827 DESITIN OINT 57GM $77.60

4126829 ENALAPRIL LIQ 1MG/1ML $36.73

4126831 ATRIPLA TAB $119.50

4126832 ZOSYN 4.5GM/D5W 100ML $175.15

4126833 BACLOFEN INJ 10MG $9,200.25

4126834 SELENIUM SULFIDE 1% SHAMPOO 207ML $63.00

4126835 MICONAZOLE 2% VAG CREAM 45GM $77.80

4126836 PANCREASE MT 16 CAP $40.90

4126837 LUNESTA TAB 2MG $42.60

4126840 ALUM 100GM $40.50

4126844 EPZICOM TAB $80.00

4126845 REYATAZ CAP 100MG $56.00

4126846 METOPROLOL TAB 25MG $36.20

4126847 ACETIC ACID 2% OTIC 15ML $89.60

4126866 ATROPHINE 2% OPHTH DROP 2ML $86.40

4126870 FOSAMPRENAVIR TAB 700MG $46.25

4126871 BENZOCAINE 20% SPRAY 60ML $87.00

4126872 XENADERM OINT 30GM $79.95

4126874 SITAGLIPTIN TAB 100MG $48.85

4126880 PANTOPRAZOLE TAB 20MG $36.05

4126888 ERTAPENEM INJ 1GM $264.80

4126897 NESIRITIDE INJ PER 1.5MG $4,523.55

4126898 TRILEPTAL SUSP 300MG $39.60

4126899 TRILEPTAL TAB 150MG $39.05

4126900 TRILEPTAL TABLET 300MG $36.40

4126959 VELCADE INJ 3.5MG $6,948.10

4126960 BRIMONIDINE 0.1% OPTH 5ML $552.35

4126980 CASPOFUNGIN INJ PER 50MG $1,542.05

4126981 CASPOFUNGIN INJ PER 70MG $1,595.55

4127000 SYNAGIS INJ 30MG $10,851.55

4127002 REMICADE INJ 100MG $4,521.10

4127004 ERBITUX INJ 10MG $2,395.95

4127030 REMINYL TAB 4MG $37.40

4127031 GALANTAMINE ER CAP 8MG $36.95

4127034 CETAPHIL SKIN LOTION 473 ML $69.85

4127040 SCOPOLAMINE INJ 0.4MG/1ML $179.70

4127043 GENTAMICIN 0.1% OINT 30GM $134.65

4127045 PROPOFOL EMUL 10MG/ML 10ML $98.35

4127046 PHENOBARBITAL TAB 32.4MG $45.30

4127048 METHYLPREDNISOLONE NA SUCC SOLR $172.40

4127051 ACYCLOVIR 7MG/ML $176.10

4127059 HYDROMORPHONE LIQD 1MG/ML 1ML $45.10

4127063 DEXTROSE 50% INJ 50ML $172.50

4127077 PROPRANOLOL LIQ 4MG/ML $37.25

4127090 TEMAZEPAM CAP 30MG UD $45.05

4127095 CEFDINIR SUSP 250MG/5ML $38.90

4127097 SACCHAROMYCES BOULAR CAP 250MG $39.50

4127099 OMNICEF CAP 300MG $41.70

4127104 CHLORHEXIDINE 4% LIQ 120ML $62.20

4127105 DIPHENHYDRAMINE CREAM 30GM $62.10

4127106 VERAPAMIL INJ 5MG $186.60

4127107 CEFOTAXIME IM INJ 1 GM $171.55

4127111 URSODIOL TAB 250MG $36.85

4127112 OCCUFLOX 0.3% OPH SOLN 5ML $73.70

4127115 ZIDOVUDINE PED INJ 2MG/ML $171.75

4127116 ATENOLOL TAB 25MG $35.90

4127117 ATENOLOL TAB 50MG $35.85

4127124 MODURECTIC TAB 5/50 UD $36.15


4127138 LEVOTHYROXINE INJ 200MCG $4,423.60

4127140 HALOPERIDOL CONC 5MG $36.50

4127148 PYRIDOSTIGMINE TAB 60MG $37.10

4127149 METOCLOPRAMIDE TAB 10MG $35.90

4127151 NIFEDIPINE CAP 10MG UD $37.35

4127153 NIACIN TAB 500MG UD $36.20

4127155 BLOCADREN TAB 10MG $40.50

4127166 RASBURICASE INJ 7.5MG $24,527.69

4127169 KETOCONAZOLE TAB 200MG UD $37.10

4127171 BALANCED SALT SOLN PLUS 500ML $114.65

4127173 FLOXURIDINE INJ 500MG $240.50

4127174 SUCRALFATE TAB 1000MG $36.05

4127175 DEGARELIX INJ 120MG $2,718.15

4127176 SUCRALFATE SUSP 1GM/10ML $43.00

4127184 FUROSEMIDE LIQ 40MG/ML $38.05

4127185 FUROSEMIDE LIQ 10MG/ML $36.20

4127190 METAPROTERENOL SOLUTION 0.6% $36.30

4127191 ENTECAVIR TZAB 0.5MG $81.85

4127196 VALPROIC ACID INJ 500MG $190.90

4127199 VALPROIC ACID CAP 250MG $36.40

4127211 TOBREX 0.3% OP SO 5ML $61.85



4127218 PIROXICAM CAP 10MG $36.85

4127220 PIROXICAM CAP 20MG UD $37.30

4127221 ALBUTEROL TAB 2MG $41.45

4127223 FLUNISOLIDE INHALER 7G $126.45

4127234 BECLOMETHASONE INHALER 6.8G $118.25

4127235 DACARBAZINE INJ 100MG $691.10

4127244 ALBUTEROL INH PER PUFF $60.80

4127245 ALBUTEROL INHALER 7.5GM $148.55

4127247 ALBUTEROL INH. SOLN 20ML $45.75

4127248 ALBUTEROL INH. SOLN 5ML $38.35

4127251 ALBUTEROL 0.5% INH SOLN 1ML $36.35

4127263 METRONIDAZOLE INJ 500MG $171.35

4127284 FLUCYTOSINE CAP 500MG UP $504.75


4127291 DACTINOMYCIN INJ 0.5MG $2,788.55

4127292 VERAPAMIL TAB 40MG $36.35



4127298 ALPRAZOLAM TAB 0.5MG $44.95

4127299 ALPRAZOLAM TAB 1MG $44.95

4127303 ACYCLOVIR 5% OINT 3G $1,628.85

4127307 INDOMETHACIN SR CAP 75MG $36.50

4127308 VISKEN TAB 5MG $39.75

4127309 VISKEN TAB 10MG $39.90

4127311 CIMETIDINE LIQ 300 MG/5ML $36.95

4127312 TEMAZEPAM CAP 15MG $45.00

4127313 ALPRAZOLAM TAB 0.25MG $44.95

4127314 SINEMET TAB 10-100 $36.05

4127319 PROCAINAMIDE SR TAB 1GM $37.65

4127322 NITROGLYCERIN INJ 50MG $177.30

4127325 ACYCLOVIR INJ 500MG $174.00

4127327 RABIES VACC POST EXP 1ML $1,340.00

4127329 TIMENTIN INJ 3.1GM $87.50

4127336 TYLENOL W COD LIQ 12.5ML $46.15

4127337 TYLENOL W COD LIQ 5ML $46.20

4127339 NAMENDA TAB 10 MG $36.55

4127341 HYOSCYAMINE TAB 0.125MG $36.40

4127344 ACLIDINIUM INH 60GM $119.35

4127345 LEUCOVORIN TAB 5MG UD $37.55

4127346 LEUCOVORIN TAB 25MG UD $41.65

4127349 CYTARABINE INJ 100MG $196.60

4127350 BUPRENORPHINE INJ 0.3MG $99.10

4127352 SODIUM CHLORIDE TAB 1GM $37.20



4127357 FORADIL INH CAP-60'S $80.20

4127359 LORTAB 2.5 TAB $45.10

4127360 NEOSTIGMINE BROMIDE TAB 15MG $38.15

4127362 MAGNESIUM OXIDE TAB 400MG $35.95

4127364 CHOLINE/MG SALI TAB 500MG $36.30

4127365 CHOLINE/MG SALI TAB 750 MG $36.30

4127367 VITAMIN D CAP 50,000U $37.25

4127368 COAGULATION FACTOR VIIA 2 MG $29,906.25

4127371 BEROCCA TAB $36.20

4127375 HEP B 1G,IM $761.65


4127381 BUPIVACAINE 0.75% INJ 30ML $170.35

4127382 OLMESARTAN TAB 40MG $40.50

4127385 TIMOLOL 0.5% OP DPS 2.5ML $63.30

4127386 FLUCONAZOLE SUSP 100MG $40.25

4127387 SINEMET CR TAB 25/100 $36.15

4127389 BENICAR TAB 20MG $44.40

4127390 LORAZEPAM LIQ 1ML $45.40

4127409 ALPHAGAN P 0.15% OPH DROP 5ML $587.50

4127411 GELFOAM SPONGE 12 X 7 $40.20

4127415 CLOPIDOGREL TAB 75MG $36.05

4127427 VERELAN PM CAP 200MG $37.70

4127430 FORTOVASE CAP 200MG $38.15

4127433 NIACINAMIDE TAB 500MG $38.90

4127435 DIOVAN TAB 80MG $39.70

4127436 DIOVAN CAP 160MG $38.00

4127437 VALSARTAN TAB 320MG $36.30

4127439 BIDIL TAB $39.00

4127440 COMBIVIR TAB 150/300 $39.65

4127444 DENAVIR 1% CREAM 1.5GM $170.40

4127445 RISPERIDONE LIQ 1MG $37.45

4127446 ENOXAPIRIN INJ 60MG $176.25



4127449 ENOXAPARIN INJ 120 MG/0.8 ML $182.25

4127450 MYCOPHENOLATE SUSP 1000MG/5ML $69.40

4127451 OXYBUTYN PATCH 3.9MG/DAY $109.75

4127452 CHANTIX TAB 0.5MG $44.35

4127453 CHANTIX TAB 1MG $44.35

4127454 STAVUDINE CAP 220MG $39.25

4127455 DESMOPRESSIN TAB 0.2MG $38.20

4127456 AZACITIDINE INJ 100MG $2,423.95

4127456 AZACITIDINE INJ 100MG $1,300.85

4127457 ZOSYN 3.375GM IN D5W 100ML $175.25

4127458 DEXMEDETOMIDINE INJ 400MCG/100ML $276.85

4127459 CORTISPORIN OTIC SUSP 10ML $145.95

4127461 PRUDOXIN 5% CREAM 45GM $853.25

4127462 FROVATRIPTAN TAB 2.5MG $47.05

4127463 ESTRADIOL PATCH 0.025MG/DAY $43.40

4127465 MESALAMINE SUPP 1000MG $57.30

4127469 JANUVIA TAB 50MG $51.55

4127471 INTRON A 3,000,000 UNITS $1,183.30

4127473 AVEENO OATMEAL BATH 40GM $36.45

4127474 PROGESTERONE 100MG CAP $40.40

4127476 IMMUNE SERUM GLOBULIN $3,436.60

4127477 LIDOCAINE 4% TOP SOLN 50ML $62.35

4127480 PROCAINAMIDE INJ 1000 MG/2ML $224.55

4127481 LABETALOL SYR 20MG/4ML $174.30

4127482 L-CARNITINE INJ 1 GM/5 ML $206.00

4127484 CASODEX TAB 50MG $36.10

4127486 TOLUIDINE BLUE 1% DYE 10ML $38.55

4127487 RITONAVIR LIQ 600MG $36.90

4127488 ENTOCORT EC CAP 3MG $47.30

4127489 TOPIRAMATE CAP 25MG $38.05

4127490 TOPAMAX TAB 25MG $36.30

4127491 TOPOMAX TAB 100MG $36.45

4127492 TOPIRAMATE TAB 200MG $36.75

4127493 SINGULAIR TAB 10MG $36.20

4127494 MONTELUKAST TAB 4MG $36.10

4127495 MONTELUKAST TAB 5MG $35.85

4127498 DOCETAXEL INJ 20MG $6,887.30

4127502 LEVBID TAB 0.375MG $36.75

4127503 RENAGEL TAB 400MG NF $39.65

4127507 SEVELAMER TAB 800 MG $42.90

4127511 ROPINIROLE TABLET 1MG $36.90

4127512 ROPINIROLE TABLET 5MG $36.35

4127514 STAVUDINE LIQ 40MG $45.90

4127520 DOLASETRON TAB 50MG $63.75

4127521 DOLASETRON TAB 100MG $66.10

4127522 FACTOR IX (PROFILNINE) $5,411.85

4127525 TOPIRAMTE SPRINKLE CAP 15 MG $36.40

4127537 ROTIGOTINE PATCH 6MG/24HR $55.55

4127538 BACITRACIN OPHTH OINT 3.5GM $153.10

4127539 TRETINOIN CAP 10MG $65.55

4127540 INDOMETHACIN INJ 1MG $1,766.10

4127541 RISPERIDONE CONSTA INJ 37.5MG $49.60

4127542 HYDROCORTISONE-PRAMOXINE 1% LOTIO $813.25

4127543 TARSUM SHAMPOO 120ML $76.05

4127544 PROCTOFOAM HC 10MG $124.60

4127546 COLESTIPOL TAB 1GM $39.80

4127547 URSODIOL ORAL SUSP 60MG/ML 1ML $36.90

4127548 MIDODRINE TAB 10MG $40.80

4127550 SODIUM CHLORIDE 0.9% NEB 3ML $36.00

4127552 CEFOTETAN INJ 1GM $185.95

4127553 CEFOTETAN INJ 2GM $195.05

4127554 HECTOROL CAP 0.5MCG $51.05

4127555 SODIUM THIOSULFATE 25% INJ 50ML $274.20

4127556 SERTRALINE TAB 25MG $35.90

4127557 PHENOBARBITAL INJ 65MG/ML $100.30

4127558 TRIAMCINOLONE ACE 0.1% OINT 454GM $76.00

4127559 CEFAZOLIN 1GM IN D5W 100ML $172.25

4127560 VANCOMYCIN 1GM 0.45 SOD CHL 250ML $176.60

4127561 ALISKIREN TAB 150MG $44.05

4127562 ESTRADIOL VAL INJ 50MG/5ML $84.50

4127563 BERACTANT INH 200MG/8ML $1,654.45

4127564 DOXERCALCIFEROL CAP 2.5MCG $74.05

4127565 PHENOBARBITAL SODIUM INJ VIAL 130 $117.75

4127567 EPOETIN ALPHA 20,000 U/1ML ESRD ON DIAL $1,196.95

4127581 EPOETIN ALPHA 40,000 UNITS/1ML NON-ESRD $2,223.70

4127589 ABREVA 10% CREAM 2 GM $91.50

4127600 SELENIUM INJ 400 MCG $173.20

4127602 TRIAMCINOLONE NAS INH $82.80

4127607 QUETIAPINE TAB 25MG $36.05

4127608 QUETIAPINE TAB 200MG $36.40

4127611 BUDESONIDE INH SOLN 2.5MG $43.00

4127612 BUDESONIDE INH SOLN 5MG $41.20

4127620 EPTIFIBATIDE INJ 20MG $820.00

4127622 EPTIFIBATIDE INJ 75MG $2,203.70

4127628 ZINECARD INJ 500MG $1,614.00

4127630 PULMICORT INH 200MG $637.60



4127640 ARIMIDEX TAB 1MG $36.30


4127650 CARVEDILOL TAB 6.25MG $36.20

4127652 CARVEDILOL TAB 12.5MG $36.25

4127653 SILODOSIN CAP 8MG $45.90

4127655 FENTANYL/BUPIN CAD 100ML $111.30

4127657 MORPHINE CAD 100MG/100ML $109.20

4127660 PRANDIN TAB 0.5MG $42.75

4127661 PRANDIN TAB 1MG $39.20

4127662 PRANDIN TAB 2MG $36.60

4127664 DETROL TAB 1MG $42.65

4127665 DETROL TAB 2MG $37.10

4127666 CANDESARTAN TAB 32MG $38.10

4127667 ATACAND TAB 8MG $38.05

4127668 ATACAND TAB 16MG $37.90

4127673 CANDESARTAN TAB 4MG $37.60

4127674 TIMOPTIC XE 0.5% GEL 5ML $779.65

4127678 EVISTA TAB 60MG $38.05

4127680 VITAMIN E DROPS 8000U/ML $37.95

4127682 VALTREX CAP 500MG $38.75

4127684 LAMICTAL TAB 25MG $36.25

4127691 TERBINAFINE TAB 250MG $36.35

4127693 KEPPRA TAB 500MG $36.40

4127694 KEPPRA LIQ 1000MG/10ML $37.25

4127698 MERCAPTOPURINE TAB 50MG $46.90

4127700 CHERRY SYRUP 1ML $36.80

4127705 ADIPEX P TAB 37.5MG $44.95

4127719 EXELON CAP 1.5MG $36.90

4127720 EXELON CAP 3MG $37.25

4127721 EXELON CAP 4.5MG $36.90

4127740 KALETRA CAPSULE $44.20


4127770 ALBUTEROL INH SOLN 2.5MG $36.05

4127777 LANTUS INSULIN INJ 10ML $178.60

4127778 OLANZAPINE ODT 10MG $37.10

4127779 COLAZAL CAP 750MG $40.40

4127780 ALOSETRON TAB 1MG $38.90

4127787 MUGARD SOLN 240ML $70.70

4127791 NEULASTA INJ 6MG $17,755.95

4127794 ACULAR 0.5% OPH SOL 5ML $1,001.65

4127799 EMTRICITABINE CAP 200 MG $54.90

4127800 POTASSIUM PHOSPHATE ORAL SOLN $38.45

4127801 CEFTRIAXONE INJ 1GM IM+LIDOCAINE $172.40

4127806 SANCTURA TAB 20MG $40.60

4127808 ANALPRAM HC 2.5% CREAM 30GM $573.65

4127817 ALOXI INJ 0.25MG/5ML $1,312.50

4127818 FORTAMET TAB 1000MG $41.60

4127820 REVATIO TAB 20MG $39.20

4127822 ESOMEPRAZOLE INJ 40MG $192.65

4127823 NOREPINEPHRINE 4MG/NS 250ML $204.30

4127824 FIDAXOMICIN TAB 200MG $539.50

4127825 LIDOCAINE 1% W/EPI 1-100 30ML $174.40

4127827 CLINDAMYCIN 900MG IN D5W $177.50

4127828 MESALAMINE TAB 1.2GM $44.45

4127829 CEFAZOLIN 2GM/D5W 50ML $177.85

4127831 POVIDONE-IODINE 5% EYE DROP 30ML $60.15

4127832 ZINC SULFATE INJ 5MG/ML 5ML VIAL $170.85

4127833 POTASSIUM CHLORIDE INJ 2MEQ/ML $170.50

4127834 ROPIVACAINE 7.5% INJ 20ML $178.30

4127835 ESMOLOL 2500MG/NS 250ML $1,312.30

4127836 AMIDACIN INJ 1GM/4ML $180.60

4127837 QUETIAPINE SR TAB 200MG $53.05

4127840 LIDOCAINE 1% EPI 1-200T 30ML $173.75

4127841 PEMETREXED SOLN 100MG $3,221.81

4127842 ALUMINUM HYDROXIDE 320MG/5ML $36.25

4127844 CETUXIMAB INJ 200MG $4,614.15

4127845 EMEND INJ 150MG $1,260.95


4127847 SUNITINIB TAB 25MG $1,042.60

4127848 FLECAINIDE ACETATE TABLET 50MG $36.55

4127849 BUTORPHANOL INJ 1MG/0.5ML $91.90

4127851 AZELASTINE 0.05% OPHTH DROP 6ML $81.00

4127852 HYDROCORTISONE NA SUC PF INJ 10MG $174.22

4127854 CHLORPHENIRAMINE ER TABLET 12MG $36.65

4127855 FERUMOXYTOL INJ 510MG $2,846.45

4127856 LIDOCAINE 2% EPI 1-100 20ML $171.90

4127857 GUAIFENESIN DM ORAL SYRUP 1MG $36.80

4127857 GUAIFENESIN DM ORAL SYRUP 1MG $36.75

4127858 MERCUROCHROME TOPICAL LIQ 60ML $62.85

4127860 METHOTREXATE INJ 25MG/ML 10ML $183.75


4127863 PROPRANOLOL ORAL SOLN 1MG/ML $37.25

4127864 HYCODAN SYRUP (GENERIC) 5ML $45.30

4127865 VALPROIC ACID ORAL LIQ 500MG/10ML $37.70

4127870 MIDAZOLAM INJ 2MG/0.4ML 0.4ML $37.35

4127871 MIDAZOLAM INJ 1MG/ML 1ML $89.75

4127872 DARUNAVIR TAB 400MG $59.25

4127873 LIDOCAINE 1% W/EPI 1-100,000 10ML $172.25

4127875 HEPARIN 30,000 UNITS/NS 1000ML $179.40

4127876 EXEMESTANE TAB 25MG $45.05

4127877 BUPIVACAINE MPF INJ 0.75% 30ML $170.35

4127880 METYROSINE CAP 250MG $68.60

4127881 CISATRACURIUM INJ 20MG/10ML $184.70

4127882 CISATRACURIUM INJ 10MG/5ML $253.45

4127883 DENUSOMAB INJ 60MG/1ML $4,484.50

4127884 MICONAZLE 2% SPRAY 113MG $64.10

4127885 TINIDAZOLE TAB 500MG $40.20

4127886 CARMOL-40 CREAM 198.6GM $171.85

4127887 ESTRADIOL 0.0375MG PATCH $37.40

4127888 STARLIX TAB 120MG $36.70

4127889 VIROPTIC 1% OPHTH SOLN 7.5ML $99.00

4127898 AMILORIDE TAB 5MG $36.70



4127905 DOBUTAMINE IN D5W 250MG/250ML $88.40

4127912 MILRINONE INJ 20MG/20ML $176.50

4127977 OCTREOTIDE INJ 0.025MG $180.60

4128000 ALBUTEROL SYRUP 0.4MG/ML $36.75

4128001 MORPHINE PF INJ 200MG/10ML $185.85

4128002 MORPHINE PF INJ 500MG/20ML $930.65

4128005 OXYCONTIN SR TAB 10MG $48.20


4128007 OXYCODONE SR TAB 40MG $55.40

4128010 AMPICILLIN INJ 1000MG $172.00

4128011 AMPICILLIN INJ 2000MG $171.70

4128012 HEMOPHILLUS B FLU INJ $201.50

4128013 COMPOUND TINCTURE OF BENZOIN 59ML $64.45

4128014 ZANTAC SYR 150MG $39.05

4128018 ETHANOLAMINE 5% INJ 2ML $1,750.60

4128030 LITHIUM SR TAB 300MG $36.55

4128032 MAGNESIUM CL SR TAB 64MG $36.30

4128040 LUPRON DEPOT 3 MO INJ 11.25MG $8,257.91

4128043 LUPRON INJ 3.75MG $5,031.78

4128044 OMEPRAZOLE CAP 20MG UD $35.95

4128046 SELEGILINE CAP 5MG $37.50

4128049 PRILOSEC PED SUSP 2 MG/ML $36.85

4128050 SOOTHING LOTION 225ML $61.25

4128052 DIMERCAPROL INJ 300MG $262.50

4128054 EDETATE CA DISOD INJ 1GM $211.00

4128059 PROPOFOL INJ 1GM/100ML $101.30

4128060 PROPOFOL INJ 200MG/20ML $92.00

4128061 PROPOFOL INJ 500MG/50ML $106.50

4128064 FLUCONAZOLE TAB 50MG. $36.60

4128065 FLUCONAZOLE TAB 100MG $37.20

4128066 FLUCONAZOLE TAB 200MG $38.25

4128069 FELODIPINE TAB 5MG $36.35

4128070 FOSCARNET INJ 6000MG $229.40

4128071 TICLOPIDINE TAB 250MG $37.75

4128073 FELODIPINE TAB 2.5 MG $35.95

4128080 LOSARTAN TAB 25MG $35.90

4128081 LOSARTAN TAB 50MG $35.90

4128082 COZAAR TABLET 100 MG $39.50

4128088 GEODON INJ 20 MG $195.95

4128089 GEODON CAP 20 MG $36.55

4128100 ACTIQ LOZENGE 600 MCG $63.20

4128107 CEFIXIME LIQ 100MG/5ML $60.45

4128111 MOBIC TAB 7.5MG $36.00

4128117 SALIVA SUBSTITUTE 120ML $59.95

4128127 VALPROIC ACID SYR 500MG $36.75

4128128 VALPROIC ACID SYR 250MG $36.35

4128132 NIFEDIPINE XL TAB 30MG $36.80


4128134 PSEUDOEPHEDRINE CAP 120MG $36.55

4128138 FERROUS SULFATE SR TAB 142MG $36.25

4128140 ATRACURIUM INJ 10ML $181.50

4128152 CAPSAICIN 0.025% CREAM 45G $63.85

4128153 CAPSAICIN 0.075% CREAM 60G $64.40

4128154 IVERMECTIN 0.5% LOTION $62.15

4128155 FESOTERODINE ER TAB 4MG $45.45

4128157 FESOTERODINE ER TAB 8MG $45.45

4128158 MICONAZOLE 2% POWDER 85GM $60.15

4128159 MICONAZOLE 2% CREAM 118ML $60.25

4128164 MAXZIDE TAB 25MG $36.90




4128180 MIACALCIN NASAL SPRAY 3.7 ML $83.85

4128201 FAMOTIDINE SUS 20MG $39.20

4128202 MESALAMINE ENEMA 4G/60ML $47.25

4128204 PYRIDOSTIG SR TAB 180MG $46.15

4128210 GUAIFENESIN LA TAB 600MG $36.55

4128212 DOFETILDE CAP 125MCG $40.85



4128217 RELAFEN TAB 500MG $39.55

4128223 HUMALOG INSULIN 10ML $221.80

4128231 KETOROLAC TAB 10MG $36.95

4128234 CYCLOPHOSPHAMIDE CAP 25MG $47.45

4128235 CYCLOPHOSPHAMIDE TAB 50MG $49.25

4128237 DAKINS MOD. 1/4 STR 480ML $67.65


4128255 VERAPAMIL SR TAB 180MG $36.80

4128256 VERAPAMIL SR TAB 120MG $37.10

4128257 PROPAFENONE SR CAP 325 MG $43.90

4128258 GANCICLOVIR INJ 500 MG $261.45


4128262 RYTHMOL CAP 150MG $36.20

4128263 RYTHMOL CAP 300MG $36.15

4128264 PROPAFENONE TAB 225MG $36.40

4128265 PROPAFENONE SR CAP 225 MG $40.95

4128281 TIMOLOL 0.25% OPH SOL 5ML $60.35

4128282 PREDNISOLONE LIQ 5MG/5ML $40.20

4128284 TIMOLOL 0.5% OP DP $57.85

4128285 HYDROXYZINE INJ 100MG/2ML $174.95

4128286 OCTREOTIDE INJ 0.025MG/1 $172.65

4128287 PITAVASTATIN TAB 2M $45.10

4128288 FILGASTRIM INJ 300MCG $1,412.00

4128289 FILGASTRIM INJ 480MCG $2,147.60

4128299 SIMVASTATIN TAB 10MG $36.00

4128300 PROTONIX TAB 40MG $39.05

4128301 EMLA TOPICAL CREAM 5GM *NF $79.90

4128302 BETOPTIC 0.25% OPHTH DPS 2.5ML $81.30


4128305 ONDANSETRON TAB 4MG $82.40

4128306 OFLOXACIN TAB 200MG $43.75

4128310 OFLOXACIN TAB 400MG $41.30

4128311 CYCLOSPORINE INJ 250 MG/5 ML $201.85

4128313 CYCLOSPORINE ORAL 100MG $101.15

4128315 CYCLOSPORINE ORAL 100MG $49.65

4128316 CARBOPROST TROMETH INJ 250MCG $10,568.40

4128318 DYNACIRC CAP 2.5 MG *NF* $36.85

4128320 DYNACIRC CAP 5MG *NF* $38.85





4128328 OCTREOTIDE INJ 0.025MG/2 $190.00

4128330 EUCERIN CREAM 120GM $63.85

4128333 LUMIGAN 0.03% OPH SOLN 2.5ML $162.80

4128335 LODINE CAP 400MG $39.65

4128339 DEXTROSE 10% INJ 5ML $171.75



4128345 SIMVASTATIN TAB 80 MG $36.20


4128347 LEVOFLOXACIN TAB 250MG $36.15



4128350 ARTIFICIAL TEARS OPH DPS 0.3ML $36.10

4128351 CYMBALTA CAP 20 MG $36.80


4128353 DIVALPROEX NA CAP 125MG $37.60

4128354 SODIUM CHLORIDE 14.6% 30ML $171.30

4128355 DIVALPROEX CR TAB 500MG $38.35

4128356 CIPRO INJ 200MG $80.30

4128357 DIVALPROEX ER TAB 250 MG $37.15

4128358 CIPRO INJ 400MG $173.70

4128361 DIPYRIDAMOLE INJ 50MG/10ML $174.60

4128362 WELCHOL TAB 625 MG $39.50

4128368 DANTROLENE ORAL SUSP 5MG/ML $40.00

4128382 LORTAB LIQ 10ML $50.75

4128386 LOPID CAP 600MG $36.35

4128390 PROSCAR TAB 5MG $40.00

4128400 PANTOPRAZOLE INJ 40MG $174.35

4128401 OLOPATADINE 0.2% OPH DROP 2.5ML $125.60

4128402 CALCIUM ACETATE TAB 667MG $36.80



4128430 SINEMET CR TAB 50/200 $36.35

4128444 SODIUM CL 0.9% INJ 2ML $36.55

4128450 DOVAZOSIN TAB 1MG $35.90

4128451 DOVAZOSIN TAB 2MG $35.90

4128452 DOVAZOSIN 4MG $36.75

4128453 DOXAZOSIN TAB 8MG $35.90

4128454 PREDNISONE LIQ 30MG/30ML $42.90

4128455 PREDNISONE LIQ 1ML $36.10

4128460 CIPROFLO 0.3% OP SO 2.5ML $78.65

4128460 CIPROFLO 0.3% OP SO 2.5ML $69.25

4128461 CILOXAN 0.3% OPH OINT 3.5GM $768.25

4128475 TPN FILTER-ADD ON 1.2 MICRON $38.00

4128476 MICROBORE TUBING $37.60

4128479 LEFUNOMIDE TAB 10MG $44.05

4128490 INSULIN NOVOLOG 70/30-5 UNIT $170.65


4128502 DEXAMETHASONE INT 1MG/ML $37.65

4128506 MUPIROCIN 2% OINT 1GM $52.80

4128508 DILTIAZEM INJ 25MG/5ML $172.05



4128514 TRACE METALS PED INJ 3ML $176.40

4128516 RABIES IMMUNE GLOB INJ $1,929.10

4128523 DILTIAZEM IJ 125MGD5W 100ML PB $177.90


4128532 NICOTINE PATCH 7MG/24H $37.60



4128536 FLUMAZENIL INJ 0.5MG/5ML $173.55

4128538 FLUMAZENIL INJ 1MG/10ML $179.10

4128540 CLARITHROMYCIN TAB 500 MG $36.85

4128541 CLARITHROMYCIN TAB 250MG $37.85

4128542 NITROGLYCERIN INJ 1000MG $174.55

4128545 EPINEPHRINE TOP SOL 5ML $76.75

4128546 PRAVACHOL TAB 10MG $36.30



4128549 PRAVASTATIN TAB 40MG $37.10

4128551 DILTIAZEM CD CAP 120MG UD $36.20




4128555 TORSEMIDE TAB 20MG $36.20

4128557 SALAGEN TAB 5MG $39.85

4128558 CLARITHROMYCIN SUS 500 MG $48.40

4128559 CLARITHROMYCIN SUSP 50MG $37.90

4128560 CEFUROXIME SUSP 500MG $62.35

4128561 SORBITOL 70% SOLN 30ML $37.10

4128562 CEFUROXIME LIQ 250MG/5ML $50.60


4128585 AUGMENTIN ES SUSP 600 MG/5 ML $37.40

4128586 AMOXICILLIN CLAV LIQ 200MG/5ML $37.20

4128599 BUPROPION XL TAB 150 MG $36.70

4128600 WELLBUTRIN TAB 75MG $36.35

4128601 BUPROPION SR TAB 100MG $36.40

4128602 WELLBUTRIN TAB 100MG $36.45

4128603 WELLBUTRIN SR TAB 150MG $36.50

4128604 FLUNISOLIDE INH 0.025% $98.45

4128610 BISMUTH SUBGALLATE POWDER 10G $39.40

4128613 ROTIGOTINE PATCH 4MG $94.50

4128614 MIVACURIUM INJ 2MG $185.85

4128616 MIVACURIUM INJ 10MG $777.90

4128618 NITROGLYCERIN INJ 0.2MG $174.55

4128620 PRECOSE TAB 50MG $36.55

4128631 PAMIDRONATE INJ 30MG $184.00

4128632 SERTALINE TAB 50MG $36.00

4128634 SERTALINE TAB 100MG $35.95

4128636 CLOZAPINE TAB 25MG $38.65

4128637 CLOZAPINE TAB 100MG $48.90

4128638 CALAMINE LOTION 177ML $61.75

4128648 FLUORESCEIN STRIP 1MG $36.00

4128652 GLUCOSE ORAL PASTE 15G $39.95

4128662 MMR-II VACCINE $201.45

4128666 RUBEOLA VIRUS VACCINE LIVE $187.45

4128668 POLY-VI-FLOR DPSC 50ML $36.80

4128674 PENICILLIN G NA INJ 5MU $212.55

4128675 LEVOMEFOLATE CALCIUM TAB 7.5MG $41.00

4128676 POTASSIUM ACET INJ 2MEQ $173.65

4128680 OXYCODONE LIQ 10MG $47.05

4128684 SODIUM THIOSUL 10% INJ 10 $176.50

4128686 THIOGUANINE TAB 40MG $45.30

4128692 BETAMETHASONE 0.05% CREAM 15G $87.25

4128694 BETAMETHASONE 0.05% CREAM 45G $116.95

4128696 BETAMETHASONE 0.05% OINT 15G $101.65

4128698 BETAMETHASONE 0.05% OINT 45G $126.55

4128700 LIDOCAIN 2% VICOUS SOL 20ML UD $36.60


4128703 ACETIC ACID 3% SOLN 30ML $61.00

4128704 LAMIVUDINE TAB 150 MG $39.70

4128706 RITONAVIR TAB 100MG $45.15

4128706 RITONAVIR TAB 100MG $45.15

4128708 ZIDOVUDINE SYRUP 50MG $37.65

4128709 RETROVIR INJ 200MG $200.75

4128710 SKELAXIN TAB 800 MG $41.65

4128711 SKELAXIN TAB 400MG $37.45

4128712 ESKALITH CR TAB 450MG *NF $36.75

4128713 TOPROL XL TAB 50MG $37.20

4128716 ZOLPIDEM TAB 10MG $44.95

4128718 FELBATOL TAB 400MG *NF* $40.60

4128719 ZOLIPDEM TAB 5MG $44.95



4128723 FELBATOL TAB 600MG $42.80



4128728 SULAR SR TAB 30MG $53.25

4128729 SULAR SR TAB 20MG $50.40

4128730 MESALAMINE CAP 250MG UP $38.50

4128732 ZOSYN ING 2.25GM $181.40

4128733 ZOSYN INJ 3.37GM $174.00

4128735 GLIPIZIDE SR TAB 5MG UP $36.55

4128736 GLIPIZIDE SR TAB 10MG UP $36.50

4128737 CLARITHROMYCIN SUSP 250MG $42.60


4128740 AQUAPHOR OINTMENT 50GM $63.50

4128743 LESCOL CAP 20MG *NF* $39.25

4128748 TRAMADOL TAB 50MG $35.90

4128749 PERMETHRIN 5% CREAM 60GM $114.95

4128751 METFORMIN TAB 500MG $36.25

4128752 METFORMIN TAB 850MG $36.30

4128753 ZIAC TAB 5MG $36.35

4128754 ZIAC TAB 2.5MG $36.25

4128755 COPPER INJ 0.4MG/ML $172.85

4128756 APREPITANT CAP 40MG $132.50

4128757 L-CYSTEINE INJ 50MG/ML $209.85

4128762 LUVOX TABLET 50MG $39.25

4128764 ANALGESIC BALM 30G $61.65

4128765 ZIAC TAB 10 MG $36.40

4128766 FLUMADINE TABLET 100MG $38.15

4128768 SUMATRIPTAN TABLET 50MG $37.10

4128769 TRIAMCINOLONE 0.1% CR 453GM $86.45

4128770 SODIUM ACETATE INJ 40MEQ $173.40

4128771 WHITE PETROLATUM 368GM $63.20

4128773 LIDOCAINE 1% INJ 5ML $171.50

4128775 LIDOCAINE 1% INJ EPI 5ML $173.45

4128783 ELTROMBOPAG TAB 50MG $792.10

4128787 ZOLEDRONIC ACID INJ 4MG $214.65

4128788 SILVER NITRATE 0.5% SOLN 60ML $60.70

4128789 DOVONEX 0.005% CREAM 60GM $528.55


4128811 CORLOPAM INJ 10MG $1,532.60

4128820 TEVETEN TAB 400MG $40.55

4128821 TEVETEN TAB 600MG $40.80

4128850 GLUCOVANE TAB 2.5/500MG $39.40

4128851 GLUCOVANCE TAB 5-500MG $39.05

4128852 ALREX 0.2% OPH SUS 5ML $787.60

4128879 GELCLAIR CONC GEL 15ML $47.00

4128887 FOMEPIZOLE INJ 1500MG $2,120.30

4128888 TENECTEPLASE INJ 50MG $20,214.65

4128889 ACTONEL TAB 5MG $41.25

4128892 INDINAVIR CAP 200 MG. $37.20

4128893 ERTAPENEM 1GM IN NS 50ML $177.55

4128894 MEROPENEM 500MG IN NS 50ML $170.50

4128897 TBO-FILGRASTIM INJ 300MCG $1,185.35

4128899 TBO-FILGRASTIM INJ 480MCG $1,794.85

4128901 THYROTROPIN ALPHA INJ 1.1MG $11,955.45

4128912 LAC-HYDRIN LOTION 225GM $77.50

4128934 CYMBALTA CAP 30MG $36.70

4128955 VIREAD TAB 300MG $73.65

4128977 COSOPT OPHTH SOLN 10ML $807.75

4128989 DETROL SR CAP 2MG $46.80

4128990 DETROL SR CAP 4MG $46.80

4128991 CLOTRIMAZOLE 1% SOLN 10ML $93.20

4128992 METROPROLOL SR TAB 100MG $37.25

4128993 METOPROLOL SR TAB 25MG $36.80

4129001 TERAZOSIN TAB 1MG $35.95

4129002 TERAZOSIN TAB 2MG $35.95

4129008 PREVACID CAP 15MG $38.50

4129009 LANSOPRAZOLE PED SUSP 3 MG/ML $37.00

4129010 PREVACID CAP 30MG $36.95

4129011 LANSOPRAZOLE DR SUSP 30MG $39.15

4129014 FAMVIR TAB 500 MG $39.70

4129015 FAMVIT TAB 125 MG $39.55

4129016 FOSAMAX TAB 10MG $36.00

4129017 DORZOLAMIDE 2% OPH SOL 10 ML $68.65

4129021 TRICHLOROACETIC ACID 25% $55.30

4129023 HYZAAR TAB 50/12.5 $40.40

4129107 ALENDRONATE TAB 70MG $38.05

4129133 OLANZAPINE TAB 10MG IF $36.25

4129134 OLANZAPINE TAB 5MG NF $36.25

4129135 OLANZAPINE TAB 2.5MG $36.50

4129136 OLANZAPINE (ZYDIS) TAB 5MG $50.00

4129140 RIFAMPIN INJ 600MG $261.85

4129199 LAMIVUDINE SOLUTION 50MG/5ML $38.65

4129202 VIRAMUNE TAB 200MG $48.70

4129206 MYCOBUTIN CAP 150MG $52.50

4129208 MAVIK TAB 2MG $39.95

4129210 ZAFIRLUKAST TAB 20MG $38.30

4129212 MIRTAZAPINE TAB 15MG $36.00



4129218 FLUTICASONE INHALER 44MCG $672.50

4129219 FLONASE 0.05% NASAL SPRAY 16GM $62.85

4129220 FLUTICASONE INHALER 110MCG $145.20

4129222 FLUTICASONE INHALER 220MCG $1,333.85


4129228 EUCERIN LOTION 6 OZ $65.65

4129240 LIDOCAINE DENTAL CART $170.65

4129241 ROPIVACAINE 0.5% INJ 10ML $174.65

4129242 GLYCERIN SOL 30ML $37.80

4129243 ROPIVACAINE INJ 0.2% 20ML $170.65

4129244 ROPIVACAINE INJ 1% 20ML $179.30

4129245 ROPIVACAINE INJ 0.5% 30ML $176.55

4129246 ROPIVACAINE 0.2% 100ML $204.40

4129247 CETIRIZINE SYRUP 5MG/5ML $36.85

4129248 CETIRIZINE TAB 10MG $36.00

4129249 CETIRIZINE TAB 10MG/1 $35.95

4129250 ARICEPT TAB 5MG NF $36.00

4129254 INDINAVIR CAP 400MG $38.25

4129256 CELEBREX CAP 100MG $37.25

4129257 CELEBREX CAP 200MG $37.65

4129260 SODIUM CL ORAL 4MEQ/ML $171.30

4129262 CORTISPORIN OINTMENT 15GM $569.10

4129268 MICRONEFRIN 2.25% 0.5ML $61.40

4129272 IRINOTECAN INJ 100MG $227.50

4129274 LIPITOR TAB 10MG $39.20

4129275 LIPITOR TAB 20MG $39.20

4129276 LIPITOR TAB 40MG $39.35

4129278 MERREM INJ 500MG $83.20

4129280 MERREM INJ 1GM $180.50

4129282 NASALCROM SPRAY 13ML $77.10

4129288 ARICEPT TAB 10MG $35.90

4129290 BUPIVICAINE 0.75% INJ MPF $174.30

4129291 POVIDONE IOD SCRUB 4OZ $62.25

4129292 AUGMENTIN BID TAB 875MG $37.65

4129294 CLIMARA PATCH .05MG *NF* $43.05

4129333 GLEEVEC CAP 100MG $142.65

4129335 ADVAIR DISKHALER 500/50 28'S $74.25



4129380 LAMISIL 1% CREAM 12GM $80.50

4129702 PATANOL 0.1% OPH SOL 5ML $112.55

4129708 DOSTINEX TAB 0.5MG $50.95

4129710 DICLOXACILLIN CAP 250MG $36.30

4129720 RISPERIDONE TAB 0.25MG $36.40

4129722 RISPERIDONE TAB 0.5MG $36.35

4129850 FE VIT C VIT B12 FA TAB $37.35

4129888 ELIDEL 1% CREAM 30MG $569.80

4129930 TRIAMCINOLONE 0.1% CR 80GM $64.90

4129993 TRIAMCINOLONE ACET 0.1%OT 80GM $67.70

4152965 FILTER TRIMED 0.22 MICRON $39.35

4157054 FILTER 0.8 MICRON $38.40

4157230 NITROGLYCERIN PUMP SET $45.25

4160003 WATER FOR INJ 250ML $100.40

4160006 SODIUM CL 0.9% IRRIGATION 3000ML SOLN $185.90

4160007 AMINO ACID 4.25%-DEXTROSE 25% SOLP2000ML $151.45

4160008 AMINO ACID 5%-DEXTROSE 15% SOLP 2000ML $159.00



4160011 AMINO ACID 4.25%-DEXTROSE 10% SOLP2000ML $147.95

4160012 AMINO ACID 4.25%-D5W SOLP 2000ML $147.10

4160075 NICARDIPINE 25MG IN NS 100MG SOLN $182.65

4160076 TPN PREMIXED (PERIKABIVEN) 1440ML IV $131.70

4160077 TPN PREMIXED (PERIKABIVEN) 1920ML IV $136.95

4160078 TPN PREMIXED (KABIVEN) 2053ML IV $147.40

4160114 SODIUM BICARB 50MEQ/NS 0.45% $195.60

4162489 PHYSIOLYTE 1000ML $171.50

4162728 AMINO ACID 15% INJ 500ML $170.45

4162839 ISOLYTE-S PH 7.4 1000ML $184.65

4162844 DEXTROSE 20% WATER 500ML $182.85

4163714 LIDOCAINE 1GM/250ML DW5 $181.95

4165004 HETASTARCH 6% 500 ML $201.80

4165005 HEXTEND 6% INJ 500ML $238.65

4165090 FAT EMULSION 20% 120GM $170.50

4166760 D10 1/4 NS 250ML $84.95

4166761 D7.5 1/4NS 250ML $81.60

4166762 D7.5W 250ML $81.45

4166780 DEXTROSE 70% WATER $170.30

4166783 GLYCEROL 10%/NS 500ML $190.20

4166842 FAT EMULSION 20% 100ML $171.30



4167044 HEP 10000 UNIT/NS 1000ML SOLN $193.35

4167067 SOD CHLOR 0.9% IRR 1000ML $60.95

4167118 AMINO ACID 10% 120GM $170.55

4167123 DEXTRAN 40 10% NS 500ML $198.60


4167130 HEPARIN 1000U IN NS 500ML $181.40

4167131 HEPATAMINE 8% INJ 500ML $179.50

4167133 MANNITOL 20% INJ 500ML $159.90

4167135 DEXTRAN 40 10% DW5 500ML $204.20

4167137 AMINO ACID 6% 0.06 G/ML $179.45

4167501 SODIUM CL 0.45% INJ 50ML $76.10

4167631 SODIUM CL 0.0225% INJ 1000ML $216.20

4167778 THAM SOLUTION 500ML $955.10

4168654 HEPARIN 25000U IN DW 250 $185.10

4169004 LIDOCAINE 2GM/500ML DW5 $181.95

4169012 NITROG 50MG IN DW5 250ML $196.85

4172486 LTA KIT $38.75

4180001 INSERTOR DILAEZINERT 163

4180002 LOOP LAY/PKG 115

4180003 TUBE, PE TREACE 71

4180004 PACK UPPE EXTREMITY 505

4180005 WEBRIL PADDING CAST SYN 34

4180006 PACK ROBOTIC LITHOTOMY 526

4180007 GLOVE ULTRAFREE 12

4180008 LINER ACETABULAR GRP 1 3906

4180009 SUPPORTER ATHLETIC ANY SZ 22

4180010 BONE HARVESTER 5MM 3960

4180011 CATH CV TRIPLE 282

4180012 INTRODUCER SAFE SHEATH 190

4180013 MESH PANEL 01-7185 4165

4180014 INTRODUCER TEARAWAY 217

4180015 PLATE WRIST FUSION GRP 3 10276

4180016 RESERVOIR INTRAVENT CATH 1925

4180017 GRAFT AORTIC VALVE (VAVGJ) 15230

4180018 PLATE SSP GRP 4 7080

4180019 SCREW CERVICAL GRP 1 282

4180020 TALC STERILE AERO SOL 585

4180021 PLATE SSP GRP 5 8372

4180022 GUIDEWIRE GRP 1 190

4180023 GRAFT GORE-TEX SO601 548

4180024 WASHER GRP 2 169

4180025 PLATE SPINE LEVEL 3 GRP 5 11282

4180026 PHYSIOMESH 25 X 35 CM 9302

4180027 BIOPSY KIT 239

4180028 DELIVERY KIT 2 ARTHROSURFACE 1640

4180029 APLIGRAF SKIN SUB PER SQ CM 179

4180030 INTERNAL BRACE IMPLANT SYSTEM 5190

4180031 ABBI SITE MARKER 201

4180032 ABBI NEEDLE GUIDE 22

4180033 SPACER ELSA 44000

4180034 SURGIGRAFT 2 X 2 865

4180035 SURGIGRAFT 4 X 4 3450

4180036 SURGIGRAFT AFS 0.5CC 865


4180038 DELEE MUCUS TRAP 257469 17

4180039 PLATE LC-DCP GRP 9 1986

4180040 PLATE LCP DISTAL TIBIA GRP 3 6772


4180042 PLATE ZERO PROFILE GRP 2 9492

4180043 PLATE DHS-DCP GRP 1 1623

4180044 STENT ADVANIX 3434 644

4180045 MESH PROCEED 1136

4180046 DILATOR SET FASCIAL G14214 936

4180047 WAFER SURE FIT NAT 12


4180049 AMNIOGRAFT AG-2015 3024

4180050 AMNIOGRAFT AG-2520 3500

4180051 AMNIOGRAFT AG-1510 2548

4180052 END CAP 5 1142

4180053 END CAP 6 1440

4180054 STENT GRAFT FLUENCY PLUS 9519

4180055 GUIDEWIRE NON-THREADED 163

4180056 PLATE GRP 20 4468

4180057 CHARGING SYSTEM NEURO 3432

4180058 WAND SUCTION MALLEABLE SU12502 66

4180059 BIO A PATCH FS0915 3311

4180060 BIO A PATCH FS0808 1883

4180061 SCREW NON-LOCKING GRP 3 217

4180062 ENVELOPE AIGIS ANTIBACTERIAL 3311

4180063 ROD SPINAL GRP 7 1526

4180064 CODA BALLOON CATHETER G53025 1988

4180065 ENSNARE EN2007045 2045

4180066 DRILL BIT GP 16 2738

4180067 NAIL TI CANN 9076

4180068 HUMERAL FIXATION SYSTEM HR-0828-S 8275

4180069 STENT OPHTHALMIC 260

4180070 INSERTER MINI MONOKA 45

4180071 SCREW DUAL CORE GRP 1 1142

4180072 BLADE LG STEPTECH 1310

4180073 PLATE KIT FIBERWIRE SUTURE AR7214 428


4180075 PACEMAKER SR GRP 2 22606

4180076 STEM TR-S 7788

4180077 HEAD TR-H 12790

4180078 TRAY TIB REVISION GRP 1 25083


4180080 BIO A PATCH 10 X 30 FS1030 9260

4180081 DRILL TIP IMPACTOR 288

4180082 TRAY REVISION GRP 5 20297

4180083 PLATE GRP 21 2608

4180084 DRILL BIT GP17 428

4180085 SCREW GRP 19 882

4180086 BONE CANCELLOUS 1261

4180087 PLATE SPINE 3 LEVEL GRP 4 10298

4180088 REPLACEMENT KIT TOTAL ELBOW 5614

4180089 EASYCLIP EZ15-15-15 5090

4180090 PCD PRECISION SYS.306-080-000 239

4180091 DISPOSABLE KIT FOR SUTURETAK 834

4180092 INTRODUCER RSB703 136

4180093 CONNECTOR 3-WAY "Y" 12

4180094 NERVE PROTECTOR / WRAP PER CM LENGTH 2475

4180095 TUBING TTUB-4 61

4180096 DREAMWIRE ST TIP 634

4180097 VITOSS BONE GRAFT SUB 2102-1602 2515

4180098 LEAD KIT NEURO GRP 2 9021

4180099 BLADE ARTHROSCOPY GRP 1 288

4180100 TRANSCONNECTOR GRP 2 7259

4180101 STEM RADIAL 8004

4180102 HEAD RADIAL 8021

4180103 PUSHLOCK AR 1807

4180104 PACK PACEMAKER 271

4180105 SCREW CANCELLOUS GRP 7 737

4180106 CLAMP COBRA BIPOLAR 9498

4180107 PLATE LCP GRP 4 1845

4180108 PLATE LCP BROAD GRP 1 2975



4180111 PLATE BROAD LC-DCP 1785

4180112 PLATE RECONSTRUCTION GRP 1 785

4180113 PLATE NEURO GP 1 671

4180114 FELT GRAFT VASC TEFLON 428

4180115 SCOPE WARMER XL 61

4180116 SINGLE USE INSTRUMENT 1667

4180117 SWIVEL LOCK AR-23224BCL 1807

4180118 WEB BASKET G22776 698

4180119 NEURO LEAD KIT 3777-60 9021

4180120 HANDPIECE-PULSED LAVAGE 190

4180121 KIT FOR PUSHLOCK AR 834

4180122 REPOSE KIT 76353200 10487

4180123 BONE SCREW W/SUTURE 1596

4180124 STENT RX 644

4180125 CAPSTONE PEEK 26484

4180126 SUTURE DEK D-7504M2K 212

4180127 SUTURE DEK D-7004M1K 55

4180128 SUTURE DEK D 39

4180129 NEEDLE INTRODUCER 700-122 158

4180130 LOOP OSTOMY ROD 44

4180131 TUBE TEFLON 1806-0073S 1175

4180132 RITLENG INTUBATION SET 355

4180133 CATHETER OCCLUSION 693

4180134 ILLUMINATOR AGILUX HAND HELD 953

4180136 SUTURE DEK D 7076M4K 115

4180137 SUTURE DEK D 7004M4K 163


4180140 STEM HUMERAL ADV 15154

4180141 DISTAL BICEPS REPAIR IMPLANT SYS 4046

4180142 MAMMARY IMPLANT GRP 2 9350

4180143 PLATE CALCANEAL GRP 3 3316

4180144 PHYSIO MESH PHY2025V 6285

4180145 TENDON ANTERIOR TIBIALIS 7621

4180146 ELECTRODES NIM ECLIPSE 2569

4180147 SUTURE ANCHOR GRP 1 1905

4180148 BULB AND BLADDER DISP 142

4180149 TAP GRP 9 2446

4180150 CANNULA/SEAL COQ20 103

4180151 RETRIEVAL 5MM INZII CD003 288

4180152 LEAD, ICD, SINGLE COIL 21416

4180153 ACCESSORY KIT (NEURO) 288

4180154 ADHESIVE TEGADERM FOAM 90614 536

4180155 ADVANTAGE KIT 04527-01 142

4180156 PLATE STRY/LEIB GRP 2 418

4180157 ANGIOJET 5FR 6902

4180158 ANGIOSEAL EVOLUTION 6FR 1109

4180159 SLEEVE REVISION 8638

4180160 ATTACHMENT DEVICE ENDOTRACH TUBE 44

4180161 BALLOON PTA (SET 1) 834

4180162 LEAD, ICD, DUAL COIL 21416

4180163 LIGASURE LF 1537 2521

4180164 SCISSORS DISPOSABLE 5MMX35CM 288

4180165 WIRE GUIDE GRP 1 358

4180166 LEAD END CAP 358

4180167 MPFL REPAIR KIT AR-1360BCP 6566

4180168 GRAFT HERNIA GRP 3 40929

4180169 HOOK PLATE 3094

4180170 PLATE DISTAL GRP 5 6236

4180171 BRUSH RX CYTO RAPID EX COMBO CATH 509

4180172 RETRIEVAL BALLOON 11.5 499

4180173 CLAMP 4 POSITION 390.004 4095

4180174 SCREW LOCKING 202 666

4180175 PHYSIOMESH 10X15 2143

4180176 PHYSIOMESH 15X20 3879

4180177 PIN QUICK CONNECT MS-PIN20 406

4180178 HIP SPACER GRP 1 1694

4180179 PLATE GRP 1 8448

4180180 PLATE GRP 2 4095

4180181 PLATE CONDYLAR GRP 7 8497

4180182 PLATE GRP 3 1190

4180183 PLATE GRP 4 1180

4180184 PLATE FIBULA GRP 1 3353

4180185 ABC PROBE 460

4180186 SLING MALE URETHRAL 20703

4180187 ROD CARBON GRP 3 882

4180188 GRAFT VASCULAR GRP 7 7335

4180189 PINNACLE KIT 68317100 7772

4180190 PLATE LCP RADIAL HEAD 3451

4180191 SCREW CORTEX GRP 2 190

4180192 PLATE GRP 5 2856

4180193 PUNCH TREPHINE DONOR 271

4180194 SLEEVE PKG HIGH INFUSION 169

4180195 BOLT LOCKING 834

4180196 SLEEVE PKG REGULAR 103

4180197 SLEEVE PKG MICROSHARPE 22.5 55

4180198 KNIFE SHARP POINT (PARACENTESIS) 49

4180199 BLADE BEAVER 376600 71

4180200 BLADE BEAVER 376900 22

4180201 KNIFE IQ GEO CLEAR TRAP 77-2824 152

4180202 KNIFE OPTHAL 125

4180203 BLADE TREPHINE 7-13MM 217

4180204 SYRINGE 60CC CATH TIP 17

4180205 CANNULA, OXYGEN 12

4180206 BAG UROSOTOMY-EA 17

4180207 ERASER HEMOSTATIC 221250 39

4180208 MURPHY SETUP 401

4180209 BOOTIES SUTURE AID DISPP 17

4180210 HIP BALL GRP 1 2716

4180211 BURR HANDPIECE OPH 2121


4180213 VICTRECTOMY PACK 575

4180214 SLEEVE VICTRECTOMY 217

4180215 LASIK ROLLER 14MM 61

4180216 EYE DRAPE 39

4180217 PHACO CASSETTE REG 823

4180218 ACT CUVETTE 17

4180219 SUTURE NYLON 10-0 (12") 115

4180220 SUTURE NYLON 10-0 (6") 136

4180221 DRAPE EXTREMITY HIP 98

4180222 PEAK PLASMABLADE 1477

4180223 DISSECTOR SYSTEM SPACEMAKER 2856

4180224 PROTECTIVE CAPS FOR K-WIRE 120

4180225 WECK HORIZON CLIP 34

4180226 JAW BRA 103

4180227 RETRACTOR ALEXIS C8302 260

4180228 VACUUM TREPHINE HESSBURG-BAR 304

4180229 IRIS HOOK-RETRACTOR E0750 NS 845

4180230 BURR OPHTHALMALIC GRP 1 39

4180231 BUTTON W/CABLE FOR SEALER BIPOLAR 2500

4180232 SEALER BIPOLAR LOOP W/CABLE 1704

4180233 PROBE SET CYBERWAND CW-RBPBX 4117

4180234 BLADE (GUARDED) .3MM 120

4180235 PACK CUSTOM EYE 774

4180236 VAC THERAPY SYSTEM KIT 3451

4180237 NEPHROMAX BALLOON KIT 1293

4180238 CATH DUAL LUMEN 298

4180239 SENSOR WIRE M0066703051 201


4180241 CATH URETERAL 5FR 49

4180242 SHEATH CLEAR RENAL 250

4180243 DILATOR SET M0062601000 974

4180244 MONARCHE III CARTRIDGE 98

4180245 PROSHIELD COLLAGEN SHIELD 169

4180246 PHACO TIP 30 DEGREE 260

4180247 LENS ALCON SA 644

4180248 LENS ALCON MA 595

4180249 LENS ALCON MTA 406

4180250 HEMOSTATIC ERASER STRAIGHT 169

4180251 FEMORAL STEM GRP 2 10428


4180253 CATH, C-V KIT 239

4180254 INTRACRANIAL DRAIN KIT 8584

4180255 NEEDLE HUB ER 39

4180256 WRAP COMPRESSION K-WRAP-6 125

4180257 PROXIMAL BODY (SHOULDER) 1824

4180258 INTRAGASTRIC BALLOON SYSTEM 8140

4180259 INTRODUCER KIT PERCUT ARR 233

4180260 MITT HAND COTTON POSEY 109

4180261 PEG THREADED STPT 450

4180262 SCREW LOCKING 90 487

4180263 BLADE SPIRAL 42MM 3105

4180264 SHEATH URETRAL ACCESS 595

4180265 GRAFT VECTRA 6 X 50 4186

4180266 CATH OTW MUSTANG GP 1 1169

4180267 BLADE 2108-156-000 142

4180268 SENSOR NITINOL WIRE 212

4180269 EKOS CATHETER VAR SZ 13304

4180270 TROCAR COR37 293

4180271 BAG PRESSURE INFUSION 300ML 109

4180272 BIOPSY PORT SEAL Y-ADAPTER 120

4180273 ENDOCATCH 173049 1239

4180274 NBP CABLE MP00953 477

4180275 ECG LEAD GRABBER SET 1072

4180276 CATH RABINOV SCS-P-16-S 142

4180277 SCISSORS DISPOSABLE 45 CB040 288

4180278 PACK, CATH LAB 212

4180279 NANIFLEX DELIVERY SYSTEM 396

4180280 PLATE VOLAR GRP 3 3928

4180281 FLAIR STENT GRAFT 11877

4180282 MASK FACE 7210559 125

4180283 KIT SHOULDER STABILIZATION 271

4180284 WRIST KIT SM/MED/LG 288

4180285 STENT, BILIARY, METAL 11661





4180290 PLATE CLAVICLE GRP 6 5150

4180291 STENT 3422 644


4180293 PLATE LOCKING GRP 1 1261

4180294 SCREW SELF TAP GRP 1 433


4180296 VIABAHN GORE STENT GRP 1 13662


4180298 SURGISIS G54614 4976

4180299 BONE GRAFT INFUSE X-SM 7510100 8215

4180300 CABLE 2232-01-18 1359

4180301 NAIL GRP 3 14218

4180302 POUCH OSTOMY/UROSTOMY 39

4180303 X FUSE AXF 3749

4180304 TISSUE EXPANDER GRP 2 6642


4180306 GUPP CYLINDER 11931

4180307 GUIDE PIN GRP 3 271


4180309 DRUG-COATED BALLOON CATHETER 6818

4180310 SLEEVE DRILL MEASURING 1683


4180312 WRAP COMPRESSION H-WRAP-6 142


4180314 WASHER GRP 1 115

4180315 CATH DIALYSIS EDGE CS 1407

4180316 DERMABOND CLR602US 612

4180317 GUIDEWIRE (AFX) 764

4180318 INTRODUCER SHEATH (AFX)HLS 1012.5 455

4180319 INTRODUCER SHEATH (AFX)HLS 2509 644

4180320 HEAD HUMERAL 4302-52-18 7443

4180321 SIDE ARM BILIARY BALLOON DILATOR 1374

4180322 KNIFE NEEDLE PAPILLOTOME G22037 715

4180323 FINGER IMPLANT MCP SZ 20/30/40 3759

4180324 PULSE GENERATOR KIT SC-1110-02 99584


4180326 CATH OTW STERLING 1461

4180327 CATH OTW MUSTANG GP2 931

4180328 COYOTE 39186 1596

4180329 SIGMOIDSCOPE DISP 44

4180330 AFX ENDOVASCULAR SYSTEM 1 69007

4180331 STETHESCOPE ESOP CATH 18F 55

4180332 AFX ENDOVASCULAR SYSTEM 2 75670

4180333 AFX SHEATH INTRODUCER S17-45 1548

4180334 ENSNARE EN2007030 1883

4180335 VALVE HEMOSTASIS HVA-100 71

4180336 ADAPTER NECK TRIAL 1601-2000 260

4180337 NEEDLE JAM SHIDI 239

4180338 WAND ARTHROCARE ASC4250-01 1818

4180339 CRT PACEMAKER 32340

4180340 PATCH PERCARDIUM 1X1 TPD 1310

4180341 VALVE AHMED SILICONE FP7 2834

4180342 SHOULDER1 24985

4180343 SHOULDER 6 GLOBAL UNITE HEMI 26175

4180344 PLATE GRP 23 7594

4180345 SLEEVE UNIVERSAL 1294-53-236 15825

4180346 CATH BARDEX IC (0196SI16) 93

4180347 FLEX NOZZLE (206-515) 76

4180348 EVACUATOR ELLIK DISP 715

4180349 PACEMAKER DR GRP 1 21238

4180350 PACK CUSTOM LAPAROSCOPY GENERAL 484

4180351 BIO SCREW 526

4180352 NEEDLE EPIDURAL DURASAFE 55

4180353 EYE SHIELD CLEAR 22

4180354 K-WIRE VAR SZ GRP 1 212

4180355 GUIDEWIRE PTFE 93

4180356 VALVE HAKIM FIXED 5544


4180358 SCREW LOCKING 90O NLSS 288

4180359 WIRES 49 482

4180360 ADAPTER OFFSET (2MM) 4928

4180361 EXTENDER STEM 5192

4180362 AUGMENT SCORPIO TIBIAL 5479

4180363 BASEPLATE TIBIAL REVISION 12932

4180364 INSERT TIBIAL GRP 1 9687


4180366 HANDPIECE BEND A BEAM 336

4180367 THERMOGARD PLUS 7-382 22

4180368 PLATE CLAW GRP 2 4149


4180370 CASSETTE HEAD FOR EXPLANDER 953

4180371 PLATE VECTRA 1 LEVEL GRP 3 8989

4180372 AUGMENT DISTAL (96-0860) 4852

4180373 STEM UNIVERSAL (86-7412) 7150

4180374 LENS OCCULAR 4098

4180375 EON MINI CHARGING SYSTEM 4820

4180376 SPATULA AESCULAP BRAIN FF484R 190

4180377 PATCH BOVINE VG-0108N 720

4180378 LEAD NEURO GRP 4 24694

4180379 SCREW PEG THREADED MDTP 644


4180382 SCREW GRP 17 4522

4180383 PLATE CORONOID 2807



4180386 VASC CLOSURE SYS 1175

4180387 STABILIZER RING (EYE) 953

4180388 COIL VORTEX 315

4180389 PLATE NARROW 5020

4180390 TIGHTROPE REPAIR AR-8926S 5787

4180391 NAIL GRP 4 8643

4180392 DISSECTOR AR-8400DS 288

4180393 SUTURE VLOCM 130

4180394 CABLE GRIP SYSTEM 12623

4180395 GRAFT G31451 1142

4180396 PIN TEMP FIXATION DC1212 288

4180397 MICROBLATOR 30 ICW 974

4180398 STARVAC 90 ICW 931

4180399 AMBIENT TURBOVAC 90 IFS 1072

4180400 HEAD COMPONENT HUMERAL 20410

4180401 IPG RECHARGABLE 3788 64058

4180402 PLATE TUBULAR GRP 1 352

4180403 PLATE OLECRANON GRP 1 4403

4180404 SUTURE VICRYL V950G (OPHTHAL) 61

4180405 PIN STEINMAN 2 X 140 358

4180406 SCREW WRIST WA/S 1163

4180407 CARPAL BALL WRIST WA/B 5192

4180408 PLATE CARPAL WRIST WA/C 17712

4180409 RADIAL COMPONENT WRIST WA/R 22173

4180410 CANNULA AR-6568 120

4180411 PLATE ARTHREX GRP 2 3808

4180412 BB TAK (AR-13226) 142


4180414 SCREW COMPRESSION GRP 3 6875

4180415 SCREW BIO COMPRESSION 1667

4180416 SCREW SELF DRILL GRP 4 1196

4180417 SCREW SPINAL GRP 4 6659

4180418 SCREW GRP 3 418

4180419 SCREW GRP 5 595

4180420 SCREW GRP 6 774

4180421 SCREW GRP 1 185

4180422 SHOULDER 2 22131

4180423 SHOULDER 3 30934

4180424 SHOULDER 4 38073

4180425 SHOULDER 5 42832

4180426 SUTURE PASSER GRP 1 770

4180427 TIGHTROPE KIT AR-2257 2143

4180428 REAMER CANNULATED AR-1204 LX 964



4180431 SHEATH HOODLESS (AR-8500 ODS) 169


4180433 PLATE STRAIGHT 1450

4180434 VENA CAVA FILTER 6426

4180435 CATH TWO LUMEN AK-21242-CDC 1121

4180436 VITOSS BONE GRAFT 10CC 7335

4180437 VITOSS BONE GRAFT SUB 12CC 1045

4180438 NEEDLE FOR MENISCAL STITCHER 120

4180439 VITOSS BONE GRAFT SUB 5CC 3911

4180440 ACCESSORY KIT 3550-27 1667

4180441 NERVE GUIDE PNG230/430 5285

4180442 PRO TOE SMALL 1499

4180443 PEEK CAPSTONE 19584

4180444 SHEATH FLEXOR URETERAL ACCESS 595

4180445 ENSEAL RND TIP NSEAL535RH 2104

4180446 ENSEAL G2 SUPER JAW NSEALX22L 3333

4180447 RELOAD LINEAR CUTTER 6R45M 477

4180448 PLATE GRP 19 3928

4180449 PLATE TACK PL-PTAK 174

4180450 PLATE MINI 4H 509

4180451 PLATE ANGLED FX 2424

4180452 PUNCH AR-1927PB 185

4180453 STYLET KIT 6082-58 190

4180454 NAIL GAMMA GRP 8 11585

4180455 INSERT 96-2334 12207

4180456 TRAY TIB REVISION GRP 2 40669

4180457 GUIDE WIRE 1806 974

4180458 VERITAS COLLAGEN MATRIX 14397

4180459 OSTOMY POUCH DRAINABLE 7

4180460 ENSEAL TISSUE SEALER GRP 2 2451

4180461 DRAIN RND HUBLESS CHANNEL 120

4180462 PLATE HUMERUS LCP 8578

4180463 BOW II DC2832023 5036

4180464 GRAFT ALLOMATRIX DR 3786

4180465 PROBE NIM BALL TIP 3094

4180466 NAIL FEMORAL 9351


4180468 SPACER LORDOTIC P80057 3333

4180469 PLATE EBI VUELOCK 4998

4180470 PLATE NEURO GAP 142

4180471 BATTERY IQ DRIVER 72-1010 363

4180472 STYLET KIT -52 239

4180473 STYLET KIT -58 44

4180474 WRENCH 442-2 120

4180475 CABLE 4051L 142

4180476 BALLOON CATH IAB 4046

4180477 TUBE GASTROSTOMY 358

4180478 CATH OTW 39148-30101 1461

4180479 SPACER--ORACLE 32482

4180480 OBTURATOR SET AO-US 595

4180481 HOLDER HANDLES AH-11 147

4180482 ACCESSORY TR STND ALONE 406

4180483 PUNCH DONOR BARRON 266

4180484 CARBON RING UTRACK 6100

4180485 WIRE STRAIGHT 615

4180486 POST-LONG 1110

4180487 ROD CONNECTOR 1785

4180488 CONNECTOR ROD TO ROD 3205

4180489 KNEE ART SURF IBII 1548

4180490 KNEE TIBIAL 5220 2343

4180491 SUTURE PLEDGET TEFLON 49

4180492 PACING WIRE SINGLE 44

4180493 PACING WIRE DOUBLE 93

4180494 GOWN PACK STERIL BACK 34

4180495 LUMBOSCARAL SUPPORT 55

4180499 STENTS-DRUG ELUTING 9400

4180500 ELECTRODE MITEK VAPR 1726

4180501 SURGISIS G53614 4273


4180503 BONE PLUG 548

4180504 MITEK PANALOK RC 2343

4180505 GDLH SET SCREWS 1109

4180506 GDLH HEX ROD 737

4180507 GDLH SACRAL BOLTS 855

4180508 RAY FUSION CAGE 10352

4180509 ALLOGRAFT PUTTY 10CC 2343

4180510 SUTURE ROC XS 115

4180511 WRAP COMPRESSION S-WRAP-6 142

4180512 CUFF TOURNIQUET 136

4180513 WRAP COMPRESSION B-WRAP-6 179

4180514 NEURO TRIAL LEAD KIT 7118

4180515 ACETABULAR LINER 1153

4180516 NUGAUZE PLAIN PACKING 17

4180517 BUR OSTEON 595

4180518 DURAPREP REMOVER 17

4180519 FABRIC SAUNAGE 374

4180520 FEMORAL STEM 6600 6523

4180521 FEMORAL STEM 9900 4138

4180522 FEMORAL STEM 9028 5339

4180523 PATCH GRAFT PTFE 4" X 4" 255

4180524 INTRODUCER MULTI LUMEN 9F 493

4180525 PROTAMINE VIAL 250MG 71

4180526 ARTERIAL LINE KIT 66

4180527 STRIPS TEFLON FELT 1" X 6" 120

4180528 STRIPS TEFLON FELT 2"X 6" 142

4180529 BLANKET CARDIAC BAIR HUGR 130

4180530 BONE PUTTY 2CC 2191

4180531 MAYO CORONARY PERF CANULA 277

4180532 MAYO "0" RING 66

4180533 BUR GP2 947

4180534 BLADE AGGRESSIVE 174

4180535 PROTAMINE RESPONSE TUBE 22

4180536 PROTAMINE ASSAY KIT 185

4180537 DEADENDER CAP DUAL FUNCTION 12

4180538 HEPARIN 22

4180539 SHUNT CTS FIOCOIL 493

4180540 ANNULOPLASTY RING 13007

4180541 BONE PUTTY 10CC 5820

4180542 PACK PERFUSION 217

4180543 DRILL PIN 595

4180544 PACK OPEN HEART 2770

4180545 PACK PUMP TUBING CUSTOM 509

4180546 PACK NURSE CUSTOM 277

4180547 CIRCUIT ANEURYSM 331

4180548 KNIFE OPTHALMIC ALCON 49

4180549 CONNECTOR AVECOR/MEDTRONIC 17

4180550 BLADE SARNS STERNAL 93

4180551 CATH CV DUAL LUMEN 266

4180552 CANNULA FEMORAL PERCUT KIT 1142

4180553 ADAPTER CVP 44

4180554 CO2 BLOWER/MISTER 342

4180555 VENT PLUG - POROUS 17

4180556 OXYGENATOR 996

4180557 VEIN DISTENSION SYSTEM 212

4180558 CLIP SURGICAL SPRING 82

4180559 TOWEL CLAMPS STERILE DISP. 55

4180560 SURGI-PREP DEPILATORY 44

4180561 DRESSING, OASIS 7X20 CM 255

4180562 STAPLER 1505

4180563 3 PORT MANNIFOLD 9222 34

4180564 6 PORT MANNIFOLD 9230 44

4180565 STAPLE FIXATION OSTEOTOMY 644

4180566 ADAPTER M/M MX493 17

4180567 ELBOW VENT EG-MC 1423 12

4180568 ENDOBRONCH BLOOKER SET 374

4180569 CATH EPIDURAL ANES 22

4180570 PRONE VIEW CUSHION INSERT 93

4180571 STENT DEUODENL METAL 11634

4180573 PROB TEMP MYOCARDIAL NEEDLE 71

4180574 HEMOCONCENTRATOR 460

4180575 ADAPTER 1/4" CV 17

4180576 LINES PUMP SUPPLEMENTAL 82

4180577 PACK PORTABLE BYPASS 439

4180578 CANNULA PERFUSION 90 DEGREES 93

4180579 CANNULA AORTIC ROOT 93

4180580 ADAPTER CARDIOPLEGIA 34

4180581 CARDIAC SUCTION TUBE 44

4180582 CANNULAE VENOUS 120

4180583 PAD PHRENIC NERVE 71

4180584 CANNULAE IMA VESSEL 44

4180585 TOURNIQUET SET 17

4180586 CANNULAE VENOUS HIGH FLOW 109

4180587 CANNULAE 2 STAGE VENOUS 93

4180588 PERICARDIAL SUP CONNECTOR 44

4180589 ADAPTER CARDIOPLEGIA SET 55

4180590 VALVE MITRAL GRP 1 14278

4180591 VALVE AORTIC GRP 2 27040

4180592 CANNULAE VESSEL 22

4180593 AORTIC PUNCH 136

4180594 FOGARTY HYDRAGRIP INSERTS 136

4180595 FOGARTY JAW INSERTS 49

4180596 SUTURE VICRYL II 44

4180597 SUTURE NYLON I 22

4180598 SUTURE NYLON II 44

4180599 SUTURE ETHIBOND GRP 2 22

4180600 SUTURE E-PACK CABG KONTOS 1121

4180601 PLEURAL CATH 2770

4180602 PLEUR-EVAC CHEST DRAIN 169

4180603 CATH FOLEY TEMP SENSING 142

4180604 BALLOON INTRAORTIC 3429

4180605 CATH DIALYSIS 1034

4180606 SWAN GANZ CCO/SV02/VIP 899

4180607 LIGACLIP LT100 17

4180608 LIGACLIP LT 200 17

4180609 LIGACLIP LT400 34

4180610 PRESSURE LINE 17

4180611 SUTURE POLYPROLENE IV 142

4180612 SUTURE POLYPROLENE II 55

4180613 AQUASONIC GEL STERILE 17

4180614 LITE SLEEVE SINGLE 12

4180615 LITE SLEEVE DUAL 12

4180616 CARDIOPLEGIA EMERG. SHUNT 185


4180618 FILTER VENA CAVA 4730

4180619 BAG UROTRACK PLUS 55

4180620 PERCUTANEOUS KIT FEMORAL 806

4180621 CATH LEFT HEART 71

4180622 TRANSDUCER VAMP 115

4180623 TRANSDUCER QUAD CUSTOM 130

4180624 TRANSDUCER SINGLE 115

4180625 FILTER CARDIOPLEDGIA BCIB 277

4180626 PROBE CORONARY FLOW 460

4180627 TRANSFER BLOOD BAG 22

4180628 CATH FEMORAL SET 66

4180630 PNEUMOSTAT CHEST DRAIN 158

4180631 CANNULA VAD VENOUS 142

4180632 TALAR COMPONENT (ANKLE) 19800

4180633 MR20 RETRO CORONARY PERFUSION 260

4180634 ENDO SWITCHPEN 174

4180635 MESH GORE-TEX DUAL 5327

4180636 BAG SPECIMEN PRO46 482

4180637 BILLIARY DRAINAGE RBD-100 369

4180638 SURETAC 374

4180639 COVADERM 12

4180640 STOPCOCK TOUGHY 3-WAY 17

4180641 PACK ABD LITHO DRAPE 82

4180642 CANNULA RETROGRADE CORONA 260

4180643 STOPCOCK 6" EXT 3-WAY MX3660 17

4180644 VALVE TRIPLE ACTION RELIEF 55

4180645 CANNULA ARTERIAL PERFUSION 109

4180646 BAG RAPID TRAN SAHARA 158

4180647 TUBING INTERSEPT 10 FOOT 44

4180648 TUBING INTERSEPT 6 FOOT 34

4180649 LA LINE 1022A-04 17

4180650 TRANSFER SET AUTO TRANS 17

4180651 LAP CHOLE KIT FDC49 1834

4180652 CANNULA TH1 AORTIC PERF 82

4180653 CATH VENTRICULER LT HEART 71

4180654 CARDIOPLEDGIA TUB CUSTOM 298

4180655 DRAPE SLUSH 158

4180656 EPI AORTIC KIT 71

4180657 LAP CHOLE KIT FDC32 1959

4180658 GUIDE CATHETERS 2359

4180659 ADHERUS SEALANT 3183

4180660 INFLATION DEVICE H749 185

4180661 CLAMP ROD/ROD 1503

4180662 IV PUMP SET 34

4180663 DRAPE IOBAN 6650 34

4180664 BLADE REPEAT STERNOTOMY 82

4180665 AORTIC VALVED GRAFT 23282

4180666 VALVE FORCEP 44

4180667 SYRINGE SET 4C2240 17

4180668 VALVE MITRAL GRP 2 16657


4180670 CLIP GUN MAGAZINE 76

4180671 DRAPE IOBAN 6651 49

4180672 SWAN CONTAMINATION SHEILD 44

4180673 BIOMEDICUS CONES DP80 472

4180674 BIOMEDICUS PROBES DP38 55

4180675 CATH THORACIC DEKNATEL 44


4180677 SHAPIRO STAPLE CARTRIDGE 548

4180678 PLEUREVAC, S1100FS 163

4180679 PLEUREVAC, S1150FS 228

4180680 BAG, AUTOTRANSFUSION 109

4180681 JURGAN BALL 98

4180682 UNIVERSAL FLUID DISPENSER 374

4180683 UROLOGY TRAY 123400 602

4180684 CEMENT BONE KYPHON 331

4180685 LAPAROSCOPIC SCISSORS 1415 277

4180686 LAPAROSCOPIC L-HOOK 282

4180687 GLOW & TELL TAPE 239

4180688 STAPLER CEEA 1066

4180689 INTREL 3 PULSE GENERATOR KIT 44736

4180690 MESH 3DMAX 493

4180691 BRACHIAL PLEXUS SET 34

4180692 ATOMIZER EL-100 22

4180693 UROLUME 21395

4180694 FILTRATION DEVICE EXPRESS 47053 4976

4180695 ANKLE SUPPORT BRACES 55

4180696 HUMERAL CUP 6187




4180700 TOE IMPLANT FLEXIBLE HINGE 4056

4180701 LATERAL SIZER 2532

4180702 BURR ANSPACH 595

4180703 BUR GP4 715

4180704 BUR CUTTING 2 737

4180705 BUR GP5 315

4180709 DEFIBRILATOR LEAD SPRINT 36580

4180710 ECLIPSE SOLOGRIP HANDPIECE 7058

4180711 CORD BOVIE MONOPOLAR 50

4180712 CATH CV LEONARD 774

4180713 IABP INSERTION KIT 130

4180714 WASHER 3.5/4.0 302

4180715 ORTHOPEDIC CABLE W/CRIMP 904

4180716 PLATE LCP GRP 12 2862


4180718 PLATE VARIABLE ANGLE GRP 1 5165

4180719 BANDAGE ACE DULUXE 12

4180720 TAPE UMBILICAL 17

4180721 SUCTION IRRIGATION 82

4180722 FOAM SET CONVOLUTED 55

4180723 HIP ARTHROSCOPY KIT AR-6509DS 2143

4180724 CONNECTOR (SPINE) GRP 1 4462

4180725 PRO-TOE INSTRUMENT KIT 595

4180726 SHEATH INTRODUCER 136

4180727 SNARE POLYPECTOMY MINI (6257) 130

4180728 BIOARTHRO 2 X 4CM BT-1240 4760

4180729 RETRACTOR ALEXIS X-LG 363

4180730 RETRACTOR ALEXIS LG 288

4180731 PKIT JXS PRONEVIEW 293

4180732 PLATE SSP GRP 1 5155


4180734 GUIDE ROD GRP 4 698

4180735 NAIL KNEE GOLD RETRO 6782

4180736 CATH RIVAL 595

4180737 NAIL TFN GRP 3 7615





4180742 CABLE SLEEVE BEADED 1461

4180743 GLUE SIMPLEX 6192-1-010 352

4180744 BUR 1690

4180745 LINGEMAN KIT 450-112 3921

4180746 STENT SC1040FV 7615

4180747 RESTORE ULTRA 37712 (NEURO GEN) 75670

4180748 PLATE SHORT L FUSION 4658

4180749 WIRE COMPRESSION 03.211.410 250


4180751 PLATE Y GRP 1 1283


4180753 PLATE LCP 7H 4949

4180754 TUBE MOSS GASTROSTOMY 1169

4180755 TAP GRP 1 509

4180756 TAP GRP 3 866

4180757 TAP GRP 5 1531

4180758 TAP GRP 6 1596

4180759 TAP GRP 7 1866

4180760 EPIFILM 466

4180761 CANNULAE CARDIOPLEGIA 228

4180762 BONE ORTHOBLAST 3CC 1920

4180763 DUPLOCATH 66

4180764 ANNULOPLASTY BAND 10925

4180765 AORTIC VALVE 13493

4180766 FOCAL SEAL 3316

4180767 TAP GRP 8 2023

4180769 TAP GRP 10 4690

4180770 TAP PL-ELT GRP 1 812

4180771 TAP PL-ELT GRP 2 1055

4180772 CABLE TI DBL NEEDLE W/CRIMP 2997

4180773 REPLACEMENT TUBE 22FR 8286 147

4180774 GUIDEWIRE BLUNT 439

4180775 CLIP .4MM 91-6604 1104

4180776 CLAMP MULTI-PIN (390.002) 4565


4180778 CLAMP COMBINATION (390.005) 3997

4180779 ROD ATTACHMENT (FOR CLAMP) 2559

4180780 BANDAGE ACE STERILE 34


4180782 BIOMATRIX 10CC 79-0060 7615

4180783 STIMILAN KIT BONE 600-005 2380

4180784 NAIL GRP 2 9762

4180785 SCREW CONICAL GRP 4 1564

4180786 NAIL TFN GRP 5 11017

4180787 VALVE 909-501 14737

4180788 RESERVOIR NL850-1121 1190


4180790 SCREWS 48134035/48134040 5312

4180791 SCREWS 4813 4841

4180792 WAND PLASMA EIC 1121

4180793 SCREW TFN 2975

4180794 DRILL BIT GP1 179


4180796 SCREW CANNULATED GRP 11 1969

4180797 CLOSURE FAST CATH CF-7-7-60 4024

4180798 SCREW CANNULATED LOCKING GRP 6 1596

4180799 SPACER 8MM 017608 5236

4180800 SLEEVE 5MM 135

4180801 CONNECTOR MAXPLUS NEEDLELESS 7

4180802 POUCH INVISICLOSE DRAINABLE 7

4180803 PACK VNUS CLOSUREFAST PROC CFP 390

4180804 CUTTER ARTICULATING GRP 2 1569

4180805 LUBRICANT VIPER SLIDE VPR-SLD 428

4180806 VALVE EPIC 25986

4180807 SPACER W/PLUG 4284

4180808 FORCEPS TRICEP GRASPING 370-115 877

4180809 BIO COMPOSITE AR-1927CFT 1645

4180810 GUPP CYLINDER SET W/PUMP 32838


4180812 CATH PASSER 8533 472

4180813 HARMONIC FOCUS CS17 3678

4180814 ANCHOR SUTURE 2023

4180815 FIBERLINK AR-7235 239

4180816 PLATE LCP DISTAL HUMERUS 7610


4180818 PRESSURETUBING 50-P124 7

4180819 ENFLOW FLUID WARMER CARTRIDGE 61

4180820 GLIDESCOPE GVL COBALT 71


4180822 SNARE RETRACTABLE 20MM 6183 109

4180823 SCREW LOCKING CO-T 374

4180824 PEG SMOOTH CO-S 374

4180825 SCREW CORTICAL (CO-N2318) 374

4180826 PLATE W/COLLAR 441.38 472

4180827 SCREW DRILLING 715

4180828 AQUASHIELD SYSTEM 00711540 55

4180829 ENDOGATOR IRRIGATION TUBING 76

4180830 AUXILLIARY WATERPORT 10015 34

4180831 STENT PIGTAIL 477

4180832 SCREW GRP 20 223

4180833 NEEDLE ASPIRATE/INJECT 205

4180834 STENT FLEXWALL 8X60 6968 7599

4180835 STRYKER CEMENT CANNULA 288

4180836 STRYKER ACCESS NEEDLE 10G 239

4180837 STRYKER PCD PRECISION KIT 2667

4180838 STRYKER IVAS 5949

4180839 ROD XIA 1927

4180840 CAGE 23796

4180841 DRILL BIT MS-DC (GP1) 282

4180842 PLATE PL-DR 3689

4180843 RETRACTOR 205

4180844 SCREW HEX 4013 931

4180845 WAFER SUR FIT NATURA 1 3/4 7

4180846 VERITAS RM-1016 21341

4180847 ROD 4852040 1023

4180848 RESTORE ADVANCEDED 37713 70911

4180849 SCREW LOCKING CANCELLOUS (TITAN) 2916

4180850 PLATE TSLP 19989

4180851 BURR OPHTHALMALIC GRP 2 493

4180852 END PLATE 3024

4180853 PIN FIXATION DETACHABLE TEMP 785

4180854 SCREW VA LOCK 737

4180855 SCREW 2080 617

4180856 ACL KIT AR-1897S 1072

4180857 DRILL BIT FLIP CUTTER 1548

4180858 HEADED REAMER AR-1408 1023

4180859 SCREW BIOCOMPOSITE (RETRO AR-) 1234


4180861 MOBIUS ELASTIC RETRACTOR LG 595

4180862 MOBIUS ELASTIC RETRACTOR MED 477

4180863 BOAT DBM SHORT 8092

4180864 BOAT DBM LONG 12851

4180865 SCREW ARTHREX 169

4180866 SCREW LOCKING (AR-8835L) 531

4180867 SCREW LOCKING LOW PROFILE 499

4180868 PLATE ARTHREX GRP 1 3094

4180869 BASKET TRAPEZOID 1288

4180870 SCREW CANN AR-8840CL 715

4180871 INTRODUCER KT LAPAR 1023

4180872 TAPER POST 3786

4180873 ARTICULAR COMPONENT 26608


4180875 GUIDEWIRE 14-410002 390




4180879 DRILL BIT 14-440041 1066


4180881 DRILL BIT AR-8943 455

4180882 DRILL BIT AR-8943 406

4180883 DRILL BIT AR GRP 1 379

4180884 ACETABULAR REVISION 15938

4180885 SHELL REVISION GRP 1 14348

4180886 NAIL ARTHRO GRP 2 11244


4180888 STEM HUM SHOULDER REVISION 17809

4180889 HEAD HUM SHOULDER REVISION 9449

4180890 INSERT KNEE TIBIAL 96-2344 12207

4180891 FEMORAL COMPONENT KNEE 21630

4180892 STENT RELIANT GRAFT BALLOON REL46 2121

4180893 FLEXIVA LASER FIBER 1000 3554

4180894 DILATOR/SHEATH SET (260-120) 201

4180895 BLOOD COLLECTION SET 12

4180896 BONE SPACER 3570

4180897 PLATE T GRP 1 1332

4180898 PLATE T GRP 2 1499


4180900 GLENOID #7 7139

4180901 NAIL LONG GAMMA 10925

4180902 CUFF AMS 19513

4180903 GUPS ACCESSORY KIT 3024

4180904 CATH MAHURKAR 8888102003 595

4180905 SCREW CORTICAL 14-405026 899

4180906 ENDCAP 1 607

4180907 ENDCAP 2 1104

4180908 OPTIMENTAL 1000ML RTH 76

4180909 PIVOT 1.5 CAL 8FL OZ CAN 22

4180910 ENFAMIL ENFALYTE CHERRY 6 OZ 12

4180911 VITAL 1.5 CAL 8 OZ CAN 17

4180912 JUVEN UNFLAVORED .85 OZ PACKET 12


4180914 TFCC DISPOSABLE KIT AR-8825CP 1667

4180915 WASHER GRP 3 282

4180916 SCREW ARTHREX GRP 2 1428


4180918 SCREW 205 1012


4180920 CLIP RESOLUTION 360 1004


4180922 VERTEPORT NEEDLE SHORT 10G 244

4180923 AUTOPLEX MIXER W/HV CEMENT 4284

4180924 PCD W/HV CEMENT 507-587-000 2667

4180925 INTEGRA RESERVOIR NL850-1212 1650

4180926 HEAD 1128-65-050 9221

4180927 CEMATOME CUTTING WHEEL 5052-125 1494

4180928 SUTURE LASSO AR-4068 666

4180929 HEX WRENCH 02555 418

4180930 BIOPATCH DISC W/SLIT 4151 34

4180931 BLADE ANGLED HOOK 4058-A 548

4180932 BLADE HOOK 3055 406

4180933 BLADE HOOK 4058 499

4180934 BLOOD Y PUMP SET W/FILTER 39

4180935 BONE CANCELLOUS CAN30 410BP 2164

4180936 BONE FIBULA 08A002 1905

4180937 C-PAK NASAL PACKING 15-24000 477

4180938 CATH TRAY W/BAG W/O CATH 899100 61

4180939 DRILL BIT 310 (GP1) 401

4180940 DRILL GUIDE UNIVERSAL 323.36 2494

4180941 EXT SET MICROBORE TUBING 74" 11

4180942 EXTRACTION BOLT 309.090 553

4180943 EXTRACTION BOLT 309-520 374




4180947 REAMER GRP 1 1883

4180948 SURGIGRAFT 2 X 4 (PER SQ CM) 215

4180949 INTRODUCER TRACHEAL TUBE 15F 477

4180950 LOCKNUT DANEK 804-006 185

4180951 MESH ULTRAPRO UHSL6 1742

4180952 MESH VICRYL VKML 3749

4180953 NAIL LATERAL ENTRY 8903

4180954 SENSOR FLORTRAC MHN85 1190

4180955 PRESEP CATH OLIGON 1190


4180957 STENT SUBCLAVIAN EXPRESS 5593

4180958 TRACH KIT PERCUTANEOUS SZ 6 1726

4180959 TRACH KIT PERCUTANEOUS SZ 8 1618

4180960 TUBING FOR LASTER VT10624 93

4180961 TUBING LAP SUCTION BLAP-100 55

4180962 DRILL BIT 80 455


4180964 SCOPE WARMER 73-000500 39

4180965 EZ-IO ADULT NEEDLE SET 477

4180966 SHEATH 6X325 RSB603 136


4180968 DRILL BIT 4.0 AR-1204D 548

4180969 DRILL BIT 2.7 AR-7000-14 1667

4180970 BLADE OSTEOTOME AR-7000-01 595

4180971 DRILL LOW PROFILE AR-1202-3D 358

4180972 SCREW ARTHREX GRP 1 309

4180973 GUIDEWIRE TROCAR TIP 98

4180974 PATELLAR RESURFACING COMPONENT 4024

4180975 INSERT DEEP FLEXION ARTICULAR 6015

4180976 ANCHOR SUTURE AR-2324BCC 1807

4180977 REAMER LOW PROFILE 931


4180979 DRILL BIT 03025/03035 595

4180980 DRILL BIT 03037/03015 558

4180981 DRILL BIT 03.010.028 2559

4180982 DRILL BIT GP8 1012

4180983 CAP PROTECTIVE YELLOW 5047-1-030 17

4180984 TROCHANTERIC RE-ATTACHMENT DEVICE 7929

4180985 ELEVATOR ACCESS KIT (NEURO) 1190

4180986 PUSHLOCK AR-8825P 1618

4180987 SCREW CLAW LOCKING 4012 704


4180989 PLATE LCP GRP 10 2591


4180991 PLATE LCP TUBULAR 1034

4180992 WOUND VAC GRANUFOAM X-LG 531

4180993 CANNULA C-7197 845

4180994 CATH BERENSTEIN 1834

4180995 DERMACARRIER SKIN GRAFT CARRIER 115

4180996 CAP LOCKING 04.620.000 1905

4180997 SCREW TITANIUM W/T25 5041

4180998 SECURE STRAP (TACKER) 2332


4181000 ANCHOR MICRO CORKSCREW 1359

4181001 PLATE TI CERVICAL 4225

4181002 STENT GRAFT TRACHEOBRONCHIAL 9519

4181003 STAPLER ENTACT SEPTAL 785

4181004 VIABLE BONE MATRIX-SPINE 2716

4181005 MALECOT 396

4181006 GUIDEWIRE THREADED TROCAR POINT 212

4181007 SUTURE STRATAFIX 105

4181009 CATH BILIARY DILITATION 315

4181010 BALLOON DILITATOR 969

4181011 ARTICULAR COMP 8H02-5854-A 24272

4181012 TAPER POST 8156-0032-A 3451

4181013 NAIL HIP FRACTURE AFFIXUS 8994


4181015 SHEATH AR-8400HSO 55


4181017 SUTURE CLIP LAPRATY ABSORB 233

4181018 TRAY TEMP SENSING FOLEY 142

4181019 CANNULA VENOC RETR (LRD-61040) 136

4181020 PLEDGET TEFLON PCP40 22

4181021 DILATOR FASCIAL 66

4181022 SNARE AR-8400SR 288

4181023 ULTRAXX NEPHROSTOMY BALLOON 1256

4181024 NEEDLE WILLIAMS CYSTO G15296 120

4181025 NEURO PULSE GENERATOR IPB&CHG KIT 64248

4181026 WIRE THREADED 602

4181027 SPINAL CAGE 16182

4181028 WRAP COMPRESSION HIP H-24-6-IP 201

4181029 WRAP COMPRESSION KNEE K-24-6-IP 185

4181030 WRAP COMPRESS SHOULDER S-24-6-IP 201

4181031 WRAP UNIV L STRAP ELU-24-12-IP 125

4181032 FORCEPS RADIAL JAW COLD 49

4181033 SCREW COMPRESSION HEADLESS 1986

4181034 REAMER HOLLOW (309.038) 1499

4181035 STENT URETERAL DIVERSION 1050

4181036 GUIDEWIRE WHOLLEY GRP 2 671

4181037 SET VNUS MICRO INTRODUCER 130


4181039 SCREW BONE GRP 5 2137

4181040 LASER FIBER SINGLE USE 600 1548

4181041 LASER FIBER SINGLE USE 1000 3333

4181042 GENERATOR NEURO 37714 77076


4181044 TUBE NEPHROSTOMY 423

4181045 CAGE SPINAL 10147

4181046 MESH RESTORELLE Y 3754

4181047 SEAL 5MM 400161 82

4181048 PLATE SUPRACONDYLAR GRP 1 1954




4181052 PLATE CLASSIC GRP 1 1325



4181055 WOUND VAC Y-CONNECTOR 12

4181056 WIRE K 228MM 98


4181058 BASKET (STONE) 390-102 1012

4181059 EYE PACK CUSTOM (FOR IZER) 1012

4181060 CLAMP INSERT 39

4181061 PIN STEINMAN (293.72) 428

4181062 SUTURE VICRYL 2-0 J839D 49

4181063 SUTURE DEK CD-7042K 39

4181064 SCREW LAG GRP 6 2500

4181065 BASKET (STONE) 390-104 1461


4181067 DRILL BIT GRP 15 1667

4181068 SCREW GRP 18 1667


4181070 BLADE TI SPIRAL 2948


4181072 ENDOPROSTHESIS UROLUME 72402010 30123

4181073 AMS CATHETER MEASURING 72401446 666

4181074 SCREW MONOAXIAL 4987

4181075 SELECTOR FLUE 1523042 55

4181076 I-0-FLEX SYSTEM DEVICE KIT 18540

4181077 CATH SET SUPRAPUBIC G14920 288

4181078 HEAD FEMORAL 7254

4181079 INTEGRA SKIN SUBSTITUTE 93

4181080 PLATE GRP 6 358

4181081 PLATE GRP 7 747

4181082 PLATE GRP 8 1310

4181083 PLATE GRP 9 1521

4181084 PLATE GRP 10 1785

4181085 PLATE GRP 11 2380

4181086 PLATE GRP 12 3333

4181087 PLATE GRP 14 4879

4181088 PLATE GRP 15 5117

4181089 PLATE GRP 16 5712

4181090 PLATE GRP 17 2261

4181091 HEAD RADIAL TR-H220L-S 12790

4181092 PLATE MALLEOLAR 3516

4181093 INTERCEED 4350XL 1667

4181094 ANCHOR SC-4316 1785

4181095 WRENCH HEX 185

4181096 CATH SOFT-VU 55

4181097 SUMP ATRA SU29602 71

4181098 CANNULA RETROGRADE RCM14115 379

4181099 ADAPTER Y PERFUSION (CA20070) 49

4181100 SCREW GRP 16 4300

4181101 CEMENT BONE 1785


4181103 NAIL TFN GRP 2 10017

4181104 TRAY BARDEX IC URINMETR W/SL 16FR 103

4181105 BAG DRAIN URINE METER W/O FOLEY 44

4181106 BAG DRAIN METER W/O FOLEY 2000ML 22

4181107 SCREW LOCKING GRP 1 185


4181109 SCREW LAG GRP 3 1742



4181113 PLATE CERV HYBRID 1-LEVEL GRP 3 7139

4181114 NEFF PERCUTANEOUS ACCESS SET 450

4181115 DRESSING SINUS STAMMBERGER 320

4181116 SHEATH PINNACLE 11FR 49

4181117 PLATE 1/3 TUBULAR GRP 7 996

4181118 CATH OTW STERLING 4.0X100MM 150CM 1461

4181119 SPACER OPAL 26236

4181120 ANCHOR BIO SUTURE TAK 3.7 1169


4181122 NAIL RETROGRADE FEM 8908


4181124 NAIL RFN 8329

4181125 SCREW LAG GRP 4 2137

4181126 SUTURE ANCHOR CORKSCREW GRP 1 1785

4181127 MESH KUGEL 9.5 X 13 3078

4181128 PREDITOR ATHERECTOMY CATHETER 16160


4181130 NAIL GRP 1 7301

4181131 PLATE GRP 13 1607


4181133 LAUNCHER, CATH GUIDE 223

4181134 SPACER, CERVICAL LORDOTIC 9MM 4528

4181135 SCREW LAG GRP 5 7409

4181136 PLATE PROXIMAL GRP 5 7962

4181137 CAP PROTECTIVE FOR FIXATION PIN 22

4181140 PREP SKIN ONE STEP 55

4181141 ADAPTOR FLUID PORT 34

4181142 ADAPTOR CURRETTE 34

4181143 ADAPTOR INFUSER 466

4181144 ALLOGRAFT CORNERSTONE 4284

4181145 ANCHOR SUPER QUICK 1234

4181146 KIT ARTERIAL PERCUTANEOUS 201

4181147 BAG ANGIO FLUSH 39

4181148 BALLOON CATH CONQUEST 931

4181149 BALLOON CRYO 4284

4181150 ESOPHAGEAL STENT POLYFLEX 21-25MM 11520

4181151 BITE LINER 103

4181152 RETRACTOR BLADE NEURO 1391

4181153 BLOCKER GRP 1 330

4181154 BLOCKER GRP 2 415

4181155 BOLT CONDYLAR 688

4181156 BOLT FEMORAL ADAPTOR 1569

4181158 PLATE GRP 18 7259

4181159 CANNULA VENOC RETR 142

4181160 CANNULA EZ FLOW ARTERIAL DUO 5983

4181161 LEAD PACEMAKER 13326

4181162 BOVIE LOOP DLP-T11 71

4181163 PIN STEINMAN (293.940) 720

4181164 GRAFT FELT PTFE 4X4 320

4181165 ROD 5049-530 336

4181166 DILATOR SET AMPLAZT (G14292) 974


4181168 POCKET ADAPTER (NEURO) 4712


4181170 CATH DIALYSIS 14FR X 55CM 2207

4181171 ADAPTER FEMORAL 96-0781 10162

4181172 GRAFT DISTAFLOW AFX8006SC 10076

4181173 GLASSCOCK EAR DRESSING 61


4181175 DF COMPONENT 9M52-2545 10946

4181176 TAPER POST 9095-0018 1883

4181177 END CAP 3 931

4181178 HANDLE FOR STAPLER 860

4181179 CAPSTONE PEEK 2991422 21536

4181180 PUSHLOCK AR-1923DS 834

4181181 HEAD HUMERAL 12790

4181182 INTRODUCER SAFE SHEATH HLS-1015M 288


4181184 STYLET KIT VARIOUS SZ 190

4181185 VITOSS BA BONE GRAFT SUB 10CC 8805

4181186 VITOSS BA BONE GRAFT SUB 1.2CC 1244

4181187 VITOSS BA BONE GRAFT SUB 5CC 4690

4181188 SCREW HEX GRP 1 595


4181190 PLATE LCP GRP 22 9697

4181191 CAPNOLINE SMART NASAL CANNULA 55

4181192 SNARE POLYPECTOMY 6234 71

4181193 PUNCH BIOPSY P325 12

4181194 PATCH BOVINE VG-0110N 1023

4181195 ABLATOR 622

4181196 PLATE LCP PROX TIB GRP 1 6355




4181200 HIP TOT NONCEMENT CERAMIC 16679

4181201 MOTOCLIP MAX IMPLANT 5500

4181202 HIP TOT NONCEMENT METAL 29507

4181203 ACHILLES SPEEDBRIDGE IMPLANT SYSTEM 7660

4181204 HIP TOT NONCEMENT CERAMIC POLY 16398

4181205 INTERNAL BRACE LIGAMENT IMPLANT 4730

4181206 HIP TOT NONCEMENT METAL/POLY 14408

4181207 NEUROSTIMULATOR LEAD EXTENSION KIT 6115

4181208 HIP TOT CEMENT/NONCEMENT POLY 12634

4181209 HIP TOT CEMENT POLY 13121

4181210 HIP TOT BIPOLAR NONCEMENT 9594

4181211 HIP TOT BIPOLAR CEMENT 7713

4181212 HUMERAL CUP GRP 1 4144

4181213 BIO VIABLE BONE MATRIX 5712

4181214 HIP TOT CEMENT/NONCEMENT UNIPOLAR 15230

4181215 HIP TOT NONCEMENT/CEMENT ENDO 2743

4181216 AMPLATZ SJM PLUGS 5280

4181217 HIP TOT DEPUY ASR XL W/S-ROM STEM 8486



4181220 PLATE CERVICAL GRP 6 3570








4181228 PLATE CLOVERLEAF 1688


4181230 KNEE TOTAL NONCEMENT POLY 12358


4181232 KNEE TOTAL NONCEMENT/CEMENT POLY 12153

4181233 KNEE TOTAL NONCEMENT/CEMENT POLY 10958


4181235 KNEE TOTAL CEMENT NEW POLY 21536

4181236 KNEE TOTAL CEMENT ANY POLY 10352

4181237 KNEE TOTAL CEMENT ANY POLY TIBIA 8973

4181238 KNEE TOT DEPUY RP FLEX KNEE 13938

4181239 NEEDLE ASPIRATION TRANSBRONCHIAL 428

4181240 UNI KNEE CEMENT ANY POLY 10309



4181243 PLATE DCP GRP 2 595

4181244 PLATE DCP GRP 5 2089

4181245 TIBIAL NAIL SYNTHES 1142

4181246 CATH ACCU VU 1190

4181247 RELOAD ECHELON 60 BLUE ECR60B 520

4181248 LAP BAND 17580

4181249 WAFFLE AIR CUSHION VAR SZ 142

4181250 SMART SLUSHWARMER DISC 196

4181251 KIT ACCESSORY DISP 3-ARM 953

4181252 PACK NASAL SINUS 190

4181253 SUR FIT NATURA 2 1/3" POUCH 12

4181254 SUR FIT NATURA 1 3/4" POUCH 12

4181255 SUR FIT NAT 2 1/4" STOMAHES WAFER 17

4181256 SUR FIT NAT 1 3/4" STOMAHES WAFER 17

4181257 SEPRAFILM PACK 2856

4181258 CATH FOLEY AG TEMP CLOSED 152

4181259 PORT VASCULAR 1758

4181260 CATH INFUSION CRAGG 390

4181261 PLATE NEURO GRP 7 1104



4181264 CATH INFUSION CRAGG MCNAMARA 568

4181265 STEM UNIVERSAL REVISION GRP 1 6382

4181266 CANNULA ACCESS 239

4181267 SCREW CERVICAL HYBIRD 330


4181269 PLATE CERV HYDRID 2-LEVEL GRP 2 6204


4181271 MINI CAP DIALYSIS 17

4181272 TUBE BMT DURAVENT 82

4181273 PELVISOFT 6 X 8 4663

4181274 NAVIGATOR SHEATH 548

4181275 TOTAL CONTACT CAST 460

4181276 BONE PUTTY ACTIFUSE 1.5ML 1526

4181277 BONE PUTTY 7139

4181278 BONE PUTTY DBX MIX 20CC 16490

4181279 BONE INTEGRO DBM 0.5VV 541


4181281 BONE INTEGRO DBM PLUS 10CC 6025



4181284 HEEL LIFT PREVALON 255


4181286 CURETTE FLEXIBLE TIP 244

4181287 CATH LIBERTE 4186

4181288 CATH QUANTUM 665

4181289 CATH MAVERICK 1180

4181290 CATH EXPRESS 6242

4181291 BIOGLUE 10MM 4295

4181292 BIOGLUE 5MM 2807

4181293 BONE PLUG AVUMEND 93

4181294 BONE SOURCE 15CC 13072

4181295 BONE GRAFT PUNCH/TAP 142

4181296 BONE GRAFT DRILL BIT 1482

4181297 BONE GRAFT TRAY 964

4181298 ANGIOSEAL 1104

4181299 APPLIER RPEZ 990

4181300 NORIAN 5CC 6782

4181301 HUMERAL GELNOID COMPONENT 6686

4181302 HUMERAL STEM 15305

4181303 CEMENT COBALT 315

4181304 SHEATH RSC 504

4181305 SCREWDRIVER 1298

4181306 CATH ABDOMINAL TDOC 1521

4181307 CATH SINGLE SENSOR TDOC 1521

4181308 CATH DUAL SENSOR TDOC 1780

4181309 ELECTRODE EMG SMARTFLOW 260

4181310 TUBING SMARTFLOW 5760

4181311 XENFORM 6 X 10 4976

4181312 CATH SEROMA 174

4181313 CAGE SPINE SOURCE 12980

4181314 CATH ANGIOPLASTY 255

4181315 NAIL ELASTIC 1667

4181316 RESEVOIR CSF 1564

4181317 SPATULA SILICONE BRAIN 806


4181319 LENGTHENER EX FIX 6760

4181320 PEEK SPACER 23920

4181321 DBM ACCELL 5CC 4214

4181322 BONE MATRIX 2.5CC 2240

4181323 TENDON POST TIBIALIS 7984

4181324 TENDON PATELLA 8351



4181327 TRANSCONNECTOR SPINAL 6480

4181328 HOOK SPINAL TRANSVERSE 2596

4181329 MINI STICK KIT 201

4181330 LANGSTON PIGTAIL CATHETER 617

4181331 GAHM REPOSE BONE SCREW 1310

4181332 GAHM REPOSE HYOID NEEDLE 17

4181333 UNIVERSAL FACIAL BAND 120

4181334 SCREW TITANIUM (DC28) 590

4181335 SCREW NONLOCKING GRP 1 363

4181336 RELOAD ECHELON STAPLE 715

4181337 TUBE METRX 2164

4181338 NEEDLE TWISTED PAIR NIM 2699

4181339 PEEK CRESCENT 19881

4181340 BONE PUTTY ALLOMATRIX INJ 5CC 4582



4181343 BONE PUTTY ALLOMATRIX C 5CC 5052



4181346 BONE PUTTY ALLOMATRIX CUST 5CC 3527

4181347 BONE PUTTY ALLOMATRIX CUST 10CC 5106

4181348 BONE PUTTY ALLOMATRIX RCS 7CC 4922

4181349 BONE PUTTY ALLOMATRIX RCS 12CC 6875

4181350 BONE PUTTY ALLOMATRIX DR 3CC 3982

4181351 MAXORB AG 4X4 17

4181352 CADEXOMER IODINE PAD 5GM 17

4181353 CUTTER LINEAR ECHELON 942

4181354 FIXATOR ANKLE EBI 21693

4181355 ORAL CARE KIT 82

4181356 FASCIA 21A001 2937

4181357 BONE PUTTY 20CC 13997

4181358 TREPHINE 2001

4181359 FIBERTAPE 455

4181360 KNEE OXFORD BEARING 3505

4181361 KNEE TIBIAL INSERT 8102

4181362 KNEE OXFORD FEMORAL 11325

4181363 SPACER LUMINARY ALIF 23417

4181364 SPACER CERVICAL LORDONIC 4528

4181365 BRAVO PH CAPSULE 1195

4181366 CANNULA VENOUS FEMORAL 2213

4181367 CANNULA ENDO RETURN 2089

4181368 CATH ENDOCLAMP AORTIC 13678

4181369 CATH ENDOVENT PULMONARY 6431

4181370 SINUS CATHETER 9417

4181371 RETACTOR SOFT TISSUE 1266

4181372 KIT VASCULAR PERCUTANOUS 190

4181373 HARMONIC WAVE 1499

4181374 BALLOON DILITATION XRE 1094

4181375 ANCHOR HEALIX PEEK 1537

4181376 SCREW POLYDIRECTIONAL 4646

4181377 BLADE CRESCENTRIC 580

4181378 BLADETRICUTT STRAIGHT 639

4181379 BLADE SPECIALTY 49

4181380 PROBE COVER WITH GEL 34

4181381 OIL FOR PEDDLE 93

4181382 DIFFUSER FOR PEDDLE 55

4181383 KIT ENDO VESSEL HARVEST 2726

4181384 LAPROSCOPIC INSTRUMENT 909

4181385 MESH ULTRAPRO 693

4181386 KIT BIO-TENDOESIS 834

4181387 LUGE 358

4181388 INSERTION KIT IAB CATH 595

4181389 SAW PACK 1569

4181390 KIT BIOSUTURE TAK 834

4181391 ANCHOR BIOSUTURE TAK 1310

4181392 GRAFT JACKET 4X7CM 13921

4181393 GRAFT JACKET EXPRESS MATRIX 7691

4181394 NEURO ELEVATOR PASSING 288

4181395 NAIL TIBIAL GRP 2 5980

4181396 TRACHEAL TUBE INTRODUCER 390

4181397 BLADE CRESCENTIC 580


4181399 KIT VENOUS PERCUTANEOUS 190

4181400 RETRACTOR SOFT TISSUE 1488

4181401 NEEDLE ELECTRODE NIM 2699

4181402 TUBE DIALATOR NIM 1305

4181403 PAK-NEEDLE NIM 3570

4181404 SCREW ACCUTRAK 1401

4181405 CUFF TEAR ARTHROPATHY HEAD 8567

4181406 PUTTY ACCELL CONNEXUS DMB 5CC 2975

4181407 DERMAGRAFT 6187

4181408 SCREW TAPERED MITEK 985

4181409 PATCH WHITTMAN 7566

4181410 CATH BAKER JEJUNOSTO 764

4181411 SHUNT FLEXCELL CAROTID 2359

4181412 SUTURE LASSO MICRO 666

4181413 TVY OBTURATOR SYSTEM 4452

4181414 CABLE AND SLEEVE SET 1374

4181415 BALLOON CONQUEST PTA 1050

4181416 PERMACOL 4333

4181417 OPTIMESH 15230

4181418 SCREW FASD 1564

4181419 FILTER JUGULAR 6642

4181420 MANOSCAN ESO Z CATHETER 315

4181421 GUIDE DRILL SINGLE USET KIT 93003 2326

4181422 BIA300 IMPLANT W/ABUTMENT 13780

4181423 SOUND PROCESSOR 16657

4181424 JEJUNAL FEED TUBE 450

4181425 PREVALON HEEL PROTECTOR 255

4181427 SUCTION WAND SUMP 103

4181428 SCREW SCHANZ GRP 2 1007

4181429 PLATE GRP 26 9955

4181430 CATH COUDE ANY SIZE 44

4181431 DRESSING MEPILEX-LITE 4X4 17

4181432 DRESSING MEPILEX-LITE 6X6 22

4181433 STENT SMART CONTROL ILIAC 7X30 5966



4181436 STENT SMART 120/150 BILIARY 6X150 9184

4181437 STENT SMART BILIARY 7F 12X60 6480

4181438 STENT SMART BILIARY 7F 14X60 6480


4181440 PTA SAVVY 2.0X10CM 150CM 1445

4181441 SAVVY LONG OTW 2X220MM 1775

4181442 PTA SAVVY 2.50X4CM 150CM 1445

4181443 SAVVY LONG OTW 2.5X220MM 1775

4181444 PTA SAVVY 3.0X4CM 150CM 1445

4181445 CATH EMBOLECTOMY 423

4181446 INJECTION LINE 35

4181447 RELOAD ECHELON 60 WHITE ECR60W 520

4181448 SURGIFLO 6CC 1991 455

4181449 LP POSITIONING & SIZING SYSTEM 855

4181450 CLOSURE DEVICE BOOMERANG 8329

4181451 INTERSTIM II IPG NEUROSTIMULATOR 47494

4181452 INTERSTIM IPG NEUROSTIMULATOR 39788

4181453 INTERSTIM ICON PROGRAMMER 5663

4181454 ADAPTER UNIVERSAL C/M (ELBOW) 1495

4181455 INTERSTIM TINED LEAD 13207

4181456 INTERSTIM EXTENSION 2240

4181458 TIP UTERINE MANIPULATOR 217

4181459 CALPO PNEUMO OCCLUDER 255

4181460 CATH FORGARTY IRRIGATION 109

4181461 MESH AVAULTA PELVIC FLOOR 7734

4181462 CATH LEFT HEART VENT 142

4181463 BALLOON CATH CODA 1775

4181464 PEN ATRICURE 8329

4181465 DRIVING GUIDE EBI 428

4181466 ULTRAWAND LP 7854

4181467 ULTRACINCH LP (13-CELL) 12709

4181468 OBTURATOR 8MM BLADELESS 120

4181469 SEAL CANNULA 71

4181470 CATH FOLEY ANY 5CC 98

4181471 PTA SAVVY VAR SZ 1445

4181472 EASY CLIP 3749

4181473 WIRE AQUATRACK 180CM STIFF ANGLED 260

4181474 WIRE AQUATRACK 260CM STIFF ANGLED 336

4181475 WIRE STORZ SOFT ANGLE TIP 180CM 239

4181476 ECHELON STAPLER 953

4181477 MESH PARIETEX 15 X 10 RIGHT/LEFT 958

4181478 STENTS-BARE METAL 2856

4181479 BALLOONS O.D.-SPRINTER 953

4181480 CATH FOLEY 5CC 3 WAY 163








4181488 PLATE EBI KEYLESS GRP 2 2332

4181489 PLATE EPICONDYLE GRP 1 2623

4181490 CATH FOLEY 30CC 2 WAY 93





4181495 PLATE HAND INNOVATIONS DVR GRP 1 2997





4181500 CATH FOLEY 14, 16, 18 44









4181509 PLATE LCP GRP 5 1888

4181510 CATH FOLEY TRAY DISP 76

4181511 PLATE LCP GRP 6 2028

4181512 PLATE LCP GRP 7 2089

4181513 PLATE LCP GRP 8 2234

4181514 PLATE LCP GRP 9 2321

4181515 PLATE LCP GRP 13 2964

4181516 PLATE LCP GRP 14 3164

4181517 PLATE LCP GRP 15 3879

4181518 PLATE LCP GRP 16 4344

4181519 PLATE LCP GRP 17 5117

4181520 CATH GUIDE LAUNCHER 223

4181521 PLATE LCP GRP 18 6069

4181522 PLATE LCP GRP 20 7675



4181525 INFLATION DEVICE 135

4181526 PLATE LCP METAPHYSEAL GRP 2 5187




4181530 CATH MALECOT ANY SZ 130

4181531 CATH MALECOT 12 FR 66


4181533 PLATE OCCIPITAL 19373



4181536 PLATE OBLIQUE GRP 2 304




4181540 CATH PEZZER 10-36 93







4181547 PLATE SSP GRP 2 5469

4181548 PLATE SSP GRP 3 6047


4181550 CATH ROBINSON 8-28FR 49

4181551 TIP COVER 98

4181552 BLADE CASPAR 7.0MM 617

4181553 FRONTRUNNER CTO DEVICE 140CM 4976

4181554 PERIPHERAL 132CM MICRO GUIDE BX 1190

4181555 GUIDEWIRE THREADED GRP 2 174


4181557 SUTURE ER NYLON 4-0 174

4181558 CATH, THOR/ANY SIZE 98

4181559 PAD ADHESIVE ENT 17

4181560 NEEDLE SPINE 18G 3 1/2" D/C9/3/08 22

4181561 CATH, THOR TROCAR 20, 28 174

4181562 BLADE STERNAL SAW II 55

4181563 TUBING UNIVERSAL INFILT/IRRIG 71

4181564 TUBE BMT DRAVENT 24-0075 71

4181565 SEAL CANNULA 10/12.5MM 400077 71

4181566 BLADE MAXI RECIPROCATING 98

4181567 TIP COVER ACCESSORY 400180 98

4181568 REUTER BOBBIN STAINLESS STEEL 103

4181569 BLADE MAXI EXTRA WIDE THICK 103

4181570 BAIR PAWS & GOWN 71

4181571 TRACKER ENT PATIENT 666

4181572 TRACKER ENT INSTRUMENT 526

4181573 DVT COMPRESSION SLEEVE 66

4181574 DVT FOOT SLEEVE 115

4181575 PATCH PROCEED VENTRAL MED 2326

4181576 PATCH PROCEED VENTRAL SM 1947

4181577 SCREW OASIS 5798

4181578 REAMING ROD GRP 3 958

4181579 CEMENT PLUG W/NOZZLE C/M (ELBOW) 925

4181580 CATH TRAY URETHRAL D 55

4181581 TISSUE GRAFT BIODESIGN 3570

4181582 HUMERAL ASSEMBLY INTERCHANGE 18205

4181583 CAPIO SLIM 2099

4181585 CUTTER CAST CASTING TAPE 66

4181586 CAUTERY EYE OPTEMP 82

4181587 TROCAR NON-SHIELDED SHORT 5MM 103

4181588 MINI STICK KIT 5F 45-992 109

4181589 OBTURATOR 8MM BLADELESS 420023 120

4181590 OBTURATOR 8MM BLADELESS LG 420024 120

4181591 SHEETING SILICON 65

4181592 SCREW CORTICAL GRP 2 271

4181593 CANNULA PK AFFIRM 909

4181594 BUR GP6 953

4181595 BUR SHEATH 271

4181596 CATH FOLEY AG TEMP CLOSED SYSTEM 152

4181598 HOOK I DISPOSABLE 0250-070-550 158

4181599 BUR GP7 61


4181601 SUCTION SMOKE BOVIE 169

4181602 AORTIC EXTENSION 30000

4181603 GUIDEWIRE ANGLED 190

4181604 BLADE RECIPROCATING DOUBLE EDGE 190

4181605 SMART SLUSHWARMER DISC 66 X 44 196

4181606 SCREW DHS/DCS COMPRESSION GRP 2 460


4181608 BUR SPHERICAL 223

4181609 FFH FEMORAL HEAD 6187

4181610 TUBE BMT SHEEHY 49

4181611 STONE BASKET NITINOL 1180

4181612 STONE BASKET ESCAPE 1569

4181613 CEMENT SMARTMIX TOWER 396

4181614 GRAFT AAA MAIN BODY 39918

4181615 GRAFT ILIAC LEG 14656

4181616 ANS PULSE GENERATOR 56536

4181618 DRILL BIT GP9 1131

4181619 GUIDEWIRE BALL TIP 872

4181620 SINUS BALLOON CATH RELIEVA 24MM 3559

4181621 SINUS GUIDEWIRE RELIEVA VIGOR 812

4181622 SINUS BALLOON CATH RELOEVA 16MM 3380

4181623 SINUS IRRIGATION CATH RELIEVA 656

4181624 SINUS GUIDE CATHETER RELIEVA 1640

4181625 SINUS BALLOON CATH MINI RELIEVA 3127


4181627 SINUS BALLOON INFLATION DEVICE 396

4181628 SINUS EXT TUBING HIGH PRESSURE 76

4181629 TRANSURETHRAL INJECTION IMPLANT 125

4181630 ACCESS SYSTEM SEAL CAP 2542

4181631 ACCESS SYSTEM RETRACTOR 217

4181632 BONE PUTTY ACTIFUSE 10ML 8378

4181633 BONE PUTTY ACTIFUSE 2.5ML 3089

4181634 NEEDLE ASPIRATION 390

4181635 ENDOSCRUB TUBING SET 233

4181636 SEALER AQUAMANTYS BIPOLAR 2748

4181637 VAPR HANDPIECE 2234

4181638 FIBERLOOP 239

4181639 INTERVENTIONAL GUIDEWIRES 358

4181640 BIO-STEP 2X2 130

4181641 BIO-STEP AG 2X2 185

4181642 BONE INFUSE BMP MEDIUM 22606

4181643 QUADRANT LIGHT SOURCE 3510

4181644 NEEDLE PAK 1121

4181645 BONE INFUSION BMP LARGE 24867

4181646 BONE INFUSION BMP SMALL 17133

4181647 SCREW NEURO DISTRACTION 282

4181648 NEUROGENERATOR GENESIS 65675

4181649 NEURO-LEAD STIMULATOR 12753

4181650 BONE SPACER PARALLEL 5641

4181651 BONE SPACER CORTICAL 3808

4181652 DRILL BIT CANN GRP 3 2732

4181653 MESH VICRYL 6X6 1364

4181654 MESH PLUG ULTRAPRO 764

4181655 MESH ULTRAPRO 12X12 661

4181656 SHEATH PINNACLE HIFLO 125

4181657 GUIDEWIRE CONTROL GRP 1 428


4181659 BLADE AGGRESSIVE MINI LONG MED 7 169

4181660 CHEST DRAIN BOTTLE 201

4181661 DRILL BIT GP10 1190

4181662 BLADE LONG MEDIUM 250

4181663 GUIDEWIRE DRILL TIP 336


4181665 CLOSURE DEVICE 840

4181666 STAPLER SUBCUTICULAR 228

4181667 STAPLER RELOAD 228

4181668 TROCAR 7/8MM 315

4181669 CABLE THERMAL UMBILICAL 2137

4181670 TENDON HEMI PATTELLA 9184

4181671 TENDON ACHILLES 6885

4181672 LINE ARGON CONTRAST 61

4181673 NEURO EXTENSION KIT 4262

4181674 NEURO ACCESSORY KIT 953

4181675 NEURO ANTENNA 379

4181676 NEURO LEAD GRP 2 14278

4181677 NEURO GENERATOR 70803

4181678 SUCTION MINI KAMVAC 190

4181679 CALGISWAB 82

4181680 CERCLAGE BUTTON 363

4181681 BONE SPACER UNICORTICAL 3743

4181682 BONE ILIAC CREST WEDGE 4273

4181683 BLADE SINUS RAD 3203

4181684 BLADE LARYNGEAL 1542

4181685 BERKELEY SAFE TOUCH 71

4181686 BLADE EYE 71

4181687 BIOPATCH 44

4181688 INTRODUCER SHEATH CORDIS 109

4181689 INTRODUCER DILOC 212

4181690 INTRODUCER MVV 109

4181691 STAPLER ENDO GIA 882

4181692 STAPLE RELOAD ETS 617

4181693 STAPLER LINEAR THICK 602

4181694 STAPLER LINEAR 30MM 420

4181695 STAPLE RELOAD MULTIFIRE 430

4181696 STAPLER ENDO EMS 2045

4181697 STAPLER LINEAR CUTTER 487

4181698 STAPLER ENDO CIRCULAR 5971

4181699 GRAFT PTFE 70CM 3094

4181700 DRAIN JP TROCAR 55

4181701 DRAIN BLAKE FLAT 82

4181702 MESH PROLENE 3X6 179


4181704 MESH PROLENE HERNIA 1165

4181705 MESH PROLENE HERNIA EXT 1920

4181706 PATCH CV PTFE 5 X 7.5 1380

4181707 SOFT TISSUE 5 X 10 X 1 926

4181708 MESH DUAL OVAL 11952

4181709 MESH COMPOSIT PARIETEX 8 X 15 3510

4181710 MESH SILICONE SLING 1878

4181711 PATCH VENTRALEX 6.4 2521

4181712 PATCH VENTRALEX 4.3 2104


4181714 BONE PASTE 2380

4181715 MESH MARLEX GRP 1 882




4181719 LUKENS TUBE 17




4181723 PATCH KUGEL HERNIA 11 X 14 4528

4181724 PATCH KUGEL HERNIA 11.4 X 11.4 3489


4181726 PATCH KUGEL HERNIA 8 X 12 3067


4181728 PATCH KUGEL HERNIA 11520

4181729 PATCH KUGEL HERNIA 9216

4181730 VISE TORQUE 39

4181731 APPLIER MENISCAL RAPIDLOC 363

4181732 TRANSMITTER-ANTENNA MATRIX 27008

4181733 NEURO DUAL ELECTRODE 834

4181734 SYSTEM DISCOGRAPHY 288

4181735 SENSOR OXYGEN 1012

4181736 CATH VENRICULAR ACCU-FLO 585

4181737 NEURO NEEDLE SELECTOR 2461

4181738 BUTTON CERCLAGE 363

4181739 JEJUNOSTOMY NEEDLE CATH 390

4181740 CATH JEJUNOSTOMY NCJ 239

4181741 STAPLE RELOAD GRP 1 1455


4181743 PINCH ON TOOL 142

4181744 NEEDLE ACCESS VERSASTEP 352

4181745 CLAMP BAG DRAIN 17

4181746 SCREW BIO-TENODESIS GRP 3 1461


4181748 SCREW LEIBINGER GRP 2 298

4181749 NEEDLE ULTRAPLEX 55

4181750 BALLOON POLAR CATH 4241

4181751 BALLOON ULTRA SOFT 1212

4181752 BALLOON SV 1737

4181753 BALLOON UT 487

4181754 BALLOON CUTTING FLEXTOME 1856

4181755 TUBE MONTGOMERY 764

4181756 BIO-CORKSCREW 1359

4181757 LYNX SYSTEM URETHRAL SLING 3321

4181759 CAGE BRANNIGAN INTERBODY 14375

4181760 STAPLER CONTOUR 969

4181761 STAPLE RELOADS 834

4181762 HEAD HALTER DISKARD 12

4181763 CATH PRUITT OCCULUSION 315

4181764 MANIFOLD DRIP REDUCTION 103

4181765 ANCHOR BIO-CORKSCREW/FIBERWIRE 644

4181766 ANCHOR BIO-FAST/FIBERWIRE 649

4181767 OSTEOCHONDRAL TRANSFER SYS 2261

4181768 OATS 1418

4181769 ANCHOR BIO-SUTURE TAK 855

4181770 ANCHOR BIO-SUTURE TAK/FIBERWIRE 1310

4181771 SUCTION ELECTRODE VAPRLP 531

4181772 PELVILACE 4641

4181773 PATCH SOFT TISSUE 15X20X2 3218

4181774 EMBOL-X AORTIC FILTRATION 1974

4181775 PATCH GRAFT-TEX THICK 3235

4181776 DURAGEN PLUS 1X1 558

4181777 DURAGEN 3X3 1450

4181778 JAGWIRE 602

4181779 BRUSH CYTOMAX 514

4181780 PEG BUTTON 1001

4181781 CALCICARE DRESSING ROPE 22

4181782 CALCICARE DRESSING 4X4 17

4181783 CLEARSITE DRESSING 2X3 12

4181784 CLEARSITE DRESSING 8X8 44

4181788 AQUACEL DRESSING 18" ROPE 109

4181789 AQUACEL DRESSING 4X4.7 W/SILVER 82

4181790 FOAM NONADHESIVE DRESSING 17

4181791 FOAM ADHESIVE 4X4 DRESSING 22

4181792 FLEX HD 471407 PER SQ CM(4X7) (28 sq cm) 175

4181793 TEGADERM 6X8 DRESSING 12

4181794 TEGADERM 4X4-3/4 DRESSING 7

4181795 NEEDLE KNIFE PAPILLOTOME 493

4181796 MESH PROLOOP WITH TAIL 882

4181797 OSTEOSET MINI BEAD 1629

4181798 VALVE MITRAL 6900P 32232

4181799 TEGADERM 8X12 DRESSING 17

4181800 LEAD NEURO 3808

4181801 BALLOON JD-106 5949

4181802 LIGHT FIBER LF-100 1337

4181803 BONE FIBULA SHAFT FFIB-10 3414

4181804 NAIL TIBIAL TIT SOLID 5009

4181805 NAIL TIBIAL TIT CANNULATED 8194

4181806 ACTISORB 55

4181807 COVERLET 7

4181808 WOUND GEL 44

4181809 HEADSET-GE 288

4181810 HINGED PATELLA SUPPORT-KNEE 71

4181811 STENT BILIARY DYNALINK 4760

4181812 EPIDUROSCOPY ACCESS 239

4181813 VISE TORQUE 22

4181814 ELECTRODE TUR 460

4181815 SUTURE CAPIO 120

4181816 TUBING INTERSEPT 2 FT 17

4181817 EYE LASER PROTECTION OPTI-GARD 49

4181818 TUBE ENDOTRACHEAL EVAC 71

4181819 FLOTRAC SENSOR 1072

4181820 PELVICOL COLLAGEN MATRIX 8 X 12 5993

4181821 PELVICOL COLLAGEN MATRIC 6 X 8 4776

4181822 PELVICOL COLLAGEN MATRIC 4 X 7 3110

4181823 LOCKNUT EBI 277

4181824 HUMERAL STEM 17539

4181825 NEURO OR ACCESSORY CABLE 747

4181826 BONE CANCELLOUS UNICORTICAL 3743

4181827 BONE ILIAC CREST WEDGE 4273

4181828 STYLET PACEMAKER 223

4181829 GUIDE FALOPIAN RING BAND 244

4181830 FALOPE RING BAND GUIDE 93

4181831 FALOPIAN RING DILATOR 71

4181832 ROD TEMPLATE 747

4181833 URETEX SUPPORT 3603

4181834 CABLE AND SLEEVE 2294

4181835 FILL SYSTEM 61

4181836 NEEDLE INFUSION SITE 22

4181837 GLENOID PEGGED 7485

4181838 HUMERAL HEAD 7977

4181839 NEEDLE CATH YUEH 109

4181840 PIN HOLDING 3284

4181841 PELVISOFT 8 X 12 6767

4181842 FIBERSTICK 196

4181843 INTRODUCER RENAL GUIDING 720

4181844 KIT HIP ARTHROSCOPY 2267

4181845 CARTLIDGE POLARCATH NITROUS 288

4181846 SHEATH PINNACLE 120

4181847 CATH CV PIGTAIL 66

4181848 CATH FLUSH UNIVERSAL 61

4181849 TUBE DEPTH GAUGE EXIT 1764

4181850 LASER FIBER SINGLE USE 270/400 1386

4181851 CABLE 1758

4181852 CUTTER MITEK 3770

4181853 COR CLEAR DELIVERY GUIDE 758

4181854 CASSETTE IRRIGATION 315

4181855 KIT TRUFIT BGS PLUG 2272

4181856 BLADE SINUS CVD MAXILLARY 3203

4181857 TUBE INLET IMMUCOR 115

4181858 TUBE GUIDE INLET IMMUCOR 34

4181859 DRESSING MEDIPORE 12

4181860 COLON TUBE 34

4181861 SLING SYSTEM ADVANTAGE 4976

4181862 MICROPUNCHER ACCESS KIT 1169

4181863 PAD LEVEL SENSOR 17

4181864 CATH CV NIAGARA 472

4181865 SHAVER DECLOGGER 39

4181866 STAPLER ILS CIRCULAR CVD 1824

4181867 ENDOCLIP APPLIER 4214

4181868 CANNULA RAPIRLOC 93

4181869 NEEDLE ARTHROTEK RC 250

4181870 INTRODUCER BARD 363

4181871 CANNULA MARLOW BALLOON 548

4181872 HANDPIECE TRIPLE ARGON BOVIE 260

4181873 ELECTRODE BUGBEE 428

4181874 SUPRA PUBIC INTRODUCER TRAY 315

4181875 FIXATION OSTEOTOMY 791


4181877 REAMING ROD 477

4181878 CABLE WITHCRIMP 2564

4181879 GAMMA K-WIRE 487

4181880 ELASTO-GEL 22

4181881 AQUASORB HYDROGEL 22

4181882 MESALT 12

4181883 MITRAFLEX 93

4181884 MESH PROCEED 4565

4181885 MESH PROCEED 10X13 3468

4181886 MESH PROCEED ETHICON 10113

4181887 MESH PROCEED 8X10 7053

4181888 CATH CLOSURE PLUS 3451

4181889 INTRODUCER SHEATH MICRO 71

4181890 AFFIRM KT VCF 11580

4181891 BORDERED GAUZE 6X6 39

4181892 FLEXICOL SACRAL 6X7 55

4181893 FLEXICOL 4X4 22

4181894 FLEXICOL THIN 4X4 12

4181895 CONFORMER-EYE 66

4181896 SILVASORB 4X4 76

4181897 BALLOON CREW WIREGUIDED 1190

4181898 LIGATOR 602

4181899 BALLOON TRI-EX EXTRACTOR 255

4181900 NEEDLE KNIFE HUIBREGTSE 255

4181901 SPINCTERTOME TRIPLE LUMEN 288

4181902 BALLOON BILLARY DILATOR 4 396

4181903 WIREGUIDE SAVORY-GILLARD 200 244

4181904 WIREGUIDE SAVORY-GILLARD 250 293

4181905 BALLOON LOW PROFILE 363

4181906 STENT GEENON PANCREATIC 585

4181907 FORCEP PULMONARY BX RADIAL 228

4181908 FOREIGN BODY RETR NETROTH 428

4181909 TUBE GASTROSTOMY ROSS 130

4181910 PROBE MAMMOTOME STEREOTACTIC 1153

4181911 CANNULA ERCP ULTRA 260

4181912 TUBE GASTROSTOMY REPLACE 271

4181913 ULTRATOME XL 602

4181914 STENT FLEXIMA 575

4181915 STENT BILIARY PIGTAIL 585

4181916 SURGICEL 3G POWDER 825

4181917 INTRODUCER HOWELL BILIARY 158

4181918 CATH BILIARY DILATION 125

4181919 BALLOON ROGODFIX ACLASIA 3094

4181920 BALLOON WIREGUIDE 720

4181921 BUTTON REPLACEMENT 834

4181922 BUTTON MINI 499

4181923 BASKET STONE RETRIEVE MVV 347

4181924 COLON DECOMP SET 271

4181925 COTTON, OXYCEL 82

4181926 TUBE GASTROSTOMY 76

4181927 COTTON STERILE ROLL 1-LB 120

4181928 TUBE GASTRO ONE STEP BUTTON 634

4181929 BALLOON DILATATION CRE 953

4181930 ACCUFUSF POST-OP PAIN SYS 347

4181931 ENDO AVITENE 239

4181932 BALOON EXTRACTOR 499

4181933 BALLOON BILIARY TRIPLE 358

4181934 BIOPSY CUP ZIMMONS 255

4181935 BALLOON REPLACEMENT 466

4181936 MAMMOTOME VACUUM SET 82

4181937 NEEDLE INTERJECT THERAPY 174

4181938 BIOPSY FORCEPS COLD OLYMPUS 142

4181939 CATH SOEHENOA UNIVERSAL 115

4181940 BALLOON FLEXTOME 4122

4181941 UNNA BOOT DRESSING 125

4181942 VASPNEUMATIC COMPRESSION 76

4181943 TUBEGASTROS LOW PROFILE 1283

4181944 BUTTON PEG 18FR 1.2 1224

4181945 BUTTON PEG 18FR 3.5 585

4181946 SET COLON DECOMP 548

4181947 STENT WALL 22X90 10039

4181948 STENT WALL BILIARY PREMALUME 8729

4181949 STENT BILIARY 634

4181950 BASKET WEB 812

4181951 EXTRACTOR TRIPLE LUMEN 553

4181952 WIRE GUIDED METRO STIFF TIP 671

4181953 ARTHREX SCHANZ PIN 1428

4181954 CANNULA ULTRA TAPERED 466

4181955 PROBE GOLD INJECTION 1450

4181956 FORCEPS OVAL 288

4181957 BASKET RETREIVAL 1401

4181958 FORCEPS GASTRO PED 174

4181959 DILATOR COTTON BILIARY 277

4181960 ADAPTOR SIDE ARM 66

4181961 PATHFINDER 877

4181962 SNARE JUMBO 93

4181963 CANNULA CONTOUR ERCP 499

4181964 BITE BLOCK 22

4181965 DASH DIRECT ACCESS SYSTEM 1061

4181966 LARYNG-O-JET LIDOCAINE 17

4181967 GASTROSTOMY PEG 877

4181968 TUBE TRANSGASTRIC JEJUNAL 1190

4181969 FORCEPS RADIAL JAW 174

4181970 INJECTION SYSTEM 152

4181971 CANNULA METAL TIP DYE 369

4181972 BASKET SOFT WIRE 1310

4181973 VALVE FORCEPS 22

4181974 TUBE ENDO FEEDING 298

4181975 KIT IV START 7

4181976 CATH IV SAFETY 12

4181977 SUCTION CANNISTER INSERT 12

4181978 FORCEPS NON-RETRACTABLE 1169

4181979 PACK CUSTOM LAPAROSCOPY GYN 962

4181980 STENT SOLOPASS PERCUFLEX 931

4181981 STENT COTTON LEUNG BILIARY 526

4181982 JELLY K-Y 5GM 7

4181983 SKINMARKER 7

4181984 TONGUE BLADE 7

4181985 THERMOMETER FEVER SCAN 7

4181986 CANNISTER SET J&J 39

4181987 TRUMATCH RESECTION GUIDE (DEPUY) 5885

4181988 FORCEPS HOT BIOPSY 293

4181989 BONE CEMENT SMARTSET 433

4181990 ACETABULAR CUP ASR 20806

4181991 FEMORAL UNI HEAD 8308

4181992 SLEEVE TAPER ASA 1472

4181993 FEMORAL STEM 10925

4181994 FEMORAL STEM SLUTION 32043

4181995 CEMENT BONE GENTAMICIN 20G 834

4181996 STENT URETERAL 839

4181997 INTRODUCER MERIT 103

4181998 STOPCOCK MORSE 3 WAY 44

4182000 TROCAR FLEXIBLE 244

4182002 SURE CLOSE 50 855

4182003 VAMP CANNULA 7

4182004 SCREW HA 2964

4182005 DURAFORM 1X1 477

4182006 DURAFORM 3X3 1758

4182007 DURAFORM 1X3 872

4182008 CAROTID SHEATH 866

4182009 CANNULA AR 142

4182010 REAMER HEAD 774

4182011 INTRODUCER SHEATH 2590

4182012 XENFORM REPAIR MATRIX 8 X 12 6950

4182013 WRENCH KIT 250

4182014 SUPPORT FACIOPLASTY 174

4182015 BONE ALLOGRAFT UNI-BLOCK 3786

4182016 CATH MARC 725

4182017 CATH HEADHUNTER 61

4182018 CATH JB2 61

4182019 CATH SIM 61

4182020 CATH C2 61

4182021 CATH CONTRA 66

4182022 CATH BERN 61


4182024 ADAPTER Y GATEWAY PLUS 163

4182025 STENT BILIARY SM 8112

4182026 BALLOON INFLATION UNIT 5528

4182027 ZIPWIRE GRP 2 331

4182028 BALLOON CUTTING 4651

4182029 SLING URETHRAL ORBTRYX HALO 5063

4182030 STENT ABSOLUTE SELF EXPANDING 5820

4182031 WIRE 3 WAY 725

4182032 BALLOON RENAL USSV 2456

4182033 HARVESTER 2862

4182034 NOVASURE 5528

4182035 SEMITENDINOSIUS 3203

4182036 TUBE BMT DONALDSON 82

4182037 CATH MEASURING 639

4182038 PUNCH TAP 158

4182039 MORCELLATOR 3235

4182040 STENT EXPRESS BILIARY LD 6625

4182041 BALLOON CATH ULTRA THIN 1045

4182042 STENT SENTINOL 6399

4182043 STENT EXPRESS LD 6550

4182044 GLIDECATH 298

4182045 BONE INTEGRO DBM 1CC 818


4182047 TIGHTROPE SYNDEMOSIS REPAIR KIT 2359

4182048 MESH PROCEED 6 X 8 3738

4182049 MESH PROCEED 3 X 6 1758

4182050 QUICK TRACH 472

4182051 VEST SURGICAL 379

4182052 SPACEMAKER 1537

4182053 CANNULA DUPLOTIP 93

4182054 MITEK SPIROLOK ANCHOR 639

4182055 STENT SINUS RAINS FRONTAL 169

4182056 RETRACTOR DVR DIRECT VIEW 595

4182057 SCALPEL HEMOSTATIC THERMAL 904

4182058 ULTRAFIX 666

4182059 CABLE READY SYSTEM 936

4182060 SUTURE GUIDE DEKNATEL 174

4182061 BLADE SCREW DRIVER 548

4182062 TIBIAL SHEATH 472

4182063 FORCEPS BIOPSY 1055

4182064 CATH ALGITRAC 931

4182065 CUTTER TRIPOLAR 855

4182066 MESH PARIETEX 6 X 8 1623

4182067 MESH PARIETEX 6 X 4 1434

4182068 MESH COMPOSITE PARIETY 25X20CM 2364

4182069 MESH COMPOSITE PARIETY 20X15CM 1623

4182070 MESH COMPOSITE PARIETY 4 X 8 1256

4182071 MESH VENTRALEX HERNIA PATCH 1440

4182072 SLING VAGINAL 3928

4182073 CAUTERY HOOK 585

4182074 TUBING GRAVITY 2-SPIKE 34

4182075 LASER PROBE SLT 2596

4182076 INTRODUCER HEMEQUET 49

4182077 LAP DISC 2245

4182078 SILICONE LUBRICANT 120

4182079 PIN CENTERING GRP 1 115

4182080 CATH PASSER PSMED 315

4182081 CATH PASSER NEURO 331

4182082 CATH PASSER JJ 406

4182083 SUTURE ANCHOR DUET 629

4182084 KNIFE COLD STRAIGHT 676

4182085 MESH COMPOSITE 12 X 12 4793

4182086 NERVE LOCATOR/STIMULATOR 115

4182087 STONE BASKET SURLOK 331

4182088 SUTURE ANCHOR 1428

4182089 TUBE GASTROSTOMY/BUTTON 731

4182090 TUBE GASTROSTOMY FLEXIFLO 363

4182091 NERVE STIMULATOR DIGISTEM 1244

4182092 PACKING SINUS KENNEDY 34

4182093 KIT REFILL MCGHAN 44

4182094 FORCEPS PRECISOR BRONCH 169

4182095 PIN SELF-DRILLING 740

4182096 ULNAR ASSY ELBOW 25743

4182097 MESH PROCEED PCD 2451

4182098 SYSTEM DALL-MILES 2829

4182099 ANCHOR LUPINE LOOP 1542

4182100 CARTLIDGE SURGICAL IMPLANT 2478

4182101 PATCH PARASTOMAL HERNIA 6977

4182102 MESH DUAL PLUS 18 X 19 5214

4182103 TUBE MOSS NASAL 1136

4182104 PERMACATH 1072

4182105 CAP POLARUS 671

4182106 CLIP GUN KIT 336

4182107 TUNNELER 233

4182108 METRA PS PROCEDURE KIT 4803

4182109 TROCAR SLEEVE VERSASTEP 390

4182110 TRANSONIC KEY SET 163

4182111 CANNULA ARTERIAL 103

4182112 LIGACLIP ENDOSCOPIC 612

4182113 CANNULA NASAL 02 SALTER C02 22

4182114 BLADE RADENOID 612

4182115 VALVE NEURO PROGRAMMABLE 18139

4182116 MICRO VALVE IN LINE SHUNT 3451

4182117 CAP PACEMAKER TERMINAL 250

4182118 TUBE BMT C-FLEX VENT 61

4182119 BONE FILLER DEVICE KYPHX 671

4182120 BLADE EXPLANT 4111

4182121 KIT LAP BYPASS 2689

4182122 YANKAUER BULB SUCTION 710

4182123 ANCHOR MINI MITE 169

4182124 COUNTERSINK 785

4182125 ANCHOR SUPER REV/DRIVE 1352

4182126 MANNIPULATOR ZANNANTI 142

4182127 FASTAK SMALL BONE 958

4182128 CATH ULTRA THIN SDS 1045

4182129 TIGERWIRE 196

4182130 DECUBICARE PAD 30X60 93

4182131 VENOUS OUTFLOW COMPONENT 8070

4182132 ARTERIAL GRAFT COMPONENT 3786

4182133 ACCSSORY COMPONENT KIT 1883





4182138 BALLOON INFLATION DEVICE 347

4182139 ULTRA TOME/STONE TOME 1131

4182140 SLATER SLEEVE 17

4182141 SEPRA FILM 1190

4182142 PACK CLOSURE PROCEDURE 472

4182143 INTRODUCER SHEATH MICRO 142

4182144 BALLOON SYMMETRY 1564

4182145 TENDON SEMI T 7058

4182146 SINUSTENT MEROCEL 103

4182147 GUIDEWIRE MAGIC TQ 201

4182148 FILTRATION EMBOL-X AORTIC 2299

4182149 CONTACT NIPPLE SHIELD 17

4182150 CLAMP OUTLET PORT 22

4182151 CABLE BIPOLAR KLEPPINGER 93

4182152 SLING URETEX TRANSORBITOR 4333

4182153 BONE MATRIX 1CC 1050

4182154 BONE MATRIX 0.5CC 590

4182155 BONE PLUG ACL 152

4182156 BONE CANCELLOUS CRUSHED 30CC 2186

4182157 PATCH PTFE FELT 6" X 6" 548

4182158 SUTURE SUPRAMID I 12

4182159 SUTURE SUPRAMID II 49

4182160 PATCH CV PFE 20X90 585

4182161 GRAFT ADVANTA CENTERFLEX 8X45 3013

4182162 VASCULAR DILATORS 255

4182163 BLADE SPIRAL 2932

4182164 CATH HEMODIALYSIS 1391

4182165 CATH VIDEO GUIDED 2321

4182166 STOPCOCK UNIVERSAL II 369

4182167 FEMORAL SHAFT FFS 5231

4182168 SPINAL WAND 7269

4182169 PLEURX DRAINAGE KIT 304

4182170 CATH THORACIC TROCAR ARGYLE 93

4182171 CATH THORACIC ARGYLE 44

4182172 BLADE SAGITTAL STERNAL REV. 120

4182173 BLADE STERNAL SAW 61

4182174 ANGIOJET PUMP SET POSSIS 1450

4182175 TRACHEOESOPHAGEAL PUNCTURE 893

4182176 MESH COMPOSITE PARIETEX 4X8 2213

4182177 MESH KUGEL HERNIA 7.6CM 1401

4182178 MESH KUGEL HERNIA 10.2CM 1018

4182179 MESH DUAL PLUS 18X19 5214

4182180 MESH DUAL PLUS 26X34 18815

4182181 MESH DUAL PLUS 10X15 2299

4182182 MESH COMPOSIX KEYHOLE LARGE 352

4182183 MESH COMPOSIX 3X6 1845

4182184 PATCH HEMASHIELD AORTIC 2089

4182185 CONNECTOR SIMS 7

4182186 NEURO SURGICAL STRIPS 49

4182187 TRANSDUCER DUAL 634

4182188 PELVILACE BIOURETHRAL SUPPORT 5787

4182189 NEEDLE SCORPION 812

4182190 TUBING ELASTOMER SILICONE 347

4182191 OSTOME ONE PIECE 12

4182192 STONE RETRIEVER 1072

4182193 TROCAR 20MM 244

4182194 TUBING ASPIRATING 44

4182195 SPINAL WAND 7199

4182196 STAPLE LINEAR 90MM 460

4182197 STAPLE RELOAD ETS LINEAR CUTTER 974

4182198 TUBING UNIVERSAL VAC 509

4182199 BONE FIBULA SECTION 3CM 1007

4182200 PLEDGETS 007976 125

4182201 INTRODUCER 103

4182202 INTRODUCER 196

4182203 CATH ANGIOGRAPHIC 66

4182204 ADAPTOR FLUID PORT 39

4182205 CONNECTOR CLEAR 17

4182206 BAG SPECIMEN CD004 834

4182207 CABLE 4841

4182208 GRAFT SIZER 61

4182209 PIN CERCLAGE 671

4182210 NSAL PACK SINU KIT 190

4182211 CAGE VILIFT 30069

4182212 ACETABULAR CUP ASR 20875

4182213 FEMORAL UNI HEAD 8351

4182214 SLEEVE TAPER ASA 1477

4182215 FEMORAL STEM CEMENTED 15706

4182216 FEMORAL STEM SLUTION 32049

4182217 SABER 30 720

4182218 SPATULA TIP STRYKEPROBE 158

4182220 SCREW PEG (HAND INOVATIONS SP) 406

4182221 HAND INOVATIONS HEAD DVR 4002

4182222 HAND INOVATIONS PLATE DVR 3338

4182223 HAND INOVATIONS PLATE FRAGMENT 2851

4182224 HAND INOVATIONS CORTICAL SCREW 406

4182225 HAND INOVATIONS DRILL BIT FAST 460

4182226 HAND INOVATIONS PEG DRIVER FAST 158

4182227 GUIDEWIRE CONTROL GRP 2 602

4182228 BALLOON CATH XXL 12-14 FR 2045

4182229 BALLOON CATH XXL 16FR 2224

4182230 GRASPER ENDOSCOPIC 277

4182231 BONE WEDGE CERVICAL 2305



4182234 BONE SCREW AM 1699

4182235 SAM PELVIC SLING 401

4182236 ABDOMINAL BINDER 61




4182240 MESH TEGADERM AG 2X2 34

4182241 DRESSING NASOPORE 406

4182242 BONE WEDGE CERVICAL 2305

4182243 MESH POLYFORM 1726

4182244 WRENCH SPANNER 1055

4182245 SLEEVE PACEMAKER 260



4182248 CANNULA CURVED 125

4182249 RINGS MALYUGIN 595

4182250 DERMATONE BLADE/BROWN ZIM 152

4182251 INFUSOR BAG 71

4182252 GUIDEWIRE LUNDERQUIST 379

4182253 INTRODUCER COOK 16FR GPN 698

4182254 INTRODUCER COOK 22FR GPN 1380

4182255 DILATOR COONS 16FR GPN 61

4182256 DILATOR COONS 22FR GPN 109

4182257 DILATOR ENDOVASCULAR GPN 834

4182258 PURAPLY 5 X 5 515

4182259 CATH OMNIFLUSH ANGIODYNAMIC 671

4182260 LEAD END CAP KIT 142

4182261 SNARE AMMPLATZ GOOSENECK 720

4182262 THERMASPLINT 93

4182263 SCISSORS LAPRASCOPIC 239

4182264 CANNULA SAPHENOUS VEIN 34

4182265 CATH ADVANTAGE 98

4182266 PUSH LOCK ARTHREX 1959

4182267 AMNIOGRAFT 3.5 X 3.5 3786


4182269 SCREW LOCKING FULL THREAD GRP 2 834

4182270 SCREW CORTEC 282



4182273 PLATE TROCHANTER STBILIZATION 2699

4182274 SCREW LOCKING TITAN GRP 3 1190



4182277 SUTURE DBL ARMED 540

4182278 NEURO PATIENT TRIAL KIT 472



4182281 CRANIAL DRAINAGE SET 899


4182283 ARDENT BRONCH BLOCKER SET 526

4182284 NEEDLE PROBLOCK 66

4182285 LMA UNIQUE 49

4182286 LMA FASTRACH 406

4182287 LMA FLEXIBLE 98

4182288 AIRWAY EXCHANGE CATH 201

4182289 HUMERAL ASSEMBLY 5940

4182290 1/2 NORAML SALINE 1000ML 7




4182294 FILTERLINE SET 39



4182297 IV SET SECONDARY 7


4182299 SET IV EXTENSION 17

4182300 UROGATE Y CONNECTOR 120

4182301 BOTTLE-O-JET 82

4182302 BAG-O-JET 44

4182303 GLYCINE IRIG 3000ML 130

4182304 IRRIGATION WATER 3000ML 158



4182307 IRRIGATION NACL 1000ML 115



4182310 STOPCOCK 3-WAY MX431-1L 17

4182311 STOPCOCK 4-WAY MX434-1L 17

4182312 SADDLE BLOCK 25GA NEEDLE 369

4182313 STOPCOCK K-52 44

4182314 STOPCOCK 4-WAY 33" V5531 44

4182315 STOPCOCK 22

4182316 CATH IV BUTTERFLY 17

4182317 JELCO IV CATH 44

4182318 IV SET STERILE V1499 185

4182319 XEROFORM GAUZE 1 X 8 17

4182320 XEROFORM GAUZE 5 X 9 22

4182321 ADAPTIC 3 X 3 17

4182322 ADAPTIC 3 X 8 17

4182323 BIOCLUSIVE DRESSING 2X3 17



4182326 PETROLATUM DRESSING 3X9 22



4182329 PETROLATUM TUBE 1/2 X 72 22

4182330 PHYSIOLYTE 1000ML 174


4182332 CYSTO SET 6544 115

4182333 TUR SET 6954 98

4182334 DRESSING XEROFORM 5X9 22

4182335 DRESSING XEROFORM 1X8 17

4182336 DRESSING SCARLET RED 212

4182337 POWERGLIDE 20G BASE KIT 233

4182338 POWERGLIDE 20G FULL KIT 396

4182339 DRESSING CHANGE KIT 28

4182340 BLADE BEAVER DUAL EDGE 6900 44

4182341 MICROBORE TUBING 17

4182342 SAFELINE EXTENSION 7" NF1322 17

4182343 DURAGUARD DURA REPAIR PATCH 1271

4182344 SUTURE E-PACK CABG CYRUS 433

4182345 ORATEC ELECTRO-THERMAL PROBE 1018

4182346 GRAFT PERIGUARD 6 X 8 1856

4182347 GRAFT PERIGUARD 12 X 25 2970

4182348 NEURO PROGRAMER 5300

4182349 SYNERGY PULSE GENERATOR 63804

4182350 SYNERGY PATIENT KIT 7427EZ 69358

4182351 PROLENE HERNIA SYSTEM 1569

4182352 ASEPTIC FLUID TRANSFER SET 142

4182354 ELECTROTHERMAL PROBE ORATEC 1050

4182355 SUTURE E-PACK VALVE KWAN 433

4182356 RADIOFREQUENCY GROUNDING PAD 115

4182357 CATH URETERAL ACCESS 66

4182358 HULKA CLIPS 93

4182360 BAIR HUGGAR BLANKET 71

4182361 TRANSDUCER DUAL 363

4182362 PACEMAKER STYLET 136

4182364 STENT PANCREATIC 585

4182365 ALLODERM GRP 4 (16X20) (320 sq cm) 170

4182366 DUAL MESH GORE-TEXS 1DL MC08 13397

4182367 ARROW MLA MENISCUS 1283

4182368 DURAGUARD DURA PATCH LARGE 4165

4182369 VALVULOTOME 100 - 80 1548

4182370 BUSSE SIGMOID SUCTION TIP 22

4182371 PACK LOWER EXTREMITY CUSTOM 331

4182372 PLATE T GRP 3 244

4182373 PLATE T GRP 4 412

4182374 PLATE T GRP 6 839

4182375 VAGUS NERVE STIMULATOR 25300

4182376 GRAFTJACKET PER SQ CM 460


4182378 BMT PAPAREIIA TUBE 55

4182379 BONE CHIPS AT405 3094

4182380 ORTHOBIOLOGIC TISSUE IMPLANT 5885

4182381 PLATE T GRP 7 1548

4182382 VAGUS NERVE LEAD 5273

4182383 VAGUS NERVE TUNNLER 580

4182384 POSITIONER PYRAMID HEART 747

4182385 ATRICURE HANDPIECE 5760

4182386 KIT ENDOSCOPIC GASTRIC 764

4182387 KIT ENDOSCOPIC CHOLE 2272

4182388 PLASMA WAND 882

4182390 CIRCUIT, BREATHING DISP 71



4182393 KEY SET TRANSONIC 142

4182394 DRILL BIT GP11 1785


4182397 SCREW EBI 2143

4182398 PLATE LCP GRP 3 1775

4182399 PLATE T GRP 8 1640

4182400 PLASMA WAND 1121

4182401 PTA BALLON CATH 558

4182402 GROSHONG CONNECTOR 44

4182403 SEAL BLUE SILICONE 17

4182404 SUTURE BIO-CORKSCREW 904



4182407 PEG KIT 390

4182408 ANS TRIAL LEAD KIT 3451

4182409 CEMENT BONE ANTIBIOTIC 1737

4182410 CEMENT BONE OSTEOPAL 260

4182411 CEMENT BONE PLACOS R 331

4182412 CEMENT BONE DOUGH TYPE 233

4182413 SYRINGE ENCORE INFLATION 239

4182414 SUCTION CURRETTE 22

4182415 HARMONIC SCALPEL SHEARS 2218

4182416 OSTEOSET MINI BEAD 311 2375

4182417 INTRODUCER FORTE' ACCESS 363

4182418 STONE BASKET SURCATCH 693

4182419 STONE BASKET MVV 617

4182420 MICROPUNCHER ACCESS 66

4182421 VOSOVIEW SYSTEM 1839

4182422 KYPHON EXPANDER FIRST 8660

4182423 TUBING GRAVITY 22

4182424 LAP SAC 293

4182426 VALVE HAKIN PROGRAMMABLE 14813

4182427 INDERMIL 71

4182428 NEURO RESERVOIR SINGLE 450

4182429 WOUND VAC DRESSING LARGE 293

4182430 WOUND VAC DRESSING MEDIUM 239

4182431 WOUND VAC DRESSING SMALL 185

4182432 WOUND VAC CANNISTER/GEL 201

4182433 MITEK SPIRALOK 629

4182434 TUBING GRAVITY 2-SPIKE/1 34

4182435 WOUND VAC DRESING X-LARGE 255

4182436 ENT ASPIRATOR NAVIGATOR 374

4182437 SURGI-WRAP 130X200 1332

4182438 SURGI-WRAP 100X130 666

4182439 SCREW BIO--INTRAFIX 1104

4182440 DOUCHE BAG DIPS 17

4182441 DRILL BIT GP12 2380

4182442 DRILL BIT 3-FLUTED 4.2MM 1315

4182443 SCREW SPINAL AXON LOCKING 671

4182444 BONE CANCELLOUS 4-10MM 60CC 3603

4182445 SCREW DHS/DCS COMPRESS GRP 1 212

4182446 DRILL BIT GP13 2975

4182447 RETRACTOR ALEXIS 190

4182448 GUIDEWIRE 2.0MM WS-2009ST 82

4182449 HANDPIECE SINGLE FUNCTION 1974

4182450 DRAINAGE BAG SET URINARY 66


4182452 SCREW VAST GRP 2 1531


4182454 SCREW VAST GRP 1 1239

4182455 SCREW GRP 10 1224

4182457 SCREW TRIO 2077

4182458 SCREW GRP 4 536

4182459 SUTURE BRIDGE KIT 5712

4182460 SNARE FEMORAL RETRIEVAL SET 3046

4182461 SNARE WITH FEMORAL SHEATH 1180

4182462 MINI BUTTON KIT 347

4182463 TACK TRANSVAGINAL 1521

4182464 BULB INSUFLATION RECTAL 212

4182465 KIT MALE SLING 4879

4182466 COLLAGEN IMPLANT PERMACOL 4019

4182467 STAT TACK 412

4182468 CLIPPER LEAD EXTRACTION SYS 130

4182469 COIL EXPANDER LEAD EXT SYS 142

4182470 STYLET WIRE LEAD EXT SYS 71

4182471 GAUGE PIN LEAD EXTRACTION SYS 379

4182472 HEMOSTAT SOF-GRIP EXT SYS 130

4182473 PIN VISE LEAD EXTRACTION SYS 169

4182474 STYLET WILKOFF LOCKING 1548

4182475 STYLET LIBERATOR LOCKING 1229

4182476 DILATOR BYRD TELESCOPING 812

4182477 DILATOR SET 3094

4182478 DILATOR SHEATH BYRD X-LONG 493

4182479 STAPLING DEVICE GIA GORE 1364

4182480 BLOOD FILTER 185

4182481 PLATE T GRP 9 2067

4182482 PLATE RT ANGLE T-PLATE GRP 2 548

4182483 GRAFT PEPIGUARD 4X4 553

4182484 PLATE TUBULAR GRP 2 401

4182485 MINI BUTTON KIT MVV 499

4182486 SHEATH 24CM CVD PEEL-AWAY 288




4182490 DRESSING SMALL STERILE 22

4182491 GRANULEX 4 OZ TOPICAL SPRAY 49

4182492 PACK CUSTOM LAMI DAVIS SUPLMENT 553

4182493 GRAFT 4-7MMX45CM TAPERED HEPARIN 5555

4182494 GRAFT 6MM X 40CM HEPARIN 4690

4182495 SPACER AVS 10147

4182496 PERONEOUS LONGUS 909 6474

4182497 SPACER CORNERSTONE PSR 5X14X11MM 3451

4182499 ARISE APICAL/ANTERIOR VAG SUP SYS 7696

4182500 SURGICEL 6 X 9 698


4182502 LYSONIX SOLUTION SET 93

4182503 STENT URINARY DIVERSION 580

4182504 CATH ANGIO IMF 49

4182505 STENT URETERAL 309


4182507 PACEMAKER SLEEVE 260

4182508 RETRACTOR ALEXI ROUND 374


4182510 DRESSING LARGE STERILE 44

4182511 PLATE VECTRA 9383

4182512 SCREW VECTRA 1839

4182513 DRILL BIT 3.2 CANN GRP 1 1715

4182514 DRILL BIT 2.0MM QC 110MM 834


4182516 SCREW LOCKING CORTICAL 3.5MM 18MM 423


4182518 ECHELON RELOADS 60 WHITE ECR60W 514

4182519 LAPRATY ABSORB SUTURE CLIP XC200 212

4182520 HOOK I DISPOSABLE 909

4182521 ATRICURE HANDPIECE OSL2 11780



4182524 PLATE Y GRP 2 2186

4182525 FORCEPS DISP ENDOSCOPIC 1602



4182528 CARTRIDGE NITROUS OXIDE 255


4182530 GLIDECATH GRP 1 250


4182532 BUR CORNERSTONE 575

4182535 DRILL BIT CRANIOTOMY 520

4182536 SCREW GRP 11 1369





4182542 GRAFT IMPRA EPTFE STRAIGHT CARBON 1202

4182543 DRILL BIT 310 (GP3) 747

4182544 NEURO CHARGING SYSTEM 37752 10811


4182547 SCREW AXON 5755

4182548 SCREW GRP 12 1548



4182551 SCREW LEGACY DANEK 5511

4182552 SCREW MANTIS 6664

4182553 SCREW MILAGRO 1548

4182554 SCREW MULTIDIRECTIONAL MD 482

4182555 SCREW POLY 5312

4182556 SCREW NON-BIASED ANGLE 4457

4182557 SCREW REDUCTION DANEK 6426

4182558 SCREW DANEK GRP 2 1251

4182559 SCREW REUNITE EBI 953

4182560 SCREW SET 3003 715

4182561 SCREW SEXTANT DANEK 6745


4182563 CELL ADAPTER 2060

4182564 DRESSING PREVENA 1352

4182565 DRESSING-MASTOID 22

4182566 DRESSING FLUFFLEX 34

4182567 LIGHTMAT ULTRA-THIN FLEXIBLE 239


4182570 MATRIX HEMOSTATIC FLOSEAL 10ML 1607

4182571 MATRIX HEMOSTATIC FLOSEAL 5ML 899

4182572 TEST STIM KIT INTERSTIM 1455

4182573 LEAD TEST STIMULATION 553

4182574 IMPLANTATION SYSTEM FOR PD CATH 830

4182575 WIRE ADVANCE FIRM .014 TIP 812

4182576 BONE PUTTY ACTIFUSE ABX 20ML 13088

4182577 LATEX FREE FOLEY KIT 93

4182578 ALLOGRAFT HUMAN 10CC 6187

4182579 ALLOGRAFT HUMAN 2.5CC 2191

4182580 DRESSING MEDIUM STERILE 17


4182582 BLADE CHISEL 10MM 158

4182583 PLATE LCP GRP 2 1618

4182584 ADAPTER FEEDING 44

4182585 LOOP LIGATURE 169


4182587 BUR GRP 9 1136

4182588 VALVUOTOME 5469

4182589 INSTRUMENT BATTERY 185

4182590 DRESSING WET THERMAL PAK 201

4182591 ORTHOLOCK EX-PIN 568

4182592 NAVIGATION PIN 568

4182593 GUIDE FRAMELESS 2732

4182594 BIOPSY NEEDLE DISP 2905

4182595 MASK NEW PAT REGIS 1413

4182596 BURR HOLE COVER 206

4182597 VOICE PROSTHESIS 899

4182598 TUNNELING TOOL 758

4182599 LV LEAD 15143

4182600 CATH DIALYSIS HEMOSPLIT 2234

4182601 NEURO ANS IGP RECHARGEABLE 76145

4182603 DURAMATRIX 3397

4182604 COAPTITE IMPLANT 1445

4182605 COAPTITE NEEDLE 130

4182606 COBALATOR EVAC 834


4182608 BONE PUTTY DBM ACCELL 10CC 7139

4182609 BONE PUTTY/PASTE 1CC 1148

4182610 CABLE/LEAD SYSTEM DISP 5 LEAD 82

4182611 DUPLOCATH TIP 250

4182612 SUTURE CAPIO #0 POLYESTER 115

4182613 TOPAZ MICROBRIDER W/INTEGRA CABLE 1731

4182614 SIGMOID SUCTION 18FR 30CM VENT 12

4182615 HAND DRILL STERILE 288

4182616 ENDURANT II 3 PIECE CASE 75194

4182617 ENDURANT II 4+ PIECE CASE 83284

4182618 VALIANT CAPTIVIA 2+ PIECE CASE 114217

4182619 TALENT CAPTIVIA 2+ PIECE CASE 114217

4182620 PROBE PRASS TIP STIMULATOR 715

4182621 EXPLANT BLADE GRP 1 1482

4182622 HUMERAL ASSY INTERCHNG 26175

4182623 SPEED IMPLANT (FOOT) 5474

4182624 DRILL BIT GRP 18 1981


4182626 NEURO GENERATOR NON RECHG 89936

4182627 CATH CORONARY PTCA 3808

4182628 TROCAR GRP 1 866

4182629 TROCAR GRP 2 205

4182630 SLEEVE 482

4182631 PLATE GRP 25 9287

4182632 CONNECTOR OFFSET GRP 2 3176

4182633 LINER ACETABULAR (HIP) 6912

4182634 FEMORAL HEAD GRP 2 4244

4182635 ALLODERM GRP 3 (10.7x21.5) (230 sq cm) 120

4182636 PUMP CONNECTOR REVISION 715

4182637 SPINAL SEGMENT REVISION KIT 1428

4182638 ACCESSORY KT NEURO GRP 1 325

4182639 ACCESSORY KT NEURO GRP 2 455

4182640 TURN AND POSITION SYS 1364

4182641 BODY PAD MICROCLIMATE 130

4182642 PLATE CERV 4 LEVEL GRP 1 6490

4182643 PLATE CERV 4 LEVEL GRP 2 12655

4182646 INTRODUCER SHEALTH VASC 861

4182647 HELICAL BLADE GRP 1 2657

4182648 NEEDLE KNIFE RX 893


4182650 SMIT SLEEVE CER STENT 406

4182651 LEAD CAP KIT 169

4182652 DURASEAL 5ML 4284


4182654 HARMONIC SHEARS 2645

4182655 CAGE VBR 26652

4182656 CAGE/SPACER 4056

4182657 CATHETER ATTAIN 3429

4182658 SURGICEL 4 X 8 298

4182659 SURGICEL 2 X 3 163

4182660 INSTAT 1 GRAM 704

4182661 SPONGE SURGIFOAM 12-7 22

4182662 SPONGE SURGIFOAM 100 C 103

4182663 PHYSIOMESH GRP 1 7539



4182666 GUIDE PIN GRP 10 920

4182667 CORNEAL TISSUE PRECUT 19989

4182668 STENT, NONCOATED/NONCOVERED, W/DELIVERY 1169

4182669 STENT SE VASCULAR 5052

4182670 BONE VOID FILLER GRP 3 11423

4182671 AQUACEL DRESSING 212

4182672 HUMERAL HEAD 2943

4182673 REAMER GRP 2 1558

4182674 TUBING SET ACCULIF IMPLANT 3570

4182675 TIBIAL INSERT GRP 3 3770

4182676 DERMABOND SKIN CLOSURE 349

4182677 NEEDLE PERCUTANEOUS ACCESS 146

4182678 HEAD COMPONENT 4327

4182679 HEAD C-TAPER 2309

4182680 DISTAL AUGMENT GRP 1 3474


4182682 STENT GRAFT SYSTEM 20488

4182683 APPLICATOR DURASEAL 791

4182684 PHALANGEAL COMPONENT 2502

4182685 PHALANGEAL INSERT 8549

4182686 DELIVERY TOOL 1030

4182688 STAPLER VASC 1654

4182689 DEFIBRILLATOR BI-VENTRICULAR 82368

4182690 GRAFT AORTIC ENDOVASC 54907

4182691 ILIAC LIMB 18304

4182692 BUTTRESS PIN 260

4182693 SPIRAL BLADE IMPLANT 2340

4182694 BONE GRAFT 12080

4182695 STENT EVEROLIMUS DRUG ELUTING 5949


4182697 GUIDE CATH 1124

4182698 SUTURE PASSER 177

4182699 TUNNELER GRP 1 1836

4182700 PACK CUSTOM D&C 98

4182701 PACK CUSTOM CYSTO 333

4182702 PACK CUSTOM AV GRAFT 233

4182703 PACK CUSTOM DAVIS ACF SUPPLEMENT 548

4182704 PACK CUSTOM ENDOVASCULAR 671

4182705 BALLOON CATH PTA 1981

4182706 INTERSPINOUS DISTRACTION DEVICE 23033

4182708 DRESSING VERSIVA ADH 13.5CM 22

4182709 DRESSING COMBIDERM ADH 4X4 17

4182710 DRESSING CONTREET ADH FOAM 5X5 158

4182711 COMPRESSION BANDAGE FOUR FLEX 66

4182712 SKIN REPAIR CREAM 34

4182713 OASIS XENOGRAPH 3X7 396

4182714 OASIS XENOGRAPH 7X10 796

4182715 MESH TEGADERM SILVER 109

4182716 MEDIPORE SHEET 5 7/8" 17

4182717 ACTICOAT 7 76

4182718 TOTAL CONTACT CAST KIT 418

4182719 MEPITEL SHEET 10X18 66

4182720 EAR/ULCER SYR 30 OZ 17

4182723 PACK T & A 142

4182725 PROMOD LIQUID PROTEIN 93


4182727 NEURO GENERATOR VNS 113168

4182728 NEURO LEAD GRP 5 28964

4182729 HEAD COMPONENT GRP 1 3334

4182730 WOUND VAC DRESSING SILVER SM 212

4182731 WOUND VAC DRESSING SILVER MED 358

4182732 WOUND VAC DRESSING SILVER LG 271

4182733 DRESSING CONTREET FOAM 4X4 71

4182734 DRESSING BIATIN FOAM 4X4 22

4182735 DRESSING BIATIN ADHESIVE FOAM 4X4 22

4182736 ANTIFUNGAL CREAM 34

4182737 ECONA PASTE 22

4182738 HEARTSTRING SEAL SYSTEM 2359

4182739 LASER FIBER DUOTOME SIDELINE 550 4398

4182740 LASER FIBER SLIMLINE EZ 200 2001



4182743 PURAPLY 6 X 9 505

4182744 COR-KNOT COMBO KIT 3080

4182745 STENT SMART CONTROL 30/40/60 6723

4182746 STENT SMART CONTROL 80 8070

4182747 STENT SMART CONTROL 100 8481

4182748 STENT SMART CONTROL 12/14 7134

4182749 PLATE GRP 24 8832

4182750 BLADE RADENOID 590

4182751 STRYKER FLOW IRRIGATION 212

4182752 PLATE SPINE 14295

4182753 SPACER/ CAGE GRP 1 24860

4182754 SPACER/ CAGE GRP 2 25960

4182755 OPTIFOAM ADHESIVE 4X4 17

4182756 OPTIFOAM ADHESIVE 6X6 22

4182757 SIVASORB WOUND GEL 93

4182758 PROMOGRAN DRESSING 55

4182759 BIOINTRAFIX FLEXISHEATH 1153




4182763 STONE BASKET ACMI 942

4182764 SCREW BIO-TENODESIS (AR) GRP 2 1234

4182765 MASTERGRAFT 5CC 1569

4182766 SCREW LAG VHS 1580

4182767 SCREW LAG GAMMA 1521

4182768 SCREW LAG DHS/DCSI 1974

4182769 SCREW CORTICAL EBI GRP 2 595


4182771 SCREW LOCKING GAMMA 2180

4182772 BLADE SAGITTAL 217

4182773 CONNECTOR DANEK 6853

4182774 KNIFE SONIC CONTROL 3029

4182775 PREP KIT W RESTRICTOR 1731

4182776 STAPLER ECHELON 1932

4182777 RANEY CLIP 28

4182778 TIBIAL BASE 4522

4182779 PATELLA 2143

4182780 FEMORAL CRUCIATE 8092

4182781 PHYSIOMESH OPEN 2510

4182782 EVICEL HUMAN BIOLOGICAL 2ML SEALANT 1415

4182783 QUICK LOAD SINGLES 175

4182784 COLLAR (SHOULDER) 2072

4182785 EPIPHYSIS BODY 4144

4182786 SURGICEL FIBRIN ABSORB HEMO 509

4182787 BOLT GRP 1 5517

4182788 BOLT GRP 2 5928

4182789 DRILL BIT GRP 19 2089

4182790 CERVICAL DISK 24418

4182791 BLOOD Y SET 115

4182792 TIP ULTRASONIC GRP 1 3402

4182793 TIP ULTRASONIC GRP 2 4046

4182794 WALL STENT ENDOPROSTHESIS BOSTON SCI 7400

4182795 RODS HUMERAL POLARUS 7724

4182796 SCREW POLARUS 806

4182797 SLEEVE (KNEE) GRP 1 11817

4182798 BONE GRAFT- ON 1CC 548

4182799 THERMOS SEAL 22

4182800 ARTHO WAND 1148

4182801 DRESSING FLUFFTEX 39

4182802 STAPLER ENDOSCOPIC EZ 45G 1256

4182803 RELOAD UNIT ZR45G 548

4182804 PACKING ORTHO-DRI 71

4182805 ROC FASTENER 671

4182806 ORATEC THERMAL PROBE 1136

4182807 ORATEC DISPERSIVE ELECTRO 22

4182808 GEMINI STONE RETRIEVER 715

4182809 EXTERNAL FIXATOR CLAMP 1650



4182812 DRAIN BAG LUMBAR 217

4182814 CATH SUPRAPUBIC RUTNER 185

4182815 IMPLANTABLE CARDIAC MONITOR 13326

4182816 STERNAL ZIPFIX 649

4182817 TORQUE WRENCH 1229

4182818 GOLD PROBE GRP 1 622

4182819 GOLD PROBE GRP 2 1018

4182820 ICD SNGL GENERATOR 69007

4182821 RELOAD SIG 740

4182822 RELOAD GIA 1440

4182823 RELOAD SOFTSILK 550

4182824 BLOOD Y SET W/PUMP 44

4182825 FUSION HANDPIECE 5MM 2143

4182826 FUSION HANDPIECE 10MM 1775

4182827 CONCENTRIC (SHOULDER) 8308

4182828 SUCTION VALVE 76

4182829 REVERSE BODY/SCREW 9865

4182830 VOICE PROSTHESIS 1428

4182831 NEEDLE GUIDE VASCULAR 3570

4182832 SCREW AND CAP 656

4182833 BASE PLATE (SHOULDER) 8011

4182834 LINER POLY 4225

4182835 REVERSE BODY (SHOULDER) 9865

4182836 STEM PRESS FIT 6047

4182837 ECCENTRIC (SHOULDER) 8308

4182838 ACETABULAR CUP 4955

4182839 SPEED IMPLANT GRP 2 7854


4182940 MESH COMPOSIX 10X14 4246

4182942 MESH COMPOSIX 6 X 8 2072

4182943 MESH ELLIPSE COMPOSIX 10 X 13 4235

4182944 MESH ELLIPSE COPOSIX 7 X 9 2689



4182947 BMT TUBE SPOON BOBBIN 82

4182948 BMT TUBE TINY TYTAN 82




4182952 PARS SUTURE IMPLANT SYSTEM 3300

4182953 BUTTON DOG BONE 1540

4182954 REAMER GRP 3 945

4182955 ACETABULAR SHELL 6200 2424




4182959 SCREW TSRH ANGLED 1494

4182960 SUTURE ANCHOR ULTRAFIX 845

4182961 INSUFLATION NEEDLE 82

4182962 SHORT SHEATH BUR DVO 158

4182963 STAPLER ROTICULATOR 304

4182964 STENT MARDIS SOFT 585

4182965 STEM (KNEE) GRP 1 4376

4182966 NEEDLE MENISCAL REPAIR 115

4182967 INTRODUCER SAFE SHEATH/1 190

4182968 DERMABOND EA 130

4182969 ESOPHAGEAL BAND LIGATOR 548

4182970 EWALD EVACUATOR #746-1 233

4182971 NEEDLE, BOTOX 71

4182972 CAROTID PATCH 433


4182974 ASPEN CERVICAL COLLAR 190

4182975 PACK SUPPLIMENT MINOR 44

4182976 PACK ACF BASIC CUSTOM 163

4182977 PACK SUPPLIMENT ACF RYAN 460

4182978 PACK SUPP ACF HACKMAN 325

4182979 PACK SUPP ACF RIGSBY 406

4182980 CATH ANGIOPLASTY GRP 1 7355

4182981 CATH ANGIOPLASTY GRP 2 7810

4182982 TORQUE DEVICE 76

4182983 RADIESSE VOICE GEL 2738

4182984 BARD SNARE RETRIEVAL KIT 1602

4182985 NEUROLEAD PISEESQUAD 3487A 16533

4182986 CATH EMBOLECTOMY GRP 1 233

4182987 BONE DOWEL RTI 3570

4182988 CATH HICKMAN SINGLE LUMEN 590

4182989 BONE CORTICAL RTI 3024

4182990 SHUNT NEURO HEYER-SCHULTE 644

4182991 ARTERIOITOMY CANNULA 22

4182992 BONE OSTEOFIL 5CC 1488



4182995 EYE SHIELD WITH GARTER 34

4182996 PORT VORTEXVASCULAR ACCESS 1055

4182997 PORT ARROW A-PORT 617

4182998 BERKELEY TISSUE TRAP 22

4182999 BERKELEY COLLECTION TUBE 22

4183000 EYE PAD STERILE 17

4183001 BERKELEY COLLECTION BOTTLE 22

4183002 SPONGE 4 X 8 PK/10 44

4183003 PROXI-STRIP 22

4183004 CABLE HEART PACING 433

4183005 BOLT LOCKING TITANIUM 459 791

4183006 BOLT LOCKING TITANIUM 458 1207

4183007 END CAP 4 1364

4183008 LIGHT PANEL-SAPHENOUSVEIN 855

4183009 PATCH PTFE FELT 1" X 6" 109

4183010 FLATUS BAG DISP 24FR 44

4183011 PATCH FTFE FELT 2" X 6" 169

4183012 GRAFT INTERVASCULAR IGK00 LONG 1488

4183013 ELECTRODE ONE STEP COMPLETE 347

4183015 SUTURE E-PACK CABG KWAN 369

4183016 SUTURE E-PACK CANNULATION KWAN 352

4183017 DRAIN MEDIASTINAL SILICONE 49

4183018 ENDOSCRUB ENDOSCOPE SHEATH 223

4183020 STAPLER ARTICULATE LINEAR 909

4183021 DISP BERKLEY FILTER ASSEMBLY 22

4183022 BERKLEY CONNECTING HOSE 18" 12

4183023 ZERO TIP AIRWAY RETRIEVAL BASKET 1212

4183024 TIBIAL TRAY GRP 1 4284

4183025 FLUTTER VALUE DISP 44

4183026 FEMORAL COMPONENT GRP 1 7615



4183029 TIBIAL TRAY GRP 2 5236

4183030 CORBITT SPATULA 282

4183031 HALF PINS EXTERNAL FIXATION 315

4183032 STAPLE CARTRIDGE SHAPIRO 953

4183033 RETRIEVER SUTURE LINV 201

4183034 ENDO STITCH INSERTER 433

4183035 AORTIC CANNULA 120

4183036 GUIDEWIRE/1 1494

4183037 PAIN INFUSION SYSTEM STRYKER 828

4183038 SHOULDER ABDUCTION SUPPORT 580

4183039 FEMORAL STEM GRP 1 8329

4183040 PORT VORTEX DUAL P5955K 1715

4183041 TVT DEVICE 2062

4183042 EXTENSION SET ET30 12

4183043 LOOP COLOSTOMY ROD 22

4183044 IV SET NITRO 34

4183045 IV SET BURETROL 34

4183050 FRT HIP PROTHESIS 1974

4183052 INF SET LIFEGRD SAFETY 20GX1 1/2Y 44

4183053 AUTOTOME RX BILIARY SYSTEM 1001


4183055 BIOCARTILAGE 1CC 4315

4183056 DEFIBRILLATOR LEAD 6431

4183057 LOCKING DEVICE 49

4183058 ACP KIT SERIES 1 (ORTHO IMPLANT) 770


4183061 DRILL BIT & TAP ACUMED HR-D105 277

4183062 SLEEVE LATERAL TRACTION ARM 233



4183065 DRILL BIT GP 14 3570

4183066 HANDLE SIDEKICK(RELIEVA)SINUS GUI 260

4183067 GUIDEWIRE/GLIDEWIRE 277

4183068 SCREW CORTICAL (CO-3250) 298


4183070 BLADE STRYKER REPLACEMENT 293



4183073 DRILL BIT MS-DC (GP2) 309




4183079 DRILL BIT INTRA ORAL 342

4183082 PIN 3MM X 80MM 5038-2-080 347

4183083 SUTURE CV-4 SH NEEDLE 103

4183084 WOUND VAC GRANUFOAM SILVER LARGE 358

4183085 BUR RND 358

4183086 GUIDEWIRE BALLNOSE 374

4183087 BIPOLAR DISPOSABLE 17

4183088 CANNULA RF 71

4183089 HEAD RING SCREWS (2) 607

4183090 GUIDEWIRE 3.2MM 400MM 357-399 455

4183092 GUIDEWIRE 2.5MM SPADE PT 230MM 472

4183098 BUR RND FLUTED 520

4183099 BUR RND DIAMOND 499

4183100 STENT COLONIC 9319

4183101 ARTHREX 4-0 FIBERWARE AR-7228 98

4183102 PRESSURE WIRE 3235

4183103 SCREW GRP 9 1077


4183105 PLUG BIO HERNIA 1169

4183106 LAP CHOLE KIT 1239

4183107 GUIDEWIRE GROUP 21 2143

4183108 LUER ADAPTER (LUMBAR DRAIN) 190

4183109 SLEEVE PROXIMAL GRP 1 3646




4183113 MP PROCEDURE NEEDLE 12

4183114 CATH INSERTION TRAY 12

4183115 GUHL ANKLE DISTRACTOR STRAP 136

4183116 DRAIN BLAKE TROCAR 109


4183118 LEEP LOOP 109

4183119 SUTURE GUIDE GABE-FRADER 185

4183121 FOLLOW-UP BLOOD SUGAR <201 49

4183122 PROTACK 1320

4183123 CRAIG TOOTHED CUTTER 185

4183124 STENT CONTOUR HYDROPLUS 487

4183125 WIRE PASSER C426 233

4183126 RESECTOSCOPE KNIFE 196

4183127 RESECTOSCOPE ROLLER BALL 401

4183128 RADIONICS STERIOTACTIC BX 720

4183129 EVENT RECORDER CARDIAC IMPLANTABL 21578

4183130 FEATHERTOUCH TUBING 49


4183132 BLADE SINUS SHAVER 698

4183133 BANDAID SURG DR. 4X6 17

4183134 BANDAID SURG DR 8X6 22

4183135 WAND PLASMA 1667

4183136 LARGE SPECBOARD 82

4183137 BLOW BOTTLE 130

4183138 BONE WAX EACH 34

4183139 SLEEVE IRRIGATING 44

4183140 TUBE EMG REINFORCED 1229

4183141 ELECTRODES PAIRED SUBDERMAL 363

4183142 PROBE MONOPOLAR STIMULATOR 472


4183144 CANNULA SPARE INNER ALL SZ 22


4183148 CANNULA FEMORAL ARTERIAL 553

4183149 RELOAD ENDO GIA 1066

4183150 TUBE GASTROSTOMY MIC 196

4183151 NEURO SHUNT PROGRAMMABLE 19415

4183152 HAKIM VENTRICULAR CATH 1580

4183153 CHARGING SYS KT SC-6412-3 8881

4183154 FILTER WIRE 8551


4183156 HEMO LOK LG 60

4183157 PASTE STOMAHESIVE CONVATE 44


4183159 PAD GROUND ELEC/INFANT 34

4183160 TRACH PLUG SZ 4 22

4183161 STYLET INTUBATING 5MM-10M 44

4183162 TRACTION KIT SKIN TRAC SM 136

4183163 TRACTION KIT SKIN, LG 228


4183165 GASTRIC LAVAGE TRAY 44

4183166 GRAFT, GORE-TEX RINGED 4084

4183167 GRAFT, GORE TEX LONG 3213

4183168 GRAFT, GORE-TEX MEDIUM 2829

4183169 GRAFT, AXILLO FEMORAL 7085

4183170 PAD, CONVALUTED, FOAM 136

4183171 STENT EXP BILIARY 8X20X75 CM 5831

4183172 STENT SMART CONTROL 8X30 6128

4183173 EWALD EVACUATOR #746 233


4183175 SINUS DILATATION ENDO SPACER 3808

4183176 SINUS DILATATION ENDO GUIDE 1667

4183177 TAPE SURG MEDIPORE 4X10 44

4183178 SHEATH NAVIGATOR 11/13X46CM 548

4183179 KIT LAP JEJUNOSTOMY 855


4183181 CEMENT RESTRICTOR 142

4183182 PROSTHESIS, RADIAL HEAD 1283

4183183 BUTTON, PATELLA 2521

4183184 BOLT, TIBA/ZIMMER 201

4183185 MESH, STAINLESS STEEL WIR 926

4183186 PLATE T GRP 10 1845

4183187 AMBI LAG SCREW 964

4183188 CANNULA SEAL 8.5-13MM 196

4183189 PORT SINGLE SITE 715

4183190 SHEATH NITINOL 223

4183191 SCREW SUPER LAG GRP 2 1142

4183192 SHELL REVISION GRP 2 14348

4183193 STEM FEM REVISION 13316

4183194 LINER REVISION 12374

4183195 INTRODUCER GUIDEWIRE 12

4183196 K-WIRE BIOCOMPRESSION 39

4183197 GLASSES CATARAC POST OPER 250

4183198 ADAPTER UROLOK 76

4183199 PROS, HIP AUS-MOR LONG 4154

4183200 PROS, HIP AUS-MOR NARR 1996

4183201 PROS, HOP AUS-MOR NARR ST 3435

4183202 PROS, HIP AUS-MOR REF 2045

4183203 PROS, HIP SUA-MOR REG 2240

4183204 PROS, HIP THOMPSON 1629

4183205 PROS, HIP WRIGHT BIGELOW 1839

4183207 PROS, TOTAL HIP/FUSION 866

4183208 PROS, TOTAL HIP/GILBERTY 4279

4183209 SCREW LEIBINGER GRP 1 179

4183210 SCREW OCECRANON 806

4183211 SCREW EBI 5D30 612

4183212 SHELL ACETABULAR GRP 1 4955

4183213 STAPLES, WING TRACTION 693

4183214 STAPLES, WING TRACTION/1 1413

4183215 STAPLES, ZIMMER/229 98

4183216 SYNTHES SET/CANCELLOUS 158

4183217 SYNTHES SET/CLOVERLEAF 958

4183218 SCREW CORTEX GRP-1 163

4183219 PLATE BUTTRESS GRP 1 1115



4183222 SYNEX W/ENDPLATE 45125

4183223 NEEDLE IMBIBE 715

4183224 SYNTHES SET/MULTI-FRAG 120


4183228 SYNTHES SET/QUARTER 260

4183229 SYNTHES SET/ATRAIGHT MINI 190

4183230 SYNTHES SET/STANDARD 228

4183231 SYNTHES SET/T-BUTTRRESS 1305

4183232 PLATE T-GRP 5 828

4183233 HICKMAN CATHETER SINGLE 629

4183234 ASPIRATION SEPARATOR 8F 8275

4183235 TEFLON PATCH 4X4 DACRON 115

4183236 JETSTREAM XC 14475

4183237 VASCU-STATS-DISP BULLDOGS 66

4183238 BAG-U 24 HR COLLECTOR STERILE 12

4183239 CLIP, ANEURYSM/WECK 1251

4183240 CLIP, ANEURYSN/CODMAN 1072

4183241 CLIP, ANEURYSM/CODMAN 877


4183243 CLIP, RANEY, DISP/PKG 10 44

4183244 PIN CENTERING GRP 2 310

4183245 CRANIOPLASTRY KIT CODMAN 1645

4183246 BACTISURE WOUND LAVAGE 2855

4183247 NASAL STENT PACKING MEROGEL 396

4183248 BIO TRACE BARIUM 239

4183253 BUR GP 1 455

4183254 AMNIOTIC HOOK 12

4183255 TRANSVERSE BAR 15MM 1034

4183256 BALLOON ESOPHAGEAL CRE 1190

4183257 PACK, OB 76

4183258 ROD SACRAL RIGHT 4879

4183259 SHIELD BREAST PAIR 17

4183260 PFISTER-SCHARTZ=STONE 737

4183261 CEMENT KRYPTONITE BONE 11898

4183262 CEMENT KRYPTONITE BONE 5ML 5949

4183263 ROD SACRAL LEFT 5566

4183264 TUBE, T-DEAVER RADI 12-18 49

4183265 MIDLINE CATHETER 737

4183266 VARI-STEM NERVE 331

4183267 VESSEL LOOP, ANY SIZE/EA 17

4183268 PACK, HEAD & NECK 61

4183269 PACK, LAP II 76

4183270 PACK, LAPAROSCOPY 39

4183271 PACKING, GYN CURITY/EACH 34

4183272 BOVIE PAD 39

4183273 SPONGE, TONSIL/PKG 9

4183274 PEN, MARKING 22

4183275 SPONGE, AUTO CT DISSECT PK 22

4183276 SPONGE, COTTONOID NEURO PK 44

4183278 MYRINGOTOMY TUBE DONALDSON 71

4183279 MYRINGOTOMY TUBE, RTR-BOB 115

4183280 MYRINGOTOMY TUBE SOILEAU TYTAN 82

4183281 SPLINT NASAL DENVER 212

4183282 PISTON CUP, SHEA 769

4183283 PROTHESIS, SHANK-XOMED 974

4183284 PROSTHESIS, EAR, GRP 4 1623

4183285 MASK, ANESTHESIA 55

4183286 DISCOGRAPHY SYSTEM 169

4183287 MESH, PROLENE 212

4183288 NEBULIZER, U-MID 22

4183289 NEEDLE, BIOPSY TRU-CUT 130

4183290 NEEDLE, MAT/EACH 22

4183291 PACK, BASIC 12

4183292 PACK, CYSTO 71

4183293 PACK, GYN 44

4183294 DRAIN, JACK-PRATT/BIF 55

4183295 DRAIN, SALEM SUMP 34

4183296 GUIDEWIRE FOR ERCP 1061

4183297 CATHETER ANTIMICROBIAL 1690

4183298 KNIFE ANNULOTOMY 3734

4183299 SPRING CLIP 2002

4183300 BONE PRESS 2288

4183301 DISPOSABLE SCOPE WARMER 61

4183302 DREAMTOME 44-2-MM/260CM 1883

4183303 HEAD REST, DO-NUT, DSP 44

4183304 BAG, ILEOSTOMY-EACH 17

4183305 ADAPTOR, RACINE 472

4183306 STAPLER, ECS, ETHICON 1645

4183307 BAGS, STOMA/EACH 17

4183308 BLADE, SUPER 98

4183309 BLADE, WECK 82

4183310 BOVIE, ELECTROVAC SUCTION 93

4183311 BLADE, MINI BEAVER EACH 22

4183312 CIRCUIT, BAIN BREATHING 163

4183314 TUBING SMALL JOINT 255

4183315 VALVE SUCTION BRONCH 39

4183316 OSTOMY SYSTEM STERILE 55

4183317 VALVE AORTIC MAGNA 3000 35337

4183318 STENT-Z 9152

4183319 ALLEVYN CAVITY 22

4183320 HALTER HEAD #1000-07 315

4183321 MIST THERAPY APPLICATOR KIT 212

4183322 TRUMATCH RESECTION GUIDE GRP 1 2143

4183323 RESURE SEALANT 477

4183324 HANDPIECE STR TIP 2591

4183325 HANDPIECE 25KHZ 2997

4183326 CANISTER LINER DISP 174

4183327 TUBING W/EXT 1542

4183328 SAPHENOUS VEIN ANGIOGRAFT 42175

4183329 FIBERTAPE GRP 1 217

4183330 BOLT FUSION 2440

4183331 CUP ACETABULAR 6577

4183332 SLEEVE PROXIMAL GRP 2 6723

4183333 TIBIAL INSERT 16960

4183334 PLATE OCCIPUT GRP 1 10909

4183335 NERUO PULSE GENERATOR & KIT 82332

4183336 NEURO REMOTE CONTROL KIT 4965

4183337 SPACER LUMBAR/THORACIC 17372

4183338 MESH HERNIA GRP 1 2935

4183339 MESH HERNIA GRP 2 3225

4183340 HANSEN STREET ROD 472

4183341 AEROGEN SOLO ADAPTER 26

4183342 AEROGEN KT CONVENIENCE 198

4183343 PUMP CANNISTER PENUMBRA 1670

4183344 INDIGO 6F CATH PENUMBRA 8648

4183345 INDIGO 8F CATH PENUMBRA 13224

4183346 TUBING ASPIRATION PENUMBRA 2210

4183347 ASPIRATION SEPARATOR 6F PENUMBRA 4755

4183348 ACHILLES MIDSUBSTANCE IMPLANT SYSTEM 4290

4183349 STIMULATOR SPINAL 69300

4183350 HANSEN STREET STRAP 71

4183351 LEAD CABLE 229

4183352 SPACER HUMERAL GRP 1 6012

4183353 CUP HUMERAL GRP 2 4717

4183354 CEMENT MIXER/TRANSFER PK 916

4183355 SPACER LORDOTIC GRP 1 20592

4183356 LIGAMENT REPAIR KIT 4462

4183357 DISP KIT FOR SWIVELOCK 1259

4183358 SWIVELOCK 1945

4183359 PREVENA PEEL AND PLACE KIT 2268

4183360 PREVENA CANISTER 45ML 110

4183361 DRESSING KIT PREVENA CUSTOMIZABLE 2725

4183362 ACHILLES TENDON 11050

4183363 PIN PASSING 520

4183364 BLADE ARTHROSCOPY 661

4183365 SMOOTHER TOOL 1514

4183366 BONE TUNNEL PLUG 172

4183367 SNARE TONSIL 32

4183369 STENT ENDOPROSTHESIS 29570

4183370 DRILL KIT STERILE 695

4183371 ACCESS PORT 375

4183372 TUBE SET FOR AIRSEAL 385

4183373 NEEDLE DRIVER MEGA 970

4183374 FORCEPS TENACULUM 970

4183375 SUTURECUT NEEDLEDRIVER 1055

4183376 FORCEPS FENESTRATED BIPOLAR 1190

4183377 SCISSOR MONOPOLAR CURVED 1410

4183378 FORCEPS PROGRASP 970

4183379 NEEDLEDRIVER LARGE 970

4183380 FORCEPS MARYLAND BIPOLAR 1190

4183381 CLIP APPLIER HEMO LOK MED/LG 590

4183382 MARYLAND DISSECTOR 5MM 545

4183383 SCISSOR CURVED 545

4183384 CAUTERY HOOK PERMANENT 624

4183385 CROCODILE GRASPER 525

4183386 COBRA GRASPER 970

4183387 POTTS SCISSORS 860

4183388 SCISSORS ROUND TIP 860

4183389 SUCTION IRRIGATOR 265

4183390 STEM HUMERAL GRP 1 8385

4183391 ADHERUS SEALANT ET 3740

4183392 ACUVUE BANDAGE LENS 15

4183393 REVERSED TRAY 5610

4183394 NEEDLE FASCIAL INCISING 160

4183395 CATH INTRATHECAL 2905

4183396 COIL OCCLUSION (PNEUMBRA) 7875

4183397 BB-TAK THRD 660

4183398 PLATE FUSION GRP 1 9130

4183399 CADIERE FORCEPS 880

4183400 REDUCER TROCAR 22

4183401 TROCAR 5MM 315

4183402 TROCAR 10MM 331

4183403 TROCAR 12MM 304

4183404 TROCAR 18MM 433

4183406 NEEDLE PNEUMO 109

4183407 EVACUATOR SMOKE 228

4183408 STABILITY THREADS 44

4183409 TUBING INSUFLATION HIFLOW 103

4183410 CATH URETERAL PIGTAIL 130

4183411 STENT URETERAL PIGTAIL 347

4183412 NEEDLE VARES 120

4183413 STAPLER VASCULAR 850

4183414 STAPLER VASCULAR RELOAD 336

4183415 WICK FEMORAL 136

4183416 WORM HOOK 185

4183417 LACRIMAL INTUB. JACKSON 212

4183418 LACRMAL INTUB. CRAWFORD 185

4183419 LACRIMAL INTUB. CATALAND 282

4183420 LASER TIP SLT 363

4183421 LASER FIBER SLT 239

4183422 SHUNT PERITONEAL LEVEEN 1937

4183423 RETRIEVER LOOP 369

4183424 SCREW CANNU-FLEX SILK 671

4183425 PILLOW SHOULDR ABDUCTION 580

4183426 TRACTION SHOULDER KIT 320

4183427 SHUNT CAROTID PRUIT INAHA 401

4183428 BLOCK SILASTIC 617

4183429 PASSER SWANSON SUTURE 142

4183430 STIMULATOR SPINAL FUSION 10482

4183431 SPONGE SCLERAL 169

4183433 ELECTRODE TENS STERILE 44

4183434 PEANUT ENDOSCOPIC 298

4183435 SCISSORS ENDOSCOPIC 1066

4183438 FORCEPS GRASP UROLOGICAL 785


4183440 MAMMARY SIZERS 925

4183441 HAND-AID WRIST SUPPORT 66

4183442 RETRIEVER SUTURE HEWSON 163

4183443 ALVAR VALVE NASAL STENT 805

4183444 ESOPHAGEAL OVERTUBE 860

4183445 TISSUE SEALANT 3895

4183446 ISOTAC PILOT WIRE 174

4183448 TUBE SUCTION KAM VAC 44

4183449 KNOT PUSHER 595

4183450 BLOCK NOVMED PROPLAST 1785






4183456 CATH THROMBETOMY FOGARTY 1482

4183457 CATH ADHERENT CLOT FOGARTY 747

4183458 CATH CYSTIC DUCT REDDICK 250

4183459 TEST CABLE FOR EXT NEUROSTIMULATOR 180


4183461 EXTRACTOR STONE HELICAL 401

4183462 CATH BALLOON URETERAL 433

4183463 PROBE CORSON IRRIGATOR 347

4183464 BURR CRAINAITOME 418

4183465 CUTTER RELOAD 55 255

4183466 DRAIN ABRAMSON TRIPLE SMP 169

4183467 VALVE DUCK BILL 44

4183468 KNIFE ACL GRAFT 185

4183469 AMBI HP CLIP 201


4183471 BONE SPACER ALLOGRAFT 15187

4183475 ANGIOPLASTY VACUUM BOTTLE 17

4183476 ANGIOPLASTY GUIDEWIRE 472

4183477 ANGIOPLASTY CATHETER 2569

4183478 ANGIOPLASTY INTRODUCER 98

4183479 ARCH BARS 17

4183480 TUBING ARTHROSCOPY PUMP 233

4183481 KNIFE ARTHROSCOPY BANANA 975

4183482 KNIFE ARTHROSCOPY ACUFEX 169

4183483 MITEK MINI QUICK ANCHOR ETHIBO 666

4183484 CLAMP MUSCLE BX RAYPORT 55

4183485 BLOCK 1/2 NOVAMED PROPLAST 893

4183486 CATH OCCLUSION 931

4183487 TUBING OMS 298

4183488 CABLE PACEMAKER 103

4183489 PAD PELVIC POSITIONER 82

4183490 PERICARDIOCENTESIS 548

4183491 PILLOW SHEA 49

4183492 PIPELLE 17

4183493 SAC PLEATMAN 130

4183494 PLUG POLY 233

4183495 PUDDLEVAC 109

4183496 CLIP RANEY GUN CARTRIDGE 49

4183499 FOAM RESTON 22

4183500 RETENTION BRIDGES 44

4183501 LIGACLIP 20 304

4183502 LIGACLIP 30 347

4183503 MAMMARY IMPLANT GRP 1 5474

4183504 STENT URETER MULTILENGTH 634

4183505 SOFTWIRE CABLE 855

4183506 TISSUE EXPANDERS GRP 1 6544

4183507 AGEE-WRIST JACK EXT FIX 3900

4183508 CLIP, ANEURYSM SURGITA 1310

4183509 CLIP GUN RANEY 250

4183510 CLEANER CAUTERY TIP 12

4183511 TUBING LIPOSUCTION 44

4183512 STAPLE RELOAD 30 MM 228

4183513 STAPLE RELOAD 60 250

4183514 STAPLE RELOAD 90 255

4183515 ELECTRODE LLETZ CERV LOOP 136

4183516 DRESSING MASTOID GLASSCOK 66

4183518 DRAIN BLAKE ROUND 93

4183519 DRIAN BLAKE FLAT 115

4183520 PUMP INFUSION SYNCHRO MED 4475

4183521 CATH INTRASPINAL 8703W 2689

4183522 CATH CV TRIPLE LUMEN COOK 396

4183523 FORCEP BIOPSY PRECISOR 201

4183524 NEEDLE BREAST HOMER 109

4183525 NEEDLE GUIDE LORAD 34

4183526 BUR 4.0MM ROUND FLUTED 499

4183527 BUR GP8 499

4183529 KIRSCHNER WIRE GAMMA 1806-0050S 509

4183532 BLADE CRESCENT 18.0MM 548

4183534 EPI DISC 644

4183535 NEEDLE SCORPION SURFIRE AR 666

4183536 NASOPORE DRESSING STD 8CM 666

4183537 DRILL BIT 3-FLUTED QC 4.0MM 195MM 758

4183538 SCREW CANCELLOUS LOCKING 2623

4183539 SCREW GRP 2 298

4183540 DRILL BIT 1.8MM 310.509 731


4183543 BUR ACORN 834

4183544 NASOPORE DRESSING FIRM 8CM 752

4183545 COLLAR SPINAL 498.011 791

4183548 NASOPORE NASAL DRESSING FIRM 4CM 785

4183549 DRILL BIT EBI 450087 818

4183550 IMMOBILIZER, SHOULDER 136

4183555 GRAFT EQUIVABONE 5501



4183559 KIT DISPOSABLE ACCESSORY 3ARM 834

4183560 PROSTHESIS EAR GRP 1 855

4183561 SCREW HEX GRP 2 877

4183562 SCREW POLARIS 553

4183567 BLADE BOND SHARK 5.0MM MED 953

4183568 CEMENT BONE W/MIXER 1001


4183570 INCISION/DRIAN SETUP 82

4183573 INFUSET SUBCLAV JUGULAR 66

4183574 PERMASORB OPEN FIXATION DEVICE 1094

4183575 TAP GRP 4 1142

4183576 INTRODUCER 6FR HIGH FLOW 1212

4183577 SCREW EBI CERVICAL GRP 2 1224

4183579 SCREW PEEK TENODESIS AR 1359

4183581 KIT LEAD INTRODUCER 1239

4183582 ANCHOR W/ORTHOCORD 4.5 HEALIX BR 1332

4183583 COUPLINE PIN-TO-ROD 5/3-4MM 1585

4183584 DRILL BIT 11MM 357.404 2623

4183586 PLATE LCP GRP 21 8578




4183590 PLATE KEYLESS GRP 1 2202

4183591 KIT EXTENSION 2251

4183592 POWERPORT ISP MRI W/SILICONE CATH 2251



4183595 DRILL BIT 6-10MM 357.403 2975

4183596 PATELLA OVAL DOME 3-PEG 38MM 2711

4183597 PATELLA 1905

4183598 SYSTEM GELPORT LAPAROSCOPIC 2738

4183600 INTRACRANIAL PRESSURE COMPLETE 1829

4183602 INTRACRANIAL PRESSURE NO/PACK 1256

4183605 MICRO VENTRICULAR BOLT 4673

4183607 MICRO VENTRICULAR BOLT 7145

4183610 POST CRANIOTOMY SUBDURAL 1369

4183612 CRANIAL ACCESS KIT 1542

4183650 INTRACATH ALL SIZES 22

4183660 T U R ELECTRODE KNIFE 136

4183661 T U R ELECTRODE BALL 136

4183662 CEMENT MIXER OSTEOBOND 390

4183663 ENDO ONE SEAL 22

4183665 STAPLER EVU35 439

4183666 BUR GP3 185

4183667 TUBE BMT GOODE 82

4183668 KNEE SYSTEM MODULAR 13X30MM 4381

4183669 LEAD PACEMAKER ATRIAL 3451


4183671 PATELLA 33 3759

4183672 SCREW GRP 13 1845

4183673 SCREW GRP 14 3154


4183675 CLAMP ADJ RADIUS FIX 4.0MM 390.05 5047

4183677 CROSSLINK XIA 3765


4183681 SCREW XIA III 5712

4183683 PLATE VECTRA 1-LEVEL GRP 2 8562

4183684 PLATE VECTRA 2-LEVEL GRP 2 9184

4183688 KNEE TIBIAL INSERT #4 20M 96-2355 8783

4183689 LEAD QUAD INTERSTIM 14456

4183691 KIT SPINAL FRACTURE W/OSTEO INTRO 18680

4183692 KNEE FEMORAL COMPONENT 19919

4183693 KNEE FEMORAL COMPONENT 71MM 20713

4183694 PACEMAKER ADAPTA ADSR01 SYSTEM 24748

4183695 BONE GRAFT SUBSTITUTE 87SR-041 13835

4183696 GUPP ASSEMBLY KT 2121

4183697 GUPP RETRACTOR 1190

4183698 MICRODEBRIDER 1731

4183699 DRAPE PELVIC FLOOR 217

4183700 INVALID RING VINYL 44

4183701 PUNCH BULLET TIP AORTIC 4.0MM 71

4183702 PUNCH BULLET TIP AORTIC 4.5MM 71

4183710 IODOFOAM GAUZE EACH 66

4183765 K-THERMIA SETUP 347

4183800 VASOSEAL CLOSURE 791

4183801 PERCLOSE 791

4183844 KERLIX FLUFF STERILE 10" 44

4183845 KERLIX ROLL 4 1/2" 22

4183850 KIRSHNER WIRE 125

4183860 PIN, KNOWLES 233

4183910 MITEK MICRO ANCHOR 2251

4183911 MITEK MINI ANCHOR 1883

4183912 MITEK PANALOK ANCHOR 2596

4183913 MITEK ROTATOR CUFF 2461

4183914 MITEK SUPER ANCHOR 2461

4183915 MITEK FASTIN RC ANCHOR 2397

4183916 CONNECTOR LIFESTREAM 22

4183917 TRACH TUBE HOLDER 12

4183918 CANNULA INSERTION KIT 136

4183919 STENT CONTOUR W/ HYDROPLUS 482

4183920 VALVE AORLIC PRIMA PLUS 2500P 24748

4183921 INTRODUCER SUPRAPUBIC 55

4183922 DURAGEN 1 X 1 439

4183923 PASTE POLISHING 34

4183924 CONNECTOR ACCUFIO 3-WAY 320

4183925 BONE PUTTY OSTEOSTIM 3CC 1190


4183927 ORTHO CORD 526

4183928 STENT SINUS/NASAL DRESSING 433

4183929 SPLINT INTERNASAL DOYLE 158

4183930 BONE TRICORTICAL BLOCK 2224

4183931 RASP TEARCROSS 764

4183932 HYBRID FIXATOR K-WIRE 174

4183933 HYBRID FIXATOR WIRE 548

4183940 BONE PUTTY ACTIFUSE 5ML 5041

4183956 LEAD, PACEMAKER BIPOLAR 2478

4183980 LEVINE TUBE 22

4184000 SUTURE PANACRYL 22

4184001 SUCTION IRRIGATOR TIP 109

4184002 SUCTION IRRIGATOR 374

4184003 CORNEAL PROTECTOR STORZ 82

4184004 OTO-WICK POPE 22

4184005 VISCERIA RETAINER 71

4184006 PROXIMATE LINEAR CUTTER 1169

4184007 PROXIMATE LINEAR STAPLER 493

4184008 NEEDLE ELECTRODE EACH 22

4184009 DRAIN BIFURCATED EXT J-P 412

4184011 CYSTOTOME IRRIG 25G 44

4184012 VASCULAR CAUTERY 66

4184120 LIGASURE IMPACT 3262

4184121 LIGASURE ATLAS 2023

4184122 LIGASURE SHORT V 2213

4184123 LIGASURE TRIVERSE 190

4184126 STABILIZER CORONARY SOFT 3067

4184127 SUCTION WAND SUMP 103


4184200 KIT, BONE PREP 352

4184201 CATH DILATATON BLUE MAX 1298

4184202 STENT URETERAL FIRM 487

4184203 NEEDLE, BX TRANSBRONCHIAL 190

4184204 VALVE, BX BRONCH 17

4184209 VITAL PORT SINGLE 1900

4184210 CATH OLBERT 834

4184211 BLADE ARTHROSCOPY 190

4184212 CATH EPIDURAL DUPEN 1974

4184213 HICKMAN PORT EPI 2326

4184214 TUBE EMPYEMA 49

4184215 TUBE ARTHO-FLO 228

4184216 ENDOFLO IRRIGATION 298

4184217 ENDOLOOP 82

4184218 ENDOPATH MULTICLIP 1699

4184219 ESMARK 3" 44

4184220 ESMARK 4" 44

4184221 ESMARK 6" 49

4184222 SCALPLE SHAW 49

4184223 CATH BURRON CENT VENOUS 93

4184224 CATH SEAL 93

4184225 CLIPPER HEAD 22

4184226 SHUNT JAVID CAROTID 169

4184227 SHUNT SUNDT CAROTID 974

4184228 GRAFT CARDIOVAS PATCH 1034

4184229 BRA REDUCTION 109

4184230 STRYKER VACUUM BOWL 169

4184231 BRUSH FEMORAL 66

4184232 INTERCEDE 1391

4184233 WOLF INSUFFLATION SET 363

4184234 INFLATION GAUGE 212

4184235 INFUSAPORT 1900

4184236 LIFEPORT 2158

4184237 IMPLANTAFIX 2116

4184238 IMPLANTOFIX INTRODUCER 109

4184240 MENTOR ERASER 44

4184241 BLADE ALCON CRESENT 22

4184242 BLADE ALCON 66

4184244 HYPAQUE 93

4184245 HASSON TROCAR 401

4184246 TUBE HALL IRRIGATION 260

4184247 NEURO VENTRICULAR CATH GRP 2 3290

4184248 GUIDEWIRE BENSON 103

4184249 ADAPTOR PORTEX SWIVEL 44

4184250 GUHL PIN 277

4184251 GROSHONG DUAL 2699

4184252 GROSHONG SINGLE 1266

4184253 GRAFT GORE-TEX STRETCH 3154

4184254 GRAFT GORE-TEX PATCH SMALL 526

4184255 GRAFT GORE-TEX PATCH LARGE 2294

4184256 TUBE SCOTT 17

4184257 TUBE ANGIOPUMP 169

4184258 RESECTOR SYNOVIAL 201

4184259 ANTIFOG 55

4184260 FEMORAL CEMENT COMPRESSOR 115

4184261 ELECTRODE MINISECTOMY 163

4184262 CANNULA SHOULDER 49

4184263 CATH PASSER 163

4184264 CRANIAL PERFERATOR 531

4184265 TRIPLE LUMEN BURRON 169

4184266 BLADE NEURO 255

4184267 CRANIOPLASTY KIT 839


4184272 SHUNT PERITONEO-VENOUS 2364

4184273 PROBE EHL 850

4184275 HAND EXERCISERS 66

4184276 EGGERCISER 44

4184277 SOLENT OMNI ANGIOJET CATH 8048

4184278 SOLENT PROXI ANGIOJET CATH 7572

4184279 SOLENT DISTA ANGIOJET CATH 9519

4184280 SPIROFLEX ANGIOJET CATH 8545

4184281 SPIROFLEX VG ANGIOJET CATH 8545

4184282 APPLICATOR ENDOSCOPIC 244

4184283 NAIL HUMERAL GRP 3 11482



4184286 BLADE OSTEOTOMY 622

4184287 NEUROSTIMULATOR EXTERNAL 1905

4184288 CABLE INTERSTIM 379

4184289 KWIC NEEDLE 1942

4184290 MASK OXYGEN 17

4184291 NERVE CONNECTOR 6069

4184292 PLATE FUSION 6069


4184294 SCLERA TISSUE GRAFT 1974

4184295 ACCESSORY TOOL 185

4184296 SPACER LORDOTIC 28522

4184297 POCKET ADAPTER NEURO GRP 1 3008

4184298 SAPHENOUS VEIN GRP 2 57542

4184299 SPACER CERVICAL 8545

4184300 EPIPHYSIS 14169

4184301 STEM HUMERAL 10195

4184302 GLENOSPHERE 8707

4184303 METAGLENE COMPONENT 7237

4184304 BONE MATRIX GRP 1 10894

4184305 BONE MATRIX GRP 2 17847


4184307 ILLUMINATION SYSTEM 7572

4184308 OTOMAG IMPLANT 10525


4184310 SLEEVE GRP 2 734

4184311 SPACER DISTAL CEMENT 2398

4184312 STEM GRP 2 7431

4184313 SNUGGLE WRAP 130

4184314 ACCESSORY SPRAY TIP 115

4184315 PACK TOTAL HIP 812

4184316 EXTENSION SET CAPD 167

4184317 INSTAFIX IMPLANT KIT 5034

4184318 CATH ANGIOGRAPHIC 3027

4184319 COIL EMBOLIZATION 1987

4184320 EPIPHYSIS HUMERAL 14110

4184321 CONNECTOR LUER LOCK 305

4184322 BLADE ARTHROSCOPY GRP 2 600


4184324 CLAMP FOR K-WIRES 3160

4184325 CLAMP CONNECTING 2940

4184326 NAIL GRP 6 10275

4184327 DRAIN MONITORING KIT 1100


4184329 TENDON GRACILIS 5260

4184330 MATERNITY CARE KIT 14

4184331 CATH GUIDE CPS 1905

4184332 INTRODUCER SAFE SHEATH 1667

4184333 CANNULA ART PERF VAR SZ 1131

4184334 LEAD ICD EPICARDIAL PACING 2380

4184335 HUMERAL INSERT 3890

4184336 GLENOID SPHERE 9381

4184337 HUMERAL METAPHYSIS 5835

4184338 BASEPLATE SHOULDER GRP 1 6636

4184339 SCREW DRIVER BIT 874

4184340 ROD (NON IMPL) 536

4184390 MESH, MARLEX, MERSILENE 839

4184391 SET INTRAUTERUNE PRESSURE 169

4184400 PACK ARTH KNEE CUSTOM 233

4184401 PACK ARTH SHOULDER CUSTOM 401

4184402 PACK C-SECTION CUSTOM 526

4184403 PACK CUSTOM MAJOR SURGERY 432

4184404 PACK MINOR CUSTOM 174

4184405 PACK LAM R&R CUSTOM 115

4184406 PACK CUSTOM LAMI WHISENHUNT 916

4184407 PACK CUSTOM CABG OPEN HEART 3822

4184408 BONE CEMENT CONCORD HP 509

4184409 CEMENT MIXER PK GRP 1 558

4184410 CEMENT MIXER PK GRP 2 418

4184411 INFLATION DEVICE 385

4184412 CANNULA AND INTRODUCER 1337

4184413 DELIVERY DEVICE 369

4184414 BONE TAMP 3808

4184415 STEM FEM REVISION GRP 1 27530

4184416 SUMP FILTER 20

4184417 BAKRI POSTPARTUM BALLOON 1070

4184418 PICO DRESSING W/PUMP 1720

4184419 HIP STEM 8380

4184420 HEAD CREO MODULAR 1980


4184422 BLADE LARYNGOSCOPE 70

4184423 FLATFOOT RECONSTRUCTION SYSTEM 17600

4184424 BLADE SIDEWINDER 2225

4184425 HIP PACK DISP 1245

4184426 KIT PLATELET CONCENTRATION 4400

4184427 STENT GRAFT THORACIC 73240

4184428 NEURO GENERATOR GRP 1 57200

4184429 NEURO PROGRAMMER GRP 1 3300

4184430 CORNEA PROSTHESIS GRP 1 22000

4184431 FIXATION DEVICE ORTHO IMPLANT 1500


4184433 STENT PANCREATIC GRP 1 750

4184434 PACK CUSTOM HEAD & NECK 455

4184435 PLATE SPINE 1-LEVEL GRP 3 3820



4184438 TAP MARKER 920

4184439 STEM (SHOULDER) 5780

4184440 FEMORAL STEM 6070 2873



4184443 MITEK RIGIDFIX 1656

4184444 STAPLER HEMMERHOIDAL 1283

4184445 GRAFT VENAFLO 3765

4184446 GRAFT DISTAFLO 8783

4184447 ADAPTOR URETERAL CATH 12

4184448 GRAFT PTFE FLEX 20CM 1007

4184449 GRAFT INTERVASCULAR IGK0006 1283


4184451 SYVEK NT PATCH 575

4184481 ELECTRODE IONTOPHORETIC 66

4184483 SPLINT ORTHO GLASS 5 IN 17

4184550 MOORE PINS 82

4184595 MYRINGOTOMY ANY SET 304

4184615 NASAL EPISTAXIS BALLOON 142

4184623 NEEDLE BIOPSY DISP 1 174

4184624 NEEDLE, BIOPSY 174

4184625 NEEDLE, SPINAL ANY SIZE 61

4184789 STAPLE ROTICULATOR 288

4184790 SKLAR PUNCH 12

4184791 SILVERLON 44

4184793 ANGIOJET CATHETER 8913

4184794 ANGIO PUMP SET 1488

4184820 PRESSURE DISPLAY SET 44

4184821 CANNULA AORTIC 109

4184822 PACK RIGSBY LAMI SUPP 477

4184823 PACK RYAN LAMI SUPP 379

4184824 PACK RIGSBY CRANI SUPP 412

4184825 PACK RYAN CRANI SUPP 288

4184826 CATH URETERAL OPEN END 44

4184827 PERICARDIAL SUMP 44

4184828 CANNULAE BIO-MEDICUS 737

4184871 SET, NAMIC 174

4184873 MATERIAL, CONT.NON-IONIC 548

4184874 MATERIAL, CONT. IONIC 17

4184875 SPACER HUMERAL GRP 2 6012

4184876 CATHETER DIAGNOSTIC 35

4184877 WIRE, GUIDE 190

4184878 NEEDLE, COURAND 66

4184879 SYRINGE, MEDRAP 71

4184880 BALLOON, INTRA-AORTIC 3852

4184881 CATHETER EXTENSION 115

4184882 SURGIGRAFT 2 X 4 1725

4184883 SYRINGE ANGIOGRAPHIC 71

4184884 PUMP, INTRA-AORTIC 607

4184886 SURGIGRAFT 4 X 8 6710

4184900 CEMENT SPACER 546

4184901 SUTURE ANCHOR ULTRASORB 629

4184902 DILATOR RENAL 206

4184903 HUMERAL SPIRAL BLADE 1298

4184940 PACEMAKER, TEMP INSERTION 947

4184960 PAD, INCONTINENT-1/2 DOZ 17

4184975 CONT NIGHT DRAINAGE SQUIB 93

4184976 FLOTATION DEVICE, BIO 201

4184977 SWEEN-A-PEEL 17

4184978 PERT-WASH SWEEN 17

4184980 PLAK VAC ORAL HYGIENE 44

4184982 AUDIANT IMPLANT XOMED 12775

4184983 SET HIGH FLOW FLUID ADMIN 536

4184984 SET PRESSURE IRRIGATION 66

4184985 DEVICE INFUSION EMERGENCY 109

4184987 BLANKET, HOT ICE 142

4184988 CUSAPAC AND SOOK 2256

4184989 ASPIRATOR, MECONIUM 22

4184990 ICD SYSTEM DUAL 99940

4184991 TUBE GASTROSTOMY 24FR 233

4184992 BLADE SCALPEL SHAW 115

4184993 MASK FACE INFANT 44

4184994 ICD SYSTEM BI-VENTRICULAR 133254

4184995 STOCKINGS JOBST VASC PR 548

4121384 THIORIDAZINE TAB 10MG 0

4184996 STOCKING JOBST VASC EA 174

4185000 ICD SYSTEM SINGLE 85663

4185001 STARTER, SNS NURSERY 66

4185002 SET HARVARD & EXTENSION 44

4185003 WEIGHTS 5LBS 136

4185004 WEIGHTS 10LBS 190

4185006 WEIGHT INSERTS 1LB 22

4185008 WEIGHT INSERTS 2LBS 17

4185009 SURGIGRAFT 2 X 8 3450

4185010 SUPPORT MAMMARY 450

4185011 CATH PRUITT AORTIC 493

4185012 KIT CHALONGIOGRAPH 174

4185013 KIT LEAD RESUME 7502

4185014 KIT BIPOLAR EXTENSION 6112

4185015 NEURO-GENERATOR 40766

4185016 BONE COTICAL FIBULA WEDGE 3370

4185017 BONE FIBULA SHAFT SM 2137

4185018 BONE FIBULA SHAFT LG 2418

4185020 IMPLANT CHIN 834

4185021 INTRODUCER COOK 185

4185022 TUBING OSTEON 336

4185023 CORNEA PROSTHESIS GRP 2 26400

4185024 STOCKING,DVT COMPRESSION 466

4185026 BRACE, ANKLE, AIR 228

4185027 ACUAIR OVERLAY DAILY 282

4185028 TIP MULTI-ORFICE 109

4185029 SET IRRIGATION EXCEL 250

4185030 GUIDEWIRE WHOLEY GRP 1 580

4185031 LIGACLIP APPLIER 460

4185032 WRAP, KNEE ARTHOSCOPY 228

4185033 TUBE ENDO R.A.E. 98

4185034 MULLINS SHEATH 607

4185035 EPILOCK 22

4185038 HYGENIQQQUE, SITZ BATH 201

4185039 PASSY-MUIR SPEAKING VALUE 142

4185040 TRANSDUCER PEDIATRIC 109

4185041 SHOULDER PULLEY 93

4185042 OXISENSOR II 82

4185043 CLEANSER WOUND 16OZ 44

4185044 TRAY CATH PER-Q 288

4185045 INTRODUCER FAST CATH 223

4185046 DURA FILM 228

4185047 GRAFT GORE-TEX SHORT 1715

4185048 BUTTON 17

4185049 TUBE ENDOTRACH BRONCH RT 336

4185050 TUBE ENDOTRACH BRONCH LFT 282

4185051 KARICHAFF KERTASCOPE 44

4185052 KEEL LARYNGEAL UMBRELLA 369

4185053 LASER FILTER 44

4185054 LDS RELOAD UNITS 487

4185055 SYRINGE CONTROL 10CC 12

4185056 SYRINGE TOOMY 17

4185057 LDS POWER STAPLER 909

4185058 CUTTER LINEAR GRP 1 904

4185059 RELOAD UNIT THICK TISSUE 629

4185060 INFLATOR LEVEEN O GAUGE 190


4185062 RELOAD UNIT CUTTER 75 509

4185063 VITAL PORT DUAL 2456

4185064 CEMENT INJECTOR 136

4185065 CEMENT PRESSURIZER 136

4185066 BLADE NERVE STRAIGHT 35MM 44

4185067 NEEDLE BX LUNG ZAVALA 44

4185068 BOVIE TIP TEFLON 34

4185069 BOVIE EXTENSION 17

4185070 BOVIE HANDCONTROL PENCIL 130

4185071 BOVIE TUR CORD 22

4185072 BIOPSY BRUSH GU COOK 250

4185073 BIOPSY FORCEPS GU COOK 487

4185074 CATH ARTERIAL KIT 49

4185075 ANGIOCATH 93

4185076 ANGIOGRAPHIC CATHETER COOK 44

4185077 CEMENT INJECTOR RICHARDS 115

4185078 TRAY NERVE BLOCK 82

4185079 MENISECTOMY MINI KIT 201

4185080 MENISECTOMY MENDER 401

4185081 MENISECTOMY CUTTER 185

4185082 T-TUBE WHELAN MOSS 98

4185084 NEEDLE INSULATED AX BLOCK 44

4185085 PROTHESIS, EAR, GRP 5 1839

4185086 FOAM PAD AIR CRADLE 49

4185087 PACKING POPE NASAL 109

4185088 PACKING SINUS INDOSCOPY 44

4185089 PIN SPAD TIP ACUFEX 548

4185090 CLAMP COVERS 17

4185091 CLIPPER HEAD 3M 17

4185092 EVACUATOR SMOKE SUN MEDIC 250

4185093 PAD SWISS EYE 34

4185094 CATH DIALYSIS VAS CATH 806

4185095 NEEDLE SPINAL 6 INCHES 44

4185096 STAYS ELASTIC 282

4185097 REAMER CALIBRATED 666

4185098 SPONGES BICOL COLLAGEN 66

4185099 TEETH GUARDS 17

4185100 BRACE S.O.M.I. 1839

4185101 DISSECTOR CVD 315

4185102 BRACE TAYLOR BACK 1001

4185103 WRIST FIXATOR W/SCREWS/ROD 7659

4185104 GRAFT AORTIC RMT 47570

4185105 GRAFT LIMB PXC 19513

4185106 STENT RESONANCE 4793

4185107 CATH EXPORT ASPIRATION 3311

4185109 PROBE BALL TIP 3928

4185110 KNIFE DISP BAYONET 2483

4185111 SCREW XIA GRP 1 3635

4185112 SCREW XIA GRP 2 3987

4185113 SCREW XIA GRP 3 4732

4185114 CROSSLINK XIA GRP 2 4462

4185115 DUAL STAPLE XIA SM 2867

4185116 DUAL STAPLE XIA LG 3348

4185117 HOOK SPINAL XIA VAR SZ 2170

4185120 ROD VITALLIUM 2732

4185121 ENSEAL TISSUE SEALERS 2131

4185122 BB-TAK THREADED 358

4185123 SCREW POLY GRP 2 4452

4185124 ROD TRANSITION 7139

4185125 NAIL GRP 5 8837


4185127 PROBE/GUIDEWIRE NEURO 1088

4185128 DILATOR PROBE 2856

4185129 NEURO LEAD BLANK 185


4185132 GRAFTJACKET 4 X 8 14413

4185133 GRAFTJACKET 4 X 4 7205

4185134 BLADE SP2 PATELLA PLANER 866


4185136 SILICONE SLEEVE 1271

4185137 SURGICAL ILLUMINATOR 1271

4185138 THERA PUTTY CUP 34

4185140 BASEPLATE SHOULDER GRP 2 9460

4185141 THERABAND 34

4185142 TUBIGRIP 12

4185143 STEM HUMERAL GRP 2 18040

4185152 PASTE,POLYTEF 1770

4185154 TAPE CASTING 2IN 3M 82

4185155 CARDIAC PACING EXTERNAL 352

4185156 ENDOCATH 304

4185157 GRAFT ATRIUM SHORT 1374

4185160 BAG ENEMA PEDIATRIC 17

4185162 BANDAGE COBAN STERILE EA 55

4185164 TRAY PNEUMOTHORAX 585

4185165 STRETCHNET PER FT ALL SZS 17

4185167 LENS, MORGAN 115

4185168 THORACIC TROCAR 115

4185169 KIT MINI NERVE BLOCK 185

4185171 CPM THERAPY DAILY 201

4185174 TRANSFER PACK 115


4185176 CATHETER TENCHOFF 304

4185177 SUTURE MONOCRYL GRP 1 22

4185178 FINESSE LOOP/BALL ELECTRO 71

4185179 FINESSE PEN 34

4185182 INFUSOR, PRESSURE DISP 174

4185183 PANTS PROMISE 22

4185184 NEEDLE, NEURO-TRACE 44

4185185 TRAY, V-CATH NSY 169

4185186 ENDOSTAT SCULPTURE TIP HP 1148

4185187 ENDOSTAT SCULPTURE TIP 1023

4185188 ENDOSTAT PLAIN LASER FIBR 764

4185189 CREAM SWEEN 22

4185190 OINTMENT PERI CARE 22

4185191 FAST PATCH 44

4185201 FINESSE PAD 44

4185202 GRAFT VELEX WOVEN 1742

4185203 CATH CARRIER JUGLAR 855

4185204 CATH CARRIER FEMORAL 855

4185205 CATH BALLOON DIL URO MAX 904

4185206 TREPHINE EYE BLADE 115

4185207 TREPHINE VACUUM HESBURG 233

4185208 KIT ACCESSORY GB SCOPE 1656

4185209 ROD SLEEVE Z 212

4185210 BRIDGES SUTURE RETENTION 44

4185212 TUBING LAPAROSCOPY NEZHAT 347

4185213 BUR CUTTING 1 401

4185214 TUBE MYRINGOTOMY GROMMET 98

4185215 CATHETER RACZ TUN-L 282

4185216 NEEDLE RK RACZ 44

4185217 BLADES SAW 217

4185223 SOLOSITE WOUND JEL 49

4185224 ALLEVYN DRESSING 28

4185230 PENROSE DRAIN TUBE STERIL 44

4185231 POST-OP BACK BOOK 12

4185232 FEMOSTOP 460

4185233 SET PNEUMOTHORAX 331

4185234 BRACE JEWETT 1482

4185235 CORSET LUMBAR SACRAL 428

4185236 JACKET MOLDED BODY 2202

4185237 BRACE KNEE EZY WRAP ALL SZ 558

4185238 CANNULA CORONARY 98

4185239 BLADE SHORT 412

4185240 EXTERNAL FIXATOR 15068

4185241 CAIRPAD 22

4185242 SPLINT BUCK TRACTION XLF 282

4185243 CLEANSER DERMAL WOUND 34

4185244 WAFER SKIN PROTECT 12X12 82

4185245 SLING ARM XLG 49

4185247 BAG-U STRL 24 HR NEWBORN 17

4185248 ALLODERM GRP 1 (19.3x9.6) (185 sq cm) 120

4185249 SPLINT WRIST COCKUP XLG R 174

4185252 CORSET TLSD 2840

4185253 SUPPORT BACK LS CORST 412

4185254 SPLINT AFO 493

4185256 MESH PERFIX PLUG LARGE 629

4185257 CORD DAC BOVIE 76

4185258 TROCAR BLUNT TIP ORIGIN 812

4185259 TROCAR BALLOON ORIGIN 1715

4185260 BAG CYSTO SEIMEN 66

4185262 SUTURE MONOCRYL GRP 2 152

4185263 ACUCLIP 720

4185264 MESH PERFIX MEDIUM PLUG 656

4185265 DRAINAGE CATH 460

4185266 STAPLE RELOAD GIA 1121

4185267 ADHESIVE SILASTIC MEDICAL 93


4185269 ALGOLINE NEURO CATH 1602


4185271 FILLAFORMS 472

4185272 FOLLOWERS 575

4185273 OXIHOOD INFANT LG 66

4185274 CHANNEL FLEX SPINAL SCOPE 4528

4185275 SPACE SAVER 1034

4185276 SUTURE POLYSORB 44

4185277 SUTURE SURGIDAC 34

4185278 EPIDURAL ANES KIT 142

4185279 SUTURE VICRYL I 34

4185280 NEEDLE JAMSHIDI BONE BX 98

4185281 NEEDLE CHIBA 44

4185282 LIGACLIP ALLPORT 769

4185283 ENDO CLOSE 169

4185285 NEEDLE INTRODUCER 17

4185286 NEEDLE REGIONAL BLOCK 17

4185287 CATH JELCO 44

4185288 SCREW SHAFT 98

4185289 APPROXIMATOR VAS-STAT 49

4185290 SET TRIFLUID 22

4185291 CAP PROTECTIVE 352

4185292 LUQUE WIRE LOOPS 93

4185293 BOLT DANEK 1126

4185294 BONE COLLAGRAFT 7020

4185295 BONE MATRIX 6426

4185296 BUR CEBOTOME 298

4185297 RADIONICS CANNULA 120

4185298 CROSSBAR RICHARDS 688

4185299 CROSSLINK DANEK 1190

4185301 CUP BIPOLAR Z 2089

4185302 DRAIN LUMBAR 1050

4185303 ZIMMER INSTRUMENT FEE 1148


4185305 ACETABULAR COMPONET Z6610 2424

4185306 HOOK DANEK 904

4185307 HOOK OFFSET DANEK 1342

4185363 SYRINGE EPIDURAL 17

4185364 KIT TUM-E VAC LAVAGE 190

4185365 COSTAL CARTILAGE 2224

4185370 DURA-PREP SYRINGE 34

4185371 SMART NEEDLE 390

4185373 SHEATH, LONG 158

4185374 DRESSING LARGE 49

4185376 OBTURATOR 44

4185401 SCREW TITANIUM 369



4185404 NEURO DELTA SHUNT 2521

4185405 NEURO SNAP DOME 514

4185406 NEURO VENTRICULAR CATH GRP 1 791

4185407 BONE MATRIX/1 1900

4185408 MORSE-Y-ADAPTER 71

4185409 MINICAP TRANSFERE SET 190

4185410 NEURO DELTA VALUED 2137

4185411 NEURO BECKER CATH KIT 671

4185412 NEEDLE BIOPSY ASAP 288

4185413 SCOPE CHANNEL FLEX 4273

4185414 NEURO PEN 1947

4185420 PILLOW AB TENSION 1153

4185430 SPICA HIP BILATERAL 1169

4185440 SPICA HIP UNILATERAL 401

4185460 SPICA SHOULDER BILATERIAL 715

4185461 CELL SAVER PACK 460

4185462 CELL SAVER A & A 115

4185463 CELL SAVER RESERVIOR 315

4185464 BRACE SHOULDER DONJOY 1007

4185465 MASK EYE SWISS THERAPY 34

4185466 PNEUMOTHORAX SET 720

4185467 EASY CAP 71

4185493 NEEDLE, INTRAOSSEOUS DSP 93

4185495 LEVEEN INFLATOR GAUGE 255

4185496 NEEDLE RADIONICS 174

4185497 SURGIVIEW O 2089

4185498 ENDOKNOT 130

4185499 ENDO STITCH 271

4185500 BLADE DISP LARYNGOSCOPE 34

4185501 TUBING BAIR HUGGER FLUID 49

4185502 BARD UNIVERSAL SET 17

4185503 OPTI GUARD EYE 22

4185504 J LOOP 12

4185505 ENDO CATCH 834

4185506 OPTI VIEW 401

4185507 GRASPER BABCOCK, DISPOSABLE 482

4185508 ABD PAD EACH 12

4185509 HANDLE DISP LARYNGOSCOPE 17

4185510 GRAFT KNITTED BIFURCAED 2889

4185511 GRAFT WOVEN BIFURCATED 1169

4185512 GRAFT WOVEN STRAIGHT 6/18 893

4185513 GRAFT WOVEN STRAIGHT 20/30 958

4185514 GRAFT PTFE STRAIGHT 10CM 947





4185519 PTFE FLEX 80 CM 3451

4185520 GRAFT PTFE FLEX TW TAPER 3272

4185521 PATCH CV PTFE 10X90 396

4185522 GRAFT PTFE CENTERFLEX 2975

4185523 GRAFT PTFE STEPPED C-FLEX 2353

4185524 GRAFT PTFE THINWALL 10CM 617





4185538 LYMPHAZURIN DYE 190

4185539 BLADE ARTHROSCOPY HELICUT 331

4185552 PACK CUSTOM TOTAL JOINT 369

4185553 PAIN CONTROL PUMP 828

4185554 ADCON-L 1802

4185555 ARTERIAL/VENOUS CATH SET 44

4185556 IRRIGATION CASSETTE HUMMR 120

4185557 CUTTER AGGRESSIVE STRYKER 363

4185558 SWITCH BLADE SCISSOR TIPS 169

4185559 TUBING IRRIGATOR NEIZHAT 169

4185560 TISSUE TACKER 953

4185561 NEEDLE WHITACRE/EPIDURAL 49

4185579 SUTURE SURGIPRO 22

4185588 SET BLOOD COLLECTION 12

4185589 MASK 02 VENTURI 17

4185590 INFUSE-A-PORT 4576

4185592 KIT, PAIN REFILL 136

4185593 KIT NEWBORN DIAPER BAG 93

4185594 BLADDER, SCAN 450

4185595 GRADUFEED 60ML 12

4185596 HARMONIC SCALPEL ADAPTER 142

4185597 HARMONIC SCALPEL HAND PIECE 212

4185600 CATH LUMBAR DRAINAGE 1423


4185603 WIRE EXT (ADDWIRE) 450

4185605 RODS TENDON 493

4185607 DRAIN HAND PETITE 130

4185608 PIN ALIGNMENT 580

4185609 HIP MODULAR BODY 19325

4185610 STEM FEMORAL 11335

4185611 SUTURE ANCHOR GRP 2 385

4185612 HALO/VEST CERV.TRACT SYS 10779

4185615 CAROTID WALL STENT 10855

4185616 NEBULIZER UPMIST 17

4185617 SPIROMETER INCENTIVE 115

4185618 MASK OXYGEN/1 17

4185619 MASK ADULT AEROSOL 17

4185620 MASK PED AEROSOL 17

4185621 MASK ADULT TRACH. 17

4185622 MASK, OXYGEN ADULT 17

4185623 MASK PED OXYGEN ELONG. 17

4185624 MASK NON-REBREATHING 17

4185630 SET LEVEL I SLOW 169

4185631 SET LEVEL I RAPID 255

4185632 SET LEVEL I HOT LINE 55

4185635 PCA EXTENSION SET 17

4185636 PCA Y SET 22

4185638 PRESSURE TUBING 72" 17

4185639 CONNECTOR 3 WAY Y 17

4185640 ADAPTER O2 U-CONNECT-IT 12

4185641 BLOOD WARMING COIL 22

4185642 SET CAPD SOLUTION TRANS 130

4185700 TRAY AMNIOCENTESIS 228

4185701 TRAY CONT.EPIDURAL ANESTHESIA 460

4185702 TRAY CONT.EPIDUAL DBLDECK 639

4185703 TRAY LUMBAR PUNCTURE ADULT 412

4185704 TRAY LUMBAR PUNCTURE INFANT 401

4185705 TRAY NERVE BLOCK/1 190

4185706 TRAY PARACERVICAL PUNDEN.BLOCK 136

4185707 TRAY PERITONEAL DIALYSIS 649

4185708 TRAY SPINE PENCAN P25LBTK TRIP 304

4185709 TRAY SPINAL W LIDOCAINE 255

4185710 TRAY SPINAL W TETRACAINE 142

4185713 TRAY SUBCLAVIAN DRESS CHANGE 44

4185714 TRAY THORACENTESIS W/CATHETER 548

4185715 TRAY THORACENTESIS W/NEEDLE 428

4185720 BLADE LINVATEC 163

4185721 PACK KEMP CUSTOM 130

4185722 NEEDLE SUTURE DOUBLE ARM 115

4185723 MINI QUICK ANCHOR 1569

4185724 PANALOK QUICK ANCHOR PLUS 1770

4185771 CAST. LEG WITH KNEE 487

4185772 BARRIER FILM 3M 5 EACH 17

4185795 PROTECTOR HEEL/ELBOW 10

4185796 CAST LEG STOVEPIPE 201

4185805 SYNERGY PULSE GENERATOR KIT 69358

4185820 ADAPTOR CATH MULTI PURPOSE 17

4185821 HEMOCLIPS/PER PKG 98

4185822 KIT, VIVONEX JEJUNOSTOMY 401

4185826 WIRE, TONSIL SNARE PKG 2 17

4185829 GLENOID COMPONENT REVISION 18810

4185830 METAPHYSIS SHOULDER COMP 18965

4185900 INSERT SHOULDER 4840

4185901 CONTRAST 100-199MG/ML 5

4185902 CONTRAST 200-299MG/ML 5

4185903 CONTRAST 300-399MG/ML 5

4185904 MESH ULTRAPRO GRP 1 300

4185905 MESH ULTRAPRO GRP 2 400

4185906 PIN DOCKING 2335

4185907 GLASS CANNULA FOR DMEK 615

4185930 RECTAL KIT 17

4185960 REPAIR KIT 710

4185964 RESTRAINT LIM PERSONAL 17

4185965 RESTRAINTS WRIST ANKLE PR 136


4186001 SCREW SCHANZ GRP 1 315

4186002 ADAPTER TRACH FLEX TUBE 17


4186004 SCREW SACRAL 991

4186005 PACEMAKER SERVICE KIT 217

4186006 ADAPTOR TENKOF TITANIUM 812

4186007 CENTRALIZER HIP Z 298



4186010 CLAMP CORD DISP UMBILICAL 22


4186012 SCREW NONLOCKING GRP 2 482


4186014 CATH DOUBL LUMI UNBLI 3.5 136

4186015 STEINMANN BOW 428

4186025 GLENOID COMPONENT 7745

4186065 CANNULA UTER APS ALL SZ 55

4186066 LENS OCCUL 715

4186070 SANITARY BELT 17

4186100 MEDICAL SUPPLY 3 EAST 436

4186101 MEDICAL SUPPLY 3 NORTH 195

4186102 MEDICAL SUPPLY 3 WEST 241









4186111 MEDICAL SUPPLY CCU 428

4186112 MEDICAL SUPPLY CVICU 1931

4186113 MEDICAL SUPPLY NURSERY 121

4186114 MEDICAL SUPPLY SICU 818

4186120 SHEEPSKIN 100% GENUINE 401

4186130 SHERMAN SCREWS 49

4186135 SHUNT, HYDROCEPHALUS OR 1347

4186137 CE-COVER LF ST 4X30CM 34

4186150 SITZ BATH DISPOSABLE 44

4186153 FILTER, PALL HME 49

4186154 CANULLA PED. NASAL 12

4186156 FASTNER ROC EZ 666

4186170 MEDICAL SUPPLIES LEVEL I 17

4186171 MEDICAL SUPPLIES LEVEL II 55

4186172 MEDICAL SUPPLIES LEVEL III 255

4186173 MEDICAL SUPPLIES LEVEL IV 331

4186174 MEDICAL SUPPLIES LEVEL V 460

4186175 MEDICAL SUPPLIES REVISIT 34

4186176 MEDICAL SUPPLY LEVEL VI 585

4186180 MEDICAL SUPPLIES AMB SURG 1190

4186185 MEDICAL SUPPLIES ENDO 98




4186190 MEDICAL SUPPLIES O/P TREAT 136

4186191 PLATE NEURO SHUNT 531

4186192 PLATE BUR HOLE GRP 1 526



4186195 SCREW CENTER DRIVE 01-7205 239

4186196 CLEAR TRAC CANNULA 109

4186197 SECURE STRAND INTERSPINOUS 904

4186198 LASE ROOT DECOMPRESSION KIT 3456

4186199 CATH INTRADISCAL 902002 2202

4186200 SUTURE GRASPER 1072

4186201 SUTURE WIRE ZIMMER 88

4186202 SLING SWATH-ALL ORTHO 212

4186203 CUTTER ARTICULATING GRP 1 558

4186204 CATH BACTISEAL VENTRICULAR 1775

4186205 BLADE SHAVER 487


4186207 PENILE PROSTHESIS AMS650 5171

4186208 CATH URO MAX 20 1423

4186209 RING MITRAL 4760

4186210 SMITH PETERSON NAIL 320

4186211 TORONTO SPV VALVES SPA 25224


4186213 SCREW PARTIAL THREAD 2380

4186214 MYCARDIAL NEEDLE PROBE 2124 66

4186215 PRONE VIEW CUSHION INSERT/1 93


4186217 RETROACT-O-TAPE 22

4186218 CATH PANDA JEJUNOSTOMY 233

4186219 SHEATH DIALYSIS 363

4186220 RETRACTOR SINGLE SITE 3143

4186221 BIA IMPLANT 14257

4186222 CATH DIALYSIS 1996

4186310 DISTRACTION PIN 14MM SS STERILE 260

4186350 TUNNLER BULLET TIP 93


4186352 WASHER GRP 4 568

4186353 SLEEVE LOCKING 1640

4186354 RASP 1001

4186355 WRIST EXTERNAL FIXATION 1974

4186356 NEEDLE NITINOL SUTUREWIRE 331

4186357 SCREW BIO-TENODESIS GRP 1 1440

4186358 FOCALSEAL APPLICATOR KIT 169

4186359 NUT 823

4186360 CANNULA NASAL MAX-SAFE 17

4186361 CATH NEOPICC 472

4186362 PROLONG NERVE BLOCK SET 163

4186363 PACKING RAPID RHINO 158

4186364 DRESSING GLUCAN 228

4186365 BONE PRO OSTEON 10X10X40 3852

4186366 SCISSOR TIPS 196

4186367 TISSUE EXPANDER FILL KIT 55

4186368 PLEDGET 12

4186369 ELECTRODE ROLLING BALL 136

4186370 ELECTRODE FAST PATCH UTAH 44

4186371 SUTURE EXPRESSEN 401

4186372 QUICK ANCHOR 882

4186374 THERMA CHOICE III 1927

4186375 NAIL TFN GRP 1 9519

4186376 STENT ZILVER BILLIARY 2623

4186377 BLADE TROCANTERIC HELICAL 3619

4186378 NAIL TIBIAL GRP 1 6280

4186379 TUBE TRACHEAL NASAL RAE 55

4186380 KYPHON PACK 18680

4186381 KYPHON XPANDER 12353

4186382 CALCEON 6 20CC 2018


4186384 VALVE HEIMLICK 49

4186385 DRESSING MEDISKIN 71

4186386 TRACH XLT PROXIMAL 309

4186387 TRACH XLT DISTAL 309

4186388 SLEEVE ADJUSTMENT 6942 531

4186389 SUTURE CAPTURING DEVICE 1169

4186390 FECAL MANAGEMENT SYSTEM 877

4186391 PACK UNIVERSAL 109

4186392 BONE CANCELLOUS CRUSHED 3333

4186393 BONE CLOWARD DOWEL 1785

4186394 PERCLOSE PROGLIDE 12673 49

4186395 SNARE POLYPECTOMY 49

4186396 VASOVIEW UNIPORT 1418

4186397 VASOVIEW BISECTOR 450

4186398 VASOVIEW BLUNT TROCAR 401

4186399 TUBING INFLO/OUTFLO 158

4186469 APPLICATOR LAPAROSCOPIC 0600125 282

4186480 SPLINT THOMAS 909

4186510 SPLINT BASEBALL 44

4186520 SPLINT BASEBALL PAD 49

4186540 CATH PICC TRAY 1185

4186541 TUBE GASTROSTOMY BALLARD 499

4186542 SPLINT CLAVICLE YOUTH ZIM 163

4186543 SHUNT VALVE HAKIM 6972

4186544 COLLAGEN MATRIX UROLOGY 1959

4186545 VESICA INSITU SLING 1553

4186546 TUBE ENTERAL FEEDING ROSS 49

4186547 BONE BICORTICAL ILIUM PLUG 1305

4186548 NASAL STENT KENNEDY 136

4186549 DURAGEN 1 X 3 877

4186550 BLADE TURBINATE 1012

4186551 SUTURING SYS SMALL JOINT 396

4186552 DIGIT TRAP 44

4186553 STYLET STEERABLE LOCATOR 487

4186554 TRACER - CEMENT OPACIFIER 255

4186555 SCREW ACUTRAK FIXATION 1640

4186556 PACK AMBRUS EAR 49

4186557 DURAGEN PLUS 3 X 3 1839

4186558 NEEDLE CRAWFORD 17

4186559 IMPLANT THYROPLASTY 1072

4186560 FIBERWIRE ARTHREX 163

4186561 KIT CATH ACCESS PORT NEURO 93

4186562 KIT MALE SLING AMS 4928

4186563 ENDOPROSTHESIS UROLUME 23812

4186564 PLATE GRP 22 958

4186565 SCREW GAMMA GRP 1 656

4186566 SCREW GAMMA GRP 2 774

4186567 ROTHNET RETRIVAL DEVICE 239

4186568 SYRINGE INFLATION ALLIANCE 120

4186570 LIGATOR 7-BAND 936

4186571 CLIP RESOLUTION 806

4186590 SPLINT ELBOW POSTERIOR 185

4186600 SPLINT FOREARM POSTERIOR 239

4186610 SPLINT FINGER 49

4186650 SPLINT FINGER T 49

4186690 SPLINT KNEE POSTERIOR 472

4186720 SPLINT NASAL 61

4186725 STEM 03 MRH-350-03-WW 10222

4186750 SPLINT SPEED HAND 120

4186760 SPLINT THUMB/FINGER 136

4186800 SPLINT TIBIA FIBULA POST 439

4186820 SPLINT UTILITY W/ZIM PAD 44

4186830 SPLINT WRIST ELASTIC 66

4186835 SPONGE 2X2 PAK 2 12

4186840 SPONGE COV 4X3 STERI 17

4186845 SPONGE GAUZE 2X2 PK 6 12

4186850 SPONGE GAUZE 4X4 PAK 2 17

4186860 SPONGE GAUZE 4X4 PAK 10 44

4186885 SPONGE KERLIX 2585 12

4186891 STAPLER, ROTATING HEAD 103

4186892 STAPLER, SKIN 35R & 35W 39

4186930 HOLMIUM MICRON FIBER 200 66



4186940 STOCKINGNET PER YARD 22

4186950 STRAP CLAVICLE 201

4186975 STRAP MONTGOMERY 17

4186980 FORCEPS DELIVERY 115

4186983 VACUUM EXTRACTOR 174

4186984 BAG, AMBU 217

4186985 TUBE 02 CONNECTING 17

4186995 SUCTION KIT DISPOSABLE 44

4186996 SUCTION KIT DISP X 5 174

4187003 DEXTROSE 5% WATER 250ML 55

4187004 DEXTROSE 5% WATER 500ML 98

4187012 DEXTROSE 5% 1/2 NS 500ML 7

4187013 DEXTROSE 5% 1/2 NS 1000ML 7

4187021 DEXTROSE 5% LR 500ML 7

4187027 LACTATED RINGERS IV 250ML 55

4187028 LACTATED RINGERS IV 500ML 98

4187029 LACTATED RINGERS 1000ML 115

4187038 SALINE NORMAL 0.9% IV 115

4187039 STENT GRAFT AORTIC 48760

4187040 STENT GRAFT CONTRALATERAL 19989

4187041 GRAFT VASC GRP 5 5280

4187042 NAIL RAFN GRP 2 10189

4187050 SUPPORT KNEE HINGED 3813

4187057 IV SET PRIMARY MICRODRIP 22

4187060 SUPPORT SACRAL 396

4187062 IV SET PRIMARY 22

4187069 WATER FOR IRRIG 500ML 98

4187070 SUPPORT SACRO-LUMBAR 553

4187071 SODIUM CL 0.9% INJ 10ML 34

4187072 OUTLET PORT CLAMP 44

4187073 LIDOCAINE 2% UROJET 10ML 39

4187074 BUTTERFLY 21GX3/4 12" TUBE 12

4187075 FORCEPS BIOPSY PULMONARY 260

4187080 SUPPORT SACRAL/P-STRAPS 331

4187112 CATH SET SUBCLAV/JUG 201

4187130 SUTURE REMOVAL KIT 22

4187134 1/2 NORMAL SALINE 500ML 7

4187140 LACERATION TRAY 98

4187155 SYRINGE ASEPTO 34

4187199 CERVICAL TRACTION-OVER DOOR 66

4187320 TESTICULAR PROSTHESIS 7854

4187400 HICKMAN CATHETER DUAL 752

4187419 SYRINGE 60CC LL 12

4187516 TRAY CAUDAL CONT 163

4187520 TRAY CHEST DRAINAGE 250

4187550 TRAY EXCHANGE TRANSFUSION 255

4187560 TRAY EYE DRESSING 22

4187570 TRAY FOLEY W/O CATH SETUP 130

4187590 TRAY IRRIGATION DISP 34

4187610 TRAY LUMBAR PUNCTURE 834

4187620 TRAY PARACENTESIS 298

4187670 TRAY TRACHEOSTOMY CLEAN 44

4187674 FELT ORTHO PER FOOT 115

4187675 TRAY UMBILICAL CATH OB 217

4187720 BAG TUBE FEEDING ANY SZ 1 17

4187721 TUBE T DRAIN ANY SIZE 44

4187723 TUBE ENDO 20FR 5MM MURPHY 22

4187731 TUBE TRACH PED ALL SIZES 320

4187870 BAG URINARY LEG ANY SIZES 44

4187895 URI-METER DISP/BARD 130

4187946 VEIN STRIPPER DISPOSABLE 130

4187950 VENOUS ARTERIAL PRESS SET 66

4188025 SWEEN-A-PEEL 12X12 190

4188026 CORD, BIPOLAR, DISP 49

4188100 BANDAGE WEBRIL STERILE 22

4188110 SUTURE STEEL IV 109

4188142 SLEEVE, POSEY FREEDOM SM 142

4188143 SLEEVE, POSEY FREEDOM MED 130

4188253 BAG ICE DISPOSABLE ALL 22

4188274 SKIN MARKER W/RULER 22

4188276 SUPPORTS SCROTAL ALL SIZE 44

4188278 HEALING CAP COCHLEAR 185

4188281 SPLINTS ABDUCTION 666

4188283 TUBE TRACH ALL SIZES 244

4188284 TUBE ENDOTRACH 8MM 49

4188285 STAPLE REMOVER SKIN 49

4188289 CLOSURES STRIP SKIN STERI 22

4188318 CATH SWAN GAZ TERMO 174

4188319 CATH SWAN GANZ TRL/LUMBAR 548

4188322 IMMOBILIZER WRIST ANKLE 71

4188323 INTRODUCER, CATH SHEATH 320

4188332 TRANSDUCER QUAD CUSTOM/1 747

4188431 BAG ICE TONSILLECTOMY 120

4188435 BAG URINARY 4000CC 55

4188436 BAG URINARY DIV BONGART 17

4188437 BANDAGE COBAN ANY SIZE 22

4188438 BANDAGE ELASTOPLAST ALL 82


4188442 CATH FOLEY AN 3CC 136

4188443 CATH CHOLANGIOGRAMT TAUT 98

4188444 CATH URETHRA WHISTLE TIP 71

4188445 CATH WORD 10FR 93

4188446 CATHETER BIPOLAR ANY SIZE 806

4188447 CATHETER SWAN GANZ 5FR 791

4188448 CATHETER SWANGANZ R HEART 531

4188450 CATH SILASTIC ANY SIZE 55

4188453 DRAIN JACK - PRAT FLAT 239

4188454 DRAIN JACK-PRAT ROUND 169

4188455 RESERVOIR JACK-PRAT 66

4188459 HEMOVAC DRAIN ANY SIZE 433

4188462 KIT CRUTCH 17

4188464 PACKING NASAL BALLOON EPI 548

4188465 BACK PAD-EKG 44

4188466 PAD RING ZIMMER 212

4188467 SLING KODEL ZIMMER 3 SET 575

4188468 PAD FOOT KODEL 82

4188490 PAD CONVULTED OB X 2 44

4188492 TRAY BONE MARROW DISP 260

4188494 TRAY SUTURE REMOVAL 98

4188496 TRAY BONE MORROW 315

4188507 TRAY FEMORAL CATH DIALYS 190

4188508 TRAY INTERCOSTAL BLK 82

4188525 TRAY VAG EXPLORATORY PK 120

4188532 TRANSDUCER SINGLE/1 747

4188546 PIN RUSH LARGE 288

4188547 PIN RUSH MEDIUM 352

4188548 PIN RUSH SMALL 228

4188549 PIN RUSH EXTRA SMALL 201

4188550 COLLAR, PHIL/ANY SIZE 66

4188551 SPLINT C 4X15 CUTTER 115



4188555 TRAP MUCOUS DE E LE DISP 17

4188558 BODY ALIGNER SPAN -AIDE 130

4188566 TUBE W/BAG CANTOR INTST12 472

4188567 TUBE W/BAG CANTOR INTST16 255

4188570 STRAP CATHER LEG 44

4188571 TUBING INSUFFLATION SP102 34

4188572 NEPHROMAX CATHETER 1175

4188573 MENISCAL CINCH 1359

4188574 INSERT TIBIAL 7399

4188575 SURGIFLO 8ML 920

4188577 PLATE LCP GRP 23 8437

4188578 ZIPWIRE GRP 1 217

4188579 ATRICLIP LAA EXCL SYS 4760

4188580 ATRICURE CRYO-ABL PROBE 9995

4188581 EXTENSION SPINAL 974

4188582 REPOSITIONING SLEEVE 406500 28

4188586 AUTO SUTURE GIA EACH 2316

4188587 BAG HYDROJUST DRG UROLG 66

4188588 LIGATING CLIP VAR SZ 44

4188589 LIGACLIP EACH LC 400 82

4188590 OCUTONE KIT 369

4188591 PROBE FOGARTY BILLRY BALN 423

4188592 TUBE BYPASS CAROTOID USCI 115

4188594 BOLT WEBB ZIM 120

4188596 BOWL DISP STRL MIX ZIM 49


4188599 WIPES MEROCEL INSTRUMENT 22

4188601 BLADE GIGLI/SAW 71

4188602 BOUGIE A BOUE ANY SIZE 82

4188603 CONNECTOR ACCU FLO STR 82 309

4188604 DRAIN AXION DUAL SUMP SIL 201

4188605 INTRODUCER STAT LSU 2 LSB 201

4188606 STOCKINGNET BARIET IMPRVS 93

4188607 SYRINGE CEMENT HARRIS 130

4188608 SYRINGE MEDULLORY PLUG 82

4188609 RESERVIOR BROD TWIN FLUSH 336

4188610 BRUSH CYTOLOGY 98

4188611 BRUSH MICROBIO SPECIMEN 233

4188612 FILTER MILLIPORE EACH 17

4188613 KNIFE MYRINGOTOMY DISP 109

4188614 SURGICLIP EACH 639

4188615 CRUTCHES-PER PAIR 120

4188657 SHEETING SILASTIC 34

4188658 SPLINT ABDUCTION ABV KNEE 575

4188659 SPLINT ABDUCTION BLW KNEE 320

4188661 LOOP CUTTING/TUR 282

4188662 PRESSURE MONITORING SET400 169

4188664 STRIP POLY TRAC 2-2 5"ZM 44

4188665 PADS DERMAL SPENCO 3/16 34

4188666 PADS DERMAL SPENCO 1/2 " 55

4188667 HOLLIHESIVE SKIN BR 4X4 115

4188668 HOLLIHESIVE SKIN BR 8X8 44

4188669 TRAY FOLEY W/CATH 158

4188670 SPLINT BRADY 460

4188672 INTRODUCER SORENSON 136

4188673 SUCTION CURRETAGE 1320

4188674 FELT ORTHO PER FOOT/1 115

4188676 SLING ARM CLOTH 764 SERIE 49

4188678 SLING ARM DISPOSABLE 34

4188680 CATH TRANSLUMINAL DILAT 764

4188681 ORTHO FRAME DAILY USE 115

4188683 PAD DEFIB 66

4188685 CATH URETERAL BLASS SPIRL 93

4188686 CATH URETERAL CONE TIP 115

4188687 CATH URETERAL OLIVE TIP 109

4188689 DURA FILM ACCU FLO 558

4188690 BRUSH INTERMEDULLARY EACH 109

4188691 BLADE BEAVER EACH 71

4188692 BLADE BEAVER EYE KNIFE 169

4188693 PILLOW ABDUCTION SET UP 239

4188694 BOARD ARM INFANT 17

4188698 K-THERMIA REPLACEMENT 369

4188700 DIRECTIONAL FLOW CONTROL 142

4188701 DERMACARRIER 66

4188702 CERVICAL DISK 19800

4188703 CATH SPLIT VALVE MED/1312 1266

4188704 CATH SWANZ GANZ FLOW DIR 3792

4188705 CATH VENTRICULAR PORTNOY 514

4188706 TRAY E N T PLASTIC ER 298

4188707 CUTTING HEAD DAVOL SIMMON 120

4188708 DERMATONE REESE SETUP 617

4188709 BLADE SURGICAL ALL SIZES 34

4188710 ELECTRODE FETAL SCALP 49

4188711 STRAP LEG PLATE H-P 17

4188712 ELECTRODE FETL SCALP W/ST 71

4188713 CATH FOLEY 30CC 3-WAY 152

4188714 ENCO-LOCK-OLYMPIC 93

4188715 TRAY DRESSING CHANGE 44

4188716 SUTURE POLYESTER CV 288

4188717 MERSILENE CV 22

4188718 SUTURE POLYPROPYLENE I 44

4188719 SUTURE SILK I 22

4188720 SUTURE CARDIOVASC SURGILN 98

4188721 SUTURE SURGILON 34

4188722 SUTURE SILK IV 136

4188723 SUTURE OPTHAM ALCON NYLON 239

4188724 SUTURE CHROMIC I 22

4188725 SUTURE SILK III 82

4188726 SUTURE OPTHALMIC DG SILK 49

4188727 OPTHALM ETHICN SLK 82

4188728 SUTURE NYLON VI 233

4188729 SUTURE PLAIN II 66

4188730 SUTURE VICRYL V 98

4188731 SUTURE GEN SURG COTTON 17

4188732 SUTURE SILK II 44

4188733 SUTURE CHROMIC II 163

4188734 SUTURE ABSORB DEXON 44

4188735 SUTURE PLAIN I 22

4188736 SUTURE VICRYL IV 66

4188737 SUTURE STEEL III 82

4188738 SUTURE STEEL I 22

4188739 SUTURE STEEL II 44

4188740 SUTURE ETHIBOND 109

4188741 SUTURE NYLON V 98

4188742 SUTURE MERSILENE 136

4188743 SUTURE POLYESTER I 44

4188744 SUTURE POLYPROLENE III 130

4188745 SUTURE POLYDEK 44

4188746 SUTURE NEUROLON 55

4188747 SUTURE TEVDEK 49

4188750 SCISSORS WIRECUTTERS 71

4188751 UNIPAK 1818

4188752 PLATE T GRP 11 3722

4188753 LIGHT FLEXIBLE STRL DISP 120

4188755 GUIDE SHOULDER PIN 125



4188758 PLATE DCP GRP 4 1548


4188760 PLATE BUTTRESS GRP 2 2380

4188761 FOREARM PLATE SPC 472

4188762 SCREW MALLEOLAR 179


4188764 NUT 71

4188765 SEMI-TUBULAR PLATE 255



4188768 PIN SAGE 396

4188769 PIN BERTH 66

4188770 PIN CATHODE EACH 450

4188771 PIN HAGIE EACH 185

4188774 PIN STEIMAN 201

4188775 BAG VI-DRAPE INTESTINAL 98

4188776 BANDAGE GAUZE JIFFY 4X10 17

4188778 GUARDS TEETH 66

4188779 IRRIG SET ARTHROSCPY 4 LED 163

4188781 SPONGE CELL WECK 17

4188782 SPONGE GZE TRIPAQUE 4X4 22

4188783 SPONGE KERLIX LAP 17

4188784 SPONGE KERLIX MINI LAP 17

4188785 TUBE DRAIN ARMSTRONG BLVD. 93

4188787 ABD PADS QTY 6 17

4188788 SUPPORTS JOBST SLEEVE 201

4188792 ADAP KIT BIOPL 3818 472

4188795 AIRWAY ORAL 22

4188796 PRO-TOE IMPLANT SZ SM 1504

4188798 PLATE Y GRP 3 806

4188805 CATH MULTILUMEN VENOUS ST 390

4188810 CAUTERY HIGH TEMP 25

4188815 STOMA LUB HOLLISTER 44

4188819 SODA PRE-PAK SORB 66

4188820 TRACTION KIT SKIN TRAC LG 255

4188822 TUBE LAVACUATOR 36FR 66

4188823 VENTROL SUMP 28FR 109

4188824 ANGIOCATH ALL SIZES 44

4188825 AUTO-SUTURE DISP 617

4188826 BAG BILE 44

4188827 BAG FEEDING DELVRY VIVONX 44

4188830 BELT RIB ZIMFOAM 66

4188831 BELT TRAC PELVIC 98

4188835 BREATHING CIRCUIT IPPB 44

4188837 COLLAR FOAM CERVICAL 44

4188838 CAPITELLUM (ELBOW) 14619

4188841 STEM RADIAL 14494

4188842 HEAD RADIAL 10341

4188843 SHOULDER 7 22131

4188844 SHOULDER 8 30934

4188845 SHOULDER 9 38073

4188846 SHOULDER 10 38073

4188849 SHOULDER 11 42832

4188850 GAUZE TUBULAR 1X15 YDS 66

4188851 KNEE SUPPOR-MED 136

4188852 STYLET INTUBATING 2.5-4.5 22

4188853 TRACTION KIT SKIN 228

4188854 BANDAGE PLASTER ROLL ALL 34

4188857 GASTRIC LAVAGE UNIT 120

4188858 SPLINT CLAVICLE ADULT ZIM 98

4188859 SPLINT THUMB FINGER 158

4188860 TUBE FEEDING/MERCURY 115

4188861 BLAKEMORE TUBE 390

4188862 TUBE TRACH CUFF ALL SIZES 428

4188863 HARNESS PAVLIK 282

4188866 SHOE CAST 158

4188868 MASK INFANT OXYGEN DISP 17

4188869 PRESSURE MONITORIING KIT 98

4188871 BUNNY BOOT COMPLETE 260

4188872 TRAY GASTRIC LAVAGE ER 49

4188873 TUBE ENDOTRACH REINFORCED 331

4188882 SHEETING SILASTIC/501-1 22

4188892 LEAD ATRIAL ENDOCARDIAL 3689

4188893 LEAD VENTRICULAR ENDOCARD 3640

4188894 PENILE PROS PREP PKG 460

4188895 PENILE PROS INFL-DEFL 19983

4188896 GUPP PROS CYLINDER AMBICORE 27246

4188897 GUPP ACCESSORY KT 2402

4188898 GUPP RESERVOR 7020

4188899 PERITONEAL CATHETER 953

4188900 CAST ARM BELOW ELBOW 228



4188903 KNRR PARTIAL CAPPED KIT 18415

4188904 STAPLER 5245

4188905 STAPLER RELOAD GRP 2 5245



4188908 CLAMP EXT. FIXATOR 3495

4188909 OSTOMY BELT ADJUSTABLE 49

4188911 BAG ICE 3" 17

4188912 BAG ICE 5" 17

4188913 BANDAGE KLING 22

4188914 HEAD 24L MRH-350-24L-WW 10216

4188915 BANDAGE ACE ELASTIC LAT FR 22

4188916 RECON HEAD 11055

4188917 BANDAGE ACE 34

4188918 HARMONIC SHEARS 2935

4188919 NEEDLE BIOPSY GUIDE 70

4188923 HUMERAL BONE TISSUE 4715

4188924 CYPASS MICRO STENT SYS 6600

4188926 POST STRAIGHT EXT. FIXATOR 570

4188927 RESTRAINTS VEST MEDIUM 130

4188928 RESTRAINTS VEST LARGE 163

4188929 UROSHEATHS SMALL 34

4188930 UROSHEATHS LARGE 34

4188933 TUBE FEEDING 5 FR 71

4188934 TUBE FEEDING 8 FR 130

4188937 STERI STRIPS 1/8" 22

4188938 STERI STRIPS 1/2" 22

4188940 PADS MATERNITY 22

4188941 LIMB HOLDER PEDIATRIC 347

4188944 CATHETER SUCTION 8 FR 22

4188945 CATHETER SUCTION 18 FR 17

4188946 CATHETER FOLEY 20 FR 44

4188947 VALVE BX SNG USE 22

4188948 TRAIL BLAZER SUPPORT CATH 834

4188949 BAG ICE 8" 17

4188951 DRAINAGE BAG CLOSED 55

4188952 DRAINAGE BAG UNIVERSAL 66

4188954 BAG LEG 44

4188955 BAG ENEMA ADULT 17

4188957 CRUTCH KIT 142

4188958 BONE SUBSTITUTE 7854

4188959 EXPRESS LPLF 7594


4188961 CRUTCHES 71

4188970 STOCKINETTE GRP 1 22

4188971 STOCKNET 3 X 25 YDS 22



4188974 STOCKINGNET 8 X 25 YDS 17

4188975 STOCKINGNET 10 X 25 17

4188976 STOCKINETTE GRP 2 44

4188977 CATH SWANZ GANZ THRMCLN 5 1229

4188978 CATH SWANZ GANZ THRCLN 7 747

4188982 SUTURE NYLON IV 82

4188983 SUTURE GORE TEX 109

4188984 SUTURE NYLON III 66

4188985 SUTURE PDS II 71

4188986 SUTURE TI-CRON 49

4188987 SUTURE T-FLEX 228

4188988 SUTURE VICRYL III 55

4188989 ARMBOARD DISP 17

4188990 SPLINT 17

4188996 SPLINT P/PARIS X-FAST 45 17

4188999 TELFA STERILE PAD 2X3 KDL 22

4189000 PENILE PROS HYDROFLEX EA 19983

4189001 SHOW'RBAG CAST COVER 120

4189006 BAIR HUGGER FULL BODY COVER 22

4189007 CATH UMBILICAL VESSEL 71

4189008 CATH UMBILICAL SILICONE 76

4189009 COLLAR SERPENTINE 39

4189010 COLLAR STIFNECK BABY/CHILD 71

4189011 CO-SET II CONTAINER COOLING 22

4189012 CO-SET II CLOSED INJECT DEL SYS 66

4189013 CUSHION ROCKER CAST BOOT SM/MED 49

4189014 CUSHION ROCKER CAST BOOT LG/X-LG 71

4189015 DRAPE MAX BARRIER W/O BIOPATCH 98

4189016 DRESSING DUODERM 4X4 THIN W/HYDRO 12

4189017 DRESSING DUODERM 6X6 THIN W/HYDRO 17

4189018 BANDAGE ELAS ADHESIVE 2" 44

4189019 DRESSING DUODERM 4X4 SIGNAL HYDRO 17

4189020 DRESSING AQUACEL HYDROFIBER 4X4 17

4189021 TRAY CATHETER COMPLT 16FR 120

4189022 TRAY CATHETER COMPLT 18FR 71

4189023 DRESSING AQUACEL HYDROFIBER ROPE 22

4189024 DRESSING TEGADERM FOAM NONADHESIV 17

4189025 ELEVATOR ARM LG 44

4189026 TRAY CATHETER CMET 14FR 120

4189027 DIAPERS NEWBORN BOX 30 34

4189028 FOLEY STATLOCK CATH SECURE DEVICE 17

4189050 IV SPIKE ADAPTOR 7

4189081 MASK FACE SMALL 44

4189082 MASK FACE MEDIUM 44

4189083 MASK FACE LARGE 44

4189087 TUBE BRONCH CARTERS SZ 41 1305

4189088 TUBE BRON CARERS SIZE 35 1305

4189089 TUBE ANODE 115


4189091 UNIFUSE CATHETER 649

4189092 MARKING CATH ANGIODYNAMIC 223

4189098 MASK BILE OLYMPIC 17

4189099 EYE PD ADL FL OLYMP BIL MK 12

4189102 RUBY COIL 5902

4189106 PLASTIBELL X SM 1.1CM 17

4189107 PLASTIBELL X SM 1.2 CM 22

4189108 PLASTIBELL X SM 1.3 CM 17

4189114 OSTOMY LOOP BRIDGE 49

4189116 IRRIGATION KIT CARE TUBE 190

4189118 DRAIN IRRIGATION STOMA 2 82

4189119 DRAIN IRRIGATION STOMA 4 82

4189121 DRAIN POUCH W/FLNGE 2 3/4 93

4189122 DRAIN POUCH W FLANGE 4" 93

4189123 BARRIER SKIN W F LG 4" 109

4189124 DELIVERY MICROCATH 3432

4189126 DRAIN POUCH W/FLNGE 2 1/4 120

4189128 POUCH SUR-FIT UROSTOMY 115

4189129 OSOTOMY SYSTEM STERILE 82

4189132 BAR SPREADER 9 1/2 LEAD 115

4189133 RUBY COIL DETACHMENT HANDLE 1092

4189134 SPLINT LEG TRAC SMALL 282

4189135 SPLINT LEG TRAC MEDIUM 531

4189136 SPLINT LEG TRAC LG 282

4189137 SPLINT LEG TRAC X-LG 282

4189138 SPLINT LEG TRAC X-SMALL 531

4189139 SLING CANVAS BOHLER SET 5 493

4189141 SUCTION CANISTER 82

4189146 POST 30 DEG ANG EXT. FIXATOR 465

4189157 SPECULUM VAGINAL DISP 12

4189177 CIRCIUT BREATHING 158

4189181 SLING ARM CRADLE SMALL 66

4189183 SLING, ARM LEISURE LG 82

4189186 IRRIGATION SET TUR 4-LEAD 163

4189189 BOWL DISP STERILE MAX 82

4189190 KIT, JEJUNOSTOMY 363

4189191 SPLINT, BI VALUE REUTER 277

4189193 WAFER STOMA W/FLANGE 11/2 136

4189194 WAFER DURAHESIVE 1 3/4 190

4189196 WAFER STOMA LEISURE 23/4 136

4189197 COLOTOMY/ILLEOTOMY SQUIBB 82

4189200 RETRACTOR, SCOTT SURG 460

4189201 SOLUTION CYSTO CONRAY II 130

4189202 SUCTION CURRETAGE OR 233

4189203 VESSEL PAWS, DISP PER/PKG 66

4189204 NEEDLE, ANCHOR SUTURE 61

4189205 CATHERTER, ROB NEL EA 17

4189206 FILTER MONITOR ZIMMER 115

4189207 CATH, THOR RIGHT ANGLE 120

4189208 STENT URETERAL DOUBLE J 607

4189209 CATH-VAS SUBCLAY ACCES 44

4189210 UMBILICAL ARTERY 98

4189211 SUTURE OPTHALMIC ETHICON 223

4189212 SUTURE PDS 71

4189221 CATH MAHURKAR DIALYSIS 548

4189222 WARMER INFANT HEEL 17

4189223 INTRODUCER INTERMEDICS 255

4189224 INTRODUCER MEDTRONIC 255

4189225 GRAFT ATRIUM LONG 5690

4189226 TUBE INTRAMEDIC CLAY 22

4189227 HOLISTER SKIN GEL 22

4189228 FILLIFOAM FOLLOWERS 185

4189229 ADAPTER LUER STUB 18G 22

4189230 CATH PLUG 17


4189305 TUBE LEVINE 12FR 12


4189307 TUBE LEVINE 16 FR 17


4189309 TUBE LEVINE INF 5 FR 12

4189310 TUBE LEVINE INF 8 FR 12

4189311 TUBE LEVINE ADU 5 FR 12

4189312 TUBE FEEDING AUD 8 FR 12

4189313 RESTRAINT VEST SMALL 66

4189315 SPONGE SOFWICK 4X4 17

4189316 SPONGE SOFWICK 2X2 17

4189317 KIT SUCTION FR DISP 12

4189318 PLASTIBELL ASSORTED 17

4189319 PLASTIBELL SMALL 1.2 17

4189320 PALSTIBELL X-SMALL 1.1 17

4189321 CATH SUCTION CONTR 5 FR 12

4189322 CATH SUCTION CONTR 8 FR 12

4189326 SLING-SWATH MEDIUM 185

4189327 SLING-SWATHE LARGE 185

4189328 SLING-SWATHE X-LG 185

4189329 BANDAGE ELASTOPLAST 2" 22




4189335 CATH SUCTION CONTROL 14FR 3

4189336 GAUZE IODOFORM 1/4 44

4189337 GAUZE IODOFORM 1/2 34

4189338 GAUZE IODOFORM 1" 34

4189339 GAUZE IODOFORM 2" 44

4189344 CATH UMBILICAL ART 3.5 FR 55

4189345 CATH UMBILICAL ART 5 FR 55

4189346 CATH UMBILICAL ART 8 FR 109

4189348 SUCTION TUBE YANKAUER 17

4189349 TUBE ENDOTRACHEAL 2.5 55

4189351 TUBE ENDOTRACHEAL 3MM 34


4189354 TUBE ENDOTRACH 5MM 34


4189357 TUBE ENDOTRACHEAL 55



4189360 TIBIAL BASE COMPONENT 17600

4189362 PIN CALCANEOUS 1270

4189363 AIRWAY 17

4189364 GUPP DEACTIVATION PKG 595

4189365 BETA-BSM 11520

4189366 WEBRIL CAST PADDING 17

4189367 BANDAGE WEBRIL 17

4189368 RING TRICUSPID MODEL 4900 16657

4189369 SHOULDER ARTICULAR COMP 7745

4189370 SHOE POSTOP 260

4189371 CLAMP OPEN 1915

4189372 CORNEAL TISSUE GRP 1 14992

4189373 NAIL RECONSTRUCTION 8643

4189374 ECG 5-LEADWIRE SET MULTI-LINK 293

4189375 DRESSING ABTHERA (ABDOMINAL) 1753

4189380 IRRIGATOR BIO SHIELD 28

4189381 PLATE ARTHRODESIS 6193

4189382 HYDRODISSECTOR (OPHTHALMOLOGY) 28

4189383 ALLODERM GRP 2 (6x16) (96 sq cm) 170

4189384 APPLIER WITH ENDOANCHORS 20900

4189385 STOCKING THIGH-HI 109

4189386 DELIVERY KIT ARTHROSURFACE 2732

4189387 TUBE TRACH FEN SZ 4 450




4189392 TUBE CUFF SZ 4 412

4189394 TUBE TRACH CUFF SZ 10 369

4189400 TUBE ENDO 6.5 MM 22

4189401 TUBE ENDO 7.5MM 22

4189402 TUBE ENDO 8.5 MM 22

4189403 TUBE ENDO PEDS 3 MM 17

4189404 TUBE ENDO PEDS 4MM 17

4189405 TUBE ENDO PEDS 3.5 MM 17

4189407 TUBE ENDO CLEAR HI-V OLMM 34

4189408 TUBE ENDO CLEAR HI-V OL5 34

4189409 TUBE ENDO CLEAR GI-V OL 6 34

4189410 TUBE ENDO CLEAR HI-V OL 7 34

4189411 TUBE ENDO CLEAR HI-OL 8 34

4189412 TUBE ENDO CLEAR HI-V OL9 34

4189413 STERI-STRIPS 1/4 IN 17

4189414 ELEVATOR GARDNER ARM 163

4189415 ELE GARDNER ARM INFANT 163

4189417 BAG STOMA ADHESIVE 1 1/2 115

4189418 COLLAR PHILADELPHIA MED 120

4189419 COLLAR PHILADELPHIA X-LG 120

4189420 POUCH SUR-FIT SQUIBB 11/2 136

4189421 POUNCH SUR-FIT 163

4189425 COLLAR FOAM SM X-WIDE 44

4189426 COLLAR FOAM SMALL 44

4189427 COLLAR FOAM MED X-LONG 44

4189428 COLLAR FOAM LG 44

4189429 TRACTION KIT SKIN LG 185

4189430 TRACTION KIT SKIN X-LG 17

4189431 BANDAGE PPRAIS X-FD 3 IN 17

4189432 BANDAGE PPARIS X-FX 22

4189433 BANDAGE PPARIS X-FE 5IN 17

4189434 BANDAGE PPARIS X-FS 6 IN 17

4189435 SPLINT CLAVICLE SMALL 44

4189436 SPLINT CLAVICLE LARGE 44

4189437 SPLINT CLAVICLE LARGE 93

4189438 TUBE ENDO REINFORCED SZ 6 190

4189439 TUBE ENDO REINFORCED SZ 9 228

4189440 SPACER ADJ REVERSED 11700

4189441 SECURITIZATION SYSTEM 9MM 1920

4189442 NEEDLE LABORIE 220

4189443 PROBE DISPOSABLE 2200

4189444 LIGHT MAT DISPOSABLE 2200

4189445 PLATE SPINE 6380


4189447 ALLOGRAFT HUMAN 5500

4189450 REAR TIP EXTENDER 880

4189451 SILICONE TIP SINGLE USE 350

4189452 LEAD ANCHORING KIT 100

4189453 LEAD ENDOCARDIAL PACING 9065

4189454 LEAD DUAL PACING 7920

4189455 LEAD BIPOLAR 7150

4189456 CATHETER GUIDING/STEERING 1035

4189463 EVICEL HUMAN BIOLOGICAL 5ML SEALANT 1240

4189464 EVICEL HUMAN BIOLOGICAL 1 ML SEALANT 765

4189465 TUBE GASTRIC 695

4189466 APTUS HELI GUIDE 7750

4189467 CATH VENTRICULAR 1035

4189468 VALVE VENTRICULAR 26275

4189469 LYOPLANT ONLAY 1 X 1 676

4189470 LYOPLANT ONLAY 3 X 3 2245

4189471 LYOPLANT ONLAY 1094

4189472 DRESSING ELASTINET 17

4189473 GRASPER ENDOSC 899

4189474 SCREW PREP PACK 3570

4189475 TRACTION KIT SKIN MEDIUM 185

4189478 IMMOBLIZER KNEE UNIVERSAL 390

4189479 KNEE IMMOBILZER 22IN 433

4189480 D-HELP 206

4189483 CALIBRATION SYSTEM 815

4189484 SCALPEL-DISP SZ11 17

4189485 SCAPEL DISP SZ15 17

4189486 EYE PACK (CATARACT) 769

4189487 CATH OTW GRP 1 4739

4189488 CATH OTW GRP 2 5474


4189490 BANDAGE COBAN ELAST 6X5YD 17

4189492 DRESSING HYDRON 3 GRAM 44

4189493 DRESSING HYDRON 10 GRAM 82

4189494 SPONGE GZE 2X2 2PLY 22

4189495 SPONGE GZE 4X4 16PLYNS 109

4189497 CATH MALE BLUE SZSML 12

4189498 CATH MALE GREEN SZ ST M 17

4189499 SUTURE PROLENE 170

4189500 URO-SHEATH SM BARD 49

4189516 STOCKING THIGH LG SH JOBS 55

4189520 SYRINGE EAR ULCER TOMAC 22

4189521 AIRWAY PHARYNGEAL 28F 22

4189522 AIRWAY NASOPHARYNGEAL 30F 22

4189523 KNIFE MICROSURGICAL 30

4189524 AIRWAY NASOPHARYNEAL 22

4189525 PAD BACK INFANT NDM 44

4189527 FOOT DROP STOP BID CLINIC 115

4189528 ANKLET SPAIN-AID 17

4189529 SPLINT COCKUP BIO CLINIC 239

4189530 ELEVATOR CAST BIO CLINIC 115

4189535 CANNULA (OPHTHALMOLOGY) 17

4189536 LASER FIBER GRP 1 4522

4189537 SUTURE ANCHOR CORKSCREW GRP 2 2045

4189538 TIP IRR/ASP POLIMAN 49


4189540 SABRE 455

4189541 FUNNEL (ORTHO) 125

4189542 STOCKING KNEE-HI 44


4189544 PLATE LCP GRP 23 10059

4189545 ENDURANT II 2 PIECE CASE 63772

4189550 TUBE PEN ROSE 1/4 X36 17

4189552 CONNECTOR 5 IN 1 12

4189559 TUBE ENDOBRO DISP 35 FR L 785

4189560 TUBE ENDOBRO DISP 35FR RI 698

4189561 TUBE ENDOBRO DISP 37FR LE 698

4189562 TUBE ENDOBRO DISP 37FR RI 698

4189563 TUBE CARDENS LARY 6MMX8.7 493

4189564 TUBE CARD LAR 7MM X 10 XOMED 493

4189565 TUBE CARDEN LA 8MMX11MMXOME 304

4189566 MESH LORENZ PLATING SYS 2630

4189567 PLATE ANTERIOR GRP 1 5836

4189568 STYLET KIT DS06 575

4189569 PIN FIXATION 369

4189570 TENO GLIDE 2 X 2 TG221 11541

4189571 TUBE LAVACATOR 22ER AM 22

4189572 TUBE LAVACATOR 28 FR AM 44

4189573 TUBE LAVACATOR 44

4189574 TUBE SALEM W/VALVE 12FR 22



4189577 TUBE SALEM W/VALVE 18 FR 22

4189578 VITAGEL HEMO W/COLLAGEN 2240

4189579 VITAPREP PLASMA SEPARATOR 163

4189580 CANNULA INNER DISP SZ 8 22

4189581 PLUG TRACH DECANNUL SZ4 34



4189584 ROD ULNA 6003

4189585 REAMER 1369

4189586 SUSPENSORY VAR SZ 44

4189587 RESTORE CONTACT LAYER 44

4189591 SHEEPSKIN EVEN PRESSURE G 487

4189592 KIT CUSTOM GI COLON 49

4189593 KIT CUSTOM GI EGD 49

4189600 BONE PREP KIT 1270

4189601 SPACER LUMINARY ALIF 24586


4189605 SCREW GRP 7 866

4189606 HOOK TRANSVERSE RIGHT 2792

4189607 CATHETER ROB-NEL-16FR 12

4189608 CATHETER ROB-NEL-14FR 17

4189610 ROD 1564




4189615 SCREWS GRP 8 985

4189616 NAIL ARTHRO GRP 1 8372


4189619 FORCEP RADIAL JAW 4 W/NDL 55


4189621 SPLINT AQUAPLAST 39

4189622 SPLINT P-PARISX FAST 4X15 12

4189623 FINGER IMPLANT 5570

4189624 STOCK SYN TUB CS 003-1 44

4189625 STOCK SYN TUB CS004-1 17

4189626 STOCK SYN TUB CS006-1 22

4189627 STOCK SYN TUV CS001-1 17

4189628 STRIP REINFORCING 3X15 22

4189629 STRIP REINFORCING 4X30 66




4189633 TUBE DRAIN URO LO-PROFILE 44

4189634 WOUND DRAINN COLLECT 9.5 CM 71

4189635 WOUND DRAIN COLLECT 7.5 CM 49

4189637 ADHESIVE MD REM HOLLISTER 82

4189638 POWDER STOMA CONVATEC 44

4189639 GEL SKIN HOLLISTER 34

4189640 STOMA LUBRICATE HOLLISTER 44

4189646 SHOE CAST X-SM ZIMMER 130

4189647 SHOE CAST SMALL ZIMMER 142

4189648 SHOE CASTMED ZIMMER 163

4189649 SHOE CAST LG ZIMMER 163

4189650 SHOE CAST X-LG ZIMMER 163

4189652 SUPPORT ABDOMINAL UNIVERS 190

4189653 COLLECTOR FECAL INCONTINE 71

4189655 SUPPORT KNEE SMALL ZIMMER 136

4189656 SUPPOR KNEE MED ZIMMER 136

4189657 SUPPORT KNEE LG ZIMMER 93

4189658 SUPPORT KNEE X-LG ZIMMER 136

4189659 SPLINT CLAVICLE INFANT 115

4189665 SLING SWATH SM ZIMMER 109

4189666 HEAD HUMERAL 48 X 15MM 6610

4189667 ANCHOR PEG GLENOID 8508

4189668 BELT OSTOMY SM ADJUST 34

4189669 BELT OSTOMY MED ADJUST 44

4189670 BELT OSTOMY LG ADJUST 17

4189671 POUCH POST-OP MICRO ADHES 282

4189672 CATH DRAIN AD TOTAL ABCESSION 309

4189674 CORTICAL SEGMENT FIB 6.0 2997

4189675 CAUTERY HOOK ASSEMBLY 8MM 9519


4189677 SYRINGE THREADED 10CC 834

4189679 ICD DUAL GENERATOR 89114

4189680 ICD SINGLE GENERATOR 78109

4189681 ICD BI-VENTRICULAR GENERATOR 100655

4189682 CATH AXION THORACIC SILI 109

4189683 ICD FORTIFY U1.6 DF1 US 82878

4189684 MAYFIELD HEADPINS 120

4189685 CATH ONE STEP CENTESIS 5F X 7CM 98

4189686 CATH SECUREMENT DEVICE 93

4189687 BONE FIBULA SECTION 10CM 2261

4189688 TIGHTROPE ACL 1310

4189689 CATH URETERAL SPIRAL 6F 55

4189690 CATH 6F 90CM MP 401

4189691 PLATE 1-LEVEL GRP 1 4998

4189692 SPACER 500 X 4 DEG 3333

4189693 DRILL CABLE 1667

4189694 BALLOON SIZING 1050

4189695 PLATE ANTERIOR GRP 2 20108


4189697 SCREW SELF TAPPING GRP 4 715

4189698 NEEDLE MONOPTY 14G 130

4189700 JEVITY PLUS 1.2CAL 1000ML RTH 22

4189701 OSMOLITE 1.2CAL HN 100ML RTH 17

4189702 NUTRITION 2 CAL HN 1000ML PREFILL 17

4189703 GLUCERNIA SELECT 1000ML RTH 22

4189704 NEPRO W/CARB STDY 1000ML RTH 44

4189705 PERATIVE 1000ML RTH 49

4189706 PULMOCARE 1000ML RTH 22

4189707 OXEPA RTH 1000ML PREFILL 109

4189708 JUVEN ORG 2 BAG PACKET 17

4189709 ENLIVE APPLE 8OZ 12

4189710 ENLIVE PEACH 8OZ 12

4189711 ENSURE PLUS VANILLA 8OZ 12

4189712 ENSURE PLUS CHOC 8OZ 12

4189713 ENSURE PLUS STRAWBERRY 8OZ 12

4189714 GLUCERNA SH VANILLA 8OX 12

4189715 GLUCERNA SH CHOC 8OZ 12

4189716 GLUCERNA SH STRAWBERRY 8OZ 12

4189717 PEDIASURE VANILLA 8OZ 12

4189718 PEDIASURE CHOC 8OZ 12

4189719 PEDIASURE STRAWBERRY 8OZ 12

4189720 PRISURE SH VANILLA 17

4189721 NUTRITIONAL 2 CAL HN VANILLA 12

4189722 NEPRO 12

4189723 CRYOPROBE RENAL 18658

4189724 CRYOPROBE PROSTATE 16928

4189725 PULMOCARE VANILLA 12

4189726 SUPLENA VANILLA 8OZ 12

4189727 COMPANION PUMP SET W/PIN 169

4189728 BAG TOP FILL W/COMPANION SET 169

4189729 JEVITY 1.2CAL HIGH PROTEIN 12

4189730 OSMOLITE 1.2 CAL HIGH PROTEIN 12

4189731 GLUCERNA SELECT 12

4189732 TUBE ENTERAL FEEDING 12FR 49

4189733 TUBE ENTERAL FEEDING 10FR 49

4189734 TUBE ENTERNAL FEEDING 8 FR 49




4189739 PACK CUSTOM TOTAL KNEE BARRINGTON 3575

4189741 RETRO BUTTON DRILL PIN II 548

4189742 GLIDEWIRE STIFF ANGLE 0.35 X 180 239

4189743 WIRE GUIDE GRP 2 487

4189744 STENT GRAFT SYS BIFURCATED 45211

4189745 CIRCUIT HTD VENTILATOR 174

4189746 CIRCUIT HI FLO INFANT 190

4189749 SCREW TAPPING 1531

4189750 PEEK SPACER 8 X 5 13527

4189751 NAIL TI ELASTIC 1510

4189752 PACK CUSTOM TOTAL KNEE HARTZOG 2500

4189753 CATH MINI SUPPORT .035 575

4189754 BALLOON CATH STERLING 4X150X150 1672

4189755 CATH STERLING 5.0 X 100/135 1461

4189756 V-CARE STANDARD,SMALL,LARGE SIZES 450

4189757 PLATE RT ANGLE T-PLATE GRP 1 282


4189760 STENT WAFFLE BILIARY RX COVERED 11661

4189762 INSERT SIZES 3/4 7328

4189766 CONTROL PUMP 17642

4189767 BALLOON 61-70CM 8421

4189768 CUFF 4.5CM 17642

4189771 JEJUNAL FEEDING TUBE 644

4189772 GRAFT SURGISIS 20 X 30 47116

4189773 STENT ZILVER 8 X 40MM 791



4189778 SHEATH NAVIGATOR ACCESS 11/13X 36 548

4189779 PLATE SPINE 2-LEVEL 7615

4189781 POSTERIOR AUGMENTATION 4408

4189782 STEM UNIV FLUTED 115 X 16MM 6382

4189783 SLEEVE FEM UNIV SZ 31MM 12802

4189784 SLEEVE TRAY POROUS 53MM 11520


4189786 DISTAL AUGMENT 4408

4189787 DILATOR BALLOON GUIDE WIRE 1072

4189788 SHEATH 18FR 1407

4189789 SHEATH 12FR 1190

4189790 GRAFT BIFUR 28 X 14 X 18 39837

4189791 GRAFT ILIAC 14 X 14 18394

4189792 SURFACE 74 X 10MM 15846

4189793 LOCKING CAP 1715

4189794 SUTURETAK 1667

4189795 NAIL TFN GRP 4 8897

4189796 BLADE HELICAL 2873

4189797 NAIL RAFN 8908

4189798 CERVICAL GROUP 11 5820

4189799 PLATE THORACOLUMBAR 18480

4189800 WIRE GUIDE CHOICE PT 12155-01 347

4189801 GUIDE ROD GRP 5 5728



4189804 BONE HARVESTER 8MM 5060

4189805 DRILL BIT 310 (GP2) 568

4189806 PLATE LCP GRP 1 1510


4189808 TAP GRP 2 590


4189810 SCREW EBI CERVICAL GRP 1 953

4189811 DRILL BIT 03.010.103-105 920

4189812 DRILL BIT 03.010.060 1224

4189813 DRILL BIT 03.010.036 2711

4189814 SCREW EBI B60-12040 595

4189815 SCREW LOCKING (02.221) 1386

4189816 PATCH VENTRALEX 0010303 3046

4189817 GLIDECATH CG506 250

4189818 OSTEOGEN BONE STIMULATOR 25391


4189820 SCREW GRP 15 3630

4189821 PLATE LCP GRP 19 6836

4189822 CATH RAABE INTRODUCER SET 6.0 304

4189823 COLLAR EXO WITH CHAIN SM 255

4189824 COLLAR EXO WITH CHAIN MED 288

4189825 COLLAR EXO WITH CHAIN LRG 233

4189826 SPLINT WRIST ZIMMER SMALL 71

4189827 SPLINT WRIST ZIMMER MED 44

4189828 WRIST ZIMMER LARGE 66

4189829 ELEV. ARM ZIMMER PAPERFAB 82

4189830 TUBE ARMSTRONG 71

4189831 TUBE ARMST.SHI 1.1MMX8MM 93

4189832 SLEEVE POSEY FREEDOM SML 130

4189833 SLEEVE POSEY FREEDOM MED 71

4189834 GLUCERNA 1.5 1000ML RTH 34

4189835 INCISION DRAIN TRAY W/O CULTURE 17

4189836 KIT TRANSDUCER TRANSPAC IV NEONAT 103

4189837 KIWI OMNI-CUP VACUUM ASST DEL SYS 115

4189838 OXEPA VANILLA 8 OZ 34

4189839 PICC NEEDLE GUIDE 61

4189840 PICC STATLOCK CATH SECURE DEVICE 22

4189841 PILLOW JH HEART 61

4189842 STRAP CLAVICLE CHILD 55

4189843 STRAP CLAVICLE YOUTH/ADULT/LG 39

4189844 STENT GRAFT SYS CONTRALATRAL 21416

4189845 TRANSDUCER DUAL (NO VAMP) PX2X2 76

4189846 TUBE TRACHEAL PED 2.5MM UNCUFFED 12

4189847 VITAL 1.5 CAL 1000ML RTH 56283 76

4189848 VITAL 9 OZ BOTTLE VANILLA/STRAW 17

4189849 SPACER 77101070/77101050 3808

4189850 DRESSING SLIVERLON ID-410 142

4189851 DRESSING SILVERLON ID-412 169

4189852 DRESSING SILVERLON WPD-28 82

4189853 DRESSING SILVERLON WPD-210 109

4189854 DRESSING SILVERLON ID-34 152

4189855 GLIDEWIRE GRP 1 152

4189856 CORKSCREW AR-1927BCNF 1596

4189857 HANNA PT CARE KIT 6855 233

4189858 PLATE 2-LEVEL GRP 1 4998

4189859 CROWN CLASSIC DB-175L 15208

4189860 MESH TVTO 5787

4189861 CONNECTOR OFFSET GRP 1 2013

4189862 DISPOSABLE INSTRUMENTS IPC-13 1185

4189863 SPLINT FINGER 22

4189864 TAPER POST RESURFACING 2077

4189865 ARTICULAR COMP 9M52 12067

4189866 COLFLEX-F SYS 25700

4189868 SPLINT WRIST COCK UP 174

4189869 PLATE TACK 48250010 288

4189870 CAUTERY HOOK TIP 433

4189871 VESSEL SEALER 410322 2834

4189872 SUCTION/IRRIGATOR 410299 1050

4189873 TALON GRASPING DEVICE 649

4189874 BOOT BUNNY COMPLETE 298

4189875 BONE PUTTY PLUS 1CC(PER 0.5CC) 2 UNITS 435

4189880 TUBE ENDOTRACH LASER SHLD 764

4189886 SLING ARM CHILD PLAIN 93

4189887 GAUZE TUBULAR 1X15YD 82

4189888 GAUZE TUBULAR 2X15YD 66

4189890 BANDGE TRIANGLE 20X56 J & J 22

4189891 SPLINT FINGER PAD 27/8" ZI 17

4189892 SPLINT FINGER PAD 6" ZIM 22

4189893 SPLINT FINGER PAD 1.25 22

4189955 GLYCERINE SWABS (3) 12

4189957 CATH SUCTION 17

4189958 SPECULUM VAGINAL DISP/1 12

4189959 ONE STEP ELECTRODE 342

4189960 DISTRACTION PIN 125

4189961 V-LOC SUTURE 130

4189962 PAD DEMAYO HIP POSITIONER 120

4189963 EXTRACTOR RX RT BALLOON 715

4189964 SLING SOLYXSIS 5474

4189965 BONE PUTTY PLUS 5CC(PER 0.5CC)(10 UNITS) 365

4189966 BONE PUTTY PLUS 10CC(PER 0.5CC) (20 U) 280

4189967 STENT WALL BILLIARY 7615

4189968 SCREW UNICORTICAL SNU 406


4189970 PIN 3MM X 120MM 5038-2-110 347

4189972 TRAY ESPOCAN SPINAL/EPIDURAL 130

4189973 SLEEVE XCEL STABILITY 12MM 163

4189974 PACK CUSTOM MAJOR VAG 163

4189975 KIT TRACHEOTOMY 2261

4189976 BALLOON STERLING PTA CATH 1672

4189977 VERTEBROPLASTY KIT 505-585-000 2927

4189978 BONE NEEDLE 13G 306-130-000 239

4189979 BONE NEEDLE 11G 306-110-000 239


4189981 PATCH COMPOSIX KUGEL HERNIA 2261

4189982 PFO CLOSURE DEVICE 28495

4189983 SUTURE 109

4189984 SUTURE QUILL 36CM X 24CM 48MM 125

4189986 DILATOR AR-1854-085 1126

4189987 PLATE LCP GRP 11 2716

4189988 HTO IMPLANT IMBALANCE AR-13400M 12920

4189989 HTO ANCHOR IBALANCE AR 1710

4189990 OSFERION BONE VOID FILLER 2359

4189991 HUMERAL ASEMBLY INTERCHANGEABLE 18837

4189992 ULNAR ASSEMBLY INTERCHANGEABLE 17296

4189993 SPACER ZERO PROFILE 15641


4189995 TRAY LUBRISIL 18FR 103

4189996 ENDO SPOT MARKER GIS-44 98

4189997 POUCH DRAINAGE 22771 12

4189998 GASTROSTOMY KIT 18FR 541

4189999 BOAT DBM 65305001 6187

4200500 MRI BRAIN W/O CONTRAST 2392

4200502 MRI BRAIN IAC W/CONTRAST 1399

4200508 MRI BRAIN & IAC W/&W/O CONTRAS 3458

4200510 MRI ORBIT FACE NECK W/CONTRAST 2403

4200520 MRI CHEST 2392

4200530 MRI CERVICAL W/O CONTRAST 2392

4200532 MRI CERVICAL W/CONTRAST 2824

4200533 MRI THORACIC W/CONTRAST 2819

4200534 MRI THORACIC W/O CONTRAST 2392

4200536 MRI LUMBAR W/O CONTRAST 2392

4200538 MRI LUMBAR W/CONTRAST 2824

4200545 MRI PELVIS 2392

4200560 MRI-ABDOMEN W/O CONTRAST 2392

4200591 MRI THORACIC W/O & W/CONT 3245

4200592 MRI LUMBAR W/O & W/CONTRA 3245

4200593 MRI BRAIN & SELLA W/&W/O CONT 3458

4200594 MRI CERVICAL W/O & W/CONT 3458

4200595 MRI HIP 2392

4200597 MRI-BRAIN W/O & W/CONTRAST 3458

4200601 MRA CAROTIDS W/O CONTRAST 2075

4200602 MRA CHEST W/CONTRAST 1186

4200605 MRA ABD RENAL W/CONTRAST 1186

4200607 MRA-HEAD W/O CONTRAST 2075

4200608 MRA CAROTIDS W/C 2216

4200609 MRA ABD AORTA W/CONTRAST 1186

4200610 MRI SALINE/MAGNEVIST INJECTION 297

4200611 MRA ABD CELIAC SMA W/CONTRAST 1186

4200615 MRI UP EXTREM NON-JT W/O CONT RT 1976

4200616 MRI UPPER EXT NON-JOINT W C.RT 2403

4200617 MRI UPPER EXT NON JOINT W/&W/O RT 3245

4200618 MRI UP EXTREM NON-JT W/O CONT LT 1976

4200619 MRI UPPER EXT.NON JOINT W/C LT 2403

4200620 MRI UPPER EXT NON JPOINT W&W/O LT 3245

4200621 MRI UP EXTREM JT W/O CONTRAST RT 1976

4200622 MRI UPPER EXT JOINT W CONTRAST RT 2403

4200623 MRI UP EXTREM JT W&W/O CONT RT 3245

4200624 MRI UP EXTREM JT W/O CONTRAST LT 1976

4200625 MRI UPPER EXT JOINT W/CONTRAST LT 2403

4200626 MRI UPPER EXT JOINT W & W/O LT 3245

4200627 MRI LOW EXTREM NON-JT W/O CONT RT 1976

4200628 MRI LOWER EXT NON JOINT W/C RT 2403

4200629 MRI LOW EXTREM NON-JT W&W/O C RT 3245

4200630 MRI LOW EXTREM JT W/O OCNTRAST LT 2392

4200631 MRI LOWER EXT JOINT W/C LEFT 2403

4200632 MRI LOW EXTREM JT W&W/O CONT LT 3245

4200633 MRA UPPER EXTREMITY RT W/CONTRAST 1378

4200634 MRA UPPER EXTREMITY LT W/CONTRAST 1378

4200635 MRA LOW EXTREMITY RT W/CONTRAST 1378

4200636 MRA LOW EXTREMITY LT W/CONTRAST 1378

4200637 MRI LOW EXTREM JT W/O CONTRAST RT 2392

4200638 MRI LOWER EXT (JT)RT W/CONTRAST 2403

4200639 MRI LOW EXTREM JT W&W/O CONT RT 3245

4200640 MRI LOW EXTREM NON-JT W/O CONT LT 1976

4200641 MRI LOWER EXT LEFT W/CONTRAST 2403

4200642 MRI LOW EXTREM NON-JT W&W/O C LT 3245

4200854 MRA CAROTIDS W/WO CONTRAST 2247

4201015 MRI ORBIT/FACE/NECK WO CONTRAST 1430

4201016 MRI ORBIT/FACE/NECK W&WO CONTRAST 2226

4201076 MRI CHEST W & W/O CONTRAST 2143

4201077 MRI PELVIS W & W/O CONTRAST 2143

4201080 MRI ABDOMEN W & W/O CONTRAST 2216

4221190 LMA PER USE 125

4221195 INVASIVE MONITORING 71

4221499 ANESTHESIA GASES-15 MINUTES 153

4221499 ANESTHESIA GASES-15 MINUTES 141

4221499 ANESTHESIA GASES-15 MINUTES $141.00

4221500 ANESTHESIA 1ST 15 MINUTES 169

4221505 ANESTHESIA ADDITIONAL 15 MINUTES 179

4221599 ANESTHESIA GASES 1 HOUR 620

4221599 ANESTHESIA GASES 1 HOUR 573

4221599 ANESTHESIA GASES 1 HOUR $573.00

4229130 MONITOR OXIMETER ANESTHESIA 201

4229150 MONITOR ANESTHESIA 737

4259001 FINESSE NEEDLE 1407

4259002 RIBBON CLIP 374

4259003 MONOPTY GUN 130

4259004 TRUE GUIDE NEEDLE 61

4259005 HAVEL BIOPSY NEEDLE 82

4259010 MRI GAD WRIST INJECTION 309

4259011 MRI GAD HIP INJECTION 309

4259012 MRI GAD KNEE INJECTION 309

4259013 MRI GAD ANKLE INJECTION 309

4259015 MRI ORBIT/FACE/NECK WO CONTRAST 1488

4259016 MRI ORBIT/FACE/NECK W&WO CONTRAST 2316

4259097 US LIVER ELASTOGRAPHY 455

4259098 US BX/SOFT TISSUE, NECK/THORAX 4495

4259099 US BX/SOFT TISSUE, BACK/FLANK 4522

4259100 CONTRAST 300-399MG/ML 5

4259102 MRI CHEST W & W/O CONTRAST 2229

4259104 MAMMO BREAST LOC 2200

4259106 BREAST SPECIMAN RADIOGRAPH 1082

4259109 JIC MAMMO SCR BILATERAL 390

4259110 MAMMOGRAM DIGITAL SCREEN UNILATER 504

4259111 MAMMOGRAM FOLLOW UP SPECIAL UNI 499

4259112 JIC MAMMO FOLLOW UP SPECIAL BILAT 470

4259113 JIC MAMMO DIAG BILATERAL 470

4259114 MAMMOGRAM DIGITAL DIAG UNILATERAL 396

4259115 US BREAST (BILATERAL) BX/ASP 5424

4259116 US BREAST LOCALIZATION 2155

4259117 US BREAST CYST ASPIRATION 1169

4259118 US RENAL ARTERY W/ KIDNEY IMAGING 412

4259119 US SPINAL CANAL 406

4259120 US ELASTOGRAPHY 505

4259122 US BIOPSY THYROID 2200

4259124 BONE DENSITY AXIAL SKELETAL 358

4259125 BONE SKELETON LIMITED 174

4259126 BONE DENSITY VERTEBRAL FRACTURE ASSESS 288

4259127 MRI PELVIS W & W/O CONTRAST 2229

4259128 US INFANT HIP BILATERAL 260

4259129 INJECTION GADOLINIUM CONTRAST MRI 10

4259130 US TRANSVAGINAL NON OB 412

4259132 US TRANSVAGINAL OB 642

4259133 US AORTA (AAA SCREENING) 374

4259134 US OB<14 WEEKS(SINGLE FETUS) 395

4259135 US BREAST MARKER NEEDLE 428

4259136 US OB ADD'L GESTATION >14 WEEKS 200

4259137 US BIOPSY, LYMPH MODE 2089

4259138 US ABI 406

4259141 US BREAST BIOPSY VACUUM ASSISTED 5354

4259144 JIC MAMMOGRAM DIAG UNI SAME DAY CALLBACK 396

4259145 JIC MAMMOGRAM DIAG BIL SAME DAY CALLBACK 396

4259146 JIC MAMMOGRAM DIAG UNI CALLBACK 396

4259147 JIC MAMMO DIAG BILAT CALLBACK 470

4259148 US OB ADD'L GESTATION <14 WEEKS 200

4259149 BONE DENSITY AXIAL VERTEBRAL FX 455

4259155 F-18 FDG (PET DOSE) 1153

4259156 NM PET CT SKULL TO THIGH(INITIAL) 4462

4259157 NM PET CT SKULL TO THIGH (SUBSEQ) 4462

4259158 NM PET CT WHOLE BODY (INITIAL) 4462

4259159 NM PET CT WHOLE BODY (SUBSEQUENT) 4462

4259160 NM PET CT BRAIN 4462

4259161 JIC NM PET SKULL TO THIGH (AXUMIN) 5285

4259162 US BIOPSY THYROID, ADD'L SITE(S) 1656

4259163 CT CYSTOGRAM (CT PELVIS) 1109

4259164 CTA CORONARY 1915

4259165 CT BRAIN(CTA) 1401

4259166 CT CHEST(CTA) 1672

4259167 CT PELVIS(CTA) 1401

4259168 CT UPPER EXTREMITIES(CTA) 1401

4259169 CT LOWER EXTREMITIES(CTA) 1401

4259170 CT AORTA W/RUN OFF (CTA) 1401

4259172 US BREAST BIOPSY/ASPIRATION LT 4219

4259173 US BREAST BIOPSY/ASPIRATION RT 4219

4259175 AXUMIN PER 1 ML 1715

4259180 MRI ABDOMEN W & W/O CONTRAST 2305

4259190 CT 3D IMAGING RECONSTRUCTION 439

4259202 PEG TUBE CHECK 212

4259213 NEPHROSTOGRAM 1271

4259215 CYSTOGRAM 1271

4259219 URETHROCYSTOGRAM-RETROGRA 1271

4259221 URETHROCYSTOGRAM-VOIDING 1271

4259240 JIC MAMMO SCR LT UNILATERAL 195

4259241 JIC MAMMO SCR RT UNILATERAL 195

4259242 JIC MAMMO DIAG LT UNILATERAL 370

4259243 JIC MAMMO DIAG RT UNILATERAL 370

4259244 JIC MAMMO SCR IMPLANTS BILATERAL 390

4259245 JIC MAMMO SCR LT IMPLANT UNILATERAL 195

4259246 JIC MAMMO SCR RT MPLANT UNILATERAL 195

4259247 JIC MAMMO DIAG IMPLANTS BILATERAL 470

4259248 JIC MAMMO DIAG LT IMPLANT UNILATERAL 370

4259249 JIC MAMMO DIAG RT IMPLANT UNILATERAL 370

4259250 JIC MAMMO DIAG LT UNI CALLBACK 370

4259251 JIC MAMMO DIAG RT UNI CALLBACK 370

4259253 JIC MAMMO DIAG LT SAME DAY CALLBACK 370

4259254 JIC MAMMO DIAG RT SAME DAY CALLBACK 370

4259255 JIC MAMMO LT FOLLOW-UP SPECIAL UNI 370

4259256 JIC MAMMO RT FOLLOW-UP SPECIAL UNI 370

4259257 JIC TOMO SCREENING 100

4259258 JIC TOMO DIAGNOSTIC 130

4259259 JIC MAMMO SCR WTOMO BILATERAL 390

4259260 JIC MAMMO SCR LT W/TOMO UNILATERAL 195

4259261 JIC MAMMO SCR RT W/TOMO UNILATERAL 195

4259262 JIC MAMMO DIAG W/TOMO BILATERAL 470

4259263 JIC MAMMO DIAG LT W/TOMO UNILATERAL 370

4259264 JIC MAMMO DIAG RT W/TOMO UNILATERAL 370

4259265 JIC MAMMO SCR IMPLANTS W/TOMO BIL 390

4259266 JIC MAMMO SCR LT IMPLANT W/TOMO UNI 195

4259267 JIC MAMMO SCR RT IMPLANT W/TOMO UNI 195

4259268 JIC MAMMO DIAG IMPLANTS W/TOMO BIL 470

4259269 JIC MAMMO DIAG LT IMPLANT W/TOMO UNI 370

4259270 FISTULA OR SINUS TRACT 1612

4259271 JIC MAMMO DIAG RT IMPLANT W/TOMO UNI 370

4259408 CT BRAIN W/O CONTRAST 1315

4259409 CT ABDOMEN WITHOUT CONTRAST 1391

4259411 CT ABDOMEN W/ & W/OUT CONTRAST 1851

4259415 CT LOW DOSE CHEST F/U 1391

4259416 CT LOW DOSE CHEST 1391

4259417 CT CHEST W/CONTRAST 1477

4259419 CT LOWER EXT. W/ CONTRAST LT 1434

4259421 ABD-SERIES W/CHEST 439

4259422 COLON BARIUM 460

4259423 COLON AIR CONTRAST 526

4259424 CERVICAL -AP-LAT 233

4259425 CERVICAL -4-VEIWS 363

4259426 CT ABD/PELVIS WO CONTRAST 2948

4259427 CT ABD/PELVIS W/CONTRAST 2959

4259428 CT ABD/PELVIS WO & W/CONTRAST 3279

4259500 MRI-BRAIN W/O CONTRAST 2488

4259501 CT BRAIN W/O & W CONTRAST 1785

4259502 MRI BRAIN IAC W/CONTRAST 1455

4259503 CT BRAIN SINGLE CONTRAST 1401

4259504 CT CERVICAL W/O CONTRAST 1315

4259506 CT CHEST WITHOUT CNTRST 1391

4259507 CT FACIAL AND SINUS W/O CONTRA 1315

4259508 MRI BRAIN & IAC W/&W/O CONTRAS 3597

4259510 MRI-ORBIT-FACE-NECK W/CONTRAST 2500

4259511 CT ABDOMEN WITH CONTRAST 1564

4259520 MRI-CHEST W/O CONTRAST 2488

4259523 CT IAC'S W/O CONTRAST 1315

4259524 CT SCANOGRAM (BONE LENGTH) 379

4259525 CT IAC'S W/CONTRAST 1656

4259527 CT IAC'S W & WO CONTRAST 1834

4259529 CT LUMBAR 1770

4259530 MRI-CERVICAL W/O CONTRAST 2488

4259532 MRI CERVICAL W/CONTRAST 2937

4259533 MRI THORACIC W/CONTRAST 2932

4259534 MRI-THORACIC W/O CONTRAST 2488

4259536 MRI-LUMBAR W/O CONTRAST 2488

4259537 CT BRAIN-CON W/INNER EAR 1981

4259538 MRI-LUMBAR W/CONTRAST 2937

4259545 MRI-PELVIS W/O CONTRAST 2488

4259556 CT LOWER EXT W/O CONTRAST RT 1244

4259557 CT LOWER EXT. W/ CONTRAST RT 1434

4259558 CT LOWER EXT. W/O & W CONT RT 1531

4259559 CT LOWER EXT. W/O CONTRAST LT 2488

4259560 MRI-ABDOMEN W/O CONTRAST 2488

4259561 CT LOWER EXT. W/O & W CONT LT 1531

4259564 CT ANGIOGRAPHY ABDOMEN 2099

4259566 CT EP HEART 970

4259567 CALCIUM SCORING 240

4259569 CT NECK W/O CONTRAST 1569

4259572 CT ANGIOGRAPHY ABD/PELVIS 2824

4259574 MRI BREAST UNI DIAGNOSTIC W/O CONTRAST 2488

4259575 MRI BREAST BILAT DIAGNOSTIC W/O CONTRAST 2488

4259576 MRI BREAST UNI DIAGNOSTIC W/ CONTRAST 2932

4259577 MRI BREAST BILAT DIAGNOSTIC W/CONTRAST 2932

4259578 MRI BREAST UNI DIAGNOSTIC W/WO CONTRAST 3375

4259579 MRI BREAST BILAT DIAGNOSTIC W/WO CONTRAS 3375

4259580 CT ANGIOGRAPHY NECK W/O-W CONT 1672

4259582 MRI BREAST UNI SCREENING W/O CONTRAST 2488

4259583 MRI BREAST BIL SCREENING W/O CONTRAST 2488

4259584 MRI BREAST UNI SCREENING W/CONTRAST 2932

4259585 MRI BREAST BIL SCREENING W/CONTRAST 2932

4259586 MRI BREAST UNI SCREENING W/WO CONTRAST 3375

4259587 MRI BREAST BIL SCREENING W/WO CONTRAST 3375

4259588 MRI BREAST BIOPSY UNILATERAL 4340

4259589 MRI BREAST BIOPSY BILATERAL 7545

4259590 MRI BREAST BIOPSY ADDITIONAL LESION 2170

4259591 MRI-THORACIC W/O & W/CONT 3375

4259592 MRI-LUMBAR W/O & W/CONTRA 3375

4259593 MRI BRAIN & SELLA W/&W/O CONT 3597

4259594 MRI-CERVICAL W/O & W/CONT 3597

4259595 MRI-HIP W/O CONTRAST 2488

4259596 DYNACAD PROCESSING 260

4259597 MRI-BRAIN W/O & W/CONTRAST 3597

4259598 MRA HEAD W/CONTRAST 1742

4259599 MRI BREAST BIOPSY SUPPLIES 2270

4259600 MRI BREAST BIOPSY ADDITIONAL CLIP 280

4259601 MRA-CAROTIDS W/O CONTRAST 2158

4259602 MRA-CHEST W/CONTRAST 1234

4259604 A-C JOINTS - BIL 233

4259605 MRA-ABD-RENAL W/CONTRAST 1234

4259606 CHEST-OBLIG VIEWS 282

4259607 MRA-HEAD W/O CONTRAST 2158

4259608 MRA-CAROTIDS 2305

4259609 MRA-ABD-AORTA W/CONTRAST 1234

4259610 MRI GAD SHOULDER INJECTION 309

4259611 MRA-ABD-CELIAC-SMA W/CONTRAST 1234

4259612 CER SP COMP FLEX-EXT 453

4259613 CHEST 1 -VIEW 233

4259614 CHEST 2 VIEWS 271

4259615 MRI UPPER EXT. NON-JOINT WO/RT 2056

4259616 MRI UPPER EXT NON-JOINT W C.RT 2500

4259617 MRI UP EXT.NON-JOINT W/&WO RT 3375

4259618 MRI UPPER EXT.NON JOINT W/O LT 2056

4259619 MRI UPPER EXT.NON JOINT W/C LT 2500

4259620 MRI UP EXT.NON JOINT W&W/O LT 3375

4259621 MRI UP EXT.JT WO CONTRAST RT 2056

4259622 MRI UP EXT.JOINT W CONTRAST RT 2500

4259623 MRI UPPER EXT JOINT W & WO RT 3375

4259624 MRI UP EXT.JT W/O CONTRAST LT 2056

4259625 MRI UP EXT JOINT W/CONTRAST LT 2500

4259626 MRI UP EXT JOINT W & WO LT 3375

4259627 MRI LOWER EXT NON-JT W/O C RT 2056

4259628 MRI LOWER EXT. NON JOINT W/C 2500

4259629 MRI LOWER EXT NON JT W & W/O R 3375

4259630 MRI LOWER EXT JOINT W/O CON LT 2488

4259631 MRI LOWER EXT JOINT W/C LEFT 2500

4259632 MRI LOWER EXT JOINT W/O & W LT 3375

4259633 MRA UPPER EXTREMITY RT 1434

4259634 MRA UPPER EXTREMITY LT 1434

4259635 MRA LOWER EXTREMITY W/CONTRAST RT 1434

4259636 MRA LOWER EXTREMITY W/CONTRAST LT 1434

4259637 MRI LOW EXT.(JOINT)W/O CONRAST 2488

4259638 MRI LOW EXT.(JT)RIGHT W/CONTRA 2500

4259639 MRI LOW EXT(JT)RT W/&W/O CONTR 3375

4259640 MRI LOWER EXT LEFT W/O CONTRAS 2056

4259641 MRI LOWER EXT LEFT W/CONTRAST 2500

4259642 MRI LOWER EXT LEFT W&W/O CONTR 3375

4259645 COLON GASTROGRAFIN 460

4259647 UPPER GI W/GASTRO 460

4259648 MRA CHEST W/O CONTRAST 1186

4259649 MRA CHEST W/WO CONTRAST 1186


4259651 CHEST 4 VIEWS FLURO 761

4259652 CHOLANGIOGRAM-T-TUBE 11175

4259653 MRA ABD AORTA W/O CONTRAST 1186

4259654 MRA ABD AORTA W/WO CONTRAST 1186

4259655 MRA PELVIS W/CONTRAST 1186

4259656 SPINE-SINGLE LEVEL 212

4259657 UROGRAPHY INTRAVENOUS 725

4259658 BONE SURVEY METASTATIC 1028

4259659 CYSTOGRAM 3 VIEWS 1271

4259661 THORACIC SPINE 2 VIEWS 277

4259662 MRA PELVIS W/O CONTRAST 1186

4259663 MRA PELVIS W/WO CONTRAST 1186

4259664 NECK SOFT TISSUE 2 V 158

4259665 NASAL BONES COMPLETE 212

4259666 ORBITS COMPLETE 4 V 255

4259667 BARIUM SWALLOW 342

4259668 PELVIS 1 VIEW 190

4259671 FACIAL BONES 363

4259673 RIBS BILATERAL 315

4259674 SKULL-LESS THAN 4 VIEWS 223

4259675 SKULL COMPLETE 277

4259676 SACRO ILIAC JOINTS 255

4259678 UPPER GI SERIES 418

4259679 UPPER GI SERIES W/BARIUM SWALLOW 720

4259680 UPPER G I SERIES WITH S B 493

4259682 SMALL BOWEL 309

4259683 US-NECK/THYROID 541

4259684 US-ABD. COMPLETE 602

4259685 KUB-SINGLE VIEW 212

4259686 BONE LENGTH STUDY 379

4259688 LONG BONES 379

4259689 LUMBAR SPINE AP LAT 277

4259690 LUMBAR SPINE COMP 541

4259691 LUMBAR FLEX-ENT ONLY 282

4259694 MANDIBLE-COMPLETE 255

4259695 MASTOIDS 255

4259696 SACRUM COCCYX 233

4259697 HYSTEROSALPINGRAM 1612

4259698 SCAPULA 2 VIEWS 223

4259699 ULTRASOUND-ABDOMINAL LIMITED 526

4259700 ULTRASOUND RETROPERITONEA 460

4259701 US-PELVIS/LOWER ABD. 526

4259702 SINUSES LESS THAN 3 VIEWS 223

4259703 SINUSES COMPLETE 260

4259704 SKELETON SURV INFANT 255

4259706 STERNOCLAVICULAR JTS 233

4259707 STERNUM 233

4259708 T M JOINTS BILATERAL 260

4259709 ULTRA SOUND-OB COMPLETE >14 WEEKS 395

4259710 HYSTEROGR/SIS CONTR/SALINE INJ 435

4259711 URETHROCYSTOGRAM-VOID 1271

4259712 US-OB LIMITED 642

4259713 ULTRASOUND EXTREMITY 390

4259714 ULTRASOUND-CHEST 460

4259716 US GUIDED CYST ASPIRATION 2200

4259717 ARTHRITIS BONE SURVEY 1055

4259718 US BREAST LIMITED RT 439

4259719 THORACOLUMBAR AP-LAT 277

4259720 SCOLIOSIS STUDY 282

4259721 US BREAST LIMITED LT 439

4259722 BONE AGE STUDIES 201

4259723 US-OB FOLLOW UP 437

4259725 ULTRASOUND-W/CAROTID DOPP 764

4259726 US-RENAL 460

4259727 CERVICAL-SINGLE VIEW 212

4259728 US-SCROTUM 418

4259729 US-NEONATAL HEAD 390

4259730 US BREAST COMPLETE RT 439

4259731 US-LOWER EXT ARTERIES/LIM 642

4259733 US-UPPER ARTERIES/BIL 903

4259734 US-PELVIS/PROSTATE 558

4259735 US AORTA 460

4259736 US BREAST COMPLETE LT 439

4259737 FACIAL BONES-ONE/TWO VIEW 233

4259739 INFUSAPORT (CVC RECHECK) 509

4259740 US-FETAL BIOPHYSICAL PROF 379

4259741 US-UPPER EXT ARTERIES/LIM 642

4259742 US-LOWER EXT ARTERIES/BIL 903

4259743 US-EXTREMITY VEINS/BILATE 764

4259744 US-EXTREMITY VEINS/LIMIT 526

4259745 KUB W/ OBLIQUES 315

4259746 ARTERIAL DOPPLER W/SEG PRESSUR 477

4259747 US DOPPLER LIMITED 764

4259748 US VENOUS MAPPING 764

4259750 CLAVICLE - RIGHT 212

4259751 CLAVICLE - LEFT 212

4259752 SCAPULA - RIGHT 223

4259753 SCAPULA - LEFT 212

4259754 SHOULDER - RIGHT ONE VIEW 212

4259755 SHOULDER - LEFT ONE VIEW 212

4259756 SHOULDER RIGHT THREE VIEW 233

4259757 SHOULDER LEFT THREE VIEW 233

4259758 SHOULDER ARTHROGRAM RIGHT 1623

4259759 SHOULDER ARTHROGRAM LEFT 1623

4259760 HUMERUS RIGHT 233

4259761 HUMERUS LEFT 233

4259762 ELBOW RIGHT TWO VIEW 201

4259763 ELBOW LEFT TWO VIEW 201

4259764 ELBOW RIGHT THREE VIEW 233

4259765 ELBOW LEFT THREE VIEW 233

4259766 ELBOW ARTHROGRAM RIGHT 1623

4259767 ELBOW ARTHROGRAM LEFT 1623

4259768 FOREARM RIGHT TWO VIEW 233

4259769 FOREARM LEFT TWO VIWE 233

4259770 UPPER EXT INFANT RIGHT 453

4259771 UPPER EXT INFANT LEFT 453

4259772 WRIST RIGHT TWO VIEW 201

4259773 WRIST LEFT TWO VIEW 201

4259774 WRIST RIGHT THREE VIEW 233

4259775 WRIST LEFT THREE VIEW 233

4259776 WRIST ARTHROGRAM RIGHT 1623

4259777 WRIST ARTHROGRAM LEFT 1623

4259778 HAND RIGHT TWO VIEW 201

4259779 HAND LEFT TWO VIEW 201

4259780 HAND RIGHT THREE VIEW 233

4259781 HAND LEFT THREE VIEW 233

4259782 FINGERS RIGHT 201

4259783 FINGERS LEFT 201

4259785 BILATERAL HIPS 385

4259786 HIP RIGHT TWO VIEW 260

4259787 HIP LEFT TWO VIEW 260

4259788 HIP ARTHROGRAM RIGHT 1623

4259789 HIP ARTHROGRAM LEFT 1623

4259792 FEMUR RIGHT TWO VIEW 255

4259793 FEMUR LEFT TWO VIEW 255

4259794 KNEE RIGHT 1-2 VIEWS 255

4259796 KNEE RIGHT 3 VIEW 255

4259798 KNEE RIGHT 4 VIEWS 271

4259800 KNEES STANDING 233

4259803 TIBIA FIBULA RIGHT 233

4259804 TIBIA FIBULA LEFT 233

4259805 LOWER EXT. INFANT RIGHT 196

4259806 LOWER EXT. INFANT LEFT 196

4259807 ANKLE RIGHT 2 VIEWS 201

4259808 ANKLE LEFT 2 VIEWS 201



4259811 ANKLE ARTHROGRAM RIGHT 1623

4259812 ANKLE ARTHROGRAM LEFT 1623

4259813 FOOT RIGHT 2 VIEWS 201

4259814 FOOT LEFT 2 VIEWS 201



4259817 HEEL RIGHT TWO VIEWS 201

4259818 HEEL LEFT 2 VIEWS 201

4259819 TOES RIGHT 201

4259820 TOES LEFT 201

4259821 INJECTON PROCEDURE ELBOW ARTHO 320

4259822 INJECTION PROCEDURE WRIST ARTH 390

4259823 INJECTION PROCEDURE HIP ARTHRO 325

4259824 INJECTION PROCEDURE KNEE ARTHR 325

4259825 INJECTION PROCEDURE ANKLE ARTH 325

4259826 INJECTON PROCEDURE SHOULDER 320

4259827 RIBS - 2 VIEWS RIGHT 260

4259828 RIBS - TWO VIEWS LEFT 260

4259829 RIBS-THREE VIEWS-RIGHT W/CHEST 315

4259830 RIBS-THREE VIEWS-LEFT W/CHEST 315

4259853 US NEEDLE GUIDANCE INITIAL SITE 379

4259854 MRA CAROTIDS W/WO CONTRAST 2337

4259855 US NEEDLE GUIDANCE ADDITIONAL SITE 379

4259856 FLUOROSCOPIC GUIDANCE 233


4280100 ARCH ARTERIOGRAM-DIGITAL 12196

4280102 ABDOMINAL AORTOGRAM 8832

4280103 ABD AORTOGRAM W/RUN OFF 12196

4280104 THORACIC AORTOGRAM 12196

4280106 CAROTID-EXTERNAL UNILAT 8770

4280108 CAROTID-CEREBRAL UNILAT. 12196

4280109 CAROTID-CEREBRAL BILAT. 9486

4280110 CAROTID-CERVICAL UNILAT 10363

4280111 CAROTID BILATERAL 15538

4280112 INSERTION OF CAROTID STENT 3581

4280113 CAROTID STENTING - VS 43276

4280114 EXTREMITY ARTERIO UNILAT 8832

4280115 EXTREMITY ARTERIO BILAT 8832

4280116 RENAL ARTERIO UNILAT 8870

4280117 RENAL ARTERIO BILAT 8870

4280118 VISCERAL ARTERIOGRAM 21341

4280121 PELVIC ARTERIO 12623

4280122 PULMONARY ARTERIO UNILAT 10363

4280123 PULMONARY ARTERIO BILAT 10363

4280124 PULMONARY ARTERIO NON-SEL 4014

4280126 ANGIO THRU EXIST. CATH. 3948

4280127 EXTREMITY VENOGRAM, UNILAT 2813

4280128 EXTREMITY VENOGRAM 2813

4280129 IVC VENOGRAM 12196

4280130 SVC VENOGRAM 3948

4280131 IVC FILTER RETRIEVAL 9437

4280135 SINUS OR JUGULAR VENOGRAM 3948

4280138 HEPATIC VENOGRAM 12196

4280139 VENOUS SAMPLING-RENINS 12186

4280140 SEL.VAS.CATH. (1ST ORDER) 460

4280141 SEL.VAS.CATH. (2ND ORDER) 460

4280142 SEL.VAS.CATH. (3RD ORDER) 460

4280144 SEL.VAS.CATH..ABD.(1ST ORD) 460

4280145 SEL.VAS.CATH.ABD (2ND ORD) 460

4280146 SEL.VAS.CATH.ABD (3RD ORD) 460

4280147 SEL.VAS.ABD.(ADDL 3RD ORD) 460

4280148 EA ADD'L VESS. AFTER BASIC 1066

4280149 SEL VENOUS CATH (1ST ORDE) 460

4280152 SEL.CATH-MAIN PULMONARY 737

4280153 SEL.CATH. PULMONARY ARTERY 737

4280154 SEL.CATH.SEGMENTAL ARTERY 737

4280155 INTRODUCTION NEEDLE/VEIN 201

4280156 SEL.ORGAN BLOOD SAMPLING 737

4280157 INTRODUCTION OF CATH 737

4280159 INJ-EXT.ARTERY UNILAT 737

4280161 INJ - EXT, ARTERY UNILAT, ADD'L STICK 737

4280163 IVC CATH INTRODUCTION 737

4280166 ADD'S CATH/SUPPLIES USED 233

4280170 PTA BRACHIOCEPHALIC, UNILATERAL 25040

4280187 CERVICAL PUNCTURE/DIAGNOSTIC 5895

4280189 LUMBAR PUNCTURE/DIAGNOSIS 1775

4280192 MYELOGRAM TRAY 190

4280199 ESOPHAGUS-DILATION 369

4280200 DILATION OF ESOPHAGUS 369

4280201 NG TUBE REPLACEMENT 223

4280202 PEG TUBE CHECK 212

4280203 TRANSHEPATIC CHOLANGIOGRAM 3879

4280204 INJ-TRANSHEPATIC PERC CHOLANGIOGRAPHY 11175

4280207 BILARY DRAINAGE (EXTERNAL) 11175

4280209 BILIARY INT/EXT DRAINAGE 11175

4280211 BILIARY CATHETER CHANGE 320

4280213 NEPHROSTOGRAM 1271

4280214 CT GUIDED CELIAC PLEXUS INJECTION 2218

4280215 CYSTOGRAM 1263

4280216 INJECTION- CYSTOGRAM 309

4280217 CT GUIDED CELIAC PLEXUS BLOCK 6997

4280218 CT GUIDED BIOPSY LYMPH NODE 2813

4280219 URETHROCYSTOGRAM-RETROGRA 1263

4280220 INJ-URETHROCYSTOGRAM 277

4280221 URETHROCYSTOGRAM-VOIDING 1263

4280222 INJECTION VCU 309

4280223 NEPHROSTOMY TUBE REMOVAL 2094

4280224 PTA ILIAC W/ADD'L STENT PLACEMNT, UNILAT 25310

4280225 NEPHROSTOMY CATH RENAL PE 5847

4280227 NEPHROSTOMY STENT PLACEMENT PRE-EXISTING 8580

4280228 NEPHROSTOMY AND STENT PLACEMENT, NEW 8580

4280229 NEPHROSTOMY TUBE CHANGE UNILATERAL 320

4280230 NEPHROSTOMY STENT CHG/ILEAL CONDU 4474

4280231 CHANGE URETERAL STENT S & I 309

4280232 NEPHROSTOMY URETERAL DILITATION 4960

4280234 INFUSION THERAPY THROMBOLYSIS 16370

4280236 PTA RENAL OR VISCERAL ARTERY 21612

4280237 PTA ILIAC W/STENT PLACEMENT, UNILATERAL 50615

4280238 PTA ILIAC ARTERY, UNILATERAL 25040

4280240 PTA FEMORAL-POPLITEAL, UNILATERAL 25040

4280241 PTA ADDITIONAL, SAME VESSEL 17988

4280242 PTA EA ADD'S RENAL VESSEL 460

4280243 ABSCESS DRAINAGE 233

4280246 PTA FEM-POP W/STENT PLACEMENT,UNILATERAL 50615

4280247 US GUIDANCE-CYST ASPIRATION 379

4280249 BONE BX, DEEP (FLUORO GUIDED) 3370

4280252 CT GUIDED ABSCESS DRAINAGE 5011

4280253 ABSCESS DRAINAGE/1 1623

4280257 BONE CYST ASPIRATION / INJECTION 3604

4280258 PERC.RENAL CYST ASPIRATION 5011

4280259 CT GUIDED PUDENDAL NERVE BLOCK RT 2694

4280260 CT GUIDED PUDENDAL NERVE BLOCK LT 2694

4280261 CT GUIDANCE(BX,ASP,INJ,LOC) 1315

4280262 BIOPSY-FLURO INTRATHORACI 233

4280265 CT GUIDIED RENAL BIOPSY 5011

4280266 CT GUIDED SUPRAPUBIC CATH PLACEMENT 5481

4280267 CT GUIDED CHOLECYSTOSTOMY 7470

4280268 SIALOGRAM 1612

4280270 FISTULA OR SINUS TRACT 1605

4280271 INJECTION FOR SINUS TRACT 125

4280272 NEPHROSTOMY TUBE CHANGE BILATERAL 480

4280273 DIALYSIS PTA CENTRAL SEGMENT 2405

4280274 DIALYSIS PTA CENTRAL SEGMENT W/STENT 2405

4280275 ADD'L PTA CATHETERS/SUPPL 526

4280278 SMALL JOINT INJ/ASPIRATION 940

4280279 BIOPSY ABD/RETROPERITONEAL 5011

4280280 CT GUIDED LIVER BIOPSY 5011

4280281 CT GUIDED LUNG/MEDIASTINUM BIOPSY 3046

4280282 CT GUIDED PANCREATIC BIOPSY 3046

4280283 CT GUIDED PARACENTESIS 1954

4280284 CT GUIDED THORACENTESIS 1996

4280285 CT GUIDED BONE MARROW BIOPSY/ASPIRATION 6105

4280286 CT GUIDED DEEP BONE BIOPSY 3370

4280287 CT GUID THIGH/KNEE SOFT TISSUE BX 3186

4280288 DISCOGRAM-CERVICAL 15868

4280289 DISCOGRAM-LUMAR 15868

4280290 CT GUIDED VERTEBRAL DISC ASP 1954

4280291 LUMBR/THORA RT, SYMPATHETIC NERVE BLOCK 2250

4280292 LUMBR/THORA, LT, SYMPATHETIC NERVE BLOCK 2250

4280293 LUMBR/THORA,BIL, SYMPATHETIC NERVE BLOCK 3365

4280295 STENT PLACEMENT RENAL VESSEL 40345

4280296 STENT PLACEMENT ADD RENAL VESSEL 19535

4280297 FLUOROSCOPIC GUIDANCE 233

4280300 DIALYSIS FISTULOGRAM 2405

4280301 DIALYSIS INJECTION-NEEDLE 2405

4280303 PERITONEAL DIALYSIS CATH REPOSITION 9324

4280305 DIALYSIS INF THERAPY-DECLOT 9570

4280314 DIALYSIS FISTULOGRAM W/ANGIOPLASTY 16940

4280360 TRANSHEP STENT PLACEMNT, EXIST ACCESS 19503

4280364 ARTERIAL CLOSURE DEVICE 1521

4280365 IVC FILTER PLACEMENT 16765

4280370 EMBOLIZATION VASCULAR 35537

4280371 EMBOLIZATION VASCULAR S & I 850

4280372 EMBOLIZATION UTERINE FIBROID 21249

4280373 EMBOLIZATION NASAL 7745

4280380 VENOUS ACCESS TUNNEL CATH 7497

4280381 SELECT MAIN PULMONARY ARTERY 737

4280382 CHANGE NEPHROSTOMY TUBE SUPPLY 347

4280384 PTA ADDITIONAL VESSELS 460

4280394 INJECTION SVC S & I 3939

4280396 TRANSCATHETER RETRIEVAL W/RAD S&I 9194

4280398 REPOSITION CENTRAL VENOUS CATH 2353

4280399 CENTRAL VENOUS LINE PLACEMENT 3213

4280400 THROMBECTOMY DIALYSIS (DECLOT) 34220

4280401 PTA AORTIC 16474

4280402 INJECTION NEPHROSTOGRAM 2170

4280403 CHANGE OF NEPHROSTOMY TUBE 6145

4280404 THROMBECTOMY WITH CATHETER 15338

4280405 PTA VENOUS 21612

4280410 CT GUIDED NECK SOFT TISSUE BIOPSY 3370

4280411 VENOUS ACCESS DEVICE EXCHANGE 9570

4280412 REMOVAL VENOUS ACCESS DEVICE 1959

4280413 PORT PLACEMENT VENOUS ACCESS 9021

4280415 CHEMO ADMIN INTO CNS 1358

4280416 SPINAL PUNCTURE, THERAPEUTIC 1499

4280417 PTA VENOUS W/STENT PLACEMENT 36640

4280502 Radiology Observation 34

4280531 CT GUIDED CYST ASPIRATION 774

4280735 US VENOUS MAPPING 764

4280911 ANGIO EXTRMTY UNTL SNGL F 8822

4280920 HIP INJECTION/ASPIRATION-RT 806

4280921 HIP INJECTION/ASPIRATION-LT 806

4280960 SUPPLIES GASTROINTESTINAL TRAY/TUBE 855

4280962 DRUG COATED PTA BALLOON 7615

4280963 ARTERIOGRAM SUPPLY 379

4280968 BONE ACCESS NEEDLE (DRIVER SYSTEM) 1800

4280971 CAROTID EMBOLIZATION FILTER 5625

4280972 CATH/SUPPLIES LEVEL 1 196



4280975 CAROTID STENT 4760

4280976 EMBOLIZATION COILS MICRO 390

4280977 EMBOLIZATION MICROSPHERES 1131

4280978 EMBOLIZATION COILS STANDARD 315

4280979 URETERAL BALLOON CATHETER 812

4280980 SUPPLIES/ARTERIOGRAM LEVEL II 509

4280981 SUPPLIES/ARTERIOGRAM LEVEL I 352

4280982 SUPPLIES/VENOGRAM 352

4280983 SUPPLIES/CHOLANGIOGRAM 352

4280984 SUPPLIES/BILIARY DRAINAGE 509

4280986 SUPPLIES NEPHROSTOMY TUBE 355

4280987 SUPPLIES THROMBOLYSIS 785

4280988 SUPPLIES/PTA CATH. 845

4280989 SUPPLIES/IVC FILTER 5138

4280990 SUPPLIES/DIALYSIS VENOGRAM 158

4280991 SUPPLIES/THROMBECTOMY 1715

4280992 SUPPLIES/TUNNEL CATH PLACEMENT 1340

4280993 SUPPLIES CATHETER RETRIEVAL 915

4280994 SUPPLIES ABSCESS DRAINAGE 477

4280995 SUPPLIES/ARTHROGRAM TRAY 66

4280996 SUPPLIES/ZILVER STENT 2640

4280997 URETERAL STENT 710

4280998 SUPPLIES/EXPRESS STENT 5170

4280999 SUPPLIES/STENT PLACEMENTS 1494

4281001 SUPPLIES PORT DEVICE PLACEMENT 1055

4281002 SUPPLIES/SURGIFLOW 800

4281017 US PROCEDURE TRAY 55

4281018 US BIOPSY GUN 120

4281019 US PARACENTESIS SUPPLIES 109

4281021 US BIOPSY NEEDLE 49

4281022 US BIOPSY NEEDLE TRU CUT 71

4281023 US BIOPSY NEEDLE TROCAR 55

4281026 US THORACENTESIS SUPPLIES 109

4281027 EMPTY EVAC CONTAINER 7

4281029 CT BIOPSY TRAY 55

4281031 CT BIOPSY GUN SHORT THROW 115

4281033 CT BIOPSY GUN LONG THROW 152

4281035 CT NEEDLE BIOPSY 49

4281036 KYPHOPLASTY BALLOON 5263

4281037 VERTEBROPLASTY TRAY 2251

4281039 CURVED TROCAR KIT 309

4281041 STANDARD TROCAR KIT 309

4281049 IMPLANTABLE TISSUE MARKER 834

4281053 FLUORO GUIDANCE SPINE/SACROILIAC 233

4281060 CONTRAST 100-199MG/ML 5

4281061 CONTRAST 200-299MG/ML 5

4281075 GASTROSTOMY TUBE CHANGE 720

4281090 MAMMOTONE BREAST BX 3808

4281092 MAMMOTONE BREAST SPECIMEN 1428

4281093 MAMMOTONE BREAST BX SUPPLIES 1266

4281094 MAMMOTONE BREAST BX CLIP SUPPLIES 406

4281096 SUPPLY EPIDURAL TRAY 233

4281105 CONTRAST 300-399 MG/ML 5

4281110 INJ, GADOLINIUM CONTRAST MRI 10

4281111 FALLOPIAN TUBE CK/REOPEN 6139

4281112 PERITONEAL DRAINAGE CATH PLACEMENT 9356

4281149 IRRIGATION OF VAD 376

4281809 GE STERO LOC HEADSET 315

4282102 ABDOMINAL AORTOGRAM - VS 8832

4282103 ABD W/RUNOFF - VS 12196

4282104 CAROTID CERVICAL ARTERIO BILATERAL- VS 15533

4282105 CAROTID CERVICAL ARTERIO UNILATERAL - VS 10363

4282114 EXTREMITY ARTERIO UNILATERAL - VS 8832

4282115 EXTREMITY ARTERIO BILAT - VS 8832

4282127 EXTREMITY VENOGRAM, UNILAT- VS 2813

4282128 EXTREMITY VENOGRAM, BILAT - VS 2813

4282129 IVC VENOGRAM- VS 12196

4282130 SVC VENOGRAM- VS 3948

4282233 IV US CATHETER 5117

4282234 IVUS, ADD'L VESSEL - DR SELLERS 715

4282235 IVUS, INITIAL VESSEL - DR SELLERS 725

4282236 EMBOLIZATION VASCULAR- VS 35537

4282237 PTA ILIAC ARTERY W/STENT PLACEMENT -VS 45828

4282238 PTA ILIAC/SUBCLAVIAN ARTERY- VS 17999

4282239 PTA VENOUS W/STENT PLACEMENT - VS 36651

4282241 PTA VENOUS - VS 17734

4282242 INJ EXTREMITY VENOGRAPHY 200

4282244 REMOVAL VENOUS ACCESS DEVICE - VS 1959

4282245 INSERT CENTRAL VENOUS ACCESS DEVICE - VS 7734

4282246 PTA FEM/POP W/STENT PLACEMENT- VS 38203

4282247 RENAL VENOGRAM BILATERAL - VS 10363

4282248 RENAL VEIN SELECTION BILATERAL 472

4282249 RENAL ARTERIOGRAM, BILATERAL - VS 10363

4282250 RENAL ARTERIOGRAM, UNILATERAL - VS 10363

4282251 PTA/STENT, RENAL OR VISCERAL ARTERY - VS 40345

4282252 THROMBECTOMY (MECH) ARTERIAL- VS 13153

4282253 THROMBECTOMY (MECH) ADD'L ARTERY- VS 13142

4282254 THROMBECTOMY (MECH) VEIN - VS 13153

4282255 THROMBECTOMY (MECH) ADD'L VEIN- VS 13142

4282256 ANGIOJET CATHETER 7572

4282257 PULMONARY ARTERIO BILAT - VS 10438

4282258 PULMONARY ARTERIO UNILATERAL - S 10438

4282259 ANGIO THRU EXISTING CATH - VS 3380

4282260 VENOUS THROMBOLYSIS UNILATERAL - VS 9570

4282261 VENOUS THROMBOLYSIS UNILATERAL - VS 9570

4282263 EKOS CATH 13304

4282264 PTA TIB/PERNL W/STENT PLACEMENT - VS 34363

4282265 PTA TIB/PERNL - VS 22293

4282266 VISCERAL ARTERIOGRAM - VS 21341

4282267 ARTERIAL THROMBOLYSIS UNILATERAL RT 16370

4282268 ARTERIAL THROMBOLYSIS UNILATERAL LT 16370

4282300 DIALYSIS FISTULOGRAM - VS 2405

4282314 DIALYSIS FISTULOGRAM W/ANGIOPLASTY- VS 16940

4282315 DIALYSIS FISTULOGRAM W/PTA/STENT PERIPH 34240

4282360 FEM/POPL ATHERECTOMY PTA/STENT 60479

4282361 FEM/POPL REVAS W/ATHERECTOMY - VS 43438

4282362 SUPPLIES/ATHERECTOMY CATH DIRECTIONAL 15380

4282363 TIB/PERNL REVAS W/ATHERECTOMY/PTA - VS 56740

4282364 SUPPLIES/ATHERECTOMY CATH ROTATIONAL 13180

4282365 IVC FILTER PLACEMENT- VS 16765

4282399 CENTRAL VENOUS LINE PLACEMENT - VS 3213

4282400 PTA FEMORAL-POPLITEAL- VS 17999

4282401 PTA AORTIC- VS 16474

4285703 TRAY LUMBAR PUNCTURE 406

4289006 SUPPLIES SUPRAPUBIC CATHETER 217

4290408 CT BRAIN W/O CONTRAST 1315

4290409 CT ABDOMEN WITHOUT CONTRAST 1391

4290411 CT ABDOMEN W/ & W/OUT CONTRAST 1851

4290414 CT PELVIS W & W/O CONTRAST 1440

4290417 CT CHEST W/CONTRAST 1477

4290418 CT THORACIC SPINE 1770

4290419 CT LOWER EXT. W/ CONTRAST LT 1434

4290426 CT ABD/PELVIS WO CONTRAST 2948

4290427 CT ABD/PELVIS W/CONTRAST 2959

4290428 CT ABD/PELVIS WO & W/CONTRAST 3279

4290429 CT ABD/PELVIS (WO ORAL OR IV) CONTRAST 2948

4290430 CT ENTEROGRAPHY ABD/PELVIS W/CONTRAST 1510

4290431 CT CYSTOGRAM 1088

4290501 CT BRAIN W/O & W CONTRAST 1785

4290503 CT BRAIN WITH CONTRAST 1401

4290504 CT CERVICAL W/O CONTRAST 1315

4290505 CT CHEST W & W/O CONTRAST 1564

4290506 CT CHEST WITHOUT CNTRST 1391

4290507 CT FACIAL AND SINUS W/O CONTRA 1315

4290511 CT ABDOMEN WITH CONTRAST 1564

4290514 CT NECK WITH CONTRAST 1325

4290515 CT ORBITS WITH CONTRAST 1401

4290516 CT ORBITS W/O CONTRAST 1315

4290519 CT PELVIS SINGLE W/O CONTRAST 1251

4290521 CT PELVIS SINGLE W CONTRAST 1401

4290522 CT RENAL DOUBLE 1851

4290523 CT INNER EAR 1315

4290526 CT SELLA 1969

4290528 CT RENAL W/CONTRAST 1564

4290529 CT LUMBAR 1770

4290537 CT BRAIN-CON W/INNER EAR 1981

4290541 CT SINUS FOR SCREENING 1315

4290542 CT ORBITS W/ & W/O CONTRAST 1753

4290543 CT SCAN-LIMITED STUDY 374

4290550 CT UPPER EXT W/O CONTRAST RT 2488

4290551 CT UPPER EXT W/CONTRAST RT 1434

4290552 CT UPPER EXT W/O & W CONT RT 1531

4290553 CT UPPER EXT W/O CONTRAST LT 2488

4290554 CT UPPER EXT W/ CONTRAST LT 1434

4290555 CT UPPER EXT W/OR & W CONT LT 1531

4290556 CT LOWER EXT W/O CONTRAST RT 1244

4290557 CT LOWER EXT. W/ CONTRAST RT 1434

4290558 CT LOWER EXT. W/O & W CONT RT 1531

4290559 CT LOWER EXT. W/O CONTRAST LT 2488

4290561 CT LOWER EXT. W/O & W CONT LT 1531

4290562 CHEST TUBE PLACEMENT 2330

4290564 CT ANGIOGRAPHY ABDOMEN 2099

4290570 CT NECK W-W/O CONTRAST 1510

4290571 CT GUIDANCE STEREOSTATIC LOCAL 2251

4290572 CT ANGIOGRAPHY ABD/PELVIS 2824

4290575 LIVER CYST ASPIRATION 2200

4290580 CT ANGIOGRAPHY NECK W/O-W CONT 1672

4291047 CT GUIDED PLACEMENT OF RT FIELDS 379

4291048 PLACEMENT RADIATION DEVICE/MARKER 4046

4291065 CTA BRAIN 3338

4291066 CTA CHEST 1672

4291067 CTA PELVIS 3338

4291068 CTA UPPER EXTREMITIES 3338

4291070 CTA AORTA/BIL RUNOFF 3338

4291071 CT GUIDED NEEDLE LOC LUNG 1315

4291081 US SPINAL CANAL 406

4291120 CT RENAL ABLATION UNILAT (CRYO) 13029

4291121 CT GUIDED ABLATION 1428

4291123 CRYOBLATION PROBE 4284

4291190 3D IMAGING RECONSTRUCTION 439

4300160 TENDON INJECTION SINGLE (ORIGIN) 940

4300420 ABDOMEN SINGLE VIEW 212

4300421 ABD FLAT AND UPRIGHT 439

4300422 COLON BARIUM 460

4300423 COLON AIR CONTRAST 526

4300424 CERVICAL -AP-LAT 233

4300425 CERVICAL -4-VEIWS 363

4300604 A-C JOINTS - BIL 233

4300606 CHEST-OBLIG VIEWS 282

4300612 CER SP COMP FLEX-EXT 453

4300613 CHEST 1 VIEW 233


4300643 GALL BLADDER 277

4300645 COLON GASTROGRAFIN 460

4300646 COLON HYPAQUE 460

4300647 UPPER GI W/GASTRO 460

4300649 CHEST-FLURO DIAPHRAYM 761

4300650 CHEST 4-VIEWS 277

4300651 CHEST 4 VIEWS FLURO 761

4300656 SPINE-SINGLE LEVEL 212

4300657 UROGRAPHY INTRAVENOUS 725

4300658 BONE SURVEY METASTATIC 1028

4300659 CYSTOGRAM 3 VIEWS 1263

4300660 MYELOGRAM LUMBAR 2932


4300662 MYEOGRAM CERVICAL 2932

4300664 NECK SOFT TISSUE 2 V 158

4300665 NASAL BONES COMPLETE 212

4300666 ORBITS COMPLETE 4 V 255

4300667 BARIUM SWALLOW 342

4300668 PELVIS 1 VIEW 190

4300669 EYE FOREIGN BODY 418

4300670 EYE F B LOCALIZATION 418

4300671 FACIAL BONES 363

4300673 RIBS BILATERAL 315

4300674 SKULL-LESS THAN 4 VIEWS 223

4300675 SKULL COMPLETE 277

4300676 SACRO ILIAC JOINTS 255

4300678 UPPER GI SERIES 418

4300679 UROGRAPHY NEPHOTOMO 1263

4300680 UPPER G I SERIES WITH S B 493

4300681 INT AUDITORY MEAT I 282

4300682 SMALL BOWEL 309

4300683 GASTROGRAFIN SWALLOW 970

4300685 KUB-SINGLE VIEW 212

4300686 LEG LENGTH FILM 379

4300688 LONG BONES 379

4300689 LUMBAR SPINE AP LAT 277

4300690 LUMBAR SPINE COMP 541

4300691 LUMBAR FLEX-ENT ONLY 282

4300694 MANDIBLE-COMPLETE 255

4300695 MASTOIDS 255

4300696 SACRUM COCCYX 233

4300697 HYSTEROSALPINGRAM 1612

4300698 SCAPULA 2 VIEWS 223

4300702 SINUSES LESS THAN 3 VIEWS 223

4300703 SINUSES COMPLETE 260

4300704 SKELETON SURV INFANT 255

4300705 OPTIC FORAMINA 282

4300706 STERNOCLAVICULAR JTS 233

4300707 STERNUM 233

4300708 T M JOINTS BILATERAL 260

4300710 TOMMOGRAPHY 602

4300711 URETHROCYSTOGRAM-VOID 1263

4300717 ARTHRITIS BONE SURVEY 1055

4300719 THORACOLUMBAR AP-LAT 277

4300720 SCOLIOSIS STUDY 282

4300721 GASTROINTESTINAL TUBE PLACEMENT 4685

4300722 BONE AGE STUDIES 201

4300727 CERVICAL-SINGLE VIEW 212

4300730 MYELOGRAM ENTIRE 2932

4300736 LUMBAR SPINAL PUNCTURE 1775

4300737 FACIAL BONES-ONE/TWO VIEW 233

4300738 FEMUR TO KNEE 255

4300739 INFUSAPORT/VAD CHECK 509

4300745 KUB W/ OBLIQUES 315

4300750 CLAVICLE - RIGHT 212

4300751 CLAVICLE - LEFT 212

4300752 SCAPULA - RIGHT 223

4300753 SCAPULA - LEFT 212

4300754 SHOULDER - RIGHT ONE VIEW 212

4300755 SHOULDER - LEFT ONE VIEW 212

4300756 SHOULDER RIGHT THREE VIEW 233

4300757 SHOULDER LEFT THREE VIEW 233

4300758 SHOULDER ARTHROGRAM RIGHT 1623

4300759 SHOULDER ARTHROGRAM LEFT 1623

4300760 HUMERUS RIGHT 233

4300761 HUMERUS LEFT 233

4300762 ELBOW RIGHT TWO VIEW 201

4300763 ELBOW LEFT TWO VIEW 201

4300764 ELBOW RIGHT THREE VIEW 233

4300765 ELBOW LEFT THREE VIEW 233

4300766 ELBOW ARTHROGRAM RIGHT 1623

4300767 ELBOW ARTHROGRAM LEFT 1623

4300768 FOREARM RIGHT TWO VIEW 233

4300769 FOREARM LEFT TWO VIWE 233

4300770 UPPER EXT. INFANT RIGHT 453

4300771 UPPER EXT. INFANT LEFT 453

4300772 WRIST RIGHT TWO VIEW 201

4300773 WRIST LEFT TWO VIEW 201

4300774 WRIST RIGHT THREE VIEW 233

4300775 WRIST LEFT THREE VIEW 233

4300776 WRIST ARTHROGRAM RIGHT 1623

4300777 WRIST ARTHROGRAM LEFT 1623

4300778 HAND RIGHT TWO VIEW 201

4300779 HAND LEFT TWO VIEW 201

4300780 HAND RIGHT THREE VIEW 233

4300781 HAND LEFT THREE VIEW 233

4300782 FINGERS RIGHT 201

4300783 FINGERS LEFT 201

4300784 HIP RIGHT ONE VIEW 196

4300785 HIP LEFT ONE VIEW 196

4300786 HIP RIGHT TWO VIEW 260

4300787 HIP LEFT TWO VIEW 260

4300788 HIP ARTHROGRAM RIGHT 1623

4300789 HIP ARTHROGRAM LEFT 1623

4300790 HIP RIGHT (OPERATIVE) 342

4300791 HIP LEFT (OPERATIVE) 342

4300792 FEMUR RIGHT TWO VIEW 255

4300793 FEMUR LEFT TWO VIEW 255

4300794 KNEE RIGHT 1-2 VIEWS 255

4300795 KNEE LEFT 1-2 VIEWS 255

4300796 KNEE RIGHT 3 VIEW 255

4300797 KNEE LEFT 3 VIEWS 255

4300798 KNEE RIGHT 4 VIEWS 271

4300799 KNEE LEFT 4 VIEWS 271

4300800 KNEES STANDING 233

4300801 KNEE ARTHROGRAM RIGHT 1623

4300802 KNEE ARTHROGRAM LEFT 1623

4300803 TIBIA FIBULA RIGHT 233

4300804 TIBIA FIBULA LEFT 233

4300805 LOWER EXT. INFANT RIGHT 196

4300806 LOWER EXT. INFANT LEFT 196





4300811 ANKLE ARTHROGRAM RIGHT 1623

4300812 ANKLE ARTHROGRAM LEFT 1623





4300817 HEEL RIGHT TWO VIEWS 201

4300818 HEEL LEFT 2 VIEWS 201

4300819 TOES RIGHT 201

4300820 TOES LEFT 201

4300822 INJECTION PROCEDURE WRIST ARTH 379

4300827 RIBS - 2 VIEWS RIGHT 260

4300828 RIBS - TWO VIEWS LEFT 260

4300829 RIBS-THREE VIEWS-RIGHT W/CHEST 315

4300830 RIBS-THREE VIEWS-LEFT W/CHEST 315

4300833 CHEST 2 VIEW-REPEAT SAME PHY 271

4300834 CHEST-ONE VIEW REPEAT OTHER DR 233

4300835 CHEST 2 VIEW-REPEAT OTHER PHY 271


4301025 ERCP 541

4301051 SACROLILIAC JOINT INJECTION RT 2278

4301054 SELECT NERV RT BLOCK CERV/THOR RT 2846

4301055 NERVE RT BLOCK CER/THOR ADD LEVEL 1461

4301056 SELECT NERV RT BLK LUM/SACRAL RT 2846

4301057 NERVE RT BLOCK LUM/SAC ADD LEVEL 1461

4301062 SACROLILIAC JOINT INJECTION LT 2278

4301063 SELECT NERV RT BLK LUMB/SACRAL LT 2846

4301064 SELECT NERV RT BLOCK CERV/THOR LT 2846

4301072 FACET JOINT INJ CERV/THORA LT 2846

4301082 FACET JOINT INJ CERV/THORA RT 2846

4301083 FACET INJ CERV/THOR SECOND LEVEL 1001

4301084 FACET INJ CERV/THOR THIRD + LEVEL 1001

4301085 FACET JOINT INJ LUMB/SACRAL RT 2846

4301086 FACET INJ LUM/SACRAL SECOND LEVEL 1001

4301087 FACET INJ LUM/SACRAL THIRD +LEVEL 1001

4301088 EPIDURAL INJ CERVICAL/THORACIC 2846

4301089 EPIDURAL INJ LUMBAR/SACRAL 2846

4301090 EPIDUROGRAM 1225

4301097 FACET JOINT INJ LUMB/SACRAL LT 2846

4301602 ABDOMEN DECUBITUS 347

4301612 CHEST PORTABLE 233

4301613 DECUBITUS UNILATERAL 255

4301614 DECUBITUS BILATERAL 288

4301615 CERVICOTHORACIC VERTEBROPLASTY 12384

4301616 LUMBOSACRAL VERTEBROPLASTY 12384

4301617 VERTEBROPLASTY ADD'L LEVELS 6426

4301618 THORACIC KYPHOPLASTY 27020

4301619 LUMBAR KYPHOPLASTY 27020

4301620 KYPHOPLASTY EACH ADDITIONAL LEVEL 13510

4301621 SACROPLASTY BILATERAL 25390

4301622 SACROPLASTY UNILATERAL 25390

4310161 US BIOPSY THYROID, ADD'L SITE(S) 1656

4310683 US-NECK/THYROID 541

4310684 US-ABD. COMPLETE 602

4310699 US ABDOMINAL LIMITED 526

4310700 US RETROPERITONEAL 460

4310701 US-PELVIS/LOWER ABD. 526

4310709 US OB COMPLETE >14 WEEKS 395

4310712 US-OB LIMITED 642

4310713 ULTRASOUND EXTREMITY 390

4310714 US CHEST 460

4310716 US GUIDANCE CYST ASPIRATION 2200

4310717 US GUIDE ASP/LAVAGE MAJOR JOINT/BURSA 810

4310723 US-OB FOLLOW UP 437

4310725 US W/CAROTID DOPP 764

4310726 US-RENAL 460

4310728 US-SCROTUM 418

4310729 US-NEONATAL HEAD 390

4310731 US-LOWER EXT ARTERIES/LIM 642

4310732 US-BIOPSY PROSTATE 6960

4310733 US-UPPER ARTERIES/BIL 903

4310734 US-PELVIS/PROSTATE 558

4310740 US-FETAL BIOPHYSICAL PROF 379

4310741 US-UPPER EXT ARTERIES/LIM 642

4310742 US-LOWER EXT ARTERIES/BIL 903

4310743 US-EXTREMITY VEINS/BILATE 764

4310744 US-EXTREMITY VEINS/LIMIT 526

4310747 US PSEUDO-ANEURYSM 390

4310748 INJ THROMBIN/PSEUDO ANEURYSM 903

4310749 US-AMNIOCENTESIS 2320

4310831 US-THORACENTESIS 2330

4310832 US BREAST COMPLETE LT 439

4310833 US BREAST COMPLETE RT 439

4310834 US BREAST LIMITED LT 439

4310835 US BREAST LIMITED RT 439

4310841 US-PARACENTESIS-ABD 1640

4310842 US-RENAL CYST ASP 5011

4310843 US-THYROID CYST ASP 2320

4310844 US BIOPSY THYROID 2200

4310846 US-BIOPSY LIVER 5011

4310847 US-BIOPSY RENAL 5011

4310852 US-ABSCESS DRAIN-ABD 1839

4310853 US NEEDLE GUIDANCE INITIAL SITE 379

4310854 US NEEDLE GUIDANCE ADDITIONAL SITE 379

4311007 US BIOPSY LYMPH NODE 2089

4311009 US DOPPLER LIMITED 764

4311028 US INFANT HIPS BILATERAL 282

4311030 US TRANSVAGINAL NON OB 526

4311032 US TRANSVAGINAL OB 477

4311034 US OB <14 WEEKS, SINGLE FETUS 395

4311036 US OB EACH ADD'L GESTATION >14 WEEKS 200

4311040 US RENAL ARTERY W/KIDNEY IMAGING 412

4311042 US OB ADD'L GESTATION <14 WEEKS 200

4311045 US GUIDED RADIOACTIVE SEED PLACE 379

4311046 PLACE NEEDLE MUSCLE/TISSUE FOR RT 12384

4311098 US BX/SOFT TISSUE, NECK/THORAX 4495

4311099 US BX/SOFT TISSUE, BACK/FLANK 4522

4311712 US BREAST BIOPSY/ASPIRATION 1915

4330836 BONE MARROW IMAGING MULTI 1760

4330837 NM G.I. BLOOD LOSS 1557

4330839 TESTICULAR IMAGING W/VASC 2004

4330840 LYMPHOSCINTIGRAPHY RT 1760

4330845 HELICOBACTER PYLORI BREATH STU 369

4330848 NM PARATHYROID SCAN 1244

4330849 ESOPHOGEAL REFLUX IMAGE 1553

4330850 NM FIRST-PASS CARDIAC EXAM 1066

4330851 NM GASTRIC EMPYING STUDY 936

4330855 CYSTOGRAM-ISOTOPE 2004

4330856 NM BONE SCAN-TRIPLE PHASE 1582

4330857 NM THYROID UPTAKE 901

4330858 NM THYROID SCAN-UPTAKE 1343

4330859 VASCULAR FLOW-VENOUS 1605

4330860 LIVER AND SPLEEN 1018

4330861 NM RENAL SCAN W/CAPTORPRIL 2004

4330862 MECKEL'S SCAN 931

4330863 NM BONE SCAN-LIMITED AREA 1582

4330864 NM BONE SCAN WHOLE BODY 1239

4330865 NM THYROID SCAN-ONLY 905

4330866 NM CARDIAC INFARCT STUDY 1779

4330871 NM BRAIN SCAN SPECT 5658

4330872 NM BONE SCAN-SPECT 1266

4330873 NM LUNG SCAN-PERFUSION 1504

4330874 NM BRAIN SCAN WITH VASCULAR 2654

4330875 NM CARDIAC (SPECT/SINGLE) 5428

4330876 NM CARDIAC (SPECT/MULTIPLE) 5428

4330877 NM TUMOR LOCALIZATION (LIMIT) 1797

4330878 CISTERNOGRAPHY 2654

4330879 NM RENAL SCAN ERPF-MAG-3 1380

4330880 NM HEPATOBILIARY GB STUDY (HIDA) 1244

4330881 ABSCESS LOCALIZATION-LIMI 3365

4330882 ABSCESS LOCALIZATION (BODY) 3365

4330883 NM MUGA 1061

4330884 NM SHUNT PATENCY 964

4330885 CSF LEAK LOCALIZATION 2654

4330886 RADIONUCLIDE-SESTAMIBI-X1 1450

4330887 RADIONUCLIDE-SESTAMIBI-X2 1450

4330888 RADIONUCLIDE-ONOCOSCINT 3213

4330890 NM RENAL W/LASIX RENOGRAM 2004

4330891 NM TUMOR LOCALIZATION-WHOLE BODY 5658

4330892 RADIOPHARMACEUTICAL-OCTREOSCAN 2397

4330894 RADIONUCLIDE-PERSANTINE 531

4330897 NM RENAL SCAN ERPF-MAG-3 W/LASIX 1380

4330898 NM RENAL SCAN GFR-DTPA 2004

4330899 NM RENAL SCAN-TRIPLE STUDY 2004

4330900 I-123 DIAGNOSTIC 298

4330901 TC-99M SULFER COLLOID 76

4330902 TC-99M EXAMETAZIME (CERETEC) 1153

4330903 TC-99M MEDRONATE (MDP) 76

4330904 TC-99 PYROPHOSPHATE (PYP) 115

4330905 TC-99M APCITIDE (ACUTECT) 1126

4330906 TC-99M ALBUMIN (MAA) 76

4330907 TC-99M MEBROFENIN (CHOLOTEC) 103

4330908 TI-201 (THALLIUM) 190

4330909 TC-99 MERTIATIDE (MAG-3) 412

4330910 TC-99M SESTAMIBI (CARDIOLITE) 1450

4330912 GA-67 (GALLIUM) 352

4330913 TC-99 (ULTRA TAG) 174

4330914 XE-133 (XENON) 120

4330915 TC-9 PENTETATE (DPTA) 76

4330916 1-131 DIAGNOSTIC 255

4330917 1-131 SODIUM IODIDE CAPSULE 82

4330919 LEXISCAN 1023

4330923 NM HEPATOBILIARY GB STUDY NON-CCK 1244

4330926 NM CARDIAC VIABILITY STUDY 5428

4330929 TUMOR IMAGING-WHOLE BODY 3727

4330931 RADIOIMMUNOTHERAPY 3164

4331004 SALIVARY GLAND STUDY 1553

4331005 GALLIUM GA-67 379

4331008 THYROID WHOLE BODY SCAN 1369

4331013 NM VQ LUNG SCAN-QUANTITATIVE 1347

4331014 VENOGRAM BILATERAL EQUALI 953

4331020 NM VQ LUNG SCAN 1347

4331044 RADIOPHARM THERAPY ORAL ADMIN 1229

4331101 TC-99M PERTECHNETATE/10ML 98

4331102 TC-99M PERTECHNETATE/1 ML 98

4331103 TC-99M PERTECHNETATE/15 ML 98

4331401 NM TC-99M TETROFOSMIN(MYOVIEW) 460

4331609 NM OCTREOSCAN 5658

4331610 NM OCTREOSCAN (SPECT) 3365

4331611 NM INDIUM IN-111 PENTETREOTIDE 1310

4331841 LYMPHOSCINTIGRAPHY LT 1760

4343910 RADIOLOGY OVERFLOW 1700

4350001 VITAMIN C 94

4350002 T3 UPTAKE 16

4350003 CAROTENE, BETA 63

4350004 CERULOPLASMIN 26

4350007 COPPER, SERUM 16

4350009 HAPTOGLOBIN 26

4350010 THYROXINE BINDING GLOBULIN 52

4350012 IMMUNOGLOBULIN G, QN, SERUM 21

4350013 IMMUNOGLOBULIN A, QN, SERUM 21

4350014 IMMUNOGLOBULIN M, QN, SERUM 21

4350015 ZINC, PLASMA OR SERUM 21

4350016 COMPLEMENT C4, SERUM 21

4350019 COMPLEMENT, TOTAL (CH50) 26

4350020 ALPHA-1-ANTITRYPSIN, SERUM 32

4350021 RENIN ACTIVITY, PLASMA 26

4350022 ALDOLASE 16

4350024 IMMUNOGLOBULIN D, QUANT, SERUM 73

4350025 IMMUNOGLOBULIN E, TOTAL 26

4350027 AFP, SERUM, TUMOR MARKER 32

4350028 CA 19-9 37

4350029 CANCER ANTIGEN (CA) 125 37

4350030 PORPHOBILINOGEN, QN, RANDOM UR 47

4350031 MYOGLOBIN 26

4350035 OXALATE, QUANT, 24-HOUR URINE 47

4350036 DHEA-SULFATE 26

4350037 5-HIAA, QUANT., 24-HR URINE 47

4350038 DHEA, SERUM 26

4350039 VANILLYLMANDELIC ACID, 24-HR URINE 37

4350040 CATECHOLAMINES, URINE, FREE, 24-HR 42

4350041 NMO IGG AUTOANTIBODIES 1602

4350042 METANEPHRINES, FRAC, QN, 24-HR 104

4350043 GROWTH HORMONE, SERUM 21

4350044 TRYPTASE 250

4350045 PROGESTERONE 21

4350046 INSULIN 21

4350048 GASTRIN, SERUM 32

4350049 HCG, BETA SUBUNIT, QNT, SERUM 21

4350050 CORTISOL, URINARY FREE 52

4350051 ACTH, PLASMA 37

4350052 ESTRADIOL 21

4350053 ESTRONE, SERUM 47

4350055 ESTRIOL, SERUM 32

4350056 GLUCAGON, PLASMA 68

4350057 C1 ESTERASE INHIBITOR, SERUM 42

4350058 VITAMIN B6, PLASMA 37

4350059 ANDROSTENEDIONE LCMS 68

4350060 PROSTATIC ACID PHOS, SERUM 42

4350061 VISCOSITY, SERUM 47

4350062 CALCITONIN, SERUM 42

4350064 COLD AGGLUTININ TITER, QUANT 47

4350065 T PALLIDUM AB (FTA-AB) 37

4350066 HEP B SURFACE AB 32

4350067 VDRL, CSF 26

4350068 COMPLEMENT C3, SERUM 26

4350069 ANTIPARIETAL CELL ANTIBODY 47

4350070 CYTOMEGALOVIRUS (CMV) AB, IGG 68

4350071 HBSAG SCREEN 26

4350072 HEP BE AG 32

4350073 HEP BE AB 32

4350074 ACTIN (SMOOTH MUSCLE) ANTIBODY 42

4350075 MITOCHONDRIAL (M2) ANTIBODY 32

4350076 THYROID PEROXIDASE (TPO) AB 21

4350079 HEP B CORE AB, TOT 32

4350080 HEP A AB, TOTAL 32

4350081 HEP A AB, IGM 26

4350082 AMEBIASIS ANTIBODIES 47

4350083 HLA B 27 DISEASE ASSOCIATION 141

4350084 LACOSAMIDE 515

4350085 LIDOCAINE (XYLOCAINE), SERUM 58

4350088 CARBON MONOXIDE, BLOOD 58

4350089 AMIKACIN TROUGH, SERUM 21

4350090 ARSENIC, BLOOD 47

4350091 ETHOSUXIMIDE (ZARONTIN), SERUM 58

4350092 LEAD, BLOOD (ADULT) 16

4350093 METHOTREXATE (MTX), SERUM 73

4350094 CHLORDIAZEPOXIDE, SERUM 99

4350095 TRICYCLIC ANTIDEPRESSANTS 58

4350097 ZONISAMIDE (ZONEGRAN), SERUM 47

4350098 PARASITE EXAM, BLOOD 78

4350099 PARASITE ID, WORM 110

4350100 VIRAL CULTURE, GENERAL 188

4350102 PINWORM PREP - ENTEROBIUS 32

4350104 C-PEPTIDE, SERUM 16

4350105 ANGIOTENSIN-CONVERTING ENZYME 21

4350106 BETA-2 MICROGLOBULIN, SERUM 21

4350107 OSTEOCALCIN, SERUM 104

4350108 THYROTROPIN RECEPTOR AB, SERUM 78

4350109 IGF-1 42

4350110 TRIIODOTHYRONINE, FREE, SERUM 21

4350111 VIP, PLASMA 203

4350112 INTRINSIC FACTOR ABS, SERUM 26

4350113 ANTIHISTONE ANTIBODIES 26

4350114 SJOGREN'S ANTI-SS-A 37

4350115 SJOGREN'S ANTI-SS-B 42

4350117 ANTITHROMBIN ACTIVITY 47

4350118 THROMBIN TIME 42

4350119 RNP ANTIBODIES 21

4350120 SMITH ANTIBODIES 37

4350121 COMPLEMENT C1Q, QUANTITATIVE 37

4350122 CITRIC ACID (CITRATE), URINE 37

4350123 HEP B CORE AB, IGM 26

4350125 VITAMIN A, SERUM 58

4350126 ANTISCLERODERMA-70 ANTIBODIES 26

4350127 STREPTOCOCCUS PNEUMONIAE AG 146

4350128 OLIGOCLONAL BANDING 136

4350132 17-OH PROGESTERONE LCMS 47

4350133 VITAMIN B5 94

4350134 VITAMIN B3 (NIACIN+METABOLITE) 276

4350135 IODINE, 24 HR URINE 208

4350136 ACYLCARNITINE PROFILE, PLASMA 182

4350140 NICOTINE AND MEABOLITE, QUANT 146

4350141 BENZODIAZEPINE CONFIRMATION, UR 115

4350142 COBALT, PLASMA 68

4350143 CHROMIUM, PLASMA 32

4350144 CLONAZEPAM (KLONOPIN(R)), SERUM 84

4350145 PROTEIN C ANTIGEN 58

4350148 CALCITRIOL (1,25 DI-OH VIT D) 130

4350149 VIT B12 UNSAT BINDING CAPACITY 26

4350150 VITAMIN D, 25-HYDROXY 63

4350151 SEX HORM BINDING GLOB, SERUM 26

4350152 SULFONAMIDES UNDIFFERENT, S/P 510

4350153 ANTISKIN AUTOANTIBODIES, QUANT 115

4350154 ANTIGLOMERULAR BM AB 32

4350155 RABIES NEUT.ABS TITRAT.(RFFIT) 297

4350156 HIV ANTIBODY, CONFIRM RAPID SCREEN 84

4350157 CATECHOLAMINES, PLASMA 125

4350158 MERCURY, BLOOD 162

4350159 ACHR BINDING ABS, SERUM 47

4350161 FACTOR II ACTIVITY 68

4350162 FACTOR V ACTIVITY 68

4350163 FACTOR VII ACTIVITY 58

4350164 FACTOR IX ACTIVITY 115

4350165 FACTOR X ACTIVITY 63

4350166 FACTOR XI ACTIVITY 141

4350169 INFLUENZA B ABS, CF 47

4350170 VARICELLA-ZOSTER V AB, IGG 16

4350171 EBV EARLY ANTIGEN AB, IGG 68

4350173 ANTI-DSDNA ANTIBODIES 21

4350174 ALA DELTA, 24-HOUR URINE 162

4350176 MUMPS ANTIBODIES, IGG 16

4350177 RUBEOLA ANTIBODIES, IGG 16

4350178 VARICELLA-ZOSTER AB, IGM 21

4350180 FRUCTOSAMINE 21

4350181 FDP, PLASMA 68

4350183 HEPARIN ANTI-XA 229

4350186 PROTEIN C-FUNCTIONAL 141

4350187 ACTIVATED PROTEIN C RESISTANCE 141

4350190 OSMOLALITY, FECAL 26

4350191 LIPOPROTEIN (A) 52

4350192 SEROTONIN, SERUM 37

4350193 C1 ESTERASE INHIBITOR, FUNC 73

4350194 C-REACTIVE PROTEIN, CARDIAC 26

4350195 CALCULI, URINARY 94

4350196 HGB, FETAL, QUANT 52

4350198 VITAMIN B1 (THIAMINE), BLOO 42

4350199 VITAMIN K1 42

4350201 CYSTATIN C 182

4350203 METANEPHRINES, FRAC., PL. FREE 47

4350205 LACTOFERRIN, FECAL, QUANT 609

4350208 PANCREATIC AMYLASE, S 115

4350209 VITAMIN B2, WHOLE BLOOD 68

4350210 MYELIN BASIC PROTEIN, CSF 229

4350211 EPSTEIN-BARR VIRUS PCR 1072

4350212 VZV REAL TIME PCR 1072

4350213 BARTONELLA DNA PCR 926

4350215 MYCOPLASMA PNEUMONIAE, PCR 1072

4350216 HUMAN HERPES VIRUS 6 PCR 526

4350218 TOXOPLASMA GONDII PCR 552

4350219 ENTEROVIRUS RT-PCR 458

4350220 PARVOVIRUS B19 PCR 983

4350222 LYME (B.BURGDORFERI) PCR 645

4350223 CMV PCR 411

4350224 ECHINOCOCCUS ANTIBODY 604

4350226 BK QUANT PCR (URINE) 1098

4350227 HIV-2 AB SCREEN 182

4350229 BK QUANT PCR (PLASMA/SERUM) 1098

4350231 CMV QUANT DNA PCR (PLASMA) 588

4350232 HIV 1/2 AB EVALUATION 598

4350233 JC VIRUS DNA, PCR (CSF) 916

4350235 JC VIRUS DNA, PCR (WHOLE BLOOD) 552

4350236 EBV PCR QUANT (WHOLE BLOOD) 1098

4350237 NGI SUPERQUAL (TM) WNV RT PCR 458

4350239 IGF-BP3 94

4350240 HCV AB REFLEX HCV RT-PCR 32

4350241 ALPHA SUBUNIT (FREE) 162

4350242 ERYTHROPOIETIN (EPO), SERUM 26

4350243 CA 27.29 52

4350246 HCV ANTIBODY 37

4350247 PREGNENOLONE, MS 141

4350248 THYROID STIM IMMUNOGLOBULIN 297

4350249 NGI HBV SUPERQUANT 916

4350250 IGF-BP1 208

4350251 CHROMOGRANIN A 94

4350253 IA-2 AUTOANTIBODIES 208

4350254 INSULIN ANTIBODIES 120

4350255 PROBNP 276

4350256 GAD-65 AUTOANTIBODY 47

4350257 CANCER ANTIGEN (CA) 15-3 58

4350258 HISTAMINE, PLASMA 141

4350259 HEPARIN INDUCED PLATELET 182

4350261 STRIATIONAL ANTIBODIES 58

4350262 RUBEOLA ANTIBODIES, IGM 63

4350263 MUMPS, ANTIBODIES, IGM 146

4350264 ANTI-DNA (SS) IGG, AB, QN 26

4350265 ANTI-JO-1 26

4350266 RHEUMATOID ARTHRITIS, QN/FLUID 52

4350267 ANTIGLIADIN ABS, IGA 21

4350268 ANTIGLIADIN ABS, IGG 21

4350272 H. PYLORI, IGG ABS 21

4350275 HELICOBACTER PYLORI, IGA 32

4350276 HELICOBACTER PYLORI, IGM AB 21

4350284 ANTIMYELOPEROXIDASE (MPO) ABS 21

4350285 ANTIPROTEINASE 3 (PR-3) ABS 21

4350287 LIVER-KIDNEY MICROSOMAL AB 68

4350288 TTG/DGP SCREEN 94

4350289 HTLV-1/II ANTIBODIES, QUAL. 115

4350291 HISTOPLASMA ABS, QN, DID 68

4350293 PROTEIN S-FUNCTIONAL 182

4350294 LEGIONELLA PNEUMOPHILA ABS. 68

4350295 T-TRANSGLUTAMINASE (TTG) IGA 21

4350298 PROCALCITONIN 364

4350299 HSV, IGM I/II COMBINATION 26

4350300 ANTI-CENTROMERE B ANTIBODIES 26

4350303 ANTINUCLEAR ANTIBODIES, IFA 16

4350304 T-TRANSGLUTAMINASE (TTG) IGG 21

4350305 ENDOMYSIAL ANTIBODY IGA 26

4350307 H. PYLORI STOOL AG, EIA 172

4350308 H. PYLORI BREATH TEST 200

4350309 E COLI SHIGA TOXIN EIA 68

4350310 GIARDIA LAMBLIA AG, EIA 58

4350311 L. PNEUMOPHILA SEROGP 1 UR AG 63

4350315 CCP ANTIBODIES IGG/IGA 68

4350316 ASPERGILLUS AG, BAL/SERUM 364

4350318 C DIFFICILE TOXIN GENE NAA 364

4350319 ALDOSTERONE 42

4350320 ALLOPURINOL + METABOLITE 593

4350326 ANGIOTENSIN CONVERT ENZ., CSF 182

4350339 FUNGITELL, SERUM 505

4350344 HEPATITIS PANEL (ANEMIA CLINIC ONLY) 115

4350351 CYSTIC FIBROSIS MUTATION 97 1238

4350355 JAK2 MUTATION ANALYSIS, QUAL 869

4350357 C-TELOPEPTIDE, SERUM 318

4350358 21-HYDROXYLASE ANTIBODIES 245

4350359 GLYCOMARK (R) (1,5 AG) 125

4350360 VITAMIN D 25-HYDROXY, D2 + D3 208

4350361 CORTICOSTEROID BIND.GLOB(CBG) 120

4350362 DIHYDROTESTOSTERONE 162

4350363 SALIVARY CORTISOL, MS 214

4350364 ANTI-MULLERIAN HORMONE (AMH) 198

4350366 PROINSULIN ICMA, ENDO SCI 24

4350367 PTHRP (PTH-RELATED PEPTIDE) 115

4350368 BETA-HYDROXYBUTYRATE 208

4350369 THIOPURINE METABOLITES 619

4350370 HELPER T-LYMPH-CD4 104

4350371 HPV, HIGH-RISK 182

4350372 CHROMOSOME MICROARRAY 6864

4350373 THIOPURINE METHYLTRANSFERASE 1144

4350375 APL (PML-RARA) QUANT 1404

4350377 FACTOR V LEIDEN MUTATION 276

4350378 FACTOR II, DNA ANALYSIS 276

4350379 MTHFR 323

4350380 HEREDITARY HEMOCHROMATOSIS, DNA 396

4350381 ALK PHOSPHATASE, BONE SPECIFIC 141

4350382 SEMEN ANALYSIS, BASIC 182

4350383 HCV RT-PCR, QUANT (NON-GRAPH) 458

4350385 REALTIME ABBOTT 484

4350387 HCV RNA BDNA 3.0 640

4350388 IGE PEANUT (F013) 21

4350389 IGE EGG WHITE (F001) 21

4350390 IGE MILK (F002) 21

4350391 IGE CASHEW NUT (F202) 21

4350392 IGE EGG (YOLK) (F075) 21

4350393 IGE LATEX (K082) 21

4350394 IGE BANANA (F092) 21

4350395 IGG ASPERGILLUS FUMIGATUS (M003) 21

4350397 AMINO ACID PROFILE, QN, PLASMA 182

4350398 METHADONE CONFIRMATION, URINE 162

4350399 TACROLIMUS (FK506), BLOOD 182

4350400 VORICONAZOLE, SERUM/PLASMA 354

4350401 CARNITINE, TOTAL AND FREE 37

4350402 CYCLOSPORINE, BLOOD 21

4350403 AMIODARONE (CORDARONE(R), S 37

4350404 METHYLMALONIC ACID, SERUM 141

4350405 HOMOCYST(E)INE, PLASMA 47

4350406 TOPIRAMATE (TOPAMAX), SERUM 32

4350407 NICOTINE METABOLITE, URINE 42

4350408 MYCOPHENOLIC ACID AND METABO 364

4350409 GABAPENTIN (NEURONTIN), SERUM 26

4350410 OXCARPAZEPINE (TRILEPTAL),S 21

4350411 LEVETIRACETAM (KEPPRA), S 130

4350412 LAMOTRIGINE (LAMICTAL), SERUM 26

4350414 COMPREHENSIVE DRUG ANALYSIS, UR 687

4350415 COCAINE CONFIRMATION, WB 458

4350416 TROPHERY, WHIPPEI BY RAPID PCR 1961

4350417 FACTOR VII ACTIVITY 94

4350418 COMPLEMENT COMPONENT 5 260

4350420 FLUCYTOSINE, SERUM/PLASMA 364

4350421 RNA POLYMERASE III IGG ABS 318

4350424 ANTI-SPERMATOZOA ANTIBODIES 292

4350425 CANNABINOID, SERUM 780

4350426 MECONIUM 5 PANEL 297

4350427 MECONIUM METHADONE CONFIRM 234

4350428 ALA DEHYDRATASE, RBC 1280

4350429 PERPHENAZINE (TRILAFON) 411

4350430 CARBOHYDRATE, URINE 619

4350431 PORPHYRINS EVALUATION, WB 723

4350432 NMO/AQP4-IGG CBA, CSF 1748

4350434 APOLIPOPROTEIN E (APOE) 2470

4350437 D-LACTATE 546

4350439 BICARBONATE (HC03), URINE 162

4350440 FORMIC ACID, SERUM/PLASMA 422

4350441 PBG DEAMINASE, ERYTHROCYTES 484

4350443 FLUORESCENT TREPONEMA AB, CSF 19

4350444 TRYPANOSOMA CRUZI AB IGG 240

4350448 LIPASE, FLUID 167

4350449 HUNTINGTON DISEASE MUTATION 1144

4350450 HEMOSIDERIN, URINE 177

4350451 LEPTOSPIRA IGM 344

4350453 TIAGABINE (GABITRIL) 297

4350454 CAMPYLOBACTER JEJUNI ANTIBODY 710

4350456 TOTAL PROTEIN 16

4350457 PROTEIN ELECTROPHORETIC FRACT-QUANT 16

4350458 IMMUNOGLOBULIN 1 26



4350461 TOTAL PROTEIN 26

4350462 PROTEIN ELECTROPHORETIC FRACT-QUANT 26

4350463 IMMUNOFIXATION ELECTROPHORESIS 26

4350464 PHOSPHATASE, ALKALINE 16

4350465 PHOSPHATASE, ALKALINE ISOENZYMES 16

4350466 LACTASE DEHYDROGENASE 21

4350467 LACTASE DEHYDROGENASE ISOENZYMES 21

4350468 G-6-PD, QUANTITATIVE 21

4350469 RED BLOOD CELL, AUTOMATED 21

4350470 CREATINE KINASE, TOTAL 26

4350471 CREATINE KINASE ISOENZYMES 26

4350472 ALBUMIN, SERUM 37

4350473 ALBUMIN, URINE, QUANT 37



4350476 COPPER 42

4350477 CREATININE OTHER SOURCE 42

4350478 TOTAL, PROTEIN, URINE 47

4350479 PROTEIN ELECTROPHOR FRACT-QUANT, URINE 47

4350480 TOTAL PROTEIN, URINE 32

4350481 PROTEIN ELECTROPHOR FRAC-QUANT, URINE 32

4350482 IMMUNOFIXATION ELECTLROPHORESIS, URINE 32

4350483 ALDOSTERONE 47

4350484 RENIN 47

4350485 ESTRADIOL 58

4350486 ESTRONE 58

4350487 MICROSOMAL ANTIBODIES 26

4350488 THYROGLOBULIN ANTIBODY 26

4350489 PHENOBARBITAL 125

4350490 PHENYTOIN 125

4350491 ALCOHOL 125

4350492 ANALGESICS, NON-OPIOID 125

4350493 ANABOLIC STEROIDS 125

4350494 ANTIPSYCHOTICS, NOS 125

4350495 BARBITURATES 125

4350496 BENZODIAZEPINES 125

4350497 ARSENIC 32


4350499 PHENOBARBITAL 37

4350500 PRIMIDONE 37

4350501 OVA AND PARASITES, SMEAR, CONC, ID 32

4350502 OVA AND PARASITES, COMPLEX SPECIAL STAIN 32

4350503 ALPHA-FETOPROTEIN 47

4350504 ESTRIOL 47

4350505 GONADOTROPIN, CHORIONIC, QUANTITATIVE 47

4350506 INHIBIN A 47

4350507 ARSENIC 16

4350508 LEAD 16

4350509 MERCURY, QUANTITATIVE 16

4350510 OSMOLALITY, BLOOD 84

4350511 VASOPRESSIN 84

4350512 TESTOSTERONE, FREE 156

4350513 TESTOSTERONE, TOTAL 156

4350514 PHENYTOIN, TOTAL 73

4350515 PHENYTOIN, FREE 73

4350516 ARSENIC 11

4350517 CADMIUM 11


4350519 LEAD 11

4350520 MERCURY, QUANTITATIVE 11

4350521 IMMUNOSSAY, QUANTITATIVE BY RIA 219

4350522 FLUORESCENT NONINFECT AGENT ANTIBODY,SCN 219

4350523 ASPERGILLUS 1 104



4350526 BLASTOMYCES 104

4350527 COCCIDIOIDES 104

4350528 HISTOPLASMA 104

4350529 ALPHA-1-ANTITRYPSIN, TOTAL 73

4350530 ALPHA-1-ANTITRYPSIN, PHENOTYPE 73

4350531 B CELLS, TOTAL COUNT 47

4350532 T CELLS, TOTAL COUNT 47

4350533 ABSOLUTE CD4 AND CD8 COUNT WITH RATIO 47

4350534 PROTHROMBIN TIME 104

4350535 PROTHROMBIN TIME, SUBS, PLASMA FRACTIONS 104

4350536 FACTOR VIII (AHG), 1-STAGE 78

4350537 THROMBOPLASTIN TIME, PARTIAL 78

4350538 THROMBOPLAS TIME,PARTIAL,SUBS,PLAS 1 78



4350541 RUSSELL VIPER VENOM TIME, DILUTED 26

4350542 THROMBOPLAST TIME, PARTIAL, SUBS PLASMA 26

4350543 HGB FRACTIONATION, CHROMATOGRAPHY 32

4350544 SICKLING OF RBC, REDUCTION 32



4350547 IMMUNOFIXATION ELECTROPHORESIS, URINE 63

4350548 ALBUMIN, SERUM 47

4350549 ALBUMIN, URINE, QUANT 47

4350550 IMMUNOBLOBULIN 1 47


4350552 OLIGOCLONAL BANDS 47

4350553 WEST NILE VIRUS, IGM 115

4350554 WEST NILE VIRUS 115

4350555 BORRELIA BURGDORFERI 162

4350556 EHRLICHIA 1 162

4350557 EHRLICHIA 2 162

4350558 EHRLICHIA 3 162

4350559 EHRLICHIA 4 162

4350560 PROTOZOA, NOT ELSEWHERE SPECIFIED 1 162

4350561 PROTOZOA, NOT ELSEWHERE SPECIFIED 2 162

4350562 WEST NILE VIRUS, IGM 115

4350563 WEST NILE VIRUS 115

4350564 HERPES SIMPLEX VIRUS, AMP PROBE TECH 1 63


4350566 INFECTIOUS AGENT DETECT, AMP PROBE TECH 63

4350567 TESTOSTERONE, FREE 16

4350568 TESTOSTERONE, TOTAL 16

4350569 INSULIN, TOTAL 21

4350570 INSULIN, FREE 21

4350571 COLLAGEN CROSS LINKS 26


4350573 PROTEIN S TOTAL 89

4350574 PROTEIN S FREE 89

4350575 FLUORES NONINFECT AGENT ANTIBODY, TITER 26

4350576 FUNGUS NOT ELSEWHERE SPECIFIED 1 26


4350578 HERPES SIMPLEX TYPE 1 32

4350579 HERPES SIMPLEX TYPE 2 32

4350580 IMMUNOGLOBULIN 21

4350581 IMMUNOASSAY OTHER THAN INFECT AGENT 1 21




4350585 FLUORES NONINFECT AGENT ANTIBODY, SCREEN 21

4350586 CONCENTRATION FOR INFECTIOUS AGENT 26

4350587 FLUORES OR ACID FAST STAIN FOR BACTERIA 26

4350588 CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE 73

4350589 NEISSERIA GONORRHOEAE AMPLIED PROBE 73

4350590 IMMUNOGLOBULIN 84

4350591 IMMUNOGLOBULIN SUBCLASS 1 84




4350595 CYTOMEGALOVIRUS IGM 52

4350596 HERPES SIMPLEX NON-SPECIFIC 52

4350597 RUBELLA 52

4350598 TOXOPLASMA IGM 52

4350599 TOXOPLASMA 68

4350600 TOXOPLASMA IGM 68

4350601 EPSTEIN-BARR VIRUS, NUCLEAR ANTIGEN 58

4350602 EPSTEIN-BARR VIRUS, VIRAL CAPSID 1 58

4350603 EPSTEIN-BARR VIRUS, VIRAL CAPSID 2 58

4350604 CYTOMEGALOVIRUS 94

4350605 CYTOMEGALOVIRUS IGM 94

4350606 HEPATITIS B CORE ANTIBODY TOTAL 32

4350607 HEPATITIS B CORE ANTIBODY IGM 32

4350608 HEPATITIS B SURFACE ANTIBODY 32

4350609 HEPATITIS B SURFACE ANTIGEN 32

4350610 ANTISTREPTOLYSIN O TITER 52

4350611 DEOXYRIBONUCLEASE ANTIBODY 52

4350612 FOLIC ACID, RBC 26

4350613 HEMATOCRIT 26



4350616 HEPATITIS A ANTIBODY TOTAL 32

4350617 HEPATITIS C ANTIBODY 32


4350619 CHLAMYDIA 1 188

4350620 CHLAMYDIA 2 188

4350621 CHLAMYDIA 3 188

4350622 CHLAMYDIA IGM 1 188



4350625 CRYOFIBRINOGEN 26

4350626 CRYOGLOBULIN 26





4350631 HEPATITIS A ANTIBODY TOTAL 32





4350636 HBA1/HBA2 GENE ANAL FOR DELET OR VAR 26

4350637 FERRITIN 26

4350638 HGB FRACTIONATION, CHROMATOGRAPHY 26

4350639 COMPLETE CBC, AUTOMATED 26

4350640 SICKLING OF RBC, REDUCTION 26

4350641 PROSTATE SPECIFIC ANTIGEN TOTAL 16

4350642 PROSTATE SPECIFIC ANTIGEN FREE 16

4350643 FACTOR V, LABILE FACTOR 182

4350644 FACTOR INHIBITOR TEST 182

4350645 PROTHROMBIN TIME 182

4350646 PROTHROMBIN TIME,SUBS,PLASMA FRACTIONS1 182

4350647 PROTHROMBIN TIME,SUB,PLASMA FRACTIONS 2 182

4350648 THROMBOPLASTIN TIME, PARTIAL 182

4350649 COLLAGEN CROSS LINKS 68


4350651 APOLIPOPROTEIN 104

4350652 BILIRUBIN, TOTAL 104

4350653 CHOLESTEROL, TOTAL 104

4350654 GLUCOSE, QUANTITATIVE, BLOOD 104

4350655 GLUTAMYLTRANSFERASE, GAMMA 104

4350656 HAPTOGLOBIN, QUANTITATIVE 104

4350657 NEPHELOMETRY, EACH ANALYTE NES 104

4350658 TRANSFERASE, ASPARTATE AMINO 104

4350659 TRANSFERASE, ALANINE AMINO 104

4350660 TRIGLYCERIDES 104

4350661 INFECT AGENT DRUG SUSCEP PHENOTYPE PRED 416

4350662 HIV-1, REV TRANSCRIPTASE&PROTEASE REGION 416

4350663 INFEC AGT PHENOTYPE ANAL BY NUCLEIC ACID 416

4350664 EACH ADDITIONAL DRUG TESTED 1 416











4350675 LIPOPROT, HI RES FRACT&QUANT W/SUBCLAS 125

4350676 TRIGLYCERIDES 125

4350677 CONCENTRATION FOR INFECTIOUS AGENT 104

4350678 SPECIAL STAIN FOR INCLUS BODIES/PARASITE 104

4350679 IMMUNOFIXATION ELECTROPHORESIS, SERUM 318

4350680 IMMUNOFIXATION ELECTROPHORESIS, URINE 318

4350681 LIPID PANEL 89

4350682 LIPOPROTEIN,QUANT PARTICLES&SUBCLASSES 89

4350683 EXTRACT NUCLEAR ANTIGEN, ANTIBODY, EA1 84

4350684 EXTRACT NUCLEAR ANTIGEN,ANTIBODY, EA 2 84



4350687 EXTRACT NUCLEAR ANTIGEN,ANTIBODY,EACH5 84

4350688 EXTRT NUCLEAR ANTIGEN,ANTIBODY, EACH 6 84


4350690 HISTOPLASMA 1 130

4350691 HISTOPLASMA 2 130

4350692 VIRUS, NOT ELSEWHERE SPECIFIED 1 193

4350693 VIRUS, NOT ELSEWHERE SPECIFIED 2 193

4350694 BACTERIUM, NOT ELSEWHERE SPECIFIED 1 16














4350708 COXIELLA BURNETTII 1 146

4350709 COXIELLA BURNETII 2 146



4350712 BORDETELLA 1 276




4350716 ALLERGEN SPECIFIC IGE, QUANT, EACH 1 21






4350722 CORTISOL, FREE 1 68

4350723 CORTISOL, FREE 2 68



4350730 RICKETTSIA 1 58

4350731 RICKETTSIA 2 58

4350732 BORRELIA BURGDORFERI 1 37

4350733 BORRELIA BURGDORFERI 2 37

4350734 RUBEOLA 1 42

4350735 RUBEOLA 2 42

4350736 MUMPS 1 37

4350737 MUMPS 2 37

4350738 VARICELLA-ZOSTER 1 21

4350739 VARICELLA-ZOSTER 2 21




4350743 APOLIPOPROTEIN 1 16

4350744 APOLIPOPROTEIN 2 16

4350745 VIRUS ISOLA, CENTRI ENH TECH, ID&STAIN 1 52







4350752 SUSCEP STUDIES,MACROBROTH DIL METH, EA1 208

4350753 SUSCEP STUDIES,MACROBROTH DIL METH, EA 2 208






4350759 EHRLICHIA 1 141

4350760 EHRLICHIA 2 141

4350761 EHRLICHIA 3 141

4350762 EHRLICHIA 4 141




4350766 BETA-2 GLYCOPROTEIN I ANTIBODY 1 16



4350769 IMMUNOASSAY/ INFECT AGENT ANTI,QT NOS1 42

4350770 IMMUNOASSAY/ INFECT AGENT ANTI,QT NOS2 42

4350771 ENTEROVIRUS 1 110








4350779 PARVOVIRUS 1 94

4350780 PARVOVIRUS 2 94



4350783 BORRELIA BURGDORFERI CONFIRM TEST 1 73

4350784 BORRELIA BURGDORFERI CONFIRM TEST 2 73

4350785 HELICOBACTER PYLORI 1 21



4350788 MYCOPLASMA 1 32

4350789 MYCOPLASMA 2 32

4350790 FLUORES NONINFECT AGENT ANTIBODY, TITER1 11



4350793 BARTONELLA 1 32




4350797 CARDIOLIPIN ANTIBODY, EACH IGG CLASS 1 47










4350811 AMYLASE 1 68

4350812 AMYLASE 2 68

4350813 NEPHELOMETRY, EACH ANALYTE NES 1 94




4350817 ANTI-PHOSPHATIDYLSERINE ANTIBODY 1 37



4350820 ANTIBODY, INFLUENZA VIRUS 1 47

4350821 ANTIBODY, INFLUENZA VIRUS 2 47







4350832 EXTRACT NUCLEAR ANTIGEN, ANTIBODY,EA 1 21

4350833 EXTRACT NUCLEAR ANTIGEN, ANTIBODY,EA 2 21




4350837 TISSUE CULTURE FOR NEOPLASTIC DISORDER 806

4350838 CHROMOSOME ANALYSIS ANALYZE 20-25CELLS 806

4350839 MOLECULAR GENETICS, DNA PROBE, EACH 1 806

4350840 MOLECULAR GENETICS DNA PROBE, EACH 2 806

4350841 CHROMO INSITU HYBRID ANAL 10-30 CELLS 806

4350842 INTERPH INSITU HYBRID, ANAL 100-300 CELL 806

4350843 CHROMOSOME ANALYSIS ADD KARYOTYPE, EA1 806

4350844 CHROMOSOME ANALYSIS ADD KARYOTYPE,EA 2 806

4350846 HIV-2 AB IMMUNOBLOT 713

4350850 THYROGLOBULIN SERUM 73

4350851 THYROGLOBULIN (TG-RIA) 73

4350855 RNA QUALITATIVE 1040

4350857 FACTOR VIII BETHESDA TITER 780

4350858 PTT-LA MIX 141

4350859 HEXAGONAL PHASE PHOSPHOLIPID 208

4350860 PTT-LA INCUB MIX 141

4350861 DRVVT MIX 162

4350862 DRVVT CONFIRM 141

4350865 HCV RT-PCR QUANT (NON-GRAPH) 593

4350868 MTB AST CONFIRMATION 598

4350870 IMMUNOFIXATION ELECTROPHORESIS 390

4350871 ALPHA-THALASSEMIA 2060

4350876 Q FEVER IGG PHASE I AB TITER 422

4350877 Q FEVER IGG PHASE II AB TITER 422

4350878 Q FEVER PHASE I IGM AB TITER 422

4350879 Q FEVER PHASE II IGM AB TITER 425

4350886 PROTOPORPHYRINS FRACTIONATION 905

4350889 HIV-1 AB 359

4350890 HIV-2 AB 359

4350891 INFECT AGENT(HIV) DRUG SUSCEPT PHENOTYPE 1571

4350892 HIV-1 REV TRANSCRIPTASE & PROTEASE REG 1571

4350897 HTLV-I AB 354

4350898 HTLV-II AB 354

4350899 CALPROTECTIN 916

4350901 FECAL SODIUM 110

4350902 FECAL POTASSIUM 110

4350903 FECAL CHLORIDE 110

4350904 PH, FECAL 37

4350906 CRYPTOSPORIDIUM AG EIA 219

4350907 GIARDIA LAMBLIA AG EIA 219

4350908 QUANTIFERON TB-GOLD 255

4350910 LESION HSV CULTURE 234

4350911 LESION VARICELLA CULTURE 234

4350912 LESION VIRAL IDENTIFICATION (1) 416

4350913 LESION VIRAL IDENTIFICATION (2) 416

4350914 SULFONYLUREA SCREEN, QT BLOOD 770

4350915 FECAL REDUCING SUBSTANCES 58

4350916 PANCREATIC ELASTASE, FECAL 1124

4350917 INSULIN-LIKE GROWTH FACTOR II (IGF-2) 323

4350919 SRA LOW DOSE, HEPARIN 817

4350920 SRA HIGH DOSE, HEPARIN 817

4350922 VWD IMMUNOASSAY QUANT 229

4350923 VWD FACTOR VIII (AHG) 1-STAGE 229

4350924 VWD FACTOR VIII VW FACTOR, RISTOC 229

4350925 VWD FACTOR VIII VW FACTOR ANTIGEN 229

4350926 VWD PARTIAL THROMBOPLASTIN TIME 229

4350927 SOLUBLE LIVER ANTIGEN (SLA) IGG AB 572

4350928 FETAL HEMOGLOBIN (APT) 312

4350929 ADAMTS 13 ACTIVITY 770

4350930 ADENOSINE DEAMINASE, PLEURAL FL 323

4350931 DRUG SCREEN PROCESSING CHARGE 47

4350960 HIV 12D HIV 1 AB 340

4350961 HIV 12D HIV 2 AB 340

4350962 ETHYLENE GLYCOL, SERUM 110

4350963 METHANOL, SERUM 90

4350965 BCR-ABL 1 GENE MAJOR BP 935

4350966 BCR-ABL 1 GENE MINOR BP 935

4350967 PNEUMOCYSTIS SMEAR 225

4350969 T-CELL ANTIGEN RECEPTOR, BETA 2860

4350970 T-CELL ANTIGEN RECEPTOR, GAMMA 2860

4350971 CORTISOL, ACTH STIMULATION 575

4350972 UGT1A1 IRINOTECAN TOXICITY 1320

4350974 IPEC TOTAL PROTEIN, CSF 65

4350975 IPEC ELECTROPHORETIC FRACT, QUANT, CSF 65

4350976 IPEC IMMUNOFIXATION, CSF 65

4350977 INFLUENZA A&B, RT-PCR, REFLEX H1N1 895

4350979 CHIKUNGUNYA IGG 275

4350980 CHIKUNGUNYA IGM 275

4350982 EASTERN EQUINE ENCEPH IGG, CSF 425

4350983 EASTERN EQUINE ENCEPH IGM, CSF 425

4350985 ST LOUIS ENCEPH IGG, CSF 365

4350986 ST LOUIS ENCEPH IGM, CSF 365

4350988 WESTERN EQUINE ENCEPH IGG, CSF 385

4350989 WESTERN EQUINE ENCEPH IGM, CSF 385

4350990 VGCC ANTIBODY 660

4350991 CHARGE REFLEX H1N1 INFLUENZA PCR 1260

4350992 HGB A1C WITH EAG (LABCORP) 25

4350993 GALLSTONE/SALIVARY STONE ANALYSIS 65

4350994 ALDOSTERONE, 24 HOUR URINE 180

4350995 BRUCELLA AB, IGG 75

4350996 BRUCELLA AB, IGM 80

4350997 THYROGLOBULIN ANTIBODY 20

4350998 CHLORIDE, CSF 25

4350999 GUCOSE, BODY FLUID 15

4351000 URIC ACID, BODY FLUID 15

4351001 PROTEIN, BODY FLUID 20

4351002 AMYLASE, BODY FLUID 20

4351003 LD, BODY FLUID 15

4351004 POTASSIUM, FLUID 20

4351005 SODIUM, FLUID 20

4351006 CHLORIDE, BODY FLUID 20

4351007 CREATININE, BODY FLUID 15

4351008 TRIGLYCERIDES, FLUID 15

4351009 UREA NITROGEN, BODY FLUID 15

4351010 CHOLESTEROL, FLUID 65

4351011 ALBUMIN, BODY FLUID 20

4351012 BILIRUBIN, TOTAL, BODY FLUID 65

4351013 LEUKOCYTE ALKALINE PHOSPHATASE 45

4351014 MDMA SCREEN, URINE 105

4351015 MDMA (GC/MS), URINE (REFLEX) 525

4351016 CPT2 GENE, FULL GENE ANALYSIS 4790

4351018 F21A CLOTTING FACTOR II, PT SPECIFIC 295

4351019 F21A FACTOR INHIBITOR TEST 295

4351020 F21A THROMBOPLATIN TIME, PARTIAL(PTT) 295

4351021 F21A PROTHROMBIN TIME (PT) 295

4351022 F21A PT SUBSTITUTION, PLASMA FRAC 1 295

4351023 F21A PT SUBSTITUTION PLASMA FRAC 2 295

4351024 GSDV-PYGM GENE SEQUENCING 6000

4351025 ITRACONAZOLE, SERUM OR PLASMA 1465

4351026 HCV GENOTYPING NONREFLEX 1080

4351027 HLA B5701 TEST 180

4351028 HIV-1 GENOTYPING (GENOSURE MG) 1950

4351029 HIV-1 QUANT, REV TRANSCRIPT 1700

4351030 HIV DRUG SUSCEPTIBILITY PHENOTYPE 990

4351032 LDWBC LYME DISEASE AB IGG 120

4351033 LDWBC LYME DISEASE AB IGM 120

4351034 COPPER, FREE, PLASMA 360

4351035 CHLAMYDIA PNEUMONIAE, PCR 660

4351036 STRONGYLOIDES, IGG AB, QUAL EIA 240

4351038 F. TULARENSIS AB IGG 175

4351039 F. TULARENSIS AB IGM 175

4351041 BA INFECT AGENT AG DETECT STREP GROUP B 50

4351042 BA INFECT AGENT AG DETECT NOT SPECIFIED1 50



4351045 HSV CULTURE WITHOUT TYPING 95

4351046 A1A, STOOL (ELISA) 385

4351047 TROPHERYMA WHIPPLEI BY PCR 945

4351048 BORRELIA BURGDORFERI IGG/IGM, CSF 455

4351049 ZNT8 ANTIBODIES 795

4351050 HISTOPLASMA GALACTOMANNAN AG, SERUM 385

4351051 HISTOPLASMA GALACTOMANNAN AG, URINE 385

4351052 SECRETIN 925

4351054 HSVABI HSV 1 IGM ABS 215

4351055 HSVABI HSV 2 IGM ABS 215

4351057 CTC CULTURE TYPING IMMUNOFLUORESCENT 35

4351058 CTC CULTURE, CHLAMYDIA 35

4351059 CHLAMYDIA, CONJUCTIVA, NAA 130

4351061 CJD IMMUNOASSAY INFECTIOUS AGENT 415

4351062 CJD WESTERN BLOT 415

4351064 FELEC SODIUM OTHER SOURCE 105

4351065 FELEC UNLISTED CHEM PROC FOR POTASSIUM 105

4351066 FELEC CHLORIDE OTHER SOURCE 105

4351068 NPE IMMUNOASSAY FOR ANALYT NOT AB OR AG1 1870

4351069 NPE IMMUNOASSAY FOR ANALYT NOT AB OR AG2 1870

4351070 NPE IMMUNOAS; ANALYT NOT AB/AG BY RIA 1 1870



4351073 NPE WESTERN BLOT WITH INTERP 1870

4351074 NPE WESTERN BLOT FOR BAND ID 1 1870






4351080 NPE FLUORES NONINFECT AGENT AB SCREEN 1 1870



4351083 PARASITE ID, ARTHROPOD 75

4351084 TREPONEMA PALLIDUM IGG, ELISA 225

4351085 LAMELLAR BODY COUNTS (LBC/FLM) 230

4351087 TRAZODONE, SERUM LEVEL 120

4351088 HSV CULTURE WITH TYPING 170

4351089 CHOLINESTERASE, RBC 70

4351090 METHADONE SCREEN, URINE 105

4351091 SALINE SUPPRESSION TEST 755

4351092 LEAD, BLOOD (PEDIATRIC) 35

4351093 WARFARIN (COUMADIN), LEVEL 135

4351095 F9IPC FACTOR IX 185

4351096 F9IPC FACTOR INHIBITOR TEST 185

4351097 F9IPC THROMBOPLASTIN TIME, PARTIAL 185

4351098 F9IPC SUBSTITUTION, PLASMA FRACT,FIRST 185

4351099 F9IPC SUBSTITUT, PLASMA FRACT, SECOND 185

4351100 F9IPC SUBSTITUTION, PLASMA FRACT,THIRD 185

4351101 GLIPIZIDE (GLUCOTROL) LEVEL 680

4351102 ZIKA VIRUS, MAC-ELISA, IGM 330

4351103 TAENIA SOLIUM AB (CYSTICERCOSIS) 440

4351104 BARBITURATES, SCREEN W/CONFIRM, BLOOD 575

4351105 CHARGE BARBITURATES CONFIRMATION 660

4351107 LSPCR LEGIONELLA BY AMP PROBE TECH 1940

4351108 LSPCR AMP PROBE TECH EA ORG 1940

4351110 HDVM HEPATITIS VIRUS D TOTAL 365

4351111 HDVM HEPATITIS VIRUS D IGM 265

4351112 HDVM HEPATITIS VIRUS D ANTIGEN 265

4351113 GHB SCREEN, BLOOD 580

4351114 CHARGE CHG REFLEX CONFIRM 350

4351115 ANTI-PLA2R 880

4351116 GAD65 ANTIBODY ASSAY, CSF 1195

4351117 AMPHIPHYSIN ANTIBODY 1850

4351119 CHLAMYDIA TRACHOMATIS, NAA 70

4351127 ANTIPANCREATIC ISLET CELLS 335

4351128 HIV-1, QUALITATIVE, RNA 1000

4351129 PANCREATIC POLYPEPTIDE 440

4351130 THROMBIN MIXING STUDY 190

4351131 TT MIX AND TTN 160

4351133 PLTABP HLA CLASS 1 AB 35

4351134 PLTABP IIB/IIIB AB 35

4351135 PLTABP IB/IX AB 35

4351136 PLTABP IA/IIA AB 35

4351137 PLTABP GLYCOPROTEIN IV AB 35

4351138 CHOLINESTERASE, SERUM 70

4351139 ANTIFUNGAL SUSCEPT, FLUCONAZOLE 550

4351140 ANTIFUNGAL SUSCEPT, MICAFUNGIN 700

4351141 RESPIRATORY VIRUS PROFILE, PCR 2155

4351142 ORGANIC ACID ANALYSIS, URINE 400

4351144 EASTERN EQUINE ENCEPH AB, IGG, CSF 425

4351145 EASTERN EQUINE ENCEPH AB, IGM, CSF 425

4351147 ST LOUIS ENCEPH AB, IGG, CSF 425

4351148 ST LOUIS ENCEPH AB, IGM, CSF 425

4351149 GQ1B ANTIBODY IGG 185

4351151 ARBOC ST LOUIS ENCEPH AB IGG 120

4351152 ARBOC ST LOUIS ENCEPH AB IGM 120

4351153 ARBOC CALIFORNIA ENCEPH AB IGG 120

4351154 ARBOC CALIFORNIA ENCEPH AB IGM 120

4351155 ARBOC EASTERN EQUINE ENCEPH AB IGG 120

4351156 ARBOC EASTERN EQUINE ENCEPH AB IGM 120

4351157 ARBOC WESTERN EQUINE ENCEPH AB IGG 120

4351158 ARBOC WESTERN EQUINE ENCEPH AB IGM 120

4351159 ARBOC WEST NILE VIRUS AB, ELISA IGG 120

4351160 ARBOC WEST NILE VIRUS AB, ELISA IGM 120

4351161 BILE ACIDS 70

4351163 COPPER 40


4351165 ADAMTS13 ANTIBODY (INHIBITOR) 1265

4351167 B PERTUSSIS, DNA PCR 505

4351168 B PARAPERTUSIS, DNA PCR 505

4351169 ALPHA-1-ANTITRYPSIN, FECAL, QN 380

4351171 PNH FLOW CYTOMETRY, FIRST MARKER 335

4351172 PNH FLOW CYTOMETRY, ADDITIONAL MARKER 1 335



4351175 PNH FLOW CYTOMETRY, ADD'L MARKER 4 335


4351179 PNH FLOW CYTOMETRY, FIRST MARKER 335








4351188 FACTOR XIII ACTIVITY 660

4351189 EUGLOBULIN LYSIS TIME 395

4351190 AMITRIPTYLINE LEVEL 115

4351192 NOROVIRUS DETECT DNA OR RNA, EA ORG G1 400

4351193 NOROVIRUS DETECT DNA OR RNA, EA ORG G2 400

4351194 HBV, QUANT, DNA REAL-TIME PCR 755

4351195 HCV, QUANT, RNA (ABBOTT-RT) 2850

4351196 ANAEROBIC BACT CULTURE W ID 39

4351197 H. PYLORI DRUG ADMIN 200

4351199 DRUG ABUSE PROFILE, URINE, W/MS CONFIRM 55

4351200 VASCULAR ENDOTHELIAL GROWTH FACTOR 990

4351201 HHV-6 QUANT DNA PCR, PLASMA 1565

4351202 VITAMIN E (ALPHA AND GAMMA TOCOPHEROL) 45

4351203 HYDROCODONE AND METABOLITE 490

4351204 FENTANYL AND METABOLITE 490

4351205 TRICHOMONAS VAGINALIS, NAA 155

4351206 HERPES VIRUS-8 IGG ANTIBODY 850

4351207 ANTIRIBOSOMAL P ANTIBODIES 400

4351209 MIXST THROMBOPLASTIN TIME PARTIAL 200

4351210 MIXST SUBSTITUTION PLASMA FRACTION 1 200



4351213 GENESEQ CARD FAM ARRHYTHMIA PROF 12870

4351215 INFLIX QUANT THERAP DRUG NOT SPECIFID 880

4351216 INFLIX CHEMILUMINESCENT ASSAY 880

4351217 DRUG SCREEN AND CONFIRM (10 DRUG),MECO 655

4351218 BUPRENORPHINE CONFIRM, MECONIUM 295

4351219 ADENOVIRUS GROUP ANTIBODY, QUANT 285

4351220 BUPRENORPHINE, SCREEN ONLY, URINE 255

4351221 SYNTHETIC CANNABINOIDS SCREEN, URINE 590

4351222 QUANTIFERON TB-GOLD PLUS 265

4351223 CHARGE CONFIRM SYNTHETIC CANNABINOIDS 355

4351224 NMDA RECEPTOR AB,IGG WITH REFLEX TITER 1140

4351225 CHARGE TITER NMDA RECEPTOR AB,IGG 825

4351226 ETHYL GLUCURONIDE/SULFATE SCREEN, UR 490

4351227 CHARGE CONFIRM ETHYL GLUCURONIDE 465

4351228 CLONIDINE LEVEL 780

4351229 CARCINOEMBRYONIC ANTIGEN 55

4351230 COCCIDIOIDES IGM AB 310

4351231 COCCIDIOIDES IGG AB 310

4351232 LEGIONELLA SPECIES CULTURE 120

4360001 COMPREHENSIVE METABOLIC PANEL 71

4360004 ELECTROLYTES PANEL 55

4360005 PH, VENOUS 55

4360012 BASIC METABOLIC PANEL 61

4360016 TOBRAMYCIN LEVEL 142

4360019 VANCOMYCIN LEVEL 115

4360047 CREATININE CLEARANCE 66

4360086 PREWARM CROSSMATCH 597

4360088 MYOGLOBIN 82

4360089 TROPONIN I 66

4360097 GLYCOHEMOGLOBIN (HGB A1C) 66

4360100 TOBRAMYCIN, TROUGH LEVEL 142

4360101 GENTAMICIN, TROUGH LEVEL 109

4360102 VANCOMYCIN, TROUGH LEVEL 115

4360105 ETHANOL LEVEL 71

4360109 URIC ACID, FLUID 49

4360114 CARCINOEMBRYONIC AG (CEA) 125

4360119 BILIRUBIN,TOTAL 49

4360122 CALCIUM (24 HR URINE) 55

4360127 CHOLESTEROL 39

4360135 DILANTIN LEVEL 76

4360136 CREATININE (24 HOUR URINE) 55

4360138 AMYLASE, FLUID 55

4360141 LDH, FLUID 49

4360160 GLUCOSE, CSF 49

4360170 LACTIC ACID 109

4360181 DIGOXIN LEVEL 82

4360182 LITHIUM LEVEL 71

4360186 OSMOLALITY, SERUM 76

4360187 OSMOLALITY (24 HOUR URINE) 71

4360188 PROTEIN (24 HOUR URINE) 55

4360190 POTASSIUM (24 HOUR URINE) 44

4360198 SALACYLATES LEVEL 76

4360202 SODIUM (24 HOUR URINE) 44

4360204 TRIGLYCERIDE 49

4360205 TSH 115

4360207 URIC ACID 49

4360211 URIC ACID, URINE 55

4360222 LIPID PROFILE 66

4360239 CARBON DIOXIDE 49

4360246 PROTEIN, CSF 55

4360267 FOLATE 82

4360270 VITAMIN B12 103

4360284 PHOSPHOROUS (24 HOUR URINE) 55

4360285 URIC ACID (24 HOUR URINE) 55

4360288 PHENOBARBITAL LEVEL 103

4360297 SODIUM, URINE 44

4360298 OSMOLALITY, URINE 55

4360307 POTASSIUM, URINE 44

4360309 PROTEIN, FLUID 55

4360310 CHLORIDE (24 HOUR URINE) 44

4360318 CREATININE, URINE 55

4360330 ACETONE, SERUM 44

4360331 CARBAMAZEPINE LEVEL 115

4360360 HCG, QUAL 44

4360371 CORTISOL, AM 109

4360372 CORTISOL, PM 109

4360376 PROTEIN, URINE 55

4360379 TOBRAMCYCIN, PEAK LEVEL 142

4360380 GENTAMICIN, PEAK LEVEL 109

4360383 AMYLASE, URINE 55

4360386 GENTAMICIN LEVEL 109

4360392 CREATININ, FLUID 49

4360393 BILIRUBIN, FLUID 49

4360398 VALPROIC ACID LEVEL 115

4360405 THEOPHYLLINE LEVEL 93

4360436 GLUCOSE, FLUID 49

4360438 CHLORIDE, URINE 44

4360573 SODIUM (FLUID) 49

4360574 POTASSIUM (FLUID) 49

4360575 CHLORIDE (FLUID) 49

4360578 UREA NITRIGEN (24 HOUR URINE) 55

4360616 ACETAMINOPHEN LEVEL 130

4360671 RUBELLA AB, IGG 61

4360775 CALCIUM,URINE 55

4360780 T4,TOTAL ( TOTAL THYROXINE ) 66

4360784 T4, FREE ( FREE THYROXINE ) 71

4361002 ALBUMIN, FLUID 49

4361020 BUN 55

4361021 GLUCOSE, SERUM 22

4361022 CREATININE 49

4361023 SODIUM 49

4361024 POTASSIUM, SERUM 39

4361025 CHLORIDE 49

4361089 PROTEIN, TOTAL 49

4361115 UREA NITROGEN, URINE 55

4361121 VANCOMYCIN, PEAK LEVEL 115

4361122 PHOSPHOROUS, URINE 55

4361157 IRON, SERUM 66

4361158 TIBC 115

4361189 HCG, QUANT 82

4361268 TRIGLYCERIDE, FLUID 49

4361302 CHOLESTEROL, FLUID 49

4361392 GLUCOSE, URINE 55

4361413 LIVER PANEL 61

4361469 ALBUMIN 49

4361470 CALCIUM, SERUM 44

4361471 PHOSPHOROUS 55

4361474 AMMONIA 103

4361476 LIPASE 55

4361477 MAGNESIUM, SERUM 49

4361478 MAGNESIUM (24 HOUR URINE) 55

4361484 FERRITIN 103

4361489 CK, TOTAL 49

4361490 LDH 49

4361494 GGT 49

4361495 ALT 44

4361496 AST 49

4361497 ALK PHOS 49

4361499 AMYLASE 55

4361550 PROSTATIC SPECIFIC AG(SCREEN) 125

4361695 CK MB 76

4361779 BILIRUBIN, DIRECT 49

4361800 IONIZED CALCIUM 49

4361851 PH 44

4361929 LH 120

4361931 FSH 120

4362091 COOXIMETER 115

4363000 VOLUME 44

4363206 C-REACTIVE PROTEIN ( CRP ) 55

4363207 PREALBUMIN 93

4363208 TESTOSTERONE 169

4363246 POTASSIUM, PLASMA 49

4363279 LACTIC ACID, CSF 109

4363288 LDL, DIRECT 61

4363291 TRANSFERRIN 82

4363298 NATRIURETIC PEDTIDE ( BNP ) 120

4363410 MAGNESIUM,URINE 55

4363431 PTH INTACT 277

4363432 PTH INTRAOPERATIVE 277

4363433 SODIUM, FLUID 49

4363434 POTASSIUM, FLUID 39

4363435 CHLORIDE,FLUID 49

4363437 HDL CHOLESTROL 44

4363470 TROPONIN-1 76

4363471 CK-MB 76

4363545 PROLACTIN 49

4363546 PROSTATIC SPECIFIC AG (DIAGN) 125

4363558 TRIIODOTHYRONINE (T3), TOTAL 44

4363574 MICROALBUMIN URINE 12

4363576 MICROALBUMIN (24 HOUR URINE) 12

4363613 HIV 1/2 AB, RAPID SCREEN 71

4363636 BLOOD UREA NITROGEN (BUN)FLUID 55

4363673 EPOC LACTATE 39

4363674 BETA HYDROXYBUTRATE 61

4363680 EICA IONIZED CALCIUM 39

4363681 EICA PH 39

4363690 B-TYPE NATRIURETIC PEPTIDE (BNP) 120

4363719 ISTAT TROPONIN 66

4363721 CHEM8-BMP 39

4363722 CHEM8-HCT 39

4363725 CARDIAC HEALTH SCREEN 28

4363726 GLUCOSE HEALTH SCREEN 14

4363727 LIPID HEALTH SCREEN 14

4363729 URINE DRUG SCREEN 142

4363731 CORTISOL, SERUM 120

4363756 UPCR URINE CREATININE 60

4363757 UPCR URINE PROTEIN 60

4363758 LACTIC ACID (REFLEX IF >2) 480

4368295 GENERAL HEALTH PANEL 120

4380805 FINE NEEDLE ASPIRATION 259

4380806 TISSUE EXAM-I 141

4380807 HISTOCHEMICAL STAINING FROZEN 309

4380808 DECALCIFICATION OF TISSUE 44

4380828 FROZEN SECTION 875

4380829 FROZEN SECTION-ADDITIONAL 49

4380831 SPECIAL STAIN GR I 259

4380832 SPECIAL STAIN GRII 259

4380833 PATHOLOGY CONSULT 342

4380837 PAP SMEAR 22

4380845 CYTOLOGY TOUCH PREP INTERP 55

4380846 CYTOLOGY,CYTOSPIN PREP 141

4380861 TISSUE EXAM-II 55

4380863 TISSUE EXAM-III 259

4380867 TISSUE EXAM-IV 259

4380870 TISSUE EXAM-V 875

4380873 TISSUE EXAM-VI 1401

4383310 CYTOLOGY-ENHANCED CYTOSPIN 259

4383325 TUMOR IMMUNOHISTOCHEM/COMPUT 158

4383351 CYTOLOGY SLIDES/SMEARS 55

4383353 PAP SMEAR THIN LAYER 44

4383354 CYTOLOGY TOUCH PREP PREPARE 55

4383355 PAP SMEAR MANUAL SCREEN 44

4383438 VENIPUNCTURE COLLECTION 17

4383440 CAPILLARY COLLECTION 17

4383525 FLOW CYTOMETRY/TC, 1 MARKER 875

4383526 FLOW CYTOMETRY/TC, ADD-ON 2143

4383569 STAT CHARGE 22

4383723 IMMUNO HISTO-CYTO CHEM, FIRST 152

4383724 IMMUNO HISTO-CYTO CHEM, ADDITIONAL 152

4383761 TARGETED SEQUENE ANALYSIS 1320

4383762 BRAF-GENE ANALYSIS 770

4383763 CALR-GENE ANALYSIS 660

4383764 EFGR GENE ANALYSIS COMMON 1430

4383765 GENE ANALYSIS 730

4383766 TKD VARIANT 365

4383767 JAK2 GENE ANALYSIS 500

4383768 KIT GENE ANALYSIS 1450

4383769 KRAS GENE ANALYSIS VARIA 850

4383770 KRAS GENE, ADD VARIANCE 850

4383771 GENE ANALYSIS 1085

4383772 NRAS GENE ANALYSIS 1300

4383773 MOLECULAR PATH PROC LEV 3 660



4383776 MOLECULAR PATHOLOGY PROC. 1325

4383777 SLT-3 MUTATION ANALYSIS 325

4383778 TISSUE CULTURE/NEOPLASTIC 685

4383779 CHROMOSOME ANALYSIS 680

4383780 MULTIPLEX ANITBODY STAIN 825

4383781 FISH, AUTOMATED INITIAL PROBE 825

4383782 MORPHOMETRIC ANALYSIS 825

4383783 ADD'L SINGLE PROBE STAIN 290

4383784 ADD'L SINGLE PROBE STAIN 290

4383785 EA. MULTIPLEX PROBE STAIN 495

4383786 FISH MANUAL MULTIPLEX PROBE 495

4383787 PROSTATE NEEDLE BX/5-20 825

4390015 CBC, MANUAL DIFF 44

4390026 PROTHROMBIN TIME (PT) 39

4390032 SEMINAL FL (POST VAS) 49

4390062 CELL COUNT, FLUID 44

4390063 CELL COUNT, CSF 44

4390125 WBC W/DIFF 49

4390162 CRYSTALS, MISC 49

4390403 PH, GASTRIC 44

4390508 SED RATE ( ESR ) 39

4390509 RETICULOCYTE COUNT 44

4390522 EOSINOPHIL COUNT, TOTAL 44

4390524 EOSINOPHIL, MISC 44

4390541 WBC 39

4390543 RBC 39

4390544 MANUAL DIFF 39

4390545 HEMOGLOBIN 17

4390547 HEMATOCRIT 17

4390549 PLATELET COUNT 40

4390554 PTT 44

4390557 FIBRINOGEN 61

4390564 FDP 152

4390567 D-DIMER 201

4390687 HCG,QUAL, URINE 39

4390703 SPECIFIC GRAVITY,URINE 17

4390704 PH/URINE 17

4390709 OCCULT BLOOD,URINE 17

4391041 SPECIFIC GRAVITY, FLUID 39

4391082 BILE, QUAL (FLUID) 49

4391099 PH, FLUID 39

4391105 SICKLE CELL SCREEN 39

4391130 REDUCING SUGAR, URINE 39

4391835 INA 39

4391850 IK 39

4391853 IBUN 39

4391858 ICL 39

4391861 ICA 39

4391862 IGL 39

4391867 IHCT 39

4393205 HCG, QUAL, BLOOD 39

4393232 COLLAGEN/EPINEPHRINE 76

4393233 COLLAGEN/ADP 76

4393287 OB URINE SCREEN 12

4393309 GLUCOSE(METER) 49

4393514 KETONES , URINE 17

4393529 FETAL FIBRONECTION 715

4393541 ISTAT, CREATININE 44

4393542 CREDIT URINALYSIS W/O SCOPE 17

4393543 CREDIT COLLAGEN/ADP 76

4393603 ACTIVATED CLOTTING TIME (ACT) 55

4393604 CHARGE UA AUTO WITHOUT MICROSCOPY 17

4393605 CHARGE UA AUTO WITH MICROSCOPY 34

4393607 CHARGE CBC AUTOMATED (NO DIFF) 39

4393609 CBCM CBC AUTOMATED 34

4393610 CBCM SMEAR EXAM WITH MAN DIFF 34

4393611 CHARGE CBC WITH DIFF (AUTO) 55

4393612 CHARGE SMEAR EXAM WITH MAN DIFF 17

4393659 EGASLYT IONIZED CALCIUM 55

4393661 EHHLYT HEMATOCRIT 61

4393662 EHHLYT SODIUM 61

4393663 EHHLYT POTASSIUM 61

4393665 ELYTES SODIUM 39

4393666 ELYTES POTASSIUM' 39

4393667 ELYTES IONIZED CALCIUM 39

4393668 EPOC H&H PANEL 39

4393669 EPOC GLUCOSE 39

4393671 EPOC SODIUM 39

4393672 EPOC POTASSIUM 39

4393677 EGASLYT SODIUM 55

4393678 EGASLYT POTASSIUM 55

4393679 EHHLYT IONIZED CALCIUM 61

4393682 EPOC CREATININE 169

4393685 EHLYTG HEMATOCRIT 55

4393686 EHLYTG SODIUM 55

4393687 EHLYTG POTASSIUM 55

4393688 EHLYTG IONIZED CALCIUM 55

4393689 EHLYTG GLUCOSE 55

4393700 REFLEX CBC(NO DIFF) ANEMIA CLINIC 39

4393701 EOSINOPHIL COUNT URINE 49

4393715 PLATELET COUNT (SODIUM CITRATE) 40

4393717 EOSINOPHIL COUNT URINE 49

4393736 URINALYSIS (CHEMISTRY ONLY) 71

4393737 URINALYSIS (COMPLETE) 120

4393738 URINALYSIS (MICROSCOPIC ONLY) 49

4393748 CG8 HCT 10

4393749 CG8 INA 10

4393750 CG8 IK 10

4393751 CG8 ICA 10

4393752 CG8 IGL 10

4393753 CG8 GASES 10

4393761 EGASLYTBLOOD GAS 55

4400006 TISSUE CULTURE/2 103

4400009 FAT (URINE) 44

4400011 CRYPTOCOCCUS TITER 55

4400014 FLUID CULTURE 103

4400020 ANTIGEN TEST EACH AB 39

4400021 ANTIGEN TEST EACH AB/1 39




4400037 CRYPTOCOCCUS AG TITER 55


4400041 OCCULT BLOOD,GASTRIC 44

4400042 MIC SUSC 93

4400043 KIRBY BAUER SUSC 93

4400044 AFB SUSC 93

4400046 ETEST 93

4400048 MBC SUSC 93

4400055 CULTURE ID, ANAEROBE 39

4400056 CULTURE ID ANAEROBE 39

4400057 CULTURE ID ANAEROBE/1 39


4400060 CULTURE ID BACTERIAL 39

4400061 CULTURE ID BACTERIAL/1 39



4400070 CULTURE ID FUNGUS/1 39



4400074 CULTURE ID MYCOBACTERIA/3 39


4400079 CULTURE ID URINE 39



4400121 CULTURE ID FUNGUS 39


4400131 CULTURE ID MYCOBACTERIA 39



4400142 CULTURE ID URINE/1 39




4400648 ROTAVIRUS ANTIGEN 71

4400900 FUNGUS SMEAR 44

4400901 INDIA INK PREP 49

4400902 RESPIRATORY CULTURE 66

4400904 CRYPTOSPORIDIUM EXAM 103

4400905 STOOL CULTURE 103

4400908 KOH PREPARATION 49

4400909 SUPRAPUBIC CULTURE 61

4400911 AEROBIC CULTURE 103

4400912 BLOOD CULTURE 66

4400913 AFB SMEAR 61

4400914 FUNGUS CULTURE 93

4400916 GRAM SMEAR 44

4400920 OVA AND PARASITES 71

4400921 FAT, STOOL 44

4400922 OCCULT BLOOD, STOOL 44

4400927 INFECT CTL CUL 103

4400929 WET PREP 61

4400934 AFB CULTURE 103

4400938 ANAEROBIC CULTURE 103

4400943 BUFFY COAT 66

4400944 MEAT FIBERS 49

4400945 HELICOBACTER PYLORI, RAPID UREASE 61

4400948 RSV AG, RESPIRATORY 93

4400949 GIARDIA 49

4400952 AFB ISOLATOR 130

4400957 FUNGUS ISOLATOR 109

4400960 WBC, MISC 49

4400962 CRYPTOCOCCUS AG (CSF) W TITER 49

4400963 URINE CULTURE 66

4400975 INFECT CTL FUNGUS CUL 93

4400976 INFECT CTL AFB CUL 103

4400977 CRYPTOCOCCUS AG (BLOOD) NO TITER 49

4400992 STREP SCREEN 71

4401003 SALMONELLA TYPING 115

4401004 SHIGELLA TYPING 120

4401005 E. COLI TYPING 39

4401006 MRSA INFECTION CONTROL SCREEN 12

4401007 VRE INFECTION CONTROL SCREEN 17

4401500 DERMATOPHYTE CULTURE 66

4403215 CHLAMYDIA, DNA, AMP PROBE 71

4403216 GC,DNA, AMP PROBE 71

4403295 INFLUENZA A 61

4403296 INFLUENZA B 49

4403337 INFLUENZA A 49

4403400 GROUP B STREP CULTURE 39

4403401 GC CULTURE 39

4403421 ID & SUSCEPTIBILITY 61

4403632 C DIFFICILE (AMPLIFIED PROBE) 158

4403642 CRYPTOCOCCUS AG (csf) NO TITER 49

4403645 CHARGE CRYTPCOCCUS AB TITER 55

4403716 CRYPTOCOCCUS AG (BLOOD) W/TITER 71

4403730 RAPID FLU A/B MOLECULAR 169

4403733 TCD C DIFF ANTIGEN BY EIA 44

4403734 TCD C DIFF TOXIN BY EIA 44

4403735 CHARGE TCD C DIFF BY AMPL PROBE 88

4403760 PROCALCITONIN 155

4410017 RA TITER (FLUID) 47

4410018 RA FACTOR (FLUID) 42

4410027 STS (RPR) TITER 58

4410661 MONO 58

4410665 STS (RPR) WITH TITER IF INDICATED 37

4410787 RA FACTOR WITH TITER IF INDICATED 42

4410788 RA FACTOR TITER 47

4413643 RA FACTOR (NO TITER) 42

4413644 STS (RPR) NO TITER 37

4413646 CHARGE RA FACTOR TITER 52

4413647 CHARGE STS (RPR) TITER 47

4541080 DISPOSABLE RESUS BAG 103

4542001 CONTINOUS NEBULIZER SUPPLIES 49

4542005 PORTEX HUMID VENT 12

4542010 TRACH CHANGE OUT 618

4542021 VITAL CAPACITY 525

4542030 PEEP VALUE DISP 44

4542035 BRONCHOSCOPY, BEDSIDE 1775

4542046 FRC, RV 298

4542047 PRE & POST EVALUATION 969

4542048 DLCO 304

4542049 MVV 201

4542057 FV LOOP 450

4542058 BIPAP 277

4542059 AEROCHAMBER 71

4542060 PEAK FLOW METER 30

4542062 MDI INSTRUCT PER RT 784

4542063 BIPAP MASKS 142

4542064 BI-PAP SUPPLIES 185

4542065 CONTINOUS UPDRAFT SUBSEQUENT HOUR 304

4542066 CONTINOUS UPDRAFT 1ST HOUR 304

4542067 1070 H2O STERILE 22

4542071 NEGATIVE INSPIRATORY FORCE NIF 223

4542073 INDUCE SPUTUM W/NEBULIZED ALBUTER 385

4542083 CHEST PT 250

4542087 VENTILATION ASSIST-SUBSEQUENT 866

4542089 UPDRAFT 385

4542091 CO-OXIMETRY 125

4542092 MDI 385

4542110 RT TEACH INCENTIVE SPIROMETRY-ONE 169

4542120 NASOTRACHEAL SUCTION 217

4542125 ARTERIAL PUNCTURE 304

4543050 MVV PROFESSIONAL FEE 26

4543051 FRC, RV PROFESSIONAL FEE 59

4543053 FV LOOP PROFESSIONAL FEE 70

4543054 DLCO PROFESSIONAL FEE 61

4543055 PRE & POST EVALUATION PROF FEE 62

4543651 BLOOD GAS PANEL BASIC 71

4543653 ABGE SODIUM 71

4543654 ABGE POTASSIUM 71

4543655 ABGE IONIZED CALCIUM 71

4543656 ABGE HEMATOCRIT 71

4543676 ABGE GLUCOSE 71

4544050 SPIROGRAM MVV 201

4544051 SPIROGRAM MVV PROFESSIONAL FEE 26

4544053 SPIROGRAM FV LOOP 450

4544054 SPIROGRAM FV LOOP PROFESSIONAL 70

4548202 OXIMETER CONTINOUS OVERNIGHT 260

4548203 OXIMETRY ONE-TIME 115

4548205 PLETHYSMOGRAPHY 250

4548206 PLETHYSMOGRAPHY PRO FEE 59

4548295 OXYGEN 12 212

4548305 HUMIDIFICATION CIRCUIT 152

4548307 CPR 955

4548325 VIBRATORY PEP INITIAL 784

4548326 VIBRATORY PEP SUBSEQUENT 250

4548483 VENTILATION ASSIST INITIAL 866

4548505 AEROGEN NEB SUPPLIES 201

4548506 CUFFILL SYRINGE 80

4548507 BRONCHOSCOPE DISPOSABLE 1275

4548508 OPTI FLOW NC ADULT 95

4548509 OPTI FLOW NC INFANT 40

4548510 NIF METER 55

4548511 PERCUSSIVE TECH 315

4548512 PROTECTA GEL 40

4548513 ACCUPAP PEP SUPPLY 75

4548514 AEROBIKA OSCILLATORY SUPPLY 220

4548515 TRANSPORT VENT CIRCUIT 80

4548517 PEP THERAPY 715

4548518 CAPNOGRAPHY MONITORING 955

4548519 PRESURE VALVE O2 35

4548520 CANNULA O2 70

4548521 FILTER LINE O2 60

4548540 WELLNESS PFT 65

4580024 ABO 405

4580030 RH 55

4580033 ANTIBODY SCREEN 49

4580034 ANTIBODY IDENTIFICATION 309

4580035 COOMBS DIRECT 49

4580036 ANTIBODY ELUTED 369

4580038 ANTIBODY TITER 875

4580048 ELECTRONIC CROSSMATCH 293

4580049 CROSSMATCH IMMEDIATE SPIN 597

4580050 CROSSMTCH AHG 125

4580051 RHIG WORKUP 49

4580052 HLA MATCHING 639

4580053 PLATELET CROSSMATCH 1266

4582030 DAT, IGG 49

4582031 DAT, C3 49

4583356 KLEIHAUER BETKE FETAL STAIN 125

4583634 BB SICKLEDEX SCREEN 271

4585348 TRXW-TRANSFUSION REACTION WORKUP 495

4592101 ANTIGEN INFO 825

4592102 AG/AB INFO (ON UNITS) 363

4592109 COMPONENT PREP 597

4592300 APHERESEIS PLATELETS 1845

4592304 APHERESIS PLTS, IRRADIATED 1785

4592305 APHERESIS PLTS,LEUKO-POOR IRRA 1564

4592306 APHERESIS PLTS,LEUKO-POOR 1656

4592322 CRYOPRECIPITATE 260

4592326 CRYOPRECIPITATE 1 293





4592342 FFP 260

4592500 RED CELLS 899

4592501 RED CELLS,WASHED 1494

4592502 RED CELLS, IRRADIATED 991

4592700 LEUKO-POOR RBC 1007

4592701 LEUKO-POOR,IRRAD RBC 639

4592800 DEGLYCED RED CELL 2208

4592801 DEGLYCED,IRRAQD RBC 2137

4592860 GRANULOCYTE 8747

4592880 RHOGAM 271

4592901 THAWING FEE 516

4592902 POOLING FEE 597

4593635 RARE UNIT FEE 575

4593637 HISTORICAL TYPING 825

4593638 RBC ANTIGEN GROUP 1 379



4593691 REF ANTIBODY SCREEN 233

4593692 REF DAT, DIRECT, EACH ANTISERA 142

4593693 REF ABO TYPE 152

4593694 REF PATIENT PHENOTYPE EACH AG 825

4593695 REF RH PHENOTYPE COMPLETE 358

4593696 REF DIFFERENTIAL ADSORPTION EACH 390

4593697 REF COLD AGGULTININ TITER 212

4593698 REF ANTIBODY ID EACH CELL 495

4620004 E STIM ATTENDED 190

4620005 THERAPEUTIC EXERCISE Q 15-MIN 115

4620025 GROUP THERAPY 169

4620034 ICE/HEAT 115

4620058 GAIT TRAINING Q 15 MIN 82

4620063 CPM PADS 55

4620076 MANUAL THERAPY TECHNIQUE 103

4620077 NEUROMUSCULAR TRAINING 130

4620078 THERAPEUTIC ACTIVITIES 142

4621006 SENSORY INTEGRATIVE Q15 MIN 158

4621012 WHEELCHAIR MGT EA 15 MIN 169

4621026 PHYSICAL PERFORMANCE Q 15-MIN 169

4628355 TNS APPLICATION 93

4628356 E-STIM UNATTENDED 169

4628357 CPM DAILY 115

4628358 CANALITH REPOSITIONING PROCEDURE 223

4628500 INITIAL EVALUATION / LOW COMPLEXITY 349

4628501 INITIAL EVALUATION/MODERATE COMPLEXITY 349

4628502 INITIAL EVALUATION / HIGH COMPLEXITY 349

4628503 REEVALUATION/PLAN OF CARE REVISION 240

4630010 NEUROMUSC RE-EDUCATION 125

4630020 THERAPEUTIC ACTIVITY Q 15 MIN 136

4631100 THERAPEUTIC EXERCISE Q 15 MIN 110

4631106 SELF CARE/HOME MGT 182

4631108 E-STIM ATTENDED Q 15 MIN 182

4631114 GROUP THERAPY 162

4631116 ICE/HEAT 110

4631120 GAIT TRAINING Q 15 MIN 78

4631124 MANUAL THERAPY TECHNIQUES 99

4631145 E-STIM UNATTENDED 162

4631146 CPM DAILY 110

4631147 CPM PADS 55

4631148 SENSORY INTEGRATIVE Q15 MIN 156

4631149 MASSAGE Q15-MIN 130

4632500 INITIAL EVALUATION / LOW COMPLEXITY 325

4632501 INITIAL EVALUATION/MODERATE COMPLEXITY 325

4632502 INITIAL EVALUATION/HIGH COMPLEXITY 325

4632503 REEVALUATION/PLAN OF CARE REVISION 215

4640150 TREATMENT,SPEECH/LANGUAGE 363

4641000 TREATMENT, SWALLOWING DYSFUNCTION 396

4641002 EVAL, SWALLOWING FUNCTION 336

4641009 EVAL & FITTING PROSTHETIC DEVICE 331

4641010 EVAL OF SPEECH FLUENCY 514

4641011 EVAL OF SPEECH SOUND PRODUCTION 423

4641012 EVAL OF SP SOUND PROD W/COMP & EXP 866

4680006 DEBRIDE, OPEN WD, FIRST 20 SQ CM 1070

4680007 DEBRIDE, OPEN WD, EA ADD 20 SQ CM 270

4680010 DEBRIDEMENT OF NAILS(1-5) 385

4680015 DEBRIDEMENT OF NAILS(6 PLUS) 223

4680055 UNNA BOOT 935

4680057 FULGURATION OF LESION 650

4680070 I & D RECTAL ABSCESS 3595

4680090 I & D HEMATOMA/SEROMA 4712

4680093 EXCISION OF NAIL & NAIL MATRIX 1195

4680094 REMOVAL FOREIGN BODY, COMPLICATED 5175

4681000 NONSELECTIVE DEBRIDEMENT 1070

4681042 INTEGRA MATRIX SKIN SUB PER SQ CM 98

4682000 I & D SIMPLE/SINGLE 1185

4682002 I & D COMPLEX/MULTIPLE 1185

4682008 DEBRIDE SUBQ, FIRST 20 SQ CM 2071

4682010 DEBRIDE MUSC/FASC, FIRST 20 SQ CM 2071

4682012 DEBRIDE BONE, FIRST 20 SQ CM 6045

4682014 PARING BENIGN LESION - ONE 721

4682016 PARING BENIGN LESION 2-4 1070

4682018 PARING BENIGN LESION 4+ 541

4682020 BIOPSY SKIN - ONE LESION 1070

4682022 BIOPSY SKIN - EA ADD LESION 271

4682024 TRIM NONDYSTROPHIC NAILS, ANY # 215

4682030 AVULSION OF NAIL PLATE - ONE 1070

4682032 AVULSION OF EACH ADD NAIL PLATE 271

4682044 ABRASION, SINGLE LESION 650

4682048 CHEMICAL CAUTERY OF WOUND 2821

4682050 REMOVAL OF FOREIGN BODY-FROM FOOT 2200

4682052 APPLY RIGID LEG CAST 1634

4682056 APPLICATION OF PASTE/UNNA BOOT 1040

4682060 NEG PRESS WOUND TX <50CM 721

4682062 NEG PRESS WOUND TX >50 CM 1070

4682064 BIL NONINVAS ART STUDY 1-2 LEVELS 405

4682065 DRAIN THIGH/KNEE LESION 8925

4682066 BIL NONINV STUDY 3 OR MORE LEVELS 525

4682070 NEW OUTPATIENT VISIT BRIEF 412

4682072 NEW OUTPATIENT VISIT LIMITED 536

4682074 NEW OUTPATIENT VISIT INTERMEDIATE 704

4682076 NEW OUTPATIENT VISIT EXTENSIVE 931

4682078 NEW OUTPATIENT VISIT COMPLEX 1278

4682080 EST OUTPATIENT VISIT BRIEF 412

4682082 EST OUTPATIENT VISIT LIMITED 536

4682084 EST OUTPATIENT VISIT INTERMEDIATE 536

4682085 DRESS/DEBRID P-THICKNESS,SUBSEQ 650

4682086 EST OUTPATIENT VISIT EXTENSIVE 704

4682088 EST OUTPATIENT VISIT COMPLEX 845

4682090 APLIGRAF SKIN SUB PER SQ CM 336

4682092 OASIS WD MATRIX SKIN SUB-SQ CM 71

4682098 HYPERBARIC OXYGEN THERAPY-MCAID 440

4682100 HBO THERAPY PER 30 MIN 406

4682109 I & D POSTOP WOUND 11963

4682111 PUNCTURE ASPIRATION OF ABSCESS 1185

4682120 DERMAGRAFT SKIN SUB PER SQ CM 347

4682140 WD PREP TRUNK/ARM/LEG,100CM 1494

4682150 WD PREP TRUNK/ARM/LEG ADD 100CM 1494

4682853 ZINC PASTER IMPREG BANDAGE PER YD 7

4682854 APL MULTILAY VEN COMP BK 935

4682855 UNILAT NONINV ART STUDY 1-2LEVELS 255

4682856 NONINV ART STUDY MULTI UNILATERAL 537

4682858 APL MULTILAY VEN COMP BK BILAT 1871

4682859 PRIMATRIX, PER SQ CM 288

4682860 REMOVAL FOREIGN BODY, SIMPLE 818

4682862 GRAFT JACKET PER SQ CM 828

4682863 I&D ABSCESS/HEMATOMA,LEG OR ANKLE 5652

4682870 DEBRIDE SUBQ, EACH ADD'L 20 SQ CM 504

4682871 DEBRIDE MUSC/FASC EA ADD 20 SQ CM 504

4682872 DEBRIDE BONE, EACH ADD 20 SQ CM 1175

4682876 DR/DEBMT,BURNS,INIT/SUBSEQ SMALL 541

4682877 DR/DEBMT,BURNS,INIT/SUBSEQ,MED 2812

4682878 DR/DEBMT,BURNS,INIT/SUBSEQ,LG 541

4682879 APL SKN SUB TRK/ARM/LG 1ST 25 CM 5009

4682880 APL SKN SUB TRK/ARM/LG ADD 25 CM 2505

4682881 APL SKN SUB TRK/ARM/LEG 1ST 100CM 10405

4682882 APL SKN SUB TRK/ARM/LG ADD 100 CM 4132

4682883 APL SKN SUB FACE/HDS/FT 1ST 25 CM 6020

4682884 APL SKN SUB FACE/HDS/FT ADD 25 CM 2505

4682885 APL SKN SUB FACE/HDS/FT 1ST 100CM 5009

4682886 APL SKN SUB FACE/HDS/FT ADD 100CM 2505

4682890 APL AUTOGRFT TRK/ARM/LEG 1ST 100CM 2786

4682891 APL AUTOGRFT TRK/ARM/LEG ADD 100CM 1423

4682892 APL AUTOGRFT F/N/H/F 1ST 100CM 2795

4682893 APL AUTOGRFT F/N/H/F ADD 100CM 909

4683000 EPIFIX, PER SQ CM 785

4683018 HOSPITAL OP CLINIC VISIT - MEDICARE 704

4683020 SPLT THCK SKN GFT TRK/ARM/LG 1ST 100CM 2777

4683021 SPLT THCK SKIN GFT TRK/ARM/LG ADD100 CM 4543

4683024 NEG PRESS WOUND TX < 50 CM DISPOSABLE 595

4683025 NEG PRESS WOUND TX > 50 CM DISPOSABLE 595

4683027 PURAPLY PER SQ CM 515

4683029 EXC LES, TRK/ARMS/LGS, DIA 1.1-2.0 CM 2200

4683030 WD PREP F/N/HF/G EA ADD'L 100CM 795

4683031 SKIN PINCH GRAFT 1875

4683032 BONE BOPSY OPEN DEEP 8905

4683036 BEHAV CHNG SMOKING 3-10 MIN 120

4683037 BEHAV CHNG SMOKING >10 MIN 120

4683038 NON-OPHTHALMIC FVA (LUNA) 895

4683039 ABRASION, EACH ADDL, 4 OR LESS 230

4683045 LAC SIMPLE S/N/AX/TRNK/EXT 7.6-12.5CM 540

4683046 LUNA 795

4683047 IV INJ OF AGENT (FLUORESCEIN) 1265

4683048 APPL MULTLAY COMPRS ARM/HAND 520

4683049 THERASKIN,PER SQ CM (13 CM) 355

4683050 EXC TR-EXT B9+MARG 0.5CM/< 2020

4683051 EXC TR-EXT B9+MARG 0.6-1 CM 1095

4683052 EXC TR-EXT B9+MARG 2.1-3CM 2020

4683053 EXC TR-EXT B9+MARG 3.1-4 CM 4750

4683054 EXC TR-EXT B9+MARG >4.0 CM 4750

4710010 PEDIATRIC EKG 239

4710011 ROUTINE EKG PROFESSIONAL 55

4710012 ROUTINE-EKG 239

4710020 STRESS EKG 1133

4710021 STRESS TEST PROFESSIONAL 185

4710022 STRESS TEST 1133

4718489 TRANSESOPHAGEAL ECHO 1870

4718500 PEDIATRIC ECHO 1870

4718979 2D ECHO LIMITED 890

4718984 DOPPLER COLOR FLOW VELOCITY MAP 655

4718986 DOPPLER COLOR FLOW PROFESSION 260

4718990 2D ECHO COMPLETE 1870

4718994 DOPPLER ECHO 655

4718996 DOPPLER ECHO PROFESSIONAL 217

4718998 STRESS ECHO PROFESSIONAL 396

4718999 STRESS ECHO 1937

4719003 TRANSESOPHAGEAL ECHO PROFESSIONAL 486

4719004 DOPPLER ECHO; LIMITED/ F-UP 865

4719005 SALINE PUSH/BUBBLE STUDY 735

4719008 2D ECHO COMPLETE W/CONTRAST 2650

4719012 2D ECHO LIMITED W/CONTRAST 1480

4719013 DEFINITY (2 UNITS) 245

4720028 TEMP PACEMAKER INSERTION 5354

4720029 TEMP TRANSVENOUS PACING 526

4720030 RIGHT HEART STUDY 12980

4720031 CARDIOVERSION-ELECTIVE 1970

4720040 IABP PERCUTANEOUS INSERT 1131

4720048 IABP INITIAL 24 HOURS 1667

4720055 INSERTION SWAN GANZ 3333

4720058 IABP ADDITIONAL DAY 1234

4720103 ABDOMINAL AORTOGRAM W/RUN OFF 12186

4720115 INSERTION OF CENTRAL LINE 3213

4720140 AORTOGRAM-INJECTION 1099

4720161 PTA RENAL/VISCERAL 5582

4720200 PTCA BALLOON 1347

4720205 PTCA GUIDEWIRE 514

4720208 INFLATION KIT 271

4720210 GUIDING CATHETER 282

4720300 STENT PLACEMENT INITIAL ARTERY 39458

4720301 STENT PLACEMENT ADD'L ARTERY 19729

4720305 STENT DRUG ELUTING 1ST VESSEL LC 32503

4720306 STENT DRUG ELUTING ADD VESSEL 16035

4720550 PULMONARY ANGIOGRAPHY 666

4721050 CUTTING BALLOON 4766

4721185 PERCLOSE DEVICE 1521

4721250 IMPLANT CARDIAC EVENT RECORDER 17712

4721255 REMOVAL CARDIAC EVENT RECORDER 3603

4721260 STENT PLACEMENT OPEN INITIAL VEIN 39458

4721261 STENT PLACEMENT OPEN ADD'L VEIN 19729

4721420 INTRAVASCULAR ULTRASOUND-1ST 11076

4721421 INTRAVASCULAR ULTRASOUND-ADD 8643

4721425 IVUS-CATHETER 2500

4721426 IV US INITIAL VESSEL 715

4721427 IV US ADD'L VESSEL 715

4721455 SEL VENOUS CATH 460

4721460 PTA VENOUS 16940

4721462 AV FISTULA OR GRAFT ARTERIAL 5582

4721463 AV FISTULA OR GRAFT VENOUS 5582

4721464 PTA VENOUS W/STENT PLACEMENT 36651

4721469 PTA TIBIOPERONEAL 5582

4721470 PTA AORTIC 16463

4721471 PTA ILIAC 17047

4721472 PTA BRACHIOCEPHALIC 16940

4721475 PTA ILIAC W/STENT, SAME VESSEL 36234

4721480 PTA VENOUS W/STENT PLACEMENT ADD'L VEIN 18328

4721500 CORONARY THROMBECTOMY 8540

4722000 INSERT/REPLACE HEART ELECTRODE 13245

4722002 PACER GEN CHANGE W/EXIST SNGL LD 27960

4722003 PACER GEN CHANGE W/EXIST DUAL LDS 30697

4722004 INSERT LEAD,PACE-DEFIB DUAL 18680

4722017 INSRT NEW/REPLACE PACER W/AT LEAD 32362

4722018 INSRT NEW/REPL PACER W/VENT LEAD 32362

4722019 INSERT NEW/REPLACE PACER, AT/VENT 32394

4722020 REMOVE PACER,GEN ONLY (NO PLACE) 6782

4722021 ANGIOGRAM VISCERAL 25341

4722022 ANGIOGRAM ADRENAL UNILATERAL 12615

4722023 ANGIOGRAM ADRENAL BILATERAL 12615

4722024 ANGIOGRAM PELVIS 12615

4722025 ANGIOGRAM EXTREMITY UNILATERAL 9254

4722026 ANGIOGRAM EXTREMITY BILATERAL 9254

4722030 REPOSTION PACING-DEFIB LEAD 7669

4722100 THROMBECTOMY ASPIRATION 3765

4722105 EMBOLIZATION SYSTEM (FILTER WIRE) 7020

4722106 PERC THROMBECT AV FISTULA 5582

4722107 EMBOL/THROMB AX,BRACHI,SUBCL ART 5117

4722108 EMBOL/THROMB RADIAL-ULNAR ARTERY 5117

4722109 EMBOL/THROMB FEM-POP,AORTAILIAC 5117

4722110 EMBOLEC/THROMBEC AX, SUBCLAVIAN 5117

4722530 REMOVE AICD GEN ONLY 6782

4722531 REMOVE AICD LEAD 6664

4722535 INSRT/REPL CD LEAD&GEN,SNGL/DUAL 114400

4722536 INSRT CD, EXIST SNGLE LD,GEN ONLY 83200

4722537 INSERT LEAD,PACE-DEFIB SINGLE 18680

4722540 CPR 666

4722570 INTRO NEEDLE/INTRACATH, EXTREMITY ART 715

4722572 INJ AORTA/TRANSLUMBAR 715

4722573 INTRO CATHETER AORTA 460

4722574 SEL VAS CATH UPPER EXT (1ST ORDER) 460

4722575 SEL VAS CATH UPPER EXT (2ND ORDER) 460

4722576 SEL VAS CATH UPPER EXT (3RD ORDER) 460

4722577 SEL VAS CATH UPPER EXT (ADD 3RD ORDER) 460

4722578 SEL VAS CATH AB/PELV/LOW EXT (1ST ORDER) 460

4722579 SEL VAS CATH AB/PELV/LOW EXT (2ND ORDER) 460

4722580 SEL VAS CATH AB/PELV/LOE EXT (3RD ORDER) 460

4722581 SEL VAS CATH AB/PEL/LO EXT(ADD 3RD ORDR) 460

4722582 INTRAVAS PRESSURE MEASURE INITIAL 909

4722583 INTRAVAS PRESSURE MEASURE ADDITIO 358

4722585 REVISION POCKET FOR PACEMAKER 4678

4722586 LEFT HEART CATH W/LV GRAM 13412

4722587 RT/LFT HEART CATH W/LV GRAM 13412

4722588 CORONARIES ONLY 13412

4722589 CORONARIES W/GRAFTS ONLY 13412

4722590 RT/LFT HT CATH W/CORONARIES 13412

4722591 RT/LFT HT CATH W/COR, IM & GRAFTS 13412

4722592 LEFT HEART CATH W/LV & CORONARIES 13412

4722593 LEFT HT CATH W/LV, GRAFTS & IM 13412

4722594 RT/LFT HEART CATH W/LV & COR 13412

4722595 RT/LT HT CATH W/LV,COR,GRAFTS&IM 13412

4722596 IV INFUSION BP 418

4722597 LV LEAD INSERTION (ADD-ON) 41599

4722598 INSERTION, BI-V WITH LEADS 126667

4722599 LEAD, LEFT VENT COR VENOUS SYSTEM 15251

4722600 FEM/POPL REVAS W/ATHERECTOMY 43859

4722602 CATHETER TRANSLUMINAL ATHERECTOMY 14992

4722603 PTA ILIAC REVAS EACH ADD'L VESSEL 8313

4722604 PTA ILIAC REVAS W/STENT ADD'L VES 8313

4722605 PTA FEM/POP REVASCULARIZATION 18421

4722606 PTA FEM/POP REVAS W/ST SAME VESS 38625

4722607 PTA FEM/POP REVAS,STENT,ATHERECT 60943

4722608 PTA TIB/PERONEAL REVAS 1ST VESSEL 17047

4722609 PTA TIB/PER REVAS W/ATH,SAME VESS 36234

4722610 PTA TIB/PER REVAS W/STENT,SAM VES 35801

4722611 PTA TIB/PER REV W/ST&ATH SAME VES 60289

4722612 PTA TIB/PER REVAS,EACH ADD VESSEL 8313

4722613 PTA TIB/PER REV W/ATH,EA ADD VESS 17847

4722614 PTA TIB/PER REV W/ST,EA ADD VESS 8313

4722615 PTA TIB/PER REV,ST&ATH,ADD VESSEL 8313

4722616 ANGIOGRAM EXTREMITY,EA ADD VESSEL 1569

4722617 VENOUS BLOOD COLLECT-VENIPUNCTURE 17

4722618 INSERT BLADDER CATHETER,TEMPORARY 629

4722619 REMOVE SINGLE LEAD ATRIAL/VENTRIC 6842

4722620 REMOVAL DUAL LEADS 6842

4722622 VENOGRAM, EXT, UNILATERAL S & I 3235

4722623 VENOGRAM, CAVAL, INFERIOR S & I 9260

4722625 ANGIO F/U THRU EXISTING CATH 3939

4722629 TRANSCATH VASC EMBOLIZATION S & I 915

4722630 TRANSCATHETER FOR THROMBOLYSIS 5831

4722631 UNSUCCESSFUL LEFT HEART CATH 5939

4722632 FISTULOGRAM 1169

4722633 ANGIOGRAM RENAL 1ST ORDER UNILAT 9936

4722634 ANGIOGRAM RENAL 1ST ORDER BILAT 9936

4722635 ANGIOGRAM RENAL 2ND ORDER UNILAT 9936

4722636 ANGIOGRAM RENAL 2ND ORDER BILAT 9936

4722637 IVC FILTER PLACEMT 14732

4722900 INSERT ICD,EXST DUAL LDS,GEN ONLY 103034

4722901 INSERT BI-V MULTI LEADS, GEN ONLY 103034

4722902 REMOVE & REPLACE CD W/SNGL LEAD 103467

4722903 REMOVE & REPLACE CD W/DUAL LEAD 103467

4722904 REMOVE & REPLACE CD W/MULTI LEAD 103034

4722905 REMOVE&REPLACE PACER W/SNGL LEAD 28079

4722906 REMOVE&REPLACE PACER W/DUAL LEADS 30697

4722907 REMOVE&REPLACE PACER W/MULTI LEAD 30697

4722908 PACER GEN CHANGE W/EXIST MULT LDS 30697

4722909 REVISION SKIN POCKET FOR ICD 4976

4722910 INSERT LV LEAD TO EXIST GENERATOR 41167

4722911 REPOSITIONING L-V LEAD 6772

4722912 TESTING ICD LEAD 2856

4722913 RECOVERY POST-OP 1 HOUR 1126

4722914 RECOVERY POST-OP ADD'L 15 MIN 288

4722915 FISTULOGRAM ADD'L ACCESS 737

4722920 PTCA OR STENT, ANY GRAFT 32503

4722921 PTCA OR STENT, ADD'L GRAFT 16468

4722922 REVASC OF ACUTE MI VESSEL 32503

4722923 REVASC OF CHRONIC TOTAL VESSEL 32503

4722924 REVASC,CHRONIC TOTAL ADD'L VESSEL 16468

4722926 UPGRADE SINGLE PACER TO DUAL PACER 42075

4722928 PTCA ANY CORONARY ARTERY LC 17052

4722929 PTCA EACH ADD'L BRANCH LC 8308

4722935 PTCA EACH ADD'L BRANCH LD 8308

4722936 PTCA EACH ADD'L BRANCH RC 8308

4722937 STENT BARE METAL 1ST VESSEL LC 25673

4722938 STENT BARE METAL 1ST VESSEL LD 25673

4722939 STENT BARE METAL 1ST VESSEL LM 25673

4722940 STENT BARE METAL 1ST VESSEL RC 25673

4722941 STENT BARE METAL 1ST VESSEL RI 25673

4722942 STENT BARE METAL ADD VESSEL LC 12618

4722943 STENT BARE METAL ADD VESSEL LD 12618

4722944 STENT BARE METAL ADD VESSEL RC 12618

4722945 STENT DRUG ELUTING 1ST VESSEL LD 32503

4722946 STENT DRUG ELUTING 1ST VESSEL LM 32503

4722947 STENT DRUG ELUTING 1ST VESSEL RC 32503

4722948 STENT DRUG ELUTING 1ST VESSEL RI 32503

4722949 STENT DRUG ELUTING ADD VESSEL LD 16035

4722950 STENT DRUG ELUTING ADD VESSEL RC 16035

4722951 PTCA ANY CORONARY ARTERY LD 17052

4722952 PTCA ANY CORONARY ARTERY LM 17052

4722953 PTCA ANY CORONARY ARTERY RC 17052

4722954 PTCA ANY CORONARY ARTERTY RI 17052

4722955 INSERT PERMACATH FOR HEMODIALYSIS 7929

4722956 FLUORO GUIDE,VAD PLACE/REMOVE 412

4722957 ILIAC ATHERECTOMY 32124

4722958 REVAS ACUTE MI BARE METAL STENT 25851

4722959 SUBCLAVIAN ANGIOGRAM 9627

4722960 ABDOMINAL AORTOGRAM 9254

4722961 VENOGRAM, EXT, BILATERAL S & I 3408

4722962 VENOGRAM, CAVAL, SUPERIOR S & I 2975

4722963 CAROTID ANGIOGRAPHY, UNILATERAL 9606

4722964 CAROTID ANGIOGRAPY, BILATERAL 14186

4722976 REMOVAL VENA CAVA FILTER 9206

4722977 LIGATION OF VENA CAVA 12493

4722978 AORTOGRAPHY, THORACIC S & I 9173

4722980 CATH INSERTION, SUPER/INFER VENA CAVA 737

4722981 CATH PLACEMENT, VENOUS SYS, 1ST BRANCH 737

4722982 PRIMARY THROMBECTOMY NONCORONARY 12807

4722983 SUBSEQ VESSEL THROMBECTOMY NONCORONARY 6404

4722984 SECONDARY THROMBECTOMY (AFTER PRIMARY) 6404

4722985 VENOUS THROMBECTOMY DAY 1 12807

4722986 VENOUS THROMBECTOMY DAY 2 12807

4722987 TRANSCATHETER ART INF NONCORONARY DAY1 3245

4722988 TRANSCATHETER VEN INF NONCORONARY DAY 1 3245

4722989 TRANSCATH ART OR VEN INF SUBSEQ DAY 7247

4722990 CESSATION THROMBOLYSIS INCL REM CATH&CLO 7247

4722991 INTERNAL MAMMARY S&I W/O CATH 2959

4722995 SEL CATH INT CAROTID, UNI, W/ANGIOGRAM 14997

4722996 SELECTIVE CATH COMMON CAROTID 9173

4722997 NONSEL THOR CATH W/CERV ANGIO EXT/INTRAC 9173

4722998 AORTIC ARCH ANGIOGRAPHY 9173

4723000 REMOVAL TUNNELED PERMACATH 1851

4723001 REPLACEMENT, COMPLETE, TUNNELED PERMACAT 7950

4723002 REPLACEMENT, NON-TUNNELED PERMACATH 3516

4723003 INJ PROCEDURE FOR EXTREMITY VENOGRAM 460

4723004 VASCULAR EMBOLIZATION OR OCCLUSION 35526

4723005 ARTERIAL, OTHER THAN HEMORRHAGE/TUMOR 35526

4723008 PULMONARY ANGIOGRAM UNILATERAL 10352

4723009 PULMONARY ANGIOGRAM BILATERAL 10352

4723010 PULMONARY ANGIOGRAM NON-SELECTIVE 4002

4723013 LIGATION, ANGIOACCESS A-V FISTULA 8599

4723015 REPOSITION CENTRAL VENOUS CATHETER 3435

4723016 US VASCULAR ACCESS GUIDANCE 379

4723018 REMOVAL VENOUS ACCESS DEVICE 1959

4723020 ANGIOGRAPHY, CELIAC/MESENTERIC 8877

4723021 PTA, CELIAC/MESENTERIC, INIT ART, RT 36489

4723022 PTA, CELIAC/MESENTERIC, INIT ART/ LT 36489

4723023 PTA,CELIAC/MESENTERIC, EA ADDL ART,RT 18247

4723024 PTA,CELIAC/MESENTERIC,EA ADDL ART,LT 18247

4723025 PTA, CELIAC/MESENTERIC, INIT VEIN, RT 36489

4723026 PTA, CELIAC/MESENTERIC, INIT VEIN, LT 36489

4723027 PTA, CELIAC/MESENTER, EA ADDL VEIN, RT 18247

4723028 PTA, CELIAC/MESENT, EA ADDL VEIN, LT 18247

4723029 INSERT/REPLACE SUBCUTANEOUS ICD 116590

4723030 FISTULAGRAM 3550

4723031 FISTULAGRAM W/BALLOON ANGIOPLASTY 25040

4723032 FISTULAGRAM W/BALLOON ANGIOPL & STENT 51495

4723033 INTRO NEEDLE RETROGRADE BRACHIAL ART 715

4723034 PTA VENOUS EACH ADD'L VEIN 8470

4726002 CATH LAB PRIVATE 1700

4726020 CATH LAB PROGRESSIVE CARE 2200

4726025 ENDOVASCULAR TAA REPAIR 97000

4726027 ART BYPASS FEM-ANT-POST TIB/PRL 37370

4726028 AV FISTULA REVISION 13780

4726031 VENOGRAM, CAVAL, SUPERIOR 2405

4726032 RIGHT VENTRICULAR/ATRIAL ANGIOGRAPHY 4985

4726033 ILIAC/FEM ANGIO DURING CARDIAC CATH 6705

4726035 THROMBECTOMY DIALYSIS (DECLOT) 34220

4726036 DIALYSIS PTA CENTRAL SEGMENT 2405

4726037 DIALYSIS PTA CENTRAL SEGMENT W/STENT 2405

4726038 I & D HEMATOMA, SEROMA OR FLUID 6105

4726039 INSERTION STENT, CAROTID ARTERY 18285

4726040 COMPREHENSIVE EP W/O INDUCTION 20400

4726041 COMPREHENSIVE EP WITH INDUCTION 20400

4726042 EP FOLLOW-UP STUDY 20400

4726043 EP F/U STUDY W/LEFT ATRIAL PACING & RECO 10200

4726044 EP F/U STUDY W/LEFT ATRIAL PACE & REC 10200

4726045 STIMULATION PACING HT AFTR IV DRUG INF 10200

4726046 BUNDLE OF HIS RECORDING 20400

4726047 INTRA-ATRIAL RECORDING 20400

4726048 RIGHT VENTRICULAR RECORDING 3490

4726049 INTRA-ATRIAL PACING 20400

4726050 INTRAVENTRICULAR PACING 20400

4726051 CATH ABLATION AV NODE W/WO TEMP PACER 20400

4726052 COMPREHENSIVE EP EVAL & ABLATION, SVT 71075

4726053 COMPREHEN EP EVAL & ABL, VENT TACHYCAR 71075

4726054 ABLATE ARRHYTHIMIA ADD-ON 35540

4726055 COMPREHENSIVE EP EVAL & ABLATION. PVI 71075

4726056 ABLATE LEFT/RIGHT ATRIUM ARRHYTHMIA 35540

4726057 INTRACARD ECHOCARDIOGR(ICE)/INCLU IMAG 10200

4726058 LEFT HT CATH BY TRANSSEPTAL PUNCTURE 35540

4726059 INTRAVEN/ INTRA-ATRIAL MAP TACHY SITE 10200

4726060 INTRACARD ELECTROPHYSIOLOG 3-D MAPPING 10200

4726061 ESOPHAGEAL RECORD, ATRIAL ELECTROGRAM 3490

4726062 ESOPH REC ATRIAL ELECTROGRAM W/PACING 3490

4726063 INDUCT OF ARRHYTHMIA BY ELECT PACING 3490

4726064 CARDIOVERSION -ELECTIVE, INTERNAL 1970

4726065 EP EVAL TRANSVENOUS SINGLE/DUAL ICD 3490

4726066 INSERT SUBCUTANEOUS ICD 3490

4726067 INSERT SUBCUTANEOUS DEFBRILLATOR LEAD 28295

4726068 REMOVE SUBCUTANEOUS ICD ELECTRODE 11010

4726069 REPOSITION PREV SUBQ ICD LEAD 11010

4726070 PERI-PROCEDURE DEVICE EVAL & PRGR 145

4726071 CORONARY ATHRECTOMY, MAIN VESSEL 40345

4726072 CORONARY ATHRECTOMY, ADD'L VESSEL 20170

4726073 CORONARY ATHREC, MAIN VESSEL W/STENT 61495

4726074 CORONARY ATHREC, ADD'L VESSEL W/STENT 30745

4726075 TILT TABLE TEST 1705

4726076 TRANSCATH REM LEADLESS PACEMAKER 9415

4726077 TRANSCATH INSERTION LEADLESS PACEMAKER 60510

4730045 2E ADMISSION PROGRESSIVE CARE 2200

4730055 CHG INSERTION SWAN GANZ 4597

4730100 CHG INSERT AORTIC BALLOON 1358

4730108 IMMUNIZATION ADMINISTRATION 220

4730130 CHG INSERT PICC CATH >5YR 1878

4730131 CHG INSERT PICC CATH-ATTEMPTED 942

4730135 CHG INSERT PICC/MID CATH < 5YR 1878

4731010 2 EAST PRIVATE 1700

4731033 CHG SPINAL TAP, LUMBAR, DIAGNOSTIC 1160

4731120 CHG REPLACE PICC, SAME ACCESS 1878

4731150 CHG REMOVAL OF PICC/MIDLINE CATHETER 219

4731193 CHG CARDIOVERSION EXTERNAL 1970

4731940 CHG PARACENTESIS/THORACENTESIS 1638

4731950 CHG INSERTION CENTRAL LINE 3120

4731990 CHG INSERTION CHEST TUBE 1638

4732011 CHG IV HYD INIT 31 MIN-1 HR 400

4732012 CHG IV HYD ADD HRS 120

4732013 CHG IV INF THERAPY INIT 1ST HR 645

4732014 CHG IV INF THERAPY EA ADD HR 120

4732015 CHG IV INF SEQ 1ST HR 200

4732016 CHG IV INF CONCURRENT 115

4732017 CHG IM/SQ INJECTION 225

4732018 CHG IVP SNGL/INIT DRUG 400

4732019 CHG IVP SEQ/NEW DRUG 120

4732020 CHG IV PUSH INJ REPEAT DRUG>30 MIN 115

4732021 IV HYDRATION INITIAL 31 MIN-1 HR 400

4732022 IV HYDRATION ADDITIONAL HOUR 120

4732023 IV INFUSION THERAPY INITIAL 1ST HOUR 645

4732024 IV INFUSION THERAPY EACH ADD'L HOUR 120

4732025 IV INF, ADD'L SEQ, NEW DRUG 1ST HOUR 200

4732026 IV INFUSION CONCURRENT 115

4732027 IM/SQ INJECTION 225

4732028 IV PUSH SINGLE OR INITIAL DRUG 400

4732029 IVP PUSH EACH ADD'L SEQ, NEW DRUG 120

4732030 IV PUSH REPEAT DRUG >30 MINUTES 115

4732526 CHG DECLOT W/THROMBOLYTIC, PICC/VAD 437

4732529 CHG INSERT MIDLINE CATH >5YR 1878

4732532 CHG INSERT MIDLINE CATH-ATTEMPTED 942

4732535 CHG REPLACE MIDLINE, SAME ACCESS 1878

4733050 CHG INSERTION ARTERIAL LINE 1233

4733055 CHG US GUIDANCE FOR NEEDLE PLACEMENT 379

4733056 CHG PEG REPLACEMENT 760

4733060 CHG BONE MARROW BIOPSY/ASPIRATION 6105

4740150 MULTIPLE SLEEP LATENCY TEST 4987

4740200 POLYSOMNOGRAM W/O CPAP 4987

4740205 POLYSOMNOGRAM W/O CPAP < 6 HOURS 2494

4740210 POLYSOMNOGRAM W/CPAP 4987

4740215 POLYSOMNOGRAM W/CPAP < 6 HOURS 2494

4740220 SLEEP STUDY UNATTENDED 715

4751805 UNSCHD/ED OP DIALYSIS ESRD 1834

4751808 HEMODIALYSIS-DLY CHARGE 1104

4751809 HEMOPERFUSION 1499

4751810 INSERT NON-TUNNEL CV CATH 3213

4751812 REMOVAL TUNNELED VENOUS ACCESS DEVICE 1959

4751815 PERITONEAL DIALYSIS 1104

4751820 BLOOD ADMINISTRATION DIALYSIS 1144

4800010 DEBRIDEMENT OF NAILS(1-5) 250

4800052 TRANSCUTANEOUS PACING 1234

4800054 VENOUS BLOOD COLLECT-VENIPUNC 17

4800075 BLOOD ADMINISTRATION 1144

4800080 IV HYD INIT 31 MIN - 1 HR 416

4800085 IVP SNGL/INIT DRUG 416

4800090 IM/SUBQ INJECTION 225

4800096 INSERTION BLADDER CATHETER SIMPLE 629

4800097 INSERT BLADDER CATHETER-COMP 539

4800105 IMMUNIZATION ADMINISTRATION (ED) 220

4800111 REMOVAL, FOREIGN BODY,EAR 401

4801002 INCISION/REMOVAL FB SUBQ TISSUE 288

4801003 DRAINAGE OF HEMATOMA FLUID 1569

4801004 PUNCTURE ASP, ABSCESS, HEMATOMA, CYST 890

4801007 ED OBSERVATION 39

4801010 DRAIN/INJECT,SMALL JOINT BURSA 315

4801012 CLOSED TX DISLOCATION-SIMPLE 401

4801014 BLADDER SCAN 250

4801016 CONTROL OF NOSEBLEED 260

4801017 INSERTION OF EMERGENCY AIRWAY 602

4801018 THORACENTESIS 531

4801019 INSERTION OF CHEST TUBE 531

4801020 PERICARDIOCENTESIS, INITIAL 531

4801021 PERICARDIOCENTESIS, SUBSEQUENT 531

4801023 INSERTION OF CATHETER VEIN 1802

4801026 REM IMPACTED CERUMEN REQ INSTRU, UNI 115

4801027 REM IMPACTED CERUMEN REQ INSTRU, BIL 223

4801028 ABD PARACENTESIS/PERITONEAL LA 531

4801029 IRRIGATION OF BLADDER, SIMPLE 185

4801033 SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC 2236

4801034 NERVE BLOCK OTHER PERIPHERAL 315

4801036 GASTRIC INTUBATION/ASPIRATION 260

4801037 HEART/LUNG RESUSCITATION CPR 602

4801042 DRAINAGE SKIN ABSCESS SIMPLE OR SINGLE 288

4801043 DRAIN SKIN ABSCESS COMPLICAT OR MULTI 288

4801044 REMOVAL FB, EYE, SUPERFICIAL 152

4801045 DEBRIDE SKIN PARTIAL THICKNESS 244

4801051 REMOVAL FOREIGN BODY/NASAL 169

4801060 IV HYD ADD HRS 125

4801062 IVP SEQ/NEW DRUG 125

4801063 IV PUSH INJ REPEAT DRUG >30 MIN 120

4801064 IV INF THERAPY INIT 1ST HR 671

4801066 IV INF THERAPY EA ADD HR 125

4801067 IV INF SEQ 1ST HR 208

4801068 IV INF CONCURRENT 120

4801800 PEG TUBE REPLACEMENT 363

4801955 TRACHEOSTOMY 1251

4802840 LEVEL 1 239

4802841 LEVEL II 379

4802842 LEVEL III 607

4802843 LEVEL IV 964

4802844 LEVEL V 1428

4802846 LEVEL VI CRITICAL CARE 2143

4802866 LEVEL VI,CRIT CARE EA ADD 30 MIN 785

4802919 DRAIN/INJECT MEDIUM JOINT BURSA 704

4802930 DRAIN/INJECT LARGE JOINT BURSA 764

4802931 MOD SEDAT < 5 YRS INITIAL 15 MIN 477

4802932 MOD SEDAT > 5 YRS INITIAL 15 MIN 477

4802933 MOD SEDAT EACH ADD 15 MIN 239

4802934 CATH INSERT FOR SPEC COLLECTION 17

4802935 REMOVAL FB CONJUNCT EMBEDDED 271

4802936 REMOVAL FB CORNEA W/SLIT LAMP 271

4802937 REMOVAL FB CORNEA W/O SLIT LAMP 271

4802938 TX SUPERFIC WD DEHISC SIMPLE CLOS 1251

4802939 TX SUPERFIC WD DEHISC W/PACKING 974

4802940 SIMPLE REPAIR S/TR/EXT 374

4802941 SIMPLE REPAIR FACE/MM 374

4802942 INTMED WD REP S/TR/EXT <20.1 CM 374

4802943 INTMED WD REP S/TR/EXT >20 CM 974

4802944 INTMED WD REP N/H-F/GENIT <20.1CM 374

4802945 INTMED WD REP N/H-F/GENIT >20CM 974

4802946 INTMED WD REP FACE/MM <20.1 CM 374

4802947 INTMED WD REP FACE/MM >20 CM 974

4802948 COMPLEX REP WD <1.1 CM 374

4802949 COMPLEX REP WD 1.1-7.5 CM, TRUNK 1251

4802950 COMPLEX REP WD EA ADD 5 CM, TRUNK 1251

4802951 COMPLEX REP WD 1.1-7.5 CM, S/A/L 974

4802952 COMPLEX REP WD EA ADD 5 CM S/A/L 974

4802953 COMP REP WD 1.1-7.5CM F/N/H-F/GEN 974

4802954 COMP REP WD EA ADD 5CM F/N/H-F/GE 974

4802955 COMP REP WD 1.1-7.5CM EL/N/ER/LPS 1251

4802956 COMP REP WD EA ADD 5CM EL/N/ER/LP 974

4802957 APPL CAST, LONG LEG (THIGH TO TOES) 775

4802958 APPL CAST, LONG ARM (SHOULDER TO HAND) 775

4802959 APPL CAST, SHORT LEG(BELOW KNEE-TOES) 775

4802960 APPL CAST, SHORT ARM (ELBOW TO FINGER) 775

4802961 DRESS/DEBRIDE PART THICK BURN SM 369

4802962 DRESS/DEBRIDE PART THICK BURN MED 428

4802963 DRESS/DEBRIDE PART THICK BURN LG 487

4802964 CLOSED TX UPPER EXT FX W/O MANIP 455

4802965 CLOSED TX UPPER EXT FX W/MANIP 1737

4802966 CLOSED TX LOWER EXT FX W/O MANIP 455

4802967 CLOSED TX LOWER EXT FX W/MANIP 1737

4802968 CLOSED TX HAND FX W OR W/O MANIP 455

4802969 CLOSED TX FOOT FX W OR W/O MANIP 455

4802970 CLOSED TX TOE FX W OR W/O MANIP 455

4802971 CLOSED TX FINGER FX W OR W/O MANI 455

4802972 CLOSED TX WRIST FX W/O MANIP 455

4802973 CLOSED TX WRIST FX W/MANIPULATION 1737

4802974 CLOSED TX ANKLE FX W/O MANIP 455

4802975 CLOSED TX ANKLE FX W/MANIPULATION 1737

4802976 CLOSED TX RIB FRACTURES 455

4802977 CLOSED TX NASAL FX W/O MANIP 315

4802978 CLOSED TX NASAL FX W/STABILIZ 3689

4802979 CLOSED TX TOE DISLOCATION 455

4802980 CLOSED TX FINGER DISLOCATION 455

4802981 CLOSED TX ANKLE DISLOCATION 1737

4802982 CLOSED TX SHOULDER DISLOC W/O MAN 455

4802983 CLOSED TX SHOULDER DISLOC W/MANIP 1737

4802984 CLOSED TX CLAVICLE FX W/O MANIP 455

4802985 CLOSED TX CLAVICLE FX W/MANIP 4284

4802986 CLOSED TX FX MANDIBLE W/MANIP 1785

4802987 CLOSED TX HIP DISLOCATION 482

4802990 PLACEMENT NEEDLE-INTRAOSSEOUS INF 477

4802992 CENTRAL VENOUS LINE PLACEMENT 1954

4803001 INSERTION SUPRAPUBIC CATHETER 6069

4803002 TREATMENT FOR PRIAPISM 649

4803003 CLOSED TX KNEE/PATELLA DISLOCATION 698

4803004 DEBRIDE SKIN/SUBCU TISSUE 412

4803006 IV HYD INIT 31 MIN-1 HR - OP 416

4803007 IV HYD ADD HRS - OP 125

4803008 IV INF THERAPY INIT 1ST HR - OP 671

4803009 IV INF THERAPY EA ADD HR - OP 125

4803010 IV INF SEQ 1ST HR - OP 208

4803011 IV INF CONCURRENT - OP 120

4803012 IM/SQ INJECTION - OP 225

4803013 IVP SNGL/INIT DRUG - OP 416

4803014 IVP SEQ/NEW DRUG - OP 125

4803015 IV PUSH INJ REPEAT DRUG>30 MIN - OP 120

4803018 TRAUMA ACT >30 MIN CC W/PRE-NOTIFICA 3867

4803020 LEVEL VI TRAUMA >30 MIN CC W/O PRE-NOT 6010

4803022 LEVEL V TRAUMA W/PRE-NOTIFICATION 5295

4803024 LEVEL V TRAUMA ACT W/O PRE-NOT 5295

4803025 EMERGENCY VAGINAL DELIVERY 7234

4803026 I & D, BREAST ABSCESS, DEEP 5497

4803027 I & D, ISCHIO OR PERIRECTAL ABSCESS 6459

4803028 INITIAL TREATMENT, FIRST DEGREE BURN 458

4803030 EXPLOR/DEBRIDE/REM FB, OPEN WD, NECK 2678

4803031 EXPLOR/DEBRIDE/REM FB, OPEN WD, CHEST 8305

4803032 EXPL/DEBD/REM FB, OPEN WD ABD/FLANK/BK 5486

4803033 EXPL/DEBRIDE/REM FB, OPEN WD, EXTREMITY 3661

4803034 DEBRD/REM FB,SKIN&SUBQ TISSUE, OPEN FX 3661

4803035 EXC NAIL BED W/AMP FINGER TIP 5497

4803036 REPAIR NAIL BED 1664

4803039 DRAINAGE SCROTAL ABSCESS 3661

4803040 I & D VULVA OR PERINEAL ABSCESS 978

4803041 I & D BARTHOLIN'S GLAND ABSCESS 546

4803042 DRAIN EXTERNAL EAR LESION, SIMPLE 890

4803043 DRAIN EXTERNAL EAR LESION, COMPLICATED 5497

4803044 I & D POSTOP WOUND INFECTION 5497

4803045 BLOOD COLLECTION VAD 354

4803046 DECLOT BY THROMBOLYTIC AGENT, VAD 775

4803047 REM IMPACTED CERUMEN IRRG/LAVAGE UNILAT 219

4803048 REM IMPACTED CERUMEN IRRIG/LAVAGE BIL 328

4803049 APPLICATION CAST, FIGURE-OF-EIGHT 775

4803050 APPLICATION CAST, SHOULD SPICA 775

4803051 APPL CAS, HAND & LOWER FOREARM 440

4803052 APPLICATION CAST, FINGER 440

4803053 APPL SPLINT, LONG ARM (SHOULDER-HAND) 440

4803054 APPL SPLT, SHORT ARM (FOREARM TO HAND) 350

4803055 APPLICATION SPLINT, FINGER 190

4803056 STRAPPING, THORAX 440

4803057 STRAPPING, SHOULDER 190

4803058 STRAPPING, ELBOW OR WRIST 100

4803059 STRAPPING, HAND OR FINGER 100

4803060 APPL SPLT, LNG LEG(THIGH-ANKLE/TOES) 440

4803061 APPL SPLINT, SHORT LEG (CALF TO FOOT) 440

4803062 STRAPPING, KNEE 190

4803063 STRAPPING, ANKLE AND/OR FOOT 440

4803064 STRAPPING, TOES 190

4803065 AVULSION OF NAIL PLATE - ONE 650

4803066 AVULSION OF EACH ADD'L NAIL PLATE 325

4806000 ED PRIVATE 1700



7190003 SUCTION AMBIENT HIPVAC 2090

7190004 PLUG ARTERIAL VENT 20

7190005 CANNULA W/INTRO KIT 1725

7190006 SINGLE SHOT INSTRUMENT 905

7190007 CHONDRAL DART 5325

7190008 PACK CUSTOM TOTAL SHOULDER 790

7190009 GUIDEWIRE HYDROPHYLLIC 155

7190013 GRAFT GELWEAVE CARDIOVASCULAR 3250

7190014 PATCH BOVINE 640

7190015 UROLIFT IMPLANT SYSTEM 4070

7190017 REMOTE CONTROL KIT-BS-SC5562 4590

7190018 LEAD KIT ARTISAN-BS-SC8216 28610

7190019 PULSE GENERATOR-BS-SC1140 32805

7190020 CEMENT RESTRICTOR IMPLANT 795

7190021 LASER W/SUPPLIES 2485

7190022 DISPOSABLE KT FOR SUTURE ANCHOR 1100

7190023 MINI SUTURE ANCHOR 1760

7190025 PULSE GENERATOR BS-SC1200 33000

7190026 BUTTON PEC 1915

7190027 DISPOSABLE BRONCHOSCOPE 1280

7190028 BONE CEMENT 1055

7190029 QUAD (E) HIS 1980

7190030 ENSITE PRECISION PATCHES 5170

7190031 INQUIRY 5FR DECA MED/LG 2140

7190032 5 FR JSN 420

7190033 CRYOBLATION CATH ARTIC FRONT 18920

7190034 CABLE COAXIAL UMBILICAL 1 EA 620

7190035 FLEXCATH ADV 12 STEERABLE SHEATH 370

7190036 ACHIEVE ADVANCE CABLE 1100

7190037 MANUAL RETRACTION KT 660

7190038 ELECTRICAL UMBILICAL CABLE - EACH 925

7190039 ACHIEVE MAPPING CATHETER 3300

7190040 ACHIEVE ADVANCE MAPPING CATH 15/20MM 3300

7190041 ACHIEVE ADVANCE MAPPING CATH 25MM 3520

7190042 QUAD(M) 1615

7190043 DUA-DECA SL 3990

7190044 OPTIM 6820

7190045 INQUIRY 4MM ABLATION, MED/LG CURVE 2305

7190046 INQUIRY 8MM ABLATION, LG/XL CURVE 3940

7190047 SENSOR ABLATION CATHETER, D/F CURVE 7700

7190048 TACTICATH ABLATION CATHETER 12760

7190049 GRID BI-D HIGH DENSITY MAPPING CATHETER 10560

7190050 SRO SHEATH 550

7190051 SL1 SHEATH 685

7190052 VIEWFLEX ICE 9240

7190053 AGLIS/BRK1 4400

7190054 COOL POINT TUBING SET (INDIVIDUAL) 330

7190055 SENSORY MAPPING CATHETER, D CURVE 6600

7190056 SCREWDRIVER HANDLE 1260

7190057 BAYLIS TRANSEPTAL NEEDLE 2180

7190059 TYRX POUCHES MED/LG 5700

7190060 CATHETER CONNECTOR URETERAL 90

7190061 OASIS PAD TRILAYER DRESSING PER SQ CM 245

7190062 EP GROUNDING PAD 10

7190063 MASTERGRAFT BONE PUTTY 2780

7190064 SHUNT NEURO CSF 6490

7190065 BLADE CUP CUTTER FINISH 3300

7190066 BLADE CUP CUTTER STARTER 3300

7190067 COPILOT ROTATING VALVE 135

7190068 CAP LOCKING CREO MIS GLOBUS 660

7190069 ICD SNGL CHAMBER 48400

7190070 ICD SNGL GENERATOR 54120

7190071 NEEDLE BONE MARROW 1060

7190072 BONE MARROW NEEDLE 565

7190073 DURA CLIP 595

7190074 STRATTICE GRAFT 16X20 155

7190075 RAPID PORT FOR LAP BAND 3630

7190076 ICD SINGLE CHAMBER 65340

7190077 DRIVER SNAP OFF 550

7190078 SHEATH DRYSEAL 1520


7190080 GASTROSTOMY TUBE KT 455

7190081 MEASURING DEVICE FOR STOMA 25

7190082 VAGINAL Y MESh 4980

7190083 EXTENSION SET FOR GASTRO TUBE 45

7190084 INTRODUCER SHEATH W/GUIDEWIRE 35

7190085 PROBE BEAMER ENDOSCOPIC 950

7190086 FLEXHD PER SQ CM 90

7190087 SUTURE DEK 350

7190088 PERC TRACH INTRODUCER TRAY 1660

7190090 TRUMATCH RESECTION GUIDE GRP 2 4535


7190092 STRATTICE GRAFT PER SQ CM 140

7190093 DURA-GUARD 0 X 16 PATCH 3210

7190094 SCREW CANNULATED 4840

7190095 ROD SPINAL 1410

7190096 BONE ACCESS NEEDLE 155

7190097 DELIVERY CANNULA FOR PUTTY 550

7190098 SUCTION IRRIGATOR DAVINCI 1170

7190099 DRAPE ROBOTIC ARM 230

7190100 CANNULA REDUCER 110

7190101 STAPLER RELOAD ROBOTIC 1015

7190102 STAPLER RELOAD ROBOT 795

7190103 COLUMN DRAPE ROBOTIC 80

7190104 FORCEPS CVD BIPOLAR 1190

7190105 GRASPE FENESTRATED 970

7190106 VESSEL SEALER ROBOTIC 2620

7190107 CANNULA SEAL 90

7190108 OBTURATOR 12MM BLADELESS 155

7190109 STAPLER SHEATH 90

7190110 STAPLER SUREFORM ROBOTIC 2335

7190111 FORCEPS BIPOLAR 1365

7190112 FLEX HD 10CM X 16CM PER SQ CM 140

7190113 STAPLER XI45 50 FIRES 620

7190114 CRANIAL PERFERATOR DISP 1000

7190115 STENT VASC COVERED 10780

7190116 SHEATH STEERABLE 3795

7190117 CAP THREADED 290

7190118 BONE PUTTY 5CC DBM (PER 0.5CC) 370

7190119 SURGICAL DRAIN SYSTEM 181

7190120 PLANTAR REPAIR KIT 4820

7190121 PACEMAKER LEADLESS 42900

7190122 PATIENT CONTROLLER FOR STIMULATOR 7150

7190123 CATHETER VENTRICULAR 810

7190124 CAGE ACTILIF 4400

7190125 ROD SPINAL 970

7190126 DISSECTING BLADE ELECTRODE 260

7190127 ENDO CAPSULE PILL SYSTEM 1915

7190128 SUTURE KIT DISPOSABLE 770

7190129 TRACHEOSTOMY KIT PERC 1125

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