Charge Code Description Price 998 R & B OBS DTX $7,129.00 ......6328 permacol 1 sq cm msh $72.15...

Charge Code Description Price

998 R & B OBS DTX $7,129.00

999 R & B MED MAN WITHDR $7,129.00

1000 R & B MED SUP WTHDRL $7,129.00

1002 R & B SEMI PVT $7,129.00

1003 R & B TWO SOUTH $7,129.00

1004 R & B I C U $11,870.00

1005 R & B REHAB $7,129.00

1006 R & B DETOX PVT $7,822.00

1007 R & B PVT $7,822.00

1008 R & B PVT MED NEC $7,822.00

1009 R & B ALC MED SURG $1,717.00

1010 R & B ALC PSYCH $1,717.00

1011 OBSERVATION TWO NORT $0.00

1012 OBSERVATION TWO DAVI $0.00

1013 OBSERVATION TWO SOUT $0.00

1014 OBSERVATION I C U $0.00

1015 OBSERVATION QUANNACU $0.00

1016 23 HR NO CHARGE $0.00

1017 CANISTER W GEL $146.30

1018 DSG VAC WND CARE SYS $131.65

1019 HO ABD CNTRL HIP JT $3,995.25

1020 AD LWR EXT THI N MOL $1,017.60

1021 ADD TO PELVIC EXT $1,338.05

1022 ADD TO SOF1 ABV KNEE $1,036.55

1023 HUMERAL FX BRACE $1,884.50

1024 HUM FX BRACE SOCK $423.95

1025 PACEMKER INTERROGATI $124.00

1030 OBSERVATION ER PER H $772.00

1055 OBS DIRECT ADMIT $772.00

1080 IV HYDRATION 1ST HR $937.00

1081 IV HYDR EA ADDL HR $66.00

1082 IV INFUS UP TO 1 HR $866.00

1083 IV INFUS EA ADDL HR $399.00

1084 SUBSEQ IV INFUS 1HR $66.00

1085 IM INJECTION $64.00

1086 IVP INJ INITIAL $131.00

1087 IVP NEW DRUG $133.00

1088 IVP EA ADDL SAME SUB $70.00

1089 CAMI WALKER BOOT $941.20

1090 MEAS BLADDER CAPACIT $178.00

1091 LARYNGSCOPE REMOV FB $4,862.00

1092 BLOOD TRANSFUSION $1,234.00

1093 REMOVAL FB CORNEA $561.00

1094 TELEMETRY MOB $202.00

1095 CONCURRENT INFUSION $67.00

1096 IMMUNIZATION ADMIN $70.00

1098 INTER REPROG PMAKER $122.00

1099 FLU VACCINE $70.00

1100 ETOH/SUB ABUSE 15-30 $86.00

1101 ETOH SUB ABUSE 15-30 $86.00

1102 ETOH SUB ABUSE 15-30 $86.00

1103 APPLY UNNA BOOT $445.00

3007 CATERACT REM IOL IMP $0.00

3510 CHEMO TX IV PUSH $353.00

3889 HALO 18MM $5,078.50

3890 HALO 22MM $5,078.50

3891 HALO 25MM $5,078.50

3892 HALO 28MM $5,078.50

3893 HALO 31MM $5,078.50

3894 HALO BALLOON 47 5MM $1,356.35

3895 HALO 90MM $4,009.70

3896 HALO ULTR $5,078.50

3897 HALO CAP SMALL $1,090.00

3898 HALO CAP MEDIUM $1,090.00

3899 HALO GUIDEWIRE $488.40

3900 HALO 60MM $42.10

3901 ABSTACK 30 $1,729.30

3902 ENDO AVITIENE 10MM $413.40

5029 SURGIMEND 10CM X15CM $11,628.20

5030 6.5 MM TWIST DRILL $1,174.20

5031 SURGMND20CM X25CM X2 $28,649.25

5032 TRANSVER CONNECT ADJ $6,165.50

5033 DISTAL RAD INSTR KIT $3,363.75

5035 TECNIS MULTIFOLAR LE $3,016.60

5443 VISCERA RETAINER $140.75

5444 IVAS CURETTE 11G $1,486.40

5445 NATURA STOMAHESIVE $11.45

5513 2NDRY FIX W/SWIVLOCK $2,891.90

5514 WALKER ADULT 2BUTTON $172.25

6002 REC RM FIRST HALF HR $403.00

6005 OR 0.5 HOURS $1,869.00

6006 OR 1 HOUR $2,621.00

6007 OR 1.5 HOURS $3,731.00

6008 OR 2 HOURS $4,840.00

6009 OR 2.5 HOURS $5,949.00

6010 OR 3 HOURS $7,058.00

6011 OR 3.5 HOURS $8,167.00

6012 OR 4 HOURS $9,276.00

6013 OR 4.5 HOURS $10,385.00

6014 OR 5 HRS $11,494.00

6021 CARDIOVERSION $1,368.00

6022 IMMUNIZATION ADMIN $50.00

6025 MONITR INT FLD PRES $4,524.00

6031 REC ROOM 1 HOUR $723.00

6032 REC ROOM 1.5 HOURS $807.00

6033 REC ROOM 2 HOURS $1,008.00

6034 REC ROOM 2.5 HOURS $1,210.00

6035 REC ROOM 3 HOURS $1,411.00

6036 REC ROOM 3.5 HOURS $1,613.00

6037 REC ROOM 4 HOURS $1,815.00

6038 REC ROOM 4.5 HOURS $2,016.00

6039 REC ROOM 5 HOURS $2,218.00

6040 REC ROOM 5.5 HOURS $2,420.00

6041 REC ROOM 6 HOURS $2,621.00

6042 REC ROOM 6.5 HOURS $2,823.00

6043 REC ROOM 7 HOURS $3,025.00

6044 REC ROOM 7.5 HOURS $3,226.00

6045 REC ROOM 8 HOURS $3,428.00

6046 REC ROOM 8.5 HOURS $3,630.00

6047 REC ROOM 9 HOURS $3,831.00

6048 REC ROOM 9.5 HOURS $4,033.00

6049 REC ROOM 10 HOURS $4,235.00

6050 REC ROOM 10.5 HOURS $4,436.00

6051 REC ROOM 11 HOURS $4,638.00

6052 REC ROOM 11.5 HOURS $4,840.00

6053 REC ROOM 12 HOURS $5,041.00

6054 REC ROOM 12.5 HOURS $5,243.00

6055 REC ROOM 13 HOURS $5,444.00

6056 REC ROOM 13.5 HOURS $5,646.00

6057 REC ROOM 14 HOURS $5,848.00

6058 REC ROOM 14.5 HOURS $6,049.00

6059 REC ROOM 15 HOURS $6,251.00

6065 OR MINOR FST HALF HR $402.00

6066 OR MINOR 1 HR $605.00

6070 OR MINOR 3 HRS $1,411.00

6071 OR MINOR 3.5 HRS $1,613.00

6072 OR MINOR 4 HRS $1,815.00

6073 OR MINOR 4.5 HRS $2,016.00

6074 OR MINOR 5 HRS $2,218.00

6075 OR MINOR 5.5 HRS $2,420.00

6076 OR MINOR 6 HRS $2,621.00

6077 OR MINOR 6.5 HRS $2,823.00

6078 OR MINOR 7 HRS $3,025.00

6095 ARTHROSCOPY KNEE $6,602.00

6096 VENTRALEX HER PAT M $870.65

6097 VENTRALEX HER PAT SM $1,040.30

6099 ALLOGRAFT KNEE $15,875.25

6110 EPIDURAL $0.00

6136 TR ROOM 14.5 HRS $6,049.00

6138 INFUSION CHEMOTHERAP $497.00

6139 TISSUE EXPANDER $5,535.80

6141 BALL TIP WIRE $506.45

6142 BLADE HELICAL $2,233.20

6143 NAIL FEMORAL $8,728.25

6144 STEERABLE STYLETTE $918.70

6145 TRIAL LEAD KIT $10,652.45

6146 TRANSMITTER TRIAL $1,648.95

6147 NEUROSTIMULTR ANALYS $344.00

6148 SIX SHOT MLTIBAN LIG $1,092.95

6150 COMPLEX PROG 1ST HR $151.00

6156 SI JOINT INJECTION $309.00

6159 NS CMPLX PRG 1ST HR $119.00

6160 OR 5.5 HRS $12,603.00

6161 OR 6 HRS $13,712.00

6163 MSR IV PUSH INITIAL $99.00

6164 RESTOR LENS $1,638.75

6170 PERIATEX MESH 8 X 6 $2,499.00

6171 PERIATEX MESH 12 X 8 $4,301.65

6172 I CLIP RESRB FIX X20 $1,618.20

6173 PERC IDISC ANNULOPLA $3,916.00

6174 PERC IDISC ANNL ADDL $2,447.00

6175 MSR IVINFU INIT

6203 AMPLATZ DILATOR $876.70

6204 KIT NERVE INTRODUCER $1,147.10

6205 KIT INTERSTIM UR3625 $3,256.95

6206 LEAD URIN INTERSTIM $11,143.40

6207 INTERSTIM II 3058 $38,203.20

6208 PROGRAM UR INTERSTIM $4,875.25

6209 NAVICATH $778.35

6210 INVANCE MALE SLING $16,797.20

6211 MSR IV PUSH ADDL NEW $99.00

6212 SYNCH II INTR PUMP $39,771.90

6213 IND INTRATHECAL CATH $2,716.20

6214 PARIETEX ING HER MSH $673.05

6215 N S PUMP REFILL $412.00

6218 MSR IVINFU HYD EA HR $68.00

6219 MSR EA ADDL IV SUBS $108.00

6220 INSERT SUPRAPUB TUBE $5,516.00

6221 CHEMOTHERAPY EA HOUR $99.00

6222 IV ADD SEQ OVER 1 HR $99.00

6223 CHEMO EA SEQUENTIAL $202.00

6224 OR 6.5 HRS $14,821.00

6234 CHEMOTX IV PU EA DRU $202.00

6238 MSR IV INF HYD

6324 ARTHREX BIO SWIVELOC $1,482.70

6325 KYPHOPLASTY ADDL LEV $11,139.55

6326 RHIZOTOMY TRAY $9,075.50

6327 RPR WOUND DEHISCENCE $4,061.00

6328 PERMACOL 1 SQ CM MSH $72.15

6330 MILD KIT $9,754.45

6332 NEUROTHERM TOUHY NDL $39.00

6333 NEUROTHERM EPID CAT $195.05

6334 MINI ARC SLING $6,706.45

6335 CRYOTHERAPY PROSTATE $21,849.95

6336 LIND RING TORQUE WIR $134.60

6337 KYPH CURET T TIP #2 $2,126.50

6338 KYPH BONE BIOP DEV $806.35

6339 GEL ONE 3 ML $3,131.00

6340 SNGL CHMBR CARD DEFI $73,471.65

6341 COAPTITE $1,032.40

6342 FLEX IRIS RETRACTOR $343.35

6343 CAPSULAR TENSION RIN $698.45

6344 HOLMIUM YAG LASER UR $5,839.35

6345 GREENLIGHT LASER URO $6,437.85

6346 CRYOTHERAPY PROC URO $21,849.95

6347 LITHOTRIPSY PROCEDUR $5,852.65

6348 IMPLANTABLE PORT $1,853.35

6349 LIGA SURE 10 $1,727.15

6350 LIGA SURE 15 $1,238.65

6351 LIGA SURE 43 $2,715.25

6353 FIBER WIRE $120.95

6354 ABSORBA TACK 5MM $1,733.70

6355 DURASPHERE 1 ML $877.90

6356 CINCH LEAD ANCHOR $292.60

6357 6" NEEDLE $234.05

6358 SCS ACCESSORY KIT $1,268.10

6359 URET INTES DIV STENT $585.25

6360 STONE BASKET $834.95

6361 REF 4500 CYTO BRUSH $472.10

6362 STONETOME RBF 3515 $1,521.65

6363 C FLEX BIL DBL PIG $261.45

6364 AMBIO DRY 2 $2,211.00

6365 TAT CHOLANGIOGRAM CA $251.55

6366 ENDO SHEARS #176643 $122.60

6367 RENAL ACCESS COBRA C $99.10

6368 EVICEL SM KIT $2,535.95

6369 EVICEL TIP APPLIC 35 $192.85

6370 TISSEEL FIBRIN SEALA $498.45

6371 REVEAL XT 9529 $15,235.50

6372 CONSCIOUS SEDATION $351.00

6373 CON SEDAT EA ADDL 15 $351.00

6374 STRYKER DRIL BIT 180 $557.95

6375 STRYKER DRIL BIT 340 $1,263.40

6376 STRYKER ENDCAP T2 PR $690.00

6377 ENERGEN ICD GENERATO $65,029.55

6378 X STOP 12 $17,016.20

6379 X STOP 14 $17,016.20

6380 VERTEPORT X4 MANIFOL $1,068.35

6381 ENDO CATCH $258.75

6382 ENDOGIA UNIVERSAL $364.70

6383 ENDOSCOPIC PEANUT $75.95

6384 MEDTRONIC PER T MGR $2,954.15

6385 CORNEAL GRAFT $14,314.00

6386 CRAWFORD BICAN INTUB $235.30

6387 CRAWFORD HOOKS $334.40

6388 ARTHR COOLCUT BA ELE $427.30

6389 ARTHREX 4.0 RND BURR $219.25

6390 VULC LIG CHISEL CURV $497.90

6391 NATURA STOMA HESIVE $12.35

6392 BARD MESH PLUG XL $1,144.50

6393 GAMMA TUBE CLIP $153.65

6394 LOCKING SCREW 5MM $757.75

6395 LONG NAIL KIT $9,613.55

6396 PLATE 7 HOLE $3,875.25

6397 LOCKING SCREW 3.5MM $740.25

6398 PLATE 6 HOLE $5,752.65

6399 LOCKING SCREW 4.0 $554.05

6400 SPEED SCREW $1,727.95

6401 SUTURE CARTRIDGE $642.85

6402 HEMIPATELLAR TENDON $19,044.40

6403 OLECRANON PLATE $5,310.55

6404 BONE SCREW $402.75

6405 LONG LOCKING SCREW $734.85

6406 VITOSS FOAM PACK $5,592.55

6407 OMEGA PLUS LAG SCREW $1,251.35

6408 OMEGA BARREL HIP $1,939.70

6409 SELF TAP CORTIC SCRE $97.60

6410 LOCKING SCREW 3.0MM $348.35

6411 LOCK RECON PLATE 8 H $2,090.20

6412 OMEGA LAG SCREW $1,251.35

6413 SELF TAP CORTIC SCRE $111.45

6414 MEDLN SILICONE DRAIN $16.20

6416 COV LIGASURE IMPACT $2,715.15

6417 EPIDUR NEEDLE 14G 6" $222.95

6418 BS EXTRACTOR PRO X-L $512.80

6419 ARTH KNOT PUSHER SUT $464.50

6420 OLYM DISP HOT BX FOR $122.60

6421 OLYM DISP INJECTOR N $86.65

6422 DISP ELEC SURG SNARE $34.00

6423 SOFT SILK SCREW 1.5 $515.35

6424 ANCHORAGE FIXATION P $810.00

6425 VOLAR NAR 9 HOLE PLA $3,444.70

6426 DEP SUP QUICK ANCH P $1,594.15

6427 TECNIS ZM800 $3,325.75

6428 TECNIS ZCBOO IOL $557.35

6429 CRYSTALENS IOL $3,325.75

6430 CRYSTALENS HD IOL $4,069.00

6431 RESTOR IOL $3,325.75

6432 TORIC IOL $1,839.40

6433 RADIO FREQ CANNULA $105.30

6434 DEROYAL KNEE IMMOBI $70.60

6435 CATHETER PASSER $364.15

6436 DISP SUCTION IRRIGAT $566.10

6437 12MM VERSA STEP PLUS $214.85

6438 BLUNT PORT PLUS 5MM- $202.50

6439 INSUFFLAT NEEDLE 14G $63.95

6440 5MM VERSA STEP $172.15

6441 SHOULDER IMMOBILIZER $31.95

6442 ARTHROSCOPY PUMP TUB $226.65

6443 CRUTCHES ALUMINUM $37.80

6444 VERSYS HIP ENDO FEM $12,188.40

6445 4 HOLE FIBULAR PLATE $2,431.35

6446 FEMERAL STEM $5,930.70

6447 5.0 PRECIS ROUND BUR $687.45

6448 BONE MILL DISP MEDIU $14.85

6449 UROVAC BLADD EVAC $127.45

6450 DISPO SURGICAL CABLE $111.45

6451 7FR SAFESHEATH II IN $185.75

6452 OCTRODE LEAD KIT 60C $3,016.60

6453 EON MINI 1 PG 16 CHA $65,824.80

6454 STRYKER TOT KNEE $34,994.85

6456 ABDOMINAL BINDER $47.95

6457 PRESC NEURO DRILL 3M $500.35

6459 TRIGGER FLEX BIPOLAR $2,786.95

6460 4.9 CANNULATED DRILL $1,294.55

6461 ANIS THREAD GUIDE PI $380.95

6462 COFLEX SITE 14 $19,508.80

6463 LEAD MRICS COMPACT $11,185.05

6464 INS REST ULTRA MRICS $76,902.15

6465 INSR MRICS CHARGER $8,881.15

6466 PROGRAMMER MRICS $4,422.00

6467 CATHETER PASSER 38CM $364.15

6468 PROX HUMERAL NAIL LG $7,149.10

6469 TEFLON TUBE HUMERAL $739.75

6470 GUIDE WIRE SMOTH TIP $537.30

6471 9 HOLE PLATE $2,610.85

6472 GUID WIRE 1.4 X 150 $180.00

6473 NON LOCKING SCREW $248.70

6474 CATHETER 8780 $3,892.90

6475 OMEG ST BAR PLT 8-12 $2,405.80

6476 OM STD BAR PL 2-6 HO $1,902.80

6477 OM SHT BARREL PLATES $1,902.80

6478 OMEG COMPRESSN SCREW $306.20

6479 SLF TAP 4.5 HX CORT $95.65

6480 OMG STD LAG SCR 13MM $1,227.45

6481 3.2 DRILL OMEGA $493.15

6482 K WIRE STRYKER $360.00

6483 PUNCTURE CLOS DEVICE $63.70

6484 DRILL AO $547.30

6485 TIBIAL NAIL $5,831.75

6486 BAIR HUGGER BLANKET $20.45

6487 SURGICAL SHOE $20.80

6488 MONO TRIAX WRIST KI $5,333.10

6489 RUSH PIN NAIL $314.95

6490 COAPTITE INJ IMPLANT $936.40

6491 ABDUCTION PILLOW $74.00

6492 INCENTIVE SPIROMETER $11.75

6493 MRI COMP SPIN CORD S $77,681.55

6494 REST MODULAR HIP STM $10,748.75

6495 REST MODULR HIP BODY $15,001.95

6496 REST MODULAR HIP SLE $569.00

6497 UNITR ENDOPRO HD COM $2,641.50

6501 3 HOLE PLATE $2,870.55

6502 MED VEC SUR MRI LEAD $10,652.45

6503 MEDT ACCESSORY KIT $1,238.65

6504 REDDICK CHOLAGIO CAT $459.90

6505 MENISCAL CINCH W PE $913.10

6506 I STENT $8,847.55

6507 SMALL CROSS LINKS $1,044.00

6508 6.0 X 100 ROD $1,068.75

6509 6.0 ANGLED CONNECTOR $1,238.65

6510 6.0 CONNECTORS $1,238.65

6511 BREAK OFF NUTS $760.85

6512 6.5 MM X 45 SCREWS $3,008.15

6513 ZN HY HERN RPR DV 15 $4,246.85

6514 1 PG TEMPLATE KIT $587.50

6515 BLUE PERC LEAD KIT $7,329.35

6516 RISE SPACER 8X22MM $20,054.45

6517 5.5 ROD $1,473.10

6518 7.5X45MM MESA 2 SCRE $7,877.85

6519 6.5X50MM MESA 2 SCRE $7,877.85

6520 REAM SHFT MOD TRINK $862.05

6521 AO DRILL 230 MM $537.30

6522 PROCLAIM ELITE 5 W/C $79,383.90

6523 PROCLAIM ELITE 7 W P $79,383.90

6524 HUMERAL POLY INSERT $5,256.85

6525 HUMERAL CUP $6,569.85

6526 HUMER CENTER GLENOSP $6,569.85

6527 HUMERAL STEM $16,991.90

6528 PERIPHERAL SCREW $658.95

6529 GLENOID BASE PLATE $7,228.80

6530 PILOT WIRE $143.70

6531 HEADLESS PIN $851.05

6532 3.1 MM DRILL $383.40

6533 REELX 4.5 KNOTLESS $1,815.50

6534 CINCHLOCK SS KNOTLES $1,719.95

6535 CHAMP SLINGSHOT SUTU $1,235.10

6536 FORCE FIBER $67.40

6537 PIVOT CINCH LK DRILL $637.00

6538 SHLDR TRAY RENTAL $1,685.25

6539 EXTERNAL PULSE GENER $1,853.75

6540 INGEV LEAD MRI 52CM $2,022.30

6541 INGEV MRI LEAD 45CM $2,022.30

6542 ACCOLADE MRI DR PMAK $21,234.15

6543 KIT FIBULA DISTAL ST $8,931.80

6544 STAND CORTICAL SCREW $286.50

6545 FEMORL BONE CEM KIT $980.80

6546 CMT MIXING SYSTEM $384.25

6547 CLEARIFY VISUAL SYST $137.15

6548 SPACEMKR PRO SYSTEM $137.95

6549 VERS 12MM BL TROCAR $183.50

6550 SPHENO CATH $256.45

6551 SUPERIOR SUI KIT $2,712.45

6552 VERTIF INST PLAT KIT $2,230.95

6553 SUP INDIR DECOM IMPL $33,688.95

6554 DIST HUMER PLAT 3HOL $5,768.35

6813 MX STR SHRT EXT TUBE $631.65

6814 STR SHT EXT TUB W VE $1,439.95

6815 AUTOPLEX WO NEEDLES $2,276.65

6816 A PLEX W VPLEX WO NE $2,879.85

6817 SPINEPLX 20GM TWIN $862.95

6818 VERTAPLEX 20 GM TWIN $1,098.90

6819 VERTAPLEX HV 20 GM $1,263.40

6820 10G 10MM IVAS SYSKIT $4,087.55

6821 10G 10MM BALLOON CAT $3,158.55

6822 10G15MM IVAS SYS KIT $4,087.55

6823 10G15MM IVAS BAL CAT $3,158.55

6824 10G20MM IVAS SYS KIT $4,087.55

6825 10G20MM BALLOON CATH $3,158.55

6826 8G 10MM IVAS SYS KI $4,087.55

6827 8G 15MM IVAS SYS KIT $4,087.55

6828 10G HAND DRILL $216.80

6829 IVAS 10G ACCESS CANU $198.05

6830 IVAS 8G ACC CANNULA $202.50

6831 IVAS 8G BEVEL STYLET $153.85

6832 IVAS 8G HAND DRILL $272.20

6833 IVAS 8G VERT CEM CAN $183.15

6834 10G VERT LNG STY NEE $183.15

6835 10G VERT CEMENT CANN $180.60

6836 10G VERT SHRT STYLET $170.25

6837 11G VERTE CEMENT CAN $219.60

6838 8G BIOPSY KIT $288.20

6839 IVAS 10G BONE BIOPSY $286.10

6840 CARTRIDGE 5CC $2,601.15

6841 CARTRIDGE 10CC $4,459.15

6842 CARTRIDGE 10CC 2 PK $4,459.15

6844 MIX TIPS LUER 3PK $650.30

6845 MALYUGIN RING $2,786.95

6846 BS ALTRUA 60 GEN 606 $19,323.05

6847 BS ADVANTIO K063 GEN $18,579.85

6848 PACING LEAD 52CM4470 $2,043.75

6849 PACING LEAD MOD 4465 $2,043.75

6850 UNI POLAR PRESS FIT $12,386.60

6852 ROTICULAT AUTO STAPL $699.35

6853 20FGASTRFEEDING TUBE $391.65

6854 TR GRAFT PERICARD PA $1,021.85

6855 AHMED GLAUCOMA VALVE $1,938.05

6856 ACARE SPEED LOC 6500 $1,839.40

6857 ACARE SPEED LOC 7500 $1,839.40

6858 PURSTRING AUTO SUTUR $783.80

6859 CLINIC VISIT ALL LEV $333.00

6860 BARD MESH PLUG SM $1,921.40

6861 ENDO DISP BIOP FORCP $27.35

6862 HEWSON SUTURE RETRIE $408.75

6863 TSRH ROD $1,682.10

6864 TSRH CONNECTOR SM $4,715.55

6865 8X22 CAPSTN PEEK SPA $15,140.00

6866 TSRH SET SCREW $571.90

6867 TSRH SCREW $2,390.60

6868 LG BLK PST OP SHOE M $74.50

6869 SPIN CAN 1.25 X 90MM $156.05

6870 WLF PUMP TUB FLD CNT $230.35

6871 BI TIP FLEXTRODE $2,601.15

6872 XEROFORM $2.85

6873 IRR CONT SPIKE ADAPT $5.50

6874 T4 HOOD $89.80

6875 ZIM COMP VAC CEM MIX $686.75

6876 RECIPROCATOR BLADE $122.35

6877 OSCILLATOR BLADE $70.70

6878 IOBAN 2 23 X 23 $37.35

6879 INT HNDPC SET C HF T $107.75

6880 PLATE 8H VARIAX $4,268.50

6881 L 8 HOLE HUM PLT AXS $5,597.60

6882 4.5MM CANNUL SCREWS $100.40

6883 3.1 DRILL BIT $330.45

6884 2.5 DRILL BIT $387.90

6885 4.3 DRILL BIT $4,167.45

6886 3.2 DRILL BIT $549.40

6887 K WIRE LONG $90.45

6888 TA STAPLERS $315.10

6889 SCREWDRIVER BLADE $894.60

6890 OLIVE WIRE $94.70

6891 2.7 OVERDRILL BIT $942.00

6892 SPEED GUIDER BIT $2,136.70

6893 2.6 DRILL BIT $966.15

6894 SCREW 2.7 CANNULATED $473.60

6895 VAR SUP CLAV PL R SH $4,305.85

6896 2.0 STAND DRILL BIT $473.60

6897 BRD VENTR HERN PA LG $2,449.55

6898 ESOPH BAL DILAT CATH $910.40

6899 MEDTRONIC ACCES KIT $1,114.75

6900 BLOOD TRANSFUSION $2,087.00

6901 MULTILEAD TRIAL CABL $778.60

6902 EON MINI LE CHARG SY $4,938.55

6903 EON PAT PROGRAMMER $5,102.00

6904 DISPOS FRAME FIXATOR $2,031.40

6905 12H RECON LOCK PLATE $2,368.15

6906 12 HOLE PLATE $7,027.20

6907 MED SP STIM LD TRIAL $5,165.15

6908 MD INJX BIWNG ANC TR $1,021.85

6910 OM THR TIP GD PN 230 $147.35

6911 GUARDUS OVERTUBE $691.15

6912 SIMPL HV CEMENT W GE $1,397.20

6913 10 HOLE PLATE $2,431.35

6914 3.5MM DRILL BIT $338.90

6915 TSRH MED CONNECTOR $4,812.50

6916 NON CEMENT TOTAL HIP $19,464.65

6917 ENDO BABCOCK 10MM $152.90

6918 AVIATION PLATE 14MM $8,108.80

6919 AVIATOR VASD SCR 14M $1,982.90

6920 AVIATOR FIXATION PIN $840.95

6921 AVIATOR DRILL 12MM $1,397.35

6922 EXCHANGE PIN $460.05

6923 GUIDE PIN 3.2MM $230.05

6924 CANNUL DRILL BIT 7.0 $2,211.90

6925 ARM SLING $28.80

6926 SI BONE IMPLANT $12,722.80

6927 MULTI LUMEN CVC KIT $266.60

6928 CELL SAVE SERV 2-4HR $973.20

6929 CELL SAVER EA ADD HR $106.15

6930 ENDOTAK RELIANCE G $18,756.85

6931 SHORT GAMMA NAIL $5,284.60

6932 INSUFL TUBING LAPRA $21.95

6933 PIN CLAMP EX FIX LEG $2,118.15

6934 CALCANIEOUS XFIX PIN $509.35

6935 GREEN ROD HOLDER $1,954.70

6936 BLUNT PINS 5X180 $485.65

6937 PIN ROD HOLDER $2,077.90

6939 ROD 8 X 450 $1,104.15

6940 STRAIGHT ROD HOLDER $452.55

6941 ROD 8 X 200 $1,044.85

6942 EX FIX DRILL BIT 4.0 $326.75

6943 EX FIX PIN 380 $284.30

6944 TRULIGN CRYST IOL $3,362.05

6945 TRIAL SPINAL CORD ST $8,493.65

6946 PERM SPINAL CRD STIM $95,553.65

6947 MACROPLASTIQUE $1,751.80

6948 UROPL RIGID ENDO NED $106.15

6949 AMNIOTIC MEMBRANE $2,105.70

6950 ALCON ANTER VIRT PRO $672.40

6951 ENDOV SAFETY PEG KIT $1,044.00

6952 ESSENTIO DR IS1 $18,756.85

6953 RFDE SI SIMPLIC III $636.25

6954 MACKOOL CAT HOOK KIT $477.75

6955 MDM LINER CEMENT LES $1,769.50

6956 MDM X3 INSERT FOR MD $1,769.50

6957 STRYKER 5 HOLE PLATE $1,580.10

6958 BONE PUTTY 5 ML STER $5,898.65

6959 STRYKER 2 HOLE PLATE $9,321.80

6960 TRIAL LEAD N STIM 60 $5,768.60

6961 6" INSERT NEEDLE KIT $587.50

6962 PAT REMOTE KI $5,276.70

6963 N300 LEAD ANCHOR KIT $877.65

6964 PERCUTA LEAD INTRODU $265.40

6965 6 HOLE CLAVICLE PLAT $3,690.75

6966 MONOSTENT $442.40

6967 DAL MIL CABLE SLEEVE $1,152.95

6968 DAL MIL CABL GRIP LG $1,669.00

6969 45 BALL ELECTRODE $406.95

6970 SAGITTAL BLADE $226.10

6971 PULSE IRRIGATOR $166.10

6972 INFUSE KIT II BMP LG $19,708.80

6973 MASTERGRAFT MATRIX $4,176.05

6974 B DESGN ING HERN GRF $1,026.30

6975 DIST FIB 3 HOLE PLAT $2,315.60

6976 DEL SYS DIST BICP RP $4,095.15

6977 DS KIT FOR TENO SCRW $940.35

6978 HYDROSET $10,799.65

6979 BL TIP BAL TROC 12MM $235.95

6980 SURGIMEND 10 X10 X1 $6,741.00

6981 AVIATOR TEMP PIN $800.95

6982 AVIATOR DRILL 12MM $1,330.80

6983 HENSLER BONE PRESS $3,033.45

6984 AVIATOR PLATE 30MM $8,304.00

6985 AVIATOR SCREWS 14MM $1,888.50

6986 ROTHNET FB STANDARD $316.80

6987 TIGER WIRE $66.80

6988 TUNNELER $330.30

6989 RT INTERMED PLATE $5,466.95

6990 OMEGA K WIRE $133.65

6991 BIOCOMP INTER SCREW $792.05

6992 SURGIMEND 25 X 40 $57,298.50

6994 STRYKER TOTAL HIP $25,075.45

6995 HUMERAL CUP $6,257.00

6996 HUMERAL FX STEM $17,862.65

6997 PERIPHERAL SCREW $627.60

6998 HUMER CUP TRIAL ADAP $1,149.90

6999 CONCENTR GLENOSPHERE $6,257.00

7000 CENT SCREW TOT SHOUL $627.60

7001 INTRAOCULAR LENS $0.00

7002 GLENOID BASEPLATE $6,884.60

7003 HUMERAL INSERT $5,006.55

7004 PILOT WIRE $136.85

7005 3.1 MM DRILL BIT $365.65

7006 OBTRYX II SYS HALO $4,671.50

7007 UP LITE W CAPIO SLIM $7,374.35

7008 TFCC INSTR KIT $1,179.65

7009 K-LES TIGHTROP W DRV $5,038.90

7010 FEMORAL KNE CMT MOLD $9,538.50

7011 TIB KNEE CEMT MOLD $4,550.15

7012 .86MM GD WR TROC TIP $106.15

7013 2.MM DRIL BIT CALIBR $940.35

7014 28MM MCRO COMPRES FI $1,422.35

7015 .86MM GUIDEWR TROCAR $124.70

7016 SCP COM KNEE KIT 5CC $14,156.10

7018 BREV RAD OPAQUE EPI $223.15

7019 ZIP WIRE $196.80

7020 SENSOR STRT TIP WIRE $220.90

7021 CUTTING LOOP .35 MM $378.65

7022 SPED GUID DRL 2MMX30 $1,267.30

7023 VOLAR DR PLAT RT 11 $5,851.20

7024 BICO HEMOSTAS PROBE $480.45

7025 NEUROMEND $6,548.90

7026 KAHOOK DUAL BLADE $1,432.45

7027 CORTOSS 5CC CART CMT $1,805.75

7028 BALLEON SYSTEM $2,527.85

7029 MIX TIP 3 PK $525.80

7030 DELIVERY GUN $1,519.65

7031 PICO NEG WOUND DSG $793.00

7032 AUTFIX COMPRES SCREW $1,888.60

7035 I FU EXCHANG PIN 3.2 $393.20

7036 I FUS BLNT PIN 3.2 $219.10

7037 1 FUS GD PIN 3.2 $219.10

7038 I FUS CANNUL DR 7.0M $2,106.55

7039 I FUSE 3D $12,116.95

7040 TAUT OP CHOLANG CATH $180.30

7041 REVITA 6X6 CM GRAFT $14,124.00

7042 DISLATFEMPLATE 12H $7,029.00

7043 PERI LOCK SCREW $852.75

7044 ASPABLATOR $570.00

7215 ENDO STITCH SUT DEV $369.65

7216 ENDO GIA 60 MM MED $721.30

8001 0.45% NS 1000 ML $10.30

8003 DEXTROSE 500 ML $18.90

8006 SODIUM CHLORIDE INJ $11.70

8008 D5%W 0.45%NS 500 ML $18.90

8009 D5%W 0.45%NS 1000 ML $10.10

8010 DEX. NACL. KCL 1000M $11.20

8011 D5%W 0.2%NS 500 ML $7.70

8012 D5% 0.2%NS 1000 ML $11.90

8013 D5%W LR 500 ML $9.50

8014 D5%W LR 1000 ML $10.30

8015 D5% 0.9%NS 500 ML $10.50

8016 D5%W 0.9%NS 1000 ML $10.30

8018 DEXTROSE WATER 50ML $8.20




8023 DEXTROSE WATER 1000M $13.30

8024 EMPTY CONTAINER 100M $0.00

8025 EVACUATED CONTAINER $17.10



8029 LACTATED RINGERS 500 $18.90

8030 LACTATED RINGERS 100 $18.90

8031 SODIUM CHL 50ML NS 0 $8.20

8032 SODIUM CHL 100ML NS $8.20



8036 PROCLAM. (3%AMINO. 3 $87.00

8037 RINGERS 1000ML $14.40

8040 SODIUM CHLORIDE 0.9% $8.60

8041 D51/2NS + 40MEQ KCL $18.10

8042 NS + 20MEQ KCL $12.70

8043 D5W + 20MEQ KCL $14.10

8044 D5NS + 20 MEQ KCL $12.80

8045 D5NS +40MEQ KCL $27.90

8046 D51/4NS + 20MEQ KCL $17.30

9001 ABBOCATH 16 X 2 $0.00

9002 ABBOCATH 18 X 2 INCH $12.35

9003 ABBOCATH 20 X 1/4 IN $12.35

9004 ABDOMINAL SUPPORT $62.15

9006 ACE BANDAGE $7.85

9008 ACURA COUNT NEEDLE P $12.35

9010 ADMINISTRATION SET I $29.40

9011 ADMISSION KIT $14.65

9014 ARM IMMOBILIZER $27.10

9015 ARM IMMOBILIZER, SMA $27.10

9016 ARM SLING $14.65

9017 ARM SLING, ADULT MED $14.65

9018 ARM SLING ADULT SMAL $14.65

9019 ARM SLING BLACK CLOT $16.95

9020 ARM SLING PEDIATRIC $16.95

9021 BAG BILE $32.75

9022 BAG BLOOD WARMING $49.70

9024 BANDAGE: ACE 2" $4.50

9025 BANDAGE: ACE 3" $4.50

9026 BANDAGE: ACE 4" $4.50

9027 BANDAGE: ACE 6" $4.50

9028 BANDAGE: KLING 3" $4.50



9031 BANDAGE: KLUNG 2" $4.50

9032 BASIN. EMESIS DISP. $4.50

9033 BELT PELVIC TRACTION $76.80

9040 BIOPSY NEEDLE $84.75

9041 BLADE RETRIEVER $52.00

9042 BLOOD COLLECTION SET $14.65

9043 BLOOD COMPONENT SET $12.35

9044 BLOOD, ARTERIAL/GAS $12.35

9045 BONE CEMENT $253.25

9046 BONE CEMENT- CARTRID $89.35

9047 BONE SCREW $0.00

9048 BOOT: CAST WEATHERPR $47.40

9049 BOVIE (GROUND PAD & $39.50

9050 BRACE, KNEE UNIVERSA $132.30

9051 BRACE- KNEE LARGE $134.55

9052 BRACE - KNEE MEDIUM $134.55

9053 BRACE - KNEE SMALL $134.55

9054 BRACE - KNEE X LARGE $134.55

9055 BRACE -NASAL $47.40

9056 BRONSON BOOT $35.05

9059 CANNULAE $4.50

9061 CAST BOOT $66.65

9062 CATH. & GLUV SET 14 $7.85

9063 CATH. FOLEY 2 WAY 16 $45.15

9064 CATH. FOLEY 2 WAY 18 $45.15

9065 CATH. FOLEY 2 WAY 20 $45.15

9066 CATH. FOLEY 2 WAY 20 $45.15

9067 CATH. FOLEY 2 WAY 20 $45.15

9068 CATH. FOLEY 2 WAY 22 $45.15

9070 CATH. FOLEY 2 WAY 22 $45.15

9071 CATH. FOLEY 2 WAY 24 $45.15

9072 CATH. FOLEY 2 WAY 24 $45.15

9073 CATH. FOLEY 2 WAY 26 $45.15

9074 CATH. FOLEY 2 WAY 26 $45.15

9075 CATH. FOLEY 2 WAY 28 $45.15

9076 CATH. FOLEY 2 WAY 28 $45.15

9077 CATH. FOLEY 3 WAY 18 $45.15

9078 CATH FOLEY 3 WAY 20 $45.15

9079 CATH. FOLEY 3 WAY 22 $45.15

9080 CATH. FOLEY 3 WAY 24 $45.15

9081 CATH. FOLEY 3 WAY 26 $45.15

9082 CATH. FOLEY 3 WAY 28 $45.15

9083 CATH. SUBCLAVIAN (DE $54.25

9084 CATHETER FOGARTY (OR $74.50

9085 CATHETER FOGARTY *3F $211.35

9086 CATHETER FOGARTY *4F $194.45

9087 CATHETER STRAIGHT RU $10.15



9090 CATHETER STRAIGHT SZ $10.15









9099 CATHETER SUCTION SZ $7.85





9104 CATHETER CHOLANGIOGR $70.10

9105 CATHETER TROCAR (CHE $59.85

9106 CATHETER, URETHRAL C $37.35

9108 CATHETER, TRAY #6006 $41.80

9109 CATHETER, URETHRAL S $14.65

9110 CAUTERY ERASER HEMOS $37.35

9111 CAUTERY SURICAL (SUR $52.00

9112 CAUTERY. OP-TEMP $37.35

9113 CERVICAL COLLAR $22.55

9114 CERVICAL COLLAR FOAM $29.40

9115 CERVICAL COLLAR FOAM $29.40

9116 CERVICAL COLLAR: FOA $29.40

9117 CERVICAL COLLAR: PHI $186.55

9119 CERVICAL HALTER (SKI $45.15

9120 COLOSTOMY: BELT #120 $39.50

9121 COLOSTOMY: LOOP LOC $238.55

9122 COLOSTOMY: ERFILL #1 $54.25

9123 COLOSTOMY: REFILL #1 $94.90




9127 COLOSTOMY: RING PLAS $14.65




9131 COLOSTOMY: SURE FIT $49.70

9132 COMPRESSION SET ( TU $746.25

9134 CRUTCHES $35.75

9135 CRUTCHES: ADULT #42/ $59.85

9136 CRUTCHES: ADULT # 46 $59.85

9137 CRUTCHES: CUSHION TI $59.85

9138 CRUTCHES: PEDIATRIC $59.85

9139 CRUTCHES: UNDERARM P $59.85

9140 CYSTO IRRIGATION SET $22.55

9141 CYTOLOGY BRUSH $41.80

9142 DERMATONE BLAD $41.80

9154 DISCARD-A-PAD $7.85

9155 DISPOZ- A-BAG: MEDIU $20.35

9156 DRAIN: PENROSE 4 X 6 $4.50

9157 DRAIN: PENROSE LATEX $4.50

9159 DRAIN: PENROSE LATEX $4.50

9160 DRAIN:PENROSE LATEX $4.50

9162 DRAINAGE SET, CLOSED $27.10

9168 DRESSING: ADAPTIC $7.85

9169 DRESSING: ADAPTIC 3 $7.85

9173 ENEMA: BAGS (FLEET) $7.85

9174 EPSILON ULTRA SONIC $582.35

9175 EXT SET .22 MICRON F $27.10

9176 EXT. SET 30 FOR SYRI $22.55

9177 EYE GARTER $4.50

9179 FAZIOPLAST $32.75

9181 FLATUS EVACUATION $4.50

9182 FOLEY SIL COATED 2 W $45.15




9186 FOLEY SILCONE 2 WAY $45.15





9191 FULLER SHIELD $27.10

9192 GAUZE, VASELINE $57.60

9193 GAUZE, VASELINE PACK $97.15

9194 GIGLI SAW $29.40

9203 GRAFT-ST $0.00

9204 GRAFT-ST. VASCULAR ( $1,343.35

9205 HANDLE,SUCTION, YANK $12.35

9206 HEMOSTATIC ERASER $37.35

9207 HIP PACK, SPECIAL $298.45

9208 HUDSON MASK, MULTI V $12.35

9210 PACKS (OPHTHALMIC) I $597.00

9211 PACKS (UNIPAC) I-A $517.90

9212 IMMOBILIZERS-KNEE $103.95

9213 IMMOBLIZERS-SHOULDER $22.55

9214 IMMOBILIZERS-WRIST $66.65

9215 INSPIRON CIRCUITS, I $20.35

9217 INSPIRON MASK OXYGEN $0.00

9218 INSPIRION NEBULIZER, $16.95

9219 IRRIGATION SET (ABBO $59.85

9220 IRRIGATION SET MARSA $174.20

9221 IRRIGATION TRAY PIST $7.85

9222 IRRIGATION TRAY, SEA $7.85

9223 JEJUNOSTOMY SET (NEE $74.50

9224 K-PAD (DUO THERM 112 $59.85

9225 K-WIRE, STAINLESS $391.40

9226 KARAYA GUM WASHER 1 $29.40

9227 KARAYA GUM WASHER 1" $29.40

9228 KARAYA GUM WASHER 2 $29.40



9231 KLING BANDAGE $4.50

9237 LAP PAD ( SPONGE) 20 $4.50

9238 LIGA CLIP $20.00

9239 LIMB RESTRAINT "CAST $20.35

9240 LINERS, SUCTION (MED $14.65

9241 LINERS, SUCTION (MED $14.65

9242 LOTION $4.50

9243 LUKI-LUBE $10.15

9248 MASK, OXYGEN DISP. 1 $4.50

9250 MASK, TRACH (AEROSOL $12.35

9252 MICROPHAK (CRYOWIK E $196.70

9253 MICROSPONGE $10.15

9254 MINISET VEIN INFUSIO $4.50






9261 MISTY NEBULIZER #201 $10.15

9262 MODESS $4.50

9263 MONTGOMERY STRAP $119.90

9264 MOUTHWASH $4.50

9265 NEB. W/FLO 2 2% $27.10

9266 NEBULIZER, MISTY W/M $10.15

9267 NEBULIZER, MISTY W/T $7.85

9270 OR CATHERER PHILLIPS $41.80

9271 OR DRESSING $4.50

9278 PENROSE PACK $10.15

9279 PINS (OR) STERILE SA $4.50

9280 PLUER-EVAC $327.90

9284 PROSTHESIS CUP (ACET $522.40

9285 PROTRUSIO SHELL IN T $895.50

9286 QUIK CATH 18 G X 1 1 $7.85

9287 QUIK CATH 208 $7.85

9291 RESPIREY #158A $24.80

9292 RESTRICTOR SET W/LVC $74.50

9293 RIORDAN FIXATION PIN $27.10

9294 SCREW (COMPRESSION S $29.40

9295 SCREW (MALLEOLAR) $52.00

9297 SHIRLEY WOUND $14.65

9298 SHOULDER DRESSING UN $27.10

9299 SHOULDER IMMOBLIZER $27.10

9300 SHOULDER IMMOBILIZER $27.10

9301 SHROUD KIT (MORTUARY $14.65

9302 SILCONE COATED 2 WAY $45.15

9303 SITZ BATH (DISPOSABL $16.95

9304 SKIN STAPLE EXTRACTO $27.10

9305 SKIN TRACTION KIT, A $47.40

9306 SKIN TRACTION KIT, P $47.40

9307 SKIN TRACTION KIT-JU $47.40

9308 SLING $20.35

9309 SLIPPERS-FOAM:LARGE, $7.85

9310 SLIPPERS-FOAM: MEDIU $7.85

9315 SPECIL SUTURES $7.85

9316 SPECIAL SUTURES (OPH $82.50

9318 SPLINT `C` 4 X 15 $74.50

9319 SPLINT `C` 4 X 30 $74.50

9320 SPLINT ARM UNIV. WRI $59.85

9321 SPLINT CLAVICLE LARG $41.80

9322 SPLINT CLAVICLE MEDI $41.80

9323 SPLINT CLAVICLE SMAL $41.80

9324 SPLINT CLAVICLE X LA $41.80

9325 SPLINT FINGER $7.85

9326 SPLINT FINGER 1 X 18 $12.35

9327 SPLINT FINGER 1/2 X $12.35

9328 SPLINT FINGER 3/4 X $12.35

9329 SPLINT FINGER PEDIAT $64.40

9330 SPLINT FOREARM $66.65

9331 SPONGE PEANUT $7.85

9332 SPONGE: COVER NON-ST $27.10

9333 SPONGE: GAUZE 4X4 12 $7.85

9334 STANDARD ADMINISTRAT $10.15

9335 STANDARD MINI DRIP I $10.15

9336 STAPLE FRACTURE $37.35

9337 STAPLES $169.60

9338 STAPLES 30-4. 8 INTE $313.20

9339 STAPLES SM 12W SKIN $169.60

9340 STAPLES SM 25W $169.60

9341 STEINMAN PIN $24.80

9342 STERI-STRIP $7.85

9343 STERI-STRIP LCE. R-1 $7.85

9344 STERI-TRIP MED. R-15 $7.85

9348 STERILE WATER FOR IR $0.00

9349 STINT URETERAL DOUBL $671.60

9351 STOCKINGS: THIGH-HI $29.40









9360 STRIP BRACE 5" X 30" $47.40

9361 STRIP REINFORCING TR $124.40




9368 SUCTION TUBE ORTHO S $41.80

9369 SUSPENSORY: LARGE $32.75

9370 SUSPENSORY: MEDIUM $32.75

9371 SUSENSORY: X-LARGE $32.75

9372 SUTURE: REMOVAL TRAY $7.85

9373 SWIVEL: ADAPTOR (POR $41.80

9374 T-SIZE 8 $27.10

9375 T-SIZE 10 $27.10

9376 T-SIZE 12 $27.10

9377 T-SIZE 14 $27.10

9378 T-SIZE 16 $27.10

9379 T- SIZE 18 $27.10

9380 TAPE: DERMICEL $7.85

9381 TAPE: DERMICEL 1" #5 $7.85

9382 TAPE: DERMICEL 2" #5 $7.85

9383 TAPE: DERMICEL 3" #5 $7.85

9384 TAPE: MICROFOAM #152 $37.35

9385 TAPE: MICROFOAM (PAT $37.35

9386 TAPE: MICROPORE 1" $4.50

9387 TAPE: MICROPORE 2" $4.50

9390 TRAY:LUMBAR PUNTURE- $119.90

9391 TRAY: LUMBAR PUNTURE $119.90

9392 TRAY: MANOMETER $29.40

9393 TRAY: THOROCENTESIS $157.20

9394 TRAY:THOROCENTESIS W $111.90

9395 TRAY:TRACHEOSTOMY CL $29.40

9396 TUBE: TRACHESTOMY (C $206.90

9397 TUBE: ANDERSON AN-10 $14.65



9400 TUBE: CONNECTING 9' $7.85

9401 TUBE: FEEDING SET IS $10.15

9402 TUBE: FEEDING SIZE 1 $4.50



9405 TUBE: FEEDING VIVONE $72.35

9406 TUBE:LEVINE SIZE 10 $22.55

9407 TUBE: LEVINE SIZE 12 $22.55


9409 TUBE:LEVINE SIZE 16 $22.55






9415 TUBE: OXYGEN CONNECT $4.50

9416 TUBE:RECTAL #22 $16.95

9417 TUBE:RECTAL #26 $16.95

9418 TUBE:RECTAL #28 $16.95

9419 TUBE:RECTAL #30 $16.95

9420 TUBE:STOMACH #12 $4.50




9424 TUBING,CORRUGATED 72 $7.85

9427 URINEMETER $89.35

9428 UROGATE IRRIGATION S $59.85

9429 VAGINAL IRRIGATION $12.35

9430 VEIN STRIPPERS $37.35

9432 VENTILATOR, VOLUME S $59.85

9433 VESSEL LOOP (DISPOSA $20.35

9434 VITRECTOMY SYSTEM II $634.35

9435 X-RAY COVERS (CASETT $14.65

9436 Y TYPE ADMINISTRATIO $24.80

9437 Y TYPE IRRIGATION SE $37.35

9455 SODIUM CHLORIDE 0.9% $0.00

9458 TYPE BLOOD ADM. SET $14.65

9466 MESH 3D MAX $803.00

9467 FOUR SHOOT MULTI LIG $910.25

9468 CAM WALKER $273.05

10004 GUEST TRAYS $11.00

10006 PERSONAL SERVICES $0.00

11001 KETOGENIC STEROIDS 1 $107.00

11002 KETROSTEROIDS 17 $121.00

11003 OH CORTICOSTEROIDS $214.00

11004 HIAA URINE 5 $158.00

11005 NUCLEODIDASE 5 $97.00

11006 MANUAL PLATELET CNT $57.00

11007 METABOLIC PANEL-BASI $104.00

11008 BLOOD TYPE & RH $0.00

11009 ACETAMINOPHEN $248.00

11010 ACETONE (QUAL) SERUM $47.00

11011 METABOLIC PANEL-COMP $131.00

11012 ACID PHOSPHATASE TOT $111.00

11013 SHELL INNOCULAT VZV $234.00

11014 ACTH $473.00

11015 ALBUMIN $61.00

11016 AFB SMEAR $56.00

11017 CHLAMYDIA CULTURE $252.00

11018 ALCOHOL $120.00

11019 ALDOSTERONE $499.00

11020 ALKLINE PHOSPHATASE $66.00

11021 CHLAMYDIA DNA PROBE $67.00

11022 AMMONIA $178.00

11023 AMPHETAMINE METHAMPH $169.00

11024 AMYLASE $79.00

11025 ANA $137.00

11026 ANTI DNA $168.00

11027 ACTIN (SM MUSCLE) AB $169.00

11028 THYROGLOBULIN AB $226.00

11029 ANTI THYROID MICROSO $178.00

11030 ANTIMITOCHONORIAL AN $169.00

11031 ANTIPARIETAL ANTIBOD $169.00

11032 ASO TITER $89.00

11033 APOLIPOPROTEIN A-1 & $121.00

11034 BREWERS YEAST ALLERG $35.00

11035 SP CONCENTRAT. PREP $82.00

11036 VITAMIN B12 $185.00

11037 UR PHOSPHORUS RANDOM $84.00

11038 GMMP METABOLITE $354.00

11039 BARBITURATES $169.00

11040 BENZODIAZEPINES $227.00

11041 B-HCG SUBUNIT,QUANT. $184.00

11042 GTG METABOLITE $354.00

11043 BILIRUBIN, TOTAL SER $61.00

11044 BLEEDING TIME $55.00

11045 BLOOD GAS (PH, PCO2, $237.00

11046 GTT-4TH SPEC. $10.00

11047 C-REACTIVE PROTEIN $91.00

11048 C-DIFFICILE TOXIN $139.00

11049 CA 125 $255.00

11050 CALCIUM $63.00

11051 CANNABINOIDS $55.00

11052 CARBAMAZEPINE $144.00

11053 CARBON DIOXIDE CONTE $45.00

11054 PRO-PREDICTR 6MP $0.00

11055 RACEMOSUS ALLERGEN $61.00

11056 CATECHOLAMINES FRACT $210.00

11057 CEA $232.00

11058 CELL COUNT W/DIFF (C $53.00

11059 CBC & DIFF $95.00

11060 GTT 1 HOUR $65.00

11061 CERULOPLASMIN SERUM $92.00

11062 CHLAMYDIA DIRECT AG $226.00

11063 CHLORIDE (BLOOD, URI $77.00

11064 CHOLESTEROL. TOTAL $53.00

11065 CKMB $177.00

11066 ANTI HISTONE AB $84.00

11067 COCAINE $169.00

11068 COLD AGGLUTININS $71.00

11069 GC DNA PROBE $73.00

11070 COMPLEMENT C 3 $147.00

11071 COMPLEMENT C 4 $147.00

11072 COMPLEMENT TOT. CH50 $249.00

11073 CBC WITHOUT DIFF $95.00

11075 CORONARY RISK PANEL $111.00

11076 CORTISOL $200.00

11077 CORTISOL FREE URINE $205.00

11078 CK $81.00

11079 CREATININE $63.00

11080 CREATININE CLEARANCE $116.00

11081 CRYOGLOBULIN, QUAL. $79.00

11082 CULTURE AFB $132.00

11083 CULTURE BLOOD DEFINI $129.00

11084 BODY FLUID CULT W/GS $0.00

11085 CULTURE CSF W/GR STN $0.00

11086 CULTURE EYE AND EAR $78.00

11087 CULTURE FUNGI $103.00

11088 CULTURE GC $81.00

11089 CULTURE OTHER $106.00

11090 CULTURE SPUTUM W/GS $0.00

11091 CULTURE STOOL $0.00

11092 CULTURE THROAT $106.00

11093 CULTURE VAGINAL/URET $106.00

11094 CULTURE VIRAL $312.00

11095 CULTURE WOUND $106.00

11096 CULTURE YEAST $50.00

11097 CYTOMEGALO VIRUS CUL $179.00

11098 CMV IGG AB $176.00

11099 CMV IGM AB $119.00

11100 HGB & HCT $0.00

11101 DEPAKENE (VALPROIC A $166.00

11102 FINGERSTICK GLUCOSE $40.00

11103 DIFFERENTIAL $58.00

11104 DIGITOXIN $104.00

11105 DIGOXIN $163.00

11106 DILANTIN $162.00

11108 DRUG SCREEN TOXIC UR $0.00

11109 EBV CAPSID ANTBDY & $222.00

11110 EBV EARLY ANTIBODY & $161.00

11111 EBV NUCLEAR ANTIBODY $187.00

11112 ELECTROLYTES $115.00

11113 ELECTROPHORESIS HEMO $0.00

11114 EOSINOPHIL COUNT $51.00

11115 EBV PANEL $0.00

11116 EBV CAPSID AG -LGM $102.00

11117 ESTRADIOL $342.00

11118 ESTRIOL $296.00

11119 FAT (FECAL) $133.00

11120 STREP EXOENZYME AB $111.00

11121 FEB AGGLUT, EACH ANT $58.00

11122 FERRITIN $167.00

11123 FIBRINOGEN $104.00

11124 FOLATE (FROZEN) $180.00

11125 FSH $228.00

11126 GASTROCCULT $50.00

11127 SKIN CULTURE $106.00

11128 GENTAMICIN $201.00

11129 GGTP $88.00

11130 GLUCOSE (2 HR. P P ) $121.00

11131 GTT-5TH SPEC $10.00

11132 GLUCOSE QUANTITATIVE $48.00

11133 FESCUE GRASS ALLERGN $35.00

11134 GLUCOSE TOL 3 HR (4 $158.00

11135 GLUCOSE TOL 4 HR (5 $158.00

11136 GLUCOSE TOL 5 HR (3 $158.00

11137 GLUCOSE TOL 6 HR (3 $124.00

11138 GLYCOHEMOGLOBIN $119.00

11139 GRAM STAIN $52.00

11140 HAPTOGLOBIN $154.00

11141 LIPID PANEL $164.00

11142 BANANA ALLERGEN $61.00

11143 HEMATOCRIT $29.00

11144 OAT ALLERGEN $61.00

11145 HEPATIC FUNCTION PAN $117.00

11146 HEPATITIS A ANTIBODY $138.00

11147 HEPATITIS B CORE AG $148.00

11148 HEPATITIS B SURFACE $132.00

11149 HEPATITIS B SURF AG $126.00

11150 HEPATITIS C ANTIBODY $177.00

11151 HEPATITIS ACUTE PNL $0.00

11152 HERPES IGG I & II $0.00

11153 HETEROPHILE $63.00

11154 EBV NUCLEAR AG -LGM $171.00

11155 KEPPRA/LEVETIRACETAM $221.00

11156 IMMUNOGLOBULIN IGA $114.00

11157 IGE $258.00

11158 IMMUNOGLOBULINS IGG $114.00

11159 IMMUNOGLOBULIN IGM $114.00

11160 IMMUNOFIXATION BLD $290.00

11161 IMMUNOFIXATION URINE $345.00

11162 IMMUNOGLOBIN PANEL, $0.00

11163 TISSUE CULTURE W/GS $0.00

11164 PEANUT ALLERGEN $61.00

11165 INSULIN $140.00

11166 TIBC $107.00

11167 IRON, SERUM (TOTAL) $79.00

11168 LDH $81.00

11169 LDH ISOENZYMES $107.00

11170 STRAWBERRY ALLERGEN $61.00

11171 LEGIONELLA IGM $187.00

11172 LAP $105.00

11173 LH $227.00

11174 LIDOCANE $131.00

11175 LIPASE $71.00

11176 LIPOPROTEIN ELECTROP $0.00

11177 LITHUM $89.00

11178 LYME TITRE CSF $50.00

11179 LYME AB SERUM $157.00

11180 LYME WESTERN BLOT $0.00

11181 MAGNESIUM $82.00

11182 METHADONE $171.00

11183 TOMATO ALLERGEN $61.00

11184 MYCOPLASMA PNEUMO. A $0.00

11185 NASAL SMEAR FOR EOSI $65.00

11186 BLASTOCYSTIS $50.00

11187 DISOPYRAMIDE/NORPACE $202.00

11188 OCCULT BLOOD-STOOL $29.00

11189 OPIATES $169.00

11190 PREALBUMIN $68.00

11191 OVA & PARA, FECAL: D $121.00

11192 PARTIAL THROMBOPLAST $79.00

11193 RAST PROFILE (MULT A $0.00

11194 PH $73.00

11195 PHENCYCLIDINE $169.00

11196 PHENOBARBITAL $140.00

11197 PHOSPHORUS $58.00

11198 PINWORM $73.00

11199 PLATELET COUNT $55.00

11200 PO2 $75.00

11201 PORPHOBILINOGEN, QUA $30.00

11202 PORPHYRINS QUANTITAT $121.00

11203 POTASSIUM $56.00

11204 PREGNANCY TEST- SERU $92.00

11205 PREGNANCY TEST URINE $92.00

11206 STRIATED MUSCLE AB $142.00

11208 PRIMIDONE $127.00

11209 PROCAINAMIDE + NAPA $155.00

11210 IMMUNO/INFECTIOUS AB $61.00

11211 PROGESTERONE $256.00

11212 PROLACTIN $237.00

11213 PROSTATIC ACID PHOSP $87.00

11214 RADIOPHARM TECHNIQUE $91.00

11215 PSA $225.00

11216 PR E-PHORESIS SERUM $132.00

11217 PROTEIN ELECTROPHORE $95.00

11218 PROTEIN TOTAL (SERUM $52.00

11219 PROTEIN (ALBUMIN) 24 $71.00

11220 LIGHT CHAIN PROTEIN $274.00

11221 PROTHROMBIN CONSUMPT $48.00

11222 PT/INR $57.00

11223 PTH (FROZEN) INTACT $0.00

11224 PWRM $292.00

11225 QUINIDINE $123.00

11226 RHEUMATOID FACTOR $69.00

11227 RBC-CSF $22.00

11228 RED CELL FRAGILITY T $95.00

11229 RENAL CALCULI- STONE $97.00

11230 FLOURESCENT TITRE EA $85.00

11231 RENIN (FROZEN) (EDTA $269.00

11232 RETICULOCYTE $54.00

11233 RMSF IGG $0.00

11234 RUBELLA $176.00

11235 RUBEOLA ANTIBODY IGG $158.00

11236 SALICYATES $87.00

11237 SEDIMENTATION RATE $62.00

11238 SEMEN ANALYSIS COMPL $333.00

11239 SEMEN FOR MICROSCOPI $333.00

11240 ANTIBIOTIC SENS PER $71.00

11241 SERUM OSMOLALITY $81.00

11242 SERVICE CHARGE-TRANS $22.00

11243 SGOT (AST) $63.00

11244 SGPT (ALT) $65.00

11245 SICKLE CELL PREPARAT $48.00

11246 SMEARS FOR PARASITES $73.00

11247 SMEARS STAINED, ANY $46.00

11248 SODIUM $59.00

11249 SPECIFIC GRAVITY $18.00

11250 SPECIMEN COLLECT FEE $7.00

11251 CELIAC DISEASE AB $0.00

11253 KIDNEY STONE ANALYS. $158.00

11254 SKELETAL MUSCLE ABS $33.00

11255 PSA MONITORING $225.00

11256 SUGAR, QUALITATIVE $7.00

11257 ALCOHOL METHYL $141.00

11258 NEONATAL BILIRUBIN $50.00

11259 T3UPTAKE $79.00

11260 T3RIA $174.00

11261 T4 $84.00

11262 TESTOSTERONE $316.00

11263 THEOPHYLLIN $168.00

11264 THYROID PANEL (T3U, $0.00

11265 THYROXINE, FREE $110.00

11266 TOBRAMYCIN TROUGH $203.00

11267 TOURNIQUET TEST $18.00

11268 TOXOPLASMOSIS IGG AB $176.00

11269 TOXOPLASMOSIS IGM AB $109.00

11270 TRICYCLIC ANTIDEPRES $169.00

11271 TRICYCLIC ANTIDEPRES $166.00

11272 B BURGDORFERI IGG $161.00

11273 TRYOSINE $48.00

11274 TSH $206.00

11275 TRANSFERRIN $171.00

11276 TYPE/RH & AB SCREEN $0.00

11277 UREA CLEARANCE $58.00

11278 UREA NITROGEN $48.00

11279 BUN 24 HR URINE $47.00

11280 URIC ACID $57.00

11281 URIC ACID CRYSTALS $54.00

11282 URINALYSIS $42.00

11283 URINE CULTURE $99.00

11284 OSOMOLALITY URINE $83.00

11285 URINE, BILIRUBIN $50.00

11286 UROBILINOGEN QUALITA $24.00

11287 UROBILINOGEN QUANTIT $54.00

11288 VANCOMYCIN $159.00

11289 RENIN ACTIVITY $155.00

11290 VDRL (RPR) $52.00

11291 VMA 24 HOUR URINE $185.00

11292 VOL MEASURE URINE $32.00

11293 ZINC $90.00

11294 BORRELIA BURGDORFERI $0.00

11295 LDL DIRECT $117.00

11296 THROAT CULTURE-R/O S $81.00

11297 VARICELLA ZOSTER IGM $256.00

11298 RUBELLA SCREEN-IGG $99.00

11299 HEMOGLOBIN $29.00

11300 ABO $46.00

11301 R H $36.00

11302 ANTIBODY SCREEN GEL $140.00

11303 HPV DNA LOW/HIGH RIS $0.00

11304 HPV DNA LOW/HIGH RIS $420.00

11305 PAPILLOMAVIRUS DNA $0.00

11306 ARCH R BINDING $363.00

11307 HGE $81.00

11308 HUMAN GRANUL (HGE) $0.00

11309 URINE COLLECTION $8.00

11310 OSTEOCALCIN, HUMAN $326.00

11311 IMMUNO QUANT RIA $454.00

11312 WESTERN BLOT $454.00

11313 PARANEOPLASTIC PRO $0.00

11314 IMMUNOASSAY QUANT. $454.00

11315 VITAMIN A $142.00

11316 HOMOCHROM DNA MUTATE $0.00

11319 HEPATITIS C DIRECT $84.00

11320 IMMUNOASSAY NONAB $107.00

11321 HEP B DNA QNT VIRAL $0.00

11322 CHEMILUMINSCENT $75.00

11323 GLUTETHIMIDE $127.00

11326 ARSENIC FRACTIONATE $347.00

11327 DEXAMETHASONE SUPRES $114.00

11328 TOTAL CARBAMAZEPINE $96.00

11329 HCV RNA QUANT $694.00

11330 15-20 CELL KARYOTYPE $1,491.00

11331 TISSUE CULTURE $252.00

11332 CHROM ANYSIS BM/HEM $0.00

11333 TISSUE CULTURE $151.00

11334 ADDITIONAL KARYOTYPE $147.00

11335 ANALYSIS 20-25 CELLS $731.00

11336 LIPOPROTEIN TRIGLYCE $40.00

11337 LIPOPROTEIN SEPARATE $79.00

11338 HLA TYPING A,B,C $0.00

11339 CARBA METABOLITE $122.00

11340 HSV 1,2 TYPE SPECFIC $0.00

11341 HERPES SIMPLEX TYPE1 $93.00

11342 HERPES SIMPLEX TYPE2 $136.00

11343 RETICULIN IGA AB $148.00

11344 RAST ALLERGEN EACH $60.00

11345 GM1 AB IGG $143.00

11346 GM1 AB IGM $143.00

11347 CHLAMYDIA TRA AB IGM $64.00

11348 CHLAMYDIA TRA AB IGG $64.00

11349 Q FVR PHASE 1 IGG/M $69.00

11350 Q FVR PHASE 2 IGG/M $69.00

11351 WESTERN BLOT $252.00

11352 WESTERN BLOT MAG AB $161.00

11353 CYTOPATHOLGY CER/VAG $50.00

11354 HPV II DNA $115.00

11355 HUMAN PAPILLO II DNA $0.00

11356 SM/RNP ANTIBODY $125.00

11357 IMMUNE BINDNG TO C1Q $298.00

11358 PNUEM IGG AB 12 SERO $0.00

11359 PNEUMOCOCCAL AB EACH $170.00

11360 LIVR/KIDNEY MICRO AB $141.00

11361 DIRECT COOMBS IGG $40.00

11362 DIRECT COOMBS C3 $40.00

11363 GAMMAGLOBULIN EACH $65.00

11364 ALBUMIN CSF $61.00

11365 NEPHELOMETRY $139.00

11366 CSF/SERUM IGG INDEX $0.00

11367 CSF LYME INDEX EACH $199.00

11368 CSF/SERUM LYME INDEX $0.00

11369 IMMUNFIXATION 24HR $274.00

11370 RETICULIN IGG AB $148.00

11371 RETICULIN AB IGG/IGA $0.00

11372 CELIAC PANEL #1 $0.00

11373 CELIAC PANEL #2 $0.00

11374 GLUTAMIC DECARB AB $135.00

11375 LYME FLUID IGG WB $262.00

11376 LYME FLUID IGM WB $262.00

11377 LYME FLUID IGG/IGM $0.00

11378 MA TA COMBINED AUTAB $774.00

11379 VOLTAGE GATED 34057 $573.00

11380 CHROMOGRANIN A $255.00

11381 IMMUNO ELECTRO BLOOD $274.00

11382 SMITH ANTIBODIES $127.00

11383 RNP ANTIBODIES $127.00

11384 INHIBIN A $186.00

11385 CLOZAPINE/METABOLITE $156.00

11386 H PYLORI IGA $71.00

11387 CLAM ALLERGEN $61.00

11388 OYSTER ALLERGEN $35.00

11389 SCALLOP(BLUE MUSSEL) $35.00

11390 ESTRADIOL, 17-BETA $334.00

11391 BLOOD C/S FOR FUNGUS $183.00

11392 PR E-PHORESIS UR/CSF $218.00

11393 IMMUNO ELECTRO 24HR $274.00

11394 METANEPHRINES PLASMA $361.00

11395 RUSSELL VIPER TIME $71.00

11396 CHLAMYDIA TMA $430.00

11397 GC/CHLAMYDIA BY TMA $0.00

11398 DIHYDRTESTOSTERONE $316.00

11399 HORSE DANDER ALLERGN $35.00

11400 SUGAR CANE RAST ALL $72.00

11401 UREAPLASMA AGAR $50.00

11402 WB-2 CONFIRMATORY $214.00

11403 ALPRAZOLAM (XANAX) $131.00

11404 SUBSTANCE P LEVEL $490.00

11405 VASO ENDOTHEL GRWTH $242.00

11406 FCM CD SLAMBDA $157.00

11407 LEUK/LYMPH PANEL BM $0.00

11408 SEROTONIN, BLOOD $125.00

11409 TSH-3RD GENERATION $125.00

11410 WEST NILE VIRUS RNA $786.00

11411 HSV CULTURE RAPID $100.00

11413 HSV DNA PCR $430.00

11414 GLYCOPROTEIN IGG $71.00

11415 GLYCOPROTEIN IGM $71.00

11416 GLYCOPROTEIN IGA $71.00

11417 BETA-2-GLYCOPROT PNL $0.00

11418 HLA TYPING EACH $408.00

11419 HLA A LOCUS BLOOD $0.00

11420 HEPATITIS E IGM $88.00

11421 IMMNOASAY NON-ANTIBY $61.00

11422 TISSUE TRANSGLUTAMIN $0.00

11423 ASPERGILLUS EACH ID $41.00

11424 ASPERGILLUS ALLERGEN $61.00

11425 FLUID BUN $85.00

11426 EOSINOPHIL SMEAR UR $40.00

11427 24HR CYSTINE $101.00

11428 CELIAC AB PANEL #4 $0.00

11429 IMMUNE COMPLEX ASSAY $172.00

11430 IMMUNE COMPLEX #1 $0.00

11431 METHYLDOPA LEVEL $226.00

11432 24 HR KIDNEY PROFILE $91.00

11433 NEOCEREBELLAR PANEL $0.00

11434 PROTEIN WB, EACH $353.00

11435 IMMUNO RIA, EACH $353.00

11437 EHRLICHIA HGE IGM AB $71.00

11438 EHRLICHIA HGE IGG AB $71.00

11439 EHRLICHIA HGE PANEL $0.00

11440 BARLEY ALLERGEN $61.00

11441 RYE ALLERGEN $35.00

11442 COW DANDER ALLERGEN $35.00

11443 PIGWEED ALLERGEN $61.00

11444 RABBIT DANDER ALLERG $35.00

11445 RAT DANDER ALLERGEN $35.00

11446 ANTI NUERONAL AB(HU) $153.00

11447 RIBOSOMAL P ABS. $159.00

11448 PHOSPHATIDYLE AB IGA $181.00

11449 WEST NILE VIRUS CSF $786.00

11450 WEST NILE VIRUS IGG $123.00

11451 WEST NILE VIRUS IGM $123.00

11452 WEST NILE PL IGG/IGM $0.00

11453 CO IG1 TRIAD PANEL $0.00

11454 CO GM1 IGG $434.00

11455 CO GM1 IGA $434.00

11456 CO GM1 IGM $434.00

11457 CEFUROXIME LEVEL EA. $204.00

11458 AMPICILLIN LEVEL $157.00

11459 ANTI YO ANTIBODY $286.00

11460 SALMONELLA/SHIGELLA $116.00

11461 CAMPYLOBACTER,STOOL $116.00

11462 YERSINIA/STOOL $116.00

11463 SENSITIVITY E EACH $58.00

11464 INFLUENZAE A VIRUS $177.00

11465 INFLUENZAE B VIRUS $177.00

11466 AMIODARONE LEVEL $168.00

11467 DESMETHYLAMODARONE $221.00

11468 HSV I IGG AB $162.00

11469 HSV II IGG AB $237.00

11470 MAG IGM AB EACH $159.00

11471 INFLUENZAE B VIR ID $177.00

11472 GENPROBE GC & CHLAM $0.00

11473 CHICKEN FEATHERS ALL $36.00

11474 DUCK FEATHERS ALLERG $61.00

11475 GOOSE FEATHERS ALLER $36.00

11476 HSV TYPE I ID $36.00

11477 HSV TYPE II ID $192.00

11478 HSV TYPING $0.00

11479 TISSUE CULTURE & ID $319.00

11480 ADDITIONAL STAINS $247.00

11486 ENZYME ACTIVITY EACH $252.00

11487 ALAD-PBG-D $0.00

11488 HEMOCHROM DNA MUTATN $0.00

11489 HOUSE DUST ALLERGEN $61.00

11490 HEP B DNA QUAL $252.00

11491 PORPHOBILINOGEN 24HR $61.00

11492 HYPERSENS PNEUM EACH $147.00

11493 HYPERSENS PNEUMO PNL $0.00

11494 LEPTOSPIRA CUL/STAIN $0.00

11495 LEPTOSPIRA CULTURE $111.00

11496 LEPTOSPIRA GR STAIN $111.00

11497 METHYL/HYDRO/FOLATE $0.00

11502 ACETYCHOL RECEP $258.00

11503 ACETYLCHOL MODULATE $160.00

11504 ANTI MUSK ANTIBODY $0.00

11505 IMMUNOASSAY (RIA) EA $508.00

11507 STAT PROTEIN 24HR $111.00

11508 STAT CREATININE CLR $119.00

11509 STAT CREATININE 24HR $79.00

11510 CMT EVALUATION 280 $0.00

11519 PREGNENOLONE $253.00

11520 LAMBS QUARTER ALLRGN $61.00

11521 PRIVET ALLERGEN $35.00

11522 SHEEP SORREL WEED $61.00

11523 TIMOTHY GRASS ALLRGN $61.00

11524 DMD/BMD DNA DELETION $0.00

11530 HUNTINGTON'S DISEASE $0.00

11531 HCV RNA HEPTAMAX $653.00

11534 MTHFR DNA MUTATION $1,138.00

11535 PROTEIN C RESISTANCE $189.00

11536 COPPER URINE $152.00

11537 CHESTNUT ALLERGEN $46.00

11538 RAGWEED(GIANT) ALLGN $61.00

11539 TAY-SACHS LEUKOCYTE $203.00

11540 WBC AUTOMATED $61.00

11541 TETANUS ANTIBODY $177.00

11542 INFLUENZA A & B AB $0.00

11543 INFLUENZA A AB $96.00

11544 INFLUENZA B AB $96.00

11545 MUSK ANTIBODY $0.00

11546 IMMUNOASSAY RIA $584.00

11549 URINE EOSINOPHILES $44.00

11550 FLOW CYTOMETRY EACH $78.00

11551 ACUTE LEUKEMIA PANEL $0.00

11552 B12/FOLATE (REF) $0.00

11553 VITAMIN B12 $185.00

11554 FOLIC ACID $180.00

11555 PARAINFLUENZAE CULT $0.00

11556 CARDIOLIPIN IGM $102.00

11557 FETAL FIBRONECTIN $706.00

11558 ALPHA & BETA EVALUAT $186.00

11559 PANCREATIC POLYPEPTD $160.00

11560 DM1 DNA 6538 $0.00

11565 NEUTRA AB/BIFN 11336 $0.00

11566 VIRAL NEUTRALIZATION $348.00

11567 NITROBLUE TETRAZOLIM $131.00

11568 *TISSUE CULTURE $348.00

11569 GQ1 AB IGG $204.00

11570 GENTAMICIN TROUGH $201.00

11571 LATEX ALLERGEN $61.00

11572 CHOLINASE.&DIBUCAINE $0.00

11573 CHOLINESTERASE SERUM $57.00

11574 DIBUCAINE NUMBER $89.00

11575 24HR URINE CYSTINE $122.00

11576 PTT-LA SCREEN $64.00

11577 STACLOT-LA $165.00

11578 DRVVT CONFIRMATION $165.00

11579 CADASIL COMPLETE $0.00

11580 24HR BENCE JONES QNT $0.00

11581 FREE KAPPA BENCE JON $141.00

11582 FREE LAMBDA BENCE JO $141.00

11583 24HR UR PROTEIN $45.00

11584 IMMUNOFIX ELECTROPH $274.00

11585 AMERICAN BEECH ALLER $35.00

11586 ELM ALLERGEN $61.00

11587 RED TOP ALLERGEN $61.00

11588 HCV RNA PROG TO GENO $525.00

11589 FETAL HGB BY RID $46.00

11590 MUMPS AB IGM $71.00

11591 URINE TOXICOLOGY SC $0.00

11592 CMV DNA QUAL PCR $294.00

11593 MYOSITIS ASSESS PNL $0.00

11594 IMMUNOASSAY NON AB $210.00

11595 NUCLEAR ANTIGEN AB $210.00

11596 CHROM ANALYSIS 11575 $0.00

11597 CYTOGENETIC DNA PROB $166.00

11598 CYTOGENETICS 100-300 $473.00

11599 CYTOGENETICS $166.00

11600 PLATELET INDIRECT AB $220.00

11601 PLATELET AB PANEL $0.00

11602 IMMUNE CMP C1Q & C3B $0.00

11603 MURAMIDASE/LYSOZYME $113.00

11604 DIPTH ANTITOXOID AB $77.00

11605 DENGUE FEVER AB $0.00

11606 BILE ACIDS $83.00

11607 HBV DNA PCR HYBRID $464.00

11608 CATECHOLAMINE/CREAT $0.00

11609 CATECHOLAMINE ASSAY $210.00

11610 HISTAMINE SERUM $151.00

11611 HISTAMINE URINE PNL $0.00

11612 HISTAMINE URINE $173.00

11613 BRUCELLA ABORTUS PNL $0.00

11614 BRUCELLA ABORTUS IGG $78.00

11615 BRUCELLA ABORTUS IGM $78.00

11616 HERPES SIMPLEX CULTU $319.00

11617 LEISHMANIA AB IFA $121.00

11618 TRYPANOSOMA PANEL $0.00

11619 TRYPANOSOMA IGG $71.00

11620 TRYPANOSOMA IGM $71.00

11621 CADASIL DNA 421 $0.00

11626 VANCOMYCIN TROUGH $166.00

11627 IMIPRAMINE $102.00

11628 ORCHARD GRASS ALLERG $61.00

11629 COCKLERBUR ALLERGEN $61.00

11630 MUGWORT ALLERGEN $61.00

11631 AFP QUAD SCREEN $0.00

11632 *ALPHA FETOPROTEIN $99.00

11633 *ESTRIOL $142.00

11634 *IMMUNOASSAY RIA $76.00

11635 *HCG QUANTITATIVE $88.00

11638 TESTOSTERONE F/W BD $0.00

11639 ALBUMIN $61.00

11640 *SEX HORMONE BINDING $128.00

11641 TESTOSTERONE ASSAY $316.00

11642 VAP CHOLESTEROL $0.00

11643 *TRIGLYCERIDES $71.00

11644 ASSAY OF LIPOPROTEIN $159.00

11645 EACH PATHOGEN $116.00

11646 HELMINTH ANTIBODY $48.00

11647 TOXOCARA PANEL $0.00

11648 ID YEAST $61.00

11649 ID ANAEROBIC $48.00

11650 AFB PROBE ID $118.00

11651 AFB INDENTIFICATION $65.00

11652 HIV-1 PHENOTYPE COMP $0.00

11653 PHENOTYPE DNA HIV/CL $2,867.00

11654 PHENO,DNA HIV CLT AD $153.00

11655 C-TELOPEPTIDE, SERUM $224.00

11656 TRICHINELLA IGG AB $89.00

11657 GAMMAGLOBIN IGM EACH $55.00

11658 HERPES VIRUS-8 AB $139.00

11659 CD-57 COUNT #1962 $67.00

11660 RAPAMYCIN LEVEL $168.00

11661 COMPLEMENT C2 $71.00

11663 AMP PROBE TECH. EA $206.00

11665 MOLECULAR GEL ELECTR $24.00

11666 IMUGEN BABESIA PCR $0.00

11667 IMUGEN LYME $0.00

11668 IMUGEN HGE PCR $0.00

11669 TYPHUS IGG/IGM ABS $237.00

11670 WEIL FELIX GROUP $0.00

11671 CARBAMAZEPINE FREE $115.00

11673 JC VIRUS PCR QNT $643.00

11674 ALK PHOS BONE SPEC $63.00

11675 HPV ANAL CONDYLOMA $511.00

11676 PEDIATRIC MIXED PNL $0.00

11677 PRIMIDONE & PHENO $0.00

11678 HCV QUAL PCR QNT $466.00

11679 *HIV1 RNA QN -ULTRA $1,042.00

11680 CYTOTOXIC CD8 #2069 $75.00

11681 LE PREP $10.00

11682 SS DNA $71.00

11683 LYME AB IGM 3814 $100.00

11684 CRYPTOSPORIDIUM AG $107.00

11685 NEUTRALIZATION VIRAL $394.00

11686 NITROB TETRAZ DYE T $394.00

11687 TISSUE CULTURE ADD $394.00

11688 NABFERON TO ATHENA $0.00

11689 CYSTINE 24HR URINE $84.00

11690 IMUGEN TBD-3 $0.00

11691 INFECTIOUS AGENT EA $184.00

11694 AMPLIFIED TECH EACH $430.00

11695 LACTOFERRIN, STOOL $240.00

11696 FISH CML-ALL BCR-ABL $0.00

11697 CYTOGENTIC DNA PR EA $198.00

11698 SITU HYDRIDIZATION $184.00

11699 CYTOGENTIC INTER/REP $48.00

11700 CCP CYCLIC PEPTIDE $166.00

11701 SALMON ALLERGEN $61.00

11702 FLOUNDER ALLERGEN $35.00

11703 CYSTIC FIBROSIS SCRN $0.00

11707 LEUK/LYMPH #12659 $0.00

11708 FLOW CYTOMETRY EACH $68.00

11709 BL SMEAR W/INTERP $68.00

11710 TRYPTOPHAN LEVEL $236.00

11712 CRYOGLOBULINS QUANT $79.00

11713 ETHYLENE GLYCOL $147.00

11714 ORGANIC ACIDS URINE $397.00

11715 EPITHELIUM ALLERGEN $33.00

11716 TURKEY ALLERGEN $33.00

11717 BOX ELDER ALLERGEN $61.00

11718 COTTONSEED ALLERGEN $33.00

11719 ORRIS ROOT ALLERGEN $33.00

11720 GUM ARABIC ALLERGEN $46.00

11721 PYRETHRUM ALLERGEN $46.00

11722 TRIGLYCERIDES $71.00

11723 LABORATORY MISC $0.00

11724 METANEPHRINES FRACT $207.00

11725 PORPHOBILINOGEN QUAN $69.00

11726 GASTRIN SERUM $216.00

11727 VASOACTIVE INTEST PO $433.00

11728 H PYLORI IGG $155.00

11729 DHEA SULFATE $272.00

11730 INSULIN SERIES 7 SP $0.00

11731 INSULIN SPECIMEN 1 $67.00

11732 ANTI RI $0.00

11733 WB INTERP & REPORT $204.00

11734 FLUORS NONMINFEC AB $204.00

11735 HB VIRUS QUANT 8369 $468.00

11736 FCM CD 56 $157.00

11737 INTER 16/MORE MARKER $23.00

11738 THYROGLOBULIN $197.00

11739 CSF LYME AB IGM WBLT $112.00

11740 JC/BK VIRUS DNA PCR $318.00

11741 11-EPOXIDE LEVEL $138.00

11742 CARBMAZEP 10-11 EXP $0.00

11743 VIT B12 BINDING CAP $84.00









11752 INSULIN SERIES 2 SP. $0.00




11756 INSULIN SERIES 6 SP $0.00



11759 SACCHAROMYES CER PNL $0.00

11760 SACCHAROMYES CER IGA $83.00

11761 SACCHAROMYES CER IGG $83.00

11762 DRUG PROF/CONF 1902 $0.00

11763 DRUG SCRN QUALITATE $169.00

11764 CONFIRMATION GCMS $81.00

11765 BUCKWHEAT ALLERGEN $35.00

11766 COCONUT ALLERGEN $60.00

11767 LETTUCE ALLERGEN $35.00

11768 PEA ALLERGEN $35.00

11769 TEA ALLERGEN $60.00

11770 TSH RECEP.BINDING AB $641.00

11771 TEICHOIC ACID AB SCR $147.00

11772 BLASTOMYCES DER AB $0.00

11773 ID BLASTOMYCES $34.00

11774 CF BLASTOMYCES $34.00

11775 FCM CD19 $157.00

11776 FCM CD SKAPPA $157.00

11777 FCM CD4 $157.00

11778 FCM CD 8 $157.00

11779 FCM CD2 $157.00

11780 FCM CD7 $157.00

11781 FCM CD20 $157.00

11782 FCM CD3 $157.00

11783 FCM CD45 $157.00

11784 THYR PEROXIDASE AB $86.00

11785 PROTEIN S ANTIGEN $68.00

11786 CMV DNA QUANT PCR $512.00

11788 SEROTONIN RELEASE AS $79.00

11789 AMPLIFIED TECH EACH $430.00

11790 INFECTIOUS AGENT EA $184.00

11792 MDMA & METABOLITE SC $0.00

11793 DRUG CONFIRMATION EA $78.00

11794 DRUG CONFIRAMTION EA $78.00

11795 HBV GENOTYPING 10529 $0.00

11801 NEUTROPHIL FUNCTION $693.00

11802 SALMONELLA AB TYPHI $0.00

11803 SALMONELLA AB EACH $48.00

11804 SALMONELLA AB EACH $48.00

11805 HCV RNA GENO 5761 $206.00

11806 IBD ANCA AB $88.00

11807 IBD ASCA DNASE PATEN $187.00

11808 IBD ASCA IFA PATTERN $187.00

11809 IBD ASCA IGA AB $188.00

11810 IBD ASCA IGG AB $188.00

11811 IBD OMPC IGA AB $188.00

11812 IBD DIAGNOSTIC-II $0.00

11813 EASTERN EQUINE ENCEP $102.00

11814 ACYLCARNITINE PROFIL $336.00

11815 BETA HYDROXY BUTRYIC $119.00

11816 SQUID ALLERGEN $61.00

11817 MACADAMIA NUT ALLRGN $35.00

11818 PLATELET AUTO AB $0.00

11819 PLATELET AB SCREEN $220.00

11820 PLATELET ANTIBODY $217.00

11821 IMMUNOGLOBULIN ASSAY $73.00

11822 IMMUNOGLOBULIN ASSAY $73.00

11823 PROTEIN ELECTROPHOR $0.00

11824 PROTEIN ELECTRO U/UR $0.00

11825 URINE ELECTROPHORSIS $0.00

11826 ASSAY OF PROTEIN SER $21.00

11827 ASSAY OF PROTEIN UR $21.00

11828 ASSAY OF PROTEIN UR $43.00

11829 URINE PROTEIN $22.00

11830 BURPRENORPHINE/NALON $389.00

11831 TISS TRANSGLUTIN IGA $107.00

11832 TISS TRANSGLUTIN IGG $107.00

11833 CASEIN AB IGE ALLERG $61.00

11834 CASEIN AB IGG ALLERG $67.00

11835 RAST TESTING $29.00

11836 NORTHEAST REGION IGE $0.00

11837 DANDELION ALLERGEN $61.00

11838 RUSSIAN THISTLE $61.00

11839 ROUGH MARSHELDER $61.00

11840 FIRE BRUSH (KOCHIA) $61.00

11841 NETTLE ALLERGEN $61.00

11842 MOLD ALLERGEN $47.00

11843 ENTEROVIRUS PCR/CSF $313.00

11844 GLYCOPROTN IIB/IIIA $193.00

11845 CHROM FISH BM 14542 $0.00

11846 CYTOGENIC DNA PROBE $276.00

11847 CYTOGENTICS 100-300 $276.00

11848 CHROM FISH BM 14498 $0.00

11849 CYTOGENIC DNA PROBE $242.00

11850 CYTOGENICS 100-300 $242.00

11851 CHROM FISH BM 14507 $0.00

11852 CYTOGENICS DNA PROBE $318.00

11853 CYTOGENICS 100-300 $318.00

11854 CHROM FISH BM 14499 $0.00

11855 HSV -6 IGG/IGM PANEL $0.00

11856 HSV-6 IGG AB $96.00

11857 HSV-6 IGM AB $96.00

11858 ATAXIA COMP EVAL $0.00

11859 SPRUE AB PANEL $0.00

11860 IMMUNOASSAY $51.00

11861 IMMUNOASSAY (RIA) $76.00

11862 FLUORESCENT AB TITER $71.00

11863 URINE ALCOHOL $81.00

11864 DHEAS UNCONJUGATED $148.00

11865 AS-1 RBC LOW VOL $915.00

11866 AS-3 RBC LR $1,130.00

11867 AS-5 RBC LR $1,130.00

11868 CPDA-1 RBC LR $706.00

11869 PLT PHER LR BAG 2 $2,883.00

11870 CPD RBC $1,130.00

11871 AS-1 RBC $915.00

11872 AS-3 RBC $915.00

11873 AS-5 RBC $915.00

11874 AUTO RBC $706.00

11875 DIRECT RBC $706.00

11876 EUGLOBULIN CLOT LYS $128.00

11877 VIT A & BETA CAROTEN $0.00

11878 BETA CAROTENE $47.00

11879 VITAMIN C $113.00

11880 VITAMIN B2 $103.00

11881 COENZYME Q10 $253.00

11882 PESTACIDE PANEL $212.00

11883 AS-1 LEUKOREDUCE RBC $1,130.00

11884 CPD LEUKOREDUCED RBC $1,130.00

11885 NICOTINE SCREEN UR $165.00

11886 KAPPA & LAMBDA QUANT $0.00

11887 NEPHELOMETRY EACH $143.00

11888 NEPHELOMETRY EACH $136.00

11889 AS-1 PHER RBC LR BG2 $1,130.00

11890 PLT PHER LR BAG 3 $2,445.00

11891 PLT PHER LR IRR BAG3 $2,445.00

11892 AS-3 RBC LOW VOL $706.00

11893 ECHINOCOCCUS AB $113.00

11894 17OH PROGESTERONE $193.00

11895 FACTOR XIII ACTIVITY $66.00

11896 24HR UR COPPER LEVEL $148.00

11898 GRAM STAIN $46.00

11899 MYCOPHENOLIC ACID $168.00

11900 STREP PNEUMONIAE SEN $0.00

11901 KIRBY BAUER SENS $68.00

11902 PENICILLIN MIC $44.00

11903 CEFTRIAXONE MIC $44.00

11904 MEROPENEM MIC $44.00

11905 BODY FLUID C & S $207.00

11906 DIRECT GRAM STAIN $52.00

11907 SPUTUM CULTRUE $121.00


11909 CSF CULTURE $136.00

11910 CONCENT INFECT AGENT $82.00

11911 GRAM STAIN PREP $52.00

11912 TISSUE CULT & SENS $207.00


11914 KIRBY BAUER SENSITIV $68.00

11915 MIC EACH ANTIMICROBL $44.00

11916 ANAEROBIC SENSITIVTY $0.00

11917 PENICILLIN MIC $24.00

11918 AMPICILLIN/CA MIC $24.00

11919 CLINDAMYCIN MIC $24.00

11920 CEFOTETAN MIC $24.00

11921 METRONIDAZOLE MIC $24.00

11922 IMIPENEM MIC $24.00

11923 PIPERICILLIN TAZOBAC $24.00

11924 MICROSCAN SENSI N/UR $0.00

11925 ORGANISM IDENTIFICAT $51.00

11926 ORGANISM SUSCEPTIBLY $58.00

11927 MIC ANTIFUNGAL TEST $0.00

11928 FLUCONAZOLE MIC $24.00

11929 KETOCONAZOLE MIC $24.00

11930 5-F-C MIC $24.00

11931 AMPHOTERICIN B MIC $24.00

11932 ITRACONAZOLE MIC $24.00

11933 VORICONAZOLE MIC $24.00

11934 MICROSCAN SENS URINE $0.00

11935 ORGANISM IDENTIFICAT $51.00

11936 ORGANISM SUSCEPTIBTY $58.00

11937 IDB DIFFERENIAL PNL $0.00

11938 WBC AB ANCA IBD $184.00

11939 ASCA IGA $60.00

11940 ASCA IGG $60.00

11941 DEOXYCORTICOS $142.00

11942 URINE PORPHYRINS $44.00

11943 URINE LEAD $62.00

11944 HSV I PCR $430.00

11945 NEUROKININ A $431.00

11946 DIRECT AFB PROBE $183.00

11947 FECAL GLOBIN BY IMMC $120.00

11948 FLUID CHOLESTEROL $65.00

11950 ARIPIPRAZOLE $200.00

11951 11 DEOXYCORTISOL $149.00

11952 EHRLICHIA IGM AB $58.00

11953 MICROSCAN 1 SENS $58.00



11956 MICROSCAN SENES $58.00

11957 MICROSCAN OR 1 SENS $58.00



11960 ORGANISM ID $51.00



11963 ORGANISM 2 ID $99.00

11964 ORGANISM 2 ID $99.00

11965 ORGANISM 2 ID $51.00

11966 ORGANISM 2 SUSCEPT $58.00




11970 MIC 2ND ANTIMICROB $44.00

11971 KB SENS ISOATE 2 $116.00

11972 KB SENS ISOLATE 3 $116.00

11973 MIC 3RD ANTIMICROB $44.00

11974 ORGANISM 2 ID $51.00

11975 ORGANISM 3 ID $51.00

11976 ORGANISM 3 ID $51.00

11977 ORGANISM 3 ID $51.00

11978 ORGANSIM 2 ID $51.00

11979 ORGANSIM 3 ID $99.00

11980 ORGANISM 3 ID $51.00

11981 AEROBIC CULTURE $106.00

11982 VINEGAR ALLERGEN $35.00

11983 PORK ALLERGEN $35.00

11984 POTATO ALLERGEN $35.00

11985 MUSTARD ALLERGEN $60.00

11986 CHEESE ALLERGEN $35.00

11987 CRYOFIBRINOGEN $27.00

11988 B PERTUSIS IGG TOXIN $35.00

11989 B PERTUSIS IGA TOXIN $35.00

11990 B PERTUSIS IGM TOXIN $35.00

11991 B PERTUSIS IGG FILAM $35.00

11992 B PERTUSIS IGA FILAM $35.00

11993 B PERTUSIS IGM FILAM $35.00

11994 B PERTUSIS AB PANEL $0.00

11995 RANDOM UR FOR MG $0.00

11996 ASSAY OF CREATININE $27.00

11997 ASSAY OF MAGNESIUM $34.00

11998 CV2 ANTIBODY $445.00

11999 HOME CARE PHLEB TRAV $0.00

12000 AMOXICILLIN IGE RAST $35.00

12001 RED CELLS PACKED $915.00

12002 COOMBS TEST DIRECT $66.00

12003 COOMBS TEST INDIRECT $44.00

12004 CROSSMATCH (SAL,ALB, $219.00

12005 CRYOPRECIPITATE $323.00

12006 FRESH FROZEN PLASMA $313.00

12007 PANDYS $10.15

12008 PATH CONSULTATION $0.00

12009 PLATELET CONCENTRATE $224.00

12010 THAWED F24 $329.00

12011 FRESH FROZEN PLASMA $0.00

12012 RH SCREEN $30.00

12013 RH TITRE $44.00

12014 TESTS REFERRED TO OT $124.40

12015 TRANSFUSTION REACTIO $284.00

12016 WHOLE BLOOD $299.00

12017 SINGLE DONOR PHORESI $2,445.00

12018 RBC LEUKO. POOR FILT $465.00

12019 AGUNI $55.00

12020 ANTIBODY PANEL $243.00

12021 ELUATE $219.00

12022 IRRADIATE PRODUCT $0.00

12023 PLATELET FILTERS 50 $271.35

12024 PLATELET FILTERS 100 $0.00

12025 RBC FILTER 100 $0.00

12026 RBC FILTER 50 $135.60

12027 CROSSMATCH (WARM) $219.00

12997 CATHFLO ACTIVASE 1MG $275.50

13001 BLOOD SMEAR INTERPRE $81.00

13003 CLIN. CONSULTATION C $264.00

13004 CLIN CONSULTATION LI $127.00

13005 CONSULTATION ON REFE $91.00

13006 DECALCIFICATION PROC $46.00

13007 FINE NEEDLE ASPIRATE $202.00

13008 FULL CONSULT. SLIDES $113.00

13009 INVESTIGATION OF TRA $284.00

13010 LRG SRG SPE GRS & MI $565.00

13011 NECROPSY (AUTOPSY) W $1,242.00

13012 NECROPSY (AUTOPSY) W $1,129.00

13013 NECROSY STILLBORN OR $1,174.00

13014 NECROPSY (AUTOPSY) L $972.00

13015 SPECIAL STAINS - GRO $101.00

13016 SPECIAL STAINS - GRO $81.00

13017 CYTOLOGY $131.00

13018 SPUTUM AND BODY FLUI $101.00

13019 SUR SP

13041 LYMPH SYSTEM IMAGING $1,059.00

13042 GASTR EMPT STUD MLTD $1,059.00

13043 TESTICUL IMAGING FLO $766.00

13100 TENECTEPLASE INJ 50 $447.76

14000 VENIPUNCTURE (P.I.) $20.00

14001 AFP. TUMOR MARKER $205.00

14002 AMIODARONE $0.00

14004 AMOXAPINE $175.00

14005 AMYLASE ISOENZYMC $127.00

14006 ANTI-ENA $0.00

14007 GLOBERULAR BASE MEMB $159.00

14009 CARDIOLIPIN AB $0.00

14010 BETA-HCG (LOW LEVEL) $184.00

14011 CA 15-3 $255.00

14012 CLOMIPRAMINE $197.00

14013 COXSACKIE TYPE A $185.00

14014 CYTOPLASMIC NEUTROPH $0.00

14015 CULTURE MOUTH $91.00

14016 DOXEPIN $131.00

14017 RAST DUST PROFILE $0.00

14018 ECHOVIRUS AB $0.00

14019 ERP & PGR, ICC FROZE $363.00

14020 FLECAINIDE $172.00

14021 FLUOXETINE $114.00

14022 INFECTIOUS AGENT $151.00

14023 HEAVY METALS, URINE $0.00

14024 HEP B SURFACE AB QUA $192.00

14025 CULTURE SURGICAL $0.00

14026 IBUPROFEN $159.00

14027 GTT-6TH SPEC $10.00

14028 LYMAPHOCYTE MITOGEN $319.00

14029 MALATHION $174.00

14030 GTT 7TH SPEC $10.00

14031 MEXILETINE $164.00

14032 RAST MOLD PROFILE $0.00

14033 MUMPS AB IGG $169.00

14034 NATURAL KILLER CELLS $165.00

14035 RAST ALLERGEN (1 ALL $111.00

14038 PORPHYRIN,FRACT $121.00

14039 PROTEIN C $169.00

14040 PROTEIN S $0.00

14041 RAJI CELL $298.00

14042 RED CELL MAGNESIUM $83.00

14043 RSV $198.00

14044 SJOGRENS ANTIBODY $0.00

14046 T-LYMPH SUBSETS NO 2 $165.00

14047 T CELLS HELPER & SUP $576.00

14048 TEICHOIC ACID AB $172.00

14049 THC QUANT $133.00

14050 TRAZODONE $136.00

14051 RAST TREE PROFILE $0.00

14052 TSH RECEPTOR ANTIBOD $357.00

14053 VARICELLA ZOSTER IGG $71.00

14054 VISCOSITY $103.00

14055 VIT D (1,25 DI-OH) $471.00

14056 VENIPUNCTURE $42.00

14057 17OH-PREGNENOLONE $280.00

14058 24 HR URINE URIC ACI $73.00

14059 24HR UR AMYLASE $100.00

14060 24HR UR CALCIUM $82.00

14061 24HR UR CHLORIDE $57.00

14062 24HR UR CITRATE $341.00

14063 24HR UR CREATININE $75.00

14064 24HR UR GLUCOSE $69.00

14065 24HR UR POTASSIUM $59.00

14066 24HR UR SODIUM $62.00

14067 AMYLASE TIMED 24/2HR $100.00

14068 2HR UR CALCIUM $87.00

14069 2HR UR CREATININE $63.00

14070 A1-AT PHENOTYPING $182.00

14071 ACETYLCHOLBINDING AB $160.00

14072 ACID PHOS TOTAL $123.00

14073 AFB BLD/BONE MAR $132.00

14075 AFB STOOL $0.00

14076 AFP MATERNIAL $205.00

14077 AFP $278.00

14078 ALBUMIN FLUID $63.00

14079 ALDOLASE $119.00

14080 ALK PHOS ISO $0.00

14081 ALPHA-1 ANTITRYP $165.00

14082 ALTERNARIA RAST $61.00

14083 ALUMINUM LEVEL $205.00

14084 AMIKACIN PEAK $170.00

14085 AMIKACIN TROUGH $170.00

14086 AMINO ACID SCREEN $107.00

14087 AMINOLEVULINIC ACD $380.00

14088 AMITRIPTYLINE $204.00

14089 AMYLASE FLUID $96.00

14090 ANAEROBIC CULT $188.00

14091 ANDROSTENEDIONE $359.00

14092 ANGIO CONV ENZYME $179.00

14093 ANTI-DIURETIC HORM $364.00

14094 ANTI-JO-1 $170.00

14095 ANTISCLERODERMA $146.00

14096 ANTITHROMBIN III $274.00

14097 BLOOD C&S (PLUS) $188.00

14098 BLODY FLUID ANA $123.00

14099 BODY FLUID, CRYSTALS $78.00

14100 BONE MARROW C&S $101.00

14101 BRONCH C&S $168.00

14102 BUFF COAT COND $63.00

14103 C PEPTIDE $255.00

14104 CA 27-29 $255.00

14105 CALCITONIN $328.00

14106 CARBOXYHEMOGLOBIN $151.00

14107 CARNITINE T&F $0.00

14108 CAROTENE $115.00

14109 CAT DANDER RAST $61.00

14110 CATECHOLAMINES BLD $280.00

14111 CD4/CD8 RATIO PROF $343.00

14112 CEA PERITONEAL FLUID $169.00

14113 CERVICAL C&S $106.00

14114 CHL URINE BY LCR $145.00

14115 CHLAMYDIA AB $165.00

14116 CHOLINESTERSE RBC $104.00

14117 CHROM ANALYSIS $0.00

14118 CHROMIUM $103.00

14119 LEUK\LYMPHOMA PROF $0.00

14120 CLO TEST H PYLORI $99.00

14121 CLONAZEPAM $184.00

14122 CLOZARIL $227.00

14123 COCCIDIOIDES AB $113.00

14124 COPPER SERUM $152.00

14125 CPK ISOENZYMES $0.00

14126 CPK MB FRACTION $43.00

14127 CRYPTOCOCCAL AG BL $136.00

14128 CRYPTOCOCCAL AG SF $295.00

14129 CRYPTOSPORIDIUM ST $138.00

14130 CSF GLUCOSE $84.00

14131 CSF PROTEIN $84.00

14132 CSF-IMUGEN LYME $0.00

14133 CULTURE GRAM STAIN $46.00

14134 CULTURE AFB SMEAR $66.00

14135 CVP TIP CULTURE $106.00

14136 CYCLOSPORA EXAM $169.11

14137 D-DIMER $100.00

14138 D FARINAE ALLERGN $61.00

14139 DEHYDROEPIANDROST $333.00

14140 DHT SERUM $221.00

14141 DIAZEPAM (VALIUM) $208.00

14142 DIRECT BILIRUBIN $61.00

14143 DIRECT FLU AG A $221.00

14144 DNA ANTIBODY (DS) $168.00

14145 DRUG SCREEN BLOOD $0.00

14146 EBV AB VCA IGM $222.00

14147 ENT AMOEBIC AB $126.00

14148 ESTROGEN LEVEL $266.00

14149 EYE CULTURE $115.00

14150 FACTOR DEF SC PTT $101.00

14151 FACTOR II $255.00

14152 FACTOR IX $268.00

14153 FACTOR SCR P/T $101.00

14154 FACTOR V $247.00

14155 FACTOR VII $245.00

14156 FACTOR VIII $217.00

14157 FACTORX $269.00

14158 FACTOR XI $266.00

14159 FACTOR XII $266.00

14160 FDP $138.00

14161 FEBRILE AGGLUTIN $0.00

14162 FECAL FAT QUAL $82.00

14163 FETAL MATERNAL SCREE $123.00

14164 FLUID POTASSIUM $74.00

14165 FLUID PROTEIN $86.00

14166 FLUID SODIUM $50.00

14167 FLUID TRIGLYCERIDE $71.00

14168 FOOD RAST PANEL $0.00

14170 PSA TOTAL AND FREE $0.00

14171 FRUCTOSAMINE $185.00

14172 FTA-ABS $162.00

14173 FUNGUS ID $142.00

14174 G6PD QUANTITATIVE $149.00

14175 GC URINE BY LCR $253.00

14176 GENTAMYCIN PEAK $201.00

14177 GIARDIA ANTIGEN $107.00

14178 GLIADIN AB IGA/IGG $0.00

14179 GLUCAGON PLASMA $167.00

14180 GLUCOLA 1 HOUR $58.00

14181 GLUCOSE FLUID $84.00

14182 GLUTEN ALLERGEN $61.00

14183 GOLDENROD ALLERGEN $61.00

14184 GRASS PANEL #2 $0.00

14185 GRP B STREP CUL $75.00

14186 H PYLORI IGM $169.00

14187 HAIRY CELL LEUKEMIA $737.00

14188 HANDLING CHARGE $42.00

14189 HDL CHOLESTEROL $17.00

14191 HEP BE AB $159.00

14192 HEP C RNA QUANT $525.00

14193 HEP DELTA AB $187.00

14194 HEP C GENOTYPING $1,764.00

14195 HEPATITIS A PROFILE $242.00

14196 HEPATITIS C QUAL $525.00

14197 HEPATITIS C RIBA $251.00

14198 HERPES IGM 1 AB $176.00

14199 HISTOPLASMA AB $0.00

14200 HIV VIRAL ANTIBODY $0.00

14201 HIV WESTERN BLOT CON $200.00

14202 HLA-B27 $316.00

14203 HOMOCYSTEINE $327.00

14204 HORMODENDRUM ALL $35.00

14205 HUMAN GROWTH HORMON $204.00

14206 IGG SUBCLASSES $0.00

14207 IGG-CSF $262.00

14208 IMMEDIATE SPIN CROSS $219.00

14209 INDIA INK PREP $75.00

14210 INSULIN ANTIBODIES $0.00

14211 INTRINSIC FACTOR AB $185.00

14212 IONIZED CALCIUM $151.00

14213 WET MOUNT SMEAR $73.00

14214 LACTIC ACID $106.00

14215 LACTOSE TOLERANCE $0.00

14216 GC TMA $430.00

14217 LIPOPROTEIN (A) $159.00

14218 LUPUS ANTICOAG PROF $0.00

14219 MERCURY LEVEL $199.00

14220 METHYMALONIC ACID $270.00

14221 MICROALBUMIN UR $93.00

14222 SPECIAL STAIN $73.00

14223 MILK ALLERGEN $61.00

14224 MIXED VENOUS BLOOD G $172.00

14225 MYCO/UREAPLASMA $83.00

14226 MYELIN BASIC PROT $181.00

14227 MYOGLOBIN SERUM $181.00

14228 N-TELOPEPTIDE, URINE $0.00

14229 NEURONTIN $221.00

14230 NEUROPATHY PANEL $0.00

14231 NIDA COLLECTION $114.00

14232 NIDA SUBST ABUSE $183.00

14233 NORTRIPTYLINE $200.00

14234 NOSE CULTURE $115.00

14235 NUT MIX GR RAST $0.00

14236 OB GLUCOSE TOLERANCE $151.00

14237 ORANGE ALLERGEN $35.00

14238 PAPILLOMAVIRUS DNA $430.00

14239 PARACENTESIS C&S $115.00

14240 PARVOVIRUS $184.00

14241 PH FLUID $60.00

14242 PKU $13.00

14243 PLATELET AB DIRECT $220.00

14244 PLT BOUND AB & C3 $121.00

14245 PNEUMOCOCCAL AB $127.00

14246 RANDOM UR AMYLASE $74.00

14247 RANDOM UR CALCIUM $74.00

14248 RANDOM UR CREATININE $67.00

14249 RANDOM UR POTASSIUM $61.00

14250 RANDOM UR PROTEIN $86.00

14251 RANDOM UR SODIUM $61.00

14252 RAPID A STREP SCREEN $0.00

14253 RBC FOLATE $194.00

14254 SLIDE REVIEW/MORPH $42.00

14255 RICE ALLERGEN $35.00

14256 TYPHUS IGG/IGM ABS $0.00

14257 ROTAVIRUS AG $198.00

14258 RSV ANTIGEN $258.00

14259 RUBELLA AB IGM $176.00

14260 RUBEOLA IGM $182.00

14261 SCABIES/KOH PREP $0.00

14262 SEAFOOD GR 19 $0.00

14263 SENSITIVITY E TEST $0.00

14264 SEX BINDING GLOBULIN $266.00

14265 SOY ALLERGEN $61.00

14266 STOOL FOR WBC $69.00

14267 STOOL PH $57.00

14268 STOOL MUSCLE FIBER $146.00

14269 STOOL REDUCING SUB $142.00

14270 T HELPER/CD4 IND $328.00

14271 T3 FREE $207.00

14272 TACROLIMUS $243.00

14273 TESTOSTERONE FREE $0.00

14274 THIN PREP PAP $248.00

14275 THORACENTISIS C&S $115.00

14276 THROXIN BIND GLOB $181.00

14277 TORCH IGG/IGM PANEL $0.00

14278 TRICHROME STAIN $98.00

14279 TROPONIN I $167.00

14280 TROUGH ANTIBIOTIC $228.00

14281 PR E-PHORESIS UR/CSF $218.00

14282 UR MYOGLOBIN $146.00

14283 UR PREGNANEDIOL $174.00

14284 UR AMINO ACID SCREEN $107.00

14285 UR MAGNESIUM $105.00

14286 UR PHOSPHATE 24HR $63.00

14287 URINE DRUG SCREEN $141.00

14288 URINE ELECTROLYTES $0.00

14289 UA AUTO W/MICRO $108.00

14290 URINE OXALATE $144.00

14291 URINE FAT QUAL $14.00

14292 V ZOSTER AB IGM $114.00

14293 VAGINAL C&S $115.00

14294 VALPROIC ACID FREE $201.00

14295 VANCOMYCIN PEAK $166.00

14296 VDRL CSF ONLY $73.00

14297 VITAMIN B1 PLASMA $260.00

14298 VITAMIN B6 $302.00

14299 YEAST ALLERGEN $61.00

14300 TOTAL IRON /TIBC $0.00

14302 THYROID/TSH $0.00

14303 B12/FOLATE $0.00

14304 PSA FREE $225.00

14305 CARDIAC PROFILE $0.00

14306 URINE SODIUM $59.00

14307 URINE POTASSIUM $53.00

14308 RANDOM URINE CHLORID $41.00

14309 COMP AND LIVER PANEL $0.00

14310 CPK FRACTION $0.00

14311 CPK TOTAL $44.00

14312 MB FRACTION $44.00

14313 CODFISH ALLERGEN $61.00

14314 CORN MAIZE ALLERGEN $61.00

14315 EGG YOLK $61.00

14316 MILK $61.00

14317 ORANGE $61.00

14318 CRAB ALLERGEN $61.00

14320 SOYBEAN $61.00

14321 WHEAT ALLERGEN $61.00

14323 HEAVY METALS GROUP $269.00

14324 RMSF IGG/IGM AB $237.00

14325 ORGANISM ID AEROBIC $99.00

14326 ORGANISM ID AEROBIC $99.00

14327 CHLORDIAZEPOXIDE $221.00

14328 LEGIONELLA CULTURE $46.00

14329 URINE AFB $0.00

14330 AFB CULTURE $195.00

14331 CONC INFECTIOUS AGEN $97.00

14334 CREATININE, FLUID $50.00

14335 APTT FOR PANEL $217.00

14336 VON WILLEBRAND FR $138.00

14337 VON WILLEBRAND AG $217.00

14338 CAPILLARY CHARGE $36.00

14339 ERYTHROPOIETIN $230.00

14340 THY STIM IMMUNOG $623.00

14341 TUMOR NECROSIS FR $445.00

14342 M.I.C. $40.00

14343 IGF-1 $339.00

14344 INTERLEUKIN-6 $387.00

14345 VON WILLEBRAND SCREE $0.00

14346 HEPARIN PROTOCOL APT $73.00

14347 TTG IGA ANTIBODY $252.00

14348 FEBRILE AGGLUTIN EA $41.00

14349 BETA-2 MICROGLOBULIN $198.00

14350 FLUID CELL COUNT $81.00

14351 17ALPHA HYDROXYPROGE $333.00

14352 HEPATITIS B SURFACE $132.00

14353 RBC MAGNESIUM $82.00

14354 CHLAMYDIA DNA PCR $144.00

14355 GC DNA,PCR $144.00

14356 CA 19-9 ANTIGEN $255.00

14357 DESIPRAMINE $90.00

14358 HEP B COMP PROFILE 2 $0.00

14359 HBB SURFACE AG $126.00

14360 HBB CORE AB TOTAL $148.00

14361 HB CORE AB IGM $144.00

14362 AB TO BHV SURFACE AG $132.00

14363 COMPLEMENT 5 $56.00

14364 ENTEROVIRUS CULTURE $0.00

14365 HEP B SURF AG NEUT $56.00

14367 VARICELLA IGM $114.00

14368 COMPLEMENT C1 ESTERA $114.00

14369 C1 ESTERASE FUNC. $159.00

14370 HBV DNA QUANT $0.00

14371 CHEMILUMINESCENT ASS $128.00

14375 HALOPERIDOL $47.00

14377 HIV RNA QNT BY PCR $1,042.00

14378 VITAMIN D 25-HYDROXY $362.00

14379 T3 TOTAL $174.00

14380 FREE T3 BATTERY $0.00

14381 HEPATITIS BE ANTIGEN $141.00

14382 CONFIRMATORY HIV 1 B $135.00

14383 INFLUENZA VIRUS CULT $0.00

14384 LAMOTRIGINE (LAMICTA $221.00

14385 EHRLICHIA (HGE) $0.00

14386 EHRLICHIA IFA $177.00

14387 IGF BINDING PROTEIN $95.00

14388 PROGRESSIVE TOXOPLAS $101.00

14389 PAINFUL NEUROPATHY P $0.00

14395 PROTEIN WESTERN BLOT $263.00

14396 IMMUNOASSAY RIA $263.00

14397 PSA ULTRA SENSITIVE $225.00

14398 POLIOVIRUS AB NEUTRA $0.00

14399 NEUTRALIZATION STRAI $247.00



14402 POLIO ID 1 $319.00

14403 POLIO ID 2 $319.00

14404 POLIO ID 3 $319.00

14405 VONWILLEBRAND FACTOR $305.00

14406 MYOBACTERIAL IDENTIF $77.00

14407 L/S RATIO LUNG MATUR $151.00

14408 ASPERGILLUS MIXED ID $0.00

14409 LYMPHOCYTES SUBSET P $0.00

14410 T CELL TOTAL COUNT $462.00

14411 T CELL ABSOLUTE COUN $576.00

14412 STEM CELL $220.00

14414 ANTI MYELOPEROXIDASE $184.00

14415 ANTI PANCA $279.00

14416 ANTI CARDIOLIPIN IGG $64.00

14417 ANTI CARDIOLIPIN IGM $64.00

14418 SEROTYPING CHARGE $61.00

14419 SEROLOGY GROUPING 1 $35.00



14422 VARICELLA ZOSTER VIR $0.00

14423 RISTOCETIN COFACTOR $217.00

14424 MID MOLECULE PTH PRO $0.00

14425 PTH CALCIUM $63.00

14426 PTH CREATININE $35.00

14427 PTH RIA $286.00

14428 PTH PHOSPHORUS $32.00

14429 HTLV-I/II ABS $236.00

14430 HTLV-I/II, CONFIRM $282.00

14431 HIV-1/HIV-2 SEROLOGY $168.00

14432 HIV-2 AB IMMUNOBLOT $124.00

14433 HIV-2 IGG ANTIBODIES $237.00

14434 NON-GYN CYTOLOGY $86.00

14435 MAG ANTIBODIES $0.00

14436 LEPTOSPIRA ANTIBODY $155.00

14437 FRAN, TULARENSIS AB $73.00

14438 TOPIRAMATE $146.00

14439 DOG DANDER ALLERGN $61.00

14440 COCKROACH ALLERGEN $61.00

14441 CYANIDE $135.00

14442 CHOCOLATE ALLERGEN $61.00

14443 METHOTREXATE $95.00

14444 INTERLEUKIN-2

Charge Code Description Price 998 R & B OBS DTX $7,129.00 ......6328 permacol 1 sq cm msh $72.15...

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Transcript of Charge Code Description Price 998 R & B OBS DTX $7,129.00 ......6328 permacol 1 sq cm msh $72.15...