Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cuBALLINGER MEMORIAL HOSPITAL DISTRICT CHARGEMASTER,,,,,,,,,,,,,,,,,,,,,LICENSE #000234,,,,,,,,,,,,,,,,,,,,,UPDATED 01/01/2023,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,DESCRIPTION,BILLABLE UNIT,CPT,CHARGE NUMBER,UNIT, GROSS CHARGE ,DE-IDENTIFIED MINIMUM NEGOTIATED CHARGE,DE-IDENTIFIED MAXIMUM NEGOTIATED CHARGE,DISCOUNTED CASH PRICE,AETNA,AMERIGROUP,BLUE CROSS BLUE SHIELD - PPO,BLUE CROSS BLUE SHIELD - HMO,FIRSTCARE,HUMANA,MEDICARE,MEDICAID,MOLINA,MULTIPLAN,SCOTT & WHITE HEALTH,SUPERIOR,UNITED DEXA BONE DENSITY,EA,77080TC,64,EA,666,666,666,666,666,666,666,666,666,666,666,666,666,666,666,666,666ADM 1ST DOSE MODERNA,EA,0011A,20001,EA,141,141,141,141,141,141,141,141,141,141,141,141,141,141,141,141,141ADM 2ND DOSE MODERNA,EA,0012A,20002,EA,232,232,232,232,232,232,232,232,232,232,232,232,232,232,232,232,232TX/PROPH/DG ADDL SEQ IV I,EA,9636759,50367,EA,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224THORACENTESIS,EA,32554,201000,EA,"1,415.00","1,415.00","1,415.00","1,415.00","1,415.00","1,415.00","1,415.00","1,415.00","1,415.00","1,415.00","1,415.00","1,415.00","1,415.00","1,415.00","1,415.00","1,415.00","1,415.00"ABDOMINAL PARACENTESIS,EA,49082,201001,EA,"1,415.00","1,415.00","1,415.00","1,415.00","1,415.00","1,415.00","1,415.00","1,415.00","1,415.00","1,415.00","1,415.00","1,415.00","1,415.00","1,415.00","1,415.00","1,415.00","1,415.00"BLODD COLLECT CAPILLARY,EA,36416,201002,EA,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29BLOOD COL IMPLANT VAD,EA,36591,201003,EA,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119CTRL/PICC LINE BLOOD COLL,EA,36592,201004,EA,228,228,228,228,228,228,228,228,228,228,228,228,228,228,228,228,228CPR,EA,92950,201008,EA,620,620,620,620,620,620,620,620,620,620,620,620,620,620,620,620,620EMERG TRACHEOSTOMY,EA,31603,201100,EA,"1,873.00","1,873.00","1,873.00","1,873.00","1,873.00","1,873.00","1,873.00","1,873.00","1,873.00","1,873.00","1,873.00","1,873.00","1,873.00","1,873.00","1,873.00","1,873.00","1,873.00"CENTRAL LINE INSERTION,EA,36556,201101,EA,"2,427.00","2,427.00","2,427.00","2,427.00","2,427.00","2,427.00","2,427.00","2,427.00","2,427.00","2,427.00","2,427.00","2,427.00","2,427.00","2,427.00","2,427.00","2,427.00","2,427.00"GASTRIC LAVAGE,EA,43753,201102,EA,309,309,309,309,309,309,309,309,309,309,309,309,309,309,309,309,309BLADDER IRR/LAV/INSTILL,EA,51700,201103,EA,908,908,908,908,908,908,908,908,908,908,908,908,908,908,908,908,908ST CATH INSERT RESID URIN,EA,51701,201104,EA,384,384,384,384,384,384,384,384,384,384,384,384,384,384,384,384,384INSERT FOLEY CATH,EA,51702,201105,EA,322,322,322,322,322,322,322,322,322,322,322,322,322,322,322,322,322INSERT FOLEY CATH/COMP,EA,51703,201106,EA,337,337,337,337,337,337,337,337,337,337,337,337,337,337,337,337,337CATH URINE SPEC COLLECT,EA,P9612,201107,EA,61,61,61,61,61,61,61,61,61,61,61,61,61,61,61,61,61SKILLED NURSING OTHER THERAPEUTIC SVCS,EA,95990,201108,EA,741,741,741,741,741,741,741,741,741,741,741,741,741,741,741,741,741SKILLED NURSING VISIT-SWING BED,EA,99601,201109,EA,393,393,393,393,393,393,393,393,393,393,393,393,393,393,393,393,393EKG,EA,93005,203140,EA,292,292,292,292,292,292,292,292,292,292,292,292,292,292,292,292,292RYTHM ECG,EA,93041,203141,EA,59,59,59,59,59,59,59,59,59,59,59,59,59,59,59,59,59GUEST TRAY,EA,X9999,203812,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9OBSERVATION ROOM-1ST HR,EA,G0378,205328,EA,234,234,234,234,234,234,234,234,234,234,234,234,234,234,234,234,234OBSERVATION ROOM-ADD'L HR,EA,G0378,205332,EA,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119TREATMENT RM EST PAT 10 MIN,EA,9921225,205336,EA,258,258,258,258,258,258,258,258,258,258,258,258,258,258,258,258,258TREATMENT ROOM 5-8 HRS,EA,99202,205337,EA,316,316,316,316,316,316,316,316,316,316,316,316,316,316,316,316,316TREATMENT ROOM 9+ HRS,EA,99201,205338,EA,376,376,376,376,376,376,376,376,376,376,376,376,376,376,376,376,376OBS DIRECT ADMIT MCR ONLY,EA,G0379,205400,EA,238,238,238,238,238,238,238,238,238,238,238,238,238,238,238,238,238FLUSH OF CENTRAL LINE,EA,96523,206000,EA,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191IV HYDRATI INITIAL 31M-1H,EA,96360,206010,EA,397,397,397,397,397,397,397,397,397,397,397,397,397,397,397,397,397IV INFUS HYDRATION EA  ADD'L HR,EA,96361,206011,EA,141,141,141,141,141,141,141,141,141,141,141,141,141,141,141,141,141IV INFUS THR/DIAG INTL HR,EA,96365,206020,EA,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476IV INFUS TH/DIAG AD'L HR,EA,96366,206021,EA,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158IV INFUSION SEQ UP TO 1 H,EA,96367,206022,EA,159,159,159,159,159,159,159,159,159,159,159,159,159,159,159,159,159IV INFUSION CONCURRENT,EA,96368,206023,EA,199,199,199,199,199,199,199,199,199,199,199,199,199,199,199,199,199IV INFUS THR/DIAG INTL HR MOD 59,EA,9636559,206024,EA,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476IV INFUS/SUBQ INJ CASIRIVI/IMDEVI 1200MG,EA,M0243,206025,EA,"4,514.00","4,514.00","4,514.00","4,514.00","4,514.00","4,514.00","4,514.00","4,514.00","4,514.00","4,514.00","4,514.00","4,514.00","4,514.00","4,514.00","4,514.00","4,514.00","4,514.00"IV INFUSION BAMLAN/ETESEV W/MONITORING,EA,M0245,206026,EA,"4,514.00","4,514.00","4,514.00","4,514.00","4,514.00","4,514.00","4,514.00","4,514.00","4,514.00","4,514.00","4,514.00","4,514.00","4,514.00","4,514.00","4,514.00","4,514.00","4,514.00"IV PUSH BEBTELOVIMAB AND POST ADMIN,EA,M0222,206027,EA,"4,426.00","4,426.00","4,426.00","4,426.00","4,426.00","4,426.00","4,426.00","4,426.00","4,426.00","4,426.00","4,426.00","4,426.00","4,426.00","4,426.00","4,426.00","4,426.00","4,426.00"IV PUSH INITIAL,EA,96374,206030,EA,232,232,232,232,232,232,232,232,232,232,232,232,232,232,232,232,232IV PUSH EA ADD'L SUB/DRUG,EA,96375,206031,EA,197,197,197,197,197,197,197,197,197,197,197,197,197,197,197,197,197EA ADD SQNTL IVP SME DRUG,EA,96376,206032,EA,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154IM/SUBQ INJECTION,EA,96372,206040,EA,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139PNEUMONIA VACC ADMIN,EA,G0009,206041,EA,159,159,159,159,159,159,159,159,159,159,159,159,159,159,159,159,159ADMIN OF FLU VACCINE,EA,G0008,206042,EA,88,88,88,88,88,88,88,88,88,88,88,88,88,88,88,88,88HEP B VACCINE ADMIN,EA,G0010,206046,EA,159,159,159,159,159,159,159,159,159,159,159,159,159,159,159,159,159BLOOD ADMIN PER DAY,EA,36430,206050,EA,"1,002.00","1,002.00","1,002.00","1,002.00","1,002.00","1,002.00","1,002.00","1,002.00","1,002.00","1,002.00","1,002.00","1,002.00","1,002.00","1,002.00","1,002.00","1,002.00","1,002.00"APPLY FOREARM SPLINT,EA,29125,207005,EA,203,203,203,203,203,203,203,203,203,203,203,203,203,203,203,203,20399291 CRITICAL CARE 30-74 MIN,EA,99291,207006,EA,"1,942.00","1,942.00","1,942.00","1,942.00","1,942.00","1,942.00","1,942.00","1,942.00","1,942.00","1,942.00","1,942.00","1,942.00","1,942.00","1,942.00","1,942.00","1,942.00","1,942.00"99292 CRIT CARE EA ADDL 30 MIN,EA,99292,207007,EA,925,925,925,925,925,925,925,925,925,925,925,925,925,925,925,925,925INTUBATION,EA,31500,207009,EA,718,718,718,718,718,718,718,718,718,718,718,718,718,718,718,718,718"INJ, SING TENDON LIG",EA,20550,207010,EA,611,611,611,611,611,611,611,611,611,611,611,611,611,611,611,611,611"INJECTION,MAJOR JOINT",EA,20610,207011,EA,614,614,614,614,614,614,614,614,614,614,614,614,614,614,614,614,614CPAP CONTINUOUS,EA,94660,250601,EA,"1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00"IV INFUS TH/DIAG AD'L HR,EA,9636659,296366,EA,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158HYPUBARIC OXYGEN THY,EA,99183,300001,EA,814,814,814,814,814,814,814,814,814,814,814,814,814,814,814,814,814HBOT FULL BODY CHAMBER 30MIN,EA,G0277,300002,EA,"1,005.00","1,005.00","1,005.00","1,005.00","1,005.00","1,005.00","1,005.00","1,005.00","1,005.00","1,005.00","1,005.00","1,005.00","1,005.00","1,005.00","1,005.00","1,005.00","1,005.00"IV INFUS THR/DIAG INTL HR,EA,96365,350000,EA,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476IV INFUS THR/DIAG INTL HR-59,EA,9636559,350001,EA,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476IV PUSH THR PRPH/DX NJX EA SQL IV,EA,96375,350002,EA,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476IV PUSH THR PRPH/DX NJX EA SQL IV-59,EA,9637559,350003,EA,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476IV INFUS THR PRPH/DX EA HR,EA,96366,350004,EA,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158IV INFUS THR PRPH/DX EA HR-59,EA,9636659,350005,EA,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158IM/SUBQ ANTIBIOTIC INJECTION,EA,96372,350006,EA,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139IM/SUBQ ANTIBIOTIC INJECTION-59,EA,9637259,350007,EA,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139IV PUSH THR PRPH/DX NJX 1ST,EA,96374,350008,EA,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259IV PUSH THR PRPH/DX NJX 1ST-59,EA,9637459,350009,EA,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259THR PR/PH DX NJX EA SEQL,EA,96376,350010,EA,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154THR PR/PH DX NJX EA SEQL-59,EA,9637659,350011,EA,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154INSERT FOLEY CATH/INDWELL,EA,51702,350012,EA,322,322,322,322,322,322,322,322,322,322,322,322,322,322,322,322,322INSERT FOLEY CATH/INDWELL-59,EA,5170259,350013,EA,322,322,322,322,322,322,322,322,322,322,322,322,322,322,322,322,322TREATMENT ROOM VISIT EST 5 MINUTES,EA,99211,350014,EA,168,168,168,168,168,168,168,168,168,168,168,168,168,168,168,168,168IV HYDRATION INITIAL 31M-1HR,EA,96360,350015,EA,397,397,397,397,397,397,397,397,397,397,397,397,397,397,397,397,397IV INFUS HYDRATION EA ADD'L HOUR,EA,96361,350016,EA,141,141,141,141,141,141,141,141,141,141,141,141,141,141,141,141,14193010 EKG INTERPRETATION TRMT ROOM,EA,93010,350017,EA,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64ARTHROCENTESIS LARGE JOINT,EA,20610,350018,EA,371,371,371,371,371,371,371,371,371,371,371,371,371,371,371,371,371ADMINISTRATION OF VACCINE,EA,90471,350019,EA,134,134,134,134,134,134,134,134,134,134,134,134,134,134,134,134,134TREATMENT ROOM VISIT EST 10 MINUTES,EA,99212,350020,EA,357,357,357,357,357,357,357,357,357,357,357,357,357,357,357,357,357TREATMENT ROOM ESTABLISHED VISIT 15 MIN,EA,99213,350021,EA,587,587,587,587,587,587,587,587,587,587,587,587,587,587,587,587,587TREATMENT ROOM ESTAB VISIT 40 MIN,EA,99215,350022,EA,"1,046.00","1,046.00","1,046.00","1,046.00","1,046.00","1,046.00","1,046.00","1,046.00","1,046.00","1,046.00","1,046.00","1,046.00","1,046.00","1,046.00","1,046.00","1,046.00","1,046.00"PARACENTESIS W US GUIDANCE,EA,49083,350023,EA,"2,336.00","2,336.00","2,336.00","2,336.00","2,336.00","2,336.00","2,336.00","2,336.00","2,336.00","2,336.00","2,336.00","2,336.00","2,336.00","2,336.00","2,336.00","2,336.00","2,336.00"FOLEY CATHERIZATION INSERTION,EA,49083,350024,EA,491,491,491,491,491,491,491,491,491,491,491,491,491,491,491,491,491ADMINSTRATION OF VACCINE,EA,90471,350025,EA,134,134,134,134,134,134,134,134,134,134,134,134,134,134,134,134,134LONG ARM SPLINT SHOULDER TO HAND,EA,29105,350027,EA,645,645,645,645,645,645,645,645,645,645,645,645,645,645,645,645,645I & R FOREIGN BODY SUBQ,EA,10120,350028,EA,347,347,347,347,347,347,347,347,347,347,347,347,347,347,347,347,347TREATMENT RM NEW PATIENT  60-74 MINUTES,EA,99205,350029,EA,"2,166.00","2,166.00","2,166.00","2,166.00","2,166.00","2,166.00","2,166.00","2,166.00","2,166.00","2,166.00","2,166.00","2,166.00","2,166.00","2,166.00","2,166.00","2,166.00","2,166.00"APPLICATION OF VEIN WOUND COMPRESSION LL,EA,29581,350030,EA,705,705,705,705,705,705,705,705,705,705,705,705,705,705,705,705,705CONTROL OF NOSEBLEED AND INSERT SUBSEQUE,EA,30906,350031,EA,"2,881.00","2,881.00","2,881.00","2,881.00","2,881.00","2,881.00","2,881.00","2,881.00","2,881.00","2,881.00","2,881.00","2,881.00","2,881.00","2,881.00","2,881.00","2,881.00","2,881.00"IV INFUS THR/DIAG INTL HR,EA,96365,450000,EA,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476IV INFUS THR/DIAG INTL HR-59,EA,9636559,450001,EA,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476IV INFUS THR PRPH/DX EA HR,EA,96366,450002,EA,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158IV INFUS THR PRPH/DX EA HR-59,EA,9636659,450003,EA,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158IM/SUBQ INJECTION,EA,96372,450004,EA,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139IM/SUBQ INJECTION-59,EA,9637259,450005,EA,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139IV PUSH THR PRPH/DX NJX 1ST,EA,96374,450006,EA,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259IV PUSH THR PRPH/DX NJX 1ST-59,EA,9637459,450007,EA,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259IV PUSH THR PRPH/DX NJX EA SQL IV,EA,96375,450008,EA,197,197,197,197,197,197,197,197,197,197,197,197,197,197,197,197,197IV PUSH THR PRPH/DX NJX EA SQL IV-59,EA,9637559,450009,EA,197,197,197,197,197,197,197,197,197,197,197,197,197,197,197,197,197THR PRPH/DX NJX EA SEQL,EA,96376,450010,EA,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154THR PRPH/DX NJX EA SEQL-59,EA,9637659,450011,EA,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154INSERT FOLEY CATH/INDWELL,EA,51702,450012,EA,322,322,322,322,322,322,322,322,322,322,322,322,322,322,322,322,322INSERT FOLEY CATH/INDWELL-59,EA,5170259,450013,EA,322,322,322,322,322,322,322,322,322,322,322,322,322,322,322,322,322IV INFUS HYDRATION INITIAL 31M TO 1H,EA,96360,450014,EA,397,397,397,397,397,397,397,397,397,397,397,397,397,397,397,397,397IV INFUS HYDRATION EA ADD'L  HR,EA,96361,450015,EA,141,141,141,141,141,141,141,141,141,141,141,141,141,141,141,141,14193010 EKG INTERPRETATION OBSERVATION,EA,93010,450016,EA,115,115,115,115,115,115,115,115,115,115,115,115,115,115,115,115,115IV INFUS THR PRPH/DX 1ST>1HR,EA,96365,500368,EA,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476IV INFUS THR PRPH/DX 1ST>1HR-59,EA,9636559,500369,EA,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476IV INFUS THR PRPH/DX EA HR,EA,96366,500370,EA,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158IV INFUS THR PRPH/DX EA HR-59,EA,9636659,500371,EA,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158IM/SUBQ INJECTION,EA,96372,500372,EA,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139IM/SUBQ INJECTION-59,EA,9637259,500373,EA,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139IV PUSH THR PRPH/DX NJX  1ST,EA,96374,500374,EA,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259IV PUSH THR PRPH/DX NJX  1ST-59,EA,9637459,500375,EA,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259IV PUSH THR PRPH/DX NJX EA SQL IV,EA,96375,500376,EA,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476IV PUSH THR PRPH/DX NJX EA SQL IV-59,EA,9637559,500377,EA,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476THR PROPH/DX NJX EA SEQL,EA,96376,500378,EA,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154THR PROPH/DX NJX EA SEQL-59,EA,9637659,500379,EA,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154INSERT FOLEY CATH/INDWELL,EA,51702,500380,EA,322,322,322,322,322,322,322,322,322,322,322,322,322,322,322,322,322INSERT FOLEY CATH/INDWELL-59,EA,5170259,500381,EA,322,322,322,322,322,322,322,322,322,322,322,322,322,322,322,322,322ARTHROCENTESIS LARGE JOINT,EA,20610,500382,EA,371,371,371,371,371,371,371,371,371,371,371,371,371,371,371,371,37193010 EKG INTERPRETATION EMERGENCY ROOM,EA,93010,500383,EA,115,115,115,115,115,115,115,115,115,115,115,115,115,115,115,115,115LACOSAMIDE-VIMPAT,EA,80339,500457,EA,"4,068.00","4,068.00","4,068.00","4,068.00","4,068.00","4,068.00","4,068.00","4,068.00","4,068.00","4,068.00","4,068.00","4,068.00","4,068.00","4,068.00","4,068.00","4,068.00","4,068.00"EXC TR-EXT B9+MARG 3.1-4 CM/FACFEE,EA,11404,511405,EA,"1,677.00","1,677.00","1,677.00","1,677.00","1,677.00","1,677.00","1,677.00","1,677.00","1,677.00","1,677.00","1,677.00","1,677.00","1,677.00","1,677.00","1,677.00","1,677.00","1,677.00"SIMPLE RPR F/E/E/N/L/M 7.6-12.5CM PROFEE,EA,12015,512015,EA,"1,309.00","1,309.00","1,309.00","1,309.00","1,309.00","1,309.00","1,309.00","1,309.00","1,309.00","1,309.00","1,309.00","1,309.00","1,309.00","1,309.00","1,309.00","1,309.00","1,309.00"TREAT CLAVICLE DISLOCATION,EA,23650,523545,EA,"2,673.00","2,673.00","2,673.00","2,673.00","2,673.00","2,673.00","2,673.00","2,673.00","2,673.00","2,673.00","2,673.00","2,673.00","2,673.00","2,673.00","2,673.00","2,673.00","2,673.00"REDUCTION DISLOC SHOULDER,EA,23650LT,523650,EA,"1,607.00","1,607.00","1,607.00","1,607.00","1,607.00","1,607.00","1,607.00","1,607.00","1,607.00","1,607.00","1,607.00","1,607.00","1,607.00","1,607.00","1,607.00","1,607.00","1,607.00"INSERTION OF CHEST TUBE,EA,32551,532551,EA,"1,231.00","1,231.00","1,231.00","1,231.00","1,231.00","1,231.00","1,231.00","1,231.00","1,231.00","1,231.00","1,231.00","1,231.00","1,231.00","1,231.00","1,231.00","1,231.00","1,231.00"UNLISTED PROC SUB Q TISSU,EA,17999,540001,EA,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147UNLISTED PROC SUB Q TISSU,EA,17999,540002,EA,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119EMERGENCY INTUBATION,EA,31500,540005,EA,718,718,718,718,718,718,718,718,718,718,718,718,718,718,718,718,718AVULSION NAIL PLATE PHYS CHG,EA,11730,540008,EA,419,419,419,419,419,419,419,419,419,419,419,419,419,419,419,419,419AVULSION NAIL PLATE PAR,EA,11730,540009,EA,402,402,402,402,402,402,402,402,402,402,402,402,402,402,402,402,402"LAC RP-INT NCK,HNS,FT,GNT",EA,12041,540010,EA,525,525,525,525,525,525,525,525,525,525,525,525,525,525,525,525,525"FAC-RP-INT, NK,HNS,FT,GNT",EA,12041,540011,EA,351,351,351,351,351,351,351,351,351,351,351,351,351,351,351,351,351EXCISION 3.1CM TO 4.0CM FACE EARS LIP,EA,11444,540012,EA,"1,755.00","1,755.00","1,755.00","1,755.00","1,755.00","1,755.00","1,755.00","1,755.00","1,755.00","1,755.00","1,755.00","1,755.00","1,755.00","1,755.00","1,755.00","1,755.00","1,755.00"I&D BARTHOLINS CYST PRO FEE,EA,56420,540013,EA,830,830,830,830,830,830,830,830,830,830,830,830,830,830,830,830,830FINGER SPLINT STATIC PHY CHG,EA,29130,540014,EA,238,238,238,238,238,238,238,238,238,238,238,238,238,238,238,238,238"LAC RP-INT NCK,HNS,FT,GNT",EA,12042,540015,EA,668,668,668,668,668,668,668,668,668,668,668,668,668,668,668,668,668"FAC-RP-INT,NK,HS,FT,GNT",EA,12042,540016,EA,351,351,351,351,351,351,351,351,351,351,351,351,351,351,351,351,351FOLEY ER STRT CATH INSERT/RESID UR,EA,51701,540019,EA,234,234,234,234,234,234,234,234,234,234,234,234,234,234,234,234,234FOLEY CATH INS/NON-INDWLL,EA,51701,540020,EA,162,162,162,162,162,162,162,162,162,162,162,162,162,162,162,162,162INSERT FOL/CATH/INDWEL CP,EA,51703,540022,EA,329,329,329,329,329,329,329,329,329,329,329,329,329,329,329,329,329IMMUNIZATION EA ADD'L,EA,90472,540023,EA,79,79,79,79,79,79,79,79,79,79,79,79,79,79,79,79,79BLOO COLLECT IMPLA VAD,EA,36591,540024,EA,199,199,199,199,199,199,199,199,199,199,199,199,199,199,199,199,199GASTRIC INTUBATION&ASPIR,EA,43754,540025,EA,192,192,192,192,192,192,192,192,192,192,192,192,192,192,192,192,192NG TUBE LACED WITH EVAC,EA,43753,540026,EA,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154NG TUBE LACED WITH EVAC PHY CHARGE,EA,43753,540027,EA,184,184,184,184,184,184,184,184,184,184,184,184,184,184,184,184,184IV INFS THR PRPH/DX 1S>1HR,EA,96365,540030,EA,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476IV INFUS THR PRPH/DX 1S>1HR MOD 59,EA,9636559,540031,EA,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476IV PUSH THR PRPH/DX NJX  1ST,EA,96374,540035,EA,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259IV PUSH THR PRPH/DX NJX 1ST MOD 59,EA,9637459,540036,EA,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259"LAC RP-FACE,EAR,M MEM<2.5",EA,12051,540040,EA,666,666,666,666,666,666,666,666,666,666,666,666,666,666,666,666,666FAC-REPAIR 2.5CM OR LESS,EA,12051,540041,EA,639,639,639,639,639,639,639,639,639,639,639,639,639,639,639,639,639"LAC RP-FACE,EAR,M MEM>2.5",EA,12052,540045,EA,680,680,680,680,680,680,680,680,680,680,680,680,680,680,680,680,680EXPISTAXSIS ANTERIOR COMP,EA,30903,540050,EA,467,467,467,467,467,467,467,467,467,467,467,467,467,467,467,467,467INSERT FOLEY CATHETER-SMP,EA,51702,540055,EA,195,195,195,195,195,195,195,195,195,195,195,195,195,195,195,195,195INSERT FOLEY CATH/INDWELL,EA,51702,540060,EA,322,322,322,322,322,322,322,322,322,322,322,322,322,322,322,322,322IV PUSH THR PRPH/DX NJX EA SQL IV,EA,96375,540065,EA,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191IV PUSH THR PRPH/DX NJX EA SQL IV-59,EA,9637559,540066,EA,197,197,197,197,197,197,197,197,197,197,197,197,197,197,197,197,197IV PUSH THR PRPH/DX NJX EA SQL IV,EA,9637559,540067,EA,197,197,197,197,197,197,197,197,197,197,197,197,197,197,197,197,197LAC REPR-TRUNK EXT2.6-7.5,EA,12002,540070,EA,200,200,200,200,200,200,200,200,200,200,200,200,200,200,200,200,200LAC REPR-TRUNK EXT2.6-7.5,EA,12002,540071,EA,703,703,703,703,703,703,703,703,703,703,703,703,703,703,703,703,703LYR CLSR S/A/T/E 7.6-12.5,EA,12034,540072,EA,690,690,690,690,690,690,690,690,690,690,690,690,690,690,690,690,690LYR CLSR 5.1-7.5CM,EA,12053,540073,EA,726,726,726,726,726,726,726,726,726,726,726,726,726,726,726,726,726TX/PROPH/DG ADDL SEQ IV I,EA,96367,540074,EA,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224"LAC REPR-INT TRNK,EXT<2.5",EA,12031,540075,EA,666,666,666,666,666,666,666,666,666,666,666,666,666,666,666,666,666FAC-LAC CLOS 7.6-12.5,EA,12034,540076,EA,464,464,464,464,464,464,464,464,464,464,464,464,464,464,464,464,464"LAC REPR INTERM LAC -INT TRNK,EXT>2.5",EA,12032,540080,EA,654,654,654,654,654,654,654,654,654,654,654,654,654,654,654,654,654FAC-LAC-REPR-INT TRK,EA,12032,540081,EA,552,552,552,552,552,552,552,552,552,552,552,552,552,552,552,552,552REDUCTION DISLOCTION ELBW,EA,24600,540085,EA,"1,880.00","1,880.00","1,880.00","1,880.00","1,880.00","1,880.00","1,880.00","1,880.00","1,880.00","1,880.00","1,880.00","1,880.00","1,880.00","1,880.00","1,880.00","1,880.00","1,880.00"CLIX MITCRHL DSLC 1 W/MNP,EA,26700,540086,EA,"1,699.00","1,699.00","1,699.00","1,699.00","1,699.00","1,699.00","1,699.00","1,699.00","1,699.00","1,699.00","1,699.00","1,699.00","1,699.00","1,699.00","1,699.00","1,699.00","1,699.00"CLSD RADIAL HEAD SUBL CHD,EA,24640,540090,EA,491,491,491,491,491,491,491,491,491,491,491,491,491,491,491,491,491CLSD RAD HEAD SUBL CHD,EA,24640,540091,EA,616,616,616,616,616,616,616,616,616,616,616,616,616,616,616,616,616FRACTURE CARE-FNGR-DISTAL,EA,26750,540095,EA,"1,035.00","1,035.00","1,035.00","1,035.00","1,035.00","1,035.00","1,035.00","1,035.00","1,035.00","1,035.00","1,035.00","1,035.00","1,035.00","1,035.00","1,035.00","1,035.00","1,035.00"IV NFUS THR PRPH/DX EA HR,EA,96366,540100,EA,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158IV NFUS THR PRPH/DX EA HR MOD 59,EA,9636659,540101,EA,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158SHOULDER STRAP APPLICTION,EA,29240,540105,EA,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148REDUCTION DISLOC SHOULDER,EA,23650,540110,EA,"1,607.00","1,607.00","1,607.00","1,607.00","1,607.00","1,607.00","1,607.00","1,607.00","1,607.00","1,607.00","1,607.00","1,607.00","1,607.00","1,607.00","1,607.00","1,607.00","1,607.00"FAC-CLSD SHOULDER DISLC,EA,23650,540111,EA,470,470,470,470,470,470,470,470,470,470,470,470,470,470,470,470,470IM/SUBQ INJ ANTIBIOTIC OR INTRAMUS,EA,96372,540115,EA,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139IM/SUBQ INJ ANTIBIOTIC OR INTRAM MOD 59,EA,9637259,540116,EA,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139LAC REPR-TRUNK EXT >7.5CM,EA,12004,540120,EA,249,249,249,249,249,249,249,249,249,249,249,249,249,249,249,249,249LAC REPAIR >30.0CM,EA,12007,540121,EA,507,507,507,507,507,507,507,507,507,507,507,507,507,507,507,507,507LAC REPR-TRUNK EXT >7.5CM,EA,12004,540123,EA,872,872,872,872,872,872,872,872,872,872,872,872,872,872,872,872,872REDUCTION DISLOCATION JAW,EA,21480,540125,EA,99,99,99,99,99,99,99,99,99,99,99,99,99,99,99,99,99INTERPHALANGEAL JT DISLOC,EA,26770,540130,EA,"1,421.00","1,421.00","1,421.00","1,421.00","1,421.00","1,421.00","1,421.00","1,421.00","1,421.00","1,421.00","1,421.00","1,421.00","1,421.00","1,421.00","1,421.00","1,421.00","1,421.00"INTERPHALANGEAL DSLOC TOE,EA,28660,540135,EA,505,505,505,505,505,505,505,505,505,505,505,505,505,505,505,505,505EPISTAXIS ANTERIOR SIMPLE,EA,30901,540140,EA,328,328,328,328,328,328,328,328,328,328,328,328,328,328,328,328,328FAC-EPISTAXIS ANT SIMPLE,EA,30901,540143,EA,335,335,335,335,335,335,335,335,335,335,335,335,335,335,335,335,335IV INFS HYDRATION 31M-1 HR,EA,96360,540145,EA,397,397,397,397,397,397,397,397,397,397,397,397,397,397,397,397,397LAC REPR-TRUNK EXT<2.5CM,EA,12001,540155,EA,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150DISLOCATION-TOE MP JOINT,EA,28630,540160,EA,751,751,751,751,751,751,751,751,751,751,751,751,751,751,751,751,751DISLOCATION TOE MP JOINT,EA,28630,540161,EA,626,626,626,626,626,626,626,626,626,626,626,626,626,626,626,626,626F.B. REMOVAL W/SLIT LAMP,EA,65222,540165,EA,294,294,294,294,294,294,294,294,294,294,294,294,294,294,294,294,294F.B. REMOVAL-SKIN SUB Q,EA,10120,540170,EA,347,347,347,347,347,347,347,347,347,347,347,347,347,347,347,347,347FAC-FB REMOVAL SKIN,EA,10120,540172,EA,269,269,269,269,269,269,269,269,269,269,269,269,269,269,269,269,269BURN DEBRIDEMENT-MEDIUM,EA,16025,540175,EA,372,372,372,372,372,372,372,372,372,372,372,372,372,372,372,372,372REMOVE FB MUSCLE SIMPLE,EA,20520,540180,EA,489,489,489,489,489,489,489,489,489,489,489,489,489,489,489,489,489F.B. REMOVAL-FOOT SUB-Q,EA,28190,540185,EA,767,767,767,767,767,767,767,767,767,767,767,767,767,767,767,767,767F.B. REMOVAL-CONJUCTIVE,EA,65205,540190,EA,251,251,251,251,251,251,251,251,251,251,251,251,251,251,251,251,251IV INFUS HYDRATION EA  ADD'L HOUR,EA,96361,540195,EA,141,141,141,141,141,141,141,141,141,141,141,141,141,141,141,141,141IV INFUS CONCURRENT,EA,96368,540196,EA,199,199,199,199,199,199,199,199,199,199,199,199,199,199,199,199,199BURN DEBRIDEMENT-SMALL,EA,16020,540205,EA,184,184,184,184,184,184,184,184,184,184,184,184,184,184,184,184,184FC- BURN DEBRIDE-SM,EA,16020,540206,EA,409,409,409,409,409,409,409,409,409,409,409,409,409,409,409,409,409CMPLX RPR F/C/M/N/AX/G/H/F,EA,13132,540207,EA,"2,485.00","2,485.00","2,485.00","2,485.00","2,485.00","2,485.00","2,485.00","2,485.00","2,485.00","2,485.00","2,485.00","2,485.00","2,485.00","2,485.00","2,485.00","2,485.00","2,485.00"ARTHROCENTISIS-MED JNT,EA,20605,540210,EA,179,179,179,179,179,179,179,179,179,179,179,179,179,179,179,179,179FAC-ARTHROCENTISIS-MED JT,EA,20605,540211,EA,537,537,537,537,537,537,537,537,537,537,537,537,537,537,537,537,537FAC-CLTX PHLNG/MID/WO/MAN,EA,26725,540213,EA,444,444,444,444,444,444,444,444,444,444,444,444,444,444,444,444,444CLTX PHLNG/MID/WO MAN,EA,26725,540214,EA,"1,713.00","1,713.00","1,713.00","1,713.00","1,713.00","1,713.00","1,713.00","1,713.00","1,713.00","1,713.00","1,713.00","1,713.00","1,713.00","1,713.00","1,713.00","1,713.00","1,713.00"FRAC CARE-FINGER/THUMB,EA,26720,540215,EA,"1,030.00","1,030.00","1,030.00","1,030.00","1,030.00","1,030.00","1,030.00","1,030.00","1,030.00","1,030.00","1,030.00","1,030.00","1,030.00","1,030.00","1,030.00","1,030.00","1,030.00"FACILITY-TRT FINGER FRAC,EA,26720,540218,EA,444,444,444,444,444,444,444,444,444,444,444,444,444,444,444,444,444ENDOTRACHEAL INSERTION,EA,31500,540220,EA,640,640,640,640,640,640,640,640,640,640,640,640,640,640,640,640,640INJECTION SINGLE/MLT TRIG,EA,20553,540221,EA,145,145,145,145,145,145,145,145,145,145,145,145,145,145,145,145,145ELECTIVE CARDIOVERSION,EA,92960,540225,EA,699,699,699,699,699,699,699,699,699,699,699,699,699,699,699,699,699ARTHROCENTISIS-SM JNT,EA,20600,540230,EA,120,120,120,120,120,120,120,120,120,120,120,120,120,120,120,120,120ARTHROCENTISIS-LG JNT,EA,20610,540235,EA,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154LAC REPR-FACE <2.5CM,EA,12011,540240,EA,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191LAC REPR-FACE <2.5CM,EA,12011,540242,EA,703,703,703,703,703,703,703,703,703,703,703,703,703,703,703,703,703FRAC CARE-METACARPAL,EA,26600,540245,EA,"1,551.00","1,551.00","1,551.00","1,551.00","1,551.00","1,551.00","1,551.00","1,551.00","1,551.00","1,551.00","1,551.00","1,551.00","1,551.00","1,551.00","1,551.00","1,551.00","1,551.00"CLOSED TX LUNATE W/MANIPU,EA,25690,540246,EA,"1,665.00","1,665.00","1,665.00","1,665.00","1,665.00","1,665.00","1,665.00","1,665.00","1,665.00","1,665.00","1,665.00","1,665.00","1,665.00","1,665.00","1,665.00","1,665.00","1,665.00"CLOSED TX LUNATE DISL W/M,EA,25690,540247,EA,"2,673.00","2,673.00","2,673.00","2,673.00","2,673.00","2,673.00","2,673.00","2,673.00","2,673.00","2,673.00","2,673.00","2,673.00","2,673.00","2,673.00","2,673.00","2,673.00","2,673.00"F.B. REMOVAL-CERUMEN,EA,69210,540255,EA,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191REMOVAL IMPACTED EAR WAX,EA,69209,540256,EA,79,79,79,79,79,79,79,79,79,79,79,79,79,79,79,79,79REMOVAL IMPACTED EAR WAX,EA,69209,540257,EA,113,113,113,113,113,113,113,113,113,113,113,113,113,113,113,113,113FACILITY-FB REMVE-CERUMEN,EA,69210,540259,EA,126,126,126,126,126,126,126,126,126,126,126,126,126,126,126,126,126TREATMENT ROOM-NEW PT 10 MIN OTHER,EA,99201,540260,EA,160,160,160,160,160,160,160,160,160,160,160,160,160,160,160,160,160EVACUATION HEMATOMA,EA,11740,540265,EA,100,100,100,100,100,100,100,100,100,100,100,100,100,100,100,100,100FAC-EVACUATION HEMATOMA,EA,11740,540266,EA,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49FRAC CARE-GREAT TOE,EA,28490,540270,EA,703,703,703,703,703,703,703,703,703,703,703,703,703,703,703,703,703F.B. REMOVAL-CORNEA,EA,65220,540275,EA,243,243,243,243,243,243,243,243,243,243,243,243,243,243,243,243,243TEMPORARY PACEMAKER,EA,92953,540280,EA,62,62,62,62,62,62,62,62,62,62,62,62,62,62,62,62,62EVAL & MGMT LEVEL 1,EA,99281,540285,EA,234,234,234,234,234,234,234,234,234,234,234,234,234,234,234,234,234EVAL & MGMT LEVEL 1 MOD 25,EA,9928125,540286,EA,234,234,234,234,234,234,234,234,234,234,234,234,234,234,234,234,234EVAL & MGMT LEVEL 2,EA,99282,540290,EA,407,407,407,407,407,407,407,407,407,407,407,407,407,407,407,407,407EVAL & MGMT LEVEL 2 MOD 25,EA,9928225,540291,EA,407,407,407,407,407,407,407,407,407,407,407,407,407,407,407,407,407EVAL & MGMT LEVEL 3,EA,99283,540295,EA,580,580,580,580,580,580,580,580,580,580,580,580,580,580,580,580,580EVAL & MGMT LEVEL 3 MOD 25,EA,9928325,540296,EA,580,580,580,580,580,580,580,580,580,580,580,580,580,580,580,580,580EVAL & MGMT LEVEL 4,EA,99284,540300,EA,753,753,753,753,753,753,753,753,753,753,753,753,753,753,753,753,753EVAL & MGMT LEVEL 4 MOD 25,EA,9928425,540301,EA,753,753,753,753,753,753,753,753,753,753,753,753,753,753,753,753,753EVAL & MGMT LEVEL 5,EA,99285,540305,EA,925,925,925,925,925,925,925,925,925,925,925,925,925,925,925,925,925EVAL & MGMT LEVEL 5 MOD 25,EA,9928525,540306,EA,925,925,925,925,925,925,925,925,925,925,925,925,925,925,925,925,925LAC REPR 2.6-5.0CM,EA,12013,540310,EA,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210LAC REPR 2.6-5.0CM,EA,12013,540311,EA,822,822,822,822,822,822,822,822,822,822,822,822,822,822,822,822,822COMPLEX RPR TRUNK 2.6CM-7.5CM,EA,13101,540312,EA,"1,739.00","1,739.00","1,739.00","1,739.00","1,739.00","1,739.00","1,739.00","1,739.00","1,739.00","1,739.00","1,739.00","1,739.00","1,739.00","1,739.00","1,739.00","1,739.00","1,739.00"COMPLEX RPR TRUNK 2.6CM-7.5CM,EA,13101,540313,EA,"1,767.00","1,767.00","1,767.00","1,767.00","1,767.00","1,767.00","1,767.00","1,767.00","1,767.00","1,767.00","1,767.00","1,767.00","1,767.00","1,767.00","1,767.00","1,767.00","1,767.00"FRAC CARE-CLAVICLE,EA,23500,540315,EA,"1,247.00","1,247.00","1,247.00","1,247.00","1,247.00","1,247.00","1,247.00","1,247.00","1,247.00","1,247.00","1,247.00","1,247.00","1,247.00","1,247.00","1,247.00","1,247.00","1,247.00"FRACTURE CARE-TOE,EA,28510,540325,EA,673,673,673,673,673,673,673,673,673,673,673,673,673,673,673,673,673F.B. REMOVAL-NOSE,EA,30300,540330,EA,595,595,595,595,595,595,595,595,595,595,595,595,595,595,595,595,595F.B. REMOVAL-NOSE,EA,30300,540332,EA,350,350,350,350,350,350,350,350,350,350,350,350,350,350,350,350,350SPLINT SHORT ARM SPLINT PHY,EA,29125,540335,EA,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224SHORT LEG SPLINT,EA,29515,540340,EA,431,431,431,431,431,431,431,431,431,431,431,431,431,431,431,431,431SHORT LEG SPLINT-PHYSICAN,EA,29515,540343,EA,285,285,285,285,285,285,285,285,285,285,285,285,285,285,285,285,285KNEE IMMOBILIZER,EA,29530,540345,EA,129,129,129,129,129,129,129,129,129,129,129,129,129,129,129,129,129ARTERIA PUNCTURE,EA,36600,540350,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85FC - ART PUNCTURE,EA,36600,540351,EA,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68VAGINAL DELIVERY,EA,59409,540355,EA,"4,661.00","4,661.00","4,661.00","4,661.00","4,661.00","4,661.00","4,661.00","4,661.00","4,661.00","4,661.00","4,661.00","4,661.00","4,661.00","4,661.00","4,661.00","4,661.00","4,661.00"F.B. REMOVAL-EAR,EA,69200,540360,EA,272,272,272,272,272,272,272,272,272,272,272,272,272,272,272,272,272FOREIGN REMOVAL EAR-FACILITY,EA,69200,540361,EA,178,178,178,178,178,178,178,178,178,178,178,178,178,178,178,178,178FACILITY LEVEL 1,EA,99281,540365,EA,580,580,580,580,580,580,580,580,580,580,580,580,580,580,580,580,580FACILITY LEVEL 1 MOD 25,EA,9928125,540366,EA,580,580,580,580,580,580,580,580,580,580,580,580,580,580,580,580,580FACILITY LEVEL 2,EA,99282,540370,EA,753,753,753,753,753,753,753,753,753,753,753,753,753,753,753,753,753FACILITY LEVEL 2 MOD 25,EA,9928225,540371,EA,753,753,753,753,753,753,753,753,753,753,753,753,753,753,753,753,753FACILITY LEVEL 3,EA,99283,540375,EA,925,925,925,925,925,925,925,925,925,925,925,925,925,925,925,925,925FACILITY LEVEL 3 MOD 25,EA,9928325,540376,EA,925,925,925,925,925,925,925,925,925,925,925,925,925,925,925,925,925FACILITY LEVEL 4,EA,99284,540380,EA,"1,274.00","1,274.00","1,274.00","1,274.00","1,274.00","1,274.00","1,274.00","1,274.00","1,274.00","1,274.00","1,274.00","1,274.00","1,274.00","1,274.00","1,274.00","1,274.00","1,274.00"FACILITY LEVEL 4 MOD 25,EA,9928425,540381,EA,"1,274.00","1,274.00","1,274.00","1,274.00","1,274.00","1,274.00","1,274.00","1,274.00","1,274.00","1,274.00","1,274.00","1,274.00","1,274.00","1,274.00","1,274.00","1,274.00","1,274.00"FACILITY LEVEL 5,EA,99285,540385,EA,"1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00"FACILITY LEVEL 5 MOD 25,EA,9928525,540386,EA,"1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00"LAC REPR >5.0CM,EA,12014,540390,EA,268,268,268,268,268,268,268,268,268,268,268,268,268,268,268,268,268LAC REPR >5.0CM,EA,12014,540391,EA,872,872,872,872,872,872,872,872,872,872,872,872,872,872,872,872,872LONG ARM SPLINT,EA,29105,540395,EA,340,340,340,340,340,340,340,340,340,340,340,340,340,340,340,340,340FAC-LONG ARM SPLINT,EA,29105,540396,EA,494,494,494,494,494,494,494,494,494,494,494,494,494,494,494,494,494LONG LEG SPLINT,EA,29505,540400,EA,284,284,284,284,284,284,284,284,284,284,284,284,284,284,284,284,284LONG LEG SPLINT,EA,29505,540404,EA,434,434,434,434,434,434,434,434,434,434,434,434,434,434,434,434,434I.V. INSERTION,EA,36000,540410,EA,41,41,41,41,41,41,41,41,41,41,41,41,41,41,41,41,41LAC REPR-MOUTH,EA,40830,540415,EA,950,950,950,950,950,950,950,950,950,950,950,950,950,950,950,950,950FINGER SPLINT,EA,29130,540420,EA,137,137,137,137,137,137,137,137,137,137,137,137,137,137,137,137,137I&D ABSCESS,EA,10060,540425,EA,538,538,538,538,538,538,538,538,538,538,538,538,538,538,538,538,538CPR,EA,92950,540430,EA,"1,074.00","1,074.00","1,074.00","1,074.00","1,074.00","1,074.00","1,074.00","1,074.00","1,074.00","1,074.00","1,074.00","1,074.00","1,074.00","1,074.00","1,074.00","1,074.00","1,074.00"FAC - CPR,EA,92950,540432,EA,234,234,234,234,234,234,234,234,234,234,234,234,234,234,234,234,234FAC-CLOS TRMT ELBOW DISLO,EA,24600,540435,EA,464,464,464,464,464,464,464,464,464,464,464,464,464,464,464,464,464FAC-TRMT INTERPHAL JNT,EA,26770,540440,EA,464,464,464,464,464,464,464,464,464,464,464,464,464,464,464,464,464IMMUNIZATION 1 INJ,EA,90471,540471,EA,94,94,94,94,94,94,94,94,94,94,94,94,94,94,94,94,94STRAPPING OF TOES,EA,29550,540550,EA,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150FAC-LAC RPR 12.5-20.1,EA,12005,540566,EA,264,264,264,264,264,264,264,264,264,264,264,264,264,264,264,264,264RPR SIMPLE LAC RPR 12.6-20.0 CM SCAL NEC,EA,12005,540568,EA,464,464,464,464,464,464,464,464,464,464,464,464,464,464,464,464,464LAC REPR-TRUNK EXT<2.5CM,EA,12001,541056,EA,581,581,581,581,581,581,581,581,581,581,581,581,581,581,581,581,581REPAIR SIMPLE 12.6-20.0CM,EA,12016,541201,EA,269,269,269,269,269,269,269,269,269,269,269,269,269,269,269,269,269EXC B9 LES T/A/L 2.1-3 CM,,,541403,,"1,151.00","1,151.00","1,151.00","1,151.00","1,151.00","1,151.00","1,151.00","1,151.00","1,151.00","1,151.00","1,151.00","1,151.00","1,151.00","1,151.00","1,151.00","1,151.00","1,151.00"ARTERIAL BLOOD SAMPLE KIT,EA,,541550,EA,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55ARTERIAL BLOOD GAS,EA,82803,541552,EA,440,440,440,440,440,440,440,440,440,440,440,440,440,440,440,440,440REPAIR SIMPLE 12.6-20.0CM,EA,12016,542016,EA,"1,547.00","1,547.00","1,547.00","1,547.00","1,547.00","1,547.00","1,547.00","1,547.00","1,547.00","1,547.00","1,547.00","1,547.00","1,547.00","1,547.00","1,547.00","1,547.00","1,547.00"PLACE NEEDLE INTRAOSSEOUS,EA,36680,542984,EA,384,384,384,384,384,384,384,384,384,384,384,384,384,384,384,384,384PLACE NEEDLE INTRAOSSEOUS,EA,36680,542985,EA,414,414,414,414,414,414,414,414,414,414,414,414,414,414,414,414,414NASAL HEMORRHAGE INITIAL,EA,30906,543090,EA,791,791,791,791,791,791,791,791,791,791,791,791,791,791,791,791,791NASAL HEMMORRHAGE SUBSEQU,EA,30906,543091,EA,704,704,704,704,704,704,704,704,704,704,704,704,704,704,704,704,704REP S/A/L 2.6-7.5 CM,EA,13121,543121,EA,757,757,757,757,757,757,757,757,757,757,757,757,757,757,757,757,757FAC-REP-S/A/L 2.6-7.5 CM,EA,13121,543122,EA,407,407,407,407,407,407,407,407,407,407,407,407,407,407,407,407,407REP EACH ADDL 5CM/<,EA,13122,543123,EA,306,306,306,306,306,306,306,306,306,306,306,306,306,306,306,306,306FAC-REP EACH ADDL 5CM/<,EA,13122,543124,EA,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147NG TUBE PLACEMENT/GASTRIC INTUBATION,EA,43753,543753,EA,194,194,194,194,194,194,194,194,194,194,194,194,194,194,194,194,194CHANGE GASTROSTOMY TUBE,EA,43760,543760,EA,532,532,532,532,532,532,532,532,532,532,532,532,532,532,532,532,532RPLC GTUBE NO REVJ TRC,EA,43762,543762,EA,"1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00","1,735.00"OXYGEN PER HR,EA,,545480,EA,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24REMOVAL FB EYE CONJUNCT S,EA,65205,546000,EA,258,258,258,258,258,258,258,258,258,258,258,258,258,258,258,258,258THER PROPH/DX NJX EA SEQL-59,EA,9637659,546001,EA,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154THER PROPH/DX NJX EA SEQL,EA,96376,546002,EA,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154APPLICATION SHORT ARM SPL,EA,29125,546003,EA,352,352,352,352,352,352,352,352,352,352,352,352,352,352,352,352,352ARTHROCENTSIS ASPIT/IN,EA,20610,546004,EA,614,614,614,614,614,614,614,614,614,614,614,614,614,614,614,614,614INC THROMB HEMORHOID XTRN,EA,46083,546083,EA,"1,535.00","1,535.00","1,535.00","1,535.00","1,535.00","1,535.00","1,535.00","1,535.00","1,535.00","1,535.00","1,535.00","1,535.00","1,535.00","1,535.00","1,535.00","1,535.00","1,535.00"NJX ANES TRI NRV/ANY BRCH,EA,64400,547129,EA,614,614,614,614,614,614,614,614,614,614,614,614,614,614,614,614,614NJX ANES TRI NRV/ANY BRCH,EA,64400,547130,EA,882,882,882,882,882,882,882,882,882,882,882,882,882,882,882,882,882NEBULIZER TX,EA,94640,547708,EA,179,179,179,179,179,179,179,179,179,179,179,179,179,179,179,179,17999292 CRITICAL CARE 30-74 MIN,EA,99292,547710,EA,"1,388.00","1,388.00","1,388.00","1,388.00","1,388.00","1,388.00","1,388.00","1,388.00","1,388.00","1,388.00","1,388.00","1,388.00","1,388.00","1,388.00","1,388.00","1,388.00","1,388.00"INJECTION ANES OTHER PERI,EA,64450,547711,EA,746,746,746,746,746,746,746,746,746,746,746,746,746,746,746,746,746INJ ANES P - FACILITY,EA,64450,547712,EA,434,434,434,434,434,434,434,434,434,434,434,434,434,434,434,434,434LACREPAIR S/A/T/E 12.6-20,EA,12035,547715,EA,809,809,809,809,809,809,809,809,809,809,809,809,809,809,809,809,809REDUCTION KNEE W/O ANESTH,EA,27550,547716,EA,"2,666.00","2,666.00","2,666.00","2,666.00","2,666.00","2,666.00","2,666.00","2,666.00","2,666.00","2,666.00","2,666.00","2,666.00","2,666.00","2,666.00","2,666.00","2,666.00","2,666.00"CLTX FX PHLX/PHLG NO GTOE,EA,28515,547717,EA,802,802,802,802,802,802,802,802,802,802,802,802,802,802,802,802,802INCISION: DRAINAGE ABSCES,EA,10060,547719,EA,294,294,294,294,294,294,294,294,294,294,294,294,294,294,294,294,294F.B. REMOVAL-CORNEA,EA,65220,547720,EA,204,204,204,204,204,204,204,204,204,204,204,204,204,204,204,204,204FAC-CLTX META FX W/M EA B,EA,26605,547723,EA,639,639,639,639,639,639,639,639,639,639,639,639,639,639,639,639,639CLTX META FX W/MANI EA B,EA,26605,547725,EA,"1,642.00","1,642.00","1,642.00","1,642.00","1,642.00","1,642.00","1,642.00","1,642.00","1,642.00","1,642.00","1,642.00","1,642.00","1,642.00","1,642.00","1,642.00","1,642.00","1,642.00"FAC-INJ SGL/MLT TRIG,EA,20553,547730,EA,669,669,669,669,669,669,669,669,669,669,669,669,669,669,669,669,669I&O VUL/PERI ABCESS,EA,56405,547734,EA,610,610,610,610,610,610,610,610,610,610,610,610,610,610,610,610,610FAC I&O VUL/PERI ABSCESS,EA,56405,547735,EA,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210DRAINAGE OF HEMOTOMA,EA,10140,547739,EA,440,440,440,440,440,440,440,440,440,440,440,440,440,440,440,440,440FAC-DRAIMAGE OF HEMOTOMA,EA,10140,547740,EA,280,280,280,280,280,280,280,280,280,280,280,280,280,280,280,280,280INITIAL TX 1ST DEGR BURN,EA,16000,547745,EA,92,92,92,92,92,92,92,92,92,92,92,92,92,92,92,92,92FAC-IN TX 1ST DEG BURN,EA,16000,547746,EA,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44I&D PILO CYST-SIM,EA,10080,547747,EA,371,371,371,371,371,371,371,371,371,371,371,371,371,371,371,371,371FAC-I&D PILO CYST-SIM,EA,10080,547748,EA,529,529,529,529,529,529,529,529,529,529,529,529,529,529,529,529,529I&D - PILO CYST-COMP,EA,10081,547749,EA,661,661,661,661,661,661,661,661,661,661,661,661,661,661,661,661,661FAC-I&D PILO CYST-COMP,EA,10081,547750,EA,"1,501.00","1,501.00","1,501.00","1,501.00","1,501.00","1,501.00","1,501.00","1,501.00","1,501.00","1,501.00","1,501.00","1,501.00","1,501.00","1,501.00","1,501.00","1,501.00","1,501.00"CATH URINE SPEC COLL,EA,P9612,548000,EA,184,184,184,184,184,184,184,184,184,184,184,184,184,184,184,184,184BLADDER IRR/LAVAGE INSTAL,EA,51700,548010,EA,908,908,908,908,908,908,908,908,908,908,908,908,908,908,908,908,908FAC-CRITICAL CARE 30-74 M,EA,99291,548710,EA,"2,030.00","2,030.00","2,030.00","2,030.00","2,030.00","2,030.00","2,030.00","2,030.00","2,030.00","2,030.00","2,030.00","2,030.00","2,030.00","2,030.00","2,030.00","2,030.00","2,030.00"CRIT CARE EA ADDL 30 MIN,EA,99292,548711,EA,696,696,696,696,696,696,696,696,696,696,696,696,696,696,696,696,696FAC-CCARE EA ADDL 30 MIN,EA,99292,548713,EA,"1,019.00","1,019.00","1,019.00","1,019.00","1,019.00","1,019.00","1,019.00","1,019.00","1,019.00","1,019.00","1,019.00","1,019.00","1,019.00","1,019.00","1,019.00","1,019.00","1,019.00"INJ S/M 1-2 MUSCLES,EA,20552,548715,EA,145,145,145,145,145,145,145,145,145,145,145,145,145,145,145,145,145FAC-INJ S/M 1-2 MUSCLES,EA,20552,548716,EA,107,107,107,107,107,107,107,107,107,107,107,107,107,107,107,107,107FAC-CL TRMT- ANKLE W/MANI,EA,27818,548717,EA,524,524,524,524,524,524,524,524,524,524,524,524,524,524,524,524,524CL TRMT-ANKLE W/MANI,EA,27818,548718,EA,"2,462.00","2,462.00","2,462.00","2,462.00","2,462.00","2,462.00","2,462.00","2,462.00","2,462.00","2,462.00","2,462.00","2,462.00","2,462.00","2,462.00","2,462.00","2,462.00","2,462.00"CLSD TX NOSE FX W/O MANI,EA,21310,548719,EA,376,376,376,376,376,376,376,376,376,376,376,376,376,376,376,376,376CLSD TX NOSE FS W/O MANI,EA,21310,548720,EA,407,407,407,407,407,407,407,407,407,407,407,407,407,407,407,407,407FAC-REPAIR NAIL BED,EA,11760,548721,EA,654,654,654,654,654,654,654,654,654,654,654,654,654,654,654,654,654PRO-REPAIR NAIL BED,EA,11760,548722,EA,681,681,681,681,681,681,681,681,681,681,681,681,681,681,681,681,681SMPL RPR SCALP/NECK/AX/GE,EA,12006,548725,EA,561,561,561,561,561,561,561,561,561,561,561,561,561,561,561,561,561SMPL RPR SCALP/NECK/AX/GE,EA,12006,548726,EA,589,589,589,589,589,589,589,589,589,589,589,589,589,589,589,589,589CLTX DSTL FIB FX LAT MALL,EA,27788,548727,EA,624,624,624,624,624,624,624,624,624,624,624,624,624,624,624,624,624CLTX DSTL FIB FX LAT MALL,EA,27788,548728,EA,"2,173.00","2,173.00","2,173.00","2,173.00","2,173.00","2,173.00","2,173.00","2,173.00","2,173.00","2,173.00","2,173.00","2,173.00","2,173.00","2,173.00","2,173.00","2,173.00","2,173.00"FAC-TREAT FINGER FX EACH,EA,26755,548729,EA,621,621,621,621,621,621,621,621,621,621,621,621,621,621,621,621,621PRO-TREAT FINGER FX EACH,EA,26755,548730,EA,"1,540.00","1,540.00","1,540.00","1,540.00","1,540.00","1,540.00","1,540.00","1,540.00","1,540.00","1,540.00","1,540.00","1,540.00","1,540.00","1,540.00","1,540.00","1,540.00","1,540.00"FAC-REPAIR OF LIP,EA,40650,548731,EA,"1,868.00","1,868.00","1,868.00","1,868.00","1,868.00","1,868.00","1,868.00","1,868.00","1,868.00","1,868.00","1,868.00","1,868.00","1,868.00","1,868.00","1,868.00","1,868.00","1,868.00"PRO-REPAIR OF LIP,EA,40650,548732,EA,"1,895.00","1,895.00","1,895.00","1,895.00","1,895.00","1,895.00","1,895.00","1,895.00","1,895.00","1,895.00","1,895.00","1,895.00","1,895.00","1,895.00","1,895.00","1,895.00","1,895.00"FAC-LAC REP-INT TRNK <2.5,EA,12031,548733,EA,639,639,639,639,639,639,639,639,639,639,639,639,639,639,639,639,639NJX/DX/THER SBST EPIDURAL,EA,62310,548734,EA,"1,942.00","1,942.00","1,942.00","1,942.00","1,942.00","1,942.00","1,942.00","1,942.00","1,942.00","1,942.00","1,942.00","1,942.00","1,942.00","1,942.00","1,942.00","1,942.00","1,942.00"NJX/DX/THER SBST EPIDURAL,EA,62310,548735,EA,"1,970.00","1,970.00","1,970.00","1,970.00","1,970.00","1,970.00","1,970.00","1,970.00","1,970.00","1,970.00","1,970.00","1,970.00","1,970.00","1,970.00","1,970.00","1,970.00","1,970.00"CONTROL OF NOSEBLEED FAC,EA,30905,548736,EA,"1,801.00","1,801.00","1,801.00","1,801.00","1,801.00","1,801.00","1,801.00","1,801.00","1,801.00","1,801.00","1,801.00","1,801.00","1,801.00","1,801.00","1,801.00","1,801.00","1,801.00"CONTROL OF NOSEBLEED PRO,EA,30905,548737,EA,737,737,737,737,737,737,737,737,737,737,737,737,737,737,737,737,737TX/PROPH/DG ADD SEQ IVINF,EA,96367,548738,EA,202,202,202,202,202,202,202,202,202,202,202,202,202,202,202,202,202INTMD RPR S/A/T/EXT 12.6-,EA,12035,548739,EA,"1,633.00","1,633.00","1,633.00","1,633.00","1,633.00","1,633.00","1,633.00","1,633.00","1,633.00","1,633.00","1,633.00","1,633.00","1,633.00","1,633.00","1,633.00","1,633.00","1,633.00"CLTX FX PHLX/PHLG NO GTOE,EA,28515,548740,EA,"1,085.00","1,085.00","1,085.00","1,085.00","1,085.00","1,085.00","1,085.00","1,085.00","1,085.00","1,085.00","1,085.00","1,085.00","1,085.00","1,085.00","1,085.00","1,085.00","1,085.00"TX DISLOCATION W/O ANES,EA,27560,548741,EA,"2,431.00","2,431.00","2,431.00","2,431.00","2,431.00","2,431.00","2,431.00","2,431.00","2,431.00","2,431.00","2,431.00","2,431.00","2,431.00","2,431.00","2,431.00","2,431.00","2,431.00"TX DISLOCATION W/O ANES,EA,27560,548742,EA,"2,459.00","2,459.00","2,459.00","2,459.00","2,459.00","2,459.00","2,459.00","2,459.00","2,459.00","2,459.00","2,459.00","2,459.00","2,459.00","2,459.00","2,459.00","2,459.00","2,459.00"DRAINAGE OF FINGER ABCESS,EA,26010,548743,EA,922,922,922,922,922,922,922,922,922,922,922,922,922,922,922,922,922DRAINAGE OF FINGER ABCESS,EA,26010,548744,EA,"1,736.00","1,736.00","1,736.00","1,736.00","1,736.00","1,736.00","1,736.00","1,736.00","1,736.00","1,736.00","1,736.00","1,736.00","1,736.00","1,736.00","1,736.00","1,736.00","1,736.00"EXC-H-F-NK-SP-B9+MARG0.5/,EA,11420,548745,EA,460,460,460,460,460,460,460,460,460,460,460,460,460,460,460,460,460EXC-H-F-NK-SP-B9+MARG0.5/,EA,11420,548746,EA,675,675,675,675,675,675,675,675,675,675,675,675,675,675,675,675,675REMOVAL OF NAIL BED,EA,11750,548747,EA,946,946,946,946,946,946,946,946,946,946,946,946,946,946,946,946,946REMOVAL OF NAIL BED,EA,11750,548748,EA,"1,198.00","1,198.00","1,198.00","1,198.00","1,198.00","1,198.00","1,198.00","1,198.00","1,198.00","1,198.00","1,198.00","1,198.00","1,198.00","1,198.00","1,198.00","1,198.00","1,198.00"DRAINAGE OF HEART SAC,EA,33010,548749,EA,832,832,832,832,832,832,832,832,832,832,832,832,832,832,832,832,832DRAINAGE OF HEART SAC,EA,33010,548750,EA,862,862,862,862,862,862,862,862,862,862,862,862,862,862,862,862,862TX/PROPH/DG ADD SEQ IVINF,EA,9636759,548751,EA,202,202,202,202,202,202,202,202,202,202,202,202,202,202,202,202,202TX/PROPH/DG ADD SEQ IVINF,EA,9636759,548752,EA,202,202,202,202,202,202,202,202,202,202,202,202,202,202,202,202,202STRAPPING OF HAND OR FINGER PRO FEE,EA,29280,549280,EA,251,251,251,251,251,251,251,251,251,251,251,251,251,251,251,251,251STRAPPING OF HAND OR FINGER FAC FEE,EA,29280,549281,EA,195,195,195,195,195,195,195,195,195,195,195,195,195,195,195,195,195REPLACE DUOD/JEJ TUBE PERC PRO FEE,EA,4945152,549451,EA,789,789,789,789,789,789,789,789,789,789,789,789,789,789,789,789,789REPLACE DUOD/JEJ TUBE PERC FAC FEE,EA,4945152,549452,EA,627,627,627,627,627,627,627,627,627,627,627,627,627,627,627,627,627WEDGE NAIL EXCISION,EA,11765,549453,EA,"1,623.00","1,623.00","1,623.00","1,623.00","1,623.00","1,623.00","1,623.00","1,623.00","1,623.00","1,623.00","1,623.00","1,623.00","1,623.00","1,623.00","1,623.00","1,623.00","1,623.00"GREATER NJX NERVE BLOCK,EA,64405,564405,EA,"2,621.00","2,621.00","2,621.00","2,621.00","2,621.00","2,621.00","2,621.00","2,621.00","2,621.00","2,621.00","2,621.00","2,621.00","2,621.00","2,621.00","2,621.00","2,621.00","2,621.00"LESSER NJX NERVE BLOCK,EA,64450,564450,EA,732,732,732,732,732,732,732,732,732,732,732,732,732,732,732,732,732CLEAR OUT EAR CANAL,EA,69205,569205,EA,903,903,903,903,903,903,903,903,903,903,903,903,903,903,903,903,903BLS EMERGENT TRANS QN,EA,A0429QN,700002,EA,"1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00"BLS NONEMERGENT TRANS QN,EA,A0428QN,700003,EA,"1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00"MEDICAID MILEAGE EMERGENT RH,EA,A0425RH,700004,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17MCR MILEAGE<100 MILESRH,EA,A0425RH,700005,EA,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5MCR MILEAGE >=100 MILES RH,EA,A0425RH,700006,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17BLS EMERGENT TRANS SH,EA,A0429PH,700007,EA,"1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00"GRD MILEAGEPH,EA,A0425PH,700008,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17MEDICAID MILEAGE EMERGENTEH,EA,A0425EH,700010,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17MDCD MILEAGE EMERGENTHH,EA,A0425HH,700011,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17MDCD MILEAGE EMERGENTHE,EA,A0425HE,700012,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17MCR MILEAGE <100 MILESEH,EA,A0425EH,700013,EA,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5MCRMILEAGE<HH100MILES,EA,A0425HH,700014,EA,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5MCR MILEAGE<100 MILESHE,EA,A0425HE,700015,EA,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5MCR MILEAGE>=100MILESEH,EA,A0425EH,700016,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17MCR MILEAGE>=100MILESHH,EA,A0425HH,700017,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17MCR MILEAGE >=100 MILESHE,EA,A0425HE,700018,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17MEDICAID MILEAGE EMERGENT RI,EA,A0425RI,700019,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17BLS EMERGENT TRANS RI,EA,A0429RI,700020,EA,"1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00"BLS EMERGENT TRANS RH,EA,A0429RH,700021,EA,"1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00"BLS EMERGENT TRANS EH,EA,A0429EH,700022,EA,"1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00"BLS EMERGENT TRANS HH,EA,A0429HH,700023,EA,"1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00"BLS EMERGENT TRANS HE,EA,A0429HE,700024,EA,"1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00"BLS NONEMERGENT TRANS RI,EA,A0428RI,700025,EA,"1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00"BLS NONEMERGENT TRANS RH,EA,A0428RH,700026,EA,"1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00"BLS NONEMERGENT TRANS EH,EA,A0428EH,700027,EA,"1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00"BLS NONEMERGENT TRANS HH,EA,A0428HH,700028,EA,"1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00"BLS NONEMERGENT TRANS HE,EA,A0428HE,700029,EA,"1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00"MCR MILEAGE<100 MILESRI,EA,A0425RI,700030,EA,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5MCR MILEAGE >=100 MILES RI,EA,A0425RI,700031,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17ALS/NE(ALS1)RI,EA,A0426RI,700032,EA,"1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00"ALS/E(ALS1)RI,EA,A0427RI,700033,EA,"1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00"GRD MILEAGEHI,EA,A0425HI,700034,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17GRD MILEAGESH,EA,A0425SH,700035,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17ALS/E(ALS1)SH,EA,A0427SH,700036,EA,"1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00"ALS/E(ALS1)EH,EA,A0427EH,700037,EA,"1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00"ALS/NE(ALS1) EH,EA,A0426EH,700038,EA,"1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00"ALS/NE(ALS1)HH,EA,A0426HH,700039,EA,"1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00"ALS/N.E. (ALS1) HE,EA,A0426HE,700040,EA,"1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00"ALS/NE(ALS1)RH,EA,A0426RH,700041,EA,"1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00"ALS/E(ALS1)RH,EA,A0427RH,700042,EA,"1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00"ALS/E(ALS1) HI,EA,A0427HI,700043,EA,"1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00"ALS/E(ALS1)HH,EA,A0427HH,700044,EA,"1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00"ALS/E(ALS1)HE,EA,A0427HE,700045,EA,"1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00"GRD MILEAGERH,EA,A0425RH,700046,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17GRD MILEAGEEH,EA,A0425EH,700047,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17GRD MILEAGEHH,EA,A0425HH,700048,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17GRD MILEAGEHE,EA,A0425HE,700049,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17NONEMERGENT NURSING HOME,EA,,700050,EA,234,234,234,234,234,234,234,234,234,234,234,234,234,234,234,234,234ALS/NE(ALS1)SH,EA,A0426SH,700051,EA,"1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00"MCR MILEAGE >=100 MILES SH,EA,A0425SH,700052,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17MCR MILEAGE<100 MILESSH,EA,A0425SH,700053,EA,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5MEDICAID MILEAGE EMERGENT SH,EA,A0425SH,700054,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17BLS NONEMERGENT TRANS HR,EA,A0425HR,700055,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17BLS EMERGENT TRANS SH,EA,A0429SH,700056,EA,"1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00"ALS/E(ALS1)HH NON EMERGENT,EA,A0426HH,700057,EA,"1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00"MCR MILEAGE<100 MILESHH NON EMERGENT,EA,A0428HH,700058,EA,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5MCR MILEAGE >=100 MILES HH NON EMERGENT,EA,A0425HH,700059,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17ALS/E(ALS1)HR NON EMERGENT,EA,A0426HR,700060,EA,"1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00"MCR MILEAGE<100 MILESHE NON EMERGENT,EA,A0425HE,700061,EA,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5BLS NONEMERGENT TRANS HR,EA,A0428HR,700062,EA,"1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00"MCR MILEAGE >=100 MILES HR NON EMERGENT,EA,A0428HR,700063,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17ALS/NE(ALS1)RE,EA,A0426RE,700064,EA,"1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00"MCR MILEAGE<100 MILESRE NON EMERGENT,EA,A0428RE,700065,EA,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5ALS/E(ALS1)HI,EA,A0427HI,700066,EA,"1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00"GRD MILEAGEHI,EA,A0425HI,700067,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17MCRMILEAGE>SI100MILES,EA,A0425SI,700098,EA,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5ALS/E(ALS1)SI,EA,A0427SI,700099,EA,"1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00"MCR MILEAGE<100 MILESPH,EA,A0425PH,700115,EA,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5ALS/E(ALS1)PH,EA,A0427PH,700137,EA,"1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00"FETROJA SDV 1GM ***do not use*****,EA,J0699,700699,EA,"14,503.00","14,503.00","14,503.00","14,503.00","14,503.00","14,503.00","14,503.00","14,503.00","14,503.00","14,503.00","14,503.00","14,503.00","14,503.00","14,503.00","14,503.00","14,503.00","14,503.00"POTASSIUM CHL INJ [10MEQ/5ML] VIAL,EA,,705694,EA,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,2999217 DISCH OBS NEXT DAY,EA,99217AQ,1003310,EA,186,186,186,186,186,186,186,186,186,186,186,186,186,186,186,186,18699218 ADMIT OBS LOW,EA,99218AQ,1003311,EA,453,453,453,453,453,453,453,453,453,453,453,453,453,453,453,453,45399219 ADMIT OBS MOD,EA,99219AQ,1003312,EA,614,614,614,614,614,614,614,614,614,614,614,614,614,614,614,614,614ADMIT OV HIGH,EA,99220AQ,1003313,EA,840,840,840,840,840,840,840,840,840,840,840,840,840,840,840,840,840ADMIT IP LOW,EA,99221AQ,1003314,EA,460,460,460,460,460,460,460,460,460,460,460,460,460,460,460,460,46099222 PHY IP ADMIT MODERATE,EA,99222AQ,1003315,EA,622,622,622,622,622,622,622,622,622,622,622,622,622,622,622,622,622ADMIT IP HIGH,EA,99223AQ,1003316,EA,917,917,917,917,917,917,917,917,917,917,917,917,917,917,917,917,917DR SUBSEQUENT CARE 15 MIN,EA,99231,1003317,EA,182,182,182,182,182,182,182,182,182,182,182,182,182,182,182,182,182DR SUBSEQUENT CARE 25 MIN,EA,99232,1003318,EA,328,328,328,328,328,328,328,328,328,328,328,328,328,328,328,328,328DR SUBSEQUENT CARE 35 MIN,EA,99233,1003319,EA,473,473,473,473,473,473,473,473,473,473,473,473,473,473,473,473,47399234 ADMIT/DISCH OBS SAME DAY LOW,EA,99234AQ,1003320,EA,605,605,605,605,605,605,605,605,605,605,605,605,605,605,605,605,605ADMIT/DISCH OV SME DY MD,EA,99235AQ,1003321,EA,767,767,767,767,767,767,767,767,767,767,767,767,767,767,767,767,767ADMIT/DISCH OV SME DY HI,EA,99236AQ,1003322,EA,986,986,986,986,986,986,986,986,986,986,986,986,986,986,986,986,98699238 DISCH IP LESS THAN 30 MIN,EA,99238AQ,1003323,EA,329,329,329,329,329,329,329,329,329,329,329,329,329,329,329,329,329DISCH IP MORE THAN 30 MIN,EA,99239AQ,1003324,EA,487,487,487,487,487,487,487,487,487,487,487,487,487,487,487,487,48793010 EKG INTERPRETATION INPATIENT,EA,93010,1003325,EA,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64CLTX DSTL RDL FX +-W/MNPJ,EA,25605,1005605,EA,"2,331.00","2,331.00","2,331.00","2,331.00","2,331.00","2,331.00","2,331.00","2,331.00","2,331.00","2,331.00","2,331.00","2,331.00","2,331.00","2,331.00","2,331.00","2,331.00","2,331.00"99225 SUBSEQ OBS CARE MED,EA,99225AQ,1009225,EA,580,580,580,580,580,580,580,580,580,580,580,580,580,580,580,580,58099226 SUBSEQ OBS CARE HIGH,EA,99219AQ,1009226,EA,832,832,832,832,832,832,832,832,832,832,832,832,832,832,832,832,83293010 EKG INTERPRETATION OUTPATIENT,EA,93010,1210001,EA,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64.UNATTENDED SLEEP STUDY,EA,95800,2020000,EA,"1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00","1,090.00"VENOUS BLOOD GAS,EA,82803,2501530,EA,640,640,640,640,640,640,640,640,640,640,640,640,640,640,640,640,640ARTERIAL BLOOD GAS WITH CO-OX,EA,,2501550,EA,"1,659.00","1,659.00","1,659.00","1,659.00","1,659.00","1,659.00","1,659.00","1,659.00","1,659.00","1,659.00","1,659.00","1,659.00","1,659.00","1,659.00","1,659.00","1,659.00","1,659.00"ARTERIAL PUNCTURE,EA,36600,2501551,EA,183,183,183,183,183,183,183,183,183,183,183,183,183,183,183,183,183ARTERIAL BLOOD GAS,EA,82805,2501552,EA,640,640,640,640,640,640,640,640,640,640,640,640,640,640,640,640,640ET TUBE INTRODUCER,EA,,2501553,EA,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68CARBOXYHEMOGLOBIN,EA,82375,2501555,EA,96,96,96,96,96,96,96,96,96,96,96,96,96,96,96,96,96METHEMOGLOBIN,EA,83050,2501556,EA,96,96,96,96,96,96,96,96,96,96,96,96,96,96,96,96,96CAPNOGRAPHER SAMP TUB KIT,EA,,2502000,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17CAPNOGRAPHER MASK,EA,,2502001,EA,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44CAPNOGRAPHER NASL CANNULA,EA,,2502002,EA,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43CAPNOGRAPHER AIRWAY ADPTR,EA,,2502003,EA,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29CRICOTHYROTOMY KIT ADULT,EA,,2502590,EA,876,876,876,876,876,876,876,876,876,876,876,876,876,876,876,876,876CRICOTHYROTOMY PEDI KIT,EA,,2502591,EA,"1,059.00","1,059.00","1,059.00","1,059.00","1,059.00","1,059.00","1,059.00","1,059.00","1,059.00","1,059.00","1,059.00","1,059.00","1,059.00","1,059.00","1,059.00","1,059.00","1,059.00"EMERGENCY RESUSCITA (CPR),EA,92950,2503228,EA,"1,720.00","1,720.00","1,720.00","1,720.00","1,720.00","1,720.00","1,720.00","1,720.00","1,720.00","1,720.00","1,720.00","1,720.00","1,720.00","1,720.00","1,720.00","1,720.00","1,720.00"ET TUBE EXCHANGER,EA,,2503253,EA,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50NASAL CANNULA E-Z WRAP,EA,,2505125,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9NASOPHARYNGEAL AIRWAY,EA,,2505136,EA,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23OXYGEN MAX CHG FOR 24HR,EA,,2505472,EA,696,696,696,696,696,696,696,696,696,696,696,696,696,696,696,696,696OXYGEN PER HR,EA,,2505480,EA,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29PEAK FLOW METER DISPOS,EA,A4614,2505518,EA,129,129,129,129,129,129,129,129,129,129,129,129,129,129,129,129,129MASK-ADULT TRACH,EA,,2505585,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10SPUTUM COLLECTION P/TRT,EA,94640,2506736,EA,161,161,161,161,161,161,161,161,161,161,161,161,161,161,161,161,161STERILE WATER 2000ML BAG,EA,,2506786,EA,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56STERILE WATER 500ML BOTLE,EA,,2506787,EA,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56NEBULIZER TX,EA,94640,2507708,EA,179,179,179,179,179,179,179,179,179,179,179,179,179,179,179,179,179NEBULIZER MINI HEART,EA,,2507713,EA,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154KING ET TUBE KIT,EA,,2507718,EA,282,282,282,282,282,282,282,282,282,282,282,282,282,282,282,282,282MASK-VENTURI,EA,,2508005,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22.POLYSOMNOGRAM ONSITE,EA,95810,2508100,EA,"5,419.00","5,419.00","5,419.00","5,419.00","5,419.00","5,419.00","5,419.00","5,419.00","5,419.00","5,419.00","5,419.00","5,419.00","5,419.00","5,419.00","5,419.00","5,419.00","5,419.00".SLEEP STUDY ONSITE,EA,95810,2508101,EA,"5,495.00","5,495.00","5,495.00","5,495.00","5,495.00","5,495.00","5,495.00","5,495.00","5,495.00","5,495.00","5,495.00","5,495.00","5,495.00","5,495.00","5,495.00","5,495.00","5,495.00".SLEEP STUDY UNATTENDED,EA,G0398,2508102,EA,"1,441.00","1,441.00","1,441.00","1,441.00","1,441.00","1,441.00","1,441.00","1,441.00","1,441.00","1,441.00","1,441.00","1,441.00","1,441.00","1,441.00","1,441.00","1,441.00","1,441.00".PHYSICIAN INT-POLYSOM ONSITE,EA,95810,2508150,EA,765,765,765,765,765,765,765,765,765,765,765,765,765,765,765,765,765.PHYSICIAN INT-SLEEP STUDY UNATTE POLY,EA,9580026,2508151,EA,972,972,972,972,972,972,972,972,972,972,972,972,972,972,972,972,972.CPAP/BIPAP TITRATION ON SITE,EA,95811,2508200,EA,"5,691.00","5,691.00","5,691.00","5,691.00","5,691.00","5,691.00","5,691.00","5,691.00","5,691.00","5,691.00","5,691.00","5,691.00","5,691.00","5,691.00","5,691.00","5,691.00","5,691.00".PHY INT-CPAP/BIPAP TITRAT ON SITE,EA,95811,2508250,EA,795,795,795,795,795,795,795,795,795,795,795,795,795,795,795,795,795PERCUSSION CHEST-INITIAL,EA,94667,2509000,EA,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224PERCUSSION CHEST-SUB,EA,94668,2509001,EA,249,249,249,249,249,249,249,249,249,249,249,249,249,249,249,249,249EZ PAP INHALATION TREATMENT,EA,94660,2509464,EA,"1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00"VENT MGMT INPAT INIT DAY,EA,94002,2594002,EA,"3,588.00","3,588.00","3,588.00","3,588.00","3,588.00","3,588.00","3,588.00","3,588.00","3,588.00","3,588.00","3,588.00","3,588.00","3,588.00","3,588.00","3,588.00","3,588.00","3,588.00"VENT MGMT IP SUBQ DAY,EA,94003,2594003,EA,"3,588.00","3,588.00","3,588.00","3,588.00","3,588.00","3,588.00","3,588.00","3,588.00","3,588.00","3,588.00","3,588.00","3,588.00","3,588.00","3,588.00","3,588.00","3,588.00","3,588.00"POS AIRWAY PRESSURE CPAP,EA,94660,2594660,EA,"1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00","1,385.00"STAX FINGER SPLINTS,EA,,3000102,EA,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38CHO-PAT ACTION KNEE STRAP,EA,A4466,3000103,EA,427,427,427,427,427,427,427,427,427,427,427,427,427,427,427,427,42712 LEVEL STRETCH ASSIST S,EA,,3000104,EA,53,53,53,53,53,53,53,53,53,53,53,53,53,53,53,53,53SPENCO RX-ORTHOTICARCH,EA,,3000105,EA,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119HIP/KNEE EQUIP KIT,EA,,3000312,EA,252,252,252,252,252,252,252,252,252,252,252,252,252,252,252,252,252BLEDSOE BRACE,EA,,3001967,EA,370,370,370,370,370,370,370,370,370,370,370,370,370,370,370,370,370PUL-EZ SHOULDER PULLEY,EA,,3002677,EA,69,69,69,69,69,69,69,69,69,69,69,69,69,69,69,69,69COMPRESSION GLOVE-EDEMA,EA,,3003109,EA,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46SI BELT,EA,,3003471,EA,391,391,391,391,391,391,391,391,391,391,391,391,391,391,391,391,391SPENCO METATARSAL PAD,EA,,3004174,EA,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28KNEE BRACE - DONJOY BUTRU,EA,L1848,3004516,EA,352,352,352,352,352,352,352,352,352,352,352,352,352,352,352,352,352KNEE BRACE GENERATION II,EA,,3004517,EA,84,84,84,84,84,84,84,84,84,84,84,84,84,84,84,84,84LEG SPLINT-POST HIP ADULT,EA,,3004615,EA,260,260,260,260,260,260,260,260,260,260,260,260,260,260,260,260,260LEG SPLINT-POST HIP CHILD,EA,,3004618,EA,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130MATATARSAL PADS,EA,,3004933,EA,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20TENNIS ELBOW W/PAD,EA,A9270,3007113,EA,185,185,185,185,185,185,185,185,185,185,185,185,185,185,185,185,185THERABAND,EA,,3007160,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8THIGH SUPPORT 4000,EA,,3007170,EA,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55WALKER NEXTEP SHORT,EA,,3008000,EA,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210WRIST SUPPORT-FREEDOM,EA,L3908,3008066,EA,367,367,367,367,367,367,367,367,367,367,367,367,367,367,367,367,367RADIAL NERVE WRIST SPLINT,EA,,3008067,EA,"1,232.00","1,232.00","1,232.00","1,232.00","1,232.00","1,232.00","1,232.00","1,232.00","1,232.00","1,232.00","1,232.00","1,232.00","1,232.00","1,232.00","1,232.00","1,232.00","1,232.00"HAPAD METATARSAL ARCH PAD,EA,,3008451,EA,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12HAPAD WOMEN'S MET COOKIE,EA,,3008452,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11HAPAD METATARSAL PAD,EA,,3008453,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11METATARSAL COOKIE,EA,,3008458,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11LONG METATARSAL PAD,EA,,3008459,EA,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12"SILICONE GEL SHEET 4""X6.5",EA,,3008460,EA,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40HIP KIT III,EA,,3008462,EA,63,63,63,63,63,63,63,63,63,63,63,63,63,63,63,63,63CANALITH REPOSITION/DAY,EA,95992GP,3021500,EA,347,347,347,347,347,347,347,347,347,347,347,347,347,347,347,347,347DEV COG SKILLS EA 15 MIN,EA,97532GP,3021600,EA,244,244,244,244,244,244,244,244,244,244,244,244,244,244,244,244,244ORTHO MGMT/TRAIN EA15 MIN,EA,97760GP,3022000,EA,340,340,340,340,340,340,340,340,340,340,340,340,340,340,340,340,340APPLICATION OF COLD PACK,EA,97010GP,3022001,EA,470,470,470,470,470,470,470,470,470,470,470,470,470,470,470,470,470ORTHOTICS CHK EA15 PVTINS,EA,97762GP,3022002,EA,419,419,419,419,419,419,419,419,419,419,419,419,419,419,419,419,419DEBRIDEMENT NON-SELECTIVE,EA,97602GP,3022003,EA,222,222,222,222,222,222,222,222,222,222,222,222,222,222,222,222,222W/CHAIR FIT/EVAL EA 15 M,EA,97542GP,3022007,EA,279,279,279,279,279,279,279,279,279,279,279,279,279,279,279,279,279DIATHERMY MODALITY,EA,97024GP,3022041,EA,63,63,63,63,63,63,63,63,63,63,63,63,63,63,63,63,63ELEC STIM MODLITY UNATEND,EA,G0283GP,3023105,EA,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119ELEC STIM MODALITY PVTINS,EA,97140GP,3023106,EA,146,146,146,146,146,146,146,146,146,146,146,146,146,146,146,146,146EXERCISE EA 15 MIN,EA,97110GP,3023345,EA,291,291,291,291,291,291,291,291,291,291,291,291,291,291,291,291,291GAIT TRAIN EX EA 15 MIN,EA,97116GP,3023600,EA,257,257,257,257,257,257,257,257,257,257,257,257,257,257,257,257,257APPLICATION OF HOT PACK,EA,97010GP,3023621,EA,470,470,470,470,470,470,470,470,470,470,470,470,470,470,470,470,470INITIAL EVALUATION,EA,97001GP,3023800,EA,675,675,675,675,675,675,675,675,675,675,675,675,675,675,675,675,675RE-EVALUATION,EA,97164GP,3023801,EA,377,377,377,377,377,377,377,377,377,377,377,377,377,377,377,377,377COMPRESSION PUMP MODALITY,EA,97016GP,3023802,EA,171,171,171,171,171,171,171,171,171,171,171,171,171,171,171,171,171PT EVAL LOW COMPLEXITY,EA,97161GP,3023803,EA,656,656,656,656,656,656,656,656,656,656,656,656,656,656,656,656,656PT EV MODERATE COMPLEXITY,EA,97162GP,3023804,EA,675,675,675,675,675,675,675,675,675,675,675,675,675,675,675,675,675PT EVAL HIGH COMPLEXITY,EA,97163GP,3023805,EA,698,698,698,698,698,698,698,698,698,698,698,698,698,698,698,698,698MECHANICAL TRACTION,EA,97012GP,3023849,EA,146,146,146,146,146,146,146,146,146,146,146,146,146,146,146,146,146IONTOPHORESIS 1-15 MIN,EA,97033GP,3023850,EA,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236GEL PACK (PVT INS),EA,,3025000,EA,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119MANUAL THERAPY EA 15 M,EA,97140GP,3025037,EA,270,270,270,270,270,270,270,270,270,270,270,270,270,270,270,270,270GROUP THERAPEUTIC PROCED,EA,97150GP,3025038,EA,133,133,133,133,133,133,133,133,133,133,133,133,133,133,133,133,133MASSAGE MODALITY PR 15MIN,EA,97124GP,3025039,EA,238,238,238,238,238,238,238,238,238,238,238,238,238,238,238,238,238NEUROMUSCULAR RE-ED 15 M,EA,97112GP,3025049,EA,303,303,303,303,303,303,303,303,303,303,303,303,303,303,303,303,303PARAFFIN BATH,EA,97018GP,3025377,EA,90,90,90,90,90,90,90,90,90,90,90,90,90,90,90,90,90THERAPUTIC ACT EA 15 MIN,EA,97530GP,3027300,EA,314,314,314,314,314,314,314,314,314,314,314,314,314,314,314,314,314TRANS NERVE STIM SETUP,EA,64550GP,3027340,EA,209,209,209,209,209,209,209,209,209,209,209,209,209,209,209,209,209ULTRASOUND 1-15 MIN,EA,97035GP,3027799,EA,113,113,113,113,113,113,113,113,113,113,113,113,113,113,113,113,113WHIRLPOOL,EA,97022GP,3028034,EA,208,208,208,208,208,208,208,208,208,208,208,208,208,208,208,208,208DEBRIDEMENT 20 SQ CM,EA,97597GP,3028041,EA,286,286,286,286,286,286,286,286,286,286,286,286,286,286,286,286,286DEBRIDE EA ADDL 20 SQ CM,EA,97598GP,3028042,EA,335,335,335,335,335,335,335,335,335,335,335,335,335,335,335,335,335DRY NEEDLING FEE FOR SERVICE,EA,,3028060,EA,53,53,53,53,53,53,53,53,53,53,53,53,53,53,53,53,53FUNCTIONAL DRY NEEDLING,EA,,3028061,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33BRACE KNEE ARTHRITIS-L,EA,L1820,3028062,EA,393,393,393,393,393,393,393,393,393,393,393,393,393,393,393,393,393INSOLE SPENCO SPORT WOMEN,EA,,3028063,EA,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12EVALUATION OF SWALLOWING,EA,92610GN,3028064,EA,520,520,520,520,520,520,520,520,520,520,520,520,520,520,520,520,520TREATMENT OF SWALLOWING,EA,92526GN,3028065,EA,369,369,369,369,369,369,369,369,369,369,369,369,369,369,369,369,369TREATMENT OF SPEECH/LANG,EA,92507GN,3028066,EA,393,393,393,393,393,393,393,393,393,393,393,393,393,393,393,393,393COGNITIVE TREATMENT,EA,97532,3028067,EA,123,123,123,123,123,123,123,123,123,123,123,123,123,123,123,123,123SPEECH/LANGUAGE EVAL,EA,92523GN,3028068,EA,555,555,555,555,555,555,555,555,555,555,555,555,555,555,555,555,555SELFCARE/HOME MGMT,EA,97535GP,3097535,EA,274,274,274,274,274,274,274,274,274,274,274,274,274,274,274,274,274WHEEL CHAIR MANAGEMENT,EA,97542GP,3097542,EA,309,309,309,309,309,309,309,309,309,309,309,309,309,309,309,309,309OT APPLICATION OF CASTS STRAPPING,EA,29584GO,3129584,EA,123,123,123,123,123,123,123,123,123,123,123,123,123,123,123,123,123OT TREATMENT FOR SWALLOW DYSFUNCTION ORA,EA,92526GO,3192526,EA,734,734,734,734,734,734,734,734,734,734,734,734,734,734,734,734,734OT EVAL OF ORAL AND PHARYNGEAL SWALLOWIN,EA,92610GO,3192610,EA,552,552,552,552,552,552,552,552,552,552,552,552,552,552,552,552,552OT ROM MEASUREMENT REPORT EXCLUDING HAND,EA,95851GO,3195851,EA,61,61,61,61,61,61,61,61,61,61,61,61,61,61,61,61,61OT HAND ROM MEASUREMENT REPORT,,95852GO,3195852,,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43OTDEVELOPMENTAL SCREENING,EA,96110GO,3196110,EA,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43OT DEVELOMENT TEST ADM ADD HR,,96112GO,3196112,,987,987,987,987,987,987,987,987,987,987,987,987,987,987,987,987,987OT DEVELOPMENTAL TEST ADM ADD 30 MIN,EA,96113GO,3196113,EA,441,441,441,441,441,441,441,441,441,441,441,441,441,441,441,441,441OT COGNITIVE PERFOMANCE TESTING,EA,96125GO,3196125,EA,818,818,818,818,818,818,818,818,818,818,818,818,818,818,818,818,818OT BRIEF EMOTIONAL BEHAVIOR ASSESSMENT,EA,96127GO,3196127,EA,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37OT PARAFFIN WAX BATH,EA,97018GO,3197018,EA,54,54,54,54,54,54,54,54,54,54,54,54,54,54,54,54,54OT ELECTRICAL STIMULATION,EA,97032GO,3197032,EA,142,142,142,142,142,142,142,142,142,142,142,142,142,142,142,142,142OT ULTRASOUND,EA,97035GO,3197035,EA,124,124,124,124,124,124,124,124,124,124,124,124,124,124,124,124,124OT THERAPEUTIC EXERCISE,EA,97110GO,3197110,EA,233,233,233,233,233,233,233,233,233,233,233,233,233,233,233,233,233OT NEUROMUSCULAR RE EDUCATION,EA,97112GO,3197112,EA,270,270,270,270,270,270,270,270,270,270,270,270,270,270,270,270,270OT GAIT TRAINING,EA,97116GO,3197116,EA,233,233,233,233,233,233,233,233,233,233,233,233,233,233,233,233,233OT MASSAGE,EA,97124GO,3197124,EA,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236OT COGNITIVE TRAINING INITIAL 15MINS,,97129GO,3197129,,180,180,180,180,180,180,180,180,180,180,180,180,180,180,180,180,180OT COGNITIVE TRAINING INITIAL SUBS 15MIN,EA,97130GO,3197130,EA,171,171,171,171,171,171,171,171,171,171,171,171,171,171,171,171,171OT MANUAL THERAPY,EA,97140GO,3197140,EA,215,215,215,215,215,215,215,215,215,215,215,215,215,215,215,215,215OT EVAL LOW COMPLEXITY,EA,97165GO,3197165,EA,797,797,797,797,797,797,797,797,797,797,797,797,797,797,797,797,797OT EVALUATION MODERATE COMPLEXITY,EA,97166GO,3197166,EA,797,797,797,797,797,797,797,797,797,797,797,797,797,797,797,797,797OT EVALUATION HIGH COMPLEXITY,EA,97167GO,3197167,EA,791,791,791,791,791,791,791,791,791,791,791,791,791,791,791,791,791OT RE-EVALUATION,EA,97168GO,3197168,EA,548,548,548,548,548,548,548,548,548,548,548,548,548,548,548,548,548OT THERAPEUTIC ACTIVITIES,EA,97530GO,3197530,EA,295,295,295,295,295,295,295,295,295,295,295,295,295,295,295,295,295OT SENSORY INTEGRATION,EA,97533GO,3197533,EA,511,511,511,511,511,511,511,511,511,511,511,511,511,511,511,511,511OT SELFCARE HOME MGMT,EA,97535GO,3197535,EA,260,260,260,260,260,260,260,260,260,260,260,260,260,260,260,260,260OT COMMUNITY WORK REINTEGRATION TRAINING,EA,97537GO,3197537,EA,252,252,252,252,252,252,252,252,252,252,252,252,252,252,252,252,252OT WHEELCHAIR MGMT,EA,97542GO,3197542,EA,252,252,252,252,252,252,252,252,252,252,252,252,252,252,252,252,252OT WORK HARDENING CONDITIONING INTIAL 2H,EA,97545GO,3197545,EA,171,171,171,171,171,171,171,171,171,171,171,171,171,171,171,171,171OT WORK HARDENING CONDITIONING ADD HR,EA,97546GO,3197546,EA,171,171,171,171,171,171,171,171,171,171,171,171,171,171,171,171,171OT PHYSCIAL PERFORMANCE TEST,EA,97750GO,3197750,EA,265,265,265,265,265,265,265,265,265,265,265,265,265,265,265,265,265OT ASSISTIVE TECHNOLOGY ASSESSMENT,EA,97755GO,3197755,EA,300,300,300,300,300,300,300,300,300,300,300,300,300,300,300,300,300OT ORTHOTIC MGMT AND TRAINING INITIAL,EA,97760GO,3197760,EA,386,386,386,386,386,386,386,386,386,386,386,386,386,386,386,386,386OT PROSTHETIC TRAINING INITIAL,EA,97761GO,3197761,EA,329,329,329,329,329,329,329,329,329,329,329,329,329,329,329,329,329OT ORHOTIC PROSTHETIC TRAINING SUSEQUENT,EA,97763GO,3197763,EA,428,428,428,428,428,428,428,428,428,428,428,428,428,428,428,428,428OT UNLISTED PHYSICAL MED REHAB SERVICES,EA,97799GO,3197799,EA,171,171,171,171,171,171,171,171,171,171,171,171,171,171,171,171,171OT EVAL AND TREAT,EA,97165GO,3197800,EA,797,797,797,797,797,797,797,797,797,797,797,797,797,797,797,797,797INCAL BX SKN SINGLE LES,EA,11106,3511106,EA,491,491,491,491,491,491,491,491,491,491,491,491,491,491,491,491,491ARTHROCENTESIS SMALL JOINT,EA,20600,3520600,EA,293,293,293,293,293,293,293,293,293,293,293,293,293,293,293,293,293DRAIN/INJ JOINT/BURSA W/US,EA,20611,3520611,EA,494,494,494,494,494,494,494,494,494,494,494,494,494,494,494,494,494CARDIAC REHAB-2,EA,93798,3540100,EA,301,301,301,301,301,301,301,301,301,301,301,301,301,301,301,301,301STRESS TEST W/PHY SUP/INT,EA,93015,3542500,EA,669,669,669,669,669,669,669,669,669,669,669,669,669,669,669,669,669SKINTEST TB INTRADERMAL,EA,86580,3586580,EA,97,97,97,97,97,97,97,97,97,97,97,97,97,97,97,97,97PSYCHIATRIC DX EVALUATION,EA,90791,4000001,EA,163,163,163,163,163,163,163,163,163,163,163,163,163,163,163,163,163PSYCHOTHERAPY 30 MINUTES,EA,90832,4000002,EA,680,680,680,680,680,680,680,680,680,680,680,680,680,680,680,680,680GROUP PSYCHOTHERAPY,EA,90853,4000003,EA,354,354,354,354,354,354,354,354,354,354,354,354,354,354,354,354,354FAMILY  PSYCHOTHERAPY W PATIENT 50 MIN,EA,90847,4000004,EA,"1,005.00","1,005.00","1,005.00","1,005.00","1,005.00","1,005.00","1,005.00","1,005.00","1,005.00","1,005.00","1,005.00","1,005.00","1,005.00","1,005.00","1,005.00","1,005.00","1,005.00"PSYCHOTHERAPY 45 MINUTES,EA,90834,4000005,EA,898,898,898,898,898,898,898,898,898,898,898,898,898,898,898,898,898PSYCHOTHERAPY 60 MINUTES,EA,90837,4000006,EA,"1,327.00","1,327.00","1,327.00","1,327.00","1,327.00","1,327.00","1,327.00","1,327.00","1,327.00","1,327.00","1,327.00","1,327.00","1,327.00","1,327.00","1,327.00","1,327.00","1,327.00"GRP PSYCHOTHERAPY-GR I,EA,90853,4060001,EA,389,389,389,389,389,389,389,389,389,389,389,389,389,389,389,389,389GRP PSYCHOTHERAPY-GR II,EA,90853,4060005,EA,389,389,389,389,389,389,389,389,389,389,389,389,389,389,389,389,389GRP PSYCHOTHERAPY-GR III,EA,90853,4060007,EA,389,389,389,389,389,389,389,389,389,389,389,389,389,389,389,389,389IND PSYCHOTHER(20-30MIN),EA,90816,4060010,EA,"1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00"IND PSYCHOTHER(45-50MIN),EA,90818,4060015,EA,"1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00"IND PSYCHOTHER(75-80MIN),EA,90821,4060020,EA,"1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00"FAMILY THERAPY W/O PATIEN,EA,90846,4060025,EA,938,938,938,938,938,938,938,938,938,938,938,938,938,938,938,938,938FAMILY THERAPY W/ PATIENT,EA,90847,4060030,EA,971,971,971,971,971,971,971,971,971,971,971,971,971,971,971,971,971ASSESSMENT,EA,90801,4060040,EA,"1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00"CHG ONLY CBC W/O DIFF,EA,85027,5000002,EA,115,115,115,115,115,115,115,115,115,115,115,115,115,115,115,115,115BASIC METABOLIC PANEL QD,EA,80048,5000015,EA,203,203,203,203,203,203,203,203,203,203,203,203,203,203,203,203,203COMPREHENSIVE METABOLIC PANEL QD,EA,80053,5000016,EA,287,287,287,287,287,287,287,287,287,287,287,287,287,287,287,287,287MAGNESIUM QD,EA,83735,5000017,EA,127,127,127,127,127,127,127,127,127,127,127,127,127,127,127,127,127RENAL PANEL QD,EA,80069,5000018,EA,181,181,181,181,181,181,181,181,181,181,181,181,181,181,181,181,181CBC W/AUTOMATED DIFF QD,EA,85025,5000019,EA,135,135,135,135,135,135,135,135,135,135,135,135,135,135,135,135,135PROTHROMBIN TIME QD,EA,85610,5000020,EA,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81OCCULT BLOOD BY IMMUNOASSAY-STOOL QD,EA,82270,5000021,EA,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75OCCULT BLOOD RANDOM QD,EA,82272,5000022,EA,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57CBC W/O DIFF-CHRG ONLY,EA,85027,5000032,EA,115,115,115,115,115,115,115,115,115,115,115,115,115,115,115,115,115INFLUENZA A,EA,87804QW,5000034,EA,174,174,174,174,174,174,174,174,174,174,174,174,174,174,174,174,174INFLUENZA B,EA,87804QW,5000035,EA,174,174,174,174,174,174,174,174,174,174,174,174,174,174,174,174,174BASIC METABOLIC PANEL,EA,80048,5000051,EA,203,203,203,203,203,203,203,203,203,203,203,203,203,203,203,203,203HEPATIC FUNCTION PANEL,EA,80076,5000055,EA,230,230,230,230,230,230,230,230,230,230,230,230,230,230,230,230,230COMPREHENSIVE METABOLIC PANEL,EA,80053,5000056,EA,287,287,287,287,287,287,287,287,287,287,287,287,287,287,287,287,287RENAL PANEL,EA,80069,5000073,EA,181,181,181,181,181,181,181,181,181,181,181,181,181,181,181,181,181ISTAT CHEM 8 PANEL,EA,80047,5000100,EA,182,182,182,182,182,182,182,182,182,182,182,182,182,182,182,182,182SENDOUT-C DIFFICILE TOXIN GENE,EA,87493,5000138,EA,"1,756.00","1,756.00","1,756.00","1,756.00","1,756.00","1,756.00","1,756.00","1,756.00","1,756.00","1,756.00","1,756.00","1,756.00","1,756.00","1,756.00","1,756.00","1,756.00","1,756.00"SENDOUT-C DIFFICILE TOXIN A&B,EA,87324,5000140,EA,849,849,849,849,849,849,849,849,849,849,849,849,849,849,849,849,849ALKALINE PHOSPHATASE,EA,84075,5000210,EA,83,83,83,83,83,83,83,83,83,83,83,83,83,83,83,83,83BLOOD DRAW/IMPLANT PORT,EA,36591,5000315,EA,229,229,229,229,229,229,229,229,229,229,229,229,229,229,229,229,229BLOOD DRAW EST. CL/PIC/IV,EA,36592,5000316,EA,230,230,230,230,230,230,230,230,230,230,230,230,230,230,230,230,230AEROBIC CULTURE,EA,87070,5000472,EA,196,196,196,196,196,196,196,196,196,196,196,196,196,196,196,196,196MRSA COLONIZATION SCREENING CULTURE,EA,87081,5000476,EA,214,214,214,214,214,214,214,214,214,214,214,214,214,214,214,214,214MRSA BY PCR,EA,87641,5000478,EA,925,925,925,925,925,925,925,925,925,925,925,925,925,925,925,925,925MRSA/MSSA COLONIZATION SCREENING,EA,87081,5000480,EA,751,751,751,751,751,751,751,751,751,751,751,751,751,751,751,751,751HDL CHOLESTEROL,EA,83718,5000700,EA,96,96,96,96,96,96,96,96,96,96,96,96,96,96,96,96,96OCCULT BLOOD BY IMMUNOASSAY-STOOL,EA,82274,5001000,EA,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75ACETAMINOPHEN,EA,G0480,5001050,EA,178,178,178,178,178,178,178,178,178,178,178,178,178,178,178,178,178KEPPRA (LEVETIRACETAM),EA,80177,5001055,EA,458,458,458,458,458,458,458,458,458,458,458,458,458,458,458,458,458ACETONE KETONE SERUM,EA,82009,5001100,EA,88,88,88,88,88,88,88,88,88,88,88,88,88,88,88,88,88ACETYLCHOLIN RECEPT  BINDING AB,EA,83519,5001105,EA,641,641,641,641,641,641,641,641,641,641,641,641,641,641,641,641,641ACETYLCHOLIN RECEPT  BLOCKING AB,EA,83519,5001107,EA,"1,394.00","1,394.00","1,394.00","1,394.00","1,394.00","1,394.00","1,394.00","1,394.00","1,394.00","1,394.00","1,394.00","1,394.00","1,394.00","1,394.00","1,394.00","1,394.00","1,394.00"ACETYLCHOLIN RECEPT  MODULATING  AB,EA,83519,5001109,EA,"1,569.00","1,569.00","1,569.00","1,569.00","1,569.00","1,569.00","1,569.00","1,569.00","1,569.00","1,569.00","1,569.00","1,569.00","1,569.00","1,569.00","1,569.00","1,569.00","1,569.00"MUSCLE SPECIFIC KINASE AB,EA,83519,5001110,EA,"7,127.00","7,127.00","7,127.00","7,127.00","7,127.00","7,127.00","7,127.00","7,127.00","7,127.00","7,127.00","7,127.00","7,127.00","7,127.00","7,127.00","7,127.00","7,127.00","7,127.00""ADRENOCORTICOTROPIC HORMONE(ACTH),PLASMA",EA,82024,5001160,EA,779,779,779,779,779,779,779,779,779,779,779,779,779,779,779,779,779ACID-FAST SMEAR,EA,87206,5001207,EA,124,124,124,124,124,124,124,124,124,124,124,124,124,124,124,124,124ACID-FAST CULTURE,EA,87015,5001208,EA,135,135,135,135,135,135,135,135,135,135,135,135,135,135,135,135,135ALBUMIN,EA,82040,5001220,EA,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60ETOH-BLOOD ALCOHOL,EA,G0480,5001226,EA,178,178,178,178,178,178,178,178,178,178,178,178,178,178,178,178,178BLOOD COLLECTION-LEGAL,EA,36415,5001231,EA,66,66,66,66,66,66,66,66,66,66,66,66,66,66,66,66,66ALDOSTERONE-24 HR URINE,EA,82088,5001232,EA,167,167,167,167,167,167,167,167,167,167,167,167,167,167,167,167,167ALDOSTRONE SERUM,EA,82088,5001233,EA,702,702,702,702,702,702,702,702,702,702,702,702,702,702,702,702,702ALDOLASE,EA,82085,5001234,EA,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147ALDOSTERONE:RENIN RATIO,EA,82088,5001236,EA,820,820,820,820,820,820,820,820,820,820,820,820,820,820,820,820,820ALKALINE PHOSPH.ISO,EA,84080,5001257,EA,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191ALPHA I ANTITRYPSIN PHENOTYPE,EA,82104,5001260,EA,489,489,489,489,489,489,489,489,489,489,489,489,489,489,489,489,489ALPHA I ANTITRYPSIN DNA ANALYSIS,EA,81332,5001261,EA,"2,274.00","2,274.00","2,274.00","2,274.00","2,274.00","2,274.00","2,274.00","2,274.00","2,274.00","2,274.00","2,274.00","2,274.00","2,274.00","2,274.00","2,274.00","2,274.00","2,274.00"ALPHA I ANTITRYPSIN,EA,82103,5001264,EA,173,173,173,173,173,173,173,173,173,173,173,173,173,173,173,173,173"ALLERGEN PROFILE, FOOD-NUTS",EA,86003,5001270,EA,549,549,549,549,549,549,549,549,549,549,549,549,549,549,549,549,549"ALLERGEN PROFILE, FOOD-FRUITS",EA,86003,5001271,EA,460,460,460,460,460,460,460,460,460,460,460,460,460,460,460,460,460"ALLERGEN PROFILE, BASIC FOOD",EA,86003,5001272,EA,549,549,549,549,549,549,549,549,549,549,549,549,549,549,549,549,549"ALLERGEN PROFILE, RESPIRATORY-AREA 10",EA,86003,5001273,EA,"2,375.00","2,375.00","2,375.00","2,375.00","2,375.00","2,375.00","2,375.00","2,375.00","2,375.00","2,375.00","2,375.00","2,375.00","2,375.00","2,375.00","2,375.00","2,375.00","2,375.00"IgE TOMATOE,EA,86003,5001276,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE BARLEY,EA,86003,5001277,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE COCONUT,EA,86003,5001278,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE YEAST,EA,86003,5001279,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85"ALLERGEN PROFILE, EGG COMPONENTS",EA,86003,5001280,EA,186,186,186,186,186,186,186,186,186,186,186,186,186,186,186,186,186IgE PEANUT,EA,86003,5001281,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85"ALLERGEN PROFILE, FOOD-MILK",EA,86003,5001282,EA,186,186,186,186,186,186,186,186,186,186,186,186,186,186,186,186,186IgE ALMOND,EA,86003,5001283,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE BRAZIL NUT,EA,86003,5001284,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE CASHEW,EA,86003,5001285,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE HAZELNUT,EA,86003,5001286,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE PECAN NUT,EA,86003,5001287,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE WALNUT,EA,86003,5001288,EA,84,84,84,84,84,84,84,84,84,84,84,84,84,84,84,84,84IgE APPLE,EA,86003,5001289,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE BANANA,EA,86003,5001290,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE GRAPE,EA,86003,5001291,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE PEACH,EA,86003,5001292,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE PEAR,EA,86003,5001293,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE BEEF,EA,86003,5001294,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE CHOCOLATE,EA,86003,5001295,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE CORN,EA,86003,5001296,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE EGG (WHOLE),EA,86003,5001297,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE PORK,EA,86003,5001298,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE SOYBEAN,EA,86003,5001299,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE WHEAT,EA,86003,5001300,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE OAT,EA,86003,5001301,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE RICE,EA,86003,5001302,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE RYE,EA,86003,5001303,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE GREEN PEA,EA,86003,5001304,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE CARROT,EA,86003,5001305,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85"IgE POTATO, WHITE",EA,86003,5001306,EA,84,84,84,84,84,84,84,84,84,84,84,84,84,84,84,84,84IgE GREEN BEAN,EA,86003,5001307,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85ALPHA FETOPROTEINS/MS,EA,82105,5001308,EA,249,249,249,249,249,249,249,249,249,249,249,249,249,249,249,249,249ALPHA FETOPROTEINS/TUMOR,EA,82105,5001309,EA,248,248,248,248,248,248,248,248,248,248,248,248,248,248,248,248,248ALPHA FETOPROTEIN W/AFP-L3%,EA,82107,5001310,EA,"1,913.00","1,913.00","1,913.00","1,913.00","1,913.00","1,913.00","1,913.00","1,913.00","1,913.00","1,913.00","1,913.00","1,913.00","1,913.00","1,913.00","1,913.00","1,913.00","1,913.00"IgE ONION,EA,86003,5001311,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE KIDNEY BEAN,EA,86003,5001312,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE PUMPKIN,EA,86003,5001313,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85AMIODARONE,EA,80299,5001315,EA,165,165,165,165,165,165,165,165,165,165,165,165,165,165,165,165,165AMMONIA LEVEL,EA,82140,5001321,EA,204,204,204,204,204,204,204,204,204,204,204,204,204,204,204,204,204AMOEBIC ANTIBODIES,EA,86171,5001325,EA,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130ALT,EA,84460,5001330,EA,83,83,83,83,83,83,83,83,83,83,83,83,83,83,83,83,83IgE HONEYBEE,EA,86003,5001333,EA,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131"IgE WASP, PAPER",EA,86003,5001334,EA,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131"IgE HORNET, WHITE FACE",EA,86003,5001335,EA,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131"IgE HORNET, YELLOW",EA,86003,5001336,EA,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131IgE YELLOW JACKET,EA,86003,5001337,EA,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131AMYLASE,EA,82150,5001348,EA,160,160,160,160,160,160,160,160,160,160,160,160,160,160,160,160,160AMYLASE-24 HR URINE,EA,82150,5001349,EA,165,165,165,165,165,165,165,165,165,165,165,165,165,165,165,165,165"ANDROSTENEDIONE, LC/MS",EA,82157,5001352,EA,316,316,316,316,316,316,316,316,316,316,316,316,316,316,316,316,316ANGIOTENSIN-CONVERTING ENZYME,EA,82164,5001354,EA,175,175,175,175,175,175,175,175,175,175,175,175,175,175,175,175,175ANTINUCLEAR ANTIBODIES,EA,86038,5001356,EA,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166"ANTINUCLEAR ANTIBODIES, W/REFLEX (5)",EA,86038,5001357,EA,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166ANTICENTROMERE B ANTIBODIES,EA,86235,5001386,EA,564,564,564,564,564,564,564,564,564,564,564,564,564,564,564,564,564ANTINEUTROPHIL CYTOPLASMIC ANTIBODIES,EA,86256,5001387,EA,386,386,386,386,386,386,386,386,386,386,386,386,386,386,386,386,386ANTIHISTONE ANTIBODIES,EA,86235,5001388,EA,618,618,618,618,618,618,618,618,618,618,618,618,618,618,618,618,618ANTI-JO-1,EA,86235,5001389,EA,704,704,704,704,704,704,704,704,704,704,704,704,704,704,704,704,704ANTIPARIETAL CELL ANTIBODY,EA,83516,5001405,EA,388,388,388,388,388,388,388,388,388,388,388,388,388,388,388,388,388ANTIPLATELET ANTIBODY PROFILE,EA,83516,5001406,EA,"1,643.00","1,643.00","1,643.00","1,643.00","1,643.00","1,643.00","1,643.00","1,643.00","1,643.00","1,643.00","1,643.00","1,643.00","1,643.00","1,643.00","1,643.00","1,643.00","1,643.00"ANTICHROMATIN ANTIBODIES,EA,86235,5001408,EA,229,229,229,229,229,229,229,229,229,229,229,229,229,229,229,229,229ANTI-EXTRACT NUC ANTIGENS,EA,86235,5001410,EA,229,229,229,229,229,229,229,229,229,229,229,229,229,229,229,229,229ANTISCLERODERMA - 70 ANTIBODIES,EA,86235,5001411,EA,574,574,574,574,574,574,574,574,574,574,574,574,574,574,574,574,574ANTIGLOMERULAR BASEMENT MEMBRANE ABS,EA,83516,5001412,EA,752,752,752,752,752,752,752,752,752,752,752,752,752,752,752,752,752ANTIBODY IDENTIFICATION,EA,86870,5001413,EA,250,250,250,250,250,250,250,250,250,250,250,250,250,250,250,250,250ANTI HYALURONIDASE,EA,86316,5001415,EA,267,267,267,267,267,267,267,267,267,267,267,267,267,267,267,267,267ANTI-MITOCHONDRIAL ANTBDY,EA,86256,5001416,EA,155,155,155,155,155,155,155,155,155,155,155,155,155,155,155,155,155ANTI-MULLERIAN HORMONE (AMH),EA,82397,5001417,EA,"2,278.00","2,278.00","2,278.00","2,278.00","2,278.00","2,278.00","2,278.00","2,278.00","2,278.00","2,278.00","2,278.00","2,278.00","2,278.00","2,278.00","2,278.00","2,278.00","2,278.00"ANTI SMOOTH MUSCLE,EA,86255,5001418,EA,245,245,245,245,245,245,245,245,245,245,245,245,245,245,245,245,245ANTI DNA DS,EA,86225,5001419,EA,246,246,246,246,246,246,246,246,246,246,246,246,246,246,246,246,246ANTISTREPTOLYSI TITER-AST,EA,86060,5001420,EA,87,87,87,87,87,87,87,87,87,87,87,87,87,87,87,87,87ANTI DNA SS,EA,86226,5001421,EA,156,156,156,156,156,156,156,156,156,156,156,156,156,156,156,156,156ANTITHROMBIN 3 FUN,EA,85300,5001422,EA,204,204,204,204,204,204,204,204,204,204,204,204,204,204,204,204,204ANTITHROMBIN III ANTIGEN,EA,85301,5001423,EA,157,157,157,157,157,157,157,157,157,157,157,157,157,157,157,157,157ANTI-SPERMATOZOA ABS,EA,89325,5001424,EA,"1,571.00","1,571.00","1,571.00","1,571.00","1,571.00","1,571.00","1,571.00","1,571.00","1,571.00","1,571.00","1,571.00","1,571.00","1,571.00","1,571.00","1,571.00","1,571.00","1,571.00"APOLIPOPROTEIN B,EA,82172,5001426,EA,167,167,167,167,167,167,167,167,167,167,167,167,167,167,167,167,167ARSENIC-BLOOD,EA,82175,5001430,EA,244,244,244,244,244,244,244,244,244,244,244,244,244,244,244,244,244ARSENIC-URINE,EA,82175,5001431,EA,244,244,244,244,244,244,244,244,244,244,244,244,244,244,244,244,244ASPERGILLUS ANTIBODIES,EA,86606,5001451,EA,427,427,427,427,427,427,427,427,427,427,427,427,427,427,427,427,427IgE D. PTERONYSSINUS,EA,86003,5001455,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE D. FARINAE,EA,86003,5001456,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE CAT DANDER,EA,86003,5001457,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE DOG DANDER,EA,86003,5001458,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE BERMUDA GRASS,EA,86003,5001459,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE TIMOTHY GRASS,EA,86003,5001460,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85"IgE COCKROACH, GERMAN",EA,86003,5001461,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE PENICILLIUM CHRYSOGEN,EA,86003,5001462,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE CLADOSPORIUM HERBARUM,EA,86003,5001463,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE ASPERGILLUS FUMIGATUS,EA,86003,5001464,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE ALTERNARIA ALTERNATA,EA,86003,5001465,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE MAPLE/BOX ELDER,EA,86003,5001466,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE COMMON SILVER BIRCH,EA,86003,5001467,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85"IgE CEDAR, MOUNTAIN",EA,86003,5001468,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85"IgE OAK, WHITE",EA,86003,5001469,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85"IgE ELM, AMERICAN",EA,86003,5001470,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE COTTONWOOD,EA,86003,5001471,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85"IgE ASH, WHITE",EA,86003,5001472,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE PECAN/HICKORY,EA,86003,5001473,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE WHITE MULBERRY,EA,86003,5001474,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85"IgE RAGWEED, SHORT",EA,86003,5001475,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85"IgE PIGWEED, COMMON",EA,86003,5001476,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE ROUGH MARSHELDER,EA,86003,5001477,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE SHEEP SORREL,EA,86003,5001478,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE NETTLE,EA,86003,5001479,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85IgE MOUSE URINE,EA,86003,5001480,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85VITAMIN A,EA,84590,5001630,EA,371,371,371,371,371,371,371,371,371,371,371,371,371,371,371,371,371VITAMIN B-1,EA,84425,5001636,EA,271,271,271,271,271,271,271,271,271,271,271,271,271,271,271,271,271VITAMIN B3 (NIACIN AND METABOLITE,EA,84591,5001638,EA,"6,912.00","6,912.00","6,912.00","6,912.00","6,912.00","6,912.00","6,912.00","6,912.00","6,912.00","6,912.00","6,912.00","6,912.00","6,912.00","6,912.00","6,912.00","6,912.00","6,912.00"VITAMIN B-6,EA,84207,5001640,EA,530,530,530,530,530,530,530,530,530,530,530,530,530,530,530,530,530VITAMIN B-12,EA,82607,5001644,EA,204,204,204,204,204,204,204,204,204,204,204,204,204,204,204,204,204VITAMIN C,EA,82180,5001650,EA,321,321,321,321,321,321,321,321,321,321,321,321,321,321,321,321,321VITAMIN E,EA,84446,5001660,EA,321,321,321,321,321,321,321,321,321,321,321,321,321,321,321,321,321BETA-2 GLYCOPROTEIN I AB,EA,86147,5001738,EA,360,360,360,360,360,360,360,360,360,360,360,360,360,360,360,360,360BETA-2-MICROGLOBULIN,EA,82232,5001740,EA,290,290,290,290,290,290,290,290,290,290,290,290,290,290,290,290,290NT-PRO BNP,EA,83880,5001742,EA,432,432,432,432,432,432,432,432,432,432,432,432,432,432,432,432,432BILIRUBIN TOTAL,EA,82247,5001807,EA,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77BILIRUBIN DIRECT,EA,82248,5001808,EA,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77BIOPSY-1 SPEC,EA,88305,5001812,EA,438,438,438,438,438,438,438,438,438,438,438,438,438,438,438,438,438"BK VIRUS, QUANT,DNA PCR,WB",EA,87799,5001820,EA,"2,584.00","2,584.00","2,584.00","2,584.00","2,584.00","2,584.00","2,584.00","2,584.00","2,584.00","2,584.00","2,584.00","2,584.00","2,584.00","2,584.00","2,584.00","2,584.00","2,584.00"BLOOD CULTURE,EA,87040,5001876,EA,249,249,249,249,249,249,249,249,249,249,249,249,249,249,249,249,249"BLOOD LEAD LEVEL, ADULT",EA,83655,5001880,EA,388,388,388,388,388,388,388,388,388,388,388,388,388,388,388,388,388BLOOD TYPE ABO,EA,86900,5001904,EA,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70BLOOD TYPE RH FACTOR,EA,86901,5001905,EA,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70B. PERTUSSIS REAL-TIME DNA PCR,EA,87798,5001940,EA,353,353,353,353,353,353,353,353,353,353,353,353,353,353,353,353,353BONE-SPECIFIC ALKALINE PHOSPHATASE (BAP),EA,84080,5001945,EA,743,743,743,743,743,743,743,743,743,743,743,743,743,743,743,743,743"BRIVARACETAM, SERUM",EA,80299,5001955,EA,"1,124.00","1,124.00","1,124.00","1,124.00","1,124.00","1,124.00","1,124.00","1,124.00","1,124.00","1,124.00","1,124.00","1,124.00","1,124.00","1,124.00","1,124.00","1,124.00","1,124.00"CA-125,EA,86665,5001996,EA,360,360,360,360,360,360,360,360,360,360,360,360,360,360,360,360,360CD4/CD8 RATIO PROFILE,EA,86360,5002000,EA,596,596,596,596,596,596,596,596,596,596,596,596,596,596,596,596,596"COMPLEMENT, C1q, QUANT",EA,86160,5002020,EA,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191COMPLEMENT C1 ESTERASE INHIBITOR,EA,86160,5002025,EA,231,231,231,231,231,231,231,231,231,231,231,231,231,231,231,231,231"COMPLEMENT C1 ESTERASE INHIBITOR,FUNCTIO",EA,86161,5002030,EA,543,543,543,543,543,543,543,543,543,543,543,543,543,543,543,543,543"COMPLEMENT, C-3",EA,86160,5002050,EA,184,184,184,184,184,184,184,184,184,184,184,184,184,184,184,184,184"COMPLEMENT, C-4",EA,86160,5002051,EA,184,184,184,184,184,184,184,184,184,184,184,184,184,184,184,184,184CA 15-3,EA,86316,5002052,EA,267,267,267,267,267,267,267,267,267,267,267,267,267,267,267,267,267CARBOHYDRATE ANTIGEN (CA) 19-9,EA,86301,5002053,EA,664,664,664,664,664,664,664,664,664,664,664,664,664,664,664,664,664HIGH SENSITIVE CRP-CARDIAC,EA,86141,5002067,EA,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166C-REACTIVE PROTEIN-CRP,EA,86140,5002068,EA,96,96,96,96,96,96,96,96,96,96,96,96,96,96,96,96,96C-TELOPEPTIDE,EA,82523,5002075,EA,"2,728.00","2,728.00","2,728.00","2,728.00","2,728.00","2,728.00","2,728.00","2,728.00","2,728.00","2,728.00","2,728.00","2,728.00","2,728.00","2,728.00","2,728.00","2,728.00","2,728.00"CALCITONIN (THYROCALCITONIN),EA,82308,5002090,EA,662,662,662,662,662,662,662,662,662,662,662,662,662,662,662,662,662CALCIUM SERUM,EA,82310,5002096,EA,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77CALCIUM IONIC,EA,82310,5002097,EA,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77"CALPROTECTIN, FECAL",EA,83993,5002098,EA,"4,466.00","4,466.00","4,466.00","4,466.00","4,466.00","4,466.00","4,466.00","4,466.00","4,466.00","4,466.00","4,466.00","4,466.00","4,466.00","4,466.00","4,466.00","4,466.00","4,466.00""CANDIDA ANTIBODIES, IgA, IgG, IgM, ELISA",EA,86628,5002099,EA,771,771,771,771,771,771,771,771,771,771,771,771,771,771,771,771,771CARBON MONOXIDE,EA,82375,5002100,EA,164,164,164,164,164,164,164,164,164,164,164,164,164,164,164,164,164"CARNITINE, TOTAL AND FREE",EA,82379,5002120,EA,539,539,539,539,539,539,539,539,539,539,539,539,539,539,539,539,539CAT SCRATCH DISEAS ANTBDY,EA,86611,5002150,EA,577,577,577,577,577,577,577,577,577,577,577,577,577,577,577,577,577"CATECHOLAMINES, FRACTIONATED - PLASMA",EA,82384,5002176,EA,220,220,220,220,220,220,220,220,220,220,220,220,220,220,220,220,220"CATECHOLAMINES,FRACTIONATED,24HR URINE",EA,82384,5002177,EA,453,453,453,453,453,453,453,453,453,453,453,453,453,453,453,453,453CEA,EA,82378,5002188,EA,252,252,252,252,252,252,252,252,252,252,252,252,252,252,252,252,252CELL COUNT-BODY FLUID,EA,89051,5002215,EA,84,84,84,84,84,84,84,84,84,84,84,84,84,84,84,84,84"CELL COUNT, SYNOVIAL FLUID WITH CRYSTALS",EA,89051,5002216,EA,230,230,230,230,230,230,230,230,230,230,230,230,230,230,230,230,230CERULOPLASMIN,EA,82390,5002250,EA,142,142,142,142,142,142,142,142,142,142,142,142,142,142,142,142,142"CHLAMYDIA PNUEMONIAE AB, IgG",EA,86631,5002261,EA,"1,534.00","1,534.00","1,534.00","1,534.00","1,534.00","1,534.00","1,534.00","1,534.00","1,534.00","1,534.00","1,534.00","1,534.00","1,534.00","1,534.00","1,534.00","1,534.00","1,534.00""CHLAMYDIA PNUEMONIAE AB, IgM",EA,86632,5002262,EA,"1,534.00","1,534.00","1,534.00","1,534.00","1,534.00","1,534.00","1,534.00","1,534.00","1,534.00","1,534.00","1,534.00","1,534.00","1,534.00","1,534.00","1,534.00","1,534.00","1,534.00""CHLAMYDIA PNUEMONIAE AB, IgA",EA,86631,5002263,EA,"3,857.00","3,857.00","3,857.00","3,857.00","3,857.00","3,857.00","3,857.00","3,857.00","3,857.00","3,857.00","3,857.00","3,857.00","3,857.00","3,857.00","3,857.00","3,857.00","3,857.00"CHLORIDE,EA,82435,5002284,EA,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67CHLORIDE-URINE,EA,82436,5002286,EA,61,61,61,61,61,61,61,61,61,61,61,61,61,61,61,61,61"CHOLINESTERASE, SERUM-LABCORP",EA,82390,5002300,EA,289,289,289,289,289,289,289,289,289,289,289,289,289,289,289,289,289CHOLESTEROL,EA,82465,5002352,EA,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65CHOLESTEROL HDL,EA,83718,5002357,EA,96,96,96,96,96,96,96,96,96,96,96,96,96,96,96,96,96"CLOBAZAM, SERUM",EA,80339,5002370,EA,"1,640.00","1,640.00","1,640.00","1,640.00","1,640.00","1,640.00","1,640.00","1,640.00","1,640.00","1,640.00","1,640.00","1,640.00","1,640.00","1,640.00","1,640.00","1,640.00","1,640.00"CLONOPIN LEVEL,EA,82507,5002375,EA,356,356,356,356,356,356,356,356,356,356,356,356,356,356,356,356,356"CLOZAPINE, SERUM",EA,80159,5002380,EA,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191CO2,EA,82374,5002416,EA,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71COCCIDIOIDES ABS,EA,86635,5002430,EA,607,607,607,607,607,607,607,607,607,607,607,607,607,607,607,607,607COLD AGGLUTININ,EA,86157,5002468,EA,80,80,80,80,80,80,80,80,80,80,80,80,80,80,80,80,80COLLECTION FEE,EA,36415,5002475,EA,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29FOLATE RBC,EA,82747,5002525,EA,222,222,222,222,222,222,222,222,222,222,222,222,222,222,222,222,222CBC W/AUTOMATED DIFF,EA,85025,5002536,EA,135,135,135,135,135,135,135,135,135,135,135,135,135,135,135,135,135CBC W/O DIFF,EA,85027,5002537,EA,115,115,115,115,115,115,115,115,115,115,115,115,115,115,115,115,115"COMPLEMENT TOTAL, C-50",EA,86162,5002539,EA,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259COOMBS DIRECT,EA,86880,5002544,EA,93,93,93,93,93,93,93,93,93,93,93,93,93,93,93,93,93ANTIBODY SCREEN,EA,86850,5002548,EA,126,126,126,126,126,126,126,126,126,126,126,126,126,126,126,126,126COOMBS CROSSMATCH PR UNIT,EA,86922,5002552,EA,161,161,161,161,161,161,161,161,161,161,161,161,161,161,161,161,161COPPER-URINE,EA,82525,5002560,EA,325,325,325,325,325,325,325,325,325,325,325,325,325,325,325,325,325COPPER-WHOLE BLOOD,EA,82525,5002561,EA,248,248,248,248,248,248,248,248,248,248,248,248,248,248,248,248,248COPPER-PLASMA,EA,82525,5002562,EA,120,120,120,120,120,120,120,120,120,120,120,120,120,120,120,120,120CORTISOL,EA,82533,5002564,EA,227,227,227,227,227,227,227,227,227,227,227,227,227,227,227,227,227CORTISOL-URINARY FREE,EA,82530,5002566,EA,254,254,254,254,254,254,254,254,254,254,254,254,254,254,254,254,254COXSACKIE VIRUS GROUP B ANTIBODIES,EA,86618,5002568,EA,735,735,735,735,735,735,735,735,735,735,735,735,735,735,735,735,735COVID-19 - PCR,EA,87635CS,5002570,EA,854,854,854,854,854,854,854,854,854,854,854,854,854,854,854,854,854"COVID-19 - RAPID NAA, ID NOW",EA,87635QW,5002571,EA,418,418,418,418,418,418,418,418,418,418,418,418,418,418,418,418,418CHRG ONLY- COVID-19 COLLECTION FEE,EA,G2023,5002572,EA,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29CHRG ONLY- SNF COVID-19 COLLECTION FEE,EA,G2024,5002573,EA,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29"COVID-19 - ANTIBODY, IgG",EA,86769,5002574,EA,407,407,407,407,407,407,407,407,407,407,407,407,407,407,407,407,407"COVID-19 - ANTIBODY, TOTAL",EA,86769,5002575,EA,343,343,343,343,343,343,343,343,343,343,343,343,343,343,343,343,343"COVID SARS CoV-2 IgG, QUANT",EA,86328,5002576,EA,369,369,369,369,369,369,369,369,369,369,369,369,369,369,369,369,369COVID-19 ANTIGEN-NASAL,EA,87426QW,5002578,EA,359,359,359,359,359,359,359,359,359,359,359,359,359,359,359,359,359DEXAMETHASONE SUPPRESSION TEST,EA,82533,5002580,EA,227,227,227,227,227,227,227,227,227,227,227,227,227,227,227,227,227CKMB,EA,82553,5002600,EA,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217CPK ISO,EA,82552,5002601,EA,174,174,174,174,174,174,174,174,174,174,174,174,174,174,174,174,174CMV IgM ANTIBODIES,EA,86256,5002602,EA,258,258,258,258,258,258,258,258,258,258,258,258,258,258,258,258,258CPS UDS COLLECTION,EA,36415,5002603,EA,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37CREATININE CLEARANCE,EA,82575,5002604,EA,152,152,152,152,152,152,152,152,152,152,152,152,152,152,152,152,152CMV IgG ANTIBODIES,EA,86644,5002605,EA,149,149,149,149,149,149,149,149,149,149,149,149,149,149,149,149,149"CYTOMEGALOVIRUS (CMV), QUANT,DNA PCR,WB",EA,87497,5002606,EA,"1,324.00","1,324.00","1,324.00","1,324.00","1,324.00","1,324.00","1,324.00","1,324.00","1,324.00","1,324.00","1,324.00","1,324.00","1,324.00","1,324.00","1,324.00","1,324.00","1,324.00"CREATINE KINASE,EA,82550,5002608,EA,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154CREATININE-BLOOD,EA,82565,5002612,EA,79,79,79,79,79,79,79,79,79,79,79,79,79,79,79,79,79CROSSMATCH IMED SPIN,EA,86920,5002615,EA,152,152,152,152,152,152,152,152,152,152,152,152,152,152,152,152,152"CRYOGLOBULIN, QUAL W/ QUANT REFLEX",EA,82595,5002650,EA,91,91,91,91,91,91,91,91,91,91,91,91,91,91,91,91,91CHRG ONLY-CRYOGLOBULIN IMMUNOFIXATION,EA,82595,5002651,EA,"3,834.00","3,834.00","3,834.00","3,834.00","3,834.00","3,834.00","3,834.00","3,834.00","3,834.00","3,834.00","3,834.00","3,834.00","3,834.00","3,834.00","3,834.00","3,834.00","3,834.00"CULTURE-ANAEROBIC,EA,87075,5002700,EA,160,160,160,160,160,160,160,160,160,160,160,160,160,160,160,160,160CULTURE-ENVIRON,EA,87070,5002706,EA,196,196,196,196,196,196,196,196,196,196,196,196,196,196,196,196,196CULTURE-STOOL,EA,87045,5002707,EA,174,174,174,174,174,174,174,174,174,174,174,174,174,174,174,174,174"STOOL CULTURE, YERSINIA ONLY",EA,87046,5002708,EA,174,174,174,174,174,174,174,174,174,174,174,174,174,174,174,174,174CLOSTRIDIUM DIFF TOXIN,EA,87324,5002709,EA,252,252,252,252,252,252,252,252,252,252,252,252,252,252,252,252,252CLOSTRIDIUM DIFF ANTIGEN,EA,87449,5002710,EA,252,252,252,252,252,252,252,252,252,252,252,252,252,252,252,252,252"CRYPTOSPORIDIUM, DIRECT DETECTION EIA",EA,87328,5002711,EA,"2,845.00","2,845.00","2,845.00","2,845.00","2,845.00","2,845.00","2,845.00","2,845.00","2,845.00","2,845.00","2,845.00","2,845.00","2,845.00","2,845.00","2,845.00","2,845.00","2,845.00""LACTOFERRIN, FECAL, QUANTATATIVE",EA,83631,5002713,EA,"3,078.00","3,078.00","3,078.00","3,078.00","3,078.00","3,078.00","3,078.00","3,078.00","3,078.00","3,078.00","3,078.00","3,078.00","3,078.00","3,078.00","3,078.00","3,078.00","3,078.00""FECAL FAT, QUALITATIVE",EA,82705,5002715,EA,211,211,211,211,211,211,211,211,211,211,211,211,211,211,211,211,211"DELTA AMINOLEVULINIC ACID, RANDOM URINE",EA,82135,5002740,EA,595,595,595,595,595,595,595,595,595,595,595,595,595,595,595,595,595"CYCLOSPORINE,WHOLE BLOOD",EA,80158,5002745,EA,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147CYSTATIN C W/ EGFR,EA,82610,5002747,EA,"1,356.00","1,356.00","1,356.00","1,356.00","1,356.00","1,356.00","1,356.00","1,356.00","1,356.00","1,356.00","1,356.00","1,356.00","1,356.00","1,356.00","1,356.00","1,356.00","1,356.00"D-DIMER,EA,85379,5002750,EA,205,205,205,205,205,205,205,205,205,205,205,205,205,205,205,205,205SENDOUT D-DIMER,EA,85379,5002755,EA,205,205,205,205,205,205,205,205,205,205,205,205,205,205,205,205,205DHEA,EA,82626,5002780,EA,330,330,330,330,330,330,330,330,330,330,330,330,330,330,330,330,330DHEA-S,EA,82627,5002781,EA,247,247,247,247,247,247,247,247,247,247,247,247,247,247,247,247,247DIGOXIN,EA,80162,5002783,EA,199,199,199,199,199,199,199,199,199,199,199,199,199,199,199,199,199MANUAL DIFFERENTIAL COUNT,EA,85007,5002868,EA,72,72,72,72,72,72,72,72,72,72,72,72,72,72,72,72,72DILANTIN,EA,80185,5002888,EA,201,201,201,201,201,201,201,201,201,201,201,201,201,201,201,201,201DOXEPIN,EA,80335,5002892,EA,178,178,178,178,178,178,178,178,178,178,178,178,178,178,178,178,178UNKNOWN DRUG OR SUBSTANCE,EA,G0431,5002980,EA,"3,871.00","3,871.00","3,871.00","3,871.00","3,871.00","3,871.00","3,871.00","3,871.00","3,871.00","3,871.00","3,871.00","3,871.00","3,871.00","3,871.00","3,871.00","3,871.00","3,871.00""AMPHETAMINE CONFIRMATION, URINE",EA,80346,5003001,EA,526,526,526,526,526,526,526,526,526,526,526,526,526,526,526,526,526"CHRG ONLY D-METHAMPHETAMIN, URINE",EA,80324,5003002,EA,541,541,541,541,541,541,541,541,541,541,541,541,541,541,541,541,541"CHRG ONLY L-METHAMPHETAMIN, URINE",EA,80374,5003003,EA,541,541,541,541,541,541,541,541,541,541,541,541,541,541,541,541,541"CANNABINOID (THC) CONFIRMATION, URINE",EA,80346,5003005,EA,526,526,526,526,526,526,526,526,526,526,526,526,526,526,526,526,526"MDMA CONFIRMATION, URINE",EA,80358,5003008,EA,"1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00""METHADONE CONFIRMATION, URINE",EA,80358,5003010,EA,526,526,526,526,526,526,526,526,526,526,526,526,526,526,526,526,526"METHAMPHETAMINE CONF, WHOLE BLOOD",EA,80324,5003011,EA,"1,483.00","1,483.00","1,483.00","1,483.00","1,483.00","1,483.00","1,483.00","1,483.00","1,483.00","1,483.00","1,483.00","1,483.00","1,483.00","1,483.00","1,483.00","1,483.00","1,483.00"METHYLPHENIDATE AND METABOLITE-URINE,EA,80360,5003012,EA,526,526,526,526,526,526,526,526,526,526,526,526,526,526,526,526,526"TRICYCLIC ANTIDEPRESSANTS CONF, URINE",EA,80337,5003015,EA,"1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00""PHENCYCLIDINE (PCP) CONFIRMATION, URINE",EA,80358,5003018,EA,"1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00""BENZODIAZEPINES, SCREEN AND CONFIRMATION",EA,80307,5003020,EA,162,162,162,162,162,162,162,162,162,162,162,162,162,162,162,162,162"BENZODIAZEPINE CONFIRMATION, URINE",EA,80346,5003021,EA,526,526,526,526,526,526,526,526,526,526,526,526,526,526,526,526,526"BARBITURATE CONFIRMATION, URINE",EA,80345,5003025,EA,515,515,515,515,515,515,515,515,515,515,515,515,515,515,515,515,515"BUPRENORPHINE,SCREEN ONLY, URINE",EA,80307,5003026,EA,582,582,582,582,582,582,582,582,582,582,582,582,582,582,582,582,582"HYDROCODONE, SERUM",EA,80361,5003028,EA,"1,270.00","1,270.00","1,270.00","1,270.00","1,270.00","1,270.00","1,270.00","1,270.00","1,270.00","1,270.00","1,270.00","1,270.00","1,270.00","1,270.00","1,270.00","1,270.00","1,270.00""OXYCODONE W/ CONFIRMATION , URINE",EA,80307,5003029,EA,"1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00""FENTANYL W/ CONFIRMATION , URINE",EA,80307,5003031,EA,"1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00","1,326.00""OPIATES SCREEN W/CONFIRMATION , URINE",EA,80307,5003033,EA,"1,417.00","1,417.00","1,417.00","1,417.00","1,417.00","1,417.00","1,417.00","1,417.00","1,417.00","1,417.00","1,417.00","1,417.00","1,417.00","1,417.00","1,417.00","1,417.00","1,417.00""OPIATE CONFIRMATION (FOUR DRUGS), URINE",EA,G0481,5003034,EA,"3,707.00","3,707.00","3,707.00","3,707.00","3,707.00","3,707.00","3,707.00","3,707.00","3,707.00","3,707.00","3,707.00","3,707.00","3,707.00","3,707.00","3,707.00","3,707.00","3,707.00"SENDOUT URINE DRUG SCREEN-7 TESTS,EA,80307,5003035,EA,110,110,110,110,110,110,110,110,110,110,110,110,110,110,110,110,110SENDOUT DRUG SCREEN-URINE 9PANEL,EA,80307,5003036,EA,331,331,331,331,331,331,331,331,331,331,331,331,331,331,331,331,331"DRUG SCREEN, WHOLE BLOOD-7 TESTS",EA,80307,5003037,EA,"1,542.00","1,542.00","1,542.00","1,542.00","1,542.00","1,542.00","1,542.00","1,542.00","1,542.00","1,542.00","1,542.00","1,542.00","1,542.00","1,542.00","1,542.00","1,542.00","1,542.00"DRUG SCREEN-URINE-COMP,EA,G0431,5003039,EA,"3,090.00","3,090.00","3,090.00","3,090.00","3,090.00","3,090.00","3,090.00","3,090.00","3,090.00","3,090.00","3,090.00","3,090.00","3,090.00","3,090.00","3,090.00","3,090.00","3,090.00"DRUG KIT SCREENING,EA,80305,5003040,EA,276,276,276,276,276,276,276,276,276,276,276,276,276,276,276,276,276ELECTROLYTE PANEL,EA,80051,5003041,EA,149,149,149,149,149,149,149,149,149,149,149,149,149,149,149,149,149GENERAL HEALTH PANEL,EA,80050,5003042,EA,628,628,628,628,628,628,628,628,628,628,628,628,628,628,628,628,628"ENDOMYSIAL ANTIBODY, IGA",EA,86255,5003044,EA,246,246,246,246,246,246,246,246,246,246,246,246,246,246,246,246,246ERYTHROPOIETIN (EPO),EA,82668,5003046,EA,162,162,162,162,162,162,162,162,162,162,162,162,162,162,162,162,162"EPI PROCOLON®, SEPTIN 9 GENE METHYLATION",EA,81327,5003048,EA,"6,138.00","6,138.00","6,138.00","6,138.00","6,138.00","6,138.00","6,138.00","6,138.00","6,138.00","6,138.00","6,138.00","6,138.00","6,138.00","6,138.00","6,138.00","6,138.00","6,138.00""EBV-EARLY AG, IGG",EA,86663,5003050,EA,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210"EBV-VCA ANTIBODIES, IgM",EA,86665,5003052,EA,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210"EBV-VCA ANTIBODIES, IgG",EA,86665,5003054,EA,203,203,203,203,203,203,203,203,203,203,203,203,203,203,203,203,203"EBV-NAA, IGG",EA,86664,5003056,EA,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210"EPSTEIN-BARR VIRUS, QUANT,DNA PCR,WB",EA,87799,5003060,EA,"3,533.00","3,533.00","3,533.00","3,533.00","3,533.00","3,533.00","3,533.00","3,533.00","3,533.00","3,533.00","3,533.00","3,533.00","3,533.00","3,533.00","3,533.00","3,533.00","3,533.00""EOSINOPHIL, URINE",EA,87205,5003080,EA,162,162,162,162,162,162,162,162,162,162,162,162,162,162,162,162,162ESTROGEN,EA,82672,5003337,EA,412,412,412,412,412,412,412,412,412,412,412,412,412,412,412,412,412BRUCELLA ANTIBODY IgG-EIA,EA,86622,5003391,EA,245,245,245,245,245,245,245,245,245,245,245,245,245,245,245,245,245BRUCELLA ANTIBODY IgM-EIA,EA,86622,5003392,EA,245,245,245,245,245,245,245,245,245,245,245,245,245,245,245,245,245SPOTTED FEVER GROUP IgG,EA,86757,5003393,EA,607,607,607,607,607,607,607,607,607,607,607,607,607,607,607,607,607SPOTTED FEVER GROUP IgM,EA,86757,5003394,EA,607,607,607,607,607,607,607,607,607,607,607,607,607,607,607,607,607TYPHUS FEVER GROUP IgG,EA,86757,5003395,EA,607,607,607,607,607,607,607,607,607,607,607,607,607,607,607,607,607TYPHUS FEVER GROUP IgM,EA,86757,5003396,EA,607,607,607,607,607,607,607,607,607,607,607,607,607,607,607,607,607FERRITIN,EA,82728,5003410,EA,115,115,115,115,115,115,115,115,115,115,115,115,115,115,115,115,115FIBRINOGEN,EA,85384,5003412,EA,100,100,100,100,100,100,100,100,100,100,100,100,100,100,100,100,100FIBRINOGEN DEGREDATION PRODUCTS,EA,85362,5003413,EA,363,363,363,363,363,363,363,363,363,363,363,363,363,363,363,363,3635-HIAA,EA,83497,5003468,EA,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210BUDDY'S CHOLINESTERASE,EA,82480,5003469,EA,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39FOLATE,EA,82746,5003524,EA,190,190,190,190,190,190,190,190,190,190,190,190,190,190,190,190,190"FREE KAPPA AND LAMDA LIGHT CHAINS, URINE",EA,83883,5003568,EA,429,429,429,429,429,429,429,429,429,429,429,429,429,429,429,429,429"FREE KAPPA AND LAMDA LIGHT CHAINS, SERUM",EA,83883,5003570,EA,429,429,429,429,429,429,429,429,429,429,429,429,429,429,429,429,429FREE T3,EA,84481,5003571,EA,315,315,315,315,315,315,315,315,315,315,315,315,315,315,315,315,315FREE T4,EA,84439,5003572,EA,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150FOLLICLE STIMULATING HORMONE,EA,83001,5003574,EA,239,239,239,239,239,239,239,239,239,239,239,239,239,239,239,239,239FRUCTOSAMINE,EA,82985,5003576,EA,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119CHRG-ANTIFUNGAL SUSP,EA,87186,5003581,EA,"3,453.00","3,453.00","3,453.00","3,453.00","3,453.00","3,453.00","3,453.00","3,453.00","3,453.00","3,453.00","3,453.00","3,453.00","3,453.00","3,453.00","3,453.00","3,453.00","3,453.00""ANTIFUNGAL SUSP, FLUCONAZOLE",EA,87186,5003582,EA,"3,453.00","3,453.00","3,453.00","3,453.00","3,453.00","3,453.00","3,453.00","3,453.00","3,453.00","3,453.00","3,453.00","3,453.00","3,453.00","3,453.00","3,453.00","3,453.00","3,453.00""ORGANISM ID, MOLD",EA,87107,5003583,EA,"2,090.00","2,090.00","2,090.00","2,090.00","2,090.00","2,090.00","2,090.00","2,090.00","2,090.00","2,090.00","2,090.00","2,090.00","2,090.00","2,090.00","2,090.00","2,090.00","2,090.00"FUNGAL CULTURE,EA,87101,5003584,EA,91,91,91,91,91,91,91,91,91,91,91,91,91,91,91,91,91FUNGAL SMEAR,EA,87205,5003585,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85ESTRADIOL,EA,82670,5003588,EA,357,357,357,357,357,357,357,357,357,357,357,357,357,357,357,357,357"ESTRADIOL,SENSITIVE,LC/MS",EA,82670,5003589,EA,306,306,306,306,306,306,306,306,306,306,306,306,306,306,306,306,306GGT-GAMMA GLUTAMYL TRANSFERASE,EA,82977,5003628,EA,177,177,177,177,177,177,177,177,177,177,177,177,177,177,177,177,177GABAPENTIN (NEURONTIN),EA,80299,5003629,EA,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236GENTAMYCIN LEVEL PEAK,EA,80299,5003630,EA,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236GENTAMYCIN LEVEL TROUGH,EA,80299,5003631,EA,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236GASTRIN,EA,82941,5003650,EA,145,145,145,145,145,145,145,145,145,145,145,145,145,145,145,145,145"GASTROINTESTINAL PROFILE, STOOL, PCR",EA,87507,5003660,EA,"14,069.00","14,069.00","14,069.00","14,069.00","14,069.00","14,069.00","14,069.00","14,069.00","14,069.00","14,069.00","14,069.00","14,069.00","14,069.00","14,069.00","14,069.00","14,069.00","14,069.00"GASTROCCULT,EA,82271,5003669,EA,123,123,123,123,123,123,123,123,123,123,123,123,123,123,123,123,123CHARGE GC DNA PROBE,EA,87591,5003676,EA,873,873,873,873,873,873,873,873,873,873,873,873,873,873,873,873,873CHARGE CHL DNA PROBE,EA,87491,5003677,EA,873,873,873,873,873,873,873,873,873,873,873,873,873,873,873,873,873FACTOR II GENE MUTATION,EA,81240,5003690,EA,308,308,308,308,308,308,308,308,308,308,308,308,308,308,308,308,308FACTOR V GENE MUTATION,EA,81241,5003692,EA,936,936,936,936,936,936,936,936,936,936,936,936,936,936,936,936,936FACTOR VIII,EA,85240,5003701,EA,308,308,308,308,308,308,308,308,308,308,308,308,308,308,308,308,308FACTOR IX,EA,85250,5003702,EA,251,251,251,251,251,251,251,251,251,251,251,251,251,251,251,251,251FACTOR XI,EA,85270,5003704,EA,308,308,308,308,308,308,308,308,308,308,308,308,308,308,308,308,308FACTOR XII,EA,85280,5003705,EA,308,308,308,308,308,308,308,308,308,308,308,308,308,308,308,308,308VON WILLEBRAND FACTOR (vWF) ACTIVITY,EA,85245,5003706,EA,260,260,260,260,260,260,260,260,260,260,260,260,260,260,260,260,260VON WILLEBRAND FACTOR (vWF) ANTIGEN,EA,85246,5003709,EA,265,265,265,265,265,265,265,265,265,265,265,265,265,265,265,265,265DILUTE RUSSELL VIPER VENOM TIME,EA,85613,5003710,EA,225,225,225,225,225,225,225,225,225,225,225,225,225,225,225,225,225FACTOR IX ACTIVITY,EA,85250,5003712,EA,308,308,308,308,308,308,308,308,308,308,308,308,308,308,308,308,308FACTOR XIII,EA,85291,5003713,EA,308,308,308,308,308,308,308,308,308,308,308,308,308,308,308,308,308ALPHA-2-ANTIPLASMIN,EA,85410,5003714,EA,308,308,308,308,308,308,308,308,308,308,308,308,308,308,308,308,308PLASMINOGEN ACT INHIBITOR-1,EA,85415,5003715,EA,308,308,308,308,308,308,308,308,308,308,308,308,308,308,308,308,308"GLUCOSE 6-PHOSPHATE DEHYDROGENASE, BLOOD",EA,82955,5003760,EA,"1,874.00","1,874.00","1,874.00","1,874.00","1,874.00","1,874.00","1,874.00","1,874.00","1,874.00","1,874.00","1,874.00","1,874.00","1,874.00","1,874.00","1,874.00","1,874.00","1,874.00"GLUCOSE-BODY FLUID,EA,82945,5003766,EA,167,167,167,167,167,167,167,167,167,167,167,167,167,167,167,167,167GLUCOSE-BLOOD SUGAR,EA,82947,5003768,EA,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65GLUCOSE TOLERANCE 2-HOUR,EA,82951,5003772,EA,215,215,215,215,215,215,215,215,215,215,215,215,215,215,215,215,215GLUCOSE TOLERANCE 3-HOUR,EA,82951,5003776,EA,215,215,215,215,215,215,215,215,215,215,215,215,215,215,215,215,215GLUCOSE TOLERANCE 4-HOUR,EA,82952,5003780,EA,284,284,284,284,284,284,284,284,284,284,284,284,284,284,284,284,284GLUCOSE TOLERANCE MAXIMUM,EA,82951,5003788,EA,294,294,294,294,294,294,294,294,294,294,294,294,294,294,294,294,294GRAM STAIN SMEAR,EA,87205,5003804,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85GROWTH HORMONE,EA,83003,5003850,EA,214,214,214,214,214,214,214,214,214,214,214,214,214,214,214,214,214HAPTOGLOBIN,EA,83010,5003881,EA,180,180,180,180,180,180,180,180,180,180,180,180,180,180,180,180,180HELICOBACTER PYLORI IGG,EA,86677,5003898,EA,206,206,206,206,206,206,206,206,206,206,206,206,206,206,206,206,206STOOL HELICOBACTER PYLORI  ANTIGEN,EA,87338,5003899,EA,873,873,873,873,873,873,873,873,873,873,873,873,873,873,873,873,873"HEREDITARY HEMOCHROMATOSIS, DNA ANALYSIS",EA,81256,5003900,EA,"2,079.00","2,079.00","2,079.00","2,079.00","2,079.00","2,079.00","2,079.00","2,079.00","2,079.00","2,079.00","2,079.00","2,079.00","2,079.00","2,079.00","2,079.00","2,079.00","2,079.00""SENDOUT H. PYLORI ANTIBODIES,IgG-QUANT",EA,86677,5003901,EA,265,265,265,265,265,265,265,265,265,265,265,265,265,265,265,265,265HEMATOCRIT,EA,85014,5003904,EA,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45HEMOGLOBIN,EA,85018,5003916,EA,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45HEMOGLOBIN A1C,EA,83036,5003917,EA,133,133,133,133,133,133,133,133,133,133,133,133,133,133,133,133,133HEMOGLOBINOPATHY FRACTIONATION PROFILE,EA,83021,5003920,EA,221,221,221,221,221,221,221,221,221,221,221,221,221,221,221,221,221HEPARIN-INDUCED PLATELET AB,EA,86022,5003925,EA,556,556,556,556,556,556,556,556,556,556,556,556,556,556,556,556,556APIXABAN ANTI-Xa,EA,85130,5003926,EA,"2,221.00","2,221.00","2,221.00","2,221.00","2,221.00","2,221.00","2,221.00","2,221.00","2,221.00","2,221.00","2,221.00","2,221.00","2,221.00","2,221.00","2,221.00","2,221.00","2,221.00"HEPARIN ANTI-Xa,EA,85520,5003928,EA,168,168,168,168,168,168,168,168,168,168,168,168,168,168,168,168,168"HEPATITIS A VIRUS ANTIBODY, TOTAL",EA,86708,5003929,EA,398,398,398,398,398,398,398,398,398,398,398,398,398,398,398,398,398"HEPATITIS A ANTIBODY, IgM",EA,86709,5003930,EA,203,203,203,203,203,203,203,203,203,203,203,203,203,203,203,203,203HEP B SURFACE AB,EA,86317,5003931,EA,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191HEP B SURFACE ANTIGEN,EA,87340,5003932,EA,201,201,201,201,201,201,201,201,201,201,201,201,201,201,201,201,201"HEPATITIS B CORE AB, IGM",EA,86705,5003933,EA,177,177,177,177,177,177,177,177,177,177,177,177,177,177,177,177,177"HEPATITIS B CORE AB, TOTAL",EA,86704,5003934,EA,159,159,159,159,159,159,159,159,159,159,159,159,159,159,159,159,159HEP PROFILE EMPLOYEE EXPO,EA,80074,5003939,EA,134,134,134,134,134,134,134,134,134,134,134,134,134,134,134,134,134HEPATITIS PANEL  ACUTE,EA,80074,5003940,EA,641,641,641,641,641,641,641,641,641,641,641,641,641,641,641,641,641"HEP B CORE ANTIBODY, TOTAL",EA,86704,5003941,EA,155,155,155,155,155,155,155,155,155,155,155,155,155,155,155,155,155HEP B(e) ANTIGEN,EA,87350,5003942,EA,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147HEP B(e) ANTIBODY,EA,86707,5003943,EA,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166"HERPES (HSV) I & II, IGG, SERUM",EA,,5003944,EA,267,267,267,267,267,267,267,267,267,267,267,267,267,267,267,267,267HERPES I/II IGM,EA,86694,5003946,EA,454,454,454,454,454,454,454,454,454,454,454,454,454,454,454,454,454HERPES SIMPLEX (HSV) 1/2-DNA PCR,EA,87255,5003947,EA,"2,558.00","2,558.00","2,558.00","2,558.00","2,558.00","2,558.00","2,558.00","2,558.00","2,558.00","2,558.00","2,558.00","2,558.00","2,558.00","2,558.00","2,558.00","2,558.00","2,558.00"HUMAN PAPILLOMAVIRUS (HPV) HIGH-RISK DNA,EA,87624,5003948,EA,"1,046.00","1,046.00","1,046.00","1,046.00","1,046.00","1,046.00","1,046.00","1,046.00","1,046.00","1,046.00","1,046.00","1,046.00","1,046.00","1,046.00","1,046.00","1,046.00","1,046.00""HERPES (HSV) I, IGG, SERUM",EA,86695,5003950,EA,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421"HERPES (HSV) II, IGG, SERUM",EA,86696,5003951,EA,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421"HISTOPLASMA GALACT. AG,URINE",EA,87385,5004000,EA,"1,047.00","1,047.00","1,047.00","1,047.00","1,047.00","1,047.00","1,047.00","1,047.00","1,047.00","1,047.00","1,047.00","1,047.00","1,047.00","1,047.00","1,047.00","1,047.00","1,047.00"HUNTINGTON DISEASE (HTT) GENETIC TESTING,EA,81271,5004005,EA,"2,888.00","2,888.00","2,888.00","2,888.00","2,888.00","2,888.00","2,888.00","2,888.00","2,888.00","2,888.00","2,888.00","2,888.00","2,888.00","2,888.00","2,888.00","2,888.00","2,888.00"HIV1/2 4TH GEN CASCADE,EA,86701,5004026,EA,182,182,182,182,182,182,182,182,182,182,182,182,182,182,182,182,182"HIV-1,QUANT,PCR W/REFLEX HIV-1 GENOSURE",EA,87536,5004027,EA,"8,606.00","8,606.00","8,606.00","8,606.00","8,606.00","8,606.00","8,606.00","8,606.00","8,606.00","8,606.00","8,606.00","8,606.00","8,606.00","8,606.00","8,606.00","8,606.00","8,606.00"CHRG ONLY-REFLEX HIV-1 GENOSURE,EA,87901,5004028,EA,"2,624.00","2,624.00","2,624.00","2,624.00","2,624.00","2,624.00","2,624.00","2,624.00","2,624.00","2,624.00","2,624.00","2,624.00","2,624.00","2,624.00","2,624.00","2,624.00","2,624.00"CHRG ONLY-REFLEX HIV-1 VIRAL LOAD,EA,87900,5004029,EA,"5,182.00","5,182.00","5,182.00","5,182.00","5,182.00","5,182.00","5,182.00","5,182.00","5,182.00","5,182.00","5,182.00","5,182.00","5,182.00","5,182.00","5,182.00","5,182.00","5,182.00""HOMOCYST(E)INE, PLASMA",EA,83090,5004030,EA,750,750,750,750,750,750,750,750,750,750,750,750,750,750,750,750,750HEXAGONAL PHASE PHOSPHOLIPID (HPP),EA,85598,5004031,EA,432,432,432,432,432,432,432,432,432,432,432,432,432,432,432,432,432HLA B27 DISEASE ASSOCIATION,EA,81374,5004035,EA,737,737,737,737,737,737,737,737,737,737,737,737,737,737,737,737,737"IGG,A,M+G SUBCLASSES",EA,82784,5004060,EA,419,419,419,419,419,419,419,419,419,419,419,419,419,419,419,419,419"IMMUNOELECTRO, SERUM",EA,86320,5004080,EA,372,372,372,372,372,372,372,372,372,372,372,372,372,372,372,372,372"IMMUNOELECTROPHORESIS, URINE",EA,86335,5004081,EA,929,929,929,929,929,929,929,929,929,929,929,929,929,929,929,929,929IMMUNOGLOBULIN IgA,EA,82784,5004084,EA,146,146,146,146,146,146,146,146,146,146,146,146,146,146,146,146,146"IMMUNOGLOBULIN G,",EA,82784,5004088,EA,146,146,146,146,146,146,146,146,146,146,146,146,146,146,146,146,146IMMUNOGLOBULIN IgM,EA,82784,5004092,EA,146,146,146,146,146,146,146,146,146,146,146,146,146,146,146,146,146"IMMUNOGLOBULINS,QUANT,IgA,IgE,IgG,IgM",EA,82784,5004096,EA,182,182,182,182,182,182,182,182,182,182,182,182,182,182,182,182,182"IMMUNOGLOBULIN G, SUBCLASS 1",EA,82787,5004100,EA,568,568,568,568,568,568,568,568,568,568,568,568,568,568,568,568,568"IMMUNOGLOBULIN G, SUBCLASS 2",EA,82787,5004101,EA,568,568,568,568,568,568,568,568,568,568,568,568,568,568,568,568,568"IMMUNOGLOBULIN G, SUBCLASS 3",EA,82787,5004102,EA,568,568,568,568,568,568,568,568,568,568,568,568,568,568,568,568,568"IMMUNOGLOBULIN G, SUBCLASS 4",EA,82787,5004103,EA,568,568,568,568,568,568,568,568,568,568,568,568,568,568,568,568,568GLUTAMIC ACID DECAROXYLASE AUTOANTIBODY,EA,86341,5004120,EA,685,685,685,685,685,685,685,685,685,685,685,685,685,685,685,685,685IA2 AUTOANTIBODY,EA,86341,5004130,EA,"1,920.00","1,920.00","1,920.00","1,920.00","1,920.00","1,920.00","1,920.00","1,920.00","1,920.00","1,920.00","1,920.00","1,920.00","1,920.00","1,920.00","1,920.00","1,920.00","1,920.00""INSULIN,TOTAL",EA,83525,5004135,EA,248,248,248,248,248,248,248,248,248,248,248,248,248,248,248,248,248INSULIN-ANTI AB,EA,86337,5004138,EA,542,542,542,542,542,542,542,542,542,542,542,542,542,542,542,542,542INSULIN-LIKE GROWTH FACTOR 1 (IGF-1),EA,84305,5004139,EA,209,209,209,209,209,209,209,209,209,209,209,209,209,209,209,209,209INSULIN-FREE AND TOTAL,EA,83525,5004140,EA,416,416,416,416,416,416,416,416,416,416,416,416,416,416,416,416,416INSULIN-LIKE GROWTH FACTOR-BINDING PT 3,EA,84305,5004142,EA,594,594,594,594,594,594,594,594,594,594,594,594,594,594,594,594,594"INSULIN-LIKE GF-1 (IGF-1),PEDI W/Z SCORE",EA,84305,5004144,EA,"4,387.00","4,387.00","4,387.00","4,387.00","4,387.00","4,387.00","4,387.00","4,387.00","4,387.00","4,387.00","4,387.00","4,387.00","4,387.00","4,387.00","4,387.00","4,387.00","4,387.00"INSULIN-LIKE GROWTH FACTOR 1 W/Z SCORE,EA,84305,5004148,EA,343,343,343,343,343,343,343,343,343,343,343,343,343,343,343,343,343IRON,EA,83540,5004260,EA,82,82,82,82,82,82,82,82,82,82,82,82,82,82,82,82,82(CHARG ONLY) IRON BINDING CAPACITY,EA,83550,5004264,EA,117,117,117,117,117,117,117,117,117,117,117,117,117,117,117,117,117IMMUNOGLOBULIN IgD,EA,82784,5004327,EA,146,146,146,146,146,146,146,146,146,146,146,146,146,146,146,146,146IMMUNOGLOBULIN IgE,EA,82785,5004328,EA,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210"JC VIRUS DNA,PCR,WHOLE BLOOD",EA,87798,5004340,EA,"3,442.00","3,442.00","3,442.00","3,442.00","3,442.00","3,442.00","3,442.00","3,442.00","3,442.00","3,442.00","3,442.00","3,442.00","3,442.00","3,442.00","3,442.00","3,442.00","3,442.00"LACTIC ACID,EA,83605,5004516,EA,157,157,157,157,157,157,157,157,157,157,157,157,157,157,157,157,157LAMOTRIGINE(LAMICTAL),EA,80299,5004518,EA,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236LACTATE DEHYDROGENASE,EA,83615,5004520,EA,141,141,141,141,141,141,141,141,141,141,141,141,141,141,141,141,141LACTATE DEHYDROGENASE (LD) ISO,EA,83625,5004525,EA,403,403,403,403,403,403,403,403,403,403,403,403,403,403,403,403,403LACTIC ACID DEHYDROGENASE-BODY FLUID,EA,83615,5004530,EA,88,88,88,88,88,88,88,88,88,88,88,88,88,88,88,88,88"LEAD, PEDIATRIC",EA,84203,5004600,EA,103,103,103,103,103,103,103,103,103,103,103,103,103,103,103,103,103"LEAD, WHOLE BLOOD (ADULT)",EA,83655,5004605,EA,95,95,95,95,95,95,95,95,95,95,95,95,95,95,95,95,95LEAD-URINE,EA,83655,5004610,EA,245,245,245,245,245,245,245,245,245,245,245,245,245,245,245,245,245LEGIONELLA-AB,EA,86713,5004620,EA,455,455,455,455,455,455,455,455,455,455,455,455,455,455,455,455,455"LEGIONELLA PNEUMO AG,URINE",EA,87449,5004625,EA,228,228,228,228,228,228,228,228,228,228,228,228,228,228,228,228,228LEPTOSPIROSIS-AB,EA,86720,5004630,EA,"4,190.00","4,190.00","4,190.00","4,190.00","4,190.00","4,190.00","4,190.00","4,190.00","4,190.00","4,190.00","4,190.00","4,190.00","4,190.00","4,190.00","4,190.00","4,190.00","4,190.00"LIPASE,EA,83690,5004672,EA,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154LIPID PROFILE,EA,80061,5004675,EA,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236LIPOPROTEIN(a),EA,83695,5004680,EA,260,260,260,260,260,260,260,260,260,260,260,260,260,260,260,260,260LIBRIUM LEVEL,EA,80346,5004700,EA,155,155,155,155,155,155,155,155,155,155,155,155,155,155,155,155,155LITHIUM LEVEL,EA,80178,5004702,EA,120,120,120,120,120,120,120,120,120,120,120,120,120,120,120,120,120LIVER-KIDNEY MICROSOMAL ANTIBODIES,EA,86376,5004705,EA,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119LUPUS ANTICOAGULANT,EA,85730,5004713,EA,136,136,136,136,136,136,136,136,136,136,136,136,136,136,136,136,136LYME DISEASE TOTAL AB W/REFLEX IMMUNOASS,EA,86618,5004714,EA,167,167,167,167,167,167,167,167,167,167,167,167,167,167,167,167,167LYME-DISEASE WESTERN BLOT,EA,86617,5004715,EA,"3,478.00","3,478.00","3,478.00","3,478.00","3,478.00","3,478.00","3,478.00","3,478.00","3,478.00","3,478.00","3,478.00","3,478.00","3,478.00","3,478.00","3,478.00","3,478.00","3,478.00"MACROPROLACTIN,EA,84146,5004780,EA,"1,988.00","1,988.00","1,988.00","1,988.00","1,988.00","1,988.00","1,988.00","1,988.00","1,988.00","1,988.00","1,988.00","1,988.00","1,988.00","1,988.00","1,988.00","1,988.00","1,988.00"MAGNESIUM,EA,83735,5004788,EA,127,127,127,127,127,127,127,127,127,127,127,127,127,127,127,127,127"MAGNESIUM, RBC",EA,83735,5004790,EA,212,212,212,212,212,212,212,212,212,212,212,212,212,212,212,212,212"MERCURY, SERUM",EA,83825,5004792,EA,469,469,469,469,469,469,469,469,469,469,469,469,469,469,469,469,469"MERCURY, WHOLE BLOOD",EA,83825,5004794,EA,"1,116.00","1,116.00","1,116.00","1,116.00","1,116.00","1,116.00","1,116.00","1,116.00","1,116.00","1,116.00","1,116.00","1,116.00","1,116.00","1,116.00","1,116.00","1,116.00","1,116.00"MERCURY-URINE,EA,83825,5004795,EA,245,245,245,245,245,245,245,245,245,245,245,245,245,245,245,245,245METANEPHRINES-FRACTIONATED PLASMA,EA,83835,5004799,EA,799,799,799,799,799,799,799,799,799,799,799,799,799,799,799,799,799"METANEPHRINES,FRACTIONATED,24HR URINE",EA,83835,5004805,EA,543,543,543,543,543,543,543,543,543,543,543,543,543,543,543,543,543METHYLENETETRAHYDROFOLATE REDUCTASE,EA,81291,5004820,EA,745,745,745,745,745,745,745,745,745,745,745,745,745,745,745,745,745MICROALBUMIN,EA,82043,5004900,EA,143,143,143,143,143,143,143,143,143,143,143,143,143,143,143,143,143ANTICARDIOLIPIN ANTIBODIES,EA,86147,5005000,EA,360,360,360,360,360,360,360,360,360,360,360,360,360,360,360,360,360MONOSPOT,EA,86318,5005008,EA,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166ANTISTRIATED MUSCLE ANTIBODIES,EA,86255,5005025,EA,316,316,316,316,316,316,316,316,316,316,316,316,316,316,316,316,316MYCOPHENOLIC ACID (MPA) AND METABOLITE,EA,80180,5005028,EA,"2,201.00","2,201.00","2,201.00","2,201.00","2,201.00","2,201.00","2,201.00","2,201.00","2,201.00","2,201.00","2,201.00","2,201.00","2,201.00","2,201.00","2,201.00","2,201.00","2,201.00""MYCOPLASMA PNUEMONIAE AB, IgG",EA,86738,5005031,EA,407,407,407,407,407,407,407,407,407,407,407,407,407,407,407,407,407"MYCOPLASMA PNUEMONIAE AB, IgM",EA,86738,5005032,EA,407,407,407,407,407,407,407,407,407,407,407,407,407,407,407,407,407MYOGLOBIN,EA,83874,5005060,EA,249,249,249,249,249,249,249,249,249,249,249,249,249,249,249,249,249"MYOGLOBIN, QUANTITATIVE, RANDOM URINE",EA,83874,5005061,EA,409,409,409,409,409,409,409,409,409,409,409,409,409,409,409,409,409MYOSITIS PANEL II,EA,86235,5005070,EA,"3,036.00","3,036.00","3,036.00","3,036.00","3,036.00","3,036.00","3,036.00","3,036.00","3,036.00","3,036.00","3,036.00","3,036.00","3,036.00","3,036.00","3,036.00","3,036.00","3,036.00"NMR LIPOPROFILE W/INSULIN RESISTANCE,EA,83704,5005100,EA,367,367,367,367,367,367,367,367,367,367,367,367,367,367,367,367,367OCCULT BLOOD RANDOM,EA,82272,5005336,EA,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57OCCULT BLOOD X3 ANNUAL SCREEN,EA,82270,5005340,EA,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75OSMOLARITY-SERUM,EA,83930,5005393,EA,91,91,91,91,91,91,91,91,91,91,91,91,91,91,91,91,91OSMOLARITY-URINE,EA,83935,5005394,EA,91,91,91,91,91,91,91,91,91,91,91,91,91,91,91,91,91OVA & PARASITES,EA,87177,5005460,EA,140,140,140,140,140,140,140,140,140,140,140,140,140,140,140,140,140"CYCLOSPORA SMEAR, STOOL",EA,87015,5005462,EA,215,215,215,215,215,215,215,215,215,215,215,215,215,215,215,215,215PANCREATIC ELASTASE- FECAL,EA,82656,5005490,EA,"5,593.00","5,593.00","5,593.00","5,593.00","5,593.00","5,593.00","5,593.00","5,593.00","5,593.00","5,593.00","5,593.00","5,593.00","5,593.00","5,593.00","5,593.00","5,593.00","5,593.00""PARASITE EXAMINATION, WHOLE BLOOD",EA,87207,5005500,EA,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191"PARATHYROID HORMONE, INTACT",EA,83970,5005529,EA,526,526,526,526,526,526,526,526,526,526,526,526,526,526,526,526,526PARATHYROID HORMONE-RELATED PEPTIDE,EA,82397,5005531,EA,"1,527.00","1,527.00","1,527.00","1,527.00","1,527.00","1,527.00","1,527.00","1,527.00","1,527.00","1,527.00","1,527.00","1,527.00","1,527.00","1,527.00","1,527.00","1,527.00","1,527.00"aPTT-PARTIAL THROMBOPLASTIN TIME,EA,85730,5005536,EA,136,136,136,136,136,136,136,136,136,136,136,136,136,136,136,136,136CHRG ONLY APTT MIXING,EA,85732,5005538,EA,63,63,63,63,63,63,63,63,63,63,63,63,63,63,63,63,63CHRG ONLY (IC & BMZ ABS),EA,86255,5005541,EA,"5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00"CHRG ONLY (DIFFENTIATION OF BP FROM EBA),EA,86255,5005542,EA,379,379,379,379,379,379,379,379,379,379,379,379,379,379,379,379,379CHRG ONLY (DSG1 AB),EA,83516,5005543,EA,"5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00"CHRG ONLY (DSG3 AB),EA,83516,5005544,EA,"5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00","5,349.00"CHRG ONLY (BP 180),EA,83516,5005545,EA,363,363,363,363,363,363,363,363,363,363,363,363,363,363,363,363,363CHRG ONLY (BP 230),EA,83516,5005546,EA,363,363,363,363,363,363,363,363,363,363,363,363,363,363,363,363,363LUTEINIZING HORMONE,EA,83002,5005589,EA,239,239,239,239,239,239,239,239,239,239,239,239,239,239,239,239,239PNEUMO AB TYPE 1,EA,86317,5005600,EA,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147PNEUMO AB TYPE 3,EA,86317,5005601,EA,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147PNEUMO AB TYPE 4,EA,86317,5005602,EA,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147PNEUMO AB TYPE 8,EA,86317,5005603,EA,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147PNEUMO AB TYPE 9,EA,86317,5005604,EA,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147PNEUMO AB TYPE 12,EA,86317,5005605,EA,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147PNEUMO AB TYPE 14,EA,86317,5005606,EA,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147PNEUMO AB TYPE 17,EA,86317,5005607,EA,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147PNEUMO AB TYPE 19,EA,86317,5005608,EA,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147PNEUMO AB TYPE 2,EA,86317,5005609,EA,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147PNEUMO AB TYPE 20,EA,86317,5005610,EA,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147PNEUMO AB TYPE 22,EA,86317,5005611,EA,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147PNEUMO AB TYPE 23,EA,86317,5005612,EA,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147PNEUMO AB TYPE 26,EA,86317,5005613,EA,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147PNEUMO AB TYPE 34,EA,86317,5005614,EA,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147PNEUMO AB TYPE 43,EA,86317,5005615,EA,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147PNEUMO AB TYPE 5,EA,86317,5005616,EA,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147PNEUMO AB TYPE 51,EA,86317,5005617,EA,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147PNEUMO AB TYPE 54,EA,86317,5005618,EA,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147PNEUMO AB TYPE 56,EA,86317,5005619,EA,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147PNEUMO AB TYPE 57,EA,86317,5005620,EA,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147PNEUMO AB TYPE 68,EA,86317,5005621,EA,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147PNEUMO AB TYPE 70,EA,86317,5005622,EA,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147PHENOBARBITAL LEVEL,EA,80184,5005776,EA,332,332,332,332,332,332,332,332,332,332,332,332,332,332,332,332,332CHARGE ONLY PHENYLETHYLMALONAMIDE,EA,80188,5005777,EA,78,78,78,78,78,78,78,78,78,78,78,78,78,78,78,78,78PHOSPHORUS,EA,84100,5005816,EA,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81PHOSPHATIDYLETHANOL (PEth),EA,80321,5005820,EA,"2,356.00","2,356.00","2,356.00","2,356.00","2,356.00","2,356.00","2,356.00","2,356.00","2,356.00","2,356.00","2,356.00","2,356.00","2,356.00","2,356.00","2,356.00","2,356.00","2,356.00"PLATELET COUNT,EA,85049,5005876,EA,98,98,98,98,98,98,98,98,98,98,98,98,98,98,98,98,98"PORPHYRINS EVALUATION, WHOLE BLOOD",EA,84311,5005880,EA,"4,588.00","4,588.00","4,588.00","4,588.00","4,588.00","4,588.00","4,588.00","4,588.00","4,588.00","4,588.00","4,588.00","4,588.00","4,588.00","4,588.00","4,588.00","4,588.00","4,588.00""PORPHYRINS, QUANTITATIVE, 24HR URINE",EA,84120,5005890,EA,366,366,366,366,366,366,366,366,366,366,366,366,366,366,366,366,366"PORPHOBILINOGEN, QUANT, RANDOM URINE",EA,84110,5005900,EA,242,242,242,242,242,242,242,242,242,242,242,242,242,242,242,242,242"PORPHYRINS, QUANTITATIVE, RANDOM URINE",EA,84120,5005910,EA,313,313,313,313,313,313,313,313,313,313,313,313,313,313,313,313,313POTASSIUM,EA,84132,5005916,EA,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77PREALBUMIN,EA,84134,5005920,EA,205,205,205,205,205,205,205,205,205,205,205,205,205,205,205,205,205"PREGNANCY TEST, URINE (HCG QUAL)",EA,84703,5005940,EA,184,184,184,184,184,184,184,184,184,184,184,184,184,184,184,184,184"PREGNANCY TEST, SERUM (HCG QUAL)",EA,84703,5005941,EA,184,184,184,184,184,184,184,184,184,184,184,184,184,184,184,184,184"HCG, QUANTITATIVE",EA,84702,5005944,EA,231,231,231,231,231,231,231,231,231,231,231,231,231,231,231,231,231SENDOUT PROCALCITONIN,EA,84145,5006000,EA,"2,981.00","2,981.00","2,981.00","2,981.00","2,981.00","2,981.00","2,981.00","2,981.00","2,981.00","2,981.00","2,981.00","2,981.00","2,981.00","2,981.00","2,981.00","2,981.00","2,981.00"PROCALCITONIN,EA,84145,5006001,EA,506,506,506,506,506,506,506,506,506,506,506,506,506,506,506,506,506PROLACTIN,EA,84146,5006004,EA,249,249,249,249,249,249,249,249,249,249,249,249,249,249,249,249,249PSA-PROSTATE SPECIFIC ANTIGEN,EA,84153,5006010,EA,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236PSA-FREE,EA,84154,5006011,EA,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236PSA-ANNUAL SCREENING,EA,G0103,5006013,EA,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236"PROTEIN ELECTROPHORESIS, SERUM",EA,84165,5006016,EA,177,177,177,177,177,177,177,177,177,177,177,177,177,177,177,177,177"PROTEIN ELECTROPHORESIS, URINE",EA,84156,5006017,EA,214,214,214,214,214,214,214,214,214,214,214,214,214,214,214,214,214PROTEIN 24 HR URINE,EA,84165,5006024,EA,177,177,177,177,177,177,177,177,177,177,177,177,177,177,177,177,177"PROTEIN, SERUM",EA,84155,5006028,EA,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65"PROTEIN, TOTAL-BODY FLUID",EA,84157,5006030,EA,107,107,107,107,107,107,107,107,107,107,107,107,107,107,107,107,107PROTHROMBIN TIME,EA,85610,5006036,EA,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81"Q FEVER ANTIBODIES, IGG",EA,86638,5006100,EA,426,426,426,426,426,426,426,426,426,426,426,426,426,426,426,426,426CAPILLLARY INR,EA,85610,5006101,EA,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81QUANTIFERON-TB GOLD PLUS (INCUBATED),EA,86480,5006105,EA,"4,219.00","4,219.00","4,219.00","4,219.00","4,219.00","4,219.00","4,219.00","4,219.00","4,219.00","4,219.00","4,219.00","4,219.00","4,219.00","4,219.00","4,219.00","4,219.00","4,219.00"QUANTIFERON-TB GOLD PLUS,EA,86480,5006106,EA,"4,219.00","4,219.00","4,219.00","4,219.00","4,219.00","4,219.00","4,219.00","4,219.00","4,219.00","4,219.00","4,219.00","4,219.00","4,219.00","4,219.00","4,219.00","4,219.00","4,219.00""QUETIAPINE, SERUM",EA,80342,5006110,EA,"1,294.00","1,294.00","1,294.00","1,294.00","1,294.00","1,294.00","1,294.00","1,294.00","1,294.00","1,294.00","1,294.00","1,294.00","1,294.00","1,294.00","1,294.00","1,294.00","1,294.00"RA FACTOR,EA,86431,5006132,EA,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81RPR-RAPID PLASMA REAGIN,EA,86592,5006136,EA,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81RPR-RAPID PLASMA REAGIN TITER,EA,86593,5006138,EA,83,83,83,83,83,83,83,83,83,83,83,83,83,83,83,83,83PERIPHERAL SMEAR-PATH REVIEW,EA,85060,5006148,EA,41,41,41,41,41,41,41,41,41,41,41,41,41,41,41,41,41RBC ANTIGEN SCREEN,EA,86905,5006149,EA,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166HANDLING CHARGE,EA,99001,5006184,EA,252,252,252,252,252,252,252,252,252,252,252,252,252,252,252,252,252RENIN LEVEL,EA,84244,5006186,EA,416,416,416,416,416,416,416,416,416,416,416,416,416,416,416,416,416CHRG ONLY RESP VIRAL PANEL,EA,87637,5006201,EA,"1,431.00","1,431.00","1,431.00","1,431.00","1,431.00","1,431.00","1,431.00","1,431.00","1,431.00","1,431.00","1,431.00","1,431.00","1,431.00","1,431.00","1,431.00","1,431.00","1,431.00""MYCOPLASMA PNEUMONIAE, DNA PCR",EA,87581,5006202,EA,353,353,353,353,353,353,353,353,353,353,353,353,353,353,353,353,353"CHLAMYDIA (CHLAMYDOPHILA) PNEUMONIAE, PC",EA,87486,5006203,EA,353,353,353,353,353,353,353,353,353,353,353,353,353,353,353,353,353RETICULOCYTES COUNT,EA,85045,5006212,EA,63,63,63,63,63,63,63,63,63,63,63,63,63,63,63,63,63RSV ANTIGEN-NASAL,EA,87807QW,5006225,EA,225,225,225,225,225,225,225,225,225,225,225,225,225,225,225,225,225"MUMPS ANTIBODY, IgG",EA,86735,5006360,EA,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217RUBEOLA ANTIBODY IgG,EA,86765,5006361,EA,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217RUBELLA  ANTIBODY IgG,EA,86762,5006362,EA,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130AST,EA,84450,5006370,EA,83,83,83,83,83,83,83,83,83,83,83,83,83,83,83,83,83"SACCHAROMYCES CEREVISIAE, IgA",EA,86671,5006375,EA,"1,063.00","1,063.00","1,063.00","1,063.00","1,063.00","1,063.00","1,063.00","1,063.00","1,063.00","1,063.00","1,063.00","1,063.00","1,063.00","1,063.00","1,063.00","1,063.00","1,063.00""SACCHAROMYCES CEREVISIAE, IgG",EA,86671,5006376,EA,"1,063.00","1,063.00","1,063.00","1,063.00","1,063.00","1,063.00","1,063.00","1,063.00","1,063.00","1,063.00","1,063.00","1,063.00","1,063.00","1,063.00","1,063.00","1,063.00","1,063.00"SALICYLATE LEVEL,EA,80179,5006381,EA,178,178,178,178,178,178,178,178,178,178,178,178,178,178,178,178,178SEDIMENTATION RATE (ESR),EA,85651,5006432,EA,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75SELENIUM-PLASMA,EA,84255,5006440,EA,351,351,351,351,351,351,351,351,351,351,351,351,351,351,351,351,351"ORGANISM ID, AEROBE",EA,87077,5006454,EA,202,202,202,202,202,202,202,202,202,202,202,202,202,202,202,202,202"ORGANISM ID, ANAEROBE",EA,87076,5006456,EA,202,202,202,202,202,202,202,202,202,202,202,202,202,202,202,202,202"SENSITIVITY, AEROBIC ORGANISM",EA,87186,5006458,EA,137,137,137,137,137,137,137,137,137,137,137,137,137,137,137,137,137"ORGANISM IDENTIFICATION, YEAST",EA,87106,5006460,EA,"2,090.00","2,090.00","2,090.00","2,090.00","2,090.00","2,090.00","2,090.00","2,090.00","2,090.00","2,090.00","2,090.00","2,090.00","2,090.00","2,090.00","2,090.00","2,090.00","2,090.00"AFB IDENTIFICATION,EA,87149,5006462,EA,"2,450.00","2,450.00","2,450.00","2,450.00","2,450.00","2,450.00","2,450.00","2,450.00","2,450.00","2,450.00","2,450.00","2,450.00","2,450.00","2,450.00","2,450.00","2,450.00","2,450.00"ORGANISM ID BY SEQUENCING,EA,87153,5006464,EA,"5,580.00","5,580.00","5,580.00","5,580.00","5,580.00","5,580.00","5,580.00","5,580.00","5,580.00","5,580.00","5,580.00","5,580.00","5,580.00","5,580.00","5,580.00","5,580.00","5,580.00"SEX HORMONE-BINDING GLOBULIN,EA,84270,5006470,EA,694,694,694,694,694,694,694,694,694,694,694,694,694,694,694,694,694"SIROLIMUS, WHOLE BLOOD",EA,80195,5006490,EA,799,799,799,799,799,799,799,799,799,799,799,799,799,799,799,799,799SODIUM,EA,84295,5006572,EA,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77VARICELLA-ZOSTER AB IgG,EA,86787,5006787,EA,169,169,169,169,169,169,169,169,169,169,169,169,169,169,169,169,169VARICELLA-ZOSTER AB IgM,EA,86787,5006788,EA,169,169,169,169,169,169,169,169,169,169,169,169,169,169,169,169,169HEPATITIS C ANTIBODY,EA,86803,5006803,EA,278,278,278,278,278,278,278,278,278,278,278,278,278,278,278,278,278HEPATITIS C AB/ W REFLEX TO QUANT PCR,EA,86803,5006804,EA,278,278,278,278,278,278,278,278,278,278,278,278,278,278,278,278,278DISCONTINUED HEPATITIS C AB/ W REFLEX,EA,86803,5006805,EA,278,278,278,278,278,278,278,278,278,278,278,278,278,278,278,278,278KIDNEY STONE ANALYSIS,EA,82360,5006812,EA,285,285,285,285,285,285,285,285,285,285,285,285,285,285,285,285,285"STOOL, WBC",EA,89055,5006819,EA,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67ROTAVIRUS ANTIGEN-STOOL,EA,86403,5006820,EA,135,135,135,135,135,135,135,135,135,135,135,135,135,135,135,135,135GIARDIA BY E I A,EA,87329,5006821,EA,225,225,225,225,225,225,225,225,225,225,225,225,225,225,225,225,225"STREP PNEUMO AG,URINE",EA,87899,5006830,EA,345,345,345,345,345,345,345,345,345,345,345,345,345,345,345,345,345STREP TEST,EA,87880,5006832,EA,155,155,155,155,155,155,155,155,155,155,155,155,155,155,155,155,155"SJOGRENS ANTIBODIES(ANTI-SS-A,ANTI-SS-B)",EA,86235,5006835,EA,230,230,230,230,230,230,230,230,230,230,230,230,230,230,230,230,230"SULFONYLUREA ANALYSIS, SERUM",EA,80377,5006840,EA,178,178,178,178,178,178,178,178,178,178,178,178,178,178,178,178,178FINGER STICK BLOOD SUGAR,EA,82962,5006876,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33REVERSE T3,EA,84482,5006970,EA,405,405,405,405,405,405,405,405,405,405,405,405,405,405,405,405,405T3 UPTAKE,EA,84479,5006975,EA,84,84,84,84,84,84,84,84,84,84,84,84,84,84,84,84,84"T4, TOTAL- THYROXINE",EA,84436,5006976,EA,117,117,117,117,117,117,117,117,117,117,117,117,117,117,117,117,117"TESTOSTERONE, TOTAL",EA,84403,5006977,EA,183,183,183,183,183,183,183,183,183,183,183,183,183,183,183,183,183TEGRETOL-CARBAMAZAPINE,EA,80156,5006978,EA,235,235,235,235,235,235,235,235,235,235,235,235,235,235,235,235,235"TESTOSTERONE, FREE & TOTAL",EA,84403,5006979,EA,298,298,298,298,298,298,298,298,298,298,298,298,298,298,298,298,298"TESTOSTERONE, FREE",EA,84402,5006980,EA,183,183,183,183,183,183,183,183,183,183,183,183,183,183,183,183,183"TESTOSTERONE, TOTAL WOMEN LC/MS-MS",EA,84403,5006981,EA,560,560,560,560,560,560,560,560,560,560,560,560,560,560,560,560,560"TETANUS ANTITOXOID, IgG",EA,86317,5007000,EA,167,167,167,167,167,167,167,167,167,167,167,167,167,167,167,167,167THEOPHYLLINE,EA,80198,5007168,EA,183,183,183,183,183,183,183,183,183,183,183,183,183,183,183,183,183"TISSUE TRANSGLUTAMINASE (tTG), IgA",EA,83516,5007170,EA,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421"TISSUE TRANSGLUTAMINASE (tTG), IgG",EA,83516,5007175,EA,313,313,313,313,313,313,313,313,313,313,313,313,313,313,313,313,313THROMBIN TIME,EA,85384,5007180,EA,100,100,100,100,100,100,100,100,100,100,100,100,100,100,100,100,100"TOBRAMYCIN LEVEL, TROUGH",EA,80200,5007190,EA,351,351,351,351,351,351,351,351,351,351,351,351,351,351,351,351,351UPPER RESPIRATORY CULTURE,EA,87070,5007216,EA,196,196,196,196,196,196,196,196,196,196,196,196,196,196,196,196,196THYROID ANTIBODIES,EA,86376,5007218,EA,187,187,187,187,187,187,187,187,187,187,187,187,187,187,187,187,187THYROID PEROXIDASE (TPO) ANTIBODIES,EA,86376,5007219,EA,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131THYROGLOBULIN  ANTIBODY,EA,86800,5007226,EA,448,448,448,448,448,448,448,448,448,448,448,448,448,448,448,448,448THYROGLOBULIN  AB AND THYROGLOBULIN,EA,86800,5007227,EA,448,448,448,448,448,448,448,448,448,448,448,448,448,448,448,448,448THYROTROPIN RECEPTOR ANTIBODY-SERUM,EA,83520,5007228,EA,408,408,408,408,408,408,408,408,408,408,408,408,408,408,408,408,408"TOPIRAMATE, SERUM",EA,80201,5007300,EA,376,376,376,376,376,376,376,376,376,376,376,376,376,376,376,376,376TREPONEMA PALLIDUM ANTIBODIES (FTA-ABS),EA,86780,5007310,EA,278,278,278,278,278,278,278,278,278,278,278,278,278,278,278,278,278TREPONEMA PALLIDUM AB W/REFLEX TO RPR,EA,86780,5007315,EA,195,195,195,195,195,195,195,195,195,195,195,195,195,195,195,195,195"TRICHOMONAS VAGINALIS, NAA",EA,87661,5007320,EA,258,258,258,258,258,258,258,258,258,258,258,258,258,258,258,258,258TRANSFERRIN,EA,84466,5007361,EA,190,190,190,190,190,190,190,190,190,190,190,190,190,190,190,190,190TRIGLYCERIDE,EA,84478,5007592,EA,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77TRILEPTAL,EA,80183,5007594,EA,417,417,417,417,417,417,417,417,417,417,417,417,417,417,417,417,417"TROPONIN, HIGH SENSITIVE",EA,84484,5007599,EA,243,243,243,243,243,243,243,243,243,243,243,243,243,243,243,243,243THYROID STIMULATING HORMONE,EA,84443,5007600,EA,215,215,215,215,215,215,215,215,215,215,215,215,215,215,215,215,215THYROID-STIMULATING IMMUNOGLOBULILN,EA,84445,5007610,EA,"1,454.00","1,454.00","1,454.00","1,454.00","1,454.00","1,454.00","1,454.00","1,454.00","1,454.00","1,454.00","1,454.00","1,454.00","1,454.00","1,454.00","1,454.00","1,454.00","1,454.00"TRYPSIN,EA,84425,5007620,EA,"1,409.00","1,409.00","1,409.00","1,409.00","1,409.00","1,409.00","1,409.00","1,409.00","1,409.00","1,409.00","1,409.00","1,409.00","1,409.00","1,409.00","1,409.00","1,409.00","1,409.00"BLOOD UREA NITROGEN,EA,84520,5007724,EA,74,74,74,74,74,74,74,74,74,74,74,74,74,74,74,74,74URIC ACID,EA,84550,5007744,EA,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81URIC ACID-BODY FLUID,EA,84560,5007746,EA,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154URINALYSIS AUTO W/MICRO,EA,81001,5007752,EA,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81URINALYSIS DIP,EA,81003,5007753,EA,59,59,59,59,59,59,59,59,59,59,59,59,59,59,59,59,59URINALYSIS MICRO ONLY,EA,81015,5007756,EA,74,74,74,74,74,74,74,74,74,74,74,74,74,74,74,74,74URINE MICROALBUMIN-SENDOUT RANDOM,EA,82043,5007757,EA,62,62,62,62,62,62,62,62,62,62,62,62,62,62,62,62,62URINE CREATININE -RANDOM,EA,82570,5007758,EA,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77URINE CREATININE 24HR -SENDOUT,EA,82570,5007759,EA,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77URINE CYTOLOGY,EA,88112,5007760,EA,851,851,851,851,851,851,851,851,851,851,851,851,851,851,851,851,851CULTURE-URINE/COLONY CT,EA,87086,5007762,EA,155,155,155,155,155,155,155,155,155,155,155,155,155,155,155,155,155URINE UREA NITROGEN-24HR,EA,84540,5007763,EA,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48URINE GLUCOSE-24HR,EA,82945,5007764,EA,66,66,66,66,66,66,66,66,66,66,66,66,66,66,66,66,66URINE SODIUM-24HR,EA,84300,5007765,EA,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48URINE PROTEIN -RANDOM,EA,84155,5007766,EA,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65URINE CALCIUM-24HR,EA,82340,5007767,EA,92,92,92,92,92,92,92,92,92,92,92,92,92,92,92,92,92"URINE CITRIC ACID (CITRATE), 24HR",EA,82507,5007768,EA,196,196,196,196,196,196,196,196,196,196,196,196,196,196,196,196,196"URINE CYSTINE, QUANTITATIVE",EA,82131,5007769,EA,92,92,92,92,92,92,92,92,92,92,92,92,92,92,92,92,92URINE SODIUM -RANDOM,EA,84300,5007770,EA,76,76,76,76,76,76,76,76,76,76,76,76,76,76,76,76,76URINE POTASSIUM -RANDOM,EA,84133,5007771,EA,143,143,143,143,143,143,143,143,143,143,143,143,143,143,143,143,143URINE MAGNESIUM-24HR,EA,83735,5007772,EA,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65"OXALATE, QUANTITATIVE, 24-HOUR URINE",EA,83945,5007773,EA,249,249,249,249,249,249,249,249,249,249,249,249,249,249,249,249,249VALPROIC ACID-DEPAKOTE,EA,80164,5007775,EA,209,209,209,209,209,209,209,209,209,209,209,209,209,209,209,209,209URINE CHLORIDE-24HR,EA,82436,5007776,EA,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37URINE POTASSIUM-24HR,EA,84133,5007778,EA,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48VANCOMYCIN PEAK,EA,80202,5007788,EA,247,247,247,247,247,247,247,247,247,247,247,247,247,247,247,247,247VANCOMYCIN TROUGH,EA,80202,5007789,EA,247,247,247,247,247,247,247,247,247,247,247,247,247,247,247,247,247VANCOMYCIN RANDOM,EA,80202,5007790,EA,247,247,247,247,247,247,247,247,247,247,247,247,247,247,247,247,247CAPILLARY BLOOD COLLCTION,EA,36416,5007794,EA,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29VENIPUNCTURE,EA,36415,5007795,EA,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29"CYCLIC CITRULLINATED PEPTIDE AB,IgA,IgG",EA,86200,5007800,EA,467,467,467,467,467,467,467,467,467,467,467,467,467,467,467,467,467"VANILLYLMANDELIC ACID (VMA),24HR URINE",EA,84585,5007820,EA,386,386,386,386,386,386,386,386,386,386,386,386,386,386,386,386,386"VARICELLA ZOSTER (VZV), DNA PCR",EA,87798,5007850,EA,"2,524.00","2,524.00","2,524.00","2,524.00","2,524.00","2,524.00","2,524.00","2,524.00","2,524.00","2,524.00","2,524.00","2,524.00","2,524.00","2,524.00","2,524.00","2,524.00","2,524.00""VIRAL CULTURE, RAPID, LESION (HSV &VZV)",EA,87254,5007853,EA,624,624,624,624,624,624,624,624,624,624,624,624,624,624,624,624,624VIRAL CULTURE,EA,87250,5007854,EA,258,258,258,258,258,258,258,258,258,258,258,258,258,258,258,258,258VITAMIN D 1-25-DIHYDROXY,EA,82652,5007855,EA,491,491,491,491,491,491,491,491,491,491,491,491,491,491,491,491,491VITAMIN D 25-0H,EA,82306,5007860,EA,377,377,377,377,377,377,377,377,377,377,377,377,377,377,377,377,377"VITAMIN D 25-0H,(D2+D3 FRACT) LC/MS-MS",EA,82306,5007861,EA,"3,681.00","3,681.00","3,681.00","3,681.00","3,681.00","3,681.00","3,681.00","3,681.00","3,681.00","3,681.00","3,681.00","3,681.00","3,681.00","3,681.00","3,681.00","3,681.00","3,681.00"VITAMIN K1,EA,84597,5007865,EA,"1,071.00","1,071.00","1,071.00","1,071.00","1,071.00","1,071.00","1,071.00","1,071.00","1,071.00","1,071.00","1,071.00","1,071.00","1,071.00","1,071.00","1,071.00","1,071.00","1,071.00"VOLTAGE-GATED CA CHANNEL AB,EA,83516,5007870,EA,767,767,767,767,767,767,767,767,767,767,767,767,767,767,767,767,767WEST NILE VIRUS (WNV) ANTIBODY,EA,86789,5008000,EA,454,454,454,454,454,454,454,454,454,454,454,454,454,454,454,454,454WET MOUNT SMEAR,EA,87210,5008032,EA,69,69,69,69,69,69,69,69,69,69,69,69,69,69,69,69,69ZINC -WHOLE BLOOD,EA,84630,5008075,EA,190,190,190,190,190,190,190,190,190,190,190,190,190,190,190,190,190ZINC -PLASMA,EA,84630,5008076,EA,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46ZINC TRANSPORT 8 ANTIBODY,EA,86341,5008080,EA,"4,014.00","4,014.00","4,014.00","4,014.00","4,014.00","4,014.00","4,014.00","4,014.00","4,014.00","4,014.00","4,014.00","4,014.00","4,014.00","4,014.00","4,014.00","4,014.00","4,014.00""17-OH PROGESTRONE, LC/MS",EA,83498,5008990,EA,458,458,458,458,458,458,458,458,458,458,458,458,458,458,458,458,458PAP TEST-IG,EA,88175,5009001,EA,467,467,467,467,467,467,467,467,467,467,467,467,467,467,467,467,467PROGRAF -TACROLIMUS FK506,EA,80197,5009003,EA,440,440,440,440,440,440,440,440,440,440,440,440,440,440,440,440,440T3-TOTAL-TRIIODOTHYRONINE,EA,84480,5009004,EA,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166"PAP TEST-IG, RFX HPV ASCU",EA,88175,5009005,EA,467,467,467,467,467,467,467,467,467,467,467,467,467,467,467,467,467CA 27.29,EA,86300,5009007,EA,269,269,269,269,269,269,269,269,269,269,269,269,269,269,269,269,269PROGESTRONE,EA,84144,5009008,EA,231,231,231,231,231,231,231,231,231,231,231,231,231,231,231,231,231"HEP C QUANT, RNA, REFLEX GENOTYPING",EA,87522,5009009,EA,"3,014.00","3,014.00","3,014.00","3,014.00","3,014.00","3,014.00","3,014.00","3,014.00","3,014.00","3,014.00","3,014.00","3,014.00","3,014.00","3,014.00","3,014.00","3,014.00","3,014.00"HEP C GENOTYPING,EA,87902,5009010,EA,"12,524.00","12,524.00","12,524.00","12,524.00","12,524.00","12,524.00","12,524.00","12,524.00","12,524.00","12,524.00","12,524.00","12,524.00","12,524.00","12,524.00","12,524.00","12,524.00","12,524.00"PROTEIN C RESISTANCE,EA,85306,5009011,EA,432,432,432,432,432,432,432,432,432,432,432,432,432,432,432,432,432"PROTEIN S, FREE",EA,85306,5009012,EA,432,432,432,432,432,432,432,432,432,432,432,432,432,432,432,432,432PROTEIN C ACTIVITY,EA,85303,5009013,EA,90,90,90,90,90,90,90,90,90,90,90,90,90,90,90,90,90PROTEIN S FUNCTION,EA,85306,5009014,EA,441,441,441,441,441,441,441,441,441,441,441,441,441,441,441,441,441C-PEPTIDE,EA,84681,5009015,EA,277,277,277,277,277,277,277,277,277,277,277,277,277,277,277,277,277DIRECT LDL,EA,83721,5009016,EA,100,100,100,100,100,100,100,100,100,100,100,100,100,100,100,100,100METHYLMALONIC ACID,EA,83921,5009017,EA,284,284,284,284,284,284,284,284,284,284,284,284,284,284,284,284,284"HEP C QUANT, RNA, PCR",EA,87522,5009020,EA,"2,881.00","2,881.00","2,881.00","2,881.00","2,881.00","2,881.00","2,881.00","2,881.00","2,881.00","2,881.00","2,881.00","2,881.00","2,881.00","2,881.00","2,881.00","2,881.00","2,881.00"THIOPURINE METHYLTRANSFERASE  GENOTYPING,EA,81335,5009030,EA,"8,551.00","8,551.00","8,551.00","8,551.00","8,551.00","8,551.00","8,551.00","8,551.00","8,551.00","8,551.00","8,551.00","8,551.00","8,551.00","8,551.00","8,551.00","8,551.00","8,551.00""HEP C QUANT, RNA, REFLEX NS5A RESISTANCE",EA,87522,5009100,EA,"8,787.00","8,787.00","8,787.00","8,787.00","8,787.00","8,787.00","8,787.00","8,787.00","8,787.00","8,787.00","8,787.00","8,787.00","8,787.00","8,787.00","8,787.00","8,787.00","8,787.00"HCV NS5A RESISTANCE,EA,87900,5009110,EA,"15,614.00","15,614.00","15,614.00","15,614.00","15,614.00","15,614.00","15,614.00","15,614.00","15,614.00","15,614.00","15,614.00","15,614.00","15,614.00","15,614.00","15,614.00","15,614.00","15,614.00""JAK2V617F MUTATION, QUAL W/FLX JAK2 EXON",EA,80197,5009900,EA,"2,916.00","2,916.00","2,916.00","2,916.00","2,916.00","2,916.00","2,916.00","2,916.00","2,916.00","2,916.00","2,916.00","2,916.00","2,916.00","2,916.00","2,916.00","2,916.00","2,916.00"JAK2 EXON 12 MUTATION ANALYSIS,EA,80197,5009901,EA,"1,741.00","1,741.00","1,741.00","1,741.00","1,741.00","1,741.00","1,741.00","1,741.00","1,741.00","1,741.00","1,741.00","1,741.00","1,741.00","1,741.00","1,741.00","1,741.00","1,741.00"STAT ORDER CTNR,EA,,5009995,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22PACKED CELLS LEUKO REDUCE,EA,P9016,5100010,EA,525,525,525,525,525,525,525,525,525,525,525,525,525,525,525,525,525BLOOD ADMIN PER DAY,EA,36430,5100015,EA,"1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00"INFUSION SET BLOOD,EA,,5100020,EA,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29BLOOD TRANSFUSION,EA,,5100025,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11ABDOMEN 1 VIEW,EA,74018,6001064,EA,389,389,389,389,389,389,389,389,389,389,389,389,389,389,389,389,389ABDOMEN 2 VIEWS,EA,74019,6001068,EA,615,615,615,615,615,615,615,615,615,615,615,615,615,615,615,615,615ABDOMEN 3 VIEWS,EA,74021,6001072,EA,733,733,733,733,733,733,733,733,733,733,733,733,733,733,733,733,733ANKLE 2 VIEWS LT POST REDUCTION ONLY,EA,73600LT,6001403,EA,492,492,492,492,492,492,492,492,492,492,492,492,492,492,492,492,492ANKLE 3 VIEWS LT,EA,73610LT,6001404,EA,513,513,513,513,513,513,513,513,513,513,513,513,513,513,513,513,513BONE AGE COMPLETE,EA,77072,6001944,EA,372,372,372,372,372,372,372,372,372,372,372,372,372,372,372,372,372CHEST 1 VIEW,EA,71045,6002252,EA,371,371,371,371,371,371,371,371,371,371,371,371,371,371,371,371,371CHEST 2 VIEWS,EA,71046,6002256,EA,460,460,460,460,460,460,460,460,460,460,460,460,460,460,460,460,460EMPLOYEE TB SCREEN CHEST 2 VIEWS,EA,71046,6002257,EA,460,460,460,460,460,460,460,460,460,460,460,460,460,460,460,460,460CHEST 3 VIEWS,EA,71047,6002258,EA,559,559,559,559,559,559,559,559,559,559,559,559,559,559,559,559,559CLAVICLE 2 VIEWS LT,EA,73000LT,6002384,EA,452,452,452,452,452,452,452,452,452,452,452,452,452,452,452,452,452ELBOW X-RAY LT,EA,73080LT,6003192,EA,507,507,507,507,507,507,507,507,507,507,507,507,507,507,507,507,507EYE FOREIGN BODY MRI CLEARANCE,EA,70030,6003372,EA,457,457,457,457,457,457,457,457,457,457,457,457,457,457,457,457,457FACIAL BONES<3 VIEWS,EA,70140,6003392,EA,488,488,488,488,488,488,488,488,488,488,488,488,488,488,488,488,488FEMUR 2 VIEWS LT,EA,73552LT,6003424,EA,"1,666.00","1,666.00","1,666.00","1,666.00","1,666.00","1,666.00","1,666.00","1,666.00","1,666.00","1,666.00","1,666.00","1,666.00","1,666.00","1,666.00","1,666.00","1,666.00","1,666.00"FINGER X-RAY LT,EA,73140LT,6003456,EA,512,512,512,512,512,512,512,512,512,512,512,512,512,512,512,512,512FOOT X-RAY LT,EA,73620LT,6003540,EA,416,416,416,416,416,416,416,416,416,416,416,416,416,416,416,416,416FOOT LT COMPLETE 3 VIEWS,EA,73630LT,6003541,EA,482,482,482,482,482,482,482,482,482,482,482,482,482,482,482,482,482FOREARM X-RAY LT,EA,73090LT,6003552,EA,423,423,423,423,423,423,423,423,423,423,423,423,423,423,423,423,423GALLBLADDER ORAL,EA,74290,6003612,EA,"1,113.00","1,113.00","1,113.00","1,113.00","1,113.00","1,113.00","1,113.00","1,113.00","1,113.00","1,113.00","1,113.00","1,113.00","1,113.00","1,113.00","1,113.00","1,113.00","1,113.00"HAND 2 VIEWS LT POST REDUCTION ONLY,EA,73120LT,6003860,EA,429,429,429,429,429,429,429,429,429,429,429,429,429,429,429,429,429HAND MINIMUM 3 VIEWS LT,EA,73130LT,6003861,EA,502,502,502,502,502,502,502,502,502,502,502,502,502,502,502,502,502BONE AGE SURVEY,EA,77072,6003862,EA,480,480,480,480,480,480,480,480,480,480,480,480,480,480,480,480,480HIP JOINT 1 VIEW LT,EA,73501LT,6003956,EA,662,662,662,662,662,662,662,662,662,662,662,662,662,662,662,662,662HIP JOINT 2-3 VIEWS LEFT W/ AP PELVIS,EA,73502LT,6003960,EA,844,844,844,844,844,844,844,844,844,844,844,844,844,844,844,844,844HUMERUS X-RAY LT,EA,73060LT,6003988,EA,474,474,474,474,474,474,474,474,474,474,474,474,474,474,474,474,474KNEE COMPLETE SERIES LT,EA,73564LT,6004479,EA,648,648,648,648,648,648,648,648,648,648,648,648,648,648,648,648,648KNEE X-RAY LT,EA,73560LT,6004480,EA,507,507,507,507,507,507,507,507,507,507,507,507,507,507,507,507,507LOWER LEG TIB/FIB LT,EA,73590LT,6004596,EA,469,469,469,469,469,469,469,469,469,469,469,469,469,469,469,469,469MANDIBLE 2 VIEWS,EA,70100,6004800,EA,538,538,538,538,538,538,538,538,538,538,538,538,538,538,538,538,538MANDIBLE COMPLETE SERIES,EA,70110,6004808,EA,622,622,622,622,622,622,622,622,622,622,622,622,622,622,622,622,622MASTOID COMPLETE SERIES,EA,70120,6004820,EA,555,555,555,555,555,555,555,555,555,555,555,555,555,555,555,555,555MAXILLA COMPLETE 2 VIEWS,EA,70130,6004824,EA,896,896,896,896,896,896,896,896,896,896,896,896,896,896,896,896,896DEXA BONE DENSITY,EA,77080TC,6005002,EA,666,666,666,666,666,666,666,666,666,666,666,666,666,666,666,666,666NECK SOFT TISSUE X-RAY,EA,70360,6005280,EA,463,463,463,463,463,463,463,463,463,463,463,463,463,463,463,463,463NASAL XRAY MIN 3 VIEWS,EA,70160,6005300,EA,532,532,532,532,532,532,532,532,532,532,532,532,532,532,532,532,532OS CALCIS,EA,73650,6005456,EA,445,445,445,445,445,445,445,445,445,445,445,445,445,445,445,445,445PELVIS 1 VIEW,EA,72170,6005604,EA,520,520,520,520,520,520,520,520,520,520,520,520,520,520,520,520,520RIBS SERIES BILAT 4+ VIEWS,EA,71111,6006228,EA,786,786,786,786,786,786,786,786,786,786,786,786,786,786,786,786,786RIBS ONE SIDE 3 VIEWS LT,EA,71101LT,6006232,EA,599,599,599,599,599,599,599,599,599,599,599,599,599,599,599,599,599RIBS ONE SIDE 2 VIEWS LT,EA,71100LT,6006236,EA,539,539,539,539,539,539,539,539,539,539,539,539,539,539,539,539,539SACRO-ILIAC JOINTS 2 VIEW,EA,72200,6006359,EA,470,470,470,470,470,470,470,470,470,470,470,470,470,470,470,470,470SACRO-ILIAC JOINTS COMLET,EA,72202,6006360,EA,538,538,538,538,538,538,538,538,538,538,538,538,538,538,538,538,538SACRUM/COCCYX X-RAY,EA,72220TC,6006372,EA,416,416,416,416,416,416,416,416,416,416,416,416,416,416,416,416,416SCAPULA 2 VIEWS LT,EA,73010LT,6006412,EA,477,477,477,477,477,477,477,477,477,477,477,477,477,477,477,477,477SCAPULA COMPLETE RIGHT,EA,73010RT,6006413,EA,482,482,482,482,482,482,482,482,482,482,482,482,482,482,482,482,482SCAPULA COMPLETE LEFT,EA,73010LT,6006414,EA,482,482,482,482,482,482,482,482,482,482,482,482,482,482,482,482,482SCOLIOSIS STUDY 2 VIEWS,EA,72082,6006415,EA,"1,317.00","1,317.00","1,317.00","1,317.00","1,317.00","1,317.00","1,317.00","1,317.00","1,317.00","1,317.00","1,317.00","1,317.00","1,317.00","1,317.00","1,317.00","1,317.00","1,317.00"SHOULDER 1 VIEW LT,EA,73020LT,6006472,EA,426,426,426,426,426,426,426,426,426,426,426,426,426,426,426,426,426SHOULDER COMPL 3 VIEWS LT,EA,73030LT,6006473,EA,475,475,475,475,475,475,475,475,475,475,475,475,475,475,475,475,475SKULL 2 VIEWS,EA,70250,6006536,EA,592,592,592,592,592,592,592,592,592,592,592,592,592,592,592,592,592SKULL COMPLETE SERIES,EA,70260,6006540,EA,752,752,752,752,752,752,752,752,752,752,752,752,752,752,752,752,752SPINE CERVICAL 1 VIEW,EA,72020,6006688,EA,365,365,365,365,365,365,365,365,365,365,365,365,365,365,365,365,365SPINE CERVICAL 2 OR 3 VIEWS,EA,72040,6006692,EA,545,545,545,545,545,545,545,545,545,545,545,545,545,545,545,545,545SPINE CERVICAL 4 0R 5 VIEWS,EA,72050,6006696,EA,750,750,750,750,750,750,750,750,750,750,750,750,750,750,750,750,750SPINE CERVCL COMP W/FLEX 6 OR MORE VIEWS,EA,72052,6006704,EA,923,923,923,923,923,923,923,923,923,923,923,923,923,923,923,923,923SPINE THORACIC/DORSAL 2 VIEWS,EA,72070,6006709,EA,557,557,557,557,557,557,557,557,557,557,557,557,557,557,557,557,557SPINE LUMBAR COMPL SERIES,EA,72110,6006720,EA,840,840,840,840,840,840,840,840,840,840,840,840,840,840,840,840,840SPINE LUMBAR 2 VIEWS,EA,72100,6006721,EA,575,575,575,575,575,575,575,575,575,575,575,575,575,575,575,575,575SPINE LUMBO-SACRAL 2 VIEW,EA,72100,6006724,EA,575,575,575,575,575,575,575,575,575,575,575,575,575,575,575,575,575SPINE LUMBO-SACRAL COMPLE,EA,72110,6006728,EA,840,840,840,840,840,840,840,840,840,840,840,840,840,840,840,840,840STERNOCLAVICUL JNTS COMPL,EA,71130,6006800,EA,591,591,591,591,591,591,591,591,591,591,591,591,591,591,591,591,591AC JOINTS,EA,71130,6006801,EA,591,591,591,591,591,591,591,591,591,591,591,591,591,591,591,591,591STERNUM X-RAY,EA,71120,6006804,EA,489,489,489,489,489,489,489,489,489,489,489,489,489,489,489,489,489TOES 1 TO 3 VIEWS LT,EA,73660LT,6007308,EA,461,461,461,461,461,461,461,461,461,461,461,461,461,461,461,461,461SINUS 1 TO 3 VIEWS,EA,70210,6008050,EA,488,488,488,488,488,488,488,488,488,488,488,488,488,488,488,488,488WRIST X-RAY LT,EA,73110LT,6008052,EA,578,578,578,578,578,578,578,578,578,578,578,578,578,578,578,578,578ANKLE 2 VIEWS RT POST REDUCTION ONLY,EA,73600RT,6090000,EA,492,492,492,492,492,492,492,492,492,492,492,492,492,492,492,492,492ANKLE 3 VIEWS RT,EA,73610RT,6090001,EA,513,513,513,513,513,513,513,513,513,513,513,513,513,513,513,513,513CLAVICLE 2 VIEWS RT,EA,73000RT,6090002,EA,452,452,452,452,452,452,452,452,452,452,452,452,452,452,452,452,452ELBOW X-RAY RT,EA,73080RT,6090003,EA,507,507,507,507,507,507,507,507,507,507,507,507,507,507,507,507,507FEMUR 2 VIEWS RT,EA,73552RT,6090004,EA,"1,666.00","1,666.00","1,666.00","1,666.00","1,666.00","1,666.00","1,666.00","1,666.00","1,666.00","1,666.00","1,666.00","1,666.00","1,666.00","1,666.00","1,666.00","1,666.00","1,666.00"FINGER X-RAY RT,EA,73140RT,6090005,EA,512,512,512,512,512,512,512,512,512,512,512,512,512,512,512,512,512FOOT X-RAY RT,EA,73620RT,6090006,EA,416,416,416,416,416,416,416,416,416,416,416,416,416,416,416,416,416FOOT RT COMPLETE 3 VIEWS,EA,73630RT,6090007,EA,482,482,482,482,482,482,482,482,482,482,482,482,482,482,482,482,482FOREARM X-RAY RT,EA,73090RT,6090008,EA,423,423,423,423,423,423,423,423,423,423,423,423,423,423,423,423,423HAND 2 VIEWS RT POST REDUCTION ONLY,EA,73120RT,6090009,EA,429,429,429,429,429,429,429,429,429,429,429,429,429,429,429,429,429HAND MINIMUM 3 VIEWS RT,EA,73130RT,6090010,EA,502,502,502,502,502,502,502,502,502,502,502,502,502,502,502,502,502HIP JOINT 1 VIEW RT,EA,73501RT,6090011,EA,662,662,662,662,662,662,662,662,662,662,662,662,662,662,662,662,662HIP JOINT 2-3 VIEWS RIGHT W/ AP PELVIS,EA,73502RT,6090012,EA,844,844,844,844,844,844,844,844,844,844,844,844,844,844,844,844,844HUMERUS X-RAY RT,EA,73060RT,6090014,EA,474,474,474,474,474,474,474,474,474,474,474,474,474,474,474,474,474KNEE COMPLETE SERIES RT,EA,73564RT,6090015,EA,648,648,648,648,648,648,648,648,648,648,648,648,648,648,648,648,648KNEE X-RAY RT,EA,73560RT,6090016,EA,507,507,507,507,507,507,507,507,507,507,507,507,507,507,507,507,507LOWER LEG TIB/FIB RT,EA,73590RT,6090017,EA,469,469,469,469,469,469,469,469,469,469,469,469,469,469,469,469,469RIBS ONE SIDE 3 VIEWS RT,EA,71101RT,6090019,EA,599,599,599,599,599,599,599,599,599,599,599,599,599,599,599,599,599RIBS ONE SIDE 2 VIEWS RT,EA,71100RT,6090020,EA,539,539,539,539,539,539,539,539,539,539,539,539,539,539,539,539,539SCAPULA 2 VIEWS RT,EA,73010RT,6090021,EA,477,477,477,477,477,477,477,477,477,477,477,477,477,477,477,477,477SHOULDER 1 VIEW RT,EA,73020RT,6090022,EA,426,426,426,426,426,426,426,426,426,426,426,426,426,426,426,426,426SHOULDER COMPL 3 VIEWS RT,EA,73030RT,6090023,EA,475,475,475,475,475,475,475,475,475,475,475,475,475,475,475,475,475TOES 1 TO 3 VIEWS RT,EA,73660RT,6090024,EA,461,461,461,461,461,461,461,461,461,461,461,461,461,461,461,461,461WRIST X-RAY RT,EA,73110RT,6090025,EA,578,578,578,578,578,578,578,578,578,578,578,578,578,578,578,578,578PULMONARY FUNCTION TEST WELLNESS SCREEN,EA,94010,6090026,EA,306,306,306,306,306,306,306,306,306,306,306,306,306,306,306,306,306US HEAD & NECK ECHO-SOFT TIS,EA,76536,6120010,EA,"1,908.00","1,908.00","1,908.00","1,908.00","1,908.00","1,908.00","1,908.00","1,908.00","1,908.00","1,908.00","1,908.00","1,908.00","1,908.00","1,908.00","1,908.00","1,908.00","1,908.00"US ARTERIAL-TRANSCRANI DPPLR,EA,93886,6120015,EA,"3,265.00","3,265.00","3,265.00","3,265.00","3,265.00","3,265.00","3,265.00","3,265.00","3,265.00","3,265.00","3,265.00","3,265.00","3,265.00","3,265.00","3,265.00","3,265.00","3,265.00"US RETROPERITONEAL ECHO-LMTD,EA,76775,6120020,EA,968,968,968,968,968,968,968,968,968,968,968,968,968,968,968,968,968US VENOUS STUDY-UNILATL/LMTD LT,EA,93971LT,6120024,EA,955,955,955,955,955,955,955,955,955,955,955,955,955,955,955,955,955US VENOUS STUDY-UNILATL/LMTD RT,EA,93971RT,6120025,EA,955,955,955,955,955,955,955,955,955,955,955,955,955,955,955,955,955US VENOUS MAPPING UNILATL/LMTD,EA,93971,6120026,EA,955,955,955,955,955,955,955,955,955,955,955,955,955,955,955,955,955US VISCERAL VASCUART/VN FLUP,EA,93976,6120030,EA,"2,687.00","2,687.00","2,687.00","2,687.00","2,687.00","2,687.00","2,687.00","2,687.00","2,687.00","2,687.00","2,687.00","2,687.00","2,687.00","2,687.00","2,687.00","2,687.00","2,687.00"INFLUENZA B,EA,87804QW,6120035,EA,125,125,125,125,125,125,125,125,125,125,125,125,125,125,125,125,125US PREGNCY ECHO-FLWUP/REPEAT,EA,76816,6120035,EA,"1,913.00","1,913.00","1,913.00","1,913.00","1,913.00","1,913.00","1,913.00","1,913.00","1,913.00","1,913.00","1,913.00","1,913.00","1,913.00","1,913.00","1,913.00","1,913.00","1,913.00"US PREGNCY-FETAL BIOPHYSICAL,EA,76818,6120040,EA,"2,031.00","2,031.00","2,031.00","2,031.00","2,031.00","2,031.00","2,031.00","2,031.00","2,031.00","2,031.00","2,031.00","2,031.00","2,031.00","2,031.00","2,031.00","2,031.00","2,031.00"ADM 1ST DOSE NOVAVAX 12+,EA,0041A,6120041,EA,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421US VENOUS STD EXT VEIN BILAT,EA,93965,6120045,EA,"1,955.00","1,955.00","1,955.00","1,955.00","1,955.00","1,955.00","1,955.00","1,955.00","1,955.00","1,955.00","1,955.00","1,955.00","1,955.00","1,955.00","1,955.00","1,955.00","1,955.00"US EXTREMITY ECHO-NONVASCULR,EA,76882,6120050,EA,"1,899.00","1,899.00","1,899.00","1,899.00","1,899.00","1,899.00","1,899.00","1,899.00","1,899.00","1,899.00","1,899.00","1,899.00","1,899.00","1,899.00","1,899.00","1,899.00","1,899.00"US CAROTID ARTERIES W DOPPLR,EA,93880,6120055,EA,"3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00"WELLNESS SCREENING CAROTID US,EA,,6120056,EA,197,197,197,197,197,197,197,197,197,197,197,197,197,197,197,197,197ABI/ VASC EXTR SNGLE LEV BILAT,EA,93922,6120060,EA,"1,456.00","1,456.00","1,456.00","1,456.00","1,456.00","1,456.00","1,456.00","1,456.00","1,456.00","1,456.00","1,456.00","1,456.00","1,456.00","1,456.00","1,456.00","1,456.00","1,456.00"FIBROSCAN / LIVER ELASTOGRAPHY,EA,91200,6120062,EA,"1,103.00","1,103.00","1,103.00","1,103.00","1,103.00","1,103.00","1,103.00","1,103.00","1,103.00","1,103.00","1,103.00","1,103.00","1,103.00","1,103.00","1,103.00","1,103.00","1,103.00"US ART UPER EXTREMITY BILAT,EA,93930,6120065,EA,"3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00"US ART UPER EXTREMITY UNILAT,EA,93930,6120066,EA,"3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00"US VENOUS DOPPLER UP/LWR EXT VEIN BILAT,EA,93970,6120070,EA,"3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00"US VENOUS MAPPING BILAT LOWER EXT,EA,93970,6120071,EA,"3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00"US VENOUS DOPPLER FOR REFLUX,EA,93970,6120073,EA,"3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00","3,051.00"US ARTERIAL-EXTRCRANIAL-COMP,EA,93880,6120075,EA,"3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00","3,143.00"US ARTERIAL-EXTRCRANIAL-FLUP,EA,93882,6120080,EA,"2,302.00","2,302.00","2,302.00","2,302.00","2,302.00","2,302.00","2,302.00","2,302.00","2,302.00","2,302.00","2,302.00","2,302.00","2,302.00","2,302.00","2,302.00","2,302.00","2,302.00"US RENAL ARTERY DOPPLER,EA,93975,6120085,EA,"3,446.00","3,446.00","3,446.00","3,446.00","3,446.00","3,446.00","3,446.00","3,446.00","3,446.00","3,446.00","3,446.00","3,446.00","3,446.00","3,446.00","3,446.00","3,446.00","3,446.00"US VISCERAL VASCU-AORTA FLUP,EA,93979,6120090,EA,"1,971.00","1,971.00","1,971.00","1,971.00","1,971.00","1,971.00","1,971.00","1,971.00","1,971.00","1,971.00","1,971.00","1,971.00","1,971.00","1,971.00","1,971.00","1,971.00","1,971.00"US BREAST COMPLETE,EA,76641,6120094,EA,"1,779.00","1,779.00","1,779.00","1,779.00","1,779.00","1,779.00","1,779.00","1,779.00","1,779.00","1,779.00","1,779.00","1,779.00","1,779.00","1,779.00","1,779.00","1,779.00","1,779.00"US BREAST LIMITED,EA,76642,6120095,EA,"1,465.00","1,465.00","1,465.00","1,465.00","1,465.00","1,465.00","1,465.00","1,465.00","1,465.00","1,465.00","1,465.00","1,465.00","1,465.00","1,465.00","1,465.00","1,465.00","1,465.00"US ECHOCARDIOGRAPHY-LIMITED,EA,93307,6120100,EA,"2,259.00","2,259.00","2,259.00","2,259.00","2,259.00","2,259.00","2,259.00","2,259.00","2,259.00","2,259.00","2,259.00","2,259.00","2,259.00","2,259.00","2,259.00","2,259.00","2,259.00"US ECHOCARDIOGRAPHY-FOLLOWUP/LMTD,EA,93308,6120105,EA,"2,039.00","2,039.00","2,039.00","2,039.00","2,039.00","2,039.00","2,039.00","2,039.00","2,039.00","2,039.00","2,039.00","2,039.00","2,039.00","2,039.00","2,039.00","2,039.00","2,039.00"WELLNESS ECHO EJECTION FRACTION,EA,,6120106,EA,"2,039.00","2,039.00","2,039.00","2,039.00","2,039.00","2,039.00","2,039.00","2,039.00","2,039.00","2,039.00","2,039.00","2,039.00","2,039.00","2,039.00","2,039.00","2,039.00","2,039.00"US VASC EXTR MULTI LEV BILAT,EA,93923,6120110,EA,"2,266.00","2,266.00","2,266.00","2,266.00","2,266.00","2,266.00","2,266.00","2,266.00","2,266.00","2,266.00","2,266.00","2,266.00","2,266.00","2,266.00","2,266.00","2,266.00","2,266.00"US ART UPPER EXT F/U UNILAT,EA,93931,6120115,EA,"2,110.00","2,110.00","2,110.00","2,110.00","2,110.00","2,110.00","2,110.00","2,110.00","2,110.00","2,110.00","2,110.00","2,110.00","2,110.00","2,110.00","2,110.00","2,110.00","2,110.00"US ARTERIAL LWR EXTREMITY BILAT,EA,93925,6120125,EA,"3,128.00","3,128.00","3,128.00","3,128.00","3,128.00","3,128.00","3,128.00","3,128.00","3,128.00","3,128.00","3,128.00","3,128.00","3,128.00","3,128.00","3,128.00","3,128.00","3,128.00"US VISCERAL VASCU-AORTA ETC,EA,93978,6120130,EA,"3,135.00","3,135.00","3,135.00","3,135.00","3,135.00","3,135.00","3,135.00","3,135.00","3,135.00","3,135.00","3,135.00","3,135.00","3,135.00","3,135.00","3,135.00","3,135.00","3,135.00"US ABDOMEN ECHO COMPLETE,EA,76700TC,6120135,EA,"2,028.00","2,028.00","2,028.00","2,028.00","2,028.00","2,028.00","2,028.00","2,028.00","2,028.00","2,028.00","2,028.00","2,028.00","2,028.00","2,028.00","2,028.00","2,028.00","2,028.00"US PREGNANCY ECHO-COMPLETE,EA,76805,6120140,EA,"2,350.00","2,350.00","2,350.00","2,350.00","2,350.00","2,350.00","2,350.00","2,350.00","2,350.00","2,350.00","2,350.00","2,350.00","2,350.00","2,350.00","2,350.00","2,350.00","2,350.00"US ARTERIAL LWR EXT F/U UNILAT,EA,93926,6120145,EA,"2,511.00","2,511.00","2,511.00","2,511.00","2,511.00","2,511.00","2,511.00","2,511.00","2,511.00","2,511.00","2,511.00","2,511.00","2,511.00","2,511.00","2,511.00","2,511.00","2,511.00"US ECHOCARD-DOPPLER ADD-ON,EA,93320,6120150,EA,898,898,898,898,898,898,898,898,898,898,898,898,898,898,898,898,898US ECHOCARD-LMTD W/ PW DOPPLER,EA,93321,6120155,EA,813,813,813,813,813,813,813,813,813,813,813,813,813,813,813,813,813US ECHOCARD-VELOC MAPPING,EA,93325,6120160,EA,940,940,940,940,940,940,940,940,940,940,940,940,940,940,940,940,940US PREGNANCY ECHO-LIMITED,EA,76815,6120165,EA,"1,402.00","1,402.00","1,402.00","1,402.00","1,402.00","1,402.00","1,402.00","1,402.00","1,402.00","1,402.00","1,402.00","1,402.00","1,402.00","1,402.00","1,402.00","1,402.00","1,402.00"US ABDOMEN ECHO LIMITED,EA,76705,6120170,EA,"1,507.00","1,507.00","1,507.00","1,507.00","1,507.00","1,507.00","1,507.00","1,507.00","1,507.00","1,507.00","1,507.00","1,507.00","1,507.00","1,507.00","1,507.00","1,507.00","1,507.00"US AORTA ABDOMINAL ECHO COMPLETE,EA,76770TC,6120175,EA,"1,644.00","1,644.00","1,644.00","1,644.00","1,644.00","1,644.00","1,644.00","1,644.00","1,644.00","1,644.00","1,644.00","1,644.00","1,644.00","1,644.00","1,644.00","1,644.00","1,644.00"US AORTA SCREENING,EA,76706,6120176,EA,868,868,868,868,868,868,868,868,868,868,868,868,868,868,868,868,868US PELVIC ECHO-COMPLETE,EA,76856,6120180,EA,"1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00"US PELVIC ECHO-FOLLOWUP,EA,76857,6120185,EA,793,793,793,793,793,793,793,793,793,793,793,793,793,793,793,793,793US TRANSVAGINAL ECHO,EA,76830,6120230,EA,"2,010.00","2,010.00","2,010.00","2,010.00","2,010.00","2,010.00","2,010.00","2,010.00","2,010.00","2,010.00","2,010.00","2,010.00","2,010.00","2,010.00","2,010.00","2,010.00","2,010.00"US SCROTUM AND CONTENTS,EA,76870,6120240,EA,"1,124.00","1,124.00","1,124.00","1,124.00","1,124.00","1,124.00","1,124.00","1,124.00","1,124.00","1,124.00","1,124.00","1,124.00","1,124.00","1,124.00","1,124.00","1,124.00","1,124.00"US DOPPLER ADD ON,EA,93320,6120245,EA,897,897,897,897,897,897,897,897,897,897,897,897,897,897,897,897,897US CHEST (MEDIASTINUM),EA,76604,6120255,EA,"1,454.00","1,454.00","1,454.00","1,454.00","1,454.00","1,454.00","1,454.00","1,454.00","1,454.00","1,454.00","1,454.00","1,454.00","1,454.00","1,454.00","1,454.00","1,454.00","1,454.00"US RENAL ECHO,EA,76770,6120260,EA,"1,870.00","1,870.00","1,870.00","1,870.00","1,870.00","1,870.00","1,870.00","1,870.00","1,870.00","1,870.00","1,870.00","1,870.00","1,870.00","1,870.00","1,870.00","1,870.00","1,870.00"PARING/CUTTING BENIGN HYPERKERATOTIC LES,EA,11056,6121156,EA,633,633,633,633,633,633,633,633,633,633,633,633,633,633,633,633,633US ECHO LMTD/FU CONGENITAL,EA,93304,6123201,EA,"2,554.00","2,554.00","2,554.00","2,554.00","2,554.00","2,554.00","2,554.00","2,554.00","2,554.00","2,554.00","2,554.00","2,554.00","2,554.00","2,554.00","2,554.00","2,554.00","2,554.00"US ECHOCARDIOGRAM COMPLETE,EA,93306,6123202,EA,"3,740.00","3,740.00","3,740.00","3,740.00","3,740.00","3,740.00","3,740.00","3,740.00","3,740.00","3,740.00","3,740.00","3,740.00","3,740.00","3,740.00","3,740.00","3,740.00","3,740.00"US PREGENANT 14 WKS,EA,76801,6123203,EA,"2,051.00","2,051.00","2,051.00","2,051.00","2,051.00","2,051.00","2,051.00","2,051.00","2,051.00","2,051.00","2,051.00","2,051.00","2,051.00","2,051.00","2,051.00","2,051.00","2,051.00"EXTREMITY NONVAS UNILATER,EA,76882,6123204,EA,607,607,607,607,607,607,607,607,607,607,607,607,607,607,607,607,607US DEFINITY CONTRAST,EA,C8929,6123205,EA,"3,740.00","3,740.00","3,740.00","3,740.00","3,740.00","3,740.00","3,740.00","3,740.00","3,740.00","3,740.00","3,740.00","3,740.00","3,740.00","3,740.00","3,740.00","3,740.00","3,740.00"US TM STRESS TEST CARDIOVASCULAR,EA,93017,6123206,EA,"2,088.00","2,088.00","2,088.00","2,088.00","2,088.00","2,088.00","2,088.00","2,088.00","2,088.00","2,088.00","2,088.00","2,088.00","2,088.00","2,088.00","2,088.00","2,088.00","2,088.00"US TM TTE W/DOPPLER COMPLETE,EA,93306,6123207,EA,"3,813.00","3,813.00","3,813.00","3,813.00","3,813.00","3,813.00","3,813.00","3,813.00","3,813.00","3,813.00","3,813.00","3,813.00","3,813.00","3,813.00","3,813.00","3,813.00","3,813.00"US CHEMICAL STRESS TEST,EA,93350,6123208,EA,"3,813.00","3,813.00","3,813.00","3,813.00","3,813.00","3,813.00","3,813.00","3,813.00","3,813.00","3,813.00","3,813.00","3,813.00","3,813.00","3,813.00","3,813.00","3,813.00","3,813.00"US DIFINITY INJ ADMINISTRATION,EA,93352,6123209,EA,126,126,126,126,126,126,126,126,126,126,126,126,126,126,126,126,126SILVER SULFADIAZ 1% CRM 50GM,EA,A6250,6129099,EA,41,41,41,41,41,41,41,41,41,41,41,41,41,41,41,41,41ADM 1ST PEDI DOSE PFIZER 5-11,EA,0071A,6129917,EA,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421COLLECTION FEE,EA,36415,6129982,EA,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29ADVACNED CARE PLANNING < 30MIN,EA,99497,6129996,EA,182,182,182,182,182,182,182,182,182,182,182,182,182,182,182,182,182ADVACNED CARE PLANNING FOR ADD 30MIN,EA,99498,6129997,EA,160,160,160,160,160,160,160,160,160,160,160,160,160,160,160,160,160CT ABDOMEN W/O CONTRAST,EA,74150TC,6242600,EA,"1,990.00","1,990.00","1,990.00","1,990.00","1,990.00","1,990.00","1,990.00","1,990.00","1,990.00","1,990.00","1,990.00","1,990.00","1,990.00","1,990.00","1,990.00","1,990.00","1,990.00"CT ABDOMEN W/CONTRAST,EA,74160TC,6242601,EA,"3,562.00","3,562.00","3,562.00","3,562.00","3,562.00","3,562.00","3,562.00","3,562.00","3,562.00","3,562.00","3,562.00","3,562.00","3,562.00","3,562.00","3,562.00","3,562.00","3,562.00"CT ABDOMEN W/O & W/CONTR,EA,74170TC,6242602,EA,"4,096.00","4,096.00","4,096.00","4,096.00","4,096.00","4,096.00","4,096.00","4,096.00","4,096.00","4,096.00","4,096.00","4,096.00","4,096.00","4,096.00","4,096.00","4,096.00","4,096.00"CT EXTR LWR BILAT WO CONT,EA,73700TC,6242604,EA,"3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00"CT EXTR LWR BILAT W/CONTR,EA,73701TC,6242605,EA,"3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00"CT EXTR LWR LT W/O CONTRA,EA,73700TC,6242608,EA,"3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00"CT EXTR LWR LT W/CONTRAST,EA,73701TC,6242609,EA,"3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00"CT EXTR LWR LT W/O&W/CONT,EA,73702TC,6242610,EA,"4,572.00","4,572.00","4,572.00","4,572.00","4,572.00","4,572.00","4,572.00","4,572.00","4,572.00","4,572.00","4,572.00","4,572.00","4,572.00","4,572.00","4,572.00","4,572.00","4,572.00"CT EXTR LWR RT W/O CONTRA,EA,73700TC,6242612,EA,"3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00"CT EXTR LWR RT W/CONTRAST,EA,73701TC,6242613,EA,"3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00"CT EXTR LWR RT W/O&W/CONT,EA,73702TC,6242614,EA,"4,572.00","4,572.00","4,572.00","4,572.00","4,572.00","4,572.00","4,572.00","4,572.00","4,572.00","4,572.00","4,572.00","4,572.00","4,572.00","4,572.00","4,572.00","4,572.00","4,572.00"CT EXTR UPP LT W/O CONTRA,EA,73200TC,6242620,EA,"3,607.00","3,607.00","3,607.00","3,607.00","3,607.00","3,607.00","3,607.00","3,607.00","3,607.00","3,607.00","3,607.00","3,607.00","3,607.00","3,607.00","3,607.00","3,607.00","3,607.00"CT EXTR UPP LT W/CONTRAST,EA,73201TC,6242621,EA,"3,510.00","3,510.00","3,510.00","3,510.00","3,510.00","3,510.00","3,510.00","3,510.00","3,510.00","3,510.00","3,510.00","3,510.00","3,510.00","3,510.00","3,510.00","3,510.00","3,510.00"CT EXTR UPP LT W/O&W/CONT,EA,73202TC,6242622,EA,"4,624.00","4,624.00","4,624.00","4,624.00","4,624.00","4,624.00","4,624.00","4,624.00","4,624.00","4,624.00","4,624.00","4,624.00","4,624.00","4,624.00","4,624.00","4,624.00","4,624.00"CT EXTR UPP RT W/O CONTRA,EA,73200TC,6242624,EA,"3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00"CT EXTR UPP RT W/CONTRAST,EA,73201TC,6242625,EA,"3,510.00","3,510.00","3,510.00","3,510.00","3,510.00","3,510.00","3,510.00","3,510.00","3,510.00","3,510.00","3,510.00","3,510.00","3,510.00","3,510.00","3,510.00","3,510.00","3,510.00"CT EXTR UPP RT W/O&W/CONT,EA,73202TC,6242626,EA,"4,624.00","4,624.00","4,624.00","4,624.00","4,624.00","4,624.00","4,624.00","4,624.00","4,624.00","4,624.00","4,624.00","4,624.00","4,624.00","4,624.00","4,624.00","4,624.00","4,624.00"CT FACIAL W/O CONTRAST,EA,70486TC,6242628,EA,"2,196.00","2,196.00","2,196.00","2,196.00","2,196.00","2,196.00","2,196.00","2,196.00","2,196.00","2,196.00","2,196.00","2,196.00","2,196.00","2,196.00","2,196.00","2,196.00","2,196.00"CT FACIAL W/CONTRAST,EA,70487TC,6242629,EA,"2,377.00","2,377.00","2,377.00","2,377.00","2,377.00","2,377.00","2,377.00","2,377.00","2,377.00","2,377.00","2,377.00","2,377.00","2,377.00","2,377.00","2,377.00","2,377.00","2,377.00"CT FACIAL W/O & W/CONTR,EA,70488TC,6242630,EA,"3,019.00","3,019.00","3,019.00","3,019.00","3,019.00","3,019.00","3,019.00","3,019.00","3,019.00","3,019.00","3,019.00","3,019.00","3,019.00","3,019.00","3,019.00","3,019.00","3,019.00"CT HEAD W/O CONTRAST,EA,70450TC,6242632,EA,"2,146.00","2,146.00","2,146.00","2,146.00","2,146.00","2,146.00","2,146.00","2,146.00","2,146.00","2,146.00","2,146.00","2,146.00","2,146.00","2,146.00","2,146.00","2,146.00","2,146.00"CT HEAD W/CONTRAST,EA,70460TC,6242633,EA,"2,488.00","2,488.00","2,488.00","2,488.00","2,488.00","2,488.00","2,488.00","2,488.00","2,488.00","2,488.00","2,488.00","2,488.00","2,488.00","2,488.00","2,488.00","2,488.00","2,488.00"CT HEAD W/O & W/CONTR,EA,70470TC,6242634,EA,"2,832.00","2,832.00","2,832.00","2,832.00","2,832.00","2,832.00","2,832.00","2,832.00","2,832.00","2,832.00","2,832.00","2,832.00","2,832.00","2,832.00","2,832.00","2,832.00","2,832.00"CT NECK SFT TIS W/O CONT,EA,70490TC,6242636,EA,"3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00"CT NECK SOFT TIS W/CONTRA,EA,70491TC,6242637,EA,"3,546.00","3,546.00","3,546.00","3,546.00","3,546.00","3,546.00","3,546.00","3,546.00","3,546.00","3,546.00","3,546.00","3,546.00","3,546.00","3,546.00","3,546.00","3,546.00","3,546.00"CT NECK SFT TIS WO&W CONT,EA,70492TC,6242638,EA,"4,379.00","4,379.00","4,379.00","4,379.00","4,379.00","4,379.00","4,379.00","4,379.00","4,379.00","4,379.00","4,379.00","4,379.00","4,379.00","4,379.00","4,379.00","4,379.00","4,379.00"CT ORBITS W/O CONTRAST,EA,70480TC,6242640,EA,"3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00"CT ORBIT/SELLA W/CONTRAST,EA,70481TC,6242641,EA,"4,418.00","4,418.00","4,418.00","4,418.00","4,418.00","4,418.00","4,418.00","4,418.00","4,418.00","4,418.00","4,418.00","4,418.00","4,418.00","4,418.00","4,418.00","4,418.00","4,418.00"CT ORBITS W/O & W/CONTR,EA,70482TC,6242642,EA,"4,890.00","4,890.00","4,890.00","4,890.00","4,890.00","4,890.00","4,890.00","4,890.00","4,890.00","4,890.00","4,890.00","4,890.00","4,890.00","4,890.00","4,890.00","4,890.00","4,890.00"CT PELVIS W/O CONTRAST,EA,72192TC,6242644,EA,"1,943.00","1,943.00","1,943.00","1,943.00","1,943.00","1,943.00","1,943.00","1,943.00","1,943.00","1,943.00","1,943.00","1,943.00","1,943.00","1,943.00","1,943.00","1,943.00","1,943.00"CT PELVIS W/CONTRAST,EA,72193TC,6242645,EA,"3,578.00","3,578.00","3,578.00","3,578.00","3,578.00","3,578.00","3,578.00","3,578.00","3,578.00","3,578.00","3,578.00","3,578.00","3,578.00","3,578.00","3,578.00","3,578.00","3,578.00"CT PELVIS W/O & W/CONTR,EA,72194TC,6242646,EA,"4,256.00","4,256.00","4,256.00","4,256.00","4,256.00","4,256.00","4,256.00","4,256.00","4,256.00","4,256.00","4,256.00","4,256.00","4,256.00","4,256.00","4,256.00","4,256.00","4,256.00"CT SPINE CERVICAL WO CONT,EA,72125TC,6242648,EA,"3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00"CT SPINE CERVICAL W/CONTR,EA,72126TC,6242649,EA,"3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00","3,584.00"CT SPINE CERVIC WO&W CONT,EA,72127TC,6242650,EA,"4,425.00","4,425.00","4,425.00","4,425.00","4,425.00","4,425.00","4,425.00","4,425.00","4,425.00","4,425.00","4,425.00","4,425.00","4,425.00","4,425.00","4,425.00","4,425.00","4,425.00"CT SPINE LUMBAR W/O CONTR,EA,72131TC,6242652,EA,"3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00"CT SPINE LUMBAR W/CONTRAS,EA,72132TC,6242653,EA,"4,161.00","4,161.00","4,161.00","4,161.00","4,161.00","4,161.00","4,161.00","4,161.00","4,161.00","4,161.00","4,161.00","4,161.00","4,161.00","4,161.00","4,161.00","4,161.00","4,161.00"CT SPIN LUMBAR WO&W CONTR,EA,72133TC,6242654,EA,"5,520.00","5,520.00","5,520.00","5,520.00","5,520.00","5,520.00","5,520.00","5,520.00","5,520.00","5,520.00","5,520.00","5,520.00","5,520.00","5,520.00","5,520.00","5,520.00","5,520.00"CT SPINE THORACIC WO CONT,EA,72128TC,6242656,EA,"3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00"CT SPINE THORACIC W/CONTR,EA,72129TC,6242657,EA,"3,593.00","3,593.00","3,593.00","3,593.00","3,593.00","3,593.00","3,593.00","3,593.00","3,593.00","3,593.00","3,593.00","3,593.00","3,593.00","3,593.00","3,593.00","3,593.00","3,593.00"CT SPINE THORACIC WO&W CONT,EA,72130TC,6242658,EA,"4,463.00","4,463.00","4,463.00","4,463.00","4,463.00","4,463.00","4,463.00","4,463.00","4,463.00","4,463.00","4,463.00","4,463.00","4,463.00","4,463.00","4,463.00","4,463.00","4,463.00"CTA CHEST&ABDOMEN W/O & W CONTRAS,EA,,6242659,EA,"4,021.00","4,021.00","4,021.00","4,021.00","4,021.00","4,021.00","4,021.00","4,021.00","4,021.00","4,021.00","4,021.00","4,021.00","4,021.00","4,021.00","4,021.00","4,021.00","4,021.00"CT CHEST W/O CONTRAST,EA,71250TC,6242660,EA,"3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00"CT CHEST W/CONTRAST,EA,71260TC,6242661,EA,"3,562.00","3,562.00","3,562.00","3,562.00","3,562.00","3,562.00","3,562.00","3,562.00","3,562.00","3,562.00","3,562.00","3,562.00","3,562.00","3,562.00","3,562.00","3,562.00","3,562.00"CT CHEST W/O & W/CONTR,EA,71270TC,6242662,EA,"4,428.00","4,428.00","4,428.00","4,428.00","4,428.00","4,428.00","4,428.00","4,428.00","4,428.00","4,428.00","4,428.00","4,428.00","4,428.00","4,428.00","4,428.00","4,428.00","4,428.00"CTA CHEST ANGIO,EA,71275TC,6242663,EA,"4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00"CTA NECK W&WO,EA,70498TC,6242665,EA,"4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00"CTA ABDOMEN PELVIS W/WO ANGIO,EA,74174TC,6242668,EA,"5,367.00","5,367.00","5,367.00","5,367.00","5,367.00","5,367.00","5,367.00","5,367.00","5,367.00","5,367.00","5,367.00","5,367.00","5,367.00","5,367.00","5,367.00","5,367.00","5,367.00"CTA HEAD,EA,70496TC,6242670,EA,"3,621.00","3,621.00","3,621.00","3,621.00","3,621.00","3,621.00","3,621.00","3,621.00","3,621.00","3,621.00","3,621.00","3,621.00","3,621.00","3,621.00","3,621.00","3,621.00","3,621.00"CT CHEST WO LOW DOSE,EA,71250TC,6242690,EA,"3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00"CTA ABDOMEN ANGIO W&W/O,EA,74175TC,6242710,EA,"4,608.00","4,608.00","4,608.00","4,608.00","4,608.00","4,608.00","4,608.00","4,608.00","4,608.00","4,608.00","4,608.00","4,608.00","4,608.00","4,608.00","4,608.00","4,608.00","4,608.00"CTA CHEST W/O & W CONTRAS,EA,71275TC,6242711,EA,"4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00","4,447.00"CT HIGH RESOLUTION CHEST W/O CONTRAST,EA,71250TC,6242713,EA,"3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00"CT ABD&PELVIS W/O CONTRAST,EA,74176TC,6242715,EA,"3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00"CT ABD&PELVIS WITH CONTRAS,EA,74177TC,6242716,EA,"4,693.00","4,693.00","4,693.00","4,693.00","4,693.00","4,693.00","4,693.00","4,693.00","4,693.00","4,693.00","4,693.00","4,693.00","4,693.00","4,693.00","4,693.00","4,693.00","4,693.00"CT ABD&PELVIS W&W/O CONTRA,EA,74178TC,6242717,EA,"5,380.00","5,380.00","5,380.00","5,380.00","5,380.00","5,380.00","5,380.00","5,380.00","5,380.00","5,380.00","5,380.00","5,380.00","5,380.00","5,380.00","5,380.00","5,380.00","5,380.00"CT ORBIT SELLA/POST FOSSA,EA,70480TC,6242718,EA,"3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00","3,714.00"MRI TMJ,EA,70336TC,6368300,EA,"5,272.00","5,272.00","5,272.00","5,272.00","5,272.00","5,272.00","5,272.00","5,272.00","5,272.00","5,272.00","5,272.00","5,272.00","5,272.00","5,272.00","5,272.00","5,272.00","5,272.00""MRI ORB,FACE,NCK WO CONTR",EA,70540TC,6368302,EA,"5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00""MRI ORBIT,FACE,NECK W CON",EA,70542TC,6368303,EA,"6,854.00","6,854.00","6,854.00","6,854.00","6,854.00","6,854.00","6,854.00","6,854.00","6,854.00","6,854.00","6,854.00","6,854.00","6,854.00","6,854.00","6,854.00","6,854.00","6,854.00""MRI ORB,FCE,NCK WO&W CONT",EA,70543TC,6368304,EA,"8,214.00","8,214.00","8,214.00","8,214.00","8,214.00","8,214.00","8,214.00","8,214.00","8,214.00","8,214.00","8,214.00","8,214.00","8,214.00","8,214.00","8,214.00","8,214.00","8,214.00"MR ANGIO HEAD W/O CONTR,EA,70544TC,6368306,EA,"5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00"MR ANGIO HEAD W CONTR,EA,70545TC,6368307,EA,"6,991.00","6,991.00","6,991.00","6,991.00","6,991.00","6,991.00","6,991.00","6,991.00","6,991.00","6,991.00","6,991.00","6,991.00","6,991.00","6,991.00","6,991.00","6,991.00","6,991.00"MR ANGIO HEAD W/O & W CON,EA,70546TC,6368308,EA,"9,665.00","9,665.00","9,665.00","9,665.00","9,665.00","9,665.00","9,665.00","9,665.00","9,665.00","9,665.00","9,665.00","9,665.00","9,665.00","9,665.00","9,665.00","9,665.00","9,665.00"MR ANGIO NECK W/O CONTR,EA,70547TC,6368310,EA,"5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00"MR ANGIO NECK W CONTR,EA,70548TC,6368311,EA,"7,541.00","7,541.00","7,541.00","7,541.00","7,541.00","7,541.00","7,541.00","7,541.00","7,541.00","7,541.00","7,541.00","7,541.00","7,541.00","7,541.00","7,541.00","7,541.00","7,541.00"MR ANGIO NECK W/O & W CON,EA,70549TC,6368312,EA,"9,665.00","9,665.00","9,665.00","9,665.00","9,665.00","9,665.00","9,665.00","9,665.00","9,665.00","9,665.00","9,665.00","9,665.00","9,665.00","9,665.00","9,665.00","9,665.00","9,665.00"MRI BRAIN W/O CONTR,EA,70551TC,6368314,EA,"3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00"MRI BRAIN W CONTR,EA,70552TC,6368315,EA,"4,914.00","4,914.00","4,914.00","4,914.00","4,914.00","4,914.00","4,914.00","4,914.00","4,914.00","4,914.00","4,914.00","4,914.00","4,914.00","4,914.00","4,914.00","4,914.00","4,914.00"MRI BRAIN W/O & W CONTR,EA,70553TC,6368316,EA,"5,601.00","5,601.00","5,601.00","5,601.00","5,601.00","5,601.00","5,601.00","5,601.00","5,601.00","5,601.00","5,601.00","5,601.00","5,601.00","5,601.00","5,601.00","5,601.00","5,601.00"MRI CHEST W/O CONTR,EA,71550TC,6368318,EA,"5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00"MRI CHEST W CONTR,EA,71551TC,6368319,EA,"7,945.00","7,945.00","7,945.00","7,945.00","7,945.00","7,945.00","7,945.00","7,945.00","7,945.00","7,945.00","7,945.00","7,945.00","7,945.00","7,945.00","7,945.00","7,945.00","7,945.00"MRI CHEST W/O & W CONTR,EA,71552TC,6368320,EA,"9,664.00","9,664.00","9,664.00","9,664.00","9,664.00","9,664.00","9,664.00","9,664.00","9,664.00","9,664.00","9,664.00","9,664.00","9,664.00","9,664.00","9,664.00","9,664.00","9,664.00"MR ANG CHST WO OR W CONTR,EA,71555TC,6368322,EA,"6,570.00","6,570.00","6,570.00","6,570.00","6,570.00","6,570.00","6,570.00","6,570.00","6,570.00","6,570.00","6,570.00","6,570.00","6,570.00","6,570.00","6,570.00","6,570.00","6,570.00"MRI SPINE CERVICAL WO CONTR,EA,72141TC,6368324,EA,"3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00"MRI SPINE CERVICAL W CON,EA,72142TC,6368325,EA,"5,010.00","5,010.00","5,010.00","5,010.00","5,010.00","5,010.00","5,010.00","5,010.00","5,010.00","5,010.00","5,010.00","5,010.00","5,010.00","5,010.00","5,010.00","5,010.00","5,010.00"MRI SPINE CERVICAL WO&W CONT,EA,72156TC,6368326,EA,"5,638.00","5,638.00","5,638.00","5,638.00","5,638.00","5,638.00","5,638.00","5,638.00","5,638.00","5,638.00","5,638.00","5,638.00","5,638.00","5,638.00","5,638.00","5,638.00","5,638.00"MRI SPINE THORACIC WO CONT,EA,72146TC,6368328,EA,"3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00"MRI SPINE THORACIC WO CONT,EA,72147TC,6368329,EA,"4,952.00","4,952.00","4,952.00","4,952.00","4,952.00","4,952.00","4,952.00","4,952.00","4,952.00","4,952.00","4,952.00","4,952.00","4,952.00","4,952.00","4,952.00","4,952.00","4,952.00"MRI SPINE THORACIC WO&W CONT,EA,72157TC,6368330,EA,"5,646.00","5,646.00","5,646.00","5,646.00","5,646.00","5,646.00","5,646.00","5,646.00","5,646.00","5,646.00","5,646.00","5,646.00","5,646.00","5,646.00","5,646.00","5,646.00","5,646.00"MRI SPINE LUMBAR W/O CON,EA,72148,6368332,EA,"3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00","3,480.00"MRI SPINE LUMBAR W CONTR,EA,72149TC,6368333,EA,"4,928.00","4,928.00","4,928.00","4,928.00","4,928.00","4,928.00","4,928.00","4,928.00","4,928.00","4,928.00","4,928.00","4,928.00","4,928.00","4,928.00","4,928.00","4,928.00","4,928.00"MRI SPINE LUMBAR WO&W CONT,EA,72158TC,6368334,EA,"5,615.00","5,615.00","5,615.00","5,615.00","5,615.00","5,615.00","5,615.00","5,615.00","5,615.00","5,615.00","5,615.00","5,615.00","5,615.00","5,615.00","5,615.00","5,615.00","5,615.00"MRI PELVIS W/O CONTR,EA,72195TC,6368338,EA,"5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00"MRI PELVIS W CONTR,EA,72196TC,6368339,EA,"4,613.00","4,613.00","4,613.00","4,613.00","4,613.00","4,613.00","4,613.00","4,613.00","4,613.00","4,613.00","4,613.00","4,613.00","4,613.00","4,613.00","4,613.00","4,613.00","4,613.00"MRI PELVIS W/O & W CONTR,EA,72197TC,6368340,EA,"8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00"MR ANGIO PELVIS W/O CONT,EA,C8919TC,6368341,EA,"6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00"MR ANG PELVIS WO&W CONTR,EA,C8920TC,6368342,EA,"6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00"MR ANGIO PELVIS W CONTR,EA,C8918TC,6368343,EA,"6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00"MRI UPPER RIGHT EXTR W/O NON-JOINT,EA,73218TC,6368344,EA,"5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00"MRI UPPER RIGHT EXTR NON-JOINT W/CONT,EA,73219TC,6368345,EA,"6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00"MRI UPPER RIGHT EXT NON-JOINT W/O&W CONT,EA,73220TC,6368346,EA,"8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00"MRI UPPER RIGHT EXTR JOINT W/O CON,EA,73221TC,6368348,EA,"3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00"MRI UPPER RIGHT EXTR JOINT WITH CONTR,EA,73222TC,6368349,EA,"6,334.00","6,334.00","6,334.00","6,334.00","6,334.00","6,334.00","6,334.00","6,334.00","6,334.00","6,334.00","6,334.00","6,334.00","6,334.00","6,334.00","6,334.00","6,334.00","6,334.00"MRI UPR RIGHT EXTR JOINT WO&W CONT,EA,73223TC,6368350,EA,"7,716.00","7,716.00","7,716.00","7,716.00","7,716.00","7,716.00","7,716.00","7,716.00","7,716.00","7,716.00","7,716.00","7,716.00","7,716.00","7,716.00","7,716.00","7,716.00","7,716.00"MRI UPPER LEFT EXTR JOINT W/O CON,EA,73221TCLT,6368351,EA,"3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00"MRI ANG UPR EXT WO/W CONT,EA,73225TC,6368352,EA,"6,823.00","6,823.00","6,823.00","6,823.00","6,823.00","6,823.00","6,823.00","6,823.00","6,823.00","6,823.00","6,823.00","6,823.00","6,823.00","6,823.00","6,823.00","6,823.00","6,823.00"MRI LOWER EXTR W/O CONTR,EA,73718TC,6368354,EA,"5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00"MRI LOWER EXTR W CONTR,EA,73719TC,6368355,EA,"6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00"MRI LOWER EXTR W/O&W CONT,EA,73720TC,6368356,EA,"8,434.00","8,434.00","8,434.00","8,434.00","8,434.00","8,434.00","8,434.00","8,434.00","8,434.00","8,434.00","8,434.00","8,434.00","8,434.00","8,434.00","8,434.00","8,434.00","8,434.00"MRI LOWER RIGHT EXTR JOINT W/O CON,EA,73721TC,6368358,EA,"3,592.00","3,592.00","3,592.00","3,592.00","3,592.00","3,592.00","3,592.00","3,592.00","3,592.00","3,592.00","3,592.00","3,592.00","3,592.00","3,592.00","3,592.00","3,592.00","3,592.00"MRI LOWER EXTR JT W CONTR,EA,73722TC,6368359,EA,"6,417.00","6,417.00","6,417.00","6,417.00","6,417.00","6,417.00","6,417.00","6,417.00","6,417.00","6,417.00","6,417.00","6,417.00","6,417.00","6,417.00","6,417.00","6,417.00","6,417.00"MRI LOW EXTR JT WO&W CONT,EA,73723TC,6368360,EA,"7,747.00","7,747.00","7,747.00","7,747.00","7,747.00","7,747.00","7,747.00","7,747.00","7,747.00","7,747.00","7,747.00","7,747.00","7,747.00","7,747.00","7,747.00","7,747.00","7,747.00"MR ANGIO LWR EXTR W/O CON,EA,C8913TC,6368361,EA,"6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00"MR ANG LWR EXTR WO&W CON,EA,C8914TC,6368362,EA,"6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00"MR ANGIO LWR EXTR W CONT,EA,C8912TC,6368363,EA,"6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00"MRI ABDOMEN W/O CONTR,EA,74181TC,6368364,EA,"5,548.00","5,548.00","5,548.00","5,548.00","5,548.00","5,548.00","5,548.00","5,548.00","5,548.00","5,548.00","5,548.00","5,548.00","5,548.00","5,548.00","5,548.00","5,548.00","5,548.00"MRI ABDOMEN W CONTR,EA,74182TC,6368365,EA,"7,846.00","7,846.00","7,846.00","7,846.00","7,846.00","7,846.00","7,846.00","7,846.00","7,846.00","7,846.00","7,846.00","7,846.00","7,846.00","7,846.00","7,846.00","7,846.00","7,846.00"MRI ABDOMEN W/O & W CONTR,EA,74183TC,6368366,EA,"8,395.00","8,395.00","8,395.00","8,395.00","8,395.00","8,395.00","8,395.00","8,395.00","8,395.00","8,395.00","8,395.00","8,395.00","8,395.00","8,395.00","8,395.00","8,395.00","8,395.00"MR ANGIO ABDOMEN W/O CONT,EA,C8901TC,6368367,EA,"6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00"MR ANG ABDOMEN WO&W CONT,EA,C8902TC,6368368,EA,"6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00"MR ANGIO ABDOMEN W CONT,EA,C8900TC,6368369,EA,"6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00","6,724.00"MRI UPPER LEFT EXTR W/O NON-JOINT,EA,73218TC,6368371,EA,"5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00","5,822.00"MRI UPPER LEFT EXTR JOINT WITH CONTR,EA,73222TC,6368372,EA,"6,334.00","6,334.00","6,334.00","6,334.00","6,334.00","6,334.00","6,334.00","6,334.00","6,334.00","6,334.00","6,334.00","6,334.00","6,334.00","6,334.00","6,334.00","6,334.00","6,334.00"MRI UPPER LEFT EXTR NON-JOINT W/CONT,EA,73219TC,6368373,EA,"6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00","6,899.00"MRI UPR LEFT EXTR JOINT WO&W CONT,EA,73223TC,6368374,EA,"7,716.00","7,716.00","7,716.00","7,716.00","7,716.00","7,716.00","7,716.00","7,716.00","7,716.00","7,716.00","7,716.00","7,716.00","7,716.00","7,716.00","7,716.00","7,716.00","7,716.00"MRI UPPER LEFT EXT NON-JOINT W/O&W CONT,EA,73220TC,6368375,EA,"8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00","8,374.00"MRI LOWER LEFT EXTR JOINT W/O CON,EA,73721TC,6368376,EA,"3,592.00","3,592.00","3,592.00","3,592.00","3,592.00","3,592.00","3,592.00","3,592.00","3,592.00","3,592.00","3,592.00","3,592.00","3,592.00","3,592.00","3,592.00","3,592.00","3,592.00"DEXA BONE DENSITY,EA,77080TC,6405002,EA,666,666,666,666,666,666,666,666,666,666,666,666,666,666,666,666,666WELLNESS BODY MASS INDEX,EA,,6405003,EA,529,529,529,529,529,529,529,529,529,529,529,529,529,529,529,529,529MM SCREENING 2D BILATERAL,EA,77067,6500001,EA,"1,076.00","1,076.00","1,076.00","1,076.00","1,076.00","1,076.00","1,076.00","1,076.00","1,076.00","1,076.00","1,076.00","1,076.00","1,076.00","1,076.00","1,076.00","1,076.00","1,076.00"MM DIAGNOSTIC UNILATERAL LEFT,EA,77065LT,6500002,EA,"1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00"MM DIAGNOSTIC UNILATERAL RIGHT,EA,77065RT,6500003,EA,"1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00"MM DIAGNOSTIC 2D/3D BILAT,EA,77062,6500004,EA,"1,336.00","1,336.00","1,336.00","1,336.00","1,336.00","1,336.00","1,336.00","1,336.00","1,336.00","1,336.00","1,336.00","1,336.00","1,336.00","1,336.00","1,336.00","1,336.00","1,336.00"MM SCREENING BILATERAL 2D & 3D,EA,77063,6500005,EA,274,274,274,274,274,274,274,274,274,274,274,274,274,274,274,274,274MM DIAGNOSTIC 2D,EA,77063,6500006,EA,274,274,274,274,274,274,274,274,274,274,274,274,274,274,274,274,274MM DIAGNOSTIC UNILAT 2D,EA,77065,6500007,EA,"1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00"MM SCREENING UNILATERAL,EA,77067,6500008,EA,"1,076.00","1,076.00","1,076.00","1,076.00","1,076.00","1,076.00","1,076.00","1,076.00","1,076.00","1,076.00","1,076.00","1,076.00","1,076.00","1,076.00","1,076.00","1,076.00","1,076.00"MM UNILATERAL LT DIAGNOSTIC,EA,77065,6600002,EA,"1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00"MM UNILATERAL RT DIAGNOSTIC,EA,77065,6600003,EA,"1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00","1,058.00"MM BILATERAL DIAGNOSTI W SCREEN SAME DAY,EA,77066,6600006,EA,"1,336.00","1,336.00","1,336.00","1,336.00","1,336.00","1,336.00","1,336.00","1,336.00","1,336.00","1,336.00","1,336.00","1,336.00","1,336.00","1,336.00","1,336.00","1,336.00","1,336.00"SLEEP STUDY-PHYSICIAN UNATTENDED,EA,9580026,6700001,EA,"1,102.00","1,102.00","1,102.00","1,102.00","1,102.00","1,102.00","1,102.00","1,102.00","1,102.00","1,102.00","1,102.00","1,102.00","1,102.00","1,102.00","1,102.00","1,102.00","1,102.00"SLEEP STUDY FACILITY UNATTENDED,EA,95800,6700002,EA,"1,562.00","1,562.00","1,562.00","1,562.00","1,562.00","1,562.00","1,562.00","1,562.00","1,562.00","1,562.00","1,562.00","1,562.00","1,562.00","1,562.00","1,562.00","1,562.00","1,562.00"SLEEP STUDY ONSITE,EA,95810,6700003,EA,"7,257.00","7,257.00","7,257.00","7,257.00","7,257.00","7,257.00","7,257.00","7,257.00","7,257.00","7,257.00","7,257.00","7,257.00","7,257.00","7,257.00","7,257.00","7,257.00","7,257.00"SLEEP STUDY WITH CPAP ONSITE,EA,95811,6700004,EA,"7,257.00","7,257.00","7,257.00","7,257.00","7,257.00","7,257.00","7,257.00","7,257.00","7,257.00","7,257.00","7,257.00","7,257.00","7,257.00","7,257.00","7,257.00","7,257.00","7,257.00"POTAS ACID PHOSP TB (500 MG),EA,,7000001,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8HYDROCORTISONE ACET SUPP [25 MG] *NF*,EA,,7000002,EA,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28BISMUTH SUBSALICYLATE O/S (262MG/15ML),EA,,7000003,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ACYCLOVIR SOD. INJ (50MG/ML)*NF*,EA,J0133,7000004,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22MORPHINE SULF ER TAB *NF*(30MG),EA,,7000005,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11"VITAMIN D3 CAP (50,000IU) NF",EA,,7000006,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PREDNISOL ACET OPHTH SUSP. 1% (5ML),EA,,7000008,EA,323,323,323,323,323,323,323,323,323,323,323,323,323,323,323,323,323VITAMIN D3 1000 IU (25 MCG) NF,EA,,7000009,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ETOMIDATE INJ. (2MG/ML),EA,,7000010,EA,168,168,168,168,168,168,168,168,168,168,168,168,168,168,168,168,168NF-KETAMINE HCL INJ. (50MG/ML),EA,,7000011,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PROPOFOL INJ. EMU. (10MG/ML),EA,J2704,7000012,EA,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32ROCURONIUM BROM INJ. (10MG/ML),EA,,7000013,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10FARXIGA TAB (10MG)  NF,EA,,7000014,EA,152,152,152,152,152,152,152,152,152,152,152,152,152,152,152,152,152TANZEUM SUBQ INJ (30MG)  NF,EA,,7000015,EA,"1,028.00","1,028.00","1,028.00","1,028.00","1,028.00","1,028.00","1,028.00","1,028.00","1,028.00","1,028.00","1,028.00","1,028.00","1,028.00","1,028.00","1,028.00","1,028.00","1,028.00"MEMANTINE ER CAP (28MG)  NF,EA,,7000017,EA,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18LIDOC/EPI/TETRA GEL SYRINGE (3ML),EA,,7000018,EA,188,188,188,188,188,188,188,188,188,188,188,188,188,188,188,188,188GI COCKTAIL SUSP (30-10-8-2),EA,,7000100,EA,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35FOSPHENYTOIN SOD INJ (100MGPE/2ML),EA,Q2009,7000101,EA,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30FEBUXOSTAT TAB (40 MG) NF,EA,,7000103,EA,66,66,66,66,66,66,66,66,66,66,66,66,66,66,66,66,66REMICADE INJ (100 MG) NF,EA,J1745,7000104,EA,"9,103.00","9,103.00","9,103.00","9,103.00","9,103.00","9,103.00","9,103.00","9,103.00","9,103.00","9,103.00","9,103.00","9,103.00","9,103.00","9,103.00","9,103.00","9,103.00","9,103.00"METHYLNALTREX  INJ(12 MG/ 0.6 ML)NF,EA,J2212,7000108,EA,694,694,694,694,694,694,694,694,694,694,694,694,694,694,694,694,694BISOPROLOL FUMARATE TB (5MG) NF,EA,,7000111,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PIPERACILLIN/TAZO INJ (4.5GM),EA,J2543,7000112,EA,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34HYDROMORPHONE AMP [1MG/ML],EA,J1170,7000113,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10MEPERIDINE AMP [25 MG/0.5ML]  **NF**,EA,J2175,7000114,EA,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14VITAMIN D3 TAB (2000IU) NF,EA,,7000115,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8KETOCONAZOLE 2% SHAMPOO 4OZ BOTTLE,EA,,7000116,EA,142,142,142,142,142,142,142,142,142,142,142,142,142,142,142,142,142CEFEPIME 1 GM IVPB PRE-MIX [1GRM/50ML],EA,J0692,7000117,EA,169,169,169,169,169,169,169,169,169,169,169,169,169,169,169,169,169ETHYL CL  ANESTH. SPRY 103.5ML NF,EA,,7000118,EA,218,218,218,218,218,218,218,218,218,218,218,218,218,218,218,218,218VACFLUARIX/QUAD VACC PFS (0.5ML),EA,,7000119,EA,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119FLUAD 0.5ML PFS 65YRS+,EA,90662,7000120,EA,398,398,398,398,398,398,398,398,398,398,398,398,398,398,398,398,398FLU QUAD VACCINES. 0.5ML PFS (6MTHS+),EA,90686,7000121,EA,137,137,137,137,137,137,137,137,137,137,137,137,137,137,137,137,137VACFLUZONE INTRADERM PFS (0.1ML),EA,90656,7000122,EA,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217CARBI/ LEVOD ER TAB [50/200MG] NF,EA,,7000124,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8RIVASTIGMINE CAP [1.5 MG]  **NF**,EA,,7000125,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11ESOMERAZOLE MAG DR PWD (40MG) NF,EA,,7000126,EA,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60CLARITHROMYCIN O/S (250MG/5ML) NF,EA,,7000127,EA,371,371,371,371,371,371,371,371,371,371,371,371,371,371,371,371,371AMOXIL/CLAV. POT. ES O/S (600MG/42.9MG/5,EA,,7000128,EA,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55FIBERSOURCE HN LIQ 1.2 CAL/250ML)*NF*,EA,,7000129,EA,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19RAMELTEON TAB (8MG),EA,,7000130,EA,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77METANX CAP (MEDICAL FOOD) NF,EA,,7000131,EA,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13METOCLOPRAMIDE O/S (5MG/5ML) NF,EA,,7000132,EA,135,135,135,135,135,135,135,135,135,135,135,135,135,135,135,135,135RIVASTIGMINE PAT [13.3 MG]  NF,EA,,7000133,EA,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23MYRBETRIQ ER TAB (50MG) *NF*,EA,,7000136,EA,116,116,116,116,116,116,116,116,116,116,116,116,116,116,116,116,116ERYTHROMYCIN O/O 0.5% (3.5GM),EA,,7000137,EA,109,109,109,109,109,109,109,109,109,109,109,109,109,109,109,109,109BACITRACIN/POLY B O/O (3.5GM),EA,,7000138,EA,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154NEO/POLYB/GRAMICIDIN OPHTH SOL. (10ML),EA,,7000139,EA,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259FIDAXOMICIN TAB (200MG)*NF*,EA,,7000140,EA,"1,275.00","1,275.00","1,275.00","1,275.00","1,275.00","1,275.00","1,275.00","1,275.00","1,275.00","1,275.00","1,275.00","1,275.00","1,275.00","1,275.00","1,275.00","1,275.00","1,275.00"VANCOMYCIN HCL CAP (125MG)*NF*,EA,,7000141,EA,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37TRADJENTA TAB (5MG)  *NF*,EA,,7000142,EA,115,115,115,115,115,115,115,115,115,115,115,115,115,115,115,115,115ONGLYZA TAB (5MG) *NF*,EA,,7000143,EA,103,103,103,103,103,103,103,103,103,103,103,103,103,103,103,103,103MYCAMINE INJ (100MG/VL),EA,J2248,7000144,EA,455,455,455,455,455,455,455,455,455,455,455,455,455,455,455,455,455RACEPINEPHRINE NEB 2.25%,EA,,7000145,EA,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12OXACILLIN INJ (2GM/VL)  NF,EA,J2700,7000146,EA,114,114,114,114,114,114,114,114,114,114,114,114,114,114,114,114,114PERMETHRIN CREAM 5% TUBE (60GM)  NF,EA,,7000147,EA,298,298,298,298,298,298,298,298,298,298,298,298,298,298,298,298,298BIOTENE MOUTH RINSE (16OZ)*NF*,EA,,7000148,EA,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35INS LEVEMIR  (100UNITS/ML) 10ML,EA,J1815,7000149,EA,"1,833.00","1,833.00","1,833.00","1,833.00","1,833.00","1,833.00","1,833.00","1,833.00","1,833.00","1,833.00","1,833.00","1,833.00","1,833.00","1,833.00","1,833.00","1,833.00","1,833.00"RIVASTIGMINE PTCH (4.6MG/24HR)  NF,EA,,7000150,EA,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40DONEPEZIL HCL ODT (10MG)  NF,EA,,7000151,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DICLEGIS TAB (10MG/10MG)  NF,EA,,7000152,EA,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40METHYLNALTREXONE  INJ.(8MG/04.ML)  NF,EA,J2212,7000153,EA,694,694,694,694,694,694,694,694,694,694,694,694,694,694,694,694,694PEPTAMEN 1.5 UNFLV (250ML),EA,,7000154,EA,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50LORAZEPAM INTENSOL O/S (2MG/ML)  NF,EA,,7000155,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CEFEPIME 2G VIAL,EA,J0692,7000200,EA,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36EXENATIDE ER INJ 2 MG *NF*,EA,,7000263,EA,"1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00","1,291.00"ALS/N.E. (ALS1) HE,EA,A0426HH,7000411,EA,"1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00","1,123.00"MCR MILEAGE<100 MILESHE,EA,A0425HH,7000412,EA,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5ARIPIPRAZOLE (ABILIFY) TAB 5MG **NF**,EA,,7001043,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8EMOLLIENT OINT  ** TUBE,EA,,7001045,EA,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23ASPIR CHEW TAB [81 MG],EA,,7001047,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11ASPIR TAB [325 MG],EA,,7001052,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ACETAZOLAMIDE TAB [250 MG]  **NF**,EA,,7001070,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9ACETAMINOPHEN TAB [325 MG],EA,,7001072,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11ACETAMINOPHEN  TAB [500 MG],EA,,7001073,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ACET/ COD TAB [300MG/30 MG],EA,,7001076,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DICLOFENAC SOD EC TAB (75MG)  NF,EA,,7001077,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ACETYLCYSTEINE NEB 10% (30 ML VIAL) NF,EA,,7001080,EA,63,63,63,63,63,63,63,63,63,63,63,63,63,63,63,63,63ACETAMINOPHEN CHILD SUP [120 MG],EA,,7001088,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ACETAMINOPHEN SUPP [325MG]*NF*,EA,,7001092,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ACETAMINOPHEN ADULT SUPP [650 MG],EA,,7001094,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ACIDOPH  W/ PECTIN,EA,,7001096,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8SACCHAROMYCIN BOULARDII CAP (250MG),EA,,7001097,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8INCRUSE ELLIPTA MDI (62.5MCG)NF,EA,,7001098,EA,"1,680.00","1,680.00","1,680.00","1,680.00","1,680.00","1,680.00","1,680.00","1,680.00","1,680.00","1,680.00","1,680.00","1,680.00","1,680.00","1,680.00","1,680.00","1,680.00","1,680.00"FENOFIBRATE CAP (134MG) NF,EA,,7001099,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CHARCOAL/SORBIT SUSP [50 GRAMS],EA,,7001141,EA,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147CHARCOAL SORBITOL  SUSP  [25 GM],EA,,7001142,EA,170,170,170,170,170,170,170,170,170,170,170,170,170,170,170,170,170ACTIDOSE AQUA SUSP [50 GM],EA,,7001143,EA,234,234,234,234,234,234,234,234,234,234,234,234,234,234,234,234,234ACTIDOSE AQUA SUSP [25 GRAMS],EA,,7001144,EA,161,161,161,161,161,161,161,161,161,161,161,161,161,161,161,161,161RISEDRONATE TAB [35 MG]  **NF**,EA,,7001145,EA,337,337,337,337,337,337,337,337,337,337,337,337,337,337,337,337,337PIOGLITAZONE TAB (15MG)  NF,EA,,7001159,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ACYCLOVIR TAB [400 MG],EA,,7001169,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ADENOSINE INJ [6 MG/2ML],EA,J0153,7001175,EA,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15FLUTICAS/ SALMET  500/50 MCG,EA,,7001182,EA,"1,166.00","1,166.00","1,166.00","1,166.00","1,166.00","1,166.00","1,166.00","1,166.00","1,166.00","1,166.00","1,166.00","1,166.00","1,166.00","1,166.00","1,166.00","1,166.00","1,166.00"FLUTICAS/ SALMET  [250/50 MG]  **,EA,,7001183,EA,841,841,841,841,841,841,841,841,841,841,841,841,841,841,841,841,841RSI DRUG KIT (IN FRIDGE),EA,,7001185,EA,658,658,658,658,658,658,658,658,658,658,658,658,658,658,658,658,658OXYMETAZOLINE 0.05% SPR  ** 30ML,EA,,7001210,EA,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27ASPIR/DIPYRID CP [25/200 MG] NF,EA,,7001211,EA,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52ALBUMIN USP 25% [50ML]*NF*,EA,,7001225,EA,557,557,557,557,557,557,557,557,557,557,557,557,557,557,557,557,557ISOPROPYL ALCOHOL 70% [473ML],EA,,7001228,EA,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18ALBUMIN USP 25% (100ML),EA,,7001230,EA,596,596,596,596,596,596,596,596,596,596,596,596,596,596,596,596,596ALBUTEROL HFA MDI,EA,,7001232,EA,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259ALBUTEROL  NEB 0.083% [2.5 MG/3ML],EA,,7001233,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10TETRACAINE DRP 0.5% [EYE]  **,EA,,7001237,EA,106,106,106,106,106,106,106,106,106,106,106,106,106,106,106,106,106FEXOFENPSEUD SR TAB (12HR)  *NF*,EA,,7001245,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8FEXOFENADINE TAB [180 MG],EA,,7001247,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8FEXOFENADINE HCL TB (60 MG) NF,EA,,7001248,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ALLOPURINOL TAB [100 MG],EA,,7001251,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8GUAIFENESIN DIABETIC LIQ 100 MG/5 ML,EA,,7001253,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11NEBIVOLOL TAB 2.5 MG NF,EA,,7001255,EA,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28LIDOCAINE PAT 5%*NF*,EA,,7001256,EA,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20CLONIDINE PATCH  0.1 MG NF,EA,,7001257,EA,107,107,107,107,107,107,107,107,107,107,107,107,107,107,107,107,107AMOX/CLAV SUSP 250 MG/5 ML  C ML NF,EA,,7001258,EA,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27SOD BICARB 8.4%  INJ 50ML SYRINGE,EA,,7001259,EA,398,398,398,398,398,398,398,398,398,398,398,398,398,398,398,398,398CLOTRIMAZOLE CRM 1% 15 GM *NF*,EA,,7001260,EA,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12TACROLIMUS CAPSULE (0.5 MG) NF,EA,,7001262,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10ALPRAZOLAM TAB [0.25MG],EA,,7001263,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ALPRAZOLAM TAB [0.5 MG],EA,,7001264,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8RAMIPRIL CAP [2.5 MG]  **NF**,EA,,7001266,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8RAMIPRIL CAP [10MG]  NF,EA,,7001267,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ZOLPIDEM TAB [5 MG],EA,,7001277,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8GLIMEPIRIDE TAB [2 MG]  **NF**,EA,,7001278,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8AMILORIDE HCL TAB (5MG) NF,EA,,7001280,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8AMIODARONE TAB [200 MG],EA,,7001297,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8AMIODARONE INJ 150MG/3ML,EA,,7001298,EA,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12AMITRIPTYLINE TAB [10 MG]  **NF**,EA,,7001300,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8AMITRIPTYLINE TAB [25 MG]*NF*,EA,,7001301,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8AMMONIA INH (15%),EA,,7001312,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8AMOXICILLIN SUS [125 MG/5 ML) NF,EA,,7001321,EA,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21AMOXCILLIN SUS 400 MG/5 ML,EA,,7001322,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8AMOXICILLIN SUS [200MG/5ML  50ML] NF,EA,,7001323,EA,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20AMOXICILLIN SUS [250 MG/5 ML],EA,,7001326,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8AMOXICILLIN CAP [250 MG],EA,,7001327,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8AMOXICILLIN CAP [500 MG],EA,,7001329,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8AMPICILLIN CAP [500 MG]  **NF**,EA,,7001340,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8AMPICILLIN INJ [500 MG]  **NF**,EA,J0290,7001341,EA,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19DOLASETRON MES INJ [12.5MG/0.625ML]NF,EA,,7001450,EA,165,165,165,165,165,165,165,165,165,165,165,165,165,165,165,165,165TUBERCULIN PPD INJ 1ML- 10ML VIAL,EA,86580,7001454,EA,63,63,63,63,63,63,63,63,63,63,63,63,63,63,63,63,63HYDRALAZINE INJ (20MG/ML) NF,EA,J0360,7001456,EA,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27VITAMIN K  INJ [10 MG/ML],EA,,7001476,EA,197,197,197,197,197,197,197,197,197,197,197,197,197,197,197,197,197DONEPEZIL TAB [10 MG]*NF*,EA,,7001489,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ANASTROZ TAB [1 MG]  NF,EA,,7001495,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ASPIR EC TAB [81 MG],EA,,7001590,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ASPIR EC TAB [325 MG],EA,,7001593,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ATENOLOL TAB [25 MG],EA,,7001595,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DUTASTERIDE SOFTGEL [0.5 MG]  **NF**,EA,,7001599,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9MOXIFLOX/ NACL PMIX [400 MG/250ML],EA,J2280,7001607,EA,343,343,343,343,343,343,343,343,343,343,343,343,343,343,343,343,343LORAZEPAM INJ [2 MG/ML],EA,J2060,7001608,EA,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12ATROPINE INJ [8MG/20ML] **NF**,EA,J0461,7001612,EA,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217ATROPINE SULF OPTH SOL1%,EA,,7001613,EA,285,285,285,285,285,285,285,285,285,285,285,285,285,285,285,285,285ATROPINE INJ SYR (0.25 MG/5ML- 5ML)PED,EA,J0461,7001614,EA,121,121,121,121,121,121,121,121,121,121,121,121,121,121,121,121,121IPRATROPIUM NEB 0.02%,EA,,7001615,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ATROPINE INJ SYR (0.1 MG/ML 10ML),EA,J0461,7001616,EA,69,69,69,69,69,69,69,69,69,69,69,69,69,69,69,69,69AMOX/POT CLAV TB [500/125MG]  NF,EA,,7001622,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11AMOX/CLAV (AUGMENTIN) TAB 875/125MG,EA,,7001624,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10AMOX/CLAV POT SUS (600M-42.9MG/5ML),EA,,7001627,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8IRBESARTAN  (AVAPRO) TAB 150MG,EA,,7001630,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8MOXIFLOXACIN TAB [400 MG],EA,,7001638,EA,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65VITA B COMPLEX W/FOLIC ACID (2MG COMBO),EA,,7001645,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8BACLOFEN TAB [10 MG] NF,EA,,7001646,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11WATER BACT INJ,EA,,7001651,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9ACYCLOV CAP [200 MG] *NF*,EA,,7001670,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8BACITRACIN OINT PKG 0.9GRM [ 144 UD],EA,,7001684,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8MUPIROCIN (BACTROBAN) OIN 2%  ** 22GM,EA,,7001686,EA,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46DIPHENHYDRAMINE [25 MG] CAP,EA,,7001708,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DIPHENHYDR O/S (12.5 MG/5 ML),EA,,7001714,EA,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14DICYCLOMINE CAP [10 MG] NF,EA,,7001744,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8BENZONATATE (TESSALON) CAP 200MG,EA,,7001747,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22BENZONATATE CAP [100 MG]*NF*,EA,,7001749,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8BENZOIN COMP TINC SWB*NF*,EA,,7001769,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8BENZTROPINE TAB [1 MG] **NF**,EA,,7001770,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CLARITHROMYCIN TAB (500MG)  NF,EA,,7001825,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8BISACODYL EC TAB [5 MG],EA,,7001826,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PENICILLIN G BENZ INJ [1.2 MMU/2ML],EA,J0561,7001845,EA,"1,871.00","1,871.00","1,871.00","1,871.00","1,871.00","1,871.00","1,871.00","1,871.00","1,871.00","1,871.00","1,871.00","1,871.00","1,871.00","1,871.00","1,871.00","1,871.00","1,871.00"TETANUS TOX/DIPTHERIA/PERTUSSIS INJ [0.5,EA,90715,7001885,EA,356,356,356,356,356,356,356,356,356,356,356,356,356,356,356,356,356BUMET TAB [1 MG]*NF*,EA,,7002048,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8BUMETAN INJ [1MG/4ML] 4ML VIAL,EA,,7002053,EA,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23BUSPIRONE TAB [10 MG],EA,,7002055,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PENICILLIN G BENZ INJ [6MU/ML] **NF**,EA,,7002070,EA,743,743,743,743,743,743,743,743,743,743,743,743,743,743,743,743,743PRAMOXINE/ CALAM LOT  **NF**,EA,,7002080,EA,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31CALCIUM CL 10% INJ [10 ML],EA,,7002103,EA,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68CALCIUM GLUC 10% INJ [10 ML],EA,J0610,7002104,EA,69,69,69,69,69,69,69,69,69,69,69,69,69,69,69,69,69CALC CARB & VIT D TAB [600 MG)*NF*,EA,,7002109,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8SULFACETAMIDE SOD SOLN 10% OPTH,EA,,7002122,EA,343,343,343,343,343,343,343,343,343,343,343,343,343,343,343,343,343CAPTOPRIL TAB [25 MG]*NF*,EA,,7002126,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9SUCRALFATE SUS [1 GM/10ML],EA,,7002127,EA,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60CAPTOPRIL TAB (12.5 MG) NF,EA,,7002129,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11CARBAMAZEPINE TAB [200 MG]*NF*,EA,,7002134,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10CARB/ LEVO ODT [25/250 MG] NF,EA,,7002135,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10CARB/ LEVO TAB [25/100 MG]*NF*,EA,,7002140,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DILTIAZEM CD CAP (180MG) NF,EA,,7002143,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DILTIAZEM TAB (30MG),EA,,7002146,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DOXAZOSIN TAB [4 MG]  **NF**,EA,,7002153,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22CARISOPRODOL TAB 350 MG,EA,,7002155,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CEFTRIAXONE INJ [1 GM],EA,J0696,7002183,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11CEFTRIAXONE INJ [500 MG] NF,EA,J0696,7002185,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CEFTRIAXONE INJ [250 MG],EA,J0696,7002186,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11CEFAZOLIN INJ [1GM],EA,J0690,7002198,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11CEFUR AXETIL SUSP [250MG/5ML],EA,,7002203,EA,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70CEFUROXIME AXETIL TAB (500MG) NF,EA,,7002207,EA,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18CELECOXIB CAP [200MG] **NF**,EA,,7002218,EA,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71CELECOXIB CAP [100 MG] NF,EA,,7002219,EA,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42BETAMETH INJ [6 MG/ML],EA,J0702,7002222,EA,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71CITALOPRAM TAB [20 MG]*NF*,EA,,7002223,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CEPHALEX SUS [250 MG/5ML ),EA,,7002230,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10CEPHALEXIN CAP [250 MG],EA,,7002231,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CHLORASEPTIC  LOZ  NF,EA,,7002232,EA,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18CEPHALEXIN CAP [500 MG] NF,EA,,7002234,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CHLORPROMAZINE INJ [25 MG/ML],EA,J3230,7002310,EA,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236CHLORPROMAZINE TAB (50MG) NF,EA,,7002311,EA,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56CIPRO HCL 0.3% DRP OPTH,EA,,7002355,EA,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75CIPRO TAB [500 MG] NF,EA,,7002358,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CIPRO PREMIX [400 MG/200ML]*NF*,EA,J0744,7002360,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17NF-CIPROFLOXACIN HC DROPS OTIC,EA,,7002361,EA,"2,351.00","2,351.00","2,351.00","2,351.00","2,351.00","2,351.00","2,351.00","2,351.00","2,351.00","2,351.00","2,351.00","2,351.00","2,351.00","2,351.00","2,351.00","2,351.00","2,351.00"MAGNESIUM CITRATE SOL 296ML,EA,,7002362,EA,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21CITALOPRAM TAB 10MG NF,EA,,7002367,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LORATADINE TAB [10 MG],EA,,7002376,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CLINDAMYCIN HCL CAP (300MG) NF,EA,,7002385,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CLINDAMYCIN INJ [600 MG/4ML] NF,EA,,7002386,EA,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29CLOBETASOL PROP 0.05% CREAM NF,EA,,7002406,EA,215,215,215,215,215,215,215,215,215,215,215,215,215,215,215,215,215CLONAZEPAM TAB [0.5 MG],EA,,7002407,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CLONIDINE TAB [0.1 MG],EA,,7002411,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DOCUSATE SOD CAP (100MG),EA,,7002460,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DOCUSATE SOD SYRUP [100MG/10ML ),EA,,7002461,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8COLCRYS TAB [0.6 MG],EA,,7002462,EA,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52COMBIVENT MDI (20/100MCG)  DO NOT USE,EA,,7002466,EA,"2,022.00","2,022.00","2,022.00","2,022.00","2,022.00","2,022.00","2,022.00","2,022.00","2,022.00","2,022.00","2,022.00","2,022.00","2,022.00","2,022.00","2,022.00","2,022.00","2,022.00"COLESTIPOL TAB [1 GM]  **NF**,EA,,7002467,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PROCHLORPERAZINE INJ (10MG/2ML),EA,,7002516,EA,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31CARVEDILOL TAB [3.125 MG],EA,,7002556,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CARVEDILOL TB (25 MG) NF,EA,,7002558,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CARVEDILOL TAB [6.25 MG]  **NF**,EA,,7002559,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NEO/ POLY/HC DRP SUS [EAR]  NF,EA,,7002569,EA,589,589,589,589,589,589,589,589,589,589,589,589,589,589,589,589,589NEO/POLYB/BAC/HC OINT [3.5GRAMS] NF,EA,,7002570,EA,919,919,919,919,919,919,919,919,919,919,919,919,919,919,919,919,919NEO/ POLY/ HC DRP [EYE]  **NF,EA,,7002576,EA,589,589,589,589,589,589,589,589,589,589,589,589,589,589,589,589,589NEO/ POLY/ HC DRP SOL [EAR],EA,,7002580,EA,589,589,589,589,589,589,589,589,589,589,589,589,589,589,589,589,589DORZOLMD/ TIMLOL DRP  **NF**,EA,,7002585,EA,"1,321.00","1,321.00","1,321.00","1,321.00","1,321.00","1,321.00","1,321.00","1,321.00","1,321.00","1,321.00","1,321.00","1,321.00","1,321.00","1,321.00","1,321.00","1,321.00","1,321.00"WARFARIN TAB  [1 MG],EA,,7002594,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8WARFARIN TAB [2 MG],EA,,7002595,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8WARFARIN TAB [5 MG],EA,,7002596,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LOSARTAN TAB [50 MG],EA,,7002598,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9ROSUVASTATIN TAB [10 MG]  **NF**,EA,,7002602,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11CRESTOR TAB (5MG)*NF*,EA,,7002604,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CROTALIDAE POLYVAL IMM FAB,EA,J0840,7002605,EA,"24,937.00","24,937.00","24,937.00","24,937.00","24,937.00","24,937.00","24,937.00","24,937.00","24,937.00","24,937.00","24,937.00","24,937.00","24,937.00","24,937.00","24,937.00","24,937.00","24,937.00"DAPTOMYCIN VIAL [500MG]  RECONSTITUTIO,EA,,7002690,EA,227,227,227,227,227,227,227,227,227,227,227,227,227,227,227,227,227LACTOBACILLUS GG TAB [10BILL] *NF*,EA,,7002693,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8VITAMIN B12 INJ [1000 MCG/ML],EA,J3420,7002695,EA,51,51,51,51,51,51,51,51,51,51,51,51,51,51,51,51,51DULOXETINE CAP [60 MG]  **NF**,EA,,7002722,EA,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45DULOXETINE DR CAP (30MG) *NF*,EA,,7002723,EA,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12CYPROHEPTADINE SYRUP (2MG/5ML)*NF*,EA,,7002725,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8EARWAX  DROPS [15ML],EA,,7002743,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33DEXAMETH TAB [0.5 MG]  **NF**,EA,,7002755,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DIVALPROEX DR TAB [500 MG]*NF*,EA,,7002787,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ESTRADIOL CYPION INJ [5MG/ML]*NF*,EA,,7002788,EA,"1,256.00","1,256.00","1,256.00","1,256.00","1,256.00","1,256.00","1,256.00","1,256.00","1,256.00","1,256.00","1,256.00","1,256.00","1,256.00","1,256.00","1,256.00","1,256.00","1,256.00"METHYLPRED ACET  INJ [40 MG/ML],EA,J1030,7002791,EA,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70METHYLPRED ACET INJ 80 MG/ML,EA,,7002792,EA,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81DEPOTESTOSTERONE 100MG/1ML 10ML VL*NF*,EA,,7002803,EA,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28DEPOTESTOST CYP  INJ [200 MG/ML] 10ML VI,EA,J1071,7002804,EA,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30TOLTER TART CAP ER [4MG] **NF**,EA,,7002810,EA,47,47,47,47,47,47,47,47,47,47,47,47,47,47,47,47,47MEPERIDINE INJ [75 MG/ML],EA,J2175,7002815,EA,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36DEXAMETH INJ [4MG/ML],EA,J1100,7002825,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DEXAMETHASONE TAB (1MG)  NF,EA,,7002826,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DEXTROSE 50% INJ SYR [50 ML],EA,J7799,7002828,EA,811,811,811,811,811,811,811,811,811,811,811,811,811,811,811,811,811DEXAMETHASONE TAB [4 MG],EA,,7002829,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DEXTROSE 25% INJ SYR [10 ML],EA,J7799,7002833,EA,173,173,173,173,173,173,173,173,173,173,173,173,173,173,173,173,173DEXAMETH INJ [10 MG/ML] 10ML VIAL,EA,J1100,7002835,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DIAZEPAM TAB [5 MG],EA,,7002838,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DIAZEPAM INJ  [10MG/2ML] SYRINGE,EA,J3360,7002840,EA,175,175,175,175,175,175,175,175,175,175,175,175,175,175,175,175,175DICYCLOMINE INJ [20 MG/2ML],EA,J0500,7002842,EA,291,291,291,291,291,291,291,291,291,291,291,291,291,291,291,291,291GUAIFENESIN 200MG/10ML-10ML CUP,EA,,7002846,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DICYCLOM HCL O/S [10MG/5ML] NF,EA,,7002847,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9FLUCONAZOLE TAB [100 MG],EA,,7002868,EA,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13FLUCONAZOLE TAB [150 MG]  **NF**,EA,,7002869,EA,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19FLUCONAZOLE PREMIX [200 MG/100ML],EA,J1450,7002870,EA,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31DIGOXIN INJ [0.25 MG/ML],EA,J1160,7002880,EA,25,25,25,25,25,25,25,25,25,25,25,25,25,25,25,25,25PHENYTOIN CAP [100 MG],EA,,7002892,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8MEDROXYPROGEST INJ [150 MG/ML],EA,J1051,7002899,EA,460,460,460,460,460,460,460,460,460,460,460,460,460,460,460,460,460PHENYTOIN SUS [125MG/5ML],EA,,7002908,EA,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24VALSARTAN TAB  [80 MG],EA,,7002930,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DILTIAZEM CD CAP [360 MG]*NF*,EA,,7002935,EA,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42DIPHENHYDRA INJ [50 MG/ML],EA,J1200,7002939,EA,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18DILTIAZEM INJ (5MG/ML) 5ML VIAL,EA,,7002942,EA,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21DILTIAZEM CD CAP [120 MG],EA,,7002943,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8OXYBUTYNIN TAB [5 MG],EA,,7002952,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DOBUTAMINE INJ [250 MG/20 ML],EA,J1250,7002960,EA,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36DIVALPROEX DR CAP [125 MG]  SPRINKLES,EA,,7002961,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DOPAMINE INJ [200 MG/5ML]*NF* FOR RECONS,EA,J1265,7002999,EA,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38DOPAMINE HCL INJ 200 MG/5 ML*NF*,EA,,7003001,EA,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16DOPAMINE + DEX PMX (200 MG/250ML),EA,,7003002,EA,80,80,80,80,80,80,80,80,80,80,80,80,80,80,80,80,80DOXEPIN CAP [10MG]*NF*,EA,,7003009,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DOXYCYCLINE MONO 100 MG CAP,EA,,7003013,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9BISACODYL SUPP [10 MG],EA,,7003040,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8FENTANYL PAT [75 MCG/HR],EA,,7003051,EA,80,80,80,80,80,80,80,80,80,80,80,80,80,80,80,80,80FENTANYL PAT [100 MCG/HR]  NF,EA,,7003052,EA,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70FENTANYL PAT [50 MCG/HR],EA,,7003055,EA,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45VENLAFAXINE XR CAP [75 MG]  **NF**,EA,,7003121,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8VENLAFAXINE TAB (75 MG),EA,,7003122,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8VENLAFAXINE XR CAP (150MG)*NF*,EA,,7003124,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LIDOCAINE/PRILOC CRM 2.5% [30 GRMS],EA,,7003253,EA,169,169,169,169,169,169,169,169,169,169,169,169,169,169,169,169,169ENALAPRIL TAB  [5 MG] NF,EA,,7003255,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8HEPATITIS B INJ [20 MCG/ML],EA,90746,7003260,EA,464,464,464,464,464,464,464,464,464,464,464,464,464,464,464,464,464LACTULOSE LIQ [20GM/30ML  30ML]  **,EA,,7003270,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8EPIPEN JR INJ 0.15 MG,EA,,7003273,EA,"1,078.00","1,078.00","1,078.00","1,078.00","1,078.00","1,078.00","1,078.00","1,078.00","1,078.00","1,078.00","1,078.00","1,078.00","1,078.00","1,078.00","1,078.00","1,078.00","1,078.00"EPIPEN ADULT INJ 0.3 MG,EA,J0171,7003274,EA,"1,078.00","1,078.00","1,078.00","1,078.00","1,078.00","1,078.00","1,078.00","1,078.00","1,078.00","1,078.00","1,078.00","1,078.00","1,078.00","1,078.00","1,078.00","1,078.00","1,078.00"EPINEPHRINE INJ [1 MG/ML  30ML]*NF*,EA,J0170,7003278,EA,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31EPINEPHRINE INJ SYR [0.1MG/ ML],EA,J0171,7003279,EA,339,339,339,339,339,339,339,339,339,339,339,339,339,339,339,339,339EPINEPHRINE INJ [1MG/ML] AMP,EA,J0171,7003280,EA,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67MAGNESIUM SULF (EPSOM SALT) *NF*,EA,,7003282,EA,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19ERYTHROMYCIN CAP [250 MG]  **NF**,EA,,7003296,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33RALOXIFENE TAB [60 MG]  **NF**,EA,,7003341,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ACET/ASA/CAFFEINE TAB (250/250/65MG),EA,,7003360,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8RIVASTIGMINE PAT [9.5 MG]  **NF**,EA,,7003366,EA,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23PUR WATER/ EYE IRR SOL [118ML],EA,,7003370,EA,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30LETROZOLE TAB 2.5MG  **NF**,EA,,7003410,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8BUTAL/CAFF/APAP  TAB [50/40/325 MG],EA,,7003414,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11PIROXICAM CAP (20MG) NF,EA,,7003416,EA,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15FENTANYL PAT [25 MCG/HR],EA,,7003418,EA,26,26,26,26,26,26,26,26,26,26,26,26,26,26,26,26,26FENTANYL PAT [12 MCG/HR],EA,,7003419,EA,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52FERROUS SULF LIQ [220 MG/5ML ] NF,EA,,7003434,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8FERROUS SULF TAB [325 MG],EA,,7003442,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CALCIUM POLYCARB TAB [625MG]*NF*,BX,,7003447,BX,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36OMEGA 3 ACID CAP 1GM  **NF**,EA,,7003465,EA,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23FISH OIL CAP (500 MG)*NF*,EA,,7003466,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ENEMA FLEET CHILD [66ML],EA,,7003479,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10ENEMA ADULT FLEET 133 ML,EA,,7003480,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8TAMSULOSIN CAP [0.4 MG],EA,,7003489,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8FLUDROCORTISONE TAB [0.1 MG]  **NF**,EA,,7003490,EA,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36SOD PHOS MB/ SOD PHOS ENEMA,EA,,7003491,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8FLUTICASONE NAS SPRAY,EA,,7003492,EA,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56CYCLOBENZAPRINE TAB [10 MG]*NF*,EA,,7003496,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8VACFLUVIRIN QUAD. PFS (0.5ML),EA,90656,7003500,EA,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77FLUOXETINE CAP (10 MG) NF,EA,,7003510,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8FOLIC ACID TAB / VIT B9 [1 MG]*NF*,EA,,7003525,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8FOLIC ACID TAB (400 MCG)*NF*,EA,,7003528,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CEFTAZIDIME INJ [1 GM] NF,EA,J0713,7003550,EA,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32ALENDRO TAB [70 MG] **NF**,EA,,7003553,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8FUROSEMIDE INJ [40 MG/4ML],EA,J1940,7003559,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10FUROSEMIDE INJ [20 MG/2ML],EA,J1940,7003560,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8FUROSEMIDE O/S [ 40MG/5 ML] NF,EA,,7003561,EA,267,267,267,267,267,267,267,267,267,267,267,267,267,267,267,267,267FUROSEMIDE TAB [40 MG],EA,,7003562,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8FUROSEMIDE TAB [20 MG],EA,,7003563,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11GENTAMICIN 0.1% OINT  **NF**,EA,,7003636,EA,684,684,684,684,684,684,684,684,684,684,684,684,684,684,684,684,684GABAPENTIN TAB [600MG],EA,,7003637,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8GENTAMICIN INJ 80MG/2ML [40MG/ML],EA,J1580,7003642,EA,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30GEMFIBROZIL TAB [600 MG]  **NF**,EA,,7003722,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ZIPRASIDONE HCL CAP [80MG] NF,EA,,7003729,EA,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39GLUCAGON EMERG KIT [1 MG],EA,J1610,7003764,EA,"2,774.00","2,774.00","2,774.00","2,774.00","2,774.00","2,774.00","2,774.00","2,774.00","2,774.00","2,774.00","2,774.00","2,774.00","2,774.00","2,774.00","2,774.00","2,774.00","2,774.00"METFORMIN TAB [500 MG],EA,,7003765,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11GLIPIZIDE TAB [5 MG],EA,,7003766,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ACCUCHECK/ FINGERSTICK,EA,,7003768,EA,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56GLIPIZIDE ER TAB [5MG],EA,,7003769,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8METFORMIN E.R. TB (500 MG),EA,,7003774,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9DEXTROSE 40% GEL,EA,,7003776,EA,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24GLUCOSAM+CHONDROIT CAP (500MG/400MG) NF,EA,,7003780,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8GLYBURIDE TAB [5 MG] NF,EA,,7003788,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8GLYCERIN SUP ADULT,EA,,7003791,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8GLYCERIN SUP CHILD,EA,,7003792,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8GLYCERIN SUPP INFANT [80.7]*NF*,EA,,7003793,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8GUAIFEN SYRUP [100 MG/5ML  120ML]*NF*,EA,,7003805,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8GUAIFEN/ DM LIQ [10010 MG/5ML  120ML]*NF,EA,,7003808,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8HALOPERIDOL TAB [1 MG],EA,,7003840,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8HALOPERIDOL INJ [5 MG/ML],EA,J1630,7003844,EA,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48HEPLOCK FLUSH 50U/5ML [5ML SYR],EA,,7003893,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8"HEPARIN INJ [5,000 UNT/ML]",EA,J1644,7003936,EA,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18CHLORHEX/ ISOPRP ALC LIQ [120 ML],EA,,7003940,EA,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28HYDROCORTISONE 1% CRM 28GM TUBE,EA,,7003999,EA,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19HYDRALAZINE TAB [25 MG] *NF*,EA,,7004003,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9HYDROCORT TAB [20MG] NF,EA,,7004011,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8HYDROCORTISONE TAB [10MG],EA,,7004013,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8HYDROCODONE/APAP TAB [10/325 MG] *NF*,EA,,7004015,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8HYDROCODONE/APAP TAB [5/325MG],EA,,7004017,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8HYDROCO BI/ACET O/S [7.5MG/325MG),EA,,7004019,EA,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28HYDROMORPHONE INJ [2 MG/ML],EA,J1170,7004020,EA,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15HYDROCO POLI/CHL SUS [10/8MG/5ML],EA,,7004021,EA,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18HYDROCHLOROTHIAZIDE TAB [25 MG],EA,,7004025,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11HYDROXYZINE LIQ [10 MG/5ML],EA,,7004035,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8HYDROXYZINE HCL INJ [25MG/ML],EA,,7004036,EA,105,105,105,105,105,105,105,105,105,105,105,105,105,105,105,105,105HYOSCYAMINE SULF TAB (0.125 MG)  NF,EA,,7004043,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8TERAZOSIN HCL CAP (1 MG) NF,EA,,7004049,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8IBUPROFEN TAB [200 MG],EA,,7004057,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11IBUPROFEN TAB [400 MG],EA,,7004058,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11SUMATRIPTAN INJ [6 MG/0.5ML],EA,,7004074,EA,54,54,54,54,54,54,54,54,54,54,54,54,54,54,54,54,54HEPATITIS B PEDI 10MCG/0.5 SYR,EA,90371,7004076,EA,"1,146.00","1,146.00","1,146.00","1,146.00","1,146.00","1,146.00","1,146.00","1,146.00","1,146.00","1,146.00","1,146.00","1,146.00","1,146.00","1,146.00","1,146.00","1,146.00","1,146.00"SUMATRIPTAN TAB [100MG]**NF**,EA,,7004077,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8HYDROCODONE/ APAP TAB [7.5/325 MG],EA,,7004080,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8MULTIVITAMIN INJ,EA,,7004101,EA,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56INDOMETHACIN CAP [25 MG],EA,,7004149,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8INS HUMULIN R INJ,EA,J1815,7004171,EA,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48INS HUMULIN N INJ [100 UNT/ML] 3ML,EA,J1815,7004173,EA,96,96,96,96,96,96,96,96,96,96,96,96,96,96,96,96,96INS HUMULIN 70/30 MIX INJ 100U/ML 3ML,EA,J1815,7004177,EA,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36INS GLARGINE INJ [100 UNT/ML],EA,J1815,7004181,EA,637,637,637,637,637,637,637,637,637,637,637,637,637,637,637,637,637INS LISPRO INJ [100 UNT/ML],EA,J1815,7004182,EA,114,114,114,114,114,114,114,114,114,114,114,114,114,114,114,114,114ERTAPENEM SODIUM INJ 1GM,EA,,7004205,EA,271,271,271,271,271,271,271,271,271,271,271,271,271,271,271,271,271ISOSORBIDE DIN TAB [10 MG],EA,,7004315,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ISOSORBIDE MONO ER TAB [30 MG],EA,,7004317,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8JEVITY NUTRITION 1.2CAL (8 OZ),EA,,7004336,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10LEVETIRACETAM TAB [500MG],EA,,7004406,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LEVETIRACETAM INJ [500MG/5ML] TO RECONST,EA,,7004408,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11KETOROLAC TAB [10 MG],EA,,7004438,EA,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44KETOROLAC INJ [30 MG/ML],EA,J1885,7004439,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9POTASSIUM CHL ER TAB [20 MEQ],EA,,7004446,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LABETALOL HCL INJ 100 MG/20 ML MDV,EA,,7004500,EA,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16LABETALOL HYDROCHL INJ 20MG/4ML SYR,EA,,7004516,EA,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42LAMOTRIGINE TAB [25MG]*NF*,EA,,7004526,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DIGOXIN TAB [0.125 MG],EA,,7004536,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10DIGOXIN TAB [0.25 MG]NF,EA,,7004540,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LANOLIN SKIN PROT(4 OZ),EA,,7004560,EA,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32LEVOFLOXACIN TAB [250 MG],EA,,7004583,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ESCITALOPRAM TAB [20 MG]*NF*,EA,,7004584,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ESCITALOPRAM TAB (10MG),EA,,7004585,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LEVOFLOXACIN TAB [500 MG],EA,,7004588,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LEVOFLOX/ D5W PMIX [500 MG/100ML],EA,J1956,7004589,EA,80,80,80,80,80,80,80,80,80,80,80,80,80,80,80,80,80LEVOFLOX/ D5W PMIX (250 MG/50ML],EA,J1956,7004592,EA,51,51,51,51,51,51,51,51,51,51,51,51,51,51,51,51,51LEVOFLOX/ D5W PMIX [750 MG/150ML],EA,J1956,7004595,EA,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21NOREPINEPHRINE INJ [4 MG/4ML],EA,,7004599,EA,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31LEVOTHYROXINE TAB [50 MCG],EA,,7004601,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11CHLORDIAZE HCL CAP [10MG],EA,,7004639,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LIDOCAINE/PRILOC CRM 2.5% [5GRMS],EA,,7004652,EA,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50LIDOCAINE 2% VISCOUS (15ml DOSE CUP),EA,,7004655,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9LIDOCAINE/D5W PREMIX [2GRAMS/500ML]*NF*,EA,,7004660,EA,47,47,47,47,47,47,47,47,47,47,47,47,47,47,47,47,47LINCOMYCIN 600 MG/2ML (300MG/ML) IM ONLY,EA,J2010,7004666,EA,175,175,175,175,175,175,175,175,175,175,175,175,175,175,175,175,175ATORVASTATIN TAB [40MG]  **NF**,EA,,7004673,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ATORVASTATIN TAB [10 MG] *NF*,EA,,7004674,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LISINOPRIL TAB (5 MG),EA,,7004681,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LISINOPRIL TAB [10 MG],EA,,7004682,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LISINOPRIL TAB [2.5MG],EA,,7004684,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DIPHENOXYL/ATROP TAB [2.5MG/0.025MG],EA,,7004728,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LOPERAMIDE CAP [2 MG],EA,,7004729,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8METOPROLOL TAR TAB [50 MG] NF,EA,,7004740,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8METOPROLOL INJ [5 MG/5ML],EA,,7004741,EA,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42LORAZEPAM TAB [0.5 MG],EA,,7004745,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CLOTRIMAZ/BETAME CRM [15 GM],EA,,7004750,EA,41,41,41,41,41,41,41,41,41,41,41,41,41,41,41,41,41BENAZEP TAB [10 MG] NF,EA,,7004752,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ENOXAPARIN INJ SYR [30 MG/0.3ML],EA,J1650,7004758,EA,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20ENOXAPARIN INJ SYR [100 MG/ML],EA,J1650,7004760,EA,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71BENAZEP TAB [20 MG] NF,EA,,7004765,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LOVASTATIN TAB [20 MG]  **NF**,EA,,7004769,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8OMEGA,EA,,7004771,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17NITROFUR MN-MCR CAP [100 MG]  **NF**,EA,,7004778,EA,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14ESZOPICLONE TAB (2MG) NF,EA,,7004779,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NITROFURANTOIN CAP [50 MG],EA,,7004780,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PREGABALIN CAP [75MG],EA,,7004781,EA,51,51,51,51,51,51,51,51,51,51,51,51,51,51,51,51,51ENOXAPARIN INJ SYR [40 MG/0.4ML],EA,J1650,7004783,EA,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27MAGIC MOUTHWASH (120ml),EA,,7004787,EA,121,121,121,121,121,121,121,121,121,121,121,121,121,121,121,121,121LYRICA CAP (100MG),EA,,7004788,EA,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46MAG OXIDE TAB [400 MG],EA,,7004794,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8MAG SULF/D5W PREMIX [1GM/100ML],EA,,7004795,EA,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31MAGNESIUM SULF VIAL 50% [5 GM/10 ML],EA,,7004796,EA,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16MARINOL CAP (2.5MG)  *NF*,EA,,7004810,EA,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32MECLIZINE TAB [25 MG],EA,,7004831,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8METHYLPREDNISOLONE 4MG TAB,EA,,7004852,EA,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13MELATONIN TAB [3MG],EA,,7004855,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8MEGESTROL TAB [40 MG]  NF,EA,,7004856,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8MEGESTROL SUS [40 MG/ML  10ML],EA,,7004857,EA,313,313,313,313,313,313,313,313,313,313,313,313,313,313,313,313,313MEROPENEM INJ (1GM),EA,,7004882,EA,74,74,74,74,74,74,74,74,74,74,74,74,74,74,74,74,74PSYLLIUM HUSK *NF*,EA,,7004900,EA,53,53,53,53,53,53,53,53,53,53,53,53,53,53,53,53,53METHADONE HCL TAB [10MG] NF,EA,,7004903,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8METOCLOPRAMIDE TAB (5 MG),EA,,7004906,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8METHOCARBAMOL TAB [500 MG],EA,,7004909,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8METRONIDAZOLE TAB [500 MG],EA,,7004913,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8METHOCARBAMOL INJ [1000 MG/10 ML],EA,J2800,7004920,EA,62,62,62,62,62,62,62,62,62,62,62,62,62,62,62,62,62METRONIDAZOLE TAB [250 MG] NF,EA,,7004923,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-METOCLOPRAMIDE INJ. (5MG/ML) 2ML,EA,J2765,7004924,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17METRONIDAZ/ SOD CL PMIX [500MG/100ML],EA,,7004925,EA,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16CALCSAL 30DOSE [200IU/SPRY]*NF*,EA,,7004927,EA,222,222,222,222,222,222,222,222,222,222,222,222,222,222,222,222,222POTASSIUM CHL  ER TAB [10 MEQ],EA,,7004932,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8METOPROLOL TAR TAB [25 MG],EA,,7004939,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11MIDAZOLAM INJ 2 MG/2 ML,EA,J2250,7004940,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8MILK OF MAGNESIA 1200MG/15ML *NF*,EA,,7004964,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PRAMIPEX DIHYDROCHLOR TAB (0.25MG),EA,,7004988,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8POLYETHYLENE GLYC 3350 [17GRAM/PKT],EA,,7004989,EA,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12MELOXICAM TAB (7.5 MG),EA,,7004995,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8MIRTAZAPINE TAB 15MG,EA,,7004998,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9MORPHINE INJ [4 MG/ML],EA,J2270,7005006,EA,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15MORPHINE INJ [2 MG/ML],MG,J2270,7005013,MG,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12IBUPROFEN LIQ  [100 MG/5ML],EA,,7005017,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9MORPHINE SULFATE ER TAB (60MG),EA,,7005021,EA,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18MORPHINE SULF IR TAB (30MG) NF,EA,,7005022,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8MORPHINE INJ [10 MG/ML],EA,J2270,7005023,EA,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14MORPHINE SULF ER TAB (15MG),EA,,7005029,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8GUAIFENESIN TAB ER [600 MG],EA,,7005032,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ACETYLCYSTEINE NEB 20% (4ML VIAL) NF,EA,,7005036,EA,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37GUAIFEN/ DM TAB [60030 MG]  **NF**,EA,,7005037,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PRIMIDONE TAB (50MG)  NF,EA,,7005066,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PRIMIDONE TAB (250MG) NF,EA,,7005067,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NABUMETONE TAB (500MG) *NF*,EA,,7005101,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NADOLOL TAB [20 MG]  **NF**,EA,,7005106,EA,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21NAPROXEN SODIUM TAB (550 MG) NF,EA,,7005110,EA,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14NAPROXEN SODIUM TAB [220 MG],EA,,7005112,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NALOXONE INJ [0.4 MG/ML],EA,J2310,7005116,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17MEMANTINE TAB [10 MG]*NF*,EA,,7005123,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NALOXONE INJ PF [1MG/ML] SYRINGE,EA,,7005125,EA,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158NABUMETONE TAB [750MG]  NF,EA,,7005126,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8MEMANTINE ER CAP [14 MG],EA,,7005127,EA,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65SOD CHLOR. NASAL SPRAY (88 ML) NF,EA,,7005131,EA,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16TRIAMCINOL ACETONIDE NAS SPRY ** NF**,EA,,7005135,EA,90,90,90,90,90,90,90,90,90,90,90,90,90,90,90,90,90MOMETASONE FUROATE NAS SP  **NF**,EA,,7005136,EA,"3,003.00","3,003.00","3,003.00","3,003.00","3,003.00","3,003.00","3,003.00","3,003.00","3,003.00","3,003.00","3,003.00","3,003.00","3,003.00","3,003.00","3,003.00","3,003.00","3,003.00"NEO/ BAC/ POLY/ DEX OIN [EYE]  **,EA,,7005173,EA,128,128,128,128,128,128,128,128,128,128,128,128,128,128,128,128,128NEO/ BAC/ POLY OIN [PKT],EA,J3490,7005182,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8GABAPENTIN CAP [300 MG],EA,,7005194,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8GABAPENTIN CAP [100 MG],EA,,7005196,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ESOMEPRAZOLE MAG CAP [40MG]*NF*,EA,,7005210,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11ESOMEPRAZOLE MAG CAP (20 MG) NF,EA,,7005211,EA,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28NIACIN TAB [100 MG] *NF*,EA,,7005215,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NICOTINE PAT [14 MG/24HR] NF,EA,,7005227,EA,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13NICOTINE PAT [21 MG/24HR],EA,,7005229,EA,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12NITROGLYCERIN 2% OIN [PKT],EA,,7005236,EA,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16NITROGLYCERIN PAT 0.2MG/HR,EA,,7005239,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NITROGLYCERIN PAT [0.4 MG/HR],EA,,7005242,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NITROSTAT SL TAB [0.4 MG],EA,,7005253,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11NORTRIPTYLINE HCL CAP (10MG) NF,EA,,7005297,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8AMLODIPINE TAB [5 MG],EA,,7005305,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PRESERVISION GEL CAP *NF*,EA,,7005317,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11"NYSTATIN ORAL SUS [500,000 UN/5 ML] 5ML",EA,,7005322,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11CEFDINIR SUSP (250MG/5ML) NF,EA,,7005323,EA,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130CEFDINIR SUSP [125 MG/5ML)*NF*,EA,,7005324,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17"NYSTATIN PWD [100,000 UNT/GM]  **",EA,,7005325,EA,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139NYSTATIN CREAM [15GRMS],EA,,7005326,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33OMEPRAZOLE CAP [20 MG],EA,,7005340,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ONDANSETRON TAB [4 MG] NF,EA,,7005360,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ONDANSETRON OD TAB [4 MG],EA,,7005361,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11ONDANSETRON O/S FILM (4 MG) NF,EA,,7005362,EA,228,228,228,228,228,228,228,228,228,228,228,228,228,228,228,228,228OXYBUTYNIN SYRUP [5MG/5ML],EA,,7005438,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ORPHENADRIN CIT INJ [60MG/2ML]*NF*,EA,,7005452,EA,86,86,86,86,86,86,86,86,86,86,86,86,86,86,86,86,86ORPHENADRINE TAB [100 MG] NF,EA,,7005453,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CALCIUM CARB/ VIT D TAB,EA,,7005454,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8OXYBUTYNIN ER TAB [5 MG],EA,,7005458,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11OXYCODONE HCL TAB (10MG),EA,,7005460,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8OXYCODONE HCL TB (20MG),EA,,7005462,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8OLOPATADINE EYE DROP 0.1% (5ML) NF,EA,,7005555,EA,110,110,110,110,110,110,110,110,110,110,110,110,110,110,110,110,110PAROXETINE TAB [12.5 MG]  **NF**,EA,,7005557,EA,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28PAROXETINE TAB [20 MG]*NF*,EA,,7005559,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ORAL ELECTROLYTE [1 LITER],EA,,7005570,EA,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18PREDNISOL NA PHOS SOL [15MG/5ML],EA,,7005595,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PREDNISOLONE SOD PHOSP O/S (5 MG/5 ML),EA,,7005596,EA,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29PENICILLIN VK TAB (250 MG),EA,,7005622,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8FAMOTIDINE TAB [20 MG],EA,,7005661,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9PINK BISM SUBSAL O/S [525MG/30ML],EA,,7005663,EA,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16PINK BISMUTH SUBSAL TAB [262 MG],EA,,7005665,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8HYDROGEN PEROXIDE 3% SOL [473ML]*NF*,EA,,7005701,EA,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81PENICILLIN G INJ (5 MIU),EA,,7005705,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33PHENAZOPYRIDINE TAB [100 MG],EA,,7005713,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PROMETHAZINE LIQ [6.25 MG/5ML],EA,,7005715,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PROMETH W/COD SYR [6.2510MG  5ML],EA,,7005728,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PROMETHAZINE SUP [25 MG],EA,,7005756,EA,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42PROMETHAZINE INJ. (25MG/ML),EA,J2550,7005767,EA,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13PROMETHAZINE INJ [50 MG/ML],EA,J2550,7005769,EA,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13PHENOBARBITOL TAB [60MG],EA,,7005780,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PHENYTOIN SOD INJ [100MG/2ML),EA,J1165,7005791,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10HYDROXYCHLOROQUINE TAB (200MG) NF,EA,,7005845,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9CLOPIDOGREL TAB [75 MG],EA,,7005846,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CILOSTAZOL TB (100MG)*NF*,EA,,7005852,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PNEUMOCOCCAL 23 INJ [0.5 ML],EA,90732,7005856,EA,828,828,828,828,828,828,828,828,828,828,828,828,828,828,828,828,828POTASSIUM CHL ORAL LIQ [40MEQ/30ML],EA,,7005922,EA,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18POTASSIUM CHL INJ [20 MEQ/10 ML],EA,,7005924,EA,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23PRAVASTATIN TAB [20 MG],EA,,7005925,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PREDNISONE TAB (10MG),EA,,7005928,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PREDNISONE TAB [20 MG] NF,EA,,7005931,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8HYDROCORTISONE SUPP [30MG] NF,EA,,7005933,EA,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75PREDNISONE TAB [5 MG] NF,EA,,7005934,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PANTOPRAZOLE TAB [40 MG],EA,,7005935,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PREMARIN VAG CREAM (30GM) *NF*,EA,,7005947,EA,887,887,887,887,887,887,887,887,887,887,887,887,887,887,887,887,887ESTROGEN CONJUG TAB [1.25MG] NF,EA,,7005950,EA,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20PRENATAL VITAMIN (MIX)*NF*,EA,,7005951,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LANSOPRAZOLE CAP [30 MG] NF,EA,,7005952,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11IMIPENEM/CILAST INJ [500MG] TO RECONSTIT,EA,,7005962,EA,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64POVIDONE-IODINE 10% OIN *NF*,EA,,7005965,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11NIFEDIPINE ER TAB [30 MG],EA,,7005974,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11HYDROCORTISONE 2.5%  CRM,EA,,7005977,EA,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16PANTOPRAZOLE INJ [40 MG],EA,,7005988,EA,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23PROMETHAZINE TAB [25 MG],EA,,7005990,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PROMETHAZINE SUPP [12.5 MG]*NF*,EA,,7005996,EA,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55FINASTERIDE TAB 5MG *NF*,EA,,7005999,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8IMIPENEM/CILAS INJ [250 MG]  NF RECONSTI,EA,J0743,7006005,EA,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32PROPRANOLOL HCL TAB (10MG)  NF,EA,,7006040,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PULMOCARE HN NUTRITION LIQ. (8 OZ),EA,,7006082,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11BUDESONIDE NEB [0.25MG/2ML]*NF*,EA,,7006084,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22CHOLESTYRAMINE PKT [4 GM]*NF*,EA,,7006085,EA,331,331,331,331,331,331,331,331,331,331,331,331,331,331,331,331,331BUDESONIDE NEB [0.5 MG/2ML],EA,,7006086,EA,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24PROMOD PROTEIN LIQ,EA,,7006088,EA,125,125,125,125,125,125,125,125,125,125,125,125,125,125,125,125,125RANITIDINE TAB [150 MG],EA,,7006153,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8SILDENAFIL CITRATE TAB [20MG]NF,EA,,7006180,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ROPINIROLE HCL TAB(1 MG) NF,EA,,7006203,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8RISPERIDONE TAB [1 MG],EA,,7006212,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8RISPERIDONE TAB [0.25 MG]  **NF**,EA,,7006214,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8FLUMAZENIL INJ 0.1MG/1ML- 5ML VIAL MDOS,EA,,7006310,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8MORPHINE SULF ORAL [20MG/ML],EA,,7006316,EA,234,234,234,234,234,234,234,234,234,234,234,234,234,234,234,234,234SOD CHLORIDE 0.9% NEB [3ML],EA,,7006388,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8FLORASTOR 250MG CAP,EA,,7006390,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11SANTYL OINTMENT *NF*,EA,,7006391,EA,"1,922.00","1,922.00","1,922.00","1,922.00","1,922.00","1,922.00","1,922.00","1,922.00","1,922.00","1,922.00","1,922.00","1,922.00","1,922.00","1,922.00","1,922.00","1,922.00","1,922.00"SENNA TAB [8.6MG],EA,,7006434,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8SENNALAXS TB (50/8.6 MG),EA,,7006436,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8SILVER SULFADIAZ 1% CRM [50 GM],EA,,7006485,EA,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57SILVER NITRATE STK,EA,,7006500,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8SIMETHICONE CHEW TAB [80 MG],EA,,7006503,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DOXEPIN CAP (25 MG)*NF*,EA,,7006520,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8MONTELUKAST TAB [10 MG],EA,,7006521,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9QUETIAPINE FUMERA TAB [50MG],EA,,7006531,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8SODIUM BICARB TAB [650MG] **NF**,EA,,7006560,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9SODIUM BICARB 8.4%  INJ [50MEQ],EA,,7006562,EA,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32SODIUM CHLORIDE INJ 0.9%  FLUSH,EA,,7006565,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11SOD POLY SULF SUSP 15GM SUSPENSIONS,EA,,7006568,EA,91,91,91,91,91,91,91,91,91,91,91,91,91,91,91,91,91SOD BICARB 4% INJ (2.4 MEQ),EA,,7006569,EA,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28SOLU-CORTEF 100MG/2ML,EA,J1720,7006600,EA,97,97,97,97,97,97,97,97,97,97,97,97,97,97,97,97,97METHYLPREDNISOL INJ [40 MG],EA,J2930,7006619,EA,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48METHYLPREDNISOL INJ [125 MG],EA,J2930,7006620,EA,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75SPIRIVA MDI,EA,,7006645,EA,"3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00","3,583.00"SPIRONOLACTONE TAB [25 MG],EA,,7006680,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8OSELTAMIVIR PHOSPHATE O/S (30MG/5ML),EA,,7006694,EA,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43FINGER STICK BLOOD SUGAR +,EA,,7006876,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33SULFAMETH/ TMP SUS [200/40 MG/5ML]  **,EA,,7006882,EA,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12SULFAMETH/ TMP DS TAB [800160 MG],EA,,7006885,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DOCUSATE  CALCIUM CAP [240 MG] *NF*,EA,,7006896,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LEVOTHYROXINE TAB (137 MCG) *NF*,EA,,7006947,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LEVOTHYROXINE TAB [125 MCG],EA,,7006950,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LEVOTHYROXINE TAB [88 MCG],EA,,7006952,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8OSELTAMIVIR CAP [75 MG],EA,,7006993,EA,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65ARTIFICIAL TEARS DRP **,EA,,7007054,EA,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64TEMAZEPAM CAP [15 MG],EA,,7007088,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8TETANUS DIPH TOX ADULT INJ,EA,90714,7007124,EA,199,199,199,199,199,199,199,199,199,199,199,199,199,199,199,199,199TETANUS TOXOID ABSORBED [0.5ML],EA,,7007136,EA,280,280,280,280,280,280,280,280,280,280,280,280,280,280,280,280,280THEOPHYLINE ER TAB [300MG],EA,,7007164,EA,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20THIAMINE TAB (100MG),EA,,7007179,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8THIAMINE INJ 200 MG/2 ML,EA,,7007181,EA,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36THICK IT POWD 1 TSP,EA,,7007182,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33TOBRAMYCIN 0.3% DRP [EYE]**,EA,,7007300,EA,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37TOBRAMYCIN INJ 80 MG/2ML *NF*,EA,J3260,7007301,EA,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19METOPROLOL SUCC  ER TAB [25 MG],EA,,7007304,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11METOPROLOL SUCC ER TAB [50 MG] NF,EA,,7007305,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9TRAMADOL TAB [50 MG],EA,,7007334,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8SCOPOLAMINE PAT [1.5 MG]  **,EA,,7007349,EA,92,92,92,92,92,92,92,92,92,92,92,92,92,92,92,92,92TRANEXAMIC ACID INJ (1000 MG/10 ML) *NF*,EA,,7007383,EA,92,92,92,92,92,92,92,92,92,92,92,92,92,92,92,92,92TRAZODONE TAB [50 MG],EA,,7007386,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8TRAZODONE TAB [100 MG]  **NF**,EA,,7007387,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8TRAVOPROST DRP [EYE]  **NF**,EA,,7007390,EA,"1,075.00","1,075.00","1,075.00","1,075.00","1,075.00","1,075.00","1,075.00","1,075.00","1,075.00","1,075.00","1,075.00","1,075.00","1,075.00","1,075.00","1,075.00","1,075.00","1,075.00"IVF DEX 5% [500 ML]  **NF**,EA,J7060,7007392,EA,25,25,25,25,25,25,25,25,25,25,25,25,25,25,25,25,25KENALOG 40 VIAL 40MG 10ML,EA,J3301,7007398,EA,25,25,25,25,25,25,25,25,25,25,25,25,25,25,25,25,25IVF SOD CHLORIDE 3%  -  500 ML BAG *NF*,EA,,7007400,EA,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24TRIAMTER/ HCTZ TAB [37.5/25 MG],EA,,7007402,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8IVF SOD CL 0.45%[1000 ML],EA,,7007405,EA,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29IVF SOD CL 0.9% [1000 ML],EA,J7030,7007408,EA,41,41,41,41,41,41,41,41,41,41,41,41,41,41,41,41,41IVF SOD CL 0.9% [250 ML],EA,J7050,7007412,EA,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28IVF SOD CL 0.9% 500 ML,EA,J7040,7007416,EA,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38IVF SOD CL 0.9% 50 ML  NF,EA,,7007420,EA,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19IVF DEX 5% [1000 ML],EA,J7070,7007452,EA,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37IVF DEXTROSE 5% [100 ML]  **NF**,EA,J7042,7007456,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17IVF DEX 5% [250 ML],EA,,7007464,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22IVF DEX 5%/ 0.9% SOD CL [1000 ML],EA,J7042,7007472,EA,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39IVF DEX 5%/ 0.45% SOD CL [1000 ML],EA,J7042,7007488,EA,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37IVF LACT RINGERS [1000 ML],EA,J7120,7007496,EA,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45IVF DEX 5%/ LACT RING [1000 ML],EA,,7007508,EA,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35IVF SOD CL 0.9% [100 ML],EA,,7007524,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22STERILE WATER FOR IRR 500ML,EA,,7007529,EA,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20SOD CL 0.9% FOR IRR [500 ML],EA,,7007538,EA,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20IVF DEXTROSE 70% [500ML],EA,,7007541,EA,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43DORZOLAMIDE 2% DRP  **NF**,EA,J3490,7007603,EA,585,585,585,585,585,585,585,585,585,585,585,585,585,585,585,585,585CALCIUM CARB TAB [750 MG],EA,,7007622,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ACET/ COD LIQ [12012 MG/5 ML],EA,,7007646,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ACETAMINOPHEN [160 MG/5ML] LIQ,EA,,7007648,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10ACETAMINOPHEN 325MG/10.15ML O/S *NF*,EA,,7007653,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9ACET/DIPHEN TB [500/25MG] NF,EA,,7007661,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8VITAMIN B12 TAB [1000MCG],EA,,7007693,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8AMPICILL/SUL INJ [1.5 GM]*NF*,EA,J0295,7007704,EA,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37AMPICILL/SUL INJ [3 GM],EA,J0295,7007707,EA,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39ALFUZOSIN HCL ER TAB (10 MG)  NF,EA,,7007774,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8VALPROIC ACID LIQ [250 MG/5ML]  **,EA,,7007814,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8VANCOMYCIN CAP [250 MG]  **NF**,EA,,7007828,EA,83,83,83,83,83,83,83,83,83,83,83,83,83,83,83,83,83VANCOMYCIN INJ [1 GM],EA,J3370,7007831,EA,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23VANCOMYCIN INJ (500MG),EA,J3370,7007832,EA,69,69,69,69,69,69,69,69,69,69,69,69,69,69,69,69,69SOLIFENACIN TAB [10 MG]  **NF**,EA,,7007836,EA,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68IRON SUCROSE INJ 200MG/10ML NF,EA,J1756,7007883,EA,633,633,633,633,633,633,633,633,633,633,633,633,633,633,633,633,633VERAPAMIL INJ [10MG/4ML],EA,,7007899,EA,79,79,79,79,79,79,79,79,79,79,79,79,79,79,79,79,79VERAPAMIL ER TAB [180 MG],EA,,7007905,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8VERAPAMIL  ER TAB (120MG)  NF,EA,,7007906,EA,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14HYDROXYZINE PAM CAP (25 MG),EA,,7007960,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8VITAMIN B6 TAB (50 MG) **NF**,EA,,7007965,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8VITAMIN D2 50000 IU (1250 MCG) CAP,EA,,7007979,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10VITAMIN E CAP [400 UNT],EA,,7007980,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8VITAMIN C TAB [500 MG],EA,,7007984,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8VITAMIN K PEDI [1MG/0.5ML] **NF**,EA,,7007988,EA,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24VITAMIN D TAB (400IU) NF,EA,,7008013,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8BUPROPRION TAB [75 MG]*NF*,EA,,7008021,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LATANOPROST 0.005%  **NF**,EA,,7008046,EA,74,74,74,74,74,74,74,74,74,74,74,74,74,74,74,74,74LEVALBUTEROL NEB [0.63MG],EA,,7008076,EA,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13LEVALBUTEROL NEB [1.25 MG],EA,,7008077,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10LIDOCAINE 2% ANSYR [20MG/ML],EA,J2001,7008079,EA,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40LIDOCAINE HCL 1% (10 MG/ML 50 ML),EA,,7008082,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11LIDOCAINE/ EPI 1% INJ [10MG\ML 20 ML],EA,,7008084,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LIDOCAINE 1% INJ [10MG/ML] 20 ML VIAL,ML,,7008090,ML,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LIDOCAINE/ EPI 2% INJ [400MG/20ML],EA,,7008096,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22LIDOCAINE 2% INJ [200 MG/10 ML],ML,,7008099,ML,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LIDOCAINE HCL JELLY 2% [5ML],EA,,7008104,EA,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52MULTIVITAMIN TAB,EA,,7008116,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8RANITIDINE HCL INJ 50 MG/2 ML,EA,,7008120,EA,107,107,107,107,107,107,107,107,107,107,107,107,107,107,107,107,107METOLAZONE TAB [5 MG],EA,,7008122,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10METOLAZONE TAB [2.5 MG],EA,,7008123,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8SIMVASTATIN TAB [10 MG]  **NF**,EA,,7008125,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8AZITHRO SUS [100 MG/5ML] NF,EA,Q0144,7008128,EA,78,78,78,78,78,78,78,78,78,78,78,78,78,78,78,78,78AZITHROMYCIN (ZITHROMAX) TAB 250MG,EA,Q0144,7008132,EA,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15AZITHRO SUS [200 MG/5ML],EA,Q0144,7008137,EA,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28AZITHROMYCIN INJ [500 MG],EA,,7008143,EA,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39SERTRALINE TAB [50 MG]*NF*,EA,,7008145,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CETIRIZINE TAB [10 MG],EA,,7008149,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8SIMVASTATIN TAB [40 MG]  **NF**,EA,,7008155,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LINEZOLID IV SOL (600MG/300ML),EA,,7008161,EA,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130ONDANSETRON INJ [4MG/2ML] 2ML VIAL,EA,J2405,7008162,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11ZOSTER VACCINE LIVE [0.65ML] NF,EA,90736,7008166,EA,"1,447.00","1,447.00","1,447.00","1,447.00","1,447.00","1,447.00","1,447.00","1,447.00","1,447.00","1,447.00","1,447.00","1,447.00","1,447.00","1,447.00","1,447.00","1,447.00","1,447.00"PIPERACILLIN/ TAZO INJ [3.375 GM],EA,J2543,7008200,EA,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27LINEZOLID TAB (600MG)*NF*,EA,,7008210,EA,26,26,26,26,26,26,26,26,26,26,26,26,26,26,26,26,26RANOLAZINE ER TAB [500MG]  **NF**,EA,,7008211,EA,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48NITRO IN D 5% IV [200MCG/ML],EA,,7008213,EA,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150AMOX/CLAV SUSP 125 MG/5 ML75 ML NF,EA,,7008215,EA,284,284,284,284,284,284,284,284,284,284,284,284,284,284,284,284,284CLINDAMYCIN INJ [300MG/2ML],EA,,7008232,EA,26,26,26,26,26,26,26,26,26,26,26,26,26,26,26,26,26INS ASPART (NOVOLOG) INJ 100U/ML NF,EA,J1815,7008233,EA,"1,926.00","1,926.00","1,926.00","1,926.00","1,926.00","1,926.00","1,926.00","1,926.00","1,926.00","1,926.00","1,926.00","1,926.00","1,926.00","1,926.00","1,926.00","1,926.00","1,926.00"BUPIVA 0.5% INJ 50ML VIAL,EA,,7008235,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8MENINGOCOCCAL DIPTHERIA CONJ INJ [0.5ML],EA,,7008236,EA,792,792,792,792,792,792,792,792,792,792,792,792,792,792,792,792,792MENING DIPTH CONJ INJ [0.5ML],EA,90734,7008237,EA,760,760,760,760,760,760,760,760,760,760,760,760,760,760,760,760,760RIVAROXABAN TAB [10MG],EA,,7008238,EA,93,93,93,93,93,93,93,93,93,93,93,93,93,93,93,93,93KETOROLAC INJ 60 MG/2 ML,EA,J1885,7008240,EA,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21ONDANSETRON OD TAB [8MG] NF,EA,,7008242,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PROCHLORPERAZINE TAB [10MG],EA,,7008243,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10CEFEPIME 2GM  IVPB PRE-MIX [2GM/50ML],EA,J0692,7008244,EA,251,251,251,251,251,251,251,251,251,251,251,251,251,251,251,251,251POTASSIUM CHL INJ [40MEQ/20ML],EA,,7008245,EA,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15MIDODRINE HCL TAB [2.5MG] NF,EA,,7008248,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NEBIVOLOL TAB [10MG],EA,,7008260,EA,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39DICLOFENAC SODIUM GEL 1%,EA,,7008261,EA,88,88,88,88,88,88,88,88,88,88,88,88,88,88,88,88,88OXYCODONE CR TAB (80 MG),EA,,7008262,EA,83,83,83,83,83,83,83,83,83,83,83,83,83,83,83,83,83CALCITRIOL CAP (0.25 MCG)*NF*,EA,,7008264,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8MED PASS 2.0 (30 ML),EA,,7008266,EA,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44CRANBERRY TAB (400 MG) NF,EA,,7008268,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8OXYCODONE/APAP TB (10MG/325MG),EA,,7008271,EA,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13FENTANYL CIT INJ 100MCG/2ML VIAL,EA,J3010,7008273,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22CLINIMIX E 4.25%/10% DEXTROSE NF,EA,,7008275,EA,228,228,228,228,228,228,228,228,228,228,228,228,228,228,228,228,228WATER STERILE INJ,EA,,7016789,EA,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18IVF 1/2 NS 20MEQ K (1000ML),EA,,7050032,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10BUPROPION XL 300MG*NF*,EA,,7050033,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9Combivent Respimat Inhalation Spray (NF),EA,,7050046,EA,"3,150.00","3,150.00","3,150.00","3,150.00","3,150.00","3,150.00","3,150.00","3,150.00","3,150.00","3,150.00","3,150.00","3,150.00","3,150.00","3,150.00","3,150.00","3,150.00","3,150.00"CARB/LEVOD TAB 10/100MG*NF*,EA,,7050049,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LACTAID CAPSULES *NF*,EA,,7050050,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8GLIMEPIRIDE 1MG NF,EA,,7050051,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ETHAMBUTOL 400MG,EA,,7050052,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8FERROUS GLUCONATE 324MG,EA,,7050054,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8TERAZOSIN 2MG*NF*,EA,,7050055,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8VIVELLE DOT 0.1MG PATCH,EA,,7050056,EA,98,98,98,98,98,98,98,98,98,98,98,98,98,98,98,98,98MAG CITRATE 133MG TAB,EA,,7050057,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ASPIRIN SUPP 300MG*NF*,EA,,7050058,EA,109,109,109,109,109,109,109,109,109,109,109,109,109,109,109,109,109Magnesium Sulf 1gm/NS100ml,EA,,7050059,EA,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30METOLAZONE 10MG*NF*,EA,,7050060,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10MIDODRINE 2.5MG *NF*,EA,,7050061,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8OSTEO BI-FLEX,EA,,7050063,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PROPAFENONE 150MG,EA,,7050064,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8GLYBU/METFOR 5/500MG *NF*,EA,,7050065,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8THEO24 ER 400MG,EA,,7050066,EA,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32SPIRONO/HCTZ 25/25MG NF,EA,,7050067,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9SOTALOL 80MG*NF*,EA,,7050068,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8RABEPRAZOLE DR 20MG *NF,EA,,7050069,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PROPRANOLOL ER 60MG*NF*,EA,,7050070,EA,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15LOSART/HCTZ 100/25MG,EA,,7050071,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8XIFAXAN 550MG*NF*,EA,,7050072,EA,943,943,943,943,943,943,943,943,943,943,943,943,943,943,943,943,943FOLIC ACID 1MG,EA,,7050073,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CALCITONIN SALMON NASAL SPRAY*NF*,EA,,7050074,EA,175,175,175,175,175,175,175,175,175,175,175,175,175,175,175,175,175HYDROXYZINE INJ 50MG/ML*NF*,EA,,7050076,EA,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28PHENYLEPHRINE OPTH SOL 2.5%,EA,,7050077,EA,216,216,216,216,216,216,216,216,216,216,216,216,216,216,216,216,216COLY-MYCIN S OTIC SOL,EA,,7050078,EA,"1,281.00","1,281.00","1,281.00","1,281.00","1,281.00","1,281.00","1,281.00","1,281.00","1,281.00","1,281.00","1,281.00","1,281.00","1,281.00","1,281.00","1,281.00","1,281.00","1,281.00"CLOBETASOL PROP GEL 0.05%*NF*,EA,,7050079,EA,904,904,904,904,904,904,904,904,904,904,904,904,904,904,904,904,904GENTAMICIN SULF OINT 0.1%*NF*,EA,,7050080,EA,246,246,246,246,246,246,246,246,246,246,246,246,246,246,246,246,246BIOFREEZE GEL PKTS**NF,EA,,7050081,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8SOLARCAINE/ALOE VERA GEL,EA,,7050083,EA,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32SOLARCAINE/ ALOE VERA SPRAY,EA,,7050084,EA,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32SOD BICARB 4.2% (5MEQ) INFANT INJ,EA,,7050085,EA,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30TYLENOL SUPP 80MG,EA,,7050086,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CATHFLO ACTIVASE VIAL 2MG,EA,,7050087,EA,"1,589.00","1,589.00","1,589.00","1,589.00","1,589.00","1,589.00","1,589.00","1,589.00","1,589.00","1,589.00","1,589.00","1,589.00","1,589.00","1,589.00","1,589.00","1,589.00","1,589.00"CHLORHEXIDINE GLUCONATE 0.12% ORAL*NF*,EA,,7050088,EA,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20MYLANTA (15ML),EA,,7050089,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CEFEPIME 1GM VIAL,EA,,7050090,EA,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19SODIUM CHLORIDE 7% INHALATION,EA,,7050091,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8HEPATITIS B IMMUNE GLOBULIN*NF*,EA,90371,7050095,EA,"1,019.00","1,019.00","1,019.00","1,019.00","1,019.00","1,019.00","1,019.00","1,019.00","1,019.00","1,019.00","1,019.00","1,019.00","1,019.00","1,019.00","1,019.00","1,019.00","1,019.00"CANDIDA SKIN TEST,EA,,7050096,EA,173,173,173,173,173,173,173,173,173,173,173,173,173,173,173,173,173PRAVASTATIN 80MG TAB,EA,,7050098,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LEVOTHYROXINE 112MCG TAB*NF*,EA,,7050099,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Cholecalciferol Crystal,EA,,7050102,EA,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16CHOLECALCIFEROL  CAP/TAB  (1000 IU)*NF*,EA,,7050103,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8TIZANIDINE HCL 4MG TAB*NF*,EA,,7050108,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ALPHA LIPOIC ACID 200MG,EA,,7050109,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DESITIN CREAM*NF*,EA,,7050110,EA,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30HYOSYNE ORAL DROPS 15ML,ML,,7050111,ML,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15LIDOCAINE 1% INJ (500MG/50ML) 50ML VIAL,EA,,7050112,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11NF-THYROID TAB 32.5MG,EA,,7050113,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8MEPERIDINE 25MG/ML 1ML SYR,EA,,7050117,EA,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42POTASSIUM CHL O/S 10% (20meq/15mL),EA,,7050118,EA,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57Allopurinol Oral Tablet 300MG **NF**,EA,,7050120,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8Melatonin Capsule 3MG NF,EA,,7050127,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-GLIMEPIRIDE ORAL TABLET 1MG,EA,,7050130,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8MAGNESIUM HYDROX/aluminum hydrox 355ML,EA,,7050132,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CENTRUM SILVER TAB,EA,,7050133,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8VISINE EYE DROPS,EA,,7050134,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9IVF DEX 10% (250ML),EA,,7050136,EA,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38GARDASIL 9 SDV 0.5ML 10*NF*,EA,90651,7050137,EA,"1,298.00","1,298.00","1,298.00","1,298.00","1,298.00","1,298.00","1,298.00","1,298.00","1,298.00","1,298.00","1,298.00","1,298.00","1,298.00","1,298.00","1,298.00","1,298.00","1,298.00"OPTIRAY-300 BOTTLE 100ML CS12,EA,,7050138,EA,273,273,273,273,273,273,273,273,273,273,273,273,273,273,273,273,2730.9% SWAB FLUSH SYR WITH SWAB CAPS*NF*,EA,,7050139,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9RHOGAM (RHO (D) IMMUNE GLOBULIN),EA,,7050140,EA,646,646,646,646,646,646,646,646,646,646,646,646,646,646,646,646,646EFFER-K 10MEQ TAB (POT BICARBON /CIT AC),EA,,7050150,EA,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71CEFUROXIME AXETIL 250MG TAB,EA,,7050153,EA,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24CIPROFLOXACIN 250MG TAB*NF*,EA,,7050154,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ACETYLCYSTEINE INJ 6GM/30ML,EA,,7050155,EA,315,315,315,315,315,315,315,315,315,315,315,315,315,315,315,315,315RANITIDINE ORAL SUSP 15MG/ML *NF*,EA,,7050156,EA,126,126,126,126,126,126,126,126,126,126,126,126,126,126,126,126,126TRIAMINOLONE ACET OINT 0.1% **NF**,EA,,7050162,EA,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56NF-OLANZapine Disintegrating Tablet 20MG,EA,,7050164,EA,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50PATADAY OPHTH SOLN  0.2% *NF*,EA,,7050168,EA,208,208,208,208,208,208,208,208,208,208,208,208,208,208,208,208,208ZONISAMIDE 50MG CAPSULE *NF*,EA,,7050170,EA,149,149,149,149,149,149,149,149,149,149,149,149,149,149,149,149,149OLANZAPINE ODT 10MG TABLET **NF**,EA,,7050171,EA,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44BREO ELLIPTA 200/25 **NF**,EA,,7050172,EA,"2,714.00","2,714.00","2,714.00","2,714.00","2,714.00","2,714.00","2,714.00","2,714.00","2,714.00","2,714.00","2,714.00","2,714.00","2,714.00","2,714.00","2,714.00","2,714.00","2,714.00"PATADAY 0.2% OPTH DROPS **NF**,EA,,7050173,EA,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130FLUNISOLIDE NASAL SOL 0.025% **NF**,EA,,7050174,EA,444,444,444,444,444,444,444,444,444,444,444,444,444,444,444,444,444ZINC 30MG **NF**,EA,,7050176,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8URIN D/S TAB,EA,,7050177,EA,289,289,289,289,289,289,289,289,289,289,289,289,289,289,289,289,289TRIAMCINOLONE 0.1% CREAM **NF**,EA,,7050179,EA,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49XYLOCAINE 1%**MPF**20MG/2ML,EA,,7050181,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9INFLUENZA  AFLURIA QUAD PEDI VACC,EA,90685,7050183,EA,123,123,123,123,123,123,123,123,123,123,123,123,123,123,123,123,123RIFAMPIN 300MG CAPSULE **NF**,EA,,7050188,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8METHYLPHENIDATE 2.5MG/HALF TABLET OF 5MG,EA,,7050189,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8STERILE WATER FOR INJECT VIAL-SY10ML,EA,,7050192,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10VITAMIN B12 500MCG,EA,,7050193,EA,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12VITAMIN B COMPLEX W/FOLIC ACID+VITC *NF*,EA,,7050194,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CO-ENZYME Q10 100MG*NF*,EA,,7050195,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8SAW PALMETTO-320MG*NF*,EA,,7050196,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8BENEFIBER SUPPLEMENT POWDER*NF*,EA,,7050197,EA,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44TUSSIN DM ADULT,EA,,7050198,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DERMABOND MINI,EA,,7050201,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85PREVNAR 13 0.5ML SYR,EA,90670,7050202,EA,"1,527.00","1,527.00","1,527.00","1,527.00","1,527.00","1,527.00","1,527.00","1,527.00","1,527.00","1,527.00","1,527.00","1,527.00","1,527.00","1,527.00","1,527.00","1,527.00","1,527.00"NOVOLIN R U100 10ML,EA,,7050203,EA,940,940,940,940,940,940,940,940,940,940,940,940,940,940,940,940,940NOVOLIN N U100 10ML*NF*,EA,,7050204,EA,940,940,940,940,940,940,940,940,940,940,940,940,940,940,940,940,940NOVOLIN 70/30 U100 10ML,EA,,7050205,EA,940,940,940,940,940,940,940,940,940,940,940,940,940,940,940,940,940NF-Gleevec Oral Tablet 400MG,EA,,7050206,EA,548,548,548,548,548,548,548,548,548,548,548,548,548,548,548,548,548LANTUS SOLOSTAR PEN 100U/ML,EA,,7050207,EA,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191OPTIRAY-350 BOTTLE 100ML,EA,,7050208,EA,274,274,274,274,274,274,274,274,274,274,274,274,274,274,274,274,274ATENOLOL 50MG*NF*,EA,,7050209,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ACYCLOVIR 5% OINT,EA,,7050210,EA,373,373,373,373,373,373,373,373,373,373,373,373,373,373,373,373,373PREMARIN 25MG INJ VIAL,EA,,7050211,EA,"2,455.00","2,455.00","2,455.00","2,455.00","2,455.00","2,455.00","2,455.00","2,455.00","2,455.00","2,455.00","2,455.00","2,455.00","2,455.00","2,455.00","2,455.00","2,455.00","2,455.00"CARVEDILOL 12.5MG TAB,EA,,7050212,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9CALCIUM/VIT D 325MG/500IU (CITRACAL),EA,,7050213,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NALBUPHINE 10MG/ML AMPULE,EA,,7050214,EA,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27OLANZAPINE 10MG INJECTION VIAL,EA,,7050215,EA,156,156,156,156,156,156,156,156,156,156,156,156,156,156,156,156,156CLINDAMYCIN 150MG CAP,EA,,7050216,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8TORSEMIDE 10MG (DEMADEX),EA,,7050217,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PEDIATRIC POPS ELECTROLYTE SOL,EA,,7050218,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ZINC OXIDE OINT,EA,,7050219,EA,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32DEXAMETHASONE O/S 0.5MG/5ML,EA,,7050220,EA,109,109,109,109,109,109,109,109,109,109,109,109,109,109,109,109,109ZINC TAB 50MG (=220mg ZnSO4) *NF*,EA,,7050222,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8XARELTO 15MG TAB*NF*,EA,,7050226,EA,93,93,93,93,93,93,93,93,93,93,93,93,93,93,93,93,93LEVOTHYROXINE 75MCG *NF*,EA,,7050232,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DULOXETINE DR 20MG *NF*,EA,,7050233,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Symbicort Inh Aer Liq 160MCG-4.5MCG,EA,,7050235,EA,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224CEFDINIR 300MG CAP*NF*,EA,,7050238,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8FLUZONE QUAD. 0.5ML PFS,EA,90686,7050239,EA,135,135,135,135,135,135,135,135,135,135,135,135,135,135,135,135,135NF-Symbicort Inh Aer Liq 160MCG-4.5MCG,EA,,7050240,EA,253,253,253,253,253,253,253,253,253,253,253,253,253,253,253,253,253BENICAR 20 MG*NF*,EA,,7050242,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ARMOUR THYROID 15MG*NF*,EA,,7050243,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8METFORMIN ER 750MG,EA,,7050244,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8GASTROVIEW SOL 30ML (25)*NF*,EA,,7050247,EA,62,62,62,62,62,62,62,62,62,62,62,62,62,62,62,62,62Cranberry Caplet(Azo Cranberry)250mg NF,EA,,7050249,EA,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48Methotrexate Sodium Tablet 2.5MG*NF*,EA,,7050250,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22ELIQUIS TAB 2.5MG,EA,,7050255,EA,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64SUCRALFATE 1GM TAB*NF*,EA,,7050257,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ZINC SULFATE 220MG *NF*,EA,,7050260,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ELIQUIS 5MG TAB*NF*,EA,,7050263,EA,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55CYCLOBENZAPRINE 5MG,EA,,7050272,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8SOD CHL INH SOL 0.9% 5ML,EA,,7050273,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8MAG SULF PREMIX IN WATER (2GM/50ML),EA,,7050274,EA,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49NF-Symbicort Inh Aer Liq 160MCG-4.5MCG,EA,,7050283,EA,195,195,195,195,195,195,195,195,195,195,195,195,195,195,195,195,195SILENOR 3MG *NF*,EA,,7050284,EA,63,63,63,63,63,63,63,63,63,63,63,63,63,63,63,63,63IPOL VACC MDV 10DOSE 5ML,EA,,7050285,EA,"2,870.00","2,870.00","2,870.00","2,870.00","2,870.00","2,870.00","2,870.00","2,870.00","2,870.00","2,870.00","2,870.00","2,870.00","2,870.00","2,870.00","2,870.00","2,870.00","2,870.00"M-M-R II VACCINE SDV BX A&B 10,EA,,7050286,EA,821,821,821,821,821,821,821,821,821,821,821,821,821,821,821,821,821SILENOR 6MG *NF*,EA,,7050287,EA,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119METHYLPHENIDATE 5MG *NF*,EA,,7050296,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CLINDAMYCIN/D5W PREMIX (600MG/50ML),EA,,7050297,EA,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42CLINDAMYCIN/D5W PREMIX (300MG/50ML),EA,,7050298,EA,59,59,59,59,59,59,59,59,59,59,59,59,59,59,59,59,59NF-Nuplazid Oral Tablet 17MG,EA,,7050299,EA,260,260,260,260,260,260,260,260,260,260,260,260,260,260,260,260,260CLINDAMYCIN/D5W PREMIX(900MG/50ML),EA,,7050301,EA,98,98,98,98,98,98,98,98,98,98,98,98,98,98,98,98,98HYDRALAZINE 50MG *NF*,EA,,7050316,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-ATORVASTATIN CALCIUM ORAL TAB 20MG,EA,,7050317,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LEVEMIR FLEXTOUCH PEN 100U/ML (3ML),EA,,7050318,EA,674,674,674,674,674,674,674,674,674,674,674,674,674,674,674,674,674TAMIFLU 30MG CAP,EA,,7050324,EA,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52NF-Levaquin Oral Tablet 750MG,EA,,7050328,EA,188,188,188,188,188,188,188,188,188,188,188,188,188,188,188,188,188Lyrica Oral Capsule 25MG*NF*,EA,,7050329,EA,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45Creon OraL DR 6000 UNITS Capsule*NF*,EA,,7050335,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10Vascepa Oral Liquid Filled Cap 1GM*NF*,EA,,7050337,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22MIDODRINE 10MG TABLET*NF*,EA,,7050343,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8REMERON Tablet 45MG*NF*,EA,,7050344,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8VASELINE JELLY*NF*,EA,,7050348,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9Namenda XR Oral Capsule ER 28MG*NF*,EA,,7050353,EA,88,88,88,88,88,88,88,88,88,88,88,88,88,88,88,88,88LINZESS 72MCG*NF*,EA,,7050357,EA,122,122,122,122,122,122,122,122,122,122,122,122,122,122,122,122,122NF-Piroxicam Capsule 20MG,EA,,7050363,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22NF-Zofran Oral Disintegrating Tablet 4MG,EA,,7050365,EA,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2Daliresp Oral Tablet 500MCG*NF*,EA,,7050366,EA,61,61,61,61,61,61,61,61,61,61,61,61,61,61,61,61,61Cilostazole Oral Tablet 50MG*NF*,EA,,7050367,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Pulmozyme Sol 2.5MG/2.5ML,EA,,7050368,EA,318,318,318,318,318,318,318,318,318,318,318,318,318,318,318,318,318Movantik Oral Tablet 25MG*NF*,EA,,7050370,EA,74,74,74,74,74,74,74,74,74,74,74,74,74,74,74,74,74OSELTAMIVIR 30MG *NF*,EA,,7050377,EA,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49TOPIRAMATE 50MG TAB *NF*,EA,,7050381,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Rizatriptan Benzoate Oral Tablet 5MG,EA,,7050382,EA,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43Donepezil HCl Oral Tablet 5MG*NF*,EA,,7050392,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PIPERACILLIN /TAZO INJ 2.25GM *NF*,EA,,7050395,EA,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19MIRTAZAPINE ODT 15MG*NF*,EA,,7050397,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8Preparation H Ointment*NF*,EA,,7050398,EA,47,47,47,47,47,47,47,47,47,47,47,47,47,47,47,47,47Tucks Pad 50% *NF*,EA,,7050399,EA,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29Preparation H Suppository *NF*,EA,,7050400,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8VALSARTAN 160MG *NF*,EA,,7050402,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8IVF SOD CL 0.9%  [150ML],EA,,7050407,EA,135,135,135,135,135,135,135,135,135,135,135,135,135,135,135,135,135NF-Harvoni Oral Tablet 90MG-400MG,EA,,7050409,EA,72,72,72,72,72,72,72,72,72,72,72,72,72,72,72,72,72N-Acetyl-L-Cysteine Capsule(NAC)600MG,EA,,7050411,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ALBUTEROL NEB. 0.63MG/3ML,EA,,7050412,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9PHENOBARB. ELIXIR,EA,,7050413,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8IPRATR.BROM 0.5MG/ALBUT.SULF 3MG NEB*NF,EA,,7050417,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Aerosol Therapy Nebulizer Device,EA,,7050418,EA,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217BIOTENE MOISTURIZING MOUTH SPRAY,EA,,7050420,EA,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37NF-Levaquin Oral Tablet 750MG,EA,,7050438,EA,188,188,188,188,188,188,188,188,188,188,188,188,188,188,188,188,188XARELTO 20MG NF,EA,,7050439,EA,93,93,93,93,93,93,93,93,93,93,93,93,93,93,93,93,93ACTHIB SINGLE ENTY VACC,EA,,7050440,EA,66,66,66,66,66,66,66,66,66,66,66,66,66,66,66,66,66KINRIX VACC PFS 0.5ML,EA,,7050441,EA,405,405,405,405,405,405,405,405,405,405,405,405,405,405,405,405,405NF-Modafinil Oral Tablet 100MG,EA,,7050442,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22CENTOR OVAL AMB 2OZ CRCAP #132,EA,,7050444,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ROPINIROLE 0.25MG*NF*,EA,,7050449,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Abilify Oral Tablet 5MG,EA,,7050452,EA,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217MYRBETRIQ ER 25MG *NF*,EA,,7050453,EA,93,93,93,93,93,93,93,93,93,93,93,93,93,93,93,93,93Viibryd Oral Tablet 10MG*NF*,EA,,7050454,EA,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55PROLIA 60MG/ML SYRINGE *NF*,EA,,7050455,EA,"10,341.00","10,341.00","10,341.00","10,341.00","10,341.00","10,341.00","10,341.00","10,341.00","10,341.00","10,341.00","10,341.00","10,341.00","10,341.00","10,341.00","10,341.00","10,341.00","10,341.00"VIIBRYD ORAL TAB 20MG*NF*,EA,,7050456,EA,62,62,62,62,62,62,62,62,62,62,62,62,62,62,62,62,62Arixtra SQ Solution 5MG/0.4ML *NF*,EA,,7050457,EA,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217VIIBRYD 15MG (1&1/2 OF 10MG TAB),EA,,7050463,EA,80,80,80,80,80,80,80,80,80,80,80,80,80,80,80,80,80IVF NS 20 MEQ K (1000ML) PREMIX BAG,EA,,7050465,EA,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34HYDROMORPHONE 4MG TAB *NF*,EA,,7050467,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8RAYOS 5MG *NF*,EA,,7050468,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Rayos Delayed Release Tab 5MG,EA,,7050469,EA,556,556,556,556,556,556,556,556,556,556,556,556,556,556,556,556,556METOPROLOL TAR TAB 100MG *NF*,EA,,7050470,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8FLUoxetine HCl Capsule 20MG*NF,EA,,7050471,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-METFORMIN HCL ORAL TAB ER 1000MG,EA,,7050474,EA,304,304,304,304,304,304,304,304,304,304,304,304,304,304,304,304,304NF-SERTRALINE HCL ORAL TABLET 100MG,EA,,7050475,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8JANUVIA ORAL TABLET 25MG *NF*,EA,,7050476,EA,120,120,120,120,120,120,120,120,120,120,120,120,120,120,120,120,120NICORETTE 4MG CHEWING GUM *NF*,EA,,7050477,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8SWEET OIL,EA,,7050478,EA,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38SODIUM THIOSULFATE INJ 12.5GM/50ML *NF*,EA,,7050481,EA,625,625,625,625,625,625,625,625,625,625,625,625,625,625,625,625,625LISINOPRIL TAB 40MG *NF*,EA,,7050483,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8Azelastine HCl Nasal Spray 137MCG/1IN,EA,,7050485,EA,100,100,100,100,100,100,100,100,100,100,100,100,100,100,100,100,100ATORVASTATIN 80MG TAB *NF*,EA,,7050495,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11NF-Ondansetron Disintegrating Tablet 4MG,EA,,7050499,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9NF-Symbicort Inh Aer Liq 160MCG-4.5MCG,EA,,7050503,EA,238,238,238,238,238,238,238,238,238,238,238,238,238,238,238,238,238NF-Symbicort Inh Aer Liq 160MCG-4.5MCG,EA,,7050513,EA,238,238,238,238,238,238,238,238,238,238,238,238,238,238,238,238,238HYDROMORPHONE 2MG TAB *NF*,EA,,7050516,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8MELATONIN 1MG *NF*,EA,,7050517,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8MULTI VITAMIN WOMEN SR *NF*,EA,,7050519,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8MICARDIS HCT 80MG-25MG*NF*,EA,,7050520,EA,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43NF-Symbicort Inh Aer Liq 160MCG-4.5MCG,EA,,7050523,EA,238,238,238,238,238,238,238,238,238,238,238,238,238,238,238,238,238MARINOL CAP 5MG *NF*,EA,,7050525,EA,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50SOLU-MEDROL A-O-V 1000MG 8ML *NF*,EA,,7050532,EA,309,309,309,309,309,309,309,309,309,309,309,309,309,309,309,309,309"PROCRIT SDV INJ 10,000U/ML *NF*",EA,,7050537,EA,"1,126.00","1,126.00","1,126.00","1,126.00","1,126.00","1,126.00","1,126.00","1,126.00","1,126.00","1,126.00","1,126.00","1,126.00","1,126.00","1,126.00","1,126.00","1,126.00","1,126.00"NF-Brimonidine Tartrate Ophth Soln 0.15%,EA,,7050539,EA,146,146,146,146,146,146,146,146,146,146,146,146,146,146,146,146,146EUCERIN CREAM 4OZ JAR *NF*,EA,,7050545,EA,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77TERBINAFINE  Athlete's Foot Cream 1%*NF*,EA,,7050547,EA,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45TERBINAFINE TAB 250MG*NF*,EA,,7050548,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Alendronate Sodium Oral Tablet 70MG,EA,,7050553,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Fosamax Tablet 70MG,EA,,7050554,EA,231,231,231,231,231,231,231,231,231,231,231,231,231,231,231,231,231NF-Spiriva Respimat Inh Spray 2.5MCG/1Ac,EA,,7050557,EA,721,721,721,721,721,721,721,721,721,721,721,721,721,721,721,721,721NF-Symbicort Inh Aer Liq 160MCG-4.5MCG,EA,,7050560,EA,193,193,193,193,193,193,193,193,193,193,193,193,193,193,193,193,193CHLORTHALIDONE 50MG *NF*,EA,,7050563,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Symbicort Inh Aer Liq 160MCG-4.5MCG,EA,,7050565,EA,232,232,232,232,232,232,232,232,232,232,232,232,232,232,232,232,232NF-Miacalcin Spray 200iu/Act,EA,,7050566,EA,592,592,592,592,592,592,592,592,592,592,592,592,592,592,592,592,592NF-Combivent Respimat Inhalation Spray,EA,,7050576,EA,678,678,678,678,678,678,678,678,678,678,678,678,678,678,678,678,678NF-Symbicort Inh Aer Liq 160MCG-4.5MCG,EA,,7050582,EA,232,232,232,232,232,232,232,232,232,232,232,232,232,232,232,232,232NF-Spiriva Respimat Inh Spray 2.5MCG/1Ac,EA,,7050584,EA,721,721,721,721,721,721,721,721,721,721,721,721,721,721,721,721,721NF-Symbicort Inh Aer Liq 160MCG-4.5MCG,EA,,7050585,EA,193,193,193,193,193,193,193,193,193,193,193,193,193,193,193,193,193LITHIUM CARBONATE 150MG CAPSULE *NF*,EA,,7050588,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8Trulicity SubQ Soln 1.5MG/0.5ML NF,EA,,7050590,EA,"1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG,EA,,7050591,EA,232,232,232,232,232,232,232,232,232,232,232,232,232,232,232,232,232ONDANSETRON 2MG/ML INJ MDV 20ML,ML,,7050593,ML,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Symbicort Inh Aer Liq 160MCG-4.5MCG,EA,,7050594,EA,274,274,274,274,274,274,274,274,274,274,274,274,274,274,274,274,274NF-Briviact Oral Tablet 50MG,EA,,7050599,EA,129,129,129,129,129,129,129,129,129,129,129,129,129,129,129,129,129DIVALPROEX SD TAB ER 500MG *NF*,EA,,7050602,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CARBIDOPA/LEVODOPA TAB 10MG-100MG*NF*,EA,,7050603,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Briviact Oral Tablet 50MG,EA,,7050605,EA,129,129,129,129,129,129,129,129,129,129,129,129,129,129,129,129,129ANORA ELLIPTA 62.5-25MCG INH,EA,,7050608,EA,"3,229.00","3,229.00","3,229.00","3,229.00","3,229.00","3,229.00","3,229.00","3,229.00","3,229.00","3,229.00","3,229.00","3,229.00","3,229.00","3,229.00","3,229.00","3,229.00","3,229.00"KPHOS (NEUTRA PHOS) 250MG TABLET*NF*,EA,,7050610,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Cholecalciferol Crystal,EA,,7050611,EA,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15PROPRANOLOL  20MG TAB  *NF*,EA,,7050613,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8FAMCICLOVIR 250MG(1/2 OF 500MG TAB) *NF*,EA,,7050614,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8SIMVASTATIN 20MG *NF*,EA,,7050621,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ACETAMINOPHEN ER 650MG*NF*,EA,,7050625,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-REFRESH PM OPHTH OINTMENT,EA,,7050629,EA,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18VITAMIN D3 5000 IU (125 MCG) CAP *NF*,EA,,7050651,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-HYDRALAZINE HCL ORAL TAB 50MG,EA,,7050653,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Azopt Ophth Suspension 1%,EA,,7050678,EA,206,206,206,206,206,206,206,206,206,206,206,206,206,206,206,206,206NF-Brimonidine Tartrate Ophth Soln 0.15%,EA,,7050679,EA,186,186,186,186,186,186,186,186,186,186,186,186,186,186,186,186,186LIDOCAINE 2% INJ 100MG/5ML,EA,,7050683,EA,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35SELSUN BLUE SHAMPOO,EA,,7050685,EA,41,41,41,41,41,41,41,41,41,41,41,41,41,41,41,41,41NF-Cefepime Hydrochloride Pwd for Soln 1,EA,,7050688,EA,51,51,51,51,51,51,51,51,51,51,51,51,51,51,51,51,51NF-Novaplus Cefepime Inj Pwd for Soln 1G,EA,,7050689,EA,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44NF-Novaplus Cefepime Inj Pwd for Soln 1G,EA,,7050690,EA,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44TENS BIOSTIM PLUS UNIT,EA,,7050693,EA,238,238,238,238,238,238,238,238,238,238,238,238,238,238,238,238,238NF-Lice Killing Shampoo Top Shampoo,EA,,7050698,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33JANUVIA 50MG TAB *NF*,EA,,7050699,EA,126,126,126,126,126,126,126,126,126,126,126,126,126,126,126,126,126NF-Cordran Tape Tape 4mcg/Cm2,EA,,7050702,EA,527,527,527,527,527,527,527,527,527,527,527,527,527,527,527,527,527SERTRALINE 100MG *NF*,EA,,7050706,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-SUMAtriptan Succinate Oral Tablet 100,EA,,7050708,EA,145,145,145,145,145,145,145,145,145,145,145,145,145,145,145,145,145FLUZONE HIGH DOSE 65+ YEARS,EA,90662,7050709,EA,389,389,389,389,389,389,389,389,389,389,389,389,389,389,389,389,389NF-Polyethylene Glycol 3350 Powder KIT,EA,,7050713,EA,414,414,414,414,414,414,414,414,414,414,414,414,414,414,414,414,414OXYCODONE 5MG TAB *NF*,EA,,7050717,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Dulera Inh Aer Pwd 5MCG-200MCG/Act,EA,,7050718,EA,174,174,174,174,174,174,174,174,174,174,174,174,174,174,174,174,174MELATONIN10MG *NF* Cap,EA,,7050723,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8BIOTENE ORAL BALANCE DENTAL GEL*NF*,EA,,7050730,EA,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38NF-GABAPENTIN CAP 100MG,EA,,7050731,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10MONTELUKAST SOD GRAN 4MG PKT *NF*,EA,,7050732,EA,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23GABAPENTIN ORAL SOLUTION 250MG/5ML*NF*,EA,,7050733,EA,418,418,418,418,418,418,418,418,418,418,418,418,418,418,418,418,418CENTRUM LIQUID SOLN *NF*,EA,,7050734,EA,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31CITALOPRAM ORAL SOLUTION 10MG/5ML*NF*,EA,,7050735,EA,498,498,498,498,498,498,498,498,498,498,498,498,498,498,498,498,498FLAXSEED OIL 1000MG SOFTGEL*NF*,EA,,7050737,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8HAVRIX PFS 1440ELU 10*NF*,EA,,7050744,EA,517,517,517,517,517,517,517,517,517,517,517,517,517,517,517,517,517ENTRESTO  24-26MG  TAB *NF*,EA,,7050754,EA,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77JARDIANCE 25MG *NF*,EA,,7050757,EA,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148TRETINOIN TOPICAL CREAM 0.05%,EA,,7050759,EA,507,507,507,507,507,507,507,507,507,507,507,507,507,507,507,507,507IPRATROPRIUM BROM. NASAL SPRAY 0.06%*NF*,EA,,7050760,EA,360,360,360,360,360,360,360,360,360,360,360,360,360,360,360,360,360FLUOXETINE 40MG *NF*,EA,,7050762,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DIAZEPAM 5MG/ML (10ML) MDOSE VIAL,EA,,7050766,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22VERAPAMIL 120MG *NF*,EA,,7050767,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8HALOPERIDOL 5MG *NF*,EA,,7050768,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Latanoprost Ophth Solution 0.005%,EA,,7050772,EA,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39TRIAZOLAM 0.125MG TABLET,EA,,7050774,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11NATEGLINIDE 60MG TAB *NF*,EA,,7050776,EA,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15NF-VANCOMYCIN 250MG INJ.,EA,,7050778,EA,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31NF-Azactam Inj Powder for Solution 2GM,EA,,7050784,EA,419,419,419,419,419,419,419,419,419,419,419,419,419,419,419,419,419Prevalite Powder *NF 4GM/5.5GM,EA,,7050785,EA,335,335,335,335,335,335,335,335,335,335,335,335,335,335,335,335,335MICONAZOLE NITRATE CREAM*NF*,EA,,7050798,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17BRILINTA 90MG TAB *NF*,EA,,7050810,EA,51,51,51,51,51,51,51,51,51,51,51,51,51,51,51,51,51LORAZEPAM 1MG TAB *NF*,EA,,7050814,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ALPHA LIPOIC ACID 300MG **NF** CAP,EA,,7050818,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-BYDUREON SubQ Pwd for Susp ER 2MG,EA,,7050821,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10INFANRIX PFS 0.5ML,EA,,7050823,EA,144,144,144,144,144,144,144,144,144,144,144,144,144,144,144,144,144MORPHINE IR 15MG TAB *NF*,EA,,7050824,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8REPLETE LIQUID *NF*,EA,,7050836,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9"PROCRIT 4,000U/ML VIAL *NF*",EA,,7050837,EA,822,822,822,822,822,822,822,822,822,822,822,822,822,822,822,822,822NEBIVOLOL 5MG TAB *NF*,EA,,7050840,EA,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32RISPERIDONE 0.5MG TAB *NF*,EA,,7050842,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Ambien CR Extended-Release Tablet 12.,EA,,7050843,EA,122,122,122,122,122,122,122,122,122,122,122,122,122,122,122,122,122ZOLPIDEM ER 6.25MG TAB *NF*,EA,,7050844,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8AMPICILLIN INJ 1GM VIAL *NF*,EA,,7050845,EA,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36LIOTHYRONINE 5MCG TAB *NF*,EA,,7050848,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8MIGRELIEF DIETARY SUPPLEMENT *NF*,EA,,7050851,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8THYROID 90MG TAB *NF*,EA,,7050854,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10NF-NP THYROID ORAL TABLET 90MG,EA,,7050855,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Budesonide Oral Tab ER 9MG,EA,,7050863,EA,390,390,390,390,390,390,390,390,390,390,390,390,390,390,390,390,390NF-Budesonide Oral Tablet ER 9MG,EA,,7050871,EA,375,375,375,375,375,375,375,375,375,375,375,375,375,375,375,375,375NF-Budesonide Oral Capsule DR 3MG,EA,,7050872,EA,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48ZOLEDRON ACID 5MG/100ML VIAL *NF*,EA,,7050874,EA,"7,889.00","7,889.00","7,889.00","7,889.00","7,889.00","7,889.00","7,889.00","7,889.00","7,889.00","7,889.00","7,889.00","7,889.00","7,889.00","7,889.00","7,889.00","7,889.00","7,889.00"NF-Cordran Tape Tape 4mcg/Cm2,EA,,7050878,EA,527,527,527,527,527,527,527,527,527,527,527,527,527,527,527,527,527NF-Spiriva Respimat Inh Spray 2.5MCG/1Ac,EA,,7050879,EA,721,721,721,721,721,721,721,721,721,721,721,721,721,721,721,721,721NF-Atrovent HFA Soln Inh Oral/Neb,EA,,7050880,EA,202,202,202,202,202,202,202,202,202,202,202,202,202,202,202,202,202VITAMIN D 1000IU SOFTGEL *NF*,EA,,7050883,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DUREZOL 0.05% OPTH.DROPS *NF*,EA,,7050884,EA,"1,238.00","1,238.00","1,238.00","1,238.00","1,238.00","1,238.00","1,238.00","1,238.00","1,238.00","1,238.00","1,238.00","1,238.00","1,238.00","1,238.00","1,238.00","1,238.00","1,238.00"SYMBICORT 160/4.5MCG INHALER *NF*,EA,,7050889,EA,"1,289.00","1,289.00","1,289.00","1,289.00","1,289.00","1,289.00","1,289.00","1,289.00","1,289.00","1,289.00","1,289.00","1,289.00","1,289.00","1,289.00","1,289.00","1,289.00","1,289.00"LEVETIRACETAM 250MG TAB *NF*,EA,,7050890,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8OLMESARTAN 40MG *NF*,EA,,7050896,EA,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70MIDODRINE 5MG *NF*,EA,,7050900,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8AMITIZA 24MCG *NF*,EA,,7050901,EA,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46SIMPONI ARIA 50MG/4ML VIAL *NF*,EA,,7050907,EA,"15,583.00","15,583.00","15,583.00","15,583.00","15,583.00","15,583.00","15,583.00","15,583.00","15,583.00","15,583.00","15,583.00","15,583.00","15,583.00","15,583.00","15,583.00","15,583.00","15,583.00"DICYCLOMINE 20MG,EA,,7050912,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8TORSEMIDE 100MG *NF*,EA,,7050915,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8MOBISYL CREAM *NF*,EA,,7050916,EA,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81ROSUVASTATIN 40MG *NF*,EA,,7050921,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Symbicort Inh Aer Liq 160MCG-4.5MCG,EA,,7050924,EA,232,232,232,232,232,232,232,232,232,232,232,232,232,232,232,232,232INVOKANA 300MG *NF*,EA,,7050927,EA,129,129,129,129,129,129,129,129,129,129,129,129,129,129,129,129,129MESALAMINE DR 800MG *NF*,EA,,7050931,EA,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34NF-METFORMIN HCL ORAL TABLET 850MG,EA,,7050939,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Exelon TD Patch ER 4.6MG/24HR,EA,,7050941,EA,156,156,156,156,156,156,156,156,156,156,156,156,156,156,156,156,156TIZANIDINE 2MG *NF*,EA,,7050942,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9TRIAMCINOLONE 0.1% OINT (15gm) *NF*,EA,,7050945,EA,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23NYSTATIN OINTMENT (30gm),EA,,7050946,EA,117,117,117,117,117,117,117,117,117,117,117,117,117,117,117,117,117BYETTA S INJ 250MCG/ML,EA,,7050949,EA,"6,061.00","6,061.00","6,061.00","6,061.00","6,061.00","6,061.00","6,061.00","6,061.00","6,061.00","6,061.00","6,061.00","6,061.00","6,061.00","6,061.00","6,061.00","6,061.00","6,061.00"LOSARTAN 100MG *NF,EA,,7050954,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Northera Oral Capsule 100MG,EA,,7050959,EA,190,190,190,190,190,190,190,190,190,190,190,190,190,190,190,190,190LEVOTHYROXINE 200MCG TAB *NF*,EA,,7050962,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8TERAZOSIN 5MG CAP *NF*,EA,,7050963,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ATOMOXETINE (STRATTERA) CAP 18MG *NF*,EA,,7050965,EA,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18NF-Cordran Tape Tape 4mcg/Cm2,EA,,7050969,EA,527,527,527,527,527,527,527,527,527,527,527,527,527,527,527,527,527NF-Spiriva Respimat Inh Spray 2.5MCG/1Ac,EA,,7050970,EA,721,721,721,721,721,721,721,721,721,721,721,721,721,721,721,721,721NF-Atrovent HFA Soln Inh Oral/Neb,EA,,7050972,EA,202,202,202,202,202,202,202,202,202,202,202,202,202,202,202,202,202NF-Basaglar KwikPen SubQ Soln 100U/1ML,EA,,7050978,EA,159,159,159,159,159,159,159,159,159,159,159,159,159,159,159,159,159HYDROXYUREA 500MG *NF*,EA,,7050983,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8SOD BICARB 8.4% INJ-50ML VIAL SINGLE DO,EA,,7050998,EA,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67NF-LAMOTRIGINE CHEW TAB 25MG,EA,,7051004,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LAMOTRIGINE 100MG *NF*,EA,,7051005,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Northera Oral Capsule 100MG,EA,,7051011,EA,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210SALONPAS PATCH 3%-10% *NF*,EA,,7051012,EA,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30NF-Sildenafil Oral Tablet 20MG,EA,,7051013,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8SILDENAFIL 10MG (1/2 OF 20MG) TAB *NF*,EA,,7051014,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8METHIMAZOLE 10MG TAB*NF*,EA,,7051037,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Northera Oral Capsule 200MG,EA,,7051038,EA,419,419,419,419,419,419,419,419,419,419,419,419,419,419,419,419,419Capsaicin Topical Cream 0.025%-NF,EA,,7051039,EA,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57NF-Northera Oral Capsule 200MG,EA,,7051041,EA,419,419,419,419,419,419,419,419,419,419,419,419,419,419,419,419,419LAMOTRIGINE 150MG TAB *NF*,EA,,7051045,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Victoza Subcutaneous Solution 6MG/1ML,EA,,7051053,EA,739,739,739,739,739,739,739,739,739,739,739,739,739,739,739,739,739IVERMECTIN 3MG *NF*,EA,,7051056,EA,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30THYROID 15MG *NF*,EA,,7051057,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Symbicort Inh Aer Liq 160MCG-4.5MCG,EA,,7051062,EA,253,253,253,253,253,253,253,253,253,253,253,253,253,253,253,253,253IBUPROFEN 600MG *NF*,EA,,7051064,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Actos Oral Tablet 30MG,EA,,7051065,EA,145,145,145,145,145,145,145,145,145,145,145,145,145,145,145,145,145PIOGLITAZONE 30MG TAB *NF*,EA,,7051066,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8TRANEXAMIC ACID 650MG *NF*,EA,,7051069,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17NF-Combigan Ophth Soln 0.2%-0.5%,EA,,7051070,EA,260,260,260,260,260,260,260,260,260,260,260,260,260,260,260,260,260Testosterone Cypionate *N IM Oil 200MG/1,EA,,7051075,EA,141,141,141,141,141,141,141,141,141,141,141,141,141,141,141,141,141Calcium/VIT D CHEW 500mg/100IU *NF*,EA,,7051081,EA,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16DALVANCE 500MG VIAL *NF*,EA,,7051082,EA,"16,557.00","16,557.00","16,557.00","16,557.00","16,557.00","16,557.00","16,557.00","16,557.00","16,557.00","16,557.00","16,557.00","16,557.00","16,557.00","16,557.00","16,557.00","16,557.00","16,557.00"CLONAZEPAM 0.25MG ODT TAB *NF*,EA,,7051093,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Megestrol Acetate Oral Susp 40MG/1ML,EA,,7051096,EA,73,73,73,73,73,73,73,73,73,73,73,73,73,73,73,73,73NF-JANUVIA ORAL TABLET 100MG,EA,,7051098,EA,110,110,110,110,110,110,110,110,110,110,110,110,110,110,110,110,110NF-NIACIN CAP ER 500MG,EA,,7051100,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-ISOSORBIDE MONONITRATE TAB 10MG,EA,,7051101,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Levemir FlexPen SubQ Solution 100U/1M,EA,,7051106,EA,253,253,253,253,253,253,253,253,253,253,253,253,253,253,253,253,253BUPROPRION XL 150MG *NF*,EA,,7051113,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11CEFTRIAXONE INJ 2GM VIAL *NF*,EA,J0696,7051117,EA,25,25,25,25,25,25,25,25,25,25,25,25,25,25,25,25,25Trimethoprim Oral Tablet 100MG  *NF,EA,,7051120,EA,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15NF-cloNIDine TD Patch ER 0.1MG/24HR,EA,,7051121,EA,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421NF-cloNIDine TD Patch ER 0.1MG/24HR,EA,,7051122,EA,246,246,246,246,246,246,246,246,246,246,246,246,246,246,246,246,246"TRANEXAMIC 1,000MG/100ML NACL PREMIX BAG",EA,,7051127,EA,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML,EA,,7051133,EA,260,260,260,260,260,260,260,260,260,260,260,260,260,260,260,260,260NF-HumaLOG Mix 75/25 Injection,EA,,7051134,EA,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210NF-NovoLOG Mix 70/30 FlexPen SubQ Susp,EA,,7051135,EA,274,274,274,274,274,274,274,274,274,274,274,274,274,274,274,274,274DIGESTIVE PROBIOTICS 30 BILLION UNITS,EA,,7051143,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PROBIOTIC HIGH POTENCY,EA,,7051147,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Calcitonin-Salmon Nasal Spray 200IU/1,EA,,7051153,EA,152,152,152,152,152,152,152,152,152,152,152,152,152,152,152,152,152NF-Miacalcin Spray 200iu/Act,EA,,7051155,EA,592,592,592,592,592,592,592,592,592,592,592,592,592,592,592,592,592PROHANCE 279.3MG/ML SYR *NF*,EA,,7051156,EA,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210MOUTHKOTE DRY MOUTH SPRAY *NF*,EA,,7051162,EA,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60NF-Pataday Ophthalmic Solution 0.2%,EA,,7051164,EA,541,541,541,541,541,541,541,541,541,541,541,541,541,541,541,541,541LORATADINE-D 24HR ER TAB *NF*,EA,,7051168,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9ESTRADIOL 2MG TAB *NF*,EA,,7051169,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8Ozempic  2MG/1.5ML *NF*,EA,,7051172,EA,"6,559.00","6,559.00","6,559.00","6,559.00","6,559.00","6,559.00","6,559.00","6,559.00","6,559.00","6,559.00","6,559.00","6,559.00","6,559.00","6,559.00","6,559.00","6,559.00","6,559.00"NF-Trulicity SubQ Soln 1.5MG/0.5ML,EA,,7051179,EA,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23NYSTATIN-TRIAMCIN ACET 60gm CR *NF*,EA,,7051180,EA,427,427,427,427,427,427,427,427,427,427,427,427,427,427,427,427,427ASPERCREME TOPICAL CREAM 10% *NF*,EA,,7051187,EA,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44NF-Cortrosyn Pwd for Soln 0.25MG,EA,,7051190,EA,772,772,772,772,772,772,772,772,772,772,772,772,772,772,772,772,772NF-Cortrosyn Pwd for Soln 0.25MG,EA,,7051191,EA,772,772,772,772,772,772,772,772,772,772,772,772,772,772,772,772,772COSYNTROPIN 0.25MG VIAL*NF*,EA,,7051192,EA,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139SODIUM BICARB 4.2% 5ML SINGLE DOSE VIAL,EA,,7051193,EA,62,62,62,62,62,62,62,62,62,62,62,62,62,62,62,62,62HYDROXYZINE HCL 25MG TAB *NF*,EA,,7051198,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ROPINIROLE 4MG TAB *NF*,EA,,7051201,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-BYDUREON BCise SubQ Susp ER 2MG/0.85M,EA,,7051204,EA,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13NF-Maxalt Oral Tablet 10MG,EA,,7051206,EA,260,260,260,260,260,260,260,260,260,260,260,260,260,260,260,260,260DROPERIDOL 5MG/2ML INJ,EA,,7051207,EA,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50CLORPACTIN 2GM PWD *NF*,EA,,7051208,EA,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37ACETAZOLAMIDE 250 MG,EA,,7051210,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ZADITOR EYE DROPS *NF*,EA,,7051217,EA,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67NAPROXEN 500MG *NF*,EA,,7051218,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8IPRATROPRIUM 0.03% NASAL SPRAY *NF*,EA,,7051219,EA,237,237,237,237,237,237,237,237,237,237,237,237,237,237,237,237,237TROSPIUM 20MG *NF*,EA,,7051220,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8FLECAINIDE 50MG *NF*,EA,,7051246,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8FLUTICA/SALMET  100/50MCG  *NF*,EA,,7051248,EA,"2,321.00","2,321.00","2,321.00","2,321.00","2,321.00","2,321.00","2,321.00","2,321.00","2,321.00","2,321.00","2,321.00","2,321.00","2,321.00","2,321.00","2,321.00","2,321.00","2,321.00"NF-Samsca Oral Tablet 15MG,EA,,7051251,EA,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29NF-Samsca Oral Tablet 30MG,EA,,7051252,EA,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30IVF DEXTROSE 10% 1000ML BAG *NF*,EA,,7051255,EA,47,47,47,47,47,47,47,47,47,47,47,47,47,47,47,47,47TOPIRAMATE 200MG *NF*,EA,,7051260,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CAPSAICIN CREAM 0.025%  60GM,EA,,7051261,EA,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28FAMOTIDINE 40MG/4ML INJ- 4ML VIAL,EA,,7051263,EA,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13NF-Patanol Ophth Solution 0.1%,EA,,7051274,EA,419,419,419,419,419,419,419,419,419,419,419,419,419,419,419,419,419PREDNISONE 1 MG TAB *NF*,EA,,7051280,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8Bisoprolol/HCTZ  *NF 2.5MG-6.25MG Tablet,EA,,7051288,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8A&D OINT TUBE 1.5OZ,EA,,7051292,EA,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20HYDROXYZINE 10MG TAB *NF*,EA,,7051295,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Olopatadine HCl Ophthalmic Solution 0,EA,,7051299,EA,411,411,411,411,411,411,411,411,411,411,411,411,411,411,411,411,411Betamethasone Diprop *NF OINT 0.05,EA,,7051304,EA,651,651,651,651,651,651,651,651,651,651,651,651,651,651,651,651,651TEA TREE OIL *NF*,EA,,7051311,EA,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29INDAPAMIDE 1.25MG TAB *NF*,EA,,7051317,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9DOXAZOSIN 1MG *NF*,EA,,7051318,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ACARBOSE 25MG TAB *NF*,EA,,7051319,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NIFEDIPINE ER 60MG *NF*,EA,,7051320,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8TIMOLOL OPTH SOL 0.5% *NF*,EA,,7051323,EA,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45NF-Azilect Oral Tablet 1MG,EA,,7051324,EA,202,202,202,202,202,202,202,202,202,202,202,202,202,202,202,202,202NF-Imbruvica Oral Capsule 140MG,EA,,7051326,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10Linzess Capsule 290MCG *NF*,EA,,7051327,EA,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131NF-Invega Sustenna IM Susp ER 234MG,EA,,7051334,EA,122,122,122,122,122,122,122,122,122,122,122,122,122,122,122,122,122NATEGLINIDE TABLET 120MG **NF**,EA,,7051335,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-ZyPREXA Tablet 10MG,EA,,7051336,EA,159,159,159,159,159,159,159,159,159,159,159,159,159,159,159,159,159ANDEXXA 200MG IV PWD FOR SOLN *NF*,EA,J7169,7051337,EA,"19,065.00","19,065.00","19,065.00","19,065.00","19,065.00","19,065.00","19,065.00","19,065.00","19,065.00","19,065.00","19,065.00","19,065.00","19,065.00","19,065.00","19,065.00","19,065.00","19,065.00"IRBESARTAN ORAL TABLET 300MG NF,EA,,7051340,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ROSUVASTATIN 20 MG TAB,EA,,7051341,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8JARDIANCE 10MG TAB *NF*,EA,,7051348,EA,113,113,113,113,113,113,113,113,113,113,113,113,113,113,113,113,113SAW PALMETTO 450MG *NF*,EA,,7051349,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8SPIRONOLACTONE 100MG *NF*,EA,,7051351,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10NF-TORSEMIDE ORAL TABLET 100MG,EA,,7051357,EA,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15NF-Budesonide-Formoterol Fum 160/4.5,EA,,7051361,EA,181,181,181,181,181,181,181,181,181,181,181,181,181,181,181,181,181NF-Doxy 100 Intravenous Pwd for Soln 100,EA,,7051363,EA,195,195,195,195,195,195,195,195,195,195,195,195,195,195,195,195,195NF-Symbicort Inh Aer Liq 160MCG-4.5MCG,EA,,7051364,EA,282,282,282,282,282,282,282,282,282,282,282,282,282,282,282,282,282MISOPROSTOL 100MCG *NF*,EA,,7051365,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NORTRIPTYLINE 25MG CAP*NF*,EA,,7051366,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Depo-Estradiol IM Oil 5MG/1ML,EA,,7051369,EA,174,174,174,174,174,174,174,174,174,174,174,174,174,174,174,174,174NF-Latuda Oral Tablet 60MG,EA,,7051370,EA,311,311,311,311,311,311,311,311,311,311,311,311,311,311,311,311,311NF-Pepcid Oral Tablet 40MG,EA,,7051371,EA,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130FLUPHENAZINE 2.5MG *NF*,EA,,7051374,EA,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34DISPOSERX DRUG DEACT PACKT,EA,,7051375,EA,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12LUTEIN 20MG SOFTGEL *NF*,EA,,7051379,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8TURMERIC 500MG CAP *NF*,EA,,7051380,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-ProAir RespiClick Inh Powder 0.09MG/1,EA,,7051382,EA,455,455,455,455,455,455,455,455,455,455,455,455,455,455,455,455,455LIQUACEL LIQUID PROTEIN *NF*,EA,,7051389,EA,223,223,223,223,223,223,223,223,223,223,223,223,223,223,223,223,223NF-RIVASTIGMINE TARTRATE CAP 6MG,EA,,7051390,EA,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14NF-RIVASTIGMINE TD PATCH ER 13.3MG/24HR,EA,,7051391,EA,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166NF-Budesonide-Formoterol Fum 160/4.5,EA,,7051393,EA,181,181,181,181,181,181,181,181,181,181,181,181,181,181,181,181,181NF-Symbicort Inh Aer Liq 160MCG-4.5MCG,EA,,7051402,EA,260,260,260,260,260,260,260,260,260,260,260,260,260,260,260,260,260IODOSORB GEL *NF*,EA,,7051403,EA,594,594,594,594,594,594,594,594,594,594,594,594,594,594,594,594,594FLUCONAZOLE PREMIX  400MG/200ML *NF*,EA,,7051408,EA,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35DAPSONE 25MG *NF*,EA,,7051422,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Miacalcin Spray 200iu/Act,EA,,7051423,EA,541,541,541,541,541,541,541,541,541,541,541,541,541,541,541,541,541MIACALCIN 400UNIT/2ML MDOSE VIAL *NF*,EA,,7051424,EA,"5,825.00","5,825.00","5,825.00","5,825.00","5,825.00","5,825.00","5,825.00","5,825.00","5,825.00","5,825.00","5,825.00","5,825.00","5,825.00","5,825.00","5,825.00","5,825.00","5,825.00"NF-Cinacalcet HCl Oral Tablet 30MG,EA,,7051428,EA,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224NF-Lotemax Ophth Suspension 0.5%,EA,,7051431,EA,368,368,368,368,368,368,368,368,368,368,368,368,368,368,368,368,368XOFLUZA 40MG TAB **NF**,EA,,7051432,EA,573,573,573,573,573,573,573,573,573,573,573,573,573,573,573,573,573NF-NovoLOG FlexPen SQ Soln 100U/ML,EA,,7051435,EA,274,274,274,274,274,274,274,274,274,274,274,274,274,274,274,274,274NYSTATIN-TRIAMCINOLONE OINT *NF*,EA,,7051441,EA,301,301,301,301,301,301,301,301,301,301,301,301,301,301,301,301,301EZETIMIBE 10MG *NF*,EA,,7051447,EA,76,76,76,76,76,76,76,76,76,76,76,76,76,76,76,76,76PULMICORT FLEXHALER 180MCG *NF*,EA,,7051452,EA,"1,984.00","1,984.00","1,984.00","1,984.00","1,984.00","1,984.00","1,984.00","1,984.00","1,984.00","1,984.00","1,984.00","1,984.00","1,984.00","1,984.00","1,984.00","1,984.00","1,984.00"FLUVOXAMINE MAL TB 100MG *NF*,EA,,7051453,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CARDENE/NS IV 20MG/200ML PREMIX,EA,,7051454,EA,358,358,358,358,358,358,358,358,358,358,358,358,358,358,358,358,358NF-Otezla Oral Tablet 30MG,EA,,7051458,EA,433,433,433,433,433,433,433,433,433,433,433,433,433,433,433,433,433VICTOZA SQ SOL 6MG/ML *NF*,EA,,7051461,EA,"2,768.00","2,768.00","2,768.00","2,768.00","2,768.00","2,768.00","2,768.00","2,768.00","2,768.00","2,768.00","2,768.00","2,768.00","2,768.00","2,768.00","2,768.00","2,768.00","2,768.00"NF-GABAPENTIN CAP 400MG,EA,,7051469,EA,51,51,51,51,51,51,51,51,51,51,51,51,51,51,51,51,51TRESIBA FLEXTOUCH  200UNITS/1ML *NF*,EA,,7051471,EA,"1,514.00","1,514.00","1,514.00","1,514.00","1,514.00","1,514.00","1,514.00","1,514.00","1,514.00","1,514.00","1,514.00","1,514.00","1,514.00","1,514.00","1,514.00","1,514.00","1,514.00"NF-Tresiba Subcutaneous Solution 200U/1M,EA,,7051472,EA,491,491,491,491,491,491,491,491,491,491,491,491,491,491,491,491,491NF-Tresiba Subcutaneous Solution 200U/1M,EA,,7051473,EA,491,491,491,491,491,491,491,491,491,491,491,491,491,491,491,491,491NF-Tresiba Subcutaneous Solution 200U/1M,EA,,7051474,EA,491,491,491,491,491,491,491,491,491,491,491,491,491,491,491,491,491Rizatriptan Benz Oral Tab 10mg **NF*,EA,,7051475,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Vancomycin HCl Oral Cap 250MG,EA,,7051476,EA,267,267,267,267,267,267,267,267,267,267,267,267,267,267,267,267,267NF-Vancomycin HCl Oral Capsule 250MG,EA,,7051477,EA,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71NF-Vancomycin HCl Oral Capsule 250MG,EA,,7051478,EA,116,116,116,116,116,116,116,116,116,116,116,116,116,116,116,116,116NF-Vancomycin HCl Oral Capsule 250MG,EA,,7051480,EA,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71OLANZAPINE 2.5MG TAB *NF*,EA,,7051482,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DEXAMETHASONE 6MG *NF*,EA,,7051489,EA,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13NEO/POLY/DEX OPHTH SUSP *NF*,EA,,7051490,EA,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130NF-Budesonide-Formoterol Fum 160/4.5,EA,,7051491,EA,181,181,181,181,181,181,181,181,181,181,181,181,181,181,181,181,181MEROPENEM 500MG VIAL *NF*,EA,,7051492,EA,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29NICOTROL NASAL SPRAY 10MG/ML *NF*,EA,,7051496,EA,"3,652.00","3,652.00","3,652.00","3,652.00","3,652.00","3,652.00","3,652.00","3,652.00","3,652.00","3,652.00","3,652.00","3,652.00","3,652.00","3,652.00","3,652.00","3,652.00","3,652.00"METHENAMINE HIP 1GM TAB *NF*,EA,,7051497,EA,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16Natrol Quercentin Complex *NF*,EA,,7051498,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LABETALOL 200MG TAB *NF*,EA,,7051499,EA,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13NF-Jardiance Oral Tablet 10MG,EA,,7051514,EA,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130LACTULOSE  ORAL 10GM/15ML *NF* 946 ML,EA,,7051516,EA,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119NF-Atrovent HFA Soln Inh Oral/Neb,EA,,7051517,EA,231,231,231,231,231,231,231,231,231,231,231,231,231,231,231,231,231NF-Linezolid Oral Tablet 600MG,EA,,7051525,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10SUPREP BOWEL PREP KIT *NF*,EA,,7051526,EA,795,795,795,795,795,795,795,795,795,795,795,795,795,795,795,795,795NF-Abilify Mycite Oral Tablet 10MG,EA,,7051527,EA,397,397,397,397,397,397,397,397,397,397,397,397,397,397,397,397,397NF-Eucerin Original Healing Topical Loti,EA,,7051530,EA,41,41,41,41,41,41,41,41,41,41,41,41,41,41,41,41,41AFLURIA IIV4 0.5ML PFS FLU VACCINE,EA,90686,7051531,EA,122,122,122,122,122,122,122,122,122,122,122,122,122,122,122,122,122AFLURIA IIV4 0.25ML PEDI PFS FLU VACC,EA,,7051532,EA,122,122,122,122,122,122,122,122,122,122,122,122,122,122,122,122,122TOBRAMYCIN/DEXAMET 0.3%/0.1% OPHTH,EA,,7051536,EA,678,678,678,678,678,678,678,678,678,678,678,678,678,678,678,678,678NF-Latanoprost Ophth Solution 0.005%,EA,,7051551,EA,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43NF-Foli-D Oral Tablet 2000IU-1MG,EA,,7051554,EA,238,238,238,238,238,238,238,238,238,238,238,238,238,238,238,238,238ALPHA LIPOIC ACID 600MG *NF*,EA,,7051555,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8FIRVANQ 50MG/ML - 300ML SOLUTION *NF*,EA,,7051558,EA,"1,585.00","1,585.00","1,585.00","1,585.00","1,585.00","1,585.00","1,585.00","1,585.00","1,585.00","1,585.00","1,585.00","1,585.00","1,585.00","1,585.00","1,585.00","1,585.00","1,585.00"POTASSIUM CHL 10MEQ CAPSULE *NF*,EA,,7051560,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8Breztri aer Inhaler *NF*160/9/4.8MCG,EA,,7051566,EA,"4,744.00","4,744.00","4,744.00","4,744.00","4,744.00","4,744.00","4,744.00","4,744.00","4,744.00","4,744.00","4,744.00","4,744.00","4,744.00","4,744.00","4,744.00","4,744.00","4,744.00"NF-E-Z Spacer,EA,,7051579,EA,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217TOLVAPTAN 15MG *NF*,EA,,7051581,EA,469,469,469,469,469,469,469,469,469,469,469,469,469,469,469,469,469NF-Zyvox Oral Tablet 600MG,EA,,7051583,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11NF-Aerosol Therapy Nebulizer Device,EA,,7051585,EA,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217LEVETIRACETAM 500MG/5ML O/S *NF*,EA,,7051588,EA,25,25,25,25,25,25,25,25,25,25,25,25,25,25,25,25,25Ozempic 1MG Dose*NF* SubQ Soln 4MG/3ML,EA,,7051595,EA,"6,957.00","6,957.00","6,957.00","6,957.00","6,957.00","6,957.00","6,957.00","6,957.00","6,957.00","6,957.00","6,957.00","6,957.00","6,957.00","6,957.00","6,957.00","6,957.00","6,957.00"PRILOSEC DR 10MG SUSPENSION *NF*,EA,,7051596,EA,99,99,99,99,99,99,99,99,99,99,99,99,99,99,99,99,99NORTRIPTYLINE 75MG *NF*,EA,,7051600,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Latanoprost Ophth Solution 0.005%,EA,,7051602,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8TRULICITY 0.75MG/0.5ML INJ *NF*,EA,,7051610,EA,"1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00","1,815.00"TRESIBA FLEXTOUCH 100IU/ML *NF*,EA,,7051612,EA,"3,723.00","3,723.00","3,723.00","3,723.00","3,723.00","3,723.00","3,723.00","3,723.00","3,723.00","3,723.00","3,723.00","3,723.00","3,723.00","3,723.00","3,723.00","3,723.00","3,723.00"NF-Latanoprost Ophth Solution 0.005%,EA,,7051617,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CIMZIA 200MG/ML SYRINGE *NF*,EA,,7051620,EA,"20,742.00","20,742.00","20,742.00","20,742.00","20,742.00","20,742.00","20,742.00","20,742.00","20,742.00","20,742.00","20,742.00","20,742.00","20,742.00","20,742.00","20,742.00","20,742.00","20,742.00"NF-Aubagio Oral Tablet 14MG,EA,,7051623,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17NF-Calcitonin-Salmon Nasal Spray 200IU/1,EA,,7051627,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Breztri Aerosphere Inh Aer Liq,EA,,7051631,EA,404,404,404,404,404,404,404,404,404,404,404,404,404,404,404,404,404VANCOMYCIN 750MG INJ,EA,,7051633,EA,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71NF-Cubicin IV Powder for Solution 500MG,EA,,7051636,EA,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27SODIUM CHLORIDE 1GM TAB *NF*,EA,,7051639,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ELDERTONIC MULTIVITAMIN LIQUID *NF*,EA,,7051640,EA,164,164,164,164,164,164,164,164,164,164,164,164,164,164,164,164,164PERFOROMIST 20MCG/2ML VL NEB *NF*,EA,,7051641,EA,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35PERFOROMIST 20MCG/2ML VL NEB *NF*,EA,,7051642,EA,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35NF-Dulera Inh Aer Pwd 5MCG-100MCG/Act,EA,,7051643,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8BUPRENORPHINE 2MG SL TAB *NF*,EA,,7051655,EA,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16JANUVIA 100MG NF**,EA,,7051656,EA,123,123,123,123,123,123,123,123,123,123,123,123,123,123,123,123,123NF-Narcan Nasal Spray 4MG/0.1ML,EA,,7051660,EA,455,455,455,455,455,455,455,455,455,455,455,455,455,455,455,455,455BUPRENORPHINE *NF* Patch 5MCG/1HR,EA,,7051661,EA,586,586,586,586,586,586,586,586,586,586,586,586,586,586,586,586,586BUPRENORPINE-NALOXONE 8MG/2MG SL TAB NF,EA,,7051662,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11BUSPIRONE 5MG TAB *NF*,EA,,7051670,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8Acetaminophen 160MG/5ML-(120ML BOTTLE),EA,,7051671,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9URE-NA PWD LEM/LIM 15GM *NF*,EA,,7051675,EA,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32SELEGILINE CAP 5MG *NF*,EA,,7051679,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10CEFTAZIDIME INJ 2GM VIAL *NF*,EA,,7051682,EA,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43Remdesivir IV PwdforSoln *NF*100MG -,EA,,7051683,EA,"4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00"NF-Remdesivir IV Soln 5MG/1ML,EA,,7051684,EA,188,188,188,188,188,188,188,188,188,188,188,188,188,188,188,188,188IMODIUM A-D LIQ 8OZ,EA,,7051689,EA,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50NICOTROL INHALER  KIT 10MG,EA,,7051690,EA,"3,761.00","3,761.00","3,761.00","3,761.00","3,761.00","3,761.00","3,761.00","3,761.00","3,761.00","3,761.00","3,761.00","3,761.00","3,761.00","3,761.00","3,761.00","3,761.00","3,761.00"NITROFURAN MONO-MCR 100MG,EA,,7051691,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11POTASSIUM CHL INJ [10MEQ/5ML] VIAL,EA,,7051694,EA,25,25,25,25,25,25,25,25,25,25,25,25,25,25,25,25,25Nateglinide Oral Tablet 120MG **NF**,EA,,7051703,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8OMNIPAQUE 12MG/ML ORAL SOLN 500ML,EA,,7051711,EA,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48ATROVENT HFA INHALER AERO,EA,,7051714,EA,"3,240.00","3,240.00","3,240.00","3,240.00","3,240.00","3,240.00","3,240.00","3,240.00","3,240.00","3,240.00","3,240.00","3,240.00","3,240.00","3,240.00","3,240.00","3,240.00","3,240.00"NF-Combigan Ophth Soln 0.2%-0.5%,EA,,7051715,EA,282,282,282,282,282,282,282,282,282,282,282,282,282,282,282,282,282NF-Combigan Ophth Soln 0.2%-0.5% -NF,EA,,7051716,EA,"1,437.00","1,437.00","1,437.00","1,437.00","1,437.00","1,437.00","1,437.00","1,437.00","1,437.00","1,437.00","1,437.00","1,437.00","1,437.00","1,437.00","1,437.00","1,437.00","1,437.00"QUETIAPINE FUMERATE  TAB ER 50MG *NF*,EA,,7051717,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-ESTRACE VAGINAL CREAM 0.1MG/1GM,EA,,7051723,EA,58,58,58,58,58,58,58,58,58,58,58,58,58,58,58,58,58NF-MICONAZOLE POWDER,EA,,7051724,EA,246,246,246,246,246,246,246,246,246,246,246,246,246,246,246,246,246NF-CHOLESTYRAMINE LIGHT POWDER 4GM/5.7GM,EA,,7051725,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-CHOLESTEROL POWDER,EA,,7051726,EA,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43NORTRIPTYLINE 50MG *NF* Cap,EA,,7051728,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8METRONIDAZOLE/NS (WV) 500MG/1000ML,EA,,7051729,EA,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13AMITRIPTYLINE HCl TAB *NF*150MG,EA,,7051730,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CICLOPIROX CRM 0.77% 30GM,EA,,7051731,EA,202,202,202,202,202,202,202,202,202,202,202,202,202,202,202,202,202AmLODIPine/Benazepril Cap 10/40 NF,EA,,7051732,EA,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19NF-Ozempic 1MG Doses SubQ Soln 2MG/1.5ML,EA,,7051736,EA,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18ORENCIA 250MG VIAL,EA,,7051737,EA,"10,509.00","10,509.00","10,509.00","10,509.00","10,509.00","10,509.00","10,509.00","10,509.00","10,509.00","10,509.00","10,509.00","10,509.00","10,509.00","10,509.00","10,509.00","10,509.00","10,509.00"FLUCELVAX RIV4 MDV 10 INJ,EA,,7051743,EA,161,161,161,161,161,161,161,161,161,161,161,161,161,161,161,161,161FENTANYL CIT INJ 50MCG/1ML,EA,,7051744,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11NF-Enbrel Subcutaneous Solution 50MG/1ML,EA,,7051753,EA,93,93,93,93,93,93,93,93,93,93,93,93,93,93,93,93,93NF-Enbrel Subcutaneous Solution 50MG/1ML,EA,,7051754,EA,91,91,91,91,91,91,91,91,91,91,91,91,91,91,91,91,91FERROUS SULF 325MG/5ML DROPS,EA,,7051755,EA,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19PREGABALIN CAP 50MG *NF*,EA,,7051756,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8FENOFIBRIC ORAL CAP DR 135MG,EA,,7051757,EA,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13LIDOCAINE OINTMENT 5% 50GRAMS *NF*,EA,,7051758,EA,62,62,62,62,62,62,62,62,62,62,62,62,62,62,62,62,62NF-Combivent Respimat Inhalation Spray,EA,,7051767,EA,801,801,801,801,801,801,801,801,801,801,801,801,801,801,801,801,801NF-Levaquin Oral Tablet 750MG,EA,,7051768,EA,183,183,183,183,183,183,183,183,183,183,183,183,183,183,183,183,183DOFETILIDE ORAL CAP 125MCG-NF,EA,,7051769,EA,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31FLUCONAZOLE 40MG/ML SUSP,EA,,7051771,EA,214,214,214,214,214,214,214,214,214,214,214,214,214,214,214,214,214LEVOFLOXACIN 25MG/ML,EA,,7051772,EA,"1,567.00","1,567.00","1,567.00","1,567.00","1,567.00","1,567.00","1,567.00","1,567.00","1,567.00","1,567.00","1,567.00","1,567.00","1,567.00","1,567.00","1,567.00","1,567.00","1,567.00"NF-Depo-Testosterone IM Oil 200MG/1ML,EA,,7051773,EA,152,152,152,152,152,152,152,152,152,152,152,152,152,152,152,152,152REPAGLINIDE *NF* 0.5MG,EA,,7051780,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Latanoprost Ophth Solution 0.005%,EA,,7051784,EA,76,76,76,76,76,76,76,76,76,76,76,76,76,76,76,76,76"Creon DR Cap NF 24,000 UNITS",EA,,7051789,EA,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52NF-Nystatin Powder,EA,,7051791,EA,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67Ocusoft Lid Scrub Eyelid *NF* Pad,EA,,7051800,EA,122,122,122,122,122,122,122,122,122,122,122,122,122,122,122,122,122NF-Xalatan Ophth Solution 0.005%,EA,,7051801,EA,332,332,332,332,332,332,332,332,332,332,332,332,332,332,332,332,332KETAMINE VL100MG/ML 5ML,EA,,7051803,EA,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52STALEVO 100MG *NF* TAB,EA,,7051804,EA,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57REFRESH CELLUVISC *NF*,BX,,7051805,BX,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71NF-Latanoprost Ophth Solution 0.005%,EA,,7051815,EA,76,76,76,76,76,76,76,76,76,76,76,76,76,76,76,76,76NF-Latanoprost Ophthalmic Solution 0.005,EA,,7051816,EA,256,256,256,256,256,256,256,256,256,256,256,256,256,256,256,256,256PREGABALIN CAP (LYRICA) CAP 300MG,EA,,7051835,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Topamax Oral Tablet 100MG,EA,,7051837,EA,125,125,125,125,125,125,125,125,125,125,125,125,125,125,125,125,125NF-Abilify Oral Tablet 5MG,EA,,7051838,EA,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166NF-Topamax Oral Tablet 100MG,EA,,7051839,EA,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166NF-Rizatriptan Benzoate Dis Tab 10MG,EA,,7051840,EA,782,782,782,782,782,782,782,782,782,782,782,782,782,782,782,782,782NF-Briviact Oral Tablet 100MG,EA,,7051845,EA,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147NF-lamoTRIgine Oral Tab ER 300MG,EA,,7051847,EA,121,121,121,121,121,121,121,121,121,121,121,121,121,121,121,121,121NF-Briviact Oral Tablet 100MG,EA,,7051853,EA,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147NF-Briviact Oral Tablet 100MG,EA,,7051858,EA,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147,147NF-DAPTOmycin IV Pwd for Soln 350MG,EA,,7051860,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17NF-Humira Subcutaneous Solution 40MG/0.4,EA,,7051862,EA,185,185,185,185,185,185,185,185,185,185,185,185,185,185,185,185,185NF-Nystatin Powder,EA,,7051863,EA,66,66,66,66,66,66,66,66,66,66,66,66,66,66,66,66,66NF-Humira SubQ Kit 40MG/0.8ML,EA,,7051865,EA,185,185,185,185,185,185,185,185,185,185,185,185,185,185,185,185,185ESMOLOL-WATER *NF* 2500MG/250ML,EA,,7051866,EA,124,124,124,124,124,124,124,124,124,124,124,124,124,124,124,124,124Glucosamine Chondroitin 1500/1200 Cap*NF,EA,,7051868,EA,107,107,107,107,107,107,107,107,107,107,107,107,107,107,107,107,107NF-Nystatin Powder,EA,,7051874,EA,66,66,66,66,66,66,66,66,66,66,66,66,66,66,66,66,66NF-Natural Ice Lip Protectant Stick,EA,,7051877,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Benefiber Oral Powder,EA,,7051880,EA,79,79,79,79,79,79,79,79,79,79,79,79,79,79,79,79,79NF-Humira Subcutaneous Solution 40MG/0.8,EA,,7051882,EA,185,185,185,185,185,185,185,185,185,185,185,185,185,185,185,185,185NF-Latanoprost Ophth Solution 0.005%,EA,,7051890,EA,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31NF-Latanoprost Ophthalmic Solution 0.005,EA,,7051893,EA,256,256,256,256,256,256,256,256,256,256,256,256,256,256,256,256,256NF-Rybelsus Oral Tablet 14MG,EA,,7051898,EA,205,205,205,205,205,205,205,205,205,205,205,205,205,205,205,205,205AMLODIPINE 2.5MG TAB *NF*,EA,,7051900,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8FENTANYL CIT INJ 100MCG/2ML AMP,EA,,7051901,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Fasenra Subcutaneous Solution 30MG/1M,EA,,7051905,EA,321,321,321,321,321,321,321,321,321,321,321,321,321,321,321,321,321Olumiant Oral Tablet 2MG,EA,,7051908,EA,592,592,592,592,592,592,592,592,592,592,592,592,592,592,592,592,592TRIAMCINOLONE 0.5% CREAM,EA,,7051916,EA,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64NF-Aspercreme Topical Cream 10%,EA,,7051930,EA,51,51,51,51,51,51,51,51,51,51,51,51,51,51,51,51,51REMDESIVIR/NS 100MG/100ML IVPB,EA,,7051931,EA,"4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00"NF-Budesonide Oral Capsule DR 3MG,EA,,7051935,EA,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48AMBER ZIP LOCK 6X8 BAG 1609676,EA,,7051938,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Naphcon-A Ophth Solution,EA,,7051939,EA,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55CIPROFLOX/DEXAM OTIC DROP 0.3%/0.1%,EA,,7051940,EA,"1,116.00","1,116.00","1,116.00","1,116.00","1,116.00","1,116.00","1,116.00","1,116.00","1,116.00","1,116.00","1,116.00","1,116.00","1,116.00","1,116.00","1,116.00","1,116.00","1,116.00"CONTRAVE ER 8MG-90MG TAB *NF*,EA,,7051941,EA,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19NF-Trelegy Ellipta 200/62.5/25MCG/INH,EA,,7051947,EA,"4,381.00","4,381.00","4,381.00","4,381.00","4,381.00","4,381.00","4,381.00","4,381.00","4,381.00","4,381.00","4,381.00","4,381.00","4,381.00","4,381.00","4,381.00","4,381.00","4,381.00"LIDOCAINE 1% INJ (10MG/ML) 5ML VIAL,EA,,7051950,EA,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21PHENYLEPHRINE INJ (10MG/ML) *NF*,EA,,7051951,EA,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32DIPHENYDRAMINE 2% CREAM *NF*,EA,,7051952,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22DALVANCE DO NOT USE,EA,J0875,7051953,EA,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166GENTAMICIN INJ 20MG/2ML,EA,,7051955,EA,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19VYVGART 400MG/20ML,EA,J3490,7051959,EA,"2,299.00","2,299.00","2,299.00","2,299.00","2,299.00","2,299.00","2,299.00","2,299.00","2,299.00","2,299.00","2,299.00","2,299.00","2,299.00","2,299.00","2,299.00","2,299.00","2,299.00"PREVNAR 20 SYRINGES,EA,,7051963,EA,"2,436.00","2,436.00","2,436.00","2,436.00","2,436.00","2,436.00","2,436.00","2,436.00","2,436.00","2,436.00","2,436.00","2,436.00","2,436.00","2,436.00","2,436.00","2,436.00","2,436.00"NF-Breztri Aerosphere Inh Aer Liq,EA,,7051965,EA,411,411,411,411,411,411,411,411,411,411,411,411,411,411,411,411,411NF-Trulicity SubQ Soln 3MG/0.5ML,EA,,7051970,EA,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27NF-CALAMINE LOTION TOPICAL SUSPENSION 8%,EA,,7051973,EA,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16NF-BENADRYL EXTRA STRENGTH ITCH RELIEF,EA,,7051974,EA,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37IRON SUCROSE INJ 100MG/5ML NF,EA,,7051975,EA,242,242,242,242,242,242,242,242,242,242,242,242,242,242,242,242,242Brilinta Oral Tablet* NF* 60MG,EA,,7051977,EA,105,105,105,105,105,105,105,105,105,105,105,105,105,105,105,105,105ZERBAXA  *NF* SDV 1.5 GRAM,EA,,7051981,EA,"1,238.00","1,238.00","1,238.00","1,238.00","1,238.00","1,238.00","1,238.00","1,238.00","1,238.00","1,238.00","1,238.00","1,238.00","1,238.00","1,238.00","1,238.00","1,238.00","1,238.00"TOBRAMYCIN 40MG/ML VIAL,EA,,7051982,EA,194,194,194,194,194,194,194,194,194,194,194,194,194,194,194,194,194NF-PAROXETINE HCL ORAL TABLET 30MG,EA,,7051996,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-PAROXETINE HCL ORAL TABLET 30MG,EA,,7051997,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Breztri Aerosphere Inh Aer Liq,EA,,7051999,EA,411,411,411,411,411,411,411,411,411,411,411,411,411,411,411,411,411NF-Xtandi Oral Tablet 40MG,EA,,7052010,EA,786,786,786,786,786,786,786,786,786,786,786,786,786,786,786,786,786BISOPROLOL/HCTZ 5/6.25MG *NF TAB,EA,,7052012,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8Flovent HFA Inh Oral/Neb 0.22MG/1Act *NF,EA,,7052015,EA,"2,980.00","2,980.00","2,980.00","2,980.00","2,980.00","2,980.00","2,980.00","2,980.00","2,980.00","2,980.00","2,980.00","2,980.00","2,980.00","2,980.00","2,980.00","2,980.00","2,980.00"Varenicline Tab 0.5MG *NF*,EA,,7052020,EA,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55VARENICLINE 1MG TAB,EA,,7052026,EA,87,87,87,87,87,87,87,87,87,87,87,87,87,87,87,87,87LITHIUM CARBONATE 300MG CAPSULE *NF*,EA,,7052034,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-CHLORPROMAZINE (10MG) TAB,EA,,7052035,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9NF-Latanoprost Ophth Solution 0.005%,EA,,7052047,EA,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31REMDESIVIR/NS 200MG/100ML IVPB,EA,,7052051,EA,"4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00","4,017.00"VISIPAQUE INJ SOLUTION 320MG/1ML,EA,,7052053,EA,500,500,500,500,500,500,500,500,500,500,500,500,500,500,500,500,500ARIPIPRAZOLE (ABILIFY) TAB 20MG *NF*,EA,,7052054,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8VERAPAMIL 40MG *NF*,EA,,7052055,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ZIPRASIDONE 20MG *NF*,EA,,7052056,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22NF-Latanoprost Ophth Solution 0.005%,EA,,7052057,EA,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39NF-Breztri Aerosphere Inh Aer Liq,EA,,7052064,EA,411,411,411,411,411,411,411,411,411,411,411,411,411,411,411,411,411SOD CL 0.9% (WV) 500ML,EA,,7052067,EA,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37ENSURE PUDDING *NF* CUP VANILLA,EA,,7052068,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PENTASA CAP *NF* 500MG CAP,EA,,7052070,EA,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45NF-GABAPENTIN AVPAK CAP 800MG,EA,,7052076,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10POTAS PHOS INJ *NF 3MMOL/ML 15ML VIAL,EA,,7052079,EA,93,93,93,93,93,93,93,93,93,93,93,93,93,93,93,93,93NF-Pataday Ophthalmic Solution 0.2%,EA,,7052083,EA,390,390,390,390,390,390,390,390,390,390,390,390,390,390,390,390,390NF-HumaLOG KwikPen SubQ Soln 100U/ML,EA,,7052097,EA,260,260,260,260,260,260,260,260,260,260,260,260,260,260,260,260,260MINOXIDIL Oral Tablet  *NF 2.5MG,EA,,7052110,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Aerosol Therapy Nebulizer Device,EA,,7052121,EA,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217NF-Aubagio Oral Tablet 14MG,EA,,7052128,EA,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18NF-Aubagio Oral Tablet 14MG,EA,,7052145,EA,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18PAIN EASE SPRAY *NF*,EA,,7052151,EA,218,218,218,218,218,218,218,218,218,218,218,218,218,218,218,218,218FETROJA 1GM VIAL,EA,,7052156,EA,"1,451.00","1,451.00","1,451.00","1,451.00","1,451.00","1,451.00","1,451.00","1,451.00","1,451.00","1,451.00","1,451.00","1,451.00","1,451.00","1,451.00","1,451.00","1,451.00","1,451.00"MINOCYCLINE  HCl Capsule 100MG *NF*,EA,,7052158,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9NF-Nystatin Powder,EA,,7052159,EA,679,679,679,679,679,679,679,679,679,679,679,679,679,679,679,679,679MINOCYCLINE INJ *NF* 100 MG VIAL,EA,,7052163,EA,"1,655.00","1,655.00","1,655.00","1,655.00","1,655.00","1,655.00","1,655.00","1,655.00","1,655.00","1,655.00","1,655.00","1,655.00","1,655.00","1,655.00","1,655.00","1,655.00","1,655.00"HYDROMORPHONE INJ 2MG/ML SYRINGE,EA,,7052165,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17NF-Nystatin Powder,EA,,7052166,EA,679,679,679,679,679,679,679,679,679,679,679,679,679,679,679,679,679PATIROMER (8.4 GRAMS/PKT) *NF*,EA,,7052172,EA,228,228,228,228,228,228,228,228,228,228,228,228,228,228,228,228,228PHOS-NAK (1.5 GRAM/PKT) *NF*,EA,,7052175,EA,299,299,299,299,299,299,299,299,299,299,299,299,299,299,299,299,299NF-Nystatin Powder,EA,,7052178,EA,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70OLANZapine *NF*Oral Tablet 5MG,EA,,7052181,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Protamine Sulfate    Cry,EA,,7052183,EA,484,484,484,484,484,484,484,484,484,484,484,484,484,484,484,484,484TRINTELLIX *NF* 10MG,EA,,7052186,EA,110,110,110,110,110,110,110,110,110,110,110,110,110,110,110,110,110GINKGO BILOBA  120MG *NF*,EA,,7052189,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8GEMTESA 75MG TAB *NF,EA,,7052191,EA,99,99,99,99,99,99,99,99,99,99,99,99,99,99,99,99,99BIO FREEZE ROLL- ON *NF*,EA,,7052195,EA,54,54,54,54,54,54,54,54,54,54,54,54,54,54,54,54,54NF-DAPTOmycin IV Pwd for Soln 500MG,EA,,7052197,EA,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27Biotin 5000MCG *NF* Quick Dissolve,EA,,7052200,EA,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50SENNA LIQUID 8.8MG/5ML*NF*,EA,,7052203,EA,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67PREGABALIN 20MG/ML OS *NF*,EA,,7052204,EA,109,109,109,109,109,109,109,109,109,109,109,109,109,109,109,109,109NF-Dificid Oral PwdforSusp 40MG/1ML,EA,,7052205,EA,238,238,238,238,238,238,238,238,238,238,238,238,238,238,238,238,238LEVOCETIRIZINE *NF 5MG TAB,EA,,7052212,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8"EPOGEN SDV *NF 3,000 UN/ML",EA,,7052213,EA,360,360,360,360,360,360,360,360,360,360,360,360,360,360,360,360,360"Nystatin Ointment 100,000U/GM *NF*",EA,,7052217,EA,117,117,117,117,117,117,117,117,117,117,117,117,117,117,117,117,117NF-Triamcinolone Acetonide Cream 0.1%,EA,,7052218,EA,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49NF-Cholestyramine Powder,EA,,7052219,EA,525,525,525,525,525,525,525,525,525,525,525,525,525,525,525,525,525NF-Narcan Nasal Spray 4MG/0.1ML,EA,,7052220,EA,455,455,455,455,455,455,455,455,455,455,455,455,455,455,455,455,455LIDOCAINE  4% SOL (40MG/ML) 50 ML Bottle,EA,,7052221,EA,250,250,250,250,250,250,250,250,250,250,250,250,250,250,250,250,250NF-Sildenafil Oral Tablet 20MG,EA,,7052236,EA,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2"NF-Procrit Injection 10,000U/ML",EA,,7052238,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11NF-Aranesp Injection Soln 0.025MG/0.42ML,EA,,7052239,EA,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28"NF-Procrit Injection 10,000U/ML",EA,,7052241,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11NF-Cortrosyn Pwd for Soln 0.25MG,EA,,7052242,EA,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7,7GUAIFENESIN 200MG/10ML (237 ML BOTTLE),EA,,7052243,EA,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19CEFIXIME Capsule 400MG *NF*,EA,,7052245,EA,92,92,92,92,92,92,92,92,92,92,92,92,92,92,92,92,92TOUJEO SOLOSTAR 300UNITS/ML *NF*,EA,,7052247,EA,"1,022.00","1,022.00","1,022.00","1,022.00","1,022.00","1,022.00","1,022.00","1,022.00","1,022.00","1,022.00","1,022.00","1,022.00","1,022.00","1,022.00","1,022.00","1,022.00","1,022.00"VENLAFAXINE ER  37.5MG CAP  *NF*,EA,,7052248,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LIDOCAINE/EPI 1% (10MG/ML 50ML),EA,,7052253,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NF-Abilify Oral Tablet 2MG,EA,,7052254,EA,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2NF-Breztri Aerosphere Inh Aer Liq,EA,,7052255,EA,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4NAFCILLIN INJ POWDER FOR SOLUTION 2GM,EA,,7052259,EA,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46MOXIFLOXACIN 0.5% EYE DR 3ML,EA,,7052266,EA,192,192,192,192,192,192,192,192,192,192,192,192,192,192,192,192,192AMLODIPINE/ BENAZEPRIL CAP 5MG-10MG*NF*,EA,,7052270,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9NF-Bevespi Aerosphere Inh 4.8MCG-9MCG/1A,EA,,7052271,EA,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3,3NF-Flovent Inhaler 0.11MG/Act,EA,,7052272,EA,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2NF-Bevespi Aerosphere Inh 4.8MCG-9MCG/1A,EA,,7052273,EA,"3,145.00","3,145.00","3,145.00","3,145.00","3,145.00","3,145.00","3,145.00","3,145.00","3,145.00","3,145.00","3,145.00","3,145.00","3,145.00","3,145.00","3,145.00","3,145.00","3,145.00"GUAIFENESIN 200MG/10ML (120ML BOTTLE),EA,,7052281,EA,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13NF-Breztri Aerosphere Inh Aer Liq,EA,,7052283,EA,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4,4DOXYCYCLINE MONO TAB *NF*,EA,,7052285,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9HYPER-SAL NEB 3.5% SOD/CHL 4ML,EA,,7052286,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9NF-Muro-128 Ophth Ointment 5%,EA,,7052293,EA,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2NF-Muro-128 Ophth Ointment 5%,EA,,7052294,EA,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2CLONIDINE 0.3MG *NF TAB,EA,,7052300,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LAMOTRIGINE *NF 200MG TAB,EA,,7052303,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9SYMBICORT 80/4.5MCG INHALER *NF*,EA,,7052307,EA,"1,684.00","1,684.00","1,684.00","1,684.00","1,684.00","1,684.00","1,684.00","1,684.00","1,684.00","1,684.00","1,684.00","1,684.00","1,684.00","1,684.00","1,684.00","1,684.00","1,684.00"NF-Exelon TD Patch ER 13.3MG/24HR,EA,,7052308,EA,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1NF-Exelon TD Patch ER 13.3MG/24HR,EA,,7052315,EA,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1,1VERAPAMIL ER ( 240 MG)TAB *NF*,EA,,7052322,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9TRELEGY 100MCG/62.5MCG/25MCG INH *NF*,EA,,7052323,EA,"4,789.00","4,789.00","4,789.00","4,789.00","4,789.00","4,789.00","4,789.00","4,789.00","4,789.00","4,789.00","4,789.00","4,789.00","4,789.00","4,789.00","4,789.00","4,789.00","4,789.00"NF-Lidocaine Patch ER 4%,EA,,7052328,EA,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2ACETAMINOPHEN INJ 1000MG/100ML,EA,,7052330,EA,53,53,53,53,53,53,53,53,53,53,53,53,53,53,53,53,53NF-Butrans Transdermal Patch ER 5MCG/1HR,EA,,7052333,EA,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5,5NF-Combivent Respimat Inhalation Spray,EA,,7052338,EA,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6NF-Lidocaine Patch ER 4%,EA,,7052341,EA,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2NF-Lidocaine Patch ER 4%,EA,,7052342,EA,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2,2BUPRENORPHINE *NF* 7.5MCG/1HR PATCH,EA,,7052347,EA,564,564,564,564,564,564,564,564,564,564,564,564,564,564,564,564,564Carbidopa-Levodopa Tab 25MG-250MG *NF*,EA,,7052348,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8TIELLE PLUS DRESSING,EA,,8000014,EA,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28DRESSING WOUND AQUACELL AG,EA,,8000015,EA,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130SURGICAL TIE ON FACE MASK,EA,,8000016,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,95 IN 1 CONNECTOR,EA,,8000100,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11CHO-PAT KNEE STRAP,EA,L0150,8000103,EA,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224DERMASAVER,EA,,8000106,EA,250,250,250,250,250,250,250,250,250,250,250,250,250,250,250,250,250PULSE OXIMETER FINGER,EA,,8000152,EA,74,74,74,74,74,74,74,74,74,74,74,74,74,74,74,74,74SPO2 ADULT SENSOR,EA,,8000153,EA,117,117,117,117,117,117,117,117,117,117,117,117,117,117,117,117,117PEAK FLOW METER,EA,A4614,8000257,EA,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55SYRINGE 30CC,EA,,8000306,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8MOUTHWASH-4OZ,EA,,8000311,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PELVIC SAM SLING,EA,L0621,8000313,EA,453,453,453,453,453,453,453,453,453,453,453,453,453,453,453,453,453IMPLANTABLE INFUSION PUMP REFILL KIT,EA,A4220,8000317,EA,54,54,54,54,54,54,54,54,54,54,54,54,54,54,54,54,54CATHETER DRAINAGE TRAY,EA,,8000340,EA,548,548,548,548,548,548,548,548,548,548,548,548,548,548,548,548,548THORACENTESIS TRAY,EA,,8000341,EA,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224SAFE-T-CENTESIS DRAINAGE CATH,EA,,8000342,EA,776,776,776,776,776,776,776,776,776,776,776,776,776,776,776,776,776SENSOR ELECTRODE FOAM,EA,,8000519,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8"ABD PADS 8""",EA,,8001060,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8"ABD PADS 5""",EA,,8001080,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ADAPTIC 3X8 DRESSING,EA,,8001156,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ADAPTIC 3X3 DRESSING,EA,,8001157,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8STERILE DISPOSABLE NAIL/BONE RASP,EA,,8001170,EA,106,106,106,106,106,106,106,106,106,106,106,106,106,106,106,106,106STERILE DISPOSABLE MOSQUITO FORCEPS-CURV,EA,,8001171,EA,108,108,108,108,108,108,108,108,108,108,108,108,108,108,108,108,108STERILE DISPOSABLE DOUBLE ENDED NAIL CUR,EA,,8001172,EA,116,116,116,116,116,116,116,116,116,116,116,116,116,116,116,116,116STERILE DISPOSABLE MYCOTIC NAIL NIPPER,EA,,8001173,EA,302,302,302,302,302,302,302,302,302,302,302,302,302,302,302,302,302ALLIGATOR FORCEPS,EA,,8001174,EA,96,96,96,96,96,96,96,96,96,96,96,96,96,96,96,96,96ADSON FORCEPS W TEETH,EA,,8001175,EA,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20ADSON FORCEPS W/O TEETH,EA,,8001176,EA,25,25,25,25,25,25,25,25,25,25,25,25,25,25,25,25,25MASK-ADULT AEROSOL,EA,,8001183,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8MASK-ADULT NON-REBREATHER,EA,,8001185,EA,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14ISOPROPYL ALCOHOL,EA,,8001228,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9FOLEY STATLOCK,EA,,8001298,EA,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38SPENCO INSOLE,EA,,8001306,EA,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45SPENCO TOTAL SUPPORT,EA,,8001307,EA,62,62,62,62,62,62,62,62,62,62,62,62,62,62,62,62,62SPENCO FOR HER,EA,,8001308,EA,141,141,141,141,141,141,141,141,141,141,141,141,141,141,141,141,141AMBU BAG-INFANT,EA,,8001313,EA,300,300,300,300,300,300,300,300,300,300,300,300,300,300,300,300,300AMBU BAG-PEDI,EA,,8001314,EA,273,273,273,273,273,273,273,273,273,273,273,273,273,273,273,273,273AMBU BAG-ADULT,EA,,8001315,EA,251,251,251,251,251,251,251,251,251,251,251,251,251,251,251,251,251ANKLE BRACE MED,EA,L4350,8001409,EA,73,73,73,73,73,73,73,73,73,73,73,73,73,73,73,73,73DONJOY ANKLE BRACE  MED/LEFT,EA,L4350,8001410,EA,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150DONJOY ANKLE BRACE MED/RIGHT,EA,L4350,8001411,EA,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150DONJOY ANKLE BRACE  SMALL/LEFT,EA,L4350,8001412,EA,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150DONJOY ANKLE BRACE  SMALL/RIGHT,EA,L4350,8001413,EA,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150DONJOY ANKLE BRACE  PEDI/RIGHT,EA,L4350,8001414,EA,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150DONJOY ANKLE BRACE  PEDI/LEFT,EA,L4350,8001415,EA,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150AIRCAST ANKLE BRACE MED/LEFT,EA,L4350,8001416,EA,209,209,209,209,209,209,209,209,209,209,209,209,209,209,209,209,209AIRCAST ANKLE BRACE LARGE/RIGHT,EA,L4350,8001417,EA,237,237,237,237,237,237,237,237,237,237,237,237,237,237,237,237,237DONJOY ANKLE BRACE LEFT LARGE,EA,L4350,8001418,EA,374,374,374,374,374,374,374,374,374,374,374,374,374,374,374,374,374AIRCAST ANKLE BRACE MED/RIGHT,EA,L4350,8001419,EA,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150AIRCAST ANKLE BRACE SMALL RIGHT,EA,L4350,8001420,EA,538,538,538,538,538,538,538,538,538,538,538,538,538,538,538,538,538AIRCAST ANKLE BRACE PEDI/LEFT,EA,L4350,8001421,EA,163,163,163,163,163,163,163,163,163,163,163,163,163,163,163,163,163AIRCAST ANKLE BRACE SMALL/LEFT,EA,L4350,8001422,EA,538,538,538,538,538,538,538,538,538,538,538,538,538,538,538,538,538AIRCAST ANKLE BRACE PEDI/RIGHT,EA,L4350,8001423,EA,258,258,258,258,258,258,258,258,258,258,258,258,258,258,258,258,258DONJOY ANKLE BRACE LARGE/RIGHT,EA,L4350,8001424,EA,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236DONJOY ANKLE BRACE XLARGE/LEFT,EA,L4350,8001425,EA,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236AIRCAST ANKLE BRACE LEFT/LARGE,EA,L4350,8001426,EA,246,246,246,246,246,246,246,246,246,246,246,246,246,246,246,246,246ANKLE BRACE XLARGE,EA,L4350,8001427,EA,73,73,73,73,73,73,73,73,73,73,73,73,73,73,73,73,73ANKLE BRACE LARGE,EA,L4350,8001428,EA,73,73,73,73,73,73,73,73,73,73,73,73,73,73,73,73,73ANKLE BRACE SMALL,EA,L4350,8001429,EA,73,73,73,73,73,73,73,73,73,73,73,73,73,73,73,73,73ANKLE BRACE XSMALL,EA,L4350,8001430,EA,73,73,73,73,73,73,73,73,73,73,73,73,73,73,73,73,73ARM BOARD IV 2X6,EA,,8001500,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11ARM BOARD IV 3X16,EA,,8001501,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11ARM BOARD IV 3X9,EA,,8001502,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11ARM SLING PEDI/CHILD,EA,A4565,8001531,EA,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42ARM SLING X-SMALL,EA,A4565,8001541,EA,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40ARM SLING LARGE,EA,A4565,8001542,EA,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37ARM SLING MED,EA,A4565,8001543,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33ARM SLING SMALL,EA,A4565,8001544,EA,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40ARM SLING XLARGE,EA,A4565,8001545,EA,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45ARM SLING UNIVERSAL,EA,A4565,8001546,EA,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40ARTERIAL BLOOD SAMPL KIT,EA,,8001550,EA,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56BOUGIE PEDIATRIC 10FR,EA,,8001553,EA,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65"FINGER SPLINT  1"" PADDED STRIP ALUMINUM",EA,,8001622,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8"FINGER SPLINT 3/4"" PADDED STRIP ALUMINUM",EA,,8001623,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8POWDER 4OZ,EA,,8001650,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8BASIN-BATH,EA,,8001689,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CATHETER FOLEY #14 TRAY,EA,A4353,8001690,EA,163,163,163,163,163,163,163,163,163,163,163,163,163,163,163,163,163BEDPAN-CONTOUR,EA,,8001698,EA,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14BEDPAN FRACTURE,EA,,8001699,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10CENTRAL LINE DRESSING TRY,EA,,8001750,EA,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38BENZOIN SWABSTICK,EA,,8001769,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8BETADINE SWABSTICK,EA,,8001801,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8BLANKT WRM AIR FILTER FLO,EA,,8001900,EA,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68BLANKT WRM BAIR HUGGER,EA,,8001901,EA,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40BOWL-STERILE  160z,EA,,8001957,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22BONE INJECTOR GUN,EA,,8001959,EA,536,536,536,536,536,536,536,536,536,536,536,536,536,536,536,536,536AQUACEL AG DRSG,EA,,8001961,EA,169,169,169,169,169,169,169,169,169,169,169,169,169,169,169,169,169COMFORT FORM BACK SUPPORT,EA,,8001966,EA,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56CAST PADDING,EA,,8002140,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22LIP BALM,EA,,8002157,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8POST OP SHOE WOMEN SMALL,EA,,8002160,EA,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37POST OP SHOE WOMEN MEDIUM,EA,,8002161,EA,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37POST OP SHOE WOMEN/LARGE,EA,,8002162,EA,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37POST OP SHOE MEN/SMALL,EA,,8002163,EA,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37POST OP SHOE MEN/MEDIUM,EA,,8002164,EA,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37POST OP SHOE MEN/LARGE,EA,,8002165,EA,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37POST OP SHOE MEN/XLARGE,EA,,8002166,EA,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37CATHETER TUBE HOLDER STRP,EA,A4333,8002181,EA,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19CATHETER KIT W/GLOVES-FML,EA,A4353,8002182,EA,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24CATHETER MALE,EA,A4353,8002183,EA,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49PUREWICK EXTERNAL CATHETER-FEMALE,EA,A4353,8002184,EA,59,59,59,59,59,59,59,59,59,59,59,59,59,59,59,59,59CATH PLUG,EA,,8002185,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CERVICAL COLLAR PEDI,EA,L0120,8002244,EA,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45CERVICAL COLLAR SMALL,EA,L0120,8002245,EA,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45CERVICAL COLLAR XLARGE,EA,L0120,8002246,EA,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45CERVICAL COLLAR MED,EA,L0120,8002247,EA,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45CENTRAL VENOUS CATH KIT,EA,,8002250,EA,"1,679.00","1,679.00","1,679.00","1,679.00","1,679.00","1,679.00","1,679.00","1,679.00","1,679.00","1,679.00","1,679.00","1,679.00","1,679.00","1,679.00","1,679.00","1,679.00","1,679.00"STIFNECK SELECT COLLAR ADULT,EA,L0150,8002251,EA,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56STIFNECK COLLAR PEDI,EA,L0150,8002252,EA,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56SOFT COLLAR,EA,L0150,8002253,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33COMPRESSOGRIP SLEEVE,EA,L0150,8002254,EA,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67DORSI STRAP,EA,L0150,8002255,EA,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60CLAVICLE STRAP SMALL,EA,L3670,8002383,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33CLAVICLE STRAP XLARGE,EA,L3670,8002384,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33CLAVICLE STRAP LARGE,EA,L3670,8002385,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33CLAVICLE STRAP UNIV,EA,L3650,8002386,EA,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130CLAVICLE STRAP MED,EA,L3650,8002387,EA,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130"COBAN ELASTIC BANDAGE 2""",EA,,8002430,EA,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14"COBAN ELASTIC BANDAGE 4""",EA,,8002431,EA,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14COLLES SPLINT XSMALL/RIGHT,EA,L3809,8002472,EA,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60COLLES SPLINT SMALL/RIGHT,EA,L3809,8002473,EA,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60COLLES SPLINT LRG/RIGHT,EA,L3809,8002474,EA,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60COLLES SPLINT MED/RIGHT,EA,L3809,8002475,EA,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60COLLES SPLINT XSMALL/LEFT,EA,L3809,8002476,EA,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60COLLES SPLINT SMALL/LEFT,EA,L3809,8002477,EA,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60COLLES SPLINT MED/LEFT,EA,L3809,8002478,EA,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60COLLES SPLINT LRG/LEFT,EA,L3809,8002479,EA,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60HAND WRIST SPLINT MED/RIGHT,EA,,8002480,EA,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259HAND WRIST SPLINT MED/LEFT,EA,,8002481,EA,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259WRIST/THUMB BRACE RIGHT LARGE,EA,,8002482,EA,61,61,61,61,61,61,61,61,61,61,61,61,61,61,61,61,61HAND WRIST SPLINT LARGE/LEFT,EA,,8002483,EA,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259COMB BLACK,EA,,8002522,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8COMPRESS COLD,EA,,8002523,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9HEAT COMPRESS,EA,,8002524,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CAUTERY CORDLESS FIRE TIP,EA,,8002550,EA,78,78,78,78,78,78,78,78,78,78,78,78,78,78,78,78,78CATHETER STRAP,EA,,8002551,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8COTTON TIP APPLICATOR,EA,,8002589,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8"CRUTCHES 4'6"" TO 5'2""",EA,,8002640,EA,212,212,212,212,212,212,212,212,212,212,212,212,212,212,212,212,212"CRUTCHES ALUM 5'10"" - 6'6""",EA,,8002641,EA,134,134,134,134,134,134,134,134,134,134,134,134,134,134,134,134,134"CRUTCHES ALUM 5'2"" - 5'10""",EA,,8002642,EA,120,120,120,120,120,120,120,120,120,120,120,120,120,120,120,120,120"CRUTCHES ALUM 4'6"" - 5'2""",EA,,8002643,EA,121,121,121,121,121,121,121,121,121,121,121,121,121,121,121,121,121"CRUTCHES ALUM 4'0"" - 4'6""",EA,,8002644,EA,121,121,121,121,121,121,121,121,121,121,121,121,121,121,121,121,121DELEE MUCUS TRAP,EA,,8002783,EA,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57DEFIB PAD H/F ADLT - ZOLL,EA,,8002784,EA,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77DIAPER ADULT MEDIUM,EA,,8002818,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DIAPER ADULT SMALL,EA,,8002819,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DIAPER ADULT LARGE,EA,,8002820,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DIAPER ADULT XL LARGE,EA,,8002821,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8WOMENS POISE PADS,EA,,8002822,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PULLUPS ADULT LARGE,EA,,8002823,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,822 GA IV CATHETER SYSTEM,EA,,8002859,EA,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,4020 GA IV CATHETER SYSTEM,EA,,8002860,EA,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40STRASSBURG SOCK,EA,,8002861,EA,168,168,168,168,168,168,168,168,168,168,168,168,168,168,168,168,168CATHETER PEDI 8FR,EA,,8002881,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CATHETER PEDI 6FR,EA,,8002882,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CATHETER PEDI 10FR,EA,,8002883,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10DRESSG 4X4 OPTIFOAM-ADH,EA,A6212,8003014,EA,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70DRESSG 4X4 OPTIFOAM NOADH,EA,A6209,8003016,EA,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56DUODERM PASTE 30GMS,EA,,8003039,EA,246,246,246,246,246,246,246,246,246,246,246,246,246,246,246,246,246DRESSING DUO DERM 4X4,EA,A6251,8003040,EA,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42DRESSING DUO DERM 6X6,EA,A6252,8003041,EA,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75DRESSING DUO DERM XTH 4X6,EA,A6251,8003042,EA,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68DRESSING-WOUND-HYDROFERA,EA,A6209,8003044,EA,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56DRESSING DUO DERM 2X4,EA,A6251,8003045,EA,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42DRESSING PETROLATUM 1X8,EA,,8003046,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DRESSING W/SILVER 2X2,EA,,8003047,EA,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71DUO THERM PAD,EA,A6251,8003048,EA,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46DRESSING AQUACEL SACRAL,EA,,8003049,EA,72,72,72,72,72,72,72,72,72,72,72,72,72,72,72,72,72OPTIFOAM AG W/SILVER DRESSING,EA,,8003050,EA,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139DRESSING AQUAEL SACRAL W/SILVER,EA,,8003051,EA,73,73,73,73,73,73,73,73,73,73,73,73,73,73,73,73,73BIONIX EAR IRRIGATION,EA,,8003104,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11EAR TIP - OTOCLEAR IRRIG,EA,,8003105,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11BULB SYRINGE 3OZ,EA,A4322,8003108,EA,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21EGG CRATE MATTRESS,EA,,8003124,EA,123,123,123,123,123,123,123,123,123,123,123,123,123,123,123,123,123CHAIR EGG CRATE,EA,,8003125,EA,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42ELECTRODES GEL,EA,,8003194,EA,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49EMERGENCY OB KIT,EA,,8003197,EA,80,80,80,80,80,80,80,80,80,80,80,80,80,80,80,80,80EMESIS BAG,EA,,8003250,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ENDOTRACHEAL TUBE 2.5,EA,,8003252,EA,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39ENDOTRACHEAL TUBE 3.0,EA,,8003253,EA,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28ENDOTRACHEAL TUBE 4.0,EA,,8003254,EA,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36ENDOTRACHEAL TUBE 4.5,EA,,8003255,EA,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31ENDOTRACHEAL TUBE 3.5,EA,,8003256,EA,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39ENDOTRACHEAL TUBE 5.5,EA,,8003257,EA,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39ENEMA BAG,EA,,8003258,EA,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15ENDOTRAC TUBE W/STYLET 9.5,EA,,8003259,EA,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23ENTERAL FEEDING CONTAINER,EA,,8003260,EA,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36TRACHEAL TUBE EXCHANGER 8.0 FR 45CM,EA,,8003261,EA,459,459,459,459,459,459,459,459,459,459,459,459,459,459,459,459,459ENDOTRA TUBE W/STYLET 5.0,EA,,8003262,EA,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36ENDOTRAC TUBE W/STYLET 6.0,EA,,8003263,EA,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36ENDOTRACH TUBE W/STYLET 6.5,EA,,8003264,EA,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36ENDOTRACHEAL TUBE WITH STYLET 7.0,EA,,8003265,EA,47,47,47,47,47,47,47,47,47,47,47,47,47,47,47,47,47ENDOTRACHEAL TUBE WITH STYLET 7.5,EA,,8003266,EA,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38ENDOTRACHEAL TUBE WITH STYLET 8.0,EA,,8003267,EA,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39ENDOTRACHEAL TUBE WITH STYLET 8.5,EA,,8003268,EA,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40ENDOTRACH TUBE W/STYLET 9.0,EA,,8003269,EA,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36STERILE BURN SHEETS,EA,,8003270,EA,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45ENDOTRACHEAL TUBE WITH STYLET 10.0,EA,,8003271,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11EYE PAD,EA,A6410,8003380,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8EYE SHIELD,EA,A6410,8003381,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8FEEDING TUBE,EA,,8003412,EA,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14FEED TUBE 10FR (CHILD),EA,,8003413,EA,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35FINGER SPLINT ALUMINUM,EA,,8003460,EA,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15IV CONTROL-A-FLOW REG EXT,EA,,8003485,EA,41,41,41,41,41,41,41,41,41,41,41,41,41,41,41,41,41FLUORI-STRIPS EACH,EA,,8003508,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CATHETER SILVER 16FR,EA,,8003524,EA,113,113,113,113,113,113,113,113,113,113,113,113,113,113,113,113,113CATHETER FOLEY 14 TWO WAY,EA,,8003528,EA,84,84,84,84,84,84,84,84,84,84,84,84,84,84,84,84,84FOLEY TRAY W/O CATH,EA,,8003530,EA,66,66,66,66,66,66,66,66,66,66,66,66,66,66,66,66,66CATHETER FOLEY #16 TRAY,EA,A4314,8003532,EA,301,301,301,301,301,301,301,301,301,301,301,301,301,301,301,301,301CATHETER FOLEY 20FR,EA,A4313,8003533,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33CATHETER FOLEY #18 TRAY,EA,A4313,8003536,EA,162,162,162,162,162,162,162,162,162,162,162,162,162,162,162,162,162COUDE 16,EA,A4313,8003537,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8COUDE 18,EA,A4313,8003538,EA,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38COUDE 14,EA,A4313,8003539,EA,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32GAIT BELT,EA,,8003600,EA,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46GOMCO SUCTION CANISTR LG,EA,,8003655,EA,95,95,95,95,95,95,95,95,95,95,95,95,95,95,95,95,95GASTRIC LAVAGE KIT,EA,,8003675,EA,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154"GAUZE CONFORMING 2""",EA,,8003677,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8"GAUZE CONFORMING 1""",EA,,8003678,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8"GAUZE CONFORMING 3""",EA,,8003679,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8"GAUZE CONFORMING 6""",EA,,8003687,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8GAUZE 2X2,EA,,8003688,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11DEBRISOFT LOLLY 4X4,EA,,8003690,EA,149,149,149,149,149,149,149,149,149,149,149,149,149,149,149,149,149DEBRISOFT LOLLY WOUND,EA,,8003691,EA,149,149,149,149,149,149,149,149,149,149,149,149,149,149,149,149,149GAUZE SPONGES 4X4 10 PACK,EA,,8003692,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9TRACHEOSTOMY DRAIN SPONGE,EA,,8003693,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DEBRISOFT SPONGE,EA,,8003694,EA,149,149,149,149,149,149,149,149,149,149,149,149,149,149,149,149,149GRIPPER SLIPPERS LARGE,EA,,8003730,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10GRIPPER SLIPPERS X LARGE,PR,,8003731,PR,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9UNNA BOOT 4IN.,EA,A6456,8003732,EA,47,47,47,47,47,47,47,47,47,47,47,47,47,47,47,47,47GRIPPER SLIPPERS MED,PR,,8003733,PR,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9UNNA BOOT 3IN.,BX,,8003734,BX,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46GRIPPER SLIPPERS XX LARGE,PR,,8003735,PR,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9GRIPPER SLIPPERS XXXLARGE,PR,,8003736,PR,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10GRADUATED BEAKER,EA,,8003840,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8HAND EXERCISER BALL RED SOFT,EA,,8003870,EA,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56WRIST/THUMB BRACE RIGHT MED,EA,,8003871,EA,69,69,69,69,69,69,69,69,69,69,69,69,69,69,69,69,69WRIST/THUMB BRACE LEFT XLARGE,EA,,8003872,EA,94,94,94,94,94,94,94,94,94,94,94,94,94,94,94,94,94WRIST/THUMB BRACE RIGHT XLARGE,EA,,8003873,EA,94,94,94,94,94,94,94,94,94,94,94,94,94,94,94,94,94HAND/WRIST SPLINT LARGE RIGHT,EA,,8003874,EA,296,296,296,296,296,296,296,296,296,296,296,296,296,296,296,296,296WRIST/THUMB BRACE RIGHT SMALL,EA,,8003875,EA,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259WRIST/THUMB BRACE LEFT SMALL,EA,,8003876,EA,69,69,69,69,69,69,69,69,69,69,69,69,69,69,69,69,69WRIST/THUMB BRACE LEFT MED,EA,,8003877,EA,171,171,171,171,171,171,171,171,171,171,171,171,171,171,171,171,171WRIST/THUMB BRACE LEFT LARGE,EA,,8003878,EA,95,95,95,95,95,95,95,95,95,95,95,95,95,95,95,95,95HAND EXERCISER BALL GREEN MED,EA,,8003880,EA,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56HAND EXERCISER BALL YELLOW XSOFT,EA,,8003881,EA,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56HAND EXERCISER BALL BLUE FIRM,EA,,8003882,EA,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56THERAPY PUTTY,EA,,8003883,EA,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28HEEL PROTECTORS FOAM YELLOW,PR,,8003900,PR,76,76,76,76,76,76,76,76,76,76,76,76,76,76,76,76,76HEEL PROTECTOR,EA,,8003901,EA,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44HEEL PROTECTORS PAD BLUE,PR,,8003902,PR,133,133,133,133,133,133,133,133,133,133,133,133,133,133,133,133,133HEEL PROTECTORS XLARGE,EA,,8003903,EA,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44HEELBO,EA,,8003906,EA,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48BOOT PRAFO 650,EA,,8003907,EA,965,965,965,965,965,965,965,965,965,965,965,965,965,965,965,965,965HIBICLENS,EA,,8003940,EA,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19IV SET BLOOD-HOTLINE WARM,EA,,8003979,EA,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68HUMIDIFIER DISPOSABLE,EA,,8003981,EA,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40WATER INHALATION STERILE,EA,,8003982,EA,74,74,74,74,74,74,74,74,74,74,74,74,74,74,74,74,74KING ET TUBE KIT,EA,,8003984,EA,355,355,355,355,355,355,355,355,355,355,355,355,355,355,355,355,355KING VISION BLADE,EA,,8003985,EA,284,284,284,284,284,284,284,284,284,284,284,284,284,284,284,284,284DRY NEEDLE,EA,20999,8004000,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33POSEY CHAIR SENOR PAD,EA,,8004001,EA,182,182,182,182,182,182,182,182,182,182,182,182,182,182,182,182,182POSEY BED SENOR PAD,EA,,8004002,EA,144,144,144,144,144,144,144,144,144,144,144,144,144,144,144,144,144"ABD BINDER 12"" 45-62""",EA,,8004003,EA,134,134,134,134,134,134,134,134,134,134,134,134,134,134,134,134,134"ABD BINDER 9"" 30-45""",EA,,8004004,EA,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77"ABD BINDER 9"" 45-62""",EA,,8004005,EA,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60HYPA-FIX TAPE 4IN,EA,,8004046,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10"TAPE RETENTION 4""",IN,,8004047,IN,102,102,102,102,102,102,102,102,102,102,102,102,102,102,102,102,102"TAPE RETENTION 2""",BX,,8004048,BX,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50ICE BAGS SMALL,EA,,8004056,EA,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15ICE PACK LARGE,EA,,8004057,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17INCEN SPIROMETER,EA,,8004104,EA,86,86,86,86,86,86,86,86,86,86,86,86,86,86,86,86,86COMPRESSION WRAP BANDAGE,EA,,8004142,EA,126,126,126,126,126,126,126,126,126,126,126,126,126,126,126,126,126"COMPRESSION SYSTEM, URGO K2 #553244",EA,,8004143,EA,117,117,117,117,117,117,117,117,117,117,117,117,117,117,117,117,117IRRIGATION TRAY,EA,,8004272,EA,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14ISOLATION GOWN,EA,,8004288,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8"IV CATH PROTECTIV 14 GA 1 1/4""",EA,,8004290,EA,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20"IV CATH PROTECTIV 22 GA 1""",EA,,8004291,EA,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30"IV CATH PROTECTIV 20 GA 1""",EA,,8004292,EA,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20IV,EA,,8004294,EA,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45CANNULA INJECTION SITE,EA,,8004297,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10IV EXT SET ULTR STE TPORT,EA,,8004314,EA,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21IV EXT SET MAXPLUS TPORT,EA,,8004315,EA,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20IV TUBING W/O FILTER,EA,,8004316,EA,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28IV TPORT,EA,,8004317,EA,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46NITRO TUBING IV TUBING,EA,,8004323,EA,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23IV EXTENSION NO PORT,EA,,8004324,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10IV START KIT,EA,,8004325,EA,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12IV MICRONFILTER,EA,,8004326,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22"IV EXTENSION SET WITH ""T""",EA,,8004327,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22K Y JELLY 4OZ,EA,,8004352,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8WB LRG 10.5 -13.5 MALE 11.5 -14.5 FEMALE,EA,L4386,8004386,EA,380,380,380,380,380,380,380,380,380,380,380,380,380,380,380,380,380WB XLR 14-17 MALE,EA,L4386,8004387,EA,462,462,462,462,462,462,462,462,462,462,462,462,462,462,462,462,462WB MED 5.5 - 10 MALE 6.5 - 11 FEMALE,EA,L4386,8004388,EA,370,370,370,370,370,370,370,370,370,370,370,370,370,370,370,370,370WB SM UP TO 5 MALE 4.5 - 6 FEMALE,EA,L4386,8004389,EA,324,324,324,324,324,324,324,324,324,324,324,324,324,324,324,324,324WB XSM,EA,L4386,8004390,EA,304,304,304,304,304,304,304,304,304,304,304,304,304,304,304,304,304TALL WB LARGE,EA,L4386,8004391,EA,304,304,304,304,304,304,304,304,304,304,304,304,304,304,304,304,304TALL WB MEDIUM,EA,L4386,8004392,EA,304,304,304,304,304,304,304,304,304,304,304,304,304,304,304,304,304TALL WB SMALL,EA,L4386,8004393,EA,304,304,304,304,304,304,304,304,304,304,304,304,304,304,304,304,304"KERLIX 2""",EA,A6445,8004460,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8"KERLEX 3""",EA,,8004464,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8"KERLIX 4""",EA,A6445,8004468,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8KERLIX ANTIMICROBIAL GAUZE,EA,A6445,8004469,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17OSGOOD SCHLATTER SLEEVE,EA,,8004479,EA,80,80,80,80,80,80,80,80,80,80,80,80,80,80,80,80,80HIP AND KNEE EQUIPMENT,EA,,8004491,EA,80,80,80,80,80,80,80,80,80,80,80,80,80,80,80,80,80"KNEE IMMOBILIZER 20""",EA,L1830,8004494,EA,545,545,545,545,545,545,545,545,545,545,545,545,545,545,545,545,545"KNEE IMMOBILIZER 16""",EA,L1830,8004495,EA,239,239,239,239,239,239,239,239,239,239,239,239,239,239,239,239,239"KNEE IMMOBILIZER 24""",EA,L1830,8004496,EA,200,200,200,200,200,200,200,200,200,200,200,200,200,200,200,200,200"KNEE IMMOBILIZER 12""",EA,L1830,8004497,EA,545,545,545,545,545,545,545,545,545,545,545,545,545,545,545,545,545BLEDSOE KNEE BRACE,EA,L1830,8004499,EA,301,301,301,301,301,301,301,301,301,301,301,301,301,301,301,301,301ZYNO PRIMARY TUBING,EA,,8004500,EA,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29ZYNO SECONDARY TUBING,EA,,8004501,EA,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27THORAC  PROC TRAY,EA,A4550,8004550,EA,296,296,296,296,296,296,296,296,296,296,296,296,296,296,296,296,296KNEE BRACE SMALL,EA,,8004600,EA,212,212,212,212,212,212,212,212,212,212,212,212,212,212,212,212,212KNEE BRACE MEDIUM,EA,,8004601,EA,212,212,212,212,212,212,212,212,212,212,212,212,212,212,212,212,212KNEE BRACE LARGE,EA,,8004602,EA,212,212,212,212,212,212,212,212,212,212,212,212,212,212,212,212,212KNEE BRACE XLARGE,EA,,8004603,EA,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224KNEE BRACE XXLARGE,EA,,8004604,EA,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224LEMON GLYCERIN SWABSTICK,EA,,8004626,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LIMB RESTRAINTS,PR,,8004633,PR,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33LINEN SAVERS,EA,,8004670,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LOTION BODY,EA,,8004751,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8HORIZON PUMP IV SAFELINE,EA,,8004800,EA,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45IV CANNULA CLIP LOCK SAFE,EA,,8004801,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8IV SAFELINE BLUNT CANNULA,EA,,8004802,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8IV SAFELINE SECONDARY SET,EA,,8004803,EA,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28MARKER SKIN REG TIP,EA,,8004900,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8"MEDIPORE TAPE CLOTH 3""",EA,,8004940,EA,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40"MICROFOAM TAPE 2"" ROLL",EA,,8004950,EA,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40"MUPIROCIN, OINT 2% 15GM",EA,,8004951,EA,265,265,265,265,265,265,265,265,265,265,265,265,265,265,265,265,265MORGAN LENS,EA,,8004990,EA,254,254,254,254,254,254,254,254,254,254,254,254,254,254,254,254,254MOUTH MOISTERIZER TUBE,EA,,8004995,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10UNISEX ANGELSTAT SNAP FRONT SCRUB JACKET,EA,,8005000,EA,86,86,86,86,86,86,86,86,86,86,86,86,86,86,86,86,86UNISEX ANGELSTAT SNAP FRONT SCRUB JACKET,EA,,8005001,EA,86,86,86,86,86,86,86,86,86,86,86,86,86,86,86,86,86UNISEX ANGELSTAT SNAP FRONT SCRUB JACKET,EA,,8005002,EA,86,86,86,86,86,86,86,86,86,86,86,86,86,86,86,86,86UNISEX ANGELSTAT SNAP FRONT SCRUB JACKET,EA,,8005003,EA,86,86,86,86,86,86,86,86,86,86,86,86,86,86,86,86,86UNISEX ANGELSTAT SNAP FRONT SCRUB JACKET,EA,,8005004,EA,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130UNISEX ANGELSTAT SNAP FRONT SCRUB JACKET,EA,,8005005,EA,86,86,86,86,86,86,86,86,86,86,86,86,86,86,86,86,86DRESSING SORBAVIEW,EA,,8005006,EA,25,25,25,25,25,25,25,25,25,25,25,25,25,25,25,25,25INSOLES - TOTAL SUPPORT,EA,,8005008,EA,161,161,161,161,161,161,161,161,161,161,161,161,161,161,161,161,161ELASTIC TAPE,EA,,8005059,EA,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45NASAL CANNULA ADULT,EA,,8005124,EA,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23NASAL AIRWAY 36FR,EA,,8005129,EA,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23NASAL AIRWAY 32FR,EA,,8005130,EA,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23NASAL AIRWAY 30FR,EA,,8005131,EA,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23NASAL AIRWAY 28FR,EA,,8005132,EA,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23NASAL AIRWAY 22FR,EA,,8005133,EA,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23NASAL SPECULUM,EA,,8005134,EA,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16NASAL AIRWAY 20FR,EA,,8005135,EA,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23NASAL AIRWAY 24FR,EA,,8005136,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22NASAL AIRWAY 26FR,EA,,8005137,EA,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32NASAL AIRWAY 34FR,EA,,8005138,EA,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32NEEDLE GRIPPER 20 X .3/4,EA,,8005144,EA,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45NEEDLE GRIPPER 20 X 1,EA,,8005145,EA,53,53,53,53,53,53,53,53,53,53,53,53,53,53,53,53,53"NEEDLE GRIPPER 22 X 1 1/2""",EA,,8005146,EA,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37NEEDLE HOLDER MAYO,EA,,8005148,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11NEEDLE HOLDER,EA,,8005149,EA,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23NEEDLE-INTRAOSSEOUS,EA,,8005150,EA,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31B.I.G. I.O. NEEDLE,EA,,8005151,EA,126,126,126,126,126,126,126,126,126,126,126,126,126,126,126,126,126B.I.G. I.O. NEEDLE PEDI,EA,,8005152,EA,900,900,900,900,900,900,900,900,900,900,900,900,900,900,900,900,900ISLAND DRESSING 4X4,EA,,8005288,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33ISLAND DRESSING 4X10,EA,,8005289,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33"TRAUMA DRESSING 12"" X 30""",EA,,8005290,EA,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18DISPOSABLE PEEP 20 VALUE,EA,,8005291,EA,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71BOUGIE-TO-GO,EA,,8005294,EA,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38CO2 INDICATOR ADULT,EA,,8005295,EA,91,91,91,91,91,91,91,91,91,91,91,91,91,91,91,91,91CO2 INDICATOR PEDI,EA,,8005296,EA,91,91,91,91,91,91,91,91,91,91,91,91,91,91,91,91,91WOUND CARE OP-SITE,EA,,8005396,EA,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15SURESITE DRESSING 4X5,EA,,8005400,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8STITCH CUTTER,EA,,8005450,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8MASK-ADULT OXYGEN,EA,,8005460,EA,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23TUBING OXYGEN,EA,,8005479,EA,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13"PACKING-IODOFORM 1/4"" BOT",EA,,8005498,EA,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18"PACKING-IODOFORM 1/2"" BT",EA,,8005499,EA,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19PACKING-PLAIN BOTTLE,EA,,8005500,EA,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19IODOFORM PACKING,EA,,8005501,EA,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21PEDI FOLEY CATH KIT,EA,,8005550,EA,116,116,116,116,116,116,116,116,116,116,116,116,116,116,116,116,116MASK-PEDI OXYGEN,EA,,8005586,EA,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14NASAL CANNULA-PEDI,EA,,8005587,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17MASK-INFANT AEROSOL,EA,,8005588,EA,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23MASK-INFANT NONREBREATHER,EA,,8005589,EA,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31MASK-PEDI AEROSOL,EA,,8005590,EA,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12MASK-PEDI  NON-REBREATHER,EA,,8005591,EA,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21NASAL CANNULA - INFANT,EA,,8005592,EA,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19MASK INFANT OXYGEN,EA,,8005593,EA,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12PERINEAL/SKIN CLEANSER,EA,,8005637,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17PICC LINE DRSG CHG KIT,EA,,8005695,EA,83,83,83,83,83,83,83,83,83,83,83,83,83,83,83,83,83PERSONEL WIPES,EA,,8005696,EA,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28BIOPATCH PROTECTIVE DISK,EA,,8005697,EA,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65PERIOXDE 4OZ,EA,,8005700,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PERIOXDE 16OZ,EA,,8005701,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8POUCH OST NATURA CLSD,EA,,8005746,EA,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20"SEAL COHESIVE 2""SM",EA,,8005747,EA,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44BARRIER SKIN SUR-FIT NATURA,EA,,8005748,EA,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57FLEX OSTOMY BARRIER,EA,,8005749,EA,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44COLOSTOMY POUCH,EA,,8005750,EA,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28COLOSTOMY POUCH,EA,,8005751,EA,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29COLOSTOMY WAFER,EA,,8005752,EA,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42COLOSTOMY WAFER,EA,,8005753,EA,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42COLOSTOMY WAFER,EA,,8005754,EA,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44COLOSTOMY POUCH,EA,,8005755,EA,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29COLOSTOMY POUCH,EA,,8005756,EA,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29COLOSTOMY WAFER,EA,,8005757,EA,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38COLOSTOMY POUCH,EA,,8005758,EA,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30COLOSTOMY WAFER,EA,,8005759,EA,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44COLOSTOMY 1 PEICE,EA,,8005762,EA,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43POVIDONE-IODINE 10% OIN,EA,,8005965,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9IV PRN ADAPTER,EA,,8005971,EA,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19ELECTRODES IO GEL-PAIR,EA,,8005980,EA,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56"ACAPELLA, DH W/MOUTHPEICE",EA,,8006103,EA,399,399,399,399,399,399,399,399,399,399,399,399,399,399,399,399,399RAZOR DISPOSIBLE,EA,,8006166,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8RAPID RHINO NASAL PACK,EA,,8006170,EA,135,135,135,135,135,135,135,135,135,135,135,135,135,135,135,135,135KATZ EXTRACTOR,EA,,8006194,EA,740,740,740,740,740,740,740,740,740,740,740,740,740,740,740,740,740RHINO ROCKET LG,EA,,8006195,EA,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150RHINO ROCKET SMALL,EA,,8006196,EA,133,133,133,133,133,133,133,133,133,133,133,133,133,133,133,133,133RHINO ROCKET MEDIUM,EA,,8006197,EA,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150RHINO ROCKET SMALL,EA,,8006198,EA,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150TURTLE NECK SAFETY COLLAR,EA,,8006201,EA,96,96,96,96,96,96,96,96,96,96,96,96,96,96,96,96,96WRIST WRAP UNIVERSAL,EA,,8006202,EA,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19RIB BELT FEMALE,EA,,8006224,EA,66,66,66,66,66,66,66,66,66,66,66,66,66,66,66,66,66RIB BELT MALE,EA,A4572,8006225,EA,66,66,66,66,66,66,66,66,66,66,66,66,66,66,66,66,66PANEL BINDER UNIV.,EA,A4572,8006226,EA,66,66,66,66,66,66,66,66,66,66,66,66,66,66,66,66,66TRACHEAL TUBE EXCHANGER 11.0FR 100CM,EA,,8006262,EA,533,533,533,533,533,533,533,533,533,533,533,533,533,533,533,533,533"ACE BANDAGE 2""",EA,A6448,8006324,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10"ACE BANDAGE 3""",EA,A6449,8006328,EA,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14"ACE BANDAGE 4""",EA,A6449,8006332,EA,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14"ACE BANDAGE 6""",EA,A6449,8006336,EA,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14SALEM SUMP TUBE 18FR,EA,,8006376,EA,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38SALEM SUMP TUBE 16FR,EA,,8006377,EA,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38SALEM SUMP TUBE 12FR,EA,,8006378,EA,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38DRESSING AQUACEL AG ROPE,EA,,8006401,EA,112,112,112,112,112,112,112,112,112,112,112,112,112,112,112,112,112DRESSING AQUACEL  4X10,EA,,8006402,EA,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43DRESSING AQUACEL  4X12,EA,,8006403,EA,94,94,94,94,94,94,94,94,94,94,94,94,94,94,94,94,94SWEDISH KNEE BRACE LARGE,EA,,8006405,EA,845,845,845,845,845,845,845,845,845,845,845,845,845,845,845,845,845SWEDISH KNEE BRACE MEDIUM,EA,,8006406,EA,845,845,845,845,845,845,845,845,845,845,845,845,845,845,845,845,845SCALPEL - DISPOSABLE 11,EA,,8006413,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8SCALPEL - DISPOSABLE 15,EA,,8006414,EA,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16SCALPEL - DISPOSABLE 10,EA,,8006415,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8SCROTAL SUPORT,EA,,8006416,EA,47,47,47,47,47,47,47,47,47,47,47,47,47,47,47,47,47IRIS SCISSORS STRAIGHT,EA,,8006417,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22KELLY FORCEP STRAIGHT,EA,,8006418,EA,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48SCROTAL SUPORT MED,EA,,8006419,EA,286,286,286,286,286,286,286,286,286,286,286,286,286,286,286,286,286SCALPEL STAINLESS STEEL DISPOSAL,EA,,8006420,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8KELLY FORCEPS CURVED,EA,,8006421,EA,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28IRIS SCISSORS CURVED,EA,,8006422,EA,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38SHAVING CREAM 1.5 OZ,EA,,8006460,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8SHAVE PREP KIT-ER,EA,,8006468,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11IV SET SECONDARY TUBING,EA,,8006470,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8SHAMPOO-NO RINSE 2 OZ,EA,,8006472,EA,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14SHAMPOO NO RINSE,EA,,8006473,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8SHOULDER IMMOB XSMALL,EA,L3670,8006474,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85SHOULDER IMMOB LARGE,EA,L3670,8006475,EA,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52SHOULDER IMMOB MED,EA,L3670,8006476,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85SHOULDER IMMOB SMALL,EA,L3670,8006477,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85SHOULDER PULLEY,EA,,8006478,EA,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30VASHE,EA,,8006479,EA,122,122,122,122,122,122,122,122,122,122,122,122,122,122,122,122,122DAKIN'S SOLUTION,EA,,8006480,EA,143,143,143,143,143,143,143,143,143,143,143,143,143,143,143,143,143VASHE 16OZ,EA,,8006481,EA,219,219,219,219,219,219,219,219,219,219,219,219,219,219,219,219,2194FRX50CM PICC,EA,,8006500,EA,670,670,670,670,670,670,670,670,670,670,670,670,670,670,670,670,6705FRX55CM PICC,EA,,8006503,EA,707,707,707,707,707,707,707,707,707,707,707,707,707,707,707,707,7074FRX20CM MIDLINE NURSING KIT,EA,,8006504,EA,638,638,638,638,638,638,638,638,638,638,638,638,638,638,638,638,638MAX BARRIER KIT,EA,,8006505,EA,280,280,280,280,280,280,280,280,280,280,280,280,280,280,280,280,280HAIR BRUSH,EA,,8006506,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DERMAL CURETTE 3MM,EA,,8006507,EA,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16DERMAL CURETTE 4MM,EA,,8006508,EA,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14ARROW EZ-10 15MM,EA,,8006510,EA,914,914,914,914,914,914,914,914,914,914,914,914,914,914,914,914,914ARROW EZ-10 25MM,EA,,8006511,EA,914,914,914,914,914,914,914,914,914,914,914,914,914,914,914,914,914ARROW EZ-10 45MM,EA,,8006512,EA,914,914,914,914,914,914,914,914,914,914,914,914,914,914,914,914,914ARROW EZ-10 STABILIZER,EA,,8006513,EA,142,142,142,142,142,142,142,142,142,142,142,142,142,142,142,142,142EMESIS BASIN,EA,,8006532,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8SHOULDER PULLEY HOME RANGER,EA,,8006543,EA,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68,685 IN 1 CONNECTOR,EA,,8006557,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11DRESSING OPTIFOAM BASIC,EA,,8006558,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DRESSING PETROLATUM 5X9,EA,,8006559,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DRESSING W/SILVER 4X4,EA,,8006560,EA,90,90,90,90,90,90,90,90,90,90,90,90,90,90,90,90,90DRESSING ACTICOAT FLEX 3,EA,,8006566,EA,120,120,120,120,120,120,120,120,120,120,120,120,120,120,120,120,120WOMEN'S ADMISSION KIT,EA,,8006570,EA,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12MEN'S ADMISSION KIT,EA,,8006575,EA,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12DRAINAGE BAG  1400 ML,EA,,8006580,EA,179,179,179,179,179,179,179,179,179,179,179,179,179,179,179,179,179HEEL FLOAT BOOT,EA,,8006581,EA,347,347,347,347,347,347,347,347,347,347,347,347,347,347,347,347,347HEEL LIFT MED,EA,,8006582,EA,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77HEEL LIFT SMALL,EA,,8006584,EA,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77HEEL LIFT LARGE,EA,,8006585,EA,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77HEIMLICH CHEST DRAIN,EA,,8006586,EA,542,542,542,542,542,542,542,542,542,542,542,542,542,542,542,542,542DRAINAGE BAG,EA,,8006587,EA,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191PRISMA DRESSING,EA,,8006607,EA,113,113,113,113,113,113,113,113,113,113,113,113,113,113,113,113,113SPECIPAN,EA,,8006648,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8SPECIMEN CUPS 4OZ,EA,,8006655,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8STERILE SPONGE FORCEP,EA,,8006656,EA,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31"DRESSING, ALLEVYN LIFE",EA,,8006700,EA,125,125,125,125,125,125,125,125,125,125,125,125,125,125,125,125,125"DRESSING, ALLEVYN LIFE",EA,,8006701,EA,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42"DRESSING,INTERDRY TEXTILE W/SILVER",IN,,8006702,IN,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8"DRESSING, DRAWTEX",EA,,8006703,EA,88,88,88,88,88,88,88,88,88,88,88,88,88,88,88,88,88AQUA GAURD  10X12,EA,,8006704,EA,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36AQUA GAURD  7X7,EA,,8006705,EA,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85,85STAPLE GUN & STAPLES 35W,EA,,8006771,EA,136,136,136,136,136,136,136,136,136,136,136,136,136,136,136,136,136STAPLER SKIN PRECISE DS-5,EA,,8006773,EA,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70STERI-STRIPS 1/4,EA,,8006784,EA,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12"STERI-STRIPS 1/2""",EA,,8006785,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11STERI-STRIPS 1/8,EA,,8006786,EA,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12GLOVE STERILE 9,EA,,8006788,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9GLOVES STERILE BIOGEL 8.5,EA,,8006789,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9GLOVE STERILE 7,EA,,8006791,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9GLOVE STERILE 8,EA,,8006792,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9GLOVES STERILE BIOGEL 6.5,EA,,8006793,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9CATHETER FOLEY 16FR 3-WAY,EA,,8006794,EA,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65GLOVE STERILE 6.5,EA,,8006795,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8SUCTION CATH 14FR,EA,,8006858,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8SUCTION CATH 6FR,EA,,8006859,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8SUCTION CATH 16FR,EA,,8006860,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9SUCTION CATH 10FR,EA,,8006861,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8SUCTION CATH 12FR,EA,,8006862,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8SUCTION YANKAUER & TUBING,EA,,8006863,EA,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30SUCTION CATH 8FR,EA,,8006864,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8YANKUER SUCTION HANDLE,EA,,8006865,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11SUCTION LINER-WALL,EA,,8006869,EA,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13SUCTION CATHETER,EA,,8006874,EA,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15SUCTION TUBING,EA,,8006875,EA,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38SUTURE REMOVAL TRAY,EA,,8006908,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22INCISION/DRAINAGE TRAY,EA,,8006909,EA,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34ADULT PEDIATRIC CHEST DRAINAGE UNIT,EA,,8006910,EA,607,607,607,607,607,607,607,607,607,607,607,607,607,607,607,607,607SELSUN BLUE SHAMPOO,EA,,8006911,EA,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45SUTURE TRAY LARGE,EA,,8006912,EA,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50SUTURE ADHESIVE,EA,,8006913,EA,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18SHAMPOO & BODY WASH,EA,,8006914,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11SUTURE 2-0 CP-1,EA,,8006915,EA,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24"SUTURE 4-0 18""",EA,,8006916,EA,25,25,25,25,25,25,25,25,25,25,25,25,25,25,25,25,25SUTURE 2-0,EA,,8006917,EA,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13SUTURE 3-0,EA,,8006918,EA,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42,42SUTURE 5-0,EA,,8006919,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22SUTURE 6-0,EA,,8006920,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22SUT 4-0 VICRYL PLUS,EA,,8006921,EA,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30SUTURE 3-0 PROLENE,EA,,8006922,EA,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119SUTURE 4-0  CHROMIC GUT,EA,,8006924,EA,47,47,47,47,47,47,47,47,47,47,47,47,47,47,47,47,47SKIN STAPLER REMOVER,EA,,8006930,EA,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36SKIN BARRIER FILM,EA,,8006931,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8SKIN PROTECTANT,EA,,8006932,EA,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52SYRINGE SPLASH SHIELD,EA,,8006955,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17"TED STOCKINGS, KNEE HIGH SMALL",EA,,8007052,EA,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35TED STOCKING KNEE HIGH MED,EA,,8007053,EA,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35TED STOCKINGS KNEE HIGH XLRG,EA,,8007054,EA,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29TED STOCKINGS KNEE HIGH LARGE,EA,,8007055,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33TED STOCKING THIGH SMALL LONG,EA,,8007056,EA,59,59,59,59,59,59,59,59,59,59,59,59,59,59,59,59,59TED STOCKING THIGH LARGE LONG,EA,,8007057,EA,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49TED STOCKING THIGH XXLARGE REG.,EA,,8007058,EA,58,58,58,58,58,58,58,58,58,58,58,58,58,58,58,58,58TED STOCKING THIGH XLARGE REG,EA,,8007059,EA,54,54,54,54,54,54,54,54,54,54,54,54,54,54,54,54,54TED STOCKING THIGH MED LONG,EA,,8007060,EA,59,59,59,59,59,59,59,59,59,59,59,59,59,59,59,59,59TED STOCKING THIGH SMALL REG,EA,,8007061,EA,59,59,59,59,59,59,59,59,59,59,59,59,59,59,59,59,59TED STOCKING THIGH SMALL SHORT,EA,,8007062,EA,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67TED STOCKING THIGH LARGE REGULAR,EA,,8007063,EA,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67TED STOCKING THIGH MEDIUM REGULAR,EA,,8007064,EA,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67TED STOCKING THIGH XLARGE LONG,EA,,8007065,EA,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57TED STOCKING THIGH XLARGE SHORT,EA,,8007066,EA,214,214,214,214,214,214,214,214,214,214,214,214,214,214,214,214,214TED STOCKING THIGH LARGE SHORT,EA,,8007067,EA,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57TED STOCKING THIGH MEDIUM SHORT,EA,,8007068,EA,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64TEGADERM SMALL,EA,A6257,8007075,EA,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12TEGADERM LARGE 6 X 8,EA,A6258,8007076,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33TEGADERM 4X4 W/WINDOW,EA,,8007077,EA,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20TEGADERM 4X5,EA,,8007078,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8TELFA PAD 2 X 3,EA,A6402,8007104,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8TELFA PAD 3 X 6,EA,,8007108,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8TELFA PAD 3 X 4,EA,,8007109,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8TELFA PAD 3 X 8,EA,,8007110,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8TENNIS ELBOW W/PAD,EA,L0150,8007113,EA,100,100,100,100,100,100,100,100,100,100,100,100,100,100,100,100,100CATHETER MALE EXTERNAL  MED.,EA,A4349,8007147,EA,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15CATHETER MALE EXTERNAL  LARGE,EA,A4349,8007148,EA,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15TOOTHETTE,EA,,8007189,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8THUMB FIT ORTHO RIGHT SMALL-MED,EA,L3807,8007190,EA,144,144,144,144,144,144,144,144,144,144,144,144,144,144,144,144,144THUMB FIT ORTHO LEFT LARGE-X-LARGE,EA,L3807,8007191,EA,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139THUMB FIT ORTHO RIGHT LARGE-X-LARGE,EA,L3807,8007192,EA,143,143,143,143,143,143,143,143,143,143,143,143,143,143,143,143,143THUMB FIT ORTHO LEFT SMALL-MED,EA,L3807,8007193,EA,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139,139THUMB FIT ORTHO LEFT UNIVERSIAL,EA,L3807,8007194,EA,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57TOOTHPASTE,EA,,8007195,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8TOOTHBRUSH,EA,,8007196,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8FIXODENT,EA,,8007197,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8MOUTHWASH  1.2 0Z,EA,,8007198,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8THUMB FIT ORTHO RIGHT UNIVERSIAL,EA,L3807,8007200,EA,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70TRACH CARE KIT,EA,,8007327,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,223-WAY HIGH FLOW,EA,,8007328,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8CATHETER FOLEY 8FR,EA,,8007350,EA,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56CATHETER FOLEY 10FR,EA,,8007351,EA,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55CATHETER DRAINAGE BAG,EA,,8007352,EA,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12BLOOD TUBING IV,EA,,8007372,EA,103,103,103,103,103,103,103,103,103,103,103,103,103,103,103,103,103THORACIC CATHETER 24FR,EA,,8007379,EA,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43THORACIC CATHETER 32FR,EA,,8007380,EA,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43RING RUB INFLT,EA,,8007381,EA,76,76,76,76,76,76,76,76,76,76,76,76,76,76,76,76,76THORACIC CATHETER 12FR,EA,,8007382,EA,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43THORACIC CATHETER 28FR,EA,,8007383,EA,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43THORACIC CATH 24FR/THOCAR,EA,,8007384,EA,201,201,201,201,201,201,201,201,201,201,201,201,201,201,201,201,201THORACIC CATH 28FR/TROCAR,EA,,8007385,EA,201,201,201,201,201,201,201,201,201,201,201,201,201,201,201,201,201THORACIC CATHETER 36FR,EA,,8007386,EA,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43FEEDING TUBE DECLOGGER 18-24 FR,EA,,8007387,EA,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43SUCTION CATH 18FR,EA,,8007388,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8THORACIC CATHETER 20FR,EA,,8007389,EA,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148CATHETER FOLEY 6 TWO WAY,EA,,8007390,EA,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57CATHETER FOLEY 12FR,EA,,8007391,EA,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55CATHETER FOLEY 16FR,EA,,8007392,EA,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14CATHETER FOLEY 18FR,EA,,8007393,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9"TUBULAR GAUZE 5/8""",RL,A6457,8007394,RL,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10TUBULAR ELASTIC GAUZE SIZE 1,IN,A6457,8007395,IN,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10TUBULAR ELASTIC GAUZE SIZE 2,IN,A6457,8007396,IN,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10TUBULAR ELASTIC GAUZE SIZE 3,IN,A6457,8007397,IN,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10TUBULAR ELASTIC GAUZE SIZE 4,IN,A6457,8007398,IN,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10TUBULAR ELASTIC GAUZE SIZE 5,IN,A6457,8007399,IN,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10TUBULAR ELASTIC GAUZE SIZE 7,IN,A6457,8007400,IN,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10TUBEGAUZ COTTON SIZE 01,IN,A6457,8007401,IN,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10TUBEGAUZ COTTON SIZE 34,IN,A6457,8007402,IN,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10TUBEGAUZ COTTON SIZE 5,IN,A6457,8007403,IN,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10TUBULAR ELASTIC GAUZE SIZE 8,IN,A6457,8007404,IN,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10THORACIC CATH 16FR/THOCAR,EA,,8007405,EA,223,223,223,223,223,223,223,223,223,223,223,223,223,223,223,223,223TUBEGAUZ COTTON SIZE 2A,IN,A6457,8007406,IN,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10TUBULAR ELASTIC GAUZE SIZE 6,EA,A6457,8007407,EA,163,163,163,163,163,163,163,163,163,163,163,163,163,163,163,163,163TR SOL 0.9% N/S 250ML,EA,,8007412,EA,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34TR SOL 0.9% N/S 500ML,EA,,8007416,EA,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34TR SOL D-5 .45% NS 1000ML,EA,,8007488,EA,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34TR SOL L/RNGRS 1000ML,EA,,8007496,EA,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34TR SOL 0.9% N/S 100ML,EA,,8007524,EA,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20STERILE WATER 500 ML,EA,,8007529,EA,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23STERILE ACCESSORY KIT,EA,,8007530,EA,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28NS 0.9 IRR SOLUTION,EA,,8007538,EA,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31ACETIC ACID 0.25% IRRIGATION SOLUTION,EA,,8007539,EA,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37TR SOL NS FOR IRR 100ML,EA,,8007540,EA,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14MEDIGRIP ELASTIC TUBULAR  F,IN,,8007704,IN,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8MEDIGRIP ELASTIC TUBULAR  G,IN,,8007705,IN,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NEBULIZER MINI HEART HAND HELD,EA,,8007711,EA,276,276,276,276,276,276,276,276,276,276,276,276,276,276,276,276,276NEBULIZER ECLIPSE,EA,,8007712,EA,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50INHALER SPACER,EA,,8007713,EA,61,61,61,61,61,61,61,61,61,61,61,61,61,61,61,61,61TUBE HOLDERS-ADULT,EA,,8007716,EA,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37TUBE HOLDER-PEDI,EA,,8007717,EA,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37ADULT/PEDI CO2 ET TUBING,EA,,8007719,EA,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60INTUBATED CO2 FILTER LINE,EA,,8007720,EA,76,76,76,76,76,76,76,76,76,76,76,76,76,76,76,76,76CO2 NASAL CANNULA TUBING,EA,,8007721,EA,76,76,76,76,76,76,76,76,76,76,76,76,76,76,76,76,76"URINARY BAG,META DRAIN",EA,,8007748,EA,110,110,110,110,110,110,110,110,110,110,110,110,110,110,110,110,110URINALS,EA,,8007749,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8URINE BAGS,EA,,8007750,EA,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14URINARY DRAINAGE BAG,EA,,8007760,EA,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16URINARY LEG BAG,EA,A4358,8007761,EA,41,41,41,41,41,41,41,41,41,41,41,41,41,41,41,41,41URINARY DRAINAGE BAG,EA,A4358,8007762,EA,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38PEDI-URINE COLLECTOR,EA,,8007770,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8VAGINAL SPECULUM (W/ALLYN,EA,,8007790,EA,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40THIGH COMP SLEEVE,EA,,8007800,EA,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57"VASELINE GAUZE 3X9""",EA,,8007832,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8I-GEL 2.5 PEDI,EA,,8008000,EA,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75I-GEL 3 SM ADULT,EA,,8008001,EA,171,171,171,171,171,171,171,171,171,171,171,171,171,171,171,171,171I-GEL 4 MED ADULT,EA,,8008002,EA,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166I-GEL 5 LRG ADULT,EA,,8008003,EA,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166,166I-GEL 2,EA,,8008004,EA,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75MASK VENTURI,EA,,8008005,EA,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19I-GEL  1 NEO,EA,,8008006,EA,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75I-GEL  1.5,EA,,8008007,EA,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75,75AIRVO NASAL CANNULA SMALL,EA,,8008008,EA,220,220,220,220,220,220,220,220,220,220,220,220,220,220,220,220,220AIRVO NASAL CANNULA MED.,EA,,8008009,EA,220,220,220,220,220,220,220,220,220,220,220,220,220,220,220,220,220AIRVO NASAL CANNULA LARGE,EA,,8008010,EA,220,220,220,220,220,220,220,220,220,220,220,220,220,220,220,220,220AIRVO TUBE CHAMBER KITS,EA,,8008011,EA,609,609,609,609,609,609,609,609,609,609,609,609,609,609,609,609,609ELASTIC WRIST SUPPORT LEFT-MED,EA,L3908,8008068,EA,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48ELASTIC WRIST SUPPORT RIGHT LARGE,EA,L3908,8008069,EA,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50ELASTIC WRIST SUPPORT LEFT LARGE,EA,L3908,8008070,EA,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48ELASTIC WRIST SUPPORT RIGHT SMALL,EA,L3908,8008071,EA,47,47,47,47,47,47,47,47,47,47,47,47,47,47,47,47,47ELASTIC WRIST SUPPORT LEFT SMALL,EA,L3908,8008072,EA,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48ELASTIC WRIST SUPPORT LEFT XLARE,EA,L3908,8008073,EA,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48ELASTIC WRIST SUPPORT RIGHT XLARGE,EA,L3908,8008074,EA,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48ELASTIC WRIST SUPPORT RIGHT MED,EA,L3908,8008075,EA,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56WRIST SUPPORT LEFT PEDI,EA,L3908,8008076,EA,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48WRIST SUPPORT RIGHT PEDI,EA,L3908,8008077,EA,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48VORTRAN GO2VENT,EA,,8008100,EA,691,691,691,691,691,691,691,691,691,691,691,691,691,691,691,691,691TUBING ADAPTER,EA,,8008101,EA,227,227,227,227,227,227,227,227,227,227,227,227,227,227,227,227,227VENTILATOR LRG ADULT MASK,EA,,8008102,EA,227,227,227,227,227,227,227,227,227,227,227,227,227,227,227,227,227VENTILATOR FILTER,EA,,8008103,EA,144,144,144,144,144,144,144,144,144,144,144,144,144,144,144,144,144VENTILATOR ADULT/PED TUBING,EA,,8008104,EA,115,115,115,115,115,115,115,115,115,115,115,115,115,115,115,115,115VENTILATOR INF/PED TUBING,EA,,8008105,EA,134,134,134,134,134,134,134,134,134,134,134,134,134,134,134,134,134VENTILATOR XLRG ADULT MASK,EA,,8008106,EA,227,227,227,227,227,227,227,227,227,227,227,227,227,227,227,227,227SAM SPLINT,EA,,8008450,EA,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217METATARSAL CUSH MED.,EA,L0150,8008451,EA,573,573,573,573,573,573,573,573,573,573,573,573,573,573,573,573,573METATARSAL CUSH LRG.,EA,L0150,8008452,EA,573,573,573,573,573,573,573,573,573,573,573,573,573,573,573,573,573METATARSAL COOKIE,EA,L0150,8008453,EA,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50METATARSAL PAD,EA,L0150,8008454,EA,573,573,573,573,573,573,573,573,573,573,573,573,573,573,573,573,573DEODORANT 1.6 OZ SOLID,EA,,8008455,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8METATARSAL ARCH PAD,EA,L0150,8008456,EA,112,112,112,112,112,112,112,112,112,112,112,112,112,112,112,112,112HEEL/ELBOW SM PROTECTOR,PR,,8008461,PR,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44ELBOW SLEEVE SMALL,PR,,8008462,PR,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52POVIDONE/IIODINE SOL 2OZ,EA,,8008463,EA,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27HEEL/ELBOW MED. PROTECTOR,EA,,8008464,EA,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64HEEL/ELBOW LARGE PROTECTOR,EA,,8008465,EA,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64ELBOW SLEEVE MEDIUM,PR,,8008466,PR,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52ELBOW SLEEVE LARGE,PR,,8008467,PR,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52ELBOW SLEEVE XLARGE,PR,,8008468,PR,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52HEEL/ELBOW XLARGE PROTECTOR,EA,,8008469,EA,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64TENNIS ELBOW STRAP,EA,,8008470,EA,72,72,72,72,72,72,72,72,72,72,72,72,72,72,72,72,72HEAL PROTECTOR WITH HEAL RAISER,EA,,8008500,EA,171,171,171,171,171,171,171,171,171,171,171,171,171,171,171,171,171FLEXISEAL FMS SYSTEM,EA,,8008501,EA,"3,617.00","3,617.00","3,617.00","3,617.00","3,617.00","3,617.00","3,617.00","3,617.00","3,617.00","3,617.00","3,617.00","3,617.00","3,617.00","3,617.00","3,617.00","3,617.00","3,617.00"OPHTHALMIC BURR 0.5MM,EA,,8008700,EA,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64FLATUS BAG,EA,,8008881,EA,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16"CASTING 2""",IN,,8008882,IN,429,429,429,429,429,429,429,429,429,429,429,429,429,429,429,429,429"CASTING 3""",IN,,8008883,IN,867,867,867,867,867,867,867,867,867,867,867,867,867,867,867,867,867"CASTING 4""",IN,,8008884,IN,696,696,696,696,696,696,696,696,696,696,696,696,696,696,696,696,696"CASTING 5""",IN,,8008885,IN,864,864,864,864,864,864,864,864,864,864,864,864,864,864,864,864,864URO KIT,EA,,8008886,EA,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32URO SKIN BARRIER,EA,,8008887,EA,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30URO ADAPT CERARING,EA,,8008888,EA,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20"WOUND VAC SIMPLACE EX, MED",EA,,8008889,EA,185,185,185,185,185,185,185,185,185,185,185,185,185,185,185,185,185WOUND VAC CANISTERS,EA,,8008890,EA,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259ULTA VERAFLO CLEANSE MED,EA,,8008891,EA,"1,039.00","1,039.00","1,039.00","1,039.00","1,039.00","1,039.00","1,039.00","1,039.00","1,039.00","1,039.00","1,039.00","1,039.00","1,039.00","1,039.00","1,039.00","1,039.00","1,039.00"EVACUATED CONTAINER,EA,,8008892,EA,226,226,226,226,226,226,226,226,226,226,226,226,226,226,226,226,226CUTIMED SORBACT,EA,,8008893,EA,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34V.A.C. VERALINK,EA,,8008894,EA,433,433,433,433,433,433,433,433,433,433,433,433,433,433,433,433,433SNAP VAC FOAM DRESSING,EA,,8008895,EA,395,395,395,395,395,395,395,395,395,395,395,395,395,395,395,395,395SNAP VAC CARTRIDGE,EA,,8008896,EA,"1,051.00","1,051.00","1,051.00","1,051.00","1,051.00","1,051.00","1,051.00","1,051.00","1,051.00","1,051.00","1,051.00","1,051.00","1,051.00","1,051.00","1,051.00","1,051.00","1,051.00"DRESSING BIOSTEP AG,EA,,8008897,EA,69,69,69,69,69,69,69,69,69,69,69,69,69,69,69,69,69WOUND VAC DRESSING LARGE,EA,,8008898,EA,"1,989.00","1,989.00","1,989.00","1,989.00","1,989.00","1,989.00","1,989.00","1,989.00","1,989.00","1,989.00","1,989.00","1,989.00","1,989.00","1,989.00","1,989.00","1,989.00","1,989.00"WOUND VAC DRESSING WHITE FOAM,EA,,8008899,EA,91,91,91,91,91,91,91,91,91,91,91,91,91,91,91,91,91WOUND VAC Y CONNECTOR,EA,,8008900,EA,330,330,330,330,330,330,330,330,330,330,330,330,330,330,330,330,330WOUND VAC VERA TRAC DUO TUBING SET,EA,,8008901,EA,613,613,613,613,613,613,613,613,613,613,613,613,613,613,613,613,613WOUND VAC SENSA TRAC PAD,EA,,8008902,EA,141,141,141,141,141,141,141,141,141,141,141,141,141,141,141,141,141WOUND VAC Y-CONNECTOR,EA,,8008903,EA,330,330,330,330,330,330,330,330,330,330,330,330,330,330,330,330,330PULLUPS ADULT X LARGE,EA,,8008906,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8BLADE LARYNGOSCOPE DISPOSABLE MAC 4,EA,,8008907,EA,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68BLADE LARYNGOSCOPE DISPOSABLE MAC 5,EA,,8008908,EA,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68WATCHPAT ADHESIVE FOAM DISK,EA,,8009000,EA,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13WATCHPAT UPAT PROBES AC2101300,EA,,8009001,EA,397,397,397,397,397,397,397,397,397,397,397,397,397,397,397,397,397PHY IP ADMIT MOD SEVERITY,EA,99222,9892222,EA,369,369,369,369,369,369,369,369,369,369,369,369,369,369,369,369,369STRESS TEST INTERP,EA,93018,9893018,EA,164,164,164,164,164,164,164,164,164,164,164,164,164,164,164,164,164.POLYSM SLEEP STAGING 4/> ONSITE,EA,9581026,9895810,EA,972,972,972,972,972,972,972,972,972,972,972,972,972,972,972,972,972.POLYSM SLEEP STAG W/CPAP ON SITE,EA,95811,9895811,EA,"5,495.00","5,495.00","5,495.00","5,495.00","5,495.00","5,495.00","5,495.00","5,495.00","5,495.00","5,495.00","5,495.00","5,495.00","5,495.00","5,495.00","5,495.00","5,495.00","5,495.00"RMVL DEVITAL TIS 20CM,EA,97597,9897597,EA,328,328,328,328,328,328,328,328,328,328,328,328,328,328,328,328,328RMVL DEVITAL TIS ADDL 20CM,EA,97598,9897598,EA,230,230,230,230,230,230,230,230,230,230,230,230,230,230,230,230,230PHY OBS CARE DISCHARGE,EA,99217,9899217,EA,186,186,186,186,186,186,186,186,186,186,186,186,186,186,186,186,186PHY OBS ADMIT LW SEVERITY,EA,99218,9899218,EA,232,232,232,232,232,232,232,232,232,232,232,232,232,232,232,232,232PHY OBS ADMIT MOD SEVERIT,EA,99219,9899219,EA,315,315,315,315,315,315,315,315,315,315,315,315,315,315,315,315,31599220 ADMIT OBS HI SEVERITY,EA,99220,9899220,EA,394,394,394,394,394,394,394,394,394,394,394,394,394,394,394,394,394PHY IP ADMIT LOW SEVERITY,EA,99221,9899221,EA,276,276,276,276,276,276,276,276,276,276,276,276,276,276,276,276,276PHY IP ADMIT HI SEVERITY,EA,99223,9899223,EA,453,453,453,453,453,453,453,453,453,453,453,453,453,453,453,453,453.SLEEP STUDY UNATTENDED,EA,95800,9899580,EA,"1,562.00","1,562.00","1,562.00","1,562.00","1,562.00","1,562.00","1,562.00","1,562.00","1,562.00","1,562.00","1,562.00","1,562.00","1,562.00","1,562.00","1,562.00","1,562.00","1,562.00"99224 SUBSEQ OBS CARE LOW,EA,99224AQ,10099224,EA,318,318,318,318,318,318,318,318,318,318,318,318,318,318,318,318,318PT EVAL DRY NEEDLING,EA,97161GP,30297161,EA,137,137,137,137,137,137,137,137,137,137,137,137,137,137,137,137,137RE-EVAL DRY NEEDLING,EA,97164GP,30297164,EA,78,78,78,78,78,78,78,78,78,78,78,78,78,78,78,78,78OCCUP THY THERAPEUTIC EXERCICES,EA,97110GO,31297110,EA,233,233,233,233,233,233,233,233,233,233,233,233,233,233,233,233,233"BEHAVIORAL ASSESSMENT, LIMITED",EA,96127,61200001,EA,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36"HEALTH BEHAVIOR ASSESSMENT, EXTENDED",EA,96156,61200002,EA,682,682,682,682,682,682,682,682,682,682,682,682,682,682,682,682,682ADM 1ST DOSE PFZ 6MO-4YRS,EA,0081A,61200006,EA,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421ASPIRIN 325 MG TAB,EA,,61200007,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ADMIN FLU VACCINE,EA,G0008,61200008,EA,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64ADM PNEUMO VACCINE,EA,G0009,61200009,EA,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64ADMN HEP B VAC/NO PHY FEE,EA,G0010,61200010,EA,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32ADM 2ND DOSE PFZ 6MO-4YR,EA,0082A,61200011,EA,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421ADM 3RD DOSE PFZ PEDI 5-11,EA,0073A,61200014,EA,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421ADM BOOSTER DOSE PFZ PEDI 12+,EA,0054A,61200015,EA,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421ADM 2ND DOSE NOVAVAX 12+,EA,0042A,61200042,EA,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421ADM BOOSTER NOVAVAX,EA,0044A,61200044,EA,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421SCREENING PAP,EA,Q0091,61200091,EA,78,78,78,78,78,78,78,78,78,78,78,78,78,78,78,78,78SCREENING CERVICAL,EA,G0101,61200101,EA,212,212,212,212,212,212,212,212,212,212,212,212,212,212,212,212,212SCREENING PSA-DIGITAL,EA,G0102,61200102,EA,136,136,136,136,136,136,136,136,136,136,136,136,136,136,136,136,136ADM BIVALENT PFIZER 12+,EA,0124A,61200124,EA,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421ADM BIVALENT MODERNA BOOSTER 12+,EA,0134A,61200134,EA,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421ADM BIVALENT MODERNA BOOSTER 6-11,EA,0144A,61200144,EA,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421ADM BIVALENT PFIZER BOOSTER 5-12,EA,0154A,61200154,EA,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421EXAM INITIAL MEDICARE,EA,G0402,61200402,EA,220,220,220,220,220,220,220,220,220,220,220,220,220,220,220,220,220INITIAL PREVENTATIVE PHYSICAL EXAM,EA,G0402,61200438,EA,199,199,199,199,199,199,199,199,199,199,199,199,199,199,199,199,199SUBSEQUENT ANN WELLNESS VISIT MEDICARE,EA,G0439,61200439,EA,167,167,167,167,167,167,167,167,167,167,167,167,167,167,167,167,167BICILLIN LA 1.2 MIL UNITS VL,EA,J0561,61200570,EA,79,79,79,79,79,79,79,79,79,79,79,79,79,79,79,79,79SUTURE REMOVAL,EA,S0630,61200630,EA,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28ASPIRIN 81 MG CHEWABLE,EA,,61201047,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NITROGLYCERIN 0.4MG TABLET,EA,J8499,61201048,EA,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6ACETAMINOPHEN 500MG TAB,EA,A9150,61201072,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ACTIDOSE WITH SORBITOL 59MG/8OZ,EA,,61201143,EA,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119,119ALBUTEROL 2.5MG/3ML 0.083% NEB,EA,J7611,61201233,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8TETRACAINE HCL 0.5% OPH SOL,EA,,61201237,EA,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29APLISOL 5TU/0.1ml,EA,86580,61201454,EA,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19IPRATROPIUM BROMIDE 0.02% NEB,EA,J7644,61201615,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10DIPHENHYDRAMINE 25MG TAB,EA,Q0163,61201708,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DIPHENHYDRAMINE 12.5MG/5ML LIQ,EA,Q0163,61201714,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8KNEE IMMOBILIZER PREFAB,EA,L1830,61201830,EA,121,121,121,121,121,121,121,121,121,121,121,121,121,121,121,121,121"BOOSTRIX - TDAP, 7 AND UP",EA,90715,61201885,EA,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70AFO ANKLE GAUNTLET,EA,L1902,61201902,EA,92,92,92,92,92,92,92,92,92,92,92,92,92,92,92,92,92TELEMED LEVEL 3,EA,9921395,61202025,EA,371,371,371,371,371,371,371,371,371,371,371,371,371,371,371,371,371TELEMED LEVEL 2,EA,9921295,61202026,EA,340,340,340,340,340,340,340,340,340,340,340,340,340,340,340,340,340TELEMED LEVEL 4,EA,9921495,61202027,EA,412,412,412,412,412,412,412,412,412,412,412,412,412,412,412,412,412TELEMED LEVEL 5,EA,9921595,61202028,EA,464,464,464,464,464,464,464,464,464,464,464,464,464,464,464,464,464CEFTRIAXONE 1GM VL,EA,J0696,61202183,EA,129,129,129,129,129,129,129,129,129,129,129,129,129,129,129,129,129CEFTRIAXONE 500MG VL,EA,J0696,61202185,EA,63,63,63,63,63,63,63,63,63,63,63,63,63,63,63,63,63CEFTRIAXONE 250MG VL,EA,J0696,61202186,EA,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32BETAMETHASONE SOD PHOS & ACE 6MG/ML,EA,J0702,61202222,EA,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36CLONIDINE 0.1MG TABLET,EA,J0735,61202411,EA,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6,6CYANOCOBALAMIN 1000MCG/ML VL,EA,J3420,61202695,EA,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20DEPO-MEDROL 80MG/ML VL,EA,J1040,61202792,EA,51,51,51,51,51,51,51,51,51,51,51,51,51,51,51,51,51DEPO TESTOSTERONE 200MG/ML VL,EA,J1071,61202804,EA,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34DEXAMETHASON 4MG/ML VL,EA,J1100,61202835,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22BENTYL 20MG/2ML AMP,EA,J0500,61202842,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11DEPO PROVERA SYR,EA,J1050,61202899,EA,120,120,120,120,120,120,120,120,120,120,120,120,120,120,120,120,120BENADRYL 50MG/ML VL,EA,J1200,61202939,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8TELEHEALTH-ORG SITE FEE,EA,Q3014,61203014,EA,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23EPINEPHRINE 1:1000 1MG/ML AMP,EA,J0170,61203279,EA,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30FUROSEMIDE 20MG/2ML VL,EA,J1940,61203560,EA,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21FUROSEMIDE 20MG TAB,EA,J3490,61203563,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ELBOW BRACE SOFT W/O JNTS,EA,L3762,61203762,EA,26,26,26,26,26,26,26,26,26,26,26,26,26,26,26,26,26HFO THUMB ABDUCTED SUPORT,EA,L3924,61203924,EA,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57WRIST/THUMB/FINGER SUPORT,EA,L3930,61203930,EA,90,90,90,90,90,90,90,90,90,90,90,90,90,90,90,90,90HYDROXYZINE 25MG/ML VL,EA,J3410,61204036,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22INSULIN R VL (PER 5UN),EA,J1815,61204171,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9ANKLE SPLINT,EA,L4350,61204350,EA,103,103,103,103,103,103,103,103,103,103,103,103,103,103,103,103,103KETOROLAC TROMETHA 30MG/ML VL,EA,J1885,61204439,EA,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29SLING ARM UNIVERSAL,EA,A4565,61204565,EA,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23LIDOCAINE HCL 2% ORAL TOPICAL SOL,EA,,61204655,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LINCOCIN 300MG/ML VL,EA,J2010,61204666,EA,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31MAGNESIUM SULFATE 0.5GM/ML VL,EA,J3475,61204796,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17IBUPROFEN 20MG/ML LIQ,EA,A9150,61205017,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NALOXONE HCL 1MG/ML SYR,EA,J2310,61205116,EA,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18NITROBID 2% OINT,EA,,61205236,EA,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15ONDANSETRON ODT 4MG,EA,Q0162,61205361,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ORPHENADRINE CITRATE 60MG/2ML,EA,J2360,61205452,EA,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32PROMETHAZINE HCL 50MG/ML AMP,EA,J2550,61205769,EA,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24DEPO-ESTRADIOL 5MG/ML VL,EA,J1000,61205950,EA,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19"ACE BANDAGE 2""",EA,A6448,61206448,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8"ACE BANDAGE 3-5""",EA,A6449,61206449,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8NEUT 2.4 MEQ/5ML,EA,,61206569,EA,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27SOLU-MEDROL 125MG/ML ACT-O-VIAL,EA,J2930,61206620,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22KENALOG 40MG/ML VL,EA,J3301,61207398,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11ACETAMINOPHEN 160MG/5ML LIQ,EA,A9150,61207648,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8XOPENEX 0.63MG/3ML NEB,EA,J7614,61208076,EA,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16XOPENEX 1.25MG/0.5ML NEB,EA,J7612,61208077,EA,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16LIDOCAINE HCL 1% 10MG/0.5ML VL,EA,J2001,61208079,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11XYLOCAINE 2% VL,EA,J2001,61208099,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8LIDOCAINE HCL USP 2% JELLY,EA,,61208104,EA,26,26,26,26,26,26,26,26,26,26,26,26,26,26,26,26,26CLINDAMYCIN 300MG/2ML VL,EA,S0077,61208232,EA,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12MARCAINE 0.5% 150MG/30ML VL,EA,S0080,61208235,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8MENINGOCOCCAL VACCINE,EA,90734,61208237,EA,188,188,188,188,188,188,188,188,188,188,188,188,188,188,188,188,188SPLINT PREFAB WRIST/ANKLE,EA,S8451,61208451,EA,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45ACTHIB VACCINE 0.5ML SYR,EA,90648,61209000,EA,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50DTAP/HIB/IPV 0.5ML VACCINE,EA,90698,61209001,EA,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210"ENERGIX B - HEP B, PEDI",EA,90744,61209002,EA,118,118,118,118,118,118,118,118,118,118,118,118,118,118,118,118,118GARDASIL 9 VACCINE 0.5ML VL,EA,90651,61209003,EA,452,452,452,452,452,452,452,452,452,452,452,452,452,452,452,452,452"HAVRIX - HEP A, PEDI",EA,90633,61209004,EA,91,91,91,91,91,91,91,91,91,91,91,91,91,91,91,91,91INFANRIX (DTAP) VACCINE 0.5ML,EA,90700,61209005,EA,59,59,59,59,59,59,59,59,59,59,59,59,59,59,59,59,59IPOL - IPV VACCINE 0.5ML,EA,90713,61209006,EA,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68"BEXSERO - MENINGOCOCCAL B, OMV",EA,90620,61209007,EA,"1,900.00","1,900.00","1,900.00","1,900.00","1,900.00","1,900.00","1,900.00","1,900.00","1,900.00","1,900.00","1,900.00","1,900.00","1,900.00","1,900.00","1,900.00","1,900.00","1,900.00""HAVRIX - HEP A, ADULT VACCINE",EA,90632,61209009,EA,489,489,489,489,489,489,489,489,489,489,489,489,489,489,489,489,489KINRIX VACCINE 0.5ML SYR,EA,90696,61209010,EA,370,370,370,370,370,370,370,370,370,370,370,370,370,370,370,370,370FLU VACCINE 36M-65Y,EA,90674,61209011,EA,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49PREVNAR 13 - PNEUMOCOCCAL  PCV13,EA,90670,61209012,EA,412,412,412,412,412,412,412,412,412,412,412,412,412,412,412,412,412MMR II VACCINE 0.5ML,EA,90707,61209014,EA,93,93,93,93,93,93,93,93,93,93,93,93,93,93,93,93,93PEDIARIX VACCINE,EA,90723,61209015,EA,200,200,200,200,200,200,200,200,200,200,200,200,200,200,200,200,200PNEUMOVAX 23,EA,90732,61209016,EA,399,399,399,399,399,399,399,399,399,399,399,399,399,399,399,399,399PROQUAD VACCINE 0.5ML,EA,90710,61209017,EA,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476,476VARIVAX VACCINE 0.5ML,EA,90716,61209018,EA,300,300,300,300,300,300,300,300,300,300,300,300,300,300,300,300,300"ENGERIX B - HEP B, ADULT",EA,90746,61209022,EA,445,445,445,445,445,445,445,445,445,445,445,445,445,445,445,445,445PREVNAR 20 VACCINE,EA,90677,61209024,EA,412,412,412,412,412,412,412,412,412,412,412,412,412,412,412,412,412"ADACEL - TDAP, 7 AND UP",EA,90715,61209027,EA,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70"FLU VACCINE - HIGH DOSE, OVER 65",EA,90662,61209028,EA,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71"FLU VACCINE, PEDI QUADRIVALENT",EA,90685,61209029,EA,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27,27MEDICARE ANNUAL WELLNES VISIT,EA,G0439,61209031,EA,220,220,220,220,220,220,220,220,220,220,220,220,220,220,220,220,22099304 TELEMED NH ADMIT LOW COMPLEXITY,EA,9930495,61209304,EA,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191,191,19199305 TELEMED NH ADMIT MODERATE,EA,9930595,61209305,EA,272,272,272,272,272,272,272,272,272,272,272,272,272,272,272,272,27299306 TELEMED NH ADMIT HIGH COMPLEXITY,EA,9930695,61209306,EA,331,331,331,331,331,331,331,331,331,331,331,331,331,331,331,331,33199307 TELEMED NH PHY SUBS VST STABLE,EA,99307CG95,61209307,EA,197,197,197,197,197,197,197,197,197,197,197,197,197,197,197,197,19799308 TELEMED NH PHY SUBS VST MINOR,EA,99308CG95,61209308,EA,149,149,149,149,149,149,149,149,149,149,149,149,149,149,149,149,14999309 TELEMED NH PHY SUBS VST SIGNIFICAN,EA,9930995,61209309,EA,214,214,214,214,214,214,214,214,214,214,214,214,214,214,214,214,21499315 TELEMED NH PHYS DISCHARGE <30,EA,9931595,61209315,EA,153,153,153,153,153,153,153,153,153,153,153,153,153,153,153,153,15399316 TELEMED NH PHYS DISCHARGE >30,EA,9931695,61209316,EA,190,190,190,190,190,190,190,190,190,190,190,190,190,190,190,190,19099318 TELEMED NH H&P ANNUAL VISIT,EA,9931895,61209318,EA,180,180,180,180,180,180,180,180,180,180,180,180,180,180,180,180,180ACNE SURGERY,EA,10040,61210040,EA,266,266,266,266,266,266,266,266,266,266,266,266,266,266,266,266,266I&D ABSCESS SIMPLE/SINGLE,EA,10060,61210060,EA,374,374,374,374,374,374,374,374,374,374,374,374,374,374,374,374,374I&D ABSCESS COMP/MULTIPLE,EA,10061,61210061,EA,736,736,736,736,736,736,736,736,736,736,736,736,736,736,736,736,736I & R FOREIGN BODY SUBQ,EA,10120,61210120,EA,395,395,395,395,395,395,395,395,395,395,395,395,395,395,395,395,395PUN ASP ABS/HMTMA/BULA/CY,EA,10160,61210160,EA,338,338,338,338,338,338,338,338,338,338,338,338,338,338,338,338,338DEB SKIN UP TO 10% BODY S,EA,11000,61211000,EA,249,249,249,249,249,249,249,249,249,249,249,249,249,249,249,249,249DBRDMT SUBC TISSUE,EA,11042,61211042,EA,419,419,419,419,419,419,419,419,419,419,419,419,419,419,419,419,419PUNCH BIOPSY 1 LESION,EA,11104,61211100,EA,267,267,267,267,267,267,267,267,267,267,267,267,267,267,267,267,267BX SK SUBQ/MUC MEM SPX AD,EA,11101,61211101,EA,159,159,159,159,159,159,159,159,159,159,159,159,159,159,159,159,159REMOVE SKIN TAGS 1-15,EA,11200,61211200,EA,240,240,240,240,240,240,240,240,240,240,240,240,240,240,240,240,240REMOVE SKN TAGS EA ADL 10,EA,11201,61211201,EA,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130,130SHAV LESON T/A/L .5CM OR<,EA,11300,61211300,EA,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236,236SHVG SK LES 1 < TAL .06-1,EA,11301,61211301,EA,291,291,291,291,291,291,291,291,291,291,291,291,291,291,291,291,291SHV SK LES S/N/H/F/G .5/<,EA,11305,61211305,EA,254,254,254,254,254,254,254,254,254,254,254,254,254,254,254,254,254EXC B9 LES T/A/L <0.5CM,EA,11400,61211400,EA,303,303,303,303,303,303,303,303,303,303,303,303,303,303,303,303,303EXC BENIGN LES T/A/L .6-1,EA,11401,61211401,EA,360,360,360,360,360,360,360,360,360,360,360,360,360,360,360,360,360EXC B9 LES T/A/L 1.1-2 CM,EA,11402,61211402,EA,460,460,460,460,460,460,460,460,460,460,460,460,460,460,460,460,460EXC B9 LES T/A/L 2.1-3 CM,EA,11403,61211403,EA,600,600,600,600,600,600,600,600,600,600,600,600,600,600,600,600,600EXC B9 LES T/A/L 3.1-4 CM,EA,11404,61211404,EA,777,777,777,777,777,777,777,777,777,777,777,777,777,777,777,777,777EXC B9 LES T/A/L >4.0CM,EA,11406,61211406,EA,"1,035.00","1,035.00","1,035.00","1,035.00","1,035.00","1,035.00","1,035.00","1,035.00","1,035.00","1,035.00","1,035.00","1,035.00","1,035.00","1,035.00","1,035.00","1,035.00","1,035.00"EXC B9 LE S/N/H/F/G .5<,EA,11420,61211420,EA,617,617,617,617,617,617,617,617,617,617,617,617,617,617,617,617,617EXC B9 LES .6-1.0CM,EA,11421,61211421,EA,415,415,415,415,415,415,415,415,415,415,415,415,415,415,415,415,415EXC B9 LES MGN XCP 1.1-2CM,EA,11422,61211422,EA,523,523,523,523,523,523,523,523,523,523,523,523,523,523,523,523,523EXC B9 LESION 1.1-2.0 CM,EA,11423,61211423,EA,730,730,730,730,730,730,730,730,730,730,730,730,730,730,730,730,730EXC B9 LE MN XCP SK TG 3.1,EA,11424,61211424,EA,935,935,935,935,935,935,935,935,935,935,935,935,935,935,935,935,935EXC OTH B9 F/E/E/N <0.5CM,EA,11440,61211440,EA,360,360,360,360,360,360,360,360,360,360,360,360,360,360,360,360,360EXC OTH B9 F/E/E/N .6-1CM,EA,11441,61211441,EA,475,475,475,475,475,475,475,475,475,475,475,475,475,475,475,475,475EXC OTH B9 F/E/E/N 1.1-2CM,EA,11442,61211442,EA,632,632,632,632,632,632,632,632,632,632,632,632,632,632,632,632,632EXC SEBACEOUS CYST,EA,11443,61211443,EA,831,831,831,831,831,831,831,831,831,831,831,831,831,831,831,831,831EXC MAL LES T/A/L <.5CM,EA,11600,61211600,EA,511,511,511,511,511,511,511,511,511,511,511,511,511,511,511,511,511EXC DIAMETER 1.1 - 2.0 CM,EA,11602,61211602,EA,604,604,604,604,604,604,604,604,604,604,604,604,604,604,604,604,604EXC 6.5 POST THORAX,EA,11606,61211606,EA,"1,258.00","1,258.00","1,258.00","1,258.00","1,258.00","1,258.00","1,258.00","1,258.00","1,258.00","1,258.00","1,258.00","1,258.00","1,258.00","1,258.00","1,258.00","1,258.00","1,258.00"EXC MAL LES S/N/H/F/G <0.5,EA,11620,61211620,EA,511,511,511,511,511,511,511,511,511,511,511,511,511,511,511,511,511EXC MAL LES S/N/H/F/G 0.6-1,EA,11621,61211621,EA,573,573,573,573,573,573,573,573,573,573,573,573,573,573,573,573,573EXC MAL LES S/N/H/F/G 1.1-2,EA,11622,61211622,EA,683,683,683,683,683,683,683,683,683,683,683,683,683,683,683,683,683EXC MAL LES S/N/H/F/G>4.0,EA,11626,61211626,EA,"1,344.00","1,344.00","1,344.00","1,344.00","1,344.00","1,344.00","1,344.00","1,344.00","1,344.00","1,344.00","1,344.00","1,344.00","1,344.00","1,344.00","1,344.00","1,344.00","1,344.00"EXC MAL LES F/E/E/N/L<0.5,EA,11640,61211640,EA,530,530,530,530,530,530,530,530,530,530,530,530,530,530,530,530,530EXC MAL LES F/E/E/N/L.6-1,EA,11641,61211641,EA,683,683,683,683,683,683,683,683,683,683,683,683,683,683,683,683,683EXC MAL LES F/E/E/N/L 1.1-2,EA,11642,61211642,EA,860,860,860,860,860,860,860,860,860,860,860,860,860,860,860,860,860NAIL AVULSION OF PLATE,EA,11730,61211730,EA,349,349,349,349,349,349,349,349,349,349,349,349,349,349,349,349,349AVULSION OF NAIL EA ADD'L,EA,11732,61211732,EA,174,174,174,174,174,174,174,174,174,174,174,174,174,174,174,174,174EVAC SUBUNGAL HMTMA,EA,11740,61211740,EA,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158NAIL PERMANENT REMOVAL,EA,11750,61211750,EA,711,711,711,711,711,711,711,711,711,711,711,711,711,711,711,711,711NAIL BED REPAIR,EA,11760,61211760,EA,869,869,869,869,869,869,869,869,869,869,869,869,869,869,869,869,869INJECTION INTRALESIONAL,EA,11900,61211900,EA,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158,158PHY LAC HEAD/EXTR <2.5 CM,EA,12001,61212001,EA,549,549,549,549,549,549,549,549,549,549,549,549,549,549,549,549,549PHY LAC HEAD/EXTR 2.6-7.5,EA,12002,61212002,EA,655,655,655,655,655,655,655,655,655,655,655,655,655,655,655,655,655PHY LAC FACE/EARS <2.5CM,EA,12011,61212011,EA,665,665,665,665,665,665,665,665,665,665,665,665,665,665,665,665,665PHY LAC FACE/EARS 2.6-5.0,EA,12013,61212013,EA,767,767,767,767,767,767,767,767,767,767,767,767,767,767,767,767,767PHY LAC FACE/EARS 12.6-20,EA,12016,61212016,EA,"1,514.00","1,514.00","1,514.00","1,514.00","1,514.00","1,514.00","1,514.00","1,514.00","1,514.00","1,514.00","1,514.00","1,514.00","1,514.00","1,514.00","1,514.00","1,514.00","1,514.00"PHY LAC REPAIR 2.5CM,EA,12031,61212031,EA,568,568,568,568,568,568,568,568,568,568,568,568,568,568,568,568,568GLUCOSE FINGERSTICK,EA,82962QW,61212962,EA,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32PHY LAC COMPLEX 2.6-7.5 C,EA,13121,61213121,EA,"1,104.00","1,104.00","1,104.00","1,104.00","1,104.00","1,104.00","1,104.00","1,104.00","1,104.00","1,104.00","1,104.00","1,104.00","1,104.00","1,104.00","1,104.00","1,104.00","1,104.00"PHY LAC COMPLEX ADDL 5 C,EA,13122,61213122,EA,445,445,445,445,445,445,445,445,445,445,445,445,445,445,445,445,445CAPILLARY INR,EA,85610QW,61215610,EA,79,79,79,79,79,79,79,79,79,79,79,79,79,79,79,79,79DBRNDMT PRTL-THKNS BURNS,EA,16020,61216020,EA,251,251,251,251,251,251,251,251,251,251,251,251,251,251,251,251,251DESTRUCTION 1 LESION,EA,17000,61217000,EA,189,189,189,189,189,189,189,189,189,189,189,189,189,189,189,189,189DESTRUCTION 2-14 LESIONS,EA,17003,61217003,EA,54,54,54,54,54,54,54,54,54,54,54,54,54,54,54,54,54DESTRUCTION PREMNGT >15,EA,17004,61217004,EA,201,201,201,201,201,201,201,201,201,201,201,201,201,201,201,201,201WART REMOVAL,EA,17110,61217110,EA,212,212,212,212,212,212,212,212,212,212,212,212,212,212,212,212,212ADMIN FLU VACE/NO PHY FEE,EA,G0008,61220008,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33ADM PNEUMO VAC/NO PHY FEE,EA,G0009,61220009,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33ADMN HEP B VAC/NO PHY FEE,EA,G0010,61220010,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33MARCAINE,EA,S0020,61220020,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ACNE SURGERY,EA,10040,61220040,EA,286,286,286,286,286,286,286,286,286,286,286,286,286,286,286,286,286BASIC METABOLIC PANEL,EA,80048,61220048,EA,163,163,163,163,163,163,163,163,163,163,163,163,163,163,163,163,163GENERAL HEALTH PANEL,EA,80050,61220050,EA,244,244,244,244,244,244,244,244,244,244,244,244,244,244,244,244,244ELECTROLYTE PANEL,EA,80051,61220051,EA,137,137,137,137,137,137,137,137,137,137,137,137,137,137,137,137,137COMP METABOLIC PANEL,EA,80053,61220053,EA,257,257,257,257,257,257,257,257,257,257,257,257,257,257,257,257,257I&D ABSCESS SIMPLE/SINGLE,EA,10060,61220060,EA,397,397,397,397,397,397,397,397,397,397,397,397,397,397,397,397,397LIPID PANEL,EA,80061,61220061,EA,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131I&D ABSCESS COMP/MULTIPLE,EA,10061,61220062,EA,791,791,791,791,791,791,791,791,791,791,791,791,791,791,791,791,791INJECTION INTRALESIONAL,EA,11900,61220063,EA,171,171,171,171,171,171,171,171,171,171,171,171,171,171,171,171,171HEPATIC FUNCTION PANEL,EA,80076,61220076,EA,229,229,229,229,229,229,229,229,229,229,229,229,229,229,229,229,229CLINDAMYCIN INJ 300MG,EA,S0077,61220077,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11INJECTION,EA,,61220100,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DRUG SCREEN SINGLE DRUG,EA,G0434-QW,61220101,EA,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81PSA-SCREENING,EA,G0103,61220103,EA,121,121,121,121,121,121,121,121,121,121,121,121,121,121,121,121,121IPOL,EA,90713,61220104,EA,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68,68OCCULT BLOOD SCREN ANNUAL,EA,82270,61220107,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33I & R FOREIGN BODY SUBQ,EA,10120,61220120,EA,425,425,425,425,425,425,425,425,425,425,425,425,425,425,425,425,425THIN PREP SCREENING,EA,G0123,61220123,EA,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38PUN ASP ABS/HMTMA/BULA/CY,EA,10160,61220160,EA,364,364,364,364,364,364,364,364,364,364,364,364,364,364,364,364,364DIGOXIN LEVEL,EA,80162,61220162,EA,124,124,124,124,124,124,124,124,124,124,124,124,124,124,124,124,124DILANTIN LEVEL,EA,80185,61220185,EA,124,124,124,124,124,124,124,124,124,124,124,124,124,124,124,124,124THEOPHYLLINE LEVEL,EA,80198,61220198,EA,99,99,99,99,99,99,99,99,99,99,99,99,99,99,99,99,99RIB BELT,EA,,61220210,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22NASAL FOREIGN BODY REMOVL,EA,30300,61220300,EA,473,473,473,473,473,473,473,473,473,473,473,473,473,473,473,473,473IMMUNIZATION 1 INJ,EA,90471,61220471,EA,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65IMMUNIZATION EA ADD'L,EA,90472,61220472,EA,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40BENTYL UP TO 200MG,EA,J0500,61220500,EA,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30BICILLIN,EA,J0561,61220541,EA,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36INJ SINGLE TENDON SHEATH,EA,20550,61220550,EA,263,263,263,263,263,263,263,263,263,263,263,263,263,263,263,263,263INJ SINGLE TENDON SHEATH,EA,20550,61220551,EA,283,283,283,283,283,283,283,283,283,283,283,283,283,283,283,283,283TRIGGER POINT INJ,EA,20552,61220552,EA,212,212,212,212,212,212,212,212,212,212,212,212,212,212,212,212,212TRIGGER POINT INJ,EA,20552,61220552,EA,225,225,225,225,225,225,225,225,225,225,225,225,225,225,225,225,225STADOL 1MG,EA,J0595,61220595,EA,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20JOINT INJ SMALL,EA,20600,61220600,EA,212,212,212,212,212,212,212,212,212,212,212,212,212,212,212,212,212JOINT INJ SMALL,EA,20600,61220600,EA,225,225,225,225,225,225,225,225,225,225,225,225,225,225,225,225,225JOINT INJ INTERMEDIATE,EA,20605,61220605,EA,231,231,231,231,231,231,231,231,231,231,231,231,231,231,231,231,231JOINT INJ INTERMEDIATE,EA,20605,61220605,EA,245,245,245,245,245,245,245,245,245,245,245,245,245,245,245,245,245ARTHROCENTISIS - LG JNT,EA,20610,61220610,EA,271,271,271,271,271,271,271,271,271,271,271,271,271,271,271,271,271JOINT INJ MAJOR,EA,20610,61220610,EA,288,288,288,288,288,288,288,288,288,288,288,288,288,288,288,288,288ASPIR/INJ GANGLION CYST,EA,20612,61220612,EA,212,212,212,212,212,212,212,212,212,212,212,212,212,212,212,212,212ASPIR/INJ GANGLION CYST,EA,20612,61220612,EA,225,225,225,225,225,225,225,225,225,225,225,225,225,225,225,225,225FLU VACCINE 3+ YRS,EA,90658,61220658,EA,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49ROCEPHIN 250MG,EA,J0696,61220696,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33JOINT INJ MAJOR,EA,20610,61220701,EA,566,566,566,566,566,566,566,566,566,566,566,566,566,566,566,566,566CELESTONE 3MG,EA,J0702,61220702,EA,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29MMR VIRUS INJ,EA,90707,61220705,EA,95,95,95,95,95,95,95,95,95,95,95,95,95,95,95,95,95TETANUS/DIPHTHER PRE FREE,EA,90714,61220714,EA,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44TETANUS/DIPHTHERIA,EA,90714,61220718,EA,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44,44PNEUMOVAX,EA,90732,61220732,EA,110,110,110,110,110,110,110,110,110,110,110,110,110,110,110,110,110CLONIDINE .1MG,EA,J0735,61220735,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8HEP B PEDI/ADOLESCENT,EA,90744,61220744,EA,121,121,121,121,121,121,121,121,121,121,121,121,121,121,121,121,121HEP B ADULT 1 INJ,EA,90746,61220746,EA,232,232,232,232,232,232,232,232,232,232,232,232,232,232,232,232,232IMMUNIZATION DSHS,EA,90749,61220749,EA,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36ADMIN INJ INTRAVENOUS,EA,96361,61220774,EA,126,126,126,126,126,126,126,126,126,126,126,126,126,126,126,126,126FAMILY/CAREGIVER CONSULT,EA,90887,61220887,EA,266,266,266,266,266,266,266,266,266,266,266,266,266,266,266,266,266EPISTAXIS ANTERIOR SIMPLE,EA,30901AQ,61220901,EA,359,359,359,359,359,359,359,359,359,359,359,359,359,359,359,359,359BROMPHENIRAMINE MAL 10MG,EA,J0945,61220945,EA,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21URINALYSIS DIP STICK,EA,81000,61221000,EA,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37URINALYSIS AUTO W/MCRSCPY,EA,81001,61221001,EA,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65DIP STICK URINALYSIS,EA,81002,61221002,EA,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29URINALYSIS AUTO W/O MICRO,EA,81003,61221003,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33DEPO-ESTRADIOL 5MG,EA,J1000,61221004,EA,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18,18URINALYSIS MICRO ONLY,EA,81015,61221015,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33PREGNANCY URINE,EA,81025,61221025,EA,53,53,53,53,53,53,53,53,53,53,53,53,53,53,53,53,53DEPO-MEDROL 40MG,EA,J1030,61221030,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DBRDMT SUBC TISSUE,EA,,61221042,EA,451,451,451,451,451,451,451,451,451,451,451,451,451,451,451,451,451DEPO-MEDROL 80MG/CC,EA,J1040,61221045,EA,53,53,53,53,53,53,53,53,53,53,53,53,53,53,53,53,53MEDROXYPROGESTROL INJ 150,EA,J1050,61221050,EA,124,124,124,124,124,124,124,124,124,124,124,124,124,124,124,124,124MEDROXYPROGESTROL INJ 150,EA,J1050,61221055,EA,124,124,124,124,124,124,124,124,124,124,124,124,124,124,124,124,124TESTOSTERONE DEPO 200MG,EA,J1071,61221071,EA,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35DECADRON DEXAMETHASON 1CC,EA,J1100,61221100,EA,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21BX SK SUBQ/MUC MEM SPX AD,EA,11101,61221101,EA,173,173,173,173,173,173,173,173,173,173,173,173,173,173,173,173,173PUNCH BIOPSY 1 LESION,EA,11100,61221102,EA,283,283,283,283,283,283,283,283,283,283,283,283,283,283,283,283,283BENADRYL UP TO 50MG,EA,J1200,61221200,EA,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19REMOVE SKN TAGS EA ADL 10,EA,11201,61221201,EA,141,141,141,141,141,141,141,141,141,141,141,141,141,141,141,141,141REMOVE SKIN TAGS 1-15,EA,11200,61221203,EA,254,254,254,254,254,254,254,254,254,254,254,254,254,254,254,254,254DEB SUBQ TISSUE 20 SQ CM/<,EA,11042,61221204,EA,"1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00"DEB SUBQ TISSUE 20 SQ CM/<,EA,11042,61221205,EA,489,489,489,489,489,489,489,489,489,489,489,489,489,489,489,489,489SHAV LESON T/A/L .5CM OR<,EA,11300,61221300,EA,254,254,254,254,254,254,254,254,254,254,254,254,254,254,254,254,254SHVG SK LES 1 < TAL .06-1,EA,11301,61221301,EA,315,315,315,315,315,315,315,315,315,315,315,315,315,315,315,315,315SHV SK LES S/N/H/F/G .5/<,EA,11305,61221305,EA,274,274,274,274,274,274,274,274,274,274,274,274,274,274,274,274,274EXC B9 LES T/A/L <0.5CM,EA,11400,61221400,EA,326,326,326,326,326,326,326,326,326,326,326,326,326,326,326,326,326EXC BENIGN LES T/A/L .6-1,EA,11401,61221401,EA,387,387,387,387,387,387,387,387,387,387,387,387,387,387,387,387,387EXC B9 LES T/A/L 1.1-2 CM,EA,11402,61221402,EA,495,495,495,495,495,495,495,495,495,495,495,495,495,495,495,495,495EXC B9 LES T/A/L 2.1-3 CM,EA,11403,61221403,EA,634,634,634,634,634,634,634,634,634,634,634,634,634,634,634,634,634EXC B9 LES T/A/L 3.1-4 CM,EA,11404,61221404,EA,834,834,834,834,834,834,834,834,834,834,834,834,834,834,834,834,834EXC B9 LES T/A/L >4.0CM,EA,11406,61221406,EA,"1,110.00","1,110.00","1,110.00","1,110.00","1,110.00","1,110.00","1,110.00","1,110.00","1,110.00","1,110.00","1,110.00","1,110.00","1,110.00","1,110.00","1,110.00","1,110.00","1,110.00"EXCIS B9 LE S/N/H/F/G .5<,EA,11420,61221420,EA,326,326,326,326,326,326,326,326,326,326,326,326,326,326,326,326,326EXCISION B9 LES .6-1.0CM,EA,11421,61221421,EA,445,445,445,445,445,445,445,445,445,445,445,445,445,445,445,445,445EX B9 LES MGN XCP 1.1-2CM,EA,11422,61221422,EA,562,562,562,562,562,562,562,562,562,562,562,562,562,562,562,562,562EXC B9 LESION 1.1-2.0 CM,EA,11423,61221423,EA,771,771,771,771,771,771,771,771,771,771,771,771,771,771,771,771,771EX B9 LE MN XCP SK TG 3.1,EA,11424,61221424,EA,"1,002.00","1,002.00","1,002.00","1,002.00","1,002.00","1,002.00","1,002.00","1,002.00","1,002.00","1,002.00","1,002.00","1,002.00","1,002.00","1,002.00","1,002.00","1,002.00","1,002.00"EXC OTH B9 F/E/E/N <0.5CM,EA,11440,61221440,EA,387,387,387,387,387,387,387,387,387,387,387,387,387,387,387,387,387EXC OTH B9 F/E/E/N .6-1CM,EA,11441,61221441,EA,510,510,510,510,510,510,510,510,510,510,510,510,510,510,510,510,510EX OTH B9 F/E/E/N 1.1-2CM,EA,11442,61221442,EA,679,679,679,679,679,679,679,679,679,679,679,679,679,679,679,679,679EXCISION SEBACEOUS CYST,EA,11443,61221443,EA,878,878,878,878,878,878,878,878,878,878,878,878,878,878,878,878,878EXC B9 3.1-4.0 CM,EA,,61221444,EA,"1,014.00","1,014.00","1,014.00","1,014.00","1,014.00","1,014.00","1,014.00","1,014.00","1,014.00","1,014.00","1,014.00","1,014.00","1,014.00","1,014.00","1,014.00","1,014.00","1,014.00"CLOSED TREATMENT OF DISLO,EA,21480,61221480,EA,493,493,493,493,493,493,493,493,493,493,493,493,493,493,493,493,493CLOSED TREATMENT OF DISLO,EA,21480,61221480,EA,530,530,530,530,530,530,530,530,530,530,530,530,530,530,530,530,530EXC MAL LES T/A/L <.5CM,EA,11600,61221600,EA,548,548,548,548,548,548,548,548,548,548,548,548,548,548,548,548,548EXC DIAMETER 1.1 - 2.0 CM,EA,11602,61221602,EA,648,648,648,648,648,648,648,648,648,648,648,648,648,648,648,648,648EX 6.5 POST THORAX,EA,11606,61221606,EA,"1,350.00","1,350.00","1,350.00","1,350.00","1,350.00","1,350.00","1,350.00","1,350.00","1,350.00","1,350.00","1,350.00","1,350.00","1,350.00","1,350.00","1,350.00","1,350.00","1,350.00"EX MAL LES S/N/H/F/G <0.5,EA,11620,61221620,EA,548,548,548,548,548,548,548,548,548,548,548,548,548,548,548,548,548EX MAL LE S/N/H/F/G 0.6-1,EA,11621,61221621,EA,615,615,615,615,615,615,615,615,615,615,615,615,615,615,615,615,615EX MAL LE S/N/H/F/G 1.1-2,EA,11622,61221622,EA,733,733,733,733,733,733,733,733,733,733,733,733,733,733,733,733,733EXC MAL LES S/N/H/F/G>4.0,EA,11626,61221626,EA,"1,442.00","1,442.00","1,442.00","1,442.00","1,442.00","1,442.00","1,442.00","1,442.00","1,442.00","1,442.00","1,442.00","1,442.00","1,442.00","1,442.00","1,442.00","1,442.00","1,442.00"EXC MAL LES F/E/E/N/L<0.5,EA,11640,61221640,EA,570,570,570,570,570,570,570,570,570,570,570,570,570,570,570,570,570EXC MAL LES F/E/E/N/L.6-1,EA,11641,61221641,EA,733,733,733,733,733,733,733,733,733,733,733,733,733,733,733,733,733EX MAL LE F/E/E/N/L 1.1-2,EA,11642,61221642,EA,922,922,922,922,922,922,922,922,922,922,922,922,922,922,922,922,922CATHETER IN NO-INDWELLING,EA,51701,61221701,EA,398,398,398,398,398,398,398,398,398,398,398,398,398,398,398,398,398NAIL AVULSION OF PLATE,EA,11730,61221730,EA,368,368,368,368,368,368,368,368,368,368,368,368,368,368,368,368,368AVULSION OF NAIL EA ADD'L,EA,11732,61221732,EA,187,187,187,187,187,187,187,187,187,187,187,187,187,187,187,187,187EVAC SUBUNGAL HMTMA,EA,11740,61221740,EA,171,171,171,171,171,171,171,171,171,171,171,171,171,171,171,171,171NAIL PERMANENT REMOVAL,EA,11750,61221750,EA,764,764,764,764,764,764,764,764,764,764,764,764,764,764,764,764,764NAIL BED REPAIR,EA,11760,61221760,EA,934,934,934,934,934,934,934,934,934,934,934,934,934,934,934,934,934INSULIN R 1-25U,EA,J1815,61221815,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8KNEE IMMOBILIZER PREFAB,EA,L1830,61221830,EA,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131KETOROLAC TROMETHA 15MG,EA,J1885,61221885,EA,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15AFO ANKLE GAUNTLET,EA,L1902,61221902,EA,96,96,96,96,96,96,96,96,96,96,96,96,96,96,96,96,96LASIX 20MG,EA,J1940,61221940,EA,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20LIDOCAINE HCL 1%,EA,J2001,61222001,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10PHY LAC HEAD/EXTR 2.6-7.5,EA,12002,61222002,EA,703,703,703,703,703,703,703,703,703,703,703,703,703,703,703,703,703PHY LAC HEAD/EXTR <2.5 CM,EA,12001,61222003,EA,581,581,581,581,581,581,581,581,581,581,581,581,581,581,581,581,581TDAP,EA,90715,61222007,EA,72,72,72,72,72,72,72,72,72,72,72,72,72,72,72,72,72ACETONE KETONE SERUM,EA,82009,61222009,EA,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40LINCOCIN 300MG,EA,J2010,61222010,EA,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32PHY LAC FACE/EARS <2.5CM,EA,12011,61222011,EA,703,703,703,703,703,703,703,703,703,703,703,703,703,703,703,703,703PHY LAC FACE/EARS 2.6-5.0,EA,12013,61222013,EA,822,822,822,822,822,822,822,822,822,822,822,822,822,822,822,822,822LAC FACE/EARS 12.6-20 PHY,EA,12016,61222016,EA,"1,547.00","1,547.00","1,547.00","1,547.00","1,547.00","1,547.00","1,547.00","1,547.00","1,547.00","1,547.00","1,547.00","1,547.00","1,547.00","1,547.00","1,547.00","1,547.00","1,547.00"ALBUMIN SERUM,EA,82040,61222040,EA,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45WALKER BOOT,EA,L2114,61222114,EA,169,169,169,169,169,169,169,169,169,169,169,169,169,169,169,169,169AMYLASE,EA,82150,61222150,EA,89,89,89,89,89,89,89,89,89,89,89,89,89,89,89,89,89BILIRUBIN-TOTAL,EA,82247,61222247,EA,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77BILIRUBIN-DIRECT,EA,82248,61222248,EA,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77OCCULT BLOOD MULTI SPECIM,EA,82270,61222270,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33OCCULT BLOOD SINGLE SPECI,EA,82272,61222272,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33NUBAIN 10MG/CC,EA,J2300,61222300,EA,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15CALCIUM-SERUM,EA,82310,61222310,EA,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77ORPHENADRINE 60MG,EA,J2360,61222360,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33CO2 COMBINING POWER,EA,82374,61222374,EA,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71CHLORIDE,EA,82435,61222435,EA,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67CHOLESTEROL,EA,82465,61222465,EA,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65PROMETHAZINE HCL 50MG,EA,J2550,61222550,EA,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23CPK,EA,82550,61222551,EA,89,89,89,89,89,89,89,89,89,89,89,89,89,89,89,89,89CKMB,EA,82553,61222553,EA,89,89,89,89,89,89,89,89,89,89,89,89,89,89,89,89,89VITAMIN B-12,EA,82607,61222555,EA,203,203,203,203,203,203,203,203,203,203,203,203,203,203,203,203,203CREATININE-BLOOD,EA,82565,61222565,EA,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65SOLU-MEDROL,EA,J2930,61222930,EA,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21GLUCOSE-FASTING,EA,82947,61222947,EA,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65GLUCOSE FINGERSTICK,EA,82962QW,61222948,EA,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39ELECTROCARDIOGM W/INT&REP,EA,93000,61223000,EA,163,163,163,163,163,163,163,163,163,163,163,163,163,163,163,163,163ELCTRCARDIGR TRACING ONLY,EA,93005,61223005,EA,163,163,163,163,163,163,163,163,163,163,163,163,163,163,163,163,163HEMOGLOBIN A1C,EA,83036,61223036,EA,89,89,89,89,89,89,89,89,89,89,89,89,89,89,89,89,89PHY LAC COMPLEX 2.6-7.5 C,EA,13121,61223121,EA,"1,126.00","1,126.00","1,126.00","1,126.00","1,126.00","1,126.00","1,126.00","1,126.00","1,126.00","1,126.00","1,126.00","1,126.00","1,126.00","1,126.00","1,126.00","1,126.00","1,126.00"PHY LAC COMPLEX ADD'L 5 C,EA,13122,61223122,EA,455,455,455,455,455,455,455,455,455,455,455,455,455,455,455,455,455POST OP SHOE/BOOT,EA,L3260,61223260,EA,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40KENALOG 40MG/ML,EA,J3301,61223301,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10DIAZEPAM UP TO 5MG,EA,J3360,61223360,EA,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15HYDROXYZINE 25MG,EA,J3410,61223410,EA,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21CYANOCOBALAMIN 1000,EA,J3420,61223420,EA,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19,19DEB SKIN UP TO 10% BODY S,EA,,61223450,EA,269,269,269,269,269,269,269,269,269,269,269,269,269,269,269,269,269XYLOCAINE 1% 1-20ML INJ,EA,J2001,61223490,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10LDH,EA,83615,61223615,EA,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70REDUC DISLOCTION SHOULDER,EA,,61223650,EA,"1,029.00","1,029.00","1,029.00","1,029.00","1,029.00","1,029.00","1,029.00","1,029.00","1,029.00","1,029.00","1,029.00","1,029.00","1,029.00","1,029.00","1,029.00","1,029.00","1,029.00"ELBOW BRACE SOFT W/O JNTS,EA,L3762,61223702,EA,25,25,25,25,25,25,25,25,25,25,25,25,25,25,25,25,25HDL,EA,83718,61223718,EA,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70MAGNESIUM,EA,83735,61223735,EA,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77MYOGLOBIN,EA,83874,61223874,EA,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131HFO THUMB ABDUCTED SUPORT,EA,L3924,61223923,EA,61,61,61,61,61,61,61,61,61,61,61,61,61,61,61,61,61WRIST/THUMB/FINGER SUPORT,EA,L3930,61223930,EA,94,94,94,94,94,94,94,94,94,94,94,94,94,94,94,94,94INCISION/DRAIN UPRARM/ELB,EA,23930,61223930,EA,"1,417.00","1,417.00","1,417.00","1,417.00","1,417.00","1,417.00","1,417.00","1,417.00","1,417.00","1,417.00","1,417.00","1,417.00","1,417.00","1,417.00","1,417.00","1,417.00","1,417.00"INCISION/DRAIN UPRARM/ELB,EA,23930,61223931,EA,"1,519.00","1,519.00","1,519.00","1,519.00","1,519.00","1,519.00","1,519.00","1,519.00","1,519.00","1,519.00","1,519.00","1,519.00","1,519.00","1,519.00","1,519.00","1,519.00","1,519.00"ALKALINE PHOSPHATASE,EA,84075,61224075,EA,83,83,83,83,83,83,83,83,83,83,83,83,83,83,83,83,83POTASSIUM-SERUM,EA,84132,61224132,EA,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77PSA,EA,84153,61224153,EA,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131PROTEIN TOTAL-SERUM,EA,84155,61224155,EA,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65REMOV FB UPR ARM/ELBW SBQ,EA,24200,61224200,EA,427,427,427,427,427,427,427,427,427,427,427,427,427,427,427,427,427REMOV FB UPR ARM/ELBW SBQ,EA,24200,61224200,EA,452,452,452,452,452,452,452,452,452,452,452,452,452,452,452,452,452HEALTH RISK ASSESS SCHOOL,EA,96160,61224201,EA,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35SODIUM,EA,84295,61224295,EA,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77ANKLE SPLINT,EA,L4350,61224350,EA,116,116,116,116,116,116,116,116,116,116,116,116,116,116,116,116,116TSH,EA,84443,61224443,EA,163,163,163,163,163,163,163,163,163,163,163,163,163,163,163,163,163AST (SGOT),EA,84450,61224450,EA,83,83,83,83,83,83,83,83,83,83,83,83,83,83,83,83,83ALT (SGPT),EA,84460,61224460,EA,83,83,83,83,83,83,83,83,83,83,83,83,83,83,83,83,83TRIGLYCERIDES,EA,84478,61224478,EA,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77"TROPONIN, QUANTITATIVE",EA,84484,61224484,EA,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131BUN,EA,84520,61224520,EA,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70SLING ARM UNIVERSAL,EA,A4565,61224565,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22SPLINT,EA,,61224570,EA,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40,40REDUC DISLOCTION SHOULDER,EA,24600,61224600,EA,958,958,958,958,958,958,958,958,958,958,958,958,958,958,958,958,958NEBULIZER TREATMENT,EA,94640,61224640,EA,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60DISLOCATION CLOSED ELBOW,EA,24640,61224640,EA,456,456,456,456,456,456,456,456,456,456,456,456,456,456,456,456,456DISLOCATION CLOSED ELBOW,EA,24640,61224641,EA,491,491,491,491,491,491,491,491,491,491,491,491,491,491,491,491,491"HCG, QUALITATIVE",EA,84703,61224703,EA,99,99,99,99,99,99,99,99,99,99,99,99,99,99,99,99,99OXYGEN SATURATION,EA,94760,61224760,EA,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57,57REDUCTION DISLOCATION ELB,EA,24600,61224850,EA,"1,201.00","1,201.00","1,201.00","1,201.00","1,201.00","1,201.00","1,201.00","1,201.00","1,201.00","1,201.00","1,201.00","1,201.00","1,201.00","1,201.00","1,201.00","1,201.00","1,201.00"DIFFERENTIAL ONLY MANUAL,EA,85007,61225007,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33HEMATOCRIT,EA,85014,61225014,EA,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36HEMOGLOBIN,EA,85018,61225018,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33CBC W/DIFFERENTIAL,EA,85025,61225025,EA,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77CBC W/O DIFFERENTIAL,EA,85027,61225027,EA,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70WHITE BLOOD CELL COUN WBC,EA,85048,61225048,EA,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31PLATELET COUNT,EA,85049,61225049,EA,58,58,58,58,58,58,58,58,58,58,58,58,58,58,58,58,58ALLERGY INJ 1,EA,95115,61225115,EA,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35ALLERGY INJ 2+,EA,95117,61225117,EA,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50F.B. REMOVAL-EYE EXTERNAL EYE,EA,65205,61225205,EA,248,248,248,248,248,248,248,248,248,248,248,248,248,248,248,248,248EYE FOREIGN BODY REMOVAL,EA,65220,61225220,EA,679,679,679,679,679,679,679,679,679,679,679,679,679,679,679,679,679D-DIMER QUALITATIVE,EA,85379,61225379,EA,189,189,189,189,189,189,189,189,189,189,189,189,189,189,189,189,189PROTHROMBIN TIME,EA,85610,61225610,EA,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38SED RATE NON AUTO,EA,85651,61225651,EA,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52SED RATE,EA,85652,61225652,EA,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38PTT,EA,85730,61225730,EA,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55DBRNDMT PRTL-THKNS BURNS,EA,,61226020,EA,271,271,271,271,271,271,271,271,271,271,271,271,271,271,271,271,271CAPILLARY INR,EA,85610QW,61226101,EA,25,25,25,25,25,25,25,25,25,25,25,25,25,25,25,25,25BNP BRAIN NATRIUE PEPTIDE,EA,86147,61226147,EA,233,233,233,233,233,233,233,233,233,233,233,233,233,233,233,233,233RSV ANTIBODIES-NASAL,EA,86317,61226317,EA,161,161,161,161,161,161,161,161,161,161,161,161,161,161,161,161,161MONO SCREEN,EA,86318,61226318,EA,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67VENIPUNCTURE,EA,36415,61226415,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22CAPILLARY BLOOD COLLCTION,EA,36416,61226416,EA,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21ACE BANDAGE 2,EA,A6448,61226448,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ACE BANDAGE 3-5,EA,A6449,61226449,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8TB SKIN TEST,EA,86580,61226580,EA,47,47,47,47,47,47,47,47,47,47,47,47,47,47,47,47,47ANOSCOPY W OR W/O SPECMEN,EA,46600,61226600,EA,116,116,116,116,116,116,116,116,116,116,116,116,116,116,116,116,116PHY FRC MTCP CLOS WO MANI,EA,26600,61226600,EA,769,769,769,769,769,769,769,769,769,769,769,769,769,769,769,769,769PHY FRC MTCP CLOS WO MANI,EA,26600,61226601,EA,786,786,786,786,786,786,786,786,786,786,786,786,786,786,786,786,786HELICOBACTER PYLORI IGG,EA,86677,61226677,EA,205,205,205,205,205,205,205,205,205,205,205,205,205,205,205,205,205CLTX MTCRPHL DSLC 1 W/MNP,EA,26700,61226700,EA,845,845,845,845,845,845,845,845,845,845,845,845,845,845,845,845,845CLTX MTCRPHL DSLC 1 W/MNP,EA,26700,61226700,EA,907,907,907,907,907,907,907,907,907,907,907,907,907,907,907,907,907INC THROMB HEMORHOID XTRN,EA,46083,61226803,EA,452,452,452,452,452,452,452,452,452,452,452,452,452,452,452,452,452ANTIBODY SCR COOMBS INDIR,EA,86850,61226850,EA,92,92,92,92,92,92,92,92,92,92,92,92,92,92,92,92,92COOMBS-INDIRECT,EA,86886,61226886,EA,97,97,97,97,97,97,97,97,97,97,97,97,97,97,97,97,97BLOOD TYPE-ABO,EA,86900,61226900,EA,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49BLOOD TYPE-RH,EA,86901,61226901,EA,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48DESTRUCTION 1 LESION,EA,17000,61227000,EA,200,200,200,200,200,200,200,200,200,200,200,200,200,200,200,200,200DESTRUCTION 2-14 LESIONS,EA,17003,61227003,EA,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56DESTRUCTION PREMNGT >15,EA,17004,61227004,EA,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217,217DEB SUBQ TISSUE ADD ON,EA,11045,61227005,EA,319,319,319,319,319,319,319,319,319,319,319,319,319,319,319,319,319DEB SUBQ TISSUE ADD ON,EA,11045,61227006,EA,319,319,319,319,319,319,319,319,319,319,319,319,319,319,319,319,319HOT/COLD PACKS,EA,97010,61227010,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33ULTRASOUND EA 15 MIN,EA,97035,61227035,EA,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49CULTURE-BLOOD,EA,87040,61227040,EA,124,124,124,124,124,124,124,124,124,124,124,124,124,124,124,124,124CULTURE-THROAT/NOSE,EA,87070,61227070,EA,124,124,124,124,124,124,124,124,124,124,124,124,124,124,124,124,124CULTURE-BACTERIAL-ID,EA,87077,61227077,EA,100,100,100,100,100,100,100,100,100,100,100,100,100,100,100,100,100CULTURE-PATHOGENIC-SCREEN,EA,87081,61227081,EA,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65CULTURE-URINE/COLONY CNT,EA,87086,61227086,EA,124,124,124,124,124,124,124,124,124,124,124,124,124,124,124,124,124WART REMOVAL,EA,17110,61227110,EA,225,225,225,225,225,225,225,225,225,225,225,225,225,225,225,225,225INSERT INTRAVAG SUPPP DEV,EA,57160,61227160,EA,196,196,196,196,196,196,196,196,196,196,196,196,196,196,196,196,196SENSITIVITY,EA,87186,61227186,EA,80,80,80,80,80,80,80,80,80,80,80,80,80,80,80,80,80GRAM STAIN,EA,87205,61227205,EA,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52WET MOUNT,EA,87210,61227210,EA,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45PHY NAIL AVULSON OF PLATE,EA,11730,61227301,EA,368,368,368,368,368,368,368,368,368,368,368,368,368,368,368,368,368DEBRIDEMENT <20 SQ CM,EA,97597,61227597,EA,182,182,182,182,182,182,182,182,182,182,182,182,182,182,182,182,182ALBUTEROL VIA NEB X1,EA,J7611,61227611,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PROVENTIL SOL INHAL 1MG,EA,J7613,61227613,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8XOPENEX,EA,J7614,61227614,EA,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15ATROVENT,EA,J7644,61227644,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9INFLUENZA A/B SCREEN,EA,87804,61227804,EA,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71ACUPUNCT W/O ELEC INIT 15,EA,97810,61227810,EA,120,120,120,120,120,120,120,120,120,120,120,120,120,120,120,120,120ACUPUNC W/O ELEC ADD'L 15,EA,97811,61227811,EA,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52ACUPNC W/ELEC INIT 15 MIN,EA,97813,61227813,EA,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131,131ACUPNC W/ELEC ADD'L 15MIN,EA,97814,61227814,EA,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65,65STREP SCREEN-RAPID,EA,87880,61227880,EA,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81INFECTIOUS AGENT DETEC OT,EA,87899,61227899,EA,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71,71CEFTRIAXONE 250MG,EA,J0696,61228001,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33NITROGLYCERIN 0.4MG TAB,EA,,61228004,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8HYDROXYZINE 50MG IM,EA,J3410,61228011,EA,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21XYLOCAINE 2% JELLY,EA,,61228012,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9THIN PREP DIAGNOSTIC,EA,88142,61228142,EA,98,98,98,98,98,98,98,98,98,98,98,98,98,98,98,98,98PAP SMEAR,EA,88164,61228164,EA,98,98,98,98,98,98,98,98,98,98,98,98,98,98,98,98,98REMOVAL OF IUD,EA,58301,61228301,EA,331,331,331,331,331,331,331,331,331,331,331,331,331,331,331,331,331SPLINT PREFAB WRIST/ANKLE,EA,S8451,61228451,EA,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46OSTEO MANIPULAT 1-2 PARTS,EA,98925,61228925,EA,79,79,79,79,79,79,79,79,79,79,79,79,79,79,79,79,79OSTEO MANIPULAT 3-4 PARTS,EA,98926,61228926,EA,103,103,103,103,103,103,103,103,103,103,103,103,103,103,103,103,103HANDLING CHARGE,EA,99000,61229000,EA,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38HANDLING CHARGE,EA,99001,61229001,EA,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38OFC VISIT POST OP F/U,EA,99024,61229024,EA,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55,55PREV MED CNSL 30 MINUTES,EA,,61229025,EA,183,183,183,183,183,183,183,183,183,183,183,183,183,183,183,183,183HAEMOPHILUS B,EA,90648,61229036,EA,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52MENINGOCOCCAL VAC,EA,90734,61229042,EA,199,199,199,199,199,199,199,199,199,199,199,199,199,199,199,199,199PHY ER SERVICES 10PM-8AM,EA,99053,61229053,EA,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33,33"STOOL, WBC",EA,89055,61229055,EA,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43,43FLU VACCINE 3+OLDER,EA,90656,61229065,EA,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49,49PREVNAR,EA,90669,61229066,EA,423,423,423,423,423,423,423,423,423,423,423,423,423,423,423,423,423APPL SHORT ARM CAST,EA,29075,61229075,EA,267,267,267,267,267,267,267,267,267,267,267,267,267,267,267,267,267APPL SHORT ARM CAST,EA,29075,61229075,EA,288,288,288,288,288,288,288,288,288,288,288,288,288,288,288,288,288APPL SHORT ARM SPLINT,EA,29125,61229125,EA,189,189,189,189,189,189,189,189,189,189,189,189,189,189,189,189,189APPL SHORT ARM SPLINT,EA,29125,61229125,EA,203,203,203,203,203,203,203,203,203,203,203,203,203,203,203,203,203APPL FNGR SPLINT STATIC,EA,29130,61229130,EA,137,137,137,137,137,137,137,137,137,137,137,137,137,137,137,137,137APPL FNGR SPLINT STATIC,EA,29130,61229130,EA,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148VISUAL ACUITY SCREENING,EA,99173,61229173,EA,78,78,78,78,78,78,78,78,78,78,78,78,78,78,78,78,78DEVELOPMENTAL SCREENING,EA,96110,61229175,EA,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35TELEHEALTH-ORG SITE FEE,EA,Q3014,61229199,EA,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22,22EAR FOREIGN BODY REMOVAL,EA,69200,61229200,EA,376,376,376,376,376,376,376,376,376,376,376,376,376,376,376,376,376OFC VISIT NEW LIMITED,EA,99201,61229201,EA,160,160,160,160,160,160,160,160,160,160,160,160,160,160,160,160,160OFC VISIT NEW EXPANDED,EA,99202,61229202,EA,199,199,199,199,199,199,199,199,199,199,199,199,199,199,199,199,199OFC VISIT NEW DETAILED,EA,99203,61229203,EA,258,258,258,258,258,258,258,258,258,258,258,258,258,258,258,258,258OFC VISIT NEW COMPREHENSI,EA,99204,61229204,EA,367,367,367,367,367,367,367,367,367,367,367,367,367,367,367,367,367OFC VISIT NEW HIGH COMPL,EA,99205,61229205,EA,495,495,495,495,495,495,495,495,495,495,495,495,495,495,495,495,495EAR CERUMEN IMPACT REMOVL,EA,69210,61229210,EA,163,163,163,163,163,163,163,163,163,163,163,163,163,163,163,163,163OFC VISIT EST MINIMAL,EA,99211,61229211,EA,90,90,90,90,90,90,90,90,90,90,90,90,90,90,90,90,90OFC VISIT EST LIMITED,EA,99212,61229212,EA,140,140,140,140,140,140,140,140,140,140,140,140,140,140,140,140,140OFC VISIT EST EXPANDED,EA,99213,61229213,EA,179,179,179,179,179,179,179,179,179,179,179,179,179,179,179,179,179OFC VISIT EST DETAILED,EA,99214,61229214,EA,256,256,256,256,256,256,256,256,256,256,256,256,256,256,256,256,256OFC VISIT EST COMPREHENSI,EA,99215,61229215,EA,407,407,407,407,407,407,407,407,407,407,407,407,407,407,407,407,407PHY OBS CARE DISCHARGE,EA,99217,61229217,EA,186,186,186,186,186,186,186,186,186,186,186,186,186,186,186,186,186PHY OBS ADMIT LW SEVERITY,EA,99218,61229218,EA,232,232,232,232,232,232,232,232,232,232,232,232,232,232,232,232,232PHY OBS ADMIT MOD SEVERIT,EA,99219,61229219,EA,315,315,315,315,315,315,315,315,315,315,315,315,315,315,315,315,315PHY OBS ADMIT HI SEVERITY,EA,99220,61229220,EA,394,394,394,394,394,394,394,394,394,394,394,394,394,394,394,394,39499221 PHY IP ADMIT LOW SEVERITY,EA,99221,61229221,EA,276,276,276,276,276,276,276,276,276,276,276,276,276,276,276,276,276PHY IP ADMIT MOD SEVERITY,EA,99222,61229222,EA,369,369,369,369,369,369,369,369,369,369,369,369,369,369,369,369,36999223 PHY IP ADMIT HIGH SEVERITY,EA,99223,61229223,EA,453,453,453,453,453,453,453,453,453,453,453,453,453,453,453,453,45399231 PHY IP SUBS CARE LOW COMP,EA,99231,61229231,EA,153,153,153,153,153,153,153,153,153,153,153,153,153,153,153,153,15399232 PHY IP SUBS CARE MOD COMP,EA,99232,61229232,EA,214,214,214,214,214,214,214,214,214,214,214,214,214,214,214,214,21499233 PHY IP SUBS CARE HGH COMP,EA,99233,61229233,EA,290,290,290,290,290,290,290,290,290,290,290,290,290,290,290,290,290PHY OBS ADM/DSC SME DY LW,EA,99234,61229234,EA,380,380,380,380,380,380,380,380,380,380,380,380,380,380,380,380,38099235 ADM/DSC OBS SAME DAY MOD,EA,99235,61229235,EA,515,515,515,515,515,515,515,515,515,515,515,515,515,515,515,515,51599236 ADM/DSC OBS SAME DAY HIGH,EA,99236,61229236,EA,648,648,648,648,648,648,648,648,648,648,648,648,648,648,648,648,648PHY IP DISCH <30 MIN,EA,99238,61229238,EA,221,221,221,221,221,221,221,221,221,221,221,221,221,221,221,221,22199239 PHY IP DISCH >30 MIN,EA,99239,61229239,EA,276,276,276,276,276,276,276,276,276,276,276,276,276,276,276,276,276CONSULTATION,EA,99241,61229241,EA,242,242,242,242,242,242,242,242,242,242,242,242,242,242,242,242,24299251 PHY CONSULT MINOR,EA,99251,61229251,EA,184,184,184,184,184,184,184,184,184,184,184,184,184,184,184,184,18499252 PHY CONSULT EXPANDED,EA,99252,61229252,EA,277,277,277,277,277,277,277,277,277,277,277,277,277,277,277,277,27799253 PHY CONSULT DETAILED,EA,99253,61229253,EA,338,338,338,338,338,338,338,338,338,338,338,338,338,338,338,338,33899354 PHY CONSULT COMPREHENSIVE,EA,99254,61229254,EA,423,423,423,423,423,423,423,423,423,423,423,423,423,423,423,423,42399255 PHY CONSULT HI COMPLEXITY,EA,99255,61229255,EA,531,531,531,531,531,531,531,531,531,531,531,531,531,531,531,531,531PHY ER EVAL MINOR,EA,99281,61229281,EA,261,261,261,261,261,261,261,261,261,261,261,261,261,261,261,261,261PHY ER EVAL LOW,EA,99282,61229282,EA,353,353,353,353,353,353,353,353,353,353,353,353,353,353,353,353,353PHY ER EVAL MODERATE,EA,99283,61229283,EA,528,528,528,528,528,528,528,528,528,528,528,528,528,528,528,528,528PHY ER EVAL HIGH SEVERITY,EA,99284,61229284,EA,786,786,786,786,786,786,786,786,786,786,786,786,786,786,786,786,786PHY ER EVAL THREAT TO LFE,EA,99285,61229285,EA,"1,170.00","1,170.00","1,170.00","1,170.00","1,170.00","1,170.00","1,170.00","1,170.00","1,170.00","1,170.00","1,170.00","1,170.00","1,170.00","1,170.00","1,170.00","1,170.00","1,170.00"PHY CRITICAL CARE 1ST HR,EA,99291,61229291,EA,"1,410.00","1,410.00","1,410.00","1,410.00","1,410.00","1,410.00","1,410.00","1,410.00","1,410.00","1,410.00","1,410.00","1,410.00","1,410.00","1,410.00","1,410.00","1,410.00","1,410.00"PHY CRIT CARE EA AD'L 30M,EA,99292,61229292,EA,707,707,707,707,707,707,707,707,707,707,707,707,707,707,707,707,70799304 SWB PHY ADMIT LOW COMPLEXITY,EA,99304,61229304,EA,197,197,197,197,197,197,197,197,197,197,197,197,197,197,197,197,19799305 SWB PHY ADMIT MODERATE COMPL,EA,99305,61229305,EA,274,274,274,274,274,274,274,274,274,274,274,274,274,274,274,274,27499306 SWB PHY ADMIT HIGH COMPLEXITY,EA,99306AQ,61229306,EA,332,332,332,332,332,332,332,332,332,332,332,332,332,332,332,332,33299307 SWB PHY SUBS VST STABLE/IMPRV,EA,99307,61229307,EA,354,354,354,354,354,354,354,354,354,354,354,354,354,354,354,354,35499308 SWB PHY SUBS VST MINOR COMPLEXITY,EA,99308,61229308,EA,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150,150,15099309 SWB PHY SUBS VST SIGNIF COMPLEXITY,EA,99309,61229309,EA,216,216,216,216,216,216,216,216,216,216,216,216,216,216,216,216,21699310 SWB PHY SUBS VST IMMD ATTENT,EA,99310,61229310,EA,293,293,293,293,293,293,293,293,293,293,293,293,293,293,293,293,293PHY SUBS VST STABLE/IMPRV,EA,99307,61229311,EA,103,103,103,103,103,103,103,103,103,103,103,103,103,103,103,103,10399315 SWB PHY DISCHARGE <30 MIN,EA,99315,61229315,EA,204,204,204,204,204,204,204,204,204,204,204,204,204,204,204,204,20499316 SWB PHY DISCHARGE >30 MIN,EA,99316,61229316,EA,155,155,155,155,155,155,155,155,155,155,155,155,155,155,155,155,155H&P NURSING HOME,EA,99318,61229318,EA,182,182,182,182,182,182,182,182,182,182,182,182,182,182,182,182,182HOME VISIT LEVEL 3,EA,99343,61229343,EA,227,227,227,227,227,227,227,227,227,227,227,227,227,227,227,227,227HOME VISIT LOW-MOD,EA,99348,61229348,EA,178,178,178,178,178,178,178,178,178,178,178,178,178,178,178,178,178HOME VISIT EST PT/MOD-HI,EA,99349,61229349,EA,202,202,202,202,202,202,202,202,202,202,202,202,202,202,202,202,202HOME VISIT/LEVEL 4,EA,99350,61229350,EA,229,229,229,229,229,229,229,229,229,229,229,229,229,229,229,229,229PREVENTIVE NEW UNDER 1 YR,EA,99381,61229381,EA,204,204,204,204,204,204,204,204,204,204,204,204,204,204,204,204,204PREVENTIVE NEW 1-4 YRS,EA,99382,61229382,EA,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210PREVENTIVE NEW 5-11 YRS,EA,99383,61229383,EA,215,215,215,215,215,215,215,215,215,215,215,215,215,215,215,215,215PREVENTIVE NEW 12-17 YRS,EA,99384,61229384,EA,220,220,220,220,220,220,220,220,220,220,220,220,220,220,220,220,220PREVENTIVE NEW 18-39 YRS,EA,99385,61229385,EA,225,225,225,225,225,225,225,225,225,225,225,225,225,225,225,225,225PREVENTIVE NEW 40-64 YRS,EA,99386,61229386,EA,229,229,229,229,229,229,229,229,229,229,229,229,229,229,229,229,229PREVENTIVE NEW 65YRS&OVER,EA,99387,61229387,EA,233,233,233,233,233,233,233,233,233,233,233,233,233,233,233,233,233PREVENTIVE EST UNDER 1 YR,EA,99391,61229391,EA,204,204,204,204,204,204,204,204,204,204,204,204,204,204,204,204,204PREVENTIVE EST 1-4 YRS,EA,99392,61229392,EA,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210,210PREVENTIVE EST 5-11 YRS,EA,99393,61229393,EA,215,215,215,215,215,215,215,215,215,215,215,215,215,215,215,215,215PREVENTIVE EST 12-17 YRS,EA,99394,61229394,EA,220,220,220,220,220,220,220,220,220,220,220,220,220,220,220,220,220PREVENTIVE EST 18-39 YRS,EA,99395,61229395,EA,225,225,225,225,225,225,225,225,225,225,225,225,225,225,225,225,225PREVENTIVE EST 40-64 YRS,EA,99396,61229396,EA,229,229,229,229,229,229,229,229,229,229,229,229,229,229,229,229,229PREVENTIVE EST 65YRS&OVER,EA,99397,61229397,EA,233,233,233,233,233,233,233,233,233,233,233,233,233,233,233,233,233PREV MED CNSL INDIV 15MIN,EA,,61229401,EA,87,87,87,87,87,87,87,87,87,87,87,87,87,87,87,87,87CONSULT FAMILY/CAREGIVER,EA,,61229402,EA,63,63,63,63,63,63,63,63,63,63,63,63,63,63,63,63,63HEALTH RISK ASSESS EMPLYR,EA,96160,61229420,EA,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70PORTAMEDIC PHYSICAL,EA,96160P,61229420,EA,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70,70STATE IMMUNIZATION,EA,90471,61229421,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9SCHOOL PHYSICAL,EA,96160S,61229422,EA,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35PORTAMEDIC PHYSICAL,EA,,61229425,EA,74,74,74,74,74,74,74,74,74,74,74,74,74,74,74,74,74PORTAMEDIC LAB ONLY,EA,,61229426,EA,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30LAC REPAIR 2.5CM,EA,,61229427,EA,518,518,518,518,518,518,518,518,518,518,518,518,518,518,518,518,518ADVANCED CARE PLANNING,EA,99497,61229497,EA,578,578,578,578,578,578,578,578,578,578,578,578,578,578,578,578,578* PREVNAR,EA,90669,61229600,EA,445,445,445,445,445,445,445,445,445,445,445,445,445,445,445,445,445* GARDASIL,EA,90649,61229601,EA,477,477,477,477,477,477,477,477,477,477,477,477,477,477,477,477,477* HAVRIX,EA,90633,61229602,EA,93,93,93,93,93,93,93,93,93,93,93,93,93,93,93,93,93* RECOMBIVAX,EA,90744,61229603,EA,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77,77* PROQUAD,EA,90710,61229604,EA,503,503,503,503,503,503,503,503,503,503,503,503,503,503,503,503,503VARIVAX,EA,90716,61229605,EA,318,318,318,318,318,318,318,318,318,318,318,318,318,318,318,318,318HIB,EA,90648,61229606,EA,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52,52INFANRIX (DTAP),EA,90700,61229650,EA,61,61,61,61,61,61,61,61,61,61,61,61,61,61,61,61,61"INJ, TESTOS CYPM, 1MG",EA,J1071,61229700,EA,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64NASAL FOREIGN BODY REMOVL,EA,30300,61230300,EA,448,448,448,448,448,448,448,448,448,448,448,448,448,448,448,448,448EPISTAXIS ANTERIOR SIMPLE,EA,30901AQ,61230901,EA,333,333,333,333,333,333,333,333,333,333,333,333,333,333,333,333,333VENIPUNCTURE,EA,36415,61236415,EA,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23,23"INSERTION, NON-BIODEGRAD DRUG IMPLANT",EA,11981,61236677,EA,"1,011.00","1,011.00","1,011.00","1,011.00","1,011.00","1,011.00","1,011.00","1,011.00","1,011.00","1,011.00","1,011.00","1,011.00","1,011.00","1,011.00","1,011.00","1,011.00","1,011.00""REMOVAL, NON-BIOGRAD DRUG IMPLANT",EA,11982,61236678,EA,"1,139.00","1,139.00","1,139.00","1,139.00","1,139.00","1,139.00","1,139.00","1,139.00","1,139.00","1,139.00","1,139.00","1,139.00","1,139.00","1,139.00","1,139.00","1,139.00","1,139.00""REMOVAL W/REINSERTION, NONBIOD IMPLANT",EA,11983,61236679,EA,"1,414.00","1,414.00","1,414.00","1,414.00","1,414.00","1,414.00","1,414.00","1,414.00","1,414.00","1,414.00","1,414.00","1,414.00","1,414.00","1,414.00","1,414.00","1,414.00","1,414.00"SCHOOL SPORTS PHYSICAL,EA,96160S,61239420,EA,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38,38INC THROMB HEMORHOID XTRN,EA,46083,61246083,EA,420,420,420,420,420,420,420,420,420,420,420,420,420,420,420,420,420ANOSCOPY W OR W/O SPECMEN,EA,46600,61246600,EA,103,103,103,103,103,103,103,103,103,103,103,103,103,103,103,103,103INFLUENZA A,EA,87804QW59,61250034,EA,125,125,125,125,125,125,125,125,125,125,125,125,125,125,125,125,125CATHETER IN NO-INDWELLING,EA,51701,61251701,EA,369,369,369,369,369,369,369,369,369,369,369,369,369,369,369,369,369INSERT INTRAVAG SUPPP DEV,EA,57160,61257160,EA,182,182,182,182,182,182,182,182,182,182,182,182,182,182,182,182,182REMOVAL OF IUD,EA,58301,61258301,EA,308,308,308,308,308,308,308,308,308,308,308,308,308,308,308,308,308FB REMOVAL-CONJUCTIVE,EA,65205,61265205,EA,230,230,230,230,230,230,230,230,230,230,230,230,230,230,230,230,230EYE FOREIGN BODY REMOVAL,EA,65220,61265220,EA,632,632,632,632,632,632,632,632,632,632,632,632,632,632,632,632,632EAR FOREIGN BODY REMOVAL,EA,69200,61269200,EA,356,356,356,356,356,356,356,356,356,356,356,356,356,356,356,356,356EAR CERUMEN IMPACT REMOVL,EA,69209,61269210,EA,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154,154GENERAL HEALTH PANEL,EA,80050,61280050,EA,463,463,463,463,463,463,463,463,463,463,463,463,463,463,463,463,463DRUG SCREEN -URINE,EA,80305,61280307,EA,132,132,132,132,132,132,132,132,132,132,132,132,132,132,132,132,132URINALYSIS DIP STICK,EA,81000,61281000,EA,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36DIP STICK URINALYSIS,EA,81002,61281002,EA,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28PREGNANCY URINE,EA,81025,61281025,EA,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64,64OCCULT BLOOD SINGLE SPECI,EA,82272,61282272,EA,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32RSV ANTIGEN-NASAL,EA,87807QW,61286317,EA,211,211,211,211,211,211,211,211,211,211,211,211,211,211,211,211,211TB SKIN TEST,EA,86580,61286580,EA,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46,46STREP SCREEN-RAPID,EA,87880,61287880,EA,125,125,125,125,125,125,125,125,125,125,125,125,125,125,125,125,125PAP SMEAR,EA,88164,61288164,EA,94,94,94,94,94,94,94,94,94,94,94,94,94,94,94,94,94LISINOPRIL 10MG TAB,,,61290400,,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8MAALOX 15ML,,,61290401,,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DEBROX EARWAX REMOVAL DROPS,,,61290402,,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35VALSARTAN 80MG TAB,,,61290403,,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8PHENYTOIN SOD 100MG/2ML VL,EA,,61290404,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10IMMUNIZATION ADMINISTRATION (1),EA,90471,61290471,EA,63,63,63,63,63,63,63,63,63,63,63,63,63,63,63,63,63IMMUNIZATION ADM EA ADD'L (2+),EA,90472,61290472,EA,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39,39FAMILY/CAREGIVER CONSULT,EA,90887,61290887,EA,262,262,262,262,262,262,262,262,262,262,262,262,262,262,262,262,262TYMPANOMETRY,EA,92567,61292567,EA,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81,81PULMONARY FUNCTION TEST,EA,94010,61294010,EA,160,160,160,160,160,160,160,160,160,160,160,160,160,160,160,160,160PULMONARY FX TEST POST NEB,EA,94060,61294011,EA,160,160,160,160,160,160,160,160,160,160,160,160,160,160,160,160,160NEBULIZER TREATMENT,EA,94640,61294640,EA,58,58,58,58,58,58,58,58,58,58,58,58,58,58,58,58,58OXYGEN SATURATION,EA,94760,61294760,EA,54,54,54,54,54,54,54,54,54,54,54,54,54,54,54,54,54"DEVELOPMENTAL SCREENING, LIMITED",EA,96110,61296110,EA,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34ADM INJ INTRAVENOUS,EA,96361,61296361,EA,117,117,117,117,117,117,117,117,117,117,117,117,117,117,117,117,117ADM INJ SUBCU OR INTRMUSC X1,EA,96372,61296372,EA,58,58,58,58,58,58,58,58,58,58,58,58,58,58,58,58,58ADM INJ SUBCU OR INTRMUSC 2+,EA,9637259,61296373,EA,58,58,58,58,58,58,58,58,58,58,58,58,58,58,58,58,58HOT/COLD PACKS,EA,97010,61297010,EA,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32,32ULTRASOUND EA 15 MIN,EA,97035,61297035,EA,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48,48DEBRIDEMENT <20 SQ CM,EA,97597,61297597,EA,167,167,167,167,167,167,167,167,167,167,167,167,167,167,167,167,167ACUPUNCT W/O ELEC INIT 15,EA,97810,61297810,EA,111,111,111,111,111,111,111,111,111,111,111,111,111,111,111,111,111ACUPUNC W/O ELEC ADDL 15,EA,97811,61297811,EA,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50ACUPNC W/ELEC INIT 15 MIN,EA,97813,61297813,EA,121,121,121,121,121,121,121,121,121,121,121,121,121,121,121,121,121ACUPNC W/ELEC ADD'L 15MIN,EA,97814,61297814,EA,62,62,62,62,62,62,62,62,62,62,62,62,62,62,62,62,62OSTEO MANIPULAT 1-2 PARTS,EA,98925,61298925,EA,79,79,79,79,79,79,79,79,79,79,79,79,79,79,79,79,79OSTEO MANIPULAT 3-4 PARTS,EA,98926,61298926,EA,107,107,107,107,107,107,107,107,107,107,107,107,107,107,107,107,107HANDLING CHARGE,EA,99000,61299000,EA,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37OFC VISIT POST OP F/U,EA,99024,61299024,EA,54,54,54,54,54,54,54,54,54,54,54,54,54,54,54,54,54VISUAL ACUITY SCREENING,EA,99173,61299173,EA,74,74,74,74,74,74,74,74,74,74,74,74,74,74,74,74,74LEVEL 2 OFC VISIT NEW EXPANDED,EA,99202,61299202,EA,392,392,392,392,392,392,392,392,392,392,392,392,392,392,392,392,392LEVEL 3 OFC VISIT NEW DETAILED,EA,99203,61299203,EA,423,423,423,423,423,423,423,423,423,423,423,423,423,423,423,423,423LEVEL 4 OFC VISIT NEW COMPREHENSION,EA,99204,61299204,EA,464,464,464,464,464,464,464,464,464,464,464,464,464,464,464,464,464LEVEL 5 OFC VISIT NEW HIGH COMPL,EA,99205,61299205,EA,515,515,515,515,515,515,515,515,515,515,515,515,515,515,515,515,515EM PROLONGED VISIT 1 HOUR,EA,99417,61299206,EA,"1,255.00","1,255.00","1,255.00","1,255.00","1,255.00","1,255.00","1,255.00","1,255.00","1,255.00","1,255.00","1,255.00","1,255.00","1,255.00","1,255.00","1,255.00","1,255.00","1,255.00"EM PROLONG EA ADDITIONAL 30 MIN,EA,99355,61299207,EA,938,938,938,938,938,938,938,938,938,938,938,938,938,938,938,938,938LEVEL 2 OFC VISIT EST LIMITED,EA,99212,61299212,EA,340,340,340,340,340,340,340,340,340,340,340,340,340,340,340,340,340LEVEL 3 OFC VISIT EST EXPANDED,EA,99213,61299213,EA,371,371,371,371,371,371,371,371,371,371,371,371,371,371,371,371,371LEVEL 4 OFC VISIT EST DETAILED,EA,99214,61299214,EA,412,412,412,412,412,412,412,412,412,412,412,412,412,412,412,412,412LEVEL 5 OFC VISIT EST COMPREHENSI,EA,99215,61299215,EA,464,464,464,464,464,464,464,464,464,464,464,464,464,464,464,464,46499304 NH ADMIT LOW COMPLEXITY,EA,99304,61299304,EA,340,340,340,340,340,340,340,340,340,340,340,340,340,340,340,340,34099305 NH ADMIT MODERATE COMPLEXITY,EA,99305,61299305,EA,371,371,371,371,371,371,371,371,371,371,371,371,371,371,371,371,37199306 NH ADMIT HIGH COMPLEXITY,EA,99306,61299306,EA,412,412,412,412,412,412,412,412,412,412,412,412,412,412,412,412,41299307 NH PHY SUBS VST STABLE/IMPRV,EA,99307,61299307,EA,197,197,197,197,197,197,197,197,197,197,197,197,197,197,197,197,19799308 NH PHY SUBS VST MINOR COMPLI,EA,99308,61299308,EA,203,203,203,203,203,203,203,203,203,203,203,203,203,203,203,203,20399309 NH PHY SUBS VST SIGNIF COMPL,EA,99309,61299309,EA,266,266,266,266,266,266,266,266,266,266,266,266,266,266,266,266,26699310 NH PHY SUBS VST IMMD ATTENT,EA,99310,61299310,EA,357,357,357,357,357,357,357,357,357,357,357,357,357,357,357,357,35799315 NH PHYS DISCHARGE <30,EA,99315,61299315,EA,255,255,255,255,255,255,255,255,255,255,255,255,255,255,255,255,25599316 NH PHYS DISCHARGE >30,EA,99316,61299316,EA,340,340,340,340,340,340,340,340,340,340,340,340,340,340,340,340,34099318 NH H&P ANNUAL VISIT,EA,99318,61299318,EA,330,330,330,330,330,330,330,330,330,330,330,330,330,330,330,330,330UNDER ESTAB PAT DOMICILIARY REST HOME,EA,99334,61299334,EA,215,215,215,215,215,215,215,215,215,215,215,215,215,215,215,215,21599343 HOME VISIT NEW LEVEL 3,EA,99343,61299343,EA,264,264,264,264,264,264,264,264,264,264,264,264,264,264,264,264,26499345 HOME VISIT NEW LEVEL 5 (75MIN),EA,99345,61299345,EA,"2,213.00","2,213.00","2,213.00","2,213.00","2,213.00","2,213.00","2,213.00","2,213.00","2,213.00","2,213.00","2,213.00","2,213.00","2,213.00","2,213.00","2,213.00","2,213.00","2,213.00"99347 HOME VISIT EST PT MIN PROB 15 MIN,EA,99347,61299347,EA,200,200,200,200,200,200,200,200,200,200,200,200,200,200,200,200,20099348 HOME VISIT EST LOW-MOD,EA,99348,61299348,EA,275,275,275,275,275,275,275,275,275,275,275,275,275,275,275,275,27599349 HOME VISIT EST PT/MOD-HI,EA,99349,61299349,EA,345,345,345,345,345,345,345,345,345,345,345,345,345,345,345,345,34599350 HOME VISIT EST LEVEL 4,EA,99350,61299350,EA,266,266,266,266,266,266,266,266,266,266,266,266,266,266,266,266,26699417 PROLONGED PHYSICIAN SERVICES,EA,99417,61299354,EA,779,779,779,779,779,779,779,779,779,779,779,779,779,779,779,779,77999356 NH EM PROLONGED VISIT 1 HOUR,EA,99356,61299356,EA,856,856,856,856,856,856,856,856,856,856,856,856,856,856,856,856,856PREVENTIVE NEW UNDER 1 YR,EA,99381,61299381,EA,199,199,199,199,199,199,199,199,199,199,199,199,199,199,199,199,199PREVENTIVE NEW 1-4 YRS,EA,99382,61299382,EA,204,204,204,204,204,204,204,204,204,204,204,204,204,204,204,204,204PREVENTIVE NEW 5-11 YRS,EA,99383,61299383,EA,209,209,209,209,209,209,209,209,209,209,209,209,209,209,209,209,209PREVENTIVE NEW 12-17 YRS,EA,99384,61299384,EA,214,214,214,214,214,214,214,214,214,214,214,214,214,214,214,214,214PREVENTIVE NEW 18-39 YRS,EA,99385,61299385,EA,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224PREVENTIVE NEW 40-64 YRS,EA,99386,61299386,EA,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224PREVENTIVE NEW 65YRS&OVER,EA,99387,61299387,EA,230,230,230,230,230,230,230,230,230,230,230,230,230,230,230,230,230PREVENTIVE EST UNDER 1 YR,EA,99391,61299391,EA,199,199,199,199,199,199,199,199,199,199,199,199,199,199,199,199,199PREVENTIVE EST 1-4 YRS,EA,99392,61299392,EA,208,208,208,208,208,208,208,208,208,208,208,208,208,208,208,208,208PREVENTIVE EST 5-11 YRS,EA,99393,61299393,EA,212,212,212,212,212,212,212,212,212,212,212,212,212,212,212,212,212PREVENTIVE EST 12-17 YRS,EA,99394,61299394,EA,219,219,219,219,219,219,219,219,219,219,219,219,219,219,219,219,219PREVENTIVE EST 18-39 YRS,EA,99395,61299395,EA,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224,224PREVENTIVE EST 40-64 YRS,EA,99396,61299396,EA,227,227,227,227,227,227,227,227,227,227,227,227,227,227,227,227,227PREVENTIVE EST 65YRS&OVER,EA,99397,61299397,EA,230,230,230,230,230,230,230,230,230,230,230,230,230,230,230,230,230PREV MED CNSL INDIV 15MIN,EA,99401,61299401,EA,83,83,83,83,83,83,83,83,83,83,83,83,83,83,83,83,83CONSULT FAMILY/CAREGIVER,EA,99402,61299402,EA,61,61,61,61,61,61,61,61,61,61,61,61,61,61,61,61,61SMOK/TOB CESS COUNSL VISIT >3 MIN/<10MIN,EA,99406,61299406,EA,82,82,82,82,82,82,82,82,82,82,82,82,82,82,82,82,8299406 SMOKING CESSATION 3-10MIN,EA,99406,61299406,EA,91,91,91,91,91,91,91,91,91,91,91,91,91,91,91,91,91SMOK/TOB CESS COUNSL VISIT > 10MIN,EA,99407,61299407,EA,179,179,179,179,179,179,179,179,179,179,179,179,179,179,179,179,17999407 SMOKING CESSATION > 10MIN,EA,99407,61299407,EA,205,205,205,205,205,205,205,205,205,205,205,205,205,205,205,205,205HEALTH RISK ASSESS,EA,96160,61299420,EA,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34TELEPHONE E/M 5-10 MIN,EA,99441,61299441,EA,190,190,190,190,190,190,190,190,190,190,190,190,190,190,190,190,190TELEPHONE E/M 11-20 MINUTES,EA,99442,61299442,EA,182,182,182,182,182,182,182,182,182,182,182,182,182,182,182,182,182TELEPHONE E/M 21-30 MINUTES,EA,99443,61299443,EA,262,262,262,262,262,262,262,262,262,262,262,262,262,262,262,262,262CARE MGMNT NON-FACE-TO-FACE ENCOUNTER,EA,G0511,61299490,EA,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259,259ADM 1ST DOSE MODERNA (18 & OVER),EA,0011A,61299901,EA,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421ADM 2ND DOSE MODERNA (18 & OVER),EA,0012A,61299902,EA,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421ADM JANSSEN (J&J) CV-19V 18+,EA,0031A,61299907,EA,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421ADM 3RD DOSE MODERNA (18 & OVER),,0013A,61299910,,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421COVID 19 VACCINE HOME ADMIN,EA,M0201,61299912,EA,461,461,461,461,461,461,461,461,461,461,461,461,461,461,461,461,461ADM BOOSTER MODERNA LOW DOSE (18 & OVER),,0064A,61299913,,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421ADM 2ND PEDI DOSE PFIZER 5-11,EA,0072A,61299918,EA,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421ADM 1ST DOSE COMIRNATY 12+,EA,0051A,61299919,EA,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421ADM 2ND DOSE COMIRNATY 12+,EA,0052A,61299920,EA,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421ADM 3RD DOSE COMIRNATY 12+,EA,0053A,61299921,EA,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421ADM BOOSTER DOSE COMIRNATY 12+,EA,0054A,61299922,EA,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421,421SHINGRIX - ZOSTER VACC RECOMBINANT,EA,90750,61299995,EA,"1,167.00","1,167.00","1,167.00","1,167.00","1,167.00","1,167.00","1,167.00","1,167.00","1,167.00","1,167.00","1,167.00","1,167.00","1,167.00","1,167.00","1,167.00","1,167.00","1,167.00"BICILLIN LA 0.6 MIL UN/ML,EA,J0561,61299996,EA,79,79,79,79,79,79,79,79,79,79,79,79,79,79,79,79,79PLANTAR FASCITIS INJ,EA,20550,61299997,EA,301,301,301,301,301,301,301,301,301,301,301,301,301,301,301,301,301CALCANEAL SPUR & AREA AROUND INJ,EA,20551,61299998,EA,289,289,289,289,289,289,289,289,289,289,289,289,289,289,289,289,289NEEDLE 20 X 1,EA,,80000004,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DRAPE TOWELS,EA,,80000009,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9CAUTERY BOVIE /HIGH TEMP,EA,,80000012,EA,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56,56LUMBAR PEDI TRAY,EA,,80000014,EA,205,205,205,205,205,205,205,205,205,205,205,205,205,205,205,205,205FORCEP THUMB,EA,,80000017,EA,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31FORCEP THUMB DRESSING,EA,,80000018,EA,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24FORCEPS ALLIGATOR,EA,,80000019,EA,379,379,379,379,379,379,379,379,379,379,379,379,379,379,379,379,379FORCEPS KELLY STRT,EA,,80000020,EA,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35PARTICULATE MASK,EA,,80000030,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8SCISSOR IRIS CRVD,EA,,80000033,EA,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34"SCISSOR, LITTAUER SUT STR",EA,,80000034,EA,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36SCISSORS IRIS STRT,EA,,80000035,EA,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34,34TAYLOR HAMMER,EA,,80000039,EA,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31,31NEEDLELESS IV SET,EA,,80000042,EA,47,47,47,47,47,47,47,47,47,47,47,47,47,47,47,47,47EAR CURETTE DISP LARGE,EA,,80000043,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8EAR CURETTE DISP SMALL,EA,,80000044,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8EAR CURETTE OVAL WHITE,EA,,80000047,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8"COTTON SWAB 16"" OB/GYB",EA,,80000052,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8"COTTON SWAB 8"" OB/GYB",EA,,80000053,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DISP VAGINAL SPECULA,EA,,80000054,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11SYRINGE 60CC CATHETER TIP,EA,,80000055,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8"DRAINABLE POUCH/COLOSTOMY 2 3/4""",EA,,80000056,EA,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13"DRAINABLE POUCH/COLOSTOMY 2 1/4""",EA,,80000057,EA,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16"DRAINABLE POUCH/COLOSTOMY 2 1/2""",EA,,80000058,EA,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17,17"DRAINABLE POUCH/COLOSTOMY 1 3/4""",EA,,80000059,EA,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21,21EKG SNAP ELECTRODE HUGGABLES,PK,,80000068,PK,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DEFIB ELECTRO-PEDI PADZ II,EA,,80000069,EA,"1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00"TRACH MASK,EA,,80000071,EA,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10TRACHEAL SUCTION SYSTEM,EA,,80000072,EA,265,265,265,265,265,265,265,265,265,265,265,265,265,265,265,265,265TRACH CARE KIT,EA,,80000073,EA,237,237,237,237,237,237,237,237,237,237,237,237,237,237,237,237,237DEFIBRILLATOR HEART PAD ADULT/CHILD,EA,,80000075,EA,225,225,225,225,225,225,225,225,225,225,225,225,225,225,225,225,225CRICOTHROTOMY KIT PEDI,EA,,80000076,EA,"1,554.00","1,554.00","1,554.00","1,554.00","1,554.00","1,554.00","1,554.00","1,554.00","1,554.00","1,554.00","1,554.00","1,554.00","1,554.00","1,554.00","1,554.00","1,554.00","1,554.00"CRICOTHROTOMY KIT ADULT,EA,,80000077,EA,513,513,513,513,513,513,513,513,513,513,513,513,513,513,513,513,513KLEENEX,EA,,80000127,EA,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14NOSEY CUP,EA,,80000130,EA,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35,35KLEENEX/PATIENCE ROOMS,EA,,80000131,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DISPOSABLE SP02 SENSOR,EA,,80000151,EA,72,72,72,72,72,72,72,72,72,72,72,72,72,72,72,72,72LUMBAR ADULT TRAY,EA,,80000200,EA,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67,67SURGICAL SCRUB BRUSH,EA,,80000302,EA,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9,9INTRANASAL MUCOSAL SYRINGE,EA,,80000309,EA,87,87,87,87,87,87,87,87,87,87,87,87,87,87,87,87,87DEFIB ELECTRODE ADULT,PR,,80000340,PR,"1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00","1,004.00"BANDAID REG 2X4,EA,,80000354,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8BANDAID REG SPOT,EA,,80000355,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8BANDAID REG 1X3,BX,,80000356,BX,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ONE TOUCH ULT GLUCOSE CONTROL SOL,EA,,80000357,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8ONE TOUCH ULT BLUE TEST STRIPS,EA,,80000371,EA,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12,12STATSTRIPS GLUCOSE,EA,,80000374,EA,120,120,120,120,120,120,120,120,120,120,120,120,120,120,120,120,120CONTROL SOLUTION 1,EA,,80000378,EA,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37CONTROL SOLUTION 3,EA,,80000379,EA,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37LINEARITY KIT GLUCOSE,EA,,80000380,EA,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37,37WARWICK HEEL WEDGE 2 1/2,EA,,80001607,EA,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29WARWICK HEEL WEDGE 3,EA,,80001608,EA,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29WARWICK HEEL WEDGE 2,EA,,80001609,EA,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29,29DRESSING PETROLATUM 5X9,EA,,80003045,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DRESSING PETROLATUM 1X8,EA,,80003046,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DRESSING W/SILVER 2X2,EA,,80003047,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11DRESSING OPTIFOAM BASIC,EA,,80003048,EA,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8,8DRESSING W/SILVER 4X4,EA,,80003049,EA,90,90,90,90,90,90,90,90,90,90,90,90,90,90,90,90,90GRAVITY FEEDING TUBE,EA,,80003414,EA,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36,36"IV CATH PROTECTIV 24 GA 3/4""",EA,,80004293,EA,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20"IV CATH PROTECTIV 18 GA 1 1/4""",EA,,80004294,EA,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30,30"IV CATH PROTECTIV 16 GA 1 1/4""",EA,,80004295,EA,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20,20"KNEE IMMOBILIZER 14""",EA,L1830,80004498,EA,237,237,237,237,237,237,237,237,237,237,237,237,237,237,237,237,237SAFELINE INJECTION SITE,EA,,80004804,EA,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28,28IV DRESSING VENI-GARD,EA,,80005397,EA,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11CHEST TUBE INSERTION TRAY,EA,,80006544,EA,906,906,906,906,906,906,906,906,906,906,906,906,906,906,906,906,906TUBULAR ELASTIC GAUZE SIZE 8,IN,A6457,80006548,IN,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10,10CERVICAL COLLAR UNIV.,EA,L0120,80022548,EA,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45,45rsus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.